Code Service Price 
A.23 Patient copayment for an outpatient visit 4,00
 A.23.1  Patient copayment for an radiographic examination without contrast medium 3,00
 KO.5.1  Patient copayment for ophthalmological surgeries performed in outpatient clinic or a day surgery center (per each surgery performed) 4,00
KO.5.2  Patient copayment for treatment in a day surgery center 7,00
A.58 Patient copayment for ultrasonographic examination 4,00