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ServicePrice
NeiroMed Astra price offer
Professor (in any specialty)
Initial consultation with a professor neurologist (45 - 60 min.)130 euros
Follow-up consultation with a professor neurologist within 2 months (45-60 min.)100 euros
Remote follow-up consultation with a professor neurologist within 2 months (30 min. with prepayment)100 euros
Initial consultation with a professor neurosurgeon (20-30 min.)130 euros
Follow-up consultation with a professor neurosurgeon within 2 months (20 min.)100 euros
Remote follow-up consultation with a professor neurosurgeon within 2 months (20 min. with prepayment)100 euros
Postoperative check-up (* Neurosurgeon consultation and dressing change if needed)80-100 euros
Short visit50 euros
Neurologist–algologist
Initial consultation with a neurologist-algologist (30-60 min.)110 euros
Follow-up consultation with a neurologist-algologist within 2 months (30 - 40 min.)95 euros
Remote follow-up consultation with a neurologist-algologist within 2 months (20-30 min. with prepayment)95 euros
Short visit50 euros
Neurosurgeon - vertebrologist
Initial consultation with a neurosurgeon-vertebrologist80 euros
Follow-up consultation with a neurosurgeon-vertebrologist70 euros
Paravertebral block80 euros
Neurologist
Initial consultation with a neurologist (Dr. med.) (45-60 min.)100 euros
Follow-up consultation with a neurologist (Dr. med.) within 2 months (45-60 min.)90 euros
Remote consultation with a neurologist (Dr. med.) within 2 months (30 min. with prepayment)90 euros
Initial consultation with a neurologist (30-60 min.)80 euros
Follow-up consultation with a neurologist within 2 months (30-40 min.)70 euros
Remote follow-up consultation with a neurologist within 2 months (20-30 min. with prepayment)70 euros
Short visit50 euros
Rheumatologist
Initial consultation with a rheumatologist (45-60 min)100 euros
Follow-up consultation with a rheumatologist within 2 months (30-40 min.)90 euros
Remote follow-up consultation with a rheumatologist within 2 months (20-30 min. with prepayment)90 euros
Short visit50 euros
Arrhythmologist
Initial consultation with an arrhythmologist (20-30 min)100 euros
Follow-up consultation with an arrhythmologist within 2 months (20-30 min.)90 euros
Remote follow-up consultation with an arrhythmologist within 2 months (20-30 min. with prepayment)90 euros
Single-chamber (VVI or AAI) pacemaker (EKS) function check, programming and arrhythmologist consultation110 euros
Dual-chamber (DDD) pacemaker (EKS) function check, programming and arrhythmologist consultation110 euros
Biventricular pacemaker (CRT/CRT-D) check, programming and arrhythmologist consultation110 euros
Short visit50 euros
Implantable loop recorder monitoring110 euros
Cardiologist
Initial consultation with a cardiologist (30 min)80 euros
Follow-up consultation with a cardiologist within 2 months (30 min.)70 euros
Remote follow-up consultation with a cardiologist within 2 months (20-30 min. with prepayment)70 euros
Echocardiography85 euros
Short visit50 euros
Psychiatrist
Consultation with a psychiatrist (20-30 min)90 euros
Follow-up consultation with a psychiatrist within 3 months (20 min)50 euros
Remote follow-up consultation with a psychiatrist within 2 months (20-30 min. with prepayment)90 euros
Psychiatrist Home Visit (within Riga) *To assess the situation and ensure a high-quality home visit, an in-person consultation with the patient's family member(s) at the clinic is mandatory prior to the home visit.300 euros
Psychiatrist referral to the State Medical Commission for the Assessment of Health Condition and Working Ability (VDEĀK initial)
* Preparation of the psychiatrist’s opinion requires patient observation by a psychiatrist for at least 6 months, ensuring regular in-person consultations once a month.
200 euros
Psychiatrist referral to the State Medical Commission for the Assessment of Health Condition and Working Ability (VDEĀK repeat)
* Preparation of the psychiatrist’s opinion requires patient observation by a psychiatrist for at least 6 months, ensuring regular in-person consultations once a month.
100 euros
Short visit50 euros
General practitioner
Initial consultation with a general practitioner (40-60 min.)80 euros
Follow-up consultation with a general practitioner within 2 months (30-60 min.)70 euros
Remote follow-up consultation with a general practitioner within 2 months (30-60 min. with prepayment)70 euros
Short visit50 euros
Clinical pharmacist
Remote consultation with a clinical pharmacist (if 3 or more medicines are used, a clinical pharmacist consultation on medicine interactions is recommended)80 euros
Neuro-ENT specialist
Initial Neuro-ENT consultation (20-30 min.)80 euros
Follow-up Neuro-ENT consultation within 2 months (20-30 min.)70 euros
Remote follow-up Neuro-ENT consultation within 2 months (20-30 min. with prepayment)70 euros
Head impulse test HIT45 euros
Audiogram25 euros
Tympanometry - with impedance measurement, determination of the mobility of the eardrum and auditory ossicle apparatus with graphical curve recording15 euros
Short visit50 euros
Algologist
Initial consultation with an algologist (30-60 min.)80 euros
Follow-up consultation with an algologist within 2 months (30 min.)70 euros
Remote follow-up consultation with an algologist within 2 months (30 min. with prepayment)60 euros
Short visit50 euros
Radiologist
Remote radiologist consultation80 euros
Dermatologist
Dermatologist consultation60 euros
Follow-up consultation (within 2 months)50 euros
Optical dermatoscopy examination of moles60–90 euros
Cryodestruction – 1 area35–100 euros
Cryodestruction – 2 areas50–150 euros
Punch biopsy removal45 euros
Material dispatch and laboratory diagnostics50 euros
Removal of seborrhoeic keratosis with cryotherapy – 1 lesion30 euros
Removal of seborrhoeic keratosis with cryotherapy, each additional lesion15 euros
Removal of seborrhoeic keratosis with cryotherapy over a large area100 euros
Procedures
Other joint block50 euros
Knee joint block with steroids under USG guidance50 euros
Hip joint block with steroids under USG guidance50 euros
Myofascial block40 euros
Suprascapular nerve block without X-ray40 euros
Nerve plexus or peripheral nerve block under USG guidance (suprascapular)70 euros
Sacroiliac joint (SI) block with steroids and contrast agent under USG guidance (one side)60 euros
Sacroiliac joint (SI) block with steroids and contrast agent under USG guidance (both sides)80 euros
Hyaluronate injection into the SI joint90 euros
Intra-articular hyaluronic acid injection80 euros
One carpal tunnel block under USG guidance60 euros
Large joint PRP (Platelet Rich Plasma) injection120 euros
Intra-articular hyaluronate injection 4.4 ml120 euros
Intra-articular hyaluronate and steroid injection into the hip or knee joint80 euros
Intramuscular, intradermal, subcutaneous botulinum toxin injection250 euros
Ketamine infusion120 euros
Trigger point block (1 location)50 euros
Trigger point block (2 locations)60 euros
Joint block under USG guidance70 euros
Intra-articular hyaluronic acid and steroid injection90 euros
Rehabilitation
Initial physiotherapist consultation (50-60 min)60 euros
Individual physiotherapy session (45 min.)45 euros
Initial physiotherapist consultation (30–45 min.)50 euros
Subscription for 5x exercise sessions under physiotherapist supervision (to be used within 2 months)200 euros
Subscription for 10x exercise sessions under physiotherapist supervision (to be used within 2 months, 45 min. 10x)400 euros
Group physiotherapy session for up to 4 people (45-60 min) 1x25 euros
Group physiotherapy session for 4 people (45-60 min) 10x (to be used within 2 months)200 euros
Epley manoeuvre performed with a physiotherapist (15-30 min)50 euros
Trigeminal nerve mobilisation 15-20 min50 euros
Trigger point massage (1 area) 30 min50 euros
TENS (transcutaneous electroneurostimulation) 15 min20 euros
Back massage 30-40 min60 euros
Neck and thoracic area massage 20-30 min50 euros
Neck and thoracic area massage 20-30 min subscription 5x200 euros
Lumbar area massage 20-30 min50 euros
Lymphatic drainage massage (one limb) 20 min50 euros
Therapeutic taping (one area) 10-15 min20-35 euros
Initial occupational therapist consultation 30-45 min50 euros
Follow-up occupational therapist consultation (within 1 month)40 euros
Subscription for sessions with an occupational therapist 5x (to be used within 2 months)175 euros
High-intensity laser therapy (HILT)35 euros
High-intensity laser therapy (HILT) subscription 5x150 euros
High-intensity laser therapy (HILT) subscription 10x270 euros
Focused shockwave therapy40 euros
Focused shockwave therapy subscription 5x175 euros
Focused shockwave therapy subscription 10x300 euros
Focused shockwave therapy and high-intensity laser therapy (HILT)60 euros
Focused shockwave therapy and high-intensity laser therapy (HILT) subscription 5x275 euros
Focused shockwave therapy and high-intensity laser therapy (HILT) subscription 10x500 euros
Focused shockwave therapy40 euros
Focused shockwave therapy subscription 5x175 euros
Focused shockwave therapy subscription 10x300 euros
Neck and thoracic area massage 20-30 min subscription for 5 sessions200 euros
Neck and thoracic area massage with high-intensity laser therapy (HILT)70 euros
Diagnostic examinations
Transcranial (head) blood vessel ultrasonography for adults70 euros
Brachiocephalic (neck) blood vessel ultrasonography for adults80 euros
Computerised electroencephalography for children during sleep 1.5 h130 euros
Computerised electroencephalography during sleep – if the patient does not fall asleep30 euros
Computerised electroencephalography for adults during sleep 1.5 h130 euros
Computerised electroencephalography for children 1 h90 euros
Computerised electroencephalography for children or adults, wakefulness and sleep 2 h150 euros
Computerised electroencephalography for adults 1 h90 euros
Autonomic (vegetative) nervous system testing 30 min.70 euros
Neurometry50 euros
Neurography with computerised data processing100 euros
Electromyography (EMG) with computerised data processing (no more than 4 roots are examined in one session)130 euros
Determination of myasthenic reaction and neurography110 euros
STAT-ON Holter monitoring60 euros
ECG Holter monitoring 24h65 euros
ECG Holter monitoring 48h90 euros
ECG Holter monitoring 72 h110 euros
ECG Holter monitoring 96 h120 euros
ECG Holter monitoring 120 h150 euros
ECG Holter monitoring 144 h170 euros
ECG Holter monitoring 168 h190 euros
Electrocardiogram30 euros
Abdominal ultrasonography75 euros
Thyroid ultrasonography70 euros
Soft tissue ultrasonography75 euros
Ultrasonography of symmetrical joints110 euros
Ultrasonography of one joint70 euros
Peripheral nerve ultrasonography (one nerve pair)70 euros
Peripheral nerve ultrasonography (two nerve pairs)90 euros
Peripheral nerve ultrasonography (three nerve pairs)120 euros
Lymph node ultrasonography75 euros
Cognitive function examination30 euros
Orthostatic hypotension/POTS assessment20 euros
Polygraphy170 euros
Paediatrician
Initial consultation with a paediatrician (30 min)80 euros
Follow-up consultation with a paediatrician (within 2 months)70 euros
Remote follow-up consultation with a paediatrician within 2 months (20-30 min. with prepayment)70 euros
Nutrition specialist
Initial consultation with a nutrition specialist (50-60 min)60 euros
Follow-up consultation with a nutrition specialist within 2 months (30-40 min)50 euros
Remote follow-up consultation with a nutrition specialist within 2 months (30-40 min. with prepayment)50 euros
Infusions
I/V administration of medicines (excluding medicine costs)30 euros
Onabotulinum toxin therapy
Onabotulinum toxin injections for the treatment of chronic migraine (consultation; medicines; injections)610 euros
Onabotulinum toxin blocks (consultation; medicine; injections)180-610 euros
Neuroimmunological and neurogenetic analyses
260 - Anti Acetylcholine Receptors IgG RIA40 euros
261 - Anti MuSK IgG RIA40 euros
262 - Anti Calcium channel (VGCC) PQ-Type RIA40 euros
263 - Anti LRP4 IgG IFA30 euros
264 - Anti ganglionic Acetylcholine Receptors IgG RIA40 euros
265 - Anti Neural Antigens IgG IFA Profile (Autoimmune/onconeural antibodies)315 euros
267 - Anti Neuronal Antigens IgG EUROLINE Profile120 euros
268 - Anti LGI1 IgG IFA45 euros
269 - Anti CASPR2 IgG IFA45 euros
270 - Anti Potassium channel (VGKC) IgG RIA40 euros
272 - Anti NMDA Receptors IgG IFA45 euros
274 - Anti AMPA Receptors (Type 1/2) IgG IFA45 euros
275 - Anti GABA-b Receptors IgG IFA45 euros
276 - Anti GAD65 IgG IFA45 euros
277 - Anti SOX IgG EUROLINE30 euros
278 - Anti Aquaporin-4 IgG IFA45 euros
279 - Anti MOG IgG IFA45 euros
280 - Anti MBP IgG IFA45 euros
281 - Anti MBP IgM IFA45 euros
282 - Anti MAG IgG IFA45 euros
283 - Anti MAG IgM IFA45 euros
284 - Anti GFAP IgG IFA45 euros
285 - Anti Plexus myentericus IgG IFA45 euros
286 - Anti Contactin 1 IgG IFA45 euros
287 - Anti Neurofascin (NF155) IgG IFA45 euros
288 - Anti Neurofascin (NF186) IgG IFA45 euros
289 - ß-Amyloid (1-40) ELISA CSF60 euros
290 - ß-Amyloid (1-42) ELISA CSF60 euros
291 - Total tau ELISA CSF60 euros
292 - pTau (181) ELISA CSF60 euros
294 - Yo (Purkinje cell cytoplasm; PCA-1) IFA/EUROLINE75 euros
296 - anti-LGI1 IgG IFA45 euros
297- anti-AMPA1/2 receptor antibodies IgG IFA45 euros
298- anti-DPPX IgG IFA45 euros
299 - anti-GABA-B receptor antibodies IgG IFA45 euros
300 - anti-GABA-A receptor antibodies IgG IFA45 euros
301 - anti-GQ1b IgG EUROLINE45 euros
302 - anti-IgLON5 IgG IFA45 euros

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Ģimenes ārsta rīki pacienta neiroloģiska rakstura sūdzību izmeklēšanā

Datums: 27.02.2026.