L6831
Therapeutic catheterization of AV shunt for renal dialysis, native/with graft
30 402,00
L6849
Interferon Ab
461,00
L6856
Pelvis US, nonobstetric, with image documentation, complete
480,00
L6857
Hips US
L7001
Physiotherapy, evaluation and treatment planning, child
536,00
L7002
Isokinetic assessment and treatment planning
354,00
L7003
Occupational therapy, evaluation and treatment planning, child
L7004
Isokinetic physiotherapeutic treatment
296,00
L7118
NTM (Non Tuberculous Mycobacteria) identification
569,00
L7140
Physiotherapy/rehabilitation, group, up to 4 individuals, including child, per individual
116,00
L7154
Toxoplasma, molecular diagnostics - body fluids
1 557,00
L7204
Spermatic veins embolization
10 455,00
L7210
Photocoagulation, PDT, retina, including material
15 258,00
L7525
Replacement/repositioning of biliary drain, percutaneous
3 888,00
L7619
Malignant hyperthermia diagnosis test (muscle biopsy)
11 921,00
L7751
Brachytherapy, gynecological
14 640,00
L7752
Brachytherapy, lung cancer
9 134,00
L7753
Brachytherapy, prostate cancer treatment
58 548,00
L7771
Occupational therapy, group
L8074
Adrenal imaging, medulla, I-123 MIBG, up to 7 years of age
14 129,00
L8075
Adrenal imaging, medulla, I-123 MIBG, over 7 years of age
24 524,00
L8076
Adrenal imaging, cortex
14 408,00
L8170
Semen production from testis, surgical
8 490,00
L8180
Chemotherapy resistance, Facs
1 122,00
L8181
CD membrane antigen, up to 4 antigens
1 616,00
L8182
Testes removal, for sperm isolation; cadaver, at the forensic medicine institute
1 628,00
L8183
Pathological specimen, preparation of slides, at the forensic medicine institute
132,00
L8184
DNA analysis in liquid blood, soft tissue, semen, at the forensic institute
3 536,00
L8186
DNA analysis in dry blood, at the forensic institute
3 726,00
L8188
DNA analysis in bone tissue, at the forensic institute
12 999,00
L8190
Harvesting of cardiac valve (homograft bank)
2 226,00
L8213
Aminolevulinic acid dehydratase (ALA-D), quantitative - RBC
927,00
L8242
Allogeneic donor lymphocyte infusions, DLI
4 959,00
L8244
Allogeneic lymphocyte proliferation
7 460,00
L8245
Allogeneic lymphocyte activation
47 195,00
L8250
Chromosome 1 and 19 analysis, per patient
2 646,00
L8252
FLT3 and NPM1 internal random duplications, PCR
1 092,00
L8268
Cholyl-14-C-Glycine breath test for bile salts deconjugation
L8269
C-13 urea test, helicobacter pylori - exhaled air
221,00
L8299
Spleen imaging, with heated RBC (red blood cells)
1 548,00
L8307
Examination of abortus for diagnosis of malformations
8 210,00
L8379
EGFR (Epidermal Growth Factor Receptor) mutation, per patient
1 470,00
L8380
ALK mutation, per patient
3 830,00
L8381
BRAF mutation, per patient
975,00
L8410
Porphyrins, qualitative - plasma
209,00
L8411
Porphyrins, chromatography - plasma
788,00
L8412
Porphyrins, chromatography - urine
729,00
L8413
Porphyrins, chromatography - feces
834,00
L8414
Porphyrins, chromatography - RBC
905,00
L8599
Pulmonary imaging, dynamic, mucociliary clearence
5 037,00
L8802
Somatostatin receptor scintegraphy
27 866,00
L8970
First stage IVF, including hormonal tests
7 288,00
L8971
First stage IVF, excluding hormonal tests
5 683,00
L8972
Second stage IVF, excluding hospitalization days
8 790,00
L8975
Ovarian tissue cryopreservation
7 241,00
L8976
Cryopreserved ovarian tissue storage for 5 years
965,00
L8977
Oocyte retrieval and cryopreservation, eg, vitrification
L8978
Cryopreserved oocytes storage for 5 years
L8979
Cryopreserved oocytes transfer, intrauterine, including thawing and fertilization
5 666,00
L9000
Radiopharmaceutical therapy, hyper-thyroidism
2 235,00
L9015
Chorionic villus sampling, excluding laboratory processing and interpretation
641,00
L9030
Radiopharmaceutical ablation of gland for thyroid carcinoma
9 215,00
L9035
Radiopharmaceutical therapy for metastases of thyroid carcinoma
14 625,00
L9079
Injection (eg, neurolytic substance)
129,00
L9080
Medical opinion for appointment of legal guardian, including completion of form and reports
900,00
L9183
Emergency hyperbaric oxygen therapy, excluding diving accidents
15 443,00
L9184
Hyperbaric pretreatment assessment
2 180,00
L9201
Physician consulation for a patient insured by another sick fund
219,00
L9211
Fire arm license physician examination
162,00
L9212
Driving license physician examination
L9215
Fire arm license specialist examination
L9232
Routine examinations for candidates for renal transplantation
6 924,00
L9241
Perenatal genetic consultation
764,00
L9242
Examination by medical specialist for appointment of legal guardian, for established patient
342,00
L9243
Genetic consultation
L9244
Physician examination, oncologist
343,00
L9245
Physician examination, hematologist
L9246
Physician examination, hemato-oncologist
L9247
Physician examination, internal physician
L9248
Physician examination, urologist
L9249
Physician examination, orthopedic physician
L9250
Stammering treatment, individual/group, per course
11 978,00
L9251
Stammering treatment, individual/group, per patient/session
230,00
L9252
Physician examination, alergologist
L9253
Physician examination, endocrinologist
L9254
Physician examination, otorhinolaryngologist
