| 1 |
CONTRAST SINGLE |
3000.00-3000.00 |
| 2 |
MR ENTROCLYSIS |
7000.00-7000.00 |
| 3 |
MRI + MRA |
9000.00-9000.00 |
| 4 |
MRI - LEFT ANKLE |
7000.00-7000.00 |
| 5 |
MRI - LEFT LEG |
7000.00-7000.00 |
| 6 |
MRI - LEFT SHOULDER |
7000.00-7000.00 |
| 7 |
MRI - LEFT THIGH |
7000.00-7000.00 |
| 8 |
MRI - LEFT WRIST |
7000.00-7000.00 |
| 9 |
MRI - LOWER ABDOMEN |
7000.00-7000.00 |
| 10 |
MRI - RIGHT ELBOW |
7000.00-7000.00 |
| 11 |
MRI - RIGHT HAND |
7000.00-7000.00 |
| 12 |
MRI - RIGHT KNEE |
7000.00-7000.00 |
| 13 |
MRI - RIGHT LEG |
7000.00-7000.00 |
| 14 |
MRI - RIGHT SHOULDER |
7000.00-7000.00 |
| 15 |
MRI - RIGHT THIGH |
7000.00-7000.00 |
| 16 |
MRI - WHOLE ABDOMEN |
14000.00-14000.00 |
| 17 |
MRI - WHOLE SPINE |
18000.00-18000.00 |
| 18 |
MRI BILATERAL LEGS |
10000.00-10000.00 |
| 19 |
MRI BOTH HIP JOINT |
7000.00-7000.00 |
| 20 |
MRI BOTH KNEE JOINT |
12000.00-12000.00 |
| 21 |
MRI BRACHIAL PLEXUS |
7000.00-7000.00 |
| 22 |
MRI BRAIN + CONTRAST |
10000.00-10000.00 |
| 23 |
MRI BRAIN + DIFFUSION |
7000.00-7000.00 |
| 24 |
MRI BRAIN ANGIOGRAPHY (ARTERIAL) |
6000.00-6000.00 |
| 25 |
MRI BRAIN WITH INNER EAR |
9000.00-9000.00 |
| 26 |
MRI BRAIN+CISTERNOGRAPHY |
12000.00-12000.00 |
| 27 |
MRI CD |
500.00-500.00 |
| 28 |
MRI CERVICAL SPINE |
7000.00-7000.00 |
| 29 |
MRI CERVICO - DORSAL SPINE |
7000.00-7000.00 |
| 30 |
MRI CHEST |
7000.00-7000.00 |
| 31 |
MRI CV JUNCTION |
7000.00-7000.00 |
| 32 |
MRI DEFECOGRAPHY |
8000.00-8000.00 |
| 33 |
MRI DORSAL SPINE |
7000.00-7000.00 |
| 34 |
MRI EXTRA FILM |
500.00-500.00 |
| 35 |
MRI FACE |
7000.00-7000.00 |
| 36 |
MRI FISTULOGRAM |
7000.00-7000.00 |
| 37 |
MRI FOREARM |
7000.00-7000.00 |
| 38 |
MRI HIP SCREENING |
3000.00-3000.00 |
| 39 |
MRI KUB |
7000.00-7000.00 |
| 40 |
MRI LEFT ARM |
7000.00-7000.00 |
| 41 |
MRI LEFT ELBOW |
7000.00-7000.00 |
| 42 |
MRI LEFT FOOT |
7000.00-7000.00 |
| 43 |
MRI LEFT HAND |
7000.00-7000.00 |
| 44 |
MRI LEFT HIP JOINT |
7000.00-7000.00 |
| 45 |
MRI LEFT KNEE JOINT |
7000.00-7000.00 |
| 46 |
MRI LUMBO-SACRAL SPINE |
7000.00-7000.00 |
| 47 |
MRI NASOPHARYNX & PNS |
7000.00-7000.00 |
| 48 |
MRI NECK |
7000.00-7000.00 |
| 49 |
MRI ORBIT |
7000.00-7000.00 |
| 50 |
MRI PELVIS |
7000.00-7000.00 |
| 51 |
MRI PERINEUM |
7000.00-7000.00 |
| 52 |
MRI PITTUITARY GLAND |
7000.00-7000.00 |
| 53 |
MRI RIGHT ANKLE |
7000.00-7000.00 |
| 54 |
MRI RIGHT ARM |
7000.00-7000.00 |
| 55 |
MRI RIGHT FOOT |
7000.00-7000.00 |
| 56 |
MRI RIGHT HIP JOINT |
7000.00-7000.00 |
| 57 |
MRI RIGHT THUMB |
7000.00-7000.00 |
| 58 |
MRI RIGHT TOE |
7000.00-7000.00 |
| 59 |
MRI RIGHT WRIST |
7000.00-7000.00 |
| 60 |
MRI SACRO-COCCYGCAL |
7000.00-7000.00 |
| 61 |
MRI SACROILIAC JOINT |
7000.00-7000.00 |
| 62 |
MRI SCREENING OF DORSAL SPINE |
3000.00-3000.00 |
| 63 |
MRI SCREENING OF KNEE JOINT |
3000.00-3000.00 |
| 64 |
MRI SCREENING OF S I JOINT |
3000.00-3000.00 |
| 65 |
MRI SINOGRAM |
7000.00-7000.00 |
| 66 |
MRI STERNOCLAVICULAR JOINT |
7000.00-7000.00 |
| 67 |
MRI TEMPORAL BONE |
7000.00-7000.00 |
| 68 |
MRI UPPER ABD DYNAMIC |
9000.00-9000.00 |
| 69 |
MRI UPPER ABDOMEN |
7000.00-7000.00 |
| 70 |
PHASE CONTRAST MICROSCOPY |
300.00-300.00 |
| 71 |
URINE PHASE CONTRAST |
300.00-300.00 |