L0574
Breathing capability test
120,00
L0591
Extracorporeal shockwave lithotripsy, kidney; complex
28 632,00
L0621
Kit test
1 359,00
L0690
Hotel care, per day, including medical supervision
606,00
L0692
Home care, per day, including medical supervision
909,00
L0717
Harvesting of cornea
8 610,00
L0749
MRI, additional payment for gadolinum contrast
345,00
L0784
IV (Intravenous) infusion of fluids
342,00
L0785
IV (Intravenous) infusion of drugs
L0787
Deflux injection, vesicoureteral reflux therapy, unilateral
10 022,00
L0788
Deflux injection, vesicoureteral reflux therapy, bilateral
17 705,00
L0790
Preparation of blood unit, price per preparation of one unit
L0791
Blood unit, price per one unit
250,00
L0799
IV (Intravenous) ileoprost
1 617,00
L0800
Psychotherapy, individual, combined
480,00
L0801
Psychiatric clinic evaluation
231,00
L0802
Diagnostic interview/intake
L0803
Home visit, member of psychiatric team
198,00
L0804
Home visit, psychiatric team
543,00
L0805
Comprehensive cognitive testing, 3 visits
1 583,00
L0806
Multiprofessional evaluation for rehabilitation planning
2 183,00
L0807
Psychological assessment for rehabilitation framework
1 430,00
L0808
Psychodiagnostic assessment - full battery
L0809
Psychodiagnostic assessment - partial battery
734,00
L0820
Psychiatric hospital day care, adult, all hospitals
549,00
L0821
Psychiatric hospital day care, children and adolescents, all hospitals
588,00
L0822
Psychiatric community day care, adult
593,00
L0823
Psychiatric community day care, children and adolescents
639,00
L0841
Psychotherapy/counseling, individual
347,00
L0843
Patient's treatment framework assessment
L0846
Family or conjoint therapy/counseling
581,00
L0849
Psychotherapy, group, per session
162,00
L0885
Psychotherapy/counselling, group, institutions/families/schools
L0886
Guidance for other agencies, individual, within service site
405,00
L0887
Guidance for other agencies, goup, within service site
275,00
L0888
Guidance for other agencies, outside service site
L0899
Psychosocial diagnosis and evaluation
245,00
L0911
Hearing test, complete, anamnesis, child
L0914
Biofeedback training, gastroenterology, single session
473,00
L0915
Biofeedback training, gastroenterology, 6 sessions
2 840,00
L0934
Circulating anticoagulants, eg, LAC
486,00
L0959
Sexual counseling and therapy
572,00
L0962
ER (Emergency room) medical examination
399,00
L0964
ER (Emergency room) fee
267,00
L0969
Collar or sling, including materials
188,00
L1015
Enzymes activity with cells separation, six or more enzymes
1 830,00
L1028
US (ultrasound), with image documentation
L1030
FibroScan for assessment of liver fibrosis
638,00
L1039
CT (Computed Tomography), excluding tests with specific code
863,00
L1040
CTA / CTArthro / CT urography, per patient, excluding thorax coronary arteries CTA
1 551,00
L1077
Surgical obturator, assessment and preparation
15 449,00
L1079
Interim obturator
8 112,00
L1080
Definitive obturator
22 212,00
L1133
Establishing paternity, per patient, including medical forensic opinion
2 505,00
L1139
Pilot medical examination
2 057,00
L1275
CTA chest, coronary arteries
3 821,00
L1611
Initial insertion/replacement of speech prosthesis post laryngectomy
3 920,00
L1720
Bladder instillation of Mitomycin, per treatment, including material
1 470,00
L1721
Bladder hyperthermia and Mitomycin instillation, per treatment
6 209,00
L1922
CT under general anesthesia
2 510,00
L1996
Chronic pain control, infiltration
416,00
L1997
Chronic pain control, nerves block, using fluoroscopic guidance, with contrast material
2 079,00
L1998
Chronic pain control, nerves block, using fluoroscopic guidance, with neurolytic substance
L2001
Radiofrequency treatment for pain control, per treatment
6 620,00
L2002
Loading of pump for spasticity treatment, Baclofen
4 797,00
L2003
Ozone treatment for skin ulcers, per day
330,00
L2004
Negative pressure treatment for skin ulcers, per session
852,00
L2005
Maggot debridement therapy, per session
680,00
L2013
Acetylcholinesterase, Ab - serum
L2136
OCT3 (Optical Coherence Tomography), per patient
483,00
L2196
Pelvis/genitalia MRI, excluding prostate
3 102,00
L2197
Prostate MRI
6 197,00
L2250
Fundus photography, two eyes
L2340
Optometry by an optometrist, per patient
194,00
L2498
Corneal imaging
254,00
L2528
Nasal potential difference measurements for cystic fibrosis diagnonsis
2 136,00
L2529
Rectal biopsy sampling and testing for Cystic Fibrosis diagnosis, per patient
L2585
Auditory screening test, OAE, infant
0,00
L2586
Auditory screening test, AABR, infant
L2588
OAE (Otoacoustic Emissions), diagnostic
119,00
L2589
Auditory screening test, AABR, subsequent test, baby
240,00
L2699
Extracorporeal shock wave lithotripsy, salivary glands
6 992,00
L2731
Fibronectin
627,00
L2999
Arthroscopy, complex and/or high skill surgical procedures, using implants
20 663,00
L3003
ECG monitoring, Flecainide infusion, IV
936,00
L3013
Rapid urease test, helicobacter pylori, child - exhaled air
66,00
L3239
Biopsy, additional payment to EUS, excluding EUS (Endoscopic ultrasound)
3 258,00
L3250
Endoscopic polyp marking, in addition to endoscopy, per patient
1 161,00
