Pgi Charges

HOSPITAL CHARGES
EXPHEAD EXPNAME PVT GEN UNIT

AN ANATOMY
AN001 COMPLETE EMBALMING 2000.00 2000.00 NOs.
AN002 PARTIAL EMBALMING 4000.00 4000.00 NOs.
AR ANIMAL RESEARCH FACILITY
AR001 OUT BRED RAT (COST PER ANIMAL) 15.00 15.00 NOs.
AR002 INBRED RAT (COST PER ANIMAL) 20.00 20.00 NOs.
AR003 OUTBRED MICE (COST PER ANIMAL) 15.00 15.00 NOs.
AR004 INBRED MICE (COST PER ANIMAL) 20.00 20.00 NOs.
AR005 GUINEA PIG (COST PER ANIMAL) 50.00 50.00 NOs.
AR006 RABBIT (COST PER ANIMAL) 120.00 120.00 NOs.
AR007 HAMSTER (COST PER ANIMAL) 75.00 75.00 NOs.
AR008 SHEEP (COST PER ANIMAL) 1000.00 1000.00 NOs.
AR009 OUT BRED RAT (MAINTENANCE/ ANIMAL/ DAY) 1.00 1.00 NOs.
AR010 INBRED RAT (MAINTENANCE/ ANIMAL/ DAY) 2.00 2.00 NOs.
AR011 OUTBRED MICE (MAINTENANCE/ ANIMAL/ DAY) 1.00 1.00 NOs.
AR012 INBRED MICE (MAINTENANCE/ ANIMAL/ DAY) 2.00 2.00 NOs.
AR013 GUINEA PIG (MAINTENANCE/ ANIMAL/ DAY) 3.00 3.00 NOs.
AR014 RABBIT (MAINTENANCE/ ANIMAL/ DAY) 4.00 4.00 NOs.
AR015 HAMSTER (MAINTENANCE/ ANIMAL/ DAY) 2.00 2.00 NOs.
AR016 SHEEP (MAINTENANCE/ ANIMAL/ DAY) 12.00 12.00 NOs.
AT ANAESTHESIA
AT001 ONLY ABG 75.00 50.00 NOs.
+ +
AT002 ABG ALONGWITH ELECTROLYTES(NA ,K )(Na,K) 150.00 100.00 NOs.
AT003 ONLY ELECTROLYTES(Na+,K+,Cl,Ca+) 75.00 50.00 NOs.
AT004 ONLY CALCIUM 40.00 25.00 NOs.
BC BIOCHEMISTRY
BC001 ACID PHOSPHATASE (ACP) 25.00 25.00 NOs.
BC002 ALKALINE PHOSPHATASE (ALP) -(OPD-Patient) 25.00 25.00 NOs.
BC003 AMYLASE 25.00 25.00 NOs.
BC007 CALCIUM 50.00 25.00 NOs.
-
BC008 CHLORIDES (CL ) 0.00 0.00 NOs.
BC009 BILIRUBIN (CONJUGATED) (D-Bil) -(OPD-Patient) 25.00 25.00 NOs.
BC010 CREATININE (OPD-Patient) 25.00 25.00 NOs.
BC012 CREATININE KINASE-NAC (CK-NAC) 25.00 25.00 NOs.
BC015 GLUCOSE TOLERANCE TEST (GTT) 250.00 100.00 NOs.
BC016 INORGANIC PHOSPHORUS (Pi) 25.00 25.00 NOs.
BC019 LACTATE DEHYDROGENASE (LDH) 50.00 50.00 NOs.
BC021 MAGNESIUM (Mg2+) 25.00 25.00 NOs.
BC026 POTASSIUM SODIUM-(K+ & NA+) (OPD-Patient) 25.00 25.00 NOs.
BC028 ALBUMIN AND GLOBULMIN PROTIENS -(OPD-Patient) 25.00 25.00 NOs.
BC030 C-REACTIVE PROTEIN (CRP) 25.00 25.00 NOs.
BC033 SERUM IRON 25.00 25.00 NOs.
BC034 ALANINE TRANSAMINASE/ ASPARTATE 25.00 25.00 NOs.
TRANSAMINASE- ALT/ AST, SGPT/SGOT -(OPD-Patient)
BC037 BILIRUBIN TOTAL (T-BIL) (OPD-Patient) 25.00 25.00 NOs.
BC038 TOTAL CHOLESTEROL 25.00 25.00 NOs.
BC039 TOTAL PROTIENS 0.00 0.00 NOs.
BC040 TRIGLYCERIDES (TG) -(OPD-Patient) 50.00 50.00 NOs.
BC042 UREA 0.00 0.00 NOs.
BC043 URIC ACID 25.00 25.00 NOs.
BC045 TRIGLYCERIDES (TG) -(IN-Patient) 50.00 0.00 NOs.
BC050 ALKALINE PHOSPHATASE (ALP) -(IN-Patient) 25.00 0.00 NOs.
BC051 ALANINE TRANSAMINASE/ ASPARTATE 25.00 0.00 NOs.
TRANSAMINASE- ALT/ AST, SGPT/SGOT (IN-Patient)
BC052 BILIRUBIN TOTAL (T-BIL) -(IN-Patient) 25.00 0.00 NOs.
BC055 CREATININE (IN-Patient) 25.00 0.00 NOs.
BC056 POTASSIUM & SODIUM (K+ & NA+)-(IN-Patient) 0.00 0.00 NOs.
BC057 GLUCOSE (RBS/ FBS) 0.00 0.00 NOs.
BC058 LIPASE TEST 75.00 50.00 NOs.
BC059 BENCE JONES PROTEINS URINARY (BJP) 25.00 25.00 NOs.
BC063 URINARY CHLORIDES (24 HRS. QUANTITATIVE) 25.00 25.00 NOs.
BC064 URINARY CREATININE (24 HRS. QUANTITATIVE 25.00 25.00 NOs.
BC065 URINARY GLUCOSE (QUANTITATIVE) 10.00 10.00 NOs.
BC066 URINARY PHOSPHORUS (24 HRS QUANTITATIVE) 25.00 25.00 NOs.
BC067 URINARY SODIUM AND/OR POTASIUM 25.00 25.00 NOs.
(QUANTITATIVE)
BC068 URINE ALBUMIN (24 HRS QUANTITATIVE) 25.00 25.00 NOs.
BC070 URINE CALCIUM (24HRS QUANTITATIVE) 25.00 25.00 NOs.
BC072 URINE UROBILINOGEN (QUALITATIVE) 50.00 50.00 NOs.
BC084 CSF CHLORIDES 10.00 10.00 NOs.
BC086 CSF GLUCOSE 25.00 25.00 NOs.
BC087 CSF PROTEINS 25.00 25.00 NOs.
BC088 SWEAT CHLORIDE ESTIMATION 50.00 50.00 NOs.
BC089 CREATINE KINASE(CK-MB) 100.00 100.00 NOs.
BC090 PLASMA LP(a) 150.00 100.00 NOs.
BC094 LIPID PROFILE (OPD-Patient) 200.00 100.00 NOs.
BC095 ARSENLIC (Blood, Urine, Nails, Hair) 100.00 50.00 NOs.
BC096 URINARY PROPHOBILINOGEN/ UROBILINOGEN 100.00 50.00 NOs.
(QUALITATIVE)
BC097 STOOL OCCULT BLOOD (OB) 250.00 125.00 NOs.
BC098 PSA 200.00 100.00 NOs.
BC099 ALCOHOL 200.00 100.00 NOs.
BC100 APOLOPOPROTEIN A-I (APO AI) 200.00 100.00 NOs.
BC101 APOLOPOPROTEIN B (APO B) 250.00 125.00 NOs.
BC102 C3 250.00 125.00 NOs.
BC103 C4 250.00 125.00 NOs.
BC104 MYOGLOBIN 300.00 150.00 NOs.
BC105 RHEUMATOID FACTOR (Rh) 300.00 150.00 NOs.
BC106 GAMMA GLUTAMYL TRANSFERASE (GGT) 100.00 50.00 NOs.
BC107 BILIRUBIN (CONJUGATED) (D-Bil) -(IN-Patient) 25.00 0.00 NOs.
BC108 ALBUMIN AND GLOBULMIN PROTIENS -(IN-Patient) 25.00 0.00 NOs.
BC109 TOTAL CHOLESTEROL (IN-Patient) 25.00 0.00 NOs.
BC110 LIPID PROFILE (IN-Patient) 200.00 0.00 NOs.
BH BLOOD CLINICAL HAEMATOLOGY
BH003 ABSOLUTE EOSINOPHIL COUNT/ AEC 50.00 50.00 NOs.

BH004 ANTENATAL DIAGNOSIS OF THALLESSAEMIA 6000.00 4000.00 NOs.
BH005 ANTI-THROMBIN-III ASSAY 600.00 500.00 NOs.
BH006 AUTO HAEMOLYSIS 150.00 100.00 NOs.
BH007 BLEEDING TIME (BT) 30.00 30.00 NOs.
BH008 BONE MARROW/ BLOOD CELL CYTOCHEMISTRY (PER 50.00 50.00
STAIN) NOs.
PERIPHERAL SMEAR (BLOOD FILM MORPHOLOGY)
BH009 (OPD-Patient) 50.00 50.00 NOs.
BH010 BONE MARROW ASPIRATION AND TREPHINE BIOPSY 600.00 400.00 NOs.
BH011 BONE MARROW ASPIRATION ONLY 300.00 200.00 NOs.
BH012 CHROMOSOMAL /CYTOGENETIC STUDY FROM 500.00 150.00
BLOOD/BONE MARROW NOs.
BH014 CLOT RETRACTION TIME 25.00 25.00 NOs.
BH015 CLOTTING TIME 10.00 10.00 NOs.
BH016 COOMB'S TEST 115.00 100.00 NOs.
BH017 CORRECTION STUDIES IN COAGULATION 375.00 250.00 NOs.
BH019 ERYTHROCYTE SEDIMENTATION RATE (ESR) 0.00 0.00 NOs.
BH021 FDPS/FIBIRIN MONOMERS 75.00 75.00 NOs.
BH022 FOETAL HAEMOGLOBIN 0.00 0.00 NOs.
BH023 G6PD SCREENING TEST 50.00 30.00 NOs.
BH026 HAEM'S TEST 150.00 100.00 NOs.
BH029 HAEMOGLOBIN ELECTROPHORESIS (BY HPLC) 150.00 100.00 NOs.
BH030 COMPLETE BLOOD COUNT (CBC)/(HAEMOGRAM (HB 50.00 50.00
TLC PLATELET COUNT RBC RED CELL INDICES) NOs.
BH031 HEMOGLOBIN A2 ESTIMATION (BY HPLC) 150.00 100.00 NOs.
BH032 HEINZ BODIES 25.00 25.00 NOs.
BH033 HESS TEST 30.00 30.00 NOs.
BH035 FLOWCYTOMETRIC IMMUNOPHENOTYPING (FCM-IP) 6000.00 6000.00
FOR ACUTE LEUKEMIA NOs.
BH036 INCUBATED OSMOTIC FRAGILITY (RBC) 25.00 25.00 NOs.
BH037 L.E. CELLS 100.00 100.00 NOs.
BH038 MET-HAEMOGLOBIN ESTIMATION 75.00 75.00 NOs.
BH039 OSMOTIC FRAGILITY (RBC) 30.00 30.00 NOs.
BH040 PTTK/APTT 30.00 30.00 NOs.
BH041 PLATELETS FUNCTION TEST/ PLATETEL 200.00 150.00
AGGREGA.STUDIES NOs.
BH042 PRESUMPTIVE TEST OF HAEMOLYSIS(PLASMA 50.00 30.00
HRMOGLOBIN, URINE HEMOGLOBIN) NOs.
BH043 PROTEIN C 500.00 150.00 NOs.
BH044 PROTEIN S 500.00 150.00 NOs.
BH046 R.B.C. 0.00 0.00 NOs.
BH047 RETICULOCYTE COUNT 50.00 50.00 NOs.
BH051 SCREENING FOR THALLESSAEMIA & 300.00 100.00
HEMOGLOBINOPATHIES NOs.
BH052 SERUM B12 ASSAY 100.00 100.00 NOs.
BH053 SERUM FERRITIN 115.00 100.00 NOs.
BH054 SERUM FOLATE & RED CELL FOLATE 115.00 100.00 NOs.
BH055 SICKLING TEST 50.00 30.00 NOs.
BH056 SUCROSE LYSIS TEST 25.00 25.00 NOs.
BH057 TEST FOR FIBRINOLYSIS 250.00 100.00 NOs.
BH058 THROMOBOPLASTIN GENERATION TEST 75.00 75.00 NOs.
BH060 UNSTABLE HB,S 100.00 50.00 NOs.
BH061 URINE HAEMOSIDERIN 30.00 30.00 NOs.
BH062 CSF CELL COUNT AND MICROSCOPIC 25.00 25.00 NOs.
BH066 URINE ROUTINE AND MICROSCOPIC EXAM. 0.00 0.00 NOs.
BH067 HEMOPHILIA - DNA DIAGNOSIS 6000.00 3000.00 NOs.
BH071 DNA BASED MUTATION DETECTION IN THALASSEMIA 3500.00 1750.00 NOs.
BH075 MOLECULAR DIAGNOSIS OF LEUKEMIAS 1000.00 300.00 NOs.
BH077 PROTHROMBIN TIME (IN-PATIENT) 0.00 0.00 NOs.
BH078 INR (IN-PATIENT) 0.00 0.00 NOs.
BH079 PT/INR (OPD-PATIENT) 25.00 25.00 NOs.
PERIPHERAL SMEAR (BLOOD FILM MORPHOLOGY)
BH080 (IN-Patient) 0.00 0.00 NOs.
CBC/ COMPLETE BLOOD COUNT + DIFFERENTIAL
BH081 COUNT 50.00 50.00 NOs.
300.00 200.00
BH082 COAGULATION SCREEN-PT PTTK FIBRINOGEN
BH083 SERUM IRON, TIBC & SERUM FETRITIN 300.00 150.00 NOs.
BH084 LUPUS ANTICOAGULANT 200.00 150.00 NOs.
BH086 D-DIMER TEST 300.00 200.00 NOs.
BH088 DNA BASED MUTATION TESTING FOR SINGLE GENE 1500.00 1000.00
DISORDERS NOs.
BH089 OTHER COAGULATION FACTOR ASSAY-II, V, VII, IX, X, 1800.00 1200.00
SI NOs.
BH090 FLOW CYTOMETRIC IMMUNOPHENOTYPING (FCM-IP) 2500.00 2500.00
FOR CONFIRMATION OF PNH NOs.
BH091 FIBRONOGEN ASSAY BY CLOTING MEATHOD 150.00 100.00 NOs.
BH092 PLATELETS ASSOCIATED ANTIBODY 100.00 100.00
NOs.
BH093 SERUM HOMOCYSTEINE LEVELS 800.00 500.00 NOs.
BH094 IMMUNOPHENOTYPING FOR PLATELET FUNCTION 1000.00 500.00
DEFECT NOs.
BH095 IMMUNOHISTOCHEMISTRY (PER ANTIBODY) 2500.00 2500.00 NOs.
MOLECULAR TESTING BY REVERSE
BH096 TRANSCROPTASE PCR (RT-PCR) IN LEUKEMIA 4500.00 3000.00 NOs.
MOLECULAR TESTING BY REAL TIME QUANTITATIVE
BH097 PCR (RQ-PCR) IN LEUKEMIA 4500.00 3000.00 NOs.
BH098 FACTOR VIII ASSAY 1000.00 500.00 NOs.
BH099 FACTOR VIII ASSAY 1000.00 500.00 NOs.
BH100 ANTI CARDIOLIPIN ANTIBODY 1000.00 500.00 NOs.
BH101 ANTI BETA 2 GLYCOPROTEIN1 (GP1), 1000.00 500.00 NOs.
BP BIOPHYSICS
BP001 14C-UREA BREATH TEST 300.00 200.00 NOs.
CD CARDIOLOGY
CD001 ECHO/TEE 100.00 100.00 NOs.
CD013 EXERCISE TMT 200.00 100.00 NOs.
CD015 TILT TEST 500.00 150.00 NOs.
CD017 BALLOON VALVOTOMY/ PTMC - HC 5000.00 2500.00 NOs.
CD018 CARDIAC CATHETERISATION & ANGIOGRAPHY-HC 1000.00 500.00 NOs.
CD019 CARDIAC CATHETERISATION - HC 1000.00 500.00 NOs.
CD020 CARDIOVERSION 100.00 100.00 NOs.
CD021 COARCTATION DILATATION - HC 2000.00 1000.00 NOs.
CD022 DIRECTIONAL ATHRECTOMY 7000.00 3500.00 NOs.
CD024 ELECTRO PHYSIOLOGICAL STUDY - HC 2000.00 1000.00 NOs.
CD025 ENDOMYOCARDIAL BIOPSY - HC 2000.00 1000.00 NOs.
CD026 HOLTER 200.00 100.00 NOs.
CD027 I.A.B.P 3000.00 1500.00 NOs.
CD028 INTRA CORONARY STENTING 7000.00 3500.00 NOs.
CD029 INTRAVASCULAR COILS 2000.00 1000.00 NOs.
CD030 TEMPORARY PACEMAKER IMPLANTATION 2000.00 1000.00 NOs.
CD031 PLAIN BALLOON ANGIOPLASTY(PTCA) 2000.00 1000.00 NOs.
CD032 RF ABLATION - HC 7500.00 3750.00 NOs.
CD033 ROTABLATION 7000.00 3500.00 NOs.
CD034 SEPTOSTOMY - HC 2000.00 1000.00 NOs.
CD037 TESTING OF PACEMAKER (PERTEST) 100.00 100.00 NOs.
CD039 CORONARY ANGIOGRAPHY - HC 500.00 500.00 NOs.
CD040 CORONARY ANGIOPLASTY - HC 5000.00 2000.00 NOs.
CD041 PERMANENT PACEMAKER DUAL CHAMBER - HC 4000.00 2000.00 NOs.
CD042 BiV - PACEMAKER IMPLANTATION - HC 6000.00 3000.00 NOs.
CD043 AICD IMPLANTATION - HC 4000.00 2000.00 NOs.
CD044 INTRA AOREITC BALOON PUMP - HC 2000.00 1000.00 NOs.
CD045 INTRA VASCULAR COIL CLOSURE - HC 2000.00 1000.00 NOs.
CD046 DEVICE IMPLANTATION (ASD,VSD,PDA,IVC FILTER) - 2000.00 1000.00
HC NOs.
CD047 APRTOC/PULM.VALVOTOMY - HC 2000.00 1000.00 NOs.
CD048 IVC FILTER - HC 2000.00 1000.00 NOs.
CD049 PERIPHERAL STENTING INCLUDING COACET 2000.00 1000.00 NOs.
CD050 PERMANENT PACEMAKER(SINGLE CHAMBER) - HC 2000.00 1000.00 NOs.
CD051 CARDIAC CATHETERIZATION (WITHOUT 1000.00 300.00
ANGIOGRAPHY) NOs.
CS CARDIO THORACIC SURGERY
CS001 A.S.D. 7000.00 3500.00 NOs.
CS002 ABDOMINAL/THORACIC AORTIC ANEURYSM 10000.00 5000.00 NOs.
CS003 ANGIOPLASTY 7000.00 3500.00 NOs.
CS004 ASCENDING AORTA REPLACEMENT 20000.00 10000.00 NOs.
CS005 ATRIAL SEPTOSTOMY 8000.00 4000.00 NOs.
CS006 B.T. SHUNT 9000.00 4500.00 NOs.
CS007 C.A.B.G. 14000.00 7000.00 NOs.
CS008 C.A.B.G. + DOUBLE VALVE REPLACEMENT 18000.00 9000.00 NOs.
CS009 C.A.B.G. + IABP 40000.00 20000.00 NOs.
CS010 C.A.B.G. + SINGLE VALVE REPLACEMENT 18000.00 9000.00 NOs.
CS011 C.M.V. 4000.00 2000.00 NOs.
CS012 COARACTATION OF AORTA 9000.00 4500.00 NOs.
CS013 COIL EMBOLISATION 2000.00 1000.00 NOs.
CS014 CONDUIT REPAIR 14000.00 7000.00 NOs.
CS015 D.S.A. 1000.00 300.00 NOs.
CS016 DOUBLE VALVE REPLACEMENT 12000.00 6000.00 NOs.
CS017 EMBOLECTOMY 5000.00 2500.00 NOs.
CS018 OESOPHAGECTOMY/COLON BYPASS 3500.00 1750.00 NOs.
CS019 FONTAN PROCEDURE 18000.00 9000.00 NOs.
CS020 I/C DRAINAGE 250.00 100.00 NOs.
CS021 IMPLANT 2000.00 1000.00 NOs.
CS022 LOBECTOMY/PHEUMONECTOMY/DECORTICATION,EX 4000.00 2000.00
CISION OF HYDATID OR MEDIASTINAL CYST NOs.
CS023 MITRAL BALLOON VALVOPLASTY 9000.00 4500.00 NOs.
CS024 P.D.A. 4000.00 2000.00 NOs.
CS025 PERICARDIECTOMY 4000.00 2000.00 NOs.
CS026 PERIPHERAL ANGIOPLASTY 5000.00 2500.00 NOs.
CS027 PERIPHERAL VASCULAR SURGERY 2000.00 1000.00 NOs.
CS028 PULMONARY AORTIC VALVOPLASTY 2000.00 1000.00 NOs.
CS029 REPLANT 250.00 100.00 NOs.
CS030 SINGLE VALVE REPLACEMENT/MVR 9000.00 4500.00 NOs.
CS031 T.O.F. 12000.00 6000.00 NOs.
CS032 V.S.D. 9000.00 4500.00 NOs.
CY CYTOLOGY
CY001 BUCCAL SMEAR FOR SEX CHROMATIN 25.00 25.00 NOs.
CY002 ESTROGEN RECEPTOR 900.00 270.00 NOs.
CY003 IMMUNOCYTOCHEMISTRY 2500.00 1500.00 NOs.
CY004 PROGESTERON RECEPTOR 900.00 270.00 NOs.
CY005 HPV TESTING 1600.00 800.00 NOs.
CY006 CYTOPATHOLOGY FNA 100.00 100.00 NOs.
CY007 FLOWCYTOMETRIC IMMUNOPHENOTYPING 6000.00 6000.00 NOs.
CY008 CERVICAL SMEAR (PAP SMEAR) 50.00 25.00 NOs.
DR DERMATOLOGY
DR001 MINI PUNCH GRAFTING FOR VITILIGO 150.00 100.00 NOs.
DR002 DERMABRASION 100.00 100.00 NOs.
DR003 MOLE EXCISION 50.00 50.00 NOs.
DR004 FACE PEEL 100.00 100.00 NOs.
DR005 SHAVE BIOPSY 50.00 50.00 NOs.
DR006 PUVA (MONTH OF 12 SITTINGS) 100.00 100.00 NOs.
DR007 PATCH TEST 50.00 50.00 NOs.
DR008 SIDE LAB PROCEDURE 0.00 0.00 NOs.
DR009 SKIN BIOPSY 100.00 100.00 NOs.
DR011 ELECTROLYSIS 30.00 30.00 NOs.
DR012 PHYSICAL TEST FOR URTICARIA 30.00 30.00 NOs.
DR013 FULGARATION 30.00 30.00 NOs.
DR014 CAUTERY 30.00 30.00 NOs.
DR015 INTRALESIONAL INJECTION 30.00 30.00 NOs.
DR016 PARING AND CUTERY OF WART 30.00 30.00 NOs.
DR017 PARING AND CUTERY OF CORNS 30.00 30.00 NOs.
DR018 COMEDONE EXTRACTION 30.00 30.00 NOs.
DS DENTAL SURGERY
DS001 ABSCESS INCISION 250.00 100.00 NOs.
DS002 ACRYLIC FULL CROWN 100.00 100.00 NOs.
DS003 ACTIVATOR 250.00 100.00 NOs.
DS004 ALL EXTRACTIONS IN ONE JAW 250.00 100.00 NOs.
DS005 ALVEOLECTOMY 250.00 100.00 NOs.
DS006 APICAL CURETTAGE 250.00 100.00 NOs.
DS007 BIOPSY 250.00 100.00 NOs.
DS008 CAST INLAY PER TOOTH(NON-PRECIOUS ALLOY) 100.00 100.00 NOs.
DS009 COMPLETE DENTURE ACRYLIC - ONE JAW 500.00 150.00 NOs.
DS010 COMPLETE DENTURE ACRYLIC - BOTH JAWS 1000.00 300.00 NOs.
DS011 CONDYLECTOMY 1000.00 300.00 NOs.
DS012 CYSECTOMY 250.00 100.00 NOs.
DS013 DEFINITIVE OBTURATOR WITH TEETH 500.00 150.00 NOs.
DS014 DENTAL RESTORATION CLASS-II TYPE WITH AG 100.00 100.00
AMALGEN COMPOSITE NOs.
DS015 EXPANSION PLATE (EXCLUDING SCREW TO BE 250.00 100.00
BROUGHT BY PATIENT NOs.
DS016 EXTRACTION PER TOOTH 25.00 25.00 NOs.
DS017 FISTULA CLOSURE 250.00 100.00 NOs.
DS018 FISTULECTOMY 250.00 100.00 NOs.
DS019 FIXATION OF FRACTURE OF JAWS 1000.00 300.00 NOs.
DS020 FIXED APPLIANCES BOTH JAWS 1000.00 300.00 NOs.
DS021 FIXED APPLIANCES ONE JAW 500.00 150.00 NOs.
DS022 FIXED PARTIAL DENTURE 3 UNITS IN GOLD ALLOY 500.00 150.00
(EXCLUDING GOLD) NOs.
DS023 FIXED PARTIAL DENTURE 3 UNITS WITH PROCELAIN 250.00 100.00 NOs.
DS024 FIXED PARTIAL DENTURE 3 UTS.WITH PORCELAIN 2000.00 1000.00
VEENERING-NON PRECIOUS ALLOY NOs.
DS025 FIXED PARTIAL DENTURE PER ADDITIONAL TOOTH 250.00 100.00
WITH PROCELAIN VEENERING-SEMI PRECIOUS
ALLOY NOs.
DS026 FIXED PARTIAL DENTURE-3 UNITS WITH ACRYLIC 1000.00 300.00
VENEERING NOs.
DS027 FIXED PARTIAL DENTURE PER ADDITION TOOTH IN 250.00 100.00
GOLD ALLOY NOs.
DS028 FIXED PARTIAL DENTURE PER ADDITION TOOTH 250.00 100.00
WITH VEENERING-SEMI PRECIOUS ALLOY NOs.
DS030 FIXED PARTIAL DENTURE PER ADDITIONAL UNIT 500.00 150.00
WITH ACRYLIC NOs.
DS033 FRACTURE JAW-OPEN REDUCTION 1000.00 300.00 NOs.
DS034 FRACTURE JAWS-CLOSED REDUCTION 500.00 150.00 NOs.
DS035 FRENECTOMTY 150.00 100.00 NOs.
DS036 FULL METAL CROWN (NICKEL CHROME) 200.00 100.00 NOs.
DS037 GINGIVECTOMY FULL MOUTH 1000.00 300.00 NOs.
DS038 GINGIVECTOMY PER SEGMENT 250.00 100.00 NOs.
DS039 GROWTH REMOVAL 250.00 100.00 NOs.
DS040 HEAD GEAR(EXCLUDING STRAPS TO BE BROUGHT 250.00 100.00
BY PATIENT) NOs.
DS041 INCLINED PLANE/ REPAIR OF PLANE 100.00 100.00 NOs.
DS042 MANDIBULECTOMY 2000.00 1000.00 NOs.
DS043 NASAL/ AURICULAR/ ORBITAL PROSTHESIS 250.00 100.00 NOs.
DS044 ORTHODONTIC APPLIANCE,BITE PLATES, 250.00 100.00
RETRACTION PLATE NOs.
DS045 ORHTODENTIC TREATMENT BANDING/BONDING PER 50.00 50.00
TOOTH EXCLUDING COST OF THE MATERIAL TO BE
BROUGHT BY THE PATIENT NOs.
DS046 OSTEOTOMY 1000.00 300.00 NOs.
DS047 PERICORONOTOMY 150.00 100.00 NOs.
DS048 PERIPHERAL NEURECTOMY 500.00 150.00 NOs.
DS049 PORCELAIN FULL CROWN 250.00 100.00 NOs.
DS050 PORCELAIN TO METAL CROWN 500.00 150.00 NOs.
DS051 PULPOTOMY 250.00 100.00 NOs.
DS052 REMOVABLE CAST PARTIAL 50.00 50.00
DENTURE(CHROMOCOBALT) PER ADDITIONAL
TOOTH NOs.
DS053 REMOVABLE ACRYLIC PARTIAL DENTURE PER 50.00 50.00
ADDITIONAL TOOTH NOs.
DS054 REMOVABLE ACRYLIC PARTIAL DENTURE WITH ONE 100.00 100.00
TOOTH NOs.
DS055 REMOVABLE CAST PARTIAL DENTURE 500.00 150.00
(CHROMECOBALT) WITH ONE TOOTH NOs.
DS056 REMOVAL OF IMPACTION 250.00 100.00 NOs.
DS057 REPAIRING/ RE ALIGNING DENTURE 100.00 100.00 NOs.
DS058 RESECTION OF JAW 2000.00 1000.00 NOs.
DS059 RESTORATIONS PER SURFACE 125.00 100.00 NOs.
DS060 ROCHETT'S (MARYLAND) BRIDGE 3 UNITS 250.00 100.00 NOs.
DS064 ROOT AMPUTATION 250.00 100.00 NOs.
DS065 ROOT PLANNING 250.00 100.00 NOs.
DS066 SCALING : CHRONIC GINGIVITIS 150.00 100.00 NOs.
DS067 SCALING : CDP TREATMENT/ ROOT PLANNING 250.00 100.00 NOs.
DS068 SEGMENTAL RESECTION OF JAW 1000.00 300.00 NOs.
DS069 SEQUESTRECTOMY 250.00 100.00 NOs.
DS070 SIALOLITHOTOMY 250.00 100.00 NOs.
DS071 SILVER CAST SPLINT PER DENTAL ARCH 250.00 100.00 NOs.
DS072 SINGLE JACKET CROWN/DOWEL CROWN IN NON 250.00 100.00
PRECIOUS ALLOY NOs.
DS073 SINGLE THREE QUARTER CROWN (NICKEL-CHROME) 250.00 100.00 NOs.
DS074 SPACE MAINTAINER - SINGLE TOOTH 150.00 100.00 NOs.
DS075 SPACE MAINTAINER - MULTIPLE TEETH 250.00 100.00 NOs.
DS076 STUDY CASTS 50.00 50.00 NOs.
DS077 SURGICAL OBTURATOR/ INTERMEDIATE OBTURATOR 100.00 100.00
(WITHOUT TEETH) NOs.
DS078 SURGICAL REMOVAL OF ROOT 250.00 100.00 NOs.
DS079 TOTAL EXTRACTIONAL BOTH JAWS 1000.00 300.00 NOs.
DS080 TUMOUR EXCISION 1000.00 300.00 NOs.
DS081 VEENERING-NON PRECIOUS ALLOY 1000.00 300.00 NOs.
DS082 DENTAL IMPLANT PER UNIT EXCLUDING MATERIAL 1100.00 550.00 NOs.
EC ENDOCRINOLOGY
EC004 TSH 200.00 100.00 NOs.
EC006 T3, T4, TSH 300.00 200.00 NOs.
EC007 CORTISOL-AM/PM OVERNIGHT 225.00 150.00 NOs.
EC008 CORTISOL-POST DEXA 115.00 75.00 NOs.
EC009 CORTISOL-LOW DOSE 115.00 75.00 NOs.
EC010 CORTISOL-HIGH DOSE 115.00 75.00 NOs.
EC011 CORTISOL-ACTH STIMULATION 450.00 300.00 NOs.
EC012 CORTISOL-ITT 565.00 375.00 NOs.
EC013 TESTOSTERONE BASAL 300.00 200.00 NOs.
EC015 E2-17 B 225.00 150.00 NOs.
EC018 GROWTH HARMONE-BASAL 115.00 75.00 NOs.
EC019 GROWTH HARMONE-RESP TO IIT/GGT 565.00 375.00 NOs.
EC020 INSULINE-BASAL 150.00 100.00 NOs.
EC022 PRL 225.00 150.00 NOs.
EC023 HbA1c 300.00 100.00 NOs.
EC024 PLANTER PRESSURE STUDIES 100.00 50.00 NOs.
EC025 CORTISOL 250.00 125.00 NOs.
EC026 INSULIN 250.00 125.00 NOs.
EC027 C-PEPTIDE 500.00 250.00 NOs.
EC028 PTH 400.00 200.00 NOs.
EC029 ACTH 400.00 200.00 NOs.
EC030 25(OH)D 700.00 350.00 NOs.
EC031 TPO 300.00 150.00 NOs.
EC033 PLASMA OSMOLALITY 250.00 125.00 NOs.
EC034 URINE OSMOLALITY 250.00 125.00 NOs.
EC035 T3 100.00 50.00 NOs.
EC036 T4 100.00 50.00 NOs.
EC037 LH 225.00 150.00 NOs.
EC038 FSH 225.00 150.00 NOs.
EN ENT/ OTHORHINOLARYNGOLOGY
EN001 ADENOIDECTOMY 500.00 200.00 NOs.
EN002 ANTRAL BIOPSY 250.00 100.00 NOs.
EN003 ANTRAL WASH 200.00 100.00 NOs.
EN005 AURAL POLYPECTOMY 250.00 100.00 NOs.
EN006 B.M.TEST FOR EUSTACHIAN TUBE FUNCTION 50.00 50.00 NOs.
EN007 BIOPSY NECK 250.00 100.00 NOs.
EN008 BLOCK DISSECTION OF NECK 5000.00 2500.00 NOs.
EN009 BRONCHOSCOPY 500.00 150.00 NOs.
EN010 BSER 300.00 150.00 NOs.
EN011 C.W.L. (RT.) (MINOR) 1000.00 300.00 NOs.
EN012 CALDWELL LUC'S OPERATION 500.00 200.00 NOs.
EN013 CALORIC TEST 100.00 100.00 NOs.
EN014 DIRECT LARYNGOSCOPY 500.00 150.00 NOs.
EN015 ELECTROMYSTAGMOGRAPHY 250.00 100.00 NOs.
EN016 ETHMOIDECTOMY 2000.00 1000.00 NOs.
EN017 EXCISION OF TEMOPORAL BONE 5000.00 2500.00 NOs.
EN018 FESS 2000.00 1000.00 NOs.
EN019 FIBEROPTIC ENDOSCOPY 250.00 100.00 NOs.
EN020 FOREIGN BODY EAR AND NOSE REMOVAL 250.00 100.00 NOs.
EN021 FRONTAL SINUS OPERATION 2000.00 1000.00 NOs.
EN022 IMPEDENCE AUDIOMETRY 200.00 100.00 NOs.
EN023 INTRANASAL ANTROSTOMY 250.00 100.00 NOs.
EN024 LARYNGECTOMY 5000.00 2500.00 NOs.
EN025 LARYNGOFISSURE 2000.00 1000.00 NOs.
EN026 LARYNGOPHAYRYNGECTOMY 5000.00 2500.00 NOs.
EN027 LARYNGOSCOPY 500.00 150.00 NOs.
EN028 LASER THERAPY 500.00 250.00 NOs.
EN029 LATERAL PHARYNGOTOMY 2000.00 1000.00 NOs.
EN030 LATERAL RHINOTOMY 2000.00 1000.00 NOs.
EN031 MASTOIDECTOMY 2000.00 1000.00 NOs.
EN032 MAXILLECTOMY 2000.00 1000.00 NOs.
EN033 MEATOPLASTY 200.00 100.00 NOs.
EN034 MICROLARYNGOSCOPY 500.00 200.00 NOs.
EN035 MYRINGOPLASTY 1000.00 300.00 NOs.
EN036 MYRINGOTOMY 250.00 100.00 NOs.
EN037 NASAL CAUTERY 250.00 100.00 NOs.
EN038 NASAL POLYPECTOMY 1000.00 300.00 NOs.
EN039 OESPHAGOSCOPY 500.00 150.00 NOs.
EN040 OLFACTOMETRY 50.00 50.00 NOs.
EN041 PARTIAL GLOSSECTOMY 5000.00 2500.00 NOs.
EN042 PINNAPLASTY/ATRESIOPLASTY 2000.00 1000.00 NOs.
EN043 PLASTOPHARYNGOPLASTY FOR RHINOLALIS 5000.00 2500.00
ABSENTA NOs.
EN044 PURE TONE AUDIOMETRY 150.00 100.00 NOs.
EN045 R.N.D. 5000.00 2500.00 NOs.
EN046 RHINOPLASTY(M.R.M.) 2000.00 1000.00 NOs.
EN047 SEPTOPLASTY 500.00 150.00 NOs.
EN048 SPECIALISED TESTS OF HEARING 200.00 100.00 NOs.
EN049 STAPEDECTOMY 5000.00 2500.00 NOs.
EN050 SUBMANDIBULAR GLAND EXCISION 1000.00 300.00 NOs.
EN051 SUBMUCUS RESECTION OF SEPTUM 500.00 150.00 NOs.
EN052 TONSILLECTOMY 500.00 150.00 NOs.
EN053 TRACHEOSTOMY 500.00 150.00 NOs.
EN054 TRANSPALATAL OPERATION 2000.00 1000.00 NOs.
EN055 TURBINECTOMY 250.00 100.00 NOs.
EN056 TYMPANOPLASTY 5000.00 2500.00 NOs.
EN057 FUNCTIONAL ENDOSCOPY 250.00 100.00 NOs.
EN058 TRACHEOSTOMY(REVISION) 300.00 100.00 NOs.
EN059 BIOPSY 100.00 50.00 NOs.
EN060 LOBULOPLASTY 200.00 100.00 NOs.
EN061 CRYOSURGERY 200.00 100.00 NOs.
EN062 SYRINGING 0.00 0.00 NOs.
EN063 DILATATION 100.00 50.00 NOs.
EN064 TONGUE TIE RELEASE 100.00 0.00 NOs.
EN065 PURE TONE AUDIOMETRY 150.00 100.00 NOs.
EN066 SPECIAL TEST FOR HEARING 150.00 50.00 NOs.
EN067 SPEECH AUDIOMETRY 150.00 50.00 NOs.
EN068 HEARING AID FITTING 150.00 50.00 NOs.
EN069 EVOKED RESPONSE AUDIOMETRY 300.00 150.00 NOs.
EN070 BOA 150.00 50.00 NOs.
EN071 SPEECH THERAPY PACKAGE OF FOUR SESSION 200.00 100.00 NOs.
EN072 AUDITO.VERBAL THER.FOR COCHLEAR IMPLANT 5000.00 5000.00 NOs.
EN073 VNG (VIDEO NYSTAGMOGRAPHY) 200.00 200.00 NOs.
EX CENTRE SOPHISTICATED INTRUMENT CELL
(EXPERIMENTAL MEDICINE)
EX001 FLOW CYTOMETER 25.00 25.00 NOs.
EX002 REAL-TIME PCR-96 WELL PLATE (EACH) 500.00 500.00 NOs.
EX003 REAL-TIME PCR-COVERING FOIL (EACH) 100.00 100.00 NOs.
EX004 REAL-TIME PCR-SYBR GREEN MASTER MIX(/ML) 2700.00 2700.00 NOs.
EX005 REAL-TIME PCR-PROBE MASTER (/ML) 5200.00 5200.00 NOs.
EX006 2-D ELECTROPHORES.(INCLUDE pH STRIP/SAMP 800.00 800.00 NOs.
EX007 D HPLC (PER SAMPLE) 25.00 25.00 NOs.
GA GASTROENTEROLOGY
GA001 SCLEROTHERAPY WITHOUT ANAE. 300.00 100.00 NOs.
GA002 SCLEROTHERAPY WITH GEN, ANAE. 600.00 180.00 NOs.
GA003 INTESTINAL BIOPSY CAPSULAR 100.00 100.00 NOs.
GA004 INTESTINAL BIOPSY ENTEROSCOPIC 300.00 100.00 NOs.
GA005 PTBD 300.00 100.00 NOs.
GA006 HYDROGEN BREATH TEST 50.00 50.00 NOs.
GA007 ADENOSIBE DEA MINASE 50.00 50.00 NOs.
GA008 ASCITIC FUILD AND SERUM ALBUMIN GRADIEN 50.00 50.00 NOs.
GA009 LIPASE 50.00 50.00 NOs.
GA010 PANCREATIC ELASTASE IN SERUM 250.00 100.00 NOs.
GA011 PANCREATIC ELASTASE IN STOOL 250.00 100.00 NOs.
GA012 SERUM GASTRIN 100.00 100.00 NOs.
GA013 DILATATION OF ESOPHAGUS: WITH ANAESTHESIA 500.00 150.00 NOs.
GA014 DILATATION OF ESOPHAGUS: WITHOUT ANAESTH 200.00 100.00 NOs.
GA015 SIGMOIDOSCOPY 100.00 100.00 NOs.
GA016 EXCISION RECTAL PLOYPS-WITHOUT ANAESTHESIA 200.00 100.00 NOs.
GA017 EXCISION RECTAL PLOYPS-WITH ANAESTHESIA 500.00 150.00 NOs.
GA018 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY 200.00 100.00
WITHOUT ANAESTHESIA NOs.
GA019 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY 500.00 150.00
WITH GA NOs.
GA020 MANOMETRY 400.00 200.00 NOs.
GA021 pHMETRY 400.00 200.00 NOs.
GA023 SCREENING TEST FOR CELIAC DISEASE ANTI ENDO 600.00 180.00
MYSIAL HUC ANTIBODY TEST NOs.
GA024 CLOSTRIDIUM DIFFICILE ASSAY (C-DIFFICILE TOXIN 500.00 300.00
ASSAY) NOs.
GA025 FAECAL LACTOFERRIN ASSAY 500.00 300.00 NOs.
GA026 MYELOPEROXIDASE ACTIVITY 500.00 300.00 NOs.
GA027 C-REACTIVE PROTEIN (SEMI QUANTITATIVE 200.00 100.00
METHOD) NOs.
GA028 VIAGGLUTININS 200.00 100.00 NOs.
GA029 CLOSTRIDIUM PERFRINGENS ELISA 500.00 250.00 NOs.
GA030 ENDOTOXIN ASSAY 500.00 300.00 NOs.
GA031 CAPSULE ENDOSCOPY 500.00 250.00 NOs.
GN GENERAL CHARGES
GN001 ADMISSION CHARGES 200.00 25.00 NOs.
GN002 BED CHARGES 30.00 30.00 NOs.
GN003 DIET CHARGES FOR PATIENT (COMPULSORY) 100.00 35.00 NOs.
GN004 EGG CHARGES 2.00 0.00 NOs.
GN005 GENERAL DIET 35.00 0.00 NOs.
GN006 ROOM HEATER CHARGES 15.00 0.00 NOs.
GN007 ROOM RENT (B CLASS-ORDINARY ROOM) 950.00 0.00 NOs.
GN008 ROOM RENT FOR APC 750.00 0.00 NOs.
GN009 ROUTINE INVESTIGATION (PER DAY) 150.00 0.00 NOs.
GN011 SOUP CHARGES 10.00 0.00 NOs.
GN012 CATEGORY - I MINOR OPERATION UNDER L.A. 250.00 100.00 NOs.
GN014 CATEGORY - II MINOR OPERATION UNDER G.A. 1000.00 300.00 NOs.
GN016 CATEGORY - III MAJOR OPERATION UNDER G.A 2000.00 1000.00 NOs.
GN018 CATEGORY - IV MAJOR OPERATION UNDER G.A. 5000.00 2500.00 NOs.
GN020 CCU CHARGES 1000.00 300.00 NOs.
GN022 INTENSIVE CARE PROCEDURE 1000.00 300.00 NOs.
GN024 NICU/PICU CHARGES 1000.00 300.00 NOs.
GN025 NICU/PICU CHARGES INTENSIVE CARE NOT 100.00 30.00
PROVIDED NOs.
GN033 BLOWER CHARGES 15.00 0.00 NOs.
GN034 TWIN ROOM (V.I.P. / DELUXE) PER DAY 1500.00 0.00 NOs.
GN036 ATTENDENT DIET CHARGES (OPTIONAL) 150.00 55.00 NOs.
GN038 MEDICAL CERTIFICATE 10.00 10.00 NOs.
GN039 DISABILITY CERTIFICATE 100.00 100.00 NOs.
GN040 ISSUE OF INFORMATION ABOUT HOSPITAL CHARGES 200.00 200.00 NOs.
GN041 MEDICAL EXAMINATION BY MEDICAL 500.00 500.00
BOARD(PRIVATE PATIENT) NOs.
GN042 MISCELLANEOUS 100.00 100.00 NOs.
GN043 JEJUNOSTOMY FEED 1 LTR 25.00 0.00 NOs.
GN044 BURN DIET 'A'(1 LTR) 24.00 0.00 NOs.
GN045 CHICKEN SOUP (200 ML) 15.00 0.00 NOs.
GN046 HIGH PROTEIN FEE (150 ml.) 3.00 0.00 NOs.
GN047 RICE TRUEL (1 LTR.) 5.00 0.00 NOs.
GN048 MILK (1 LTR) 10.00 0.00 NOs.
GN049 NEW BORN BABY CARE CHARGES (PER DAY) 100.00 100.00 NOs.
GN050 AUGUMENTED HISTAMINE TEST 50.00 50.00 NOs.
GN051 DXYLOSE ABSORPTION 50.00 50.00 NOs.
GN052 LACTOSE TOLERANCE TEST 50.00 50.00 NOs.
GN053 PROTIENS BOUND IODINE(PBI) 50.00 50.00 NOs.
GN054 SERUM DIGOXIN 250.00 100.00 NOs.
GN057 WESTERN BLOT TEST 150.00 100.00 NOs.
GN058 AFP 450.00 135.00 NOs.
GN059 AMNIOTIC FLUID AFP ASSAY 300.00 100.00 NOs.
GN060 AMNIOTIC FLUID OR URINE 2 D 750.00 225.00 NOs.
GN061 APO-PROTEINS A 50.00 50.00 NOs.
GN062 APO-PROTEINS B 50.00 50.00 NOs.
GN063 MATERNAL SERUM AFP ASSAY 300.00 100.00 NOs.
GN064 MATERNAL SERUM HCG ASsay 300.00 100.00 NOs.
GN065 CEA 450.00 135.00 NOs.
GN066 IMMUNOFLOURESCENCE 300.00 100.00 NOs.
GN067 ELECTROPHORESIS FOR HPS AMNIOTIC. FLUID 750.00 225.00
ACETYLE NOs.
GN068 BETA HEG 450.00 135.00 NOs.
GN069 COMPLETION OF LIC CLAIM FORM FEE 35.00 35.00 NOs.
GN070 TUBECTOMY/LAPRASCOPIC STERLISATION 0.00 0.00 NOs.
GN071 LAB INVESTIGATION (COMPULSORY CHARGES) 0.00 50.00 NOs.
GN072 DIET CHARGES FOR PAT.(COMPULSORY)170305 50.00 20.00 NOs.
GN073 GENERAL DIET-170305 20.00 0.00 NOs.
GN074 ATTENDENT DIET CHARGES(OPTIONAL)170305 150.00 55.00 NOs.
GN075 DIET CHARGES (VIP ROOM) 150.00 0.00 NOs.
GN076 TWO BEDS ROOM (PER DAY) 0.00 50.00 NOs.
GN077 TWO BEDS ROOM WITH TOILET (PER DAY) 0.00 80.00 NOs.
GN078 DORMETRY WITH ONE BEDDING (PER DAY) 0.00 40.00 NOs.
GN079 BED CHARGES (OLD) 15.00 15.00 NOs.
GN082 TSH 100.00 100.00 NOs.
GN083 T3, T4 100.00 100.00 NOs.
GN084 ADENO VIRUS ANTIGEN DETECTION 1000.00 300.00 NOs.
GN085 TENDER FEE 100.00 100.00 NOs.
GN086 ROOM RENT(B CLASS-ORDINARY ROOM)-100109B 750.00 0.00 NOs.
GN087 ROOM RENT FOR APC- BEFORE 10012009 600.00 0.00 NOs.
GN088 NPF- NEW OPD REGISTRATION FEE 10.00 10.00 NOs.
GN089 OPF- OLD OPD REGISTRATION FEE 10.00 10.00 NOs.
GN090 OPD REGISTRATION CARD FEE (FOR EMERGENCY) 20.00 20.00 NOs.
GN091 HOLTER SECURITY 1000.00 1000.00 NOs.
GS GENERAL SURGERY
GS001 CERVIAL RIB EXCISION 3000.00 1500.00 NOs.
GS002 INTRA-ORAL SURGERY 1500.00 750.00 NOs.
GS003 NECK LN DISSECTION FOR CANCER RIDICAL 5000.00 2500.00 NOs.
GS004 PARATHYROIDECTOMY 6000.00 3000.00 NOs.
GS005 PAROTIDECTOMY RADICAL/TOTAL 5000.00 2500.00 NOs.
GS006 SUBMANDIBULAR GLAND EXCISION 1000.00 300.00 NOs.
GS007 THYROGLOSSAL CYST,FISTUAL,BRANCHIAL CYST 1000.00 300.00
AND OTHER NECK SURGERY NOs.
GS008 THYROIDECTOMY TOTAL/NEAR TOTAL 5000.00 2500.00 NOs.
GS009 TRACHEOSTOMY 500.00 150.00 NOs.
GS010 ADRENALECTOMY (PHEOCHROMOCYTOMA / 5000.00 2500.00
CUSHINGS/CONNS ETC.) NOs.
GS011 AXILLARY CLEARANCE 1000.00 300.00 NOs.
GS012 BREAST CONSERVATION SURGERY FOR CANCER 1500.00 750.00 NOs.
GS013 BREAST RECONSTRUCTION AFTER MASTECTOMY 3500.00 1750.00 NOs.
GS014 EXCISION OF BENIGN BREAST LUMP/ABSCESS 250.00 100.00 NOs.
GS015 PANCREATIC ENDOCRINE TUMOURS 4000.00 2000.00 NOs.
GS016 RADICAL MASTECTOMY 2500.00 1250.00 NOs.
GS017 SIMPLE MASTECTOMY WITH AXILARY CLEARANCE 2000.00 1000.00 NOs.
GS018 INTERCOSTAL DRAINAGE 250.00 100.00 NOs.
GS019 THORACTOMY FOR GENERAL SURGERY 2500.00 1250.00
PROCEDURE NOs.
GS020 OTHER MAJOR CHEST SURGERY AS ADDITIONAL 2500.00 1250.00
PROCEDURE IN GS NOs.
GS021 APPENDICETOMY 1000.00 300.00 NOs.
GS022 BILE DUCT CARCINOMA SURGERY/ PERI AMPLLARY 5000.00 2500.00
CARCINOMA SURGERY (WHIPPLES OPERATION) NOs.
GS023 BYPASS PROCEDURES,OPERATIVE STENTING ECT 2000.00 1000.00
FOR MALIGNANT JAUNDICE NOs.
GS024 CHOLECYSTECTOMY + CBD EXPLORATION + 3000.00 1500.00
DRAINAGE PROCEDURE NOs.
GS025 CHOLECYSTECTOMY + CBD EXPLORATION 2500.00 1250.00 NOs.
GS026 COLOSTOMY CLOSURE 1000.00 300.00 NOs.
GS027 COLOSTOMY/ILEOSTOMY 500.00 150.00 NOs.
GS028 FEEDING JEJUNOSTOMY,GASTROSTOMY 500.00 150.00 NOs.
GS029 FISSURE , FISTULAE , HAEMORRHOIDS 250.00 100.00 NOs.
GS030 GALL BLADDER SURGERY 500.00 150.00 NOs.
GS031 HERNIA REPAIR(INGUINAL,UMBILICAL,EPIGASTRIC) 1000.00 300.00 NOs.
GS032 HERNIA REPAIR (MESH REPAIR) 1500.00 750.00 NOs.
GS033 ILEOCAECAL RESECTION,COLOSTOMY PARTIAL 2000.00 1000.00 NOs.
GS034 INGUINAL/AXILLARY BLOCK DISSECTION 2000.00 1000.00 NOs.
GS035 INTESTINAL OBSTRUCTION, 1500.00 750.00
ADHESIOLYSIS,STRRCTEROPLASTY ETC. NOs.
GS036 LAPAROSCOPIC CHOLECYSTECTOMY 5000.00 2500.00 NOs.
GS037 LAPAROSCOPIC HERNIA SURGERY 2500.00 1250.00 NOs.
GS038 LAPAROSCOPY DIAGNOSIS 2000.00 1000.00 NOs.
GS039 LAPAROTOMY FOR PERITONITIS AND TRAUMA 2000.00 1000.00 NOs.
GS040 LIVER RESECTIONS FOR CANCER 4000.00 2000.00 NOs.
GS041 LAPROTOMYH WITH MINOR BIOPSY PROCEDURE 1000.00 300.00
AFTER (STAGING LAPAROTOMY/ LIVER BIOPSY) NOs.
GS042 OPERATION FOR CANCER OF OESOPHAGUS 4000.00 2000.00 NOs.
GS043 OPERATION FOR CANCER OF STOMACH/TOTAL 3000.00 1500.00 NOs.
GS044 PANCRATECTOMIES AND PANCREATIC DRAINAGE 3000.00 1500.00
PROCEDURE AND NECROSECTOMY NOs.
GS045 PARTIAL AMPUTATION OF PENIS 1000.00 300.00 NOs.
GS046 PEPTIC ULCER SURGERY 1500.00 750.00 NOs.
GS047 RADICAL AMPUTATION OF PENIS AND LN 2000.00 1000.00
DISSECTION NOs.
GS048 SMALL INTESTINE RESEC. FOR 2000.00 1000.00
TB,TUMORS.,FISTULAE AND PERFORATION ETC. NOs.
GS049 SPHINCTER SAVING PROCEDURES OF RECTUM 3000.00 1500.00 NOs.
GS051 SURGERY FOR BILE DUCT STRICTURES 5000.00 2500.00 NOs.
GS052 SURGERY FOR PORTAL HYPERTENTION 5000.00 2500.00 NOs.
GS053 AORTIC SURGERY 10000.00 5000.00 NOs.
GS054 CAROTID BODY TUMOUR 4000.00 2000.00 NOs.
GS055 CAROTID SURGERY 4000.00 2000.00 NOs.
GS056 EMBOLECTOMIES 2000.00 1000.00 NOs.
GS057 LUMBAR SYMPATHECTOMIES 1500.00 750.00 NOs.
GS058 PERIPHERAL VASCULAR GRAFTING AND RESECTION 2000.00 1000.00 NOs.
GS059 PERIPHERAL VASCULAR TRAUMA REPAIR 2000.00 1000.00 NOs.
GS060 VENOUS SURGERY INCLUDING VARICOSE VEINS 2000.00 1000.00 NOs.
GS061 AMPUTATION (ANY LIMB) 2000.00 1000.00 NOs.
GS062 AMPUTATION HAND/FOOT 1000.00 300.00 NOs.
GS063 DIABETIC FOOT DERBRIDEMENT 500.00 150.00 NOs.
GS064 OTHER RETROPERITONEAL DRAINAGE OF ABSCES 1500.00 750.00 NOs.
GS065 RETROPERITONEAL TUMOUR EXCISION 3500.00 1750.00 NOs.
GS066 ABSCESS DRAINAGE UNDER G.A. 250.00 100.00 NOs.
GS067 ASPIRATION OF COLD ABSCESS/CYSTS 250.00 100.00 NOs.
GS068 BIOPSY(PUNCH/EXCISION/ CERVICAL CONE/ 250.00 100.00
ENOMERIAL/ BONE TUMOUR/ TESTICULAR EYE ETC) NOs.
GS069 CIRCUMCISION 250.00 100.00 NOs.
GS070 EXCISION OF SMALL TUMOUR 250.00 100.00 NOs.
GS071 INCISION AND DRAINAGE UNDER L.A. 100.00 100.00 NOs.
GS072 INJECTION OF KELOIDS 250.00 100.00 NOs.
GS073 LACERATION SUTURE,ABSCESS DRAINAGE UN-LA 100.00 100.00 NOs.
GS074 EXAMINATION UNDER G.A. 250.00 100.00 NOs.
GS075 NECK LN DISSECTION FOR CANCER - SUPRAHYOID 3000.00 1500.00 NOs.
GS076 PAROTIDECTOMY- SUPERFICIAL 3000.00 1500.00 NOs.
GS077 THYROIDECTOMY- HEMI/SUB-TOTAL 3000.00 1500.00 NOs.
GS078 THYROIDECTOMY- ENUCLEATIONJ OF NODULE 1000.00 300.00 NOs.
GS079 AMOEBIC LIVER ABSCESS, HYDATID.LIVER, 2000.00 1000.00
RESECTIONAL,DEBRIDEMENT FOR TRAUMA ETC. NOs.
GS080 CHOLECYSTECOMY- STANDARD 2000.00 1000.00 NOs.
GS081 CHOLECYSTECOMY- MINI LAP 2500.00 1250.00 NOs.
GS082 COLOSTOMY CLOSURE WITH RESTORATION GUT 1500.00 750.00 NOs.
GS083 INCISIONAL HERNIA- ANATOMICAL 2000.00 1000.00 NOs.
GS084 INCISIONAL HERNIA- WITH MESH(PAT'S MESH 2500.00 1250.00 NOs.
GS085 TOTAL COLECTOMY ABDOMINO-PERI RESECTION 4000.00 2000.00 NOs.
GS086 OPERATION OF CANCER OF STOMACH-SUB TOTAL/ 2000.00 1000.00
ANTRECTOMY NOs.
GS087 TOTAL AMPUTATION OF PENIS 2000.00 1000.00 NOs.
GS088 INCISION AND DRAINAGE- GEN. ANAESTHESIA 250.00 100.00 NOs.
HP HAEPATOLOGY
HP001 ANTI HBC 1GM 300.00 150.00 NOs.
HP002 ANTI HEV 1GM 300.00 100.00 NOs.
HP003 HAV IgM 300.00 150.00 NOs.
HP004 ANTI Hbs/IgG 300.00 150.00 NOs.
HP005 HBeAg 300.00 150.00 NOs.
HP006 ANTI HBe 300.00 150.00 NOs.
HP007 ANTI HCV 200.00 100.00 NOs.
HP008 HBV-DNA 3000.00 2000.00 NOs.
HP009 HCV-RNA 3000.00 2000.00 NOs.
HP010 HbsAg 100.00 50.00 NOs.
HP011 TOTAL ANTI HbC 300.00 150.00 NOs.
HP012 HEV IgM 300.00 150.00 NOs.
HP013 HEV-RT PCR 2000.00 1000.00 NOs.
HP014 HBV VIRAL LOAD 4000.00 2000.00 NOs.
HP015 HCV VIRAL LOAD 4000.00 2000.00 NOs.
HP016 HCV GENOTYPING 4000.00 2000.00 NOs.
HP017 HSV- DNA PCR 1200.00 600.00 NOs.
HP018 CMV- DNA PCR 1200.00 600.00 NOs.
HP019 JE-RT PCR 2000.00 1000.00 NOs.
HP020 DENGUE-NS1 ANTIGEN 600.00 300.00 NOs.
HP021 CMV VIRAL LOAD 4000.00 2000.00 NOs.
HS HISTOPATHOLOGY
HS001 LIMITED LYMPHOMA PANEL MARKER BY IHC A:LCA, 1500.00 1500.00
CD20(B CELL MARKER)AND CD3 (T CELL MARKER, B:
CD15, CD30 AND EMA TO DISTINGUISH HODGKIN'S
LYMPHOMA FROM ALCL NOs.
HS002 BREAST CANTER PROGNOSTIC MARKER BY IHC-ER, 1500.00 1500.00
PR, C-ERB B2 NOs.
HS003 DIFFERENTIAL DIAGNOSIS OF POORLY 1500.00 1500.00
DIFERENTIATED.TUMOUR BY IHC- LCA,
PANCYTOKERATIN, S-100 NOs.
HS004 DIFFERENTIAL DIAGNOSIS OF SMALL ROUND CELL 1500.00 1500.00
TUMOUR-LCA, MIC-2, DESMIN NOs.
HS005 DIFFERENTIAL DIGNOSIS OF.MESOTHELIOMA, 1500.00 1500.00
ADENOCARCINOMA BY IHC-CYTOKERATIN 5/6, CAL-
RETININ, PANCYTOKERATIN NOs.
HS006 EXTENDED LYMPHOMA PANEL MARKER BY IHC- 1500.00 1500.00
CD20, CD3, CD5, CD23, CYCLIN DI, CD68, S100, ALK
PROTEIN-FOR EXACT TYPING OF NON HODGKIN'S
LYMPHOMA) NOs.
HS007 IF FOR KIDNEY BIOPSY 450.00 300.00 NOs.
HS008 ELECTRON MICROSCOPY 300.00 200.00 NOs.
HS009 BIOPSY 250.00 100.00 NOs.
HS010 SERUM ANTI HAV IgG ELISA 300.00 150.00 NOs.
IM IMMUNOPATHOLOGY
IM002 ANTITHYROID ANTIBODY TEST 50.00 50.00 NOs.
IM005 LATEX RHEUMATOID FACTOR TEST 50.00 50.00 NOs.
IM011 IL FOR TRANSPLANT PATIENTS 300.00 100.00 NOs.
IM014 MYLOMA INVESTIGATION 500.00 150.00 NOs.
IM015 TUMOUR MARKER TEST 100.00 100.00 NOs.
IM016 TISSUE TYPING AB 1500.00 750.00 NOs.
IM017 TISSUE TYPING DR+AB 2000.00 1000.00 NOs.
IM018 CROSSMATCH (PBL) 100.00 100.00 NOs.
IM019 CROSSMATCH T, B AND DTT 200.00 100.00 NOs.
IM020 CADAVER CROSSMATCH 100.00 100.00 NOs.
IM022 PREGNANCY TEST 50.00 50.00 NOs.
IM023 ALPHA-1 ANTYTRYPSIN 500.00 250.00 NOs.
IM024 ALPHA FETOPROTEIN 500.00 250.00 NOs.
IM025 PROSTATE SPECIFIC ANTIBODY 100.00 100.00 NOs.
IM026 CIEP FOR KALA-AZAR 100.00 100.00 NOs.
IM027 IMMUNOGLOBULIN G, A, M 300.00 100.00 NOs.
IM028 IGE (ELISA) 500.00 250.00 NOs.
IM029 DYSMORPHIC RBC 25.00 25.00 NOs.
IM033 ANTINEUTROPHIL ANTIBODIES (ANCA) 150.00 100.00 NOs.
IM035 MUSCLE HISTOCHEMISTRY 600.00 300.00 NOs.
IM036 CMV ANTIGEN STUDY 200.00 100.00 NOs.
IM037 NBT TEST 50.00 50.00 NOs.
IM038 T/B CELL ROSSETTING 100.00 100.00 NOs.
IM039 LYMPHOCOCYTE PROLIFERATION 200.00 100.00 NOs.
IM040 CHEMOTAXIS-NEUTROPHILS 200.00 100.00 NOs.
IM042 FLC CD4 ONLY 200.00 100.00 NOs.
IM047 HIV-WESTERN BLOT 2000.00 1000.00 NOs.
IM048 HIV - RNA 2000.00 1000.00 NOs.
IM049 HIV (VOLUNTARY BASIS) 10.00 10.00 NOs.
IM050 SERUM ELECTROPHORESIS 100.00 100.00 NOs.
IM052 SCREENING FOR HIV TEST INCLUDING 50.00 30.00
.CONFIRMATION NOs.
IM053 CLASS I & II COMPLETE. PHENOTYPING TOGETHER 1200.00 600.00 NOs.
IM054 CROSS MATCH FOR TRANSPLANT PATIENT 300.00 100.00 NOs.
IM055 HLA-DNA TYPING 3000.00 1500.00 NOs.
IM057 HLA CLASS I PHENOTYPING 800.00 240.00 NOs.
IM058 HLA CLASS II SEROLOGICAL TYPING 800.00 240.00 NOs.
IM059 PANEL REACTIVE ANTIBODY 500.00 150.00 NOs.
IM061 ABC SEROLOGY(STAGE 1) 3000.00 1500.00 NOs.
IM063 HLA-DR BETA (LOW RESOLUTION DNA) 6000.00 3000.00 NOs.
IM064 ANA ON HEP-2 CELL LINE (IIF) 200.00 100.00 NOs.
IM065 ISLET CELL ANTIBODY (IIF) 500.00 250.00 NOs.
IM066 ANTI ADRENAL ANTIBODY (IIF) 500.00 250.00 NOs.
IM067 BETA HCG (ELISA) 500.00 250.00 NOs.
IM068 CA-125 (ELISA) 500.00 250.00 NOs.
IM069 tTG (ELISA) 500.00 250.00 NOs.
IM070 Ds- DNA (ELISA) 500.00 250.00 NOs.
IM071 PR3- PROTENIASE-3 (ELISA) 500.00 250.00 NOs.
IM072 MPO (ELISA) 500.00 250.00 NOs.
IM073 C-PEPTIDE (ELISA) 500.00 250.00 NOs.
IM074 LIVER LINE BLOT ASSAY (IMMUNOBLOTING) 2000.00 1000.00 NOs.
IM075 ANA LINE BLOT ASSAY (IMMUNOBLOTING) 2000.00 1000.00 NOs.
IM076 GAD-65 (ELISA) 1000.00 500.00 NOs.
IM078 IgG (NEPHELOMETRY) 200.00 100.00 NOs.
IM079 IgA (NEPHELOMETRY) 200.00 100.00 NOs.
IM080 IgM (NEPHELOMETRY) 200.00 100.00 NOs.
IM081 C3 QUANTITATIVE (NEPHELOMETRY) 250.00 125.00 NOs.
IM082 KAPPA LIGHT CHAIN (IMMUNOFIXATION) 500.00 250.00 NOs.
IM083 LAMBDA LIGHT CHAIN (IMMUNOFIXATION) 500.00 250.00 NOs.
IM084 MULTIPLEX PCR FOR DYSTROPHIN SCREENING FOR 3000.00 1500.00
CHILDREN (FOR DUCHENNE MUSCULAR
DYSTROPHY) NOs.
IM085 THYROID MICROSOMAL ANTIBODIES (TMA) 300.00 150.00 NOs.
IM086 PROSTATE SPECIFIC ANTIGEN (ELISA) 500.00 250.00 NOs.
IM087 URINE FOR BENCE JONES PROTEINS (BJP) 100.00 100.00 NOs.
IM088 URINE FOR ELECTROPHORESIS 100.00 100.00 NOs.
IM089 SDS PAGE FOR CSF 100.00 100.00 NOs.
IM090 SDS PAGE FOR FLUIDS 100.00 100.00 NOs.
IM091 LATEX AGGLUTINATION FOR CRP 50.00 50.00 NOs.
IM092 LATEX AGGLUTINATION FOR RF ETC. 50.00 50.00 NOs.
INDIRECT FLOURESOENCE FOR AUTOANTIBODY
IM093 (ANA) 150.00 100.00 NOs.
IM094 (SMA) 150.00 100.00 NOs.
IM095 (AMA) 150.00 100.00 NOs.
IM096 (LKM) 150.00 100.00 NOs.
IM097 (PCA) 150.00 100.00 NOs.
IM098 DIRECT FLOURESCENCE SKIN 450.00 300.00 NOs.
IM099 DIRECT FLOURESCENCE KIDNEY 450.00 300.00 NOs.
IM0100 FLOWCYTOMETRY (FLC)(FSC,SSC) FOR CSF 50.00 50.00 NOs.
FLOWCYTOMETRY (FLC)(FSC,SSC) FOR OTHER
IM101 FLUID 50.00 50.00 NOs.
IM102 FLC FOR CD4 500.00 150.00 NOs.
IM103 FLC FOR CD8 500.00 150.00 NOs.
IM104 FLC FOR CD3 500.00 150.00 NOs.
IM105 FLC FOR CD19 500.00 150.00 NOs.
IM106 PCR FOR TB 500.00 150.00 NOs.
IM107 PCR FOR CMV 500.00 150.00 NOs.
IM108 PCR FOR EBV 500.00 150.00 NOs.
IM109 HIV ELISA 40.00 25.00 NOs.
IM110 DOT BLOT 40.00 25.00 NOs.
IM111 HLA CLASS I, II TYPING FOR IMMIGRATION 3000.00 1500.00 NOs.
IM112 HLA CLASS I, II TYPING FOR PATERNITY CASES 3000.00 1500.00 NOs.
IM113 ABDR TYPING (DNA-BASED) STAGE II TESTING 12000.00 6000.00 NOs.
IM114 ABDR TYPING (DNA-BASED) STAGE III TESTING 12000.00 6000.00 NOs.
IM115 HLA-A (DNA BASED) 10000.00 5000.00 NOs.
IM116 HLA-B (DNA BASED) 10000.00 5000.00 NOs.
IM117 HIV(OPT OUT) SCREENING(RAPID TEST) 30.00 30.00 NOs.
IM118 HIV(OPT OUT) SCREENING(ELISA) 30.00 30.00 NOs.
LB LAB CHARGES
LB100 LAB CHARGES 0.00 0.00 NOs.
MB MYCOBACTERIOLOGY
MB001 MYCOBACTERICAL SUSCEPTIBILITY TESTS 150.00 100.00 NOs.
MB004 URINE FOR AFB SMEAR AND CULTURE 150.00 100.00 NOs.
MB005 URINE AFB (SMEAR CONCENTRATION METHOD) 25.00 25.00 NOs.
MB006 BACTERIOLOGICAL EXAMINATION OF WATER 150.00 100.00 NOs.
MB007 BLOOD CULTURE AND SENSITIVITY 100.00 100.00 NOs.
MB008 CSF CULTURE AND SENSITIVITY 50.00 50.00 NOs.
MB010 PUS CULTURE FOR PYOGENIC ORGANISM 25.00 25.00 NOs.
MB011 STOOL CULTURE (ENTERIC PATHOGENS) 50.00 50.00 NOs.
MB012 THROAT SWAB CULTURE/ SENSITIVITY 50.00 50.00 NOs.
MB013 THROAT SWAB SMEAR (DIPHTHERIA ETC.) /OTHER 25.00 25.00
SMEARS NOs.
MB014 URINE CULTURE/SENSITIVITY 50.00 50.00 NOs.
MB015 MYCOPLASMA CULTURE 150.00 100.00 NOs.
MB016 RAPID CULTURE MYCOBACTERIA (BACTECMGIT-960) 1000.00 500.00 NOs.
MB017 ANTIMICROBIAL SUSCEPTIBILITY FOR 2000.00 1000.00
MYCOBACTERIA NOs.
MB018 ALDEHYDE TEST FOR KALA-AZAR 25.00 25.00 NOs.
MB019 ANTI NUCLEAR ANTIBODY TEST 50.00 50.00 NOs.
MB020 ANTISTREPTOLYSIN (LATEX) 50.00 50.00 NOs.
MB021 ANTITHYROID ANTIBODY(MICROSOMAL) 50.00 50.00 NOs.
MB022 ANTITHYROID ANTIBODY(PTC) 50.00 50.00 NOs.
MB023 BRUCELLA AGGLUTINATION 50.00 50.00 NOs.
MB024 COLD AGGLUTININ TEST 50.00 50.00 NOs.
MB025 CRP 50.00 50.00 NOs.
MB026 ELISA FOR CYCLOSPORIN LEVELS 250.00 100.00 NOs.
MB028 EVALUATION KIT FOR ANTIBODY TESTING 600.00 180.00 NOs.
MB029 FLUROSCENT ANTIBODY TEST 50.00 50.00 NOs.
MB032 HCG ASSAYS 225.00 100.00 NOs.
MB033 LATEX AGGLUTINATION TESTS FOR RAPID 50.00 50.00
DIAGNOSIS NOs.
MB034 ROSE WAALER TEST 75.00 75.00 NOs.
MB035 SERUM ALDOSTERONE 250.00 100.00 NOs.
MB036 SERUM ASLO 50.00 50.00 NOs.
MB037 SERUM CK-MB (ISOENZYME) 100.00 100.00 NOs.
MB038 SERUM FREE THYROXIN 100.00 100.00 NOs.
MB039 SERUM HORMONES BY RADIO IMMUNO-ASSAY 250.00 100.00 NOs.
MB040 SERUM INSULIN BY RADIO-IMMUNO-ASSAY 250.00 100.00 NOs.
MB041 SERUM TESTOSTERONE 450.00 135.00 NOs.
MB042 STERILITY TEST 50.00 50.00 NOs.
MB043 TPHA TESTS FOR SYPHILIS 100.00 100.00 NOs.
MB044 V.D.R.L. 50.00 50.00 NOs.
MB045 WIDAL AGGLUTINATION 50.00 50.00 NOs.
MB046 GONOCOCCAL CULTURE 150.00 100.00 NOs.
MB047 CULTURE FOR ANAEROBIC BACTERIA 50.00 50.00 NOs.
MB048 ANTIBIOTIC SENSITIVITY FOR FUNGI 100.00 100.00 NOs.
MB049 CULTURE OF CLINICAL SAMPLE FOR FUNGUS 75.00 75.00 NOs.
MB052 STREPTOCOCCUS PNEUMONIAE 200.00 100.00 NOs.
MB053 HAEMAPHILIUS INFLUENZAE 200.00 100.00 NOs.
MB054 NEISSERIA MENINGITIDDIS 200.00 100.00 NOs.
MB055 STREPTOCOCCUS PNEUMONIAE+HAEMPHILUS 600.00 300.00
INFLUENZA+NEISSERIA MENINGIIDDIS
NOs.
MB056 BECTEC CULTURE 450.00 300.00 NOs.
GALACTOMANNAN ASSAY FOR ASPERGILLUS BY
MB059 ELISA 600.00 300.00 NOs.
ANTIGEN DETECTION FOR CRYPTOCOCCUS BY
MB060 LATEX AGGLUTINATION 400.00 200.00 NOs.
MB061 SPUTUM CONCENTRATION AND CULTURE OF AFB 150.00 100.00 New
Code
MB062 SPUTUM SMEAR ONLY FOR AFB 150.00 100.00 New
Code
MB063 PUS CULTURE FOR CERVICAL 50.00 50.00 New
Code
MB064 PUS CULTURE FOR URETHRAL SWABS 50.00 50.00 New
Code
MB065 ELISA FOR DETECTION OF ANTIGEN 150.00 100.00 New
Code
MB066 ELISA FOR DETECTION OF ANTIBODY 150.00 100.00 New
Code
MB067 FUNGAL SEROLOGY (CANDIDA ASPERGILLUS) 150.00 100.00 New
Code
MB068 FUNGAL SEROLOGY (CRYP TOCOCUS) 150.00 100.00 New
Code
MB069 FUNGAL SEROLOGY 150.00 100.00 New
(HISTOPLASMA/BLASTOMYCES ETC.) Code
MB070 FUNGAL SKIN TESTS (CANDIDA ASPERGILLUS) 50.00 50.00 New
Code
MB071 FUNGAL SKIN TESTS (CRYPTOCOCUS) 50.00 50.00 New
Code
MB072 FUNGAL SKIN TESTS 50.00 50.00 New
(HISTOPLASMA/BLASTOMYCES ETC.) Code
MB073 SMEAR/KOH EXAM.FOR FUNGUS(PUS) 25.00 25.00 New
Code
MB074 SMEAR/KOH EXAM.FOR FUNGUS(SKIN) 25.00 25.00 New
Code
MB075 SMEAR/KOH EXAM.FOR FUNGUS(SCRAP) 25.00 25.00 New
Code
MB076 ELISA FOR G ONOCOCCUS 250.00 100.00 New
Code
MB077 ELISA FOR CHLAMYDIA 250.00 100.00 New
Code
MB078 ELISA FOR LEPTOSPIRA 250.00 100.00 New
Code
MB079 PCR FOR ANY BACTERIA 600.00 300.00 New
Code
MB080 PCR FOR ANY FUNGUS 600.00 300.00 New
Code
MB081 RTPCR FOR ANY B ACTERIA 600.00 300.00 New
Code
MB082 RTPCR FOR ANY FUNGUS 600.00 300.00 New
Code
MB083 MULTI PLEX PCR 1200.00 600.00 New
Code
MB084 RTPCR FOR MYCOBACTERIA 1200.00 600.00 New
Code
MT MICRO TECH. BIOTECHNOLOGY LAB. (PAED.)

MT001 COPPER(CU) ESTIMATION 250.00 100.00 NOs.
MT002 ZINC(ZN) ESTIMATION 250.00 100.00 NOs.
MT003 SERUM CERULOPLASMIN 150.00 75.00 NOs.
MT004 LACTATE ESTIMATION 350.00 150.00 NOs.
MT005 AMMONIA 200.00 100.00 NOs.
NE NEPHROLOGY
NE001 CAVH/ CAVHD/ CVVH/ CVVHD (FOR EACH SESSION 1000.00 300.00
UP TO 24 HRS.) NOs.
NE002 HEMODIALYSIS ON HOLLOW FIBER DIALSYER 400.00 120.00 NOs.
NE003 INTERMITTENT PERITONEAL DIALYSIS 230.00 100.00 NOs.
NE004 PLASMA PHERESIS 500.00 150.00 NOs.
NE005 CAPD CATHETER INSERTION SURGERY 500.00 150.00 NOs.
NE006 CAPD INTIATION TRAINING 500.00 150.00 NOs.
NE007 RENAL BIOPSY 500.00 150.00 NOs.
NE008 TEG WITH KAOLIN 450.00 350.00 NOs.
NE009 TEG WITH HEPARINASE & KAOLIN 2200.00 1100.00 NOs.
NM NUCLEAR MEDICINE
NM001 BONE SCAN 1000.00 500.00 NOs.
NM002 PARA THYROID SCAN 1200.00 600.00 NOs.
NM003 GASTRIC EMPTYING 400.00 200.00 NOs.
NM004 GI BLEEDING DETECTION 600.00 300.00 NOs.
NM005 LIVER RES SCAN 400.00 200.00 NOs.
NM006 LIVER BLOOD POOL SCAN 600.00 300.00 NOs.
NM007 LUNG PERFUSION SCAN 1000.00 500.00 NOs.
NM008 KIDNEY DMSA/GHA SCAN 500.00 250.00 NOs.
NM009 DRCG (VUR) STUDY 200.00 100.00 NOs.
NM010 SPLEEN SCAN 400.00 200.00 NOs.
NM012 ESOPHAGUS MOTILITY 400.00 200.00 NOs.
NM013 FIRST PASS (CARDIAC) STUDY 600.00 300.00 NOs.
NM014 GE REFLUX 400.00 200.00 NOs.
NM015 MUGA (CARDIAC) STUDY 1000.00 500.00 NOs.
NM016 HEPATOBILIARY SCAN 600.00 300.00 NOs.
NM017 LUNG (VENTILATION) SCAN 1000.00 500.00 NOs.
NM018 LYMPHOSCINTOGRAPHY 400.00 200.00 NOs.
NM019 MECKEL'S DIVERTICULUM DETECTION 300.00 150.00 NOs.
NM020 METS. BONE PAIN THERAPY (P-32) 1600.00 800.00 NOs.
NM021 T3,T4 (RIA) TEST 200.00 100.00 NOs.
NM023 PECHLORATE DISCHARGE TEST 400.00 200.00 NOs.
NM024 PERITONEO - PLEURAL SCAN 300.00 100.00 NOs.
NM025 TSH (RIA/IRMA) TEST 100.00 100.00 NOs.
NM026 RAIU (IODINE UPTAKE) 400.00 200.00 NOs.
NM027 RBC MASS / HALF LIFE (CR - 51 STUDIES) 600.00 200.00 NOs.
NM028 MIBG SCAN 3000.00 1500.00 NOs.
NM029 SALIVARY GLAND SCAN 400.00 200.00 NOs.
NM031 GALLIUM SCAN 6000.00 3000.00 NOs.
NM033 CANCER THYROID THERAPY (IODINE-131) 4000.00 2000.00 NOs.
NM034 SCAN THYROID 300.00 150.00 NOs.
NM035 CISTERNOGRAPHY 500.00 250.00 NOs.
NM037 BRAIN SPECT 3500.00 1750.00 NOs.
NM041 TESTICULAR SCAN 600.00 300.00 NOs.
NM043 THYROTOXICOSIS THERAPY (IODINE 131) 2000.00 1000.00 NOs.
NM044 VENOGRAPHY 600.00 300.00 NOs.
NM045 IODINE-131 WHOLE BODY SCAN 600.00 300.00 NOs.
NM046 MPI-thallium/MIBI/Myoview 6000.00 3000.00 NOs.
NM047 Brain SPECT(GHA) 600.00 300.00 NOs.
NM048 Renogram(DTPA/EC) 600.00 300.00 NOs.
NM049 SCINTIMAMMOGRAPHY 1000.00 500.00 NOs.
NM050 SENTINEL LYMPH NODE MAPPING 600.00 300.00 NOs.
NM051 TUMOR IMAGING (MIBI/THALLIUM) 1000.00 500.00 NOs.
NM052 POLYCYTHEMIA VERA THERAPY(P-32) 1600.00 800.00 NOs.
NM053 BRAIN SPECT(ECD) 1200.00 600.00 NOs.
NM054 BRAIN(STATIC) SCAN 500.00 250.00 NOs.
NM055 WHOLE BODY PET-CT 10000.00 7000.00 NOs.
NM056 BRAIN PET-CT 6000.00 4000.00 NOs.
NM057 CARDIAC PET-CT 6000.00 4000.00 NOs.
NM058 BONE PET-CT (18F-NaF) 3000.00 2000.00 NOs.
NM059 FDG SALE (10mci calibrated for destination) 6000.00 6000.00 NOs.
NM060 FDG SALE (50mci calibrated for destination) 25000.00 25000.00 NOs.
NM061 IODINE-131 THERAPY UPTO 50 MCI (CANCER 2000.00 2000.00
THYROID THERAPY (I-131) NOs.
NM062 IODINE-131 THERAPY BETWEEN 51-100 MCI (CANCER 5000.00 5000.00
NM063 IODINE-131 THERAPY>100 MCI 1-131 (CANCER 8000.00 8000.00
NM064 1-131 MIBG TREATMENT UPTO 100 MCI 25000.00 25000.00 NOs.
NM065 1-131 MIBG TREATMENT UPTO 200 MCI 37500.00 37500.00 NOs.
NM067 IODINE-131 THERAPY 100-150 mCi (CANCER THYROID 8000.00 8000.00
THERAPY (I-131) NOs.
NM068 IODINE-131 THERAPY >150 mCi (CANCER THYROID 10000.00 10000.00
THERAPY (I-131) NOs.
NM069 BRAIN SPECT (HMPAO) 6000.00 3000.00 NOs.
NM070 SAMARIUM-154 THERAPY 4000.00 2000.00 NOs.
NM071 SINGLE REGION PET SCAN 4000.00 2000.00 NOs.
NM072 FOLLOW UP PET SCAN 8000.00 4000.00 NOs.
NM073 INFECTION IMAGING WITH LEUKOCYTES 2000.00 1000.00 NOs.
NM074 SELECTIVE INTRA-ARTERIAL RADIONUCLIDE 10000.00 5000.00
THERAPY(SIRT) FOR LIVER CANCER NOs.
NM075 LU-177 THERAPY - 100 mCi FOR NET 15000.00 10000.00 NOs.
NM076 LU-177 THERAPY - 200 mCi FOR NET 30000.00 20000.00 NOs.
NM077 LU-177 EDTMP BONE PAIN PALLIATION THERAPY 6000.00 4000.00 NOs.
NM078 RADIOSYNOVECTOMY 6000.00 4000.00
NR NEUROLOGY
NR001 DOPPLER EXAMINATION FOR CAROTID VESSELS 500.00 150.00 NOs.
NR003 EEG WITH ACTIVATION 500.00 150.00 NOs.
NR006 EMG ALONE 250.00 150.00 NOs.
NR007 EMG AND NERVE CONDUCTION 500.00 150.00 NOs.
NR008 EMG ANALYSIS ALONE 250.00 100.00 NOs.
NR009 LONG SLEEP EEG STUDY 1000.00 300.00 NOs.
NR010 NERVE CONDUCTION ALONE 250.00 100.00 NOs.
NR011 SLEEP DEPRIVED EEG STUDY 500.00 150.00 NOs.
NR012 SOMATOSENSORY EVOKED RESPONSE 250.00 100.00 NOs.
NR013 VISUAL AND BRAIN STEM EVOKED RESPONSE STUDY 500.00 150.00 NOs.
NR014 VISUAL EVOKED RESPONSE ONLY 250.00 100.00 NOs.
NR015 CSF TBM PCR 1500.00 750.00 NOs.
NR016 MULTIPLEX PCR DYSTROPHIN SCREENG(ALL 18 3000.00 1500.00
EXONS) NOs.
NR017 PARK2 GENES SCREENING (ALL 12 EXONS) 3000.00 1500.00 NOs.
NR018 BACLOFEN PUMP REFILLING AND ITS PROGRAM. 500.00 500.00 NOs.
NU NEUROSURGERY
NU001 BONE FLAP REMOVAL 1000.00 300.00 NOs.
NU002 CERVICAL/DISC SURGERY 6500.00 3250.00 NOs.
NU003 CRANIAL MEMINGOCELES 8000.00 4000.00 NOs.
NU004 CRANIECTOMY FOR EPILEPSY 8000.00 4000.00 NOs.
NU005 CRANIOPLASTY AND DURAPLASTY 5000.00 2500.00 NOs.
NU006 CRANIOTOMY-BRAIN BIOPSY 1725.00 860.00 NOs.
NU007 CRANIOTOMY FOR ANEURYSM AND 8000.00 4000.00
ARTERIOVENOUS MALFORMATION NOs.
NU008 CRANIOTOMY FOR TUMOURS(OTHR THN SKULL 8000.00 4000.00
BASE) NOs.
NU009 CRANIOTOMY OR CRANITERECTOMY FOR HEAD 5000.00 2500.00
INJURIES NOs.
NU010 CRANIOTOMY-SKULL BASE SURGERY 8000.00 4000.00 NOs.
NU011 CRANIOTOMY-TRANSPHENOIDAL SURGERY 5000.00 2500.00 NOs.
NU013 EXPLORATARY BURRHOLES 2000.00 1000.00 NOs.
NU014 I.C.P. MONITORING 1000.00 500.00 NOs.
NU015 INTRAMEDULLARY TUMOUR SURGERY 5000.00 2500.00 NOs.
NU016 LAMINECTOMY 5000.00 2500.00 NOs.
NU017 LUMBER PUNCTURE/VENTRICULAR TAP 250.00 100.00 NOs.
NU018 NERVE BLOCK FOR PAIN 500.00 150.00 NOs.
NU019 ORBITAL EXPLORATIONS 5000.00 2500.00 NOs.
NU021 PERIPHERAL NERVE SURGERY 5000.00 2500.00 NOs.
NU022 POSTERIOR FOSSA SURGERY 8000.00 4000.00 NOs.
NU023 R.F. LESION MAKING 500.00 150.00 NOs.
NU025 SPINAL BLOCK FOR PAIN WITH ANAESTHESIA 500.00 150.00 NOs.
NU026 SPINAL FUSION 5000.00 2500.00 NOs.
NU027 SPINAL MENINGOCELES 2000.00 1000.00 NOs.
NU028 STEREOTACTIC SURGERY 5000.00 2500.00 NOs.
NU029 SUBCUTANEOUS BIOPSIES 250.00 100.00 NOs.
NU030 SURGERY OF ALL INTRACRANIAL AND CAROTID 8000.00 4000.00
BLOOD VASSELS NOs.
NU031 TRANS-ORAL SURGERY 8000.00 4000.00 NOs.
NU032 TRANSCRANIAL DOPPLER 1000.00 300.00 NOs.
NU033 TRANSNASAL SURGERY FOR SKULL BASE 5000.00 2500.00 NOs.
NU034 TWIST DRILL ASPIRATIONS 250.00 100.00 NOs.
NU035 V.P. SHUNT/REVISION SHUNT 2000.00 1000.00 NOs.
NU036 VENTRICULOGRAM/CSF PRESSURE MONITORING 1000.00 300.00 NOs.
NU037 CLOSRE OF SPINAL NEURAL.TUBE DEFECT FOR Eg 2000.00 1000.00
MENINGOCELE, MENINGOMYELOCELE, SPINAL
DYRAPHISM NOs.
NU038 EXCISION OF SACROCOCOYGEAL TERATOMA 2000.00 1000.00 NOs.
NU039 CRANCTOMY-CRANIOTOMY FOR CP ANGLE TUMOUR 8000.00 4000.00 NOs.
NU040 GAMMA KNIFE THERAPY 100000.00 75000.00 NOs.
OG OBSTETRICS & GYNAECOLOGY
OG002 ABD. PERINEAL RECONSTRUCTION 5000.00 2500.00
CX+UTERUS+VAGINA NOs.
OG004 CAESAERIAN HYSYTERECTOMY 2000.00 1000.00 NOs.
OG005 CERVICAL BIOPSY 250.00 100.00 NOs.
OG006 COLOPOTOMY 500.00 150.00 NOs.
OG007 COLPOELEISIS/COLPORRHOPHY 1000.00 300.00 NOs.
OG008 CONE BIOPSY CERVIX 1000.00 300.00 NOs.
OG009 CRYOSURGERY 250.00 100.00 NOs.
OG010 D&C 500.00 150.00 NOs.
OG011 DELIVERIES NORMAL 1000.00 500.00 NOs.
OG012 DILATATION OF CERVIX 250.00 100.00 NOs.
OG013 ELECTRO CAUTERIZATION 250.00 100.00 NOs.
OG014 ENDOMETRIAL BIOPSY 250.00 100.00 NOs.
OG015 EVACUATION 500.00 150.00 NOs.
OG016 FRACTIONAL CURETTAGE 500.00 150.00 NOs.
OG018 HYDROTUBATOION 250.00 100.00 NOs.
OG019 HYMENECTOMY 250.00 100.00 NOs.
OG020 HYSTERECTOMY(ABDOMINAL) 2000.00 1000.00 NOs.
OG021 HYSTERECTOMY(WERTHEIMS) 5000.00 2500.00 NOs.
OG022 MANUAL REMOVAL OF PLACENTA 1000.00 300.00 NOs.
OG024 OVARION CYSTECTOMY 1000.00 500.00 NOs.
OG025 OVARITOMY 1000.00 300.00 NOs.
OG026 PELVIC EXENTERATION 5000.00 2500.00 NOs.
OG027 PLASTIC OPERATION ON UTERUS 2000.00 1000.00 NOs.
OG028 RADICAL VULVECTOMY 2000.00 1000.00 NOs.
OG029 REPAIR OF PERINEAL TEAR 500.00 150.00 NOs.
OG030 SALPINGECTOMY 1000.00 300.00 NOs.
OG031 SALPINGOSTOMY 1000.00 300.00 NOs.
OG032 SCHAUHA'S OPERATION 5000.00 2500.00 NOs.
OG033 TUBAL INSUFFLATION 250.00 100.00 NOs.
OG034 TUBOPLASTY 2000.00 1000.00 NOs.
OG035 VAGINAL HYSTERECTOMY 2000.00 1000.00 NOs.
OG036 VAGINOPLASTY 500.00 150.00 NOs.
OG037 WEDGE RESECTION OF OVARY 1000.00 300.00 NOs.
OG038 WERTHEIM'S HYSTERECTOMY 5000.00 2500.00 NOs.
OG039 MANCHESTER OPERATION 2000.00 1000.00 NOs.
OG040 VAULT REPAIR(VAGINAL) 1000.00 300.00 NOs.
OG041 ABDOMINAL SLING 1000.00 300.00 NOs.
OG042 MYOMECTOMY 1000.00 300.00 NOs.
OG043 EXPLORATORYLAPAROTOMY 1000.00 300.00 NOs.
OG044 RECTOVAGINAL FISTULA 2000.00 1000.00 NOs.
OG045 VESICOVAGINAL FISTULA 2000.00 1000.00 NOs.
OG046 SIMPLE VULVECTOMY 1000.00 300.00 NOs.
OG047 B/L INTERNAL ILIAC LIGATION 1000.00 300.00 NOs.
OG048 ABDOMINOPERINEAL REPAIR 1000.00 300.00 NOs.
OG049 DIAGNOSTIC LAPAROSCOPY 500.00 150.00 NOs.
OG050 LAPAROSCOPIC REMOVAL OF IUCD 500.00 150.00 NOs.
OG051 DIAGNOSTIC HYSTEROSCOPY 250.00 100.00 NOs.
OG052 HYSTEROSCOPIC REMOVAL OF STENT 500.00 150.00 NOs.
OG053 HYSTEROSCOPIC REMOVAL OF IUCD 500.00 150.00 NOs.
OG054 HYSTEROSCOPIC ADHESIOLYSIS 1000.00 500.00 NOs.
OG055 FORCEPS/VACUUM EXTRACTION DELIVERY 1500.00 750.00 NOs.
OG056 CESAREAN SECTION 2000.00 1000.00 NOs.
OG057 HYSTEROTOMY 2000.00 1000.00 NOs.
OG058 M.T.P - FIRST TRIMESTER 500.00 150.00 NOs.
OG059 M.T.P - SECOND TRIMESTER 1000.00 300.00 NOs.
OG060 DESTRUCTIVE OPER.- WITHOUT ANAESTH.ESIA 500.00 150.00 NOs.
OG061 DESTRUCTIVE OPER.- WITH ANAESTHESIA 1000.00 300.00 NOs.
OG062 OPERATION FOR STRESS INCONTINENCE 1500.00 750.00 NOs.
OG064 VULVAL BIOPSY 250.00 100.00 NOs.
OG065 VAGINAL BIOPSY 250.00 100.00 NOs.
OG066 DRAINAGE OF VULVAL HEMATOMA 500.00 150.00 NOs.
OG067 BARTHOLIN ABSCESS- DRAINAGE 500.00 150.00 NOs.
OG068 BARTHOLIN ABSCESS- ENUCLEATION 500.00 150.00 NOs.
OG069 BARTHOLIN ABSCESS- MARSUPALISATION 500.00 150.00 NOs.
OG070 POLYPECTOMY 500.00 150.00 NOs.
OG071 DILATATION & CURRETTAGE 500.00 150.00 NOs.
OG072 HYSTEROSALPINGOGRAPHY 250.00 100.00 NOs.
OG073 MANUAL REMOVAL OF PLACENTA 500.00 150.00 NOs.
OG074 EUA 250.00 100.00 NOs.
OG075 CERVICAL OCCLUSION FOR INCOMPETENCE 500.00 150.00 NOs.
OG076 SINUS EXCISION 250.00 100.00 NOs.
OG078 IVF-IN VITRO FERTILIZAT-HOSPITAL CHARGES 2500.00 2500.00 NOs.
OG079 ADHESIOLYSIS/TUBOPLASTY 1000.00 500.00 NOs.
OG080 LAVH 1000.00 500.00 NOs.
OG081 HYSEROSCOPIC SEPTUM EXCISION 1000.00 500.00 NOs.
OG082 TUBAL CANNULATION 1000.00 500.00 NOs.
OG083 AMNIOCENTESIS 500.00 250.00 NOs.
OG084 CVS 500.00 250.00 NOs.
OG085 CORDOCENTESIS 500.00 250.00 NOs.
OG086 FETAL REDUCTION 500.00 250.00 NOs.
OG087 PRENATAL SCREENING- 1ST TRIMESTER (DUAL 1000.00 500.00
SCREENING) NOs.
OG088 PRENATAL SCREENING- 2ND TRIMESTER (TRIPLE 1500.00 750.00
SCREENING) NOs.
OG089 COLPOSCOPY 300.00 150.00 NOs.
OG090 SEMEN ANALYSIS 100.00 50.00 NOs.
OG091 SEMEN CULTURE 100.00 50.00 NOs.
OG092 INTRAUTERINE INSEMINATION (IUI) 300.00 150.00 NOs.
OG093 INTRAUTERINETRANSFUSION (IUT) 1000.00 500.00 NOs.
0G094 HYSTEROSCOPY & LAPAROSCOPY (HYSTEROLAP) 1000.00 500.00 NOs.
OG095 LEEP 300.00 150.00 NOs.
0G096 LAPAROSCOPIC OVARIAN DRILLING 1000.00 500.00 NOs.
OG097 PAP SMEAR 50.00 25.00 NOs.
OP OPHTHALMOLOGY
OP001 ABSCESS INCISION AND DRAINAGE (LID LACRIMAL) 250.00 100.00 NOs.
OP002 APPLICATION OF CORNEAL GLUE 575.00 170.00 NOs.
OP003 AUTO PERIMETRY 50.00 50.00 NOs.
OP004 AUTOREFRACTION OR REFRACTION UNDER 10.00 10.00
TROPLICAMIDE NOs.
OP006 BJERRUM'S SCREEN 50.00 50.00 NOs.
OP007 BOAT/FUNGAL CULTURE SENSITIVITY 50.00 50.00 NOs.
OP008 BUCKLE REMOVAL 1000.00 300.00 NOs.
OP009 C-DCR (CONJUCTIVE DACRYO CYST RHONOSTOMY 5000.00 2500.00 NOs.
OP010 CANALICULOPLASTY 2000.00 1000.00 NOs.
OP011 CANTHOTOMY/CANTHOLYSIS 250.00 100.00 NOs.
OP012 CAPSULOISIDECTOMY 2000.00 1000.00 NOs.
OP013 CATARACT EXTRACTION (IOL LENS) 2000.00 1000.00 NOs.
OP014 CATARACT EXTRACTION (ECC-ICC) 2000.00 1000.00 NOs.
OP015 CHALAZION (INCISION AND CURETTAGE) 250.00 100.00 NOs.
OP016 COMBINED PK WITH GLAUCOMA SURGERY OR 5000.00 2500.00
VITRECTOMY OR LENS NOs.
OP017 CONJECTIVOPLASTY 2000.00 1000.00 NOs.
OP018 CONTACT LENS TRIAL 45.00 45.00 NOs.
OP019 CORNEAL F.B. REMOVAL 250.00 100.00 NOs.
OP020 CRYOTHERAPY (CONJUCTIVAL/CORNEAL) 1000.00 300.00 NOs.
OP021 CRYOTHERAPY RETINAL 2000.00 1000.00 NOs.
OP022 CURETTE EVACUATION 1000.00 300.00 NOs.
OP023 CYELOCRYO-THERAPY 1000.00 300.00 NOs.
OP024 CYLODIATHERMY 2000.00 1000.00 NOs.
OP025 DACRYOCYSTECTOMY (DCY) 2000.00 1000.00 NOs.
OP026 DACRYOCYSTORHINCSTOMY (DSR) 2000.00 1000.00 NOs.
OP027 DARK ADAPTOMATRY 50.00 50.00 NOs.
OP028 DCR WITH FISTULECTOMY 2000.00 1000.00 NOs.
OP029 DERMOID EXCESSION WITH IK 2000.00 1000.00 NOs.
OP030 DERMOID EXCISION (LIMITAL-SCLERAL) 2000.00 1000.00 NOs.
OP031 DIURNAL VARNATION/WATER DRINKING TEST 50.00 50.00 NOs.
OP032 ECTROPION CORRECTION 2000.00 1000.00 NOs.
OP033 ELECTROLYSIS 250.00 100.00 NOs.
OP034 ENTROPION CORRECTION (EACH LID) 1000.00 300.00 NOs.
OP035 ENUCLEATION 2000.00 1000.00 NOs.
OP036 ENUCLEATION WITH ORBITRAL IMPLANT 2000.00 1000.00 NOs.
OP037 EPICANTHOUS 2000.00 1000.00 NOs.
OP038 EVISCERATION 1000.00 300.00 NOs.
OP039 EXAMINATION UNDER ANAESTHESIA 230.00 100.00 NOs.
OP040 EXENTERATION 2000.00 1000.00 NOs.
OP041 EXENTERATION WITH SKIN GRAFTING 5000.00 2500.00 NOs.
OP042 EXPRESSION OF FOLLICIES 250.00 100.00 NOs.
OP043 FLUORESCEIN ANGIOGRAPHY 115.00 100.00 NOs.
OP044 HESS CHARTING 25.00 25.00 NOs.
OP045 INTRACULAR FOREIGN BODY REMOVAL 5000.00 2500.00
KERATOPLASTY NOs.
OP046 IRIDECTOMY 2000.00 1000.00 NOs.
OP048 IRIDODIALYSIS REPAIR 2000.00 1000.00 NOs.
OP049 IRIS CYST REMOVAL 2000.00 1000.00 NOs.
OP050 KDH/GRAM SMEAR PUS FOR CULTURE 25.00 25.00 NOs.
OP051 KERATO-REFRACTIVE SURGERY 5000.00 2500.00 NOs.
OP052 KERATOPROSTHESIS STAGE -I 2000.00 1000.00 NOs.
OP053 KERATOPROSTHESIS STAGE -II 2000.00 1000.00 NOs.
OP054 LAMELLER KERATROPLASTY 2000.00 1000.00 NOs.
OP055 LATERAL ORBIOTOMY 5000.00 2500.00 NOs.
OP056 LID RETRACTION 2000.00 1000.00 NOs.
OP057 LIMBAL RING X-RAY 250.00 100.00 NOs.
OP058 ORTHOPTIC EXERCISE ON SYNAPTOPHORE 115.00 100.00 NOs.
OP059 ORTHOPTICS 20.00 20.00 NOs.
OP060 PARACENTASIS 250.00 100.00 NOs.
OP061 PARITOMY/PERITECTOMY 250.00 100.00 NOs.
OP062 PARS PLANA LENSECTOMY/SKIN GRAFTING 2000.00 1000.00 NOs.
OP063 PENETRATING KEROTOPLASTY 5000.00 2500.00 NOs.
OP064 PERIMETRY 25.00 25.00 NOs.
OP065 PHOTOCOAGULATION (XEBIB/ARC) PER SITTING 1000.00 300.00 NOs.
OP066 PHOTOKERATOSCOPY 50.00 50.00 NOs.
OP067 PK WITH LENS EXTRACTION AND IOL IMPLANT 5000.00 2500.00
(TRIPLE PROCEDURE) NOs.
OP068 PROLAPSED IRIS REPAIR 2000.00 1000.00 NOs.
OP069 PROPHYLACTIC CRYOPEXY 2000.00 1000.00 NOs.
OP070 PTORYGIUM 250.00 100.00 NOs.
OP071 PTOSIS CORRECTION 2000.00 1000.00 NOs.
OP072 RADIAL KERATOTOMY (BOTH EYES) 2000.00 1000.00 NOs.
OP073 RECURRENT PTERYGIUM IK/MEMHANE GRAFT 5000.00 2500.00 NOs.
OP074 REFRACTION DRY/HA 10.00 10.00 NOs.
OP075 REMOVAL OF INTRAOCULAR FOREIGN BODY 1750.00 875.00 NOs.
OP076 REMOVAL OF ORBITAL IMPLANT 250.00 100.00 NOs.
OP077 REPAIR OF CORNEAL WOUND 2000.00 1000.00 NOs.
OP078 REPAIR OF PERFORATING EYE INJURY 1750.00 875.00 NOs.
OP079 REPAIR OF SCLERAL RUPTURE 2000.00 1000.00 NOs.
OP080 RESUTURING OF CORNEAL WOUND 250.00 100.00 NOs.
OP081 RETINAL DETACHMENT SURGERY 2000.00 1000.00 NOs.
OP082 SCLERAL GRAFT/SLINGOPERATION 2000.00 1000.00 NOs.
OP083 SCLERECTOMY 2000.00 1000.00 NOs.
OP084 SECONDARY IDL IMPLANTATION 2000.00 1000.00 NOs.
OP085 SOCKET REPAIR 1000.00 300.00 NOs.
OP086 SQUINT SURGERY 2000.00 1000.00 NOs.
OP087 SUTURING OF LID WOUND 250.00 100.00 NOs.
OP088 SYRINGING AND PROBING 250.00 100.00 NOs.
OP089 TARSORRHAPHY 250.00 100.00 NOs.
OP090 TATOOING 1000.00 300.00 NOs.
OP091 TELECANTHUS 2000.00 1000.00 NOs.
OP092 THERMOKERATOPLASTY 2000.00 1000.00 NOs.
OP093 TRABECULECTOMY 2000.00 1000.00 NOs.
OP094 TRABECULOTOMY WITH TRABECULECTOMY 2000.00 1000.00 NOs.
OP095 TREPHINATION 2000.00 1000.00 NOs.
OP096 ULTRASONOGRAPHY B SCAN 250.00 100.00 NOs.
OP097 VITRECTOMY (PARAS PLANA) 5000.00 2500.00 NOs.
OP098 WART EXCISION 250.00 100.00 NOs.
OP099 PLASTIC LID REPAIR 2000.00 1000.00 NOs.
OP100 LASIK SURGERY BOTH EYES-HOSPITAL CHARGES 2000.00 2000.00 NOs.
OP101 LASIK SURGERY SINGLE EYE-HOSPITAL CHARGE 1000.00 1000.00 NOs.
OP102 FEMTO ASSISTED LASIK SURGERY(BOTH EYE) 5000.00 5000.00 NOs.
OP103 FEMTO ASSISTED LASIK SURGERY(SINGLE EYE) 2500.00 2500.00 NOs.
OP104 FEMTO ASSISTED KERATOPLASTY(RECIPIENT & 5000.00 5000.00
DONOR EYE) NOs.
OP105 FEMTO ASSISSTED INTRA CORNEAL RINGS BOTH 2000.00 2000.00
EYE NOs.
OP106 FEMTO ASSISISTED INTRA CORNEAL RINGS SINGLE 1000.00 1000.00
EYE NOs.
OP107 INJECTION AVASTIN INCLUDING TWO PAIRS OF 100.00 100.00 NOs.
GLOVES AND EYE DRAPE SHEET-HOSPITAL
CHARGES
OP108 RETINA LAB PACAKGE (RLP) (REFRACTION,
BIOMETRY, PERIMETRY, OCT, FFA,
ULTRASOUND(FOR 6 MONTHS)) 250.00 250.00
OP109 LENS & CORNEA LAB PACKAGE (LCLP) (REFRACTION,
CONFOCAL MICROSCOPY, PERIMETRY, PENTACEM,
ORA, TOPOGRAPHY, BIOMETRY,(FOR 6 MONTHS)) 100.00 100.00
OR ORTHOPAEDICS (AMPUTATIONS)
OR001 AMPUTATIONS THROUGH ARM/FOREARM 2000.00 1000.00 NOs.
OR002 AMPUTATIONS THROUGH HAND/FOOT 1000.00 300.00 NOs.
OR003 AMPUTATIONS THROUGH THIGH/LEG 2000.00 1000.00 NOs.
OR004 DISRTICUL.THROUGH MAJOR JOINTS OF LIMB 2000.00 1000.00 NOs.
OR005 DISARTICULATION THRU SMALL JOINTS OF HAND/ 500.00 150.00
FEET NOs.
OR006 EXCISION OF SUPERNUMERY DIGIT 500.00 150.00 NOs.
OR007 FORE QUARTER AMPUTATION 5000.00 2500.00 NOs.
OR008 HIND QUARTER AMPUTATION 5000.00 2500.00 NOs.
OR009 ARTHRODESIS OF LARGE JOINTS 2000.00 1000.00
(HIP,KNEE,SHOULDER, ANKLE, WRIST) NOs.
OR010 ARTHRODESIS OF SMALL JOINTS OF HAND/FOOT 1000.00 300.00 NOs.
OR011 DIAGNOSTIC ARTHR.OF SMALL/LARGE JOINT UNDER 500.00 150.00
L.A. NOs.
OR012 DIAGNOSTIC ARTHR.OF SMALL/LARGE JOINT UNDER 1000.00 300.00
G.A. NOs.
OR014 LAVAGE 1000.00 300.00 NOs.
OR015 LIGAMENT RECONSTRUCTION 2000.00 1000.00 NOs.
OR016 MENISECTOMY (PARTIAL/TOTAL) 2000.00 1000.00 NOs.
OR017 REMOVAL OF LOOSE BODY 2000.00 1000.00 NOs.
OR018 SYNOVIAL BIOPSY 2000.00 1000.00 NOs.
OR019 C.T. GUIDED BIOPSY 1000.00 300.00 NOs.
OR020 EXCISIONAL BIOPSY 1000.00 300.00 NOs.
OR021 NEEDLE BIOPSY 500.00 150.00 NOs.
OR022 OPEN BIOPSY 500.00 150.00 NOs.
OR023 COMPOSITE GRAFTING 2000.00 1000.00 NOs.
OR024 FIBULAR/TIBIAL GRAFTING 1000.00 300.00 NOs.
OR025 ILIAC CREST GRAFTING 1000.00 300.00 NOs.
OR026 THEMESTOR GRAFTING 2000.00 1000.00 NOs.
OR027 RIB GRAFTING 1000.00 300.00 NOs.
OR028 DEBRIDEMENT & REPAIR 250.00 100.00 NOs.
OR029 FASCIECTOMY 250.00 100.00 NOs.
OR030 SLOUGHECTOMY 250.00 100.00 NOs.
OR031 EXCISION OF ACCESSORY BONE (NAVICULAR) 1000.00 300.00 NOs.
OR032 FIBULECTOMY 1000.00 300.00 NOs.
OR033 PATELLECTOMY (PARTIAL/TOTAL) 1000.00 300.00 NOs.
OR034 PROXIMAL ROW CARPECTOMY 1000.00 300.00 NOs.
OR035 TALECTOMY 1000.00 300.00 NOs.
OR036 EXCISIONAL ARTHROPLASTY OF ELBOW 2000.00 1000.00 NOs.
OR037 EXCISIONAL ARTHROPLASTY OF HIP 2000.00 1000.00 NOs.
OR038 EXCISIONAL ARTHROPLASTY OF SMALL JOINTS OF 2000.00 1000.00
HAND/FOOT NOs.
OR039 EXCISIONAL ARTHROPLASTY OF TM JOINT 2000.00 1000.00 NOs.
OR040 EXTERNAL FIXATION WITH SOFT TISSUE 5000.00 2500.00 NOs.
RECONSTRUCTION PROCEDURE
OR041 MINI FIXATOR 2000.00 1000.00 NOs.
OR042 PIN AND PLASTER APPLICATION 2000.00 1000.00 NOs.
OR043 RING FIXATOR 2000.00 1000.00 NOs.
OR044 TABULAR EXTERNAL FIXATOR 2000.00 1000.00 NOs.
OR045 INTERLOCKING NAILING 1000.00 300.00 NOs.
OR046 K.WIRE FIXATION 500.00 150.00 NOs.
OR047 MEYER'S PROCEDURE 5000.00 2500.00 NOs.
OR048 NAILING 2000.00 1000.00 NOs.
OR049 NECK RECONSTRUCTION 5000.00 2500.00 NOs.
OR050 PLATING 2000.00 1000.00 NOs.
OR051 SCREW FIXATION 500.00 150.00 NOs.
OR052 CONDYLAR BLADE PLATES 5000.00 2500.00 NOs.
OR053 DYNAMIC COMPRESSION SCREW 5000.00 2500.00 NOs.
OR054 DYNAMIC HIP SCREW 5000.00 2500.00 NOs.
OR055 SD.P.NAIL PLATE 5000.00 2500.00 NOs.
OR056 TENSION BAND WIRING 1000.00 300.00 NOs.
OR057 PARTIAL (HEMI) HIP REPLACEMENT 5000.00 2500.00 NOs.
OR058 REPLACEMENT OF SMALL JOINTS OF HAND OR FOOT 5000.00 2500.00 NOs.
OR059 TOTAL HIP REPLACEMENT 8000.00 4000.00 NOs.
OR060 TOTAL KNEE REPLACEMENT 8000.00 4000.00 NOs.
OR061 TOTAL SHOULDER/ELBOW REPLACEMENT 5000.00 2500.00 NOs.
OR062 FEMORAL LENGTHENING 5000.00 2500.00 NOs.
OR063 HUMERAL LENGTHENING 5000.00 2500.00 NOs.
OR064 METACARPAL/PHALANGEAL LENGTHENING 5000.00 2500.00 NOs.
OR065 TIBIAL LENGTHENING 5000.00 2500.00 NOs.
OR066 CLOSED REDUCTION OF FRACTURES/DISLOCATIONS 1000.00 300.00
UNDER GA NOs.
OR067 CLOSED REDUCTION OF FRACTURE & /DISLOCATION 250.00 100.00
UNDER LA NOs.
OR068 CORRECTION OF DEFORMITIES 1000.00 300.00 NOs.
OR069 MANIPULATION UNDER G.A. 1000.00 300.00 NOs.
OR070 STEINDLER'S FLEXOROPLASTY 1000.00 300.00 NOs.
OR071 EGGER'S PROCEDURE 1000.00 300.00 NOs.
OR072 OPONENPLASTY 1000.00 300.00 NOs.
OR073 NERVE REPAIR/GRAFTING 5000.00 2500.00 NOs.
OR074 TRAPEZIUS TRANSFER 2000.00 1000.00 NOs.
OR075 OPEN REDUCTION OF C.D.H. (CONGENITAL 1000.00 300.00
DISLOCATION. HIP) NOs.
OR076 OPEN REDUCTION OF C.D.H. WITH OSTEOTOMY 2000.00 1000.00 NOs.
OR077 OPEN REDUCTION OF DISLOCATION 1000.00 300.00 NOs.
OR078 SEQUESTRECTOMY 500.00 150.00 NOs.
OR079 SAUCERIZATION 500.00 150.00 NOs.
OR080 SINUS TRACT EXCISION 50.00 50.00 NOs.
OR081 BODY JACKET (PVC) 500.00 150.00 NOs.
OR082 CAST BRACE 500.00 150.00 NOs.
OR083 FLOOR REACTION ORTHOSIS (FRO) 1000.00 300.00 NOs.
OR084 HAND SPLINTS 250.00 100.00 NOs.
OR085 CORRECTIVE OSTEOTOMY OF LONG BONES 2000.00 1000.00 NOs.
OR086 CORRECTIVE OSTEOTOMY OF SMALL BONES 2000.00 1000.00 NOs.
OR087 FRENCH OSTEOTOMY 2000.00 1000.00 NOs.
OR088 HIGH TIBIAL OSTEOTOMY 2000.00 1000.00 NOs.
OR089 MC MURRAY'S OSTEOTOMY 2000.00 1000.00 NOs.
OR090 OSTEOTOMY OF THE PELVIS (SALTER'S 2000.00 1000.00
CHEFTYRYPAMBERTION) NOs.
OR091 REPLANTATION 8000.00 4000.00 NOs.
OR092 VALGUS/VARUS OSTEOTOMY 2000.00 1000.00 NOs.
OR093 HALO TRACTION/DISTRACTION 2000.00 1000.00 NOs.
OR094 SKULL TRACTION 500.00 150.00 NOs.
OR095 TRACTION THROUGH TIBIA, FEMUR, OLECRANON, 250.00 100.00
CALCANEUM NOs.
OR096 ABDOMINAL FLAP 2000.00 1000.00 NOs.
OR097 CROSS FINGER FLAP 2000.00 1000.00 NOs.
OR098 CROSS LEG FLAP 2000.00 1000.00 NOs.
OR099 FREE FLAP 5000.00 2500.00 NOs.
OR100 FULL THICKNESS SKIN GRAFTING 500.00 150.00 NOs.
OR101 GROIN FLAP 2000.00 1000.00 NOs.
OR102 MYOCUTANEOUS FLAP 2000.00 1000.00 NOs.
OR103 MYOPLASTY WITH/WITHOUT SKIN GRAFTING 2000.00 1000.00 NOs.
OR104 REDICLED FLAP 2000.00 1000.00 NOs.
OR105 ROTATION FLAP 2000.00 1000.00 NOs.
OR106 SPLIT THICKNESS SKIN GRAFTING 500.00 150.00 NOs.
OR107 ANTERIOR TRANSPOSITION OF ULNAR NERVE 2000.00 1000.00 NOs.
OR108 BANKART'S OPERATION 2000.00 1000.00 NOs.
OR109 BRISTWO'S OPERATION 2000.00 1000.00 NOs.
OR110 JOINT DEBRIDEMENT 2000.00 1000.00 NOs.
OR111 LIGAMENT RECONSTRUCTION OF THE KNEE,ANKLE 2000.00 1000.00 NOs.
OR112 MC BRIDGE PROCEDURE 2000.00 1000.00 NOs.
OR113 NEUROLYSIS 2000.00 1000.00 NOs.
OR114 PUTTI PLAT OPERATION 2000.00 1000.00 NOs.
OR115 RECONS.SURGERY OF THE HAND (FOR POST 2000.00 1000.00
TRAUMATIC & CONGENITAL ANOMALIES/
DEFORMITIES) NOs.
OR116 SYNOVECTOMY 2000.00 1000.00 NOs.
OR117 CARPAL TUNNEL RELEASE 1000.00 300.00 NOs.
OR118 DEFAITING OPERATION 1000.00 300.00 NOs.
OR119 DEQUERVAM'S RELEASE 1000.00 300.00 NOs.
OR120 DUPUYTRON'S SOFT TISSUE RELEASE 1000.00 300.00 NOs.
OR121 MAX PAGE RELEASE 1000.00 300.00 NOs.
OR122 POSTERO MEDIAL SOFT TISSUE RELEASE 1000.00 300.00 NOs.
OR123 SOUTTER'S AND YOUNTS SOFT TISSUE RELEASE 1000.00 300.00 NOs.
OR124 STEINDLER'S RELEASE 1000.00 300.00 NOs.
OR125 SUBCUTANEOUS TENOTOMY 1000.00 300.00 NOs.
OR126 SYNDACTYLY RELEASE 1000.00 300.00 NOs.
OR127 T.A. LENGTHENING 1000.00 300.00 NOs.
OR128 TENOTOMY-OPEN 1000.00 300.00 NOs.
OR129 TORTICOLLIS RELEASE 1000.00 300.00 NOs.
OR130 TRIGGER FINGER/THUMB RELEASE 1000.00 300.00 NOs.
OR131 WILSON'S SOFT TISSUE RELEASE 1000.00 300.00 NOs.
OR132 Z-PLASTY FOR CONTRACTURES 1000.00 300.00 NOs.
OR133 ANTERIORELETERAL DECOMPRESSION 5000.00 2500.00 NOs.
OR134 ANTERIOR LOOSENING 8000.00 4000.00 NOs.
OR135 ANTERIOR LOOSENING WITH INSTRUMENTATION 8000.00 4000.00 NOs.
OR136 ANTERIOR SPINAL FUSION 5000.00 2500.00 NOs.
OR137 DISCETOMY 5000.00 2500.00 NOs.
OR138 EXCISION OF DIASTEMATOMYELIA 9000.00 4500.00 NOs.
OR139 LAMINECTOMY 5000.00 2500.00 NOs.
OR140 POSTEROLATERAL SPINAL FUSION 5000.00 2500.00 NOs.
OR141 POSTERIOR SPINAL FUSION WITH 5000.00 2500.00
INSTRUMENTATION NOs.
OR142 POSTEROLATERAL SPINAL FUSION WITH 5000.00 2500.00
INSTRUMENTATATION NOs.
OR143 SPINAL FUSION (POSTERIOR) 5000.00 2500.00 NOs.
OR144 SPINAL INSTRUMENTATION (WITHOUT FUSION) 5000.00 2500.00 NOs.
OR145 TRANSTHORACIC DECOMPRESSION 8000.00 4000.00 NOs.
OR146 TENDON REPAIR/GRAFTING 2000.00 1000.00 NOs.
OR147 CURETTAGE 5000.00 2500.00 NOs.
OR148 CURETTAGE WITH BONE GRAFTING 1000.00 300.00 NOs.
OR149 CURETTAGE WITH BONE CEMENT 1000.00 300.00 NOs.
OR150 DEBULKING OF THE TUMOUR 2000.00 1000.00 NOs.
OR151 EXCISION OF THE TUMOURS OF THE HAND OR FOOT 1000.00 300.00 NOs.
OR152 RADICAL RESECTION OF THE LARGE TUMOUR 2000.00 1000.00 NOs.
OR153 RESECTION ARTHRODESIS (WITH INTERNAL OR 5000.00 2500.00
EXTERNAL FIXATION) NOs.
PA PATHOLOGY
PA001 CYTOPATHOLOGY FNA 100.00 100.00 NOs.
PA002 HISTOPATH 200.00 100.00 NOs.
PD PEDIATRIC
PD001 INTRADERMAL SKIN TEST - SINGLE BATTERY 400.00 120.00 NOs.
PD002 INTRADERMAL SKIN TEST - DOUBLE BATTERY 800.00 240.00 NOs.
PD003 SCRATCH TEST 100.00 100.00 NOs.
PD004 CHALLENGE TEST 100.00 100.00 NOs.
PD005 I.Q. TEST BELOW 6 YEARS 50.00 50.00 NOs.
PD006 I.Q. TEST ABOVE 6 YEARS 100.00 100.00 NOs.
PD007 MCV+MCH+MCHC 90.00 90.00 NOs.
PD008 SKIN TEST FOR ALLERGENS- POLLENS 100.00 100.00 NOs.
PD009 SKIN TEST FOR ALLERGENS- FUNGAL ANTIGENS 100.00 100.00 NOs.
PD010 SKIN TEST FOR ALLERGENS- BOTH ANTIGENS 200.00 100.00 NOs.
PD011 HEMAPHERSIS PROCEDURES 100.00 100.00 NOs.
PD012 BROCHIAL CHALLENGE TEST 250.00 100.00 NOs.
PD013 PEDIATRIC LUNG FUNCTION TEST 100.00 100.00 NOs.
PD014 FIBROPTIC BRONCHOSCOPY 250.00 100.00 NOs.
PD015 NBT DYE REDUCTION TEST 50.00 50.00 NOs.
PD016 SERUM ELECTROPHORESIS 100.00 100.00 NOs.
PD017 URINE ELECTROPHORESIS 100.00 100.00 NOs.
PD018 PHA MITOGEN STIMULATION TEST 100.00 100.00 NOs.
PD019 REHUMATOLD FACTOR(1GM, 1GM, 1GA)PER TEST 300.00 100.00 NOs.
PD020 ASO 50.00 50.00 NOs.
PD021 HS CRP QUANTITATIVE 150.00 75.00 NOs.
PD022 C3 50.00 50.00 NOs.
PD023 C4 50.00 50.00 NOs.
PD024 ANTI DS DNA 200.00 100.00 NOs.
PD025 SERUM IMMUNOGLO.(IgG,IgA & IgM) per CLASS 200.00 100.00 NOs.
PD026 T & B CELL RESETTING 100.00 100.00 NOs.
PD027 IgG SUBCLASSES ESTIMATION TEST (IgG1, IgG2, gG3, 1500.00 500.00
IgG4) NOs.
PD028 CVS FOR SEXING FOR X-LINKED DISEASES 1500.00 750.00 NOs.
PD029 CYTOGENETIC TEST 500.00 150.00 NOs.
PD030 PRENATAL DIAG.OF ATAXIA TELANGIECTASIA/ 6000.00 3000.00
FRAGILE X NOs.
PD031 PRENATAL DIAG.OF THALASSEMIA DMD HEMOPHILIA 4500.00 2250.00
OR /ENZYME NOs.
PD032 MCV 30.00 30.00 NOs.
PD033 MCH 30.00 30.00 NOs.
PD034 MCHC 30.00 30.00 NOs.
PD035 SERUM IMMUNOGLOBNULIS (IgG+IgA+IgM) 600.00 180.00
COMBINED NOs.
PD036 ANTI-DIPTHERIA ANTIBODY TITRES 125.00 100.00 NOs.
PD037 ANTI-TETNUS ANTIBODY TITRES 125.00 100.00 NOs.
PD038 REHUMATOLD FACTOR(1GM+1GM+1GA) ALL TEST 800.00 250.00 NOs.
PD039 SPOT URINARY PROTEIN/CREATININE RATIO 100.00 50.00 NOs.
PD040 LEAD (BLOOD/URINE ) 250.00 100.00 NOs.
PD041 CARBAMAZEPINE 300.00 150.00 NOs.
PD042 THEOPHYLINE 300.00 150.00 NOs.
PD043 PHENOBARBITAL 300.00 150.00 NOs.
PD044 PHENYTOIN 300.00 150.00 NOs.
PD045 VALPORIC ACID 300.00 150.00 NOs.
PD046 VANCOMYCIN 300.00 150.00 NOs.
PD047 CYCLOSPERIN A 1000.00 500.00 NOs.
PD048 AMPHETAMINE 300.00 150.00 NOs.
PD049 BARBITURATE 300.00 150.00 NOs.
PD050 BENZODIAZEPINE 300.00 150.00 NOs.
PD051 CANNABINOIDS 300.00 150.00 NOs.
PD052 COCAINE METABILINE 300.00 150.00 NOs.
PD053 METHADONE 300.00 150.00 NOs.
PD054 OPIATE 300.00 150.00 NOs.
PD055 PHENCYCLIDINE 300.00 150.00 NOs.
PD056 PSA 400.00 200.00 NOs.
PD057 MOLECULAR TEST (PCR BASED) 2000.00 1250.00 NOs.
PD058 PRENATAL DIAGNOSIS BY MOLECULAR TESTS. 3000.00 1750.00 NOs.
PD059 CHROMOSOMAL ANALYSIS ON BLOOD 500.00 250.00 NOs.
PD060 CHROMOSOMAL ANALYSIS ON AMNIOTIC FLUID/POC 2000.00 1000.00 NOs.
PD061 FLUORESC.IN SITUHYBRIDIZ.ON BLOOD (SYN/X-Y) 4000.00 3000.00 NOs.
PD062 FLUORESC.IN SITUHYBRIDIZ.ANTENANTAL 6000.00 3500.00
DIAGNOSIS NOs.
PD063 SPECIAL CULTURES FOR CHROMOSOMAL 1000.00 500.00
BREAKAGE NOs.
PD064 RETINOL (HPLC) 1000.00 500.00 NOs.
PD065 TOCOPHEROL (HPLC) 1000.00 500.00 NOs.
PD066 BIOTINIDASE (SPECTROPHOMETRY) 500.00 250.00 NOs.
PD067 GALACTOSE-1-p URIDY 1 TRNSFRSE(GALT) 1000.00 500.00
(FLUOROMETRY) NOs.
PD068 TYROSINE (FLUOROMETRY) 300.00 150.00 NOs.
PD069 CONGENITAL HYPOTHYROIDISM (CH), CONGENTIAL 450.00 300.00
ADRENAL HYPERPLASIA (CAH), G6PD DEFICIENCY
NOs.
PD070 HIV p24 ANTIGEN ESTIMATION 450.00 300.00 NOs.
PD071 IgM ANTI BORRELIA ANTIBODY 450.00 300.00 NOs.
PD072 IgG ANTI BORRELIA ANTIBODY 450.00 300.00 NOs.
PD073 PCR FOR BORRELIA/ LYME 2700.00 1800.00 NOs.
PD074 MANNOSE BINDING LECTIN (MBL) ELISA TEST 1500.00 1000.00 NOs.
PD075 MITOGEN STIMULATION TEST-FLOW CYTOMETRY 1500.00 1000.00 NOs.
PD076 OXIDATIVE BURST TEST BY FLOW CYTOMETRY 500.00 300.00 NOs.
PD077 PHAGOCYTIC ASSAY BY FLOW CYTOMETRY 800.00 600.00 NOs.
PD078 FUNCTIONAL ASSESSMENT OF COMPLEMENT 1500.00 1000.00
SYSTEM BY ELISA NOs.
PD079 ANTI DS DNA ANTIBODY EST BY IIF 400.00 200.00 NOs.
PD080 DETECTIOBN OF BRUTON TYROSINE TYROSINE 1500.00 1000.00
KINASE(Btk PROTEIN OF PERIPHERAL BLOOD
MONOCYTES) NOs.
PD081 DETECTION OF WISKOTT ALDRICH SYNDROME(WAS) 1500.00 1000.00
PROTEIN ON PERIPHERAL BLOOD LYMPHOCYTES
NOs.
PD082 ABSOLUTE RETICULOCYTE COUNT 160.00 80.00 NOs.
PD083 RETICULOCYTE PRODUCTION INDEX 160.00 80.00 NOs.
PD084 GENETIC MUTATION ANALYSIS IN PRIMARY
IMMUNODEFICIENCY DISEASES (PIDs) (PER TEST) 3000.00 2000.00
PD085 NK CELL FUNCTION ASSAY 3000.00 1500.00
PD086 ESTIMATION OF SERUM COMPLEMENT
COMPONENTS 3000.00 1500.00
PD087 ANTIBODY RESPONSE TO POLYSACCHARIDE
ANTIGENS (PNUEMOVAX) 3000.00 1500.00
PD088 SERUM SOLUBLE CD 25 (sCD25/ sIL-2R) ESTIMATION 3000.00 1500.00
PD089 SERUM SOLUBLE FASL (sFASL) ASSAY 3000.00 1500.00
PD090 CVID 3000.00 1500.00
PE PAEDIATRIC SURGERY
PE001 ABDOMINOPERINEAL PULL THROUGH 5000.00 2500.00 NOs.
PE002 ANOPLASTY FOR IMPERFORATE ANUS 2000.00 1000.00 NOs.
PE003 LAP. APPENDICECTOMY 2000.00 1000.00 NOs.
PE004 BIOPSY OF ULCER 250.00 100.00 NOs.
PE005 BRACHIAL SINUS EXCISION 1000.00 300.00 NOs.
PE006 CHANGE OF SUPRAPUBIC CYSTOSTOMY TUBE 50.00 50.00 NOs.
PE007 CIRCUMCISION 250.00 100.00 NOs.
PE008 CLEFT LIP (COMPLETE REPAIR) 5000.00 2500.00 NOs.
PE009 CLEFT PALATE REPAIR 5000.00 2500.00 NOs.
PE010 COLONIC TRANSPLANT 5000.00 2500.00 NOs.
PE011 CORN EXCISION 100.00 100.00 NOs.
PE012 CORRECTIVE PROCEDURE FOR BILIARY ATRESIA 5000.00 2500.00 NOs.
PE013 CYSTO PANADOSCOPY 500.00 150.00 NOs.
PE014 CYSTOLITHOTOMY 1000.00 300.00 NOs.
PE015 CYSTOSTOMY 250.00 100.00 NOs.
PE016 DRAINAGE OF ABSCESS SUTURING OF MINOR 250.00 100.00 NOs.
PE018 EPISPADIAS REPAIR 1000.00 300.00 NOs.
PE019 EXAMINATION UNDER G.A. 250.00 100.00 NOs.
PE020 EXCISION OF OMPHALOMESENTRIC DUCT 2000.00 1000.00 NOs.
PE021 EXCISION OF POSTERIOR URETHERAL VALVE 2000.00 1000.00 NOs.
PE022 EXCISION OF RECTAL POLYP 1000.00 300.00 NOs.
PE023 EXCISION OF SMALL CYSTS GANGLIA ETC 250.00 100.00 NOs.
PE024 GASTROSTOMY 1000.00 300.00 NOs.
PE025 GUT BACK OPERATION FOR IMPERFORATE ANUS 1000.00 300.00 NOs.
PE026 HEMIHEPATECTOMY 5000.00 2500.00 NOs.
PE027 HYDROCORTISONE INJECTION OF PEYRONIES DI 250.00 100.00 NOs.
PE028 IIEAL OR COLON CONDUIT 5000.00 2500.00 NOs.
PE029 INTERCOSTAL DRAINAGE 250.00 100.00 NOs.
PE030 INTUSSUSCEPTION 2000.00 1000.00 NOs.
PE031 LAPAROTOMY WITH ADDL.PROCEDURES LIKE 2000.00 1000.00
RESECTION & ANASTOMOSIS NOs.
PE032 LIGATION OF UMBLICAL POLYP 250.00 100.00 NOs.
PE033 LYMPHNODE BIOPSY 250.00 100.00 NOs.
PE034 MEATOTOMY UNDER G.A. 250.00 100.00 NOs.
PE035 MINOR CORRECTION OF REPAIRED LIP OR PALATE 250.00 100.00 NOs.
PE036 MINOR URETHROPLASTY 250.00 100.00 NOs.
PE037 NEPHRECTOMY 2000.00 1000.00 NOs.
PE038 NEPHROSTOMY TUBE CHANGE 250.00 100.00 NOs.
PE039 OESOPHAGOSTOMY 2000.00 1000.00 NOs.
PE041 PAROTID FISTULA CLOSURE 1000.00 300.00 NOs.
PE042 PELVIC OSTEOTOMY 1000.00 300.00 NOs.
PE043 PERINEAL URETHROSTOMY 1000.00 300.00 NOs.
PE044 PREAURICULAR SINUS EXCISION 1000.00 300.00 NOs.
PE045 PREPUCIAL ADVANCEMENT AND CHORDEE 1000.00 300.00
CORRECTION NOs.
PE046 PREPUCIAL DILATATION 250.00 100.00 NOs.
PE047 PRIMARY RECONSTRUCTION FOR EXTROPHY OF 5000.00 2500.00
BLADDER NOs.
PE048 PYELOLITHOTOMY 2000.00 1000.00 NOs.
PE049 PYELOPLASTY 2000.00 1000.00 NOs.
PE050 PYELOROPLASTY WITH OR WITHOUT VAGOTOMY 2000.00 1000.00 NOs.
PE051 PYLOROMYOTOMY 2000.00 1000.00 NOs.
PE052 REPAIR OF HIATUS HERNIA/LAP.HERNIA REPAIR 2000.00 1000.00 NOs.
PE053 REPAIR OF PARTIAL CLEFT LIP 1000.00 300.00 NOs.
PE055 REVISION/ DILATATION OF ILEOSTOMY/ COLOSTOMY 250.00 100.00 NOs.
PE056 RIB RESECTION AND DRAINAGE 1000.00 300.00 NOs.
PE057 SCAR EXCISION UNDER GA 250.00 100.00 NOs.
PE058 SECONDARY PROCEDURE FOR EXTROPHY OF 1000.00 300.00
BLADDER NOs.
PE059 SIQMODIOSCOPY UNDER GA 500.00 150.00 NOs.
PE060 SKIN TAG EXCISION UNDER GA 250.00 100.00 NOs.
PE061 SPLENECTOMY 2000.00 1000.00 NOs.
PE062 STITCH REMOVAL UNDER GA 250.00 100.00 NOs.
PE063 SURGICAL SEPARATION OF CONJOINED SIAMESE 8000.00 4000.00
TWINS NOs.
PE064 TAPPING OF HYDROCELE 250.00 100.00 NOs.
PE065 TESTICULAR BIOPSY 250.00 100.00 NOs.
PE067 THYROGLOSSAL SINUS AND FISTULA EXCISION 1000.00 300.00 NOs.
PE068 TOTAL CORRECTION OF EXTROPHY OF URINARY 5000.00 2500.00
BLADDER NOs.
PE069 TRACHEO-OESOPHAGEAL FISTULA WITH 5000.00 2500.00
OESOPHAGEAL ATRESIA NOs.
PE070 TRANSPOSITION OF ANUS FOR ECTOPIC ANUS 2000.00 1000.00 NOs.
PE071 URETEROSTOMY OR URETERS SIGMOIDOSTOMY 5000.00 2500.00 NOs.
PE072 URETHROPLASTY FOR PENILE OR PENOSCROTAL 5000.00 2500.00
TYPE HYPOSPADIAS NOs.
PE073 URINARY DIVERSION E.G. CUTANEOUS 2000.00 1000.00
VESICOSTOMY OR URETOROSTOMY NOs.
PE074 VENTRICULOATRIAL SHUNT 2000.00 1000.00 NOs.
PE075 SYNDACTYLE 250.00 100.00 NOs.
PE080 OESOPHAGEAL REPLACEMENT 5000.00 2500.00 NOs.
PE081 HYDATID CYST LUNG 3000.00 1500.00 NOs.
PE082 DECORTICATION 2000.00 1000.00 NOs.
PE083 EVENTRATION DIAPHRAGM 2000.00 1000.00 NOs.
PE084 DIAPHRAGMATIC HERNIA 3000.00 1500.00 NOs.
PE085 PECTUS EXCAVATUM/CHEST DEFORMITIES 5000.00 2500.00 NOs.
PE086 MEDIASTINAL DUPLICATION/TUMOUR 5000.00 2500.00 NOs.
PE087 BRONCHOSCOPY 1000.00 300.00 NOs.
PE088 CHOLECYSTECTOMY 1000.00 300.00 NOs.
PE089 SURGERY FOR CHOLEDOCHAL CYST 3000.00 1500.00 NOs.
PE090 SURGERY FOR EXTRAHEPATIC BILIARY ATRESIA 3000.00 1500.00 NOs.
PE091 LIVER INJURY-SUTURING OF LIVER PARENCHYMA 1000.00 300.00 NOs.
PE092 LIVER ABSCESS DRAINAGE 1500.00 750.00 NOs.
PE093 HYDATID CYST LIVER 2000.00 1000.00 NOs.
PE094 SURGERY FOR MALROTATION-LADD'S PROCEDURE 2000.00 1000.00 NOs.
PE095 COLOSTOMY/HARTMAN'S PROCED/ILEOST/GASTRO 1000.00 300.00 NOs.
PE096 COLOSTOMY CLOSURE/ILEOSTOMY CLOSURE 1500.00 750.00 NOs.
PE097 MODIFIED DUHAMEL'S PROCEDURE/ TRANSANAL 3000.00 1500.00
PULL THROUGH NOs.
PE098 SURGERY FOR CLOACA 5000.00 2500.00 NOs.
PE099 MYECTOMY/RECTAL BIOPSY 1000.00 300.00 NOs.
PE100 DUODENO-DUODENOSTOMY 2000.00 1000.00 NOs.
PE101 SURGERY FOR ILEAL/JEJUNAL ATRESIA 2000.00 1000.00 NOs.
PE102 MESENTERIC CYST EXCISION 1500.00 750.00 NOs.
PE103 EXOMPHALOS/GASTROSCHISIS REPAIR 3000.00 1500.00 NOs.
PE104 NISSEN'S FUNDOPLICATION 2000.00 1000.00 NOs.
PE105 OESOPHAGEAL DILATATION UNDER GA 500.00 150.00 NOs.
PE106 EXCISION OF RETROPERITONEAL LUMP 3000.00 1500.00 NOs.
PE107 MECKEL'S DIVERTICULECTOMY 1000.00 300.00 NOs.
PE108 OESOPHAGOSCOPY 500.00 150.00 NOs.
PE109 URETERIC REIMPLANTATION 2000.00 1000.00 NOs.
PE110 SURGERY FOR CLOACAL EXSTROPHY 5000.00 2500.00 NOs.
PE111 ANTERIOR URETHRAL DIVERTICULUM 2000.00 1000.00 NOs.
PE112 OVARIAN TUMOUR 2000.00 1000.00 NOs.
PE113 URETHRAL DILATATION 500.00 150.00 NOs.
PE114 HERNIOTOMY/ HYDROCELE SURG./ UMBILICAL 1000.00 300.00
HERNIOTOMY NOs.
PE115 RELEASE OF TONGUE TIE 500.00 150.00 NOs.
PE116 SUTURING OF MINOR LACERATION UNDER LA 250.00 100.00 NOs.
PE117 DIAGNOSTIC LAPAROSCOPY 1500.00 750.00 NOs.
PE118 URODYNAMICS 450.00 150.00 NOs.
PE119 LAP. HERNIA REPAIR 2000.00 1000.00 NOs.
PH PHYSIOTHERAPY
PH001 HI-FREQUENCY RADIATION-CUM-COMPUTERIZED 45.00 45.00 NOs.
PH002 CHARGES FOR EXISTING FACILITIES 30.00 30.00 NOs.
PK PACKAGE CHARGES
PK001 BALLOON VALVOTOMY/ PTMC - PKG 15000.00 15000.00 NOs.
PK002 ENDOMYOCARDIAL BIOPSY - PKG 4000.00 4000.00 NOs.
PK003 RF ABLATION - PKG 15000.00 15000.00 NOs.
PK004 CORONARY ANGIOGRAPHY - PKG 5500.00 5500.00 NOs.
PK005 CORONARY ANGIOPLASTY - PKG 9000.00 9000.00 NOs.
PK006 CARDIAC CATHETERISATION & ANGIOGRAPHY-PK 4000.00 4000.00 NOs.
PK007 COARCTATION DILATATION - PKG 5000.00 5000.00 NOs.
PK008 PERMANENT PACEMAKER(SINGLE CHAMBER) -PKG 4000.00 4000.00 NOs.
PK009 PERMANENT PACEMAKER DUAL CHAMBER - PKG 4000.00 4000.00 NOs.
PK010 BiV - PACEMAKER IMPLANTATION - PKG 4000.00 4000.00 NOs.
PK011 AICD IMPLANTATION - PKG 4000.00 4000.00 NOs.
PK012 ELECTRO PHYSIOLOGICAL STUDY - PKG 4000.00 4000.00 NOs.
PK013 INTRA AOREITC BALOON PUMP - PKG 3000.00 3000.00 NOs.
PK014 INTRA VASCULAR COIL CLOSURE - PKG 8000.00 8000.00 NOs.
PK015 DEVICE IMPLANT OF ASD,VSD,PDA - PKG 5000.00 5000.00 NOs.
PK016 SEPTOSTOMY - PKG 7000.00 7000.00 NOs.
PK017 APRTOC/PULM.VALVOTOMY - PKG 5000.00 5000.00 NOs.
PK018 IVC FILTER - PKG 4000.00 4000.00 NOs.
PK051 IVF (IN VITRO FERTILIZATION) - PKG 15000.00 15000.00 NOs.
PK101 LASIK SURGERY CHARGES (BOTH EYES) -PKG 13000.00 13000.00 NOs.
PK102 LASIK SURGERY CHARGES (SINGLE EYE) - PKG 6500.00 6500.00 NOs.
PK103 FEMTO ASSISTED LASIK SURGERY(BOTH EYE) - PKG 25000.00 25000.00 NOs.
PK104 FEMTO ASSISTED LASIK SURGERY(SINGLE EYE) - 12500.00 12500.00
PKG NOs.
PK105 FEMTO ASSISTED KERATOPLASTY(RECIPIENT & 25000.00 25000.00
DONOR EYE) - PKG NOs.
PK106 FEMTO ASSISTED INTRA CORNEAL RINGS BOTH EYE 18000.00 18000.00
- PKG NOs.
PK107 FEMTO ASSISISTED INTRA CORNEAL RINGS SINGLE 9000.00 9000.00
EYE - PKG NOs.
PK108 INJECTION AVASTIN INCLUDING TWO PAIRS OF 1400.00 1400.00 Nos.
GLOVES AND EYE DRAPE SHEET - PKG
PM PULMONARY MEDICINE
PM001 COMPLETE LUNG FUNCTION ASSESSMENT 500.00 150.00
INCLUDING BODY PLETHYSMOGRAPHY NOs.
PM002 BRONCHIAL CHALLENGE STUDIES 150.00 100.00 NOs.
PM003 BRONCHOSCOPY 500.00 250.00 NOs.
PM004 SPECIAL PULMONARY FUNCTION TESTS (PFT) (LUNG 500.00 200.00
VOLUMES, AIRWAY RESISTANCE COMPLIANCE ETC) NOs.
PM005 CARDIO-PULMONARY EXERCISE TESTS 500.00 200.00 NOs.
PM006 SLEEP STUDIES 1000.00 500.00 NOs.
PM007 RIGID/INVERVENTIONAL BRONCHOSCOPY 1000.00 500.00 NOs.
PM008 THORACOSCOPY 1000.00 500.00 NOs.
PR PHARMACOLOGY (DRUG MONITORING CHARGES)
PR001 THERAPEUTIC DRUG MONITORING FOR 1 DRUG 300.00 100.00 NOs.
PS PLASTIC SURGERY
PS001 ABSCESS DRAINAGE 250.00 100.00 NOs.
PS002 BIOPSY(PUNCH/ EXCISION/ CERVICAL CONE/ 250.00 100.00
ENDOMETRIAL/ BONE TUMOR/ TESTICULAR NOs.
PS003 EXCISION LARGE TUMOUR 1000.00 300.00 NOs.
PS004 EXCISION AND SKIN GRAFT OF CONTRACTURE 1000.00 300.00 NOs.
PS005 EXCISION OF CHEEK CANCER 2000.00 1000.00 NOs.
PS006 EXCISION OF SMALL TUMOUR 250.00 100.00 NOs.
PS007 HAND SPLINTS 250.00 100.00 NOs.
PS008 INJECTION OF KELOIDS 250.00 100.00 NOs.
PS009 LACERATION SUTURE/UNDER LOCAL ANAESTHESIA 100.00 100.00 NOs.
PS010 NERVE REPAIR / GRAFTING (MAJOR) 5000.00 2500.00 NOs.
PS011 PREPARATION & TRANSFER OF TUBE PEDICLES 250.00 100.00 NOs.
PS012 REPAIR OF FACIAL FRACTURE 1000.00 300.00 NOs.
PS013 REPLANTATION OF UPPER/LOWER LIMBS & OTHER 8000.00 4000.00 NOs.
PS014 RESECTION OF JAW 2000.00 1000.00 NOs.
PS015 SEGMENTAL RESECTION OF JAW 1000.00 300.00 NOs.
PS016 ABDOMINAL FLAPS 2000.00 1000.00 NOs.
PS017 CROSS FINGER FLAP 2000.00 1000.00 NOs.
PS018 CROSS LEG FLAP 2000.00 1000.00 NOs.
PS019 FREE FLAP 5000.00 2500.00 NOs.
PS020 FULL THICKNESS SKIN GRAFTING 500.00 150.00 NOs.
PS021 GROIN FLAP 2000.00 1000.00 NOs.
PS022 MYOCUTANEOUS FLAP 2000.00 1000.00 NOs.
PS023 MYOPLASTY WITH/WITHOUT SKIN GRAFTING 2000.00 1000.00 NOs.
PS024 REDICLE FLAP 2000.00 1000.00 NOs.
PS025 ROTATION FLAP 2000.00 1000.00 NOs.
PS026 SPLIT THICKNESS SKIN GRAFTING 500.00 150.00 NOs.
PS027 ANTERIOR TRANSPOSITION OF ULNAR NERVE 2000.00 1000.00 NOs.
PS028 BANKART'S OPERATION 2000.00 1000.00 NOs.
PT PARASITOLOGY
PT002 QBC FOR MALARIA PARASITE 40.00 25.00
NOs.
PT007 ANTIGEN DETECTION FOR MALARIA/FILARIASIS 250.00 150.00 NOs.
PT008 ANIMAL INOCULATION FOR -TOXOPLASMOSIS/ FREE 300.00 200.00
LIVING AMOEBA NOs.
PT009 DIRECT MICROSCOPIC EXAMINATION OF STOOL 20.00 10.00 NOs.
PT011 ALDEHYDE TEST 25.00 25.00 NOs.
PT012 CASONI'S TEST 70.00 70.00 NOs.
PT013 ANTIBODY DETECTION (IgG) FOR AMOEBIASIS 150.00 100.00 NOs.
PT014 ANTIBODY DETECTION (IgG) FOR TOXOPLASMOSIS 150.00 100.00 NOs.
PT015 ANTIBODY DETECTION (IgG) FOR CYSTICERCOSIS 150.00 100.00 NOs.
PT016 ANTIBODY DETECTION (IgG) FOR HYDATIDOSIS 150.00 100.00 NOs.
PT017 ANTIBODY DETECTION (IgG) FOR KALA-AZAR 400.00 200.00 NOs.
PT018 ANTIBODY DETECTION (IgG) FOR MALARIA 150.00 100.00 NOs.
PT019 ANTIBODY DETECTION (IgG) FOR TOXOCARIASIS 150.00 100.00 NOs.
PT020 ANTIBODY DETECTION (IgM) FOR AMOEBIASIS 150.00 100.00 NOs.
PT021 ANTIBODY DETECTION (IgM) FOR TOXOPLASMOSIS 150.00 100.00 NOs.
PT022 ANTIBODY DETECTION (IgM) FOR MALARIA 150.00 100.00 NOs.
PT023 TOXOPLASMA AVIDITY ELISA 500.00 250.00 NOs.
PT024 TRICHINELLA SEROLOGY 500.00 250.00 NOs.
PT025 PCR FOR TOXOPLASMOSIS 1200.00 600.00 NOs.
PT026 PCR FOR LEISHMANIASIS 1200.00 600.00 NOs.
PT027 SPECAIL; STAINING TECHNIQUES FOR PARASITES 100.00 50.00
LIKE CRYPTOSPORIDIUM
LIKE ISAOSPORA
LIKE MICROSPORIDIA
PT030 BLOOD FLUID(CSF) EXAMINATION FOR PARASITES 45.00 30.00
PT031 BLOOD FLUID(URINE) EXAMINATION FOR PARASITES 45.00 30.00
PT032 BLOOD FLUID(PLEURAL FLUID) EXAMINATION FOR 45.00 30.00
PARASITES
PT033 BLOOD FLUID(PERITONEAL FLUID) EXAMINATION 45.00 30.00
FOR PARASITES
PT034 BLOOD FLUID(HYDATID FLUID) EXAMINATION FOR 45.00 30.00
PARASITES
PT035 BLOOD SMEAR FOR PARASITE(MALARIA.) 15.00 10.00
PT036 BLOOD SMEAR FOR PARASITE(FILARIA.) 15.00 10.00
PT037 BLOOD SMEAR FOR PARASITE(LEISHMANIA ETC.) 15.00 10.00
PT038 BLOOD SMEAR FOR PARASITE(OTHERS) 15.00 10.00
PT039 CULTURE FOR PARASITE(ENTAMOEBA) 150.00 100.00
PT040 CULTURE FOR PARASITE(LEISHMANIA) 150.00 100.00
PT041 CULTURE FOR PARASITE(TRICHOMONAS) 150.00 100.00
PT042 CULTURE FOR PARASITE(ACANTHAMOEBA) 150.00 100.00
PT043 CULTURE FOR PARASITE(NAEGLERIA) 150.00 100.00
PY PSYCHIATRY
PY001 PSYCHOLOGICAL TEST : SINGLE TEST 125.00 100.00 NOs.
PY002 PSYCHOLOGICAL TEST : BLOCK OF TESTS 250.00 100.00 NOs.
PY003 PSYCHOLOGICAL TEST : MAXIMUM FROM ONE 500.00 150.00
PATIENT NOs.
PY004 PSYCHOLOGICAL TEST:I.Q.TESTING(CHILDREN) 60.00 60.00 NOs.
PY005 PSYCHOTHERAPY CHARGES 50.00 50.00 NOs.
PY006 E.C.T. CHARGES 300.00 100.00 NOs.
PY007 SERUM LITHIUM 50.00 25.00 NOs.
RM PHYSICAL REHIBILATION
RM100 PSYCHOLOGICAL TESTING (CHILDREN UPTO 5 NEW
YEARS OF AGE) 60.00 60.00 CODE
RM101 PSYCHOLOGICAL TESTING (PATIENTS 6 YEARS AND
ABOVE) 100.00 100.00
RT RADIOTHERAPY (IRCH)
RT004 MEDICAL MANAGEMENT OF CANCER (ONCOLOGY) 1500.00 750.00 NOs.
RT005 EXTERNAL RADIATION (PALLIATIVE TREATMENT) 3000.00 1500.00 NOs.
RT006 RADIOTHERAPY BY INTERSTITIAL BRACHY THER 3000.00 1500.00 NOs.
RT010 EXTERNAL RADIATION RADICAL TREATNMENT 5000.00 2500.00 NOs.
TM TRANSFUSION MEDICINE
TM001 SUPPLY OF ONE UNIT BLOOD 250.00 75.00 NOs.
TM002 BLOOD COMPONENTS.- FRESH FROZEN PLASMA 100.00 30.00 NOs.
TM003 BLOOD COMPONENTS.- PLATELET RICH PLASMA 100.00 30.00 NOs.
TM004 BLOOD COMPONENTS.- PLATELET CONCENTRATES 100.00 30.00 NOs.
TM005 BLOOD COMPONENTS.- PHERESIS PLATELATES 200.00 50.00 NOs.
TM006 ABO AND Rh GROUPING 50.00 50.00 NOs.
TM007 CROSS MATCHING 25.00 25.00 NOs.
TM008 FEE FOR FIRST UNIT INCLUDING HOSPITAL 325.00 150.00
CHARGES NOs.
TM009 FEE FOR SUBSEQUENT UNITS INCLUDING LAB 275.00 100.00
CHARGES NOs.
TM010 COOMBS TEST - IMMUNOHAEMATOLOGY LAB 115.00 100.00
CHARGES NOs.
TM011 RH ANTIBODY TITRE -IMMUNOHAEMATOLOGY LAB 50.00 50.00
CHARGES NOs.
TM012 ABO ANTIBODY TITRE - IMMUNOHAEMATOLOGY LAB 50.00 50.00
CHARGES NOs.
TM013 GENO TYPING - IMMUNOHAEMATOLOGY LAB 100.00 100.00
CHARGES NOs.
UR UROLOGY
UR001 CHANGE OF URETHRAL CATHETER/ NEPHROSTOMY 50.00 50.00
TUBE/ URETHERAL CALIBRATION NOs.
UR002 CAVERNOSOMETRY AND CAVERNOSOGRAPHY 300.00 100.00 NOs.
UR003 CYSTOGRAM 150.00 100.00 NOs.
UR004 INTRAVESICAL INSTILLATION OF CHEMOTHERAPY/ 150.00 100.00
BCG NOs.
UR005 MCU + RGU 250.00 100.00 NOs.
UR006 NEPHROSTOGRAM 150.00 100.00 NOs.
UR007 PIPE TEST 150.00 100.00 NOs.
UR008 RETROGRADE/ANTEGRADE CONTRAST STUDY 150.00 100.00 NOs.
UR009 RGP (RETROGRADE URETEROPYELOGRAM) 300.00 100.00 NOs.
UR010 RGU/ MCU 100.00 100.00 NOs.
UR011 SINOGRAM/FISTULOGRAM 150.00 100.00 NOs.
UR012 URODYNAMIC STUDY 450.00 135.00 NOs.
UR013 VAS SEMINAL VESICULOGRAM 150.00 100.00 NOs.
UR014 BILATERAL SCROTAL ORCHIECTOMY UNDER LA 250.00 100.00 NOs.
UR015 CIRCUMCISION/MEATOPLASTY UNDER LA 250.00 100.00 NOs.
UR016 CLOT EVACUATION/BLADDER IRRIGATION-LA UN 250.00 100.00 NOs.
UR017 CYSTOSCOPY/CHECK CYSTOSCOPY UNDER LA 250.00 100.00 NOs.
UR018 ENDOSCOPIC REMOVAL OF URETERIC 250.00 100.00
STENT/BLADDER STONE/FOREIGN BODY NOs.
UR019 INCISION AND DRAINAGE OF ABSCESS UNDER LA 250.00 100.00 NOs.
UR020 OPEN SURGICAL BIOPSY OF PENILE LESION UNDER 250.00 100.00
LA NOs.
UR021 OPERATIONS FOR HYDROCELE UNDER LA 250.00 100.00 NOs.
UR022 REDUCATION OF PARAPHOMOSIS UNDER LA 250.00 100.00 NOs.
UR023 RETROGRADE URETERIC CATHETERISATION UNDER 250.00 100.00
LA NOs.
UR024 SECONDARY SUTURING OF WOUNDS UNDER LA 250.00 100.00 NOs.
UR025 TESTICULAR BIOPSY UNDER LA 250.00 100.00 NOs.
UR026 TROCAR CYSTOSTOMY UNDER LA 250.00 100.00 NOs.
UR027 TRUE CUT BIOPSY OF PROSTATE UNDER LA 250.00 100.00 NOs.
UR028 URETHERAL DILATATION UNDER LA 250.00 100.00 NOs.
UR029 CHECK CYSTOSCOPY/ FULGURATION OF BLADDER 1000.00 300.00
TUMOUR NOs.
UR030 CYSTOSCOPY AND BLADDER BIOPSY 1000.00 300.00 NOs.
UR031 DEROOFING OF EJACULATORY DUCT-GA 1000.00 300.00 NOs.
UR032 DEROOFING / INCISION OF URETEROCELE-GA 1000.00 300.00 NOs.
UR033 DETORS.&ORCHIOPEXY FOR TORSIONTESTIES-GA 1000.00 300.00 NOs.
UR034 ENDOSCOPIC INCISION OF BLADDER NECK-GA 1000.00 300.00 NOs.
UR035 ENDOSCOPIC RETRIEVAL OF BLADDER STONE-GA 1000.00 300.00 NOs.
UR036 EXAMINAT.UNDER ANAESTH.(EUA)FOR COMPLEX 1000.00 300.00
GENITO-URINARY FISTULA/ GENITAL ANOMALIES-GA NOs.
UR037 GENITO-URINARY FISTULA/ GENITAL.ANOMALIES-GA 1000.00 300.00 NOs.
UR038 EXCISION OF VESICO-CUTANEOUS FISTULA-GA 1000.00 300.00 NOs.
UR039 MEATOPLASTY-GA 1000.00 300.00 NOs.
UR040 OPERATION FOR PRIAPISM-GA 1000.00 300.00 NOs.
UR041 OPTICAL INTERNAL URETHROTOMY (OIU)/ CORE 1000.00 300.00
THROUGH OIC-GA NOs.
UR042 PALOMO'S OPERATION-GA 1000.00 300.00 NOs.
UR043 RELOOK PCNL-GA 1000.00 300.00 NOs.
UR044 RELOOK TUR-P-GA 1000.00 300.00 NOs.
UR045 REMOVAL OF FOREIGN BODIES AROUND PENIS 1000.00 300.00
(CONSTRICING METAL RINGS ETC)-GA NOs.
UR046 REPAIR OF URETHRAL FISTULA-GA 1000.00 300.00 NOs.
UR047 SUPRAPUBLIC CYSTOSTOMY/ CYSTOLITHOTOMY-GA 1000.00 300.00 NOs.
UR048 URETERIC STENTING-GA 1000.00 300.00 NOs.
UR049 VEA-(VASO-EPIDIDYMAL ANASTOMOSIS)/ VVA- 1000.00 300.00
(VASOVASAL ANASTOMOSIS) -GA NOs.
UR050 BILATER.INTERN. ILIAC ARTERY LIGATION 2000.00 1000.00 NOs.
UR051 CHORDEE CORRECTION FOR PENILE CHORDEE 2000.00 1000.00
WITH HYPOSPADIAS NOs.
UR052 DRAINAGE OF PERINEPHRIC ABSCESS 2000.00 1000.00 NOs.
UR053 END TO END TRANO-URETERO URETEROSTOMY/ 2000.00 1000.00
TRANS-URETERO-URETEROSTOMY
NOs.
UR054 ENDOSCOPIC RETRIEVAL/BASKETING OF URETERAL 2000.00 1000.00
STONE NOs.
UR055 EXCISION AND/DEROOFING OF RENAL CYST 2000.00 1000.00 NOs.
UR056 EXCISION OF ADRENAL CYST 2000.00 1000.00 NOs.
UR057 EXCISION OF SINUS/FISTULA IN FLANK REGION 2000.00 1000.00 NOs.
UR058 CYSTOLITHOTRIPSY 2000.00 1000.00 NOs.
UR059 HIGH INGUINAL ORCHIECTOMY 2000.00 1000.00 NOs.
UR060 ILEAL CONDUIT URINARY DIVERSION FOR BENIGN 2000.00 1000.00
DISEASE NOs.
UR061 IMPLANTATION OF PENILE PROSTHESIS 2000.00 1000.00 NOs.
UR062 LYMPHATIC DISCONNECTION OF KIDNEY FOR 2000.00 1000.00
CHYLURIA NOs.
UR063 NEPHRECTOMY FOR PYONEPHROSIS/ NON- 2000.00 1000.00
FUNCTIONING KIDNEY NOs.
UR064 NEPHROPEXY FOR MOBILE KIDNEY 2000.00 1000.00 NOs.
UR065 OPEN KIDNEY BIOPSY 2000.00 1000.00 NOs.
UR066 OPEN NEPHROSTOMY 2000.00 1000.00 NOs.
UR067 OPEN PROSTATECTOMY (RETROPUBIC/ 2000.00 1000.00
TRANSVESICAL) NOs.
UR068 OPERATIVE REPAIR OF BLADDER INJURY 2000.00 1000.00 NOs.
UR069 ORCHIOPEXY FOR UNDESCENDED TESTIS 2000.00 1000.00 NOs.
UR070 PARTIAL CYSTECTOMY/ENBLOCK CYTOTECTOMY 2000.00 1000.00
FOR URECHAL LESION NOs.
UR071 PARTIAL NEPHRECTOMY 2000.00 1000.00 NOs.
UR072 PARTIAL AMPUTATION OF PENIS 1000.00 300.00 NOs.
UR073 PCNL (PERCUTANEOUS NEPHROLITHOTRIPSY) 2000.00 1000.00 NOs.
UR074 PERINEAL ANASTOMOTIC URETHROPLASTY 2000.00 1000.00 NOs.
UR075 PYELOLITHOTOMY/ EXTENDED PYELOLITHOTOMY/ 2000.00 1000.00
NEPHROLITHOTOMY NOs.
UR076 PYELOPLASTY FOR UPJ OBSTRUCTION 2000.00 1000.00 NOs.
UR077 REPAIR OF HYPOSPADIAS 2000.00 1000.00 NOs.
UR078 REPAIR OF UNCOMPLICATED VVT/ UVF(UTERO- 2000.00 1000.00
VESICAL FISTULA) NOs.
UR079 STAGE-I URETHROPLASTY/ IInd STAGE 2000.00 1000.00
URETHROPLASTY/ PERINEAL URETHROSTOMY
NOs.
UR080 SURGERY FOR MALE URINARY INCONTINENCE 2000.00 1000.00 NOs.
UR081 SURGERY FOR STRESS URINARY INCONTINENCE IN 2000.00 1000.00
FEMALE NOs.
UR082 TUR BLADDER TUMOUR 2000.00 1000.00 NOs.
UR083 TUR PROSTATE/ BLADDER NECK 2000.00 1000.00 NOs.
UR084 URETERO-SIGMOIDOSTOMY 2000.00 1000.00 NOs.
UR085 URETEROLITHOTOMY/ URETEROLYSIS/ DAVIS 2000.00 1000.00
INTUBATED URETEROTOMY NOs.
UR086 URETHRECTOMY 2000.00 1000.00 NOs.
UR087 URS AND INTRACORPOREAL LITHOTRIPSY OF 2000.00 1000.00
URETERIC STONE NOs.
UR088 VAGINOPLASTY/GENITAL RECONSTRUCTION 2000.00 1000.00 NOs.
UR089 ANATROPHIC NEPHROLITHOTOMY 5000.00 2500.00 NOs.
UR090 AUGMENTATION CYSTOPLASTY 5000.00 2500.00 NOs.
UR091 BOARI FLAP URETEROPLASTY/ VESICO- 5000.00 2500.00
CALICOSTOMY/ VESICO-PYELOSTOMY NOs.
UR092 CONTINENT URINARY DIVERSION 5000.00 2500.00 NOs.
UR093 EXCISION OF LARGE RETROPERITONEAL TUMOUR 5000.00 2500.00 NOs.
UR094 EXCISION OF PHEOCHROMOCYTOMA/ ADRENAL 5000.00 2500.00
TUMOUR NOs.
UR095 ILEAL LOOP REPLACEMENT OF URETER 5000.00 2500.00 NOs.
UR096 INGUINAL BLOCK DISSECTION 5000.00 2500.00 NOs.
UR097 MICROSURGICAL VASO-EPIDIDYMAL ANASTOMOSIS 5000.00 2500.00
(VEA) VASO-VASAL ANASTOMOSIS (VVA) NOs.
UR098 PELVIC EXENTERATION 5000.00 2500.00 NOs.
UR099 RADICAL CYSTECTOMY WITH URINARY DIVERSION 5000.00 2500.00 NOs.
UR100 RADICAL NEPHRECTOMY/ RENAL PARENCHYMA 5000.00 2500.00
PRESERVATION PROCEDURE FOR KIDNEY TUMOUR/
NEPHRO-URETERECTOMY FOR TCC RENAL PELVIS NOs.
UR101 RADICAL PROSTATECTOMY 5000.00 2500.00 NOs.
UR102 REPAIR OF COMPLICATED VESICOVAGINAL FISTULA 5000.00 2500.00
(VVF)I.E. VVF WITH UVF AND LOSS OF BLADDER
NECK AND URETHRA AND RECTOVAGINAL FISTULA NOs.
UR103 REPAIR OF EXTROPHY OF BLADDER /BLADDER NECK 5000.00 2500.00
RECONSTRUCTION NOs.
UR104 REPAIR OF RECTOURETHRAL FISTULA 5000.00 2500.00 NOs.
UR105 RETROPERITONEAL LYMPH NODE DISSECTION 5000.00 2500.00
(RPLND) NOs.
UR106 TRANSPUBLIC URETHROPLASTY 5000.00 2500.00 NOs.
UR107 URETERO-CALICOSTOMY/ URETERO-PYELOSTOMY 5000.00 2500.00
FOR UPJ STRICTURE NOs.
UR108 URETEROLYSIS & OMENTAL WRAPING/ 5000.00 2500.00
INRAPERITONEALIZATION OF URETERS FOR
RETROPERITONEAL FIBROSIS NOs.
UR109 URETEROCYSTOSTOMY/ REPAIR OF URETERO- 5000.00 2500.00
VAGINAL FISTULA (UVF) NOs.
UR110 ABSCESS DRAINAGE UNDER G.A. 250.00 100.00 NOs.
UR111 ABSCESS INCISION AND DRAINAGE UNDER G.A. 250.00 100.00 NOs.
UR112 BIOPSY UNDER G.A. 250.00 100.00 NOs.
UR113 BRONCHOSCOPY 250.00 100.00 NOs.
UR114 ENDOSCOPY UNDER G.A. 500.00 150.00 NOs.
UR115 ENDO.(BRONCHO./ UPPER GI/ COLONO/ 250.00 100.00
LARYNGOSCOPY/ CYSTOSCOPY/
NASOPHARYNGOSCOPY NOs.
UR116 EXAMINATION UNDER G.A. 250.00 100.00 NOs.
UR117 PULMONARY FUNCTION TESTS 250.00 100.00 NOs.
UR118 STITCH REMOVAL UNDER G.A. 250.00 100.00 NOs.
UR119 TREATMENT IN INTENSIVE CARE AREAS(PER DAY 1000.00 300.00
OVER AND ABOVE PER DAY CHARGES)
NOs.
UR120 LITHOTRIPSY 9000.00 7000.00 NOs.
UR121 BILATERAL SCROTAL ORCHIECTOMY UNDER GA 1000.00 300.00 NOs.
UR122 CIRCUMCISION/ MEATOPLASTY UNDER GA 1000.00 300.00 NOs.
UR123 CLOT EVACUATION/ BLADDER IRRIGATION GA 1000.00 300.00 NOs.
UR124 CYSTESCOPY/ CHECK CYSTOSCOPY UNDER GA 1000.00 300.00 NOs.
UR125 INCISION & DRAINAGE OF ABSCESS UNDER GA 1000.00 300.00 NOs.
UR126 OPEN SURGICAL BIOPSY OF PENILE LESION GA 1000.00 300.00 NOs.
UR127 OPERATIONS FOR HYDROCELE UNDER GA 1000.00 300.00 NOs.
UR128 REDUCTION OF PARAPHIMOSIS UNDER GA 1000.00 300.00 NOs.
UR129 RETROGRADE URETERIC CATHETERISATION GA 1000.00 300.00 NOs.
UR130 SECONDARY SUTRUING OF WOUNDS UNDER GA 1000.00 300.00 NOs.
UR131 TESTICULAR BIOPSY UNDER GA 1000.00 300.00 NOs.
UR132 TROCAR CYSTOSTOMY UNDER GA 1000.00 300.00 NOs.
UR133 TRUE CUT BIOPSY OF PROSTATE UNDER GA 1000.00 300.00 NOs.
UR134 URETHRAL DILATATION UNDER GA 1000.00 300.00 NOs.
UR135 TOTAL AMPUTATION OF PENIS 2000.00 1000.00 NOs.
UR136 UROFLOWMETRY 150.00 100.00 NOs.
UR137 CAPD CATHETER INSERTION 500.00 150.00 NOs.
UR138 URODYNAMIC STUDY INCLUDING PRESSURE FLOW 150.00 100.00
ANALYSIS NOs.
VR VIROLOGY
VR001 ADENO VIRUS ANTIGEN DETECTION 1000.00 300.00 NOs.
VR002 CMV IgM 150.00 100.00 NOs.
VR003 RUBELLA IgM 150.00 100.00 NOs.
VR004 HSV 1 IgM 225.00 150.00 NOs.
VR005 HSV 2 IgM 225.00 150.00 NOs.
VR006 VZV IgM 150.00 100.00 NOs.
VR007 MEASLES IgM 225.00 150.00 NOs.
VR008 DENGUE IgM 450.00 300.00 NOs.
VR009 DENGUE IgG 325.00 250.00 NOs.
VR010 JEIgM 475.00 350.00 NOs.
VR011 PARVOVIRUS B19 IgM 450.00 300.00 NOs.
VR012 EBV VCA IgM 225.00 150.00 NOs.
VR013 ROTA VIRUS ANTIGEN 300.00 200.00 NOs.
VR014 HSV ANTIBODY IF 150.00 100.00 NOs.
VR015 HSV 1 ANTIGEN 325.00 250.00 NOs.
VR016 HSV 2 ANTIGEN 325.00 250.00 NOs.
VR017 VZV ANTIGEN 325.00 250.00 NOs.
VR018 RSV ANTIGEN 325.00 250.00 NOs.
VR019 CMV PP 65 ANTIGEN 325.00 250.00 NOs.
VR020 PAUL BUNNEL TEST 150.00 100.00 NOs.
VR021 RABIES ANTIGEN TEST 75.00 50.00 NOs.
VR022 HAV IgM 300.00 150.00 NOs.
VR023 ANTI Hbs/IgG 300.00 150.00 NOs.
VR024 HBeAg 300.00 150.00 NOs.
VR025 ANTI Hbe 300.00 150.00 NOs.
VR026 ANTI HCV 200.00 100.00 NOs.
VR027 HbsAg 100.00 50.00 NOs.
VR028 IgM ANTI HbC 300.00 150.00 NOs.
VR029 TOTAL ANTI HbC 300.00 150.00 NOs.
VR030 HEV IgM 300.00 150.00 NOs.
VR031 HEV-RT PCR 2000.00 1000.00 NOs.
VR032 HBV VIRAL LOAD 4000.00 2000.00 NOs.
VR033 HCV VIRAL LOAD 4000.00 2000.00 NOs.
VR034 HCV GENOTYPING 4000.00 2000.00 NOs.
VR035 HSV- DNA PCR 1200.00 600.00 NOs.
VR036 CMV- DNA PCR 1200.00 600.00 NOs.
VR037 JE-RT PCR 2000.00 1000.00 NOs.
VR038 DENGUE-NS1 ANTIGEN 600.00 300.00 NOs.
VR039 CMV VIRAL LOAD 4000.00 2000.00 NOs.
VR040 SERUM ANTI HAV IgG ELISA 300.00 150.00 NOs.
XR RADIODIGNOSIS
XR001 AORTOGRAPHY/DIGITAL SUBSTRACTION 1000.00 300.00
ANGIOGRAPHY NOs.
XR003 BARIUM ENEMA 250.00 100.00 NOs.
XR004 BARIUM MEAL 250.00 100.00 NOs.
XR005 BARIUM SWALLOW 250.00 100.00 NOs.
XR006 BRONCHOGRAPHY 500.00 150.00 NOs.
XR008 COLOGRAM 250.00 100.00 NOs.
XR009 CT BODY (SPINE/CHEST/ABDOMEN) 2250.00 1125.00 NOs.
XR010 CT GUIDED PROCEDURES 1500.00 750.00 NOs.
XR011 CT HEAD (PLAIN & CONTRAST) 2000.00 1000.00 NOs.
XR012 CT MYELOGRAPHY/ MYELO C.T. 2000.00 1000.00 NOs.
XR014 CT- HEAD (PLAIN) 1000.00 300.00 NOs.
XR015 CT HEAD (CONTRAST) 1000.00 300.00 NOs.
XR016 ERCP (ENDOSCOPIC RETROGRADE 500.00 150.00
CHOLANGIOPANCREATOGRAPHY) NOs.
XR017 FISTULOGRAPHY 200.00 100.00 NOs.
XR018 FLUOROSCOPY 50.00 50.00 NOs.
XR019 FLUOROSCOPY INTERVENTIONAL GUIDED 500.00 150.00
PROCEDURE NOs.
XR020 GASTROGRAPHIN MEAL 250.00 100.00 NOs.
XR021 GASTROGRAPHINE SWALLOW 250.00 100.00 NOs.
XR022 HEPATOGRAPHY 500.00 150.00 NOs.
XR023 HYSTEROSALPHINGOGRAPHY (HSG) 450.00 135.00 NOs.
XR024 INFERIOR VENOCAVOGRAPHY 1000.00 300.00 NOs.
XR025 INTRAVENOUS PYELOGRAPHY (IVP) 450.00 135.00 NOs.
XR026 MAMMOGRAPHY 250.00 100.00 NOs.
XR027 MCU + RGU 250.00 100.00 NOs.
XR028 MICTURATING CYSTOURETHROGRAPHY (MCU) 100.00 100.00 NOs.
XR030 MYELOGRAPHY CT/ MYELO CT 1000.00 300.00 NOs.
XR031 NEPHROSTOGRAM 250.00 100.00 NOs.
XR032 O.T.PROCEDURES (PER FILM) 25.00 25.00 NOs.
XR034 PTC (PERCUTANEOUS TRANSHEPATIC 500.00 150.00
CHOLANGIOGRAPHY) NOs.
XR035 RGU (RETROGRADE URETHROGRAPHY) 100.00 100.00 NOs.
XR036 S.P.V. (SPLENOPORTOVENOGRAPHY) 500.00 150.00 NOs.
XR037 SHUNTOGRAM 500.00 150.00 NOs.
XR038 SIALOGRAPHY 250.00 100.00 NOs.
XR039 SINOGRAM 250.00 100.00 NOs.
XR040 T.T.C. (T-TUBE CHOLANGIOGRAPHY) 250.00 100.00 NOs.
XR041 TOMOGRAPHY 500.00 150.00 NOs.
XR042 ULTRASONOGRAPHY 250.00 100.00 NOs.
XR043 ULTRASOUND GUIDED PROCEDURES, BIOPSY, FNAC, 500.00 150.00
DRAINAGE ETC. NOs.
XR044 VASCULAR INTERVENTIONAL PROCEDURES 2000.00 1000.00 NOs.
XR045 VENOGRAPHY PERIPHERAL 450.00 135.00 NOs.
XR046 ABDOMEN (PER FILM) 25.00 25.00 NOs.
XR047 CHEST (PER FILM) 25.00 25.00 NOs.
XR048 PNS (PER FILM) 25.00 25.00 NOs.
XR049 SKELETON (PER FILM) 25.00 25.00 NOs.
XR050 SKULL (PER FILM) 25.00 25.00 NOs.
XR051 SPINE (PER FILM) 25.00 25.00 NOs.
XR052 TOOTH - SINGLE 25.00 25.00 NOs.
XR053 TOOTH PANORAX 250.00 100.00 NOs.
XR054 COLOUR DOPPLER 500.00 200.00 NOs.
XR055 SCANOGRAM 100.00 100.00 NOs.
XR056 DIGITAL X-RAY 100.00 100.00 NOs.
XR057 QCT BONE DENSITOMETRY-DEXA- CT PROCEDURE 300.00 300.00 NOs.
XR058 MRI (SINGLE REGION) 4500.00 2500.00 NOs.
XR059 CT FOR STONE DENSITY 300.00 100.00 NOs.
XR060 CT FOR SOFT TISSUE THICKNESS 300.00 100.00 NOs.
XR061 DIGITAL RADIOGRAPHY,PER(SPOT OR VIEW) -MRI 50.00 25.00
PROCEDURE NOs.
XR062 DEXA SCAN FOR BONE DENSITOMETRY- MRI 450.00 300.00
PROCEDURE NOs.

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HOSPITAL CHARGES

EXPHEAD EXPNAME PVT GEN UNIT

BH003 ABSOLUTE EOSINOPHIL COUNT/ AEC 50.00 50.00 NOs.

MT MICRO TECH. BIOTECHNOLOGY LAB. (PAED.)

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