TABELA PARTICULAR DIMASUL

TABELA PARTICULAR DIMASUL DOPPLER V.PART DESC. V. PARCERIA DOPPLER ABDOMINAL 23,170 4,634 18,536 DOPPLER ARTERIAL MEMB.INF. 23,170 4,634 18,536 DOPPLER ARTERIAL MEMB.SUP. 23,170 4,634 18,536 DOPPLER DOS VASOS DO PESCOÇO 23,170 4,634 18,536 DOPPLER PENIANO 45,000 9,000 36,000 DOPPLER RENAL 75,000 15,000 60,000 DOPPLER TESTICULAR 45,000 9,000 36,000 DOPPLER VENOSO MEMB.INF. 23,870 4,774 19,096 DOPPLER VENOSO MEMB.SUP. 23,870 4,774 19,096 CARDIOLOGIA V.PART DESC. V. PARCERIA ECOCARDIOGRAMA (M.MODE) & BIDIM. 50,000 10,000 40,000 ECOCARDIOGRAMA TRANSTORÁCICO BIDIMENSIONAL 50,000 10,000 40,000 ELECTROCARDIOGRAMA 10,000 2,000 8,000 HOLTER 24 HORAS 60,000 12,000 48,000 MAPA 60,000 12,000 48,000 ECOGRAFIA V.PART DESC. V. PARCERIA ECOGRAFIA ABDOMINAL 37,000 7,400 29,600 ECOGRAFIA ABDOMINAL C/ DOPPLER 57,000 11,400 45,600 ECOGRAFIA ABDOMINAL E PELVICA 70,000 14,000 56,000 ECOGRAFIA ABDOMINAL E RENAL 75,000 15,000 60,000 ECOGRAFIA ABDOMINAL, RENAL E VESICO-PROST.ENDOR. 120,000 24,000 96,000 ECOGRAFIA ABDOMINAL,RENAL E VESICO-PROSTATICA 100,000 20,000 80,000 ECOGRAFIA DAS GLANDULAS SALIVARES 35,000 7,000 28,000 ECOGRAFIA DO PESCOÇO (INCLUI TIROIDEIA) 35,000 7,000 28,000 ECOGRAFIA ENDOCAVITARIA C/ DOPPLER 55,000 11,000 44,000 ECOGRAFIA ENDOVAGINAL 35,000 7,000 28,000 ECOGRAFIA ESPLENICA 37,000 7,400 29,600 ECOGRAFIA GINECOLÓGICA POR VIA ENDOCAVITÁRIA 45,000 9,000 36,000 ECOGRAFIA HEPATO-BILIAR 37,000 7,400 29,600 ECOGRAFIA MAMARIA-2 LADOS 36,000 7,200 28,800 ECOGRAFIA MUSCULAR 34,000 6,800 27,200 ECOGRAFIA OBSTÉTRICA 1º TRIMESTRE 80,000 16,000 64,000 ECOGRAFIA OBSTÉTRICA 2º TRIMESTRE 130,000 26,000 104,000 ECOGRAFIA OBSTÉTRICA 3º TRIMESTRE 80,000 16,000 64,000 ECOGRAFIA OBSTÉTRICA COM SONDA VAGINAL 80,000 16,000 64,000 ECOGRAFIA OBSTÉTRICA GEMELAR 1º TRIMESTRE 100,000 20,000 80,000 ECOGRAFIA OBSTÉTRICA GEMELAR 2º TRIMESTRE 150,000 30,000 120,000 ECOGRAFIA OBSTÉTRICA GEMELAR 3º TRIMESTRE 80,000 16,000 64,000 ECOGRAFIA OSTEOARTICULAR 34,000 6,800 27,200 ECOGRAFIA PANCREATICA 37,000 7,400 29,600 ECOGRAFIA PARTES MOLES 34,000 6,800 27,200 ECOGRAFIA PELVICA (HOMEM = PROST+VES+V.S+RPM 34,000 6,800 27,200 ECOGRAFIA PELVICA (INCLUI ESTUDO VESICAL) 34,000 6,800 27,200

ECOGRAFIA PELVICA E MAMÁRIA 50,000 10,000 40,000 ECOGRAFIA PELVICA SUPRA PÚBICA 35,000 7,000 28,000 ECOGRAFIA PELVICA(MULHER = VES+PEL) 35,000 7,000 28,000 ECOGRAFIA PENIANA 35,000 7,000 28,000 ECOGRAFIA PROSTATICA 35,000 7,000 28,000 ECOGRAFIA PROSTÁTICA E VES. SEMINAIS, P. V. ENDOCAVITÁRIA 55,000 11,000 44,000 ECOGRAFIA REAL+VESICAL+PROSTÁTICA TRANSR. 100,000 20,000 80,000 ECOGRAFIA RENAL C/ DOPPLER 58,000 11,600 46,400 ECOGRAFIA RENAL E PROSTATICA TRANSRECTAL 70,000 14,000 56,000 ECOGRAFIA RENAL E SUPRA-RENAL 38,000 7,600 30,400 ECOGRAFIA RENAL+ECOGRAFIA VAGINAL 75,000 15,000 60,000 ECOGRAFIA RENO-PELVICA 70,000 14,000 56,000 ECOGRAFIA RENO-VESICAL 70,000 14,000 56,000 ECOGRAFIA RENO-VESICO-PROSTATICA 70,000 14,000 56,000 ECOGRAFIA TESTICULAR 34,000 6,800 27,200 ECOGRAFIA TIROIDEIA 34,000 6,800 27,200 ECOGRAFIA VESICAL VIA SUPRA PÚBICA 32,000 6,400 25,600 ECOGRAFIA VESICAL+PROST.TRANS.C/ OU S/VES.SEMINAIS 50,000 10,000 40,000 ECOGRAFIA VESICO-PROSTÁTICA 45,000 9,000 36,000 ECOGRAFIA VESICO-PROSTÁTICA ENDORRECTAL 100,000 20,000 80,000 ECOGRAFIA VESICULAS SEMINAIS 35,000 7,000 28,000 MAMOGRAFIA V.PART DESC. V. PARCERIA MAMOGRAFIA BILATERAL 50,000 10,000 40,000 MAMOGRAFIA UNILATERAL 45,000 9,000 36,000 MAMOGRAFIA, CADA INCIDENCIA A MAIS 5,000 1,000 4,000 RX V.PART DESC. V. PARCERIA ESTUDO AXIAL DA RÓTULA, 3 INC. 18,000 3,600 14,400 MEDICAO MEMB.INF.EXTRA-LONGO CARGA 26,000 5,200 20,800 MEDICAO MEMB.INF.EXTRA-LONGO SEC.ARTIC. 25,000 5,000 20,000 MEDICÃO MEMB.INF.FILME EXTRA-LONGO 25,000 5,000 20,000 RADIOMETRIA MEMB. INF. POR SEGMENTOS ARTICULARES 25,000 5,000 20,000 RX ABDOMEN SIMPLES 1 INC. 13,000 2,600 10,400 RX ABDOMEN SIMPLES 1 INC+P/ALEM 2 6,000 1,200 4,800 RX ANCA DIR.1 INC 12,000 2,400 9,600 RX ANCA DIR.2 INC 16,000 3,200 12,800 RX ANCA ESQ.1 INC 12,000 2,400 9,600 RX ANCA ESQ.2 INC 16,000 3,200 12,800 RX ANTEBRAÇO DIR., 2 INC. 13,000 2,600 10,400 RX ANTEBRAÇO ESQ., 2 INC. 13,000 2,600 10,400 RX ANTEBRAÇOS 26,000 5,200 20,800 RX ARCADAS ZIGOMÁTICAS, 1 INC. UNILATERAL 15,000 3,000 12,000 RX ART.TEMPORO MAX.,BOCA AB.E FECH. LD DIREITO 14,000 2,800 11,200 RX ART.TEMPORO MAX.,BOCA AB.E FECH. LD ESQUERDO 14,000 2,800 11,200 RX ART.TEMPORO MAX.,BOCA AB.E FECH.2 LD. 28,000 5,600 22,400 RX ARTICULAÇÃO ACROMIO-CLAVICULAR, BITAREAL 12,000 2,400 9,600 RX ARTICULAÇÃO ACROMIO-CLAVICULAR, CADA INCIDÊNCIA 6,000 1,200 4,800 RX ARTICULAÇÕES SACRO-ILÍACAS, 1 INC. BILATERAL 11,000 2,200 8,800 RX BACIA??1 INC. 12,000 2,400 9,600 RX BACIA EM CARGA 14,000 2,800 11,200 RX BEXIGA SIMPLES??1 INC. 9,000 1,800 7,200 RX BRAÇO DIR., 2 INC. 15,000 3,000 12,000 RX BRAÇO ESQ., 2 INC. 15,000 3,000 12,000

RX BRAÇO, 1 INC. 10,000 2,000 8,000 RX BRAÇOS 20,000 4,000 16,000 RX BURACOS OPTICOS 1 LADO 20,000 4,000 16,000 RX BURACOS OPTICOS BILATERAL 20,000 4,000 16,000 RX CALCANEO DIR., 2 INC. 13,000 2,600 10,400 RX CALCANEO ESQ., 2 INC. 13,000 2,600 10,400 RX CALCANEOS 2 INC. ( BILATERAL ) 20,000 4,000 16,000 RX CAVUM OU RINO-FARINGE??1 INC. 8,000 1,600 6,400 RX CHARNEIRA LOMBO SAG.??2 INC 17,000 3,400 13,600 RX CHARNEIRA OCCIPITO-ATLOIDEIA??2 INC. 18,000 3,600 14,400 RX CLAVICULA DIR., 1 INC. 12,000 2,400 9,600 RX CLAVICULA DIR., 2 INC. 18,000 3,600 14,400 RX CLAVICULA ESQ., 1 INC. 12,000 2,400 9,600 RX CLAVICULA ESQ., 2 INC. 18,000 3,600 14,400 RX COL.CERV.-DORSAL ZONA TRANS.? INC.CARGA 13,000 2,600 10,400 RX COL.CERVICAL (4 INC) 28,000 5,600 22,400 RX COL.CERVICAL (6 INC) 28,000 5,600 22,400 RX COL.CERVICAL??2 INC. 12,000 2,400 9,600 RX COL.CERVICAL/ESTUDO FUNCIONAL 4 INC. 25,000 5,000 20,000 RX COL.COCCIGEA??2 INC. 13,000 2,600 10,400 RX COL.DORSAL??2 INC. 18,000 3,600 14,400 RX COL.LOMBAR (4 INC) 38,000 7,600 30,400 RX COL.LOMBAR??2 INC. 20,000 4,000 16,000 RX COL.LOMBO-SAGRADA (4 INC) 32,000 6,400 25,600 RX COL.SACRO-COCCIGEA??2 INC. 15,000 3,000 12,000 RX COL.SAGRADA??2 INC. 12,000 2,400 9,600 RX COL.VERT.EXTRA LONGO??1 INC CARGA 30,000 6,000 24,000 RX COL.VERT.EXTRA-LONGO 2 INC 40,000 8,000 32,000 RX COLUNA LOMBO-SAGRADA CARGA, 2 INC. 35,000 7,000 28,000 RX COLUNA LOMBO-SAGRADA, INCLINAÇÕES LATERAIS 35,000 7,000 28,000 RX COLUNA, 1 INC. EXTRA LONGO (90 CM) 30,000 6,000 24,000 RX COLUNA, 2 INC. EXTRA LONGO (90 CM) 40,000 8,000 32,000 RX COTOVELO DIR., 2 INC. 14,000 2,800 11,200 RX COTOVELO ESQ., 2 INC. 14,000 2,800 11,200 RX COXA OU FEMUR DIR., 2 INC. 18,000 3,600 14,400 RX COXA OU FEMUR ESQ., 2 INC. 18,000 3,600 14,400 RX CRANIO 1 INC.+P/ALEM2 5,000 1,000 4,000 RX CRANIO 2 INC. 17,000 3,400 13,600 RX DEDOS DA MÃO, 2 INC 10,000 2,000 8,000 RX DEDOS DO PÉ, 2 INC 10,000 2,000 8,000 RX DO DEDO DO PÉ OU DA MÃO - 2 INC 10,000 2,000 8,000 RX DOS COTOVELOS 28,000 5,600 22,400 RX ESQUELETO 1 INC. PEL.35x43 RECEM-NASCIDO 18,000 3,600 14,400 RX ESQUELETO ADULTO 1 INC. P/SECT.MIN. 9 PEL. 70,000 14,000 56,000 RX ESTERNO??2 INC. 18,000 3,600 14,400 RX ESTERNO 1 INC.+P/ALEM 2 6,000 1,200 4,800 RX ESTERNO-CLAVICULARES (ART.) 3 INC. 18,000 3,600 14,400 RX FACE 2 INC. 16,000 3,200 12,800 RX FACE 3 INC.C/ESTUDO ARCADAS ZIGOMATICAS 30,000 6,000 24,000 RX FARINGE E LARINGE 12,000 2,400 9,600 RX FIGADO SIMPLES 1 INC. 9,000 1,800 7,200 RX FIGADO SIMPLES 2 INC. 12,500 2,500 10,000 RX GLANDULAS SALIVARES P. DETECÇÃO DOS CALC. SALIVARES, 1 INC. 12,500 2,500 10,000 RX GRELHA COSTAL DIR. 2 INC. 17,000 3,400 13,600 RX GRELHA COSTAL ESQ. 2 INC. 17,000 3,400 13,600 RX GRELHA COSTAL, 2 INC. 13,000 2,600 10,400

RX IDADE ÓSSEA (MÃO E PUNHO) 14,000 2,800 11,200 RX JOELHO 1 INC 10,000 2,000 8,000 RX JOELHO DIR.??2 INC. 12,500 2,500 10,000 RX JOELHO DIR.??2 INC.CARGA 16,000 3,200 12,800 RX JOELHO ESQ.??2 INC. 12,500 2,500 10,000 RX JOELHO ESQ.??2 INC. CARGA 16,000 3,200 12,800 RX JOELHOS 2 INC 32,000 6,400 25,600 RX MANDIBULA, 1 INC. 10,000 2,000 8,000 RX MANDIBULA, 2 INC. 13,000 2,600 10,400 RX MAO DIR., 2 INC. 13,000 2,600 10,400 RX MAO ESQ., 2 INC. 13,000 2,600 10,400 RX MAOS 24,000 4,800 19,200 RX MASTOIDEIAS OU ROCHEDOS DIR.??1 INC. 12,000 2,400 9,600 RX MASTOIDEIAS OU ROCHEDOS DIR. 2 INC. 14,000 2,800 11,200 RX MASTOIDEIAS OU ROCHEDOS ESQ.??1 INC. 12,000 2,400 9,600 RX MASTOIDEIAS OU ROCHEDOS ESQ. 2 INC. 14,000 2,800 11,200 RX MASTÓIDES DIR., DUAS INCIDÊNCIAS 10,000 2,000 8,000 RX MASTÓIDES DIR., UMA INCIDÊNCIA 10,000 2,000 8,000 RX MASTÓIDES ESQ., DUAS INCIDÊNCIAS 10,000 2,000 8,000 RX MASTÓIDES ESQ., UMA INCIDÊNCIA 10,000 2,000 8,000 RX MAXILAR SUPERIOR??2 INC. 14,000 2,800 11,200 RX MEMBROS INF. EXTRA LONGO (120 CM), 1 INC 25,000 5,000 20,000 RX MEMBROS INF. EXTRA LONGO (90 CM), 1 INC 26,000 5,200 20,800 RX OMBRO DIR., 1 INC. 12,000 2,400 9,600 RX OMBRO DIR., 2 INC. 15,000 3,000 12,000 RX OMBRO ESQ., 1 INC. 12,000 2,400 9,600 RX OMBRO ESQ., 2 INC. 15,000 3,000 12,000 RX OMBROS 30,000 6,000 24,000 RX OMOPLATA DIR.??1 INC. 14,000 2,800 11,200 RX OMOPLATA DIR., 2 INC. 15,000 3,000 12,000 RX OMOPLATA ESQ.??1 INC. 14,000 2,800 11,200 RX OMOPLATA ESQ., 2 INC. 15,000 3,000 12,000 RX OMOPLATAS 48,000 9,600 38,400 RX ÓRBITA, DUAS INCIDÊNCIAS 14,000 2,800 11,200 RX ORBITAS? INC. 14,000 2,800 11,200 RX OSSOS DA FACE, DUAS INCIDENCIAS 15,000 3,000 12,000 RX OSSOS PROPRIOS NARIZ??1 INC. 10,000 2,000 8,000 RX PE DIR., 2 INC. 12,500 2,500 10,000 RX PE DIR.CARGA 14,000 2,800 11,200 RX PE ESQ. CARGA 14,000 2,800 11,200 RX PE ESQ., 2 INC. 12,500 2,500 10,000 RX PERNA DIR., 2 INC. 16,000 3,200 12,800 RX PERNA ESQ., 2 INC. 16,000 3,200 12,800 RX PERNAS 30,000 6,000 24,000 RX PES 25,000 5,000 20,000 RX PESCOCO,PARTES MOLES 1 INC. 9,000 1,800 7,200 RX PESCOCO,PARTES MOLES 2 INC. 15,000 3,000 12,000 RX PUNHO DIR., 2 INC. 12,000 2,400 9,600 RX PUNHO ESQ., 2 INC. 12,000 2,400 9,600 RX PUNHOS 30,000 6,000 24,000 RX PUNHOS E MAOS (IDADE OSSEA) 1 INC. 18,000 3,600 14,400 RX REGIAO ILEO-CECAL OU CECO-APENDICULAR 36,000 7,200 28,800 RX RINS SIMPLES 1 INC. 13,000 2,600 10,400 RX RINS SIMPLES 2 INC. 22,500 4,500 18,000 RX SACRO ILIACAS (ARTICUL.)2LD.1 INC. 32,000 6,400 25,600 RX SACRO-ILIACAS??1 INC 12,000 2,400 9,600

RX SEIOS PERI-NASAIS 2 INC. 17,000 3,400 13,600 RX SEIOS PERI-NASAIS 3 INC. 22,000 4,400 17,600 RX SELA-TURCA 15,000 3,000 12,000 RX SIMPLES DA PÉLVIS 10,000 2,000 8,000 RX TORAX,PULMOES E CORACAO 1 INC. 13,000 2,600 10,400 RX TORAX,PULMOES E CORACAO 2 INC. 20,000 4,000 16,000 RX TORAX,PULMOES E CORACAO 3 INC. 24,000 4,800 19,200 RX TORAX,PULMOES E CORACAO 4 INC. 28,000 5,600 22,400 RX TORNOZELO DIR., 2 INC 14,000 2,800 11,200 RX TORNOZELO ESQ., 2 INC 14,000 2,800 11,200 RX TRANSIÇÃO CERVICO-TORÁCICA, DUAS INCIDÊNCIAS 13,000 2,600 10,400 TELERADIOGRAFIA DE PERFIL 20,000 4,000 16,000 TAC V.PART DESC. V. PARCERIA TAC ABDOMINAL 100,000 20,000 80,000 TAC ABDOMINO-PELVICO 130,000 26,000 104,000 TAC CAVUM 100,000 20,000 80,000 TAC COL.CERVICAL 100,000 20,000 80,000 TAC COL.DORSAL 100,000 20,000 80,000 TAC COL.LOMBAR 100,000 20,000 80,000 TAC COL.SACRO-COCCIGEA 100,000 20,000 80,000 TAC COLUNA 100,000 20,000 80,000 TAC CRANIO 80,000 16,000 64,000 TAC DA SELA TURCA 100,000 20,000 80,000 TAC DO APARELHO URINARIO ( URO- TC ) 130,000 26,000 104,000 TAC MANDIBULA 100,000 20,000 80,000 TAC MAXILAR 100,000 20,000 80,000 TAC MAXILO -FACIAL (INC ATM, MAXILAR SUP. E INF) 100,000 20,000 80,000 TAC MEMBRO INFERIOR DIREITO 100,000 20,000 80,000 TAC MEMBRO INFERIOR ESQUERDO 100,000 20,000 80,000 TAC MEMBRO SUPERIOR DIREITO 100,000 20,000 80,000 TAC MEMBRO SUPERIOR ESQUERDO 100,000 20,000 80,000 TAC MEMBROS 100,000 20,000 80,000 TAC ORBITA 100,000 20,000 80,000 TAC OUVIDO 88,000 17,600 70,400 TAC PELVICO 100,000 20,000 80,000 TAC PESCOCO 100,000 20,000 80,000 TAC RENAL 100,000 20,000 80,000 TAC SEIOS PERINASAIS 100,000 20,000 80,000 TAC TORAX 100,000 20,000 80,000 NEUROLOGIA V.PART DESC. V. PARCERIA ELECTROMIOGRAFIA 85,000 17,000 68,00 ELECTROMIOGRAFIA DUPLO (MEMBROS SUP E INF) 150,000 30,000 120,00