| 1 |
2D MRI |
3600.00-3600.00 |
| 2 |
2D MRI WHOLE SPINE WITH DETAILED STUDY |
12000.00-12000.00 |
| 3 |
CONTRAST SINGLE |
3000.00-3000.00 |
| 4 |
MR ANGIO(TRIPLE CONTRAST) |
14000.00-14000.00 |
| 5 |
MR ANGIOGRAPHY HEAD |
7200.00-7200.00 |
| 6 |
MR CISTERNOGRAPHY |
8400.00-8400.00 |
| 7 |
MR CONTRAST |
3402.00-3402.00 |
| 8 |
MR DEFECOGRAPHY |
10000.00-10000.00 |
| 9 |
MR ENTROCLYSIS |
7000.00-7000.00 |
| 10 |
MR PROSTATE MULTIPARAMETRIC |
13500.00-13500.00 |
| 11 |
MR UROGRAPHY |
6000.00-7000.00 |
| 12 |
MR WHOLE BODY |
72000.00-72000.00 |
| 13 |
MRCP WITH WHOLE ABDOMEN |
17100.00-17100.00 |
| 14 |
MRI WHOLE BODY SCREENING |
16200.00-16200.00 |
| 15 |
MRI + MRA |
9000.00-9000.00 |
| 16 |
MRI - ANGIO LOWER LIMB |
16800.00-16800.00 |
| 17 |
MRI - Angio. Abdomen Aorta |
16000.00-16000.00 |
| 18 |
MRI - BILATERAL HIPS |
6000.00-6000.00 |
| 19 |
MRI - BRAIN + MRA |
14400.00-14400.00 |
| 20 |
MRI - BRAIN 3 TESLA |
8000.00-8000.00 |
| 21 |
MRI - Brain with CVJ |
5000.00-5000.00 |
| 22 |
MRI - BREAST |
7000.00-7200.00 |
| 23 |
MRI - Cervico-Dorsal Spine Plain + Contrast |
7200.00-7200.00 |
| 24 |
MRI - Chest Plain + Contrast |
7200.00-7200.00 |
| 25 |
MRI - CP ANGLE PROTOCOL |
1500.00-1500.00 |
| 26 |
MRI - DL SPINE SCREENING |
4000.00-4000.00 |
| 27 |
MRI - Elastography |
4200.00-4200.00 |
| 28 |
MRI - Elastography + Contrast |
7200.00-7200.00 |
| 29 |
MRI - FISTULA |
7000.00-7000.00 |
| 30 |
MRI - Fistulogram Plain + Contrast |
7200.00-7200.00 |
| 31 |
MRI - KUB Plain |
4200.00-4200.00 |
| 32 |
MRI - KUB Plain + Contrast |
7200.00-7200.00 |
| 33 |
MRI - LEFT ANKLE |
6000.00-7200.00 |
| 34 |
MRI - Left Humerus |
3650.00-3650.00 |
| 35 |
MRI - LEFT KNEE |
6000.00-7200.00 |
| 36 |
MRI - LEFT LEG |
6000.00-7200.00 |
| 37 |
MRI - LEFT SHOULDER |
7000.00-7200.00 |
| 38 |
MRI - LEFT THIGH |
6000.00-7200.00 |
| 39 |
MRI - LEFT WRIST |
6000.00-7200.00 |
| 40 |
MRI - LOWER ABDOMEN |
5000.00-7000.00 |
| 41 |
MRI - Lower Abdomen (Pelvis) Plain |
4200.00-4200.00 |
| 42 |
MRI - Lower Abdomen (Pelvis) Plain + Contrast |
7200.00-7200.00 |
| 43 |
MRI - Mediastinum Plain |
4200.00-4200.00 |
| 44 |
MRI - Mediastinum Plain + Contrast |
7200.00-7200.00 |
| 45 |
MRI - Orbit Plain + Contrast |
7200.00-7200.00 |
| 46 |
MRI - PAROTID |
4500.00-4500.00 |
| 47 |
MRI - PENNIS |
6000.00-6000.00 |
| 48 |
MRI - Pituitary Gland Plain |
4200.00-4200.00 |
| 49 |
MRI - Pituitary Gland Plain + Contrast |
7200.00-7200.00 |
| 50 |
MRI - Renal Angio |
6300.00-6300.00 |
| 51 |
MRI - RIB CAGE SCREENING |
4000.00-4000.00 |
| 52 |
MRI - Right Brachial Plexus |
7200.00-7200.00 |
| 53 |
MRI - RIGHT ELBOW |
6000.00-7000.00 |
| 54 |
MRI - RIGHT HAND |
6000.00-7200.00 |
| 55 |
MRI - Right Humerus |
5000.00-5000.00 |
| 56 |
MRI - RIGHT KNEE |
6000.00-7200.00 |
| 57 |
MRI - RIGHT LEG |
6000.00-7200.00 |
| 58 |
MRI - RIGHT SHOULDER |
7000.00-7200.00 |
| 59 |
MRI - RIGHT THIGH |
6000.00-7200.00 |
| 60 |
MRI - S I Joint Plain |
4200.00-4200.00 |
| 61 |
MRI - S I Joint Plain + Contrast |
7200.00-7200.00 |
| 62 |
MRI - SACRUM |
7200.00-7200.00 |
| 63 |
MRI - Screening Brain |
2700.00-2700.00 |
| 64 |
MRI - SCREENING C SPINE |
3000.00-3000.00 |
| 65 |
MRI - Screening lumbar spine |
2700.00-2700.00 |
| 66 |
MRI - SCREENING WHOLE SPINE |
5600.00-8100.00 |
| 67 |
MRI - SI JOINT |
5600.00-7000.00 |
| 68 |
MRI - TESTES |
6000.00-6000.00 |
| 69 |
MRI - THORACO LUMBER SPINE |
6000.00-6000.00 |
| 70 |
MRI - Venography Plain + Contrast |
7200.00-7200.00 |
| 71 |
MRI - WHOLE ABDOMEN |
11200.00-14400.00 |
| 72 |
MRI - WHOLE SPINE |
7000.00-21600.00 |
| 73 |
MRI - Wrist Plain + Contrast |
7200.00-7200.00 |
| 74 |
MRI ABDOMEN + CONTRAST |
8000.00-8000.00 |
| 75 |
MRI Abdomen and Pelvis |
8400.00-8400.00 |
| 76 |
MRI ANGIOGRAPHY |
7200.00-7200.00 |
| 77 |
MRI BILATERAL LEGS |
8400.00-10000.00 |
| 78 |
MRI BOTH ANKLE JOINT |
7000.00-7000.00 |
| 79 |
MRI BOTH ELBOW JOINT |
8400.00-8400.00 |
| 80 |
MRI BOTH ELBOW JOINT + CONTRAST |
13600.00-13600.00 |
| 81 |
MRI BOTH FOOT |
8400.00-8400.00 |
| 82 |
MRI BOTH FOOT + CONTRAST |
13600.00-13600.00 |
| 83 |
MRI BOTH HAND |
8400.00-8400.00 |
| 84 |
MRI BOTH HAND + CONTRAST |
13600.00-13600.00 |
| 85 |
MRI BOTH HIP JOINT |
7000.00-7000.00 |
| 86 |
MRI Both Knee |
4000.00-12000.00 |
| 87 |
MRI BOTH KNEE JOINT |
8400.00-12000.00 |
| 88 |
MRI BOTH KNEE JOINT + CONTRAST |
13600.00-13600.00 |
| 89 |
MRI BOTH LEG |
7000.00-7000.00 |
| 90 |
MRI BOTH SHOULDER |
8400.00-12000.00 |
| 91 |
MRI BOTH SHOULDER + CONTRAST |
13600.00-13600.00 |
| 92 |
MRI BOTH WRIST JOINT |
8400.00-8400.00 |
| 93 |
MRI BOTH WRIST JOINT + CONTRAST |
13600.00-13600.00 |
| 94 |
MRI BRACHIAL PLEXUS |
4000.00-7000.00 |
| 95 |
MRI BRAIN |
4000.00-7200.00 |
| 96 |
MRI Brain & Neck |
6300.00-6300.00 |
| 97 |
MRI BRAIN (STROKE PROTOCOL) |
12000.00-12000.00 |
| 98 |
MRI BRAIN + CERVICAL SPINE SCREENING |
6650.00-6650.00 |
| 99 |
MRI BRAIN + CONTRAST |
7000.00-10000.00 |
| 100 |
MRI BRAIN + DIFFUSION |
7000.00-8000.00 |
| 101 |
MRI BRAIN + PERFUSION |
9900.00-9900.00 |
| 102 |
MRI BRAIN ANGIOGRAPHY (ARTERIAL) |
6000.00-6000.00 |
| 103 |
MRI BRAIN SCREENING |
3000.00-3000.00 |
| 104 |
MRI BRAIN WITH EPILEPSY PROTOCOL |
6800.00-6800.00 |
| 105 |
MRI BRAIN WITH INNER EAR |
9000.00-9900.00 |
| 106 |
MRI BRAIN+CISTERNOGRAPHY |
10800.00-12000.00 |
| 107 |
MRI BREAST WITH SPECTROSCOPY |
6300.00-6300.00 |
| 108 |
MRI CAROTID |
6000.00-6000.00 |
| 109 |
MRI CD |
500.00-500.00 |
| 110 |
MRI CERVICAL SPINE |
4000.00-7200.00 |
| 111 |
MRI CERVICAL SPINE + CONTRAST |
9200.00-9200.00 |
| 112 |
MRI CERVICO - DORSAL SPINE |
5600.00-7200.00 |
| 113 |
MRI CERVICO - DORSAL SPINE + CONTRAST |
9200.00-9200.00 |
| 114 |
MRI CHEST |
4500.00-7200.00 |
| 115 |
MRI CHEST + CONTRAST |
7500.00-9360.00 |
| 116 |
MRI CISTERNOGRAPHY |
6000.00-7200.00 |
| 117 |
MRI CV JUNCTION |
4000.00-7200.00 |
| 118 |
MRI DEFECOGRAPHY |
8000.00-8000.00 |
| 119 |
MRI DORSAL SPINE |
4000.00-7200.00 |
| 120 |
MRI DORSAL SPINE + CONTRAST |
9200.00-9200.00 |
| 121 |
MRI DORSO - LUMBAR SPINE |
4000.00-7200.00 |
| 122 |
MRI DORSO - LUMBAR SPINE + CONTRAST |
9200.00-9200.00 |
| 123 |
MRI DYNAMIC CONTRAST BREAST |
10160.00-10160.00 |
| 124 |
MRI ENTROGRAPHY |
13200.00-13200.00 |
| 125 |
MRI EPILEPSY PROTOCOL |
1800.00-1800.00 |
| 126 |
MRI EXTRA FILM |
500.00-500.00 |
| 127 |
MRI FACE |
4500.00-7200.00 |
| 128 |
MRI FACE + CONTRAST |
9200.00-9200.00 |
| 129 |
MRI FEMUR |
4000.00-5600.00 |
| 130 |
MRI FEMUR + CONTRAST |
9200.00-9200.00 |
| 131 |
MRI FINGER |
4000.00-4000.00 |
| 132 |
MRI FISTULOGRAM |
5000.00-7200.00 |
| 133 |
MRI FISTULOGRAM + CONTRAST |
10120.00-10120.00 |
| 134 |
MRI FOOT (CONTRAST) |
7200.00-7200.00 |
| 135 |
MRI FOREARM |
4000.00-7000.00 |
| 136 |
MRI FOREARM + CONTRAST |
9200.00-9200.00 |
| 137 |
MRI GLUTEAL REGION |
4000.00-4000.00 |
| 138 |
MRI HAND (CONTRAST) |
7200.00-9200.00 |
| 139 |
MRI HAND (PLAIN) |
4200.00-4200.00 |
| 140 |
MRI HIP JOINT |
4000.00-6000.00 |
| 141 |
MRI HIP JOINT (CONTRAST) |
9200.00-9200.00 |
| 142 |
MRI HIP SCREENING |
3000.00-3000.00 |
| 143 |
MRI INNER EAR |
4000.00-4000.00 |
| 144 |
MRI KIDNEY |
4200.00-4200.00 |
| 145 |
MRI KIDNEY + CONTRAST |
7200.00-7200.00 |
| 146 |
MRI KNEE JOINT (CONTRAST) |
9200.00-9200.00 |
| 147 |
MRI KUB |
5000.00-7000.00 |
| 148 |
MRI KUB + CONTRAST |
9200.00-9200.00 |
| 149 |
MRI LEFT ARM |
3650.00-7200.00 |
| 150 |
MRI LEFT ELBOW |
6000.00-7000.00 |
| 151 |
MRI LEFT FOOT |
6000.00-7200.00 |
| 152 |
MRI LEFT FOREARM |
6000.00-7200.00 |
| 153 |
MRI LEFT HAND |
6000.00-7200.00 |
| 154 |
MRI LEFT HIP JOINT |
7000.00-7000.00 |
| 155 |
MRI LEFT KNEE JOINT |
7000.00-7000.00 |
| 156 |
MRI LOWER ABDOMEN WITH CONTRAST |
7000.00-7000.00 |
| 157 |
MRI LUMBER SPINE |
6000.00-7200.00 |
| 158 |
MRI LUMBO-SACRAL SPINE |
5200.00-7200.00 |
| 159 |
MRI MRCP |
4900.00-6400.00 |
| 160 |
MRI MRCP (CONTRAST) |
10120.00-10120.00 |
| 161 |
MRI NASOPHARYNX & PNS |
4200.00-7000.00 |
| 162 |
MRI NECK |
4000.00-7200.00 |
| 163 |
MRI NECK + CONTRAST |
7000.00-7000.00 |
| 164 |
MRI ORBIT |
4000.00-7200.00 |
| 165 |
MRI ORBIT + CONTRAST |
9200.00-9200.00 |
| 166 |
MRI ORBIT WITH CONTRAST |
7000.00-9360.00 |
| 167 |
MRI PELVIS |
4200.00-7000.00 |
| 168 |
MRI PELVIS + CONTRAST |
7000.00-7000.00 |
| 169 |
MRI PENIS |
4000.00-7200.00 |
| 170 |
MRI PERINEUM |
4000.00-7000.00 |
| 171 |
MRI PITTUITARY GLAND |
7000.00-7000.00 |
| 172 |
MRI PITUITARY (PLAIN) |
6000.00-6000.00 |
| 173 |
MRI PITUITARY WITH CONTRAST |
9360.00-9360.00 |
| 174 |
MRI PNS |
6000.00-6000.00 |
| 175 |
MRI PNS + CONTRAST |
7000.00-7000.00 |
| 176 |
MRI PROSTATE |
4200.00-4500.00 |
| 177 |
MRI PROSTRATE + CONTRAST |
7200.00-7200.00 |
| 178 |
MRI RENAL ANGIOGRAPHY |
9900.00-9900.00 |
| 179 |
MRI RIGHT ANKLE |
6000.00-7200.00 |
| 180 |
MRI RIGHT ARM |
4000.00-7200.00 |
| 181 |
MRI RIGHT FOOT |
6000.00-7200.00 |
| 182 |
MRI RIGHT FOREARM |
6000.00-7200.00 |
| 183 |
MRI RIGHT HIP |
4000.00-4000.00 |
| 184 |
MRI RIGHT HIP JOINT |
7000.00-7000.00 |
| 185 |
MRI RIGHT THUMB |
7000.00-7000.00 |
| 186 |
MRI RIGHT TOE |
7000.00-7000.00 |
| 187 |
MRI RIGHT WRIST |
6000.00-7200.00 |
| 188 |
MRI S.I. JOINT WITH CONTRAST |
9360.00-9360.00 |
| 189 |
MRI SACRO-COCCYGCAL |
7000.00-7000.00 |
| 190 |
MRI SACROILIAC JOINT |
7000.00-7000.00 |
| 191 |
MRI Scan - Leg |
4200.00-4200.00 |
| 192 |
MRI SCORTUM |
4200.00-4200.00 |
| 193 |
MRI SCORTUM + CONTRAST |
7200.00-7200.00 |
| 194 |
MRI SCREENING - CERVICAL SPINE |
2700.00-2700.00 |
| 195 |
MRI SCREENING - DORSAL SPINE |
2700.00-2700.00 |
| 196 |
MRI SCREENING OF DORSAL SPINE |
3000.00-3000.00 |
| 197 |
MRI SCREENING OF HIP JOINT |
5200.00-5200.00 |
| 198 |
MRI SCREENING OF KNEE JOINT |
3000.00-3000.00 |
| 199 |
MRI SCREENING OF S I JOINT |
3000.00-5200.00 |
| 200 |
MRI SCREENING OF SPINE |
5200.00-5200.00 |
| 201 |
MRI SCREENING SI JOINT |
2700.00-2700.00 |
| 202 |
MRI SCROTUM |
4000.00-4000.00 |
| 203 |
MRI SELLA |
6000.00-6000.00 |
| 204 |
MRI SELLA WITH CONTRAST |
9360.00-9360.00 |
| 205 |
MRI SHOULDER |
5600.00-5600.00 |
| 206 |
MRI SIALOGRAM |
5000.00-5000.00 |
| 207 |
MRI SINOGRAM |
4000.00-7000.00 |
| 208 |
MRI STERNOCLAVICULAR JOINT |
4000.00-7000.00 |
| 209 |
MRI STERNUM |
4000.00-7200.00 |
| 210 |
MRI TEMPORAL BONE |
4000.00-7200.00 |
| 211 |
MRI THORAX |
4000.00-4000.00 |
| 212 |
MRI TM JOINT |
4000.00-6000.00 |
| 213 |
MRI TONGUE |
4500.00-4500.00 |
| 214 |
MRI TRIPLE PHASE WHOLE ABDOMEN WITH CONTRAST |
18900.00-18900.00 |
| 215 |
MRI UPPER ABD DYNAMIC |
9000.00-9000.00 |
| 216 |
MRI UPPER ABDOMEN |
5000.00-7200.00 |
| 217 |
MRI VENOGRAPHY (PLAIN) |
4200.00-4200.00 |
| 218 |
PHASE CONTRAST MICROSCOPY |
300.00-300.00 |
| 219 |
URINE PHASE CONTRAST |
300.00-300.00 |