| 1 |
CT KUB |
7500.00-7500.00 |
| 2 |
CT Cervical Spine with Contrast |
6750.00-6750.00 |
| 3 |
CT Cisternography |
7200.00-7200.00 |
| 4 |
CT DORSAL SPINE |
5000.00-5500.00 |
| 5 |
CT KNEE JOINT (SINGLE) |
5000.00-5000.00 |
| 6 |
CT LUMBAR SPINE |
5400.00-5525.00 |
| 7 |
CT MANDIBLE |
5000.00-5000.00 |
| 8 |
CT NECK ANGIOGRAPHY |
10000.00-10000.00 |
| 9 |
CT ORBIT + CONTRAST |
5500.00-6000.00 |
| 10 |
CT PELVIS (CONTRAST) |
6000.00-6375.00 |
| 11 |
CT PELVIS (PLAIN) |
4000.00-6750.00 |
| 12 |
CT SCAN - ABDOMEN PLAIN |
5000.00-6750.00 |
| 13 |
CT SCAN - BRAIN PLAIN |
3400.00-5500.00 |
| 14 |
CT SCAN - Dorsal Spine with Contrast |
6750.00-6750.00 |
| 15 |
CT SCAN - Lumber Spine |
5500.00-5500.00 |
| 16 |
CT SCAN - NECK PLAIN |
4000.00-4000.00 |
| 17 |
CT SCAN - ORBIT PLAIN |
4000.00-4500.00 |
| 18 |
CT SCAN - ORBITS |
5500.00-5500.00 |
| 19 |
CT SCAN - PNS CONTRAST |
6000.00-6000.00 |
| 20 |
CT SCAN - PNS PLAIN |
4000.00-4000.00 |
| 21 |
CT SCAN - SACRUM |
6750.00-6750.00 |
| 22 |
CT SCAN - Screening |
4250.00-4250.00 |
| 23 |
CT SCAN - T M JOINT |
4500.00-4500.00 |
| 24 |
CT SCAN - THORAX CONTRAST |
6200.00-6200.00 |
| 25 |
CT SCAN ABDOMEN TRIPHASIC |
8100.00-8100.00 |
| 26 |
CT SCAN PULMONARY ANGIO |
11250.00-11500.00 |
| 27 |
CT SCANOGRAM |
1800.00-1800.00 |
| 28 |
CT SHOULDER JOINT (SINGLE) |
5000.00-5000.00 |
| 29 |
CT TEMPORAL BONE |
4140.00-5400.00 |