|
|
|
|
|
|
| NOME DO EXAME |
Cód. Tab AMB |
Qte. CH |
Valor Exame |
| ÁCIDO CÍTRICO |
28.01.003-5 |
14 |
R$ 3,64 |
| ACIDO FOLICO |
28.01.006-0 |
85 |
R$ 22,10 |
| ACIDO URICO |
28.01.017.5 |
14 |
R$ 3,64 |
| ACIDO VANIL MANDELICO |
28.05.001.0 |
100 |
R$ 26,00 |
| ALA-U |
28.15.001.5 |
30 |
R$ 7,80 |
| ALBUMINA |
28.01.124.4 |
15 |
R$ 3,90 |
| ALFAFETOPROTEINA |
28.01.021.3 |
125 |
R$ 32,50 |
| AMILASE |
28.01.025.6 |
14 |
R$ 3,64 |
| ANDROSTENEDIONA |
28.05.006.1 |
160 |
R$ 41,60 |
| ANTIC ANTI HIV 1+2 |
28.06.117.9 |
150 |
R$ 39,00 |
| ANTIC ANTINUCLEARES-FAN |
28.06.014.6 |
30 |
R$ 7,80 |
| ANTI-MICROSSOMAL |
28.06.016.4 |
105 |
R$ 27,30 |
| ANTI-TIREOGLOBULINAS |
28.06.015.6 |
105 |
R$ 27,30 |
| ANTIC INIBIDOR DO TSH-TRAB |
28.05.070.3 |
85 |
R$ 22,10 |
| ANTIC IRREGULARES-COOMBS INDIRETO |
28.04.098.8 |
40 |
R$ 10,40 |
| ANTIG PROSTATICO ESPECIFICO-PSA |
28.06.162.4 |
150 |
R$ 39,00 |
| ANTESTREPTOLISINA ''O''/AEO/ASLO |
28.06.018.0 |
20 |
R$ 5,20 |
| B.A .A .R (ZIHEL) |
28.10.00.93 |
15 |
R$ 3,90 |
| BILIRRUBINAS TOTAIS E FRACIONARIOS |
28.01.029.9 |
15 |
R$ 3,90 |
| BIOPSIA SIMPLES (CADA) |
21.01.002.1 |
140 |
R$ 36,40 |
| BRUCELOSE -SORO AGLUTINACAO |
28.06.027.0 |
17 |
R$ 4,42 |
| CALCIO IONICO |
28.01.033.7 |
40 |
R$ 10,40 |
| CALCIO (SANGUE OU URINA) |
28.01.032.9 |
14 |
R$ 3,64 |
| CACULO URINARIO |
28.13.012.0 |
30 |
R$ 7,80 |
| CAPACIDADE DE LIGACAO DO FERRO |
28.01.034.4 |
14 |
R$ 3,64 |
| CARBAMAZEPINA |
28.01.035.3 |
150 |
R$ 39,00 |
| CARDIOLIPINA IGG/IGM (CADA) |
28.06.178.0 |
80 |
R$ 20,80 |
| CELULAS L.E- PESQUISA |
28.04.011.2 |
80 |
R$ 20,80 |
| CEA- ANTIGENO CARCIOEMBRIONARIO |
28.06.022.9 |
190 |
R$ 49,40 |
| CHAGAS-HEMOAGLUTINACAO |
28.06.032.6 |
90 |
R$ 23,40 |
| CHLAMYDIA-CULTURA |
28.10.014.0 |
90 |
R$ 23,40 |
| CHLAMYDIA IGG IFI |
28.1.014.0 |
90 |
R$ 23,40 |
| CHLAMYDIA IGM IFI |
28.10.014.0 |
90 |
R$ 23,40 |
| CHUMBO DOSAGEM |
28.15.012.0 |
80 |
R$ 20,80 |
| CITOMEGALOVIRUS IGG |
28.05.037.7 |
67 |
R$ 17,42 |
| CITOMEGALOVIRUS IGM |
28.06.037.7 |
67 |
R$ 17,42 |
| CITOLOGICO/PREVENTIVO |
21.01.005.6 |
70 |
R$ 18,20 |
| CLEARENCE DE CREATININA |
28.01.042.6 |
25 |
R$ 6,50 |
| CLORO OU CLORETOS |
28.01.046.9 |
14 |
R$ 3,64 |
| COAGULOGRAMA COMPLETO |
28.04.013.9 |
60 |
R$ 15,60 |
| COBRE SANGUE OU URINA |
28.15.028.7 |
120 |
R$ 31,20 |
| COLESTEROL TOTAL |
28.01.050.7 |
14 |
R$ 3,64 |
| COLESTEROL FRACIONADO |
|
0 |
R$
- |
| COLESTEROL HDL |
28.01.049.3 |
30 |
R$ 7,80 |
| COOMBS DIRETO |
28.04.015.5 |
20 |
R$ 5,20 |
| COOMBS INDIRETO |
28.04.098.8 |
40 |
R$ 10,40 |
| COPROCULTURA |
28.10.023.9 |
60 |
R$ 15,60 |
| CORTISOL |
28.05.014.2 |
75 |
R$ 19,50 |
| CORTISOL LIVRE |
28.05.014.2 |
75 |
R$ 19,50 |
| CPK- CREATINOFOSFOQUISE |
28.01.055.8 |
50 |
R$ 13,00 |
| CREATININA |
28.01.054.0 |
14 |
R$ 3,64 |
| CRIOAGLUTININAS -PESQUISA |
28.06.042.3 |
14 |
R$ 3,64 |
| CRIOGLOBULINAS-PESQUISA |
28.06.041.5 |
14 |
R$ 3,64 |
| CULTURA COM ANTIBIOGRAMA |
28.10.058.1 |
50 |
R$ 13,00 |
| CULTURA - BAAR |
28.10.068.9 |
70 |
R$ 18,20 |
| CULTURA PARA CHLAMYDIA |
28.10.013.1 |
90 |
R$ 23,40 |
| CULTURA PARA FUNGOS 940 DIAS) |
28.10.027.1 |
50 |
R$ 13,00 |
| CULTURA PARA MYCOPLAMA |
28.10.043.3 |
67 |
R$ 17,42 |
| CULTURA PARA TRICHOMONAS |
28.10.046.8 |
40 |
R$ 10,40 |
| CULTURA PARA UREAPLASMA |
28.10.043.3 |
67 |
R$ 17,42 |
| CURVA DE TOLERANCIA A GLICOSE (2 DIAS ) |
CONSULTAR |
0 |
R$
- |
| CURVA DE TOLERANCIA A GLICOSE (3 DIAS ) |
CONSULTAR |
0 |
R$
- |
| CURVA DE TOLERANCIA A GLICOSE (4 HORAS) |
CONSULTAR |
0 |
R$
- |
| CURVA DE TOLERANCIA A GLICOSE (5 HORAS ) |
CONSULTAR |
0 |
R$
- |
| DEHIDROEPIANDRONDROSTERONA -DHEA |
28.05.021.5 |
110 |
R$ 28,60 |
| DEHIDROEPIANDRONDROSTERONA -SULFATO -SDHEA |
28.05.022.3 |
110 |
R$ 28,60 |
| DEHIDROGENASE -LDH |
28.01.065.5 |
30 |
R$ 7,80 |
| DEFENILHIDANTOINA/FENITOINA/HIDANTOINA |
28.01.075.2 |
150 |
R$ 39,00 |
| DISMORFISMO ERITROCITARIO -HEMACIAS DISMORFICAS |
28.13.047.2 |
20 |
R$ 5,20 |
| DREPANOCITOS |
28.04.019.8 |
10 |
R$ 2,60 |
| ELETROFORESE DE COLESTEROL |
CONSULTAR |
0 |
R$
- |
| ELETROFORESE DE HEMOGLINA |
28.04.043.0 |
40 |
R$ 10,40 |
| ELETROFORESE DE PROTEINAS |
28.01.073.6 |
40 |
R$ 10,40 |
| ELETROFORESE DE LIPROTEINAS |
28.01.072.8 |
40 |
R$ 10,40 |
| EPF (FEZES PARASITOLOGICO) |
28.03.014.1 |
20 |
R$ 5,20 |
| EPSTEIN BAAR IGG |
28.06.009.1 |
60 |
R$ 15,60 |
| EPSTEIN BAAR IGM |
28.06.135.7 |
150 |
R$ 39,00 |
| ERITROGRAMA |
28.04.018.0 |
20 |
R$ 5,20 |
| ESPERMOGRAMA |
28.02.002.2 |
40 |
R$ 10,40 |
| ESQUISTOSSOMOSE IFI |
28.06.094.6 |
27 |
R$ 7,02 |
| ESTRADIOL E2 |
28.05.024.0 |
100 |
R$ 26,00 |
| ESTRIOL -E3 |
28.05.025.8 |
110 |
R$ 28,60 |
| ESTRONA -E1 |
28.05.030.4 |
100 |
R$ 26,00 |
| EXAME DE FRESCO (SECRECAO) |
28.10.001.8 |
14 |
R$ 3,64 |
| FAN-FATOR ANTINUCLEAR (HEP-2) |
28.06.014.8 |
30 |
R$ 7,80 |
| FATOR REMATOIDE -LATEX |
28.06.050.4 |
20 |
R$ 5,20 |
| FATOR RH -COM OU SEM Du |
28.01.148.1 |
15 |
R$ 3,90 |
| FENILALANINA-PKU |
28.01.148.1 |
50 |
R$ 13,00 |
| FENILCETONURIA PESQUISA (URINA) |
28.13.019.7 |
15 |
R$ 3,90 |
| FENOBARBITAL |
28.01.076.0 |
150 |
R$ 39,00 |
| FENOL URINARIO |
28.15.014.7 |
60 |
R$ 15,60 |
| FERRO SERICO |
28.01.080.9 |
18 |
R$ 4,68 |
| FERRITINA |
28.01.079.5 |
125 |
R$ 32,50 |
| FEZES PARASITOLOGICO |
28.03.014.1 |
20 |
R$ 5,20 |
| FEZES PARASITOLOGICO
(MIF) |
28.03.015.0 |
20 |
R$ 5,20 |
| FIBRINOGENIO |
28.04.033.3 |
20 |
R$ 5,20 |
| FOSAFATASE ACIDA PROSTATICA |
28.01.084.1 |
50 |
R$ 13,00 |
| FOSFATASE ACIDA TOTAL |
28.01.082.5 |
27 |
R$ 7,02 |
| FOSFATASE ALCALINA |
28.01.085.0 |
18 |
R$ 4,68 |
| FOSFORO |
28.01.089.2 |
14 |
R$ 3,64 |
| FRUTOSAMINA (PROTEINA GLICOSILADA) |
28.01.155.4 |
45 |
R$ 11,70 |
| FSH |
28.05.031.2 |
65 |
R$ 16,90 |
| FTA -ABS -(QUATITATIVO) |
28.06.052.0 |
30 |
R$ 7,80 |
| FUNGOS -RASPADO E PESQUISA |
28.10.028.0 |
20 |
R$ 5,20 |
| GAMA -GT |
28.01.095.7 |
20 |
R$ 5,20 |
| GLICEMIA POS DEXTRSOL |
28.01.156.2 |
30 |
R$ 7,80 |
| GLICO -HEMOGLOBINA |
28.01.102.3 |
45 |
R$ 11,70 |
| GLICOSE |
28.01.097.3 |
14 |
R$ 3,64 |
| GRAM / ZIEHL |
28.10.009.3 |
15 |
R$ 3,90 |
| GRUPO SANGUINEO / FATOR RH |
28.04.035.0 |
15 |
R$ 3,90 |
| HAV IGG - ANTI |
28.06.010.5 |
100 |
R$ 26,00 |
| HAV IGM - ANTI |
28.06.011.3 |
120 |
R$ 31,20 |
| HBC IGG - ANTI |
28.06.006.7 |
100 |
R$ 26,00 |
| HBC IGM - ANTI |
28.06.119.5 |
120 |
R$ 31,20 |
| HBE - AG |
28.06.023.7 |
100 |
R$ 26,00 |
| HBE - ANTI |
28.06.007.5 |
100 |
R$ 26,00 |
| HBS - ANTI |
28.06.008.3 |
80 |
R$ 20,80 |
| HBS - AG |
28.06.021.3 |
70 |
R$ 18,20 |
| HCV - ANTI |
28.06.165.9 |
200 |
R$ 52,00 |
| HCV - ANTI -IGG |
CONSULTAR |
305 |
R$ 79,30 |
| HCV -ANTI -IGM |
CONSULTAR |
500 |
R$ 130,00 |
| HCG |
28.05.034.7 |
65 |
R$ 16,90 |
| HCG - QUANTITATIVO |
28.05.034.7 |
65 |
R$ 16,90 |
| HDV - ANTI |
28.06.116.0 |
200 |
R$ 52,00 |
| HEMOGRAMA COMPLETO |
28.04.048.1 |
30 |
R$ 7,80 |
| HEMOSSEDIMENTACAO (VHS) |
28.04.049.0 |
10 |
R$ 2,60 |
| HEMOGLOBINA A2 |
28.04.093.7 |
40 |
R$ 10,40 |
| HEMOGLOBINA FETAL |
28.04.047.3 |
14 |
R$ 3,64 |
| HERPES VIRUS SIMPLES
I E II (ELISA) |
28.06.137.3 |
100 |
R$ 26,00 |
| HERPES VIRUS SIMPLES
I E II IGM (ELISA) |
28.06.138.1 |
120 |
R$ 31,20 |
| HERPES VIRUS SIMPLES
I E II (IMUNOF) |
28.06.137.3 |
100 |
R$ 26,00 |
| HERPES VIRUS SIMPLES
I E II IGM (IMUNOF) |
28.06.138.1 |
120 |
R$ 31,20 |
| HEV - ANTI (HEPATITE E - ELISA) |
28.06.023.7 |
100 |
R$ 26,00 |
| HGH - ( HORMONIO DO CRESCIMENTO ) |
28.05.016.9 |
90 |
R$ 23,40 |
| HIV 1 E2 (2 METODOS ) |
28.06.0169.1 |
150 |
R$ 39,00 |
| HIV (WESTEN BLOT )
CONFIRMATORIO |
28.06.152.7 |
700 |
R$ 182,00 |
| HLA - B27 |
28.06.024.5 |
67 |
R$ 17,42 |
| HOMOCISTEINA
(HPLC) |
28.13.024.3 |
15 |
R$ 3,90 |
| IGE TOTAL |
28.06.060.1 |
70 |
R$ 18,20 |
| IGE ESPECIFICO |
28.06.060.1 |
70 |
R$ 18,20 |
| IGE ALERGENOS INALANTES |
28.06.060.1 |
70 |
R$ 18,20 |
| IGE MULTIPLO |
28.06.060.1 |
70 |
R$ 18,20 |
| IMUNOGLOBULINAS IGA |
28.06.059.8 |
50 |
R$ 13,00 |
| IMUNOGLOBULINAS IGG |
28.06.061.0 |
50 |
R$ 13,00 |
| IMUNOGLOBULINAS IGM |
28.06.062.8 |
50 |
R$ 13,00 |
| IST ( INDICE DE SATURACAO TRANSFERRINA |
28.01.138.4 |
60 |
R$ 15,60 |
| INSULINA |
28.05.035.5 |
55 |
R$ 14,30 |
| LATEX |
28.06.050.4 |
20 |
R$ 5,20 |
| LEUCOGRAMA |
28.04.053.8 |
20 |
R$ 5,20 |
| LEISHMANIOSE CANINA / HUMANA - CASA |
28.06.069.5 |
30 |
R$ 7,80 |
| LH |
28.05.038.0 |
65 |
R$ 16,90 |
| LIPASE |
28.01.108.2 |
15 |
R$ 3,90 |
| LIPEDES TOTAIS |
28.01.109.0 |
10 |
R$ 2,60 |
| LIPOGRAMA |
28.01.110.4 |
70 |
R$ 18,20 |
| LITIO |
28.01.111.2 |
20 |
R$ 5,20 |
| MACHADO GUERREIRO |
28.06.033.4 |
30 |
R$ 7,80 |
| MAGNESIO |
28.01.112.0 |
16 |
R$ 4,16 |
| MICROALBUMINURIA |
28.13.045.6 |
100 |
R$ 26,00 |
| MICROSSOMOL - ANTI TPO |
28.05.070.3 |
85 |
R$ 22,10 |
| MONOTEST |
28.06.080.6 |
20 |
R$ 5,20 |
| MUCOPROTREINAS |
28.01.113.9 |
15 |
R$ 3,90 |
| MYCOPLASMA CULTURA |
28.10.043.3 |
67 |
R$ 17,42 |
| 17 OH PROGESTERONA |
28.05.041.0 |
105 |
R$ 27,30 |
| PARASITOLOGICO - FEZES |
28.03.014.1 |
20 |
R$ 5,20 |
| PARATORMONIO - PTH |
28.05.075.4 |
200 |
R$ 52,00 |
| PAUL BUNNEL - DAVIDSOHN - REACAO |
28.06.083.0 |
27 |
R$ 7,02 |
| PEPTIDEO - C |
28.01.168.6 |
125 |
R$ 32,50 |
| PIOCITOS OU EOSINFILOS - PESQUISA |
28.03.004.4 |
10 |
R$ 2,60 |
| P.P.D |
28.06.084.9 |
20 |
R$ 5,20 |
| PLAQUETAS |
28.04.056.2 |
10 |
R$ 2,60 |
| POTASSIO |
28.01.121.0 |
14 |
R$ 3,64 |
| PROGESTERONA |
28.05.041.0 |
105 |
R$ 27,30 |
| PROLACTINA |
28.05.043.6 |
85 |
R$ 22,10 |
| PROTEINA C REATIVA - PCR |
28.06.086.5 |
67 |
R$ 17,42 |
| PROTEINA GLICOSILADA - FRUTOSAMINA |
28.01.155.4 |
45 |
R$ 11,70 |
| PROTEINAS TOTAIS |
28.01.160.0 |
14 |
R$ 3,64 |
| PROTEINAS TOTAIS E FRACOES |
28.01.124.4 |
15 |
R$ 3,90 |
| PROTEINURIA (12 OU 24 HORAS) |
28.13.031.6 |
10 |
R$ 2,60 |
| PSA TOTAL |
28.06.162.4 |
150 |
R$ 39,00 |
| PSA TOTAL / LIVRE |
28.06.162.4 |
150 |
R$ 39,00 |
| PTH - PARATORMONIO -RIE |
28.05.075.4 |
200 |
R$ 52,00 |
| PT ( TEMPO DE PROTOMBINA ) |
28.04.073.2 |
15 |
R$ 3,90 |
| PTT (TEMPO DE TRMBOPLASTINA PARCIAL) |
28.04.079.1 |
15 |
R$ 3,90 |
| RETICULOCITOS |
28.04.066.0 |
10 |
R$ 2,60 |
| RETRACAO DO COAGULO |
28.04.067.0 |
10 |
R$ 2,60 |
| RUBEOLA IGG (ELISA) |
28.06.091.1 |
60 |
R$ 15,60 |
| RUBEOLA IGM (E;ISA) |
28.06.090.3 |
120 |
R$ 31,20 |
| SANGUE OCULTO NAS FEZES |
28.03.017.6 |
10 |
R$ 2,60 |
| SCHISTOSSOMOSE IFI |
28.06.094.6 |
27 |
R$ 7,02 |
| SCHISTOSSOMOSE / ITRADERMO REACAO |
28.06.094.6 |
27 |
R$ 7,02 |
| SODIO |
28.01.127.9 |
14 |
R$ 3,64 |
| T- CRUZZI ELISA / HEMOAGLUTINACAO |
28.06.031.8 |
30 |
R$ 7,80 |
| T- CRUZZI IGG (IFI) |
28.06.031.8 |
30 |
R$ 7,80 |
| T- CRUZZI IGM (IF) |
28.06.031.8 |
30 |
R$ 7,80 |
| TEMPO DE SANGRIA E COAGULACAO |
28.04.076.7 |
10 |
R$ 2,60 |
| TESTOSTERONA TOTAL |
28.05.069.0 |
105 |
R$ 27,30 |
| TESTOSTERONA LIVRE |
28.05.077.0 |
150 |
R$ 39,00 |
| TGO |
28.01.136.8 |
14 |
R$ 3,64 |
| TGP |
28.01.137.6 |
14 |
R$ 3,64 |
| TIREOGLOBULINA |
28.05.080.0 |
14 |
R$ 3,64 |
| TIREOGLOBULINA - ANTI |
28.06.015.6 |
105 |
R$ 27,30 |
| TOXOPLASMOSE IGG (IF) |
28.06.149.7 |
80 |
R$ 20,80 |
| TOXOPLASMOSE IGM (IFI) |
28.06.149.7 |
80 |
R$ 20,80 |
| T3 LIVRE |
28.05.082.7 |
85 |
R$ 22,10 |
| T3 RETENCAO |
31.12.040.7 |
55 |
R$ 14,30 |
| T3 REVERSO |
28.05.078.9 |
195 |
R$ 50,70 |
| T4 LIVRE |
28.05.072.0 |
85 |
R$ 22,10 |
| T4 NEO - NATAL |
28.05.071.1 |
65 |
R$ 16,90 |
| T4 TOTAL |
28.05.071.1 |
65 |
R$ 16,90 |
| TSH NEO - NATAL |
28.05.070.3 |
85 |
R$ 22,10 |
| TSH |
28.05.070.3 |
85 |
R$ 22,10 |
| TSH APOS TRH |
28.05.070.3 |
85 |
R$ 22,10 |
| TRH AMPOLA |
CONSULTA |
|
R$
- |
| TRAB - ANTICORPOS INIBIDOR DO TSH |
28.05.070.3 |
85 |
R$ 22,10 |
| TRANSFERRINA |
28.01.138.4 |
60 |
R$ 15,60 |
| TREPONEMA IGG (IF) = FTA-ABS |
28.10.051.4 |
20 |
R$ 5,20 |
| TRICICLOS ANTIDEPRESSIVOS |
28.01.165.1 |
70 |
R$ 18,20 |
| TRIGLICERIDES |
28.01.139.2 |
20 |
R$ 5,20 |
| UREIA |
28.01.141.4 |
14 |
R$ 3,64 |
| URINA ROTINA |
28.13.036.7 |
20 |
R$ 5,20 |
| UROCULTURA C/ ANTIBIOGRAMA |
28.10.054.9 |
50 |
R$ 13,00 |
| VDRL |
28.06.100.4 |
20 |
R$ 5,20 |
| VITAMINA B12 |
28.01.144.9 |
85 |
R$ 22,10 |
| VITAMINA C |
CONSULTA |
|
R$
- |
| VITAMINA D3 |
CONSULTA |
|
R$
- |
| VITAMINA E |
CONSULTA |
|
R$
- |
| WAALER ROSE |
28.06.101.2 |
20 |
R$ 5,20 |
| WIDAL - REACAO |
28.06.103.9 |
22 |
R$ 5,72 |
| ZINCO |
28.15.026.0 |
120 |
R$ 31,20 |
|
|
|
|
|
|
|
|
|
|
|
|
| Exames aqui não
discriminados deverão ser consultados previamente. |
| Tabela sujeita à
reajuste, sendo que será avisado com 30 (trinta) dias de
antecedência. |
| A
maioria destes exames são realizados na sede da Clinical Center, porém sã
coletas e apurados através de |
| parceria com os
Laboratórios LUPA e ROJAN. |
|
|
|
|
|
|
|
|
| Belo Horizonte,
19 de fevereiro de 2008 |
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| Clinical Center
Ltda |
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