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. 2018 Jul 30;8(7):e022291. doi: 10.1136/bmjopen-2018-022291

Table 1.

Tariffs and sources for cost data

Resource use Total tariff (€) ICD-9-CM codes and other sources
Ambulatory visits 16.79 89.01.2
Blood and urine tests 49.28 91.49.2; 90.62.2; 90.27.1; 90.04.5; 90.09.2; 90.10.4; 90.43.2; 90.14.3; 90.29.2; 90.23.5; 90.40.4; 90.37.4; 90.11.4; 90.15.4; 90.16.3; 90.72.3; 90.42.1; 90.38.4; 89.66; 90.44.3
Diagnostic tests
 ECG 11.62 89.52
 Rx abdomen 19.37 88.19
 Superior abdomen ultrasound 60.43 88.76.1
 Total abdomen ultrasound 43.90 88.74.1
 MRI abdomen 187.13 89.95.2
Emergency department visit 109.38 €23 assumed for emergency acceptance visit+codes:
99.22; 91.49.2; 90.62.2; 90.27.1; 90.04.5; 90.10.4; 90.29.2; 90.40.4; 90.37.4; 90.15.4; 90.10.2; 90.16.3; 90.72.3; 89.52; 88.19; 88.76.1; 89.66
Treatment
 C1-inhibitor (500 unit) 560 Ex-factory national reimbursement price
 Icatibant (30 mg) 1695 Ex-factory national reimbursement price