Pricing Guidelines 15 --16
Fortis Hospitals Ltd Sector 44, Near to HUDA Metro Station Gurgaon, Haryana – 122 002 Tel: 91-124-4962200 Fax 91-124-4962222
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General Rules
Prices subject to change without prior notice Charges levied for IP will be as per prevailing on the day and time of admission All Charges shall very as per Room Category All Signature Floor charges are available on request Base Price is equal to OPD / Day care OPD Charges applicable in Day Care also Emergency Triage / HDU / ICU / LDR charges applicable as per Single Room NICU charges applicable as per Sharing Room Single Room Charges applicable for Single, Executive Rooms Registration Charges Rs 100/- ( One Time ) Admission Charges Rs 1000/- ( Per admission ) Documentation Charges Rs 250/- ( Per admission ) MLC Charges Rs 1500/- CD Charges for all diagnostic procedures/ Investigations Rs 250/- CD Charges for all Cath Lab / procedures Rs 1000/- Package are non-refundable , non-discountable and non-adjustable No separate invoice will be provided for Implants All promotional discounts are applicable only to cash Domestic patients These rates are only applicable to Indian nationals
OPD Charges
One follow up Consultation with 50% discount within 3 days One Follow up OP Consultation free within 15 days for all Surgical Procedure / Packages No Free Follow up consultation in Psychiatry / Psychology
OPD Consultation Charges (Per visit) Asst. Consultant Rs. 400 Consultant Rs. 500 - Rs. 1000 Sr. Consultant Rs. 800 - Rs. 1200 Addl. Director/ Director/ HOD Rs. 1200 - Rs. 3000
OPD Procedure Room Charges
25% of procedure cost LA charges included
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Emergency Triage Chargeability
Emergency Triage charges applicable as per Single Room
Head Hrs. Chargeability
Triage 1 hrs. slots Rs 500 ER Observation room 1 hrs. slots Rs 500
The telephonic consultation with the Senior Consultant shall not be charged from the patient. The consultation charges shall only be charged for the doctor physically present. For the Triage ER, EMO shall have a right to waive off bed charges upto next ½ an hour beyond first hour. In the observation ER, an hourly charge of Rs.500/- shall be charged from the patient. No procedure shall be conducted on the patient in ER in case he does not have a prescription from the Fortis Network doctor. EMO charges Rs 400/- (24X7) Consultations charges double from 8 PM to 8 Am (applicable for Consultant and above ) All procedures / investigations done during 8 PM to 8 Am , emergency charges will be charged extra In case both EMO and Consultant visits the patients ONLY Consultant charges will be chargeable If the patient has come only for the investigations in the ER with a valid prescription from a registered medical practitioner – Normal tariff need to be used , no triage rent to be charged.
IP Chargeability
All Charges shall very as per Room Category
OR Charges / Anesthesia Charges
• Surgery with GA / Other –125% • Surgery with MAC –115% • Surgery with LA – 95% • Surgery with LA & Standby –105%
OR Charges @ 85%
Assistant Surgeon charges @ 30% extra on procedure cost over and above the OT and anesthesia charges
Stand by procedure / charges @ 25% extra on procedure cost over and above the OT and anesthesia charges
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Cath Lab Charges
• Cath Lab charges : 50%
Special Room Charges
Room Category Room Rent Nightingale Ward 3300 Twin Sharing 5500 Single Room 10000 Therapy Room 12 Hrs. 7500 Therapy Room 24 Hrs. 12000 LDR Charges 20000 Signature Deluxe 27000 Intensive Care Tariff HDU A - In ICU 10000 HDU B - In Ward 8000 MICU 12000 ICU – Others 12000 ICU – Isolation 13500 BMT Unit 12000 NICU Level 1 7500 NICU Level 2 5500 NICU Level 3 4000 NICU- Isolation 8500 PICU 12000
General Rules of Room Rent
Charges will be levied based on the bed type under which patient is admitted Bed Charges are inclusive of RMO Charges and diet charges. Billing cycle will start from time of admission and is from 11 am to 11 am. Minimum 1/2 day charge is applicable for any admission. Discharge time is 10.30 am for any particular day For Birth packages Discharge time is 09: 00 am for early morning admissions Any discharges in between 11 Am to 6 Pm ½ day charges extra Any discharges after 6 Pm full day charges applicable 0 – 6 hrs. is considered as ½ day. Above 6 hrs. is considered as full day
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This is not applicable for one day packages and Medical observation less than 24 hrs. Day care charges – 4 hrs. Slot (Max 12 hrs.) Triage – 1 hrs. Slot (Max 12 hrs.) Day care overnight stay charged based on the room category / whichever is higher
IP Consultations
Room Category IP Consultation Nightingale Ward 700 Day Care 700 Twin Sharing 800 Single Room 1200 Therapy Room 800 LDR Charges 1200 Deluxe 2000 Intensive Care Charges HDU A 1200 HDU B 1200 ICU / MICU/BMT Unit 1200 ICU – Isolation 1200 NICU Level 1 800 NICU Level 2 800 NICU Level 3 800 NICU- Isolation 800 PICU 1200
General Rules of Consultations
In a calendar day only 2 visits will be charged per specialty. Emergency Visit Charges will be Charged in between 8 :PM to 8 : Am Intensivist / CC Monitoring charges Rs.1200 per chargeable for ICU patients Emergency charges will be double of normal charges For all admissions after 1 Pm only One Visit will be charged Sunday / Holiday minimum one Visits per day
Nursing Charges
Intensive Care Charges HDU /ICU/PICU/MICU/BMT/NICU/Isolation Rooms 1000
Nursing Charges applicable in all ICU / HDU / BMT Unit category In a calendar day one Nursing charges applicable
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Special Charges
Emergency & High Risk Charges @ 25 % of Surgeon Charges, OT and Anesthesia fees for Both Packages and Non Packages procedures
Emergency / High Risk Charges @ 25 % of Surgeon Charges, OT and Anesthesia fees for Both Packages and Non Packages procedures
All SILS (Single Incision Lap. Surg.) 15% over Normal Lap. Package/ Surgery charges in all room categories except General ward. In General ward 25% of the package / surgeon fee. Maximum charges is Rs 50000/- for unlisted procedures
Any Unlisted lap. Surgery / Package 25% extra over Normal open Package/ Surgery charges
Equipment Charges – per day
Head Charges VENTILATOR CHARGES 5000 BI-PAP MACHINE CHARGES 3000 C-PAP MACHINE CHARGES 3000
Single Sitting Surgery Procedures
Same Doctor, Same Site, Two or more surgeries – Higher Surgery 100%; 50% charge of lower surgery (2nd surgery onwards ) Same Doctor, Different Site, Two/ more Surgeries - 100% charge to both for respective higher surgeries 50% for third highest and there on Different Doctor, Different Surgeries – 100% charge to both for respective higher surgeries and then 50% for third highest and there on
Single Sitting Packages (only for surgical cases)
Same Doctor, Same Site, Two or more Packages– First / main package charge full and charge 50% of lower surgeon / procedure fee (2nd surgery onwards ) and OT , anesthesia charges on actuals Same Doctor, Different Site, Two/ more Packages- First / main package charge full and charge 100% of second surgeon / procedure fee and OT , anesthesia charges on actuals and 50% surgeon fee for third highest and there on
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Different Doctor, Different Packages– First / main package charge full and charge 100% of second surgeon / procedure fee and OT , anesthesia charges on actuals and 50% surgeon fee for third highest and there on
Single Surgery performed by Multiple Surgeons / Doctors charges
For routine Surgery there are no additional extra charges.
For high end complicated surgery up to 100% of procedure cost can be charged additionally with the consent of patient and approval of PD. o In Such cases High risk charges to be charged extra.
Note: In Packages Drugs, Investigations and Medical Consumables charged on actuals or limited to volume of tests or Capped at amount, depending on specialty.
Fortis Hospitals Ltd Sector 44, Near to HUDA Metro Station Gurgaon, Haryana – 122 002 Tel: 91-124-4962200 Fax 91-124-4962222
7 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1 Medical/Surgical Procdedure ANESTHESIOLOGY Intravenous Cannulation ( Bedside - Anesthesia ) 750 800 800 900 1200 2000 2 Medical/Surgical Procdedure ANESTHESIOLOGY Nerve Block ( Diagnostic ) 5200 5500 5500 6300 8300 13800 3 Medical/Surgical Procdedure ANESTHESIOLOGY Sedation ( for Dressing ) 750 800 800 900 1200 2000 4 Medical/Surgical Procdedure ANESTHESIOLOGY Intrathecal Pump Implantation 94300 99000 99000 113900 148500 247500 5 Medical/Surgical Procdedure ANESTHESIOLOGY Labour Anesthesia 7500 7900 7900 9100 11900 19800 6 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia (Stand By) - MRI 1500 1600 1600 1800 2400 4000 7 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia (Stand By) - CT 1000 1100 1100 1300 1700 2800 8 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Charges for IVF 5000 5000 5000 5000 5000 5000 9 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport For Patient Shifting 1000 1100 1100 1300 1700 2800 10 Medical/Surgical Procdedure ANESTHESIOLOGY LGI Endoscopy Sedation ( Anesthesia ) 1200 1300 1300 1500 2000 3300 11 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport - Bronchoscopy (MAC) 1500 1600 1600 1800 2400 4000 12 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport - Radiotherapy 1500 1600 1600 1800 2400 4000 13 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport - Nuclear Medicine 1500 1600 1600 1800 2400 4000 14 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport - ABG Sampling 1500 1600 1600 1800 2400 4000 15 Medical/Surgical Procdedure ANESTHESIOLOGY Lumbar Puncture -Diagnostic ( Anesthesia ) 1750 1800 1800 2100 2700 4500 16 Medical/Surgical Procdedure ANESTHESIOLOGY Lumbar Drain Insertion ( Anesthesia ) 2250 2400 2400 2800 3600 6000 17 Medical/Surgical Procdedure ANESTHESIOLOGY Swan Ganz Line Insertion 3900 4100 4100 4700 6200 10300 18 Medical/Surgical Procdedure ANESTHESIOLOGY Anesthesia Suport - Venous Blood Sampling 750 800 800 900 1200 2000 19 Medical/Surgical Procdedure ANESTHESIOLOGY Tracheal Intubation ( Anesthesia ) 1500 1600 1600 1800 2400 4000 20 Medical/Surgical Procdedure ANESTHESIOLOGY Tracheostomy Decannulation ( Anesthesia ) 1500 1600 1600 1800 2400 4000 21 Medical/Surgical Procdedure ANESTHESIOLOGY Tracheostomy Tube Change ( Anesthesia ) 800 840 840 1000 1300 2100 22 Medical/Surgical Procdedure ANESTHESIOLOGY Bronchoscopy Lung Lavage ( Anesthesia ) 7900 8300 8300 9500 12500 20800 23 Medical/Surgical Procdedure ANESTHESIOLOGY RT Insertion ( Anesthesia) 1000 1100 1100 1300 1700 2800 24 Medical/Surgical Procdedure ANESTHESIOLOGY Hemodialysis Catheter Insertion ( Anesthesia) 3000 3200 3200 3700 4800 8000 25 Medical/Surgical Procdedure ANESTHESIOLOGY Total Intra - Venous Sedation ( Anesthesia) 1500 1600 1600 1800 2400 4000 26 Medical/Surgical Procdedure ANESTHESIOLOGY PCA Pump - Pain Relief ( Anesthesia) 2000 2100 2100 2400 3200 5300 27 Medical/Surgical Procdedure ANESTHESIOLOGY Electroconvulsive Therapy (ECT) ( Anesthesia) 1500 1600 1600 1800 2400 4000 28 Medical/Surgical Procdedure ANESTHESIOLOGY Acupuncture Sitting ( Anesthesia ) 2200 2300 2300 2600 3500 5800 29 Medical/Surgical Procdedure ANESTHESIOLOGY Epidural Analgesia - Maintenance (Per Hour) 3000 3200 3200 3700 4800 8000 30 Medical/Surgical Procdedure ANESTHESIOLOGY Nerve Block - Unilateral ( Anesthesia ) 0 0 0 0 0 0 31 Medical/Surgical Procdedure ANESTHESIOLOGY Nerve Block - Bilateral ( Anesthesia ) 0 0 0 0 0 0 32 Medical/Surgical Procdedure ANESTHESIOLOGY Catheterization (Triple Lumen) 2200 2300 2300 2600 3500 5800 33 Medical/Surgical Procdedure ANESTHESIOLOGY Cardio Pulmonary Resuscitation ( CPR ) 2200 2300 2300 2600 3500 5800 34 Medical/Surgical Procdedure ANESTHESIOLOGY Chemoport Insertion 7500 7900 7900 9100 11900 19800 35 Medical/Surgical Procdedure ANESTHESIOLOGY Tracheostomy ( Percutaneous ) 7500 7900 7900 9100 11900 19800 36 Medical/Surgical Procdedure ANESTHESIOLOGY Arterial Line Cannulation 1750 1800 1800 2100 2700 4500 37 Medical/Surgical Procdedure ANESTHESIOLOGY Minitracheostomy ( Anesthesia ) 990 1000 1000 1200 1500 2500 38 Medical/Surgical Procdedure ANESTHESIOLOGY Sedation for UGI Endoscopy 1000 1100 1100 1300 1700 2800 39 Medical/Surgical Procdedure ANESTHESIOLOGY Sedation for Colonoscopy 1000 1100 1100 1300 1700 2800 40 Medical/Surgical Procdedure ANESTHESIOLOGY Sedation for ERCP 1500 1600 1600 1800 2400 4000 41 Medical/Surgical Procdedure CTVS Sternum Wire Removal ( CTVS ) 3600 4000 0 4600 6000 DENTAL ACRYLIC OBTURATOR (DENTAL REMOVABLE APPLIANCE) 16200 18000 18000 20700 27000 45000 42 Medical/Surgical Procdedure 43 Medical/Surgical Procdedure DENTAL ORAL & MAXILLOFACIAL SURGERY 13500 15000 15000 17300 22500 37500 44 Medical/Surgical Procdedure DENTAL Dental Pit And Fissure Sealants ( Per Tooth ) 880 900 900 1000 1400 2250 45 Medical/Surgical Procdedure DENTAL Oral Cyst Enucleation - Medium 10900 11400 11400 13100 17100 28500 46 Medical/Surgical Procdedure DENTAL Flexible Denture Base 9200 9700 9700 11200 14600 24300 47 Medical/Surgical Procdedure DENTAL Tooth Jewellery 2750 2900 2900 3300 4400 7300 48 Medical/Surgical Procdedure DENTAL Pulpectomy ( Grade 1 ) 3300 3500 3500 4000 5300 8800 49 Medical/Surgical Procdedure DENTAL Pulpectomy ( Grade 2 ) 4400 4600 4600 5300 6900 11500 50 Medical/Surgical Procdedure DENTAL Abscess Drainage ( Dental ) 660 700 700 800 1050 1750 51 Medical/Surgical Procdedure DENTAL Sinus Lift ( Direct ) 38500 40400 40400 46500 60600 101000 52 Medical/Surgical Procdedure DENTAL Composite Filling ( Grade 1 ) 1210 1300 1300 1500 2000 3300 53 Medical/Surgical Procdedure DENTAL Composite Filling ( Grade 2 ) 1540 1600 1600 1800 2400 4000 54 Medical/Surgical Procdedure DENTAL Crown Implant - Grade 1 8800 9200 9200 10600 13800 23000 55 Medical/Surgical Procdedure DENTAL Enameloplasty 660 700 700 800 1050 1750 56 Medical/Surgical Procdedure DENTAL Bone Graft - Major ( Grade 1 ) 11000 11600 11600 13300 17400 29000 57 Medical/Surgical Procdedure DENTAL Bone Graft - Major ( Grade 2 ) 16500 17300 17300 19900 26000 43300 58 Medical/Surgical Procdedure DENTAL Intraoral Periapical ( IOPA ) X-ray - RVG 330 350 350 400 530 880 59 Medical/Surgical Procdedure DENTAL Operculectomy ( Per Tooth ) 2750 2900 2900 3300 4400 7300 60 Medical/Surgical Procdedure DENTAL Composite Veneer 3900 4100 4100 4700 6200 10300 61 Medical/Surgical Procdedure DENTAL Study Models 660 700 700 800 1050 1750 62 Medical/Surgical Procdedure DENTAL Dental Implant - Grade 1 42400 44500 44500 51200 66800 111300 63 Medical/Surgical Procdedure DENTAL Dental Implant - Grade 2 49500 52000 52000 59800 78000 130000 64 Medical/Surgical Procdedure DENTAL Dental Implant - Grade 3 55000 57800 57800 66500 86700 144500 65 Medical/Surgical Procdedure DENTAL Flap Surgery - Grade 3 7700 8100 8100 9300 12200 20300 66 Medical/Surgical Procdedure DENTAL Flap Surgery - Grade 4 8800 9200 9200 10600 13800 23000 67 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft GTR - Grade 1 13200 13900 13900 16000 20900 34800 68 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft GTR - Grade 2 16500 17300 17300 19900 26000 43300 69 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft - Grade 1 8500 8900 8900 10200 13400 22300 70 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft - Grade 2 9700 10200 10200 11700 15300 25500 71 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft - Grade 3 10900 11400 11400 13100 17100 28500 72 Medical/Surgical Procdedure DENTAL Gingival Curettage 1100 1200 1200 1400 1800 3000 73 Medical/Surgical Procdedure DENTAL Mucogingival Surgery ( Per Tooth ) - Grade 1 2750 2900 2900 3300 4400 7300 74 Medical/Surgical Procdedure DENTAL Mucogingival Surgery ( Per Tooth ) - Grade 2 11000 11600 11600 13300 17400 29000 75 Medical/Surgical Procdedure DENTAL Mucogingival Surgery ( Per Tooth ) - Grade 3 13200 13900 13900 16000 20900 34800 1650 1700 1700 2000 2600 4300 76 Medical/Surgical Procdedure DENTAL Subgingival Scaling & Root Planing - Grade 1 ( Per Quadrant ) 1980 2100 2100 2400 3200 5300 77 Medical/Surgical Procdedure DENTAL Subgingival Scaling & Root Planing - Grade 2 ( Per Quadrant ) 78 Medical/Surgical Procdedure DENTAL Chemical Cauterization ( Per Sitting ) 550 600 600 700 900 1500 79 Medical/Surgical Procdedure DENTAL Esthetic Recontouring ( Per Tooth ) 550 600 600 700 900 1500 80 Medical/Surgical Procdedure DENTAL Fluoride Varnish Application ( Per Visit ) 2200 2300 2300 2600 3500 5800 81 Medical/Surgical Procdedure DENTAL Local Anesthesia Block ( Diagnostic ) 440 460 460 530 690 1150 82 Medical/Surgical Procdedure DENTAL Polishing 770 800 800 900 1200 2000 83 Medical/Surgical Procdedure DENTAL Pulp Capping ( Dycal ) 660 700 700 800 1050 1750 84 Medical/Surgical Procdedure DENTAL Ceramic Inlays 5500 5800 5800 6700 8700 14500 85 Medical/Surgical Procdedure DENTAL Composite Filling - Extensive 3900 4100 4100 4700 6200 10300 86 Medical/Surgical Procdedure DENTAL Composite Filling - Grade 3 1870 2000 2000 2300 3000 5000 87 Medical/Surgical Procdedure DENTAL Composite Inlay - Direct 4400 4600 4600 5300 6900 11500 88 Medical/Surgical Procdedure DENTAL Core Build Up 1100 1200 1200 1400 1800 3000 89 Medical/Surgical Procdedure DENTAL Desensitivity Treatment 880 900 900 1000 1400 2250 90 Medical/Surgical Procdedure DENTAL Fibre Post Restoration 3300 3500 3500 4000 5300 8800 91 Medical/Surgical Procdedure DENTAL GI Filling ( Light Cure ) 1100 1200 1200 1400 1800 3000 92 Medical/Surgical Procdedure DENTAL IRM Filling 550 600 600 700 900 1500 93 Medical/Surgical Procdedure DENTAL Bridge Refixing 880 900 900 1000 1400 2250 94 Medical/Surgical Procdedure DENTAL Crown Refixing 770 800 800 900 1200 2000 95 Medical/Surgical Procdedure DENTAL Silver Amalgam Restoration - Grade 1 880 900 900 1000 1400 2250 96 Medical/Surgical Procdedure DENTAL Silver Amalgam Restoration - Grade 2 1100 1200 1200 1400 1800 3000 97 Medical/Surgical Procdedure DENTAL Silver Amalgam Restoration - Grade 3 1650 1700 1700 2000 2600 4300 98 Medical/Surgical Procdedure DENTAL Silver Amalgam Restoration ( MOD ) 2420 2500 2500 2900 3800 6300 99 Medical/Surgical Procdedure DENTAL Alveolectomy - Grade 1 3080 3200 3200 3700 4800 8000 100 Medical/Surgical Procdedure DENTAL Alveolectomy - Grade 2 4300 4500 4500 5200 6800 11300 101 Medical/Surgical Procdedure DENTAL Alveoloplasty - Grade 1 3080 3200 3200 3700 4800 8000 102 Medical/Surgical Procdedure DENTAL Alveoloplasty - Grade 2 4300 4500 4500 5200 6800 11300 103 Medical/Surgical Procdedure DENTAL Apexification ( Per Visit ) 550 600 600 700 900 1500 104 Medical/Surgical Procdedure DENTAL Apexogenesis ( Per Visit ) 550 600 600 700 900 1500 105 Medical/Surgical Procdedure DENTAL Oral Biopsy ( Large ) 7300 7700 7700 8900 11600 19300 106 Medical/Surgical Procdedure DENTAL Oral Biopsy ( Medium ) 4900 5100 5100 5900 7700 12800 107 Medical/Surgical Procdedure DENTAL Oral Biopsy ( Small ) 3080 3200 3200 3700 4800 8000 108 Medical/Surgical Procdedure DENTAL Canine Exposure ( Buccal ) 5500 5800 5800 6700 8700 14500 109 Medical/Surgical Procdedure DENTAL Canine Exposure ( Palatal ) 8800 9200 9200 10600 13800 23000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 110 Medical/Surgical Procdedure DENTAL Oraoantral Fistula ( OAF ) Closure - Grade 1 6100 6400 6400 7400 9600 16000 111 Medical/Surgical Procdedure DENTAL Oraoantral Fistula ( OAF ) Closure - Grade 2 8800 9200 9200 10600 13800 23000 112 Medical/Surgical Procdedure DENTAL Cryotherapy ( Oral ) 16500 17300 17300 19900 26000 43300 113 Medical/Surgical Procdedure DENTAL Cyst Marsupialization - Grade1 13200 13900 13900 16000 20900 34800 114 Medical/Surgical Procdedure DENTAL Cyst Marsupialization - Grade2 16500 17300 17300 19900 26000 43300 115 Medical/Surgical Procdedure DENTAL Dental Suturing - Grade 1 660 700 700 800 1050 1750 116 Medical/Surgical Procdedure DENTAL Dental Suturing - Grade 2 1210 1300 1300 1500 2000 3300 117 Medical/Surgical Procdedure DENTAL Dental Suturing - Grade 3 1870 2000 2000 2300 3000 5000 118 Medical/Surgical Procdedure DENTAL Intraoral Abscess Drainage - Grade 1 2750 2900 2900 3300 4400 7300 119 Medical/Surgical Procdedure DENTAL Intraoral Abscess Drainage - Grade 2 4400 4600 4600 5300 6900 11500 120 Medical/Surgical Procdedure DENTAL Frenectomy - Major 5500 5800 5800 6700 8700 14500 121 Medical/Surgical Procdedure DENTAL Frenectomy - Minor 2750 2900 2900 3300 4400 7300 122 Medical/Surgical Procdedure DENTAL Inter Maxillary Fixation ( IMF ) 19800 20800 20800 23900 31200 52000 123 Medical/Surgical Procdedure DENTAL Nerve Avulsion 16500 17300 17300 19900 26000 43300 124 Medical/Surgical Procdedure DENTAL Socket Curettage 1100 1200 1200 1400 1800 3000 125 Medical/Surgical Procdedure DENTAL Laceration Suturing ( Oral ) 2420 2500 2500 2900 3800 6300 126 Medical/Surgical Procdedure DENTAL Decayed Root Removal 2420 2500 2500 2900 3800 6300 127 Medical/Surgical Procdedure DENTAL Mobile Tooth Removal 770 800 800 900 1200 2000 128 Medical/Surgical Procdedure DENTAL Root Removal ( Maxillary Sinus ) 11000 11600 11600 13300 17400 29000 129 Medical/Surgical Procdedure DENTAL Decayed / Over Retained Deciduous Tooth Extraction - 1 990 1000 1000 1200 1500 2500 130 Medical/Surgical Procdedure DENTAL Decayed / Over Retained Deciduous Tooth Extraction - 2 1100 1200 1200 1400 1800 3000 131 Medical/Surgical Procdedure DENTAL Decayed / Over Retained Deciduous Tooth Extraction - 3 1650 1700 1700 2000 2600 4300 132 Medical/Surgical Procdedure DENTAL Office Bleach - Grade 1 12100 12700 12700 14600 19100 31800 133 Medical/Surgical Procdedure DENTAL Office Bleach - Grade 2 16500 17300 17300 19900 26000 43300 134 Medical/Surgical Procdedure DENTAL Walking Bleach 2750 2900 2900 3300 4400 7300 135 Medical/Surgical Procdedure DENTAL Zoom Bleach 19800 20800 20800 23900 31200 52000 136 Medical/Surgical Procdedure DENTAL Zoom Bleach Follow Up 5500 5800 5800 6700 8700 14500 137 Medical/Surgical Procdedure DENTAL Mouthguard 3300 3500 3500 4000 5300 8800 138 Medical/Surgical Procdedure DENTAL Removable Appliance Therapy - Oral Screen 3300 3500 3500 4000 5300 8800 139 Medical/Surgical Procdedure DENTAL Removable Appliance Therapy - Pediatric Obturator 5500 5800 5800 6700 8700 14500 140 Medical/Surgical Procdedure DENTAL Removable Appliance Therapy Retainer - Grade 1 6100 6400 6400 7400 9600 16000 141 Medical/Surgical Procdedure DENTAL Retainer Remaking - Grade 1 1650 1700 1700 2000 2600 4300 142 Medical/Surgical Procdedure DENTAL Retainer Remaking - Grade 2 2420 2500 2500 2900 3800 6300 143 Medical/Surgical Procdedure DENTAL Removable Orthodontic Appliance - Simple 6100 6400 6400 7400 9600 16000 144 Medical/Surgical Procdedure DENTAL Thumb sucking Removable Appliance Therapy - Grade 1 7200 7600 7600 8700 11400 19000 145 Medical/Surgical Procdedure DENTAL Thumb sucking Removable Appliance Therapy - Grade 2 8300 8700 8700 10000 13100 21800 146 Medical/Surgical Procdedure DENTAL Trainer Therapy 11000 11600 11600 13300 17400 29000 147 Medical/Surgical Procdedure DENTAL Z-Spring Appliance Therapy 6600 6900 6900 7900 10400 17300 148 Medical/Surgical Procdedure DENTAL Initial Pulp Therapy ( VPT ) 1870 2000 2000 2300 3000 5000 149 Medical/Surgical Procdedure DENTAL RCT ( Single Anterior ) 4400 4600 4600 5300 6900 11500 150 Medical/Surgical Procdedure DENTAL Root Canal Perforation Repair 2420 2500 2500 2900 3800 6300 151 Medical/Surgical Procdedure DENTAL Incognito Fixed Appliance Therapy 165000 173300 173300 199300 260000 433300 152 Medical/Surgical Procdedure DENTAL Incognito Fixed Appliance Therapy - Installment 1 55000 57800 57800 66500 86700 144500 153 Medical/Surgical Procdedure DENTAL Incognito Fixed Appliance Therapy - Installment 2 55000 57800 57800 66500 86700 144500 154 Medical/Surgical Procdedure DENTAL Incognito Fixed Appliance Therapy - Installment 3 55000 57800 57800 66500 86700 144500 155 Medical/Surgical Procdedure DENTAL Lingual Treatment - Grade 3 137500 144400 144400 166100 216600 361000 156 Medical/Surgical Procdedure DENTAL Self Ligating Metal Brackets - First Installment 27500 28900 28900 33200 43400 72300 157 Medical/Surgical Procdedure DENTAL Self Ligating Metal Brackets - Second Installment 22000 23100 23100 26600 34700 57800 158 Medical/Surgical Procdedure DENTAL Self Ligating Metal Brackets - Third Installment 11000 11600 11600 13300 17400 29000 159 Medical/Surgical Procdedure DENTAL Stainless Steel ( SS ) Braces Treatment 38500 40400 40400 46500 60600 101000 DENTAL Stainless Steel ( SS ) Braces Treatment - Balance 4 Installment 5500 5800 5800 6700 8700 14500 160 Medical/Surgical Procdedure DENTAL Stainless Steel ( SS ) Braces Treatment - Initial Installment 16500 17300 17300 19900 26000 43300 161 Medical/Surgical Procdedure 162 Medical/Surgical Procdedure DENTAL Band and Loop Space Maintainer 3900 4100 4100 4700 6200 10300 163 Medical/Surgical Procdedure DENTAL Crown and Loop Space Maintainer 4400 4600 4600 5300 6900 11500 164 Medical/Surgical Procdedure DENTAL Cast Partial Denture - Grade 1 12100 12700 12700 14600 19100 31800 165 Medical/Surgical Procdedure DENTAL Cast Partial Denture - Grade 2 16500 17300 17300 19900 26000 43300 166 Medical/Surgical Procdedure DENTAL Ceramic Bridge ( Per Unit ) - Grade 1 4300 4500 4500 5200 6800 11300 167 Medical/Surgical Procdedure DENTAL Ceramic Bridge ( Per Unit ) - Grade 2 4900 5100 5100 5900 7700 12800 168 Medical/Surgical Procdedure DENTAL Complete Denture - Grade 1 19800 20800 20800 23900 31200 52000 169 Medical/Surgical Procdedure DENTAL Complete Denture - Grade 2 33000 34700 34700 39900 52100 86800 170 Medical/Surgical Procdedure DENTAL Crown Removal - Per Tooth 1210 1300 1300 1500 2000 3300 171 Medical/Surgical Procdedure DENTAL Feeding Appliance - Cleft Palate 5500 5800 5800 6700 8700 14500 172 Medical/Surgical Procdedure DENTAL Flexible Resin System - Grade 1 12100 12700 12700 14600 19100 31800 173 Medical/Surgical Procdedure DENTAL Flexible Resin System - Grade 2 16500 17300 17300 19900 26000 43300 174 Medical/Surgical Procdedure DENTAL Flexible Resin System - Grade 3 19800 20800 20800 23900 31200 52000 175 Medical/Surgical Procdedure DENTAL Lumineers Veneers 22000 23100 23100 26600 34700 57800 176 Medical/Surgical Procdedure DENTAL Metal Bridge - Per Unit 3300 3500 3500 4000 5300 8800 177 Medical/Surgical Procdedure DENTAL Porcelain Veneer 11000 11600 11600 13300 17400 29000 178 Medical/Surgical Procdedure DENTAL Semi Precious Crown with Ceramics 8800 9200 9200 10600 13800 23000 179 Medical/Surgical Procdedure DENTAL Complete Denture - Single 8800 9200 9200 10600 13800 23000 180 Medical/Surgical Procdedure DENTAL Smile Design - Lower Arch 16500 17300 17300 19900 26000 43300 181 Medical/Surgical Procdedure DENTAL Smile Design - Upper Arch 16500 17300 17300 19900 26000 43300 182 Medical/Surgical Procdedure DENTAL Stainless Steel Crown 2750 2900 2900 3300 4400 7300 183 Medical/Surgical Procdedure DENTAL Denture Relining / Rebasing ( Grade 3 ) 4400 4600 4600 5300 6900 11500 184 Medical/Surgical Procdedure DENTAL Fractured Denture Repair - Grade 1 660 700 700 800 1050 1750 185 Medical/Surgical Procdedure DENTAL Fractured Denture Repair - Grade 2 1100 1200 1200 1400 1800 3000 186 Medical/Surgical Procdedure DENTAL Removable Partial Denture ( RPD ) Single Tooth - Type 1 990 1000 1000 1200 1500 2500 187 Medical/Surgical Procdedure DENTAL Removable Partial Denture ( RPD ) Single Tooth - Type 2 1650 1700 1700 2000 2600 4300 188 Medical/Surgical Procdedure DENTAL Root Canal Treatment ( RCT ) - Retreatment 8800 9200 9200 10600 13800 23000 189 Medical/Surgical Procdedure DENTAL Habit Breaking Appliance - 2 3900 4100 4100 4700 6200 10300 190 Medical/Surgical Procdedure DENTAL Habit Breaking Appliance - 1 5500 5800 5800 6700 8700 14500 191 Medical/Surgical Procdedure DENTAL Invisible Braces - Both Arch 165000 173300 173300 199300 260000 433300 192 Medical/Surgical Procdedure DENTAL Metal Braces ( Initial Installment) (Grade 2 ) 27500 28900 28900 33200 43400 72300 193 Medical/Surgical Procdedure DENTAL Ceramic Braces ( Grade 1 - Full Amount ) 60500 63500 63500 73000 95300 158800 194 Medical/Surgical Procdedure DENTAL Ceramic Braces ( Grade 2 - Full Amount ) 66000 69300 69300 79700 104000 173300 195 Medical/Surgical Procdedure DENTAL Ceramic Braces ( Initial Installment ) ( Grade 1 ) 27500 28900 28900 33200 43400 72300 196 Medical/Surgical Procdedure DENTAL Ceramic Braces ( Initial Installment ) ( Grade 2 ) 33000 34700 34700 39900 52100 86800 197 Medical/Surgical Procdedure DENTAL Ceramic Braces ( Balance Installment ) ( 6 Installments ) 5500 5800 5800 6700 8700 14500 198 Medical/Surgical Procdedure DENTAL Self Ligating - Metal Braces ( Full Amount ) 71500 75100 75100 86400 112700 187800 199 Medical/Surgical Procdedure DENTAL Self Ligating - Metal Braces - Initial Installment 33000 34700 34700 39900 52100 86800 Self Ligating - Metal Braces - Balance Installment ( 6 DENTAL 5500 5800 5800 6700 8700 14500 200 Medical/Surgical Procdedure Installments ) 201 Medical/Surgical Procdedure DENTAL Self Ligating - Ceramic Braces ( Grade 1 ) 77000 80900 80900 93000 121400 202300 202 Medical/Surgical Procdedure DENTAL Self Ligating - Ceramic Braces - Initial Installment 38500 40400 40400 46500 60600 101000 203 Medical/Surgical Procdedure DENTAL Functional Appliances ( Twin Block ) - Removable 11000 11600 11600 13300 17400 29000 204 Medical/Surgical Procdedure DENTAL Functional Appliances ( Twin Block ) - Fixed 16500 17300 17300 19900 26000 43300 205 Medical/Surgical Procdedure DENTAL Retainer ( Clear ) 6600 6900 6900 7900 10400 17300 206 Medical/Surgical Procdedure DENTAL Retainer - Remaking 2750 2900 2900 3300 4400 7300 207 Medical/Surgical Procdedure DENTAL Lingual Braces - Single Arch ( Full Payment ) 99000 104000 104000 119600 156000 260000 208 Medical/Surgical Procdedure DENTAL Lingual Braces - Single Arch ( Initial Installment ) 49500 52000 52000 59800 78000 130000 209 Medical/Surgical Procdedure DENTAL Lingual Braces - Double Arch ( Full Payment ) 143000 150200 150200 172700 225300 375500 210 Medical/Surgical Procdedure DENTAL Lingual Braces - Double Arch ( Initial Installment ) 71500 75100 75100 86400 112700 187800 211 Medical/Surgical Procdedure DENTAL Fixed Functional Appliance 16500 17300 17300 19900 26000 43300 212 Medical/Surgical Procdedure DENTAL Clear Aligner Therapy - Single Arch 110000 115500 115500 132800 173300 288800 213 Medical/Surgical Procdedure DENTAL Clear Aligner Therapy - Double Arch 165000 173300 173300 199300 260000 433300 214 Medical/Surgical Procdedure DENTAL Pedo Crown 2750 2900 2900 3300 4400 7300 215 Medical/Surgical Procdedure DENTAL Gingival Curettage - Full Mouth 11000 11600 11600 13300 17400 29000 216 Medical/Surgical Procdedure DENTAL Gingival Curettage - Per Tooth 1100 1200 1200 1400 1800 3000 217 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft Gtr - Minor ( Per Quadrant ) 15400 16200 16200 18600 24300 40500 218 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft Gtr - Major ( Per Quadrant ) 17600 18500 18500 21300 27800 46300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 219 Medical/Surgical Procdedure DENTAL Flap Surgery - Minor ( Per Quadrant ) 7700 8100 8100 9300 12200 20300 220 Medical/Surgical Procdedure DENTAL Flap Surgery - Major ( Per Quadrant ) 8800 9200 9200 10600 13800 23000 221 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft - Minor ( Per Quadrant ) 11000 11600 11600 13300 17400 29000 222 Medical/Surgical Procdedure DENTAL Flap Surgery + Bone Graft - Major ( Per Quadrant ) 13200 13900 13900 16000 20900 34800 223 Medical/Surgical Procdedure DENTAL Metal Braces ( Grade 1 - Full Amount ) 44000 46200 46200 53100 69300 115500 224 Medical/Surgical Procdedure DENTAL Metal Braces ( Initial Installment ) ( Grade 1 ) 22000 23100 23100 26600 34700 57800 225 Medical/Surgical Procdedure DENTAL Braces ( Balance Installment ) 5500 5800 5800 6700 8700 14500 226 Medical/Surgical Procdedure DENTAL Dental Implant - Grade 2 ( Part I ) 33000 34700 34700 39900 52100 86800 227 Medical/Surgical Procdedure DENTAL Dental Implant - Grade 2 ( Part 2 ) 16500 17300 17300 19900 26000 43300 228 Medical/Surgical Procdedure DENTAL Mouth Guard - Grade 2 4400 4600 4600 5300 6900 11500 229 Medical/Surgical Procdedure DENTAL Mouth Guard - Grade 3 5500 5800 5800 6700 8700 14500 230 Medical/Surgical Procdedure DENTAL THINEERS / TOOTH FOR DENTAL SCIENCES 22000 23100 23100 26600 34700 57800 231 Medical/Surgical Procdedure DENTAL Clear Aligner ( Extraction Indicated & Complicated Case ) 175000 192500 192500 227500 280000 481250 232 Medical/Surgical Procdedure DENTAL Dental Implant - Mini Ortho (4-6) 40500 45000 45000 51750 67500 112500 233 Medical/Surgical Procdedure DENTAL Dental Implant - Active 54000 60000 60000 69000 90000 150000 234 Medical/Surgical Procdedure DENTAL Dental Implant - Tooth/ Abutment 7200 8000 8000 9200 12000 20000 235 Medical/Surgical Procdedure DENTAL Gum Curettage ( Per Tooth ) 660 700 700 800 1050 1750 236 Medical/Surgical Procdedure DENTAL Impacted Tooth Surgical Extraction ( Grade 1 ) - Per Tooth 6600 6900 6900 7900 10400 17300 237 Medical/Surgical Procdedure DENTAL Impacted Tooth Surgical Extraction ( Grade 2 ) - Per Tooth 8800 9200 9200 10600 13800 23000 238 Medical/Surgical Procdedure DENTAL Sinus Lift ( Indirect ) 11000 11600 11600 13300 17400 29000 239 Medical/Surgical Procdedure DENTAL Lateral Cephalograph 440 460 460 530 690 1150 240 Medical/Surgical Procdedure DENTAL Night Guard Appliance ( Dental ) 2750 2900 2900 3300 4400 7300 241 Medical/Surgical Procdedure DENTAL Orthopantamogram ( OPG ) 440 460 460 530 690 1150 242 Medical/Surgical Procdedure DENTAL Bone Graft 11000 11600 11600 13300 17400 29000 243 Medical/Surgical Procdedure DENTAL Crown ( Porcelain ) 6100 6400 6400 7400 9600 16000 244 Medical/Surgical Procdedure DENTAL Pulpotomy 2750 2900 2900 3300 4400 7300 245 Medical/Surgical Procdedure DENTAL Removable Partial Denture ( Every Additional Tooth ) 550 600 600 700 900 1500 246 Medical/Surgical Procdedure DENTAL Root Canal Treatment ( RCT ) 5500 5800 5800 6700 8700 14500 247 Medical/Surgical Procdedure DENTAL Root Canal Treatment ( RCT ) - Anterior teeth 3700 3900 3900 4500 5900 9800 248 Medical/Surgical Procdedure DENTAL Root Canal Treatment ( RCT ) Posterior Teeth 4900 5100 5100 5900 7700 12800 249 Medical/Surgical Procdedure DENTAL Scaling ( Grade 1 ) 1320 1400 1400 1600 2100 3500 250 Medical/Surgical Procdedure DENTAL Space Maintainers ( Removable ) 2420 2500 2500 2900 3800 6300 251 Medical/Surgical Procdedure DENTAL Tooth Surgical Extraction ( Grade 2 ) 4400 4600 4600 5300 6900 11500 252 Medical/Surgical Procdedure DENTAL Temporary Crown ( Per Crown ) 1100 1200 1200 1400 1800 3000 253 Medical/Surgical Procdedure DENTAL Temporary Filling ( Per Tooth ) 550 600 600 700 900 1500 254 Medical/Surgical Procdedure DENTAL Tooth Extraction ( Grade 2 ) 1210 1300 1300 1500 2000 3300 255 Medical/Surgical Procdedure DENTAL Dental X-ray Bitewing 440 460 460 530 690 1150 256 Medical/Surgical Procdedure DENTAL Dental X-ray - Intraoral Periapical ( IOPA ) 330 350 350 400 530 880 257 Medical/Surgical Procdedure DENTAL Post and Core ( Dental ) 3080 3200 3200 3700 4800 8000 258 Medical/Surgical Procdedure DENTAL Splinting Teeth ( Grade 2 ) 3300 3500 3500 4000 5300 8800 259 Medical/Surgical Procdedure DENTAL Splinting Teeth ( Grade 1 ) 2750 2900 2900 3300 4400 7300 260 Medical/Surgical Procdedure DENTAL Flap Surgery ( Grade 1 ) 5500 5800 5800 6700 8700 14500 261 Medical/Surgical Procdedure DENTAL Flap Surgery ( Grade 2 ) 6600 6900 6900 7900 10400 17300 262 Medical/Surgical Procdedure DENTAL Frenotomy 3900 4100 4100 4700 6200 10300 263 Medical/Surgical Procdedure DENTAL Denture Relining / Rebasing ( Grade 2 ) 2750 2900 2900 3300 4400 7300 264 Medical/Surgical Procdedure DENTAL Temporomandibular Joint ( TMJ ) Lavage 6500 7150 7150 8223 10725 17875 265 Medical/Surgical Procdedure DENTAL Temporomandibular joint ( TMJ ) Arthrocentesis 22000 23100 23100 26600 34700 57800 266 Medical/Surgical Procdedure DENTAL Oral Cyst Enucleation ( Large ) 14600 15300 15300 17600 23000 38300 267 Medical/Surgical Procdedure DENTAL Oral Cyst Enucleation ( Small ) 9200 9700 9700 11200 14600 24300 268 Medical/Surgical Procdedure DENTAL Crown All Ceramic Metal Free ( Grade 1 ) 13200 13900 13900 16000 20900 34800 269 Medical/Surgical Procdedure DENTAL Crown All Ceramic Metal Free( Grade 2 ) 16500 17300 17300 19900 26000 43300 270 Medical/Surgical Procdedure DENTAL Tooth Extraction ( Grade 1 ) 880 900 900 1000 1400 2250 271 Medical/Surgical Procdedure DENTAL Glass Ionomer Filling ( Grade 1 ) 1100 1200 1200 1400 1800 3000 272 Medical/Surgical Procdedure DENTAL Glass Ionomer Filling ( Grade 2 ) 1650 1700 1700 2000 2600 4300 273 Medical/Surgical Procdedure DENTAL Scaling ( Grade 3 ) 2420 2500 2500 2900 3800 6300 274 Medical/Surgical Procdedure DENTAL Scaling ( Grade 4 ) 3900 4100 4100 4700 6200 10300 275 Medical/Surgical Procdedure DENTAL Suture Removal 550 600 600 700 900 1500 276 Medical/Surgical Procdedure DENTAL Apicoectomy ( Grade 1 ) 5500 5800 5800 6700 8700 14500 277 Medical/Surgical Procdedure DENTAL Apicoectomy ( Grade 2 ) 11000 11600 11600 13300 17400 29000 278 Medical/Surgical Procdedure DENTAL Denture Relining / Rebasing ( Grade 1 ) 1540 1600 1600 1800 2400 4000 279 Medical/Surgical Procdedure DENTAL Avulsed / Extruded Tooth Reimplantation 5500 5800 5800 6700 8700 14500 280 Medical/Surgical Procdedure DENTAL Composite Filling 880 900 900 1000 1400 2250 281 Medical/Surgical Procdedure DENTAL Gingivectomy - Per Tooth 1650 1700 1700 2000 2600 4300 282 Medical/Surgical Procdedure DENTAL Composite Filling ( Class 5 ) 990 1000 1000 1200 1500 2500 283 Medical/Surgical Procdedure DENTAL Scaling ( Grade 2 ) 1650 1700 1700 2000 2600 4300 284 Medical/Surgical Procdedure DENTAL Crown Lengthening ( Per Tooth ) 2750 2900 2900 3300 4400 7300 285 Medical/Surgical Procdedure DENTAL Crown ( Metal ) 3700 3900 3900 4500 5900 9800 286 Medical/Surgical Procdedure DENTAL Apexification 5500 5800 5800 6700 8700 14500 287 Medical/Surgical Procdedure DENTAL Apexogenesis 7700 8100 8100 9300 12200 20300 288 Medical/Surgical Procdedure DENTAL Flap Surgery - Full Mouth 33000 34700 34700 39900 52100 86800 289 Medical/Surgical Procdedure DENTAL Tooth Surgical Extraction ( Grade 1 ) 3300 3500 3500 4000 5300 8800 290 Medical/Surgical Procdedure DENTAL Habit Breaking Appliance 11000 11600 11600 13300 17400 29000 291 Medical/Surgical Procdedure DENTAL Removable Appliance - Screw Appliances ( Grade 2 ) 9700 10200 10200 11700 15300 25500 292 Medical/Surgical Procdedure DENTAL Removable Appliance - Screw Appliances ( Grade 3 ) 13800 14500 14500 16700 21800 36300 293 Medical/Surgical Procdedure DENTAL Tooth Surgical Extraction ( Grade 3 ) 5500 5800 5800 6700 8700 14500 294 Medical/Surgical Procdedure DENTAL Vestibuloplasty - Per Jaw 8800 9200 9200 10600 13800 23000 295 Medical/Surgical Procdedure DENTAL Bite Plate 4400 4600 4600 5300 6900 11500 296 Medical/Surgical Procdedure DENTAL Extraoral Abscess Incision And Drainage 7700 8100 8100 9300 12200 20300 297 Medical/Surgical Procdedure DENTAL Broken Tooth Extraction 1870 2000 2000 2300 3000 5000 298 Medical/Surgical Procdedure DERMATOLOGY Milia Extraction 1st 5 lesions 990 1000 1000 1200 1500 2500 DERMATOLOGY Molluscum Contagiosum Removal Every Subsequent Lesion 200 200 200 200 300 500 299 Medical/Surgical Procdedure 300 Medical/Surgical Procdedure DERMATOLOGY Skin Biopsy ( Derma ) 3300 3500 3500 4000 5300 8800 301 Medical/Surgical Procdedure DERMATOLOGY Epilation 550 600 600 700 900 1500 302 Medical/Surgical Procdedure DERMATOLOGY Micro Dermabrasion Per Session 3300 3500 3500 4000 5300 8800 303 Medical/Surgical Procdedure DERMATOLOGY Milia Extraction Every Subsequent Lesion 200 200 200 200 300 500 304 Medical/Surgical Procdedure DERMATOLOGY Chemical Peel ( Per Session ) 1980 2100 2100 2400 3200 5300 305 Medical/Surgical Procdedure DERMATOLOGY Removal of Big lesion 2750 2900 2900 3300 4400 7300 306 Medical/Surgical Procdedure DERMATOLOGY Lesion Removal - Small 990 1000 1000 1200 1500 2500 307 Medical/Surgical Procdedure DERMATOLOGY Melanocyte Cell Transplant ( 1-50 Cm2 ) 20800 21800 21800 25100 32700 54500 308 Medical/Surgical Procdedure DERMATOLOGY Melanocyte Cell Transplant ( 100-150 Cm2 ) 44300 46500 46500 53500 69800 116300 309 Medical/Surgical Procdedure DERMATOLOGY Melanocyte Cell Transplant ( 50-75 Cm2 ) 28800 30200 30200 34700 45300 75500 310 Medical/Surgical Procdedure DERMATOLOGY Melanocyte Cell Transplant ( 75-100 Cm2 ) 31300 32900 32900 37800 49400 82300 311 Medical/Surgical Procdedure DERMATOLOGY Melanocyte Cell Transplant - Mucosal and Sensitive Sites 31300 32900 32900 37800 49400 82300 312 Medical/Surgical Procdedure DERMATOLOGY Botox ( Hiperhidrosis ) 280 290 290 330 440 730 313 Medical/Surgical Procdedure DERMATOLOGY Cautery Hyfercation 2750 2900 2900 3300 4400 7300 314 Medical/Surgical Procdedure DERMATOLOGY Warts Radiofrequency Ablation 3300 3500 3500 4000 5300 8800 DERMATOLOGY Cyst / Mole / Lipoma / Other Benign Tumours Exision - Small 5800 6100 6100 7000 9200 15300 315 Medical/Surgical Procdedure DERMATOLOGY Cyst / Mole / Lipoma / Other Benign Tumours Exision - Large 9200 9700 9700 11200 14600 24300 316 Medical/Surgical Procdedure 317 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) - 5 Lesions 1650 1700 1700 2000 2600 4300 318 Medical/Surgical Procdedure DERMATOLOGY Rediofrequency Ablation (RF) - ( 6 - 10 ) Lesions 3300 3500 3500 4000 5300 8800 319 Medical/Surgical Procdedure DERMATOLOGY Plantar & Palmar Warts / Corns Excision - Per Lesion 1650 1700 1700 2000 2600 4300 320 Medical/Surgical Procdedure DERMATOLOGY Plantar & Palmar Warts / Corns Excision - 2 Lesion 2750 2900 2900 3300 4400 7300 321 Medical/Surgical Procdedure DERMATOLOGY Plantar & Palmar Warts / Corns Excision - 3 - 5 Lesion 5500 5800 5800 6700 8700 14500 322 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) - Mole 1650 1700 1700 2000 2600 4300 323 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) - Mole Upto 5 5500 5800 5800 6700 8700 14500 324 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) - Xanthelesma 2200 2300 2300 2600 3500 5800 325 Medical/Surgical Procdedure DERMATOLOGY Chemical Cautery ( Genital Warts ) - Per Session 1100 1200 1200 1400 1800 3000 326 Medical/Surgical Procdedure DERMATOLOGY Chemical Cautery ( Xanthelesma ) - Per Session 2200 2300 2300 2600 3500 5800 327 Medical/Surgical Procdedure DERMATOLOGY Dermarollers Treatment 4400 4600 4600 5300 6900 11500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 328 Medical/Surgical Procdedure DERMATOLOGY Nail Avulsion Phenolization 5500 5800 5800 6700 8700 14500 329 Medical/Surgical Procdedure DERMATOLOGY Glycolic acid / Salicylic Acid Peel - Per Session 2200 2300 2300 2600 3500 5800 330 Medical/Surgical Procdedure DERMATOLOGY Glycolic acid / Salicylic Acid Peel - 5 Session 8800 9200 9200 10600 13800 23000 331 Medical/Surgical Procdedure DERMATOLOGY Yellow Peel - Per Session 3300 3500 3500 4000 5300 8800 332 Medical/Surgical Procdedure DERMATOLOGY Yellow Peel - 5 Session 13200 13900 13900 16000 20900 34800 333 Medical/Surgical Procdedure DERMATOLOGY Chemical Peel ( Trichloroacetic Acid ) - Per Session 2750 2900 2900 3300 4400 7300 334 Medical/Surgical Procdedure DERMATOLOGY Chemical Peel ( Trichloroacetic Acid ) - Per 5 Session 11000 11600 11600 13300 17400 29000 335 Medical/Surgical Procdedure DERMATOLOGY Filler Injection ( 0.5 ml ) 16500 17300 17300 19900 26000 43300 336 Medical/Surgical Procdedure DERMATOLOGY Filler Injection ( 1 ml ) 27500 28900 28900 33200 43400 72300 337 Medical/Surgical Procdedure DERMATOLOGY Ear lobe Repair - Single 3300 3500 3500 4000 5300 8800 338 Medical/Surgical Procdedure DERMATOLOGY Ear lobe Repair - Bilateral 5500 5800 5800 6700 8700 14500 339 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-1 2750 2900 2900 3300 4400 7300 340 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-2 4400 4600 4600 5300 6900 11500 341 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-3 6100 6400 6400 7400 9600 16000 342 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-4 7700 8100 8100 9300 12200 20300 343 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-5 9400 9900 9900 11400 14900 24800 344 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-6 11000 11600 11600 13300 17400 29000 345 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-7 13800 14500 14500 16700 21800 36300 346 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-8 16500 17300 17300 19900 26000 43300 347 Medical/Surgical Procdedure DERMATOLOGY Dermatology Procedure Level-9 19300 20300 20300 23300 30500 50800 348 Medical/Surgical Procdedure DERMATOLOGY Dermotology Procedure Level10 22000 23100 23100 26600 34700 57800 349 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) DPN - Per Lesion 440 460 460 530 690 1150 DERMATOLOGY Radiofrequency Ablation (RF) Seborrheic Keratosis - Per Lesion 440 460 460 530 690 1150 350 Medical/Surgical Procdedure 351 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Skin Tag - Per Lesion 440 460 460 530 690 1150 352 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Verruca - Per Lesion 440 460 460 530 690 1150 353 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Milia - Per Lesion 440 460 460 530 690 1150 354 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Molluscum - Per Lesion 440 460 460 530 690 1150 355 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Syringomas - Per Lesion 440 460 460 530 690 1150 356 Medical/Surgical Procdedure DERMATOLOGY Fillers Application Per Session 10000 10000 10000 11500 15000 28750 357 Medical/Surgical Procdedure DERMATOLOGY Radiofrequency Ablation (RF) Others - Per Lesion 440 460 460 530 690 1150 358 Medical/Surgical Procdedure DERMATOLOGY Nail Avulsion 4400 4600 4600 5300 6900 11500 359 Medical/Surgical Procdedure DERMATOLOGY Cryotherapy - 1 3000 3000 3000 3900 4800 7500 360 Medical/Surgical Procdedure DERMATOLOGY Cryotherapy - 2 4000 4000 4000 5200 6400 10000 361 Medical/Surgical Procdedure DERMATOLOGY Cryotherapy - 3 5000 5000 5000 6500 8000 12500 362 Medical/Surgical Procdedure DERMATOLOGY Cryotherapy - 4 6000 6000 6000 7800 9600 15000 363 Medical/Surgical Procdedure DERMATOLOGY Cryotherapy - 5 7000 7000 7000 9100 11200 17500 364 Medical/Surgical Procdedure DERMATOLOGY Narrowband UVB / UVA Phototherapy - ( Per Session ) 0 400 0 0 0 0 365 Medical/Surgical Procdedure DERMATOLOGY Narrowband UVB / UVA Phototherapy - ( 8 Session ) 0 3000 0 0 0 0 366 Medical/Surgical Procdedure DERMATOLOGY Narrowband UVB / UVA Phototherapy - ( 12 Session ) 0 4000 0 0 0 0 367 Medical/Surgical Procdedure DERMATOLOGY Full face resufacing (Per Sitting) (Radiance Aesthetics) 0 37500 0 0 0 0 368 Medical/Surgical Procdedure DERMATOLOGY Acne Scars cheeks (Per Sitting)(Radiance Aesthetics) 0 26300 0 0 0 0 369 Medical/Surgical Procdedure DERMATOLOGY Scar - Small (Per Sitting)(Radiance Aesthetics) 0 7500 0 0 0 0 370 Medical/Surgical Procdedure DERMATOLOGY Scar - Medium (Per Sitting)(Radiance Aesthetics) 0 11300 0 0 0 0 371 Medical/Surgical Procdedure DERMATOLOGY Scar - Big (Per Sitting)(Radiance Aesthetics) 0 15000 0 0 0 0 372 Medical/Surgical Procdedure DERMATOLOGY Scar - Chest (Per Sitting)(Radiance Aesthetics) 0 18800 0 0 0 0 373 Medical/Surgical Procdedure DERMATOLOGY Blephroplasty (Per Sitting)(Radiance Aesthetics) 0 30000 0 0 0 0 374 Medical/Surgical Procdedure DERMATOLOGY Abdenoplasty (Per Sitting)(Radiance Aesthetics) 0 45000 0 0 0 0 375 Medical/Surgical Procdedure DERMATOLOGY Rhynophyma (Per Sitting)(Radiance Aesthetics) 0 30000 0 0 0 0 376 Medical/Surgical Procdedure DERMATOLOGY Becker Nevus - Small (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 377 Medical/Surgical Procdedure DERMATOLOGY Becker Nevus - Medium (Per Sitting)(Radiance Aesthetics) 0 6800 0 0 0 0 378 Medical/Surgical Procdedure DERMATOLOGY Becker Nevus Large (Per Sitting)(Radiance Aesthetics) 0 10100 0 0 0 0 379 Medical/Surgical Procdedure DERMATOLOGY Nevus of OTA Small (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 380 Medical/Surgical Procdedure DERMATOLOGY Nevus of OTA Medium (Per Sitting)(Radiance Aesthetics) 0 6800 0 0 0 0 381 Medical/Surgical Procdedure DERMATOLOGY Nevus of OTA Large (Per Sitting)(Radiance Aesthetics) 0 10100 0 0 0 0 DERMATOLOGY Treatment Freckles (cheeks) (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 382 Medical/Surgical Procdedure Skin treatment Freckles (medium area) (Per Sitting)(Radiance DERMATOLOGY 0 4500 0 0 0 0 383 Medical/Surgical Procdedure Aesthetics) DERMATOLOGY Treatment Freckles (full face)(Per Sitting)(Radiance Aesthetics) 0 6800 0 0 0 0 384 Medical/Surgical Procdedure DERMATOLOGY Treatment Lentigo Simplex (Per Sitting)(Radiance Aesthetics) 0 14600 0 0 0 0 385 Medical/Surgical Procdedure 386 Medical/Surgical Procdedure DERMATOLOGY Treatment Age Spots (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 Treatment Cafe Au Lait Spots (Less area/ small lesion) (Per DERMATOLOGY 0 3400 0 0 0 0 387 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Treatment Cafe Au Lait Spots (Medium area/ small lesion) (Per DERMATOLOGY 0 3800 0 0 0 0 388 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Treatment Cafe Au Lait Spots (large area/ small lesion) (Per DERMATOLOGY 0 10100 0 0 0 0 389 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) DERMATOLOGY Treatment Melasma (small) (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 390 Medical/Surgical Procdedure Treatment Pigmentation (small) (Per Sitting)(Radiance DERMATOLOGY 0 3400 0 0 0 0 391 Medical/Surgical Procdedure Aesthetics) Treatment Pigmentation (large) (Per Sitting)(Radiance DERMATOLOGY 0 6800 0 0 0 0 392 Medical/Surgical Procdedure Aesthetics) 393 Medical/Surgical Procdedure DERMATOLOGY Tattoo Removal (Small) (Per Sitting)(Radiance Aesthetics) 0 3400 0 0 0 0 DERMATOLOGY Tattoo Removal (Medium) (Per Sitting)(Radiance Aesthetics) 0 6800 0 0 0 0 394 Medical/Surgical Procdedure 395 Medical/Surgical Procdedure DERMATOLOGY Tattoo Removal (Large) (Per Sitting)(Radiance Aesthetics) 0 10100 0 0 0 0 396 Medical/Surgical Procdedure DERMATOLOGY Treatment Fine Wrinkle (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 Treatment Complexion Etiolate (Per Sitting)(Radiance DERMATOLOGY 0 1100 0 0 0 0 397 Medical/Surgical Procdedure Aesthetics) Treatment Post Acne/ Erythemia (Per Sitting)(Radiance DERMATOLOGY 0 3000 0 0 0 0 398 Medical/Surgical Procdedure Aesthetics) Treatment Vascular IPL - SMALL (Per Sitting)(Radiance DERMATOLOGY 0 3000 0 0 0 0 399 Medical/Surgical Procdedure Aesthetics) Treatment Vascular IPL - MEDIUM (Per Sitting)(Radiance DERMATOLOGY 0 4500 0 0 0 0 400 Medical/Surgical Procdedure Aesthetics) Treatment Vascular IPL - LARGE (Per Sitting)(Radiance DERMATOLOGY 0 6000 0 0 0 0 401 Medical/Surgical Procdedure Aesthetics) DERMATOLOGY Skin treatment Vascular IPL (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 402 Medical/Surgical Procdedure Photo Aging/ Photo Facial/ Photo Rejuvenation - Face (Per DERMATOLOGY 0 3800 0 0 0 0 403 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Photo Aging/ Photo Facial/ Photo Rejuvenation - Face + Neck DERMATOLOGY 0 5600 0 0 0 0 404 Medical/Surgical Procdedure (Per Sitting)(Radiance Aesthetics) Hair Reductions Full Face (Side Burns + Chin + Upper Lip) (Per DERMATOLOGY 0 4500 0 0 0 0 405 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) DERMATOLOGY Hair Reductions Forehead (Per Sitting)(Radiance Aesthetics) 0 1900 0 0 0 0 406 Medical/Surgical Procdedure Hair Reductions Between Eyebrows (Per Sitting)(Radiance DERMATOLOGY 0 1100 0 0 0 0 407 Medical/Surgical Procdedure Aesthetics) DERMATOLOGY Hair Reductions Cheeks (Per Sitting)(Radiance Aesthetics) 0 3800 0 0 0 0 408 Medical/Surgical Procdedure 409 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Ears (Per Sitting)(Radiance Aesthetics) 0 2300 0 0 0 0 DERMATOLOGY Hair Reductions Upper Lip (Per Sitting)(Radiance Aesthetics) 0 1900 0 0 0 0 410 Medical/Surgical Procdedure Hair Reductions Upper Lip+ Lower Lip (Per Sitting)(Radiance DERMATOLOGY 0 2600 0 0 0 0 411 Medical/Surgical Procdedure Aesthetics) 412 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Chin (Per Sitting)(Radiance Aesthetics) 0 2300 0 0 0 0 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Hair Reductions Upper Lip + Chin+ Lower Lip (Per DERMATOLOGY 0 3000 0 0 0 0 413 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) DERMATOLOGY Hair Reductions Sideburns (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 414 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Cleavage (Per Sitting)(Radiance Aesthetics) 0 2300 0 0 0 0 415 Medical/Surgical Procdedure 416 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Nipple (Per Sitting)(Radiance Aesthetics) 0 2300 0 0 0 0 DERMATOLOGY Hair Reductions Neck (Front) (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 417 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Neck (Back) (Per Sitting)(Radiance Aesthetics) 0 3800 0 0 0 0 418 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Axilla (Both) (Per Sitting)(Radiance Aesthetics) 0 3800 0 0 0 0 419 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Hand (Both) (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 420 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Foot (Both) (Per Sitting)(Radiance Aesthetics) 0 3000 0 0 0 0 421 Medical/Surgical Procdedure Hair Reductions Umbilicus to Pubis ( Central Part Only) (Per DERMATOLOGY 0 3000 0 0 0 0 422 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Hair Reductions Umbilicus to Pubis ( Full) (Per Sitting)(Radiance DERMATOLOGY 0 4500 0 0 0 0 423 Medical/Surgical Procdedure Aesthetics) Hair Reductions Costal Margin to Pubis ( Full) (Per DERMATOLOGY 0 6000 0 0 0 0 424 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Hair Reductions Trunck ( Full Front) Clavicle to Pubis (Per DERMATOLOGY 0 11300 0 0 0 0 425 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Hair Reductions Trunck ( Full Back) upto flanks excluding DERMATOLOGY 0 11300 0 0 0 0 426 Medical/Surgical Procdedure buttock (Per Sitting)(Radiance Aesthetics) Hair Reductions Half Back Upper ( Male) (Per Sitting)(Radiance DERMATOLOGY 0 7500 0 0 0 0 427 Medical/Surgical Procdedure Aesthetics) Hair Reductions Half Back Upper ( Female) (Per DERMATOLOGY 0 6000 0 0 0 0 428 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) DERMATOLOGY Hair Reductions Chest Only (Per Sitting)(Radiance Aesthetics) 0 6000 0 0 0 0 429 Medical/Surgical Procdedure DERMATOLOGY Hair Reductions Bikini Line (Per Sitting)(Radiance Aesthetics) 0 4500 0 0 0 0 430 Medical/Surgical Procdedure Hair Reductions Both Upper Arm (Per Sitting)(Radiance DERMATOLOGY 0 4500 0 0 0 0 431 Medical/Surgical Procdedure Aesthetics) DERMATOLOGY Hair Reductions Both Forearm (Per Sitting)(Radiance Aesthetics) 0 4500 0 0 0 0 432 Medical/Surgical Procdedure Hair Reductions Both Full Arms & Hands (Per Sitting)(Radiance DERMATOLOGY 0 9000 0 0 0 0 433 Medical/Surgical Procdedure Aesthetics) Hair Reductions Both Thighs Male (Per Sitting)(Radiance DERMATOLOGY 0 7500 0 0 0 0 434 Medical/Surgical Procdedure Aesthetics) Hair Reductions Both Thighs Female (Per Sitting)(Radiance DERMATOLOGY 0 6800 0 0 0 0 435 Medical/Surgical Procdedure Aesthetics) Hair Reductions Both Legs (Below Knee) (Per Sitting)(Radiance DERMATOLOGY 0 6800 0 0 0 0 436 Medical/Surgical Procdedure Aesthetics) 437 Medical/Surgical Procdedure DERMATOLOGY Intralesional Injection (Per Session) 1540 1600 1600 1800 2400 4000 Hair Reductions Entire Leg+ Feet (Per Sitting)(Radiance DERMATOLOGY 0 10500 0 0 0 0 438 Medical/Surgical Procdedure Aesthetics) Hair Reductions Both Buttocks Male (Per Sitting)(Radiance DERMATOLOGY 0 6800 0 0 0 0 439 Medical/Surgical Procdedure Aesthetics) Hair Reductions Both Buttocks Female (Per Sitting)(Radiance DERMATOLOGY 0 6800 0 0 0 0 440 Medical/Surgical Procdedure Aesthetics) Hair Reductions Full Body ( Except Face & Neck) (Per DERMATOLOGY 0 45000 0 0 0 0 441 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Hair Reductions Full Body ( Including Face & Neck) (Per DERMATOLOGY 0 52500 0 0 0 0 442 Medical/Surgical Procdedure Sitting)(Radiance Aesthetics) Hair Reductions Beaker Nevus Small (Per Sitting)(Radiance DERMATOLOGY 0 3000 0 0 0 0 443 Medical/Surgical Procdedure Aesthetics) Hair Reductions Beaker Nevus Medium (Per Sitting)(Radiance DERMATOLOGY 0 4500 0 0 0 0 444 Medical/Surgical Procdedure Aesthetics) Hair Reductions Beaker Nevus Large (Per Sitting)(Radiance DERMATOLOGY 0 7500 0 0 0 0 445 Medical/Surgical Procdedure Aesthetics) Fat Reduction Cycle Cool Small (Per Sitting)(Radiance DERMATOLOGY 0 50000 0 0 0 0 446 Medical/Surgical Procdedure Aesthetics) DERMATOLOGY Fat Reduction Cycle Cool Max (Per Sitting)(Radiance Aesthetics) 0 75000 0 0 0 0 447 Medical/Surgical Procdedure Dermatosis Papulosa Nigra (DPN) Electric Cauterization upto 3 DERMATOLOGY 990 1000 1000 1200 1500 2500 448 Medical/Surgical Procdedure Lesions 449 Medical/Surgical Procdedure DERMATOLOGY Corn / Callosity Pairing 1540 1600 1600 1800 2400 4000 Dermatosis Papulosa Nigra (DPN) Electric Cauterization Per DERMATOLOGY 300 320 320 370 480 800 450 Medical/Surgical Procdedure Lesion 451 Medical/Surgical Procdedure DERMATOLOGY Molluscum Contagiosum Removal !st 5 Lesions 990 1000 1000 1200 1500 2500 452 Medical/Surgical Procdedure DIABETOLOGY 24 Hr Insulin Initiation / Modification ( Diabetology ) 7900 8300 8300 9500 12500 20800 453 Medical/Surgical Procdedure DIABETOLOGY Pulse Wave Velocity ( Diabetology ) 2640 2800 2800 3200 4200 7000 454 Medical/Surgical Procdedure DIABETOLOGY Body Fat Analysis - Segmental and Total 660 700 700 800 1050 1750 455 Medical/Surgical Procdedure DIABETOLOGY Vibration Perception Testing 880 900 900 1000 1400 2250 456 Medical/Surgical Procdedure DIABETOLOGY Comprehesive Diabetes Education Package 490 510 510 590 770 1280 457 Medical/Surgical Procdedure DIABETOLOGY Autonomic Nerve Function Test 1540 1600 1600 1800 2400 4000 458 Medical/Surgical Procdedure DIABETOLOGY Ankle Brachial Index ( ABI ) - Diabetology 990 1000 1000 1200 1500 2500 459 Medical/Surgical Procdedure DIABETOLOGY Diabetes Type 1 Education - Comprehensive 610 600 600 700 900 1500 460 Medical/Surgical Procdedure DIABETOLOGY Continuous Glucose Monitoring ( Diabetology ) 7200 7600 7600 8700 11400 19000 461 Medical/Surgical Procdedure DIABETOLOGY Diabetic Education 490 510 510 590 770 1280 Diet Education + Therapeutic Lifestyle Consultation ( DIABETOLOGY 490 510 510 590 770 1280 462 Medical/Surgical Procdedure Diabetology ) 463 Medical/Surgical Procdedure DIABETOLOGY Foot Pressure Assessment 1980 2100 2100 2400 3200 5300 464 Medical/Surgical Procdedure DIABETOLOGY Arterial Peripheral Doppler Screening ( Diabetology ) 990 1000 1000 1200 1500 2500 465 Medical/Surgical Procdedure ENT Adenotonsillectomy 9200 10200 10200 11700 15300 25500 466 Medical/Surgical Procdedure ENT Foreign Body Removal Nasal Cavity 3100 3400 3400 3900 5100 8500 467 Medical/Surgical Procdedure ENT Audiometry Free Field 900 1000 1000 1200 1500 2500 468 Medical/Surgical Procdedure ENT Glomus Jugulare Tumor Excision ( ENT ) 38000 42200 42200 48500 63300 105500 469 Medical/Surgical Procdedure ENT Glossectomy Partial ( ENT ) 12000 13300 13300 15300 20000 33300 470 Medical/Surgical Procdedure ENT External Auditory Canal Growth Excision 6600 7300 7300 8400 11000 18300 471 Medical/Surgical Procdedure ENT Hemiglossectomy ( ENT ) 21700 24100 24100 27700 36200 60300 472 Medical/Surgical Procdedure ENT Hypopharyngoscopy Examination 4500 5000 5000 5800 7500 12500 Pinna Haematoma Aspiration & Drainage With Pressure ENT 8200 9100 9100 10500 13700 22800 473 Medical/Surgical Procdedure Bandage 474 Medical/Surgical Procdedure ENT Submandibular Duct Calculus Removal - Intraoral ( ENT ) 3100 3400 3400 3900 5100 8500 475 Medical/Surgical Procdedure ENT Laryngeal Web Excision 11200 12400 12400 14300 18600 31000 476 Medical/Surgical Procdedure ENT Laryngectomy Total 32700 36300 36300 41700 54500 90800 477 Medical/Surgical Procdedure ENT Laryngotomy ( Laryngofissure ) 19100 21200 21200 24400 31800 53000 478 Medical/Surgical Procdedure ENT Pharyngotomy Lateral 19100 21200 21200 24400 31800 53000 479 Medical/Surgical Procdedure ENT Rhinotomy Lateral 19100 21200 21200 24400 31800 53000 480 Medical/Surgical Procdedure ENT Mastoid Cavity Obliteration 21700 24100 24100 27700 36200 60300 481 Medical/Surgical Procdedure ENT Mastoidectomy Modified Radical 24500 27200 27200 31300 40800 68000 482 Medical/Surgical Procdedure ENT Aural Polypectomy 3200 3600 3600 4100 5400 9000 483 Medical/Surgical Procdedure ENT Mastoidectomy Radical 27300 30300 30300 34800 45500 75800 484 Medical/Surgical Procdedure ENT Maxillectomy Total 32700 36300 36300 41700 54500 90800 485 Medical/Surgical Procdedure ENT Maxillectomy Partial / Medial 27300 30300 30300 34800 45500 75800 486 Medical/Surgical Procdedure ENT Myringoplasty 12000 13300 13300 15300 20000 33300 487 Medical/Surgical Procdedure ENT Myringotomy ( Right ) 1600 1800 1800 2100 2700 4500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 488 Medical/Surgical Procdedure ENT Myringotomy ( Left ) 1600 1800 1800 2100 2700 4500 489 Medical/Surgical Procdedure ENT Myringotomy Bilateral 3100 3400 3400 3900 5100 8500 490 Medical/Surgical Procdedure ENT Nasal Endoscopy - Diagnostic ( ENT ) 1600 1800 1800 2100 2700 4500 491 Medical/Surgical Procdedure ENT Nasal Packing ( Posterior ) 3100 3400 3400 3900 5100 8500 492 Medical/Surgical Procdedure ENT Orbital Decompression ( Endoscopic ) 24500 27200 27200 31300 40800 68000 493 Medical/Surgical Procdedure ENT Ossiculoplasty 21700 24100 24100 27700 36200 60300 494 Medical/Surgical Procdedure ENT Adenoidectomy 4500 5000 5000 5800 7500 12500 495 Medical/Surgical Procdedure ENT Peritonsillar Abscess Drainage 2600 2900 2900 3300 4400 7300 496 Medical/Surgical Procdedure ENT Pinna Piercing ( Bilateral ) - ENT 900 1000 1000 1200 1500 2500 497 Medical/Surgical Procdedure ENT Pinna Piercing ( Left ) - ENT 900 1000 1000 1200 1500 2500 498 Medical/Surgical Procdedure ENT Pinna Piercing ( Right ) - ENT 900 1000 1000 1200 1500 2500 499 Medical/Surgical Procdedure ENT Pre Auricular Sinus Excision - Right Side ( ENT ) 5000 5500 5500 6300 8300 13800 500 Medical/Surgical Procdedure ENT Audiometry Pure Tone 900 1000 1000 1200 1500 2500 501 Medical/Surgical Procdedure ENT Neck Dissection Radical ( ENT ) 38000 42200 42200 48500 63300 105500 502 Medical/Surgical Procdedure ENT Retropharyngeal Abscess Incision And Drainage 5600 6200 6200 7100 9300 15500 503 Medical/Surgical Procdedure ENT Rhinoplasty ( ENT ) 19100 21200 21200 24400 31800 53000 504 Medical/Surgical Procdedure ENT Septoplasty 11300 12600 12600 14500 18900 31500 505 Medical/Surgical Procdedure ENT Septorhinoplasty ( Septoplasty + Rhinoplasty ) 24500 27200 27200 31300 40800 68000 506 Medical/Surgical Procdedure ENT Stapedectomy 21700 24100 24100 27700 36200 60300 507 Medical/Surgical Procdedure ENT Caloric Test ( ENT ) 2000 2200 2200 2500 3300 5500 508 Medical/Surgical Procdedure ENT Styloidectomy ( Left ) 9500 10500 10500 12100 15800 26300 509 Medical/Surgical Procdedure ENT Styloidectomy ( Right ) 9200 10200 10200 11700 15300 25500 510 Medical/Surgical Procdedure ENT Styloidectomy ( Bilateral ) 12000 13300 13300 15300 20000 33300 511 Medical/Surgical Procdedure ENT Syringing Ear ( for Wax Removal ) -Bilateral 1300 1400 1400 1600 2100 3500 512 Medical/Surgical Procdedure ENT Syringing Ear ( for Wax Removal ) - Right ear 300 300 300 300 500 800 513 Medical/Surgical Procdedure ENT Syringing Ear ( for Wax Removal ) - Left ear 900 1000 1000 1200 1500 2500 514 Medical/Surgical Procdedure ENT Tonsillectomy 6600 7300 7300 8400 11000 18300 515 Medical/Surgical Procdedure ENT Tracheal Reconstruction 27300 30300 30300 34800 45500 75800 516 Medical/Surgical Procdedure ENT Tracheostomy ( ENT ) 14900 16500 16500 19000 24800 41300 517 Medical/Surgical Procdedure ENT Tympanoplasty 20800 23100 23100 26540 34700 57800 518 Medical/Surgical Procdedure ENT Tympanomastoidectomy 24500 27200 27200 31300 40800 68000 519 Medical/Surgical Procdedure ENT Tympanotomy 19100 21200 21200 24400 31800 53000 520 Medical/Surgical Procdedure ENT Uvulopharyngopalatoplasty - ENT 19100 21200 21200 24400 31800 53000 521 Medical/Surgical Procdedure ENT External Carotid Artery Ligation - ENT 11200 12400 12400 14300 18600 31000 522 Medical/Surgical Procdedure ENT Thyroidectomy (Total) - ENT 24500 27200 27200 31300 40800 68000 ENT Adenoidectomy + Myringotomy ( Bilateral ) + Gromet Insertion 12000 13300 13300 15300 20000 33300 523 Medical/Surgical Procdedure 524 Medical/Surgical Procdedure ENT Tracheostomy Tube Replacement 900 1000 1000 1200 1500 2500 525 Medical/Surgical Procdedure ENT Thyroidectomy (Subtotal) - ENT 21700 24100 24100 27700 36200 60300 526 Medical/Surgical Procdedure ENT Nasopharyngolaryngoscopy Flexible (Fnl) 2600 2900 2900 3300 4400 7300 527 Medical/Surgical Procdedure ENT Nasal Endoscopy ( Fibreoptic ) 2000 2200 2200 2500 3300 5500 528 Medical/Surgical Procdedure ENT Suction Clearance of Tracheostomy ( Each Time ) 500 600 600 700 900 1500 529 Medical/Surgical Procdedure ENT Cochlear Implant 46200 51300 51300 59000 77000 128300 530 Medical/Surgical Procdedure ENT Laryngectomy with Block Dissection 46200 51300 51300 59000 77000 128300 531 Medical/Surgical Procdedure ENT Branchial Sinus Excision ( ENT ) 9200 10200 10200 11700 15300 25500 532 Medical/Surgical Procdedure ENT Septal Hematoma Incision & Drainage 9200 10200 10200 11700 15300 25500 533 Medical/Surgical Procdedure ENT Voice Prosthesis Insertion 9200 10200 10200 11700 15300 25500 534 Medical/Surgical Procdedure ENT Choanal Atresia Correction 15800 17600 17600 20200 26400 44000 535 Medical/Surgical Procdedure ENT Bronchoscopy Rigid - Diagnostic ( ENT ) 8200 9100 9100 10500 13700 22800 536 Medical/Surgical Procdedure ENT Turbinate Reduction ( Left ) 5600 6200 6200 7100 9300 15500 537 Medical/Surgical Procdedure ENT Turbinate Reduction ( Right ) 5600 6200 6200 7100 9300 15500 538 Medical/Surgical Procdedure ENT Esophagoscopy with Foreign Body Removal 12000 13300 13300 15300 20000 33300 539 Medical/Surgical Procdedure ENT Ear Examination Under Microscope ( EUM ) 2000 2200 2200 2500 3300 5500 540 Medical/Surgical Procdedure ENT Laryngoscopy Direct with Biopsy 5600 6200 6200 7100 9300 15500 541 Medical/Surgical Procdedure ENT Septal Abscess Incision And Drainage 8200 9100 9100 10500 13700 22800 542 Medical/Surgical Procdedure ENT Plunging Ranula Excision ( ENT ) 9200 10200 10200 11700 15300 25500 543 Medical/Surgical Procdedure ENT Facial Wound Repair ( Major ) 5000 5500 5500 6300 8300 13800 544 Medical/Surgical Procdedure ENT Facial Wound Repair ( Minor ) 2600 2900 2900 3300 4400 7300 545 Medical/Surgical Procdedure ENT Mandible Fracture - Repair + Plating ( Single ) 5600 6200 6200 7100 9300 15500 546 Medical/Surgical Procdedure ENT Myringotomy With Grommet Insertion ( Both Ears ) 5000 5500 5500 6300 8300 13800 547 Medical/Surgical Procdedure ENT Teflon Paste Injection 11200 12400 12400 14300 18600 31000 548 Medical/Surgical Procdedure ENT Laryngopharyngectomy 43500 48300 48300 55500 72500 120800 549 Medical/Surgical Procdedure ENT Lymph Node Biopsy - Small / Medium 4500 5000 5000 5800 7500 12500 550 Medical/Surgical Procdedure ENT Ranula Marsupialization 4500 5000 5000 5800 7500 12500 551 Medical/Surgical Procdedure ENT Maxillectomy + Orbital Exenteration 46200 51300 51300 59000 77000 128300 552 Medical/Surgical Procdedure ENT Myringotomy With Grommet Insertion ( Right Ear ) 2600 2900 2900 3300 4400 7300 553 Medical/Surgical Procdedure ENT Maxillary Fracture - Repair + Plating 8200 9100 9100 10500 13700 22800 554 Medical/Surgical Procdedure ENT Microlaryngoscopic Decortication 12000 13300 13300 15300 20000 33300 Microscopic Laryngeal Surgery (MLS) Diagnostic / Nodule / ENT 8200 9100 9100 10500 13700 22800 555 Medical/Surgical Procdedure Polyp Excision 556 Medical/Surgical Procdedure ENT Nasal Endoscopy + Biopsy 2600 2900 2900 3300 4400 7300 557 Medical/Surgical Procdedure ENT Nasopharyngoscopy + Biopsy 3100 3400 3400 3900 5100 8500 558 Medical/Surgical Procdedure ENT Oral Biopsy ( ENT ) 2600 2900 2900 3300 4400 7300 559 Medical/Surgical Procdedure ENT Panendoscopy ( ENT ) 6600 7300 7300 8400 11000 18300 560 Medical/Surgical Procdedure ENT Laryngectomy ( Partial ) with Block Dissection 38000 42200 42200 48500 63300 105500 561 Medical/Surgical Procdedure ENT Probing & Syringing - Both Eyes 2600 2900 2900 3300 4400 7300 562 Medical/Surgical Procdedure ENT Pterygopalatine Fossa Surgery 43500 48300 48300 55500 72500 120800 563 Medical/Surgical Procdedure ENT Myringotomy With Grommet Insertion ( Left Ear ) 2500 2800 2800 3200 4200 7000 564 Medical/Surgical Procdedure ENT Skull Base Surgery ( ENT ) 38000 42200 42200 48500 63300 105500 565 Medical/Surgical Procdedure ENT Subcutaneous Diathermy - Left 3100 3400 3400 3900 5100 8500 566 Medical/Surgical Procdedure ENT Subcutaneous Diathermy - Right 3100 3400 3400 3900 5100 8500 567 Medical/Surgical Procdedure ENT Submucosal Injection 500 600 600 700 900 1500 568 Medical/Surgical Procdedure ENT Supmucosal Injection ( Steroid ) 900 1000 1000 1200 1500 2500 569 Medical/Surgical Procdedure ENT Submucous Diathermy - Bilateral 3200 3600 3600 4100 5400 9000 570 Medical/Surgical Procdedure ENT Submucous Diathermy - Left 2600 2900 2900 3300 4400 7300 571 Medical/Surgical Procdedure ENT Septoplasty + Submucous Diathermy (SMD) 9200 10200 10200 11700 15300 25500 572 Medical/Surgical Procdedure ENT Parotidectomy Superficial ( ENT ) 24500 27200 27200 31300 40800 68000 573 Medical/Surgical Procdedure ENT Parathyroidectomy - Total 32700 36300 36300 41700 54500 90800 574 Medical/Surgical Procdedure ENT Transnasal Vidian Neurectomy - Right 8200 9100 9100 10500 13700 22800 575 Medical/Surgical Procdedure ENT Transnasal Vidian Neurectomy - Left 8300 9200 9200 10600 13800 23000 576 Medical/Surgical Procdedure ENT Trans-septal Trans-ethimoidal Hypophysectomy 46200 51300 51300 59000 77000 128300 577 Medical/Surgical Procdedure ENT Uvulectomy 8200 9100 9100 10500 13700 22800 578 Medical/Surgical Procdedure ENT Suture Removal ( ENT ) 500 600 600 700 900 1500 579 Medical/Surgical Procdedure ENT Nasal Packing ( With Cauterization ) - Anterior 4500 5000 5000 5800 7500 12500 580 Medical/Surgical Procdedure ENT Block Dissection ( Cervical Nodes ) 8200 9100 9100 10500 13700 22800 581 Medical/Surgical Procdedure ENT Bronchoscopy (Diagnostic/Biopsy) - Under La 5600 6200 6200 7100 9300 15500 582 Medical/Surgical Procdedure ENT Cauterization Chemical ( Nose / Throat / Ear ) 900 1000 1000 1200 1500 2500 583 Medical/Surgical Procdedure ENT Commandos Surgery 46200 51300 51300 59000 77000 128300 584 Medical/Surgical Procdedure ENT Palatal Cyst / Benign Tumors Excision 6600 7300 7300 8400 11000 18300 585 Medical/Surgical Procdedure ENT Dental Cyst And Tumor Excision ( ENT ) 9200 10200 10200 11700 15300 25500 586 Medical/Surgical Procdedure ENT Cerebrospinal Fluid ( CSF ) Fistula Repair - Endoscopic 32700 36300 36300 41700 54500 90800 587 Medical/Surgical Procdedure ENT Spheno Ethmoidectomy ( Endoscopic ) - Bilateral 19100 21200 21200 24400 31800 53000 588 Medical/Surgical Procdedure ENT Spheno Ethmoidectomy ( Endoscopic ) - Unilateral 14800 16400 16400 18900 24600 41000 589 Medical/Surgical Procdedure ENT Acoustic Neuroma Excision 46200 51300 51300 59000 77000 128300 590 Medical/Surgical Procdedure ENT Esophageal Stricture ( Dilatation ) - 1St Stage 6600 7300 7300 8400 11000 18300 591 Medical/Surgical Procdedure ENT Stricture Dilation - Subsequent Stages 5000 5500 5500 6300 8300 13800 592 Medical/Surgical Procdedure ENT Hemithyroidectomy 19100 21200 21200 24400 31800 53000 593 Medical/Surgical Procdedure ENT Optic Nerve Decompression 27300 30300 30300 34800 45500 75800 594 Medical/Surgical Procdedure ENT Cortical Mastoidectomy 14800 16400 16400 18900 24600 41000 595 Medical/Surgical Procdedure ENT Septal Perforation Repair 14800 16400 16400 18900 24600 41000 596 Medical/Surgical Procdedure ENT Decannulation Tracheostomy ( ENT ) 900 1000 1000 1200 1500 2500 597 Medical/Surgical Procdedure ENT Neck Dissection ( Modified ) 38000 42200 42200 48500 63300 105500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 598 Medical/Surgical Procdedure ENT Cervical Abscess - Incision And Drainage 3100 3400 3400 3900 5100 8500 599 Medical/Surgical Procdedure ENT Clean Lacerated Wound ( CLW ) Suturing - Large ( ENT ) 900 1000 1000 1200 1500 2500 600 Medical/Surgical Procdedure ENT Laryngeal Papilloma Excision 12000 13300 13300 15300 20000 33300 601 Medical/Surgical Procdedure ENT Pharyngeal Fistula Repair ( Simple ) Without Flap 4500 5000 5000 5800 7500 12500 602 Medical/Surgical Procdedure ENT Fibreoptic Laryngoscopy ( FOL ) 2600 2900 2900 3300 4400 7300 603 Medical/Surgical Procdedure ENT Cauterization ( Epistaxis ) 2000 2200 2200 2500 3300 5500 604 Medical/Surgical Procdedure ENT Laryngoscopy Direct ( ENT ) 1600 1800 1800 2100 2700 4500 ENT Examination Under Microscope ( EUM ) + Suction - Both Ears 900 1000 1000 1200 1500 2500 605 Medical/Surgical Procdedure 606 Medical/Surgical Procdedure ENT Pre Auricular Sinus Excision - Left Side ( ENT ) 5000 5500 5500 6300 8300 13800 607 Medical/Surgical Procdedure ENT Dressing ENT 500 600 600 700 900 1500 608 Medical/Surgical Procdedure ENT Ear Lobe / Lobule Repair - Bilateral ( ENT ) 2600 2900 2900 3300 4400 7300 609 Medical/Surgical Procdedure ENT Nose Suction Clearance Bilateral 900 1000 1000 1200 1500 2500 610 Medical/Surgical Procdedure ENT Nose Suction Clearance ( Right ) 500 600 600 700 900 1500 611 Medical/Surgical Procdedure ENT Nose Suction Clearance ( Left ) 500 600 600 700 900 1500 612 Medical/Surgical Procdedure ENT Tongue Tie Release 3100 3400 3400 3900 5100 8500 613 Medical/Surgical Procdedure ENT Ear Lobe / Lobule Repair - Right ( ENT ) 1600 1800 1800 2100 2700 4500 614 Medical/Surgical Procdedure ENT Ear Lobe / Lobule Repair - Left ( ENT ) 2500 2800 2800 3200 4200 7000 615 Medical/Surgical Procdedure ENT Radio Frequency Ablation ( RFA ) - Adenotonsillectomy 14800 16400 16400 18900 24600 41000 616 Medical/Surgical Procdedure ENT Nasal Packing Anterior ( Bilateral ) 2600 2900 2900 3300 4400 7300 617 Medical/Surgical Procdedure ENT Nasal Packing Anterior ( Unilateral ) 2000 2200 2200 2500 3300 5500 618 Medical/Surgical Procdedure ENT Atticoantrostomy 14800 16400 16400 18900 24600 41000 619 Medical/Surgical Procdedure ENT Atticotomy 10400 11600 11600 13300 17400 29000 620 Medical/Surgical Procdedure ENT Bat Ear Repair 12000 13300 13300 15300 20000 33300 621 Medical/Surgical Procdedure ENT Antrostomy Bilateral ( Endoscopic ) 5600 6200 6200 7100 9300 15500 622 Medical/Surgical Procdedure ENT Caldwell Luc Surgery - Right 8200 9100 9100 10500 13700 22800 623 Medical/Surgical Procdedure ENT Caldwell Luc Surgery - Left 8300 9200 9200 10600 13800 23000 624 Medical/Surgical Procdedure ENT Canalplasty + Ear Reconstruction 24500 27200 27200 31300 40800 68000 625 Medical/Surgical Procdedure ENT Le Fort Closed Reduction - I 11200 12400 12400 14300 18600 31000 626 Medical/Surgical Procdedure ENT Le Fort Closed Reduction - II 14800 16400 16400 18900 24600 41000 627 Medical/Surgical Procdedure ENT Le Fort Closed Reduction - III 19100 21200 21200 24400 31800 53000 628 Medical/Surgical Procdedure ENT Nasal Bone Fracture Closed Reduction 9200 10200 10200 11700 15300 25500 629 Medical/Surgical Procdedure ENT Facial Bones Fracture Closed Reduction 4500 5000 5000 5800 7500 12500 630 Medical/Surgical Procdedure ENT Conservative Surgery - Carcinoma Larynx 27300 30300 30300 34800 45500 75800 631 Medical/Surgical Procdedure ENT Parotidectomy ( Deep Lobe ) 27300 30300 30300 34800 45500 75800 632 Medical/Surgical Procdedure ENT Ear Reconstruction - Stage 1 14800 16400 16400 18900 24600 41000 633 Medical/Surgical Procdedure ENT Ear Reconstruction - Stage 2 19100 21200 21200 24400 31800 53000 634 Medical/Surgical Procdedure ENT Cauterization Endoscopic - Nasal 9200 10200 10200 11700 15300 25500 635 Medical/Surgical Procdedure ENT FrontoSphenoEthmoidectomy ( Endoscopic ) - Bilateral 27300 30300 30300 34800 45500 75800 636 Medical/Surgical Procdedure ENT Endolymphatic Sac Decompression 19100 21200 21200 24400 31800 53000 637 Medical/Surgical Procdedure ENT FrontoSphenoEthmoidectomy ( Endoscopic ) - Unilateral 21700 24100 24100 27700 36200 60300 638 Medical/Surgical Procdedure ENT Nasolacrimal Duct ( NLD ) Repair - Endoscopic 10400 11600 11600 13300 17400 29000 639 Medical/Surgical Procdedure ENT Examination Under Microscope ( EUM ) + Suction - Right 900 1000 1000 1200 1500 2500 640 Medical/Surgical Procdedure ENT Examination Under Microscope ( EUM ) + Suction - Left 900 1000 1000 1200 1500 2500 641 Medical/Surgical Procdedure ENT Subglottic Stenosis Excision + Repair 19100 21200 21200 24400 31800 53000 642 Medical/Surgical Procdedure ENT Cystic Hygroma Excision ( ENT ) 9200 10200 10200 11700 15300 25500 643 Medical/Surgical Procdedure ENT Facial Degloving Procedure 29900 33200 33200 38200 49800 83000 ENT Functional Endoscopic Sinus Surgery ( FESS ) - Complicated 23700 26300 26300 30250 39500 65800 644 Medical/Surgical Procdedure Functional Endoscopic Sinus Surgery ( FESS ) - Minor ( Bilateral ENT 10400 11600 11600 13300 17400 29000 645 Medical/Surgical Procdedure ) 646 Medical/Surgical Procdedure ENT Dacrocystorhinostomy ( DCR ) - ENT 15800 17600 17600 20200 26400 44000 647 Medical/Surgical Procdedure ENT Foreign Body Removal - Ear ( Bilateral ) 3100 3400 3400 3900 5100 8500 648 Medical/Surgical Procdedure ENT Glossectomy + Neck Dissection 38000 42200 42200 48500 63300 105500 649 Medical/Surgical Procdedure ENT Incision and Drainage( ENT ) 2000 2200 2200 2500 3300 5500 650 Medical/Surgical Procdedure ENT Laryngoplasty 12000 13300 13300 15300 20000 33300 651 Medical/Surgical Procdedure ENT MLS with Cobalation 15800 17600 17600 20200 26400 44000 652 Medical/Surgical Procdedure ENT Montgomery T-Tube Insertion 12000 13300 13300 15300 20000 33300 653 Medical/Surgical Procdedure ENT Nasal Bone Fracture Open Reduction ( ENT ) 14800 16400 16400 18900 24600 41000 654 Medical/Surgical Procdedure ENT Glossectomy Partial + Supraomohyoid Dissection 24500 27200 27200 31300 40800 68000 655 Medical/Surgical Procdedure ENT Bronchoscopy ( Pediatric ) 14800 16400 16400 18900 24600 41000 656 Medical/Surgical Procdedure ENT Bronchoscopy with Foreign Body Removal ( Pediatric ) 19100 21200 21200 24400 31800 53000 657 Medical/Surgical Procdedure ENT Pinna Reconstruction 8200 9100 9100 10500 13700 22800 658 Medical/Surgical Procdedure ENT Retropharyngeal Abscess Aspiration 3200 3600 3600 4100 5400 9000 659 Medical/Surgical Procdedure ENT Neck Dissection ( Selective ) 32700 36300 36300 41700 54500 90800 660 Medical/Surgical Procdedure ENT Sinuscopy 2600 2900 2900 3300 4400 7300 661 Medical/Surgical Procdedure ENT Sinuscopy + Biopsy 3100 3400 3400 3900 5100 8500 662 Medical/Surgical Procdedure ENT Snoring Surgery - Hyoidopexy 15800 17600 17600 20200 26400 44000 663 Medical/Surgical Procdedure ENT Sphenopalatine Artery (SPA) Ligation ( Endoscopic ) 15800 17600 17600 20200 26400 44000 664 Medical/Surgical Procdedure ENT Snoring Surgery - Pillar Reduction 12000 13300 13300 15300 20000 33300 665 Medical/Surgical Procdedure ENT Snoring Surgery - Tongue Base Reduction 11200 12400 12400 14300 18600 31000 Snoring Surgery - Uvulopalatopharyngoplasty ( UPPP ) + ENT 21700 24100 24100 27700 36200 60300 666 Medical/Surgical Procdedure Hyoidopexy 667 Medical/Surgical Procdedure ENT Parathyroidectomy Superficial 13700 15200 15200 17500 22800 38000 668 Medical/Surgical Procdedure ENT Suturing ( ENT ) 900 1000 1000 1200 1500 2500 669 Medical/Surgical Procdedure ENT Thyroplasty I 19100 21200 21200 24400 31800 53000 670 Medical/Surgical Procdedure ENT Thyroplasty II 19100 21200 21200 24400 31800 53000 671 Medical/Surgical Procdedure ENT Thyroplasty III 21700 24100 24100 27700 36200 60300 672 Medical/Surgical Procdedure ENT Thyroplasty IV 24500 27200 27200 31300 40800 68000 673 Medical/Surgical Procdedure ENT External Auditory Canal Tumor Excision ( Large ) 6600 7300 7300 8400 11000 18300 674 Medical/Surgical Procdedure ENT Tongue Wedge Resection 15800 17600 17600 20200 26400 44000 675 Medical/Surgical Procdedure ENT Parapharyngeal Abscess Drainage 8200 9100 9100 10500 13700 22800 676 Medical/Surgical Procdedure ENT Lymph Node Biopsy ( ENT ) 4500 5000 5000 5800 7500 12500 677 Medical/Surgical Procdedure ENT Oroantral Fistula Repair with Flap 14800 16400 16400 18900 24600 41000 678 Medical/Surgical Procdedure ENT Adenoidectomy ( Endoscopic ) 13800 15300 15300 17600 23000 38300 679 Medical/Surgical Procdedure ENT Nasal Packing ( Anterior & Posterior ) - Unilateral 2100 2300 2300 2600 3500 5800 680 Medical/Surgical Procdedure ENT Nasal Packing ( Anterior & Posterior ) - Bilateral 4500 5000 5000 5800 7500 12500 681 Medical/Surgical Procdedure ENT Speech Assessment (Audiology) 2900 3200 3200 3700 4800 8000 682 Medical/Surgical Procdedure ENT Hearing Aid Follow Up (Audiology) 900 1000 1000 1200 1500 2500 683 Medical/Surgical Procdedure ENT Hearing Aid Programming (Audiology) 1200 1300 1300 1500 2000 3300 684 Medical/Surgical Procdedure ENT Adenoidectomy ( Endoscopic ) With Cobalation 13800 15300 15300 17600 23000 38300 Adenoidectomy Endoscopic + Intra Capsular Tonsillectomy With ENT 19100 21200 21200 24400 31800 53000 685 Medical/Surgical Procdedure Coblation 686 Medical/Surgical Procdedure ENT BAHA ( Bone Anchored Hearing Aid ) 24500 27200 27200 31300 40800 68000 687 Medical/Surgical Procdedure ENT Balloon Sinuplasty - One Sinus 14800 16400 16400 18900 24600 41000 688 Medical/Surgical Procdedure ENT Balloon Sinuplasty - Three Sinus 21700 24100 24100 27700 36200 60300 689 Medical/Surgical Procdedure ENT Balloon Sinuplasty - Two Sinus 19100 21200 21200 24400 31800 53000 690 Medical/Surgical Procdedure ENT Balloon Sinuplasty With FESS 27300 30300 30300 34800 45500 75800 691 Medical/Surgical Procdedure ENT Tonsils Cryptolysis With Coblation 15800 17600 17600 20200 26400 44000 692 Medical/Surgical Procdedure ENT Endoscopic Nasal Mass Excision ( Major ) 19100 21200 21200 24400 31800 53000 693 Medical/Surgical Procdedure ENT Endoscopic Nasal Mass Excision ( Minor ) 10400 11600 11600 13300 17400 29000 694 Medical/Surgical Procdedure ENT Extra Capsular Tonsillectomy With Coblation / Harmonic 19100 21200 21200 24400 31800 53000 695 Medical/Surgical Procdedure ENT Intra Capsular Tonsillectomy With Coblation 15800 17600 17600 20200 26400 44000 696 Medical/Surgical Procdedure ENT Salphingopharyngoplasty With Coblation 19100 21200 21200 24400 31800 53000 697 Medical/Surgical Procdedure ENT Tongue Base Reduction With Coblation 27300 30300 30300 34800 45500 75800 698 Medical/Surgical Procdedure ENT Turbinoplasty With Coblation 8200 9100 9100 10500 13700 22800 699 Medical/Surgical Procdedure ENT Uvulopalatopharyngoplasty With Coblation 21700 24100 24100 27700 36200 60300 700 Medical/Surgical Procdedure ENT Harmonic Adenotonsillectomy 800 900 900 1000 1400 2300 701 Medical/Surgical Procdedure ENT Pinna/ Nasal Piercing - ENT 800 900 900 1000 1400 2300 702 Medical/Surgical Procdedure ENT Endoscopic Evaluation - Airway ( Laryngotracheoscopy ) 800 900 900 1000 1400 2300 703 Medical/Surgical Procdedure ENT Audiometry - Aided (Audiology) 800 900 900 1000 1400 2300 704 Medical/Surgical Procdedure ENT Tympanometry/ Impedance (Audiology) 1100 1200 1200 1400 1800 3000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 705 Medical/Surgical Procdedure ENT "Special Tests ( SISI, TD, ABLB) (Audiology)" 800 900 900 1000 1400 2300 706 Medical/Surgical Procdedure ENT Tinnitus Evaluation (Audiology) 800 900 900 1000 1400 2300 707 Medical/Surgical Procdedure ENT E.T Function Tests (Audiology) 800 900 900 1000 1400 2300 708 Medical/Surgical Procdedure ENT OAE Screening ( Audiology) 1600 1800 1800 2100 2700 4500 709 Medical/Surgical Procdedure ENT OAE Diagnostics ( Audiology) 2100 2300 2300 2600 3500 5800 710 Medical/Surgical Procdedure ENT BERA / ABR Screening ( Audiology) 3700 4100 4100 4700 6200 10300 711 Medical/Surgical Procdedure ENT BERA /ABR Diagnostics ( Audiology) 4100 4600 4600 5300 6900 11500 712 Medical/Surgical Procdedure ENT MLR / LLR ( Audiology) 4100 4600 4600 5300 6900 11500 713 Medical/Surgical Procdedure ENT ASSR ( Audiology ) 4700 5200 5200 6000 7800 13000 714 Medical/Surgical Procdedure ENT ASSR High Frequency ( Audiology) 5200 5800 5800 6700 8700 14500 715 Medical/Surgical Procdedure ENT Electrocochleography ( ECochG ) 6200 6900 6900 7900 10400 17300 716 Medical/Surgical Procdedure ENT VEMP (Audiology) 5200 5800 5800 6700 8700 14500 717 Medical/Surgical Procdedure ENT Hearing Aids Trial ( HAT ) 800 900 900 1000 1400 2300 718 Medical/Surgical Procdedure ENT Ear Mould Impression (Audiology) 800 900 900 1000 1400 2300 719 Medical/Surgical Procdedure ENT Ear Mould (Audiology) 1100 1200 1200 1400 1800 3000 720 Medical/Surgical Procdedure ENT Pre - Cochlear Implant Evaluation (Audiology) 2600 2900 2900 3300 4400 7300 Cochlear Implant - Neural Response Telemetry (NRT) ENT 10400 11600 11600 13300 17400 29000 721 Medical/Surgical Procdedure (Audiology) 722 Medical/Surgical Procdedure ENT Cochlear Implant - Switch On (Audiology) 10400 11600 11600 13300 17400 29000 723 Medical/Surgical Procdedure ENT Cochlear Implant - Mapping (Audiology) 2100 2300 2300 2600 3500 5800 724 Medical/Surgical Procdedure ENT Cochlear Implant Rehab ( Monthly ) (Audiology) 15700 17400 17400 20000 26100 43500 ENT Cochlear Implant Rehab ( Package- 3 Months ) (Audiology) 41600 46200 46200 53100 69300 115500 725 Medical/Surgical Procdedure 726 Medical/Surgical Procdedure ENT Voice Evaluation (Audiology) 800 900 900 1000 1400 2300 727 Medical/Surgical Procdedure ENT Computerised Voice Evaluation (Audiology) 2600 2900 2900 3300 4400 7300 728 Medical/Surgical Procdedure ENT Voice Therapy Session (Audiology) 800 900 900 1000 1400 2300 729 Medical/Surgical Procdedure ENT Voice Rehab. (Computerised) (Audiology) 1600 1800 1800 2100 2700 4500 730 Medical/Surgical Procdedure ENT Speech & Language Assessment (Audiology) 1600 1800 1800 2100 2700 4500 731 Medical/Surgical Procdedure ENT Speech Therapy Per Session (Audiology) 800 900 900 1000 1400 2300 732 Medical/Surgical Procdedure ENT Speech Therapy ( Computerised ) (Audiology) 1100 1200 1200 1400 1800 3000 733 Medical/Surgical Procdedure ENT Speech Therapy Package ( 10 Sessions ) (Audiology) 7800 8700 8700 10000 13100 21800 734 Medical/Surgical Procdedure ENT Endoscopic Concho Bullectomy - Bilateral 10400 11600 11600 13300 17400 29000 735 Medical/Surgical Procdedure ENT Drug Induced Sleep Endoscopy (DISE) 3100 3400 3400 3900 5100 8500 736 Medical/Surgical Procdedure ENT Ethmoidectomy External 9200 10200 10200 11700 15300 25500 737 Medical/Surgical Procdedure ENT Angiofibroma Excision 29900 33200 33200 38200 49800 83000 738 Medical/Surgical Procdedure ENT Laryngeal / Tracheal Stenosis Excision + Repair 13700 15200 15200 17500 22800 38000 739 Medical/Surgical Procdedure ENT Synaechiae Excision - Nasal ( Bilateral ) 2600 2900 2900 3300 4400 7300 740 Medical/Surgical Procdedure ENT Synaechiae Excision - Nasal ( Right ) 2600 2900 2900 3300 4400 7300 741 Medical/Surgical Procdedure ENT Synaechiae Excision - Nasal ( Left ) 2500 2800 2800 3200 4200 7000 742 Medical/Surgical Procdedure ENT Submandibular Gland Excision ( ENT ) 13700 15200 15200 17500 22800 38000 743 Medical/Surgical Procdedure ENT Pharyngeal Diverticulum Excision ( ENT ) 19100 21200 21200 24400 31800 53000 744 Medical/Surgical Procdedure ENT Sebaceous Cyst ( Neck ) Excision ( ENT ) 3200 3600 3600 4100 5400 9000 745 Medical/Surgical Procdedure ENT Thyroglossal Cyst Excision ( ENT ) 9200 10200 10200 11700 15300 25500 746 Medical/Surgical Procdedure ENT Facial Nerve Decompression ( ENT ) 43500 48300 48300 55500 72500 120800 747 Medical/Surgical Procdedure GASTROENTEROLOGY ESOPHAGAL MANOMETRY 6750 7500 7500 8600 11250 18750 748 Medical/Surgical Procdedure GASTROENTEROLOGY PH METRY INCLUDING MANOMETRY 14000 15500 15500 17800 23250 38750 749 Medical/Surgical Procdedure GASTROENTEROLOGY HYDROGEN BREATH TEST (D-XYLOSE) 4050 5000 4500 5180 6750 11250 750 Medical/Surgical Procdedure GASTROENTEROLOGY HYDROGEN BREATH TEST (FRUCTOSE (IBS) ) 4050 3500 4500 5180 6750 11250 751 Medical/Surgical Procdedure GASTROENTEROLOGY HYDROGEN BREATH TEST (LACTOSE) 4500 3500 5000 5750 7500 12500 752 Medical/Surgical Procdedure GASTROENTEROLOGY HYDROGEN BREATH TEST (SUCROSE) 3150 3500 3500 4030 5250 8750 753 Medical/Surgical Procdedure GASTROENTEROLOGY HYDROGEN BREATH TEST (SORBITOL ) 3150 3500 3500 4030 5250 8750 754 Medical/Surgical Procdedure GASTROENTEROLOGY Capsule Endoscopy 9100 10100 10100 11600 15200 25300 755 Medical/Surgical Procdedure GASTROENTEROLOGY Ultrasound Guidance Endoscopy 10300 11400 11400 13100 17100 28500 756 Medical/Surgical Procdedure GASTROENTEROLOGY Percutaneous Endoscopic Gastrostomy ( PEG ) Exchange 6800 7600 7600 8700 11400 19000 757 Medical/Surgical Procdedure GASTROENTEROLOGY Polypectomy ( Colonic ) - Endoscopy Assisted 11500 12800 12800 14700 19200 32000 GASTROENTEROLOGY Endoscopic Mucosal Resection ( EMR ) - ( Gastroenterology ) 13800 15300 15300 17600 23000 38300 758 Medical/Surgical Procdedure 759 Medical/Surgical Procdedure GASTROENTEROLOGY Stricture Dilatation - Subsequent 5800 6400 6400 7400 9600 16000 GASTROENTEROLOGY Sleeve Gastrectomy - Laparoscopic ( Gastrointestinal Surgery ) 34400 38200 38200 43900 57300 95500 760 Medical/Surgical Procdedure Endoscopic Retrograde CholangioPancreatography ( ERCP ) GASTROENTEROLOGY 16000 17800 17800 20500 26700 44500 761 Medical/Surgical Procdedure Papillotomy + Stone Extraction 762 Medical/Surgical Procdedure GASTROENTEROLOGY Sigmoidoscopy (Flexible) 2900 3200 3200 3700 4800 8000 Endoscopic Retrograde Cholangiopancreatography ( ERCP ) GASTROENTEROLOGY 18400 20400 20400 23500 30600 51000 763 Medical/Surgical Procdedure Mechanical Lithotripsy (IPD) 764 Medical/Surgical Procdedure GASTROENTEROLOGY Colonoscopy ( Left Sided ) 5700 6300 6300 7275 9500 15800 765 Medical/Surgical Procdedure GASTROENTEROLOGY Esophageal varices Band Ligation ( Endoscopic ) 6800 7600 7600 8700 11400 19000 766 Medical/Surgical Procdedure GASTROENTEROLOGY Savary - Gilliard ( SG ) Dilatation 6800 7600 7600 8700 11400 19000 767 Medical/Surgical Procdedure GASTROENTEROLOGY H. Pylori Test 600 700 700 800 1100 1800 768 Medical/Surgical Procdedure GASTROENTEROLOGY Biliary Balloon Dilatation 18400 20400 20400 23500 30600 51000 GASTROENTEROLOGY Endoscopic Nasobiliary Drainage ( ENBD ) Tube Placement 5800 6400 6400 7400 9600 16000 769 Medical/Surgical Procdedure 770 Medical/Surgical Procdedure GASTROENTEROLOGY Polypectomy - Multiple Polyps 17100 19000 19000 21900 28500 47500 771 Medical/Surgical Procdedure GASTROENTEROLOGY Hemoclipping ( Bleeding Vessels ) 6800 7600 7600 8700 11400 19000 772 Medical/Surgical Procdedure GASTROENTEROLOGY Argon Plasma Coagulation ( APC ) - Large Area 6800 7600 7600 8700 11400 19000 773 Medical/Surgical Procdedure GASTROENTEROLOGY Glue Injection For Gastric Varices 6800 7600 7600 8700 11400 19000 Endoscopic Retrograde CholangioPancreatography ( ERCP ) - GASTROENTEROLOGY 10300 11400 11400 13100 17100 28500 774 Medical/Surgical Procdedure Diagnostic 775 Medical/Surgical Procdedure GASTROENTEROLOGY Nasojejunal Tube Placement 6800 7600 7600 8700 11400 19000 776 Medical/Surgical Procdedure GASTROENTEROLOGY Ph Monitoring + Manometry 9100 10100 10100 11600 15200 25300 777 Medical/Surgical Procdedure GASTROENTEROLOGY Biliary Manometry 12600 14000 14000 16100 21000 35000 778 Medical/Surgical Procdedure GASTROENTEROLOGY Push Enteroscopy 6800 7600 7600 8700 11400 19000 GASTROENTEROLOGY Endoscopic Ultrasound ( EUS ) + Fine Needle Aspiration ( FNA ) 18400 20400 20400 23500 30600 51000 779 Medical/Surgical Procdedure 780 Medical/Surgical Procdedure GASTROENTEROLOGY Celiac Block - Endoscopic Ultrasound ( EUS ) Guided 22900 25400 25400 29200 38100 63500 GASTROENTEROLOGY Nasobiliary Drainage ( NBD ) + Endoscopic Papillotomy ( EPT ) 16000 17800 17800 20500 26700 44500 781 Medical/Surgical Procdedure Self Expandable Esophageal Metallic Stent ( SEMS ) - GASTROENTEROLOGY 11500 12800 12800 14700 19200 32000 782 Medical/Surgical Procdedure Esophageal GASTROENTEROLOGY Self Expandable Esophageal Metallic Stent ( SEMS ) - Duodenal 11500 12800 12800 14700 19200 32000 783 Medical/Surgical Procdedure GASTROENTEROLOGY Self Expandable Esophageal Metallic Stent ( SEMS ) - Colonic 11500 12800 12800 14700 19200 32000 784 Medical/Surgical Procdedure 785 Medical/Surgical Procdedure GASTROENTEROLOGY Nasobiliary Drainage ( NBD ) Cholangiogram 4600 5100 5100 5900 7700 12800 786 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopic Ultrasound ( EUS ) 1700 1900 1900 2200 2900 4800 787 Medical/Surgical Procdedure GASTROENTEROLOGY CRE Balloon Dilatation 6800 7600 7600 8700 11400 19000 Balloon Assisted Enteroscopy - Antegrade / Retrograde ( Right GASTROENTEROLOGY 11500 12800 12800 14700 19200 32000 788 Medical/Surgical Procdedure Side ) 789 Medical/Surgical Procdedure GASTROENTEROLOGY Balloon Assisted Enteroscopy - Bidirectional ( Both Side ) 16000 17800 17800 20500 26700 44500 790 Medical/Surgical Procdedure GASTROENTEROLOGY GI Biopsy - Endoscopic 600 700 700 800 1100 1800 791 Medical/Surgical Procdedure GASTROENTEROLOGY Gastrointestinal Biopsy - Multiple Sites 1200 1300 1300 1500 2000 3300 792 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopy Bedside ( Gastroenterology ) 6800 7600 7600 8700 11400 19000 793 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopy Intraoperative 9100 10100 10100 11600 15200 25300 794 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopy Transnasal 6800 7600 7600 8700 11400 19000 795 Medical/Surgical Procdedure GASTROENTEROLOGY Heater Probe Coagulation - Endoscopic 6800 7600 7600 8700 11400 19000 796 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopic Brush Cytology 1200 1300 1300 1500 2000 3300 797 Medical/Surgical Procdedure GASTROENTEROLOGY Colonoscopy - Bedside 9100 10100 10100 11600 15200 25300 798 Medical/Surgical Procdedure GASTROENTEROLOGY Enteroscopy Intraoperative ( Gastroenterology ) 11500 12800 12800 14700 19200 32000 Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 18400 20400 20400 23500 30600 51000 799 Medical/Surgical Procdedure Biliary / Pancreatic Stenting - Multiple Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 22900 25400 25400 29200 38100 63500 800 Medical/Surgical Procdedure Pancreatic ESWL GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 16000 17800 17800 20500 26700 44500 801 Medical/Surgical Procdedure Pancreatic Stone Extraction Endoscopic Retrograde CholangioPancreatography ( ERCP ) GASTROENTEROLOGY 17100 19000 19000 21900 28500 47500 802 Medical/Surgical Procdedure Minor Papilla Stenting Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 22900 25400 25400 29200 38100 63500 803 Medical/Surgical Procdedure Choledochoscopy 804 Medical/Surgical Procdedure GASTROENTEROLOGY Polypectomy 11500 12800 12800 14700 19200 32000 805 Medical/Surgical Procdedure GASTROENTEROLOGY Cystogastrostomy - EUS Guided 22900 25400 25400 29200 38100 63500 806 Medical/Surgical Procdedure GASTROENTEROLOGY Gastric Balloon Placement 22900 25400 25400 29200 38100 63500 807 Medical/Surgical Procdedure GASTROENTEROLOGY Breath Test For Helicobacter Pylori 4100 4500 4500 5200 6800 11300 Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 16000 17800 17800 20500 26700 44500 808 Medical/Surgical Procdedure Biliary Stenting 809 Medical/Surgical Procdedure GASTROENTEROLOGY Colonoscopy ( Left Sided ) - Bedside 5800 6400 6400 7400 9600 16000 810 Medical/Surgical Procdedure GASTROENTEROLOGY Hot Biopsy 3500 3900 3900 4500 5900 9800 811 Medical/Surgical Procdedure GASTROENTEROLOGY Homoseal Spray Application 6800 7600 7600 8700 11400 19000 812 Medical/Surgical Procdedure GASTROENTEROLOGY Nasogastric Tube Placement 5800 6400 6400 7400 9600 16000 813 Medical/Surgical Procdedure GASTROENTEROLOGY EUS Guided Pus Drainage ( Endoscopy ) 22900 25400 25400 29200 38100 63500 814 Medical/Surgical Procdedure GASTROENTEROLOGY Fibroscan with CAP 4000 4400 4400 5100 6600 11000 Endoscopic Retrograde CholangioPancreatography ( ERCP ) + GASTROENTEROLOGY 14100 15700 15700 18000 23600 39300 815 Medical/Surgical Procdedure Papillotomy 816 Medical/Surgical Procdedure GASTROENTEROLOGY Percutaneous Endoscopic Gastrostomy ( PEG ) 9100 10100 10100 11600 15200 25300 817 Medical/Surgical Procdedure GASTROENTEROLOGY Percutaneous Endoscopic Gastrostomy ( PEG ) Removal 3500 3900 3900 4500 5900 9800 818 Medical/Surgical Procdedure GASTROENTEROLOGY Percutaneous Endoscopic Jejunostomy 11500 12800 12800 14700 19200 32000 819 Medical/Surgical Procdedure GASTROENTEROLOGY Liver Biopsy Percutaneous ( Gastroenterology ) 4600 5100 5100 5900 7700 12800 820 Medical/Surgical Procdedure GASTROENTEROLOGY Colonoscopy 8800 9800 9800 11220 14700 24500 821 Medical/Surgical Procdedure GASTROENTEROLOGY Sclerotherapy Endoscopic (EST) 6800 7600 7600 8700 11400 19000 822 Medical/Surgical Procdedure GASTROENTEROLOGY Endoscopy (Side Viewing) 5800 6400 6400 7400 9600 16000 823 Medical/Surgical Procdedure GASTROENTEROLOGY Ascitic tap (Paracentesis) Therapeutic 3500 3900 3900 4500 5900 9800 824 Medical/Surgical Procdedure GASTROENTEROLOGY GI (Upper) Endoscopy 4100 4500 4500 5200 6800 11300 825 Medical/Surgical Procdedure GASTROENTEROLOGY pH Monitoring 6800 7600 7600 8700 11400 19000 826 Medical/Surgical Procdedure GASTROENTEROLOGY Foreign Body (GIT) Removal 8000 8900 8900 10200 13400 22300 827 Medical/Surgical Procdedure GASTROENTEROLOGY Anorectal Manometry 6750 7500 7500 8600 11250 18750 828 Medical/Surgical Procdedure GASTROENTEROLOGY Esophageal Manometry 6800 7600 7600 8700 11400 19000 829 Medical/Surgical Procdedure GASTROENTEROLOGY Microlith Study 6800 7600 7600 8700 11400 19000 Paracentesis / Ascitic Tapping / Peritoneal Fluid Aspiration ( GASTROENTEROLOGY 2300 2500 2500 2900 3800 6300 830 Medical/Surgical Procdedure Diagnostic ) - Gastroenterology 831 Medical/Surgical Procdedure GASTROENTEROLOGY Rectal Decompression ( Manual ) 4100 4500 4500 5200 6800 11300 832 Medical/Surgical Procdedure GASTROENTEROLOGY Achalasia Cardia Dilatation 9100 10100 10100 11600 15200 25300 833 Medical/Surgical Procdedure GASTROENTEROLOGY Sengstaken Blakmore Tube Placement 5200 5800 5800 6700 8700 14500 834 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Arterial / Venous Mapping 14300 15700 15700 18055 23600 39300 835 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Radiofrequency ( RF ) Ablation - Varicose Vein One Leg 26000 28600 28600 32890 42900 71500 Radiofrequency ( RF ) Ablation - Varicose Vein ( Multiple ) Short INTERVENTIONAL RADIOLOGY 37300 41000 41000 47150 61500 102500 836 Medical/Surgical Procdedure Segment One Leg 837 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Varicose Mapping Doppler / Contrast 7200 7900 7900 9085 11900 19800 Hemangioma Embolization - Face/Body ( Interventional INTERVENTIONAL RADIOLOGY 37300 41000 41000 47150 61500 102500 838 Medical/Surgical Procdedure Radiology ) 839 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Flow Anaysis For Vertebroplasty 12500 13800 13800 15870 20700 34500 840 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Arterio Portogram ( Interventional Radiology ) 24800 27300 27300 31395 41000 68300 Spinal Tumor Embolization - Hemangioma/METS ( Interventional INTERVENTIONAL RADIOLOGY 49800 54800 54800 63020 82200 137000 841 Medical/Surgical Procdedure Radiology ) 842 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Vertebroplasty ( Interventional Radiology ) 45500 50100 50100 57615 75200 125300 Long Term Tunnelled Dialysis Catheter Insertion ( Ultra Sound / INTERVENTIONAL RADIOLOGY 20800 22900 22900 26335 34400 57300 843 Medical/Surgical Procdedure Digital Subtraction Angiography ( DSA ) Guided ) INTERVENTIONAL RADIOLOGY Intracranial Tumour Embolization ( Interventional Radiology ) 29900 32900 32900 37835 49400 82300 844 Medical/Surgical Procdedure 845 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Angiography / Venography - Specific Body Part 27300 30000 30000 34500 45000 75000 846 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Arterio-Venous Graft/Fistula Angioplasty & Throbolysis 18600 20500 20500 23575 30800 51300 847 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Fallopian Tube Recannulation 19500 21500 21500 24725 32300 53800 848 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Coiling Of Intracranial Aneurysm - Attempted 31100 34200 34200 39330 51300 85500 External / Internal Carotid Artery Tumor Embolization ( INTERVENTIONAL RADIOLOGY 37300 41000 41000 47150 61500 102500 849 Medical/Surgical Procdedure Interventional Radiology ) INTERVENTIONAL RADIOLOGY Evaluation For Fallopian Tube HSG ( Interventional Radiology ) 10400 11400 11400 13110 17100 28500 850 Medical/Surgical Procdedure 851 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Evaluation For Nasal Bleeding / Nasal Mass / Bleeding 32400 35600 35600 40940 53400 89000 Guided Dialysis Catheter Insertion ( IJ / Femoral / Non-Tunnelled INTERVENTIONAL RADIOLOGY 20800 22900 22900 26335 34400 57300 852 Medical/Surgical Procdedure ) INTERVENTIONAL RADIOLOGY Head & Neck Vessels Evaluation ( Interventional Radiology ) 22500 24800 24800 28520 37200 62000 853 Medical/Surgical Procdedure 854 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Inferior Vena Cava Evaluation / Filter Insertion 26000 28600 28600 32890 42900 71500 INTERVENTIONAL RADIOLOGY Intracranial Angioplasty + Stenting ( Interventional Radiology ) 49800 54800 54800 63020 82200 137000 855 Medical/Surgical Procdedure 856 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Intracranial Drug Therapy - Post SAH Vasospasm 24800 27300 27300 31395 41000 68300 857 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Common Bile Duct Balloonoplasty 8700 9600 9600 11040 14400 24000 Uterine Artery Embolization ( UAE ) - Multiple Fibroids / INTERVENTIONAL RADIOLOGY Adenomyosis / Postpartum Hemorrhage ( PPH ) / Failed 45500 50100 50100 57615 75200 125300 858 Medical/Surgical Procdedure Myomectomy 859 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Mediastinal Syndromes - Interventional 43400 47700 47700 54855 71600 119300 INTERVENTIONAL RADIOLOGY Pelvic Mass / Pelvic Congestion Syndrome / Tumor Embolization 45500 50100 50100 57615 75200 125300 860 Medical/Surgical Procdedure 861 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY CBD Stent Insertion ( Percutaneous ) - One side 12500 13800 13800 15870 20700 34500 862 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Spinal AVM / AVF Embolization 87100 95800 95800 110170 143700 239500 863 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Thrombolysis ( Interventional Radiology ) 62300 68500 68500 78775 102800 171300 INTERVENTIONAL RADIOLOGY Tips ( Trans -Jugular Porto - Systemic Shunt ) - Interventional 47200 51900 51900 59685 77900 129800 864 Medical/Surgical Procdedure Percutaneous Transhepatic Biliary Drainage ( PTBD ) Ultrasound INTERVENTIONAL RADIOLOGY 24800 27300 27300 31395 41000 68300 865 Medical/Surgical Procdedure Guided / DSA - One Side INTERVENTIONAL RADIOLOGY Image Guided Peripheral Insertion of Central Catheter (PICC) 10000 11000 11000 12650 16500 27500 866 Medical/Surgical Procdedure 867 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Ozone ( O3 ) Therapy - Facetal Joint 20800 22900 22900 26335 34400 57300 868 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Ozone ( O3 ) Therapy - Disc Herniation ( Multiple ) 28600 31500 31500 36225 47300 78800 Guided Ozone ( O3 ) Therapy - Disc Herniation & Facetal Joint ( INTERVENTIONAL RADIOLOGY 35800 39400 39400 45310 59100 98500 869 Medical/Surgical Procdedure Multiple ) 870 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Ozone ( O3 ) Therapy - Facetal Joint ( Multiple ) 21500 23700 23700 27255 35600 59300 871 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Ozone ( O3 ) Therapy - Disc Herniation ( Single ) 22100 24300 24300 27945 36500 60800 Tumor Embolization ( Benign / Malignant ) - Interventional INTERVENTIONAL RADIOLOGY 37300 41000 41000 47150 61500 102500 872 Medical/Surgical Procdedure Radiology INTERVENTIONAL RADIOLOGY Trans-Arterial Chemo For Hepatic / Specific Tumor Interventional 28600 31500 31500 36225 47300 78800 873 Medical/Surgical Procdedure 874 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Splenic Artery / Heparic Artery / Aneurysm Embolization 33800 37200 37200 42780 55800 93000 INTERVENTIONAL RADIOLOGY Varicose Vein Mapping ( Radiofrequency Ablation ) One Leg 52000 57200 57200 65780 85800 143000 875 Medical/Surgical Procdedure 876 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Drainage Catheter Removal 6100 6700 6700 7705 10100 16800 877 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Pre-Procedure Venogram ( Central / Upper / Lower Limb ) 6500 7200 7200 8280 10800 18000 878 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Embolization - Preoperative 32500 35800 35800 41170 53700 89500 879 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Pre-Procedure / Post-Procedure Usg /Doppler Evaluation 2200 2400 2400 2760 3600 6000 880 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Post-Op/Trauma Vascular / Non Vascular Interventions 37300 41000 41000 47150 61500 102500 INTERVENTIONAL RADIOLOGY Post Pancreatitis Sequeles / Embolization Of Various Causes 27300 30000 30000 34500 45000 75000 881 Medical/Surgical Procdedure 882 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Port/Tunnelled Catheter Insertion/Revision/Removal 9100 10000 10000 11500 15000 25000 Pleural Effusion /Ascites / Absess Aspiration & Drainage ( INTERVENTIONAL RADIOLOGY 14800 16300 16300 18745 24500 40800 883 Medical/Surgical Procdedure Ultrasound Guided ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 884 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Percutaneous Biliary Duct / CBD Stone / Stent Removal 8700 9600 9600 11040 14400 24000 885 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Nucleolysis ( Single Disc ) 26000 28600 28600 32890 42900 71500 886 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Nucleolysis ( Multiple Disc ) 29900 32900 32900 37835 49400 82300 Uterine / Ovarian Artery Mapping For Embolization ( INTERVENTIONAL RADIOLOGY 13000 14300 14300 16445 21500 35800 887 Medical/Surgical Procdedure Interventional Radiology ) 888 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Neucleolysis Mapping 9100 10000 10000 11500 15000 25000 889 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Management Of Neck Vessels Dissection With Stenting 80900 89000 89000 102350 133500 222500 INTERVENTIONAL RADIOLOGY Lower Extremity Pelvic Arterial Angioplasty/Stenting/Thromolysis 42900 47200 47200 54280 70800 118000 890 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided O3 Therapy For Single Disc Herniation & Facetal Joint 28600 31500 31500 36225 47300 78800 891 Medical/Surgical Procdedure 892 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Cholangiogram / Tube Cholangiogram 6500 7200 7200 8280 10800 18000 Digital Subtraction Angiography ( DSA ) IntraAarterial ( INTERVENTIONAL RADIOLOGY 26000 28600 28600 32890 42900 71500 893 Medical/Surgical Procdedure Interventional Radiology ) 894 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Intraarterial / Venous Embolization 35100 38600 38600 44390 57900 96500 Guided Ozone ( O3 ) Therapy - Single Joint ( Knee / Shoulder / INTERVENTIONAL RADIOLOGY 26000 28600 28600 32890 42900 71500 895 Medical/Surgical Procdedure Other Joint ) Percutaneous Transhepatic Biliary Drainage ( PTBD ) Check INTERVENTIONAL RADIOLOGY 6500 7200 7200 8280 10800 18000 896 Medical/Surgical Procdedure Cholangiogram ( Pre / Intra / Post Procedure ) INTERVENTIONAL RADIOLOGY Guided Uterine Artery Embolization ( UAE ) - Uterine Fibroid 49800 54800 54800 63020 82200 137000 897 Medical/Surgical Procdedure 898 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Vericoseal Interventional 39000 42900 42900 49335 64400 107300 899 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Intracranial Angioplasty ( Interventional Radiology ) 62300 68500 68500 78775 102800 171300 900 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Guided Prostatic Artery Embolization 50700 55800 55800 64170 83700 139500 901 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Mapping for BPH Embolization 15000 16500 16500 18975 24800 41300 902 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Median Lobe Embolization for BPH 39000 42900 42900 49335 64400 107300 903 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Prostatic Artery Embolization for BPH 41600 45800 45800 52670 68700 114500 904 Medical/Surgical Procdedure INTERVENTIONAL RADIOLOGY Venous/Av Malformation Interventional 24800 27300 27300 31395 41000 68300 905 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Abdominal Packing ( LTGIHB ) 17600 19500 19500 22400 29300 48800 906 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Colostomy Bag Application ( LTGIHB ) 500 600 600 700 900 1500 Truncal Vagotomy + Gastrojejunostomy / Pyloroplasty - Open ( Liver Transplant, GI & HPB Surgery 18800 20900 20900 24000 31400 52300 907 Medical/Surgical Procdedure LTGIHB ) 908 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Tube Duodenostomy ( LTGIHB ) 11500 12800 12800 14700 19200 32000 909 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Umbilical Sinus Excision - Laparoscopic ( LTGIHB ) 15200 16900 16900 19400 25400 42300 Liver Transplant, GI & HPB Surgery Whipple's Pancreatoduodenectomy - Laparoscopic ( LTGIHB ) 47000 52200 52200 60000 78300 130500 910 Medical/Surgical Procdedure 911 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Wound Closure / Suturing - Secondary ( LTGIHB ) 11100 12300 12300 14200 18500 30800 912 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Wound Debridement - Major ( LTGIHB ) 7700 8500 8500 9800 12800 21300 913 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Cystojejunostomy - Open ( LTGIHB ) 23600 26200 26200 30100 39300 65500 914 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Devascularization and Spelenectomy ( LTGIHB ) 26000 28900 28900 33200 43400 72300 915 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Dressing - Small ( LTGIHB ) 900 1000 1000 1100 1500 2500 916 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Esophageal Transection ( EEA Stapler Use ) ( LTGIHB ) 20800 23100 23100 26600 34700 57800 917 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastrectomy - Total - Open ( LTGIHB ) 26700 29700 29700 34200 44600 74300 918 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastrojejunostomy - Open ( LTGIHB ) 16300 18100 18100 20800 27200 45300 919 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastrostomy - Open ( LTGIHB ) 12300 13700 13700 15800 20600 34300 920 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Hartmann's Procedure ( LTGIHB ) 20100 22300 22300 25600 33500 55800 921 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Hemorrhoidectomy Open ( LTGIHB ) 13500 15000 15000 17300 22500 37500 922 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Abdominal Wall Hematoma Drainage ( LTGIHB ) 11500 12800 12800 14700 19200 32000 923 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Hemorrhoids Banding ( LTGIHB ) 2900 3200 3200 3700 4800 8000 Hernia repair Diaphragmatic - Repair with Mesh - Open ( Liver Transplant, GI & HPB Surgery 21200 23500 23500 27000 35300 58800 924 Medical/Surgical Procdedure LTGIHB ) 925 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Hernia repair Incisional - Laparoscopic ( LTGIHB ) 20100 22300 22300 25700 33500 55800 Liver Transplant, GI & HPB Surgery Hernia repair Incisional - Repair without Mesh - Open ( LTGIHB ) 15700 17400 17400 20000 26100 43500 926 Medical/Surgical Procdedure 927 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Intestinal Fistula Excision ( LTGIHB ) 22100 24500 24500 28200 36800 61300 928 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Intestinal Perforation Closure - Open ( LTGIHB ) 16300 18100 18100 20800 27200 45300 929 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Intussusception - Surgical Reduction - Open ( LTGIHB ) 17600 19500 19500 22400 29300 48800 Liver Transplant, GI & HPB Surgery Laparoscopy Diagnostic - With or Without Biopsy ( LTGIHB ) 13500 15000 15000 17300 22500 37500 930 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Laparotomy Exploratory - With or Without Biopsy ( LTGIHB ) 13500 15000 15000 17300 22500 37500 931 Medical/Surgical Procdedure 932 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Abscess Drainage - Percutaneous ( LTGIHB ) 2900 3200 3200 3700 4800 8000 933 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Appendicectomy - Open ( LTGIHB ) 11700 13000 13000 14900 19500 32500 934 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Resection - Left Lateral Segmentectomy ( LTGIHB ) 32600 36200 36200 41600 54300 90500 935 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Resection - Wedge resection ( LTGIHB ) 22500 25000 25000 28800 37500 62500 936 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Mesenteric Cyst Excision - Open ( LTGIHB ) 18800 20900 20900 24000 31400 52300 937 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Pancreatectomy Distal - Open ( LTGIHB ) 21900 24300 24300 28000 36500 60800 Liver Transplant, GI & HPB Surgery Pancreaticojejunostomy Lateral - Laparoscopic ( LTGIHB ) 26700 29700 29700 34200 44600 74300 938 Medical/Surgical Procdedure 939 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Pancreaticojejunostomy Lateral - Open ( LTGIHB ) 24900 27700 27700 31800 41600 69300 Paracentesis / Ascitic Tapping / Peritoneal Fluid Aspiration ( Liver Transplant, GI & HPB Surgery 2000 2200 2200 2500 3300 5500 940 Medical/Surgical Procdedure LTGIHB ) 941 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Perianal Abscess Drainage ( LTGIHB ) 7300 8100 8100 9300 12200 20300 942 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Piles Sclerotherapy ( LTGIHB ) 1300 1400 1400 1600 2100 3500 943 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Proctocolectomy Open ( LTGIHB ) 29300 32500 32500 37400 48800 81300 944 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Burst Abdomen Repair ( LTGIHB ) 12600 14000 14000 16100 21000 35000 945 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Restoration of Intestinal Continuity ( LTGIHB ) 20100 22300 22300 25600 33500 55800 946 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Segment 3 Bypass ( LTGIHB ) 30900 34300 34300 39500 51500 85800 947 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Shunt - LR / Mesocaval ( L - R Shunt ) ( LTGIHB ) 31300 34800 34800 40000 52200 87000 Shunt - DSRS Splenectomy + Lienorenal Shunt ( Distal ) ( Liver Transplant, GI & HPB Surgery 37500 41700 41700 48000 62600 104300 948 Medical/Surgical Procdedure LTGIHB ) 949 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Small Intestinal Resection + Anastomosis ( LTGIHB ) 24900 27700 27700 31800 41600 69300 Liver Transplant, GI & HPB Surgery Small Intestinal Resection & Anastomosis- Open ( LTGIHB ) 20100 22300 22300 25700 33500 55800 950 Medical/Surgical Procdedure Stapled Ano Rectal Resection for Rectal Prolapse/Hemorrhoids ( Liver Transplant, GI & HPB Surgery 22100 24500 24500 28200 36800 61300 951 Medical/Surgical Procdedure LTGIHB ) 952 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Stomach wash ( LTGIHB ) 1100 1200 1200 1400 1800 3000 953 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Stricturoplasty - Open ( LTGIHB ) 13000 14400 14400 16600 21600 36000 954 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Triple by-pass ( LTGIHB ) 30900 34300 34300 39500 51500 85800 955 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Cholecystectomy Open ( LTGIHB ) 15000 16700 16700 19200 25100 41800 956 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Tube Caecostomy ( LTGIHB ) 10500 11700 11700 13400 17600 29300 957 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Umbilectomy ( LTGIHB ) 11500 12800 12800 14700 19200 32000 958 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Volvulus Colon - Resection Anastomosis ( LTGIHB ) 25000 27800 27800 32000 41700 69500 959 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Volvulus Colon - Untwisting - Simple ( LTGIHB ) 20100 22300 22300 25700 33500 55800 960 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Whipple's Pancreatoduodenectomy - Open ( LTGIHB ) 37500 41700 41700 48000 62600 104300 961 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Wound debridement - Minor ( LTGIHB ) 5400 6000 6000 6900 9000 15000 962 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Biliopancreatic Diversion - Laparoscopic ( LTGIHB ) 36500 40600 40600 46700 60900 101500 Colostomy Formation Transverse / Sigmoid - Laparoscopic ( Liver Transplant, GI & HPB Surgery 17800 19800 19800 22800 29700 49500 963 Medical/Surgical Procdedure LTGIHB ) Liver Transplant, GI & HPB Surgery Colostomy Formation Transverse / Sigmoid - Open ( LTGIHB ) 15200 16900 16900 19400 25400 42300 964 Medical/Surgical Procdedure 965 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Cystogastrostomy Laparoscopic / Open ( LTGIHB ) 23000 25600 25600 29400 38400 64000 Cholecystectomy, Choledocholithotomy/ CBD exploration - Open Liver Transplant, GI & HPB Surgery 23000 25600 25600 29400 38400 64000 966 Medical/Surgical Procdedure ( LTGIHB ) Esophageal Atresia + Tracheoesophageal Fistula (TEF ) Liver Transplant, GI & HPB Surgery 23600 26200 26200 30100 39300 65500 967 Medical/Surgical Procdedure Correction ( LTGIHB ) 968 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Esophageal Cardiomyotomy - Laparoscopic ( LTGIHB ) 21900 24300 24300 28000 36500 60800 969 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Esophageal Cardiomyotomy - Open ( LTGIHB ) 18800 20900 20900 24000 31400 52300 970 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Fistula in ano - Seton Exchange / Removal ( LTGIHB ) 5200 5800 5800 6700 8700 14500 971 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastrectomy - Total - Laparoscopic ( LTGIHB ) 29300 32500 32500 37400 48800 81300 972 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastric Perforation Closure - Open ( LTGIHB ) 16000 17800 17800 20500 26700 44500 973 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Gastrojejunostomy / Pyloroplasty - Open ( LTGIHB ) 16400 18200 18200 20900 27300 45500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 974 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Hematoma Aspiration ( LTGIHB ) 900 1000 1000 1200 1500 2500 Hernia Repair Inguinal ( Repair without Mesh ) - Unilateral - Liver Transplant, GI & HPB Surgery 12500 13900 13900 16000 20900 34800 975 Medical/Surgical Procdedure Open ( LTGIHB ) Hernia Repair Inguinal Mesh Repair - Bilateral - Open ( LTGIHB Liver Transplant, GI & HPB Surgery 15700 17400 17400 20000 26100 43500 976 Medical/Surgical Procdedure ) 977 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Cholecystojejunostomy - Open ( LTGIHB ) 15700 17400 17400 20000 26100 43500 Hernia Repair Inguinal Mesh Repair - Unilateral - Open ( LTGIHB Liver Transplant, GI & HPB Surgery 13100 14600 14600 16800 21900 36500 978 Medical/Surgical Procdedure ) Hernia repair Strangulated Incisional Hernia repair - Liver Transplant, GI & HPB Surgery 23000 25600 25600 29400 38400 64000 979 Medical/Surgical Procdedure Laparoscopic ( GI Surgery ) ( LTGIHB ) Hernia repair Strangulated Incisional Hernia repair - Open ( Liver Transplant, GI & HPB Surgery 19300 21400 21400 24600 32100 53500 980 Medical/Surgical Procdedure LTGIHB ) Intraabdominal Collection/Abscess Drainage - Laparoscopic ( Liver Transplant, GI & HPB Surgery 21900 24300 24300 28000 36500 60800 981 Medical/Surgical Procdedure LTGIHB ) Liver Transplant, GI & HPB Surgery Intraabdominal Collection/Abscess Drainage - Open ( LTGIHB ) 20100 22300 22300 25600 33500 55800 982 Medical/Surgical Procdedure 983 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Cyst - Deroofing - Multiple - Laparoscopic ( LTGIHB ) 26900 29900 29900 34400 44900 74800 984 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Cyst - Deroofing - Multiple - Open ( LTGIHB ) 21900 24300 24300 28000 36500 60800 985 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Cyst - Deroofing - Single - Laparoscopic ( LTGIHB ) 23800 26400 26400 30400 39600 66000 986 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Cyst - Deroofing - Single - Open ( LTGIHB ) 18800 20900 20900 24000 31400 52300 987 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Cholecystostomy ( LTGIHB ) 12500 13900 13900 16000 20900 34800 Liver Cyst - Hydatid cyst - Excision / Drainage - Multiple - Open ( Liver Transplant, GI & HPB Surgery 23100 25700 25700 29600 38600 64300 988 Medical/Surgical Procdedure LTGIHB ) Liver Cyst - Hydatid cyst - Excision / Drainage - Solitary - Liver Transplant, GI & HPB Surgery 23800 26400 26400 30400 39600 66000 989 Medical/Surgical Procdedure Laparoscopic ( LTGIHB ) Liver Cyst - Hydatid cyst - Excision / Drainage - Solitary - Open ( Liver Transplant, GI & HPB Surgery 20100 22300 22300 25600 33500 55800 990 Medical/Surgical Procdedure LTGIHB ) 991 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Liver Resection - Hepatectomy Right/ Left ( LTGIHB ) 37500 41700 41700 48000 62600 104300 Liver Resection - Hepatic Trisegmentectomy / Extended Liver Transplant, GI & HPB Surgery 47000 52200 52200 60000 78300 130500 992 Medical/Surgical Procdedure Hepatectomy - Right / Left ( LTGIHB ) Liver Resection - Lateral Segmentectomy Laparoscopic ( Liver Transplant, GI & HPB Surgery 36300 40300 40300 46400 60500 100800 993 Medical/Surgical Procdedure LTGIHB ) Liver Resection + CBD Excision for Cholangiocarcinoma ( Liver Transplant, GI & HPB Surgery 37500 41700 41700 48000 62600 104300 994 Medical/Surgical Procdedure LTGIHB ) 995 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Pancreatic - Insulinoma Excision ( LTGIHB ) 28000 31100 31100 35800 46700 77800 996 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Pancreatic Necrosectomy ( LTGIHB ) 26700 29700 29700 34200 44600 74300 Liver Transplant, GI & HPB Surgery Pancreatic Pseudocyst Drainage - Laparoscopic ( LTGIHB ) 24000 26700 26700 30700 40100 66800 997 Medical/Surgical Procdedure 998 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Choledochoduodenostomy - Open ( LTGIHB ) 20100 22300 22300 25600 33500 55800 999 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Pancreaticojejunostomy with Frey's Procedure ( LTGIHB ) 24000 26700 26700 30700 40100 66800 1000 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Posterior Sagittal Anorectoplasty ( PSARP ) ( LTGIHB ) 10700 11900 11900 13700 17900 29800 Posterior Sagittal Anorectoplasty ( PSARP ) - Complete ( Liver Transplant, GI & HPB Surgery 20100 22300 22300 25600 33500 55800 1001 Medical/Surgical Procdedure LTGIHB ) 1002 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Re-do Fundoplication ( LTGIHB ) 26700 29700 29700 34200 44600 74300 1003 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Rectopexy - Open ( LTGIHB ) 20100 22300 22300 25700 33500 55800 1004 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Sigmoidoscopy ( with or without Biopsy ) ( LTGIHB ) 5400 6000 6000 6900 9000 15000 Small Intestinal Resection & Anastomosis - Laparoscopic ( Liver Transplant, GI & HPB Surgery 20100 22300 22300 25700 33500 55800 1005 Medical/Surgical Procdedure LTGIHB ) 1006 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Stricturoplasty - Laparoscopic ( LTGIHB ) 20100 22300 22300 25700 33500 55800 1007 Medical/Surgical Procdedure Liver Transplant, GI & HPB Surgery Stricturoplasty - Multiple ( LTGIHB ) 17800 19800 19800 22800 29700 49500 Truncal Vagotomy + Gastrojejunostomy / Pyloroplasty - Liver Transplant, GI & HPB Surgery 20100 22300 22300 25700 33500 55800 1008 Medical/Surgical Procdedure Laparoscopic ( LTGIHB ) 1009 Medical/Surgical Procdedure MABGIS Abdomino-Anal Pull Through ( MABGIS ) 19300 21400 21400 24600 32100 61500 1010 Medical/Surgical Procdedure MABGIS Anoplasty ( MABGIS ) 14500 16100 16100 18500 24200 46250 1011 Medical/Surgical Procdedure MABGIS Meckel's Diverticulectomy - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 MABGIS Mediastinal Lymph Node Biopsy - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1012 Medical/Surgical Procdedure 1013 Medical/Surgical Procdedure MABGIS Mesenteric Cyst Excision ( MABGIS ) 22100 24500 24500 28200 36800 70500 1014 Medical/Surgical Procdedure MABGIS Mesenteric lymph node biopsy - Laparoscopic ( MABGIS ) 23900 26500 26500 30500 39800 76250 1015 Medical/Surgical Procdedure MABGIS Muscle Biopsy ( MABGIS ) 6000 6700 6700 7700 10100 19250 1016 Medical/Surgical Procdedure MABGIS Nephrectomy - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1017 Medical/Surgical Procdedure MABGIS Nephrectomy Radical - Laparoscopic ( MABGIS ) 23900 26500 26500 30500 39800 76250 1018 Medical/Surgical Procdedure MABGIS Omentectomy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1019 Medical/Surgical Procdedure MABGIS Orchidopexy ( MABGIS ) 12400 13800 13800 15900 20700 39750 1020 Medical/Surgical Procdedure MABGIS Pancreatectomy 95% ( MABGIS ) 29600 32900 32900 37800 49400 94500 1021 Medical/Surgical Procdedure MABGIS Anterior Resection of Rectum - Laparoscopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1022 Medical/Surgical Procdedure MABGIS Pancreatectomy Distal - Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1023 Medical/Surgical Procdedure MABGIS Pancreatic Abscess Drainage + Necrosectomy ( MABGIS ) 25700 28500 28500 32800 42800 82000 1024 Medical/Surgical Procdedure MABGIS Pancreaticojejunostomy Lateral - Open ( MABGIS ) 23900 26500 26500 30500 39800 76250 1025 Medical/Surgical Procdedure MABGIS Parathyroidectomy - Endoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1026 Medical/Surgical Procdedure MABGIS Parathyroidectomy - Open ( MABGIS ) 23900 26500 26500 30500 39800 76250 1027 Medical/Surgical Procdedure MABGIS Pilonidal Sinus Excision + Primary Closure ( MABGIS ) 12400 13800 13800 15900 20700 39750 1028 Medical/Surgical Procdedure MABGIS Pilonidal Sinus Excision with Flap Cover ( MABGIS ) 19300 21400 21400 24600 32100 61500 MABGIS Pilonidal Sinus Excision without Primary Closure ( MABGIS ) 11100 12300 12300 14200 18500 35500 1029 Medical/Surgical Procdedure 1030 Medical/Surgical Procdedure MABGIS Pneumonectomy Thoracoscopic ( MABGIS ) 34400 38200 38200 43900 57300 109750 1031 Medical/Surgical Procdedure MABGIS Proctocolectomy Laparoscopic ( MABGIS ) 29600 32900 32900 37800 49400 94500 1032 Medical/Surgical Procdedure MABGIS Anterior Resection of Rectum - Open ( MABGIS ) 22100 24500 24500 28200 36800 70500 1033 Medical/Surgical Procdedure MABGIS Proctocolectomy Open ( MABGIS ) 28100 31200 31200 35900 46800 89750 MABGIS Pseudopancreatic Cyst Drainage - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1034 Medical/Surgical Procdedure 1035 Medical/Surgical Procdedure MABGIS Pyloromyotomy - Pyloric Stenosis ( MABGIS ) 11100 12300 12300 14200 18500 35500 1036 Medical/Surgical Procdedure MABGIS Rectal Biopsy - Transanal ( MABGIS ) 6000 6700 6700 7700 10100 19250 1037 Medical/Surgical Procdedure MABGIS Rectal Polyp Excision ( MABGIS ) 8700 9700 9700 11100 14600 27750 MABGIS Rectal Prolapse Repair with Mesh - Laparoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1038 Medical/Surgical Procdedure 1039 Medical/Surgical Procdedure MABGIS Rectal Prolapse Repair with Mesh - Open ( MABGIS ) 17100 19000 19000 21900 28500 54750 1040 Medical/Surgical Procdedure MABGIS Rectopexy - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1041 Medical/Surgical Procdedure MABGIS Resuturing - Abdomen ( MABGIS ) 11100 12300 12300 14200 18500 35500 1042 Medical/Surgical Procdedure MABGIS Retroperitoneal Abscess Drainage ( MABGIS ) 14500 16100 16100 18500 24200 46250 Anterior Resection with Total Mesorectal Excision ( TME ) - Open MABGIS 28100 31200 31200 35900 46800 89750 1043 Medical/Surgical Procdedure ( MABGIS ) 1044 Medical/Surgical Procdedure MABGIS Retroperitoneal Tumour Excision ( MABGIS ) 25700 28500 28500 32800 42800 82000 1045 Medical/Surgical Procdedure MABGIS Roux -En-Y Gastric Bypass - Laparoscopic ( MABGIS ) 44600 49600 49600 57000 74400 142500 1046 Medical/Surgical Procdedure MABGIS Sigmoid / Descending Colectomy - Open ( MABGIS ) 22100 24500 24500 28200 36800 70500 1047 Medical/Surgical Procdedure MABGIS Sigmoid End Colostomy ( MABGIS ) 17100 19000 19000 21900 28500 54750 1048 Medical/Surgical Procdedure MABGIS Sigmoidectomy - Laparoscopic ( MABGIS ) 23900 26500 26500 30500 39800 76250 1049 Medical/Surgical Procdedure MABGIS Sigmoidoscopy ( with or without Biopsy ) ( MABGIS ) 5100 5700 5700 6500 8600 16250 Soave Abdominoperineal Pull Through Resection with Colo-Anal MABGIS 25700 28500 28500 32800 42800 82000 1050 Medical/Surgical Procdedure Anastomosis ( MABGIS ) Soave's Abdominoperineal Pull Through Resection ( Modified ) MABGIS 28100 31200 31200 35900 46800 89750 1051 Medical/Surgical Procdedure with Colo-Anal Anastomosis ( MABGIS ) Soft Tissue Mass / Tumor Excision ( Large - Superficial ) MABGIS 12400 13800 13800 15900 20700 39750 1052 Medical/Surgical Procdedure Excluding Neuroma or Ganglion ( MABGIS ) Soft Tissue Mass / Tumor Excision ( Medium - Superficial ) MABGIS 8700 9700 9700 11100 14600 27750 1053 Medical/Surgical Procdedure Excluding Neuroma or Ganglion ( MABGIS ) Anterior Resection with Total Mesorectal Excision ( TME ) - MABGIS 29600 32900 32900 37800 49400 94500 1054 Medical/Surgical Procdedure Laparoscopic ( MABGIS ) Soft Tissue Mass / Tumor Excision ( Small - Superficial ) MABGIS 6000 6700 6700 7700 10100 19250 1055 Medical/Surgical Procdedure Excluding Neuroma or Ganglion ( MABGIS ) 1056 Medical/Surgical Procdedure MABGIS Soft Tissue Sinus Excision ( MABGIS ) 5100 5700 5700 6500 8600 16250 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM MABGIS Sphincterotomy Lateral Internal + Fissurectomy ( MABGIS ) 7300 8100 8100 9300 12200 23250 1057 Medical/Surgical Procdedure 1058 Medical/Surgical Procdedure MABGIS Splenectomy - Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1059 Medical/Surgical Procdedure MABGIS Splenectomy Open ( MABGIS ) 23900 26500 26500 30500 39800 76250 1060 Medical/Surgical Procdedure MABGIS Stricturoplasty ( MABGIS ) 12400 13800 13800 15900 20700 39750 1061 Medical/Surgical Procdedure MABGIS Suture removal ( MABGIS ) 800 900 900 1000 1400 2500 1062 Medical/Surgical Procdedure MABGIS Sympathectomy - Laparoscopic ( MABGIS ) 14500 16100 16100 18500 24200 46250 1063 Medical/Surgical Procdedure MABGIS Thoracoscopy Diagnostic with Biopsy ( MABGIS ) 22100 24500 24500 28200 36800 70500 1064 Medical/Surgical Procdedure MABGIS Thyroidectomy Subtotal - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1065 Medical/Surgical Procdedure MABGIS Appendicular Abscess Drainage ( MABGIS ) 12400 13800 13800 15900 20700 39750 1066 Medical/Surgical Procdedure MABGIS Triple by-pass ( MABGIS ) 29600 32900 32900 37800 49400 94500 Truncal Vagotomy + Gastrojejunostomy - Laparoscopic ( MABGIS 19300 21400 21400 24600 32100 61500 1067 Medical/Surgical Procdedure MABGIS ) 1068 Medical/Surgical Procdedure MABGIS Truncal Vagotomy + Gastrojejunostomy ( MABGIS ) 17100 19000 19000 21900 28500 54750 1069 Medical/Surgical Procdedure MABGIS Truncal Vagotomy + Pyloroplasty ( MABGIS ) 19300 21400 21400 24600 32100 61500 1070 Medical/Surgical Procdedure MABGIS Umbilectomy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1071 Medical/Surgical Procdedure MABGIS Vagotomy - Laparoscopic ( MABGIS ) 14500 16100 16100 18500 24200 46250 MABGIS Varicocelectomy ( Left / right Side ) - Laparoscopic ( MABGIS ) 14500 16100 16100 18500 24200 46250 1072 Medical/Surgical Procdedure 1073 Medical/Surgical Procdedure MABGIS Vasectomy ( MABGIS ) 7300 8100 8100 9300 12200 23250 1074 Medical/Surgical Procdedure MABGIS Volvulus of Colon Untwisting - Simple ( MABGIS ) 19300 21400 21400 24600 32100 61500 1075 Medical/Surgical Procdedure MABGIS Whipple's Operation - Laparoscopic ( MABGIS ) 44600 49600 49600 57000 74400 142500 1076 Medical/Surgical Procdedure MABGIS Avulsed toe nail removal ( MABGIS ) 1100 1200 1200 1400 1800 3500 1077 Medical/Surgical Procdedure MABGIS Whipple's Operation - Open ( MABGIS ) 34400 38200 38200 43900 57300 109750 1078 Medical/Surgical Procdedure MABGIS Wound Closure / Suturing - Secondary ( MABGIS ) 12400 13800 13800 15900 20700 39750 1079 Medical/Surgical Procdedure MABGIS Abdominoplasty ( MABGIS ) 28100 31200 31200 35900 46800 89750 1080 Medical/Surgical Procdedure MABGIS Abscess - Horse-Shoe ( MABGIS ) 12400 13800 13800 15900 20700 39750 1081 Medical/Surgical Procdedure MABGIS Abscess Incision And Drainage - Large / Deep ( MABGIS ) 11100 12300 12300 14200 18500 35500 1082 Medical/Surgical Procdedure MABGIS Adhesiolysis - Open ( MABGIS ) 12400 13800 13800 15900 20700 39750 1083 Medical/Surgical Procdedure MABGIS Adrenalectomy - Laparascopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1084 Medical/Surgical Procdedure MABGIS Adrenalectomy - Open ( MABGIS ) 25700 28500 28500 32800 42800 82000 1085 Medical/Surgical Procdedure MABGIS Amputation ( Above Knee ) ( MABGIS ) 14500 16100 16100 18500 24200 46250 1086 Medical/Surgical Procdedure MABGIS Amputation ( Below Knee ) ( MABGIS ) 11100 12300 12300 14200 18500 35500 1087 Medical/Surgical Procdedure MABGIS BCS - Breast conserving surgery ( MABGIS ) 19300 21400 21400 24600 32100 61500 1088 Medical/Surgical Procdedure MABGIS Amputation ( Ray'S ) ( MABGIS ) 8700 9700 9700 11100 14600 27750 1089 Medical/Surgical Procdedure MABGIS Appendicectomy - Laparoscopic ( Acute ) ( MABGIS ) 17100 19000 19000 21900 28500 54750 1090 Medical/Surgical Procdedure MABGIS Appendicectomy - Laparoscopic ( Interval ) ( MABGIS ) 14500 16100 16100 18500 24200 46250 1091 Medical/Surgical Procdedure MABGIS Axillary Dissection ( MABGIS ) 11100 12300 12300 14200 18500 35500 1092 Medical/Surgical Procdedure MABGIS Breast Lump Excision - Endoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1093 Medical/Surgical Procdedure MABGIS Breast Lump Excision - Large ( MABGIS ) 14500 16100 16100 18500 24200 46250 1094 Medical/Surgical Procdedure MABGIS Breast Lump Excision - Small ( MABGIS ) 8700 9700 9700 11100 14600 27750 1095 Medical/Surgical Procdedure MABGIS Catheterization - Foley'S ( MABGIS ) 1500 1700 1700 1900 2600 4750 1096 Medical/Surgical Procdedure MABGIS Cervical Lymph Node Biopsy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1097 Medical/Surgical Procdedure MABGIS Circumcision ( MABGIS ) 6000 6700 6700 7700 10100 19250 1098 Medical/Surgical Procdedure MABGIS Carbuncle Excision ( MABGIS ) 11100 12300 12300 14200 18500 35500 1099 Medical/Surgical Procdedure MABGIS Clips Removal ( MABGIS ) 1100 1200 1200 1400 1800 3500 1100 Medical/Surgical Procdedure MABGIS Colectomy Subtotal - Laparoscopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1101 Medical/Surgical Procdedure MABGIS Colostomy Formation ( MABGIS ) 14500 16100 16100 18500 24200 46250 1102 Medical/Surgical Procdedure MABGIS Colostomy Formation - Laparoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1103 Medical/Surgical Procdedure MABGIS Corn Excision - Multiple ( MABGIS ) 7300 8100 8100 9300 12200 23250 1104 Medical/Surgical Procdedure MABGIS Corn Excision - Single ( MABGIS ) 5100 5700 5700 6500 8600 16250 1105 Medical/Surgical Procdedure MABGIS Cyst Excision - Multiple ( MABGIS ) 7300 8100 8100 9300 12200 23250 1106 Medical/Surgical Procdedure MABGIS Decortication (Thoracoscopic) ( MABGIS ) 19300 21400 21400 24600 32100 61500 1107 Medical/Surgical Procdedure MABGIS Diagnostic Laparoscopy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1108 Medical/Surgical Procdedure MABGIS Diagnostic Laparoscopy + Peritoneal Biopsy ( MABGIS ) 12400 13800 13800 15900 20700 39750 Cardiomyotomy Laparoscopic ( without Antireflux Procedure ) ( MABGIS 22100 24500 24500 28200 36800 70500 1109 Medical/Surgical Procdedure MABGIS ) MABGIS Diagnostic Laparoscopy + Retroperitoneal Biopsy ( MABGIS ) 25700 28500 28500 32800 42800 82000 1110 Medical/Surgical Procdedure 1111 Medical/Surgical Procdedure MABGIS Digital Rectal Evacuation ( MABGIS ) 5100 5700 5700 6500 8600 16250 1112 Medical/Surgical Procdedure MABGIS Distal Pancreatectomy - Spleen Preserving ( MABGIS ) 34400 38200 38200 43900 57300 109750 MABGIS Intra-Abdominal Collection Drainage - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1113 Medical/Surgical Procdedure 1114 Medical/Surgical Procdedure MABGIS Intra-Abdominal Collection Drainage - Open ( MABGIS ) 19300 21400 21400 24600 32100 61500 1115 Medical/Surgical Procdedure MABGIS Dressing - Large ( MABGIS ) 1500 1700 1700 1900 2600 4750 1116 Medical/Surgical Procdedure MABGIS Dressing - Major ( MABGIS ) 2600 2900 2900 3300 4400 8250 1117 Medical/Surgical Procdedure MABGIS Dressing - Minor (OPD) ( MABGIS ) 800 900 900 1000 1400 2500 1118 Medical/Surgical Procdedure MABGIS Duodenal Perforation Closure - (Open ) ( MABGIS ) 19300 21400 21400 24600 32100 61500 1119 Medical/Surgical Procdedure MABGIS Esophagectomy Transhiatal ( Laparoscopic ) ( MABGIS ) 29600 32900 32900 37800 49400 94500 1120 Medical/Surgical Procdedure MABGIS Abdomino-Anal Pull Through Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 Cardiomyotomy with Antireflux Procedure - Laparoscopic ( MABGIS 23900 26500 26500 30500 39800 76250 1121 Medical/Surgical Procdedure MABGIS ) 1122 Medical/Surgical Procdedure MABGIS Fasciotomy - Multiple ( MABGIS ) 11100 12300 12300 14200 18500 35500 1123 Medical/Surgical Procdedure MABGIS Fasciotomy - Single ( MABGIS ) 6000 6700 6700 7700 10100 19250 1124 Medical/Surgical Procdedure MABGIS Ganglion Excision ( MABGIS ) 3300 3700 3700 4300 5600 10750 1125 Medical/Surgical Procdedure MABGIS Gastrectomy - Open ( MABGIS ) 25700 28500 28500 32800 42800 82000 Hemicolectomy Left / Right / Transverse - Laparoscopic ( MABGIS 25700 28500 28500 32800 42800 82000 1126 Medical/Surgical Procdedure MABGIS ) MABGIS Hemicolectomy Left / Right / Transverse - Open ( MABGIS ) 23900 26500 26500 30500 39800 76250 1127 Medical/Surgical Procdedure 1128 Medical/Surgical Procdedure MABGIS Hepatectomy Segmental ( MABGIS ) 23900 26500 26500 30500 39800 76250 Hernia Incisional ( Recurrent ) Repair - Laparoscopic ( MABGIS MABGIS 22100 24500 24500 28200 36800 70500 1129 Medical/Surgical Procdedure ) Hernia Incisional ( Recurrent ) Repair With Mesh - Open ( MABGIS 22100 24500 24500 28200 36800 70500 1130 Medical/Surgical Procdedure MABGIS ) 1131 Medical/Surgical Procdedure MABGIS Hernia Incisional Repair + Abdominoplasty ( MABGIS ) 29600 32900 32900 37800 49400 94500 1132 Medical/Surgical Procdedure MABGIS CBD resection / CBD repair ( MABGIS ) 28100 31200 31200 35900 46800 89750 1133 Medical/Surgical Procdedure MABGIS Hernia Inguinal Mesh Repair - Bilateral ( MABGIS ) 22100 24500 24500 28200 36800 70500 1134 Medical/Surgical Procdedure MABGIS Hernia Inguinal Mesh Repair - Unilateral ( MABGIS ) 17100 19000 19000 21900 28500 54750 MABGIS Hernia Repair Epigastric / Umbilical - Laparoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1135 Medical/Surgical Procdedure Hernia Repair Inguinal/ Femoral - Laparoscopic ( Bilateral ) ( MABGIS 22100 24500 24500 28200 36800 70500 1136 Medical/Surgical Procdedure MABGIS ) Hernia Repair Inguinal/ Femoral - Laparoscopic ( Unilateral ) ( MABGIS 17100 19000 19000 21900 28500 54750 1137 Medical/Surgical Procdedure MABGIS ) Hydatid Cyst Excision / Drainage - Laparoscopic ( Solitary ) ( MABGIS 22100 24500 24500 28200 36800 70500 1138 Medical/Surgical Procdedure MABGIS ) 1139 Medical/Surgical Procdedure MABGIS Hydrocelectomy - Bilateral ( MABGIS ) 12400 13800 13800 15900 20700 39750 1140 Medical/Surgical Procdedure MABGIS Hydrocelectomy - Unilateral ( MABGIS ) 8700 9700 9700 11100 14600 27750 1141 Medical/Surgical Procdedure MABGIS Incision & Drainage - Large ( OPD ) ( MABGIS ) 2300 2500 2500 2900 3800 7250 1142 Medical/Surgical Procdedure MABGIS Incision & Drainage - Small ( OPD ) ( MABGIS ) 1100 1200 1200 1400 1800 3500 1143 Medical/Surgical Procdedure MABGIS Cervical sympathectomy ( MABGIS ) 17100 19000 19000 21900 28500 54750 MABGIS Intestinal Resection & Anastomosis - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1144 Medical/Surgical Procdedure 1145 Medical/Surgical Procdedure MABGIS Lipoma Excision - Large ( MABGIS ) 7300 8100 8100 9300 12200 23250 1146 Medical/Surgical Procdedure MABGIS Liver Biopsy - Laparoscopic Guidance ( MABGIS ) 11100 12300 12300 14200 18500 35500 1147 Medical/Surgical Procdedure MABGIS Lobuloplasty - Bilateral ( MABGIS ) 7300 8100 8100 9300 12200 23250 1148 Medical/Surgical Procdedure MABGIS Lobuloplasty - Unilateral ( MABGIS ) 5100 5700 5700 6500 8600 16250 1149 Medical/Surgical Procdedure MABGIS Mastectomy - Segmental ( MABGIS ) 14500 16100 16100 18500 24200 46250 1150 Medical/Surgical Procdedure MABGIS Mastectomy - Subcutaneous ( MABGIS ) 17100 19000 19000 21900 28500 54750 1151 Medical/Surgical Procdedure MABGIS Orchidectomy - Bilateral ( MABGIS ) 12400 13800 13800 15900 20700 39750 1152 Medical/Surgical Procdedure MABGIS Orchidectomy - Unilateral ( MABGIS ) 8700 9700 9700 11100 14600 27750 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM MABGIS Pancreaticojejunostomy Lateral - Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1153 Medical/Surgical Procdedure 1154 Medical/Surgical Procdedure MABGIS Chest tube drainage ( MABGIS ) 8700 9700 9700 11100 14600 27750 1155 Medical/Surgical Procdedure MABGIS Peritoneal Lavage ( MABGIS ) 5100 5700 5700 6500 8600 16250 1156 Medical/Surgical Procdedure MABGIS Peritoneal Lavage - Laparoscopic ( MABGIS ) 5100 5700 5700 6500 8600 16250 1157 Medical/Surgical Procdedure MABGIS Rectopexy - Open ( MABGIS ) 19300 21400 21400 24600 32100 61500 1158 Medical/Surgical Procdedure MABGIS Re-Do Fundoplication ( MABGIS ) 25700 28500 28500 32800 42800 82000 1159 Medical/Surgical Procdedure MABGIS Segment 3 Bypass ( MABGIS ) 29600 32900 32900 37800 49400 94500 1160 Medical/Surgical Procdedure MABGIS Seton Removal ( MABGIS ) 5100 5700 5700 6500 8600 16250 1161 Medical/Surgical Procdedure MABGIS Sigmoid Resection - Open ( MABGIS ) 22100 24500 24500 28200 36800 70500 1162 Medical/Surgical Procdedure MABGIS Stomach Wash ( MABGIS ) 1100 1200 1200 1400 1800 3500 1163 Medical/Surgical Procdedure MABGIS Stricturoplasty - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1164 Medical/Surgical Procdedure MABGIS Stricturoplasty Multiple ( MABGIS ) 17100 19000 19000 21900 28500 54750 1165 Medical/Surgical Procdedure MABGIS Cholecystectomy Laparoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1166 Medical/Surgical Procdedure MABGIS Submandibular Duct Stone Removal ( MABGIS ) 7300 8100 8100 9300 12200 23250 1167 Medical/Surgical Procdedure MABGIS Submandibular Gland Excision ( MABGIS ) 11100 12300 12300 14200 18500 35500 1168 Medical/Surgical Procdedure MABGIS Thyroglossal Cyst Excision ( MABGIS ) 17100 19000 19000 21900 28500 54750 1169 Medical/Surgical Procdedure MABGIS Thyroidectomy - Near Total ( MABGIS ) 22100 24500 24500 28200 36800 70500 1170 Medical/Surgical Procdedure MABGIS Thyroidectomy Hemithyroidectomy ( MABGIS ) 17100 19000 19000 21900 28500 54750 1171 Medical/Surgical Procdedure MABGIS Thyroidectomy Subtotal ( MABGIS ) 19300 21400 21400 24600 32100 61500 1172 Medical/Surgical Procdedure MABGIS Toe Nail Excision ( MABGIS ) 2300 2500 2500 2900 3800 7250 1173 Medical/Surgical Procdedure MABGIS Umbilical Sinus Excision - Laparoscopic ( MABGIS ) 14500 16100 16100 18500 24200 46250 1174 Medical/Surgical Procdedure MABGIS Ureterolysis Bilateral - Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1175 Medical/Surgical Procdedure MABGIS Ureterolysis Unilateral - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 Cholecystectomy Laparoscopic + Choledocholithotomy / CBD MABGIS 22100 24500 24500 28200 36800 70500 1176 Medical/Surgical Procdedure Exploration ( MABGIS ) 1177 Medical/Surgical Procdedure MABGIS Varicocelectomy ( Bilateral ) - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1178 Medical/Surgical Procdedure MABGIS Wound Debridement - Major ( MABGIS ) 7300 8100 8100 9300 12200 23250 1179 Medical/Surgical Procdedure MABGIS Wound Debridement - Minor ( MABGIS ) 5100 5700 5700 6500 8600 16250 Cholecystectomy Radical ( Liver Bed with Bile Duct Excision + MABGIS 28100 31200 31200 35900 46800 89750 1180 Medical/Surgical Procdedure Lymph Node Dissection ) ( MABGIS ) MABGIS Choledochal Cyst Excision + Hepaticojejunostomy ( MABGIS ) 25700 28500 28500 32800 42800 82000 1181 Medical/Surgical Procdedure Choledochal Cyst Excision + Hepaticojejunostomy - MABGIS 29600 32900 32900 37800 49400 94500 1182 Medical/Surgical Procdedure Laparoscopic ( MABGIS ) 1183 Medical/Surgical Procdedure MABGIS Choledochoduodenostomy - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1184 Medical/Surgical Procdedure MABGIS Abdominoperineal Resection - Laparoscopic ( MABGIS ) 31100 34500 34500 39700 51800 99250 1185 Medical/Surgical Procdedure MABGIS Choledochojejunostomy ( Laparoscopic ) ( MABGIS ) 23900 26500 26500 30500 39800 76250 1186 Medical/Surgical Procdedure MABGIS Colectomy SubTotal - Open ( MABGIS ) 25700 28500 28500 32800 42800 82000 1187 Medical/Surgical Procdedure MABGIS Colonic Interposition ( MABGIS ) 29600 32900 32900 37800 49400 94500 1188 Medical/Surgical Procdedure MABGIS Colostomy Closure ( MABGIS ) 17100 19000 19000 21900 28500 54750 1189 Medical/Surgical Procdedure MABGIS Cyst Excision - Dermoid ( MABGIS ) 7300 8100 8100 9300 12200 23250 1190 Medical/Surgical Procdedure MABGIS Cyst Excision - Sebaceous ( MABGIS ) 6000 6700 6700 7700 10100 19250 1191 Medical/Surgical Procdedure MABGIS Cystogastrostomy Laparoscopic/Open ( MABGIS ) 22100 24500 24500 28200 36800 70500 1192 Medical/Surgical Procdedure MABGIS Cystojejunostomy Laparoscopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1193 Medical/Surgical Procdedure MABGIS Dorsal Slit ( MABGIS ) 5100 5700 5700 6500 8600 16250 1194 Medical/Surgical Procdedure MABGIS Duodenal Perforation Closure - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1195 Medical/Surgical Procdedure MABGIS Abdominoperineal Ressection ( MABGIS ) 28100 31200 31200 35900 46800 89750 MABGIS Esophageal Leiomyoma Enucleation - Transthoracic ( MABGIS ) 23900 26500 26500 30500 39800 76250 1196 Medical/Surgical Procdedure 1197 Medical/Surgical Procdedure MABGIS Esophagectomy Transhiatal ( MABGIS ) 28100 31200 31200 35900 46800 89750 1198 Medical/Surgical Procdedure MABGIS Excision of Mole ( MABGIS ) 5100 5700 5700 6500 8600 16250 1199 Medical/Surgical Procdedure MABGIS Exploratory Laparotomy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1200 Medical/Surgical Procdedure MABGIS Feeding Jejunostomy ( MABGIS ) 11100 12300 12300 14200 18500 35500 1201 Medical/Surgical Procdedure MABGIS Feeding Jejunostomy (Laparoscopic) ( MABGIS ) 14500 16100 16100 18500 24200 46250 Fistula In Ano ( High Level ) Excision / Laying Open with or MABGIS 14500 16100 16100 18500 24200 46250 1202 Medical/Surgical Procdedure without Seton ( MABGIS ) MABGIS Fistula In Ano ( Low Level ) Excision / Laying Open ( MABGIS ) 11100 12300 12300 14200 18500 35500 1203 Medical/Surgical Procdedure 1204 Medical/Surgical Procdedure MABGIS Gastrectomy - Partial / Subtotal ( MABGIS ) 22100 24500 24500 28200 36800 70500 1205 Medical/Surgical Procdedure MABGIS Gastrectomy Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 MABGIS Abscess Incision and Drainage - Small / Superficial ( MABGIS ) 5100 5700 5700 6500 8600 16250 1206 Medical/Surgical Procdedure 1207 Medical/Surgical Procdedure MABGIS Gastrectomy Radical ( MABGIS ) 28100 31200 31200 35900 46800 89750 1208 Medical/Surgical Procdedure MABGIS Gastric Band Removal - Laparoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1209 Medical/Surgical Procdedure MABGIS Gastric Banding - Laparoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1210 Medical/Surgical Procdedure MABGIS Gastric Perforation Closure - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1211 Medical/Surgical Procdedure MABGIS Gastrojejunostomy - Laparoscopic ( MABGIS ) 17100 19000 19000 21900 28500 54750 1212 Medical/Surgical Procdedure MABGIS Gastrojejunostomy - without Vagotomy ( MABGIS ) 14500 16100 16100 18500 24200 46250 1213 Medical/Surgical Procdedure MABGIS Gastrostomy Laparoscopic ( MABGIS ) 12400 13800 13800 15900 20700 39750 1214 Medical/Surgical Procdedure MABGIS Hemorrhoidectomy Sptapled ( MABGIS ) 14500 16100 16100 18500 24200 46250 1215 Medical/Surgical Procdedure MABGIS Hepatectomy - Laparoscopic ( MABGIS ) 29600 32900 32900 37800 49400 94500 1216 Medical/Surgical Procdedure MABGIS Hepatectomy Left ( MABGIS ) 25700 28500 28500 32800 42800 82000 1217 Medical/Surgical Procdedure MABGIS Abscess Ischiorectal ( MABGIS ) 6000 6700 6700 7700 10100 19250 1218 Medical/Surgical Procdedure MABGIS Hepatectomy Right ( MABGIS ) 29600 32900 32900 37800 49400 94500 1219 Medical/Surgical Procdedure MABGIS Hepatic Trisegmentectomy - Right ( MABGIS ) 31100 34500 34500 39700 51800 99250 1220 Medical/Surgical Procdedure MABGIS Hepaticojejunostomy Laparoscopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1221 Medical/Surgical Procdedure MABGIS Hepaticojejunostomy Open ( MABGIS ) 28100 31200 31200 35900 46800 89750 Hernia ( Rare - Spigellian, Obturator etc. ) Repair - MABGIS 22100 24500 24500 28200 36800 70500 1222 Medical/Surgical Procdedure Laparoscopic ( MABGIS ) 1223 Medical/Surgical Procdedure MABGIS Hernia Repair Diaphragmatic - Laparoscopic ( MABGIS ) 28100 31200 31200 35900 46800 89750 1224 Medical/Surgical Procdedure MABGIS Hernia Repair Epigastric with Mesh - Open ( MABGIS ) 14500 16100 16100 18500 24200 46250 1225 Medical/Surgical Procdedure MABGIS Hernia Repair Epigastric without Mesh - Open ( MABGIS ) 14500 16100 16100 18500 24200 46250 1226 Medical/Surgical Procdedure MABGIS Hernia Repair Femoral - Open ( MABGIS ) 17100 19000 19000 21900 28500 54750 1227 Medical/Surgical Procdedure MABGIS Hernia Repair Ventral - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1228 Medical/Surgical Procdedure MABGIS Adhesiolysis Laparoscopic ( MABGIS ) 14500 16100 16100 18500 24200 46250 1229 Medical/Surgical Procdedure MABGIS Herniotomy ( Laparoscopic ) - Bilateral ( MABGIS ) 19300 21400 21400 24600 32100 61500 1230 Medical/Surgical Procdedure MABGIS Herniotomy ( Laparoscopic ) - unilateral ( MABGIS ) 12400 13800 13800 15900 20700 39750 Hiatus Hernia Repair with Nissen Fundoplication - Laparoscopic MABGIS 22100 24500 24500 28200 36800 70500 1231 Medical/Surgical Procdedure ( MABGIS ) Hiatus Hernia Repair with Nissen Fundoplication - OPEN ( MABGIS 22100 24500 24500 28200 36800 70500 1232 Medical/Surgical Procdedure MABGIS ) Hydatid Cyst Of Liver Excision / Drainage - Laparoscopic ( MABGIS 25700 28500 28500 32800 42800 82000 1233 Medical/Surgical Procdedure Multiple ) ( MABGIS ) 1234 Medical/Surgical Procdedure MABGIS Ileostomy Closure ( MABGIS ) 17100 19000 19000 21900 28500 54750 Infected Mesh ( Following Hernia Repair) Removal - MABGIS 22100 24500 24500 28200 36800 70500 1235 Medical/Surgical Procdedure Laparoscopic ( MABGIS ) Infected Mesh Removal ( Following Hernia Repair ) - Open ( MABGIS 22100 24500 24500 28200 36800 70500 1236 Medical/Surgical Procdedure MABGIS ) 1237 Medical/Surgical Procdedure MABGIS Insulinoma Excision ( MABGIS ) 28100 31200 31200 35900 46800 89750 1238 Medical/Surgical Procdedure MABGIS Intestinal Perforation Closure - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 1239 Medical/Surgical Procdedure MABGIS Amputation of toe ( MABGIS ) 6000 6700 6700 7700 10100 19250 1240 Medical/Surgical Procdedure MABGIS Intestinal Resection + Anastomosis ( Multiple ) ( MABGIS ) 23900 26500 26500 30500 39800 76250 1241 Medical/Surgical Procdedure MABGIS Intestinal Resection & Anastomosis- Open ( MABGIS ) 19300 21400 21400 24600 32100 61500 Intraabdomonal Adhesions / Bands Division - Laparoscopic ( MABGIS 17100 19000 19000 21900 28500 54750 1242 Medical/Surgical Procdedure MABGIS ) 1243 Medical/Surgical Procdedure MABGIS Ivor Lewis Esophagectomy ( MABGIS ) 25700 28500 28500 32800 42800 82000 1244 Medical/Surgical Procdedure MABGIS Lacerated Wound Suturing - Large ( MABGIS ) 7300 8100 8100 9300 12200 23250 1245 Medical/Surgical Procdedure MABGIS Lacerated Wound Suturing - Small ( MABGIS ) 5100 5700 5700 6500 8600 16250 1246 Medical/Surgical Procdedure MABGIS Lipoma Excision ( MABGIS ) 5100 5700 5700 6500 8600 16250 1247 Medical/Surgical Procdedure MABGIS Lipoma Excision (Multiple) ( MABGIS ) 8700 9700 9700 11100 14600 27750 1248 Medical/Surgical Procdedure MABGIS Liver Abscess Drainage - Laparoscopic ( MABGIS ) 19300 21400 21400 24600 32100 61500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1249 Medical/Surgical Procdedure MABGIS Liver Abscess Drainage - Open ( MABGIS ) 19300 21400 21400 24600 32100 61500 1250 Medical/Surgical Procdedure MABGIS Anal Sphincter Repair - After Injury ( MABGIS ) 17100 19000 19000 21900 28500 54750 1251 Medical/Surgical Procdedure MABGIS Liver Biopsy - Percutaneous ( MABGIS ) 5100 5700 5700 6500 8600 16250 1252 Medical/Surgical Procdedure MABGIS Liver Resection ( Segemental ) - Laparoscopic ( MABGIS ) 23900 26500 26500 30500 39800 76250 1253 Medical/Surgical Procdedure MABGIS Lobectomy Thoracoscopic ( MABGIS ) 25700 28500 28500 32800 42800 82000 1254 Medical/Surgical Procdedure MABGIS Loop Ileostomy ( MABGIS ) 12400 13800 13800 15900 20700 39750 1255 Medical/Surgical Procdedure MABGIS Lord's procedure ( MABGIS ) 8700 9700 9700 11100 14600 27750 1256 Medical/Surgical Procdedure MABGIS Lung Nodule Excision Thoracoscopic ( MABGIS ) 22100 24500 24500 28200 36800 70500 1257 Medical/Surgical Procdedure MABGIS lymph node biopsy under LA ( MABGIS ) 5100 5700 5700 6500 8600 16250 1258 Medical/Surgical Procdedure MABGIS Mastectomy - MRM ( MABGIS ) 19300 21400 21400 24600 32100 61500 1259 Medical/Surgical Procdedure MABGIS Mastectomy - Simple ( MABGIS ) 14500 16100 16100 18500 24200 46250 1260 Medical/Surgical Procdedure MABGIS McKeown Esophagectomy ( MABGIS ) 31100 34500 34500 39700 51800 99250 1261 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy (Planning + Counselling) 2000 2200 2200 2500 3300 5500 1262 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy Port Flushing 300 300 300 300 500 800 1263 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy (Bolus) 600 700 700 800 1100 1800 1264 Medical/Surgical Procdedure MEDICAL ONCOLOGY Bone Marrow Aspiration 2600 2900 2900 3300 4400 7300 1265 Medical/Surgical Procdedure MEDICAL ONCOLOGY Peripherally Inserted Central Catheter ( PICC Line ) 1100 1200 1200 1400 1800 3000 1266 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy (High Dose) 3100 3400 3400 3900 5100 8500 1267 Medical/Surgical Procdedure MEDICAL ONCOLOGY Infusion Pump Disconnection 500 600 600 700 900 1500 1268 Medical/Surgical Procdedure MEDICAL ONCOLOGY Hormonal Injection ( Cancer Treatment ) 500 600 600 700 900 1500 1269 Medical/Surgical Procdedure MEDICAL ONCOLOGY Immunotherapy ( Less than 4 hrs ) 2600 2900 2900 3300 4400 7300 1270 Medical/Surgical Procdedure MEDICAL ONCOLOGY Immunotherapy ( Greater than 4 hrs ) 3200 3500 3500 4000 5300 8800 1271 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy Intraperitoneal ( Oncology ) 3600 4000 4000 4600 6000 10000 1272 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemoport Insertion ( Oncology ) 8500 9400 9400 10800 14100 23500 1273 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy - <1 hr ( Oncology ) 1000 1100 1100 1300 1700 2800 1274 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy - > 4 hr ( Oncology ) 3200 3500 3500 4000 5300 8800 1275 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy - 1 hr to 4 hr ( Oncology ) 2600 2900 2900 3300 4400 7300 1276 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy High dose - 1 hr to 4 hr ( Oncology ) 3100 3400 3400 3900 5100 8500 1277 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy High dose - 4 hr to 24 hr ( Oncology ) 4100 4500 4500 5200 6800 11300 1278 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy Infusion - Intraarterial ( Oncology ) 8200 9100 9100 10500 13700 22800 MEDICAL ONCOLOGY Peripherally Inserted Central Catheter ( PICC Line Removal ) 600 700 700 800 1100 1800 1279 Medical/Surgical Procdedure 1280 Medical/Surgical Procdedure MEDICAL ONCOLOGY Central Line Flushing + Dressing 600 700 700 800 1100 1800 1281 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy (Intrapleural) 3600 4000 4000 4600 6000 10000 1282 Medical/Surgical Procdedure MEDICAL ONCOLOGY Exchange Transfusion For Sickle Cell Anemia 17100 19000 19000 21900 28500 47500 1283 Medical/Surgical Procdedure MEDICAL ONCOLOGY Bone Marrow Transplant ( BMT ) - Autologous 0 0 0 0 100000 0 1284 Medical/Surgical Procdedure MEDICAL ONCOLOGY Bone Marrow Transplant ( BMT ) - Matched sibling 0 0 0 0 150000 0 MEDICAL ONCOLOGY Bone Marrow Transplant ( BMT ) - Haploidentical BMT Charges 0 0 0 0 200000 0 1285 Medical/Surgical Procdedure Bone Marrow Transplant ( BMT ) - Unrelated Donor BMT MEDICAL ONCOLOGY 0 0 0 0 200000 0 1286 Medical/Surgical Procdedure Charges 1287 Medical/Surgical Procdedure MEDICAL ONCOLOGY Transplant Counselling ( Oncology ) 0 10000 0 0 0 0 1288 Medical/Surgical Procdedure MEDICAL ONCOLOGY Donor Search ( Oncology ) 0 50000 0 0 0 0 1289 Medical/Surgical Procdedure MEDICAL ONCOLOGY Chemotherapy (Intrathecal) 3600 4000 4000 4600 6000 10000 Chemoport / Hickman Cather Insertion (GA) Day Care Package MEDICAL ONCOLOGY 28000 23000 23000 35000 49000 83000 1290 Medical/Surgical Procdedure - (P) 1291 Medical/Surgical Procdedure NEPHROLOGY Peritoneal Equilibrium Test (PET) 8300 8700 8700 10000 13100 21800 1292 Medical/Surgical Procdedure NEPHROLOGY Peritoneal Dialysis ( Intermittent ) 8100 8500 8500 9800 12800 21300 1293 Medical/Surgical Procdedure NEPHROLOGY Body Water Assesment ( Nephrology ) 2200 2300 2300 2600 3500 5800 1294 Medical/Surgical Procdedure NEPHROLOGY Sustained Low Efficacy Dialysis ( SLED ) - F8 9000 9500 9500 10900 14300 23800 1295 Medical/Surgical Procdedure NEPHROLOGY Voiding Cystometry 2310 2400 2400 2800 3600 6000 1296 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F6 Dialyzer ( Portable ) 4400 4600 4600 5300 6900 11500 1297 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F8 Dialyzer ( Portable ) 5500 5800 5800 6700 8700 14500 1298 Medical/Surgical Procdedure NEPHROLOGY Re-Training ( Per Day ) 2420 2500 2500 2900 3800 6300 1299 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F6 Dialyzer 2700 3000 3000 3500 4500 7500 1300 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F6 Dialyzer ( Reuse ) 2000 2200 2200 2500 3300 5500 1301 Medical/Surgical Procdedure NEPHROLOGY Hbs Ag (+Ve) Dialysis 3300 3500 3500 4000 5300 8800 1302 Medical/Surgical Procdedure NEPHROLOGY Dialysis with Nipro Dialyzer 2750 2900 2900 3300 4400 7300 1303 Medical/Surgical Procdedure NEPHROLOGY Internal Jugular Catheter Insertion 3300 3500 3500 4000 5300 8800 1304 Medical/Surgical Procdedure NEPHROLOGY Femoral Catheter Insertion 2200 2300 2300 2600 3500 5800 Continuous Renal Replacement Therapy ( CRRT ) - Daily NEPHROLOGY 7000 7400 7400 8500 11100 18500 1305 Medical/Surgical Procdedure Maintenance 1306 Medical/Surgical Procdedure NEPHROLOGY Hemodiafiltration 3300 3500 3500 4000 5300 8800 1307 Medical/Surgical Procdedure NEPHROLOGY Dialysis with Baxter Dialyzer - Single Use 2750 2750 2750 3600 4400 6900 1308 Medical/Surgical Procdedure NEPHROLOGY Dialysis with Baxter Dialyzer - Reuse 2000 2000 2000 2600 3200 5000 1309 Medical/Surgical Procdedure NEPHROLOGY Hemodiafiltration ( Portable ) 4000 4400 4400 5060 6600 11000 1310 Medical/Surgical Procdedure NEPHROLOGY Flushing 1160 1200 1200 1400 1800 3000 1311 Medical/Surgical Procdedure NEPHROLOGY Dialysis High Flux 3600 3800 3800 4400 5700 9500 1312 Medical/Surgical Procdedure NEPHROLOGY Initial Training (3 Sitting) 9200 9700 9700 11200 14600 24300 1313 Medical/Surgical Procdedure NEPHROLOGY Initial Training ( Per Day ) 9300 9800 9800 11300 14700 24500 1314 Medical/Surgical Procdedure NEPHROLOGY Adequacy Test 2220 2300 2300 2600 3500 5800 1315 Medical/Surgical Procdedure NEPHROLOGY Maintenance Dialysis (With Reuse Of Dialyzer) 9000 9500 9500 10900 14300 23800 1316 Medical/Surgical Procdedure NEPHROLOGY Dialysis Peritoneal 3400 3600 3600 4100 5400 9000 1317 Medical/Surgical Procdedure NEPHROLOGY Plasma Exchange / Apheresis (Per Sitting) 5500 5800 5800 6700 8700 14500 NEPHROLOGY Plasmapheresis ( Plasma Exchange ) Procedure - Nephrology 18700 19600 19600 22500 29400 49000 1318 Medical/Surgical Procdedure 1319 Medical/Surgical Procdedure NEPHROLOGY Regional PD Center Per Exchange 1370 1400 1400 1600 2100 3500 1320 Medical/Surgical Procdedure NEPHROLOGY Transfer Set Change 1160 1200 1200 1400 1800 3000 1321 Medical/Surgical Procdedure NEPHROLOGY Peritoneal Dialysis Catheter Insertion 2630 2800 2800 3200 4200 7000 1322 Medical/Surgical Procdedure NEPHROLOGY ArterioVenous ( AV ) Shunt ( Nephrology ) 4600 4800 4800 5500 7200 12000 1323 Medical/Surgical Procdedure NEPHROLOGY Continuous Renal Replacement Therapy ( CRRT ) 16500 17300 17300 19900 26000 43300 1324 Medical/Surgical Procdedure NEPHROLOGY Renal Biopsy ( Nephrology ) 7700 8100 8100 9300 12200 20300 Continous Ambulatory Peritoneal Dialysis ( CAPD ) Catheter NEPHROLOGY 12400 13000 13000 15000 19500 32500 1325 Medical/Surgical Procdedure Placement Continous Ambulatory Peritoneal Dialysis ( CAPD ) Training + NEPHROLOGY 14800 15500 15500 17800 23300 38800 1326 Medical/Surgical Procdedure Follow Up 1327 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F8 Dialyzer 2900 3200 3200 3700 4800 8000 1328 Medical/Surgical Procdedure NEPHROLOGY Dialysis with F8 Dialyzer ( Reuse ) 2500 2800 2800 3200 4200 7000 1329 Medical/Surgical Procdedure NEPHROLOGY Sustained Low Efficacy Dialysis ( SLED ) - F6 8400 8800 8800 10100 13200 22000 1330 Medical/Surgical Procdedure NEURO SURGERY REDO SURGERY (NEUROSURGERY) 5000 5500 5500 6300 8250 13750 1331 Medical/Surgical Procdedure NEURO SURGERY Decompression Craniotomy 61400 68200 68200 78400 102300 170500 1332 Medical/Surgical Procdedure NEURO SURGERY Balloon Test Occlusion 37100 41250 41250 47400 61900 103100 1333 Medical/Surgical Procdedure NEURO SURGERY External Ventricular Drainage ( EVD ) 13400 14850 14850 17100 22300 37100 1334 Medical/Surgical Procdedure NEURO SURGERY Vasodilatation IntraAarterial 21500 23870 23870 27500 35800 59700 1335 Medical/Surgical Procdedure NEURO SURGERY Intracranial Angioplasty ( Neurosurgery ) 57300 63690 63690 73200 95500 159200 1336 Medical/Surgical Procdedure NEURO SURGERY Stenting Intracranial ( Neurosurgery ) 57300 63690 63690 73200 95500 159200 1337 Medical/Surgical Procdedure NEURO SURGERY Laceration Suturing ( Neurosurgery ) 3600 3960 3960 4600 5900 9900 1338 Medical/Surgical Procdedure NEURO SURGERY Brachial Plexus Surgery 77500 86130 86130 99000 129200 215300 Medical/Surgical Procdedure NEURO SURGERY DSA CERERAL 4800 9500 10900 13300 1339 Medical/Surgical Procdedure NEURO SURGERY Lumbar Puncture ( Neurosurgery ) 2000 2200 2200 2500 3300 5500 1340 Medical/Surgical Procdedure NEURO SURGERY Muscle Biopsy ( Neurosurgery ) 9000 10010 10010 11500 15000 25000 1341 Medical/Surgical Procdedure NEURO SURGERY Nerve Repair ( Neurosurgery ) 80100 88990 88990 102300 133500 222500 1342 Medical/Surgical Procdedure NEURO SURGERY Parent Vessel Occlusion 45500 50600 50600 58200 75900 126500 1343 Medical/Surgical Procdedure NEURO SURGERY Nerve Repair Peripheral - Single Root ( Microscopic ) 62300 69190 69190 79600 103800 173000 1344 Medical/Surgical Procdedure NEURO SURGERY Spinal Angiography ( Neurosurgery ) 16900 18810 18810 21600 28200 47000 1345 Medical/Surgical Procdedure NEURO SURGERY Stereotactic Biopsy 62300 69190 69190 79600 103800 173000 1346 Medical/Surgical Procdedure NEURO SURGERY Sterotactic Deep Brain Stimulation ( DBS ) Surgery 106900 118800 118800 136600 178200 297000 1347 Medical/Surgical Procdedure NEURO SURGERY ThecoPeritoneal Shunt ( TP Shunt ) 41100 45650 45650 52500 68500 114100 1348 Medical/Surgical Procdedure NEURO SURGERY Spinal Injections ( Therapeutic ) - For Pain 2500 2750 2750 3200 4100 6900 Craniovertebral ( CV ) Junction Anomaly Decompression - NEURO SURGERY 77500 86130 86130 99000 129200 215300 1349 Medical/Surgical Procdedure Transoral 1350 Medical/Surgical Procdedure NEURO SURGERY Carpal Tunnel Release ( Neurosurgery ) 41100 45650 45650 52500 68500 114100 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1351 Medical/Surgical Procdedure NEURO SURGERY Venous Stenting ( Neurosurgery ) 45500 50600 50600 58200 75900 126500 1352 Medical/Surgical Procdedure NEURO SURGERY Venous Thrombolysis 28600 31790 31790 36600 47700 79500 1353 Medical/Surgical Procdedure NEURO SURGERY Ventricular Puncture 2800 3080 3080 3500 4600 7700 1354 Medical/Surgical Procdedure NEURO SURGERY VentriculoAtrial Shunt 54700 60830 60830 70000 91200 152100 1355 Medical/Surgical Procdedure NEURO SURGERY Vertebroplasty 26300 29200 29200 33590 43800 73000 1356 Medical/Surgical Procdedure NEURO SURGERY VentriculoPeritoneal ( VP ) Shunt 54700 60830 60830 70000 91200 152100 1357 Medical/Surgical Procdedure NEURO SURGERY Cervical Laminectomy 54700 60830 60830 70000 91200 152100 1358 Medical/Surgical Procdedure NEURO SURGERY Skull Traction Application 7300 8140 8140 9400 12200 20400 1359 Medical/Surgical Procdedure NEURO SURGERY Cerebral Digital Subtraction Angiography ( DSA ) 10800 11990 11990 13800 18000 30000 1360 Medical/Surgical Procdedure NEURO SURGERY Intracranial Pressure Monitoring by Twist Drill Procedure 2800 3080 3080 3500 4600 7700 1361 Medical/Surgical Procdedure NEURO SURGERY Tumor Embolization ( Complex ) 42700 47410 47410 54500 71100 118500 1362 Medical/Surgical Procdedure NEURO SURGERY Intracranial Aneurysm Surgery - Two ( Same Session ) 78500 87230 87230 100300 130800 218100 1363 Medical/Surgical Procdedure NEURO SURGERY Shunt Removal 9000 10010 10010 11500 15000 25000 1364 Medical/Surgical Procdedure NEURO SURGERY Carotid Endarterectomy ( Neurosurgery ) 77500 86130 86130 99000 129200 215300 1365 Medical/Surgical Procdedure NEURO SURGERY Ventricular Tap 9000 10010 10010 11500 15000 25000 1366 Medical/Surgical Procdedure NEURO SURGERY Tumor Embolization ( Simple ) 21500 23870 23870 27500 35800 59700 1367 Medical/Surgical Procdedure NEURO SURGERY Carotid Artery Stenting (Neuro) 45500 50600 50600 58200 75900 126500 1368 Medical/Surgical Procdedure NEURO SURGERY Intracranial Angioplasty ( Vasospasm ) 57300 63690 63690 73200 95500 159200 1369 Medical/Surgical Procdedure NEURO SURGERY IntraCranial Pressure ( ICP ) Monitoring 13400 14850 14850 17100 22300 37100 1370 Medical/Surgical Procdedure NEURO SURGERY Microdiscectomy ( Lumbar ) 54700 60830 60830 70000 91200 152100 1371 Medical/Surgical Procdedure NEURO SURGERY Burr Holes - Multiple 41100 45650 45650 52500 68500 114100 1372 Medical/Surgical Procdedure NEURO SURGERY TransSphenoidal Surgery 77500 86130 86130 99000 129200 215300 1373 Medical/Surgical Procdedure NEURO SURGERY Trigeminal Rhizotomy 41100 45650 45650 52500 68500 114100 1374 Medical/Surgical Procdedure NEURO SURGERY Angiogram Check 8700 9680 9680 11100 14500 24200 1375 Medical/Surgical Procdedure NEURO SURGERY Nerve Surgery ( Peripheral ) - Minor 41100 45650 45650 52500 68500 114100 1376 Medical/Surgical Procdedure NEURO SURGERY Botox Injection ( for Dystonia ) 5100 5720 5720 6600 8600 14300 1377 Medical/Surgical Procdedure NEURO SURGERY Cranioplasty 43300 48100 48100 55300 72200 120300 1378 Medical/Surgical Procdedure NEURO SURGERY Ventriculostomy - Third Ventricle ( Endoscopic ) 77500 86130 86130 99000 129200 215300 1379 Medical/Surgical Procdedure NEURO SURGERY Scalp Avulsion Laceration Suturing 10900 12100 12100 13900 18200 30300 1380 Medical/Surgical Procdedure NEURO SURGERY VentriculoPeritoneal Shunt ( VP Shunt ) Removal 10900 12100 12100 13900 18200 30300 1381 Medical/Surgical Procdedure NEURO SURGERY ParietoOccipital Brain Abscess Drainage 54700 60830 60830 70000 91200 152100 Spinal Decompression Anterolateral + Vertebrectomy / NEURO SURGERY 77500 86130 86130 99000 129200 215300 1382 Medical/Surgical Procdedure Reconstruction 1383 Medical/Surgical Procdedure NEURO SURGERY Burr Hole - Single 7300 8140 8140 9400 12200 20400 1384 Medical/Surgical Procdedure NEURO SURGERY Kyphoplasty ( Neurosurgery ) 54700 60830 60830 70000 91200 152100 1385 Medical/Surgical Procdedure NEURO SURGERY Lumbar Laminectomy Decompressive 54700 60830 60830 70000 91200 152100 1386 Medical/Surgical Procdedure NEURO SURGERY Cervical Disc Disease Revision Surgery 77500 86130 86130 99000 129200 215300 1387 Medical/Surgical Procdedure NEURO SURGERY Stereotactic Procedure - Therapeuctic 77500 86130 86130 99000 129200 215300 1388 Medical/Surgical Procdedure NEURO SURGERY TIC Injection 41100 45650 45650 52500 68500 114100 1389 Medical/Surgical Procdedure NEURO SURGERY Peripheral Artery Embolization 25600 28490 28490 32800 42700 71200 1390 Medical/Surgical Procdedure NEURO SURGERY Intraarterial Recanalization 37100 41250 41250 47400 61900 103100 1391 Medical/Surgical Procdedure NEURO SURGERY Cerebral Aretriovenous Malformation ( AVM ) Embolization 57300 63690 63690 73200 95500 159200 1392 Medical/Surgical Procdedure NEURO SURGERY Intracranial Aneurysm Embolization 57300 63690 63690 73200 95500 159200 1393 Medical/Surgical Procdedure NEURO SURGERY Spinal Aretriovenous Malformation ( AVM ) Embolization 57300 63690 63690 73200 95500 159200 1394 Medical/Surgical Procdedure NEURO SURGERY Aneurysm Embolization - Complex 78500 87230 87230 100300 130800 218100 NEURO SURGERY Combined Anterior and Posterior Procedure - For Spine Anomaly 106900 118800 118800 136600 178200 297000 1395 Medical/Surgical Procdedure 1396 Medical/Surgical Procdedure NEURO SURGERY Wound Debridement ( Neurosurgery ) 11800 13090 13090 15100 19600 32700 1397 Medical/Surgical Procdedure NEURO SURGERY Spinal Tumor ( Extramedullary ) Surgery 61400 68200 68200 78400 102300 170500 1398 Medical/Surgical Procdedure NEURO SURGERY Spinal Instrumentation 77500 86130 86130 99000 129200 215300 1399 Medical/Surgical Procdedure NEURO SURGERY Spine Surgery with Instrumentation ( Simple ) 61400 68200 68200 78400 102300 170500 1400 Medical/Surgical Procdedure NEURO SURGERY Shunt Revision ( Level A ) 33000 36630 36630 42100 54900 91600 1401 Medical/Surgical Procdedure NEURO SURGERY Bone Flap Removal ( Neurosurgery ) 13400 14850 14850 17100 22300 37100 1402 Medical/Surgical Procdedure NEURO SURGERY Brachial Plexus Injury - Complex 80100 88990 88990 102300 133500 222500 1403 Medical/Surgical Procdedure NEURO SURGERY Brachial Plexus Injury - Simple 46100 51260 51260 58900 76900 128200 1404 Medical/Surgical Procdedure NEURO SURGERY Cerebral Revascularisation - Level A 73000 81070 81070 93200 121600 202700 1405 Medical/Surgical Procdedure NEURO SURGERY Cerebral Revascularisation - Level B 95900 106590 106590 122600 159900 266500 1406 Medical/Surgical Procdedure NEURO SURGERY Cerebrospinal Fluid Diversion - Level A 46100 51260 51260 58900 76900 128200 1407 Medical/Surgical Procdedure NEURO SURGERY Cerebrospinal Fluid Diversion - Level B 73000 81070 81070 93200 121600 202700 1408 Medical/Surgical Procdedure NEURO SURGERY Chronic Subdural Haematoma Removal- Level A 62300 69190 69190 79600 103800 173000 1409 Medical/Surgical Procdedure NEURO SURGERY Chronic Subdural Hematoma Removal- Level B 73000 81070 81070 93200 121600 202700 1410 Medical/Surgical Procdedure NEURO SURGERY Craniosynostosis Correction 80100 88990 88990 102300 133500 222500 1411 Medical/Surgical Procdedure NEURO SURGERY Craniosynostosis Correction - Complex 95900 106590 106590 122600 159900 266500 1412 Medical/Surgical Procdedure NEURO SURGERY Craniotomy - Level A 59000 65500 65500 75300 98300 163800 1413 Medical/Surgical Procdedure NEURO SURGERY Craniotomy Level B 92900 73700 73700 104700 109800 184300 1414 Medical/Surgical Procdedure NEURO SURGERY Craniotomy Level C 89600 99500 99500 114400 149300 248800 1415 Medical/Surgical Procdedure NEURO SURGERY CSF Rhinorrhea - Level A 52700 58520 58520 67300 87800 146300 1416 Medical/Surgical Procdedure NEURO SURGERY CSF Rhinorrhoea - Level B 73000 81070 81070 93200 121600 202700 1417 Medical/Surgical Procdedure NEURO SURGERY Deep Brain Lesioning 73000 81070 81070 93200 121600 202700 1418 Medical/Surgical Procdedure NEURO SURGERY Optic Nerve Decompression - Endoscopic 73000 81070 81070 93200 121600 202700 1419 Medical/Surgical Procdedure NEURO SURGERY Entrapment Neuropathy Decompression - Level A 23200 25740 25740 29600 38600 64400 1420 Medical/Surgical Procdedure NEURO SURGERY Entrapment Neuropathy Decompression - Level B 44500 49390 49390 56800 74100 123500 1421 Medical/Surgical Procdedure NEURO SURGERY External Lumbar Drainage 3600 3960 3960 4600 5900 9900 1422 Medical/Surgical Procdedure NEURO SURGERY External Ventricular Drainage 13400 14850 14850 17100 22300 37100 1423 Medical/Surgical Procdedure NEURO SURGERY Facial Reinnervation - Simple 52700 58520 58520 67300 87800 146300 1424 Medical/Surgical Procdedure NEURO SURGERY Facial Reinnervation - Complex 73000 81070 81070 93200 121600 202700 1425 Medical/Surgical Procdedure NEURO SURGERY Image Guided Biopsy 46100 51260 51260 58900 76900 128200 1426 Medical/Surgical Procdedure NEURO SURGERY Intra Operative Monitoring 13400 14850 14850 17100 22300 37100 1427 Medical/Surgical Procdedure NEURO SURGERY Epidural Steroid injection ( Neurosurgery ) 6200 6930 6930 8000 10400 17300 1428 Medical/Surgical Procdedure NEURO SURGERY Facet Block - Multiple ( Neurosurgery ) 8700 9680 9680 11100 14500 24200 1429 Medical/Surgical Procdedure NEURO SURGERY Facet Block -Single ( Neurosurgery ) 4600 5060 5060 5800 7600 12700 1430 Medical/Surgical Procdedure NEURO SURGERY Fluoro Guided Lumbar puncture ( Neurosurgery ) 3900 4290 4290 4900 6400 10700 NEURO SURGERY Nerve Blocks ( Greater and Lesser occipital ( ( Neurosurgery ) 4600 5060 5060 5800 7600 12700 1431 Medical/Surgical Procdedure 1432 Medical/Surgical Procdedure NEURO SURGERY Tracheostomy ( Neurosurgery ) 9400 10400 10400 12000 15600 26000 1433 Medical/Surgical Procdedure NEURO SURGERY Stimulator Implantation ( Neurosurgery ) 44500 49390 49390 56800 74100 123500 1434 Medical/Surgical Procdedure NEURO SURGERY Surgery for Spasticity ( Neurosurgery ) 73000 81070 81070 93200 121600 202700 1435 Medical/Surgical Procdedure NEURO SURGERY Shunt Revision - Level B ( Neurosurgery ) 40400 44900 44900 51600 67400 112300 1436 Medical/Surgical Procdedure NEURO SURGERY Spinal Decompression - Level A ( Neurosurgery ) 33000 36630 36630 42100 54900 91600 1437 Medical/Surgical Procdedure NEURO SURGERY Spinal Decompression - Level B ( Neurosurgery ) 41800 46400 46400 53415 69600 116000 1438 Medical/Surgical Procdedure NEURO SURGERY Spinal Decompression - Level C ( Neurosurgery ) 62300 69190 69190 79600 103800 173000 1439 Medical/Surgical Procdedure NEURO SURGERY Spinal Decompression - Level D ( Neurosurgery ) 80100 88990 88990 102300 133500 222500 Spinal Dysraphism ( Complex level C ) treatment ( Neurosurgery NEURO SURGERY 80100 88990 88990 102300 133500 222500 1440 Medical/Surgical Procdedure ) 1441 Medical/Surgical Procdedure NEURO SURGERY Spinal Dysraphism ( Level A ) treatment ( Neurosurgery ) 46100 51260 51260 58900 76900 128200 1442 Medical/Surgical Procdedure NEURO SURGERY Spinal Dysraphism ( Level B )treatment ( Neurosurgery ) 62300 69190 69190 79600 103800 173000 1443 Medical/Surgical Procdedure NEURO SURGERY Spinal Fusion Level A ( Neurosurgery ) 42800 47600 47600 54700 71400 119000 1444 Medical/Surgical Procdedure NEURO SURGERY Spinal Fusion Level B ( Neurosurgery ) 68600 64400 64400 74100 84700 161000 1445 Medical/Surgical Procdedure NEURO SURGERY Spinal Fusion Level C ( Neurosurgery ) 74300 82500 82500 94900 123800 206300 1446 Medical/Surgical Procdedure NEURO SURGERY Vessel ligation - Parent ( Neurosurgery ) 26800 29810 29810 34300 44700 74500 1447 Medical/Surgical Procdedure NEURO SURGERY Percutaneous Tracheostomy ( Neurosurgery ) 6600 7370 7370 8500 11100 18400 1448 Medical/Surgical Procdedure NEURO SURGERY Percutaneous Transpedicular Biopsy ( Neurosurgery ) 23200 25740 25740 29600 38600 64400 1449 Medical/Surgical Procdedure NEURO SURGERY Excision Orbital Tumor ( Simple ) 62300 69190 69190 79600 103800 173000 1450 Medical/Surgical Procdedure NEURO SURGERY Intraoperative Monitoring ( Single Modality ) 9900 11000 11000 12700 16500 27500 1451 Medical/Surgical Procdedure NEURO SURGERY Transforaminal Epidural Nerve Block Cervical ( Multiple ) 19600 21780 21780 25000 32700 54500 1452 Medical/Surgical Procdedure NEURO SURGERY Transforaminal Epidural Nerve Block Cervical ( Single ) 9900 11000 11000 12700 16500 27500 1453 Medical/Surgical Procdedure NEURO SURGERY Transforaminal Epidural Nerve Block Lumbar ( Multipe ) 7500 8360 8360 9600 12500 20900 1454 Medical/Surgical Procdedure NEURO SURGERY Transforaminal Epidural Nerve Block Lumbar ( Single ) 3900 4290 4290 4900 6400 10700 1455 Medical/Surgical Procdedure NEURO SURGERY Venous Doppler - Neck 2600 2860 2860 3300 4300 7200 1456 Medical/Surgical Procdedure NEURO SURGERY Sacroiliac Joint Injection 4600 5060 5060 5800 7600 12700 1457 Medical/Surgical Procdedure NEURO SURGERY Bronchial Embolization 39500 43890 43890 50500 65800 109700 1458 Medical/Surgical Procdedure NEURO SURGERY Reduction Cranioplasty 41100 45650 45650 52500 68500 114100 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Digital Substraction Angiography ( DSA ) - Check ( Neurosurgery NEURO SURGERY 3800 0 7500 8600 10500 0 1459 Medical/Surgical Procdedure ) 1460 Medical/Surgical Procdedure NUCLEAR MEDICINE Lutitium therapy (B.J.Madan & Co.) 150 mCi 0 0 0 0 212923 1461 Medical/Surgical Procdedure NUCLEAR MEDICINE Lutitium therapy (Drax image/Syphen) 150 mCi 0 0 0 0 233750 1462 Medical/Surgical Procdedure NUCLEAR MEDICINE Lutitium therapy (BRIT) 200 mCi 0 0 0 0 51727 1463 Medical/Surgical Procdedure NUCLEAR MEDICINE Lutitium therapy (B.J.Madan & Co.) 300 mCi 0 0 0 0 250000 1464 Medical/Surgical Procdedure NUCLEAR MEDICINE Lutitium therapy (Drax image/Syphen) 300 mCi 0 0 0 0 250000 1465 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy100 mCi 0 0 0 0 38600 1466 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy150 mCi 0 0 0 0 40800 1467 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy 200 mCi 0 0 0 0 52900 1468 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy 250 mCi 0 0 0 0 56200 1469 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy 300 mCi 0 0 0 0 56200 1470 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy 50 mCi 0 0 0 0 34200 1471 Medical/Surgical Procdedure NUCLEAR MEDICINE Radioactive Iodine therapy 75 mCi 0 0 0 0 36500 1472 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY PICSI 20000 20000 20000 0 0 0 1473 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY GCSF INSERTION 10000 10000 10000 0 0 0 1474 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY WHO MTP STUDY 10000 10000 10000 0 0 0 Abdominal Hysterectomy Radical ( For Carcinoma Body Of OBSTETRICS & GYNAECOLOGY 41500 46100 46100 53000 69200 115300 1475 Medical/Surgical Procdedure Uterus ) + Lymphnodectomy 1476 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Myomectomy + Adhesiolysis 31300 34800 34800 40000 52200 87000 1477 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Hysterectomy + BSO + Adhesiolysis 35200 39100 39100 45000 58700 97800 1478 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Hysterectomy + Adhesiolysis 27400 30400 30400 35000 45600 76000 1479 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Hysterectomy + Salpingectomy (Bilateral) 27400 30400 30400 35000 45600 76000 1480 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Manchester Repair With Ligation 19500 21700 21700 25000 32600 54300 1481 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy + BSO + PFR ( Anterior + Posterior ) 35200 39100 39100 45000 58700 97800 1482 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Cystectomy (Bilateral) 19500 21700 21700 25000 32600 54300 1483 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy + AP Repair + Sacrospinous fixation 39200 43500 43500 50000 65300 108800 1484 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopy + Baloon Ablation 15700 17400 17400 20000 26100 43500 1485 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopic Myomectomy ( Single ) 17200 19100 19100 22000 28700 47800 Diagnostic Hysteroscopy + Diagnostic Laparoscopy + EA + OBSTETRICS & GYNAECOLOGY 15700 17400 17400 20000 26100 43500 1486 Medical/Surgical Procdedure Chromopertubation 1487 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Diagnostic Hysteroscopy + Diagnostic Laparoscopy + EA 13300 14800 14800 17000 22200 37000 1488 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopic Myomectomy (Multiple) 27400 30400 30400 35000 45600 76000 1489 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laproscopic Oophorectomy (Bilateral) 25000 27800 27800 32000 41700 69500 1490 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laparoscopy - Endometriosis ( Grade 3 /Grade 4 ) 39200 43500 43500 50000 65300 108800 Total Laparoscopic Hysterectomy (TLH) - Large Uterus > 18 OBSTETRICS & GYNAECOLOGY 39200 43500 43500 50000 65300 108800 1491 Medical/Surgical Procdedure weeks Total Laparoscopic Hysterectomy (TLH) - With /Without OBSTETRICS & GYNAECOLOGY 47000 52200 52200 60000 78300 130500 1492 Medical/Surgical Procdedure Endometriosis Total Laparoscopic Hysterectomy (TLH) - With /Without OBSTETRICS & GYNAECOLOGY 47000 52200 52200 60000 78300 130500 1493 Medical/Surgical Procdedure Previous surgery/LSCS 1494 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laproscopic Myomectomy + Adhesiolysis 42900 47700 47700 54900 71600 119300 Laproscopic Cystectomy / Oophorectomy (Unilateral ) + OBSTETRICS & GYNAECOLOGY 25000 27800 27800 32000 41700 69500 1495 Medical/Surgical Procdedure Adhesiolysis Laproscopic Cystectomy / Oophorectomy (Bilateral ) + OBSTETRICS & GYNAECOLOGY 31300 34800 34800 40000 52200 87000 1496 Medical/Surgical Procdedure Adhesiolysis 1497 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Amniocentesis 4500 5000 5000 5750 7500 12500 1498 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Cystectomy 14100 15700 15700 18000 23600 39300 1499 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vulval Tumor (Simple) Removal 6300 7000 7000 8100 10500 17500 1500 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Perineal Tear Old ( 2nd Degree ) Repair 6100 6800 6800 7800 10200 17000 1501 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colporrhaphy ( Anterior ) 11700 13000 13000 15000 19500 32500 1502 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Recto Vaginal Fistula Repair 27100 30100 30100 34600 45200 75300 VesicoVaginal Fistula ( VVF ) Repair - Obstetrics and OBSTETRICS & GYNAECOLOGY 21900 24300 24300 28000 36500 60800 1503 Medical/Surgical Procdedure Gynecology 1504 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vulvectomy (Simple) 14100 15700 15700 18000 23600 39300 1505 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysterectomy (Subtotal) 23500 26100 26100 30000 39200 65300 1506 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Bartholin Cyst Excision ( Right ) 5500 6100 6100 7000 9150 15250 1507 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY TransCervical Resection Of Endometrium ( TCRE ) 19500 21700 21700 25000 32600 54300 1508 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Tubal Insufflation 2340 2600 2600 3000 3900 6500 1509 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Operation ( for Stress Incontinence of Urine ) 14500 16100 16100 18500 24200 40300 1510 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vulval Biopsy 3500 3900 3900 4500 5850 9750 1511 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Wedge Resection of Ovaries 7800 8700 8700 10000 13050 21750 1512 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Wertheim's Hysterectomy 35200 39100 39100 45000 58700 97800 1513 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY William's Operation (for Reconstruction Of Vagina) 21800 24200 24200 27800 36300 60500 OBSTETRICS & GYNAECOLOGY Enterocele Repair - Laparoscopic ( Obstetrics and Gynecology ) 27400 30400 30400 35000 45600 76000 1514 Medical/Surgical Procdedure 1515 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Endometriotic Spots Ablation ( Laparoscopic ) 9400 10400 10400 12000 15600 26000 1516 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Intra Uterine Contraceptive Device ( IUCD ) Insertion 2340 2600 2600 3000 3900 6500 1517 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Cauterization 3920 4350 4350 5000 6530 10880 1518 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Dilatation & Evacuation (D & E) 4700 5200 5200 6000 7800 13000 1519 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Cerclage 11300 12500 12500 14400 18800 31300 1520 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Biopsy 3920 4350 4350 5000 6530 10880 1521 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Biopsy (Laparoscopic ) 7000 7800 7800 9000 11700 19500 1522 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Suction and Evacuation 4860 5400 5400 6200 8100 13500 1523 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Total Abdominal Hysterectomy 23500 26100 26100 30000 39200 65300 1524 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colposcopy 3920 4350 4350 5000 6530 10880 1525 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Tubal Ligation ( Laparoscopic ) 7800 8700 8700 10000 13050 21750 1526 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laparoscopy Diagnostic ( Obstetrics and Gynecology ) 7000 7800 7800 9000 11700 19500 1527 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Septum Division ( Hysteroscopic - Operative ) 19500 21700 21700 25000 32600 54300 1528 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Cryocautery 3920 4350 4350 5000 6530 10880 1529 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopy (Diagnostic) 5090 5650 5650 6500 8500 14100 Abdominal Wall Hematoma Drainage ( Obstretics and OBSTETRICS & GYNAECOLOGY 6600 7300 7300 8400 10950 18250 1530 Medical/Surgical Procdedure Gynecology ) 1531 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Polypectomy 3920 4350 4350 5000 6530 10880 1532 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Exploratory Laparotomy 11100 12300 12300 14100 18500 30800 1533 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laparoscopy Diagnostic ( With / Without Chromotubation ) 8600 9600 9600 11000 14400 24000 OBSTETRICS & GYNAECOLOGY Examination Under Anesthesia ( Obstetrics and Gynecology ) 2700 3040 3040 3500 4560 7600 1534 Medical/Surgical Procdedure 1535 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Dilatation And Curettage ( DNC ) 3920 4350 4350 5000 6530 10880 1536 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vulval Hematoma Drainage 6300 6960 6960 8000 10440 17400 1537 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Labial Cyst Excision 5850 6500 6500 7500 9750 16250 1538 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginoplasty ( Obstetrics and Gynecology ) 32800 36400 36400 41900 54600 91000 1539 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colporrhaphy ( Posterior ) 11700 13000 13000 15000 19500 32500 1540 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Myomectomy Laparoscopic - Multiple 23500 26100 26100 30000 39200 65300 1541 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Medical Termination Of Pregnancy ( MTP ) - Drugs 4200 4700 4700 5400 7100 11800 1542 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Perineal Tears ( 3rd Degree ) Repair 11800 13100 13100 15100 19700 32800 1543 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy 27400 30400 30400 35000 45600 76000 Laparoscopic Assisted Vaginal Hysterectomy ( LAVH ) + Bilateral OBSTETRICS & GYNAECOLOGY 31300 34800 34800 40000 52200 87000 1544 Medical/Surgical Procdedure Salpingo Oopherectomy ( BSO ) 1545 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Multiple / Large Myomectomy 27400 30400 30400 35000 45600 76000 1546 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colposcopy With Cone Biopsy 6300 6960 6960 8000 10440 17400 1547 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colposcopy With Leep 6300 6960 6960 8000 10440 17400 1548 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Colposcopy With Punch Biopsy Cervix 4140 4600 4600 5300 6900 11500 1549 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopy Adhesiolysis 11700 13000 13000 15000 19500 32500 1550 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Multifetal Pregnancy Reduction ( MFPR ) 14100 15700 15700 18000 23600 39300 1551 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Removal Of Cervical / Shriodkar Stitch 4900 5400 5400 6200 8100 13500 1552 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy With Posterior repair 31300 34800 34800 40000 52200 87000 1553 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Adhesiolysis ( Obst and Gynae ) 11800 13100 13100 15100 19700 32800 1554 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Myomectomy Hysteroscopic 19500 21700 21700 25000 32600 54300 1555 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Polypectomy Hysteroscopic 7000 7800 7800 9000 11700 19500 Medical Termination of Pregnancy ( MTP ) + Tubal Ligation ( OBSTETRICS & GYNAECOLOGY 12300 13700 13700 15800 20600 34300 1556 Medical/Surgical Procdedure Laparoscopic ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Intra Uterine Contraceptive Device ( IUCD ) Removal OBSTETRICS & GYNAECOLOGY 5900 6600 6600 7600 9900 16500 1557 Medical/Surgical Procdedure Hysteroscopic 1558 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Polypectomy Endometrial ( Per Vaginal ) 3920 4350 4350 5000 6530 10880 1559 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysterotomy 14100 15700 15700 18000 23600 39300 1560 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Chorionic Villus Sampling 6300 7000 7000 8050 10500 17500 1561 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysterotomy + Tubal Ligation 16500 18300 18300 21000 27500 45800 Vaginal Hysterectomy with Vaginal Wall Repair ( Anterior + OBSTETRICS & GYNAECOLOGY 35600 39600 39600 45500 59400 99000 1562 Medical/Surgical Procdedure Posterior ) 1563 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Intrauterine Insemination ( IUI ) 3500 3900 3900 4500 5850 9750 1564 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY USG REVIEW 1350 1500 1500 1730 2250 3750 1565 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY THAWING - IVF 6200 6900 6900 7900 10400 17300 1566 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Cervical Cerclage ( Shirodkar Stitch ) 14300 15900 15900 18300 23900 39800 1567 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Placenta Removal ( Manual ) 4700 5200 5200 6000 7800 13000 1568 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Urethral Caruncle Excision ( Obstetrics and Gynecology ) 6300 7000 7000 8100 10500 17500 1569 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Tuboplasty ( Microsurgery ) 32800 36400 36400 41900 54600 91000 1570 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Cyst Aspiration ( Laparoscopic ) 7000 7800 7800 9000 11700 19500 1571 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vulvular Warts Removal - Multiple 2700 3040 3040 3500 4560 7600 1572 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Cystectomy ( Left ) Laparoscopic 15700 17400 17400 20000 26100 43500 1573 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Wireless Cardiotocography ( Intrapartum CTG ) 2300 2500 2500 2900 3800 6300 1574 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hemi Hysterectomy - Laparoscopic 27400 30400 30400 35000 45600 76000 1575 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Embryo Freezing ( Annual - First year ) 52000 57800 57800 66500 86700 144500 1576 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Embryo Freezing ( Annual - Subseqent year ) 31200 34700 34700 39900 52100 86800 1577 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Oocyte Freezing ( Annual - First Year) 62400 69300 69300 79700 104000 173300 1578 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY IUI (IVF) - Semen Preparation 5200 5800 5800 6700 8700 14500 1579 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY IUI (IVF) - Procedure 5200 5800 5800 6700 8700 14500 1580 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Thawing - IVF ( FET ) 26300 29200 29200 33600 43800 73000 Hysteroscopy Adhesiolysis ( Grade III & IV ) - ( Major ) / OBSTETRICS & GYNAECOLOGY 18000 20000 20000 23000 30000 50000 1581 Medical/Surgical Procdedure Hysteroscopic Synaecheia Removal 1582 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopy ( Diagnostic ) + EA / D & C 6300 6960 6960 8000 10440 17400 1583 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysteroscopy ( Diagnostic ) + D&C & Mirena Insertion 7800 8700 8700 10000 13050 21750 1584 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Abdominal Hysterectomy + BSO 27400 30400 30400 35000 45600 76000 1585 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hysterectomy ( Subtotal ) + BSO 27400 30400 30400 35000 45600 76000 1586 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Minilap (Tubal Ligation) + MTP 6600 7300 7300 8400 10950 18250 Abdominal Wall Abcess Drainage ( Obstetrics And Gynaecology OBSTETRICS & GYNAECOLOGY 6600 7300 7300 8400 10950 18250 1587 Medical/Surgical Procdedure ) 1588 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Scar Endometriosis Excision 11800 13100 13100 15100 19700 32800 Purandare Abdominal Sling Operation ( Obstetrics And OBSTETRICS & GYNAECOLOGY 21500 23900 23900 27500 35900 59800 1589 Medical/Surgical Procdedure Gynaecology ) Shirodkar Abdominal Sling Operation ( Obstetrics And OBSTETRICS & GYNAECOLOGY 21500 23900 23900 27500 35900 59800 1590 Medical/Surgical Procdedure Gynaecology ) Medical termination of Pregnancy (MTP) - 2nd Trimester - OBSTETRICS & GYNAECOLOGY 5800 6400 6400 7400 9600 16000 1591 Medical/Surgical Procdedure Medical 1592 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hydatidiform Mole Evacuation 10200 11300 11300 13000 17000 28300 Post Partum Hemorrhage Management - Internal Iliac Artery OBSTETRICS & GYNAECOLOGY 14100 15700 15700 18000 23600 39300 1593 Medical/Surgical Procdedure Ligation 1594 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Caesarian Hysterectomy 35900 39900 39900 45900 59900 99800 1595 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Simple Vulvectomy + Lymphadenectomy 35200 39100 39100 45000 58700 97800 Vaginal Hysterectomy + Bilateral Salpingo Oopherectomy ( BSO OBSTETRICS & GYNAECOLOGY 31300 34800 34800 40000 52200 87000 1596 Medical/Surgical Procdedure ) 1597 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy + Anterior Colporrhaphy 27400 30400 30400 35000 45600 76000 1598 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Adhesiolysis Laparoscopic ( Obstetrics and Gynecology ) 11700 13000 13000 15000 19500 32500 1599 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy With Mesh Repair 39400 43800 43800 50400 65700 109500 1600 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Hysterectomy With Tot Sling 31300 34800 34800 40000 52200 87000 1601 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vault Prolapse Repair - Vaginal Sacrospinous Fixation 19500 21700 21700 25000 32600 54300 1602 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Hymen Reconstruction 11700 13000 13000 15000 19500 32500 1603 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Imperforate Hymen Repair 6300 6960 6960 8000 10440 17400 1604 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Old Complete Perineal Tear Repair 11800 13100 13100 15100 19700 32800 1605 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Dilatation & Curettage + ECC 4700 5200 5200 6000 7800 13000 1606 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Endometrial Aspiration + Endocervical Curretage 4700 5200 5200 6000 7800 13000 Total Laparoscopic Hysterectomy (TLH) + Bilateral Salpingo OBSTETRICS & GYNAECOLOGY 35200 39100 39100 45000 58700 97800 1607 Medical/Surgical Procdedure Oopherectomy ( BSO ) 1608 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laparoscope Assisted Vaginal Hysterectomy ( LAVH ) 27400 30400 30400 35000 45600 76000 1609 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Myomectomy Abdominal 21900 24300 24300 28000 36500 60800 1610 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Biopsy ( Laparoscopic ) 7800 8700 8700 10000 13050 21750 1611 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Burch Colposuspension ( Laparoscopic ) 27400 30400 30400 35000 45600 76000 1612 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Fimbriolysis ( Laparoscopic ) 11700 13000 13000 15000 19500 32500 1613 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ovarian Puncture / Drilling (Multiple) Laparoscopic 7800 8700 8700 10000 13050 21750 1614 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Myomectomy - Laparoscopic ( Obstetrics and Gynecology ) 28400 31600 31600 36300 47400 79000 1615 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Oophorectomy ( Laparoscopic ) 17200 19100 19100 22000 28700 47800 1616 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Ectopic Pregnancy (Laparoscopic Procedure) 14100 15700 15700 18000 23600 39300 1617 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Salpingectomy ( Laparoscopic ) 7800 8700 8700 10000 13050 21750 OBSTETRICS & GYNAECOLOGY Trans Abdominal Procedure for Urinary Stress Incontinence 21900 24300 24300 28000 36500 60800 1618 Medical/Surgical Procdedure 1619 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Salpingo Oophorectomy ( Laparoscopic ) 15700 17400 17400 20000 26100 43500 1620 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Salpingostomy ( Laparoscopic ) 13100 14500 14500 16700 21800 36300 1621 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Tuboplasty ( Laparoscopic ) 19500 21700 21700 25000 32600 54300 1622 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Vaginal Vault Suspension ( Laparoscopic ) 35200 39100 39100 45000 58700 97800 1623 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Laparotomy for Ectopic Pregnancy 14200 15800 15800 18200 23700 39500 1624 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Large Loop Excision of Transformation Zone (LLETZ) 8300 9200 9200 10600 13800 23000 1625 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Le Forts Operation (Genital Prolapse) 13300 14800 14800 17000 22200 37000 1626 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Amnioinfusion 4500 5000 5000 5750 7500 12500 1627 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Manchester Repair ( Fothergill Operation ) 13300 14800 14800 17000 22200 37000 1628 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Bartholin Gand Abscess Marsupialization 4700 5200 5200 6000 7800 13000 1629 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Medical Termination of Pregnancy (MTP) - 1st Trimester 4700 5200 5200 6000 7800 13000 Medical Termination of Pregnancy (MTP) 1st Trimester + OBSTETRICS & GYNAECOLOGY 11700 13000 13000 15000 19500 32500 1630 Medical/Surgical Procdedure Sterilization 1631 Medical/Surgical Procdedure OBSTETRICS & GYNAECOLOGY Medical Termination of Pregnancy (MTP) - 2nd Trimester 10200 11300 11300 13000 17000 28300 1632 Medical/Surgical Procdedure OPHTHALMOLOGY Macular Hole Surgery 22500 25000 25000 28750 37500 62500 1633 Medical/Surgical Procdedure OPHTHALMOLOGY Retinocryopexy ( Per Quadrant ) - Per Sitting 4500 5000 5000 5750 7500 12500 1634 Medical/Surgical Procdedure OPHTHALMOLOGY Silicone Oil Removal 7200 8000 8000 9200 12000 20000 1635 Medical/Surgical Procdedure OPHTHALMOLOGY Squint surgery ( Vertical Muscle ) 22500 25000 25000 28800 37500 62500 1636 Medical/Surgical Procdedure OPHTHALMOLOGY Symblepharon Release + Grafting 13500 15000 15000 17300 22500 37500 1637 Medical/Surgical Procdedure OPHTHALMOLOGY Trabeculectomy 9000 10000 10000 11500 15000 25000 1638 Medical/Surgical Procdedure OPHTHALMOLOGY Dacryocystectomy 13500 15000 15000 17300 22500 37500 1639 Medical/Surgical Procdedure OPHTHALMOLOGY Exenteration (Eye) 19800 22000 22000 25300 33000 55000 1640 Medical/Surgical Procdedure OPHTHALMOLOGY Tarsorrhaphy ( Temporary ) 4500 5000 5000 5800 7500 12500 1641 Medical/Surgical Procdedure OPHTHALMOLOGY Tarsorrhaphy ( Permanent ) 6300 7000 7000 8100 10500 17500 1642 Medical/Surgical Procdedure OPHTHALMOLOGY Injection Intravitreal ( Lucentis ) 6300 7000 7000 8050 10500 17500 1643 Medical/Surgical Procdedure OPHTHALMOLOGY Lamellar Keratoplasty 22500 25000 25000 28800 37500 62500 1644 Medical/Surgical Procdedure OPHTHALMOLOGY Penetrating Keratoplasty 18000 20000 20000 23000 30000 50000 1645 Medical/Surgical Procdedure OPHTHALMOLOGY Canalicular Repair 9000 10000 10000 11500 15000 25000 1646 Medical/Surgical Procdedure OPHTHALMOLOGY Injection Intravitreal ( Avastin ) 6300 7000 7000 8050 10500 17500 1647 Medical/Surgical Procdedure OPHTHALMOLOGY Vitrectomy 13500 15000 15000 17250 22500 37500 1648 Medical/Surgical Procdedure OPHTHALMOLOGY Buckle Removal 6300 7000 7000 8050 10500 17500 1649 Medical/Surgical Procdedure OPHTHALMOLOGY Orbital Decompression 18000 20000 20000 23000 30000 50000 1650 Medical/Surgical Procdedure OPHTHALMOLOGY Enucleation 11700 13000 13000 15000 19500 32500 1651 Medical/Surgical Procdedure OPHTHALMOLOGY Chalazion Incision and Curettage 2250 2500 2500 2900 3800 6300 1652 Medical/Surgical Procdedure OPHTHALMOLOGY Enucleation / Evisceration + Implant 13500 15000 15000 17300 22500 37500 1653 Medical/Surgical Procdedure OPHTHALMOLOGY Contact Lens Trial 0 1000 0 0 0 0 1654 Medical/Surgical Procdedure OPHTHALMOLOGY Chalazion - Intralesional Triamcinolone / Steroid Injection 1350 1500 1500 1700 2300 3800 1655 Medical/Surgical Procdedure OPHTHALMOLOGY SICS - PMMA IOL 7200 8000 8000 9200 12000 20000 1656 Medical/Surgical Procdedure OPHTHALMOLOGY Phacoemulcification - Acrysof - IQ IOL 12600 14000 14000 16100 21000 35000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1657 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Alcon Propak 15300 17000 17000 19600 25500 42500 1658 Medical/Surgical Procdedure OPHTHALMOLOGY Paediatric Phaco - Acrysof-IQ + PPC Vitrectomy 18000 20000 20000 23000 30000 50000 1659 Medical/Surgical Procdedure OPHTHALMOLOGY Paediatric Phaco - Acrysof-IQ IOL 16200 18000 18000 20700 27000 45000 1660 Medical/Surgical Procdedure OPHTHALMOLOGY Secondary IOL Implantation - Scleral Fixated (PMMA) 9000 10000 10000 11500 15000 25000 1661 Medical/Surgical Procdedure OPHTHALMOLOGY Secondary IOL Implantation - Acrysof-IQ 9000 10000 10000 11500 15000 25000 1662 Medical/Surgical Procdedure OPHTHALMOLOGY Secondary IOL - AC IOL (PMMA) 7200 8000 8000 9200 12000 20000 1663 Medical/Surgical Procdedure OPHTHALMOLOGY Complicated Phaco - Acrysof-IQ IOL 13500 15000 15000 17300 22500 37500 1664 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ IOL 13500 15000 15000 17300 22500 37500 1665 Medical/Surgical Procdedure OPHTHALMOLOGY Phaco - Indian Foldable IOL 9000 10000 10000 11500 15000 25000 1666 Medical/Surgical Procdedure OPHTHALMOLOGY Phaco - Acrysof-SP IOL 10800 12000 12000 13800 18000 30000 1667 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ Toric IOL 14400 16000 16000 18400 24000 40000 1668 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ Toric Propak 16200 18000 18000 20700 27000 45000 1669 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ Restor IOL 18000 20000 20000 23000 30000 50000 1670 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ Restor Toric IOL 19800 22000 22000 25300 33000 55000 1671 Medical/Surgical Procdedure OPHTHALMOLOGY MICS - Acrysof-IQ Crystalens IOL 22500 25000 25000 28800 37500 62500 1672 Medical/Surgical Procdedure OPHTHALMOLOGY Lasik (One Eye) 9000 10000 10000 11500 15000 25000 1673 Medical/Surgical Procdedure OPHTHALMOLOGY Custom Lasik (One Eye) 11700 13000 13000 15000 19500 32500 1674 Medical/Surgical Procdedure OPHTHALMOLOGY SBK Lasik (One Eye) 13500 15000 15000 17300 22500 37500 1675 Medical/Surgical Procdedure OPHTHALMOLOGY Custom Lasik (Both Eyes) 16200 18000 18000 20700 27000 45000 1676 Medical/Surgical Procdedure OPHTHALMOLOGY SBK Lasik (Both Eyes) 20700 23000 23000 26500 34500 57500 1677 Medical/Surgical Procdedure OPHTHALMOLOGY Staar Toric ICL Implantation 16200 18000 18000 20700 27000 45000 1678 Medical/Surgical Procdedure OPHTHALMOLOGY Staar ICL Implantation 14400 16000 16000 18400 24000 40000 1679 Medical/Surgical Procdedure OPHTHALMOLOGY Trabeculectomy With Ologen 11700 13000 13000 15000 19500 32500 1680 Medical/Surgical Procdedure OPHTHALMOLOGY Trabeculectomy With Alcon Express Shunt 15300 17000 17000 19600 25500 42500 1681 Medical/Surgical Procdedure OPHTHALMOLOGY Filtration Bleb Revision 9000 10000 10000 11500 15000 25000 1682 Medical/Surgical Procdedure OPHTHALMOLOGY Squint Surgery - Duane's Syndrome 22500 25000 25000 28800 37500 62500 1683 Medical/Surgical Procdedure OPHTHALMOLOGY Squint Surgery - Nystagmus Surgery 22500 25000 25000 28800 37500 62500 1684 Medical/Surgical Procdedure OPHTHALMOLOGY Ptosis Surgery - Fasanella Saravat 9000 10000 10000 11500 15000 25000 1685 Medical/Surgical Procdedure OPHTHALMOLOGY Ptosis Surgery - Levator Resection 10800 12000 12000 13800 18000 30000 1686 Medical/Surgical Procdedure OPHTHALMOLOGY Ptosis Surgery - Suture Sling Surgery 13500 15000 15000 17300 22500 37500 1687 Medical/Surgical Procdedure OPHTHALMOLOGY Ptosis Surgery - Fascia Lata Sling Surgery 15300 17000 17000 19600 25500 42500 Oculoplasty- Syringing & Probing (+GA & Room Rent Charges OPHTHALMOLOGY 6300 7000 7000 8100 10500 17500 1688 Medical/Surgical Procdedure extra) 1689 Medical/Surgical Procdedure OPHTHALMOLOGY Oculoplasty- Dacryocystorhinostomy (DCR) OPEN 13500 15000 15000 17300 22500 37500 1690 Medical/Surgical Procdedure OPHTHALMOLOGY Oculoplasty- Dacryocystorhinostomy (DCR) ENDOSCOPIC 22500 25000 25000 28800 37500 62500 1691 Medical/Surgical Procdedure OPHTHALMOLOGY Oculoplasty - Orbitotomy Surgery (Anterior / Basic ) 31500 35000 35000 40300 52500 87500 1692 Medical/Surgical Procdedure OPHTHALMOLOGY Oculoplasty - Orbitotomy Surgery(Lateral/ Advanced) 40500 45000 45000 51800 67500 112500 1693 Medical/Surgical Procdedure OPHTHALMOLOGY Pterygium Surgery 7200 8000 8000 9200 12000 20000 1694 Medical/Surgical Procdedure OPHTHALMOLOGY Pterygium Surgery With Fibrin Glue 9000 10000 10000 11500 15000 25000 1695 Medical/Surgical Procdedure OPHTHALMOLOGY Descemet's Stripping Endothelial Keratoplasty ( DSEK ) 27000 30000 30000 34500 45000 75000 1696 Medical/Surgical Procdedure OPHTHALMOLOGY Keratoprosthesis ( Ophthalmology ) 22500 25000 25000 28800 37500 62500 1697 Medical/Surgical Procdedure OPHTHALMOLOGY Blephroplasty ( One eye ) ( Ophthalmology ) 18000 20000 20000 23000 30000 50000 1698 Medical/Surgical Procdedure OPHTHALMOLOGY Blow out Fracture ( Ophthalmology ) 13500 15000 15000 17300 22500 37500 1699 Medical/Surgical Procdedure OPHTHALMOLOGY Conjunctival Mass Excision ( Ophthalmology ) 7200 8000 8000 9200 12000 20000 1700 Medical/Surgical Procdedure OPHTHALMOLOGY Conjunctival Repair / Suturing ( Ophthalmology ) 4500 5000 5000 5800 7500 12500 1701 Medical/Surgical Procdedure OPHTHALMOLOGY Evisceration Without Implant ( Ophthalmology ) 9000 10000 10000 11500 15000 25000 1702 Medical/Surgical Procdedure OPHTHALMOLOGY Epicanthal Fold Correction ( Ophthalmology ) 10800 12000 12000 13800 18000 30000 1703 Medical/Surgical Procdedure OPHTHALMOLOGY Eye Lid Mass Excision / Biopsy ( Ophthalmology ) 7200 8000 8000 9200 12000 20000 1704 Medical/Surgical Procdedure OPHTHALMOLOGY Exploration of Orbit ( Ophthalmology ) 9000 10000 10000 11500 15000 25000 1705 Medical/Surgical Procdedure OPHTHALMOLOGY Lid Repair ( Ophthalmology ) 9000 10000 10000 11500 15000 25000 1706 Medical/Surgical Procdedure OPHTHALMOLOGY Lid Reconstruction ( Minor ) ( Ophthalmology ) 13500 15000 15000 17300 22500 37500 1707 Medical/Surgical Procdedure OPHTHALMOLOGY Lid Reconstruction ( Major ) ( Ophthalmology ) 18000 20000 20000 23000 30000 50000 1708 Medical/Surgical Procdedure OPHTHALMOLOGY Socket Reconstruction ( Minor ) ( Ophthalmology ) 5400 6000 6000 6900 9000 15000 1709 Medical/Surgical Procdedure OPHTHALMOLOGY Socket Reconstruction ( With Graft ) ( Ophthalmology ) 10800 12000 12000 13800 18000 30000 1710 Medical/Surgical Procdedure OPHTHALMOLOGY Socket Reconstruction ( Major ) ( Ophthalmology ) 9000 10000 10000 11500 15000 25000 1711 Medical/Surgical Procdedure OPHTHALMOLOGY Injection Intravitreal ( Triamciolone ) 6300 7000 7000 8050 10500 17500 1712 Medical/Surgical Procdedure OPHTHALMOLOGY Retinal Laser ( LIO ) 7200 8000 8000 9200 12000 20000 1713 Medical/Surgical Procdedure OPHTHALMOLOGY Retinocryopexy ( Multiple Quadrant ) 7200 8000 8000 9200 12000 20000 1714 Medical/Surgical Procdedure ORTHOPAEDICS POP Cast Application - Full ( Above Elbow ) 1620 1800 1800 2070 2700 4500 1715 Medical/Surgical Procdedure ORTHOPAEDICS POP Removal 540 600 600 690 900 1500 1716 Medical/Surgical Procdedure ORTHOPAEDICS Meniscus Repair 19000 21100 21100 24300 31700 52800 1717 Medical/Surgical Procdedure ORTHOPAEDICS Hemiarthroplasty HIP 22900 25400 25400 29200 38100 63500 1718 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis Of Major Joints - Pantalar 13400 14900 14900 17100 22400 37300 Open Reduction and Internal Fixation ( ORIF ) Pelvis / ORTHOPAEDICS 27100 30100 30100 34600 45200 75300 1719 Medical/Surgical Procdedure Acetabulum - Both Column Open Reduction and Internal Fixation ( ORIF ) Pelvis / ORTHOPAEDICS 15800 17500 17500 20100 26300 43800 1720 Medical/Surgical Procdedure Acetabulum - Single Column 1721 Medical/Surgical Procdedure ORTHOPAEDICS Fasciotomy - Lower Limb 8200 9100 9100 10500 13650 22750 1722 Medical/Surgical Procdedure ORTHOPAEDICS Abscess Drainage - Small ( Orthopedics ) 540 600 600 690 900 1500 1723 Medical/Surgical Procdedure ORTHOPAEDICS Abscess Drainage - Large ( Orthopedics ) 1260 1400 1400 1610 2100 3500 1724 Medical/Surgical Procdedure ORTHOPAEDICS Adductor Tenotomy ( Hip ) - Open 4500 5000 5000 5750 7500 12500 1725 Medical/Surgical Procdedure ORTHOPAEDICS Adductor Tenotomy ( Hip ) - Percutaneous 3060 3400 3400 3900 5100 8500 1726 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Midfoot 10700 11900 11900 13700 17900 29800 1727 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Toes ( Multiple ) 4500 5000 5000 5750 7500 12500 1728 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Hand ( > 2 Fingers ) 8200 9100 9100 10500 13650 22750 Open Reduction and Internal Fixation ( ORIF ) - Spine ( 2 Levels ORTHOPAEDICS 43400 48200 48200 55400 72300 120500 1729 Medical/Surgical Procdedure ) Anterior Approach Open Reduction and Internal Fixation ( ORIF ) - Spine ( > 2 ORTHOPAEDICS 47600 52900 52900 60800 79400 132300 1730 Medical/Surgical Procdedure Levels ) Anterior Approach 1731 Medical/Surgical Procdedure ORTHOPAEDICS Spine Decompression - Anterolateral ( Orthopedics ) 24500 27200 27200 31300 40800 68000 1732 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy Knee Joint 8200 9100 9100 10500 13650 22750 1733 Medical/Surgical Procdedure ORTHOPAEDICS Cyst Aspiration ( Superficial ) - Shoulder 1260 1400 1400 1610 2100 3500 1734 Medical/Surgical Procdedure ORTHOPAEDICS Cyst Aspiration ( Image Guided ) 3060 3400 3400 3900 5100 8500 1735 Medical/Surgical Procdedure ORTHOPAEDICS Astragalectomy 5600 6200 6200 7100 9300 15500 1736 Medical/Surgical Procdedure ORTHOPAEDICS Buddy Strapping 540 600 600 690 900 1500 1737 Medical/Surgical Procdedure ORTHOPAEDICS Bursa Excision - Forearm 3600 4000 4000 4600 6000 10000 Open Reduction and Internal Fixation ( ORIF ) - Capitellar ORTHOPAEDICS 10200 11300 11300 13000 17000 28300 1738 Medical/Surgical Procdedure Fracture 1739 Medical/Surgical Procdedure ORTHOPAEDICS Reduction + Cylinder Cast ( Above Knee ) 2600 2900 2900 3340 4350 7250 Central Venous Line / Subclavian Catheter /Arterial Catheter ORTHOPAEDICS 2600 2900 2900 3340 4350 7250 1740 Medical/Surgical Procdedure Insertion 1741 Medical/Surgical Procdedure ORTHOPAEDICS Cervical Spine Laminoplasty 29900 33200 33200 38200 49800 83000 1742 Medical/Surgical Procdedure ORTHOPAEDICS Chemotherapy - Single Dose ( Orthopedics ) 540 600 600 690 900 1500 Chest Tube Insertion ( For Pleural Fluid / Hemothorax / ORTHOPAEDICS 3060 3400 3400 3900 5100 8500 1743 Medical/Surgical Procdedure Pneumothorax ) 1744 Medical/Surgical Procdedure ORTHOPAEDICS Distal Radius Fracture Closed Reduction 2600 2900 2900 3340 4350 7250 1745 Medical/Surgical Procdedure ORTHOPAEDICS Tibia / Fibula Fracture Closed Reduction 2600 2900 2900 3340 4350 7250 1746 Medical/Surgical Procdedure ORTHOPAEDICS Cone Biopsy ( Orthopedics ) 4500 5000 5000 5750 7500 12500 1747 Medical/Surgical Procdedure ORTHOPAEDICS Core Decompression - Hip ( Right ) 8200 9100 9100 10500 13650 22750 1748 Medical/Surgical Procdedure ORTHOPAEDICS Core Decompression - Hip ( Left ) 8200 9100 9100 10500 13650 22750 1749 Medical/Surgical Procdedure ORTHOPAEDICS Core Decompression - Hip ( Bilateral ) 14700 16300 16300 18700 24500 40800 1750 Medical/Surgical Procdedure ORTHOPAEDICS Corrective Osteotomy - Shoulder 11900 13200 13200 15200 19800 33000 Cruch Injury - Finger ( Single ) Reconstruction / Debridement / ORTHOPAEDICS 3600 4000 4000 4600 6000 10000 1751 Medical/Surgical Procdedure Fixation 1752 Medical/Surgical Procdedure ORTHOPAEDICS Crush Injury - Hand Reconstruction 9100 10100 10100 11600 15200 25300 1753 Medical/Surgical Procdedure ORTHOPAEDICS Soft Tissue Release ( CSTR / PMSTR ) - Clubfoot 14700 16300 16300 18700 24500 40800 1754 Medical/Surgical Procdedure ORTHOPAEDICS Pelvis Curettage 10200 11300 11300 13000 17000 28300 1755 Medical/Surgical Procdedure ORTHOPAEDICS Curettage + Bone Grafting - Humerus 10200 11300 11300 13000 17000 28300 1756 Medical/Surgical Procdedure ORTHOPAEDICS Curettage + Bone Grafting - Hip ( Large ) 15800 17500 17500 20100 26300 43800 1757 Medical/Surgical Procdedure ORTHOPAEDICS Cyst Excision + Bone Grafting - Humerus 21600 24000 24000 27600 36000 60000 1758 Medical/Surgical Procdedure ORTHOPAEDICS Hand Debridement 3600 4000 4000 4600 6000 10000 1759 Medical/Surgical Procdedure ORTHOPAEDICS Hand Debridement - Medium 4500 5000 5000 5750 7500 12500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1760 Medical/Surgical Procdedure ORTHOPAEDICS Tibia Debridement + External Fixator 13400 14900 14900 17100 22400 37300 1761 Medical/Surgical Procdedure ORTHOPAEDICS Tibia Debridement + Unreamed Nailing 19000 21100 21100 24300 31700 52800 1762 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement ( Large ) - Upper Limb 2600 2900 2900 3340 4350 7250 1763 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement + Secondary Closure - Lower Limb 5600 6200 6200 7100 9300 15500 1764 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement + Secondary Closure - Upper Limb 4500 5000 5000 5750 7500 12500 1765 Medical/Surgical Procdedure ORTHOPAEDICS Disarticulaion Shoulder / Forequarter Amputation 21600 24000 24000 27600 36000 60000 1766 Medical/Surgical Procdedure ORTHOPAEDICS Disarticulation ? Hip / Hindquarter Amputation 21600 24000 24000 27600 36000 60000 1767 Medical/Surgical Procdedure ORTHOPAEDICS Carpal / Pericarpal Dislocation Open Reduction 10200 11300 11300 13000 17000 28300 1768 Medical/Surgical Procdedure ORTHOPAEDICS K - Wire Fixation - Distal Radius / Forearm 5600 6200 6200 7100 9300 15500 1769 Medical/Surgical Procdedure ORTHOPAEDICS K - Wire With External Fixation Application - Distal Radius 9100 10100 10100 11600 15200 25300 1770 Medical/Surgical Procdedure ORTHOPAEDICS Dressing - Medium ( Orthopedics ) 540 600 600 690 900 1500 1771 Medical/Surgical Procdedure ORTHOPAEDICS Dressing - Major ( Orthopedics ) 900 1000 1000 1150 1500 2500 1772 Medical/Surgical Procdedure ORTHOPAEDICS Dressing - Minor ( Orthopedics ) 180 200 200 230 300 500 1773 Medical/Surgical Procdedure ORTHOPAEDICS Dwyer Osteotomy ( Calcaneum ) 9100 10100 10100 11600 15200 25300 1774 Medical/Surgical Procdedure ORTHOPAEDICS Dynamic Hip Screw ( DHS ) Fixation - Hip 14700 16300 16300 18700 24500 40800 1775 Medical/Surgical Procdedure ORTHOPAEDICS Epiphysiodesis - Staple 4950 5500 5500 6300 8250 13750 1776 Medical/Surgical Procdedure ORTHOPAEDICS Knee Joint Bursa / Baker's Cyst Excision 6500 7200 7200 8300 10800 18000 1777 Medical/Surgical Procdedure ORTHOPAEDICS Ulna Excision ( Distal ) 5600 6200 6200 7100 9300 15500 1778 Medical/Surgical Procdedure ORTHOPAEDICS Acromioclavicular Joint ( Lateral End ) Excision 6500 7200 7200 8300 10800 18000 1779 Medical/Surgical Procdedure ORTHOPAEDICS Myositis Excision - Hip 13400 14900 14900 17100 22400 37300 1780 Medical/Surgical Procdedure ORTHOPAEDICS Myositis Excision - Elbow 9100 10100 10100 11600 15200 25300 1781 Medical/Surgical Procdedure ORTHOPAEDICS Hemivertebra Excision with Fusion 71500 79400 79400 91300 119100 198500 1782 Medical/Surgical Procdedure ORTHOPAEDICS Exostosis Removal - Deep 9100 10100 10100 11600 15200 25300 1783 Medical/Surgical Procdedure ORTHOPAEDICS Exostosis Removal - Superficial 4500 5000 5000 5750 7500 12500 1784 Medical/Surgical Procdedure ORTHOPAEDICS Excision Arthroplasty ( Elbow Joint ) 11000 12200 12200 14000 18300 30500 1785 Medical/Surgical Procdedure ORTHOPAEDICS Femur Fracture External Fixation 8200 9100 9100 10500 13650 22750 1786 Medical/Surgical Procdedure ORTHOPAEDICS External Fixator Application - Club Foot 14700 16300 16300 18700 24500 40800 1787 Medical/Surgical Procdedure ORTHOPAEDICS External Fixator Application - Pelvis 11900 13200 13200 15200 19800 33000 1788 Medical/Surgical Procdedure ORTHOPAEDICS External Fixator Application - Tibia / Fibula 8200 9100 9100 10500 13650 22750 1789 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov External Fixator Wire Adjustment 2600 2900 2900 3340 4350 7250 1790 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov External Fixator Wire ( Multiple ) Removal 3060 3400 3400 3900 5100 8500 1791 Medical/Surgical Procdedure ORTHOPAEDICS Facet Joint Injection - Multiple Levels 4950 5500 5500 6300 8250 13750 1792 Medical/Surgical Procdedure ORTHOPAEDICS Fasciotomy - Upper Limb 8200 9100 9100 10500 13650 22750 1793 Medical/Surgical Procdedure ORTHOPAEDICS Fenestration - Spine 21600 24000 24000 27600 36000 60000 1794 Medical/Surgical Procdedure ORTHOPAEDICS Fibular Strut Grafting 12400 13800 13800 15900 20700 34500 1795 Medical/Surgical Procdedure ORTHOPAEDICS Finger Nail Removal ( Multiple ) 3060 3400 3400 3900 5100 8500 1796 Medical/Surgical Procdedure ORTHOPAEDICS Finger Nail Removal ( Single ) 1260 1400 1400 1610 2100 3500 1797 Medical/Surgical Procdedure ORTHOPAEDICS Finger Reimplantation ( Single ) 24500 27200 27200 31300 40800 68000 1798 Medical/Surgical Procdedure ORTHOPAEDICS Finger Reimplantation ( Subsequent ) 15800 17500 17500 20100 26300 43800 Femoral Neck Fracture - Manipulation Under Anesthesia ( MUA ) ORTHOPAEDICS 15800 17500 17500 20100 26300 43800 1799 Medical/Surgical Procdedure + Internal Fixation 1800 Medical/Surgical Procdedure ORTHOPAEDICS Femoral Neck Fracture Open Reduction + Nailing 19000 21100 21100 24300 31700 52800 1801 Medical/Surgical Procdedure ORTHOPAEDICS Ganglion Excision - Foot 4500 5000 5000 5750 7500 12500 1802 Medical/Surgical Procdedure ORTHOPAEDICS Ganglion Excision - Wrist 2600 2900 2900 3340 4350 7250 1803 Medical/Surgical Procdedure ORTHOPAEDICS Hallux Valgus / Bunion Surgery 6500 7200 7200 8300 10800 18000 1804 Medical/Surgical Procdedure ORTHOPAEDICS Halo Skeletal Traction 4950 5500 5500 6300 8250 13750 1805 Medical/Surgical Procdedure ORTHOPAEDICS Hammer Toe / Mallet Toe Correction 4500 5000 5000 5750 7500 12500 1806 Medical/Surgical Procdedure ORTHOPAEDICS Curettage + Bone Grafting - Hand 6500 7200 7200 8300 10800 18000 1807 Medical/Surgical Procdedure ORTHOPAEDICS Hemipelvectomy 46100 51200 51200 58900 76800 128000 1808 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov Bone Transport For Gap Nonunion - Long Bone 24500 27200 27200 31300 40800 68000 1809 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov Bone Transport For Gap Nonunion - Small Bones 11000 12200 12200 14000 18300 30500 1810 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov Procedure - Humerus 14700 16300 16300 18700 24500 40800 1811 Medical/Surgical Procdedure ORTHOPAEDICS Ilizarov Fixator Modification - Tibia 4500 5000 5000 5750 7500 12500 1812 Medical/Surgical Procdedure ORTHOPAEDICS Abscess Incision and Drainage - Medium 900 1000 1000 1150 1500 2500 1813 Medical/Surgical Procdedure ORTHOPAEDICS Bone Grafting + AO Fixator ( for Infected Nonunion ) - Major 21600 24000 24000 27600 36000 60000 ORTHOPAEDICS Bone Grafting + Ring Fixator ( for Infected Nonunion ) - Major 24500 27200 27200 31300 40800 68000 1814 Medical/Surgical Procdedure 1815 Medical/Surgical Procdedure ORTHOPAEDICS Bone Grafting + AO Fixator ( for Infected Nonunion ) - Minor 13400 14900 14900 17100 22400 37300 Internal Fixation In Situ - Slipped Capital Femoral Epiphysis ( ORTHOPAEDICS 10200 11300 11300 13000 17000 28300 1816 Medical/Surgical Procdedure SCFE ) 1817 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nail Removal 6500 7200 7200 8300 10800 18000 1818 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nailing - Tibia 15800 17500 17500 20100 26300 43800 1819 Medical/Surgical Procdedure ORTHOPAEDICS Injection IntraArticular - Knee 1260 1400 1400 1610 2100 3500 1820 Medical/Surgical Procdedure ORTHOPAEDICS Jones Procedure ( For 1st Metatarsal Drop ) 8200 9100 9100 10500 13650 22750 1821 Medical/Surgical Procdedure ORTHOPAEDICS Radial Head Excision 5600 6200 6200 7100 9300 15500 1822 Medical/Surgical Procdedure ORTHOPAEDICS K Nail Removal 4950 5500 5500 6300 8250 13750 1823 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Fixation in Closed Fracture - Foot ( > 4 ) 8200 9100 9100 10500 13650 22750 1824 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Fixation in Closed Fracture - Foot ( 1-2 ) 2600 2900 2900 3340 4350 7250 1825 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Fixation in Closed Fracture - Foot ( 3-4 ) 5600 6200 6200 7100 9300 15500 1826 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Removal ( > 2 ) 900 1000 1000 1150 1500 2500 1827 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Removal ( 2 ) 540 600 600 690 900 1500 1828 Medical/Surgical Procdedure ORTHOPAEDICS Lacerated Wound Repair / Suturing ( > 10 Sutures ) 1260 1400 1400 1610 2100 3500 1829 Medical/Surgical Procdedure ORTHOPAEDICS Lacerated Wound Repair/ Suturing ( 5 to 10 Sutures ) 900 1000 1000 1150 1500 2500 1830 Medical/Surgical Procdedure ORTHOPAEDICS Spine Laminectomy - More than 3 Levels 27100 30100 30100 34600 45200 75300 1831 Medical/Surgical Procdedure ORTHOPAEDICS Spine Laminectomy - 1 or 2 Level 21600 24000 24000 27600 36000 60000 Lumbar Canal Stenosis ( LCS ) Release - Decompression + ORTHOPAEDICS 27100 30100 30100 34600 45200 75300 1832 Medical/Surgical Procdedure Fusion ( > 2 Levels ) Lumbar Canal Stenosis ( LCS ) Release - Decompression + ORTHOPAEDICS 21600 24000 24000 27600 36000 60000 1833 Medical/Surgical Procdedure Fusion ( Up to 2 Levels ) 1834 Medical/Surgical Procdedure ORTHOPAEDICS Lesser Metatarsal Head Excision 4950 5500 5500 6300 8250 13750 1835 Medical/Surgical Procdedure ORTHOPAEDICS Ligament Reconstruction - Wrist ( For Carpal Instability ) 15800 17500 17500 20100 26300 43800 1836 Medical/Surgical Procdedure ORTHOPAEDICS Limb Lengthening - Femur 21600 24000 24000 27600 36000 60000 1837 Medical/Surgical Procdedure ORTHOPAEDICS Limb Lengthening - Tibia 21600 24000 24000 27600 36000 60000 1838 Medical/Surgical Procdedure ORTHOPAEDICS Tibial Shaft Fracture Open Reduction + Plating 11900 13200 13200 15200 19800 33000 1839 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nailing - Tibial Shaft + Fibula Fracture 11900 13200 13200 15200 19800 33000 1840 Medical/Surgical Procdedure ORTHOPAEDICS Ingrowing Toe Nail Wedge Excision 3600 4000 4000 4600 6000 10000 1841 Medical/Surgical Procdedure ORTHOPAEDICS Local Infiltration - LA / Steroids ( Orthopedics ) 900 1000 1000 1150 1500 2500 1842 Medical/Surgical Procdedure ORTHOPAEDICS Lumbar Puncture ( Orthopedics ) 1980 2200 2200 2530 3300 5500 1843 Medical/Surgical Procdedure ORTHOPAEDICS Soft Tissue Release - Hip ( Major ) 10200 11300 11300 13000 17000 28300 1844 Medical/Surgical Procdedure ORTHOPAEDICS Mallet Finger Repair / Fixation 4500 5000 5000 5750 7500 12500 1845 Medical/Surgical Procdedure ORTHOPAEDICS Malunion Correction with ORIF - Tibia 19000 21100 21100 24300 31700 52800 1846 Medical/Surgical Procdedure ORTHOPAEDICS Fracture Malunion Correction with Plate 19000 21100 21100 24300 31700 52800 1847 Medical/Surgical Procdedure ORTHOPAEDICS Malunion Correction - Supramedullary Osteotomy ( Ankle ) 19000 21100 21100 24300 31700 52800 1848 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Digit ( Single ) 3600 4000 4000 4600 6000 10000 1849 Medical/Surgical Procdedure ORTHOPAEDICS Pulled Elbow Manipulaiton 540 600 600 690 900 1500 1850 Medical/Surgical Procdedure ORTHOPAEDICS Medial Collateral Ligment ( MCL ) Recontruction 8200 9100 9100 10500 13650 22750 1851 Medical/Surgical Procdedure ORTHOPAEDICS Meniscal Excision / Loose Body Removal 11900 13200 13200 15200 19800 33000 1852 Medical/Surgical Procdedure ORTHOPAEDICS Meniscectomy + Cruciate Ligament Reconstruction 11900 13200 13200 15200 19800 33000 1853 Medical/Surgical Procdedure ORTHOPAEDICS Suturing ( Minor - 2 to 5 Sutures ) 540 600 600 690 900 1500 1854 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis - Metatarsophalangial ( MTP ) Joint 6500 7200 7200 8300 10800 18000 Manipulation Under Anesthesia ( MUA ) + K Wire Fixation - ORTHOPAEDICS 9100 10100 10100 11600 15200 25300 1855 Medical/Surgical Procdedure Forearm ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) + Pinning - Shoulder 5600 6200 6200 7100 9300 15500 1856 Medical/Surgical Procdedure Manipulation Under Anesthesia ( MUA ) - Femur Fracture ( Child ORTHOPAEDICS 6500 7200 7200 8300 10800 18000 1857 Medical/Surgical Procdedure ) 1858 Medical/Surgical Procdedure ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Hip 4500 5000 5000 5750 7500 12500 1859 Medical/Surgical Procdedure ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Shoulder 4500 5000 5000 5750 7500 12500 1860 Medical/Surgical Procdedure ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Ankle 4950 5500 5500 6300 8250 13750 1861 Medical/Surgical Procdedure ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Wrist 3060 3400 3400 3900 5100 8500 1862 Medical/Surgical Procdedure ORTHOPAEDICS Pelvis Fracture Fixation ( External ) 4950 5500 5500 6300 8250 13750 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Manipulation Under Anesthesia ( MUA ) - Hip Joint ( For ORTHOPAEDICS 5600 6200 6200 7100 9300 15500 1863 Medical/Surgical Procdedure Dislocation / Stiffness ) 1864 Medical/Surgical Procdedure ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Calcaneum 3060 3400 3400 3900 5100 8500 ORTHOPAEDICS Manipulation Under Anesthesia ( MUA ) - Carpal / Pericarpal 3060 3400 3400 3900 5100 8500 1865 Medical/Surgical Procdedure Manipulation Under Anesthesia ( MUA ) - Elbow ( for Dislocation ORTHOPAEDICS 3060 3400 3400 3900 5100 8500 1866 Medical/Surgical Procdedure / Supracondylar Fracture ) Manipulation Under Anesthesia ( MUA ) + External Fixator - ORTHOPAEDICS 6500 7200 7200 8300 10800 18000 1867 Medical/Surgical Procdedure Forearm / Distal Radius 1868 Medical/Surgical Procdedure ORTHOPAEDICS Muscle Transfer - Shoulder 21600 24000 24000 27600 36000 60000 1869 Medical/Surgical Procdedure ORTHOPAEDICS Nail Dynamization - Tibia 2600 2900 2900 3340 4350 7250 1870 Medical/Surgical Procdedure ORTHOPAEDICS Nailing with Bone Grafting - Nonunion Tibia 15800 17500 17500 20100 26300 43800 1871 Medical/Surgical Procdedure ORTHOPAEDICS Nerve Grafting 15800 17500 17500 20100 26300 43800 1872 Medical/Surgical Procdedure ORTHOPAEDICS Nerve Repair - Single 11900 13200 13200 15200 19800 33000 1873 Medical/Surgical Procdedure ORTHOPAEDICS Nerve Transposition 8200 9100 9100 10500 13650 22750 1874 Medical/Surgical Procdedure ORTHOPAEDICS ORIF + Bone Grafting - Nonunion Clavicle 22100 24500 24500 28200 36800 61300 1875 Medical/Surgical Procdedure ORTHOPAEDICS Old Neglected Dislocation Surgery - Elbow 19000 21100 21100 24300 31700 52800 1876 Medical/Surgical Procdedure ORTHOPAEDICS Pelvis / Hip Biopsy - Open 10200 11300 11300 13000 17000 28300 1877 Medical/Surgical Procdedure ORTHOPAEDICS Meniscectomy / Ligament Reconstruction ( Knee ) - Open 9100 10100 10100 11600 15200 25300 1878 Medical/Surgical Procdedure ORTHOPAEDICS Meniscectomy - Open 9100 10100 10100 11600 15200 25300 1879 Medical/Surgical Procdedure ORTHOPAEDICS Foot Fracture Dislocation Open Reduction 9100 10100 10100 11600 15200 25300 1880 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy Elbow - Operative 14700 16300 16300 18700 24500 40800 1881 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy Wrist - Operative 11900 13200 13200 15200 19800 33000 ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Distal Radius 11900 13200 13200 15200 19800 33000 1882 Medical/Surgical Procdedure 1883 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Shoulder 15800 17500 17500 20100 26300 43800 Open Reduction and Internal Fixation ( ORIF ) - Small Bones ( ORTHOPAEDICS 8200 9100 9100 10500 13650 22750 1884 Medical/Surgical Procdedure Multiple ) 1885 Medical/Surgical Procdedure ORTHOPAEDICS ORIF + Bone Grafting - Small Bones ( Hand / Foot ) 11000 12200 12200 14000 18300 30500 1886 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy - Metatarsal / Tarsal ( Multiple ) 10200 11300 11300 13000 17000 28300 1887 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy - Metatarsal / Tarsal ( Single ) 6500 7200 7200 8300 10800 18000 1888 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy - Ankle 9100 10100 10100 11600 15200 25300 1889 Medical/Surgical Procdedure ORTHOPAEDICS Paronychia Incision and Drainage ( Orthopedics ) 900 1000 1000 1150 1500 2500 1890 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy - Pelvis 19000 21100 21100 24300 31700 52800 1891 Medical/Surgical Procdedure ORTHOPAEDICS Percut Kyphoplasty 38000 42200 42200 48500 63300 105500 1892 Medical/Surgical Procdedure ORTHOPAEDICS Percutaneous Screws Removal 2600 2900 2900 3340 4350 7250 Periarticular Knee Fracture Repair ( Upper End of Tibia and ORTHOPAEDICS 15800 17500 17500 20100 26300 43800 1893 Medical/Surgical Procdedure Distal Femur ) 1894 Medical/Surgical Procdedure ORTHOPAEDICS Pilon Fracture - Internal fixation + Bone Grafting 13400 14900 14900 17100 22400 37300 1895 Medical/Surgical Procdedure ORTHOPAEDICS Plating with Bone Grafting - Nonunion Tibia 14700 16300 16300 18700 24500 40800 1896 Medical/Surgical Procdedure ORTHOPAEDICS POP Cylinder Slab Application - Above knee 540 600 600 690 900 1500 1897 Medical/Surgical Procdedure ORTHOPAEDICS POP Slab Application ( Below Knee ) 900 1000 1000 1150 1500 2500 1898 Medical/Surgical Procdedure ORTHOPAEDICS Vertebral Biopsy ( Posterior Element ) 4500 5000 5000 5750 7500 12500 1899 Medical/Surgical Procdedure ORTHOPAEDICS Spinal Instrumentation Posterior ( > 2 levels ) 32600 36200 36200 41600 54300 90500 1900 Medical/Surgical Procdedure ORTHOPAEDICS Spinal Instrumentation Posterior ( 2 levels ) 24500 27200 27200 31300 40800 68000 1901 Medical/Surgical Procdedure ORTHOPAEDICS Posterior Release - Club Foot / Equinus Foot 8200 9100 9100 10500 13650 22750 1902 Medical/Surgical Procdedure ORTHOPAEDICS Posterolateral Fusion In Listhesis 27100 30100 30100 34600 45200 75300 1903 Medical/Surgical Procdedure ORTHOPAEDICS Carpectomy - Proximal Row 9100 10100 10100 11600 15200 25300 1904 Medical/Surgical Procdedure ORTHOPAEDICS Quadricepsplasty - Knee Joint 10200 11300 11300 13000 17000 28300 1905 Medical/Surgical Procdedure ORTHOPAEDICS Radial/ Ulnar Styloid Excision 5600 6200 6200 7100 9300 15500 1906 Medical/Surgical Procdedure ORTHOPAEDICS Knee Joint Surgery for Recurrent Dislocation 19000 21100 21100 24300 31700 52800 1907 Medical/Surgical Procdedure ORTHOPAEDICS Anterior Spinal Instrumentation Removal 21600 24000 24000 27600 36000 60000 1908 Medical/Surgical Procdedure ORTHOPAEDICS Posterior Spinal Instrumentation Removal 9100 10100 10100 11600 15200 25300 1909 Medical/Surgical Procdedure ORTHOPAEDICS Avulsed Nail Removal 540 600 600 690 900 1500 ORTHOPAEDICS Plate Removal - Single Bone ( Radius / Ulna / Tibia / Fibula ) 4500 5000 5000 5750 7500 12500 1910 Medical/Surgical Procdedure 1911 Medical/Surgical Procdedure ORTHOPAEDICS Scotchcast Removal 900 1000 1000 1150 1500 2500 1912 Medical/Surgical Procdedure ORTHOPAEDICS Reosteosynthesis 19000 21100 21100 24300 31700 52800 1913 Medical/Surgical Procdedure ORTHOPAEDICS Quadriceps / Patellar Tendon Repair 8200 9100 9100 10500 13650 22750 1914 Medical/Surgical Procdedure ORTHOPAEDICS Retrocalcaneal Exostosis / Bursa Excision 4500 5000 5000 5750 7500 12500 1915 Medical/Surgical Procdedure ORTHOPAEDICS Ring Fixator - Femur 19000 21100 21100 24300 31700 52800 1916 Medical/Surgical Procdedure ORTHOPAEDICS RJ Bandage / Strapping 900 1000 1000 1150 1500 2500 1917 Medical/Surgical Procdedure ORTHOPAEDICS Rotator Cuff Repair - Shoulder ( Arthroscopic / Mini Open ) 24500 27200 27200 31300 40800 68000 Rotator Cuff Repair - Shoulder ( with or without Subacromial ORTHOPAEDICS 15800 17500 17500 20100 26300 43800 1918 Medical/Surgical Procdedure Decompression ) 1919 Medical/Surgical Procdedure ORTHOPAEDICS ORIF - Scaphoid + Bone Grafting 13400 14900 14900 17100 22400 37300 Scoliosis Surgery - Spinal Release Anteroposterior + ORTHOPAEDICS 61200 68000 68000 78200 102000 170000 1920 Medical/Surgical Procdedure Instrumentation 1921 Medical/Surgical Procdedure ORTHOPAEDICS Scoliosis Surgery - Spinal Release Anteroposterior + Cast 47600 52900 52900 60800 79400 132300 1922 Medical/Surgical Procdedure ORTHOPAEDICS Scoliosis Correction - Spinal Fusion Posterior 43400 48200 48200 55400 72300 120500 1923 Medical/Surgical Procdedure ORTHOPAEDICS Screw Fixation In situ - Femoral Neck Fracture 14700 16300 16300 18700 24500 40800 1924 Medical/Surgical Procdedure ORTHOPAEDICS Sequestrectomy - Humerus 9100 10100 10100 11600 15200 25300 1925 Medical/Surgical Procdedure ORTHOPAEDICS Sequestrectomy + Saucerization - Long Bones 11900 13200 13200 15200 19800 33000 1926 Medical/Surgical Procdedure ORTHOPAEDICS Sequestrectomy - Small Bone ( Hand / Foot / Ankle ) 3060 3400 3400 3900 5100 8500 1927 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Spica Application 4500 5000 5000 5750 7500 12500 1928 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis - Sacroiliac Joint ( SI Joint ) 13400 14900 14900 17100 22400 37300 1929 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Transfer ( Single ) - Hand 11900 13200 13200 15200 19800 33000 1930 Medical/Surgical Procdedure ORTHOPAEDICS Skin Grafting - Major ( Orthopedics ) 11000 12200 12200 14000 18300 30500 1931 Medical/Surgical Procdedure ORTHOPAEDICS Skin Grafting - Medium ( Orthopedics ) 8200 9100 9100 10500 13650 22750 1932 Medical/Surgical Procdedure ORTHOPAEDICS Skin Grafting - Minor ( Orthopedics ) 4950 5500 5500 6300 8250 13750 1933 Medical/Surgical Procdedure ORTHOPAEDICS Soft Tissue Needle Biopsy - Deep 1260 1400 1400 1610 2100 3500 1934 Medical/Surgical Procdedure ORTHOPAEDICS Soft Tissue Needle Biopsy - Superficial 540 600 600 690 900 1500 1935 Medical/Surgical Procdedure ORTHOPAEDICS Spinal Fracture Fixation ( Posterior ) + Fusion 32600 36200 36200 41600 54300 90500 1936 Medical/Surgical Procdedure ORTHOPAEDICS Spinal Debridement Posterior + Septopal Insertion 10200 11300 11300 13000 17000 28300 1937 Medical/Surgical Procdedure ORTHOPAEDICS Sternal Puncture / Bone Marrow Aspiration ( Orthopedics ) 1260 1400 1400 1610 2100 3500 1938 Medical/Surgical Procdedure ORTHOPAEDICS Sternomastoid Release - Bipolar 8200 9100 9100 10500 13650 22750 1939 Medical/Surgical Procdedure ORTHOPAEDICS Sternomastoid Release - Unipolar 6500 7200 7200 8300 10800 18000 1940 Medical/Surgical Procdedure ORTHOPAEDICS Synovectomy Sub Total - Knee Joint 10200 11300 11300 13000 17000 28300 1941 Medical/Surgical Procdedure ORTHOPAEDICS Synovectomy Sub Total - Hip Joint 14700 16300 16300 18700 24500 40800 1942 Medical/Surgical Procdedure ORTHOPAEDICS Subacromial Decompression - Acromioclavicular Joint 11000 12200 12200 14000 18300 30500 1943 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Repair ( Subsequent ) - Hand 3060 3400 3400 3900 5100 8500 1944 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy Subtrochanteric with Internal Fixation 15800 17500 17500 20100 26300 43800 1945 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy Supracondylar ( Femoral ) with Fixation 15800 17500 17500 20100 26300 43800 Manipulation Under Anesthesia ( MUA ) + Wire Fixation - ORTHOPAEDICS 8200 9100 9100 10500 13650 22750 1946 Medical/Surgical Procdedure Supracondylar Fracture 1947 Medical/Surgical Procdedure ORTHOPAEDICS Congenital Dislocation of Hip ( CDH ) Surgery 24500 27200 27200 31300 40800 68000 1948 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Recurrent Dislocation Surgery - Open 24500 27200 27200 31300 40800 68000 1949 Medical/Surgical Procdedure ORTHOPAEDICS Suture Removal - Large ( Orthopedics ) 540 600 600 690 900 1500 1950 Medical/Surgical Procdedure ORTHOPAEDICS Suture Removal - Small ( Orthopedics ) 180 200 200 230 300 500 1951 Medical/Surgical Procdedure ORTHOPAEDICS Synovial Biopsy 4500 5000 5000 5750 7500 12500 1952 Medical/Surgical Procdedure ORTHOPAEDICS Tarsal Coalition Release ( TCR ) - Ankle 10200 11300 11300 13000 17000 28300 1953 Medical/Surgical Procdedure ORTHOPAEDICS Tendoachilles Delayed Repair / Reconstruction - Ankle 9100 10100 10100 11600 15200 25300 1954 Medical/Surgical Procdedure ORTHOPAEDICS Tendoachilles Primary Repair / Lengthening - Ankle 8200 9100 9100 10500 13650 22750 1955 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Repair - Single ( Subsequent Tendon ) Hand 6500 7200 7200 8300 10800 18000 1956 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Repair - Multiple ( Subsequent Tendons ) Hand 3060 3400 3400 3900 5100 8500 1957 Medical/Surgical Procdedure ORTHOPAEDICS Triple Pelvic Osteotomy 21600 24000 24000 27600 36000 60000 1958 Medical/Surgical Procdedure ORTHOPAEDICS Bone Trucut Biopsy 1980 2200 2200 2530 3300 5500 1959 Medical/Surgical Procdedure ORTHOPAEDICS Tumour Resection + Grafting - Other Sites ( Large ) 24500 27200 27200 31300 40800 68000 1960 Medical/Surgical Procdedure ORTHOPAEDICS Tumor Resection + Reconstruction ( Small ) 19000 21100 21100 24300 31700 52800 1961 Medical/Surgical Procdedure ORTHOPAEDICS Calvicle Ecxcision ( Lateral End ) 6500 7200 7200 8300 10800 18000 Manipulation Under Anesthesia ( MUA ) + POP Cast - Forearm ORTHOPAEDICS 4500 5000 5000 5750 7500 12500 1962 Medical/Surgical Procdedure Fracture ( Both Bones ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 1963 Medical/Surgical Procdedure ORTHOPAEDICS Subacromial Bursectomy - Open 6500 7200 7200 8300 10800 18000 1964 Medical/Surgical Procdedure ORTHOPAEDICS Corrective Osteotomy - Supracondylar 13400 14900 14900 17100 22400 37300 1965 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis - Interphalangial Joint 4500 5000 5000 5750 7500 12500 1966 Medical/Surgical Procdedure ORTHOPAEDICS Ulcer Debridement ( Orthopedics ) 900 1000 1000 1150 1500 2500 1967 Medical/Surgical Procdedure ORTHOPAEDICS Vascularized Fibular Graft 24500 27200 27200 31300 40800 68000 1968 Medical/Surgical Procdedure ORTHOPAEDICS Weaver Dunn Procedure - Acromioclavicular Joint 11000 12200 12200 14000 18300 30500 1969 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement - Medium ( Orthopedics ) 900 1000 1000 1150 1500 2500 1970 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement - Small ( Orthopedics ) 540 600 600 690 900 1500 1971 Medical/Surgical Procdedure ORTHOPAEDICS Zadek Procedure ( Ingrown Toe Nail ) 4500 5000 5000 5750 7500 12500 1972 Medical/Surgical Procdedure ORTHOPAEDICS Muscle Biopsy ( Orthopedics ) 2600 2900 2900 3340 4350 7250 1973 Medical/Surgical Procdedure ORTHOPAEDICS Cast Application - Above Elbow ( Pediatric ) 1530 1700 1700 1960 2550 4250 1974 Medical/Surgical Procdedure ORTHOPAEDICS Buddy Strapping / Neighbour Strapping 540 600 600 690 900 1500 1975 Medical/Surgical Procdedure ORTHOPAEDICS Cast Application - Below Elbow ( Pediatric ) 1170 1300 1300 1500 1950 3250 1976 Medical/Surgical Procdedure ORTHOPAEDICS Clubfoot Manipulation + Casting ( Pediatric ) 1800 2000 2000 2300 3000 5000 1977 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Removal ( 2 ) - Pediatric 540 600 600 690 900 1500 1978 Medical/Surgical Procdedure ORTHOPAEDICS Staples / Sutures Removal 540 600 600 690 900 1500 1979 Medical/Surgical Procdedure ORTHOPAEDICS Ankle Replacement ( Primary ) 27100 30100 30100 34600 45200 75300 1980 Medical/Surgical Procdedure ORTHOPAEDICS Ankle Replacement ( Revision ) 43400 48200 48200 55400 72300 120500 1981 Medical/Surgical Procdedure ORTHOPAEDICS Radial Head Replacement 11900 13200 13200 15200 19800 33000 1982 Medical/Surgical Procdedure ORTHOPAEDICS Finger Joints ( Single Small Joint ) Replacement 11900 13200 13200 15200 19800 33000 1983 Medical/Surgical Procdedure ORTHOPAEDICS Total Elbow Joint Replacement - Revision 43400 48200 48200 55400 72300 120500 1984 Medical/Surgical Procdedure ORTHOPAEDICS Total Elbow Joint Replacement - Primary 27100 30100 30100 34600 45200 75300 1985 Medical/Surgical Procdedure ORTHOPAEDICS Total Shoulder Joint Replacement - Revision 43400 48200 48200 55400 72300 120500 1986 Medical/Surgical Procdedure ORTHOPAEDICS Total Shoulder Joint Replacement - Primary 27100 30100 30100 34600 45200 75300 1987 Medical/Surgical Procdedure ORTHOPAEDICS Synovial Biopsy Open with or without Joint Washout - Ankle 8550 9500 9500 10900 14250 23750 1988 Medical/Surgical Procdedure ORTHOPAEDICS Synovial Biopsy Open with or without Joint Washout - Knee 8550 9500 9500 10900 14250 23750 ORTHOPAEDICS Synovial Biopsy Open with or without Joint Washout - Elbow 8550 9500 9500 10900 14250 23750 1989 Medical/Surgical Procdedure 1990 Medical/Surgical Procdedure ORTHOPAEDICS Synovial Biopsy Open with or without Joint Washout - Wrist 8550 9500 9500 10900 14250 23750 1991 Medical/Surgical Procdedure ORTHOPAEDICS Injection - Shoulder Joint 1710 1900 1900 2190 2850 4750 1992 Medical/Surgical Procdedure ORTHOPAEDICS Amputation 20400 22700 22700 26100 34100 56800 1993 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic SAD 24700 27400 27400 31500 41100 68500 1994 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction With Iliac Bone Grafting 22100 24500 24500 28200 36800 61300 1995 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction + Soft Tissue Reconstruction 22100 24500 24500 28200 36800 61300 1996 Medical/Surgical Procdedure ORTHOPAEDICS Recurrent Dislocation - Open Stabilization 22100 24500 24500 28200 36800 61300 1997 Medical/Surgical Procdedure ORTHOPAEDICS Bristow Procedure - Latarjet 22100 24500 24500 28200 36800 61300 1998 Medical/Surgical Procdedure ORTHOPAEDICS Bristow Procedure Modified - Latarjet 26500 29400 29400 33800 44100 73500 1999 Medical/Surgical Procdedure ORTHOPAEDICS Eden - Hybinnet Procedure 28300 31400 31400 36100 47100 78500 2000 Medical/Surgical Procdedure ORTHOPAEDICS Mclaughlin Procedure 22100 24500 24500 28200 36800 61300 2001 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Bankart Repair 24700 27400 27400 31500 41100 68500 2002 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Latarjet 30800 34200 34200 39300 51300 85500 2003 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction + Osteotomy 26500 29400 29400 33800 44100 73500 2004 Medical/Surgical Procdedure ORTHOPAEDICS Remplissage Procedure 22100 24500 24500 28200 36800 61300 2005 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Remplissage Procedure 17700 19700 19700 22700 29600 49300 2006 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Capsular Release 24700 27400 27400 31500 41100 68500 2007 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic SAD + Excision Lateral End Clavicle 24700 27400 27400 31500 41100 68500 2008 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Cuff Tear Repair - Small 24700 27400 27400 31500 41100 68500 2009 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Cuff Tear Repair - Medium 26500 29400 29400 33800 44100 73500 2010 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Cuff Tear Repair - Large 26500 29400 29400 33800 44100 73500 2011 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Cuff Tear Repair - Massive 28300 31400 31400 36100 47100 78500 2012 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Slap Repair 24700 27400 27400 31500 41100 68500 2013 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Ganglion Cyst Debridement 22100 24500 24500 28200 36800 61300 2014 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Suprascapular Nerve Release 24700 27400 27400 31500 41100 68500 2015 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Debridement 17700 19700 19700 22700 29600 49300 2016 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Anterior Stabilization 17700 19700 19700 22700 29600 49300 2017 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Posterior Stabilization 24700 27400 27400 31500 41100 68500 2018 Medical/Surgical Procdedure ORTHOPAEDICS Open Rotator Cuff Repair - ( Small - Medium ) 22100 24500 24500 28200 36800 61300 2019 Medical/Surgical Procdedure ORTHOPAEDICS Open Tears Repair - ( Large And Massive ) 24700 27400 27400 31500 41100 68500 2020 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Resurfacing ( Humeral Side ) 24700 27400 27400 31500 41100 68500 2021 Medical/Surgical Procdedure ORTHOPAEDICS Total Shoulder Arthroplasty 30800 34200 34200 39300 51300 85500 2022 Medical/Surgical Procdedure ORTHOPAEDICS Reverse Shoulder Arthroplasty 35200 39100 39100 45000 58700 97800 2023 Medical/Surgical Procdedure ORTHOPAEDICS Implant Removal - Shoulder 10600 11800 11800 13600 17700 29500 2024 Medical/Surgical Procdedure ORTHOPAEDICS Implant Removal ( Shoulder ) + Refixation 24700 27400 27400 31500 41100 68500 2025 Medical/Surgical Procdedure ORTHOPAEDICS Proximal Humeral Plate Fixation - Simple 22100 24500 24500 28200 36800 61300 2026 Medical/Surgical Procdedure ORTHOPAEDICS Proximal Humeral Plate Fixation - Complex 24700 27400 27400 31500 41100 68500 2027 Medical/Surgical Procdedure ORTHOPAEDICS Humeral Fracture Repair Non-Union 22100 24500 24500 28200 36800 61300 2028 Medical/Surgical Procdedure ORTHOPAEDICS ORIF + Bone Grafting - Nonunion Humeral 24700 27400 27400 31500 41100 68500 2029 Medical/Surgical Procdedure ORTHOPAEDICS Fracture Clavicle - K Wire 13100 14600 14600 16800 21900 36500 Open Reduction and Internal Fixation ( ORIF ) - Clavicle Fracture ORTHOPAEDICS 15800 17600 17600 20200 26400 44000 2030 Medical/Surgical Procdedure ( Simple ) Open Reduction and Internal Fixation ( ORIF ) - Clavicle Fracture ORTHOPAEDICS 19400 21500 21500 24700 32300 53800 2031 Medical/Surgical Procdedure ( Complex ) 2032 Medical/Surgical Procdedure ORTHOPAEDICS A-C Joint Reconstruction ( Grade III ) With Plate 17700 19700 19700 22700 29600 49300 2033 Medical/Surgical Procdedure ORTHOPAEDICS A-C Joint Reconstruction ( Grade IV-VI ) With Plate 22100 24500 24500 28200 36800 61300 2034 Medical/Surgical Procdedure ORTHOPAEDICS A-C Joint Reconstruction ( Weaver-Dunn ) 17700 19700 19700 22700 29600 49300 2035 Medical/Surgical Procdedure ORTHOPAEDICS A-C Joint Anatomic Reconstruction 24700 27400 27400 31500 41100 68500 2036 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic A-C Joint Reconstruction 28600 31800 31800 36600 47700 79500 2037 Medical/Surgical Procdedure ORTHOPAEDICS Fracture - Closed Reduction + Plaster Application 8800 9800 9800 11300 14700 24500 2038 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Tumour Excision 26500 29400 29400 33800 44100 73500 2039 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Reconstruction - Complex 35200 39100 39100 45000 58700 97800 2040 Medical/Surgical Procdedure ORTHOPAEDICS Scapulo-Thoacic Bursoscopy 19400 21500 21500 24700 32300 53800 2041 Medical/Surgical Procdedure ORTHOPAEDICS Scapular Osteotomy 22100 24500 24500 28200 36800 61300 2042 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Transfer - Simple 22100 24500 24500 28200 36800 61300 2043 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Transfer - Complex 26500 29400 29400 33800 44100 73500 2044 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Tendon Transfer 35200 39100 39100 45000 58700 97800 2045 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Plating 26800 29800 29800 34300 44700 74500 2046 Medical/Surgical Procdedure ORTHOPAEDICS Complete Flat Foot Correction 25000 27800 27800 32000 41700 69500 2047 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis ( Triple ) 43300 48100 48100 55300 72200 120300 2048 Medical/Surgical Procdedure ORTHOPAEDICS Rotator Cuff Tears Open Repair with ACJ Excision 26600 29500 29500 33900 44300 73800 Open Reduction and Internal Fixation ( ORIF ) - Ankle Fracture ( ORTHOPAEDICS 18400 20400 20400 23500 30600 51000 2049 Medical/Surgical Procdedure Bimalleolar ) Open Reduction and Internal Fixation ( ORIF ) - Ankle Fracture ( ORTHOPAEDICS 27500 30500 30500 35100 45800 76300 2050 Medical/Surgical Procdedure Trimalleolar ) Open Reduction and Internal Fixation ( ORIF ) - Syndesmotic ORTHOPAEDICS 8000 8900 8900 10200 13350 22250 2051 Medical/Surgical Procdedure Screw Insertion 2052 Medical/Surgical Procdedure ORTHOPAEDICS Closed Reduction - Cannulated Hip Screw Insertion 10700 11900 11900 13700 17900 29800 2053 Medical/Surgical Procdedure ORTHOPAEDICS IntraArticular Injection - Small Joints 2700 3000 3000 3450 4500 7500 2054 Medical/Surgical Procdedure ORTHOPAEDICS Ankle Lateral Ligament Repair 19900 22100 22100 25400 33200 55300 2055 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopic Chondroplasty - Knee 13100 14600 14600 16800 21900 36500 2056 Medical/Surgical Procdedure ORTHOPAEDICS Excisional Biopsy - Small 5200 5800 5800 6670 8700 14500 2057 Medical/Surgical Procdedure ORTHOPAEDICS Excisional Biopsy - Medium 8300 9200 9200 10600 13800 23000 2058 Medical/Surgical Procdedure ORTHOPAEDICS Arthroplasty ( Girdle Stone ) 11900 13200 13200 15200 19800 33000 2059 Medical/Surgical Procdedure ORTHOPAEDICS Excisional Biopsy - Large 10400 11600 11600 13300 17400 29000 2060 Medical/Surgical Procdedure ORTHOPAEDICS Clavicle ( Lateral End ) Excision 10400 11600 11600 13300 17400 29000 2061 Medical/Surgical Procdedure ORTHOPAEDICS Hallux Valgus Correction - Complex 19800 22000 22000 25300 33000 55000 2062 Medical/Surgical Procdedure ORTHOPAEDICS Lesser Toe Corrective Surgery - Single 8600 9600 9600 11000 14400 24000 2063 Medical/Surgical Procdedure ORTHOPAEDICS Lesser Toe Corrective Surgery - Multiple 16000 17800 17800 20500 26700 44500 2064 Medical/Surgical Procdedure ORTHOPAEDICS Distal Radioulnar Joint Fixation 7800 8700 8700 10000 13000 21800 2065 Medical/Surgical Procdedure ORTHOPAEDICS Fluoroscopy Guided Intra-articular Injection 1200 1100 1200 1400 1800 3000 2066 Medical/Surgical Procdedure ORTHOPAEDICS Medial Collateral Ligament ( MCL ) Repair 19200 21300 21300 24500 32000 53300 2067 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Above Elbow 11900 13200 13200 15200 19800 33000 2068 Medical/Surgical Procdedure ORTHOPAEDICS Bony Excision Elbow ( Arthroscopic ) 23500 26100 26100 30000 39200 65300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2069 Medical/Surgical Procdedure ORTHOPAEDICS Synovectomy Elbow ( Arthroscopic ) 21900 24300 24300 27900 36500 60800 2070 Medical/Surgical Procdedure ORTHOPAEDICS Open Ligament Repair (Small Joint) 15700 17400 17400 20000 26100 43500 2071 Medical/Surgical Procdedure ORTHOPAEDICS Open Ligament repair (Medium Joint) 22800 25300 25300 22000 38000 63300 2072 Medical/Surgical Procdedure ORTHOPAEDICS Open Ligament Repair (Large Joint) 24800 27600 27600 31700 41400 69000 2073 Medical/Surgical Procdedure ORTHOPAEDICS Ligament Repair Elbow ( Arthroscopic ) 25900 28800 28800 33100 43200 72000 2074 Medical/Surgical Procdedure ORTHOPAEDICS Loose Body Removal Elbow ( Arthroscopic ) 29000 32200 32200 37000 48300 80500 2075 Medical/Surgical Procdedure ORTHOPAEDICS OK Procedure Elbow ( Arthroscopic ) 33100 36800 36800 32000 55200 92000 2076 Medical/Surgical Procdedure ORTHOPAEDICS Implant Removal ( Orthopedics ) 10600 11800 11800 13600 17700 29500 2077 Medical/Surgical Procdedure ORTHOPAEDICS K Wire Removal 2600 2900 2900 3340 4350 7250 2078 Medical/Surgical Procdedure ORTHOPAEDICS Amputation - Below Elbow 9100 10100 10100 11600 15200 25300 2079 Medical/Surgical Procdedure ORTHOPAEDICS Microdiscectomy ( Orthopedics ) 24500 27200 27200 31300 40800 68000 2080 Medical/Surgical Procdedure ORTHOPAEDICS Tendon Transfer ( Multiple ) - Orthopedics 21600 24000 24000 27600 36000 60000 2081 Medical/Surgical Procdedure ORTHOPAEDICS Synovectomy Wrist Joint ( Open ) 9100 10100 10100 11600 15200 25300 2082 Medical/Surgical Procdedure ORTHOPAEDICS Synovectomy Elbow Joint ( Open ) 10200 11300 11300 13000 17000 28300 ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Acetabulum 24500 27200 27200 31300 40800 68000 2083 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Small Bones 4950 5500 5500 6300 8250 13750 2084 Medical/Surgical Procdedure 2085 Medical/Surgical Procdedure ORTHOPAEDICS Osteomyelitis - Surgical Decompression 8200 9100 9100 10500 13650 22750 2086 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis Hip 21600 24000 24000 27600 36000 60000 2087 Medical/Surgical Procdedure ORTHOPAEDICS Osteotomy High Tibial 13400 14900 14900 17100 22400 37300 2088 Medical/Surgical Procdedure ORTHOPAEDICS Patellectomy 9100 10100 10100 11600 15200 25300 ORTHOPAEDICS Anterior Cruciate Ligament ( ACL ) Reconstruction - Arthroscopic 21600 24000 24000 27600 36000 60000 2089 Medical/Surgical Procdedure 2090 Medical/Surgical Procdedure ORTHOPAEDICS Skeletal Traction Application 1980 2200 2200 2530 3300 5500 2091 Medical/Surgical Procdedure ORTHOPAEDICS Small Joint Replacement 19000 21100 21100 24300 31700 52800 2092 Medical/Surgical Procdedure ORTHOPAEDICS Meniscectomy ( Arthroscopic ) 14900 16500 16500 19000 24800 41300 2093 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy ( Diagnostic ) 13100 14600 14600 16800 21900 36500 2094 Medical/Surgical Procdedure ORTHOPAEDICS Trigger Finger Release 4500 5000 5000 5750 7500 12500 2095 Medical/Surgical Procdedure ORTHOPAEDICS Fracture Closed Reduction 6600 7300 7300 8400 10950 18250 2096 Medical/Surgical Procdedure ORTHOPAEDICS Fracture Open Reduction 17700 19700 19700 22700 29600 49300 2097 Medical/Surgical Procdedure ORTHOPAEDICS Femur Shaft Plating 15800 17500 17500 20100 26300 43800 2098 Medical/Surgical Procdedure ORTHOPAEDICS Strapping - Figure Of 8 Bandage 540 600 600 690 900 1500 2099 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Patella 9100 10100 10100 11600 15200 25300 2100 Medical/Surgical Procdedure ORTHOPAEDICS Hemiarthroplasty Shoulder 24700 27400 27400 31500 41100 68500 ORTHOPAEDICS Muscle Slide Operation ( Volkmann's Contracture ) - Forearm 11900 13200 13200 15200 19800 33000 2101 Medical/Surgical Procdedure 2102 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis Elbow 11000 12200 12200 14000 18300 30500 2103 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis Wrist 9100 10100 10100 11600 15200 25300 2104 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis Shoulder 30800 34200 34200 39300 51300 85500 2105 Medical/Surgical Procdedure ORTHOPAEDICS Bachelors / Grice Green Arthrodesis 8200 9100 9100 10500 13650 22750 2106 Medical/Surgical Procdedure ORTHOPAEDICS De Quervain's Release 4500 5000 5000 5750 7500 12500 2107 Medical/Surgical Procdedure ORTHOPAEDICS Casts Application ( Below Elbow ) 1260 1400 1400 1610 2100 3500 2108 Medical/Surgical Procdedure ORTHOPAEDICS Reduction + Casts Application ( Below Elbow ) 1980 2200 2200 2530 3300 5500 2109 Medical/Surgical Procdedure ORTHOPAEDICS POP Slab Application ( Below Elbow ) 900 1000 1000 1150 1500 2500 2110 Medical/Surgical Procdedure ORTHOPAEDICS Ankle Fracture Closed Reduction 2600 2900 2900 3340 4350 7250 2111 Medical/Surgical Procdedure ORTHOPAEDICS Hand Fracture Closed Reduction 2600 2900 2900 3340 4350 7250 2112 Medical/Surgical Procdedure ORTHOPAEDICS Knee Dislocation Open Reduction 11900 13200 13200 15200 19800 33000 2113 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Dislocation Open Reduction 11900 13200 13200 15200 19800 33000 2114 Medical/Surgical Procdedure ORTHOPAEDICS Elbow Dislocation Open Reduction 11900 13200 13200 15200 19800 33000 2115 Medical/Surgical Procdedure ORTHOPAEDICS Arthrodesis - Knee / Ankle 14700 16300 16300 18700 24500 40800 Open Reduction and Internal Fixation ( ORIF ) - Olecranon ORTHOPAEDICS 9100 10100 10100 11600 15200 25300 2116 Medical/Surgical Procdedure Process ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Radius Head 10200 11300 11300 13000 17000 28300 2117 Medical/Surgical Procdedure Open Reduction and Internal Fixation ( ORIF ) - ORTHOPAEDICS 11000 12200 12200 14000 18300 30500 2118 Medical/Surgical Procdedure Acromioclavicular Joint Open Reduction and Internal Fixation ( ORIF ) - Lateral / Medial ORTHOPAEDICS 9100 10100 10100 11600 15200 25300 2119 Medical/Surgical Procdedure Malleolus 2120 Medical/Surgical Procdedure ORTHOPAEDICS Souttar's / Yount's Contracture Release 8200 9100 9100 10500 13650 22750 2121 Medical/Surgical Procdedure ORTHOPAEDICS Hip Dislocation Open Reduction 14700 16300 16300 18700 24500 40800 2122 Medical/Surgical Procdedure ORTHOPAEDICS Bone Grafting 8200 9100 9100 10500 13650 22750 ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Femur Neck 14700 16300 16300 18700 24500 40800 2123 Medical/Surgical Procdedure 2124 Medical/Surgical Procdedure ORTHOPAEDICS Bone Grafting ( for Fracture Nonunion ) 10200 11300 11300 13000 17000 28300 2125 Medical/Surgical Procdedure ORTHOPAEDICS Injection Epidural ( Orthopedics ) 2600 2900 2900 3340 4350 7250 2126 Medical/Surgical Procdedure ORTHOPAEDICS Coccyx Excision / Coccygectomy 8200 9100 9100 10500 13650 22750 Instrumented Spinal Fusion - Posterior Lumbar Interbody Fusion ORTHOPAEDICS 32600 36200 36200 41600 54300 90500 2127 Medical/Surgical Procdedure ( PLIF ) Open Reduction and Internal Fixation ( ORIF ) - Supracondylar ORTHOPAEDICS 11900 13200 13200 15200 19800 33000 2128 Medical/Surgical Procdedure Fracture ( Humerus ) 2129 Medical/Surgical Procdedure ORTHOPAEDICS Talus / Calcaneus Fracture Fixation 11900 13200 13200 15200 19800 33000 2130 Medical/Surgical Procdedure ORTHOPAEDICS Joint Debridement ( Arthroscopic ) 11900 13200 13200 15200 19800 33000 2131 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy Shoulder ( Diagnostic ) 10200 11300 11300 13000 17000 28300 2132 Medical/Surgical Procdedure ORTHOPAEDICS Arthroscopy Wrist ( Diagnostic ) 9100 10100 10100 11600 15200 25300 2133 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction Internal Fixation ( ORIF ) - Calcaneum 11000 12200 12200 14000 18300 30500 2134 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction Internal Fixation ( ORIF ) - Clavicle 11900 13200 13200 15200 19800 33000 2135 Medical/Surgical Procdedure ORTHOPAEDICS Injection Epidural ( Caudal ) 2600 2900 2900 3340 4350 7250 2136 Medical/Surgical Procdedure ORTHOPAEDICS Carpal Tunnel Release ( Orthopedics ) 8800 9800 9800 11300 14700 24500 2137 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nailing - Humerus 19000 21100 21100 24300 31700 52800 2138 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nailing ( Femur ) Right 19000 21100 21100 24300 31700 52800 2139 Medical/Surgical Procdedure ORTHOPAEDICS Interlocking Nailing ( Femur ) Left 19000 21100 21100 24300 31700 52800 2140 Medical/Surgical Procdedure ORTHOPAEDICS Contracture Release 12400 13800 13800 15900 20700 34500 ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Forearm ( Left ) 11900 13200 13200 15200 19800 33000 2141 Medical/Surgical Procdedure Open Reduction and Internal Fixation ( ORIF ) - Forearm ( Right ORTHOPAEDICS 11900 13200 13200 15200 19800 33000 2142 Medical/Surgical Procdedure ) 2143 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Humerus 10200 11300 11300 13000 17000 28300 Congenital Talipes Equinovarus ( CTEV / Club Foot ) ORTHOPAEDICS 1260 1400 1400 1610 2100 3500 2144 Medical/Surgical Procdedure Manipulation + Corrective Cast 2145 Medical/Surgical Procdedure ORTHOPAEDICS Tennis Elbow Release 4500 5000 5000 5750 7500 12500 2146 Medical/Surgical Procdedure ORTHOPAEDICS Wound Debridement ( Large ) 1260 1400 1400 1610 2100 3500 2147 Medical/Surgical Procdedure ORTHOPAEDICS Disarticulation ( Knee Joint ) 9100 10100 10100 11600 15200 25300 2148 Medical/Surgical Procdedure ORTHOPAEDICS Dressing Large ( Orthopedics ) 1260 1400 1400 1610 2100 3500 2149 Medical/Surgical Procdedure ORTHOPAEDICS Skin Traction ( Orthopedics ) 900 1000 1000 1150 1500 2500 2150 Medical/Surgical Procdedure ORTHOPAEDICS Minerva Jacket Application 4500 5000 5000 5750 7500 12500 2151 Medical/Surgical Procdedure ORTHOPAEDICS Disarticulation ( Shoulder Joint ) 21600 24000 24000 27600 36000 60000 2152 Medical/Surgical Procdedure ORTHOPAEDICS Shoulder Dislocation Closed Reduction 5600 6200 6200 7100 9300 15500 2153 Medical/Surgical Procdedure ORTHOPAEDICS Elbow Dislocation Closed Reduction 2600 2900 2900 3340 4350 7250 2154 Medical/Surgical Procdedure ORTHOPAEDICS Open Reduction and Internal Fixation ( ORIF ) - Ulna 8200 9100 9100 10500 13650 22750 Open Reduction and Internal Fixation ( ORIF ) - Humerus ORTHOPAEDICS 14700 16300 16300 18700 24500 40800 2155 Medical/Surgical Procdedure Intercondylar Fracture 2156 Medical/Surgical Procdedure ORTHOPAEDICS Subacromial Decompression ( Arthroscopic ) 22100 24500 24500 28200 36800 61300 2157 Medical/Surgical Procdedure PAEDIATRICS Laparoscopy (Diagnostic) ( Pediatric ) 3500 3900 3900 4500 5850 9750 2158 Medical/Surgical Procdedure PAEDIATRICS Hypospadias Chordee Correction ( Pediatric ) 12000 13300 13300 15300 20000 33300 2159 Medical/Surgical Procdedure PAEDIATRICS Hypospadias Correction (2nd Stage) - Pediatric 19100 21200 21200 24400 31800 53000 2160 Medical/Surgical Procdedure PAEDIATRICS Intussusception Surgical Reduction ( Pediatric ) 14700 16300 16300 18700 24500 40800 2161 Medical/Surgical Procdedure PAEDIATRICS Appendicectomy ( Laparoscopic ) - Pediatric 12000 13300 13300 15300 20000 33300 2162 Medical/Surgical Procdedure PAEDIATRICS Appendicectomy Open ( Pediatric ) 10900 12100 12100 13900 18200 30300 2163 Medical/Surgical Procdedure PAEDIATRICS Adhesiolysis Laparoscopic ( Pediatric ) 11100 12300 12300 14100 18500 30800 2164 Medical/Surgical Procdedure PAEDIATRICS Adrenalectomy Laparoscopic ( Pediatric ) 27300 30300 30300 34800 45500 75800 2165 Medical/Surgical Procdedure PAEDIATRICS Fundoplication Laparoscopic ( Pediatric ) 21700 24100 24100 27700 36200 60300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Pull Through Resection And Anastomosis ( Laparoscopic ) - PAEDIATRICS 34400 38200 38200 43900 57300 95500 2166 Medical/Surgical Procdedure Pediatric 2167 Medical/Surgical Procdedure PAEDIATRICS Pyeloplasty Laparoscopic ( Pediatric ) 27300 30300 30300 34800 45500 75800 2168 Medical/Surgical Procdedure PAEDIATRICS Ladds Band Resection Laparoscopy ( Pediatric ) 13600 15100 15100 17400 22700 37800 2169 Medical/Surgical Procdedure PAEDIATRICS Anal Dilatation ( Pediatric ) 1980 2200 2200 2530 3300 5500 2170 Medical/Surgical Procdedure PAEDIATRICS Lymph Node Biopsy ( Pediatric ) 6600 7300 7300 8400 10950 18250 2171 Medical/Surgical Procdedure PAEDIATRICS Meckels Diverticulectomy (Pediatric ) 12600 14000 14000 16100 21000 35000 2172 Medical/Surgical Procdedure PAEDIATRICS Anal Transposition For Ectopic Anus ( Pediatric ) 13600 15100 15100 17400 22700 37800 2173 Medical/Surgical Procdedure PAEDIATRICS Lacerations Suturing - Small ( Pediatric ) 2970 3300 3300 3800 4950 8250 2174 Medical/Surgical Procdedure PAEDIATRICS Stricturoplasty ( Pediatric ) 13800 15300 15300 17600 23000 38300 2175 Medical/Surgical Procdedure PAEDIATRICS Anoplasty ( Pediatric ) 9100 10100 10100 11600 15200 25300 2176 Medical/Surgical Procdedure PAEDIATRICS Vaginoplasty ( Pediatric ) 22900 25400 25400 29200 38100 63500 2177 Medical/Surgical Procdedure PAEDIATRICS Intestinal Atresia (Neonatal) Surgical Repair ( Pediatric ) 14700 16300 16300 18700 24500 40800 2178 Medical/Surgical Procdedure PAEDIATRICS Nephroureterectomy ( Pediatric ) 18400 20400 20400 23500 30600 51000 2179 Medical/Surgical Procdedure PAEDIATRICS Liver Abscess Open Drainage ( Pediatric ) 11100 12300 12300 14100 18500 30800 2180 Medical/Surgical Procdedure PAEDIATRICS Orchidectomy ( Bilateral )- Pediatric 9100 10100 10100 11600 15200 25300 2181 Medical/Surgical Procdedure PAEDIATRICS Orchidectomy ( Left )- Pediatric 8200 9100 9100 10500 13650 22750 2182 Medical/Surgical Procdedure PAEDIATRICS Orchidectomy ( Right )- Pediatric 8200 9100 9100 10500 13650 22750 2183 Medical/Surgical Procdedure PAEDIATRICS Orchidopexy ( Bilateral )- Pediatric 15800 17500 17500 20100 26300 43800 2184 Medical/Surgical Procdedure PAEDIATRICS Orchidopexy ( Left )- Pediatric 11100 12300 12300 14100 18500 30800 2185 Medical/Surgical Procdedure PAEDIATRICS Orchidopexy ( Right )- Pediatric 11100 12300 12300 14100 18500 30800 2186 Medical/Surgical Procdedure PAEDIATRICS Tracheostomy ( Pediatric ) 9100 10100 10100 11600 15200 25300 2187 Medical/Surgical Procdedure PAEDIATRICS Imperforate Hymen Excision ( Pediatric ) 6840 7600 7600 8740 11400 19000 2188 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip Repair ( Bilateral )- Pediatric 19100 21200 21200 24400 31800 53000 2189 Medical/Surgical Procdedure PAEDIATRICS Chest Tube Insertion ( Pediatric ) 4500 5000 5000 5750 7500 12500 2190 Medical/Surgical Procdedure PAEDIATRICS Thoracoscopy (Diagnostic)- Pediatric 12000 13300 13300 15300 20000 33300 Hernia ( Diaphragmatic ) Repair + Eventration Of Diaphragm PAEDIATRICS 24500 27200 27200 31300 40800 68000 2191 Medical/Surgical Procdedure Repair ( Open ) - Pediatric Esophageal Atresia + Tracheoesophageal Fistula Repair - PAEDIATRICS 27300 30300 30300 34800 45500 75800 2192 Medical/Surgical Procdedure Complete ( Pediatric ) 2193 Medical/Surgical Procdedure PAEDIATRICS Ano Rectal Fistula Low Level Surgical Excision ( Pediatric ) 8200 9100 9100 10500 13650 22750 2194 Medical/Surgical Procdedure PAEDIATRICS Thoracotomy + Lobectomy ( Pediatric ) 24500 27200 27200 31300 40800 68000 2195 Medical/Surgical Procdedure PAEDIATRICS Augmentation Cystoplasty ( Pediatric ) 20600 22900 22900 26300 34400 57300 2196 Medical/Surgical Procdedure PAEDIATRICS Suprapubic Cystostomy ( Pediatric ) 5500 6100 6100 7000 9150 15250 2197 Medical/Surgical Procdedure PAEDIATRICS Cystoscopy ( Pediatric ) 3500 3900 3900 4500 5850 9750 2198 Medical/Surgical Procdedure PAEDIATRICS Cystoscopy + Valve Fulguration ( Pediatric ) 12000 13300 13300 15300 20000 33300 2199 Medical/Surgical Procdedure PAEDIATRICS Double J Stent Placement In Ureter ( Left ) - Pediatric 6600 7300 7300 8400 10950 18250 2200 Medical/Surgical Procdedure PAEDIATRICS Double J Stent Placement In Ureter ( Right ) - Pediatric 6600 7300 7300 8400 10950 18250 2201 Medical/Surgical Procdedure PAEDIATRICS Epispadias Repair ( Pediatric ) 14700 16300 16300 18700 24500 40800 2202 Medical/Surgical Procdedure PAEDIATRICS Meatotomy ( Pediatric ) 1980 2200 2200 2530 3300 5500 PAEDIATRICS Nephrectomy (for Nephroblastoma / Wilms Tumor) - Pediatric 26400 29300 29300 33700 44000 73300 2203 Medical/Surgical Procdedure 2204 Medical/Surgical Procdedure PAEDIATRICS Nephrostomy (Percutaneous) ( Pediatric ) 9100 10100 10100 11600 15200 25300 2205 Medical/Surgical Procdedure PAEDIATRICS Hirschsprung's Surgery Pull Through ( Pediatric ) 27500 30500 30500 35100 45800 76300 2206 Medical/Surgical Procdedure PAEDIATRICS Nephrolithotomy ( Pediatric ) 18400 20400 20400 23500 30600 51000 2207 Medical/Surgical Procdedure PAEDIATRICS Kidney Biopsy Precutaneous (Standby) - Pediatric 6600 7300 7300 8400 10950 18250 2208 Medical/Surgical Procdedure PAEDIATRICS Pyelolithotomy ( Pediatric ) 18400 20400 20400 23500 30600 51000 2209 Medical/Surgical Procdedure PAEDIATRICS Pyeloplasty ( Pediatric ) 17100 19000 19000 21900 28500 47500 Posterior sagittal anorectoplasty (PSARP) - Complete - ( PAEDIATRICS 19100 21200 21200 24400 31800 53000 2210 Medical/Surgical Procdedure Pediatric ) 2211 Medical/Surgical Procdedure PAEDIATRICS Ureterolithotomy ( Pediatric ) 10300 11400 11400 13100 17100 28500 Posterior sagittal anorectoplasty ( PSARP) - Limited - ( Pediatric PAEDIATRICS 13600 15100 15100 17400 22700 37800 2212 Medical/Surgical Procdedure ) 2213 Medical/Surgical Procdedure PAEDIATRICS Intestinal Perforation Closure ( Pediatric ) 12000 13300 13300 15300 20000 33300 2214 Medical/Surgical Procdedure PAEDIATRICS Perianal Abscess Drainage ( Pediatric ) 3500 3900 3900 4500 5850 9750 2215 Medical/Surgical Procdedure PAEDIATRICS Prepucial Adhesions Reduction ( Pediatric ) 540 600 600 690 900 1500 2216 Medical/Surgical Procdedure PAEDIATRICS Pyloromyotomy (for Pyloric Stenosis) - ( Pediatric ) 11100 12300 12300 14100 18500 30800 2217 Medical/Surgical Procdedure PAEDIATRICS Pyloroplasty ( Pediatric ) 12600 14000 14000 16100 21000 35000 2218 Medical/Surgical Procdedure PAEDIATRICS Rectal Polyp Excision ( Pediatric ) 4600 5100 5100 5870 7650 12750 2219 Medical/Surgical Procdedure PAEDIATRICS Intestine Resection And Anastamosis ( Pediatric ) 11100 12300 12300 14100 18500 30800 2220 Medical/Surgical Procdedure PAEDIATRICS Syndactyly Release ( Pediatric ) 19100 21200 21200 24400 31800 53000 2221 Medical/Surgical Procdedure PAEDIATRICS Laparotomy Exploratory ( Pediatric ) 8200 9100 9100 10500 13650 22750 2222 Medical/Surgical Procdedure PAEDIATRICS Liver Abscess (Multiple) Aspiration ( Pediatric ) 4300 4800 4800 5500 7200 12000 2223 Medical/Surgical Procdedure PAEDIATRICS Thoracotomy + Cyst Excision ( Pediatric ) 19100 21200 21200 24400 31800 53000 2224 Medical/Surgical Procdedure PAEDIATRICS Thoracotomy + Pneumonectomy ( Pediatric ) 29900 33200 33200 38200 49800 83000 2225 Medical/Surgical Procdedure PAEDIATRICS Thyroglossal Cyst Excision ( Pediatric ) 12000 13300 13300 15300 20000 33300 2226 Medical/Surgical Procdedure PAEDIATRICS Tongue Tie Correction ( Pediatric ) 2520 2800 2800 3220 4200 7000 2227 Medical/Surgical Procdedure PAEDIATRICS Ureterostomy ( Bilateral ) - Pediatric 20600 22900 22900 26300 34400 57300 2228 Medical/Surgical Procdedure PAEDIATRICS Urethral Dilatation ( Pediatric ) 4300 4800 4800 5500 7200 12000 2229 Medical/Surgical Procdedure PAEDIATRICS Urethral Fistula Repair ( Pediatric ) 12000 13300 13300 15300 20000 33300 2230 Medical/Surgical Procdedure PAEDIATRICS Venesection for Venous Access ( Pediatric ) 2520 2800 2800 3220 4200 7000 2231 Medical/Surgical Procdedure PAEDIATRICS Vesicostomy ( Pediatric ) 11500 12800 12800 14700 19200 32000 2232 Medical/Surgical Procdedure PAEDIATRICS Circumcision ( Pediatric ) 4300 4800 4800 5500 7200 12000 2233 Medical/Surgical Procdedure PAEDIATRICS Bladder Exostrophy Repair (Bladder Turn In ) ( Pediatric ) 21700 24100 24100 27700 36200 60300 2234 Medical/Surgical Procdedure PAEDIATRICS Torticollis Release ( Pediatric ) 10300 11400 11400 13100 17100 28500 2235 Medical/Surgical Procdedure PAEDIATRICS Ureteric Reimplantation - Bilateral ( Pediatric ) 24500 27200 27200 31300 40800 68000 2236 Medical/Surgical Procdedure PAEDIATRICS Ureteric Reimplantation - Unilateral ( Pediatric ) 19100 21200 21200 24400 31800 53000 2237 Medical/Surgical Procdedure PAEDIATRICS Bladder Exostrophy Repair - Complete ( Pediatric ) 27300 30300 30300 34800 45500 75800 2238 Medical/Surgical Procdedure PAEDIATRICS Resuscitation ( Pediatric ) 3500 3900 3900 4500 5850 9750 2239 Medical/Surgical Procdedure PAEDIATRICS Ventriculo Peritoneal Shunt Placement 26400 29300 29300 33700 44000 73300 Pediatric Peritoneal dialysis ( PD ) Catheter Placement - PAEDIATRICS 6840 7600 7600 8740 11400 19000 2240 Medical/Surgical Procdedure Pediatric 2241 Medical/Surgical Procdedure PAEDIATRICS Dressing Wound ( Large ) - Pediatrics 1980 2200 2200 2530 3300 5500 2242 Medical/Surgical Procdedure PAEDIATRICS Dressing Wound ( Small ) - Pediatrics 900 1000 1000 1150 1500 2500 2243 Medical/Surgical Procdedure PAEDIATRICS Peripheral Arterial Catheterization ( Neonatal ) 1260 1400 1400 1610 2100 3500 2244 Medical/Surgical Procdedure PAEDIATRICS Umbilical Arterial Catheterization ( Neonatal ) 1260 1400 1400 1610 2100 3500 2245 Medical/Surgical Procdedure PAEDIATRICS Phototherapy ( Neonatal ) 900 1000 1000 1150 1500 2500 2246 Medical/Surgical Procdedure PAEDIATRICS Suture Removal ( Pediatric ) 900 1000 1000 1150 1500 2500 2247 Medical/Surgical Procdedure PAEDIATRICS Wound Repair ( Minor ) - Other Than Face ( Pediatric ) 1980 2200 2200 2530 3300 5500 2248 Medical/Surgical Procdedure PAEDIATRICS Wound Repair ( Minor ) ( Pediatric ) 3500 3900 3900 4500 5850 9750 2249 Medical/Surgical Procdedure PAEDIATRICS Wound Repair ( Medium ) - Other Than Face ( Pediatric ) 4950 5500 5500 6300 8250 13750 2250 Medical/Surgical Procdedure PAEDIATRICS Wound Repair ( Major / Multiple ) ( Pediatric ) 19100 21200 21200 24400 31800 53000 Vaginoplasty + Clitoroplasty ( Congenital Adrenal Hyperplasia ) - PAEDIATRICS 29900 33200 33200 38200 49800 83000 2251 Medical/Surgical Procdedure Pediatric 2252 Medical/Surgical Procdedure PAEDIATRICS Tracheal Aspiration ( Pediatric ) 1530 1700 1700 1960 2550 4250 Tissue Extraction / Fluid Aspiration For Biopsy/ Lab. Study ( PAEDIATRICS 1530 1700 1700 1960 2550 4250 2253 Medical/Surgical Procdedure Pediatric ) 2254 Medical/Surgical Procdedure PAEDIATRICS Testicular Biopsy ( Pediatric ) 3500 3900 3900 4500 5850 9750 2255 Medical/Surgical Procdedure PAEDIATRICS Subdural / Intraventricular Tap ( Pediatric ) 2520 2800 2800 3220 4200 7000 2256 Medical/Surgical Procdedure PAEDIATRICS Gastric Lavage / Stomach Wash - Poisoning ( Pediatric ) 900 1000 1000 1150 1500 2500 2257 Medical/Surgical Procdedure PAEDIATRICS Gastric Lavage / Stomach Wash ( New Born ) 180 200 200 230 300 500 2258 Medical/Surgical Procdedure PAEDIATRICS Stomach Wash ( Pediatric ) 1540 1600 1600 1840 2400 4000 2259 Medical/Surgical Procdedure PAEDIATRICS Sclerotherapy (Injection) - ( Pediatric ) 2970 3300 3300 3800 4950 8250 2260 Medical/Surgical Procdedure PAEDIATRICS Scalp Avulsion Repair ( Major ) - ( Pediatric ) 15800 17500 17500 20100 26300 43800 2261 Medical/Surgical Procdedure PAEDIATRICS Scalp Avulsion Repair ( Minor ) - ( Pediatric ) 12000 13300 13300 15300 20000 33300 2262 Medical/Surgical Procdedure PAEDIATRICS Torn Ear Lobule ( Repair ) - Bilateral ( Pediatric ) 5500 6100 6100 7000 9150 15250 2263 Medical/Surgical Procdedure PAEDIATRICS Torn Ear Lobule Repair - Right Ear ( Pediatric ) 3500 3900 3900 4500 5850 9750 2264 Medical/Surgical Procdedure PAEDIATRICS Release Tongue Tie + V-Y Plasty ( Pediatric ) 4300 4800 4800 5500 7200 12000 Inguinal Hernia ( Recurrent ) Repair Bilateral - Open / PAEDIATRICS 15800 17500 17500 20100 26300 43800 2265 Medical/Surgical Procdedure Laparoscopic ( Pediatric ) 2266 Medical/Surgical Procdedure PAEDIATRICS Abdominoperineal Pull Through ( Pediatric ) 21700 24100 24100 27700 36200 60300 2267 Medical/Surgical Procdedure PAEDIATRICS Priapism ( Aspiration ) ( Pediatric ) 1980 2200 2200 2530 3300 5500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2268 Medical/Surgical Procdedure PAEDIATRICS Preauricular Tags ( Excision ) - Bilateral ( Pediatric ) 4300 4800 4800 5500 7200 12000 2269 Medical/Surgical Procdedure PAEDIATRICS Portoenterostomy ( Pediatric ) 29900 33200 33200 38200 49800 83000 2270 Medical/Surgical Procdedure PAEDIATRICS Bronchoscopy ( Rigid ) - Diagnostic ( Pediatric ) 4300 4800 4800 5500 7200 12000 2271 Medical/Surgical Procdedure PAEDIATRICS Choledochal Cyst Excision ( Pediatric ) 24500 27200 27200 31300 40800 68000 2272 Medical/Surgical Procdedure PAEDIATRICS Bronchoscopy ( Flexible ) - ( Pediatric ) 2970 3300 3300 3800 4950 8250 2273 Medical/Surgical Procdedure PAEDIATRICS Parenteral Sedation ( All Procedures ) ( Pediatric ) 1170 1300 1300 1500 1950 3250 2274 Medical/Surgical Procdedure PAEDIATRICS Urethrotomy ( Optical ) ( Pediatric ) 12000 13300 13300 15300 20000 33300 2275 Medical/Surgical Procdedure PAEDIATRICS Renal Biopsy ( Neonatal ) 3500 3900 3900 4500 5850 9750 2276 Medical/Surgical Procdedure PAEDIATRICS Gastrostomy ( Neonatal ) 10300 11400 11400 13100 17100 28500 2277 Medical/Surgical Procdedure PAEDIATRICS Neck Sinus ( Excision ) ( Pediatric ) 8200 9100 9100 10500 13650 22750 2278 Medical/Surgical Procdedure PAEDIATRICS Muscle Biopsy ( Pediatric ) 2970 3300 3300 3800 4950 8250 Micturating Cystourethrogram Catheterization ( MCU ) ( Pediatric PAEDIATRICS 540 600 600 690 900 1500 2279 Medical/Surgical Procdedure ) 2280 Medical/Surgical Procdedure PAEDIATRICS Lymph Node Biopsy (Superficial) ( Pediatric ) 2970 3300 3300 3800 4950 8250 2281 Medical/Surgical Procdedure PAEDIATRICS Ureteric Reimplantation ( Laparoscopic ) ( Pediatric ) 27300 30300 30300 34800 45500 75800 2282 Medical/Surgical Procdedure PAEDIATRICS Laminectomy - Spina Bifida Occulta ( Pediatric ) 24500 27200 27200 31300 40800 68000 2283 Medical/Surgical Procdedure PAEDIATRICS Adhesiolysis ( Labial ) ( Pediatric ) 540 600 600 690 900 1500 2284 Medical/Surgical Procdedure PAEDIATRICS Hypospadias ( Glandular / Coronal ) Correction - Pediatric 13600 15100 15100 17400 22700 37800 2285 Medical/Surgical Procdedure PAEDIATRICS Cleft Palate Repair - Complete Cleft ( Pediatric ) 17100 19000 19000 21900 28500 47500 PAEDIATRICS Hernia Repair ( Unilateral ) Open / Laparoscopic ( Pediatric ) 8200 9100 9100 10500 13650 22750 2286 Medical/Surgical Procdedure 2287 Medical/Surgical Procdedure PAEDIATRICS Epigastric Hernia Repair ( Pediatric ) 9100 10100 10100 11600 15200 25300 PAEDIATRICS Hand Surgery ( Syndactyly Complex ) - Complete ( Pediatric ) 19100 21200 21200 24400 31800 53000 2288 Medical/Surgical Procdedure 2289 Medical/Surgical Procdedure PAEDIATRICS Hand Surgery ( Syndactyly Partial/Simple ) ( Pediatric ) 10300 11400 11400 13100 17100 28500 2290 Medical/Surgical Procdedure PAEDIATRICS Fibroadenoma Excision ( Pediatric ) 3500 3900 3900 4500 5850 9750 2291 Medical/Surgical Procdedure PAEDIATRICS Face Wound ( Repair ) - Minor ( Pediatric ) 3500 3900 3900 4500 5850 9750 2292 Medical/Surgical Procdedure PAEDIATRICS Face Wound ( Repair ) - Medium ( Pediatric ) 6600 7300 7300 8400 10950 18250 2293 Medical/Surgical Procdedure PAEDIATRICS Face Scars ( Simple ) ( Pediatric ) 8200 9100 9100 10500 13650 22750 2294 Medical/Surgical Procdedure PAEDIATRICS Skin Lesion ( Minor ) - Excision ( Pediatric ) 3500 3900 3900 4500 5850 9750 2295 Medical/Surgical Procdedure PAEDIATRICS Tumor Excision ( Large - Superficial ) - Pediatric 4950 5500 5500 6300 8250 13750 2296 Medical/Surgical Procdedure PAEDIATRICS Debridement ( Large > 5 Cm ) ( Pediatric ) 10300 11400 11400 13100 17100 28500 2297 Medical/Surgical Procdedure PAEDIATRICS Debridement ( Medium ) ( Pediatric ) 5500 6100 6100 7000 9150 15250 2298 Medical/Surgical Procdedure PAEDIATRICS Contracture ( Release ) ( Pediatric ) 4950 5500 5500 6300 8250 13750 2299 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip + Palate ( Anterior ) Repair ( Pediatric ) 19100 21200 21200 24400 31800 53000 2300 Medical/Surgical Procdedure PAEDIATRICS Chest Tube ( Manipulation With Dressing ) ( Pediatric ) 900 1000 1000 1150 1500 2500 2301 Medical/Surgical Procdedure PAEDIATRICS Chest Tube Dressing ( Pediatric ) 900 1000 1000 1150 1500 2500 2302 Medical/Surgical Procdedure PAEDIATRICS Cyst ( Aspiration ) - Deep ( Pediatric ) 1980 2200 2200 2530 3300 5500 2303 Medical/Surgical Procdedure PAEDIATRICS Appendicular Abscess Drainage ( Pediatric ) 10300 11400 11400 13100 17100 28500 2304 Medical/Surgical Procdedure PAEDIATRICS Abscess Drainage ( Small ) - ( Pediatric ) 1260 1400 1400 1610 2100 3500 2305 Medical/Surgical Procdedure PAEDIATRICS Abscess Drainage ( Medium ) - ( Pediatric ) 1980 2200 2200 2530 3300 5500 2306 Medical/Surgical Procdedure PAEDIATRICS Abscess Drainage ( Large ) - ( Pediatric ) 2520 2800 2800 3220 4200 7000 2307 Medical/Surgical Procdedure PAEDIATRICS Rectopexy ( Laparoscopic ) ( Pediatric ) 15800 17500 17500 20100 26300 43800 2308 Medical/Surgical Procdedure PAEDIATRICS Tumor Excision ( Small - Superficial ) - Pediatric 3500 3900 3900 4500 5850 9750 2309 Medical/Surgical Procdedure PAEDIATRICS Electrocauterization ( Pediatric ) 1260 1400 1400 1610 2100 3500 2310 Medical/Surgical Procdedure PAEDIATRICS Rectal Suction Biopsy ( Pediatric ) 2520 2800 2800 3220 4200 7000 2311 Medical/Surgical Procdedure PAEDIATRICS Suprapubic Aspiration ( Pediatric ) 900 1000 1000 1150 1500 2500 2312 Medical/Surgical Procdedure PAEDIATRICS Colostomy Closure ( Pediatric ) 12000 13300 13300 15300 20000 33300 2313 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip ( Complete ) Repair - Right Side 19100 21200 21200 24400 31800 53000 2314 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip ( Incomplete ) Repair - Right Side ( Pediatric ) 12000 13300 13300 15300 20000 33300 2315 Medical/Surgical Procdedure PAEDIATRICS Cystic Hygroma (Minor) Excision ( Pediatric ) 9100 10100 10100 11600 15200 25300 2316 Medical/Surgical Procdedure PAEDIATRICS Hemangioma Excision - Large 24500 27200 27200 31300 40800 68000 2317 Medical/Surgical Procdedure PAEDIATRICS Hemangioma Excision - Small 8200 9100 9100 10500 13650 22750 2318 Medical/Surgical Procdedure PAEDIATRICS Hemangioma Excision - Medium 14700 16300 16300 18700 24500 40800 2319 Medical/Surgical Procdedure PAEDIATRICS Intestinal Resection ( Multiple ) + Anastomosis ( Pediatric ) 18400 20400 20400 23500 30600 51000 2320 Medical/Surgical Procdedure PAEDIATRICS Psoas Abscess Drainage ( Pediatric ) 5760 6400 6400 7360 9600 16000 2321 Medical/Surgical Procdedure PAEDIATRICS Spina Bifida Repair - Large ( Pediatric ) 19100 21200 21200 24400 31800 53000 2322 Medical/Surgical Procdedure PAEDIATRICS Spina Bifida Repair - Small ( Pediatric ) 14700 16300 16300 18700 24500 40800 2323 Medical/Surgical Procdedure PAEDIATRICS Bronchoscopy ( for Removal of Foreign Body ) - Pediatrics 10300 11400 11400 13100 17100 28500 2324 Medical/Surgical Procdedure PAEDIATRICS Suprapubic Cystolithotomy - Pediatrics 9100 10100 10100 11600 15200 25300 2325 Medical/Surgical Procdedure PAEDIATRICS Tube Drainage ( for Empyema / Pneumothorax ) 2970 3300 3300 3800 4950 8250 2326 Medical/Surgical Procdedure PAEDIATRICS Neuroblastoma Excision ( Pediatric ) 21700 24100 24100 27700 36200 60300 2327 Medical/Surgical Procdedure PAEDIATRICS Dressing Wound ( Pediatric ) 270 300 300 345 450 750 2328 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip ( Complete ) Repair - Left Side 19100 21200 21200 24400 31800 53000 2329 Medical/Surgical Procdedure PAEDIATRICS Cleft Lip ( Incomplete ) Repair - Left Side ( Pediatric ) 12000 13300 13300 15300 20000 33300 2330 Medical/Surgical Procdedure PAEDIATRICS Varicocelectomy - Bilateral ( Pediatrics ) 11100 12300 12300 14100 18500 30800 2331 Medical/Surgical Procdedure PAEDIATRICS Wedge Biopsy ( Pediatrics ) 3500 3900 3900 4500 5850 9750 2332 Medical/Surgical Procdedure PAEDIATRICS Pull Through Resection + Anastomosis ( Pediatric ) 27300 30300 30300 34800 45500 75800 2333 Medical/Surgical Procdedure PAEDIATRICS Hypospadias ( Distal ) Repair - One Stage ( Pediatric ) 15800 17500 17500 20100 26300 43800 2334 Medical/Surgical Procdedure PAEDIATRICS Dressing Wound ( Medium ) ( Pediatric ) 1260 1400 1400 1610 2100 3500 2335 Medical/Surgical Procdedure PAEDIATRICS Liver Abscess Aspiration - Simple ( Pediatric ) 4300 4800 4800 5500 7200 12000 2336 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniorrhaphy ( Pediatric ) 9100 10100 10100 11600 15200 25300 2337 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniotomy - Right Side ( Pediatric ) 9100 10100 10100 11600 15200 25300 2338 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniotomy - Left Side ( Pediatric ) 9100 10100 10100 11600 15200 25300 2339 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniotomy - Bilateral ( Pediatric ) 12000 13300 13300 15300 20000 33300 2340 Medical/Surgical Procdedure PAEDIATRICS Anorectal Myectomy ( Pediatrics ) 8200 9100 9100 10500 13650 22750 2341 Medical/Surgical Procdedure PAEDIATRICS Aspiration of Cyst - Small ( Pediatrics ) 1260 1400 1400 1610 2100 3500 2342 Medical/Surgical Procdedure PAEDIATRICS Bladder Augmentation( Pediatrics ) 19100 21200 21200 24400 31800 53000 2343 Medical/Surgical Procdedure PAEDIATRICS Bladder Diverticulectomy ( Bilateral ) 24500 27200 27200 31300 40800 68000 2344 Medical/Surgical Procdedure PAEDIATRICS Bladder Diverticulectomy ( Right )- Pediatrics 15800 17500 17500 20100 26300 43800 2345 Medical/Surgical Procdedure PAEDIATRICS Branchial Cyst / Fistula ( Pediatrics ) 11100 12300 12300 14100 18500 30800 2346 Medical/Surgical Procdedure PAEDIATRICS Catheterisation ( Pediatrics ) 1260 1400 1400 1610 2100 3500 2347 Medical/Surgical Procdedure PAEDIATRICS Closure Of Ureterostomy - Unilateral ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2348 Medical/Surgical Procdedure PAEDIATRICS Vesicostomy Closure ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2349 Medical/Surgical Procdedure PAEDIATRICS Colostomy With Biopsy ( Pediatrics ) 12000 13300 13300 15300 20000 33300 2350 Medical/Surgical Procdedure PAEDIATRICS Colostomy Without Biopsy ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2351 Medical/Surgical Procdedure PAEDIATRICS Cystoscopy - Diagnostic ( Pediatrics ) 3500 3900 3900 4500 5850 9750 2352 Medical/Surgical Procdedure PAEDIATRICS Debridement - Minor ( Pediatrics ) 3500 3900 3900 4500 5850 9750 2353 Medical/Surgical Procdedure PAEDIATRICS Deep Abscess / Multiple Abscess Drainage 5500 6100 6100 7000 9150 15250 2354 Medical/Surgical Procdedure PAEDIATRICS Diagnostic Laproscopy With Biopsy ( Pediatrics ) 11100 12300 12300 14100 18500 30800 2355 Medical/Surgical Procdedure PAEDIATRICS Endoscopic VUR Correction - Bilateral ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2356 Medical/Surgical Procdedure PAEDIATRICS Endoscopic VUR Correction - Unilateral ( Pediatrics ) 8200 9100 9100 10500 13650 22750 Exchange Transfusion With Umblical Catheterization ( Pediatrics PAEDIATRICS 6000 6700 6700 7700 10050 16750 2357 Medical/Surgical Procdedure ) 2358 Medical/Surgical Procdedure PAEDIATRICS Skin Lesion Excision - Medium ( Pediatrics ) 4950 5500 5500 6300 8250 13750 2359 Medical/Surgical Procdedure PAEDIATRICS Esophageal Substitution ( Pediatrics ) 19100 21200 21200 24400 31800 53000 Gynaecomastia / Supernumerary Breast Excision -Bilateral ( PAEDIATRICS 15800 17500 17500 20100 26300 43800 2360 Medical/Surgical Procdedure Pediatrics ) Gynaecomastia / Supernumerary Breast Excision - Unilateral ( PAEDIATRICS 10300 11400 11400 13100 17100 28500 2361 Medical/Surgical Procdedure Pediatrics ) 2362 Medical/Surgical Procdedure PAEDIATRICS Hand Surgery ( Extra Digit ) - Complex ( Pediatrics ) 8200 9100 9100 10500 13650 22750 2363 Medical/Surgical Procdedure PAEDIATRICS Hand Surgery ( Extra Digit ) - Simple ( Pediatrics ) 4300 4800 4800 5500 7200 12000 2364 Medical/Surgical Procdedure PAEDIATRICS Hemionephrectomy - Unilateral ( Pediatrics ) 19100 21200 21200 24400 31800 53000 2365 Medical/Surgical Procdedure PAEDIATRICS Hypospadias ( Proximal ) - Single Stage ( Pediatrics ) 24500 27200 27200 31300 40800 68000 2366 Medical/Surgical Procdedure PAEDIATRICS Hypospadias - MAPGI ( Pediatrics ) 10300 11400 11400 13100 17100 28500 PAEDIATRICS Hypospadias With Urethral Fistula Repair - Large ( Pediatrics ) 12000 13300 13300 15300 20000 33300 2367 Medical/Surgical Procdedure PAEDIATRICS Hypospadias With Urethral Fistula Repair - Small ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2368 Medical/Surgical Procdedure 2369 Medical/Surgical Procdedure PAEDIATRICS Ingrowing Toe Nail ( Pediatrics ) 4300 4800 4800 5500 7200 12000 Tenkoffs Catherer Insertion + Pediatric Dialysis Initiation ( PAEDIATRICS 3500 3900 3900 4500 5850 9750 2370 Medical/Surgical Procdedure Pediatrics ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2371 Medical/Surgical Procdedure PAEDIATRICS Intra - Osseous Drip ( Pediatrics ) 540 600 600 690 900 1500 2372 Medical/Surgical Procdedure PAEDIATRICS Laparotomy + Excision Cyst 15200 16900 16900 19400 25400 42300 2373 Medical/Surgical Procdedure PAEDIATRICS Cardiomyotomy ( Laproscopic / Open ) 21700 24100 24100 27700 36200 60300 2374 Medical/Surgical Procdedure PAEDIATRICS Mediastinal/ Retroperitoneal Tumour (excision ) 21700 24100 24100 27700 36200 60300 2375 Medical/Surgical Procdedure PAEDIATRICS Esophagostomy + Gastrostomy ( Pediatric ) 19100 21200 21200 24400 31800 53000 2376 Medical/Surgical Procdedure PAEDIATRICS Excision Preauricular Tags ( Pediatrics ) 2520 2800 2800 3220 4200 7000 Recurrent Inguinal hernia repair - Open / Laparoscopic ( PAEDIATRICS 13600 15100 15100 17400 22700 37800 2377 Medical/Surgical Procdedure Pediatrics ) 2378 Medical/Surgical Procdedure PAEDIATRICS Secondary Suturing - Abdominal / Others ( Pediatrics ) 10300 11400 11400 13100 17100 28500 2379 Medical/Surgical Procdedure PAEDIATRICS Central Peripheral Line Surgical Insertion ( Pediatrics ) 1530 1700 1700 1960 2550 4250 2380 Medical/Surgical Procdedure PAEDIATRICS Suturing ( Single layer ) - Upto 3 ( Pediatrics ) 540 600 600 690 900 1500 PAEDIATRICS Syndactyly Release ( 1 finger ) / Simple syndactyly ( Pediatrics ) 13600 15100 15100 17400 22700 37800 2381 Medical/Surgical Procdedure 2382 Medical/Surgical Procdedure PAEDIATRICS Thiersch Sclerotherapy - Rectal Prolapse ( Pediatrics ) 4950 5500 5500 6300 8250 13750 2383 Medical/Surgical Procdedure PAEDIATRICS Thoracoscopic Decortication ( Pediatrics ) 15800 17500 17500 20100 26300 43800 Torsion Testis ( Contralateral fixation ) - OT or under fluoroscopy PAEDIATRICS 13600 15100 15100 17400 22700 37800 2384 Medical/Surgical Procdedure ( Pediatrics ) 2385 Medical/Surgical Procdedure PAEDIATRICS Trocar Cystostomy ( Pediatrics ) 2520 2800 2800 3220 4200 7000 2386 Medical/Surgical Procdedure PAEDIATRICS Umbilical Catheterization - Arterial + Venous ( Pediatrics ) 1260 1400 1400 1610 2100 3500 2387 Medical/Surgical Procdedure PAEDIATRICS Umbilical Catheterization ( Pediatrics ) 1900 2100 2100 2420 3150 5250 2388 Medical/Surgical Procdedure PAEDIATRICS Umbilical Hernia Repair ( Pediatrics ) 8200 9100 9100 10500 13650 22750 2389 Medical/Surgical Procdedure PAEDIATRICS Varicocele - Right ( Pediatrics ) 9100 10100 10100 11600 15200 25300 2390 Medical/Surgical Procdedure PAEDIATRICS V P Shunt / VA Shunt ( Pediatrics ) 27300 30300 30300 34800 45500 75800 2391 Medical/Surgical Procdedure PAEDIATRICS Child Occupational Therapist ( 60 Min ) 990 1100 1100 1270 1650 2750 2392 Medical/Surgical Procdedure PAEDIATRICS Cleft Palate Repair ( Posterior ) Palate 14700 16300 16300 18700 24500 40800 2393 Medical/Surgical Procdedure PAEDIATRICS Closure Of Ureterostomy Bilateral 12000 13300 13300 15300 20000 33300 2394 Medical/Surgical Procdedure PAEDIATRICS Central Venous Catheter ( CVC ) Insertion - Pediatric 2880 3200 3200 3680 4800 8000 2395 Medical/Surgical Procdedure PAEDIATRICS Arterial Line Insertion - Pediatric 1710 1900 1900 2190 2850 4750 2396 Medical/Surgical Procdedure PAEDIATRICS Pleural Fluid Aspiration - Pediatric 2070 2300 2300 2650 3450 5750 2397 Medical/Surgical Procdedure PAEDIATRICS Peritoneal Fluid Aspiration - Diagnostic ( Pediatric ) 1980 2200 2200 2530 3300 5500 2398 Medical/Surgical Procdedure PAEDIATRICS Foley Catheter Insertion - Pediatric 720 800 800 920 1200 2000 2399 Medical/Surgical Procdedure PAEDIATRICS Gastric Lavage - Pediatric 1530 1700 1700 1960 2550 4250 2400 Medical/Surgical Procdedure PAEDIATRICS PC Enema - Pediatric 540 600 600 690 900 1500 2401 Medical/Surgical Procdedure PAEDIATRICS Intubation + Initiation Of Ventilation ( Pediatric ) 2160 2400 2400 2760 3600 6000 2402 Medical/Surgical Procdedure PAEDIATRICS Bone Marrow Aspiration / Biopsy ( Pediatric ) 1980 2200 2200 2530 3300 5500 2403 Medical/Surgical Procdedure PAEDIATRICS Nebulization - Pediatric 180 200 200 230 300 500 2404 Medical/Surgical Procdedure PAEDIATRICS Chest Tube Drainage - Pediatric 3330 3700 3700 4260 5550 9250 2405 Medical/Surgical Procdedure PAEDIATRICS Peripheral Arterial Line Placement 1980 2200 2200 2530 3300 5500 2406 Medical/Surgical Procdedure PAEDIATRICS Plain Fibreoptic Bronchoscopy ( Diagnostic ) - Pediatric 11500 12800 12800 14700 19200 32000 Fibreoptic Bronchoscopy with Broncho-Alveolar Lavage - PAEDIATRICS 12600 14000 14000 16100 21000 35000 2407 Medical/Surgical Procdedure Pediatric 2408 Medical/Surgical Procdedure PAEDIATRICS Fibreoptic Bronchoscopy with BAL ( TB work Up) - Pediatric 17100 19000 19000 21900 28500 47500 PAEDIATRICS Fibreoptic Bronchoscopy with BAL ( Fungal Work up ) - Pediatric 13800 15300 15300 17600 23000 38300 2409 Medical/Surgical Procdedure 2410 Medical/Surgical Procdedure PAEDIATRICS Bone Marrow Harvesting ( Pediatric ) 28600 31800 31800 36600 47700 79500 2411 Medical/Surgical Procdedure PAEDIATRICS Pleural Fluid Aspiration - USG Guided ( Pediatric) 2520 2800 2800 3220 4200 7000 2412 Medical/Surgical Procdedure PAEDIATRICS Intravenous Cannulation ( Pediatric ) 630 700 700 805 1050 1750 PAEDIATRICS Abdomino Posterio Saggital Anorectoplasty (Pediatric Surgery) 21700 24100 24100 27700 36200 60300 2413 Medical/Surgical Procdedure 2414 Medical/Surgical Procdedure PAEDIATRICS Anal Fissurectomy (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 2415 Medical/Surgical Procdedure PAEDIATRICS Anal Sphincter Repair (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2416 Medical/Surgical Procdedure PAEDIATRICS Aortopexy (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 Ruptured Appendix - Appendectomy + Peritoneal Toilet PAEDIATRICS 12100 13400 13400 15400 20100 33500 2417 Medical/Surgical Procdedure (Pediatric Surgery) 2418 Medical/Surgical Procdedure PAEDIATRICS Appendicovesicostomy (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 PAEDIATRICS Biliary Atresia - Laprotomy + Cholangiogram (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2419 Medical/Surgical Procdedure 2420 Medical/Surgical Procdedure PAEDIATRICS Bladder Neck Repair (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 PAEDIATRICS Bronchopleural Fistula Repair - Cervical (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2421 Medical/Surgical Procdedure PAEDIATRICS Bronchopleural Fistula Repair - Thoracotomy (Pediatric Surgery) 24000 26700 26700 30700 40100 66800 2422 Medical/Surgical Procdedure 2423 Medical/Surgical Procdedure PAEDIATRICS Bronchoscopic Biopsy (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 2424 Medical/Surgical Procdedure PAEDIATRICS Bronchoscopic Dilatation (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 2425 Medical/Surgical Procdedure PAEDIATRICS Burrow'S Anoplasty (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 2426 Medical/Surgical Procdedure PAEDIATRICS CAPD Placement (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2427 Medical/Surgical Procdedure PAEDIATRICS CAPD Removal (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 2428 Medical/Surgical Procdedure PAEDIATRICS Change Of Catheter (Pediatric Surgery) 1710 1900 1900 2190 2850 4750 2429 Medical/Surgical Procdedure PAEDIATRICS Check Cystoscopy (Pediatric Surgery) 2880 3200 3200 3680 4800 8000 2430 Medical/Surgical Procdedure PAEDIATRICS Chemoport Insertion (Pediatric Surgery) 8000 8900 8900 10200 13350 22250 2431 Medical/Surgical Procdedure PAEDIATRICS Chimney Stoma (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2432 Medical/Surgical Procdedure PAEDIATRICS Clitoroplasty (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2433 Medical/Surgical Procdedure PAEDIATRICS Cohen's Reimplantation + Tapering (Pediatric Surgery) 21700 24100 24100 27700 36200 60300 2434 Medical/Surgical Procdedure PAEDIATRICS Colon Interpositioning (Pediatric Surgery) 22900 25400 25400 29200 38100 63500 2435 Medical/Surgical Procdedure PAEDIATRICS Colorrhaphy + End Colostomy (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 PAEDIATRICS Common Sheath Reimplantation - Ureter (Pediatric Surgery) 21700 24100 24100 27700 36200 60300 2436 Medical/Surgical Procdedure 2437 Medical/Surgical Procdedure PAEDIATRICS Contracture Release + Z- Plasty (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2438 Medical/Surgical Procdedure PAEDIATRICS Mucous/Retention Cyst Excision (Pediatric Surgery) 4050 4500 4500 5180 6750 11250 2439 Medical/Surgical Procdedure PAEDIATRICS Cystectomy And Urinary Diversion (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 Cystogastrostomy / Cystojejunostomy for Pseudopancreatic Cyst PAEDIATRICS 17100 19000 19000 21900 28500 47500 2440 Medical/Surgical Procdedure (Pediatric Surgery) 2441 Medical/Surgical Procdedure PAEDIATRICS Cystoscopic Deflux Injection (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2442 Medical/Surgical Procdedure PAEDIATRICS Ureteroceles - Cystoscopic Deroofing (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2443 Medical/Surgical Procdedure PAEDIATRICS Decortication - Open (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2444 Medical/Surgical Procdedure PAEDIATRICS Meconium Cyst Wall - Decortication (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2445 Medical/Surgical Procdedure PAEDIATRICS Diaphragmatic Hernia - Laparoscopic (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 2446 Medical/Surgical Procdedure PAEDIATRICS Diverticulectomy+Reimplantation (Pediatric Surgery) 20600 22900 22900 26300 34400 57300 2447 Medical/Surgical Procdedure PAEDIATRICS Dorsal Slit Prepuce (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 2448 Medical/Surgical Procdedure PAEDIATRICS Duodenoduodenostomy (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 2449 Medical/Surgical Procdedure PAEDIATRICS Endopyelotomy (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 PAEDIATRICS Esophagoscopic Foreign Body Removal (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2450 Medical/Surgical Procdedure 2451 Medical/Surgical Procdedure PAEDIATRICS Esophagoscopy (Pediatric Surgery) 4600 5100 5100 5870 7650 12750 PAEDIATRICS Excision & Repair Of Meningomyelocele (Pediatric Surgery) 34400 38200 38200 43900 57300 95500 2452 Medical/Surgical Procdedure Mass/Cyst Excision By Posterio Sagittal Route (Pediatric PAEDIATRICS 25100 27900 27900 32100 41900 69800 2453 Medical/Surgical Procdedure Surgery) 2454 Medical/Surgical Procdedure PAEDIATRICS Omental/Mesentric Cyst Excision (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 2455 Medical/Surgical Procdedure PAEDIATRICS Pouch Colon Excision (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2456 Medical/Surgical Procdedure PAEDIATRICS Skin Lesion Excision - Large (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2457 Medical/Surgical Procdedure PAEDIATRICS Superficial Tumour Excision - Medium (Pediatric Surgery) 4600 5100 5100 5870 7650 12750 PAEDIATRICS Retained Stent - Exploration & Removal (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2458 Medical/Surgical Procdedure 2459 Medical/Surgical Procdedure PAEDIATRICS Extended Hepatectomy (Pediatric Surgery) 51500 57200 57200 65800 85800 143000 2460 Medical/Surgical Procdedure PAEDIATRICS Exteriorisation of Bowel Loops (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2461 Medical/Surgical Procdedure PAEDIATRICS Extra Ventricular Draiange (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2462 Medical/Surgical Procdedure PAEDIATRICS Feeding Jejunostomy (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2463 Medical/Surgical Procdedure PAEDIATRICS Fistulectomy (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 2464 Medical/Surgical Procdedure PAEDIATRICS Fowler Stephen Procedure - Stage II (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2465 Medical/Surgical Procdedure PAEDIATRICS Full Thickness Skin Graft (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2466 Medical/Surgical Procdedure PAEDIATRICS Fundoplication - Open (Pediatric Surgery) 18400 20400 20400 23500 30600 51000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Gastric Pullup + Gastric Tube Replacement + Colonic PAEDIATRICS 34400 38200 38200 43900 57300 95500 2467 Medical/Surgical Procdedure Interposition (Pediatric Surgery) 2468 Medical/Surgical Procdedure PAEDIATRICS Gastric Resection (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 2469 Medical/Surgical Procdedure PAEDIATRICS Gastric Volvulus Repair (Pediatric Surgery) 26400 29300 29300 33700 44000 73300 2470 Medical/Surgical Procdedure PAEDIATRICS Gastrograffin Enemas (Pediatric Surgery) 1710 1900 1900 2190 2850 4750 2471 Medical/Surgical Procdedure PAEDIATRICS Gastrostomy Closure (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 2472 Medical/Surgical Procdedure PAEDIATRICS Gastrostomy + Retrograde Threading (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2473 Medical/Surgical Procdedure PAEDIATRICS Genitourinary Panendoscopy (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2474 Medical/Surgical Procdedure PAEDIATRICS Exomphalos Repair ( Pediatric ) 27300 30300 30300 34800 45500 75800 2475 Medical/Surgical Procdedure PAEDIATRICS Gracilis Sling (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2476 Medical/Surgical Procdedure PAEDIATRICS Haematoma Drainage (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 2477 Medical/Surgical Procdedure PAEDIATRICS Hemithyroidectomy (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 2478 Medical/Surgical Procdedure PAEDIATRICS Hepatectomy Right (Pediatric Surgery) 45700 50800 50800 58400 76200 127000 2479 Medical/Surgical Procdedure PAEDIATRICS Hepatectomy Left (Pediatric Surgery) 45700 50800 50800 58400 76200 127000 2480 Medical/Surgical Procdedure PAEDIATRICS Hickmann Catheter Insertion (Pediatric Surgery) 8000 8900 8900 10200 13350 22250 2481 Medical/Surgical Procdedure PAEDIATRICS Hickmann Catheter Removal (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 Hirschprung Disease - Laproscopic Pull Through (Pediatric PAEDIATRICS 34400 38200 38200 43900 57300 95500 2482 Medical/Surgical Procdedure Surgery) PAEDIATRICS Hirschprung Disease - Redo Pull Through (Pediatric Surgery) 34400 38200 38200 43900 57300 95500 2483 Medical/Surgical Procdedure 2484 Medical/Surgical Procdedure PAEDIATRICS Hydrocoele High Ligation - Bilateral (Pediatric Surgery) 12600 14000 14000 16100 21000 35000 2485 Medical/Surgical Procdedure PAEDIATRICS Hydrocoele High Ligation - Unilateral (Pediatric Surgery) 8200 9100 9100 10500 13650 22750 PAEDIATRICS Hypospadias Bracka Procedure - Stage 1 (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 2486 Medical/Surgical Procdedure 2487 Medical/Surgical Procdedure PAEDIATRICS Ileovesicostomy On Monti'S Principle (Pediatric Surgery) 18400 20400 20400 23500 30600 51000 PAEDIATRICS Inguinal Hernia - Obstructed / Irreducible (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2488 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniotomy Neonatal - Bilateral (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2489 Medical/Surgical Procdedure PAEDIATRICS Inguinal Herniotomy Neonatal - Unilateral (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2490 Medical/Surgical Procdedure 2491 Medical/Surgical Procdedure PAEDIATRICS Intraventricular / Sub Dural Tap (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2492 Medical/Surgical Procdedure PAEDIATRICS Intussusception - Resection (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 Flouroscopic Intussusception Pressure Reduction (Pediatric PAEDIATRICS 11500 12800 12800 14700 19200 32000 2493 Medical/Surgical Procdedure Surgery) Labioplasty / Monsplasty / Fourchioplasty ( Feminizing PAEDIATRICS 18400 20400 20400 23500 30600 51000 2494 Medical/Surgical Procdedure Genitoplasty ) (Pediatric Surgery) 2495 Medical/Surgical Procdedure PAEDIATRICS Ladd'S Procedure (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 PAEDIATRICS Laminectomy & Repair Of Meningomyelocele (Pediatric Surgery) 51500 57200 57200 65800 85800 143000 2496 Medical/Surgical Procdedure 2497 Medical/Surgical Procdedure PAEDIATRICS Laparoscopic Cholecystectomy (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 Laparoscopic Fowler Stephen Procedure - Stage I (Pediatric PAEDIATRICS 11500 12800 12800 14700 19200 32000 2498 Medical/Surgical Procdedure Surgery) 2499 Medical/Surgical Procdedure PAEDIATRICS Laparoscopic Pyloromyotomy (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2500 Medical/Surgical Procdedure PAEDIATRICS Laparoscopic Salpingo-Ophorectemy (Pediatric Surgery) 20600 22900 22900 26300 34400 57300 2501 Medical/Surgical Procdedure PAEDIATRICS Laparoscopy For Intersex (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 PAEDIATRICS Laparotomy + Excision Of Duplication Cyst (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2502 Medical/Surgical Procdedure Laparotomy + Thoracotomy + Excision Of Duplcation Cyst PAEDIATRICS 25100 27900 27900 32100 41900 69800 2503 Medical/Surgical Procdedure (Pediatric Surgery) 2504 Medical/Surgical Procdedure PAEDIATRICS Laprotomy & Adhesionlysis (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2505 Medical/Surgical Procdedure PAEDIATRICS Gastrojejunostomy ( Pediatric ) 16000 17800 17800 20500 26700 44500 2506 Medical/Surgical Procdedure PAEDIATRICS Renal Stone - Laser Fragmentation (Pediatric Surgery) 34400 38200 38200 43900 57300 95500 2507 Medical/Surgical Procdedure PAEDIATRICS Laying Open Of Stricture Urethra (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2508 Medical/Surgical Procdedure PAEDIATRICS Liver Abcess - Laproscopic Drainage (Pediatric Surgery) 14900 16500 16500 19000 24800 41300 2509 Medical/Surgical Procdedure PAEDIATRICS Liver Biopsy (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 Localized Duodenal Resection & Reconstruction (Pediatric PAEDIATRICS 17100 19000 19000 21900 28500 47500 2510 Medical/Surgical Procdedure Surgery) 2511 Medical/Surgical Procdedure PAEDIATRICS Loop Ureterostomy - Unilateral (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2512 Medical/Surgical Procdedure PAEDIATRICS Mace Procedure (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2513 Medical/Surgical Procdedure PAEDIATRICS Meatotomy (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 2514 Medical/Surgical Procdedure PAEDIATRICS Minilaparotomy For Intersex (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2515 Medical/Surgical Procdedure PAEDIATRICS Miscellaneous Minor Procedure (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2516 Medical/Surgical Procdedure PAEDIATRICS Gastroschisis Repair ( Pediatric ) 27300 30300 30300 34800 45500 75800 2517 Medical/Surgical Procdedure PAEDIATRICS Monsplasty (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2518 Medical/Surgical Procdedure PAEDIATRICS Abscess Drainage - Multiple (Pediatric Surgery) 4600 5100 5100 5870 7650 12750 2519 Medical/Surgical Procdedure PAEDIATRICS Near Total Pancreatectomy (Pediatric Surgery) 40000 44400 44400 51100 66600 111000 2520 Medical/Surgical Procdedure PAEDIATRICS Nephrectomy Laproscopic (Pediatric Surgery) 21700 24100 24100 27700 36200 60300 2521 Medical/Surgical Procdedure PAEDIATRICS Nephrectomy Open (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2522 Medical/Surgical Procdedure PAEDIATRICS Open Cholecystectomy (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2523 Medical/Surgical Procdedure PAEDIATRICS Parathyroidectomy (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2524 Medical/Surgical Procdedure PAEDIATRICS Penoscrotal Transposition Correction (Pediatric Surgery) 8000 8900 8900 10200 13350 22250 2525 Medical/Surgical Procdedure PAEDIATRICS Perineal Adhesiolysis (Pediatric Surgery) 1710 1900 1900 2190 2850 4750 2526 Medical/Surgical Procdedure PAEDIATRICS Peritoneal Drainage (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2527 Medical/Surgical Procdedure PAEDIATRICS Gastrostomy ( Pediatric ) 8200 9100 9100 10500 13650 22750 2528 Medical/Surgical Procdedure PAEDIATRICS Peritoneal Lavage (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2529 Medical/Surgical Procdedure PAEDIATRICS Phalloplasty (Pediatric Surgery) 34400 38200 38200 43900 57300 95500 2530 Medical/Surgical Procdedure PAEDIATRICS Prepucial Adhesionlysis (Pediatric Surgery) 1710 1900 1900 2190 2850 4750 Primary Repair Of Exomphalos/Gastroschisis With Mesh PAEDIATRICS 29700 33000 33000 38000 49500 82500 2531 Medical/Surgical Procdedure (Pediatric Surgery) PAEDIATRICS Hernia (Primary Repair) - Umbilical Cord (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2532 Medical/Surgical Procdedure 2533 Medical/Surgical Procdedure PAEDIATRICS Pulmonary Metastatectomy (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2534 Medical/Surgical Procdedure PAEDIATRICS Pyeloplasty Neonates (Pediatric Surgery) 20600 22900 22900 26300 34400 57300 2535 Medical/Surgical Procdedure PAEDIATRICS Railroading of Urethra (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2536 Medical/Surgical Procdedure PAEDIATRICS Rannula Excision (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2537 Medical/Surgical Procdedure PAEDIATRICS Redo Epispadias Repair (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2538 Medical/Surgical Procdedure PAEDIATRICS Redo Pyeloplasty (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2539 Medical/Surgical Procdedure PAEDIATRICS Redo Pyloromyotomy (Pediatric Surgery) 18400 20400 20400 23500 30600 51000 2540 Medical/Surgical Procdedure PAEDIATRICS Redo Turn In For Exstrophy (Pediatric Surgery) 27500 30500 30500 35100 45800 76300 2541 Medical/Surgical Procdedure PAEDIATRICS Release Of Obstructing Band (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2542 Medical/Surgical Procdedure PAEDIATRICS Infected Mesh Removal (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2543 Medical/Surgical Procdedure PAEDIATRICS Tissue Expanders Removal (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2544 Medical/Surgical Procdedure PAEDIATRICS VP Shunt Removal (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2545 Medical/Surgical Procdedure PAEDIATRICS Pectus Deformity Repair (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 Resection & End To End Anastomosis Of Urethral Stricture PAEDIATRICS 14900 16500 16500 19000 24800 41300 2546 Medical/Surgical Procdedure (Pediatric Surgery) 2547 Medical/Surgical Procdedure PAEDIATRICS Retrograde Pyelogram (Pediatric Surgery) 6840 7600 7600 8740 11400 19000 2548 Medical/Surgical Procdedure PAEDIATRICS Cystic Hygroma (Major) Excision ( Pediatric ) 14700 16300 16300 18700 24500 40800 2549 Medical/Surgical Procdedure PAEDIATRICS Retroperitoneal Teratoma Excision (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2550 Medical/Surgical Procdedure PAEDIATRICS Revision Colostomy (Pediatric Surgery) 12000 13300 13300 15300 20000 33300 2551 Medical/Surgical Procdedure PAEDIATRICS VP Shunt Revision (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 2552 Medical/Surgical Procdedure PAEDIATRICS Salpingo-Oophorectomy (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 Sclerotherapy (Injection) For Haemangioma / Cystic Hygroma PAEDIATRICS 2880 3200 3200 3680 4800 8000 2553 Medical/Surgical Procdedure (Pediatric Surgery) 2554 Medical/Surgical Procdedure PAEDIATRICS Scrotal Exploration (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2555 Medical/Surgical Procdedure PAEDIATRICS Secondary Suturing - Major (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2556 Medical/Surgical Procdedure PAEDIATRICS Secondary Suturing - Wound (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 Conjoint Twins Seperation With Reconstruction (Pediatric PAEDIATRICS 114400 127100 127100 146200 190700 317800 2557 Medical/Surgical Procdedure Surgery) 2558 Medical/Surgical Procdedure PAEDIATRICS Seton's Placement ( For Fistula ) (Pediatric Surgery) 4050 4500 4500 5180 6750 11250 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM PAEDIATRICS Shunt Surgery ( For Portal Hypertension ) (Pediatric Surgery) 45700 50800 50800 58400 76200 127000 2559 Medical/Surgical Procdedure 2560 Medical/Surgical Procdedure PAEDIATRICS Sigmoidoscopy (Pediatric Surgery) 2250 2500 2500 2880 3750 6250 2561 Medical/Surgical Procdedure PAEDIATRICS Silo Reconstruction (Pediatric Surgery) 22900 25400 25400 29200 38100 63500 2562 Medical/Surgical Procdedure PAEDIATRICS Silo Removal & Repair (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2563 Medical/Surgical Procdedure PAEDIATRICS Silo Resuturing (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2564 Medical/Surgical Procdedure PAEDIATRICS Sinus + Rib Excision (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2565 Medical/Surgical Procdedure PAEDIATRICS Sober'S Ureterostomy - Unilateral (Pediatric Surgery) 16000 17800 17800 20500 26700 44500 2566 Medical/Surgical Procdedure PAEDIATRICS Sphincterotomy (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2567 Medical/Surgical Procdedure PAEDIATRICS Spleenectomy (Pediatric Surgery) 17100 19000 19000 21900 28500 47500 2568 Medical/Surgical Procdedure PAEDIATRICS Spleenectomy - Laproscopic (Pediatric Surgery) 25100 27900 27900 32100 41900 69800 2569 Medical/Surgical Procdedure PAEDIATRICS Split Thickness Graft (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 Suiguira'S Procedure ( For Portal Hypertension ) (Pediatric PAEDIATRICS 45700 50800 50800 58400 76200 127000 2570 Medical/Surgical Procdedure Surgery) 2571 Medical/Surgical Procdedure PAEDIATRICS Suprabic Cystostomy - Trocar (Pediatric Surgery) 4050 4500 4500 5180 6750 11250 2572 Medical/Surgical Procdedure PAEDIATRICS Suprapubic Fistula Closure (Pediatric Surgery) 9100 10100 10100 11600 15200 25300 2573 Medical/Surgical Procdedure PAEDIATRICS Tapering Enteroplasty (Pediatric Surgery) 22900 25400 25400 29200 38100 63500 2574 Medical/Surgical Procdedure PAEDIATRICS Testicular Prosthesis (Pediatric Surgery) 10300 11400 11400 13100 17100 28500 Thoracotomy + Bronchotomy & Retrieval Of Foreign Body PAEDIATRICS 21700 24100 24100 27700 36200 60300 2575 Medical/Surgical Procdedure (Pediatric Surgery) 2576 Medical/Surgical Procdedure PAEDIATRICS Thoracotomy + Mass Excision (Pediatric Surgery) 22900 25400 25400 29200 38100 63500 PAEDIATRICS Thoracotomy + Duplication Cyst Excision (Pediatric Surgery) 20600 22900 22900 26300 34400 57300 2577 Medical/Surgical Procdedure Thoracotomy + Laminectomy + Neuroenteric Cyst PAEDIATRICS 40000 44400 44400 51100 66600 111000 2578 Medical/Surgical Procdedure Excsion/Mucosectomy (Pediatric Surgery) 2579 Medical/Surgical Procdedure PAEDIATRICS Tissue Expanders Placement (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 Tissue Extraction / Fluid Aspiration For Biopsy / Lab Study PAEDIATRICS 1350 1500 1500 1730 2250 3750 2580 Medical/Surgical Procdedure (Pediatric Surgery) PAEDIATRICS Total Proctocolectomy+ Ileoanal Anastomosis (Pediatric Surgery) 26400 29300 29300 33700 44000 73300 2581 Medical/Surgical Procdedure Total Proctocolectomy+ Ileoanal J/S Pouch Anastomosis PAEDIATRICS 30900 34300 34300 39400 51500 85800 2582 Medical/Surgical Procdedure (Pediatric Surgery) 2583 Medical/Surgical Procdedure PAEDIATRICS Total Urogenital Mobilisation (Pediatric Surgery) 20600 22900 22900 26300 34400 57300 Transpubic Resection & Anastomosis Of Urethral Stricture PAEDIATRICS 22900 25400 25400 29200 38100 63500 2584 Medical/Surgical Procdedure (Pediatric Surgery) 2585 Medical/Surgical Procdedure PAEDIATRICS Tube Cecostomy (Pediatric Surgery) 12600 14000 14000 16100 21000 35000 2586 Medical/Surgical Procdedure PAEDIATRICS Umbilical Granuloma Cauterization (Pediatric Surgery) 3500 3900 3900 4500 5850 9750 Ureteric Resection & End To End Anastomosis (Pediatric PAEDIATRICS 10300 11400 11400 13100 17100 28500 2587 Medical/Surgical Procdedure Surgery) 2588 Medical/Surgical Procdedure PAEDIATRICS Ureterocalycostomy (Pediatric Surgery) 12600 14000 14000 16100 21000 35000 2589 Medical/Surgical Procdedure PAEDIATRICS Ureteroscopy (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2590 Medical/Surgical Procdedure PAEDIATRICS Ureterosigmoidostomy (Pediatric Surgery) 28600 31800 31800 36600 47700 79500 2591 Medical/Surgical Procdedure PAEDIATRICS Vaginal Dilatation (Pediatric Surgery) 2250 2500 2500 2880 3750 6250 2592 Medical/Surgical Procdedure PAEDIATRICS Vaginal Replacement (Pediatric Surgery) 30900 34300 34300 39400 51500 85800 2593 Medical/Surgical Procdedure PAEDIATRICS Vaginostomy (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2594 Medical/Surgical Procdedure PAEDIATRICS Whipple'S Procedure (Pediatric Surgery) 45700 50800 50800 58400 76200 127000 2595 Medical/Surgical Procdedure PAEDIATRICS Cystoscopy & Dj Stent Removal (Pediatric Surgery) 4600 5100 5100 5870 7650 12750 2596 Medical/Surgical Procdedure PAEDIATRICS Urachus Excision (Pediatric Surgery) 5760 6400 6400 7360 9600 16000 2597 Medical/Surgical Procdedure PAEDIATRICS Thoracoscopy ( Diagnostic ) + Biopsy (Pediatric Surgery) 13800 15300 15300 17600 23000 38300 2598 Medical/Surgical Procdedure PAEDIATRICS Esophageal Dilatation (Pediatric Surgery) 4600 5100 5100 5870 7650 12750 2599 Medical/Surgical Procdedure PAEDIATRICS PVID excision (Pediatric Surgery) 11500 12800 12800 14700 19200 32000 2600 Medical/Surgical Procdedure PAEDIATRICS Surgery For Necrotizing Enterocolitis (NEC) 22900 25400 25400 29200 38100 63500 2601 Medical/Surgical Procdedure PAEDIATRICS Hemi Nephroureterectomy ( Pediatric ) 27300 30300 30300 34800 45500 75800 2602 Medical/Surgical Procdedure PAEDIATRICS Autistic Assessment 990 1100 1100 1270 1650 2750 2603 Medical/Surgical Procdedure PAEDIATRICS AQUA THERAPY (10 SESSIONS) 8500 9400 9400 10800 14100 23500 2604 Medical/Surgical Procdedure PAEDIATRICS ART THERAPY (10 SESSIONS - 1 HOUR EACH ) 9500 10500 10500 12100 15800 26300 2605 Medical/Surgical Procdedure PAEDIATRICS Counselling Session (15 minutes) 990 1100 1100 1270 1650 2750 2606 Medical/Surgical Procdedure PAEDIATRICS Counselling Session (30 minutes) 1530 1700 1700 1960 2550 4250 2607 Medical/Surgical Procdedure PAEDIATRICS Developmental Assessment 2520 2800 2800 3220 4200 7000 2608 Medical/Surgical Procdedure PAEDIATRICS NEURO REHAB DAY CARE PACKAGE (INTENSIVE) 65500 72800 72800 83700 109200 182000 2609 Medical/Surgical Procdedure PAEDIATRICS NEURO REHAB DAY CARE PACKAGE (STANDARD) 39500 43900 43900 50500 65900 109800 2610 Medical/Surgical Procdedure PAEDIATRICS OCCUPATIONAL THERAPY (10 SESSIONS) 8500 9400 9400 10800 14100 23500 2611 Medical/Surgical Procdedure PAEDIATRICS PHYSIOTHERAPY (10 SESSIONS) 8500 9400 9400 10800 14100 23500 2612 Medical/Surgical Procdedure PAEDIATRICS PLAY THERAPY (10 SESSIONS -1 HOUR EACH) 7600 8400 8400 9700 12600 21000 2613 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Bronchoscopy with Endobronchial Biopsy - Pediatric 16000 17800 17800 20500 26700 44500 PEDIATRIC ORTHOPEDICS Clubfoot - Achilles Tenotomy + Casting ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 2614 Medical/Surgical Procdedure 2615 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cerebral Palsy - Botox Injection ( Pediatric Orthopedics ) 3150 3500 3500 4030 5250 8750 2616 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip - Cheilectomy ( Pediatric Orthopedics ) 13400 14900 14900 17100 22400 37300 Hip - Distal Transfer Of Greater Trochanter ( Pediatric PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2617 Medical/Surgical Procdedure Orthopedics ) 2618 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip - EUA + Arthrogram ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 Hip - Exploration + Soft Tissue / Bony Release ( Pediatric PEDIATRIC ORTHOPEDICS 28100 31200 31200 35900 46800 78000 2619 Medical/Surgical Procdedure Orthopedics ) Hip - Soft Tissue Release - Extensive / Girdlestone Arthroplasty ( PEDIATRIC ORTHOPEDICS 22400 24900 24900 28600 37400 62300 2620 Medical/Surgical Procdedure Pediatric Orthopedics) PEDIATRIC ORTHOPEDICS Hip - Percutaneous Pinning of SUFE ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2621 Medical/Surgical Procdedure Hip - Proximal Femoral Osteotomy - Complex ( Pediatric PEDIATRIC ORTHOPEDICS 27100 30100 30100 34600 45200 75300 2622 Medical/Surgical Procdedure Orthopedics ) Hip - Proximal Femoral Osteotomy for SUFE ( Pediatric PEDIATRIC ORTHOPEDICS 39200 43600 43600 50100 65400 109000 2623 Medical/Surgical Procdedure Orthopedics ) Hip - Proximal Femoral Varus / Valgus Osteotomy ( Pediatric PEDIATRIC ORTHOPEDICS 25100 27900 27900 32100 41900 69800 2624 Medical/Surgical Procdedure Orthopedics ) Hip Salvage Surgery - Reconstruction + Soft Tissue Release + PEDIATRIC ORTHOPEDICS 49100 54600 54600 62800 81900 136500 Femoral and Pelvic Osteotomies ( Pediatric Orthopedics ) 2625 Medical/Surgical Procdedure Cerebral Palsy - Botox Injection + Cast Application ( Pediatric PEDIATRIC ORTHOPEDICS 4600 5100 5100 5870 7650 12750 2626 Medical/Surgical Procdedure Orthopedics ) Hip - Soft Tissue Release - Multiple Sites ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2627 Medical/Surgical Procdedure ) PEDIATRIC ORTHOPEDICS Hip - Soft Tissue Release - Single Site ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2628 Medical/Surgical Procdedure 2629 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip / Pelvis - Chiari Osteotomy ( Pediatric Orthopedics ) 39200 43600 43600 50100 65400 109000 PEDIATRIC ORTHOPEDICS Complex / Triple Pelvic Osteotomy ( Pediatric Orthopedics ) 44600 49500 49500 56900 74300 123800 2630 Medical/Surgical Procdedure 2631 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip - Ilizarov Reconstruction ( Pediatric Orthopedics ) 49100 54600 54600 62800 81900 136500 Hip / Pelvis Osteotomy - Complex / Congenital Deformity ( PEDIATRIC ORTHOPEDICS 62900 69900 69900 80400 104900 174800 2632 Medical/Surgical Procdedure Pediatric Orthopedics ) Periacetabular Osteotomy ( Ganz / Bernese) - Pediatric PEDIATRIC ORTHOPEDICS 49100 54600 54600 62800 81900 136500 2633 Medical/Surgical Procdedure Orthopedics 2634 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip / Pelvis - Shelf Procedure ( Pediatric Orthopedics ) 28100 31200 31200 35900 46800 78000 2635 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip / Pelvis - Surgical Dislocation ( Pediatric Orthopedics ) 62900 69900 69900 80400 104900 174800 Knee - CDK Reconstruction ( Soft Tissue ) - Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2636 Medical/Surgical Procdedure Orthopedics PEDIATRIC ORTHOPEDICS Cerebral Palsy - Calf Surgery ( Multiple ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 2637 Medical/Surgical Procdedure Knee - CDK Reconstruction ( Soft Tissue + Bony ) - Pediatric PEDIATRIC ORTHOPEDICS 49100 54600 54600 62800 81900 136500 2638 Medical/Surgical Procdedure Orthopedics Corrective Osteotomy - Shoulder / Humerus ( Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2639 Medical/Surgical Procdedure Orthopedics ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Shoulder / Humerus - Soft Tissue Release ( Pediatric PEDIATRIC ORTHOPEDICS 10700 11900 11900 13700 17900 29800 2640 Medical/Surgical Procdedure Orthopedics ) Shoulder / Humerus - Soft Tissue Release + Tendon Transfer ( PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2641 Medical/Surgical Procdedure Pediatric Orthopedics ) Shoulder / Humerus - Soft Tissue Release + Tendon Transfer + PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 2642 Medical/Surgical Procdedure Corrective Osteotomy (Pediatric Orthopedics ) Wound Debridement + Primary Closure - Large ( Pediatric PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2643 Medical/Surgical Procdedure Orthopedics ) Wound Debridement + Primary Closure - Medium ( Pediatric PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2644 Medical/Surgical Procdedure Orthopedics ) Wound Debridement + Primary Closure - Small ( Pediatric PEDIATRIC ORTHOPEDICS 4600 5100 5100 5870 7650 12750 2645 Medical/Surgical Procdedure Orthopedics ) 2646 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Fasciotomy ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 PEDIATRIC ORTHOPEDICS Fixator Removal with or without Casting ( Pediatric Orthopedics ) 3960 4400 4400 5060 6600 11000 2647 Medical/Surgical Procdedure Cerebral Palsy - Calf Surgery ( Unilateral ) - Pediatric PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2648 Medical/Surgical Procdedure Orthopedics 2649 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Flexible Nail Removal - Multiple ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2650 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Flexible Nail Removal - Single ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 2651 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Plate Removal ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2652 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Secondary Wound Closure ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2653 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tendon Repair ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2654 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS K Wire Fixation - Ankle ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 Manipulation Under Anesthesia ( MUA ) - Ankle ( Pediatric PEDIATRIC ORTHOPEDICS 4600 5100 5100 5870 7650 12750 2655 Medical/Surgical Procdedure Orthopedics ) 2656 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF ( Complex Injury ) - Ankle ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 Femoral Shaft Fracture Closed Reduction + Spica ( Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2657 Medical/Surgical Procdedure Orthopedics ) Femoral Shaft Fracture External Fixation ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2658 Medical/Surgical Procdedure ) PEDIATRIC ORTHOPEDICS Femoral Shaft Fracture Flexible Nailing ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2659 Medical/Surgical Procdedure 2660 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Femoral Shaft Fracture Plating ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2661 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Foot ( Hindfoot Injuries ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 2662 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Foot ( Midfoot Injuries ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 Foot Small Bone Fracture ( Multiple ) - MUA + K Wire Fixation ( PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2663 Medical/Surgical Procdedure Pediatric Orthopedics ) 2664 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Foot ( Small Bone Fracture ) - Pediatric Orthopedics 10700 11900 11900 13700 17900 29800 Foot Small Bone Fracture ( Single ) - MUA ( Pediatric PEDIATRIC ORTHOPEDICS 3150 3500 3500 4030 5250 8750 2665 Medical/Surgical Procdedure Orthopedics ) Foot Small Bone Fracture ( Single ) - MUA + K Wire Fixation ( PEDIATRIC ORTHOPEDICS 4600 5100 5100 5870 7650 12750 2666 Medical/Surgical Procdedure Pediatric Orthopedics ) Hip Fracture Closed Reduction + Fixation ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2667 Medical/Surgical Procdedure ) PEDIATRIC ORTHOPEDICS Hip Fracture Open Reduction + Fixation ( Pediatric Orthopedics ) 17400 19300 19300 22200 29000 48300 2668 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cerebral Palsy - Femoral Osteotomy ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2669 Medical/Surgical Procdedure 2670 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Knee Physeal Injury ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2671 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Tibial Spine Fracture ( Pediatric Orthopedics ) 10800 12000 12000 13800 18000 30000 Knee Injury - Manipulation Under Anesthesia ( MUA ) - Pediatric PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2672 Medical/Surgical Procdedure Orthopedics Pathological Fracture Stabilization - Lower Limb ( Pediatric PEDIATRIC ORTHOPEDICS 25100 27900 27900 32100 41900 69800 2673 Medical/Surgical Procdedure Orthopedics ) Pathological Fracture Stabilization + Curettage with or without PEDIATRIC ORTHOPEDICS 39200 43600 43600 50100 65400 109000 Bone Grafting - Lower Limb ( Pediatric Orthopedics ) 2674 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tibial Shaft Fracture External Fixation ( Pediatric Orthopedics ) 14000 15600 15600 17900 23400 39000 2675 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tibial Shaft Fracture Flexible Nailing ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2676 Medical/Surgical Procdedure Tibial Shaft Fracture - Manipulation Under Anaesthesia ( MUA ) - PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2677 Medical/Surgical Procdedure Pediatric Orthopedics 2678 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tibial Shaft Fracture Plating ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 Open Reduction and Internal Fixation ( ORIF ) - Clavicle ( PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2679 Medical/Surgical Procdedure Pediatric Orthopedics ) Cerebral Palsy - Soft Tissue Release ( Multiple ) - Hip ( Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2680 Medical/Surgical Procdedure Orthopedics ) 2681 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Corrective Osteotomy - Elbow ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 ORIF - Lateral Condyle Fracture ( Elbow ) - Pediatric PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2682 Medical/Surgical Procdedure Orthopedics Lateral Condyle Nonunion Surgery - Elbow ( Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2683 Medical/Surgical Procdedure Orthopedics ) 2684 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Elbow ( Complex Injury ) - Pediatric Orthopedics 19800 22000 22000 25300 33000 55000 ORIF - Elbow ( Medial / Lateral Epicondyle ) - Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2685 Medical/Surgical Procdedure Orthopedics Open Reduction and Internal Fixation ( ORIF ) - Radial Head ( PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2686 Medical/Surgical Procdedure Pediatric Orthopedics ) PEDIATRIC ORTHOPEDICS Radial Head fracture Flexible Nailing ( Pediatric Orthopedics ) 13400 14900 14900 17100 22400 37300 2687 Medical/Surgical Procdedure Supracondylar Fracture Open Reduction + Fixation ( Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2688 Medical/Surgical Procdedure Orthopedics ) Supracondylar Fracture Closed Reduction + Fixation ( Pediatric PEDIATRIC ORTHOPEDICS 10800 12000 12000 13800 18000 30000 2689 Medical/Surgical Procdedure Orthopedics ) Elbow Dislocation - Manipulation Under Anesthesia ( MUA ) - PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2690 Medical/Surgical Procdedure Pediatric Orthopedics Cerebral Palsy - Soft Tissue Release - Hip ( Unilateral ) - PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2691 Medical/Surgical Procdedure Pediatric Orthopedics PEDIATRIC ORTHOPEDICS Elbow Dislocation Open Reduction ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2692 Medical/Surgical Procdedure 2693 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Elbow Fracture Dislocation ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 PEDIATRIC ORTHOPEDICS ORIF - Forearm Fracture ( Both Bones ) - Pediatric Orthopedics 17400 19300 19300 22200 29000 48300 2694 Medical/Surgical Procdedure Forearm Fracture Flexible Nailing ( Both Bones ) - Pediatric PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2695 Medical/Surgical Procdedure Orthopedics K Wire Fixation - Distal Forearm Fracture ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2696 Medical/Surgical Procdedure ) PEDIATRIC ORTHOPEDICS Flexible Nailing - Forearm ( Single Bone ) - Pediatric Orthopedics 15200 16900 16900 19400 25400 42300 2697 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Forearm Fracture External Fixation ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2698 Medical/Surgical Procdedure Forearm Fracture - Manipulation Under Anaesthesia ( MUA ) - PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2699 Medical/Surgical Procdedure Pediatric Orthopedics 2700 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Forearm Fracture Plating ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2701 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Nail Bed Repair - Hand ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 Hand - Small Bone Fracture ( Multiple ) - MUA + K Wire Fixation PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2702 Medical/Surgical Procdedure ( Pediatric Orthopedics) Hand - Small Bone Fracture ( Single ) - MUA + K Wire Fixation ( PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2703 Medical/Surgical Procdedure Pediatric Orthopedics ) PEDIATRIC ORTHOPEDICS ORIF - Hand ( Small Bone Fracture ) - Pediatric Orthopedics 10700 11900 11900 13700 17900 29800 2704 Medical/Surgical Procdedure GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Hand - Small Bone Fracture ( Single ) - Manipulation Under PEDIATRIC ORTHOPEDICS 4600 5100 5100 5870 7650 12750 2705 Medical/Surgical Procdedure Anesthesia ( MUA ) - Pediatric Orthopedics 2706 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Humerus Flexible Nailing ( Pediatric Orthopedics ) 13400 14900 14900 17100 22400 37300 Open Reduction and Internal Fixation ( ORIF ) - Humerus ( PEDIATRIC ORTHOPEDICS 13400 14900 14900 17100 22400 37300 2707 Medical/Surgical Procdedure Pediatric Orthopedics ) Pathological Fracture Stabilization - Upper Limb ( Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2708 Medical/Surgical Procdedure Orthopedics ) Pathological Fracture Stabilization + Curettage with or without PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 Bone Grafting - Upper limb ( Pediatric Orthopedics ) 2709 Medical/Surgical Procdedure 2710 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS K Wire Fixation - Shoulder Injury ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 Flexible Nailing - Shoulder Physeal Injury ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2711 Medical/Surgical Procdedure ) Cerebral Palsy - Hip Reconstruction For Dislocation ( Pediatric PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 2712 Medical/Surgical Procdedure Orthopedics ) 2713 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS ORIF - Shoulder Physeal Injury ( Pediatric Orthopedics ) 17400 19300 19300 22200 29000 48300 Distal Radius Fracture ( Wrist ) - K Wire Fixation ( Pediatric PEDIATRIC ORTHOPEDICS 7600 8400 8400 9700 12600 21000 2714 Medical/Surgical Procdedure Orthopedics ) Distal Radius Fracture - Manipulation Under Anesthesia ( MUA ) - PEDIATRIC ORTHOPEDICS 4950 5500 5500 6300 8250 13750 2715 Medical/Surgical Procdedure Pediatric Orthopedics PEDIATRIC ORTHOPEDICS Torticollis Surgical Release - Unipolar ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2716 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Torticollis Surgical Release - Bipolar ( Pediatric Orthopedics ) 10800 12000 12000 13800 18000 30000 2717 Medical/Surgical Procdedure Open Synovial Biopsy with or without Joint Washout - Shoulder ( PEDIATRIC ORTHOPEDICS 10700 11900 11900 13700 17900 29800 2718 Medical/Surgical Procdedure Pediatric Orthopedics) Open Synovial Biopsy with or without Joint Washout - Ankle ( PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2719 Medical/Surgical Procdedure Pediatric Orthopedics ) Open Synovial Biopsy with or without Joint Washout - Knee ( PEDIATRIC ORTHOPEDICS 7600 8400 8400 9700 12600 21000 2720 Medical/Surgical Procdedure Pediatric Orthopedics ) Open Synovial Biopsy with or without Joint Washout - Elbow ( PEDIATRIC ORTHOPEDICS 7600 8400 8400 9700 12600 21000 2721 Medical/Surgical Procdedure Pediatric Orthopedics ) Open Synovial Biopsy with or without Joint Washout - Wrist ( PEDIATRIC ORTHOPEDICS 7600 8400 8400 9700 12600 21000 2722 Medical/Surgical Procdedure Pediatric Orthopedics ) 2723 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Clubfoot - Fixator Adjustment ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 Cerebral Palsy - Soft Tissue Release ( Multiple ) - Knee ( PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2724 Medical/Surgical Procdedure Pediatric Orthopedics ) Open Synovial Biopsy with or without Joint Washout - Hip ( PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2725 Medical/Surgical Procdedure Pediatric Orthopedics ) 2726 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Adjuvant Bone Grafting ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2727 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS PLRS - Deformity Planning ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2728 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Epiphysiodesis - Multiple ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2729 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Epiphysiodesis - Single ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2730 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS PLRS - Fixator Adjustment ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2731 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hemiepiphysiodesis - Multiple ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2732 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hemiepiphysiodesis - Single ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 PLRS - Deformity Correction + Lengthening with Fixator - Lower PEDIATRIC ORTHOPEDICS 39200 43600 43600 50100 65400 109000 2733 Medical/Surgical Procdedure Limb ( Single Bone ) - Pediatric Orthopedics PLRS - Deformity Correction + Lengthening with Fixator - Lower PEDIATRIC ORTHOPEDICS 62900 69900 69900 80400 104900 174800 2734 Medical/Surgical Procdedure Limb ( Two Bones ) - Pediatric Orthopedics Cerebral Palsy - Soft Tissue Release - Knee ( Unilateral ) - PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2735 Medical/Surgical Procdedure Pediatric Orthopedics Femur Deformity Correction - Fixator Assisted ( Pediatric PEDIATRIC ORTHOPEDICS 28100 31200 31200 35900 46800 78000 2736 Medical/Surgical Procdedure Orthopedics ) Femur Deformity Correction - without Fixator ( Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2737 Medical/Surgical Procdedure Orthopedics ) Foot Deformity Correction - Fixator Assisted ( Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2738 Medical/Surgical Procdedure Orthopedics ) Limb Lengthening with Fixator - Lower Limb ( Single Bone ) - PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 2739 Medical/Surgical Procdedure Pediatric Tibia Deformity Correction - Fixator Assisted ( Pediatric PEDIATRIC ORTHOPEDICS 28100 31200 31200 35900 46800 78000 2740 Medical/Surgical Procdedure Orthopedics ) Tibia Deformity Correction - without Fixator ( Pediatric PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2741 Medical/Surgical Procdedure Orthopedics ) PEDIATRIC ORTHOPEDICS Fixator Removal with or without Casting ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 2742 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Soft Tissue Release - Pre / Post Fixator ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2743 Medical/Surgical Procdedure Deformity Correction - Fixator Assisted ( Upper Limb ) - Pediatric PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 2744 Medical/Surgical Procdedure Orthopedics Deformity Correction - without Fixator ( Upper Limb ) - Pediatric PEDIATRIC ORTHOPEDICS 19800 22000 22000 25300 33000 55000 2745 Medical/Surgical Procdedure Orthopedics Clubfoot - Circumferential Soft Tissue Release ( CSTR ) - PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2746 Medical/Surgical Procdedure Pediatric Orthopedics Clubfoot - Posteromedial Soft Tissue Release ( PMSR ) - PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2747 Medical/Surgical Procdedure Pediatric Orthopedics Clubfoot - PMSR / CSTR + Bony Procedure - Primary (Pediatric PEDIATRIC ORTHOPEDICS 22100 24600 24600 28300 36900 61500 2748 Medical/Surgical Procdedure Orthopedics) Clubfoot - PMSR / CSTR + Bony Procedure - Revision (Pediatric PEDIATRIC ORTHOPEDICS 27100 30100 30100 34600 45200 75300 2749 Medical/Surgical Procdedure Orthopedics) Cerebral Palsy - Soft Tissue Release + Osteotomy - Knee ( PEDIATRIC ORTHOPEDICS 22100 24600 24600 28300 36900 61500 2750 Medical/Surgical Procdedure Pediatric Orthopedics ) DDH - Revision Open Reduction + Soft Tissue Reconstruction ( PEDIATRIC ORTHOPEDICS 39400 43800 43800 50400 65700 109500 2751 Medical/Surgical Procdedure Pediatric Orthopedics ) DDH - Revision Open Reduction + Bony Reconstruction ( PEDIATRIC ORTHOPEDICS 55500 61700 61700 71000 92600 154300 2752 Medical/Surgical Procdedure Pediatric Orthopedics ) PEDIATRIC ORTHOPEDICS Transposition of Major Nerve - Arm ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2753 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Transposition of Major Nerve - Leg ( Pediatric Orthopedics ) 13400 14900 14900 17100 22400 37300 2754 Medical/Surgical Procdedure Transposition of Median Nerve - Carpal Tunnel ( Pediatric PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2755 Medical/Surgical Procdedure Orthopedics ) Cerebral Palsy - Pelvic Osteotomy - Bilateral ( Complex ) - PEDIATRIC ORTHOPEDICS 55500 61700 61700 71000 92600 154300 2756 Medical/Surgical Procdedure Pediatric Orthopedics 2757 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Transposition of Peroneal Nerve ( Pediatric Orthopedics ) 18000 20000 20000 23000 30000 50000 2758 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Transposition of Ulnar Nerve ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2759 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Soft tissue + Bone surgery - Knee ( Cerebral Palsy ) 25100 27900 27900 32100 41900 69800 Revision Surgery ( Soft Tissue ) - Developmental dysplasia PEDIATRIC ORTHOPEDICS 44600 49500 49500 56900 74300 123800 2760 Medical/Surgical Procdedure (dislocation) of t hip (DDH Revision Surgery ( Soft Tissue + Bone ) - - Developmental PEDIATRIC ORTHOPEDICS 62900 69900 69900 80400 104900 174800 2761 Medical/Surgical Procdedure dysplasia (dislocation) of t hip (DDH ) 2762 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip Cheilectomy 15200 16900 16900 19400 25400 42300 2763 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Hip fracture - Closed / Open reduction + Fixation 19800 22000 22000 25300 33000 55000 Tibial spine fracture - open reduction and internal fixation ( ORIF PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2764 Medical/Surgical Procdedure ) 2765 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Forearm fracture - Bilateral ( ORIF / Flexible nailing ) 19800 22000 22000 25300 33000 55000 2766 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Humerus fracture - Right ( ORIF / Flexible nailing ) 15200 16900 16900 19400 25400 42300 2767 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cerebral Palsy - Tibial Osteotomy ( Pediatric Orthopedics ) 14000 15600 15600 17900 23400 39000 2768 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Physeal injury shoulder - Right ( ORIF / Flexible nailing ) 19800 22000 22000 25300 33000 55000 2769 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cyst Curettage - Long Bone 10700 11900 11900 13700 17900 29800 2770 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cyst Curettage - Long Bone + Bone Grafting 19800 22000 22000 25300 33000 55000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2771 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cyst Curettage - Pelvis + Bone Grafting 19800 22000 22000 25300 33000 55000 2772 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cast Application - Below Knee ( Pediatric Orthopedics ) 1170 1300 1300 1500 1950 3250 2773 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cast Application - Above Knee ( Pediatric Orthopedics ) 1170 1300 1300 1500 1950 3250 Cerebral Palsy - Soft Tissue Release ( Elbow / Forearm ) - PEDIATRIC ORTHOPEDICS 10700 11900 11900 13700 17900 29800 2774 Medical/Surgical Procdedure Pediatric Orthopedics Cerebral Palsy - Soft Tissue Release - Hand ( Pediatric PEDIATRIC ORTHOPEDICS 8550 9500 9500 10900 14250 23750 2775 Medical/Surgical Procdedure Orthopedics ) Cerebral Palsy - Tendon Transfer / Reconstruction - Hand ( PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2776 Medical/Surgical Procdedure Pediatric Orthopedics ) 2777 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Adductor Tenotomy ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2778 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Hip Spica Change ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 Clubfoot - Ilizarov Fixator Application for Soft Tissue Distraction ( PEDIATRIC ORTHOPEDICS 30800 34200 34200 39300 51300 85500 2779 Medical/Surgical Procdedure Pediatric Orthopedics) DDH - Examination Under Anesthesia ( EUA ) + Arthrogram ( PEDIATRIC ORTHOPEDICS 4950 5500 5500 6300 8250 13750 2780 Medical/Surgical Procdedure Pediatric Orthopedics ) 2781 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Open Reduction ( Pediatric Orthopedics ) 30800 34200 34200 39300 51300 85500 DDH - Open Reduction + Femoral Osteotomy ( Pediatric PEDIATRIC ORTHOPEDICS 39200 43600 43600 50100 65400 109000 2782 Medical/Surgical Procdedure Orthopedics ) DDH - Open Reduction + Femoral Osteotomy + Pelvic PEDIATRIC ORTHOPEDICS 49100 54600 54600 62800 81900 136500 2783 Medical/Surgical Procdedure Osteotomy ( Pediatric Orthopedics ) 2784 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Pelvic Osteotomy ( Pediatric Orthopedics ) 22400 24900 24900 28600 37400 62300 PEDIATRIC ORTHOPEDICS DDH - Proximal Femoral Osteotomy ( Pediatric Orthopedics ) 30800 34200 34200 39300 51300 85500 2785 Medical/Surgical Procdedure 2786 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Hip Spica Removal ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 2787 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS DDH - Plate Removal ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2788 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot External Fixator Adjustment ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2789 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot External Fixator Application ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 Clubfoot - Ilizarov Fixator Application ( Bone + Soft Tissue PEDIATRIC ORTHOPEDICS 27100 30100 30100 34600 45200 75300 2790 Medical/Surgical Procdedure Correction ) - Pediatric Orthopedics 2791 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Calcaneal Osteotomy ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2792 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cavovarus Foot Reconstruction ( Pediatric Orthopedics ) 30800 34200 34200 39300 51300 85500 2793 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot Reconstruction - Complex ( Pediatric Orthopedics ) 39200 43600 43600 50100 65400 109000 2794 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Toe Excision - Multiple ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2795 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Toe Excision - Single ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 Foot - First Ray Surgery ( Bony ) with Internal Fixation ( Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2796 Medical/Surgical Procdedure Orthopedics ) PEDIATRIC ORTHOPEDICS Foot - First Ray Surgery ( Soft Tissue ) - Pediatric Orthopedics 8550 9500 9500 10900 14250 23750 2797 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Zadek's Procedure ( Ingrowing Toe Nail ) - Pediatric Orthopedics 5700 6300 6300 7250 9450 15750 2798 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Lateral Column Lengthening ( Pediatric Orthopedics ) 25100 27900 27900 32100 41900 69800 2799 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Lesser Toe Surgery - Multiple ( Bony ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 2800 Medical/Surgical Procdedure Clubfoot - Manipulation + Ponseti Cast Application ( Pediatric PEDIATRIC ORTHOPEDICS 2070 2300 2300 2650 3450 5750 2801 Medical/Surgical Procdedure Orthopedics ) Lesser Toe Surgery - Multiple ( Soft Tissue ) - Pediatric PEDIATRIC ORTHOPEDICS 10700 11900 11900 13700 17900 29800 2802 Medical/Surgical Procdedure Orthopedics PEDIATRIC ORTHOPEDICS Lesser Toe Surgery - Single ( Bony ) - Pediatric Orthopedics 8550 9500 9500 10900 14250 23750 2803 Medical/Surgical Procdedure Lesser Toe Surgery - Single ( Soft Tissue ) - Pediatric PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2804 Medical/Surgical Procdedure Orthopedics 2805 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Midfoot Osteotomy ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2806 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Planovalgus Foot Reconstruction ( Pediatric Orthopedics ) 30800 34200 34200 39300 51300 85500 PEDIATRIC ORTHOPEDICS Foot - Small Joint Fusion - Multiple ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2807 Medical/Surgical Procdedure 2808 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Small Joint Fusion - Single ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 PEDIATRIC ORTHOPEDICS Foot - Soft Tissue Release - Open ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2809 Medical/Surgical Procdedure Foot - Soft Tissue Release - Percutaneous ( Pediatric PEDIATRIC ORTHOPEDICS 5700 6300 6300 7250 9450 15750 2810 Medical/Surgical Procdedure Orthopedics ) 2811 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Arthrodesis Subtalar ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 Clubfoot - Posterior Soft Tissue Release ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2812 Medical/Surgical Procdedure ) 2813 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Congenital Vertical Talus Surgery ( Pediatric Orthopedics ) 25100 27900 27900 32100 41900 69800 2814 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Talectomy ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2815 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Tendon Transfer - Multiple ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2816 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Tendon Transfer - Single ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2817 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Foot - Triple Arthrodesis ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2818 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Amputation - Arm ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2819 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Amputation - Forearm ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2820 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Syme's Amputation - Hindfoot ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2821 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Amputation - Midfoot ( Pediatric Orthopedics ) 9500 10600 10600 12200 15900 26500 Ray Amputation ( Multiple ) - Hand / Foot ( Pediatric Orthopedics PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2822 Medical/Surgical Procdedure ) PEDIATRIC ORTHOPEDICS Clubfoot - Fixator Removal + Casting ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2823 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Ray Amputation ( Single ) - Hand / Foot ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2824 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Amputation - Toe / Finger ( Multiple ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 2825 Medical/Surgical Procdedure 2826 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Amputation - Toe / Finger ( Single ) - Pediatric Orthopedics 8550 9500 9500 10900 14250 23750 PEDIATRIC ORTHOPEDICS Arthrodesis - Small Joint ( Multiple ) - Pediatric Orthopedics 12400 13800 13800 15900 20700 34500 2827 Medical/Surgical Procdedure 2828 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Arthrodesis - Small Joint ( Single ) - Pediatric Orthopedics 8550 9500 9500 10900 14250 23750 2829 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Bone Biopsy - Deep ( Pediatric Orthopedics ) 10700 11900 11900 13700 17900 29800 2830 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Bone Biopsy - Superficial ( Pediatric Orthopedics ) 5700 6300 6300 7250 9450 15750 2831 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Bone Grafting ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2832 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Contracture Release ( Pediatric Orthopedics ) 10800 12000 12000 13800 18000 30000 PEDIATRIC ORTHOPEDICS Corrective Osteotomy - Lower Limb ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2833 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Clubfoot - Revision Soft Tissue Release ( Pediatric Orthopedics ) 25100 27900 27900 32100 41900 69800 2834 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Corrective Osteotomy - Upper Limb ( Pediatric Orthopedics ) 15200 16900 16900 19400 25400 42300 2835 Medical/Surgical Procdedure 2836 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cyst Curettage - Long Bone ( Pediatric Orthopedics ) 9500 10600 10600 12200 15900 26500 Cyst Curettage - Long Bone + Bone Grafting ( Pediatric PEDIATRIC ORTHOPEDICS 17400 19300 19300 22200 29000 48300 2837 Medical/Surgical Procdedure Orthopedics ) PEDIATRIC ORTHOPEDICS Cyst Curettage - Pelvis + Bone Grafting ( Pediatric Orthopedics ) 17400 19300 19300 22200 29000 48300 2838 Medical/Surgical Procdedure 2839 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Fibular Strut Grafting ( Pediatric Orthopedics ) 10800 12000 12000 13800 18000 30000 2840 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Ganglion Excision ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 2841 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Exostosis Removal - Deep ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2842 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Exostosis Removal - Superficial ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 Soft Tissue Release ( Elbow ) + Excision Arthroplasty ( Pediatric PEDIATRIC ORTHOPEDICS 15200 16900 16900 19400 25400 42300 2843 Medical/Surgical Procdedure Orthopedics ) 2844 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Soft Tissue Release - Knee ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 Clubfoot - Tibialis Anterior Tendon Transfer ( Pediatric PEDIATRIC ORTHOPEDICS 12400 13800 13800 15900 20700 34500 2845 Medical/Surgical Procdedure Orthopedics ) PEDIATRIC ORTHOPEDICS Soft Tissue Release - Quadricepsplasty ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2846 Medical/Surgical Procdedure 2847 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tendon Transfer - Multiple ( Pediatric Orthopedics ) 22400 24900 24900 28600 37400 62300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2848 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tendon Transfer - Single ( Pediatric Orthopedics ) 10800 12000 12000 13800 18000 30000 2849 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Tenodesis ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2850 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Trigger Thumb Release ( Pediatric Orthopedics ) 8550 9500 9500 10900 14250 23750 2851 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Cast Wedging ( Pediatric Orthopedics ) 3150 3500 3500 4030 5250 8750 2852 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Broomstick Cast Application ( Pediatric Orthopedics ) 4600 5100 5100 5870 7650 12750 PEDIATRIC ORTHOPEDICS DDH - Closed Reduction + Hip Spica ( Pediatric Orthopedics ) 19800 22000 22000 25300 33000 55000 2853 Medical/Surgical Procdedure 2854 Medical/Surgical Procdedure PEDIATRIC ORTHOPEDICS Arthrodesis - Hip ( Pediatric Orthopedics ) 25100 27900 27900 32100 41900 69800 PEDIATRIC ORTHOPEDICS Arthrotomy / Biopsy - Hip + Lavage ( Pediatric Orthopedics ) 12400 13800 13800 15900 20700 34500 2855 Medical/Surgical Procdedure 2856 Medical/Surgical Procdedure PHYSIOTHERAPY Group Exercise Programme 300 300 300 300 500 800 2857 Medical/Surgical Procdedure PHYSIOTHERAPY Occupational Therapy 600 600 600 700 900 1500 2858 Medical/Surgical Procdedure PHYSIOTHERAPY Exercise Therapy 400 400 400 500 600 1000 2859 Medical/Surgical Procdedure PHYSIOTHERAPY Exercise Therapy + Chest Therapy 500 500 500 600 800 1300 2860 Medical/Surgical Procdedure PHYSIOTHERAPY Initial Evaluation 450 450 450 500 700 1100 2861 Medical/Surgical Procdedure PHYSIOTHERAPY Night Physiotherapy 550 550 550 600 800 1400 2862 Medical/Surgical Procdedure PHYSIOTHERAPY Fortis Ante Natal Classes 6500 6500 6500 7500 9800 16300 2863 Medical/Surgical Procdedure PHYSIOTHERAPY Physiotherapy At Home (10 Visits) 7400 7400 7400 8500 11100 18500 2864 Medical/Surgical Procdedure PHYSIOTHERAPY Physiotherapy At Home (20 Visits) 14000 14000 14000 16100 21000 35000 2865 Medical/Surgical Procdedure PHYSIOTHERAPY Physiotherapy At Home (30 Visits) 21000 21000 21000 24200 31500 52500 2866 Medical/Surgical Procdedure PHYSIOTHERAPY Ante Natal/Postnatal/Exercisesx3 Sittings 1100 1100 1100 1300 1700 2800 2867 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy Two Modalities 350 350 350 400 500 900 2868 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy More Than Two Modalities 450 450 450 500 700 1100 2869 Medical/Surgical Procdedure PHYSIOTHERAPY Exercise Therapy 12 Sitting 4400 4400 4400 5100 6600 11000 2870 Medical/Surgical Procdedure PHYSIOTHERAPY Exercise Therapy 25 Sitting 9300 9300 9300 10700 14000 23300 2871 Medical/Surgical Procdedure PHYSIOTHERAPY Occupational Therapy 25 Sitting 9300 9300 9300 10700 14000 23300 2872 Medical/Surgical Procdedure PHYSIOTHERAPY Occupational Therapy 1 Sitting 400 400 400 500 600 1000 2873 Medical/Surgical Procdedure PHYSIOTHERAPY Occupational Therapy 10 Sitting 3500 3500 3500 4000 5300 8800 2874 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy Upto 2 Modalities 400 400 400 500 600 1000 2875 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy Upto 3 Modalities 480 480 480 600 700 1200 2876 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy Upto 4 Modalities 550 550 550 600 800 1400 2877 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy Upto 5 Modalities 750 750 750 900 1100 1900 2878 Medical/Surgical Procdedure PHYSIOTHERAPY Extra Corporeal Shock Wave Therapy ( ECSWT ) 2000 2000 2000 2300 3000 5000 2879 Medical/Surgical Procdedure PHYSIOTHERAPY Fluidotherapy / Hydrotherapy 1500 1500 1500 1700 2300 3800 2880 Medical/Surgical Procdedure PHYSIOTHERAPY Interferential Therapy ( IFT ) 250 250 250 300 400 600 2881 Medical/Surgical Procdedure PHYSIOTHERAPY Muscle Stimulation 250 250 250 300 400 600 2882 Medical/Surgical Procdedure PHYSIOTHERAPY Short Exercises (Occupational) Therapy - Upto 15 Min 350 350 350 400 500 900 2883 Medical/Surgical Procdedure PHYSIOTHERAPY Myopulse Therapy 1000 1000 1000 1200 1500 2500 2884 Medical/Surgical Procdedure PHYSIOTHERAPY Acuscope Therapy 1000 1000 1000 1200 1500 2500 2885 Medical/Surgical Procdedure PHYSIOTHERAPY Physiotherapy At Home 750 750 750 900 1100 1900 2886 Medical/Surgical Procdedure PHYSIOTHERAPY Short Exercises ( Occupational ) Therapy 400 400 400 500 600 1000 2887 Medical/Surgical Procdedure PHYSIOTHERAPY Advanced Neuro Rehabilitation 1600 1600 1600 1800 2400 4000 2888 Medical/Surgical Procdedure PHYSIOTHERAPY Pediatric Rehabilitation 800 800 800 900 1200 2000 2889 Medical/Surgical Procdedure PHYSIOTHERAPY Continuous Passive Mobilizer 250 250 250 300 400 600 2890 Medical/Surgical Procdedure PHYSIOTHERAPY Laser Therapy - ( LLLT ) ( Physiotherapy ) 250 250 250 300 400 600 2891 Medical/Surgical Procdedure PHYSIOTHERAPY Isokinetic Assessment & Treatment 10000 10000 10000 11500 15000 25000 2892 Medical/Surgical Procdedure PHYSIOTHERAPY Isokinetic Treatment ( 4 - Session ) 8000 8000 8000 9200 12000 20000 2893 Medical/Surgical Procdedure PHYSIOTHERAPY Biodex Balance Training ( Assessment ) 8000 8000 8000 9200 12000 20000 2894 Medical/Surgical Procdedure PHYSIOTHERAPY Biodex Balance Training ( Treatment ) - Single Sitting 3000 3000 3000 3500 4500 7500 2895 Medical/Surgical Procdedure PHYSIOTHERAPY Exten Trac Decompression Therapy 7000 7000 7000 8100 10500 17500 2896 Medical/Surgical Procdedure PHYSIOTHERAPY Thera Balance ( Upto 20 Minutes ) 2500 2500 2500 2900 3800 6300 2897 Medical/Surgical Procdedure PHYSIOTHERAPY Foot Scanner Assessement 3500 3500 3500 4000 5300 8800 2898 Medical/Surgical Procdedure PHYSIOTHERAPY Spine Force Rehabilitation 2500 2500 2500 2900 3800 6300 2899 Medical/Surgical Procdedure PHYSIOTHERAPY Gait Assessment 6500 6500 6500 7500 9800 16300 2900 Medical/Surgical Procdedure PHYSIOTHERAPY Pneumatic Gait Training ( Upto 30 Minutes ) 2800 2800 2800 3200 4200 7000 2901 Medical/Surgical Procdedure PHYSIOTHERAPY Hydrotherapy ( 5 - Session ) 4500 4500 4500 5200 6800 11300 2902 Medical/Surgical Procdedure PHYSIOTHERAPY D2 Dynavision Sensory Motor Assessment 2000 2000 2000 2300 3000 5000 2903 Medical/Surgical Procdedure PHYSIOTHERAPY Whole Body Vibrator 1000 1000 1000 1200 1500 2500 2904 Medical/Surgical Procdedure PHYSIOTHERAPY Cryo 6 - Cryotherapy 600 600 600 700 900 1500 2905 Medical/Surgical Procdedure PHYSIOTHERAPY Manual Therapy 600 600 600 700 900 1500 2906 Medical/Surgical Procdedure PHYSIOTHERAPY Sequential Calf Pump 500 500 500 600 800 1300 2907 Medical/Surgical Procdedure PHYSIOTHERAPY Lympha Press ( 20 Min ) 700 700 700 800 1100 1800 2908 Medical/Surgical Procdedure PHYSIOTHERAPY Lympha Press ( 40 Min ) 1100 1100 1100 1300 1700 2800 2909 Medical/Surgical Procdedure PHYSIOTHERAPY Thera Balance 1100 1100 1100 1300 1700 2800 2910 Medical/Surgical Procdedure PHYSIOTHERAPY Standing Frame 800 800 800 900 1200 2000 2911 Medical/Surgical Procdedure PHYSIOTHERAPY Avicenna Laser 1200 1200 1200 1400 1800 3000 2912 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Neuro Rehabilitation ( 5 Sitting ) 2100 2100 2100 2400 3200 5300 2913 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Neuro Rehabilitation ( 10 Sitting ) 4200 4200 4200 4800 6300 10500 2914 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Neuro Rehabilitation ( 15 Sitting ) 6400 6400 6400 7400 9600 16000 2915 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Pediatric Rehablitation Exercises ( 5 Sitting ) 3500 3500 3500 4000 5300 8800 2916 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Pediatric Rehablitation Exercises ( 10 Sitting ) 7500 7500 7500 8600 11300 18800 2917 Medical/Surgical Procdedure PHYSIOTHERAPY Advance Pediatric Rehablitation Exercises ( 15 Sitting ) 1100 1100 1100 1300 1700 2800 2918 Medical/Surgical Procdedure PHYSIOTHERAPY Advanced Supervised Exercise Programme ( 1 Hr ) 1200 1200 1200 1400 1800 3000 2919 Medical/Surgical Procdedure PHYSIOTHERAPY Physiotherapy Chest 280 280 280 300 400 700 2920 Medical/Surgical Procdedure PHYSIOTHERAPY Paraffin Wax Bath 250 250 250 300 400 600 2921 Medical/Surgical Procdedure PHYSIOTHERAPY Traction (Physiotherapy) 300 300 300 300 500 800 2922 Medical/Surgical Procdedure PHYSIOTHERAPY Ultrasound Therapy (Physiotherapy) 250 250 250 300 400 600 2923 Medical/Surgical Procdedure PHYSIOTHERAPY Diathermy Short Wave (Physiotherapy) 250 250 250 300 400 600 2924 Medical/Surgical Procdedure PHYSIOTHERAPY Combination Therapy 250 250 250 300 400 600 2925 Medical/Surgical Procdedure PHYSIOTHERAPY Electrotherapy - EMG Bio Feedback 250 250 250 300 400 600 2926 Medical/Surgical Procdedure PHYSIOTHERAPY Electrotherapy - Micro Wave Diathermy 250 250 250 300 400 600 2927 Medical/Surgical Procdedure PHYSIOTHERAPY Electrotherapy - TENS / Electronic Muscle Stimulation 250 250 250 300 400 600 2928 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Repair - Single 15100 15900 15900 18300 23900 39800 2929 Medical/Surgical Procdedure PLASTIC SURGERY Functional Free Muscle Transfer 54500 57200 57200 65800 85800 143000 2930 Medical/Surgical Procdedure PLASTIC SURGERY Facial Sling Procedure ( Facial Paralysis ) 23500 24700 24700 28400 37100 61800 2931 Medical/Surgical Procdedure PLASTIC SURGERY Alveolar Fracture Closed Reduction ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 2932 Medical/Surgical Procdedure PLASTIC SURGERY Alveolar Fracture Open Reduction ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 2933 Medical/Surgical Procdedure PLASTIC SURGERY Cranioplasty ( with Bone Graft ) 32700 34300 34300 39400 51500 85800 2934 Medical/Surgical Procdedure PLASTIC SURGERY Tenolysis - Single 10900 11400 11400 13100 17100 28500 2935 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft - Full Thickness ( Large ) 20800 21800 21800 25100 32700 54500 2936 Medical/Surgical Procdedure PLASTIC SURGERY Neck Thread Lift 21800 22900 22900 26300 34400 57300 2937 Medical/Surgical Procdedure PLASTIC SURGERY Perforator Free Flap 43600 45800 45800 52700 68700 114500 2938 Medical/Surgical Procdedure PLASTIC SURGERY Second Toe Transfer 54500 57200 57200 65800 85800 143000 2939 Medical/Surgical Procdedure PLASTIC SURGERY Composite Graft - Large 21800 22900 22900 26300 34400 57300 2940 Medical/Surgical Procdedure PLASTIC SURGERY Composite Graft - Medium 19800 20800 20800 23900 31200 52000 2941 Medical/Surgical Procdedure PLASTIC SURGERY Cubital Tunnel Release 10900 11400 11400 13100 17100 28500 2942 Medical/Surgical Procdedure PLASTIC SURGERY Digital Nerve Grafting 21800 22900 22900 26300 34400 57300 2943 Medical/Surgical Procdedure PLASTIC SURGERY Digital Nerve Repair 17400 18300 18300 21000 27500 45800 2944 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft - Full Thickness ( Small ) 9800 10300 10300 11800 15500 25800 2945 Medical/Surgical Procdedure PLASTIC SURGERY Mallet Finger Correction 13500 14200 14200 16300 21300 35500 2946 Medical/Surgical Procdedure PLASTIC SURGERY Belt Lipectomy 39600 41600 41600 47800 62400 104000 2947 Medical/Surgical Procdedure PLASTIC SURGERY Burn Dressing - Large 10900 11400 11400 13100 17100 28500 2948 Medical/Surgical Procdedure PLASTIC SURGERY Hair Transplant - Medium ( Per Sitting ) 54000 60000 60000 69000 90000 150000 2949 Medical/Surgical Procdedure PLASTIC SURGERY Facial Wound Repair - Major ( Plastic Surgery ) 12900 13500 13500 15500 20300 33800 2950 Medical/Surgical Procdedure PLASTIC SURGERY Vacuum Assisted Closure 4300 4500 4500 5200 6800 11300 2951 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip Repair - Bilateral 15100 15900 15900 18300 23900 39800 2952 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Four Lid 23500 24700 24700 28400 37100 61800 2953 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Single Lid 12900 13500 13500 15500 20300 33800 2954 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Two Lid 15100 15900 15900 18300 23900 39800 2955 Medical/Surgical Procdedure PLASTIC SURGERY Botox Administration ( Per Area ) 2910 3100 3100 3600 4700 7800 2956 Medical/Surgical Procdedure PLASTIC SURGERY Botox Administration ( Additional Area - Per Area ) 2910 3100 3100 3600 4700 7800 2957 Medical/Surgical Procdedure PLASTIC SURGERY Botox Administration ( Crow's Feet ) 2910 3100 3100 3600 4700 7800 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 2958 Medical/Surgical Procdedure PLASTIC SURGERY Breast Augmentation with Lift 28800 30200 30200 34700 45300 75500 2959 Medical/Surgical Procdedure PLASTIC SURGERY Breast Lift 23500 24700 24700 28400 37100 61800 2960 Medical/Surgical Procdedure PLASTIC SURGERY Cartilage / Bone Graft 12900 13500 13500 15500 20300 33800 2961 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip + Cleft Palate ( Anterior ) Repair 15100 15900 15900 18300 23900 39800 2962 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release ( Plastic Surgery ) 7900 8300 8300 9500 12500 20800 2963 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release + Full Thickness Skin Graft 12900 13500 13500 15500 20300 33800 2964 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release + Z-Plasty ( Plastic Surgery ) 11400 12000 12000 13800 18000 30000 2965 Medical/Surgical Procdedure PLASTIC SURGERY Debridement - Minor ( Plastic Surgery ) 3400 3600 3600 4100 5400 9000 2966 Medical/Surgical Procdedure PLASTIC SURGERY Dermal Fillers - Additional Area 6200 6500 6500 7500 9800 16300 2967 Medical/Surgical Procdedure PLASTIC SURGERY Dermal Fillers - Lip Augmentation 6200 6500 6500 7500 9800 16300 2968 Medical/Surgical Procdedure PLASTIC SURGERY Bat Ears Correction ( Plastic Surgery ) 15100 15900 15900 18300 23900 39800 2969 Medical/Surgical Procdedure PLASTIC SURGERY Keloid Surgery ( Ear ) - Bilateral 7900 8300 8300 9500 12500 20800 2970 Medical/Surgical Procdedure PLASTIC SURGERY Keloid Surgery ( Ear ) - Right Ear 5300 5600 5600 6400 8400 14000 2971 Medical/Surgical Procdedure PLASTIC SURGERY Keloid Surgery ( Ear ) - Left Ear 5300 5600 5600 6400 8400 14000 2972 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobuloplasty - Bilateral 6200 6500 6500 7500 9800 16300 2973 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobuloplasty - Right Ear 4300 4500 4500 5200 6800 11300 2974 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobuloplasty - Left Ear 4300 4500 4500 5200 6800 11300 2975 Medical/Surgical Procdedure PLASTIC SURGERY Skin Lesion Excision - Major 9800 10300 10300 11800 15500 25800 2976 Medical/Surgical Procdedure PLASTIC SURGERY Skin Lesion Excision - Medium 5300 5600 5600 6400 8400 14000 2977 Medical/Surgical Procdedure PLASTIC SURGERY Eyelid Reconstruction 20800 21800 21800 25100 32700 54500 2978 Medical/Surgical Procdedure PLASTIC SURGERY Face Thread Lift - Full Face 20800 21800 21800 25100 32700 54500 2979 Medical/Surgical Procdedure PLASTIC SURGERY Face Thread Lift - Mid Face / Brow 15100 15900 15900 18300 23900 39800 2980 Medical/Surgical Procdedure PLASTIC SURGERY Hemangioma Excision - Major 12900 13500 13500 15500 20300 33800 2981 Medical/Surgical Procdedure PLASTIC SURGERY Hair Transplant - Large 81000 90000 90000 103500 135000 225000 2982 Medical/Surgical Procdedure PLASTIC SURGERY Hair Transplant - Megasession 99000 110000 110000 126500 165000 275000 2983 Medical/Surgical Procdedure PLASTIC SURGERY Hair Transplant - Small 31500 35000 35000 40300 52500 87500 2984 Medical/Surgical Procdedure PLASTIC SURGERY Hand Surgery - Medium 54000 60000 60000 69000 90000 150000 2985 Medical/Surgical Procdedure PLASTIC SURGERY Hand Surgery - Minor 9800 10300 10300 11800 15500 25800 2986 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Repair - Multiple 26100 27400 27400 31500 41100 68500 PLASTIC SURGERY Hand Surgery - Syndactyly Correction ( Complete / Complex ) 26100 27400 27400 31500 41100 68500 2987 Medical/Surgical Procdedure 2988 Medical/Surgical Procdedure PLASTIC SURGERY Hand Surgery - Syndactyly Correction ( Partial / Simple ) 15100 15900 15900 18300 23900 39800 2989 Medical/Surgical Procdedure PLASTIC SURGERY Hymenoplasty ( Plastic Surgery ) 15100 15900 15900 18300 23900 39800 2990 Medical/Surgical Procdedure PLASTIC SURGERY Hypospadias ( Proximal ) Correction - Plastic Surgery 28800 30200 30200 34700 45300 75500 2991 Medical/Surgical Procdedure PLASTIC SURGERY Ingrowing Toe Nail Excision ( Plastic Surgery ) 6200 6500 6500 7500 9800 16300 2992 Medical/Surgical Procdedure PLASTIC SURGERY Intralesional Injection ( Plastic Surgery ) 3300 3500 3500 4000 5300 8800 2993 Medical/Surgical Procdedure PLASTIC SURGERY Labiaplasty 15100 15900 15900 18300 23900 39800 2994 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - Major 23500 24700 24700 28400 37100 61800 2995 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - Medium 15100 15900 15900 18300 23900 39800 2996 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - Small 9800 10300 10300 11800 15500 25800 2997 Medical/Surgical Procdedure PLASTIC SURGERY Body Lift ( Lower ) 36600 38400 38400 44200 57600 96000 2998 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Neurolysis ( Plastic Surgery ) 9800 10300 10300 11800 15500 25800 2999 Medical/Surgical Procdedure PLASTIC SURGERY InterMaxillary Fixation ( IMF ) - Plastic Surgery 9800 10300 10300 11800 15500 25800 3000 Medical/Surgical Procdedure PLASTIC SURGERY Nipple Reconstruction 9800 10300 10300 11800 15500 25800 3001 Medical/Surgical Procdedure PLASTIC SURGERY Osseous Mentoplasty 28800 30200 30200 34700 45300 75500 3002 Medical/Surgical Procdedure PLASTIC SURGERY Digits Reimplantation 50400 52900 52900 60800 79400 132300 3003 Medical/Surgical Procdedure PLASTIC SURGERY Digit Revascularization ( Single Digit ) 14500 15200 15200 17500 22800 38000 3004 Medical/Surgical Procdedure PLASTIC SURGERY Defatting Flap / Graft Revision 12900 13500 13500 15500 20300 33800 3005 Medical/Surgical Procdedure PLASTIC SURGERY Rhinoplasty - Open 28800 30200 30200 34700 45300 75500 3006 Medical/Surgical Procdedure PLASTIC SURGERY Rhinoplasty - Closed 28800 30200 30200 34700 45300 75500 3007 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Palate Secondary Deformity Repair 15100 15900 15900 18300 23900 39800 3008 Medical/Surgical Procdedure PLASTIC SURGERY Skin Grafting - Minor ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 3009 Medical/Surgical Procdedure PLASTIC SURGERY Skin Lesion Excision - Small 3400 3600 3600 4100 5400 9000 3010 Medical/Surgical Procdedure PLASTIC SURGERY Vaser Liposuction - Major 28800 30200 30200 34700 45300 75500 3011 Medical/Surgical Procdedure PLASTIC SURGERY Vaser Liposuction - Medium 23500 24700 24700 28400 37100 61800 3012 Medical/Surgical Procdedure PLASTIC SURGERY Vaser Liposuction - Minor 12900 13500 13500 15500 20300 33800 3013 Medical/Surgical Procdedure PLASTIC SURGERY Face Repair - Medium 6200 6500 6500 7500 9800 16300 3014 Medical/Surgical Procdedure PLASTIC SURGERY Face Repair - Minor 3400 3600 3600 4100 5400 9000 3015 Medical/Surgical Procdedure PLASTIC SURGERY Face Repair - Major / Multiple 20800 21800 21800 25100 32700 54500 3016 Medical/Surgical Procdedure PLASTIC SURGERY Urethral Fistula Closure ( Plastic Surgery ) 12900 13500 13500 15500 20300 33800 3017 Medical/Surgical Procdedure PLASTIC SURGERY Wound Repair - Medium ( Other Than Face ) 4800 5000 5000 5800 7500 12500 3018 Medical/Surgical Procdedure PLASTIC SURGERY Wound Repair - Minor ( Other Than Face ) 1920 2000 2000 2300 3000 5000 PLASTIC SURGERY Botox - Per Unit ( Excluding Cost Of Botox ) ( Plastic Surgery ) 170 200 200 200 300 500 3019 Medical/Surgical Procdedure 3020 Medical/Surgical Procdedure PLASTIC SURGERY Expander Inflation ( Plastic Surgery ) 830 900 900 1000 1400 2300 3021 Medical/Surgical Procdedure PLASTIC SURGERY Kenacort Injection ( Plastic Surgery ) 880 900 900 1000 1400 2300 PLASTIC SURGERY Radiofrequency Ablation - Additional Moles ( Plastic Surgery ) 1100 1200 1200 1400 1800 3000 3022 Medical/Surgical Procdedure 3023 Medical/Surgical Procdedure PLASTIC SURGERY Tarsorrhaphy Release ( Plastic Surgery ) 1100 1200 1200 1400 1800 3000 3024 Medical/Surgical Procdedure PLASTIC SURGERY Tarsorrhaphy ( Plastic Surgery ) 3300 3500 3500 4000 5300 8800 3025 Medical/Surgical Procdedure PLASTIC SURGERY VAC Dressing - Medium ( Plastic Surgery ) 3600 3800 3800 4400 5700 9500 3026 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Facial ) - Small ( Plastic Surgery ) 3600 3800 3800 4400 5700 9500 Expander Insertion - More Than Three(For Additional Per PLASTIC SURGERY 3600 3800 3800 4400 5700 9500 3027 Medical/Surgical Procdedure Expander) ( Plastic Surgery ) 3028 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobule Reconstruction - Unilateral ( Plastic Surgery ) 4000 4200 4200 4800 6300 10500 3029 Medical/Surgical Procdedure PLASTIC SURGERY Radiofrequency Ablation - Single Mole ( Plastic Surgery ) 4400 4600 4600 5300 6900 11500 3030 Medical/Surgical Procdedure PLASTIC SURGERY VAC Dressing - Large ( Plastic Surgery ) 5000 5300 5300 6100 8000 13300 3031 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Facial ) - Medium ( Plastic Surgery ) 5000 5300 5300 6100 8000 13300 3032 Medical/Surgical Procdedure PLASTIC SURGERY Sublingual Haematoma Drainage ( Plastic Surgery ) 5500 5800 5800 6700 8700 14500 3033 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Biopsy ( Plastic Surgery ) 5500 5800 5800 6700 8700 14500 3034 Medical/Surgical Procdedure PLASTIC SURGERY Dorsal Slit of Prepuce ( Plastic Surgery ) 5500 5800 5800 6700 8700 14500 3035 Medical/Surgical Procdedure PLASTIC SURGERY Cyst / Mole Excision ( Plastic Surgery ) 6200 6500 6500 7500 9800 16300 3036 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobule Reconstruction - Bilateral ( Plastic Surgery ) 6500 6800 6800 7800 10200 17000 3037 Medical/Surgical Procdedure PLASTIC SURGERY Radiofrequency Ablation - Two Moles ( Plastic Surgery ) 6600 6900 6900 7900 10400 17300 3038 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Facial ) - Large ( Plastic Surgery ) 7500 7900 7900 9100 11900 19800 3039 Medical/Surgical Procdedure PLASTIC SURGERY Debridement - Foot & Ankle ( Plastic Surgery ) 8800 9200 9200 10600 13800 23000 3040 Medical/Surgical Procdedure PLASTIC SURGERY Debridement - Thigh & Knee ( Plastic Surgery ) 8800 9200 9200 10600 13800 23000 3041 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Multiple ) Repair - Small ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 3042 Medical/Surgical Procdedure PLASTIC SURGERY Debridement - Hand Injuries ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 Lid Tumour Excision & Repair ( Without Grafting or Flaps ) ( PLASTIC SURGERY 9000 9500 9500 10900 14300 23800 3043 Medical/Surgical Procdedure Plastic Surgery ) 3044 Medical/Surgical Procdedure PLASTIC SURGERY Head And Neck Repair - Simple ( Plastic Surgery ) 9900 10400 10400 12000 15600 26000 Hand / Foot Lesion Excision With Z-Plasty / Other Adjacent PLASTIC SURGERY 9900 10400 10400 12000 15600 26000 3045 Medical/Surgical Procdedure Tissue Transfer ( Plastic Surgery ) 3046 Medical/Surgical Procdedure PLASTIC SURGERY Bifid Toe Correction - Simple ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3047 Medical/Surgical Procdedure PLASTIC SURGERY Extra Digit Excision ( Excluding Thumb ) ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3048 Medical/Surgical Procdedure PLASTIC SURGERY Local Transposition Flap - Small ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3049 Medical/Surgical Procdedure PLASTIC SURGERY Eye Lid Reconstruction ( One Lid ) ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3050 Medical/Surgical Procdedure PLASTIC SURGERY Lid Coloboma Repair ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3051 Medical/Surgical Procdedure PLASTIC SURGERY Post-Injury Dermabrasion ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3052 Medical/Surgical Procdedure PLASTIC SURGERY Midline Etching ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3053 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobule Repair With Cartilage Graft ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 PLASTIC SURGERY Median Nerve Decompression - Arthroscopic ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3054 Medical/Surgical Procdedure 3055 Medical/Surgical Procdedure PLASTIC SURGERY Circumcision Hypospadias Repair ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3056 Medical/Surgical Procdedure PLASTIC SURGERY Lipectomy - Cosmetic 14900 15600 15600 17900 23400 39000 3057 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft For Head And Neck - Small ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3058 Medical/Surgical Procdedure PLASTIC SURGERY Zimmer Splint Application - One Finger ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 Blepharoplasty ( Ectropion ) - Lower Lid ( Single Eye ) ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3059 Medical/Surgical Procdedure Surgery ) Naso-Maxillary Fracture ( Lefort II ) - Closed Reduction ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3060 Medical/Surgical Procdedure Surgery ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3061 Medical/Surgical Procdedure PLASTIC SURGERY Jaw Cyst Excision - Simple/Unilocular ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 Skin Lesion Excision - Face ( Less Than 2 cm ) ( Plastic Surgery PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3062 Medical/Surgical Procdedure ) 3063 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Facial ) - Small Multiple ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3064 Medical/Surgical Procdedure PLASTIC SURGERY Finger Stump ( Shortening + Closure ) ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3065 Medical/Surgical Procdedure PLASTIC SURGERY Bifid Thumb/ Finger Correction - Simple ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 Blepharoplasty ( Ectropion ) - Upper Lid ( Single Eye ) ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3066 Medical/Surgical Procdedure Surgery ) 3067 Medical/Surgical Procdedure PLASTIC SURGERY Lid Entropion Correction - Both Eyes ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 Tendon Transfer ( Radial Nerve Injuries ) - Single ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3068 Medical/Surgical Procdedure Surgery ) Tendon Transfer (Tibialis Posterior to Dorsum of Foot ) ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3069 Medical/Surgical Procdedure Surgery ) Reimplantation - Each Additional Finger ( After Two Fingers ) ( PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3070 Medical/Surgical Procdedure Plastic Surgery ) Excision Of Head And Neck Lesion ( With Z-Plasty / Other PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3071 Medical/Surgical Procdedure Adjacent Tissue Transfer ) ( Plastic Surgery ) Tendon Transfer ( Median Nerve Injuries ) - Single ( PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3072 Medical/Surgical Procdedure Opponensplasty ) ( Plastic Surgery ) Tendon Transfer ( Ulnar Nerve Injuries ) - Single ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3073 Medical/Surgical Procdedure Surgery ) Maxillary ( Lefort I Fracture ) - Closed Reduction ( Plastic PLASTIC SURGERY 10900 11400 11400 13100 17100 28500 3074 Medical/Surgical Procdedure Surgery ) 3075 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Transfer - Polio ( Plastic Surgery ) 11900 12500 12500 14400 18800 31300 PLASTIC SURGERY Malar Fracture - Percutaneous Reduction ( Plastic Surgery ) 11900 12500 12500 14400 18800 31300 3076 Medical/Surgical Procdedure 3077 Medical/Surgical Procdedure PLASTIC SURGERY Scaphoid Fracture - Closed Reduction ( Plastic Surgery ) 12500 13100 13100 15100 19700 32800 Scalp Lesion Excision ( With Z-Plasty / Other Adjacent Tissue PLASTIC SURGERY 12500 13100 13100 15100 19700 32800 3078 Medical/Surgical Procdedure Transfer ) ( Plastic Surgery ) Reconstructive Rhinoplasty - Forehead Flap ( Stage Two Of Two PLASTIC SURGERY 12900 13500 13500 15500 20300 33800 3079 Medical/Surgical Procdedure Stages ) ( Plastic Surgery ) PLASTIC SURGERY Multiple Cysts Excision ( Plastic Surgery ) ( Plastic Surgery ) 13100 13800 13800 15900 20700 34500 3080 Medical/Surgical Procdedure Radial Club Hand - Distractor / External Fixator Application ( PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3081 Medical/Surgical Procdedure Plastic Surgery ) Distal Phalynx Fracture - Distractor/ Jess Application ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3082 Medical/Surgical Procdedure Surgery ) Middle Phalynx Fracture - Distractor/ Jess Application ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3083 Medical/Surgical Procdedure Surgery ) Pilonidal Sinus Excision ( Without Primary Closure ) ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3084 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Correction / Revision ( Face Scars ) - Single ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3085 Medical/Surgical Procdedure 3086 Medical/Surgical Procdedure PLASTIC SURGERY V-Y Flap Cover of Amputation Stump ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3087 Medical/Surgical Procdedure PLASTIC SURGERY Labial Fold Excision ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 Skin Lesion Excision - Extremities/ Trunk ( Less Than 5 cm ) ( PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3088 Medical/Surgical Procdedure Plastic Surgery ) Proximal Phalynx Fracture - Distractor/ Jess Application ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3089 Medical/Surgical Procdedure Surgery ) Metacarpal Fracture - Distractor/ Jess Application ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3090 Medical/Surgical Procdedure Surgery ) 3091 Medical/Surgical Procdedure PLASTIC SURGERY Scaphoid Fracture - K-Wire Fixation ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 Groin /Abdominal Flap Cover For Hand Injuries - Small ( Single PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3092 Medical/Surgical Procdedure Flap ) ( Plastic Surgery ) 3093 Medical/Surgical Procdedure PLASTIC SURGERY TM Joint Dislocation - Closed Reduction ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3094 Medical/Surgical Procdedure PLASTIC SURGERY Local Head And Neck Flap - Small ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3095 Medical/Surgical Procdedure PLASTIC SURGERY Metacarpal Fracture - K-Wire Fixation ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3096 Medical/Surgical Procdedure PLASTIC SURGERY Scaphoid Fracture - Screw Fixation ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3097 Medical/Surgical Procdedure PLASTIC SURGERY Composite Grafting - Finger Tip Injuries ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 Excision Of Haemangioma- Face ( Less Than 2 cm ) ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3098 Medical/Surgical Procdedure Surgery ) Camptodactyly ( Contracture Release ) - Single Finger ( Plastic PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3099 Medical/Surgical Procdedure Surgery ) Blepharoplasty Ectropion - Lower Eyelid ( With Grafting ) - Single PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3100 Medical/Surgical Procdedure Eye ( Plastic Surgery ) 3101 Medical/Surgical Procdedure PLASTIC SURGERY Arthrodesis - Hand & Foot Bones ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 Extemity Lesion Excision With Z-Plasty / Other Adjacent Tissue PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3102 Medical/Surgical Procdedure Transfer ( Plastic Surgery ) Trunk Lesion Excision With Z-Plasty / Other Adjacent Tissue PLASTIC SURGERY 13500 14200 14200 16300 21300 35500 3103 Medical/Surgical Procdedure Transfer ( Plastic Surgery ) 3104 Medical/Surgical Procdedure PLASTIC SURGERY Chordee Correction ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3105 Medical/Surgical Procdedure PLASTIC SURGERY Flap Insetting ( Large ) ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3106 Medical/Surgical Procdedure PLASTIC SURGERY Mandible Fracture - Closed Reduction ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3107 Medical/Surgical Procdedure PLASTIC SURGERY AO Plating - Fracture Distal Phalynx ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 3108 Medical/Surgical Procdedure PLASTIC SURGERY AO Plating - Fracture Middle Phalynx ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 3109 Medical/Surgical Procdedure PLASTIC SURGERY Pedicled Flap - Minor ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 Wide Excision Of Lesion In Head And Neck -Minor ( Plastic PLASTIC SURGERY 14500 15200 15200 17500 22800 38000 3110 Medical/Surgical Procdedure Surgery ) 3111 Medical/Surgical Procdedure PLASTIC SURGERY Nail Bed Repair - Two Nail Beds ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 3112 Medical/Surgical Procdedure PLASTIC SURGERY AO Plating - Fracture Proximal Phalynx ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 3113 Medical/Surgical Procdedure PLASTIC SURGERY AO Plating - Metacarpal Fracture ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 PLASTIC SURGERY Ulnar Collateral Ligament Repair - Thumb ( Plastic Surgery ) 14500 15200 15200 17500 22800 38000 3114 Medical/Surgical Procdedure 3115 Medical/Surgical Procdedure PLASTIC SURGERY Sebaceous Cyst Excision ( Plastic Surgery ) 14900 15600 15600 17900 23400 39000 Complex Bifid Thumb Correction ( Wassal Type 1 ) ( Plastic PLASTIC SURGERY 14900 15600 15600 17900 23400 39000 3116 Medical/Surgical Procdedure Surgery ) 3117 Medical/Surgical Procdedure PLASTIC SURGERY Extensor Tendon Repair ( Zone-1 ) ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Extensor Tendon Repair ( Zone-6 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3118 Medical/Surgical Procdedure Surgery ) Excision Of Haemangioma- Extremities / Trunk ( 5-10 cm ) ( PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3119 Medical/Surgical Procdedure Plastic Surgery ) 3120 Medical/Surgical Procdedure PLASTIC SURGERY Lid Injuries Repair ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3121 Medical/Surgical Procdedure PLASTIC SURGERY Keloid Ear Lobule Excision ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3122 Medical/Surgical Procdedure PLASTIC SURGERY Local Head And Neck Flap - Medium ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Groin /Abdominal Flap Cover For Hand Injuries -Medium ( Single PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3123 Medical/Surgical Procdedure Flap ) ( Plastic Surgery ) Groin/Abdominal Flap Cover For Hand Injuries -Small ( Two PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3124 Medical/Surgical Procdedure Flaps ) ( Plastic Surgery ) 3125 Medical/Surgical Procdedure PLASTIC SURGERY Nail Bed Reconstruction- Single Finger ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 PLASTIC SURGERY Radial Collateral Ligament Repair - Thumb ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3126 Medical/Surgical Procdedure Flexor Tendon Repair ( Zone-5 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3127 Medical/Surgical Procdedure Surgery ) Flexor Tendon Repair ( Zone-6 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3128 Medical/Surgical Procdedure Surgery ) 3129 Medical/Surgical Procdedure PLASTIC SURGERY Split Skin Grafting For Finger Tip Injuries ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Burns Contracture Release - One Finger/Toe/Minor ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3130 Medical/Surgical Procdedure Surgery ) 3131 Medical/Surgical Procdedure PLASTIC SURGERY Repair Of Lacrimal Canaliculi ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Camptodactyly ( Contracture Release ) - Two Fingers ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3132 Medical/Surgical Procdedure Surgery ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Superficial Soft Tissue Mass / Tumour Excision ( Medium ) - PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3133 Medical/Surgical Procdedure Excluding Neuroma Of Ganglion ( Plastic Surgery ) Ear Reconstruction ( 3R Stage ) - Touching & Revisions ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3134 Medical/Surgical Procdedure Surgery ) Maxillary Lefort I Fracture - Open Reduction ( Orif ) ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3135 Medical/Surgical Procdedure Surgery ) Maxillo - Mandibular Cyst Enucleation / Marsupialisation ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3136 Medical/Surgical Procdedure Surgery ) Maxillary Reconstruction ( Without Bone Graft ) ( Plastic Surgery PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3137 Medical/Surgical Procdedure ) Extensor Tendon Repair ( Zone-2 ) -Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3138 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-3 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3139 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-5 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3140 Medical/Surgical Procdedure Surgery ) 3141 Medical/Surgical Procdedure PLASTIC SURGERY Dorsal Dermodesis - Nail Bed Injuries ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Chin Augmentation ( Multiple Sliding Osteotomies ) ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3142 Medical/Surgical Procdedure Surgery ) 3143 Medical/Surgical Procdedure PLASTIC SURGERY Local Transposition Flap - Medium ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3144 Medical/Surgical Procdedure PLASTIC SURGERY Face Scars Correction/ Revision - Two ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3145 Medical/Surgical Procdedure PLASTIC SURGERY Supernumerary/ Breast/Nipple Excision ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Flexor Tendon Repair ( Zone-4 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3146 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-4 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3147 Medical/Surgical Procdedure Surgery ) 3148 Medical/Surgical Procdedure PLASTIC SURGERY Flexor Tendon Repair ( Zone-1 ) ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Flexor Tendon Repair ( Zone-3 ) - Single Tendon ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3149 Medical/Surgical Procdedure Surgery ) 3150 Medical/Surgical Procdedure PLASTIC SURGERY Gynaecomastia Excision - Unilateral ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 Scar/ Lesion/Wound Excision + Skin Grafting - Minor ( Plastic PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3151 Medical/Surgical Procdedure Surgery ) Naso-Ethmoid Fracture - Open Reduction Without Fixation ( PLASTIC SURGERY 15400 16200 16200 18600 24300 40500 3152 Medical/Surgical Procdedure Plastic Surgery ) 3153 Medical/Surgical Procdedure PLASTIC SURGERY Osteotomy - Phalangeal Malunion ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 PLASTIC SURGERY Zimmer Splint Application - Multiple Fingers ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3154 Medical/Surgical Procdedure 3155 Medical/Surgical Procdedure PLASTIC SURGERY Pedicle Flap Over Of Amputation Stump ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3156 Medical/Surgical Procdedure PLASTIC SURGERY Mucosal Graft - Urethra ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 PLASTIC SURGERY Congenital Ear Lobule Deformity Correction ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3157 Medical/Surgical Procdedure 3158 Medical/Surgical Procdedure PLASTIC SURGERY Lipoinjection ( Upto 10Ml ) ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 Skin Lesion Excision - Face ( More Than 2 cm ) ( Plastic Surgery PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3159 Medical/Surgical Procdedure ) 3160 Medical/Surgical Procdedure PLASTIC SURGERY Excision Of Neuroma - Minor Nerve ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 Tendon Transfer - Median Nerve Injuries ( Multiple ) ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3161 Medical/Surgical Procdedure Surgery ) Tendon Transfer - Ulnar Nerve Injuries ( Multiple ) ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3162 Medical/Surgical Procdedure Surgery ) Lid Tumour Excision + Repair ( Skin/Mucosal Grafting / Flap PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3163 Medical/Surgical Procdedure Construction ) ( Plastic Surgery ) Lid Coloboma Repair ( Skin / Mucosal Grafting / Flap PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3164 Medical/Surgical Procdedure Construction ) ( Plastic Surgery ) Median Nerve( Nerve Exploration + Neurolysis ) ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3165 Medical/Surgical Procdedure Surgery ) Flexor Tendon Repair ( Zone-2 ) - Single Tendon ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3166 Medical/Surgical Procdedure Surgery ) Pilonidal Sinus Excision ( With Primary Closure ) ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3167 Medical/Surgical Procdedure Surgery ) Camptodactyly ( Contracture Release + Tendon Transfer ) - PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3168 Medical/Surgical Procdedure Single Finger ( Plastic Surgery ) 3169 Medical/Surgical Procdedure PLASTIC SURGERY Hair Graft - Eyebrow/Scar/Moustache ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3170 Medical/Surgical Procdedure PLASTIC SURGERY Inverted Nipple - Unilateral ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 Endoscopic Gynaecomsatia Excision - Unilateral ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3171 Medical/Surgical Procdedure Surgery ) 3172 Medical/Surgical Procdedure PLASTIC SURGERY Epicanthus + Telecanthus Correction ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 Carpal Tunnel Release Operation ( With Guyons Canal Release PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3173 Medical/Surgical Procdedure ) ( Plastic Surgery ) Tendon Transfer - Radial Nerve Injuries ( Multiple ) ( Plastic PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3174 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Orbital Simple Fracture - Open Reduction ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3175 Medical/Surgical Procdedure Mandible Fracture - Percutaneous Reduction / External Fixation ( PLASTIC SURGERY 16400 17200 17200 19800 25800 43000 3176 Medical/Surgical Procdedure Plastic Surgery ) 3177 Medical/Surgical Procdedure PLASTIC SURGERY Repair Of Oro-Antral Fistula ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3178 Medical/Surgical Procdedure PLASTIC SURGERY Transverse Etching ( Abdominal ) ( Plastic Surgery ) 16900 17700 17700 20400 26600 44300 Free Phalangeal/ Bone Transfer - Brachydactyly ( Plastic PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3179 Medical/Surgical Procdedure Surgery ) Complex Bifid Thumb Correction ( Wassal Type 2 ) ( Plastic PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3180 Medical/Surgical Procdedure Surgery ) 3181 Medical/Surgical Procdedure PLASTIC SURGERY Lid Injuries Repair ( Flaps Or Grafts ) ( Plastic Surgery ) 17400 18300 18300 21000 27500 45800 Groin/Abdominal Flap Cover For Hand Injuries -Small ( Multiple PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3182 Medical/Surgical Procdedure Flaps ) ( Plastic Surgery ) Ulnar Collateral Ligament Reconstruction - Thumb ( Plastic PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3183 Medical/Surgical Procdedure Surgery ) 3184 Medical/Surgical Procdedure PLASTIC SURGERY Homodigital Flap - Finger Tip Injuries ( Plastic Surgery ) 17400 18300 18300 21000 27500 45800 Groin/Abdominal Flap Cover For Hand Injuries -Medium ( Two PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3185 Medical/Surgical Procdedure Flaps ) ( Plastic Surgery ) 3186 Medical/Surgical Procdedure PLASTIC SURGERY Hand Injury Repair ( Major ) 26100 27400 27400 31500 41100 68500 3187 Medical/Surgical Procdedure PLASTIC SURGERY Krukenbergs Operation ( Plastic Surgery ) 17400 18300 18300 21000 27500 45800 PLASTIC SURGERY Composite Graft ( Small ) - Plastic Surgery ( Plastic Surgery ) 17400 18300 18300 21000 27500 45800 3188 Medical/Surgical Procdedure Nasal Bone Fracture ( Complicated ) - Open Reduction (Orif) ( PLASTIC SURGERY 17400 18300 18300 21000 27500 45800 3189 Medical/Surgical Procdedure Plastic Surgery ) 3190 Medical/Surgical Procdedure PLASTIC SURGERY Jaw Cyst Tumour - Radical Resection ( Plastic Surgery ) 17400 18300 18300 21000 27500 45800 Frontal Sinus Fracture ( Complicated ) - Open Reduction (Orif) ( PLASTIC SURGERY 17900 18800 18800 21600 28200 47000 3191 Medical/Surgical Procdedure Plastic Surgery ) Frontal Sinus Fracture ( Simple ) - Open Reduction ( Plastic PLASTIC SURGERY 17900 18800 18800 21600 28200 47000 3192 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-4 ) - Two Tendons ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3193 Medical/Surgical Procdedure Surgery ) Flexor Tendon Repair ( Zone-3 ) - Two Tendons ( Plastic Surgery PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3194 Medical/Surgical Procdedure ) 3195 Medical/Surgical Procdedure PLASTIC SURGERY Osteotomy - Metacarpal Malunion ( Plastic Surgery ) 18400 19300 19300 22200 29000 48300 Ligament Reconstruction For Hypoplastic Thumb ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3196 Medical/Surgical Procdedure Surgery ) Skin Lesion Excision - Extremities / Trunk ( 5-10 cm ) ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3197 Medical/Surgical Procdedure Surgery ) Groin /Abdominal Flap Cover For Hand Injuries- Large ( Single PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3198 Medical/Surgical Procdedure Flap ) ( Plastic Surgery ) Flexor Tendon Repair ( Zone-4 ) - Two Tendons ( Plastic Surgery PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3199 Medical/Surgical Procdedure ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Flexor Tendon Repair ( Zone-5 ) - Two Tendons ( Plastic Surgery PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3200 Medical/Surgical Procdedure ) Flexor Tendon Repair ( Zone-6 ) - Two Tendons ( Plastic Surgery PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3201 Medical/Surgical Procdedure ) PLASTIC SURGERY Oblique Triangular Flap - Finger Tip Injuries ( Plastic Surgery ) 18400 19300 19300 22200 29000 48300 3202 Medical/Surgical Procdedure Exploration And Repair Of Popliteal Arterial Injury - Primary PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3203 Medical/Surgical Procdedure Repair ( Plastic Surgery ) Maxillary Lefort I Fracture ( Complicated ) - Open Reduction PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3204 Medical/Surgical Procdedure (Orif) ( Plastic Surgery ) Open Reduction And Ligament Repair Of Wrist ( Plastic Surgery PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3205 Medical/Surgical Procdedure ) PLASTIC SURGERY V-Y Advancement Flap - Finger Tip Injuries ( Plastic Surgery ) 18400 19300 19300 22200 29000 48300 3206 Medical/Surgical Procdedure Extensor Tendon Repair ( Zone-3 ) - Two Tendons ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3207 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-5 ) - Two Tendons ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3208 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-6 ) - Two Tendons ( Plastic PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3209 Medical/Surgical Procdedure Surgery ) Exploration And Repair Of Radial Arterial Injury - Primary Repair PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3210 Medical/Surgical Procdedure ( Plastic Surgery ) Naso-Ethmoid Fracture - Open Reduction With Fixation (Orif) ( PLASTIC SURGERY 18400 19300 19300 22200 29000 48300 3211 Medical/Surgical Procdedure Plastic Surgery ) 3212 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft Of Amputation Stump ( Plastic Surgery ) 18900 19800 19800 22800 29700 49500 Other Bed Sore Excision ( With Primary Closure ) - Unilateral ( PLASTIC SURGERY 18900 19800 19800 22800 29700 49500 3213 Medical/Surgical Procdedure Plastic Surgery ) Radial Arterial Injury ( Exploration + Repair ) - Using Vein PLASTIC SURGERY 18900 19800 19800 22800 29700 49500 3214 Medical/Surgical Procdedure Patch ( Plastic Surgery ) Popliteal Arterial Injury ( Exploration + Repair ) - Using Vein PLASTIC SURGERY 18900 19800 19800 22800 29700 49500 3215 Medical/Surgical Procdedure Patch ( Plastic Surgery ) 3216 Medical/Surgical Procdedure PLASTIC SURGERY Neo-Umbiloplasty ( Plastic Surgery ) 18900 19800 19800 22800 29700 49500 PLASTIC SURGERY Superficial Parotidectomy - Recurrent Tumour ( Plastic Surgery ) 18900 19800 19800 22800 29700 49500 3217 Medical/Surgical Procdedure 3218 Medical/Surgical Procdedure PLASTIC SURGERY First Web Release - Cleft Hand ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Complex Bifid Thumb Correction ( Wassal Type 3 ) ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3219 Medical/Surgical Procdedure Surgery ) 3220 Medical/Surgical Procdedure PLASTIC SURGERY Centralisation Of Chin ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3221 Medical/Surgical Procdedure PLASTIC SURGERY Chin Augmentation- Prosthetic / Allograft ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 PLASTIC SURGERY Cross Lip Pedicle Flap ( Abbe Estlander ) ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3222 Medical/Surgical Procdedure 3223 Medical/Surgical Procdedure PLASTIC SURGERY Fascia Latal Sling Surgery (Eye) ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3224 Medical/Surgical Procdedure PLASTIC SURGERY Malar/ Cheek Implant ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3225 Medical/Surgical Procdedure PLASTIC SURGERY Thoracic Pedicle Flap ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Trochanteric Bed Sore Excision ( With Primary Closure ) - PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3226 Medical/Surgical Procdedure Unilateral ( Plastic Surgery ) 3227 Medical/Surgical Procdedure PLASTIC SURGERY Breast Implant Removal ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Maxillary Reconstruction ( Complicated ) - With Bone Graft ( PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3228 Medical/Surgical Procdedure Plastic Surgery ) 3229 Medical/Surgical Procdedure PLASTIC SURGERY Other Nerve Repair ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3230 Medical/Surgical Procdedure PLASTIC SURGERY Head And Neck Repair - Complex ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3231 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft For Head And Neck - Large ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3232 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift- Facial Suspension ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3233 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release - Lips ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3234 Medical/Surgical Procdedure PLASTIC SURGERY Thenar Flap - Finger Tip Injuries ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3235 Medical/Surgical Procdedure PLASTIC SURGERY Proximal Row Carpectomy ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Swan Neck Deformity Correction - Single Finger ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3236 Medical/Surgical Procdedure Surgery ) 3237 Medical/Surgical Procdedure PLASTIC SURGERY Reduction Mammoplasty ( Right Side ) 19800 20800 20800 23900 31200 52000 3238 Medical/Surgical Procdedure PLASTIC SURGERY Cross Finger Flap - Finger Tip Injuries ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3239 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - Upto 1 Litre ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Ischial Bed Sore Excision ( With Myocutaneous/ Muscle Flap PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3240 Medical/Surgical Procdedure Closure ) - Bilateal ( Plastic Surgery ) Superficial Soft Tissue Mass/ Tumour Excision ( Large ) - PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3241 Medical/Surgical Procdedure Excluding Neuroma Or Ganglion ( Plastic Surgery ) Extra Digit Excision ( With Ligament Reconstruction ) - Excluding PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3242 Medical/Surgical Procdedure Thumb ( Plastic Surgery ) Mandibular Condylar Fracture - Open Reduction ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3243 Medical/Surgical Procdedure Surgery ) Malar Fracture - Open Reduction And Internal Fixation ( Orif ) ( PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3244 Medical/Surgical Procdedure Plastic Surgery ) Orbital Complicated Fracture - Open Reduction ( Plastic Surgery PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3245 Medical/Surgical Procdedure ) PLASTIC SURGERY Zygomatic Arch Fracture - Open Reduction ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3246 Medical/Surgical Procdedure PLASTIC SURGERY Jaw Cyst / Tumour Excision + Bone Grafting ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3247 Medical/Surgical Procdedure Reverse Dermal Cross Finger Flap - Finger Tip Injuries ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3248 Medical/Surgical Procdedure Surgery ) 3249 Medical/Surgical Procdedure PLASTIC SURGERY Local Head And Neck Flap - Large ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Extensor Tendon Repair ( Zone-2 ) - Two Tendons ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3250 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Scaphoid Non-union - Orif + Bone Grafting ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3251 Medical/Surgical Procdedure Button Hole Deformity Correction - Single Finger ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3252 Medical/Surgical Procdedure Surgery ) Radial Club Hand - Centralisation Radialisation ( Plastic Surgery PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3253 Medical/Surgical Procdedure ) Radial Collateral Ligament Reconstruction - Thumb ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3254 Medical/Surgical Procdedure Surgery ) Sacral Bed Sore Excision ( With Primary Closure ) ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3255 Medical/Surgical Procdedure Surgery ) Liposuction + Excision Of Gynaecomastia - Unilateral ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3256 Medical/Surgical Procdedure Surgery ) 3257 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Grafting - Stage 1 ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Coccygeal Bedsore Excision ( With Primary Closure ) ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3258 Medical/Surgical Procdedure Surgery ) TM Joint Dislocation ( Complicated ) - Closed Reduction / IMF ( PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3259 Medical/Surgical Procdedure Arch Bars ) ( Plastic Surgery ) 3260 Medical/Surgical Procdedure PLASTIC SURGERY Expander Insertion -Two ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Reconstructive Rhinoplasty - Forehead Flap ( Stage One Of Two PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3261 Medical/Surgical Procdedure Stages ) ( Plastic Surgery ) Otoplasty ( Acquired Ear Deformity ) - Unilateral ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3262 Medical/Surgical Procdedure Surgery ) 3263 Medical/Surgical Procdedure PLASTIC SURGERY Otoplasty ( Lop Ears ) - Bilateral ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Orbital Blow Out Fracture - Open Reduction + Alloplastic Implant PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3264 Medical/Surgical Procdedure ( Plastic Surgery ) 3265 Medical/Surgical Procdedure PLASTIC SURGERY TM Joint Dislocation - Open Reduction ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 Ear Reconstruction ( 2nd Stage ) - Release And Graft ( Plastic PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3266 Medical/Surgical Procdedure Surgery ) Mandible Fracture ( Complicated ) - Open Reduction (Orif) ( PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3267 Medical/Surgical Procdedure Plastic Surgery ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Flexor Tendon Repair ( Zone-2 ) - Two Tendons ( Plastic Surgery PLASTIC SURGERY 20800 21800 21800 25100 32700 54500 3268 Medical/Surgical Procdedure ) 3269 Medical/Surgical Procdedure PLASTIC SURGERY Nail Bed Reconstruction - Two Fingers ( Plastic Surgery ) 20800 21800 21800 25100 32700 54500 Groin/Abdominal Flap Cover For Hand Injuries - Large ( Two PLASTIC SURGERY 20800 21800 21800 25100 32700 54500 3270 Medical/Surgical Procdedure Flaps ) ( Plastic Surgery ) Mallet Finger Correction - Extensor Tendon Repair ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3271 Medical/Surgical Procdedure Surgery ) Burns Contracture Release - Two Fingers / Toes /Medium ( PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3272 Medical/Surgical Procdedure Plastic Surgery ) 3273 Medical/Surgical Procdedure PLASTIC SURGERY Ray Resectiion For Macrodactyly ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Excision Of Haemangioma - Face ( More Than 2 cm ) ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3274 Medical/Surgical Procdedure Surgery ) Camptodactyly ( Contracture Release + Tendon Transfer ) - Two PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3275 Medical/Surgical Procdedure Fingers ( Plastic Surgery ) Complex Bifid Thumb Correction ( Wassal Type 4 ) ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3276 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Chin Augmentation- Single Sliding Osteotomy ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3277 Medical/Surgical Procdedure PLASTIC SURGERY Expander Removal & Contouring - Single ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3278 Medical/Surgical Procdedure 3279 Medical/Surgical Procdedure PLASTIC SURGERY Latissimus Dorsi Flap - Pedicle ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3280 Medical/Surgical Procdedure PLASTIC SURGERY Redo Palatoplasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3281 Medical/Surgical Procdedure PLASTIC SURGERY Radial Nerve Repair ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3282 Medical/Surgical Procdedure PLASTIC SURGERY Palatoplasty - Complete Palate ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3283 Medical/Surgical Procdedure PLASTIC SURGERY Sphincter Pharyngoplasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3284 Medical/Surgical Procdedure PLASTIC SURGERY Forehead ( Thread Lift ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 PLASTIC SURGERY Segmental Mandibular Osteotomy (Single) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3285 Medical/Surgical Procdedure 3286 Medical/Surgical Procdedure PLASTIC SURGERY Segmental Maxillary Osteotomy (Single) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3287 Medical/Surgical Procdedure PLASTIC SURGERY Radial Artery Flap - Pedicle ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3288 Medical/Surgical Procdedure PLASTIC SURGERY Pharyngeal Flap Pharyngoplasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3289 Medical/Surgical Procdedure PLASTIC SURGERY Skin Graft Vaginoplasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3290 Medical/Surgical Procdedure PLASTIC SURGERY Lipoinjection ( 10 - 20Ml ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 PLASTIC SURGERY Gracilis Muscle / Myocutaneous Flap - Pedicle ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3291 Medical/Surgical Procdedure 3292 Medical/Surgical Procdedure PLASTIC SURGERY Microstomia Correction - Bilateral ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3293 Medical/Surgical Procdedure PLASTIC SURGERY Sternomastoid Release - Bipolar ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3294 Medical/Surgical Procdedure PLASTIC SURGERY Calf Implant ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3295 Medical/Surgical Procdedure PLASTIC SURGERY Brow / Forehead Lift ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Full Thickness Skin Grafting - Finger Tip Injuries ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3296 Medical/Surgical Procdedure Surgery ) 3297 Medical/Surgical Procdedure PLASTIC SURGERY Lacerations ( Facial ) - Large Multiple ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Groin/Abdominal Flap Cover For Hand Injuries - Medium ( PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3298 Medical/Surgical Procdedure Multiple Flaps ) ( Plastic Surgery ) Endoscopic Gynaecomastia Excision - Bilateral ( Plastic Surgery PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3299 Medical/Surgical Procdedure ) 3300 Medical/Surgical Procdedure PLASTIC SURGERY Closed Aesthetic Rhinoplasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3301 Medical/Surgical Procdedure PLASTIC SURGERY Nasal Tip Plasty ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3302 Medical/Surgical Procdedure PLASTIC SURGERY Palatal Fistula Closure ( Tongue Flap ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Complex Bifid Thumb Correction ( Wassal Type 6 ) ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3303 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Excision Of Pilonidal Sinus ( With Flap Cover ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3304 Medical/Surgical Procdedure 3305 Medical/Surgical Procdedure PLASTIC SURGERY Abdominoplasty ( With Limited Incision ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3306 Medical/Surgical Procdedure PLASTIC SURGERY Gynaecomsatia Excision - Bilateral ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3307 Medical/Surgical Procdedure PLASTIC SURGERY Nipple Reconstruction - Bilateral ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3308 Medical/Surgical Procdedure PLASTIC SURGERY Eye Lid Reconstruction ( Multiple ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Scar/ Lesion/Wound Excision + Skin Grafting - Medium ( Plastic PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3309 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Pedicled Omental Transfer - Sternal Wound ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3310 Medical/Surgical Procdedure Tendon Repair ( Tenolysis Of Flexor/Extensor Tendons ) - PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3311 Medical/Surgical Procdedure Multiple ( Plastic Surgery ) 3312 Medical/Surgical Procdedure PLASTIC SURGERY Palatal Fistula Closure ( Local Flap ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 3313 Medical/Surgical Procdedure PLASTIC SURGERY Palatal Fistula Closure ( Mucosal Flap ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Maxillary Lefort I Fracture ( Complicated ) - Open Reduction + PLASTIC SURGERY 21800 22900 22900 26300 34400 57300 3314 Medical/Surgical Procdedure Bone Graft ( Orif ) ( Plastic Surgery ) 3315 Medical/Surgical Procdedure PLASTIC SURGERY Mandible Reconstruction ( With Implant ) ( Plastic Surgery ) 21800 22900 22900 26300 34400 57300 Mallet Finger Correction - Tendon Repair With K-Wiring ( Plastic PLASTIC SURGERY 22800 23900 23900 27500 35900 59800 3316 Medical/Surgical Procdedure Surgery ) 3317 Medical/Surgical Procdedure PLASTIC SURGERY Excision Of Neuroma - Major Nerve ( Plastic Surgery ) 23800 25000 25000 28800 37500 62500 Orbital Blow Out Fracture - Open Reduction + Bone Graft ( PLASTIC SURGERY 23800 25000 25000 28800 37500 62500 3318 Medical/Surgical Procdedure Plastic Surgery ) Reconstructive Rhinoplasty - Forehead Flap ( Single Stage ) ( PLASTIC SURGERY 23800 25000 25000 28800 37500 62500 3319 Medical/Surgical Procdedure Plastic Surgery ) Extensor Tendon Repair ( Zone-3 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3320 Medical/Surgical Procdedure Surgery ) Camptodactyly ( Contracture Release ) - Multiple Fingers ( PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3321 Medical/Surgical Procdedure Plastic Surgery ) Complex Bifid Thumb Correction ( Wassal Type 5 ) ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3322 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Correction / Revision Of Face Scars - Multiple ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 3323 Medical/Surgical Procdedure Chin Augmentation - Osteotomy with Bone Graft ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3324 Medical/Surgical Procdedure Surgery ) 3325 Medical/Surgical Procdedure PLASTIC SURGERY Chin Reduction ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 Excision Of Haemangioma - Extremities / Trunk ( More Than 10 PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3326 Medical/Surgical Procdedure cm ) ( Plastic Surgery ) 3327 Medical/Surgical Procdedure PLASTIC SURGERY Neurovascular Island Flap - Pedicle ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 Sacral Bed Sore Excision ( With Skin Grafting ) ( Plastic Surgery PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3328 Medical/Surgical Procdedure ) Trochanteric Bed Sore Excision ( With Primary Closure ) - PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3329 Medical/Surgical Procdedure Bilateral ( Plastic Surgery ) Trochanteric Bed Sore Excision ( With Skin Grafting ) - PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3330 Medical/Surgical Procdedure Unilateral ( Plastic Surgery ) 3331 Medical/Surgical Procdedure PLASTIC SURGERY Expander Insertion - Three ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 3332 Medical/Surgical Procdedure PLASTIC SURGERY Buttock Implant ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 3333 Medical/Surgical Procdedure PLASTIC SURGERY Penile Lengthening ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 3334 Medical/Surgical Procdedure PLASTIC SURGERY Perforator Pedicle Flap ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 Trochanteric Bed Sore Excision ( With Myocutaneous Flap PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3335 Medical/Surgical Procdedure Closure ) - Unilateral ( Plastic Surgery ) Trochanteric Bed Sore Excision ( With Skin Flap Closure ) - PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3336 Medical/Surgical Procdedure Unilateral ( Plastic Surgery ) Coccygeal Bedsore Excision ( With Flap Closure ) ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3337 Medical/Surgical Procdedure Surgery ) Other Bed Sore Excision ( With Skin Flap Closure ) ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3338 Medical/Surgical Procdedure Surgery ) Wide Excision Of Lesion In Head And Neck - Major ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3339 Medical/Surgical Procdedure Surgery ) 3340 Medical/Surgical Procdedure PLASTIC SURGERY Lip Reconstuction With Singleflaps ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 PLASTIC SURGERY Other Bed Sore Excision ( With Skin Grafting ) ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 3341 Medical/Surgical Procdedure GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3342 Medical/Surgical Procdedure PLASTIC SURGERY Pedicled Flap - Major ( Plastic Surgery ) 24400 25600 25600 29400 38400 64000 Carpal Tunnel Release Operation ( With Synovectomy ) ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3343 Medical/Surgical Procdedure Surgery ) Swan Neck Of Deformity Correction - Two Fingers ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3344 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-6 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3345 Medical/Surgical Procdedure Surgery ) Sacral Bed Sore Excision ( With Skin Flap Closure ) ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3346 Medical/Surgical Procdedure Surgery ) Button Hole Deformity Correction - Two Fingers ( Plastic Surgery PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3347 Medical/Surgical Procdedure ) Extensor Tendon Repair ( Zone-4 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3348 Medical/Surgical Procdedure Surgery ) Ischial Bed Sore Excision ( With Skin Grafting ) - Unilateral ( PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3349 Medical/Surgical Procdedure Plastic Surgery ) Otoplasty ( Acquired Ear Deformity ) - Bilateral ( Plastic Surgery PLASTIC SURGERY 24400 25600 25600 29400 38400 64000 3350 Medical/Surgical Procdedure ) PLASTIC SURGERY Lefort III Fracture - Open Reduction ( Orif ) ( Plastic Surgery ) 24800 26000 26000 29900 39000 65000 3351 Medical/Surgical Procdedure 3352 Medical/Surgical Procdedure PLASTIC SURGERY Malar Reduction ( Plastic Surgery ) 25300 26600 26600 30600 39900 66500 3353 Medical/Surgical Procdedure PLASTIC SURGERY Extended Parotidectomy ( Plastic Surgery ) 25300 26600 26600 30600 39900 66500 3354 Medical/Surgical Procdedure PLASTIC SURGERY Total Parotidectomy ( Nerve Preserving ) ( Plastic Surgery ) 25300 26600 26600 30600 39900 66500 Total Parotidectomy For Recurrent Tumour ( Nerve Preserving ) ( PLASTIC SURGERY 25300 26600 26600 30600 39900 66500 3355 Medical/Surgical Procdedure Plastic Surgery ) Naso-Maxillary Fracture ( Lefort II ) - Open Reduction ( Orif ) ( PLASTIC SURGERY 25300 26600 26600 30600 39900 66500 3356 Medical/Surgical Procdedure Plastic Surgery ) 3357 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift - Minimum Scar ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 3358 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - 1 To 3 Litres ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 3359 Medical/Surgical Procdedure PLASTIC SURGERY Neurolysis - Lateral Popliteal Nerve ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 Skin Lesion Excision - Extremities / Trunk ( More Than 10 cm ) ( PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3360 Medical/Surgical Procdedure Plastic Surgery ) Groin/Abdominal Flap Cover For Hand Injuries - Large ( Multiple PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3361 Medical/Surgical Procdedure Flaps ) ( Plastic Surgery ) PLASTIC SURGERY Nail Bed Reconstruction - Multiple Fingers ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 3362 Medical/Surgical Procdedure 3363 Medical/Surgical Procdedure PLASTIC SURGERY Debulking of Macrodactyly ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 Swan Neck Deformity Correction - Multiple Fingers ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3364 Medical/Surgical Procdedure Surgery ) Extensor Tendon Repair ( Zone-5 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3365 Medical/Surgical Procdedure Surgery ) Flexor Tendon Repair ( Zone-3 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3366 Medical/Surgical Procdedure Surgery ) 3367 Medical/Surgical Procdedure PLASTIC SURGERY On-Top Plasty / Pollicization ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 Flexor Tendon Repair ( Zone-5 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3368 Medical/Surgical Procdedure Surgery ) Flexor Tendon Repair ( Zone-6 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3369 Medical/Surgical Procdedure Surgery ) 3370 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Grafting - Stage 2 ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 Flexor Tendon Repair ( Zone-4 ) - Multiple Tendons ( Plastic PLASTIC SURGERY 26300 27600 27600 31700 41400 69000 3371 Medical/Surgical Procdedure Surgery ) 3372 Medical/Surgical Procdedure PLASTIC SURGERY Ulnar Artery Forearm Free Flap ( Plastic Surgery ) 26300 27600 27600 31700 41400 69000 3373 Medical/Surgical Procdedure PLASTIC SURGERY Lip Reconstuction ( With Multiple Flaps ) ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 Other Bed Sore Excision ( With Myocutaneous Flap Closure ) ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3374 Medical/Surgical Procdedure Plastic Surgery ) 3375 Medical/Surgical Procdedure PLASTIC SURGERY Lipoinjection ( More than 20Ml ) ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3376 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift - Classic Operation ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 Trochanteric Bed Sore Excision ( With Skin Flap Closure ) - PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3377 Medical/Surgical Procdedure Bilateral ( Plastic Surgery ) PLASTIC SURGERY Segmental Maxillary Osteotomy ( Multiple ) ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3378 Medical/Surgical Procdedure 3379 Medical/Surgical Procdedure PLASTIC SURGERY Brachial Plexus Repair - Neurolysis ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 PLASTIC SURGERY Segmental Mandibular Osteotomy ( Multiple ) ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3380 Medical/Surgical Procdedure Carpal Tunnel Release Operation With Opponensplasty ( Plastic PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3381 Medical/Surgical Procdedure Surgery ) 3382 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release - Neck ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3383 Medical/Surgical Procdedure PLASTIC SURGERY Brow / Forehead Lift - Endoscopic ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 Burns Contracture Release - Multiple Fingers / Extensive ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3384 Medical/Surgical Procdedure Plastic Surgery ) Button Hole Deformity Correction - Multiple Fingers ( Plastic PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3385 Medical/Surgical Procdedure Surgery ) Liposuction + Excision Of Gynaecomastia - Bilateral ( Plastic PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3386 Medical/Surgical Procdedure Surgery ) Sacral Bed Sore Excision ( With Myocutaneous Flap Closure ) ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3387 Medical/Surgical Procdedure Plastic Surgery ) Ischial Bed Sore Excision ( With Myocutaneous / Muscle Flap PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3388 Medical/Surgical Procdedure Closure ) - Bilateral ( Plastic Surgery ) 3389 Medical/Surgical Procdedure PLASTIC SURGERY Snow-Litters Procedure For Cleft Hand ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3390 Medical/Surgical Procdedure PLASTIC SURGERY Triceps To Biceps Muscle Transfer ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3391 Medical/Surgical Procdedure PLASTIC SURGERY Osteotomy ( Ulna ) - Radial Club Hand ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3392 Medical/Surgical Procdedure PLASTIC SURGERY Mid Face Lift + Lowerlid Blepharoplasty ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 PLASTIC SURGERY Brachial Plexus Exploration + Nerve Repair ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3393 Medical/Surgical Procdedure Brachial Plexus Exploration + Nerve Transfer/Neurotization ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3394 Medical/Surgical Procdedure Plastic Surgery ) 3395 Medical/Surgical Procdedure PLASTIC SURGERY Trapezius Muscle Transfer ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3396 Medical/Surgical Procdedure PLASTIC SURGERY Thighplasty - Post Bariatric Surgery ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 Ischial Bed Sore Excision ( With Primary Closure ) - Bilateral ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3397 Medical/Surgical Procdedure Plastic Surgery ) Ischial Bed Sore Excision ( With Skin Grafting ) - Bilateral ( PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3398 Medical/Surgical Procdedure Plastic Surgery ) 3399 Medical/Surgical Procdedure PLASTIC SURGERY Inverted Nipple Correction - Bilateral ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3400 Medical/Surgical Procdedure PLASTIC SURGERY Cranioploasty With Implant ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3401 Medical/Surgical Procdedure PLASTIC SURGERY Palatal Fistula Closure - Famm Flap ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3402 Medical/Surgical Procdedure PLASTIC SURGERY Reimplantation - Finger ( Single ) ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 Ear Reconstruction With Tissue Expander - Unilateral ( Plastic PLASTIC SURGERY 27300 28700 28700 33000 43100 71800 3403 Medical/Surgical Procdedure Surgery ) 3404 Medical/Surgical Procdedure PLASTIC SURGERY Myocutaneous Flap 23800 25000 25000 28800 37500 62500 Revascularization - Fingers ( Four Or More Fingers ) ( Plastic PLASTIC SURGERY 27800 29200 29200 33600 43800 73000 3405 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Revascularization - Fingers ( Two Fingers ) ( Plastic Surgery ) 27800 29200 29200 33600 43800 73000 3406 Medical/Surgical Procdedure PLASTIC SURGERY Revascularization - Fingers ( Three Fingers ) ( Plastic Surgery ) 27800 29200 29200 33600 43800 73000 3407 Medical/Surgical Procdedure Revascularisation Of Upper Limb At Forearm Level ( Plastic PLASTIC SURGERY 27800 29200 29200 33600 43800 73000 3408 Medical/Surgical Procdedure Surgery ) Revascularization - Upper Limb ( At Palm Level ) ( Plastic PLASTIC SURGERY 27800 29200 29200 33600 43800 73000 3409 Medical/Surgical Procdedure Surgery ) Revascularization - Upper Limb ( At Upper Arm Level ) ( Plastic PLASTIC SURGERY 27800 29200 29200 33600 43800 73000 3410 Medical/Surgical Procdedure Surgery ) Revascularization - Upper Limb ( At Wrist Level ) ( Plastic PLASTIC SURGERY 27800 29200 29200 33600 43800 73000 3411 Medical/Surgical Procdedure Surgery ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3412 Medical/Surgical Procdedure PLASTIC SURGERY Reverse Abdominoplasty / Torsoplasty ( Plastic Surgery ) 28300 29700 29700 34200 44600 74300 3413 Medical/Surgical Procdedure PLASTIC SURGERY Breast Augmentation ( Plastic Surgery ) 28300 29700 29700 34200 44600 74300 Naso-Maxillary ( Complicated ) Fracture ( Lefort II )- Open PLASTIC SURGERY 29300 30800 30800 35400 46200 77000 3414 Medical/Surgical Procdedure Reduction (Orif) ( Plastic Surgery ) Anterior Abdominal Wall Reconstruction + Repair ( Plastic PLASTIC SURGERY 29700 31200 31200 35900 46800 78000 3415 Medical/Surgical Procdedure Surgery ) 3416 Medical/Surgical Procdedure PLASTIC SURGERY Median Nerve Grafting ( Plastic Surgery ) 29700 31200 31200 35900 46800 78000 Lefort III ( Complicated ) Fracture - Open Reduction (Orif) ( PLASTIC SURGERY 29700 31200 31200 35900 46800 78000 3417 Medical/Surgical Procdedure Plastic Surgery ) Scar/ Lesion/Wound Excision + Skin Grafting - Major ( Plastic PLASTIC SURGERY 30700 32200 32200 37000 48300 80500 3418 Medical/Surgical Procdedure Surgery ) Trochanteric Bed Sore Excision ( With Myocutaneous Flap PLASTIC SURGERY 30700 32200 32200 37000 48300 80500 3419 Medical/Surgical Procdedure Closure ) - Bilateral ( Plastic Surgery ) Trochanteric Bed Sore Excision ( With Skin Grafting ) - Bilateral PLASTIC SURGERY 30700 32200 32200 37000 48300 80500 3420 Medical/Surgical Procdedure ( Plastic Surgery ) 3421 Medical/Surgical Procdedure PLASTIC SURGERY Fat Injection ( Plastic Surgery ) 30700 32200 32200 37000 48300 80500 Camptodactyly ( Contracture Release + Tendon Transfer ) - PLASTIC SURGERY 30700 32200 32200 37000 48300 80500 3422 Medical/Surgical Procdedure Multiple Fingers ( Plastic Surgery ) PLASTIC SURGERY Reverse Thigh Lift - Post Bariatric Surgery ( Plastic Surgery ) 30700 32200 32200 37000 48300 80500 3423 Medical/Surgical Procdedure 3424 Medical/Surgical Procdedure PLASTIC SURGERY Reconstruction With Cartilage Graft ( Plastic Surgery ) 30700 32200 32200 37000 48300 80500 3425 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - 3 To 5 Litres ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3426 Medical/Surgical Procdedure PLASTIC SURGERY Abdominoplasty + Liposuction ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3427 Medical/Surgical Procdedure PLASTIC SURGERY Ulnar Nerve Graft ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3428 Medical/Surgical Procdedure PLASTIC SURGERY Radial Nerve Graft ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3429 Medical/Surgical Procdedure PLASTIC SURGERY Open Tip Composite Rhinoplasty ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3430 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Grafting - One Graft ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3431 Medical/Surgical Procdedure PLASTIC SURGERY Corrective Septorhinoplasty ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 Radial Arterial Injury ( Exploration + Repair ) - Using Vein Graft PLASTIC SURGERY 32700 34300 34300 39400 51500 85800 3432 Medical/Surgical Procdedure ( Plastic Surgery ) 3433 Medical/Surgical Procdedure PLASTIC SURGERY Reduction Mammoplasty - Bilateral ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3434 Medical/Surgical Procdedure PLASTIC SURGERY Vaginal Tightening With Perineorraphy ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3435 Medical/Surgical Procdedure PLASTIC SURGERY Breast Augmentation - Dual Plane ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 PLASTIC SURGERY Reimplantation of Fingers - Three Fingers ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 3436 Medical/Surgical Procdedure 3437 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Transfer - Single ( Plastic Surgery ) 32700 34300 34300 39400 51500 85800 Popliteal Arterial Injury ( Exploration + Repair ) - Using Vein PLASTIC SURGERY 32700 34300 34300 39400 51500 85800 3438 Medical/Surgical Procdedure Graft ( Plastic Surgery ) Naso-Maxillary Complicated Fracture ( Lefort II ) - Open PLASTIC SURGERY 32700 34300 34300 39400 51500 85800 3439 Medical/Surgical Procdedure Reduction ( Orif ) + Bone Graft ( Plastic Surgery ) Craniostenosis ( Single Cranial Suture ) - Cranial Vault PLASTIC SURGERY 33300 35000 35000 40300 52500 87500 3440 Medical/Surgical Procdedure Reconstruction ( Plastic Surgery ) PLASTIC SURGERY Total Parotidectomy ( With Nerve Grafting ) ( Plastic Surgery ) 33300 35000 35000 40300 52500 87500 3441 Medical/Surgical Procdedure Total Parotidectomy - Recurrent Tumour ( With Nerve Grafting ) ( PLASTIC SURGERY 33300 35000 35000 40300 52500 87500 3442 Medical/Surgical Procdedure Plastic Surgery ) Reimplantation of Fingers - Four or More Fingers ( Plastic PLASTIC SURGERY 33300 35000 35000 40300 52500 87500 3443 Medical/Surgical Procdedure Surgery ) Incisional Hernia Repair + Component Separation ( Plastic PLASTIC SURGERY 34700 36400 36400 41900 54600 91000 3444 Medical/Surgical Procdedure Surgery ) 3445 Medical/Surgical Procdedure PLASTIC SURGERY Nasal Bone fracture Open Reduction 15900 16700 16700 19200 25100 41800 Lefort III Fracture ( Complicated ) - Open Reduction (Orif) + PLASTIC SURGERY 34700 36400 36400 41900 54600 91000 3446 Medical/Surgical Procdedure Bone Graft ( Plastic Surgery ) 3447 Medical/Surgical Procdedure PLASTIC SURGERY Parascapular Flap ( Plastic Surgery ) 35200 37000 37000 42600 55500 92500 3448 Medical/Surgical Procdedure PLASTIC SURGERY Flap Vaginoplasty ( Plastic Surgery ) 35200 37000 37000 42600 55500 92500 3449 Medical/Surgical Procdedure PLASTIC SURGERY Lateral Artery Flap ( Plastic Surgery ) 35200 37000 37000 42600 55500 92500 3450 Medical/Surgical Procdedure PLASTIC SURGERY Latissimus Dorsi Flap - Free ( Plastic Surgery ) 35200 37000 37000 42600 55500 92500 Osteotomy ( Lefort I ) - With Impaction / Intrusion ( Plastic PLASTIC SURGERY 35200 37000 37000 42600 55500 92500 3451 Medical/Surgical Procdedure Surgery ) PLASTIC SURGERY Gracilis Muscle / Myocutaneous Flap-Free ( Plastic Surgery ) 35200 37000 37000 42600 55500 92500 3452 Medical/Surgical Procdedure PLASTIC SURGERY Bilateral Sagittal Split Osteotomy- Setback ( Plastic Surgery ) 37200 39100 39100 45000 58700 97800 3453 Medical/Surgical Procdedure Osteotomy ( Lefort I ) - with Application of Distractor ( Plastic PLASTIC SURGERY 37200 39100 39100 45000 58700 97800 3454 Medical/Surgical Procdedure Surgery ) Craniostenosis (Single Cranial Suture) - Reconstruction Of PLASTIC SURGERY 37200 39100 39100 45000 58700 97800 3455 Medical/Surgical Procdedure Cranial Vault + Bone Grafting ( Plastic Surgery ) PLASTIC SURGERY David Chuangs Muscle Transfer Procedure ( Plastic Surgery ) 37200 39100 39100 45000 58700 97800 3456 Medical/Surgical Procdedure Bilateral Sagittal Split Osteotomy -Advancement ( Plastic PLASTIC SURGERY 37200 39100 39100 45000 58700 97800 3457 Medical/Surgical Procdedure Surgery ) 3458 Medical/Surgical Procdedure PLASTIC SURGERY Upper Body Lift ( Post Bariatric Surgery ) ( Plastic Surgery ) 37200 39100 39100 45000 58700 97800 PLASTIC SURGERY Medpore Ear Reconstruction - Unilateral ( Plastic Surgery ) 37200 39100 39100 45000 58700 97800 3459 Medical/Surgical Procdedure PLASTIC SURGERY Osteotomy ( Lefort I ) - With Advancement ( Plastic Surgery ) 37200 39100 39100 45000 58700 97800 3460 Medical/Surgical Procdedure Orif + Vascularised Bone Grafting - Non-Union of Scaphoid ( PLASTIC SURGERY 38200 40100 40100 46100 60200 100300 3461 Medical/Surgical Procdedure Plastic Surgery ) 3462 Medical/Surgical Procdedure PLASTIC SURGERY Reconstructive With Bone Graft ( Plastic Surgery ) 38200 40100 40100 46100 60200 100300 3463 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - 5 To 7 Litres ( Plastic Surgery ) 39600 41600 41600 47800 62400 104000 3464 Medical/Surgical Procdedure PLASTIC SURGERY Neurovascular Island Flap - Free ( Plastic Surgery ) 41600 43700 43700 50300 65600 109300 Craniostenosis ( Multiple Cranial Sutures ) - Cranial Vault PLASTIC SURGERY 41600 43700 43700 50300 65600 109300 3465 Medical/Surgical Procdedure Reconstruction + Bone Grafting ( Plastic Surgery ) 3466 Medical/Surgical Procdedure PLASTIC SURGERY Hypoplastic Thumb Pollicization ( Plastic Surgery ) 41600 43700 43700 50300 65600 109300 Ear Reconstruction With Tissue Expander - Bilateral ( Plastic PLASTIC SURGERY 41600 43700 43700 50300 65600 109300 3467 Medical/Surgical Procdedure Surgery ) 3468 Medical/Surgical Procdedure PLASTIC SURGERY Free Fibular Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3469 Medical/Surgical Procdedure PLASTIC SURGERY Free Style Free Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3470 Medical/Surgical Procdedure PLASTIC SURGERY Alt Perforator Free Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3471 Medical/Surgical Procdedure PLASTIC SURGERY Dcia Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3472 Medical/Surgical Procdedure PLASTIC SURGERY Groin Perforator Free Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3473 Medical/Surgical Procdedure PLASTIC SURGERY Lefort III (Extracranial) Advancement ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 Lefort III (Intracranial) Advancement - Monobloc ( Plastic Surgery PLASTIC SURGERY 43600 45800 45800 52700 68700 114500 3474 Medical/Surgical Procdedure ) 3475 Medical/Surgical Procdedure PLASTIC SURGERY Lefort III + Lefort I Advancement ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3476 Medical/Surgical Procdedure PLASTIC SURGERY Radial Artery Flap - Free ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 Brachial Plexus Exploration ( With Nerve Grafting ) ( Plastic PLASTIC SURGERY 43600 45800 45800 52700 68700 114500 3477 Medical/Surgical Procdedure Surgery ) 3478 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Grafting - Two Grafts ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3479 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Transfer - Double ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3480 Medical/Surgical Procdedure PLASTIC SURGERY Diep Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 Mandible Reconstruction ( with Free Fibular Flap ) ( Plastic PLASTIC SURGERY 43600 45800 45800 52700 68700 114500 3481 Medical/Surgical Procdedure Surgery ) 3482 Medical/Surgical Procdedure PLASTIC SURGERY Iliac Crest Osteocutaneous Free Flap ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 PLASTIC SURGERY Reimplantation Of Fingers - Two Fingers ( Plastic Surgery ) 43600 45800 45800 52700 68700 114500 3483 Medical/Surgical Procdedure Osteotomy ( Lefort III ) - with Application of Distractor ( Plastic PLASTIC SURGERY 43600 45800 45800 52700 68700 114500 3484 Medical/Surgical Procdedure Surgery ) 3485 Medical/Surgical Procdedure PLASTIC SURGERY Long Bone - Free Fibula ( Plastic Surgery ) 44600 46800 46800 53800 70200 117000 Fibular Osteocutaneous Free Flap - Long Bones ( Plastic PLASTIC SURGERY 45600 47900 47900 55100 71900 119800 3486 Medical/Surgical Procdedure Surgery ) GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Reimplantation Of Upper Limb - Forearm Level ( Plastic Surgery PLASTIC SURGERY 45600 47900 47900 55100 71900 119800 3487 Medical/Surgical Procdedure ) PLASTIC SURGERY Reimplantation Of Upper Limb - Wrist Level ( Plastic Surgery ) 45600 47900 47900 55100 71900 119800 3488 Medical/Surgical Procdedure PLASTIC SURGERY Reimplantation Of Upper Limb - Palm Level ( Plastic Surgery ) 45600 47900 47900 55100 71900 119800 3489 Medical/Surgical Procdedure Reimplantation Of Upper Limb - Upper Arm Level ( Plastic PLASTIC SURGERY 45600 47900 47900 55100 71900 119800 3490 Medical/Surgical Procdedure Surgery ) 3491 Medical/Surgical Procdedure PLASTIC SURGERY Liposuction - More than 7 Litres ( Plastic Surgery ) 46100 48400 48400 55700 72600 121000 3492 Medical/Surgical Procdedure PLASTIC SURGERY Free Microvascular / Joint Transfer ( Plastic Surgery ) 46100 48400 48400 55700 72600 121000 Radial Club Hand - Free Epiphysis / Fibula Transfer ( Plastic PLASTIC SURGERY 46100 48400 48400 55700 72600 121000 3493 Medical/Surgical Procdedure Surgery ) Orbital Repositioning For Hypertelorism - Extracranial Approach ( PLASTIC SURGERY 50500 53000 53000 61000 79500 132500 3494 Medical/Surgical Procdedure Plastic Surgery ) Craniostenosis ( Multiple Cranial Sutures ) - Reconstruction Of PLASTIC SURGERY 52500 55100 55100 63400 82700 137800 3495 Medical/Surgical Procdedure Cranial Vault ( Plastic Surgery ) Orbital Repositioning For Hypertelorism - Extra Cranial & PLASTIC SURGERY 54500 57200 57200 65800 85800 143000 3496 Medical/Surgical Procdedure Intracranial Approach ( Plastic Surgery ) 3497 Medical/Surgical Procdedure PLASTIC SURGERY Augmentation Phalloplasty - Free Flap ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 3498 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Transfer - Triple ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 3499 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Grafting - Three Grafts ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 3500 Medical/Surgical Procdedure PLASTIC SURGERY Facial Reanimation ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 3501 Medical/Surgical Procdedure PLASTIC SURGERY Toe Transfer - Great Toe ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 Orbital Repositioning For Hypertelorism ( Extracranial Approach PLASTIC SURGERY 54500 57200 57200 65800 85800 143000 3502 Medical/Surgical Procdedure With Bone Graft ) ( Plastic Surgery ) 3503 Medical/Surgical Procdedure PLASTIC SURGERY Medpore Ear Reconstruction - Bilateral ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 3504 Medical/Surgical Procdedure PLASTIC SURGERY Facial Bi-Partition For Hypertelorism ( Plastic Surgery ) 54500 57200 57200 65800 85800 143000 Functioning Free Muscle Transfer - Gracilis Muscle ( Plastic PLASTIC SURGERY 55500 58300 58300 67000 87500 145800 3505 Medical/Surgical Procdedure Surgery ) Functioning Free Muscle Transfer - Latisimus Dorsi Muscle ( PLASTIC SURGERY 55500 58300 58300 67000 87500 145800 3506 Medical/Surgical Procdedure Plastic Surgery ) Orbital Repositioning For Hypertelorism ( Extra Cranial & PLASTIC SURGERY 59000 62000 62000 71300 93000 155000 3507 Medical/Surgical Procdedure Intracranial Approach With Bone Graft ) ( Plastic Surgery ) Jaw Cyst / Jaw Tumour Resection & Reconstruction ( With Free PLASTIC SURGERY 59400 62400 62400 71800 93600 156000 3508 Medical/Surgical Procdedure Fibula Flap ) ( Plastic Surgery ) 3509 Medical/Surgical Procdedure PLASTIC SURGERY Excisional Biopsy / Malignant - Large ( Plastic Surgery ) 17520 19470 19470 22390 29200 48675 3510 Medical/Surgical Procdedure PLASTIC SURGERY Excisional Biopsy / Malignant - Small ( Plastic Surgery ) 11040 12270 12270 14110 18400 30675 3511 Medical/Surgical Procdedure PLASTIC SURGERY Pharyngoplasty ( Plastic Surgery ) 18400 19300 19300 22200 29000 48300 3512 Medical/Surgical Procdedure PLASTIC SURGERY Breast Augmentation 23500 24700 24700 28400 37100 61800 3513 Medical/Surgical Procdedure PLASTIC SURGERY Ptosis Surgical Correction - Right Eye ( Plastic Surgery ) 15400 16200 16200 18600 24300 40500 3514 Medical/Surgical Procdedure PLASTIC SURGERY Ptosis Surgical Correction - Left Eye ( Plastic Surgery ) 12900 13500 13500 15500 20300 33800 3515 Medical/Surgical Procdedure PLASTIC SURGERY Breast Reconstruction ( with Implant ) 23500 24700 24700 28400 37100 61800 3516 Medical/Surgical Procdedure PLASTIC SURGERY Breast Reduction 28800 30200 30200 34700 45300 75500 3517 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Secondary ) Repair ( Plastic Surgery ) 15100 15900 15900 18300 23900 39800 3518 Medical/Surgical Procdedure PLASTIC SURGERY Split Skin Graft ( Medium ) 14500 16100 16100 18565 24200 40300 3519 Medical/Surgical Procdedure PLASTIC SURGERY TemporoMandibular Joint Ankylosis Correction 23500 24700 24700 28400 37100 61800 3520 Medical/Surgical Procdedure PLASTIC SURGERY Tendon Transfer - Single 11900 12500 12500 14400 18800 31300 3521 Medical/Surgical Procdedure PLASTIC SURGERY Vaginoplasty ( Plastic Surgery ) 23500 24700 24700 28400 37100 61800 3522 Medical/Surgical Procdedure PLASTIC SURGERY Wound Debridement - Large ( Plastic Surgery ) 9400 10400 10400 11990 15600 26000 3523 Medical/Surgical Procdedure PLASTIC SURGERY Wound Debridement - Medium ( Plastic Surgery ) 5500 5800 5800 6700 8700 14500 3524 Medical/Surgical Procdedure PLASTIC SURGERY Wound Debridement - Small ( Plastic Surgery ) 4800 5300 5300 6095 8000 13300 3525 Medical/Surgical Procdedure PLASTIC SURGERY Mastopexy 26300 27600 27600 31700 41400 69000 3526 Medical/Surgical Procdedure PLASTIC SURGERY Alar Adjustment 9500 10000 10000 11500 15000 25000 3527 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Upper Eyelid 10900 11400 11400 13100 17100 28500 3528 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Lower Eyelid 10900 11400 11400 13100 17100 28500 3529 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Lower Eyelid ( Bilateral ) 16400 17200 17200 19800 25800 43000 3530 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Upper Eyelid ( Bilateral ) 16400 17200 17200 19800 25800 43000 PLASTIC SURGERY Face Lift - SMAS ( Superficial Musculoaponeurotic System ) 27300 28700 28700 33000 43100 71800 3531 Medical/Surgical Procdedure 3532 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift ( Mid Face ) 26300 27600 27600 31700 41400 69000 3533 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift ( Lower Face ) 26300 27600 27600 31700 41400 69000 3534 Medical/Surgical Procdedure PLASTIC SURGERY Cheek Augmentation ( Per Side ) 23500 24700 24700 28400 37100 61800 3535 Medical/Surgical Procdedure PLASTIC SURGERY Otoplasty ( Protruding Ear / Bat Ear ) - Right 16400 17200 17200 19800 25800 43000 3536 Medical/Surgical Procdedure PLASTIC SURGERY Otoplasty ( Protruding Ear / Bat Ear ) - Left 14500 15200 15200 17500 22800 38000 3537 Medical/Surgical Procdedure PLASTIC SURGERY Otoplasty ( Protruding Ear / Bat Ear ) - Bilateral 24400 25600 25600 29400 38400 64000 3538 Medical/Surgical Procdedure PLASTIC SURGERY Chin Augmentation 23500 24700 24700 28400 37100 61800 3539 Medical/Surgical Procdedure PLASTIC SURGERY Lip Reduction 21800 22900 22900 26300 34400 57300 3540 Medical/Surgical Procdedure PLASTIC SURGERY Hair Transplant ( Per Hair Graft ) 60 70 70 80 110 180 3541 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift ( Thread ) 21800 22900 22900 26300 34400 57300 3542 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Complete ) Repair - Bilateral 26300 27600 27600 31700 41400 69000 3543 Medical/Surgical Procdedure PLASTIC SURGERY Buttock Lift 28800 30200 30200 34700 45300 75500 3544 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Incomplete ) Repair - Bilateral ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3545 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Complete ) Repair - Right 19800 20800 20800 23900 31200 52000 3546 Medical/Surgical Procdedure PLASTIC SURGERY Contracture Release ( Extensive ) - Multiple Fingers 23500 24700 24700 28400 37100 61800 3547 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Complete ) Repair - Left 19800 20800 20800 23900 31200 52000 3548 Medical/Surgical Procdedure PLASTIC SURGERY Tissue Expander Insertion - Single 15400 16200 16200 18600 24300 40500 3549 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Incomplete ) Repair - Right 16400 17200 17200 19800 25800 43000 3550 Medical/Surgical Procdedure PLASTIC SURGERY Expander Removal + Contouring ( Multiple ) 32700 34300 34300 39400 51500 85800 3551 Medical/Surgical Procdedure PLASTIC SURGERY Expander Removal + Contouring ( Single ) 15100 15900 15900 18300 23900 39800 3552 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip ( Incomplete ) Repair - Left 12900 13500 13500 15500 20300 33800 3553 Medical/Surgical Procdedure PLASTIC SURGERY Panfacial Fractures Fixation ( Plastic surgery ) 44300 46500 46500 53500 69800 116300 3554 Medical/Surgical Procdedure PLASTIC SURGERY Mandible Reconstruction ( with Bone Graft ) 24400 25600 25600 29400 38400 64000 3555 Medical/Surgical Procdedure PLASTIC SURGERY Mandible Reconstruction ( with Plate ) 19800 20800 20800 23900 31200 52000 3556 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Palate Repair ( Plastic Surgery ) 15100 15900 15900 18300 23900 39800 3557 Medical/Surgical Procdedure PLASTIC SURGERY Nail Bed Injury Repair - Multiple ( Plastic surgery ) 16400 17200 17200 19800 25800 43000 3558 Medical/Surgical Procdedure PLASTIC SURGERY Nail Bed Injury Repair - One Finger ( Plastic surgery ) 10900 11400 11400 13100 17100 28500 3559 Medical/Surgical Procdedure PLASTIC SURGERY Nasal Bone fracture Closed Reduction ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 3560 Medical/Surgical Procdedure PLASTIC SURGERY Epispadias ( Genitalia ) Reconstruction ( Plastic surgery ) 28800 30200 30200 34700 45300 75500 3561 Medical/Surgical Procdedure PLASTIC SURGERY Composite Graft ( Plastic Surgery ) 9800 10300 10300 11800 15500 25800 Open Reduction and Internal Fixation ( ORIF ) - Mandible ( PLASTIC SURGERY 19800 20800 20800 23900 31200 52000 3562 Medical/Surgical Procdedure Plastic Surgery ) Penile Implant Surgery ( Inflatable ) for Erectile Dysfunction ( PLASTIC SURGERY 28800 30200 30200 34700 45300 75500 3563 Medical/Surgical Procdedure Plastic Surgery ) Penile Implant Surgery ( Malleable ) for Erectile Dysfunction ( PLASTIC SURGERY 22800 23900 23900 27500 35900 59800 3564 Medical/Surgical Procdedure Plastic Surgery ) 3565 Medical/Surgical Procdedure PLASTIC SURGERY LymphaticoVenous Shunting 30700 32200 32200 37000 48300 80500 3566 Medical/Surgical Procdedure PLASTIC SURGERY LipoInjection ( Major ) 15100 15900 15900 18300 23900 39800 3567 Medical/Surgical Procdedure PLASTIC SURGERY LipoInjection ( Minor ) 7900 8300 8300 9500 12500 20800 3568 Medical/Surgical Procdedure PLASTIC SURGERY Brachioplasty ( Arm Lift ) 24400 25600 25600 29400 38400 64000 3569 Medical/Surgical Procdedure PLASTIC SURGERY Mandibular Osteotomy 36600 38400 38400 44200 57600 96000 3570 Medical/Surgical Procdedure PLASTIC SURGERY Burn Grafting ( Small ) 9500 10000 10000 11500 15000 25000 3571 Medical/Surgical Procdedure PLASTIC SURGERY Burn Grafting ( Medium ) 14900 15600 15600 17900 23400 39000 3572 Medical/Surgical Procdedure PLASTIC SURGERY Burn Grafting ( Large ) 28800 30200 30200 34700 45300 75500 3573 Medical/Surgical Procdedure PLASTIC SURGERY Burn Grafting ( Extensive ) 28800 30200 30200 34700 45300 75500 3574 Medical/Surgical Procdedure PLASTIC SURGERY Nasal Pack Removal ( Plastic Surgery ) 2310 2400 2400 2800 3600 6000 3575 Medical/Surgical Procdedure PLASTIC SURGERY Nerve Grafting ( Major ) 28800 30200 30200 34700 45300 75500 Breast Reconstruction with Transverse Rectus Abdominus PLASTIC SURGERY 36600 38400 38400 44200 57600 96000 3576 Medical/Surgical Procdedure Muscle ( TRAM ) Flap ( Plastic Surgery ) 3577 Medical/Surgical Procdedure PLASTIC SURGERY Arch Bar Removal ( Plastic Surgery ) 3600 3800 3800 4400 5700 9500 3578 Medical/Surgical Procdedure PLASTIC SURGERY Dressing - Medium ( Plastic Surgery ) 1100 1200 1200 1400 1800 3000 3579 Medical/Surgical Procdedure PLASTIC SURGERY Flap Delay 5500 5800 5800 6700 8700 14500 3580 Medical/Surgical Procdedure PLASTIC SURGERY Pedicle Graft / Flap - Medium 19800 20800 20800 23900 31200 52000 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3581 Medical/Surgical Procdedure PLASTIC SURGERY Arch Bar Wiring - Intermaxillary Fixation ( IMF ) 13500 14200 14200 16300 21300 35500 3582 Medical/Surgical Procdedure PLASTIC SURGERY Rhinoplasty Forehead ( Plastic Surgery ) 23500 24700 24700 28400 37100 61800 3583 Medical/Surgical Procdedure PLASTIC SURGERY Laceration Suturing - Medium ( Plastic Surgery ) 4000 4200 4200 4800 6300 10500 3584 Medical/Surgical Procdedure PLASTIC SURGERY Abdominoplasty 28300 29700 29700 34200 44600 74300 3585 Medical/Surgical Procdedure PLASTIC SURGERY Dermabrasion Face ( Full Face ) 21800 22900 22900 26300 34400 57300 3586 Medical/Surgical Procdedure PLASTIC SURGERY Dermabrasion Face ( Partial ) 13500 14200 14200 16300 21300 35500 3587 Medical/Surgical Procdedure PLASTIC SURGERY Nipple Reconstruction - Per Side 15400 16200 16200 18600 24300 40500 3588 Medical/Surgical Procdedure PLASTIC SURGERY Breast Reconstruction ( With Latissimus Dorsi Flap ) 31300 32900 32900 37800 49400 82300 3589 Medical/Surgical Procdedure PLASTIC SURGERY Brow Lift 23500 24700 24700 28400 37100 61800 3590 Medical/Surgical Procdedure PLASTIC SURGERY Dimple Creation ( Cheek ) - Bilateral 21800 22900 22900 26300 34400 57300 3591 Medical/Surgical Procdedure PLASTIC SURGERY Dimple Creation ( Cheek ) - Right 16400 17200 17200 19800 25800 43000 3592 Medical/Surgical Procdedure PLASTIC SURGERY Dimple Creation ( Cheek ) - Left 16400 17200 17200 19800 25800 43000 3593 Medical/Surgical Procdedure PLASTIC SURGERY Blepharoplasty - Upper + Lower Eyelid 27300 28700 28700 33000 43100 71800 3594 Medical/Surgical Procdedure PLASTIC SURGERY Burns Dressing ( Medium 10-30% ) 7700 8100 8100 9300 12200 20300 3595 Medical/Surgical Procdedure PLASTIC SURGERY Burns Dressing ( Minor 5 - 10% ) 4400 4600 4600 5300 6900 11500 3596 Medical/Surgical Procdedure PLASTIC SURGERY Laceration Repair - Large 10500 11700 11700 13400 17600 29300 3597 Medical/Surgical Procdedure PLASTIC SURGERY Laceration ( Multiple ) Repair 15200 16900 16900 19455 25400 42300 3598 Medical/Surgical Procdedure PLASTIC SURGERY Laceration ( Single ) Repair - Small 4000 4400 4400 5045 6600 11000 3599 Medical/Surgical Procdedure PLASTIC SURGERY LipoInjection ( Medium Area ) 12900 13500 13500 15500 20300 33800 3600 Medical/Surgical Procdedure PLASTIC SURGERY Dressing - Large ( Plastic Surgery ) 2200 2300 2300 2600 3500 5800 3601 Medical/Surgical Procdedure PLASTIC SURGERY Dressing - Small ( Plastic Surgery ) 1100 1200 1200 1355 1800 3000 3602 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobule Repair - Both Sides ( Plastic Surgery ) 4400 4600 4600 5300 6900 11500 3603 Medical/Surgical Procdedure PLASTIC SURGERY Ear Lobule Repair - Right ( Plastic Surgery ) 2860 3000 3000 3500 4500 7500 3604 Medical/Surgical Procdedure PLASTIC SURGERY Alveolar Bone Grafting ( Plastic Surgery ) 19800 20800 20800 23900 31200 52000 3605 Medical/Surgical Procdedure PLASTIC SURGERY Ganglion Excision ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3606 Medical/Surgical Procdedure PLASTIC SURGERY Median Nerve Repair 21800 22900 22900 26300 34400 57300 3607 Medical/Surgical Procdedure PLASTIC SURGERY Ear Reconstruction ( 2nd Stage ) 23500 24700 24700 28400 37100 61800 3608 Medical/Surgical Procdedure PLASTIC SURGERY Trigger Finger Release ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 3609 Medical/Surgical Procdedure PLASTIC SURGERY Entropion Correction - Right Eye ( Plastic Surgery ) 9000 9500 9500 10900 14300 23800 3610 Medical/Surgical Procdedure PLASTIC SURGERY Ulnar Nerve Repair 21800 22900 22900 26300 34400 57300 3611 Medical/Surgical Procdedure PLASTIC SURGERY Epicanthus Correction ( Plastic Surgery ) 13500 14200 14200 16300 21300 35500 3612 Medical/Surgical Procdedure PLASTIC SURGERY Eyebrow / Eyelash Graft 9800 10300 10300 11800 15500 25800 3613 Medical/Surgical Procdedure PLASTIC SURGERY Parotidectomy Superficial ( Plastic Surgery ) 18900 19800 19800 22800 29700 49500 3614 Medical/Surgical Procdedure PLASTIC SURGERY Parotidectomy Total ( Plastic Surgery ) 25300 26600 26600 30600 39900 66500 3615 Medical/Surgical Procdedure PLASTIC SURGERY Carbuncle Excision ( Plastic Surgery ) 10900 11400 11400 13100 17100 28500 3616 Medical/Surgical Procdedure PLASTIC SURGERY Hypospadias ( Distal ) Repair - One Stage 21800 22900 22900 26300 34400 57300 3617 Medical/Surgical Procdedure PLASTIC SURGERY Hypospadias ( Proximal ) Repair - One Stage 32700 34300 34300 39400 51500 85800 3618 Medical/Surgical Procdedure PLASTIC SURGERY Macrostomia Correction 13500 14200 14200 16300 21300 35500 3619 Medical/Surgical Procdedure PLASTIC SURGERY Palatoplasty + Pharyngoplasty 28800 30200 30200 34700 45300 75500 3620 Medical/Surgical Procdedure PLASTIC SURGERY Revascularization Digit ( Multiple ) 44300 46500 46500 53500 69800 116300 3621 Medical/Surgical Procdedure PLASTIC SURGERY Suturing - Secondary ( Major ) 9800 10300 10300 11800 15500 25800 3622 Medical/Surgical Procdedure PLASTIC SURGERY Suturing - Secondary ( Minor ) 6200 6500 6500 7500 9800 16300 3623 Medical/Surgical Procdedure PLASTIC SURGERY Skin Grafting ( Major ) 19800 20800 20800 23900 31200 52000 3624 Medical/Surgical Procdedure PLASTIC SURGERY Skin Grafting ( Medium ) 15100 15900 15900 18300 23900 39800 3625 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip + Palate ( Anterior ) Repair - Bilateral 28300 29700 29700 34200 44600 74300 3626 Medical/Surgical Procdedure PLASTIC SURGERY Cleft Lip + Palate ( Anterior ) Repair - Left 24400 25600 25600 29400 38400 64000 3627 Medical/Surgical Procdedure PLASTIC SURGERY Craniostenosis / Hyperteleorism Correction 44300 46500 46500 53500 69800 116300 3628 Medical/Surgical Procdedure PLASTIC SURGERY Dermofat graft - Large 12900 13500 13500 15500 20300 33800 3629 Medical/Surgical Procdedure PLASTIC SURGERY Dermofat graft - Small 10900 11400 11400 13100 17100 28500 3630 Medical/Surgical Procdedure PLASTIC SURGERY Dressing - Extra Large ( Plastic surgery ) 6200 6500 6500 7500 9800 16300 3631 Medical/Surgical Procdedure PLASTIC SURGERY Ear Reconstruction ( Cartilage Implantation ) - 1st Stage 27300 28700 28700 33000 43100 71800 3632 Medical/Surgical Procdedure PLASTIC SURGERY Ear Reconstruction - 3rd Stage 12900 13500 13500 15500 20300 33800 3633 Medical/Surgical Procdedure PLASTIC SURGERY Elephantiasis Surgical Treatment - Large 26100 27400 27400 31500 41100 68500 3634 Medical/Surgical Procdedure PLASTIC SURGERY Elephantiasis Surgical Treatment - Small 9800 10300 10300 11800 15500 25800 3635 Medical/Surgical Procdedure PLASTIC SURGERY Face lift ( Endoscopic ) 41600 43700 43700 50300 65600 109300 3636 Medical/Surgical Procdedure PLASTIC SURGERY Pollicization 28800 30200 30200 34700 45300 75500 3637 Medical/Surgical Procdedure PLASTIC SURGERY Flap Insetting 8000 8400 8400 9700 12600 21000 3638 Medical/Surgical Procdedure PLASTIC SURGERY Flap Detachment - Large 12900 13500 13500 15500 20300 33800 3639 Medical/Surgical Procdedure PLASTIC SURGERY Flap Detachment - Small 7900 8300 8300 9500 12500 20800 3640 Medical/Surgical Procdedure PLASTIC SURGERY Gynecomastia / Supernumerary Breast Excision 28800 30200 30200 34700 45300 75500 3641 Medical/Surgical Procdedure PLASTIC SURGERY Syndactyly Surgery - Simple 19800 20800 20800 23900 31200 52000 3642 Medical/Surgical Procdedure PLASTIC SURGERY Face Lift / Rhytidectomy ( Plastic Surgery ) 28800 30200 30200 34700 45300 75500 3643 Medical/Surgical Procdedure PLASTIC SURGERY Dermabrasion - Minor 4800 5000 5000 5800 7500 12500 3644 Medical/Surgical Procdedure PLASTIC SURGERY Hypospadias Repair - 1st Stage ( Plastic Surgery ) 16400 17200 17200 19800 25800 43000 3645 Medical/Surgical Procdedure PLASTIC SURGERY Hypospadias Repair - 2nd Stage ( Plastic Surgery ) 27300 28700 28700 33000 43100 71800 3646 Medical/Surgical Procdedure PLASTIC SURGERY Orbital Floor Fracture Repair 26100 27400 27400 31500 41100 68500 3647 Medical/Surgical Procdedure PLASTIC SURGERY Free Flap ( Composite ) 44300 46500 46500 53500 69800 116300 3648 Medical/Surgical Procdedure PLASTIC SURGERY Polydactyly Correction ( Plastic Surgery ) 14900 15600 15600 17900 23400 39000 3649 Medical/Surgical Procdedure PSYCHIATRY Psychiatry Therapy Session - 30 Min 1980 2100 2100 2400 3200 5300 3650 Medical/Surgical Procdedure PSYCHIATRY Psychiatrist Therapy Session 30 Min ( Sunday Premium ) 1600 1800 1800 2100 2700 4500 PSYCHOTHERAPY ( PSYCHOLOGIST ) ( 60 MIN PSYCHOLOGY 1400 1320 1400 1600 2100 3500 3651 Medical/Surgical Procdedure COMPREHENSIVE SESSION ) PSYCHOLOGY PSYCHOTHERAPY ( PSYCHOLOGIST ) ( 30 MIN SESSION ) 800 880 880 1000 1400 2300 3652 Medical/Surgical Procdedure 3653 Medical/Surgical Procdedure PSYCHOLOGY Psychology Evaluation - Comprehensive 5500 5800 5800 6700 8700 14500 3654 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Bullectomy 21800 22900 22900 26300 34400 57300 3655 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Plication Diaphragm 23800 25000 25000 28800 37500 62500 3656 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Goitre / Thyroid ( Retrosternal ) Excision 32700 34300 34300 39400 51500 85800 3657 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Carinal Reconstruction 32700 34300 34300 39400 51500 85800 3658 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Needle Biopsy ( Thoracic Surgery ) 3700 3900 3900 4500 5900 9800 3659 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleural Biopsy ( Thoracic Surgery ) 7300 7700 7700 8900 11600 19300 3660 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Eloesser Flap Window Thoracostomy ( Thoracic Surgery ) 16300 17100 17100 19700 25700 42800 3661 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Multiple Sleep Latency Test 3080 3200 3200 3700 4800 8000 3662 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pericardio Peritoneal Window 15200 16000 16000 18400 24000 40000 3663 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleuroscopy + Biopsy 9200 9700 9700 11200 14600 24300 3664 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mastectomy Simple ( Thoracic Surgery ) 20600 21600 21600 24800 32400 54000 PULMONOLGY & THORACIC SURGERY Mastectomy ( Simple ) + Axillary Dissection ( Thoracic Surgery ) 23600 24800 24800 28500 37200 62000 3665 Medical/Surgical Procdedure 3666 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Biopsy Thoracoscopic ( Thoracic Surgery ) 16300 17100 17100 19700 25700 42800 3667 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleural Biopsy - Thoracoscopic ( Thoracic Surgery ) 13000 13700 13700 15800 20600 34300 3668 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tracheostomy - Thoracic Surgery 15200 16000 16000 18400 24000 40000 3669 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Chest Wall Resection + Reconstruction 13000 13700 13700 15800 20600 34300 3670 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Adrenal Tumor Excision - Right Side ( Thoracic Surgery ) 22800 23900 23900 27500 35900 59800 3671 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Adrenal Tumor Excision - Bilateral ( Thoracic Surgery ) 25200 26500 26500 30500 39800 66300 3672 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracotomy Open ( for Chylothorax ) 26200 27500 27500 31600 41300 68800 3673 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Transection ( Thoracic Surgery ) 18500 19400 19400 22300 29100 48500 3674 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Intercostal Tube Drainage ( Thoracic Surgery ) 6800 7100 7100 8200 10700 17800 3675 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Neck Dissection ( Thoracic Surgery ) 10900 11400 11400 13100 17100 28500 3676 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Division Of Bands and Adhesions ( Thoracic Surgery ) 14100 14800 14800 17000 22200 37000 3677 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tracheostomy Percutaneous ( Thoracic Surgery ) 3700 3900 3900 4500 5900 9800 3678 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Bronchopleural Fistula Closure 28400 29800 29800 34300 44700 74500 3679 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleural Aspiration - Diagnostic ( Thoracic Surgery ) 1980 2100 2100 2400 3200 5300 3680 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleural Aspiration - Therapeutic ( Thoracic Surgery ) 3080 3200 3200 3700 4800 8000 3681 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleurodesis ( Thoracic Surgery ) 6600 6900 6900 7900 10400 17300 3682 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Rigid Bronchoscopy ( Thoracic Surgery ) 12000 12600 12600 14500 18900 31500 PULMONOLGY & THORACIC SURGERY Rigid Bronchoscopy + Electrocoagulation ( Thoracic Surgery ) 15200 16000 16000 18400 24000 40000 3683 Medical/Surgical Procdedure 3684 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Rigid Bronchoscopy + Laser Ablation ( Thoracic Surgery ) 19600 20600 20600 23700 30900 51500 3685 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tracheostomy Closure 9600 10100 10100 11600 15200 25300 3686 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Clot Evacuation by Open Thoracotomy 18100 19000 19000 21900 28500 47500 3687 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Decortication Lung ( Thoracic Surgery ) 26200 27500 27500 31600 41300 68800 3688 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Decortication + Lobectomy ( Lung ) 28400 29800 29800 34300 44700 74500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3689 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pericardial Aspiration ( Thoracic Surgery ) 3900 4100 4100 4700 6200 10300 3690 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Hernia ( Diaphragmatic ) Repair - Thoracic Surgery 21800 22900 22900 26300 34400 57300 3691 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Diaphragmatic Reconstruction 28400 29800 29800 34300 44700 74500 3692 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Empyemectomy 21800 22900 22900 26300 34400 57300 3693 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Benign Tumors Enucleation (Thoracic Surgery) 28400 29800 29800 34300 44700 74500 3694 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Bypass ( Thoracic Surgery ) 28400 29800 29800 34300 44700 74500 3695 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Dilatation ( Thoracic Surgery ) 12000 12600 12600 14500 18900 31500 3696 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Diversion ( Thoracic Surgery ) 28400 29800 29800 34300 44700 74500 3697 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Stenting ( Thoracic Surgery ) 18500 19400 19400 22300 29100 48500 3698 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophagectomy + Reconstruction ( Thoracic Surgery ) 32700 34300 34300 39400 51500 85800 3699 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Axillary Lymph Node Dissection ( Thoracic Surgery ) 16400 17200 17200 19800 25800 43000 3700 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Hemothorax Evacuation ( Thoracic Surgery ) 21800 22900 22900 26300 34400 57300 3701 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Cervical Rib Excision ( Thoracic Surgery ) 18500 19400 19400 22300 29100 48500 3702 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Ectopic Parathyroid Tumor Excision ( Thoracic Surgery ) 27300 28700 28700 33000 43100 71800 3703 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Esophageal Diverticulum Excision ( Thoracic Surgery ) 27300 28700 28700 33000 43100 71800 3704 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mediastinal Tumor Excision ( Thoracic Surgery ) 22900 24000 24000 27600 36000 60000 3705 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Parathyroid Adenoma Excision ( Thoracic Surgery ) 22900 24000 24000 27600 36000 60000 3706 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracotomy Exploratory ( Thoracic Surgery ) 18500 19400 19400 22300 29100 48500 3707 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Chest Wall Flap Reconstruction ( Thoracic Surgery ) 17400 18300 18300 21000 27500 45800 3708 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lobectomy Lung ( Thoracic Surgery ) 27200 28600 28600 32900 42900 71500 3709 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Abscess Surgery ( Thoracic Surgery ) 27200 28600 28600 32900 42900 71500 3710 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Bilobectomy ( Lung ) 27300 28700 28700 33000 43100 71800 3711 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Biopsy ( Thoracic Surgery ) 12000 12600 12600 14500 18900 31500 3712 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Resection + Chest Wall Resection 34800 36500 36500 42000 54800 91300 Lung Resection + Mediastinal Node Dissection + Chest Wall PULMONOLGY & THORACIC SURGERY 39300 41300 41300 47500 62000 103300 3713 Medical/Surgical Procdedure Reconstruction 3714 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Volume Reduction Surgery ( Bilateral ) 32700 34300 34300 39400 51500 85800 3715 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mediastinal Lymphadenectomy 13000 13700 13700 15800 20600 34300 3716 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mediastinal Mass Excision ( Thoracic Surgery ) 23900 25100 25100 28900 37700 62800 3717 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Parathyroid Autotransplantation ( Thoracic Surgery ) 12000 12600 12600 14500 18900 31500 3718 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pericardial Tube Drainage 6800 7100 7100 8200 10700 17800 PULMONOLGY & THORACIC SURGERY Pleurectomy + Empyema Excision ( Without Lung Resection ) 20600 21600 21600 24800 32400 54000 3719 Medical/Surgical Procdedure 3720 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Biopsy Open ( Thoracic Surgery ) 8300 8700 8700 10000 13100 21800 3721 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleurectomy + Air Leak Obliteration 28400 29800 29800 34300 44700 74500 3722 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleuro Pericardial Window Creation 13000 13700 13700 15800 20600 34300 3723 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pleuro Peritoneal Shunt 13000 13700 13700 15800 20600 34300 3724 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pneumonectomy ( Thoracic Surgery ) 32700 34300 34300 39400 51500 85800 3725 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mastectomy Radical 23600 24800 24800 28500 37200 62000 3726 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mastectomy Modified Radical ( Thoracic Surgery ) 23600 24800 24800 28500 37200 62000 3727 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Resection ( Segmental ) 28400 29800 29800 34300 44700 74500 3728 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sentinel Node Biopsy ( Bilateral ) 162400 170500 170500 196100 255800 426300 3729 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mediastinal Lymph Node Biopsy ( Thoracic Surgery ) 8300 8700 8700 10000 13100 21800 3730 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sentinel Node Biopsy ( Left ) 10800 11300 11300 13000 17000 28300 3731 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sternal Debridement + Muscle Flap Rotation 28400 29800 29800 34300 44700 74500 3732 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sternal Resection + Reconstruction 32700 34300 34300 39400 51500 85800 3733 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Achalasia Cardia Surgery 32700 34300 34300 39400 51500 85800 3734 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Carcinoid Tumor + Metastasis Surgery 28400 29800 29800 34300 44700 74500 3735 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Gastroesophageal Reflux ( GER ) + Hiatus Hernia Surgery 28400 29800 29800 34300 44700 74500 3736 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Hydatid Disease Surgery - Bilateral ( Thoracic Surgery ) 28400 29800 29800 34300 44700 74500 3737 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Hydatid Disease Surgery - Right ( Thoracic Surgery ) 18100 19000 19000 21900 28500 47500 3738 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Breast Lump Excision + Sentinel Node Biopsy 17400 18300 18300 21000 27500 45800 3739 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Mamillary Duct Fistula Surgery 11900 12500 12500 14400 18800 31300 3740 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Parathyroid Hyperplasia Surgery 28400 29800 29800 34300 44700 74500 3741 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Pericardial Cyst Surgery 23900 25100 25100 28900 37700 62800 3742 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tracheoesophageal Fistula ( TEF ) Surgery 32700 34300 34300 39400 51500 85800 3743 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sympathectomy ( Bilateral ) for hyperhydrosis 35900 37700 37700 43400 56600 94300 3744 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracic Outlet Obstruction Surgery 32700 34300 34300 39400 51500 85800 3745 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracoplasty + Apicolysis 23900 25100 25100 28900 37700 62800 3746 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lymph Node Biopsy ( Thoracoscopic ) 13000 13700 13700 15800 20600 34300 3747 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Breast Lump ( Benign ) Excision 7300 7700 7700 8900 11600 19300 3748 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Sympathectomy ( Thoracoscopic ) - Bilateral 24000 25200 25200 29000 37800 63000 3749 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thymectomy Thoracoscopic ( Thoracic Surgery ) 32700 34300 34300 39400 51500 85800 3750 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracotomy ( for Anterolateral Decompression ) 21800 22900 22900 26300 34400 57300 PULMONOLGY & THORACIC SURGERY Thoracotomy ( for Hydatid Cyst Removal) - Thoracic Surgery 15700 16500 16500 19000 24800 41300 3751 Medical/Surgical Procdedure 3752 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracotomy ( for Mediastinal Tumor ) 28400 29800 29800 34300 44700 74500 3753 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracotomy ( for Perforating / Penetrating Injury ) 28400 29800 29800 34300 44700 74500 3754 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thymectomy ( Thoracic Surgery ) 32700 34300 34300 39400 51500 85800 3755 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Thoracic Duct Excision - Total ( Thoracic Surgery ) 13000 13700 13700 15800 20600 34300 3756 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tracheal Dilatation + Stenting 23900 25100 25100 28900 37700 62800 3757 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Lung Volume Reduction Surgery ( Right ) 24000 25200 25200 29000 37800 63000 3758 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Tumor Wide Excision 16900 17700 17700 20400 26600 44300 3759 Medical/Surgical Procdedure PULMONOLGY & THORACIC SURGERY Wide Local Excision + Axillary Dissection 16900 17700 17700 20400 26600 44300 3760 Medical/Surgical Procdedure PULMONOLOGY DIRECT LARYNGOSCOPY 2700 3000 3000 3450 4500 7500 3761 Medical/Surgical Procdedure PULMONOLOGY SIMPLE BRONCHOSCOPY 8100 9000 9000 10350 13500 22500 3762 Medical/Surgical Procdedure PULMONOLOGY BRONCHOSCOPY + TBB 9500 10500 10500 12100 15800 26300 3763 Medical/Surgical Procdedure PULMONOLOGY BRONCHOSCOPY +TBNA 11700 13000 13000 15000 19500 32500 3764 Medical/Surgical Procdedure PULMONOLOGY SUTURING AND DRESSING SMALL WOUND 1350 1500 1500 1730 2250 3750 3765 Medical/Surgical Procdedure PULMONOLOGY PFT SIMPLE 1490 1650 1650 1900 2480 4130 3766 Medical/Surgical Procdedure PULMONOLOGY SPLIT NIGHT POLYSOMNOGRAPHY 13500 15000 15000 17300 22500 37500 3767 Medical/Surgical Procdedure PULMONOLOGY BALLOON TAMPONADE 5400 6000 6000 6900 9000 15000 3768 Medical/Surgical Procdedure PULMONOLOGY TRACHEAL DILATATION 13500 15000 15000 17300 22500 37500 3769 Medical/Surgical Procdedure PULMONOLOGY TUMOUR COAGULATION 18000 20000 20000 23000 30000 50000 3770 Medical/Surgical Procdedure PULMONOLOGY AIRWAYS STINTING METALLIC 18000 20000 20000 23000 30000 50000 3771 Medical/Surgical Procdedure PULMONOLOGY CRYO THERAPY 9000 10000 10000 11500 15000 25000 3772 Medical/Surgical Procdedure PULMONOLOGY MEDICAL THORACOSCOPY 18000 20000 20000 23000 30000 50000 3773 Medical/Surgical Procdedure PULMONOLOGY INTERCOSTAL CHEST TUBE DRAINAGE (ICD) 6300 7000 7000 8050 10500 17500 3774 Medical/Surgical Procdedure PULMONOLOGY ICT REPOSITIONING + DRESSING + SUTURING 900 1000 1000 1150 1500 2500 3775 Medical/Surgical Procdedure PULMONOLOGY CRYO BIOPSY 3600 4000 4000 4600 6000 10000 3776 Medical/Surgical Procdedure PULMONOLOGY WHOLE LUNG LAVAGE 22500 25000 25000 28800 37500 62500 3777 Medical/Surgical Procdedure PULMONOLOGY PLACEMENT OF BRACHYTHERAPHY CATHETER 9000 10000 10000 11500 15000 25000 3778 Medical/Surgical Procdedure PULMONOLOGY Pleural Effusion Aspiration ( Diagnostic ) 4050 4500 4500 5180 6750 11250 3779 Medical/Surgical Procdedure PULMONOLOGY Endobronchial Biopsy 4300 4500 4500 5200 6800 11300 3780 Medical/Surgical Procdedure PULMONOLOGY Endobronchial Balloon Tamponade 3060 3200 3200 3700 4800 8000 3781 Medical/Surgical Procdedure PULMONOLOGY Pleurodesis ( Pulmonology ) 3060 3200 3200 3700 4800 8000 3782 Medical/Surgical Procdedure PULMONOLOGY Complete Pulmonary function test ( PFT ) 2900 2900 2900 3540 3540 5080 Bronchoscopy Flexible + Transbronchial Needle Aspiration ( PULMONOLOGY 12400 13000 13000 15000 19500 32500 3783 Medical/Surgical Procdedure TBNA ) 3784 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Fiberoptic 5300 5600 5600 6400 8400 14000 3785 Medical/Surgical Procdedure PULMONOLOGY Endobronchial Balloon Dilatation 5300 5600 5600 6400 8400 14000 3786 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Fiberoptic ( with Endobronchial Biopsy ) 9800 10300 10300 11800 15500 25800 PULMONOLOGY Bronchoscopy Fiberoptic ( with Transbronchial Lung Biopsy ) 24800 26000 26000 29900 39000 65000 3787 Medical/Surgical Procdedure 3788 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Fiberoptic ( To Assist Intubation ) 5900 6200 6200 7100 9300 15500 3789 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Fiberoptic + EBB + TBNA 13400 14100 14100 16200 21200 35300 3790 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Fibreoptic + TBB + TBNA 14200 14900 14900 17100 22400 37300 3791 Medical/Surgical Procdedure PULMONOLOGY Electrocautery Treatment 9000 10000 10000 11500 15000 25000 3792 Medical/Surgical Procdedure PULMONOLOGY Glue Therapy ( Endobronchial ) 6750 7500 7500 8600 11250 18750 3793 Medical/Surgical Procdedure PULMONOLOGY ICD Repositioning + Dressing 630 700 700 800 1100 1800 3794 Medical/Surgical Procdedure PULMONOLOGY Pigtail Drainage 7300 8100 8100 9300 12150 20250 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM PULMONOLOGY Upper Airway Assessement ( Laryngoscopic / Bronchoscopic ) 4300 4500 4500 5200 6800 11300 3795 Medical/Surgical Procdedure 3796 Medical/Surgical Procdedure PULMONOLOGY Sleep Study ( Polysomnography ) 9500 10000 10000 11500 15000 25000 3797 Medical/Surgical Procdedure PULMONOLOGY Spigot Tamponade ( Endobronchial ) 9000 10000 10000 11500 15000 25000 3798 Medical/Surgical Procdedure PULMONOLOGY Metallic Airway Stent Placement 6400 6700 6700 7700 10100 16800 3799 Medical/Surgical Procdedure PULMONOLOGY Transbronchial Needle Aspiration ( TBNA ) 6400 6700 6700 7700 10100 16800 3800 Medical/Surgical Procdedure PULMONOLOGY Tracheostomy Tube Change 1710 1900 1900 2190 2850 4750 3801 Medical/Surgical Procdedure PULMONOLOGY Transbronchial Biopsy 4300 4500 4500 5200 6800 11300 3802 Medical/Surgical Procdedure PULMONOLOGY Pneumothorax Aspiration 4800 5000 5000 5800 7500 12500 3803 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Through Tracheostomy 6200 6500 6500 7500 9800 16300 3804 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy with Transbronchial Lung Biopsy - Complex 11400 12000 12000 13800 18000 30000 3805 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy with Transbronchial Lung Biopsy - Simple 9800 10300 10300 11800 15500 25800 Bronchoscopy with Transbronchial Lung Biopsy - Under PULMONOLOGY 11400 12000 12000 13800 18000 30000 3806 Medical/Surgical Procdedure Fluroscopy 3807 Medical/Surgical Procdedure PULMONOLOGY Endobronchial Blocker Placement 4300 4500 4500 5200 6800 11300 3808 Medical/Surgical Procdedure PULMONOLOGY Pleurodesis ( for Recurrent Pleural Effusion ) 5400 6000 6000 6900 9000 15000 3809 Medical/Surgical Procdedure PULMONOLOGY Foreign Body Removal ( Pulmonology ) 9000 10000 10000 11500 15000 25000 3810 Medical/Surgical Procdedure PULMONOLOGY Pleural Effusion Aspiration ( Therapeutic ) 6100 6800 6800 7800 10200 17000 3811 Medical/Surgical Procdedure PULMONOLOGY Pulmonary Function test ( PFT ) Routine 1700 1700 1700 2070 2070 2980 3812 Medical/Surgical Procdedure PULMONOLOGY Sleep Study ( Diagnostics ) 10500 11000 11000 12700 16500 27500 3813 Medical/Surgical Procdedure PULMONOLOGY Sleep Study ( CPAP Titration ) - Pulmonology 7600 8000 8000 9200 12000 20000 3814 Medical/Surgical Procdedure PULMONOLOGY Video Bronchoscopy 5300 5600 5600 6400 8400 14000 3815 Medical/Surgical Procdedure PULMONOLOGY Pleural Biopsy ( Pulmonology ) 3600 4000 4000 4600 6000 10000 3816 Medical/Surgical Procdedure PULMONOLOGY Fine Needle Aspiration Cytology ( FNAC ) Lung 3060 3200 3200 3700 4800 8000 3817 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy Rigid 22500 25000 25000 28800 37500 62500 3818 Medical/Surgical Procdedure PULMONOLOGY Bronchoscopy + Foreign Body Removal 9000 10000 10000 11500 15000 25000 3819 Medical/Surgical Procdedure PULMONOLOGY Pulmonary Function Test ( PFT ) with Exercise 2100 2100 2100 2560 2560 3680 3820 Medical/Surgical Procdedure PULMONOLOGY Complete Bronchoscopy + Bronchoalveolar Lavage ( BAL ) 6200 6500 6500 7500 9800 16300 Continuous Positive Airway Pressure ( CPAP ) Titration - PULMONOLOGY 8100 9000 9000 10350 13500 22500 3821 Medical/Surgical Procdedure Pulmonology 3822 Medical/Surgical Procdedure PULMONOLOGY Balloon Bronchoplasty 20700 23000 23000 26500 34500 57500 3823 Medical/Surgical Procdedure RADIANCE AESTHETIC BOTOX (PER SITTING) 0 400 0 0 0 0 3824 Medical/Surgical Procdedure RADIANCE AESTHETIC JUVEDERM ULTRA XC FILLER 1 ML (PER SITTING) 0 27000 0 0 0 0 3825 Medical/Surgical Procdedure RADIANCE AESTHETIC JUVEDERM ULTRA XC FILLER 2 ML (PER SITTING) 0 50000 0 0 0 0 3826 Medical/Surgical Procdedure RADIANCE AESTHETIC JUVEDERM ULTRA PLUS XC FILLER 1 ML (PER SITTING) 0 30000 0 0 0 0 3827 Medical/Surgical Procdedure RADIANCE AESTHETIC JUVEDERM ULTRA PLUS XC FILLER 2 ML (PER SITTING) 0 55000 0 0 0 0 3828 Medical/Surgical Procdedure RADIANCE AESTHETIC FILLER VOLUMA 1 ML (PER SITTING) 0 30000 0 0 0 0 3829 Medical/Surgical Procdedure RADIANCE AESTHETIC FILLER VOLUMA 2 ML (PER SITTING) 0 55000 0 0 0 0 3830 Medical/Surgical Procdedure RADIANCE AESTHETIC GLYCOLIC PEEL (PER SITTING) 0 2500 0 0 0 0 3831 Medical/Surgical Procdedure RADIANCE AESTHETIC SALICYLIC PEEL (PER SITTING) 0 2500 0 0 0 0 3832 Medical/Surgical Procdedure RADIANCE AESTHETIC TCA PEEL (PER SITTING) 0 4000 0 0 0 0 3833 Medical/Surgical Procdedure RADIANCE AESTHETIC YELLOW PEEL (PER SITTING) 0 4000 0 0 0 0 3834 Medical/Surgical Procdedure RADIANCE AESTHETIC GLYCOLIC PEEL (4 SITTING) 0 9000 0 0 0 0 3835 Medical/Surgical Procdedure RADIANCE AESTHETIC SALICYLIC PEEL (4 SITTING) 0 9000 0 0 0 0 3836 Medical/Surgical Procdedure RADIANCE AESTHETIC TCA PEEL (4 SITTING) 0 14000 0 0 0 0 3837 Medical/Surgical Procdedure RADIANCE AESTHETIC YELLOW PEEL (4 SITTING) 0 14000 0 0 0 0 RADIATION ONCOLOGY BLOOD IRRADIATION PER UNIT ( RADIATION ONCOLOGY ) 500 500 0 500 0 0 3838 Medical/Surgical Procdedure 3839 Medical/Surgical Procdedure RADIATION ONCOLOGY MESENCHYMAL STEM CELL THERAPY 0 10000 0 0 0 0 3840 Medical/Surgical Procdedure RADIATION ONCOLOGY DONOR LYMPHOCYTE INFUSION ( DLI ) 0 10000 0 0 0 0 RADIATION ONCOLOGY BLOOD IRRADIATION 1-2 UNITS ( RADIATION ONCOLOGY ) 2000 2000 0 2000 0 0 3841 Medical/Surgical Procdedure 3842 Medical/Surgical Procdedure RADIATION ONCOLOGY Intensity Modulated Radiation Therapy ( IMRT ) - All Site 93500 98200 98200 112900 147300 245500 3843 Medical/Surgical Procdedure RADIATION ONCOLOGY MUPIT Application Pelvis Radiotherapy 16500 17300 17300 19900 26000 43300 3844 Medical/Surgical Procdedure RADIATION ONCOLOGY MUPIT Application Pelvis Radiotherapy Procedure 22000 23100 23100 26600 34700 57800 RADIATION ONCOLOGY Emergency Blood Component Irradiation ( Radiation Oncology ) 2200 2300 2300 2600 3500 5800 3845 Medical/Surgical Procdedure 3846 Medical/Surgical Procdedure RADIATION ONCOLOGY Radiation Oncology Simulation with Contrast 37800 5200 5200 5980 7800 13000 3847 Medical/Surgical Procdedure RADIATION ONCOLOGY Radiation Oncology Simulation without Contrast 3240 3600 3600 4140 5400 9000 RADIATION ONCOLOGY Blood Component Irradiation 1-4 units( Radiation Oncology ) 1650 1700 1700 2000 2600 4300 3848 Medical/Surgical Procdedure Interstitial Comprehensive Radical Radiotherapy Planning - Head RADIOTHERAPY 33000 34700 34700 39900 52100 86800 3849 Medical/Surgical Procdedure + Neck RADIOTHERAPY Interstitial Comprehensive Radical Radiotherapy - Head + Neck 44000 46200 46200 53100 69300 115500 3850 Medical/Surgical Procdedure Interstitial Comprehensive Boost Radiotherapy Planning - Head RADIOTHERAPY 16500 17300 17300 19900 26000 43300 3851 Medical/Surgical Procdedure + Neck RADIOTHERAPY Interstitial Comprehensive Boost Radiotherapy - Head + Neck 22000 23100 23100 26600 34700 57800 3852 Medical/Surgical Procdedure Interstitial Comprehensive Brachytherapy - ABPI ( Breast ) RADIOTHERAPY 33000 34700 34700 39900 52100 86800 3853 Medical/Surgical Procdedure Planning 3854 Medical/Surgical Procdedure RADIOTHERAPY Interstitial Comprehensive Brachytherapy - ABPI ( Breast ) 66000 69300 69300 79700 104000 173300 ICA Application ( Per Fraction ) - Cervix RT Procedure ( Planning RADIOTHERAPY 6600 6900 6900 7900 10400 17300 3855 Medical/Surgical Procdedure + Radiotherapy ) 3856 Medical/Surgical Procdedure RADIOTHERAPY Vaginal Sorbo ( Per Appliction ) Vagina RT Planning 11000 11600 11600 13300 17400 29000 Vaginal Sorbo ( Per Appliction ) Vagina Radiotherapy - Each RADIOTHERAPY 15400 16200 16200 18600 24300 40500 3857 Medical/Surgical Procdedure Fraction 3858 Medical/Surgical Procdedure RADIOTHERAPY Image Guided Radiation Therapy (IGRT) 66000 69300 69300 79700 104000 173300 3859 Medical/Surgical Procdedure RADIOTHERAPY IMRT Adaptive 33000 34700 34700 39900 52100 86800 3860 Medical/Surgical Procdedure RADIOTHERAPY IMRT 4D 66000 69300 69300 79700 104000 173300 3861 Medical/Surgical Procdedure RADIOTHERAPY IGRT + IMRT - RT-1 141600 148700 148700 171000 223100 371800 3862 Medical/Surgical Procdedure RADIOTHERAPY IGRT + IMRT - RT-2 94400 99100 99100 114000 148700 247800 RADIOTHERAPY Intensity Modulated Radiation Therapy ( IMRT ) - All Site (RT-1) 61800 64900 64900 74600 97400 162300 3863 Medical/Surgical Procdedure RADIOTHERAPY Intensity Modulated Radiation Therapy ( IMRT ) - All Site (RT-2) 41200 43300 43300 49800 65000 108300 3864 Medical/Surgical Procdedure 3865 Medical/Surgical Procdedure RADIOTHERAPY VMAT Radiotherapy - All Site (RT-1) 116200 122000 122000 140300 183000 305000 3866 Medical/Surgical Procdedure RADIOTHERAPY VMAT Radiotherapy - All Site (RT-2) 77500 81400 81400 93600 122100 203500 RADIOTHERAPY Stereotactic Body Radiation Therapy ( SBRT ) - All Site (RT-1) 108900 114300 114300 131400 171500 285800 3867 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Body Radiation Therapy ( SBRT ) - All Site (RT-2) 72600 76200 76200 87600 114300 190500 3868 Medical/Surgical Procdedure 3869 Medical/Surgical Procdedure RADIOTHERAPY SRS Radiotherapy - Brain (RT-1) 76300 80100 80100 92100 120200 200300 3870 Medical/Surgical Procdedure RADIOTHERAPY SRS Radiotherapy - Brain (RT -2) 50900 53400 53400 61400 80100 133500 3871 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Raditherapy ( SRT ) - Brain (RT-1) 114400 120100 120100 138100 180200 300300 3872 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Raditherapy ( SRT ) - Brain (RT-2) 76300 80100 80100 92100 120200 200300 3873 Medical/Surgical Procdedure RADIOTHERAPY 3D CRT Radiotherapy - RT-1 32700 34300 34300 39400 51500 85800 3874 Medical/Surgical Procdedure RADIOTHERAPY 3D CRT Radiotherapy - RT-2 21800 22900 22900 26300 34400 57300 3875 Medical/Surgical Procdedure RADIOTHERAPY Palliative Low Dose Radiotherapy - RT-1 10900 11400 11400 13100 17100 28500 3876 Medical/Surgical Procdedure RADIOTHERAPY Palliative Low Dose Radiotherapy - RT-2 7300 7700 7700 8900 11600 19300 3877 Medical/Surgical Procdedure RADIOTHERAPY Palliative High Dose Radiotherapy - RT-1 18200 19100 19100 22000 28700 47800 3878 Medical/Surgical Procdedure RADIOTHERAPY Palliative High Dose Radiotherapy - RT-2 12100 12700 12700 14600 19100 31800 3879 Medical/Surgical Procdedure RADIOTHERAPY Image Guided Radiation Therapy ( IGRT ) - RT-1 43600 45800 45800 52700 68700 114500 3880 Medical/Surgical Procdedure RADIOTHERAPY Image Guided Radiation Therapy ( IGRT ) - RT-2 29100 30600 30600 35200 45900 76500 3881 Medical/Surgical Procdedure RADIOTHERAPY IMRT 4D + IGRT - RT-1 185200 194500 194500 223700 291800 486300 3882 Medical/Surgical Procdedure RADIOTHERAPY IMRT 4D + IGRT - RT-2 123500 129700 129700 149200 194600 324300 3883 Medical/Surgical Procdedure RADIOTHERAPY IMRT + IGRT + Adaptive - RT-1 163400 171600 171600 197300 257400 429000 3884 Medical/Surgical Procdedure RADIOTHERAPY IMRT + IGRT + Adaptive - RT-2 108900 114300 114300 131400 171500 285800 3885 Medical/Surgical Procdedure RADIOTHERAPY MUPIT Application - Pelvis Radiotherapy - RT-1 10900 11400 11400 13100 17100 28500 3886 Medical/Surgical Procdedure RADIOTHERAPY MUPIT Application - Pelvis Radiotherapy - RT-2 7300 7700 7700 8900 11600 19300 3887 Medical/Surgical Procdedure RADIOTHERAPY IMRT Adaptive - RT-1 21800 22900 22900 26300 34400 57300 3888 Medical/Surgical Procdedure RADIOTHERAPY IMRT Adaptive - RT-2 14600 15300 15300 17600 23000 38300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3889 Medical/Surgical Procdedure RADIOTHERAPY IMRT 4D - RT-1 43600 45800 45800 52700 68700 114500 3890 Medical/Surgical Procdedure RADIOTHERAPY IMRT 4D - RT-2 29100 30600 30600 35200 45900 76500 3891 Medical/Surgical Procdedure RADIOTHERAPY TBI Single Fraction 54000 60000 60000 69000 90000 150000 PALLIATIVE HIGH DOSE RT - PREPLANNING + RADIOTHERAPY 16500 17300 17300 19900 26000 43300 3892 Medical/Surgical Procdedure RADIOTHERAPY 3893 Medical/Surgical Procdedure RADIOTHERAPY IGRT + IMRT 214500 225200 225200 259000 337800 563000 INTRALUMINAL BRACHYTHERAPY ( PER FRACTION ) RADIOTHERAPY 2200 2300 2300 2600 3500 5800 PROCEDURE - ESOPHAGUS ( PLANNING + RADIOTHERAPY ) 3894 Medical/Surgical Procdedure INTRALUMINAL BRACHYTHERAPY ( PER FRACTION ) RADIOTHERAPY 2200 2300 2300 2600 3500 5800 PROCEDURE - BRONCHUS ( PLANNING + RADIOTHERAPY ) 3895 Medical/Surgical Procdedure INTERSTITIAL COMPREHENSIVE RADICAL RADIOTHERAPY BRACHYTHERAPY ( PLANNING + RADIOTHERAPY ) - HEAD 55000 57800 57800 66500 86700 144500 3896 Medical/Surgical Procdedure AND NECK INTERSTITIAL COMPREHENSIVE BOOST BRACHYTHERAPY ( RADIOTHERAPY 27500 28900 28900 33200 43400 72300 PLANNING + RADIOTHERAPY ) - HEAD AND NECK 3897 Medical/Surgical Procdedure INTERSTITIAL COMPREHENSIVE BRACHYTHERAPY - ABPI ( RADIOTHERAPY 44000 46200 46200 53100 69300 115500 3898 Medical/Surgical Procdedure PLANNING + RADIOTHERAPY ) - BREAST 3899 Medical/Surgical Procdedure RADIOTHERAPY RADIOTHERAPY PLANNING ANGIOGRAPHY 2200 2300 2300 2600 3500 5800 Intensity Modulated Radiation Therapy ( IMRT ) Planning - All RADIOTHERAPY 55000 57800 57800 66500 86700 144500 3900 Medical/Surgical Procdedure Site 3901 Medical/Surgical Procdedure RADIOTHERAPY VMAT Preplanning - All Site 99000 104000 104000 119600 156000 260000 3902 Medical/Surgical Procdedure RADIOTHERAPY VMAT Radiotherapy - All Site 176000 184800 184800 212500 277200 462000 Stereotactic Body Radiation Therapy ( SBRT ) Preplanning - All RADIOTHERAPY 110000 115500 115500 132800 173300 288800 3903 Medical/Surgical Procdedure Site 3904 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Body Radiation Therapy ( SBRT ) - All Site 165000 173300 173300 199300 260000 433300 3905 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Radiosurgery ( SRS ) Preplanning - Brain 115500 121300 121300 139500 182000 303300 3906 Medical/Surgical Procdedure RADIOTHERAPY SRS Radiotherapy - Brain 115500 121300 121300 139500 182000 303300 3907 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Raditherapy Preplanning ( SRT ) - Brain 115500 121300 121300 139500 182000 303300 3908 Medical/Surgical Procdedure RADIOTHERAPY Stereotactic Raditherapy ( SRT ) - Brain 172700 181300 181300 208500 272000 453300 3909 Medical/Surgical Procdedure RADIOTHERAPY 3D CRT Preplanning 16500 17300 17300 19900 26000 43300 3910 Medical/Surgical Procdedure RADIOTHERAPY 3D CRT RADIOTHERAPY 49500 52000 52000 59800 78000 130000 3911 Medical/Surgical Procdedure RADIOTHERAPY Palliative Low Dose Radiotherapy Preplanning 11000 11600 11600 13300 17400 29000 3912 Medical/Surgical Procdedure RADIOTHERAPY Palliative Low Dose Radiotherapy 16500 17300 17300 19900 26000 43300 3913 Medical/Surgical Procdedure RADIOTHERAPY Palliative High Dose Radiotherapy Preplanning 11000 11600 11600 13300 17400 29000 3914 Medical/Surgical Procdedure RADIOTHERAPY Palliative High Dose Radiotherapy 27500 28900 28900 33200 43400 72300 RADIOTHERAPY ICA Application ( Per Fraction ) - Cervix Radiotherapy Planning 5500 5800 5800 6700 8700 14500 3915 Medical/Surgical Procdedure 3916 Medical/Surgical Procdedure RADIOTHERAPY ICA Application ( Per Fraction ) - Cervix Radiotherapy 5500 5800 5800 6700 8700 14500 3917 Medical/Surgical Procdedure RADIOTHERAPY MUPIT Application - Pelvic RT Planning 16500 17300 17300 19900 26000 43300 RADIOTHERAPY Intraluminal Per Fraction Radiotherapy Planning - Esophagus 5500 5800 5800 6700 8700 14500 3918 Medical/Surgical Procdedure RADIOTHERAPY Intraluminal Per Fraction Radiotherapy Planning - Bronchus 5500 5800 5800 6700 8700 14500 3919 Medical/Surgical Procdedure 3920 Medical/Surgical Procdedure RADIOTHERAPY Intraluminal Per Fraction Radiotherapy - Bronchus 5500 5800 5800 6700 8700 14500 3921 Medical/Surgical Procdedure RHEUMATOLOGY Soft tissue Injection ( Rheumatology ) 550 600 600 700 900 1500 3922 Medical/Surgical Procdedure SURGICAL ONCOLOGY Disarticulation - Hip ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 SURGICAL ONCOLOGY Inguinal Lymph Node Dissection - Right Side ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3923 Medical/Surgical Procdedure LaryngoPharyngectomy Total + Gastric Pull Up Procedure ( SURGICAL ONCOLOGY 46100 51200 51200 58900 76800 128000 3924 Medical/Surgical Procdedure Oncosurgery ) 3925 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lobectomy / Hemithyroidectomy ( Oncosurgery ) 11900 13200 13200 15200 19800 33000 3926 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mastectomy - Modified Radical / Radical ( Oncosurgery ) 26600 29600 29600 34000 44400 74000 3927 Medical/Surgical Procdedure SURGICAL ONCOLOGY Nephroureterectomy ( Oncosurgery ) 32600 36200 36200 41600 54300 90500 3928 Medical/Surgical Procdedure SURGICAL ONCOLOGY Orbital Exenteration ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 3929 Medical/Surgical Procdedure SURGICAL ONCOLOGY Orchidectomy Bilateral ( Oncosurgery ) 9100 10100 10100 11600 15200 25300 3930 Medical/Surgical Procdedure SURGICAL ONCOLOGY Orchidectomy High ( Oncosurgery ) 10200 11300 11300 13000 17000 28300 3931 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pancreatectomy - Distal + Splenectomy ( Oncosurgery ) 29900 33200 33200 38200 49800 83000 3932 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parathyroidectomy ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3933 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parotidectomy Superficial ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3934 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation Penis - Partial ( Oncosurgery ) 9100 10100 10100 11600 15200 25300 3935 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation Penis - Total ( Oncosurgery ) 13400 14900 14900 17100 22400 37300 3936 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pleural Tap / Abdominal Paracentesis ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 3937 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pneumonectomy ( Oncosurgery ) 46100 51200 51200 58900 76800 128000 3938 Medical/Surgical Procdedure SURGICAL ONCOLOGY Radiofrequency Ablation Tumor ( Oncosurgery ) 43400 48200 48200 55400 72300 120500 3939 Medical/Surgical Procdedure SURGICAL ONCOLOGY Retroperitoneal Lymph Node Dissection ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 Right/Left Hemicolectomy / Transverse Colectomy / Sigmoid SURGICAL ONCOLOGY 14700 16300 16300 18700 24500 40800 3940 Medical/Surgical Procdedure Colectomy ( Oncosurgery ) 3941 Medical/Surgical Procdedure SURGICAL ONCOLOGY Disarticulation - Shoulder Joint ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3942 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thoracotomy ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 3943 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thyroidectomy Total ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 3944 Medical/Surgical Procdedure SURGICAL ONCOLOGY HemiMandibulectomy ( Oncosurgery ) 29900 33200 33200 38200 49800 83000 3945 Medical/Surgical Procdedure SURGICAL ONCOLOGY Laparotomy Exploratory ( Oncosurgery ) 11700 13000 13000 15000 19500 32500 3946 Medical/Surgical Procdedure SURGICAL ONCOLOGY Feeding Gastrostomy ( Oncosurgery ) 9100 10100 10100 11600 15200 25300 SURGICAL ONCOLOGY Inguinal Lymph Node Dissection - Bilateral ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 3947 Medical/Surgical Procdedure 3948 Medical/Surgical Procdedure SURGICAL ONCOLOGY Omentectomy ( Oncosurgery ) 20100 22300 22300 25600 33500 55800 3949 Medical/Surgical Procdedure SURGICAL ONCOLOGY Maxillectomy Partial ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3950 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pelvic Lymph Node Dissection - Bilateral ( Oncosurgery ) 15800 17500 17500 20100 26300 43800 3951 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pelvic Lymph Node Dissection - Right ( Oncosurgery ) 11900 13200 13200 15200 19800 33000 3952 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pelvic Lymph Node Dissection - Left ( Oncosurgery ) 11900 13200 13200 15200 19800 33000 3953 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pelvic Exenteration - Anterior / Posterior ( Oncosurgery ) 46100 51200 51200 58900 76800 128000 3954 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pelvic Exenteration - Total ( Oncosurgery ) 46100 51200 51200 58900 76800 128000 3955 Medical/Surgical Procdedure SURGICAL ONCOLOGY Debridement - Small ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 3956 Medical/Surgical Procdedure SURGICAL ONCOLOGY Debridement - Medium ( Oncosurgery ) 6500 7200 7200 8300 10800 18000 3957 Medical/Surgical Procdedure SURGICAL ONCOLOGY Monoclonal Antibody Therapy - Per Day ( Oncosurgery ) 3100 3400 3400 3900 5100 8500 3958 Medical/Surgical Procdedure SURGICAL ONCOLOGY TransArterial ChemoEmbolization ( TACE ) 38000 42200 42200 48500 63300 105500 3959 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gastrectomy Partial - Palliative ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 3960 Medical/Surgical Procdedure SURGICAL ONCOLOGY Hemicolectomy Extended - Right / Left ( Oncosurgery ) 24000 26700 26700 30700 40100 66800 3961 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parotidectomy Total + Neck Dissection ( Oncosurgery ) 29900 33200 33200 38200 49800 83000 3962 Medical/Surgical Procdedure SURGICAL ONCOLOGY Nephrectomy Radical ( Oncosurgery ) 27100 30100 30100 34600 45200 75300 SURGICAL ONCOLOGY Inguinal Lymph Node Dissection - Left Side ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 3963 Medical/Surgical Procdedure 3964 Medical/Surgical Procdedure SURGICAL ONCOLOGY Intraabdominal Abscess Drainage 11000 12200 12200 14000 18300 30500 3965 Medical/Surgical Procdedure SURGICAL ONCOLOGY Abscess Drainage - Large ( Oncosurgery ) 3100 3400 3400 3900 5100 8500 3966 Medical/Surgical Procdedure SURGICAL ONCOLOGY Abscess Drainage - Medium ( Oncosurgery ) 2000 2200 2200 2500 3300 5500 3967 Medical/Surgical Procdedure SURGICAL ONCOLOGY Adrenalectomy Subtotal ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 3968 Medical/Surgical Procdedure SURGICAL ONCOLOGY Adrenalectomy Total ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 3969 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation Digits ( Oncosurgery ) 6500 7200 7200 8300 10800 18000 3970 Medical/Surgical Procdedure SURGICAL ONCOLOGY Ascitic Tap - Therapeutic ( Oncosurgery ) 3100 3400 3400 3900 5100 8500 3971 Medical/Surgical Procdedure SURGICAL ONCOLOGY Cyst Aspiration ( Deep ) 900 1000 1000 1200 1500 2500 3972 Medical/Surgical Procdedure SURGICAL ONCOLOGY Bone Marrow Aspiration ( Oncosurgery ) 2600 2900 2900 3300 4400 7300 3973 Medical/Surgical Procdedure SURGICAL ONCOLOGY Bone Marrow Biopsy ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 3974 Medical/Surgical Procdedure SURGICAL ONCOLOGY Bone Marrow Biopsy with Aspiration 5000 5500 5500 6300 8300 13800 3975 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemo Port Insertion ( Permanent ) 8200 9100 9100 10500 13700 22800 3976 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemo Port Removal ( Oncosurgery ) 8200 9100 9100 10500 13700 22800 3977 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemotherapy Counselling 1300 1400 1400 1600 2100 3500 3978 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemotherapy High Dose ( Per Day ) 3100 3400 3400 3900 5100 8500 3979 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemotherapy Multiple Dose ( Per Day ) 2000 2200 2200 2500 3300 5500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 3980 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemotherapy Single Dose ( Per Day ) 1600 1800 1800 2100 2700 4500 3981 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chemotherapy Planning 2000 2200 2200 2500 3300 5500 3982 Medical/Surgical Procdedure SURGICAL ONCOLOGY Chest Tube Drainage 8200 9100 9100 10500 13700 22800 3983 Medical/Surgical Procdedure SURGICAL ONCOLOGY Choledochojejunostomy 19000 21100 21100 24300 31700 52800 3984 Medical/Surgical Procdedure SURGICAL ONCOLOGY Circumcision ( Early Carcinoma ) 6500 7200 7200 8300 10800 18000 3985 Medical/Surgical Procdedure SURGICAL ONCOLOGY Loop Colostomy Closure ( Oncosurgery ) 13400 14900 14900 17100 22400 37300 3986 Medical/Surgical Procdedure SURGICAL ONCOLOGY Colectomy Radical ( Total ) 21600 24000 24000 27600 36000 60000 3987 Medical/Surgical Procdedure SURGICAL ONCOLOGY End Colostomy ( Oncosurgery ) 10200 11300 11300 13000 17000 28300 Composite Resection ( Buccal Mucosa / GB Sulcus / Floor of SURGICAL ONCOLOGY 46100 51200 51200 58900 76800 128000 Mouth / Tongue ) + Neck Dissection - Bilateral ( MND / RND ) 3988 Medical/Surgical Procdedure Composite Resection ( Buccal Mucosa / GB Sulcus / Floor of SURGICAL ONCOLOGY 38000 42200 42200 48500 63300 105500 Mouth / Tongue ) + Neck Dissection - Unilateral ( MND / RND ) 3989 Medical/Surgical Procdedure 3990 Medical/Surgical Procdedure SURGICAL ONCOLOGY Craniofacial Resection 46100 51200 51200 58900 76800 128000 3991 Medical/Surgical Procdedure SURGICAL ONCOLOGY Laparoscopy Diagnostic ( with Biopsy ) 19000 21100 21100 24300 31700 52800 3992 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thoracoscopy Diagnostic ( with Biopsy ) 24500 27200 27200 31300 40800 68000 3993 Medical/Surgical Procdedure SURGICAL ONCOLOGY Dorsal Slit ( Oncosurgery ) 2000 2200 2200 2500 3300 5500 3994 Medical/Surgical Procdedure SURGICAL ONCOLOGY Dressing - Medium ( Oncosurgery ) 900 1000 1000 1200 1500 2500 3995 Medical/Surgical Procdedure SURGICAL ONCOLOGY Dressing - Small ( Oncosurgery ) 300 300 300 300 500 800 3996 Medical/Surgical Procdedure SURGICAL ONCOLOGY Enucleation ( Oncosurgery ) 10200 11300 11300 13000 17000 28300 3997 Medical/Surgical Procdedure SURGICAL ONCOLOGY Esophagectomy Transhiatal - Total 34600 38400 38400 44200 57600 96000 3998 Medical/Surgical Procdedure SURGICAL ONCOLOGY Esophagectomy Transthoracic - Total 46100 51200 51200 58900 76800 128000 3999 Medical/Surgical Procdedure SURGICAL ONCOLOGY Esophagogastrectomy Partial 38000 42200 42200 48500 63300 105500 4000 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neck Hematoma Evacuation 4500 5000 5000 5800 7500 12500 4001 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lesion Excision ( Superficial - Large ) 3200 3600 3600 4100 5400 9000 4002 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lesion Excision ( Superficial - Small ) 2600 2900 2900 3300 4400 7300 Laparotomy Exploratory with Adhesiolysis and Trial Resection ( SURGICAL ONCOLOGY 15800 17500 17500 20100 26300 43800 4003 Medical/Surgical Procdedure for Tumor Removal ) 4004 Medical/Surgical Procdedure SURGICAL ONCOLOGY Laparotomy Exploratory with Adhesiolysis ( Mild ) 11900 13200 13200 15200 19800 33000 4005 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thoracotomy Exploratory 21600 24000 24000 27600 36000 60000 4006 Medical/Surgical Procdedure SURGICAL ONCOLOGY Supraomohyoid Neck Dissection ( Extended ) 19000 21100 21100 24300 31700 52800 4007 Medical/Surgical Procdedure SURGICAL ONCOLOGY Feeding Jejunostomy ( Oncosurgery ) 9100 10100 10100 11600 15200 25300 4008 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gastrectomy Radical Partial ( D2 Gastrectomy ) 24500 27200 27200 31300 40800 68000 4009 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gastrectomy Radical Total ( D2 Gastrectomy ) 29900 33200 33200 38200 49800 83000 4010 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gastrectomy Radical Subtotal ( D2 Gastrectomy ) 27100 30100 30100 34600 45200 75300 4011 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gastrojejunostomy Palliative 11000 12200 12200 14000 18300 30500 4012 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gum Biopsy 3100 3400 3400 3900 5100 8500 4013 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gun Biopsy - Chest / Abdominal Wall 3100 3400 3400 3900 5100 8500 SURGICAL ONCOLOGY Laryngectomy Total + Neck Dissection ( Bilateral ) - Oncosurgery 32600 36200 36200 41600 54300 90500 4014 Medical/Surgical Procdedure 4015 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gun Biopsy - Intraabdominal 3200 3600 3600 4100 5400 9000 4016 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gun Biopsy - Intrathoracic 3200 3600 3600 4100 5400 9000 4017 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gun Biopsy ( Multiple - Deep ) 4500 5000 5000 5800 7500 12500 4018 Medical/Surgical Procdedure SURGICAL ONCOLOGY Gun Biopsy ( Superficial Tumor ) 2000 2200 2200 2500 3300 5500 4019 Medical/Surgical Procdedure SURGICAL ONCOLOGY Hysterectomy Radical ( Carcinoma Cervix ) 29900 33200 33200 38200 49800 83000 4020 Medical/Surgical Procdedure SURGICAL ONCOLOGY ICD Placement 9100 10100 10100 11600 15200 25300 4021 Medical/Surgical Procdedure SURGICAL ONCOLOGY End Ileostomy ( Oncosurgery ) 10200 11300 11300 13000 17000 28300 4022 Medical/Surgical Procdedure SURGICAL ONCOLOGY Insulinoma Excision ( Oncosurgery ) 21600 24000 24000 27600 36000 60000 4023 Medical/Surgical Procdedure SURGICAL ONCOLOGY Intestinal Fistula Surgery 19000 21100 21100 24300 31700 52800 4024 Medical/Surgical Procdedure SURGICAL ONCOLOGY Malignant Tumor Surgery ( Laparoscopy Assisted ) 38000 42200 42200 48500 63300 105500 4025 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Segmentectomy Lateral ( Left ) 27100 30100 30100 34600 45200 75300 4026 Medical/Surgical Procdedure SURGICAL ONCOLOGY Leucopheresis 13400 14900 14900 17100 22400 37300 4027 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thyroid Excision ( Lingual ) 11000 12200 12200 14000 18300 30500 4028 Medical/Surgical Procdedure SURGICAL ONCOLOGY Trisegmentectomy - Liver ( Oncosurgery ) 47600 52900 52900 60800 79400 132300 4029 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Biopsy ( Oncosurgery ) 6500 7200 7200 8300 10800 18000 SURGICAL ONCOLOGY Liver Tumor Wide Excision ( Large Tumor ) / Complex Resection 27100 30100 30100 34600 45200 75300 4030 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Tumor Wide Excision ( Small -Single ) / Simple Resection 21600 24000 24000 27600 36000 60000 4031 Medical/Surgical Procdedure 4032 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Tumor Wide Excision ( 2-4 ) 32600 36200 36200 41600 54300 90500 4033 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lymph Node Biopsy ( Deep ) - Neck 6500 7200 7200 8300 10800 18000 4034 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lymph Node Biopsy ( Superficial ) - Inguinal 3100 3400 3400 3900 5100 8500 4035 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lumbar Puncture ( Oncosurgery ) 2600 2900 2900 3300 4400 7300 4036 Medical/Surgical Procdedure SURGICAL ONCOLOGY Metastasectomy Lung ( Upto 4 ) 38000 42200 42200 48500 63300 105500 4037 Medical/Surgical Procdedure SURGICAL ONCOLOGY Metastasectomy Lung ( More Than 4 ) 46100 51200 51200 58900 76800 128000 4038 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mandibulectomy Marginal ( with Neck Dissection ) 29900 33200 33200 38200 49800 83000 4039 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Cyst Marsupialization / Excision ( Small ) 15800 17500 17500 20100 26300 43800 4040 Medical/Surgical Procdedure SURGICAL ONCOLOGY Maxillectomy + Neck Dissection 38000 42200 42200 48500 63300 105500 4041 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mediastinal Tumor Excision ( Large ) 38000 42200 42200 48500 63300 105500 4042 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mediastinal Tumor Excision ( Small / Medium ) 29900 33200 33200 38200 49800 83000 4043 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mediastinoscopy ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 4044 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mesenteric Cyst Excision ( Oncosurgery ) 13400 14900 14900 17100 22400 37300 4045 Medical/Surgical Procdedure SURGICAL ONCOLOGY Microlaryngosurgery ( MLS ) with laser 19000 21100 21100 24300 31700 52800 4046 Medical/Surgical Procdedure SURGICAL ONCOLOGY Muscle Biopsy ( Oncosurgery ) 3100 3400 3400 3900 5100 8500 4047 Medical/Surgical Procdedure SURGICAL ONCOLOGY Necrosectomy + Pancreatic Abscess Drainage - Open 14700 16300 16300 18700 24500 40800 4048 Medical/Surgical Procdedure SURGICAL ONCOLOGY Esophagectomy 46100 51200 51200 58900 76800 128000 4049 Medical/Surgical Procdedure SURGICAL ONCOLOGY Examination Under Anesthesia ( EUA ) - Oral 1600 1800 1800 2100 2700 4500 4050 Medical/Surgical Procdedure SURGICAL ONCOLOGY Orchidectomy Right ( Oncosurgery ) 8200 9100 9100 10500 13700 22800 4051 Medical/Surgical Procdedure SURGICAL ONCOLOGY Orchidectomy Left ( Oncosurgery ) 8200 9100 9100 10500 13700 22800 4052 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pancreatectomy Partial ( Oncosurgery ) 21600 24000 24000 27600 36000 60000 4053 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pancreaticojejunostomy ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 4054 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pancreatectomy Total ( Oncosurgery ) 46100 51200 51200 58900 76800 128000 4055 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parapharyngeal Tumor Excision (Oncosurgery) 19000 21100 21100 24300 31700 52800 4056 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation Penis Partial ( with Bilateral Block Dissection ) 21600 24000 24000 27600 36000 60000 SURGICAL ONCOLOGY Amputation Penis Partial ( with Unilateral Block Dissection ) 15800 17500 17500 20100 26300 43800 4057 Medical/Surgical Procdedure 4058 Medical/Surgical Procdedure SURGICAL ONCOLOGY Glossectomy Partial ( with Neck Dissection ) 29900 33200 33200 38200 49800 83000 4059 Medical/Surgical Procdedure SURGICAL ONCOLOGY Axillary Lymph Node Dissection - Right 11900 13200 13200 15200 19800 33000 4060 Medical/Surgical Procdedure SURGICAL ONCOLOGY Axillary Lymph Node Dissection - Left 11900 13200 13200 15200 19800 33000 4061 Medical/Surgical Procdedure SURGICAL ONCOLOGY Cementoplasty Percutaneous 13400 14900 14900 17100 22400 37300 4062 Medical/Surgical Procdedure SURGICAL ONCOLOGY Percutaneous Transhepatic Biliary Drainage ( PTBD ) 13400 14900 14900 17100 22400 37300 4063 Medical/Surgical Procdedure SURGICAL ONCOLOGY Vertebroplasty Percutaneous 38000 42200 42200 48500 63300 105500 4064 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Abscess Drainage ( Percutaneous ) 4500 5000 5000 5800 7500 12500 4065 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pleural Tap - Diagnostic ( Oncosurgery ) 2000 2200 2200 2500 3300 5500 4066 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pleural Tap - Therapeutic ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 4067 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pleurodesis ( Oncosurgery ) 5600 6200 6200 7100 9300 15500 4068 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pneumonectomy Extrapleural 52400 58200 58200 66900 87300 145500 4069 Medical/Surgical Procdedure SURGICAL ONCOLOGY Proctoscopy 900 1000 1000 1200 1500 2500 4070 Medical/Surgical Procdedure SURGICAL ONCOLOGY Proctoscopy wih Biopsy 2600 2900 2900 3300 4400 7300 4071 Medical/Surgical Procdedure SURGICAL ONCOLOGY Lobectomy Pulmonary ( Two ) 47600 52900 52900 60800 79400 132300 4072 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neck Dissection ( Radical / Modified ) - Right Side 19000 21100 21100 24300 31700 52800 4073 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neck Dissection ( Radical / Modified ) - Left Side 19000 21100 21100 24300 31700 52800 4074 Medical/Surgical Procdedure SURGICAL ONCOLOGY Pancreaticoduodenectomy Radical 46100 51200 51200 58900 76800 128000 4075 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neck Dissection ( Radical / Modified ) - Bilateral 24500 27200 27200 31300 40800 68000 4076 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neck Re-Exploration ( Chyle Leak / Bleeding ) 8200 9100 9100 10500 13700 22800 4077 Medical/Surgical Procdedure SURGICAL ONCOLOGY Abdominal Tumor ( Recurrent ) Resection 27100 30100 30100 34600 45200 75300 4078 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parotid Tumor ( Recurrent ) Resection 19000 21100 21100 24300 31700 52800 4079 Medical/Surgical Procdedure SURGICAL ONCOLOGY Small Bowel Tumor Resection + Anastomosis 14700 16300 16300 18700 24500 40800 4080 Medical/Surgical Procdedure SURGICAL ONCOLOGY Retroperitoneal Tumor Excision - Large 27100 30100 30100 34600 45200 75300 4081 Medical/Surgical Procdedure SURGICAL ONCOLOGY Retroperitoneal Tumor Excision - Medium 14700 16300 16300 18700 24500 40800 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 4082 Medical/Surgical Procdedure SURGICAL ONCOLOGY Wound Closure ( Secondary ) - Large 8200 9100 9100 10500 13700 22800 4083 Medical/Surgical Procdedure SURGICAL ONCOLOGY Wound Closure ( Secondary ) - Medium 3100 3400 3400 3900 5100 8500 4084 Medical/Surgical Procdedure SURGICAL ONCOLOGY Wound Closure ( Secondary ) - Small 1600 1800 1800 2100 2700 4500 4085 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suturing Secondary ( Burst Abdomen ) 10200 11300 11300 13000 17000 28300 4086 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mandibulectomy Segmental 29900 33200 33200 38200 49800 83000 4087 Medical/Surgical Procdedure SURGICAL ONCOLOGY Sigmoidoscopy ( with / without Biopsy ) 3100 3400 3400 3900 5100 8500 4088 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mastectomy Simple ( Large Tumor ) 13400 14900 14900 17100 22400 37300 4089 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mastectomy Simple ( Small Tumor ) 11000 12200 12200 14000 18300 30500 4090 Medical/Surgical Procdedure SURGICAL ONCOLOGY Soft Tissue Tumor Excision ( Central - Large ) 27100 30100 30100 34600 45200 75300 4091 Medical/Surgical Procdedure SURGICAL ONCOLOGY Soft Tissue Tumor Excision ( Central - Medium ) 24500 27200 27200 31300 40800 68000 4092 Medical/Surgical Procdedure SURGICAL ONCOLOGY Soft Tissue Tumor Excision ( Peripheral - Large ) 19000 21100 21100 24300 31700 52800 4093 Medical/Surgical Procdedure SURGICAL ONCOLOGY Soft Tissue Tumor Excision ( Peripheral - Medium ) 14700 16300 16300 18700 24500 40800 4094 Medical/Surgical Procdedure SURGICAL ONCOLOGY Soft Tissue Tumor Excision ( Peripheral - Small ) 11900 13200 13200 15200 19800 33000 4095 Medical/Surgical Procdedure SURGICAL ONCOLOGY Stomach Wash ( Pediatric ) 1600 1800 1800 2100 2700 4500 4096 Medical/Surgical Procdedure SURGICAL ONCOLOGY Submandibular Gland Tumor Excision 11000 12200 12200 14000 18300 30500 4097 Medical/Surgical Procdedure SURGICAL ONCOLOGY Tumor Excision ( Superficial - Large ) 6500 7200 7200 8300 10800 18000 4098 Medical/Surgical Procdedure SURGICAL ONCOLOGY Tumor Excision - Face ( Superficial - Medium ) 11900 13200 13200 15200 19800 33000 4099 Medical/Surgical Procdedure SURGICAL ONCOLOGY Tumor Excision - Face ( Superficial - Small ) 10200 11300 11300 13000 17000 28300 4100 Medical/Surgical Procdedure SURGICAL ONCOLOGY Tumor Wide Excision ( Superficial - Small ) 4500 5000 5000 5800 7500 12500 4101 Medical/Surgical Procdedure SURGICAL ONCOLOGY Neutropenia Management - Supportive Care ( Per day ) 2600 2900 2900 3300 4400 7300 4102 Medical/Surgical Procdedure SURGICAL ONCOLOGY Supraomohyoid Dissection ( Bilateral ) 19000 21100 21100 24300 31700 52800 4103 Medical/Surgical Procdedure SURGICAL ONCOLOGY Supraomohyoid Dissection ( Right ) 14700 16300 16300 18700 24500 40800 4104 Medical/Surgical Procdedure SURGICAL ONCOLOGY Supraomohyoid Dissection ( Left ) 14700 16300 16300 18700 24500 40800 4105 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suture Removal ( Oncosurgery ) 500 600 600 700 900 1500 4106 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suture Removal ( Complex ) 1300 1400 1400 1600 2100 3500 4107 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suture Removal ( Single Suture ) 300 300 300 300 500 800 4108 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suturing - Medium ( 6-15 Cms ) 5600 6200 6200 7100 9300 15500 4109 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suturing - Small ( Upto 5 Cms ) 2600 2900 2900 3300 4400 7300 4110 Medical/Surgical Procdedure SURGICAL ONCOLOGY Suturing - Large ( >15 Cms ) 8200 9100 9100 10500 13700 22800 Total Abdominal Hysterectomy ( TAH ) + Bilateral SURGICAL ONCOLOGY 27100 30100 30100 34600 45200 75300 Salpingoophorectomy ( BSO ) + Pelvic Lymph Node Dissection 4111 Medical/Surgical Procdedure Total Abdominal Hysterectomy ( TAH ) + Bilateral SURGICAL ONCOLOGY Salpingoophorectomy ( BSO ) + Pelvic Lymph Node Dissection + 29900 33200 33200 38200 49800 83000 4112 Medical/Surgical Procdedure Omentectomy Total Abdominal Hysterectomy ( TAH ) + Bilateral Salpingoophorectomy ( BSO ) + Pelvic Lymph Node Dissection + SURGICAL ONCOLOGY 38000 42200 42200 48500 63300 105500 Omentectomy + Paraaortic Lymph Node Sampling + Peritoneal 4113 Medical/Surgical Procdedure Biopsy Total Abdominal Hysterectomy ( TAH ) + Bilateral SURGICAL ONCOLOGY Salpingoophorectomy ( BSO ) + Pelvic Lymph Node Dissection + 29900 33200 33200 38200 49800 83000 4114 Medical/Surgical Procdedure Peritoneal Washing Total Abdominal Hysterectomy ( TAH ) + Bilateral SURGICAL ONCOLOGY 15800 17500 17500 20100 26300 43800 4115 Medical/Surgical Procdedure Salpingoophorectomy ( BSO ) - Oncosurgery 4116 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thyroidectomy Subtotal ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 4117 Medical/Surgical Procdedure SURGICAL ONCOLOGY Thyroidectomy + Neck Dissection ( Level II-IV ) 24500 27200 27200 31300 40800 68000 4118 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation Penis ( Total ) + Block Dissection Bilateral 24500 27200 27200 31300 40800 68000 SURGICAL ONCOLOGY Amputation Penis ( Total ) + Ilioinguinal Dissection Bilateral 38000 42200 42200 48500 63300 105500 4119 Medical/Surgical Procdedure 4120 Medical/Surgical Procdedure SURGICAL ONCOLOGY Glossectomy Total ( with Neck Dissection ) 38000 42200 42200 48500 63300 105500 4121 Medical/Surgical Procdedure SURGICAL ONCOLOGY Maxillectomy Total ( Oncosurgery ) 29900 33200 33200 38200 49800 83000 4122 Medical/Surgical Procdedure SURGICAL ONCOLOGY Parotidectomy Total ( Nerve Preserving ) 19000 21100 21100 24300 31700 52800 4123 Medical/Surgical Procdedure SURGICAL ONCOLOGY Proctocolectomy Total + Ileostomy 27100 30100 30100 34600 45200 75300 4124 Medical/Surgical Procdedure SURGICAL ONCOLOGY Prostate Biopsy ( Transrectal ) 2600 2900 2900 3300 4400 7300 4125 Medical/Surgical Procdedure SURGICAL ONCOLOGY Trocar Cystostomy ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 4126 Medical/Surgical Procdedure SURGICAL ONCOLOGY Prostate Biopsy ( TRUS Guided ) 3200 3600 3600 4100 5400 9000 4127 Medical/Surgical Procdedure SURGICAL ONCOLOGY Ulcer / Wound Debridement ( Large >15 Cms ) 5600 6200 6200 7100 9300 15500 4128 Medical/Surgical Procdedure SURGICAL ONCOLOGY Ulcer / Wound Debridement ( Small - Upto 5 Cms ) 900 1000 1000 1200 1500 2500 4129 Medical/Surgical Procdedure SURGICAL ONCOLOGY Venesection ( Oncosurgery ) 3100 3400 3400 3900 5100 8500 4130 Medical/Surgical Procdedure SURGICAL ONCOLOGY Wedge Biopsy ( Superficial ) 1300 1400 1400 1600 2100 3500 4131 Medical/Surgical Procdedure SURGICAL ONCOLOGY Liver Tumor Wide Excision - More Than 4 46100 51200 51200 58900 76800 128000 Chemotherapy IntraArterial ( Including Chemoport Insertion - SURGICAL ONCOLOGY 8200 9100 9100 10500 13700 22800 4132 Medical/Surgical Procdedure Temporary ) 4133 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation - Above Elbow ( Oncosurgery ) 11900 13200 13200 15200 19800 33000 4134 Medical/Surgical Procdedure SURGICAL ONCOLOGY IntraArterial Port Placement ( Oncosurgery ) 14700 16300 16300 18700 24500 40800 4135 Medical/Surgical Procdedure SURGICAL ONCOLOGY Hepaticojejunostomy ( Oncosurgery ) 21600 24000 24000 27600 36000 60000 4136 Medical/Surgical Procdedure SURGICAL ONCOLOGY Intestinal Resection Multiple + Anastmosis ( Oncosurgery ) 21600 24000 24000 27600 36000 60000 4137 Medical/Surgical Procdedure SURGICAL ONCOLOGY Mastectomy Simple + Axillary Clearance 19000 21100 21100 24300 31700 52800 4138 Medical/Surgical Procdedure SURGICAL ONCOLOGY Tumor Wide Excision ( Superficial - Large) 8200 9100 9100 10500 13700 22800 4139 Medical/Surgical Procdedure SURGICAL ONCOLOGY Supportive Care - SBP Filter Infusion ( Per Day ) 1300 1400 1400 1600 2100 3500 Thyroidectomy + Neck Dissection ( Level II-IV ) + Level VI / MND SURGICAL ONCOLOGY 29900 33200 33200 38200 49800 83000 4140 Medical/Surgical Procdedure / RND 4141 Medical/Surgical Procdedure SURGICAL ONCOLOGY Amputation - Below Elbow ( Oncosurgery ) 10200 11300 11300 13000 17000 28300 4142 Medical/Surgical Procdedure SURGICAL ONCOLOGY Anterior Resection Of Rectum - High ( Oncosurgery ) 24500 27200 27200 31300 40800 68000 SURGICAL ONCOLOGY Anterior Resection Of Rectum - Low / Ultra-Low ( Oncosurgery ) 27100 30100 30100 34600 45200 75300 4143 Medical/Surgical Procdedure 4144 Medical/Surgical Procdedure SURGICAL ONCOLOGY Breast Lump Excision Biopsy - Large ( Oncosurgery ) 6500 7200 7200 8300 10800 18000 4145 Medical/Surgical Procdedure SURGICAL ONCOLOGY Breast Lump Excision Biopsy - Small ( Oncosurgery ) 4500 5000 5000 5800 7500 12500 4146 Medical/Surgical Procdedure SURGICAL ONCOLOGY Cystectomy Partial ( Oncosurgery ) 46100 51200 51200 58900 76800 128000 SURGICAL ONCOLOGY Double / Triple Bypass For Carcinoma Pancreas ( Oncosurgery ) 19000 21100 21100 24300 31700 52800 4147 Medical/Surgical Procdedure 4148 Medical/Surgical Procdedure SURGICAL ONCOLOGY Fine Needle Aspiration Cytology ( FNAC ) - Oncosurgery 900 1000 1000 1200 1500 2500 4149 Medical/Surgical Procdedure UROLOGY ED SHOCK WAVE THERAPY 50600 56180 56180 64600 84300 140500 4150 Medical/Surgical Procdedure UROLOGY Nephrectomy Partial - Laparoscopic ( Urology ) 36200 39800 39800 45800 59700 99500 4151 Medical/Surgical Procdedure UROLOGY Pyeloplasty - Laparoscopic ( Urology ) 28800 31700 31700 36500 47600 79300 4152 Medical/Surgical Procdedure UROLOGY NephroUreterectomy Radical - Laparoscopic ( Urology ) 34700 38200 38200 43900 57300 95500 4153 Medical/Surgical Procdedure UROLOGY Prostatectomy Radical - Laparoscopic ( Urology ) 42100 46300 46300 53200 69500 115800 4154 Medical/Surgical Procdedure UROLOGY Bladder Rupture Repair (Major) 16500 18200 18200 20900 27300 45500 UROLOGY Ureteric Reimplantation Laparoscopic ( Bilateral ) - Urology 28800 31700 31700 36500 47600 79300 4155 Medical/Surgical Procdedure 4156 Medical/Surgical Procdedure UROLOGY Pyelolithotomy ( Laparoscopic ) 26400 29000 29000 33400 43500 72500 4157 Medical/Surgical Procdedure UROLOGY Lithotripsy ( for Residual Stone - Post PCNL ) 8300 9100 9100 10500 13700 22800 4158 Medical/Surgical Procdedure UROLOGY Bladder Rupture Repair (Minor) 7300 8000 8000 9200 12000 20000 4159 Medical/Surgical Procdedure UROLOGY Meatoplasty 5700 6300 6300 7200 9500 15800 4160 Medical/Surgical Procdedure UROLOGY MicroVaricocelectomy ( Bilateral ) 18900 20800 20800 23900 31200 52000 4161 Medical/Surgical Procdedure UROLOGY MicroVaricocelectomy ( Right ) 12600 13900 13900 16000 20900 34800 4162 Medical/Surgical Procdedure UROLOGY MicroVaricocelectomy ( Left ) 12600 13900 13900 16000 20900 34800 4163 Medical/Surgical Procdedure UROLOGY Nephrectomy Partial 36200 39800 39800 45800 59700 99500 4164 Medical/Surgical Procdedure UROLOGY Nephrectomy Radical 27500 30300 30300 34800 45500 75800 4165 Medical/Surgical Procdedure UROLOGY Nephrectomy Simple 20900 23000 23000 26500 34500 57500 4166 Medical/Surgical Procdedure UROLOGY Nephrolithotomy 20500 22600 22600 26000 33900 56500 4167 Medical/Surgical Procdedure UROLOGY Nephrostomy Open 6600 7300 7300 8400 11000 18300 4168 Medical/Surgical Procdedure UROLOGY Nephrostomy Percutaneous 10500 11600 11600 13300 17400 29000 4169 Medical/Surgical Procdedure UROLOGY Prostatectomy Open ( Urology ) 21900 24100 24100 27700 36200 60300 4170 Medical/Surgical Procdedure UROLOGY Orchidectomy - Bilateral ( Urology ) 14600 16100 16100 18500 24200 40300 4171 Medical/Surgical Procdedure UROLOGY Botox Injection ( Intravesical / Intrasphinteric ) 18000 19800 19800 22800 29700 49500 4172 Medical/Surgical Procdedure UROLOGY Orchidectomy ( Right ) 10200 11200 11200 12900 16800 28000 4173 Medical/Surgical Procdedure UROLOGY Orchidectomy ( Left ) 10200 11200 11200 12900 16800 28000 4174 Medical/Surgical Procdedure UROLOGY Orchidopexy ( Bilateral ) - Urology 15400 16900 16900 19400 25400 42300 4175 Medical/Surgical Procdedure UROLOGY Penectomy Partial 13800 15200 15200 17500 22800 38000 4176 Medical/Surgical Procdedure UROLOGY Penectomy Total without Lymphadectomy 17300 19000 19000 21900 28500 47500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 4177 Medical/Surgical Procdedure UROLOGY Penile Implant Surgery ( Urology ) 31500 34700 34700 39900 52100 86800 4178 Medical/Surgical Procdedure UROLOGY Cystolithotomy Percutaneous 9400 10300 10300 11800 15500 25800 4179 Medical/Surgical Procdedure UROLOGY Urethrostomy Perineal 13100 14400 14400 16600 21600 36000 4180 Medical/Surgical Procdedure UROLOGY Permacath Removal (Urology) 3800 4200 4200 4800 6300 10500 4181 Medical/Surgical Procdedure UROLOGY Urethral Valve Posterior ( PUV ) Fulguration 7900 8700 8700 10000 13100 21800 4182 Medical/Surgical Procdedure UROLOGY Prostatectomy Radical 42100 46300 46300 53200 69500 115800 4183 Medical/Surgical Procdedure UROLOGY Prostatectomy Retropubic 20500 22600 22600 26000 33900 56500 4184 Medical/Surgical Procdedure UROLOGY Pyelolithotomy 10500 11600 11600 13300 17400 29000 4185 Medical/Surgical Procdedure UROLOGY Pyeloplasty 20900 23000 23000 26500 34500 57500 Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter UROLOGY 6200 6800 6800 7800 10200 17000 4186 Medical/Surgical Procdedure Insertion 4187 Medical/Surgical Procdedure UROLOGY Pyeloplasty Open 18900 20800 20800 23900 31200 52000 4188 Medical/Surgical Procdedure UROLOGY NephroUreterectomy Radical ( Open ) 31500 34700 34700 39900 52100 86800 4189 Medical/Surgical Procdedure UROLOGY Paraphimosis Reduction ( Urology ) 3000 3300 3300 3800 5000 8300 Continuous Ambulatory Peritoneal Dialysis ( CAPD ) Catheter UROLOGY 7900 8700 8700 10000 13100 21800 4190 Medical/Surgical Procdedure Repositioning Continuous Ambulatory Peritoneal Dialysis (CAPD) Catheter UROLOGY 6900 7600 7600 8700 11400 19000 4191 Medical/Surgical Procdedure Removal UROLOGY Retroperitoneal Lymph Node Dissection ( RPLND ) - Urology 36200 39800 39800 45800 59700 99500 4192 Medical/Surgical Procdedure 4193 Medical/Surgical Procdedure UROLOGY Pyelolithotomy Retroperitoneoscopic 33000 36300 36300 41700 54500 90800 4194 Medical/Surgical Procdedure UROLOGY Ureterolithotomy Retroperitoneoscopic 24000 26400 26400 30400 39600 66000 Scrotal Exploration + Microsurgical Vasoepididymal Anastomosis UROLOGY 16500 18200 18200 20900 27300 45500 4195 Medical/Surgical Procdedure ( Bilateral ) Scrotal Exploration + Microsurgical Vasoepididymal Anastomosis UROLOGY 11000 12100 12100 13900 18200 30300 4196 Medical/Surgical Procdedure ( Right ) Scrotal Exploration + Microsurgical Vasoepididymal Anastomosis UROLOGY 11000 12100 12100 13900 18200 30300 4197 Medical/Surgical Procdedure ( Left ) 4198 Medical/Surgical Procdedure UROLOGY Scrotal Exploration ( Urology ) 6300 6900 6900 7900 10400 17300 Scrotal Exploration + Vaso-vasal Anastomosis - Microsurgical ( UROLOGY 16500 18200 18200 20900 27300 45500 4199 Medical/Surgical Procdedure Bilateral ) Scrotal Exploration + Vaso-vasal Anastomosis - Microsurgical ( UROLOGY 11000 12100 12100 13900 18200 30300 4200 Medical/Surgical Procdedure Right side ) Scrotal Exploration + Vaso-vasal Anastomosis - Microsurgical ( UROLOGY 11600 12800 12800 14700 19200 32000 4201 Medical/Surgical Procdedure Left side ) 4202 Medical/Surgical Procdedure UROLOGY Suturing Secondary ( Large ) 5300 5800 5800 6700 8700 14500 4203 Medical/Surgical Procdedure UROLOGY Suturing Secondary ( Small ) 3160 3500 3500 4000 5300 8800 4204 Medical/Surgical Procdedure UROLOGY Cystolithotomy Suprapubic 8900 9800 9800 11300 14700 24500 4205 Medical/Surgical Procdedure UROLOGY Testicular Biopsy ( Urology ) 6000 6600 6600 7600 9900 16500 4206 Medical/Surgical Procdedure UROLOGY Testicular Prosthesis ( Bilateral ) 8400 9200 9200 10600 13800 23000 4207 Medical/Surgical Procdedure UROLOGY Catheter Removal ( Urology ) 210 200 200 200 300 500 4208 Medical/Surgical Procdedure UROLOGY Testicular Prosthesis ( Right ) 5300 5800 5800 6700 8700 14500 4209 Medical/Surgical Procdedure UROLOGY Testicular Prosthesis ( Left ) 5300 5800 5800 6700 8700 14500 4210 Medical/Surgical Procdedure UROLOGY Transurethral Resection of Bladder Tumor ( TURB ) 18500 20400 20400 23500 30600 51000 4211 Medical/Surgical Procdedure UROLOGY Transurethral Resection Of Prostate ( TURP ) 25000 27500 27500 31600 41300 68800 4212 Medical/Surgical Procdedure UROLOGY Urethral Catheterization ( Urology ) 850 900 900 1000 1400 2300 4213 Medical/Surgical Procdedure UROLOGY Ureteric Reimplantation ( Bilateral ) 26200 28800 28800 33100 43200 72000 4214 Medical/Surgical Procdedure UROLOGY Ureteric Reimplantation ( Right ) 15700 17300 17300 19900 26000 43300 4215 Medical/Surgical Procdedure UROLOGY Ureteric Reimplantation ( Left ) 15700 17300 17300 19900 26000 43300 4216 Medical/Surgical Procdedure UROLOGY UreteroUreterostomy 20900 23000 23000 26500 34500 57500 4217 Medical/Surgical Procdedure UROLOGY Ureterocele Incision ( Right ) 13900 15300 15300 17600 23000 38300 4218 Medical/Surgical Procdedure UROLOGY Ureterocele Incision ( Left ) 12600 13900 13900 16000 20900 34800 4219 Medical/Surgical Procdedure UROLOGY Ureterolithotomy 12600 13900 13900 16000 20900 34800 4220 Medical/Surgical Procdedure UROLOGY Ureterolysis ( Bilateral ) 16800 18500 18500 21300 27800 46300 4221 Medical/Surgical Procdedure UROLOGY Ureterolysis ( Right ) 16300 17900 17900 20600 26900 44800 4222 Medical/Surgical Procdedure UROLOGY Ureterolysis ( Left ) 16300 17900 17900 20600 26900 44800 4223 Medical/Surgical Procdedure UROLOGY Ureteroscopy (Diagnostic) 10700 11800 11800 13600 17700 29500 4224 Medical/Surgical Procdedure UROLOGY Nephrostomy Tube Change 3160 3500 3500 4000 5300 8800 4225 Medical/Surgical Procdedure UROLOGY Stone Removal (Ureteroscopy Assisted) 15000 16500 16500 19000 24800 41300 4226 Medical/Surgical Procdedure UROLOGY Urethral Diverticulum Repair 9200 10100 10100 11600 15200 25300 4227 Medical/Surgical Procdedure UROLOGY Urethroplasty (Single Stage) 25000 27500 27500 31600 41300 68800 4228 Medical/Surgical Procdedure UROLOGY Urethroplasty (Two Stage) - 1st Stage 18100 19900 19900 22900 29900 49800 4229 Medical/Surgical Procdedure UROLOGY Urethroplasty (Two Stage) - 2nd Stage 24000 26400 26400 30400 39600 66000 4230 Medical/Surgical Procdedure UROLOGY Urethro vaginal Fistula Repair 21000 23100 23100 26600 34700 57800 4231 Medical/Surgical Procdedure UROLOGY Urethral Fistula Repair 2310 2500 2500 2900 3800 6300 4232 Medical/Surgical Procdedure UROLOGY Varicocelectomy ( Bilateral ) 14300 15700 15700 18100 23600 39300 4233 Medical/Surgical Procdedure UROLOGY Varicocelectomy ( Right ) 11200 12300 12300 14100 18500 30800 4234 Medical/Surgical Procdedure UROLOGY Varicocelectomy ( Left ) 11200 12300 12300 14100 18500 30800 4235 Medical/Surgical Procdedure UROLOGY Chordee Correction (Urology) 3600 4000 4000 4600 6000 10000 4236 Medical/Surgical Procdedure UROLOGY Video Urodynamics 4200 4600 4600 5300 6900 11500 4237 Medical/Surgical Procdedure UROLOGY VesicoVaginal Fistula ( VVF ) Repair - Urology 30100 33100 33100 38100 49700 82800 4238 Medical/Surgical Procdedure UROLOGY Webbed Penis Release 17900 19700 19700 22700 29600 49300 4239 Medical/Surgical Procdedure UROLOGY Circumcision (Urology) 8800 9700 9700 11200 14600 24300 4240 Medical/Surgical Procdedure UROLOGY Prostate Biopsy - TransRectal Ultrasound ( TRUS ) Guided 3300 3600 3600 4100 5400 9000 4241 Medical/Surgical Procdedure UROLOGY Urethral Fistula Closure 8600 9500 9500 10900 14300 23800 4242 Medical/Surgical Procdedure UROLOGY Cystolithotripsy 9400 10300 10300 11800 15500 25800 4243 Medical/Surgical Procdedure UROLOGY Mitrofanoff Appendicovesicostomy ( Urology ) 31400 34500 34500 39700 51800 86300 4244 Medical/Surgical Procdedure UROLOGY Meatotomy ( Urology ) 2740 3000 3000 3500 4500 7500 4245 Medical/Surgical Procdedure UROLOGY Uroflowmetry 630 700 700 800 1100 1800 4246 Medical/Surgical Procdedure UROLOGY Nesbit's Procedure 18100 19900 19900 22900 29900 49800 4247 Medical/Surgical Procdedure UROLOGY NMP22 Bladder Check Test 3700 4100 4100 4700 6200 10300 4248 Medical/Surgical Procdedure UROLOGY Anatrophic Nephrolithotomy 32300 35500 35500 40800 53300 88800 4249 Medical/Surgical Procdedure UROLOGY Cystocele / Rectocele Repair 12100 13300 13300 15300 20000 33300 4250 Medical/Surgical Procdedure UROLOGY Laparoscopic Cyst Deroofing 20900 23000 23000 26500 34500 57500 4251 Medical/Surgical Procdedure UROLOGY Laparoscopic Radical Cystectomy 43500 47900 47900 55100 71900 119800 4252 Medical/Surgical Procdedure UROLOGY Ureteric Reimplantation ( Laparoscopic ) 26400 29000 29000 33400 43500 72500 4253 Medical/Surgical Procdedure UROLOGY Laparoscopic Ureterolysis 24000 26400 26400 30400 39600 66000 4254 Medical/Surgical Procdedure UROLOGY Permacath Insertion 5300 5800 5800 6700 8700 14500 4255 Medical/Surgical Procdedure UROLOGY Cystectomy (Partial) 15700 17300 17300 19900 26000 43300 4256 Medical/Surgical Procdedure UROLOGY Sling / Burch / Raz / Stamey - 21700 23900 23900 27500 35900 59800 4257 Medical/Surgical Procdedure UROLOGY Urethroplasty Substitution 30000 33000 33000 38000 49500 82500 4258 Medical/Surgical Procdedure UROLOGY Cystectomy Radical + Ileal Conduit 44200 48600 48600 55900 72900 121500 4259 Medical/Surgical Procdedure UROLOGY Adrenalectomy Total ( Right ) 26200 28800 28800 33100 43200 72000 4260 Medical/Surgical Procdedure UROLOGY Cystectomy (Radical) + Orthotopic Bladder 50500 55600 55600 63900 83400 139000 4261 Medical/Surgical Procdedure UROLOGY Cystolithotomy Open 8400 9200 9200 10600 13800 23000 4262 Medical/Surgical Procdedure UROLOGY Suprapubic Cystostomy 7900 8700 8700 10000 13100 21800 4263 Medical/Surgical Procdedure UROLOGY Stricture Urethra Dilatation 3600 4000 4000 4600 6000 10000 4264 Medical/Surgical Procdedure UROLOGY Scrototomy Exploratory 8900 9800 9800 11300 14700 24500 4265 Medical/Surgical Procdedure UROLOGY Amputation Penis - Partial ( Urology ) 10000 11000 11000 12700 16500 27500 4266 Medical/Surgical Procdedure UROLOGY Cystoscopy with Clot Evacuation 4200 4600 4600 5300 6900 11500 4267 Medical/Surgical Procdedure UROLOGY Nephrectomy 18400 20200 20200 23200 30300 50500 4268 Medical/Surgical Procdedure UROLOGY Cystoscopy ( Diagnostic ) 5000 5500 5500 6300 8300 13800 4269 Medical/Surgical Procdedure UROLOGY Lymphatic Ligation - Laparoscopic ( Urology ) 24000 26400 26400 30400 39600 66000 4270 Medical/Surgical Procdedure UROLOGY Orchidectomy Laparoscopic - Bilateral ( Urology ) 24000 26400 26400 30400 39600 66000 4271 Medical/Surgical Procdedure UROLOGY Orchidectomy Laparoscopic - Right ( Urology ) 18000 19800 19800 22800 29700 49500 4272 Medical/Surgical Procdedure UROLOGY Anderson Hynes Pyeloplasty ( Urology ) 20500 22600 22600 26000 33900 56500 4273 Medical/Surgical Procdedure UROLOGY Orchidopexy Laparoscopic - Bilateral ( Urology ) 24000 26400 26400 30400 39600 66000 4274 Medical/Surgical Procdedure UROLOGY Orchidopexy Laparoscopic - Right ( Urology ) 18000 19800 19800 22800 29700 49500 4275 Medical/Surgical Procdedure UROLOGY Pelvic Lymphadenectomy - Laparoscopic ( Urology ) 26400 29000 29000 33400 43500 72500 4276 Medical/Surgical Procdedure UROLOGY Rovsing`s Operation ( Laparoscopic ) 24000 26400 26400 30400 39600 66000 4277 Medical/Surgical Procdedure UROLOGY Varicocelectomy Laparoscopic - Bilateral ( Urology ) 20500 22600 22600 26000 33900 56500 4278 Medical/Surgical Procdedure UROLOGY Varicocelectomy ( Laparoscopic ) - Right 15500 17100 17100 19700 25700 42800 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 4279 Medical/Surgical Procdedure UROLOGY Adrenalectomy ( Bilateral ) 28200 31000 31000 35700 46500 77500 4280 Medical/Surgical Procdedure UROLOGY Augmentation Ileocystoplasty 35300 38800 38800 44600 58200 97000 Bladder Neck Suspension ( Sling Procedure ) - Tension Free UROLOGY 24000 26400 26400 30400 39600 66000 4281 Medical/Surgical Procdedure Vaginal Tape ( TVT ) 4282 Medical/Surgical Procdedure UROLOGY Foreign Body Removal ( Cystoscopic ) 4200 4600 4600 5300 6900 11500 4283 Medical/Surgical Procdedure UROLOGY Cystoscopy With Retrograde Catheterization ( Bilateral ) 6000 6600 6600 7600 9900 16500 4284 Medical/Surgical Procdedure UROLOGY Bladder Neck Suspension ( Endoscopic ) 26400 29000 29000 33400 43500 72500 4285 Medical/Surgical Procdedure UROLOGY Epididymal Cyst Excision - Bilateral 7100 7800 7800 9000 11700 19500 4286 Medical/Surgical Procdedure UROLOGY Epididymal Cyst Excision - Right 6000 6600 6600 7600 9900 16500 4287 Medical/Surgical Procdedure UROLOGY Epididymectomy/Spermatocelectomy - Right 6000 6600 6600 7600 9900 16500 4288 Medical/Surgical Procdedure UROLOGY Glanulo-Cavernous Shunt 10000 11000 11000 12700 16500 27500 UROLOGY Cystoscopy With Retrograde Ureteric Catheterization ( Right ) 4700 5200 5200 6000 7800 13000 4289 Medical/Surgical Procdedure 4290 Medical/Surgical Procdedure UROLOGY Hydrocelectomy Bilateral ( Urology ) 10500 11600 11600 13300 17400 29000 4291 Medical/Surgical Procdedure UROLOGY Ileal Repalcement of Ureter 30000 33000 33000 38000 49500 82500 4292 Medical/Surgical Procdedure UROLOGY Adrenalectomy ( Laparoscopic ) - Bilateral 35300 38800 38800 44600 58200 97000 4293 Medical/Surgical Procdedure UROLOGY Adrenalectomy ( Laparoscopic ) - Right 32300 35500 35500 40800 53300 88800 4294 Medical/Surgical Procdedure UROLOGY Diverticulectomy ( Laparoscopic ) 26400 29000 29000 33400 43500 72500 4295 Medical/Surgical Procdedure UROLOGY Frenuloplasty (Urology ) 3160 3500 3500 4000 5300 8800 4296 Medical/Surgical Procdedure UROLOGY Adrenelectomy ( Retroperitoneoscopic ) 43500 47900 47900 55100 71900 119800 Retroperitoneoscopic and Nephroscopic Stone Surgery ( UROLOGY 43500 47900 47900 55100 71900 119800 4297 Medical/Surgical Procdedure Multiple /Staghorn ) 4298 Medical/Surgical Procdedure UROLOGY Bladder Neck Suspension ( Retroperitoneoscopic ) 24000 26400 26400 30400 39600 66000 4299 Medical/Surgical Procdedure UROLOGY Nephroureterctomy ( Retroperitoneoscopic ) 43500 47900 47900 55100 71900 119800 4300 Medical/Surgical Procdedure UROLOGY Nephropexy ( Retroperitoneoscopic ) 24000 26400 26400 30400 39600 66000 4301 Medical/Surgical Procdedure UROLOGY Pyeloplasty ( Retroperitoneoscopic ) 43500 47900 47900 55100 71900 119800 4302 Medical/Surgical Procdedure UROLOGY Radical Nephrectomy ( Retroperitoneoscopic ) 43500 47900 47900 55100 71900 119800 4303 Medical/Surgical Procdedure UROLOGY Simple Nephrectomy ( Retroperitoneoscopic ) 33000 36300 36300 41700 54500 90800 UROLOGY Retroperitoneoscopic Aorto iliac Surgery in Horse shoe Kidney 33000 36300 36300 41700 54500 90800 4304 Medical/Surgical Procdedure 4305 Medical/Surgical Procdedure UROLOGY Ureteroplasty ( Retroperitoneoscopic ) 33000 36300 36300 41700 54500 90800 UROLOGY Endoscopic Submucosal Teflon Injection ( STING ) -Bilateral 5400 5900 5900 6800 8900 14800 4306 Medical/Surgical Procdedure 4307 Medical/Surgical Procdedure UROLOGY Endoscopic Submucosal Teflon Injection ( STING ) - Right 4700 5200 5200 6000 7800 13000 4308 Medical/Surgical Procdedure UROLOGY Testicular Biopsy -Bilateral 7100 7800 7800 9000 11700 19500 4309 Medical/Surgical Procdedure UROLOGY Torsion Testis - Surgical Correction ( Bilateral ) 12600 13900 13900 16000 20900 34800 UROLOGY Trans urethral Reduction of Prostate (TURP ) + Cystolithotripsy 24000 26400 26400 30400 39600 66000 4310 Medical/Surgical Procdedure 4311 Medical/Surgical Procdedure UROLOGY Urine Reagent Strips (U.R.S ) Diagnostic -Bilateral 13500 14900 14900 17100 22400 37300 4312 Medical/Surgical Procdedure UROLOGY Urine Reagent Strips (U.R.S ) Diagnostic -Unilateral 11700 12900 12900 14800 19400 32300 4313 Medical/Surgical Procdedure UROLOGY Ureteric Dilation -Unilateral 10000 11000 11000 12700 16500 27500 4314 Medical/Surgical Procdedure UROLOGY Ureteric Dilation -Bilateral 13500 14900 14900 17100 22400 37300 4315 Medical/Surgical Procdedure UROLOGY Ureterocalicostomy 30100 33100 33100 38100 49700 82800 4316 Medical/Surgical Procdedure UROLOGY Urethral Caruncle Excision 10000 11000 11000 12700 16500 27500 4317 Medical/Surgical Procdedure UROLOGY Vasectomy-Bilateral 6000 6600 6600 7600 9900 16500 4318 Medical/Surgical Procdedure UROLOGY Vasectomy Reversal - Bilateral 14700 16200 16200 18600 24300 40500 4319 Medical/Surgical Procdedure UROLOGY Detrusor Seromyotomy 14500 16000 16000 18400 24000 40000 4320 Medical/Surgical Procdedure UROLOGY Vasectomy Reversal - Rt 13500 14900 14900 17100 22400 37300 4321 Medical/Surgical Procdedure UROLOGY Wedge biopsy 1870 2100 2100 2400 3200 5300 4322 Medical/Surgical Procdedure UROLOGY Urinary Sphincter Creation - Artificial 43500 47900 47900 55100 71900 119800 4323 Medical/Surgical Procdedure UROLOGY Orchidopexy - Left 10500 11600 11600 13300 17400 29000 4324 Medical/Surgical Procdedure UROLOGY Orchidopexy - Right 10500 11600 11600 13300 17400 29000 4325 Medical/Surgical Procdedure UROLOGY Diverticulectomy / Bladder Diverticulum Excision 13400 14700 14700 16900 22100 36800 4326 Medical/Surgical Procdedure UROLOGY Penis Fracture Repair 10000 11000 11000 12700 16500 27500 4327 Medical/Surgical Procdedure UROLOGY Ureterolysis for Retroperitoneal Fibrosis ( RPF ) - Bilateral 26400 29000 29000 33400 43500 72500 4328 Medical/Surgical Procdedure UROLOGY Ureterolysis for Retroperitoneal Fibrosis ( RPF ) - Left 24000 26400 26400 30400 39600 66000 4329 Medical/Surgical Procdedure UROLOGY Vesicostomy 12300 13500 13500 15500 20300 33800 4330 Medical/Surgical Procdedure UROLOGY DJ Stenting ( Bilateral ) 6750 7400 7400 8500 11100 18500 4331 Medical/Surgical Procdedure UROLOGY Prostate Biopsy ( Transrectal ) 3000 3300 3300 3800 5000 8300 4332 Medical/Surgical Procdedure UROLOGY DJ Stenting ( Right ) 4500 5000 5000 5800 7500 12500 4333 Medical/Surgical Procdedure UROLOGY Vasectomy ( Urology ) 9700 10700 10700 12300 16100 26800 4334 Medical/Surgical Procdedure UROLOGY DJ Stenting ( Left ) 4800 5300 5300 6100 8000 13300 4335 Medical/Surgical Procdedure UROLOGY Teflon Injection ( Endoscopic ) - Left side 13500 14900 14900 17100 22400 37300 4336 Medical/Surgical Procdedure UROLOGY Cystoplasty Augmentation 30100 33100 33100 38100 49700 82800 4337 Medical/Surgical Procdedure UROLOGY Endopyelotomy 19200 21100 21100 24300 31700 52800 4338 Medical/Surgical Procdedure UROLOGY Teflon Injection ( Endoscopic ) - Bilateral 14700 16200 16200 18600 24300 40500 Transurethral Resection of Prostate ( TURP ) + Transurethral UROLOGY 24000 26400 26400 30400 39600 66000 4339 Medical/Surgical Procdedure Resection of Bladder Tumor ( TURBT ) 4340 Medical/Surgical Procdedure UROLOGY Splenorenal Bypass 36800 40500 40500 46600 60800 101300 4341 Medical/Surgical Procdedure UROLOGY Bladder Stone Removal ( Endoscopic ) 13500 14900 14900 17100 22400 37300 Saphenous Vein Graft ( SVG ) + Vasoepididymostomy ( VEA ) - UROLOGY 20500 22600 22600 26000 33900 56500 4342 Medical/Surgical Procdedure Bilateral Saphenous Vein Graft ( SVG ) + Vasoepididymostomy ( VEA ) - UROLOGY 14700 16200 16200 18600 24300 40500 4343 Medical/Surgical Procdedure Right Side 4344 Medical/Surgical Procdedure UROLOGY Ureterovaginal Fistula Repair 30100 33100 33100 38100 49700 82800 4345 Medical/Surgical Procdedure UROLOGY Anastomotic Urethroplasty -Complex 31400 34500 34500 39700 51800 86300 4346 Medical/Surgical Procdedure UROLOGY Anastomotic Urethroplasty -Simple 21000 23100 23100 26600 34700 57800 4347 Medical/Surgical Procdedure UROLOGY Aortorenal by Pass 36800 40500 40500 46600 60800 101300 4348 Medical/Surgical Procdedure UROLOGY Autotransplantation 48400 53200 53200 61200 79800 133000 4349 Medical/Surgical Procdedure UROLOGY Buccal Mucosal Urethroplasty- Complex 37800 41600 41600 47800 62400 104000 4350 Medical/Surgical Procdedure UROLOGY Buccal Mucosal Urethroplasty- Simple 20900 23000 23000 26500 34500 57500 4351 Medical/Surgical Procdedure UROLOGY Deflux Injection 10500 11600 11600 13300 17400 29000 4352 Medical/Surgical Procdedure UROLOGY Epispadias Repair second stage 22700 25000 25000 28800 37500 62500 4353 Medical/Surgical Procdedure UROLOGY Epispadias Repair (Urology) 44200 48600 48600 55900 72900 121500 4354 Medical/Surgical Procdedure UROLOGY Hepatorenal by pass 36800 40500 40500 46600 60800 101300 4355 Medical/Surgical Procdedure UROLOGY High Orchiectomy 12600 13900 13900 16000 20900 34800 4356 Medical/Surgical Procdedure UROLOGY Ileal Ureter 26200 28800 28800 33100 43200 72000 4357 Medical/Surgical Procdedure UROLOGY Infundibulotomy 15700 17300 17300 19900 26000 43300 4358 Medical/Surgical Procdedure UROLOGY Lap Uretrolysis B/L 36200 39800 39800 45800 59700 99500 4359 Medical/Surgical Procdedure UROLOGY Lap Uretrolysis U/L 24000 26400 26400 30400 39600 66000 4360 Medical/Surgical Procdedure UROLOGY Peyronnie Plaque Excision& Vein Grafting 24000 26400 26400 30400 39600 66000 4361 Medical/Surgical Procdedure UROLOGY TransuretroUreterostomy 30100 33100 33100 38100 49700 82800 4362 Medical/Surgical Procdedure UROLOGY Ureteroureterostomy / Boari Flap 21000 23100 23100 26600 34700 57800 4363 Medical/Surgical Procdedure UROLOGY Abscess Drainage ( Urology ) 12400 13600 13600 15600 20400 34000 4364 Medical/Surgical Procdedure UROLOGY Ureteral Reimplantation with Boari Flap 24000 26400 26400 30400 39600 66000 4365 Medical/Surgical Procdedure UROLOGY Penectomy Total ( without Lymphadenectomy ) Bilateral 36200 39800 39800 45800 59700 99500 4366 Medical/Surgical Procdedure UROLOGY Penectomy Total ( without Lymphadenectomy ) Right 30100 33100 33100 38100 49700 82800 4367 Medical/Surgical Procdedure UROLOGY Penectomy Total ( without Lymphadenectomy ) Left 30100 33100 33100 38100 49700 82800 4368 Medical/Surgical Procdedure UROLOGY Abscess Drainage - Large ( Urology ) 3000 3300 3300 3800 5000 8300 4369 Medical/Surgical Procdedure UROLOGY Abscess Drainage - Medium ( Urology ) 1900 2100 2100 2400 3200 5300 4370 Medical/Surgical Procdedure UROLOGY Abscess Drainage - Small ( Urology ) 1100 1200 1200 1400 1800 3000 4371 Medical/Surgical Procdedure UROLOGY Balloon Dialation - Pelvi-ureteric Junction PUJ (Endoburst) 13500 14900 14900 17100 22400 37300 4372 Medical/Surgical Procdedure UROLOGY Caverno- Saphemous Shunt ( Priapism ) 10000 11000 11000 12700 16500 27500 4373 Medical/Surgical Procdedure UROLOGY Laparoscopic Nephro - Ureterectomy ( Urology ) 33000 36300 36300 41700 54500 90800 4374 Medical/Surgical Procdedure UROLOGY Laparoscopic Seminal Vesicle Surgery ( Urology ) 26400 29000 29000 33400 43500 72500 4375 Medical/Surgical Procdedure UROLOGY Neobladder Construction ( Urology ) 33000 36300 36300 41700 54500 90800 Percutaneous Nephrolithotomy (PCNL) - Second Stage ( Urology UROLOGY 10000 11000 11000 12700 16500 27500 4376 Medical/Surgical Procdedure ) 4377 Medical/Surgical Procdedure UROLOGY Radical Cystectomy + Urinary Diversion ( Urology ) 33000 36300 36300 41700 54500 90800 4378 Medical/Surgical Procdedure UROLOGY Retroperitoneoscopic Lumbar Sympathectomy ( Urology ) 26400 29000 29000 33400 43500 72500 4379 Medical/Surgical Procdedure UROLOGY Testiculal Implant Placement - Bilateral ( Urology ) 7100 7800 7800 9000 11700 19500 4380 Medical/Surgical Procdedure UROLOGY Testicular Implant Placement - Unilateral ( Urology ) 6000 6600 6600 7600 9900 16500 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM 4381 Medical/Surgical Procdedure UROLOGY Uretero Sigmoidostomy ( Urology ) 33000 36300 36300 41700 54500 90800 4382 Medical/Surgical Procdedure UROLOGY Hydrocele Repair - Bilateral ( Urology ) 11000 12100 12100 13900 18200 30300 4383 Medical/Surgical Procdedure UROLOGY Bladder Diverticulectomy 15700 17300 17300 19900 26000 43300 4384 Medical/Surgical Procdedure UROLOGY Holmium TURP 25000 27500 27500 31600 41300 68800 4385 Medical/Surgical Procdedure UROLOGY Percutaneous Nephrolithotomy ( PCNL ) 25000 27500 27500 31600 41300 68800 4386 Medical/Surgical Procdedure UROLOGY AV Fistula 5000 5500 5500 6300 8300 13800 4387 Medical/Surgical Procdedure UROLOGY Prostate Biopsy ( USG Guided ) 11600 12800 12800 14700 19200 32000 4388 Medical/Surgical Procdedure UROLOGY Air Cystogram CT 1000 1100 1100 1300 1700 2800 4389 Medical/Surgical Procdedure UROLOGY Flap Urethroplasty 38000 41800 41800 48100 62700 104500 4390 Medical/Surgical Procdedure UROLOGY Bladder Neck Reconstruction 27000 29700 29700 34200 44600 74300 4391 Medical/Surgical Procdedure UROLOGY Boaris Flap Repair 30000 33000 33000 38000 49500 82500 4392 Medical/Surgical Procdedure UROLOGY Diagnostic Laparoscopy ( Urology ) 16500 18200 18200 20900 27300 45500 4393 Medical/Surgical Procdedure UROLOGY Espispadias / Extrophy Repair 30000 33000 33000 38000 49500 82500 4394 Medical/Surgical Procdedure UROLOGY Greenlight Laser Prostatectomy 26400 29000 29000 33400 43500 72500 4395 Medical/Surgical Procdedure UROLOGY HIFU - Benign Hyperplasia Prostate 25000 27500 27500 31600 41300 68800 4396 Medical/Surgical Procdedure UROLOGY HIFU - Bone Secondaries Ca Prostate 30000 33000 33000 38000 49500 82500 4397 Medical/Surgical Procdedure UROLOGY HIFU - Carcinoma Bladder 35000 38500 38500 44300 57800 96300 4398 Medical/Surgical Procdedure UROLOGY HIFU - Carcinoma Prostate 35000 38500 38500 44300 57800 96300 4399 Medical/Surgical Procdedure UROLOGY Holmium Laser Ureterotomy 26400 29000 29000 33400 43500 72500 4400 Medical/Surgical Procdedure UROLOGY Hypospadias Repair - Single Stage ( Urology ) 24000 26400 26400 30400 39600 66000 4401 Medical/Surgical Procdedure UROLOGY Hydrocele Repair - Unilateral 8800 9700 9700 11200 14600 24300 4402 Medical/Surgical Procdedure UROLOGY Laproscopic Adrenectomy 43500 47900 47900 55100 71900 119800 4403 Medical/Surgical Procdedure UROLOGY Laproscopic Surgery For VVF 33000 36300 36300 41700 54500 90800 4404 Medical/Surgical Procdedure UROLOGY Laser OIU With Memokath Insertion 26400 29000 29000 33400 43500 72500 4405 Medical/Surgical Procdedure UROLOGY Laser TURP ( HOLEP ) 26400 29000 29000 33400 43500 72500 4406 Medical/Surgical Procdedure UROLOGY Phrenuloplasty 3000 3300 3300 3800 5000 8300 4407 Medical/Surgical Procdedure UROLOGY Posterior Urethral Valve Fulgration 16500 18200 18200 20900 27300 45500 4408 Medical/Surgical Procdedure UROLOGY Hypospadias Repair ( Two Stage ) - 1st Stage ( Urology ) 18100 19900 19900 22900 29900 49800 4409 Medical/Surgical Procdedure UROLOGY Hypospadias Repair ( Two Stage ) - 2nd Stage ( Urology ) 18100 19900 19900 22900 29900 49800 4410 Medical/Surgical Procdedure UROLOGY Bladder Exostrophy Repair 42300 46500 46500 53500 69800 116300 4411 Medical/Surgical Procdedure UROLOGY Inguinal Lymphadenectomy (Superficial) Bilateral 24200 26600 26600 30600 39900 66500 4412 Medical/Surgical Procdedure UROLOGY Inguinal Lymphadenectomy (Superficial) Right 17600 19400 19400 22300 29100 48500 4413 Medical/Surgical Procdedure UROLOGY Inguinal Lymphadenectomy (Superficial) Left 17600 19400 19400 22300 29100 48500 Vascular Surgery Abdominal Arotic Aneurysm Repair - EVAR ( Vascular Surgery ) 4414 Medical/Surgical Procdedure 50600 56200 56200 64600 84300 140500 Vascular Surgery Endarteractomy - Any Peripheral Vessel ( Vascular Surgery ) 4415 Medical/Surgical Procdedure 43200 48000 48000 55200 72000 120000 4416 Medical/Surgical Procdedure Vascular Surgery Vein Mapping ( Vascular Surgery ) 1000 1100 1100 1270 1650 2750 Bifurcation Scan ( Carotid / Aorta / Femoral ) ( Vascular Surgery Vascular Surgery 4417 Medical/Surgical Procdedure ) 1500 1650 1650 1900 2480 4130 Vascular Surgery Insole With Single Correction ( 2Nd Pair ) ( Vascular Surgery ) 4418 Medical/Surgical Procdedure 2400 2650 2650 3050 3980 6630 Vascular Surgery Carotid Body Tumour Excision With Shunt ( Vascular Surgery ) 4419 Medical/Surgical Procdedure 30500 33900 33900 39000 50900 84800 Diabetic Foot Vascular Assessment Procedure ( Vascular Vascular Surgery 4420 Medical/Surgical Procdedure Surgery ) 1500 1650 1650 1900 2480 4130 4421 Medical/Surgical Procdedure Vascular Surgery Fem - Fem Cross Over Graft ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 4422 Medical/Surgical Procdedure Vascular Surgery Carotid Body Tumor Excision ( Vascular Surgery ) 30500 33900 33900 39000 50900 84800 4423 Medical/Surgical Procdedure Vascular Surgery Cervical Rib Excision ( Vascular Surgery ) 40000 44400 44400 51100 66600 111000 4424 Medical/Surgical Procdedure Vascular Surgery Femoral Embolectomy - Bilateral ( Vascular Surgery ) 55000 61100 61100 70300 91700 152800 4425 Medical/Surgical Procdedure Vascular Surgery Femoral Embolectomy - Unilateral ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 Femoro Popliteal Bypass With Synthetic Graft ( Vascular Surgery Vascular Surgery 4426 Medical/Surgical Procdedure ) 45000 50000 50000 57500 75000 125000 Femoro Popiliteal Bypass With Autogenous Vein ( Vascular Vascular Surgery 4427 Medical/Surgical Procdedure Surgery ) 53000 58800 58800 67600 88200 147000 Lieno Renal / Proto Caval / Mesocaval Shunt ( Vascular Surgery Vascular Surgery 4428 Medical/Surgical Procdedure ) 45100 50100 50100 57600 75200 125300 4429 Medical/Surgical Procdedure Vascular Surgery Esophageal Varices Ligation ( Vascular Surgery ) 45100 50100 50100 57600 75200 125300 Aorto Bifemoral Bypass Without Endarterectomy ( Vascular Vascular Surgery 4430 Medical/Surgical Procdedure Surgery ) 45000 50000 50000 57500 75000 125000 4431 Medical/Surgical Procdedure Vascular Surgery Lumbar Sympathectomy ( Vascular Surgery ) 17800 19800 19800 22800 29700 49500 Vascular Surgery Popliteal Artery Entrapment Management ( Vascular Surgery ) 4432 Medical/Surgical Procdedure 35000 38900 38900 44700 58400 97300 4433 Medical/Surgical Procdedure Vascular Surgery Peripheral Arterial Aneurysm Repair ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4434 Medical/Surgical Procdedure Vascular Surgery Peripheral Vascular Injury Repair ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4435 Medical/Surgical Procdedure Vascular Surgery Profundaplasty Using Patch ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 Vascular Surgery Thoracic Aneurysms Resection + Grafting ( Vascular Surgery ) 4436 Medical/Surgical Procdedure 50600 56200 56200 64600 84300 140500 4437 Medical/Surgical Procdedure Vascular Surgery Subclavian Artery Bypass ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 4438 Medical/Surgical Procdedure Vascular Surgery Arterial Thromboendarterectomy ( Vascular Surgery ) 46600 51700 51700 59500 77600 129300 Femoral + Popliteal Thrombo Embolectomy - Unilateral ( Vascular Surgery 4439 Medical/Surgical Procdedure Vascular Surgery ) 46600 51700 51700 59500 77600 129300 4440 Medical/Surgical Procdedure Vascular Surgery Varicose Vein Surgery - Both Legs ( Vascular Surgery ) 33200 36900 36900 42400 55400 92300 4441 Medical/Surgical Procdedure Vascular Surgery Aorto Iliac Bypass ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4442 Medical/Surgical Procdedure Vascular Surgery Varicose Vein Surgery - Single Leg ( Vascular Surgery ) 23400 26000 26000 29900 39000 65000 4443 Medical/Surgical Procdedure Vascular Surgery Femoro Distal Bypass ( Vascular Surgery ) 53000 58800 58800 67600 88200 147000 4444 Medical/Surgical Procdedure Vascular Surgery Thoracic Outlet Syndrome Surgery ( Vascular Surgery ) 40000 44400 44400 51100 66600 111000 4445 Medical/Surgical Procdedure Vascular Surgery Femoral Arteriogram On Table ( Vascular Surgery ) 9500 10500 10500 12100 15800 26300 Vascular Surgery Other Arterial Bypass Surgery With Vein ( Vascular Surgery ) 4446 Medical/Surgical Procdedure 47600 52800 52800 60700 79200 132000 Other Arterial Bypass Surgery With Synthetic Graft ( Vascular Vascular Surgery 4447 Medical/Surgical Procdedure Surgery ) 40500 45000 45000 51800 67500 112500 4448 Medical/Surgical Procdedure Vascular Surgery Superior Vena Cava Bypass ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4449 Medical/Surgical Procdedure Vascular Surgery Inferior Vena Cava Bypass ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4450 Medical/Surgical Procdedure Vascular Surgery Palma Dale Procedure ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4451 Medical/Surgical Procdedure Vascular Surgery Iliac Vein Bypass ( Vascular Surgery ) 45000 50000 50000 57500 75000 125000 4452 Medical/Surgical Procdedure Vascular Surgery Axillo Femoral Bypass ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 4453 Medical/Surgical Procdedure Vascular Surgery Femoral Vein Valvuloplasty ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 4454 Medical/Surgical Procdedure Vascular Surgery Axillary Vein Transfer ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 4455 Medical/Surgical Procdedure Vascular Surgery Diabetic Foot Debridement ( Vascular Surgery ) 10000 11100 11100 12800 16700 27800 4456 Medical/Surgical Procdedure Vascular Surgery Omental Transfer ( Vascular Surgery ) 30000 33300 33300 38300 50000 83300 4457 Medical/Surgical Procdedure Vascular Surgery Venous Thrombectomy ( Vascular Surgery ) 25000 27800 27800 32000 41700 69500 Vascular Surgery Varicose Veins ( Open Surgery ) - Bilateral ( Vascular Surgery ) 4458 Medical/Surgical Procdedure 33200 36900 36900 42400 55400 92300 Vascular Surgery Varicose Veins ( Open Surgery ) - Unilateral ( Vascular Surgery ) 4459 Medical/Surgical Procdedure 23400 26000 26000 29900 39000 65000 4460 Medical/Surgical Procdedure Vascular Surgery Chemoport Insertion ( Vascular Surgery ) 11000 12200 12200 14000 18300 30500 4461 Medical/Surgical Procdedure Vascular Surgery Chemoport Removal ( Vascular Surgery ) 7000 7800 7800 9000 11700 19500 4462 Medical/Surgical Procdedure Vascular Surgery Hickman Line Insertion ( Vascular Surgery ) 11000 12200 12200 14000 18300 30500 Vascular Surgery Carotico Brachial Bypass - Graft Sythethetic ( Vascular Surgery ) 4463 Medical/Surgical Procdedure 37400 41500 41500 47700 62300 103800 4464 Medical/Surgical Procdedure Vascular Surgery Permacath Placement / Insertion ( Vascular Surgery ) 11000 12200 12200 14000 18300 30500 Vascular Surgery Aorto Bifemoral Bypass + Endarterectomy ( Vascular Surgery ) 4465 Medical/Surgical Procdedure 59000 65500 65500 75300 98300 163800 Laparoscopic Aorto - Distal Vascular Anastomosis ( Vascular Vascular Surgery 4466 Medical/Surgical Procdedure Surgery ) 23400 26000 26000 29900 39000 65000 Axillary - Brachial Bypass With Synthetic Graft ( Vascular Vascular Surgery 4467 Medical/Surgical Procdedure Surgery ) 45000 50000 50000 57500 75000 125000 4468 Medical/Surgical Procdedure Vascular Surgery Extra - Anatomical Bypass ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 Extra - Anatomical Axillo - Bifemoral Bypass ( Bilateral ) With Vascular Surgery 4469 Medical/Surgical Procdedure Synthetic Grafting ( Vascular Surgery ) 35000 38900 38900 44700 58400 97300 GENERAL TWIN SINGLE DELUXE S. No. Head Service Item Name OPD DAY CARE WARD SHARING /ICU/ER ROOM Cartoid - Axillary Bypass With Synthetic Grafting ( Vascular Vascular Surgery 4470 Medical/Surgical Procdedure Surgery ) 37500 41600 41600 47800 62400 104000 Femoro - Popliteal Bypass With Reversed LSV ( Vascular Vascular Surgery 4471 Medical/Surgical Procdedure Surgery ) 47000 52200 52200 60000 78300 130500 Arterial Endarterectomy With PTFE / Vein Patch Plasty ( Vascular Surgery 4472 Medical/Surgical Procdedure Vascular Surgery ) 43200 48000 48000 55200 72000 120000 4473 Medical/Surgical Procdedure Vascular Surgery Carotid Endartertctomy Eversion ( Vascular Surgery ) 50800 56400 56400 64900 84600 141000 4474 Medical/Surgical Procdedure Vascular Surgery Carotid Bypass Graft ( Vascular Surgery ) 50800 56400 56400 64900 84600 141000 Axillary Arterial Injury ( Exploration + Repair ) - Primary Repair ( Vascular Surgery 4475 Medical/Surgical Procdedure Vascular Surgery ) 50800 56400 56400 64900 84600 141000 Arterial Injury ( Exploration + Repair ) - Using Vein Graft ( Vascular Surgery 4476 Medical/Surgical Procdedure Vascular Surgery ) 50800 56400 56400 64900 84600 141000 Traumatic Bleeding Arterial Injury ( Exploration + Ligation ) ( Vascular Surgery 4477 Medical/Surgical Procdedure Vascular Surgery ) 50800 56400 56400 64900 84600 141000 4478 Medical/Surgical Procdedure Vascular Surgery Open Aortic Aneurysm Repair ( Vascular Surgery ) 50800 56400 56400 64900 84600 141000 Ruptured Infra Renal Abdominal Aoritc Aneurysm Repair - Aorto Vascular Surgery 4479 Medical/Surgical Procdedure Bi-Iliac Bypass Graft ( Vascular Surgery ) 70000 77700 77700 89400 116600 194300 Chronic Total Occlusion ( CTO ) Recanalisation - Single Vascular Surgery 4480 Medical/Surgical Procdedure Segment ( Vascular Surgery ) 26600 29500 29500 33900 44300 73800 Chronic Total Occlusion ( CTO ) Recanalisation With Vascular Surgery 4481 Medical/Surgical Procdedure Patch Plasty ( Vascular Surgery ) 26600 29500 29500 33900 44300 73800 4482 Medical/Surgical Procdedure Vascular Surgery Endovascular Aneurysm Repair ( Vascular Surgery ) 145000 161000 161000 185200 241500 402500 4483 Medical/Surgical Procdedure Vascular Surgery Angio Embolisation ( Minor ) ( Vascular Surgery ) 26300 29200 29200 33600 43800 73000 4484 Medical/Surgical Procdedure Vascular Surgery Peripheral Angioplasty ( Vascular ) ( Vascular Surgery ) 26300 29200 29200 33600 43800 73000 4485 Medical/Surgical Procdedure Vascular Surgery Carotid Endartrectomy ( Vascular Surgery ) 50800 56400 56400 64900 84600 141000 4486 Medical/Surgical Procdedure Vascular Surgery Endoluminal Bypass ( Vascular Surgery ) 26300 29200 29200 33600 43800 73000 4487 Medical/Surgical Procdedure Vascular Surgery Angio Embolisation ( Major ) ( Vascular Surgery ) 26300 29200 29200 33600 43800 73000 4488 Medical/Surgical Procdedure Vascular Surgery A.V.Fistula Salvage ( Vascular Surgery ) 9500 10500 10500 12100 15800 26300 Vascular Surgery CTO Subinitmal Recanalisation - Focal ( Vascular Surgery ) 4489 Medical/Surgical Procdedure 26600 29500 29500 33900 44300 73800 Vascular Surgery Vascular Malformation Excision - Minor ( Vascular Surgery ) 4490 Medical/Surgical Procdedure 5000 5550 5550 6380 8300 13900 Vascular Malformation Excision - Intermediate ( Vascular Vascular Surgery 4491 Medical/Surgical Procdedure Surgery ) 15000 16700 16700 19200 25100 41800 Vascular Surgery Vascular Malformation Excision - Major ( Vascular Surgery ) 4492 Medical/Surgical Procdedure 25000 27800 27800 32000 41700 69500 4493 Medical/Surgical Procdedure Vascular Surgery Foreign Body Tumour Removal ( Vascular Surgery ) 9500 10500 10500 12100 15800 26300 4494 Medical/Surgical Procdedure Vascular Surgery Cervical Sympathectomy ( Vascular Surgery ) 19000 21100 21100 24300 31700 52800 4495 Medical/Surgical Procdedure Vascular Surgery Hickman Line Removal ( Vascular Surgery ) 7200 8000 8000 9200 12000 20000 4496 Medical/Surgical Procdedure Vascular Surgery Peripheral Angiography ( Vascular ) ( Vascular Surgery ) 9500 10500 10500 12100 15800 26300 Vascular Surgery Vein Injury Repair - With Interposition Graft ( Vascular Surgery ) 4497 Medical/Surgical Procdedure 35000 38900 38900 44700 58400 97300 Major Vascular Repair - With Interposition Graft ( Vascular Vascular Surgery 4498 Medical/Surgical Procdedure Surgery ) 35000 38900 38900 44700 58400 97300 4499 Medical/Surgical Procdedure Vascular Surgery Decompression Fasciotomy ( Vascular Surgery ) 17500 19400 19400 22300 29100 48500 4500 Medical/Surgical Procdedure Vascular Surgery Vein Exploration ( Vascular Surgery ) 5000 5550 5550 6380 8300 13900 4501 Medical/Surgical Procdedure Vascular Surgery A V Fistula Revision ( Vascular Surgery ) 5000 5550 5550 6380 8300 13900 4502 Medical/Surgical Procdedure Vascular Surgery Diabetic Foot Debridement - Medium ( Vascular Surgery ) 3000 3300 3300 3800 4950 8250 4503 Medical/Surgical Procdedure Vascular Surgery Congenital A.V. Fistula Repair ( Vascular Surgery ) 31000 34400 34400 39600 51600 86000 4504 Medical/Surgical Procdedure Vascular Surgery Diabetic Foot Debridement - Large ( Vascular Surgery ) 5000 5550 5550 6380 8300 13900 4505 Medical/Surgical Procdedure Vascular Surgery Toe Amputation ( Vascular Surgery ) 7500 8300 8300 9550 12450 20750 4506 Medical/Surgical Procdedure Vascular Surgery Foot Amputation ( Vascular Surgery ) 17500 19400 19400 22300 29100 48500 4507 Medical/Surgical Procdedure Vascular Surgery Above Knee Amputation ( Vascular Surgery ) 31000 34400 34400 39600 51600 86000 4508 Medical/Surgical Procdedure Vascular Surgery Below Knee Amputation ( Vascular Surgery ) 25000 27800 27800 32000 41700 69500 4509 Medical/Surgical Procdedure Vascular Surgery Small Artery Aneurysm Repair ( Vascular Surgery ) 13400 14900 14900 17100 22400 37300 4510 Medical/Surgical Procdedure Vascular Surgery IVC Filter Removal ( Vascular Surgery ) 19000 21100 21100 24300 31700 52800 4511 Medical/Surgical Procdedure Vascular Surgery Fistulas for Hemodialysis Low level ( Vascular Surgery ) 12000 13300 13300 15300 20000 33300 4512 Medical/Surgical Procdedure Vascular Surgery Fistulas for Hemodialysis High Level ( Vascular Surgery ) 16500 18300 18300 21000 27500 45800 4513 Medical/Surgical Procdedure Vascular Surgery Peripheral Haemangioma sclerotherapy Distal 1300 1450 1450 1670 2180 3630 Peripheral Haemangioma sclerotherapy / Embolisation (Trans- Vascular Surgery 4514 Medical/Surgical Procdedure arterial) 18500 20500 20500 23600 30800 51300 4515 Medical/Surgical Procdedure Vascular Surgery Peripheral Trauma Interventional 18500 20500 20500 23600 30800 51300 4516 Medical/Surgical Procdedure Vascular Surgery Thrombolysis of deep venous 23500 26100 26100 30000 39200 65300 4517 Medical/Surgical Procdedure Vascular Surgery Peripheral Arterial Thrombolysis 23500 26100 26100 30000 39200 65300 4518 Medical/Surgical Procdedure Vascular Surgery Basilic Vein Transposition 35000 38900 38900 44700 58400 97300 4519 Medical/Surgical Procdedure Vascular Surgery Brachio-Basilic Vein Loop, AV Grafting 20000 22200 22200 25500 33300 55500 4520 Medical/Surgical Procdedure Vascular Surgery Brachio-Axillary/Basilic Vein AV Grafting 20000 22200 22200 25500 33300 55500 4521 Medical/Surgical Procdedure Vascular Surgery GSV Translocation for A.V. access 35000 38900 38900 44700 58400 97300 4522 Medical/Surgical Procdedure Vascular Surgery Ligation of ruptured A.V fistula 11000 12200 12200 14000 18300 30500 4523 Medical/Surgical Procdedure Vascular Surgery Repair of A.V Fistula Aneurysms 11900 13200 13200 15200 19800 33000 4524 Medical/Surgical Procdedure Vascular Surgery Vascular Prosthetic Graft for AV Access 20000 22200 22200 25500 33300 55500 4525 Medical/Surgical Procdedure Vascular Surgery Carotid Angioplasty/ Stenting 45000 50000 50000 57500 75000 125000 4526 Medical/Surgical Procdedure Vascular Surgery Aortic Angioplasty/ Stenting 27500 30500 30500 35100 45800 76300 4527 Medical/Surgical Procdedure Vascular Surgery Aortic stent Graft, Endoleak/Embolisation 27500 30500 30500 35100 45800 76300 4528 Medical/Surgical Procdedure Vascular Surgery Carotid Angiogram 9500 10500 10500 12100 15800 26300 4529 Medical/Surgical Procdedure Vascular Surgery Central Venogram/Arm Venogram/Diagnostic 10500 11700 11700 13500 17600 29300 4530 Medical/Surgical Procdedure Vascular Surgery Arterial Embolization 26300 29200 29200 33600 43800 73000 4531 Medical/Surgical Procdedure Vascular Surgery GI Bleed Embolization 15900 17600 17600 20200 26400 44000 4532 Medical/Surgical Procdedure Vascular Surgery Peripheral Artery Intervention Angioplasty/Stenting 15900 17600 17600 20200 26400 44000 4533 Medical/Surgical Procdedure Vascular Surgery IVC Membraniotomy & Angioplasty Stenting 19000 21100 21100 24300 31700 52800 4534 Medical/Surgical Procdedure Vascular Surgery Intraarterial thrombolysis 35800 39700 39700 45700 59600 99300 4535 Medical/Surgical Procdedure Vascular Surgery Iliac Angioplasty/ Stenting 21000 23300 23300 26800 35000 58300 4536 Medical/Surgical Procdedure Vascular Surgery Peripheral Angiography/Diagnostic one limb 9500 10500 10500 12100 15800 26300 4537 Medical/Surgical Procdedure Vascular Surgery Peripheral Angioplasty with Stent one limb 23500 26100 26100 30000 39200 65300 4538 Medical/Surgical Procdedure Vascular Surgery Peripheral Angioplasty without Stent one limb 18500 20500 20500 23600 30800 51300 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1 INVESTIGATION ACETONE, SERUM (0011LS-SRL) 650 650 650 790 790 1140 2 INVESTIGATION HOMOGENTISIC ACID URINE (0017LS-SRL) 710 710 710 866 866 1243 3 INVESTIGATION MENOPAUSAL DIAGNOSTIC PANEL (1006-SRL) 1620 1620 1620 1980 1980 2840 4 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: SS-A & SS-B (1007-SRL) 4490 4490 4490 5480 5480 7860 5 INVESTIGATION MENOPAUSAL MONITORING PANEL (1008-SRL) 2160 2160 2160 2640 2640 3780 6 INVESTIGATION LACTATE DEHYDROGENASE, FLUID (1009F-SRL) 330 330 330 403 403 578 7 INVESTIGATION LACTATE DEHYDROGENASE, SERUM (1009H-SRL) 330 330 330 403 403 578 8 INVESTIGATION HIRSUTISM SCREENING PANEL (1009-SRL) 3580 3580 3580 4370 4370 6270 9 INVESTIGATION HIRSUTISM EVALUATION PANEL (1010-SRL) 6040 6040 6040 7370 7370 10570 10 INVESTIGATION PCOD PANEL (1011-SRL) 3850 3850 3850 4700 4700 6740 11 INVESTIGATION INHIBIN B, LH, FSH & PROLACTIN (1013-SRL) 3100 3100 3100 3780 3780 5430 12 INVESTIGATION BOH PANEL (1014-SRL) 6570 6570 6570 8020 8020 11500 13 INVESTIGATION THYROID ANTIBODIES, SERUM (1016-SRL) 2050 2050 2050 2500 2500 3590 14 INVESTIGATION OSTEOSCREEN PANEL - I (1017-SRL) 3100 3100 3100 3780 3780 5430 15 INVESTIGATION OSTEOSCREEN PANEL II (1018-SRL) 5510 5510 5510 6720 6720 9640 16 INVESTIGATION AUTOIMMUNE HEPATITIS PANEL 1 (1019A-SRL) 4880 4880 4880 5950 5950 8540 17 INVESTIGATION AUTOIMMUNE HEPATITIS PANEL 2 (1019B-SRL) 3850 3850 3850 4700 4700 6740 18 INVESTIGATION IBD SCREENING PANEL (1020-SRL) 4170 4170 4170 5090 5090 7300 19 INVESTIGATION CHRONIC FATIGUE SYNDROME PANEL (1024-SRL) 6470 6470 6470 7890 7890 11320 20 INVESTIGATION BICARBONATE, SERUM (1030HD-SRL) 160 160 160 195 195 280 21 INVESTIGATION IMMUNOGLOBULIN (1045-SRL) 2780 2780 2780 3390 3390 4870 22 INVESTIGATION ACUTE MYELOID LEUKEMIA PANEL (1047-SRL) 10390 10390 10390 12680 12680 18180 23 INVESTIGATION BETA CROSSLAPS (1058-SRL) 1670 1670 1670 2040 2040 2920 24 INVESTIGATION TOTAL P1NP (1059-SRL) 1670 1670 1670 2040 2040 2920 25 INVESTIGATION OSTEOMON (1060-SRL) 3100 3100 3100 3780 3780 5430 26 INVESTIGATION CELIAC PROFILE (1073-SRL) 8480 8480 8480 10350 10350 14840 27 INVESTIGATION RHEUMATOLOGY PROFILE-1 (1074-SRL) 6840 6840 6840 8340 8340 11970 28 INVESTIGATION RHEUMATOLOGY PROFILE-2 (1075-SRL) 7630 7630 7630 9310 9310 13350 29 INVESTIGATION BLOOD UREA NITROGEN, FLUID (1079HF-SRL) 330 330 330 403 403 578 30 INVESTIGATION BLOOD UREA NITROGEN, SERUM (1079H-SRL) 110 110 110 134 134 193 31 INVESTIGATION UREA NITROGEN, 24HRS URINE (1079UH-SRL) 425 425 425 520 520 740 32 INVESTIGATION ANTIPHOSPHOLIPID EVAL (1080A-SRL) 3960 3960 3960 4830 4830 6930 33 INVESTIGATION ANTI-NUCLEAR AB-IFA, HEP2, SERUM (1100-SRL) 1190 1190 1190 1450 1450 2080 34 INVESTIGATION ANTI PARIETAL CELL ANTIBODIES (APCA) (1101-SRL) 2460 2460 2460 3000 3000 4310 35 INVESTIGATION ANTIPARIETAL CELL ANTIBODIES WITH TITERS (1101T-SRL) 4880 4880 4880 5950 5950 8540 36 INVESTIGATION ANTIMITOCHONDRIAL ANTIBODIES, AMA (1102-SRL) 2460 2460 2460 3000 3000 4310 37 INVESTIGATION ANTISMOOTH MUSCLE ABS (IFA), SERUM (1106-SRL) 2780 2780 2780 3390 3390 4870 38 INVESTIGATION ASCA IgG, SERUM (1108-SRL) 2570 2570 2570 3140 3140 4500 39 INVESTIGATION ANTI-THYROGLOBULIN ANTIBODIES (1110-SRL) 4170 4170 4170 5090 5090 7300 40 INVESTIGATION ASCA IgA, SERUM (1111-SRL) 2570 2570 2570 3140 3140 4500 41 INVESTIGATION LIVER-KIDNEY-MICRO ABS (1115-SRL) 2570 2570 2570 3140 3140 4500 42 INVESTIGATION COOMB S TEST, DIRECT, BLOOD (1120-SRL) 650 650 650 790 790 1140 43 INVESTIGATION INDIRECT COOMBS TEST, SERUM (1121-SRL) 870 870 870 1060 1060 1520 44 INVESTIGATION RH ANTIBODY TITER (1121T-SRL) 870 870 870 1060 1060 1520 45 INVESTIGATION MYCOBACTERIA DETECTION A-R SMEAR (1122-SRL) 550 550 550 670 670 960 46 INVESTIGATION CHOLESTEROL HDL, SERUM (1124HD-SRL) 330 330 330 400 400 580 47 INVESTIGATION GLUCOSE TOLERANCE TEST (GTT) - 8, PLASMA (1126BH-SRL) 550 550 550 670 670 960 48 INVESTIGATION GLUCOSE TOLERANCE TEST (GTT-2) (1126BS-SRL) 550 550 550 670 670 960 49 INVESTIGATION G-6-PD, QUANTITATIVE, BLOOD (1126QT-SRL) 710 710 710 866 866 1243 50 INVESTIGATION G-6-PD ACTIVITY, EDTA WHOLE BLOOD (1126-SRL) 550 550 550 670 670 960 51 INVESTIGATION ANTI-GLOMERULAR BASEMENT MEMBRANE IgG ANTIBODIES (1135I-SRL) 2160 2160 2160 2640 2640 3780 52 INVESTIGATION CRYOGLOBULIN, SERUM (1158CG-SRL) 1090 1090 1090 1330 1330 1910 53 INVESTIGATION ERYTHROPOIETIN, SERUM (1160-SRL) 1840 1840 1840 2240 2240 3220 54 INVESTIGATION ANTI-ISLET CELL ANTIBODIES, SERUM (1166-SRL) 2780 2780 2780 3390 3390 4870 55 INVESTIGATION ANTI-ISLET CELL ANTIBODIES WITH TITRE, SERUM (1166T-SRL) 3850 3850 3850 4700 4700 6740 56 INVESTIGATION EPIDERMAL (PEMPHIGUS) ANTIBODY (IFA) (1177I-SRL) 6150 6150 6150 7500 7500 10760 57 INVESTIGATION ANTI OVARY ANTOBODIES (AOA) (1180-SRL) 3420 3420 3420 4170 4170 5990 58 INVESTIGATION ANTI OVARY ANTOBODIES (AOA) WITH TITRE (1180T-SRL) 6150 6150 6150 7500 7500 10760 59 INVESTIGATION ENDOMYSIAL IGA ANTIBODIES (IFA) (1181-SRL) 2780 2780 2780 3390 3390 4870 60 INVESTIGATION CHLORIDE, FUILD (1182HDF-SRL) 110 110 110 134 134 193 61 INVESTIGATION CHLORIDE, SERUM (1182HD-SRL) 220 220 220 268 268 385 62 INVESTIGATION CHLORIDE, 24HRS URINE (1182UHD-SRL) 270 270 270 330 330 473 63 INVESTIGATION CHLORIDE, URINE (24HRS/ SPOT) (1182US-SRL) 110 110 110 134 134 193 64 INVESTIGATION CULTURE; BETA STREP (1192-SRL) 710 710 710 866 866 1243 65 INVESTIGATION BODY FLUID CULTURE & SUSCEPTIBILITY (1194A-SRL) 870 870 870 1060 1060 1520 66 INVESTIGATION DSDNA (WITH TITRES) (1199-SRL) 1620 1620 1620 1980 1980 2840 67 INVESTIGATION CSF CULTURE & IDENTIFICATION (1200-SRL) 930 930 930 1130 1130 1630 68 INVESTIGATION ANTI CENTROMERE ANTIBODIES (1202-SRL) 2460 2460 2460 3000 3000 4310 69 INVESTIGATION ANTI HISTONES ANTIBODIES (1203-SRL) 3320 3320 3320 4050 4050 5810 70 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: SS-A (1204-SRL) 2350 2350 2350 2870 2870 4110 71 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: SS-B (1205-SRL) 2350 2350 2350 2870 2870 4110 72 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: JO-1 (1208-SRL) 2350 2350 2350 2870 2870 4110 73 INVESTIGATION CORONARY RISK PROFILE (LIPID PROFILE), SERUM (1209AD-SRL) 845 845 845 1030 1030 1480 74 INVESTIGATION COMPREHENSIVE CORONARY RISK PROFILE (1209C-SRL) 3750 3750 3750 4580 4580 6560 75 INVESTIGATION EXTENDED CORONARY RISK PROFILE (1209E-SRL) 2780 2780 2780 3390 3390 4870 76 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG U1SNRNP (1215-SRL) 2460 2460 2460 3000 3000 4310 77 INVESTIGATION SPUTUM CULTURE & SUSCEPTIBILITY (1217A-SRL) 930 930 930 1130 1130 1630 78 INVESTIGATION CULTURE , SPUTUM SUSCEPTIBILITY (1217CS-SRL) 1090 1090 1090 1330 1330 1910 79 INVESTIGATION CULTURE; SPUTUM (1217-SRL) 930 930 930 1130 1130 1630 80 INVESTIGATION C DIFFICILE TOXIN A/B (1218T-SRL) 2780 2780 2780 3390 3390 4870 81 INVESTIGATION THROAT SWAB CULTURE & SENSITIVITY (1219A-SRL) 870 870 870 1060 1060 1520 82 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: SM (1220-SRL) 2350 2350 2350 2870 2870 4110 83 INVESTIGATION PUS CULTURE & SENSITIVITY, AEROBIC (1221B-SRL) 930 930 930 1130 1130 1630 84 INVESTIGATION CULTURE AEROBIC & SUSCEPTIBILITY (1221CS-SRL) 870 870 870 1060 1060 1520 85 INVESTIGATION HEMODIALYSIS WATER CULTURE (1221DLW-SRL) 1090 1090 1090 1330 1330 1910 86 INVESTIGATION EXTRACTABLE NUCLEAR ANTIGENS (1234-SRL) 6470 6470 6470 7890 7890 11320 87 INVESTIGATION ABS TO EXTRACTABLE NUCLEAR AG: SCL-70 (1235-SRL) 2250 2250 2250 2750 2750 3940 88 INVESTIGATION ANTIBODIES TO EXTRACTABLE NUCLEAR ANTIGENS (1236-SRL) 6470 6470 6470 7890 7890 11320 89 INVESTIGATION TOTAL IgE, SERUM (1245-SRL) 710 710 710 866 866 1243 90 INVESTIGATION ACID PHOSPHATASE (1252-SRL) 550 550 550 670 670 960 91 INVESTIGATION THROMBOCHECK PANEL (1253-SRL) 14840 14840 14840 18100 18100 25970 92 INVESTIGATION SKIN TEST-MANTOUX (1256-SRL) 160 160 160 195 195 280 93 INVESTIGATION PIVKA-II (DECARBOXY PROTHROMBINE) (1257-SRL) 4170 4170 4170 5090 5090 7300 94 INVESTIGATION PLATELET ABS (1258-SRL) 7950 7950 7950 9700 9700 13910 95 INVESTIGATION ANTIGLIADIN IgG ANTIBODIES, SERUM (1260-SRL) 3210 3210 3210 3920 3920 5620 96 INVESTIGATION SEMEN FRUCTOSE, SEMEN (1265A-SRL) 220 220 220 268 268 385 97 INVESTIGATION SEMEN ANALYSIS, SEMEN (1265-SRL) 550 550 550 670 670 960 98 INVESTIGATION TRIPLE TEST (1267-SRL) 2780 2780 2780 3390 3390 4870 99 INVESTIGATION DOUBLE MARKER TEST (1268-SRL) 2780 2780 2780 3390 3390 4870 100 INVESTIGATION PAPANICOLAOU SMEAR (1272-SRL) 595 595 595 730 730 1040 101 INVESTIGATION LIQUIPREP CYTOLOGY-SEMI AUTOMATED (1274-SRL) 1090 1090 1090 1330 1330 1910 102 INVESTIGATION QUADRUPLE MARKER (1275G-SRL) 3850 3850 3850 4700 4700 6740 103 INVESTIGATION STANDARD INTEGRATED TEST (1277-SRL) 5510 5510 5510 6720 6720 9640 104 INVESTIGATION SEQUENTIAL INTEGRATED TEST (1278-SRL) 7630 7630 7630 9310 9310 13350 105 INVESTIGATION ECHINOCOCCUS IgG, SERUM (1279-SRL) 1940 1940 1940 2370 2370 3400 106 INVESTIGATION AEROBIC SUSCEPTIBILITY GRAM POSITIVE ORGANISM (1281MGP-SRL) 930 930 930 1130 1130 1630 107 INVESTIGATION URINE CULTURE & SUSEPTIBILITY (1285D-SRL) 845 845 845 1030 1030 1480 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 108 INVESTIGATION ANTIGLIADIN IgA ANTIBODIES, SERUM (1287-SRL) 3210 3210 3210 3920 3920 5620 109 INVESTIGATION BODY FLUIDS CYTOLOGY (1291-SRL) 1350 1350 1350 1650 1650 2360 110 INVESTIGATION CNS TUMOR WITH IHC ( 1292-SRL) 9540 9540 9540 11640 11640 16700 111 INVESTIGATION GAMMA GLUTAMYL TRANSFERASE, SERUM (1294H-SRL) 340 340 340 410 410 600 112 INVESTIGATION ANTI MPO AUTOANTIBODIES (1295I-SRL) 1510 1510 1510 1840 1840 2640 113 INVESTIGATION ANTI PR3 AUTOANTIBODIES (1296I-SRL) 1510 1510 1510 1840 1840 2640 114 INVESTIGATION GLUCOSE, FLUID (1302F-SRL) 110 110 110 134 134 193 115 INVESTIGATION GLUCOSE CHALLENGE TEST (1302GCT-SRL) 130 130 130 159 159 228 116 INVESTIGATION GLUCOSE FASTING, PLASMA (1302GF-SRL) 200 200 200 240 240 350 117 INVESTIGATION GLUCOSE, FASTING, PLASMA / URINE (1302H-SRL) 200 200 200 240 240 350 118 INVESTIGATION GLUCOSE RANDOM, PLASMA (1302R-SRL) 110 110 110 134 134 193 119 INVESTIGATION GLUCOSE, POST-PRANDIAL, PLASMA/URINE (1302-SRL) 165 165 165 200 200 290 120 INVESTIGATION GLUCOSE, URINE (1302UH-SRL) 110 110 110 134 134 193 121 INVESTIGATION HLA TYPING CLASS I (SEROLOGY ) & CLASS II (PCR) (1309-SRL) 19000 19000 19000 23180 23180 33250 122 INVESTIGATION URIC ACID, SERUM (1310H-SRL) 295 295 295 360 360 520 123 INVESTIGATION URIC ACID, 24HRS URINE (1310UH-SRL) 120 120 120 146 146 210 124 INVESTIGATION IGG4 (1315-SRL) 6570 6570 6570 8020 8020 11500 125 INVESTIGATION OLIGOCLONAL BANDS, CSF (1316-SRL) 4280 4280 4280 5220 5220 7490 126 INVESTIGATION CREATININE, FLUID (1320HF-SRL) 220 220 220 268 268 385 127 INVESTIGATION CREATININE, SERUM (1320H-SRL) 325 325 325 400 400 570 128 INVESTIGATION CREATININE, 24HRS URINE (1320UH-SRL) 220 220 220 268 268 385 129 INVESTIGATION CREATININE CLEARANCE, SERUM AND URINE (1322-SRL) 440 440 440 537 537 770 130 INVESTIGATION TOTAL PROTEIN, CSF (1324C-SRL) 220 220 220 268 268 385 131 INVESTIGATION TOTAL PROTEIN, SERUM (1324H-SRL) 295 295 295 360 360 520 132 INVESTIGATION TOTAL PROTEIN, SYNOVIAL FLUID (1324SF-SRL) 490 490 490 600 600 858 133 INVESTIGATION URINARY PROTEIN CREATININE RATIO (1324UC-SRL) 216 216 216 264 264 378 134 INVESTIGATION PROTEIN, 24HRS URINE (1324U-SRL) 330 330 330 403 403 578 135 INVESTIGATION RHEUMATOID FACTOR, SERUM (1328-SRL) 380 380 380 464 464 665 136 INVESTIGATION ACETONE, URINE (1336-SRL) 230 230 230 280 280 403 137 INVESTIGATION ASPARTATE AMINOTRANSFERASE, SERUM (1345H-SRL) 255 255 255 310 310 450 138 INVESTIGATION ALANINE AMINOTRANSFERASE, SERUM (1347H-SRL) 330 330 330 400 400 580 139 INVESTIGATION HLA B27 BY PCR (1348-SRL) 3850 3850 3850 4700 4700 6740 140 INVESTIGATION HLA A, B, C (CLASS I ANTIGEN) (1349G-SRL) 8160 8160 8160 9960 9960 14280 141 INVESTIGATION HLA-B27, FLOW CYTOMETRY, BLOOD (1350-SRL) 2460 2460 2460 3000 3000 4310 142 INVESTIGATION TISSUE CROSSMATCHING (1351-SRL) 3000 3000 3000 3660 3660 5250 143 INVESTIGATION ANTENATAL COMBO (ANC COMBO) (1360-SRL) 1730 1730 1730 2110 2110 3030 144 INVESTIGATION ALDOLASE, SERUM (1391D-SRL) 1090 1090 1090 1330 1330 1910 145 INVESTIGATION MALARIA ANTIGEN DETECTION, BLOOD (1395-SRL) 650 650 650 790 790 1140 146 INVESTIGATION MALARIAL PARASITE (M.P), EDTA WHOLE BLOOD/SMEAR (1397-SRL) 220 220 220 268 268 385 147 INVESTIGATION SICKLING TEST, BLOOD (1400-SRL) 220 220 220 268 268 385 148 INVESTIGATION COMPREHENSIVE ALLERGY PANELS - ADULTS (1404-SRL) 9330 9330 9330 11380 11380 16330 149 INVESTIGATION DOPAMINE (1406-SRL) 5510 5510 5510 6720 6720 9640 150 INVESTIGATION COMPREHENSIVE ALLERGY - INFANCY (1408-SRL) 6780 6780 6780 8270 8270 11870 151 INVESTIGATION ECHINOCOCCUS DETECTI0N (1409-SRL) 1090 1090 1090 1330 1330 1910 152 INVESTIGATION ACETYLCHOLINE RECEPTOR AUTOANTIBODIES (1411-SRL) 4880 4880 4880 5950 5950 8540 153 INVESTIGATION MYCOBACTERIA IgG, CSF/FLUID (1414AF-SRL) 1300 1300 1300 1590 1590 2280 154 INVESTIGATION MYCOBACTERIA IgG, SERUM (1414A-SRL) 1300 1300 1300 1590 1590 2280 155 INVESTIGATION MYCOBACTERIA IgM, CSF/FLUID (1414BF-SRL) 1300 1300 1300 1590 1590 2280 156 INVESTIGATION MYCOBACTERIA IgM, SERUM (1414B-SRL) 1300 1300 1300 1590 1590 2280 157 INVESTIGATION MYCOBACTERIA IgA, CSF/FLUID (1414CF-SRL) 1300 1300 1300 1590 1590 2280 158 INVESTIGATION MYCOBACTERIA IgA, SERUM (1414C-SRL) 1300 1300 1300 1590 1590 2280 159 INVESTIGATION LEPTOSPIRA DETECTION (1417-SRL) 870 870 870 1060 1060 1520 160 INVESTIGATION CULTURE: GARDNERELLA VAGINALIS (1419-SRL) 1190 1190 1190 1450 1450 2080 161 INVESTIGATION LEISHMANIA SPECIES CULTURE (1420-SRL) 1090 1090 1090 1330 1330 1910 162 INVESTIGATION FIBRINOGEN, PLASMA (1426-SRL) 1400 1400 1400 1710 1710 2450 163 INVESTIGATION AFB CULTURE (BLOOD) (1464BA-SRL) 1190 1190 1190 1450 1450 2080 164 INVESTIGATION AFB SUSCEPTIBILITY - MGIT 960 (5 DRUGS) (1464R1-SRL) 5620 5620 5620 6860 6860 9840 165 INVESTIGATION AFB SUSCEPTIBILITY - MGIT 960 (10 DRUGS) (1464R2-SRL) 8590 8590 8590 10480 10480 15030 166 INVESTIGATION RAPID GROWING MOTT DRUG SUSCEPTIBILITY TEST (1464RGM-SRL) 9860 9860 9860 12030 12030 17260 167 INVESTIGATION AFB BACTEC CULTURE (1464-SRL) 1090 1090 1090 1330 1330 1910 168 INVESTIGATION AFB SUSC. SIRE PANEL (1490-SRL) 4710 4710 4710 5750 5750 8240 169 INVESTIGATION L.DONOVONI BODIES DETECTION (1492-SRL) 1300 1300 1300 1590 1590 2280 170 INVESTIGATION MICROFILARIA DETECTION, BLOOD (1493-SRL) 150 150 150 183 183 263 171 INVESTIGATION C4D IMMUNOFLUORESCENCE (1500CD-SRL) 1090 1090 1090 1330 1330 1910 172 INVESTIGATION HISTOPATHOLOGY REPORT (SMALL BIOPSY) (1500C-SRL) 980 980 980 1200 1200 1715 173 INVESTIGATION RETURN OF PARAFFIN BLOCK/ SLIDE (1500R-SRL) 160 160 160 195 195 280 174 INVESTIGATION COMPLEMENT C3, SERUM (1501D-SRL) 550 550 550 670 670 960 175 INVESTIGATION HP - SKIN BIOPSY (1502-SRL) 1090 1090 1090 1330 1330 1910 176 INVESTIGATION ELECTRON MICROSCOPY - TISSUE (1503-SRL) 14200 14200 14200 17320 17320 24850 177 INVESTIGATION COMPLEMENT C4, SERUM (1504D-SRL) 550 550 550 670 670 960 178 INVESTIGATION TOTAL IGG, SERUM (1505D-SRL) 330 330 330 403 403 578 179 INVESTIGATION LARGE SPECIMEN (ONE BIG/TWO SMALL), TISSUE/PB (1507-SRL) 1940 1940 1940 2370 2370 3400 180 INVESTIGATION TOTAL IgM (1508D-SRL) 1090 1090 1090 1330 1330 1910 181 INVESTIGATION ALBUMIN, FLUID (1510HF-SRL) 110 110 110 134 134 193 182 INVESTIGATION ALBUMIN, SERUM (1510H-SRL) 255 255 255 310 310 450 183 INVESTIGATION MEDIUM BIOPSY SPECIMEN, TISSUE/PARAFFIN BLOCK (1511-SRL) 1300 1300 1300 1590 1590 2280 184 INVESTIGATION ALPHA-1-ANTITRYPSIN, SERUM (1512D-SRL) 2160 2160 2160 2640 2640 3780 185 INVESTIGATION FNAC, SLIDE EXAMINATION (1515A-SRL) 1510 1510 1510 1840 1840 2640 186 INVESTIGATION FINE NEEDLE ASPIRATION (CYTOLOGY SMEARS), SMEARS (1515-SRL) 1510 1510 1510 1840 1840 2640 187 INVESTIGATION CERULOPLASMIN, SERUM (1516D-SRL) 930 930 930 1130 1130 1630 188 INVESTIGATION TRANSFERRIN, SERUM (1519HD-SRL) 930 930 930 1130 1130 1630 189 INVESTIGATION HAPTOGLOBIN (1519I-SRL) 1620 1620 1620 1980 1980 2840 190 INVESTIGATION IMMUNOFLUORESCENCE ASSAY, IgG (TISSUE) (1522-SRL) 1190 1190 1190 1450 1450 2080 191 INVESTIGATION IMMUNOFLUORESCENCE ASSAY (1523P-SRL) 1300 1300 1300 1590 1590 2280 192 INVESTIGATION IMMUNOFLUORESCENCE ASSAY, IgA (TISSUE) (1523-SRL) 1190 1190 1190 1450 1450 2080 193 INVESTIGATION IMMUNOFLUORESCENCE ASSAY, IgM (TISSUE) (1524-SRL) 1190 1190 1190 1450 1450 2080 194 INVESTIGATION BILIRUBIN, DIRECT, SERUM (1526H-SRL) 270 270 270 330 330 470 195 INVESTIGATION IMMUNOFLUORESCENCE ASSAY, C3 (TISSUE) (1526-SRL) 1090 1090 1090 1330 1330 1910 196 INVESTIGATION BILIRUBIN (TOTAL, DIRECT, INDIRECT), SERUM (1527H-SRL) 270 270 270 330 330 470 197 INVESTIGATION C1 ESTERASE INHIBITOR FUNCTIONAL (1531-SRL) 4600 4600 4600 5610 5610 8050 198 INVESTIGATION DIRECT LDL CHOLESTEROL, SERUM (1533D-SRL) 160 160 160 195 195 280 199 INVESTIGATION KIDNEY BIOPSY (1534-SRL) 5720 5720 5720 6980 6980 10010 200 INVESTIGATION C-REACTIVE PROTEIN, SERUM (1535D-SRL) 330 330 330 403 403 578 201 INVESTIGATION HIGH SENSITIVITY C-REACTIVE PROTEIN (1537D-SRL) 650 650 650 790 790 1140 202 INVESTIGATION DIGOXIN, SERUM (1548H-SRL) 710 710 710 866 866 1243 203 INVESTIGATION PREALBUMIN (1550-SRL) 6250 6250 6250 7630 7630 10940 204 INVESTIGATION BONE MARROW SMEAR AND CYTOCHEMISTRY (1551-SRL) 1350 1350 1350 1650 1650 2360 205 INVESTIGATION FIBRINOGEN (1553-SRL) 980 980 980 1200 1200 1715 206 INVESTIGATION C4C (1554-SRL) 1090 1090 1090 1330 1330 1910 207 INVESTIGATION COMPLEMENT C1q (1555-SRL) 1090 1090 1090 1330 1330 1910 208 INVESTIGATION PHENOBARBITAL (1560-SRL) 820 820 820 1000 1000 1435 209 INVESTIGATION THEOPHYLLINE (1563I-SRL) 820 820 820 1000 1000 1435 210 INVESTIGATION PARACETAMOL (1564I-SRL) 1300 1300 1300 1590 1590 2280 211 INVESTIGATION ELECTROLYTES (NA/K/CL), 24HRS URINE (1568UHD-SRL) 600 600 600 730 730 1050 212 INVESTIGATION ERYTHRO SEDIMENTATION RATE, BLOOD (1569B-SRL) 110 110 110 134 134 193 213 INVESTIGATION ELECTROPHORESIS, CSF (1580C-SRL) 1300 1300 1300 1590 1590 2280 214 INVESTIGATION ALBUMIN+GLOBULIN+A/G RATIO, SERUM (1580H-SRL) 330 330 330 403 403 578 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 215 INVESTIGATION PROTEIN ELECTROPHORESIS, SERUM (1580-SRL) 870 870 870 1060 1060 1520 216 INVESTIGATION ELECTROPHORESIS,URINE (1580U-SRL) 910 910 910 1110 1110 1590 217 INVESTIGATION LIPID ELECTROPHORESIS (1587-SRL) 3960 3960 3960 4830 4830 6930 218 INVESTIGATION BENCE JONES, URINE (1589-SRL) 160 160 160 195 195 280 219 INVESTIGATION PHOSPHORUS, SERUM (1591H-SRL) 315 315 315 380 380 550 220 INVESTIGATION PHOSPHORUS, 24HRS URINE (1591UH-SRL) 220 220 220 268 268 385 221 INVESTIGATION CH-50 (COMPLEMENT, TOTAL), SERUM (1599-SRL) 3100 3100 3100 3780 3780 5430 222 INVESTIGATION cCD3 (1602-SRL) 5510 5510 5510 6720 6720 9640 223 INVESTIGATION cMPO (1603-SRL) 5510 5510 5510 6720 6720 9640 224 INVESTIGATION cCD79a (1604-SRL) 5510 5510 5510 6720 6720 9640 225 INVESTIGATION ACUTE LYMPHOBLASTIC LEUKEMIA PANEL (1606-SRL) 10390 10390 10390 12680 12680 18180 226 INVESTIGATION MYELOMA PANEL (1607-SRL) 7100 7100 7100 8660 8660 12430 227 INVESTIGATION ACUTE LEUKEMIA PANEL (1608-SRL) 8690 8690 8690 10600 10600 15210 228 INVESTIGATION CHR LYMPHOPROLIFERATIVE DISORDERS (1609-SRL) 12610 12610 12610 15380 15380 22070 229 INVESTIGATION NATURAL KILLER PANEL (1611-SRL) 4390 4390 4390 5360 5360 7680 230 INVESTIGATION LGL PANEL (1613-SRL) 12300 12300 12300 15010 15010 21530 231 INVESTIGATION cMPO/ cCD79a/ cCD3 (1614-SRL) 10180 10180 10180 12420 12420 17820 232 INVESTIGATION LEUKEMIA TRANSLOCATIONS-PANEL 5 (1624-SRL) 5720 5720 5720 6980 6980 10010 233 INVESTIGATION LEUKEMIA TRANSLOCATIONS-PANEL 1 (1625-SRL) 8060 8060 8060 9830 9830 14110 234 INVESTIGATION LEUKEMIA TRANSLOCATIONS-PANEL 2 (1626-SRL) 6040 6040 6040 7370 7370 10570 235 INVESTIGATION LEUKEMIA TRANSLOCATIONS-PANEL 3 (1627-SRL) 8480 8480 8480 10350 10350 14840 236 INVESTIGATION LEUKEMIA TRANSLOCATIONS-PANEL 4 (1628-SRL) 7100 7100 7100 8660 8660 12430 237 INVESTIGATION TDT,FC,BONE MARROW (1635M-SRL) 3850 3850 3850 4700 4700 6740 238 INVESTIGATION LYMPHOCYTE SUBSET (T-CELLS), BLOOD (1656B-SRL) 1940 1940 1940 2370 2370 3400 239 INVESTIGATION LYMPHOCYTE SUBSET ENUMERATION, BLOOD (1657B-SRL) 2350 2350 2350 2870 2870 4110 240 INVESTIGATION LYMPH ENUM,T & B CELL (1658B-SRL) 3320 3320 3320 4050 4050 5810 241 INVESTIGATION LYMPHOCYTE SUBSET(CD4 PERCENTAGE & ABSOLUTE COUNT) (1659-SRL) 1300 1300 1300 1590 1590 2280 242 INVESTIGATION LYMPH ENUM,BASIC & NK (1668-SRL) 7740 7740 7740 9440 9440 13550 243 INVESTIGATION LYMPHOCYTE ENUMERATION (1669-SRL) 6360 6360 6360 7760 7760 11130 244 INVESTIGATION LYMPHOCYTE SUBSET ENUMERATION, BASIC (1671B-SRL) 5620 5620 5620 6860 6860 9840 245 INVESTIGATION PNH DIAGNOSIS (FLOW CYTOMETRY) (1672-SRL) 7000 7000 7000 8540 8540 12250 246 INVESTIGATION CD103 (1673-SRL) 2350 2350 2350 2870 2870 4110 247 INVESTIGATION CD16,56 PERCENT (NATURAL KILLER CELL) (1674BL-SRL) 4170 4170 4170 5090 5090 7300 248 INVESTIGATION CD25 (IL2 RECEPTOR) (1674BM-SRL) 2350 2350 2350 2870 2870 4110 249 INVESTIGATION CD38-PERCENT (1674BQ-SRL) 2350 2350 2350 2870 2870 4110 250 INVESTIGATION GLYCOPHORIN A (ERYTHROID) (1674BR-SRL) 3000 3000 3000 3660 3660 5250 251 INVESTIGATION ABCD3/ABCD4 (1674BU-SRL) 2350 2350 2350 2870 2870 4110 252 INVESTIGATION CD3/CD 19-PERCENT (1674BX-SRL) 2350 2350 2350 2870 2870 4110 253 INVESTIGATION CD3/CD16+56 (1674BY-SRL) 2350 2350 2350 2870 2870 4110 254 INVESTIGATION CD19-PERCENT (1675BA-SRL) 2350 2350 2350 2870 2870 4110 255 INVESTIGATION CD20-PERCENT (1675BB-SRL) 2350 2350 2350 2870 2870 4110 256 INVESTIGATION CD2-PERCENT (1675BC-SRL) 2350 2350 2350 2870 2870 4110 257 INVESTIGATION CD-5, PERCENT (1675BD-SRL) 2350 2350 2350 2870 2870 4110 258 INVESTIGATION IGG HEAVY CHAIN (SURFACE) (1675BE-SRL) 3100 3100 3100 3780 3780 5430 259 INVESTIGATION IGM HEAVY CHAIN (SURFACE) (1675BG-SRL) 3100 3100 3100 3780 3780 5430 260 INVESTIGATION IGD HEAVY CHAIN (SURFACE) (1675BI-SRL) 3100 3100 3100 3780 3780 5430 261 INVESTIGATION KAPPA LIGHT CHAIN (1675BK-SRL) 3100 3100 3100 3780 3780 5430 262 INVESTIGATION LAMBDA LIGHT CHAIN (1675BL-SRL) 3100 3100 3100 3780 3780 5430 263 INVESTIGATION CD 11C-PERCENT (1675BN-SRL) 2350 2350 2350 2870 2870 4110 264 INVESTIGATION HLA-DR-PERCENT (1675BO-SRL) 3320 3320 3320 4050 4050 5810 265 INVESTIGATION CD5/CD 19-PERCENT (1675BP-SRL) 6150 6150 6150 7500 7500 10760 266 INVESTIGATION CD 19/KAPPA PERCENT (1675BS-SRL) 2350 2350 2350 2870 2870 4110 267 INVESTIGATION CD 19/LAMBDA PERCENT (1675BT-SRL) 2350 2350 2350 2870 2870 4110 268 INVESTIGATION CD19/TDT-PERCENT (1675BU-SRL) 7950 7950 7950 9700 9700 13910 269 INVESTIGATION CD45-PERCENT (1676BB-SRL) 2350 2350 2350 2870 2870 4110 270 INVESTIGATION CD10 (CALLA) (1676BC-SRL) 2350 2350 2350 2870 2870 4110 271 INVESTIGATION CD23-PERCENT (1677BC-SRL) 2350 2350 2350 2870 2870 4110 272 INVESTIGATION CD22-PERCENT (1677BD-SRL) 2350 2350 2350 2870 2870 4110 273 INVESTIGATION LEUKEMIA TRANSLOCATIONS - PANEL 6 (1678-SRL) 7210 7210 7210 8800 8800 12620 274 INVESTIGATION AMYLASE, FLUID (1681-SRL) 380 380 380 464 464 665 275 INVESTIGATION LACTATE DEHYDROGENASE - FLUID (1682-SRL) 330 330 330 403 403 578 276 INVESTIGATION GLUCOSE, FLUID (1683-SRL) 110 110 110 134 134 193 277 INVESTIGATION NEURON SPECIFIC ENOLASE (1702-SRL) 3640 3640 3640 4440 4440 6370 278 INVESTIGATION AMH / MIS (1705-SRL) 1940 1940 1940 2370 2370 3400 279 INVESTIGATION HLA DR/DQ (CLASS II ANTIGEN) (1706G-SRL) 8220 8220 8220 10030 10030 14390 280 INVESTIGATION S100 B (1708-SRL) 2160 2160 2160 2640 2640 3780 281 INVESTIGATION SKELETAL (STRIATED) MUSCLE ANTIBODY (ASKA) (1709-SRL) 6890 6890 6890 8410 8410 12060 282 INVESTIGATION ANTI PHOSPHOLIPID IgG ANTIBODIES (1711T-SRL) 1240 1240 1240 1510 1510 2170 283 INVESTIGATION SAAG FOR ASCITIC FLUID (1715-SRL) 220 220 220 268 268 385 284 INVESTIGATION VAGINAL SWAB FOR C&S (1717-SRL) 980 980 980 1200 1200 1715 285 INVESTIGATION ANTI ?2 GLYCOPROTEIN 1 IgM (1719-SRL) 1300 1300 1300 1590 1590 2280 286 INVESTIGATION ANTI ?2 GLYCOPROTEIN 1 IgG (1720-SRL) 1300 1300 1300 1590 1590 2280 287 INVESTIGATION GALACTOMANNAN (1728-SRL) 4390 4390 4390 5360 5360 7680 288 INVESTIGATION KAPPA LIGHT CHAIN, URINE (1731UR-SRL) 3000 3000 3000 3660 3660 5250 289 INVESTIGATION KAPPA LIGHT CHAIN, 24 HRS URINE (1731U-SRL) 3030 3030 3030 3700 3700 5300 290 INVESTIGATION SERUM LIGHT CHAINS (KAPPA & LAMBDA) (1732-SRL) 6570 6570 6570 8020 8020 11500 291 INVESTIGATION LAMBDA LIGHT CHAINS, 24HRS URINE (1736U-SRL) 3000 3000 3000 3660 3660 5250 292 INVESTIGATION DF MMP-3 (1740-SRL) 3850 3850 3850 4700 4700 6740 293 INVESTIGATION HPV TYPING BY SEQUENCING (1819-SRL) 2460 2460 2460 3000 3000 4310 294 INVESTIGATION HPV DNA DETECTOR (1820-SRL) 3000 3000 3000 3660 3660 5250 295 INVESTIGATION HPV DUO (1821-SRL) 3640 3640 3640 4440 4440 6370 296 INVESTIGATION PAP DUO-LBC (1822-SRL) 3320 3320 3320 4050 4050 5810 297 INVESTIGATION AMINO LEVULINIC ACID, URINE (1852-SRL) 4880 4880 4880 5950 5950 8540 298 INVESTIGATION ANTINEUTROPHIL CYTOPLASMIC AB(ANCA), SERUM (1862-SRL) 2050 2050 2050 2500 2500 3590 299 INVESTIGATION APOLIPOPROTEIN EVALUATION (1900-SRL) 3850 3850 3850 4700 4700 6740 300 INVESTIGATION APOLIPOPROTEIN - A1, SERUM (1901D-SRL) 600 600 600 730 730 1050 301 INVESTIGATION APOLIPOPROTEIN - B, SERUM (1903D-SRL) 600 600 600 730 730 1050 302 INVESTIGATION FACTOR VIII ACTIVITY, PLASMA (1947-SRL) 1620 1620 1620 1980 1980 2840 303 INVESTIGATION FACTOR IX ACTIVITY, PLASMA (1949-SRL) 1620 1620 1620 1980 1980 2840 304 INVESTIGATION FACTOR XIII ACTIVITY, PLASMA (1957-SRL) 1400 1400 1400 1710 1710 2450 305 INVESTIGATION FSH & LH EVALUATION, SERUM (2020-SRL) 760 760 760 930 930 1330 306 INVESTIGATION LH, FSH, PROLACTIN, SERUM (2021-SRL) 1730 1730 1730 2110 2110 3030 307 INVESTIGATION EBV TETRA PANEL (2066-SRL) 7100 7100 7100 8660 8660 12430 308 INVESTIGATION PARVOVIRUS B19 IgG ANTIBODIES, SERUM (2067I-SRL) 3530 3530 3530 4310 4310 6180 309 INVESTIGATION PARVOVIRUS B19 IgM ANTIBODIES, SERUM (2068I-SRL) 3530 3530 3530 4310 4310 6180 310 INVESTIGATION BORRELIA BURGDORFERI IgG, SERUM (2069I-SRL) 1840 1840 1840 2240 2240 3220 311 INVESTIGATION BORRELIA BURGDORFERI IgM ANTIBODIES, SERUM (2070I-SRL) 1840 1840 1840 2240 2240 3220 312 INVESTIGATION ALLERGY PANEL 2 (29 ALLERGENS) (2109-SRL) 9330 9330 9330 11380 11380 16330 313 INVESTIGATION EBV (VCA) IgG, SERUM (2116EG-SRL) 1940 1940 1940 2370 2370 3400 314 INVESTIGATION EBV (VCA) IgM, SERUM (2116EM-SRL) 1840 1840 1840 2240 2240 3220 315 INVESTIGATION HETEROPHILE ANTIBODIES (HA), SERUM (2116-SRL) 1400 1400 1400 1710 1710 2450 316 INVESTIGATION N-TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE (2121-SRL) 3000 3000 3000 3660 3660 5250 317 INVESTIGATION METHYLMALONIC ACID, URINE (2124-SRL) 2050 2050 2050 2500 2500 3590 318 INVESTIGATION EBV (EA) IgG, SERUM (2126EG-SRL) 1890 1890 1890 2310 2310 3310 319 INVESTIGATION EBV DNA PCR (2136-SRL) 3850 3850 3850 4700 4700 6740 320 INVESTIGATION ALLERGY PANEL 3 (19 ALLERGENS) (2179-SRL) 6780 6780 6780 8270 8270 11870 321 INVESTIGATION TORCH IgM EVALUATION, SERUM (2231M-SRL) 1840 1840 1840 2240 2240 3220 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 322 INVESTIGATION TORCH PCR (2232-SRL) 6570 6570 6570 8020 8020 11500 323 INVESTIGATION TOXORUB (2233-SRL) 4820 4820 4820 5880 5880 8440 324 INVESTIGATION ANTI-NMDA RECEPTOR ENCEPHALITIS IGG ABS BY IFA (2244-SRL) 8480 8480 8480 10350 10350 14840 325 INVESTIGATION TOXOPLASMA ANTIBODIES, SERUM (2261M-SRL) 1730 1730 1730 2110 2110 3030 326 INVESTIGATION EBV (NA) IgG, SERUM (2266EG-SRL) 1940 1940 1940 2370 2370 3400 327 INVESTIGATION EBV (NA) IgM, SERUM (2266EM-SRL) 1940 1940 1940 2370 2370 3400 328 INVESTIGATION ASPERGILLUS ANTIBODIES, SERUM (2326-SRL) 3850 3850 3850 4700 4700 6740 329 INVESTIGATION ASPERGILLUS FUMIGATUS DNA DETECTION (2327-SRL) 8160 8160 8160 9960 9960 14280 330 INVESTIGATION CANDIDA ALBICANS ABS,DD, SERUM (2330-SRL) 3850 3850 3850 4700 4700 6740 331 INVESTIGATION CANDIDA ALBICANS DNA DETECTION (2331-SRL) 8160 8160 8160 9960 9960 14280 332 INVESTIGATION RAAS SCREENING (2333-SRL) 6040 6040 6040 7370 7370 10570 333 INVESTIGATION HISTOPLASMA ANTIBODIES (FLUID) (2334F-SRL) 6040 6040 6040 7370 7370 10570 334 INVESTIGATION HISTOPLASMA ABS,(DD), SERUM (2334-SRL) 6040 6040 6040 7370 7370 10570 335 INVESTIGATION STOOL: OVA & PARASITE (2361-SRL) 220 220 220 268 268 385 336 INVESTIGATION REDUCING SUBSTANCES, STOOL (2365-SRL) 110 110 110 134 134 193 337 INVESTIGATION VDRL, SERUM (2366-SRL) 110 110 110 134 134 193 338 INVESTIGATION STOOL FOR OCCULT BLOOD (2367-SRL) 110 110 110 134 134 193 339 INVESTIGATION STOOL - HANGING DROP METHOD (2368-SRL) 110 110 110 134 134 193 340 INVESTIGATION ANTISTREPTOLYSIN - O, SERUM (2376D-SRL) 550 550 550 670 670 960 341 INVESTIGATION ESCHERICHIA COLI K1 ANTIGEN, SERUM (2381-SRL) 1400 1400 1400 1710 1710 2450 342 INVESTIGATION ESCHERICHIA COLI K1 ANTIGEN, URINE (2381U-SRL) 1400 1400 1400 1710 1710 2450 343 INVESTIGATION LEPTOSPIRA DARK FIELD & CULTURE (2398-SRL) 1190 1190 1190 1450 1450 2080 344 INVESTIGATION MYCOBACTERIUM LEPRAE DNA DETECTOR (2401-SRL) 4170 4170 4170 5090 5090 7300 345 INVESTIGATION H.PYLORI CULTURE (2403-SRL) 1190 1190 1190 1450 1450 2080 346 INVESTIGATION LEGIONELLA SPP.CULTURE (2404-SRL) 1110 1110 1110 1350 1350 1940 347 INVESTIGATION TBFERON DETECTION (2405-SRL) 2780 2780 2780 3390 3390 4870 348 INVESTIGATION UREAPLASMA/MYCOPLASMA CULTURE (2408-SRL) 1300 1300 1300 1590 1590 2280 349 INVESTIGATION CULTURE: NEISSERIA GONORRHOEAE (2414-SRL) 870 870 870 1060 1060 1520 350 INVESTIGATION AFB LJ SUSCEPTIBILITY - 5 DRUGS (2419LP-SRL) 2780 2780 2780 3390 3390 4870 351 INVESTIGATION AFB LJ SUSCEPTIBILITY - 10 DRUGS (2419LS-SRL) 4710 4710 4710 5750 5750 8240 352 INVESTIGATION AFB SMEAR AND CULTURE (2419-SRL) 820 820 820 1000 1000 1435 353 INVESTIGATION MYCORESIST (2430-SRL) 4490 4490 4490 5480 5480 7860 354 INVESTIGATION MYCOREAL (2434-SRL) 1650 1650 1650 2010 2010 2890 355 INVESTIGATION MYCO3PLEX AD WITH FREE ADA (2435F-SRL) 2250 2250 2250 2750 2750 3940 356 INVESTIGATION MYCO3PLEX (2435-SRL) 2250 2250 2250 2750 2750 3940 357 INVESTIGATION MYCO3PLEX AD WITH FREE HISTOPATHOLOGY (2435T-SRL) 2250 2250 2250 2750 2750 3940 358 INVESTIGATION FUNGAL SMEAR (2438A-SRL) 220 220 220 268 268 385 359 INVESTIGATION GONOCOCCAL SMEAR (2438B-SRL) 820 820 820 1000 1000 1435 360 INVESTIGATION BUCCAL SMEAR (2438C-SRL) 220 220 220 268 268 385 361 INVESTIGATION LEPRA SMEAR (2438E-SRL) 330 330 330 403 403 578 362 INVESTIGATION GRAM STAIN (2438-SRL) 270 270 270 330 330 473 363 INVESTIGATION MYCOTECT (2439-SRL) 1400 1400 1400 1710 1710 2450 364 INVESTIGATION TUBERCULOSIS PANEL (2440-SRL) 4390 4390 4390 5360 5360 7680 365 INVESTIGATION IGG CSF (2441-SRL) 2050 2050 2050 2500 2500 3590 366 INVESTIGATION HCV ABS, SERUM (2446R-SRL) 930 930 930 1130 1130 1630 367 INVESTIGATION HEPATITIS C ANTIBODIES, SERUM (2446-SRL) 1300 1300 1300 1590 1590 2280 368 INVESTIGATION HBsAg CONFIRMATION (2449-SRL) 2250 2250 2250 2750 2750 3940 369 INVESTIGATION HEPATITIS A IgM, SERUM (2451-SRL) 930 930 930 1130 1130 1630 370 INVESTIGATION HEPATITIS B CORE ANTIBODIES (TOTAL), SERUM (2452-SRL) 1300 1300 1300 1590 1590 2280 371 INVESTIGATION HEPATITIS B SURFACE ABS (QUANT), SERUM (2453QN-SRL) 760 760 760 930 930 1330 372 INVESTIGATION HEPATITIS Be ANTIBODIES, SERUM (2455-SRL) 1730 1730 1730 2110 2110 3030 373 INVESTIGATION HEPATITIS Be ANTIGEN, SERUM (2456-SRL) 980 980 980 1200 1200 1715 374 INVESTIGATION HEPATITIS B CORE IgM, SERUM (2457-SRL) 980 980 980 1200 1200 1715 375 INVESTIGATION HEPATITIS DELTA IgG ANTIBODIES, SERUM (2458-SRL) 3320 3320 3320 4050 4050 5810 376 INVESTIGATION HEPATITIS A ANTIBODIES, SERUM (2460-SRL) 2460 2460 2460 3000 3000 4310 377 INVESTIGATION HEP B VIRUS EVALUATION (2461-SRL) 5510 5510 5510 6720 6720 9640 378 INVESTIGATION HEP B EVALUATION (2462-SRL) 1940 1940 1940 2370 2370 3400 379 INVESTIGATION HGV RT-PCR (2464-SRL) 5510 5510 5510 6720 6720 9640 380 INVESTIGATION HEPATITIS E IgG, SERUM (2466G-SRL) 1300 1300 1300 1590 1590 2280 381 INVESTIGATION HEPATITIS E IgM, SERUM (2466M-SRL) 1300 1300 1300 1590 1590 2280 382 INVESTIGATION HEPATITIS B SURFACE ANTIGEN, SERUM (RAPID) (2470R-SRL) 820 820 820 1000 1000 1435 383 INVESTIGATION HEPATITIS B SURFACE ANTIGEN, SERUM (2470-SRL) 740 740 740 900 900 1300 384 INVESTIGATION RUBELLA IGM, SERUM (2475M-SRL) 930 930 930 1130 1130 1630 385 INVESTIGATION HAV RNA PCR (2478-SRL) 5510 5510 5510 6720 6720 9640 386 INVESTIGATION ALPHA THALASSEMIA PCR (2479-SRL) 2890 2890 2890 3530 3530 5060 387 INVESTIGATION ALPHA THALASSEMIA PCR -PNDT (2480-SRL) 10490 10490 10490 12800 12800 18360 388 INVESTIGATION DUCHENNE / BECKER MUSCULAR DYSTROPHY (2481-SRL) 4170 4170 4170 5090 5090 7300 389 INVESTIGATION BETA-THALASSEMIA (2482-SRL) 7530 7530 7530 9190 9190 13180 390 INVESTIGATION BETA-THALASSEMIA PND (2483-SRL) 15690 15690 15690 19140 19140 27460 391 INVESTIGATION CYTOMEGALOVIRUS IgM, SERUM (2486M-SRL) 1090 1090 1090 1330 1330 1910 392 INVESTIGATION SICKLE CELL VARIANT ANALYSIS DRIED BLOOD SPOT (2486-SRL) 550 550 550 670 670 960 393 INVESTIGATION SICKLE CELL PCR (2488-SRL) 2780 2780 2780 3390 3390 4870 394 INVESTIGATION SICKLE CELL PCR PND (2489-SRL) 9860 9860 9860 12030 12030 17260 395 INVESTIGATION CHIKUNGUNYA IgM ANTIBODY, CSF (2491C-SRL) 870 870 870 1060 1060 1520 396 INVESTIGATION CHIKUNGUNYA IgM ANTIBODY, SERUM (2491-SRL) 870 870 870 1060 1060 1520 397 INVESTIGATION CHIKUNGUNYA IGM ANTIBODIES RAPID (2492-SRL) 870 870 870 1060 1060 1520 398 INVESTIGATION COXSACKIE ANTIBODY - IgG, SERUM (2547I-SRL) 4170 4170 4170 5090 5090 7300 399 INVESTIGATION COXSACKIE ANTIBODY - IgM, SERUM (2548I-SRL) 4170 4170 4170 5090 5090 7300 400 INVESTIGATION ECHOVIRUS ANTIBODIES PANEL, SERUM (2567-SRL) 8160 8160 8160 9960 9960 14280 401 INVESTIGATION ALLERGEN - CHICK PEA, SERUM (2999I-SRL) 1300 1300 1300 1590 1590 2280 402 INVESTIGATION HIV ABS, WESTERN BLOT (3012-SRL) 3850 3850 3850 4700 4700 6740 403 INVESTIGATION ALLERGEN - PENICILLIUM NOTATUM (3015-SRL) 1300 1300 1300 1590 1590 2280 404 INVESTIGATION VITAMIN B12 LEVEL, SERUM (3020-SRL) 1320 1320 1320 1610 1610 2310 405 INVESTIGATION BREAST MONITOR I, SERUM (3022-SRL) 2350 2350 2350 2870 2870 4110 406 INVESTIGATION COLORECTAL MONITOR, SERUM (3024-SRL) 3320 3320 3320 4050 4050 5810 407 INVESTIGATION TESTICULAR CA MONITOR, SERUM (3028-SRL) 1730 1730 1730 2110 2110 3030 408 INVESTIGATION ALLERGEN - ORANGE, SERUM (3030-SRL) 1300 1300 1300 1590 1590 2280 409 INVESTIGATION ALLERGEN - FOOD PANEL 2 (3031-SRL) 3320 3320 3320 4050 4050 5810 410 INVESTIGATION ALLERGEN - DUST PANEL (3033-SRL) 3000 3000 3000 3660 3660 5250 411 INVESTIGATION ALLERGEN - MOLD PANEL, SERUM (3034-SRL) 3320 3320 3320 4050 4050 5810 412 INVESTIGATION ALLERGEN - DERMATOPHAGOIDES PTERNYSSINUS (3036-SRL) 1300 1300 1300 1590 1590 2280 413 INVESTIGATION ALLERGEN - MILK, SERUM (3037-SRL) 1300 1300 1300 1590 1590 2280 414 INVESTIGATION ALLERGEN - RICE (3038-SRL) 1300 1300 1300 1590 1590 2280 415 INVESTIGATION ALLERGEN - WHEAT, SERUM (3039-SRL) 1300 1300 1300 1590 1590 2280 416 INVESTIGATION ALLERGEN - LATEX (3041-SRL) 1300 1300 1300 1590 1590 2280 417 INVESTIGATION ALLERGEN - DOG DANDER (3042-SRL) 1300 1300 1300 1590 1590 2280 418 INVESTIGATION ALLERGEN - EGG WHITE, SERUM (3043-SRL) 1300 1300 1300 1590 1590 2280 419 INVESTIGATION ALLERGEN - HOUSE DUST GREER, SERUM (3044-SRL) 1300 1300 1300 1590 1590 2280 420 INVESTIGATION ALLERGEN - CAT DANDER/ EPITHELIUM, SERUM (3047-SRL) 1300 1300 1300 1590 1590 2280 421 INVESTIGATION ALLERGEN - ALTERNARIA TENUIS, SERUM (3050-SRL) 1300 1300 1300 1590 1590 2280 422 INVESTIGATION ALLERGEN - CANDIDA ALBICANS, SERUM (3051-SRL) 1300 1300 1300 1590 1590 2280 423 INVESTIGATION ALLERGEN - MUCOR RACEMOSUS (3052-SRL) 1300 1300 1300 1590 1590 2280 424 INVESTIGATION ALLERGEN - ASPERGILLUS FUMIGATUS (3053-SRL) 1300 1300 1300 1590 1590 2280 425 INVESTIGATION ALLERGEN - MANGO (3054-SRL) 1300 1300 1300 1590 1590 2280 426 INVESTIGATION ALLERGEN - CLADOSPORIUM HERBARUM (3055-SRL) 1300 1300 1300 1590 1590 2280 427 INVESTIGATION ALLERGEN - CASEIN, SERUM (3056-SRL) 1300 1300 1300 1590 1590 2280 428 INVESTIGATION ALLERGEN - CHEESE CHEDDAR, SERUM (3057-SRL) 1300 1300 1300 1590 1590 2280 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 429 INVESTIGATION ALLERGEN - GREEN PEA (3058-SRL) 1300 1300 1300 1590 1590 2280 430 INVESTIGATION ALLERGEN - COCKROACH, SERUM (3059-SRL) 1300 1300 1300 1590 1590 2280 431 INVESTIGATION ALLERGEN - COCONUT, SERUM (3060-SRL) 1300 1300 1300 1590 1590 2280 432 INVESTIGATION ALLERGEN - SOYABEAN, SERUM (3061-SRL) 1300 1300 1300 1590 1590 2280 433 INVESTIGATION ANTI-THYROID PEROXIDASE ANTIBODIES (3062-SRL) 1090 1090 1090 1330 1330 1910 434 INVESTIGATION ALLERGEN - CHICKEN MEAT, SERUM (3063-SRL) 1300 1300 1300 1590 1590 2280 435 INVESTIGATION ALLERGEN - GARLIC (3064-SRL) 1300 1300 1300 1590 1590 2280 436 INVESTIGATION ALLERGEN - GLUTEN (3065-SRL) 1300 1300 1300 1590 1590 2280 437 INVESTIGATION ALLERGEN - SHRIMP, SERUM (3067-SRL) 1300 1300 1300 1590 1590 2280 438 INVESTIGATION ALLERGEN - CRAB (3068-SRL) 1300 1300 1300 1590 1590 2280 439 INVESTIGATION ALLERGEN - FOOD PANEL 3 (3074-SRL) 3320 3320 3320 4050 4050 5810 440 INVESTIGATION ALLERGEN - FOOD PANEL 7 (3075-SRL) 3320 3320 3320 4050 4050 5810 441 INVESTIGATION ALLERGEN - EGG YOLK, SERUM (3076-SRL) 1300 1300 1300 1590 1590 2280 442 INVESTIGATION ALLERGEN - PEANUT, SERUM (3077-SRL) 1300 1300 1300 1590 1590 2280 443 INVESTIGATION ALLERGEN - INSULIN PORCINE (3080-SRL) 1300 1300 1300 1590 1590 2280 444 INVESTIGATION ALLERGEN - PINEAPPLE (3081-SRL) 1300 1300 1300 1590 1590 2280 445 INVESTIGATION ALLERGEN - CABBAGE (3083-SRL) 1300 1300 1300 1590 1590 2280 446 INVESTIGATION ALLERGEN - CASHEW (3085-SRL) 1300 1300 1300 1590 1590 2280 447 INVESTIGATION ALLERGEN - PEAR (3086-SRL) 1300 1300 1300 1590 1590 2280 448 INVESTIGATION ALLERGEN - BANANA (3087-SRL) 1300 1300 1300 1590 1590 2280 449 INVESTIGATION ALLERGEN - KIWI FRUIT (3088-SRL) 1300 1300 1300 1590 1590 2280 450 INVESTIGATION ALLERGEN - BAKER S YEAST, SERUM (3090-SRL) 1300 1300 1300 1590 1590 2280 451 INVESTIGATION ALLERGEN - WHITE BEAN (3091-SRL) 1300 1300 1300 1590 1590 2280 452 INVESTIGATION ALLERGEN - SESAME SEED, SERUM (3092-SRL) 1300 1300 1300 1590 1590 2280 453 INVESTIGATION ALLERGEN - CORN, SERUM (3093-SRL) 1300 1300 1300 1590 1590 2280 454 INVESTIGATION ALLERGEN - BARLEY (3094-SRL) 1300 1300 1300 1590 1590 2280 455 INVESTIGATION ALLERGEN - CAULIFLOWER (3096-SRL) 1300 1300 1300 1590 1590 2280 456 INVESTIGATION ALLERGEN - GREENPEPPER (3097-SRL) 1300 1300 1300 1590 1590 2280 457 INVESTIGATION ALLERGEN - WALNUT, SERUM (3098-SRL) 1300 1300 1300 1590 1590 2280 458 INVESTIGATION ALLERGEN - ALMOND, SERUM (3101-SRL) 1300 1300 1300 1590 1590 2280 459 INVESTIGATION ADRENOCORTICOTROPIC HORMONE, PLASMA (3102-SRL) 1730 1730 1730 2110 2110 3030 460 INVESTIGATION ACTH STIMULATION TEST, 1-HOUR, SERUM (3103-SRL) 2460 2460 2460 3000 3000 4310 461 INVESTIGATION ALDOSTERONE 24 HR,URINE (3104U-SRL) 4880 4880 4880 5950 5950 8540 462 INVESTIGATION ALDOSTERONE, SERUM (3105-SRL) 2460 2460 2460 3000 3000 4310 463 INVESTIGATION ALLERGEN - STRAWBERRY (3106-SRL) 1300 1300 1300 1590 1590 2280 464 INVESTIGATION ALLERGEN - POTATO, SERUM (3107-SRL) 1300 1300 1300 1590 1590 2280 465 INVESTIGATION ALLERGEN - COCOA (3108-SRL) 1300 1300 1300 1590 1590 2280 466 INVESTIGATION ALPHA FETOPROTEIN, AMNIOTIC FLUID (3109AF-SRL) 1190 1190 1190 1450 1450 2080 467 INVESTIGATION ALPHA FETOPROTEIN-FLUID, BODY FLUID (3109F-SRL) 710 710 710 866 866 1243 468 INVESTIGATION ALPHA-FETOPROTEIN, SERUM (3109-SRL) 760 760 760 930 930 1330 469 INVESTIGATION ALLERGEN - ACACIA (3111-SRL) 1300 1300 1300 1590 1590 2280 470 INVESTIGATION ANDROSTENEDIONE, SERUM (3113-SRL) 2250 2250 2250 2750 2750 3940 471 INVESTIGATION ANGIOTENSIN CONVERTING ENZYME CSF (3114C-SRL) 2050 2050 2050 2500 2500 3590 472 INVESTIGATION ANGIOTENSIN CONVERTING ENZYME, SERUM (3114D-SRL) 1300 1300 1300 1590 1590 2280 473 INVESTIGATION ALLERGEN - JAPANESE CEDAR (3115-SRL) 1300 1300 1300 1590 1590 2280 474 INVESTIGATION ALLERGEN - BIRCH, SERUM (3117-SRL) 1300 1300 1300 1590 1590 2280 475 INVESTIGATION ALLERGEN - CHICKEN FEATHERS (3118-SRL) 1300 1300 1300 1590 1590 2280 476 INVESTIGATION ALLERGEN - EUCALYPTUS (3119-SRL) 1300 1300 1300 1590 1590 2280 477 INVESTIGATION CA 19-9, SERUM (3120-SRL) 760 760 760 930 930 1330 478 INVESTIGATION CA 125 (OVARIAN CANCER MONITOR), SERUM (3121-SRL) 650 650 650 790 790 1140 479 INVESTIGATION ALLERGEN - SWINE EPITHELIUM (3122-SRL) 1300 1300 1300 1590 1590 2280 480 INVESTIGATION IMMUNOFIXATION ELEC,CSF (3125C-SRL) 8690 8690 8690 10600 10600 15210 481 INVESTIGATION IMMUNOFIXATION EP, SERUM (3125-SRL) 8160 8160 8160 9960 9960 14280 482 INVESTIGATION IMMUNOFIXATION EP,URINE (3125U-SRL) 8690 8690 8690 10600 10600 15210 483 INVESTIGATION CALCITONIN (THYROCALCITONIN), SERUM (3126-SRL) 2570 2570 2570 3140 3140 4500 484 INVESTIGATION ALLERGEN - GUINEA PIG EPITHELIUM, SERUM (3127-SRL) 1300 1300 1300 1590 1590 2280 485 INVESTIGATION CORTISOL, SERUM (3128-SRL) 440 440 440 537 537 770 486 INVESTIGATION CORTISOL,FREE,24HR URINE (3128U-SRL) 650 650 650 790 790 1140 487 INVESTIGATION ALLERGEN - MOSQUITO (3129-SRL) 1300 1300 1300 1590 1590 2280 488 INVESTIGATION ALLERGEN - COW DANDER (3130-SRL) 1300 1300 1300 1590 1590 2280 489 INVESTIGATION ADENOSINE DEAMINASE (3131-SRL) 760 760 760 930 930 1330 490 INVESTIGATION ALLERGEN - PAPERWASP VENOM (3132-SRL) 4390 4390 4390 5360 5360 7680 491 INVESTIGATION ALLERGEN - HONEY BEE VENOM (3133-SRL) 1300 1300 1300 1590 1590 2280 492 INVESTIGATION CA 15-3, SERUM (3134-SRL) 5940 5940 5940 7250 7250 10400 493 INVESTIGATION ALLERGEN - PARROT FEATHERS (3135-SRL) 1300 1300 1300 1590 1590 2280 494 INVESTIGATION ALLERGEN - GOAT EPITHELIUM (3136-SRL) 1300 1300 1300 1590 1590 2280 495 INVESTIGATION ALLERGEN - HORSE DANDER, SERUM (3137-SRL) 1300 1300 1300 1590 1590 2280 496 INVESTIGATION ALLERGEN - MOUSE EPITHELIUM (3138-SRL) 1300 1300 1300 1590 1590 2280 497 INVESTIGATION ALLERGEN - PIGEON DROPPINGS (3139-SRL) 1300 1300 1300 1590 1590 2280 498 INVESTIGATION C PEPTIDE, SERUM (3140-SRL) 1090 1090 1090 1330 1330 1910 499 INVESTIGATION ALLERGEN - TRICHOPHYTON (3141-SRL) 1300 1300 1300 1590 1590 2280 500 INVESTIGATION B2-MICROGLOBULIN, SERUM (3143-SRL) 1090 1090 1090 1330 1330 1910 501 INVESTIGATION ALLERGEN - RAT EPITHELIUM (3144-SRL) 1300 1300 1300 1590 1590 2280 502 INVESTIGATION ALLERGEN - RHIZOPUS NIGRICANS (3145-SRL) 1300 1300 1300 1590 1590 2280 503 INVESTIGATION DEHYDROEPIANDROSTERONE, SERUM (3146-SRL) 2780 2780 2780 3390 3390 4870 504 INVESTIGATION ALLERGEN - HELMENTHOSPORIUM HALODES (3148-SRL) 1300 1300 1300 1590 1590 2280 505 INVESTIGATION CYSTATIN C (QUANTITATIVE), SERUM (3149-SRL) 1400 1400 1400 1710 1710 2450 506 INVESTIGATION DEHYDROEPIANDROSTERONE-S, SERUM (3150-SRL) 1940 1940 1940 2370 2370 3400 507 INVESTIGATION DIHYDROTESTOSTERONE, SERUM (3151-SRL) 2780 2780 2780 3390 3390 4870 508 INVESTIGATION ALLERGEN - COCKLEBUR (3153-SRL) 1300 1300 1300 1590 1590 2280 509 INVESTIGATION ESTRADIOL, SERUM (3155-SRL) 490 490 490 600 600 858 510 INVESTIGATION ESTRIOL,UNCONJUGATED, SERUM (3156-SRL) 1300 1300 1300 1590 1590 2280 511 INVESTIGATION ALLERGEN - NETTLE, SERUM (3157-SRL) 1300 1300 1300 1590 1590 2280 512 INVESTIGATION ALLERGEN - ENGLISH PLANTAIN, SERUM (3159-SRL) 1300 1300 1300 1590 1590 2280 513 INVESTIGATION ALLERGEN - MUGWORT, SERUM (3160-SRL) 1300 1300 1300 1590 1590 2280 514 INVESTIGATION ALLERGEN - COMMON RAGWEED (3161-SRL) 1300 1300 1300 1590 1590 2280 515 INVESTIGATION ALLERGEN - BERMUDA GRASS (3162-SRL) 1300 1300 1300 1590 1590 2280 516 INVESTIGATION PROGESTERONE, SERUM (3163-SRL) 440 440 440 537 537 770 517 INVESTIGATION ALLERGEN - JOHNSON GRASS (3164-SRL) 1300 1300 1300 1590 1590 2280 518 INVESTIGATION ALLERGEN - TIMOTHY GRASS (3167-SRL) 1300 1300 1300 1590 1590 2280 519 INVESTIGATION ALLERGEN - MEADOW FESCUE (3168-SRL) 1300 1300 1300 1590 1590 2280 520 INVESTIGATION ALLERGEN - SILK (3169-SRL) 1300 1300 1300 1590 1590 2280 521 INVESTIGATION FERRITIN, SERUM (3170-SRL) 980 980 980 1200 1200 1715 522 INVESTIGATION ALLERGEN - DERMATOPHAGOIDES FARINAE (3173-SRL) 1300 1300 1300 1590 1590 2280 523 INVESTIGATION FOLLICLE STIMULATING HORMONE, SERUM (3174-SRL) 440 440 440 537 537 770 524 INVESTIGATION GASTRIN, SERUM (3175-SRL) 1510 1510 1510 1840 1840 2640 525 INVESTIGATION GLYCOSYLATED HEMOGLOBIN, EDTA WHOLE BLOOD (3180-SRL) 650 650 650 790 790 1140 526 INVESTIGATION ALLERGEN: AMOXICILLIN (3181-SRL) 1300 1300 1300 1590 1590 2280 527 INVESTIGATION GROWTH HORMONE, SERUM (3182-SRL) 1040 1040 1040 1270 1270 1820 528 INVESTIGATION GROWTH HORMONE STIMULATION TEST, SERUM (3183-SRL) 3580 3580 3580 4370 4370 6270 529 INVESTIGATION HCG, SERUM (3184-SRL) 1300 1300 1300 1590 1590 2280 530 INVESTIGATION ALLERGEN: AMPICILLIN (3187-SRL) 1300 1300 1300 1590 1590 2280 531 INVESTIGATION ALLERGEN: PENICILLIN V (3188-SRL) 1300 1300 1300 1590 1590 2280 532 INVESTIGATION PREGNANCY TEST, URINE (3189-SRL) 220 220 220 268 268 385 533 INVESTIGATION 17-A-HYDROXYPROGESTERONE, SERUM (3190-SRL) 1400 1400 1400 1710 1710 2450 534 INVESTIGATION ANTI - INSULIN ANTIBODIES, SERUM (3191-SRL) 2680 2680 2680 3270 3270 4690 535 INVESTIGATION INSULIN, SERUM (3192-SRL) 760 760 760 930 930 1330 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 536 INVESTIGATION GLUTAMIC ACID DECARBOXYLASE IgG ANTIBODIES, SERUM (3193-SRL) 5720 5720 5720 6980 6980 10010 537 INVESTIGATION INSULIN LIKE GROWTH FACTOR - I, SERUM (3194-SRL) 4390 4390 4390 5360 5360 7680 538 INVESTIGATION ALLERGEN - PENICILLIN G (3195-SRL) 1300 1300 1300 1590 1590 2280 539 INVESTIGATION ALLERGEN - INSULIN BOVINE (3197-SRL) 1300 1300 1300 1590 1590 2280 540 INVESTIGATION LUTEINIZING HORMONE, SERUM (3198-SRL) 440 440 440 537 537 770 541 INVESTIGATION ALLERGEN - COFFEE (3199-SRL) 1300 1300 1300 1590 1590 2280 542 INVESTIGATION ALLERGEN - LETTUCE (3200-SRL) 1300 1300 1300 1590 1590 2280 543 INVESTIGATION ALLERGEN - MUSHROOM (3201-SRL) 1300 1300 1300 1590 1590 2280 544 INVESTIGATION ALLERGEN - PISTACHIO (3202-SRL) 1300 1300 1300 1590 1590 2280 545 INVESTIGATION ALLERGEN - LEMON (3203-SRL) 1300 1300 1300 1590 1590 2280 546 INVESTIGATION ALLERGEN - PEACH (3205-SRL) 1300 1300 1300 1590 1590 2280 547 INVESTIGATION PROLACTIN, SERUM (3206-SRL) 440 440 440 537 537 770 548 INVESTIGATION ALLERGEN - MALT (3207-SRL) 1300 1300 1300 1590 1590 2280 549 INVESTIGATION ALLERGEN - MUSTARD (3208-SRL) 1300 1300 1300 1590 1590 2280 550 INVESTIGATION ALLERGEN - MELON (3209-SRL) 1300 1300 1300 1590 1590 2280 551 INVESTIGATION ALLERGEN - APPLE (3210-SRL) 1300 1300 1300 1590 1590 2280 552 INVESTIGATION ALLERGEN - ONION (3211-SRL) 1300 1300 1300 1590 1590 2280 553 INVESTIGATION ALLERGEN - TOMATO, SERUM (3212-SRL) 1300 1300 1300 1590 1590 2280 554 INVESTIGATION ALLERGEN - CARROT, SERUM (3213-SRL) 1300 1300 1300 1590 1590 2280 555 INVESTIGATION PLASMA RENIN ACTIVITY (3216-SRL) 4880 4880 4880 5950 5950 8540 556 INVESTIGATION SEX HORMONE BINDING GLOBULIN, SERUM (3218-SRL) 2780 2780 2780 3390 3390 4870 557 INVESTIGATION ALLERGEN - OAT, SERUM (3219-SRL) 1300 1300 1300 1590 1590 2280 558 INVESTIGATION ALLERGEN - FIG (3221-SRL) 1300 1300 1300 1590 1590 2280 559 INVESTIGATION ALLERGEN - SPINACH (3225-SRL) 1300 1300 1300 1590 1590 2280 560 INVESTIGATION PROCALCITONIN (3226-SRL) 2160 2160 2160 2640 2640 3780 561 INVESTIGATION ALLERGEN - PLUM (3227-SRL) 1300 1300 1300 1590 1590 2280 562 INVESTIGATION FREE THYROXINE , FT4 (3228-SRL) 330 330 330 403 403 578 563 INVESTIGATION ALLERGEN - GRAPE (3229-SRL) 1300 1300 1300 1590 1590 2280 564 INVESTIGATION OSMOLALITY, SERUM (3231-SRL) 550 550 550 670 670 960 565 INVESTIGATION OSMOLALITY, 24 HRS URINE (3231U24-SRL) 550 550 550 670 670 960 566 INVESTIGATION OSMOLALITY, URINE (3231U-SRL) 550 550 550 670 670 960 567 INVESTIGATION ALLERGEN - CULTIVATED RYE, SERUM (3233-SRL) 1300 1300 1300 1590 1590 2280 568 INVESTIGATION FREE TRIIODOTHYRONINE (FT3), SERUM (3234-SRL) 330 330 330 403 403 578 569 INVESTIGATION THYROXINE BINDING GLOBULIN (3238-SRL) 6150 6150 6150 7500 7500 10760 570 INVESTIGATION TESTOSTERONE, TOTAL, SERUM (3244-SRL) 1510 1510 1510 1840 1840 2640 571 INVESTIGATION FREE ANDROGEN INDEX, SERUM (3245-SRL) 3420 3420 3420 4170 4170 5990 572 INVESTIGATION FREE TESTOSTERONE, SERUM (3248FT-SRL) 1940 1940 1940 2370 2370 3400 573 INVESTIGATION TESTOSTERONE,FREE/TOTAL, SERUM (3248-SRL) 2250 2250 2250 2750 2750 3940 574 INVESTIGATION TOTAL TSH, SERUM (3250C-SRL) 675 675 675 820 820 1180 575 INVESTIGATION THYROGLOBULIN, SERUM (3251-SRL) 1510 1510 1510 1840 1840 2640 576 INVESTIGATION TSH RECEPTOR ANTIBODIES, SERUM (3254I-SRL) 3850 3850 3850 4700 4700 6740 577 INVESTIGATION ALLERGEN - ACTH (3255-SRL) 1300 1300 1300 1590 1590 2280 578 INVESTIGATION DRUG ALLERGENS (3257-SRL) 3850 3850 3850 4700 4700 6740 579 INVESTIGATION CARCINO EMBRYONIC ANTIGEN, BODY FLUID (3258F-SRL) 710 710 710 866 866 1243 580 INVESTIGATION CARCINO EMBRYONIC ANTIGEN, SERUM (3258-SRL) 650 650 650 790 790 1140 581 INVESTIGATION SEROTONIN, SERUM (3287-SRL) 4820 4820 4820 5880 5880 8440 582 INVESTIGATION SEROTONIN, URINE (3287U-SRL) 4820 4820 4820 5880 5880 8440 583 INVESTIGATION PREGNANCY ASSOCIATED PLASMA PROTEIN A, SERUM (3300-SRL) 1840 1840 1840 2240 2240 3220 584 INVESTIGATION ANTI - CCP ANTIBODIES, SERUM (3301-SRL) 1400 1400 1400 1710 1710 2450 585 INVESTIGATION ANTI SOLUBLE LIVER ANTIGEN, SERUM (3303-SRL) 1940 1940 1940 2370 2370 3400 586 INVESTIGATION CATECHOLAMINES, PLASMA (3304-SRL) 8160 8160 8160 9960 9960 14280 587 INVESTIGATION CATECHOLAMINES, URINE (3304U-SRL) 4880 4880 4880 5950 5950 8540 588 INVESTIGATION PARVOVIRUS B19 DNA (3305-SRL) 2780 2780 2780 3390 3390 4870 589 INVESTIGATION IMMUNOREACTIVE TRYPSINOGEN, DRIED BLOOD SPOT (3307-SRL) 550 550 550 670 670 960 590 INVESTIGATION THYROID STIMULATING HORMONE, DRIED BLOOD SPOT (3308-SRL) 550 550 550 670 670 960 591 INVESTIGATION TOTAL GALACTOSE, DRIED BLOOD SPOT (3309-SRL) 550 550 550 670 670 960 592 INVESTIGATION 17-ALPHA-HYDROXYPROGESTERONE, DRIED BLOOD SPOT (3311-SRL) 550 550 550 670 670 960 593 INVESTIGATION PHENYLALANINE, DRIED BLOOD SPOT (3312-SRL) 550 550 550 670 670 960 594 INVESTIGATION 17-KETOSTEROIDS, URINE (3313-SRL) 5510 5510 5510 6720 6720 9640 595 INVESTIGATION METANEPHRINES (3317-SRL) 1300 1300 1300 1590 1590 2280 596 INVESTIGATION VANILLYL MANDELIC ACID, URINE (3318U-SRL) 3850 3850 3850 4700 4700 6740 597 INVESTIGATION BIOTINIDASE DEFICIENCY, DRIED BLOOD SPOT (3320-SRL) 550 550 550 670 670 960 598 INVESTIGATION GLUCOSE-6-PHOSPHATE DEHYDROGENASE,DRIED BLOOD SPOT (3321-SRL) 550 550 550 670 670 960 599 INVESTIGATION MAPLE SYRUP URINE DISEASE, DRIED BLOOD SPOT (3322-SRL) 440 440 440 537 537 770 600 INVESTIGATION NEONATAL SCREENING - PANEL - I (3328IA-SRL) 3210 3210 3210 3920 3920 5620 601 INVESTIGATION NEONATAL SCREENING - PANEL II (3328IB-SRL) 1840 1840 1840 2240 2240 3220 602 INVESTIGATION NEONATAL SCREENING PANEL - 3 (3328IC-SRL) 760 760 760 930 930 1330 603 INVESTIGATION NEONATAL SCREENING PANEL - 4 (3328ID-SRL) 1300 1300 1300 1590 1590 2280 604 INVESTIGATION COMPREHENSIVE NEONATAL SCREENING PANEL (3328II-SRL) 5830 5830 5830 7110 7110 10200 605 INVESTIGATION YERSINIA ENTEROCOLITICA IgG, SERUM (3329IG-SRL) 2680 2680 2680 3270 3270 4690 606 INVESTIGATION YERSINIA ENTEROCOLITICA IgM, SERUM (3329IM-SRL) 2680 2680 2680 3270 3270 4690 607 INVESTIGATION ALLERGEN - RABBIT EPITH (3329-SRL) 1300 1300 1300 1590 1590 2280 608 INVESTIGATION ALLERGEN - BEEF, SERUM (3330-SRL) 1300 1300 1300 1590 1590 2280 609 INVESTIGATION ALLERGEN - CODFISH, SERUM (3331-SRL) 1300 1300 1300 1590 1590 2280 610 INVESTIGATION ALLERGEN - LAMB, SERUM (3332-SRL) 1300 1300 1300 1590 1590 2280 611 INVESTIGATION ALLERGEN - PORK, SERUM (3333-SRL) 1300 1300 1300 1590 1590 2280 612 INVESTIGATION ALLERGEN - BLUE MUSSEL, SERUM (3335-SRL) 1300 1300 1300 1590 1590 2280 613 INVESTIGATION ALLERGEN - LOBSTER (3336-SRL) 1300 1300 1300 1590 1590 2280 614 INVESTIGATION INHIBIN B, SERUM (3339-SRL) 2250 2250 2250 2750 2750 3940 615 INVESTIGATION ALLERGEN - HAZELNUT (3340-SRL) 1300 1300 1300 1590 1590 2280 616 INVESTIGATION ALLERGEN - BRAZIL NUT, SERUM (3341-SRL) 1300 1300 1300 1590 1590 2280 617 INVESTIGATION ALLERGEN - TUNA (3342-SRL) 1300 1300 1300 1590 1590 2280 618 INVESTIGATION ALLERGEN - SALMON, SERUM (3343-SRL) 1300 1300 1300 1590 1590 2280 619 INVESTIGATION HOMOCYSTEINE, SERUM/PLASMA (3344-SRL) 710 710 710 866 866 1243 620 INVESTIGATION HOMOCYSTEINE URINE (3344U-SRL) 1190 1190 1190 1450 1450 2080 621 INVESTIGATION ALLERGEN - HAMSTER EPITH (3345-SRL) 1300 1300 1300 1590 1590 2280 622 INVESTIGATION TRIGLYCERIDES, SERUM (3346HD-SRL) 515 515 515 630 630 900 623 INVESTIGATION ALLERGEN - SWEET VERNAL GRASS, SERUM (3346-SRL) 1300 1300 1300 1590 1590 2280 624 INVESTIGATION ALLERGEN - RYE, SERUM (3347-SRL) 1300 1300 1300 1590 1590 2280 625 INVESTIGATION ALLERGEN - VELVET, SERUM (3348-SRL) 1300 1300 1300 1590 1590 2280 626 INVESTIGATION ALLERGEN - ALDER, SERUM (3349-SRL) 1300 1300 1300 1590 1590 2280 627 INVESTIGATION CHOLESTEROL, FLUID (3350HDF-SRL) 110 110 110 134 134 193 628 INVESTIGATION CHOLESTEROL, SERUM (3350HD-SRL) 110 110 110 134 134 193 629 INVESTIGATION ALLERGEN - HAZEL, SERUM (3350-SRL) 1300 1300 1300 1590 1590 2280 630 INVESTIGATION ALLERGEN - WILLOW, SERUM (3352-SRL) 1300 1300 1300 1590 1590 2280 631 INVESTIGATION ALLERGEN -LAMBS QUARTER, SERUM (3353-SRL) 1300 1300 1300 1590 1590 2280 632 INVESTIGATION ALLERGEN - GOLDEN ROD (3354-SRL) 1300 1300 1300 1590 1590 2280 633 INVESTIGATION ALLERGEN - BUCKWHEAT, SERUM (3355-SRL) 1300 1300 1300 1590 1590 2280 634 INVESTIGATION NEWBORN SCREENING FOR ACYLCARNITINE & AMINO ACIDS (3358-SRL) 5510 5510 5510 6720 6720 9640 635 INVESTIGATION VALPROIC ACID, SERUM (3360H-SRL) 650 650 650 790 790 1140 636 INVESTIGATION ALLERGEN - CELERY, SERUM (3360-SRL) 1300 1300 1300 1590 1590 2280 637 INVESTIGATION ANTI MUSCLE SPECIFIC RECEPTOR TYROSINE KINASE AB. (3368I-SRL) 23380 23380 23380 28520 28520 40920 638 INVESTIGATION LIPASE, SERUM (3369D-SRL) 550 550 550 670 670 960 639 INVESTIGATION CARDIOLIPIN IGA (3370-SRL) 980 980 980 1200 1200 1715 640 INVESTIGATION ANTI CARDIOLIPIN ANTIBODIES IgG, SERUM (3371G-SRL) 980 980 980 1200 1200 1715 641 INVESTIGATION ANTI CARDIOLIPIN ANTIBODIES IgM, SERUM (3371M-SRL) 980 980 980 1200 1200 1715 642 INVESTIGATION CARDIOLIPIN ANTIBODIES, SERUM (3371-SRL) 1940 1940 1940 2370 2370 3400 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 643 INVESTIGATION ALLERGEN - AUBERGINE (BRINJAL) (3372-SRL) 1300 1300 1300 1590 1590 2280 644 INVESTIGATION ALLERGEN: LENTIL (3373-SRL) 1300 1300 1300 1590 1590 2280 645 INVESTIGATION ECZEMA / GIT (VEG) PANEL (3375-SRL) 4600 4600 4600 5610 5610 8050 646 INVESTIGATION ECZEMA / GIT (NON-VEG & VEG) PANEL (3376-SRL) 6250 6250 6250 7630 7630 10940 647 INVESTIGATION COMPREHENSIVE RHINITIS / ASTHMA MINI PANEL (3377-SRL) 5090 5090 5090 6210 6210 8910 648 INVESTIGATION ALLERGEN - HOLLISTER-STIER LABS HOUSE DUST (3379-SRL) 1300 1300 1300 1590 1590 2280 649 INVESTIGATION TROPONIN I, SERUM (3393-SRL) 1400 1400 1400 1710 1710 2450 650 INVESTIGATION TROPONIN T - (3395-SRL) 1730 1730 1730 2110 2110 3030 651 INVESTIGATION MICROALBUMINURIA, URINE (3441UD-SRL) 550 550 550 670 670 960 652 INVESTIGATION RABIES ANTIBODIES, SERUM (3444-SRL) 2460 2460 2460 3000 3000 4310 653 INVESTIGATION LIPOPROTEIN (a), SERUM (3446D-SRL) 760 760 760 930 930 1330 654 INVESTIGATION AMMONIA (3507-SRL) 930 930 930 1130 1130 1630 655 INVESTIGATION AMINO ACID ANALYSIS, PLASMA (3509-SRL) 7630 7630 7630 9310 9310 13350 656 INVESTIGATION AMINO ACID ANALYSIS, URINE RANDOM (3510-SRL) 7200 7200 7200 8780 8780 12600 657 INVESTIGATION VITAMIN A BY HPLC, SERUM/ EDTA PLASMA (3511-SRL) 3750 3750 3750 4580 4580 6560 658 INVESTIGATION VITAMIN B1 BY HPLC, SERUM/ EDTA PLASMA (3512-SRL) 3320 3320 3320 4050 4050 5810 659 INVESTIGATION VITAMIN B2 BY HPLC, SERUM/ EDTA PLASMA (3513-SRL) 3320 3320 3320 4050 4050 5810 660 INVESTIGATION VITAMIN B6 BY HPLC, SERUM/ PLASMA (3514-SRL) 3320 3320 3320 4050 4050 5810 661 INVESTIGATION VITAMIN C BY HPLC, EDTA PLASMA (3516-SRL) 3320 3320 3320 4050 4050 5810 662 INVESTIGATION VITAMIN E (3517-SRL) 3850 3850 3850 4700 4700 6740 663 INVESTIGATION FOLIC ACID, SERUM (3522-SRL) 1400 1400 1400 1710 1710 2450 664 INVESTIGATION RBC FOLATE, BLOOD (3523-SRL) 1840 1840 1840 2240 2240 3220 665 INVESTIGATION MACROCYTIC ANEMIA PANEL (3524-SRL) 2570 2570 2570 3140 3140 4500 666 INVESTIGATION IRON, SERUM (3532D-SRL) 440 440 440 537 537 770 667 INVESTIGATION TOTAL IRON BINDING CAPACITY, SERUM (3533HD-SRL) 330 330 330 403 403 578 668 INVESTIGATION FREE PSA (3545-SRL) 1190 1190 1190 1450 1450 2080 669 INVESTIGATION PROSTATE SPECIFIC ANTIGEN, SERUM (3546-SRL) 710 710 710 866 866 1243 670 INVESTIGATION PSA FREE & TOTAL, SERUM (3547-SRL) 1840 1840 1840 2240 2240 3220 671 INVESTIGATION OSTEOCALCIN, SERUM (3550-SRL) 2050 2050 2050 2500 2500 3590 672 INVESTIGATION MYOGLOBIN (3612-SRL) 1300 1300 1300 1590 1590 2280 673 INVESTIGATION CREATINE KINASE - MB, SERUM (3615D-SRL) 980 980 980 1200 1200 1715 674 INVESTIGATION SUCROSE LYSIS TEST, BLOOD (3831-SRL) 710 710 710 866 866 1243 675 INVESTIGATION HAM S (ACIDIFIED-SERUM) TEST, BLOOD (3832-SRL) 1090 1090 1090 1330 1330 1910 676 INVESTIGATION HEMOGLOBIN VARIANT ANALYSIS, BLOOD (3834-SRL) 1190 1190 1190 1450 1450 2080 677 INVESTIGATION PROTEIN C ACTIVITY, PLASMA (3836-SRL) 3850 3850 3850 4700 4700 6740 678 INVESTIGATION PROTEIN S ACTIVITY, PLASMA (3837-SRL) 3320 3320 3320 4050 4050 5810 679 INVESTIGATION AMYLASE, SERUM (3844D-SRL) 440 440 440 537 537 770 680 INVESTIGATION AMYLASE, 24HRS URINE (3844UHD-SRL) 330 330 330 403 403 578 681 INVESTIGATION PARANEOPLASTIC DISORDER PROFILE (3861-SRL) 5510 5510 5510 6720 6720 9640 682 INVESTIGATION PROTHROMBIN TIME, PLASMA (3892-SRL) 575 575 575 700 700 1010 683 INVESTIGATION ACT PARTIAL THROMBO PLASTIN TIME(APTT), PLASMA (3895-SRL) 685 685 685 840 840 1200 684 INVESTIGATION DIC (3896-SRL) 6040 6040 6040 7370 7370 10570 685 INVESTIGATION HEMOPHILIA PANEL (3897-SRL) 6250 6250 6250 7630 7630 10940 686 INVESTIGATION CA 125 (OVARIAN CANCER MONITOR), SERUM (3925-SRL) 650 650 650 790 790 1140 687 INVESTIGATION KOH MOUNT (3927-SRL) 270 270 270 330 330 473 688 INVESTIGATION ALKALINE PHOSPHATASE, SERUM (3930H-SRL) 285 285 285 350 350 500 689 INVESTIGATION FRUCTOSAMINE (3935-SRL) 870 870 870 1060 1060 1520 690 INVESTIGATION CYFRA 21-1 (3938-SRL) 3210 3210 3210 3920 3920 5620 691 INVESTIGATION PARATHYROID HORMONE (INTACT), SERUM/PLASMA (3944-SRL) 1400 1400 1400 1710 1710 2450 692 INVESTIGATION CHROMOGRANIN A (3951-SRL) 6150 6150 6150 7500 7500 10760 693 INVESTIGATION IGF-BP3 (3960-SRL) 3000 3000 3000 3660 3660 5250 694 INVESTIGATION RSV- RESPIRATORY SYNCYTIAL VIRUS-IGG (3963-SRL) 4170 4170 4170 5090 5090 7300 695 INVESTIGATION RSV- RESPIRATORY SYNCYTIAL VIRUS-IGM (3964-SRL) 4170 4170 4170 5090 5090 7300 696 INVESTIGATION ORGANIC ACIDS SCREEN, URINE (3966-SRL) 7100 7100 7100 8660 8660 12430 697 INVESTIGATION CREATINE KINASE (CPK), SERUM (3976H-SRL) 550 550 550 670 670 960 698 INVESTIGATION INHIBIN A (3983-SRL) 2250 2250 2250 2750 2750 3940 699 INVESTIGATION ALKALINE PHOSPHATASE ISOENZYMES (3996-SRL) 760 760 760 930 930 1330 700 INVESTIGATION ALLERGEN: PECAN NUT (4009-SRL) 1300 1300 1300 1590 1590 2280 701 INVESTIGATION FLEXI ALLERGY PANEL (ANY 5 ALLERGENS) (4010-SRL) 3320 3320 3320 4050 4050 5810 702 INVESTIGATION FLEXI ALLERGY PANEL (ANY 10 ALLERGENS) (4012-SRL) 5090 5090 5090 6210 6210 8910 703 INVESTIGATION BLOCK REVIEW/SLIDE REVIEW UPTO 8 BLOCKS OR SLIDES (4055-SRL) 7222 7222 7222 8810 8810 12640 704 INVESTIGATION BLOCK/SLIDE REVIEW MORE THAN 8 BLOCKS OR SLIDES (4056-SRL) 7222 7222 7222 8810 8810 12640 705 INVESTIGATION VGKC ANTIBODY (SERUM,IMMUNOFLUORESCENCE) (4064-SRL) 13780 13780 13780 16810 16810 24120 706 INVESTIGATION FOOD ALLERGY SCREENING PANEL VEG & NON VEG (4079-SRL) 3750 3750 3750 4575 4575 6563 707 INVESTIGATION ALCOHOL (ETHANOL), SERUM (4100S-SRL) 600 600 600 730 730 1050 708 INVESTIGATION TETRAHYDROCANNABINOL, URINE (4101-SRL) 1090 1090 1090 1330 1330 1910 709 INVESTIGATION PHENYTOIN, SERUM (4103-SRL) 760 760 760 930 930 1330 710 INVESTIGATION HUMAN EPIDIDYMIS PROTEIN -4 (HE4) (4113-SRL) 2780 2780 2780 3390 3390 4870 711 INVESTIGATION CARBAMAZEPINE, SERUM (4116-SRL) 1190 1190 1190 1450 1450 2080 712 INVESTIGATION CA 72-4 (4117-SRL) 2160 2160 2160 2640 2640 3780 713 INVESTIGATION METHAMPHETAMINE, URINE (4130-SRL) 1090 1090 1090 1330 1330 1910 714 INVESTIGATION DRUGS OF ABUSE - 9 DRUGS (4131-SRL) 5510 5510 5510 6720 6720 9640 715 INVESTIGATION DRUGS OF ABUSE - 6 DRUGS (4132-SRL) 3640 3640 3640 4440 4440 6370 716 INVESTIGATION DRUGS OF ABUSE - 5 DRUGS (4133-SRL) 3100 3100 3100 3780 3780 5430 717 INVESTIGATION AMPHETAMINE, URINE (4134U-SRL) 1090 1090 1090 1330 1330 1910 718 INVESTIGATION BARBITURATES, URINE (4135U-SRL) 1090 1090 1090 1330 1330 1910 719 INVESTIGATION BENZODIAZEPINES, URINE (4136U-SRL) 1090 1090 1090 1330 1330 1910 720 INVESTIGATION CANNABINOIDS, URINE (4137U-SRL) 1090 1090 1090 1330 1330 1910 721 INVESTIGATION OPIATES,URINE (4138U-SRL) 1090 1090 1090 1330 1330 1910 722 INVESTIGATION URINE - PCP (PHENCYCLIDINE), URINE (4139-SRL) 1090 1090 1090 1330 1330 1910 723 INVESTIGATION COCAINE - URINE (4140-SRL) 1090 1090 1090 1330 1330 1910 724 INVESTIGATION PROPOXYPHENE, URINE (4148-SRL) 1090 1090 1090 1330 1330 1910 725 INVESTIGATION STONE ANALYSIS (4161-SRL) 980 980 980 1200 1200 1715 726 INVESTIGATION STONE ANALYSIS - GALL BLADDER STONE (4166-SRL) 1730 1730 1730 2110 2110 3030 727 INVESTIGATION PORPHOBILINOGEN, URINE (4170-SRL) 3000 3000 3000 3660 3660 5250 728 INVESTIGATION VANCOMYCIN (4197-SRL) 7100 7100 7100 8660 8660 12430 729 INVESTIGATION TOBRAMYCIN (4198-SRL) 4880 4880 4880 5950 5950 8540 730 INVESTIGATION D-DIMER, PLASMA (4200-SRL) 1510 1510 1510 1840 1840 2640 731 INVESTIGATION METHAEMOGLOBIN ESTIMATION, BLOOD (4202-SRL) 930 930 930 1130 1130 1630 732 INVESTIGATION FIBRINOGEN DEGREDATION PRODUCTS (FDP), PLASMA (4208-SRL) 1300 1300 1300 1590 1590 2280 733 INVESTIGATION THROMBIN TIME (T.T.), PLASMA (4210-SRL) 980 980 980 1200 1200 1715 734 INVESTIGATION CYCLOSPORINE A, WHOLE BLOOD (4314I-SRL) 3000 3000 3000 3660 3660 5250 735 INVESTIGATION URINARY OXALATE, 24HRS URINE (4332-SRL) 2050 2050 2050 2500 2500 3590 736 INVESTIGATION ALLERGEN -PHADIATOP ADULT (4430-SRL) 1300 1300 1300 1590 1590 2280 737 INVESTIGATION ALLERGEN - FOOD MIX FX5 (4431-SRL) 1300 1300 1300 1590 1590 2280 738 INVESTIGATION ALLERGEN -PHADIATOP INFANT (4432-SRL) 1300 1300 1300 1590 1590 2280 739 INVESTIGATION PORPHYRINS, 24HRS URINE (4516-SRL) 7100 7100 7100 8660 8660 12430 740 INVESTIGATION ECHOSENS FIBROMETER VIRUS (4590-SRL) 3690 3690 3690 4500 4500 6460 741 INVESTIGATION PDGFR PLUS (4806-SRL) 8950 8950 8950 10920 10920 15660 742 INVESTIGATION CALCIUM, SERUM (4836H-SRL) 325 325 325 400 400 570 743 INVESTIGATION CALCIUM, 24HRS URINE (4836UH-SRL) 220 220 220 268 268 385 744 INVESTIGATION MAGNESIUM, SERUM (4866H-SRL) 475 475 475 580 580 830 745 INVESTIGATION MAGNESIUM, 24HRS URINE (4866UH-SRL) 440 440 440 537 537 770 746 INVESTIGATION LITHIUM, SERUM (4871-SRL) 220 220 220 268 268 385 747 INVESTIGATION ZAP-70 (4965-SRL) 7100 7100 7100 8660 8660 12430 748 INVESTIGATION RHEUMATIC FEVER PANEL (5001-SRL) 1300 1300 1300 1590 1590 2280 749 INVESTIGATION URINE SUPERSATURATION PANEL (5002-SRL) 2350 2350 2350 2870 2870 4110 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 750 INVESTIGATION SCLERODERMA DIAGNOSTIC PROFILE (5003-SRL) 7100 7100 7100 8660 8660 12430 751 INVESTIGATION SLE DIAGNOSTIC PROFILE (5004-SRL) 2780 2780 2780 3390 3390 4870 752 INVESTIGATION STD DIAGNOSTIC PANEL (5005-SRL) 6780 6780 6780 8270 8270 11870 753 INVESTIGATION PEADIATRIC ALLERGY PANEL (5006-SRL) 3530 3530 3530 4310 4310 6180 754 INVESTIGATION UTI - SCREENING PANEL (5007-SRL) 980 980 980 1200 1200 1715 755 INVESTIGATION ARTHRITIS PANEL (RHEUMATOID ARTHRITIS PANEL) (5008-SRL) 2460 2460 2460 3000 3000 4310 756 INVESTIGATION TUBERCULOSIS MONITORING PANEL (5010-SRL) 1840 1840 1840 2240 2240 3220 757 INVESTIGATION HEPATITIS SCREENING PANEL (5011-SRL) 3100 3100 3100 3780 3780 5430 758 INVESTIGATION FEVER SCREENING PANEL (5012-SRL) 2250 2250 2250 2750 2750 3940 759 INVESTIGATION EGFR SCORE IMMUNOHISTOCHEMISTRY (5021-SRL) 31930 31930 31930 38950 38950 55880 760 INVESTIGATION FLUORESCENT AFB STAIN (5022-SRL) 550 550 550 670 670 960 761 INVESTIGATION FROZEN SECTION WITH MARGINS (5023-SRL) 1840 1840 1840 2240 2240 3220 762 INVESTIGATION FROZEN SECTION (5024-SRL) 2050 2050 2050 2500 2500 3590 763 INVESTIGATION HERCEPT SCORE IMMUNOHISTOCHEMISTRY (5025-SRL) 31930 31930 31930 38950 38950 55880 764 INVESTIGATION HPC COUNT (HUMAN PROGENITOR CELL) (5026-SRL) 650 650 650 790 790 1140 765 INVESTIGATION IMMUNOHISTOCHEMISTRY : FIVE MARKER (5027-SRL) 5940 5940 5940 7250 7250 10400 766 INVESTIGATION IMMUNOHISTOCHEMISTRY : NINE MARKER (5028-SRL) 17500 17500 17500 21350 21350 30630 767 INVESTIGATION IMMUNOHISTOCHEMISTRY : SEVEN MARKER (5029-SRL) 8800 8800 8800 10740 10740 15400 768 INVESTIGATION IMMUNOHISTOCHEMISTRY : SINGLE MARKER (5030-SRL) 3000 3000 3000 3660 3660 5250 769 INVESTIGATION IMMUNOHISTOCHEMISTRY : TEN MARKER AND ABOVE (5031-SRL) 9860 9860 9860 12030 12030 17260 770 INVESTIGATION IMMUNOHISTOCHEMISTRY : THREE MARKER (5032-SRL) 5510 5510 5510 6720 6720 9640 771 INVESTIGATION RADICAL RESECTION HISTOPATHOLOGY (5033-SRL) 9860 9860 9860 12030 12030 17260 772 INVESTIGATION ISOAGGLUTININ TITER, ANTI-A, SERUM (5034-SRL) 440 440 440 537 537 770 773 INVESTIGATION ISOAGGLUTININ TITER, ANTI-B, SERUM (5035-SRL) 440 440 440 537 537 770 774 INVESTIGATION CBC + DIFF + RETIC (5036-SRL) 550 550 550 670 670 960 775 INVESTIGATION CBC + RETIC + HB HPLC (5037-SRL) 930 930 930 1130 1130 1630 776 INVESTIGATION DEMONSTRATION OF RBC INCLUSION BODIES: (5038-SRL) 440 440 440 537 537 770 777 INVESTIGATION TREPINE BIOPSY (5039-SRL) 1730 1730 1730 2110 2110 3030 778 INVESTIGATION IMMUNOFIXATN ELECTROPHORESIS QUANTITATIVE ANALYSIS (5040-SRL) 6570 6570 6570 8020 8020 11500 779 INVESTIGATION ABO GROUP & RH TYPE, EDTA WHOLE BLOOD (5100-SRL) 415 415 415 510 510 730 780 INVESTIGATION HEMOGLOBIN (5101A-SRL) 110 110 110 134 134 193 781 INVESTIGATION TOTAL LEUKOCYTE COUNT (5101B-SRL) 110 110 110 134 134 193 782 INVESTIGATION TOTAL LEUKOCYTE COUNT, FLUID (5101F-SRL) 110 110 110 134 134 193 783 INVESTIGATION COMPLETE BLOOD COUNT, EDTA WHOLE BLOOD + PERIPHERAL SMEAR (PS) (5110A-SRL) 990 990 990 1210 1210 1730 784 INVESTIGATION CBC+ABSOLUTE COUNTS (5110EFM-SRL) 440 440 440 537 537 770 785 INVESTIGATION COMPLETE BLOOD COUNT (CBC) (5110E-SRL) 570 570 570 700 700 1000 786 INVESTIGATION ABSOLUTE NEUTROPHIL COUNT, BLOOD (5110N-SRL) 440 440 440 537 537 770 787 INVESTIGATION HB, TC, DC (5111A-SRL) 270 270 270 330 330 473 788 INVESTIGATION CBC+ESR+ABSOLUTE COUNTS (5111FM-SRL) 1090 1090 1090 1330 1330 1910 789 INVESTIGATION CBC WITH ESR (CBC+PS+ESR) EDTA WHOLE BLOOD/SMEAR (5111-SRL) 1090 1090 1090 1330 1330 1910 790 INVESTIGATION BODY FLUID HB AND HCT (5112F-SRL) 110 110 110 134 134 193 791 INVESTIGATION HEMOGLOBIN & HEMATOCRIT, EDTA WHOLE BLOOD (5112-SRL) 185 185 185 230 230 320 792 INVESTIGATION PLATELET ANTIBODIES (SERUM,IMMUNOFLUORESCENCE) (5115-SRL) 7100 7100 7100 8660 8660 12430 793 INVESTIGATION WHITE CELL COUNT AND DIFFERENTIAL, EDTA WB (5122-SRL) 265 265 265 320 320 460 794 INVESTIGATION PLATELET COUNT, EDTA WHOLE BLOOD (5160-SRL) 285 285 285 350 350 500 795 INVESTIGATION PERIPHERAL SMEAR EXAM, EDTA WHOLE BLOOD (5162-SRL) 710 710 710 866 866 1243 796 INVESTIGATION RETICULOCYTE COUNT, EDTA WHOLE BLOOD (5170-SRL) 330 330 330 403 403 578 797 INVESTIGATION RETICULOCYTE PANEL, BLOOD (5171-SRL) 980 980 980 1200 1200 1715 798 INVESTIGATION BRONCHOALVEOLAR FLUID ANALYSIS (5190-SRL) 930 930 930 1130 1130 1630 799 INVESTIGATION PERICARDIAL FLUID ANALYSIS (5192-SRL) 600 600 600 730 730 1050 800 INVESTIGATION PERITONEAL FLUID, ROUTINE (5193-SRL) 600 600 600 730 730 1050 801 INVESTIGATION ASCITIC FLUID, ROUTINE (5194-SRL) 600 600 600 730 730 1050 802 INVESTIGATION CEREBROSPINAL FLUID, ROUTINE (5195-SRL) 820 820 820 1000 1000 1435 803 INVESTIGATION BLOOD CULTURE & SUSCEPTIBILITY (5200BC-SRL) 1750 1750 1750 2140 2140 3060 804 INVESTIGATION URINE CHEMISTRY (5200FMRIA-SRL) 160 160 160 195 195 280 805 INVESTIGATION ROUTINE URINE ANALYSIS (5200FMRI-SRL) 295 295 295 360 360 520 806 INVESTIGATION REDUCING SUBSTANCES IN URINE (5200R-SRL) 110 110 110 134 134 193 807 INVESTIGATION TOTAL BILE ACIDS (5201-SRL) 1840 1840 1840 2240 2240 3220 808 INVESTIGATION SPERM ANTIBODIES (5225-SRL) 1090 1090 1090 1330 1330 1910 809 INVESTIGATION SODIUM, SERUM (5306HD-SRL) 295 295 295 360 360 520 810 INVESTIGATION SODIUM, URINE (5306UHD-SRL) 230 230 230 280 280 403 811 INVESTIGATION POTASSIUM, SERUM (5311HD-SRL) 295 295 295 360 360 520 812 INVESTIGATION POTASSIUM, URINE (5311UHD-SRL) 110 110 110 134 134 193 813 INVESTIGATION ACID FAST BACILLI SMEAR (5320-SRL) 330 330 330 403 403 578 814 INVESTIGATION AFB SMEARS - 3 SAMPLES (5320S-SRL) 870 870 870 1060 1060 1520 815 INVESTIGATION AFB SMEAR - 5 SAMPLES (5320U-SRL) 1090 1090 1090 1330 1330 1910 816 INVESTIGATION FUNGUS CULTURE & STAIN (5322-SRL) 980 980 980 1200 1200 1715 817 INVESTIGATION FUNGAL STAIN (5323-SRL) 330 330 330 403 403 578 818 INVESTIGATION FUNGAL IDENTIFICATION (5324-SRL) 760 760 760 930 930 1330 819 INVESTIGATION BCR/ABL -QUANTITATIVE (5350QN-SRL) 8160 8160 8160 9960 9960 14280 820 INVESTIGATION BCR/ABL GENE TRANSLOCATION (5350-SRL) 8160 8160 8160 9960 9960 14280 821 INVESTIGATION BCR-ABL 1 KINASE DOMAIN MUTATION ANALYSIS (5351-SRL) 4880 4880 4880 5950 5950 8540 822 INVESTIGATION CYTOGENETICS: FRAGILE X CHROMOSOME ANALYSIS (5364-SRL) 6040 6040 6040 7370 7370 10570 823 INVESTIGATION NK CELL EVALUATION (5422-SRL) 4390 4390 4390 5360 5360 7680 824 INVESTIGATION TNF - ALPHA (SERUM) (5433-SRL) 3850 3850 3850 4700 4700 6740 825 INVESTIGATION ARTERIAL BLOOD GAS ( ABG ) - BED SIDE 850 850 850 850 0 0 826 INVESTIGATION Cardiac Profiler Panel Bed side 3000 3000 3000 3000 3000 0 827 INVESTIGATION Cardio3 Panel Bed Side 2500 2500 2500 2500 2500 0 828 INVESTIGATION COMPLETE BLOOD COUNT (CBC) (5510E-SRL) 570 570 570 700 700 1000 829 INVESTIGATION AFB SUSC. SIREP PANEL (5649-SRL) 4980 4980 4980 6080 6080 8720 830 INVESTIGATION FUNGAL SUSCEPTIBILITY (5660-SRL) 4980 4980 4980 6080 6080 8720 831 INVESTIGATION FUNGAL SUSCEPTIBILITY - SINGLE DRUG (5661-SRL) 1940 1940 1940 2370 2370 3400 832 INVESTIGATION CULTURE STOOL, AEROBIC AND SUSCEPTIBILITY (5700CS-SRL) 760 760 760 930 930 1330 833 INVESTIGATION CULTURE; STOOL - AEROBIC (5700-SRL) 930 930 930 1130 1130 1630 834 INVESTIGATION YERSINIA CULTURE (5702-SRL) 1940 1940 1940 2370 2370 3400 835 INVESTIGATION CAMPYLOBACTER CULTURE (5704-SRL) 1730 1730 1730 2110 2110 3030 836 INVESTIGATION ANAEROBIC CULTURE (5708-SRL) 1400 1400 1400 1710 1710 2450 837 INVESTIGATION CHROMOSOME ANALYSIS: HEMATOLOGICAL DISORDERS (5800-SRL) 4880 4880 4880 5950 5950 8540 838 INVESTIGATION CHROMOSOME BREAKAGE TEST ? FANCONI?S ANEMIA (5812-SRL) 6040 6040 6040 7370 7370 10570 839 INVESTIGATION FISH FOR SEX MISMATCHED BMT (5813F-SRL) 4820 4820 4820 5880 5880 8440 840 INVESTIGATION BLOOD LYMPHO CULTURE (5814B-SRL) 4390 4390 4390 5360 5360 7680 841 INVESTIGATION DOWN S SYNDROME/ AMBIGUOUS EXTERNAL GENITALIA (5814F-SRL) 4390 4390 4390 5360 5360 7680 842 INVESTIGATION NEONATAL KARYOTYPING (5815-SRL) 4390 4390 4390 5360 5360 7680 843 INVESTIGATION PROD OF CONCEPTION CHR (5818-SRL) 6040 6040 6040 7370 7370 10570 844 INVESTIGATION BUCCAL MUCOSA SMEAR (5823-SRL) 3850 3850 3850 4700 4700 6740 845 INVESTIGATION PRENATAL FETAL CORD BLOOD KARYOTYPING (5831K-SRL) 5510 5510 5510 6720 6720 9640 846 INVESTIGATION PRENATAL DIAGNOSIS FETAL CORD BLOOD (5831-SRL) 15690 15690 15690 19140 19140 27460 847 INVESTIGATION PRENATAL AMNIOTIC FLUID KARYOTYPING (5832K-SRL) 15260 15260 15260 18620 18620 26710 848 INVESTIGATION PRENATAL DIAGNOSIS - AMNIOTI FLUID (5832-SRL) 19300 19300 19300 23550 23550 33780 849 INVESTIGATION PNDT- CHRIONIC VILLES BIOPSY (FISH) (5833F-SRL) 12300 12300 12300 15010 15010 21530 850 INVESTIGATION PRENATAL CHORIONIC VILLUS BIOPSY -KARYOTYPING (5833K-SRL) 12300 12300 12300 15010 15010 21530 851 INVESTIGATION PNDT- CHRIONIC VILLES BIOPSY (KARYOTYPING+FISH) (5833-SRL) 17400 17400 17400 21230 21230 30450 852 INVESTIGATION PHILADELPHIA CHROMOSOME (5834-SRL) 4880 4880 4880 5950 5950 8540 853 INVESTIGATION ACUTE PROMYELOCYTIC LEUKEMIA T (5840-SRL) 4880 4880 4880 5950 5950 8540 854 INVESTIGATION ACTIVATED PROTEIN C RESISTANCE (APC-R), PLASMA (5901-SRL) 4280 4280 4280 5220 5220 7490 855 INVESTIGATION TACROLIMUS (5950-SRL) 3850 3850 3850 4700 4700 6740 856 INVESTIGATION ANTITHROMBIN ACTIVITY, PLASMA (5951-SRL) 3750 3750 3750 4580 4580 6560 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 857 INVESTIGATION ANTI THROMBIN III ANTIGEN (5952-SRL) 9220 9220 9220 11250 11250 16140 858 INVESTIGATION LUPUS ANTICOAGULANT (5964-SRL) 2350 2350 2350 2870 2870 4110 859 INVESTIGATION BCR-ABL t(9;22) BY FISH (6001F-SRL) 8160 8160 8160 9960 9960 14280 860 INVESTIGATION PML RARA t(15:17) BY FISH (6003F-SRL) 6040 6040 6040 7370 7370 10570 861 INVESTIGATION HER 2/ NEU (6006F-SRL) 13140 13140 13140 16030 16030 23000 862 INVESTIGATION AML-ETO BY FISH (6008F-SRL) 5090 5090 5090 6210 6210 8910 863 INVESTIGATION HEPATITIS A VIRUS IGG ANTIBODY (HAV IGG) (6014-SRL) 1090 1090 1090 1330 1330 1910 864 INVESTIGATION INVERSION 16 (FISH) (6015F-SRL) 6360 6360 6360 7760 7760 11130 865 INVESTIGATION EGFR (FISH) (6016F-SRL) 6040 6040 6040 7370 7370 10570 866 INVESTIGATION DELETION 13q BY FISH (6017F-SRL) 6040 6040 6040 7370 7370 10570 867 INVESTIGATION MYELODYSPLASTIC SYNDROME EVALUATION (FISH) (6018F-SRL) 10920 10920 10920 13320 13320 19110 868 INVESTIGATION 11Q23/ MLL REARRANGEMENT (FISH) (6019F-SRL) 2780 2780 2780 3390 3390 4870 869 INVESTIGATION 14Q32/ IGH GENE REARRANGEMENT [FISH] (6020F-SRL) 5090 5090 5090 6210 6210 8910 870 INVESTIGATION DIGEORGE SYNDROME, 22q11.2 DELETION , FISH (6022F-SRL) 6040 6040 6040 7370 7370 10570 871 INVESTIGATION CLL PANEL FLUORESCENCE IN SITU HYBRIDIZATION (6024F-SRL) 6040 6040 6040 7370 7370 10570 872 INVESTIGATION 1P AND 19Q FISH (6027F-SRL) 15000 15000 15000 18300 18300 26250 873 INVESTIGATION ALK (EML4-ALK) FISH (6028F-SRL) 30280 30280 30280 36940 36940 52990 874 INVESTIGATION MYC (8Q24) GENE REARRANGEMENTS (6029F-SRL) 3420 3420 3420 4170 4170 5990 875 INVESTIGATION SS18 (SYT) GENE REARRANGEMENT FISH (6030F-SRL) 3640 3640 3640 4440 4440 6370 876 INVESTIGATION MULTIPLE MYELOMA PANEL FISH (6031F-SRL) 12720 12720 12720 15520 15520 22260 877 INVESTIGATION LIPID PROFILE EXTENDED (6111-SRL) 1285 1285 1285 1570 1570 2250 878 INVESTIGATION KIDNEY PANEL (6112-SRL) 675 675 675 820 820 1180 879 INVESTIGATION KIDNEY PANEL EXTENDED (6113-SRL) 1400 1400 1400 1710 1710 2450 880 INVESTIGATION DIALYSIS PANEL (6114-SRL) 2460 2460 2460 3000 3000 4310 881 INVESTIGATION LIVER FUNCTION TEST (6116-SRL) 1495 1495 1495 1820 1820 2620 882 INVESTIGATION HEPATITIS PROFILE (6117-SRL) 4880 4880 4880 5950 5950 8540 883 INVESTIGATION AMENNORHOEA SCREEN (6118-SRL) 2050 2050 2050 2500 2500 3590 884 INVESTIGATION AMENNORHOEA PROFILE (6119-SRL) 3210 3210 3210 3920 3920 5620 885 INVESTIGATION THALLESSEMIA PROFILE (6120-SRL) 2680 2680 2680 3270 3270 4690 886 INVESTIGATION THYROID FUNCTION TEST (6121-SRL) 1000 1000 1000 1220 1220 1750 887 INVESTIGATION COMPREHENSIVE THYROID FUNCTION TEST (6122-SRL) 3000 3000 3000 3660 3660 5250 888 INVESTIGATION ANDROLOGY PANEL (6123-SRL) 1940 1940 1940 2370 2370 3400 889 INVESTIGATION ARTHRITIS PANEL (6124-SRL) 2570 2570 2570 3140 3140 4500 890 INVESTIGATION COMPELEMENT C3 AND C4 (6125-SRL) 1090 1090 1090 1330 1330 1910 891 INVESTIGATION CARDIAC PANEL (6126-SRL) 2570 2570 2570 3140 3140 4500 892 INVESTIGATION DVT PANEL (6127-SRL) 10920 10920 10920 13320 13320 19110 893 INVESTIGATION HEPATITIS B IMMUNITY SCREEN (6129-SRL) 2050 2050 2050 2500 2500 3590 894 INVESTIGATION HYPERCALCEMIA PANEL (6130-SRL) 1730 1730 1730 2110 2110 3030 895 INVESTIGATION HYPERTENSION: PANEL (6131-SRL) 1620 1620 1620 1980 1980 2840 896 INVESTIGATION INFERTILITY PANEL BASIC (6132-SRL) 3100 3100 3100 3780 3780 5430 897 INVESTIGATION SERUM ELECTROLYTES (6134-SRL) 695 695 695 850 850 1220 898 INVESTIGATION METHOTREXATE, SERUM (6201-SRL) 3850 3850 3850 4700 4700 6740 899 INVESTIGATION ESTROESSENCE: METABOLISM PLUS (7005-SRL) 15500 15500 15500 18910 18910 27130 900 INVESTIGATION COMPREHENSIVE DIGESTIVE STOOL ANALYSIS (CDSA) (7006-SRL) 11980 11980 11980 14620 14620 20970 901 INVESTIGATION INTESTINAL PERMEABILITY ASSESSMENT (7007-SRL) 8690 8690 8690 10600 10600 15210 902 INVESTIGATION GUT IMMUNOLOGY (7008-SRL) 14310 14310 14310 17460 17460 25040 903 INVESTIGATION ADRENOCORTEX STRESS PROFILE (7009-SRL) 9330 9330 9330 11380 11380 16330 904 INVESTIGATION COMPREHENSIVE DIGESTIVE STOOL ANALYSIS -2.0 RANDOM (7011-SRL) 26570 26570 26570 32420 32420 46500 905 INVESTIGATION OVARIAN MALIGNANCY RISK ALGORITHM (ROMA)-HE4+CA125 (7194-SRL) 3000 3000 3000 3660 3660 5250 906 INVESTIGATION HEPAT 3750 3750 3750 4580 4580 6560 907 INVESTIGATION C TRACHOMATIS DNA DETECTOR (7437-SRL) 3850 3850 3850 4700 4700 6740 908 INVESTIGATION CHLAMYDIA SPECIATION (7438-SRL) 4710 4710 4710 5750 5750 8240 909 INVESTIGATION L-LACTATE, CSF (7441CD-SRL) 1090 1090 1090 1330 1330 1910 910 INVESTIGATION L-LACTATE, FLUORIDE PLASMA (7441D-SRL) 760 760 760 930 930 1330 911 INVESTIGATION FLT3 MUTATION DETECTION (7469-SRL) 4880 4880 4880 5950 5950 8540 912 INVESTIGATION HEPATITIS C VIRUS RNA GENOTYPING (7473-SRL) 15500 15500 15500 18910 18910 27130 913 INVESTIGATION HBV GENOTYPING BY PCR (7474-SRL) 7530 7530 7530 9190 9190 13180 914 INVESTIGATION HBV BASAL CORE PROMOTER MUTATION (7475-SRL) 4820 4820 4820 5880 5880 8440 915 INVESTIGATION HBV PRECORE MUTATION (7476-SRL) 4820 4820 4820 5880 5880 8440 916 INVESTIGATION CEBPA MUTATION DETECTION (7478-SRL) 6570 6570 6570 8020 8020 11500 917 INVESTIGATION HCV RNA QUANTITATIVE (7486-SRL) 11980 11980 11980 14620 14620 20970 918 INVESTIGATION HCV RNA QUALITATIVE PCR (7516A-SRL) 5510 5510 5510 6720 6720 9640 919 INVESTIGATION HCV-4 (7516-SRL) 6150 6150 6150 7500 7500 10760 920 INVESTIGATION TOXOPLASMA GONDII PCR (7522-SRL) 2780 2780 2780 3390 3390 4870 921 INVESTIGATION VITAMIN K1, SERUM (7523-SRL) 3210 3210 3210 3920 3920 5620 922 INVESTIGATION LEPTOSPIRA IGG, SERUM (7551-SRL) 1190 1190 1190 1450 1450 2080 923 INVESTIGATION HOMEOSTATIC MODEL ASSESSMENT (HOMA) 2 (7561-SRL) 930 930 930 1130 1130 1630 924 INVESTIGATION CYTOMEGALOVIRUS DNA PCR (7575-SRL) 5510 5510 5510 6720 6720 9640 925 INVESTIGATION CMV VIRAL LOAD REAL TIME PCR (7576-SRL) 6570 6570 6570 8020 8020 11500 926 INVESTIGATION GCV RESISTANCE BY SEQUENCING (7577-SRL) 6780 6780 6780 8270 8270 11870 927 INVESTIGATION CMV VIRAL LOAD/ GCV RESISTANCE - CMV COMBI TEST (7578-SRL) 10920 10920 10920 13320 13320 19110 928 INVESTIGATION NPM1 MUTATION DETECTION (7579-SRL) 3850 3850 3850 4700 4700 6740 929 INVESTIGATION HERPES SIMPLEX VIRUS DNA DETECTOR (7581-SRL) 4880 4880 4880 5950 5950 8540 930 INVESTIGATION ADENOVIRUS PCR (7589-SRL) 3960 3960 3960 4830 4830 6930 931 INVESTIGATION JAPANESE ENCEPHALITIS VIRUS RNA DETECTION (7595-SRL) 4710 4710 4710 5750 5750 8240 932 INVESTIGATION DENGUE DUO RAPID SCREENING TEST (7599R-SRL) 1620 1620 1620 1980 1980 2840 933 INVESTIGATION DENGUE VIRUS ANTIBODIES (7600-SRL) 1940 1940 1940 2370 2370 3400 934 INVESTIGATION DENGUE VIRUS IgG, SERUM (7601-SRL) 2350 2350 2350 2870 2870 4110 935 INVESTIGATION DENGUE RNA PCR (7602-SRL) 3640 3640 3640 4440 4440 6370 936 INVESTIGATION LEPTOSPIRA IGM, SERUM (7621-SRL) 1190 1190 1190 1450 1450 2080 937 INVESTIGATION DENGUE VIRUS IgM, SERUM (7646-SRL) 1300 1300 1300 1590 1590 2280 938 INVESTIGATION TOXOPLASMA IGM, SERUM (7661M-SRL) 930 930 930 1130 1130 1630 939 INVESTIGATION CRYPTOSPORIDIUM ANTIGEN DETECTION (7661-SRL) 1670 1670 1670 2040 2040 2920 940 INVESTIGATION ROTAVIRUS ANTIGEN DETECTION (7662-SRL) 1400 1400 1400 1710 1710 2450 941 INVESTIGATION RAPID GIARDIA LAMBLIA ANTIGEN TEST (7663-SRL) 550 550 550 670 670 960 942 INVESTIGATION RAPID FILARIA ANTIGEN (7664R-SRL) 1300 1300 1300 1590 1590 2280 943 INVESTIGATION RAPID CHLAMYDIA ANTIGEN TEST (7664-SRL) 550 550 550 670 670 960 944 INVESTIGATION HELICOBACTER PYLORI IgA ANTIBODIES, SERUM (7736-SRL) 2460 2460 2460 3000 3000 4310 945 INVESTIGATION PNUEMOCYSTIS CARINII DETECTION (7745S-SRL) 1400 1400 1400 1710 1710 2450 946 INVESTIGATION ACUTE HEPATITIS VIRUS EVALUATION - II (7755-SRL) 5510 5510 5510 6720 6720 9640 947 INVESTIGATION HEPATITIS ACUTE EVALUATION 1, SERUM (7756-SRL) 3530 3530 3530 4310 4310 6180 948 INVESTIGATION ACUTE HEPATITIS VIRUS - EVALUATION - III (7757-SRL) 5510 5510 5510 6720 6720 9640 949 INVESTIGATION HELICOBACTER PYLORI IgG ANTIBODIES, SERUM (7761-SRL) 2460 2460 2460 3000 3000 4310 950 INVESTIGATION HTLV I & II ANTIBODIES, SERUM (7781-SRL) 4170 4170 4170 5090 5090 7300 951 INVESTIGATION HELICOBACTER PYLORI IgM ANTIBODIES, SERUM (7986-SRL) 2460 2460 2460 3000 3000 4310 952 INVESTIGATION FLU REAL TIME PCR (8008-SRL) 6570 6570 6570 8020 8020 11500 953 INVESTIGATION COMPREHENSIVE VIRAL FLU PANEL (8012-SRL) 6570 6570 6570 8020 8020 11500 954 INVESTIGATION TPMT GENOTYPING AND ENZYME ACTIVITY (8028-SRL) 8480 8480 8480 10350 10350 14840 955 INVESTIGATION TPMT ENZYME ACTIVITY (8029-SRL) 4880 4880 4880 5950 5950 8540 956 INVESTIGATION TPMT GENOTYPING (8030-SRL) 5190 5190 5190 6330 6330 9080 957 INVESTIGATION HERPES SIMPLEX VIRUS 1&2 IgG & IgM, SERUM (8051-SRL) 1400 1400 1400 1710 1710 2450 958 INVESTIGATION HBV DNA QUANTITATIVE (8136-SRL) 9860 9860 9860 12030 12030 17260 959 INVESTIGATION HEPATITIS B VIRUS DNA DETECTOR (8141-SRL) 4880 4880 4880 5950 5950 8540 960 INVESTIGATION IMMUNOGLOBULIN A (IGA), SERUM (8157-SRL) 270 270 270 330 330 473 961 INVESTIGATION HISTAMINE (8182-SRL) 5510 5510 5510 6720 6720 9640 962 INVESTIGATION C1q COMPLEMENT, FUNCTIONAL, SERUM (83374-SRL) 12720 12720 12720 15520 15520 22260 963 INVESTIGATION DIHYDROPYRIMIDINE DEHYDROGENASE GENE MUTATION - SE (8384-SRL) 14100 14100 14100 17200 17200 24680 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 964 INVESTIGATION JAK2 V617F MUTATION DETECTION (8386-SRL) 7100 7100 7100 8660 8660 12430 965 INVESTIGATION HDV RT-PCR (8400-SRL) 5510 5510 5510 6720 6720 9640 966 INVESTIGATION BISMUTH, BLOOD (8407-SRL) 3850 3850 3850 4700 4700 6740 967 INVESTIGATION BISMUTH, 24HRS URINE (8407U24-SRL) 3850 3850 3850 4700 4700 6740 968 INVESTIGATION BISMUTH, URINE (8407U-SRL) 3850 3850 3850 4700 4700 6740 969 INVESTIGATION MANGANESE, SERUM (8424-SRL) 4170 4170 4170 5090 5090 7300 970 INVESTIGATION CITRATE, URINE 24 HR SPECTROPHOTOMETRY (8425-SRL) 4280 4280 4280 5220 5220 7490 971 INVESTIGATION ENTAMOEBA HISTOLYTICA ANTIBODIES, SERUM (8441-SRL) 1730 1730 1730 2110 2110 3030 972 INVESTIGATION PSEUDOCHOLINESTERASE, SERUM (8518I-SRL) 1730 1730 1730 2110 2110 3030 973 INVESTIGATION SELENIUM, SERUM (8617-SRL) 3850 3850 3850 4700 4700 6740 974 INVESTIGATION MYCOPLASMA PNEUMONIAE IgM, SERUM (8746M-SRL) 2160 2160 2160 2640 2640 3780 975 INVESTIGATION MYCOPLASMA PNEUMONIAE IgG ANTIBODIES, SERUM (8746-SRL) 2160 2160 2160 2640 2640 3780 976 INVESTIGATION VARICELLA ZOSTER IgG, SERUM (8761-SRL) 1940 1940 1940 2370 2370 3400 977 INVESTIGATION VZV PCR (8762-SRL) 2780 2780 2780 3390 3390 4870 978 INVESTIGATION SPINAL MUSCULAR ATROPHY MICRODELETION PCR (8764-SRL) 2680 2680 2680 3270 3270 4690 979 INVESTIGATION SPINAL MUSCULAR ATROPHY MICRODELETION PCR-PRENATAL (8765-SRL) 7530 7530 7530 9190 9190 13180 980 INVESTIGATION VARICELLA ZOSTER IgM, SERUM (8766-SRL) 1730 1730 1730 2110 2110 3030 981 INVESTIGATION MEASLES IgG & IgM (8771-SRL) 3000 3000 3000 3660 3660 5250 982 INVESTIGATION MEASLES IgG ANTIBODIES, SERUM (8776-SRL) 1570 1570 1570 1920 1920 2750 983 INVESTIGATION MEASLES IgM ANTIBODIES, SERUM (8781-SRL) 1570 1570 1570 1920 1920 2750 984 INVESTIGATION 1, 25-DIHYDROXY VITAMIN D3 EIA (8822G-SRL) 3750 3750 3750 4580 4580 6560 985 INVESTIGATION 25 - HYDROXYVITAMIN D, SERUM (8823-SRL) 1565 1565 1565 1910 1910 2740 986 INVESTIGATION NICOTINE METABOLITE, URINE (8826-SRL) 2250 2250 2250 2750 2750 3940 987 INVESTIGATION ANTI DIURETIC HOROMONE (VASOPRESSIN) (8827-SRL) 3850 3850 3850 4700 4700 6740 988 INVESTIGATION BRUCELLA IGG ANTIBODIES (8831G-SRL) 1400 1400 1400 1710 1710 2450 989 INVESTIGATION BRUCELLA IGM ANTIBODIES (8831M-SRL) 1400 1400 1400 1710 1710 2450 990 INVESTIGATION BRUCELLA IGG & IGM ANTIBODIES, SERUM (8831-SRL) 2780 2780 2780 3390 3390 4870 991 INVESTIGATION ALUMINIUM,SERUM (8873-SRL) 2350 2350 2350 2870 2870 4110 992 INVESTIGATION SYPHILIS ANTIBODIES, SERUM (9020E-SRL) 1300 1300 1300 1590 1590 2280 993 INVESTIGATION T. PALLIDUM HEMAGGLUTINATION (9020-SRL) 490 490 490 600 600 858 994 INVESTIGATION VWF ANTIGEN, PLASMA (9050-SRL) 9010 9010 9010 10990 10990 15770 995 INVESTIGATION VON WILLEBRAND FACTOR, PLASMA (9052-SRL) 13670 13670 13670 16680 16680 23920 996 INVESTIGATION RAPID KALAZAR TEST (9074-SRL) 1300 1300 1300 1590 1590 2280 997 INVESTIGATION RAPID TYPHI IGM (9075-SRL) 650 650 650 790 790 1140 998 INVESTIGATION WIDAL TEST, SERUM (9076-SRL) 490 490 490 600 600 858 999 INVESTIGATION WEIL-FELIX TEST, SERUM (9121-SRL) 870 870 870 1060 1060 1520 1000 INVESTIGATION MERCURY,SERUM (9131-SRL) 3850 3850 3850 4700 4700 6740 1001 INVESTIGATION NICKEL, SERUM (9132-SRL) 4170 4170 4170 5090 5090 7300 1002 INVESTIGATION MERCURY, 24 HRS URINE (9138U24-SRL) 3850 3850 3850 4700 4700 6740 1003 INVESTIGATION MERCURY, RANDOM URINE (9138U-SRL) 3850 3850 3850 4700 4700 6740 1004 INVESTIGATION SELENIUM, BLOOD (9140-SRL) 3850 3850 3850 4700 4700 6740 1005 INVESTIGATION SELENIUM, 24HRS URINE (9140U24-SRL) 3850 3850 3850 4700 4700 6740 1006 INVESTIGATION SELENIUM, RANDOM URINE (9140U-SRL) 3850 3850 3850 4700 4700 6740 1007 INVESTIGATION ARSENIC, BLOOD (9141-SRL) 3320 3320 3320 4050 4050 5810 1008 INVESTIGATION ARSENIC, 24 HRS URINE (9141U24-SRL) 3320 3320 3320 4050 4050 5810 1009 INVESTIGATION ARSENIC, RANDOM URINE (9141U-SRL) 3320 3320 3320 4050 4050 5810 1010 INVESTIGATION LEAD, BLOOD (9142-SRL) 1940 1940 1940 2370 2370 3400 1011 INVESTIGATION LEAD, 24 HRS URINE (9142U24-SRL) 1940 1940 1940 2370 2370 3400 1012 INVESTIGATION LEAD, RANDOM URINE (9142U-SRL) 1940 1940 1940 2370 2370 3400 1013 INVESTIGATION CADMIUM, BLOOD (9143-SRL) 3960 3960 3960 4830 4830 6930 1014 INVESTIGATION CADMIUM, 24 HRS URINE (9143U24-SRL) 3960 3960 3960 4830 4830 6930 1015 INVESTIGATION CADMIUM, RANDOM URINE (9143U-SRL) 3960 3960 3960 4830 4830 6930 1016 INVESTIGATION COPPER, SERUM (9144-SRL) 1400 1400 1400 1710 1710 2450 1017 INVESTIGATION COPPER, 24 HRS URINE (9144U24-SRL) 2050 2050 2050 2500 2500 3590 1018 INVESTIGATION COPPER, RANDOM URINE (9144U-SRL) 2050 2050 2050 2500 2500 3590 1019 INVESTIGATION ZINC, SERUM (9145-SRL) 2350 2350 2350 2870 2870 4110 1020 INVESTIGATION ZINC, 24HRS URINE (9145U24-SRL) 2350 2350 2350 2870 2870 4110 1021 INVESTIGATION ZINC, RANDOM URINE (9145U-SRL) 2350 2350 2350 2870 2870 4110 1022 INVESTIGATION MANGANESE, BLOOD (9146-SRL) 3210 3210 3210 3920 3920 5620 1023 INVESTIGATION MANGANESE, 24 HRS URINE (9146U24-SRL) 3210 3210 3210 3920 3920 5620 1024 INVESTIGATION MANGANESE, RANDOM URINE (9146U-SRL) 3210 3210 3210 3920 3920 5620 1025 INVESTIGATION CHROMIUM, BLOOD (9147-SRL) 3850 3850 3850 4700 4700 6740 1026 INVESTIGATION CHROMIUM, SERUM (9147S-SRL) 3850 3850 3850 4700 4700 6740 1027 INVESTIGATION CHROMIUM, 24HRS URINE (9147U24-SRL) 3850 3850 3850 4700 4700 6740 1028 INVESTIGATION CHROMIUM, SPOT URINE (9147U-SRL) 3850 3850 3850 4700 4700 6740 1029 INVESTIGATION ALUMINUM , 24 HRS URINE (9148U24-SRL) 2350 2350 2350 2870 2870 4110 1030 INVESTIGATION ALUMINIUM, RANDOM URINE (9148U-SRL) 2350 2350 2350 2870 2870 4110 1031 INVESTIGATION COBALT, BLOOD (9149-SRL) 3850 3850 3850 4700 4700 6740 1032 INVESTIGATION COBALT, 24 HRS URINE (9149U24-SRL) 3850 3850 3850 4700 4700 6740 1033 INVESTIGATION COBALT RANDOM URINE (9149U-SRL) 3850 3850 3850 4700 4700 6740 1034 INVESTIGATION NICKEL, 24 HRS URINE (9150U24-SRL) 4170 4170 4170 5090 5090 7300 1035 INVESTIGATION NICKEL RANDOM URINE (9150U-SRL) 4170 4170 4170 5090 5090 7300 1036 INVESTIGATION MIRVIEW SQUAMOUS (9151-SRL) 100840 100840 100840 123020 123020 176470 1037 INVESTIGATION MIRVIEW MESO (9152-SRL) 100840 100840 100840 123020 123020 176470 1038 INVESTIGATION MIRVIEW METS (9153-SRL) 100840 100840 100840 123020 123020 176470 1039 INVESTIGATION CRYPTOCOCCUS NEOFORMANS DNA DETECTION (9188-SRL) 7420 7420 7420 9050 9050 12990 1040 INVESTIGATION CRYPTOCOCCUS ANTIGEN, CSF (9189C-SRL) 2050 2050 2050 2500 2500 3590 1041 INVESTIGATION CRYPTOCOCCUS ANTIGEN, SERUM (9189-SRL) 2050 2050 2050 2500 2500 3590 1042 INVESTIGATION PROTEIN ELECTROPHORESIS REFLEX TO IMMUNOFIXATION (9201RFX-SRL) 2050 2050 2050 2500 2500 3590 1043 INVESTIGATION PROTEIN REFLEX IMMUNOFIXATION ELECTROPHORESIS (9201RFXU-SRL) 2050 2050 2050 2500 2500 3590 1044 INVESTIGATION COPPER REFLEX TO CERULOPLASMIN (9202RFX-SRL) 2250 2250 2250 2750 2750 3940 1045 INVESTIGATION HOMOCYSTEINE REFLEX VIT B12 REFLEX FOLIC ACID (9203RFX-SRL) 1840 1840 1840 2240 2240 3220 1046 INVESTIGATION ANA POSITIVE REFLEX TO ENA PROFILE (9206RFX-SRL) 3000 3000 3000 3660 3660 5250 1047 INVESTIGATION ANCA POSITIVE REFLEX MPO, PR3 ANTIBODIES (9207RFX-SRL) 3320 3320 3320 4050 4050 5810 1048 INVESTIGATION CSF BACTERIAL CULTURE REFLEXS TO ANTIGEN DETECTION (9208RFX-SRL) 5830 5830 5830 7110 7110 10200 1049 INVESTIGATION CSF FUNGAL CULTURE REFLEX ANTIGEN DETECTION (9209RFX-SRL) 930 930 930 1130 1130 1630 1050 INVESTIGATION TB CULTURE POSITIVE REFLEX MDR (9215RFX-SRL) 3320 3320 3320 4050 4050 5810 1051 INVESTIGATION POC KAROTYPING REFLEX POC FISH (9219RFX-SRL) 6040 6040 6040 7370 7370 10570 1052 INVESTIGATION IMMUNOGLOBULIN D (IgD), SERUM (9272-SRL) 270 270 270 330 330 473 1053 INVESTIGATION MYOGLOBIN, URINE (9273-SRL) 2780 2780 2780 3390 3390 4870 1054 INVESTIGATION ACTIVE B 12 (HOLOTRANSCOBALMIN), SERUM (9315-SRL) 1500 1500 1500 1830 1830 1830 1055 INVESTIGATION TISSUE TRANSGLUTAMINASE IgA, SERUM (9362-SRL) 820 820 820 1000 1000 1435 1056 INVESTIGATION CHLAMYDIA TRACHOMATIS ANTIBODIES, SERUM (9404-SRL) 3960 3960 3960 4830 4830 6930 1057 INVESTIGATION CHLAMYDIA PNEUMONIAE ANTIBODIES, SERUM (9405-SRL) 4170 4170 4170 5090 5090 7300 1058 INVESTIGATION CHLAMYDIA TRACHOMATIS IgG, SERUM (9406-SRL) 1300 1300 1300 1590 1590 2280 1059 INVESTIGATION CHLAMYDIA PNEUMONIAE IgG ANTIBODIES, SERUM (9408-SRL) 1840 1840 1840 2240 2240 3220 1060 INVESTIGATION CHLAMYDIA PNEUMONIAE IgM ANTIBODIES, SERUM (9409-SRL) 1840 1840 1840 2240 2240 3220 1061 INVESTIGATION CHLAMYDIA PNEUMONIAE IgA ANTIBODIES, SERUM (9410-SRL) 1840 1840 1840 2240 2240 3220 1062 INVESTIGATION CHLAMYDIA TRACHOMATIS IgM, SERUM (9411-SRL) 1300 1300 1300 1590 1590 2280 1063 INVESTIGATION RUBELLA RNA PCR (9415-SRL) 3850 3850 3850 4700 4700 6740 1064 INVESTIGATION RUBELLA IgG ANTIBODIES, SERUM (9416M-SRL) 870 870 870 1060 1060 1520 1065 INVESTIGATION RUBELLA IgG & IgM, SERUM (9421M-SRL) 1840 1840 1840 2240 2240 3220 1066 INVESTIGATION TOXOPLASMA IgG, SERUM (9426M-SRL) 870 870 870 1060 1060 1520 1067 INVESTIGATION CYTOMEGALOVIRUS IgG, SERUM (9431-SRL) 1090 1090 1090 1330 1330 1910 1068 INVESTIGATION CYTOMEGALOVIRUS IGG AVIDITY (9432-SRL) 1090 1090 1090 1330 1330 1910 1069 INVESTIGATION TOXOPLASMA IGG AVIDITY (9433-SRL) 1840 1840 1840 2240 2240 3220 1070 INVESTIGATION RUBELLA IGG AVIDITY (9434-SRL) 1730 1730 1730 2110 2110 3030 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1071 INVESTIGATION CYTOMEGALOVIRUS IgG & IgM, SERUM (9436-SRL) 1840 1840 1840 2240 2240 3220 1072 INVESTIGATION SMA CARRIER DETECTION (9443-SRL) 7530 7530 7530 9190 9190 13180 1073 INVESTIGATION HERPES SIMPLEX VIRUS-1 IgG, SERUM (9451-SRL) 930 930 930 1130 1130 1630 1074 INVESTIGATION HERPES SIMPLEX VIRUS-1 IGM, SERUM (9456-SRL) 930 930 930 1130 1130 1630 1075 INVESTIGATION HERPES SIMPLEX VIRUS-2 IgG, SERUM (9461-SRL) 930 930 930 1130 1130 1630 1076 INVESTIGATION HERPES SIMPLEX VIRUS-2 IGM, SERUM (9466-SRL) 930 930 930 1130 1130 1630 1077 INVESTIGATION HSV 1&2 IGM ABS COMBINED (9471P-SRL) 1510 1510 1510 1840 1840 2640 1078 INVESTIGATION BACTERIAL ANTIGENS, CSF (9601C-SRL) 4880 4880 4880 5950 5950 8540 1079 INVESTIGATION BACTERIAL ANTIGEN DETECTION (9601-SRL) 4880 4880 4880 5950 5950 8540 1080 INVESTIGATION BACTERIAL ANTIGEN, URINE (9601U-SRL) 4880 4880 4880 5950 5950 8540 1081 INVESTIGATION PANFUNGAL DETECTION AND IDENTIFICATION PANEL (9602-SRL) 13670 13670 13670 16680 16680 23920 1082 INVESTIGATION PANFUNGAL DNA DETECTION (9603-SRL) 2890 2890 2890 3530 3530 5060 1083 INVESTIGATION INFLUENZA VIRUS B IGG, SERUM (9605I-SRL) 1940 1940 1940 2370 2370 3400 1084 INVESTIGATION HAEMOPHILUS INFLUENZAE TYPE B, CSF (9606C-SRL) 1090 1090 1090 1330 1330 1910 1085 INVESTIGATION HAEMOPHILUS INFLUENZAE TYPE B ANTIGEN, SERUM (9606-SRL) 1090 1090 1090 1330 1330 1910 1086 INVESTIGATION INFLUENZA VIRUS B IgM, SERUM (9607I-SRL) 1940 1940 1940 2370 2370 3400 1087 INVESTIGATION INFLUENZA VIRUS A IgG, SERUM (9609I-SRL) 1940 1940 1940 2370 2370 3400 1088 INVESTIGATION INFLUENZA VIRUS A IgM, SERUM (9610I-SRL) 1940 1940 1940 2370 2370 3400 1089 INVESTIGATION NEISSERIA MENINGITIDIS ANTIGEN, CSF (9611C-SRL) 2250 2250 2250 2750 2750 3940 1090 INVESTIGATION NEISSERIA MENINGITIDIS ANTIGEN (9611-SRL) 2250 2250 2250 2750 2750 3940 1091 INVESTIGATION NEISSERIA MENINGITIDIS ANTIGEN, URINE (9611U-SRL) 2250 2250 2250 2750 2750 3940 1092 INVESTIGATION STREPTOCOCCUS PNEUMONIAE ANTIGEN, CSF (9636C-SRL) 980 980 980 1200 1200 1715 1093 INVESTIGATION STREPTOCOCCUS PNEUMONIAE ANTIGEN (9636-SRL) 980 980 980 1200 1200 1715 1094 INVESTIGATION STREPTOCOCCUS GROUP B ANTIGEN,CSF (9641C-SRL) 980 980 980 1200 1200 1715 1095 INVESTIGATION STREPTOCOCCUS GROUP B ANTIGEN, SERUM (9641-SRL) 980 980 980 1200 1200 1715 1096 INVESTIGATION STREPTOCOCCUS GROUP B ANTIGEN, URINE (9641U-SRL) 980 980 980 1200 1200 1715 1097 INVESTIGATION MUMPS IgG & IgM ANTIBODIES (9711-SRL) 3000 3000 3000 3660 3660 5250 1098 INVESTIGATION MUMPS IgG ANTIBODIES, SERUM (9716-SRL) 1510 1510 1510 1840 1840 2640 1099 INVESTIGATION MUMPS IgM ANTIBODIES, SERUM (9721-SRL) 1510 1510 1510 1840 1840 2640 1100 INVESTIGATION NEISSERIA GONORRHOEAE DNA PCR (9801-SRL) 2250 2250 2250 2750 2750 3940 1101 INVESTIGATION MTHFR GENE MUTATION (9802-SRL) 9860 9860 9860 12030 12030 17260 1102 INVESTIGATION CYSTICERCUS IgG ANTIBODIES, SERUM (9816S-SRL) 1940 1940 1940 2370 2370 3400 1103 INVESTIGATION HUNTINGTON DISEASE MOLECULAR ANALYSIS (9877-SRL) 8160 8160 8160 9960 9960 14280 1104 INVESTIGATION HIV P24 ANTIGEN (9881S-SRL) 1090 1090 1090 1330 1330 1910 1105 INVESTIGATION BACTERIAL MENINGITIDIS MULTIPLEX PCR (9883-SRL) 3320 3320 3320 4050 4050 5810 1106 INVESTIGATION HIV DNA DETECTOR (9885B-SRL) 3530 3530 3530 4310 4310 6180 1107 INVESTIGATION HIV 1 VIRAL LOAD BY COBAS TAQMAN (9885-SRL) 6040 6040 6040 7370 7370 10570 1108 INVESTIGATION BACTERIAL PNEUMONIA PANEL (9886-SRL) 6250 6250 6250 7630 7630 10940 1109 INVESTIGATION VIRAL PNEUMONIA PANEL - I (9887-SRL) 4880 4880 4880 5950 5950 8540 1110 INVESTIGATION VIRAL PNEUMONIA PANEL II (9888-SRL) 6040 6040 6040 7370 7370 10570 1111 INVESTIGATION HEPATITIS B VIRUS DNA QUANTITATIVE (9890-SRL) 9860 9860 9860 12030 12030 17260 1112 INVESTIGATION HEPATITIS C VIRUS RNA QUANTITATIVE (9891-SRL) 11980 11980 11980 14620 14620 20970 1113 INVESTIGATION BCR-ABL TRANSCRIPT QUANTIFICATION (9892-SRL) 8160 8160 8160 9960 9960 14280 1114 INVESTIGATION FACTOR II MUTATION DETECTION BY REAL TIME PCR (9893-SRL) 7950 7950 7950 9700 9700 13910 1115 INVESTIGATION FACTOR V MUTATION DETECTION (9894-SRL) 4820 4820 4820 5880 5880 8440 1116 INVESTIGATION TORCH IgG & IgM EVALUATION, SERUM (9901M-SRL) 3320 3320 3320 4050 4050 5810 1117 INVESTIGATION PML/RARALPHA t(15:17) BY REAL TIME PCR (QUAL) (9905-SRL) 5830 5830 5830 7110 7110 10200 1118 INVESTIGATION PML/RARALPHA t(15:17) BY REAL TIME PCR (QUANT) (9906-SRL) 5830 5830 5830 7110 7110 10200 1119 INVESTIGATION B-CELL GENE REARRANGEMENT PCR (9907-SRL) 15500 15500 15500 18910 18910 27130 1120 INVESTIGATION C-MYC AMPLIFICATION (9908-SRL) 3850 3850 3850 4700 4700 6740 1121 INVESTIGATION T-CELL GENE REARRANGEMENT BY PCR (9909-SRL) 15500 15500 15500 18910 18910 27130 1122 INVESTIGATION LEPTOSPIRA DNA PCR (9910-SRL) 2250 2250 2250 2750 2750 3940 1123 INVESTIGATION TORCH IgG EVALUATION, SERUM (9911M-SRL) 1190 1190 1190 1450 1450 2080 1124 INVESTIGATION HLA CLASS I B LOCUS PCR (9911-SRL) 19300 19300 19300 23550 23550 33780 1125 INVESTIGATION TORCH IGM [5 PARAMETERS] (9912-SRL) 2050 2050 2050 2500 2500 3590 1126 INVESTIGATION HLA CLASS I C LOCUS PCR (9913-SRL) 10600 10600 10600 12930 12930 18550 1127 INVESTIGATION HLA CLASS II DQ LOCUS PCR (9914-SRL) 9860 9860 9860 12030 12030 17260 1128 INVESTIGATION HLA CLASS II DR LOCUS PCR (9915-SRL) 11660 11660 11660 14230 14230 20410 1129 INVESTIGATION HIV ANTIBODIES, SERUM (9916R-SRL) 820 820 820 1000 1000 1435 1130 INVESTIGATION HIV-1&2 ANTIBODIES, SERUM (9916-SRL) 735 735 735 900 900 1290 1131 INVESTIGATION HLA CLASS I A LOCUS PCR (9917-SRL) 11660 11660 11660 14230 14230 20410 1132 INVESTIGATION INTRINSIC FACTOR IgG, SERUM (9919I-SRL) 2460 2460 2460 3000 3000 4310 1133 INVESTIGATION HLA DQ TYPING - CELIAC DISEASE (9920-SRL) 3850 3850 3850 4700 4700 6740 1134 INVESTIGATION ADENOVIRUS IgG, SERUM (9921I-SRL) 1510 1510 1510 1840 1840 2640 1135 INVESTIGATION URINE CYSTINE (9923-SRL) 9860 9860 9860 12030 12030 17260 1136 INVESTIGATION ADENOVIRUS IgM, SERUM (9924I-SRL) 1510 1510 1510 1840 1840 2640 1137 INVESTIGATION HIV DRUG RESISTANCE REPORT (9930-SRL) 21220 21220 21220 25890 25890 37140 1138 INVESTIGATION CSF INDIA INK PREPARATION (9931-SRL) 270 270 270 330 330 473 1139 INVESTIGATION JC/BK DNA PCR (9937-SRL) 4710 4710 4710 5750 5750 8240 1140 INVESTIGATION ADRB2 GENOTYPING FOR B-2-AGONIST RESPONSIVENESS (9938RD-SRL) 3320 3320 3320 4050 4050 5810 1141 INVESTIGATION ACTN 3 GENOTYPING (9940-SRL) 2890 2890 2890 3530 3530 5060 1142 INVESTIGATION ANEUPLOIDY (13, 18, 21, X AND Y) DETECTION-QF PCR (9942-SRL) 8160 8160 8160 9960 9960 14280 1143 INVESTIGATION INTERLEUKIN 2 (9948-SRL) 2780 2780 2780 3390 3390 4870 1144 INVESTIGATION INTERLEUKIN 6 (9949-SRL) 2780 2780 2780 3390 3390 4870 1145 INVESTIGATION MDR-TB RAPID GENOTYPIC TEST (9950-SRL) 1730 1730 1730 2110 2110 3030 1146 INVESTIGATION ADRENALIN, PLASMA (9951P-SRL) 3850 3850 3850 4700 4700 6740 1147 INVESTIGATION ADRENALIN, URINE (9951U-SRL) 3850 3850 3850 4700 4700 6740 1148 INVESTIGATION 5-HYDROXY- 3-INDOLE ACETIC ACID (5-HIAA) (9952-SRL) 3320 3320 3320 4050 4050 5810 1149 INVESTIGATION NOR-ADRENALIN PLASMA (9953P-SRL) 3850 3850 3850 4700 4700 6740 1150 INVESTIGATION NOR-ADRENALIN, URINE (9953U-SRL) 3850 3850 3850 4700 4700 6740 1151 INVESTIGATION GENOTYPIC ASSAY ? TB SECOND LINE DRUG RESISTANCE (9957-SRL) 8160 8160 8160 9960 9960 14280 1152 INVESTIGATION ANTI-TICK-BORNE ENCEPHALITIS (TBE) IGG (9958-SRL) 3420 3420 3420 4170 4170 5990 1153 INVESTIGATION WEST NILE VIRUS IgM (9959-SRL) 2780 2780 2780 3390 3390 4870 1154 INVESTIGATION WEST NILE VIRUS IgG (9960-SRL) 2780 2780 2780 3390 3390 4870 1155 INVESTIGATION TETANUS IGG ANTIBODY (9963-SRL) 5190 5190 5190 6330 6330 9080 1156 INVESTIGATION DIPTHERIA IGG ANTIBODY (9964-SRL) 5190 5190 5190 6330 6330 9080 1157 INVESTIGATION NMO ANTIBODIES (ANTI NEUROMYELITIS OPTICA), SERUM (9969-SRL) 10920 10920 10920 13320 13320 19110 1158 INVESTIGATION HLA A, B, DR LOCI TYPING PCR (9971-SRL) 15500 15500 15500 18910 18910 27130 1159 INVESTIGATION HTTG/DGP SCREEN (9979-SRL) 1600 1600 1600 1952 1952 2800 1160 INVESTIGATION FECAL CALPROTECTIN, STOOL (9980-SRL) 2500 2500 2500 3050 3050 3050 1161 INVESTIGATION HELICOBACTER PYLORI ANTIGEN detection (9981-SRL) 1090 1090 1090 1330 1330 1910 1162 INVESTIGATION LIPOPROTEIN ELECTROPHORESIS (9990-SRL) 3960 3960 3960 4830 4830 6930 1163 INVESTIGATION LACTATE DEHYDROGENASE (LDH) ISOENZYMES (9991-SRL) 6570 6570 6570 8020 8020 11500 1164 INVESTIGATION AFB SUSC. AMIKACIN (AM5654-SRL) 2350 2350 2350 2870 2870 4110 1165 INVESTIGATION BK VIRUS 7300 7300 7300 7300 7300 7300 1166 INVESTIGATION Arterial Blood Gas ( ABG ) Analysis 550 550 550 670 670 960 1167 INVESTIGATION AFB LJ SUSC - CAPREOMYCIN (CA5653-SRL) 980 980 980 1200 1200 1715 1168 INVESTIGATION AFB SUSC. CAPREOMYCIN (CA5654-SRL) 2350 2350 2350 2870 2870 4110 1169 INVESTIGATION CHIMERISM 5800 5800 5800 5800 5800 5800 1170 INVESTIGATION Chimerism (SGRH) 7740 7740 7740 9440 9440 13550 1171 INVESTIGATION Chimerism (DLPL) 6040 6040 6040 7370 7370 10570 1172 INVESTIGATION AFB LJ SUSC - CIPROFLOXACIN (CI5653-SRL) 980 980 980 1200 1200 1715 1173 INVESTIGATION AFB SUSC. CIPROFLOXACIN (CI5654-SRL) 2350 2350 2350 2870 2870 4110 1174 INVESTIGATION CMV-PCR 6300 6300 6300 6300 6300 6300 1175 INVESTIGATION AFB LJ SUSC - CYCLOSERINE (CY5653-SRL) 980 980 980 1200 1200 1715 1176 DIAGNOSTIC Electrocardiography ( ECG ) 12 Lead 390 390 390 480 480 680 1177 DIAGNOSTIC Holter Monitoring 2670 2670 2670 3260 3260 4670 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1178 DIAGNOSTIC 2D Echocardiography + Color Doppler 2670 2670 2670 3260 3260 4670 1179 DIAGNOSTIC Echocardiography Transesophageal ( TEE ) 3660 3660 3660 4470 4470 6410 1180 DIAGNOSTIC Vascular Doppler Study 1890 1890 1890 2310 2310 3310 1181 DIAGNOSTIC Stress Echocardiography 4710 4710 4710 5750 5750 8240 1182 DIAGNOSTIC ECHOCARDIOGRAPHY SCREENING 1050 1050 1050 1280 1280 1840 1183 DIAGNOSTIC Echocardiography Pediatric 1880 1880 1880 2290 2290 3290 1184 DIAGNOSTIC 3D Echocardiography 1890 1890 1890 2310 2310 3310 1185 DIAGNOSTIC Echo Bed side Charges 3440 3440 3440 4200 4200 6020 1186 DIAGNOSTIC CRT ( Cardiac Dyssynchrony ) 3850 3850 3850 4700 4700 6740 1187 DIAGNOSTIC Arterial Doppler - Upper Limb ( Bilateral ) NIC 3850 3850 3850 4700 4700 6740 1188 DIAGNOSTIC Venous Doppler - Upper Limb ( Bilateral ) NIC 3850 3850 3850 4700 4700 6740 1189 DIAGNOSTIC Arterial Doppler - Lower Limb ( Bilateral ) NIC 3850 3850 3850 4700 4700 6740 1190 DIAGNOSTIC Venous Doppler - Lower Limb ( Bilateral ) NIC 3850 3850 3850 4700 4700 6740 1191 DIAGNOSTIC Renal Doppler ( NIC ) 4280 4280 4280 5220 5220 7490 1192 DIAGNOSTIC Venous Doppler - Lower Limb NIC 3850 3850 3850 4700 4700 6740 1193 DIAGNOSTIC Arterial Doppler - Lower Limb NIC 3850 3850 3850 4700 4700 6740 1194 DIAGNOSTIC Venous Doppler - Upper Limb NIC 3850 3850 3850 4700 4700 6740 1195 DIAGNOSTIC Arterial Doppler - Upper Limb NIC 3850 3850 3850 4700 4700 6740 1196 DIAGNOSTIC Cardiotocography ( CTG ) Monitoring 870 870 870 1060 1060 1520 1197 DIAGNOSTIC Arterial Color doppler ( Peripheral ) - Bilateral ( NIC ) 6680 6680 6680 8150 8150 11690 1198 DIAGNOSTIC Colour Doppler-Peripheral Arterial Lower Limb ( NIC ) 3850 3850 3850 4700 4700 6740 1199 DIAGNOSTIC Colour Doppler-Peripheral Arterial Upper Limb ( NIC ) 3850 3850 3850 4700 4700 6740 1200 DIAGNOSTIC Colour Doppler-Peripheral Venous Lower Limb ( NIC ) 3850 3850 3850 4700 4700 6740 1201 DIAGNOSTIC Colour Doppler-Peripheral Venous Upper Limb ( NIC ) 3850 3850 3850 4700 4700 6740 1202 DIAGNOSTIC Abdominal Aorta Scan 1190 1190 1190 1450 1450 2080 1203 DIAGNOSTIC Colour Doppler-Peripheral Arterial - Unilateral ( NIC ) 3560 3560 3560 4340 4340 6230 1204 DIAGNOSTIC Colour Doppler-Peripheral Venous - Unilateral ( NIC ) 3850 3850 3850 4700 4700 6740 1205 DIAGNOSTIC Ambulatory Blood Pressure ( BP ) Monitoring 2460 2460 2460 3000 3000 4310 1206 DIAGNOSTIC Echocardiography - Review 1510 1510 1510 1840 1840 2640 1207 DIAGNOSTIC Head Up Tilt Test ( HUTT ) 2460 2460 2460 3000 3000 4310 1208 DIAGNOSTIC CD CHARGES FOR NIC 250 250 250 250 250 250 1209 DIAGNOSTIC Tread Mill Test ( TMT ) 2275 2275 2275 2780 2780 3980 1210 INVESTIGATION DNA EXTRACTION (DNAEX-SRL) 3420 3420 3420 4170 4170 5990 1211 INVESTIGATION DNA - ISOLATION & STORAGE FOR POC - SGRH 1000 1000 1000 1220 1220 1750 1212 DIAGNOSTIC Upper Abdomen CT ( Plain ) 5310 5310 5310 6480 6480 9290 1213 DIAGNOSTIC Peripheral / Extremity CT Angiography ( Contrast ) 13460 13460 13460 16420 16420 23560 1214 DIAGNOSTIC Pulmonary CT Angiography 10710 10710 10710 13070 13070 18740 1215 DIAGNOSTIC Renal Vessels CT Angiography 10180 10180 10180 12420 12420 17820 1216 DIAGNOSTIC Cervical Spine CT ( Plain ) 4710 4710 4710 5750 5750 8240 1217 DIAGNOSTIC Whole Abdomen CT ( Contrast ) 9560 9560 9560 11660 11660 16730 1218 DIAGNOSTIC Temporal Bone HRCT ( Plain ) 4710 4710 4710 5750 5750 8240 1219 DIAGNOSTIC Thoracic Spine CT 4710 4710 4710 5750 5750 8240 1220 DIAGNOSTIC Thorax ( Chest ) CT - Contrast 5545 5545 5545 6760 6760 9700 1221 DIAGNOSTIC Thorax ( Chest ) CT - Plain 5100 5100 5100 6222 6222 8925 1222 DIAGNOSTIC PNS CT ( Axial + Coronal )Plain 4170 4170 4170 5090 5090 7300 1223 DIAGNOSTIC Whole Abdomen CT ( Plain ) 6895 6895 6895 8410 8410 12070 1224 DIAGNOSTIC Face CT ( Plain ) 4710 4710 4710 5750 5750 8240 1225 DIAGNOSTIC CT Topogram ( Plain ) 1510 1510 1510 1840 1840 2640 1226 DIAGNOSTIC CT Scanogram ( Plain ) 1510 1510 1510 1840 1840 2640 1227 DIAGNOSTIC Face CT ( Contrast ) 5830 5830 5830 7110 7110 10200 1228 DIAGNOSTIC Lower Abdomen (Pelvis) CT Contrast 5830 5830 5830 7110 7110 10200 1229 DIAGNOSTIC CT Sinogram 4710 4710 4710 5750 5750 8240 1230 DIAGNOSTIC Abdomen CT Angiography 13360 13360 13360 16300 16300 23380 1231 DIAGNOSTIC Chest CT Angiography 10710 10710 10710 13070 13070 18740 1232 DIAGNOSTIC Sella (Pituitary Fossa) / Pituitary CT ( Contrast ) 4170 4170 4170 5090 5090 7300 1233 DIAGNOSTIC Pns CT ( Coronal ) - Contrast 3640 3640 3640 4440 4440 6370 1234 DIAGNOSTIC Thorax CT ( High Resolution ) - Contrast 6890 6890 6890 8410 8410 12060 1235 DIAGNOSTIC CT Calcium Scoring ( Plain ) 4170 4170 4170 5090 5090 7300 1236 DIAGNOSTIC Coronary + Renal CT Angiography 15690 15690 15690 19140 19140 27460 1237 DIAGNOSTIC Sella (Pituitary Fossa) / Pituitary CT ( Plain ) 3640 3640 3640 4440 4440 6370 1238 DIAGNOSTIC Brain CT Angiography 11240 11240 11240 13710 13710 19670 1239 DIAGNOSTIC Whole Abdomen NCCT ( Non Contrast ) - Bariatric 7000 7000 7000 8540 8540 12250 1240 DIAGNOSTIC Positron Emission Tomography CT ( PET - CT ) with Contrast 24210 24210 24210 29540 29540 42370 1241 DIAGNOSTIC Brain CT ( Contrast ) 3640 3640 3640 4440 4440 6370 1242 DIAGNOSTIC Cervical spine CT ( Contrast ) 6360 6360 6360 7760 7760 11130 1243 DIAGNOSTIC Polytrauma CT 13460 13460 13460 16420 16420 23560 1244 DIAGNOSTIC CT Aortogram 13460 13460 13460 16420 16420 23560 1245 DIAGNOSTIC Face CT + 3D Reconstruction 2570 2570 2570 3140 3140 4500 1246 DIAGNOSTIC Thorax HRCT ( Plain ) 5830 5830 5830 7110 7110 10200 1247 DIAGNOSTIC Chest HRCT 5190 5190 5190 6330 6330 9080 1248 DIAGNOSTIC Trucut Biopsy - CT Guided 6890 6890 6890 8410 8410 12060 1249 DIAGNOSTIC Coronary Artery CT Angiography 13460 13460 13460 16420 16420 23560 1250 DIAGNOSTIC Pelvis CT + 3D Reconstruction 5830 5830 5830 7110 7110 10200 1251 DIAGNOSTIC Neck + Circle of Willis CT Angiography 0 0 0 0 0 0 1252 DIAGNOSTIC Coronary + Pulmonary CT Angiography 15800 15800 15800 19280 19280 27650 1253 DIAGNOSTIC Pulmonary + Peripheral CT Angiography 15800 15800 15800 19280 19280 27650 1254 DIAGNOSTIC Whole Abdomen + Peripheral CT Angiography 15800 15800 15800 19280 19280 27650 1255 DIAGNOSTIC Cranial CT Angiography 11240 11240 11240 13710 13710 19670 1256 DIAGNOSTIC Head CT Angiography 11240 11240 11240 13710 13710 19670 1257 DIAGNOSTIC Lower Extremities CT ( Contrast ) 6890 6890 6890 8410 8410 12060 1258 DIAGNOSTIC Lower Extremities CT ( Plain ) 5190 5190 5190 6330 6330 9080 1259 DIAGNOSTIC Upper Extremities CT ( Contrast ) 6890 6890 6890 8410 8410 12060 1260 DIAGNOSTIC Upper Extremities CT ( Plain ) 5190 5190 5190 6330 6330 9080 1261 DIAGNOSTIC Brain CT ( Plain ) 3100 3100 3100 3780 3780 5430 1262 DIAGNOSTIC CT Intravenous Pyelography ( IVP ) 8480 8480 8480 10350 10350 14840 1263 DIAGNOSTIC Thorax ( Lower ) CT - Plain 3640 3640 3640 4440 4440 6370 1264 DIAGNOSTIC CT Multiphase Study 11240 11240 11240 13710 13710 19670 1265 DIAGNOSTIC Lumbosacral Spine CT ( Contrast ) 6360 6360 6360 7760 7760 11130 1266 DIAGNOSTIC Thoracic Spine CT (Contrast ) 6360 6360 6360 7760 7760 11130 1267 DIAGNOSTIC CT Venography 13460 13460 13460 16420 16420 23560 1268 DIAGNOSTIC Internal Ear HRCT ( Contrast ) 5830 5830 5830 7110 7110 10200 1269 DIAGNOSTIC Internal Ear HRCT 4710 4710 4710 5750 5750 8240 1270 DIAGNOSTIC Mastoid HRCT 4710 4710 4710 5750 5750 8240 1271 DIAGNOSTIC CT MULTIPHASE STUDY- ABDOMEN 11240 11240 11240 13710 13710 19670 1272 DIAGNOSTIC CT CISTERNOGRAPHY 7950 7950 7950 9700 9700 13910 1273 DIAGNOSTIC CT MYLROGRAPHY 7950 7950 7950 9700 9700 13910 1274 DIAGNOSTIC CT SPECTRAL IMAGING (RENAL STONE ANALYSIS/GOUT ANALYSIS) 9010 9010 9010 10990 10990 15770 1275 DIAGNOSTIC CT PERFUSION IMAGING-BODY PARTS/VISCERS 11240 11240 11240 13710 13710 19670 1276 DIAGNOSTIC CT RENAL DONOR EVALUATION PACKAGE 11240 11240 11240 13710 13710 19670 1277 DIAGNOSTIC PLAIN CT HEAD+NECK (TRAUMA PROTOCOL) 7950 7950 7950 9700 9700 13910 1278 DIAGNOSTIC "PLAIN CT WHOLE BODY (HEAD, NECK, CHEST, ABDOM,EN & PELVIS)- TRAUMA PROTOCOL" 15800 15800 15800 19280 19280 27650 1279 DIAGNOSTIC PLAIN CT (HEADM NECK & CHEST)- TRAUMA PROTOCOL 11240 11240 11240 13710 13710 19670 1280 DIAGNOSTIC CT PORTO- VENOGRAM 9010 9010 9010 10990 10990 15770 1281 DIAGNOSTIC CT CISTOGRAM 5830 5830 5830 7110 7110 10200 1282 DIAGNOSTIC CT LIVER DONOR EVALUATION 21530 21530 21530 26270 26270 37680 1283 DIAGNOSTIC LIVER VOLUMETRY WITH CT 11240 11240 11240 13710 13710 19670 1284 DIAGNOSTIC Catheter Drainage CT Guided 11240 11240 11240 13710 13710 19670 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1285 DIAGNOSTIC FNAC CT Guided 6890 6890 6890 8410 8410 12060 1286 DIAGNOSTIC CT Urography ( Contrast ) 10180 10180 10180 12420 12420 17820 1287 DIAGNOSTIC Lower Abdomen CT ( Plain ) 4170 4170 4170 5090 5090 7300 1288 DIAGNOSTIC Head CT ( Contrast ) 4855 4855 4855 5920 5920 8500 1289 DIAGNOSTIC Head CT ( Plain ) 3305 3305 3305 4030 4030 5780 1290 DIAGNOSTIC Head CT ( Plain + Contrast ) 5190 5190 5190 6330 6330 9080 1291 DIAGNOSTIC PNS CT ( Axial + Coronal ) Contrast 5190 5190 5190 6330 6330 9080 1292 DIAGNOSTIC PNS CT Plain ( Coronal ) 2570 2570 2570 3140 3140 4500 1293 DIAGNOSTIC KUB CT ( Contrast ) 8480 8480 8480 10350 10350 14840 1294 DIAGNOSTIC Upper Abdomen CT ( Contrast ) 5840 5840 5840 7120 7120 10220 1295 DIAGNOSTIC KUB CT ( Plain ) 6890 6890 6890 8410 8410 12060 1296 DIAGNOSTIC Lumbosacral Spine CT 4710 4710 4710 5750 5750 8240 1297 DIAGNOSTIC Neck CT ( Plain ) 4710 4710 4710 5750 5750 8240 1298 DIAGNOSTIC Hip Joint MRI Plain 7420 7420 7420 9050 9050 12990 1299 DIAGNOSTIC Shoulder ( Gleno Humeral ) Joint MRI - Plain ( Right ) 7420 7420 7420 9050 9050 12990 1300 DIAGNOSTIC Shoulder ( Gleno Humeral ) Joint MRI - Plain ( Left ) 7420 7420 7420 9050 9050 12990 1301 DIAGNOSTIC Lower Abdomen MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1302 DIAGNOSTIC Orbit MRI ( Contrast ) 10710 10710 10710 13070 13070 18740 1303 DIAGNOSTIC Orbit MRI (Plain) 7420 7420 7420 9050 9050 12990 1304 DIAGNOSTIC Brain MRI Angiography ( Contrast ) 11240 11240 11240 13710 13710 19670 1305 DIAGNOSTIC Peripheral MRI Angiography without contrast 11870 11870 11870 14480 14480 20770 1306 DIAGNOSTIC Brain MRI Angiography ( Plain ) 7950 7950 7950 9700 9700 13910 1307 DIAGNOSTIC Prostate MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1308 DIAGNOSTIC Cervical Spine MRI ( Plain ) 7625 7625 7625 9300 9300 13340 1309 DIAGNOSTIC Neck MRI Angiography 11240 11240 11240 13710 13710 19670 1310 DIAGNOSTIC Whole Abdomen MRI ( Contrast ) 16800 16800 16800 20500 20500 29400 1311 DIAGNOSTIC Whole Spine MRI 15800 15800 15800 19280 19280 27650 1312 DIAGNOSTIC Peripheral MRI Angiography ( Contrast ) 15160 15160 15160 18500 18500 26530 1313 DIAGNOSTIC Brain MRI + Spectroscopy ( Plain + Contrast ) 16800 16800 16800 20500 20500 29400 1314 DIAGNOSTIC Dorsal Spine MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1315 DIAGNOSTIC Brain MRI - Plain ( Stroke Protocol ) 10180 10180 10180 12420 12420 17820 1316 DIAGNOSTIC Magnetic Resonance Cholangiopancreatography ( MRCP ) 6765 6765 6765 8250 8250 11840 1317 DIAGNOSTIC Brachial Plexus MRI 7420 7420 7420 9050 9050 12990 1318 DIAGNOSTIC Brain MRI + Intra Auditory Meatus( IAM ) 10180 10180 10180 12420 12420 17820 1319 DIAGNOSTIC Brain MRI Screening 5190 5190 5190 6330 6330 9080 1320 DIAGNOSTIC Brain MRI With Epilepsy Protocol 10180 10180 10180 12420 12420 17820 1321 DIAGNOSTIC Knee MRI ( Left ) 6625 6625 6625 8080 8080 11590 1322 DIAGNOSTIC Neck MRI 7420 7420 7420 9050 9050 12990 1323 DIAGNOSTIC MRI Knee( Right ) 6625 6625 6625 8080 8080 11590 1324 DIAGNOSTIC Thorax (Chest) MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1325 DIAGNOSTIC Temporomandibular MRI ( Single Joint ) Plain 7420 7420 7420 9050 9050 12990 1326 DIAGNOSTIC Whole Abdomen MRI 12930 12930 12930 15770 15770 22630 1327 DIAGNOSTIC Whole Spine MRI Screening ( Contrast ) 8480 8480 8480 10350 10350 14840 1328 DIAGNOSTIC Whole Body MRI 18000 18000 18000 21960 21960 31500 1329 DIAGNOSTIC Brain + Orbit MRI 10180 10180 10180 12420 12420 17820 1330 DIAGNOSTIC Brain MRI + Venogram 15050 15050 15050 18360 18360 26340 1331 DIAGNOSTIC MRI Spectroscopy 7420 7420 7420 9050 9050 12990 1332 DIAGNOSTIC MRI Screening ( Any Region ) 5190 5190 5190 6330 6330 9080 1333 DIAGNOSTIC KUB MRI 7420 7420 7420 9050 9050 12990 1334 DIAGNOSTIC Whole Spine MRI ( Screening / Survey ) 5190 5190 5190 6330 6330 9080 1335 DIAGNOSTIC Brain MRI ( With Angiography ) 12930 12930 12930 15770 15770 22630 1336 DIAGNOSTIC Extremity Single MRI 7420 7420 7420 9050 9050 12990 1337 DIAGNOSTIC Lumbar Spine MRI 7420 7420 7420 9050 9050 12990 1338 DIAGNOSTIC Brain MRI ( Contrast ) 12975 12975 12975 15830 15830 22710 1339 DIAGNOSTIC Joints ( Two ) MRI 14520 14520 14520 17710 17710 25410 1340 DIAGNOSTIC Elbow MRI -Right 7420 7420 7420 9050 9050 12990 1341 DIAGNOSTIC Elbow MRI -Left 7420 7420 7420 9050 9050 12990 1342 DIAGNOSTIC Wrist MRI -Right 7420 7420 7420 9050 9050 12990 1343 DIAGNOSTIC Wrist MRI - Left 7420 7420 7420 9050 9050 12990 1344 DIAGNOSTIC Sacroiliac Joints MRI 7420 7420 7420 9050 9050 12990 1345 DIAGNOSTIC Ankle MRI -Right 7420 7420 7420 9050 9050 12990 1346 DIAGNOSTIC Ankle MRI -Left 7420 7420 7420 9050 9050 12990 1347 DIAGNOSTIC Foot MRI -Right 6890 6890 6890 8410 8410 12060 1348 DIAGNOSTIC Foot MRI - Left 6890 6890 6890 8410 8410 12060 1349 DIAGNOSTIC MRI Urography 7420 7420 7420 9050 9050 12990 1350 DIAGNOSTIC MRI Cisternography 7420 7420 7420 9050 9050 12990 1351 DIAGNOSTIC Brain MRI (Functional) 8480 8480 8480 10350 10350 14840 1352 DIAGNOSTIC LOWER ABDOMEN (PELVIS) MRI - CONTRAST 10980 10980 10980 13400 13400 19220 1353 DIAGNOSTIC MRI Defecogram ( Contrast ) 12880 12880 12880 15710 15710 22540 1354 DIAGNOSTIC Brain MRI ( Plain ) 9025 9025 9025 11010 11010 15790 1355 DIAGNOSTIC Lower Abdomen ( Pelvis ) MRI - Plain 7810 7810 7810 9530 9530 13670 1356 DIAGNOSTIC Breast MRI ( Contrast ) 14630 14630 14630 17850 17850 25600 1357 DIAGNOSTIC Venogram MRI Plain 7420 7420 7420 9050 9050 12990 1358 DIAGNOSTIC MRI Aortogram ( Contrast ) 15050 15050 15050 18360 18360 26340 1359 DIAGNOSTIC MRI CSF Flow Study ( NPH ) 7420 7420 7420 9050 9050 12990 1360 DIAGNOSTIC Lower Extremity MRI 7420 7420 7420 9050 9050 12990 1361 DIAGNOSTIC Thyroid MRI 7420 7420 7420 9050 9050 12990 1362 DIAGNOSTIC Uppper Extremity MRI 7420 7420 7420 9050 9050 12990 1363 DIAGNOSTIC Upper Abdomen MRI 7420 7420 7420 9050 9050 12990 1364 DIAGNOSTIC Brain MRI Tractography 11240 11240 11240 13710 13710 19670 1365 DIAGNOSTIC Whole Body MRI Screening 5190 5190 5190 6330 6330 9080 1366 DIAGNOSTIC Whole Body Diffusion Weighted MRI Screening 5190 5190 5190 6330 6330 9080 1367 DIAGNOSTIC Breast MRI ( Plain ) 11240 11240 11240 13710 13710 19670 1368 DIAGNOSTIC Brain Perfusion MRI ( Contrast ) 14630 14630 14630 17850 17850 25600 1369 DIAGNOSTIC MRI - Any other part 7420 7420 7420 9050 9050 12990 1370 DIAGNOSTIC Radiotherapy Planning MRI ( Contrast ) ( Radiology ) 10180 10180 10180 12420 12420 17820 1371 DIAGNOSTIC Radiotherapy Planning MRI ( Non contrast ) ( Radiology ) 6890 6890 6890 8410 8410 12060 1372 DIAGNOSTIC WHOLE BODY MRI (SCREENING) CONTRAST 18000 18000 18000 21960 21960 31500 1373 DIAGNOSTIC ANY SINGLE REGION MRI 7420 7420 7420 9050 9050 12990 1374 DIAGNOSTIC MRI - ANY PART 7420 7420 7420 9050 9050 12990 1375 DIAGNOSTIC MRI LOWER LEG 7420 7420 7420 9050 9050 12990 1376 DIAGNOSTIC MRI THUMB 7420 7420 7420 9050 9050 12990 1377 DIAGNOSTIC MRI CERVICAL SPINE(FLEXION/EXTENSION) 10710 10710 10710 13070 13070 18740 1378 DIAGNOSTIC MRI TRIPLE PHASE LIVER 11240 11240 11240 13710 13710 19670 1379 DIAGNOSTIC MRI BRAIN DBS PROTOCOL 15580 15580 15580 19010 19010 27270 1380 DIAGNOSTIC MRI PENILE (PLAIN) 7420 7420 7420 9050 9050 12990 1381 DIAGNOSTIC MRI SCROTUM (PLAIN) 7420 7420 7420 9050 9050 12990 1382 DIAGNOSTIC MRI LUMBAR PLEXUS 7420 7420 7420 9050 9050 12990 1383 DIAGNOSTIC MRI - One Part ( Foot/Ankle/Leg/Knee/Thigh/Hip ) 5190 5190 5190 6330 6330 9080 1384 DIAGNOSTIC Cardiac MRI ( Plain ) 13460 13460 13460 16420 16420 23560 1385 DIAGNOSTIC Craniovertebral ( CV ) Junction MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1386 DIAGNOSTIC Renal MRI Angiography 15160 15160 15160 18500 18500 26530 1387 DIAGNOSTIC Face + Neck MRI ( Contrast ) 10710 10710 10710 13070 13070 18740 1388 DIAGNOSTIC MRI Fistulogram ( Plain ) 7420 7420 7420 9050 9050 12990 1389 DIAGNOSTIC Sella (Pituitary Fossa) / Pituitary MRI ( Contrast ) 10710 10710 10710 13070 13070 18740 1390 DIAGNOSTIC Sella (Pituitary Fossa) / Pituitary MRI ( Plain ) 7420 7420 7420 9050 9050 12990 1391 DIAGNOSTIC Abdominal Aorta MRI Angiography 15160 15160 15160 18500 18500 26530 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1392 DIAGNOSTIC Lung Perfusion Scan 7100 7100 7100 8660 8660 12430 1393 DIAGNOSTIC Positron emission tomography (PET) F-18 fluoride Bone Scan 6570 6570 6570 8020 8020 11500 1394 DIAGNOSTIC scintimammography 8160 8160 8160 9960 9960 14280 1395 DIAGNOSTIC Samarium 153 Therapy For Metastatic Bone Pain Palliation ( Nuclear Medicine ) 15500 15500 15500 18910 18910 27130 1396 DIAGNOSTIC Gastrointestinal ( GI ) Bleed Study 6570 6570 6570 8020 8020 11500 1397 DIAGNOSTIC Brain Perfusion SPECT 13460 13460 13460 16420 16420 23560 1398 DIAGNOSTIC Cisternogram with Lumbar Puncture 13460 13460 13460 16420 16420 23560 1399 DIAGNOSTIC Colonic Transit Study 6570 6570 6570 8020 8020 11500 1400 DIAGNOSTIC Cerebrospinal Fluid ( CSF ) Leak Study with Lumbar Puncture 13460 13460 13460 16420 16420 23560 1401 DIAGNOSTIC Cerebrospinal Fluid ( CSF ) Shunt Patency Study 13140 13140 13140 16030 16030 23000 1402 DIAGNOSTIC Dobutamine Stress MUGA Scan 11980 11980 11980 14620 14620 20970 1403 DIAGNOSTIC Esophageal Transit Study 2780 2780 2780 3390 3390 4870 1404 DIAGNOSTIC GHA Imaging - For Brain Tumor 8160 8160 8160 9960 9960 14280 1405 DIAGNOSTIC Hepatobiliary Imaging + Gall Bladder Ejection Fraction Analysis 5190 5190 5190 6330 6330 9080 1406 DIAGNOSTIC Lacrimal Scan 5510 5510 5510 6720 6720 9640 1407 DIAGNOSTIC Liver Spleen Scan 4390 4390 4390 5360 5360 7680 1408 DIAGNOSTIC Metabolic Biopsy 9330 9330 9330 11380 11380 16330 1409 DIAGNOSTIC MIBI Scan 29660 29660 29660 36190 36190 51910 1410 DIAGNOSTIC Myocardial Perfusion Scan ( Rest ) 10920 10920 10920 13320 13320 19110 1411 DIAGNOSTIC Myocardial Perfusion Scan with Adenosine Intervention 15260 15260 15260 18620 18620 26710 1412 DIAGNOSTIC Myocardial Perfusion Scan with Dobutamine Intervention 14200 14200 14200 17320 17320 24850 1413 DIAGNOSTIC PET-CECT ( Regional ) 15325 15325 15325 18700 18700 26820 1414 DIAGNOSTIC PET-CECT ( Whole Body ) 24415 24415 24415 29790 29790 42730 1415 DIAGNOSTIC Brain PET CT 18800 18800 18800 22940 22940 32900 1416 DIAGNOSTIC Cardiac PET CT 21530 21530 21530 26270 26270 37680 1417 DIAGNOSTIC PET CT Planning - Limited 19900 19900 19900 24280 24280 34830 1418 DIAGNOSTIC PET CT Second Opinion Review 1190 1190 1190 1450 1450 2080 1419 DIAGNOSTIC PET-NCCT ( Whole Body ) 21530 21530 21530 26270 26270 37680 1420 DIAGNOSTIC PET CT Planning - Whole Body 26830 26830 26830 32730 32730 46950 1421 DIAGNOSTIC Lung Perfusion Scan - Quantitative Analysis 6040 6040 6040 7370 7370 10570 1422 DIAGNOSTIC Radioiodine Therapy For Hyperthyroidism ( 10-20 MCI ) 7630 7630 7630 9310 9310 13350 1423 DIAGNOSTIC Gastric Emptying Study 6570 6570 6570 8020 8020 11500 1424 DIAGNOSTIC Radioiodine Therapy For Hyperthyroidism ( 20-30 MCI ) 9860 9860 9860 12030 12030 17260 1425 DIAGNOSTIC Radioiodine Therapy For Hyperthyroidism ( Upto 10 MCI ) 5510 5510 5510 6720 6720 9640 1426 DIAGNOSTIC Radionuclide Bone Pain Palliation Therapy with Strontium ( Sr 89 ) 116700 116700 116700 142370 142370 204230 1427 DIAGNOSTIC Radionuclide Venography 4390 4390 4390 5360 5360 7680 1428 DIAGNOSTIC Renal Cortical DMSA Scan 5510 5510 5510 6720 6720 9640 1429 DIAGNOSTIC Renal Dynamic Scan ( of Renal Transplant ) 5510 5510 5510 6720 6720 9640 1430 DIAGNOSTIC Renal Dynamic Scan with Diuretic Challenge ( Using DTPA ) 5140 5140 5140 6270 6270 9000 1431 DIAGNOSTIC Renal Scan with ACE Inhibitor Challenge 7630 7630 7630 9310 9310 13350 1432 DIAGNOSTIC Salivogram 2780 2780 2780 3390 3390 4870 1433 DIAGNOSTIC Sentinel Node Localization 16500 16500 16500 20130 20130 28880 1434 DIAGNOSTIC Gastro esophageal Reflux Study 3850 3850 3850 4700 4700 6740 1435 DIAGNOSTIC Tc-99m Labelled Leucocyte ( WBC ) Scan 21220 21220 21220 25890 25890 37140 1436 DIAGNOSTIC Thyroid Scan 3850 3850 3850 4700 4700 6740 1437 DIAGNOSTIC Thyroid Metastases Imaging 6040 6040 6040 7370 7370 10570 1438 DIAGNOSTIC TPS CT - Contrast 5830 5830 5830 7110 7110 10200 1439 DIAGNOSTIC TPS CT - without Contrast 4710 4710 4710 5750 5750 8240 1440 DIAGNOSTIC Ventilation-Perfusion Scan with Ascending Radionuclide Venography 9860 9860 9860 12030 12030 17260 1441 DIAGNOSTIC Whole Body MIBI Scan 9330 9330 9330 11380 11380 16330 1442 DIAGNOSTIC Y-90 SIR-Spheres Therapy 848720 848720 848720 1035440 1035440 1485260 1443 DIAGNOSTIC Y-90 TheraSphere Therapy 848720 848720 848720 1035440 1035440 1485260 1444 DIAGNOSTIC Radiotherapy Planning CT ( Contrast ) ( Nuclear Medicine ) 5140 5140 5140 6270 6270 9000 1445 DIAGNOSTIC Radiotherapy Planning CT ( Non contrast ) ( Nuclear Medicine ) 3560 3560 3560 4340 4340 6230 1446 DIAGNOSTIC Gallium DOTANOC Scan With CECT 37390 37390 37390 45620 45620 65430 1447 DIAGNOSTIC Gallium DOTANOC Scan With NCCT 32140 32140 32140 39210 39210 56250 1448 DIAGNOSTIC Dosimetry ( Nuclear Medicine ) 15500 15500 15500 18910 18910 27130 1449 DIAGNOSTIC Dose Administration For Radioembolisation ( Nuclear Medicine ) 10920 10920 10920 13320 13320 19110 1450 DIAGNOSTIC Gallium 68 PSMA PET Scan With Contrast 21220 21220 21220 25890 25890 37140 1451 DIAGNOSTIC Gallium 68 PSMA PET Scan Without Contrast 15500 15500 15500 18910 18910 27130 1452 DIAGNOSTIC Lympho Scintigraphy 6570 6570 6570 8020 8020 11500 1453 DIAGNOSTIC Meckel Diverticulum Scintigraphy 3320 3320 3320 4050 4050 5810 1454 DIAGNOSTIC Whole Body Bone Scan 5200 5200 5200 6340 6340 9100 1455 DIAGNOSTIC Bone Spect scan 5830 5830 5830 7110 7110 10200 1456 DIAGNOSTIC Myocardial Perfusion Study - Stress Thallium 12260 12260 12260 14960 14960 21460 1457 DIAGNOSTIC Testicular Scan ( Nuclear Medicine ) 3850 3850 3850 4700 4700 6740 1458 DIAGNOSTIC Lung Ventilation Scan 2780 2780 2780 3390 3390 4870 1459 DIAGNOSTIC Lung Ventilation and Perfusion Scan 8690 8690 8690 10600 10600 15210 1460 DIAGNOSTIC Glomerular Filtration Rate ( GFR ) Determination by Plasma Sample Method 8160 8160 8160 9960 9960 14280 1461 DIAGNOSTIC Cardiac Resting MUGA scan 9860 9860 9860 12030 12030 17260 1462 DIAGNOSTIC Pelvis Transvaginal Ultrasound 1580 1580 1580 1930 1930 2770 1463 DIAGNOSTIC Obstetric Ultrasound ( Level 2 ) 2780 2780 2780 3390 3390 4870 1464 DIAGNOSTIC Obstetrics Transvaginal Sonogram ( TVS ) 1620 1620 1620 1980 1980 2840 1465 DIAGNOSTIC Scrotum Ultrasound 1300 1300 1300 1590 1590 2280 1466 DIAGNOSTIC Thyroid Ultrasound 1300 1300 1300 1590 1590 2280 1467 DIAGNOSTIC Upper Abdomen Ultrasound 1285 1285 1285 1570 1570 2250 1468 DIAGNOSTIC Vascular Doppler Ultrasound 1940 1940 1940 2370 2370 3400 1469 DIAGNOSTIC Whole Abdomen Ultrasound 1710 1710 1710 2090 2090 2990 1470 DIAGNOSTIC Ultrasound for Biophysical Profile Score ( BPS ) 1730 1730 1730 2110 2110 3030 1471 DIAGNOSTIC Transrectal Ultrasound ( TRUS ) 1620 1620 1620 1980 1980 2840 1472 DIAGNOSTIC Internal Jugular Vein (IJV) Color Doppler Ultrasound 3420 3420 3420 4170 4170 5990 1473 DIAGNOSTIC Whole Abdomen Ultrasound Screening 650 650 650 790 790 1140 1474 DIAGNOSTIC Peripheral Arterial Color Doppler - Bilateral 6680 6680 6680 8150 8150 11690 1475 DIAGNOSTIC Peripheral Venous Color Doppler - Bilateral 6680 6680 6680 8150 8150 11690 1476 DIAGNOSTIC Small Parts Color Doppler Ultrasound 3420 3420 3420 4170 4170 5990 1477 DIAGNOSTIC Fluoroscopy / Screening 1130 1130 1130 1380 1380 1980 1478 DIAGNOSTIC Cranium Ultrasound 1400 1400 1400 1710 1710 2450 1479 DIAGNOSTIC Breast Ultrasound 2250 2250 2250 2750 2750 3940 1480 DIAGNOSTIC Obstetrics Ultrasound - Screening 650 650 650 790 790 1140 1481 DIAGNOSTIC Carotid Doppler Ultrasound 3560 3560 3560 4340 4340 6230 1482 DIAGNOSTIC 3D and 4D with Color Doppler Ultrasound 6040 6040 6040 7370 7370 10570 1483 DIAGNOSTIC Dilatation + Curettage ( Ultrasound Guided ) 3320 3320 3320 4050 4050 5810 1484 DIAGNOSTIC VENOUS COLOR DOPPLER ULTRASOUND - ONE LIMB ( PORTABLE ) 3850 3850 3850 4700 4700 6740 1485 DIAGNOSTIC Breast Ultrasound ( Right Side ) 1130 1130 1130 1380 1380 1980 1486 DIAGNOSTIC FNAC ( ULTRASOUND GUIDED ) - PORTABLE 5830 5830 5830 7110 7110 10200 1487 DIAGNOSTIC UPPER ABDOMEN ULTRASOUND - PORTABLE 2050 2050 2050 2500 2500 3590 1488 DIAGNOSTIC LOWER ABDOMEN ULTRASOUND - PORTABLE 2050 2050 2050 2500 2500 3590 1489 DIAGNOSTIC CRANIAL ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 1490 DIAGNOSTIC BREAST ULTRASOUND - PORTABLE 2780 2780 2780 3390 3390 4870 1491 DIAGNOSTIC CHEST ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 1492 DIAGNOSTIC ULTRASOUND FOR BIOPHYSICAL PROFILE SCORE ( BPS ) - PORTABLE 2350 2350 2350 2870 2870 4110 1493 DIAGNOSTIC KUB ULTRASOUND - PORTABLE 1620 1620 1620 1980 1980 2840 1494 DIAGNOSTIC MUSCULOSKELETAL ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 1495 DIAGNOSTIC NECK ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 1496 DIAGNOSTIC OBSTETRIC ULTRASOUND - LEVEL 2 ( PORTABLE ) 2350 2350 2350 2870 2870 4110 1497 DIAGNOSTIC OBSTETRIC ULTRASOUND - ROUTINE ( PORTABLE ) 2160 2160 2160 2640 2640 3780 1498 DIAGNOSTIC SCROTAL ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1499 DIAGNOSTIC THYROID ULTRASOUND - PORTABLE 1940 1940 1940 2370 2370 3400 1500 DIAGNOSTIC TRANSRECTAL ULTRASOUND ( TRUS ) - PORTABLE 2250 2250 2250 2750 2750 3940 1501 DIAGNOSTIC TRANSVAGINAL ULTRASOUND ( TVS ) - PORTABLE 1940 1940 1940 2370 2370 3400 1502 DIAGNOSTIC WHOLE ABDOMEN ULTRASOUND - PORTABLE 2780 2780 2780 3390 3390 4870 1503 DIAGNOSTIC 3D and 4D Transvaginal Doppler Ultrasound ( TVS ) 3420 3420 3420 4170 4170 5990 1504 DIAGNOSTIC Obstetric Ultrasound ( Routine ) 2250 2250 2250 2750 2750 3940 1505 DIAGNOSTIC Abdominal ( Renal ) Color Doppler Ultrasound 4280 4280 4280 5220 5220 7490 1506 DIAGNOSTIC Abdominal ( Renal ) Color Doppler Ultrasound - Bilateral 5090 5090 5090 6210 6210 8910 1507 DIAGNOSTIC Obstetric Ultrasound - Level 1 2075 2075 2075 2530 2530 3630 1508 DIAGNOSTIC Whole Abdomen Ultrasound Screening- Portable 1240 1240 1240 1510 1510 2170 1509 DIAGNOSTIC Lower Abdomen / Pelvis Ultrasound - Portable 2050 2050 2050 2500 2500 3590 1510 DIAGNOSTIC Ultrasound Guidance ( for MTP ) 3320 3320 3320 4050 4050 5810 1511 DIAGNOSTIC Cranium Ultrasound - Portable 1940 1940 1940 2370 2370 3400 1512 DIAGNOSTIC Arterial Doppler - Upper Limb ( Bilateral ) 4390 4390 4390 5360 5360 7680 1513 DIAGNOSTIC Venous Doppler - Upper Limb ( Bilateral ) 4390 4390 4390 5360 5360 7680 1514 DIAGNOSTIC Arterial Doppler - Lower Limb ( Bilateral ) 4390 4390 4390 5360 5360 7680 1515 DIAGNOSTIC Venous Doppler - Lower Limb ( Bilateral ) 4390 4390 4390 5360 5360 7680 1516 DIAGNOSTIC Venous Doppler - Lower Limb 2780 2780 2780 3390 3390 4870 1517 DIAGNOSTIC Arterial Doppler - Lower Limb 2780 2780 2780 3390 3390 4870 1518 DIAGNOSTIC Arterial Doppler - Upper Limb 2780 2780 2780 3390 3390 4870 1519 DIAGNOSTIC Arterial Peripheral Color Doppler - Lower Limb 3850 3850 3850 4700 4700 6740 1520 DIAGNOSTIC Arterial Peripheral Color Doppler - Upper Limb 3850 3850 3850 4700 4700 6740 1521 DIAGNOSTIC Obstetrics Ultrasound - Early 1730 1730 1730 2110 2110 3030 1522 DIAGNOSTIC Follicular Study Ultrasound - One Day 600 600 600 730 730 1050 1523 DIAGNOSTIC Transvaginal ( TVS ) Doppler Ultrasound 2250 2250 2250 2750 2750 3940 1524 DIAGNOSTIC Arterial Doppler Study - One Limb 2780 2780 2780 3390 3390 4870 1525 DIAGNOSTIC Venous Doppler Study - One Limb 2780 2780 2780 3390 3390 4870 1526 DIAGNOSTIC Jugular Venous Doppler 1130 1130 1130 1380 1380 1980 1527 DIAGNOSTIC Renal Doppler 4280 4280 4280 5220 5220 7490 1528 DIAGNOSTIC Venous Doppler - Upper Limb 650 650 650 790 790 1140 1529 DIAGNOSTIC SPLENOPORTAL AXIS DOPPLER 3420 3420 3420 4170 4170 5990 1530 DIAGNOSTIC HEPATIC VEINS (IVC DOPPLER) 3420 3420 3420 4170 4170 5990 1531 DIAGNOSTIC BASELINE FOLLICULAR USG 1130 1130 1130 1380 1380 1980 1532 DIAGNOSTIC DOPPLER NECK VEINS 3420 3420 3420 4170 4170 5990 1533 DIAGNOSTIC USG LEVEL - 1 TWIN PREGNANCY 3320 3320 3320 4050 4050 5810 1534 DIAGNOSTIC USG OBSTRETERIC DOPPLER TWIN PREGNANCY 4980 4980 4980 6080 6080 8720 1535 DIAGNOSTIC USG GUIDED DRAINAGE (LOCKING LOOP CATHETER) 15500 15500 15500 18910 18910 27130 1536 DIAGNOSTIC USG GUIDED DRAINAGE (STRAIGHT CATHETER) 13140 13140 13140 16030 16030 23000 1537 DIAGNOSTIC USG GUIDED ASPIRATION THERAPEUTIC (PORTABLE) 6570 6570 6570 8020 8020 11500 1538 DIAGNOSTIC USG GUIDED DRAINAGE (PORTABLE LOCKING LOOP) 18500 18500 18500 22570 22570 32380 1539 DIAGNOSTIC USG GUIDED DRAINAGE (PORTABLE STRAIGHT 15500 15500 15500 18910 18910 27130 1540 DIAGNOSTIC USG GUIDED LESION MARKER (GOLD SEED) 3320 3320 3320 4050 4050 5810 1541 DIAGNOSTIC USG GUIDED LESION MARKER (METALLIC CLIP) 3320 3320 3320 4050 4050 5810 1542 DIAGNOSTIC Breast Ultrasound ( Left Side ) 1090 1090 1090 1330 1330 1910 1543 DIAGNOSTIC USG GUIDED HOOK WIRE LOCALIZATION 3320 3320 3320 4050 4050 5810 1544 DIAGNOSTIC Hook wire Localization ( Breast ) Ultrasound 6570 6570 6570 8020 8020 11500 1545 DIAGNOSTIC Abdominal Aorta + Iliac Artery Colour Doppler Ultrasound 3320 3320 3320 4050 4050 5810 1546 DIAGNOSTIC IVC + Iliac Vein Colour Doppler Ultrasound 3320 3320 3320 4050 4050 5810 1547 DIAGNOSTIC Chest Ultrasound 1335 1335 1335 1630 1630 2340 1548 DIAGNOSTIC Obstetric Color Doppler Ultrasound 3420 3420 3420 4170 4170 5990 1549 DIAGNOSTIC Carotids Color Doppler Ultrasound 3850 3850 3850 4700 4700 6740 1550 DIAGNOSTIC Penile Color Doppler Ultrasound 6680 6680 6680 8150 8150 11690 1551 DIAGNOSTIC Venous Peripheral Color Doppler (Lower Limb) Ultrasound 3850 3850 3850 4700 4700 6740 1552 DIAGNOSTIC Venous Peripheral Color Doppler (Upper Limb) Ultrasound 3850 3850 3850 4700 4700 6740 1553 DIAGNOSTIC Renal Transplant Color Doppler Ultrasound Study 3420 3420 3420 4170 4170 5990 1554 DIAGNOSTIC Venous Color Doppler Ultrasound (Lower Limbs Both Sides) 3850 3850 3850 4700 4700 6740 1555 DIAGNOSTIC Follicular Study Ultrasound 1840 1840 1840 2240 2240 3220 1556 DIAGNOSTIC FNAC / Aspiration ( Diagnostic ) USG 2780 2780 2780 3390 3390 4870 1557 DIAGNOSTIC KUB Ultrasound 1300 1300 1300 1590 1590 2280 1558 DIAGNOSTIC Lower Abdomen / Pelvis Ultrasound 1670 1670 1670 2040 2040 2920 1559 DIAGNOSTIC Musculoskeletal Ultrasound 1300 1300 1300 1590 1590 2280 1560 DIAGNOSTIC Neck Ultrasound 1300 1300 1300 1590 1590 2280 1561 DIAGNOSTIC Barium Enema 4600 4600 4600 5610 5610 8050 1562 DIAGNOSTIC Forearm X-ray ( Lateral View ) Right Side 380 380 380 464 464 665 1563 DIAGNOSTIC Hand X-ray ( AP + Oblique View ) 380 380 380 464 464 665 1564 DIAGNOSTIC Hand X-ray ( AP + Lateral View ) Right Side 710 710 710 866 866 1243 1565 DIAGNOSTIC Hip Joint X-ray ( AP View ) Right Side 380 380 380 464 464 665 1566 DIAGNOSTIC Hip Joint X-ray ( AP + Lateral View ) Right Side 710 710 710 866 866 1243 1567 DIAGNOSTIC Hip Joint X-ray ( Lateral View ) Right Side 380 380 380 464 464 665 1568 DIAGNOSTIC Knee Joint X-ray ( AP View ) Right Side 380 380 380 464 464 665 1569 DIAGNOSTIC Knee Joint X-ray ( AP + Lateral View ) Right Side 710 710 710 866 866 1243 1570 DIAGNOSTIC Knee Joint X-ray ( Lateral View ) Right Side 380 380 380 464 464 665 1571 DIAGNOSTIC KUB X-ray 380 380 380 464 464 665 1572 DIAGNOSTIC Leg X-ray ( AP View ) 380 380 380 464 464 665 1573 DIAGNOSTIC Leg X-ray ( Lateral View ) 380 380 380 464 464 665 1574 DIAGNOSTIC X-ray Mammography ( Bilateral ) 2410 2410 2410 2940 2940 4220 1575 DIAGNOSTIC Mastoids X-ray 380 380 380 464 464 665 1576 DIAGNOSTIC Soft Tissue Neck X-ray ( Lateral View ) 380 380 380 464 464 665 1577 DIAGNOSTIC Pelvis X-ray Including Both Hip Joints ( AP View ) 380 380 380 464 464 665 1578 DIAGNOSTIC Paranasal Sinuses ( PNS ) X-ray ( Water's View ) 380 380 380 464 464 665 1579 DIAGNOSTIC Shoulder Joint X-ray ( AP View ) Right Side 380 380 380 464 464 665 1580 DIAGNOSTIC Shoulder Joint X-ray ( AP View ) Left Side 380 380 380 464 464 665 1581 DIAGNOSTIC Shoulder ( Glenohumeral ) Joint X-ray ( AP + Axial View ) Left Side 710 710 710 866 866 1243 1582 DIAGNOSTIC Shoulder ( Glenohumeral ) Joint X-ray ( Axial View ) Right Side 380 380 380 464 464 665 1583 DIAGNOSTIC Shoulder ( Glenohumeral ) Joint X-ray ( Axial View ) Left Side 380 380 380 464 464 665 1584 DIAGNOSTIC Skull X-ray ( Any 2 Views ) 710 710 710 866 866 1243 1585 DIAGNOSTIC Skull X-ray ( Any 3 Views ) 1040 1040 1040 1270 1270 1820 1586 DIAGNOSTIC Skull X-ray ( AP View ) 380 380 380 464 464 665 1587 DIAGNOSTIC Skull X-ray ( Lateral View ) 380 380 380 464 464 665 1588 DIAGNOSTIC Cervical Spine X-ray ( AP View ) 380 380 380 464 464 665 1589 DIAGNOSTIC Cervical Spine X-ray ( AP + Lateral View ) 760 760 760 930 930 1330 1590 DIAGNOSTIC Hysterosalpingography 3320 3320 3320 4050 4050 5810 1591 DIAGNOSTIC Lumbar Spine X-ray ( AP View ) 380 380 380 464 464 665 1592 DIAGNOSTIC Lumbar Spine X-ray ( AP + Lateral View ) 710 710 710 866 866 1243 1593 DIAGNOSTIC Lumbosacral Spine X-ray ( AP View ) 380 380 380 464 464 665 1594 DIAGNOSTIC Lumbosacral Spine X-ray ( Lateral View ) 380 380 380 464 464 665 1595 DIAGNOSTIC Dorsolumbar ( Thoracolumbar ) Spine X-ray ( AP + Lateral View ) 710 710 710 866 866 1243 1596 DIAGNOSTIC Dorsolumbar ( Thoracolumbar ) Spine X-ray ( AP View ) 380 380 380 464 464 665 1597 DIAGNOSTIC Sternum X-ray ( Lateral View ) 380 380 380 464 464 665 1598 DIAGNOSTIC Sternum X-ray ( Lateral + Oblique View ) 710 710 710 866 866 1243 1599 DIAGNOSTIC Styloid Process X-ray 380 380 380 464 464 665 1600 DIAGNOSTIC Wrist Joint X-ray ( AP View ) Right Side 380 380 380 464 464 665 1601 DIAGNOSTIC Wrist Joint X-ray ( AP + Lateral View ) Right Side 760 760 760 930 930 1330 1602 DIAGNOSTIC Wrist Joint X-ray ( Lateral View ) Right Side 380 380 380 464 464 665 1603 DIAGNOSTIC Knee Joint X-ray ( Skyline View ) Both Side 760 760 760 930 930 1330 1604 DIAGNOSTIC Knee Joint X-ray ( Skyline View ) Right Side 380 380 380 464 464 665 1605 DIAGNOSTIC Knee Joint X-ray ( Skyline View ) Left Side 380 380 380 464 464 665 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1606 DIAGNOSTIC Femur X-ray ( AP View ) Right Side 380 380 380 464 464 665 1607 DIAGNOSTIC Skeletal Survey X-ray 3910 3910 3910 4770 4770 6840 1608 DIAGNOSTIC Intravenous Pyelography ( IVP ) 3000 3000 3000 3660 3660 5250 1609 DIAGNOSTIC Retrograde Urethrography ( RGU ) + Micturating Cystourethrography ( MSU ) 4600 4600 4600 5610 5610 8050 1610 DIAGNOSTIC Foot X-ray ( AP View ) Both Side 380 380 380 464 464 665 1611 DIAGNOSTIC Pelvis X-ray ( Frog View ) 380 380 380 464 464 665 1612 DIAGNOSTIC Pelvis X-ray Single Site ( Judet View ) 380 380 380 464 464 665 1613 DIAGNOSTIC Wrist Joint X-ray ( Scaphoid View ) - Left Side 2110 2110 2110 2570 2570 3690 1614 DIAGNOSTIC Forearm X-ray ( AP View ) Left Side 380 380 380 464 464 665 1615 DIAGNOSTIC Forearm X-ray ( Lateral View ) Left Side 380 380 380 464 464 665 1616 DIAGNOSTIC Elbow Joint X-ray ( AP View ) Left Side 710 710 710 866 866 1243 1617 DIAGNOSTIC Elbow Joint X-ray ( AP + Lateral View ) Left Side 380 380 380 464 464 665 1618 DIAGNOSTIC Elbow Joint X-ray ( Lateral View ) 710 710 710 866 866 1243 1619 DIAGNOSTIC Finger X-ray ( AP + Lateral View ) Left Side 380 380 380 464 464 665 1620 DIAGNOSTIC Knee Joint X-ray ( AP View ) Left Side 380 380 380 464 464 665 1621 DIAGNOSTIC Knee Joint X-ray ( AP + Lateral View ) Left Side 760 760 760 930 930 1330 1622 DIAGNOSTIC Knee Joint X-ray ( Lateral View ) Left Side 380 380 380 464 464 665 1623 DIAGNOSTIC Wrist Joint X-ray ( AP + Lateral View ) Left Side 760 760 760 930 930 1330 1624 DIAGNOSTIC Hip Joint X-ray ( AP View ) Left Side 380 380 380 464 464 665 1625 DIAGNOSTIC Hip Joint X-ray ( AP + Lateral View ) Left Side 760 760 760 930 930 1330 1626 DIAGNOSTIC Hip Joint X-ray ( Lateral View ) Left Side 380 380 380 464 464 665 1627 DIAGNOSTIC Foot X-ray ( AP View ) Left Side 380 380 380 464 464 665 1628 DIAGNOSTIC Foot X-ray ( Oblique View ) Left Side 380 380 380 464 464 665 1629 DIAGNOSTIC Ankle Joint X-ray ( AP + Lateral View ) Left Side 760 760 760 930 930 1330 1630 DIAGNOSTIC Leg X-ray ( AP + Lateral View ) Left Side 655 655 655 800 800 1150 1631 DIAGNOSTIC Femur X-ray ( AP + Lateral View ) Left Side 760 760 760 930 930 1330 1632 DIAGNOSTIC Femur X-ray ( AP View ) Left Side 380 380 380 464 464 665 1633 DIAGNOSTIC Shoulder Joint X-ray ( AP View ) Both Side 380 380 380 464 464 665 1634 DIAGNOSTIC Shoulder Joint X-ray ( Lateral View ) Right Side 380 380 380 464 464 665 1635 DIAGNOSTIC Shoulder Joint X-ray ( Lateral View ) Left Side 380 380 380 464 464 665 1636 DIAGNOSTIC Shoulder Joint X-ray ( Axillary View ) Right Side 380 380 380 464 464 665 1637 DIAGNOSTIC Shoulder Joint X-ray ( Axillary View ) Left Side 380 380 380 464 464 665 1638 DIAGNOSTIC Shoulder Joint X-ray ( Outlet View ) Right Side 380 380 380 464 464 665 1639 DIAGNOSTIC Shoulder Joint X-ray ( Outlet View ) Left Side 380 380 380 464 464 665 1640 DIAGNOSTIC Shoulder Joint X-ray ( Axillary + Outlet View ) Right 760 760 760 930 930 1330 1641 DIAGNOSTIC Shoulder Joint X-ray ( Axillary + Outlet View ) Left 760 760 760 930 930 1330 1642 DIAGNOSTIC Arm + Elbow Joint X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1643 DIAGNOSTIC Mastoid X-ray ( Lateral View ) Both Side 760 760 760 930 930 1330 1644 DIAGNOSTIC Mastoid X-ray ( Lateral View ) Left 380 380 380 464 464 665 1645 DIAGNOSTIC Mastoid X-ray ( Lateral View ) Right 380 380 380 464 464 665 1646 DIAGNOSTIC Barium Meal Follow Through 4600 4600 4600 5610 5610 8050 1647 DIAGNOSTIC Thumb X-ray ( AP + Lateral View ) Right 760 760 760 930 930 1330 1648 DIAGNOSTIC Thumb X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1649 DIAGNOSTIC X-ray Apicogram 380 380 380 464 464 665 1650 DIAGNOSTIC Sacrum + Coccyx X-ray ( AP + Lateral View ) 760 760 760 930 930 1330 1651 DIAGNOSTIC Thigh + Knee Joint X-ray ( AP View ) Left side 380 380 380 464 464 665 1652 DIAGNOSTIC Thigh + Knee Joint X-ray ( Lateral View ) Left side 380 380 380 464 464 665 1653 DIAGNOSTIC Thigh + Knee Joint X-ray ( AP + Lateral View ) Left side 760 760 760 930 930 1330 1654 DIAGNOSTIC Thigh + Knee Joint X-ray ( AP View ) Right side 380 380 380 464 464 665 1655 DIAGNOSTIC Thigh + Knee Joint X-ray ( Lateral View ) Right side 380 380 380 464 464 665 1656 DIAGNOSTIC Thigh + Knee Joint X-ray ( AP + Lateral View ) Right side 760 760 760 930 930 1330 1657 DIAGNOSTIC Wrist Joint + Hand X-ray ( AP + Lateral View ) Both side 760 760 760 930 930 1330 1658 DIAGNOSTIC Wrist Joint + Hand X-ray ( AP + Lateral View ) Right 760 760 760 930 930 1330 1659 DIAGNOSTIC Wrist Joint + Hand X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1660 DIAGNOSTIC Wrist Joint X-ray ( AP + Lateral + Oblique View ) Right 1040 1040 1040 1270 1270 1820 1661 DIAGNOSTIC Wrist Joint X-ray ( AP + Lateral + Oblique View ) Left 1040 1040 1040 1270 1270 1820 1662 DIAGNOSTIC SacroIliac Joint X-ray ( AP + Oblique View ) Left 760 760 760 930 930 1330 1663 DIAGNOSTIC SacroIliac Joint X-ray ( AP + Oblique View ) Right 760 760 760 930 930 1330 1664 DIAGNOSTIC Forearm + Wrist Joint X-ray ( AP + Lateral View ) Right 380 380 380 464 464 665 1665 DIAGNOSTIC Forearm + Wrist Joint X-ray ( AP + Lateral View ) Left 380 380 380 464 464 665 1666 DIAGNOSTIC Elbow Joint + Forearm X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1667 DIAGNOSTIC Elbow Joint + Forearm X-ray ( AP + Lateral View ) Right 760 760 760 930 930 1330 1668 DIAGNOSTIC Hip Joint + Thigh X-ray ( AP + Lateral View ) Both side 760 760 760 930 930 1330 1669 DIAGNOSTIC Hip Joint + Thigh X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1670 DIAGNOSTIC Hip Joint + Thigh X-ray ( AP + Lateral View ) Right 760 760 760 930 930 1330 1671 DIAGNOSTIC Leg + Ankle Joint X-ray ( AP + Lateral View ) Both side 760 760 760 930 930 1330 1672 DIAGNOSTIC Leg + Ankle Joint X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 1673 DIAGNOSTIC Pelvis + Hip Joint X-ray ( with 15 Degree Internal Rotation ) Both Side 380 380 380 464 464 665 1674 DIAGNOSTIC Hand X-ray ( AP + Lateral View ) Left side 760 760 760 930 930 1330 1675 DIAGNOSTIC Knee X-ray ( Merchant View ) 380 380 380 464 464 665 1676 DIAGNOSTIC Spine X-ray ( Oblique View ) 380 380 380 464 464 665 1677 DIAGNOSTIC Temporomandibular Joint X-ray ( Both side ) 380 380 380 464 464 665 1678 DIAGNOSTIC SacroIliac Joint X-ray ( Oblique View ) 760 760 760 930 930 1330 1679 DIAGNOSTIC Retrograde Urethrography ( RGU ) 3530 3530 3530 4310 4310 6180 1680 DIAGNOSTIC Heel X-ray ( Lateral View ) Both side 760 760 760 930 930 1330 1681 DIAGNOSTIC Upper Arm X-ray 380 380 380 464 464 665 1682 DIAGNOSTIC Shoulder with Upper Arm X-ray ( Lateral View ) 380 380 380 464 464 665 1683 DIAGNOSTIC Shoulder with Upper Arm X-ray ( AP View ) 380 380 380 464 464 665 1684 DIAGNOSTIC Ankle Joint X-ray ( AP View ) Right side 380 380 380 464 464 665 1685 DIAGNOSTIC Ankle Joint X-ray ( Lateral View ) Right side 760 760 760 930 930 1330 1686 DIAGNOSTIC Leg + Ankle Joint X-ray ( AP View ) Right side 380 380 380 464 464 665 1687 DIAGNOSTIC Leg + Ankle Joint X-ray ( Lateral View ) Right side 380 380 380 464 464 665 1688 DIAGNOSTIC Finger X-ray ( AP View ) 380 380 380 464 464 665 1689 DIAGNOSTIC Finger X-ray ( Lateral View ) 380 380 380 464 464 665 1690 DIAGNOSTIC SacroIliac Joint X-ray ( AP + Oblique View ) 760 760 760 930 930 1330 1691 DIAGNOSTIC Hand X-ray ( AP + Oblique View ) Both Side 1400 1400 1400 1710 1710 2450 1692 DIAGNOSTIC Hand X-ray ( AP + Lateral View ) Both side 1400 1400 1400 1710 1710 2450 1693 DIAGNOSTIC Barium Meal Study 3000 3000 3000 3660 3660 5250 1694 DIAGNOSTIC Mandible X-ray ( AP + Oblique View ) Left side 760 760 760 930 930 1330 1695 DIAGNOSTIC Mandible X-ray ( AP + Oblique View ) Right side 760 760 760 930 930 1330 1696 DIAGNOSTIC Cervical Spine X-ray ( Flexion ) 380 380 380 464 464 665 1697 DIAGNOSTIC Cervical Spine X-ray ( Extension ) 380 380 380 464 464 665 1698 DIAGNOSTIC Craniovertebral ( CV ) Junction X-ray - Open mouth 380 380 380 464 464 665 1699 DIAGNOSTIC Lumbosacral Spine X-ray ( Flexion ) 380 380 380 464 464 665 1700 DIAGNOSTIC Lumbosacral Spine X-ray ( Extension ) 380 380 380 464 464 665 1701 DIAGNOSTIC Wrist Joint X-ray ( AP + Oblique View ) Left 760 760 760 930 930 1330 1702 DIAGNOSTIC Wrist Joint X-ray ( AP + Oblique View ) Right 760 760 760 930 930 1330 1703 DIAGNOSTIC Ankle Joint X-ray ( AP View ) left 380 380 380 464 464 665 1704 DIAGNOSTIC Ankle Joint X-ray ( Lateral View ) Left 380 380 380 464 464 665 1705 DIAGNOSTIC X-ray Cephalogram 1350 1350 1350 1650 1650 2360 1706 DIAGNOSTIC Chest X-ray for Ribs ( Oblique View ) 380 380 380 464 464 665 1707 DIAGNOSTIC Abdomen X-ray ( AP View ) 540 540 540 660 660 950 1708 DIAGNOSTIC Abdomen X-ray ( Decubitus ) 380 380 380 464 464 665 1709 DIAGNOSTIC Femur X-ray ( Lateral View ) Left 380 380 380 464 464 665 1710 DIAGNOSTIC Femur X-ray ( Lateral View ) Right 380 380 380 464 464 665 1711 DIAGNOSTIC Abdomen X-ray ( Erect ) 380 380 380 464 464 665 1712 DIAGNOSTIC Humerus X-ray ( AP + Lateral View ) Left 760 760 760 930 930 1330 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1713 DIAGNOSTIC Humerus X-ray ( AP View ) Right 380 380 380 464 464 665 1714 DIAGNOSTIC Humerus X-ray ( Lateral View ) Right 380 380 380 464 464 665 1715 DIAGNOSTIC Knee X-ray Standing ( AP View ) Both side 380 380 380 464 464 665 1716 DIAGNOSTIC Leg X-ray ( AP View ) Right 760 760 760 930 930 1330 1717 DIAGNOSTIC Leg X-ray ( Lateral View ) Right 760 760 760 930 930 1330 1718 DIAGNOSTIC SacroIliac Joint X-ray ( Oblique View ) Right 380 380 380 464 464 665 1719 DIAGNOSTIC Barium Swallow 3530 3530 3530 4310 4310 6180 1720 DIAGNOSTIC Abdomen X-ray ( Supine ) 380 380 380 464 464 665 1721 DIAGNOSTIC Wrist Joint X-ray ( AP View ) Both side 380 380 380 464 464 665 1722 DIAGNOSTIC Bone Densitometry ( DEXA Scan ) Whole Body Fat Assessment 4880 4880 4880 5950 5950 8540 1723 DIAGNOSTIC Bone Densitometry ( DEXA Scan ) Two Sites 3000 3000 3000 3660 3660 5250 1724 DIAGNOSTIC Ankle Joint X-ray ( AP + Lateral View ) Right Side 760 760 760 930 930 1330 1725 DIAGNOSTIC Dorsal ( Thoracic ) Spine X-ray ( AP + Lateral View ) 380 380 380 464 464 665 1726 DIAGNOSTIC Humerus X-ray ( AP + Lateral View ) Right 760 760 760 930 930 1330 1727 DIAGNOSTIC X-ray ( Any Single View ) 380 380 380 464 464 665 1728 DIAGNOSTIC Wrist Joint X-ray ( Scaphoid View ) - Right Side 2110 2110 2110 2570 2570 3690 1729 DIAGNOSTIC Hand X-ray ( AP View ) Both side 380 380 380 464 464 665 1730 DIAGNOSTIC Knee Joint X-ray ( AP View ) Both Side 1040 1040 1040 1270 1270 1820 1731 DIAGNOSTIC Knee Joint X-ray ( AP + Lateral View ) Both Side 1040 1040 1040 1270 1270 1820 1732 DIAGNOSTIC Shoulder Joint X-ray ( AP + Axial View ) 760 760 760 930 930 1330 1733 DIAGNOSTIC Knee Joint X-ray ( Lateral View ) Both Side 760 760 760 930 930 1330 1734 DIAGNOSTIC DEXA Scan ( Three Sites ) 3960 3960 3960 4830 4830 6930 1735 DIAGNOSTIC DEXA Bone Densitometry ( Single Site ) 2460 2460 2460 3000 3000 4310 1736 DIAGNOSTIC DEXA Bone Densitometry ( Whole Body Bone Mineral Density ) 4880 4880 4880 5950 5950 8540 1737 DIAGNOSTIC Calcaneum X-ray ( AP View ) 380 380 380 464 464 665 1738 DIAGNOSTIC Calcaneum X-ray ( AP + Axial View ) 760 760 760 930 930 1330 1739 DIAGNOSTIC Skull X-ray ( lateral View ) Right 380 380 380 464 464 665 1740 DIAGNOSTIC Skull X-ray ( lateral View ) Left 380 380 380 464 464 665 1741 DIAGNOSTIC Cervical Spine X-ray ( Oblique View ) Right 380 380 380 464 464 665 1742 DIAGNOSTIC Cervical Spine X-ray ( Oblique View ) Left 380 380 380 464 464 665 1743 DIAGNOSTIC Calcaneum X-ray ( Axial View ) 380 380 380 464 464 665 1744 DIAGNOSTIC Cervical Spine X-ray ( Lateral View ) 380 380 380 464 464 665 1745 DIAGNOSTIC Pelvis X-ray ( AP View ) 380 380 380 464 464 665 1746 DIAGNOSTIC Chest X-ray ( AP View ) 380 380 380 464 464 665 1747 DIAGNOSTIC Mammography Digital ( Bilateral ) 2210 2210 2210 2700 2700 3870 1748 DIAGNOSTIC CHEST X-RAY ( AP VIEW ) - PORTABLE 760 760 760 930 930 1330 1749 DIAGNOSTIC CHEST X-RAY ( PA VIEW ) - PORTABLE 760 760 760 930 930 1330 1750 DIAGNOSTIC Chest X-ray ( Lateral View ) Left 380 380 380 464 464 665 1751 DIAGNOSTIC Chest X-ray ( Lateral View ) Right 380 380 380 464 464 665 1752 DIAGNOSTIC Chest X-ray ( PA View ) 490 490 490 600 600 860 1753 DIAGNOSTIC HIP JOINT X-RAY ( AP VIEW ) RIGHT SIDE - PORTABLE 760 760 760 930 930 1330 1754 DIAGNOSTIC Coccyx X-ray ( AP View ) 710 710 710 866 866 1243 1755 DIAGNOSTIC Coccyx X-ray ( AP + Lateral View ) 380 380 380 464 464 665 1756 DIAGNOSTIC Cervical X-ray ( Swimmer View ) C7 - D1 380 380 380 464 464 665 1757 DIAGNOSTIC Coccyx X-ray ( Lateral View ) 380 380 380 464 464 665 1758 DIAGNOSTIC Leg + Knee X-ray - Full Length ( AP View ) Right 380 380 380 464 464 665 1759 DIAGNOSTIC Leg + Knee X-ray - Full Length ( Lateral View ) Right 380 380 380 464 464 665 1760 DIAGNOSTIC Leg + Knee X-ray - Full Length ( AP View ) Left 380 380 380 464 464 665 1761 DIAGNOSTIC Leg + Knee X-ray - Full Length ( Lateral View ) Left 380 380 380 464 464 665 1762 DIAGNOSTIC Big Toe X-ray ( AP View ) Right 380 380 380 464 464 665 1763 DIAGNOSTIC Big Toe X-ray ( Lateral View ) Right 380 380 380 464 464 665 1764 DIAGNOSTIC Big Toe X-ray ( AP View ) Left 380 380 380 464 464 665 1765 DIAGNOSTIC Big Toe X-ray ( Lateral View ) Left 380 380 380 464 464 665 1766 DIAGNOSTIC Foot X-ray - Any Finger ( AP View ) Right 380 380 380 464 464 665 1767 DIAGNOSTIC Foot X-ray - Any Finger ( Lateral View ) Right 380 380 380 464 464 665 1768 DIAGNOSTIC Foot X-ray - Any Finger ( AP View ) Left 380 380 380 464 464 665 1769 DIAGNOSTIC Foot X-ray - Any Finger ( Lateral View ) Left 760 760 760 930 930 1330 1770 DIAGNOSTIC Hip Joint X-ray ( Frogleg Lateral View ) 380 380 380 464 464 665 1771 DIAGNOSTIC Hip X-ray ( Judet View ) Right 380 380 380 464 464 665 1772 DIAGNOSTIC Hip X-ray ( Judet View ) Left 380 380 380 464 464 665 1773 DIAGNOSTIC Hip X-ray ( Judet View ) Bilateral 380 380 380 464 464 665 1774 DIAGNOSTIC Wrist X-ray ( Scaphoid View ) 380 380 380 464 464 665 1775 DIAGNOSTIC Femur X-ray ( AP + Lateral View ) 760 760 760 930 930 1330 1776 DIAGNOSTIC Joint X-ray ( Per View ) - Portable 760 760 760 930 930 1330 1777 DIAGNOSTIC Dorsolumbar ( Thoracolumbar ) Spine X-ray ( Lateral View ) 380 380 380 464 464 665 1778 DIAGNOSTIC Ankle X-ray (Mortise View ) 380 380 380 464 464 665 1779 DIAGNOSTIC Nasal Bone X-ray - Both sides 760 760 760 930 930 1330 1780 DIAGNOSTIC Chest X-ray ( Decubitus ) Right 380 380 380 464 464 665 1781 DIAGNOSTIC Chest X-ray ( Decubitus ) Left 380 380 380 464 464 665 1782 DIAGNOSTIC Sacrum X-ray ( AP View ) 380 380 380 464 464 665 1783 DIAGNOSTIC Shoulder X-ray ( Zanca View ) 380 380 380 464 464 665 1784 DIAGNOSTIC Sternoclavicular Joint X-ray ( AP View ) 380 380 380 464 464 665 1785 DIAGNOSTIC Chest X-ray - Lateral View ( Right + Left ) 380 380 380 464 464 665 1786 DIAGNOSTIC X-ray Gastrografin 4120 4120 4120 5030 5030 7210 1787 DIAGNOSTIC Hip with Thigh X-ray ( AP view ) - Bilateral 380 380 380 464 464 665 1788 DIAGNOSTIC Hip with Thigh X-ray ( Lateral view ) - Bilateral 380 380 380 464 464 665 1789 DIAGNOSTIC Leg with Ankle X-ray ( AP view ) - Bilateral 380 380 380 464 464 665 1790 DIAGNOSTIC Leg with Ankle X-ray ( Lateral view ) - Bilateral 380 380 380 464 464 665 1791 DIAGNOSTIC Wrist with Hand X-ray ( AP view ) - Bilateral 380 380 380 464 464 665 1792 DIAGNOSTIC Wrist with Hand X-ray ( Lateral view ) - Bilateral 380 380 380 464 464 665 1793 DIAGNOSTIC Femur X-ray ( AP View ) 380 380 380 464 464 665 1794 DIAGNOSTIC Hand X-ray ( Oblique View ) Bilateral 380 380 380 464 464 665 1795 DIAGNOSTIC X-Ray(Appt) 380 380 380 464 464 665 1796 DIAGNOSTIC Elbow Joint X-ray ( AP + Lateral View ) Right Side 380 380 380 464 464 665 1797 DIAGNOSTIC Hand X-ray ( Lateral View ) Bilateral 380 380 380 464 464 665 1798 DIAGNOSTIC Hip with Thigh X-ray ( AP view ) - Left 380 380 380 464 464 665 1799 DIAGNOSTIC Hip with Thigh X-ray ( Lateral view ) - Left 380 380 380 464 464 665 1800 DIAGNOSTIC Mandible X-ray ( AP view ) - Right 380 380 380 464 464 665 1801 DIAGNOSTIC Mandible X-ray ( Oblique view ) - Right 380 380 380 464 464 665 1802 DIAGNOSTIC SacroIliac Joint X-ray ( AP View ) Right 380 380 380 464 464 665 1803 DIAGNOSTIC Thumb X-ray ( AP view ) - Right 380 380 380 464 464 665 1804 DIAGNOSTIC Thumb X-ray ( Lateral view ) - Right 380 380 380 464 464 665 1805 DIAGNOSTIC Wrist with Hand X-ray ( AP view ) - Right 380 380 380 464 464 665 1806 DIAGNOSTIC Wrist with Hand X-ray ( Lateral view ) - Right 380 380 380 464 464 665 1807 DIAGNOSTIC Wrist X-ray ( Obique view ) - Right 380 380 380 464 464 665 1808 DIAGNOSTIC Wrist X-ray ( Obique view ) - Bilateral 380 380 380 464 464 665 1809 DIAGNOSTIC Nephrostography X-ray 3370 3370 3370 4110 4110 5900 1810 DIAGNOSTIC Fluoroscopy Sinogram 3320 3320 3320 4050 4050 5810 1811 DIAGNOSTIC Fluoroscopy Fistulogram 3320 3320 3320 4050 4050 5810 1812 DIAGNOSTIC X- RAY MASTOID AP 380 380 380 464 464 665 1813 DIAGNOSTIC X- RAY MASTOID OBLIQUE 380 380 380 464 464 665 1814 DIAGNOSTIC X- RAY MASTOID BILATERAL AP 710 710 710 866 866 1243 1815 DIAGNOSTIC X- RAY BILATERAL OBLIQUE 710 710 710 866 866 1243 1816 DIAGNOSTIC SPECIMEN MAMMOGRAM 870 870 870 1060 1060 1520 1817 DIAGNOSTIC Mechanical X Ray - Full View 980 980 980 1200 1200 1715 1818 DIAGNOSTIC Mammography - Single Breast 1090 1090 1090 1330 1330 1910 1819 DIAGNOSTIC Femur X-ray ( AP + Lateral View ) Right Side 760 760 760 930 930 1330 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1820 DIAGNOSTIC Femur X-ray ( Lateral View ) 380 380 380 464 464 665 1821 DIAGNOSTIC Foot X-ray ( AP View ) Right Side 380 380 380 464 464 665 1822 DIAGNOSTIC Foot X-ray ( AP + Oblique View ) Right Side 760 760 760 930 930 1330 1823 DIAGNOSTIC Foot X-ray ( Oblique View ) Right Side 380 380 380 464 464 665 1824 DIAGNOSTIC Forearm X-ray ( AP View ) Right Side 380 380 380 464 464 665 1825 INVESTIGATION VACCICHEQ (DT3203-SRL) 7210 7210 7210 8800 8800 12620 1826 INVESTIGATION HCV ALPHA (DT4102-SRL) 23380 23380 23380 28520 28520 40920 1827 INVESTIGATION HIV EARLY SCREEN (DT4201-SRL) 1090 1090 1090 1330 1330 1910 1828 INVESTIGATION HIV MONITOR (DT4202-SRL) 6040 6040 6040 7370 7370 10570 1829 INVESTIGATION HIV ROCHE COBAS MONITOR (DT4204-SRL) 13360 13360 13360 16300 16300 23380 1830 INVESTIGATION HIV-1 MONITOR (DT4206-SRL) 6570 6570 6570 8020 8020 11500 1831 INVESTIGATION AUTOGEN (DT5102-SRL) 8480 8480 8480 10350 10350 14840 1832 INVESTIGATION OBEY - CT PANEL I (DT8101-SRL) 3640 3640 3640 4440 4440 6370 1833 INVESTIGATION OBEY - CT PANEL II (DT8102-SRL) 4170 4170 4170 5090 5090 7300 1834 INVESTIGATION AFB LJ SUSC - ETHIONAMIDE (EH5653-SRL) 980 980 980 1200 1200 1715 1835 INVESTIGATION AFB SUSC. ETHIONAMIDE (EH5654-SRL) 2350 2350 2350 2870 2870 4110 1836 INVESTIGATION EBV-PCR 7300 7300 7300 7300 7300 7300 1837 INVESTIGATION AFB LJ SUSC - ETHAMBUTOL (ET5653-SRL) 980 980 980 1200 1200 1715 1838 INVESTIGATION AFB SUSC. ETHAMBUTOL (ET5654-SRL) 2350 2350 2350 2870 2870 4110 1839 INVESTIGATION DNA - ISOLATION & STORAGE FOR BLOOD -SGRH 700 700 700 854 854 1225 1840 INVESTIGATION AMNIOCORE 37180 37180 37180 45360 45360 65070 1841 INVESTIGATION KARYOTYPE ON ABORTUS MATERIAL 0 9000 0 0 0 0 1842 INVESTIGATION AFB LJ SUSC - ISONIAZID (IS5653-SRL) 980 980 980 1200 1200 1715 1843 INVESTIGATION AFB SUSC. ISONIAZID (IS5654-SRL) 2350 2350 2350 2870 2870 4110 1844 INVESTIGATION AFB LJ SUSC - KANAMYCIN (KA5653-SRL) 980 980 980 1200 1200 1715 1845 INVESTIGATION AFB SUSC.KANAMYCIN (KA5654-SRL) 2350 2350 2350 2870 2870 4110 1846 INVESTIGATION OT SURVEILLANCE - AEROBIC CULTURE (LC001A-SRL) 4820 4820 4820 5880 5880 8440 1847 INVESTIGATION OT SURVEILLANCE (LC001-SRL) 4880 4880 4880 5950 5950 8540 1848 INVESTIGATION OT SURVEILLANCE - AEROBIC CULTURE (LC002A-SRL) 2780 2780 2780 3390 3390 4870 1849 INVESTIGATION OT SURVEILLANCE (LC002-SRL) 3850 3850 3850 4700 4700 6740 1850 INVESTIGATION AFB SUSC. LEVOFLOXACIN (LV5654-SRL) 2350 2350 2350 2870 2870 4110 1851 INVESTIGATION AFB SUSCEPTIBILITY LINEZOLID (LZ5654-SRL) 2350 2350 2350 2870 2870 4110 1852 DIAGNOSTIC Brainstem Auditory Evoked Potential ( BAEP ) Test - Neurology 1940 1940 1940 2370 2370 3400 1853 DIAGNOSTIC Event Related Potentials ( ERP ) 1300 1300 1300 1590 1590 2280 1854 DIAGNOSTIC Brainstem Auditory Evoked Response ( BAER ) 2570 2570 2570 3140 3140 4500 1855 DIAGNOSTIC Cerebral Autoregulatory Reserve Test 2890 2890 2890 3530 3530 5060 1856 DIAGNOSTIC Electromyography ( EMG ) Guidance 1090 1090 1090 1330 1330 1910 1857 DIAGNOSTIC Repetitive Nerve Stimulation ( RNS ) Test 2460 2460 2460 3000 3000 4310 1858 DIAGNOSTIC Electoencephalogram ( EEG ) - Sleep Deprived 2250 2250 2250 2750 2750 3940 1859 DIAGNOSTIC Somatosensory Evoked Potential Study ( SSEP ) 1730 1730 1730 2110 2110 3030 1860 DIAGNOSTIC Sympathetic Skin Response ( SSR ) 1510 1510 1510 1840 1840 2640 1861 DIAGNOSTIC Visual Evoked Potential ( VEP ) Study 1190 1190 1190 1450 1450 2080 1862 DIAGNOSTIC Video Electroencephalogram ( EEG ) - 12 Hour 6570 6570 6570 8020 8020 11500 1863 DIAGNOSTIC Video Electroencephalogram ( EEG ) - 24 Hour 10920 10920 10920 13320 13320 19110 1864 DIAGNOSTIC Video Electroencephalogram ( EEG ) Extended - More Than One Hour 1090 1090 1090 1330 1330 1910 1865 DIAGNOSTIC Electroencephalogram ( EEG ) 2685 2685 2685 3280 3280 4700 1866 DIAGNOSTIC Electromyography ( EMG ) - Two Limbs 3000 3000 3000 3660 3660 5250 1867 DIAGNOSTIC Electromyography ( EMG ) - More Than Two Limbs 4390 4390 4390 5360 5360 7680 1868 DIAGNOSTIC Transcranial Doppler Study 2250 2250 2250 2750 2750 3940 1869 DIAGNOSTIC Tensilon ( Edrophonium Chloride ) Test 1510 1510 1510 1840 1840 2640 1870 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Study - Motor And Sensory ( One Limb ) 1940 1940 1940 2370 2370 3400 1871 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Study - Motor And Sensory ( Two Limbs ) 3850 3850 3850 4700 4700 6740 1872 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Study - Motor And Sensory ( More Than Two Limbs ) 3850 3850 3850 4700 4700 6740 1873 DIAGNOSTIC Video Electroencephalogram ( EEG ) 1300 1300 1300 1590 1590 2280 1874 DIAGNOSTIC Somatosensory Evoked Potential Study ( SSEP ) - Upper Limb 2250 2250 2250 2750 2750 3940 1875 DIAGNOSTIC Somatosensory Evoked Potential Study ( SSEP ) - Lower Limb 2250 2250 2250 2750 2750 3940 1876 DIAGNOSTIC Facial Nerve Blink Reflex Test 1940 1940 1940 2370 2370 3400 1877 DIAGNOSTIC EEG - Bedside ( Neurology ) 4390 4390 4390 5360 5360 7680 1878 DIAGNOSTIC Electromyogram ( EMG ) - One Limb 2570 2570 2570 3140 3140 4500 1879 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Study - Brachial Plexus 6250 6250 6250 7630 7630 10940 1880 DIAGNOSTIC Electromyography ( EMG ) 3660 3660 3660 4470 4470 6410 1881 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Study 1510 1510 1510 1840 1840 2640 1882 DIAGNOSTIC Autonomic Function Test 4170 4170 4170 5090 5090 7300 1883 DIAGNOSTIC Botox Injection for Blepharospasm 2460 2460 2460 3000 3000 4310 1884 DIAGNOSTIC Botox Injection - Fissure In Ano 4280 4280 4280 5220 5220 7490 1885 DIAGNOSTIC Botox Injection - Forehead Lines / Frown Lines 2460 2460 2460 3000 3000 4310 1886 DIAGNOSTIC Botox for Hyperhidrosis 2460 2460 2460 3000 3000 4310 1887 DIAGNOSTIC Botox for Masseter Muscle Hypertrophy ( Bilateral ) 4280 4280 4280 5220 5220 7490 1888 DIAGNOSTIC Botox Therapy for Migraine 2460 2460 2460 3000 3000 4310 1889 DIAGNOSTIC Botox Injection for Spasmodic Dysphonia 4280 4280 4280 5220 5220 7490 1890 DIAGNOSTIC Botox Injection for Spasticity 4280 4280 4280 5220 5220 7490 1891 DIAGNOSTIC Botox Injection for Tics / Hemifacial Spasm 2460 2460 2460 3000 3000 4310 1892 DIAGNOSTIC Botox Injection for Writer's Cramp 4280 4280 4280 5220 5220 7490 1893 DIAGNOSTIC Emboli Detection 2890 2890 2890 3530 3530 5060 1894 DIAGNOSTIC Electroencephalogram ( EEG ) - Intraoperative 10920 10920 10920 13320 13320 19110 1895 DIAGNOSTIC Sympathetic Skin Response ( SSR ) / R-R Test - Isolated 1300 1300 1300 1590 1590 2280 1896 DIAGNOSTIC Thrombolysis Intravenous 4280 4280 4280 5220 5220 7490 1897 DIAGNOSTIC Nerve Conduction Study + Electromyography ( EMG ) - Limited 2460 2460 2460 3000 3000 4310 1898 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Test - 2 Limb ( Portable ) 5090 5090 5090 6210 6210 8910 1899 DIAGNOSTIC Electromyography ( EMG ) + Nerve Conduction Study ( NCS ) 2890 2890 2890 3530 3530 5060 1900 DIAGNOSTIC Nerve Conduction Velocity ( NCV ) Test - 4 Limb ( Portable ) 6250 6250 6250 7630 7630 10940 1901 DIAGNOSTIC Post SAH Monitoring - Per Day 1300 1300 1300 1590 1590 2280 1902 DIAGNOSTIC Sedation ( In Neurophysiology ) 550 550 550 670 670 960 1903 DIAGNOSTIC Sleep Study( Neurology ) 17800 17800 17800 21720 21720 31150 1904 DIAGNOSTIC Sleep Study with CPAP Titratoin - Diagnostic 8690 8690 8690 10600 10600 15210 1905 DIAGNOSTIC Somatosensory Evoked Potential Study ( SSEP ) - 4 Limbs 4390 4390 4390 5360 5360 7680 1906 DIAGNOSTIC Transcranial Doppler ( TCD ) - Intraoperative 2460 2460 2460 3000 3000 4310 1907 DIAGNOSTIC Transcranial Doppler ( TCD ) Monitoring During Thrombolysis 2890 2890 2890 3530 3530 5060 1908 INVESTIGATION Thrombophilia profile ( DNA ) - 3 polymorphisms-SGRH 6900 6900 6900 8420 8420 12080 1909 INVESTIGATION Toxoplasmosis infection PCR ( Genetics )-SGRH 2900 2900 2900 3540 3540 5080 1910 INVESTIGATION Y - chromosome deletions ( DNA ) - 12-SGRH 5800 5800 5800 7080 7080 10150 1911 INVESTIGATION AFB LJ SUSC - OFLOXACIN (OF5653-SRL) 980 980 980 1200 1200 1715 1912 INVESTIGATION AFB SUSC. OFLOXACIN (OF5654-SRL) 2350 2350 2350 2870 2870 4110 1913 INVESTIGATION AFB LJ SUSC - PAS (PA5653-SRL) 980 980 980 1200 1200 1715 1914 INVESTIGATION AFB SUSC PAS 1.0 MG/ML (PA5654-SRL) 2350 2350 2350 2870 2870 4110 1915 INVESTIGATION AFB LJ SUSC - PYRAZINAMIDE (PY5653-SRL) 980 980 980 1200 1200 1715 1916 INVESTIGATION AFB SUSC. PYRAZINAMIDE (PY5654-SRL) 2350 2350 2350 2870 2870 4110 1917 INVESTIGATION WARFARIN SENSITIVITY BY GENOTYPING (RD1302-SRL) 4820 4820 4820 5880 5880 8440 1918 INVESTIGATION HBV DRUG RESISTANCE DETECTION (RD1305-SRL) 6680 6680 6680 8150 8150 11690 1919 INVESTIGATION FOOD INTOLERANCE TEST (RD1306-SRL) 18500 18500 18500 22570 22570 32380 1920 INVESTIGATION KRAS CODON 12 & 13 MUTATION DETECTION (RD1307-SRL) 7630 7630 7630 9310 9310 13350 1921 INVESTIGATION c-KIT MUTATION DETECTION (RD1308-SRL) 3640 3640 3640 4440 4440 6370 1922 INVESTIGATION CONNEXIN 26 GENE MUTATION (RD1309-SRL) 4820 4820 4820 5880 5880 8440 1923 INVESTIGATION JAK2 EXON 12 MUTATION DETECTION (RD1310-SRL) 7100 7100 7100 8660 8660 12430 1924 INVESTIGATION CYP2C19 GENOTYPING (RD1311-SRL) 6780 6780 6780 8270 8270 11870 1925 INVESTIGATION FIP1L1-PDGFRA GENE REARRANGEMENT (RD1314-SRL) 7100 7100 7100 8660 8660 12430 1926 INVESTIGATION KRAS CODON 61 MUTATION DETECTION (RD1315-SRL) 5830 5830 5830 7110 7110 10200 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 1927 INVESTIGATION NRAS EXON 1 AND 2 MUTATION (RD1316-SRL) 5830 5830 5830 7110 7110 10200 1928 INVESTIGATION BRAF V600E MUTATION (RD1317-SRL) 5830 5830 5830 7110 7110 10200 1929 INVESTIGATION BCR/ABL BREAKPOINT ANALYSIS (RD1318-SRL) 5090 5090 5090 6210 6210 8910 1930 INVESTIGATION Y-CHROMOSOME MICRODELETION PCR (RD1321-SRL) 5830 5830 5830 7110 7110 10200 1931 INVESTIGATION MPL MUTATION DETECTION (RD1322-SRL) 7310 7310 7310 8920 8920 12790 1932 INVESTIGATION TSPOT TB (RD1323-SRL) 8160 8160 8160 9960 9960 14280 1933 INVESTIGATION XPERT MTB/RIF - EXTRAPULMONARY (RD1324EP-SRL) 1940 1940 1940 2370 2370 3400 1934 INVESTIGATION XPERT MTB/RIF - PULMONARY (RD1324-SRL) 1940 1940 1940 2370 2370 3400 1935 INVESTIGATION FRAGILE X (FMR1) MUTATION SCREEN (RD1325-SRL) 8160 8160 8160 9960 9960 14280 1936 INVESTIGATION DRPLA (ATN1) GENE ANALYSIS (RD1326-SRL) 6150 6150 6150 7500 7500 10760 1937 INVESTIGATION EGFR MUTATION DETECTION (RD1405-SRL) 6040 6040 6040 7370 7370 10570 1938 INVESTIGATION WILMS TUMOR GENE 1 MUTATION DETECTION (RD1407-SRL) 6150 6150 6150 7500 7500 10760 1939 INVESTIGATION APOLIPOPROTEIN E GENOTYPING (RD1408-SRL) 26570 26570 26570 32420 32420 46500 1940 INVESTIGATION HUNTINGTON DISEASE (RD1409-SRL) 6150 6150 6150 7500 7500 10760 1941 INVESTIGATION RETT SYNDROME DNA SEQUENCING TEST (MECP2 MUTATION) (RD1410-SRL) 5510 5510 5510 6720 6720 9640 1942 INVESTIGATION FRIEDREICH?S ATAXIA (RD1411-SRL) 4880 4880 4880 5950 5950 8540 1943 INVESTIGATION SPINAL CEREBRAL ATAXIA TYPE - 1 (RD1412-SRL) 2780 2780 2780 3390 3390 4870 1944 INVESTIGATION SPINAL CEREBRAL ATAXIA TYPE - 2 (RD1413-SRL) 2780 2780 2780 3390 3390 4870 1945 INVESTIGATION SPINAL CEREBRAL ATAXIA TYPE - 3 (RD1414-SRL) 2780 2780 2780 3390 3390 4870 1946 INVESTIGATION SPINAL CEREBRAL ATAXIA TYPE - 6 (RD1415-SRL) 2780 2780 2780 3390 3390 4870 1947 INVESTIGATION SPINAL CEREBRAL ATAXIA TYPE - 7 (RD1416-SRL) 2780 2780 2780 3390 3390 4870 1948 INVESTIGATION ANGELMAN SYNDROME-MS PCR (RD1417-SRL) 6150 6150 6150 7500 7500 10760 1949 INVESTIGATION PRADER-WILLI SYNDROME-MS PCR (RD1418-SRL) 6150 6150 6150 7500 7500 10760 1950 INVESTIGATION GLUCOSE-6-PHOSPHATE (G6PD) GENE MUTATIONS (RD1419-SRL) 3850 3850 3850 4700 4700 6740 1951 INVESTIGATION BRCA 1 AND 2 GENETIC TEST ? BREAST CANCER (RD1421-SRL) 24720 24720 24720 30160 30160 43260 1952 INVESTIGATION PATERNITY TESTING (DUO) (RD1424-SRL) 26570 26570 26570 32420 32420 46500 1953 INVESTIGATION PATERNITY TESTING (TRIO) (RD1425-SRL) 29150 29150 29150 35560 35560 51010 1954 INVESTIGATION PLASMINOGEN ACTIVATOR INHIBITOR-1 (PAI-1) GENOTYPI (RD1432-SRL) 9650 9650 9650 11770 11770 16890 1955 INVESTIGATION GALACTOSEMIA GENE MUTATIONS (RD1434-SRL) 7630 7630 7630 9310 9310 13350 1956 INVESTIGATION CHROMOSOME SNP ARRAY (RD1435-SRL) 26570 26570 26570 32420 32420 46500 1957 INVESTIGATION NIFTY (RD1448-SRL) 36050 36050 36050 43980 43980 63090 1958 INVESTIGATION CHIMERISM PRE-TRANSPLANTATION (RD1452-SRL) 27090 27090 27090 33050 33050 47410 1959 INVESTIGATION CHIMERISM POST-TRANSPLANTATION (RD1453-SRL) 18500 18500 18500 22570 22570 32380 1960 INVESTIGATION NEUROTROPIC VIRUS PANEL (RD1462-SRL) 4710 4710 4710 5750 5750 8240 1961 INVESTIGATION NEUROMUSCULAR DISORDERS MTDNA PANEL (RD1463-SRL) 12720 12720 12720 15520 15520 22260 1962 INVESTIGATION ENTEROVIRUS REAL TIME PCR (RD1464-SRL) 4710 4710 4710 5750 5750 8240 1963 INVESTIGATION COMMON MUTATIONS MTDNA PANEL (RD1465-SRL) 6360 6360 6360 7760 7760 11130 1964 INVESTIGATION MYELIN BASIC PROTEIN (RD1467-SRL) 5090 5090 5090 6210 6210 8910 1965 INVESTIGATION CERVIREAL HPV E6/E7 MRNA (RD1468-SRL) 3160 3160 3160 3860 3860 5530 1966 INVESTIGATION O6-METHYLGUANINE METHYLTRANSFERASE (MGMT) PROMOTER (RD1469-SRL) 6250 6250 6250 7630 7630 10940 1967 INVESTIGATION TEL-PDGR BETA T(5;12) TRANSLOCATION (RD1472-SRL) 5800 5800 5800 7080 7080 10150 1968 INVESTIGATION IDH1 AND IDH2 GENE MUTATIONS (RD1475-SRL) 6400 6400 6400 7810 7810 11200 1969 INVESTIGATION CALR GENE MUTATIONS (RD1476-SRL) 6000 6000 6000 7320 7320 10500 1970 INVESTIGATION AFB LJ SUSC - RIFABUTIN (RF5653-SRL) 980 980 980 1200 1200 1715 1971 INVESTIGATION AFB SUSCEPTIBILITY RIFABUTIN (RF5654-SRL) 2350 2350 2350 2870 2870 4110 1972 INVESTIGATION AFB LJ SUSC - RIFAMPICIN (RI5653-SRL) 980 980 980 1200 1200 1715 1973 INVESTIGATION AFB SUSC. RIFAMPIN (RI5654-SRL) 2350 2350 2350 2870 2870 4110 1974 INVESTIGATION CUSTOM LEUKEMIA PANEL (SP1144-SRL) 4820 4820 4820 5880 5880 8440 1975 INVESTIGATION CUSTOM LUKEMIA PANEL FOR 6 CD MARKERS (SP1909-SRL) 6040 6040 6040 7370 7370 10570 1976 INVESTIGATION NEPHROLOGY PACKAGE 1 (SP2869-SRL) 1090 1090 1090 1330 1330 1910 1977 INVESTIGATION NEPHROLOGY PACKAGE 2 (SP2870-SRL) 4980 4980 4980 6080 6080 8720 1978 INVESTIGATION CARDIOLOGY PACKAGE 1 (SP2900-SRL) 1840 1840 1840 2240 2240 3220 1979 INVESTIGATION CARDIOLOGY PACKAGE 2 (SP2901-SRL) 4710 4710 4710 5750 5750 8240 1980 INVESTIGATION AFB LJ SUSC - STREPTOMYCIN (ST5653-SRL) 980 980 980 1200 1200 1715 1981 INVESTIGATION AFB SUSC. STREPTOMYCIN (ST5654-SRL) 2350 2350 2350 2870 2870 4110 1982 DIAGNOSTIC FILM CHARGES FOR X-RAY (PER FILM) 380 380 380 464 464 665 1983 DIAGNOSTIC FILM CHARGES FOR CT (PER FILM) 870 870 870 1060 1060 1520 1984 INVESTIGATION GLUCOSE RANDOM BY GLUCOMETER 110 110 110 134 134 193 1985 INVESTIGATION VENOUS BLOOD GAS ( VBG ) 550 550 550 670 670 960 1986 INVESTIGATION ESTROGEN RECEPTOR, TISSUE/PB (Z001K-SRL) 1300 1300 1300 1590 1590 2280 1987 INVESTIGATION PROGESTERONE RECEPTOR, TISSUE/PB (Z002K-SRL) 1300 1300 1300 1590 1590 2280 1988 INVESTIGATION HER-2/NEU ONCOPROTEIN (IHC), TISSUE/PB (Z004K-SRL) 1300 1300 1300 1590 1590 2280 1989 INVESTIGATION CD21 IHC, TISSUE/PARAFFIN BLOCK (Z034K-SRL) 2160 2160 2160 2640 2640 3780 1990 INVESTIGATION ADRENOCORTICOTROPIC HORM, TISSUE/PB (Z161K-SRL) 1620 1620 1620 1980 1980 2840 1991 INVESTIGATION REVIEW SLIDE & PHOTO (MORE THAN 2 SLIDES) (Z202KP-SRL) 3000 3000 3000 3660 3660 5250 1992 INVESTIGATION LEUCOCYTE ALKALINE PHOSPHATASE (LAP) SCORE (Z207K-SRL) 1400 1400 1400 1710 1710 2450 1993 INVESTIGATION ANTI-EPSTEIN-BARR VIRUS, LMP (Z258K-SRL) 2700 2700 2700 3294 3294 4725 1994 BLOOD BANK Apheresis ( Donor Screening ) 1500 1500 1500 1500 1500 1500 1995 BLOOD BANK Fresh Frozen Plasma (Process Charges) 1500 1500 1500 1500 1500 1500 1996 BLOOD BANK Leucodepleted Packed Red Cell (Process Charges) 3200 3200 3200 3200 3200 3200 1997 BLOOD BANK Washed Red Blood Cell ( RBC ) 5500 5500 5500 5500 5500 5500 1998 BLOOD BANK Platelet Concentrate (Random Donor) 2000 2000 2000 2000 2000 2000 1999 BLOOD BANK Whole Blood 3500 3500 3500 3500 3500 3500 2000 BLOOD BANK Plasma on Cell Separator ( Routine Apheresis ) 14500 14500 14500 14500 14500 14500 2001 BLOOD BANK PLATELET ON CELL SEPARATOR (ROUTINE APHERESIS) 11800 11800 11800 11800 11800 11800 2002 BLOOD BANK PLASMA ON CELL SEPARATOR (EMERGENCY APHERESIS) 11800 11800 11800 11800 11800 11800 2003 BLOOD BANK CRYOPRECIPITATE REDUCED PLASMA 800 800 800 800 800 800 2004 BLOOD BANK Autologous Blood unit ( Perprocedure / Per deposit) 4900 4900 4900 4900 4900 4900 2005 BLOOD BANK Emergency Blood Irradiation ( Radiation Oncology ) 2000 2000 2000 2000 2000 2000 2006 BLOOD BANK CRYOPRECIPITATE 900 900 900 900 900 900 2007 BLOOD BANK PACKED RED CELL 3000 3000 3000 3000 3000 3000 2008 BLOOD BANK Transfusion for RDP / FFP/ Cryoprecipiate 500 500 500 580 750 1250 2009 BLOOD BANK Transfusion for PRBC / SDP 1000 1000 1000 1200 1500 2500 2010 BLOOD BANK ABO Rh Typing ( Blood Grouping ) 415 415 415 510 510 730 2011 BLOOD BANK Cross Matching 500 500 500 500 500 500 2012 BLOOD BANK EXTRA CROSS MATCHING 50 50 50 50 50 50 2013 BLOOD BANK ABO SERUM GROUPING 140 140 140 140 140 140 2014 BLOOD BANK ELUTION FOR ANTIBODY IDENTIFICATION (DIAGNOSTIC) 4000 4000 4000 4000 4000 4000 2015 BLOOD BANK ELUTION FOR ANTIBODY IDENTIFICATION (TRANSFUSION) 3000 3000 3000 3000 3000 3000 2016 BLOOD BANK DU TESTING 550 550 550 550 550 550 2017 BLOOD BANK ANTIBODY TITRATION - AHG 2000 2000 2000 2000 2000 2000 2018 BLOOD BANK ANTIBODY TITRATION - SALINE 500 500 500 500 500 500 2019 BLOOD BANK Cold Antibody Test 500 500 500 500 500 500 2020 BLOOD BANK TYPE AND SCREEN 1000 1000 1000 1000 1000 1000 2021 BLOOD BANK TYPE AND SCREEN ( PRE OPERATIVE ) 600 600 600 600 600 600 2022 BLOOD BANK Coombs Test (Indirect) 400 400 400 400 400 400 2023 BLOOD BANK Cold Antibody Titre 2800 2800 2800 2800 2800 2800 2024 BLOOD BANK STEM CELL COLLECTION 20000 20000 20000 20000 20000 20000 2025 BLOOD BANK Therapeutic Phlebotomy (Blood Bank) 700 700 700 700 700 700 2026 BLOOD BANK Therapeutic Plasma Exchange 17000 17000 17000 17000 17000 17000 2027 BLOOD BANK Antibody Screening 500 500 500 500 500 500 2028 TOTIPOTENT ITEMS BIO-POTENT OA (B / L) KIT 52360 52360 52360 63880 63880 91630 2029 TOTIPOTENT ITEMS BIO-POTENT OA (U / L) KIT 35230 35230 35230 42980 42980 61650 2030 TOTIPOTENT ITEMS BIO-POTENT ST KIT 29600 29600 29600 36110 36110 51800 2031 TOTIPOTENT ITEMS BIO-POTENT DERM -Q, 1/PK 28510 28510 28510 34780 34780 49890 2032 TOTIPOTENT ITEMS RES-Q 60 BMC DISPOSABLE KIT 66020 66020 66020 80540 80540 115540 2033 TOTIPOTENT ITEMS JAMSHIDI NEEDLE (BONE MARROW COLLECTION NEEDLE) 16 G X 10 CM STERLIZED 1300 1300 1300 1590 1590 2280 GENERAL TWIN SINGLE/ DELUXE S. No. Item Name Investigation OPD DAY CARE WARD SHARING ICU/ER ROOM 2034 TOTIPOTENT ITEMS BONE MARROW COLLECTION KIT 6400 6400 6400 7810 7810 11200 2035 TOTIPOTENT ITEMS CLOT FILTER 430 430 430 520 520 750 2036 TOTIPOTENT ITEMS CORD BLOOD BANKING PLATINUM 123370 123370 123370 150510 150510 215900 2037 TOTIPOTENT ITEMS BONE MARROW AND MOBILIZED PERIPHERAL BLOOD CRYOPRESERVATION & THAWING - PER 100 ML BAG27080 27080 27080 33040 33040 47390 2038 TOTIPOTENT ITEMS BONE MARROW AND MOBILIZED PERIPHERAL BLOOD DEBULKING (RBC & PLASMA DEPLETION) - PER 10028590 ML BAG 28590 28590 34880 34880 50030 2039 TOTIPOTENT ITEMS STEM - CBC 930 930 930 1130 1130 1630 2040 TOTIPOTENT ITEMS STEM - STERILITY (14 DAY BACTEC) 1390 1390 1390 1700 1700 2430 2041 TOTIPOTENT ITEMS STEM - CD34+ ENUMERATION 8330 8330 8330 10160 10160 14580 2042 TOTIPOTENT ITEMS STEM - CELL VIABILITY 460 460 460 560 560 810 2043 TOTIPOTENT ITEMS STEM- POTENCY ASSAY (CFU) 24070 24070 24070 29370 29370 42120 2044 TOTIPOTENT ITEMS Stem - CD3+ Enumeration 7520 7520 7520 9170 9170 13160 2045 TOTIPOTENT ITEMS Stem - CD19+ Enumeration 7520 7520 7520 9170 9170 13160 2046 TOTIPOTENT ITEMS Processing Charges For Tcr A/B Depletion Procedure 96180 96180 96180 117340 117340 168320 2047 TOTIPOTENT ITEMS Cd3,Anti-Tcr Alpha/Beta And Anti-Tcr Gamma /Delta Enumeration 8539 8539 8539 10420 10420 14940 2048 TOTIPOTENT ITEMS Stem plasma depletion per 200 ml 15050 15050 15050 18360 18360 26340 2049 TOTIPOTENT ITEMS Bone Marrow/ Mobilized Peripheral Blood Cryopreservation Processing 50000 50000 50000 61000 61000 87500 2050 TOTIPOTENT ITEMS Cryo-Storage Costing Per Bag (Max.70 ML) 8600 8600 8600 10500 10500 15050 2051 TOTIPOTENT ITEMS Processing charges for TCR ALPHA/BETA Depletion Procedure 85530 85530 85530 104350 104350 149680 2052 TOTIPOTENT ITEMS T&B Cell, Monocytes And Neutrophil Enumeration 12360 12360 12360 15080 15080 21630 GENERAL TWIN SINGLE / DELUXE S. No. Head Services Item Name OPD DAY CARE WARD SHARING ICU /ER ROOM 1 Medical/Surgical Procdedure OTHERS Injection IntraArticular ( Bedside ) 900 1000 1000 1200 1500 2500 2 Medical/Surgical Procdedure OTHERS Central Venous Pressure ( CVP ) Line Insertion - Bedside 3510 3900 3900 4500 5900 9800 3 Medical/Surgical Procdedure OTHERS Femoral Catheterization - Bedside 2000 2200 2200 2500 3300 5500 4 Medical/Surgical Procdedure OTHERS Inter Costal Drain ( ICD ) Insertion - Bedside 4500 5000 5000 5800 7500 12500 5 Medical/Surgical Procdedure OTHERS Cough Assist - Bedside 900 1000 1000 1200 1500 2500 6 Medical/Surgical Procdedure OTHERS Sigmoidoscopy - Bedside 5200 5800 5800 6700 8700 14500 7 Medical/Surgical Procdedure OTHERS Urine Ketone Test ( Bedside ) 100 100 100 100 200 300 8 Medical/Surgical Procdedure OTHERS Aspiration Biopsy ( Bedside ) 2000 2200 2200 2500 3300 5500 9 Medical/Surgical Procdedure OTHERS Initiation Of Ventilator ( Including Intubation ) - Bedside 4300 4800 4800 5500 7200 12000 10 Medical/Surgical Procdedure OTHERS URINE GLUCOSE (BED SIDE) 100 100 100 100 200 300 11 Medical/Surgical Procdedure OTHERS Activated Clotting Time ( ACT ) - Bedside 300 300 300 300 500 800 12 Medical/Surgical Procdedure OTHERS Intravesical Installation ( BCG ) - Bedside 2500 2800 2800 3200 4200 7000 13 Medical/Surgical Procdedure OTHERS Urethral Calibration - Bedside 1300 1400 1400 1600 2100 3500 14 Medical/Surgical Procdedure OTHERS Catheterization ( Double Lumen ) - Bedside 2300 2500 2500 2900 3800 6300 15 Medical/Surgical Procdedure OTHERS Dressing - Medium ( Bedside ) 700 800 800 900 1200 2000 16 Medical/Surgical Procdedure OTHERS Dressing - Small ( Bedside ) 400 400 400 500 600 1000 17 Medical/Surgical Procdedure OTHERS Dressing - Very Small ( Bedside ) 100 100 100 100 200 300 18 Medical/Surgical Procdedure OTHERS Endotracheal Intubation - Bedside 900 1000 1000 1200 1500 2500 19 Medical/Surgical Procdedure OTHERS Intermittent Pneumatic Compression - Bedisde 500 500 500 600 800 1300 20 Medical/Surgical Procdedure OTHERS Pop Cast Application - Full ( Above Elbow ) - Bedside 3200 3500 3500 4000 5300 8800 21 Medical/Surgical Procdedure OTHERS Pop Slab Application ( Above Elbow ) - Bedside 2800 3100 3100 3600 4700 7800 22 Medical/Surgical Procdedure OTHERS Peritoneal Tap / Ascitic Tap ( Bedside ) 2340 2600 2600 3000 3900 6500 23 Medical/Surgical Procdedure OTHERS Pop Cast Application - Full ( Above Knee ) - Bedside 3900 4300 4300 4900 6500 10800 24 Medical/Surgical Procdedure OTHERS Pop Slab Application ( Above Knee ) - Bedside 3200 3500 3500 4000 5300 8800 25 Medical/Surgical Procdedure OTHERS Casts Application ( Below Elbow ) - Bedside 2000 2200 2200 2500 3300 5500 26 Medical/Surgical Procdedure OTHERS Pop Slab Application ( Below Elbow ) - Bedside 1300 1400 1400 1600 2100 3500 27 Medical/Surgical Procdedure OTHERS Casts Application - Full ( Below Knee ) - Bedside 2500 2800 2800 3200 4200 7000 28 Medical/Surgical Procdedure OTHERS Slab Application ( Below Knee ) - Bedside 2000 2200 2200 2500 3300 5500 29 Medical/Surgical Procdedure OTHERS Pop Cylinder Cast Application - Bedside 3900 4300 4300 4900 6500 10800 30 Medical/Surgical Procdedure OTHERS Pop Cylinder Slab Application - Bedside 3200 3500 3500 4000 5300 8800 31 Medical/Surgical Procdedure OTHERS Plaster Of Paris ( POP ) Full Plaster - Fingers ( Bedside ) 900 1000 1000 1200 1500 2500 32 Medical/Surgical Procdedure OTHERS POP Hip Spica ( Bilateral ) / Double Hip Spica Application - Bedside 9900 11000 11000 12700 16500 27500 33 Medical/Surgical Procdedure OTHERS Arterial Line Insertion 1890 2100 2100 2400 3200 5300 34 Medical/Surgical Procdedure OTHERS POP Hip Spica Application ( Left ) - Bedside 6100 6800 6800 7800 10200 17000 35 Medical/Surgical Procdedure OTHERS Plaster Cast Removal - Bedside 500 500 500 600 800 1300 36 Medical/Surgical Procdedure OTHERS Spica Cast / POP Jackets Application - Shoulder ( Bedside ) 5600 6200 6200 7100 9300 15500 37 Medical/Surgical Procdedure OTHERS Plaster Of Paris ( POP ) Slab Application - Finger ( Bedside ) 700 800 800 900 1200 2000 38 Medical/Surgical Procdedure OTHERS Catheterization ( Subclavian / Internal Jugular ) - Bedside 3600 4000 4000 4625 6000 10000 39 Medical/Surgical Procdedure OTHERS Bone Marrow Biopsy ( Bedside ) 2600 2900 2900 3300 4400 7300 40 Medical/Surgical Procdedure OTHERS Bone Marrow Biopsy + Aspiration ( Bedside ) 5000 5500 5500 6300 8300 13800 41 Medical/Surgical Procdedure OTHERS Sternal Puncture / Bone Marrow Aspiration ( Bedside ) 1300 1400 1400 1600 2100 3500 42 Medical/Surgical Procdedure OTHERS Baclofen Pump Refill ( Bedside ) 1700 1900 1900 2200 2900 4800 43 Medical/Surgical Procdedure OTHERS Resuscitation - (ER) 2300 2500 2500 2900 3800 6300 44 Medical/Surgical Procdedure OTHERS Intubation Charges 3700 4100 4100 4750 6200 10300 45 Medical/Surgical Procdedure OTHERS Ryles Tube Insertion 900 1000 1000 1200 1500 2500 46 Medical/Surgical Procdedure OTHERS Joint Aspiration ( Bedside ) 2500 2800 2800 3200 4200 7000 47 Medical/Surgical Procdedure OTHERS Nebulization 180 200 200 260 300 500 48 Medical/Surgical Procdedure OTHERS Enema Adminstration 400 400 400 500 600 1000 49 Medical/Surgical Procdedure OTHERS Polysomnography Diagnostic 10800 12000 12000 13800 18000 30000 50 Medical/Surgical Procdedure OTHERS Sternal Puncture 2300 2500 2500 2900 3800 6300 51 Medical/Surgical Procdedure OTHERS Blood Transfusion Monitoring 800 900 900 1000 1400 2300 52 Medical/Surgical Procdedure OTHERS Injection Therapy for Carpal Tunnel Syndrome 1700 1900 1900 2200 2900 4800 53 Medical/Surgical Procdedure OTHERS Catheterization ( Foley's) - Bedside 2100 2300 2300 2600 3500 5800 54 Medical/Surgical Procdedure OTHERS Lumbar Puncture ( Bedside ) 2000 2200 2200 2500 3300 5500 55 Medical/Surgical Procdedure OTHERS Gastric Lavage ( Bedside ) 1500 1700 1700 2000 2600 4300 56 Medical/Surgical Procdedure OTHERS Peripherally Inserted Central Catheter ( PICC ) Line Insertion - Bedside 6800 7500 7500 8600 11300 18800 57 Medical/Surgical Procdedure OTHERS Ryles Tube Insertion Children ( Bedside ) 500 500 500 600 800 1300 58 Medical/Surgical Procdedure OTHERS Aspiration ( Cold Abscess / Tubercular Abscess ) - Bedside 2300 2500 2500 2900 3800 6300 59 Medical/Surgical Procdedure OTHERS Exchange Transfusion ( Bedside ) 11000 12200 12200 14000 18300 30500 60 Medical/Surgical Procdedure OTHERS Toe Nail ( Ingrowing ) Removal - Bedside 2000 2200 2200 2500 3300 5500 61 Medical/Surgical Procdedure OTHERS Hemorrhoids Injection - Bedside 3900 4300 4300 4900 6500 10800 62 Medical/Surgical Procdedure OTHERS FETAL AUTOPSY 0 8300 0 0 0 0 63 Medical/Surgical Procdedure OTHERS Endotoxin Assay 3500 3900 3900 4500 5900 9800 64 Medical/Surgical Procdedure OTHERS Wound Debridement - Medium 5600 6200 6200 7100 9300 15500 65 Medical/Surgical Procdedure OTHERS Wound Debridement (L) 10200 11300 11300 13000 17000 28300 66 Medical/Surgical Procdedure OTHERS Dressing Small 720 800 800 920 1200 2000 67 EQUIPMENT CHARGES EQUIPMENT CHARGES SONOSITE 750 870 870 1050 750 870 68 EQUIPMENT CHARGES EQUIPMENT CHARGES SYRINGE / INFUSION PUMP CHARGE 300 350 350 420 300 350 69 EQUIPMENT CHARGES EQUIPMENT CHARGES Ventilator Charges 5000 5000 5000 5000 5000 5000 70 EQUIPMENT CHARGES EQUIPMENT CHARGES DVT PUMP 20E CHARGE 650 650 650 650 650 650 71 EQUIPMENT CHARGES EQUIPMENT CHARGES Alpha Bed Auto Logic (ArjoHuntle) 400 400 400 400 400 400 72 EQUIPMENT CHARGES EQUIPMENT CHARGES ALPHA BED GRADE 1&2 300 300 300 300 300 300 73 EQUIPMENT CHARGES EQUIPMENT CHARGES ALPHA BED GRADE 3 300 300 300 300 300 300 74 EQUIPMENT CHARGES EQUIPMENT CHARGES ALPHA BED GRADE 4 730 730 730 730 730 730 75 EQUIPMENT CHARGES EQUIPMENT CHARGES Alpha Bed Trancel Deluxe (ArjoHuntle) 300 300 300 300 300 300 76 EQUIPMENT CHARGES EQUIPMENT CHARGES DVT SWELL CURE 500 500 500 500 500 500 77 EQUIPMENT CHARGES EQUIPMENT CHARGES DAILY ECMO CHARGES 10000 10000 10000 10000 10000 10000 78 EQUIPMENT CHARGES EQUIPMENT CHARGES ECMO INSTALLATION CHARGES 150000 0 0 150000 150000 150000 79 EQUIPMENT CHARGES EQUIPMENT CHARGES DVT Pump (MEDIFLOW) 980 980 980 980 980 980 80 MISCELLANEOUS MAMMA MIA Baby Bulge Be Gone Diamond 27000 30000 30000 34500 45000 75000 81 MISCELLANEOUS MAMMA MIA Art Therapy Session 900 1000 1000 1150 1500 2500 82 MISCELLANEOUS MAMMA MIA Early Pregnancy Class 2700 3000 3000 3450 4500 7500 83 MISCELLANEOUS MAMMA MIA Birth Prep Weekly - Individual 10800 12000 12000 13800 18000 30000 84 MISCELLANEOUS MAMMA MIA Lactation Consultation 2000 2000 2000 2000 2000 2000 85 MISCELLANEOUS MAMMA MIA Lactation Consultation - Individual 2700 3000 3000 3450 4500 7500 86 MISCELLANEOUS MAMMA MIA Breast feeding support 900 1000 1000 1150 1500 2500 87 MISCELLANEOUS MAMMA MIA Baby Massage - Individual 1800 2000 2000 2300 3000 5000 88 MISCELLANEOUS MAMMA MIA Doula Support - Geetika 50000 50000 50000 50000 50000 50000 89 MISCELLANEOUS MAMMA MIA Doula Support- Shruti/Anika 45000 50000 50000 57500 75000 125000 90 MISCELLANEOUS MAMMA MIA Prenatal Yoga - Individual 21600 24000 24000 27600 36000 60000 91 MISCELLANEOUS MAMMA MIA Post-natal Yoga - Individual 21600 24000 24000 27600 36000 60000 92 MISCELLANEOUS MAMMA MIA Prenatal Fitness - Individual 21600 24000 24000 27600 36000 60000 93 MISCELLANEOUS MAMMA MIA Post-natal Fitness - Individual 21600 24000 24000 27600 36000 60000 94 MISCELLANEOUS MAMMA MIA Prenatal/Postnatal Fitness Consultation - Individual 1800 2000 2000 2300 3000 5000 95 MISCELLANEOUS MAMMA MIA Yoga Consultation ( 3 sessions) 2700 3000 3000 3450 4500 7500 96 MISCELLANEOUS MAMMA MIA Holistic Fertility Counselling 3150 3500 3500 4025 5250 8750 97 MISCELLANEOUS MAMMA MIA 3 Holistic fertility sessions 6750 7500 7500 8625 11250 18750 98 MISCELLANEOUS MAMMA MIA Pregnancy package - 4 21960 24400 24400 28060 36600 61000 99 MISCELLANEOUS MAMMA MIA Prenatal/Postnatal Fitness/ Yoga package 25920 28800 28800 33120 43200 72000 100 MISCELLANEOUS MAMMA MIA Birth Prep Weekend - Individuals 9000 10000 10000 11500 15000 25000 101 MISCELLANEOUS MAMMA MIA Fitness consultation- 3 session 3150 3500 3500 4025 5250 8750 102 MISCELLANEOUS MAMMA MIA Back to Being You (1 MONTH) 54000 60000 60000 69000 90000 150000 103 MISCELLANEOUS MAMMA MIA BIRTH PREP WEEKLY 10800 12000 12000 13800 18000 30000 104 MISCELLANEOUS MAMMA MIA BABY CARE 4000 4000 4000 4000 4000 4000 105 MISCELLANEOUS MAMMA MIA PRENATAL YOGA 10800 12000 12000 13800 18000 30000 106 MISCELLANEOUS MAMMA MIA POST-NATAL YOGA 10800 12000 12000 13800 18000 30000 107 MISCELLANEOUS MAMMA MIA PRENATAL FITNESS 10800 12000 12000 13800 18000 30000 108 MISCELLANEOUS MAMMA MIA POST-NATAL FITNESS 10800 12000 12000 13800 18000 30000 109 MISCELLANEOUS MAMMA MIA BABY MASSAGE 1800 2000 2000 2300 3000 5000 110 MISCELLANEOUS MAMMA MIA PREGNANCY FOR DADS 1800 2000 2000 2300 3000 5000 111 MISCELLANEOUS MAMMA MIA PREGNANCY MASSAGE 3150 3500 3500 4025 5250 8750 112 MISCELLANEOUS MAMMA MIA POST-NATAL MASSAGE 3150 3500 3500 4025 5250 8750 GENERAL TWIN SINGLE / DELUXE S. No. Head Services Item Name OPD DAY CARE WARD SHARING ICU /ER ROOM 113 MISCELLANEOUS MAMMA MIA REFLEXOLOGY 2000 2000 2000 2000 2000 2000 114 MISCELLANEOUS MAMMA MIA SESSION WITH EXPERT 1800 2000 2000 2300 3000 5000 115 MISCELLANEOUS MAMMA MIA PREGNANCY PACKAGE - 1 21240 23600 23600 27140 35400 59000 116 MISCELLANEOUS MAMMA MIA PREGNANCY PACKAGE - 2 14040 15600 15600 17940 23400 39000 117 MISCELLANEOUS MAMMA MIA PREGNANCY PACKAGE - 3 16920 18800 18800 21620 28200 47000 118 MISCELLANEOUS MAMMA MIA POSTNATAL PACKAGE - 1 18360 20400 20400 23460 30600 51000 119 MISCELLANEOUS MAMMA MIA POSTNATAL PACKAGE - 2 9720 10800 10800 12420 16200 27000 120 MISCELLANEOUS MAMMA MIA NEW BABY PACKAGE 5760 6400 6400 7360 9600 16000 121 MISCELLANEOUS MAMMA MIA MASSAGE PACKAGE 15750 17500 17500 20125 26250 43750 122 MISCELLANEOUS MAMMA MIA Hypnobirthing Sessions with Book 10800 12000 12000 13800 18000 30000 123 MISCELLANEOUS MAMMA MIA Mammamia PT Consultation 2000 2000 2000 2000 2000 2000 124 MISCELLANEOUS MAMMA MIA Back To Being You Gold (1 Months Package) 13500 15000 15000 17250 22500 37500 125 MISCELLANEOUS MAMMA MIA Back To Being You Gold (3 Months Package) 31500 35000 35000 40250 52500 87500 126 MISCELLANEOUS MAMMA MIA Baby Bulge Be Gone Platinum 36000 40000 40000 46000 60000 100000 127 MISCELLANEOUS MAMMA MIA Back To Being You Silver (1 Months Package) 9180 10200 10200 11730 15300 25500 128 MISCELLANEOUS MAMMA MIA Back To Being You Silver (3 Months Package) 22500 25000 25000 28750 37500 62500 129 MISCELLANEOUS MAMMA MIA Caesarean Doula Support 13500 15000 15000 17250 22500 37500 130 MISCELLANEOUS MAMMA MIA Mamma Mia Obstetrics Physiotherapy 900 1000 1000 1150 1500 2500 131 AMBULANCE CHARGE AMBULANCE CHARGES AMBULANCE CHARGES (DELHI/NCR -MERC) 5000 5000 5000 5000 5000 5000 132 AMBULANCE CHARGE AMBULANCE CHARGES DOCTOR CHARGES (DELHI/NCR) 1000 1000 1000 1000 1000 1000 133 AMBULANCE CHARGE AMBULANCE CHARGES PERFUSIONIST CHARGES (DELHI/NCR) 1500 1500 1500 1500 1500 1500 134 AMBULANCE CHARGE AMBULANCE CHARGES AMBULANCE CHARGES (OUTSIDE DELHI/NCR-MERC) PER KM 80 80 80 80 80 80 135 AMBULANCE CHARGE AMBULANCE CHARGES AMBULANCE CHARGES (OUTSIDE DELHI/NCR-FORCE ) PER KM 60 60 60 60 60 60 136 AMBULANCE CHARGE AMBULANCE CHARGES DOCTOR CHARGES( DELHI/NCR)-SPECIALIST 3000 3000 3000 3000 3000 3000 137 AMBULANCE CHARGE AMBULANCE CHARGES DOCTOR CHARGES( OUTSIDE DELHI/NCR)-SPECIALIST 4000 4000 4000 4000 4000 4000 138 AMBULANCE CHARGE AMBULANCE CHARGES DOCTOR CHARGES( OUTSIDE DELHI/NCR)-PER KM 15 15 15 15 15 15 139 DONATIONS CSR DONATIONS CSR DONATIONS 90 90 90 90 90 90 140 MEDICAL CONSUMABLE MC-HIS COMMON ITEM CHARGES 100 100 100 100 100 100 141 MISCELLANEOUS MISCELLANEOUS ITEMS SLIPPER CHARGES 100 100 100 100 100 100 142 MISCELLANEOUS MISCELLANEOUS ITEMS ADULT SLIPPERS 110 110 110 110 110 110 143 MISCELLANEOUS MISCELLANEOUS ITEMS BABY SLIPPERS 100 100 100 100 100 100 144 MISCELLANEOUS MISCELLANEOUS ITEMS TEA-KETTLE 500 500 500 500 500 500 145 OT/CATH LAB CHARGE OT/CATH LAB CHARGE DISPOSABLE & PREPARATION MAJOR 2000 2000 2000 2000 2000 2000 146 OT/CATH LAB CHARGE OT/CATH LAB CHARGE DISPOSABLE & PREPARATION MEDIUM 1500 1500 1500 1500 1500 1500 147 OT/CATH LAB CHARGE OT/CATH LAB CHARGE DISPOSABLE & PREPARATION MINOR 1000 1000 1000 1000 1000 1000
PACKAGE RATES INCLUTIONS AND EXCLUTIONS 15-16
Note: -
Admission Charges and Documentations Charges over and above package charges Package are non-refundable , non-discountable and non-adjustable No Separate breakups will be provided No separate implant invoice will be provided Nursing Charges included in all packages during package days Elective surgeries done on Holiday / Sunday will be charged extra as per hospital rates
Index
Pain Clinic Package
Birth Packages
Cardiac Packages
CTVS Packages
Joints Packages
Bariatric Surgery Packages
Liver Transplant Packages
Kidney Transplant Packages
Pain Clinic Packages Inclusions and Exclusions
Inclusions • Stay – Day care / one Day in Room • Procedure charges • Local Anesthesia charges • OT / Cath Lab charges • Routine drugs, consumable inclusive during package stay • RF charges included in all Radio frequency procedures. • Doctor fee - Treating team visits is part of package during the package stay.
Exclusions • Over and above stay will be charged extra • All implants will be charges extra. (Sl no 36 to 42) • Admission documentation charges extra. • Anesthesia support will charge extra • If patient required ICU, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any investigation done as per the patient medical condition will be charged extra • Any special drugs & consumable as per the patient medical condition will be charged • Any cross consultations/ Physiotherapy charges, doctor charges above package stay will charges extra • Anything else not mentioned above will also be charged in addition
Birth Packages
Package Rates
Twin Signature Package Hrs. Single LDR Suite Sharing Deluxe LSCS - (P) 72 85000 105000 180000 248000 NORMAL DELIVERY - (P) 48 85000 105000 180000 248000
Inclusions • Stay – up to 48 / 72 hrs. based on the package • Procedure charges • Anesthesia charges for LSCS • OT charges / Labor room charges • Routine Post investigations during package stay • Routine Mamma Mia services ( Physiotherapy and Lactation consultation) • charges during the package stay • Emergency charges. • Doctor fee - Treating team visits is part of package during the package stay.
Exclusions • • Baby expenses will be charged extra • All drugs & consumable used will be charged extra • LDR Suite is extra @ 20000 • Over and above stay will be charged extra • Anesthesia support will be charge extra • Pain relief charges extra • Special investigations will be charged extra. • If patient required ICU, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • All Emergency Consultation / cross consultations / Physiotherapy charges, doctor charges above package stay will charges extra • High Risk Charges applicable as per hospital rates • Blood Processing Charges • Special Mammamia Services • Anything else not mentioned above will also be charged in addition
Special Charges
On "Mahurat" Cases - 25% Extra charges over the Package
High Risk cases - 25 % of Surgeon Charges, OT and Anesthesia fees Twin and other multi birth Cases - 50% Extra charges over Package (per new born)
Cardiac Packages – day packages
Angiography & Other One Day Packages
Inclusions • Stay - 1 Day in Room • Procedure charges • Cath Lab charges • Routine investigation inclusive during package stay related to the procedure • Routine drugs, consumable & ionic dye inclusive during package stay up to Rs 4000/- • Doctor fee - Treating team visits is part of package during the package stay.
Exclusions • Admission documentation charges • Over and above stay will be charged extra. • If patient required ICU, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • All drugs & consumable over and above 4000/- will be charged
PTCA / Primary PTCA and Pace Maker Packages
Inclusions • Stay – 2 Day in Room • Procedure charges • Cath Lab charges • Routine investigation inclusive during package stay related to the procedure • Doctor fee - Treating team visits is part of package during the package stay.
Exclusions • Admission documentation charges • All Drugs, Implants and consumables • Over and above stay will be charged extra. • If patient required ICU, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Blood Processing Charges will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)
All other Cardiac 2 & 3 days Packages S
Inclusions • Stay – 2 / 3 Day in Room • Procedure charges • Cath Lab charges • Routine drugs and consumable during package stay up to Rs 35000/- • Routine investigation inclusive during package stay related to the procedure • Doctor fee - Treating team visits is part of package during the package stay.
Exclusions • Admission documentation charges • All Drugs, Implants and consumables • Over and above stay will be charged extra. • All drugs , Implants & consumable over and above 35000/- will be charged • If patient required ICU, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Blood Processing Charges will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)
CTVS Packages CABG / Valve Surgery and other 8 Day Packages MITRAL VALVE REPLACEMENT - (P) CABG - (P) MITRAL / AORTIC VALVE REPAIR - (P) DOUBLE VALVE REPLACEMENT - (P) AORTIC VALVE REPAIR - (P) ASD CLOSURE / REPAIR - (P) VSD CLOSURE / REPAIR - (P)
Inclusions • Stay up to 8 Days (3 day ICU + 5 day room) • Surgeon fee, • O.R Charges • Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay related to the procedure • Blood Processing Charges – 3 Cross match & 3 Blood component • Treating Doctor / team Visits charges • Physiotherapy Charges during the package staying team visits and physiotherapy is part of package during the package stay.
Exclusions • All drugs, consumable will be charged on actuals • Over and above package stay will be charged extra. • Additional stay required in ICU over and above package, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Blood Processing Charges over and above 3 units will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required) • All Implants will be charges extra
All Other Cardiac Surgery - 8 Day Packages
Inclusions • Stay up to 8 Days (3 day ICU + 5 day room) • Surgeon fee, • O.R Charges • Anesthesia and Assistant Surgeon charges (If any). • All Routine Drugs, consumable limited to Rs 75000/- • Routine investigation inclusive during package stay related to the procedure • Blood Processing Charges – 3 Cross match & 3 Blood component • Treating Doctor / team Visits charges • Physiotherapy Charges during the package staying team visits and physiotherapy is part of package during the package stay.
Exclusions • All drugs, consumable over and above Rs 75000 will be charged on actuals • Over and above package stay will be charged extra. • Additional stay required in ICU over and above package, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Blood Processing Charges over and above 3 units will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required) • All Implants will be charges extra
Cardiac Close and Pead. Heart Packages
Package Days
Sl Package name Room ICU days No.
1 BT SHUNT WITHOUT BYPASS - (P) 4 3 7 2 CENTRAL SHUNT - (P) 4 3 7 3 AORTIC BIFEMORAL - (P) 3 3 6 4 CLOSED HEART SURGERY - (P) 3 3 6 5 FEM POP - (P) 3 3 6 6 LEFT CAROTID ENDARTERECTOMY - 3 3 6 (P) 7 RIGHT CAROTID ENDARTERECTOMY - 3 3 6 (P) 8 FEM FEM BYPASS OPERATION - (P) 3 3 6 9 AORTA FEM FEM BYPASS - (P) 3 3 6 10 PERICARDIECTOMY - (P) 3 3 6 11 ATRIAL SEPTECTOMY - (P) 4 3 7 12 BT SHUNT ON BYPASS - (P) 4 3 7
13 BD GLENN ON BYPASS - (P) 4 3 7 14 ASD REPAIR / CLOSURE - (P) 5 4 9 15 VSD CLOSURE - (P) 5 4 9 16 TOF - DORV REPAIR - (P) 5 4 9 17 AORTIC VALVE REPAIR - (P) 5 4 9 18 MITRAL VALVE REPAIR - (P) 5 4 9 19 AV CANAL REPAIR - (P) 5 4 9 20 CONDUIT REPAIR - (P) 5 4 9 21 ICR 5 4 9
All packages other than ICR
Inclusions • Stay up as per the package • Surgeon fee, • O.R Charges • Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay related to the procedure • Routine drugs, consumable are inclusive during package stay up to Rs 75000/ • Treating Doctor / team Visits charges • Physiotherapy Charges during the package staying team visits and physiotherapy is part of package during the package stay.
Exclusions • Over and above stay will be charged extra. • Additional stay required in ICU over and above package, ICU rent difference will be charged over and above (single Room package). • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • All drugs & consumable above Rs 75000/- will be charged • Blood Processing Charges (if required ) will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required) • All Implants will be charges extra
ICR – All Drugs and consumables will be charged on actuls
Joints Packages
For All Joints Packages
Inclusions
Admission Doc Charges Stay (5 and 7 ) Procedure cost OR charges Anesthesia Charges Assit. Surgeon Charges Nursing Charges Treating doc Visits charges Disposable and preparations charges
Exclusions
Drugs and Consumables Implants Investigations Sonosite, DVT, alpha bed etc Blood Processing charges PAC Cross Consult charges Physio charges
Bariatric Surgery Packages
Package Rates
LAPAROSCOPIC LAPAROSCOPIC LAPAROSCOPIC SLEEVE LAPAROSCOPIC Package SLEEVE REVISIONAL BARIATRIC GASTRECTOMY (SILS) GASTRIC BYPASS GASTRECTOMY SURGERY
LOS 3 3 4 4
Gen Ward 310000 270000 320000 340000
Twin Sharing 360000 315000 360000 400000
Single Room 430000 360000 430000 490000
Single Exe 436000 366000 438000 498000
Inclusions
Stay Procedure cost , OT and anesthesia charges Routine drugs and consumables including Stapler, Harmonic and Cartridges Gastrograffin study Single re exploration in OT (if need ) Team visits charges Physio if required
Exclusions All Investigations other than gastrograffin Blood processing charges if required Over and above package days Admission documentation charges Over and above package stay will be charged extra. If patient required ICU, ICU rent difference will be charged over and above Any additional procedure performed will be charged on actual. Any special investigation done as per the patient medical condition will be charged extra
Liver Transplant Packages Package Rates
Pre work up split (OPD) Amount
Pre op evaluation - Donor and Recipient 125000
Consultation charges- Donor and recipient-pre transplant evaluation – surgeons 25000
Pre Work up Package 150000
LT Package – Single room (STD) FMRI Proposed FMRI Proposed
28 Days (20 Days Recipient , 8 Days Donor) Adults Pediatric
TOTAL PACKAGE COST 1750000 1450000
Inclusions
Stay Surgeon fee, O.R Charges Anesthesia and Assistant Surgeon charges (If any). Routine investigation inclusive during package stay related to the procedure Routine drugs, consumable are inclusive during package stay limited up to Rs 500000/ for adult and Rs 300000/- peads Treating Doctor / team Visits charges Physiotherapy Charges during the package staying team visits and physiotherapy is part of package during the package stay.
Exclusions Does not include tumor evaluation, which cost around Rs 40000 (applicable to tumor/HCC patients only) Additional tests for pre-transplant evaluation like coronary angiography, micro-aggregated albumin scan, DTPA etc. Any donor evaluated but not found fit to donate would be charged additionally Cost of medical treatment needing admission, investigations (OPD and indoor), medicines before planning transplant. This cost would vary depending on patient’s disease and sickness. Non-liver related admission in hospital / procedures HLA/DNA profiling Immunoglobulin for hepatitis B patients – will cost around Rs 5,00,000 Stay outside hospital, post-discharge medicines and investigations
.
Kidney Transplant Packages
Package Rates
10 Days (10 Days Recipient , 6 Days Donor) Single KTP 245000
Inclusions
Kidney Transplant Package (DONOR + RECIPIENT) PACKAGE INCLUSION Donor Recipient Procedure cost, OT & Anesthesia Procedure cost, OT & Anesthesia Charges Charges One pre-operative dialysis Surgery D.J Stent Removal after four week as day care procedure. Any re-exploration charges if needed during hospital stay. 6 Days 10 days One day prior to surgery in twin sharing One day prior to surgery in single room room 4 days in ICU One day in ICU 4 days in single room Room Rent 5 days in sharing room Over and above the package days will be Donor can take upgrade room category charged extra by paying difference in the room rent Over and above the package days will be charged extra No downgrade in the room category will be allowed Pre-operative Pre-operative CBC, PT, PTTK, BUN, Creatinine, CBC, KFT, LFT, PT, PTTK, XRAY-CHEST Electrolytes Post –operative Post-operative CBC once daily during post-operative stay Investigation CBC twice in entire post-operative stay BUN, Creatinine, Na+, K+, twice daily during Electrolytes twice a day operative stay. X-ray Chest and ECG once in entire stay LFT once entire post-operative stay, 3 drug levels USG Doppler X Ray Chest & ECG twice Post-operative kidney biopsy &processing if needed All Drugs and consumables charged on actuals All Drugs and consumables charged on Drugs actuals
Blood 1 unit processing charges 4 unit processing charges & transfusion are Transfusion pop, over and above will be charged. Blood need to be arranged by the family. Consultation/ Urology & Nephrology team during Urology & Nephrology team during package Visit Physio package days days Visit Physio part of package Physio part of package Endocrinology consultation – 5 visits if required
Exclusions
Over and above package stay will be charged extra. Any additional procedure performed will be charged on actual. Any investigation done as per the patient medical condition will be charged extra All drugs & consumable will be charged Post-operative dialysis if required Post –operative plasmapheresis if required. Donor or Recipient pre-operative cardiac evaluation, ultrasound or any Donor CT angiography for renal vessels. Thymoglobulin (ATG) or monoclonal antibodies (OKT3) / Valcyle tab. Interleukin II receptor blockers (Simulect, Zenapax etc.) Sirolimus / Certican Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required
10 Days (10 Days Recipient , 6 Days Donor) Single Cadaveric Kidney Transplant 600000
Cadaveric Kidney Transplant (RECIPIENT) PACKAGE INCLUSION Recipient Procedure cost, OT & Anesthesia Charges One pre-operative dialysis Surgery D.J Stent Removal after four week as day care procedure. Any re-exploration charges if needed during hospital stay. 10 days One day prior to surgery in single room 4 days in ICU 4 days in single room Room Rent Over and above the package days will be charged extra
Pre-operative CBC, KFT, LFT, PT, PTTK, XRAY-CHEST
Post –operative CBC once daily during post-operative stay Investigation BUN, Creatinine, Na+, K+, twice daily during operative stay. LFT once entire post-operative stay, 3 drug levels USG Doppler X Ray Chest & ECG twice Post-operative kidney biopsy &processing if needed All Routine Drugs and consumables limited to Drugs 150000/- included Blood 4 unit processing charges & transfusion are Transfusion pop, over and above will be charged. Blood need to be arranged by the family. Consultation/ Urology & Nephrology team during package Visit Physio days Visit Physio part of package Endocrinology consultation – 5 visits if required
Exclusions
Over and above package stay will be charged extra. Any additional procedure performed will be charged on actual. Any investigation done as per the patient medical condition will be charged extra Any special drugs & consumable as per the patient medical condition will be charged Routine Drugs and consumables limited up toRrs 150000 Post-operative dialysis if required Post –operative plasmapheresis if required. Donor or Recipient pre-operative cardiac evaluation, ultrasound or any Donor CT angiography for renal vessels. Thymoglobulin (ATG) or monoclonal antibodies (OKT3) / Valcyle tab. Interleukin II receptor blockers (Simulect, Zenapax etc.) Sirolimus / Certican Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required
GENERAL TWIN SINGLE / S. No. Head Billing SubGroup Item Name OPD DAY CARE WARD SHARING ICU /ER 1 PACKAGE ANESTHESIA PACKAGE LUMBAR INTERLAMINAR EPIDURAL INJECTION 12500 8500 8500 16500 25000 2 PACKAGE ANESTHESIA PACKAGE CAUDAL EPIDURAL STEROID INJECTION 12500 8500 8500 16500 25000 3 PACKAGE ANESTHESIA PACKAGE STELLATE GANGLION BLOCK 13000 9000 9000 17000 26000 4 PACKAGE ANESTHESIA PACKAGE COCCYGEAL + GANGLION IMPAR NEUROLYSIS 22000 16000 16000 25500 36500 5 PACKAGE ANESTHESIA PACKAGE THORACIC EPIDURAL INJECTION(FLUOROSCOPIC) 22500 16500 16500 26000 37000 6 PACKAGE ANESTHESIA PACKAGE DECOMPRESSIVE TRANSFORAMINAL +MEDIAN NERVE RHIZOTOMY 24000 17800 17800 27500 37500 7 PACKAGE ANESTHESIA PACKAGE PERIPHERAL NERVE RF/PRF 24000 17800 17800 27500 37500 8 PACKAGE ANESTHESIA PACKAGE CERVICALI EPIDURAL INJECTION(FLUOROSCOPIC) 24500 18000 18000 28000 38000 9 PACKAGE ANESTHESIA PACKAGE LUMBAR SYMPATHECTOMY BLOCK + NEUROLYSIS 25000 18500 18500 28500 38500 10 PACKAGE ANESTHESIA PACKAGE STELLATE GANGLION RFA 23000 19500 19500 31000 41000 11 PACKAGE ANESTHESIA PACKAGE HYPOGASTRIC PLEXUS BLOCK + NEUROLYSIS 23000 19500 19500 31000 41000 12 PACKAGE ANESTHESIA PACKAGE SI JOINT RFA 24300 20800 20800 32300 42300 13 PACKAGE ANESTHESIA PACKAGE CERVICAL DORSAL ROOT GANGLION (DRG) BLOCK 24500 21000 21000 32500 42500 14 PACKAGE ANESTHESIA PACKAGE LUMBAR DORSAL ROOT GANGLION(DRG)PRFA 27500 24000 24000 35500 45500 15 PACKAGE ANESTHESIA PACKAGE OZONE DISCOLYSIS PACKAGE 28000 24500 24500 36000 46000 16 PACKAGE ANESTHESIA PACKAGE SPHENOPALATINE GANGLION BLOCK + RFA 29000 25500 25500 37000 47000 17 PACKAGE ANESTHESIA PACKAGE MEDIAN BRANCH RADIOFREQUENCY RHIZOTOMY(LUMBAR) 29000 25500 25500 37000 47000 18 PACKAGE ANESTHESIA PACKAGE LUMBAR SYMPATHECTOMY BLOCK+ RFA 32000 28500 28500 40000 50000 19 PACKAGE ANESTHESIA PACKAGE GASSERIAN GANGLION NEUROLYSIS 33500 30000 30000 41500 51500 20 PACKAGE ANESTHESIA PACKAGE CERVICAL DORSAL ROOT GANGLION (DRG) PRFA 34500 31000 31000 42500 55000 21 PACKAGE ANESTHESIA PACKAGE CELIAC PLEXUS BLOCK + NEUROLYSIS 38000 34500 34500 46000 58500 22 PACKAGE ANESTHESIA PACKAGE GASSERIAN GANGLION RF RHIZOTOMY 41500 38000 38000 49500 62000 23 PACKAGE ANESTHESIA PACKAGE SPLANCHNIC NERVE BLOCK + RFA 42000 38500 38500 50000 62500 24 PACKAGE ANESTHESIA PACKAGE MEDIAN NERVE RHIZOTOMY(Diagnostic+RFA) 42000 0 0 50000 67000 25 PACKAGE ANESTHESIA PACKAGE CAUDAL BLOCK WITH RACZ ADHESIONLYSIS 45000 0 0 53000 70000 26 PACKAGE ANESTHESIA PACKAGE LUMBAR NUCLEOPLASTY 48000 0 0 56000 73000 27 PACKAGE ANESTHESIA PACKAGE INTRATHECAL MORPHINE IMPLANT -PORTA CATH SYSTAM 50000 0 0 58000 75000 28 PACKAGE ANESTHESIA PACKAGE CERVICAL NUCLEOPLASTY 75000 0 0 83000 100000 29 PACKAGE ANESTHESIA PACKAGE PERCUTANEOUS DISCECTOMY (ECONOMY) 85000 0 0 93000 110000 30 PACKAGE ANESTHESIA PACKAGE SPINAL CORD STIMULATOR 240000 0 0 268000 320000 31 PACKAGE ANESTHESIA PACKAGE PERIPHERAL NERVE FIELD STIMULATOR 470000 0 0 498000 550000 32 PACKAGE ANESTHESIA PACKAGE INTRATHECAL MORPHINE IMPLANT - MEDTRONIC PERMANENT PUMP 215000 0 0 240000 295000 33 PACKAGE ANESTHESIA PACKAGE PERIPHERAL NERVE BLOCK - (P) 12000 8000 8000 16000 24500 34 PACKAGE ANESTHESIA PACKAGE TRIGGER POINT INJECTION - (P) 11000 7500 7500 15000 23000 35 PACKAGE ANESTHESIA PACKAGE PYRIFORMIS BLOCK - (P) 15000 10800 10800 19000 28000 36 PACKAGE ANESTHESIA PACKAGE DECOMPRESSIVE TRANSFORAMINAL NEUROPLASTY(LUMBAR) - (P) 20000 13800 13800 24000 35000 37 PACKAGE ANESTHESIA PACKAGE MEDIAN BRANCH CHEMICAL RHIZOTOMY (LUMBER) - (P) 19000 12800 12800 23000 34000 38 PACKAGE ANESTHESIA PACKAGE MEDIAN BRANCH CHEMICAL RHIZOTOMY (CERVICAL) - (P) 21000 14500 14500 25000 36000 39 PACKAGE ANESTHESIA PACKAGE MEDIAN BRANCH RADIOFREQUENCY RHIZOTOMY (CERVICAL) - (P) 38000 34500 34500 46000 58500 40 PACKAGE ANESTHESIA PACKAGE S I JOINT RHIZOTOMY (CHEMICAL) - (P) 15000 10800 10800 19000 28000 41 PACKAGE ANESTHESIA PACKAGE SPHENOPALATINE GANGLION BLOCK - (P) 21500 15000 15000 25500 36500 42 PACKAGE CARDIOLOGY PACKAGE ASD / VSD DEVICE CLOSURE - (P) 57000 0 0 65000 80000 43 PACKAGE CARDIOLOGY PACKAGE BALLOON ATRIAL SEPTOSTOMY (PED) - (P) 20800 0 0 24000 31000 44 PACKAGE CARDIOLOGY PACKAGE CAROTID ANGIOGRAPHY - (P) 11700 0 9500 13500 18000 45 PACKAGE CARDIOLOGY PACKAGE CAROTID ANGIOPLASTY - (P) 100500 0 0 115000 140900 46 PACKAGE CARDIOLOGY PACKAGE CATH STUDY / CARDIAC CATHERIZATION - (P) 13000 0 11000 15000 18000 47 PACKAGE CARDIOLOGY PACKAGE CHECK ANGIOGRAPHY - (P) 0 0 8000 0 0 48 PACKAGE CARDIOLOGY PACKAGE CORONARY ANGIOGRAPHY ( CAG ) - (P) 13000 0 11000 15000 20000 49 PACKAGE CARDIOLOGY PACKAGE CORONARY ANGIOPLASTY ( PTCA ) - (P) 85000 0 0 97000 113000 50 PACKAGE CARDIOLOGY PACKAGE IVC FILTER IMPLANTATION - (P) 57000 0 0 65000 80000 51 PACKAGE CARDIOLOGY PACKAGE PACEMAKER - DOUBLE CHAMBER - (P) 42800 0 0 50000 64000 52 PACKAGE CARDIOLOGY PACKAGE PACEMAKER - SINGLE CHAMBER - (P) 33000 0 0 40000 52800 53 PACKAGE CARDIOLOGY PACKAGE PDA DEVICE CLOSURE ( PED ) - (P) 48000 0 0 55000 67800 54 PACKAGE CARDIOLOGY PACKAGE PERIPHERAL/RENAL ANGIOGRAPHY - (P) 11700 0 9500 13500 18000 55 PACKAGE CARDIOLOGY PACKAGE PERIPHERAL ANGIOPLASTY - (P) 100500 0 0 115000 140900 56 PACKAGE CARDIOLOGY PACKAGE RADIOFREQUENCY ABLATION (RFA) - (P) 57000 0 0 65000 80000 57 PACKAGE CARDIOLOGY PACKAGE RENAL ANGIOGRAPHY - (P) 11700 0 9500 13500 18000 58 PACKAGE CARDIOLOGY PACKAGE RENAL ANGIOPLASTY - (P) 100500 0 0 115000 140900 59 PACKAGE CARDIOLOGY PACKAGE ANGIOGRAPHY ( VENOGRAPHY ) - (P) 11700 0 9500 13500 18000 60 PACKAGE CARDIOLOGY PACKAGE ATRIAL SEPTAL DEFECT CLOSURE (ASD) - (P) 108000 0 0 128000 178000 61 PACKAGE CARDIOLOGY PACKAGE BALLOON AORTIC VALVULOPLASTY ( BAV ) - (P) 96000 0 0 110000 135000 62 PACKAGE CARDIOLOGY PACKAGE PRIMARY PTCA COMPLEX (P) 103000 0 0 117000 134000 63 PACKAGE CARDIOLOGY PACKAGE BALLOON MITRAL VALVULOPLASTY (BMV ) - (P) 96000 0 0 110000 135000 64 PACKAGE CARDIOLOGY PACKAGE BALLOON PULMONARY VALVULOTOMY (BPV) - (P) 96000 0 0 110000 135000 65 PACKAGE CARDIOLOGY PACKAGE BENTALL PROCEDURE - (P) 225000 0 0 258000 321000 66 PACKAGE CARDIOLOGY PACKAGE BIVENTRICULAR PACEMAKER - (P) 65800 0 0 75000 92000 67 PACKAGE CARDIOLOGY PACKAGE COMBO DEVICE - (P) 74500 0 0 85000 104000 68 PACKAGE CARDIOLOGY PACKAGE ICD - (P) 74500 0 0 85000 104000 69 PACKAGE CARDIOLOGY PACKAGE PDA COIL CLOSURE - (P) 39700 0 0 45000 55500 70 PACKAGE CARDIOLOGY PACKAGE PDA DEVICE CLOSURE- (P) 57000 0 0 65000 80000 71 PACKAGE CARDIOLOGY PACKAGE PULMONARY ANGIOGRAPHY - (P) 13000 0 11000 15000 20000 72 PACKAGE CARDIOLOGY PACKAGE PEDIATRIC DIAGNOSTIC STUDY (PAED) - (P) 13000 0 11000 15000 20000 73 PACKAGE CARDIOLOGY PACKAGE PERIPHERAL THROMBOLYSIS - (P) 13900 0 12000 16000 21000 74 PACKAGE CARDIOLOGY PACKAGE ELECTROPHYSIOLOGY STUDY- COMPLEX - (P) 20800 0 0 24000 31000 75 PACKAGE CARDIOLOGY PACKAGE COILING OF PULMONARY AV FISTULA/S (PAED) - (P) 39700 0 0 45000 55500 76 PACKAGE CARDIOLOGY PACKAGE PACEMAKER PROC (PAED) - (P) 39700 0 0 45000 55500 77 PACKAGE CARDIOLOGY PACKAGE VALVULOPLASTY - (P) 39700 0 0 45000 55500 78 PACKAGE CARDIOLOGY PACKAGE CORONARY STENTING - (P) 100000 0 0 115000 137000 79 PACKAGE CARDIOLOGY PACKAGE RENAL STENTING - (P) 100500 0 0 115000 140900 80 PACKAGE CARDIOLOGY PACKAGE AORTIC STENTING - (P) 100500 0 0 115000 140900 81 PACKAGE CARDIOLOGY PACKAGE PERIPHERAL STENTING - (P) 100500 0 0 115000 140900 82 PACKAGE CARDIOLOGY PACKAGE BALLOON TRICUSPID VALVULOPLASTY - (P) 100500 0 0 115000 140900 83 PACKAGE CARDIOLOGY PACKAGE ALCOHOL SEPTAL ABLATION - (P) 100500 0 0 115000 140900 84 PACKAGE CARDIOLOGY PACKAGE VALVULOPLASTY WITH ANESTHESIA - (P) 93600 0 0 107000 131000 85 PACKAGE CARDIOLOGY PACKAGE DEVICE CLOSURE OF ACQUIRED VSD - (P) 57000 0 0 65000 80000 86 PACKAGE CARDIOLOGY PACKAGE AORTIC VALVE BALLOON DILATATION - (P) 57000 0 0 65000 80000 87 PACKAGE CARDIOLOGY PACKAGE TEMPORARY PACING - (P) 7900 0 7900 7900 7900 88 PACKAGE CARDIOLOGY PACKAGE PEDIATRIC DIAGNOSTIC CHECK STUDY (PAED) - (P) 9500 0 7900 11500 18000 89 PACKAGE CARDIOLOGY PACKAGE PACEMAKER REPOSITIONING - (P) 10000 0 0 11500 17000 90 PACKAGE CARDIOLOGY PACKAGE PACEMAKER EXPLANTATION - (P) 10000 0 0 11500 17000 91 PACKAGE CARDIOLOGY PACKAGE DEVICE CLOSURE OF ASD (PAED) - (P) 48000 0 0 55000 67800 92 PACKAGE CARDIOLOGY PACKAGE DEVICE CLOSURE OF MITRAL PARAVALVAR LEAK (PAED) - (P) 48000 0 0 55000 67800 93 PACKAGE CARDIOLOGY PACKAGE STENTING OF CONDUIT (PAED) - (P) 48000 0 0 55000 67800 94 PACKAGE CARDIOLOGY PACKAGE STENTING OF PULMONARY ARTERY (PAED) - (P) 48000 0 0 55000 67800 95 PACKAGE CARDIOLOGY PACKAGE CORONARY ARTERY BYPASS GRAFTING(CABG) + TRANSMYOCARDIAL REVASCULARIZATION(TMR) - (P) 202000 0 0 231000 288000 96 PACKAGE CARDIOLOGY PACKAGE CORONARY ARTERY BYPASS GRAFTING ( CABG ) WITH EMERGENCY / HIGH RISK/BAD VESSLES - (P) 206000 0 0 235000 294000 97 PACKAGE CARDIOLOGY PACKAGE PRIMARY PTCA/ BALLONING - (P) 95000 0 0 107000 123000 98 PACKAGE CTVS PACKAGE CAROTID ENDARTERECTOMY - (P) 100000 0 0 110000 141000 99 PACKAGE CTVS PACKAGE CLOSED HEART SURGERY - (P) 100000 0 0 110000 141000 100 PACKAGE CTVS PACKAGE CORONARY ARTERY BYPASS GRAFTING ( CABG ) - (P) 155000 0 0 175000 250000 101 PACKAGE CTVS PACKAGE CORONARY ARTERY BYPASS GRAFTING ( CABG ) + AORTIC VALVE REPLACEMENT ( AVR ) - (P) 225000 0 0 258000 321000 102 PACKAGE CTVS PACKAGE CORONARY ARTERY BYPASS GRAFTING ( CABG ) + MITRAL VALVE REPLACEMENT ( MVR ) - (P) 225000 0 0 258000 321000 103 PACKAGE CTVS PACKAGE DOUBLE VALVE REPLACEMENT ( DVR ) - (P) 131000 0 0 160000 209000 104 PACKAGE CTVS PACKAGE MITRAL VALVE REPLACEMENT ( MVR ) - (P) 180000 0 0 200000 250000 105 PACKAGE CTVS PACKAGE PERICARDIECTOMY - (P) 100000 0 0 110000 141000 106 PACKAGE CTVS PACKAGE AORTIC VALVE REPLACEMENT ( AVR ) - (P) 180000 0 0 200000 250000 107 PACKAGE CTVS PACKAGE CABROL\BENTOLL - (P) 225000 0 0 258000 321000 108 PACKAGE CTVS PACKAGE AORTIC BIFEMORAL - (P) 100000 0 0 110000 141000 109 PACKAGE CTVS PACKAGE FEM POP - (P) 100000 0 0 110000 141000 110 PACKAGE CTVS PACKAGE FEM FEM BYPASS OPERATION - (P) 100000 0 0 110000 141000 111 PACKAGE CTVS PACKAGE AORTA FEM FEM BYPASS - (P) 100000 0 0 110000 141000 112 PACKAGE CTVS PACKAGE MITRAL VALVE REPAIR - (P) 108000 0 0 128000 168000 113 PACKAGE CTVS PACKAGE AORTIC VALVE REPAIR - (P) 114000 0 0 128000 174000 114 PACKAGE CTVS PACKAGE PULMONARY VALVE REPLACEMENT - (P) 180000 0 0 200000 250000 115 PACKAGE CTVS PACKAGE PULMONARY VALVE REPAIR - (P) 180000 0 0 200000 250000 116 PACKAGE CTVS PACKAGE AORTIC ANEURYSM REPAIR - (P) 180000 0 0 200000 250000 GENERAL TWIN SINGLE / S. No. Head Billing SubGroup Item Name OPD DAY CARE WARD SHARING ICU /ER 117 PACKAGE CTVS PACKAGE EXCISION OF LT ATRIAL MYOXMA - (P) 180000 0 0 200000 250000 118 PACKAGE CTVS PACKAGE ABDOMINAL AORTIC SURGERY - (P) 180000 0 0 200000 250000 119 PACKAGE CTVS PACKAGE TRICUSPID VALVOTOMY - (P) 180000 0 0 200000 250000 120 PACKAGE CTVS PACKAGE ASD HEART PORT SURGERY - (P) 202000 0 0 231000 288000 121 PACKAGE CTVS PACKAGE ASCEND AORTA REPLACEMENT - (P) 225000 0 0 258000 321000 122 PACKAGE CTVS PACKAGE DESCEND AORTA REPLACEMENT - (P) 225000 0 0 258000 321000 123 PACKAGE CTVS PACKAGE AORTIC ARCH REPLACEMENT - (P) 225000 0 0 258000 321000 124 PACKAGE CTVS PACKAGE DACRON WRAP TO AORTA - (P) 225000 0 0 258000 321000 125 PACKAGE DENTAL-PACKAGE CLEFT LIP AND PALATE PACKAGE 32000 32000 126 PACKAGE OBSTETRICS & GYNAECOLOGY PACKAGE LOWER SEGMENT CAESAREAN SECTION ( LSCS ) - (P - 3 DAYS) 65000 0 85000 105000 127 PACKAGE OBSTETRICS & GYNAECOLOGY PACKAGE LDR (NORMAL DELIVERY) - (P) 65000 0 85000 105000 128 PACKAGE OPTHALMOLOGY PACKAGE Cataract Surgery - MICS + IOL 37800 129 PACKAGE OPTHALMOLOGY PACKAGE Cataract Surgery - Phaco + Foldable IOL 30400 130 PACKAGE OPTHALMOLOGY PACKAGE Cataract Surgery - Phaco + IOL 34200 131 PACKAGE ORTHOPEDICS PACKAGE REVISION OF TOTAL HIP REPLACEMENT ( THR ) - UL - (P) 126000 0 0 152000 207000 132 PACKAGE ORTHOPEDICS PACKAGE REVISION OF TOTAL KNEE REPLACEMENT ( TKR ) - UL - (P) 126000 0 0 152000 207000 133 PACKAGE ORTHOPEDICS PACKAGE TOTAL HIP REPLACEMENT ( THR ) - BL - (P) 158000 0 0 196000 271000 134 PACKAGE ORTHOPEDICS PACKAGE TOTAL HIP REPLACEMENT ( THR ) - UL - (P) 106000 0 0 132000 187000 135 PACKAGE ORTHOPEDICS PACKAGE TOTAL KNEE REPLACEMENT ( TKR ) - BL - (P) 158000 0 0 196000 271000 136 PACKAGE ORTHOPEDICS PACKAGE TOTAL KNEE REPLACEMENT ( TKR ) - UL - (P) 106000 0 0 132000 187000 137 PACKAGE PAEDIATRIC SURGERY PACKAGE BALLOON AORTIC VALVOTOMY (PAED) - (P) 39700 0 0 45000 55500 138 PACKAGE PAEDIATRIC SURGERY PACKAGE BALLOON MITRAL VALVOTOMY (PAED) - (P) 39700 0 0 45000 55500 139 PACKAGE PAEDIATRIC SURGERY PACKAGE DEVICE CLOSURE OF VSD (PAED) - (P) 48000 0 0 55000 67800 140 PACKAGE PAEDIATRIC SURGERY PACKAGE STENTING OF COARCTATION (PAED) - (P) 48000 0 0 55000 67800 141 PACKAGE PAEDIATRIC SURGERY PACKAGE COIL CLOSURE OF PDA (WITH ANESTHESIA) - (P) 63000 0 0 72000 89000 142 PACKAGE PAEDIATRIC SURGERY PACKAGE COIL CLOSURE OF PDA (WITHOUT ANESTHESIA) - (P) 57000 0 0 65000 80000 143 PACKAGE PAEDIATRIC SURGERY PACKAGE DEVICE CLOSURE OF ASD (WITH ANESTHESIA) - (P) 57000 0 0 65000 80000 144 PACKAGE PAEDIATRIC SURGERY PACKAGE DEVICE CLOSURE OF ASD (WITHOUT ANESTHESIA) - (P) 52800 0 0 60000 74000 145 PACKAGE PAEDIATRIC SURGERY PACKAGE DEVICE CLOSURE OF PDA (WITH ANESTHESIA) - (P) 57000 0 0 65000 80000 146 PACKAGE PAEDIATRIC SURGERY PACKAGE DEVICE CLOSURE OF PDA (WITHOUT ANESTHESIA) - (P) 52800 0 0 60000 74000 147 PACKAGE PAEDIATRIC SURGERY PACKAGE ASD REPAIR / CLOSURE (PED) - (P) 150000 0 0 164000 220000 148 PACKAGE PAEDIATRIC SURGERY PACKAGE ATRIAL SEPTECTOMY - (P) 127000 0 0 140000 183000 149 PACKAGE PAEDIATRIC SURGERY PACKAGE AV CANAL REPAIR - (P) 150000 0 0 164000 220000 150 PACKAGE PAEDIATRIC SURGERY PACKAGE BD GLENN ON BYPASS - (P) 127000 0 0 140000 183000 151 PACKAGE PAEDIATRIC SURGERY PACKAGE BT SHUNT ON BYPASS - (P) 127000 0 0 140000 183000 152 PACKAGE PAEDIATRIC SURGERY PACKAGE CONDUIT REPAIR - (P) 150000 0 0 164000 220000 153 PACKAGE PAEDIATRIC SURGERY PACKAGE INTRA CARDIAC REPAIR - (P) 150000 0 0 164000 220000 154 PACKAGE PAEDIATRIC SURGERY PACKAGE VSD CLOSURE (PED) - (P) 150000 0 0 164000 220000 155 PACKAGE PAEDIATRIC SURGERY PACKAGE BALLOON PULMONARY VALVOTOMY (PAED) - (P) 93600 0 0 107000 131000 156 PACKAGE PEDIATRICS CARDIOLOGY PACKAGE BT SHUNT WITHOUT BYPASS - (P) 95000 0 0 105000 133000 157 PACKAGE PEDIATRICS CARDIOLOGY PACKAGE CENTRAL SHUNT - (P) 95000 0 0 105000 133000 158 PACKAGE PEDIATRICS CARDIOLOGY PACKAGE TOF - DORV REPAIR - (P) 78000 0 0 92000 148000 159 PACKAGE PEDIATRICS CARDIOLOGY PACKAGE AORTIC VALVE REPAIR (PAED) - (P) 150000 0 0 164000 220000