Action Cancer Hospital

Sno Page 1. Registration 3 2. OPD Consultation 3 3. Room Rent / Bed Charges 3 4. Advance on Admission 4 5. Ambulance Charges 5 6. Casualty 5 7. Consultant Visit Charges 5 8. Equipment Charges/day 6 9. Labortary Services 8 A. Biochemistry 8 B. Clinical Pathology 11 C. Fluorescence In Situ Hybridization (FISH) 12 D. Flowcytometry 14 E. Genetic Labortary 14 F. Hematology 16 G. Histopathology and Cytopathology 17 H. Immunohistochemistry 19 I. Immunoassay 20 J. Karyotyping 26 K. Microbiology 26 L. Molecular Testing 27 M. Profiles 29 N. Blood Bank and Transfusion Medicine 30 10. Physiotherapy 31 11. Neurophysiology and Cardiac Non-Invasive Procedures 34 12. Nuclear Medicine 35 13. Radiology 39 A. X-Ray 39 B. Special Investigations 41 C. Mammography 42 D. Bone Densitometry 42 E. OPG 42 F. Ultrasound 42 G. Doppler Studies 44 H. CT scan 44 I. MRI 47 14. Surgeon Charges For Surgery / Procedure 52 15. Common Procedure 54 16. Common Procedure (OT/Minor OT/ OPD/Emergency) 55 17. Critical Care and Emergency Medicine 56 18. Cardiothoracic & Vascular Surgery 57 19. Angiography 59 20. Temporary Pacemaker Implantation (TPI) 60 21. Package Charges For Specialized Permanent Pacemaker 60 22. IVC Filter 60 23. Misc. Procedures 61

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Sno Page 24. Pulmonary Procedures 61 25. Pediatric Pulmonary Procedures 63 26. Plastic Surgery 63 27. ENT 63 28. Endocrine Surgery 74 29. Gastroenterology 77 30. General Surgery 81 31. Gastrointestinal Surgery 93 32. Gynaecology 97 33. Interventional Radiology 101 34. Interventional Neuroradiology 101 35. G.I-Interventional Radiology 102 36. Nephrology 104 37. Neuro Surgery 105 38. Orthopaedics 107 39. Arthroscopic Surgery 112 40. Rheumatology 112 41. Pain Clinic 113 42. Urology 116 43. Hospital Packages 120 44. Operation Theatre Charges 121 45. Operation Charges 122 46. Anesthesia Charges and Minor O.T Charges 122 47. Action Health Checkup Programs 124 48. Chemotherapy Charges 128 49. Radiotherapy 129 50. Surgical Oncology 131 A. a.Bone and Soft Tissue Oncology 131 B.b. Gynae Oncology 132 C.c. Head and Neck Oncology 135 D.d. Plastic Oncology 140 E. e.Gastro Interstinal Oncology 140 F. f.Breast Oncology 144 G.g. Thoracic & Pediatric Onco Surgeries 145

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1. REGISTRATION One Time Registration Charges - General OPD 100 One Time Registration Charges - Pvt. OPD 200 General OPD Card 50 Gen OPD Skin 150 Gen OPD Endocrinology 150 Gen OPD Psychiatry 150 IPD (File charges ) 500

2. OPD CONSULTATION

General OPD – FREE Private OPD 1st visit Review Visit (within week) Super - Specialty Sr. Consultant 1000 800 Consultant 800 650 Associate Consultant 500 450 General Specialty Sr. Consultant 950 750 Consultant 750 600 Associate/Junior Consultant 450 400

International Patient Consultation 1500 1500 Naturopathy Consultation 400 Dietician Consultation 400 Physiotherapist Consultation 400

3. ROOM RENT CHARGES (FOR Room/Bed and Diet Only) Category

Deluxe Suite 15000 Suite 13000 SRMC 9500 Deluxe 9500 Private 8000 Semi-Private 5500 Economy 3800 Nursery - HDU(High Dependency Unit), Septic Nursery 4500 Day Care 3500 Daycare (stay upto 4 hrs only for Dialysis) 1950 Day Care (Stay upto 4 hrs only for chemotherapy) 1600 Daycare (Stay upto 6 hrs only for chemotherapy) 1950 Daycare (Stay more than 6 hrs only for chemotherapy) 3000 Heart Command (Cardiac ICU) 10500

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Category

ICU / Critical Care Unit / Cath Recovery 10500 HDU (High Dependency Unit) 7500 PICU 10500 NICU 6500 General Ward FREE Isolation / Iodine therapy / Lutetium Therapy Room 10500

Notes:-

1. Room charges for full day on the day of admission irrespective of time of checking in. If patient is discharged within 24hrs. Of admission room/bed charges are charged only for one day. 2. Accommodation charges include charges for room/bed, nursing care, diet and other ancillary services. Consultant visit charges will be extra. 3. Accommodation charges will be calculated from 12 Noon to 12 Noon next day (1 day). 4. In case the patient is shifted from lower category to higher category, the charges of the higher category will be applicable on the patient from the date of admission. 5. For Deluxe/Suite/Deluxe suite category, there would be 20% increase from Private & semi-Private rate for investigations. 6. In case OPD procedures are performed in IPD, there would be 10% increase from the OPD procedure charges. 7. If the patient expires within 8 hours of admission or the patient is referred on consultant’s recommendation than 50% of Room Rent will be charged. 8. In case charges for any procedure/ surgery/services are not mentioned in this SOC, the same will be picked up from SOC of Action Cancer Hospital (2019-2020) 9. Consultant services for Nutrition Consultation shall be levied at Rs 400/- one time charge for IPD Patient 10. Procedure Services for TPA Document processing shall be levied at Rs1500/-

4. ADVANCE ON ADMISSION Room Type

Suite 50000 Pvt./Dlx./HC/ICU 40000 Semi Private 30000 Economy 20000 General Ward 10000 Day Care / Elective Surgery Total Anticipated Bill New Born 7000 Free Bed Category Nil For Surgery 50% of the Expected Operation Fee Day Care 5000

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ADVANCE BOOKING CHARGES (i) DAY CARE : a. Day care admission timings are 8A.M. to 2P.M. only. Patient will be discharged up to 8 P.M. In case patient remains in the hospital after 8 P.M., then regular admission will be made. b. Day care Bed charges and the doctor consultation, procedure and investigation charges are according to the Economy Category. (ii) CANCELLATION OF BOOKING: a. In case of cancellation of booking prior to 24 hours total amount will be returned less Rs. 200/-. b. Cancellation within 24 hours till 9A.M. of the same day for which booking is made 50% of the amount will be refunded. Thereafter no refund will be made. The booked accommodation will be kept vacant for the patient till 11.45 A.M., thereafter the bed could be allotted to anybody else.

5. AMBULANCE CHARGES (i) General Ambulance Charges -- Per Km(Hospital to Hospital) Minimum Rs. 500 upto first 10km, thereafter Rs. 25 per Km. Doctor accompanying the Ambulance: Rs. 750 ii) Critical Care Ambulance Charges -- Per Km(Hospital to Hospital) Minimum Rs. 1000 upto first 10Km, thereafter Rs. 40 per Km. Rs. 600 per hour charges for Ventilator/BIPAP Doctor accompanying the ambulance: Local Rs. 1000, Outstation: Rs. 1500 upto 100 Km, thereafter Rs. 2500

6. CASUALTY 1. Registration Free 2. Drugs Inj. TT/Paracetamol/Buscopan will be provided free of charge from the casualty. Other drugs or materials will be replaced or charged extra. 3. Stitching Free up to 5 stitches 4. Stay Maximum duration of stay in casualty is 4 hours. Any patient staying in the casualty for more than 4 hours, day care bed charges will be applicable.

7. CONSULTANT VISIT CHARGES (Indoor) Category 2 Visits /Day Ist Visit 2nd Visit Suite/Super Deluxe Suite 3100 1650 1450 Deluxe/SRMC 2200 1200 1000 ICU/PICU/NICU/Heart Command 2700 1500 1200 Cath Recovery/HDU/Nursery 2000 1100 900 Private 2000 1050 950 Semi- Private 1600 850 750 Economy 1100 600 500 Casualty 900 -

Isolation /Iodine/Lutetium Room/BMT 2000 1050 950 General Ward Free Free Free

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DEPARTMENT OF CRITICAL CARE AND EMERGENCY MEDICINE Category 2 Visits /Day Ist Visit 2nd Visit Intensivist visit for ICU Patient -- Patient 1500 850 650 On Ventilator Intensivist visit for ICU Patient -- Others 850 850 ----- Intensivist visit for HDU Patient -- Patient 850 850 ----- on Bipap Intensivist visit for HDU Patient -- Others 425 425 -----

Notes: 1. Nursery Visit Charges: For babies born in this hospital, the charges will be as per the mother category charges but for the babies born outside, PICU charges will be applicable 2. Free Visit: Consultant will be paying free visits to general ward patients, hospital staff and staff dependents and some special cases.

3. Emergency Night Visit Charges: 50 % of visit charges will be charged extra (10 P.M. to 7 A.M.) 4. Resuscitation Charges: For life threatening situation or prolonged emergency management (over 2 hours duration) Rs. 1000 for all categories. 5. Ventilator Management: It includes Endotracheal Intubation, Ventilator Application, Proper care and minimum 2 visit/day of Anaesthetists. Charges are Rs. 1000 1st day for all category and thereafter according to the consultant’s visit charges per day. 6. Medical/Fitness Certificate: Rs. 50 Each 7. Intensivist Charges: Will be in addition to the Treating Consultant visit Charges. i.e. 4 visit per day :- 2 of treating consultant + 2 of Intensivist

8. EQUIPMENT CHARGES (PER DAY) Dlx./ Pvt Eco Equipment Name /SPvt /OPD 1 Nebulizer 580 290 2 Defibrillator 850 640 3 Ventilator 2890 2630 4 Slow Suction 700 560 5 Incubator 980 560 6 Phototherapy 980 560 7 Pulse Oxymeter 870 640 8 Infusion Pump 850 580 9 Cardiotocogram 3640 2380 10 Bipap Charges 2100 1580 11 Alpha (Trancell) Bed 870 640 12 Alpha (Xcell) Bed 870 640 13 DVT Pump 770 550

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Dlx./ Pvt Eco Equipment Name /SPvt /OPD 14 RF Machine 13980 13980 15 MAMA TENS MYTIME Maternity Tens Unit 5720 5720 16 Uroflowmetry (including surgeon's fees 25%) 1390 1010 Radio Frequency Generator & Electrode for Pain 17 11440 11440 Management 18 Radio Frequency Generator for RFA for liver treatment 50820 50820 19 Ambuscope 6360 6360 20 Urodynamic Studies 11550 9240 21 Laser/ Fiber/ Instruments Charges for URS/ Minpac 13860 13860 22 Laser/ Fiber/ Instruments Charges for Holep/ RIRS 28880 28880 Infusion Pump Charges for Daycare (for Chemotherapy 23 290 230 only) Oxygen charges Normal 1400 With Ventilator 1400

Cost of Medicines/ Consumables will be charged extra for above equipments.

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9. LABORATORY SERVICES A. Biochemistry Code Test Pvt/Semi Eco OPD B-1 5-ALA, Qualitative, Urine 5550 4910 4270 B-2 ABG (Arterial Blood Gas Analysis) 1140 1020 880 B-3 Acid Phosphatase (Prostatic) 450 400 350 B-4 Acid Phosphatase (Total) 230 210 180 B-5 Adenosine Deaminase (ADA) 830 740 640 B-6 Alcohol Screen Blood 950 830 720 B-7 Alcohol Screen Urine 950 830 720 B-8 Aldolase 950 830 720 B-9 ALP (Alkaline Phosphatase) 230 210 180 B-10 Alpha -1 Antitrypsin (Quantitative) 2780 2470 2140 B-11 Amino Acid (Qualitative)Plasma 1640 1450 1260 B-12 Amino acids, Blood, Quantitative 5550 4910 4270 B-13 Amino Acids, Qualitative, 2D Urine 1680 1480 1290 B-14 Ammonia, Blood 1440 1270 1100 B-15 Amylase 600 540 460 B-16 Apolipoprotein A1 & B 950 830 720 B-17 ASO Titre (Quantitative) 760 660 580 B-18 Benzodiazepine Screen, Random Urine 960 850 740 B-19 Beta 2 Glycoprotein Screen Panel-1 3580 3160 2750 B-20 Beta 2 Microglobulin 1810 1600 1390 B-21 Bilirubin -T 360 320 270 B-22 Blood Glucose (Fasting) 130 110 90 B-23 Blood Glucose (Glucometer) 130 110 90 B-24 Blood Glucose (PP) 130 110 90 B-25 Blood Glucose (Random) 130 110 90 B-26 Blood Urea 170 150 130 B-27 Blood Urea Nitrogen (BUN) 180 160 140 B-28 BNP (Quantitative) 2290 2020 1760 B-29 Calcium 230 210 180 B-30 Calcium Ionized 760 660 580 B-31 Catecholamines And VMA,24hr. Urine 12160 10750 9350 B-32 Catecholamines, 24 Hours Urine 7510 6650 5780 B-33 Catecholamines, plasma 10010 8860 7700 B-34 Chloride 190 170 150 B-35 Cholesterol Total 190 170 150 B-36 Cholinesterase Serum 680 610 530 B-37 Chromogranin A, Whole Body 12300 10880 9460 B-38 Clopidogrd(Pgx) 4780 4230 3680 B-39 Copper, 24 hour urine, Atomic absorption 2590 2300 2000 B-40 CPK (CK NAC) 360 320 270 B-41 CPK-MB 580 500 440 B-42 Creatinine 180 160 140 B-43 Creatinine Clearance 680 610 530 B-44 CRP (Quantitative) 540 470 410

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Code Test Pvt/Semi Eco OPD B-45 CRP (ultra sensitive) 1050 930 810 B-46 Cryoglobulins Qualitative Test 1320 1180 1020 B-47 CSF Protein Electrophoresis Oligoclonal Bands 5660 5000 4350 B-48 Electrolytes, Serum 550 480 420 B-49 Fluid for Amylase 600 540 460 B-50 Fructosamine 640 570 490 B-51 Gamma GT (GGT) 330 290 250 B-52 GCT (Glucose Challenge Test) 140 130 110 B-53 GFR (Glomerular filtration rate) 270 240 210 B-54 GGTP 350 300 260 B-55 GTT (Glucose Tolerance Test) 1180 1040 900 B-56 HbA1c (Glycosylated Hemoglobin) 600 540 460 B-57 HDL Cholesterol (Direct) 350 300 260 B-58 Homocysteine (Quantitative) 1240 1100 960 B-59 IMD panel, Quantitative, Blood 5460 4830 4200 B-60 Insulin (PP) 1140 1020 880 B-61 Kappa & Lambda Light Chains, Random Urine 11010 9740 8470 B-62 Kappa & Lambda Light Chains, Serum 11010 9740 8470 B-63 Lactate Plasma 1320 1180 1020 B-64 LDH 480 420 370 B-65 LDL Cholesterol (Direct) 410 370 320 B-66 Lead Blood 2240 1980 1720 B-67 Lipase 870 780 670 B-68 Lipoprotein (A) (LPA) 1320 1180 1020 B-69 Lithium 410 370 320 B-70 Magnesium 680 610 530 B-71 Maternal Serum Screen 4; Quadruple Test 4740 4190 3640 B-72 Metabolic Screen, Basic, Urine 860 760 660 B-73 Metabolic Screen, Comprehensive, Urine 2260 2000 1730 B-75 Methotrexate Level 3760 3320 2890 B-76 Microalbumin, 24 hrs Urine 760 660 580 B-77 Microalbumin, First morning Urine/ Random 760 660 580 B-78 Myoglobin Serum 5540 4900 4260 B-79 Organic Acid in Urine Quantitative 4960 4380 3810 B-80 Organic acids, Quantitative, Random urine, 4960 4380 3810 full panel B-81 Oxalate, 24 hrs Urine 2400 2120 1850 B-82 Phosphorus 230 210 180 B-83 Potassium (K) (Electrolyte-K) 230 210 180 B-84 RA Factor/RF (Quantitative) 580 500 440 B-85 Selenium, Serum 4450 3940 3420 B-86 Serum Iron TIBC 600 540 460 B-87 Serum Osmolality 950 830 720 B-88 SGOT/AST 230 210 180 B-89 SGPT/ALT 230 210 180 B-90 Sodium (Na) (Electrolyte-Na) 230 210 180

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Code Test Pvt/Semi Eco OPD B-91 Stone Analysis 1440 1270 1100 B-92 Total Protein & Albumin with A : G ratio 230 210 180 B-93 Transferrin 1500 1330 1160 B-94 Triglyceride 400 350 300 B-95 Trop-T (Qualitative) 2260 2000 1730 B-96 Trop-T (Quantitative) 2260 2000 1730 B-97 Troponin - I 2260 2000 1730 B-98 Uric Acid 210 180 160 B-99 Urinary -17 Ketosteroids,24 hrs urine 8260 7310 6350 B-101 Urinary -Creatinine (24 hrs) 350 300 260 B-100 Urinary Calcium 350 300 260 B-102 Urinary Osmolality 950 830 720 B-103 Urinary Phosphorus 350 300 260 B-104 Urinary Potassium 320 270 240 B-105 Urinary Protein (24 hrs) 350 300 260 B-106 Urinary Sodium 350 300 260 B-107 Urinary Urea (24 Hrs) 350 300 260 B-108 Urinary Uric Acid 350 300 260 B-109 Valproic Acid 1130 1000 870 B-110 Vanillylmandelic Acid (VMA),(HPLC) 24 hrs 5100 4520 3930 Urine B-111 Vitamin D, 1.25-Dihydroxy 4500 3990 3470 B-112 Vitamin D,25-Hydroxy 2260 2000 1730 B-113 Vitamin E Serum; Tocopherol Serum 9830 8690 7560 B-114 Zinc Level 2460 2170 1890 B-115 GAD-65 (Glutamic Acid Decarboxylase 65)Ig G 8580 7590 6600 B-116 Inhibin A, Tumor Marker 1050 930 810 B-117 Neuron Specific Enolase (NSE), Serum 4440 3930 3410 B-118 Parietal Cell Antibody, IFA 2040 1800 1560 B-119 Pyruvate Kinase Screen Quantitative Pyruvate 4410 3900 3390 Acid B-120 Urine For 7 Drug Screen 5460 4830 4200 B-121 Urinary Urea (Random) 350 300 260 B-122 Urinary Protein Creatinine Ratio 630 560 480 B-123 Urinary Creatinine Clearance (24 Hrs) 350 300 260 B-124 Urinary Creatinine (Random) 350 300 260 B-125 Urinary Calcium (24 Hrs) 350 300 260 B-126 SAAG Ratio 420 380 330 B-127 Fluid Lipase 870 780 670 B-128 Fluid LDH 480 420 370 B-129 Anti Tryptase 9580 8480 7370 B-130 Vitamin A (Retinol) 8580 7590 6600 B-131 Troponin +CK-MB + BNP (card Based) - 3900 3450 3000 Casualty B-132 Troponin +CK-MB + BNP (card Based) - 3900 3450 3000 Cardiology

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Code Test Pvt/Semi Eco OPD B-133 Troponin I (Card Based)-Casualty 1950 1725 1500 B-134 Troponin I (Card Based) - Cardiology 1950 1725 1500

B. CLINICAL PATHOLOGY Code Investigation Pvt/Semi Eco OPD C-1 ASO Rapid Test 490 430 380 C-2 Bence Jones Protein (Urine) 760 660 580 C-3 Buccal Smear Barr Bodies 480 420 370 C-4 CD19(PAN B Cell Marker) Flowcytometry 2800 2480 2150 C-5 Chyluria 680 610 530 C-6 Filaria Antigen 1130 1000 870 C-7A Fluid Examination all (Bio) 300 270 230 C-7B Fluid Examination all (Micro) 300 270 230 C-8A Fluid Examination Others(BAL,Gastric etc) 300 270 230 (Bio) C-8B Fluid Examination Others(BAL,Gastric etc) 300 270 230 (Micro) C-9 Gastric Aspirate for Polymorphs 140 130 110 C-10 Hanging Drop -Stool 170 150 130 C-11 Hemosiderin (Urine) 480 420 370 C-12 Occult Blood (Stool) 190 170 150 C-13 Paroxysmal Nocturnal Hemoglobinuria 1640 1450 1260 C-14 PBG, Qualitative, Urine 4750 4200 3650 C-15 Porphyrins, Total, Random Urine (Qualitative) 5980 5290 4600 C-16 Post Coital Smear Examination 180 160 140 C-17 Pregnancy Test 230 210 180 C-18 Rapid Dengue 2550 2260 1960 C-19 Rapid Malaria 950 830 720 C-20 Semen Analysis 620 550 470 C-21 Semen Fructose Quantitative 350 300 260 C-22 Semen Wash 1740 1540 1340 C-24 Stool By Concentration Method 170 150 130 C-25 Stool Examination, pH & Reducing 180 160 140 Substances C-26 Stool Routine & Microscopy 150 140 120 C-27 TPHA (Treponema Pallidum Haem 760 660 580 Agglutination) C-28 Typhidot (Rapid Test For Typhoid) 630 560 480 C-29 Urine Bile Salt + Bile Pigments 150 140 120 C-30 Urine Dysmorphic RBC 440 390 340 C-31 Urine For Acetone 140 130 110 C-32 Urine for Hemoglobin 270 240 210 C-33 Urine Protein 350 300 260 C-34 Urine Routine & Microscopy 150 140 120 C-35 Urine Sugar 110 90 80 C-36 Urine Urobilinogen 170 150 130

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Code Investigation Pvt/Semi Eco OPD C-37 VDRL/ RPR (for Syphilis) 220 190 170 C-38 Widal (tube method) 410 370 320 C-39A CSF Fluid Examination (Micro) 300 270 230 C-39B CSF Fluid Examination (Bio) 300 270 230 C-40A Fluid Examination Ascitic (Micro) 300 270 230 C-40B Fluid Examination Ascitic (Bio) 300 270 230 C-41A Fluid Examination Pericardial Fluid Exam 300 270 230 (Micro) C-41B Fluid Examination Pericardial Fluid Exam 300 270 230 (Bio) C-42A Fluid Examination Pleural(Micro) 300 270 230 C-42B Fluid Examination Pleural(Bio) 300 270 230 C-43 Urine For Myoglobin (Qualitative) 280 250 220 C-44 Urine For ketone 140 130 110 C-45 Urine for Trypsinogen-2 1770 1580 1370 C-46 DHR Test For CGD(Neutrophil Oxidative 1720 1520 1320 Burst Assay) C-47 Respiratory Panel 8 4290 3800 3300 C-48 HLA- panel reactive IgG antibody (PRA) Class- 10500 10500 10500 1 Quantitative C-49 HLA- panel reactive IgG antibody (PRA) Class- 10500 10500 10500 2 Quantitative C-50 JC/BK Virus Detetion PCR 8580 7590 6600 C-51 Pneumocystis (IFA) 3120 2760 2400 C-52 Des - Gamma Carboxy Prothrombin (DCP) / 5010 4430 3850 PIVKA II, Serum C-53 Histone Antibodies 1940 1710 1490 C-54 Nx Gen Clinical Exome Sequencing Advanced 25000 25000 25000 C-55 Scrub Typhus (TSUTSUGAMUSHI) Antibody 1140 1010 880

C. Fluorescence In Situ Hybridization (FISH) Code Investigation Pvt/Semi Eco OPD F-1 Del(13) For CLL 5340 4730 4110 F-2 1p19q Co-Delection 13200 13200 13200 F-3 3q (TERC) Human Telomerace Gene 13200 13200 13200 F-7 ALK-FISH 11990 11990 11990 F-8 AML panel with (MLL by FISH 14850 14850 14850 PML/RARa,AML/ETO,Inv 16) F-9 BCL2(18q21.3)Translocation- Tissue 11000 11000 11000 F-12 BCL6 Tissue Gene Rearrngement 11000 11000 11000 F-13 BCL6 Bone Marrow/Blood Gene 6440 5690 4950 Rearrangement F-14 BCR - Abl FISH (t (9;22)) 5720 5060 4400 F-16 C-MYC 13200 13200 13200 F-17 CLL Prognosis By FISH 10000 10000 10000 F-20 Cyclin D1 t(11:14) 7150 6330 5500

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Code Investigation Pvt/Semi Eco OPD F-21 Del 13q BY FISH 5860 5190 4510 F-22 Del 22q (N-25 Probe) 12160 10750 9350 F-23 FISH FOR 8:21 Translocation 5970 5280 4590 F-24 FISH for Inversion 16 FISH 5970 5280 4590 F-26 Her2/Neu Gene Amplification by FISH 11550 11550 11550 F-27 IGH/BCL2 Detect. FF T(14;18)For Folli. 6440 5690 4950 Lymph.(ONC) Bone marrow F-28 IGH/BCL2 Detect. FF T(14;18)For Folli. 7870 6960 6050 Lymph.(ONC) for block F-29 Inv 16 5970 5280 4590 F-31 PML/RARA By FISH 6940 6140 5340 F-32 MDS Panel FISH 12000 12000 12000 F-34 MLL Gene Break Apart Rearrangement 7870 6960 6050 F-35 Monosomy 5 BY FISH 6080 5380 4680 F-36 Monosomy 7 BY FISH 6080 5380 4680 F-38 MTHFR Mutation Detection 13310 13310 13310 F-39 Multiple Myeloma FISH 11550 11550 11550 F-40 MYCC FISH 13200 13200 13200 F-43 N-MYC Gene Amplification By FISH 11000 11000 11000 F-47 PIK3CA Gene Mutation 13200 13200 13200 F-49 ROS1 8000 8000 8000 F-50 Synovial Sarcoma Rearrangement 17160 17160 17160 F-51 T(11:22)BY FISH 10230 9050 7870 F-52 t(14;18) BY FISH 11000 11000 11000 F-53 t(5;12)PDGFRB/ETV6 6440 5690 4950 F-54 t(8;14) BY FISH 7150 6330 5500 F-55 TMPRSS2-ERG 13200 13200 13200 F-56 Trisomy 12 6440 5690 4950 F-57 UroVysion FISH 13200 13200 13200 F-58 X Y Chromosome 16500 16500 16500 F-59 ALL panel by FISH(BCR-ABL, ETV6/ RUNX-1, 10000 10000 10000 MLL) F-60 NGS Lung Panel *MET,*KRAS,*BARF, ERBB2, 18300 18300 18300 EGFR F-61 Tumor Mutation Burden 70000 70000 70000 F-62 MDM2 Amplification by Fish 8450 7470 6500

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D. FLOW CYTOMETRY Code Investigation Pvt/Semi Eco OPD FC-1 CD34 Absolute Count by Immuno 7150 6330 5500 phenotyping FC-2 DNA Ploidy S Phase-Leukemia 3290 2910 2530 FC-3 DNA Ploidy & S Phase-Solid Tumours 3290 2910 2530 FC-5 Helper(CD4) Cells Enumeration 1320 1180 1020 FC-6 HLA-B27 Flow Cytometry 3310 2920 2540 FC-7 Leukaemia diagnostic panel - Acute 12080 12080 12080 leukaemia (Core Diag.) FC-8 Leukemia Immunophenotyping 10160 10160 10160 FC-9 Leukemia Residual Disease 9610 8510 7390 FC-10 Lymphoma Immunophenotyping 9610 8510 7390 FC-11 Lymphoma Residual Disease 7200 6370 5540 FC-12 MDS Immunophenotyping 10160 10160 10160 FC-13 Myeloma Immunophenotyping 6010 5310 4620 FC-14 Myeloma Residual Disease 7200 6370 5540 FC-15 Natural Killer Cell Panel 5320 4710 4100 FC-17 Paroxysmal Nocturnal Haemo.(P.N.H) Panel 4170 3690 3200 FC-18 Peripheral Blood Blast Monitoring 1500 1330 1160 FC-19 ZAP-70(Prognostic B-Cell Master) 3000 2660 2310 FC-20 B Lymphoblastic Leukemia Panel 3630 3210 2790 FC-21 T Lymphoblastic Leukemia Panel 3630 3210 2790 FC-22 Myeloid Leukemia Panel 3630 3210 2790 FC-23 Monocytic Leukemia Panel 3630 3210 2790 FC-24 Ambiguous Lineage Leukemia Panel 3630 3210 2790 FC-26 B Cell Lymphoma Panel 2650 2340 2040 FC-27 Hairy Cell Leukemia Panel 2650 2340 2040 FC-28 Plasma Cell Panel 2650 2340 2040 FC-29 T Cell Lymphoma Panel 2650 2340 2040 FC-30 HLA T & B Cells Flow Cytometry, Cross 10730 9490 8250 Match

E. GENETIC LABORATORY Code Investigation Pvt/Semi Eco OPD GT-1 AML Combo NPM1,FLT3, CEBPA Mutation 11660 10310 8970 Analysis GT-2 AML-IV Of NPM1 Exon 12 & FLT3MUT. ANA 7850 6940 6040 GT-3 BCR-ABL1 Kinase Domain Mutation Analysis 11050 11050 11050 GT-5 BRAF-Gene Sequencing 10100 8940 7770 GT-7 C-KIT Mutation Analysis for Stratifying 1770 1580 1370 Patients (GIST Mutation) GT-8 C-MYC Gene Amplification 13860 13860 13860 GT-9 CEBPA Mutation Detection 10240 9060 7880 GT-10 CML Quest IMATINIB Resi. Muta. ANA. 10160 10160 10160 GT-11 CRC KRAS Mutation Analysis 12770 11290 9820 GT-12 CT DNA Cancer Genomics 81680 81680 81680 GT-14 Dihydropyrimidine Dehydrogenase 10290 10290 10290

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Code Investigation Pvt/Semi Eco OPD GT-15 EGFR Gene Ampli. For Solid Tumors 10890 10890 10890 GT-16 EGFR BY FISH 11990 11990 11990 GT-17 EGFR MRNA Overexpression 11550 11550 11550 GT-20 FLT3 Gene Mutation 6080 5380 4680 GT-21 GeneCORE-1 69300 69300 69300 GT-22 GeneCORE-2 28880 28880 28880 GT-23 Germline Mutation Panel 34650 34650 34650 GT-24 HLA A B DR Typing (Low resolution) 17600 17600 17600 GT-25 HLA Typing - Basic (A,B,DR) 16750 16750 16750 GT-26 HLA Typing- Advanced (A,B,C,DQ & DR) NGS 35200 35200 35200 GT-27 K-RAS Mutation Studies codon 12 & 13 10740 9500 8260 fragment analysis GT-28 KRAS Mutation Analysis (Codon 12,13,61) 10740 9500 8260 GT-31 LeukoVantage ( NGS Hot Spot) 38390 38390 38390 GT-32 Lung Cancer Multigene Panel 33000 33000 33000 GT-34 MSH2 Gene Sequencing 48950 48950 48950 GT-35 Mutation Analysis Inter.TAN. DUPLI. 7070 6260 5440 (ITD)and D835 GT-36 Myeloid Tumor panel 38500 38500 38500 GT-37 N-MYC Gene Amplification 10500 10500 10500 GT-39 NPM1 Mutation Analysis(EXON 12) 4170 3690 3200 GT-40 NRAS Exon 1&2 Mutation Detection 10740 9500 8260 GT-42 NRAS Mutation Analysis (EXONE 2,3,4) 12770 11290 9820 GT-43 Oncovantage™ 60500 60500 60500 GT-44 PMS2 gene sequencing 55000 55000 55000 GT-45 Thyroid Cancer Mutation Panel (BRAF, RAS, 31190 31190 31190 RET/PTC, PAX8/PPAR) GT-46 TPMT Genotyping Analysis 9440 8350 7260 GT-47 UGT1A1 Gilbert Syndrome Genotyping 9440 8350 7260 GT-48 Chromosome Analysis , High Resolution, 42000 42000 42000 Microarray 60K GT-49 HLA-Panel Reactive IgG Antibodies (PRA) 8280 7330 6370 Screen Qualitative GT-50 1P & 19Q Codeletion 11450 11450 11450 GT-51 LBX Multiorgan Somatic Mutation Panel 150000 150000 150000 GT-52 Lung Cancer LBX Panel + PDL1 Blood 85000 85000 85000 GT-53 Myeloid Risk Stratification Panel - NGS 23100 23100 23100

F. HEMATOLOGY Code Investigation Pvt/Semi Eco OPD H-1 Absolute Lymphocyte Count (ALC) 230 210 180 H-2 Absolute Neutrophil Count (ANC) 230 210 180 Absolute Value (PCV, MCV, MCH, MCHC, H-3 230 210 180 TRBC, Hb) H-4 AEC (Absolute Eosinophil Count) 230 210 180 H-5 Antithrombin Activity, Functional 4050 3590 3120 H-6 APCR (Activated Protein C Resistance) 5550 4910 4270

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Code Investigation Pvt/Semi Eco OPD APTT / PTTK (Activated Partial H-7 680 610 530 Thromboplastin Time) H-8 Bone Marrow Aspiration 1950 1730 1500 Bone Marrow Examination and Peripheral H-9 2360 2090 1820 Blood H-10 BT (Bleeding Time ) 300 260 230 H-11 Complete Heamogram without PS 490 430 380 H-15 Complete Hemogram + PS 600 540 460 H-16 Complete Hemogram + PS + ESR 600 540 460 H-17 CRT (Clot Retraction Test ) 350 300 260 H-18 CT (Clotting Time) 320 270 240 H-19 D - DIMER (Quantitative) 1680 1480 1290 H-20 DLC (Differential Leukocyte Count) 210 180 160 H-21 ESR 180 160 140 H-22 Factor IX Assay 2450 2160 1880 H-23 Factor V Leiden Mutation Analysis 7510 6650 5780 H-24 Factor VII Functional 3890 3440 2990 H-25 Factor VIII Assay 2570 2280 1980 H-26 Factor X Functional 6180 5460 4750 H-27 Factor XI 4500 3990 3470 H-28 Factor XIII (clot solubility test) 490 430 380 FDP (Fibrinogen Degradation Products), H-29 1330 1190 1030 Blood, Qualitative H-30 Fibrinogen Clotting Activity 950 830 720 H-31 G6PD (Qualitative) 1350 1200 1040 H-32 G6PD (Quantitative) 2040 1800 1560 H-33 Hemoglobin Electrophoresis (HPLC) 1350 1200 1040 H-34 Hb (Hemoglobin) 150 140 120 H-35 IPF (Immature platelet fraction) 820 720 630 H-36 LE Cells 480 420 370 Leukocyte Alkaline Phosphatase (Lap Score) H-37 1140 1020 880 Staining H-39 Lupus Anticoagulant by dRVVT 2400 2120 1850 H-40 Lupus Erythematosus Panel, SLE Panel-Lal 5940 5260 4570 H-41 MCV, MCH, MCHC 170 150 130 H-42 Mean Platelet volume 230 210 180 Myeloperoxidase (MPO) Stain, Blood/Bone H-43 680 610 530 Marrow H-44 Osmotic fragility (RBC Fragility Test ) 680 610 530 H-45 P/S (PBS) (Peripheral Blood Smear) 170 150 130 H-46 P/S for MF (Microfilaria) 170 150 130 H-47 P/S for MP (Malaria) 170 150 130 H-48 PCV (Packed Cell Volume) 170 150 130 H-49 Platelet Count 50 50 50 H-50 PT (Prothrombin Time) 490 430 380 H-51 Reticulocyte Count 480 420 370

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Code Investigation Pvt/Semi Eco OPD H-52 Sickling screening test 230 210 180 H-53 Thrombin Time (TT) 960 850 740 H-54 Thrombophilia comprehensive package 18150 18150 18150 H-55 TLC (Total Leukocyte Count ) 150 140 120 H-56 TRBC (Total Red Blood Cell Count ) 170 150 130 H-57 VWF AG (Von Willebrand Factor Antigen 10830 10830 10830 H-58 Body Fluid Analysis for HB and PCV 320 270 240 H-59 Thrombochek Panel 18900 18900 18900 H-60 Iron Perls Stain 680 610 530 H-61 Reticulin Stain 680 610 530 Bone Marrow Smear Examination and H-62 3250 2870 2500 Cytochemistry

G. HISTOPATHOLOGY AND CYTOPATHOLOGY Code Investigation Pvt/Semi Eco OPD HC-1 Acute Myeloid Tumors Panel 38500 38500 38500 HC-2 Block Charges 170 150 130 HC-3 Block For Review (4 To 6 Blocks) 1080 960 830 HC-4 Block For Review(6 To 15 Blocks) 2490 2190 1910 HC-5 Block For Review(Up To 4 Blocks) 1080 960 830 Block/Slide Review >5 Slides/Blocks with HC-6 4500 3990 3470 us Review Block/Slide Review 3-5 Slides/Blocks with HC-7 3000 2660 2310 us Review Block/Slide Review Up To 2 Slides/Blocks HC-8 1500 1330 1160 with us Review HC-9 Congo Red Stain 680 610 530 HC-10 Cytology Second opinion 830 740 640 HC-11 Cytopathology Conventional Pap Smear 900 800 690 Cytopathology Liquid Based Cytology (LBC) HC-12 1300 1140 1000 For PAP Stain Fluid For Malignant Cell All Fluids/Urine / HC-13 590 510 450 CSF HC-14 FNAC Smear Examination 1170 1030 890 HC-15 FNAC Smear Examination(Package) 1170 1030 890 HC-16 Frozen Section for Diagnosis (One site) 1300 1140 1000 Frozen Section For Lymph Node Dissection HC-17 3960 3510 3050 Up To 10 Lymph Nodes Frozen Section For Lymph Node Dissection HC-18 2490 2190 1910 Up To 6 Lymph Nodes Frozen Section For More Than 3 Resected HC-19 3960 3510 3050 Margins Frozen Section For Single Margin/Revised HC-20 1320 1180 1020 Margin HC-21 Frozen Section For Three Resected Margins 2650 2340 2040 HC-22 Gomoris Methenamine Silver Stain 680 610 530 HC-23 H&E Stain 180 160 140

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Code Investigation Pvt/Semi Eco OPD HC-24 Histopath Single Specimen-1 830 740 640 HC-25 Histopath Single Specimen-2 830 740 640 HC-26 Histopath Single Specimen-3 830 740 640 HC-27 Histopath Single Specimen-4 830 740 640 HC-28 Histopath Single Specimen-5 830 740 640 HC-29 Histopath Single Specimen-6 830 740 640 Histopathology - Kidney Biopsy For Electron HC-30 17600 17600 17600 Microscopy Histopathology Large Complex/Cancer (upto HC-31 5730 5070 4410 35 Blocks) Histopathology Large Specimen (L)(upto 20 HC-32 4100 3620 3150 Blocks) Histopathology Medium Specimen (M) (upto HC-33 3000 2660 2310 10 Blocks) HC-34 Histopathology Second Opinion (3 slides) 1090 970 840 HC-35 Histopathology Single Specimen 1500 1300 1200 HC-37 IGF Binding Protein-3 (IGFBP-3) 5530 4890 4250 HC-38 Kidney biopsy, complement C1Q 680 610 530 HC-39 Kidney biopsy, complement C3 680 610 530 HC-40 Kidney biopsy, IgA 680 610 530 HC-41 Kidney biopsy, IgG 680 610 530 HC-42 Kidney biopsy, IgM 680 610 530 HC-43 Paraffin Section 650 580 500 HC-44 Pneumocystis Carinii (Immunofluorescence) 4240 3760 3270 HC-45 Pneumocystis carinii (Special stain) 300 260 230 HC-46 Quest Expert Diagnosis 1 13720 13720 13720 HC-47 Quest Expert Diagnosis 2 15490 15490 15490 HC-48 Quest Expert Review 11800 10440 9080 HC-49 Quest Expert Review Renal (TEM) 21010 21010 21010 HC-50 Second Opinion With IHC Workup 12100 12100 12100 HC-51 Skin Biopsy (DIF) C 3 680 610 530 HC-52 Skin Biopsy (DIF) Complement C1Q 680 610 530 HC-53 Skin Biopsy DIF (IgA) 680 610 530 HC-54 Skin Biopsy DIF (IgG) 680 610 530 HC-55 Skin Biopsy DIF(IgM) 680 610 530 HC-56 Slide Charges 130 110 90 HC-57 Slide For Review (2-5 Slides) 910 810 700 HC-58 Slide For Review (6 To 15 Slides) 1650 1460 1270 HC-60 Special Stain 140 130 110 HC-62 Warfarin (PGX) 4140 3650 3180 HC-63 Histopathology Kidney Biopsy Panel-3 12870 11390 9900 HC-64 Histopathology Kidney Biopsy Panel-2 2310 2040 1770 HC-65 AFB STAIN (ZN) - (Histopathology) 380 340 290 HC-66 AFB STAIN (ZN) - (Cytopathology) 380 340 290 HC-67 Frozen Section for Diagnosis (Three site) 2490 2190 1910 HC-68 Hereditary Cancer Risk Panel 25000 25000 25000

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Code Investigation Pvt/Semi Eco OPD HC-69 PAS STAIN 680 610 530 HC-70 PAS With Diastase Stain 440 390 350 HC-71 Mucicarmine 680 610 530 HC-72 Lepra Stain 680 610 530 HC-73 GMS – Fungus 680 610 530 Block/Slide Review >5 Slides/Blocks From HC-74 14300 14300 14300 External Lab

H. Immunohistochemistry (IHC) Code Investigation Pvt/Semi Eco OPD Breast Panel-3 Markers (ER,PR & HER-2 IH-1 5430 4810 4180 NEU) (B) Breast Panel 4 Markers (ER,PR,HER-2 IH-2 8150 7210 6270 NEU,KI-67) (B) IH-3 CA15.3 1940 1710 1490 IH-4 Calcitonin 2260 2000 1730 IH-6 Dual/2 IHC Markers 2650 2340 2040 IH-7 IHC Final Diagnosis Panel 9010 7970 6930 IH-8 IHC-1 Marker 2050 1820 1580 IH-9 IHC-1 Marker(B) 1370 1210 1050 IH-10 IHC-2 Marker 2050 1820 1580 IH-11 IHC-3 Marker 2050 1820 1580 IH-12 IHC-3 Marker(B) 3410 3020 2630 IH-13 IHC-4 Marker 2050 1820 1580 IH-14 IHC-5 Marker 2050 1820 1580 IH-15 IHC-5 Marker (B) 5460 4830 4200 IH-16 IHC-6 Marker 2050 1820 1580 IH-17 IHC-7 Marker 2050 1820 1580 IH-18 IHC-7-10 Marker (B) 9310 8230 7160 IH-19 IHC-8 Marker 2050 1820 1580 IH-20 IHC-9 Marker 2050 1820 1580 IH-21 IHC-10 Marker 2050 1820 1580 IH-22 MSI Testing 6460 5710 4970 IH-23 MSI Testing by IHC 7510 6650 5780 IH-24 SIRT-1 & SIRT-3 (for research purposes) 6830 6040 5250 EBER by ISH (In Situ Hybridization Epstein IH-25 4810 4260 3700 Barr Virus Early RNA) IH-26 PDL1 (Programmed death-ligand 1)by IHC 3250 2880 2500 IH-27 ALK by IHC 5200 4600 4000 IH-28 BRAF by IHC 4550 4030 3500 IH-29 ER/PR/HER2 NEU -ventanna 5190 4590 3990 P16 (Cyclin-Dependent Kinase Inhibitor IH-30 3250 2880 2500 2A)by IHC IH-31 Single IHC Marker-ATRX 3250 2880 2500 IH-32 HER 2 NEU(IHC) & HER 2 FISH 12000 12000 12000 IH-33 ER,PR,HER2 NEU and Ki67 6500 5750 5000

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I. IMMUNOASSAY Code Investigation Pvt/Semi Eco OPD IM-1 17-OH Progesterone 2080 1840 1600 IM-2 17-OH Progesterone Neonatal Screen 350 300 260 IM-3 5- Alpha - Dihydrotestosterone (5 - DHT) 3730 3300 2870 IM-4 Acetylcholine receptor (ACHR) Binding 2970 2640 2290 Antibody IM-5 ACTH 2040 1800 1560 IM-6 AFP (Alpha Fetoprotein) 1130 1000 870 IM-7 AFP (Alpha Fetoprotein) (Amniotic Fluid) 1130 1000 870 IM-9 Aldosterone 24hrs Urine 2260 2000 1730 IM-10 Aldosterone Serum 2260 2000 1730 IM-11 Allergen Panel-Comprehensive Allergy 12650 12650 12650 Panel-Adult IM-12 Allergen Panel-Comprehensive Allergy 11000 11000 11000 Panel-Infancy IM-13 Allergy Comprehensive Profile (Pediatrics) 10500 10500 10500 IM-14 Allergy Comprehensive Profile (Adult) 10500 10500 10500 IM-15 Allergy Post Screening Comprehensive 10730 9490 8250 Profile (Adults) IM-16 Allergy Post Screening Comprehensive 10730 9490 8250 Profile (Pediatrics) IM-17 ALP Isoenzymes (Alkaline Phosphatase 7510 6650 5780 isoenzymes) IM-18 Amoebic Serology 1880 1670 1450 IM-19 ANCA -P (Elisa) 2260 2000 1730 IM-20 ANCA-C (Elisa) 2260 2000 1730 IM-21 Androstenedione 2590 2300 2000 IM-22 ANF (Elisa) 950 830 720 IM-23 Angiotensin Converting Enzyme Level 1440 1270 1100 (ACE) IM-24 Anti - ss DNA Ab (Single standard) 3350 2960 2570 IM-25 Antibodies to SS - A/RO 1880 1670 1450 IM-26 Anti Cardiolipin Antibody (IgA) 1140 1020 880 IM-27 Anti Cardiolipin Antibody (IgG) 1140 1020 880 IM-28 Anti Cardiolipin Antibody (IgM) 1140 1020 880 IM-29 Anti Cardiolipin (IgM+IgG) Ab Panel 3350 2960 2570 IM-30 Anti DNA Antibody (Double 2210 1960 1700 Standard)9IFA) IM-31 Anti DNASE B Serum 1680 1480 1290 IM-32 Anti GBM (Glomerular Basement 3460 3060 2660 membrane) IgG IM-33 Anti Glomerular Basement Membrane 3310 2920 2540 (Anti GBM) IgM IM-34 Anti HBs Antibody 1030 910 790 IM-35 Anti Helicobacter Pylori (IgA) 2260 2000 1730 IM-36 Anti Helicobacter Pylori (IgG) 2260 2000 1730 IM-37 Anti Mitochondrial Ab (IFA)AMA 2400 2120 1850

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Code Investigation Pvt/Semi Eco OPD IM-38 Antinuclear Antibody 2860 2530 2200 (Immunofluorescence) IM-39 Anti Phospholipid Antibody IgG 1090 970 840 IM-40 Anti Phospholipid Antibody IgM 1090 970 840 IM-41 Anti Smooth Muscles Antibody (ASMA) 2400 2120 1850 (IFA) IM-42 Anti Soluble Liver Antigen (SLA) 1880 1670 1450 IM-43 Anti Sperm Antibody (Serum) 1130 1000 870 IM-44 Anti Thyroglobulin Ab (Anti Tg) 1810 1600 1390 IM-45 Antibodies to Extractable Nuclear 10060 8900 7740 Antigens Quantitative IM-46 Antibody -J01 1860 1640 1430 IM-47 Antibody to Scl 70 (Scleroderma Ab) 1580 1390 1210 IM-48 Anti Cyclic Citrullinated Peptide (Anti 2550 2260 1960 CCP) IM-49 Anti Endomysial AntiBody ,lgA,IFA 2400 2120 1850 IM-50 Anti Gliadin Ab Panel ( IgG & IgM) 4180 3700 3210 IM-51 Antigliadin Antibody IgA 2400 2120 1850 IM-52 Antigliadin Antibody IgG 2400 2120 1850 IM-53 Antihistone Antibodies 1860 1640 1430 IM-54 Anti-Mullerian Hormone (AMH) 2700 2390 2080 IM-55 Antiphosphatidylserine (Ab Panel, IgG, 5720 5060 4400 IgM, Ab) IM-56 Antithyroid Antibody Panel 3410 3020 2630 IM-57 Antithyroid Peroxidase Antibody (Anti 1810 1600 1390 TPO) IM-58 ASCA(Anti Saccharomyces cerevisiae 1910 1690 1470 Antibody), IgA IM-59 ASCA(Anti Saccharomyces cerevisiae 1910 1690 1470 Antibody), IgG IM-60 Aspergillus Ab Panel, Serum lgM +IgG Ab 4630 4100 3560 IM-61 Aspergillus Ab, IgG, Serum 2400 2120 1850 IM-62 Aspergillus Ab, IgM, Serum 2400 2120 1850 IM-63 Aspergillus Fumigatus-Allergy Marker 1590 1400 1220 IM-64 B-HCG (Maternal) 950 830 720 IM-65 B-HCG (Tumors Marker) 950 830 720 IM-67 C-3 900 800 690 IM-68 C-4 900 800 690 IM-69 CA 15.3 1770 1580 1370 IM-70 CA 19.9 (Serum) 1850 1630 1420 IM-71 CA 72.4 1980 1750 1520 IM-72 CA(CYFRA)21.1,Lung Cancer Marker 4720 4170 3630 IM-73 CA-125 1680 1480 1290 IM-77 Calcitonin 2990 2650 2300 IM-78 Calcitonin-Tumor Marker 3730 3300 2870 IM-79 Carbamazepine (Tegretol, Mazetol, 1130 1000 870 Carbatol)

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Code Investigation Pvt/Semi Eco OPD IM-80 Catecholamine & VMA, 24 hrs 10820 9570 8320 IM-81 Catecholamine, 24 Hours Urine 6460 5710 4970 IM-82 ANCA(IF) 2400 2120 1850 IM-83 CEA (SERUM) 950 830 720 IM-84 Ceruloplasmin Serum 1500 1330 1160 IM-85 Chikungunya Virus Ab, IgM 600 600 600 IM-86 Chlamydia (IgG) Antibody 1910 1690 1470 IM-87 Chromogranin A-Elisa 12300 10880 9460 IM-88 CMV IgG (Cytomegalovirus IgG)Ab 790 700 610 IM-89 CMV IgM (Cytomegalovirus IgG)Ab 790 700 610 IM-90 Collagen Disease AB Panel 12800 11330 9850 IM-91 Fecal Calprotectin 5260 4650 4040 IM-92 Copper 24hrs Urine(Atomic Absorption) 2590 2300 2000 IM-93 Copper Random Urine(Atomic Absorption) 2590 2300 2000 IM-94 Copper Serum, Spectrophotometer 1810 1600 1390 IM-95 Cortisol (Free)Urine 24 hrs 1130 1000 870 IM-96 Cortisol (Morning & Evening) Serum 1370 1210 1050 IM-97 Cortisol, Serum (Morning Sample) 760 660 580 IM-98 Cortisol, Serum(Evening Sample) 760 660 580 IM-99 C-peptide 1440 1270 1100 IM-100 CPK Isoenzyme Electrophoresis 10990 9720 8450 IM-101 Cyclosporine Level 3310 2920 2540 IM-102 Cysticercosis (IgG for T.Solium) 1860 1640 1430 IM-103 Cytomegalovirus IGG 790 700 610 IM-104 Cytomegalovirus IGM 790 700 610 IM-105 Dengue Serology IgM & IgG (Elisa) 1200 1200 1200 IM-106 Dengue Serology IgM (Elisa) 600 600 600 IM-107 DHEAS (Dehydroepiandrosterone) 3350 2960 2570 IM-108 Digoxin 1240 1100 960 IM-109 E2 Estradiol 810 710 620 IM-110 E3 Estriol 1680 1480 1290 IM-111 Epstein Barr Virus (IgG) 2150 1900 1650 IM-112 Epstein Barr Virus (IgM) 2150 1900 1650 IM-113 Erythropoietin 2780 2470 2140 IM-114 Extractable nuclear antigens (ENA) 6420 5680 4940 screening test (Qualitative) IM-115 Ferritin 950 830 720 IM-116 FSH (Follicle Stimulating Hormone) 760 660 580 IM-117 FT3 (Free Triiodothyronine) 500 450 390 IM-118 FT3, FT4 1050 930 810 IM-120 FT4 (Free Thyroxine) 500 450 390 IM-121 FT4, TSH 1050 930 810 IM-122 Galactomannan 7040 6220 5410 IM-123 Gastrin 1680 1480 1290 IM-124 Growth Hormone 1050 930 810 IM-125 Haptoglobin 2590 2300 2000

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Code Investigation Pvt/Semi Eco OPD IM-127 HBE Ag Detection 1230 1090 950 IM-128 HBE Ab (Anti HBE) 1140 1020 880 IM-129 HBsAg 680 610 530 IM-130 HCG 2590 2300 2000 IM-131 HCV 2100 1860 1620 IM-132 Hepatitis A IgG antibody 1680 1480 1290 IM-133 Hepatitis A IgM (HAV IgM) 1680 1480 1290 IM-134 Hepatitis B Core IgM (HBc IgM) 1500 1330 1160 IM-135 Hepatitis B Core Total (HBc Total) 1500 1330 1160 IM-136 Hepatitis B e Antibody (HBe Ab) 1140 1020 880 IM-137 Hepatitis B e Antigen (HBe Ag) 1240 1100 960 IM-138 Hepatitis B Surface Ab (HBs Ab) 990 870 760 IM-139 Hepatitis C RNA Genotype (LiPA) 9770 8630 7510 IM-141 Hepatitis Delta Antibody (HDV Ab) IgM 3540 3130 2720 IM-142 Hepatitis E IgG (Anti HEV IgG) 2260 2000 1730 IM-143 Hepatitis E IgM (Anti HEV IgM) 2260 2000 1730 IM-144 Herpes Simplex Virus (HSV) I & II IgG 900 800 690 Elisa IM-145 Herpes Simplex Virus (HSV) I & II IgM 900 800 690 Elisa IM-146 HIV I & II Antibody (Including p24 680 610 530 Antigen) IM-147 HLA DSA(Donor Specific IgG 10500 10500 10500 Antibody,class 1 & 2) IM-148 HLA T & B Cell Lymphocyte Cross Match 4960 4380 3810 IM-149 Human Epididymis Protein 4(HE4) 2970 2640 2290 IM-150 Human Papillomavirus 1590 1400 1220 IM-151 Hydatid Serology (Echinococcus IgG Ab) 1680 1480 1290 IM-152 IgA(Immunoglobulin A) 480 420 370 IM-153 IgE(Immunoglobulin E) 1130 1000 870 IM-154 IGF-1 & Growth Hormone Panel 6270 5540 4820 IM-155 IGF-1 (Somatomedin-C) 5550 4910 4270 IM-156 IgG(Immunoglobulin G) 480 420 370 IM-157 IgM(Immunoglobulin M) 590 510 450 IM-158 Immunofixation Electrophoresis Serum 9160 8110 7050 IM-159 Immunofixation Electrophoresis Urine 24 10990 9720 8450 Hrs IM-160 Immunoglobulin Profile IgG, IgM, IgA 1440 1270 1100 (Serum) IM-161 Infectious Mononucleosis Antibody, Mono 1500 1330 1160 Test IM-162 Insulin Antibodies 2780 2470 2140 IM-163 Insulin, Fasting 1140 1020 880 IM-164 Islet Cell Ab (Immunofluorescence) 2450 2160 1880 IM-165 Kappa Lambda Light Chains, Free Serum 9010 7970 6930 IM-166 Kappa Lambda Light Chains, Free Urine 9010 7970 6930 IM-167 Leishmania Antibody (IgG)(Kala Azar) 2260 2000 1730

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Code Investigation Pvt/Semi Eco OPD IM-168 Leptospira Antibody IgG 1880 1670 1450 IM-169 Leptospira Antibody IgM 1880 1670 1450 IM-170 LH (Luteinizing Hormone) 760 660 580 IM-171 Liver Kidney Microsomal AB (LKMAB), IIF 2260 2000 1730 IM-172 Lyme Disease(Antiborrelia burgdorferi)IgG 4810 4250 3700 IM-173 Malaria Antibody 1500 1330 1160 IM-175 Maternal Serum Screen 2; Dual Test 3000 2660 2310 IM-176 Measles Virus IgG 2260 2000 1730 IM-177 Measles Virus IgM 2260 2000 1730 IM-178 Metanephrines, 24-Hrs Urine 11550 11550 11550 IM-179 Multiple sclerosis panel -1 8260 7310 6350 IM-180 Mumps Virus (IgG) 2260 2000 1730 IM-181 Mumps Virus (IgM) 2260 2000 1730 IM-182 Newborn Screening 2550 2260 1960 IM-183 Newborn Screening, Extended 7360 6510 5660 IM-184 NS-1 Antigen for Dengue Virus 600 600 600 IM-185 Pancreatic Polypeptide 16500 16500 16500 IM-186 Parvovirus B-19 *IGG Antibody 3350 2960 2570 IM-187 Parvovirus B-19 *IGM Antibody 3350 2960 2570 IM-188 Phenobarbital 1320 1180 1020 IM-189 Phenylalanine neonatal screen 350 300 260 IM-190 Phenytoin (Dilantin/Eptoin) 1320 1180 1020 IM-191 Pneumocystis Carinii (Direct Fluorescent 4360 3850 3350 Ab) STAIN IM-192 Pneumoslide 5010 4430 3850 IM-193 Porphyrins 24 Hrs Urine 6280 5550 4830 IM-194 Porphyrins Random Urine 6280 5550 4830 IM-195 Procalcitonin 3990 3530 3070 IM-196 Progesterone 770 670 590 IM-197 Prolactin 760 660 580 IM-198 Protein Electrophoresis (CSF) 5730 5070 4410 IM-199 Protein Electrophoresis Serum 920 820 710 IM-200 Protein Electrophoresis, Urine 24 hrs 5550 4910 4270 IM-201 Protein-C 7060 6250 5430 IM-202 Protein-S 5860 5180 4500 IM-203 PSA (Prostate Specific Ag), Free 1200 1060 920 IM-204 PSA (Total) 1050 930 810 IM-206 PTH (Parathyroid Hormone) (Intact) 2260 2000 1730 IM-207 RBC Folate & Serum 3000 2660 2310 IM-208 Rennin Activity Plasma : PRA 7360 6510 5660 IM-209 Rubella IgG 820 720 630 IM-210 Rubella IgM 820 720 630 IM-211 Scleroderma Panel 3000 2660 2310 IM-212 Serum Chromogranin-A (CGA) 9700 8580 7460 IM-213 Serum Ferritin 950 830 720 IM-214 Serum Folate 1580 1390 1210

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Code Investigation Pvt/Semi Eco OPD IM-215 Serum Vit. B12 1500 1330 1160 IM-216 Sex Hormone Binding Globulin 3350 2960 2570 IM-217 SM(Smith) Antibody,IgG 1320 1180 1020 IM-218 SS-A (RO) & SS-B (LA) IGG Ab 5460 4830 4200 Immunoblot IM-219 Tacrolimus 5410 4780 4160 IM-221 Tb Feron (Gamma Interferon) 3600 3190 2770 IM-222 Testosterone Free 2590 2300 2000 IM-223 Testosterone Total 860 760 660 IM-224 Thyroglobulin-Tg Cancer Maker 2400 2120 1850 IM-225 Thyroid Profile 1350 1200 1040 IM-226 Tissue Transglutaminase Ab IgA(Anti TTG) 1370 1210 1050 IM-227 TORCH IgG 1810 1600 1390 IM-228 TORCH IgM 1810 1600 1390 IM-229 TORCH(IgM + IgG) 3600 3190 2770 IM-230 Toxoplasma IgG 790 700 610 IM-231 Toxoplasma IgM 790 700 610 IM-232 Triple Test (AFP,HCG,&E3) 3910 3450 3000 IM-233 TSH 270 240 210 IM-234 TSH Receptor Antibody 5260 4650 4040 IM-235 TSH Third Generation (Ultra Sensitive) 540 470 410 IM-237 Tumor Necrosis Factor (TNF)-Alpha 7090 6270 5450 IM-238 Vancomycin Level 10450 10450 10450 IM-239 Varicella Zoster antibody IgG 1680 1480 1290 IM-240 Varicella Zoster antibody IgM 1680 1480 1290 IM-241 Weil Felix Test 1090 970 840 IM-242 Western Blot For HIV (I+II) 4590 4050 3530 IM-243 Anti U1RNP Antibodies 2550 2260 1960 IM-244 Febrile Agglutinins Panel 1850 1630 1420 IM-245 Centromere Antibody 2040 1800 1560 IM-246 Immunoglobulin IgG subclass 4 9770 8630 7510 IM-247 Gliadin Deamidated Antibody IgA 2320 2060 1790 IM-248 Gliadin Deamidated Antibody IgG 2320 2060 1790 IM-249 Rotavirus Antigen Stool 1170 1030 900 IM-250 CDC-crossmatch 4640 4110 3570 IM-251 Flow Crossmatch 10920 9660 8400 IM-252 Recipient Antibody Status (POS/NEG) 8190 7250 6300 (PRA screen) IM-253 HLA-ABDR loci 19950 19950 19950 IM-254 ABDR DUO (Patient + Donor) 36750 36750 36750 IM-255 Pan Neurotropic Virus Panel 9900 8760 7610 IM-256 Neuronal (Paraneoplastic) Autoantibodies 12290 10870 9450 Profile IM-257 MuSK (Muscle Specific Kinase) Antibody 7510 6640 5780 IM-258 Myositis Profile 9560 8450 7350 IM-259 BK VIRUS PCR Qualitative 5320 4710 4100

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Code Investigation Pvt/Semi Eco OPD IM-260 BK VIRUS PCR Quantitative 7230 6410 5570 IM-261 HLA-B27 QUALITATIVE PCR 3960 3510 3050 IM-265 Steroid Panel For Congentital Adrenal 5460 4830 4200 Hyperplasia (CAH) IM-262 Anti NMO (Neuro Myeliti Optica) Panel 9300 8220 7150 IM-263 Myelin OligoDendrocyte Glycoprotein 14300 14300 14300 (MOG) Antibodies IM-264 Respiratory Comprehensive Panel 16500 16500 16500

J. KARYOTYPING Code Investigation Pvt/Semi Eco OPD K-1 Cytogenetics 5460 4830 4200 K-2 Chromosomal Breakage Studies 10780 9540 8300 K-3 Chromosome Anal For Hemat Malignancy 4370 3860 3360 Blood / Bone Marrow K-4 Chromosome Anal.Amniotic Fluid Trisomy 11030 11030 11030 13, 18, 21 K-5 Chromosome Analysis For Hemat. 4960 4380 3810 K-6 Chromosome Analysis Karyotype, Blood 4050 3590 3120 K-7 Chromosomal Analysis For Products Of 8580 7590 6600 Conception K-8 DNA testing for Kinship Testing 7510 6650 5780

K. MICROBIOLOGY Code Investigation Pvt/Semi Eco OPD M-1 Aerobic Culture - Blood 1500 1330 1160 M-2 Aerobic Culture - Body Fluids (Ascitic, 1500 1330 1160 Pleural, CSF etc) M-3 Aerobic Culture - Other Samples 1140 1010 880 M-4 Aerobic Culture - Pus, Sputum, Stool & all 1030 900 790 Swabs M-5 Aerobic Culture - Urine 960 850 740 M-6 AFB Culture (Rapid, Automated) 1370 1210 1050 M-7 AFB Drug Sensitivity (10 Drug Sensitivity) 11030 11030 11030 M-8 AFB Drug Sensitivity (4 Drug Sensitivity) 6140 5440 4730 M-9 AFB Drug Sensitivity (5 Drug Sensitivity) 8190 7250 6300 M-10 AFB Stain (ZN) 380 340 290 M-11 Albert Stain 350 300 260 M-12 Aldehyde Chopra Test(Kala Azar) 350 300 260 M-13 Anaerobic Blood Culture, Rapid 1640 1450 1260 M-14 Anaerobic Body Fluid, Rapid 1640 1450 1260 M-15 Anaerobic Culture (All Samples) 1640 1450 1260 M-16 Bacterial Antigen Detection, CSF, (5 8260 7310 6350 Antigens) M-17 Bacterial Meningitis Panel Screen 6720 5950 5170 Confirmatory

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Code Investigation Pvt/Semi Eco OPD M-18 Bacterial Meningitis Screen 3730 3300 2870 M-19 Brucella Agglutination 960 850 740 M-20 C Difficile Toxin A & B 3350 2960 2570 M-21 Candida Species Identification and 3360 2970 2580 Sensitivity M-22 Cryptococcus Antigen, CSF 2780 2470 2140 M-23 Cryptococcus Antigen, Serum 2780 2470 2140 M-24 Culture AFB (Mycobacterium), Rapid with 2180 1930 1680 PNB Test M-25 Cultured AFB Drug Sensitivity, Rapid, Single 3690 3270 2840 Drug, Cycloserine M-26 Cultured AFB Drug Sensitivity, Rapid, Single 3690 3270 2840 Drug, Ofloxacin M-27 Fungal Culture All Samples 1500 1330 1160 M-28 Fungal Culture Blood And Body Fluids 1500 1330 1160 M-29 Gram Stain 450 400 350 M-30 India Ink Preparation 410 370 320 M-31 KOH Preparation 270 240 210 M-32 Mantoux Test 270 240 210 M-33 Modified Kinyoun Stain 760 660 580 M-34 Wet Mount 170 150 130 M-35 AFB Identification Rapid PNB Test 2150 1900 1650

L. MOLECULAR TESTING Code Investigation Pvt/Semi Eco OPD MT-2 Acute Lympho. Leuk. Translocation 9090 8040 6990 MT-3 ADAMTS13 Activity with Reflex to Inhibitor 13530 13530 13530 MT-4 AML-I INV.16&TRANS. AML1/ETO BY RT- 6600 5850 5080 PCR MT-5 AML-II Panel Of INV.16 & TRANS. 7100 6280 5460 AML1/ETO & PML-RARA MT-6 AML-III Panel Of INV.16&TRANS. 10740 9500 8260 AML1/ETO&PML-RARA MT-7 T(15;17) FOR AML-M3 10740 9500 8260 MT-10 B CELL Clonality For IGH 6600 5850 5080 MT-11 BCR - Abl Quantitative- IS 10510 9300 8090 MT-13 BCR/ABL for Philadelphia translocation 4500 3990 3470 (Qualitative) MT-14 BCR/ABL Quantitative 8190 7250 6300 MT-16 Chimerism-Post Engraftment 9770 8630 7510 MT-22 CMV PCR Ab QUALITATIVE 5540 4900 4260 MT-23 CMV,DNA, Quantitative, PCR 12390 10960 9530 MT-24 Dengue Detection By PCR 6550 5800 5040 MT-25 EGFR-RT/PCR 12770 11290 9820 MT-26 ETO Detect Of AML1/ETO OR T(8;21) For 6110 5410 4700 AML-M3

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Code Investigation Pvt/Semi Eco OPD MT-28 FIP1L1-PDGFRA Assay 7440 6580 5720 MT-29 Genexpert MTB with Rifampicin resistance, 3000 2660 2310 Qualitative PCR MT-31 HC2 HPV DNA HR (High Risk) Test 3760 3320 2890 MT-32 Hepatitis B Viral DNA Quantitative (B DNA) 10510 9300 8090 MT-33 Hepatitis B Viral PCR Qualitative 6090 5390 4680 MT-34 Hepatitis B Virus PCR (Quantitative) 10510 9300 8090 MT-35 Hepatitis C PCR Qualitative (HCV RNA-PCR) 6090 5390 4680 MT-36 Hepatitis C PCR Quantitative (RTPCR) 12010 10630 9240 MT-37 Herpes Simplex Virus 1 PCR(Qualitative) 5550 4910 4270 MT-38 Herpes Simplex Virus 1 &2 PCR (Qualitative) 9160 8110 7050 MT-39 Herpes Simplex Virus 2 PCR(Qualitative) 5550 4910 4270 MT-40 HINI RT PCR 7440 6580 5720 MT-41 HIV 1 RNA Real Time Quantitative PCR 7140 6310 5490 MT-44 HLA A B C DR DQ (Low resolution) 18480 18480 18480 MT-45 HLA DNA Typing For Kidney Transplant, 16520 16520 16520 PCR MT-46 HLA-AB(CLASS-1) Typing 10100 8940 7770 MT-47 HLA-AB DR Typing(One Person) ( Low 17730 17730 17730 Resolution) MT-48 HLA-AB DR Typing(Two Person) ( Low 32140 32140 32140 Resolution) MT-49 HLA-DR(CLASS-2) Typing 10100 8940 7770 MT-50 HLA-DR3, Disease Association 6450 5700 4960 MT-51 HLA-DR4, Disease Association 6450 5700 4960 MT-52 HPV DNA PCR (Human Papillomavirus PCR) 4990 4410 3830 MT-55 IDH I& 2 11560 10230 8890 MT-56 Inversion 16 BY QUALI. RT-PCR 6140 5440 4730 MT-57 Jak2 Exon 14 7510 6650 5780 MT-59 JAK2 Exon 12 Mutation 8260 7310 6350 MT-60 Japanese Encephalitis Virus Detection PCR 9010 7970 6930 (IGM) MT-62 MGMT Methylation Test For Glioblastoma 13130 13130 13130 MT-63 Microsatellite Instability 12710 12710 12710 MT-64 MPN combo CORE-1 (JAK-2 (12- 24260 24260 24260 15),MPL,CALR) MT-65 MPN comboCORE-2 (BCR-ABL Qual,JAK-2 21370 21370 21370 (12-15),CALR) MT-66 Mycobacterium TB-PCR 2860 2520 2190 MT-67 Neisseria Gonorrhoeae - PCR 4960 4380 3810 MT-68 Patient only ( High Resolution) 4500 3990 3470 MT-69 PDGFRB/TEL 5790 5120 4450 MT-71 SES-Sepsis PCR With Antibiotic Resistance 27500 27500 27500 MT-74 Prothrombin Gene Mutation Analysis 4550 4020 3500 MT-75 Chimerism Predominantly - Engraftment, 10500 10500 10500 Donor & Recipient MT-76 Chikungunya PCR 1500 1500 1500

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Code Investigation Pvt/Semi Eco OPD MT-77 Phospholipase A2 Receptor Antibody 8870 7840 6820 (PLA2R) MT-78 HTLV I & II Antibodies 7960 7040 6120 MT-79 Neuroviruses Panel Qualitative PCR 8190 7250 6300 MT-80 BRCA 1 & 2 Complete Sequencing Test 20000 20000 20000 MT-81 BRCA 1 & 2 Panel SEQ+DEL/DUP Package 31000 31000 31000 MT-82 MAMMA PRINT+ Blue Print Combination 192500 192500 192500 MT-83 AML-VII (AML1/ETO by PCR & FLT3& NPM- 13000 13000 13000 1 &CEBPA mutation ) MT-84 AML-IX ( AML/ETO& PML/RARA&INV 16 by PCR & FLT3 & CEBPA & NPM1 AMutation 14000 14000 14000 analysis ) MT-85 Tyrosin Kinase Inhibitor (Liquid Biopsy) 12500 12500 12500 MT-86 Thalassemia Beta Mutation Analysis 10370 9180 7980

M. PROFILES Code Investigation Pvt/Semi Eco OPD PRO-1 Acute Hepatitis Marker Profile HAV- IgM+HBsAg+HBc antibody (IgM)+Anti HCV (IgG) 4670 4130 3590 +Anti HEV IgM PRO-2 Antenatal Profile CBC+Blood Group (ABO & Rh) 1800 1600 1400 +Urine R/M+HIV I & II+HBsAg VDRL+FBS PRO-3 Renal Function Test (KFT-Basic) Urea+ Creatinine+ Uric acid+ BUN+ Total Protien+ 1190 1050 910 Alb+ Urine M/R +Na, K PRO-4 Coagulation Profile (Basic) CBC+BT+CT+PT+APTT+Clot retraction +Platelet 2800 2480 2150 Count PRO-5 Hepatic Profile (LFT) With GGT Bilirubin total & Direct +SGOT +SGPT+Alk-PO4+GGT+Alb+ 1140 1020 880 Globulin (A:G Ratio)+Serum Protein total PRO-6 Hepatic Profile (LFT) Without GGT Bilirubin total & Direct +SGOT +SGPT+Alk-PO4+Alb+ 1060 950 820 Globulin (A:G Ratio)+Serum Protein total PRO-7 Lipid Profile (Basic) *Cholesterol Total+HDL+ 1300 1140 1000 LDL+VLDL+TG PRO-8 Lipid Profile (Extended) Cholesterol Total+HDL+ 3400 3000 2600 LDL+VLDL+TG+ApoA1/ B1+Lp(a) PRO-9 Viral Marker Profile (HIV + HBsAg HCV Rapid 1050 1050 1050 test)

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N. BLOOD BANK AND TRANSFUSION MEDICINE Code Investigation Pvt/Semi Eco OPD BTS-1 ABO & Rh Grouping 140 140 140 BTS-2 Antibody Screening 550 550 550 BTS-3 Antibody Identification 4400 4400 4400 BTS-4 Apheresis 12500 12500 12500 BTS-4A Apheresis With PAS 14000 14000 14000 BTS-5 Autologous Transfusion 1600 1600 1600 BTS-6 Blood Bag (For Collection Of Cord Blood) 130 130 130 BTS-7 Cold Agglutinin 440 440 440 BTS-8 Container Charges 80 80 80 BTS-9 Cross Match (Thalassemia) 280 280 280 Direct Coombs Test/ Direct Agglutination BTS-10 350 350 350 Test(DAT) BTS-11 Du Testing (In Rh -ve Blood Groups Only ) 130 130 130 BTS-12 Fresh Frozen Plasma 600 600 600 Indirect Coombs Test/Indirect Agglutination BTS-13 450 450 450 Test(IAT) BTS-14 Major Cross Match & Minor Crossmatch 140 140 140 BTS-15 Micro Typing Gel Technique For PNH 1600 1600 1600 BTS-16 Micro Typing Gel Technique For Sickle Cell 290 290 290 BTS-17 Minor Blood Grouping 4100 4100 4100 BTS-18 Monospecific Coombs for the Diag. of AIHA 940 940 940 BTS-19 Pediatrics Bag 1670 1670 1670 BTS-20 Platelets Concentrates 600 600 600 BTS-21 RH Antibody Titration 140 140 140 BTS-22 Granulocyte Apheresis 22000 22000 22000 BTS-23 Therapeutic Phlebotomy 500 500 500 BTS-24 Transfer blood bag 130 130 130 BTS-25 Washed Red Blood Cells 2400 2400 2400 BTS-27 Leucodepleted RBCS 4450 4450 4450 Peripheral Blood Stem Cell Harvesting & BTS-28 41360 41360 41360 Preservation BTS-30 Therapeutic Plasma Exchange(TPE) 20000 20000 20000 BTS-31 Anti-A Antibody Titer 770 770 770 BTS-32 Anti-B Antibody Titer 770 770 770 BTS-33 Anti-A And Anti-B Antibody Titer 1540 1540 1540 BTS-34 Rh Phenotype 610 610 610 BTS-35 Cryoprecipitate 1980 1980 1980 BTS-36 Leuco Apheresis 16500 16500 16500 BTS-37 Platelet Rich Plasma(PRP) 3500 3500 3500 BTS-38 Platelet Crossmatch 550 550 550 BTS-39 Platelet Antibody Screen 6000 6000 6000 BTS-40 NAT Testing 1400 1400 1400 BTS-41 Leucodepleted RBCS (ECI) 5000 5000 5000 Apheresis Profile- Hb% + Platelets Count BTS-42 2500 2500 2500 HBsAg + HIV +HCV + PCV +PS For Malaria

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Code Investigation Pvt/Semi Eco OPD parasite + VDRL

10. PHYSIOTHERAPY Code Physiotherapy Pvt Semi Eco PHY-1 Consultation - - 320 PHY-2 Hot Fomentation (HP) 160 150 140 PHY-3 Hot Fomentation (HP) (6 Visits Package OPD) 840 780 700 PHY-4 Cold Packs (CP) 160 150 140 PHY-5 Cold Packs (CP) (6 Visits Package OPD) 840 780 700 PHY-6 Wax Therapy (WB) 160 150 140 PHY-7 Wax Therapy (WB) (6 Visits Package OPD) 840 780 700 PHY-8 Intermittent Traction (IT) 220 200 180 PHY-9 Intermittent Traction (IT) (6 Visits Package OPD) 1050 970 880 PHY-10 Short-Wave Diathermy (SWD) 180 160 150 Short-Wave Diathermy (SWD) (6 Visits Package PHY-11 880 810 740 OPD) PHY-12 Microwave Diathermy (MWD) 180 160 150 Microwave Diathermy (MWD)(6 Visits Package PHY-13 880 810 740 OPD) PHY-14 TENS 220 200 180 PHY-15 TENS (6 Visits Package OPD) 1050 970 880 PHY-16 Ultrasound Therapy (US) 220 200 180 PHY-17 Ultrasound Therapy (US) (6 Visits Package OPD) 1050 970 880 PHY-18 Interferential Therapy (IFT) 220 200 180 Interferential Therapy (IFT) (6 Visits Package PHY-19 1050 970 880 OPD) PHY-20 Laser Therapy 380 360 330 PHY-21 Laser Therapy(6 visits package) 1890 1730 1580 PHY-22 Muscle Stimulation 380 360 330 PHY-23 Muscle Stimulation (6 Visits Package OPD) 1890 1730 1580 PHY-24 Microcurrent Therapy 250 240 220 PHY-25 Microcurrent Therapy (6 Visits Package OPD) 1260 1160 1050 PHY-26 Neuroprobe Therapy 250 240 220 PHY-27 Neuroprobe Therapy (6 Visits Package OPD) 1260 1160 1050 PHY-28 Iontophoresis Therapy 380 360 330 PHY-29 Iontophoresis Therapy (6 Visits Package OPD) 1890 1730 1580 PHY-30 Cryotherapy 380 360 330 PHY-31 Cryotherapy (6 Visits Package OPD) 1890 1730 1580 PHY-32 Fluidotherapy 380 360 330 PHY-33 Fluidotherapy (6 Visits Package OPD) 1890 1730 1580 PHY-34 Therapeutic Exercises 500 380 330 PHY-35 Therapeutic Exercises (6 Visits Package OPD) 1890 1730 1580

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Code Physiotherapy Pvt Semi Eco PHY-36 Supervised Gen Cond. Ex 380 360 330 PHY-37 Supervised Gen Cond. Ex (6 Visits Package Opd) 1890 1730 1580 PHY-38 Treatment To Additional Area 380 360 330 Treatment To Additional Area (6 Visits Package PHY-39 1890 1730 1580 Opd) PHY-40 Myofascial Release 250 240 220 PHY-41 Myofascial Release (6 Visits Package OPD) 1260 1160 1050 PHY-42 Compression Therapy 420 390 360 PHY-43 Compression Therapy (6 Visits Package OPD) 2100 1930 1750 PHY-44 Whirlpool Therapy 640 580 530 PHY-45 Whirlpool Therapy (6 Visits Package OPD) 3150 2890 2630 PHY-46 Lymphatic Massage 640 580 530 PHY-47 Lymphatic Massage (6 Visits Package OPD) 3150 2890 2630 PHY-48 Paraplegia (Exercise) 420 390 360 PHY-49 Paraplegia (Exercise) (6 Visits Package OPD) 2100 1930 1750 PHY-50 Hemiplegia (Exercise) 420 390 360 PHY-51 Hemiplegia (Exercise) (6 Visits Package OPD) 2100 1930 1750 PHY-52 Bell’s Palsy (M.Stim+Exs.) 670 610 560 Bell’s Palsy (M.Stim+Exs.) (6 Visits Package PHY-53 3350 3080 2790 OPD) PHY-54 Chest Physiotherapy 500 380 330 PHY-55 Chest Physiotherapy (6 Visits Package OPD) 2680 2000 1620 PHY-56 Postural Drainage 500 380 330 PHY-57 Postural Drainage (6 Visits Package OPD) 2680 2000 1620 PHY-58 Gait Training/Crutches Training 380 360 330 Gait Training/Crutches Training (6 Visits PHY-59 1890 1730 1580 Package OPD) PHY-60 Exercises + Gait Training 640 500 420 PHY-61 Exercises + Gait Training (6 Visits Package OPD) 3280 2630 2100 PHY-62 Prenatal Exercises Individual 420 390 360 Prenatal Exercises Individual (6 Visits Package PHY-63 2100 1930 1750 OPD) PHY-64 Postnatal Exercises Individual 370 340 300 Postnatal Exercises Individual (6 Visits Package PHY-65 1850 1690 1530 OPD) PHY-66 Prosthetic & Orthotic Training 380 360 330 Prosthetic & Orthotic Training (6 Visits Package PHY-67 1890 1730 1580 OPD) PHY-68 Misc. Modality & Procedure 420 390 360 Misc. Modality & Procedure (6 Visits Package PHY-69 2100 1930 1750 OPD) PHY-70 PT Outpatient Neuro Rehab Visit (PTO PNR) 670 610 560 PHY-71 PT Outpatient Rehab Visit (PTOPNR) (6 Visits 3350 3080 2790

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Code Physiotherapy Pvt Semi Eco Package OPD) Physiotherapy Doctor Visit To PHY-72 670 610 560 ICU/CCU/HDU/SICU Physiotherapy Doctor Visit To ICU/CCU/ HDU/ PHY-73 670 610 560 SICU (Night) PHY-74 Occupational Therapy Doctor Visit To Room 420 390 360 Occupational Therapy Dysphagia Vital PHY-75 2520 2310 2100 Stimulation Occupational Therapy Dysphagia Vital 1049 PHY-76 12580 11540 Stimulation (6 Visits Package OPD) 0 Occupational Therapy Outpatient Rehab Visit PHY-77 670 610 560 (OTOPR) Occupational Therapy Outpatient Rehab Visit PHY-78 3350 3080 2790 (OTOPR) (6 Visits Package OPD) PHY-79 PT Onco Lymphedema Rehab Visit (PTOLR) 1010 920 840 PT Onco Lymphedema Rehab Visit (PTOLR) (6 PHY-80 5040 4610 4190 Visits Package Opd) PHY-81 PT Outpatient Cardiac Rehab Visit (PTOCR) 670 610 560 Outpatient Cardiac Rehab Visit (PTOCR) (6 PHY-82 3350 3080 2790 Visits Package OPD) PHY-83 Normal Delivery postnatal (Max. 5 visit) 1100 1010 910 PHY-84 Surgery/LSCS postnatal (Max. 5 visit) 2100 1930 1750 PHY-85 CPM (Continues passive motion) 250 240 220 PHY-86 Kineso Tapping 180 160 150 For Delux/Suite/Super-delux suit, 30% increase from economy category.

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11. NEUROPHYSIOLOGY CODE Investigation Charges NUP-1 NCV (Single Limb) 3950 NUP-2 NCV (Both Upper limbs including H-Reflex F-wave) 4000 NUP-3 NCV (Both lower limbs including H-Reflex F-wave) 4000 NUP-4 NCV (All four Limbs) 4850 NUP-5 NCV (Brachial Plexus Both Sides) 4850 NUP-6 NCV (VII N, Blink Reflex) 4850 NUP-7 RNS (Repetitive Nerve Stimulation) 4850 NUP-8 EMG (All four Limbs with disposable needle) 4200 NUP-9 NCV+EMG (with disposable needle) 5750 NUP-10 VEP 3600 NUP-11 BERA 3900 NUP-12 SSEP 4850 NUP-13 (OPD/Eco/Semi/Pvt) 2650 Digital Video EEG (Dlx / Suite) 3150 NUP-14 Acute Stroke 6550 NUP-15 Bubble Test for PFO 4700 NUP-16 CO2 reactivity test 4700 NUP-17 Emboli Detection 4700 NUP-18 Interventional Procedure 6550 NUP-19 Monitoring Neurosurgery/cardiac surgery 6550 NUP-20 Portable TCD 4200 NUP-21 Post Thrombolysis 6550 NUP-22 Routine TCD 4200 NUP-23 SAH 6550 NUP-24 Steal Phenomenon 4700 NUP-25 Vascular Reactivity 4700 NUP-26 Mental Function Test 1100 NUP-27 Attention Disorder/Anxiety Disorder (Pseudodementia) 1100 NUP-28 Dementia 1100 NUP-29 Testing Depression 1100 NUP-30 Cognitive Assessment And Cognitive Rehabilitation 1100

Cardiac- NON-INVASIVE PROCEDURES Code Procedure Pvt/Semi Eco OPD NIV-1 ECG 350 320 260 NIV-1A TMT/24 Hours. Holter (12 Channel) 3480 2900 2420 NIV-2 2D Echo/Color Doppler 3510 3190 2660 NIV-3 Stress Echo 5750 5230 4360 NIV-4 TEE 5750 5230 4360 NIV-5 Dobutamine Stress Echo 6390 5810 4840 NIV-6 TILT Test 6390 5810 4840

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Code Procedure Pvt/Semi Eco OPD NIV-7 Carotid Doppler 4800 4360 3630 NIV-8 Peripheral, Doppler (Two Limbs) 6420 5810 4840 NIV-9 Peripheral, Doppler (Four Limbs) 9580 8710 7260 NIV-10 Paediatric Echo 4800 4360 3630 NIV-11 Portable Echo 4220 3840 3200 Emergency Non-Invasive Procedures Charges 25% Extra (between 8:00 NIV-12 p.m. to 8 a.m. and on Sunday & Holidays) ECHO TEST (Myocardial Contrast NIV-13 9580 8710 7260 Echocardiography

Code Procedure Pvt/Semi Eco OPD INV-1 D-Dimer 1450 1450 1450 INV-2 Myoglobin 1890 1890 1890 INV-3 Pro BNP 2180 2180 2180 INV-4 Trop-T (Quantitative) 1650 1650 1650

12. NUCLEAR MEDICINE Code Investigation Pvt/semi Eco OPD Cardiothoracic Vascular System NUM-1 Gated Stress Myocardial Perfusion Study 15950 14520 12100 NUM-2 Gated Resting Myocardial Perfusion Study 10600 9600 8000 NUM-3 Venography 6000 5400 4800 NUM-4 Resting MUGA 5500 4950 4400 Gastrointestinal Tract NUM-5 GI Bleed Study/R.B.C Blood Pool Study 5940 5390 4510 NUM-6 RBC Scan (Heat Denatured) 7000 6300 5600 NUM-7 Gastroesophageal Reflux Study 4070 3740 3080 NUM-8 Gastric Emptying 3190 2860 2420 NUM-9 GER and Gastric Emptying 4840 4400 3630 NUM-10 Hepatobiliary Scan 6500 5850 5200 NUM-11 Radionuclide Peritoneography 4070 3740 3080 NUM-12 Hepatosplenic Scan 4840 4400 3630 NUM-13 Meckel's study 4840 4400 3630 NUM-14 Salivary Gland Study 4620 4180 3520 Tumor Imaging NUM-15 Gallium Scan 17600 15950 13310 NUM-16 I-131 MIBG Scan ( urgent) 35000 31500 28000 NUM-17 I -131 MIBG scan (routine ) 22000 19800 17600 NUM-18 Scintimammography 9570 8610 7660 NUM-19 Indium Labelled Octreotide Scan 119790 108900 90750 NUM-20 M.I.B.I Parathyroid Scan 10000 9000 8000

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Code Investigation Pvt/semi Eco OPD Brain NUM-21 HMPAO Brain Spect 14410 13090 10890 NUM-22 Radionuclide Cisternography For CSF 6380 5830 4840 NUM-23 Leak- Scan Charges 6380 5830 4840 NUM-24 MIBI Brain Spect 14410 13090 10890 NUM-25 G.H.A Brain Spect 5720 5170 4290 NUM-26 E.C.D Brain Spect 13640 12430 10340 Infection Imaging NUM-27 Yttrium Medicine Cost Only Skeletal System NUM-28 Bone Scan 5720 5170 4290 NUM-29 SPECT Bone Scan 6380 5830 4840 NUM-30 Bone Marrow Imaging 6380 5830 4840 NUM-31 Three Phase Bone Scan 5720 5170 4290 Thyroid Imaging NUM-32 99m Tc Thyroid Scan Perfusion & Uptake 3190 2860 2420 NUM-33 I-131 Uptake and Scan 3190 2860 2420 NUM-34 I-131 Whole Body Scan 5830 5280 4400 I-131 Therapy for Thyrotoxicosis Upto 10 NUM-35 8500 7650 6800 mCi NUM-36 10-15 mCi 9500 8550 7600 NUM-37 16-25 mCi 1-131 therapy 23000 21500 20000 NUM-38 30 mCi l-131 therapy 31680 29040 26400 NUM-39 50-100 mCi 1-131 therapy 34000 34000 34000 NUM-40 101-150 mCi 1-131 therapy 40000 40000 40000 NUM-41 151-200 mCi 1-131 therapy 42000 42000 42000 NUM-42 200-250 mCi 1-131 therapy 48000 48000 48000 Respiratory System NUM-43 Lung Ventilation And Perfusion 10000 9000 8000 NUM-44 Lung Ventilation 5170 4730 3960 NUM-45 Lung Perfusion 5720 5170 4290 Genitourinary System NUM-46 DTPA Scan 5720 5170 4290 Captopril DTPA Study for Screening of NUM-47 9900 8910 7920 Renal HT NUM-48 DMSA Scan 6380 5830 4840 NUM-49 DRCG 5500 4950 4400 NUM-50 Renal Transplant Evaluation 6000 5400 4800 NUM-51 Testicular scan 4620 4180 3520 NUM-52 Consultation for outside scan PET Scan 2100 1910 1600

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PET Scan Code Procedure Pvt/Semi Eco OPD NUM-53 PET CT Whole Body 19800 19800 19800 NUM-54 PET CT Whole Body with Contrast 24200 24200 24200 NUM-55 PET CT Brain 18000 18000 18000 NUM-56 PET CT Brain with Contrast 20800 20800 20800 NUM-57 PET CT Angiography Brain with Contrast 22000 22000 22000 NUM-58 Cardiac PET CT 18500 18500 18500 NUM-59 F18 PET Bone Scan 11090 9240 7700 NUM-60 PET Guided FNAC 3030 2750 2310 NUM-61 PET Guided Biopsy 3030 2750 2310 NUM-62 Whole Body pet (Gallium DOTATOC) 28000 28000 28000 Whole Body pet (PSMA Scan)-without NUM-63 19000 19000 19000 contrast NUM-64 Whole Body pet (PSMA Scan)-with contrast 24000 24000 24000 NUM-65 TRODAT Brain Spect 19800 19800 19800 NUM-66 Samarium Therapy 16000 16000 16000 NUM-67 TRODAT Brain SPECT with Brain PET 35000 35000 35000 NUM-68 25 mCi I-131 therapy (Dose) 20000 20000 20000 NUM-69 30 mCi I-131 therapy (Dose) 22000 22000 22000 NUM-70 50 mCi I-131 therapy (Dose) 27000 27000 27000 NUM-71 75 mCi I-131 therapy (Dose) 30000 30000 30000 NUM-72 100 mCi I-131 therapy (Dose) 33000 33000 33000 NUM-73 150 mCi I-131 therapy (Dose) 35000 35000 35000 NUM-74 200 mCi I-131 therapy (Dose) 40000 40000 40000 NUM-75 250 mCi I-131 therapy (Dose) 53500 53500 53500 NUM-76 300 mCi I-131 therapy (Dose) 57000 57000 57000 I-131 MIBG (100 mCi)(BRIT Mumbai) - NUM-77 48000 48000 48000 Therapy (Dose) I-131 MIBG (100 mCi)(Other than BRIT NUM-78 812500 812500 812500 Mumbai) - Therapy (Dose) NUM-79 I-131 MIBG Therapy – Therapy 34000 34000 34000

Note: 1. The Above charges are only procedure Charges. 2. Room rent, medicines, consultation charges, any other procedure/ diagnostics etc will be charged extra as per SOC.

NUCLEAR MEDICINE (PACKAGE) Code Investigation Pvt/sem Eco OPD Lutetium DOTA PRRT 100 Mci NUMP-01 220000 220000 220000 (Package) Lutetium DOTA PRRT 150 Mci NUMP-02 220000 220000 220000 (Package)

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Code Investigation Pvt/sem Eco OPD Lutetium DOTA PRRT 200 Mci NUMP-03 250000 250000 250000 (Package) NUMP-04 Lutetium PSMA 100 Mci (Package) 220000 220000 220000 NUMP-05 Lutetium PSMA 150 Mci (Package) 220000 220000 220000 NUMP-06 Lutetium PSMA 200 Mci (Package) 250000 250000 250000 NUMP-09 Actinium PSMA (Package) 525000 525000 525000 1. Inclusions: Room Rent /Therapy Room charge, Dose of therapy, Pharmacy and consumables, Dr Visits of Nuclear Medicine, Radiation Monitoring charges, Post Therapy Scan. 2. Exclusions: The Procedure charges do not include charges other than those mentioned in package detail.

Y-90 SIRT (TARE) Therapy Code Package Charges NUMP-07 Pre Therasphere Assessment Package 220000 NUMP-08 Y-90 Definitive treatment Package 940000

1. Pre - Therasphere Assesment Package Includes a. Bed Charges Covered for 1 Day (Iodine therapy room) b. Nuclear Medicine i. Invesigation-Lung Perfusion ii. SPECT (mode of scanning) iii. Nuclear Medicine Professional Charges for dose calculation c. Interventional Radiology: Abdominal Angiography/Abdominal Embolization d. Cath Lab Charges and Consumables e. Pharmacy: Sim-1 cathetor, Microcathetor,Coils (2 to 4 coils in a case)+ other pharmacy upto Rs 4000/- f. Dr visits (Nuclear Medicine and Interventional Radiologist) g. Admission charges 2. Y-90 Definitive Treatment Package by Angiogram Includes. a. Bed Charges Covered for 2 Days (Iodine therapy room) b. Routine Investigation: Liver Function Test,Renal profile-serum,ECG, CBC,PT/ PT INR, APTT/PTTK, Xray Chest AP c. Nuclear Medicine- PET CT whole body with contrast d. Interventional Radiology: Abdominal Angiography /Abdominal Embolization e. Cath Lab Charges and Consumables f. Pharmacy: Sim-1 cathetor, Microcathetor, Nuclear Medicine (dose charges), other pharmacy upto Rs 5000/, g. Nuclear Medicine Professional Charges h. Dr visits (Nuclear Medicine and Interventional Radiologist) i. Admission charges

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13. RADIOLOGY A. X-RAY Code Investigation Pvt/Semi Eco OPD XRA-1 Abdomen (Each View) 550 520 450 XRA-2 Ankle (AP & Lat. View) 550 520 450 XRA-3 Arm (AP & Lat. View) 550 520 450 XRA-4 Calcaneus (Lat.& Axial View) 550 520 450 XRA-5 Chest (Each View) 550 520 450 XRA-6 Clavicle 550 520 450 XRA-7 Coccyx 550 520 450 XRA-8 Elbow (AP & Lat. View) 550 520 450 XRA-9 Femur (AP & Lat. View) 960 890 750 XRA-10 Femur (Full Length) (Each View) 550 520 450 XRA-11 Finger (AP & Lat. View) 550 520 450 XRA-12 Foot (AP & Lat. View) 550 520 450 XRA-13 Forearm (AP & Lat. View) 550 520 450 XRA-14 Hand (AP & Lat. View) 550 520 450 XRA-15 Hands (Both) (Lat. View) 550 520 450 XRA-16 Heels (Both) (Lat. View) 550 520 450 XRA-17 Hip (Each View) 550 520 450 XRA-18 Humerus (AP & Lat. View) 550 520 450 XRA-19 Knee (AP & Lat. View) 550 520 450 XRA-20 Leg (AP & Lat. View) 550 520 450 XRA-21 Leg (Including Knee & Ankle) 650 620 550 XRA-22 Mandible 550 520 450 XRA-23 Mastoids (One Oblique) 550 520 450 XRA-24 Nasal Bone (one View) 550 520 450 XRA-25 Nasopharynx (Lat. View) 550 520 450 XRA-26 Neck (For Soft Tissues) (Lat. View) 550 520 450 XRA-27 Pelvis (One View) 550 520 450 XRA-28 PNS (One View) 550 520 450 XRA-29 S.I. Joints (One View) 550 520 450 XRA-30 Sacroiliac Joints (One View) 550 520 450 XRA-31 Sacrum (One View) 550 520 450 XRA-32 Shoulder (One View) 550 520 450 XRA-33 Skull (One View) 550 520 450 XRA-34 Spine (One View) 550 520 450 XRA-35 Sternoclavicular Joints (One View) 550 520 450 XRA-36 Thigh (AP & Lat. View) 960 890 750 XRA-37 Thumb (AP & Lat. View) 550 520 450 XRA-38 TM Joint (Each Side) 550 520 450 XRA-39 Wrist (AP & Lateral Oblique) 550 520 450

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Code Investigation Pvt/Semi Eco OPD XRA- 40 Portable Extra Charges X-Ray 450 450 450 XRA-41 Abdomen B/L 960 890 750 XRA-42 Ankle B/L 960 890 750 XRA-43 Arm B/L 960 890 750 XRA-44 Calcaneus B/L 960 890 750 XRA-45 Chest B/L 960 890 750 XRA-46 Clavicle B/L 960 890 750 XRA-47 Coccyx B/L 960 890 750 XRA-48 Elbow B/L 960 890 750 XRA-49 Femur B/L 960 890 750 XRA-50 Femur Full Length B/L 960 890 750 XRA-51 Finger B/L 960 890 750 XRA-52 Foot B/L 960 890 750 XRA-53 Forearm B/L 960 890 750 XRA-54 Hand B/L 960 890 750 XRA-55 Hands (Both) B/L 960 890 750 XRA-56 Heels (Both) B/L 960 890 750 XRA-57 Hip B/L 960 890 750 XRA-58 Humerus B/L 960 890 750 XRA-59 Knee B/L 960 890 750 XRA-60 Leg B/L 960 890 750 XRA-61 Leg (Including Knee & Ankle) B/L 960 890 750 XRA-62 Mandible B/L 960 890 750 XRA-63 Mastoids B/L 960 890 750 XRA-64 Nasal Bone B/L 960 890 750 XRA-65 Nasopharynx B/L 960 890 750 XRA-66 Neck (For Soft Tissues) B/L 960 890 750 XRA-67 Pelvis B/L 960 890 750 XRA-68 PNS B/L 960 890 750 XRA-69 S I Joint B/L 960 890 750 XRA-70 Sacroiliac Joints B/L 960 890 750 XRA-71 Sacrum B/L 960 890 750 XRA-72 Shoulder B/L 960 890 750 XRA-73 Skull B/L 960 890 750 XRA-74 Spine B/L 960 890 750 XRA-75 Sternoclavicular Joints B/L 960 890 750 XRA-77 Thumb B/L 960 890 750 XRA-78 TM Joint B/L 960 890 750 XRA-79 Wrist B/L 960 890 750 XRA-80 B/L Knee AP/Lat 960 890 750 XRA-81 Extra Film Charges 300 300 300

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Code Investigation Pvt/Semi Eco OPD XRA-82 Full Leg-Long Leg Alignment Film (x ray) 1480 1360 1150 XRA-83 Full Spine (x ray) 1480 1360 1150 XRA-84 Dye Charge (100 ml)

XRA-85 Dye Charge (20 ml)

XRA-86 Dye Charge (40 ml)

XRA-87 Dye Charge (60 ml)

XRA-88 Dye Charge (80 ml)

XRA-89 Fibroscan (Elastography) (USG) 2050 1950 1800 XRA-90 KUB (one View) 550 520 450 XRA-91 Styloid Process (AP View) 550 520 450 XRA-92 Styloid Process (B/L) 960 890 750 XRA-93 Bilateral Knee AP view 550 520 450 XRA-94 Bilateral Knee Lat view 650 620 550

B) SPECIAL INVESTIGATIONS (INCL. THE COST OF CONTRAST) Code Investigation Pvt/Semi Eco OPD SPL-1 Barium Enema 5050 4590 3900 SPL-2 Barium Meal Examination 3620 3290 2850 SPL-3 Barium Meal Follow Through 4360 3990 3370 SPL-4 Barium Swallow 2510 2260 1950 SPL-5 Fistulogram 2860 2640 2200 Gastrografin Study (Lower GIT) (Contrast SPL-6 3760 3440 2900 Extra) Gastrografin Study (Upper GIT) (Contrast SPL-7 3960 3640 3100 extra) SPL-8 HSG (Contrast Extra) 3510 3170 2720 SPL-9 IVU / IVP 4690 4260 3620 SPL-10 Nephrostogram (Contrast Extra) 2600 2360 2000 SPL-11 PTC (Contrast Extra) 6960 6340 5300 RGU (Retrograde Urethrogram)& MCU with SPL-13 4960 4540 3800 Contrast SPL-14 Sialography (Each Side) 2800 2600 2200 SPL-15 Sinogram 2460 2240 1850 SPL-16 T-tube Cholangiogram (contrast extra) 2860 2640 2200 SPL-17 ERCP/PTC 5330 4050 3200 Gastrografin Study Whole Abdomen (Contrast SPL-18 5330 4850 4050 extra) SPL-19 RGU / Pericathetarization With Contrast 3230 2930 2550

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C) MAMMOGRAPHY Code Investigation Pvt/Semi Eco OPD MAM-1 B/L 3050 2800 2370 MAM-2 Mammography Guided Wire Localization 5250 4800 4050 MAM-3 One Side (Post Mastectomy) 1650 1520 1310 MAM-4 Specimen Mammography 950 880 750 MAM-5 Compression Mammography 760 700 600 MAM-6 Mammography + Stereotactic biopsy 4750 4350 3650 MAM-7 Mammography + USG Breast 3250 2980 2520 MAM-8 Stereotactic Breast biopsy 3250 2980 2520 MAM-9 Stereotactic wire localisation 5250 4800 4050 MAM-10 Specimen Radiography 1150 1050 900

D) BONE DENSITOMETRY Code Investigation Pvt/Semi Eco OPD BDA-1 Bone Densitometry (Hip & Spine) 3930 3600 3050 BDA-2 Bone Densitometry (Whole Body) 5480 5040 4270 BDA-3 Bone Densitometry (single site) 2500 2280 1950 BDA-4 Bone Densitometry (Three sites) 4100 3770 3150 Bone Densitometry (For Package) (Hip & BDA-5 2450 2230 1900 Spine)

E) OPG Code Investigation Pvt/Semi Eco OPD OPG-1 Orthopantomogram (OPG)/Panorex 1140 1030 920 OPG-2 Cephalogram Lateral/AP/PA 1140 1030 920 OPG-3 TM joint open & closed Mouth 1140 1030 920 OPG-4 Sinus Program (Paranasal Sinuses) 1140 1030 920 OPG-5 Wrist Joint Carpus View 1140 1030 920 OPG-6 Transverse Multi Slice Posterior Teeth 1140 1030 920

F) ULTRASOUND Code Investigation Pvt/Semi Eco OPD USG-1 Lower Abdomen 1450 1350 1100 USG-2 Upper Abdomen 1450 1350 1100 USG-3 Abdomen Whole 2030 1930 1630 USG-4 Biophysical Scoring 2050 1950 1650 USG-5 Breast 1850 1750 1450 USG-6 Chest & Upper Abdomen 1850 1750 1450 USG-7 Chest Ultrasound 1450 1350 1100 Foetal Cardiac Activity USG for AFI, Cord USG-8 1050 950 750 around Neck USG-9 Follicular Study 2030 1930 1630 USG-10 Follicular Study (Single Day) 850 750 550

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Code Investigation Pvt/Semi Eco OPD USG-11 KUB 1450 1350 1100 USG-12 Neck 1850 1750 1450 USG-13 Obstetric Ultrasound 1450 1350 1100 USG-14 Obstetric Ultrasound (Level 2) 3070 2870 2420 USG-14A Obstetric Ultrasound Twins (Level 2) 5000 4600 3850 USG-15 Orbit 1850 1750 1450 USG-16 Pelvic Ultrasound 1450 1350 1100 USG-17 Pelvic Ultrasound (TVS) 1450 1350 1100 USG-18 Scrotum 1850 1750 1450 USG-19 Testes 1850 1750 1450 USG-20 Thyroid 1850 1750 1450 USG-21 TRUS (Transrectal Ultrasound For Prostate) 1760 1660 1360 TRUS Guided Biopsy (Cost of Biopsy Needle USG-22 1850 1750 1450 Extra) USG-23 US Guidance For MTP 1650 1550 1250 USG-23A US Guidance For Drainage in OT / ward 1650 1550 1250 USG-24 US Marking For Aspiration 1050 950 750 USG-25 US Guidance For Nephrostomy (Each Side) 1850 1750 1450 US Guided Core Biopsy (Cost of Biopsy USG-26 1850 1750 1450 Needle Extra) USG-27 US Guided Diagnostic Aspiration 1850 1750 1450 USG-28 US Guided FNAC 2250 2050 1650 USG-29 Cranial US (Neonatal) 1850 1750 1450 USG-29A Portable USG for DVT (Screening Grey Scale) 1850 1750 1450 USG-30 Whole Abdomen With TVS 2250 2050 1650 USG-31 Biophysical Score With Colour Doppler 3150 2850 2350 USG-32 Portable (Extra Charges) 450 450 450 USG-33 Small Part/Superficial part 1850 1750 1450 USG-34 USG Needle 2750 2750 2650 USG-35 PVR 850 750 550 USG-36 3D/4D 3280 3000 2650 USG-37 Obstetric Doppler(Twin Pregnancy) 4300 3900 3150 USG-38 NTNB Scan 3280 3000 2650 USG-39 NTNB Scan(for twin Pregnancy) 3880 3550 3150 USG-41 Upper Abdomen with Elastography Liver 2350 2150 1750 USG-42 Whole Abdomen with Elastography Liver 3450 3150 2800 USG-43 Thyroid / Neck with Elastography Thyroid 2850 2650 2150 USG-44 LA TRUS with Elastography Prostate 3450 3150 2800 USG-45 LA TVS with Elastography Cervix 2850 2650 2150 USG-46 Breast with Elastography of Lesion 2850 2650 2150 USG-47 USG Guided Wire Localization 2650 2420 2040 USG-48 Fiducial Clip Placement 4750 4350 3650

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Code Investigation Pvt/Semi Eco OPD USG-49 Sterotactic Fiducial Clip Placement 6050 6050 6050 USG-50 Trus Guided Fiducial Clip Placement 6050 6050 6050 Ultrasound Guidance During Major USG-51 12 Surgery In OT Radiologist Fee 7810 6010 5110

G) DOPPLER STUDIES Code Investigation Pvt/Semi Eco OPD DST-1 Carotid Doppler 3630 3300 2760 DST-2 Obstetric Doppler 2750 2530 2100 Peripheral Venous/Arterial Doppler (One DST-3 3410 3190 2650 Limb) DST-4 Renal Doppler / Hepatic Doppler 3410 3190 2650 Peripheral Venous/Arterial Doppler (Both DST-5 6160 5610 4630 Limbs) DST-6 Color Doppler (Lower Abdomen / Mesenteric) 3510 3290 2750 DST-7 Scrotal Doppler 2750 2530 2100 DST-8 Doppler Chest Wall Study 3410 3190 2650 DST-9 Fetal cardiac assessment ( Echo ) 3350 3350 3350

1 Charges for Contrast (if used) Rs. 3000/- 2 Consumables shall be charged extra 3 Anesthetist charges shall be extra 4 Extra film charges Rs. 250 per film 5 Emergency Charges for all bills raised from 8PM-8AM: Rs. 500/- extra for all radiology procedure except X-Rays H) CT SCAN Code Investigation Pvt/Semi Eco OPD CTS-1 CT Brain / Cranium / Head (Plain) 3300 3100 2700 CT Brain/Cranium /Head CECT with CTS-2 4660 4360 3760 contrast CT Brain/Cranium/Head (Plain) & CECT CTS-3 5750 5350 4650 with contrast CTS-4 CT Guided Pigtail Insertion 9000 8300 7100 CTS-5 CT Angiography with Contrast 15400 14100 11900 CTS-6 CT Guided Procedure (needle Cost Extra) 7500 6900 5900 CTS-7 CT Face 5100 4700 4100 CTS-8 CT Face with Contrast 7400 6900 6000 CTS-9 CT Lower Abdomen 5200 4800 4200 CTS-10 CT Lower Abdomen with Contrast 8850 8200 7150 CTS-11 CT Lung(HRCT) 5850 5450 4750 CTS-12 CT Musculoskeletal 5700 5300 4600 CTS-13 CT Musculoskeletal with Contrast 9000 8300 7100 CTS-14 CT Neck plain 5100 4700 4100

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Code Investigation Pvt/Semi Eco OPD CTS-15 CT Neck with Contrast 7400 6900 6000 CTS-16 CT Orbits plain 4900 4500 3900 CTS-17 CT Orbits with Contrast 6800 6300 5400 CTS-18 CT Cervical Spine With Contrast 7400 6800 5800 CTS-19 CT Cervicodorsal Spine With Contrast 7400 6800 5800 CTS-20 CT PNS (Coronal) 4900 4500 3900 CTS-21 CT PNS (Coronal) with Contrast 6800 6300 5400 CTS-22 CT PNS (Coronal & Axial) 5300 4900 4300 CTS-23 CT PNS (Coronal & Axial) with Contrast 7900 7300 6300 CTS-25 CT Sella 4900 4500 3900 CTS-26 CT Sella with Contrast 5500 5100 4400 CTS-29 CT Temporal Bone (HRCT) 7000 6600 5900 CTS-30 CT Thorax 5850 5450 4750 CTS-31 CT Thorax with Contrast 8970 8300 7250 CTS-32 CT Thorax & Abdomen 11500 10500 8900 CTS-33 CT Thorax & Abdomen with Contrast 14700 13400 11350 CTS-34 CT TM Joints 4900 4500 3900 CTS-35 CT TM Joints with Contrast 6800 6300 5400 CTS-36 CT Upper Abdomen 5200 4800 4200 CTS-37 CT Upper Abdomen with Contrast 8850 8200 7150 CTS-38 CT Whole Abdomen 8850 8200 7150 CTS-39 CT Whole Abdomen with Contrast 11600 10780 9400 Cardiac CT coronary Angio & calcium CTS-40 17000 15500 13100 scoring CTS-41 Calcium Scoring 10100 9300 7900 CTS-42 Virtual Colonoscopy 15400 14100 11900 CTS-43 CT Face & Neck with Contrast 12100 11100 9400 CTS-44 Enteroclysis 15400 14100 11900 CTS-45 Enteroclysis with CECT Abdomen 17000 15500 13100 CTS-46 Renal Angiography 16050 14750 12400 CTS-47 Pulmonary Angiography 15400 14100 11900 CTS-48 Cerebral Angiography 15400 14100 11900 CTS-49 Carotid Angiography 15400 14100 11900 CTS-50 Peripheral and leg Angiography 17000 15500 13100 CTS-51 Dental Scan 6200 5700 4900 CTS-52 CT (Biphasic/Triphasic Upper Abdomen) 15400 14100 11900 CTS-53 CT (Biphasic/Triphasic Whole Abdomen) 17000 15500 13100 Triple Rule Out-Coronary Stenosis CTS-54 20200 18400 15500 Pulmonary Embolism, Aortic Dissection CTS-55 Cardiac CT coronary Angio + Renal 20200 18400 15500 CTS-56 Lung nodule analysis + chest 15400 14100 11900 CTS-57 CT KUB 5100 4700 4100

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Code Investigation Pvt/Semi Eco OPD CTS-58 CT KUB Contrast 8550 7950 6950 CTS-59 CT Scanogram 5000 4600 4000 CTS-60 CT Cisternography 7500 6900 5900 CTS-61 CT Angio Abdomen Aorta + Lower Limb 20200 18400 15500 CTS-62 CT Angio Carotid + Cerebral 20200 18400 15500 CTS-63 CT Perfusion Study 13000 11900 10100 CTS-64 CT Anesthesia Charges 2300 2300 2300 CTS-66 CT Angio Abdomen Aorta 16050 14750 12400 CTS-67 3D Reconstruction 3500 3300 2900 CTS-69 Emergency Charges 800 800 800 CTS-70 Extra Films (per film CT) 350 350 350 Additional Charges Visipaque (For patients CTS-72 1700 1700 1700 with renal diseases) CTS-73 CT guided Procedure for Coeliac Block 9000 8300 7100 CTS-74 CT guided Procedure for Cementing 9000 8300 7100 CTS-75 CT Angio Upper Limb 15400 14100 11900 CTS-76 CT Angio Thoracic aorta 15400 14100 11900 CTS-77 CT Cervical Spine 4700 4400 3800 CTS-78 CT Dorsal Spine 4700 4400 3800 CTS-79 CT Lumbar Spine 4700 4400 3800 CTS-81 CECT Neck+Upper chest 10800 9900 8400 CTS-82 CT Venography 12700 11600 9800 CTS-83 CT KUB Plain + Contrast 11600 10600 9000 CTS-84 CT Face & Neck 8700 8000 6800 CTS-85 CT Oral Contrast Charges 800 600 500 CTS-86 CT Neck with Chest 8700 8000 6800 CTS-87 CT Neck With Chest With Contrast 11400 10400 8800 CTS-88 HRCT Temporal Bone With Contrast 8300 7600 6500 CTS-89 CT head with cervical spine 6100 5600 4800 CTS-90 CT Dorsal Spine with contrast 7500 6900 5900 CTS-91 CT Lumbar Spine with contrast 7500 6900 5900 CTS-92 CT Cervico dorsal Spine 7400 6800 5800 CTS-93 CT Dorsal lumbar Spine 7400 6800 5800 CTS-94 CT Dorsal lumbar Spine with Contrast 10700 9800 8300 CTS-95 Dye non ionic 50ml 1800 1800 1800 CTS-96 Dye non ionic 100ml 2800 2800 2800 CTS-97 CT guided procedure (needle cost extra) 5900 5900 5900 CTS-98 CT Needle 2800 2800 2800 CTS-99 CT Angio Thoracic & Abdominal Aorta 20200 18400 15500 CT Report(outside)/Review(outside)/ CTS-100 1400 1400 1400 Comparison CTS-101 CT cystogram 8300 7650 6600

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Code Investigation Pvt/Semi Eco OPD CTS-102 CT Volumetry 8800 8150 7100 CTS-103 Enterography 11400 10580 9200

I) MRI Code Investigation Pvt/Semi Eco OPD MRI-1 MRI Brain Screening 4200 3900 3400 MRI-2 MRI Brain+MR Angio 9600 8700 7300 MRI-3 MRI Brain+MR Angio With Contrast 12900 11850 10000 MRI-4 MRI Cervical Spine 9300 8600 7400 MRI-5 MRI Cervical Spine - With Contrast 12700 11700 9900 MRI-6 MRI Chest 8100 7450 6400 MRI-7 MRI Chest - With Contrast 11900 11000 9400 MRI-8 MRI Dorsal Spine 9300 8600 7400 MRI-9 MRI Dorsal Spine With Contrast 13200 12200 10400 MRI-10 MRI Epilepsy Protocol 8500 7800 6700 MRI-11 MRI Head 8100 7500 6400 MRI-12 MRI Head - With Contrast 11900 11000 9400 MRI-13 MRI Lower Abdomen 8100 7500 6400 MRI-14 MRI Lower Abdomen With Contrast 11900 11000 9400 MRI-15 MRI Lumbar 9320 8600 7400 MRI-16 MRI Lumbar With Contrast 13240 12200 10400 MRI-17 MRI Mastoid 8130 7500 6400 MRI-18 MRI Mastoid With Contrast 11810 10900 9400 MRI-19 MRI MR Angiography (Per Region) 7730 7100 6000 MRI MR Angiography(Per Region)-With MRI-20 11110 10200 8700 Contrast MRI MR Angiography Brain With MR MRI-21 8490 7800 6700 Venography MRI-22 MRI MRCP 8130 7500 6400 MRI-23 MRI MRCP With Contrast 11950 11000 9400 MRI-24 MRI Orbit 8130 7500 6400 MRI-25 MRI Orbits - With Contrast 11950 11000 9400 MRI-26 MRI Pelvis 8130 7500 6400 MRI-27 MRI Pelvis - With Contrast 11950 11000 9400 MRI-28 MRI Peripheral Angio (Per Region) 7730 7100 6000 MRI Peripheral Angio (Per Region)With MRI-29 11160 10250 8700 Contrast MRI-30 MRI Plain (Per Region Of Interest) 8130 7500 6400 MRI Plain (Per Region Of Interest) With MRI-31 11950 11000 9400 Contrast MRI-32 MRI PNS 8090 7460 6400 MRI-33 MRI PNS - With Contrast 11950 11000 9400 MRI-34 MRI Single Joint 7690 7060 6000

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Code Investigation Pvt/Semi Eco OPD MRI-35 MRI Single Joint - With Contrast 11550 10600 9000 MRI-36 MRI Upper Abdomen 8090 7460 6400 MRI-37 MRI Upper Abdomen- With Contrast 11950 11000 9400 MRI-38 MRI Upper Abdomen With MRCP 10290 9410 8000 MRI Upper Abdomen With MRCP With MRI-39 14220 12980 11000 Contrast MRI-40 MRI Whole Abdomen 11650 10600 9000 MRI-41 MRI Whole Abdomen With Contrast 15530 14260 12000 MRI-42 MRI Whole Spine Screening 5030 4620 4000 MRI-43 MRI Whole Spine Screening With Contrast 8380 7740 6700 MRI-44 MRI MR Venography Head 7690 7060 6000 MRI-45 MRI Brain & Orbit 9530 8670 7300 MRI-46 MRI Brain & Orbit With Contrast 13050 11980 10000 MRI-47 MRI Brain & PNS 9530 8670 7300 MRI-48 MRI Brain & PNS With Contrast 13050 11980 10000 MRI-49 MRI Brain With CSF Flow Study 9600 8700 7300 MRI-50 MRI Sacral Spine With S I Joints 7700 7100 6000 MRI Sacral Spine With S I Joints With MRI-51 11100 10200 8700 Contrast MRI-52 MRI Brachial Plexus 8600 7800 6700 MRI-53 MRI Brachial Plexus With Contrast 12100 11000 9300 MRI-54 MRI Prostate/Anal Canal/Fistula In Ano 8600 7800 6700 MRI Prostate/Anal Canal/Fistula In Ano MRI-55 11700 10600 8900 With Contrast MRI-56 MRI Both Hip Joints 7700 7100 6000 MRI-57 MRI Both Hip Joints With Contrast 11100 10200 8700 MRI-58 MRI Both S I Joints 7700 7100 6000 MRI-59 MRI Both S I Joints With Contrast 11100 10200 8700 MRI-60 MRI Knee/Shoulder/Wrist/Ankle Joint 8100 7500 6400 MRI Knee/Shoulder/Wrist/Ankle Joint With MRI-61 11900 11000 9400 Contrast MRI-62 MRI C-Spine With Whole Spine Screening 8600 7800 6700 MRI-63 MRI D-Spine With Whole Spine Screening 8600 7800 6700 MRI-64 MRI L-Spine With Whole Spine Screening 8600 7800 6700 MRI-65 MRI Whole Body Screening For Metastasis 11100 10200 8700 MRI-66 MRI Cervico-Dorsal Spine Screening 4200 3900 3400 MRI-67 MRI Dorsolumbar Spine Screening 4200 3900 3400 MRI-68 MRI Lumbosacral Spine Screening 4200 3900 3400 MRI-69 MRA Brain 8100 7500 6400 MRI-70 MRA Brain With Contrast 11900 11000 9400 MRI-71 MRA Neck 7700 7100 6000 MRI-72 MRA Neck With Contrast 11100 10200 8700

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Code Investigation Pvt/Semi Eco OPD MRI-73 MR Venography Brain With Contrast 11100 10200 8700 MRI-74 MRA Brain & Neck 9600 8700 7300 MRI-75 MRA Brain & Neck With Contrast 13100 11900 10000 MRI-76 MRI Brain With MRA Neck 9600 8700 7300 MRI-77 MRI Brain With MRA Neck With Contrast 13100 12000 10000 MRI-78 MRA Renal Contrast Enhanced 14750 13850 12350 MRI-79 MRA Single Station Contrast Enhanced 11100 10200 8700 MRI-80 MRA Multi Station Contrast Enhanced 13100 12000 10000 MRA Thoracic And Abdominal Aorta With MRI-81 13100 12000 10000 Contrast MRI-82 MRA Whole Body With Contrast 15700 14400 12200 MRI-83 Stroke Protocol 8500 7800 6700 Stroke Protocol +Perfusion Imaging With MRI-84 12200 11200 9500 Contrast MRI-85 TIA Protocol 12200 11200 9500 MRI-86 TIA Protocol With Contrast 11100 10200 8700 MRI-87 Vertigo Protocol 8500 7800 6700 MRI-88 Vertigo Protocol With Contrast 12200 11200 9500 MRI-89 MR Spectroscopy Brain -Multivoxel 8650 7950 6800 MR Spectroscopy Brain -Multivoxel With MRI-90 12450 11450 9800 Contrast MRI Brain + MR Spectroscopy Brain MRI-91 9600 8700 7300 Multivoxel MRI Brain + MR Spectroscopy Brain MRI-92 16750 15650 13650 Multivoxel With Contrast MRI-93 Epilepsy Protocol With Contrast 12200 11200 9500 MRI-94 Epilepsy Protocol +Volumetry 9600 8700 7300 MRI-95 Epilepsy Protocol + Volumetry With Contrast 13100 12000 10000 MRI-96 Epilepsy Protocol + Volumetry Spectroscopy 11100 10200 8700 Epilepsy Protocol +Volumetry With MRI-97 14400 13200 11100 Spectroscopy With Contrast MRI-98 Multiple Sclerosis Protocol With Contrast 13100 12000 10000 MRI-99 MRI For Hemifacial Spasm 9600 8700 7300 MRI-100 MRI For Hemifacial Spasm With Contrast 13100 12000 10000 MRI-101 MRI Trigeminal Neuralgia 9600 8700 7300 MRI-102 MRI Trigeminal Neuralgia With Contrast 13100 12000 10000 MRI-103 MRI Brain +Inner Ear With 3D 9600 8700 7300 MRI-104 MRI Brain +Inner Ear With 3D With Contrast 13100 12000 10000 MRI-105 Low Back Protocol 9600 8700 7300 MRI-106 Low Back Protocol With Contrast 13100 12000 10000 MRI-107 Tumor Protocol With Contrast 13100 12000 10000 MRI-108 MRI Breast 9600 8700 7300

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Code Investigation Pvt/Semi Eco OPD MRI-109 MRI Breast With Contrast 13100 12000 10000 MRI-110 MRA Both Lower Limbs With Contrast 15450 14350 12350 MRI-111 MRI Face With Neck 9600 8700 7300 MRI-112 MRI Face With Neck With Contrast 13100 12000 10000 MRI-113 MRI Brain C.S.F Flow Study 7700 7100 6000 MRI-114 MRA Renal Angio 8500 7800 6700 Angiography (Cont Enhanced) (Cont Charges MRI-115 8500 7800 6700 Extra) MRI-116 Brain + DWI + MRA 11100 10200 8700 MRI-117 Charges For Contrast 4500 4500 4500 MRI-118 MRI Foot With Contrast 11100 10200 8700 MRI-119 MRI Brain + DWI 8500 7800 6700 MRI-120 MRI Brain + DWI + Contrast 12200 11200 9500 MRI-121 MRI Brain + MRV 9600 8700 7300 MRI-122 MRI Brain + MRV+ Contrast 13100 11900 10000 MRI-123 MRI Brain + Screening Of Whole Spine 10100 9300 7800 MRI-124 MRI C-Spine + Brachial Plexus 10100 9300 7800 MRI-125 MRI C-Spine + Whole Spine Screening 8500 7800 6700 MRI-126 MRI Face + Neck 9600 8700 7300 MRI-127 MRI Face+ Neck + Contrast 13100 12000 10000 MRI LS Spine + Screening Of S.I. Joint With MRI-128 12200 11200 9500 Contrast MRI-129 MRI LS Spine + Screening Of S.I. Joint 8500 7800 6700 MRI-130 Sedation (MRI) 2900 2700 2300 MRI-131 Spectroscopy 8500 7800 6700 MRI-133 MRI Neck With Contrast 10700 9700 8200 MRI Spine Screening MRI-134 3600 3400 3000 (Cervical/Dorsal/Lumbar) MRI-135 MRI Brain With Screening Cervical Spine 8900 8200 7000 MRI Brain With Screening Cervical Spine MRI-136 14400 13200 11200 With Contrast MRI-137 MRI Foot 7700 7100 6000 MRI-138 MRI L S Spine With Canal Measurement 8700 8000 6700 MRI-139 MRI Angio Abdominal Aorta 11100 10200 8700 MRI-140 MRI Angio Thoracic Abdominal Area 11100 10200 8700 MRI-141 MRI Sella/Pituitary 11100 10200 8700 MRI-142 MRI CSF Rhinorrhea 9600 8700 7300 MRI-143 Functional MRI Brain 11700 10600 9000 MRI-144 Cardiac MRI Plain 11700 10600 9000 MRI-145 Cardiac MRI With Contrast 14300 13100 11000 MRI-146 MRI Cisternography Plain 9600 8700 7300 MRI-147 MRI Cisternography Contrast 13100 11900 10000

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Code Investigation Pvt/Semi Eco OPD MRI-148 MRI Cervico-Dorsal Spine 10900 10000 8500 MRI-149 MRI Cervico-Dorsal Spine With Contrast 14300 13100 11000 MRI-150 MRI Dorsolumbar Spine 11900 10000 8500 MRI-151 MRI Dorsolumbar Spine With Contrast 14300 13100 11000 MRI-152 MRI Lumbosacral Spine 10900 10000 8500 MRI-153 MRI Lumbosacral Spine With Contrast 14300 13100 11000 MRI Knee/Shoulder/Wrist/Ankle Joint With MRI-154 10900 10000 8500 2 Additional Sequence For Opposite Side MRI Knee/Shoulder/Wrist/Ankle Joint With MRI-155 2 Additional Sequence For Opposite Side 14400 13200 11200 With Contrast MRI-156 MRI Both Knees Plain 13100 11900 10000 MRI-157 MRI Both Knees Contrast 16900 15500 13000 MRI-158 Emergency Charges 1300 1300 1300 MRI-159 MRI Brain Neuro Navigation 8100 7500 6500 MRI-160 MRI Brain Neuro Navigation With Contrast 11400 10700 9200 MRI-161 MRI Inguinoscrotal Region 9600 8700 7300 MRI-162 MRI Inguinoscrotal Region With Contrast 12200 11200 9500 MRI-163 MRI Urogram 10300 9400 8000 MRI-164 MRI Urogram With Contrast 12200 11200 9500 MRI-165 MRI KUB 7700 7100 6000 MRI-166 MRI KUB With Contrast 10900 10000 8500 MRI-167 Anesthesia Charge For MRI Stand By 2300 2300 2300 MRI-169 Standby Charges For MRI 2300 2300 2300 MRI Report(Outside)/Review (Outside) / MRI-170 1400 1400 1400 Comparison Notes:- 1. Charges for Contrast (If Used) Rs 3000/- 2. Consumables shall be charged extra 3. Anesthetist charges shall be extra 4. Emergency charges for all bills raised from 8 p.m. - 8 am - Rs. 700/- extra for CT and MRI 5. CD charges for MRI/CT is Rs 500

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14. SURGEON CHARGES FOR SURGERY Cat Pvt Semi Eco 1 870 670 570 2 1370 1050 890 3 1740 1340 1140 4 2240 1720 1460 5 2850 2190 1860 6 3340 2570 2180 7 4080 3140 2670 8 4590 3530 3000 9 5340 4110 3490 10 6320 4860 4130 11 7190 5530 4700 12 7810 6010 5110 13 8680 6680 5680 14 9430 7250 6160 15 9930 7640 6490 16 10760 8280 7040 17 11620 8940 7600 18 12580 9680 8230 19 13680 10520 8940 20 14650 11270 9580 21 15610 12010 10210 22 16590 12760 10850 23 17550 13500 11480 24 18400 14150 12030 25 19030 14640 12440 26 22830 17560 14930 27 26600 20460 17390 28 30380 23370 19860 29 34160 26280 22340 30 37950 29190 24810 31 41740 32110 27290 32 45640 35110 29840 33 49430 38020 32320 34 53080 40830 34710 35 57010 43850 37270 109 60980 46910 39870 110 65260 50200 42670 111 69820 53710 45650 112 74720 57480 48860 113 79950 61500 52280 114 54290 41760 35500 115 20790 15990 13590 116 7180 5400 4500 117 17950 13500 11250 118 28730 21600 18000

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Cat Pvt Semi Eco 119 35910 27000 22500 120 50270 37800 31500 121 64640 48600 40500 122 85000 65000 55000 123 91000 70000 59500 124 97500 75000 63750 125 104000 80000 68000 126 110500 85000 72250 Note:-

1. Deluxe will be charged 20% extra of the private category. 2. Deluxe Suite/Suite will be charged 40% extra of the private category. 3. In case surgery is performed in emergency (8pm to 8am) 15% Extra of the surgeon fee would be charged

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15. Common Procedure (OPD/Bed Side) Code Operation Cat Pvt Semi Eco Allergy Testing Common Allergens Other COMM-1 18 12580 9680 8230 Than Food COMM-2 Arterial Cannula 7 4080 3140 2670 COMM-3 Arteriography / Venography-Peripheral 25 19030 14640 12440 Aspiration Ascitic Fluid/Seroma COMM-4 5 2850 2190 1860 Fluid/other site fluid COMM-5 Aspiration Pericardial Fluid 15 9930 7640 6490 COMM-6 Aspiration Pleural Fluid-Diagnostic 6 3340 2570 2180 COMM-7 Bone Marrow Biopsy 4 2240 1720 1460 COMM-8 Bone Marrow Aspiration & Biopsy 13 8680 6680 5680 COMM-9 Benign Skin Lesions Electrofulguration 7 4080 3140 2670 Biopsy Liver/Pleural/Lung Needle COMM-10 10 6320 4860 4130 Aspiration/Trucut COMM-11 Biopsy Mucosa/Muscle/Skin 7 4080 3140 2670 COMM-12 Bone Marrow Aspiration 9 5340 4110 3490 COMM-13 Bronchoscopy Diagnostic 15 9930 7640 6490 COMM-14 Bronchoscopy Under C-Arm 10 6320 4860 4130 COMM-15 Aspiration Pleural Fluid-Therapeutic 9 5340 4110 3490 COMM-16 Bronchoscopy with Brush Biopsy 14 9430 7250 6160 COMM-17 Bronchoscopy with FNAC 14 9430 7250 6160 COMM-18 Cardiac Pacing Permanent 17 11620 8940 7600 COMM-19 Cardiac Pacing Temporary 8 4590 3530 3000 COMM-20 Cardioversion DC 7 4080 3140 2670 COMM-21 Cauterization Chemical/Electrical 5 2850 2190 1860 COMM-22 Chemotherapy IV Port Access 2 1370 1050 890 COMM-23 Dialysis Peritoneal 9 5340 4110 3490 COMM-24 Endotracheal Intubation 6 3340 2570 2180 COMM-25 Exchange Transfusion 9 5340 4110 3490 COMM-26 Exchange Transfusion Partial 5 2850 2190 1860 FNAC of lung lesion under USG COMM-27 5 2850 2190 1860 guidance COMM-28 Gastric lavage 5 2850 2190 1860 COMM-29 Intercostal tube drainage - Insertion 16 10760 8280 7040 COMM-30 Intralesional Injection 4 2240 1720 1460 COMM-31 Lumbar Puncture 8 4590 3530 3000 COMM-32 Paring of Corns 4 2240 1720 1460 COMM-33 Pleurodesis 10 6320 4860 4130 COMM-34 Subdural Tap 7 4080 3140 2670 COMM-35 Supra Pubic Aspiration 4 2240 1720 1460 COMM-36 Surfactant Therapy 7 4080 3140 2670 COMM-37 Thoracocentesis 9 5340 4110 3490

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Code Operation Cat Pvt Semi Eco COMM-38 Umbilical Artery Catheterization 5 2850 2190 1860 COMM-39 Ventricular Tap 10 6320 4860 4130 COMM-42 Central Venous/Arterial Catheterization 7 4080 3140 2670 Abscess COMM-43 Abscess Large 11 7190 5530 4700 COMM-44 Abscess Small I & D 7 4080 3140 2670 Additional Codes COMM-45 tracheotomy Tube change 5 2850 2190 1860 COMM-46 tracheotomy 17 11620 8940 7600 COMM-47 CVP Line Insertion Charges COMM-48 EJV 5 2850 2190 1860 COMM-49 Difficult Cannulation 2 1370 1050 890 COMM-50 Ryles Tube Insertion 1 870 670 570 COMM-51 Resuscitation Charges 1000 1000 1000 COMM-52 Abdominal Pressure Monitoring 550 550 550 COMM-53 Foley's Catheterization 790 690 590 COMM-54 Canwin Analysis 1330 1330 1330 COMM-55 Biothesiometry 940 940 940 COMM-56 Vascular Doppler 2900 2900 2900 CGMS-Continuous Glucose Monitoring COMM-57 6660 6660 6660 System COMM-58 Biologics Infusion Therapy 3990 3990 3990 COMM-59 PC Enema 440 330 220 COMM-60 Blood Transfusion charges 500 500 500 COMM-61 Ambulatory Glucose Profile 1000 1000 1000

16. Common Procedure (OT / Minor OT/OPD/Emergency) Code Operation Cat Pvt Semi Eco Abscess Paravertebral/Psoas/Deep COMT-1 14 9430 7250 6160 Seated Drainage COMT-2 AV Fistula 18 12580 9680 8230 COMT-3 AV Shunt 16 10760 8280 7040 Dressing COMT-4 Dressing Extra Large 6 3340 2570 2180 COMT-4 A Dressing Large 5 2850 2190 1860 COMT-5 Dressing Medium 3 1740 1340 1140 COMT-6 Dressing Small 1 870 670 570 COMT-7 Keloid Excision 9 5340 4110 3490 COMT-8 Keloid Injection 4 2240 1720 1460 Micro Suturing COMT-9 Micro Suturing >10 stitches 13 8680 6680 5680 COMT-10 Micro Suturing up to 10 stitches 10 6320 4860 4130

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Code Operation Cat Pvt Semi Eco Micro Suturing-Secondary Wound COMT-11 22 16590 12760 10850 Closure Suture Removal COMT-12 Suture Removal (Medium/Large) 430 430 430 COMT-13 Suture Removal (Small) 240 240 240 Suturing/Wound Closure COMT-14 Suturing/Wound Closure >10 stitches 13 8680 6680 5680 Suturing/Wound Closure upto 10 COMT-15 8 4590 3530 3000 stitches COMT-16 Secondary Wound Closure 18 12580 9680 8230 Wound COMT-17 Wound Debridement-Large 15 9930 7640 6490 COMT-18 Wound Debridement-Medium 10 6320 4860 4130 COMT-19 Wound Debridement-Small 7 4080 3140 2670

17. CRITICAL CARE AND EMERGENCY MEDICINE Code Operation Cat Pvt Semi Eco CCM-1 Arterial Cannula 7 4080 3140 2670 CCM-2 Aspiration Ascitic Fluid 5 2850 2190 1860 CCM-3 Cardioversion DC 7 4080 3140 2670 CCM-4 Endotracheal Intubation 6 3340 2570 2180 CCM-5 Gastric Lavage 5 2850 2190 1860 CCM-6 Lumbar Puncture 8 4590 3530 3000 CCM-7 PCT Percutaneous Tracheotomy 19 13680 10520 8940 CCM-8 PICC Line 10 6320 4860 4130 CCM-9 Pleural Aspiration Diagnostic 7 4080 3140 2670 CCM-10 Pleural Aspiration Therapeutic 9 5340 4110 3490 CCM-11 Ryles Tube Insertion. 1 870 670 570 CCM-12 Sedation (MRI) 2000 2000 2000 CCM-13 Sengstaken Tube Placement. 14 9430 7250 6160 CCM-14 Subclavian/Internal Jugular Line Insertion 9 5340 4110 3490 CCM-15 Thoracostomy Dressing 4 2240 1720 1460 CCM-16 Thoracostomy Removal. 4 2240 1720 1460 CCM-17 Tracheostomy Tube Change. 5 2850 2190 1860 CCM-18 Tube Thoracostomy. 17 11620 8940 7600 CCM-19 US Marking For Aspiration 900 800 600

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18. CARDIOTHORACIC & VASCULAR SURGERY Code Operation Cat Pvt Semi Eco Aortofemoral/Aortoiliac Bypass Graft- CTV-1 31 41740 32110 27290 U/L CTV-2 Axillo-Bifemoral/Bi-Iliac Bypass 26 22830 17560 14930 Balloon Dilatation Of Peripheral CTV-3 30 37950 29190 24810 Vessel CTV-4 Bilobectomy 33 49430 38020 32320 CTV-5 Bronchopleural Fistula Closure 31 41740 32110 27290 CTV-6 Bullectomy 30 37950 29190 24810 CTV-7 Catheter Drainage Pericardial Cavity 11 7190 5530 4700 CTV-8 Cervical Rib Resection/Scalenectomy 29 34160 26280 22340 CTV-9 Chest Wall Reconstructive Surgery 31 41740 32110 27290 Chest Wall Tumor Excision With CTV-10 30 37950 29190 24810 Reconstruction Chest Wall Tumor Excision Without CTV-11 26 22830 17560 14930 Reconstruction CTV-12 Closed Mitral Valvotomy 30 37950 29190 24810 CTV-13 Coarctation Of Aorta 26 22830 17560 14930 CTV-14 Decortication Lung 33 49430 38020 32320 CTV-16 Diaphragm Pacing-Transthoracic 24 18400 14150 12030 CTV-17 Digital Exploration Pleural Cavity 21 15610 12010 10210 CTV-18 Drainage Of Pericardial Cavity 25 19030 14640 12440 CTV-19 Embolectomy-Multiple Vessels 32 45640 35110 29840 CTV-20 Embolectomy - Single Vessel 34 53080 40830 34710 CTV-21 Endarterectomy Peripheral Vessel 30 37950 29190 24810 CTV-22 Esophageal Ca. Excision/Bypass 28 30380 23370 19860 Eventration/Diaphragmatic Hernia CTV-23 30 37950 29190 24810 Via Chest CTV-24 Exploration of Any Peripheral Vessel 29 34160 26280 22340 CTV-25 Exploratory Thoracotomy 33 49430 38020 32320 CTV-26 Femoral Cross - Leg Bypass Graft 27 26600 20460 17390 CTV-27 Femoro distal Bypass-Synthetic Graft 27 26600 20460 17390 Femoropopliteal Bypass-Synthetic CTV-29 25 19030 14640 12440 Graft CTV-30 Femoropopliteal Bypass-Vein Graft 29 34160 26280 22340 CTV-31 Hellar\s Cardiomyotomy 25 19030 14640 12440 CTV-32 Hiatus Hernia/Reflux Surgery 25 19030 14640 12440 Hydatid Cyst/Bronchogenic Cyst CTV-33 27 26600 20460 17390 Excision Laser / Cauterization For Tracheo- CTV-34 19 13680 10520 8940 Bronchial Tumour / Stricture CTV-35 Lobectomy/Single Segment Resection 33 49430 38020 32320 CTV-36 Lung Biopsy-Needle /Tru-Cut 16 10760 8280 7040

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Code Operation Cat Pvt Semi Eco CTV-37 Lung Volume Reduction Surgery 31 41740 32110 27290 CTV-38 Mediastinal Mass Excision 31 41740 32110 27290 CTV-39 Mediastinoscopy 22 16590 12760 10850 CTV-40 Multiple Segments Resection Lung 28 30380 23370 19860 CTV-41 Open Lung Biopsy 25 19030 14640 12440 CTV-42 PDA Division 30 37950 29190 24810 CTV-43 PDA Ligation 30 37950 29190 24810 CTV-44 Pericardiectomy - Constrictive 30 37950 29190 24810 CTV-45 Pericardiectomy - Simple 24 18400 14150 12030 CTV-46 Peripheral Angiography 21 15610 12010 10210 CTV-47 Peripheral Arterial Aneurysm Repair 25 19030 14640 12440 CTV-48 Peripheral Arterial Injury Repair 29 34160 26280 22340 Permanent Pacemaker Implant- CTV-49 25 19030 14640 12440 Epicardial CTV-50 Permanent Pacemaker Implant-T 21 15610 12010 10210 CTV-51 Pleural Biopsy - Open 19 13680 10520 8940 CTV-52 Pleurectomy 30 37950 29190 24810 CTV-53 Pleuropericardial Window 19 13680 10520 8940 CTV-54 Pneumonectomy 34 53080 40830 34710 CTV-55 Profundoplasty 25 19030 14640 12440 CTV-56 Profundoplasty With Synthetic Patch 25 19030 14640 12440 CTV-57 Pulmonary/Bronchial AVM 25 19030 14640 12440 CTV-58 Repair Of Lung Injury 31 41740 32110 27290 CTV-59 Rib Resection For Empyema 16 10760 8280 7040 CTV-60 Rigid Bronchoscopy - Diagnostic 26 22830 17560 14930 CTV-61 Rigid Bronchoscopy - Therapeutic 26 22830 17560 14930 CTV-62 Segmentectomy Lung 25 19030 14640 12440 CTV-63 Sleeve Resection Bronchus 33 49430 38020 32320 Subxiphoid Drainage Pericardial CTV-64 27 26600 20460 17390 Cavity CTV-65 Surgery For Chylothorax 31 41740 32110 27290 CTV-66 Sympathectomy Cervical 26 22830 17560 14930 CTV-67 Sympathectomy Transthoracic 26 22830 17560 14930 CTV-68 Synthetic Graft Of Peripheral Artery 25 19030 14640 12440 CTV-69 Synthetic Graft Of Peripheral Vein 25 19030 14640 12440 CTV-70 Thoracic Aortic Aneurysm 26 22830 17560 14930 CTV-71 Thoracoplasty 29 34160 26280 22340 CTV-72 Thoracoscopy-Diagnostic 26 22830 17560 14930 Thoracotomy For Foreign Body CTV-74 22 16590 12760 10850 Removal CTV-75 Thymectomy 27 26600 20460 17390 CTV-76 Tracheal Stenosis Dilatation 23 17550 13500 11480

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Code Operation Cat Pvt Semi Eco CTV-77 Tracheal Stenosis Repair-Cervical 31 41740 32110 27290 CTV-78 Tracheal Stenting 19 13680 10520 8940 CTV-79 Tracheo/Broncho Plastic Procedures 33 49430 38020 32320 CTV-80 Transbronchial Lung Biopsy 12 7810 6010 5110 CTV-81 Transhiatal Esophagectomy 25 19030 14640 12440 CTV-83 Vein Graft Of Peripheral Artery 29 34160 26280 22340 CTV-84 Venous Reconstruction 29 34160 26280 22340 CTV-85 Venous Thrombectomy 22 16590 12760 10850 CTV-86 Varicose Vein Surgery 31 41740 32110 27290 CTV-87 Femoral Pseudoaneurysm 27 26600 20460 17390 CTV-88 Embolectomy 32 45640 35110 29840 Sternal Osteomyelitis Excision & CTV-89 29 34160 26280 22340 Chest Wound Resuturing Perma Placement Jugular Cath- Re CTV-90 19 13680 10520 8940 exploration in cardiac cases CTV-91 Cardiac Tumor/ Thrombus 32 45640 35110 29840

19. ANGIOGRAPHY Code Procedure charges CLC-1 Coronary Angiography/ Cardiac Catheterization 18000 CLC-2 Renal / Peripheral/Carotid/Femoral Angiography 18000

1. The Angiography package includes: a. 24 hours Stay. b. Professional fees of Cardiologist / Cardiologist Visit / Nursing Care / Diet Charges c. Investigations**** Routine Blood investigations (Haemogram, RBS, Urea, Cr, Sodium, potassium, Blood group, HIV,HbsAg, HCV, One ECG, Chest X-ray) d. Routine medicines (Oral routine medicines, Disposables, IV Cannula, Three way Cannula, IV Set,Syringes) e. Non-ionic Dye f. IV NTG, IV Monocef, IV Amikacin & IV Heparin. 2. The Angiography package does not include: a. All expenses for stay beyond the package period. b. CD will be given to patients after non-refundable payment of Rs. 500/-. c. c.Professional Charges of other Consultants (even in package time). d. Any other incidental procedures & investigations (i.e 2D Echo Carotid Doppler) to be charged as per rate list. e. Use of Special Drug, costly Antibiotics (IV or Oral), LMWH, Reo -pro, Integrilin, STK, Urokinase etc. 3. These charges are for Private/Semi Private/Economy category only. Deluxe- 20% extra and Suite-40% extra will be charged.

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20. TEMPORARY PACEMAKER IMPLANTATION (TPI) Code Procedure charges CLC-12 TPI (inclusive of TPI pacing lead) 15000

Note: - Room Rent, Consultant’s visits,Medicines & investigations will be charged extra. These charges are for Private/Semi Private/Economy category only. Deluxe-20% extra and Suite-40% extra will be charged.

21. PACKAGE CHARGES FOR SPECIALIZED PERMANENT PACEMAKER Code Procedure charges CLC-13 Single Chamber 50000 CLC-13 a Double Chamber 60000 CLC-13 b AICD Single Chamber 60000 CLC-13 c AICD Double Chamber 70000 CLC-14 Biventricular Pacemaker 80000 CLC-15 Combo Device (Biventricular Pacemaker + AICD) 90000 1. Package include : up to 3 days stay, Cath Lab charges, All routine medicines & disposables, Cardiologist professional charges & all investigations related to procedure . 2. Cost of Pacemaker will be charged extra. 3. These charges are for Private/Semi Private/Economy category only. Deluxe- 20% extra and Suite-40% extra will be charged.

22. IVC FILTER Code Procedure charges CLC-IVC IVC 35000 1. INCLUSION IN PACKAGE:- a. Up to one day stay b. Cardiologist visit / Nursing care / Diet charges c. Routine Blood investigation (Haemogram, RBS, Urea, Creatinine BT/CT, ECG, Sodium, Potassium,Blood group, Chest X-Ray, CPK MB (One Value), D-Dimer etc d. Routine Medicines (Oral Routine Medicines including antibiotics, Disposable, Routine Dye and Drugs used in Cath Lab, IV Cannula, Three way Cannula, IV Set, Syringes) 2. SERVICES NOT INCLUDED IN PACKAGE:- a. Stay beyond one night as per rate list. b. Any other Lab investigation besides as mentioned above, 2D Echo Carotid Doppler or any special other investigation to be charged as per rate list of hospital. c. LMWH, STK, Urokinase, Blood transfusion, IV nutrition as per rate list. d. Special medicines like Reopro, Integrilin etc. e. Any other specialist visits or procedure (even in package time will be charge extra) as per rate list.

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f. IABP g. Use of Ventilator if required to be charged as per rate list h. Cost of Filter extra. 3. These charges are for Private/Semi Private/Economy category only. Deluxe- 20% extra and Suite-40% extra will be charged.

23. MISC. PROCEDURES Code Procedure Charges CLC-24 Pericardial Tapping 10000 CLC-25 Elective DC Cardioversion (Rs.500 for anesthetist if+) 5000 CLC-26 STK 6000 CLC-27 IABP 55000 CLC-28 Retrieval of broken Catheter 50000 These charges are for Private/Semi Private/Economy category only. Deluxe-20% extra and Suite-40% extra will be charged.

24. PULMONARY PROCEDURES Code Operation Cat Pvt Semi Eco Allergy Testing Common Allergens other PLM-1 18 12580 9680 8230 than food (Full) Allergy Testing Common Allergens with PLM-2 23 17550 13500 11480 food PLM-3 Fiberoptic Video Laryngoscopy 10 6320 4860 4130 Fiberoptic Bronchoscopy with Biopsy / PLM-4 Lavage /TBNA / cytology/Bronchial 23 17550 13500 11480 Toilet Fiberoptic Bronchoscopy with advanced PLM-5 25 19030 14640 12440 therapeutic procedures PLM-6 Fiberoptic Bronchoscopy Intubation 16 10760 8280 7040 PLM-7 Rigid Bronchoscopy - Diagnostic 26 22830 17560 14930 Rigid Bronchoscopy - Therapeutic PLM-8 27 26600 20460 17390 (including Biopsy,Cautery etc) Rigid Bronchoscopy - Foreign body PLM-9 27 26600 20460 17390 removal (OT/ Anaesthesia Extra) EBUS- Endobronchial Ultrasound with PLM-10 TBNA (Cost TBNA Needle + materials + 26 22830 17560 14930 Anesthesia Extra) PLM-11 Thoracoscopy Diagnostic 25 19030 14640 12440 PLM-12 Thoracoscopy Therapeutic 26 22830 17560 14930 PLM-13 Pleural Aspiration- Diagnostic 8 4590 3530 3000 PLM-14 Thoracentesis 13 8680 6680 5680 PLM-15 Pleurodesis 10 6320 4860 4130 Intrapleural STK Application PLM-16 7 4080 3140 2670 (Fibrinolysis) Pleural Biopsy (Cost of Pleural Biopsy PLM-17 10 6320 4860 4130 Needle Extra)

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Code Operation Cat Pvt Semi Eco PLM-18 Tru Cut Biopsy of pulmonary mass 16 10760 8280 7040 PLM-19 Tube Thoracostomy/Pigtail Insertion 20 14650 11270 9580 PLM-20 Thoracostomy tube Removal & Dressing 4 2240 1720 1460 Aspiration other than pleural fluid/ PLM-21 9 5340 4110 3490 Image guided PLM-22 PCT (Percutaneous Tracheostomy) 20 14650 11270 9580 Subclavian / Internal Jugular Line PLM-23 9 5340 4110 3490 Insertion (CVP) PLM-24 Pulmonary Function Test (Spirometry) 7 4080 3140 2670 PLM-25 Pulmonary Function Test (Portable) 8 4590 3530 3000 Pulmonary Function Test with Diffusion PLM-26 9 5340 4110 3490 study PLM-27 PFER Monitoring 3 1740 1340 1140 PLM-28 Six Minute walk test 9 5340 4110 3490 Polysomnography & NIV Titration 2nd PLM-29 29 34160 26280 22340 Day PLM-30 Polysomnography 26 22830 17560 14930 PLM-31 Polysomnography NIV Titration 1st Day 15 9930 7640 6490 PLM-32 OSA Screening 14 9430 7250 6160 PLM-33 Overnight Trend Oximetry 10 6320 4860 4130 PLM-34 Breath Condensate Analysis for 4 2240 1720 1460 PLM-35 Spirometry Screening 2 1370 1050 890 PLM-36 Exhaled FeNO testing 5 2850 2190 1860 PLM-37 Intensive respiratory monitoring 4 2240 1720 1460 PLM-38 IV thrombolysis (STK) in PTE 12 7810 6010 5110 Bronchoscopic Balloon Dilatation PLM-39 26 22830 17560 14930 endobronchial PLM-40 Bronchoscopic Balloon Tamponade 23 17550 13500 11480 PLM-41 CT-Guided FNAC 13 8680 6680 5680 PLM-42 Bronchoscopic Electrocautery 26 22830 17560 14930 PLM-43 Bronchoscopic Foreign Body Removal 17 11620 8940 7600 Bronchoscopic Glue Therapy PLM-44 17 11620 8940 7600 Endobronchial PLM-45 Laser Treatment Endobronchial 24 18400 14150 12030 PLM-46 Bronchoscopic Stent Placement 26 22830 17560 14930 PLM-47 Tracheostomy Change 4 2240 1720 1460 PLM-48 Diffusion Study 6 3340 2570 2180 Polysomnography & NIV Titration (Split PLM-49 28 30380 23370 19860 Night Study) 1 Day Study PLM-50 Fiberoptic Bronchoscopy Diagnostic 20 14650 11270 9580 PLM-51 Cough Assist Physiotherapy per day 1 870 670 570 PLM-52 USG Guidance 1 870 670 570

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25. PEDIATRIC PULMONARY PROCEDURES Code Operation Cat Pvt Semi Eco Fiberoptic Bronchoscopy With Biopsy / PPLM-1 Lavage /TBNA / Cytology / Bronchial 25 19030 14640 12440 Toilet Fiberoptic Bronchoscopy With Advanced PPLM-2 26 22830 17560 14930 Therapeutic Procedures PPLM-3 Rigid Bronchoscopy - Therapeutic 26 22830 17560 14930 Rigid Bronchoscopy - Foreign Body PPLM-4 27 26600 20460 17390 Removal (OT/ Anesthesia Extra) PPLM-5 Pulmonary Function Test (Spirometry) 7 4080 3140 2670 PPLM-6 Bronchoscopic Foreign Body Removal 17 11620 8940 7600 PPLM-7 Allergy Testing (SPL) 16 10760 8280 7040 PPLM-8 Allergy Testing(Aero+ food allergen) 23 17550 13500 11480 Note for Pulmonary and Pediatric Pulmonary:- 1. Consumables 20% extra. 2. TBNA Needle/ Biopsy Forceps/ Biopsy Gun/ Cytology Brush Extra. 3. O.T+ Anesthesia Charge Extra If Procedure done in O.T.

26. PLASTIC SURGERY Code Operation Cat Pvt Semi Eco PLSU-1 Abdominoplasty Mini 26 22830 17560 14930 Abdominoplasty with/without Suction- PLSU-2 32 45640 35110 29840 Assisted Liposuction (SAL) PLSU-3 Abscess large 11 7190 5530 4700 PLSU-4 Amputation Digits 19 13680 10520 8940 PLSU-5 Amputation of Leg/Forearm 25 19030 14640 12440 PLSU-6 Amputation of Thigh/Arm 27 26600 20460 17390 Amputation/Disarticulation of PLSU-7 21 15610 12010 10210 Finger(s)/Hand PLSU-8 Amputation/Disarticulation of Toes 19 13680 10520 8940 PLSU-9 Augmentation Mammoplasty B/L 32 45640 35110 29840 PLSU-10 Augmentation Mammoplasty U/L 28 30380 23370 19860 PLSU-11 AV Fistula Brachial 23 17550 13500 11480 PLSU-12 AV Fistula Radial 18 12580 9680 8230 PLSU-13 Axillary tail 27 26600 20460 17390 PLSU-14 Ball Bandage 3 1740 1340 1140 PLSU-15 Bed Sore Debridement Extensive 25 19030 14640 12440 PLSU-16 Biopsy HN Region 6 3340 2570 2180 Blepharoplasty Lower/Upper Lid for PLSU-17 28 30380 23370 19860 Ectropion (Single eyes) Blepharoplasty Upper/Lower Lid for PLSU-18 29 34160 26280 22340 Ectropion (both eyes) PLSU-19 Brachioplasty 31 41740 32110 27290 PLSU-20 Breast Lift 27 26600 20460 17390 PLSU-21 Breast Lumpectomy-Large 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco PLSU-22 Breast Lumpectomy-Small 23 17550 13500 11480 Breast Reconstruction with Tram etc + PLSU-23 27 26600 20460 17390 Flap PLSU-24 Burn Wound Dressing (Large) 17 11620 8940 7600 PLSU-25 Cartilage Graft To Nose/ Ear Bone 25 19030 14640 12440 PLSU-26 Cartilage/Bone Grafting Ear/Nose 25 19030 14640 12440 PLSU-27 Cleft Lip B/L 27 26600 20460 17390 PLSU-28 Cleft Lip One Side 25 19030 14640 12440 PLSU-29 Cleft Lip With Alveolus Repair 26 22830 17560 14930 PLSU-30 Cleft Palate/Fistula / Lip Revision 26 22830 17560 14930 PLSU-31 Collagen Dressing in OT (Medium) 23 17550 13500 11480 PLSU-32 Collagen Dressing in OT (Small) 16 10760 8280 7040 PLSU-33 Contracture One Finger / Toe 20 14650 11270 9580 PLSU-34 Contracture Release Extensive/Multiple 29 34160 26280 22340 PLSU-35 Contracture Release Moderate 25 19030 14640 12440 Correction deviated Nose/ Septo PLSU-36 31 41740 32110 27290 Rhinoplasty (HUMP) Correction Of Mallet Finger-Extensor PLSU-37 27 26600 20460 17390 Tendon Repair PLSU-38 Cross Finger Flap For Fingertip Injuries 27 26600 20460 17390 PLSU-39 Cross Leg Flap 31 41740 32110 27290 PLSU-40 Crush Inj. Foot/Hand-Major 26 22830 17560 14930 PLSU-41 Crush Inj. Foot/Hand-Minor 20 14650 11270 9580 PLSU-42 Crush Inj. Foot/Hand-Severe 27 26600 20460 17390 PLSU-43 Depressed Fracture 32 45640 35110 29840 PLSU-44 Dermabrasion Large 25 19030 14640 12440 PLSU-45 Dermabrasion Localized 20 14650 11270 9580 PLSU-46 Dermofat Grafts 25 19030 14640 12440 Disarticulation At The Level Of PLSU-47 22 16590 12760 10850 Ankle/Knee Division And Insetting Of Flap -Single PLSU-48 27 26600 20460 17390 Stage (Large) Division And Insetting Of Flap -Single PLSU-49 24 18400 14150 12030 Stage (Medium) Division And Insetting Of Flap -Single PLSU-50 20 14650 11270 9580 Stage (Small) Dressing Burn With Large Amnion/ PLSU-51 10 6320 4860 4130 Collagen Dressing Burn With Medium Amnion/ PLSU-52 9 5340 4110 3490 Collagen Dressing Burn With Small Amnion / PLSU-53 7 4080 3140 2670 Collagen PLSU-54 Dressing Burns Medium/Wound Large 7 4080 3140 2670 PLSU-55 Dressing Burns Small 5 2850 2190 1860 PLSU-56 Ear Deformity/Bat Ears 25 19030 14640 12440 PLSU-57 Ear Lobule Repair With Cartilage Graft 20 14650 11270 9580 PLSU-58 Ear Lobule Repair With Z Plasty 13 8680 6680 5680

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Code Operation Cat Pvt Semi Eco PLSU-59 Ear Reconstruction First Stage/Partial 25 19030 14640 12440 Ear Reconstruction Lobule PLSU-60 13 8680 6680 5680 Transposition PLSU-61 Ear Reconstruction Second Stage 26 22830 17560 14930 PLSU-62 Ectopic Bladder Total Reconstruction 28 30380 23370 19860 PLSU-63 Elephantiasis Scrotum Large 27 26600 20460 17390 PLSU-64 Elephantiasis Small 27 26600 20460 17390 PLSU-65 Entropion / Ectropion 25 19030 14640 12440 PLSU-66 Epicanthus 31 41740 32110 27290 Epispadias Genitalia PLSU-67 25 19030 14640 12440 Reconstruction/Penile Reconstruction Erich Arch Bar Fixation Of Facial PLSU-68 16 10760 8280 7040 Fracture PLSU-69 Erich Arch Bar Removal 9 5340 4110 3490 PLSU-70 Excision Cyst, Mole, Ganglion 16 10760 8280 7040 PLSU-71 Excision Of Extremity Lesion With Graft 24 18400 14150 12030 Excision Of Hand Or Foot Lesion With Z- PLSU-72 Plasty Or Other Adjacent Tissue 26 22830 17560 14930 Transfer Excision Of Head Or Neck Lesion With PLSU-73 Z-Plasty Or Other Adjacent Tissue 27 26600 20460 17390 Transfer PLSU-74 Excision of Keloid Ear Lobule 25 19030 14640 12440 PLSU-75 Excision Of Lesion / Nevus Large 19 13680 10520 8940 PLSU-76 Excision Of Lesion / Nevus Medium 18 12580 9680 8230 PLSU-77 Excision Of Lesion / Nevus Small 15 9930 7640 6490 Excision Of Scalp Lesion With Z-Plasty PLSU-78 28 30380 23370 19860 Or Other Adjacent Tissue Transfer Excision Of Scar/Lesion/Wound And PLSU-79 26 22830 17560 14930 Skin Grafting (Medium) Excision Of Scar/Lesion/Wound Burns PLSU-80 27 26600 20460 17390 And Skin Grafting (Major) Excision Of Scar/Lesion/Wound Burns PLSU-81 25 19030 14640 12440 And Skin Grafting (Minor) Excision Of Vascular Lesion On Face & PLSU-82 27 26600 20460 17390 Reconstruction Expander Removal & Contouring PLSU-83 32 45640 35110 29840 Multiple PLSU-84 Expander Removal & Contouring Single 27 26600 20460 17390 PLSU-85 Exploration Of Any Peripheral Vessel 29 34160 26280 22340 PLSU-86 Extensive Laceration 29 34160 26280 22340 Extensor Tendon Repair (Zone 2) -Two PLSU-87 27 26600 20460 17390 Tendons PLSU-88 Eyelid Reconstruction 1/3 loss 20 14650 11270 9580 PLSU-89 Eyelid Reconstruction Major loss 25 19030 14640 12440 PLSU-90 F Cauterization Face ( more than 5) 11 7190 5530 4700 PLSU-91 F Cauterization Face (3-5) 8 4590 3530 3000

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Code Operation Cat Pvt Semi Eco PLSU-92 F Cauterization Face (Less than 3) 6 3340 2570 2180 PLSU-93 Face Lift 25 19030 14640 12440 PLSU-94 Face lift with SMAS 29 34160 26280 22340 PLSU-95 Facial Small 16 10760 8280 7040 PLSU-96 Fasciotomy 21 15610 12010 10210 PLSU-97 Finger Injury - Graft / Local Flap 19 13680 10520 8940 PLSU-98 Finger Injury Repair 11 7190 5530 4700 Flaps, MUS/Hyo Cut/Fasciocut/Skin - PLSU-99 27 26600 20460 17390 Large Flaps, MUS/ Myocut/ Fascioucut/ Skin PLSU-100 18 12580 9680 8230 - Small PLSU-101 Flaps, Random / Axial / Tube Delay 13 8680 6680 5680 Flaps (Local Rotation, Transposition, V, PLSU-102 26 22830 17560 14930 Y, Z, Plasty, Tube) Fracture Maxilla / Mandible, closed PLSU-103 26 22830 17560 14930 reduction & IMF Fracture Maxilla reduction cranial PLSU-104 25 19030 14640 12440 suspension Fracture Maxillary / Mandible, Open PLSU-105 30 37950 29190 24810 reduction & AO Plating/IMF PLSU-106 Fracture Nasal Closed / with wound 21 15610 12010 10210 PLSU-107 Free Flap Transplants 28 30380 23370 19860 PLSU-108 Frontal Bone Orif 22 16590 12760 10850 PLSU-109 Full Thickness Skin Graft (Large) 28 30380 23370 19860 PLSU-110 Full Thickness Skin Graft (Medium) 26 22830 17560 14930 PLSU-111 Full Thickness Skin Graft (Small) 24 18400 14150 12030 Gynaecomastia Excision/Liposuction PLSU-112 29 34160 26280 22340 B/L Gynaecomastia Excision/Liposuction PLSU-113 25 19030 14640 12440 U/L Hair Transplant PLSU-114 33 49430 38020 32320 Follicular/Micrografting(Large) Hair Transplant PLSU-115 31 41740 32110 27290 Follicular/Micrografting(Medium) Hair Transplant PLSU-116 27 26600 20460 17390 Follicular/Micrografting(Small) PLSU-117 Hand Surgery: AO fixation of Bones 26 22830 17560 14930 PLSU-118 Hand Surgery: Major 26 22830 17560 14930 PLSU-119 Hand Surgery: Syndactyly 26 22830 17560 14930 PLSU-120 Hand Surgery: Tendon / Nerve 26 22830 17560 14930 PLSU-121 Hymenoplasty 26 22830 17560 14930 PLSU-122 Hypospadias / Chordee Correction 19 13680 10520 8940 PLSU-123 Hypospadias Urethral reconstruction 26 22830 17560 14930 Interface Implants, Malar/ Maxilla/ PLSU-124 21 15610 12010 10210 Chin K-Wire Fixation For Fracture Proximal PLSU-125 16 10760 8280 7040 Phalanx

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Code Operation Cat Pvt Semi Eco PLSU-126 Laceration Large 22 16590 12760 10850 PLSU-127 Laceration Medium 18 12580 9680 8230 PLSU-128 Laceration Over Extremities 22 16590 12760 10850 PLSU-129 Laceration small 14 9430 7250 6160 PLSU-130 Lip Reconstruction 1/3 Loss 20 14650 11270 9580 PLSU-131 Lip Reconstruction 2/3 Loss 22 16590 12760 10850 PLSU-132 Lip Reconstruction Abbe Flap 23 17550 13500 11480 PLSU-133 Lip Reconstruction Total Loss 27 26600 20460 17390 PLSU-134 Lip Vermillion Z Plasty 19 13680 10520 8940 PLSU-135 Lipo Injection-Major 26 22830 17560 14930 PLSU-136 Lipo Injection-Minor 18 12580 9680 8230 PLSU-137 Liposuction/Lipectomy Major 31 41740 32110 27290 PLSU-138 Liposuction/Lipectomy Minor 27 26600 20460 17390 PLSU-139 LN Biopsy 16 10760 8280 7040 PLSU-140 Malar complex fracture with Blow Out 28 30380 23370 19860 PLSU-141 Malunited Jaw Fracture Correction 27 26600 20460 17390 PLSU-142 Mandible Multiple ORIF 29 34160 26280 22340 PLSU-143 Mammoplasty 25 19030 14640 12440 Maxilla / Mandible Benign Tumor PLSU-144 19 13680 10520 8940 excision PLSU-145 Maxilla + Zygomatic + Orbit+ ORIF 27 26600 20460 17390 PLSU-146 Melanocyte Grafting Multiple/Large 26 22830 17560 14930 PLSU-147 Melanocyte Grafting Small 16 10760 8280 7040 Microneural Repair With/Without Nerve PLSU-148 27 26600 20460 17390 Graft PLSU-149 Microvascular Repair Artery/Vein 30 37950 29190 24810 PLSU-150 Multiple Laceration Face 28 30380 23370 19860 PLSU-151 Nasal Tip Correction 20 14650 11270 9580 PLSU-152 Necrotic Tissue Incision (Diabetic Foot) 30 37950 29190 24810 PLSU-153 Nerve Exploration And Repair 28 30380 23370 19860 PLSU-154 Neurolysis 25 19030 14640 12440 PLSU-155 Neurolysis/ Anterior Transposition 27 26600 20460 17390 PLSU-156 Nose reconstruction First Stage 25 19030 14640 12440 PLSU-157 Nose reconstruction Second Stage 16 10760 8280 7040 PLSU-158 Panfacial Fracture 109 60980 46910 39870 PLSU-159 Pectoralis Major Myocutaneous Flap 31 41740 32110 27290 PLSU-160 Pedicle Flap Cover of Amputation Stump 24 18400 14150 12030 PLSU-161 Pedicled Perforator Flap (Large) 29 34160 26280 22340 PLSU-162 Pedicled Perforator Flap (Small) 28 30380 23370 19860 PLSU-163 Pharyngoplasty 26 22830 17560 14930 PLSU-164 Polydactyly 19 13680 10520 8940 Primary Tendon Repairs by Tendon PLSU-165 28 30380 23370 19860 Graft PLSU-166 PRP injection 12 7810 6010 5110 PLSU-167 Ptosis 22 16590 12760 10850 PLSU-168 Radial Artery Forearm Pedicled Flap 30 37950 29190 24810

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Code Operation Cat Pvt Semi Eco PLSU-169 Recanalisation of VAS 27 26600 20460 17390 PLSU-170 Reduction Mammoplasty 24 18400 14150 12030 PLSU-171 Removal of Escharotomy (<8%) 22 16590 12760 10850 PLSU-172 Removal of Escharotomy (8<20%) 24 18400 14150 12030 PLSU-173 Removal of Plate/Screw/K-Wire 14 9430 7250 6160 PLSU-174 Repair of Lid Injuries 20 14650 11270 9580 Repair of Lid Injuries with Flaps or PLSU-175 24 18400 14150 12030 Grafts PLSU-176 Repair of Multiple Ligaments 28 30380 23370 19860 PLSU-177 Replantation Toes / Fingers 32 45640 35110 29840 PLSU-178 Revision of Amputation Stump 27 26600 20460 17390 PLSU-179 Rhytidectomy Facelift 26 22830 17560 14930 Sacral Bedsore Excision with PLSU-180 31 41740 32110 27290 Myocutaneous Flap Closure Sacral Bedsore Excision with Primary PLSU-181 28 30380 23370 19860 Closure Sacral Bedsore Excision with Skin Flap PLSU-182 30 37950 29190 24810 Closure Sacral Bedsore Excision with Skin PLSU-183 28 30380 23370 19860 grafting PLSU-184 Scar Revision Large 23 17550 13500 11480 PLSU-185 Scar Revision Medium 20 14650 11270 9580 Scar Revision of Trunk/Extremity PLSU-186 28 30380 23370 19860 (Large) Scar Revision of Trunk/Extremity PLSU-187 26 22830 17560 14930 (Medium) Scar Revision of Trunk/Extremity PLSU-188 23 17550 13500 11480 (Small) PLSU-189 Scar Revision Small 17 11620 8940 7600 PLSU-190 Scars Face Large / Complicated 26 22830 17560 14930 PLSU-191 Scars Face Simple 19 13680 10520 8940 PLSU-192 Skin Grafting Extensive/Multiple Sites 30 37950 29190 24810 PLSU-193 Soft Tissue Repair 24 18400 14150 12030 Soft Tissue Tumor/Swelling Head & PLSU-194 30 37950 29190 24810 Neck Area-Large Soft Tissue Tumor/Swelling Head & PLSU-195 27 26600 20460 17390 Neck Area-medium Soft Tissue Tumor/Swelling Head & PLSU-196 24 18400 14150 12030 Neck Area-Small PLSU-197 Split Ear Lobule Repair 7 4080 3140 2670 PLSU-198 T.M. Joint Ankylosis 25 19030 14640 12440 PLSU-199 Tendon Repair Multiple 24 18400 14150 12030 PLSU-200 Tendon Repair Multiple with Nerve 29 34160 26280 22340 PLSU-201 Tendon Repair Single 22 16590 12760 10850 PLSU-202 Tissue Expander Large / Two 27 26600 20460 17390 PLSU-203 Tissue Expander Placement Small 21 15610 12010 10210 PLSU-204 Toe Nail 14 9430 7250 6160

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Code Operation Cat Pvt Semi Eco PLSU-205 Ultrasonic Lipolysis (one region) 14 9430 7250 6160 PLSU-206 Vaginoplasty 27 26600 20460 17390 PLSU-207 Varicose Vein Surgery 31 41740 32110 27290 PLSU-208 Vascular Malformation 24 18400 14150 12030 PLSU-209 Vein Graft of peripheral Artery 29 34160 26280 22340 PLSU-210 Venous Graft for Artery/Vein (Single) 29 34160 26280 22340 PLSU-211 Zygoma Orif 22 16590 12760 10850 PLSU-212 Zygoma/Arch Closed reduction 25 19030 14640 12440 PLSU-213 Necrotic Tissue Incision 20 14650 11270 9580

27. ENT Code Operation Cat Pvt Semi Eco Abscess Parapharyngeal External ENT-1 20 14650 11270 9580 Drainage ENT-2 Abscess Peritonsillar Drainage 8 4590 3530 3000 ENT-3 Abscess Retropharyngeal aspiration 10 6320 4860 4130 ENT-4 Abscess Retropharyngeal drainage 14 9430 7250 6160 ENT-5 Adenoidectomy 17 11620 8940 7600 ENT-6 Adenotonsillectomy 24 18400 14150 12030 ENT-7 Angiofibroma Excision 26 22830 17560 14930 ENT-8 Antral Puncture B/L 7 4080 3140 2670 ENT-9 Antral Puncture U/L 5 2850 2190 1860 ENT-10 Antrostomy Intranasal B/L 10 6320 4860 4130 ENT-11 Antrostomy Intranasal U/L 6 3340 2570 2180 ENT-12 Biopsy Tongue / Cheek 8 4590 3530 3000 ENT-13 Biopsy Tonsil 9 5340 4110 3490 ENT-14 Block Dissection, Decompression 20 14650 11270 9580 ENT-15 Branchial Cyst Excision/Sinus 18 12580 9680 8230 ENT-17 Caldwell Luc Operation B/L 18 12580 9680 8230 ENT-18 Caldwell Luc Operation U/L 16 10760 8280 7040 ENT-19 Choanal Atresia 25 19030 14640 12440 ENT-20 CP Angle Tumour Surgery 31 41740 32110 27290 ENT-21 Decompression Endolymphatic Sac 26 22830 17560 14930 ENT-22 Decompression Facial Nerve 29 34160 26280 22340 ENT-23 Decortication 21 15610 12010 10210 ENT-24 Endoscopic CSF Fistula Repair 30 37950 29190 24810 ENT-25 Endoscopic Orbital Decompression 26 22830 17560 14930 ENT-26 Endoscopic Orbital Nerve Decomp 26 22830 17560 14930 ENT-27 Endoscopy Pan 18 12580 9680 8230 ENT-28 Epiglottopexy 22 16590 12760 10850 ENT-29 Ethmoidectomy External/Transantral B/L 25 19030 14640 12440 ENT-32 Ethmoidectomy Transantral/External U/L 18 12580 9680 8230

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Code Operation Cat Pvt Semi Eco ENT-33 Excision Biopsy Cervical Lymph Node 14 9430 7250 6160 Excision Biopsy Submandibular Lymph ENT-34 14 9430 7250 6160 Node ENT-35 FESS B/L 28 30380 23370 19860 ENT-36 FESS U/L 28 30380 23370 19860 Foreign Body Removal Larynx / ENT-37 16 10760 8280 7040 Hypopharynx / Oesophagus / Bronchus ENT-38 Glomus Jugulare/Tymp Tumour Excision 28 30380 23370 19860 ENT-39 Hypopharyngoscopy 8 4590 3530 3000 ENT-40 Laryngoscopy Web Excision 22 16590 12760 10850 ENT-41 Laryngeal Papillomata Excision B/L 22 16590 12760 10850 ENT-42 Laryngectomy with Functional Neck/RND 34 53080 40830 34710 ENT-44 Laryngopharyngectomy 28 30380 23370 19860 ENT-45 Laryngoscopy Direct 10 6320 4860 4130 ENT-46 Laryngoscopy Micro 24 18400 14150 12030 ENT-47 Ligation of External Carotid Artery 16 10760 8280 7040 ENT-48 Mandibular Fracture Reduction/Wiring 14 9430 7250 6160 ENT-49 Mastoid Cavity Obliteration 23 17550 13500 11480 ENT-50 Mastoidectomy Cortical 23 17550 13500 11480 ENT-51 Mastoidectomy Radical Modified/Revision 26 22830 17560 14930 ENT-53 Mastoidectomy 27 26600 20460 17390 ENT-54 Maxilla Cyst/ Tumour Removal 12 7810 6010 5110 ENT-55 Maxilla Cyst/ Tumour Removal+Antros 14 9430 7250 6160 ENT-56 Maxilla Fracture-Zygoma (Elevation/Fix) 14 9430 7250 6160 ENT-57 Maxillary Artery Ligation 22 16590 12760 10850 Maxillectomy Partial/Radical/Orbital ENT-58 26 22830 17560 14930 Exenteration ENT-61 MLS Diagnostic 16 10760 8280 7040 ENT-62 Myringoplasty 24 18400 14150 12030 ENT-63 Myringotomy B/L and Grommet 16 10760 8280 7040 ENT-64 Myringotomy U/L 7 4080 3140 2670 ENT-65 Myringotomy with Grommet U/L 11 7190 5530 4700 ENT-66 Nasal Bone Fracture Setting 20 14650 11270 9580 ENT-67 Nasal Cautery 5 2850 2190 1860 ENT-68 Nasal packing Anterior 11 7190 5530 4700 ENT-69 Nasal Packing Posterior 13 8680 6680 5680 ENT-70 Nasal Polypectomy B/L 16 10760 8280 7040 ENT-71 Nasal Polypectomy U/L 11 7190 5530 4700 ENT-72 Nasal Septal Abscess Incision & Drainage 14 9430 7250 6160 ENT-73 Esophageal Stricture Dilatation 1st St 16 10760 8280 7040 Esophageal Stricture Dilatation ENT-74 11 7190 5530 4700 Subsequent Stages

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Code Operation Cat Pvt Semi Eco ENT-75 Oesophagoscopy 9 5340 4110 3490 ENT-77 Esophagoscopy with Dilation Stricture 10 6320 4860 4130 ENT-78 Esophagoscopy with FB Removal 11 7190 5530 4700 ENT-79 Oroantral Fistula Repair with Flap 22 16590 12760 10850 ENT-80 Ossiculoplasty 26 22830 17560 14930 ENT-81 Laryngectomy Partial 31 41740 32110 27290 ENT-82 Pharyngeal Diverticula 25 19030 14640 12440 ENT-83 Pharyngeal Fistula Repair 16 10760 8280 7040 ENT-84 Pharyngotomy Lateral 25 19030 14640 12440 ENT-85 Pinna Excision 25 19030 14640 12440 ENT-86 Pinna Excision Total 18 12580 9680 8230 ENT-87 Preauricular Sinus B/L 23 17550 13500 11480 ENT-88 Preauricular Sinus U/L 16 10760 8280 7040 ENT-89 Ranula Excision 23 17550 13500 11480 Removal of stone from Submandibular ENT-90 12 7810 6010 5110 duct ENT-91 Rhinotomy B/L 25 19030 14640 12440 ENT-92 Septodermoplasty 14 9430 7250 6160 ENT-93 Septoplasty 20 14650 11270 9580 ENT-95 Septorhinoplasty 27 26600 20460 17390 ENT-96 Stapedectomy 26 22830 17560 14930 ENT-97 Styloidectomy B/L 23 17550 13500 11480 ENT-98 Styloidectomy U/L 18 12580 9680 8230 ENT-99 Submandibular Gland Excision 22 16590 12760 10850 ENT-100 Submucous Fibrosis, Buccal Fat Graft 18 12580 9680 8230 ENT-101 Submucous Fibrosis, Excision of Fibre 12 7810 6010 5110 ENT-102 Surgery For Internal Laryngocele 21 15610 12010 10210 ENT-103 Surgery For Laryngeal Paralysis 21 15610 12010 10210 ENT-104 Teflon Paste Injection 23 17550 13500 11480 ENT-105 Temporal Bone Resection Subtotal 25 19030 14640 12440 ENT-106 Thyroglossal Cyst /Sinus excision 24 18400 14150 12030 ENT-108 Thyroidectomy Partial 24 18400 14150 12030 ENT-109 Thyroidectomy Total/Completion 30 37950 29190 24810 Retropharyngeal Abscess Incision and ENT-110 12 7810 6010 5110 Drainage ENT-111 Tonsillectomy 23 17550 13500 11480 Mastoid Abscess (Post Aural) Incision and ENT-112 11 7190 5530 4700 Drainage ENT-113 Neck Abscess 11 7190 5530 4700 ENT-114 Trans Palatal Biopsy 16 10760 8280 7040 ENT-115 Transsphenoidal Hypophysectomy 27 26600 20460 17390 ENT-116 Transpalatal Angiofibroma Excision 25 19030 14640 12440

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Code Operation Cat Pvt Semi Eco ENT-117 Transpalatal Excision Of Cyst 18 12580 9680 8230 ENT-118 Turbinate Reduction Inferior / Middle U/L 13 8680 6680 5680 ENT-119 Tumour External Auditory Canal Excision 25 19030 14640 12440 ENT-120 Uvulo Palato Pharyngo plasty 24 18400 14150 12030 ENT-121 Vidian Neurectomy 25 19030 14640 12440 ENT-122 Vidian Neurectomy Transnasal 18 12580 9680 8230 ENT-123 Young's Operation 11 7190 5530 4700 ENT-124 Endoscopic Adenoidectomy 19 13680 10520 8940 ENT-125 Septoplasty Endoscopic 23 17550 13500 11480 ENT-126 Canaloplasty 9 5340 4110 3490 ENT-127 Tympanotomy 15 9930 7640 6490 ENT-128 Endoscopic DCR 21 15610 12010 10210 ENT-129 Endoscopic Nasal Packing 8 4590 3530 3000 ENT-130 Direct Laryngoscopy and Biopsy 19 13680 10520 8940 ENT-131 Isthmectomy 29 34160 26280 22340 ENT-132 Excision biopsy of leukoplakia small 7 4080 3140 2670 ENT-133 Excision biopsy of leukoplakia large 9 5340 4110 3490 ENT-135 Biopsy nasal cavity 7 4080 3140 2670 ENT-136 Superficial parotidectomy 25 19030 14640 12440 ENT-137 Total parotidectomy 28 30380 23370 19860 ENT-138 Tracheostomy closure 17 11620 8940 7600 Keloid/ Sebaceous cyst/ dermoid cyst ENT-139 9 5340 4110 3490 removal ENT-140 Cosmetic rhinoplasty 27 26600 20460 17390 ENT-141 Extended FESS (B/L) 28 30380 23370 19860 ENT-142 Submucous Cyst Excision 8 4590 3530 3000 ENT-143 Glossectomy Partial 19 13680 10520 8940 ENT-144 Glossectomy Total 26 22830 17560 14930 ENT-145 Abscess Parotid Drainage 17 11620 8940 7600 ENT-146 Dental Cyst & Tumor Excision 18 12580 9680 8230 ENT-147 Nasal Pack Removal 5 2850 2190 1860 ENT-148 Wound Small Face 18 12580 9680 8230 ENT-149 Wound Large Face 21 15610 12010 10210 ENT-150 Cartilage/Bone Grafting Ear & Nose 25 19030 14640 12440 ENT-151 Carbuncle Excision 13 8680 6680 5680 ENT-152 Tympanoplasty 26 22830 17560 14930 ENT-153 Endoscopic Nasal Mass Excision/Biopsy 16 10760 8280 7040 ENT-154 Radiofrequency Ablation 16 10760 8280 7040 ENT-155 Vestibular Maneuvers 10 6320 4860 4130 ENT-156 Biopsy Ear 10 6320 4860 4130 Chemical Cautery - Ear, Nose, Aphthous ENT-157 5 2850 2190 1860 Ulcer Tongue / Oral Cavity

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Code Operation Cat Pvt Semi Eco ENT-158 Uvulopalatoplasty 23 17550 13500 11480 ENT-159 Electrocautery / Cryocautery 6 3340 2570 2180 ENT-160 Subglottic Stenosis Excision 28 30380 23370 19860 ENT-161 Laryngeal/Hypopharyngeal Biopsy 16 10760 8280 7040 ENT-162 Exploratory Tympanotomy 23 17550 13500 11480 ENT-163 Incision & Drainage Furuncle - Nose/Ear 5 2850 2190 1860 Incision & Drainage Perichondrial Abscess ENT-164 6 3340 2570 2180 Pinna ENT-165 Intranasal Injection 5 2850 2190 1860 ENT-169 Split Ear lobule repair U/L 7 4080 3140 2670 ENT-170 Intra Oral Injection 5 2850 2190 1860 ENT-171 Cyst/Nodule excision 16 10760 8280 7040 ENT-191 Endoscopic Sphenoidectomy 26 22830 17560 14930 ENT-192 FESS Complicated U/L 27 26600 20460 17390 ENT-193 FESS Complicated B/L 28 30380 23370 19860 ENT-194 Endoscopic Nasal Cauterization 24 18400 14150 12030

Cochlear Implant Package Procedure Name Semi Private Deluxe Suite Cochlear Implant Package (Unilateral) 90000 105000 120000 140000 Cochlear Implant Package (Simultaneous Bilateral) 135000 150000 180000 200000 1) Package includes a. Room Rent for 2 days b. Consultation and Visits c. Pharmacy and Consumables Bills d. Surgeon Operation Charges e. OT Charges f. Anesthesia Charges g. Medical Gases 2) Package does not include a. Cost of implant b. Room Rent beyond 2 days c. Mark-up 30% for International patients d. Additional Cost because of complication e. Pre-surgical investigations & intra-op Neural Telemetry f. Post Surgical Habilitation & Mappings

ENT - MINOR PROCEDURE Code Operation OPD ENT-172 ABLB 660 ENT-173 Audiometry - Pure Tone 1350 ENT-173A Audiometry - Impedance 600 ENT-174 Aural Toilet with medicated pacing 920 ENT-175 Ear Syringing 920

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Code Operation OPD ENT-176 Foreign Body Removal - Ear / Nose GA 3040 ENT-177 Foreign Body Removal - Ear / Nose LA 3190 ENT-178 Foreign Body Removal-Throat/Base of the Tongue LA 3500 ENT-179 Sinus Endoscopy - Diagnostic 3500 ENT-180 SISI 660 ENT-181 Speech Therapy (Per Session) 400 ENT-182 Tongue Tie 2450 ENT-183 Tone Decay 660 ENT-184 Speech Audiometry 610 ENT-185 Hearing Aid Trial 300 ENT-186 Endonasal Cleaning 1210 ENT-187 Epley's Manoeuvre 4000 ENT-188 Oto endoscopy Report 1850 ENT-189 Fiberoptic Laryngoscopy 4620 ENT-190 Otoacoustic Emission 470

28. ENDOCRINE SURGERY Code Operation Cat Pvt Semi Eco Thyroid Surgery END-2 Total Thyroidectomy 33 49430 38020 32320 END-3 Lobectomy 28 30380 23370 19860 END-4 Isthmectomy 29 34160 26280 22340 END-5 Hemithyroidectomy 33 49430 38020 32320 Total Thyroidectomy With Central END-6 111 69820 53710 45650 Compartment Neck Dissection END-7 Mini Thyroidectomy 111 69820 53710 45650 Laparoscopic/ Minimally Invasive END-8 34 53080 40830 34710 Thyroidectomy END-9 Rt Side Compartment Neck Dissection 109 60980 46910 39870 END-10 Lt Side Compartment Neck Dissection 109 60980 46910 39870 END-11 Subtotal Thyroidectomy 28 30380 23370 19860 END-12 Sternotomy 109 60980 46910 39870 END-13 Mediastinal Compartment Dissection 109 60980 46910 39870 END-14 Central Compartment Dissection 34 53080 40830 34710 END-15 Trucut Biopsy 10 6320 4860 4130 END-17 Neck Exploration 109 60980 46910 39870 Thyroid Re-exploration with completion END-18 111 69820 53710 45650 thyroidectomy Parathyroid Surgery

END-19 Parathyroid Adenoma Excision 27 26600 20460 17390 END-20 Parathyroid U/L Exploration 29 34160 26280 22340 END-21 Parathyroidectomy(Minimally Invasive) 110 65260 50200 42670

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Code Operation Cat Pvt Semi Eco END-22 Parathyroid Auto Transportation 109 60980 46910 39870 END-23 Parathyroid 4 gland exploration 110 65260 50200 42670 END-24 Parathyroid 3 1/2 gland excision 109 60980 46910 39870 END-25 Thyroglossal Cyst Exploration 16 10760 8280 7040 Thyroglossal fistula exploration Thymus END-26 20 14650 11270 9580 Surgery END-27 Thymectomy 28 30380 23370 19860 END-28 Extended Thymectomy 109 60980 46910 39870 END-29 VATS 33 49430 38020 32320 Pancreas

Exploratory Laparotomy for END-30 110 65260 50200 42670 Neuroendocrine Tumors END-31 Insulinoma Excision 110 65260 50200 42670 END-32 Whipple's Excision 112 74720 57480 48860 END-33 Neuroendocrine Tumor Pancreas excision 110 65260 50200 42670 END-34 Laparoscopic Pancreatic Surgery 112 74720 57480 48860 Neuroendocrine Tumor

END-35 Carcinoid Appendix 26 22830 17560 14930 END-36 Neuroendocrine tumor/Carcinoid etc gut 33 49430 38020 32320 Retroperitoneal mass/neuroendocrine END-37 30 37950 29190 24810 mass excision END-38 Paraganglioma Excision 110 65260 50200 42670 Breast

END-39 Lumpectomy 17 11620 8940 7600 END-40 Wide Local Excision 27 26600 20460 17390 END-41 Modified Radical Mastectomy 110 65260 50200 42670 END-42 Axillary Dissection 31 41740 32110 27290 END-43 Recurrent Nodule Excision/Biopsy 33 49430 38020 32320 END-44 Sentinel Node Biopsy 33 49430 38020 32320 END-45 Subcutaneous Mastectomy 33 49430 38020 32320 END-46 LD Flap Reconstruction 27 26600 20460 17390 Adrenal Surgery

END-47 Adrenalectomy 31 41740 32110 27290 END-48 Lap Adrenalectomy 109 60980 46910 39870 END-49 Adrenal Cortex Preserving Surgery 35 57010 43850 37270 Diabetic Foot

END-50 Necrotic Tissue Excision(Diabetic Foot) 31 41740 32110 27290 END-53 Amputation Digits 20 14650 11270 9580 END-54 Amputation Leg 24 18400 14150 12030 END-55 Forefoot Bone Excision /Saucerization 27 26600 20460 17390 END-56 Forefoot Amputation 27 26600 20460 17390 Gonadal

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Code Operation Cat Pvt Semi Eco END-57 Testicular Biopsy 13 8680 6680 5680 END-58 Orchidectomy 26 22830 17560 14930 END-59 Varicocelectomy 26 22830 17560 14930 END-60 Vaso Epididymal Anastomosis 23 17550 13500 11480 END-61 Vasovasal Anastomosis 25 19030 14640 12440 END-62 Orchidopexy 22 16590 12760 10850 END-63 Oophorectomy 26 22830 17560 14930 END-64 Laparoscopic Oophorectomy 31 41740 32110 27290 END-65 Ca Ovary 33 49430 38020 32320

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29. GASTROENTEROLOGY Code Operation Cat Pvt Semi Eco GAST-1 Achalasia Cardia Dilatation 21 15610 12010 10210 GAST-2 APC(LGI) 26 22830 17560 14930 GAST-3 APC(UGI) 25 19030 14640 12440 GAST-4 Endoscopic Variceal Ligation(First) 20 14650 11270 9580 Endoscopic Variceal Ligation GAST-5 14 9430 7250 6160 (Subsequent) GAST-6 Chemo Necrolysis of Tumour 26 22830 17560 14930 GAST-7 Colonoscopy Full 17 11620 8940 7600 GAST-8 Colonoscopy Left side 11 7190 5530 4700 GAST-9 Colonoscopy Full+Biopsy 18 12580 9680 8230 GAST-10 Colonoscopy Pediatric 18 12580 9680 8230 GAST-11 Colonoscopy Left Side+Biopsy 12 7810 6010 5110 GAST-12 Colonoscopy +Decompression 27 26600 20460 17390 GAST-13 Colonoscopy EST 20 14650 11270 9580 GAST-14 Colonoscopy+EST(Bedside) 24 18400 14150 12030 GAST-15 Colonoscopy(Bedside) 19 13680 10520 8940 GAST-16 Colonoscopy+Hemoclip 24 18400 14150 12030 GAST-17 Colonoscopy+endoloop 24 18400 14150 12030 GAST-18 Colonoscopy+Chromoendoscopy 19 13680 10520 8940 GAST-19 Colonoscopy+F.B. Removal 20 14650 11270 9580 GAST-20 Colonoscopy+Polypectomy 26 22830 17560 14930 GAST-21 Colonoscopy+SEM 29 34160 26280 22340 GAST-22 Colonoscopy+EMR 31 41740 32110 27290 GAST-23 Colonoscopy+ESD 33 49430 38020 32320 GAST-24 Colonoscopy+NBI 19 13680 10520 8940 GAST-25 Colono Dilation 23 17550 13500 11480 GAST-26 Cystogastrostomy 27 26600 20460 17390 GAST-27 Duodenoscopy 18 12580 9680 8230 GAST-28 Duodenoscopy+Biopsy 19 13680 10520 8940 GAST-29 ERCP Diagnostic OPD 17 11620 8940 7600 GAST-30 ERCP Diagnostic IPD 20 14650 11270 9580 GAST-31 ERCP+EPT OPD 26 22830 17560 14930 GAST-32 ERCP+EPT IPD 27 26600 20460 17390 GAST-33 ERCP+Stent Extraction 28 30380 23370 19860 GAST-34 ERCP+Stent Extraction+Stenting 28 30380 23370 19860 GAST-35 ERCP+Stenting 27 26600 20460 17390 GAST-36 ERCP+NBD 27 26600 20460 17390 GAST-37 ERCP+Mechanical Lithotripsy 30 37950 29190 24810 GAST-38 ERCP+Sphincteroplasty 30 37950 29190 24810 GAST-39 ERCP(Subsequent) 20 14650 11270 9580 GAST-40 ERCP+Dilatation+Stenting 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco GAST-41 ERCP+PD Dilatation+Stenting 28 30380 23370 19860 GAST-42 ERCP+PD Stenting 28 30380 23370 19860 GAST-43 ERCP+Minor Papilla Papillotomy 28 30380 23370 19860 GAST-44 ERCP+SEM 29 34160 26280 22340 GAST-45 ERCP+Brushing 28 30380 23370 19860 GAST-46 ERCP+Brushing+Stenting 30 37950 29190 24810 GAST-47 ERCP+Stent Removal 21 15610 12010 10210 GAST-48 ERCP+Stent Removal+CBD Clearance 24 18400 14150 12030 GAST-49 ERCP+Stent Exchange 25 19030 14640 12440 GAST-50 ERCP+Double stent 30 37950 29190 24810 GAST-51 Endoscopic Sclerotherapy 19 13680 10520 8940 GAST-52 Endoscopic Sclerotherapy(Bedside) 26 22830 17560 14930 GAST-53 Endoscopic Sclerotherapy(Subsequent) 17 11620 8940 7600 GAST-54 Endoscopic Variceal Ligation Bedside 27 26600 20460 17390 GAST-55 Foreign Body Removal 19 13680 10520 8940 GAST-56 Endoscopic Extraction Esophagus 19 13680 10520 8940 GAST-57 Endoscopic Extraction Stomach 23 17550 13500 11480 GAST-58 Endoscopic R/T Placement 17 11620 8940 7600 GAST-59 Endoscopic NJ Placement 20 14650 11270 9580 GAST-60 Esophagoscopy 5 2850 2190 1860 GAST-61 Esophagoscopy+Biopsy 6 3340 2570 2180 GAST-62 Esophagoscopy+Gastroscopy 6 3340 2570 2180 GAST-63 Endoscopic Gastrostomy 25 19030 14640 12440 GAST-64 Endoscopic Gastrostomy(Bedside) 28 30380 23370 19860 GAST-65 Endoscopic Gastrostomy Exchange 20 14650 11270 9580 GAST-66 Endoscopic Gastrostomy Removal 14 9430 7250 6160 GAST-67 Enteroscopy Limited 25 19030 14640 12440 GAST-68 Enteroscopy Extended 29 34160 26280 22340 GAST-69 Esophageal Dilatation+Stenting 28 30380 23370 19860 GAST-70 Esophageal Stenting 27 26600 20460 17390 GAST-71 Excision of Polyp 21 15610 12010 10210 GAST-72 FNAC of Submucosal Lesion 20 14650 11270 9580 GAST-73 Gastric Varices Obliteration 23 17550 13500 11480 GAST-74 Glue Injection 17 11620 8940 7600 GAST-75 Glue Injection(Bedside) 22 16590 12760 10850 GAST-76 Gastric Intubation 23 17550 13500 11480 GAST-77 Hemoclipping UGI 24 18400 14150 12030 GAST-78 Hemoclipping LGI 25 19030 14640 12440 GAST-79 Hot Biopsy 24 18400 14150 12030 GAST-80 Ileoscopy 20 14650 11270 9580 GAST-81 Ileoscopy+Biopsy 21 15610 12010 10210

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Code Operation Cat Pvt Semi Eco GAST-82 Ileoscopy+Chromoendoscopy 21 15610 12010 10210 GAST-83 Ileoscopy+NBI 21 15610 12010 10210 GAST-84 Ileum Dilatation 24 18400 14150 12030 GAST-85 Jejunal Dilatation 24 18400 14150 12030 GAST-86 Jejunal Stenting 30 37950 29190 24810 GAST-87 Jejunal Intubation 25 19030 14640 12440 GAST-88 Microlith Study 27 26600 20460 17390 GAST-89 Proctoscopy 4 2240 1720 1460 GAST-90 Polypectomy Endoscopic 24 18400 14150 12030 GAST-91 PEG 27 26600 20460 17390 GAST-92 PEG Bedside 29 34160 26280 22340 GAST-93 Pseudocyst Drainage 29 34160 26280 22340 GAST-94 Pancreatic Necrosectomy 33 49430 38020 32320 GAST-95 Pyloric Stenting 29 34160 26280 22340 GAST-96 Rapid Urease Test Endoscopic 11 7190 5530 4700 GAST-97 Sigmoidoscopy 9 5340 4110 3490 GAST-98 Sigmoidoscopy+Biopsy 10 6320 4860 4130 GAST-99 Sigmoidoscopy Limited 6 3340 2570 2180 GAST-100 Sigmoidoscopy Pediatric 13 8680 6680 5680 GAST-101 Sigmoidoscopy + APC 20 14650 11270 9580 GAST-102 Sigmoidoscopy + Polypectomy 21 15610 12010 10210 GAST-103 Sigmoidoscopy+Therapy for Bleeding 16 10760 8280 7040 GAST-104 Small Bowel Enteroscopy 20 14650 11270 9580 GAST-105 UGI Endoscopy 10 6320 4860 4130 GAST-106 UGI Endoscopy with Chromoendoscopy 13 8680 6680 5680 GAST-107 UGI Endoscopy with NBI 13 8680 6680 5680 GAST-108 UGI Endoscopy+EMR 33 49430 38020 32320 GAST-109 UGI Endoscopy+ESD 35 57010 43850 37270 GAST-110 UGI Endoscopic+Hemoclipping 19 13680 10520 8940 GAST-111 UGI Endoscopic+crynoacrylate Injection 26 22830 17560 14930 GAST-112 UGI Endoscopy Bedside 13 8680 6680 5680 UGI Endoscopy Chromoendoscopy Bed GAST-113 18 12580 9680 8230 Side GAST-114 UGI Endoscopy Emergency 14 9430 7250 6160 GAST-115 UGI Endoscopy Emergency Bedside 18 12580 9680 8230 GAST-116 UGI Endoscopy+EVL(Emergency) 27 26600 20460 17390 GAST-117 UGI Endoscopy+FNAC 13 8680 6680 5680 GAST-118 UGI Endoscopy+Biopsy 11 7190 5530 4700 GAST-119 UGI Endoscopy+Biopsy Bedside 15 9930 7640 6490 GAST-120 UGI Endoscopy+EST 15 9930 7640 6490 GAST-121 UGI Endoscopy+EST Bedside 22 16590 12760 10850 GAST-123 SEM Placement Biliary 29 34160 26280 22340

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Code Operation Cat Pvt Semi Eco GAST-124 SEM Placement Colonic 29 34160 26280 22340 GAST-125 SEM Placement Enteral 29 34160 26280 22340 GAST-126 SEM Placement Esophagus 30 37950 29190 24810 GAST-127 Esophageal Manometry 16 10760 8280 7040 GAST-128 Anorectal Manometry 16 10760 8280 7040 GAST-129 Ph Metery 17 11620 8940 7600 GAST-130 Ph Metry Impedance 21 15610 12010 10210 GAST-131 Breath Tests 13 8680 6680 5680 GAST-132 Malabsorption Tests 19 13680 10520 8940 GAST-133 Colonic Transit Time 6 3340 2570 2180 GAST-134 EUS Diagnostic UGI 26 22830 17560 14930 GAST-135 EUS diagnostic Esophageal 19 13680 10520 8940 GAST-136 EUS diagnostic Stomach 19 13680 10520 8940 GAST-137 EUS diagnostic Esophageal Gastro Duo 19 13680 10520 8940 GAST-138 EUS Diagnostic LGI 26 22830 17560 14930 GAST-139 EUS guided FNAC 28 30380 23370 19860 GAST-140 EUS guided Celiac Block 29 34160 26280 22340 GAST-141 EUS guided Cystogastrostomy 32 45640 35110 29840 GAST-142 EUS Therapeutic 27 26600 20460 17390 GAST-143 EUS Choledochoduodenostomy 35 57010 43850 37270 GAST-144 EUS Hepaticogastrostomy 35 57010 43850 37270 GAST-145 EUS Guided Feducial Placement 35 57010 43850 37270 GAST-146 EUS guided Neurolysis 32 45640 35110 29840 GAST-147 FNAC of Liver/Abdomen SOL 11 7190 5530 4700 GAST-148 Liver Biopsy 18 12580 9680 8230 GAST-149 LVP 15 9930 7640 6490 GAST-150 Paracentesis Diagnostic 5 2850 2190 1860 GAST-151 Paracentesis Therapeutic 14 9430 7250 6160 GAST-152 S.B. Tube Insertion 15 9930 7640 6490 GAST-153 USG Guided FNAC 17 11620 8940 7600 GAST-154 FibroScan 11 7190 5530 4700 GAST-155 Capsule Endoscopy 27 26600 20460 17390 GAST-156 Esophageal Dilatation (SG) 14 9430 7250 6160 GAST-157 Esophageal Dilatation (TTS) 20 14650 11270 9580 GAST-158 Electrohemostasis-UGI 22 16590 12760 10850 GAST-159 Electrohemostasis-LGI 23 17550 13500 11480 GAST-160 Gastric Balloon Removal 22 16590 12760 10850 GAST-161 Intragastric Balloon Intubation 30 37950 29190 24810 GAST-162 Enteroscopy+EST 32 45640 35110 29840 GAST-163 Enteroscopy+Hemoclipping 32 45640 35110 29840 GAST-164 Hemosheel Spray-UGI 22 16590 12760 10850

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Code Operation Cat Pvt Semi Eco GAST-165 Hemosheel Spray-LGI 23 17550 13500 11480 GAST-166 UGI Endoscopy Endoloop 24 18400 14150 12030 GAST-167 OTSC Clip Application 32 45640 35110 29840 NOTE: Cost of Stents/EVL Sets/Injectors/Other Accessories/Drugs - wherever applicable, would be extra as per Actual Consumption

30. GENERAL SURGERY Code Operation Cat Pvt Semi Eco GEN-1 Abdomen Ileostomy Closure 19 13680 10520 8940 GEN-2 Abdomen Laparotomy And Biopsy 18 12580 9680 8230 GEN-3 Abdomen Omentectomy Infracolic 20 14650 11270 9580 GEN-4 Abdomen Omentectomy Total 20 14650 11270 9580 GEN-5 Abdomen Percutaneous Drain Insertion 12 7810 6010 5110 GEN-6 Abdomen Portal Lymphadenectomy 26 22830 17560 14930 GEN-7 Abdomen Resuturing 16 10760 8280 7040 Abdomen Retroperitoneal Tumor Excision GEN-8 35 57010 43850 37270 With Multiple Organ Resection GEN-9 Abdomen Segment IV / V resection 26 22830 17560 14930 GEN-10 Abdomen Single Bypass 17 11620 8940 7600 Abdomen Staging Laparotomy For GEN-11 24 18400 14150 12030 Hodgkin'S Disease GEN-12 Abdomen Triple/Multiple Bypass 28 30380 23370 19860 GEN-13 Abdomen Ultra Low Anterior Resection 34 53080 40830 34710 Abdominal Wall Tumor Excision With GEN-14 29 34160 26280 22340 Mesh Abdominal Wall Tumor Excision With/ GEN-15 26 22830 17560 14930 Without Mesh With Flap Reconstruction Abdominal Wall Tumor Excision Without GEN-16 26 22830 17560 14930 Mesh Abdominoperineal Resection With Or GEN-17 28 30380 23370 19860 Without Colonic Anastomosis GEN-18 Abdominoplasty 26 22830 17560 14930 GEN-19 Abdominoplasty Mini 26 22830 17560 14930 GEN-20 Abdominoplasty With Sal 31 41740 32110 27290 GEN-21 Abscess Drainage (Medium) 11 7190 5530 4700 GEN-22 Abscess Ischiorectal/Breast 17 11620 8940 7600 GEN-23 Abscess Liver Aspiration 10 6320 4860 4130 GEN-24 Abscess Liver Drainage 20 14650 11270 9580 Abscess Paragastric/ Perinephric/ GEN-25 20 14650 11270 9580 Subdiaphragmatic GEN-26 Abscess Parotid/Pelvic/Perineal 14 9430 7250 6160 GEN-27 Adrenal Cortex Preserving Surgery 33 49430 38020 32320 GEN-28 Adrenal Gland Neoplasm Removal 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco GEN-29 Adrenalectomy B/L 35 57010 43850 37270 GEN-30 Adrenalectomy Subtotal/Total 28 30380 23370 19860 GEN-31 Adrenalectomy U/L 31 41740 32110 27290 GEN-32 Amputation Digits 19 13680 10520 8940 GEN-33 Amputation Foot/Hand 21 15610 12010 10210 GEN-34 Amputation Leg/Forearm 25 19030 14640 12440 GEN-35 Amputation Thigh/Arm 27 26600 20460 17390 GEN-36 Amputation-Total/Partial 27 26600 20460 17390 GEN-37 Anal Sphincterotomy 14 9430 7250 6160 GEN-38 Anorectopexy 15 9930 7640 6490 Anterior/Low Anterior Resection Of GEN-39 26 22830 17560 14930 Rectum Anterior/Posterior/Total/ Pelvic GEN-40 33 49430 38020 32320 Exenteration GEN-41 Appendicectomy 25 19030 14640 12440 GEN-42 Appendicular Abscess Drainage 21 15610 12010 10210 GEN-43 Aspiration Cold Abscess 10 6320 4860 4130 GEN-44 Axillary Dissection 30 37950 29190 24810 GEN-45 Ball Bandage 3 1740 1340 1140 GEN-46 Balloon Dilatation Of Ureter 26 22830 17560 14930 GEN-47 Bariatric Surgery 28 30380 23370 19860 GEN-48 Bile Duct Stricture Repair 35 57010 43850 37270 Biopsy Scalene Node/Large Deep Lymph GEN-49 13 8680 6680 5680 Node GEN-50 Biopsy Superficial Node 8 4590 3530 3000 GEN-51 Biopsy Tongue / Cheek 8 4590 3530 3000 GEN-52 Bleeding Ulcer Closure 21 15610 12010 10210 GEN-53 Boari Flap 34 53080 40830 34710 GEN-54 Brachial Cyst Or Fistula 20 14650 11270 9580 GEN-55 Brachial Cyst/Fistula Excision 18 12580 9680 8230 Breast Axillary Dissection/ Completion GEN-56 21 15610 12010 10210 Axillary Dissection GEN-57 Breast Conservation Surgery 25 19030 14640 12440 GEN-58 Breast Debridement Of Flaps 3 1740 1340 1140 GEN-59 Breast Drain Reinsertion 1 870 670 570 GEN-60 Breast Duct Complex Excision 16 10760 8280 7040 GEN-61 Breast Incisional Biopsy 8 4590 3530 3000 Breast Incisional Biopsy, Frozen & BCS GEN-62 24 18400 14150 12030 /MRM/RM GEN-63 Breast Lump Excision 18 12580 9680 8230 Breast Lumpectomy, Frozen Section & GEN-64 18 12580 9680 8230 Primary Closure GEN-65 Breast Lumpectomy, Frozen section and 24 18400 14150 12030

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Code Operation Cat Pvt Semi Eco BCS/MRM/RM GEN-66 Breast Microdochectomy 26 22830 17560 14930 Breast Modified Radical Mastectomy/ GEN-67 33 49430 38020 32320 Completion Modified Radical Mastectomy GEN-68 Breast Reconstruction with LD flap 26 22830 17560 14930 Breast Reconstruction with LD flap and GEN-69 28 30380 23370 19860 Prosthesis GEN-70 Breast Reconstruction with TRAM Flap 25 19030 14640 12440 GEN-71 Breast Resuturing 7 4080 3140 2670 GEN-72 Breast Seroma Aspiration 1 870 670 570 GEN-73 Breast Subcutaneous Mastectomy 25 19030 14640 12440 GEN-74 Breast Toilet Mastectomy 21 15610 12010 10210 GEN-75 Breast Wide Local Excision 25 19030 14640 12440 GEN-76 Burst Abdomen 28 30380 23370 19860 GEN-77 Ca ovary 33 49430 38020 32320 GEN-78 Caecostomy tube 15 9930 7640 6490 GEN-79 Carbuncle excision 13 8680 6680 5680 GEN-80 Carcinoid Appendix 26 22830 17560 14930 GEN-81 Central Compartment Dissection 34 53080 40830 34710 GEN-82 Chest Aspiration Pleural Biopsy 11 7190 5530 4700 GEN-83 Chest Wall Mesh Repair 21 15610 12010 10210 GEN-84 Chest Wound Exploration Major 25 19030 14640 12440 GEN-85 Chest Wound Exploration Minor 13 8680 6680 5680 GEN-86 Cholecystectomy 26 22830 17560 14930 Cholecystectomy And GEN-87 27 26600 20460 17390 Choledocholithotomy Cholecystocolic Fistula Disconnection GEN-88 23 17550 13500 11480 And Closure Of Colonic Opening GEN-89 Cholecystoduodenal Fistula 22 16590 12760 10850 GEN-90 Cholecystojejunostomy 25 19030 14640 12440 Cholecystojejunostomy GEN-91 27 26600 20460 17390 Enteroenterostomy GEN-92 Cholecystostomy 19 13680 10520 8940 GEN-93 Choledochoduodenostomy 26 22830 17560 14930 GEN-94 Choledochojejunostomy 22 16590 12760 10850 GEN-95 Choledocholithotomy 26 22830 17560 14930 Cholecystectomy With Peroperative GEN-96 26 22830 17560 14930 Cholangiogram GEN-97 Circumcision 22 16590 12760 10850 GEN-98 Classical/Modified D2 Lymphadenectomy 26 22830 17560 14930 GEN-99 Closure Of Ileostomy 19 13680 10520 8940 GEN-100 Colectomy And Ileorectal Anastomosis 28 30380 23370 19860 GEN-101 Colectomy Sigmoid And Descending/ 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco Transverse GEN-102 Colon Anterior Resection 26 22830 17560 14930 Colon Low Anterior Resection With GEN-103 28 30380 23370 19860 Anastomosis. GEN-104 Colostomy 23 17550 13500 11480 GEN-105 Colostomy Closure Of Loop 26 22830 17560 14930 GEN-106 Colostomy Opening 10 6320 4860 4130 GEN-107 Common Hepatic Duct Resection/ Repair 31 41740 32110 27290 GEN-108 Compartment Neck Dissection U/L 30 37950 29190 24810 GEN-109 Cutaneous Ureterostomy 26 22830 17560 14930 GEN-110 Cystectomy Radical With Ileal Conduit 111 69820 53710 45650 GEN-111 D/J Stent Removal B/L 22 16590 12760 10850 GEN-112 D/J Stent Removal U/L 17 11620 8940 7600 GEN-113 D/J Stenting B/L 26 22830 17560 14930 GEN-114 D/J Stenting U/L 23 17550 13500 11480 GEN-115 Dental Cyst And Tumour Excision 18 12580 9680 8230 Dental Cyst Excision And Reconstruction GEN-116 21 15610 12010 10210 Jaw GEN-117 Diagnostic Laparoscopy With Biopsy 22 16590 12760 10850 GEN-118 Diagnostic Laparoscopy Without Biopsy 20 14650 11270 9580 GEN-119 Distal Pancreatectomy With Splenectomy 32 45640 35110 29840 GEN-120 Distal Radical Gastrectomy 25 19030 14640 12440 GEN-121 Dorsal Slit Of Prepuce 11 7190 5530 4700 GEN-122 Drainage Of Intra Abdominal Abscess 17 11620 8940 7600 GEN-123 DRE/ Manual Evacuation of stools 11 7190 5530 4700 GEN-124 Dressing Burns Medium/Wound Large 7 4080 3140 2670 GEN-125 Dressing Burns small under GA 5 2850 2190 1860 GEN-126 Ear Lobule Repair B/L 8 4590 3530 3000 GEN-127 Ear lobule repair U/L 6 3340 2570 2180 GEN-128 Empyema GB 24 18400 14150 12030 Epididymal Cyst Excision/ Nodule GEN-129 22 16590 12760 10850 Excision GEN-130 Epididymectomy 22 16590 12760 10850 GEN-131 Esophageal transection with Eea stapler 26 22830 17560 14930 GEN-132 Examination under GA 12 7810 6010 5110 GEN-133 Excision Biopsy (Small) 6 3340 2570 2180 GEN-134 Excision Biopsy Of Leukoplakia Large 9 5340 4110 3490 GEN-135 Excision Biopsy Of Leukoplakia Small 7 4080 3140 2670 GEN-136 Excision Cyst, Mole,Ganglion 16 10760 8280 7040 GEN-137 Excision of Lesion / Nevus large 18 12580 9680 8230 GEN-138 Excision of Lesion / Nevus medium 17 11620 8940 7600 GEN-139 Excision of Lesion / Nevus small 13 8680 6680 5680

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Code Operation Cat Pvt Semi Eco GEN-140 Excision Pelvic Lymph Nodes BL 15 9930 7640 6490 GEN-141 Excision Soft Tissue Tumors Small 13 8680 6680 5680 GEN-142 Excision Soft Tissue tumour Large/Deep 19 13680 10520 8940 GEN-143 Exploration of any peripheral vessel 29 34160 26280 22340 GEN-144 Exploration of Bullet/stab injury 23 17550 13500 11480 GEN-145 Exploration Of Retroperitoneum 34 53080 40830 34710 GEN-146 Exploratory Laparotomy 31 41740 32110 27290 Exploratory Laparotomy with diversion GEN-147 17 11620 8940 7600 (Ileostomy/colostomy) GEN-148 Exploratory Thoracotomy 31 41740 32110 27290 GEN-149 Extended Hemicolectomy 26 22830 17560 14930 GEN-150 Extended thymectomy 109 60980 46910 39870 GEN-151 Extensive Adhesiolysis 20 14650 11270 9580 GEN-152 Facial nerve suturing of large wound 27 26600 20460 17390 GEN-153 Fasciotomy 21 15610 12010 10210 GEN-154 Filarial Scrotum Excision 22 16590 12760 10850 GEN-155 Fissurectomy 18 12580 9680 8230 GEN-156 Fistula ano-low level repair 20 14650 11270 9580 GEN-157 Fistula in ano-high level repair 26 22830 17560 14930 Flaps(Local Rotation, Transposition, V, Y, GEN-158 25 19030 14640 12440 Z,Plasty, Tube) Flaps, MUS/Hyo Cut/Fasciocut/Skin - GEN-159 26 22830 17560 14930 Large Flaps, MUS/Myocut/Fascioucut/Skin - GEN-160 17 11620 8940 7600 Small GEN-161 Forefoot Amputation 26 22830 17560 14930 GEN-162 Forefoot bone excision saucerization 26 22830 17560 14930 GEN-163 Fournier's gangrene 23 17550 13500 11480 GEN-164 Fracture Penis Repair 31 41740 32110 27290 GEN-165 Ganglion excision 8 4590 3530 3000 GEN-166 Gastrectomy Partial / Subtotal 29 34160 26280 22340 GEN-167 Gastrectomy Total 30 37950 29190 24810 GEN-168 Gastric Reconstruction with pouch 22 16590 12760 10850 GEN-169 Gastrojejunostomy 25 19030 14640 12440 GEN-170 Gastrostomy 20 14650 11270 9580 GEN-171 GB Bed resection 22 16590 12760 10850 GEN-172 Glossectomy Partial 19 13680 10520 8940 GEN-173 Glossectomy Total 26 22830 17560 14930 GEN-174 Groin Inguinal Dissection B/L 31 41740 32110 27290 GEN-175 Groin Inguinal Dissection U/L 26 22830 17560 14930 GEN-176 Gynaecomastia 25 19030 14640 12440 GEN-177 Haematoma evacuation 1 870 670 570

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Code Operation Cat Pvt Semi Eco GEN-178 Haemorrhoidectomy 22 16590 12760 10850 GEN-179 Hartmann's Procedure 28 30380 23370 19860 GEN-180 Heller's Cardiomyotomy 25 19030 14640 12440 GEN-181 Hemicolectomy right /left 27 26600 20460 17390 GEN-182 Hemiscrotectomy 22 16590 12760 10850 GEN-183 Hepaticodocho jejunostomy 24 18400 14150 12030 GEN-184 Hepaticojejunostomy of stricture 27 26600 20460 17390 GEN-185 Hernia Repair Diaphragmatic 28 30380 23370 19860 GEN-186 Hernia Repair Epigastric/Femoral 18 12580 9680 8230 GEN-187 Hernia Repair Femoral 18 12580 9680 8230 GEN-188 Hernia Repair Hiatus 27 26600 20460 17390 GEN-189 Hernia Repair Incisional Without Mesh 26 22830 17560 14930 Hernia Repair Incisional-Recurrent/With GEN-190 27 26600 20460 17390 Mesh GEN-191 Hernia Repair Inguinal B/L 22 16590 12760 10850 GEN-192 Hernia Repair Inguinal Recurrent 26 22830 17560 14930 GEN-193 Hernia Repair Inguinal U/L 24 18400 14150 12030 Hernia Repair Inguinal With Mesh GEN-194 25 19030 14640 12440 Enforcement B/L Hernia Repair Inguinal With Mesh GEN-195 25 19030 14640 12440 Enforcement U/L Hernia Repair Lumbar/Obturator GEN-196 26 22830 17560 14930 Spigelian/ Supraumbilical GEN-197 Hernia Repair Umbilical/Ventral 21 15610 12010 10210 Hernia repair Ventral with Mesh GEN-198 26 22830 17560 14930 enforcement GEN-199 Herniotomy inguinal B/L 17 11620 8940 7600 GEN-200 Herniotomy inguinal U/L 17 11620 8940 7600 GEN-201 High Ligation for Hydrocele 12 7810 6010 5110 GEN-202 High Orchidectomy 20 14650 11270 9580 GEN-203 Hirschsprung's resection 27 26600 20460 17390 HN Biopsy Oral Cavity (Tongue/Cheek GEN-204 3 1740 1340 1140 Etc) Hydatid Cyst/ Bronchogenic Cyst GEN-205 27 26600 20460 17390 Excision GEN-206 Hydrocele B/L 26 22830 17560 14930 GEN-207 Hydrocele U/L 22 16590 12760 10850 GEN-208 ICD insertion 9 5340 4110 3490 GEN-209 Ileal Pouch Reconstruction 26 22830 17560 14930 GEN-210 Ileostomy 20 14650 11270 9580 GEN-211 IlioInguinal Lymph Node Dissection B/L 24 18400 14150 12030 GEN-212 IlioInguinal Lymph Node Dissection U/L 22 16590 12760 10850 GEN-213 Imperforate anus with low opening repair 17 11620 8940 7600

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Code Operation Cat Pvt Semi Eco GEN-214 Ingrown Toenail Removal Of Nail 8 4590 3530 3000 GEN-215 Insulinoma Excision 33 49430 38020 32320 GEN-216 Insulinoma Operation 26 22830 17560 14930 GEN-217 Intestinal Diverticulum 21 15610 12010 10210 GEN-218 Intestinal Fistula Repair 26 22830 17560 14930 GEN-219 Intestinal Perforation 20 14650 11270 9580 GEN-220 Intestine Small Resection Anastomosis 26 22830 17560 14930 GEN-221 Intra Abdominal LN Biopsy 16 10760 8280 7040 GEN-222 Intussusception 26 22830 17560 14930 GEN-223 Inverted Nipple Correction 25 19030 14640 12440 GEN-224 Isthmectomy 29 34160 26280 22340 GEN-225 Ivor Lewis Esophagectomy Gastric Pull Up 28 30380 23370 19860 GEN-226 Jejunal Interpositioning 27 26600 20460 17390 GEN-227 Jejunostomy 20 14650 11270 9580 GEN-228 Lap Adrenalectomy 35 57010 43850 37270 GEN-229 Laparoscopic Pancreatic Surgery 35 57010 43850 37270 GEN-230 Laparoscopic/ Minimally Invasive 31 41740 32110 27290 Leino Renal / Porto Caval /Interposition GEN-231 32 45640 35110 29840 Mesocaval Shunt GEN-232 Lingual Thyroid 22 16590 12760 10850 GEN-233 Lipoma Large 25 19030 14640 12440 GEN-234 Lipoma Small 22 16590 12760 10850 GEN-235 Lithotripsy 26 22830 17560 14930 GEN-236 Liver Hydatid Cyst Removal 27 26600 20460 17390 GEN-237 Liver Lobectomy Left/Right 29 34160 26280 22340 GEN-238 Liver Resection Partial 27 26600 20460 17390 GEN-239 Liver Trisegmentectomy 112 74720 57480 48860 GEN-240 Lobectomy 25 19030 14640 12440 GEN-241 Lord'S Procedure 11 7190 5530 4700 GEN-242 Mastectomy Radical 32 45640 35110 29840 GEN-243 Mastectomy Sector 18 12580 9680 8230 GEN-244 Mastectomy Simple 22 16590 12760 10850 GEN-245 Meatoplasty 22 16590 12760 10850 GEN-246 Meckel'S Diverticulum Repair 27 26600 20460 17390 GEN-247 Mediastinal Compartment Dissection 35 57010 43850 37270 GEN-248 Melanoma Excision 11 7190 5530 4700 GEN-249 Mesenteric Cyst Removal 25 19030 14640 12440 GEN-250 Mini Thyroidectomy 109 60980 46910 39870 GEN-251 Modified Radical Mastectomy 109 60980 46910 39870 GEN-252 Multiple Liver Abscess Drainage 18 12580 9680 8230 GEN-253 Nail Trimming 1 870 670 570 GEN-254 Near Total Thyroidectomy 23 17550 13500 11480

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Code Operation Cat Pvt Semi Eco GEN-255 Neck Exploration 35 57010 43850 37270 GEN-256 Necrotic Tissue Excision(Diabetic Foot) 29 34160 26280 22340 GEN-257 Nephrectomy Simple 30 37950 29190 24810 GEN-258 Nephroureterectomy 33 49430 38020 32320 GEN-259 Neuroendocrine Tumor Pancreas Excision 33 49430 38020 32320 Neuroendocrine Tumor/Carcinoid Etc GEN-260 33 49430 38020 32320 Gut GEN-261 NJ placement 12 7810 6010 5110 GEN-262 Nodule Excision 14 9430 7250 6160 GEN-263 Orchidectomy B/L 23 17550 13500 11480 GEN-264 Orchidectomy Subcapsular 18 12580 9680 8230 GEN-265 Orchidectomy U/L 20 14650 11270 9580 GEN-266 Orchidopexy B/L 26 22830 17560 14930 GEN-267 Orchidopexy U/L 22 16590 12760 10850 GEN-268 Ovarian Cyst 23 17550 13500 11480 GEN-269 Pack Removal Under Anaesthesia 18 12580 9680 8230 GEN-270 Pancreatectomy 95% 25 19030 14640 12440 GEN-271 Pancreatectomy Partial 27 26600 20460 17390 GEN-272 Pancreaticogastrostomy 22 16590 12760 10850 GEN-273 Pancreaticojejunostomy 33 49430 38020 32320 GEN-274 Para Aortic Lymph Node Biopsy 23 17550 13500 11480 GEN-275 Para Aortic Lymph Node Sampling 25 19030 14640 12440 GEN-276 Paraganglioma Excision 109 60980 46910 39870 GEN-277 Paraphimosis Reduction 9 5340 4110 3490 GEN-278 Parathyroid 3 1/2 Gland Excision 35 57010 43850 37270 GEN-279 Parathyroid 4 Gland Exploration 109 60980 46910 39870 GEN-280 Parathyroid Adenoma Excision 26 22830 17560 14930 GEN-281 Parathyroid Adenoma Resection 22 16590 12760 10850 GEN-282 Parathyroid Autotransplantation 30 37950 29190 24810 GEN-283 Parathyroid U/L Exploration 29 34160 26280 22340 GEN-284 Parathyroidectomy 26 22830 17560 14930 GEN-285 Parathyroidectomy (Minimally invasive) 33 49430 38020 32320 GEN-286 Paravertebral Abscess Thoracotomy 22 16590 12760 10850 GEN-287 Paronychia Surgery 5 2850 2190 1860 Parotid Cyst Excision With Normal Tissue GEN-288 25 19030 14640 12440 Run GEN-289 Parotidectomy superficial 25 19030 14640 12440 GEN-290 Parotidectomy total 27 26600 20460 17390 GEN-291 Pelvic Lymph Node Dissection 25 19030 14640 12440 GEN-292 Penis Partial/Total Amputation 25 19030 14640 12440 Penis Total Amputation With Block GEN-293 27 26600 20460 17390 Dissection B/L

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Code Operation Cat Pvt Semi Eco Penis Total Amputation With Block GEN-294 26 22830 17560 14930 Dissection U/L Percut. Transhepatic biliary GEN-295 25 19030 14640 12440 drainage(PTBD) GEN-296 Perforated Ulcer Closure 26 22830 17560 14930 GEN-297 Peripheral Arterial Injury Repair 29 34160 26280 22340 GEN-298 Piles Banding 5 2850 2190 1860 GEN-299 Piles Injection 3 1740 1340 1140 Pilonidal Sinus Excision With Primary GEN-300 21 15610 12010 10210 Closure Pilonidal Sinus Excision Without Primary GEN-301 17 11620 8940 7600 Closure GEN-302 Pleural Aspiration - Diagnostic 7 4080 3140 2670 GEN-303 Pleural Aspiration - Therapeutic 9 5340 4110 3490 GEN-304 Polypectomy Rectal 14 9430 7250 6160 GEN-305 Preauricular Sinus B/L 21 15610 12010 10210 GEN-306 Preauricular Sinus U/L 16 10760 8280 7040 GEN-307 Proctocolectomy 33 49430 38020 32320 GEN-308 Proctoscopy 4 2240 1720 1460 GEN-309 Prolapse Rectum Repair 27 26600 20460 17390 GEN-310 Prostatectomy Open 23 17550 13500 11480 GEN-311 Pseudopancreatic Cyst Drainage 19 13680 10520 8940 GEN-312 Pyloric Stenosis - Ramstedt\S 21 15610 12010 10210 Pylorus Preserving GEN-313 28 30380 23370 19860 Pancreaticoduodenectomy GEN-314 Radical Cholecystectomy 32 45640 35110 29840 Radical Cystoprostatectomy With Ileal GEN-315 31 41740 32110 27290 Conduit GEN-316 Radical Gastrectomy + Lymph Nodes 27 26600 20460 17390 GEN-317 Radical Hysterectomy for Cancer Cervix 34 53080 40830 34710 GEN-318 Radical Hysterectomy for Cancer Uterus 34 53080 40830 34710 GEN-319 Radical Neck Dissection 27 26600 20460 17390 Radical Neck Dissection (Modified)/ Supra GEN-320 23 17550 13500 11480 Omohyoid GEN-321 Radical Nephroureterectomy 28 30380 23370 19860 GEN-322 Radical Sigmoid Colectomy 30 37950 29190 24810 GEN-323 Radical Transverse Colectomy 25 19030 14640 12440 GEN-324 Ramstedt's operation 22 16590 12760 10850 GEN-325 Ranula Excision 20 14650 11270 9580 GEN-326 Rectal Biopsy 18 12580 9680 8230 GEN-327 Rectal Tear Repair 20 14650 11270 9580 GEN-328 Removal Of Avulsed Nail 3 1740 1340 1140 GEN-329 Repair Of Bladder Rupture 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco GEN-330 Repair Of Liver Injury 26 22830 17560 14930 GEN-331 Repair Of Lung Injury 30 37950 29190 24810 Resection Anastomosis Small Intestine GEN-332 28 30380 23370 19860 Multiple Resection Of Cholangiocarcinoma With GEN-333 34 53080 40830 34710 Choledochojejunostomy Retroperitoneal Adhesionolysis And GEN-334 34 53080 40830 34710 Division Of Adhesions Attachments GEN-335 Retroperitoneal Cyst Excision 34 53080 40830 34710 GEN-336 Retroperitoneal Lymph Node Biopsy 24 18400 14150 12030 GEN-337 Retroperitoneal Lymph Node Dissection 26 22830 17560 14930 Retroperitoneal Lymph Node Dissection GEN-338 30 37950 29190 24810 With Vessel Reconstruction Retroperitoneal Mass/ Neuroendocrine GEN-339 29 34160 26280 22340 Mass Excision GEN-340 Retroperitoneal Tumour Excision 30 37950 29190 24810 GEN-341 Rib Biopsy 9 5340 4110 3490 GEN-342 Rib Resection & Drainage 15 9930 7640 6490 GEN-343 Rigid Sigmoidoscopy 6 3340 2570 2180 GEN-344 Scalp Tumor Excision With Local Flap 24 18400 14150 12030 Scalp Tumor Excision With Primary GEN-345 18 12580 9680 8230 Closure GEN-346 Scalp Tumor Excision With Ssg 22 16590 12760 10850 GEN-347 Scars Face Simple 18 12580 9680 8230 GEN-348 Scrapping Of Corn / Callosity 2 1370 1050 890 GEN-349 Scrapping Of Plantar Wart 2 1370 1050 890 Sebaceous Cyst (Multiple) Scrotum GEN-350 13 8680 6680 5680 Excision GEN-351 Sebaceous Cyst Excision 6 3340 2570 2180 GEN-352 Second Look Surgery 23 17550 13500 11480 GEN-353 Sigmoid Myotomy 25 19030 14640 12440 GEN-354 Sigmoidoscopy 9 5340 4110 3490 GEN-355 Sigmoidoscopy With Biopsy 10 6320 4860 4130 GEN-356 Skin Grafting - Large Wounds/ Burns 21 15610 12010 10210 GEN-357 Skin Grafting - Small Wounds/Burns 17 11620 8940 7600 GEN-358 Skin Grafting-Medium Wounds/Burns 19 13680 10520 8940 GEN-359 Sphincter Anal Repair 26 22830 17560 14930 GEN-360 Spleen Tear Repair (Traumatic) 26 22830 17560 14930 GEN-361 Splenectomy 27 26600 20460 17390 GEN-362 Splenic Cyst Marsupialization 30 37950 29190 24810 GEN-363 Split Ear Lobule Repair U/L 7 4080 3140 2670 GEN-364 Stapled Haemorrhoidectomy 18 12580 9680 8230 GEN-365 Sternotomy 35 57010 43850 37270

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Code Operation Cat Pvt Semi Eco GEN-366 Stripping Of Varicose Veins 20 14650 11270 9580 GEN-367 Submandibular Duct Calculus Removal 13 8680 6680 5680 GEN-368 Submandibular Salivary Gland Removal 20 14650 11270 9580 GEN-369 Submucous Cyst Excision 8 4590 3530 3000 Superficial Inguinal Lymph Node GEN-370 22 16590 12760 10850 Dissection B/L GEN-371 Suprapubic Catheterization 10 6320 4860 4130 GEN-372 Testicular Biopsy 13 8680 6680 5680 GEN-373 Testicular Torsion 20 14650 11270 9580 GEN-374 Thiersch Operation 11 7190 5530 4700 Thiersch Operation Modified With Marlex GEN-375 20 14650 11270 9580 Mesh GEN-376 Thoracic Duct Ligation 15 9930 7640 6490 GEN-377 Thoracic Duct Ligation Transthoracic 20 14650 11270 9580 GEN-378 Thoracoscopy Diagnostic 25 19030 14640 12440 GEN-379 Thoracoscopy Therapeutic 26 22830 17560 14930 GEN-380 Thoracostomy Dressing 4 2240 1720 1460 Thoracotomy With GEN-381 26 22830 17560 14930 Lobectomy/Pleurectomy Three Stage Esophagectomy With Gastric GEN-382 34 53080 40830 34710 Pull Up GEN-383 Thymectomy 27 26600 20460 17390 Thyroglossal Cyst / Sinus/Fistula GEN-384 20 14650 11270 9580 Excision GEN-385 Thyroglossal Cyst Exploration 16 10760 8280 7040 GEN-386 Thyroglossal Cyst Or Fistula 25 19030 14640 12440 GEN-387 Thyroglossal Fistula Exploration 14 9430 7250 6160 GEN-388 Thyroid Lobectomy 25 19030 14640 12440 Thyroid Reexploration With Completion GEN-389 109 60980 46910 39870 Thyroidectomy GEN-390 Thyroidectomy Subtotal 29 34160 26280 22340 GEN-391 Thyroidectomy Total/Subtotal/Near Total 31 41740 32110 27290 GEN-392 Tissue Excision Small 5 2850 2190 1860 GEN-393 Toe Nail Wedge Resection 14 9430 7250 6160 GEN-394 Tongue Tie 10 6320 4860 4130 Total Colectomy With Ileorectal GEN-395 31 41740 32110 27290 Anastomosis GEN-396 Total Conservative Parotidectomy 24 18400 14150 12030 Total Hysterectomy With B/L Salpingo GEN-397 23 17550 13500 11480 Oophorectomy Total Proctocolectomy With Anastomosis GEN-398 28 30380 23370 19860 Ileoanal Anastomosis Total Proctocolectomy With Permanent GEN-399 28 30380 23370 19860 Ileostomy

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Code Operation Cat Pvt Semi Eco GEN-400 Total Thyroidectomy 31 41740 32110 27290 Total Thyroidectomy With Central GEN-401 109 60980 46910 39870 Compartment Neck Dissection Total/Near Total Thyroidectomy With GEN-402 31 41740 32110 27290 Central Compartment Clearance GEN-403 Tracheostomy Emergency 11 7190 5530 4700 Transhiatal/Ivor Lewis/Three Stage GEN-404 28 30380 23370 19860 Esophagectomy With Gastric Pull Up Trendelenburg Operation With Multiple GEN-405 25 19030 14640 12440 Ligation GEN-406 Triple Bypass Gastrojejunostomy 29 34160 26280 22340 GEN-407 Trucut Biopsy 9 5340 4110 3490 GEN-408 Umbilectomy Entering Peritoneal Cavity 18 12580 9680 8230 Umbilectomy Without Entering Peritoneal GEN-409 17 11620 8940 7600 Cavity Undescended Testis With Hernia Repair- GEN-410 26 22830 17560 14930 Abdominal Undescended Testis With Hernia Repair- GEN-411 26 22830 17560 14930 Inguinal GEN-412 Urethral Dilatation - GA 11 7190 5530 4700 GEN-413 Urethral Dilatation - LA 11 7190 5530 4700 GEN-414 Vagotomy And Drainage Procedure 26 22830 17560 14930 GEN-415 Varicocelectomy 26 22830 17560 14930 GEN-416 Varicocelectomy Anastomosis 26 22830 17560 14930 GEN-417 Vasectomy 13 8680 6680 5680 GEN-418 Vasoepididymostomy Anastomosis 23 17550 13500 11480 GEN-419 Vasovasal Anastomosis 23 17550 13500 11480 GEN-420 VATS 33 49430 38020 32320 GEN-421 Venesection 5 2850 2190 1860 GEN-422 Venous Reconstruction 27 26600 20460 17390 GEN-423 Volvulus Colon Resection Anastomosis 25 19030 14640 12440 GEN-424 Volvulus Colon Simple Untwist 23 17550 13500 11480 GEN-425 Whipple'S Operation 112 74720 57480 48860 GEN-426 Whipple'S Pancreaticoduodenectomy 112 74720 57480 48860 Ruptured Breast Impant With Silicone GEN-427 30 37950 29190 24810 Granuloma

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31. GASTROINTESTINAL SURGERY Code Operation Cat Pvt Semi Eco Esophagus Surgery GIS-1 Heller's Cardiomyotomy 25 19030 14640 12440 GIS-2 Redo Heller's Cardiomyotomy 28 30380 23370 19860 Cardiomyotomy with Antireflux GIS-3 27 26600 20460 17390 Procedure GIS-4 Nissen's Fundoplication 26 22830 17560 14930 GIS-5 Hiatus Hernia repair with mesh 28 30380 23370 19860 GIS-6 Paraesophageal hernia repair 27 26600 20460 17390 GIS-7 Esophageal Diverticulectomy 31 41740 32110 27290 GIS-8 Esophageal leiomyoma excision 28 30380 23370 19860 GIS-9 Repair of esophageal Tear 29 34160 26280 22340 Transhiatal esophagectomy with gastric GIS-10 34 53080 40830 34710 pull up Ivor Lewis esophagectomy with gastric GIS-11 34 53080 40830 34710 pull up Three stage esophagectomy (Mckeown) GIS-12 34 53080 40830 34710 with gastric pull up GIS-13 Transthoracic ligation of Thoracic Duct 22 16590 12760 10850 GIS-14 Esophagectomy for sigmoid esophagus 28 30380 23370 19860 GIS-15 Colonic transposition of Esophagus 109 60980 46910 39870 GIS-16 Diagnostic Thoracoscopy 24 18400 14150 12030 Bariatric Surgery

GIS-17 Laparoscopic Sleeve Gastrectomy 33 49430 38020 32320 GIS-18 Laparoscopic Roux-En-Y Gastric Bypass 34 53080 40830 34710 GIS-19 Laparoscopic Mini Gastric Bypass 33 49430 38020 32320 GIS-20 Ileal Interposition 34 53080 40830 34710 GIS-21 laparoscopic BPD with Duodenal switch 110 65260 50200 42670 Stomach

GIS-22 Gastrectomy Partial 29 34160 26280 22340 GIS-23 Gastrectomy Subtotal 29 34160 26280 22340 GIS-24 Gastrectomy Total 30 37950 29190 24810 Gastrectomy Proximal with GIS-25 31 41740 32110 27290 Esophagogastric anastomosis Gastrectomy Radical with D2 GIS-26 34 53080 40830 34710 Lymphadenectomy GIS-27 Gastrostomy 20 14650 11270 9580 GIS-28 Gastrojejunostomy 25 19030 14640 12440 GIS-29 Pyloroplasty 22 16590 12760 10850 Truncal Vagotomy with drainage GIS-30 26 22830 17560 14930 procedure Repair of Bleeding Gastric/Duodenal GIS-31 25 19030 14640 12440 Ulcer Repair of perforated Gastric/ Duodenal GIS-32 25 19030 14640 12440 Ulcer GIS-33 Segmental Duodenectomy 35 57010 43850 37270 Pancreas

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Code Operation Cat Pvt Semi Eco GIS-34 Pancreatic Necrosectomy 33 49430 38020 32320 GIS-35 Pancreatic Abscess drainage 26 22830 17560 14930 GIS-36 Pigtail Drainage Of Pancreatic Abscess 21 15610 12010 10210 GIS-37 Pseudocyst- Cystogastrostomy 29 34160 26280 22340 GIS-38 Pseudocyst- Cystoduodenostomy 30 37950 29190 24810 GIS-39 Pseudocyst- Cystojejunostomy 31 41740 32110 27290 Pancreaticojejunostomy Puestow GIS-40 30 37950 29190 24810 Procedure GIS-41 Pancreaticojejunostomy Frey Procedure 33 49430 38020 32320 Pancreaticojejunostomy Beger's GIS-42 33 49430 38020 32320 Procedure GIS-43 Pancreaticoduodenectomy 30 37950 29190 24810 GIS-44 Whipple's Procedure 112 74720 57480 48860 GIS-45 Triple Bypass 29 34160 26280 22340 GIS-46 Distal Pancreatectomy Spleen preserving 28 30380 23370 19860 GIS-47 Distal Pancreatectomy with Splenectomy 32 45640 35110 29840 GIS-48 Radical Distal Pancreatectomy 32 45640 35110 29840 GIS-49 Median Pancreatectomy 30 37950 29190 24810 GIS-50 Insulinoma Excision 33 49430 38020 32320 Neuroendocrine Pancreatic Tumour GIS-51 29 34160 26280 22340 excision Liver GIS-52 Hydatid Cyst Excision 29 34160 26280 22340 GIS-53 Cysto- Pericystectomy 28 30380 23370 19860 GIS-54 Hepatectomy right 30 37950 29190 24810 GIS-55 Hepatectomy left 30 37950 29190 24810 GIS-56 Hepatectomy Partial 28 30380 23370 19860 GIS-57 Trisegmentectomy 110 65260 50200 42670 GIS-58 Liver Abscess Drainage 20 14650 11270 9580 GIS-59 Liver Abscess Aspiration 15 9930 7640 6490 GIS-60 Liver Abscess Pigtail catheter drainage 24 18400 14150 12030 Liver Metastasectomy/ wedge resection- GIS-61 30 37950 29190 24810 single Liver Metastasectomy/ wedge resection- GIS-62 34 53080 40830 34710 multiple GIS-63 Liver Caudate lobe excision 30 37950 29190 24810 Spleen GIS-64 Splenorrhaphy 25 19030 14640 12440 GIS-65 Splenectomy 27 26600 20460 17390 GIS-66 Splenectomy for massive Splenomegaly 28 30380 23370 19860 GIS-67 Splenic Cyst Marsupialization 30 37950 29190 24810 Shunt Surgery GIS-68 Surgery For Portal Hypertension 31 41740 32110 27290 GIS-69 Porto- Caval Shunt 111 69820 53710 45650 GIS-70 Mesocaval Shunt 35 57010 43850 37270 GIS-71 Meso-Atrial Shunt 109 60980 46910 39870

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Code Operation Cat Pvt Semi Eco GIS-72 Splenorenal Shunt-Distal 35 57010 43850 37270 GIS-73 Splenorenal Shunt-Proximal 35 57010 43850 37270 Biliary GIS-74 Cholecystectomy 26 22830 17560 14930 GIS-75 Cholecystectomy- complicated 27 26600 20460 17390 GIS-76 Cholecystostomy 19 13680 10520 8940 GIS-77 Cholecystectomy with CBD Exploration 26 22830 17560 14930 GIS-78 CBD exploration 24 18400 14150 12030 Cholecystectomy with GIS-79 28 30380 23370 19860 Choledochoduodenostomy GIS-80 Choledochoduodenostomy 26 22830 17560 14930 GIS-81 Hepaticojejunostomy 29 34160 26280 22340 Cholecystocolic fistula disconnection GIS-82 23 17550 13500 11480 and closure of colonic opening Cholecystoduodenal Fistula GIS-83 disconnection and closure of Duodenal 23 17550 13500 11480 opening GIS-84 Excision of Choledochal Cyst 31 41740 32110 27290 GIS-85 Radical Cholecystectomy 32 45640 35110 29840 Radical Cholecystectomy with segment GIS-86 32 45640 35110 29840 IV/V resection Radical Cholecystectomy with segment GIS-87 34 53080 40830 34710 IV/V resection with hepaticojejunostomy Resection of cholangiocarcinoma with GIS-88 34 53080 40830 34710 choledochojejunostomy GIS-89 Portal Lymphadenectomy 26 22830 17560 14930 Colon and Rectum GIS-90 Right Hemicolectomy 28 30380 23370 19860 GIS-91 Radical Right Hemicolectomy 30 37950 29190 24810 GIS-92 Extended Right Hemicolectomy 32 45640 35110 29840 GIS-93 Transverse Colectomy 30 37950 29190 24810 GIS-94 Sigmoid Colectomy 28 30380 23370 19860 GIS-95 Radical Sigmoid Colectomy 30 37950 29190 24810 GIS-96 Left Hemicolectomy 28 30380 23370 19860 GIS-97 Radical Left Hemicolectomy 30 37950 29190 24810 GIS-98 Anterior Resection 31 41740 32110 27290 GIS-99 Low Anterior Resection 32 45640 35110 29840 GIS-100 Ultra Low Anterior Resection 34 53080 40830 34710 GIS-101 Hartmann's procedure 28 30380 23370 19860 GIS-102 Reversal of Hartmann's procedure 28 30380 23370 19860 GIS-103 Abdominoperineal Resection 30 37950 29190 24810 Total Proctocolectomy with End GIS-104 33 49430 38020 32320 Ileostomy GIS-105 Total Proctocolectomy with IPAA 35 57010 43850 37270 GIS-106 Total colectomy with ileostomy 28 30380 23370 19860 Total colectomy with ileorectal GIS-107 31 41740 32110 27290 anastomosis

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Code Operation Cat Pvt Semi Eco GIS-108 Ileal pouch reconstruction 26 22830 17560 14930 GIS-109 Recto-Vaginal Fistula Repair 30 37950 29190 24810 GIS-110 Colonic Vaginoplasty 28 30380 23370 19860 GIS-111 Rectopexy-Transabdominal 25 19030 14640 12440 GIS-112 Rectopexy-Transanal 26 22830 17560 14930 GIS-113 Resection Rectopexy 28 30380 23370 19860 GIS-114 Loop Colostomy 21 15610 12010 10210 GIS-115 Colostomy Closure 22 16590 12760 10850 GIS-116 Volvulus colon simple untwist 23 17550 13500 11480 GIS-117 Surgery for Hirschsprung's Disease 32 45640 35110 29840 Appendix GIS-118 Appendicectomy 25 19030 14640 12440 Appendicectomy complicated/ perforated GIS-119 21 15610 12010 10210 appendix GIS-120 Appendicular Abscess Drainage 21 15610 12010 10210 Small Bowel, Mesentery, Omentum, Retroperitoneum GIS-121 Loop Ileostomy 18 12580 9680 8230 GIS-122 Ileostomy Closure 21 15610 12010 10210 GIS-123 Intestinal Fistula Repair 26 22830 17560 14930 GIS-124 Small Intestine Resection Anastomosis 25 19030 14640 12440 Small Intestine Double Resection And GIS-125 26 22830 17560 14930 Anastomosis Small Intestine Multiple Resection And GIS-126 28 30380 23370 19860 Anastomosis GIS-127 Intestinal Perforation Repair 20 14650 11270 9580 GIS-128 Strictureplasty- Single 23 17550 13500 11480 GIS-129 Strictureplasty- Multiple 25 19030 14640 12440 GIS-130 Intussusception 26 22830 17560 14930 Small Bowel Resection And Anastomosis GIS-131 27 26600 20460 17390 For Gist GIS-132 Meckel's Diverticulectomy 27 26600 20460 17390 GIS-133 Feeding Jejunostomy 18 12580 9680 8230 GIS-134 Diagnostic Laparoscopy With Biopsy 22 16590 12760 10850 GIS-135 Diagnostic Laparoscopy Without Biopsy 20 14650 11270 9580 Abdominal Wall Tumor Excision Without GIS-136 26 22830 17560 14930 Mesh Abdominal Wall Tumor Excision With GIS-137 29 34160 26280 22340 Mesh GIS-138 Percutaneous Drain Insertion 12 7810 6010 5110 GIS-139 Omentectomy Infracolic 20 14650 11270 9580 GIS-140 Omentectomy Total 25 19030 14640 12440 GIS-141 Mesenteric Cyst Excision 22 16590 12760 10850 GIS-142 Pelvic Lymph Node Dissection 25 19030 14640 12440 GIS-143 Paraaortic Lymph Node Biopsy 23 17550 13500 11480 GIS-144 Paraaortic Lymph Node Dissection 25 19030 14640 12440 GIS-145 Adhesiolysis/ Division Of Bands 26 22830 17560 14930 GIS-146 Retroperitoneal Tumour Excision 30 37950 29190 24810

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Code Operation Cat Pvt Semi Eco Retroperitoneal Tumor Excision With GIS-147 35 57010 43850 37270 Multiple Organ Resection GIS-148 Exploratory Laparoscopy 27 26600 20460 17390 GIS-149 Total Esophagectomy (Trans Thoracic) 34 53080 40830 34710 GIS-150 Graciloplasty 35 57010 43850 37270

32. GYNAECOLOGY Code Operation Cat Pvt Semi Eco GYN-1 Ablation Endometrial 20 14650 11270 9580 GYN-2 Abortion Mid Trimester 17 11620 8940 7600 GYN-4 Bartholin/Labial Abscess 9 5340 4110 3490 GYN-5 Bartholin Cyst Excision U/L 11 7190 5530 4700 GYN-6 Biopsy And Cautery Cervix 6 3340 2570 2180 GYN-7 Biopsy Cone 13 8680 6680 5680 GYN-8 Biopsy Vulval 6 3340 2570 2180 GYN-9 B/L Internal Iliac Artery Ligation 25 19030 14640 12440 GYN-11 Cautery Cervix 5 2850 2190 1860 GYN-12 Cervical Polypectomy 6 3340 2570 2180 GYN-13 Cervicopexy 25 19030 14640 12440 GYN-14 Colpoperineorrhaphy 20 14650 11270 9580 GYN-15 Colporrhaphy Or Fothergill Repair 25 19030 14640 12440 GYN-17 Cryocautery 7 4080 3140 2670 GYN-18 Cyst Vaginal 11 7190 5530 4700 GYN-19 Division Of Adhesions Or Fimbrioplasty 15 9930 7640 6490 GYN-20 Ectopic Pregnancy Operation 23 17550 13500 11480 GYN-21 EUA/Needling 5 2850 2190 1860 GYN-22 Fothergill`s Ligation 26 22830 17560 14930 GYN-23 Fothergill's Operation 25 19030 14640 12440 GYN-24 Fractional Curettage 5 2850 2190 1860 GYN-25 Fulguration Of Endometriotic Implants 19 13680 10520 8940 GYN-26 Hematocolpos Drainage Colpotomy 7 4080 3140 2670 GYN-27 Hyst.With Omentectomy 26 22830 17560 14930 GYN-28 Hysterectomy Abdominal/Vaginal 27 26600 20460 17390 GYN-29 Hysterectomy Wertheim 29 34160 26280 22340 GYN-30 Hysteroscopy Diagnostic 12 7810 6010 5110 GYN-31 Hysteroscopy Drainage And D & C Only 10 6320 4860 4130 Medical Management of Ectopic GYN-32 18 12580 9680 8230 Pregnancy Hysteroscopic Tubal Cannulation- GYN-33 15 9930 7640 6490 Single GYN-34 Hysteroscopic Tubal Cannulation- B/L 21 15610 12010 10210

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Code Operation Cat Pvt Semi Eco GYN-36 Inversion Uterus 16 10760 8280 7040 GYN-37 Laparoscopic/Minilap Sterilization 11 7190 5530 4700 GYN-38 Laparoscopy Diagnostic 15 9930 7640 6490 GYN-40 Laparoscopy Diagnostic And D&C 17 11620 8940 7600 GYN-41 LAVH/NDVH 26 22830 17560 14930 GYN-42 Manual Removal Of Placenta 10 6320 4860 4130 GYN-43 Lap Ligation / Sterilization 14 9430 7250 6160 GYN-44 Myomectomy 25 19030 14640 12440 Hysteroscopic removal of Synechiae/ GYN-45 26 22830 17560 14930 Septum GYN-46 Ovarian Cyst 23 17550 13500 11480 GYN-47 Paraurethral Tear 8 4590 3530 3000 GYN-48 Perineal Tear Old, Complete, Suturing 18 12580 9680 8230 GYN-49 Perineal Tear Suturing 10 6320 4860 4130 GYN-50 Recanalisation Microsurgical 29 34160 26280 22340 GYN-51 Rectovaginal Fistula Repair 29 34160 26280 22340 GYN-53 Salpingo Oophorectomy B/L 23 17550 13500 11480 GYN-54 Shirodkar`s / Macdonald 11 7190 5530 4700 GYN-55 Sterilization Abdominal 13 8680 6680 5680 GYN-56 Stress Incontinence 26 22830 17560 14930 GYN-57 Tear Cervical Repair 11 7190 5530 4700 GYN-58 Tear Vaginal Repair 9 5340 4110 3490 GYN-60 Tuboplasty 25 19030 14640 12440 GYN-61 Urethral Carbuncle 7 4080 3140 2670 GYN-62 Uterine Rupture 26 22830 17560 14930 GYN-63 Vaginoplasty 27 26600 20460 17390 Vulvectomy Total With Dissection of GYN-64 26 22830 17560 14930 Nodes GYN-65 Vesico Vaginal Fistula Repair 25 19030 14640 12440 GYN-66 Ventrosuspension Of Uterus 20 14650 11270 9580 GYN-67 Vulvectomy Radical 27 26600 20460 17390 GYN-68 Vulvectomy Simple 23 17550 13500 11480 GYN-69 Cord Blood Stem Cell 4 2240 1720 1460 GYN-70 Plication Of Round Ligament 8 4590 3530 3000 GYN-71 Pelvic Lymphadenectomy 19 13680 10520 8940 GYN-72 Multiple Punch Peritoneal Biopsies 7 4080 3140 2670 GYN-73 Posterior Culdoplasty 22 16590 12760 10850 GYN-74 Ovarian Drilling 10 6320 4860 4130 GYN-75 Total Laparoscopic Hysterectomy (TLH) 31 41740 32110 27290 GYN-76 Episiotomy 9 5340 4110 3490 GYN-77 Resuturing of Abdominal Wound 12 7810 6010 5110 GYN-78 Repeated LSCS 26 22830 17560 14930

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Code Operation Cat Pvt Semi Eco GYN-79 Mirena Insertion 5 2850 2190 1860 GYN-80 Excision Of Vaginal Septum 13 8680 6680 5680 GYN-81 Hysterotomy 19 13680 10520 8940 GYN-82 PPH Conservative Management 20 14650 11270 9580 Resuspension of Post Hysterectomy GYN-83 25 19030 14640 12440 Vault Prolapse GYN-84 Sacrocolpopexy 25 19030 14640 12440 GYN-85 Vaginal Biopsy 5 2850 2190 1860 GYN-86 Vaginoplasty for Vaginal Agenesis 28 30380 23370 19860 GYN-87 Vault Repair 26 22830 17560 14930 GYN-88 Drainage of Intra Abdominal Abscess 17 11620 8940 7600 GYN-89 Exploratory Laparotomy 30 37950 29190 24810 GYN-90 U/L Salpingo Oophorectomy 20 14650 11270 9580 Abdominal Para Aortic Lymph Node GYN-91 25 19030 14640 12440 Sampling GYN-92 Abdomen Omentectomy Infracolic 20 14650 11270 9580 GYN-93 Retroperitoneal Tumor Excision 30 37950 29190 24810 GYN-94 Cesarean Hysterectomy 26 22830 17560 14930 GYN-95 Meshplasty 27 26600 20460 17390 GYN-96 Exploration of Perineal Hematoma 15 9930 7640 6490 GYN-97 Broad Ligament Hematoma Drainage 21 15610 12010 10210 GYN-98 Hysteroscopy Metroplasty 26 22830 17560 14930 GYN-99 Hysteroscopy Myomectomy(< 3 cm) 22 16590 12760 10850 GYN-100 Hysteroscopy Myomectomy(> 3 cm) 26 22830 17560 14930 Hysteroscopy Removal of Retained GYN-101 24 18400 14150 12030 Products of Conception GYN-102 L.S.C.S with selected/Mahurat time 16730 14100 10950 Sacrospinous Ligament Suspension GYN-103 28 30380 23370 19860 (S.L.S.S) GYN-105 Mccaul's Enterocoele Repair 19 13680 10520 8940 GYN-106 Salpingectomy 20 14650 11270 9580 GYN-107 Sling Operation 20 14650 11270 9580 GYN-108 Operative Hysteroscopy + Polypectomy 20 14650 11270 9580 Hysteroscopic removal of misplaced GYN-109 4 2240 1720 1460 IUCD

List of Colposcopy Procedure Charges Code Operation Cat Pvt Semi Eco Colposcopy Directed Biopsy of Vagina GYN-110 10 6320 4860 4130 /Vulva GYN-111 Colposcopy directed Cryocautery 9 5340 4110 3490 GYN-112 Colposcopy Directed Thermocautery 9 5340 4110 3490 GYN-113 Colposcopy 5 2850 2190 1860

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Code Operation Cat Pvt Semi Eco Colposcopy With Biopsy Cervix and GYN-114 9 5340 4110 3490 Endometrial Biopsy Colposcopy With Biopsy Cervix GYN-115 7 4080 3140 2670 Single/Multiple GYN-116 Colposcopy With Endometrial Biopsy 8 4590 3530 3000 Colposcopy With Medical Treatment of GYN-117 8 4590 3530 3000 Vulval Warts GYN-118 Colposcopy With Polyp Removal 8 4590 3530 3000 GYN-119 Leep Excision 14 9430 7250 6160 GYN-120 High Uterosacral Ligament 27 26600 20460 17390 GYN-137 Evacuation of Hydatidiform Mole 16 10760 8280 7040 GYN-138 Operative Laparoscopy 14 9430 7250 6160 GYN-139 Tubal Recanalization 14 9430 7250 6160 GYN-140 High Risk Caesarean 23 17550 13500 11480 GYN-141 Placenta Praevia 19 13680 10520 8940 GYN-142 Multiple Pregnancy 19 13680 10520 8940 GYN-143 Previous Uterine Surgery 19 13680 10520 8940 GYN-144 Lactation Counselling 300 300 300 Step wise devasulezization / Utrine artery GYN-145 11 7190 5530 4700 Lization GYN-146 Laproscopic vault suspension 11 7190 5530 4700

Code Operation OPD GYN-121 HSG 1090 GYN-122 Hydrotubation 1280 GYN-123 IUCD Removal 670 GYN-124 OPD Endometrial Sampling 1690 GYN-125 PAP /HPV Smear 480 GYN-126 PCT 670 GYN-127 NST 240 GYN-128 McDonald Stitch Removal 4435

Code Procedure Charges GYN-132 Cu-T / Multiload Insertion 1550 GYN-133 Cryocautery 2350 GYN-134 IUI 5120 GYN-135 IUI(without sample) 3660 GYN-136 Medical MTP (Plus cost of Medicines) 1760

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33. INTERVENTIONAL RADIOLOGY Code Operation Cat Pvt Semi Eco IVR-1 Cerebral Angiogram 31 41740 32110 27290 IVR-2 Angiography / Venogram 27 26600 20460 17390 IVR-3 Preoperative Embolization 28 30380 23370 19860 Embolization Angioplasty Arterial Or IVR-4 29 34160 26280 22340 Venous PTBD External Drainage Percutaneous IVR-5 24 18400 14150 12030 Nephrostomy IVR-6 PTBD Externo Internalisation 26 22830 17560 14930 Percutaneous Transhepatic IVR-7 7 4080 3140 2670 Cholangiogram (PTC) / Nephrogram Embolization For Nasal Bleeding/Sinus IVR-8 Mass / Pre-Op Embolization / Tumours 29 34160 26280 22340 Fed By ECA Branches Only IVR-9 Test Occlusion Test 34 53080 40830 34710 IVR-10 PCN/PTBD With Primary Stenting U/L 29 34160 26280 22340 IVR-11 PCN/PTBD With Primary Stenting B/L 31 41740 32110 27290 IVR-33 Uterine Artery Embolization 30 37950 29190 24810 IVR-35 R.F.A Ablation - Varicose Veins 30 37950 29190 24810 IVR-37 Abdominal Angiography 25 19030 14640 12440 IVR-38 Abdominal Intra Arterial Embolization 27 26600 20460 17390 IVR-39 Uterine Angiography 25 19030 14640 12440 IVR-40 Bronchial Arterial Embolization 27 26600 20460 17390

Note: Room Rent, Medicines, Investigations & Cath Lab Charges will be charged extra

34. INTERVENTIONAL NEURORADIOLOGY Code Operation Cat Pvt Semi Eco IVR-12 PCN/PTBD With Primary Stenting 29 34160 26280 22340 IVR-13 PCN/PTBD With Primary Stenting B/L 31 41740 32110 27290 IVR-14 Check Cerebral DSA 20 14650 11270 9580 IVR-15 Cerebral DSA 27 26600 20460 17390 IVR-16 Check Spinal DSA 27 26600 20460 17390 IVR-17 Spinal DSA 29 34160 26280 22340 IVR-18 Intra Arterial Spasmolysis 33 49430 38020 32320 IVR-19 Tumor Embolization Simple 110 65260 50200 42670 IVR-20 Tumour Embolization Complex 110 65260 50200 42670 IVR-21 Intra Arterial Thrombolysis 35 57010 43850 37270 IVR-22 Aneurysm Coiling Simple 110 65260 50200 42670 IVR-23 Aneurysm Coiling Complex 110 65260 50200 42670 IVR-24 Intra Arterial Thrombectomy 35 57010 43850 37270 IVR-25 Transcranial Doppler-Single 7 4080 3140 2670

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Code Operation Cat Pvt Semi Eco IVR-26 Transcranial Doppler-SAH Monitoring 15 9930 7640 6490 Transcranial Doppler With Microbubble IVR-27 9 5340 4110 3490 Enhancement Transcranial Doppler-Continuous IVR-28 10 6320 4860 4130 Monitoring IVR-29 Transcranial Doppler-Clotbust Therapy 12 7810 6010 5110 Intra Arterial Nimodipine Infusion With IVR-30 27 26600 20460 17390 Cerebral Angiogram DSA Guided Tunneled Catheter Insertion IVR-31 20 14650 11270 9580 (I.J / Femoral)(C-Arm) IVR-32 Lymphangiography (Cath Lab) 32 45640 35110 29840 IVR-34 Intracranial A.V.M / A.V.F Embolization 109 60980 46910 39870 Thrombosuction/Multimodality Clot IVR-36 34 53080 40830 34710 Retrieval IVR-41 Percutaneous Sclerotherapy 7 4080 3140 2670 IVR-42 Chemoembolization Transarterial 31 41740 32110 27290

35. G.I- INTERVENTIONAL RADIOLOGY Code Operation Pvt Semi Eco IVG-1 Angioplasty & Stenting (IR Vascular) 45000 45000 45000 IVG-2 Angioplasty (IR Vascular) 25000 25000 25000 IVG-3 BRTO or Varix Embolization 65000 65000 65000 IVG-4 Catheter internalization Single System 5000 5000 5000 IVG-5 Catheter internalization Three or More Systems 12500 12500 12500 IVG-6 Catheter internalization Two Systems 7500 7500 7500 IVG-7 Cholecystectomy 7500 7500 7500 IVG-8 CT Guided Aspiration 3000 3000 3000 IVG-9 CT Guided Biopsy 6000 6000 6000 IVG-10 CT Guided Chemical Ablation 17500 17500 17500 IVG-11 CT Guided Drainage 8000 8000 8000 IVG-12 CT Guided Drainage Multiple 12000 12000 12000 IVG-13 CT Guided FNAC 3000 3000 3000 IVG-14 CT Guided R.F.A 40000 40000 40000 IVG-15 CT Guided Transgastric Drainage 9000 9000 9000 IVG-16 Cyst Ablation 8000 8000 8000 IVG-17 Cystogastrostomy 8000 8000 8000 IVG-18 Embolization For Bleeding 40000 40000 40000 IVG-19 Enteric Stenting 15000 15000 15000 IVG-20 Esophageal Stenting 10000 10000 10000 IVG-21 Intraductal Biopsy 10000 10000 10000 IVG-22 Intraductal Cytology 10000 10000 10000 IVG-23 Invasive pressure Gradient Measurement 10000 10000 10000

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Code Operation Pvt Semi Eco IVG-24 IR Evaluation 1000 1000 1000 IVG-25 Percutaneous Bilioenteric Anastomosis 40000 40000 40000 IVG-26 Percutaneous Embolization 10000 10000 10000 IVG-27 Percutaneous Feeding Jejunostomy 18000 18000 18000 IVG-28 Percutaneous Gastrostomy 15000 15000 15000 IVG-29 Percutaneous Sclerotherapy 7500 7500 7500 IVG-30 percutaneous Venovenous Shunt 30000 30000 30000 IVG-31 Plugged Biopsy 6000 6000 6000 IVG-32 Portal Vein Embolization 35000 35000 35000 IVG-33 Portal Vein Stenting 30000 30000 30000 IVG-34 PTBD Single System 7500 7500 7500 IVG-35 PTBD Three or More Systems 17500 17500 17500 IVG-36 PTBD two Systems 12500 12500 12500 IVG-37 Splenic Embolization 25000 25000 25000 IVG-38 Stenting Single System 7500 7500 7500 IVG-39 Stenting Two Systems 12500 12500 12500 IVG-40 Therapeutic Aspiration 4000 4000 4000 IVG-41 Thrombolysis 40000 40000 40000 TIPS (Transjugular Intrahepatic Portosystemic IVG-42 50000 50000 50000 Shunt) IVG-43 TIPS & Embolization 65000 65000 65000 IVG-44 Transjugular Biopsy 10000 10000 10000 IVG-45 TRUS / TVS Guided Drainage 9000 9000 9000 IVG-46 Tube Change Multiple 2250 2250 2250 IVG-47 Tube Change/Upsizing/Repositioning 1500 1500 1500 IVG-48 Tumor Embolization 40000 40000 40000 IVG-49 TVS/TRUS Sampling 5000 5000 5000 IVG-50 USG Guided Biopsy Multiple 5000 5000 5000 IVG-51 USG Guided Chemical Ablation 15000 15000 15000 IVG-52 USG Guided Drainage 6000 6000 6000 IVG-53 USG Guided FNAC 2000 2000 2000 IVG-54 USG Guided R.F.A 30000 30000 30000 IVG-55 USG Guided Transgastric Drainage 7000 7000 7000 IVG-56 Varicocele Embolization 20000 20000 20000 IVG-57 Varicose Vein Ablation 20000 20000 20000 IVG-58 CT Guided Gastrostomy 26600 20460 17390

Note: 1. The Above charges are only procedure Charges 2. Room rent, medicines, consultation charges, any other procedure/ diagnostics etc will be charged extra as per SOC

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36. NEPHROLOGY Code Operation Cat Pvt Semi Eco NEP-1 Femoral Catheterization 8 4590 3530 3000 NEP-2 Jugular Catheterization 7 4080 3140 2670 NEP-3 AV-Shunt 16 10760 8280 7040 NEP-4 AV-Fistula 18 12580 9680 8230 NEP-5 Dialysis Peritoneal 9 5340 4110 3490 NEP-6 CAPD 15 9930 7640 6490 NEP-7 Kidney Biopsy 14 9430 7250 6160 NEP-8 Perma Placement Jugular Cath. 13 8680 6680 5680 NEP-9 Plasma Exchange For RPGN 13 8680 6680 5680 NEP-10 CAPD (Training Nephrologist) 15 9930 7640 6490 NEP-11 SLEDD 18 12580 9680 8230 NEP-12 CRRT 22 16590 12760 10850

Dialysis Code Procedure Charges HD-1 Hemodialysis: Package 2050 HD-2 Haemodialysis for Critical patients 2300 HD-3 Indoor Haemodialysis 2850 HD-4 Night Hemodialysis (8PM-5AM) 2850 HD-5 VIP Room Hemodialysis 2850

The Package will include: Acetate / Bicarbonate fluid, Fistula needles (2), Heparin 5000 ml (1), Syringes 50ml (3), Normal Saline (3 litres). Package does not include artificial Kidney & any items required other than those mentioned above will be charged extra / replaced.

Code Procedure Charges HD-6 Artificial Kidney Polysulphene Membrane 1.3- 850 HD-7 Avenue Dialyzer 675

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37. NEURO SURGERY Code Operation Cat Pvt Semi Eco NEU-1 Aneurysms and A.V.M 109 60980 46910 39870 Anterior and Anterolateral Spinal NEU-2 34 53080 40830 34710 Decompression NEU-3 Brachial Plexus Repair 109 60980 46910 39870 NEU-4 Brain Abscess Excision 33 49430 38020 32320 NEU-5 Brain Abscess Tapping 27 26600 20460 17390 NEU-6 Brain tumor Surgery-Subtentorial 33 49430 38020 32320 NEU-7 Brain tumor Surgery-Supratentorial 33 49430 38020 32320 NEU-8 Chronic Subdural Hematoma Surgery 31 41740 32110 27290 NEU-9 Cisternal Puncture 10 6320 4860 4130 NEU-10 Cranioplasty 35 57010 43850 37270 NEU-11 Craniotomy 33 49430 38020 32320 NEU-12 CSF Rhinorrhoea Endoscopic 33 49430 38020 32320 NEU-13 CSF Rhinorrhoea Microscopic 33 49430 38020 32320 NEU-14 Cable Grafting & Fascicular Suture 30 37950 29190 24810 NEU-15 Decompression Entrapment 21 15610 12010 10210 NEU-16 Depressed Fracture 32 45640 35110 29840 Endoscopic Surgery Third NEU-17 33 49430 38020 32320 Ventriculostomy Endoscopic / Microscopic Pituitary NEU-17A 34 53080 40830 34710 Transsphenoidal Surgery NEU-18 Evacuation Of Haematoma 31 41740 32110 27290 Excision Of Lobe(Frontal Temporal, NEU-19 33 49430 38020 32320 Cerebellum Etc.) NEU-20 Head Injury Operations 34 53080 40830 34710 NEU-21 Intradural Spinal Tumours 33 49430 38020 32320 NEU-22 Laminectomy 31 41740 32110 27290 NEU-23 Lumbar / Cervical Canal Stenosis 34 53080 40830 34710 NEU-24 Lumbar Disc Surgery 32 45640 35110 29840 NEU-26 Microvascular Decompression 33 49430 38020 32320 NEU-27 Neurolysis / Ant. Transposition 26 22830 17560 14930 NEU-28 Nerve / Muscle Biopsy 10 6320 4860 4130 NEU-29 Neuropathies 21 15610 12010 10210 NEU-30 Pineal Region Tumours 110 65260 50200 42670 NEU-31 Placement Of I.C.P Monitor 18 12580 9680 8230 NEU-32 Post Fossa Surgery 35 57010 43850 37270 NEU-33 Skull Base Surgery 35 57010 43850 37270 NEU-34 Skull Traction 10 6320 4860 4130 Spinal Decompression And NEU-35 35 57010 43850 37270 Instrumentation Spinal Dysraphism Surgery/ Cervical NEU-36 31 41740 32110 27290 Disc

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Code Operation Cat Pvt Semi Eco NEU-37 Spinal Intramedullary Tumours 35 57010 43850 37270 Stereotactic Biopsy Of Deep Seated NEU-38 33 49430 38020 32320 Lesion (Biopsy) Excision Stereotactic Excision / Surgery/ NEU-39 33 49430 38020 32320 Craniotomy NEU-40 Subdural Tapping 7 4080 3140 2670 NEU-41 Syringomyelia-Shunt Surgery 33 49430 38020 32320 Transoral Odontoid Removal & NEU-42 110 65260 50200 42670 Vertebrectomy NEU-43 Ventricular Tapping 10 6320 4860 4130 NEU-44 V.P / Shunts 30 37950 29190 24810 NEU-45 Endoscopic Post. Lumbar Disc. Surgery 33 49430 38020 32320 NEU-46 Endoscopic Brain Tumor Surgery 33 49430 38020 32320 Transforaminal Endoscopic Lumbar NEU-47 33 49430 38020 32320 Disc. Surgery NEU-48 DBS For Parkinson Disease 33 49430 38020 32320 NEU-49 Spinal Stimulator Implantation 33 49430 38020 32320 NEU-50 Baclofen Pump Implantation 33 49430 38020 32320 NEU-51 VNS Implantation 33 49430 38020 32320 NEU-52 Vertebroplasty 34 53080 40830 34710 NEU-53 Carpal Tunnel Release 24 18400 14150 12030 NEU-54 E.V.D 21 15610 12010 10210 NEU-55 Aneurysm Clipping 33 49430 38020 32320 NEU-56 AVM Excision 34 53080 40830 34710 NEU-57 Carotid Endarterectomy 33 49430 38020 32320 NEU-58 ECA-ICA Bypass 33 49430 38020 32320 NEU-59 C.V Junction - Posterior Fusion 33 49430 38020 32320 NEU-63 Shunt With 'Y' Connector 33 49430 38020 32320 NEU-65 Laminoplasty 33 49430 38020 32320 NEU-66 T.L.I.F With Spinal Decompression 33 49430 38020 32320 NEU-67 Pedicle Screw Fixation 33 49430 38020 32320 NEU-68 Bone Grafting 31 41740 32110 27290 NEU-69 Laminotomy With Decompression 33 49430 38020 32320 NEU-70 Endoscopic Decompression 33 49430 38020 32320 NEU-71 Endoscopic Discectomy 33 49430 38020 32320 NEU-72 Lumbar Drain 21 15610 12010 10210 NEU-73 RFL Radiofrequency Lesion 31 41740 32110 27290 NEU-74 Ommaya Reservoir Placement 29 34160 26280 22340 NEU-75 Endoscopic Evaluation Of Hematoma 31 41740 32110 27290 NEU-78 Re Exploration Surgery 31 41740 32110 27290 NEU-79 Thecoperitoneal Shunt 32 45640 35110 29840 NEU-80 Twist Drill 27 26600 20460 17390

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Code Operation Cat Pvt Semi Eco NEU-81 Large Scalp Debridement And Repair 18 12580 9680 8230 Microscopic Spinal Decompression One NEU-82 33 49430 38020 32320 Level NEU-83 Decompressive Craniectomy 33 49430 38020 32320 NEU-84 Duraplasty 28 30380 23370 19860 NEU-85 Bone Flap Preservation In Abd. Wall 21 15610 12010 10210 NEU-86 Scalp Sebaceous Cyst Excision 18 12580 9680 8230

NEUROLOGY PROCEDURES Code Procedure Name cat Pvt Semi Eco NED-1 CSF Manometry 10 6320 4860 4130 NED-2 Thrombolysis in Stroke 19 13680 10520 8940

38. ORTHOPAEDICS Code Operation Cat Pvt Semi Eco ORH-1 AVN Core Decompression One Side (HP) 27 26600 20460 17390 ORH-2 Abscess cold lumbar/Cervical drainage 20 14650 11270 9580 ORH-3 Adjustment Of External Fixator 11 7190 5530 4700 ORH-4 Amputation digits 19 13680 10520 8940 ORH-5 Amputation foot/hand 21 15610 12010 10210 ORH-6 Amputation leg/forearm 25 19030 14640 12440 ORH-7 Amputation thigh/arm 27 26600 20460 17390 ORH-8 Anterior/Anterolateral Spinal Surgery 32 45640 35110 29840 ORH-9 Arthrodesis MT/IP joints 23 17550 13500 11480 Arthrodesis shoulder/knee/ankle/ ORH-10 28 30380 23370 19860 triple/ elbow/ wrist ORH-11 Arthrotomy Hip/Other Joints 18 12580 9680 8230 Aspiration of Cold abscess in spinal ORH-12 10 6320 4860 4130 tuberculosis ORH-13 Bankart's Repair 31 41740 32110 27290 ORH-14 Biopsy bone needle 10 6320 4860 4130 Biopsy Bone Open Long Bones / Ilium / ORH-15 16 10760 8280 7040 Short Bones / Synovial / Hip ORH-16 Bone Grafting Long Bone 26 22830 17560 14930 ORH-17 Bone Grafting Small Bone 13 8680 6680 5680 ORH-18 C.D.H Femoral Osteotomy 21 15610 12010 10210 ORH-19 C.D.H Mua + Hip Spica 7 4080 3140 2670 ORH-20 C.D.H Open Reduction 17 11620 8940 7600 ORH-21 C.D.H Salters Osteotomy 21 15610 12010 10210 ORH-22 Cervical Rib Operation 30 37950 29190 24810 ORH-23 Ch. Osteomyelitis Surgery Wrist/ Ankle/ 25 19030 14640 12440

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Code Operation Cat Pvt Semi Eco Hand/ Foot Ch. Osteomyelitis Saucerization, ORH-24 25 19030 14640 12440 Sequestrectomy Humerus/Tibia Ch. Osteomyelitis Surgery Radius/ Ulna/ ORH-25 21 15610 12010 10210 Fibula/ Clavicle ORH-26 Closed reduction # clavicle 4 2240 1720 1460 Closed reduction & Int. Fix with Cann. ORH-27 28 30380 23370 19860 Screw Closed Reduction Dislocation Elbow/ ORH-28 13 8680 6680 5680 Shoulder/ Hip/Knee/Spine Closed reduction dislocation ORH-29 10 6320 4860 4130 Wrist/Fingers Closed Reduction Forearm/Leg/ Thigh ORH-30 13 8680 6680 5680 Spine ORH-31 Closed Reduction Percut Pin Metatarsal 15 9930 7640 6490 Closed Reduction Percut Pin Multi ORH-32 Fracture / Phalanges / Radius / 24 18400 14150 12030 Humerus Closed Reduction Wrist/Hand/Ankle/ ORH-33 10 6320 4860 4130 Foot Bone ORH-34 Coccyx Injection 13 8680 6680 5680 ORH-35 Corr. Osteotomy+Int Fix Short Bones 25 19030 14640 12440 ORH-36 Correction Foot Using Jess 25 19030 14640 12440 ORH-37 Crush Injury Hand/Foot Large 27 26600 20460 17390 ORH-38 Crush Injury Hand/Foot Medium 25 19030 14640 12440 ORH-39 Crush Injury Hand/Foot Small 20 14650 11270 9580 ORH-40 CTEV manipulation 5 2850 2190 1860 ORH-41 CTS (Carpal Tunnel Syndrome) 24 18400 14150 12030 Curettage Bone Grafting of Bone Tumour ORH-42 31 41740 32110 27290 Humerus / Forearm Debridement with Primary closure ORH-43 16 10760 8280 7040 Compound # Arm / Forearm Debridement with Primary Closure ORH-44 18 12580 9680 8230 compound # Femur / Tibia Debridement with Primary Closure ORH-45 15 9930 7640 6490 compound # Hand / Foot ORH-46 Debridlectomy & secondary Closure 16 10760 8280 7040 ORH-47 De-Quervain's Disease surgery 21 15610 12010 10210 ORH-48 DHS with C-Arm 29 34160 26280 22340 Disarticulation Fore quarter/Hind ORH-49 28 30380 23370 19860 quarter ORH-50 Disarticulation Knee/Elbow/Wrist/Ankle 22 16590 12760 10850 ORH-51 Dupuytren's Contracture 21 15610 12010 10210 ORH-52 Endoscopic Discectomy One Level 30 37950 29190 24810 ORH-53 Endoscopic Discectomy Two Level 33 49430 38020 32320

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Code Operation Cat Pvt Semi Eco ORH-54 Epiphyseal Stimulation/Epiphysiodesis 18 12580 9680 8230 ORH-55 Excision Arthroplasty Knee/Elbow/Wrist 26 22830 17560 14930 ORH-56 Excision Arthroplasty Small Joints 15 9930 7640 6490 ORH-57 Excision Exostosis Long Bones 21 15610 12010 10210 ORH-58 Excision Soft Tissue tumour Large 28 30380 23370 19860 ORH-59 Excision Soft Tissue tumour Small 19 13680 10520 8940 ORH-60 Exploration of any peripheral vessel 29 34160 26280 22340 ORH-61 External fixation Hand/Feet bones 18 12580 9680 8230 External fixation Non/Malunion ORH-62 31 41740 32110 27290 Corticotomy External fixator application Pelvis/ ORH-63 28 30380 23370 19860 Femur / Tibia / Forearm ORH-64 Fasciotomy 21 15610 12010 10210 Flaps (Local Rotation, Transposition, ORH-65 22 16590 12760 10850 V,Y,Z,Plasty Tube) Flaps , MUS/ Hyo Cut/ Fascioucut/ ORH-66 25 19030 14640 12440 Skin large Flaps,MUS/Hyo Cut/Fascioucut/Skin ORH-67 17 11620 8940 7600 Small ORH-68 Gamma Nail 29 34160 26280 22340 ORH-69 Ganglion cyst surgery 11 7190 5530 4700 ORH-70 Haematoma evacuation 1 870 670 570 ORH-71 Hallux Valgus/Varus operation 21 15610 12010 10210 ORH-72 Hand Surgery 29 34160 26280 22340 ORH-73 Hand Surgery Extra Digits 15 9930 7640 6490 ORH-74 Harrington instrumentation 28 30380 23370 19860 ORH-75 IA Frac. Humerus./Femur/Tibia 31 41740 32110 27290 ORH-76 Ingrown Toenail (Removal +Nail Bed) 15 9930 7640 6490 ORH-77 Ingrown Toenail Removal Of Nail 8 4590 3530 3000 ORH-78 Injection for Tendonitis/Bursitis 9 5340 4110 3490 ORH-79 Interlocking nails 31 41740 32110 27290 Intertrochlear Osteotomy Including ORH-80 28 30380 23370 19860 Fixation ORH-81 Intra Articular injection 11 7190 5530 4700 ORH-82 Ipsilateral. Neck Shaft Femur 29 34160 26280 22340 ORH-83 Ipsilateral. SC/Condyle & Shaft Femur 29 34160 26280 22340 ORH-84 Knee Aspiration & Injection 6 3340 2570 2180 ORH-85 Kyphoplasty 110 65260 50200 42670 ORH-86 Laminectomy and Disc excision 28 30380 23370 19860 ORH-87 Laminectomy 2 Levels 31 41740 32110 27290 ORH-88 Laminectomy 3 Levels 32 45640 35110 29840 ORH-89 Laminectomy Cervical One Level 31 41740 32110 27290 ORH-90 Ilizarov fixation 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco ORH-91 Lumbar Disc Surgery 109 60980 46910 39870 Lumbar/ Cervical Canal Stenosis/ ORH-92 34 53080 40830 34710 Spinal decompression ORH-93 Malunion-Corr. Osteotomy Short Bones 21 15610 12010 10210 ORH-94 Manipulation Of Large Joint 14 9430 7250 6160 ORH-95 Meniscectomy 23 17550 13500 11480 ORH-96 Nerve surgery repair/transposition 28 30380 23370 19860 ORH-97 Neurolysis / Ant Transposition 26 22830 17560 14930 ORH-98 Non Union Phemister/Fibular Graft 21 15610 12010 10210 ORH-99 O.R.I.F Long Bones 31 41740 32110 27290 ORH-100 O.R.I.F Long Bones+Bone Graft 34 53080 40830 34710 ORH-101 O.R.I.F-Small Bones 25 19030 14640 12440 Open reduction Dislocation Acromio/ ORH-102 25 19030 14640 12440 Sternoclavicular joint Open reduction of Hip/shoulder ORH-103 27 26600 20460 17390 Dislocation ORH-104 Orthoplasty Girdlestone 24 18400 14150 12030 Osteosynthesis Pelvic & Acetabular ORH-105 31 41740 32110 27290 Fracture ORH-106 Osteosynthesis Upper Femur 31 41740 32110 27290 ORH-107 Pelvic Osteotomy 28 30380 23370 19860 ORH-108 Peripheral Arterial Injury repair 29 34160 26280 22340 ORH-109 Plantar Fasciotomy 10 6320 4860 4130 ORH-110 Polio: Epiphyseal Procedures 13 8680 6680 5680 Polio: Scotters, Youngs release & ORH-111 18 12580 9680 8230 contracture release Pop & Manipulation clubFoot/ ORH-112 6 3340 2570 2180 Congenital Dislocation Hip Pop above Knee (A.K.)/ Above Elbow ORH-113 7 4080 3140 2670 (A.E.) ORH-114 Pop below Knee (B.K.) Below Elbow (B.E.) 6 3340 2570 2180 ORH-115 Pop Jacket 10 6320 4860 4130 ORH-116 Pop Spica Hip/Shoulder 10 6320 4860 4130 Proxismal Femoral Osteotomy Including ORH-117 27 26600 20460 17390 MP Graft Recurrent Dislocation Shoulder/ Elbow/ ORH-118 28 30380 23370 19860 Patella Surgery ORH-119 Release of Sternomastoid 21 15610 12010 10210 Removal K.Nail./A.O. Plates/For ORH-120 13 8680 6680 5680 Nails/wires/Screw/External Fixator etc ORH-121 Removal of K-Wire/Nail 8 4590 3530 3000 ORH-122 Removal Plaster POP Cast 280 280 280 ORH-123 Removal Plaster scotch Cast 430 430 430 ORH-124 Repair of Multiple Ligaments 28 30380 23370 19860

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Code Operation Cat Pvt Semi Eco ORH-125 Repair of Tendon One 19 13680 10520 8940 Replacement Prosthesis Hip/Modular ORH-126 33 49430 38020 32320 Bipolar Resection Long Bone Tumour and Bone ORH-127 30 37950 29190 24810 Graft or Reconstruction Revision Arthroplasty Hip/Knee/Ankle/ ORH-128 112 74720 57480 48860 shoulder/Elbow ORH-129 Revision ORIF-I-Change Implant-I-Bgraft 35 57010 43850 37270 ORH-130 Sacroiliac Joint Block 20 14650 11270 9580 Scoliosis Spinal/Correction & Spinal ORH-131 28 30380 23370 19860 Fusion Single joint replacement ORH-132 109 60980 46910 39870 knee/elbow/ankle/ hip/shoulder Skeletal Traction ORH-133 9 5340 4110 3490 Femur/Tibia/Calcaneus/ Elbow/Wrist ORH-134 Skin Traction Below Knee 5 2850 2190 1860 ORH-135 Soft tissue release (P.M.R) 29 34160 26280 22340 Spinal Decompression and ORH-136 35 57010 43850 37270 Instrumentation ORH-137 Spinal Fixation 30 37950 29190 24810 ORH-138 Spinal Fusion 30 37950 29190 24810 ORH-139 Spinal Tumour Surgery 34 53080 40830 34710 ORH-140 T.A Lengthening 21 15610 12010 10210 ORH-141 Tendon repairs/transfers 26 22830 17560 14930 ORH-142 Trigger Finger Surgery 20 14650 11270 9580 ORH-143 Tuberculosis Costo Transversectomy 21 15610 12010 10210 Tumours small Bones Hand & Feet ORH-144 21 15610 12010 10210 Surgery ORH-145 Ulnar Nerve Decompression 22 16590 12760 10850 ORH-146 Vertebroplasty 110 65260 50200 42670 High Tibial Osteotomy / Distal Femoral ORH-147 29 34160 26280 22340 Osteotomy with fixation Stage1 Revision Knee / Hip (implant ORH-148 29 34160 26280 22340 removal + cement spacer insertion) ORH-149 Radial Head Excision 27 26600 20460 17390

SEGMENTAL FRACTURE: 1) Charges will be 25% more of the charges listed above 2) Bone Grafting done in addition to any procedure above will be chargeable 25% extra. 3) Plaster Procedure Room Charges = 10% of Surgeon Charges

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39. ARTHROSCOPY Code Operation Cat Pvt Semi Eco ARTH-1 Arthroscopy Knee-Meniscectomy 26 22830 17560 14930 ARTH-2 Arthroscopy ACL 30 37950 29190 24810 ARTH-3 Arthroscopy PCL 33 49430 38020 32320 ARTH-4 Arthroscopy Synovectomy 25 19030 14640 12440 ARTH-5 Arthroscopy Loose Body Removal 26 22830 17560 14930 ARTH-6 Arthroscopy Synovial Biopsy 20 14650 11270 9580 Arthroscopy Shoulder Subacromial ARTH-7 29 34160 26280 22340 Decompression ARTH-8 Arthroscopic Bankart Repair 33 49430 38020 32320 ARTH-9 Arthroscopic RC Repair 34 53080 40830 34710 ARTH-10 Arthroscopic Mini Open Repair 30 37950 29190 24810 ARTH-11 Arthroscopy Biopsy 26 22830 17560 14930 ARTH-12 Arthroscopy Elbow Biopsy 26 22830 17560 14930 ARTH-13 Arthroscopy Elbow Loose Body Removal 26 22830 17560 14930 Arthroscopy Elbow Capsular Release In ARTH-14 30 37950 29190 24810 contracture ARTH-15 Arthroscopy Ankle Biopsy 26 22830 17560 14930 ARTH-16 Arthroscopy Ankle Loose Body Removal 26 22830 17560 14930 ARTH-17 Arthroscopic Ankle Debridement 29 34160 26280 22340 ARTH-18 Arthroscopic Ankle Arthrodesis 33 49430 38020 32320 Arthroscopy Ankle Post Ankle ARTH-19 30 37950 29190 24810 Arthroscopy ARTH-20 Arthroscopy Hip Diagnostic 26 22830 17560 14930 ARTH-21 Arthroscopy Hip Biopsy 26 22830 17560 14930 ARTH-22 Arthroscopic Meniscus Repair 30 37950 29190 24810 ARTH-24 Arthroscopic / Mini AC Joints Fixation 30 37950 29190 24810 Arthroscopic Mosaicplasty / ARTH-25 29 34160 26280 22340 Microfracture Arthroscopic ACI(Autoiarge Chondrocyte ARTH-26 35 57010 43850 37270 Implant)

40. RHEUMATOLOGY Code Operation Pvt Semi Eco RHE-1 PRP Therapy 12000 12000 12000 RHE-2 Intra Articular Injection 1500 1500 1500 RHE-3 Biologic Injection 3500 3000 2000

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41. PAIN CLINIC Code Operation Cat Pvt Semi Eco PCL-1 Anterior Scalene Injection 14 9430 7250 6160 PCL-2 Advanced Interventional Pain Procedures 33 49430 38020 32320 PCL-3 Atlantoaxial Joint Injection 19 13680 10520 8940 PCL-4 Atlanto Occipital Joint Injection 19 13680 10520 8940 PCL-5 Biers Block 14 9430 7250 6160 PCL-6 Caudal Epidural Injection 13 8680 6680 5680 Caudal Epidural Injection With PCL-7 18 12580 9680 8230 Epidurography PCL-8 Celiac Plexus Block 27 26600 20460 17390 PCL-9 Cervical Epidural Injection 25 19030 14640 12440 PCL-10 Coccyx Injection 13 8680 6680 5680 PCL-11 Cranial Neuralgia Block 26 22830 17560 14930 PCL-12 Epidural Adenolysis Racz Technique 24 18400 14150 12030 PCL-13 Facet Denervation 26 22830 17560 14930 PCL-14 Facet Joint Block 24 18400 14150 12030 PCL-15 Facet Median Branch Neuro Ablation 20 14650 11270 9580 PCL-16 Fascia Lata / Iliaca Injection 14 9430 7250 6160 PCL-17 Ganglion Of Impar Block 23 17550 13500 11480 PCL-18 Gasserian Ganglion Block 26 22830 17560 14930 PCL-19 Glossopharyngeal Nerve Block 23 17550 13500 11480 PCL-20 Hypoglossal Nerve Block 23 17550 13500 11480 PCL-21 Idet Annuloplasty 33 49430 38020 32320 Ilioinguinal / Iliohypogastric/ PCL-22 13 8680 6680 5680 Saphenofemoral block PCL-23 Injection For Tendonitis / Bursitis 11 7190 5530 4700 PCL-24 Intercoastal N. Block 12 7810 6010 5110 PCL-25 Interlaminar Epidural Injection 13 8680 6680 5680 Interlaminar Epidural Injection With PCL-26 24 18400 14150 12030 Epidurography PCL-27 Interpleural Block 13 8680 6680 5680 PCL-28 Intrathecal Injection 14 9430 7250 6160 PCL-29 Intrathecal Pump Trial Catheter 24 18400 14150 12030 Injection For Spasticity /Rigidity/ PCL-30 18 12580 9680 8230 Hyperhidrosis PCL-31 Kyphoplasty 33 49430 38020 32320 Lat. Cut N. Of Thigh /Subcostal/Post PCL-32 23 17550 13500 11480 Occipital PCL-33 Lumbar Sympathetic Block 25 19030 14640 12440 PCL-34 Mandibular / Maxillary Nerve Block 23 17550 13500 11480 PCL-35 Neuromodulation Implants 33 49430 38020 32320 Neuraxial /Regional /Plexus/Sympathetic PCL-36 16 10760 8280 7040 L.A. Blocks

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Code Operation Cat Pvt Semi Eco Neuraxial / Regional / Plexus/ PCL-37 27 26600 20460 17390 Sympathetic Neurolytic PCL-38 Ozone Intradiscal Chemonucleolysis 33 49430 38020 32320 PCL-39 Plexus / Regional Block 18 12580 9680 8230 PCL-40 Periarticular / Intra Articular Injection 15 9930 7640 6490 PCL-41 Percutaneous Laser Nucleoplasty 29 34160 26280 22340 PCL-42 Painful Myopathy Injection 11 7190 5530 4700 PCL-43 Paravertebral Block 23 17550 13500 11480 PCL-44 Percutaneous Cementoplasty 30 37950 29190 24810 PCL-45 Percutaneous Decompression Neuroplasty 33 49430 38020 32320 Percutaneous Intradiscal Decompression PCL-46 33 49430 38020 32320 Interventions PCL-47 Percutaneous Pituitary Neuro Adenolysis 35 57010 43850 37270 PCL-48 Peripheral Interventional L.A. Blocks 11 7190 5530 4700 PCL-49 Peripheral Neurolytic / Continuous Block 23 17550 13500 11480 PCL-50 Permanent Intrathecal Pump Implant 35 57010 43850 37270 Permanent Spinal Cord Stimulation PCL-51 35 57010 43850 37270 Implant PCL-52 Piriformis Injection 23 17550 13500 11480 PCL-53 Post Op. Painful Scar Injection 13 8680 6680 5680 PCL-54 Provocative Discography 25 19030 14640 12440 PCL-55 Psoas Compartment Block 11 7190 5530 4700 PCL-56 Sacroiliac Joint Block 21 15610 12010 10210 PCL-57 Sciatic N. Block 13 8680 6680 5680 Selective Nerve Root Sheath Block PCL-58 18 12580 9680 8230 C/T/L/S PCL-59 Soft Tissue Procedures 11 7190 5530 4700 PCL-60 Somatic Nerve Block 11 7190 5530 4700 PCL-61 Sphenopalatine Ganglion Block 18 12580 9680 8230 PCL-62 Splanchnic Block 21 15610 12010 10210 PCL-63 Stellate Ganglion Block 18 12580 9680 8230 PCL-64 Superior Hypogastric Plexus Block 25 19030 14640 12440 PCL-65 Supraorbital /Infraorbital/Mental N. Block 11 7190 5530 4700 Suprascapular/Post Tibial N/Obturator N. PCL-66 23 17550 13500 11480 Block PCL-67 T. M. Joint Block 11 7190 5530 4700 PCL-68 Thoracic Sympathetic Block 26 22830 17560 14930 PCL-69 Three In One Block 18 12580 9680 8230 PCL-70 T.P.I Injections 11 7190 5530 4700 PCL-71 Transforaminal Epidural Injection 25 19030 14640 12440 PCL-72 Trial Spinal Cord Stimulation Lead Implant 27 26600 20460 17390 PCL-73 Vertebral Bone Biopsy 25 19030 14640 12440 PCL-74 Vertebroplasty 33 49430 38020 32320

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Note:-

1. After any diagnostic block if patient is posted for therapeutic procedure, first procedure will be charged at 50% of the rate 2. Visits will be charged as per actuals. 3. Image Intensifier/C-Arm charges extra (if used) 4. Minor OT Charges - 25% of the procedure charges for L.A. cases. 5. OT Charges as per schedule of charges

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42. UROLOGY Code Operation Cat Pvt Semi Eco URL-1 Adrenalectomy B/L 35 57010 43850 37270 URL-2 Adrenalectomy U/L 31 41740 32110 27290 URL-3 Anterior Pelvic Exenteration 35 57010 43850 37270 Artificial Sphincter For Urinary URL-4 35 57010 43850 37270 Incontinence URL-5 Augmentation Cystoplasty 35 57010 43850 37270 URL-6 Auto-Renal Transplantation 112 74720 57480 48860 URL-7 Balloon Dilatation Of Ureter 26 22830 17560 14930 URL-8 Bladder Clot Evacuation 26 22830 17560 14930 URL-9 Bladder Diverticulectomy 31 41740 32110 27290 URL-10 Bladder Neck Incision 27 26600 20460 17390 URL-11 Boari Flap 34 53080 40830 34710 URL-12 Chordee Correction 26 22830 17560 14930 URL-13 Circumcision 22 16590 12760 10850 URL-14 Closure Of Urethral Fistula 26 22830 17560 14930 URL-15 Cutaneous Ureterostomy 26 22830 17560 14930 URL-16 Cystectomy Partial 31 41740 32110 27290 URL-17 Cystectomy Radical With Ileal Conduit 111 69820 53710 45650 URL-18 Cystectomy Radical With Neobladder 112 74720 57480 48860 URL-19 Cystolithotomy Suprapubic 26 22830 17560 14930 URL-20 Cystolithotripsy 27 26600 20460 17390 URL-21 Cystoscopy 15 9930 7640 6490 URL-22 Cystoscopy + Biopsy 19 13680 10520 8940 URL-23 Cystoscopy Flexible 17 11620 8940 7600 URL-24 Cystostomy Trocar 16 10760 8280 7040 URL-25 D/J Stent Removal B/L 22 16590 12760 10850 URL-26 D/J Stent Removal U/L 17 11620 8940 7600 URL-27 D/J Stenting B/L 26 22830 17560 14930 URL-28 D/J Stenting U/L 23 17550 13500 11480 URL-29 Dorsal Slit Of Prepuce 11 7190 5530 4700 URL-30 E.S.W.L<1 Cm 33 49430 38020 32320 URL-31 E.S.W.L>1.5Cm 35 57010 43850 37270 URL-32 E.S.W.L1-1.5 Cm 34 53080 40830 34710 URL-33 E.U.A 11 7190 5530 4700 URL-34 Endopyelotomy 28 30380 23370 19860 Endoscopic Incision Of Bladder URL-35 26 22830 17560 14930 Diverticulum URL-36 Endoscopic Incision Of Ureterocele 26 22830 17560 14930 Epididymal Cyst Excision/Nodule URL-37 22 16590 12760 10850 Excision URL-38 Epididymectomy 22 16590 12760 10850 URL-39 Epispadias Repair 31 41740 32110 27290 URL-40 Excision Of Renal Cyst-Open 27 26600 20460 17390 URL-41 Extended Radical Nephrectomy 35 57010 43850 37270 URL-42 Fournier's Gangrene 23 17550 13500 11480

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Code Operation Cat Pvt Semi Eco URL-43 Fracture Penis Repair 31 41740 32110 27290 URL-44 Groin Inguinal Dissection B/L 31 41740 32110 27290 URL-45 Groin Inguinal Dissection U/L 26 22830 17560 14930 URL-46 HOLEP / HOLRP 33 49430 38020 32320 URL-47 Hydrocele B/L 26 22830 17560 14930 URL-48 Hydrocele U/L 22 16590 12760 10850 URL-49 Hypospadias Repair 31 41740 32110 27290 URL-50 Hypospadias-MAGPI Urethroplasty 20 14650 11270 9580 URL-51 Ileal Ureter 35 57010 43850 37270 URL-52 Intravesical Botox therapy 28 30380 23370 19860 URL-53 Lithotripsy 26 22830 17560 14930 URL-54 Meatoplasty 22 16590 12760 10850 URL-55 Memokath 28 30380 23370 19860 URL-56 Nephrectomy Partial 35 57010 43850 37270 Nephrectomy Radical / Nephrectomy URL-57 33 49430 38020 32320 Trauma URL-58 Nephrectomy Simple 30 37950 29190 24810 URL-59 Nephroureterectomy 35 57010 43850 37270 URL-60 One Stage Urethroplasty 34 53080 40830 34710 URL-61 Open Prostatectomy Freyer's/Millers 31 41740 32110 27290 URL-63 Orchidectomy B/L 23 17550 13500 11480 URL-64 Orchidectomy High 22 16590 12760 10850 URL-65 Orchidectomy U/L 20 14650 11270 9580 URL-66 Orchidopexy B/L 26 22830 17560 14930 URL-67 Orchidopexy U/L 22 16590 12760 10850 URL-68 Paraaortic Lymph Node Sampling 25 19030 14640 12440 URL-69 Paraphimosis Reduction 9 5340 4110 3490 PCN / Nephrostomy / drainage of URL-70 25 19030 14640 12440 perinephric Abscess Open URL-71 PCNL - Multiple Calculus 31 41740 32110 27290 URL-72 PCNL + Endopyelotomy 34 53080 40830 34710 URL-73 PCNL -Single Calculus 30 37950 29190 24810 URL-74 PCNL -Staghorn Calculus 31 41740 32110 27290 URL-75 Penile Amputation - Partial 29 34160 26280 22340 URL-76 Penile Amputation - Total 29 34160 26280 22340 URL-77 Penile Implant Surgery 34 53080 40830 34710 URL-78 Perineal Urethrostomy 26 22830 17560 14930 URL-79 Peronies Plaque Excision 22 16590 12760 10850 URL-80 Posterior Pelvic Exenteration 35 57010 43850 37270 URL-81 Priapism Surgery 28 30380 23370 19860 URL-82 Priapism Aspiration 15 9930 7640 6490 URL-83 Prostatic Stent Placement 31 41740 32110 27290 URL-84 PU Valve fulguration 29 34160 26280 22340 URL-85 Pyelolithotomy 29 34160 26280 22340 URL-86 Pyeloplasty 31 41740 32110 27290 URL-87 Radical Prostatectomy 35 57010 43850 37270

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Code Operation Cat Pvt Semi Eco URL-88 Repair Of Bladder Rupture 28 30380 23370 19860 URL-89 RGP-B/L 18 12580 9680 8230 URL-90 RGP-U/L 14 9430 7250 6160 URL-91 RPLND 111 69820 53710 45650 URL-92 Seminal Vesiculectomy 34 53080 40830 34710 URL-93 Stress Incontinence 26 22830 17560 14930 URL-94 Substitution Urethroplasty 35 57010 43850 37270 Teflon Injection For Urinary URL-95 17 11620 8940 7600 Incontinence URL-96 Testicular Biopsy 13 8680 6680 5680 URL-97 Testicular Torsion 20 14650 11270 9580 URL-98 Total Pelvic Exenteration 33 49430 38020 32320 URL-99 Transpubic Urethroplasty 35 57010 43850 37270 URL-100 Trucut Biopsy Of Prostate 15 9930 7640 6490 URL-101 URS >10 MM Stone size 30 37950 29190 24810 URL-102 B/L Pelvic Node Dissection 28 30380 23370 19860 URL-103 TURP < 60gm 29 34160 26280 22340 URL-104 TURP >60gm 31 41740 32110 27290 URL-105 TURP-BT <2cm 29 34160 26280 22340 URL-106 TURP-BT >2cm 31 41740 32110 27290 URL-107 TURP-BT Fulguration 25 19030 14640 12440 URL-108 TUU-Trans Uretero Ureterostomy 31 41740 32110 27290 Undescended Testis With Hernia URL-109 27 26600 20460 17390 Repair-Abdominal Undescended Testis With Hernia URL-110 26 22830 17560 14930 Repair-Inguinal URL-111 Ureter- Retrocaval Release 31 41740 32110 27290 URL-112 Ureteric Reimplantation- U/L 29 34160 26280 22340 URL-113 Ureteric Reimplantation-B/L 34 53080 40830 34710 URL-114 Ureterocolic Anastomosis 28 30380 23370 19860 URL-115 Uretero-Calycostomy 34 53080 40830 34710 URL-116 Ureterolithotomy 28 30380 23370 19860 URL-117 Ureterolysis For RPF U/L/B/L 35 57010 43850 37270 URL-118 Uretero-Ureterostomy 28 30380 23370 19860 URL-119 Urethral Dilatation 11 7190 5530 4700 Urethral Catheterisation By Urologist URL-120 11 7190 5530 4700 On Call URL-121 Urethroplasty First Stage 26 22830 17560 14930 URL-122 Urethroplasty Second Stage 27 26600 20460 17390 URL-123 Urethroplasty Single Staged 28 30380 23370 19860 URL-124 Ureterocolic Fistula 31 41740 32110 27290 URL-125 Uretero Uterine Fistula 31 41740 32110 27290 URL-126 URS (Ureterorenoscopy) 26 22830 17560 14930 URL-127 URS + Lithotripsy 27 26600 20460 17390 URL-128 V V F Repair (Abdominal) 34 53080 40830 34710 URL-129 V V F Repair (Vaginal) 31 41740 32110 27290

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Code Operation Cat Pvt Semi Eco URL-130 Varicocelectomy U/L 26 22830 17560 14930 URL-131 Vasectomy 13 8680 6680 5680 URL-132 Vaso Epididymal Anastomosis (VEA) 31 41740 32110 27290 URL-133 Vasovasostomy V V A-U/L 31 41740 32110 27290 URL-134 VIU / OIU 25 19030 14640 12440 URL-135 Retrograde Intrarenal Surgery (RIRS) 34 53080 40830 34710 URL-136 Microscopic Varicocelectomy 26 22830 17560 14930 URL-137 Ureteral Catheterization / Stenting 12 7810 6010 5110 URL-138 Frenuloplasty 16 10760 8280 7040 URL-139 Laparoscopic Pyeloplasty 35 57010 43850 37270 URL-140 Laparoscopic Nephrectomy 35 57010 43850 37270 URL-141 Laparoscopic Ureter Reimplantation 35 57010 43850 37270 URL-142 Laparoscopic Pyelolithotomy 33 49430 38020 32320 URL-143 Laparoscopic VVF Repair 35 57010 43850 37270 URL-144 Varicocelectomy B/L 32 45640 35110 29840 URL-145 Check R.I.R.S 26 22830 17560 14930 URL-146 Mitrofanoff's appendicovesicostomy 32 45640 35110 29840 URL-147 VEIL U/L 30 37950 29190 24810 URL-148 VEIL B/L 25 19030 14640 12440 URL-149 MINI PERC 30 37950 29190 24810 URL-150 CHECK URS 23 17550 13500 11480 URL-151 RIRS SINGLE STONE <1CM 29 34160 26280 22340

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43. HOSPITAL PACKAGES Code Package Name Pvt Semi Eco HCP-1 Trus Guided Biopsy (Package) 23000 19000 15000

INCLUSION IN PACKAGE:- a. One day stay in respective category b. Surgeon/ Nursing care / Diet charges c. Needle/Gun used for biopsy and medicines/consumables upto Rs 800/- d. Investigations: Histopathology Upto 15 blocks and Trans Rectal USG

SERVICES NOT INCLUDED IN PACKAGE a. Stay beyond one day. b. Any other investigation besides as mentioned above and Histopathology more than 15 blocks. c. Medicines /consumables more then Rs 800 (Excluding Gun/Needle which is included in the package) d. Any other consultation other than operating surgeon. e. Any other procedure/surgery.

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44. OPERATION THEATRE CHARGES Operation Theatre Charges when any equipment not used- 60% Of Surgeon fees

In case of Equipment use like - Equipment Charges Arthroscopy Equipment Charges 20% of surgeon fees Broncoscope in OT Rs. 2000 C-Arm/Image Intensifier Rs. 1350 upto one hour Rs. 2100 upto two hours Rs. 2800 more than two hours CUSA 20% of surgeons fees Cystoscopy Equipment Charges 20% of surgeon fees Debrider 20% of surgeons fees Endo GI Linear cutter and Stapler charges Rs. 5500 per firing

Endoscope in OT Rs. 1500 Harmonic Scalpel Rs. 2500

HIPEC Rs. 25000 Hysteroscopy Equipment Charges 20% of surgeon fees Laproscope 20% of surgeons fees Ligasure Rs. 2500 Microscope 20% of surgeons fees Midas Rex Drill 20% of surgeons fees Phacoemulsifier Rs. 1500 Protak Hernia Stapler charges Rs. 6000 upto 10 firings & thereafter Rs. 750 /firing Stereotactic Frame 20% of surgeons fees Transcranial Doppler 20% of surgeons fees Ureteroscopy Equipment Charges 20% of surgeon fees

Consumables are charged extra Laser/Instrument charges for Laser Operations All Categories Laser/Fiber/Instruments charges for URS/Minipac Rs. 12000/- Laser/Fiber/Instruments charges for HOLEP/RIRS Rs. 25000/-

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45. OPERATION CHARGES 1) Anaesthetist Charges - [as per xxx] 2) Medical gases Charges 30% in cases done under GA 3) In Case more than one Surgeon performs a single procedure, total operation charges will not exceed“those fixed for that procedure except where there is a written request by the patient or his relative desiring the presence or participation of another surgeon. In such a case the surgeon called in on request of the patient will be entitled to 50% of the procedure charges." 4) Whenever two surgeries are performed simultaneously then charges of the major surgery are to be“charged in full while subsequent surgeries will be charged at 50% of the charges mentioned in the schedule of charges." 5) In case a surgeon feels that in the best interest of the patient he requires the presence of another surgeon (Sr. Consultant from incision to closure) from another speciality, then the two are entitled to charge between themselves equal to 1.5 times the prescribed operation charges for the procedure.It is implied that this is conveyed to the patient/relatives and their written consent obtained for it. 6) For re-exploratory surgery done by any Surgeon, charges:- a. Up To 96 hrs of Surgery = 50% b. Beyond 96 hrs of Surgery = 100% 7) OT Charges, Anaesthesia fee, Medical Gas will be charged as per actuals done by any surgeon 8) No Surgeons visits will be charged for 3 days after surgery. 9) In case a patient is transferred from a lower category to a higher category after surgery, the charges of higher category will apply for surgery. 10) Laparoscopic Surgery charges - Charges 50% extra of listed general surgery.

46. ANAESTHESIA CHARGES PAC services will be charged for all patients wherever consultant anesthetist is called for PAC Visit. One PAC visit will be charged according to the category of bed occupied. 1. Anesthetist Charges (i)General or regional Anesthesia / MAC sedation 35% Of Surgeon's fee (ii)Minor cases under Local Anesthesia if stand by anesthetist 15% Of Surgeon's is present fee (iii)Minor cases under local Anesthesia with stand by for GA 15% Of Surgeon's fee 2. Whenever an anesthetist is called by the physician/surgeon for consultation - the fees charged will be in accordance with the schedule of visit charges. 3.Minimum Anesthesia charges including PAC on OPD 600 basis 4.Epidural Anesthesia / Pain Less Delivery charges 3000 5.Stand by charges for CT/ Angiography 700 6.Stand by charges for MRI 2000 7.Stand by charges for Angioplasty 1500

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8.Stand-by charges for CT-guided Procedures 1500 9.Stand-by charges for Radiological 1500 (USG/Interventional) Procedures 10. Stand by Charges of Anesthetist / Physician / 1500 Intensivist for Nuclear Medicine Investigations 11. Anesthesia for PTBD 15% Of Radiologist Fees 12. Anesthesia for GI procedures (Endoscopy , ERCP) 15% Of Physician Fees 13. Anesthesia charges for Minor OT procedure under 30% Of Surgeon Fees GA Note :- If Angiography is followed by Angioplasty the charges will not exceed Rs 1500/-

Operation Pvt. Semi Pvt. Eco 15 Double Lumen Endotracheal Tube Insertion 1900 1450 1150 16 Regional anesthesia(Superior Laryngeal Nerve Block) 2600 1950 1550 17 Rectus sheath Block 5800 4300 3500 18 Transversus Abdominus Plane Block(TAP) 5800 4300 3500 19 Nerve-Block for Post-op Pain Relief 1700 1600 1500

Minor OT Charges Surgeon Charges -Economy charges will be applicable Minor-OT charges - 25% of Surgeon Charges For stand-by Anesthesia - 15% of Surgeon fees for LA/Spinal Image Intensifier/C-Arm Rs 1350 upto one hour Rs 2100 upto two hours Rs 2800 more than two hours

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47. ACTION HEALTH CHECKUP PROGRAMS Health Check-Up Price 1 ACTION GENERAL HEALTH CHECK-UP 1350 Complete Hemogram , Blood Grouping ,ESR, Blood Sugar-F/R , Blood Urea , Urine-R/M ,X-Ray Chest, ECG , Physician Consultation 2 ACTION PREVENTIVE HEALTH CHECK-UP 2600 Complete Haemogram , Lipid Profile (Renal Profile (KFT) , Blood Sugar,SGOT,SGPT, Blood grouping and Rh Typing, Urine Analysis, Chest X- ray, ECG, Ultrasound Abdomen, Consultation - Physician 3 ACTION HEALTHY CHILD HEALTH CHECK-UP 2600 Complete Haemogram with ESR , Blood Sugar (FF & PP) , Blood Grouping and Rh Typing , Urine Analysis, Stool Analysis, Chest X-ray, Mantoux Test, USG- Whole abdomen, Dental Checkup, Eye Checkup. Consultation: - Post Check up Consultation with Sr. Consultant Paediatrics Complimentary Breakfast. 4 ACTION CANCER SCREENING PACKAGE 2600 Complete Physical examination, CBC , Urine Routine & Microscopy, Stool occult blood , Chest X-ray, Ultrasound abdomen For Males : Rectal Examination,PSA For Females : Pap Smear, Mammography/Ultrasound Breast 5 ACTION WOMEN WELLNESS HEALTH CHECK UP 3850 Complete Haemogram With ESR , Lipid Profile , Thyroid Function Tests, Mammography/Breast USG, Urine Analysis,Blood Sugar (FF & PP), Blood Grouping and Rh Typing , S.Bilirubin ,SGOT, SGPT,Blood Urea, Stool Occult Bloos, Chest X-ray, Ultrasound whole abdomen including pelvis, ECG, Pap Smear, Vision Checkup, Consultation by Gynaecologist, Post checkup Consultation by Sr. Consultation Medicine. OPTIONAL:- Bone Densitometry (Hip & Spine) -- Rs. 2890 Extra 6 ACTION COMPREHENSIVE CARDIAC CHECK-UP (CCC) 3850 Hemogram, Urine - R/ M, Blood Sugar-FF & PP, Blood Urea, Serum Creatinine ,Serum Sodium ,Serum Potassium, ABO & RH, Uric Acid, SGOT,SGPT, ESR,CPK, TsH, Lipid Profile, ECG, X-Ray Chest ,TMT/2D Echo /DSE 7 ACTION COMPREHENSIVE HEALTH CHECK- UP 6350 Complete Haemogram, Lipid Profile , Renal Profile (KFT) , Liver Function Test (LFT) , Thyroid Function Tests,Blood Sugar (FF & PP), ESR,Blood grouping and Rh Typing, Urine Analysis, Chest X-ray,PFT, Ultrasound Abdomen, ECG, Echocardiography, TMT. For Women: Pap Smear, Mammography, Gynecological Consultation For men : Prostate Specific Antigen, Surgical Consultation Consultation:- Eye Consultation including Vision Check up, Dental & ENT Consultation, Consultation by Sr.Consultant Medicine. 8 ACTION BARIATRIC HEALTH CHECK-UP-GOLD 10100 Complete Haemogram with ESR, Lipid Profile, Renal Profile, Hepatic function Test, Thyroid Profile, Stress Echo, Fasting Blood Sugar, Blood Group, Urine Routine & Microscopic, Chest X-ray, PFT, Ultrasound Abdomen, UGI Endoscopy Specialized, HIV I&II, HCV,HBSAg,PT-INR, PAC,

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Consultation Charges GI Surgeon, Respiratory Medicine

9 ACTION BARIATRIC HEALTH CHECK-UP-PLATINUM 15100 Complete Haemogram with ESR , Lipid Profile, Renal Profile, Hepatic Function Test, Thyroid Profile, Stress ECHO, Fasting Blood Sugar, PP Blood Sugar, Blood Group & Rh Typing, Urine Routine & Microscopic, Chest X- ray,PFT,Ultrasound Abdomen,UGI Endoscopy, HIV I&II, HCV, HBSAg, PT-INR, PAC, Serum Vitamin B12, Vitamin D-25 Hydroxy, Serum Folate, Serum Ferritin, fasting Insulin, Insulin PP, C-Peptide, Consultation Charges GI Surgeon, Consultation Charges-Respiratory Medicine 10 ACTION SENIOR CITIZEN HEALTH PACKAGE-BASIC 2100 Haemogram ,SGOT,SGPT/ALP , Lipid Profile ,Renal Profile (KFT) ,Fasting Blood Sugar, Urine R/M, Chest X-ray, ECG Consultation – Physical examination and consultation by Geriatric Consultant 11 ACTION COMPREHENSIVE SENIOR CITIZEN HEALTH 5100 PACKAGE (For MEN) Haemogram with Peripheral Smear, Fasting Blood Sugar, (PPBS and HBA1C for diabetic patients), Renal Profile (KFT), Liver Function Test (LFT) , TSH,Serum Calcium, Lipid Profile, Chest X-ray, Ultrasound Abdomen,2D Echocardiography, Prostate Specific Antigen, Stool occult blood. Consultation: - Diet Counselling, Eye Consultation, Consultation by Joint replacement Consultant, Physiotherapy Assessment, Consultation by Geriatric Consultant. 12 ACTION COMPREHENSIVE SENIOR CITIZEN HEALTH 5100 PACKAGE (For MEN) Haemogram with Peripheral Smear, Fasting Blood Sugar, (PPBS and HBA1C for diabetic patients), Renal Profile (KFT), Liver Function Test (LFT) , TSH,Serum Calcium, Lipid Profile, Chest X-ray, Ultrasound Abdomen, 2D Echocardiography, Breast Examination with Mammography,PAP Smear,DEXA Scan. Consultation: - Diet Counselling, Eye Consultation, Consultation by Joint replacement Consultant, Physiotherapy Assessment, Consultation by Geriatric Consultant.

Note:- a. Spouse and senior citizens (above 60 yrs) are allowed 20% discount on health checkup Packages. (except Senior Citizen Packages) b. Complimentary Breakfast will be provided to the patient availing health check up c. Group discount of 20% allowed on health checkup Packages for a group of more than 5 people. d. Corporate discount of 30% allowed on health checkup Packages for more than 25 people.

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Action Diabetes Clinic 1. Action Annual Diabetes Health Check-up Rs 25100/- Test No. of Test No. of times/ time/year year Blood Sugar (Fasting & Urine R & M 4 5 PP) HBA1C 4 Fundus Photo 1 CBC 2 X-Ray Chest-PA 1 Lipid Profile 2 Ultrasound Abdomen 1 KFT 2 Canwin Analysis 1 Liver Function Tests 2 Biothesiometry 1 Thyroid Profile 1 Vascular Doppler 1 ECG 1 E Med. Podiascan 1 ECHO 1 Dental Consultation 1 TMT 1 Diet Counseling 4 Urine Microalbumin Diabetologist 2 8 Consultation Exclusion:- In case of additional Investigation / Consultation / Procedure required, it would be charged as per current Hospital rates. 2. Action Diabetes Health Check-up (Comprehensive) (with Neuropathy Work- up) (Clinical Examination and Medical Summary) Rs 8750/- Blood Sugar (Fasting & PP), HBA1C, Complete Haemogram with ESR, Lipid Profile, Renal Profile, Liver Function Tests, Thyroid Profile, Cardiac Assessment – ECG, Echocardiography or Treadmill Test(TMT), Others Tests - Urine Microalbumin, Urine Analysis, X-Ray Chest, Ultrasound Abdomen,Dilated Eye Examination, Dental Examination, Canwin Analysis, Diet Counseling & Consultation by Diabetologist & Complementary Breakfast

3. Action Diabetes Comprehensive Health Check-up Rs 6350/- (Clinical Examination and Medical Summary) Blood Sugar (Fasting & PP), HBA1C, Complete Haemogram with ESR, Lipid Profile, Renal Profile, Liver Function Tests, Thyroid Function Tests, Cardiac Assessment – ECG, Echocardiography or Treadmill Test(TMT), Others Tests - Urine Microalbumin, Urine Routine, Blood Grouping and RH Typing, X-Ray Chest, Pap Smear for women, Mammography for women (Above 40 years), Prostate Specific Antigen for men Consultation:- Eye Consultation including Vision Check-up, Dental Consultation, Gynecological consultation for women / Surgical consultation for men, post check-up, Diet Counseling & Consultation by Diabetologist & Complementary Breakfast 4. Action Diabetes Health Check-up (Screening) Rs 5100/- (Clinical Examination and Medical Summary) Blood Sugar (Fasting & PP), HBA1C, Complete Haemogram with ESR, Lipid Profile, Renal Profile, Liver Function Tests, S.TSH, Urine Routine, Urine Microalbumin, X-Ray Chest, Ultrasound Abdomen, ECG, Echocardiography or Treadmill Test(TMT), Diet Counseling & Consultation by Diabetologist & Complementary Breakfast

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5. Action Diabetes Health Check-up (Regular) Rs 3850/- (Clinical Examination and Medical Summary) Blood Sugar (Fasting & PP), CBC, HBA1C, Renal Profile, Liver Profile, Lipid Profile, Urine Routine, Urine Microalbumin, ECG, X-Ray Chest, Ultrasound Abdomen, Diet Counseling & Consultation by Diabetologist & Complementary Breakfast 6. Action Diabetes Health Check-up (Pregnant Women) Rs 3850/- (Clinical Examination and Medical Summary) 3 HR GTT WITH 75g Glucose, HBA1C, Complete Haemogram with ESR, B.Urea, S. Creatinine, Liver Function Tests, Bilirubin Direct/ Indirect and Total , SGPT, SGOT, Alkaline Phosphatase, Total Proteins, Albumin / Globulin, A/G Ratio, Thyroid Profile, Urine RM, Urine Microalbumin,Diet Counseling & Consultation by Diabetologist & Complementary Breakfast 7. Action Check-up Package (Gestational Diabetes) Rs 2100/- (Clinical Examination and Medical Summary) Blood Sugar (Fasting & PP) , HBA1C, Complete Hemogram with ESR, Blood Urea, S.Creatinine, S.TSH, Urine R & M, Urine Microalbumin 8. Action Bi/tri-monthly Visit Rs 2100/- Blood Sugar (Fasting & PP) , CBC With ESR , HBA1C, Blood Urea, S.Creatinine, S.Uric Acid, Urine Routine, Urine Microalbumin , ECG 9. Action Diabetes Health Check-up (Maintenance) Rs 730/- (Clinical Examination and Medical Summary) Blood Sugar (Fasting & PP) , Urine Routine Examination, Consultation by Diabetologist

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48. CHEMOTHERAPY CHARGES Semi Code Type of Chemotherapy Private Eco Pvt CHT-01 Single Drug Chemotherapy 1500 1200 900 CHT-02 Multiple Drug Chemotherapy 2400 1900 1500 CHT-03 Infusion Chemotherapy 2800 2200 1800 CHT-04 Intrathecal/ intracavitary Chemotherapy 1900 1500 1200 CHT-06 Neoadjuvant 3800 2800 2300 CHT-07 Adjuvant 3800 2800 2300 CHT-08 Concurrent Chemoradiation 2800 2200 1800 CHT-09 Targeted Therapy 3400 2500 2100 CHT-10 PICC Insertion 5000 4500 4000 CHT-11 Chemport Flushing 250 250 250 CHT-12 Chemo Port access charges 800 700 600 CHT-13 PICC Line dressing 800 700 600 CHT-14 Autologous Bone Marrow Transplant 150000 150000 150000 CHT-15 Allogenic Bone Marrow Transplant 200000 200000 200000 CHT-16 HIPEC Medical Oncology Charges 3400 2500 2100 CHT-17 HAPLO 225000 225000 225000 Chemotherapy Protocol (International CHT-18 3800 3800 3800 Patients) CHT-19 Immunotherapy 4000 3500 3000 Chemotherapy Protocol (Outstation CHT-20 3000 2800 2500 Patient)

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49. RADIOTHERAPY A. RADIOTHERAPY SPECIALISED TECHNIQUES Code Radiotherapy Charges RST-1 IMRT 155000 RST-2 IGRT 225000 RST-3 Rapidarc 165000 RST-4 IMRT with 4D Gating 265000 RST-5 Stereotactic RT (SBRT) 250000 RST-6 Stereotactic radiosurgery (SRS) 200000 RST-7 Palliative IMRT 85000 RST-8 Radical Radiotherapy 120000 RST-14 SRBT Palliative 150000 RST-28 SRT 240000 RST-29 4D Gating / Respiratory Gating 70000 Note:-

1. Package cost is inclusive of CECT Scan, immobilization device and OPD Consultation charges during the course of the treatment 2. MRI and PET-CT charges are extra B. CONVENTIONAL RADIOTHERAPY Code Procedure Charges RST-9 Radiotherapy (Conventional) 85000 RST-10 Adjuvant Radiotherapy 87000 RST-11 Palliative Linear Single Beam 35000 RST-12 Palliative Linear Multiple Beam 55000 RST-13 Extended field radiotherapy 120000 RST-15 Electron boost 22000 RST-16 Blood/ Platelet irradiation (Single Bag) 2500 Note :-

1. Package cost is inclusive of CT Scan (NCT), Virtual Simulation, immobilization device and OPD Consultation charges during the course of the treatment. 2. MRI and PET-CT charges are extra. 3. Rs.300/- would be charged as an emergency charges for Blood/ platelet irradiation if between 7:00 pm-8:00 am.

C. BRACHYTHERAPY Code Procedure Charges RST-17 Intracavitary Brachytherapy (with anesthesia) 20000 RST-18 Intraluminal Brachytherapy (with anesthesia) 16000 RST-19 Intracavitary Brachytherapy (without anesthesia) 15500 RST-20 Interstitial Brachytherapy 73500 Note: X-ray, CT Scan, OT charges, Endoscopy, Bronchoscopy and planning charges are extra.

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Code Procedure Charges RST-21 3-D Planning 11000 RST-22 2-D Planning 7700 RST-23 Respiratory Gating along with Linear Accelerator Planning 275000 RST-24 Electron Beam with Linear Accelerator 165000 RST-25 Linear Accelerator 45000 RST-26 3D CRT (3-D Conformal Radiotherapy) 120000 Payment schedule applicable only for following services (before start of the treatment) Radiotherapy (Conventional) 50% Code Procedure Private Semi Eco RST-27 Radiofrequency Ablation (For Liver 138500 133300 127000 Treatment) Note:- 1. Package includes Admission Charges, 3 days room rent (as per Category), 3 days consultation charges of Medical Oncologist and Radiologist,Procedure Charges of the Radiologist, Anesthesia Charges, Diagnostic Charges,Equipment Charges for the procedure (Radiofrequency Generator), Radiology/O.T. Charges, Pharmacy Charges for i.v fluids, Antacids, painkillers, Anesthesia drugs, 2. Package excludes stay beyond 3 days, Chemotherapy/radiotherapy, any other procedure during the stay, Consultation charges for any consultant except Medical Oncologist and Radiologist, Any drug except routine Pain killers/antacids etc and any other investigation except CT guided procedure.

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50. SURGICAL ONCOLOGY

A. Bone & Soft Tissue Onco Surgeries Code Oncology Surgeries Cat Pvt Semi Eco OBS-1 Amputation Above Elbow / Below Elbow 28 30380 23370 19860 OBS-2 Amputation Above Knee / Below Knee 28 30380 23370 19860 OBS-3 Amputation Forequarter 30 37950 29190 24810 OBS-4 Ankle Arthrodesis 119 35910 27000 22500 OBS-5 Bone Grafting 28 30380 23370 19860 OBS-6 Centralization Of Ulna With Arthrodesis 30 37950 29190 24810 OBS-7 Clavicle Excision 28 30380 23370 19860 OBS-8 Curettage And Bone Graft 119 35910 27000 22500 OBS-9 Curettage And Cement 119 35910 27000 22500 OBS-10 Elbow Replacement 30 37950 29190 24810 OBS-11 En Bloc Excision + Reconstruction 121 64640 48600 40500 OBS-12 En Bloc Upper Humerus Excision 30 37950 29190 24810 OBS-13 External Fixation 28 30380 23370 19860 OBS-14 Extracorporeal Irradiation 121 64640 48600 40500 OBS-15 Fibula Lower End Reconstruction 30 37950 29190 24810 OBS-16 Fibulectomy 30 37950 29190 24810 OBS-17 Groin + Iliac Node Dissection 28 30380 23370 19860 OBS-18 Groin Node Dissection 28 30380 23370 19860 OBS-19 Hip Arthrodesis 30 37950 29190 24810 OBS-20 Hip Disarticulation 32 45640 35110 29840 OBS-21 Hip Replacement 30 37950 29190 24810 OBS-22 Ilizarov Procedure 119 35910 27000 22500 OBS-23 Internal Fixation Of Fractures 32 45640 35110 29840 OBS-24 Knee Arthrodesis 28 30380 23370 19860 Knee Arthrodesis With Turnoplasty / OBS-25 33 49430 38020 32320 Allograft OBS-26 Knee Total Replacement 30 37950 29190 24810 OBS-27 Laminectomy For Intramedullary Tumors 121 64640 48600 40500 OBS-28 Muscle Group Excision 28 30380 23370 19860 OBS-29 Open Biopsy Of Vertebra 28 30380 23370 19860 OBS-30 Paraspinal Tumor Excision 30 37950 29190 24810 OBS-31 Percutaneous Vertebral Biopsy 28 30380 23370 19860 OBS-32 Popliteal Clearance Of Nodes 28 30380 23370 19860 OBS-33 Radius Lower End Excision 30 37950 29190 24810 OBS-34 Radius Lower End Excision + Wrist Fusion 30 37950 29190 24810 OBS-35 Ray Amputation (Toe Amputation) 28 30380 23370 19860 OBS-36 Revision Of Shoulder / Knee Replacement 33 49430 38020 32320 OBS-37 Rotationplasty 120 50270 37800 31500 OBS-38 Sacral Tumors 120 50270 37800 31500 OBS-39 Sacral Tumors Excision (Combined 112 74720 57480 48860

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Code Oncology Surgeries Cat Pvt Semi Eco Approach) OBS-40 Scapulectomy Partial / Total 28 30380 23370 19860 Segmental Resection Lower Limb + OBS-41 31 41740 32110 27290 Replacement OBS-42 Shoulder / Elbow Arthrodesis 30 37950 29190 24810 OBS-43 Shoulder Disarticulation 30 37950 29190 24810 OBS-44 Silastic Replacement Of Hand 30 37950 29190 24810 OBS-45 Soft Tissue Wide Excision 34 53080 40830 34710 OBS-46 Soft Tissue Wide Excision + Implant 31 41740 32110 27290 OBS-47 Soft Tissue Wide Excision + Reconstruction 34 53080 40830 34710 OBS-48 Soft Tissue Wide Excision + SSG 28 30380 23370 19860 OBS-49 Spinal Decompression 34 53080 40830 34710 Spinal Decompression + Reconstruction / OBS-50 121 64640 48600 40500 Instrumentation OBS-51 Talar / Calcaneal Resection 28 30380 23370 19860 OBS-52 Tikhoff Linberg 30 37950 29190 24810 OBS-53 Ulna Lower End Excision 30 37950 29190 24810 OBS-54 Open Biopsy 115 20790 15990 13590 OBS-55 Amputation Digits 117 17950 13500 11250 OBS-56 Biopsy Needle 116 7180 5400 4500 OBS-57 Amputation Of Fingers/Toes 117 17950 13500 11250 OBS-58 Amputation- Thigh/Trans-Tibial 25 19030 14640 12440 OBS-60 Bone Tissue Transplanting 17 11620 8940 7600 OBS-61 External Fixator Application 25 19030 14640 12440 OBS-62 Open Bone Large Lesion Biopsy 7 4080 3140 2670 OBS-63 Open Bone Lesion Biopsy 7 4080 3140 2670 OBS-64 Sacral Chordomas 119 35910 27000 22500 OBS-65 Silastic Replacement 30 37950 29190 24810 Transradial /Transhumeral/ Forequarter OBS-66 25 19030 14640 12440 Amputation

B.Gynae Onco-Surgeries Code Oncology Surgeries Cat Pvt Semi Eco OGS-1 Omentectomy Infracolic 26 22830 17560 14930 OGS-2 Omentectomy Total 28 30380 23370 19860 OGS-3 Paraaortic Lymph Node Sampling 28 30380 23370 19860 OGS-4 Pelvic Lymph Node Dissection 28 30380 23370 19860 OGS-5 Retroperitoneal Lymph Node Biopsy 28 30380 23370 19860 OGS-6 Retroperitoneal Lymph Node Dissection 111 69820 53710 45650 OGS-7 Staging Laparotomy 28 30380 23370 19860 Total Hysterectomy With B/L Salpingo OGS-8 30 37950 29190 24810 Oophorectomy

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Code Oncology Surgeries Cat Pvt Semi Eco OGS-9 B/L Salpingo Oophorectomy 28 30380 23370 19860 OGS-10 Cervix-Biopsy And Cautery 13 8680 6680 5680 OGS-11 Colposcopy 13 8680 6680 5680 OGS-12 Complete Vaginectomy 31 41740 32110 27290 OGS-13 Conisation 26 22830 17560 14930 OGS-14 Cytoreductive Surgery 121 64640 48600 40500 OGS-15 Diagnostic Laparoscopy 26 22830 17560 14930 OGS-16 Dilatation And Curettage Of Endometrium 13 8680 6680 5680 OGS-17 EG Radical Vulvectomy With Local Flap 31 41740 32110 27290 EG Radical Vulvectomy With Primary OGS-18 28 30380 23370 19860 Closure OGS-19 Examination Under Anesthesia 13 8680 6680 5680 OGS-20 Exploration Emergency 28 30380 23370 19860 OGS-21 Groin Node Dissection (B/L) 111 69820 53710 45650 OGS-22 Groin Node Dissection (Uni) 28 30380 23370 19860 OGS-23 Hysteroscopy 26 22830 17560 14930 OGS-24 Hysteroscopy+Biopsy 28 30380 23370 19860 OGS-25 Ilioinguinal Lymph Node Dissection U/L 28 30380 23370 19860 OGS-26 Ilioinguinal Lymph Node Dissection B/L 31 41740 32110 27290 OGS-27 Incision And Drainage 13 8680 6680 5680 OGS-28 Inoperable Laparotomy 26 22830 17560 14930 OGS-29 Anterior Pelvic Exenteration 112 74720 57480 48860 OGS-30 Posterior Pelvic Exenteration 112 74720 57480 48860 OGS-31 Laparoscopic Exenteration (Total) 111 69820 53710 45650 OGS-32 Laparoscopic Hysterectomy 31 41740 32110 27290 OGS-33 Laparoscopic Pelvic Node Dissection 31 41740 32110 27290 OGS-34 Laparoscopic Radical Hysterectomy 111 69820 53710 45650 Laparoscopic Retroperitoneal Node OGS-35 111 69820 53710 45650 Dissection OGS-36 Postoperative Lymphocele Drainage 13 8680 6680 5680 OGS-37 Metastectomy 31 41740 32110 27290 OGS-38 Partial Vaginectomy 28 30380 23370 19860 Radical Hysterectomy For Cancer Cervix + OGS-39 121 64640 48600 40500 Pelvic Lymphadenectomy OGS-40 Radical Hysterectomy For Cancer Uterus 113 79950 61500 52280 OGS-41 Second Look Laparoscopy 30 37950 29190 24810 OGS-42 Second Look Surgery 30 37950 29190 24810 OGS-43 Staging Laparotomy For Ovarian Cancer 113 79950 61500 52280 OGS-44 Total Hysterectomy 28 30380 23370 19860 U/L Salpingo Oophorectomy / Ovarian OGS-45 28 30380 23370 19860 Mass Excision OGS-46 Vulva- Hemivulvectomy 28 30380 23370 19860

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Code Oncology Surgeries Cat Pvt Semi Eco OGS-47 Vulva Wide Excision 28 30380 23370 19860 OGS-48 Vulval Biopsy 13 8680 6680 5680 OGS-49 Vulvectomy Radical 119 35910 27000 22500 OGS-50 Vulvectomy Simple 119 35910 27000 22500 OGS-51 Diagnostic Hysteroscopy 117 17950 13500 11250 OGS-52 Ovarian Mass/ Cyst Excision Of Ovary 118 28730 21600 18000 OGS-53 Second Look Laparotomy 33 49430 38020 32320 OGS-54 TAH (Transabdominal Hysterectomy) 118 28730 21600 18000 OGS-55 TAH BSO+ Node Sampling 118 28730 21600 18000 OGS-56 Operative Hysteroscopy 118 28730 21600 18000 OGS-57 TAH+ BSO+ Omentectomy 121 64640 48600 40500 OGS-58 Pelvic Exenteration (Total) 111 69820 53710 45650 OGS-59 TAH+ BSO+ Omentectomy+Node Excision 121 64640 48600 40500 TAH+ BSO+ Pelvic Lymphadenectomy OGS-60 121 64640 48600 40500 Para Aortic Lymphadenectomy OGS-61 Adnexal Mass / Cyst Excision 17 11620 8940 7600 OGS-62 Vulvectomy For Ca Vulva 22 16590 12760 10850 OGS-63 Abcess Drainage 7 4080 3140 2670 OGS-64 Cervical Biopsy And Cauterization 3 1740 1340 1140 OGS-65 Colposcopy And Dierected Biopsy 8 4590 3530 3000 OGS-66 Endometrial Evaluation 7 4080 3140 2670 OGS-67 Endoscopic Examination Of Uterus 6 3340 2570 2180 Endoscopic Examination Of Uterus With OGS-68 22 16590 12760 10850 Biopsy OGS-69 Partial Vagina Excision 20 14650 11270 9580 OGS-70 Partial Vulva Excision 17 11620 8940 7600 OGS-71 Pelvic Lymph Nodes Removal 25 19030 14640 12440 OGS-72 Punch Biopsy Of Cervix 3 1740 1340 1140 OGS-73 Scalp Tumor Composite Resection 26 22830 17560 14930 OGS-74 Total Vaginal Excision 26 22830 17560 14930 OGS-75 Vulvectomy 25 19030 14640 12440 OGS-76 Biopsy Cervix 13 8680 6680 5680 OGS-77 Pymetra Drainage 10 6320 4860 4130 OGS-78 Cone Biopsy 21 15610 12010 10210 OGS-79 Cervical Polyp Removal 9 5340 4110 3490 OGS-80 Vaginal Cyst Excision 20 14650 11270 9580 OGS-81 Vulval Cyst Excision 20 14650 11270 9580 OGS-82 Vault Biopsy / Vaginal Biopsy 11 7190 5530 4700 OGS-83 Burst Abdomen Repair 24 18400 14150 12030 OGS-84 Resuturing Of Abdominal Wall Wound 18 12580 9680 8230 OGS-85 Simple Trachelectomy 28 30380 23370 19860 OGS-86 Radical Trachelectomy 110 65260 50200 42670

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Code Oncology Surgeries Cat Pvt Semi Eco OGS-87 Vaginal Tear Repair 15 9930 7640 6490 OGS-88 Oopheropexy Bilateral 21 15610 12010 10210 OGS-89 Partial Peritonectomy 29 34160 26280 22340 OGS-90 Total Peritonectomy 32 45640 35110 29840 Myomectomy And Plication Of Round OGS-91 30 37950 29190 24810 Ligament OGS-92 Excision Of Pelvic Sarcoma 34 53080 40830 34710 OGS-93 Colpotomy 6 3340 2570 2180 OGS-94 Radical Husterectomy Type-III 123 91000 70000 59500 OGS-95 Cryosurgery 9 5340 4110 3490 OGS-96 EUA + Vaginal Packing 22 16590 12760 10850

C. Head & Neck Onco-Surgeries Code Oncology Surgeries Cat Pvt Semi Eco OHN-1 Alveolectomy (Upper) Per Oral 26 22830 17560 14930 Hemimandibulectomy Extended / Hemi OHN-2 31 41740 32110 27290 Mandibulectomy OHN-3 Anterior Craniofacial Excision 121 64640 48600 40500 OHN-4 Bite Excision/ Composite Excision 119 35910 27000 22500 Wide Local Excision Of Oral Cancer OHN-5 31 41740 32110 27290 With Primary Buccal/Mucosa Wide Excision Cheek OHN-6 28 30380 23370 19860 Flap OHN-7 Buccal/Mucosa Wide Excision Per Oral 118 28730 21600 18000 OHN-8 Caldwell Luc Operation 13 8680 6680 5680 OHN-9 Central Compartment Clearance 28 30380 23370 19860 OHN-10 Cervical Neuroblastoma Excision 111 69820 53710 45650 OHN-11 Combined Craniofacial Resection 112 74720 57480 48860 OHN-12 Composite Resection Tonsil 31 41740 32110 27290 Craniotomy For Posterior Fossa OHN-13 111 69820 53710 45650 Tumors-With Navigation Craniotomy For Supratentorial Tumors- OHN-14 111 69820 53710 45650 Without Navigation Deltopectoral/Forehead OHN-16 27 26600 20460 17390 Flap/Temporalis Flap Endoscopic Laser Excision For OHN-17 119 35910 27000 22500 Hypopharynx OHN-18 Enucleation Of Eye 118 28730 21600 18000 OHN-19 Ethmoidectomy (B/L) 28 30380 23370 19860 OHN-20 Evaluation Under Anaesthesia 13 8680 6680 5680 OHN-21 Excision Of Carotid Body Tumour 120 50270 37800 31500 Excision Of Clivus Tumors (Skull Base+ OHN-22 120 50270 37800 31500 Reconstruction)

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Code Oncology Surgeries Cat Pvt Semi Eco OHN-23 Excision Of Parapharyngeal Mass 28 30380 23370 19860 OHN-24 Excision Of Pinna 26 22830 17560 14930 Excision Of Skin Malignancy Head & OHN-25 26 22830 17560 14930 Neck OHN-26 Excision Of Transnasal Angiofibroma 120 50270 37800 31500 OHN-27 Excision STS Neck/Mass Neck 28 30380 23370 19860 OHN-28 Extended HN Hemimandibulectomy 28 30380 23370 19860 OHN-29 Eyelid Tumor Excision 26 22830 17560 14930 OHN-30 Eyelid Excision+ Eyelid Reconstruction 26 22830 17560 14930 Floor Of The Mouth-Composite OHN-31 31 41740 32110 27290 Resection OHN-32 Floor Of The Mouth-Wide Excision 118 28730 21600 18000 OHN-33 Glossectomy-Anterior 2/3rd 119 35910 27000 22500 OHN-34 Glossectomy - Total 119 35910 27000 22500 OHN-35 Hemiglossectomy Per Oral 118 28730 21600 18000 Hemiglossectomy Per Oral+Neck OHN-36 31 41740 32110 27290 Dissection OHN-37 B/L External Carotid Ligation 17 11620 8940 7600 OHN-38 Ethmoidectomy (U/L) 26 22830 17560 14930 OHN-39 Excision Biopsy Of Leukoplakia Large 9 5340 4110 3490 OHN-40 Excision Biopsy Of Leukoplakia Small 7 4080 3140 2670 OHN-41 Facial Nerve Reconstruction 23 17550 13500 11480 OHN-43 Lip Tumor Excision & Local Flap 23 17550 13500 11480 Mandibular Reconstruction With OHN-44 26 22830 17560 14930 Titanium Plate(Plate/Screws OHN-46 Mandible (Jaw Bone) Marginal Excision 21 15610 12010 10210 OHN-48 Parapharyngeal Space Tumor Resection 26 22830 17560 14930 OHN-49 Partial Glossectomy 30 37950 29190 24810 OHN-50 Surgery For Carotid Blowout U/L 12 7810 6010 5110 Surgery For Carotid Body Tumor OHN-51 26 22830 17560 14930 Without Shunt Carotid Body Tumor With Elective OHN-52 30 37950 29190 24810 Shunt Surgery OHN-53 Thoracic Duct Ligation 18 12580 9680 8230 Total Laryngectomy With B/L Lateral OHN-54 34 53080 40830 34710 Node Dissection OHN-55 Tracheostomy Emergency 12 7810 6010 5110 OHN-56 Tracheostomy Tube Change 5 2850 2190 1860 OHN-57 Voice Prosthesis Insertion 12 7810 6010 5110 Wide Local Excision Of Oral Cancer OHN-58 28 30380 23370 19860 With Local Flap Wide Local Excision Of Oral Cancer OHN-61 30 37950 29190 24810 With Skin Grafting OHN-62 Infratemporal Fossa Clearance 121 64640 48600 40500

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Code Oncology Surgeries Cat Pvt Semi Eco OHN-63 Jaw Cyst Enucleation 26 22830 17560 14930 OHN-64 Jaw Tumour Excision 28 30380 23370 19860 Knife / Punch/ Excision Biopsy Of OHN-65 13 8680 6680 5680 Tumor OHN-66 Laryngectomy - Partial 34 53080 40830 34710 Total Laryngectomy With Partial OHN-67 34 53080 40830 34710 Pharyngectomy / Total Laryngopharyngectomy / OHN-67b Supraglottic Laryngectomy / 34 53080 40830 34710 Hemilaryngectomy OHN-68 Laryngectomy Near Total 34 53080 40830 34710 Laryngopharyngectomy Total With OHN-69 121 64640 48600 40500 Gast. Pullup OHN-70 Laryngoscopy Direct 13 8680 6680 5680 OHN-71 Laser Arytenoidectomy 118 28730 21600 18000 OHN-72 Laser Excision-Supraglottic 28 30380 23370 19860 OHN-73 Laser Fulguration /Excision Trachea 119 35910 27000 22500 Laser Fulguration For Recurrent OHN-74 13 8680 6680 5680 Lesions Laser Fulguration Respiratory OHN-75 28 30380 23370 19860 Papilloma OHN-76 Laser Subglottic Tracheal Stenosis 28 30380 23370 19860 OHN-77 Mandible Curettage 26 22830 17560 14930 Mandibulectomy-Hemi/Marginal/ OHN-78 119 35910 27000 22500 Segmental Including Middle ⅓ rd OHN-79 Maxilla Curettage 26 22830 17560 14930 Maxillectomy - Median / Partial / Total/ Total With Exenteration / Partial OHN-80 111 69820 53710 45650 Maxillectomy / Total Maxillectomy / Maxillectomy With Orbital Exenteration Micro Laryngoscopy Chord Stripping OHN-81 118 28730 21600 18000 (Laser)/ Laser Excision Cordectomy OHN-82 Neck Biopsy - Excisional 13 8680 6680 5680 OHN-83 Neck Dissection - B/L 31 41740 32110 27290 Extended Radical Neck Dissection Type/ Modified Neck Dissection Type I / Modified Neck Dissection Type II / Modified Neck Dissection Type III/ OHN-84 31 41740 32110 27290 Lateral Neck Dissection ( Level II/III/IV)/ Supraomohyoid Neck Dissection / Radical Neck Dissection / Posterolateral Neck Dissection OHN-85 Neck Exploration 32 45640 35110 29840 OHN-86 Node Biopsy 13 8680 6680 5680 OHN-87 Oral Cavity Excision- Large Lesion 26 22830 17560 14930

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Code Oncology Surgeries Cat Pvt Semi Eco Laser Oral Cavity Excision-Small Lesion - OHN-88 13 8680 6680 5680 Laser OHN-89 Oral Cavity Fulguration(Laser) 13 8680 6680 5680 OHN-90 Orbital Mass Biopsy 13 8680 6680 5680 OHN-91 Orbital Mass Excision 28 30380 23370 19860 OHN-92 Panendoscopy 26 22830 17560 14930 OHN-93 Parathyroid Resection For Hyperplasia 28 30380 23370 19860 Superficial Parotidectomy /Total OHN-94 Radical Parotidectomy /Total 109 60980 46910 39870 Conservative Parotidectomy OHN-95 Parotidectomy With Neck Dissection 31 41740 32110 27290 Pectoralis Major Myocutaneous Flap + OHN-97 29 34160 26280 22340 Deltopectoral/Forehead Flap Pectoralis Major Myofascial/ OHN-99 31 41740 32110 27290 Myocutaneous Flap OHN-100 Percutaneous Endoscopic Gastrostomy 21 15610 12010 10210 OHN-101 Pharyngectomy-Partial 28 30380 23370 19860 OHN-102 Premaxillectomy 28 30380 23370 19860 OHN-103 Retromastoid Craniotomy 111 69820 53710 45650 OHN-104 Scalp Tumour+Skull Bone Excision 30 37950 29190 24810 OHN-106 Segmental Mandibulectomy With Plate 28 30380 23370 19860 OHN-107 Segmental Mandibulectomy With Rib 29 34160 26280 22340 OHN-109 Skeletal Reconstruction(Head & Neck) 111 69820 53710 45650 OHN-110 Submandibular Gland Excision 26 22830 17560 14930 Subtotal Mandibulectomy/ Central OHN-111 31 41740 32110 27290 Arch Resection With Plate OHN-112 Temporal Bone Resection 120 50270 37800 31500 OHN-113 Temporalis Muscle Fill 27 26600 20460 17390 Near Total Thyroidectomy / Total / OHN-114 Near Total Thyroidectomy With Central 34 53080 40830 34710 Compartment Clearance Thyroidectomy(Hemi/Subtotal/Total) OHN-115 31 41740 32110 27290 With Neck Dissection Tongue Composite OHN-116 121 64640 48600 40500 Resection/Commando OHN-117 Tongue Wide Excision Per Oral 27 26600 20460 17390 HN Posterolateral Neck Dissection / OHN-118 28 30380 23370 19860 Hemiglossectomy Per Oral Tongue/Floor Of The Mouth-Pull OHN-119 31 41740 32110 27290 Through Neck OHN-120 Tonsillectomy 26 22830 17560 14930 OHN-121 Tracheal Resection With Anastomosis 31 41740 32110 27290 OHN-122 Tracheal Wall Partial Resection 28 30380 23370 19860

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Code Oncology Surgeries Cat Pvt Semi Eco OHN-123 Tracheostomy 17 11620 8940 7600 OHN-124 Trans-Sphenoidal Surgery 111 69820 53710 45650 OHN-125 Wide Excision - Lip And Neck 28 30380 23370 19860 Wide Excision Floor Of The OHN-126 28 30380 23370 19860 Mouth/Neck OHN-127 Wide Excision Lip Lesion 26 22830 17560 14930 Reconstruction With Skin/Mucosal OHN-128 27 26600 20460 17390 Graft Reconstruction With Skin/Mucosal OHN-129 31 41740 32110 27290 Flap OHN-130 Total Esophagectomy (Trans Thoracic) 111 69820 53710 45650 OHN-131 Neck Dissection- B/L 25 19030 14640 12440 OHN-132 Oral Biopsy 6 3340 2570 2180 OHN-133 Direct Rigid Laryngoscopy 9 5340 4110 3490 OHN-134 External Carotid Artery Ligation B/L 10 6320 4860 4130 OHN-135 Elective Tracheal Tube Insertion 9 5340 4110 3490 Endoscopic Laser Surgery For Tracheal OHN-136 18 12580 9680 8230 Stenosis OHN-137 Head & Neck Biopsy 4 2240 1720 1460 Laser Resection Of Large Oral Cavity OHN-138 18 12580 9680 8230 Lesion OHN-139 Lymph Node Biopsy 7 4080 3140 2670 Microlaryngoscopy With Laser OHN-140 26 22830 17560 14930 Cordectomy OHN-141 Orbital Enucleation 12 7810 6010 5110 OHN-142 Surgery For Parathyroid Hyperplasia 28 30380 23370 19860 OHN-143 Tracheal Tube Change 1 870 670 570 Alveolus Commando Resection / OHN-144 31 41740 32110 27290 Commando Buccal/Mucosa Composite Resection/ OHN-145 31 41740 32110 27290 Commando OHN-146 Removal of CVAD 14 9430 7250 6160 OHN-147 Hemithyroidectomy 34 53080 40830 34710 OHN-148 Total Thyroidectomy 109 60980 46910 39870 Superficial/ Total/ Radical OHN-149 35 57010 43850 37270 Parotidectomy Modified Neck Dissection / Function OHN-150 109 60980 46910 39870 Neck Dissection OHN-151 Total Laryngectomy 109 60980 46910 39870 OHN-152 Commando 123 91000 70000 59500 OHN-153 Commando with local reconstruction 126 110500 85000 72250 OHN-154 Supraomohyoid dissection 35 57010 43850 37270

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D. Plastic Onco-surgeries Code Oncology Surgeries Cat Pvt Semi Eco OPS-1 Epispadias Genitalia Reconstruction 119 35910 27000 22500 OPS-2 Autograft Flap Reconstruction (Breast) 28 30380 23370 19860 OPS-3 Implant Reconstruction (Breast) 28 30380 23370 19860 Interpolated Flap Reconstruction- OPS-4 118 28730 21600 18000 Extremity. OPS-5 Local Flap Reconstruction (Extremity) 30 37950 29190 24810 OPS-6 Microvascular Reconstruction (Extremity) 34 53080 40830 34710 OPS-7 Penile Reconstruction 119 35910 27000 22500 Reconstruct. With Interpolation. OPS-8 119 35910 27000 22500 Composite Flap Reconstruct. With Local Skin/Mucosal OPS-9 30 37950 29190 24810 Flap OPS-10 Reconstruct. With Single Flap (H & N) 118 28730 21600 18000 OPS-11 Reconstruct. With Skin/Mucosal Graft 117 17950 13500 11250 OPS-12 Reconstruction With Anatomical Closure 118 28730 21600 18000 Reconstruction With Double Flaps ( Head OPS-13 119 35910 27000 22500 And Neck) Reconstruction With Flap (Chest & OPS-14 34 53080 40830 34710 Abdominal) OPS-15 Skeletal Reconstruction (Extremity) 119 35910 27000 22500 OPS-16 Urethroplasty 121 64640 48600 40500 OPS-17 Vaginal Reconstruction 121 64640 48600 40500 OPS-18 Skin Grafting Medium 21 15610 12010 10210 OPS-19 Skin Grafting Small 15 9930 7640 6490 OPS-20 Free Flap Harvesting Large 121 64640 48600 40500 OPS-21 Free Flap Harvesting Medium 34 53080 40830 34710 OPS-22 Free Flap Harvesting Small 31 41740 32110 27290 OPS-23 Free Flap Insetting Large 121 64640 48600 40500 OPS-24 Free Flap Insetting Medium 34 53080 40830 34710 OPS-25 Free Flap Insetting Small 31 41740 32110 27290 OPS-26 Free Flap Remodelling Large 121 64640 48600 40500 OPS-27 Free Flap Remodelling Medium 34 53080 40830 34710 OPS-28 Free Flap Remodelling Small 31 41740 32110 27290

E. Gastro Intertinal Onco Surgeries Code Oncology Surgeries Cat Pvt Semi Eco Laparotomy And Biopsy / Extensive OSA-1 26 22830 17560 14930 Adhesiolysis /Single Bypass OSA-2 Triple / Multiple Bypass 32 45640 35110 29840 Gastrectomy (Billroth -1)/(Billroth-2) OSA-3 34 53080 40830 34710 Distal Radial OSA-4 Total Radical Gastrectomy 35 57010 43850 37270

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Code Oncology Surgeries Cat Pvt Semi Eco OSA-5 Gastrojejunostomy 28 30380 23370 19860 Gastric Reconstruction With Pouch / OSA-6 Classical / Modified D2 30 37950 29190 24810 Lymphadenectomy OSA-7 Distal Pancreatectomy With Splenectomy 32 45640 35110 29840 OSA-8 Whipple's Pancreaticoduodenectomy 113 79950 61500 52280 Pylorus Preserving Pancreatico- OSA-9 113 79950 61500 52280 duodenectomy OSA-10 Jejunostomy / Pancreaticogastrostomy 26 22830 17560 14930 OSA-11 Gastroscopy 116 7180 5400 4500 Radical Right Hemicolectomy / Radical Transverse Colectomy / Radical Left OSA-12 Hemicolectomy / Radical Sigmoid 35 57010 43850 37270 Colectomy / Small Intestine Single Resection And Anastomosis Extended Hemicolectomy / Hartmann's OSA-13 Procedure / Small Intestine Double 31 41740 32110 27290 Resection And Anastomosis OSA-14 Anterior Resection Of Rectum 35 57010 43850 37270 Low Anterior Resection / Ultra Low OSA-15 35 57010 43850 37270 Anterior Resection Total Colectomy With Ileorectal OSA-16 34 53080 40830 34710 Anastomosis OSA-17 Abdomino Perineal Resection 35 57010 43850 37270 OSA-18 Anterior Pelvic Exenteration 111 69820 53710 45650 OSA-19 Rectum Post Exenteration 112 74720 57480 48860 Total Pelvic Exenteration / Total Proctocolectomy With Ileoanal OSA-20 111 69820 53710 45650 Anastomosis / Ileal Pouch Reconstruction Exploratory Laparotomy With Diversion OSA-21 120 50270 37800 31500 (Ileostomy / Colostomy) OSA-22 Appendicetomy 15 9930 7640 6490 OSA-23 Ileostomy Closure 27 26600 20460 17390 OSA-24 Colostomy Closure 27 26600 20460 17390 OSA-25 Resuturing 17 11620 8940 7600 Abdominal Wall Tumor Excision Without OSA-26 26 22830 17560 14930 Mesh Abdominal Wall Tumor Excision With OSA-27 29 34160 26280 22340 Mesh Abdominal Wall Tumor Excision With / OSA-28 29 34160 26280 22340 Without Mesh/ Flap Reconstruction OSA-29 Abdomen Percutaneous Drain Insertion 20 14650 11270 9580 OSA-30 Diagnostic Laparoscopy With Biopsy 25 19030 14640 12440 OSA-31 Retroperitoneal Tumor Excision 111 69820 53710 45650

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Code Oncology Surgeries Cat Pvt Semi Eco Retroperitoneal Tumor Excision With OSA-32 111 69820 53710 45650 Visceral Excision OSA-33 Simple Cholecystectomy 28 30380 23370 19860 Radical Cholecystectomy With Segment OSA-34 35 57010 43850 37270 IV/V Resection OSA-35 Portal Lymphadenectomy 26 22830 17560 14930 OSA-36 Excision Cholangio + Liver Resection 111 69820 53710 45650 OSA-37 Cholecystojejunostomy 30 37950 29190 24810 OSA-38 Choledochojejunostomy 30 37950 29190 24810 OSA-39 Hepaticodocho Jejunostomy 30 37950 29190 24810 OSA-41 Hepatic Metastasectomy / 33 49430 38020 32320

Liver Metastasectomy Single / Liver OSA-42 32 45640 35110 29840 Segment II / III Resection Right Hepatectomy / Caudate Lobe OSA-43 34 53080 40830 34710 Excision OSA-44 Left Hepatectomy 34 53080 40830 34710 Extended Left Hepatectomy /Liver OSA-45 Trisegmentectomy /Extended Right 111 69820 53710 45650 Hepatectomy OSA-46 Rigid Sigmoidoscopy 20 14650 11270 9580 OSA-47 Colostomy 119 35910 27000 22500 OSA-48 Gastrotomy 26 22830 17560 14930 OSA-49 Ileostomy 26 22830 17560 14930 OSA-50 Internal Stenting 26 22830 17560 14930 OSA-51 Abdominal Mass Excision 28 30380 23370 19860 OSA-52 Choledocho-Duodenostomy 30 37950 29190 24810 OSA-53 Colectomy Revision 30 37950 29190 24810 OSA-54 Colectomy Subtotal 31 41740 32110 27290 Colon (Left Hemicolectomy/ Right OSA-55 Hemicolectomy/ Sigmoid Colectomy/ 33 49430 38020 32320 Transverse Colectomy) OSA-56 Colonic Bypass(Multiple/Single) 28 30380 23370 19860 OSA-57 Colo-Rectal Anastomosis 34 53080 40830 34710 OSA-58 Cysto-Gastrostomy 119 35910 27000 22500 OSA-59 Duodenotomy 28 30380 23370 19860 OSA-60 Duodenum Partial Excision 31 41740 32110 27290 OSA-61 Gastrectomy Partial 119 35910 27000 22500 OSA-62 Gastric Wedge Resection 29 34160 26280 22340 OSA-63 Hepatic Excision 30 37950 29190 24810 OSA-64 Hepatic Port Placement/Port Removal 28 30380 23370 19860 OSA-65 Hepatic Wedge Excision 31 41740 32110 27290 OSA-66 Laparoscopy Therapeutic/Exploratory 28 30380 23370 19860

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Code Oncology Surgeries Cat Pvt Semi Eco OSA-67 Laparotomy For Staging 28 30380 23370 19860 OSA-68 Pancreas Tumor Enucleation 30 37950 29190 24810 OSA-69 Pancreatic Fistula Closure 119 35910 27000 22500 OSA-70 Puestow Procedure 119 35910 27000 22500 OSA-71 Rectum Local Excision 30 37950 29190 24810 OSA-72 Re-Exploration 119 35910 27000 22500 OSA-73 Segmental Hepatectomy 31 41740 32110 27290 OSA-74 Small Bowel By-Pass(Multiple)/(Single) 28 30380 23370 19860 OSA-75 Small Bowel Resection Anastomosis 29 34160 26280 22340 OSA-76 Common Bile Duct Excision 120 50270 37800 31500 OSA-78 Excision Cholangiocarcinoma 34 53080 40830 34710 OSA-79 Hepatico-Jejunostomy 32 45640 35110 29840 OSA-80 Multi Organ Excision 120 50270 37800 31500 OSA-81 Pancreatectomy Subtotal 120 50270 37800 31500 OSA-82 Gastrectomy Proximal Radical 32 45640 35110 29840 OSA-83 Retroperitoneal Sarcoma 35 57010 43850 37270 OSA-84 Abdominal Neuroblastoma Excision 111 69820 53710 45650 OSA-85 Abdominal Resection 111 69820 53710 45650 OSA-86 Colo-Whipple 113 79950 61500 52280 Gastrectomy(Radical)+Extended OSA-88 111 69820 53710 45650 Lymphad OSA-89 Jejunal Transposition 111 69820 53710 45650 OSA-90 Pancreatectomy Total 111 69820 53710 45650 OSA-91 Tracheal Resection 113 79950 61500 52280 OSA-92 Gastrectomy Total 35 57010 43850 37270 OSA-93 Hepatectomy Right 35 57010 43850 37270 OSA-94 Abdomino Sacral Resection 121 64640 48600 40500 OSA-95 Cholecystectomy Radical 34 53080 40830 34710 OSA-96 Colon - Resection Anastomosis 27 26600 20460 17390 OSA-97 Heostomy 117 17950 13500 11250 OSA-98 Heostomy - Closure Of 25 19030 14640 12440 OSA-99 Hepatectomy Left Lateral 31 41740 32110 27290 OSA-100 Pancreas Triple Bypass 30 37950 29190 24810 OSA-101 Pancreatectomy Distal 31 41740 32110 27290 OSA-102 Total Esophagectomy Transthoracic 113 79950 61500 52280 OSA-103 Whipple Pancreatectomy 113 79950 61500 52280 Abdominal Wall Tumor Resection With / OSA-104 26 22830 17560 14930 Without Reconstruction OSA-105 Appendix Surgical Removal 12 7810 6010 5110 OSA-106 Axillary Lymph Node Dissection 17 11620 8940 7600 OSA-107 Cecostomy 26 22830 17560 14930 OSA-108 Colon (Total Proctocolectomy) 35 57010 43850 37270

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Code Oncology Surgeries Cat Pvt Semi Eco OSA-109 Colon Diversion Stoma 20 14650 11270 9580 OSA-110 Complete Excision Of Spleen 27 26600 20460 17390 OSA-111 D2 Gastrectomy 27 26600 20460 17390 Exploratory Laparoscopy With/Without OSA-112 25 19030 14640 12440 Therapeutic Procedure OSA-113 Exploratory Laparotomy 27 26600 20460 17390 OSA-114 Feeding Gastrostomy 12 7810 6010 5110 OSA-115 Gall Bladder Removal 26 22830 17560 14930 OSA-116 Gallbladder Bed Resection 34 53080 40830 34710 OSA-117 Ileal Stoma Creation 20 14650 11270 9580 OSA-118 Intestinal Resection Anastomosis 27 26600 20460 17390 OSA-119 Jejunostomy 26 22830 17560 14930 Jejunum Fistula Creation And Tube OSA-120 14 9430 7250 6160 Insertion OSA-121 Laparoscopy Diagnostic 24 18400 14150 12030 OSA-122 Removal Of Pancreas 31 41740 32110 27290 OSA-123 Secondaries Liver Excision 29 34160 26280 22340 OSA-124 Secondary Suturing 9 5340 4110 3490 OSA-125 Sigmoid Endoscopy 8 4590 3530 3000 OSA-126 Stoma Closure 26 22830 17560 14930 OSA-127 Splenectomy 29 34160 26280 22340 OSA-128 HIPEC 27 26600 20460 17390 OSA-129 HIPEC+Cytoreductive Surgery 123 91000 70000 59500 OSA-130 Laparoscopy 120 50270 37800 31500

F. Breast Onco Surgeries Code Oncology Surgeries Cat Pvt Semi Eco OSB-1 Axillary Dissection Alone 119 35910 27000 22500 OSB-2 B/L Mastectomy 31 41740 32110 27290 Breast Drain Reinsertion / Breast OSB-3 Debridement Of Flaps / Breast Seroma 6 3340 2570 2180 Aspiration+ Breast Resuturing OSB-4 Breast Duct Complex Excision 23 17550 13500 11480 OSB-5 Breast Incisional Biopsy 8 4590 3530 3000 Breast Conservation Surgery / Breast OSB-6 Incisional Biopsy, Frozen & 31 41740 32110 27290 BCS/MRM/RM OSB-7 Breast Quadrantectomy 13 8680 6680 5680 Breast Lumpectomy, Frozen Section & OSB-8 19 13680 10520 8940 Primary Closer Breast Modified Radical Mastectomy / Completion Modified Radical OSB-9 109 60980 46910 39870 Mastectomy/Breast Radical Mastectomy / Completion Radical Mastectomy

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Code Oncology Surgeries Cat Pvt Semi Eco Breast Reconstruction With LD Flap And OSB-10 33 49430 38020 32320 Prosthesis Breast Skin Sparing Mastectomy / Breast OSB-11 26 22830 17560 14930 Subcutaneous Mastectomy OSB-12 Breast Wide Local Excision 25 19030 14640 12440 OSB-13 Excision Gland / Nodule 13 8680 6680 5680 OSB-14 Microvascular Breast Reconstruction 111 69820 53710 45650 OSB-15 Microdochectomy 26 22830 17560 14930 OSB-16 More Than 2 Intermediate Procedures 28 30380 23370 19860 Radical / Simple Mastectomy/ Breast OSB-17 119 35910 27000 22500 Toilet Mastectomy OSB-18 S/C Fossa Gland Dissection 26 22830 17560 14930 Simple / Radical / Modified Radical OSB-19 31 41740 32110 27290 Mastectomy OSB-20 Breast Lumpectomy + Axillary Dissection 119 35910 27000 22500 OSB-21 Breast Duct Excision 15 9930 7640 6490 OSB-22 Breast Lumpectomy Alone 13 8680 6680 5680 OSB-23 Mastectomy- Radical/Simple/Toilet 26 22830 17560 14930 OSB-24 Sentinel LN biopsy 30 37950 29190 24810 OSB-25 Breast Oncoplasty -1 30 37950 29190 24810 OSB-26 Breast Oncoplasty -2 34 53080 40830 34710 OSB-27 Reconstruction with volume displacement 31 41740 32110 27290 OSB-28 Wire localization + excision 28 30380 23370 19860 OSB-29 Axillary LN biopsy 21 15610 12010 10210 OSB-30 CVAD insertion 28 30380 23370 19860

G. Thoracic & Pediatric Onco Surgeries

Code Oncology Surgeries Cat Pvt Semi Eco OTP-1 Amputation(Pediatric) 28 30380 23370 19860 OTP-2 Ant. Mediastinotomy 28 30380 23370 19860 OTP-3 B.P. Fistula Repair 30 37950 29190 24810 OTP-4 Bronchial Sleeve Resection 30 37950 29190 24810 OTP-5 Bronchial Stent Placement 28 30380 23370 19860 OTP-6 Bronchial+Vascular Sleeve 35 57010 43850 37270 OTP-7 Bronchoscopy +Esophagoscopy (Diag) 26 22830 17560 14930 OTP-8 Bronchoscopy Therapeutic 26 22830 17560 14930 OTP-9 Bulla Stapling 28 30380 23370 19860 OTP-10 Burst Abdomen Suturing 118 28730 21600 18000 OTP-11 Cervical Esophagostomy 28 30380 23370 19860 OTP-12 Chest Wall Excision With Any Lung Oper. 30 37950 29190 24810 OTP-13 Chest Wall Excision With Reconstruction 34 53080 40830 34710 OTP-14 Chest Wall Excision Without Reconstruct 118 28730 21600 18000

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Code Oncology Surgeries Cat Pvt Semi Eco OTP-15 Chest Wall Sinus Exploration 26 22830 17560 14930 OTP-16 Coloplasty 30 37950 29190 24810 OTP-17 Esophagoscopy Stent 28 30380 23370 19860 OTP-18 Esophagoscopy - Diagnostic 12 7810 6010 5110 OTP-19 Esophagoscopy - Therapeutic 26 22830 17560 14930 OTP-20 Esophagus R.A. 113 79950 61500 52280 OTP-21 Excision/Pericardial Window Open 28 30380 23370 19860 Exploratory Laparotomy / Thoracotomy OTP-22 26 22830 17560 14930 (Inoperable) OTP-23 Gastric Bypass 28 30380 23370 19860 OTP-24 Hemipelvectomy(Pediatrics) 31 41740 32110 27290 OTP-25 Hickman Cath Removal 12 7810 6010 5110 OTP-26 Hickman Catheterisation 26 22830 17560 14930 OTP-27 ICD Placement 12 7810 6010 5110 OTP-28 Ivor Lewis 120 50270 37800 31500 OTP-29 Jejunostomy/Gastrostomy 118 28730 21600 18000 OTP-30 Lobectomy/Bilobectomy(Pulmonary) 110 65260 50200 42670 OTP-31 Lung Wedge Resection 28 30380 23370 19860 OTP-32 Superficial Node Biopsy 10 6320 4860 4130 OTP-33 Mediastinal Lymph Node Dissection 28 30380 23370 19860 OTP-34 Mediastinal Neuroblastoma Excision 111 69820 53710 45650 OTP-35 Mediastinal Tumor Excision 120 50270 37800 31500 OTP-36 Mediastinoscopy 28 30380 23370 19860 OTP-37 Metastasectomy(Both Lungs) 34 53080 40830 34710 OTP-38 Metastasectomy(Single Lung) 32 45640 35110 29840 OTP-39 Unresectable Esophageal CA Exploration 26 22830 17560 14930 OTP-40 Orbital Exenteration(Pediatric) 119 35910 27000 22500 OTP-41 Palliative Bowel Bypass 28 30380 23370 19860 OTP-42 Pericardial Tap 12 7810 6010 5110 OTP-43 Pericardiectomy 28 30380 23370 19860 OTP-44 Pleural Tap 12 7810 6010 5110 OTP-45 Pleurodesis Talc 26 22830 17560 14930 OTP-46 Pneumonectomy 110 65260 50200 42670 OTP-47 Pneumonectomy Partial/Total 26 22830 17560 14930 OTP-48 Radical Nephrectomy (Paed.)+Bowel Excl. 121 64640 48600 40500 OTP-49 Radical Nephrectomy(Pediatric) 119 35910 27000 22500 OTP-50 Retinoblastoma Excision(Pediatric) 28 30380 23370 19860 Retroperitoneal Lymph Node Biopsy OTP-51 28 30380 23370 19860 (Exploration) OTP-52 Retroperitoneal Tumor+Bowel Excision 35 57010 43850 37270 OTP-53 Rib Excision Only 118 28730 21600 18000 OTP-54 Secondary Suturing(Thoracic) 26 22830 17560 14930

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Code Oncology Surgeries Cat Pvt Semi Eco OTP-55 Soft Tissue Sarcoma Excision (Peads) 30 37950 29190 24810 OTP-56 Thoracic Surgery (Comb. Of Two Or More) 111 69820 53710 45650 OTP-57 Thoracoscopic Excision 119 35910 27000 22500 Thoracoscopic Lobectomy/ OTP-58 111 69820 53710 45650 Pneumonectomy OTP-59 Thoracoscopic Pleurectomy 30 37950 29190 24810 OTP-60 Thoracoscopic Pleurodesis 26 22830 17560 14930 OTP-61 Thoracoscopy - Diagnostic 26 22830 17560 14930 OTP-62 Thoracoscopy Therapeutic 28 30380 23370 19860 OTP-63 Thoracotomy - Inoperable 26 22830 17560 14930 OTP-64 Thorax Re-Exploration 28 30380 23370 19860 OTP-65 Thorax(Trucut Biopsy) 12 7810 6010 5110 OTP-66 Thymectomy 110 65260 50200 42670 OTP-67 Thymectomy With Vascular Surgery/Lung 111 69820 53710 45650 OTP-68 Thyroidectomy With Tracheal Resection 111 69820 53710 45650 OTP-69 Total Esophagectomy(Transhiatal) 120 50270 37800 31500 OTP-70 Tracheal Stent 119 35910 27000 22500 OTP-71 Tracheostomy 12 7810 6010 5110 OTP-72 Trans Thoracic Needle Biopsy 12 7810 6010 5110 OTP-73 Port Placement 26 22830 17560 14930 OTP-74 Bronchoscopy Diagnostic 116 7180 5400 4500 OTP-75 Chemo Port Removal 6 3340 2570 2180 OTP-76 Chemotherapy Catheter Insertion 17 11620 8940 7600 OTP-77 Chemotherapy Catheter Removal 5 2850 2190 1860 OTP-78 Chest Tube Placement 8 4590 3530 3000 OTP-79 Cystoscopy + Biopsy 12 7810 6010 5110 OTP-80 Endoscopic Examination Of Oesophagus 8 4590 3530 3000 Endoscopic Visualization Of Airways And OTP-81 10 6320 4860 4130 Lungs OTP-82 Feeding Tube Placement- Gastric/Jejunal 13 8680 6680 5680 OTP-83 Mediastinal Node Dissection 25 19030 14640 12440 OTP-84 Mediastinum Endoscopy 18 12580 9680 8230 OTP-85 Minor Tracheostomy 9 5340 4110 3490 OTP-86 Pericardiocentesis 5 2850 2190 1860 OTP-87 Pleurocentesis 4 2240 1720 1460 OTP-88 Rib Resection 17 11620 8940 7600 OTP-89 Total Exenteration Orbit 25 19030 14640 12440 OTP-90 Wide Needle Biopsy Thoracic 6 3340 2570 2180

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H. Uro-Genital Surgeries

Code Oncology Surgeries Cat Pvt Semi Eco Anterior / Posterior Exenteration / Lap OUS-1 113 79950 61500 52280 Exenteration (Ant / Post/Total) OUS-2 B/L Groin Node Dissection 111 69820 53710 45650 OUS-3 B/L Inguinal Node Dissection 32 45640 35110 29840 OUS-5 Bladder Clot Evacuation 29 34160 26280 22340 OUS-6 Bladder Tumor Transurethral Resection 32 45640 35110 29840 OUS-7 BNI 27 26600 20460 17390 OUS-8 Circumcision 15 9930 7640 6490 OUS-9 Colostomy + Urinary Diversion 30 37950 29190 24810 OUS-10 Continent Urinary Diversion/ Neobladder 34 53080 40830 34710 OUS-11 Cysto Fulguration 26 22830 17560 14930 OUS-12 Cystostomy Suprapubic 118 28730 21600 18000 OUS-13 Transurethral Bladder Endoscopy 15 9930 7640 6490 OUS-14 DJ Stent Removal 16 10760 8280 7040 OUS-15 DJ Stenting 26 22830 17560 14930 OUS-16 Emergency Exploratory Laparotomy 30 37950 29190 24810 OUS-17 Exploratory Laparotomy 27 26600 20460 17390 OUS-18 Extended Radical Nephrectomy 111 69820 53710 45650 OUS-19 High Orchidectomy 118 28730 21600 18000 OUS-20 High Orchidectomy + Scrotectomy 119 35910 27000 22500 OUS-21 Ileostomy Closure 118 28730 21600 18000 OUS-22 Incision + Drainage 14 9430 7250 6160 OUS-24 Inoperable Laparotomy 117 17950 13500 11250 Laparoscopic Radical Nephrectomy / OUS-25 111 69820 53710 45650 Prostatectomy / Nephrectomy OUS-26 Laparoscopic RPLND 112 74720 57480 48860 OUS-27 Laparoscopy 120 50270 37800 31500 OUS-28 Lymphocoele Drainage 14 9430 7250 6160 OUS-29 Meatoplasty 17 11620 8940 7600 OUS-30 Partial Amputation Of Penis 29 34160 26280 22340 OUS-31 Partial Cystectomy 120 50270 37800 31500 OUS-32 Partial Nephrectomy 112 74720 57480 48860 OUS-33 PCN 26 22830 17560 14930 Pelvic Lymph Node Dissection OUS-34 31 41740 32110 27290 (Laparoscopic / Open) OUS-35 Pelvic Neuroblastoma Excision 111 69820 53710 45650 OUS-36 Pelvic Tumor Excision 32 45640 35110 29840 OUS-37 Trucut Biopsy Of Prostate 15 9930 7640 6490 OUS-38 Prostate Transurethral Resection 34 53080 40830 34710 OUS-39 Radical Cystectomy 111 69820 53710 45650

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Code Oncology Surgeries Cat Pvt Semi Eco OUS-40 Radical Nephrectomy 113 79950 61500 52280 OUS-41 Radical Nephrectomy + Adrenalectomy 111 69820 53710 45650 Radical Nephrectomy + IVC OUS-42 111 69820 53710 45650 Thrombectomy (Infrahepatic) Radical Nephrectomy + IVC OUS-43 111 69820 53710 45650 Thrombectomy (Suprahepatic) OUS-44 Radical Nephro Ureterectomy 111 69820 53710 45650 OUS-45 Radical Prostatectomy 111 69820 53710 45650 Retroperitoneal Lymph Node Dissection / OUS-46 111 69820 53710 45650 Nerve Sparing RPLND OUS-47 Retroperitoneal Tumor Excision 121 64640 48600 40500 Retroperitoneal Tumor Excision / Retroperitoneal Sarcoma + OUS-48 111 69820 53710 45650 Retroperitoneal Visceral Excision / Retroperitoneal Tumor + Ureter Excision OUS-49 Retroperitoneal Node Sampling 31 41740 32110 27290 OUS-50 RGP 14 9430 7250 6160 OUS-51 Scrotectomy 118 28730 21600 18000 OUS-52 Testicular Biopsy 14 9430 7250 6160 OUS-53 Total Amputation Of Penis 34 53080 40830 34710 OUS-54 Undescended Testis Tumor Excision 30 37950 29190 24810 OUS-55 U/L Groin Node Dissection 31 41740 32110 27290 OUS-57 Ureterectomy + Bladder Cuff 120 50270 37800 31500 OUS-58 Ureteric Fistula Repair 31 41740 32110 27290 OUS-59 Ureteric Reimplantation 120 50270 37800 31500 OUS-60 Ureteric Repair 29 34160 26280 22340 OUS-61 Ureteric Resection Anastomosis 120 50270 37800 31500 OUS-62 Ureteroscopic Resection 120 50270 37800 31500 OUS-63 Ureteroscopy Diagnostic 120 50270 37800 31500 OUS-64 Urethral Dilatation 14 9430 7250 6160 OUS-65 Urethrectomy 120 50270 37800 31500 OUS-66 Urethroplasty 111 69820 53710 45650 OUS-67 Urethrotomy Visual Internal 119 35910 27000 22500 OUS-68 Urinary Diversion/Urinary Conduit 29 34160 26280 22340 OUS-69 VVF Repair 31 41740 32110 27290 OUS-72 Colostomy/Ileostomy Closure 118 28730 21600 18000 OUS-73 Cystoscopy + D.J Stenting 118 28730 21600 18000 OUS-74 Exploration + Ileo/Colostomy 120 50270 37800 31500 OUS-75 Ileal Conduit Bladder 120 50270 37800 31500 OUS-76 Adrenal Tumour Excision + Nephrectomy 121 64640 48600 40500 OUS-77 Hemi Pelvectomy External/Internal 121 64640 48600 40500 OUS-78 Retroperitoneal Lymphadenectomy 121 64640 48600 40500 OUS-79 Trucut Biopsy 6 3340 2570 2180

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Code Oncology Surgeries Cat Pvt Semi Eco OUS-80 Abcess Drainage 7 4080 3140 2670 OUS-81 Biopsy Testis 7 4080 3140 2670 OUS-82 Cystopanendoscopy 9 5340 4110 3490 OUS-83 Dorsal Slit 7 4080 3140 2670 OUS-84 Endoscopic Surgery 22 16590 12760 10850 OUS-85 Groin Node Dissection - U/L 25 19030 14640 12440 OUS-86 Ileal Conduit Urinary Diversion 27 26600 20460 17390 OUS-87 Ilioinguinal Lymphadenectomy U/L 7 4080 3140 2670 OUS-88 Inguinal Orchidectomy 17 11620 8940 7600 OUS-89 Partial Penectomy 17 11620 8940 7600 OUS-90 Percutaneous Cystostomy 8 4590 3530 3000 OUS-91 Percutaneous Nephrectomy 17 11620 8940 7600 OUS-92 Prostate Gland Biopsy 6 3340 2570 2180 OUS-93 Segmental Cystectomy 27 26600 20460 17390 OUS-94 Stoma Reversal 25 19030 14640 12440 Total Amputation Of The Penis With OUS-95 27 26600 20460 17390 Perineal Urethrostomy OUS-96 TURP 27 26600 20460 17390 OUS-97 Ureteral Stent Insertion 12 7810 6010 5110 OUS-98 Ureteral Stent Removal 6 3340 2570 2180 OUS-99 Urethral Meatotomy 7 4080 3140 2670 OUS-100 Inguinal Node Biopsy 25 19030 14640 12440 OUS-101 Cystoscopy 24 18400 14150 12030 OUS-102 Boari Flap 34 53080 40830 34710 OUS-103 Orchidectomy Subcapsular 18 12580 9680 8230 OUS-104 Paraaortic Lymph Node Sampling 25 19030 14640 12440 OUS-105 Perineal Urethrostomy 26 22830 17560 14930 OUS-106 Repair Of Bladder Rupture 28 30380 23370 19860 OUS-107 Seminal Vesiculectomy 34 53080 40830 34710 OUS-108 TURP < 60gm 28 30380 23370 19860 OUS-109 TURP >60gm 31 41740 32110 27290 OUS-110 TURP-BT <2cm 28 30380 23370 19860 OUS-111 TURP-BT >2cm 31 41740 32110 27290 OUS-112 TURP-BT Fulguration 25 19030 14640 12440 OUS-113 Laproscopic Partial Nephrectomy 113 79950 61500 52280 OUS-114 VEIL u/l 30 37950 29190 24810 OUS-115 VEIL b/l 35 57010 43850 37270 OUS-116 Orchidectomy U/L 21 15610 12010 10210 OUS-117 Orchidectomy B/L 24 18400 14150 12030

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