|
CRANIAL CT SCAN PLAIN |
2,600.00 |
|
WITH CONTRAST |
3,100.00 |
|
PLUS BONE WINDOW W/ C1&C2 |
3,200.00 |
|
PLUS BONE WINDOW W/C1,C2&C6,C7 |
3,500.00 |
|
WITH PNS |
4,600.00 |
|
WITH ORBITAL CUTS |
4,600.00 |
|
WITH SELLAR CUTS |
4,600.00 |
|
WITH NASOPHARYNX |
4,600.00 |
|
WITH TEMPORAL |
4,600.00 |
|
CHEST CT SCAN PLAIN AND CONTRAST |
3,100.00 |
|
CHEST CT SCAN WITH UPPER ABDOMEN |
6,100.00 |
|
CHEST CT SCAN WITH WHOLE ABDOMEN |
9,000.00 |
|
CHEST CT SCAN WITH ADRENAL FINE CUTS(5mm) |
4,600.00 |
|
UPPER ABDOMEN PLAIN (ORAL CONTRAST ONLY) |
3,100.00 |
|
UPPER ABDOMEN PLAIN AND CONTRAST |
3,400.00 |
|
LOWER ABDOMEN PLAIN(ORAL& RECTAL CONTR) |
3,200.00 |
|
LOWER ABDOMEN PLAIN AND CONTRAST |
3,400.00 |
|
WHOLE ABDOMEN PLAIN(ORAL CONTRAST ONLY) |
5,800.00 |
|
WHOLE ABDOMEN WITH TRIPLE CONTRAST |
6,100.00 |
|
PARANASAL SINUSES PLAIN AND CONTRAST |
3,900.00 |
|
SCREENING PNS(PLAIN CORONAL ONLY) |
2,400.00 |
|
NASO PHARNYX PLAIN AND CONTRAST |
3,900.00 |
|
HYPO PHARYNX/ LARYNX |
3,900.00 |
|
WHOLE NECK PLAIN AND CONTRAST |
3,900.00 |
|
ORAL CAVITY/ORO PHARYNX |
3,900.00 |
|
ORBITAL CUTS, AXIAL& CORONAL |
3,900.00 |
|
TEMPORAL |
3,900.00 |
|
CT SCAN GUIDED BIOPSY W/ PATHOLOGIST |
8,000.00 |
|
BIOPHYSICAL PROFILE |
460.00 |
|
CAROTID DOPPLER |
2,500.00 |
|
FETAL AGING |
320.00 |
|
GALLBLADDER |
320.00 |
|
HBT WITH PANCREAS |
570.00 |
|
HEPATOBILIARY TREE (LIVER, GB) |
520.00 |
|
KIDNEYS (RENAL) |
370.00 |
|
LIVER |
320.00 |
|
PANCREAS |
320.00 |
|
PELVIC |
320.00 |
|
SPLEEN |
320.00 |
|
TRANSVAGINAL (TVS) |
470.00 |
|
ABDOMINAL AORTA |
320.00 |
|
BREAST |
420.00 |
|
CHEST |
350.00 |
|
KUB (KIDNEY, URE, BLA) |
520.00 |
|
LOWER ABDOMEN |
650.00 |
|
PROSTATE |
350.00 |
|
SCROTUM |
420.00 |
|
THYROID |
370.00 |
|
TRANSRECTAL |
700.00 |
|
UA(LIV,GB,HBT,SPLEEN,PAN) |
670.00 |
|
UTZ GUIDED BIOPSY |
6,000.00 |
|
WHOLE ABDOMEN |
1,150.00 |
|
APICO-LORDOTIC VIEW |
140.00 |
|
CHEST BUCKY |
260.00 |
|
CHEST PA |
170.00 |
|
CHEST PA/LAT ADULT |
330.00 |
|
CHEST PA/LAT PEDIA |
260.00 |
|
CLAVICLE |
170.00 |
|
NECK FBC |
270.00 |
|
SHOULDER AP |
220.00 |
|
ARM AP/LATERAL |
270.00 |
|
ELBOW AP/LATERAL |
270.00 |
|
FOREARM AP/LATERAL |
270.00 |
|
HAND AP/LAT |
270.00 |
|
HAND AP/LAT/OBLIQUE |
390.00 |
|
WRIST AP/LAT/OBLIQUE |
390.00 |
|
CERVICAL SPINE |
270.00 |
|
CERVICAL SPINE APOL |
500.00 |
|
CERVICOTHORACIC SPINE AP/L |
500.00 |
|
LUMBOSACRAL SPINE APL |
400.00 |
|
THORACIC SPINE APL |
320.00 |
|
THORACO LUMBAR AP |
270.00 |
|
THORACO LUMBAR AP/LAT |
500.00 |
|
MASTOID SERIES |
400.00 |
|
NASAL BONE |
250.00 |
|
ORBITS |
300.00 |
|
PARANASAL SINUSES (PNS) |
370.00 |
|
SKULL AP/LAT |
250.00 |
|
TOWNES VIEW |
125.00 |
|
WATERS VIEW |
150.00 |
|
ANKLE AP/LAT |
270.00 |
|
FEMUR AP/LATERAL |
270.00 |
|
FOOT AP/LAT |
270.00 |
|
FOOT AP/LAT/OBLIQUE |
390.00 |
|
KNEE JOINT AP/LATERAL |
270.00 |
|
LEG AP/LATERAL |
270.00 |
|
HIP BONE /PELVIS |
170.00 |
|
HYSTHERO |
1,500.00 |
|
KUB-IVP w/o allergy |
2,500.00 |
|
KUB-IVP with allergy |
3,000.00 |
|
PELVIMETRY |
500.00 |
|
PELVIS AP |
170.00 |
|
PELVIS AP/LATERAL |
320.00 |
|
PLAIN ABDOMEN |
220.00 |
|
PLAIN KUB |
220.00 |
|
T-TUBE CHOLANGIOGRAM |
1,500.00 |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||