Table 1

Tariffs and sources for cost data

Resource useTotal tariff (€)ICD-9-CM codes and other sources
Ambulatory visits16.7989.01.2
Blood and urine tests49.2891.49.2; 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
 ECG11.6289.52
 Rx abdomen19.3788.19
 Superior abdomen ultrasound60.4388.76.1
 Total abdomen ultrasound43.9088.74.1
 MRI abdomen187.1389.95.2
Emergency department visit109.38€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)560Ex-factory national reimbursement price
 Icatibant (30 mg)1695Ex-factory national reimbursement price