L3255
Balloon enteroscopy
15 152,00
L3307
TTE (transthoracic echocardiography), child
621,00
L3560
Patella radiology, up to two views, per side
171,00
L3562
Patella radiology, third or more additional views
188,00
L3620
Toe(s) radiology, up to two views
L3621
Calcaneus radiology, up to two views
L3711
Apolipoprotein E, genotype
591,00
L3727
Implantation of loop recorder system, including retrieval of recorded and stored ECG data, physician review and interpretation of retrieved ECG data, per ILR
17 136,00
L3795
External Counter Pulsation Therapy (ECPT) / Enhanced External Counter Pulsation (EECP) therapy
954,00
L3799
Rehabilitation workshop, lung diseases patients, per session
99,00
L3890
Apolipoprotein E4, genotype
1 410,00
L3900
Prenatal molecular diagnostics, age 35-37 years, including lab tests and US
3 582,00
L3902
Prenatal molecular diagnostics, over 37 years of age, including lab tests and US
2 351,00
L4110
Porphobilinogen deaminase, quantitative - RBC
618,00
L4152
Hospital circumcision, excluding newborn
3 485,00
L4233
Her-2/neu, immunohistochemistry
486,00
L4234
Her-2/neu, FISH method
4 251,00
L4283
Enema
36,00
L4298
Electrolytes, sodium and potassium
35,00
L4450
Urethrocystography, retrograde, under sedation
1 608,00
L4581
Additional charge for device for implantation/replacement of sacral nerve stimulation electrode/lead
12 876,00
L4583
Additional charge for device for implantation/replacement of sacral nerve stimulation generator
57 727,00
L4612
Botolinum Toxin, 30 units Dysport administration
366,00
L4705
hCG and PAPP-A, quantitative - serum
254,00
L4793
Ambulatory evaluaiton of TB suspected patient
2 145,00
L4794
Basic evaluation of Mantoux positive patient
263,00
L4795
Treatment of active TB patient, first 5 months
10 263,00
L4796
Treatment of active TB patient, last month
13 380,00
L4797
Evaluation of close contact of Tb patient
852,00
L4798
Ambulatory treatment of close contact patient, prevention
300,00
L4799
Ambulatory pharmacological treatment of close contact patient, last month
401,00
L4990
Genotype characterization by caryotype analysis
4 149,00
L4991
Malignancies genotype, FISH (Fluorescent in Situ Hybridization)
1 856,00
L4992
Malignancies genotype, DNA index
1 383,00
L4999
Orotic acid - urine
117,00
L5339
Laser, additional payment to endoscopy, excluding endoscopy
1 481,00
L5378
Colonoscopy, flexible; diagnostic, with/without collection of specimen(s)
1 491,00
L5400
Endoscopic Argon laser treatment
512,00
L5441
Femur head from bone bank
2 210,00
L5461
Kappa or Lambda light chain, Ig, free - blood
483,00
L5799
Angiography
4 418,00
L5810
Polysomnography, including EEG, child
1 589,00
L5858
Tensilon test for myasthenia gravis; with electromyographic recording
725,00
L5872
Single fiber electromyography, per patient
1 020,00
L5925
Sensory evoked potentials (SEP) study, per patient
633,00
L5990
Minor ambulatory surgery, including foreign body removal, local anesthesia
441,00
L6002
Cytokins
399,00
L6015
Gliadin, Ab
311,00
L6031
Intraocular injection of Bevacizumab (Avastin)
929,00
L6160
KRAS mutation, per patient
2 187,00
L6171
Additional charge for intraocular shunt, eg, Ex-PRESS, for trabeculectomy
3 748,00
L6312
CA 72.4 tumor antigen
185,00
L6313
NSE (Neuron specific enolase), tumor antigen
L6316
Immunoassay for tumor antigen, quantitative; CA 21-1
164,00
L6358
Lymphocyte CD antigen determination, over 6 CD
3 863,00
L6375
CT (Computed tomographic) virtual colonoscopy
1 562,00
L6414
Hickman placement, angiography guidance
4 289,00
L6415
Hickman placement under general anasthesia
6 429,00
L6416
Portacath placement, angiography guidance
6 218,00
L6417
Portacath placement under general anasthesia
8 558,00
L6418
Declotting by thrombolytic agent of Hickman/portacath catheter
236,00
L6497
Copying video, echo, catheterization, CD
138,00
L6498
Administrative radiologic procedure
54,00
L6499
26,00
L6520
Low density lipoprotein (LDL) apheresis
13 776,00
L6550
Oncological treatment, adult, with chemotherapeutic/biological medications, per patient per day
1 956,00
L6551
Oncological treatment, child, with chemotherapeutic/biological medications, per patient per day
2 541,00
L6552
Oncological/hematological treatment, adult, without chemotherapeutic/ biological medications, per patient per day
1 175,00
L6553
Oncological/hematological treatment, child, without chemotherapeutic/ biological medications, per patient per day
1 526,00
L6611
Bartonella henselae (Cat scratch) IgG - blood
348,00
L6612
Bartonella henselae (Cat scratch) IgM - blood
L6689
HIV or HTLV resistance to medication
3 566,00
L6705
HBV, HCV and HIV-1 detection, NAT, at blood bank
L6707
Hepatitis E, Ab
347,00
L6762
Rubella virus IgG or IgM
L6776
Toxoplasma, Sabin Feldman dye test
306,00
L6777
Toxoplasmosis confirmation test
794,00
L6778
Toxoplasma avidity testing
423,00
L6815
Ultrasound, pregnant uterus, without image documentation
440,00
L6821
Ophthalmic YAG laser treatment, per patient
576,00
L6822
Ophthalmic Argon laser treatment, per patient
447,00
L6830
Creation of arteriovenous fistula for renal dialysis, native or using graft
18 083,00
