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Traumatology & Orthopaedic Department
General characteristics
Traumatology is the branch of medicine dealing with the treatment of injuries, including fractures, contusions, concussions, sprains, crush syndromes and wounds. The injury is the first cause of death in the population under the age of 40-years, and the third in all age groups. The main causes of injury are car accidents, work accidents, violence and terror.
The contemporary traumatology uses conservative and surgical methods of treatment. In many cases of damage of the musculoskeletal system there is an objective reason for hospital treatment.
Department of Orthopedics and Traumatology of Erebouni Medical Center provides the treatment of all types of injuries, congenital and acquired defects of the musculoskeletal system. Department is equipped with modern operating theater where performed high-tech surgery on routine base, including emergency cases. The clinic uses contemporary methods and technologies for the treatment that developed by the world's leading specialized associations (AO / ASIF, AAOS, etc.). The department performs about 1400 and more orthopedic surgeries per year, such as hip replacement, knee replacement, arthroscopy of large joints (hip, knee, shoulder and ankle), corrective osteotomy and musculo-tendinous plastic surgery in congenital and acquired defects of musculoskeletal apparatus.
During total hip arthroplasty the complete replacement of hip joint to an artificial is performed. This type of surgery is a high-tech and provided by highly qualified specialists of department.
The main indications for total hip replacement are:
- Osteoarthritis of the hip joint at stage III and IV
- Cervical hip fracture
- False joint of cervix hip bone
- Fracture of whirlbone
- Aseptic (avascular) necrosis of whirlbone Hip joint dysplasia
- Rheumatoid arthritis
- Cancer of the hip joint
Total knee replacement is performed with the aim of:
– Elimination of pain
– Restore the range of motion in the knee joint
– Recovery of support ability of the lower limb
The main indications for total knee arthroplasty are:
- Osteoarthritis of the knee joint at stage III and IV
- Aseptic (avascular) necrosis of the femoral and / or tibial condyle
- Rheumatoid arthritis
- Cystoid restructuring of the femur and / or tibia condyles
- periarticular tumors of the femur and / or tibia
Fractures are treated with the most modern methods: the system DHS - DCS, LCP locking plate, blocking nail, closed anterograde osteosynthesis of large tubular bones, etc.
Department has extensive experience in the treatment of severe polytrauma. It is also performed limb lengthening and replacement of large bone defects using the Ilizarov fixator.
The department also carried out highly specialized surgery of the foot and ankle, hallux vagus (curvatures of the 1st toe), deformation of fingers, acquired deformities of the foot and ankle, injuries and diseases of tendons, fractures heels.
The specialist of the department regularly visit various regions of the country to provide specialized trauma care on the spot, to conduct seminars, as well as engage in a program of disaster medicine and emergency treatment not only in Armenia, but also abroad (Iran, Indonesia), cooperating with international organizations AAOS , SICOT, ATOM, and others.
Department's specialists are actively involved in the Association of Traumatology and Orthopedics of Armenia, as well as other specialized international organizations.
In 2015, signed an agreement on cooperation in the field of orthopedics with a known "Coxa" Clinic (Tampere, Finland).
The priorities of the department are:
- hip replacement,
- knee replacement,
- arthroscopy of large joints (hip, knee, shoulder and ankle)
- corrective osteotomy and musculo-tendinous plastic of congenital and acquired defects of the musculoskeletal system
- bone fractures
- polytrauma
- lengthening of the limbs
- replacement of large bone defects
Vigen Margaryan MD
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Head of department of Traumatology and Orthopedics
orthopaedist
PH.D.
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Gagik Bdoyan MD
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orthopaedist
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Aharon Margaryan
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orthopaedist
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Arthur Sahradyan
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orthopaedist
PH.D.
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Armen Poghosyan MD
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orthopaedist
MD
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Hayk Gyulzadyan MD
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orthopaedist
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Hrachya Harutyunyan MD
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orthopaedist
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Rafayel Petrosyan MD
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orthopaedist
MD
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Arthur Agamiryan
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orthopaedist
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Zaven Beglaryan
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orthopaedist
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- Finland - Клиника «Соха»
On the basis of Department it is organized the training in accordance with bachelor program. The specialization in traumatology and orthopedics is also provided.
Chairs
Chair of Orthopedics and Traumatology of YSMU
- - The Department is actively involved in scientific activities , During last 5 years one postdoctoral and two doctoral thesis were finalized and more than 50 scientific papers were published
- Arthur Sahradyan, , Sahradian A.S, Novik A.A, Gritsuk A.A, Ionova T.I, Stojko Yu.M. - Evaluating the effectiveness of replacement of the articular surface of patella in total knee replacement , «Journal of National Medical-Surgical Center named after N.I. Pirogov». . – Vol. VI, №1. – P. 141 – 144
- Arthur Sahradyan, , A.S.Sahradyan, A.A.Gritsuk, Yu.M.Stoyko, G.A.Matushevsky, P.D.Kuzmin, A.P.Sereda - General and specific complications in total knee arthroplasty with and without patellar resurfacing , “Journal of experimental and clinical surgery». – Vol. IV, №3. – P. 478 – 483
- Arthur Sahradyan, , A.S.Sahradyan, A.A.Gritsuk, Yu.M.Stoyko, G.A.Matushevsky, P.D.Kuzmin, A.P.Sereda - Patellar resurfacing in total knee arthroplasty , «Journal of traumatology and orthopedics named after N.N Priorov .- №3. – P. 47 – 52
- 09.12.2016 - COXA-Nairi Clinic- new level in orthopedics of Armenia
- 05.05.2015 -
- 02.03.2015 -
- 26.02.2015 -
- 05.12.2014 -
- 29.11.2014 -
- 22.04.2014 - Polyethylene mesh, enveloping the prosthesis. The specialists from Finland had presented a novelty method to Armenian traumatologist-orthopedists
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Price (AMD) |
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Primary examination by head of the Department (head of service) |
10,000 |
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Repeated examination by head of the Department (head of service) |
5,000 |
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Examination by doctor |
5,000 |
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Repeated Examination by doctor |
3,000 |
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Intra-articular puncture |
15,000 |
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Cost for 1-Day treatment (medication and examinations are not included |
20,000 |
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Cost for 2-Days treatment (medication and examinations are not included |
40,000 |
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Cost for 3-Days treatment (medication and examinations are not included |
60,000 |
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Cost for 1-Day treatment (including medication, without examinations) |
30,000 |
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Cost for 2-Days treatment (including medication, without examinations) |
60,000 |
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Cost for 3-Days treatment (including medication, without examinations) |
90,000 |
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Conservative treatment |
170,000 |
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Service |
Price (AMD) |
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Traumatology |
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Metal implant removal without general anesthesia |
140,000 |
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Metal implant removal under general anesthesia |
210,000 |
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Simple, uncomplicated fractures of one bone of the hand, foot |
155,000 |
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Simple, uncomplicated fractures of 2 bones of the hand, foot |
190,000 |
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Simple, uncomplicated fractures of 3 or more bones of the hand, foot |
215,000 |
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Compound fractures of one bone of hand, foot (except of the ankle- bone and heel) (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
170,000 |
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Compound fractures of 2 bones of hand, foot (except of the ankle- bone and heel) (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
215,000 |
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Compound fractures of 3 or more bones of hand, foot (except of the ankle- bone and heel) (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
265,000 |
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Simple, uncomplicated fractures of ankle- bone and heel |
210,000 |
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Compound fractures of the ankle- bone and heel (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
255,000 |
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Simple, uncomplicated fractures of the clavicle, shoulder bone, knee and fibula |
250,000 |
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Simple, uncomplicated fractures of radius(spoke-bone), knee, medial malleolus |
305,000 |
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Compound fractures of clavicle, shoulder bone, knee, fibula, radius(spoke-bone), humerus, medial malleolus (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
400,000 |
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Simple uncomplicated fractures of the humerus, forearm bones, fibula |
330,000 |
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Compound fractures of the humerus, forearm bones, fibula (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
505,000 |
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Simple uncomplicated fractures of the hip bone and pelvic bone |
560,000 |
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Compound fractures of the hip bone and pelvic bone (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc) |
755,000 |
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Small Tendon and Ligament Injuries |
200,000 |
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Small Tendon and Ligament complex injuries |
250,000 |
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Large tendons and ligaments injury |
250,000 |
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Large tendons and ligaments complex injury |
305,000 |
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Conservative treatment of dislocations of small joints of the wrist and foot under local anesthesia (outpatient) |
60,000 |
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Conservative treatment of dislocations of small joints of the wrist and foot under local or general anesthesia (outpatient) |
75,000 |
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Operative correction of dislocations of small joints of the wrist and foot |
175,000 |
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Operative correction of dislocations of small joints of the wrist and foot (with plasty, reconstruction) |
225,000 |
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Conservative treatment of dislocations in the middle joints under anesthesia (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint) |
190,000 |
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Operative correction of dislocations in the middle joints (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint) |
340,000 |
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Operative correction of dislocations in the middle joints (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint (with plasty, reconstruction) |
500,000 |
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Conservative treatment of dislocations of large joints (knee, hip joint) |
245,000 |
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Operative correction of dislocations in the large joints (knee, hip joint) |
500,000 |
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Operative correction of dislocations in the large joints (knee, hip joint) (with plasty, reconstruction) |
595,000 |
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I-II0 wounds up to 10 cm |
175,000 |
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IIIա-IIIբ wounds |
235,000 |
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IIIգ-IV0 wounds |
310,000 |
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Revision of damaged great nerves and vessels together with bone reconstruction surgeries, neurosis, nerve suture, vascular repair and ligation used in conjunction with bone surgeries, it is not possible to use this code independently) |
240,000 |
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Arthroscopy ** |
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Diagnostic arthroscopy of the hip, knee, shoulder and ankle joints |
240,000 |
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Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of I0 complexity (joint debridement, synovectomy, chondroplasty, removal of the meniscus, correction of chondromatous bodies, pathological folds and other changes) |
300,000 |
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Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of II0 complexity (intra-articular cartilaginous bone plastic surgery and repair, subtotal synovectomy, intra-articular repair of damaged and affected ligaments) |
500,000 |
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Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of III0 complexity (combined intra-articular and extra-articular reconstruction) |
745,000 |
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Orthopedy * |
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Correction of finger deformities, arthrolysis, arthrodesis, muscle-tendon surgeries of I0 complexity, small tumors of bones and soft tissues |
200,000 |
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Correction of finger deformities, arthrolysis, arthrodesis, muscle-tendon surgeries of II0 complexity, small tumors of bones and soft tissues |
300,000 |
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Bone correction, surgical treatment of incorrectly healed and ununited fracture, Hallux Valgus I-II0 complexity |
315,000 |
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Bone correction, complex reconstructive surgery of incorrectly healed and ununited fracture, plastic surgery in bone and tendon, Hallux Valgus III0 complexity bone and soft tissue tumors |
515,000 |
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Reconstructive surgery of IV0 complexity |
685,000 |
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Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (I-II0 complexity), small tumors of bones and soft tissues |
305,000 |
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Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity), plastic surgery in bone and tendon, tumors of bones and soft tissues |
535,000 |
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Reconstructive surgery of IV0 complexity, (bone and soft-tissue defects, Limb lengthening, etc) |
745,000 |
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Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications, (I-II0 complexity) |
330,000 |
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Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity) |
560,000 |
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Reconstructive surgery of IV0 complexity, (bone and soft-tissue defects, Limb lengthening, etc) |
745,000 |
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Bone correction, plastic surgery in bone and tendon of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity) |
650,000 |
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Reconstructive surgery of IV0 complexity (bone and soft-tissue defects, Limb lengthening, etc) |
745,000 |
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Total endoprosthesis of large joints (hip, knee, ankle, shoulder, elbow) |
560,000 |
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Various small surgical procedures in bandage room. |
15,000 |
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Surgical prosedures of medium complexity in bandage room under locl anesthesia |
45,000 |
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Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011** |
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Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) with application of plaster cast, without hospitalization |
15,000 |
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Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) up to 15 days |
25,000 |
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Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) up to 15 days and more |
60,000 |
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Short Term Health Care (1-3 days) completed, price of 1 day |
7,000 |
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Fracture treatment with a closed approach (humerus, radius, femoral bone, tibia bone, shoulder bone) |
90,000 |
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Treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) (price of metal constructions is not included) |
150,000 |
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Femoral osteosynthesis (price of metal constructions is not included) |
220,000 |
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Conservative treatment of fractures of the spine and pelvic bones |
150,000 |
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Osteosynthesis in fragment fractures of the femur (price of metal constructions is not included) |
300,000 |
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Pelvic Fracture Surgery, Acute spinal cord injury with orthopedic fixation (price of fixation system is not included ) |
300,000 |
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Surgical treatment of multiple combined fractures of the large bones |
350,000 |
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Sepsis (confirmed by the blood culture) |
300,000 |
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Cost of paid hospital rooms |
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Hospital room |
Price (AMD) |
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506 |
7,000 |
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507 |
7,000 |
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509 |
5,000 |
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508 |
7,000 |
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505a |
10,000 |
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* All prices do not include the cost of special and difficult-to-access diagnostic tests approved by the RA Minister of Health. |
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** All prices do not include metallic constructions, stents, prostheses(implants), and expensive medicines (1 unit cost over 5,000 drams), blood components, nutrition, separate rooms |
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*** The prices for these arthroscopic surgeries do not include the cost of disposable tools, equipment and materials spent during the surgery |
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