{"key":"op_1484_MX","page":{"url":"https://pt.bookimed.com/clinics/country=mexico/procedure=stem-cell-for-ankylosing-spondylitis/","procedure":{"id":1484,"slug":"stem-cell-for-ankylosing-spondylitis","name":"Terapia com células estaminais para espondilite anquilosante","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"stem-cells","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":40,"iso":"MX","name":"México"},"currency":"USD","data_date":"2026-06-09"},"pages":{"clinics_url":"https://pt.bookimed.com/clinics/country=mexico/procedure=stem-cell-for-ankylosing-spondylitis/","cost_url":"https://pt.bookimed.com/clinics/country=mexico/procedure=stem-cell-for-ankylosing-spondylitis/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":3000,"to":13500,"avg":{"value":3000,"method":"median","source":"clinics"},"us":{"from":8000,"to":14000},"uk":{"from":9500,"to":25000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Guadalajara","from":3000},{"city":"Monterrei","from":3000},{"city":"Playa del Carmen","from":8500},{"city":"Mexicali","from":6500},{"city":"Cidade do México","from":6500},{"city":"Cancún","from":6500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":["Board-certified specialists with 15+ years of experience can charge 25%–35% more for their expertise.","Clinics accredited by JCI or ISO 9001 quality systems may charge 15%–20% more for meeting international safety protocols.","Procedures in major cities like Mexico City or Guadalajara can cost 20%–30% more due to high-demand urban hospitals.","Source of stem cells (autologous vs allogeneic) can affect cost by 15%–25%, with autologous extractions typically higher.","Use of ISO-certified cell processing labs can add 10%–15% to ensure cell purity and viability for therapy.","Number of stem cell infusions required can increase total cost by $2,000–$4,000 per additional session."],"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":9900,"to":12500},{"country_iso":"FR","from":14000,"to":25000},{"country_iso":"GB","from":9500,"to":25000},{"country_iso":"US","from":8000,"to":14000},{"country_iso":"IL","from":14000,"to":23000},{"country_iso":"TR","from":6500,"to":11000},{"country_iso":"DE","from":8500,"to":15000},{"country_iso":"CA","from":9500,"to":19000},{"country_iso":"AE","from":9500,"to":20000},{"country_iso":"TH","from":19600,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"PL","from":5500,"to":10000},{"country_iso":"KR","from":8000,"to":16000},{"country_iso":"CZ","from":5500,"to":9500},{"country_iso":"AT","from":9500,"to":18000},{"country_iso":"ES","from":6500,"to":12500},{"country_iso":"IT","from":7500,"to":15000},{"country_iso":"CN","from":14000,"to":28000},{"country_iso":"AU","from":9000,"to":19000},{"country_iso":"IN","from":6500,"to":11000},{"country_iso":"MY","from":9000,"to":16000},{"country_iso":"VN","from":7500,"to":12500},{"country_iso":"BR","from":9000,"to":18000},{"country_iso":"CO","from":5500,"to":11000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":63,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":5,"items":[{"id":8068,"name":"CellsClinic","city":"Monterrey","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":"Uses mesenchymal stem cells for immunomodulation, achieving 85% reduction in disease flares. COFEPRIS-authorized with in-house certified cell lab.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":3702,"name":"Immunotherapy Regenerative Medicine","city":"Puerto Vallarta","rating":5,"reviews_count":4,"accreditations":["Consejo de Salubridad General"],"rank":2,"has_procedure":true,"why_ranked":"Specializes in regenerative medicine with 15+ years of research. Offers personalized stem cell treatments for ankylosing spondylitis. 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Zone"],"sources":["https://en.wikipedia.org/wiki/Cancún","https://en.wikipedia.org/wiki/Cancún_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Active ankylosing spondylitis refractory to NSAIDs"],"contraindications":["Active infection","Current or past malignancy","Pregnancy or breastfeeding","Severe cardiac, renal or hepatic disease","Bleeding disorder or anticoagulant use","Uncontrolled immunosuppression or HIV","Allergy to anesthetic or product 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offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer claims to cure ankylosing spondylitis or reverse its damage","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/ankylosing-spondylitis/","host":"nhs.uk","quote":"There's no cure for AS and it's not possible to reverse the damage caused by the condition.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms need more than first-line anti-inflammatory drugs","name":"Biologic medicines","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"First-line treatments such as non-steroidal anti-inflammatory drugs are no longer the only options, even though disease-modifying anti-rheumatic drugs and biologics, especially tumor necrosis factor blockers, have been developed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want exercise, stretching, and posture maintenance for symptom management","name":"Physical therapy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"Physical therapy, which emphasizes consistent exercise, stretches, and posture maintenance, is extremely helpful in managing AS.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A3","text":"Your symptoms require medication to treat pain and inflammation","name":"NSAIDs","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"NSAIDs, DMARDs, such as methotrexate, sulfasalazine, hydroxychloroquine, leflunomide, azathioprine, cyclosporine, tacrolimus biologics such as TNF blockers, and IL17-A antagonists are used as medications to treat pain and inflammation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"intravenous-mesenchymal-stem","name":"Intravenous mesenchymal stem cell infusion","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intra-articular","name":"Intra-articular or sacroiliac joint cell injection","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"intravenous-mesenchymal-stem","name":"Intravenous mesenchymal stem cell infusion","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Active AS refractory to or intolerant of NSAIDs","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Brief observation; return to light activity within days."},{"id":"intra-articular","name":"Intra-articular or sacroiliac joint cell injection","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Predominant sacroiliac joint inflammation","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Local soreness for a few days; light activity resumes quickly."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms need more than first-line anti-inflammatory drugs","name":"Biologic medicines","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"First-line treatments such as non-steroidal anti-inflammatory drugs are no longer the only options, even though disease-modifying anti-rheumatic drugs and biologics, especially tumor necrosis factor blockers, have been developed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want exercise, stretching, and posture maintenance for symptom management","name":"Physical therapy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"Physical therapy, which emphasizes consistent exercise, stretches, and posture maintenance, is extremely helpful in managing AS.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A3","text":"Your symptoms require medication to treat pain and inflammation","name":"NSAIDs","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"NSAIDs, DMARDs, such as methotrexate, sulfasalazine, hydroxychloroquine, leflunomide, azathioprine, cyclosporine, tacrolimus biologics such as TNF blockers, and IL17-A antagonists are used as medications to treat pain and inflammation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"British travelers visiting Mexico as tourists do not need a visa","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"If you’re visiting Mexico as a tourist, you do not need a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"Your passport must be valid for the whole length of your stay in Mexico","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"To enter Mexico, your passport must be valid for the duration of your stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"For air travel, a passport book is required to enter Mexico","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"Air travel: You need a passport book to enter Mexico.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"arrival_form","audience":"uk","volatile":true,"text":"British nationals entering Mexico by land must complete an immigration form online","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"British nationals entering Mexico by land must fill in an immigration form online.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"medicines","audience":"us","volatile":false,"text":"U.S. travelers can be arrested for bringing over-the-counter or prescription medicine that is illegal in Mexico, even with a U.S. doctor's letter or prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"You could be arrested if your over the counter or prescription medicine is illegal in Mexico, even with a U.S. doctor’s letter or prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"land_border","audience":"us","volatile":false,"text":"All travelers entering Mexico by land need a passport book or card and must apply for an FMM entry permit online or from an INM office","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"By land: All travelers are required to have a passport book or card and apply for an FMM, online or from an INM office, including travelers who are only staying within 12 miles from the border (or 20 kilometers)","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 911 in Mexico and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/health","host":"gov.uk","quote":"Dial 911 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2026-12-12","version":1},"other_countries_with_page":["colombia","india","poland","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":4,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Stem cell therapy for ankylosing spondylitis in Mexico typically costs from _op_1484_price_from_ to _op_1484_price_to_. The final price depends on the cell count, delivery method, and clinic location in hubs like Monterrey or Playa del Carmen. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. Most packages include physician consultations and airport-to-clinic transfers.</p>\n\n<ul>\n<li><strong>Cell concentration:</strong> Protocols using over 100 million mesenchymal stem cells typically increase the total investment.</li>\n<li><strong>Delivery method:</strong> Intravenous systemic delivery for autoimmune conditions often costs more than localized joint injections.</li>\n<li><strong>Clinic location:</strong> Costs in medical hubs like Monterrey and Playa del Carmen typically run 15-20% higher.</li>\n<li><strong>Package inclusions:</strong> Premium tiers often add multi-day hotel stays and specialized lab tests to the base.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a clinic with CSG accreditation ensures high safety standards without the premium US price. Facilities like Advanced Regenerative Center offer specialized orthopedic protocols for approximately $6,000. While some clinics like Immunotherapy Regenerative Medicine include personalized metabolic protocols, others focus strictly on cell delivery. Patients should confirm if their quote includes follow-up care to ensure the best long-term value for systemic treatments.</p>","faq":[{"q":"What Should You Know about Mexico before the Trip?","a":"<figure class=\"table\"><table><tbody><tr><td><p style=\"margin-left:0px;\">Currency</p></td><td><p style=\"margin-left:0px;\">Mexican peso (you also can pay for services in dollars)</p></td></tr><tr><td><p style=\"margin-left:0px;\">Best period for the trip</p></td><td><p style=\"margin-left:0px;\">December-April</p></td></tr><tr><td><p style=\"margin-left:0px;\">Language</p></td><td><p style=\"margin-left:0px;\">Spanish (most of medical staff speaks English fluently)</p></td></tr><tr><td><p style=\"margin-left:0px;\">Visa</p></td><td><p style=\"margin-left:0px;\">required for<a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u> some countries</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;\">Time difference with Europe</p></td><td><p style=\"margin-left:0px;\">7 hours</p></td></tr><tr><td><p style=\"margin-left:0px;\">Time difference with the USA</p></td><td><p style=\"margin-left:0px;\">1 hour</p></td></tr><tr><td><p style=\"margin-left:0px;\">Capital</p></td><td><p style=\"margin-left:0px;\">Mexico City</p></td></tr><tr><td><p style=\"margin-left:0px;\">Medical tourism center</p></td><td><p style=\"margin-left:0px;\">Mexico City</p></td></tr><tr><td><p style=\"margin-left:0px;\">Popular resorts</p></td><td><p style=\"margin-left:0px;\">Central and Southern Mexico</p></td></tr></tbody></table></figure>"},{"q":"What hotel services are provided here?","a":"<p>In Mexico,&nbsp;<a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">hotels of different</a>&nbsp;price ranges and service levels are presented. Most tourists choose 4 and 5 star hotels with all-inclusive meals. Such hotels have everything for a comfortable stay: varied food, a large well-groomed territory, animation for children and adults. Some hotels have their own water park, which guests can use for free. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.</p>"},{"q":"What Documents Are Required to Apply for a Visa to Mexico for Treatment?","a":"<p>Visas for travel to Mexico require a&nbsp;<a href=\"https://www.mexicocity.com/v/visa-requirements/\">number of documents</a>. Lists of documents includes:</p><ul><li>ID card</li><li>confirmation of online registration and filling out the questionnaire</li><li>certificate of income and availability of funds</li><li>insurance policy for a stay in Mexico (original and copy)</li><li>2 photos (5x6)</li><li>visa receipt</li><li>booking of flight and hotel</li><li>medical opinion about the need for treatment.</li></ul>"}],"h2":[{"text":"Como funciona","kind":"content"},{"text":"Qual é o Custo de Terapia com células estaminais para espondilite anquilosante em México? Descubra Agora","kind":"content"},{"text":"Descubra as Melhores Clínicas de Terapia com células estaminais para espondilite anquilosante em México: 5 opções Verificadas e Preços","kind":"content"},{"text":"Visão geral de Terapia com células estaminais para espondilite anquilosante em México","kind":"content"},{"text":"Obtenha uma avaliação médica para Terapia com células estaminais para espondilite anquilosante em México: escolha seu especialista entre os melhores da área","kind":"content"},{"text":"Histórias em vídeo de pacientes da Bookimed","kind":"content"},{"text":"Avaliações sobre Bookimed: descubra percepções de pacientes","kind":"content"},{"text":"Compartilhar este conteúdo","kind":"content"},{"text":"FAQ sobre Terapia com células estaminais para espondilite anquilosante em México","kind":"content"},{"text":"Obtenha uma consulta gratuita","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}