| 1 | Obstetrician-gynecologist appointment for gynecology, initial | 200 000 |
| 2 | Obstetrician-gynecologist appointment for gynecology, follow-up | 150 000 |
| 3 | Obstetrician-gynecologist appointment for pregnancy, initial | 200 000 |
| 4 | Obstetrician-gynecologist appointment for pregnancy, follow-up | 150 000 |
| 5 | Gynecologist-reproductologist appointment, initial | 200 000 |
| 6 | Gynecologist-reproductologist appointment + pelvic ultrasound, initial | 250 000 |
| 7 | Gynecologist-reproductologist appointment + pelvic ultrasound, PhD/Master of Public Health, initial | 300 000 |
| 8 | EKO clinic medical director gynecologist-reproductologist appointment + pelvic ultrasound, initial | 300 000 |
| 9 | Gynecologist-reproductologist appointment, follow-up | 150 000 |
| 10 | Urologist-andrologist appointment, initial | 200 000 |
| 11 | Urologist-andrologist appointment, follow-up | 150 000 |
| 12 | Therapist appointment, initial | 200 000 |
| 13 | Therapist appointment, follow-up | 150 000 |
| 14 | Endocrinologist appointment, initial | 200 000 |
| 15 | Endocrinologist appointment, follow-up | 150 000 |
| 16 | Anesthesiologist-resuscitator appointment | 150 000 |
| 17 | Geneticist consultation | 200 000 |