6 38214/2020/ESTT-NE_HRSarvodaya Hospital & Research Centre SOC 2018 - 19

Sno. Department Number of Services 1 Administration 3 2 Audiology 9 3 Blood Bank 10 4 Cardiology 45 5 CTVS 57 6 Dental 163 7 Dermatology 20 8 Diabetci Lab 4 9 ENT 163 10 Gastroentrology 46 11 General Procedure 39 12 General Surgery 226 13 Interventional Radiology 31 14 Laboratory 898 15 Medical Procedure 23 16 Neonatology 15 17 Nephrology 28 18 Neuro Surgery 165 19 Neurology 27 20 Obstetrics & Gynae 110 21 Surgical Oncology 154 22 Medical Oncology 27 23 Radiation Oncology 56 24 Nuclear Medicine 35 25 Opthalmology 108 26 Orthopaedics 278 27 Pain Clinic 14 28 Physiotheraphy 54 29 Plastic Surgery 443 30 Pulmonology 38 31 Radiology 519 32 Urology 219 33 Vaccination 34

Billing Cycle & Policy 1. Room Charge will be charge according to check out time will be 12 Noon. 2. Grace Period will be 2 Hours fof Discharging Patient. 7 3. Patient Bed Transfer - The higher bed category of the bed transfer day will be charged 38214/2020/ESTT-NE_HR4. Post surgery change of bed category - If patient change the bed category from lower to higher after the surgery, then the complete surgery/procedure charges will be applicable as per the higher category.

5. If two or more Surgeries are Performed at same timeon the same area, Then the Frist Surgery will be Charge 100% & Second will Be Charge 60% & Then 50% will be charged for the Third and subsequent surgery (lower charged). 6. All unplanned and emergency surgeries performed from 8 PM to 8 AM Or Any Pubic Holiday shall be charged 25% additional emergency charges on corresponding rates. 7. Day care room charges will be Rs. 1500 applicable up to 8 hours and if stay exceeds more than 8 hours then Full Day Room rent will be charged as per opted room category. 8. If The Patient is in MICU/SICU, Two Visits for the Admitting Doctor as per bed Category and One visit Rs 750 for Intensive Care Team Per day will be charged.

9. Emergency Timing will be 8 PM to 8 AM or Any Public Holiday. 10. If any Surgery Procedure done between Emergency Timing then 25% Extra will be Charge (Normal Procedure Charge + 25% Extra). 11. Emergency Consultation will be charge 100% Extra Charges ( Normal Charges + 100% Extra).

Room Tariff Visit Charges Emergency Visit Charges Ward Bed Charge Super Specialist Specialist Super Specialist Specialist General Ward 2700 550 600 1100 1200 Semi Private 4100 650 700 1300 1400 Single Room 6800 700 800 1400 1600 Suite Room 9600 750 800 1500 1600 Presidential Suite 15000 800 900 1600 1800 HDU 4500 650 700 1300 1400 Labour Delivery Room 5500 650 700 1300 1400 PICU 5500 750 800 1500 1600 NICU 5900 750 800 1500 1600 MICU/ CCU 8350 750 800 1500 1600 SICU /CTVS 8350 750 800 1500 1600 Day Care 1500 400 450 800 900

Minimum Advance at The Time Of Admission Sno. Bed Category Advance 1 ICU 30000 2 General Ward 10000 3 Semi Private 15000 4 Single Room 20000 5 Suite Room 25000 6 Elective Surgery 100% of the Estimate / Package rate

Administration Charges Service General Twin Single Suite Department Service Name OPD Code Ward Sharing Room Room Administration RC001 File Charges 300 300 300 300 300 Administration RC002 Diet Consultation 300 300 300 300 300 Administration RC003 MLC Charges 1300 1300 1300 1300 1300 Administration RC004 Medical Supervision 350 350 350 350 350 Audiology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Audiology AD002 Pure Tone Audiometry ( PTA ) 1058 1058 1219 1380 1541 Audiology AD003 Otoaoustic Emissions (OAE) 1610 1610 1852 2093 2335 Audiology AD004 Speech Therapy (Assessment) 679 679 782 886 989 Audiology AD005 Hearing - Aid Trail 495 495 575 644 725 Audiology AD006 Cochlear Implant - Pre Op Evaluation 8050 8050 9258 10465 11673 Audiology AD007 Neonatal ABR 3163 3163 3646 4117 4589 Audiology AD008 Speech Therapy (Procedure Charges Of 1 Sessions) 3393 3393 3910 4416 4922 Audiology AD009 Speech Therapy Per Session Of 30-40Minutes 633 633 736 828 920 IP Packages Service Length Of Stay Twin Single Suite Department Service Name General Ward Code ICU Ward Sharing Room Room Audiology AD001 Cochlear Implant - Surgery 0 2 73025 84065 94990 105915 Package Includes:- Room Rent as specified , Basic Investigation, Professional Fees of Treating consultant, Ot Charges , Anesthesia Charges & Routine Drugs & consumables. Package excludes:- Extra Stay, Cross consultation, Other Procedure, Professional Fee of other consultant & Cost of Implant.

Basic Investigations Include:- CBC, Lft, Kft, Blood Sugar , Chest X - Ray, ECG, HIV, PT, APTT, Hbsag, Hcv, Viral Marker. 8 Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling 38214/2020/ESTT-NE_HR Blood Bank Services Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Blood Bank BD001 Whole Blood Processing Charges 1500 1500 1500 1500 1500 Blood Bank BD002 Packed Red Blood Cells (PRBC) Processing Charges 1500 1500 1500 1500 1500 Blood Bank BD003 Leukodepleted PRBC Processing Charges 2500 2500 2500 2500 2500 Blood Bank BD004 FFP (Fresh Frozen Plasma) Processing Charges 400 400 400 400 400 Blood Bank BD005 PLC (Platelet Concentrate) Processing Charges 400 400 400 400 400 Blood Bank BD006 Platelet Apheresis (SDPC) Processing Charges 11000 11000 11000 11000 11000 Blood Bank BD007 Blood Letting 700 700 700 700 700 Blood Bank BD008 Donor Grouping 130 130 130 130 130 Blood Bank BD009 Rapid Screening 1100 1100 1100 1100 1100 Blood Bank BD010 Cross Matching 621 621 725 817 909 CARDIOLOGY Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Cardiology CD030 Pericardial Tapping 12650 14605 16445 18400 Cardiology CD032 Visipaque Charges extra 1725 1725 2070 2300 2530 Cardiology CD033 2D ECHO 2691 2691 3105 3508 3910 Cardiology CD034 2D ECHO for LV function 1610 1610 1852 2093 2335 Cardiology CD035 Neonatal ECHO 3738 3738 4301 4865 5428 Cardiology CD036 Peadiatric ECHO By Consultant In Opd 4025 4025 4635 5233 5842 Cardiology CD037 ECHO Portable 3623 3623 4175 4715 5256 Cardiology CD038 Stress ECHO With TMT 3680 3680 4232 4784 5336 Cardiology CD039 Dobutamine Stress ECHO (DSE) 4485 4485 5164 5831 6509 Cardiology CD040 Trans Oesophagous ECHO Cardiography (TEE) 4485 4485 5164 5831 6509 Cardiology CD041 ECG 345 345 403 449 506 Cardiology CD042 Holter Monitor 24 Hour 2691 2691 3105 3508 3910 Cardiology CD043 Holter Monitor 48 Hour 4485 4485 5164 5831 6509 Cardiology CD044 Ambulatory BP 2530 2530 2910 3289 3669 Cardiology CD045 TMT 2300 2300 2645 2990 3335 IP Packages Length Of Stay General Twin Single Suite Department Item Code Service Name ICU Ward Ward Sharing Room Room Cardiology CD001 Day Care Coronary Angiography 0 Day Care 11500

Cardiology CD002 Coronary Angiography 0 1 14950 17250 19435 21735 Cardiology CD003 Check Angiography 0 1 11500 13225 14950 16675 Cardiology CD004 Angiography Renal 0 1 14950 17250 19435 21735 Cardiology CD005 Angiography Carotid/Peripheral 0 1 14950 17250 19435 21735 Cardiology CD006 Digital Substraction Angiography ( DSA ) 0 1 27025 31165 35190 39215 Cardiology CD007 Coronary Angiography With Coronary Angioplasty 1 2 149500 171925 194350 216775 Cardiology CD008 Coronary Angioplasty 1 2 149500 171925 194350 216775 Cardiology CD009 Second Stage Angioplasty 1 1 69000 79350 89700 100050 Cardiology CD010 POBA (Baloon Angioplasty) 1 1 149500 171925 194350 216775 Cardiology CD011 Angioplasty Peripheral 1 1 143750 165370 186875 208495 Cardiology CD012 Angioplasty Carotid 1 2 115000 132250 149500 166750 Cardiology CD013 Angioplasty Renal 1 1 115000 132250 149500 166750 Cardiology CD014 Coronary Angiography With FFR 0 1 40250 46345 52325 58420 Cardiology CD015 Fractional Flow Rate Study (FFR) 0 1 28750 33120 37375 41745 Cardiology CD016 PTCA With Rotabilation 1 2 212750 244720 276575 308545 Cardiology CD017 Complex PTCA/ Multi Vessel PTCA 1 2 184000 211600 239200 266800 Cardiology CD018 Pacemaker - Single Chamber 1 1 57500 66125 74750 83375 Cardiology CD019 Pacemaker - Double Chamber 1 1 80500 92575 104650 116725 Cardiology CD020 AICD - Single Chamber 1 1 69000 79350 89700 100050 Cardiology CD021 AICD - Double Chamber 1 1 88550 101890 115115 128455 Cardiology CD022 Combo Device CRT -D 1 1 103500 119025 134550 150075 Cardiology CD023 CRT -P 1 1 92000 105800 119600 133400 Cardiology CD024 EPS (Diagnostic) 0 1 34500 39675 44850 50025 Cardiology CD025 EPS with RFA (2D) 1 1 92000 105800 119600 133400 Cardiology CD026 EPS with RFA (3D) 1 1 115000 132250 149500 166750 Cardiology CD027 Device Closar (ASD/VSD/PDA) 0 1 115000 132250 149500 166750 Cardiology CD028 BMV 0 1 115000 132250 149500 166750 Cardiology CD029 IVC Filter 0 1 59455 68425 77395 86250 Cardiology CD031 Temporary Pacemaker Implantation (TPI) 0 1 34500 39675 44850 50025 Package Includes:- Room rent as specified, cath lab charges, Professional fees of cardiologist, basic Investigations , disposables in Cath Lab and Non Ionic Dye , Cost of Aggramed & cost of medicine & consumables. 9 Package excludes:- Stent Cost , implant cost, Gp IIb/ IIIa inhibitor, Other devices like Rota & Atherectomy equipment , additional stay, Professional charges of other 38214/2020/ESTT-NE_HRconsultants, any additional procedure/investigation and consumables. Basic Investigations Include :- CBC, Lft, Kft, Blood Sugar , Chest X - Ray, ECG, HIV, PT, APTT, Hbsag, Hcv, Echo

Only One Ecg , One Chest X - Ray & Only One Blood Sugar is Part of Package for CD001 to CD006. Echo is not part of Package for the same. Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling Cardio Thoracic Vascular Surgery Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room CTVS CT020 Peripheral Vascular Procedure 1 34500 39675 44850 50025 CTVS CT021 Peripheral Vascular Procedure 2 57500 66125 74750 83375 CTVS CT022 Peripheral Vascular Procedure 3 74750 86020 97175 108445 CTVS CT023 Peripheral By Pass Surgery 57500 66125 74750 83375 CTVS CT024 Femoro Femoral By Pass 57500 66125 74750 83375 CTVS CT025 Aorto-Bifemoral Bypass / Iliac Bypass 74750 86020 97175 108445 CTVS CT026 Embolectomy 57500 66125 74750 83375 CTVS CT027 Vascular Repair 51750 59570 67275 75095 CTVS CT028 Axillo Femoral Bypass 74750 86020 97175 108445 CTVS CT029 AV Grafing 28750 33120 37375 41745 CTVS CT030 Endovascular Aneurysm Repair Evar 103500 119025 134550 150075 CTVS CT031 Varicose Vein (One Leg) 31050 35765 40365 45080 CTVS CT032 Vericose Vein Surgery Both Legs 46000 52900 59800 66700 CTVS CT033 Abdominal Vascular Injuries-Arota Illiac Arteries, Lvc, Illiac Veins 80500 92575 104650 116725 CTVS CT034 IV Thrombolysis 11500 13225 14950 16675 CTVS CT035 IVC Repair 80500 92575 104650 116725 CTVS CT036 Medium Arterial Aneurysms Repair 69000 79350 89700 100050 CTVS CT037 Redo Embolectomy Unilateral 69000 79350 89700 100050 CTVS CT038 Embolectomy Bilateral 86250 99245 112125 125120 CTVS CT039 Embolisation 46000 52900 59800 66700 CTVS CT040 Excision Of AVM Large 57500 66125 74750 83375 CTVS CT041 Intra Vascular Catheter Thrombolysis 46000 52900 59800 66700 CTVS CT042 Carotid Endarterectomy / Carotid Body Tumour 69000 79350 89700 100050 CTVS CT043 Redo Embolectomy Bilateral 97750 112470 127075 141795 CTVS CT044 Vein Patch Repair 57500 66125 74750 83375 CTVS CT045 Small Arterial Aneurysms- Repair 51750 59570 67275 75095 CTVS CT046 IVC Filter Retrieval 23000 26450 29900 33350 CTVS CT047 Re Exploration For Bleeding 17250 19895 22425 25070 CTVS CT048 Excision Of Arteo Venous Malformation Small 40250 46345 52325 58420 CTVS CT049 Sternotomy With Exploration Bleeding Control 115000 132250 149500 166750 CTVS CT050 Rib Excision Unilateral 17250 19895 22425 25070 CTVS CT051 Thoracotomy 63250 72795 82225 91770 CTVS CT052 Decortication 63250 72795 82225 91770 CTVS CT053 Excision Cervical Rib 69000 79350 89700 100050 CTVS CT054 False Aneurysm Repair / Peripheral Endarterectomy 63250 72795 82225 91770 CTVS CT055 Vats Empyema Drainage & Decortications 63250 72795 82225 91770 CTVS CT056 Mediastinal Mass Biopsy 57500 66125 74750 83375 CTVS CT057 Rib Excision Bilateral 40250 46345 52325 58420 IP Packages Service LOS General Twin Single Suite Department Service Name Code ICU Ward Ward Sharing Room Room CTVS CT001 CABG (Coronary Artery By Pass Grafting) 4 4 207000 238050 269100 300150 CTVS CT002 Mitral / Aortic Valve Replacement 4 4 207000 238050 269100 300150 CTVS CT003 AVR / MVR + CABG 4 4 253000 290950 328900 366850 CTVS CT004 Double Valve Replacement (DVR) 4 4 230000 264500 299000 333500 CTVS CT005 MV Repair / AV Repair 4 4 207000 238050 269100 300150 CTVS CT006 ASD La Myxoma 4 4 172500 198375 224250 250125 CTVS CT007 L-V Aneurysmorhyphy 4 4 253000 290950 328900 366850 CTVS CT008 Post MI VSD Closure + - CABG 4 4 264500 304175 343850 383525 CTVS CT009 TOF/TAPVC/REV/RSOV Repair 4 4 218500 251275 284050 316825 CTVS CT010 TOF + ICR 4 4 218500 251275 284050 316825 CTVS CT011 Redo Cardiac Surgery 4 4 258750 297620 336375 375245 CTVS CT012 Cabroll - Bentall / Aortic Dissections 4 4 276000 317400 358800 400200 CTVS CT013 Closed Heart Surgery 4 4 115000 132250 149500 166750 CTVS CT014 Open Abdominal Aneurysm Repair 4 4 184000 211600 239200 266800 CTVS CT015 Total Thymectomy/Mediastianal Mass Excision 4 4 230000 264500 299000 333500 CTVS CT016 Aortic Arch Replacement/Descending Thoracic Aorta/Thoraco 4 Abdominal Aneurysm Repair 4 276000 317400 358800 400200 10 CTVS CT017 Ascending Aorta Replacement 4 4 258750 297620 336375 375245 38214/2020/ESTT-NE_HRCTVS CT018 CABG + Carotid Endarterectomy 4 4 253000 290950 328900 366850 CTVS CT019 IABP Charges 69000 79350 89700 100050 Package Includes:- room rent as specified ( 5 Days Icu + 4 Days Ward ), Cardiac surgeon and cardiologist fee ,OT, OT gases, Anesthesia, Surgeon , basic Investigations , Medical & Surgical consumables used intra-operatively & during the stay of the patient, except as defined under exclusion list even during the 9 days of procedure. Ventilation during the stay in OTR/ICU for number of days specified under procedure. ABG up to 15. Package excludes:- Additional stay, Professional charges of other consultants, any additional procedure/investigation and Use of special drugs/ consumables,Any such treatment for a disease/condition which is not related to the intended procedure will not be the part of procedure cost even during the duration of procedure . Blood Transfusion ( Blood to be donated by patients relatives ) . Cost of cell saver & Swan Ganz catheter, Human Albumin, Cost of valves or any other graft/implants additional. Cost of High Antibiotics & Albumin. Basic Investigation Includes :- APTT , Blood Sugar, CBC, Chest X - Ray, Kidney Function Test, Liver Function Test, Prothrombin Time (PT) With INR, Echo ( Pre & Post ), Troponin T, ABG, Colour Doppler (Carotid + Venous + Peripheral ), Serum Electrolyte, Complete Urine Examination, HbA1c (Glycosylated Hb), ASO, CRP, USG Abdomen, Viral Marker, ECG, HBSAG, HCV, HIV, CPK & CPK - MB), Hemoglobin, T3, T4, TSH Only.

Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling Dental Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Dental DN001 Filling 1725 1725 1990 2243 2507 Dental DN002 Filling Grade 3 1380 1380 1587 1794 2001 Dental DN003 Cast Partial Denture Additional Tooth 1150 1150 1323 1495 1668 Dental DN004 Filling Grade 2 1150 1150 1323 1495 1668 Dental DN005 Bridge Repair 920 920 1058 1196 1334 Dental DN006 Crown Repair 920 920 1058 1196 1334 Dental DN007 Filling Grade 1 920 920 1058 1196 1334 Dental DN008 Implant Grade 3 51749 51749 59513 67275 75038 Dental DN009 Implant Grade Ii 46000 46000 52900 59800 66700 Dental DN010 Implant Grade I 34500 34500 39675 44850 50025 Dental DN011 3 Unit Bridge 17250 17250 19838 22425 25013 Dental DN012 Crown Metal Free Grade 3 17250 17250 19838 22425 25013 Dental DN013 Apicoectomy Grade 2 16100 16100 18515 20930 23345 Dental DN014 Crown Metal Free Grade 2 13800 13800 15870 17940 20010 Dental DN015 Apicoectomy Grade 1 11500 11500 13225 14950 16675 Dental DN016 Cast Partial Denture Base 11500 11500 13225 14950 16675 Dental DN017 Bone Graft Grade 2 11500 11500 13225 14950 16675 Dental DN018 Crown Metal Free Grade 1 11500 11500 13225 14950 16675 Dental DN019 Curettage Full Mouth 11500 11500 13225 14950 16675 Dental DN020 Bleaching Chairside 9200 9200 10580 11960 13340 Dental DN021 Veneer All Ceramic 9200 9200 10580 11960 13340 Dental DN022 Bone Augmentation/Expansion 8050 8050 9258 10465 11673 Dental DN023 Bone Graft Grade 1 8050 8050 9258 10465 11673 Dental DN024 Curettage Single Arch 8050 8050 9258 10465 11673 Dental DN025 Apicoectomy Multiple Teeth / Per Tooth 7475 7475 8602 9718 10845 Dental DN026 Implant Crown 6900 6900 7935 8970 10005 Dental DN027 Root Canal Treatment Major 6900 6900 7935 8970 10005 Dental DN028 Veneer Ceramic 6900 6900 7935 8970 10005 Dental DN029 Bleaching Home 5750 5750 6613 7475 8338 Dental DN030 Crown Porcelain Grade 2 Laser Pfm 5750 5750 6613 7475 8338 Dental DN031 Re RCT Grade 3 5750 5750 6613 7475 8338 Dental DN032 Curettage Quadrant 4600 4600 5290 5980 6670 Dental DN033 Pulpotomy Major 4600 4600 5290 5980 6670 Dental DN034 RCT Grade 2 4600 4600 5290 5980 6670 Dental DN035 Zirconia Abutment 4600 4600 5290 5980 6670 Dental DN036 Apicoectomy Single Tooth 4025 4025 4635 5233 5842 Dental DN037 Crown Porcelain Grade 1 4025 4025 4635 5233 5842 Dental DN038 Apexogenesis 3450 3450 3968 4485 5003 Dental DN039 Pulpectomy Grade 2 3450 3450 3968 4485 5003 Dental DN040 RCT Grade 1 3450 3450 3968 4485 5003 Dental DN041 Apexification 2875 2875 3312 3738 4175 Dental DN042 Crown Metal 2875 2875 3312 3738 4175 Dental DN043 Crown With Facing Porcelain 2875 2875 3312 3738 4175 Dental DN044 Veneer Composite Grade 2 2875 2875 3312 3738 4175 Dental DN045 Bleaching Non Vital 2300 2300 2645 2990 3335 Dental DN046 Pulpectomy 2300 2300 2645 2990 3335 Dental DN047 Pulpotomy 2300 2300 2645 2990 3335 Dental DN048 Veneer Composite Grade 1 2300 2300 2645 2990 3335 Dental DN049 Abscess Drainage Per Tooth 575 575 667 748 840 Dental DN050 Crown Recementation 575 575 667 748 840 Dental DN051 Ceramic Braces Grade 1 41400 41400 47610 53820 60030 Dental DN052 Ceramic Braces Grade 2 46000 46000 52900 59800 66700 Dental DN053 Ceramic Braces Grade 3 50599 50599 58190 65780 73370 11 Dental DN054 Ceramic Braces Single Arch 25300 25300 29095 32890 36685 38214/2020/ESTT-NE_HRDental DN055 Cleft Palate 43700 43700 50255 56810 63365 Dental DN056 Core Filling 920 920 1058 1196 1334 Dental DN057 Metal Braces Grade 1 34500 34500 39675 44850 50025 Dental DN058 Metal Braces Grade 2 39100 39100 44965 50830 56695 Dental DN059 Metal Braces Grade 3 43700 43700 50255 56810 63365 Dental DN060 Metal Braces Self Ligating 57499 57499 66125 74750 83375 Dental DN061 Metal Braces Single Arch 23000 23000 26450 29900 33350 Dental DN062 Lingual Braces Grade I 92000 92000 105800 119600 133400 Dental DN063 Lingual Braces Grade Ii 115000 115000 132250 149500 166750 Dental DN064 Lingual Braces Single Arch 51749 51749 59513 67275 75038 Dental DN065 Minor Procedure Dental 3 4600 4600 5290 5980 6670 Dental DN066 Minor Procedure Dental 4 6900 6900 7935 8970 10005 Dental DN067 Minor Surgical Procedures Grade 1 3450 3450 3968 4485 5003 Dental DN068 Minor Surgical Procedures Grade 2 5750 5750 6613 7475 8338 Dental DN069 Minor Surgical Procedures Grade 3 6900 6900 7935 8970 10005 Dental DN070 Surgical Extraction Grade 1 4025 4025 4635 5233 5842 Dental DN071 Surgical Extraction Grade 2 5175 5175 5957 6728 7510 Dental DN072 Surgical Extraction Grade 3 5750 5750 6613 7475 8338 Dental DN073 Surgical Impaction Grade 1 IPD 9200 9200 10580 11960 13340 Dental DN074 Surgical Impaction Grade 2 IPD 13800 13800 15870 17940 20010 Dental DN075 Surgical Impaction Grade 3 IPD 18400 18400 21160 23920 26680 Dental DN076 TMJ Procedure 69000 69000 79350 89700 100050 Dental DN077 Tooth Reimplantation 6900 6900 7935 8970 10005 Dental DN078 Two Stage Implant 40250 40250 46288 52325 58363 Dental DN079 Extraction Grade 1 460 460 529 598 667 Dental DN080 Extraction Grade 2 920 920 1058 1196 1334 Dental DN081 Extraction Grade 3 1380 1380 1587 1794 2001 Dental DN082 Cyst Removal Grade 1 7475 7475 8602 9718 10845 Dental DN083 Cyst Removal Grade 1 13800 13800 15870 17940 20010 Dental DN084 Cyst Removal Grade 2 9200 9200 10580 11960 13340 Dental DN085 Cyst Removal Grade 2 18400 18400 21160 23920 26680 Dental DN086 Denture (U/L) Grade 1 13800 13800 15870 17940 20010 Dental DN087 Denture (U/L) Grade 2 17250 17250 19838 22425 25013 Dental DN088 Denture (U/L) Grade 3 23000 23000 26450 29900 33350 Dental DN089 Denture Repair 575 575 667 748 840 Dental DN090 Denture Repair +Reline 1725 1725 1990 2243 2507 Dental DN091 Denture Single Grade 1 5750 5750 6613 7475 8338 Dental DN092 Denture Single Grade 2 6900 6900 7935 8970 10005 Dental DN093 Depigmentation 4025 4025 4635 5233 5842 Dental DN094 Desensitizing Full Mouth 2875 2875 3312 3738 4175 Dental DN095 Desensitizing Per Quadrant 920 920 1058 1196 1334 Dental DN096 Desensitizing Per Tooth 345 345 403 449 506 Dental DN097 Direct Sinus Lift Grade 1 13800 13800 15870 17940 20010 Dental DN098 Direct Sinus Lift Grade 2 23000 23000 26450 29900 33350 Dental DN099 Direct Sinus Lift Grade 3 28750 28750 33063 37375 41688 Dental DN100 Flap Surgery Grade 1 4025 4025 4635 5233 5842 Dental DN101 Flap Surgery Grade 2 5175 5175 5957 6728 7510 Dental DN102 Flexible Denture Additional Tooth 690 690 794 897 1001 Dental DN103 Flexible Denture Base 6900 6900 7935 8970 10005 Dental DN104 Fluoride Therapy Arch 2300 2300 2645 2990 3335 Dental DN105 Fluoride Therapy Per Tooth 345 345 403 449 506 Dental DN106 Fracture Reduction Grade 1 13800 13800 15870 17940 20010 Dental DN107 Fracture Reduction Grade 2 17250 17250 19838 22425 25013 Dental DN108 Frenectomy large 4600 4600 5290 5980 6670 Dental DN109 Frenotomy Small 2875 2875 3312 3738 4175 Dental DN110 Gingivectomy 4025 4025 4635 5233 5842 Dental DN111 Gingivectomy Full Arch 13800 13800 15870 17940 20010 Dental DN112 Gingivectomy With Bone Cutting 5175 5175 5957 6728 7510 Dental DN113 Hemi Section 4025 4025 4635 5233 5842 Dental DN114 Incision & Drainage Per Tooth 1150 1150 1323 1495 1668 Dental DN115 Indirect Sinus Lift 5750 5750 6613 7475 8338 Dental DN116 Inlay Grade 1 1725 1725 1990 2243 2507 Dental DN117 Inlay Grade 2 2875 2875 3312 3738 4175 Dental DN118 Iopa X-Ray 230 230 265 299 334 Dental DN119 Local Currettage Per Tooth 575 575 667 748 840 Dental DN120 Mesiodens Removal 3450 3450 3968 4485 5003 Dental DN121 Minor Procedure Dental 1 1150 1150 1323 1495 1668 Dental DN122 Minor Procedure Dental 2 2300 2300 2645 2990 3335 12 Dental DN123 MTA Application 2875 2875 3312 3738 4175 38214/2020/ESTT-NE_HRDental DN124 Mucogingival Surgery 5175 5175 5957 6728 7510 Dental DN125 Mutiple Iopa 575 575 667 748 840 Dental DN126 Myofunctional Appliance 13800 13800 15870 17940 20010 Dental DN127 Night Guard Double Arch 3450 3450 3968 4485 5003 Dental DN128 Night Guard Single Arch 2300 2300 2645 2990 3335 Dental DN129 Obturator Permanent 28750 28750 33063 37375 41688 Dental DN130 Obturator Temp 9200 9200 10580 11960 13340 Dental DN131 Operculectomy 3450 3450 3968 4485 5003 Dental DN132 OPG 575 575 667 748 840 Dental DN133 OPG (on x-Ray Film) 805 805 932 1047 1173 Dental DN134 Ortho Activation Grade 1 2300 2300 2645 2990 3335 Dental DN135 Ortho Activation Grade 2 3450 3450 3968 4485 5003 Dental DN136 Ortho Activation Grade 3 5750 5750 6613 7475 8338 Dental DN137 Ortho Mini Implant 6900 6900 7935 8970 10005 Dental DN138 Ortho Trainer 11500 11500 13225 14950 16675 Dental DN139 Orthognonathic Surgery Both Arch Major 69000 69000 79350 89700 100050 Dental DN140 Orthognonathic Surgery Single Arch Major -Ipd 34500 34500 39675 44850 50025 Dental DN141 Over Denture 28750 28750 33063 37375 41688 Dental DN142 Partial Denture Additional Tooth 460 460 529 598 667 Dental DN143 Partial Denture Base ( Till 3 Teeth ) 2070 2070 2381 2691 3002 Dental DN144 Pedo Crown Custom Made Grade 2 3450 3450 3968 4485 5003 Dental DN145 Pedo Crowns Custom Made 2875 2875 3312 3738 4175 Dental DN146 Pedo Crowns Preformed 2300 2300 2645 2990 3335 Dental DN147 Pit & Fissue Sealant Per Tooth 575 575 667 748 840 Dental DN148 Post Custom Made 1725 1725 1990 2243 2507 Dental DN149 Post Fibre Prefabricated 2875 2875 3312 3738 4175 Dental DN150 Post Metal Prefabricated 1150 1150 1323 1495 1668 Dental DN151 Precision Attachment 5175 5175 5957 6728 7510 Dental DN152 Root Resection 5175 5175 5957 6728 7510 Dental DN153 Scaling (Grade I) 1725 1725 1990 2243 2507 Dental DN154 Scaling (Grade Ii) 2300 2300 2645 2990 3335 Dental DN155 Scaling (Grade Iii) 2875 2875 3312 3738 4175 Dental DN156 Simple Retainer Therapy 4600 4600 5290 5980 6670 Dental DN157 Socket Preservation 5750 5750 6613 7475 8338 Dental DN158 Space Maintainer 3450 3450 3968 4485 5003 Dental DN159 Splinting Per Segment 6900 6900 7935 8970 10005 Dental DN160 Splinting Per Tooth 690 690 794 897 1001 Dental DN161 Flap Operation per quadrant 5750 5750 6670 7475 8395 Dental DN162 Mandible Fixation 46000 46000 52900 59800 66700 Dental DN163 Orif Maxilla & Zygomatic Bone 52900 52900 60835 68770 76705 Dermatology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Dermatology DM001 Chemical Peeling Type 1 1553 1553 1794 2024 2254 Dermatology DM002 Chemical Peeling Type 2 1725 1725 1990 2243 2507 Dermatology DM003 Chemical Peeling Type 3 1955 1955 2254 2542 2841 Dermatology DM004 Chemical Peeling Type 4 2530 2530 2910 3289 3669 Dermatology DM005 Radio Frequency Cautrization Type 1 1380 1380 1587 1794 2001 Dermatology DM006 Radio Frequency Cautrization Type 2 1725 1725 1990 2243 2507 Dermatology DM007 Radio Frequency Cautrization Type 3 2300 2300 2645 2990 3335 Dermatology DM008 Radio Frequency Cautrization Type 4 2875 2875 3312 3738 4175 Dermatology DM009 Dermaroller Type 1 1898 1898 2185 2473 2760 Dermatology DM010 Dermaroller Type 2 2530 2530 2910 3289 3669 Dermatology DM011 Intralesional Injection Therapy Type 1 1380 1380 1587 1794 2001 Dermatology DM012 Intralesional Injection Therapy Type 2 1725 1725 1990 2243 2507 Dermatology DM013 Intralesional Injection Therapy Type 3 2300 2300 2645 2990 3335 Dermatology DM014 Excision Of Sebaceous Cyst Type 1 4025 4025 4635 5233 5842 Dermatology DM015 Excision Of Sebaceous Cyst Type 2 4600 4600 5290 5980 6670 Dermatology DM016 Skin Biopsy Type 1 2530 2530 2910 3289 3669 Dermatology DM017 Skin Biopsy Type 2 2990 2990 3439 3887 4336 Dermatology DM018 Biopsy Skin (Histopath) 725 725 840 943 1058 Dermatology DM019 10% Koh Application 161 161 196 219 242 Dermatology DM020 20% Koh Application 242 242 288 322 357 Diabetic Lab Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Diabetci Lab DL001 Biothesiometry 748 748 863 978 1093 Diabetci Lab DL002 Podioscan 311 311 368 414 460 Diabetci Lab DL003 Ankle Brochiel Index 748 748 863 978 1093 13 Diabetci Lab DL004 Foot Doppler (Diabetic) 886 886 1024 1162 1288 38214/2020/ESTT-NE_HR ENT Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room ENT EN001 Bronchial Cyst Excision 26450 26450 30475 34385 38410 ENT EN002 Bronchial Fistula Excision 26450 26450 30475 34385 38410 ENT EN003 Bronchial Sinus Excision 26450 26450 30475 34385 38410 ENT EN004 Laryngectomy Total 56350 56350 64860 73255 81765 ENT EN005 Laryngo Fissure 36225 36225 41745 47150 52555 ENT EN006 Larynx Foreign Body Removal 21275 21275 24495 27715 30935 ENT EN007 Maxillectomy Medial 35650 35650 41055 46345 51750 ENT EN008 Oesophageal Strictures Dilatation 10925 10925 12650 14260 15870 ENT EN009 Oesophagoscopy With Foreign Body Removal 9775 9775 11270 12765 14260 ENT EN010 Palatal Fistula Repair 41400 41400 47610 53820 60030 ENT EN011 Pan Endoscopy & Biopsy 41400 41400 47610 53820 60030 ENT EN012 Parotidectomy Superficial 56350 56350 64860 73255 81765 ENT EN013 Sebaceous Cyst Neck Excision 10350 10350 11960 13455 15065 ENT EN014 Submandibular Abscess Incision & Drainage 23000 23000 26450 29900 33350 ENT EN015 Submandibular Duct Calculus Intra Oral Removal 16100 16100 18515 20930 23345 ENT EN016 Submandibular Gland Excision 23000 23000 26450 29900 33350 ENT EN017 Thyroglossal Cyst Excision 23000 23000 26450 29900 33350 ENT EN018 Thyroglossal Sinus Excision 23000 23000 26450 29900 33350 ENT EN019 Thyroplasty 35650 35650 41055 46345 51750 ENT EN020 Tongue Tie Release & Suturing 12075 12075 13915 15755 17595 ENT EN021 Total Parotidectomy 40250 40250 46345 52325 58420 ENT EN022 Tracheal Stenosis Excision Cum Repair 56925 56925 65550 74060 82570 ENT EN023 Hemi Thyroidectomy 34500 34500 39675 44850 50025 ENT EN024 Total thyroidectomy 40250 40250 46345 52325 58420 ENT EN025 Tracheostomy 16100 16100 18515 20930 23345 ENT EN026 Tonsillectomy 25300 25300 29095 32890 36685 ENT EN027 Direct Laryngoscopy / Fodl 22770 22770 26220 29670 33120 ENT EN028 Direct Laryngoscopy/ Fodl And Biopsy 24725 24725 28520 32200 35880 ENT EN029 Cortical Mastoidectomy 36225 36225 41745 47150 52555 ENT EN030 Adenoidectomy 17250 17250 19895 22425 25070 ENT EN031 Adenoids With Grommet Insertion Bilateral 29900 29900 34385 38870 43355 ENT EN032 Para Pharyngeal Abscess Incision & Drainage 21275 21275 24495 27715 30935 ENT EN033 Micro Laryngeal Surgery 36800 36800 42320 47840 53360 ENT EN034 Uvulopalatopharyngoplasty (Uppp) 35650 35650 41055 46345 51750 ENT EN035 Retropharyngeal Abscess Incision & Drainage 23000 23000 26450 29900 33350 ENT EN036 Peritonsillar Abscess Incision & Drainage 20125 20125 23230 26220 29210 ENT EN037 Pharyngeal Diverticulum Excision 36225 36225 41745 47150 52555 ENT EN038 Pharyngeal Pounch Excision 36225 36225 41745 47150 52555 ENT EN039 Pharyngotomy Lateral 12650 12650 14605 16445 18400 ENT EN040 Oral Lesion Biopsy 8625 8625 10005 11270 12535 ENT EN041 Oral Lesion Major Excision Benign 12075 12075 13915 15755 17595 ENT EN042 Hypo Pharynx Foreign Body Removal 9775 9775 11270 12765 14260 ENT EN043 Laryngeal Stenosis Excision Cum Repair 56925 56925 65550 74060 82570 ENT EN044 Laryngeal Web Excision 29900 29900 34385 38870 43355 ENT EN045 Laryngectomy Conservative 36225 36225 41745 47150 52555 ENT EN046 Coblation Of Lingual Tonsil. 60375 60375 69460 78545 87630 ENT EN047 Myringoplasty 23000 23000 26450 29900 33350 ENT EN048 Myringotomy Bilateral 15525 15525 17940 20240 22540 ENT EN049 Myringotomy Bilateral With Grommets 15525 15525 17940 20240 22540 ENT EN050 Myringotomy Unilateral 8625 8625 10005 11270 12535 ENT EN051 Myringotomy Unilateral With Grommet 8625 8625 10005 11270 12535 ENT EN052 Stapedectomy 36225 36225 41745 47150 52555 ENT EN053 Styloidectomy 17250 17250 19895 22425 25070 ENT EN054 Ear Foreign Body Removal GA 16100 16100 18515 20930 23345 ENT EN055 Ear Piercing 1725 1725 2070 2300 2530 ENT EN056 Ear Reconstruction 10925 10925 12650 14260 15870 ENT EN057 Tympanoplasty 23000 23000 26450 29900 33350 ENT EN058 Mastoid Cavity Obliteration 36225 36225 41745 47150 52555 ENT EN059 Mastoidectomy Radical Modified (MRM) 41400 41400 47610 53820 60030 ENT EN060 Facial Nerve Decompression 46000 46000 52900 59800 66700 ENT EN061 Facial Nerve Tumor Excision (Schwanoma) 56350 56350 64860 73255 81765 ENT EN062 Glomus Jugulare Tumour Trans Tympanic Approach 50600 50600 58190 65780 73370 ENT EN063 Hematoma Pinna Ind With Pressure Bandage Bilateral 4600 4600 5290 5980 6670 14 ENT EN064 Ossiculoplasty 21275 21275 24495 27715 30935 38214/2020/ESTT-NE_HRENT EN065 Partial Amputation Of Pinna 17250 17250 19895 22425 25070 ENT EN066 Pre Auricular Sinus Excision 18975 18975 21850 24725 27600 ENT EN067 Radical Mastoidectomy 21275 21275 24495 27715 30935 ENT EN068 Aural Polypectomy 4025 4025 4715 5290 5865 ENT EN069 Septoplasty 24150 24150 27830 31395 35075 ENT EN070 Turbinectomy Partial U/L 16100 16100 18515 20930 23345 ENT EN071 Functional Endoscopic Sinus Surgery With Fungal Debridment 36800 36800 42320 47840 53360 ENT EN072 Functional Endoscopic Sinus Surgery (FESS) B/L 36800 36800 42320 47840 53360 ENT EN073 Functional Endoscopic Sinus Surgery (FESS) B/L Extended 41400 41400 47610 53820 60030 ENT EN074 Functional Endoscopic Sinus Surgery (FESS) Limited 41400 41400 47610 53820 60030 ENT EN075 Functional Endoscopic Sinus Surgery (FESS) U/L 29900 29900 34385 38870 43355 ENT EN076 Functional Endoscopic Sinus Surgery (FESS) With Septoplasty 41400 41400 47610 53820 60030 ENT EN077 Partial Turbinectomy 18975 18975 21850 24725 27600 ENT EN078 Nasal Packing Posterior 8050 8050 9315 10465 11730 ENT EN079 Nasal Packing Unilateral (Endoscopy Assisted) 7475 7475 8625 9775 10925 ENT EN080 Nasal Packing With Catheter Balloons Bilateral 9200 9200 10580 11960 13340 ENT EN081 Nasal Polypectomy Bilateral 29900 29900 34385 38870 43355 ENT EN082 Nasal Polypectomy Unilateral 20700 20700 23805 26910 30015 ENT EN083 Nasal Bones Reduction Manipulation 21275 21275 24495 27715 30935 ENT EN084 Nasal Synaechae Excision (Adhesions) Bilateral 10350 10350 11960 13455 15065 ENT EN085 Sub Mucosal Reduction Of Turbinates Diathermy 16100 16100 18515 20930 23345 ENT EN086 Sub Mucosal Reduction Of Turbinatescauterization 16100 16100 18515 20930 23345 ENT EN087 Osteoma Para Nasal Sinuses Excision 24150 24150 27830 31395 35075 ENT EN088 ORO Antral Fistula Closure 14375 14375 16560 18745 20930 ENT EN089 Orbital Decompression Endoscopic 35650 35650 41055 46345 51750 ENT EN090 Anterior Ethemoidal Artery Ligation 10925 10925 12650 14260 15870 ENT EN091 Antral Wash Outs Bilateral 5175 5175 5980 6785 7590 ENT EN092 Antral Wash Outs Unilateral 3450 3450 4025 4485 5060 ENT EN093 Antrostomy Intranasal Unilateral 5175 5175 5980 6785 7590 ENT EN094 Caldwell Lucs Surgery 24725 24725 28520 32200 35880 ENT EN095 Choanal Atresia 46000 46000 52900 59800 66700 ENT EN096 Ethemoidal Surgery Radical 65550 65550 75440 85215 95105 ENT EN097 Ethemoidectomy Intra Nasal Bilateral 41400 41400 47610 53820 60030 ENT EN098 Ethemoidectomy Intranasal U/L 24725 24725 28520 32200 35880 ENT EN099 External Ethmoidectomy 17250 17250 19895 22425 25070 ENT EN100 Vidian Neurectomy 15525 15525 17940 20240 22540 ENT EN101 Transantral Ethmoidectomy (Horgans) 15525 15525 17940 20240 22540 ENT EN102 Turbinectomy Partial B/L 18975 18975 21850 24725 27600 ENT EN103 Suturing Of Small Wounds Neck 8625 8625 10005 11270 12535 ENT EN104 Suturing Of Small Wounds Nose 8625 8625 10005 11270 12535 ENT EN105 Septal Abscess Incision & Drainage 16100 16100 18515 20930 23345 ENT EN106 Septal Hematoma Incision & Drainage 16100 16100 18515 20930 23345 ENT EN107 Sphenoethmoidectomy Endoscopic 29900 29900 34385 38870 43355 ENT EN108 Sphenoid Surgery Radical 21275 21275 24495 27715 30935 ENT EN109 Sphenoidectomy Endoscopic 29900 29900 34385 38870 43355 ENT EN110 Spilt Ear Lobules Repair Unilateral 7475 7475 8625 9775 10925 ENT EN111 Rhinoplasty Augmentation 47150 47150 54280 61295 68425 ENT EN112 Rhinoplasty Corrective 36800 36800 42320 47840 53360 ENT EN113 Rhinoplasty Reduction Including Hump Removal 47150 47150 54280 61295 68425 ENT EN114 Rhinoplasty Tip And Ala Job 47150 47150 54280 61295 68425 ENT EN115 Rhinotomy Lateral 41400 41400 47610 53820 60030 ENT EN116 Naso Ethemoidal Complex Fracture Reduction 23000 23000 26450 29900 33350 ENT EN117 Nasopharyngeal Angiofibroma Stage 1 Excision 54050 54050 62215 70265 78430 ENT EN118 Nasopharyngeal Angiofibroma Stage 2 & 3 Excision 48875 48875 56235 63595 70955 ENT EN119 Nose Bleeding Cauterization Cautery Electric 9775 9775 11270 12765 14260 ENT EN120 Nose Bleeding Cauterization- Silver Nitrate 9775 9775 11270 12765 14260 ENT EN121 Nose Foreign Body Removal 16100 16100 18515 20930 23345 ENT EN122 Nose Foreign Body Removal OPD 2875 2875 3335 3795 4255 ENT EN123 Maxillectomy 33925 33925 39100 44160 49220 ENT EN124 Frontal Surgery Radical 73600 73600 84640 95680 106720 ENT EN125 CSF Rhinorhorrea Leak Surgery 40250 40250 46345 52325 58420 ENT EN126 DCR Endoscopic 23000 23000 26450 29900 33350 ENT EN127 Audiometry 690 690 805 920 1035 ENT EN128 Laryngoscopic Exam 18630 18630 21505 24265 27025 ENT EN129 Ear Lobe Repair One Side 2300 2300 2645 2990 3335 ENT EN130 Ear Cleaning 805 805 1035 1150 1265 15 ENT EN131 Paracentesis 1955 1955 2300 2645 2875 38214/2020/ESTT-NE_HRENT EN133 Ear Foreign Body Removal 690 690 805 920 1035 ENT EN134 Ear Syringing 1265 1265 1495 1725 1840 ENT EN135 Removal Of Foreign Body From Nose 2990 2990 3450 3910 4370 ENT EN136 Cobulator Charges 14950 14950 17250 19435 21735 ENT EN137 Diagnostic Endoscopy 1357 1357 1610 1840 2070 ENT EN139 Ear Packing 1265 1265 1495 1725 1840 ENT EN140 Eustachian Catheterisation 690 690 805 920 1035 ENT EN141 Examination Under Microscope 6325 6325 7360 8280 9200 ENT EN142 External Auditory Canal Growth Excision 5060 5060 5865 6670 7360 ENT EN143 Hematoma Pinna Ind With Pressure Bandage Unilateral 2530 2530 2990 3335 3680 ENT EN144 Impedence With Stepedeal Reflex 1495 1495 1725 1955 2185 ENT EN145 Keloids Ear Excision 6325 6325 7360 8280 9200 ENT EN146 Myringotomy With Grommet Insertion 15180 15180 17480 19780 22080 ENT EN147 Nasal Endoscopy 1840 1840 2185 2415 2760 ENT EN148 Nasal Pack Removal 2530 2530 2990 3335 3680 ENT EN149 Nasal Packing Anterior 5060 5060 5865 6670 7360 ENT EN150 Nasal Packing Merocel 2530 2530 2990 3335 3680 ENT EN151 Nasal Synaechae Excision (Adhesions) Unilateral 5060 5060 5865 6670 7360 ENT EN152 Nose Foreign Body Removal 2530 2530 2990 3335 3680 ENT EN153 Peritonsillar Abscess Drainage 19665 19665 22655 25645 28520 ENT EN154 Punch Wedge Biopsy 3795 3795 4370 4945 5520 ENT EN155 Sinus Endoscopy 4485 4485 5175 5865 6555 ENT EN156 Speech Assessment 3450 3450 4025 4485 5060 ENT EN157 Speech Therapy 345 345 460 460 575 ENT EN158 Speech Therapy Per Session Of 30-4Minutes 690 690 805 920 1035 ENT EN159 Split Ear Lobules Repair Bilateral 5060 5060 5865 6670 7360 ENT EN160 Sub Mandibular Duct Lithotomy 22770 22770 26220 29670 33120 ENT EN161 Throat Endoscopy 3795 3795 4370 4945 5520 ENT EN162 Tongue Biopsy 5750 5750 6670 7475 8395 ENT EN163 Tracheostomy Decannulation 5750 5750 6670 7475 8395 ENT EN164 Tracheostomy Tube Change 2530 2530 2990 3335 3680 ENT EN165 Video Nystagmography 4485 4485 5175 5865 6555 Gastroentrology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Gastroentrology GI001 UGI Endoscopy Screening 4600 4600 5290 5980 6670 Gastroentrology GI002 UGI Endoscopy 5750 5750 6613 7475 8338 Gastroentrology GI003 UGI Endoscopy (Portable) 9476 9476 10902 12328 13743 Gastroentrology GI004 Endoscopic Variceal Ligation (EVL) 13536 13536 15571 17607 19631 Gastroentrology GI005 Endoscopic Sclero Therapy (sclero/glue/adr) 12190 12190 14019 15847 17676 Gastroentrology GI006 Endoscopic Cyst Gastrostomy 29785 29785 34259 38721 43194 Gastroentrology GI007 Sigmoidoscopy 5566 5566 6406 7245 8073 Gastroentrology GI008 Colonoscopy 7452 7452 8579 9695 10810 Gastroentrology GI009 Portable Colonoscopy 10833 10833 12466 14088 15709 Gastroentrology GI010 Hemorrhoid Sclero Therapy 11512 11512 13248 14973 16698 Gastroentrology GI011 Polypectomy Procedure 16250 16250 18688 21126 23564 Gastroentrology GI012 Esophageal Stricture Dilation Balloon/ Bougie 16250 16250 18688 21126 23564 Gastroentrology GI013 Esophageal SEMS 23000 23000 26450 29900 33350 Gastroentrology GI014 SEMS Gastroduodenal 23000 23000 26450 29900 33350 Gastroentrology GI015 Nasojejunal (NJ) Tube Placement 11132 11132 12811 14479 16146 Gastroentrology GI016 Hemo Clipping 16698 16698 19205 21712 24219 Gastroentrology GI017 Achalasia Dilation 16698 16698 19205 21712 24219 Gastroentrology GI018 Endo Nasogastric Tube Placement 6774 6774 7797 8809 9833 Gastroentrology GI019 Fibrin Spray 13881 13881 15974 18055 20137 Gastroentrology GI020 Capsule Endoscopy (Capsule Cost Extra) 13800 13800 15870 17940 20010 Gastroentrology GI021 Argon Plasma Coagulation (APC) 12190 12190 14019 15847 17676 Gastroentrology GI022 Colonic Decompression 5693 5693 6555 7406 8257 Gastroentrology GI023 Pyloric or Duodenal balloon dilatation 16250 16250 18688 21126 23564 Gastroentrology GI024 Colonic SEMS 29785 29785 34259 38721 43194 Gastroentrology GI025 EUS Fnac 16445 16445 18918 21379 23851 Gastroentrology GI026 EUS Guided Cystogastrostomy/Therapeutic 30360 30360 34914 39468 44022 Gastroentrology GI027 EUS Diagnostic 13283 13283 15284 17273 19263 Gastroentrology GI028 EUS Screening 8050 8050 9258 10465 11673 Gastroentrology GI029 Single Balloon Enteroscopy Diagnostic 21505 21505 24737 27957 31188 Gastroentrology GI030 Single Balloon Enteroscopy Tharapeutic 24219 24219 27853 31487 35121 16 Gastroentrology GI031 Single Balloon Enteroscopy (Both Side) 37950 37950 43643 49335 55028 38214/2020/ESTT-NE_HRGastroentrology GI032 ERCP 29785 29785 34259 38721 43194 Gastroentrology GI033 Stent Removal 6774 6774 7797 8809 9833 Gastroentrology GI034 Biliary SEMS 29785 29785 34259 38721 43194 Gastroentrology GI035 Endoscopic Biopsy 690 690 794 897 1001 Gastroentrology GI036 Fibro Scan 4428 4428 5095 5762 6429 Gastroentrology GI037 Sedation Charges 1357 1357 1564 1771 1978 Gastroentrology GI038 Pigtail Drainage 12524 12524 14410 16284 18170 Gastroentrology GI039 PEG Placement 16250 16250 18688 21126 23564 Gastroentrology GI040 PEG Removal 6107 6107 7027 7947 8855 Gastroentrology GI041 Liver Biopsy 10120 10120 11638 13156 14674 Gastroentrology GI042 Endoscopic Mucosal Resection (EMR) 27071 27071 31142 35202 39261 Gastroentrology GI043 Esophageal Manometry 5750 5750 6613 7475 8338 Gastroentrology GI044 PEG Re-Placement 10833 10833 12466 14088 15709 Gastroentrology GI045 PH Metry 10304 10304 11857 13398 14950 Gastroentrology GI046 SB Tube Insertion 4071 4071 4692 5302 5911 General Procedures Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room GP001 Catheterisation Minor Procedure 541 541 633 713 794 GP002 Condom Catheterisation Minor Procedure 311 311 368 414 460 GP003 Enema Minor Procedure 242 242 288 322 357 GP004 Manual Evacuation Minor Procedure 1150 1150 1323 1495 1668 GP005 Bowel Wash Minor Procedure 345 345 403 449 506 GP006 Blood Transfusion Minor Procedure 610 610 702 794 886 GP007 Dressing Small Minor Procedure 460 460 529 598 667 GP008 Dressing Medium Minor Procedure 610 610 702 794 886 GP009 Dressing Large Minor Procedure 1208 1208 1392 1576 1760 GP010 Stitching Charge (Per Stitch) Minor Procedure 161 161 196 219 242 GP011 Suturing Of Small single Wounds Minor Procedure 5750 5750 6613 7475 8338 GP012 Suturing Of Multiple/Large Wounds Minor Procedure 8947 8947 10293 11638 12984 GP013 Arterial Line Insertion Minor Procedure 2243 2243 2588 2921 3255 GP014 Central Line Insertion Minor Procedure 2243 2243 2588 2921 3255 GP015 Vascular Access External Juglar Minor Procedure 1725 1725 1990 2243 2507 GP016 Vascular Access Femoral Minor Procedure 1725 1725 1990 2243 2507 GP017 Vascular Access Subclavion Minor Procedure 2300 2300 2645 2990 3335 GP018 Ascitic Fluid Tapping Therapeutic Minor Procedure 2990 2990 3439 3887 4336 GP019 Ascitic Fluid Tapping Diagnostic Minor Procedure 3738 3738 4301 4865 5428 GP020 Aspiration Plural Effusion - Therapeutic Minor Procedure 3738 3738 4301 4865 5428 GP021 Aspiration Plural Effusion - Diagnostic Minor Procedure 2243 2243 2588 2921 3255 GP022 Pericardial Aspiration Minor Procedure 4485 4485 5164 5831 6509 GP023 Usg Guided Aspiration Of Pancreatic Fluids Minor Procedure 5060 5060 5819 6578 7337 GP024 Brain Navigation System With Complete Set Minor Procedure 39008 39008 44862 50715 56569 GP025 Biopsy Excision Lymph Node (Deep) Single Minor Procedure 13915 13915 16008 18090 20183 GP026 Biopsy Excision Lymph Node (Superficial) Single Minor Procedure 6958 6958 8004 9051 10097 GP027 Biopsy Liver Minor Procedure 10120 10120 11638 13156 14674 GP028 Bladder Irrigation Minor Procedure 311 311 368 414 460 GP029 Block Dissection (Axilla Groin Retroperitoneal) Minor Procedure 58190 58190 66919 75647 84376 GP030 Bone Marrow Biopsy Minor Procedure 10753 10753 12374 13984 15594 GP031 Chest Drainage (ICD) Minor Procedure 8855 8855 10189 11512 12846 GP032 ICD Change Minor Procedure 5060 5060 5819 6578 7337 GP033 Foam Sclerotheraphy Minor Procedure 3795 3795 4370 4934 5509 GP034 Liver Abscess Drainage Minor Procedure 2243 2243 2588 2921 3255 GP035 Liver Abscess Drainage- Ultrasound Guided Minor Procedure 2990 2990 3439 3887 4336 GP036 Liver Aspiration Minor Procedure 4485 4485 5164 5831 6509 GP037 Nail Bed Excision Minor Procedure 3163 3163 3646 4117 4589 17 GP038 Needle Removal 38214/2020/ESTT-NE_HRMinor Procedure 2243 2243 2588 2921 3255 GP039 Three Swabs Test ( VVF) Minor Procedure 1794 1794 2070 2335 2611 General Surgery Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room General Surgery GS001 Laproscopic Diagnostic 31050 35765 40365 45080 General Surgery GS002 Laproscopic Cholecystectomy 39100 44965 50830 56695 General Surgery GS003 Laproscopic Cholecystectomy (Post ERCP) 46575 53590 60605 67620 General Surgery GS004 Laproscopic Appendicectomy 39100 44965 50830 56695 General Surgery GS005 Laproscopic Orchidectomy 41400 47610 53820 60030 General Surgery GS006 Laproscopic Rectopexy 78200 89930 101660 113390 General Surgery GS007 Laproscopic Diaphragm Hernia Repair 82225 94645 106950 119255 General Surgery GS008 Laproscopic Epigastric/Paraumbillical/Incisional/Other Hernia Repair (Large) 60375 69460 78545 87630 General Surgery GS009 Laproscopic Epigastric/Paraumbillical/Incisional/Other Hernia Repair (Medium) 54050 62215 70265 78430 General Surgery GS010 Laproscopic Epigastric/Paraumbillical/Incisional/Other Hernia Repair (Small) 45425 52325 59110 65895 General Surgery GS011 Laproscopic Hernia Repair Paediatric (B/L) 46000 52900 59800 66700 General Surgery GS012 Laproscopic Hiatus Hernia Repair 82225 94645 106950 119255 General Surgery GS013 Laproscopic Inguinal Hernia (Bilateral) 60950 70150 79235 88435 General Surgery GS014 Laproscopic Inguinal Hernia (Unilateral) 41400 47610 53820 60030 General Surgery GS015 Laproscopic Parastomal Hernia Repair 64400 74060 83720 93380 General Surgery GS016 Laproscopic Umbilical Hernia 45425 52325 59110 65895 General Surgery GS017 Single Incision Laproscopic Hernia Bilateral 74750 86020 97175 108445 General Surgery GS018 Single Incision Laproscopic Hernia Unilateral 51750 59570 67275 75095 General Surgery GS019 Laproscopic Removal Of Infected Mesh 50025 57615 65090 72565 General Surgery GS020 Laproscopic Radical Cholecystectomy 104650 120405 136045 151800 General Surgery GS021 Laproscopic Sleeve Gastrostomy 136275 156745 177215 197685 General Surgery GS022 Laproscopic Choledocholithotomy 70725 81420 92000 102580 General Surgery GS023 Laproscopic Biopsy 31050 35765 40365 45080 General Surgery GS024 Laproscopic Choledochoduodenostomy 83950 96600 109135 121785 General Surgery GS025 Laproscopic Closure Of Duodenal/Gastric Perforation 82800 95220 107640 120060 General Surgery GS026 Laproscopic Colonic Resection 78200 89930 101660 113390 General Surgery GS027 Laproscopic Drainage Of Intra Peritoneal Abscess/Liver Abscess 45425 52325 59110 65895 General Surgery GS028 Laproscopic Feeding Jejunostomy 41400 47610 53820 60030 General Surgery GS029 Lap Management Of Perforated Appendix 53475 61525 69575 77625 General Surgery GS030 Laproscopic Gastric Band 119025 136965 154790 172615 General Surgery GS031 Laproscopic Gastric Bypass (Triple Bypass) 204125 234830 265420 296010 General Surgery GS032 Laproscopic Gastrojejunostomy 52900 60835 68770 76705 General Surgery GS033 Laproscopic Intra Peritoneal Tumour Excision 1 45425 52325 59110 65895 General Surgery GS034 Laproscopic Intra Peritoneal Tumour Excision 2 58075 66815 75555 84295 General Surgery GS035 Laproscopic Ligation Of Varicocele 34500 39675 44850 50025 General Surgery GS036 Laproscopic Liver Resection 102350 117760 133055 148465 General Surgery GS037 Laproscopic Lumbar Sympathectomy 44275 50945 57615 64285 General Surgery GS038 Laproscopic Small Bowel Surgery 82800 95220 107640 120060 General Surgery GS039 Laproscopic Splenectomy 74750 86020 97175 108445 General Surgery GS040 Laproscopic Surgery For Acute Abdomen 60950 70150 79235 88435 General Surgery GS041 Laproscopic Surgery For Pancreatic Pseudo Cyst 66125 76130 86020 95910 General Surgery GS042 Laproscopic Truncal Vagotomy With GJ 45425 52325 59110 65895 General Surgery GS043 Laproscopic Whiples 170200 195730 221260 246790 General Surgery GS044 Laproscopic Achlasia Cardia Repair 82225 94645 106950 119255 General Surgery GS045 Laproscopic Hydatid Cyst Excision 74750 86020 97175 108445 General Surgery GS046 Laproscopic Fundoplication 93150 107180 121095 135125 General Surgery GS047 Laproscopic Diverticuleotomy 60950 70150 79235 88435 General Surgery GS048 Laproscopic Mesentric Lump Excision 57500 66125 74750 83375 General Surgery GS049 Laproscopic Adhesiolysis 52900 60835 68770 76705 General Surgery GS050 Single Incision Laproscopic Appendix 46575 53590 60605 67620 General Surgery GS051 Single Incision Laproscopic Bowel Surgery 90275 103845 117415 130985 General Surgery GS052 Single Incision Laproscopic Cholecystectomy 51750 59570 67275 75095 General Surgery GS053 Exploratory Laparotomy 62675 72105 81535 90965 General Surgery GS054 Cholecystectomy Open 39675 45655 51635 57615 General Surgery GS055 Total Adrenalectomy Unilateral 82225 94645 106950 119255 General Surgery GS056 Total Adrenalectomy Bilateral 104650 120405 136045 151800 General Surgery GS057 Appendicectomy Open 31050 35765 40365 45080 General Surgery GS058 Appendicular Abscess Drainage 34500 39675 44850 50025 18 General Surgery GS059 Excision Retroperitoneal Tumour 102350 117760 133055 148465 38214/2020/ESTT-NE_HRGeneral Surgery GS060 Total Gastrectomy 103500 119025 134550 150075 General Surgery GS061 Exploratory Lap For Stab Injury 82225 94645 106950 119255 General Surgery GS062 Exploratory Lap With Closure Of Perforation 82225 94645 106950 119255 General Surgery GS063 Exploratory Lap With Resection Anastomosis 85675 98555 111435 124315 General Surgery GS064 Exploratory Lap With Complex Liver Injury Repair 1 90275 103845 117415 130985 General Surgery GS065 Exploratory Lap With Complex Liver Injury Repair 2 98900 113735 128570 143405 General Surgery GS066 Exploratory Lap With Diaphragmatic Injury Repair 92000 105800 119600 133400 General Surgery GS067 Exploratory Lap With Multi Organ Injury 112125 129030 145820 162610 General Surgery GS068 Exploratory Lap With Hernioplasty 82225 94645 106950 119255 General Surgery GS069 Hernia Any Type Obstructed 45425 52325 59110 65895 General Surgery GS070 Aspiration Of Liver Abscess Drainage Under LA 12075 13915 15755 17595 General Surgery GS071 Biopsy Liver 10350 11960 13455 15065 General Surgery GS072 Ascitic/Pleural Fluid Tapping 6325 7360 8280 9200 General Surgery GS073 Choledochoduodenostomy 51750 59570 67275 75095 General Surgery GS074 Choledochojejunostomy / Gastrojejunostomy 82225 94645 106950 119255 General Surgery GS075 CBD Exploration (Choledocholithotomy) + Cholecystectomy 74750 86020 97175 108445 General Surgery GS076 Colonic Transposition 119025 136965 154790 172615 General Surgery GS077 Colostomy /Illeostomy 31050 35765 40365 45080 General Surgery GS078 Feeding Gastrostomy 29900 34385 38870 43355 General Surgery GS079 Colostomy/Illeostomy Closure 46575 53590 60605 67620 General Surgery GS080 Drainage Of Pseudo Pancreatic Cyst 69000 79350 89700 100050 General Surgery GS081 Intestinal Fistula 61525 70840 80040 89240 General Surgery GS082 Lap Closure of Intestinal Fistula/Cholyscystoduodenial Fistula 61525 70840 80040 89240 General Surgery GS083 Intra Operative Cholangigram 10925 12650 14260 15870 General Surgery GS084 Splenectomy Open 74750 86020 97175 108445 General Surgery GS085 Total Procto Colostomy With Illeorectal Anastomosisgeneral Surgery 102350 117760 133055 148465 General Surgery GS086 Surgery For Portal Hypertension 102350 117760 133055 148465 General Surgery GS087 Retroperitoneal Drainage Of Abscess 48300 55545 62790 70035 General Surgery GS088 Proctocolectomy 90275 103845 117415 130985 General Surgery GS089 Pyloromyotomy 48300 55545 62790 70035 General Surgery GS090 Polypectomy** 20700 23805 26910 30015 General Surgery GS091 Partial Gastrectomy / Sub Total Gastrectomy 63250 72795 82225 91770 General Surgery GS092 Partial Pancreatectomy 83950 96600 109135 121785 General Surgery GS093 Partial Resection Of Liver 102350 117760 133055 148465 General Surgery GS094 Necrosectomy & Open Drainage Of Pancreatic Abscess 73600 84640 95680 106720 General Surgery GS095 Oesophageal Repair 79925 92000 103960 115920 General Surgery GS096 Open Adhesiolysis 34500 39675 44850 50025 General Surgery GS097 Open Drainage Of Liver Abscess (I & D) 46000 52900 59800 66700 General Surgery GS098 Left / Right Lobectomy Liver 112125 129030 145820 162610 General Surgery GS099 Mesenteric Cyst Excision 52900 60835 68770 76705 General Surgery GS100 Mesentric Lymph Node Dissection 30475 35075 39675 44275 General Surgery GS101 Ileostomy 34500 39675 44850 50025 General Surgery GS102 Hemicolectomy 63250 72795 82225 91770 General Surgery GS103 Gastro Jejunostomy 51750 59570 67275 75095 General Surgery GS104 Gastrostomy Or Jejunostomy 34500 39675 44850 50025 General Surgery GS105 Burst Abdomen Repair 51750 59570 67275 75095 General Surgery GS106 Intussusceptions 58650 67505 76245 85100 General Surgery GS107 Whiples Surgery (Open) 136275 156745 177215 197685 General Surgery GS108 Transverse Colectomy 68425 78775 89010 99245 General Surgery GS109 Breast (MRM) B/L 86825 99935 112930 125925 General Surgery GS110 Breast (MRM) U/L 67275 77395 87515 97635 General Surgery GS111 Breast Conservation Surgery 48300 55545 62790 70035 General Surgery GS112 Breast Lumpectomy Large 34500 39675 44850 50025 General Surgery GS113 Breast Lumpectomy Small 24150 27830 31395 35075 General Surgery GS114 Subcutaneous Mastectomy (Bilateral) 75900 87285 98670 110055 General Surgery GS115 Subcutaneous Mastectomy (Unilateral) 50600 58190 65780 73370 General Surgery GS116 Gynaecomastia Bilateral 48875 56235 63595 70955 General Surgery GS117 Gynaecomastia Unilateral 33350 38410 43355 48415 General Surgery GS118 Thoracoscopy 37375 43010 48645 54280 General Surgery GS119 Thoracoscopy With Lung/Pleural Biopsy 46575 53590 60605 67620 General Surgery GS120 Hernia Epigastric 37375 43010 48645 54280 General Surgery GS121 Hernia Femoral 37375 43010 48645 54280 19 General Surgery GS122 Hernia Incisional Large (Open) 59800 68770 77740 86710 38214/2020/ESTT-NE_HRGeneral Surgery GS123 Hernia Incisional Small (Open) 30475 35075 39675 44275 General Surgery GS124 Hernia Inguinal Bilateral (Open) 51750 59570 67275 75095 General Surgery GS125 Hernia Inguinal Unilateral (Open) 34500 39675 44850 50025 General Surgery GS126 Hernia Strangulated Incisional/Inguinal Hernia Any Type 54625 62905 71070 79235 General Surgery GS127 Hernia Ventral 37375 43010 48645 54280 General Surgery GS128 Herniorrhaphy 28750 33120 37375 41745 General Surgery GS129 Herniotomy Ingunial Bilateral 45425 52325 59110 65895 General Surgery GS130 Herniotomy Ingunial Unilateral 30475 35075 39675 44275 General Surgery GS131 Rare Hernias Spigelian Obturator Lumber (Open) 46575 53590 60605 67620 General Surgery GS132 Recurrent Inguinal Hernia/ Hernioplasty 43700 50255 56810 63365 General Surgery GS133 Repair Of Diaphragmatic Hernia (Open) 51750 59570 67275 75095 General Surgery GS134 Surgery For Hiatus Hernia (Open) 82225 94645 106950 119255 General Surgery GS135 Umblical Hernia Repair 40250 46345 52325 58420 General Surgery GS136 RFA/Laser for Varicose Veins Unilateral 80500 92575 104650 116725 General Surgery GS137 RFA/Laser for Varicose Veins Bilateral 109250 125695 142025 158470 General Surgery GS138 Varicose Veins Surgery Unilateral with Stripping of Vain 59800 68770 77740 86710 General Surgery GS139 Perforator Ligation Multiple 40250 46345 52325 58420 General Surgery GS140 Varicose Veins Surgery Bilateral 80500 92575 104650 116725 General Surgery GS141 Anal Dilatation 18975 21850 24725 27600 General Surgery GS142 Anal Dilatation With Lateral Sphicterotomy 24150 27830 31395 35075 General Surgery GS143 Anal Sphincter Repair 81650 93955 106145 118450 General Surgery GS144 Anal Sphincter Repair Following Injury 48300 55545 62790 70035 General Surgery GS145 Anterior Resection Of Rectum 81650 93955 106145 118450 General Surgery GS146 Abdomino perineal Resection- Open /Lap 82225 94645 106950 119255 General Surgery GS147 Ischeo-Rectal Abcess 28750 33120 37375 41745 General Surgery GS148 Thiersch Operation 14950 17250 19435 21735 General Surgery GS149 Rectopexy (Open) 52900 60835 68770 76705 General Surgery GS150 Imperforate Anus Low Anomaly - Perineal Anoplasty 23000 26450 29900 33350 General Surgery GS151 Haemorrhoidectomy 30475 35075 39675 44275 General Surgery GS152 Haemorrhoidectomy (Stapled) 37375 43010 48645 54280 General Surgery GS153 Fistula In Ano High 40250 46345 52325 58420 General Surgery GS154 Fistula In Ano Low And Medium 28175 32430 36685 40940 General Surgery GS155 Adrenalectomy Total / Sub Total Bilateral 104650 120405 136045 151800 General Surgery GS156 Adrenalectomy Total / Sub Total Unilateral 82225 94645 106950 119255 General Surgery GS157 CAPD Insertion 23000 26450 29900 33350 General Surgery GS158 Cholecystectomy & Exploration of CBD General Surgery GS159 Circumcision Under GA 17250 19895 22425 25070 General Surgery GS160 Circumcision Under LA 12075 13915 15755 17595 General Surgery GS161 Total Amputation Of Penis 44275 50945 57615 64285 General Surgery GS162 Suprapubic Cystostomy (Stab) Under LA General Surgery GS163 Partial Amputation Of Penis 37375 43010 48645 54280 General Surgery GS164 Orchidectomy Bilateral 52325 60260 68080 75900 General Surgery GS165 Orchidectomy Unilateral 37375 43010 48645 54280 General Surgery GS166 Vasectomy 15525 17940 20240 22540 General Surgery GS167 Hydrocoele Bilateral 28750 33120 37375 41745 General Surgery GS168 Hydrocoele Unilateral 23000 26450 29900 33350 General Surgery GS169 Excision Biopsy Of Superficial Lumps 16100 18515 20930 23345 General Surgery GS170 Excision Biopsy Of Ulcers 10350 11960 13455 15065 General Surgery GS171 Excision Lipoma Of Large Lump Back 20125 23230 26220 29210 General Surgery GS172 Excision Of Lumps 6325 7360 8280 9200 General Surgery GS173 Excision Of Multiple /Infected Sebaceous Cyst / Cyst Removal 16100 18515 20930 23345 General Surgery GS174 Excision Of Pilonidal Sinus 30475 35075 39675 44275 General Surgery GS175 Excision Of Pilonidal Sinus & Cover Limberg 44275 50945 57615 64285 General Surgery GS176 Excision Of Sebaceous Cyst Single 9200 10580 11960 13340 General Surgery GS177 Excision Superficial Tumour Large 21275 24495 27715 30935 General Surgery GS178 Excision Superficial Tumour Medium 16675 19205 21735 24265 General Surgery GS179 Excision Superficial Tumour Small 8050 9315 10465 11730 General Surgery GS180 Excision Thyroglossal Cyst/ Fistula 49450 56925 64285 71760 General Surgery GS181 Exploration Of Neck Injury Deep 68425 78775 89010 99245 General Surgery GS182 Exploration Of Neck Injury Superficial 34500 39675 44850 50025 General Surgery GS183 Hemi Thyroidectomy / Complete Thyroidectomy 54625 62905 71070 79235 General Surgery GS184 Parathyroidectomy 60375 69460 78545 87630 20 General Surgery GS185 Ranula Excision 27600 31740 35880 40020 38214/2020/ESTT-NE_HRGeneral Surgery GS186 Removal Of Submandibular Duct Calculus 26450 30475 34385 38410 General Surgery GS187 Sub Mucous Cyst Excision 9200 10580 11960 13340 General Surgery GS188 Split Ear Labule Repair Unilateral 3450 4025 4485 5060 General Surgery GS189 Split Ear Labule Repair Bilateral 5750 6670 7475 8395 General Surgery GS190 Scrotoplasty Major 46000 52900 59800 66700 General Surgery GS191 Scrotoplasty Minor 23000 26450 29900 33350 General Surgery GS192 Faciotomy Grade 1 18975 21850 24725 27600 General Surgery GS193 Faciotomy Grade 2 31625 36455 41170 45885 General Surgery GS194 Foam Sclerotheraphy 4025 4715 5290 5865 General Surgery GS195 Abscess Drainage ( Intra Abdominal Perinephric Psoas Others) 30475 35075 39675 44275 General Surgery GS196 Abscess Drainage ( Single /Medium) 13225 15295 17250 19205 General Surgery GS197 Abscess Drainage ( Single /Small) 9775 11270 12765 14260 General Surgery GS198 Abscess Drainage(Single /Large) 16675 19205 21735 24265 General Surgery GS199 Absses Drainage (Multiple) 20700 23805 26910 30015 General Surgery GS200 Fournier Gangrene 45425 52325 59110 65895 General Surgery GS201 Injection Varicose Vein 14950 17250 19435 21735 General Surgery GS202 Laceration Repair Large 31050 35765 40365 45080 General Surgery GS203 Laceration Repair Medium 26450 30475 34385 38410 General Surgery GS204 Laceration Repair Small 17825 20585 23230 25875 General Surgery GS205 Suturing Of Massive Laceration Facial Wound 35075 40365 45655 50945 General Surgery GS206 Nail Bed Excision Under LA 4600 5290 5980 6670 General Surgery GS207 Peripheral Pseudo Aneurysm Repair 37375 43010 48645 54280 General Surgery GS208 Suturing Of Wound (to be graded ABC) 28175 32430 36685 40940 General Surgery GS209 Ultrasound Guided Aspiration Of Pancreatic Fluids 5175 5980 6785 7590 General Surgery GS210 Umbilectomy 29325 33810 38180 42550 General Surgery GS211 Pilondal Sinus 40825 47035 53130 59225 General Surgery GS212 Wound Debridement Large Under GA 44275 50945 57615 64285 General Surgery GS213 Wound Debridement Medium Under GA 24150 27830 31395 35075 General Surgery GS214 Wound Debridement Small Under GA 15525 17940 20240 22540 General Surgery GS215 Wound Debridement Under LA 12650 14605 16445 18400 General Surgery GS216 Wound Gunshot Debridement 28750 33120 37375 41745 General Surgery GS217 Wound Gunshot Debridement And Primary Closere / Removal Of Bullet 44275 50945 57615 64285 General Surgery GS218 Carbuncle Large 43125 49680 56120 62560 General Surgery GS219 Carbuncle Small 31625 36455 41170 45885 General Surgery GS220 Cervical Sympathectomy 54050 62215 70265 78430 General Surgery GS221 Chest Drainage (ICD) 13800 15870 17940 20010 General Surgery GS222 Biopsy Excision Lymph Node (Deep) Single 15525 17940 20240 22540 General Surgery GS223 Biopsy Excision Lymph Node (Superficial) Single 12075 13915 15755 17595 General Surgery GS224 Colostomy Bag Application 1150 1380 1495 1725 General Surgery GS225 ICD Change 5175 5980 6785 7590 General Surgery GS226 Diabetic Gangrene Minor Amputation Of Foot 29900 34385 38870 43355 Interventional Radiology Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room Interventional IR001 Central venous angioplasty 72795 83720 94645 105570 Radiology Interventional IR002 Fistuloplasty 66930 77050 87055 97060 Radiology Interventional IR003 Dialysis Catheter Insertions 11730 13570 15295 17020 Radiology Interventional IR004 Laser Ablation of varicose veins 58190 66930 75670 84410 Radiology Interventional IR005 Diagnostic Angiography(Specific Parts) 43700 50255 56810 63365 Radiology Interventional IR006 Diagnostic Venogram 11730 13570 15295 17020 Radiology Interventional IR007 Pelvic Lower Limb Angiography stenting & thrombol 58190 66930 75670 84410 Radiology Interventional IR008 Renal Artery Embolisation 101890 117185 132480 147775 Radiology Interventional IR009 Bronchial Artery Embolization 58190 66930 75670 84410 Radiology Interventional IR010 Uterine Artery Embolization (PPH,Fibroids,Adenomyo 81535 93840 106030 118335 Radiology Interventional IR011 Trans arterial Chemo embolization (TACE) 101200 116380 131560 146740 Radiology Interventional IR012 GI Bleed/Ischemia(Embolization) 43700 50255 56810 63365 Radiology 21 Interventional IR013 Splenic Artery Embolisation 162610 187105 211485 235865 38214/2020/ESTT-NE_HRRadiology Interventional IR014 Varicocele Embolization 40825 47035 53130 59225 Radiology Interventional IR015 PTBD (Percutaneous Transhepatic Billiary Drainage) 58190 66930 75670 84410 Radiology Interventional IR016 PTBD Internalization/Stenting 58190 66930 75670 84410 Radiology Interventional IR017 Balloon occluded transvenous obliteration 101890 117185 132480 147775 Radiology Interventional IR018 Hepatic venous portal pressure gradient 23345 26910 30360 33925 Radiology Interventional IR019 TIPS 81535 93840 106030 118335 Radiology Interventional IR020 Transjugular kidney biopsy 43700 50255 56810 63365 Radiology Interventional IR021 Transjugular liver biopsy 34960 40250 45540 50715 Radiology Interventional IR022 Sclerotherapy for ABC 52440 60375 68195 76130 Radiology Interventional IR023 Radiofrequency Ablation of Multiple metastasis 86250 99245 112125 125120 Radiology Interventional IR024 Radiofrequency Ablation of single metastasis 74750 86020 97175 108445 Radiology Interventional IR025 CT Guided Biopsy / FNAC 7590 8740 9890 11040 Radiology Interventional IR026 CT Guided Drainage 11385 13110 14835 16560 Radiology Interventional IR027 CT Guided Fluid Aspiration 6785 7820 8855 9890 Radiology Interventional IR028 Ultrasound Guided Fnac/Biopsy 8050 9315 10465 11730 Radiology Interventional IR029 Ultrasound Guided Drainage 10120 11730 13225 14720 Radiology Interventional IR030 Ultrasound Guide Fluid Aspiration 4600 5290 5980 6670 Radiology Interventional IR031 Celiac Plexus Block 46000 52900 59800 66700 Radiology Laboratory Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Laboratory LB001 RBS (Blood Sugar Random) (By Reflo) 127 127 150 173 184 Laboratory LB002 RBS (Blood Sugar Random) 115 127 150 173 184 Laboratory LB003 RFT- II 748 748 863 978 1093 Laboratory LB004 LFT II 805 805 932 1047 1173 Laboratory LB005 CRP (C Reactive Protein) 483 1058 1219 1380 1541 Laboratory LB006 HbA1C (Glycosylated Hb) 564 713 828 932 1035 Laboratory LB007 Serum SGPT (ALT) 207 242 288 322 357 Laboratory LB008 Serum SGOT (AST) 207 242 288 322 357 Laboratory LB009 Calcium (Total) 207 219 253 288 322 Laboratory LB010 Lipid Profile 909 909 1047 1185 1323 Laboratory LB011 Serum Potassium (K+) 207 253 299 334 368 Laboratory LB012 Serum Creatnine 173 242 288 322 357 Laboratory LB013 Serum Uric Acid 196 414 483 541 610 Laboratory LB014 CPK (MB) 483 483 564 633 702 Laboratory LB015 Serum Sodium (Na+) 253 253 299 334 368 Laboratory LB016 Serum Phosphorus 207 219 253 288 322 Laboratory LB017 Lipase 805 805 932 1047 1173 Laboratory LB018 Iron Profile (Serum Iron & Tibc) 633 748 863 978 1093 Laboratory LB019 HS CRP(C-Reactive Protein) 874 874 1012 1139 1277 Laboratory LB020 Amylase 380 380 437 495 552 Laboratory LB021 FBS (Blood Sugar Fasting) 127 127 150 173 184 Laboratory LB022 Serum Bilirubin 173 460 529 598 667 Laboratory LB023 Serum Magnesium 598 598 690 782 874 Laboratory LB024 CPK (NAC) 483 483 564 633 702 Laboratory LB025 RFT- III 989 1495 1725 1944 2174 Laboratory LB026 Blood Urea 161 161 196 219 242 Laboratory LB027 Blood Sugar PP 127 127 150 173 184 Laboratory LB028 Lactate (Serum) 1208 1208 1392 1576 1760 Laboratory LB029 Electrolytes (Na+K+Cl) 414 414 483 541 610 Laboratory LB030 SPOT Urine For Microalbumin 690 690 794 897 1001 Laboratory LB031 Total Protein 207 253 299 334 368 Laboratory LB032 Ammonia 1265 1518 1748 1978 2208 Laboratory LB033 Adenosine Deaminase (ADA) 759 989 1139 1288 1438 22 Laboratory LB034 LDH 449 460 529 598 667 38214/2020/ESTT-NE_HRLaboratory LB035 RFT- I 380 380 437 495 552 Laboratory LB036 BICARBONATE,SERUM(HCO3) 633 633 736 828 920 Laboratory LB037 CSF Cytology & Biochemistry 690 690 794 897 1001 Laboratory LB038 Pleural Fluid For Cytology & Biochemistry 690 690 794 897 1001 Laboratory LB039 Ascitic Fluid For Cytology & Biochemistry 690 690 794 897 1001 Laboratory LB040 LFT IV 426 426 495 564 621 Laboratory LB041 LFT III 989 1380 1587 1794 2001 Laboratory LB042 Ca 125 (Ovarian) 1518 1898 2185 2473 2760 Laboratory LB043 AFP (Alpha Feto Protein) 1012 1633 1886 2128 2369 Laboratory LB044 Cortisol Serum (Morning Sample) 702 840 966 1093 1219 Laboratory LB045 Serum Triglycerides 219 219 253 288 322 Laboratory LB046 Coombs Test Direct (DCT) 598 598 690 782 874 Laboratory LB047 Phenytoin ( Same As Dilantin Epilamplin Epilepti) 1231 1426 1645 1863 2070 Laboratory LB048 SAAG 380 483 564 633 702 Laboratory LB049 Serum Protein Electrophoresis 863 1185 1369 1541 1725 Laboratory LB050 CEA (Carcino Embryonic Antigen) 851 1875 2162 2438 2726 Laboratory LB051 Alkaline Phosphatase 161 161 196 219 242 Laboratory LB052 Tacrolimus FK506/CMIA 4554 4888 5624 6360 7096 Laboratory LB053 Cortisol Serum (Evening Sample) 702 840 966 1093 1219 Laboratory LB054 FBS (Blood Sugar Fasting) (By Reflo) 127 127 150 173 184 Laboratory LB055 Serum Chloride 184 414 483 541 610 Laboratory LB056 Serum Iron 552 552 644 725 805 Laboratory LB057 Ca 19.9 (Pancreatic) 1714 2346 2703 3059 3404 Laboratory LB058 LFT I 311 311 368 414 460 Laboratory LB059 Homocystine Level 1139 1461 1691 1909 2128 Laboratory LB060 Valporic Acid 1012 1300 1495 1691 1886 Laboratory LB061 Urine For Spot Sodium (Na+) 311 311 368 414 460 Laboratory LB062 Blood Sugar PP (By Reflo) 127 127 150 173 184 Laboratory LB063 Total Cholesterol 184 242 288 322 357 Laboratory LB064 PSA (Free) Outsourced 1081 1208 1392 1576 1760 Laboratory LB065 C Peptide Serum 1334 1426 1645 1863 2070 Laboratory LB066 CANCA PR3 (Serin Proteinase 3 Antibodies) 2277 2346 2703 3059 3404 Laboratory LB067 Insulin Serum 1012 1300 1495 1691 1886 Laboratory LB068 24 Hrs Urine For Protein 322 414 483 541 610 Laboratory LB069 24 Hour Urine Creatinine 380 380 437 495 552 Laboratory LB070 Ceruloplasmin 1392 1633 1886 2128 2369 Laboratory LB071 Angiotensin Converting Enzyme ACE 1472 1472 1702 1921 2139 Laboratory LB072 Haptoglobin 2404 2737 3151 3565 3979 Laboratory LB073 Amoebic Serology 1714 2093 2415 2726 3036 Laboratory LB074 C3 Complement Component 828 1185 1369 1541 1725 Laboratory LB075 Cholinesterase (Serum) 621 679 782 886 989 Laboratory LB076 Glucose Tolerance test(OGTT) 0,1 & 2 hrs. 299 368 426 483 541 Laboratory LB077 Testosterone Free 2346 2507 2887 3266 3646 Laboratory LB078 Gama GT (GGT) 322 414 483 541 610 Laboratory LB079 Clostridium Difficle Toxin A&B Stool 3105 3335 3841 4336 4842 Laboratory LB080 Urine Spot Creatinine 322 380 437 495 552 Laboratory LB081 ANA/ANF (Anti Nuclear Anti Body) In Dilution 2530 3738 4301 4865 5428 Laboratory LB082 Carbamazepine (Same As Tagretol Mazetol Carbatol) 1012 1426 1645 1863 2070 Laboratory LB083 Osmolality Serum 874 909 1047 1185 1323 Laboratory LB084 Cortisol Morning & Evening 1265 1495 1725 1944 2174 Laboratory LB085 Synovial Fluid For Cytology & Biochemistry 621 621 725 817 909 Laboratory LB086 Serum Lithium 380 414 483 541 610 Laboratory LB087 Immuno fixation Electrophoresis (Serum) 7590 8407 9672 10937 12190 Laboratory LB088 Pericardial Fluid For Cytology & Biochemistry 621 621 725 817 909 Laboratory LB089 Urine For Spot Potassium (K+) 299 380 437 495 552 Laboratory LB090 Blood For Ketone Bodies 414 414 483 541 610 Laboratory LB091 Dheas (Dehydroepindrosterone) 3105 3335 3841 4336 4842 Laboratory LB092 Transferin 1392 1495 1725 1944 2174 Laboratory LB093 Creatinine (Ist Morning Urine Sample) 311 311 368 414 460 Laboratory LB094 GCT (Glucose Challenge Test) 115 541 633 713 794 Laboratory LB095 KI 67 (MIB 1) 3795 3795 4370 4934 5509 Laboratory LB096 HDL Cholesterol 219 219 253 288 322 Laboratory LB097 24 Hour Urine For Calcium 322 414 483 541 610 Laboratory LB098 C4 Complement Component 828 1185 1369 1541 1725 Laboratory LB099 Copper 24 Hour Urine 2346 2473 2852 3220 3588 Laboratory LB100 Phenobarbitone (Duminal Gardenal Phenobarbitone) 1173 1254 1449 1633 1829 23 Laboratory LB101 Beta 2 Microglobulin Serum 1645 1645 1898 2139 2392 38214/2020/ESTT-NE_HRLaboratory LB102 Leucocyte Alkaline Phosphatase Score (Lap Score) 1058 1208 1392 1576 1760 Laboratory LB103 Micro Albumin 24 Hour Urine 702 1058 1219 1380 1541 Laboratory LB104 SCA PANEL(4593)SRL 14548 14548 16733 18918 21103 Laboratory LB105 VMa 24 Hr. Urine (Vanimandelic Acid) 4428 5635 6486 7326 8177 Laboratory LB106 Serum LDL Cholesterol 380 380 437 495 552 Laboratory LB107 24 Hour Urine Uric acid 322 357 414 472 518 Laboratory LB108 Alpha Feto Protein (Amniotic Fluid) 1012 1633 1886 2128 2369 Laboratory LB109 Calcitonin 2726 2933 3381 3818 4255 Laboratory LB110 Chromogranin A (CGA) 8729 9189 10569 11949 13329 Laboratory LB111 Fluid For Cytology & Biochemistry (Dr. Lal) 702 1208 1392 1576 1760 Laboratory LB112 Gastrin Level 1518 1633 1886 2128 2369 Laboratory LB113 Jak Stat Mutation 6831 6831 7866 8890 9913 Laboratory LB114 Metanaephrines 24 Hrs Urine 13662 14628 16825 19021 21218 Laboratory LB115 Protein S Functinal 5060 5221 6015 6797 7579 Laboratory LB116 Urine For Spot Chloride 184 184 219 242 276 Laboratory LB117 Catecholamines & VMA 24 Hour Urine 9867 10569 12156 13743 15330 Laboratory LB118 Fluid for Amylase 380 380 437 495 552 Laboratory LB119 GFR(Glomerular Filtration Rate) 2530 2530 2910 3289 3669 Laboratory LB120 MYOGLOBIN,SERUM(LAL B102) 5060 5060 5819 6578 7337 Laboratory LB121 NSE (Neuron Sepcific Enolase) 4048 4347 5003 5658 6314 Laboratory LB122 Porphobilinogen (PBG) Qulitative Urine 5566 5566 6406 7245 8073 Laboratory LB123 Protein C Functional 5003 5221 6015 6797 7579 Laboratory LB124 Protein S Activity(3837)Srl 5060 5382 6199 7004 7809 Laboratory LB125 Salicylate (2 ML Serum No Additive) 1898 1898 2185 2473 2760 Laboratory LB126 HBsAg quantitative (S215) 1760 2024 2335 2634 2944 Laboratory LB127 Urine Chloride 161 161 196 219 242 Laboratory LB128 Urine Total Protein 127 127 150 173 184 Laboratory LB129 24 HR.5-HIAA(5 HYYDROXY INDOLE ACETIC ACID.LAL034 3358 3358 3864 4370 4876 Laboratory LB130 24 Hrs Urine For Creatnine Clearence 426 426 495 564 621 Laboratory LB131 24 Hrs Urine Protein & Creatinine 575 690 794 897 1001 Laboratory LB132 24 Urine For Potassium 288 288 334 380 426 Laboratory LB133 24Hr Urine Electrolyte 575 575 667 748 840 Laboratory LB134 5a-dihydrotestosterone 3416 3416 3933 4451 4957 Laboratory LB135 Acetyllholine Receptorauto Ab.(1411)Srl 5382 6015 6923 7820 8729 Laboratory LB136 Acid Phosphate (Total) 219 242 288 322 357 Laboratory LB137 Alpha 1 Antitrypsin Quantitation AAT 2714 2714 3128 3531 3945 Laboratory LB138 Copper Serum Atomic Absorption 1645 1771 2047 2312 2576 Laboratory LB139 Cortisol Free 24 Hrs.Urine 1012 1093 1265 1426 1587 Laboratory LB140 Cortisol Serum (Mid Night) 702 840 966 1093 1219 Laboratory LB141 CSF For Ologoclonal Band 4934 5014 5773 6521 7280 Laboratory LB142 Flt3 Gene Mutation (N052) Lpl 4048 4347 5003 5658 6314 Laboratory LB143 Insulin Antibodies 2519 2519 2898 3278 3657 Laboratory LB144 Leigionella Antigen(Lal.M217) 3036 3036 3496 3956 4405 Laboratory LB145 Osmotic Fragility Test (RBC Fragility Test) 621 679 782 886 989 Laboratory LB146 Plasma Metanephrine(3315P)Srl 6958 14893 17135 19366 21597 Laboratory LB147 Tms 57 Condition(Babyshield) 6739 6739 7751 8763 9775 Laboratory LB148 Tumour Necrosis Factor (TNF) Alpha 4934 5969 6866 7763 8660 Laboratory LB149 VLDL 219 219 253 288 322 Laboratory LB150 VMA ,Random Urine(U030)Lpl 4428 4428 5095 5762 6429 Laboratory LB151 Weil Felix Test 1012 1012 1173 1323 1472 Laboratory LB152 Serum Protein Electrophoresis Immunoglobin Profile 2151 4968 5716 6463 7211 Laboratory LB153 Urine For Amylase 311 311 368 414 460 Laboratory LB154 Urine For Organic Acid(G164)Lpl 4428 4750 5463 6176 6889 Laboratory LB155 Urine For Spot Calcium 219 219 253 288 322 Laboratory LB156 Urine Opiates,Morphine Screen(K001)Lpl 828 886 1024 1162 1288 Laboratory LB157 Ristocetin Cofactor (Rw169 Lpl) 16698 17883 20574 23253 25933 Laboratory LB158 17 Ketosteriods (24 Hrs Urine) 7211 7717 8878 10040 11190 Laboratory LB159 24 Hour Urine Phosphorus 322 322 380 426 472 Laboratory LB160 24 Hrs Urine Aldosterone (Outsource) 2024 2185 2519 2841 3174 Laboratory LB161 24 hrs.Urinary metabolote profile(UROLAB) 5060 5060 5819 6578 7337 Laboratory LB162 Acid Phosphate (Prostatic) 426 460 529 598 667 Laboratory LB163 Acidific Serum Test (Han Test) 1599 1599 1840 2082 2323 Laboratory LB164 Alcohal Screen (Random Urine) 863 863 1001 1127 1254 Laboratory LB165 Alcohol Screen Blood (3Ml Blood In Sugar Vial) 863 932 1081 1219 1357 Laboratory LB166 Alkaline Phosphate Bone Specific 5693 6107 7027 7947 8855 Laboratory LB167 Alkaline Phosphate Isoenzyme 6578 7050 8108 9166 10224 24 Laboratory LB168 Amino Acid Quantitative Blood (G165) LPL 4934 5290 6084 6877 7671 38214/2020/ESTT-NE_HRLaboratory LB169 Amino Acids Urine (G107)Lpl 1564 1679 1932 2185 2438 Laboratory LB170 Amiodarone (Lpl D033)Edta 6302 6302 7257 8200 9143 Laboratory LB171 Amnotic Fluid (Fish For Amino Two Probes Trisomy 1) 7452 7452 8579 9695 10810 Laboratory LB172 Arsenic Blood 3485 3738 4301 4865 5428 Laboratory LB173 Benzodiazedine Screen (Random Urine) 886 955 1104 1242 1392 Laboratory LB174 BNP B Type Natriuretic Peptide 2151 2599 2990 3381 3772 Laboratory LB175 Ca 15.3 (Breast) 1714 1840 2116 2392 2668 Laboratory LB176 Ca 27.29 (Breast) 7360 10833 12466 14088 15709 Laboratory LB177 Calcium (Ionise) 702 702 817 920 1024 Laboratory LB178 Calretinin 1990 1990 2289 2588 2887 Laboratory LB179 Catecholamines Plasma 9108 9764 11236 12696 14168 Laboratory LB180 Catecholamines Random Urine 5693 6107 7027 7947 8855 Laboratory LB181 Catecholamines24 Urine (Outsource) 5693 6107 7027 7947 8855 Laboratory LB182 Chlamydia Bivalent Antibody 1771 1898 2185 2473 2760 Laboratory LB183 Chlordiazepoxide (Librium) 2645 2645 3048 3439 3841 Laboratory LB184 CK-MM(LPL)E007 10120 10833 12466 14088 15709 Laboratory LB185 Copper Serum Specrophotometry 1645 1645 1898 2139 2392 Laboratory LB186 Cryoglobulin Panel 7280 7797 8970 10143 11316 Laboratory LB187 Cryoglobulin Qualitative 1208 1300 1495 1691 1886 Laboratory LB188 Despramine (Norpramin Pertotrane) 2714 2714 3128 3531 3945 Laboratory LB189 Dhea Sulphate 1265 1357 1564 1771 1978 Laboratory LB190 Diazepam Level 13789 14766 16986 19205 21413 Laboratory LB191 E3 Estriol Unconjugated 1564 1679 1932 2185 2438 Laboratory LB192 Estrioc (UE3) Uncojugated Serum 1564 1564 1806 2036 2277 Laboratory LB193 Fish Test (Breast) 13915 14893 17135 19366 21597 Laboratory LB194 Glucose Tolerance Test (OGTT)& 2 hrs. 575 506 587 667 736 Laboratory LB195 Hemosiderin Urine 449 483 564 633 702 Laboratory LB196 HLA B51 (L008) 5440 5842 6728 7602 8476 Laboratory LB197 IMD Panel Quantitative Blood (Newborn Screen) 5060 5693 6555 7406 8257 Laboratory LB198 Infertility Pannel I 2277 2450 2818 3186 3554 Laboratory LB199 Mesoridazine (Serentil) 828 828 955 1081 1208 Laboratory LB200 MTB/TMA 2783 4071 4692 5302 5911 Laboratory LB201 NICOTIN AND COTININE URINE(RW138)LAL 10120 10120 11638 13156 14674 Laboratory LB202 NPM1 Gene Mutation (N051) LPL 5060 5417 6233 7050 7855 Laboratory LB203 Orotic Acid Urine (G150) LPL 4428 4750 5463 6176 6889 Laboratory LB204 Phenylalanine Newborn Screen 322 345 403 449 506 Laboratory LB205 Pro insulin 12857 12857 14789 16721 18653 Laboratory LB206 PTHrP (RW160) LPL 13225 13225 15215 17193 19182 Laboratory LB207 Rapid Ureas 322 345 403 449 506 Laboratory LB208 SCL 7(Scleroderma) 1576 1576 1817 2059 2289 Laboratory LB209 Serum Aldosterone (Lpl R049) 2024 2185 2519 2841 3174 Laboratory LB210 Theophylline (2Ml Serum No Additive) 1265 1645 1898 2139 2392 Laboratory LB211 TTF1 2404 2404 2772 3128 3496 Laboratory LB212 Urine Amphetamine Screen (K013) Lpl 886 955 1104 1242 1392 Laboratory LB213 Urine Cannabinoids Screen (K003) Lpl 863 932 1081 1219 1357 Laboratory LB214 VGKC Antibody(LPL,S250) 8855 8855 10189 11512 12846 Laboratory LB215 VON Willebrand Antigen Vwf (H13Lpl) 13536 13536 15571 17607 19631 Laboratory LB216 Zinc,Serum/Plasma 2277 2392 2760 3117 3473 Laboratory LB217 Urine R & M 150 184 219 242 276 Laboratory LB218 Stool RE/ME 150 161 196 219 242 Laboratory LB219 Urine For Ketone Bodies/Acetone 127 127 150 173 184 Laboratory LB220 Stool For Occult Blood 184 299 345 391 437 Laboratory LB221 Urinary Microalbumin & Creatinine 357 380 437 495 552 Laboratory LB222 Urine For PH 81 81 104 115 127 Laboratory LB223 Urine For Albumin 115 115 138 150 173 Laboratory LB224 Urine Pregnancy Test (UPT) 219 242 288 322 357 Laboratory LB225 Routine Semen Examination 460 460 529 598 667 Laboratory LB226 Stone Analysis By FT-IR(Urolab) 1461 1461 1691 1909 2128 Laboratory LB227 Osmolality Random Urine 874 909 1047 1185 1323 Laboratory LB228 Urine Dysmorphic RBC 345 345 403 449 506 Laboratory LB229 Stool For Reducing Substances 150 219 253 288 322 Laboratory LB230 Urine For Fat Globules 161 161 196 219 242 Laboratory LB231 Hemoglobin Free Urine 242 345 403 449 506 Laboratory LB232 Urine For Bence Jones Protein 357 357 414 472 518 Laboratory LB233 Urine For Sugar 81 81 104 115 127 Laboratory LB234 Stool For PH 127 127 150 173 184 25 Laboratory LB235 5 Hiaa 24 Hour Urine(5 Hydroxy Endole Acetic Acid) 3358 3358 3864 4370 4876 38214/2020/ESTT-NE_HRLaboratory LB236 Fasting Urine Sugar 81 81 104 115 127 Laboratory LB237 Urine For Myoglobin Quantitative 10672 10672 12282 13881 15479 Laboratory LB238 Urine For Specific Gravity 150 161 196 219 242 Laboratory LB239 Urine Phase Contrast Microscopy 414 414 483 541 610 Laboratory LB240 24 Hour Urine Oxalate 2151 2312 2668 3013 3358 Laboratory LB241 Stone Analysis(LPL) 1334 1346 1553 1760 1955 Laboratory LB242 Urine For Bile Pigment 150 150 173 196 219 Laboratory LB243 Urine For Bile Salt 92 92 115 127 138 Laboratory LB244 Urine For PUS Cells 150 184 219 242 276 Laboratory LB245 Urine For RBCS 150 184 219 242 276 Laboratory LB246 Urine For Urobilinogen 150 184 219 242 276 Laboratory LB247 Urine Occult Blood 150 150 173 196 219 Laboratory LB248 17 Hydroxycorticosteriods & 17 Ketosteroids (24 Hrs Urine) 15180 16250 18688 21126 23564 Laboratory LB249 24 Hour Urine Chromium 4048 4347 5003 5658 6314 Laboratory LB250 24 Hour Urine For Protein Elecrophoresis 4934 5290 6084 6877 7671 Laboratory LB251 5 Hydroxy Indole Acetic Acid (Hiaa) Urine 24 Hrs 3358 4865 5601 6325 7061 Laboratory LB252 Barbiturate Screen Random Urine 886 955 1104 1242 1392 Laboratory LB253 Barbiturates [Identification & Quantification] 14088 14088 16204 18320 20436 Laboratory LB254 Chromuim Random Urine 4048 4347 5003 5658 6314 Laboratory LB255 Copper Random Urine 2346 2507 2887 3266 3646 Laboratory LB256 Post Coital Test (PCT) 426 426 495 564 621 Laboratory LB257 PP Urine Sugar 115 115 138 150 173 Laboratory LB258 Semen Fructose 322 345 403 449 506 Laboratory LB259 Semen Wash (Concentrate) 1898 1898 2185 2473 2760 Laboratory LB260 Sudan Stain(urine,stool,fluid)LPL J058 621 621 725 817 909 Laboratory LB261 Urine Bile Pigment And Bile Salt 115 115 138 150 173 Laboratory LB262 Urine For Chyle 150 679 782 886 989 Laboratory LB263 Urine For Myoglobin Qualitative 828 828 955 1081 1208 Laboratory LB264 FNAC 955 989 1139 1288 1438 Laboratory LB265 Fluid For Cytology 702 909 1047 1185 1323 Laboratory LB266 Pap Smear 702 909 1047 1185 1323 Laboratory LB267 Body Fluid For Malignant Cells 702 909 1047 1185 1323 Laboratory LB268 Bone Marrow Smear Exmination 1380 1380 1587 1794 2001 Laboratory LB269 Slide For Opinion 357 460 529 598 667 Laboratory LB270 Urine for Eosinophilia 173 173 207 230 253 Laboratory LB271 LBC ( Liquid Base Cytology) Srl 2024 2024 2335 2634 2944 Laboratory LB272 LBC ( Liquid Base Cytology) (Lal Path) 1300 1300 1495 1691 1886 Laboratory LB273 LBC ( Liquid Base Cytology) (Quest) 1438 1438 1656 1875 2093 Laboratory LB274 CBC (Haemogram) 449 541 633 713 794 Laboratory LB275 Prothrombin time(PT) with INR 449 495 575 644 725 Laboratory LB276 Platelets Count 173 253 299 334 368 Laboratory LB277 CBC With ESR 449 564 656 736 828 Laboratory LB278 APTT (Activated Partial Thromboplastin Time) 380 380 437 495 552 Laboratory LB279 Blood Grouping & Rh 127 127 150 173 184 Laboratory LB280 MP By Card 541 541 633 713 794 Laboratory LB281 TLC(Total Leucocyte Count) 150 242 288 322 357 Laboratory LB282 HB (Haemoglobin) 127 127 150 173 184 Laboratory LB283 ESR(Erythrocyte Sedimentation Rate) 115 115 138 150 173 Laboratory LB284 Differential Leukocute Count (DLC) 161 161 196 219 242 Laboratory LB285 PBF for Type of anemia/Abnormal cells 184 736 851 966 1070 Laboratory LB286 MP (Maleria Parasite Smear Examination) 161 161 196 219 242 Laboratory LB287 Reticulocyte Count(EDTA,WB) 219 219 253 288 322 Laboratory LB288 Absolute Eosinophil Count (AEC) 207 253 299 334 368 Laboratory LB289 HB Electrophoresis 1208 1518 1748 1978 2208 Laboratory LB290 G6 PD (Qualitative) 1058 1300 1495 1691 1886 Laboratory LB291 Immature Platelet Fraction (IPF) 759 759 874 989 1104 Laboratory LB292 BT & CT 127 127 150 173 184 Laboratory LB293 Nano-check - D DIMER 1518 2243 2588 2921 3255 Laboratory LB294 ICT (Coombs Test Indirect ) 610 610 702 794 886 Laboratory LB295 HB With HCT /PCV 311 690 794 897 1001 Laboratory LB296 CBC With AEC 449 610 702 794 886 Laboratory LB297 G6 PD Quantitative 1058 1449 1668 1886 2105 Laboratory LB298 D Dimer (Quantitative) 1518 2243 2588 2921 3255 Laboratory LB299 HB / TLC / DLC 541 541 633 713 794 Laboratory LB300 Packed Cell Volume (PCV) 173 242 288 322 357 Laboratory LB301 Fibrinogen Degradation Products (FDP) Blood 1242 1288 1484 1679 1875 26 Laboratory LB302 PBF For Microfilaria 253 311 368 414 460 38214/2020/ESTT-NE_HRLaboratory LB303 RBC count (Red Blood Cell count) 161 184 219 242 276 Laboratory LB304 PBF For Haemolysis 104 104 127 138 161 Laboratory LB305 Thrombophilia Profile 18975 18975 21827 24668 27520 Laboratory LB306 Fructosamine 598 656 759 863 955 Laboratory LB307 Fibrinogen 874 1380 1587 1794 2001 Laboratory LB308 Minimal Residual Disease by Peripheral Blood 60916 60916 70058 79201 88332 Laboratory LB309 Filaria Antigen (Wucheraria Bancorofti Antigen) 1001 1185 1369 1541 1725 Laboratory LB310 MULTIPLE MYELOMA SCREENING PANEL(5040)SRL 10120 10120 11638 13156 14674 Laboratory LB311 PBF For Sepsis 104 104 127 138 161 Laboratory LB312 Antithrombin III Functional 3611 3703 4267 4819 5371 Laboratory LB313 Newborn Screeing Test 2277 2553 2944 3324 3703 Laboratory LB314 PML RA RA Qualitative (9905 SRL) 6958 6958 8004 9051 10097 Laboratory LB315 Bone Marrow Smear Examination with iron stain 449 2346 2703 3059 3404 Laboratory LB316 Absolute Neutrophil Count 184 184 219 242 276 Laboratory LB317 Factor V Leiden Mutation Analysis 6958 7119 8188 9258 10327 Laboratory LB318 Factor Vii(H178)Lpl 3669 3945 4543 5129 5727 Laboratory LB319 Factor VIII Assay(Quantitavie) 2277 2277 2622 2967 3312 Laboratory LB320 Fetal Haemoglobin (HBF) 1380 1380 1587 1794 2001 Laboratory LB321 Fibrinogen Degradation Products 1242 1334 1541 1737 1944 Laboratory LB322 HB A2 1518 1518 1748 1978 2208 Laboratory LB323 Hemophilia Panel(Z374)Lpl 3542 3795 4370 4934 5509 Laboratory LB324 Inhibin A, Reproductive Marker(F022) 955 955 1104 1242 1392 Laboratory LB325 Methemoglobin Blood(m0044)Metropolis Laboratory LB326 MULTIPLE MYELOMA MONITORING PANEL(Z842)LPL 10753 10753 12374 13984 15594 Laboratory LB327 MULTIPLE MYELOMA SCREENING PANEL(Z782)LPL 10120 11926 13720 15514 17296 Laboratory LB328 Platelet Function test Laboratory LB329 Tests for hypercoagulable states- Protein C, Protein S, Antithrombin Laboratory LB330 Thrombin Time (TT) 886 955 1104 1242 1392 Laboratory LB331 Absolute Lymphocyte Count 184 184 219 242 276 Laboratory LB332 Absolute Monocyte Count 184 184 219 242 276 Laboratory LB333 AML Risk Startification(comboquest 1)sp 10009 5969 5969 6866 7763 8660 Laboratory LB334 CLL Panel by Flow(1609)SRL 10879 17607 20252 22897 25530 Laboratory LB335 Cll Panel(Srl 1608) Laboratory LB336 Clot Retraction Time 322 345 403 449 506 Laboratory LB337 Factor IX Functional 2220 2381 2749 3105 3462 Laboratory LB338 Factor XIFunctional 3922 4209 4842 5474 6107 Laboratory LB339 LE Cells 449 483 564 633 702 Laboratory LB340 Leukemia Diagnostic Panel T&B Cell 18975 24369 28026 31683 35340 Laboratory LB341 Lupus Anticogulant Screening 2404 2404 2772 3128 3496 Laboratory LB342 PML RA RA GENE Qualitative PCR (LPL N038) 6578 6567 7556 8545 9522 Laboratory LB343 Vasculitis Panel(LPL Z613) 6578 6705 7717 8717 9729 Laboratory LB344 WBC Cytochemistry For Leukemia -Complete Panel Laboratory LB345 ABG 909 909 1047 1185 1323 Laboratory LB346 Biopsy (Small) 1208 1208 1392 1576 1760 Laboratory LB347 Biopsy (Large) 2657 2657 3059 3462 3853 Laboratory LB348 IHC Final Diagnosis Panel 8947 8947 10293 11638 12984 Laboratory LB349 Kidney Biopsy Panel 1(Z353)LPL 4554 5221 6015 6797 7579 Laboratory LB350 Her 2/New 1771 1771 2047 2312 2576 Laboratory LB351 IHC KI 67 2404 2404 2772 3128 3496 Laboratory LB352 IHC CD20 2404 2404 2772 3128 3496 Laboratory LB353 IHC CD3 1990 2128 2450 2772 3094 Laboratory LB354 Slide/block/cellblock issue 357 380 437 495 552 Laboratory LB355 IHC S 100 1990 2128 2450 2772 3094 Laboratory LB356 IHC CD5 1990 2128 2450 2772 3094 Laboratory LB357 IHC LCA 1990 2128 2450 2772 3094 Laboratory LB358 IHC CK 7 1990 2128 2450 2772 3094 Laboratory LB359 CD 4 (Helper T Cell Marker) 1990 2128 2450 2772 3094 Laboratory LB360 IHC CD4 1990 2128 2450 2772 3094 Laboratory LB361 IHC MARKER CK 1990 2128 2450 2772 3094 Laboratory LB362 IHC SMA 1392 1771 2047 2312 2576 Laboratory LB363 IHC- VIMENTION 2093 2093 2415 2726 3036 Laboratory LB364 BCL 2 (Follicular Lymphoma Marker) 2093 2128 2450 2772 3094 Laboratory LB365 CD 117 (Myeloid Cell Marker) 2599 2599 2990 3381 3772 Laboratory LB366 CD 19 (Pan B Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB367 CD 3 (Pan T Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB368 Fish For Multiple Myloma Srl (6031F) 17078 17078 19642 22207 24771 27 Laboratory LB369 IHC CD45 1990 2128 2450 2772 3094 38214/2020/ESTT-NE_HRLaboratory LB370 IHC CD8 1990 2128 2450 2772 3094 Laboratory LB371 IHC Desmin 1990 2128 2450 2772 3094 Laboratory LB372 Kappa Light Chain (Clonal Restriction/B Cell Maturity Marker) 4934 5003 5762 6509 7257 Laboratory LB373 Kidney Biopsy Panel 3(Z830)LPL 11385 11385 13099 14801 16514 Laboratory LB374 CD 15 (Myeloid Cell Marker) 2599 2599 2990 3381 3772 Laboratory LB375 CD 5 (T Cell/B Cell Subset) Marker 1990 2783 3209 3623 4037 Laboratory LB376 EGFR T 79 Mutation(Onquest) 12018 18975 21827 24668 27520 Laboratory LB377 Her2/Neu by Fish 13915 13915 16008 18090 20183 Laboratory LB378 IHC-EMA 2093 2093 2415 2726 3036 Laboratory LB379 MDS panel(Digi-brige) 12650 4347 5003 5658 6314 Laboratory LB380 Special Stain 610 667 771 874 978 Laboratory LB381 TDT (Precursor Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB382 IHC MARKER CK 5 1990 1990 2289 2588 2887 Laboratory LB383 IHC MARKER CK 6 1990 1990 2289 2588 2887 Laboratory LB384 Kidney Biopsy Electron Microscopy(Tem G) 11385 11385 13099 14801 16514 Laboratory LB385 Mds Fish Panel Chromosome Study(Quest)Sc10092 12271 12271 14122 15962 17802 Laboratory LB386 Acute Lymphoblastic Leukemia Cytogenetics(2775)Lpl 17710 17710 20367 23023 25680 Laboratory LB387 BCR/ABL By Fish SFI10001(ONQUEST) 5187 5187 5969 6751 7521 Laboratory LB388 BLOCK REVIEW(4055,SRL) 8855 8855 10189 11512 12846 Laboratory LB389 BRCA182 ONQUEST(SM010058) 25300 25300 29095 32890 36685 Laboratory LB390 CD 138 (Plasma Cell/Multiple Myeloma Marker) 2599 2783 3209 3623 4037 Laboratory LB391 CD 30 1990 2128 2450 2772 3094 Laboratory LB392 CD 45 Leukyocyte Common Antigen (LSA) 2599 2783 3209 3623 4037 Laboratory LB393 CD 56 (Natural Killer Cell Marker) 1990 2128 2450 2772 3094 Laboratory LB394 CD 8 (Suppressor T Cell Marker) 1990 3036 3496 3956 4405 Laboratory LB395 CD 99 1990 2128 2450 2772 3094 Laboratory LB396 Chimerism-Xy By Fish(Onquest) 6141 6141 7073 7993 8913 Laboratory LB397 Chimerism-Xy(Onquest) 6325 6325 7280 8223 9177 Laboratory LB398 ERMA (ONQUEST) Laboratory LB399 Flt-3(Onquest) 5382 4347 5003 5658 6314 Laboratory LB400 Histopathology Kidney Biopsy Panal One 4554 4554 5244 5923 6613 Laboratory LB401 IHC CD X2 1714 1714 1978 2231 2496 Laboratory LB402 IHC CK 20 1990 2404 2772 3128 3496 Laboratory LB403 IHC Complete Disgnosis Panel(Z009K)Srl 6452 6452 7429 8395 9361 Laboratory LB404 IHC Custom Panel(Z700)Lpl 7590 7590 8729 9867 11006 Laboratory LB405 IHC E-Cadherin 1898 1898 2185 2473 2760 Laboratory LB406 IHC EGFR(LPL)j077 2404 2588 2979 3370 3761 Laboratory LB407 MPO (Myeloid Cell Marker)/Gist Marker 2312 2312 2668 3013 3358 Laboratory LB408 IHC MARKER CK 7 1990 1990 2289 2588 2887 Laboratory LB409 IHC- MYOGENIN 2530 2714 3128 3531 3945 Laboratory LB410 Kras Mutation (N067)Lpl 9488 10166 11696 13225 14743 Laboratory LB411 IHC P53 1990 2128 2450 2772 3094 Laboratory LB412 Biopsy Second Opinion (J007) 1012 1093 1265 1426 1587 Laboratory LB413 CD 1 A (Pan T Cell Marker) 2599 2599 2990 3381 3772 Laboratory LB414 CD 1(Calla) Prognostic All Maker 2588 2588 2979 3370 3761 Laboratory LB415 CD 103 (Hairy Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB416 CD 11C (Myeloid/Hairy Cell/Nhl Differentiation Ma) Prognostic All Maker 2599 2783 3209 3623 4037 Laboratory LB417 CD 13 (Myeloid Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB418 CD 14 (Myelo Monocytic Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB419 CD 16 (Natural Killer Cell Marker) 4934 5290 6084 6877 7671 Laboratory LB420 CD 2 (Pan T Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB421 CD 2(Pan B Cell Marker) 2783 2783 3209 3623 4037 Laboratory LB422 CD 22 (Pan B Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB423 CD 23 (Cll Segregation Marker) 2599 2783 3209 3623 4037 Laboratory LB424 CD 25 (Hairy Cell/NHL Differentiation Marker) 2599 2783 3209 3623 4037 Laboratory LB425 CD 33 (Myeloid Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB426 CD 34 (Precursor Cell Marker) 2910 3128 3600 4071 4543 Laboratory LB427 CD 38 (Plasma Cell / Prognostic Cll Marker) 2599 2783 3209 3623 4037 Laboratory LB428 CD 55 8545 8545 9833 11109 12397 Laboratory LB429 CD 59 Blood (PNH) Marker 1990 2312 2668 3013 3358 Laboratory LB430 CD 61 (Megakaryocytic Marker) 2599 2783 3209 3623 4037 Laboratory LB431 CD 64 (Myelo Monocytic Cell Marker) 2599 2783 3209 3623 4037 Laboratory LB432 CD 7 (Pan T Cell/Early Myeloid Cell Marker) 2404 2783 3209 3623 4037 Laboratory LB433 CD 71 (Erythroid Cell Marker) 2312 2312 2668 3013 3358 Laboratory LB434 CLL (Chronic Lymphoid Lekumia)By FISH (XX023)LPL 10879 10879 12512 14145 15778 Laboratory LB435 Cyclin D1(Mantle Cell Lymphoma Marker) 2404 2404 2772 3128 3496 28 Laboratory LB436 ERM (ONQUEST) 38214/2020/ESTT-NE_HRLaboratory LB437 Fish-Multiple Myeloma(5 Probes)Xx027 Lal 15433 15433 17756 20068 22379 Laboratory LB438 FMC 7 (NHL /CII Differentiation Marker) 2599 2783 3209 3623 4037 Laboratory LB439 Glycophorin A (Erythroid Cell Marker) 2783 2783 3209 3623 4037 Laboratory LB440 HLA DR (Miscellaneous Marker) 2599 2783 3209 3623 4037 Laboratory LB441 IHC Alk Mutation 1990 12190 14019 15847 17676 Laboratory LB442 IHC CK 14 1898 1898 2185 2473 2760 Laboratory LB443 IHC-DESMIN 1990 4071 4692 5302 5911 Laboratory LB444 IHC-GFAP 1898 1898 2185 2473 2760 Laboratory LB445 IHC-MYO D 1898 1898 2185 2473 2760 Laboratory LB446 Immunohistochemistry(IHC)(1434) Laboratory LB447 IRMA(NO73)LPL 9867 9867 11351 12834 14318 Laboratory LB448 NMDA (Onquest) 10350 10350 11903 13455 15008 Laboratory LB449 Paraffin Section Laboratory LB450 PNH Confirmatory Test Cd 55 & 59 (Z496 Lpl),Edta,Heparin. 7970 9235 10626 12006 13398 Laboratory LB451 Skin Biopsy Panel (Z158) 3105 3335 3841 4336 4842 Laboratory LB452 Surface IgG (Clonal Restriction/B Cell Maturity Marker) 2312 2312 2668 3013 3358 Laboratory LB453 Surface IgM (Clonal Restriction/B Cell Maturity Marker) 2312 2312 2668 3013 3358 Laboratory LB454 Zap 7Blood (Prognostic B Cll Marker) 2783 2783 3209 3623 4037 Laboratory LB455 Serum Prolactin 667 943 1093 1231 1369 Laboratory LB456 Testosterone Total 759 1346 1553 1760 1955 Laboratory LB457 Estrogen Receptor (ER) 1645 1645 1898 2139 2392 Laboratory LB458 Progesterone Receptor (PR) 1645 1645 1898 2139 2392 Laboratory LB459 Anti Mullerian Harmone 2346 2473 2852 3220 3588 Laboratory LB460 Thyroid Profile (Lal Path) 1645 1645 1898 2139 2392 Laboratory LB461 Acth (EDTA Plasma) 2346 2346 2703 3059 3404 Laboratory LB462 E2 (Estradiol) 748 943 1093 1231 1369 Laboratory LB463 17 Hydroxyprogesterone 1645 1771 2047 2312 2576 Laboratory LB464 IgF I & Growth Hormone 5693 6107 7027 7947 8855 Laboratory LB465 Thyroid Antibodies 3393 3393 3910 4416 4922 Laboratory LB466 Progesterone 1645 1771 2047 2312 2576 Laboratory LB467 HBsAg By ECLIA 828 863 1001 1127 1254 Laboratory LB468 HCV By ECLIA 909 909 1047 1185 1323 Laboratory LB469 HIV 1 & 2 By ECLIA 610 748 863 978 1093 Laboratory LB470 TSH (Thyroid Stimulating Hormone) 242 541 633 713 794 Laboratory LB471 Thyroid Profile (Total) 633 1185 1369 1541 1725 Laboratory LB472 Vitamin D 25 Hydroxy 2093 2841 3278 3703 4129 Laboratory LB473 Vitamin B12 1334 1875 2162 2438 2726 Laboratory LB474 Troponin T(Trop T) 1576 1576 1817 2059 2289 Laboratory LB475 PSA Total (Prostatic Specific Antigen) 955 1300 1495 1691 1886 Laboratory LB476 Folate (Folic Acid) Serum 1461 2346 2703 3059 3404 Laboratory LB477 Thyroid Profile (Free) 1185 1185 1369 1541 1725 Laboratory LB478 Ferritin 874 1185 1369 1541 1725 Laboratory LB479 PTH (Intact)Parathyroid Hormone 2024 2783 3209 3623 4037 Laboratory LB480 Nano-check - Pro BNP 2990 2990 3439 3887 4336 Laboratory LB481 Free T3 & Free T4 920 989 1139 1288 1438 Laboratory LB482 Total T3 & Total T4 437 840 966 1093 1219 Laboratory LB483 XPERT PLUS(9507)SRL 3163 3393 3910 4416 4922 Laboratory LB484 Anti Cyclic Citrullinated Peptide (Anti Ccp) 2220 2243 2588 2921 3255 Laboratory LB485 Free T4 460 541 633 713 794 Laboratory LB486 Follicle Stimulating Hormone (FSH) 679 943 1093 1231 1369 Laboratory LB487 Immunoglobin IgE Serum 1058 1495 1725 1944 2174 Laboratory LB488 Hepatitis A (HAV) IgM 1507 2243 2588 2921 3255 Laboratory LB489 ANA/ ANF (Anti Nuclear Antibody/Factor)EIA 886 1185 1369 1541 1725 Laboratory LB490 H1N1(Swine Flu) Qualitative PCR 5693 7613 8763 9902 11040 Laboratory LB491 Luteinizing Hormone (LH) 679 943 1093 1231 1369 Laboratory LB492 Anti Thyroid Peroxidase Antibody (Anti TPO) 1645 1863 2151 2427 2703 Laboratory LB493 Dual Marker 2726 2714 3128 3531 3945 Laboratory LB494 RBC Folate (Folicacid) 2657 3220 3703 4186 4669 Laboratory LB495 Dengue Ns1 Antigen Elisa(S225)Lpl 759 759 874 989 1104 Laboratory LB496 Hepatitis E IgM 2024 2346 2703 3059 3404 Laboratory LB497 Hepatitis E (HEV) IgG 2024 2024 2335 2634 2944 Laboratory LB498 Leptospira Antibody IgM 1714 2243 2588 2921 3255 Laboratory LB499 Tissue Transglutaminase(TTG) IgA 1265 1806 2082 2358 2622 Laboratory LB500 Free T3 460 541 633 713 794 Laboratory LB501 Angiotensin Converting Enzyme (ACE) 1265 1357 1564 1771 1978 Laboratory LB502 Total Tyroxine (T4) 242 541 633 713 794 29 Laboratory LB503 Hepatitis Be Antigen HbeAg 1139 1288 1484 1679 1875 38214/2020/ESTT-NE_HRLaboratory LB504 Hepatitis B Viral DNA Quantitative Real Time PCR Outsourced 9488 11627 13375 15123 16859 Laboratory LB505 ANA/ANF(Anti Nuclear Anti Body)(S044) IFA (Hep 2) 1898 2047 2358 2668 2979 Laboratory LB506 Hepatitis Be Antibody; Anti HBE 1012 1047 1208 1369 1518 Laboratory LB507 Gene Xpert 2783 2783 3209 3623 4037 Laboratory LB508 Baby Shield 7(Heel Prick) 2691 2691 3105 3508 3910 Laboratory LB509 Cytomegalo Virus (Cmv) IgM 736 805 932 1047 1173 Laboratory LB510 Immune Deficiency Panel CD 4 Counts 3025 3025 3485 3933 4393 Laboratory LB511 Cytomegalo Virus (Cmv) IgG 736 805 932 1047 1173 Laboratory LB512 HLA DSA Donor Specific IgG Ab.(L022)Lpl(Donor & Recipt.) 6325 13536 15571 17607 19631 Laboratory LB513 Maternal Screen 4,Quadruple(Z514)Lpl 4163 4474 5152 5819 6498 Laboratory LB514 Hepatitis B Surface Antibody Anti HBS Outsourced 920 989 1139 1288 1438 Laboratory LB515 PANCA MPO (Anti Myloperoxidase Antibodies) 2277 2346 2703 3059 3404 Laboratory LB516 Ana Reflax To Ena Profile 5946 5946 6843 7740 8625 Laboratory LB517 Anti Dna Antibody (Double Standard) 2151 2346 2703 3059 3404 Laboratory LB518 Beta HCG(Tumar marker)F002 828 2346 2703 3059 3404 Laboratory LB519 HLA T&B Cell Flow Crossmatch For Donor & Recipient(L033)Lpl 4750 4750 5463 6176 6889 Laboratory LB520 Hepatitis B Core Anti HBC Total 1392 2024 2335 2634 2944 Laboratory LB521 Hepatitis C Viral RNA (HCV RNA) Quantitative Real Time PCR Outsourced 10626 11558 13294 15031 16767 Laboratory LB522 Free Light Chain Serum(B148)Lpl 8223 8809 10132 11454 12777 Laboratory LB523 HIV I RNA Quantitativepcr Outsourced 6325 7153 8234 9304 10373 Laboratory LB524 HLA B27 Quantitative PCR (LPL,N044) 3669 4025 4635 5233 5842 Laboratory LB525 ANCA (Anti Neutrophil Cytoplasmic Antibodies) 2151 2151 2484 2806 3128 Laboratory LB526 B HCG (Maternal) 874 886 1024 1162 1288 Laboratory LB527 Troponin I (Ultra Sensitive) 2024 2024 2335 2634 2944 Laboratory LB528 Hepatitis C Viral RNA Genotype Lipa Outsourced 8476 17572 20217 22851 25484 Laboratory LB529 Cryptococcal Antigen 2530 2933 3381 3818 4255 Laboratory LB530 Prolactin (Pooled Serum Sample) 667 1035 1196 1346 1507 Laboratory LB531 Thyroglobulin ,Tg(F012)LPL 2151 2312 2668 3013 3358 Laboratory LB532 Aspergillus IgE Fumigatus 1392 1438 1656 1875 2093 Laboratory LB533 Smooth Myscle Antibody (ASMA) IFA 2151 2243 2588 2921 3255 Laboratory LB534 Anti A Titre (H046)Lpl 541 552 644 725 805 Laboratory LB535 Anti Parietal Cell Anti Body IFA 1875 2013 2323 2622 2921 Laboratory LB536 Total T3 460 840 966 1093 1219 Laboratory LB537 Liver Kidney Micro Somal (LKM) Antibody IFA 2024 2243 2588 2921 3255 Laboratory LB538 Anti A Titer Igg(H076) 1265 1265 1461 1645 1840 Laboratory LB539 Immunoglobin IgG Serum 449 748 863 978 1093 Laboratory LB540 PANCA MPO (Anti Myloperoxidase Antibodie) 2277 2450 2818 3186 3554 Laboratory LB541 Acute Leukemia Comprehensive Panel 12650 13409 15422 17434 19447 Laboratory LB542 Immunoglobin IgA Serum 449 748 863 978 1093 Laboratory LB543 Anti Phospholipid Antibody IgG/ IgM 1771 1955 2254 2542 2841 Laboratory LB544 Chikungunya RNA PCR(7630)SRL 1265 1357 1564 1771 1978 Laboratory LB545 GALACTOMANAN(S242)LAL 6452 6912 7958 8993 10028 Laboratory LB546 Mithochondrial Antibody (AMA) IFA 2151 2243 2588 2921 3255 Laboratory LB547 Hepatitis B Core IgM Antibody (Hb C IgM Ab) 1392 1955 2254 2542 2841 Laboratory LB548 Hepatitis B Virus PCR (HBV DNA PCR) Qualitative Outsourced 5566 5969 6866 7763 8660 Laboratory LB549 Quantiferon TB Gold Gamma Interferons 3232 4025 4635 5233 5842 Laboratory LB550 HLA DNA Typing For BMT (N025,LPL) 1 Donor 18849 18849 21678 24507 27336 Laboratory LB551 Calprotectin 3105 3128 3600 4071 4543 Laboratory LB552 Chromosome Analysis (Karyotype) Blood 3611 3864 4451 5026 5612 Laboratory LB553 Cyclosporine 3036 3255 3749 4232 4727 Laboratory LB554 Growth Hormone (GH) 955 1426 1645 1863 2070 Laboratory LB555 HCV RNA PCR Qualitative Outsourced 5440 7797 8970 10143 11316 Laboratory LB556 Herpes Simplex Virus IgG & IgM 1645 1645 1898 2139 2392 Laboratory LB557 HLA DNA Typing For Kidney Transplant PCR A,B & Dr(N023)Lpl 18722 20045 23058 26059 29072 Laboratory LB558 Chromosome Analysis Product Of Conception 7717 8844 10178 11500 12834 Laboratory LB559 Complete Torch Profile (IgM & IgG) 3163 3393 3910 4416 4922 Laboratory LB560 DGP-TTG(S228)Lpl 2404 2990 3439 3887 4336 Laboratory LB561 Herpes Simplex Virus (HSV) Type 1 & 2 PCR Qualitative 7717 8200 9430 10661 11891 Laboratory LB562 Immunoglobin IgM Serum 552 748 863 978 1093 Laboratory LB563 Gad 65 (Glutamic Acid Decarboxylase 65) IgG(B150)LPL 7843 8407 9672 10937 12190 Laboratory LB564 Asca(Anti Saccharomyces Cerevisiae Ab)Iga(Lpl ,S219) 1771 1898 2185 2473 2760 Laboratory LB565 BCR/ABL PCR Qualitative(5350)SRL 3922 3922 4520 5106 5693 Laboratory LB566 NEUROTROPIC VIRUS CSF(RD1462)SRL 6199 6647 7648 8648 9649 Laboratory LB567 Dengue PCR Qualitative Lpl(N132) 4048 4048 4658 5267 5877 Laboratory LB568 HIV (W.Blot) Outsourced 4244 5670 6521 7372 8223 Laboratory LB569 Hepatitis Be Panel (HbeAg & HbeAb) 1898 2553 2944 3324 3703 30 Laboratory LB570 Anti Cardiolipin Antibody IgM 1047 1288 1484 1679 1875 38214/2020/ESTT-NE_HRLaboratory LB571 BCR/ABL PCR Qualitative(LPL) 3922 4209 4842 5474 6107 Laboratory LB572 HLA T&B Cell Lymphocyte Cross Match(L002)Lpl 2220 4750 5463 6176 6889 Laboratory LB573 Vitamin D 1,25 Hydroxy 4048 4048 4658 5267 5877 Laboratory LB574 Herpes Simplex IgG 794 989 1139 1288 1438 Laboratory LB575 Herpes Simplex IgM 794 989 1139 1288 1438 Laboratory LB576 Anti Phospholipid Antibody IgM 1012 1093 1265 1426 1587 Laboratory LB577 Anti B Titre (H047)Lpl 541 552 644 725 805 Laboratory LB578 Digoxin 1139 1438 1656 1875 2093 Laboratory LB579 Echino Coccus (Hydatid Serology) IgG 1518 1955 2254 2542 2841 Laboratory LB580 Hepatitis Beantibody; HbeAb 1288 1288 1484 1679 1875 Laboratory LB581 Hepatitis Delta Antiobody(Anti HDV) IgM 3232 3462 3991 4508 5026 Laboratory LB582 Anti Nmo Antiboby(S238)Lpl 5693 5693 6555 7406 8257 Laboratory LB583 Anti Phospholipid Antibody IgG 1012 1093 1265 1426 1587 Laboratory LB584 Anti Cardiolipin Antibody IgG 1047 1300 1495 1691 1886 Laboratory LB585 ANTI SS DNA Ab(S097)LPL 3105 3335 3841 4336 4842 Laboratory LB586 HLA DNA Typing For BMT(N025,Lpl)Patient+1 Donor 18722 18849 21678 24507 27336 Laboratory LB587 HLA DNA Typing For BMT(N025,Lpl)Patient+3 Donor 18722 56166 64596 73025 81443 Laboratory LB588 HLA Typing Ab Dr Duo (6150) Srl. 45540 45540 52371 59202 66033 Laboratory LB589 Lead Blood 2082 2231 2576 2910 3243 Laboratory LB590 Lupus Anticoagulant Panel 3462 7107 8177 9246 10316 Laboratory LB591 Metabolic Analysis Of Urine For Recurrent Stone Formers. 5060 5060 5819 6578 7337 Laboratory LB592 MULTIPLE SCLEROSIS PANEL 1(Z181)LPL 7280 7280 8372 9465 10557 Laboratory LB593 P/B For BCR/ABL Quantitative PCR 8131 8131 9361 10580 11799 Laboratory LB594 PAN Neurotropic Virus (Rd1462)Srl 6199 6774 7797 8809 9833 Laboratory LB595 Thrombochek Total(1751)Srl 27198 27198 31280 35363 39445 Laboratory LB596 Hepatitis C Antibody (Anti HCV)LPL Outsource(S062) 1840 1978 2277 2576 2875 Laboratory LB597 Anti HCV IgM Outsourced 2381 2381 2749 3105 3462 Laboratory LB598 ASCA IGG &ASCA IGA(Z675)LPL 3163 3163 3646 4117 4589 Laboratory LB599 Aspergillus Antibodies IgG 2151 2151 2484 2806 3128 Laboratory LB600 Aspergillus Antibodies IgM 2151 2312 2668 3013 3358 Laboratory LB601 BCR/ABL/QUANTITATIVE (SRL 53502N) 8545 8545 9833 11109 12397 Laboratory LB602 Beta 2 Glycoprotein IgG 1173 1323 1530 1725 1921 Laboratory LB603 Beta 2 Glycoprotein IgM 1173 1323 1530 1725 1921 Laboratory LB604 C1 Esterase Inhibitor Protein Quantition 4623 4623 5325 6015 6705 Laboratory LB605 CMV PCR CSF(7575)SRL 4934 5566 6406 7245 8073 Laboratory LB606 Cytomegalovirus Quantitative PCR 4934 11661 13421 15169 16917 Laboratory LB607 ENA Quantitative Lpl(Z101)Sst 8855 9476 10902 12328 13743 Laboratory LB608 Endomysial Antibody IgA IFA 2151 2312 2668 3013 3358 Laboratory LB609 Erythropoietip EPO 2530 2553 2944 3324 3703 Laboratory LB610 Herpis Simplex Virus (HSV) Type 1 PCR Qualitative 4681 4773 5497 6210 6923 Laboratory LB611 HLA Single Ag Bead Assay Class II IgG Ab(L035)Lpl 22770 22770 26186 29601 33017 Laboratory LB612 HLA-Celiac Disease,Dq2,Dq8(L017)Lpl 7211 7211 8303 9384 10465 Laboratory LB613 Leptospira Antibody IgG 1714 2243 2588 2921 3255 Laboratory LB614 Measles Serology 2185 2185 2519 2841 3174 Laboratory LB615 Methotrexate Serum(D052)Lpl 3416 3657 4209 4761 5313 Laboratory LB616 Parvoviris B 19 Antibodies IgM 3105 3335 3841 4336 4842 Laboratory LB617 PCOS Total(G192)LPL 3795 3795 4370 4934 5509 Laboratory LB618 Protein C Antigen 10960 18952 21804 24645 27485 Laboratory LB619 Toxo Plasma IgM 736 748 863 978 1093 Laboratory LB620 Dengue IgG Elisa(S217)Lpl 759 759 874 989 1104 Laboratory LB621 Dengue IgM Elisa(S216)Lpl 759 759 874 989 1104 Laboratory LB622 Allergy Comprehensive Profile Adult 1265 13536 15571 17607 19631 Laboratory LB623 Allergy Post Screening Comprehensive Profile Adult 12650 12650 14548 16445 18343 Laboratory LB624 ANCA IFA In Dilutions (Antineutrophil Cytoplasmic Antibodies) 4428 4750 5463 6176 6889 Laboratory LB625 Anti Dnase B Serum (Antideoxyribonnuclease B) 1518 1633 1886 2128 2369 Laboratory LB626 Apla Total (Srl:4640) 6153 6153 7084 8004 8924 Laboratory LB627 Complete Torch Profile (IgG) 1645 1771 2047 2312 2576 Laboratory LB628 Complete Torch Profile (IgM) 1645 2346 2703 3059 3404 Laboratory LB629 Cytogenetics malignancy onquest 4554 4554 5244 5923 6613 Laboratory LB630 Drugs Of Abuse,7Drugs,Urine(Lal,V617.) 5060 5417 6233 7050 7855 Laboratory LB631 ENA Qualitative Lpl(S118)Sst 5946 6371 7337 8292 9246 Laboratory LB632 Fanconis Anemia,Stress Cytogenetics(Xx025 Lal) 9361 9925 11420 12903 14398 Laboratory LB633 GALACTOSEMIA PANEL 3 Laboratory LB634 GCMS 111 Condition (Babyshield) 4934 4934 5681 6417 7165 Laboratory LB635 HAINS TB PCR ,IST And IIND LINE DRUG(LPL,Z835) 7590 7590 8729 9867 11006 Laboratory LB636 HLA DNA Typing For BMT (N025,Lpl) 1 Patient 18722 18849 21678 24507 27336 31 Laboratory LB637 HLA Donor Specific IgG Ab. And Panel Reactive Ab.(Donor & Recipt.) L037 Lpl 18343 18343 21103 23851 26600 38214/2020/ESTT-NE_HRLaboratory LB638 HLA Panel Reactiive IgG Antibodies (PRA)Serum 7326 7326 8430 9534 10626 Laboratory LB639 Huntington Disease(Rd1409)Srl 3795 3795 4370 4934 5509 Laboratory LB640 Immuno Histochemistry Panel (IHC) 7924 7924 9120 10304 11500 Laboratory LB641 Immunoglobulin Profile Serum IgG/IgA/IgM 1323 1426 1645 1863 2070 Laboratory LB642 Japanese Encephalitis virus PCR in csf(LPL OS157) 4428 4750 5463 6176 6889 Laboratory LB643 Karyotyping: Chromosome Analysis In Hematological Disorders(5800)Srl 3611 5693 6555 7406 8257 Laboratory LB644 Leptospira Antibody Panel IgG & IgM 3163 3738 4301 4865 5428 Laboratory LB645 Lipoprotein (A) ; LP(A) 1173 1622 1875 2116 2358 Laboratory LB646 Mono Test (Infectius Mononucleosis) 1392 1806 2082 2358 2622 Laboratory LB647 MUMPS ANTIBODIES IgM(S075)LPL 2024 2185 2519 2841 3174 Laboratory LB648 Neuronal (Paraneuplastic Autoantibodies profile )(OS232)LPL 11385 11385 13099 14801 16514 Laboratory LB649 Pla2R Antibody(S240)Lpl 5566 5566 6406 7245 8073 Laboratory LB650 Protein S Total Antigen 12800 18952 21804 24645 27485 Laboratory LB651 Rubeola,Measles IgG & IgM(Z191)Lpl 3795 4071 4692 5302 5911 Laboratory LB652 Serology Taenia Salium (Cystocerosis) 1771 1771 2047 2312 2576 Laboratory LB653 Sickling Test 207 242 288 322 357 Laboratory LB654 Smooth Myscle Antibody (ASMA) In Dilutions 4175 4175 4807 5428 6061 Laboratory LB655 TB Platinum Test (LPL,M230) IGRA 2530 2530 2910 3289 3669 Laboratory LB656 Thrombochek Panel(1253)Srl 20240 20240 23276 26312 29348 Laboratory LB657 Thyroxine Binding Globulin (TBG) 6946 10833 12466 14088 15709 Laboratory LB658 Treponema Pallidum (TPHA) 702 817 943 1070 1185 Laboratory LB659 Triple Marker Test 3416 4669 5371 6072 6774 Laboratory LB660 Hepatitis Acute Virus Screen 7027 7027 8085 9143 10189 Laboratory LB661 Vitamin E 7590 8131 9361 10580 11799 Laboratory LB662 Hepatitis B Viral Drug Resistance & Genotyping(N041)Lpl 12650 13536 15571 17607 19631 Laboratory LB663 Anti Microsomal Antibodies 2024 2312 2668 3013 3358 Laboratory LB664 ANTI NMDA IgG(2244)SRL 7912 7912 9108 10293 11477 Laboratory LB665 Anti Sperm Antibody 1012 1093 1265 1426 1587 Laboratory LB666 Adenovirus Ab IgG 1691 1691 1955 2208 2461 Laboratory LB667 Adenovirus Ab IgM 1691 1691 1955 2208 2461 Laboratory LB668 Allergy Comprehensive Profile Non Vegetrian 7590 8131 9361 10580 11799 Laboratory LB669 Allergy Comprehensive Profile Pediatric 13283 13283 15284 17273 19263 Laboratory LB670 Allergy Comprehensive Profile Vegetrian 5060 13536 15571 17607 19631 Laboratory LB671 Allergy Marker Animal Panel 4428 4750 5463 6176 6889 Laboratory LB672 Allergy Marker Cereal Panel 8223 8809 10132 11454 12777 Laboratory LB673 Allergy Marker Dust Panel 3795 4071 4692 5302 5911 Laboratory LB674 Allergy Marker Eczema Panel 14893 14893 17135 19366 21597 Laboratory LB675 Allergy Marker Food Panel 5060 6935 7981 9016 10063 Laboratory LB676 Allergy Marker Fungle (Mold) Panel 4428 4750 5463 6176 6889 Laboratory LB677 Allergy Marker Grass Panel 5060 5417 6233 7050 7855 Laboratory LB678 Allergy Marker Non Vegetrain Panel 5060 10304 11857 13398 14950 Laboratory LB679 Allergy Marker Nut Panel 5060 5417 6233 7050 7855 Laboratory LB680 Allergy Marker Pulses Panel 3163 3393 3910 4416 4922 Laboratory LB681 Allergy Marker Tree Extended Panel 5060 12351 14214 16066 17917 Laboratory LB682 Allergy Marker Tree Panel 5060 6176 7107 8039 8959 Laboratory LB683 Allergy Marker Vegetable Panel 8223 12351 14214 16066 17917 Laboratory LB684 Allergy Marker Weed Panel 5060 5417 6233 7050 7855 Laboratory LB685 Allergy Marker Wheeze/Rhinitis (Adult) Panel 17078 17607 20252 22897 25530 Laboratory LB686 Allergy Marker Wheeze/Rhinitis (Pediatric) Panel 13283 14226 16365 18504 20631 Laboratory LB687 Allergy Post Screening Comprehensive Profile Pediatric 12650 12650 14548 16445 18343 Laboratory LB688 Allergy Screen Profile Adult 12650 12650 14548 16445 18343 Laboratory LB689 Allergy Screen Profile Pediatric 12650 12650 14548 16445 18343 Laboratory LB690 Alpha-1-Antitrypsin Quantitative Laboratory LB691 Anti (Centromere Antibody) 1714 1840 2116 2392 2668 Laboratory LB692 Anti Thyroid Microsomal Antibody (TMA) 1691 1691 1955 2208 2461 Laboratory LB693 ANTI VGKC IgG(2245)SRL 8855 8855 10189 11512 12846 Laboratory LB694 Autoimmune Encephalitis Panel(2246)Srl 22770 22770 26186 29601 33017 Laboratory LB695 BCR/ABL PCR Qualitative(QUEST) 9476 9476 10902 12328 13743 Laboratory LB696 BK VIRUS,PCR QUANTITATIVE(N096)LPL 6705 6705 7717 8717 9729 Laboratory LB697 BOH(BAD OBSTETRIC HISTORY) 6452 6452 7429 8395 9361 Laboratory LB698 BRUCELLA Ab.IgG & IgM(Z676) LPL 2346 2507 2887 3266 3646 Laboratory LB699 BRUCELLA Ab.IgG(S222 LPL) 1461 1576 1817 2059 2289 Laboratory LB700 BRUCELLA Ab.IgM (S221 LPL) 1461 1576 1817 2059 2289 Laboratory LB701 Chlamydia Trachomatis Pcr(N056)Lpl 4428 4750 5463 6176 6889 Laboratory LB702 Cysticercosis (Anti Taenia Solium) IgG 1645 1702 1967 2220 2473 Laboratory LB703 Cysticerosis Elisa 1645 1771 2047 2312 2576 32 Laboratory LB704 Epstin Barr Virus (VCA/EBV) IgG 2185 2185 2519 2841 3174 38214/2020/ESTT-NE_HRLaboratory LB705 Epstin Barr Virus (VCA/EBV) IgM 2185 2185 2519 2841 3174 Laboratory LB706 Fibrometer Virus (Srlcode4511) 5060 5060 5819 6578 7337 Laboratory LB707 Fibrometer Virus Ald(Srlcode4590) 5060 5060 5819 6578 7337 Laboratory LB708 Fibrometer Virus Nafld(Srlcode4512) 5060 5290 6084 6877 7671 Laboratory LB709 Food Intolerance Test(A110)Lpl 18343 18343 21103 23851 26600 Laboratory LB710 Gliadin Antibodies IgA 2151 2312 2668 3013 3358 Laboratory LB711 Gliadin Antibodies IgG 2151 2312 2668 3013 3358 Laboratory LB712 Gliadin Antibodies Panel IgA & IgG 3795 4071 4692 5302 5911 Laboratory LB713 Glomerular Basement Membrane Antibody AFA 1840 1978 2277 2576 2875 Laboratory LB714 Glucagon 7912 8464 9741 11006 12282 Laboratory LB715 Growth Hormone (GH)0,30,60,90,12min. 4071 4071 4692 5302 5911 Laboratory LB716 HAINS MTB PCR (N068) LPL 2277 2381 2749 3105 3462 Laboratory LB717 Ham Test PNH(H119)Lpl 1518 1518 1748 1978 2208 Laboratory LB718 Helicobacter Pylori Antibodies Panel IgA & IgG 3922 4209 4842 5474 6107 Laboratory LB719 Helicobacter Pylori IgA 2024 2185 2519 2841 3174 Laboratory LB720 Helicobacter Pylori IgG 2024 2185 2519 2841 3174 Laboratory LB721 HISTONE Ab.(S019)LPL 1714 1840 2116 2392 2668 Laboratory LB722 HLA DNA Typing For BMT(N025,Lpl)Patient+2 Donor 18722 18722 21540 24346 27152 Laboratory LB723 HLA Matching 1&2, Stress cytogenic, PNH colon) 2990 2990 3439 3887 4336 Laboratory LB724 HLA Single Ag Bead For Class Ist IgG (L034) Laboratory LB725 Holo Tc(9315)Srl 2047 2047 2358 2668 2979 Laboratory LB726 IBD Panel(102Srl) (Asca Iga, Asca Igg, Anca) 5060 5060 5819 6578 7337 Laboratory LB727 IgF Binding Protein 3 5129 5497 6325 7153 7981 Laboratory LB728 IGF-I;Somatomedin-C 5049 5405 6222 7027 7843 Laboratory LB729 Immuno fixation Electrophoresis 24 hrs.Urine(E006)LPL 10120 10833 12466 14088 15709 Laboratory LB730 Immunocytochemistry(Srl) 2910 8096 9315 10534 11742 Laboratory LB731 Immunoglobin IgA CSF 2714 2714 3128 3531 3945 Laboratory LB732 Immunoglobin IgG CSF 1748 1875 2162 2438 2726 Laboratory LB733 Immunoglobin IgM CSF 1748 5118 5888 6659 7429 Laboratory LB734 Immunoglobin Profile CSF IgG IgA IgM 13340 14272 16422 18561 20700 Laboratory LB735 Infertility Pannel II 1645 4485 5164 5831 6509 Laboratory LB736 JO-1 ANTIBODY IgG(SRL 1208) 1714 3105 3577 4037 4508 Laboratory LB737 Leishmania (Kala Azar) Antibody IgG 2024 2185 2519 2841 3174 Laboratory LB738 Leukemia Diagnostic Panel CII/HCL/SII 11385 12190 14019 15847 17676 Laboratory LB739 Lyme Disease (Borrelia Burgdorferi Antibodies, Igg & Igm) 4175 4485 5164 5831 6509 Laboratory LB740 Lymphoma Diagnostic Panel 21505 23012 26473 29923 33373 Laboratory LB741 Measles Antibodies Panel IgG & IgM 3795 4071 4692 5302 5911 Laboratory LB742 Mephubarbital (Mebaral) 1495 1495 1725 1944 2174 Laboratory LB743 Metanepherine ,Random Urine(U052)Lpl 13662 14628 16825 19021 21218 Laboratory LB744 Methadone Screen,Urine(Lal,k022) 886 955 1104 1242 1392 Laboratory LB745 Methamphetamine Screen,Urine(lal,k019) 886 955 1104 1242 1392 Laboratory LB746 Mithochondrial Antibody (AMA) IFA In Dilutions 2151 3945 4543 5129 5727 Laboratory LB747 MPN Reflex Panel(Rd1322Rfx)Srl 20988 20988 24139 27290 30441 Laboratory LB748 MUMPS ANTIBODIES IgG & IgM(Z382)LPL 3922 4209 4842 5474 6107 Laboratory LB749 MUMPS ANTIBODIES IgG(S037)LPL 2024 2185 2519 2841 3174 Laboratory LB750 Mycoplasma Pneumoniae IgG & IgM Ab.panel (LPL Z677) 4554 4888 5624 6360 7096 Laboratory LB751 Mycoplasma Pneumoniae IgG (LPL s223) 2530 2714 3128 3531 3945 Laboratory LB752 Mycoplasma Pneumoniae IgM (LPL s224) 2530 2714 3128 3531 3945 Laboratory LB753 NMDA Antibody(Lpl,S239) 7912 7912 9108 10293 11477 Laboratory LB754 NMDA Plus(2247)Srl Laboratory LB755 PARIETAL CELL ANTIBODY(S086)LPL 1875 2013 2323 2622 2921 Laboratory LB756 Paroxysmal Nocturnal Hemoglobinurea,PNH,Cd55&Cd59(Z496)Lpl 7970 7970 9166 10362 11558 Laboratory LB757 Parvovirus B 19 Antibodies IgG 3105 3335 3841 4336 4842 Laboratory LB758 Parvovirus B 19 Antibodies Panel IgG & IgM 5762 6164 7096 8016 8947 Laboratory LB759 PCT #VALUE! 3738 4301 4865 5428 Laboratory LB760 Phadiatop (For Allergy Test) 1208 1300 1495 1691 1886 Laboratory LB761 PINP Total(B165)LPL 1990 2128 2450 2772 3094 Laboratory LB762 Pneumocystis Species Immuno Fluorescence 2047 2047 2358 2668 2979 Laboratory LB763 Pneumoslide (IgM) 3358 3358 3864 4370 4876 Laboratory LB764 Pneumoslide IgM 3358 3358 3864 4370 4876 Laboratory LB765 Rickettsial Antibody Panel (Lpl,Rw168) 22138 22138 25461 28785 32108 Laboratory LB766 RNP SM (Ribonucleoprotein Smith Antigen) IgG 2243 2243 2588 2921 3255 Laboratory LB767 Rubeola,Measles IgG(S072)Lpl 2024 2185 2519 2841 3174 Laboratory LB768 SCRUB Typhus IgM Ab.(1739E)SRL 1265 1357 1564 1771 1978 Laboratory LB769 Serum SLA (B154) 1645 1771 2047 2312 2576 Laboratory LB770 SM(SMITH)Ab.(S038)LPL 1231 1323 1530 1725 1921 33 Laboratory LB771 SS A/Ro Antibody 1461 1771 2047 2312 2576 38214/2020/ESTT-NE_HRLaboratory LB772 SS B/La Antibody 1461 1771 2047 2312 2576 Laboratory LB773 TB Elisa Complete (IgA/IgM/IgG) 4209 4209 4842 5474 6107 Laboratory LB774 TB Elisa IgA 1633 1633 1886 2128 2369 Laboratory LB775 TB Elisa IgG 1633 1633 1886 2128 2369 Laboratory LB776 TB Elisa IgM & IgG 2714 2714 3128 3531 3945 Laboratory LB777 Thyroglobulin Tg(Lal S095) 2151 2151 2484 2806 3128 Laboratory LB778 Toxoplasma Dna Detection,PCR(Os195 Lal) 4554 4888 5624 6360 7096 Laboratory LB779 Toxoplasma IgG 736 817 943 1070 1185 Laboratory LB780 U1Rmp Anti Body 1990 1990 2289 2588 2887 Laboratory LB781 Varicella Zoster IgG 1495 1518 1748 1978 2208 Laboratory LB782 Varicella Zoster IgG & IgM 2783 2852 3289 3715 4140 Laboratory LB783 Varicella Zoster IgM 1495 1691 1955 2208 2461 Laboratory LB784 Urine Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB785 Blood Culture Rapid Bactec 1357 1357 1564 1771 1978 Laboratory LB786 Gram Staining 196 196 230 265 288 Laboratory LB787 AFB Staining 288 288 334 380 426 Laboratory LB788 Sputum For AFB Staining 219 219 253 288 322 Laboratory LB789 Sputum Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB790 Fungus Stain 380 541 633 713 794 Laboratory LB791 AFB Culture (Mycobacteria) Rapid(M050) 1265 1265 1461 1645 1840 Laboratory LB792 Mantoux Test (Mx) 219 219 253 288 322 Laboratory LB793 Fungal Culture 1357 1357 1564 1771 1978 Laboratory LB794 PUS For Culture & Sensitivity 955 1357 1564 1771 1978 Laboratory LB795 ET Secretion Culture & Sensitivity 1357 1357 1564 1771 1978 Laboratory LB796 Stool For Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB797 Stool For Hanging Drop Motility 161 288 334 380 426 Laboratory LB798 Pleural Fluid For Culture & Sensitivity 955 1357 1564 1771 1978 Laboratory LB799 CSF For Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB800 Tracheostomy Culture & Sensitivity 1357 1357 1564 1771 1978 Laboratory LB801 PUS Swab For Culture & Sensitivity 955 1357 1564 1771 1978 Laboratory LB802 Ascitic Fluid Culture And Sensitivity 1357 1357 1564 1771 1978 Laboratory LB803 Fluid For Culture & Sensitivity 1357 1357 1564 1771 1978 Laboratory LB804 Swab Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB805 Vaginal Swab For Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB806 Routine Stool Examination 150 219 253 288 322 Laboratory LB807 CVP Tip Culture 1357 1357 1564 1771 1978 Laboratory LB808 Tissue Culture & Sensitivity 621 621 725 817 909 Laboratory LB809 India Ink Prepration 380 380 437 495 552 Laboratory LB810 Modified AFB (Z.N)Stain 288 288 334 380 426 Laboratory LB811 PCR Mycobacterium Tuberculosis Tissue 2530 3887 4474 5060 5647 Laboratory LB812 PCR Mycobacterium Tuberculosis Blood Fluid 2530 3887 4474 5060 5647 Laboratory LB813 Throat Swab For Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB814 Rubella IgG Antibody (German Measles) 759 989 1139 1288 1438 Laboratory LB815 Synovial Fluid Culture 955 1357 1564 1771 1978 Laboratory LB816 Semen For Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB817 Cultured AFB Antibiotic Senstivity 5 Drug Panel 7590 7590 8729 9867 11006 Laboratory LB818 PCR Mycobacterium Tuberculosis Menstural Blood (1St Day) 2530 3887 4474 5060 5647 Laboratory LB819 PCR Mycobacterium Tuberculosis Urine 2530 3887 4474 5060 5647 Laboratory LB820 Urine Cathetir Tip/Tube Culture 1357 1357 1564 1771 1978 Laboratory LB821 Nasal Swab Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB822 Gastric Lavage Culture 1357 1357 1564 1771 1978 Laboratory LB823 Anaerobic Culture & Sensitivity 1070 1070 1231 1392 1553 Laboratory LB824 Aerobic Culture & Senstivity 748 748 863 978 1093 Laboratory LB825 Drain Fluid Culture 1357 1357 1564 1771 1978 Laboratory LB826 Stool for Cryptosporidium/Isospora/Microsporisium 322 322 380 426 472 Laboratory LB827 Peritonial Fluid Culture 1357 1357 1564 1771 1978 Laboratory LB828 PCR Mycobacterium Tuberculosis Sputum 2530 3531 4071 4600 5129 Laboratory LB829 Rubella IgM (German Measles) 759 1012 1173 1323 1472 Laboratory LB830 Rubella (German Measles) Antibodies Pannel IgG & IgM 1334 1334 1541 1737 1944 Laboratory LB831 Culture AFB (Microbacteria) Rapid With Nap Test 2530 2530 2910 3289 3669 Laboratory LB832 PCR Mycobacterium Tuberculosis CSF 2530 3887 4474 5060 5647 Laboratory LB833 Auramine (AFB) Stain 345 345 403 449 506 Laboratory LB834 Albert Stain 322 460 529 598 667 Laboratory LB835 Actinomyces Culture 1392 1691 1955 2208 2461 Laboratory LB836 Cultured AFB Antibiotic Senstivity 12 Drug Panel 15180 15180 17457 19734 22011 Laboratory LB837 Cultured AFB Antitubercular Drug Sensitivity Kanamycin 3416 3416 3933 4451 4957 34 Laboratory LB838 Pericardial Fluid Culture & Sensitivity 1357 1357 1564 1771 1978 38214/2020/ESTT-NE_HRLaboratory LB839 Urethral Discharge For Gram Staining (Gonococci) 380 380 437 495 552 Laboratory LB840 Plasma Renin Activity 6578 7406 8522 9637 10741 Laboratory LB841 Urine For Schistosomiasis 219 219 253 288 322 Laboratory LB842 Wet mount prepration (Microbiology) 253 253 299 334 368 Laboratory LB843 Blood For Sudan Stain 621 621 725 817 909 Laboratory LB844 Culture Brucella Tissue (Lymphnode Biopsy Or Bone) 1070 1070 1231 1392 1553 Laboratory LB845 Bronchial Washing (BAL) Culture 1357 1357 1564 1771 1978 Laboratory LB846 Culture Funfus Blood Rapid 1357 1357 1564 1771 1978 Laboratory LB847 Culture Clostridium Difficle Stool 1518 1518 1748 1978 2208 Laboratory LB848 Culture Aerobic Bacteria Identification 1265 1771 2047 2312 2576 Laboratory LB849 Cultured AFB Antibiotic Senstivity 11 Drug Panel 13915 13915 16008 18090 20183 Laboratory LB850 Cultured AFB Antibiotic Senstivity 1Drug Panel 13283 13283 15284 17273 19263 Laboratory LB851 Cultured AFB Antibiotic Senstivity 4 Drug Panel 5693 5693 6555 7406 8257 Laboratory LB852 Cultured AFB Antitubercular Drug Sensitivity 4 Drug Panel 5693 5693 6555 7406 8257 Laboratory LB853 Cultured AFB Antitubercular Drug Sensitivity Pyrazinamide 4681 4681 5394 6095 6797 Laboratory LB854 Cultured AFB Antitubercular Drug Sensitivity Amikacin 3416 3416 3933 4451 4957 Laboratory LB855 Cultured AFB Antitubercular Drug Sensitivity Capreomycin 3416 3416 3933 4451 4957 Laboratory LB856 Cultured AFB Antitubercular Drug Sensitivity Clofazimine 3416 3416 3933 4451 4957 Laboratory LB857 Cultured AFB Antitubercular Drug Sensitivity Ethambutol 3416 3416 3933 4451 4957 Laboratory LB858 Cultured AFB Antitubercular Drug Sensitivity Ethionamide 3416 3416 3933 4451 4957 Laboratory LB859 Cultured AFB Antitubercular Drug Sensitivity Isoniazid 3416 3416 3933 4451 4957 Laboratory LB860 Cultured AFB Antitubercular Drug Sensitivity Ofloxacin 3416 3416 3933 4451 4957 Laboratory LB861 Cultured AFB Antitubercular Drug Sensitivity Pas 3416 3416 3933 4451 4957 Laboratory LB862 Cultured AFB Antitubercular Drug Sensitivity Rifampicin 3416 3416 3933 4451 4957 Laboratory LB863 Cultured AFB Antitubercular Drug Sensitivity Streptomycine 3416 3416 3933 4451 4957 Laboratory LB864 Culture Fungus Identification 1265 1357 1564 1771 1978 Laboratory LB865 Culture Haemophilus Influence & Sensitivity (Blood) 1070 1070 1231 1392 1553 Laboratory LB866 Culture Gonococcus 357 357 414 472 518 Laboratory LB867 Culture Water ( Presumptive Coliforms And Confirmed 1070 1070 1231 1392 1553 Laboratory LB868 MTB Rapid Identification Quest 460 460 529 598 667 Laboratory LB869 Eye Swab Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB870 MRSA CULTURE(M197)LPL 1012 1012 1173 1323 1472 Laboratory LB871 Fluid For Culture & Sensitivity (Dr. Lal) 1035 1035 1196 1346 1507 Laboratory LB872 ICD Tip/Tube Culture 1357 1357 1564 1771 1978 Laboratory LB873 PCR Fungal Meningitis 3531 3531 4071 4600 5129 Laboratory LB874 PCR Human Papilloma Virus 1392 3531 4071 4600 5129 Laboratory LB875 PCR Mycobacterium Tuberculosis Skin Scrapping 2530 3531 4071 4600 5129 Laboratory LB876 PCR Mycobacterium Tuberculosis Whole Blood (Fasting) 3531 3531 4071 4600 5129 Laboratory LB877 Drug Linezolid 4048 4048 4658 5267 5877 Laboratory LB878 PCR HbsAg Outsourced 4405 4405 5072 5727 6394 Laboratory LB879 PCR Hepatitis C Virus Outsourced 5440 5440 6256 7073 7889 Laboratory LB880 PCR Hepatitis E Virus 5693 5693 6555 7406 8257 Laboratory LB881 PCR HIV Outsourced 8453 8453 9729 10994 12259 Laboratory LB882 PCR Candia Albicans 12650 12650 14548 16445 18343 Laboratory LB883 Ear Swab Culture & Sensitivity 886 886 1024 1162 1288 Laboratory LB884 Polarizing MicroscopyBody Fluid (p097,Crystal Analysis) 380 483 564 633 702 Laboratory LB885 Rapid Influenza Virus Screening Test 1357 1357 1564 1771 1978 Laboratory LB886 Urethral Swab For Culture & Sensitivity 1357 1357 1564 1771 1978 Laboratory LB887 Quinidine (Natcardine Cardioquin Quinaglute) 1898 1898 2185 2473 2760 Laboratory LB888 Sputum Hence 2312 2312 2668 3013 3358 Laboratory LB889 Typhi Dot (By Card) 541 541 633 713 794 Laboratory LB890 Dengue Combo 759 897 1035 1173 1311 Laboratory LB891 Widal 311 311 368 414 460 Laboratory LB892 Ra Factor (Rheumotoid Factor Qualitative) 311 311 368 414 460 Laboratory LB893 IgG IgM Dengue 759 759 874 989 1104 Laboratory LB894 VDRL(RPR) 207 311 368 414 460 Laboratory LB895 ASO Titre 564 564 656 736 828 Laboratory LB896 Rota Virus Antigen Test 748 748 863 978 1093 Laboratory LB897 Ra Factor (Quantitative) 541 610 702 794 886 Laboratory LB898 Chikungunya Virus Antibody IgM 759 828 955 1081 1208 Laboratory LB899 Triage Cardiac Profile 5900 5900 6785 7671 8556 Common Medical Procedures Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Medical Procedure CMP001 Oxygen Without Ventilator 1208 1208 1392 1576 1760 Medical Procedure CMP002 Oxygen Without Bipap 1495 1495 1725 1944 2174 35 CMP003 Oxygen Charge (with Ventilator/Bipap) 2243 2243 2588 2921 3255 38214/2020/ESTT-NE_HRMedical Procedure Medical Procedure CMP004 Ventilator 24 Hours 4485 4485 5164 5831 6509 Medical Procedure CMP005 Ventilator (Upto 8 Hrs.) 2243 2243 2588 2921 3255 Medical Procedure CMP006 Bipap 2243 2243 2588 2921 3255 Medical Procedure CMP007 Bipap (Upto 6 Hrs.) 1495 1495 1725 1944 2174 Medical Procedure CMP008 Nebulization 92 92 115 127 138 Medical Procedure CMP009 Coronary Care With Cardiac Monitoring (Room Rent Extra) 1093 1093 1265 1426 1587 Medical Procedure CMP010 Infusion Pump 380 380 437 495 552 Medical Procedure CMP011 Airbed 460 460 529 598 667 Medical Procedure CMP012 Alpha Trancell Deluxe (Arjo Huntleigh) 610 610 702 794 886 Medical Procedure CMP013 DVT Pump 748 748 863 978 1093 Medical Procedure CMP014 Ryles Tube Insertion 748 748 863 978 1093 Medical Procedure CMP015 Intubation 1495 1495 1725 1944 2174 Medical Procedure CMP016 CTG Monitoring 380 380 437 495 552 Medical Procedure CMP017 Cardiac Monitor 748 748 863 978 1093 Medical Procedure CMP018 Auto Logic (Arjo Huntleigh) 748 748 863 978 1093 Medical Procedure CMP019 Cardio Version (D C Shock) 4485 4485 5164 5831 6509 Medical Procedure CMP020 STK Infusion Procedure 4485 4485 5164 5831 6509 Medical Procedure CMP021 Intercostal Drainage 1495 1495 1725 1944 2174 Medical Procedure CMP022 Gastric Lavage 1495 1495 1725 1944 2174 Medical Procedure CMP023 Serus Fluid Aspiration 2990 2990 3439 3887 4336 Neonatology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Neonatology NN001 Single Surface Phototherapy 1725 1725 1725 1725 1725 Neonatology NN002 Double Surface Phototherapy 3105 3105 3105 3105 3105 Neonatology NN003 Phototherapy Charges (one day Package) 7820 7820 7820 7820 7820 Neonatology NN004 Lumber Puncture 3105 3105 3105 3105 3105 Neonatology NN005 Exchange Trasfusion 12075 12075 12075 12075 12075 Neonatology NN006 Partial Blood Exchange 6325 6325 6325 6325 6325 Neonatology NN007 Drug Administration Charges 1150 1150 1150 1150 1150 Neonatology NN008 Umblical Venous Catheterisation 3105 3105 3105 3105 3105 Neonatology NN009 Central Line Placement 3105 3105 3105 3105 3105 Neonatology NN010 Pleural Fluid For Theurapatic 3105 3105 3105 3105 3105 Neonatology NN011 Pneumothorax Drainage Chest Tube Insertion 10350 10350 10350 10350 10350 Neonatology NN012 Pneumothorax Drainage Needle Aspiration 1380 1380 1380 1380 1380 Neonatology NN013 Radial Arterial Line Placement 3105 3105 3105 3105 3105 Neonatology NN014 Umblical Arterial Line Placement 3105 3105 3105 3105 3105 Neonatology NN015 Neonatal Intestinal Atresia Surgery 111550 111550 128800 145475 162150 NEPHROLOGY Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Nephrology NP003 Dialysis Routine 2036 2036 2220 2553 2887 Nephrology NP004 Haemodialysis - For Sero Positive Cases (Hbsag Case) 3335 3335 3841 4336 4842 Nephrology NP005 Slow Continuous Ultrafilteration 6107 6107 7027 7947 8855 Nephrology NP006 CRRT Procedure Charges 18975 18975 21827 24668 27520 Nephrology NP007 SLED By Routine HD 8131 8131 9361 10580 11799 Nephrology NP008 Haemodialysis For Icu 4888 4888 5624 6360 7096 Nephrology NP009 Plasma Exchange 8131 8131 9361 10580 11799 Nephrology NP010 Hemodiafilteration (HDF) / HF (Single Use) 4370 4370 4807 5026 6337 Nephrology NP011 Haemodialysis - For Sero Positive Cases (Hiv Case) 4347 4347 5003 5658 6314 Nephrology NP012 SLED By HDF 10833 10833 12466 14088 15709 Nephrology NP013 Capd Maintenance Per Day 3163 3163 3646 4117 4589 Nephrology NP014 AC - PD-Maintenance ( Per Day) 426 426 495 564 621 Nephrology NP015 Peritoneal Catheterized (Acute PD) 4071 4071 4692 5302 5911 Nephrology NP016 Endotoxin Removal By Polymexin B Dialyzer 8050 8050 9258 10465 11673 Nephrology NP017 Charcoal Hemoperfusion 8050 8050 9258 10465 11673 Nephrology NP018 Cytosorb Hemoperfusion 8050 8050 9258 10465 11673 Nephrology NP019 Immuno Adsorption Procedure (inclusive of Plasma Exchange) 17250 17250 19838 22425 25013 Nephrology NP020 Jugular Access 4347 4347 5003 5658 6314 Nephrology NP021 Sub Clavian Access 4347 4347 5003 5658 6314 Nephrology NP022 Permcath Insertion 9764 9764 11236 12696 14168 36 Nephrology NP023 Femoral Access 38214/2020/ESTT-NE_HR 1357 1357 1564 1771 1978 Nephrology NP024 Perm Catheter Removal 2990 2990 3439 3887 4336 Nephrology NP025 A V Fistula Pkg. 22747 22747 26163 29578 32994 Nephrology NP026 Body Composition Measurement (BCM) 690 690 794 897 1001 Nephrology NP027 Kidney Biopsy 4888 4888 5624 6360 7096 Nephrology NP028 Emergency Dialysis Charges 1357 1357 1564 1771 1978 IP Package Service Length Of Stay General Twin Single Suite Depatment Service Name OPD Code ICU Ward Ward Sharing Room Room Nephrology NP001 Kidney Transplantation 3 4 448500 448500 515800 583100 650400 Nephrology NP002 Kidney Transplantation (Donor) 1 4 Include In Reciepent Charges Package Includes: Donor :- Room charges as up to 5 Days (4 Days in ward + 1 Day Icu), Surgeon Charges, Ot Charges, Anesthesia Charges, Basic Investigation, Pre Operative & Post Operative, Nephrology & Urology Consultation Charges during the package stay. Package Includes: Reciepent:- Room charges up to 7 Days (Days in ICU + 4 Days In Ward) Surgeron Charges, Ot Charges, Anesthesia Charges. One Pre operative Dialysis. Any Exploration charges if needed during hospital Stay. All routine medicine & consumables. Urology & Nephrology & Physiotheraphy & Endocrinology Consultation during package stay Basic Investigation Includes :- CBC, KFT, LFT, PT, PTTK, Chest X-Ray & ECG Twice. Bun Creatinine, Na+ , K+ Twice. Usg Doppler, Echo, Viral Marker Etc.

Package excludes: 1. Post Operative Dialysis & Kidney Biopsy If Required. 2. Post Operative Plasmapheresis if required. 3. Donor or Recipient pre operative cardiac Evaluation , Ultrasound if Any. 4. Donor CT Angiography for Renal Vessels. 5. Thymoglobuin (ATG) or Monocional antobodies (OKT3) / Valcyle Tab, Simulect, Zenapaxetc. 6. All Other Cross Consultation & Other Procedure. 7. All Special drugs , Consumables & Investigation will be charge extra. Over & above the stay Drugs, Consumables, Investigation Will Be charge as per Actual.

Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling Neuro Surgery Service General Twin Single Suite Department Service Name Code Ward Sharing Room Room Neuro Surgery NS001 Craniotomy For Acute SDH 90275 103845 117415 130985 Neuro Surgery NS002 Craniotomy For Contusion Evacuation 97750 112470 127075 141795 Neuro Surgery NS003 Craniotomy For Complex Head Trauma 117300 134895 152490 170085 Neuro Surgery NS004 Craniotomy For Traumatic Hematoma 88550 101890 115115 128455 Neuro Surgery NS005 Craniotomy For Deep Intracerebral Hematoma 117300 134895 152490 170085 Neuro Surgery NS006 Craniotomy For Depressed Fracture 97750 112470 127075 141795 Neuro Surgery NS007 Craniotomy And Evacuation Of Haematoma-Extradural 86250 99245 112125 125120 Neuro Surgery NS008 Craniotomy And Evacuation Of Heamatoma-Subdural 103500 119025 134550 150075 Neuro Surgery NS009 Decompression Surgery for ICP 106375 122360 138345 154330 Neuro Surgery NS010 Lumbar Microdiscectomy-Multiple Levels 97750 112470 127075 141795 Neuro Surgery NS011 Surgery For Spinal Bone Tumor 97750 112470 127075 141795 Neuro Surgery NS012 Transthoracic Spinal Surgery 117300 134895 152490 170085 Neuro Surgery NS013 Anterolateral Spinal Decompression And Fixation 146625 168705 190670 212635 Neuro Surgery NS014 Cervical Decompression Multi Level 107525 123740 139840 155940 Neuro Surgery NS015 Posterolateral Spinal Decompression And Fixation 97750 112470 127075 141795 Neuro Surgery NS016 Posterior Spinal Decompression And Fixation 81650 93955 106145 118450 Neuro Surgery NS017 Anterior Cervical Decompression With Fusion 97175 111780 126385 140990 Neuro Surgery NS018 Decompression Laminectomy 64400 74060 83720 93380 Neuro Surgery NS019 Anterior Cervical Decompression 73025 84065 94990 105915 Neuro Surgery NS020 Anterior Cervical Dissectomy 64400 74060 83720 93380 Neuro Surgery NS021 Anterior Cervical Dissectomy With Fusion 105800 121670 137540 153410 Neuro Surgery NS022 Aspiration Of Abscess In Spinal Cord 27600 31740 35880 40020 Neuro Surgery NS023 Cervical Disc Replacement 117300 134895 152490 170085 Neuro Surgery NS024 Cervical Corpectomy 97175 111780 126385 140990 Neuro Surgery NS025 Cervical Decompression And Fusionmulti Level 107525 123740 139840 155940 Neuro Surgery NS026 Cervical Laminectomy Posterior Multiple Levels 107525 123740 139840 155940 Neuro Surgery NS027 Cervical Laminectomy Posterior Single Levels 88550 101890 115115 128455 Neuro Surgery NS028 Cervical Lateral Mass Fixation 117300 134895 152490 170085 Neuro Surgery NS029 Laminectomy Disc Multiple Level 97750 112470 127075 141795 Neuro Surgery NS030 Laminectomy Disc Single Level 63250 72795 82225 91770 Neuro Surgery NS031 Laminoplasty 88550 101890 115115 128455 Neuro Surgery NS032 Laminotomy And Microdiscectomy 81650 93955 106145 118450 Neuro Surgery NS033 Lumbar Micro Disectomy 103500 119025 134550 150075 Neuro Surgery NS034 Lumber Drain 20125 23230 26220 29210 Neuro Surgery NS035 Spinal Decompression And Fixation (Interbody) 117300 134895 152490 170085 Neuro Surgery NS036 Spinal Decompression And Fusion With Instrumentation ( Anterior/Posterior) 103500 119025 134550 150075 Neuro Surgery NS037 Spinal Fusion Procedure/ Instrumentation 90275 103845 117415 130985 37 Neuro Surgery NS038 Transoral Biopsy 81650 93955 106145 118450 38214/2020/ESTT-NE_HRNeuro Surgery NS039 Surgical Excision & Disconnection Of Spinal Fistula 189750 218270 246675 275195 Neuro Surgery NS040 Surgery For Cervical Spine Trauma 72450 83375 94185 105110 Neuro Surgery NS041 Revision Surgery For Operated Spine 86250 99245 112125 125120 Neuro Surgery NS042 Multilevel Spinal Decompression And Fixation 107525 123740 139840 155940 Neuro Surgery NS043 Posterior Cervical Dissectomy 46000 52900 59800 66700 Neuro Surgery NS044 Discectomy 63250 72795 82225 91770 Neuro Surgery NS045 Craniotomy For Supratentorial Brain Tumor 97750 112470 127075 141795 Neuro Surgery NS046 Craniotomy For Posterior Fossa Mass 146625 168705 190670 212635 Neuro Surgery NS047 Craniotomy For Pineal Region SOL 143750 165370 186875 208495 Neuro Surgery NS048 Craniotomy For Skull Base 107525 123740 139840 155940 Neuro Surgery NS049 Craniotomy Frontal & Removal Of Bone Fragments 88550 101890 115115 128455 Neuro Surgery NS050 Craniotomy For Tumours Large 105800 121670 137540 153410 Neuro Surgery NS051 Craniotomy For Tumours Small 88550 101890 115115 128455 Neuro Surgery NS052 Craniotomy For Complex Brain Tumor 117300 134895 152490 170085 Neuro Surgery NS053 Craniotomy For Extraaxial Skull Base Lesion 117300 134895 152490 170085 Neuro Surgery NS054 Laminectomy For Intramedullary Tumor 117300 134895 152490 170085 Neuro Surgery NS055 Spinal Intra Medullary Tumours 105800 121670 137540 153410 Neuro Surgery NS056 Laminectomy Excision Disc And Tumours 63250 72795 82225 91770 Neuro Surgery NS057 Laminectomy For Extramedullary Tumor 97750 112470 127075 141795 Neuro Surgery NS058 Laminectomy For Intradural Tumor 118450 136275 153985 171810 Neuro Surgery NS059 Laminectomy Tumor Multiple Level 88550 101890 115115 128455 Neuro Surgery NS060 Laminectomy Tumor Single Level 64400 74060 83720 93380 Neuro Surgery NS061 Excision Of Pituitary Adenoma 88550 101890 115115 128455 Neuro Surgery NS062 Excision Of Recurrent Brain Tumour 117300 134895 152490 170085 Neuro Surgery NS063 CP Angle Meningioma (Acoustic Schwannoma) 146625 168705 190670 212635 Neuro Surgery NS064 Stereotactic Surgery 143750 165370 186875 208495 Neuro Surgery NS065 Trans Nasal Endoscopic Excision Of Macroadenoma 117300 134895 152490 170085 Neuro Surgery NS066 Atrial Shunt / TP Shunt 64400 74060 83720 93380 Neuro Surgery NS067 Surgery For Shunt Malfunction 73025 84065 94990 105915 Neuro Surgery NS068 Syringo Peritoneal Shunt 90275 103845 117415 130985 Neuro Surgery NS069 Syringo Subarachnoid Shunt 73600 84640 95680 106720 Neuro Surgery NS070 TP Shunt 63250 72795 82225 91770 Neuro Surgery NS071 VP Shunt 79350 91310 103155 115115 Neuro Surgery NS072 Shunt Removal 20125 23230 26220 29210 Neuro Surgery NS073 Shunt Repositioning 48875 56235 63595 70955 Neuro Surgery NS074 Shunt Revision 29325 33810 38180 42550 Neuro Surgery NS075 Peritoneal Shunt 48875 56235 63595 70955 Neuro Surgery NS076 Conversion Of EVD Into VP Shunt 48875 56235 63595 70955 Neuro Surgery NS077 Conversion Of Frontal Twist Into VP Shunt 48875 56235 63595 70955 Neuro Surgery NS078 Ventricular Puncture 48875 56235 63595 70955 Neuro Surgery NS079 External Ventricular Drainage 20700 23805 26910 30015 Neuro Surgery NS080 Micro Surgery For CSF Rhinnorhoea MVD 143750 165370 186875 208495 Neuro Surgery NS081 CSF Diversion Procedure 65550 75440 85215 95105 Neuro Surgery NS082 Craniotomy For Extraaxial Skull Base Lesion 117300 134895 152490 170085 Neuro Surgery NS083 Decompressive Craniotomy With Bone Flap In Abdomen 146625 168705 190670 212635 Neuro Surgery NS084 Decompressive Craniotomy With Duroplasty 81650 93955 106145 118450 Neuro Surgery NS085 Scalp Evulsions Suturing 11500 13225 14950 16675 Neuro Surgery NS086 Scalp Laceration Suturing Large 5750 6670 7475 8395 Neuro Surgery NS087 Scalp Laceration Suturing Medium 4025 4715 5290 5865 Neuro Surgery NS088 Scalp Laceration Suturing Small 2875 3335 3795 4255 Neuro Surgery NS089 Skull Traction 10350 11960 13455 15065 Neuro Surgery NS090 Skull Traction Application (Tongs) 31050 35765 40365 45080 Neuro Surgery NS091 Excision Of Scalp Swelling 36225 41745 47150 52555 Neuro Surgery NS092 Debridement Scalp Wound Large 27600 31740 35880 40020 Neuro Surgery NS093 Burr Hole Single 40825 47035 53130 59225 Neuro Surgery NS094 Burr Hole With Air Evacuation 97175 111780 126385 140990 Neuro Surgery NS095 Burr Hole With Evacuation Of Chronic SDH 97750 112470 127075 141795 Neuro Surgery NS096 Burr Holes And Evacuation Of SDH 65550 75440 85215 95105 Neuro Surgery NS097 Burr Holes Multiple 73025 84065 94990 105915 Neuro Surgery NS098 Twist Drill Drainage 37375 43010 48645 54280 Neuro Surgery NS099 Cranioplasty 81650 93955 106145 118450 Neuro Surgery NS100 Bone Flap Replacement 105800 121670 137540 153410 Neuro Surgery NS101 Cranioplasty With Artificial Implant 120750 138920 156975 175145 Neuro Surgery NS102 Neurotization Of Nerve 97750 112470 127075 141795 Neuro Surgery NS103 Peripheral Nerve Surgery (Microscopic Repair Of Nerve) Plexus 107525 123740 139840 155940 Neuro Surgery NS104 Peripheral Nerve Surgery Major 90275 103845 117415 130985 38 Neuro Surgery NS105 Peripheral Nerve Surgery Minor 63250 72795 82225 91770 38214/2020/ESTT-NE_HRNeuro Surgery NS106 Median Nerve Decompression 88550 101890 115115 128455 Neuro Surgery NS107 Median Nerve Release 73600 84640 95680 106720 Neuro Surgery NS108 Carpel Tunnel Correction 49450 56925 64285 71760 Neuro Surgery NS109 Endoscopic Discectomy 88550 101890 115115 128455 Neuro Surgery NS110 Endoscopic Evacuation Of Intracerebral Hematoma 105800 121670 137540 153410 Neuro Surgery NS111 Endoscopic Evacuation Of Intraventricular Hematoma 105800 121670 137540 153410 Neuro Surgery NS112 Endoscopic Excision Of Pitutary Tumor 146625 168705 190670 212635 Neuro Surgery NS113 Endoscopic Third Ventriculostomy 108675 125005 141335 157665 Neuro Surgery NS114 Extended Trans Sphenoidal Surgery 146625 168705 190670 212635 Neuro Surgery NS115 Aneurysm With Temporary Clipping 105800 121670 137540 153410 Neuro Surgery NS116 Craniotomy For Aneurysm Clipping 117300 134895 152490 170085 Neuro Surgery NS117 Aneurysm With Neck Control 146625 168705 190670 212635 Neuro Surgery NS118 Aneurysm Complex 146625 168705 190670 212635 Neuro Surgery NS119 Craniotomy For AVM 107525 123740 139840 155940 Neuro Surgery NS120 Craniotomy For Aneurysm 107525 123740 139840 155940 Neuro Surgery NS121 Decompressive Craniotomy For ICP 106375 122360 138345 154330 Neuro Surgery NS122 Excision Of AVM 117300 134895 152490 170085 Neuro Surgery NS123 DSA 29900 34385 38870 43355 Neuro Surgery NS124 Meningomyelocoele Repair 81650 93955 106145 118450 Neuro Surgery NS125 Detethering Of Cord 90275 103845 117415 130985 Neuro Surgery NS126 Lipomeningomyelocoele Repair 97750 112470 127075 141795 Neuro Surgery NS127 Spinal Bifida Surgery Major 63250 72795 82225 91770 Neuro Surgery NS128 Spinal Bifida Surgery Minor 48875 56235 63595 70955 Neuro Surgery NS129 Meningocoele Excision 90275 103845 117415 130985 Neuro Surgery NS130 Surgery For SCM 117300 134895 152490 170085 Neuro Surgery NS131 Trans Oral Decompression 97750 112470 127075 141795 Neuro Surgery NS132 Posterior Fixation For Mobile AAD 97750 112470 127075 141795 Neuro Surgery NS133 Anterior And Post Surgery For CVJ 194925 224250 253460 282670 Neuro Surgery NS134 CVJ Anomaly And Post. Reconstruction 146625 168705 190670 212635 Neuro Surgery NS135 CVJ Decompression 81650 93955 106145 118450 Neuro Surgery NS136 Foramen Magnum Decompression And Duraplasty 113850 130985 148005 165140 Neuro Surgery NS137 Posterior Fixation For Fixed AAD 117300 134895 152490 170085 Neuro Surgery NS138 Foramen Magnum Decompression 97750 112470 127075 141795 Neuro Surgery NS139 Combined Cranial And Transnasal Procedure 143750 165370 186875 208495 Neuro Surgery NS140 DBS 265650 305555 345345 385250 Neuro Surgery NS141 Spinal Cord Stimulation 201250 231495 261625 291870 Neuro Surgery NS142 Baclofen Pump For Spasticity 143750 165370 186875 208495 Neuro Surgery NS143 Lesioning for Parkinson"s Disease 201250 231495 261625 291870 Neuro Surgery NS144 Craniotomy For Anterior Cranial Fossa 107525 123740 139840 155940 Neuro Surgery NS145 Craniotomy For Excision Of Lobe (Frontal Temporal Cerebelium Etc.) 130525 150190 169740 189290 Neuro Surgery NS146 Craniotomy For Stroke 80500 92575 104650 116725 Neuro Surgery NS147 Craniotomy Haematoma (Evacuation) IVD 64400 74060 83720 93380 Neuro Surgery NS148 Re Exploration Craniotomy 63250 72795 82225 91770 Neuro Surgery NS149 Subdural Tapping 52900 60835 68770 76705 Neuro Surgery NS150 Duroplasty 94300 108445 122590 136735 Neuro Surgery NS151 Evacuation Of Brain Abscess(Tapping) 88550 101890 115115 128455 Neuro Surgery NS152 Excision of Brain Abscess 129950 149500 168935 188485 Neuro Surgery NS153 Excision Of Lobe(Frontal Temporal Cerebelium Etc.) 118450 136275 153985 171810 Neuro Surgery NS154 Percutaneous Vertebroplasty 81650 93955 106145 118450 Neuro Surgery NS155 Kyphoplasty Singlr Balloon 73600 84640 95680 106720 Neuro Surgery NS156 Kyphoplasty Double Balloon 97750 112470 127075 141795 Neuro Surgery NS157 Percutaneous Vertebral Biopsy 108675 125005 141335 157665 Neuro Surgery NS158 Vertebroplasty For Tumour 105800 121670 137540 153410 Neuro Surgery NS159 Transsphenoidal Surgery Of Sellar Lesion 117300 134895 152490 170085 Neuro Surgery NS160 Ald/Debridement Anterior Reconstruction Instrumentation 118450 136275 153985 171810 Neuro Surgery NS161 Coiling Of IC Aneurysm 150650 173305 195845 218500 Neuro Surgery NS162 Halo Brace Application 33350 38410 43355 48415 Neuro Surgery NS163 Placement Of ICP Monitor 54625 62905 71070 79235 Neuro Surgery NS164 Transphenoidal Excision Of Pituitary Gland 90275 103845 117415 130985 Neuro Surgery NS165 TSS With Floor Reconstruction 97750 112470 127075 141795 Neurology (Neuro Lab) Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Neurology NU001 NCV ( Limited Study ) 2990 2990 3439 3887 4336 Neurology NU002 NCV ( Full Study ) 5417 5417 6233 7050 7855 39 NU003 NCV Brachial Plexus 38214/2020/ESTT-NE_HRNeurology 3738 3738 4301 4865 5428 Neurology NU004 Facial NCV 2300 2300 2645 2990 3335 Neurology NU005 EEG 2300 2300 2645 2990 3335 Neurology NU006 EEG Bed Side 4071 4071 4692 5302 5911 Neurology NU007 EEG (Sleep For 1 Hr) 3393 3393 3910 4416 4922 Neurology NU008 EEG Video 1 Hour 4071 4071 4692 5302 5911 Neurology NU009 EEG Video 2 Hour 5417 5417 6233 7050 7855 Neurology NU010 EEG Sleep Deprived 2714 2714 3128 3531 3945 Neurology NU011 EMG (Full Study) 5417 5417 6233 7050 7855 Neurology NU012 EMG & NCV (Full) 8131 8131 9361 10580 11799 Neurology NU013 EMG (Limited) 2300 2300 2645 2990 3335 Neurology NU014 VEP (Visul Evoked Potential) 2047 2047 2358 2668 2979 Neurology NU015 Thrombolysis 13800 13800 15870 17940 20010 Neurology NU016 Lumbar Puncture 2530 2530 2910 3289 3669 Neurology NU017 RNST (Repetative Nerve Stimulation Test) 2714 2714 3128 3531 3945 Neurology NU018 Blink Reflex Study 2047 2047 2358 2668 2979 Neurology NU019 Lumber Puncture (Therapeutic) 2714 2714 3128 3531 3945 Neurology NU020 Nerve Biopsy 4750 4750 5463 6176 6889 Neurology NU021 Brainstem Auditory Evoked Response (BERA) 2047 2047 2358 2668 2979 Neurology NU022 Neostigmine Test 2047 2047 2358 2668 2979 Neurology NU023 Botulinum Toxin(Extensive) 5750 5750 6613 7475 8338 Neurology NU024 Botulinum Toxin(Facial) 2300 2300 2645 2990 3335 Neurology NU025 SSEP (Somatosensory Evoked Potentials) Upper Limbs 2047 2047 2358 2668 2979 Neurology NU026 SSEP (Somatosensory Evoked Potentials) Lower Limbs 2047 2047 2358 2668 2979 Neurology NU027 Sympathetic Skin Response (SSR) 3163 3163 3646 4117 4589 Obstetrics & Gynaecology Surgery Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room Obstetrics & Gynae OG001 Delivery Normal With Episiotomy 29900 34385 38870 43355 Obstetrics & Gynae OG002 Delivery Normal With High Risks 36800 42320 47840 53360 Obstetrics & Gynae OG003 Delivery Twin 36800 42320 47840 53360 Obstetrics & Gynae OG004 Delivery Forcep/Vacuum 34500 39675 44850 50025 Obstetrics & Gynae OG005 Delivery Breech 36800 42320 47840 53360 Obstetrics & Gynae OG006 Delivery With Epi Suturing Under Anesthesia (NVD) 36800 42320 47840 53360 Obstetrics & Gynae OG007 LSCS ( Caesarean Section) 37375 43010 48645 54280 Obstetrics & Gynae OG008 LSCS High Risk 45425 52325 59110 65895 Obstetrics & Gynae OG009 LSCS Repeat 1/ Twins 46000 52900 59800 66700 Obstetrics & Gynae OG010 LSCS Repeat 2 52900 60835 68770 76705 Obstetrics & Gynae OG011 LSCS Repeat & Tubectomy 52900 60835 68770 76705 Obstetrics & Gynae OG012 Mahurat Charge 9200 10580 11960 13340 Obstetrics & Gynae OG013 Caesarean Hysterectomy 69000 79350 89700 100050 Obstetrics & Gynae OG014 Hysteroscopic Polypectomy 37375 43010 48645 54280 Obstetrics & Gynae OG015 Hysteroscopic Tubal Canulatio (Chrome Intubation) 30475 35075 39675 44275 Obstetrics & Gynae OG016 Hysteroscopic Myomectomy 40250 46345 52325 58420 Obstetrics & Gynae OG017 Vaginal Hysterectomy 50025 57615 65090 72565 Obstetrics & Gynae OG018 Vaginal Hysterectomy with PFR 55200 63480 71760 80040 Obstetrics & Gynae OG019 Hysteroscopic Diagnostic 14950 17250 19435 21735 Obstetrics & Gynae OG020 Hysteroscopy And D&C 18400 21160 23920 26680 Obstetrics & Gynae OG021 Hysteroscopic Removal Of IUCD 21850 25185 28405 31740 Obstetrics & Gynae OG022 Hysteroscopic Resection Of Uterin Septum 39675 45655 51635 57615 Obstetrics & Gynae OG023 Hysterotomy 39675 45655 51635 57615 Obstetrics & Gynae OG024 Hysterotomy With Tubal Ligation 45425 52325 59110 65895 Obstetrics & Gynae OG025 Caesarean Hysterectomy + Bilateral Interna Iliac Artery Ligation 79350 91310 103155 115115 Obstetrics & Gynae OG026 Total Abdominal Hysterectomy (TAH) 50600 58190 65780 73370 Obstetrics & Gynae OG027 Abdominal Hysterectomy Complex With Adheolysis 64975 74750 84525 94300 Obstetrics & Gynae OG028 Wertheims Hysterectomy 96025 110515 124890 139265 Obstetrics & Gynae OG029 Laproscopic For Ectopic Pregnancy 45425 52325 59110 65895 Obstetrics & Gynae OG030 Laproscopic Ectopic Pregancy High Risk 51750 59570 67275 75095 Obstetrics & Gynae OG031 Laproscopic Fimbriolysis 46000 52900 59800 66700 Obstetrics & Gynae OG032 Laproscopic Tubal Ligation 18400 21160 23920 26680 Obstetrics & Gynae OG033 Laproscopic Ovarian Cystectomy Bilateral 48300 55545 62790 70035 Obstetrics & Gynae OG034 Laproscopic Corpus Lutial Haemotoma 45425 52325 59110 65895 Obstetrics & Gynae OG035 Laproscopic Ovariectomy Unilateral 41400 47610 53820 60030 Obstetrics & Gynae OG036 Laproscopic Ovarian / Drilling 29900 34385 38870 43355 40 Obstetrics & Gynae OG037 Laproscopic Ovarian Cystectomy Unilateral 45425 52325 59110 65895 38214/2020/ESTT-NE_HRObstetrics & Gynae OG038 Laproscopic Salpinogo Oophorectomy Bilateral 46000 52900 59800 66700 Obstetrics & Gynae OG039 Laproscopic Salpinogo Oophorectomy Unilateral 41400 47610 53820 60030 Obstetrics & Gynae OG040 Laproscopic Cystectomy Multiple 55200 63480 71760 80040 Obstetrics & Gynae OG041 Laproscopic Ovarectomy Bilateral 56350 64860 73255 81765 Obstetrics & Gynae OG042 Laproscopic Myomectomy Single 51750 59570 67275 75095 Obstetrics & Gynae OG043 Laproscopic Myomectomy Multiple 57500 66125 74750 83375 Obstetrics & Gynae OG044 Laproscopic Vault Suspension 57500 66125 74750 83375 Obstetrics & Gynae OG045 Laproscopic & Hysteroscopy (Diagnostic Hystero Laproscopic) 45425 52325 59110 65895 Obstetrics & Gynae OG046 Total Laproscopic Hysterectomy (TLH) 71875 82685 93495 104305 Obstetrics & Gynae OG047 Laproscopic Removal Of Lost IUCD 40825 47035 53130 59225 Obstetrics & Gynae OG048 Laproscopic Diagnostic 31050 35765 40365 45080 Obstetrics & Gynae OG049 Laproscopic Adhesiolysis 52900 60835 68770 76705 Obstetrics & Gynae OG050 Laproscopic Ablation Of Endometrioti Spots 57500 66125 74750 83375 Obstetrics & Gynae OG051 Laproscopic For Endometriosis 57500 66125 74750 83375 Obstetrics & Gynae OG052 Laproscopic Assisted Vagina Hysterectomy (LAVH) 52900 60835 68770 76705 Obstetrics & Gynae OG053 Laproscopic Assisted Vaginal Hysterectomy With Adhes (LAVH) 69000 79350 89700 100050 Obstetrics & Gynae OG054 Laproscopic Assisted Vaginal Hysterectomy With BSO 62100 71415 80730 90045 Obstetrics & Gynae OG055 Laproscopic Assisted Vaginal Hysterectomy With Rectocele 66125 76130 86020 95910 Obstetrics & Gynae OG056 Laproscopic Burch Repair 69575 80040 90505 100970 Obstetrics & Gynae OG057 Amniocentersis 18975 21850 24725 27600 Obstetrics & Gynae OG058 Abortion (Second Trimester ) 21275 24495 27715 30935 Obstetrics & Gynae OG059 Excision Of Vaginal Septum 16100 18515 20930 23345 Obstetrics & Gynae OG060 Colpoperineorrhaphyposterior 20700 23805 26910 30015 Obstetrics & Gynae OG061 First Trimester MTP Plus Sterilisation 30475 35075 39675 44275 Obstetrics & Gynae OG062 Labioplasty 35075 40365 45655 50945 Obstetrics & Gynae OG063 MTP High Risk 21850 25185 28405 31740 Obstetrics & Gynae OG064 Mc Indoes Operation For Reconstruction Of Vagina 71875 82685 93495 104305 Obstetrics & Gynae OG065 Drainage Of Vulval Hematoma 30475 35075 39675 44275 Obstetrics & Gynae OG066 Endometrial Biopsy 8050 9315 10465 11730 Obstetrics & Gynae OG067 Pan Hysterectomy For Endometriosis 73600 84640 95680 106720 Obstetrics & Gynae OG068 Vault Repair Abdomen 54625 62905 71070 79235 Obstetrics & Gynae OG069 Plastic Repair Of Uterus (Uteroplasty) 58650 67505 76245 85100 Obstetrics & Gynae OG070 Ovarian Cystectomy Bilateral 45425 52325 59110 65895 Obstetrics & Gynae OG071 Radical Hysterectomy Plus Omentectomy For Ca Ovary 80500 92575 104650 116725 Obstetrics & Gynae OG072 Tuboplasty Macro Surgery 58650 67505 76245 85100 Obstetrics & Gynae OG073 Tuboplasty Micro Surgery 70725 81420 92000 102580 Obstetrics & Gynae OG074 Vault Repair Vaginal 41400 47610 53820 60030 Obstetrics & Gynae OG075 Cervical Polypectomy 8050 9315 10465 11730 Obstetrics & Gynae OG076 Abdominal Myomectomy (Multiple) 51750 59570 67275 75095 Obstetrics & Gynae OG077 Abdominal Myomectomy (Single) 45425 52325 59110 65895 Obstetrics & Gynae OG078 Abdominal Operation For Stress Incontinence Of Urine 54050 62215 70265 78430 Obstetrics & Gynae OG079 Anterior And Posterior Vaginal Repair (PFR) 48875 56235 63595 70955 Obstetrics & Gynae OG080 Bartholin Abscess Drainage & Marsupi Alisation 18400 21160 23920 26680 Obstetrics & Gynae OG081 Bartholin Cyst Excision Bilateral 24150 27830 31395 35075 Obstetrics & Gynae OG082 Cervical Biopsy With Cryo 10810 12535 14145 15755 Obstetrics & Gynae OG083 Cervical Cautry /Cervical Biopsy 11500 13225 14950 16675 Obstetrics & Gynae OG084 Cervical Cerclage (Mc Donald Stitch) 24150 27830 31395 35075 Obstetrics & Gynae OG085 Cervical Tear Repair 15525 17940 20240 22540 Obstetrics & Gynae OG086 Colporrhaphy Anterior 21275 24495 27715 30935 Obstetrics & Gynae OG087 Cone Biopsy Of Cervix 12075 13915 15755 17595 Obstetrics & Gynae OG088 Dilation & Curettage (D&C) 11500 13225 14950 16675 Obstetrics & Gynae OG089 Drainage Of Abdominal Wall Haematoma 45425 52325 59110 65895 Obstetrics & Gynae OG090 Evacuation Of Retained Product O Conception/D&E 11500 13225 14950 16675 Obstetrics & Gynae OG091 Examination Under General Anaesthetic Gynae 6325 7360 8280 9200 Obstetrics & Gynae OG092 Exploration Of Perineal Haematoma & Resuturing Of Episitomy 30475 35075 39675 44275 Obstetrics & Gynae OG093 Foreign Body Removal Vagina 27600 31740 35880 40020 Obstetrics & Gynae OG094 Hymenoplasty 32775 37720 42665 47610 Obstetrics & Gynae OG095 Manchester Repair (Fothergill Operation) 55200 63480 71760 80040 Obstetrics & Gynae OG096 Manual Removal Of Placenta 9775 11270 12765 14260 Obstetrics & Gynae OG097 Non Descent Vaginal Hysterectomy 60375 69460 78545 87630 Obstetrics & Gynae OG098 Perforation Of Uterus After D/E Laproscopic & Closure 60375 69460 78545 87630 Obstetrics & Gynae OG099 Removal Of Simple Vulval Tumour 21850 25185 28405 31740 Obstetrics & Gynae OG100 Repair Of Perineal Tear Old Second Degree 16100 18515 20930 23345 Obstetrics & Gynae OG101 Repair Of Perineal Tear Old Third Degree 36800 42320 47840 53360 Obstetrics & Gynae OG102 Repair Of Perineal Tear Post Coital Or Traumatic 27025 31165 35190 39215 Obstetrics & Gynae OG103 Second Trimester MTP Plus Sterilisation 37950 43700 49335 55085 41 Obstetrics & Gynae OG104 Sub Total Hysterectomy 41400 47610 53820 60030 38214/2020/ESTT-NE_HRObstetrics & Gynae OG105 Trans Obutrator Tape For Urinary Stress Incontinence Gynae 48875 56235 63595 70955 Obstetrics & Gynae OG106 LR Observation 2 Hours 288 345 460 460 Obstetrics & Gynae OG107 LR Observation 4 Hours 575 690 805 920 Obstetrics & Gynae OG108 Incision & Draige 5221 6095 6900 7590 Obstetrics & Gynae OG109 Mtp By Drugs(Including Med. pre & Post Usg & Consultation) 3795 4370 4945 5520 Obstetrics & Gynae OG110 Copper T Insertion 575 690 805 920 Oncology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Medical Oncology Medical Oncology MO001 Chemotheraphy Single Drug Infusional 5417 5417 6233 7050 7855 Medical Oncology MO002 Chemotheraphy Multiple Drug Infusional 6107 6107 7027 7947 8855 Medical Oncology MO003 Hematology Infusional 2047 2047 2358 2668 2979 Medical Oncology MO004 High Dosage Chemotherapy 27071 27071 31142 35202 39261 Medical Oncology MO005 Chemotherapy Planning And Counselling 6774 6774 7797 8809 9833 Medical Oncology MO006 Chemotheraphy Intra Pleural 5417 5417 6233 7050 7855 Medical Oncology MO007 Chemotheraphy Intra Vesical 4071 4071 4692 5302 5911 Medical Oncology MO008 Chemotheraphy Intra-Thecal 4071 4071 4692 5302 5911 Medical Oncology MO009 Chemotheraphy Multiple Drug Bolus 2450 2450 2818 3186 3554 Medical Oncology MO010 Chemotherapy Oral 2047 2047 2358 2668 2979 Medical Oncology MO011 Single Drug Subcutaneous 2979 2979 3427 3876 4324 Medical Oncology MO012 Bone Marrow Aspiration And Biopsy 14893 14893 17135 19366 21597 Medical Oncology MO013 Pleural Aspiration 8223 8223 9465 10695 11926 Medical Oncology MO014 Bone Marrow Aspiration 3393 3393 3910 4416 4922 Medical Oncology MO015 Punch Biopsy 3795 3795 4370 4934 5509 Medical Oncology MO016 Wedge Biopsy 3795 3795 4370 4934 5509 Medical Oncology MO017 Abdominal Paracentesis Therapeutic 2047 2047 2358 2668 2979 Medical Oncology MO018 Pleural Paracentesis Diagnostic 3393 3393 3910 4416 4922 Medical Oncology MO019 Pleural Paracentesis Therapeutic 4071 4071 4692 5302 5911 Medical Oncology MO020 Cancer Bisphosphonates/ Day 2714 2714 3128 3531 3945 Medical Oncology MO021 Picc Line Insertion 5969 5969 6866 7763 8660 Medical Oncology MO022 Picc Line Placement 12650 12650 14548 16445 18343 Medical Oncology MO023 Chemoport Access/ Flush 955 955 1104 1242 1392 Medical Oncology MO024 Abdominal Paracentesis Diagnostic 1633 1633 1886 2128 2369 Medical Oncology MO025 Bmt Cryopreservation & Thawing Including Testing 88550 88550 101833 115115 128398 Medical Oncology MO026 Port Removal 8223 8223 9465 10695 11926 Medical Oncology MO027 Seroma Drainage 1898 1898 2185 2473 2760 Surgical Oncology Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room Surgical Oncology OS001 Radical Neck Dissection 83950 96600 109135 121785 Surgical Oncology OS002 Total Thyroidectomy (Central Neck Dissection) With Tracheal Resection) 113850 130985 148005 165140 Surgical Oncology OS003 Total Thyroidectomy /Sub Total Thyroidectomy With Or Without Central Neck 75900 87285 98670 110055 Surgical Oncology OS004 SupraDissection Omohyoid Neck Disection/Posterio Lateral / Central Neck Dissection 113850 130985 148005 165140 Surgical Oncology OS005 Segmental/Marginal Mandibulectomy 54625 62905 71070 79235 Surgical Oncology OS006 Buccal Mucosa Tumour Wide Excision 36225 41745 47150 52555 Surgical Oncology OS007 Hemi Mandibulectomy 54625 62905 71070 79235 Surgical Oncology OS008 Hemi Thyroidectomy / Complete Thyroidectomy 54625 62905 71070 79235 Surgical Oncology OS009 Composite Resection Post Radiotherapy 137425 158125 178710 199295 Surgical Oncology OS010 Composite Resection Of Oral Carcinoma (Wide Excision With Mandibulectomy & Neck 126500 145475 164450 183425 Surgical Oncology OS011 PartialDissection) Glossectomy / Hemi Glossectomy 43700 50255 56810 63365 Surgical Oncology OS012 Partial Maxillectomy / Upper Alveolectomy / Medical Maxillectomy / Hard Palate 72450 83375 94185 105110 Excision Surgical Oncology OS013 Lip Tumour Wide Excision 29325 33810 38180 42550 Surgical Oncology OS014 Wide Excision Base Of Tongue Tumour 43700 50255 56810 63365 Surgical Oncology OS015 Tracheostomy Bed Side 13800 15870 17940 20010 Surgical Oncology OS016 Total Glossectomy 79925 92000 103960 115920 Surgical Oncology OS017 Total Maxillectomy 86825 99935 112930 125925 Surgical Oncology OS018 Total Maxillectomy With Orbital Exenteration 97750 112470 127075 141795 Surgical Oncology OS019 Submamdibular Salivary Gland Excision 36225 41745 47150 52555 Surgical Oncology OS020 Temporal Bone Excision 90850 104535 118105 131790 Surgical Oncology OS021 Radical Fronto Ethmoidectomy 56350 64860 73255 81765 Surgical Oncology OS022 Parathyroidectomy 79925 92000 103960 115920 Surgical Oncology OS023 Orbital Exentration 60375 69460 78545 87630 Surgical Oncology OS024 Carotid Body Tumour Excision 65550 75440 85215 95105 42 Surgical Oncology OS025 Laryngectomy With Partial Pharyngectomy/Laryngo Pharyngectomy (Total) 38214/2020/ESTT-NE_HR 83950 96600 109135 121785 Surgical Oncology OS026 Conservation Laryngectomy 126500 145475 164450 183425 Surgical Oncology OS027 Anterior Cranial Fossa 101200 116380 131560 146740 Surgical Oncology OS028 Laryngo Pharyngo Oesophagectomy 108675 125005 141335 157665 Surgical Oncology OS029 Abdomino Perineal Resection Of Rectum 83950 96600 109135 121785 Surgical Oncology OS030 Anterior Resection Of Rectum 79925 92000 103960 115920 Surgical Oncology OS031 Anterior Pelvic Exenteration 108675 125005 141335 157665 Surgical Oncology OS032 Closure Of Colostomy 36225 41745 47150 52555 Surgical Oncology OS033 Extended Hemicolectomy For CA Colon 72450 83375 94185 105110 Surgical Oncology OS034 Ileostomy /Colostomy 36225 41745 47150 52555 Surgical Oncology OS035 Ileotransverse Colostomy 36225 41745 47150 52555 Surgical Oncology OS036 Total Colectomy With Ileorectal Anastomosis /Hartmannas Procedure /Mucus Fistula 79925 92000 103960 115920

Surgical Oncology OS037 Sigmoid Colectomy 72450 83375 94185 105110 Surgical Oncology OS038 Breast Mastectomy B/L 86825 99935 112930 125925 Surgical Oncology OS039 Breast Mastectomy U/L 67275 77395 87515 97635 Surgical Oncology OS040 Breast Conservation Surgery 48300 55545 62790 70035 Surgical Oncology OS041 Breast Lumpectomy Large 34500 39675 44850 50025 Surgical Oncology OS042 Breast Lumpectomy Small 24150 27830 31395 35075 Surgical Oncology OS043 Subcutaneous Mastectomy (Bilateral) 75900 87285 98670 110055 Surgical Oncology OS044 Subcutaneous Mastectomy (Unilateral) 50600 58190 65780 73370 Surgical Oncology OS045 Wide Local Excision & Axillary Dissection 72450 83375 94185 105110 Surgical Oncology OS046 Seroma Drainage 2300 2645 2990 3335 Surgical Oncology OS047 Simple Mastectomy / Toilet Mastecomy 43700 50255 56810 63365 Surgical Oncology OS048 Microdochotomy /Microdochectomy 31050 35765 40365 45080 Surgical Oncology OS049 J Wire Localisation 14950 17250 19435 21735 Surgical Oncology OS050 Axilliery Dissection 33350 38410 43355 48415 Surgical Oncology OS051 Biopsy Non-Axial Skeletan Bones Needle 18400 21160 23920 26680 Surgical Oncology OS052 Bone Biopsy Open Long Bones 54050 62215 70265 78430 Surgical Oncology OS053 Bone Biopsy Open Small Bones 33350 38410 43355 48415 Surgical Oncology OS054 Compartmentectomy 101200 116380 131560 146740 Surgical Oncology OS055 Regional Resection Of Large Bone Tumour 79925 92000 103960 115920 Surgical Oncology OS056 Internal Hemi Pelvectomy 90850 104535 118105 131790 Surgical Oncology OS057 Gaint Cell Tumour Bone Curettage Resection 66125 76130 86020 95910 Surgical Oncology OS058 Gaint Cell Tumour Curettage & Bone Cement 65550 75440 85215 95105 Surgical Oncology OS059 Pleural Aspiration 8625 10005 11270 12535 Surgical Oncology OS060 Chest Wall Tumour Excision With Primary Closure/With Repair Of Chest Wall 83950 96600 109135 121785

Surgical Oncology OS061 Transhiatal Oesophagectomy With Gastric Pull Up 108675 125005 141335 157665 Surgical Oncology OS062 Three Stage Oesophagectomy (Mckewon'S) 108675 125005 141335 157665 Surgical Oncology OS063 Total Oesophagogastrectomy With Colonic/Jejunal Pull Up 116150 133630 150995 168475 Surgical Oncology OS064 Retrosternal Gastric Bypass 72450 83375 94185 105110 Surgical Oncology OS065 Pneumonectomy / Lobectomy With Or Without Helar Node Dissection 101200 116380 131560 146740 Surgical Oncology OS066 Mediastinal Lymph Node Dissection 65550 75440 85215 95105 Surgical Oncology OS067 Mediastinal Tumour Excision 101200 116380 131560 146740 Surgical Oncology OS068 Metastectomy 60375 69460 78545 87630 Surgical Oncology OS069 Metastectomy Clasmshell (Bilaterial Thoracotomy For Sarcoma Mets) 73600 84640 95680 106720 Surgical Oncology OS070 Intercostal Drainage For Pneumothorax 20700 23805 26910 30015 Surgical Oncology OS071 Internal Mammari Node Sampling (When Done Alone) 24725 28520 32200 35880 Surgical Oncology OS072 Excision Of Leiomyoma Oesophagus 72450 83375 94185 105110 Surgical Oncology OS073 Cervical Oesophagostomy 54625 62905 71070 79235 Surgical Oncology OS074 Pancreatico Duodenectomy (Whipples) 137425 158125 178710 199295 Surgical Oncology OS075 Trisegmentectomy 116150 133630 150995 168475 Surgical Oncology OS076 Segmental Resection 85100 97865 110630 123395 Surgical Oncology OS077 Radical Cholecystectomy (With Segment 4 & 5) 108675 125005 141335 157665 Surgical Oncology OS078 Lobectomy Right (Segments 5678)/Left (Segments 1.2.3.4) 101200 116380 131560 146740 Surgical Oncology OS079 Hepatic Artery Port Placement 47725 54970 62100 69230 Surgical Oncology OS080 Hepatico Jejunostomy 90850 104535 118105 131790 Surgical Oncology OS081 Distal Pancreatectomy 86825 99935 112930 125925 Surgical Oncology OS082 Cholangiocarcinoma Resection 90850 104535 118105 131790 Surgical Oncology OS083 Cholecystojejunostomy 65550 75440 85215 95105 Surgical Oncology OS084 Primary Surgery For Ovarian Mailgancy Including Tah Bso Omentectomy Removal Of Any 101200 116380 131560 146740 Surgical Oncology OS085 OvarianOther Peritoneal laparotomy Mets Lymphadencetomy And Peritoneal Sampling. 57500 66125 74750 83375 Surgical Oncology OS086 Total Pelvic Exenteration 126500 145475 164450 183425 Surgical Oncology OS087 Radical Hysterectomy (Ca Cervix) 126500 145475 164450 183425 Surgical Oncology OS088 Posterior Pelvic Exenteration 101200 116380 131560 146740 Surgical Oncology OS089 Laproscopic Ovariectomy Unilateral 41400 47610 53820 60030 43 Surgical Oncology OS090 Laproscopic Salpinogo Oophorectomy Bilateral 46000 52900 59800 66700 38214/2020/ESTT-NE_HRSurgical Oncology OS091 Laproscopic Salpinogo Oophorectomy Unilateral 41400 47610 53820 60030 Surgical Oncology OS092 Cone Biopsy Of Cervix 12075 13915 15755 17595 Surgical Oncology OS093 Radical Hysterectomy Plus Omentectomy For Ca Endometrium 80500 92575 104650 116725 Surgical Oncology OS094 Laproscopic Ovarian Cystectomy Bilateral 48300 55545 62790 70035 Surgical Oncology OS095 Radical Vulvectomy 69000 79350 89700 100050 Surgical Oncology OS096 Pelvic Lymphdenectomy 40250 46345 52325 58420 Surgical Oncology OS097 Distal Radical Gastrectomy (D2 Gasterctomy) 108675 125005 141335 157665 Surgical Oncology OS098 Ileo Sigmoid Colostomy 36225 41745 47150 52555 Surgical Oncology OS099 Gastro Jejunostomy 54625 62905 71070 79235 Surgical Oncology OS100 Gastromy Or Jejunostomy 36225 41745 47150 52555 Surgical Oncology OS101 Exploratory Laparotomy For Mailgnant Obstruction 54625 62905 71070 79235 Surgical Oncology OS102 Second Look Laparotomy 54625 62905 71070 79235 Surgical Oncology OS103 Total Radical Gastrectomy With Or Without Lymphnode Dissection (D3) Gastrectomy 116150 133630 150995 168475

Surgical Oncology OS104 Resection Anastomosis Bowel Multiple 79925 92000 103960 115920 Surgical Oncology OS105 Resection Anastomosis Bowel Single 60375 69460 78545 87630 Surgical Oncology OS106 Amputation Digits/Toes 27600 31740 35880 40020 Surgical Oncology OS107 Amputation Feet/Hand 29325 33810 38180 42550 Surgical Oncology OS108 Amputation Leg/Forearm 54625 62905 71070 79235 Surgical Oncology OS109 Amputation Thigh/Arm 54625 62905 71070 79235 Surgical Oncology OS110 Forequarter Amputation 60375 69460 78545 87630 Surgical Oncology OS111 Total Penile Amputation With Bilateral Radical Groin Dissection 73600 84640 95680 106720 Surgical Oncology OS112 Total Penile Amputation With Unilateral Radical Groin Dissection 67850 78085 88205 98440 Surgical Oncology OS113 Penile Amputation Partial 43700 50255 56810 63365 Surgical Oncology OS114 Total Penile Amputation 58650 67505 76245 85100 Surgical Oncology OS115 Ureteric Diversion In Neo Bladder 73600 84640 95680 106720 Surgical Oncology OS116 Ureteric Diversion In To An Lleal Loop 66125 76130 86020 95910 Surgical Oncology OS117 Radical Nephrectomy/Nephroureterectomy 108675 125005 141335 157665 Surgical Oncology OS118 Radical Prostatectomy 144325 166060 187680 209300 Surgical Oncology OS119 Radical Cystectomy With Lleal Colonic Conduit 126500 145475 164450 183425 Surgical Oncology OS120 Radical Cystectomy With Uretero Sigmoidostomy/Cutaneous Ureterostomy 86250 99245 112125 125120 Surgical Oncology OS121 Exploratory Laparotomy 62675 72105 81535 90965 Surgical Oncology OS122 Laproscopic Diagnostic 30475 35075 39675 44275 Surgical Oncology OS123 Splenectomy 65550 75440 85215 95105 Surgical Oncology OS124 Abdominal Wall Tumour Resection With Mesh Repair (Cost Mesh Extra) 60375 69460 78545 87630 Surgical Oncology OS125 Abdominal Wall Tumour Resection With Primary Closure 54625 62905 71070 79235 Surgical Oncology OS126 Central Line 9775 11270 12765 14260 Surgical Oncology OS127 Chemoport Insertion 54625 62905 71070 79235 Surgical Oncology OS128 Cytoreduction For Advanced Disease 60375 69460 78545 87630 Surgical Oncology OS129 Disarticulation Hip/Shoulder 65550 75440 85215 95105 Surgical Oncology OS130 Excision Of Leukoplakia Large 25300 29095 32890 36685 Surgical Oncology OS131 Excision Of Leukoplakia Small 14950 17250 19435 21735 Surgical Oncology OS132 Excisional Biopsy/Excision Of Lump/Fibroadenomal/Wedge Biopsy 33350 38410 43355 48415 Surgical Oncology OS133 Exploratory Thoracotomy 83950 96600 109135 121785 Surgical Oncology OS134 External Carotid Artery Ligation 25300 29095 32890 36685 Surgical Oncology OS135 High/Radical Orchiddectomy 47725 54970 62100 69230 Surgical Oncology OS136 Ivor Lewis Procedure 108675 125005 141335 157665 Surgical Oncology OS137 Left Lateral Segmentectomy (Segment 2 And 3) 87975 101200 114425 127650 Surgical Oncology OS138 Metastectomy Unilaterial 67275 77395 87515 97635 Surgical Oncology OS139 Modified Radical Hysterectomy (Ca Endometrium Etc) 101200 116380 131560 146740 Surgical Oncology OS140 Nephroblastoma 65550 75440 85215 95105 Surgical Oncology OS141 Percutaneous Nephrolithotomy (PCNL) Bilateral 126500 145475 164450 183425 Surgical Oncology OS142 PICC Line Placement 12650 14605 16445 18400 Surgical Oncology OS143 Port Placement 25300 29095 32890 36685 Surgical Oncology OS144 Port Removal 8625 10005 11270 12535 Surgical Oncology OS145 Radical Groin Dissection Alone Bilateral 60375 69460 78545 87630 Surgical Oncology OS146 Radical Groin Dissection Alone Unilateral 43700 50255 56810 63365 Surgical Oncology OS147 Retroperitoneal Lymph Node Dissection 79925 92000 103960 115920 Surgical Oncology OS148 Secondary Suturing For Burst Abdomen 36225 41745 47150 52555 Surgical Oncology OS149 Segment Iii Bypass 72450 83375 94185 105110 Surgical Oncology OS150 Simple Vulvectomy 40250 46345 52325 58420 Surgical Oncology OS151 Ureterosigmoid Diversion 61525 70840 80040 89240 Surgical Oncology OS152 Examination Under Anaesthesia (EUA) 11500 13225 14950 16675 Surgical Oncology OS153 Punch Biopsy 4025 4715 5290 5865 Surgical Oncology OS154 Wedge Biopsy 4025 4715 5290 5865 44 Radiation Oncology 38214/2020/ESTT-NE_HRDepartment Service Service Name General Twin Single Suite Code Ward Sharing Room Room Radiation Oncology RO001 Simple Pallative RT With Contrast 73451 73451 73451 73451 Radiation Oncology RO002 Simple Pallative RT Without Contrast 71714 71714 71714 71714 Radiation Oncology RO003 Complex Pallative RT With Contrast 92771 92771 92771 92771 Radiation Oncology RO004 Complex Pallative RT Without Contrast 91034 91034 91034 91034 Radiation Oncology RO005 Conventional With Contrast 118795 118795 118795 118795 Radiation Oncology RO006 Conventional Without Contrast 117059 117059 117059 117059 Radiation Oncology RO007 3D CRT With Contrast 144406 144406 144406 144406 Radiation Oncology RO008 3D CRT Without Contrast 142669 142669 142669 142669 Radiation Oncology RO009 IMRT with Contrast 213687 213687 213687 213687 Radiation Oncology RO010 IMRT Without Contrast 211951 211951 211951 211951 Radiation Oncology RO011 IMRT Adaptive With Contrast 236687 236687 236687 236687 Radiation Oncology RO012 IMRT Adaptive Without Contrast 234951 234951 234951 234951 Radiation Oncology RO013 IMRT With 4D Gating With Contrast 240137 240137 240137 240137 Radiation Oncology RO014 IMRT With 4D Gating Without Contrast 238401 238401 238401 238401 Radiation Oncology RO015 PET based IMRT 225992 225992 225992 225992 Radiation Oncology RO016 PET based IMRT Adaptive 255892 255892 255892 255892 Radiation Oncology RO017 PET based IMRT With 4D Gating 259342 259342 259342 259342 Radiation Oncology RO018 Pallative IMRT With Contrast 154882 154882 154882 154882 Radiation Oncology RO019 Pallative IMRT Without Contrast 153146 153146 153146 153146 Radiation Oncology RO020 IMRT BOOST 64400 64400 64400 64400 Radiation Oncology RO021 IGRT With Contrast 283510 283510 283510 283510 Radiation Oncology RO022 IGRT Without Contrast 281773 281773 281773 281773 Radiation Oncology RO023 IGRT With 4 D Gating With Contrast 313640 313640 313640 313640 Radiation Oncology RO024 IGRT With 4 D Gating Without Contrast 311903 311903 311903 311903 Radiation Oncology RO025 IGRT Adaptive With Contrast 306510 306510 306510 306510 Radiation Oncology RO026 IGRT Adaptive Without Contrast 304773 304773 304773 304773 Radiation Oncology RO027 PET based IGRT 302715 302715 302715 302715 Radiation Oncology RO028 PET based IGRT With 4 D Gating 332845 332845 332845 332845 Radiation Oncology RO029 Rapid Arc IGRT With Contrast 305256 305256 305256 305256 Radiation Oncology RO030 Rapid Arc IGRT Without Contrast 303520 303520 303520 303520 Radiation Oncology RO031 Rapid Arc IGRT With 4 D Gating 327382 327382 327382 327382 Radiation Oncology RO032 Rapid Arc IGRT With 4 D Gating Without Contrast 325646 325646 325646 325646 Radiation Oncology RO033 PET based Rapid Arc IGRT 324461 324461 324461 324461 Radiation Oncology RO034 PET based Rapid Arc With 4 D Gating 404087 404087 404087 404087 Radiation Oncology RO035 SBRT With Contrast 281750 281750 281750 281750 Radiation Oncology RO036 SBRT Without Contrast 280025 280025 280025 280025 Radiation Oncology RO037 PET SBRT 297850 297850 297850 297850 Radiation Oncology RO038 SRT With Contrast 281750 281750 281750 281750 Radiation Oncology RO039 SRT Without Contrast 280025 280025 280025 280025 Radiation Oncology RO040 PET SRT 297850 297850 297850 297850 Radiation Oncology RO041 SRS With Contrast 202285 202285 202285 202285 Radiation Oncology RO042 SRS Without Contrast 200560 200560 200560 200560 Radiation Oncology RO043 PET SRS 218385 218385 218385 218385 Radiation Oncology RO044 TBI (Single Session) With Contrast 76073 76073 76073 76073 Radiation Oncology RO045 TBI (Single Session) Without Contrast 74336 74336 74336 74336 Radiation Oncology RO046 TBI (Multiple Session) With Contrast 115173 115173 115173 115173 Radiation Oncology RO047 TBI (Multiple Session) Without Contrast 113436 113436 113436 113436 Radiation Oncology RO048 Electron Therapy 119324 119324 119324 119324 Radiation Oncology RO049 Brachytherapy Intracavitary 38675 38675 38675 38675 Radiation Oncology RO050 Brachytherapy Intravaginal 25760 25760 25760 25760 Radiation Oncology RO051 Blood Irridiation (1-4 Bag) 9016 9016 9016 9016 Radiation Oncology RO052 Procedure Sedation+AEA+Medicine(PEDS) 3220 3220 3220 3220 Radiation Oncology RO053 Radiotherapy Planning MRI (All sites) 10350 10350 10350 10350 Radiation Oncology RO054 Radiotherapy Planning MRI (With Contrast all sites 12075 12075 12075 12075 Radiation Oncology RO055 Radiotherapy Coucling and protocol 5750 5750 5750 5750 Radiation Oncology RO056 PET based Radiation Planning 25300 25300 25300 25300 Radiation Oncology RO057 Simple Pallative Lower 23000 23000 23000 23000 Nuclear Medicine Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Nuclear Medicine NM001 68 -Ga DOTA NOC Whole body PET CT Scan (MS) 34500 34500 36800 39100 41400 45 38214/2020/ESTT-NE_HRNuclear Medicine NM002 68 -Ga DOTA NOC Whole body PET CT Scan (SS) 40250 40250 42550 44850 47150 Nuclear Medicine NM003 68 -Ga DOTA NOC Whole body PET CT Scan Without Contrast (MS) 31050 31050 33350 35650 37950 Nuclear Medicine NM004 68 -Ga DOTA NOC Whole body PET CT Scan Without Contrast (SS) 36800 36800 39100 41400 43700 Nuclear Medicine NM005 68 -Ga DOTA PSMA Whole body PET CT Scan (MP) 27600 27600 29900 32200 34500 Nuclear Medicine NM006 68 -Ga DOTA PSMA Whole body PET CT Scan (SP) 32200 32200 34500 36800 39100 Nuclear Medicine NM007 68 -Ga DOTA PSMA Whole body PET CT Scan Without Contrast (MP) 24150 24150 26450 28750 31050 Nuclear Medicine NM008 68 -Ga DOTA PSMA Whole body PET CT Scan Without Contrast (SP) 27600 27600 29900 32200 34500 Nuclear Medicine NM009 Cardiac PET for Myocardial Viability 25300 25300 27600 29900 32200 Nuclear Medicine NM010 CECT Regional (with PET-NCCT) 5750 5750 8050 10350 12650 Nuclear Medicine NM011 F-Choline PET-CT 46000 46000 48300 50600 52900 Nuclear Medicine NM012 F-DOPA PET- CT 46000 46000 48300 50600 52900 Nuclear Medicine NM013 FDG Leucocyte Scan for Infection Imaging 19550 19550 21850 24150 26450 Nuclear Medicine NM014 FDG PET-CT Screening 17250 17250 19550 21850 24150 Nuclear Medicine NM015 FDG PET-CT Screening without Contrast 14950 14950 17250 19550 21850 Nuclear Medicine NM016 FET PET-CT 46000 46000 48300 50600 52900 Nuclear Medicine NM017 FLT PET-CT 46000 46000 48300 50600 52900 Nuclear Medicine NM018 PET Brain 17250 17250 19550 21850 24150 Nuclear Medicine NM019 PET Brain Without Contrast 13800 13800 16100 18400 20700 Nuclear Medicine NM020 PET CT Extra CD 575 575 2875 5175 7475 Nuclear Medicine NM021 PET CT Extra CD With Colour / B &W Films 1150 1150 3450 5750 8050 Nuclear Medicine NM022 PET CT Guided Metabolic Biopsy (Procedure Only) 5750 5750 8050 10350 12650 Nuclear Medicine NM023 PET CT Whole Body 25300 25300 27600 29900 32200 Nuclear Medicine NM024 PET CT Whole Body With CT Angio Extremity 27600 27600 29900 32200 34500 Nuclear Medicine NM025 PET CT Whole Body With CT Angio Liver/Triphasic CT Abdomen 29325 29325 31625 33925 36225 Nuclear Medicine NM026 PET CT Whole Body With CT Enterography 27600 27600 29900 32200 34500 Nuclear Medicine NM027 PET CT Whole Body With CT Renal Angio 27600 27600 29900 32200 34500 Nuclear Medicine NM028 PET CT Whole Body With CT Renal Angio & CT Urography 29325 29325 31625 33925 36225 Nuclear Medicine NM029 PET CT Whole Body With Neck Angio 27600 27600 29900 32200 34500 Nuclear Medicine NM030 PET CT Whole Body Without Contrast 21850 21850 24150 26450 28750 Nuclear Medicine NM031 Positron Emission Mammography with whole body PET CECT 27600 27600 29900 32200 34500 Nuclear Medicine NM032 Positron Emission Mammography with whole body PET NCCT 24150 24150 26450 28750 31050 Nuclear Medicine NM033 RT Planing CECT (Regional) 8050 8050 10350 12650 14950 Nuclear Medicine NM034 RT Planing NCCT (Regional) 4600 4600 6900 9200 11500 Nuclear Medicine NM035 Whole Body RT Planing With PET CT 17250 17250 19550 21850 24150 Ophthalmology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Opthalmology OP009 Phaco With IOL(lens cost extra) 20700 20700 23805 26910 30015 Opthalmology OP010 MICS With PCIOL 34500 34500 39675 44850 50025 Opthalmology OP011 ICCE with ACIOL with Anterior Vitrectomy (package) 40250 40250 46345 52325 58420 Opthalmology OP012 SICS with PCIOL(includes lens cost) 17250 17250 19895 22425 25070 Opthalmology OP013 ECCE with PCIOL (include lens cost) 13800 13800 15870 17940 20010 Opthalmology OP014 Secondary Iol Implantation( lens cost extra) 21275 21275 24495 27715 30935 Opthalmology OP015 Lensectomy (Anterior Route) 31050 31050 35765 40365 45080 Opthalmology OP016 Membranectomy / Surgical Pupilloplasty (Anterior Route) 21275 21275 24495 27715 30935 Opthalmology OP017 Amniotic Membrane Graft Per Eye 27600 27600 31740 35880 40020 Opthalmology OP018 Repair Of Corneal Scleral Tear & Lid repair 61525 61525 70840 80040 89240 Opthalmology OP019 Repair Of Corneal Tear with AC Formation 41400 41400 47610 53820 60030 Opthalmology OP020 Flap Striae Removal 18975 18975 21850 24725 27600 Opthalmology OP021 Corneo Scleral Tear Repair 54625 54625 62905 71070 79235 Opthalmology OP022 Corneo Scleral Tear Repair With Cataract Extraction & Iol Implantation 54625 54625 62905 71070 79235 Opthalmology OP023 Eyelid Reconstruction Direct Repair 21275 21275 24495 27715 30935 Opthalmology OP024 Eyelid Reconstruction With Flap 47725 47725 54970 62100 69230 Opthalmology OP025 Ac Wash Per Eye 9775 9775 11270 12765 14260 Opthalmology OP026 Hyphema Drainage (One Eye) 21275 21275 24495 27715 30935 Opthalmology OP027 Pterygium Excision With Conjunctival Autograft 34500 34500 39675 44850 50025 Opthalmology OP028 Pterygium Excision Without Autograft 8625 8625 10005 11270 12535 Opthalmology OP029 Probing & Syringing (Bilateral) 8050 8050 9315 10465 11730 46 Opthalmology OP030 Chalazion Under GA 7475 7475 8625 9775 10925 38214/2020/ESTT-NE_HROpthalmology OP031 Lid Tumours Excision & Repair With Skin / Mucosal Grafting Or Flap 33350 33350 38410 43355 48415 Construction Opthalmology OP032 Lid Tumours Excision & Repair Without Grafting & Flaps 15525 15525 17940 20240 22540 Opthalmology OP033 Ectropion Correction (One Eye) 34500 34500 39675 44850 50025 Opthalmology OP034 Entropion Correction (One Eye Lower Lid) 41400 41400 47610 53820 60030 Opthalmology OP035 Entropion Correction (One Eye Upper Lid) 23575 23575 27140 30705 34270 Opthalmology OP036 Syringing And Probing With Silicon Tube Both Eyes 21275 21275 24495 27715 30935 Opthalmology OP037 Syringing And Probing With Silicon Tube One Eye 14375 14375 16560 18745 20930 Opthalmology OP038 Punctoplasty - Both Eyes 13536 13536 15640 17710 19665 Opthalmology OP039 Punctoplasty - One Eye 6774 6774 7820 8855 9890 Opthalmology OP040 Medical Canthoplasty 14375 14375 16560 18745 20930 Opthalmology OP041 Symblepharon Release Oculoplasty 22425 22425 25875 29210 32545 Opthalmology OP042 Symblepharon Release Oculoplasty (Cost Of Amg Extra) 34500 34500 39675 44850 50025 Opthalmology OP043 Tarsal Strip Procedure 30475 30475 35075 39675 44275 Opthalmology OP044 Tarsofrontal Sling Both Eyes Ethibond 41400 41400 47610 53820 60030 Opthalmology OP045 Tarsofrontal Sling One Eye Ethibond 27600 27600 31740 35880 40020 Opthalmology OP046 Punctal Cautery 7475 7475 8625 9775 10925 Opthalmology OP047 Recanalization Of Canaliculus With Bicanalicular Intubation 27600 27600 31740 35880 40020 Opthalmology OP048 Recanalization Of Canaliculus With Monocanalicular Stent 27600 27600 31740 35880 40020 Opthalmology OP049 Blepharophimosis Correction (Cu Plasty B/E) 47725 47725 54970 62100 69230 Opthalmology OP050 Squint Surgery Under GA 34500 34500 39675 44850 50025 Opthalmology OP051 Canalicular Repair With Bicanalicular Stent 27600 27600 31740 35880 40020 Opthalmology OP052 Canalicular Repair With Monocanalicular Stent 34500 34500 39675 44850 50025 Opthalmology OP053 Eyelid Tumor Excision 14375 14375 16560 18745 20930 Opthalmology OP054 Fasanella Servat Procedure 34500 34500 39675 44850 50025 Opthalmology OP055 Adjustable Suture Lps Resection 47725 47725 54970 62100 69230 Opthalmology OP056 Conjunctival Tumor Excision 21275 21275 24495 27715 30935 Opthalmology OP057 Conjunctivoplasty 7475 7475 8625 9775 10925 Opthalmology OP058 Correction Of Eye Lid Retraction/Levator Recession 34500 34500 39675 44850 50025 Opthalmology OP059 Mullerectomy 41400 41400 47610 53820 60030 Opthalmology OP060 Enucleation One Eye 34500 34500 39675 44850 50025 Opthalmology OP061 Evisceration One Eye 27600 27600 31740 35880 40020 Opthalmology OP062 Eyelid Fold Formation 27600 27600 31740 35880 40020 Opthalmology OP063 Lateral Canthoplasty 14375 14375 16560 18745 20930 Opthalmology OP064 Y Plasty Or Z Plasty 27600 27600 31740 35880 40020 Opthalmology OP065 Anterior Vitrectomy (Cost Of Cutter Extra) 11500 11500 13225 14950 16675 Opthalmology OP066 Pars Plana Vitrectomy With Nuclear Fragment Removal 30360 30360 34960 39560 44045 Opthalmology OP067 Intra Vitreal Injection (Cost Of Drug Extra) 6774 6774 7820 8855 9890 Opthalmology OP068 Chalazion Incision And Curettage - One Eye 6774 6774 7820 8855 9890 Opthalmology OP069 Chalazion Incision And Curettage - Both Eyes 13536 13536 15640 17710 19665 Opthalmology OP070 Posterior Sub Tenon Injection (Cost Of Drug Extra) 3393 3393 3910 4485 4945 Opthalmology OP071 Nd Yag Iridotomy Per Eye 3393 3393 3910 4485 4945 Opthalmology OP072 Nd Yittrium-Aluminium-Garnet (Yag) Capsulotomy Per Eye 3393 3393 3910 4485 4945 Opthalmology OP073 Green Laser Trabeculoplasty Per Eye 6774 6774 7820 8855 9890 Opthalmology OP074 Argon/Prp Laser Per Sitting Per Eye 6774 6774 7820 8855 9890 Opthalmology OP075 Barrage Laser / Cryo (Multiple Quadrant) Per Eye 20309 20309 23460 26450 29555 Opthalmology OP076 Barrage Laser / Cryo (Single Quadrant) Per Eye 13536 13536 15640 17710 19665 Opthalmology OP077 ROP (Per Eye) Above 2 Quadrant (Green Laser) Extra Consumable 33845 33845 38985 44045 49105 Opthalmology OP078 ROP (Per Eye) Upto 2 Quadrant (Green Laser) Extra Consumable 20309 20309 23460 26450 29555 Opthalmology OP079 Bandage Contact Lens 1518 1518 1840 2070 2300 Opthalmology OP080 Suture Removal 1093 1093 1265 1495 1610 Opthalmology OP081 Deep Corneal Foreign Body Removal Per Eye 1357 1357 1610 1840 2070 Opthalmology OP082 Fundus Fluorescein angiography (FFA) 4888 4888 5635 6440 7130 Opthalmology OP083 Suture Tarsorraphy 6774 6774 7820 8855 9890 Opthalmology OP084 Corneal Scraping Per Eye 828 828 1035 1150 1265 Opthalmology OP085 Tarsorraphy Release 3393 3393 3910 4485 4945 Opthalmology OP086 Therapeutic Probing 3393 3393 3910 4485 4945 Opthalmology OP087 Nd Yag Synecholysis/Sweeping Per Eye 5417 5417 6325 7130 7935 47 Opthalmology OP088 Rop Screening 38214/2020/ESTT-NE_HR 1645 1645 1955 2185 2415 Opthalmology OP089 Eye Dressing 690 690 805 920 1035 Opthalmology OP090 Eye Wash 1357 1357 1610 1840 2070 Opthalmology OP091 Syringing And Probing 9476 9476 10925 12420 13800 Opthalmology OP092 A Scan Biometry (Per Eye) 1357 1357 1564 1771 1978 Opthalmology OP093 B Scan Ultrasonography (Per Eye) 1265 1265 1461 1645 1840 Opthalmology OP094 Auto Fluoroscence 2714 2714 3128 3531 3945 Opthalmology OP095 Fundus Photography 1357 1357 1564 1771 1978 Opthalmology OP096 Bedside IOP Measurement (Perkins Tonometry) 1265 1265 1461 1645 1840 Opthalmology OP097 CCT/ Pachymetry Both Eye 828 828 955 1081 1208 Opthalmology OP098 Colour Vision Exam 426 426 495 564 621 Opthalmology OP099 Diurnal Variation 2047 2047 2358 2668 2979 Opthalmology OP100 Gonioscopy 828 828 955 1081 1208 Opthalmology OP101 Indirect Opthalmoscopy (I/O) 426 426 495 564 621 Opthalmology OP102 IOP Measurement With Applanation Tonometry 426 426 495 564 621 Opthalmology OP103 OCT (Optical Coherence Tomography) 4428 4428 5095 5762 6429 Opthalmology OP104 Perimetry 2530 2530 2910 3289 3669 Opthalmology OP105 Refraction 426 426 495 564 621 Opthalmology OP106 Examination Under Anesthesia 10833 10833 12535 14145 15755 Opthalmology OP107 Comprehensive Eye Check Up 2047 2047 2415 2760 2990 Opthalmology OP108 ICI Workup 4071 4071 4715 5405 5980 IP Packages Length Of Stay Service General Twin Single Suite Department Service Name OPD Code ICU Ward Ward Sharing Room Room

Opthalmology OP001 Catract 1 (Supraphob) 0 Day Care 25875

Opthalmology OP002 Cataract 2 (Foldable Sensor 1) 0 Day Care 29900

Opthalmology OP003 Cataract 3 (Envista) 0 Day Care 50600

Opthalmology OP004 Cataract 4 (Ultrasert / Technis 1) 0 Day Care 46000

Opthalmology OP005 Cataract 5 (Imported Toric / Alcon / Envista) 0 Day Care 63250

Opthalmology OP006 Cataract 6 Iimported multifocal (alcon/technis) 0 Day Care 74750

Opthalmology OP007 Cataract 7 (Imported Trifocal) 0 Day Care 86250

Opthalmology OP008 Cataract 8 (Multifocal Toric) 0 Day Care 86250 Package Includes:- Day Care Charges, Professional Charges of Consultant, Basic Investigation.

Package excludes:- Cost of Lense/Implant, Blood Charges, File Charges, Diet Charges & Any professional Charges of Other Consultant & Cross Consultaion Etc.

Basic Investigations Include :- CBC, Lft, Kft, Blood Sugar , Chest X - Ray, ECG, HIV, PT, APTT, Hbsag, Hcv, Viral Marker.

Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling ORTHOPAEDICS Department Service Service Name General Twin Single Suite Code Ward Sharing Room Room Orthopaedics OR038 External Fixator For Fracture Of Humerus 44275 50945 57615 64285 Orthopaedics OR039 ORIF Intercondylar Humerus 50600 58190 65780 73370 Orthopaedics OR040 ORIF Buttress Plate / Locking Plat (Proximal Humerus) 50600 58190 65780 73370 Orthopaedics OR041 ORIF Fracture Clavicle 40250 46345 52325 58420 Orthopaedics OR042 Closed Nailing Of Long Bones Humerus 54625 62905 71070 79235 Orthopaedics OR043 Acromioplasty Sub Acromial Decompression & Excision Of Lateral End Of Clavicle 36225 41745 47150 52555 Orthopaedics OR044 ORIF Fracture Olecranon 35075 40365 45655 50945 Orthopaedics OR045 ORIF Fracture Radial Headradius 28750 33120 37375 41745 Orthopaedics OR046 ORIF Fracture Supracondylar Humerus 40250 46345 52325 58420 Orthopaedics OR047 Excision Head Of Radius 28750 33120 37375 41745 Orthopaedics OR048 K Wire Fixation Of Small Boneshand (Multiple) 25300 29095 32890 36685 Orthopaedics OR049 ORIF Fracture Scaphoid 40250 46345 52325 58420 Orthopaedics OR050 K Wire Fixation Small Bones Hand (Single) 22425 25875 29210 32545 Orthopaedics OR051 Tendon Repair Hand 27600 31740 35880 40020 Orthopaedics OR052 Percutaneous K Wire Fixation Under C Arm 27600 31740 35880 40020 Orthopaedics OR053 Multiple Hand Fracture & Tendon Injurie With Skin Loss 54625 62905 71070 79235 Orthopaedics OR054 Multiple Hand Fracture Without Skin Loss 36225 41745 47150 52555 Orthopaedics OR055 ORIF Both Bones Upper Limb 72450 83375 94185 105110 Orthopaedics OR056 ORIF DCP (Radius / Ulna) 47725 54970 62100 69230 Orthopaedics OR057 ORIF Interlocking Radius 47725 54970 62100 69230 48 Orthopaedics OR058 ORIF Interlocking Ulna 31625 36455 41170 45885 38214/2020/ESTT-NE_HROrthopaedics OR059 External Fixator For Fracture Of Radius/Ulna 44275 50945 57615 64285 Orthopaedics OR060 Fixation Frac Hip DHS / Jewett / Cann Screw 58650 67505 76245 85100 Orthopaedics OR061 DHS 69000 79350 89700 100050 Orthopaedics OR062 Proximal Femoral Nail (PFN) 50600 58190 65780 73370 Orthopaedics OR063 Removal Of Fracture Fragment Hip 44275 50945 57615 64285 Orthopaedics OR064 Bipolar Hemiartho Plasty 54625 62905 71070 79235 Orthopaedics OR065 Acetabular/Pelvic Fixation 85100 97865 110630 123395 Orthopaedics OR066 ORIF Fracture Patella 40250 46345 52325 58420 Orthopaedics OR067 Tension Wire Bending For Patella 40250 46345 52325 58420 Orthopaedics OR068 Total Patellectomy 35075 40365 45655 50945 Orthopaedics OR069 Partial Patellectomy 33350 38410 43355 48415 Orthopaedics OR070 ORIF Bimalleolar 46000 52900 59800 66700 Orthopaedics OR071 ORIF Fracture Lateral Malleolus 33350 38410 43355 48415 Orthopaedics OR072 ORIF Fracture Medial Malleolus 33350 38410 43355 48415 Orthopaedics OR073 ORIF Plating (Metalarpl / Metatarsal) 33350 38410 43355 48415 Orthopaedics OR074 K Wire Fixation Of Small Bones Foot (Multiple) 24150 27830 31395 35075 Orthopaedics OR075 ORIF Fracture Calcaneum 34500 39675 44850 50025 Orthopaedics OR076 ORIF Fracture Talus 36225 41745 47150 52555 Orthopaedics OR077 K Wire Fixation Small Bones Foot (Single) 22425 25875 29210 32545 Orthopaedics OR078 Closed Reduction Of Small Joints LP 5750 6670 7475 8395 Orthopaedics OR079 Closed Reduction Of Small Joints MP 5750 6670 7475 8395 Orthopaedics OR080 Closed Reduction Of Small Joints MTP 5750 6670 7475 8395 Orthopaedics OR081 Tendon Repair Foot 33350 38410 43355 48415 Orthopaedics OR082 ORIF Long Bonelower Limb 54625 62905 71070 79235 Orthopaedics OR083 ORIF Long Bones Upper Limbs 41975 48300 54625 60950 Orthopaedics OR084 ORIF Of Complex Fracture Upper Limb 69000 79350 89700 100050 Orthopaedics OR085 ORIF Of Complex Fractures 69000 79350 89700 100050 Orthopaedics OR086 ORIF Of Complex Fractures Lower Limb 69000 79350 89700 100050 Orthopaedics OR087 ORIF Periprosthetic Fractures 72450 83375 94185 105110 Orthopaedics OR088 Difficult & Complex Fracture Fixation 78200 89930 101660 113390 Orthopaedics OR089 Re Adjustment Of Fixator 8050 9315 10465 11730 Orthopaedics OR090 Removal Of Fixator 9775 11270 12765 14260 Orthopaedics OR091 Ilizarov & Complex External Fixator 86825 99935 112930 125925 Orthopaedics OR092 All ORIF And Bone Grafting (Small) 27600 31740 35880 40020 Orthopaedics OR093 All Open Reduction With Internal Fixation With Bone Grafting 63250 72795 82225 91770 Orthopaedics OR094 Bone Grafting For Fracture Non Union 36225 41745 47150 52555 Orthopaedics OR095 ORIF DCP (Plating) Long Bone Femur 54625 62905 71070 79235 Orthopaedics OR096 External Fixator For Fracture Of Femur 50600 58190 65780 73370 Orthopaedics OR097 Closed Nailing Of Long Bones Femur 63250 72795 82225 91770 Orthopaedics OR098 External Fixator For Fracture Of Tibia/Fibula 40250 46345 52325 58420 Orthopaedics OR099 ORIF Interlocking Fibula 36225 41745 47150 52555 Orthopaedics OR100 ORIF Lower End Tibia (Locking Plate) 41975 48300 54625 60950 Orthopaedics OR101 ORIF DCP Fibula 40250 46345 52325 58420 Orthopaedics OR102 ORIF DCP Tibia 54625 62905 71070 79235 Orthopaedics OR103 ORIF Interlocking Tibia 50600 58190 65780 73370 Orthopaedics OR104 ORIF Locking Plate Supracondylar Femur 46000 52900 59800 66700 Orthopaedics OR105 Change Of Tibal Articular Height (Change Of Ulena) 50600 58190 65780 73370 Orthopaedics OR106 Closed Nailing Of Long Bones Tibia 58650 67505 76245 85100 Orthopaedics OR107 Biopsy Muscle (Superficial) 5750 6670 7475 8395 Orthopaedics OR108 Colle Cast 3450 4025 4485 5060 Orthopaedics OR109 Closed Reduction Of Fractures & Pop Application 9775 11270 12765 14260 Orthopaedics OR110 Closed Reduction Of Joint Disclocation (Hip / Shoulder / Elbow) 12650 14605 16445 18400 Orthopaedics OR111 Colles Fracture Closed Reduction & Pop Cast & K-Wire Fixation 11500 13225 14950 16675 Orthopaedics OR112 Removal Of Implants Long Bones Lower Limb 33350 38410 43355 48415 Orthopaedics OR113 Removal Of Implants Long Bones Upper Limb 22425 25875 29210 32545 Orthopaedics OR114 Recurrent Dislocation Stabilization Shoulder (Arthroscopic Method) 50600 58190 65780 73370 Orthopaedics OR115 Arthroscopic Bicep Tendores Orthopaedics OR116 Arthroscopic Synovectomy Shoulder 52900 60835 68770 76705 Orthopaedics OR117 Shoulder Arthroscopy Rotator Cuff Repair 54625 62905 71070 79235 Orthopaedics OR118 Diagnostic Arthroscopy Shoulder 44275 50945 57615 64285 Orthopaedics OR119 Arthroscopic Synovectomy Wrist 50600 58190 65780 73370 Orthopaedics OR120 Diagnostic Arthroscopy Wrist 34500 39675 44850 50025 Orthopaedics OR121 Arthroscopic Joint Debridement 50600 58190 65780 73370 Orthopaedics OR122 Arthroscopic Synovectomy Hip 54625 62905 71070 79235 Orthopaedics OR123 Arthroscopic Meniscal Repair 58650 67505 76245 85100 Orthopaedics OR124 Arthroscopic Acl Reconstruction 64975 74750 84525 94300 49 Orthopaedics OR125 Arthroscopic Assisted Tibial Spine Fractur Reduction & Fixation 52900 60835 68770 76705 38214/2020/ESTT-NE_HROrthopaedics OR126 Arthroscopic Menisectomy 54625 62905 71070 79235 Orthopaedics OR127 Arthroscopic Synovectomy Knee 54625 62905 71070 79235 Orthopaedics OR128 Diagnostic Arthroscopy Knee 36225 41745 47150 52555 Orthopaedics OR129 Manipulation Of Joints Shoulder 16100 18515 20930 23345 Orthopaedics OR130 Arthrodesis Of Major Joints Shoulder 64975 74750 84525 94300 Orthopaedics OR131 Arthrotomy Wrist 27600 31740 35880 40020 Orthopaedics OR132 Arthrodesis Of Minor Joints Hand 33350 38410 43355 48415 Orthopaedics OR133 Open Synovectomy Wrist 40250 46345 52325 58420 Orthopaedics OR134 Manipulation Of Joints 12650 14605 16445 18400 Orthopaedics OR135 Primary Total Joint Replacement Bilateral Elbow 149500 171925 194350 216775 Orthopaedics OR136 Primary Total Joint Replacement Unilateral Elbow 80500 92575 104650 116725 Orthopaedics OR137 Primary Total Joint Replacement Bilateral Shoulder 149500 171925 194350 216775 Orthopaedics OR138 Primary Total Joint Replacement Unilateral Shoulder 80500 92575 104650 116725 Orthopaedics OR139 Primary Total Joint Replacement Bilateral Ankle 149500 171925 194350 216775 Orthopaedics OR140 Primary Total Joint Replacement Unilateral Ankle 80500 92575 104650 116725 Orthopaedics OR141 Manipulation Of Joints Elbow 11500 13225 14950 16675 Orthopaedics OR142 Arthrodesis Of Major Joints Elbow 50600 58190 65780 73370 Orthopaedics OR143 Revision Total Hip Replacement 149500 171925 194350 216775 Orthopaedics OR144 Arthrodesis Of Major Joints Hip 78200 89930 101660 113390 Orthopaedics OR145 Girdle Stone Arthroplasty 47725 54970 62100 69230 Orthopaedics OR146 Arthrotomy Hip 40250 46345 52325 58420 Orthopaedics OR147 Bipolar Arthroplasty 54625 62905 71070 79235 Orthopaedics OR148 Revision Total Knee Replacement (One Stage) 149500 171925 194350 216775 Orthopaedics OR149 Manipulation Of Joints Knee 11500 13225 14950 16675 Orthopaedics OR150 Infected TKR First Stage 72450 83375 94185 105110 Orthopaedics OR151 Infected TKR Joint Debridement 40250 46345 52325 58420 Orthopaedics OR152 Infected TKR Second Stage 149500 171925 194350 216775 Orthopaedics OR153 Total Knee Joint Replacement B/L Unicondylar 149500 171925 194350 216775 Orthopaedics OR154 Total Knee Joint Replacement U/L Unicondylar 80500 92575 104650 116725 Orthopaedics OR155 Arthrodesis Of Major Joints Knee 54625 62905 71070 79235 Orthopaedics OR156 Complex Knee Ligament Reconstruction & Stabilisation 86825 99935 112930 125925 Orthopaedics OR157 Open Synovectomy Knee 54625 62905 71070 79235 Orthopaedics OR158 Arthrotomy Knee 36225 41745 47150 52555 Orthopaedics OR159 Arthodesis Of Minor Joints 18400 21160 23920 26680 Orthopaedics OR160 Arthrotomy (Small Joints) 16675 19205 21735 24265 Orthopaedics OR161 Arthrodesis Of Major Joints Pan Talar 48875 56235 63595 70955 Orthopaedics OR162 Arthrodesis Of Minor Joints Foot 29325 33810 38180 42550 Orthopaedics OR163 Fusion Triple Arthrodesis 58650 67505 76245 85100 Orthopaedics OR164 Fusion Sub Talar 54625 62905 71070 79235 Orthopaedics OR165 Arthrotomy Ankle 36225 41745 47150 52555 Orthopaedics OR166 Amputation AE 50600 58190 65780 73370 Orthopaedics OR167 Amputation AK 54625 62905 71070 79235 Orthopaedics OR168 Amputation BE 40250 46345 52325 58420 Orthopaedics OR169 Amputation BK 50600 58190 65780 73370 Orthopaedics OR170 Amputation Fore Quarter 78200 89930 101660 113390 Orthopaedics OR171 Amputation Hind Quarter 79350 91310 103155 115115 Orthopaedics OR172 Amputation Of Digits Multiple 28750 33120 37375 41745 Orthopaedics OR173 Amputation Of Digits Single 18975 21850 24725 27600 Orthopaedics OR174 Minor Orthopaedic Procedure 1 8625 10005 11270 12535 Orthopaedics OR175 Minor Orthopaedic 6325 7360 8280 9200 Orthopaedics OR176 Biopsy Bone Small 16100 18515 20930 23345 Orthopaedics OR177 Wound Debridement (Major) 33350 38410 43355 48415 Orthopaedics OR178 DE Querveins Release( Unilateral) 18975 21850 24725 27600 Orthopaedics OR179 Contracture Release (Small) 22425 25875 29210 32545 Orthopaedics OR180 Minor Orthopaedic Procedure 3 18400 21160 23920 26680 Orthopaedics OR181 Medial Soft Tissue Tightening Above Knee (For Recurrent Dislocation Patella) 50600 58190 65780 73370 Orthopaedics OR182 Medial Soft Tissue Tightening Below Knee (For Recurrent Dislocation Patella) 50600 58190 65780 73370 Orthopaedics OR183 Abscess Incision & Drainage 7475 8625 9775 10925 Orthopaedics OR184 Adductor Tenotomy & Obturator Neurectomy 34500 39675 44850 50025 Orthopaedics OR185 Biopsy Bone Large 33350 38410 43355 48415 Orthopaedics OR186 Biopsy Muscle (Deep) 26450 30475 34385 38410 Orthopaedics OR187 Bone Grafting 28750 33120 37375 41745 Orthopaedics OR188 Carpal Tunnel Decompression (B/L) 53475 61525 69575 77625 Orthopaedics OR189 Carpal Tunnel Decompression (Single) 30475 35075 39675 44275 Orthopaedics OR190 Contracture Release (Large) 46000 52900 59800 66700 Orthopaedics OR191 Core Decompression 36225 41745 47150 52555 50 Orthopaedics OR192 Corrective Bone Surgery Club Foot (CTEV) 50600 58190 65780 73370 38214/2020/ESTT-NE_HROrthopaedics OR193 Corrective Lesser Toe Surgery 18975 21850 24725 27600 Orthopaedics OR194 Cross Finger Flaps Multiple 34500 39675 44850 50025 Orthopaedics OR195 Cross Finger Flaps Single Finger 34500 39675 44850 50025 Orthopaedics OR196 Ctev Manipulation & Corrective Cast 8625 10005 11270 12535 Orthopaedics OR197 Curettage Of Tumour (Small) 33350 38410 43355 48415 Orthopaedics OR198 Curettage Of Tumour (Large) 46000 52900 59800 66700 Orthopaedics OR199 DE Querveins Release ( Bilateral) 24150 27830 31395 35075 Orthopaedics OR200 Disarticulation Ankle 44275 50945 57615 64285 Orthopaedics OR201 Disarticulation Elbow 36225 41745 47150 52555 Orthopaedics OR202 Disarticulation Hip 69000 79350 89700 100050 Orthopaedics OR203 Disarticulation Knee 46000 52900 59800 66700 Orthopaedics OR204 Disarticulation Wrist 36225 41745 47150 52555 Orthopaedics OR205 Dressing Under GA 5750 6670 7475 8395 Orthopaedics OR206 Excision Of Ganglion 12650 14605 16445 18400 Orthopaedics OR207 Excision Of Lower End Ulna 24150 27830 31395 35075 Orthopaedics OR208 Fasciotomy Forearm 22425 25875 29210 32545 Orthopaedics OR209 Fasciotomy Leg 29325 33810 38180 42550 Orthopaedics OR210 Fusion Posterior Spinal 99475 114425 129375 144325 Orthopaedics OR211 Fusion Sacroiliac 71300 81995 92690 103385 Orthopaedics OR212 Hamstring Release 33350 38410 43355 48415 Orthopaedics OR213 In Growing Toe Nail Excision 5750 6670 7475 8395 Orthopaedics OR214 Joint Aspiration 5750 6670 7475 8395 Orthopaedics OR215 Lateral Soft Tissue Release Below Knee 29325 33810 38180 42550 Orthopaedics OR216 Limb Salvage & Implantation Of MEG Prosthesis 144325 166060 187680 209300 Orthopaedics OR217 Major Tendon Transfers 40250 46345 52325 58420 Orthopaedics OR218 Minor Orthopaedic Procedure 2 10350 11960 13455 15065 Orthopaedics OR219 Neurofibroma Excision 40825 47035 53130 59225 Orthopaedics OR220 Osetotomy French 34500 39675 44850 50025 Orthopaedics OR221 Osteomyelitis Surgical Decompression 40250 46345 52325 58420 Orthopaedics OR222 Osteotomy Around Hip 44275 50945 57615 64285 Orthopaedics OR223 Osteotomy Calcaneal 34500 39675 44850 50025 Orthopaedics OR224 Osteotomy - High Tibial 43700 50255 56810 63365 Orthopaedics OR225 Paediatric Hip Surgery Perthes /Scfe / Open Reduction Of CDH 69000 79350 89700 100050 Orthopaedics OR226 Paediatric Hip Surgery Open Reduction OF CDH 69000 79350 89700 100050 Orthopaedics OR227 Paediatric Hip Surgery SCFE 47725 54970 62100 69230 Orthopaedics OR228 Patellar Realignment 39675 45655 51635 57615 Orthopaedics OR229 Patellar Replacement 43700 50255 56810 63365 Orthopaedics OR230 Patellar Tendon Repair 33350 38410 43355 48415 Orthopaedics OR231 Ponseti Tenotomy 9775 11270 12765 14260 Orthopaedics OR232 Primary Nerve Repair 33350 38410 43355 48415 Orthopaedics OR233 Quadriceps Plasty Without Arthroscopy 50600 58190 65780 73370 Orthopaedics OR234 Recurrent Dislocation Of Patela Stabilization (Open Method) 58650 67505 76245 85100 Orthopaedics OR235 Removal Of Exostosis 27600 31740 35880 40020 Orthopaedics OR236 Repair Of Multiple Tendons Of Hand 36225 41745 47150 52555 Orthopaedics OR237 Resurface Hip Artoplasty Unilateral 90850 104535 118105 131790 Orthopaedics OR238 Rotation Flaps 28750 33120 37375 41745 Orthopaedics OR239 Rotator Cuff Repair Open 41975 48300 54625 60950 Orthopaedics OR240 Secondary Closure Of Wound 9775 11270 12765 14260 Orthopaedics OR241 Sequestrectomy 69000 79350 89700 100050 Orthopaedics OR242 Single Nerve Repair Major Nerve 28750 33120 37375 41745 Orthopaedics OR243 Single Tendon Grafting 28750 33120 37375 41745 Orthopaedics OR244 Skeleton Traction 14950 17250 19435 21735 Orthopaedics OR245 Skull Traction 10925 12650 14260 15870 Orthopaedics OR246 Trigger Finger Release 22425 25875 29210 32545 Orthopaedics OR247 Wound Debridement( Minor) 16675 19205 21735 24265 Orthopaedics OR248 Posterior Cervical Dissectomy 46000 52900 59800 66700 Orthopaedics OR249 Anterior Cervical Fusion 90850 104535 118105 131790 Orthopaedics OR250 Cervical Corpectomy 86825 99935 112930 125925 Orthopaedics OR251 Cervical Rib Excision 64975 74750 84525 94300 Orthopaedics OR252 Transthoracic Anterior Decompression & Fusion 100625 115805 130870 145935 Orthopaedics OR253 Costo Transversectomy 64975 74750 84525 94300 Orthopaedics OR254 Transforaminal Lumbar Intervertebral Bod Fusion With Instrumentation 99475 114425 129375 144325 Orthopaedics OR255 Endoscopic Spine Biopsy 48875 56235 63595 70955 Orthopaedics OR256 Endoscopic Spine Decompression 90850 104535 118105 131790 Orthopaedics OR257 Corrective Spinal Osteotromy & Fusion 92000 105800 119600 133400 Orthopaedics OR258 Anterior Spinal Fusion & Decompression At Multiple Levels 99475 114425 129375 144325 51 Orthopaedics OR259 Anterior Spinal Fusion With Decompression At Single Level 90850 104535 118105 131790 38214/2020/ESTT-NE_HROrthopaedics OR260 Combined Anterior & Posterior Spinal Surgery 252425 290375 328210 366045 Orthopaedics OR261 Microdisectomy 69000 79350 89700 100050 Orthopaedics OR262 Laminectomy 81650 93955 106145 118450 Orthopaedics OR263 Complex Spine Instrumentation 252425 290375 328210 366045 Orthopaedics OR264 Complex Spine Resection & Reconstruction 252425 290375 328210 366045 Orthopaedics OR265 Minor Orthopaedic Procedure 6325 7280 8223 9177 Orthopaedics OR266 POP - Ii 2473 2473 2852 3220 3588 Orthopaedics OR267 POP - Iii 3519 3519 4048 4577 5106 Orthopaedics OR268 POP - I 1645 1645 1898 2139 2392 Orthopaedics OR269 POP - Iv 5003 5003 5762 6509 7257 Orthopaedics OR270 POP - V 9695 9695 11155 12604 14065 Orthopaedics OR271 Application Of Skin Traction 1495 1495 1725 1944 2174 Orthopaedics OR272 Mole Removal 6958 6958 8004 9051 10097 Orthopaedics OR273 POP - Vi 10212 10212 11753 13283 14812 Orthopaedics OR274 POP - Vii 11707 11707 13467 15226 16986 Orthopaedics OR275 Aspiration Intra Articular Injection 1050 1050 1210 1370 1530 IP Packages Length Of Stay Service General Twin Single Suite Department Service Name Code ICU Ward Ward Sharing Room Room

Orthopaedics OR014 Total HIP Replacement Unilateral 1 3 172500 201250 230000 258750 Orthopaedics OR015 Total HIP Replacement Bilateral 1 4 230000 258750 287500 316250 Orthopaedics OR016 Total Knee Replacement Unilateral 1 3 172500 201250 230000 258750 Orthopaedics OR017 Total Knee Replacement Bilateral 1 4 230000 258750 287500 316250 Package Includes:- Stay up to as above mention, Surgeon fee, OT charges, anesthesia charge, basic Investigations , Routine drugs and consumables

Basic Investigations Include:- Complete Heamogram, Lft, Renal Profile, Blood Sugar , X-Ray upto 6, ECG, HIV, PT, APTT, Hbsag, Hcv,Echo

Package excludes:- Implant cost, Blood units, additional stay, Professional charges of other consultants, any additional procedure/investigation, CT/MRI / and Use of special drugs/ consumables & Computer Navigation Charges.

Note :- The Package Inclusions & Exclusions Will Be Discussed In Detail at The Time Of Patient / Attendant Counselling Peadiatrics Surgery

Service General Twin Single Suite Department Service Name Code Ward Sharing Room Room Peadiatrics PD001 Abscess Drainage - Multiple 18515 21390 24150 26910 Peadiatrics PD002 Abscess Drainage ( Large ) 13225 15295 17250 19205 Peadiatrics PD003 Abscess Drainage ( Small ) 7935 9200 10350 11615 Peadiatrics PD004 Psoas Abscess 26450 30475 34385 38410 Peadiatrics PD005 Perianal Abscess 18515 21390 24150 26910 Peadiatrics PD006 Hematoma Drainage 9315 10810 12190 13570 Peadiatrics PD007 Anal Dilatation 9315 10810 12190 13570 Peadiatrics PD008 Fissurectomy 19895 22885 25875 28865 Peadiatrics PD009 Sphincter Repair 33120 38180 43125 48070 Peadiatrics PD010 Shpinterotomy 26450 30475 34385 38410 Peadiatrics PD011 Fistulectomy/Fistulotomy 26450 30475 34385 38410 Peadiatrics PD012 Seton'S Placement 13225 15295 17250 19205 Peadiatrics PD013 Seton'S Tightening 9315 10810 12190 13570 Peadiatrics PD014 Rectal Polyp Excision 13225 15295 17250 19205 Peadiatrics PD015 Rectal Prolapse Sclerotherapy 13225 15295 17250 19205 Peadiatrics PD016 Rectal Prolapse Thiersch Wiring 19895 22885 25875 28865 Peadiatrics PD017 Rectopexy Open 52900 60835 68770 76705 Peadiatrics PD018 Rectopexy Laparoscopic 66125 76130 86020 95910 Peadiatrics PD019 Total Proctocolectomy+ Ileoanal J/S Pouch Anastomosis 132250 152145 171925 191820 Peadiatrics PD020 Abdomino Posterio Saggital Anorectoplasty /Abdominoperineal Pull Through 79350 91310 103155 115115 Peadiatrics PD021 Anoplasty 39675 45655 51635 57615 Peadiatrics PD022 Psarp 66125 76130 86020 95910 Peadiatrics PD023 Anal Transposition 52900 60835 68770 76705 Peadiatrics PD024 Pouch Colon Excision + Stoma 52900 60835 68770 76705 Peadiatrics PD025 Appendicectomy ( Laparoscopic ) 52900 60835 68770 76705 Peadiatrics PD026 Appendicectomy Open 39675 45655 51635 57615 Peadiatrics PD027 Ruptured Appendix 46345 53360 60260 67275 Peadiatrics PD028 Liver Biopsy (Laparotomy) 9315 10810 12190 13570 Peadiatrics PD029 Laparotomy + Cholangiogram 33120 38180 43125 48070 Peadiatrics PD030 Kasai'S Portoenterostomy 119025 136965 154790 172615 52 38214/2020/ESTT-NE_HRPeadiatrics PD031 Cystectomy + Urinary Diversion 105800 121670 137540 153410 Peadiatrics PD032 Cystectomy + Orthotopic Neobladder 158700 182505 206310 230115 Peadiatrics PD033 Ureterosigmoidostomy 105800 121670 137540 153410 Peadiatrics PD034 Diverticulectomy (Unilateral) 39675 45655 51635 57615 Peadiatrics PD035 Diverticulectomy (Bilateral) 66125 76130 86020 95910 Peadiatrics PD036 Diverticulectomy + Reimplantation 92575 106490 120405 134320 Peadiatrics PD037 Diagnostic Bronchoscopy 13225 15295 17250 19205 Peadiatrics PD038 Bronchoscopic Dilatation 33120 38180 43125 48070 Peadiatrics PD039 Bronchoscopic Foreign Body Retrieval 66125 76130 86020 95910 Peadiatrics PD040 Bronchoscopic Biopsy 26450 30475 34385 38410 Peadiatrics PD041 Choledochal Cyst Excision/ Hepaticoenterostomy 92575 106490 120405 134320 Peadiatrics PD042 Cleft Lip Unilateral 52900 60835 68770 76705 Peadiatrics PD043 Cleft Lip + Palate ( Anterior ) Repair 92575 106490 120405 134320 Peadiatrics PD044 Cleft Lip Repair ( Bilateral ) 66125 76130 86020 95910 Peadiatrics PD045 Cleft Palate Repair 66125 76130 86020 95910 Peadiatrics PD046 Cleft Palate Fistula Tongue Flap 119025 136965 154790 172615 Peadiatrics PD047 Constriction Band Release 26450 30475 34385 38410 Peadiatrics PD048 Constriction Band Release And Z Plasty 39675 45655 51635 57615 Peadiatrics PD049 Mace Procedure 52900 60835 68770 76705 Peadiatrics PD050 Gracilis Sling 66125 76130 86020 95910 Peadiatrics PD051 Anal Dilatation 9315 10810 12190 13570 Peadiatrics PD052 Gastrograffin Enemas 6670 7705 8740 9775 Peadiatrics PD053 Panendoscopy 26450 30475 34385 38410 Peadiatrics PD054 Cystoscopy Diagnostic 9315 10810 12190 13570 Peadiatrics PD055 Cystoscopic Dj Stent Removal 13225 15295 17250 19205 Peadiatrics PD056 Cystoscopic Dj Stent Placement 26450 30475 34385 38410 Peadiatrics PD057 Retrograde Pyelogram 26450 30475 34385 38410 Peadiatrics PD058 Ureterosocopy 33120 38180 43125 48070 Peadiatrics PD059 Cystoscopic Deflux Injection 33120 38180 43125 48070 Peadiatrics PD060 Uretrocele 39675 45655 51635 57615 Peadiatrics PD061 Diaphragmatic Hernia Primary Repair 92575 106490 120405 134320 Peadiatrics PD062 Diaphragmatic Hernia Thoracoscopic Repair 119025 136965 154790 172615 Peadiatrics PD063 Diaphragmatic Hernia Mesh Repair 105800 121670 137540 153410 Peadiatrics PD064 Epispadias Repair 66125 76130 86020 95910 Peadiatrics PD065 Redo Epispadias Repair 79350 91310 103155 115115 Peadiatrics PD066 Esophageal Atresia Primary Repair 92575 106490 120405 134320 Peadiatrics PD067 Esophageal Atresia Diversion 52900 60835 68770 76705 Peadiatrics PD068 Tracheoesophageal Fistula Ligation (Thoracotomy) 52900 60835 68770 76705 Peadiatrics PD069 Tracheo-Esophageal Fistula Ligation (Cervical) 33120 38180 43125 48070 Peadiatrics PD070 Esophagostomy (Cervical) 26450 30475 34385 38410 Peadiatrics PD071 Gastrostomy 26450 30475 34385 38410 Peadiatrics PD072 Gastrostomy + Retrograde Threading 39675 45655 51635 57615 Peadiatrics PD073 Gastrostomy Closure 19895 22885 25875 28865 Peadiatrics PD074 Esophageal Replacement 145475 167325 189175 211025 Peadiatrics PD075 Colon Interposition 132250 152145 171925 191820 Peadiatrics PD076 Esophageal Dilatation Antegrade 26450 30475 34385 38410 Peadiatrics PD077 Esophageal Dilatation Retrograde 26450 30475 34385 38410 Peadiatrics PD078 Esophagoscopic Dilatation 26450 30475 34385 38410 Peadiatrics PD079 Esophageal Foreign Body Removal 39675 45655 51635 57615 Peadiatrics PD080 Esophagoscopy Diagnostic 13225 15295 17250 19205 Peadiatrics PD081 Primary Repair 119025 136965 154790 172615 Peadiatrics PD082 Redo Turn In 132250 152145 171925 191820 Peadiatrics PD083 Bladder Turn In 119025 136965 154790 172615 Peadiatrics PD084 Augmentation Cystoplasty 132250 152145 171925 191820 Peadiatrics PD085 Appendicovesicostomy 39675 45655 51635 57615 Peadiatrics PD086 Ileovesicostomy (Monti) 52900 60835 68770 76705 Peadiatrics PD087 Bladder Neck Repair 52900 60835 68770 76705 Peadiatrics PD088 Suprapubic Fistula Closure 33120 38180 43125 48070 Peadiatrics PD089 Open Cholecystectomy 39675 45655 51635 57615 Peadiatrics PD090 Laproscopic Cholecystectomy 52900 60835 68770 76705 Peadiatrics PD091 Primary Closure 119025 136965 154790 172615 Peadiatrics PD092 Silo Creation (With Subsequent Reduction) 119025 136965 154790 172615 Peadiatrics PD093 Silo Closure 52900 60835 68770 76705 53 38214/2020/ESTT-NE_HRPeadiatrics PD094 Gynaecomastia / Supernumerary Breast Excision - Unilateral 31740 36570 41285 46115 Peadiatrics PD095 Gynaecomastia / Supernumerary Breast Excision -Bilateral 52900 60835 68770 76705 Peadiatrics PD096 Fibroadenoma Excision 21160 24380 27600 30705 Peadiatrics PD097 Polydactyly Single Simple 7935 9200 10350 11615 Peadiatrics PD098 Polydactyly Single Complex (Bony) 26450 30475 34385 38410 Peadiatrics PD099 Syndactyly Single Simple 26450 30475 34385 38410 Peadiatrics PD100 Syndactyly Multiple Simple 39675 45655 51635 57615 Peadiatrics PD101 Syndactyly Complex 52900 60835 68770 76705 Peadiatrics PD102 Hernia Unilateral <6 Months 31740 36570 41285 46115 Peadiatrics PD103 Hernia Bilateral < 6 Months 44965 51750 58535 65205 Peadiatrics PD104 Hernia Unilateral 26450 30475 34385 38410 Peadiatrics PD105 Hernia Bilateral 39675 45655 51635 57615 Peadiatrics PD106 Hernia Unilateral Laparoscopic 39675 45655 51635 57615 Peadiatrics PD107 Hernia Bilateral Laparoscopic 52900 60835 68770 76705 Peadiatrics PD108 Hernia Unilateral Obstructed 39675 45655 51635 57615 Peadiatrics PD109 Hydrocele Unilateral 26450 30475 34385 38410 Peadiatrics PD110 Hydrocele Bilateral 39675 45655 51635 57615 Peadiatrics PD111 Redo Henria Repair Unilateral 44965 51750 58535 65205 Peadiatrics PD112 Redo Hernia Repair Bilateral 58190 66930 75670 84410 Peadiatrics PD113 Epigastric/Femoral/Other Hernia 52900 60835 68770 76705 Peadiatrics PD114 Hirschprung Disease - Laproscopic Pull Through 119025 136965 154790 172615 Peadiatrics PD115 Hirschprung Disease - Redo Pull Through 119025 136965 154790 172615 Peadiatrics PD116 Hirschsprung'S Disease Pull Through 79350 91310 103155 115115 Peadiatrics PD117 Hirschsprung'S Disease Myomectomy 26450 30475 34385 38410 Peadiatrics PD118 Total Colonic Aganglionosis Pull Through 132250 152145 171925 191820 Peadiatrics PD119 Rectal Biopsy 7935 9200 10350 11615 Peadiatrics PD120 Vp Shunt Placement 66125 76130 86020 95910 Peadiatrics PD121 Vp Shunt Removal 26450 30475 34385 38410 Peadiatrics PD122 Vp Shunt Revision 79350 91310 103155 115115 Peadiatrics PD123 Intraventricular Tap 13225 15295 17250 19205 Peadiatrics PD124 Extra Ventricular Drainage 39675 45655 51635 57615 Peadiatrics PD125 Hypospadias ( Distal ) Repair - One Stage 52900 60835 68770 76705 Peadiatrics PD126 Hypospadias ( Proximal ) - Single Stage 66125 76130 86020 95910 Peadiatrics PD127 Hypospadias- Stage I 52900 60835 68770 76705 Peadiatrics PD128 Hypospadias Chordee Correction 52900 60835 68770 76705 Peadiatrics PD129 Hypospadias Correction Stage II 52900 60835 68770 76705 Peadiatrics PD130 Hypospadias With Urethral Fistula Repair 26450 30475 34385 38410 Peadiatrics PD131 Hyposadias With Prenoscrotal Transposition Correction 39675 45655 51635 57615 Peadiatrics PD132 Urethral Dilatation 9315 10810 12190 13570 Peadiatrics PD133 Pyloromyotomy 39675 45655 51635 57615 Peadiatrics PD134 Pyloromyotomy Laparosocopic 66125 76130 86020 95910 Peadiatrics PD135 Redo Pyloromyotomy 52900 60835 68770 76705 Peadiatrics PD136 Wedge Resection 19895 22885 25875 28865 Peadiatrics PD137 Imperforate Hymen Repair 26450 30475 34385 38410 Peadiatrics PD138 Vaginal Dilatation 9315 10810 12190 13570 Peadiatrics PD139 Vaginal Replacement 119025 136965 154790 172615 Peadiatrics PD140 Vaginoplasty 66125 76130 86020 95910 Peadiatrics PD141 Vaginoplasty + Clitoroplasty ( Congenital Adrenal Hyperplasia ) 105800 121670 137540 153410 Peadiatrics PD142 Clitoroplasty 52900 60835 68770 76705 Peadiatrics PD143 Vaginostomy 33120 38180 43125 48070 Peadiatrics PD144 Total Urogenital Mobilisation 92575 106490 120405 134320 Peadiatrics PD145 Monsplasty 33120 38180 43125 48070 Peadiatrics PD146 Minilap For Intersex 33120 38180 43125 48070 Peadiatrics PD147 Laparoscopy For Intersex 49680 57155 64630 72105 Peadiatrics PD148 Testicular Biopsy 13225 15295 17250 19205 Peadiatrics PD149 Phalloplasty Temporary 66125 76130 86020 95910 Peadiatrics PD150 Phalloplasty Permanent 119025 136965 154790 172615 Peadiatrics PD151 Fluoroscopic Reduction 33120 38180 43125 48070 Peadiatrics PD152 Laparoscopic Reduction 66125 76130 86020 95910 Peadiatrics PD153 Laparotomy + Reduction 52900 60835 68770 76705 Peadiatrics PD154 Laparotomy + Resection 59570 68540 77510 86480 Peadiatrics PD155 Adhesiolysis 7935 9200 10350 11615 Peadiatrics PD156 Labioplasty 33120 38180 43125 48070 54 38214/2020/ESTT-NE_HRPeadiatrics PD157 Liver Abcess - Laproscopic Drainage 39675 45655 51635 57615 Peadiatrics PD158 Liver Abscess Aspiration 13225 15295 17250 19205 Peadiatrics PD159 Liver Abscess Open Drainage 33120 38180 43125 48070 Peadiatrics PD160 Liver Abscess Percutaneous Drain Placement 19895 22885 25875 28865 Peadiatrics PD161 Right Hepatectomy 132250 152145 171925 191820 Peadiatrics PD162 Left Hepatectomy 99245 114195 129030 143980 Peadiatrics PD163 Extended Right Hepatectomy 158700 182505 206310 230115 Peadiatrics PD164 Central Hepatectomy 165370 190210 215050 239890 Peadiatrics PD165 Peripheral Resections 52900 60835 68770 76705 Peadiatrics PD166 Meatotomy 13225 15295 17250 19205 Peadiatrics PD167 Meningomyelocele With Laminectomy 119025 136965 154790 172615 Peadiatrics PD168 Meningomyelocele 79350 91310 103155 115115 Peadiatrics PD169 Dorsal Dermal Sinus 33120 38180 43125 48070 Peadiatrics PD170 Laminectomy For Duplication Cyst/ Neuroblastoma 79350 91310 103155 115115 Peadiatrics PD171 Catheterisation 4025 4715 5290 5865 Peadiatrics PD172 Muscle Biopsy 13225 15295 17250 19205 Peadiatrics PD173 Lymph Node Biopsy Superficial 13225 15295 17250 19205 Peadiatrics PD174 Lymph Node Biopsy Deep 19895 22885 25875 28865 Peadiatrics PD175 Peritoneal Dialysis Catheter Placement 33120 38180 43125 48070 Peadiatrics PD176 Branchial Sinus/Fistula 33120 38180 43125 48070 Peadiatrics PD177 Capd Placement 26450 30475 34385 38410 Peadiatrics PD178 Capd Removal 13225 15295 17250 19205 Peadiatrics PD179 Laparotomy + Stoma/Anastomosis 66125 76130 86020 95910 Peadiatrics PD180 Drain Insertion 19895 22885 25875 28865 Peadiatrics PD181 Nephrectomy Open 39675 45655 51635 57615 Peadiatrics PD182 Nephrectomy Laparoscopic 66125 76130 86020 95910 Peadiatrics PD183 Nephrostomy Percutaneous 26450 30475 34385 38410 Peadiatrics PD184 Nephrostomy Open 33120 38180 43125 48070 Peadiatrics PD185 Nephroureterectomy 52900 60835 68770 76705 Peadiatrics PD186 Heminephrectomy Unilateral 66125 76130 86020 95910 Peadiatrics PD187 Heminephrectomy Bilateral 92575 106490 120405 134320 Peadiatrics PD188 Heminephrectomy Laparoscopic 92575 106490 120405 134320 Peadiatrics PD189 Whipples Procedure 132250 152145 171925 191820 Peadiatrics PD190 Near Total Pancreatectomy 132250 152145 171925 191820 Peadiatrics PD191 Chronic Pancreatitis 105800 121670 137540 153410 Peadiatrics PD192 Cystogastrostomy 79350 91310 103155 115115 Peadiatrics PD193 Suiguira Procedure 158700 182505 206310 230115 Peadiatrics PD194 Splenorenal Shunt 145475 167325 189175 211025 Peadiatrics PD195 Vesicotomy 39675 45655 51635 57615 Peadiatrics PD196 Vesicostomy Closure 26450 30475 34385 38410 Peadiatrics PD197 Ureterostomy Unilateral 39675 45655 51635 57615 Peadiatrics PD198 Ureterostomy Bilateral 59570 68540 77510 86480 Peadiatrics PD199 Ureterostomy Closure Bilateral 49680 57155 64630 72105 Peadiatrics PD200 Ureterostomy Closure Unilateral 33120 38180 43125 48070 Peadiatrics PD201 Suprapubic Cystostomy 13225 15295 17250 19205 Peadiatrics PD202 Circumcision Religious Neonatal 13225 15295 17250 19205 Peadiatrics PD203 Circumcision 19895 22885 25875 28865 Peadiatrics PD204 Dorsal Slit 13225 15295 17250 19205 Peadiatrics PD205 Preputial Adhesion Release 7935 9200 10350 11615 Peadiatrics PD206 Priaprism 13225 15295 17250 19205 Peadiatrics PD207 Pyeloplasty Unilateral 52900 60835 68770 76705 Peadiatrics PD208 Pyeloplasty Bilateral 79350 91310 103155 115115 Peadiatrics PD209 Pyeloplasty Laparoscopic Unilateral 79350 91310 103155 115115 Peadiatrics PD210 Pyeloplasty Neonatal 66125 76130 86020 95910 Peadiatrics PD211 Redo Pyeloplasty 79350 91310 103155 115115 Peadiatrics PD212 Endopyelotomy 47610 54855 61985 69115 Peadiatrics PD213 Ureterocalycostomy 66125 76130 86020 95910 Peadiatrics PD214 Ureterolithotomy 39675 45655 51635 57615 Peadiatrics PD215 Nephrolithotomy 52900 60835 68770 76705 Peadiatrics PD216 Pyelolithotomy 52900 60835 68770 76705 Peadiatrics PD217 Cystolithotomy 31740 36570 41285 46115 Peadiatrics PD218 Cystoscopic Fragmentation Of Bladder Stone 39675 45655 51635 57615 Peadiatrics PD219 Ureteroscopic Fragmentation Of Ureteric/Pelvic Stone 66125 76130 86020 95910 55 38214/2020/ESTT-NE_HRPeadiatrics PD220 Ureteroscopic Stone Retrieval 66125 76130 86020 95910 Peadiatrics PD221 Percutaneous Nephrolithotomy 66125 76130 86020 95910 Peadiatrics PD222 Splenectomy 52900 60835 68770 76705 Peadiatrics PD223 Laparoscopic Splenectomy 79350 91310 103155 115115 Peadiatrics PD224 Colostomy Closure 39675 45655 51635 57615 Peadiatrics PD225 Colostomy With Biopsy 39675 45655 51635 57615 Peadiatrics PD226 Colostomy Without Biopsy 33120 38180 43125 48070 Peadiatrics PD227 Chimney Stoma 46345 53360 60260 67275 Peadiatrics PD228 Exteriorisation Of Bowel Loops 52900 60835 68770 76705 Peadiatrics PD229 Feeding Jejunostomy 33120 38180 43125 48070 Peadiatrics PD230 Colostomy Revision 33120 38180 43125 48070 Peadiatrics PD231 Tube Cecostomy 39675 45655 51635 57615 Peadiatrics PD232 Urethral Dilatation 13225 15295 17250 19205 Peadiatrics PD233 Rail Roading Of Urethra 26450 30475 34385 38410 Peadiatrics PD234 Internal Urethral Urethrotomy 39675 45655 51635 57615 Peadiatrics PD235 Laying Open Stricture 33120 38180 43125 48070 Peadiatrics PD236 Urethral Resection Anastomosis 46345 53360 60260 67275 Peadiatrics PD237 Transpubic Urethral Resection Anastomosis 92575 106490 120405 134320 Peadiatrics PD238 Urethral Replacement 119025 136965 154790 172615 Peadiatrics PD239 Thoracoscopic Decortication 79350 91310 103155 115115 Peadiatrics PD240 Thoracoscopy (Diagnostic) ± Biopsy 39675 45655 51635 57615 Peadiatrics PD241 Thoracotomy + Duplication Cyst Excision 79350 91310 103155 115115 Peadiatrics PD242 Thoracotomy + Large Mass/Tumor Excision 92575 106490 120405 134320 Peadiatrics PD243 Thoracotomy + Bronchotomy & Retrieval Of Foreign Body 66125 76130 86020 95910 Peadiatrics PD244 Thoracotomy + Cyst Excision 66125 76130 86020 95910 Peadiatrics PD245 Thoracotomy + Laminectomy + Neuroenteric Cyst Excsion 132250 152145 171925 191820 Peadiatrics PD246 Thoracotomy + Lobectomy 92575 106490 120405 134320 Peadiatrics PD247 Thoracotomy + Pneumonectomy 92575 106490 120405 134320 Peadiatrics PD248 Thoracotomy + Bronchopleural Fistula Repair 92575 106490 120405 134320 Peadiatrics PD249 Thoracostomy + Metastatectomy 79350 91310 103155 115115 Peadiatrics PD250 Thoractomy + Decortication 52900 60835 68770 76705 Peadiatrics PD251 Chest Tube Insertion 13225 15295 17250 19205 Peadiatrics PD252 Pleural Tap 5290 6095 6900 7705 Peadiatrics PD253 Pectus Deformity Correction 105800 121670 137540 153410 Peadiatrics PD254 Sinus And Rib Excision 39675 45655 51635 57615 Peadiatrics PD255 Thryoglossal Cyst 39675 45655 51635 57615 Peadiatrics PD256 Hemithyroidectomy 66125 76130 86020 95910 Peadiatrics PD257 Parathyroidectomy 92575 106490 120405 134320 Peadiatrics PD258 Release 7935 9200 10350 11615 Peadiatrics PD259 Redo Release 19895 22885 25875 28865 Peadiatrics PD260 Correction 39675 45655 51635 57615 Peadiatrics PD261 Testicular Prosthesis 39675 45655 51635 57615 Peadiatrics PD262 Release 26450 30475 34385 38410 Peadiatrics PD263 William's Tumor 92575 106490 120405 134320 Peadiatrics PD264 Neuroblastoma 105800 121670 137540 153410 Peadiatrics PD265 Retroperitoneal Teratoma 105800 121670 137540 153410 Peadiatrics PD266 Sacrococcygal Teratoma 105800 121670 137540 153410 Peadiatrics PD267 Umbilical Hernia Repair 26450 30475 34385 38410 Peadiatrics PD268 Pvid Excision 33120 38180 43125 48070 Peadiatrics PD269 Urachus Excision 26450 30475 34385 38410 Peadiatrics PD270 Umbilical Granuloma Cauterization 9315 10810 12190 13570 Peadiatrics PD271 Hernia Of Umbilical Cord 39675 45655 51635 57615 Peadiatrics PD272 Diagnostic Laparoscopy 19895 22885 25875 28865 Peadiatrics PD273 Orchidopexy Unilateral 33120 38180 43125 48070 Peadiatrics PD274 Orchidopexy Bilateral 46345 53360 60260 67275 Peadiatrics PD275 Orchidopexy Unilateral Laparosocpic 39675 45655 51635 57615 Peadiatrics PD276 Orchidopexy Bilateral Laparoscopic 52900 60835 68770 76705 Peadiatrics PD277 Orchidopexy Laparosocopic Stage 1 33120 38180 43125 48070 Peadiatrics PD278 Orchidopexy Laparosocopic Stage 2 39675 45655 51635 57615 Peadiatrics PD279 Orchidectomy Unilateral 26450 30475 34385 38410 Peadiatrics PD280 Orchidectomy Bilateral 33120 38180 43125 48070 Peadiatrics PD281 Renal Biopsy Percutaneous 9315 10810 12190 13570 Peadiatrics PD282 Renal Biopsy Open 19895 22885 25875 28865 56 38214/2020/ESTT-NE_HRPeadiatrics PD283 Varicocelectomy Unilateral 31740 36570 41285 46115 Peadiatrics PD284 Varicocelectomy Bilateral 39675 45655 51635 57615 Peadiatrics PD285 Varicocelectomy Unilateral Laparoscopic 39675 45655 51635 57615 Peadiatrics PD286 Varicocelectomy Bilateral Laparoscopic 52900 60835 68770 76705 Peadiatrics PD287 Central Venous Access 10580 12190 13800 15410 Peadiatrics PD288 Picc Line 6670 7705 8740 9775 Peadiatrics PD289 Venesection 6670 7705 8740 9775 Peadiatrics PD290 Difficult Iv Access 2070 2415 2760 3105 Peadiatrics PD291 Hickmann Catheter Insertion 26450 30475 34385 38410 Peadiatrics PD292 Hickmann Catheter Removal 11960 13800 15640 17365 Peadiatrics PD293 Chemoport Insertion 33120 38180 43125 48070 Peadiatrics PD294 Chemoport Removal 17250 19895 22425 25070 Peadiatrics PD295 Umbilical Artery Catheterization 10580 12190 13800 15410 Peadiatrics PD296 Umbilical Venous Catheterization 10580 12190 13800 15410 Peadiatrics PD297 Sclerotherapy 13225 15295 17250 19205 Peadiatrics PD298 Aspiration And Sclerothrapy (Cystic Hygroma) 9315 10810 12190 13570 Peadiatrics PD299 Hemangioma Excision - Large 79350 91310 103155 115115 Peadiatrics PD300 Hemangioma Excision - Medium 39675 45655 51635 57615 Peadiatrics PD301 Hemangioma Excision - Small 26450 30475 34385 38410 Peadiatrics PD302 Cystic Hygroma (Major) Excision 66125 76130 86020 95910 Peadiatrics PD303 Cystic Hygroma (Minor) Excision 39675 45655 51635 57615 Peadiatrics PD304 Ureteric Reimplantation - Bilateral 66125 76130 86020 95910 Peadiatrics PD305 Common Sheath Reimplantation (For Duplex Ureters) 79350 91310 103155 115115 Peadiatrics PD306 Ureteric Reimplanation With Tapering Unilateral 66125 76130 86020 95910 Peadiatrics PD307 Ureteric Reimplanation With Tapering Bilateral 79350 91310 103155 115115 Peadiatrics PD308 Ureteric Reimplantation - Unilateral 52900 60835 68770 76705 Peadiatrics PD309 Ureteric Reimplantation ( Laparoscopic ) 92575 106490 120405 134320 Peadiatrics PD310 Cystoscopic Deflux Injection 33120 38180 43125 48070 Peadiatrics PD311 Wound Repair Small 13225 15295 17250 19205 Peadiatrics PD312 Wound Face 15870 18285 20700 23115 Peadiatrics PD313 Wound Repair Large/Multiple 26450 30475 34385 38410 Peadiatrics PD314 Split Thickness Graft 39675 45655 51635 57615 Peadiatrics PD315 Ear Lobule Repair Unilateral 17250 19895 22425 25070 Peadiatrics PD316 Ear Lobule Repair Bilateral 26450 30475 34385 38410 Peadiatrics PD317 Tissue Expanders Placement 33120 38180 43125 48070 Peadiatrics PD318 Tissue Expanders Removal 16560 19090 21620 24035 Peadiatrics PD319 Suture Removal 3335 3910 4370 4945 Peadiatrics PD320 Scalp Avulsion 33120 38180 43125 48070 Peadiatrics PD321 Full Thickness Grafts 52900 60835 68770 76705 Peadiatrics PD322 Rotation Flaps For Wound Cover 66125 76130 86020 95910 Peadiatrics PD323 Dressing Small 2645 3105 3450 3910 Peadiatrics PD324 Dressing Medium 5290 6095 6900 7705 Peadiatrics PD325 Dressing Large 7935 9200 10350 11615 Peadiatrics PD326 Debridement 13225 15295 17250 19205 Peadiatrics PD327 Infected Mesh Removal 33120 38180 43125 48070 Pain Clinic Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Pain Clinic PC001 Single Epidural Spinal Block 14893 14893 17135 19366 21597 Pain Clinic PC002 Multiple Foraminal Block 13409 13409 15422 17434 19447 Pain Clinic PC003 Multiple Nerve Root Block 14893 14893 17135 19366 21597 Pain Clinic PC004 Multiple Epidural Spinal Block 12673 12673 14582 16480 18377 Pain Clinic PC005 Multiple Facet Block 11926 11926 13720 15514 17296 Pain Clinic PC006 Multiple Intercostal Block 11926 11926 13720 15514 17296 Pain Clinic PC007 Single Nerve Root Block 11926 11926 13720 15514 17296 Pain Clinic PC008 Multiple Nerve Block 10431 10431 12006 13570 15134 Pain Clinic PC009 Single Foraminal Block 10431 10431 12006 13570 15134 Pain Clinic PC010 Single Facet Block 8947 8947 10293 11638 12984 Pain Clinic PC011 Carpel Tunnel Block 7452 7452 8579 9695 10810 Pain Clinic PC012 Single Intercostal Block 7452 7452 8579 9695 10810 Pain Clinic PC013 Single Nerve Block 7452 7452 8579 9695 10810 Pain Clinic PC014 Caudal Epidural Adheniolysis 41400 41400 47725 54050 60375 Physiotheraphy 57 Department Service Service Name OPD General Twin Single Suite 38214/2020/ESTT-NE_HRCode Ward Sharing Room Room Physiotheraphy PT001 Ultrasonic Therapy - Ankle 150 150 173 196 219 Physiotheraphy PT002 Ultrasonic Therapy - Elbow 150 150 173 196 219 Physiotheraphy PT003 Ultrasonic Therapy - Knee 150 150 173 196 219 Physiotheraphy PT004 Ultrasonic Therapy - Shoulder 150 150 173 196 219 Physiotheraphy PT005 Ultrasonic Therapy - Back 150 150 173 196 219 Physiotheraphy PT006 Ultrasonic Therapy - Wrist 150 150 173 196 219 Physiotheraphy PT007 Ultrasonic Therapy - Neck 150 150 173 196 219 Physiotheraphy PT008 US (Ultrasonic Therapy) 150 150 173 196 219 Physiotheraphy PT009 Short Wave Diathermy - Shoulder 219 219 253 288 322 Physiotheraphy PT010 Short Wave Diathermy - Back 219 219 253 288 322 Physiotheraphy PT011 Short Wave Diathermy - Ankle 219 219 253 288 322 Physiotheraphy PT012 Short Wave Diathermy - Elbow 219 219 253 288 322 Physiotheraphy PT013 Short Wave Diathermy - Hip 219 219 253 288 322 Physiotheraphy PT014 Short Wave Diathermy - Knee 219 219 253 288 322 Physiotheraphy PT015 Short Wave Diathermy - Neck 219 219 253 288 322 Physiotheraphy PT016 SWD (Short Wave Diathermy) 219 219 253 288 322 Physiotheraphy PT017 Doctors Consultation 345 345 403 449 506 Physiotheraphy PT018 Hot Pack (Hydrocollator) 150 150 173 196 219 Physiotheraphy PT019 Cold Pack (Cryotherapy) 150 150 173 196 219 Physiotheraphy PT020 IFT (Interferntial Therapy) 219 219 253 288 322 Physiotheraphy PT021 Transcutaneous Electrical Stimulation (Tens) 219 219 253 288 322 Physiotheraphy PT022 Electric Stimulation Therapeutic 219 219 253 288 322 Physiotheraphy PT023 Exercise Of Any Single Joint (Shoulder/Elbow/Wrist/Hip/Knee/Ankle 288 288 334 380 426 Back/Neck) Physiotheraphy PT024 Exercise Multiple Joint/Hemiplegic/Paraplegic/Quadriplegia/Cerebralpalsy 483 483 564 633 702

Physiotheraphy PT025 CPM (Continious Passive Mobilizer) 219 219 253 288 322 Physiotheraphy PT026 Combination Theraphy 288 288 334 380 426 Physiotheraphy PT027 Wax Bath 219 219 253 288 322 Physiotheraphy PT028 Post Polio Exercise 345 345 403 449 506 Physiotheraphy PT029 Cerebral Palsy- Exercise 483 483 564 633 702 Physiotheraphy PT030 Antenatal/ Post Natal Exercise 345 345 403 449 506 Physiotheraphy PT031 Muscle Testing And Diagnostic 288 288 334 380 426 Physiotheraphy PT032 Infra Red 150 150 173 196 219 Physiotheraphy PT033 Electric Vibrator 219 219 253 288 322 Physiotheraphy PT034 Vibrator Belt Massage 288 288 334 380 426 Physiotheraphy PT035 Antenatal Exercise OPD per visit 575 575 667 748 840 Physiotheraphy PT036 Antenatal Exercise OPD Package 1495 1495 1725 1955 2174 Physiotheraphy PT037 Dialysis Session 230 230 265 299 334 Physiotheraphy PT038 Breathing Exercises & Postural Drainage 219 219 253 288 322 Physiotheraphy PT039 Breathing Exercises 253 253 299 334 368 Physiotheraphy PT040 Cardiac Rehabilitation 437 437 506 575 633 Physiotheraphy PT041 CTVS Rehabilitation 345 345 403 449 506 Physiotheraphy PT042 Medically Supervised Weight Management Program 3450 3450 3968 4485 5003 Physiotheraphy PT043 ILT (Intermittent Lumbar Traction) 219 219 253 288 322 Physiotheraphy PT044 ICT (Intermittent Cervical Traction) 219 219 253 288 322 Physiotheraphy PT045 Obesity Exercises 345 345 403 449 506 Physiotheraphy PT046 Hydro Collator Packs 150 150 173 196 219 Physiotheraphy PT047 Monthly Gym Charges 2047 2047 2358 2668 2979 Physiotheraphy PT048 Physiotherapy in NICU/PICU 288 288 334 380 426 Physiotheraphy PT049 Physiotherapy Post Hysterectomy 345 345 403 449 506 Physiotheraphy PT050 PCOD Exercises 575 575 667 748 840 Physiotheraphy PT051 PMS Exercises 575 575 667 748 840 Physiotheraphy PT052 Life Over Parkinsons 460 460 529 598 667 Physiotheraphy PT053 Life Over Parkinsons (1 month) 4600 4600 5290 5980 6670 Physiotheraphy PT054 Life Over Parkinsons (2 Month) 7475 7475 8602 9718 10845 Plastic Surgery Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Plastic Surgery PS001 Dressing In OT Large 27025 27025 31165 35190 39215 Plastic Surgery PS002 Dressing In OT Medium 10350 10350 11960 13455 15065 Plastic Surgery PS003 Dressing In OT Small 10925 10925 12650 14260 15870 Plastic Surgery PS004 Dressing In OT X Large 20125 20125 23230 26220 29210 58 Plastic Surgery PS005 Dressing In Ward Large 38214/2020/ESTT-NE_HR 5175 5175 5980 6785 7590 Plastic Surgery PS006 Dressing In Ward Medium 3450 3450 4025 4485 5060 Plastic Surgery PS007 Dressing In Ward Small 2300 2300 2645 2990 3335 Plastic Surgery PS008 Dressing In Ward X Large 12650 12650 14605 16445 18400 Plastic Surgery PS009 Burn Dressing In OT (Small) 6325 6325 7360 8280 9200 Plastic Surgery PS010 Burn Dressing In OT (Large For More Than 30%) 20125 20125 23230 26220 29210 Plastic Surgery PS011 Burn Dressing In OT (Medium Less Than 30%) 12075 12075 13915 15755 17595 Plastic Surgery PS012 Burn Dressing In Ward (Large For More Than 30%) 15180 15180 17480 19780 22080 Plastic Surgery PS013 Burn Dressing In Ward (Medium Less Than 30%) 9488 9488 10925 12420 13800 Plastic Surgery PS014 Burn Under Ga Dressing Change 25300 25300 29095 32890 36685 Plastic Surgery PS015 Burn Dressing By Consultant 5969 5969 6900 7820 8740 Plastic Surgery PS016 Burn Dressing In Ward (Small) 5060 5060 5865 6670 7360 Plastic Surgery PS017 Burn Dressing In Ward (Large) 18343 18343 21160 23920 26680 Plastic Surgery PS018 Dressing Charges Burns Major ( 10% To 30%) 5693 5693 6555 7475 8280 Plastic Surgery PS019 Dressing Charges Burns Major ( 30% Above) 6958 6958 8050 9085 10120 Plastic Surgery PS020 Dressing Charges Burns Major ( 5% To 10%) 3795 3795 4370 4945 5520 Plastic Surgery PS021 Dressing Charges Burns Major ( Upto 5%) 2300 2300 2645 2990 3335 Plastic Surgery PS022 Dressing Change Large 4600 4600 5290 5980 6670 Plastic Surgery PS023 Dressing Change Medium 3450 3450 4025 4485 5060 Plastic Surgery PS024 Dressing Change Small 2300 2300 2645 2990 3335 Plastic Surgery PS025 Dressing Change X Large 6325 6325 7360 8280 9200 Plastic Surgery PS026 Dressing In Ward - Large 5060 5060 5865 6670 7360 Plastic Surgery PS027 Dressing In Ward - Medium 3163 3163 3680 4140 4600 Plastic Surgery PS028 Dressing In Ward - Small 1898 1898 2185 2530 2760 Plastic Surgery PS029 Dressing In Ward - X-Large 12650 12650 14605 16445 18400 Plastic Surgery PS030 Dressing Large 1208 1208 1495 1610 1840 Plastic Surgery PS031 Dressing Medium 610 610 805 805 920 Plastic Surgery PS032 Dressing Small 460 460 575 690 690 Plastic Surgery PS033 Desloughing - Medium 12650 12650 14605 16445 18400 Plastic Surgery PS034 Desloughing - Small 5693 5693 6555 7475 8280 Plastic Surgery PS035 Burn Escharotomy Or Fasciotomy Each 55775 55775 64170 72565 80960 Plastic Surgery PS036 Burn Grafting Extensive 90275 90275 103845 117415 130985 Plastic Surgery PS037 Burn Grafting Large 56350 56350 64860 73255 81765 Plastic Surgery PS038 Burn Grafting Medium 44275 44275 50945 57615 64285 Plastic Surgery PS039 Burn Grafting Small 27025 27025 31165 35190 39215 Plastic Surgery PS040 Palate Fistula Closure 68425 68425 78775 89010 99245 Plastic Surgery PS041 Pan Facial / Complex Facial Fracture 89700 89700 103155 116610 130065 Plastic Surgery PS042 Panniculectomy Large 154100 154100 177215 200330 223445 Plastic Surgery PS043 Pedicle Graft / Flap (Large) 45425 45425 52325 59110 65895 Plastic Surgery PS044 Pedicle Graft / Flap (Small) 28175 28175 32430 36685 40940 Plastic Surgery PS045 Penil Curvature Correction 119600 119600 137540 155480 173420 Plastic Surgery PS046 Penil Reconstruction With Flap 119600 119600 137540 155480 173420 Plastic Surgery PS047 Penil Surgery ( Erectile Dysfunction Inflatable ) 78200 78200 89930 101660 113390 Plastic Surgery PS048 Penile Surgery (Erectile Dysfuction Malleable) 66125 66125 76130 86020 95910 Plastic Surgery PS049 Peripheral Vessel Repair Single 47725 47725 54970 62100 69230 Plastic Surgery PS050 Peripheral Vessel Repair With Vein Graft 54625 54625 62905 71070 79235 Plastic Surgery PS051 Periprosthetic Capsulectomy Per Side 43125 43125 49680 56120 62560 Plastic Surgery PS052 Iliac Crest Bone Grafting 49450 49450 56925 64285 71760 Plastic Surgery PS053 Insetting 27600 27600 31740 35880 40020 Plastic Surgery PS054 Inter Maxillary Fixation 27025 27025 31165 35190 39215 Plastic Surgery PS055 Lacerated Wound Finger Single 0R Very Small Or Simple 15525 15525 17940 20240 22540 Plastic Surgery PS056 Laceration Large 31050 31050 35765 40365 45080 Plastic Surgery PS057 Laceration Medium 20125 20125 23230 26220 29210 Plastic Surgery PS058 Laceration Multiple 43700 43700 50255 56810 63365 Plastic Surgery PS059 Laceration Small 9775 9775 11270 12765 14260 Plastic Surgery PS060 Large Multiple Wounds Face Skin Deffct With Flap 56350 56350 64860 73255 81765 Plastic Surgery PS061 Limb Avulsion Injuries Sugical Repair (Limited) 50600 50600 58190 65780 73370 Plastic Surgery PS062 Limb Avulsion Injuries Surgical Repair (Extensive ) 83950 83950 96600 109135 121785 Plastic Surgery PS063 Limb Avulsion Injuries Surgical Repair (Moderate) 61525 61525 70840 80040 89240 59 Plastic Surgery PS064 Lipoma Large 38214/2020/ESTT-NE_HR 47150 47150 54280 61295 68425 Plastic Surgery PS065 Lipoma Medium 16100 16100 18515 20930 23345 Plastic Surgery PS066 Lipoma Small 24725 24725 28520 32200 35880 Plastic Surgery PS067 Lipoma X Small 14950 14950 17250 19435 21735 Plastic Surgery PS068 Local Flaps 33350 33350 38410 43355 48415 Plastic Surgery PS069 Lump Tumour Excision With Cover (Large) 109825 109825 126385 142830 159275 Plastic Surgery PS070 Lump Tumour Excision With Cover (Medium) 96600 96600 111090 125580 140070 Plastic Surgery PS071 Lump/ Tumor Excision With Cover (Small) 90850 90850 104535 118105 131790 Plastic Surgery PS072 Major Hand Injury 74175 74175 85330 96485 107640 Plastic Surgery PS073 Major Revision (Nassal Tip And Osteotomies) 75900 75900 87285 98670 110055 Plastic Surgery PS074 Malar Fracture Reduction Closed 50600 50600 58190 65780 73370 Plastic Surgery PS075 Malar Fracture Reduction Open 67275 67275 77395 87515 97635 Plastic Surgery PS076 Mandible Reconstruction Bt Plate 47725 47725 54970 62100 69230 Plastic Surgery PS077 Mandible Reconstruction By Bone Flap 108675 108675 125005 141335 157665 Plastic Surgery PS078 Mandible Reconstruction By Bone Graft 68425 68425 78775 89010 99245 Plastic Surgery PS079 Wound Cover With Split Thickness Skin Graft (Other Than Burn) Medium 33350 33350 38410 43355 48415 Plastic Surgery PS080 Wound Cover With Split Thickness Skin Graft (Other Than Burn) Small 21850 21850 25185 28405 31740 Plastic Surgery PS081 Wound Cover With Sput Thickness Skin Graft (Other Than Burn) Large 52325 52325 60260 68080 75900 Plastic Surgery PS082 Z / W Plasty Extended 27025 27025 31165 35190 39215 Plastic Surgery PS083 Z / W Plasty Large 61525 61525 70840 80040 89240 Plastic Surgery PS084 Z / W Plasty Medium 33925 33925 39100 44160 49220 Plastic Surgery PS085 Z / W Plasty Small 24150 24150 27830 31395 35075 Plastic Surgery PS086 Z Plasty Large 68425 68425 78775 89010 99245 Plastic Surgery PS087 Z Plasty Large Large 67275 67275 77395 87515 97635 Plastic Surgery PS088 Z Plasty Large Small 61525 61525 70840 80040 89240 Plastic Surgery PS089 Z Plasty Medium 37375 37375 43010 48645 54280 Plastic Surgery PS090 Z Plasty Multiple Or Extra Large 71875 71875 82685 93495 104305 Plastic Surgery PS091 Z Plasty Small 27025 27025 31165 35190 39215 Plastic Surgery PS092 TM Joint Arthroplasty 80500 80500 92575 104650 116725 Plastic Surgery PS093 TM Joint Release (Bilateral) 62100 62100 71415 80730 90045 Plastic Surgery PS094 Tongue Flap 40825 40825 47035 53130 59225 Plastic Surgery PS095 Tongue Flap 1St Stage 40825 40825 47035 53130 59225 Plastic Surgery PS096 Tongue Flap 2Nd Stage 24725 24725 28520 32200 35880 Plastic Surgery PS097 Tongue Tie 9775 9775 11270 12765 14260 Plastic Surgery PS098 Torticollis (Single) 56925 56925 65550 74060 82570 Plastic Surgery PS099 Total Eyelid Reconstruction 60375 60375 69460 78545 87630 Plastic Surgery PS100 Total Lower Body Lift (In Patient) 259325 259325 298310 337180 376050 Plastic Surgery PS101 Transcranial Surgery 117875 117875 135585 153295 171005 Plastic Surgery PS102 Traumatic Ear Partial Loss 51750 51750 59570 67275 75095 Plastic Surgery PS103 Traumatic Ear Total Loss 67850 67850 78085 88205 98440 Plastic Surgery PS104 Tuboplasty 54625 54625 62905 71070 79235 Plastic Surgery PS105 Tendon / Nerve Repair 47150 47150 54280 61295 68425 Plastic Surgery PS106 Tendon Graft 49450 49450 56925 64285 71760 Plastic Surgery PS107 Tendon Grafting (Single) 50600 50600 58190 65780 73370 Plastic Surgery PS108 Tendon Grafting Prosthetic (1St Stage) 39675 39675 45655 51635 57615 Plastic Surgery PS109 Tendon Grafting Prosthetic (2Nd Stage) 55775 55775 64170 72565 80960 Plastic Surgery PS110 Tendon Grafting With Prosthesis 39100 39100 44965 50830 56695 Plastic Surgery PS111 Tendon Injury Repair (Multiple) 67275 67275 77395 87515 97635 Plastic Surgery PS112 Tendon Injury Repair (Single) 39675 39675 45655 51635 57615 Plastic Surgery PS113 Tendon Injury Repair Each 42550 42550 48990 55315 61755 Plastic Surgery PS114 Tendon Transfer (Single) 61525 61525 70840 80040 89240 Plastic Surgery PS115 Scrotum / Penis Avulsion Injuries Surgical Repair 89700 89700 103155 116610 130065 Plastic Surgery PS116 Secondary Revision Cleft Lip Nasal Deformity 56925 56925 65550 74060 82570 Plastic Surgery PS117 Secondary Rhinoplasty Minor Revision 49450 49450 56925 64285 71760 Plastic Surgery PS118 Segmental Mastctomy With Axillary Clearacne 83375 83375 95910 108445 120980 Plastic Surgery PS119 Septoplasty Or Submucous Resection 56925 56925 65550 74060 82570 Plastic Surgery PS120 Simple Scar Extra Large 28175 28175 32430 36685 40940 Plastic Surgery PS121 Simple Scars Large 21850 21850 25185 28405 31740 Plastic Surgery PS122 Simple Scars Medium 17250 17250 19895 22425 25070 60 Plastic Surgery PS123 Simple Scars Small 11500 11500 13225 14950 16675 38214/2020/ESTT-NE_HRPlastic Surgery PS124 Skin Flaps Advancement Flap

Plastic Surgery PS125 Skin Flaps Cross Finger Stage 1 50600 50600 58190 65780 73370 Plastic Surgery PS126 Skin Flaps Cross Finger Stage 2 34500 34500 39675 44850 50025 Plastic Surgery PS127 Skin Grafting (Large) 61525 61525 70840 80040 89240 Plastic Surgery PS128 Skin Grafting (Medium) 41400 41400 47610 53820 60030 Plastic Surgery PS129 Skin Grafting (Small) 24150 24150 27830 31395 35075 Plastic Surgery PS130 Spine Bifida 52325 52325 60260 68080 75900 Plastic Surgery PS131 Subcranial Surgery 102350 102350 117760 133055 148465 Plastic Surgery PS132 Submental Fat Pad Removal 43125 43125 49680 56120 62560 Plastic Surgery PS133 Surgical Toilet Medium 12650 12650 14605 16445 18400 Plastic Surgery PS134 Surgical Toilet Large 20125 20125 23230 26220 29210 Plastic Surgery PS135 Removal Of Implant Material Per Side 49450 49450 56925 64285 71760 Plastic Surgery PS136 Removal Of Intact Implant Per Side 37375 37375 43010 48645 54280 Plastic Surgery PS137 Replantation Digit (Single) 62100 62100 71415 80730 90045 Plastic Surgery PS138 Replantation Hand 84525 84525 97290 109940 122590 Plastic Surgery PS139 Replantation Multiple Fingers 98900 98900 113735 128570 143405 Plastic Surgery PS140 Replantation Of Digits Multiple (>2) 122475 122475 140875 159275 177675 Plastic Surgery PS141 Replantation Of Digits Other Parts 122475 122475 140875 159275 177675 Plastic Surgery PS142 Replantation One Finger 78200 78200 89930 101660 113390 Plastic Surgery PS143 Replantation Other Parts 102925 102925 118450 133860 149270 Plastic Surgery PS144 Replantation Scalp 119600 119600 137540 155480 173420 Plastic Surgery PS145 Revascularisation Of Limb 83950 83950 96600 109135 121785 Plastic Surgery PS146 Rhinoplasty Reconstructive Large 86250 86250 99245 112125 125120 Plastic Surgery PS147 Rhinoplasty Reconstructive Mini 39675 39675 45655 51635 57615 Plastic Surgery PS148 Rhinoplasty Reconstructive Partial 55775 55775 64170 72565 80960 Plastic Surgery PS149 Orbito Zygomatic Complex / Facial Bones Maxillary Fracture / Orbital Floor 42550 42550 48990 55315 61755 Fracture (ORIF) Plastic Surgery PS150 Orbito Zygomatic Complex Fracture Repair 67275 67275 77395 87515 97635 Plastic Surgery PS151 Orbito Zygomatic Simple Fracture Repair 55775 55775 64170 72565 80960 Plastic Surgery PS152 Pressure Sore Flap / Bed Sore Flap (JR) Per Flap 52325 52325 60260 68080 75900 Plastic Surgery PS153 Ptosis Frontalis Sling Single 40250 40250 46345 52325 58420 Plastic Surgery PS154 Ptosis Single 34500 34500 39675 44850 50025 Plastic Surgery PS155 Pullley Reconstruction 56925 56925 65550 74060 82570 Plastic Surgery PS156 Pulp Injury With Flap Cover 28175 28175 32430 36685 40940 Plastic Surgery PS157 Pulp Injury With Graft 20700 20700 23805 26910 30015 Plastic Surgery PS158 Pulp Nail Bed And Bone Injury 34500 34500 39675 44850 50025 Plastic Surgery PS159 Recanalization Of Vas (One) 60950 60950 70150 79235 88435 Plastic Surgery PS160 Recanalization Of Vas Both 84525 84525 97290 109940 122590 Plastic Surgery PS161 Reconstruction Rhinoplasty Limited 47150 47150 54280 61295 68425 Plastic Surgery PS162 Reconstruction Rhinoplasty Partial 34500 34500 39675 44850 50025 Plastic Surgery PS163 Reconstructive Rhinoplasty Full/Extensive 74175 74175 85330 96485 107640 Plastic Surgery PS164 Reduction Mammoplasty 93150 93150 107180 121095 135125 Plastic Surgery PS165 Removal Of Benign Breast Mass Large/Complex 66700 66700 76705 86710 96715 Plastic Surgery PS166 Removal Of Benign Breast Mass Medium 50025 50025 57615 65090 72565 Plastic Surgery PS167 Removal Of Benign Breast Mass Small 33350 33350 38410 43355 48415 Plastic Surgery PS168 Microvascular Free Flap 83950 83950 96600 109135 121785 Plastic Surgery PS169 Microvascular Free Flap Large 89700 89700 103155 116610 130065 Plastic Surgery PS170 Microvascular Free Flap Medium 78200 78200 89930 101660 113390 Plastic Surgery PS171 Microvascular Free Flap Small 67275 67275 77395 87515 97635 Plastic Surgery PS172 Microvascular Repair 65550 65550 75440 85215 95105 Plastic Surgery PS173 Modified Radical Mastectomy (Per Side) 83375 83375 95910 108445 120980 Plastic Surgery PS174 Modified Radical Mastectomy With Axillary Clearance 104650 104650 120405 136045 151800 Plastic Surgery PS175 Myocutaneous Flap 55775 55775 64170 72565 80960 Plastic Surgery PS176 Myocutaneous Flap ( Small) 43700 43700 50255 56810 63365 Plastic Surgery PS177 Myocutaneous Flap (Large) 74175 74175 85330 96485 107640 Plastic Surgery PS178 Nail Bed Injury Multiple 30475 30475 35075 39675 44275 Plastic Surgery PS179 Nail Bed Injury One Finger 21850 21850 25185 28405 31740 Plastic Surgery PS180 Nasal Bone Closed Reduction / Facial Bones Close Fracture Nose 28175 28175 32430 36685 40940 61 Plastic Surgery PS181 Nasal Deformity With Cleft Lip 38214/2020/ESTT-NE_HR 55775 55775 64170 72565 80960 Plastic Surgery PS182 Neck Lift (Extensive) When Done Wth Fullsmas Face Lift 154100 154100 177215 200330 223445 Plastic Surgery PS183 Neck Lift (Extensive) Without Face Lift 83375 83375 95910 108445 120980 Plastic Surgery PS184 Nerve Graf Major (JR) 79350 79350 91310 103155 115115 Plastic Surgery PS185 Nerve Graft Minor (JR) 55775 55775 64170 72565 80960 Plastic Surgery PS186 Nerve Grafting Large 69575 69575 80040 90505 100970 Plastic Surgery PS187 Nerve Grafting Medium 55775 55775 64170 72565 80960 Plastic Surgery PS188 Nerve Grafting Small 45425 45425 52325 59110 65895 Plastic Surgery PS189 Neurovascular Flap 69575 69575 80040 90505 100970 Plastic Surgery PS190 Extracrnial Osteotomy 69575 69575 80040 90505 100970 Plastic Surgery PS191 Extrophy Of Bladder (Closure) 41975 41975 48300 54625 60950 Plastic Surgery PS192 Eyelid Wedge Resection & Reconstruction 31050 31050 35765 40365 45080 Plastic Surgery PS193 Facial Bones Frontal Bone Fracture Bilateral 46000 46000 52900 59800 66700 Plastic Surgery PS194 Facial Bones Frontal Bone Fracture Unilateral 33350 33350 38410 43355 48415 Plastic Surgery PS195 Facial Bones Mandibile Fracture Open Reduction (Orif) 51750 51750 59570 67275 75095 Plastic Surgery PS196 Facial Bones Mandible Fracture Closed Reduction 37950 37950 43700 49335 55085 Plastic Surgery PS197 Facial Bones Maxillary Fracture Closed Reduction 29900 29900 34385 38870 43355 Plastic Surgery PS198 Facial Paralysis Cross Facial Nerve Graft 52325 52325 60260 68080 75900 Plastic Surgery PS199 Facial Paralysis Facial Nerve Repair 62100 62100 71415 80730 90045 Plastic Surgery PS200 Facial Paralysis Facial Sling 55775 55775 64170 72565 80960 Plastic Surgery PS201 Facial Paralysis Functional Free Muscle Transfer 108675 108675 125005 141335 157665 Plastic Surgery PS202 Facial Paralysis Muscle Flap 80500 80500 92575 104650 116725 Plastic Surgery PS203 Facial Paralysis Neurotization 52325 52325 60260 68080 75900 Plastic Surgery PS204 Facial Paralysis Skin Correction 52325 52325 60260 68080 75900 Plastic Surgery PS205 Facioculaneous Flap (Large) 74175 74175 85330 96485 107640 Plastic Surgery PS206 Fascioutaneous Flaps (Medium) 52325 52325 60260 68080 75900 Plastic Surgery PS207 Fascioutaneous Flaps (Small) 49450 49450 56925 64285 71760 Plastic Surgery PS208 Finger Tip Injury Flap 31050 31050 35765 40365 45080 Plastic Surgery PS209 Finger Tip Injury Graft 24725 24725 28520 32200 35880 Plastic Surgery PS210 Flap Detachment & Final Inset 43700 43700 50255 56810 63365 Plastic Surgery PS211 Flap Detachment/ Delay / Insetting 15525 15525 17940 20240 22540 Plastic Surgery PS212 Flap Reconstruction 118450 118450 136275 153985 171810 Plastic Surgery PS213 Foreign Body Complex Or Very Deep 31050 31050 35765 40365 45080 Plastic Surgery PS214 Foreign Body Removal From Wounds Deep 16100 16100 18515 20930 23345 Plastic Surgery PS215 Foreign Body Removal From Wounds Superficial 8050 8050 9315 10465 11730 Plastic Surgery PS216 Full Thickness Graft - ( Large Area ) 54625 54625 62905 71070 79235 Plastic Surgery PS217 Full Thickness Skin Graft ( Medium Area ) 33350 33350 38410 43355 48415 Plastic Surgery PS218 Full Thickness Skin Graft (Very Large Area Half Face) 77050 77050 88665 100165 111780 Plastic Surgery PS219 Graft Full Thickness (Large) 73025 73025 84065 94990 105915 Plastic Surgery PS220 Graft Full Thickness (Small) 28175 28175 32430 36685 40940 Plastic Surgery PS221 Graft Full Thickness (Medium) 55775 55775 64170 72565 80960 Plastic Surgery PS222 Hand Surgery Repair & Graft 40825 40825 47035 53130 59225 Plastic Surgery PS223 Epicanthus Both Eyes 56925 56925 65550 74060 82570 Plastic Surgery PS224 Epicanthus One Eye 33350 33350 38410 43355 48415 Plastic Surgery PS225 Epispadias (Urethra Reconstruc) 34500 34500 39675 44850 50025 Plastic Surgery PS226 Epispadias Genitalia Reconstruction 69575 69575 80040 90505 100970 Plastic Surgery PS227 Epispadias With Ectopic Vesicaetoral Reconstruction 78200 78200 89930 101660 113390 Plastic Surgery PS228 Cranial Bone Graftiing 60375 60375 69460 78545 87630 Plastic Surgery PS229 Debridement Extensive 28750 28750 33120 37375 41745 Plastic Surgery PS230 Debridement Large 21850 21850 25185 28405 31740 Plastic Surgery PS231 Debridement Small 16675 16675 19205 21735 24265 Plastic Surgery PS232 Debridement Superficial 9200 9200 10580 11960 13340 Plastic Surgery PS233 Dermabrasion Part Face 37375 37375 43010 48645 54280 Plastic Surgery PS234 Dermabrasion Perioral Periorbital Or Lip Small Region 24725 24725 28520 32200 35880 Plastic Surgery PS235 Dermabrasion Total Face 78200 78200 89930 101660 113390 Plastic Surgery PS236 Desloughing Large 20125 20125 23230 26220 29210 Plastic Surgery PS237 Desloughing Medium 12650 12650 14605 16445 18400 Plastic Surgery PS238 Duptryens Contracture Release 49450 49450 56925 64285 71760 Plastic Surgery PS239 Ectopic Bladder Reconstruction 60375 60375 69460 78545 87630 62 Plastic Surgery PS240 Ectropion (Both) 38214/2020/ESTT-NE_HR 48300 48300 55545 62790 70035 Plastic Surgery PS241 Elephantiasis Limb 60375 60375 69460 78545 87630 Plastic Surgery PS242 Elephantiasis Scrotum 54625 54625 62905 71070 79235 Plastic Surgery PS243 Arthrodesis Of Joints (JR) (Fuse Of Joints) 34500 34500 39675 44850 50025 Plastic Surgery PS244 AV Fistula Creation 39675 39675 45655 51635 57615 Plastic Surgery PS245 AV Malformation 52900 52900 60835 68770 76705 Plastic Surgery PS246 Arch Bar Removal 7475 7475 8625 9775 10925 Plastic Surgery PS247 Carpal Tunnel Syndrome Release (Left Side) 47725 47725 54970 62100 69230 Plastic Surgery PS248 Cartilage Graft To Ear (Ul) 34500 34500 39675 44850 50025 Plastic Surgery PS249 Bone Plating (Per Fracture In Hand Bones) 22425 22425 25875 29210 32545 Plastic Surgery PS250 Bony Fixation (Per Fracture) 23575 23575 27140 30705 34270 Plastic Surgery PS251 Brachial Plexus Exploration & Nerve Repair (JR) 63250 63250 72795 82225 91770 Plastic Surgery PS252 Brachial Plexus Exploration & Nerve Transfer (JR) 79350 79350 91310 103155 115115 Plastic Surgery PS253 Brachial Plexus Exploration 83950 83950 96600 109135 121785 Plastic Surgery PS254 Abbe Flap 47725 47725 54970 62100 69230 Plastic Surgery PS255 Eversion Of Inverted Nipples 43125 43125 49680 56120 62560 Plastic Surgery PS256 Excision Of Benign Lesions 2 Or 3 / One Medium 14375 14375 16560 18745 20930 Plastic Surgery PS257 Excision Of Benign Lesions 4 To 6 /One Large 21850 21850 25185 28405 31740 Plastic Surgery PS258 Excision Of Benign Lesions More Than 6 / One Extra Large 33925 33925 39100 44160 49220 Plastic Surgery PS259 Excision Of Mole/Cyst ( Large) 21850 21850 25185 28405 31740 Plastic Surgery PS260 Excision Of Mole/Cyst ( Medium) 14375 14375 16560 18745 20930 Plastic Surgery PS261 Excision Of Mole/Cyst ( Small) 8625 8625 10005 11270 12535 Plastic Surgery PS262 Excision Of Pharyngeal Pouch & Cricopharyngeal Myotomy 39675 39675 45655 51635 57615 Plastic Surgery PS263 Mammoplasty Reconstruction 94300 94300 108445 122590 136735 Plastic Surgery PS264 Mandibular Osteotomy 80500 80500 92575 104650 116725 Plastic Surgery PS265 Mazillary Osteotomy 90275 90275 103845 117415 130985 Plastic Surgery PS266 Microneural Repair 49450 49450 56925 64285 71760 Plastic Surgery PS267 Open Capsulectomy Per Side 43125 43125 49680 56120 62560 Plastic Surgery PS268 Polliazation And Island Flaps 86825 86825 99935 112930 125925 Plastic Surgery PS269 Varicose Vein Stripping Major 80500 80500 92575 104650 116725 Plastic Surgery PS270 Varocose Vein Stripping Minor 58075 58075 66815 75555 84295 Plastic Surgery PS271 Vascular Pedicle Ligation 15525 15525 17940 20240 22540 Plastic Surgery PS272 Vermilion Adjustment Z Plasty Of Lip 18975 18975 21850 24725 27600 Plastic Surgery PS273 Closed Reduction Of Finger / Hand Fracture Per Fracture 14950 14950 17250 19435 21735 Plastic Surgery PS274 Closed Reduction With K Wire Fixation Hand Fracture Per Fracture 21275 21275 24495 27715 30935 Plastic Surgery PS275 Complex Finger Injury ( Single ) 28175 28175 32430 36685 40940 Plastic Surgery PS276 Composite Graft 54625 54625 62905 71070 79235 Plastic Surgery PS277 Composite Graft Large 47725 47725 54970 62100 69230 Plastic Surgery PS278 Composite Graft Medium 33925 33925 39100 44160 49220 Plastic Surgery PS279 Composite Graft Small 28175 28175 32430 36685 40940 Plastic Surgery PS280 Compound Fracture Fixation Nose 33925 33925 39100 44160 49220 Plastic Surgery PS281 Breast Expander/Implant Reconstruction Each Stage 58075 58075 66815 75555 84295 Plastic Surgery PS282 Breast Reconstruction With Implant 106375 106375 122360 138345 154330 Plastic Surgery PS283 Thigh Lift (Medial Or Lateral) 80500 80500 92575 104650 116725 Plastic Surgery PS284 Thigh Lift With Buttock Lift 154100 154100 177215 200330 223445 Plastic Surgery PS285 Thread Face Lift 52325 52325 60260 68080 75900 Plastic Surgery PS286 Tip Rhinoplasty 56925 56925 65550 74060 82570 Plastic Surgery PS287 Tissue Expander Insertion Single 35650 35650 41055 46345 51750 Plastic Surgery PS288 Tuck Fatty Skin In Pubic Area 56925 56925 65550 74060 82570 Plastic Surgery PS289 Under Chin/Submental Fat Pad Liposuction 43125 43125 49680 56120 62560 Plastic Surgery PS290 Upper Blepheroplasty With Excessive Heriated Fat Pad Bilateral 49450 49450 56925 64285 71760 Plastic Surgery PS291 Upper Blephroplasty Bilateral 43700 43700 50255 56810 63365 Plastic Surgery PS292 Upper Body Lift 154100 154100 177215 200330 223445 Plastic Surgery PS293 Vaginoplasty 68425 68425 78775 89010 99245 Plastic Surgery PS294 Rhinoplasty Cosmetic 67275 67275 77395 87515 97635 Plastic Surgery PS295 Sal Head & Neck 64400 64400 74060 83720 93380 Plastic Surgery PS296 Sal Neck 56925 56925 65550 74060 82570 Plastic Surgery PS297 Scar Revision Cosmetic Extra Large 59800 59800 68770 77740 86710 Plastic Surgery PS298 Scar Revision Cosmetic Large 24150 24150 27830 31395 35075 63 Plastic Surgery PS299 Scar Revision Cosmetic Medium 38214/2020/ESTT-NE_HR 29900 29900 34385 38870 43355 Plastic Surgery PS300 Scar Revision Cosmetic Small 24150 24150 27830 31395 35075 Plastic Surgery PS301 Scar Revision Large 43125 43125 49680 56120 62560 Plastic Surgery PS302 Otoplasty Protruding Ear (Both Ear) /Bat Ear Correction 55775 55775 64170 72565 80960 Plastic Surgery PS303 Otoplasty Protruding Ear(Per Ear) /Bat Ear Correction 68425 68425 78775 89010 99245 Plastic Surgery PS304 Otoplasty Protruding Ear/Bat Ear Correction- B/L 61525 61525 70840 80040 89240 Plastic Surgery PS305 Otoplasty-Protruding Ea/Bat Ear Correction U/L 45425 45425 52325 59110 65895 Plastic Surgery PS306 Nipple Correction Per Side 43700 43700 50255 56810 63365 Plastic Surgery PS307 Nipple Reduction 35650 35650 41055 46345 51750 Plastic Surgery PS308 Keloid Injection Large (Multiple) 12075 12075 13915 15755 17595 Plastic Surgery PS309 Keloid Injection Large (Single) 12650 12650 14605 16445 18400 Plastic Surgery PS310 Keloid Injection Large Large 11500 11500 13225 14950 16675 Plastic Surgery PS311 Keloid Injection Large Small 6325 6325 7360 8280 9200 Plastic Surgery PS312 Keloid Injection Small (Multiple) 8050 8050 9315 10465 11730 Plastic Surgery PS313 Keloid Injection Small (Single) 1725 1725 2070 2300 2530 Plastic Surgery PS314 Lip Reduction 27025 27025 31165 35190 39215 Plastic Surgery PS315 Lip Rejuvenation 56925 56925 65550 74060 82570 Plastic Surgery PS316 Lipoinjection Major (JR) 30475 30475 35075 39675 44275 Plastic Surgery PS317 Lipoinjection Minor (JR) 18400 18400 21160 23920 26680 Plastic Surgery PS318 Liposculpture 2-3 Small Region 56925 56925 65550 74060 82570 Plastic Surgery PS319 Liposculpture Full Face 47150 47150 54280 61295 68425 Plastic Surgery PS320 Liposculpture Small Region 35650 35650 41055 46345 51750 Plastic Surgery PS321 Liposuction Limited (Medium) 37375 37375 43010 48645 54280 Plastic Surgery PS322 Liposuction Limited (Small) 28175 28175 32430 36685 40940 Plastic Surgery PS323 Liposuction One Region 59800 59800 68770 77740 86710 Plastic Surgery PS324 Liposuction Three Region 118450 118450 136275 153985 171810 Plastic Surgery PS325 Liposuction Two Region 88550 88550 101890 115115 128455 Plastic Surgery PS326 Lower Blepheroplasty Bilateral 43700 43700 50255 56810 63365 Plastic Surgery PS327 Lower Blepheroplasty With Excessive Heriated Fat Pad Bilateral 49450 49450 56925 64285 71760 Plastic Surgery PS328 Male Sex To Female Sex (Only Vaginal Portion) 136275 136275 156745 177215 197685 Plastic Surgery PS329 Mammoplasty Augmentation (With Implant) Single 49450 49450 56925 64285 71760 Plastic Surgery PS330 Mammoplasty Augmentation (With Implant) Both 55775 55775 64170 72565 80960 Plastic Surgery PS331 Mammoplasty Augmentation B/L 61525 61525 70840 80040 89240 Plastic Surgery PS332 Forehead Reduction 59800 59800 68770 77740 86710 Plastic Surgery PS333 Eye Bags Ectropian Entorpion (JR) 34500 34500 39675 44850 50025 Plastic Surgery PS334 Eyebrow Of Eyelash Graft (JR) 22425 22425 25875 29210 32545 Plastic Surgery PS335 Filler Per Ml 16100 16100 18515 20930 23345 Plastic Surgery PS336 Face Lift Lower Face lift 80500 80500 92575 104650 116725 Plastic Surgery PS337 Face Lift Mid Face Lift 80500 80500 92575 104650 116725 Plastic Surgery PS338 Face Lift Smas (Superficial Musculoaponeurotic System 98900 98900 113735 128570 143405 Plastic Surgery PS339 Face Scar (Large) Surgical Excision/Repair Complicated 39675 39675 45655 51635 57615 Plastic Surgery PS340 Face Scar (Medium) Surgical Excision/Repair Complicated 28175 28175 32430 36685 40940 Plastic Surgery PS341 Face Scar (Small) Surgical Excision/Repair Complicated 23000 23000 26450 29900 33350 Plastic Surgery PS342 Expander Removal & Contouring Multiple 68425 68425 78775 89010 99245 Plastic Surgery PS343 Expander Removal & Contouring Single 48300 48300 55545 62790 70035 Plastic Surgery PS344 Gynecomastia (Excision And Liposuction)Male Breast Reduction 94300 94300 108445 122590 136735 Plastic Surgery PS345 Gynecomastia (Excision And Liposuction)-Small 66700 66700 76705 86710 96715 Plastic Surgery PS346 Gynecomastia (Liposuction) 55775 55775 64170 72565 80960 Plastic Surgery PS347 Endoscopic Brow Lift 68425 68425 78775 89010 99245 Plastic Surgery PS348 Endoscopic Forhead Lift (OP) 80500 80500 92575 104650 116725 Plastic Surgery PS349 Center Bodylift 236900 236900 272435 307970 343505 Plastic Surgery PS350 Cheek Implant (Both Cheeks) 62100 62100 71415 80730 90045 Plastic Surgery PS351 Cheek Implant (Per Side) 83375 83375 95910 108445 120980 Plastic Surgery PS352 Chin Implant/Chin Augmentation 59800 59800 68770 77740 86710 Plastic Surgery PS353 Cosmetic Rhinoplasty 68425 68425 78775 89010 99245 Plastic Surgery PS354 Abdominoplasty Full 93150 93150 107180 121095 135125 Plastic Surgery PS355 Abdominoplasty Small 68425 68425 78775 89010 99245 Plastic Surgery PS356 Abdominoplasty With Liposuction (One Region) 111550 111550 128340 145015 161805 Plastic Surgery PS357 Abdominoplasty With Liposuction Extended 100625 100625 115805 130870 145935 64 Plastic Surgery PS358 Abdominoplasty With Liposuction Full 38214/2020/ESTT-NE_HR 83950 83950 96600 109135 121785 Plastic Surgery PS359 Abdominoplasty With Liposuction Mini 83375 83375 95910 108445 120980 Plastic Surgery PS360 Abdominoplasty With Liposuction Partial 61525 61525 70840 80040 89240 Plastic Surgery PS361 Arma (Brachioplasty) (OP) 74175 74175 85330 96485 107640 Plastic Surgery PS362 Alar Adjusment 21850 21850 25185 28405 31740 Plastic Surgery PS363 Blephroplasty Upper And Lower 68425 68425 78775 89010 99245 Plastic Surgery PS364 Hair Transplant Large (Per Sitting) 181125 181125 208380 235520 262660 Plastic Surgery PS365 Hair Transplant Medium (Per Sitting) 125350 125350 144210 162955 181815 Plastic Surgery PS366 Hair Transplant Quote Is Per Hair Graft 1150 1150 1380 1495 1725 Plastic Surgery PS367 Hair Transplant Small (Per Sitting) 69575 69575 80040 90505 100970 Plastic Surgery PS368 Post Burn Contracture Complex 50600 50600 58190 65780 73370 Plastic Surgery PS369 Post Burn Contracture Simple 25300 25300 29095 32890 36685 Plastic Surgery PS370 Removal Of Escharotomy (Tangential Excision) 8% - 20% 21850 21850 25185 28405 31740 Plastic Surgery PS371 Removal Of Escharotomy (Tangential Excision) Greater Than 20% 35650 35650 41055 46345 51750 Plastic Surgery PS372 Removal Of Escharotomy (Tangential Excision) Less Than 8% 14950 14950 17250 19435 21735 Plastic Surgery PS373 Contracture One Finger/Toe/Minor (JR) 21850 21850 25185 28405 31740 Plastic Surgery PS374 Contracture Release Mild / Small 27025 27025 31165 35190 39215 Plastic Surgery PS375 Contracture Release Moderate / Medium 37375 37375 43010 48645 54280 Plastic Surgery PS376 Contracture Release Multiple Fingers/Extensive 48300 48300 55545 62790 70035 Plastic Surgery PS377 Contracture Release Severe / Large 66125 66125 76130 86020 95910 Plastic Surgery PS378 Polydactyly (Complex) (JR) 40825 40825 47035 53130 59225 Plastic Surgery PS379 Polydactyly Single Extra Digit 28175 28175 32430 36685 40940 Plastic Surgery PS380 Preauricular Sinus Excision 33350 33350 38410 43355 48415 Plastic Surgery PS381 Preauricular Skin Tag 18400 18400 21160 23920 26680 Plastic Surgery PS382 Syndactly Single 28175 28175 32430 36685 40940 Plastic Surgery PS383 Syndactyly Complex (JR) 46000 46000 52900 59800 66700 Plastic Surgery PS384 Syndactyly Release Complex 45425 45425 52325 59110 65895 Plastic Surgery PS385 Pharyngoplasty 68425 68425 78775 89010 99245 Plastic Surgery PS386 Phimosis 10925 10925 12650 14260 15870 Plastic Surgery PS387 Microtia First Stage 68425 68425 78775 89010 99245 Plastic Surgery PS388 Microtia Second Stage 42550 42550 48990 55315 61755 Plastic Surgery PS389 Microtia Third Stage 30475 30475 35075 39675 44275 Plastic Surgery PS390 Hemangioma (Excision Extended) 78200 78200 89930 101660 113390 Plastic Surgery PS391 Hemangioma (Excision Large) 68425 68425 78775 89010 99245 Plastic Surgery PS392 Hemangioma (Excision Medium) 49450 49450 56925 64285 71760 Plastic Surgery PS393 Hemangioma (Excision Small) 37375 37375 43010 48645 54280 Plastic Surgery PS394 Hemangioma (Extensive) 60950 60950 70150 79235 88435 Plastic Surgery PS395 Hemangioma (Injection Screlosing) 8050 8050 9315 10465 11730 Plastic Surgery PS396 Hernia Incisional 56350 56350 64860 73255 81765 Plastic Surgery PS397 Hypospadias Chordee Correction (1St Stage) 62100 62100 71415 80730 90045 Plastic Surgery PS398 Hypospadias Fistula 43125 43125 49680 56120 62560 Plastic Surgery PS399 Hypospadias Fistula Closure 32775 32775 37720 42665 47610 Plastic Surgery PS400 Hypospadias Meatotomy 9775 9775 11270 12765 14260 Plastic Surgery PS401 Hypospadias Reconstruction Urethra (2Nd Stage ) 49450 49450 56925 64285 71760 Plastic Surgery PS402 Hypospadias Single Stage Reconstruction 63250 63250 72795 82225 91770 Plastic Surgery PS403 Aesthetic Improvement Of Penis After Hypospadias (After Injury) 33350 33350 38410 43355 48415 Plastic Surgery PS404 Cleft Lip Plus Cleft Palate 58075 58075 66815 75555 84295 Plastic Surgery PS405 Cleft Lip Repair Bilateral (Complete Or Incomplete) 86825 86825 99935 112930 125925 Plastic Surgery PS406 Cleft Lip Repair Unilateral (Complete And Incomplete) 67275 67275 77395 87515 97635 Plastic Surgery PS407 Cleft Lip Repair Unilateral (Complete Or Incomplete) 74175 74175 85330 96485 107640 Plastic Surgery PS408 Cleft Lip Revision 56925 56925 65550 74060 82570 Plastic Surgery PS409 Cleft Lip Revision / Secondary Cleft Lip Revision 52325 52325 60260 68080 75900 Plastic Surgery PS410 Cleft Palate (Complete) 80500 80500 92575 104650 116725 Plastic Surgery PS411 Cleft Palate (Soft Palate) 46000 46000 52900 59800 66700 Plastic Surgery PS412 Cleft Palate Fistula 37375 37375 43010 48645 54280 Plastic Surgery PS413 Cleft Palate Repair 74175 74175 85330 96485 107640 Plastic Surgery PS414 Browlift Through Upper Eyelid (When Done With Bleph) 47725 47725 54970 62100 69230 Plastic Surgery PS415 Buccal Fat Pad Removal 37375 37375 43010 48645 54280 Plastic Surgery PS416 Buttock Lift 83375 83375 95910 108445 120980 65 Plastic Surgery PS417 Canthopexy W/Orbicularis Suspension 38214/2020/ESTT-NE_HR 80500 80500 92575 104650 116725 Plastic Surgery PS418 Carcinoma Cheek Excision & Reconstruction 82225 82225 94645 106950 119255 Plastic Surgery PS419 Circumferential Thigh Lift 88550 88550 101890 115115 128455 Plastic Surgery PS420 Circumferential Thigh And Buttock Lift 118450 118450 136275 153985 171810 Plastic Surgery PS421 Coronal(Open)Forehead And Browlift 80500 80500 92575 104650 116725 Plastic Surgery PS422 Mastopexy 80500 80500 92575 104650 116725 Plastic Surgery PS423 Hair Transplant-Quote Is Per Hair Graft 633 633 805 920 920 Plastic Surgery PS424 Hemangioma ( Injection Screlosing ) 7590 7590 8740 9890 11040 Plastic Surgery PS425 Keloid Injection - Large (Multiple) 12018 12018 13915 15640 17480 Plastic Surgery PS426 Keloid Injection - Large (Single) 12650 12650 14605 16445 18400 Plastic Surgery PS427 Keloid Injection - Large Large 11385 11385 13110 14835 16560 Plastic Surgery PS428 Keloid Injection - Large Small 6325 6325 7360 8280 9200 Plastic Surgery PS429 Keloid Injection - Small (Multiple) 7590 7590 8740 9890 11040 Plastic Surgery PS430 Keloid Injection - Small (Single) 1265 1265 1495 1725 1840 Plastic Surgery PS431 Scar Revision - Large 43010 43010 49565 56005 62445 Plastic Surgery PS432 Scar Revision Cosmetic - Large 24035 24035 27715 31280 34960 Plastic Surgery PS433 Scar Revision Cosmetic - Medium 29728 29728 34270 38755 43125 Plastic Surgery PS434 Scar Revision Cosmetic - Small 24035 24035 27715 31280 34960 Plastic Surgery PS435 Skin Graft Mesher 11178 11178 12880 14605 16215 Plastic Surgery PS436 Split Ear Lobule- One 9269 9269 10695 12075 13455 Plastic Surgery PS437 Split Ear Lobule- Two 15422 15422 17825 20125 22425 Plastic Surgery PS438 Surgical Toilet -Small 5693 5693 6555 7475 8280 Plastic Surgery PS439 Suture Removal - Extra Large 7590 7590 8740 9890 11040 Plastic Surgery PS440 Suture Removal - Large 5693 5693 6555 7475 8280 Plastic Surgery PS441 Suture Removal - Medium 3795 3795 4370 4945 5520 Plastic Surgery PS442 Suture Removal - Small 2530 2530 2990 3335 3680 Plastic Surgery PS443 Tissue Expander Insufflation (Per Sitting) 1265 1265 1495 1725 1840 Pulmonology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Pulmonology PM001 Bronchoscopy 12305 12305 14157 15997 17848 Pulmonology PM002 Bronchoscopy With BAL 13110 13110 15077 17043 19010 Pulmonology PM003 Bronchoscopy Portable 18032 18032 20746 23449 26151 Pulmonology PM004 Bronchoscopy Portable under GA 24587 24587 28279 31970 35662 Pulmonology PM005 Bronchoscopy With TBNA 14755 14755 16974 19182 21402 Pulmonology PM006 Bronchoscopy With TBNA & Biopsy 16388 16388 18849 21310 23771 Pulmonology PM007 Bronchoscopic Guided Intubation 9488 9488 10914 12340 13766 Pulmonology PM008 Bronchoscopy Forgein Body Removal 22126 22126 25450 28773 32085 Pulmonology PM009 BRONCOSCOPIC Baloon Dilatation 19550 19550 22483 25415 28348 Pulmonology PM010 BRONCOSCOPIC Baloon Dilatation with Stent 43700 43700 50255 56810 63365 Pulmonology PM011 Trechel Stenting 28463 28463 32741 37007 41274 Pulmonology PM012 Endobronchial Ultrasound Needle Aspiration (EBUS) 29785 29785 34259 38721 43194 Pulmonology PM013 PFT (Pulmonary Function Test) 1346 1346 1553 1760 1955 Pulmonology PM014 PFT With Reversibility (Bronchodilators) 1645 1645 1898 2139 2392 Pulmonology PM015 PFT Complete Study 4485 4485 5164 5831 6509 Pulmonology PM016 PFT With Difussion Study 2990 2990 3439 3887 4336 Pulmonology PM017 PFT With Lung Volume 2990 2990 3439 3887 4336 Pulmonology PM018 Breath Oxidant Analysis (Breath Test) 2185 2185 2519 2841 3174 Pulmonology PM019 Hydrogen Breath Test Analysis 4071 4071 4692 5302 5911 Pulmonology PM020 Six Minutes Walk Test 886 886 1024 1162 1288 Pulmonology PM021 Diagnostic Pleural Tapping 2243 2243 2588 2921 3255 Pulmonology PM022 Therapetic Plural Tapping 3738 3738 4301 4865 5428 Pulmonology PM023 Pleural Pracentesis 3393 3393 3910 4416 4922 Pulmonology PM024 Chest Tube/Pigtail Catheter Insertion 9695 9695 11155 12604 14065 Pulmonology PM025 Tube Thoracostomy 11730 11730 13490 15249 17009 Pulmonology PM026 Diagnostic Thorocoscopic 24150 24150 27773 31395 35018 Pulmonology PM027 Thoracoscopy With Pleural Biopsy 44275 44275 50922 57558 64205 Pulmonology PM028 Pleurodesis 5221 5221 6015 6797 7579 Pulmonology PM029 Pleurodesis (Per Extra Session) 2243 2243 2588 2921 3255 Pulmonology PM030 Fibrinolysis (1st Sitting) 2875 2875 3312 3738 4175 Pulmonology PM031 Fibrinolysis Extra Session (Following) 1955 1955 2254 2542 2841 Pulmonology PM032 Polysomnography Diagnostic 11926 11926 11926 11926 11926 66 Pulmonology PM033 Polysomnography Split Night 16388 16388 16388 16388 16388 38214/2020/ESTT-NE_HRPulmonology PM034 Polysomnography Titration (for Follow up Patient) 10580 10580 10580 10580 10580 Pulmonology PM035 Domicillary Split Nigh Studdy 13225 13225 13225 13225 13225 Pulmonology PM036 Overight Oximetry 4830 4830 4830 4830 4830 Pulmonology PM037 Aspergillus Skin Test 2243 2243 2588 2921 3255 Pulmonology PM038 Skin Prick Test For Aero Allergens 8947 8947 10293 11638 12984 Radiology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Radiology RD001 MRI Brain Plain 7590 8947 10293 11638 12984 Radiology RD002 MRI Brain Plain & Contrast 11385 13409 15422 17434 19447 Radiology RD003 MRI Brain Screening /Diffusion Scan 4600 5290 6084 6877 7671 Radiology RD004 MRI Brain With Epilepsy Protocol 7590 8947 10293 11638 12984 Radiology RD005 MRI Angiography Brain (Intracranial) 7590 8947 10293 11638 12984 Radiology RD006 MRI Brain Contrast Only 5060 5969 6866 7763 8660 Radiology RD007 MRI Venography (Brain) Plain 7590 8947 10293 11638 12984 Radiology RD008 MRI Angiography Brain And Neck Vesssels (Contrast) 18975 22345 25703 29049 32407 Radiology RD009 MRI Brain Spectroscopy 9200 8947 10293 11638 12984 Radiology RD010 MRI Venography (Brain) With Contrast 13283 13409 15422 17434 19447 Radiology RD011 MRI Angiography Brain (Intracranial) With Contrast 11385 13409 15422 17434 19447 Radiology RD012 MRI Brain For CSF Rhinorrhoea 11385 13409 15422 17434 19447 Radiology RD013 MRI Brain CSF Flow Study 11385 11385 13099 14801 16514 Radiology RD014 MRI Brain Functional 7590 8947 10293 11638 12984 Radiology RD015 MRI Brain With Screening Spine Single Region 10120 11926 13720 15514 17296 Radiology RD016 MRI Orbit Plain 7590 8947 10293 11638 12984 Radiology RD017 Mri- Orbit And Brain 13800 7452 8579 9695 10810 Radiology RD018 MRI Orbit Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD019 MRI Perianal 7590 10431 12006 13570 15134 Radiology RD020 MRI Temporal Bone Plain 7590 8947 10293 11638 12984 Radiology RD021 MRI Temporal Bone Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD022 MRI Tm Joint Plain And Contrast Both 11385 13409 15422 17434 19447 Radiology RD023 MRI Tm Joint Plain And Contrast Single 11385 13409 15422 17434 19447 Radiology RD024 MRI Tm Joint Plain Both 7590 8947 10293 11638 12984 Radiology RD025 MRI Tm Joint Plain Single 7590 8947 10293 11638 12984 Radiology RD026 MRI Pns Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD027 MRI PNS Plain 7590 8947 10293 11638 12984 Radiology RD028 MRI Cavernous Sinuses With Contrast 11385 13409 15422 17434 19447 Radiology RD029 MRI Nasopharynx And Pns With Contrast 11385 13409 15422 17434 19447 Radiology RD030 MRI Buccal Region/Cheek/Face Plain 11385 13409 15422 17434 19447 Radiology RD031 MRI Buccal Region/Cheek/Face With Contrast 11385 13409 15422 17434 19447 Radiology RD032 MRI Tongue Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD033 MRI Tongue Plain 7590 8947 10293 11638 12984 Radiology RD034 MRI Sella Plain 7590 8947 10293 11638 12984 Radiology RD035 MRI Sella Plain And Dynamic Contrast 12650 14893 17135 19366 21597 Radiology RD036 MRI Parotid / Submandibular Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD037 MRI Parotid / Submandibular Plain 7590 8947 10293 11638 12984 Radiology RD038 MRI Neck Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD039 MRI Neck Plain 7590 8947 10293 11638 12984 Radiology RD040 MRI Angiography Neck Vesssels (Extra Cranial) Both With Contrast 7590 8947 10293 11638 12984 Radiology RD041 MRI Angiography Neck Vesssels (Extra Cranial) Both 7590 8947 10293 11638 12984 Radiology RD042 MRI Larynx Plain 7590 8947 10293 11638 12984 Radiology RD043 MRI Larynx Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD044 MRI Wrist Single Plain 7590 8947 10293 11638 12984 Radiology RD045 MRI Elbow Single Plain 7590 8947 10293 11638 12984 Radiology RD046 MRI Hand Single Plain 7590 8947 10293 11638 12984 Radiology RD047 MRI Arm Plain 7590 16250 18688 21126 23564 Radiology RD048 MRI Elbow Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD049 MRI Single Arm With Contrast 11385 13409 15422 17434 19447 Radiology RD050 MRI Both Arm With Contrast 17710 20309 23357 26404 29452 67 RD051 MRI Wrist Single Plain And Contrast 38214/2020/ESTT-NE_HRRadiology 11385 13409 15422 17434 19447 Radiology RD052 MRI Elbow Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD053 MRI Elbow Both Plain 15180 17883 20574 23253 25933 Radiology RD054 MRI Hand Both Plain 15180 17883 20574 23253 25933 Radiology RD055 MRI Hand Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD056 MRI Hand Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD057 MRI Wrist Both Plain 15180 17883 20574 23253 25933 Radiology RD058 MRI Wrist Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD059 MRI Forearm Both With Contrast 17710 20367 23426 26485 29532 Radiology RD060 MRI Forearm Both Plain 15180 16250 18688 21126 23564 Radiology RD061 MRI Chest Plain 7590 8947 10293 11638 12984 Radiology RD062 MRI Chest Plain With Contrast 11385 13409 15422 17434 19447 Radiology RD063 MRI Angiography Thoracic Aorta 11385 13409 15422 17434 19447 Radiology RD064 MRI Angiography Pulmonary 11385 13409 15422 17434 19447 Radiology RD065 MRI Cardiac With Contrast 20240 23840 27416 30993 34569 Radiology RD066 MRI Angiography Arch Aortogram 18975 22345 25703 29049 32407 Radiology RD067 MRI Shoulder Plain (Right) 7590 8947 10293 11638 12984 Radiology RD068 MRI Shoulder Plain (Left) 7590 8947 10293 11638 12984 Radiology RD069 MRI Shoulder Both Plain 15180 17883 20574 23253 25933 Radiology RD070 MRI Shoulder Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD071 MRI Shoulder With Contrast (Left) 11385 13409 15422 17434 19447 Radiology RD072 MRI Shoulder With Contrast (Right) 11385 13409 15422 17434 19447 Radiology RD073 MRI Forearm Single Plain 7590 8947 10293 11638 12984 Radiology RD074 MRI Forearm Single Contrast 11385 13409 15422 17434 19447 Radiology RD075 MRI Sterno Clavicular Join 7590 8947 10293 11638 12984 Radiology RD076 Mr Cholecysto Pancreatography (MRCP) 7590 8947 10293 11638 12984 Radiology RD077 MRI Upper Abdomen With MRCP 11385 13409 15422 17434 19447 Radiology RD078 MRI Upper Abdomen Contrast 11385 13409 15422 17434 19447 Radiology RD079 MRI Whole Abdomen Plain 15180 17883 20574 23253 25933 Radiology RD080 MRI Whole Abdomen Contrast 18975 22345 25703 29049 32407 Radiology RD081 MRI Upper Abdomen Plain 7590 8947 10293 11638 12984 Radiology RD082 MRI Lower Abdomen Plain 7590 8947 10293 11638 12984 Radiology RD083 MRI Lower Abdomen Contrast 11385 13409 15422 17434 19447 Radiology RD084 MRI Angiography Upper Abdominal Aorta 11385 13409 15422 17434 19447 Radiology RD085 MRI Angiography Abdomen Triple Phase 13800 13409 15422 17434 19447 Radiology RD086 MRI Whole Abdomen For Localisation Of Testis 18975 22345 25703 29049 32407 Radiology RD087 MRI Angiography Lower Abdominal Aorta And Iliac Ar 15180 17883 20574 23253 25933 Radiology RD088 MRI Urography 7590 8947 10293 11638 12984 Radiology RD089 MRI Angiography Renal 11385 13409 15422 17434 19447 Radiology RD090 MRI Angiography Porto Venography 11385 13409 15422 17434 19447 Radiology RD091 MRI Brachial Plexus 10753 13409 15422 17434 19447 Radiology RD092 MRI Lumbar Spine Without Contrast 7590 8947 10293 11638 12984 Radiology RD093 MRI Cervical Spine Without Contrast 7590 8947 10293 11638 12984 Radiology RD094 MRI Dorsal Spine Without Contrast 7590 8947 10293 11638 12984 Radiology RD095 MRI Cervical Spine Screening 4600 2714 3128 3531 3945 Radiology RD096 MRI Dorsal Spine Screening 4600 2714 3128 3531 3945 Radiology RD097 MRI Lumbar Spine Screening 4600 2714 3128 3531 3945 Radiology RD098 MRI Spine Screening Without Contrast 7590 8947 10293 11638 12984 Radiology RD099 MRI Lumbar Spine With Contrast 11385 13409 15422 17434 19447 Radiology RD100 MRI Dorsal Spine With Contrast 11385 13409 15422 17434 19447 Radiology RD101 MRI Cervical Spine With Contrast 11385 13409 15422 17434 19447 Radiology RD102 MRI Spine Each Region Cervical/Dorsal/Lumb/Lumbo S Plain 7590 8947 10293 11638 12984 Radiology RD103 MRI Lumbosacral Plexus 7590 8947 10293 11638 12984

Radiology RD104 MRI Spine Each Region Cervical/Dorsal/Lumb/Lumbo S Plain And Contrst 11385 13409 15422 17434 19447

Radiology RD105 MRI Whole Spine Screening 7590 8947 10293 11638 12984 Radiology RD106 MRI Hip Plain 7590 8947 10293 11638 12984 Radiology RD107 MRI Pelvis Plain 7590 8947 10293 11638 12984 68 RD108 MRI Pelvis Plain And Contrast 38214/2020/ESTT-NE_HRRadiology 11385 13409 15422 17434 19447 Radiology RD109 MRI Pelvic Floor 7590 8947 10293 11638 12984 Radiology RD110 MRI Both Hip Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD111 MRI Si Joints Plain 7590 7590 8729 9867 11006 Radiology RD112 MRI Si Joints Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD113 MRI Thigh Single Plain 7590 8947 10293 11638 12984 Radiology RD114 MRI Thigh Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD115 MRI Thigh Both Plain 15180 17883 20574 23253 25933 Radiology RD116 MRI Thigh Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD117 MRI Knee Single Plain 7590 8947 10293 11638 12984 Radiology RD118 MRI Ankle Plain Single 7590 8947 10293 11638 12984 Radiology RD119 MRI Foot Single Plain 7590 8947 10293 11638 12984 Radiology RD120 MRI Leg Single Plain 7590 8947 10293 11638 12984 Radiology RD121 MRI Knee Both Plain 15180 17883 20574 23253 25933 Radiology RD122 MRI Leg Both Plain 15180 17883 20574 23253 25933 Radiology RD123 MRI Knee Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD124 MRI Foot Both Plain 15180 17883 20574 23253 25933 Radiology RD125 MRI Ankle Plainboth 15180 17883 20574 23253 25933 Radiology RD126 MRI Leg Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD127 MRI Leg Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD128 MRI Knee Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD129 MRI Foot Both Plain And Contrast 18975 22345 25703 29049 32407 Radiology RD130 MRI Foot Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD131 MRI Ankle Plain And Contrast Both 18975 22345 25703 29049 32407 Radiology RD132 MRI Ankle Single Plain And Contrast 11385 13409 15422 17434 19447 Radiology RD133 MRI Angiography Periph Arterial Both Lower Limb 18975 22345 25703 29049 32407 Radiology RD134 MRI Arthrography 9488 10833 12466 14088 15709 Radiology RD135 X Ray Skull Ap/Lat 748 955 1104 1242 1392 Radiology RD136 X Ray Skull Ap View 403 483 564 633 702 Radiology RD137 X Ray Skull Lat 403 483 564 633 702 Radiology RD138 X Ray Base Of Skull 403 483 564 633 702 Radiology RD139 X Ray Towns View 403 483 564 633 702 Radiology RD140 X Ray PNS 403 483 564 633 702 Radiology RD141 X Ray Right Eye Orbit Ap/Lat 748 955 1104 1242 1392 Radiology RD142 X Ray Left Eye Orbit Ap/Lat 748 955 1104 1242 1392 Radiology RD143 X Ray Left Orbit Lat View 403 483 564 633 702 Radiology RD144 X Ray Right Orbit Lat View 403 483 564 633 702 Radiology RD145 X Ray Both Mastoid Oblique View 748 955 1104 1242 1392 Radiology RD146 X Ray Left Mastoid Lat Oblique View 403 955 1104 1242 1392 Radiology RD147 X Ray Right Mastoid Lat Oblique View 403 955 1104 1242 1392 Radiology RD148 X Ray Both Styloid Process Pa View 748 955 1104 1242 1392 Radiology RD149 X Ray Styloid Process Lat 403 483 564 633 702 Radiology RD150 X Ray Zygomatic Axial 403 483 564 633 702 Radiology RD151 X Ray Zygomatic Bone Pa 403 483 564 633 702 Radiology RD152 X Ray Mandible B/O Obliaque 748 955 1104 1242 1392 Radiology RD153 X Ray Mandible Ap/Lat 748 955 1104 1242 1392 Radiology RD154 X Ray Right Mandible Lat Oblique 403 955 1104 1242 1392 Radiology RD155 X Ray Both Temporo Mandibular Joint 748 955 1104 1242 1392 Radiology RD156 X Ray Left Temporo Mandibular Lat/Oblique 748 955 1104 1242 1392 Radiology RD157 X Ray Left Mandible Lat View 403 483 564 633 702 Radiology RD158 X Ray Submandibular Region 403 483 564 633 702 Radiology RD159 X Ray Both Mandible Lat View 748 955 1104 1242 1392 Radiology RD160 X Ray Left Mandible Lat Oblique View 403 955 1104 1242 1392 Radiology RD161 X Ray Mandible Ap View 403 483 564 633 702 Radiology RD162 X Ray Maxilla Ap/Lat 748 955 1104 1242 1392 Radiology RD163 X Ray Open Mouth Atalantoaxial Junct 403 483 564 633 702 Radiology RD164 X Ray Right T M Joint Open And Close 748 955 1104 1242 1392 69 RD165 X Ray Nasopharynx 38214/2020/ESTT-NE_HRRadiology 403 483 564 633 702 Radiology RD166 X Ray Nasal Bone Lat Both Side 748 955 1104 1242 1392 Radiology RD167 Orthopentomogram(Opg) 748 633 736 828 920 Radiology RD168 X Ray Dental Single View 403 483 564 633 702 Radiology RD169 X Ray Neck Ap/Lat 748 955 1104 1242 1392 Radiology RD170 X Ray Finger Ap/Lat 748 955 1104 1242 1392 Radiology RD171 X Ray Finger Ap 403 483 564 633 702 Radiology RD172 X Ray Finger Lat 403 483 564 633 702 Radiology RD173 X Ray Right Thumb Ap/Lat 748 955 1104 1242 1392 Radiology RD174 X Ray Left Thumb Ap/Lat View 748 955 1104 1242 1392 Radiology RD175 X Ray Right Hand Ap/Lat 748 955 1104 1242 1392 Radiology RD176 X Ray Left Hand Ap/Lat 748 955 1104 1242 1392 Radiology RD177 X Ray Left Hand Ap 403 483 564 633 702 Radiology RD178 X Ray Right Hand Ap 403 483 564 633 702 Radiology RD179 X Ray Both Hands Ap View 748 955 1104 1242 1392 Radiology RD180 X Ray Both Hands Ap & Oblique View 1553 1898 2185 2473 2760 Radiology RD181 X Ray Both Hands Oblique View 1553 1898 2185 2473 2760 Radiology RD182 X Ray Right Wrist Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD183 X Ray Left Wrist Ap/Lat 748 955 1104 1242 1392 Radiology RD184 X Ray Both Wrist Ap View 748 955 1104 1242 1392 Radiology RD185 X Ray Both Wrist Lat View 748 955 1104 1242 1392 Radiology RD186 X Ray Right Wrist Ap View 403 483 564 633 702 Radiology RD187 X Ray Left Wrist Ap View 403 483 564 633 702 Radiology RD188 X Ray Right Wrist Lat View 403 483 564 633 702 Radiology RD189 X Ray Left Wrist Lat View 403 483 564 633 702 Radiology RD190 X Ray Right Forearm Ap/Lat 748 955 1104 1242 1392 Radiology RD191 X Ray Left Forearm Ap/Lat 748 955 1104 1242 1392 Radiology RD192 X Ray Right Forearm Ap 403 483 564 633 702 Radiology RD193 X Ray Right Forearm Lat 403 483 564 633 702 Radiology RD194 X Ray Left Forearm Ap 403 483 564 633 702 Radiology RD195 X Ray Left Forearm Lat 403 483 564 633 702 Radiology RD196 X Ray Left Elbow Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD197 X Ray Right Elbow Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD198 X Ray Right Elbow Ap 403 483 564 633 702 Radiology RD199 X Ray Both Elbow Joint Ap 748 955 1104 1242 1392 Radiology RD200 X Ray Left Elbow Ap 403 483 564 633 702 Radiology RD201 X-Ray Right Elbow Lateral View 403 483 564 633 702 Radiology RD202 X-Ray Left Elbow Lateral View 403 483 564 633 702 Radiology RD203 X Ray Right Arm Ap View 403 483 564 633 702 Radiology RD204 X Ray Right Arm Ap/Lat 748 955 1104 1242 1392 Radiology RD205 X Ray Left Arm Ap/Lat 748 955 1104 1242 1392 Radiology RD206 X Ray Left Arm Ap View 403 483 564 633 702 Radiology RD207 X Ray Left Arm Lat View 403 483 564 633 702 Radiology RD208 X Ray Right Arm Lat View 403 483 564 633 702 Radiology RD209 X Ray Right Shoulder Ap 403 483 564 633 702 Radiology RD210 X Ray Left Shoulder Ap 403 483 564 633 702 Radiology RD211 X Ray Right Shoulder Ap/Lat 748 955 1104 1242 1392 Radiology RD212 X Ray Left Shoulder Ap/Lat View 748 955 1104 1242 1392 Radiology RD213 X Ray Both Shoulder Ap 748 1898 2185 2473 2760 Radiology RD214 X Ray Right Shoulder Ap/Axillary 748 955 1104 1242 1392 Radiology RD215 X Ray Left Shoulder Ap/ Axillary View 748 955 1104 1242 1392 Radiology RD216 X-Ray Right Shoulder Lat 403 483 564 633 702 Radiology RD217 X-Ray Left Shoulder Lat 403 483 564 633 702 Radiology RD218 X Ray Both Shoulder Lat 748 1898 2185 2473 2760 Radiology RD219 X Ray Right Shoulder Axillary View 403 483 564 633 702 Radiology RD220 X Ray Left Shoulder Axillary View 403 483 564 633 702 Radiology RD221 X Ray Chest PA 403 483 564 633 702 70 RD222 X Ray Chest Ap View 38214/2020/ESTT-NE_HRRadiology 403 483 564 633 702 Radiology RD223 X Ray Chest Ap/Lat 748 955 1104 1242 1392 Radiology RD224 X Ray Chest Right Lateral 403 483 564 633 702 Radiology RD225 X Ray Chest Left Lateral 403 483 564 633 702 Radiology RD226 X Ray Chest Left Oblique 403 483 564 633 702 Radiology RD227 X Ray Chest Right Oblique 403 483 564 633 702 Radiology RD228 X Ray Chest Apicogram 403 483 564 633 702 Radiology RD229 X Ray Chest Lordotic View 403 483 564 633 702 Radiology RD230 X Ray Chest With Domes 403 483 564 633 702 Radiology RD231 X Ray Both Clavicle Ap View 748 955 1104 1242 1392 Radiology RD232 X Ray Left Clavicle Ap 403 483 564 633 702 Radiology RD233 X Ray Right Clavicle Ap 403 483 564 633 702 Radiology RD234 X Ray Left Scapula Ap/Lat 748 955 1104 1242 1392 Radiology RD235 X Ray Left Scapula Ap 403 483 564 633 702 Radiology RD236 X Ray Right Scapula Ap 403 483 564 633 702 Radiology RD237 X Ray Right Scapula Ap/Lat 748 955 1104 1242 1392 Radiology RD238 X Ray Abdomen Errect & Lying 748 955 1104 1242 1392 Radiology RD239 X Ray Abdomen Errect Position 403 552 644 725 805 Radiology RD240 X Ray Abdomen Ap View 403 483 564 633 702 Radiology RD241 X Ray Abdomen Lat View 403 483 564 633 702 Radiology RD242 X Ray Abdomen Ap/Lat View 748 483 564 633 702 Radiology RD243 X Ray Abdomen Kub Region 403 483 564 633 702 Radiology RD244 X Ray Abdomen Supine 403 483 564 633 702 Radiology RD245 X Ray Abdomen Upper 403 483 564 633 702 Radiology RD246 X Ray Abdomen Lower 403 483 564 633 702 Radiology RD247 X Ray Cervical Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD248 X Ray Cervical Spine Ap View 403 483 564 633 702 Radiology RD249 X Ray Cervical Spine Lat View 403 483 564 633 702 Radiology RD250 X Ray Cervical Spine (Rt) Lat 403 483 564 633 702 Radiology RD251 X Ray Cervical Spine Both Oblique 748 955 1104 1242 1392 Radiology RD252 X Ray Cervical Spine Oblique 403 483 564 633 702 Radiology RD253 X Ray Cervical Spine (Lt) Lat 403 483 564 633 702 Radiology RD254 X Ray Cervical Dorsal Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD255 X Ray Cervical Spine for C1 & C2 403 483 564 633 702 Radiology RD256 X Ray Throcic Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD257 X Ray Throcic Spine Ap 403 483 564 633 702 Radiology RD258 X Ray Dorsal Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD259 X Ray Dorsal Spine Flexion/Extension 748 955 1104 1242 1392 Radiology RD260 X-Ray Dorsal Spine Extension 403 483 564 633 702 Radiology RD261 X-Ray Dorsal Spine Flexion 403 483 564 633 702 Radiology RD262 X Ray Dorsal Spine Ap 403 483 564 633 702 Radiology RD263 X Ray Dorsal Spine Lat 403 483 564 633 702 Radiology RD264 X Ray Dorsal Lumbar Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD265 X Ray Dorsal Lumbar Spine Ap 403 483 564 633 702 Radiology RD266 X Ray Dorsal Lumbar Spine Lat 403 483 564 633 702 Radiology RD267 X Ray Thoroco Lumber Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD268 X Ray Ls Spine Ap/Lat View 748 955 1104 1242 1392 Radiology RD269 X Ray Ls Spine Ap View 403 483 564 633 702 Radiology RD270 X Ray Ls Spine Lat View 403 483 564 633 702 Radiology RD271 X-Ray Ls Spine Flexion 403 483 564 633 702 Radiology RD272 X-Ray Ls Spine Extension 403 483 564 633 702 Radiology RD273 X Ray Ls Spine Flexion/Extension 748 955 1104 1242 1392 Radiology RD274 X Ray L.S Spine Both Oblique 748 955 1104 1242 1392 Radiology RD275 X Ray L.S Spine Left Oblique 403 483 564 633 702 Radiology RD276 X Ray L.S Spine Right Oblique 403 483 564 633 702 Radiology RD277 X Ray Coccyx Lat View 403 483 564 633 702 Radiology RD278 X Ray Coccyx Ap View 403 483 564 633 702 71 RD279 X Ray Sacro Coccygeal Spine Ap 38214/2020/ESTT-NE_HRRadiology 403 483 564 633 702 Radiology RD280 X Ray Sacro Coccygealspine Lat 403 483 564 633 702 Radiology RD281 X Ray Sacro Coccygeal Spine Ap/Lat 748 955 1104 1242 1392 Radiology RD282 X Ray Sacro Iliac Joint Left Oblique 403 483 564 633 702 Radiology RD283 X Ray Sacro Iliac Joint Right Oblique 403 483 564 633 702 Radiology RD284 X Ray Sacro Iliac Joint Both Oblique 748 483 564 633 702 Radiology RD285 X Ray Pelvis Ap 403 483 564 633 702 Radiology RD286 X Ray Pelvis Ap/Lat 748 955 1104 1242 1392 Radiology RD287 X Ray Pelvis With Hip Joint 403 483 564 633 702 Radiology RD288 X Ray Left Hip Ap/Lat 748 955 1104 1242 1392 Radiology RD289 X Ray Right Hip Ap/Lat 748 955 1104 1242 1392 Radiology RD290 X Ray Left Hip Lat 403 483 564 633 702 Radiology RD291 X Ray Right Hip Lat 403 483 564 633 702 Radiology RD292 X Ray Left Hip Ap 403 483 564 633 702 Radiology RD293 X Ray Right Hip Ap 403 483 564 633 702 Radiology RD294 X Ray Right Hip Oblique View 403 483 564 633 702 Radiology RD295 X Ray Left Hip Oblique View 403 483 564 633 702 Radiology RD296 X Ray Right Thigh Ap/Lat 748 955 1104 1242 1392 Radiology RD297 X Ray Left Thigh Ap/Lat 748 955 1104 1242 1392 Radiology RD298 X Ray Left Thigh Ap 403 483 564 633 702 Radiology RD299 X Ray Left Thigh Lat 403 483 564 633 702 Radiology RD300 X Ray Right Thigh Ap 403 483 564 633 702 Radiology RD301 X Ray Right Thigh Lat 403 483 564 633 702 Radiology RD302 X Ray Both Knees Joint Ap & Lat/Skyline 1898 2714 3128 3531 3945 Radiology RD303 X Ray Both Knee Skyline 748 955 1104 1242 1392 Radiology RD304 X Ray Both Knee Ap View 748 955 1104 1242 1392 Radiology RD305 X-Ray Both Knee Lat View 748 955 1104 1242 1392 Radiology RD306 X Ray Both Knee Ap/Lat 1553 1898 2185 2473 2760 Radiology RD307 X Ray Right Knee Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD308 X Ray Left Knee Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD309 X Ray Left Knee Ap View 403 483 564 633 702 Radiology RD310 X Ray Left Knee Lat View 403 483 564 633 702 Radiology RD311 X Ray Right Knee Ap View 403 483 564 633 702 Radiology RD312 X Ray Right Knee Lat View 403 483 564 633 702 Radiology RD313 X Ray Left Patella Lateral 403 483 564 633 702 Radiology RD314 X Ray Right Patella Lateral 403 483 564 633 702 Radiology RD315 X Ray Right Leg Ap/Lat 748 955 1104 1242 1392 Radiology RD316 X Ray Left Leg Ap/Lat 748 955 1104 1242 1392 Radiology RD317 X-Ray Right Leg Ap 403 483 564 633 702 Radiology RD318 X-Ray Right Leg Lat 403 483 564 633 702 Radiology RD319 X-Ray Left Leg Lat 403 483 564 633 702 Radiology RD320 X Ray Left Leg Ap 403 483 564 633 702 Radiology RD321 X Ray Both Ankle Ap/Lat 1553 1898 2185 2473 2760 Radiology RD322 X Ray Both Ankle Ap 748 955 1104 1242 1392 Radiology RD323 X Ray Both Ankle Lat 748 955 1104 1242 1392 Radiology RD324 X Ray Left Ankle Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD325 X Ray Right Ankle Joint Ap/Lat 748 955 1104 1242 1392 Radiology RD326 X Ray Left Ankle Ap View 403 483 564 633 702 Radiology RD327 X Ray Right Ankle Ap View 403 483 564 633 702 Radiology RD328 X Ray Left Ankle Lat View 748 955 1104 1242 1392 Radiology RD329 X Ray Right Ankle Lat View 403 483 564 633 702 Radiology RD330 X Ray Left Heel Ap/Lat 748 955 1104 1242 1392 Radiology RD331 X Ray Right Heel Ap/Lat 748 955 1104 1242 1392 Radiology RD332 X Ray Right Heel Lat 403 483 564 633 702 Radiology RD333 X Ray Left Heel Lat 403 483 564 633 702 Radiology RD334 X Ray Both Heel Lat 748 955 1104 1242 1392 Radiology RD335 X Ray Right Heel Axillary 403 483 564 633 702 72 RD336 X Ray Left Heel Axillary 38214/2020/ESTT-NE_HRRadiology 403 483 564 633 702 Radiology RD337 X Ray Right Foot Ap View 403 483 564 633 702 Radiology RD338 X Ray Right Foot Ap/Lat View 748 955 1104 1242 1392 Radiology RD339 X Ray Right Foot Lat 403 483 564 633 702 Radiology RD340 X Ray Left Foot Ap/Lat 748 955 1104 1242 1392 Radiology RD341 X-Ray Left Foot Ap 403 483 564 633 702 Radiology RD342 X-Ray Left Foot Lat 403 483 564 633 702 Radiology RD343 X Ray Both Foot Ap/Oblique 1553 1898 2185 2473 2760 Radiology RD344 X Ray Both Foot Ap 748 955 1104 1242 1392 Radiology RD345 X Ray Both Foot Lateral 748 955 1104 1242 1392 Radiology RD346 X Ray Cholengiography 2024 2450 2818 3186 3554 Radiology RD347 X Ray Barium Swallow 4175 4888 5624 6360 7096 Radiology RD348 X Ray Barium Meal 4175 4750 5463 6176 6889 Radiology RD349 X Ray Barium Meal Follow Through 4175 4750 5463 6176 6889 Radiology RD350 X-Ray Barium Enema 4175 4750 5463 6176 6889 Radiology RD351 X Ray Loopogram 2657 2714 3128 3531 3945 Radiology RD352 X Ray Ivp (Non Ionic) 3542 4071 4692 5302 5911 Radiology RD353 X Ray Nephrotonogram 1898 2312 2668 3013 3358 Radiology RD354 X Ray Cystourethrogram 2024 2450 2818 3186 3554 Radiology RD355 X Ray Retrograde Pyelography (Rgp) 2024 2450 2818 3186 3554 Radiology RD356 X Ray Mcu 2024 2450 2818 3186 3554 Radiology RD357 X Ray Hsg 2404 2714 3128 3531 3945 Radiology RD358 X Ray Fistulogram 2404 2714 3128 3531 3945 Radiology RD359 X Ray Gastrography 2404 2714 3128 3531 3945 Radiology RD360 X Ray Gastrigrafin Study 2657 3128 3600 4071 4543 Radiology RD361 X Ray Sinography / Sialography 2024 2450 2818 3186 3554 Radiology RD362 Extremities Bones & Joints Ap & Lateral Views (Two Films) 1898 1898 2185 2473 2760 Radiology RD363 X Ray Dcg Colour 2024 2450 2818 3186 3554 Radiology RD364 Ultrasound Obstetrical for FWB 1725 1633 1886 2128 2369 Radiology RD365 Ultrasound Gyane/Pelvis/Lower Abdomen 1380 1357 1564 1771 1978 Radiology RD366 Ultrasound Early Pregnancy 1380 1357 1564 1771 1978 Radiology RD367 Ultrasound T.V.S. Gynae 1380 1633 1886 2128 2369 Radiology RD368 Ultrasound Breast Both 1518 1898 2185 2473 2760 Radiology RD369 Ultrasound Breast Single 1150 1357 1564 1771 1978 Radiology RD370 Ultrasound Guided D & C 2875 3393 3910 4416 4922 Radiology RD371 Ultrasound T.V.S Early Pregnancy 1380 1633 1886 2128 2369 Radiology RD372 Obstetric Doppler 2300 2450 2818 3186 3554 Radiology RD373 Ultrasound Obst. Routine (Twin Pregnancy) 3220 2990 3439 3887 4336 Radiology RD374 Obstetric Ultrasound + Obstetric Doppler 3680 3657 4209 4761 5313 Radiology RD375 Ultrasound 2D Anomaly Scan Obst.(Twins) 4554 5152 5934 6705 7475 Radiology RD376 Ultrasound Afi (Liquor) Twin Pregnancy 1035 2047 2358 2668 2979 Radiology RD377 Ultrasound Abdomen Lower With Tvs (Female) 1380 1357 1564 1771 1978 Radiology RD378 Usg-Obstetrics 3D Anomaly Scan 5060 5969 6866 7763 8660 Radiology RD379 Ultrasound Obstetrics 4D (Twin Pregnancy) Extra 3795 4485 5164 5831 6509 Radiology RD380 Ultrasound Obstetrics 4D Extra 2530 2990 3439 3887 4336 Radiology RD381 Ultrasound Ovulation Study Pkg (Tvs) 2530 2047 2358 2668 2979 Radiology RD382 Ultrasound Extended Tvs 345 426 495 564 621 Radiology RD383 Ultrasound - Ovulation Trans Abdominal 1380 1357 1564 1771 1978 Radiology RD384 Ultrasound Early Anomaly Scan 1725 1265 1461 1645 1840 Radiology RD385 Ultrasound For Biophysical Profile 2300 2714 3128 3531 3945 Radiology RD386 Ultrasound Cardiac Activity 575 575 667 748 840 Radiology RD387 Ultrasound Ovulation Studies (Per Day) 575 552 644 725 805 Radiology RD388 Ultrasound Whole Abdomen 1668 1898 2185 2473 2760 Radiology RD389 Ultrasound Pvr 345 426 495 564 621 Radiology RD390 Ultrasound Kub 1610 1495 1725 1944 2174 Radiology RD391 Ultrasound Upper Abdomen 1610 1495 1725 1944 2174 Radiology RD392 Ultrasound Neck 2070 1495 1725 1944 2174 73 RD393 Ultarsound Parieties/Soft Tissue 38214/2020/ESTT-NE_HRRadiology 1610 2047 2358 2668 2979 Radiology RD394 Ultrasound Chest 1380 1231 1426 1610 1794 Radiology RD395 Ultrasound Testis/Scrotal 1725 2047 2358 2668 2979 Radiology RD396 Ultrasound Thyroid 1725 2047 2358 2668 2979 Radiology RD397 Ultrasound Color Dopplerstudy Peripheral Venous Both Limbs (Dvt) 3450 3795 4370 4934 5509 Radiology RD398 Ultrasound Trans Rectal Scan 2070 2047 2358 2668 2979 Radiology RD399 Ultrasound Cranium 1725 1357 1564 1771 1978 Radiology RD400 Ultrasound Cranium Neonatal Brain 2070 2450 2818 3186 3554 Radiology RD401 Ultrasound Testicular Localisation 2070 2312 2668 3013 3358 Radiology RD402 Ultrasound Eye 1725 1771 2047 2312 2576 Radiology RD403 Ultrasound Emergency Charge 989 989 1139 1288 1438 Radiology RD404 Carotid And Vertebral Doppler Study ** 2783 3393 3910 4416 4922 Radiology RD405 Colour Doppler One Limb Venous (DVT) 1898 2312 2668 3013 3358 Radiology RD406 Colour Doppler One Limb Arterial 1898 2312 2668 3013 3358 Radiology RD407 Colour Doppler Venous (Varicos Veins) 2783 3393 3910 4416 4922 Radiology RD408 Colour Doppler (Renal Vascular) 2783 3393 3910 4416 4922 Radiology RD409 Colour Doppler Study Scrotum /Testis 2783 3393 3910 4416 4922 Radiology RD410 Color Doppler Study Per Arterial Both Limb 3163 3795 4370 4934 5509 Radiology RD411 Colour Doppler (Per Art & Ven) One Limb 3163 3795 4370 4934 5509 Radiology RD412 Color Doppler Peripheral Venous Both Limbs(DVT) 3163 1495 1725 1944 2174 Radiology RD413 Colour Doppler Both Limb (Arterial & Venous) 5693 6774 7797 8809 9833 Radiology RD414 Splenoportal/ Inernal Jugular Vein Doppler 2783 3393 3910 4416 4922 Radiology RD415 Color Doppler Ilio Femoral Vessels 1898 1898 2185 2473 2760 Radiology RD416 Doppler Study Marking For Varicose Veins 1265 1357 1564 1771 1978 Radiology RD417 Varicose Veins Doppler Without Markings (Both Limb) 5175 5175 5957 6728 7510 Radiology RD418 Color Doppler Study Obstetrical Twin Pregnancy 6095 6774 7797 8809 9833 Radiology RD419 Varicose Veins Doppler With Markings (Both Limbs) 5980 5980 6877 7774 8671 Radiology RD420 Varicose Veins Doppler With Markings (One Limb) 3450 3450 3968 4485 5003 Radiology RD421 Varicose Veins Doppler Without Markings (One Limb) 3795 4485 5164 5831 6509 Radiology RD422 Ultrasound Venous For Av Fistula 1898 1898 2185 2473 2760 Radiology RD423 CT Angiography Calcium Scoring 3795 4485 5164 5831 6509 Radiology RD424 CT Angiography Coronary +Cabg 18975 22345 25703 29049 32407 Radiology RD425 CT CECT Orbit Coronel 5060 5969 6866 7763 8660 Radiology RD426 CT Guided Biopsy 6325 7590 8729 9867 11006 Radiology RD427 CT Guided Drainage 9200 11385 13099 14801 16514 Radiology RD428 CT Guided Fnac 5750 6774 7797 8809 9833 Radiology RD429 CT Scan Head Plain 2530 2990 3439 3887 4336 Radiology RD430 CT Chest Contrast 6325 7452 8579 9695 10810 Radiology RD431 CT Chest Plain & Contrast 6325 7452 8579 9695 10810 Radiology RD432 CT Lower Abdomen Contrast 8855 10431 12006 13570 15134 Radiology RD433 CT Whole Abdomen Contrast 8855 10431 12006 13570 15134 Radiology RD434 CT Plain Kub 4428 5290 6084 6877 7671 Radiology RD435 CT Chest Plain 4428 5290 6084 6877 7671 Radiology RD436 CT Pns Plain Coronal 3795 4485 5164 5831 6509 Radiology RD437 Pet CT Whole Body 32085 32085 36904 41711 46529 Radiology RD438 CT Chest High Resolution (Hr CT Chest) 5693 6774 7797 8809 9833 Radiology RD439 CT Scan Facial Bone With 3D Reconstruction 6325 7452 8579 9695 10810 Radiology RD440 CT Scan Urogram/Ce CT Kub 5693 6774 7797 8809 9833 Radiology RD441 CT Spine Cervical/Dorsal/Lum/Ls/Sacr (Each) Plain 5060 5969 6866 7763 8660 Radiology RD442 CT CECT Kub 5693 6774 7797 8809 9833 Radiology RD443 CT Angiography Extremities 15180 17883 20574 23253 25933 Radiology RD444 CT Whole Abdomen Plain 7590 8947 10293 11638 12984 Radiology RD445 CT Scan Shoulder / Hip / Pelvis 3D Reconstruction 5060 5969 6866 7763 8660 Radiology RD446 CT Neck Contrast 6325 7452 8579 9695 10810 Radiology RD447 CT Knee/Ankle/One Limb Plain With 3D Recon 5060 5969 6866 7763 8660 Radiology RD448 CT Triple Phase Abdomen 13915 16388 18849 21310 23771 Radiology RD449 CT HRCT Temporal Bone/ Mastoids Plain With 3D Recon 6325 7452 8579 9695 10810 74 RD450 CT Urography 38214/2020/ESTT-NE_HRRadiology 5693 6774 7797 8809 9833 Radiology RD451 CT Scan Triple Phase Whole Abdomen With Contrast 13915 16388 18849 21310 23771 Radiology RD452 CT Angiography Coronary 13915 17883 20574 23253 25933 Radiology RD453 CT Elbow/Wrist/Shoulder One Limb Plain 3795 4485 5164 5831 6509 Radiology RD454 CT Pns Plain Axial 3795 4485 5164 5831 6509 Radiology RD455 CT Neck Plain 5060 5969 6866 7763 8660 Radiology RD456 CT Angiography Pulmunary 13915 16388 18849 21310 23771 Radiology RD457 CT Head With Cervical Spine Plain 7590 8947 10293 11638 12984 Radiology RD458 CT Scan Angiography Pulmonary 13915 16250 18688 21126 23564 Radiology RD459 CT Head Plain And Contrast 5060 5969 6866 7763 8660 Radiology RD460 CT Angiography Abdomen 13915 16250 18688 21126 23564 Radiology RD461 CT Angiography Renal 13915 14893 17135 19366 21597 Radiology RD462 CT Angiography Thoracic Arota Gram 13915 16388 18849 21310 23771 Radiology RD463 CT Single Leg Plain 5060 5969 6866 7763 8660 Radiology RD464 CT Abdomen Upper Contrast 6325 7452 8579 9695 10810 Radiology RD465 CT Head Contrast 3795 4485 5164 5831 6509 Radiology RD466 CT Head With Cervical Spine 7590 8947 10293 11638 12984 Radiology RD467 CT Face Plain 5060 5969 6866 7763 8660 Radiology RD468 CT HRCT Temporal Bone(Axial Coronal) Contrast 7590 8947 10293 11638 12984 Radiology RD469 Three Phase Whole Body Bone Scan 8131 8131 9361 10580 11799 Radiology RD470 CT Elbow With 3D Reconstruction 5060 5969 6866 7763 8660 Radiology RD471 CT Scanogram 1898 1898 2185 2473 2760 Radiology RD472 CT Abdomen Upper Plain 4428 5290 6084 6877 7671 Radiology RD473 CT Angiography Carotid (Neck) 11385 13409 15422 17434 19447 Radiology RD474 CT Angiography Triple Phase Upper Abdomen 11385 13409 15422 17434 19447 Radiology RD475 CT Angiography Head & Neck 18975 18952 21804 24645 27485 Radiology RD476 CT Pelvis With Contrast 6325 7452 8579 9695 10810 Radiology RD477 CT Scan Spine With 3D Reconstruction 6325 7452 8579 9695 10810 Radiology RD478 CT Abdomen Aorta 13915 17883 20574 23253 25933 Radiology RD479 CT Contrast Axial & Coronal (Pns) 6325 7452 8579 9695 10810 Radiology RD480 CT Pns Plain And Contrast Coronal 5060 5969 6866 7763 8660 Radiology RD481 CT Angiography Cerebral/Brain 11385 13409 15422 17434 19447 Radiology RD482 CT Angiography Peripheral Ul/Ll Arterial 15180 16250 18688 21126 23564 Radiology RD483 CT Scan Cisternography 8855 8855 10189 11512 12846 Radiology RD484 CT Scan Lower Abdomen Without Contrast 4428 5290 6084 6877 7671 Radiology RD485 CT B/L Hip Plain 6325 7452 8579 9695 10810 Radiology RD486 CT Enteroclysis 11385 12869 14801 16733 18665 Radiology RD487 CT Face Contrast 6325 7452 8579 9695 10810 Radiology RD488 CT NCCT Orbit Coronal 3795 4485 5164 5831 6509 Radiology RD489 CT Peripheral Angiography 13915 16250 18688 21126 23564 Radiology RD490 CT Spine Cervical/Dorsal/Lumb/Ls/Sacr (Each) Contrast 6325 7452 8579 9695 10810 Radiology RD491 CT Venography Brain 13915 13915 16008 18090 20183 Radiology RD492 CT 3D Reconstruction (Extra) 3795 4485 5164 5831 6509 Radiology RD493 CT Elbow/Wrist/Shoulder One Limb Plain And Contrast 6325 7452 8579 9695 10810 Radiology RD494 CT Paranasal Sinuses Plain 3795 4485 5164 5831 6509 Radiology RD495 CT Pelvis B/L Hip Joints Contrast With 3D Recon 7590 8947 10293 11638 12984 Radiology RD496 CT Single Leg Contrast 6325 7452 8579 9695 10810 Radiology RD497 CT Knee/Ankle One Limb Plain And Contrast With 3D Recon 6325 7452 8579 9695 10810 Radiology RD498 CT Knee/Ankle/Hip Both Limb Plain And Contrast With 3D Recon 12650 14893 17135 19366 21597 Radiology RD499 CT Paranasal Sinuses Plain And Contrast 5060 5969 6866 7763 8660 Radiology RD500 CT Perfusion Brain 11385 13409 15422 17434 19447 Radiology RD501 Dotanoc 40480 40480 46552 52624 58696 Radiology RD502 Dexa Scan Tripple Site 5060 5969 6866 7763 8660 Radiology RD503 Dexa Scan Double Site 3795 4485 5164 5831 6509 Radiology RD504 Dexa Scan Single Site 2783 3393 3910 4416 4922 Radiology RD505 Dexa Scan Whole Body 6958 8131 9361 10580 11799 Radiology RD506 Mammography (Both Side) Without Ultrasound 2277 2714 3128 3531 3945 75 RD507 Mammography (Both Side) With Ultrasound 38214/2020/ESTT-NE_HRRadiology 2530 2990 3439 3887 4336 Radiology RD508 Mammography (Single Side) Without Ultrasound 1265 1633 1886 2128 2369 Radiology RD509 Mammography (Single Side) With Ultrasound 1265 1898 2185 2473 2760 Radiology RD510 X Ray Extra Film Charges (One Film) 127 219 253 288 322 Radiology RD511 CD charges Extra 449 552 644 725 805 Radiology RD512 Ultrasound Portable (Extra Charges ) 690 2047 2358 2668 2979 Radiology RD513 CT Extra Film Charges (One Film) 253 426 495 564 621 Radiology RD514 Portable Charge Single Exposure 311 311 368 414 460 Radiology RD515 Portable Charge Double Exposure 403 403 472 529 587 Radiology RD516 MRI Screening Single Region 4600 4485 5164 5831 6509 Radiology RD517 MRI Contrast One Region Extra 5060 5969 6866 7763 8660 Radiology RD518 MRI Emergency Charges 1265 1357 1564 1771 1978 Radiology RD519 MRI Sedation Charges/ Anesthesia Charges 1898 1898 2185 2473 2760 Urology Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Urology UR001 Ureter RGP Sclerotherapy Bilateral 36225 36225 41745 47150 52555 Urology UR002 Cystoscopy With Dj Stent Unilateral 33350 33350 38410 43355 48415 Urology UR003 Cystoscopy With Dj Stent Bilateral 46000 46000 52900 59800 66700 Urology UR004 Cystoscopy Dj Stent Removal Bilateral GA 14950 14950 17250 19435 21735 Urology UR005 Cystoscopy Dj Stent Removal Bilateral LA 8050 8050 9315 10465 11730 Urology UR006 Cystoscopy Dj Stent Removal Unilateral GA 11500 11500 13225 14950 16675 Urology UR007 Cystoscopy Dj Stent Removal Unilateral LA 5750 5750 6670 7475 8395 Urology UR008 Cystoscopy Diagnostic 18400 18400 21160 23920 26680 Urology UR009 Cystoscopy Diagnostic GA 27600 27600 31740 35880 40020 Urology UR010 Cystoscopy Biopsy 40825 40825 47035 53130 59225 Urology UR011 Holep 50G-100G 74750 74750 86020 97175 108445 Urology UR012 Holep Less Than 50G 67275 67275 77395 87515 97635 Urology UR013 Holep More Than 100G 82225 82225 94645 106950 119255 Urology UR014 Cystoscopy BNI /TUIP 46000 46000 52900 59800 66700 Urology UR015 Cystoscopy TURBT Large 63250 63250 72795 82225 91770 Urology UR016 Cystoscopy TURBT Multiple 72450 72450 83375 94185 105110 Urology UR017 Cystoscopy TURBT Single Small 52900 52900 60835 68770 76705 Urology UR018 Transurethral Resection Of Prostate (TURP) 65550 65550 75440 85215 95105 Urology UR019 Cystoscopy Botox Inj 36225 36225 41745 47150 52555 Urology UR020 Laser BNI 41975 41975 48300 54625 60950 Urology UR021 Laser OIU 52900 52900 60835 68770 76705 Urology UR022 Cystoscopy Clot Evacuation 16675 16675 19205 21735 24265 Urology UR023 Cystoscopy Deflux Inj 27600 27600 31740 35880 40020 Urology UR024 Cystolithotripsy Trans Urethral 45425 45425 52325 59110 65895 Urology UR025 Cystolithtripsy Percutaneous 54050 54050 62215 70265 78430 Urology UR026 RGP (Retrograde Catheter) Unilateral 20700 20700 23805 26910 30015 Urology UR027 Ureter RGP Bilateral 36225 36225 41745 47150 52555 Urology UR028 Ureter RGP Sclerotherapy Unilateral 27600 27600 31740 35880 40020 Urology UR029 Cystoscopy Fulguration Of Bladder Tumour 43700 43700 50255 56810 63365 Urology UR030 Cystoscopy Internal Urethrotomy/ OIU Long 52900 52900 60835 68770 76705 Urology UR031 Cystoscopy Internal Urethrotomy/ OIU Short 37375 37375 43010 48645 54280 Urology UR032 Laproscopic Bladder Perforation Repair 63250 63250 72795 82225 91770 Urology UR033 Laproscopic Prostatectomy Radical 125925 125925 144900 163760 182620 Urology UR034 Laproscopic Nephrectomy Partial 90275 90275 103845 117415 130985 Urology UR035 Laproscopic Ureterolithotomy 56925 56925 65550 74060 82570 Urology UR036 Laproscopic Ureterolysis Bilateral 92000 92000 105800 119600 133400 Urology UR037 Laproscopic Ureteroneocystostomy Bilateral 92000 92000 105800 119600 133400 Urology UR038 Varicocelectomy Bilateral Lap 99475 99475 114425 129375 144325 Urology UR039 Ureteroneocystostomy Unilateral Lap 72450 72450 83375 94185 105110 Urology UR040 Laproscopic Nephrectomy Radical 90850 90850 104535 118105 131790 Urology UR041 Laproscopic Nephrectomy Simple 87400 87400 100510 113620 126730 Urology UR042 Laproscopic Nephropexy Bilateral 54625 54625 62905 71070 79235 76 Urology UR043 Laproscopic Nephropexy Unilateral 38214/2020/ESTT-NE_HR 43125 43125 49680 56120 62560 Urology UR044 Laproscopic Burch Colposuspension 55775 55775 64170 72565 80960 Urology UR045 Laproscopic Cystectomy Partial 57500 57500 66125 74750 83375 Urology UR046 Laproscopic Nephroureterectomy 103500 103500 119025 134550 150075 Urology UR047 Laproscopic Orchidopexy Bilateral 69000 69000 79350 89700 100050 Urology UR048 Laproscopic Orchidopexy Unilateral 47725 47725 54970 62100 69230 Urology UR049 Laproscopic Pyeloplasty Laparoscopic 90850 90850 104535 118105 131790 Urology UR050 Laproscopic Radical Cystectomy 124775 124775 143520 162265 181010 Urology UR051 Laproscopic Renal Cyst Decortication 57500 57500 66125 74750 83375 Urology UR052 Laproscopic Seminal Vesiculectomy 63250 63250 72795 82225 91770 Urology UR053 Laproscopic Uretero Ureterostomy 48300 48300 55545 62790 70035 Urology UR054 Ureteroneocystostomy Boari Flap Bilateral Laproscopic 119600 119600 137540 155480 173420 Urology UR055 Vesico Vaginal Fistula Closure Lap 72450 72450 83375 94185 105110 Urology UR056 Adrenalectomy Laparoscopic 72450 72450 83375 94185 105110 Urology UR057 Inguinal Lymph Node Dissection Bilateral Lap (VEIL) 71300 71300 81995 92690 103385 Urology UR058 Inguinal Lymph Node Dissection Unilateral Lap (VEIL) 54625 54625 62905 71070 79235 Urology UR059 Inguino Pelvic Block Dissection Bilateral Laproscopic 92000 92000 105800 119600 133400 Urology UR060 Inguino Pelvic Block Dissection Unilateral Laproscopic 69000 69000 79350 89700 100050 Urology UR061 Pyelolithotomy Laparoscopic 81650 81650 93955 106145 118450 Urology UR062 Varicocelectomy Unilateral Lap 66125 66125 76130 86020 95910 Urology UR063 Ureteroscopic Surgery Unilateral (URS) 40250 40250 46345 52325 58420 Urology UR064 Ureteroscopic Surgery Bilateral (URS) 57500 57500 66125 74750 83375 Urology UR065 Ureteroscopic Surgery Large Stone Unilateral (URS) 51750 51750 59570 67275 75095 Urology UR066 RIRS (<1Cm) 82225 82225 94645 106950 119255 Urology UR067 RIRS (>2Cm) 90275 90275 103845 117415 130985 Urology UR068 RIRS (1>2Cm) 86825 86825 99935 112930 125925 Urology UR069 RIRS Bilateral 104650 104650 120405 136045 151800 Urology UR070 Ureteroscopy Tumour Fulguration Flexible 67275 67275 77395 87515 97635 Urology UR071 Ureteroscopy Tumour Fulguration Unilateral Rigid 43700 43700 50255 56810 63365 Urology UR072 Av Fistula Aneurysm Excision/ Closure 11500 11500 13225 14950 16675 Urology UR073 Radical Cystectomy Radical 99475 99475 114425 129375 144325 Urology UR074 Epispadias Repair 97175 97175 111780 126385 140990 Urology UR075 Percutaneous Nephrostomy (PCN)- Unilateral 51750 51750 59570 67275 75095 Urology UR076 Retroperitoneal Lymph Node Dissection (RPLND) 99475 99475 114425 129375 144325 Urology UR077 TURED 40250 40250 46345 52325 58420 Urology UR078 Prostatectomy Radical Openurology 99475 99475 114425 129375 144325 Urology UR079 Prostatic Abscess Deroofing Transurethral 37950 37950 43700 49335 55085 Urology UR080 Testicular Implant Bilateral 40250 40250 46345 52325 58420 Urology UR081 Percutaneous Nephrostomy Unilateral 37950 37950 43700 49335 55085 Urology UR082 Renal Cyst Decortication Open 33350 33350 38410 43355 48415 Urology UR083 Prostate Biopsy Digital 9775 9775 11270 12765 14260 Urology UR084 Circumcision 24725 24725 28520 32200 35880 Urology UR085 Corporo Cavernosal Penile Shunt 45425 45425 52325 59110 65895 Urology UR086 Corporoplasty 46000 46000 52900 59800 66700 Urology UR087 Vesico Vaginal Fistula Closure Open 54625 54625 62905 71070 79235 Urology UR088 Adrenalectomy Open 54625 54625 62905 71070 79235 Urology UR089 Amputation Of Penis Partial 67275 67275 77395 87515 97635 Urology UR090 Amputation Penis Total 82225 82225 94645 106950 119255 Urology UR091 Artificial Sphincter Insertion 125925 125925 144900 163760 182620 Urology UR092 Nephrectomy Partial Open 101200 101200 116380 131560 146740 Urology UR093 Nephrectomy Radical Open 87400 87400 100510 113620 126730 Urology UR094 Nephrectomy Radical With IVC Thrombus 115000 115000 132250 149500 166750 Urology UR095 Nephrectomy Simple Open 63250 63250 72795 82225 91770 Urology UR096 Nephrectomy With Adhesions Open 72450 72450 83375 94185 105110 Urology UR097 Nephropexy Bilateral Open 37375 37375 43010 48645 54280 Urology UR098 Nephropexy Unilateral Open 29325 29325 33810 38180 42550 Urology UR099 Nephrostomy Change Bilateral 12075 12075 13915 15755 17595 77 Urology UR100 Nephrostomy Change Unilateral 38214/2020/ESTT-NE_HR 9775 9775 11270 12765 14260 Urology UR101 Percutenious Nephrostomy Bilateral 52900 52900 60835 68770 76705 Urology UR102 Nephroureterectomy Open 86250 86250 99245 112125 125120 Urology UR103 Bladder Perforation Repair Open 46000 46000 52900 59800 66700 Urology UR104 Burch Colposuspension Open 41975 41975 48300 54625 60950 Urology UR105 Capd Catheter Insertion 27600 27600 31740 35880 40020 Urology UR106 Caruncle Excision 15525 15525 17940 20240 22540 Urology UR107 Chordee Correction 40250 40250 46345 52325 58420 Urology UR108 Cystectomy Radical With Ileal Conduit 115000 115000 132250 149500 166750 Urology UR109 Cystectomy Radical With Neo Bladder 115000 115000 132250 149500 166750 Urology UR110 Cystolithotomy Open 52900 52900 60835 68770 76705 Urology UR111 Cystoplasty Augmentation 105225 105225 121095 136850 152605 Urology UR112 Dilation Of Stricture Urethra Under GA 27600 27600 31740 35880 40020 Urology UR113 Dorsal Slit 11500 11500 13225 14950 16675 Urology UR114 Epididymal Cyst Excision 47725 47725 54970 62100 69230 Urology UR115 Epidydectomy 47725 47725 54970 62100 69230 Urology UR116 ESWL (Extra Corporeal Shock Wave Lithotripsy) 17250 17250 19895 22425 25070 Urology UR117 Filarial Scrotoplasty 20700 20700 23805 26910 30015 Urology UR118 Frenuloplasty 13800 13800 15870 17940 20010 Urology UR119 Hydrocelectomy Bilateral 31050 31050 35765 40365 45080 Urology UR120 Hydrocelectomy Unilateral 21275 21275 24495 27715 30935 Urology UR121 Hypospaedias Correction Stage 1 46000 46000 52900 59800 66700 Urology UR122 Hypospaedias Correction Stage 2 28750 28750 33120 37375 41745 Urology UR123 Ileal Substitution Of Ureter 72450 72450 83375 94185 105110 Urology UR124 Inguinal Lymph Node Dissection Bilateral 63250 63250 72795 82225 91770 Urology UR125 Inguinal Lymph Node Dissection Unilateral 47725 47725 54970 62100 69230 Urology UR126 Pelvic Block Dissection Bilateral Open 39675 39675 45655 51635 57615 Urology UR127 Pelvic Block Dissection Unilateral Open 35075 35075 40365 45655 50945 Urology UR128 Meatoplasty 40250 40250 46345 52325 58420 Urology UR129 Meatotomy 11500 11500 13225 14950 16675 Urology UR130 Memokath Insertion Prostate 37375 37375 43010 48645 54280 Urology UR131 Memokath Insertion Stricture 37375 37375 43010 48645 54280 Urology UR132 Memokath Insertion Ureter B/L 60375 60375 69460 78545 87630 Urology UR133 Memokath Insertion Ureter U/L 45425 45425 52325 59110 65895 Urology UR134 Mitrofanoff Procedure 74750 74750 86020 97175 108445 Urology UR135 Nesbits Plication 45425 45425 52325 59110 65895 Urology UR136 Operation For Torsion Testis 46000 46000 52900 59800 66700 Urology UR137 Orchdectomy Radical 60375 60375 69460 78545 87630 Urology UR138 Orchidectomy Bilateral 46000 46000 52900 59800 66700 Urology UR139 Orchidectomy Unilateral 35075 35075 40365 45655 50945 Urology UR140 Orchidopexy Bilateral Open 52900 52900 60835 68770 76705 Urology UR141 Penile Implant One Piece 74750 74750 86020 97175 108445 Urology UR142 Penile Implant Three Piece 97750 97750 112470 127075 141795 Urology UR143 Penile Implant Two Piece 82225 82225 94645 106950 119255 Urology UR144 Penile Lengthening 36225 36225 41745 47150 52555 Urology UR145 Percutaneous Drainage Of Perinephric Abscess Ultrasound Guided 28750 28750 33120 37375 41745 Urology UR146 Percutaneous Nephrolithotomy (PCNL) Stage 1 63250 63250 72795 82225 91770 Urology UR147 Percutaneous Nephrolithotomy (PCNL) Stage 2 31625 31625 36455 41170 45885 Urology UR148 Percutaneous Nephrolithotomy (PCNL) Unilateral 63250 63250 72795 82225 91770 Urology UR149 Percutaneous Nephrolithotomy (PCNL) Unilateral Pickup 51750 51750 59570 67275 75095 Urology UR150 Perineal Urethrostomy 52900 52900 60835 68770 76705 Urology UR151 Peyronies Disease Surgery 57500 57500 66125 74750 83375 Urology UR152 Priapism Drainage 33350 33350 38410 43355 48415 Urology UR153 Prolift 48875 48875 56235 63595 70955 Urology UR154 Prostate Biopsy TRUS Guided 21275 21275 24495 27715 30935 Urology UR155 Prostatectomy Freyers / Millins Open 67275 67275 77395 87515 97635 Urology UR156 Prostatic Abscess Drainage Trans Rectal 21275 21275 24495 27715 30935 78 Urology UR157 Psoas Hitch & Ureteral Reimplantation 38214/2020/ESTT-NE_HR 97750 97750 112470 127075 141795 Urology UR158 PU Valve Fulguration 46000 46000 52900 59800 66700 Urology UR159 Pubovaginal Sling 48875 48875 56235 63595 70955 Urology UR160 Pyelolithotomy Open 69000 69000 79350 89700 100050 Urology UR161 Pyeloplasty Open 72450 72450 83375 94185 105110 Urology UR162 Reduction Of Paraphimosis 17250 17250 19895 22425 25070 Urology UR163 Renal Arterial Reconstruction 99475 99475 114425 129375 144325 Urology UR164 Repair Of Vesico Vaginal Fistula (VVF) Open 62100 62100 71415 80730 90045 Urology UR165 Seminal Vesiculogram 13800 13800 15870 17940 20010 Urology UR166 SPC Change 2875 2875 3335 3795 4255 Urology UR167 SPC Open Surgery 18400 18400 21160 23920 26680 Urology UR168 Testicular Biopsy 25300 25300 29095 32890 36685 Urology UR169 Testicular Implant Unilateral 36225 36225 41745 47150 52555 Urology UR170 Total Penectomy 87400 87400 100510 113620 126730 Urology UR171 Trocar Cystostomy Under La 23000 23000 26450 29900 33350 Urology UR172 TURP Large Gland 63250 63250 72795 82225 91770 Urology UR173 TVT 34500 34500 39675 44850 50025 Urology UR174 Ureter Reimplantation B/L 99475 99475 114425 129375 144325 Urology UR175 Ureter Reimplantation U/L 63250 63250 72795 82225 91770 Urology UR176 Ureteral Dilatation Dj Stenting Unilateral 30475 30475 35075 39675 44275 Urology UR177 Ureteric Dilatation Dj Stenting Bilateral 45425 45425 52325 59110 65895 Urology UR178 Uretero Calycostomy 81650 81650 93955 106145 118450 Urology UR179 Uretero Ureterostomy Open 51750 51750 59570 67275 75095 Urology UR180 Ureterocele Incision Bilateral (Endoscopic) 69000 69000 79350 89700 100050 Urology UR181 Ureterocele Incision Endoscopic 46000 46000 52900 59800 66700 Urology UR182 Ureterolithotomy Open 51750 51750 59570 67275 75095 Urology UR183 Ureterolysis Bilateral Open 86250 86250 99245 112125 125120 Urology UR184 Ureterolysis Unilateral (Endoscopic) 69000 69000 79350 89700 100050 Urology UR185 Ureterolysis Unilateral Open 57500 57500 66125 74750 83375 Urology UR186 Ureteroneocystostomy Bilateral Open 69000 69000 79350 89700 100050 Urology UR187 Ureteroneocystostomy Boari Flap Bilateral Open 116725 116725 134320 151800 169280 Urology UR188 Ureteroneocystostomy Boari Flap Unilateral Open/Lap 96600 96600 111090 125580 140070 Urology UR189 Ureteroneocystostomy Unilateral Open 69000 69000 79350 89700 100050 Urology UR190 Ureterostomy Cutaneous Bilateral 82225 82225 94645 106950 119255 Urology UR191 Ureterostomy Cutaneous Unilateral 54625 54625 62905 71070 79235 Urology UR192 Urethrocutaneous Fistula Closure 27600 27600 31740 35880 40020 Urology UR193 Urethroplasty Buccal Mucosal Graft 63250 63250 72795 82225 91770 Urology UR194 Urethroplasty Excision Primary Anastomosis 54625 54625 62905 71070 79235 Urology UR195 Urethroplasty Hypospaedias Repair 1 Stage 45425 45425 52325 59110 65895 Urology UR196 Urethroplasty Hypospaedias Repair 2 Stage 30475 30475 35075 39675 44275 Urology UR197 Urethroplasty Lay Open 27600 27600 31740 35880 40020 Urology UR198 Urethroplasty Perineal 58650 58650 67505 76245 85100 Urology UR199 Urethroplasty Stage 2 25300 25300 29095 32890 36685 Urology UR200 Urethroplasty Transpubic 90850 90850 104535 118105 131790 Urology UR201 Urethrovaginal Fistula/ Diverticulum Closure 46000 46000 52900 59800 66700 Urology UR202 Urinary Diversion 49450 49450 56925 64285 71760 Urology UR203 Urinary Fistula 49450 49450 56925 64285 71760 Urology UR204 Varicocelectomy Bilateral Open Microscopic 80500 80500 92575 104650 116725 Urology UR205 Varicocelectomy Open Unilateral Inguinal. 36225 36225 41745 47150 52555 Urology UR206 Varicocelectomy Unilateral Open Microscopic 57500 57500 66125 74750 83375 Urology UR207 Vasectomy 27600 27600 31740 35880 40020 Urology UR208 Vaso Epididymostomy (Vea) 59800 59800 68770 77740 86710 Urology UR209 Uroflowmatry 863 863 1001 1127 1254 Urology UR210 Uro Dynamic Study 5969 5969 6866 7763 8660 Urology UR211 Foleys Catheterisation 3163 3163 3646 4117 4589 Urology UR212 Intra Penile Injection 3795 3795 4370 4934 5509 Urology UR213 Intra Vesical BCG/Interferon/Mitomycin 1898 1898 2185 2473 2760 79 Urology UR214 PD Catheter Removal 38214/2020/ESTT-NE_HR 11385 11385 13099 14801 16514 Urology UR215 Penile Biopsy 5693 5693 6555 7406 8257 Urology UR216 Prostatic Massage 1898 1898 2185 2473 2760 Urology UR217 Teaching Of Self Calibration 1150 1150 1323 1495 1668 Urology UR218 UDM EMG 8050 8050 9258 10465 11673 Urology UR219 UDM UPP 3922 3922 4520 5106 5693 Vaccination Department Service Service Name OPD General Twin Single Suite Code Ward Sharing Room Room Vaccination VC001 BCG & OPV & Hepatitis -B ( Energix-B) 1010 1010 1010 1010 1010 Vaccination VC002 Synflorix 2090 2090 2090 2090 2090 Vaccination VC003 Hexaxim 4730 4730 4730 4730 4730 Vaccination VC004 Typbar TCV 2420 2420 2420 2420 2420 Vaccination VC005 Vaxigrip Adult 1300 1300 1300 1300 1300 Vaccination VC006 OPV 60 60 60 60 60 Vaccination VC007 Havrix 1430 1430 1430 1430 1430 Vaccination VC008 Rotarix Gsk 2090 2090 2090 2090 2090 Vaccination VC009 Priorix 990 990 990 990 990 Vaccination VC010 Boostrix 1650 1650 1650 1650 1650 Vaccination VC011 Priorix Tetra 3520 3520 3520 3520 3520 Vaccination VC012 Menectra 5890 5890 5890 5890 5890 Vaccination VC013 Chicken Pox (Varilix) 2250 2250 2250 2250 2250 Vaccination VC014 Rotateq 1650 1650 1650 1650 1650 Vaccination VC015 Genevac B 480 480 480 480 480 Vaccination VC016 Polio Drops 80 80 80 80 80 Vaccination VC017 Cervarix 2860 2860 2860 2860 2860 Vaccination VC018 Quadrovax 940 940 940 940 940 Vaccination VC019 Avaxim 1930 1930 1930 1930 1930 Vaccination VC020 Vaxigrip 1210 1210 1210 1210 1210 Vaccination VC021 Pentavac 1070 1070 1070 1070 1070 Vaccination VC022 Shanvac 500 500 500 500 500 Vaccination VC023 Prevenar 13 4620 4620 4620 4620 4620 Vaccination VC024 Shan 5 1160 1160 1160 1160 1160 Vaccination VC025 BCG 190 190 190 190 190 Vaccination VC026 Havrix Adult 2770 2770 2770 2770 2770 Vaccination VC027 Variped 2040 2040 2040 2040 2040 Vaccination VC028 MMR 720 720 720 720 720 Vaccination VC029 Abhay Rig 5Ml 480 480 480 480 480 Vaccination VC030 Abhayrab (For Doctors) 370 370 370 370 370 Vaccination VC031 Abhayrub 370 370 370 370 370 Vaccination VC032 Havipur 1780 1780 1780 1780 1780 Vaccination VC033 Pentaxim 3360 3360 3360 3360 3360 Vaccination VC034 Zuvi Flu 1300 1300 1300 1300 1300 Patients Needs to Pay Cunsultation + Print Rate on the Vaccination