MEDICAL FEE SCHEDULE

N

 

Medical Assistance and Services

Medical Assistance and Service Fees Per Medical Fee Schedule Approved by the Services Provider

1.     

Infertility Diagnosis, Consultation and Treatment Course for Two Years

AMD 100.000

2.     

Replacement of Doctor-in-Charge

AMD 100.000

3.     

Gyniatrics

AMD 50.000

4.     

Hormone Treatment

AMD 50.000

5.     

Initial Consultation

AMD 10.000

6.     

Sonographic Examination /Folliculometry/

AMD 10.000

7.

Compatibility

AMD 10.000

8.

DEC (Diathermal Electrical Coagulation)

AMD 60.000

9.

Medical-Induced Abortion

AMD 25.000

10.

Contraceptive Coil Insertion 

AMD 30.000

11.

Cyst Puncture under Anesthesia

AMD 130.000

12.

PAP Test

AMD 7.000

13.

Semen Analysis

AMD 8.000

14.

MAR-Test /spermogram 

AMD 18.000

15.

Endometrial Biopsy

AMD 20.000

16.

Testicular Biopsy under Anesthesia

AMD 230.000

17.

Intramuscular Injection

AMD 1.000

18.

Intravenous Injection

AMD 2.000

19.

Drop-by-drop administration

AMD 3.000

20.

Immunization 1 time

AMD 20.000

21.

P.R.P.(serum enriched with plasma)

AMD 40.000

22.

PGT pre-implantation genetic testing + biopsy (one embryo) / RF

AMD 350.000   

23.

PGT pre-implantation genetic testing + biopsy (one embryo) / RA

AMD 270.000

24.

PGD M of multigenic disease complexity category 1 (one test)

Each embryo biopsy

AMD 1.000.000

+ AMD 180.000

25.

PGD M of multigenic disease complexity category 2 (second type) – regardless of the number of embryos (1 or 10) (Genetico)

Each embryo biopsy

AMD 1.733.000

+ AMD 180.000

26.

One donor ovum

AMD 250.000

27.

Two donor ovums

AMD 500.000

28.

Frozen 1 donor ovum

AMD 325.000

29.

Up to 4 donor ovums

AMD 1.000.000

30.

Ovum donor (medicine, test, remuneration)

AMD 1.500.000

31.

One embryo /received by one or two donor ovums + insertion/

AMD 650.000

32.

Embryo received by up to 4 donor ovums + insertion

AMD 1.150.000

33.

Provision of surrogate mother by the clinic

AMD 1.500.000

34.

Treatment and management of a surrogate mother provided by the patient

AMD 500.000

35.

Preparation of contracts for the use of assisted reproductive technologies (surrogate mother, assistance in civil registry offices)

 – known-related donor contracts

AMD 500.000

AMD 150 000

INTRAUTERINE INSEMINATION /IUI/

1.     

IUI preparation and treatments

AMD 100.000 

2.     

For IUI 1 test

AMD 70.000 

3.     

For 1 test with IUI donor sperm

AMD 90.000  /AMD 70.000+20.000 for donor sperm/

4.     

IUI 3+1 test

AMD 200.000   

5.     

For 4 tests with IUI donor sperm

IUI reiteration

AMD 280.000 /AMD 200.000+80.000 AMD for donor sperm/

45.000 AMD

6

IUI reiteration with donor sperm

AMD 65.000 AMD

IN VITRO FERTILIZATION /IVF/

1.     

Preparation and treatments

AMD 100.000 

2.     

Ovum collection by means of anesthesia

AMD 280.000 AMD

3.     

Ovum collection (anesthesia free)

AMD 230.000

4.     

Ovum insemination or ICSI method

AMD 350.000

5.     

Ovum/embryo cultivation

AMD 350.000

6.     

Embryo fresh insertion (ET)

AMD 100.000

7.     

Freezing ovum/embryo and 3-month storage, including 1 stick,

2nd stick and more՝ each

AMD 150.000

+ cost of one stick AMD 60.000

8.     

Freezing and insertion of ovum/embryo

AMD 150.000

9.     

Embryo storage monthly

AMD 10.000

10.  

Embryo storage annually

AMD 120.000

11.  

Embryo freezing and 1 month storage

AMD 25.000

12.  

Embryo storage monthly

AMD 5.000

13.  

Embryo storage annually

AMD 60.000

14.  

Pregnancy control and examination (1 trimester)

AMD 50.000

15.  

For the next / more than 10 ovaries obtained (P/P, sponsor, other program nurses/medical doctors)

AMD 100.000

16.  

Follicle washing

AMD 50.000

17.

IUI or IVF for foreign citizens

Pricelist fixed costs + 30%

OTHER SERVICES

1.

Ultrasound Examination of Chest and Lymph Nodes

AMD 10.000

2.

Ultrasound Examination of Thyroid Glands and Cervical Nodes 

AMD 8.000

3.

Fetus screening

AMD 15.000

4.

Multiple pregnancy screening

AMD 20.000

5.

Fetus Doppler

AMD 15.000

Pregnancy ultrasound examination (3-11 weeks)

AMD 10.000

6.

Ultrasound examination Complex (for other medical doctors)

AMD 25.000

7.

Folliculometry

AMD 10.000

8.

Ultrasound Complex

AMD 20.000

9.

Duplex V.V. and S.V.

AMD 25.000 

10.

Duplex V.V. or S.V.

AMD 15.000

11.

Great vessel

AMD 15.000

12.

3D/4D examination

AMD 17.000

13.

Ultrasound Examination of Pelvic Organs

AMD 10.000

14.

Doppler Examination of Scrotum Organs and Pelvic Organs

AMD 20.000

15.

Doppler Examination of Scrotum Organs 

AMD 10.000

16.

Ultrasound Examination of Abdominal Cavity

AMD 10.000

17.

Ultrasound Examination of Abdominal Cavity  and Pelvic Organs

AMD 15.000

18.

Ultrasound Examination of Abdominal Cavity and Chest

AMD 15.000

19.

Ultrasound Examination of Abdominal Cavity and Thyroid Glands

AMD 15.000

20.

Ultrasound Re-Examination within a Month’s Period

AMD 5.000

21.

Professional Medical Advice by Psychiatrist 

AMD 10.000

COMPLEX SERVICES

1.

In vitro fertilization + diagnostics (female, male) in FertiLab

AMD 1 826 500 /IVF – AMD 1 430 000 +  diagnostics – AMD 396 500/

2.

In vitro fertilization /ICSI+ medicine

AMD 2160.000 /IVF – AMD 1 430 000 + medicine 730 000/ 

3.

In vitro fertilization + medicine + diagnostics

 AMD 2 556 500  AMD/IVF 1 430 000 + AMD 730 000 medicine + AMD 396 500 diagnostics


General Clinical Examinations

CBC+DIF+ESR

General blood test + leukoformula + ESR

3.000 AMD

CBC+DIF

Leukoformula microscopic examination

2.000 AMD

ESR

ESR (Erythrocyte sedimentation rate)

1.000 AMD

Clinical urine analysis

2.000 AMD

Urinary sediment microscopic examination

2.000 AMD

(ABO+RH)

Blood type and Rhesus factor

2.000 AMD

PAP smear

7.000 AMD

PAP smear (liquid cytology)

14.000 AMD

Spermogram (Sperm microscopic examination)

8.000 AMD

Genitourinary tract examination

3.000 AMD

Helminthiasis

4.000 AMD

Coprogram

5.000 AMD

Demodicosis

5.000 AMD

Biochemical examinations

TP

Total protein

1.500 AMD

ALB

Albumin

1.500 AMD

CLUC

Glucose

1.500 AMD

CHOL

Cholesterol

1.500 AMD

TG

Triglycerides

1.500 AMD

HDL-C

High-density lipoproteins

1.500 AMD

LDL-C

Low density lipoproteins

2.000 AMD

BIL-T+ BIL- D

Bilirubin total and direct

3.000 AMD

AST

Aspartate aminotransferase

1.500 AMD

ALT

Alanine aminotransferase

1.500 AMD

GGT

Gamma – glutamyltransferase

1.500 AMD

LDH

Lactate dehydrogenase

1.500 AMD

ALP

Basic phosphatase

1.500 AMD

UREA

Urea

1.500 AMD

GREA

Creatinine

1.500 AMD

AMIL

Alpha-amilase

2.000 AMD

UA

Uric acid

1.500 AMD

Mg

Magnesium

1.500 AMD

P

Phosphorus

1.500 AMD

Ca Total

Calcium total

1.500 AMD

Electrolytes

Na+, K+, Ca++

Ion calcium, sodium, potassium

4.000 AMD

Coagulability factors

6.500 AMD

PT, % INR

Prothrombin hour, index, INR

1.500 AMD

TT

Thrombin time

1.500 AMD

aPTT

Active partial thrombin time

1.500 AMD

Fg

Fibrinogen

2.000 AMD

AT III

Antithrombin III

5.000 AMD

Homocysteine

Homocysteine

14.000 AMD

D-Dimer

D-Dimer

8.000 AMD

LA

Lupus anticoagulant

8.000 AMD

CRP

C-reactive protein

2.000 AMD

RF

Rheumatoid factor

3.000 AMD

ASL-0

Antistreptolysin – 0

3.000 AMD

Anti-CCP

Citrulline cyclic peptide antibodies

10.000 AMD

Diabetes factors

C-Peptide

C – peptide

7.000 AMD

Insulin

Insulin

7.000 AMD

НbА1С

Glycosylated hemoglobin

5.000 AMD

HOMA-IR

Insulin resistance index

9.000 AMD

Anemia factors

Ferritin

Ferritin

5.000 AMD

Vit B12

Vitamin B12

8.000 AMD

Folic acid

Folic acid

8.000 AMD

Iron

Iron

2.000 AMD

Bone factors

VitD

Vitamin D

12.000 AMD

PTH

Parathyroid hormone

7.500 AMD

Thyroid hormones

T4

6.000 AMD

FT 4

Free thyroxine

6.000 AMD

T3

Triiodothyronine

6.000 AMD

fT3

Free triiodothyronine

6.000 AMD

TSH

Thyroid hormone

6.000 AMD

Anti-TPO

Thyroperoxidase antibodies

7.000 AMD

Anti-TG

Thyroglobulin antibodies

6.000 AMD

Hormonal tests

LH

Luteinizing hormone

6.000 AMD

FSH

Follicle-stimulating hormone

6.000 AMD

PRL

Prolactin

6.000 AMD

PROG

Progesterone

6.000 AMD

DHEA-S

Dehydroepiandrosterone-sulfate

6.500 AMD

fTEST

Testosterone free

8.000 AMD

TEST

Testosterone

6.000 AMD

E2

Estradiol

6.000 AMD

17 OH P

170H Progesterone

6.000 AMD

Cortisol

Cortisol

7.000 AMD

АМН

Antimullerian hormone

13.000 AMD

PAPP-A

Pregnancy-related plasma protein A

10.000 AMD

Free B-HCG

Free human chorionic gonadotropin

8.000 AMD

B-HCG

Human chorionic gonadotropin

6.000 AMD

Autoimmune tests

Anti-Phospholipidis

Antiphospholipid antibodies

IgM

7.500 AMD

IgG

7.500 AMD

Anticardiolipin

Anticardiolipin antibodies

IgM

7.500 AMD

IgG

7.500 AMD

ANA

Antinuclear antibodies

7.500 AMD

А-Sperm AB

Antisperm antibodies

7.500 AMD

Tumor factors

AFP

Alpha-fetoprotein

7.000 AMD

T-PSA

Prostate specific antigen general

6.000 AMD

CA15-3

Tumor antigen 15-3

7.500 AMD

CA19-9

Tumor antigen 19-9

7.500 AMD

ROMA

CA125

Tumor antigen 125

7.500 AMD

He4

Ovarian epithelial tumor marker

7.500 AMD

CEA

Carcinoembryonic antigen

7.500 AMD

TG

Thyroglobulin

10.000 AMD

CTN

Calcitonin

12.000 AMD

Antibodies to Infections

HSV II IgM

Herpes virus – 2 IgM antibodies

6.000 AMD

HSV I IgG

Herpes virus – 1 IgG antibodies

6.000 AMD

HSV II IgG

Herpes virus – 2 IgG antibodies

6.000 AMD

CMV IgM

Cytomegalovirus IgM antibodies

6.000 AMD

CMV IgG

Cytomegalovirus IgG antibodies

6.000 AMD

CMV avidity

Cytomegalovirus avidity

15.000 AMD

TOXO IgM

Toxoplasma IgM antibodies

6.000 AMD

TOXO IgG

Toxoplasma IgG antibodies

6.000 AMD

TOXO avidity

Toxoplasma avidity

15.000 AMD

Rubella

Measles common antibodies (IgM, lgG1, lgG2)

7.000 AMD

CHLTR IgA

Chlamydia IgA antibodies

6.000 AMD

CHLTR IgM

Chlamydia IgM antibodies

6.000 AMD

CHLTR IgG

Chlamydia IgG antibodies

6.000 AMD

Urea/Myco Ag

Ureaplasma / Mycoplasma antigen, sensitivity to antibiotics

15.000 AMD

Brucella

Common antibodies to brucellosis / Raya Khedelson /

5.000 AMD

RPR

Antibodies to syphilis

3.000 AMD

TPHA

Treponema Pallidum (Syphilis) antibodies

5.000 AMD

HBsAg

Hepatitis B antibody (qualitative)

6.000 AMD

HBsAg rapid

Hepatitis B Antigen (Express Test)

4.000 AMD

Anti HCV

Hepatitis C common antibodies

8.000 AMD

Anti HCV rapid

Common Hepatitis C Antibodies (Express Test)

4.000 AMD

HIV Ag+At

Human Immunodeficiency Virus (24 antibodies / antibodies)

8.000 AMD

HIV Ag+At 4gen, rapid

Human Immunodeficiency Virus (24 Antibodies / Antibody) (Express Test)

5.000 AMD

SARS-COV-2

New coronavirus IgM, IgG antibodies

10.000 AMD

SARS-COV-2

Rapid

New Coronavirus Antigen Detection (Express Test)

15.000 AMD

SARS-COV-S

Coronavirus Spike protein antibodies

15.000 AMD

Sperm MAR-Test  igA

IgA class antisperm antibodies

18.000 AMD

Spermac Stain

Sperm morphological examination

20.000 AMD

Vital Screen

Sperm viability determination

20.000  AMD

DNK – fragmentation

Sperm DNA fragmentation

60.000  AMD

EPIScreen

@-Glucosidase in semen

10.000 AMD

Fructose test

Fructose in semen

10.000 AMD

Citric acid test

Citric acid in semen

6.000 AMD

Beta 2- Glyc 1 IgM

Anti-Cbeta 2 Glycoprotein 1 IgM

10.000 AMD

Beta 2- Glyc 1 IgG

Anti-beta 2 Glycoprotein 1 IgG

10.000 AMD

FSHB polipeptide

FSH protein mutation

10.000 AMD

LHB polipeptide

Mutation of LH gene protein

10.000 AMD

BRCA (1+2)

BRCA (l + 2) 8 mutations

25.000 AMD

CFTR genes

Mucoviscidosis 13 mutations

35.օօօ AMD

CFTR genes

Examination of 13 exocytes for mucoviscidosis

(Almost all mutations are detected in 75% of cases)

 

QF ТВ Gold Plus

Pulmonary and extracorporeal tuberculosis test

 

Exome Plus

Pregnancy preparation (exom DNA sequence)

1 person

365.000 AMD

Couple

700.000 AMD

NIPT

Down, Edwards, Patau Syndrome (Trisomy 21.18.13)

235.000  AMD

B

Down, Edwards, Patau syndrome Trisomy 21.18.13+ Y chromosome detection

250.000  AMD

C

B + syndrome Turner, Kleinfelter, Jacobs, XXYY, X chromosome trisomy

265.000  AMD

D

C + Syndrome Di Dorsch, Smith ֊ Magna Wolfa Khirschhorn, 1b 36 deletion

285.000  AMD

FMF (13 mutation)

Diagnostics of recurrent disease – 13 mutations

40.000 AMD

FMF (26 mutation)

Diagnostics of recurrent disease 26 mutations

60.000  AMD

FXS

(Fragile X syndrome)

Fragile X chromosome syndrome, 99% detection

230.000  AMD

Fetal karyotype examination in oral fluid

70.000 AMD

Fetal karyotype examination in umbilical cord blood cells

45.000 AMD

Amniotic fluid + chorionic + abortion by FISH method

Aneuploidies (13,18,21, x / y) in fetal, seminal fluid, FISH

50.000 AMD

Amniotic fluid + chorion + abortion

Aneuploidies (13,18,21, x / y) in fetal, amniotic fluid FISH + karyotype

120.000 AMD

Microdelections of Williams, Prader-Willie, Angelman, Di-Jorshi, FISH

Each

35.000 AMD

IVF profiles

 

IVF profile

Female

283.500 AMD

Male

106.000 AMD

IVF profile (free of charge)

Female

93.200 AMD

Male

38.550 AMD

Donor

Female

174.500 AMD

Male

106.000 AMD

Surrogate mother

183.500 AMD

PCR test

HCV

Qualitative examination of hepatitis C RNA

10.000 AMD

HBV

Qualitative examination of hepatitis B

8.000 AMD

HPV Screening

Papilloma virus (16,18,31,33,35,45,51,52,56,58,59)

12.000 AMD

HPV 16,18

Papilloma virus (16,18,)

6.000 AMD

TOXO G

Toxoplasma gondii

7.000 AMD

HSV l/.ll

Herpes virus I / II

6.000 AMD

CMV

Cytomegalovirus

6.000 AMD

Chlamydia tr.

Chlamydia trachomatis

6.000 AMD

Ureoplasma ur

Ureaplasma in ureolithic

6.000 AMD

Mycoplasma h..

Mycoplasma hominis

6.000 AMD

Mycoplasma g.

Mycoplasma zenitalis

6.000 AMD

N. gonorrhea

Neisseria gonorrhea

6.000 AMD

Trichomonas v.

Trichomonas vaseline

6.000 AMD

Cand. albicans

Candida albicans

6.000 AMD

Gardnerella v.

Gardnerella vaseline

6.000 AMD

Вас vaginose

Bacterial vaginosis (Gard.v.,, Atob.v.Lactobact.spp)

12.000  AMD

MIC

Mycoplasmas (Mh,.Up, Uu)

12.000  AMD

Cand

Candida fungi (C, alb. C.glab, C.kru, C. parap / trop)

12.000 AMD

Florocenosis

Fluorocenosis – examination of the vaginal flora

25.000 AMD

Androcenosis

Androcenog – examination of the urogenital flora

25.000 AMD

Hereditary disease factors

Thrombophilia 8

F II. F V. F VII, PAI-1, ITGA2, ITGB3 FBG, F13A

25.000 AMD

Thrombophilia 3

F II, FV. PAI-1,

12.000 AMD

Thrombophilia 2

F II, F V,

8.000 AMD

Folate metabolism

MTHFR, MTR, MTRR

15.000 AMD

Folate metabolism

MTHFR 1, MTR, MTRR, MTHFR 2

20.000 AMD

AZF

Y gene microdeletions

20.000 AMD

GFTR

Bilateral obstruction of the seminal vesicles

55.000 AMD

Genetic examinations

Karyotyping

40.000 AMD

Microbiological examinations of biomaterials

Urinary smear, ejaculate

9.000 AMD

Vaginal smear

9.000 AMD

Feces analysis

7.500 AMD

Feces dystosis test

9.000 AMD

Urine

8.000 AMD

Smear examination: nose, throat, eyes, gums, tongue, ears

7.500 AMD

Skin

4.000 AMD

Nail

4.000 AMD

FROPT

Troponin S

6.000 AMD