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| รายการจ้างเหมาบริการตรวจด้วยเครื่องสนามแม่เหล็กไฟฟ้า (MRI) จำนวน 86 รายการ | |||||
| ลำดับ | รหัสรายการ | รายการ | จำนวนราย | ราคารับจ้าง | จำนวนเงิน (บาท) |
| 1 | 45101 | MRI Brain | 350 | 4,000 | 1,400,000 |
| 2 | 45103 | MRA Brain | 30 | 3,100 | 93,000 |
| 3 | 45104 | MRI Hippocampus | 15 | 1,900 | 28,500 |
| 4 | 45105 | MRV Brain | 15 | 3,100 | 46,500 |
| 5 | 45106 | MRA Brain+neck (or carotid) | 65 | 5,700 | 370,500 |
| 6 | 45110 | MRI Pituitary gland | 30 | 4,100 | 123,000 |
| 7 | 45117 | MRI Vessel wall : Brain | 3 | 2,600 | 7,800 |
| 8 | 45118 | MRI Perfusion brain | 3 | 2,600 | 7,800 |
| 9 | 45118 | MRI Stroke | 3 | 2,600 | 7,800 |
| 10 | 45118 | MRI stroke fast track | 3 | 2,600 | 7,800 |
| 11 | 45118 | MRI stroke-carotid | 6 | 450 | 2,700 |
| 12 | 45119 | MRI Spectroscopy brain | 3 | 2,600 | 7,800 |
| 13 | 45120 | MRI Skull base (and/or cavernous sinus) | 10 | 4,200 | 42,000 |
| 14 | 45141 | MRI Whole spine | 10 | 8,300 | 83,000 |
| 15 | 45142 | MRI Spine : Screening whole spine | 25 | 2,200 | 55,000 |
| 16 | 45143 | MRI Spine : Cervical | 50 | 4,000 | 200,000 |
| 17 | 45144 | MRI Spine : Thoracic | 50 | 4,000 | 200,000 |
| 18 | 45145 | MRI Spine : Lumbosacral | 95 | 4,000 | 380,000 |
| 19 | 45146 | MRI Spine : Thoracolumbar junction | 3 | 4,000 | 12,000 |
| 20 | 45146 | MRI Whole body scan | 10 | 4,000 | 40,000 |
| 21 | 45147 | MRI Spine : Sacral | 10 | 4,000 | 40,000 |
| 22 | 45151 | MRA Spine : Cervical | 3 | 4,200 | 12,600 |
| 23 | 45152 | MRA Spine : Thoracic | 3 | 4,200 | 12,600 |
| 24 | 45153 | MRA spine : Lumbar | 3 | 4,200 | 12,600 |
| 25 | 45160 | MRI Brachial plexus | 3 | 7,300 | 21,900 |
| 26 | 45161 | MRI Lumbosacral plexus | 3 | 4,200 | 12,600 |
| 27 | 45170 | MRI CSF flow | 3 | 2,600 | 7,800 |
| 28 | 45171 | MRI Fiber tracking (DTI) brain | 3 | 2,600 | 7,800 |
| 29 | 45172 | MRI Fiber tracking (DTI) spinal cord | 3 | 2,600 | 7,800 |
| 30 | 45201 | MRI Temporomandibular joints | 3 | 4,200 | 12,600 |
| 31 | 45202 | MRI Face (including paranasal sinuses) | 3 | 4,200 | 12,600 |
| 32 | 45211 | MRI Orbits | 30 | 4,000 | 120,000 |
| 33 | 45220 | MRI Temporal bone (and/or internal acoustic canal) | 3 | 4,200 | 12,600 |
| 34 | 45244 | MRI Salivary gland | 3 | 4,200 | 12,600 |
| 35 | 45250 | MRA Neck (or carotid) | 7 | 3,100 | 21,700 |
| 36 | 45252 | MRI Neck | 3 | 4,000 | 12,000 |
| 37 | 45257 | MRI Vessel wall : Neck | 3 | 2,600 | 7,800 |
| 38 | 45258 | MRI Perfusion neck | 3 | 2,600 | 7,800 |
| 39 | 45262 | MRI (nasopharynx, oropharynx, larynx, thyroid gland) | 30 | 4,200 | 126,000 |
| 40 | 45301 | MRI Chest and/or mediastinum | 10 | 4,000 | 40,000 |
| 41 | 45302 | MRV Chest | 3 | 4,200 | 12,600 |
| 42 | 45310 | MRA Pulmonary arteries | 3 | 4,200 | 12,600 |
| 43 | 45401 | MRI Heart | 3 | 6,400 | 19,200 |
| 44 | 45402 | MRI Heart+perfusion | 3 | 9,600 | 28,800 |
| 45 | 45403 | MRI Heart CgHD/Cine | 3 | 9,600 | 28,800 |
| 46 | 45405 | MRI for iron assessment (cardiac) | 3 | 3,200 | 9,600 |
| 47 | 45410 | MRA Heart | 3 | 9,600 | 28,800 |
| 48 | 45418 | MRI Perfusion cardiac | 3 | 4,000 | 12,000 |
| 49 | 45420 | MRA Whole aorta | 3 | 7,800 | 23,400 |
| 50 | 45422 | MRA Thoracic aorta | 3 | 5,200 | 15,600 |
| 51 | 45423 | MRA Abdominal aorta | 3 | 5,200 | 15,600 |
| 52 | 45501 | MRI Upper abdomen | 88 | 4,000 | 352,000 |
| 53 | 45505 | MRV Upper abdomen | 3 | 5,200 | 15,600 |
| 54 | 45511 | MRCP (cholangiopancreaticography) | 75 | 2,000 | 150,000 |
| 55 | 45515 | MRI for iron/fat assessment (liver) | 3 | 2,100 | 6,300 |
| 56 | 45601 | MRI Lower abdomen (or pelvic cavity) | 30 | 4,000 | 120,000 |
| 57 | 45602 | MRI Urography | 3 | 6,200 | 18,600 |
| 58 | 45602 | MRI Urography ckd | 3 | 2,000 | 6,000 |
| 59 | 45603 | MRV Lower abdomen | 3 | 5,200 | 15,600 |
| 60 | 45613 | MRA Renal arteries | 10 | 5,200 | 52,000 |
| 61 | 45613 | MRA Renal arteries protocol ckd | 3 | 2,000 | 6,000 |
| 62 | 45640 | MRI Prostate gland | 30 | 4,200 | 126,000 |
| 63 | 45720 | MRI Shoulder Joint (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 64 | 45721 | MRI Arm (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 65 | 45722 | MRI Elbow joint (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 66 | 45723 | MRI Forearm (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 67 | 45724 | MRI Wrist joint (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 68 | 45725 | MRI Hand (1 side = 1 part) | 3 | 4,200 | 12,600 |
| 69 | 45750 | MRA Upper extremity (แขน 2 ข้าง) | 3 | 7,700 | 23,100 |
| 70 | 45751 | MRV Upper extremity (แขน 2 ข้าง) | 3 | 7,700 | 23,100 |
| 71 | 45752 | MRA Upper extremity (แขน 1 ข้าง) | 6 | 4,100 | 24,600 |
| 72 | 45753 | MRV Upper extremity (แขน 1 ข้าง) | 6 | 4,100 | 24,600 |
| 73 | 45760 | MRA Lower extremity (ขา 2 ข้าง) | 3 | 7,700 | 23,100 |
| 74 | 45761 | MRV Lower extremity (ขา 2 ข้าง) | 3 | 7,700 | 23,100 |
| 75 | 45762 | MRA Lower extremity (ขา 1 ข้าง) | 3 | 4,100 | 12,300 |
| 76 | 45763 | MRV Lower extremity (ขา 1 ข้าง) | 3 | 4,100 | 12,300 |
| 77 | 45780 | MRI Hip joint (1 side = 1 part) | 30 | 4,200 | 126,000 |
| 78 | 45781 | MRI Thigh (1 side = 1 part) | 30 | 4,200 | 126,000 |
| 79 | 45782 | MRI Knee joint (1 side = 1 part) | 25 | 4,100 | 102,500 |
| 80 | 45783 | MRI Leg (1 side = 1 part) | 25 | 4,200 | 105,000 |
| 81 | 45784 | MRI Ankle joint (1 side = 1 part) | 30 | 4,200 | 126,000 |
| 82 | 45785 | MRI Foot (1 side = 1 part) | 30 | 4,200 | 126,000 |
| 83 | 45901 | MR : Using gadolinium contrast media | 120 | 1,700 | 204,000 |
| 84 | 45904 | MR: Using gadobenate dimeglumine for liver MRI | 450 | 1,700 | 765,000 |
| 85 | 45905 | MR for navigator | 3 | 2,000 | 6,000 |
| 86 | 45022 | MRI + MRA +MAV | 40 | 9,000 | 360,000 |
| รวมทั้งสิ้น | 7,000,000 | ||||
034-240000-100