| 1 |
CT - Enteroclysis |
7200.00-7200.00 |
| 2 |
CT CHEST (PLAIN) |
3600.00-3600.00 |
| 3 |
CT CHEST + WHOLE ABDOMEN (PLAIN ) |
7650.00-7650.00 |
| 4 |
CT Colonoscopy |
6300.00-6300.00 |
| 5 |
CT DORSAL SPINE |
3600.00-3600.00 |
| 6 |
CT DUAL PHASE WITH WHOLE ABDOMEN |
12600.00-12600.00 |
| 7 |
CT ENTEROGRAPHY |
5400.00-5400.00 |
| 8 |
CT FACE |
3150.00-3150.00 |
| 9 |
CT HEAD (PLAIN & CONTRAST) |
3600.00-3600.00 |
| 10 |
CT HEAD (PLAIN) |
2250.00-2250.00 |
| 11 |
CT NCCT CHEST + WHOLE ABDOMEN |
7650.00-7650.00 |
| 12 |
CT NECK + CHEST + WHOLE ABDOMEN |
9000.00-9000.00 |
| 13 |
CT PNS CORONAL [PLAIN] |
2250.00-2250.00 |
| 14 |
CT SCAN - CHEST & UPPER ABDOMEN PLAIN |
5850.00-5850.00 |
| 15 |
CT SCAN - HEAD & ORBIT PLAIN |
3150.00-3150.00 |
| 16 |
CT SCAN - Lumber Spine |
3600.00-3600.00 |
| 17 |
CT SCAN - MANDIBLE PLAIN |
2700.00-2700.00 |
| 18 |
CT SCAN - ORAL CONTRAST |
630.00-630.00 |
| 19 |
CT SCAN - PNS AXIAL PLAIN |
2250.00-2250.00 |
| 20 |
CT SCAN LEFT KNEE JOINT |
3600.00-3600.00 |
| 21 |
CT SCAN LEFT SHOULDER |
3600.00-3600.00 |
| 22 |
CT SCAN Lower Abdomen (Pelvis) Plain |
3600.00-3600.00 |
| 23 |
CT SCAN PNS (Axial/Coronal) Plain |
3600.00-3600.00 |
| 24 |
CT SCAN RIGHT KNEE JOINT |
3600.00-3600.00 |
| 25 |
CT SINOGRAM |
3600.00-3600.00 |
| 26 |
CT TRIPLE PHASE WITH WHOLE ABDOMEN |
12600.00-12600.00 |
| 27 |
CT UROGRAPHY |
7200.00-7200.00 |
| 28 |
CT WHOLE ABDOMEN + CT UROGRAPHY |
10800.00-10800.00 |
| 29 |
HRCT TEMPORAL BONE CORONAL |
2700.00-2700.00 |