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November 20, 2022

To: Whom it may concern

Subject: Preparation treatments before and after covlear implant surgery


Name of patient: Marabe Osama ID 43994295-4
Before implant:

1. PHYSICIAN EXAMINATION, OTORHINOLARYNGOLOGIST cost 310 NIS code L9254

2. PHYSICIAN EXAMINATION, ANESTHESIOLOGIST cost 310 NIS code L9268

Surgery:

IMPLANT/REPLACE/REMOVAL COCHLEAR PROSTHETIC DEVICE (not included the cost of


device) 25,000 NIS

Cost for the device: 81,800 NIS

After implant:

1. DIAG ANALYS+PROGRAM COCHLEAR IMPLANT BINAURL first visit code 92601


cost 2,200 NIS.

2. DIAG ANALYS+SUBSEQ PROGRAM COCHL IMPL MONAURL (estimated 5 visit)


code 92602 cost 750 NIS per one visit.

The cost of treatment may vary according to the guidelines of the medical entity.

Payment by bank transfer sum of 113,370 NIS


Payable to: Schneider Children Medical Center of Israel
BANK: HAPOALIM BRANCH: 063 – AYALON
ADDRESS: 98 YIGAL-ALON St. Tel-Aviv, ISRAEL
ACCOUNT NO.: 220423 SWIFT: POALILIT IBAN: IL68-0120-6300-0000-0220423

Best Regards,

Keren Tochterman
Director of Financial Income
Schneider Children Medical Center of Israel.

‫שומרים על בריאות כללית‬


03-9194132 :‫ פקס‬,03-9253232 :‫ טל‬,559 .‫ד‬.‫ ת‬,49202 ‫תקווה‬-‫ פתח‬,14 ‫ רח' קפלן‬,‫מרכז שניידר לרפואת ילדים בישראל‬

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