| 1 |
CT ABDOMEN & PELVIS (CONTRAST) |
6500.00-6500.00 |
| 2 |
CT ABDOMEN (UPPER) + CONTRAST |
5000.00-5000.00 |
| 3 |
CT HEAD (PLAIN) |
2500.00-2500.00 |
| 4 |
CT ORBIT + CONTRAST |
4000.00-4000.00 |
| 5 |
CT PELVIS (CONTRAST) |
5000.00-5000.00 |
| 6 |
CT PELVIS (PLAIN) |
4000.00-4000.00 |
| 7 |
CT SCAN - ORBIT PLAIN |
3000.00-3000.00 |
| 8 |
CT SCAN ANESTHESIA CONTRAST |
900.00-900.00 |
| 9 |
CT SCAN ANESTHESIA PLAIN |
700.00-700.00 |
| 10 |
CT SCAN HRCT LUNG + CHEST (PLAIN + CONTRAST) |
5600.00-5600.00 |
| 11 |
CT SCAN HRCT LUNG PLAIN |
3500.00-3500.00 |
| 12 |
CT SCAN JOINT & EXTREMITIES CONTRAST |
5000.00-5000.00 |
| 13 |
CT SCAN JOINT & EXTREMITIES PLAIN |
4000.00-4000.00 |
| 14 |
CT SCAN K U B (LOWER ABDOMEN) CONTRAST |
5000.00-5000.00 |
| 15 |
CT SCAN K U B (LOWER ABDOMEN) PLAIN |
4000.00-4000.00 |
| 16 |
CT SCAN LARYNX (NECK) CONTRAST |
5000.00-5000.00 |
| 17 |
CT SCAN LARYNX (NECK) PLAIN |
3500.00-3500.00 |
| 18 |
CT SCAN SPINE CERVICAL CONTRAST |
5000.00-5000.00 |
| 19 |
CT SCAN SPINE CERVICAL PLAIN |
3500.00-3500.00 |
| 20 |
CT SCAN SPINE DORSAL CONTRAST |
5000.00-5000.00 |
| 21 |
CT SCAN SPINE DORSAL PLAIN |
3500.00-3500.00 |
| 22 |
CT SCAN SPINE LUMBAR CONTRAST |
5000.00-5000.00 |
| 23 |
CT SCAN SPINE LUMBAR PLAIN |
3500.00-3500.00 |
| 24 |
CT SCAN TEMPORAL BONE CONTRAST |
5000.00-5000.00 |