Категория: Лечение в Израиле


Нейрохирургия в Израиле

 Нейрохирургия

Нейрохирургия специализируется на всех патологиях нервной системы (опухоли, травмы, аномалии развития, инфекции, инсульты и эпилепсии). На данный момент одной из ведущих стран, целенаправленно занимающейся развитием данного направления медицины является Израиль. Изучив передовой опыт ведущих клиник мира и вложив огромные государственные средства в развитие науки и обучение медперсонала, израильская медицина заняла лидирующую позицию по качеству проведения нейрохирургических операций в мире.

Высококвалифицированный персонал

В израильских медицинских центрах нейрохирургии работают хирурги с мировым именем. На их счету выполнение сложнейших операции, которые спасли жизни пациентам, признанным неизлечимыми в других странах. Каждый год в Израиль приезжают большое количество пациентов с тяжелыми диагнозами из разных частей мира, чтобы получить консультацию специалистов и эффективную медицинскую помощь.

Современное оборудование

Главный залог успешного проведения операции — это наличие современное оборудование. В своей практике израильские клиники применяют новейшее диагностическое и лечебное оборудование.

Израильские медицинские центры оснащены современными диагностическим приборами, аппаратами для интраоперационного ультразвукового и МРТ обследования, операционными микроскопами, электроэнцефалографами и нейронавигационными приборами. Оборудование клиник постоянно пополняется и совершенствуется.

Компьютерно-томографической навигация (NAVIGATOR) выявляет максимально быстрый и безопасный путь к пораженному органу. Благодаря ей возможно проведение сложных нейрохирургических операций.

Использование операционных микроскопов позволило израильским нейрохирургам минимизировать разрезы, сократить потерю крови во время операции, а также сделать продолжительность операции максимально короткой.

Нейрохирургия — тщательная диагностика 

Диагностика – первый этап проведения нейрохиругических операций. Пациенты проходят тщательное диагностическое и лабораторное обследование, что помогает поставить точный диагноз и определить наиболее эффективный способ лечения. Предоперационная диагностика включает в себя следующие исследования:

— компьютерная томография

— диагностика спинно-мозговой жидкости (люмбальная пункция)

— магнитно-резонансная томография

— исследование патологического процесса в головном мозге (эхоэнцелография)

— позитронно-эмиссионную томография

— рентгенологическое исследование сосудов головного мозга (церебральная ангиография)

— узи и доплер сосудов

— регистрация электрической активности мышц (электромиография)

Новейшие технологии в области нейрохирургии

Важным достижением в области нейрохирургии в Израиле стали операции по трепанации черепа. Для больных с опухолью головного мозга применяется метод краниотомии. По результатам биопсиихирурги хирурги частично или полностью удаляют опухоль.

Данный метод также эффективно применяется при серьезных травмах головы и образовании внутримозговых гематом, для ликвидации внутримозговых инфекций, а также при патологиях кровеносных сосудов. Многие неврологические заболевания, включая эпилепсию, также лечатся с помощью краниотомии.

Израильская нейрохиругия применяет новейшую малоинвазивную технологию лечения грыжи, которой на данный момент нет аналогов в мире.

Применение высокочастотных волн низкой температуры при проведении операции позволяет хирургам работать только с поврежденным участком и избежать травмирования здоровых тканей.

Опухоль мозга (ранняя стадия) лечится с помощью стереотаксической хирургии. Наружная система по рассчитанным трехмерным координатам позволяет обнаружить простой и безопасный доступ к патологии.

Эндоваскулярная нейрохиругия – новое направление хирургии кровеносных сосудов.

Энодоскопический метод признан наименее травматичным в мировой практике. Использование данного метода позволяет израильским нейрохирургам сократить риск во время операции, а также время реабилитационного периода.

В данный момент в Израиле большое внимание и деньги вкладываются в развитие детской нейрохирургии, нейрохирургии позвоночника и спинного мозга и функциональной нейрохирургии.

 


Лечение гинекологических заболеваний в клиниках Израиля

Гинекология в Израиле

Государство Израиль большое внимание уделяет женскому здоровью. В стране имеется множество гинекологических медицинских центров, специализированные научные школы находятся в постоянном поиске новых эффективных методик.

Гинекология в Израиле представлена следующими направлениями:

  • Лечение бесплодия;
  • Лечение заболеваний воспалительного характера;
  • Диагностика и лечение онкологических болезней в гинекологии;
  • Доброкачественные образования – диагностика и лечение;
  • Ведение беременности и принятие родов.

Онкогинекология

Разработки израильских онкогинекологов считаются самыми инновационными. Их успехи в лечении злокачественных образований репродуктивной системы у женщин позволяют добиться поразительных результатов. Например, в случае обнаружения рака на ранней стадии, степень выздоровления составляет 95%. Также достигнуты успехи в области лечения некоторых предраковых состояний, таких как дисплазия матки. Как утверждает Всемирная Организация Здравоохранения, гинекологическими формами рака заболевает одна из 20 женщин.

Для лечения гинекологических раковых заболеваний применяются следующие операции:

  • Удаление матки вместе с яичниками;
  • Удаление матки вместе с шейкой;
  • Профилактическое удаление этих органов у женщин, имеющих предрасположенность на генетическом уровне к возникновению раковых заболеваний.

Экстракорпоральное оплодотворение (ЭКО)

На сегодняшний день Израиль считается лучшим в мире местом, где могут справиться с женским бесплодием. Экстракорпоральное оплодотворение (ЭКО) по израильской технологии имеет высокую степень результативности и применяется чаще всего. Также израильскими гинекологами были созданы самые современные методики в области малоинвазивной органосберегающей хирургии.

По причине женского бесплодия в настоящее время страдает довольно большое количество семейных пар. Согласно статистике, это несчастье затрагивает около 20% земного населения. Женское бесплодие может являться следствием множества различных заболеваний.

Диагноз “бесплодие” ставится в случае невозможности зачатия в течение года . Разумеется, все это время у женщины должна быть активная половая жизнь и исключено использование каких-либо средств контрацепции. Если у женщины беременности никогда не было, то бесплодие называется первичным. Если же женщина хотя бы один раз до этого была беременной, но после этого из-за каких-то изменений здоровья зачатие невозможно, то бесплодие называется вторичным.

Уровень развития современной израильской медицины дает возможность женщине забеременеть даже в 50 лет. Даже если эндоскопические методы лечения не приводят к нужному результату, имеется возможность ЭКО.

Если женщина проходит лечение в хорошо зарекомендовавшей себя израильской клинике с отличными врачами, современным оборудованием и новейшими технологиями, то с большой долей вероятности результат будет достигнут.

Роды в Израиле

Рожать в Израиле предпочитают многие жительницы бывшего СНГ. Там роженице, а после родов и ребенку, будет гарантировано квалифицированное медицинское обслуживание. В случае каких-либо осложнений при протекании беременности, в частности, когда существует угроза выкидыша, будущую мать поместят в стационар под особое наблюдение. В случае необходимости, будет задействовано лечение, направленное на то, чтоб снизить тонус матки. Если вдруг произойдут преждевременные роды, то израильские клиники обладают всем необходимым для того, чтобы выходить недоношенного младенца.

Если вы проживаете в России или другой стране постсоветского пространства,  то обращение в клинику Израиля за квалифицированной гинекологической помощью – безусловно правильное решение.


Хирургия в Израиле

Хирургические операции являются самым сложным направлением медицины. Жизнь человека зависит от профессионализма врача и качества медицинского оборудования. Когда речь заходит о необходимости хирургического вмешательства, многие стремятся сделать операцию за рубежом. Одна из таких стран — Израиль. Быстрый рост медицинской науки и уровня подготовки хирургов позволили Израилю войти в десятку стран с высочайшим уровнем развития хирургии.

Благодаря современным технологиям израильские врачи выполняют сложные операции с минимальным количеством осложнений.

 Хирургия в Израиле-Диагностический этап

Диагностика – обязательный этап, который проходит каждый пациент в Израиле перед проведением операции. Диагностические исследования позволяют предельно точно определить необходимость проведения хирургического вмешательства или найти альтернативные методы лечения болезни.

Этапы предоперационной диагностики позволяют выявить очаг патологии. Визуализация внутренних органов и сосудов проводится с помощью компьютерной томографии. Для детей и пожилых пациентов предполагается проведение компьютерной ангиографии. Данная технология применяет электронно-лучевую томографию для неинвазивного исследования сосудов. Состояние брюшной полости и малого таза исследуется путем виртуальной колоноскопии. Данная неинвазивная диагностика позволяет определить образование новообразований и полипов в кишечнике. Наличие новообразований в тонком кишечнике определяется с помощью виртуальной энтенографии. Другие этапы предоперационной диагностики включают в себя рентгенологию, изотопное сканирование, позитронно-эмиссионную томографию, магнитно-резонансную томографию, допплер-исследования.

Основные направления хирургии в Израиле

Израильская медицина предлагает широкий спектр хирургических вмешательств, начиная с сердечно-сосудистых операций и заканчивая пластической хирургией. Израильские хирурги проводят уникальные операции по восстановлению проходимости сосудов. Пациенту в одну из вен вводится миниатюрный прибор, который прочищает ее и приводит в норму процесс кровообращения.

Основные направления хирургии в Израиле включают:

  • Офтальмологическая хирургия;
  • Сердечно-сосудистая хирургия;
  • Урологическая хирургия;
  • Онкологическая хирургия;
  • Нейрохирургия;
  • Ортопедическая хирургия;
  • Торакальная хирургия;
  • Челюстно-лицевая хирургия;
  • Брюшная хирургия;
  • Пластическая хирургия;
  • ЛОР — хирургия.
  • Гинекологическая хирургия;

Использование передовых диагностических методов и неинвазивных технологий нацелено на максимальное сохранение и восстановление больных органов. В результате после операции они в состоянии полноценно функционировать. Также новые методы позволяют свести к минимуму вероятность повреждения здоровых тканей во время операции. Еще один показатель высокого уровня израильской хирургии – это короткий срок восстановления пациента после хирургического вмешательства.

В результате период восстановления пациента занимает не более пяти дней, даже при проведении сложнейших операций. Реабилитация после хирургического вмешательства длится 1-2 недели, после чего пациент может отправляться домой и вернуться к своему обычному ритму жизни.


Прейскурант Минздрава Израиля на лечение туристов в государственных больницах

Service code Service name Price for Patient from Abroad
(ILS)
01996 Day care management of epidural/subarachnoid continuous drug administration 731.00
01999 General anesthesia for ambulatory treatment, under anesthesiologist supervision 1,880.00
10060 Incision and drainage of abscess/cyst 597.00
11100 Biopsy, excluding breast 288.00
11750 Excision of ingrown nail 459.00
11770 Excision of cyst, eg, pilonidal 915.00
11975 Insertion, implantable contraceptive capsules (eg, Norplant), including the cost of contraceptive 2,745.00
11976 Removal, implantable contraceptive capsules 257.00
12001 Simple repair of superficial wounds 216.00
16030 Dressings and/or debridement, without anesthesia, large lesion 555.00
17000 Removal of skin lesions, any method 288.00
17311 Mohs micrographic technique 13,061.00
17999 Soft laser treatment, 1/2 level, per treatment 288.00
19100 Biopsy of breast; needle core, not using imaging guidance 288.00
19101 Biopsy of breast; open, incisional 686.00
19102 Biopsy of breast, using imaging guidance, excluding CT/MRI 3,279.00
19499 Breast examination 0.00
20205 Biopsy, muscle, including histological examinations 1,629.00
20206 Biopsy, muscle, including all tests, stains, EM 4,575.00
20220 Biopsy, bone, trocar/needle, superficial 372.00
20520 Foreign body removal, muscle/tendon, local anaesthesia 201.00
20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) 372.00
20605 Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa) 372.00
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa) 372.00
20902 Harvesting of cortical bone, cartilage 6,030.00
21310 Closed treatment of nasal bone fracture 372.00
28899 Intra compartment pressure 839.00
29035 Application, body cast, shoulder to hips 477.00
29065 Application, cast; shoulder to hand (long arm) 288.00
29075 Application, cast, elbow to finger (short arm) 201.00
29085 Application, cast, hand and lower forearm (gauntlet) 201.00
29345 Application, cast, long leg (thigh to toes) 288.00
29405 Application, cast, short leg (below knee to toes) 201.00
29700 Cast removal 170.00
29720 Repair of spica, body cast or jacket 0.00
29999 Arthroscopy, diagnostic and/or surgical procedures, without using implants 11,195.00
30110 Excision, nasal polyp(s), simple 372.00
30200 Injection into turbinate(s) 209.00
30300 Foreign body removal, intranasal, superficial 0.00
30801 Cautery and/or ablation, mucosa of turbinates, unilateral/bilateral, any method 372.00
31002 Sinuses lavage 209.00
31575 Laryngoscopy, flexible fiberoptic, diagnostic 138.00
31579 Laryngoscopy, fiberoptic, with stroboscopy 233.00
31622 Bronchoscopy, diagnostic, with/without brushing/washing 2,133.00
31636 Bronchoscopy, rigid or flexible, with placement of bronchial stent(s) 19,284.00
32000 Thoracentesis, puncture of pleural cavity for aspiration 372.00
36005 Injection of contrast material, including radiology/fluoroscopy 786.00
36468 Injections of sclerosing solutions, spider veins (telangiectasia) 170.00
36511 Therapeutic apheresis, for white blood cells 5,373.00
36513 Therapeutic apheresis, for platelets 4,334.00
36515 Therapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion 14,159.00
36522 Photopheresis, extracorporeal 11,382.00
36590 Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion 530.00
36600 Arterial blood sampling and diagnosis 288.00
38220 Bone marrow aspiration and smear 594.00
38221 Bone marrow biopsy and smear 594.00
38505 Biopsy or excision of lymph node(s); by needle, superficial 288.00
40808 Biopsy, vestibule of mouth 264.00
40840 Vestibuloplasty, anterior 1,212.00
41010 Incision of lingual frenum (frenotomy) 888.00
42699 Salivary glands endoscopy 11,526.00
42700 Incision and drainage of peritonsillar abscess 372.00
42809 Foreign body removal, pharynx, superficial 0.00
43200 Esophagoscopy, diagnostic 434.00
43204 Esophagoscopy, with injection sclerosis of esophageal varices 5,328.00
43219 Esophageal dilation and insertion of stent 25,788.00
43235 UGI endoscopy, with/without sampling 1,793.00
43240 Endoscopic drainage of pseudocyst of pancreas, using EUS guidance 14,717.00
43259 Upper gastrointestinal endoscopy; with endoscopic ultrasound examination 2,166.00
43260 ERCP (Endoscopic retrograde cholangiopancreatography), diagnostic 5,777.00
43264 ERCP (Endoscopic retrograde cholangiopancreatography), therapeutic 9,812.00
43450 Esophageal dilation, without using imaging guidance 434.00
43750 PEG (Percutaneous Endoscopic Gastrostomy) 3,530.00
43760 Replacement of PEG (Percutaneous Endoscopic Gastrostomy) 1,943.00
44360 Small intestinal endoscopy, enteroscopy, diagnostic, with/without collection of specimen(s) 4,007.00
45300 Proctosigmoidoscopy, diagnostic 315.00
45331 Sigmoidoscopy, flexible, with/without biopsy 1,034.00
45378 Colonoscopy, flexible; diagnostic, with/without collection of specimen(s), population at risk 1,616.00
45383 Colonoscopy, with excision of lesion 3,311.00
45387 Colonoscopy, with dilation and stent placement 25,788.00
45905 Dilation of anal sphincter 492.00
46080 Sphincterotomy, anal, division of sphincter under general/regional anesthesia 3,116.00
46500 Injection of sclerosing solution, hemorrhoids 170.00
46600 Anoscopy, diagnostic 129.00
47999 Extracorporeal shockwave lithotripsy, biliary tract, simple 9,525.00
49321 Laparoscopy, surgical, with biopsy (single or multiple) 8,748.00
50040 Nephrostomy, nephrotomy with drainage 4,122.00
50398 Repositioning/change of nephrostomy or pyelostomy tube 2,459.00
50590 Extracorporeal shockwave lithotripsy, kidney; simple 9,879.00
51045 Insertion of urethral or ureteral stent 4,122.00
51700 Bladder irrigation, simple, lavage and/or instillation 201.00
51703 Insertion of urethral catheter 209.00
51720 Bladder instillation of anticarcinogenic agent 528.00
51726 Cystometrogram 786.00
51736 Simple uroflowmetry (UFR) 372.00
51741 Complex uroflowmetry 2,574.00
51772 Urethral pressure profile studies (UPP) (urethral closure pressure profile) 786.00
51784 EMG of anal/urethral sphincter, any technique 786.00
52000 Cystourethroscopy 768.00
52204 Cystourethroscopy, with biopsy/other surgical procedure 1,998.00
53000 Urethrotomy or urethrostomy 768.00
53850 Destruction of prostate tissue by thermotherapy 6,968.00
53899 Cystoscopic injection of botulinum toxin, including cost of material 4,809.00
54235 Injection of corpora cavernosa 141.00
54250 Nocturnal penile tumescence and/or rigidity test 1,013.00
55000 Puncture aspiration of hydrocele, with/without injection of medication 434.00
55700 Biopsy, prostate; needle or punch, single or multiple, any approach 2,753.00
55870 Electroejaculation 9,662.00
57452 Colposcopy, vaginoscopy 197.00
57510 Cautery of cervix, any method 201.00
58120 Dilation and curettage, diagnostic and/or therapeutic, excluding induced abortion 4,106.00
58300 Insertion of intrauterine device (IUD) 434.00
58301 Removal of intrauterine device (IUD) 201.00
58321 Artificial insemination, intra-cervical 201.00
58322 Artificial insemination, intra-uterine 278.00
58323 Sperm washing for artificial insemination 840.00
58345 Fallopian tube dilation, catheterization, diagnostic/therapeutic 6,084.00
58555 Hysteroscopy 768.00
58558 Hysteroscopy, surgical, with biopsy/other surgical procedure 1,401.00
58563 Uterine thermal therapy 8,985.00
58974 Cryopreserved embryos transfer, intrauterine 6,140.00
59000 Amniocentesis 380.00
59012 Cordocentesis (intrauterine), any method 4,319.00
59020 Fetal contraction stress test 1,106.00
59025 Fetal NST (non stress test) 521.00
59866 Multifetal pregnancy reduction(s) (MPR), including US guidance 4,106.00
59871 Removal of cerclage suture 288.00
62270 Spinal puncture, lumbar, diagnostic 1,046.00
62272 Spinal puncture, therapeutic 1,046.00
62310 Injection, epidural/subarachnoid; cervical/thoracic 731.00
62311 Injection, epidural/subarachnoid; lumbar/sacral (caudal) 731.00
64400 Injection, anesthetic agent (eg, Lignocaine) 360.00
64470 Paravertebral injection 209.00
64550 Application of surface (transcutaneous) neurostimulator 372.00
64612 Botolinum Toxin, 10 units Botox administration 396.00
65205 Foreign body removal, external eye, superficial 0.00
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis, any methods, lens included 8,223.00
66999 Intracorneal rings for keratoconus treatment, Intacs 10,770.00
67210 Retinal photocoagulation, PDT, without material 2,786.00
67912 Implantation of upper eyelid gold weight 7,116.00
68810 Probing of nasolacrimal duct, with/without irrigation 1,955.00
68811 Probing of nasolacrimal duct, with/without irrigation; requiring general anesthesia 5,267.00
69000 Puncture/drainage external ear abscess/hematoma 372.00
69200 Foreign body removal, ear, superficial 0.00
69210 Removal impacted cerumen 209.00
69420 Myringotomy including puncture/aspiration 372.00
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,252.00
70030 Eye radiology, foreign body detection 450.00
70100 Mandible radiology, up to two views 377.00
70120 Mastoids radiology, up to two views 201.00
70170 Dacryocystography, radiological supervision and interpretation 278.00
70200 Orbits radiology, up to two views 269.00
70210 Paranasal sinuses radiology, up to two views 266.00
70240 Sella turcica radiology 372.00
70250 Skull radiology, up to two views 186.00
70332 TMJ arthrography, including injection and interpretation 477.00
70336 TMJ (temporomandibular joint(s)) MRI 3,336.00
70360 Neck, soft tissue radiology, trachea 597.00
70390 Salivary glands radiology, sialography 564.00
70540 Orbit, face and neck, without contrast material 3,336.00
70544 Brain MRA 3,336.00
70547 Head and/or neck MRA 3,336.00
70551 Brain/brain stem MRI, without contrast material 3,336.00
71020 Chest radiology, up to two views 173.00
71023 Chest radiology, up to two views, with fluoroscopy 528.00
71100 Ribs radiology, up to two views 260.00
71120 Sternum radiology, up to two views 278.00
71550 Thorax MRI, without contrast material 3,224.00
71555 Thoracic MRA, excluding myocardium 3,224.00
72010 Spine radiology, entire, up to two views 269.00
72040 Cervical spine radiology, up to two views 186.00
72070 Thoracic spine radiology, up to two views 186.00
72080 Thoracolumbar spine radiology, up to two views 186.00
72100 Lumbosacral spine radiology, up to two views 186.00
72141 Cervical spine, MRI, per patient 3,336.00
72146 Thoracic spine, MRI, per patient 3,336.00
72148 Lumbar spine, MRI, per patient 3,336.00
72159 Spinal canal and contents MRA 3,336.00
72170 Pelvis radiology, up to two views 207.00
72198 Pelvic MRA 3,360.00
72200 SIJ radiology, up to two views 278.00
72270 Myelography 2,136.00
73000 Clavicle radiology 221.00
73010 Scapula radiology 221.00
73030 Shoulder radiology, complete, one side, up to two views 201.00
73040 Shoulder arthrography, including injection and interpretation 477.00
73060 Humerus radiology, up to two views 186.00
73070 Elbow radiology, up to two views 186.00
73085 Elbow arthrography, including injection and interpretation 477.00
73090 Forearm radiology, up to two views 186.00
73092 Upper extremity radiology, infant, up to two views 186.00
73100 Wrist radiology, up to two views 186.00
73115 Wrist, arthrography, including injection and interpretation 477.00
73120 Hand radiology, up to two views 186.00
73140 Finger(s) radiology, up to two views 186.00
73221 Upper extremity joints MRI, without contrast material, per patient 3,224.00
73225 Upper extremity MRA 3,224.00
73500 Hip radiology, unilateral, one view 186.00
73520 Hip radiology, bilateral, including pelvis 186.00
73525 Hip arthrography, including injection and interpretation 477.00
73542 SIJ arthrography, including injection and interpretation 477.00
73550 Femur radiology, up to two views 186.00
73560 Knee radiology, up to two views, per side 186.00
73562 Knee radiology, third or more additional views 201.00
73580 Knee arthrography, including injection and interpretation 477.00
73590 Tibia and fibula radiology, up to two views 186.00
73592 Lower extremity radiology, infant, up to two views 186.00
73610 Ankle radiology, complete, one side 186.00
73615 Ankle arthrography, including injection and interpretation 477.00
73620 Foot radiology, up to two views 186.00
73721 Lower extremity joints MRI, without contrast material, per patient 3,224.00
73725 Lower extremity MRA 3,224.00
74000 Abdomen radiology, without contrast material 266.00
74181 Abdominal MRI, per patient 3,336.00
74185 Abdominal MRA 3,336.00
74220 Esophagus radiology 660.00
74230 Swallowing function, with cineradiography/videoradiography 1,052.00
74241 UGI fluoroscopy and/or radiology, with/without delayed films 1,106.00
74245 UGI fluoroscopy, including serial films 1,365.00
74249 Abdomen radiology, small intestine follow-through 660.00
74270 Barium enema 786.00
74280 Air barium enema, with/without glucagon 1,263.00
74290 Cholecystography, oral contrast 657.00
74360 Esophageal dilation, using imaging guidance 8,778.00
74400 IVP, with or without tomography 972.00
74420 Urography, retrograde 800.00
74450 Urethrocystography, retrograde, radiological supervision and interpretation 620.00
74455 Urethrocystography, radiological supervision and interpretation 774.00
74740 Hysterosalpingography, radiology 806.00
75552 MRI cardiac morphology, per patient 8,889.00
75554 Cardiac FMRI; with/without morphology, complete study, per patient 8,889.00
75803 Lymphangiography, extremities 3,105.00
75822 Phlebography, venography, including injection and imaging 1,046.00
76000 Fluoroscopy 170.00
76120 Cineradiography/videoradiography, video capsule 7,896.00
76140 Interpretation/consultation on imaging made elsewhere 201.00
76390 MRS,Magnetic resonance spectroscopy, per patient 8,889.00
76512 Ophthalmic US (ultrasound) 260.00
76514 Ophthalmic US, corneal pachymetry, determination of corneal thickness, per patient 144.00
76536 Head and neck soft tissues US, with image documentation 521.00
76604 Chest US, including mediastinum, with image documentation 894.00
76645 Breasts and chest wall US, with image documentation 362.00
76700 Abdomen US, with image documentation 521.00
76805 Fetal anatomic US, with image documentation 1,338.00
76813 Fetal nuchal translucency US, per one fetus, with image documentation 548.00
76814 Fetal nuchal translucency US, per each additional fetus, with image documentation 362.00
76815 Obstetric US, with image documentation 731.00
76825 Echocardiography, fetal, with image documentation 1,530.00
76827 Doppler echocardiography, fetal 1,893.00
76830 TVUS (Transvaginal Ultrasound) 428.00
76831 Uterus and fallopian tube sonography, with contrast material 1,485.00
76857 Gynecological US, follicles 273.00
76870 Scrotum US, with image documentation 894.00
76872 TRUS (transrectal ultrasound), with image documentation 1,299.00
76942 Biopsy/surgical procedure, US guidance 4,121.00
77002 Biopsy/surgical procedure, using fluoroscopic guidance 4,121.00
77012 Biopsy/surgical procedure, using CT guidance 7,463.00
77021 Biopsy/surgical procedure, using MRI guidance 11,195.00
77031 Stereotactic localization guidance for breast biopsy/needle placement, including biopsy, using imaging guidance (eg, mammography) 7,460.00
77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation 1,133.00
77054 Mammary ductogram/galactogram, including interpretation 1,466.00
77056 Mammography; bilateral 365.00
77059 MRI, breast, without and/or with contrast material(s); bilateral 3,336.00
77073 Bone length studies (orthoroentgenogram, scanogram) 525.00
77080 DXA, bone density study 324.00
77261 Therapeutic radiology treatment planning, radiotherapy 854.00
77280 Radiotherapy simulation 3,395.00
77295 Radiology simulation-aided field setting, three-dimensional 4,248.00
77401 Radiation treatment delivery, per field 746.00
78000 Thyroid uptake, single determination 428.00
78001 Thyroid uptake, multiple determinations 728.00
78007 Thyroid imaging, with uptake, multiple determinations 1,455.00
78010 Thyroid imaging 947.00
78018 Thyroid imaging; I-131, whole body 4,394.00
78070 Parathyroid imaging 2,190.00
78104 Bone marrow imaging, whole body 4,097.00
78122 Whole blood volume determination, radiopharmaceutical technique 2,718.00
78130 Red cell survival study 4,638.00
78191 Platelet survival study 1,472.00
78195 Lymphatics and lymph nodes imaging 4,056.00
78205 Liver and spleen imaging, SPECT 1,281.00
78215 Liver and spleen imaging, static 1,133.00
78216 Liver and spleen imaging, dynamic and static 1,203.00
78223 Hepatobiliary imaging, with/without pharmacologic intervention, with/without quantitative measurement of gallbladder function 3,339.00
78231 Salivary gland imaging, with serial images 1,394.00
78258 Esophageal motility, dynamic 1,443.00
78262 Gastroesophageal reflux study 1,086.00
78264 Gastric emptying study 4,325.00
78270 Vitamin B-12 absorption, without intrinsic factor 1,041.00
78271 Vitamin B-12 absorption, with intrinsic factor 1,427.00
78278 Acute GI bleeding imaging, dynamic and static 4,215.00
78290 Intestine imaging (eg, Meckel’s, ectopic gastric mucosa) 2,088.00
78291 Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) 2,952.00
78300 Bone and/or joint imaging, limited area 1,761.00
78306 Bone and/or joint imaging, whole body 1,101.00
78315 Bone and/or joint imaging, three phase 3,551.00
78320 Bone and/or joint imaging, SPECT 1,241.00
78399 Bone and/or joint imaging, whole body, 24 hours later 506.00
78428 Cardiac shunt detection, dynamic 1,158.00
78445 Vascular flow imaging, perfusion 1,515.00
78458 Venous thrombosis imaging, bilateral 1,998.00
78461 Myocardial perfusion imaging, at rest and/or stress, planar 4,859.00
78465 Myocardial perfusion imaging, rest and/or stress, SPECT 5,508.00
78466 Myocardial imaging, infarct, planar 3,615.00
78468 Myocardial imaging, infarct, planar first pass, EF 4,290.00
78469 Myocardial imaging, infarct, SPECT 4,976.00
78472 Cardiac BP imaging, gated planar, rest/stress, EF 2,279.00
78473 Cardiac BP imaging, gated, rest and stress, EF 5,399.00
78478 Myocardial perfusion imaging, with wall motion 6,732.00
78480 Myocardial perfusion study with EF 7,037.00
78481 Cardiac BP imaging, gated planar, rest/stress, first pass, EF 2,249.00
78499 Cardiac BP (pool imaging)imaging, static 1,089.00
78580 Pulmonary imaging, perfusion 1,302.00
78585 Pulmonary imaging, ventilation and perfusion, Xenon 3,042.00
78587 Pulmonary imaging, ventilation, aerosol 2,505.00
78594 Pulmonary imaging, ventilation, xenon 2,607.00
78596 Pulmonary imaging, ventilation and perfusion, quantitative differential function 3,845.00
78605 Brain imaging, static 1,814.00
78606 Brain imaging, dynamic and static 2,439.00
78607 Brain imaging, SPECT 4,667.00
78610 Brain imaging, dynamic 1,689.00
78630 CSF (Cerebrospinal fluid) imaging, cisternography 7,001.00
78645 CSF flow imaging, shunt evaluation 1,439.00
78650 CSF leakage detection and localization 4,154.00
78660 Radiopharmaceutical dacryocystography 1,749.00
78699 Brain tumor imaging, SPECT 4,211.00
78700 Kidney imaging, static 2,151.00
78701 Kidney imaging, dynamic, GFR 2,439.00
78707 Kidney imaging, dynamic, without pharmacological intervention 1,659.00
78708 Kidney imaging, dynamic, with pharmacological intervention 1,977.00
78710 Kidney imaging, SPECT 2,126.00
78740 Ureteral reflux imaging (cystogram) 1,859.00
78761 Testicular imaging, dynamic and static 1,080.00
78802 Tumor imaging, planar 6,597.00
78803 Tumor imaging, SPECT 5,748.00
78805 Inflammatory process imaging, limited area 6,444.00
78806 Inflammatory process imaging, whole body 7,922.00
78807 Inflammatory process imaging, SPECT 5,748.00
78813 FDG PET imaging 6,567.00
78999 Tumor imaging, monoclonal antibodies, SPECT 12,155.00
79101 Radiopharmaceutical therapy, polycythemia vera 3,068.00
79403 Radiopharmaceutical therapy, intravenous administration, Zevalin, 90Y-Ibritumomab tiuxetan 2,607.00
79440 Radiopharmaceutical therapy, by intra-articular administration 8,424.00
80053 Chemistry panel 89.00
80061 Lipids panel — blood: Cholesterol, TG, HDL, LDL 71.00
80076 Hepatic function panel 99.00
80100 Drug, qualitative — urine 195.00
80101 Drug, qualitative 288.00
80162 Digoxin 138.00
80178 Lithium 209.00
80195 Sirolimus 474.00
80299 Drug, quantitative 288.00
80400 ACTH stimulation, including blood hormones levels 734.00
80420 Dexamethasone suppression test, 48 hour, include: free cortisol, urine cortisol, volume measurement 218.00
81000 Urinalysis, with microscopy 63.00
81002 Urinalysis stick, manual — urine, panel billing code 29.00
82010 Acetone, quantitative 129.00
82013 Acetylcholinesterase — amniotic fluid 806.00
82017 Acylcarnitine, quantitative — blood/urine 974.00
82030 Cyclic AMP — blood and urine 1,154.00
82040 Albumin — serum 26.00
82042 Albumin, quantitative — urine/other source, excluding serum 26.00
82043 Microalbumin — urine / 24 hours 138.00
82085 Aldolase 288.00
82088 Aldosterone 377.00
82103 Alpha 1 antitrypsin, total 434.00
82105 Alpha-fetoprotein — serum 53.00
82128 Amino acids, qualitative 180.00
82131 Amino acids, quantitative 513.00
82135 Aminolevulinic acid (ALA), quantitative — urine 495.00
82140 Ammonia 281.00
82150 Amylase 51.00
82154 Androstenedione/androstenediol glucoronide 311.00
82160 Androsterone 620.00
82172 Apolipoprotein B1/A1 209.00
82180 Vitamin C, ascorbic acid — blood 201.00
82205 Barbiturates, qualitative — urine 288.00
82232 Beta 2 microglobulin 432.00
82239 Bile acids degradation test 437.00
82247 Bilirubin, total 26.00
82248 Bilirubin, direct 26.00
82261 Biotinidase 411.00
82270 Occult blood — feces 129.00
82306 Calcifediol (25-OH Vitamin D-3) 182.00
82307 Calciferol (Vitamin D) 182.00
82308 Calcitonin 377.00
82310 Calcium, total, excluding urine 26.00
82340 Calcium — urine 50.00
82360 Calculus, quantitative and qualitative analysis 1,529.00
82374 Carbon dioxide (bicarbonate) 170.00
82378 CEA (Carcinoembryonic Ag), including dilution 53.00
82380 Carotene 201.00
82382 Catecholamines, total 894.00
82390 Ceruloplasmin 288.00
82435 Chloride — blood 50.00
82436 Chloride — urine 50.00
82438 Chloride — other source, excluding blood/urine 50.00
82465 Cholesterol, total — blood 26.00
82480 Cholinesterase — serum 129.00
82486 Chromatography, qualitative 209.00
82492 Chromatography, quantitative, any method 209.00
82525 Copper 114.00
82533 Cortisol, total 63.00
82540 Creatine 129.00
82550 CK (Creatine Kinase, CPK), total 26.00
82552 CK (Creatine Kinase, CPK) isoenzymes 414.00
82565 Creatinine — blood 30.00
82570 Creatinine — other fluids, excluding blood 63.00
82575 Creatinine clearance test 87.00
82585 Cryofibrinogen 422.00
82595 Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) 209.00
82607 Vitamin B-12, cyanocobalamin 233.00
82608 Vitamin B-12, cyanocobalamin, binding capacity 83.00
82626 Dehydroepiandrosterone (DHEA) 99.00
82627 Dehydroepiandrosterone-sulfate (DHEA-S) 99.00
82652 Vitamin D (Calciferol) 1,25-Dihydroxy 734.00
82657 Enzyme activity in blood cells, cultured cells, or tissue, each 288.00
82670 Estradiol 99.00
82672 Estrogens, total, all derivatives 620.00
82677 Estriol 434.00
82679 Estrone 422.00
82705 Fat, qualitative — feces 201.00
82710 Fat, quantitative — feces 657.00
82726 Very long chain fatty acids 1,395.00
82728 Ferritin 48.00
82731 Fetal fibronectin 680.00
82746 Folic acid — serum 207.00
82757 Fructose — seminal fluid 434.00
82759 Galactokinase 1,223.00
82760 Galactose 422.00
82775 Galactose 1 phosphate uridyl transferase, quantitative 657.00
82787 Gammaglobulin, immunoglobulin subclasses 1,035.00
82800 Gases, pH only — blood 209.00
82803 Gases — blood 264.00
82941 Gastrin 377.00
82945 Glucose — other fluids, excluding blood 129.00
82947 Glucose, quantitative — blood 26.00
82951 Glucose tolerance test (GTT) 288.00
82955 Glucose-6-phosphate dehydrogenase (G6PD), quantitative 620.00
82960 Glucose-6-phosphate dehydrogenase (G6PD), screen 422.00
82977 Gamma glutamyltransferase (GGT) 48.00
82985 Fructosamine/glycated protein 620.00
83001 Gonadotropin, FSH (Follicle stimulating hormone) 48.00
83002 Gonadotropin, LH (Luteinizing hormone) 95.00
83003 GH (Growth hormone), somatotropin 99.00
83010 Haptoglobin, quantitative 477.00
83013 Rapid urease test, helicobacter pylori — exhaled air 71.00
83015 Heavy metal (arsenic, barium, beryllium, bismuth, antimony, mercury, thallium), screen 288.00
83020 Hemoglobin, electrophoresis 176.00
83036 Hemoglobin; glycosylated (A1C) 63.00
83045 Hemoglobin, methemoglobin, qualitative 620.00
83069 Hemoglobin — urine 360.00
83070 Hemosiderin, qualitative — urine 372.00
83071 Hemosiderin, quantitative — urine 372.00
83090 Homocysteine 387.00
83491 Hydroxycorticosteroids, 17- (17-OHCS) 476.00
83497 Hydroxyindolacetic acid, 5-(HIAA) 227.00
83525 Insulin, total 99.00
83540 Iron 63.00
83550 Iron binding capacity 288.00
83586 Ketosteroids , total 422.00
83593 Ketosteroids, 17- (17-KS), fractionation 2,331.00
83605 Lactate (lactic acid) 150.00
83615 Lactate dehydrogenase (LD), (LDH) 26.00
83625 Lactate dehydrogenase (LD), (LDH), isoenzymes, total 620.00
83655 Lead 138.00
83661 Fetal lung maturity assessment, Lecithin/Sphingomyelin ratio — amniotic fluid 786.00
83690 Lipase 51.00
83700 Lipoprotein, electrophoresis — blood 42.00
83718 Lipoprotein, HDL cholesterol 50.00
83719 Lipoprotein, VLDL cholesterol 50.00
83735 Magnesium 26.00
83825 Mercury, quantitative 288.00
83866 Mucopolysaccharides, screen — urine, per patient 450.00
83872 Mucin/other material — synovial fluid, including biochemistry, cytology and culture 450.00
83874 Myoglobin 389.00
83896 Molecular diagnosis of hematologic malignancies 1,986.00
83898 RT-PCR, molecular diagnostics 4,827.00
83918 Organic acids, quantitative — urine 912.00
83930 Osmolality — blood 129.00
83935 Osmolality — urine 129.00
83945 Oxalate, qualitative/quantitative — urine 521.00
83970 Parathormone (parathyroid hormone) 356.00
84060 Acid phosphatase, total 129.00
84061 Acid phosphatase stain 288.00
84066 Acid phosphatase, prostatic 201.00
84075 Alkaline phosphatase 26.00
84080 Alkaline phosphatase isoenzymes 620.00
84100 Phosphorus — blood 26.00
84105 Phosphorus — urine 26.00
84110 Porphobilinogen, quantitative, collection — urine 363.00
84119 Porphobilinogen, quantitative — urine 201.00
84127 Porphyrins, qualitative — feces 323.00
84132 Potassium — blood 26.00
84135 Pregnanediol 422.00
84138 Pregnanetriol 620.00
84144 Progesterone 99.00
84146 Prolactin 146.00
84153 PSA (Prostate specific Ag), total 63.00
84154 PSA (Prostate specific Ag), free 129.00
84155 Protein, total — serum 26.00
84156 Protein, total — urine 26.00
84165 Protein electrophoretic 138.00
84207 Vitamin B-6 (pyridoxal phosphate) 441.00
84210 Phenylpyruvic acid — urine 63.00
84233 Receptor assay, estrogene 969.00
84244 Renin 377.00
84260 Serotonin 227.00
84295 Sodium — blood 26.00
84375 Sugars chromatography 209.00
84376 Sugars (mono-, di-, and oligosaccharides), qualitative — body fluids 450.00
84402 Testosterone, free 201.00
84403 Testosterone, total 99.00
84432 Thyroglobulin 536.00
84436 Thyroxine, total 56.00
84443 Thyroid stimulating hormone (TSH) 56.00
84446 Tocopherol alpha (Vitamin E) 288.00
84450 AST (GOT) Aspartate aminotransferase 48.00
84460 ALT (GPT) Alanine amino transferase 48.00
84466 Transferrin 185.00
84478 Triglycerides 26.00
84479 Thyroid hormone (T3/T4) uptake or binding ratio (THBR) 116.00
84480 Triiodothyronine T3, total (TT-3) 116.00
84484 Troponin, quantitative 239.00
84490 Chymotrypsin, quantitative — feces 360.00
84520 Urea, quantitative — blood 26.00
84540 Urea, quantitative — urine/other fluids, excluding blood 63.00
84550 Uric acid — blood 26.00
84560 Uric acid — body fluids, excluding blood 63.00
84585 Vanillylmandelic acid (VMA) — urine 288.00
84588 Vasopressin (antidiuretic hormone, ADH) 734.00
84590 Vitamin A 201.00
84620 Xylose absorption test — blood/urine 209.00
84681 C-peptide 201.00
84702 hCG (Human chorionic gonadotropin), qualitative/quantitative 138.00
85002 Bleeding time 122.00
85007 Manual differential 60.00
85009 Blood count, manual differential, buffy coat 288.00
85025 CBC (complete blood count) with differential 42.00
85032 Blood smear, manual test 170.00
85044 Reticulocytes manual count 99.00
85049 Platelet, thrombocyte 108.00
85170 Clot retraction 170.00
85210 Clotting, factor II, prothrombin 321.00
85220 Clotting, factor V (AcG or proaccelerin) 422.00
85230 Clotting, factor VII, proconvertin 321.00
85244 Clotting, factor VIII related antigen 417.00
85245 Clotting, factor VIII, ristocetin cofactor 972.00
85250 Clotting, factor IX 467.00
85260 Clotting, factor X (Stuart-Prower) 321.00
85270 Clotting, factor XI (PTA) 321.00
85280 Clotting, factor XII (Hageman) 786.00
85290 Clotting, factor XIII (fibrin stabilizing) 422.00
85301 Clotting anticoagulant, antithrombin III antigen 461.00
85302 Protein C, anticoagulant 573.00
85305 Protein S, anticoagulant 477.00
85362 Fibrinogen degradation (split) products (FDP) (FSP 786.00
85384 Fibrinogen activity 138.00
85390 Fibrinolysins or coagulopathy, screen 620.00
85460 HbF (Hemoglobin fetal) stain 288.00
85475 Hemolysin, acid, Ham test 372.00
85540 LAP (Leukocyte Alkaline Phosphatase) with count 422.00
85549 Muramidase 734.00
85557 Osmotic fragility 422.00
85576 Platelet aggregation 657.00
85597 Platelet neutralization 806.00
85610 PT (Prothrombin time) 59.00
85635 Reptilase test 288.00
85651 Sedimentation rate — blood 29.00
85670 TT (Thrombin time) — plasma 129.00
85730 PTT (Thromboplastin time) — plasma/blood 63.00
85810 Viscosity — blood 422.00
86000 Agglutinins, febrile, per test 170.00
86021 Leucocyte, Ab 360.00
86022 Platelet, Ab 743.00
86038 ANA (Antinuclear antibodies) 380.00
86060 ASL0 (Antistreptolysin 0), titer 209.00
86140 C-reactive protein 75.00
86147 Cardiolipin, Ab 99.00
86155 Chemotaxis assay 1,982.00
86156 Cold agglutinin, screen 170.00
86157 Cold agglutinin, quantitative 170.00
86162 Complement total hemolytic activity 1,140.00
86171 Complement fixation 260.00
86225 DNA, native or double stranded, Ab 1,271.00
86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody 176.00
86255 Fluorescent noninfectious agent Ab, not otherwise specified 146.00
86300 CA 15.3 tumor antigen 71.00
86301 CA 19.9, tumor antigen 147.00
86304 CA 125 tumor antigen 63.00
86320 Immunoelectrophoresis — serum 447.00
86325 Immunoelectrophoresis — body fluids, excluding serum, eg, urine, CSF 129.00
86336 Inhibin — serum 344.00
86337 Insulin, Ab 411.00
86341 Islet cell, Ab 176.00
86344 Leukocyte phagocytosis 3,362.00
86353 Lymphocyte transformation 2,420.00
86359 T and B cell count 951.00
86360 T cells absolute CD4 and CD8 count, including ratio 2,978.00
86376 Microsomal antibodies, eg, thyroid or liver-kidney 405.00
86382 Virus neutralization test 488.00
86403 Agglutination, screen (latex, Rose Waller) 201.00
86406 Agglutination, particle, titer, each Ab 434.00
86431 Rheumatoid factor, qualitative/quantitative 170.00
86580 Skin test; tuberculosis, intradermal 92.00
86592 Syphilis test, VDRL, RPR, TPHA, FTA, ELISA 170.00
86619 Borrelia (relapsing fever), Ab 572.00
86644 CMV (cytomegalovirus) Ab 348.00
86648 Diphtheria, Ab 288.00
86677 Helicobacter pylori, Ab — B 71.00
86692 Hepatitis delta, Ab 147.00
86703 HIV screening, central blood bank 0.00
86704 Hepatitis B core antibody (HBcAb), IgG and IgM 87.00
86705 Hepatitis B core Ab (HBcAb), IgM 95.00
86706 Hepatitis B surface Ab (HBsAb) 48.00
86707 Hepatitis Be Ab (HBeAb) 120.00
86708 Hepatitis A antibody (HAAb), total, IgG and IgM 126.00
86709 Hepatitis A Ab (HAAb), IgM or IgG 153.00
86720 Leptospira, Ab 260.00
86738 Mycoplasma, Ab 360.00
86762 Rubella virus IgG and IgM 176.00
86778 Toxoplasma IgM 108.00
86789 West Nile virus IgG and IgM 560.00
86790 Virus/bacteria Ab, not otherwise specified 288.00
86800 Thyroglobulin, Ab 434.00
86803 Hepatitis C, Ab 53.00
86805 Lymphocytotoxicity assay, visual crossmatch; with titration 459.00
86813 HLA typing, A, B, C 2,360.00
86817 HLA typing, DR/DQ 3,053.00
86821 HLA typing, MLC (mixed lymphocyte culture) 3,053.00
86880 DAT (Direct Antiglobulin Test) / Coombs 209.00
86900 Blood typing, including RH 137.00
86901 Rh test 170.00
86903 Blood typing and Rh, Ab, screen 597.00
86904 Blood typing and Rh, Ab 1,185.00
86905 Blood typing; RBC antigens, other than ABO or Rh (D) 1,805.00
86940 Hemolysins and agglutinins, screen 620.00
87001 Animal inoculation, eg, tuberculosis 620.00
87040 Blood culture and susceptibility 129.00
87045 Feces culture 170.00
87070 Culture, other source, excluding blood/urine/feces 129.00
87081 Urine culture, non quantitative 170.00
87086 Urine culture, quantitative 347.00
87088 Urine culture and susceptibility 194.00
87106 Fungi culture 170.00
87109 Mycoplasma culture 260.00
87110 Chlamydia culture 528.00
87116 Mycobacteria culture and identification 564.00
87118 Mycobacterial definitive identification, MTb 285.00
87140 Fluorescence or darkfield microscopy 170.00
87177 Ova and parasites, direct smear, identification — feces 129.00
87181 Susceptibility studies, antimicrobial agent, per agent 170.00
87190 Susceptibility studies, antimycobacterial agent, mycobacteria 384.00
87205 Smear interpretation, stain for bacteria, fungi, parasites or cell types 129.00
87207 Smear, special stain for parasites 170.00
87250 Virus isolation, including nucleic acid identification, polymerase chain reaction, PCR 660.00
87252 Virus isolation, tissue culture 209.00
87253 Virus isolation and identification, tissue culture, any method 1,046.00
87278 Legionella Ag — urine 257.00
87299 Immunofluorescent study; not otherwise specified 360.00
87340 Hepatitis B surface antigen (HBsAg), any method, including immunofluorescent study 146.00
87350 Hepatitis Be antigen (HBeAg), any method, including immunofluorescent study 120.00
87389 HIV Ab and P24 Ag, ELISA/EIA, at MOH recognized HIV laboratory 36.00
87449 Infectious agent antigen detection, not otherwise specified 594.00
87472 Bartonella henselae and Bartonella quintana, quantification 455.00
87517 Hepatitis B virus DNA/RNA, quantitative 806.00
87522 Hepatitis C virus DNA/RNA, quantitative 1,497.00
87536 HIV-1 DNA/RNA, quantitative 2,094.00
87539 HIV-2 DNA/RNA, quantitative 2,094.00
87556 Mycobacteria tuberculosis, AMTD 720.00
87590 Gonorrhoeae smear 0.00
87620 Papillomavirus (HPV) — tissue, including biopsy 2,975.00
87622 HPV (Human Papillomavirus) smear 621.00
88036 Necropsy (autopsy), limited, gross and/or microscopic; regional 1,046.00
88130 Sex chromatin identification, Barr bodies 209.00
88141 Pap smear, cervical/vaginal, cytopathology, including sampling 177.00
88160 Cytopathology examination and interpretation 288.00
88230 Karyotype, leukocyte culture 1,809.00
88233 Karyotype, tissue culture 2,331.00
88240 Cryopreservation of cells (eg, bone marrow), per year 2,270.00
88299 B &T cell receptor gene rearrangment analysis 1,691.00
88305 Histologic examination, microscopy and interpretation 288.00
88313 Bone marrow sampling and iron stain 657.00
88319 Histochemistry/cytochemistry stain for enzyme identification 288.00
88346 Immunofluorescent study, each antibody; direct method 1,529.00
88347 Immunofluorescent study, each antibody; indirect method 1,529.00
88348 EM (Electron microscopy), diagnostic 5,120.00
89051 Cell count — body fluids, eg, CSF, joint fluid, excluding blood 201.00
89258 Cryopreserved embryos storage for 5 years 1,046.00
89259 Cryopreservation, sperm, one year, up to 5 test tubes/straws 1,152.00
89280 Assisted oocyte fertilization, microtechnique 6,930.00
89290 Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis) 14,928.00
89300 Semen analysis; presence and/or motility of sperm including Huhner test (post coital) 393.00
89320 Semen analysis, complete (volume, count, motility, and differential) 240.00
89325 Sperm Ab 384.00
90371 HBIg (Hepatitis B immune globulin), IM 6,603.00
90375 Rlg (Rabies immune globulin), IM and/or subcutaneous 4,514.00
90384 Rho(D) immune globulin (Rhlg), Anti-D 806.00
90585 BCG (Bacillus Calmette-Guerin) vaccine for tuberculosis 0.00
90586 BCG vaccine for bladder, live, for intravesical use, per treatment, including material 1,455.00
90749 Immune globulin (Ig), not otherwise specified 170.00
90772 Subcutaneous/IM injection, therapeutic/prophylactic/diagnostic 60.00
90862 Pharmacological management/review, mental health 176.00
90870 Electroconvulsive therapy 1,785.00
90880 Hypnotherapy 213.00
90882 Psychosocial intervention — follow up 206.00
90889 Psychiatric medical opinion 978.00
90901 Biofeedback training 638.00
90935 Hemodialysis procedure, per treatment 1,970.00
90945 Dialysis procedure other than hemodialysis (eg, peritoneal dialysis) 891.00
91010 Esophageal motility (manometric study) 1,767.00
91034 Esophagus, acid reflux test, with intraluminal pH electrode for dection of gastroesophageal reflux; prolonged recording 1,767.00
91065 Breath hydrogen test (eg, for detection of lactase deficiency) 324.00
91122 Anorectal manometry 1,767.00
92004 Ophthalmological examination, initial 786.00
92065 Orthoptic evaluation and therapy 170.00
92081 Computerised visual field examination 264.00
92083 Visual field examination (eg, Goldmann visual fields) 209.00
92230 Fluorescein angioscopy, unilateral 1,115.00
92235 Fluorescein angioscopy, bilateral 1,535.00
92240 ICGI eye imaging, with interpretation and report 2,816.00
92250 Fundus photography, one eye 336.00
92270 Electro-oculography with interpretation and report 528.00
92275 Electroretinography with interpretation 1,220.00
92283 Color vision examination 209.00
92284 Dark adaptation examination with interpretation 620.00
92285 External eye photography, with interpretation and report 660.00
92286 Anterior segment photography, one eye 528.00
92287 Anterior segment photography, two eyes 791.00
92310 Contact lens fitting, including adjustment 170.00
92355 Fitting of telescopic lens system, age-related macular degeneration 237.00
92506 Evaluation of speech, language, voice 209.00
92507 Speech therapy, individual 203.00
92508 Speech therapy, group, per hour 170.00
92512 Rhinomanometry 324.00
92526 Feeding and swallowing therapy, per treatment 194.00
92541 Spontaneous nystagmus test, ENG (electronystagmography) 786.00
92551 Hearing test, screening 48.00
92557 Hearing test, comprehensive 288.00
92567 Tympanometry (impedance testing) 126.00
92568 Acoustic reflex testing 278.00
92585 Brain auditory evoked potentials, adult 1,001.00
92588 Brain evoked potentials, child 1,361.00
92590 Hearing aid fitting 380.00
92593 Hearing aid check/counselling, binaural 288.00
92601 Diagnostic analysis and programing of cochlear implant, binaural, under age 7 2,657.00
92602 Diagnostic analysis and subsequent programing of cochlear implant, monaural, under age 7 864.00
92603 Diagnostic analysis and programing of cochlear implant, binaural, age 7 or over 2,657.00
92604 Diagnostic analysis and subsequent programing of cochlear implant, monaural, age 7 or over 864.00
92620 Central auditory function test(s) 566.00
92633 Auditory rehabilitation following cochlear implant 201.00
93000 ECG (Electrocardiogram), with interpretation and report 59.00
93012 CardioBeeper device loan 302.00
93015 Cardiovascular stress test 447.00
93224 ECG monitoring for 24 hours (Holter) 797.00
93307 TTE (transthoracic echocardiography) 674.00
93312 TEE (transesophageal echocardiography) 2,552.00
93350 Effort or Dobutamine stress echocardiography (DSE) 1,590.00
93720 Pulmonary function tests, infant, plethysmography, with interpretation 4,892.00
93784 Blood pressure monitoring, for 24 hours 705.00
93797 Cardiac rehabilitation, per month 1,314.00
93880 Cervical arteries duplex, bilateral 624.00
93923 Extremities arteries duplex, stress and rest 588.00
93925 Extremity arteries/bypass grafts duplex 624.00
93965 Peripheral vessels flow study (eg, Doppler) 260.00
93975 Abdomen, pelvis and retroperitoneal vessels duplex 588.00
93980 Penile vessels duplex, per patient 803.00
94010 Spirometry, simple 183.00
94060 Spirometry with bronchodilator 221.00
94070 Prolonged bronchi evaluation, methacholine or other chemical agent 1,302.00
94200 Maximal voluntary ventilation 89.00
94240 Functional residual volume, noble gas 935.00
94250 Expired gas collection, quantitative 465.00
94360 Resistance to airflow, plethysmographic method 797.00
94400 Breathing response to CO2 (CO2 response curve) 1,559.00
94620 Pulmonary stress test, simple, including pre- and post-spirometry 257.00
94621 Pulmonary stress testing, complex 1,970.00
94640 Inhalation treatment 60.00
94664 Demonstration of an aerosol/inhaler use 105.00
94667 Physiotherapy, lung patient, per treatment 203.00
94720 Carbon monoxide diffusing capacity 465.00
94760 Noninvasive ear or pulse oximetry for oxygen saturation 129.00
94762 Oxygen saturation, overnight oximetry 264.00
94772 Pulmonary function tests, passive, child 4,884.00
95004 Aeroallergens/food, up to 10 allergens, screen 201.00
95012 Nitric oxide determination — exhaled air, per patient 492.00
95028 Aeroallergens/food, 11 or over allergens, extended test 477.00
95044 Patch or application skin alergy test 258.00
95120 Allergen immunotherapy, normal allergen 285.00
95130 Allergen immunotherapy, pure allergen 579.00
95199 Susceptibility studies, antimicrobial agent; lymphocyte and serum 1,529.00
95810 Polysomnography, including EEG 1,722.00
95812 EEG (Electroencephalogram) 620.00
95813 EEG (Electroencephalogram) extended monitoring 1,338.00
95822 EEG (Electroencephalogram), sleep 1,013.00
95830 EEG (Electroencephalogram), sphenoidal recording 1,106.00
95857 Tensilon test for myasthenia gravis 278.00
95861 EMG (electromyography) 372.00
95872 EMG (Electromyography) 1,071.00
95900 NCT (Nerve conduction test) 854.00
95922 Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least five minutes of passive tilt 744.00
95923 Electrolyte concentration determination, sweat imprint 209.00
95930 VEP (visual evoked potential), adult 1,001.00
95950 EEG (electroencephalogram), 24 hours 3,012.00
95990 Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular) 1,364.00
96001 Computerized three dimensional motion and walking analysis, per patient 5,751.00
96567 Photodynamic therapy (PDT), dermal lesions, non-melanoma/solar keratosis 1,382.00
96910 Phototherapy by UVB and tar/petrolatum 207.00
96912 Photochemotherapy by PUVA, including psoralens 240.00
97001 Physiotherapy, evaluation and treatment planning, adult 323.00
97003 Occupational therapy, evaluation and treatment planning, adult 323.00
97113 Aquatic physiotherapy/rehabilitation, individual, hydrotherapy 314.00
97140 Physiotherapy, individual 203.00
97150 Physiotherapy/rehabilitation, group, 4 or more individuals, including child, per individual 60.00
97530 Occupational therapy, individual 203.00
97750 Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, eg, evaluation of pressure on sole 951.00
97802 Medical nutrition counselling and therapy 201.00
97810 Acupuncture 288.00
99001 Histopathology slides preparation for shipment 455.00
99002 Histopathology slides preparation in Israel 657.00
99075 Forensic medical opinion 2,657.00
99080 Medical opinion 972.00
99183 Elective hyperbaric oxygen therapy, per treatment, up to 2 hours 1,365.00
99195 Phlebotomy 201.00
99212 Follow up allergy testing after 95028 170.00
99214 Post hospitalization examination 0.00
99223 Pre-operation evaluation, serial tests 1,290.00
99242 Physician examination, excluding tests with specific code 372.00
99283 ER visit, global payment 1,208.00
99315 Clinic nurse service, up to 30 minutes 116.00
99316 Clinic nurse service, over 30 minutes (eg, guidance for patient with stoma) 246.00
99362 Multidisciplinary team examination 786.00
99371 Telephonic consultation for poisoning/medication information/teratology 312.00
99600 Home visit, care worker 270.00
C0443 Release of carpal tunnel, in surgical day care 2,957.00
C0449 Peripheral nerve decompression/lysis of adhesions, excluding endoneurolysis, in surgical day care 5,759.00
C0460 Peripheral nerve transposition, eg, ulnar nerve, in surgical day care 5,759.00
C0476 Peripheral nerve repair, old traumatic injury, eg, ulnar nerve, in surgical day care 5,759.00
C0492 Implantation/replacement of sacral nerve stimulation electrode/lead, in surgical day care, excluding device cost 9,435.00
C0670 Excision of thyroglossal/branchial cleft cyst/sinus, in surgical day care 5,759.00
C0823 Excision of lesion(s) and/or tissue of eyelid, excluding chalazion, in surgical day care 5,759.00
C0849 Repair of eyelid position, excluding complex repair, in surgical day care 5,759.00
C0870 Reconstruction of eyelid, in surgical day care 5,759.00
C0889 Repair of eyelid position, complex, in surgical day care 5,759.00
C0920 Lacrimal system operation, excluding fistulization, in surgical day care 5,759.00
C1000 Conjunctiva operation, excluding removal of superficial foreign body, in surgical day care 5,759.00
C1139 Excision of pterygium, without graft, in surgical day care 5,759.00
C1511 Extraocular muscle(s) operation for strabismus repair, in surgical day care 5,759.00
C2169 Turbinectomy, in surgical day care 5,759.00
C2189 Nose operation/rhinoplasty, in surgical day care 5,759.00
C2220 Intranasal antrotomy, excluding FESS, in surgical day care 5,759.00
C2840 Excision of tonsil tag/lingual tonsil or adenoidectomy without tonsillectomy, in surgical day care 7,818.00
C3143 Laryngoscopy with biopsy, in surgical day care 5,759.00
C3321 Bronchoscopy through artificial stoma, in surgical day care 5,759.00
C3324 Bronchoscopy with biopsy, in surgical day care 5,759.00
C4011 Biopsy of lymphatic structure, in surgical day care 5,759.00
C4021 Excision of lymph node(s), excluding internal mammary, in surgical day care 5,759.00
C4911 Anal fistulotomy/fistulectomy under general anesthesia, in surgical day care 5,759.00
C4943 Destruction of hemorrhoids by cauterization/cryotherapy, in surgical day care 5,759.00
C4945 Ligation of hemorrhoids, in surgical day care 10,266.00
C5011 Biopsy of liver, needle; percutaneous, not using CT/MRI guidance, in surgical day care 5,759.00
C5349 Umbilical hernia repair, up to 5 years of age, in surgical day care 5,759.00
C5810 Urethral meatotomy, in surgical day care 5,759.00
C5860 Dilation of urethra, in surgical day care 5,759.00
C6120 Excision of lesion(s) and/or hydrocele and/or varicocele of tunica vaginalis/spermatic cord, in surgical day care 5,759.00
C6250 Orchiopexy, in surgical day care 5,759.00
C6420 Excision/destruction of lesion(s) and/or tissue of penis under general anesthesia, in surgical day care 5,759.00
C6720 Biopsy/conization of cervix, excluding by cauterization/cryosurgery, in surgical day care 5,759.00
C6739 Excision of lesion(s) of cervix, including by cauterization/cryosurgery, in surgical day care 5,759.00
C6759 Cerclage/repair of uterine cervix, in surgical day care 5,759.00
C7011 Hymenotomy/hymenectomy, in surgical day care 5,759.00
C7024 Biopsy/excision/destruction of lesion(s) of vagina, in surgical day care 5,759.00
C7129 Bartholin’s gland/cyst operation under general anesthesia, in surgical day care 5,759.00
C7744 Biopsy of bone/arthrotomy of hand/foot and finger(s)/toe(s), in surgical day care 5,759.00
C7751 Bunion, eg, hallux valgus / hammer toe/claw operation, in surgical day care 5,759.00
C7860 Removal of implanted device from bone, excluding face/hand/foot, in surgical day care 5,759.00
C8044 Capsulotomy of hand/foot and finger(s)/toe(s), in surgical day care 5,759.00
C8201 Tendon sheath incision, in surgical day care 5,759.00
C8313 Tenotomy, excluding of hand, in surgical day care 5,759.00
C8331 Excision of lesion(s) of tendon sheath, in surgical day care 5,759.00
C8350 Excision of bursa, in surgical day care 5,759.00
C8611 Biopsy of subcutaneous tissue under general anesthesia, in surgical day care 5,759.00
C8630 Excision/destruction of lesions of skin and subcutaneous tissue, 4 or more, in surgical day care 5,759.00
C8660 Free skin grafting, including excision of skin for autogenous graft, in surgical day care 5,759.00
C8689 Repair and reconstruction of skin and subcutaneous tissue, in surgical day care 5,759.00
C8694 Implantation/replacement of sacral nerve stimulation generator, in surgical day care, excluding device cost 3,575.00
C9802 Esophagoscopy for removal of foreign body, in surgical day care 5,759.00
C999C Surgical hospital day care, excluding procedures with specific code 5,759.00
D0210 Intra oral radiograph — complete series 539.00
D0220 Intraoral — periapical first radiographic image 60.00
D0230 Intraoral — periapical each additional radiographic image 60.00
D0240 Intraoral — occlusal radiographic image 129.00
D0330 Panoramic radiographic image 477.00
D1201 Application of fluoride, complete 150.00
D1351 Sealant — per tooth 221.00
D1510 Space maintainer, fixed 1,116.00
D2140 Restoration — one surface, local anesthesia 377.00
D2150 Restoration -2/more surfaces, any material 477.00
D2330 Resin-based composite restoration — one surface, anterior 642.00
D2335 Resin-based composite restoration, anterior 794.00
D2390 Resin-based composite restoration — crown 692.00
D2752 Crown — porcelain fused to noble metal 4,062.00
D2950 Core build-up, including any pins 1,310.00
D2952 Post and core in addition to crown 1,914.00
D2980 Crown repair 372.00
D3220 Pulpotomy, primary/permanent tooth 348.00
D3230 Pulpal therapy, resorbable filling — primary tooth, excluding final restoration 692.00
D3310 Root canal therapy — anterior, excluding final restoration 1,418.00
D3320 Root canal therapy — bicuspid, excluding final restoration 1,418.00
D3330 Root canal therapy — molar, excluding final restoration 1,418.00
D3351 Apexification 569.00
D3410 Apicoectomy, anterior, including placement of retrograde filling material 1,421.00
D3421 Apicoectomy — bicuspid, including placement of retrograde filling material 1,773.00
D3425 Apicoectomy — molar, including placement of retrograde filling material 3,012.00
D3450 Root amputation 1,773.00
D3920 Hemisection 1,241.00
D4240 Gingival flap, with root planing, per quadrant 1,217.00
D4249 Clinical crown lengthening 1,134.00
D4260 Osseous surgery, including flap entry and closure, per quadrant 1,565.00
D4341 Periodontal scaling and root planing, per meeting, 30 minutes 209.00
D5110 Complete acrylic denture — pair 11,880.00
D5213 Partial denture 10,947.00
D5730 Reline denture (chairside) 1,268.00
D5750 Reline denture — laboratory 3,128.00
D5951 Feeding aid; feeding prosthesis 981.00
D5952 Speech aid prosthesis, pediatric 981.00
D6010 Surgical placement of dental implant body: endosteal implant, includes placement of healing cap 5,462.00
D6056 Prefabricated abutment for dental implant 3,411.00
D7111 Extraction, coronal remnants — deciduous tooth 375.00
D7140 Extraction, erupted tooth or exposed root, single 375.00
D7141 Extraction, erupted tooth or exposed root, second in the same session 278.00
D7142 Extraction, erupted tooth or exposed root, each additional tooth in the same session 186.00
D7210 Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth 389.00
D7220 Removal of impacted tooth — soft tissue 888.00
D7230 Removal of impacted tooth — partially bony 1,241.00
D7240 Removal of impacted tooth — completely bony 1,241.00
D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth and/or alveolus 903.00
D7280 Exposure of impacted/unerupted tooth for orthodontic reasons, including orthodontic attachments 1,241.00
D7320 Alveoloplasty not in conjunction with extractions — per quadrant 915.00
D7340 Vestibuloplasty — ridge extension (secondary epithelialization) 1,212.00
D7450 Removal of odontogenic cyst 915.00
D7950 Bone graft to maxilla/mandible, unilateral 15,587.00
D7952 Open sinus augmentation, including bone graft, unilateral 7,376.00
D7960 Frenulectomy (frenectomy or frenotomy) 888.00
D7993 Bone graft to maxilla/mandible, bilateral 23,756.00
D7994 Open sinus augmentation, including bone graft, bilateral 14,114.00
D8050 Interceptive orthodontic therapy, including chin cup 2,385.00
D8080 Comprehensive orthodontic treatment of the adolescent dentition, for one year, up to 3 years 6,323.00
D8089 Follow up code of D8080, established adolescent patient for comprehensive orthodontic treatment 0.00
D8210 Removable dental appliance therapy 1,268.00
D8999 Orthodontic preparation for orthognatic face mask 2,385.00
D9110 Emergency treatment of dental pain 264.00
D9220 Deep sedation/general anesthesia, for dental procedure — first hour 1,880.00
D9221 Deep sedation/general anesthesia, for complex dental procedure — more than one hour 2,126.00
D9230 Analgesia, including nitrous, excluding dental treatment 347.00
J0011 Costeff syndrome, Methylglutaconic aciduria, molecular diagnostics, special case 687.00
J0021 Adrenoleukodystrophy X-linked, molecular diagnostics, special case 687.00
J0031 Canavan disease, molecular diagnostics, special case 687.00
J0041 Carnitine Palmitoyl Tranferase, molecular diagnostics, special case 687.00
J0051 Cystinuria, molecular diagnostics, special case 687.00
J0061 Glycogen storage disease type 1, molecular diagnostics, special case 687.00
J0071 Hyperglycinemia, nonketotic, molecular diagnostics, special case 687.00
J0081 Hyperoxaluria, primary, type 1, molecular diagnostics, special case 687.00
J0091 Isovalericacidemia, molecular diagnostics, special case 687.00
J0101 Lipoamide Dehydrogenase Deficiency, molecular diagnostics, special case 687.00
J0111 Maple syrup urine disease, molecular diagnostics, special case 687.00
J0121 Methylmalonicaciduria, mutase deficiency, molecular diagnostics, special case 687.00
J0131 Molybdenum cofactor deficiency, molecular diagnostics, special case 687.00
J0141 Peroxysomal disorders, molecular diagnostics, special case 687.00
J0151 Phenylketonuria, molecular diagnostics, special case 687.00
J0161 Thiamine-responsive megaloblastic anemia, molecular diagnostics, special case 687.00
J0171 Tyrosinemia, molecular diagnostics, special case 687.00
J0181 VLCAD (Very Long Chain Acyl CoA Dehydrogenase) deficiency, molecular diagnostics, special case 687.00
J0191 Wilson disease, molecular diagnostics, special case 687.00
J0201 Xanthinuria, type I, molecular diagnostics, special case 687.00
J0211 CTX (Cerebrotendinous xanthomatosis), molecular diagnostics, special case 687.00
J0221 Hypercholesterolemia, familial, molecular diagnostics, special case 687.00
J0232 Lysosomal acid phosphatase deficiency, biochemical diagnostics 1,949.00
J0241 Aspartylglucosaminuria, molecular diagnostics, special case 687.00
J0242 Aspartylglucosaminuria, biochemical diagnostics 1,949.00
J0251 Ceroid lipofuscinosis, molecular diagnostics, special case 687.00
J0252 Ceroid lipofuscinosis, biochemical diagnostics 1,949.00
J0262 Cholesteryl ester storage disease, biochemical diagnostics 1,949.00
J0272 Cystinosis, nephropathic, biochemical diagnostics 1,949.00
J0281 Fabry disease, molecular diagnostics, special case 687.00
J0282 Fabry disease, biochemical diagnostics 1,949.00
J0292 Free sialic acid storage disease, biochemical diagnostics 1,949.00
J0302 Fucosidosis, biochemical diagnostics 1,949.00
J0312 GM1 gangliosidosis, biochemical diagnostics 1,949.00
J0322 Galactosialidosis, biochemical diagnostics 1,949.00
J0331 Gaucher disease, molecular diagnostics, special case 885.00
J0332 Gaucher disease, biochemical diagnostics 1,949.00
J0341 Glycogen storage disease type 2, Pompe, molecular diagnostics, special case 687.00
J0342 Glycogen storage disease type 2, Pompe, biochemical diagnostics 1,949.00
J0351 Ichthyosis, X-linked, molecular diagnostics, special case 687.00
J0352 Ichthyosis, X-linked, biochemical diagnostics 1,949.00
J0361 Krabbe disease, molecular diagnostics, special case 687.00
J0362 Krabbe disease, biochemical diagnostics 1,949.00
J0372 Mannosidosis, alpha, biochemical diagnostics 1,949.00
J0382 Mannosidosis, beta, biochemical diagnostics 1,949.00
J0392 Maroteaux-Lamy syndrome, biochemical diagnostics 1,949.00
J0400 MLD (Metachromatic Leukodystrophy), pseudo deficiency, molecular diagnostics 885.00
J0401 MLD (Metachromatic Leukodystrophy), molecular diagnostics, special case 687.00
J0402 MLD (Metachromatic Leukodystrophy), biochemical diagnostics 1,949.00
J0412 Mucolipidosis II, biochemical diagnostics 4,433.00
J0421 Mucolipidosis III, molecular diagnostics, special case 687.00
J0422 Mucolipidosis III, biochemical diagnostics 4,433.00
J0431 Mucolipidosis IV, molecular diagnostics, special case 687.00
J0442 Mucopolysaccharidosis II, biochemical diagnostics 1,949.00
J0452 Mucopolysaccharidosis IV, biochemical diagnostics 1,949.00
J0462 Mucopolysaccharidosis I, biochemical diagnostics 1,949.00
J0472 Mucopolysaccharidosis VII, biochemical diagnostics 1,949.00
J0482 Multiple sulfatase deficiency, biochemical diagnostics 4,433.00
J0491 Niemann-Pick disease, molecular diagnostics, special case 687.00
J0492 Niemann-Pick disease, biochemical diagnostics 1,949.00
J0501 Niemann-Pick disease, type C, molecular diagnostics, special case 687.00
J0502 Niemann-Pick disease, type C, biochemical diagnostics 6,624.00
J0511 Pycnodysostosis, molecular diagnostics, special case 687.00
J0512 Pycnodysostosis, biochemical diagnostics 1,949.00
J0522 Salla disease, biochemical diagnostics 1,949.00
J0532 Sanfilippo syndrome, biochemical diagnostics 4,433.00
J0542 Schindler disease, biochemical diagnostics 1,949.00
J0552 Sialidosis, biochemical diagnostics 1,949.00
J0561 Tay Sachs, molecular diagnostics, special case 687.00
J0562 Tay Sachs, biochemical diagnostics 1,949.00
J0572 Wolman disease, biochemical diagnostics 1,949.00
J0581 Mitochondrial disorder, molecular diagnostics, special case 687.00
J0582 Mitochondrial disorder, biochemical diagnostics
J0591 Deafness, mitochondrial, molecular diagnostics, special case 687.00
J0600 Kearns Sayre Syndrome, KSS, molecular diagnostics 1,619.00
J0610 Leber Optic Atrophy, LHON, molecular diagnostics 885.00
J0621 Leigh syndrome, molecular diagnostics, special case 687.00
J0622 Leigh syndrome, biochemical diagnostics
J0631 Mitochondrial myopathy, Encephalopathy, Lactic Acidosis and Stroke-like episodes, MELAS, molecular diagnostics, special case 885.00
J0641 Myoclonic Epilepsy with Ragged Red Fibers, MERFF, molecular diagnostics, special case 1,619.00
J0651 Mitochondrial depletion syndrome, molecular diagnostics, special case 687.00
J0652 Mitochondrial depletion syndrome, biochemical diagnostics
J0661 Alzheimer, early onset/familial, molecular diagnostics, special case 687.00
J0671 Ataxia Telangiectasia, molecular diagnostics, special case 687.00
J0673 Ataxia Telangiectasia, cytogenetic diagnostics 4,998.00
J0681 Charcot-Marie-Tooth neuropathy, molecular diagnostics, special case 1,400.00
J0691 Creutzfeldt-Jakob disease, familial, molecular diagnostics, special case 687.00
J0701 Duchenne, Becker muscular dystrophy, molecular diagnostics, special case 9,764.00
J0710 Familial dysautonomia, molecular diagnostics 444.00
J0720 Dystonia, torsion, molecular diagnostics 885.00
J0730 Facioscapulohumeral muscular dystrophy-1A, molecular diagnostics 1,400.00
J0740 Hereditary Nerve Pressure Palsy, HNPP, molecular diagnostics 1,619.00
J0750 Huntington disease, molecular diagnostics 1,619.00
J0761 Inclusion body myopathy, autosomal recessive, molecular diagnostics, special case 687.00
J0771 Insensitivity to pain, congenital, with anhidrosis, molecular diagnostics, special case 687.00
J0781 LGMD (Limb girdle muscular dystrophy), dysferlin deficiency, molecular diagnostics, special case 687.00
J0790 Myotonic dystrophy, molecular diagnostics 1,619.00
J0801 Neurofibromatosis, type 1, molecular diagnostics, special case 687.00
J0810 Oculopharyngeal muscular dystrophy, molecular diagnostics 1,619.00
J0820 SMA (Spinal Muscular Atrophy), molecular diagnostics 1,619.00
J0830 Spinocerebellar ataxia due to an expansion including Friedrich ataxia, molecular diagnostics 1,619.00
J0840 Adenomatous polyposis coli, molecular diagnostics 7,853.00
J0841 Adenomatous polyposis coli, molecular diagnostics, special case 687.00
J0850 Multiple endocrine neoplasia 2A, molecular diagnostics 1,767.00
J0851 Multiple endocrine neoplasia 2A, molecular diagnostics, special case 687.00
J0860 Retinoblastoma, molecular diagnostics 7,853.00
J0861 Retinoblastoma, molecular diagnostics, special case 687.00
J0870 Von Hippel-Lindau, molecular diagnostics 1,442.00
J0871 Von Hippel-Lindau, molecular diagnostics, special case 687.00
J0881 Adrenal hyperplasia, congenital, 11-beta-hydroxylase deficiency, molecular diagnostics, special case 687.00
J0891 Adrenal hyperplasia, congenital, 17-alpha-hydroxylase deficiency, molecular diagnostics, special case 687.00
J0901 Adrenal hyperplasia, congenital, 21-hydroxylase deficiency, molecular diagnostics, special case 687.00
J0911 Adrenal hypoplasia, congenital, molecular diagnostics, special case 687.00
J0921 Pendred syndrome, molecular diagnostics, special case 687.00
J0931 Persistent hyperinsulinemic hypoglycemia of infancy, molecular diagnostics, special case 687.00
J0941 Combined factor V and VII deficiency, molecular diagnostics, special case 687.00
J0951 Factor V deficiency, molecular diagnostics, special case 687.00
J0961 Factor VII deficiency, molecular diagnostics, special case 687.00
J0971 Factor XI deficiency, molecular diagnostics, special case 687.00
J0981 Factor XIIIA deficiency, molecular diagnostics, special case 687.00
J0991 Fanconi anemia, molecular diagnostics, special case 687.00
J0993 Fanconi anemia, cytogenetic diagnostics 4,998.00
J1001 Hemoglobinopathies alpha, alpha thalassemias, molecular diagnostics, special case 2,079.00
J1011 Hemoglobinopathies beta, beta thalassemias, molecular diagnostics, special case 2,079.00
J1021 Hemophilia A, factor VIII deficiency, molecular diagnostics, special case 687.00
J1031 Hemophilia B, factor IX deficiency, molecular diagnostics, special case 687.00
J1040 Achondroplasia/thanatophoric dwarfism, molecular diagnostics 687.00
J1051 Achromatopsia, molecular diagnostics, special case 687.00
J1061 Albinism, molecular diagnostics, special case 687.00
J1070 Angelman syndrome/Prader Willi, molecular diagnostics 1,400.00
J1081 Autoimmune polyglandular disease, type I, molecular diagnostics, special case 687.00
J1091 Bardet-Biedl syndrome, molecular diagnostics, special case 687.00
J1100 Beckwith-Wiedemann syndrome, molecular diagnostics 1,400.00
J1111 Bloom syndrome, molecular diagnostics, special case 444.00
J1113 Bloom syndrome, cytogenetic diagnostics 4,998.00
J1121 Cockayne syndrome, molecular diagnostics, special case 687.00
J1122 Cockayne syndrome, biochemical diagnostics 6,624.00
J1131 Craniosynostosis, molecular diagnostics, special case 687.00
J1140 Cystic fibrosis, molecular diagnostics 885.00
J1151 Deafness, congenital, molecular diagnostics, special case 687.00
J1161 Epidermolysis Bullosa, congenital, molecular diagnostics, special case 687.00
J1171 Osteopetrosis, recessive, molecular diagnostics, special case 687.00
J1181 Polycystic kidneys, dominant, molecular diagnostics, special case 687.00
J1191 Polycystic kidneys, recessive, molecular diagnostics, special case 687.00
J1203 Roberts syndrome, cytogenetic diagnostics 4,998.00
J1211 Tuberous sclerosis, molecular diagnostics, special case 687.00
J1222 Xeroderma pigmentosum, biochemical diagnostics 6,624.00
J1233 DiGeorge/velocardiofacial syndrome, FISH, cytogenetic diagnostics 2,094.00
J1243 Rubinstein-Taybi syndrome, FISH, cytogenetic diagnostics 2,094.00
J1253 Smith-Magenis syndrome, FISH, cytogenetic diagnostics 2,094.00
J1263 Williams syndrome, FISH, cytogenetic diagnostics 2,094.00
J1270 Amplicon sequencing, price per each additional amplicon 249.00
J1271 FMF, molecular diagnostics, special case 885.00
J1280 Amplicon sequencing, price for single/first amplicon 489.00
J1311 BRCA1/BRCA2 founder mutation analysis, breast/ovarian cancer, per patient 825.00
J3001 Familial known mutation, molecular diagnostics 687.00
J8003 Karyotype, cytogenetic diagnostics — chorionic villus 3,131.00
J8830 Rapid aneuploidy detection, quantitative fluorescent PCR — amniotic fluid/chorionic villus 1,536.00
J8891 Prenatal molecular diagnostics, basic 2,258.00
J9001 Prenatal molecular diagnostics, complex 3,305.00
J9900 Fragile X, molecular diagnostics 816.00
J9903 Mental retardation, cytogenetic diagnostics 1,241.00
J9913 Male infertility, cytogenetic diagnostics 1,241.00
J9941 Y chromosome deletion, molecular diagnostics, special case 1,340.00
J9991 Monogenic disease in family, molecular diagnostics, special case 5,006.00
L0005 Long cast, local anesthesia 422.00
L0019 Elastic bandage, elstoplast 18.00
L0020 Needle aspiration, US guidance, including cytology 773.00
L0021 Breast needle aspiration, US guidance, including cytology 773.00
L0022 Thyroid needle aspiration, US guidance, including cytology, per patient 2,276.00
L0023 Bandage placement or replacement 122.00
L0025 Stitches 0.00
L0026 Stitches removal 65.00
L0030 Parotid needle aspiration, US guidance, including cytology, per patient 2,073.00
L0040 Focused US ablation of uterine leiomyomata, MRI guidance 24,114.00
L0042 Nephrostomy tube removal 476.00
L0062 Vaginal smear, sampling, processing and interpretation 288.00
L0080 Rehabilitation day care 1,163.00
L0100 TMJ radiology, up to two views 377.00
L0106 Radiology additional view, not elsewhere specified 92.00
L0107 Jaw radiology, third or more additional views 92.00
L0108 Mastoids radiology, third or more additional views 92.00
L0109 Nasal bones radiology, third or more additional views 92.00
L0110 Paranasal sinuses radiology, third or more additional views 92.00
L0111 Skull radiology, third or more additional views 92.00
L0112 Pelvis radiology, third or more additional views 92.00
L0113 Shoulder radiology, complete, one side, third or more additional views 92.00
L0114 Elbow radiology, third or more additional views 92.00
L0115 Wrist radiology, third or more additional views 92.00
L0116 Hand radiology, third or more additional views 92.00
L0117 Hip radiology, unilateral, second or more additional views 92.00
L0118 Ankle radiology, third or more additional views 92.00
L0119 Abdomen radiology, second or more additional views 92.00
L0120 TMJ radiology, third or more additional views 92.00
L0121 Calcaneus radiology, third or more additional views 92.00
L0122 Toe(s) radiology, third or more additional views 92.00
L0123 Cervicothoracic spine radiology, Pawlow/Twining, up to two views 92.00
L0124 Cervicothoracic spine radiology, Pawlow/Twining, third or more additional views 92.00
L0125 Pelvis radiology, outlet 92.00
L0126 Pelvis radiology, inlet 92.00
L0138 Spine radiology, two parts, up to three views 422.00
L0151 Arthrography, including injection and interpretation 477.00
L0160 Chest radiology, third or more additional views 170.00
L0167 Additional charge for device for insertion of left atrial appendage device 36,267.00
L0168 Additional charge for device for implantation of diaphragmatic pacemaker for spinal cord injured patients 163,350.00
L0169 Additional charge for device for implantation of diaphragmatic pacemaker for ALS patients 142,079.00
L0170 Additional charge for programmable pump for chronic pain relief/spasticity treatment 47,989.00
L0171 Additional charge for mechanical pump for pain relief 32,691.00
L0177 Additional charge for vertical expandable prosthetic titanium rib system 87,500.00
L0178 Additional charge for BAHA (Bone Anchored Hearing Aid), adult 31,854.00
L0179 Additional charge for BAHA (Bone Anchored Hearing Aid), child 33,806.00
L0180 Additional charge for VNS (Vagus Nerve Stimulator) kit for epilepsy treatment 80,040.00
L0182 Additional charge for intracranial single array neurostimulator pulse generator kit, including leads, for movement disorders 95,651.00
L0183 Additional charge for intracranial dual array neurostimulator pulse generators kit, including leads, for movement disorders 110,501.00
L0184 Additional charge for rechargeable intracranial neurostimulator pulse generator kit for movement disorders 162,912.00
L0185 Additional charge for leads of intracranial neurostimulator pulse generator, for movement disorders 29,803.00
L0187 Additional charge for single/dual array neurostimulator pulse generator for intracranial stimulation, without leads, for movement disorders 80,801.00
L0188 Additional charge for rechargeable neurostimulator pulse generator for intracranial stimulation, without leads, for movement disorders 133,212.00
L0194 Large bandage, bandages & cotton 372.00
L0209 Pregnancy termination approval committee 585.00
L0210 Nasal bones radiology, up to two views 266.00
L0248 Storage of corpse, 2 to 24 hours 512.00
L0268 Spotting and copying patient records, first 10 pages 141.00
L0269 Copying patient records, each 2 additional pages 2.00
L0280 Additional charge for 90Y for SIRT (Selective Internal Radiation Therapy) for liver tumor, 90Y 60,000.00
L0300 Additional charge for device for percutaneous mitral valve repair 138,842.00
L0372 HBIg (Hepatitis B immune globulin), IV 9,500.00
L0396 Varicella Zoster passive immunization, under 12 years of age, eg, varitect 4,124.00
L0397 Varicella Zoster passive immunization, age 12 years or older, eg, varitect 14,450.00
L0409 Small splints, occupational therapy, including cost of material and number of sessions 303.00
L0410 Medium splints, static mouth splint, occupational therapy, including cost of material and number of sessions 582.00
L0411 Medium splints, occupational therapy, including cost of material and number of sessions 582.00
L0412 Complex medium splints, occupational therapy, including cost of material and number of sessions 852.00
L0413 Big splints, occupational therapy, including cost of material and number of sessions 1,148.00
L0415 JOBST suit measurement 372.00
L0416 Complex medium splints, dynamic mouth splint, occupational therapy, including cost of material and number of sessions 852.00
L0438 TRH (Thyrotropin releasing hormone) stimulation panel 1,046.00
L0444 MRI (Magnetic resonance imaging), excluding tests with specific code 3,395.00
L0446 MRI under general anesthesia, per test 12,128.00
L0486 Geriatric hospital day care 894.00
L0487 Cognitive geriatric hospital day care 465.00
L0491 Cytotoxic capacity testing 1,361.00
L0534 Orthoptic treatment, per treatment 129.00
L0546 Auditory test for cochlear implant surgery candidate 1,023.00
L0554 FMRI (functional magnetic resonance imaging) 9,191.00
L0560 Internal hospital day care 1,859.00
L0561 Rehabilitative hospital day care 1,859.00
L0564 Histochemical staining including immunohistochemistry 2,709.00
L0574 Breathing capability test 129.00
L0591 Extracorporeal shockwave lithotripsy, kidney; complex 31,023.00
L0621 Kit test 1,472.00
L0690 Hotel care, per day, including medical supervision 657.00
L0692 Home care, per day, including medical supervision 984.00
L0717 Harvesting of cornea 9,330.00
L0749 MRI, additional payment for gadolinum contrast 375.00
L0784 IV (Intravenous) infusion of fluids 372.00
L0785 IV (Intravenous) infusion of drugs 372.00
L0787 Deflux injection, vesicoureteral reflux therapy, unilateral 10,860.00
L0788 Deflux injection, vesicoureteral reflux therapy, bilateral 19,184.00
L0790 Preparation of blood unit/blood product, price per preparation of one unit 375.00
L0791 Blood unit/blood product, price per one unit 370.00
L0797 Additional charge for pump for subcutaneous apomorphine injection 10,000.00
L0799 IV (Intravenous) ileoprost 1,751.00
L0800 Psychotherapy, individual, combined 519.00
L0801 Psychiatric clinic evaluation 249.00
L0802 Diagnostic interview/intake 249.00
L0803 Home visit, member of psychiatric team 213.00
L0804 Home visit, psychiatric team 587.00
L0805 Comprehensive cognitive testing, 3 visits 1,707.00
L0806 Multiprofessional evaluation for rehabilitation planning 2,354.00
L0807 Psychological assessment for rehabilitation framework 1,541.00
L0808 Psychodiagnostic assessment — full battery 1,541.00
L0809 Psychodiagnostic assessment — partial battery 791.00
L0820 Psychiatric hospital day care, adult, all hospitals 591.00
L0821 Psychiatric hospital day care, children and adolescents, all hospitals 633.00
L0822 Psychiatric community day care, adult 639.00
L0823 Psychiatric community day care, children and adolescents 689.00
L0841 Psychotherapy/counseling, individual 374.00
L0843 Patient’s treatment framework assessment 1,541.00
L0846 Family or conjoint therapy/counseling 624.00
L0849 Psychotherapy, group, per session 176.00
L0885 Psychotherapy/counselling, group, institutions/families/schools 791.00
L0886 Guidance for other agencies, individual, within service site 438.00
L0887 Guidance for other agencies, goup, within service site 296.00
L0888 Guidance for other agencies, outside service site 624.00
L0899 Psychosocial diagnosis and evaluation 264.00
L0911 Hearing test, complete, anamnesis, child 372.00
L0914 Biofeedback training, gastroenterology, single session 512.00
L0915 Biofeedback training, gastroenterology, 6 sessions 3,078.00
L0934 Circulating anticoagulants, eg, LAC 528.00
L0959 Sexual counseling and therapy 620.00
L0962 ER (Emergency room) medical examination 432.00
L0964 ER (Emergency room) fee 291.00
L0969 Collar or sling, including materials 201.00
L1015 Enzymes activity with cells separation, six or more enzymes 1,982.00
L1028 US (ultrasound), with image documentation 521.00
L1030 FibroScan for assessment of liver fibrosis 692.00
L1031 FibroTest — blood 1,071.00
L1039 CT (Computed Tomography), excluding tests with specific code 935.00
L1040 CTA / CT arthrography / CT urography, per patient, excluding thorax coronary arteries CTA 1,680.00
L1077 Surgical obturator, assessment and preparation 16,739.00
L1079 Interim obturator 8,789.00
L1080 Definitive obturator 24,068.00
L1133 Establishing paternity, per patient, including medical forensic opinion 2,714.00
L1139 Pilot medical examination 2,228.00
L1275 CTA chest, coronary arteries 4,139.00
L1611 Initial insertion/replacement of speech prosthesis post laryngectomy 4,247.00
L1720 Bladder instillation of Mitomycin, per treatment, including material 1,593.00
L1721 Bladder hyperthermia and Mitomycin instillation, per treatment 6,729.00
L1922 CT under general anesthesia 2,718.00
L1996 Chronic pain control, infiltration 450.00
L1997 Chronic pain control, nerves block, using fluoroscopic guidance, with contrast material 2,253.00
L1998 Chronic pain control, nerves block, using fluoroscopic guidance, with neurolytic substance 2,253.00
L2001 Radiofrequency treatment for pain control, per treatment 7,172.00
L2002 Loading of pump for spasticity treatment, Baclofen 5,198.00
L2003 Ozone treatment for skin ulcers, per day 357.00
L2004 Negative pressure treatment for skin ulcers, per session 924.00
L2005 Maggot debridement therapy, per session 737.00
L2013 Acetylcholinesterase, Ab — serum 588.00
L2136 OCT3 (Optical Coherence Tomography), per patient 525.00
L2196 Pelvic/genitalia MRI, excluding prostate 3,360.00
L2197 Prostate MRI 6,716.00
L2250 Fundus photography, two eyes 521.00
L2340 Optometry by an optometrist, per patient 209.00
L2498 Corneal imaging 275.00
L2528 Nasal potential difference measurements for cystic fibrosis diagnonsis 2,316.00
L2529 Rectal biopsy sampling and testing for Cystic Fibrosis diagnosis, per patient 2,316.00
L2585 Auditory screening test, OAE, infant 0.00
L2586 Auditory screening test, AABR, infant 0.00
L2588 OAE (Otoacoustic Emissions), diagnostic 129.00
L2589 Auditory screening test, AABR, subsequent test, baby 261.00
L2699 Extracorporeal shock wave lithotripsy, salivary glands 7,575.00
L2731 Fibronectin 680.00
L2999 Arthroscopy, complex and/or high skill surgical procedures, using implants 22,388.00
L3003 ECG monitoring, Flecainide infusion, IV 1,014.00
L3013 Rapid urease test, helicobacter pylori, child — exhaled air 71.00
L3239 Biopsy, additional payment to EUS, excluding EUS (Endoscopic ultrasound) 3,530.00
L3250 Endoscopic polyp marking, in addition to endoscopy, per patient 1,259.00
L3255 Balloon enteroscopy 16,416.00
L3307 TTE (transthoracic echocardiography), child 674.00
L3560 Patella radiology, up to two views, per side 186.00
L3562 Patella radiology, third or more additional views 201.00
L3620 Toe(s) radiology, up to two views 186.00
L3621 Calcaneus radiology, up to two views 186.00
L3711 Apolipoprotein E, genotype 642.00
L3727 Implantation of loop recorder system, including retrieval of recorded and stored ECG data, physician review and interpretation of retrieved ECG data, per ILR 18,569.00
L3795 External Counter Pulsation Therapy (ECPT) / Enhanced External Counter Pulsation (EECP) therapy 1,035.00
L3799 Rehabilitation workshop, lung diseases patients, per session 108.00
L3890 Apolipoprotein E4, genotype 1,529.00
L3900 Prenatal diagnosis, age 35-37, including US, amniocentesis and laboratory tests 3,881.00
L3902 Prenatal diagnosis, over age 37, including US, amniocentesis and laboratory tests 2,549.00
L3903 Prenatal diagnosis, younger than age 35, including US, amniocentesis and karyotype 3,559.00
L4110 Porphobilinogen deaminase, quantitative — RBC 671.00
L4152 Hospital circumcision, excluding newborn 3,776.00
L4233 Her-2/neu, immunohistochemistry 528.00
L4234 Her-2/neu, FISH method 4,605.00
L4283 Enema 39.00
L4298 Electrolytes, sodium and potassium 38.00
L4450 Urethrocystography, retrograde, under sedation 1,742.00
L4581 Additional charge for device for implantation/replacement of sacral nerve stimulation electrode/lead 13,243.00
L4583 Additional charge for device for implantation/replacement of sacral nerve stimulation generator 60,110.00
L4612 Botolinum Toxin, 30 units Dysport administration 396.00
L4705 hCG and PAPP-A, quantitative — serum 275.00
L4793 Ambulatory evaluaiton of TB suspected patient 2,325.00
L4794 Basic evaluation of Mantoux positive patient 284.00
L4795 Treatment of active TB patient, first 5 months 11,121.00
L4796 Treatment of active TB patient, last month 14,499.00
L4797 Evaluation of close contact of Tb patient 924.00
L4798 Ambulatory treatment of close contact patient, prevention 324.00
L4799 Ambulatory pharmacological treatment of close contact patient, last month 434.00
L4990 Genotype characterization by caryotype analysis 4,494.00
L4991 Malignancies genotype, FISH (Fluorescent in Situ Hybridization) 2,010.00
L4992 Malignancies genotype, DNA index 1,499.00
L4999 Orotic acid — urine 128.00
L5339 Laser, additional payment to endoscopy, excluding endoscopy 1,602.00
L5378 Colonoscopy, flexible; diagnostic, with/without collection of specimen(s) 1,616.00
L5400 Endoscopic Argon laser treatment 555.00
L5441 Femur head from bone bank 2,394.00
L5461 Kappa or Lambda light chain, Ig, free — blood 525.00
L5799 Angiography 4,787.00
L5810 Polysomnography, including EEG, child 1,722.00
L5858 Tensilon test for myasthenia gravis; with electromyographic recording 786.00
L5872 Single fiber electromyography, per patient 1,106.00
L5925 Sensory evoked potentials (SEP) study, per patient 687.00
L5990 Minor ambulatory surgery, including foreign body removal, local anesthesia 477.00
L6002 Cytokins 432.00
L6015 Gliadin, Ab 336.00
L6030 Intraocular injection, excluding material cost 459.00
L6031 Intraocular injection of Bevacizumab (Avastin) 1,007.00
L6160 KRAS mutation, per patient 2,369.00
L6171 Additional charge for intraocular shunt, eg, Ex-PRESS, for trabeculectomy 3,748.00
L6312 CA 72.4 tumor antigen 200.00
L6313 NSE (Neuron specific enolase), tumor antigen 200.00
L6316 Immunoassay for tumor antigen, quantitative; CA 21-1 179.00
L6358 Lymphocyte CD antigen determination, over 6 CD 4,185.00
L6375 CT (Computed tomographic) virtual colonoscopy 1,694.00
L6414 Hickman placement, angiography guidance 4,646.00
L6415 Hickman placement under general anasthesia 6,966.00
L6416 Portacath placement, angiography guidance 6,737.00
L6417 Portacath placement under general anasthesia 9,272.00
L6418 Declotting by thrombolytic agent of Hickman/portacath catheter 257.00
L6497 Copying video, echo, catheterization, CD 150.00
L6498 Copying of films from folder 60.00
L6499 Copying of films from folder, each additional film 29.00
L6520 Low density lipoprotein (LDL) apheresis 14,928.00
L6538 HLA B57 759.00
L6539 HLA B5701 495.00
L6550 Oncological treatment, adult, with chemotherapeutic/biological medications, per patient per day 2,120.00
L6551 Oncological treatment, child, with chemotherapeutic/biological medications, per patient per day 2,753.00
L6552 Oncological/hematological treatment, adult, without chemotherapeutic/ biological medications, per patient per day 1,272.00
L6553 Oncological/hematological treatment, child, without chemotherapeutic/ biological medications, per patient per day 1,653.00
L6611 Bartonella henselae (Cat scratch) IgG — blood 378.00
L6612 Bartonella henselae (Cat scratch) IgM — blood 378.00
L6689 HIV or HTLV resistance to medication 3,864.00
L6705 HBV, HCV and HIV-1 detection, NAT, at blood bank 200.00
L6707 Hepatitis E, Ab 377.00
L6762 Rubella virus IgG or IgM 186.00
L6776 Toxoplasma, Sabin Feldman dye test 332.00
L6777 Toxoplasmosis confirmation test 860.00
L6778 Toxoplasma avidity testing 459.00
L6815 Ultrasound, pregnant uterus, without image documentation 476.00
L6821 Ophthalmic YAG laser treatment, per patient 624.00
L6822 Ophthalmic Argon laser treatment, per patient 485.00
L6830 Creation of arteriovenous fistula for renal dialysis, native or using graft 19,593.00
L6831 Therapeutic catheterization of AV shunt for renal dialysis, native/with graft 32,943.00
L6849 Interferon Ab 498.00
L6856 Pelvis US, nonobstetric, with image documentation, complete 521.00
L6857 Hips US 521.00
L6999 Collagen corneal cross linking for keratoconus and keratectasia treatment 4,701.00
L7001 Physiotherapy, evaluation and treatment planning, child 579.00
L7002 Isokinetic assessment and treatment planning 384.00
L7003 Occupational therapy, evaluation and treatment planning, child 579.00
L7004 Isokinetic physiotherapeutic treatment 318.00
L7118 NTM (Non Tuberculous Mycobacteria) identification 615.00
L7140 Physiotherapy/rehabilitation, group, up to 4 individuals, including child, per individual 126.00
L7154 Toxoplasma, molecular diagnostics — body fluids 1,689.00
L7204 Spermatic veins embolization 11,328.00
L7210 Photocoagulation, PDT, retina, including material 16,532.00
L7525 Replacement/repositioning of biliary drain, percutaneous 4,214.00
L7619 Malignant hyperthermia diagnosis test (muscle biopsy) 12,915.00
L7751 Brachytherapy, gynecological 15,861.00
L7752 Brachytherapy, lung cancer 9,896.00
L7753 Brachytherapy, prostate cancer treatment 63,437.00
L7771 Occupational therapy, group 126.00
L8074 Adrenal imaging, medulla, I-123 MIBG, up to 7 years of age 15,309.00
L8075 Adrenal imaging, medulla, I-123 MIBG, over 7 years of age 26,571.00
L8076 Adrenal imaging, cortex 15,611.00
L8170 Semen production from testis, surgical 9,200.00
L8180 Chemotherapy resistance, Facs 1,215.00
L8181 CD membrane antigen, up to 4 antigens 1,749.00
L8182 Testes removal, for sperm isolation; cadaver, at the forensic medicine institute 1,764.00
L8183 Pathological specimen, preparation of slides, at the forensic medicine institute 144.00
L8184 DNA analysis in liquid blood, soft tissue, semen, at the forensic institute 3,833.00
L8186 DNA analysis in dry blood, at the forensic institute 4,037.00
L8188 DNA analysis in bone tissue, at the forensic institute 14,084.00
L8190 Harvesting of cardiac valve (homograft bank) 2,412.00
L8213 Aminolevulinic acid dehydratase (ALA-D), quantitative — RBC 1,005.00
L8242 Allogeneic donor lymphocyte infusions, DLI 5,372.00
L8244 Allogeneic lymphocyte proliferation 8,084.00
L8245 Allogeneic lymphocyte activation 51,135.00
L8250 Chromosome 1 and 19 analysis, per patient 2,867.00
L8252 FLT3 and NPM1 internal random duplications, PCR 1,185.00
L8268 Cholyl-14-C-Glycine breath test for bile salts deconjugation
L8269 C-13 urea test, helicobacter pylori — exhaled air 239.00
L8299 Spleen imaging, with heated RBC (red blood cells) 1,677.00
L8307 Examination of abortus for diagnosis of malformations 8,894.00
L8379 EGFR (Epidermal Growth Factor Receptor) mutation, per patient 1,593.00
L8380 ALK mutation, per patient 4,149.00
L8381 BRAF mutation, per patient 1,056.00
L8400 DNA extraction — whole blood 129.00
L8410 Porphyrins, qualitative — plasma 227.00
L8411 Porphyrins, chromatography — plasma 854.00
L8412 Porphyrins, chromatography — urine 789.00
L8413 Porphyrins, chromatography — feces 903.00
L8414 Porphyrins, chromatography — RBC 980.00
L8599 Pulmonary imaging, dynamic, mucociliary clearence 5,459.00
L8606 DatScan brain imaging 18,756.00
L8738 HIV Ab and P24 Ag, ELISA/EIA, at MOH recognized HIV clinic 68.00
L8739 Delivering a non-negative HIV test result by a physician at MOH recognized HIV clinic 180.00
L8802 Somatostatin receptor scintegraphy 30,194.00
L8970 First stage IVF, including hormonal tests 7,896.00
L8971 First stage IVF, excluding hormonal tests 6,158.00
L8972 Second stage IVF, excluding hospitalization days 9,524.00
L8975 Ovarian tissue cryopreservation 7,847.00
L8976 Cryopreserved ovarian tissue storage for 5 years 1,046.00
L8977 Oocyte retrieval and cryopreservation, eg, vitrification 9,524.00
L8978 Cryopreserved oocytes storage for 5 years 1,046.00
L8979 Cryopreserved oocytes transfer, intrauterine, including thawing and fertilization 6,140.00
L9000 Radiopharmaceutical therapy, hyper-thyroidism 2,423.00
L9015 Chorionic villus sampling, excluding laboratory processing and interpretation 693.00
L9030 Radiopharmaceutical ablation of gland for thyroid carcinoma 9,984.00
L9035 Radiopharmaceutical therapy for metastases of thyroid carcinoma 15,846.00
L9079 Injection (eg, neurolytic substance) 141.00
L9080 Medical opinion for appointment of legal guardian, including completion of form and reports 974.00
L9183 Emergency hyperbaric oxygen therapy, excluding diving accidents 16,733.00
L9184 Hyperbaric pretreatment assessment 2,361.00
L9201 Physician consulation for a patient insured by another sick fund 237.00
L9211 Fire arm license physician examination 177.00
L9212 Driving license physician examination 177.00
L9215 Fire arm license specialist examination 521.00
L9232 Routine examinations for candidates for renal transplantation 7,502.00
L9241 Perenatal genetic consultation 825.00
L9242 Examination by medical specialist for appointment of legal guardian, for established patient 372.00
L9243 Genetic consultation 825.00
L9244 Physician examination, oncologist 372.00
L9245 Physician examination, hematologist 372.00
L9246 Physician examination, hemato-oncologist 372.00
L9247 Physician examination, internal physician 372.00
L9248 Physician examination, urologist 372.00
L9249 Physician examination, orthopedic physician 372.00
L9250 Stammering treatment, individual/group, per course 12,978.00
L9251 Stammering treatment, individual/group, per patient/session 248.00
L9252 Physician examination, alergologist 372.00
L9253 Physician examination, endocrinologist 372.00
L9254 Physician examination, otorhinolaryngologist 372.00
L9255 Physician examination, obstetrician/gynecologist 372.00
L9256 Physician examination, genetician 372.00
L9257 Physician examination, gastroenterologist 372.00
L9258 Physician examination, pediatrician 372.00
L9259 Cryopreservation, sperm, any additional year, up to 5 test tubes/straws 464.00
L9260 Physician examination, surgeon 372.00
L9261 Physician examination, thoracic surgeon 372.00
L9262 Physician examination, vascular surgeon 372.00
L9263 Physician examination, hand surgeon 372.00
L9264 Physician examination, maxillofacial surgeon 372.00
L9265 Physician examination, proctologist surgeon 372.00
L9266 Physician examination, breast surgeon 372.00
L9267 Physician examination, plastic surgeon 372.00
L9268 Physician examination, anesthesiologist 372.00
L9269 Physician examination, neurosurgeon 372.00
L9270 Physician examination, neurologist 372.00
L9271 Consultation with a specialist 620.00
L9273 Physician examination, nephrologist 372.00
L9274 Physician examination, dermatologist 372.00
L9275 Physician examination, ophthalmologist 372.00
L9276 Physician examination, cardiologist 372.00
L9277 Physician examination, rheumatologist 372.00
L9278 Physician examination, pulmonologist 372.00
L9279 Physician examination, rehabilitation physician 372.00
L9281 Emergency physician consulation at sick fund clinic 389.00
L9301 Clinic nurse evaluation for a patient insured by another sick fund 168.00
L9311 Home visit, nurse 209.00
L9321 Outpatient social treatment 209.00
L9331 Rehabilitative day care center — long term 405.00
L9342 Prosthesis extension 377.00
L9343 Sheltered housing, per day 51.00
L9345 Care hostel, per day 188.00
L9346 Care hostel, extended, per day 233.00
L9347 Short term treatment center, per day 177.00
L9348 Club activity, per month, 8 visits at least, child 504.00
L9349 Treatment boarding school services, per month 10,290.00
L9350 Club activity, per month, 8 visits at least 405.00
L9351 Occupational club activity, per day 63.00
L9352 Sheltered factory, per day 95.00
L9353 Occupational rehabilitation, extended, per day 116.00
L9354 Sheltered housing, extended, per day 128.00
L9355 School, per month, child/adolescent 1,584.00
L9359 Medical evaluation based on documents 176.00
L9360 Risk assessment of sex offenders 5,069.00
L9377 Physician services in parent home 377.00
L9379 Physician services in hostel 201.00
L9394 Physician services in boarding school 126.00
L9413 Medical records printout 63.00
L9420 Calibration of instruments for measuring radiation 1,022.00
L9480 Results reporting, free of charge 0.00
L9490 Follow up service, free of charge 0.00
L9499 Social worker services 227.00
L9500 Medical examination, first visit — child development 953.00
L9501 Medical examination, follow up — child development 569.00
L9502 Psychological cognitive testing — child development 1,175.00
L9503 Family workup and diagnosis — child development 569.00
L9504 Psychoneurology assessment — child development 1,610.00
L9505 Cognitive evaluation for rehabilitation — child development 1,461.00
L9506 Learning disabilities evaluation — child development 1,982.00
L9507 Multidisciplinary team for rehabilitation — child development 1,998.00
L9510 Speech therapy, evaluation and treatment planning — child development 579.00
L9511 Aquatic physiotherapy/rehabilitation, group, up to 4 individuals, inculding child, hydrotherapy 225.00
L9512 Speech therapy, individual — child development 297.00
L9513 Occupational therapy, individual — child development 297.00
L9514 Physiotherapy, individual — child development 323.00
L9516 Psycho/behavioral therapy — child development 360.00
L9517 Developmental examination — nurse — child development 258.00
L9518 Therapy/counseling, family/conjoint — child development 791.00
L9519 Biofeedback training — child development 638.00
L9520 Evaluation of supportive communication — child development 2,108.00
L9521 Staff meeting with parents — child development 710.00
L9523 Multiprofessional consulation for parents — child development 221.00
L9525 Additional consulation — child development 275.00
L9528 Physiotherapy, group — child development 233.00
L9529 Speech therapy, group — child development 233.00
L9530 Occupational therapy, group — child development 233.00
L9600 Home visit, health care professional — child development 417.00
L9617 Neuropsychological tests before epilepsy surgery 1,887.00
L9636 Additional charge for Plerixafor (Mozobil), per ampoule 32,985.00
L9855 Induced abortion, surgical, including curettage 4,106.00
L9856 Induced abortion, pharmaceutical 2,960.00
L9857 Induced abortion, surgical, following pharmaceutical abortion 0.00
L9899 Prenatal course 894.00
L9900 Provision of therapeutic radiopharmaceutical(s) 1,229.00
L9999 Radiopharmaceutical therapy, pheochromocytoma/neuroblastoma; I-131-MIBG 40,760.00
G0018 Transjugular intrahepatic portosystemic stent/shunt, TIPS 32,904.00
G0024 Obstetric and neonatal hospitalization 5,708.00
G0026 Preterm infant hospitalization 5,708.00
G0028 Cryotherapy of prostatic cancer 34,792.00
G0031 Insertion of stent to abdominal aortic aneurysm, stent graft 111,948.00
G0032 Bone marrow transplantation, haploid, including stem cells separation 539,870.00
G0033 Isolated limb perfusion in patient with sarcoma 106,202.00
G0035 Interventional neuroradiology for intracranial aneurysm embolization/occlusion by catheterization, including use of stent, eg, SILK, and coils 93,289.00
G0036 Insertion of intraocular lens, lens included 8,223.00
G0037 Tension free vaging tape for incontinence (TVT) 8,420.00
G0045 Mastectomy, bilateral 25,761.00
G0047 Breast reconstruction, bilateral 28,277.00
G0048 Breast reconstruction following mastectomy, bilateral 49,508.00
G0049 Breast reconstruction following mastectomy, unilateral 30,010.00
G0050 Breast reconstruction, unilateral, including nipple reconstruction 24,877.00
G0051 Mastectomy, unilateral 17,172.00
G0054 Lower extremities veins surgery, including varicose veins 10,827.00
G0055 Blood vessels surgery, including nonautogenous graft 60,724.00
G0057 Lung transplantation 370,129.00
G0058 Heart-lung transplant 518,185.00
G0059 Bone marrow transplantation; allogenic 343,655.00
G0060 Bone marrow transplantation; autologous 225,779.00
G0061 Renal and/or pancreas transplantation 246,754.00
G0062 Heart transplantation 370,129.00
G0063 Liver transplantation 1,066,571.00
G0064 Corneal surgery, including cost of cornea 21,145.00
G0066 Inguinal/femoral hernia repair, hospital day care 5,630.00
G0067 Craniotomy 68,866.00
G0070 Prostatectomy, open 16,360.00
G0074 Therapeutic catheterization, excluding cardiac catheterization 36,412.00
G0075 Hysterectomy 16,076.00
G0077 Transurethral prostatectomy 16,360.00
G0078 Hospital circumcision, excluding newborn 3,776.00
G0083 Osteotomy of spine, including implants, diskectomy 29,964.00
G0084 Osteotomy of spine, including implants — other surgeries 55,026.00
G0089 Treatment of heavy burns 209,807.00
G0090 Treatment of medium burns 119,885.00
G0096 Gastric banding, laparoscopic, excluding band cost 13,145.00
G00A1 Transcatheter placement of an intravascular stent graft, thoracic aorta 180,263.00
G00A2 Hyperbaric chamber treatment of patients injured in diving accidents, up to 8 hours 35,791.00
G00A3 Hyperbaric chamber treatment of patients injured in diving accidents, over 8 hours, and/or using a mixture of gases eg, Heliox 48,547.00
G00A4 Spermatic veins embolization 11,328.00
G00A5 Chemotherapy administration, inpatients, in addition to inpatient day charge 4,479.00
G00A6 Open/closed reduction with internal fixation of fracture of neck of femur or internal fixation only of fracture of neck of femur 27,628.00
G00A8 Insertion of biventricular cardiac pacemaker 55,714.00
G00A9 Insertion of cardiac pacemaker/defibrillator, excluding machine cost
G00B1 Repair of cleft lip 19,798.00
G00B2 Correction of cleft palate (including Push-Back palatoplasty) 19,798.00
G00B3 Revision of cleft palate repair, velopharyngoplasty 19,798.00
G00B4 Repair of cleft lip & limited rhinoplasty, for cleft palate 19,798.00
G00B5 Closure of fistulae of mouth, for cleft palate 13,417.00
G00B6 Bone graft to facial bone, for cleft palate 23,516.00
G00B7 Jaw distraction osteogenesis, excluding device cost 19,798.00
G00B8 Orthognatic surgery, excluding jaw distraction osteogenesis 39,219.00
G00C1 Fallopian tube catheterization, diagnostic or therapeutic 6,084.00
G00C2 Radiofrequency ablation of liver lesion(s) (tumor or metastases) 15,133.00
G00C3 Esophageal dilation and insertion of stent 25,788.00
G00C5 Local excision of lesion or tissue of bone (i.e. osteoid osteoma), using CT guidance 9,406.00
G00C6 Intra-amniotic injection for late abortion 3,403.00
G00C7 Arthroplasty with prosthetic replacement or implant of total or partial wrist (distal radius, carpocarpal or carpometacarpal joints) 12,667.00
G00C8 Arthroplasty with prosthetic replacement or implant of foot or toe joint 21,954.00
G00D1 Implantation or replacement of artificial urinary sphincter 49,755.00
G00D2 Insertion of skin tissue expander(s), excluding breast 21,127.00
G00D3 Closed (percutaneous) biopsy of brain, stereotactic method including burr holes 15,906.00
G00D4 Orthopedic oncologic surgery, excision of soft tissues 66,311.00
G00D5 Orthopedic oncologic surgery, revision of an artificial joint or implant 211,042.00
G00D6 Orthopedic oncologic surgery, complex amputation or disarticulation 76,342.00
G00D7 Orthopedic oncologic surgery, destructive and reconstructive surgery 188,942.00
G00D8 Thoracic surgery 40,951.00
G00E1 Intra-arterial administration of chemotherapy or chemoembolization, under angiography 13,048.00
G00E2 Arthroscopy, diagnostic and/or surgical procedures, without using implants 11,195.00
G00E3 Arthroscopy, complex and/or high skill surgical procedures, using implants 22,388.00
G00E4 Arthroscopy, complex, unusual surgical procedures, including cartilage transplantation 29,853.00
G00E5 Insertion (initial or replacement) of single/dual chamber cardiac pacemaker 28,024.00
G00E6 Radical trachelectomy and lymphadenectomy 17,397.00
G00E7 Brachytherapy for ocular tumors 31,097.00
G00E9 Video and radio-telemetered electroencephalographic monitoring 47,975.00
G00F1 Creation of arteriovenous fistula for renal dialysis, native or using graft 19,593.00
G00F2 Gastric bypass, laparoscopic 56,010.00
G00F3 Thoracic sympathectomy 9,275.00
G00F4 Thyroidectomy, complete/partial 16,793.00
G00F5 Gastrectomy, total/partial 57,190.00
G00F6 Appendectomy, laparoscopic 18,300.00
G00F7 Whipple operation (radical pancreatic duodenectomy or radical subtotal pancreatectomy) 99,509.00
G00F8 Vertebroplasty 9,954.00
G00F9 Wada test 10,866.00
G00G1 Catheterization, insertion of umbrella like device for repair of cardial septal defects or patent ductus arteriosus (PDA) 74,891.00
G00G2 Kyphoplasty 47,178.00
G00G3 Mastectomy, partial (eg, lumpectomy), excludes biopsy of breast 8,707.00
G00G4 Brachytherapy, prostate cancer treatment 63,437.00
G00G5 Therapeutic catheterization of AV shunt for renal dialysis, native/with graft 32,943.00
G00G6 Extracorporeal shockwave lithotripsy, salivary stones 7,575.00
G00G7 Deflux injection, vesicoureteral reflux therapy, unilateral 10,860.00
G00G8 Deflux injection, vesicoureteral reflux therapy, bilateral 19,184.00
G00G9 Extracorporeal shockwave lithotripsy, kidney; simple 9,879.00
G00H2 Inpatient, per day, up to 3 days in acute care hospital, excluding departments with specific code 5,708.00
G00H4 Inpatient, per day, for fourth day or longer in acute care hospital, excluding departments with specific code 4,964.00
G00H5 Inpatient, per day, Dermatology and Venereology Department in acute care hospital 4,964.00
G00H6 Inpatient, per day, Ophthalmology and Pediatric Ophthalmology Departments in acute care hospital 4,964.00
G00H7 Inpatient, per day, Rehabilitation Department in acute care hospital 4,964.00
G00J3 Inpatient day, Acute Geriatric, Pulmonary and Tuberculosis Departments, geriatric hospitals and centers 3,824.00
G00J4 Inpatient day, Geriatric Rehabilitation Department, geriatric hospitals and centers 2,392.00
G00J5 Inpatient day, Complex Care Nursing Department, geriatric hospitals and centers 1,442.00
G00J7 Inpatient day, Departments for the Independent, geriatric hospitals and centers 528.00
G00J8 Inpatient day, Departments for the Frail, geriatric hospitals and centers 842.00
G00M1 Inpatient day, Department of Internal Medicine in acute care hospital 4,042.00
G00M2 Inpatient day, Rheumatology Department in acute care hospital 4,042.00
G00M3 Inpatient day, Department of Pulmonary Medicine in acute care hospital 4,042.00
G00M4 Inpatient day, Department of Geriatric Internal Medicine in acute care hospital 4,042.00
G00M5 Inpatient day, Gastroenterology Department in acute care hospital 4,042.00
G00M6 Inpatient day, Observation Department in acute care hospital 4,042.00
G00N1 Inpatient day, General Intensive Care Department in acute care hospital 4,964.00
G00N3 Inpatient day, Respiratory Intensive Care Department in acute care hospital 4,964.00
G00N5 Inpatient day, Pediatric Intensive Care Department in acute care hospital 4,964.00
G00N7 Inpatient day, Neurosurgical Intensive Care Department in acute care hospital 4,964.00
G00N9 Additional inpatient day charge, up to 4, in Intensive Care Departments: General, Respirtory, Pediatric and Neurosurgical 9,944.00
G00P1 Inpatient day, Acute geriatric Department in acute care hospital 3,006.00
G00P2 Inpatient day, Geriatric Rehabilitation Department in acute care hospital 3,006.00
G00P3 Inpatient day, Department of high Dependency Nursing in acute care hospital 3,006.00
G00Q1 Acute inpatient day, psychiatric departments, all hospitals 2,054.00
G00Q2 Long term inpatient day, psychiatric departments, all hospitals 1,580.00
G00Q3 Inpatient day, children and adolescents, psychiatric departments, all hospitals 2,470.00
G00Q7 Artificial liver therapy, eg, MARS, additional inpatient day charge 39,419.00
G00Q8 Chronic artificial ventilation care, per day, all hospitals 3,208.00
G00R1 Extracorporeal shockwave lithotripsy, kidney; complex 31,023.00
G00R2 Closed percutaneous biopsy using CT guidance 7,463.00
G00R3 Closed percutaneous biopsy using MRI guidance 11,195.00
G00R4 Continuous intra-arterial administration of chemotherapeutic substance 19,886.00
G00R5 Vertebral excision and fusion 176,138.00
G00R6 Vertebral refusion 211,042.00
G00R7 Secondary insertion of intraocular lens prosthesis 3,489.00
G00R8 Single suture loop pupilloplasty 5,582.00
G00R9 Vitrectomy 15,121.00
G00S1 Bronchoscopy, rigid or flexible, with placement of bronchial stent(s) (including tracheal/bronchial dilation as required) 19,284.00
G00S2 Partial/primary hip/shoulder replacement 43,535.00
G00S3 Total joint replacement, including knee and shoulder replacement and revision surgery 47,983.00
G00S4 Radical neck lymph nodes dissection, unilateral/bilateral 27,526.00
G00S5 Lobectomy of liver 81,492.00
G00S6 Partial hepatectomy 45,614.00
G00S7 Maxillectomy/mandibulectomy, partial/total, including immediate insertion of surgical obturator 39,198.00
G00S8 Stereotactic radiosurgery, brain 48,833.00
G00S9 Implantation of heart assist system 561,679.00
G00T3 Isolated limb perfusion in patient with melanoma 106,202.00
G00T4 Colonoscopy, with dilation and stent placement 25,788.00
G00T5 Removal of heart pacemaker lead(s) (electrodes) without replacement 34,715.00
G00T6 Removal of heart pacemaker lead(s) (electrodes) with replacement of electrodes and pacemaker device 48,730.00
G00T7 Scoliosis/kyphosis repair operation 121,793.00
G00T8 Emergency coronary artery catheterization for removal of obstruction, including insertion of drug eluting stent(s) 53,860.00
G00T9 Radical hysterectomy, abdominal/vaginal 24,877.00
G00U1 Colorectal surgery 49,851.00
G00U2 Surgical fistulization of lacrimal tract to nasal cavity using balloon dilatation, including dacryocystorhinostomy 7,248.00
G00U3 Intravenous injection of rtPA, acute cerebrovascular stroke within 4.5 hours of stroke symptoms onset 43,535.00
G00U4 Therapeutic catheterization, acute cerebrovascular stroke within 8 hours of stroke symptoms onset 111,948.00
G00U5 Functional endoscopic nasal/sinus surgery (FESS), simple 14,925.00
G00U6 Functional endoscopic nasal/sinus surgery (FESS), complex 35,813.00
G00U7 Tonsillectomy without/with adenoidectomy 5,212.00
G00U9 Enucleation of eyeball 14,965.00
G00V2 Lengthening and adjustment of vertical expandable prosthetic titanium rib system 24,227.00
G00V3 Replacement of vertical expandable prosthetic titanium rib system implants 54,227.00
G00V4 Percutaneous pulmonary valve replacement, excluding valve cost 40,916.00
G00V5 Percutaneous aortic valve replacement, excluding valve cost 46,573.00
G00V6 Repair of inguinal/femoral hernia, unilateral, inpatient 10,731.00
G00V7 Repair of inguinal/femoral hernia, bilateral, inpatient 14,305.00
G00V8 Plastic surgery following significant weight loss 34,091.00
G00V9 Bone graft to maxilla/mandible, autogenic graft from pelvis/scalp 31,583.00
G00W1 Scleral buckling, with/without implant 10,697.00
G00W2 Trabeculectomy 5,177.00
G00W3 Intraocular valve implantation, eg, Ahmed, for glaucoma therapy 14,162.00
G00W4 Repair of blepharoptosis, under 18 years, unilateral/bilateral 8,260.00
G00W5 Repair of blepharoptosis, 18 years and older, unilateral/bilateral 5,117.00
G0100 Additional charge for DRG in multiple trauma, admission from ER 12,438.00
G0101 ORIF/CRIF of pelvis, closed/open fracture 64,902.00
G0102 Arthroplasty with prosthetic replacement/implant of radial head, excluding open fracture 37,939.00
G0103 Arthroplasty with prosthetic replacement/implant of radial head, open fracture 62,410.00
G0104 ORIF of foot, closed fracture, excluding calcaneus 41,018.00
G0105 ORIF of foot, open fracture, excluding calcaneus 62,410.00
G0106 ORIF of calcaneus/operation on femur, excluding neck, closed fracture 32,953.00
G0107 ORIF of calcaneus/operation on femur, excluding neck, open fracture 51,612.00
G0108 Operation on clavicle/humerus/forearm, closed fracture, including closed dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna, including bone graft 28,225.00
G0109 Operation on clavicle/humerus/forearm, open fracture, including open dislocation of acromioclavicular joint, excluding distal humerus and shaft of radius/ulna 42,032.00
G0110 ORIF/CRIF/EF of tibia and/or fibula, closed fracture 38,058.00
G0111 ORIF/CRIF/EF of tibia and/or fibula, open fracture, including use of bone marrow aspiration concentrate 65,516.00
G0112 ORIF of patella/ankle / CRIF of calcaneus, closed fracture 23,114.00
G0113 ORIF of patella/ankle / CRIF of calcaneus, open fracture 38,300.00
G0114 CRIF of ankle/foot, closed fracture, excluding calcaneus 12,970.00
G0115 CRIF of ankle/foot, open fracture, excluding calcaneus 24,409.00
G0116 Exploration of tendon/nerve of upper limb, including ganglion decompression/lysis of adhesions 8,115.00
G0117 Suture of extensor tendons of hand, including delayed suture 13,698.00
G0118 Suture of tendons/nerves of upper limb, including delayed suture, excluding extensor tendons of hand 23,448.00
G0120 ORIF/EF of phalange of hand, closed fracture, including bone graft 13,986.00
G0121 ORIF/EF of phalange of hand, open/complex fracture 20,719.00
G0122 ORIF/EF of phalange of hand, with suture of tendons/nerves, closed/open fracture 31,285.00
G0123 ORIF/EF of phalanges of hand, closed fractures, including bone graft 20,348.00
G0124 ORIF/EF of phalanges of hand, open/complex fractures 27,593.00
G0125 ORIF/EF of phalanges of hand, with suture of tendons/nerves, closed/open fractures 38,161.00
G0126 ORIF/EF of metacarpal, closed fracture, including bone graft 15,408.00
G0127 ORIF/EF of metacarpal, open/complex fracture 22,254.00
G0128 ORIF/EF of metacarpal, with suture of tendons/nerves, closed/open fracture 32,820.00
G0129 ORIF/EF of metacarpals, closed fractures, including bone graft 23,955.00
G0130 ORIF/EF of metacarpals, open/complex fractures 31,494.00
G0131 ORIF/EF of metacarpals, with suture of tendons/nerves, closed/open fractures 42,062.00
G0132 ORIF of carpal(s), closed fracture, including bone graft 20,388.00
G0133 ORIF of carpal(s), open/complex fracture, including bone graft 27,637.00
G0134 ORIF of carpal(s), with suture of tendons/nerves, closed/open fracture, including bone graft 38,205.00
G0135 CRIF of hand, with suture of tendons/nerves, closed/open fracture(s) 34,974.00
G0136 Open reduction of closed dislocation of wrist 23,955.00
G0137 Open reduction of open/complex dislocation of wrist 31,494.00
G0138 Open reduction of dislocation of wrist, with suture of tendons/nerves 42,062.00
G0139 Reattachment of any part of upper extremity 71,538.00
G0140 Open/close reduction of fracture(s) of zygoma/maxilla/mandible, including internal fixation 24,456.00
G0141 Open reduction of fractures of orbit/ Le Fort type 2 or 3 / TMJ fracture with dislocation, with insertion of synthetic implant/bone graft to facial bone 37,978.00
G0142 Open reduction of comminuted fractures of facial bones, with insertion of synthetic implant/bone graft 108,319.00
G0144 ORIF of distal humerus, closed fracture, including bone graft 37,939.00
G0145 ORIF of distal humerus, open fracture 62,410.00
G0146 ORIF/EF of shaft of radius/ulna, closed fracture, including bone graft 21,378.00
G0147 ORIF/EF of shaft of radius/ulna, open fracture 38,300.00
G0148 CRIF of distal humerus/forearm/hand, closed fracture, including bone graft 11,998.00
G0149 CRIF of distal humerus/forearm/hand, open fracture, including complex fracture(s) of hand 24,409.00
G0150 Removal of gastric band 13,145.00
G0151 Sleeve gastrectomy 45,398.00
G0152 Sleeve gastrectomy with removal of gastric band 46,581.00
G0153 Sleeve gastrectomy with repair of diaphragmatic hernia 46,581.00
G0154 Sleeve gastrectomy with total cholecystectomy 48,027.00
G0155 Gastric bypass surgery with removal of gastric band 57,196.00
G0156 Gastric bypass surgery with repair of diaphragmatic hernia 57,196.00
G0157 Gastric bypass surgery with total cholecystectomy 58,542.00
G0158 Ovarian tissue retrieval, laparoscopic 7,077.00
G0160 Implantation/replacement/removal of cochlear prosthetic device, excluding device cost 15,881.00
G0161 Repair of cystocele with graft/prosthesis 11,543.00
G0162 Repair of rectocele with graft/prosthesis 11,543.00
G0163 Repair of cystocele and rectocele with graft/prosthesis 18,788.00
G0164 Repair of cystocele with graft/prosthesis and tension free vaging tape for incontinence 17,113.00
G0165 Repair of rectocele with graft/prosthesis and tension free vaging tape for incontinence 17,113.00
G0166 Repair of cystocele and rectocele with graft/prosthesis and tension free vaging tape for incontinence 24,361.00
G0167 Percutaneous insertion of left atrial appendage device, excluding device cost 13,130.00
G0168 Implantation of diaphragmatic pacemaker, excluding device cost 16,961.00
G0169 Pump for spasticity treatment preimplantation assessment, Baclofen 14,120.00
G0170 Implantation of pump for chronic pain relief/spasticity treatment, with drug loading, eg, Baclofen/Morphine, excluding pump cost 14,588.00
G0171 Heart surgery, valves 74,891.00
G0172 Heart surgery, bypass 74,891.00
G0173 Heart surgery, valves and bypass 74,891.00
G0174 Heart surgery, excluding valves and bypass surgery 74,891.00
G0175 Cholecystectomy, open, partial/complete 17,222.00
G0176 Cholecystectomy, laparoscopic, partial/complete 17,222.00
G0177 Implantation of vertical expandable prosthetic titanium rib system, excluding system cost 26,157.00
G0178 Implantation of BAHA (Bone Anchored Hearing Aid), excluding device cost 10,237.00
G0179 Diagnostic catheterization, excluding cardiac catheterization 14,486.00
G0180 Implantation of VNS (Vagus Nerve Stimulator) kit for epilepsy treatment, excluding device cost 16,465.00
G0181 Diagnostic cardiac catheterization 14,486.00
G0182 Implantation of intracranial neurostimulator pulse generator kit, including leads, or replacement of leads, for movement disorders, excluding devices cost 32,930.00
G0184 Therapeutic cardiac catheterization, excision/destruction of lesion/tissue of heart 40,710.00
G0185 Therapeutic cardiac catheterization, coronary arteries 40,710.00
G0186 Percutaneous balloon valvuloplasty 40,710.00
G0187 Replacement of neurostimulator pulse generator for intracranial stimulation, without leads, for movement disorders, excluding device cost 16,465.00
G0188 Parathyroidectomy, partial 19,150.00
G0189 Parathyroidectomy, complete 19,150.00
G0190 Type 2/3 tympanoplasty, including replacement of auditory ossicles 12,643.00
G0191 Simple mastoidectomy 22,664.00
G0192 Radical mastoidectomy, including modified radical mastoidectomy 28,454.00
G0193 Myringoplasty, including perforation closure 14,044.00
G0194 Excision of salivary glands, excluding parotid, partial/complete 15,441.00
G0195 Excision/destruction of vocal cord(s) lesion/tissue 12,513.00
G0196 Excision of vocal cord(s) 21,572.00
G0197 Maxillectomy/mandibulectomy with microsurgical reconstruction 69,908.00
G01H4 Inpatient, per day, for fourth day or longer in acute care hospital, excluding departments with specific code — out of cap 4,964.00
G01H5 Inpatient, per day, Dermatology and Venereology Department in acute care hospital — out of cap 4,964.00
G01H6 Inpatient, per day, Ophthalmology and Pediatric Ophthalmology Departments in acute care hospital — out of cap 4,964.00
G01H7 Inpatient, per day, Rehabilitation Department in acute care hospital — out of cap 4,964.00
G01M1 Inpatient day, Department of Internal Medicine in acute care hospital — out of cap 4,042.00
G01M2 Inpatient day, Rheumatology Department in acute care hospital — out of cap 4,042.00
G01M3 Inpatient day, Department of Pulmonary Medicine in acute care hospital — out of cap 4,042.00
G01M4 Inpatient day, Department of Geriatric Internal Medicine in acute care hospital — out of cap 4,042.00
G01M5 Inpatient day, Gastroenterology Department in acute care hospital — out of cap 4,042.00
G01M6 Inpatient day, Observation Department in acute care hospital — out of cap 4,042.00
G01N1 Inpatient day, General Intensive Care Department in acute care hospital — out of cap 4,964.00
G01N3 Inpatient day, Respiratory Intensive Care Department in acute care hospital — out of cap 4,964.00
G01N5 Inpatient day, Pediatric Intensive Care Department in acute care hospital — out of cap 4,964.00
G01N7 Inpatient day, Neurosurgical Intensive Care Department in acute care hospital — out of cap 4,964.00
G01P1 Inpatient day, Acute geriatric Department in acute care hospital — out of cap 3,006.00
G01P2 Inpatient day, Geriatric Rehabilitation Department in acute care hospital — out of cap 3,006.00
G01P3 Inpatient day, Department of high Dependency Nursing in acute care hospital — out of cap 3,006.00
G01Q8 Chronic artificial ventilation care, per day, all hospitals — out of cap 3,208.00
G0200 POVH (Postoperative Ventral Hernia) repair, open 28,268.00
G0201 POVH (Postoperative Ventral Hernia) repair, laparoscopic 28,268.00
G0202 Anterior abdominal wall hernia repair, excluding POVH, open 20,126.00
G0203 Anterior abdominal wall hernia repair, excluding POVH, laparoscopic 20,126.00
G0204 Diaphragmatic hernia repair, laparoscopic 26,252.00
G0206 Umbilical hernia repair, age 5 years or older, open 12,887.00
G0207 Umbilical hernia repair, age 5 years or older, laparoscopic 12,887.00
G0208 Esophagogastric sphincteric competence creation 29,029.00
G0210 Percutaneous nephrostomy, including fragmentation 37,178.00
G0214 Partial nephrectomy, open 34,892.00
G0215 Partial nephrectomy, laparoscopic 34,892.00
G0216 Complete nephrectomy, including ureterectomy, open 36,943.00
G0217 Complete nephrectomy, including ureterectomy, laparoscopic 36,943.00
G0220 Ureteroscopy, diagnostic, with/without biopsy 11,835.00
G0221 Ureteroscopy, therapeutic, including RIRS 18,172.00
G0225 Endoscopic excision of rectal tumor, transanal approach 7,855.00
G0229 Excision of hemorrhoids 5,108.00
G0230 Salpingectomy, laparoscopic, unilateral/bilateral 13,995.00
G0231 Salpingo-oophorectomy, laparoscopic, unilateral/bilateral 13,995.00
G0240 Reduction mammoplasty, female, excluding surgery following significant weight loss 16,748.00
G0241 Reduction mammoplasty, male, excluding surgery following significant weight loss 13,103.00
G0250 Corneal surgery with insertion of intraocular lens, including cost of cornea and lens 24,161.00
G0251 Insertion of intraocular lens with trabeculectomy, including cost of lens 7,082.00
G0252 Vitrectomy with insertion of intraocular lens, including cost of lens 18,360.00
G0253 Vitrectomy with scleral buckling, with/without implant 18,739.00
G0254 Single suture loop pupilloplasty with insertion of intraocular lens, including cost of lens 9,173.00
G0255 Single suture loop pupilloplasty with secondary insertion of intraocular lens, including cost of lens 8,267.00
G0256 Repair of corneal injury 10,957.00
G0257 Repair of retinal detachment by injection of gas 7,843.00
G0258 Foreign body removal from posterior segment of eye, with/ without use of magnet 17,939.00
G0259 Diagnostic aspiration of vitreous 13,265.00
G0260 Excision of lesion of orbit 16,804.00
G0270 Radical prostatectomy, open 29,473.00
G0277 Radical prostatectomy, laparoscopic 29,473.00
G0280 SIRT (Selective Internal Radiation Therapy) for liver tumor, 90Y, excluding material cost 45,690.00
G0290 Splenectomy, open, partial/complete 27,575.00
G0291 Splenectomy, laparoscopic, partial/complete 27,575.00
G0292 Partial pancreatectomy, open 33,523.00
G0293 Partial pancreatectomy, laparoscopic 33,523.00
G0300 Percutaneous mitral valve repair with implanted device, excluding device cost 21,001.00

Лечение меланомы

Лечение меланомы в Израиле — инновационная методика

Израильская клиника «Шиба», находящаяся в Тель-а-Шомере предложила новую уникальную методику, которая позволяет с высокой долей вероятности излечить безнадежно больных раковыми заболеваниями.

Данная методика уже была опробована на некоторых больных, имеющих меланому, врачи прогнозировали у этих больных летальный исход максимум через 6 месяцев. Использование методики было полностью одобрено Хельсинской комиссией, в более чем половины случаев безнадежным больным удалось полностью излечиться.

Данная инновационная методика лечения рака в Израиле основана на размножении клеток иммунной системы больного. Первоначально врачи во время операции удаляют одну из наиболее легких метастаз больного, выделяют из нее иммунные клетки, который впоследствии в течение месяца размножаются в лабораторный условиях.

После этого пациенту проводится очень интенсивный курс химиотерапии, во время него полностью уничтожается иммунная система человека. Затем врачи вводят выращенные клетки, которые начинают активно бороться с болезнью.

Надо сказать, что из 29 безнадежно больных человек больше половины полностью излечились и вернулись к нормальной жизни, состояние здоровья же еще 11 человек стало значительно лучше.


Новое слово в лечении паркинсонизма

Израильские врачи все чаще очень активно интересуются болезнью Паркинсона и методами ее лечения, постоянно появляются новые методики, позволяющие добиться большого прогресса в лечении болезни.

Статистика говорит, что болезнью Паркинсона болеет почти каждый сотый человек, достигший 60 лет, особенно это касается мужчин. У больных почти всегда нарушается нормальная регуляция движений, появляется сильная дрожь, нарушаются многие движения. Если не начать лечение болезни Паркинсона своевременно, то это грозит пациенту очень серьезными нарушениями, а впоследствии и смертью.

Именно в Израиле на данный момент разрабатываются самые передовые методики лечения болезни Паркинсона, в том числе краниально-магнитная стимуляция и ультразвуковое воздействие. При первом на головной мозг пациента влияют магнитные импульсы, после применения этого метода у большинства пациентов наблюдается улучшение, в том числе пропадает дрожь. При ультразвуковом воздействии на пациента воздействует специальный аппарат, который также влияет на головной мозг больного. Данными методиками уже активно интересуются и врачи за границей, а в это время израильские врачи уже работают над новыми и еще более новаторскими методиками лечения.


Пластическая хирургия в Израиле

ПЛАСТИЧЕСКАЯ ХИРУРГИЯ В ИЗРАИЛЕНедавно обычный человек не мог позволить себе пластическую операцию той или иной части тела, все эти операции казались чересчур дорогими и малодоступными и были предназначены исключительно для представителей элитного общества.

Но сейчас пластическая хирургия стала как никогда популярной, почти каждый человек может позволить себе небольшие изменения в своей внешности. Особой популярностью среди местных жителей и туристов пользуется Израиль, где уже давно и очень успешно делаются тысячи операций каждый год. Все просто: именно в Израиле работают только настоящие профессионалы, и есть все знания и технологии.

Здесь давно и успешно проводят различные операции по коррекции груди, ринопластика, подтяжка лица, век, липосакция и т.д.

Например, в ходе подтяжки профессиональный хирург удалит излишки кожи и укрепит сухожилия пациента, данная процедура проводится современным лазером, что делает ее даже более эффективной. С помощью того же лазера проводится и липосакция, лишний жир просто растворяется.

Ринопластику в клинике проводят и вовсе закрытым способом, то есть без разрезов и швов, это позволяет уберечь пациента от длительной реабилитации и уродливых шрамов. Также врачи проводят эффективное лечение самых разных кожных заболеваний, например, угревой сыпи, кожных новообразований и пигментации кожи.

Одной из самых эффективных и наиболее популярных операций является восстановление груди после онкологических операций, которая помогает вернуть былую красоту женской груди. Здесь также помогают навсегда избавиться от даже старых рубцов, шрамов, заячьей губы, волчьей пасти и т.д.


Искусственное оплодотворение в израиле — ЭКО

ИСКУССТВЕННЕ ОПЛОДОТВОРЕНИЕ В ИЗРАИЛЕМножество пар сталкиваются с тем, что не могут завести ребенка. Причин может быть множество, чаще всего это бесплодие, которое наблюдается у представителей обоих полов. Еще несколько лет назад подобные пары не могли рассчитывать на какую-либо медицинскую помощь, но уже сейчас новые технологии позволяют любой отчаявшейся семье обрести настоящее счастье.

Для лечения бесплодия и проблем рождаемости в первую очередь применяются экстракорпоральное оплодотворение (ЭКО) и цитоплазматические инъекции спермы, они давно зарекомендовали себя с исключительно хорошей стороны, а эффективность подтверждается тысячами рожденных малышей, зачатых с помощью этих технологий.

Особенным спросом среди пар пользуется лечение в Израиле, там работают лучшие врачи с очень богатым опытом и экспертными знаниями. Подсчитано, что около 3,000 супружеских пар на миллион обычных жителей пользуются данными услугами лечения на территории Израиля. Данные цифры значительно превосходят цифры клиник других стран.

Медицинские центры Израиля имеют самые лучшие отзывы от пациентов со всего мира, и именно здесь около 20 лет назад был рожден первый ЭКО-ребенок. В команде клинике работают 12 врачей, а также множество медсестер, специалистов по ультразвуковой технике, эмбриологов и психологов.

Именно в нашем центре каждый год принимаются тысячи пациентов со всего мира, которые успешно проходят процедуру, именно у нас наблюдается самый высокий процент успешности, причем даже в самых безуспешных и сложных случаях.

В Израильской клинике применяется индивидуальный подход к каждому пациенту, что позволяет подойти к лечению комплексно, мы тесно сотрудничаем с отделением репродуктивной мужской медицины, в результате чего и достигается положительный результат. Именно такой комплексный и сложный подход к лечению различных заболеваний позволяет добиваться больших успехов даже в самых трудных ситуациях, когда другие врачи отказываются работать. Мы также предлагаем специальные программы поддержки, которые помогут нашим пациентам справиться со стрессом и с другими проблемами.


Инновационное лечение вирусного гепатита С

Вирусный гепатит С

Гепатит, который провоцируется вирусом гепатита С, характеризуется развитием хронической инфекции и воспалением ткани печени. Инфекция обычно проникает в организм незаметно, а болезнь определяется на поздних стадиях или случайно. Во многих случаях диагноз ставится после фиброза печени.

Распространенность инфекции составляет около 2% в мире, а в странах СНГ процент носителей инфекции немного выше.
После контакта с вирусом и непродолжительной болезни у 22% больных развивается цирро

Гепатит С

з печени в течение 20-30 лет, а у 4% — гепатоцеллюлярный рак печени.

Вирусный гепатит является основной причиной пересадки печени. В течение многих лет не прекращается разработка эффективных методов лечения болезни. До недавнего времени в некоторых случаях удавалось облегчить заражение, некоторые пациенты смогли полностью победить болезнь, но процент успеха был нестабилен и невысок. Достаточно часто наблюдались осложнения после лечения гепатита С.

Инновационное лечение вирусного гепатита

В настоящее время, благодаря инновационным исследованиям в университете Техаса, удалось достичь значительных успехов в области разработки новых препаратов для лечения хронического вирусного гепатита. Есть неиссякаемая надежда, что эти препараты позволят вылечить большинство больных.

Новые препараты SUFOSBUVIR и LEDIPASVUR протестированы на 100 больных гепатитом. Пациенты принимали лекарство ежедневно в течение 8-12 недель. По истечении этого времени в 97% случаев пациенты пришли к состоянию, когда вирус гепатита С перестал размножаться. Существует несколько факторов, снижающих успешный исход болезни: возраст пациента старше 40 лет, избыточный вес, фиброз печени, низкий результат предыдущего лечения.

При приеме лекарств могут наблюдаться побочные эффекты. В основном, это сыпь и зуд, которые легко поддаются лечению.

Помощь в проведении лечения вирусного гепатита в Израиле

Стоимость лечения по-прежнему остается высокой около 80-100 тыс. долларов. Вы можете связаться с нами и отправить нам соответствующие медицинские документы. Сотрудники нашей компании предоставят подробную информацию по диагностике, стоимости и процедуре лечения болезни в Израиле. Для этого пациенту необходимо будет произвести УЗИ печени, анализы крови, пройти консультации со специалистами.

 

 

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Лечение в Израиле без посредников

Лечение в Израиле с посредником или без?

ЛЕЧЕНИЕ В ИЗРАИЛЕ БЕЗ ПОСРЕДНИКОВЛечение за границей, в частности Израиле, может осуществляться как с посредниками, так и без них. В любом случае есть недостатки и преимущества. Первый вариант предполагает наличие специальных отделов медицинского туризма, внешних посреднических компаний либо посредников-одиночек. Необходимо понимать, что работа по приёму больных требует большого количества знаний, времени, опыта, поэтому она должна выполняться отдельными лицами и структурами. (далее…)