Service fee

Service Description	Total Private Rate	Base Insurance Rate	70% of Base	Patient / Supplementary Share
General Visit	3,577,000	1,289,550	902,685	2,674,315
Psychiatry Specialist Visit	5,952,000	2,185,050	1,529,535	4,422,465
Specialist Visit	4,987,000	1,794,300	1,256,010	3,730,990
Subspecialist Visit	5,952,000	2,185,050	1,529,535	4,422,465
ECG	4,125,000	964,050	674,835	3,450,165
Echocardiography	22,925,000	5,894,250	4,125,975	18,799,025
Exercise Stress Test	16,720,000	4,269,300	2,988,510	13,731,490
24-Hour Holter Blood Pressure & Heart Monitor	16,400,000	4,057,800	2,840,460	13,559,540
Spirometry with Medication	15,050,000	3,924,000	2,746,800	12,303,200
Simple Spirometry	13,200,000	3,370,500	2,359,350	10,840,650
Physiotherapy Treatment Plan	925,000	395,000	276,500	648,500
Physiotherapy (1 Limb)	4,540,000	1,316,000	921,200	3,618,800
Physiotherapy (2 Limbs)	9,080,000	2,632,000	1,842,400	7,237,600
Physiotherapy (3 Limbs)	13,620,000	Not covered	Not covered	Not covered
Cardiac Rehabilitation	29,425,000	7,067,250	4,947,075	24,477,925

Service Name	Out-of-Pocket Cost (Rial)	Covered by Insurance
Exercise Therapy	Neurological: 14,000,000; Other: 12,000,000	Not covered
Myofascial Release (2–3 Limbs)	From 1,400,000 to 2,100,000	Not covered
Magnetotherapy (10–40 minutes)	From 1,500,000 to 6,750,000	Armed Forces (Veterans), Sarmad, Saman (Darmanat), Karafarin, Damis, Parsian, Naft (Oil Company), Banks (except Bank Mellat)
Laser Therapy	1 Limb: 6,700,000; 2 Limbs: 13,500,000	Asia, Saman (Darmanat), Damis, Sarmad, Parsian, Naft (Oil Company), Armed Forces (Veterans), Banks (except Bank Mellat)
Shockwave Therapy	1 Limb: 8,000,000	Saman (Darmanat), Sarmad, Karafarin, Damis, Parsian, Naft (Oil Company), Army, Banks (except Bank Mellat)
Tecar Therapy (5–30 minutes)	From 2,500,000 to 8,000,000	Not covered
Manipulation	700,000	Not covered
Acupuncture (depending on target limb)	From 4,500,000 to 12,000,000	Not covered
Modality	1,600,000	Not covered
Massage Therapy (per 5 minutes)	800,000	Not covered

Service Name	Out-of-Pocket Cost (Rial)	Covered by Insurance
Exercise Therapy	1,000,000	Not covered
Myofascial Release	1,000,000	Not covered
Magnetotherapy (10–40 minutes)	From 1,000,000 to 4,140,000	Armed Forces (Veterans), Sarmad, Saman (Darmanat), Karafarin, Damis, Parsian, Naft (Oil Company), Banks (except Bank Mellat)
Low-Power Laser	1 Limb: 2,050,000; 2 Limbs: 4,500,000	Asia, Saman (Darmanat), Damis, Sarmad, Parsian, Naft (Oil Company), Armed Forces (Veterans), Banks (except Bank Mellat)
High-Power Laser	1 Limb: 6,700,000; 2 Limbs: 13,500,000	Asia, Saman (Darmanat), Damis, Sarmad, Parsian, Naft (Oil Company), Armed Forces (Veterans), Banks (except Bank Mellat)
Dry Needling	1,660,000	Not covered
Physiotherapy	1 Limb: 2,407,000; 2 Limbs: 4,814,000	Asia, Saman (Darmanat), Komak Resan, Bimeh Ma, Karafarin, Bimeh Mellat, Damis, Parsian, Kosar, Naft (Oil Company), Atiyeh Sazan, Army, Sina, Bimeh Dey, Bimeh Alborz, Bimeh Razi, Bimeh Tejarat-e No, Banks
Shockwave Therapy	Per limb: 8,000,000	Saman (Darmanat), Sarmad, Karafarin, Damis, Parsian, Naft (Oil Company), Army, Banks (except Bank Mellat)
Tecar Therapy (5–30 minutes)	From 2,500,000 to 8,000,000	Not covered
Biofeedback	5,000,000–7,500,000	Not covered
Kinesio Taping	Per limb: 2,600,000	Not covered

Service Description	Total Private Rate	Base Insurance Rate	70% of Base	Patient / Supplementary Share
Nerve Conduction Study (1 Limb)	31,000,000	7,881,000	5,516,700	25,983,300
Nerve Conduction Study (2 Limbs)	43,590,000	10,919,400	7,643,580	35,946,420
Nerve Conduction Study (3 Limbs)	55,865,000	14,013,150	9,809,205	46,055,795
Nerve Conduction Study (4 Limbs)	63,555,000	15,928,050	11,149,635	52,405,365
Magnetotherapy	7,690,000	-	5,383,000	2,307,000
Shockwave Therapy	15,340,000	-	10,738,000	4,602,000
High-Power Laser	12,790,000	-	8,953,000	3,837,000
Exercise Therapy	1,665,000	-	1,165,500	499,500