Billing Sr No Procedure Type Codes Procedure Name Price 1 Ambulance Charges EMA001 Ambulance Base Charges(ACLS) 832 2 Ambulance Charges EMA002 Ambulance Rate(ACLS) 44 3 Ambulance Charges EMA003 Ambulance Waiting Time (after 1st hour) 1,556 4 Ambulance Charges EMA004 Doctors Charges Per hour after 2 hours 886 5 Ambulance Charges EMA005 Oxygen 303 6 Ambulance Charges EMA006 Monitor 303 7 Ambulance Charges EMA007 Ventilator 2,344 8 Ambulance Charges EMA008 Porta Vent (ER) 303 9 Ambulance Charges EMA010 TranscutaneousTemporaryCardiacPacing(Am) 1,426 10 Ambulance Charges EMA015 Splinting 1,556 11 Ambulance Charges EMA017 Foley Catheterization 638 12 Ambulance Charges EMA023 ASSISTED MANUAL VENTILATION(AMBULANCE) 918 13 Ambulance Charges EMA025 Consultant Charges Ambulance 1,556 14 Ambulance Charges EMA206 Ryles Tube Insertion 638 15 Ambulance Charges EMA021 Doctors charges (min 2 hrs) 1,394 16 Ambulance Charges EMA100 Ambulance Base Rate(BLS) 638 17 Ambulance Charges EMA101 Ambulance Rate(BLS) 33 18 Anesthesia ANZ112 Unstable patient management 6,264 19 Anesthesia ANZ113 ACT 141 20 Anesthesia ANZ114 FSBS 141 21 Anesthesia ANZ115 Epidural steroid injection 3,564 22 Anesthesia ANZ093 MD Anesthetist for Ambulance (4 hours) 3,564 23 Anesthesia ANZ094 MD Anesthetist for Ambulance (addl hour) 1,556 24 Anesthesia ANZ095 CODE BLUE 3,564 25 Anesthesia ANZ096 Stand by anaesthes for Diagnostics/other 994 26 Anesthesia ANZ098 GA for ECT 3,564 27 Anesthesia ANZ101 Anesthesia visit for emergency managemen 1,556 28 Anesthesia ANZ099 MAC (Sedation) for cath procedures 2,830 29 Anesthesia ANZ048 Sedation for Nacro Analysis 3,564 30 Anesthesia ANZ049 GA for Cath Lab Procedures 5,400 31 Anesthesia ANZ023 ABG sampling 562 32 Anesthesia ANZ024 I/V cannula on floors 918 33 Anesthesia ANZ025 PCEA (patient controlled epidural anaest 5,400 34 Anesthesia ANZ026 Single shot nerve block 2,333 35 Anesthesia ANZ028 BiPAP initiation 476 36 Anesthesia ANZ029 Daily follow up of BiPAP 476 37 Anesthesia ANZ033 Ryles tube insertion- Anesthesia 638 38 Anesthesia ANZ034 OT charges for C arm use < 30 min 2,560 39 Anesthesia ANZ035 OT charges for C arm use > 30 min 3,845 40 Anesthesia ANZ037 Arterial line placement 2,830 41 Anesthesia ANZ038 PA catheter placement 3,564 42 Anesthesia ANZ039 Patient controlled analgesia 3,564 43 Anesthesia ANZ041 MAC per hr >2 hr 2,333 44 Anesthesia ANZ042 MAC for Diagnostics 3,564 45 Anesthesia ANZ043 General anaesthesia for Diagnostic 5,400 46 Anesthesia ANZ046 MAC for cath lab procedures 5,400 47 Anesthesia ANZ047 Labour epidural for analgesia(CSE/EA) 11,675 48 Anesthesia ANZ052 Anesthesia Charges (Ambulance) 3,564 49 Anesthesia ANZ050 Caudal Injection (Single Shot) 5,400 50 Anesthesia ANZ051 Caudal Anesthesia (Continuous) 11,675 51 Anesthesia ANZ203 Sedation charges fo Endoscopy 216 52 Anesthesia ANZ002 Central Line/PIC line Insertion 3,564 53 Anesthesia ANZ004 Trans Esophageal Echocardiography 3,759 54 Anesthesia ANZ005 Epidural Catheter Insertion 6,264 55 Anesthesia ANZ009 Consultation / PAC 713 56 Anesthesia ANZ012 Intubation and Ventilator Mgmt 2,333 57 Anesthesia ANZ013 Continuous Plexus Block 4,558 58 Anesthesia ANZ016 Intercoastal Nerve Block 2,333 59 Anesthesia ANZ017 Anaesthesia Consultation 713 60 Anesthesia ANZ018 Bronchoscope assistance in anaesthesia 3,564 61 Anesthesia ANZ020 Sedation for dressing 918 62 Anesthesia ANZ054 CT Guided Procedure (GA) 3,564 63 Anesthesia ANZ191 Epidural blood patch 3,564 64 Anesthesia ANZ192 Intra Muscular Stimulation 1,275 65 Anesthesia ANZ092 Epidural blood patch 3,208 66 Anesthesia ANZ110 Femoral vein Acess 1,556 67 Anesthesia ANZ111 Consultation pain management 713 68 Angiography CAG004 Coronary Angiography Investiga 1,318 69 Antenatal Programme GYA1 Antenatal Prg Trim 1 8,414 70 Artficial Limb MSC111 Myoelectric hand with mechanical elbow 534,600 71 Artficial Limb MSC112 Myoelectric hand with electronic elbow 1,188,000 72 Artficial Limb MSC113 Bionic hand 1,425,600 73 Artficial Limb MSC114 Shoulder disarticulation-1 356,400 74 Artficial Limb MSC115 Shoulder disarticulation-2 415,800 75 Artficial Limb MSC116 Shoulder disarticulation-3 457,380 76 Artficial Limb MSC117 Shoulder disarticulation-4 594,000 77 Artficial Limb MSC268 Forearm with gauntlet 1,664 78 Artficial Limb MSC269 Full arm gauntlet with shoulder straps 2,376 79 Artficial Limb MSC207 Tennis Elbow support 443 80 Artficial Limb MSC208 Sling & Swathe 951 81 Artficial Limb MSC209 Clavicle support 832 82 Artficial Limb MSC210 Elbow wrap 357 83 Artficial Limb MSC211 Wrist & thumb support 638 84 Artficial Limb MSC212 shoulder immobilizer 1,145 85 Artficial Limb MSC213 Wrist wrap 562 86 Artficial Limb MSC214 Finger frog splint 173 87 Artficial Limb MSC215 Dynamic Radial palsy splint 2,970 88 Artficial Limb MSC216 Dynamic wrist hand orthosis with finger extension assist 4,752 89 Artficial Limb MSC217 CTEV Splint 1,188 90 Artficial Limb MSC218 Solid ankle AFO 2,376 91 Artficial Limb MSC219 CP AFO 5,940 92 Artficial Limb MSC220 Hip abduction Brace 10,692 93 Artficial Limb MSC221 Pelvic harness 14,256 94 Artficial Limb MSC242 L S Belt custom 4,158 95 Artficial Limb MSC243 Boston Brace 14,256 96 Artficial Limb MSC244 Milwaukee brace 19,008 97 Artficial Limb MSC245 A S H Brace-1 1,188 98 Artficial Limb MSC246 A S H Brace-2 3,564 99 Artficial Limb MSC247 Jewitt-1 4,158 100 Artficial Limb MSC248 Jewitt-2 11,880 101 Artficial Limb MSC249 Jewitt-3 21,384 102 Artficial Limb MSC250 Below knee compression garment-1 2,139 103 Artficial Limb MSC251 Below knee compression garment-2 1,426 104 Artficial Limb MSC253 Below knee compression garment-3 2,376 105 Artficial Limb MSC254 Thigh length compression garment-1 2,970 106 Artficial Limb MSC255 Thigh length compression garment-2 4,158 107 Artficial Limb MSC256 Full length compression garment 4,752 108 Artficial Limb MSC257 Waist height both legs 7,247 109 Artficial Limb MSC258 Waist height one full leg one above knee 6,772 110 Artficial Limb MSC259 Waist height one full leg open pubis 4,990 111 Artficial Limb MSC260 Waist height both above knee 4,634 112 Artficial Limb MSC261 High waist panty with calf 6,534 113 Artficial Limb MSC262 High waist panty above knee 5,703 114 Artficial Limb MSC263 Panty with calf 5,465 115 Artficial Limb MSC264 Panty above knee 4,634 116 Artficial Limb MSC265 Forearm 1,188 117 Artficial Limb MSC266 Full arm 1,782 118 Artficial Limb MSC267 Full arm with shoulder staps 2,139 119 Artficial Limb MSC501 ABOVE KNEE PROSTHESIS PNEUMATIC JOINT 392,040 120 Artficial Limb MSC101 Silicon (cosmetic)finger(partial amputation) 19,008 121 Artficial Limb MSC102 Full finger 21,384 122 Artficial Limb MSC103 Thumb 21,384 123 Artficial Limb MSC104 Partial hand 95,040 124 Artficial Limb MSC105 Cosmetic hand-Below elbow-1 59,400 125 Artficial Limb MSC106 Cosmetic hand-Below elbow-2 106,920 126 Artficial Limb MSC107 Mechanical below elbow-1 95,040 127 Artficial Limb MSC108 Mechanical below elbow-2 118,800 128 Artficial Limb MSC109 Myoelectric hand Below elbow-1 285,120 129 Artficial Limb MSC110 Myoelectric hand Below elbow-2 415,800 130 Artficial Limb MSC122 Below knee-3 47,520 131 Artficial Limb MSC040 Abdominal Binder small width 1,782 132 Artficial Limb MSC159 Ankle wrap-1 713 133 Artficial Limb MSC160 Ankle wrap-2 1,782 134 Artficial Limb MSC161 Ankle wrap-3 5,940 135 Artficial Limb MSC162 Ankle stirrup-1 1,188 136 Artficial Limb MSC163 Ankle stirrup-2 2,970 137 Artficial Limb MSC164 Ankle stirrup-3 8,910 138 Artficial Limb MSC165 AFO-1 594 139 Artficial Limb MSC166 AFO-2 2,376 140 Artficial Limb MSC167 AFO-3 4,158 141 Artficial Limb MSC168 Pneumatic walker-1 8,316 142 Artficial Limb MSC169 Pneumatic walker-2 11,880 143 Artficial Limb MSC170 Pneumatic walker-3 17,820 144 Artficial Limb MSC171 Web Spacer -1 594 145 Artficial Limb MSC172 Web Spacer -2 832 146 Artficial Limb MSC173 Knee Cap-1 713 147 Artficial Limb MSC174 Knee Cap-2 1,782 148 Artficial Limb MSC175 Knee Cap-3 5,346 149 Artficial Limb MSC176 Knee cap with hinges-1 951 150 Artficial Limb MSC177 Knee cap with hinges-2 1,782 151 Artficial Limb MSC178 Knee cap with hinges-3 4,158 152 Artficial Limb MSC179 OA knee Brace-1 11,880 153 Artficial Limb MSC180 OA knee Brace-2 23,760 154 Artficial Limb MSC181 OA knee Brace-3 47,520 155 Artficial Limb MSC270 Vest without sleeves 4,515 156 Artficial Limb MSC271 Vest with full sleeves 6,653 157 Artficial Limb MSC272 Vest with half sleeves 5,703 158 Artficial Limb MSC273 Glove 1,188 159 Artficial Limb MSC274 Facemask 1,426 160 Artficial Limb MSC275 Side open binder extra wide 2,614 161 Artficial Limb MSC276 High waisted shorts type abdominal binder 4,752 162 Artficial Limb MSC277 Below knee stump support-1 2,376 163 Artficial Limb MSC278 Below knee stump support-2 3,564 164 Artficial Limb MSC279 Below knee stump support-3 5,940 165 Artficial Limb MSC280 Above knee stump support-1 4,158 166 Artficial Limb MSC281 Above knee stump support-2 6,534 167 Artficial Limb MSC282 Above knee stump support-3 8,910 168 Artficial Limb MSC283 extra straps 292 169 Artficial Limb MSC284 scrotal support-1 767 170 Artficial Limb MSC285 scrotal support-2 1,188 171 Artficial Limb MSC182 OA knee Brace-4 77,220 172 Artficial Limb MSC183 Elbow crutches-1 1,188 173 Artficial Limb MSC184 Elbow crutches-2 1,782 174 Artficial Limb MSC185 Cast shoe-1 951 175 Artficial Limb MSC186 Cast shoe-2 1,782 176 Artficial Limb MSC187 Cast shoe-3 2,376 177 Artficial Limb MSC188 Finger Splint-1 238 178 Artficial Limb MSC189 Finger Splint-2 713 179 Artficial Limb MSC190 Finger Splint-3 1,426 180 Artficial Limb MSC191 Knuckle bender 951 181 Artficial Limb MSC192 Wrist support custom 4,752 182 Artficial Limb MSC193 Static cock-up splint(Prefabricated) 594 183 Artficial Limb MSC194 Static cock-up splint(custom) 3,564 184 Artficial Limb MSC195 Volkman's turnbuckle splint 1,426 185 Artficial Limb MSC196 Dynamic Cock-up 1,782 186 Artficial Limb MSC197 Elbow Extension /Elbow gaiters-1 3,564 187 Artficial Limb MSC198 Elbow Extension /Elbow gaiters-2 7,128 188 Artficial Limb MSC199 Elbow braces(fixed) 4,158 189 Artficial Limb MSC200 Elbow braces (Turn buckle) 4,158 190 Artficial Limb MSC201 Humerus fracture brace 3,564 191 Artficial Limb MSC202 Dynamic Elbow Flexion Extension orthosis 9,504 192 Artficial Limb MSC203 Mallet finger splint 173 193 Artficial Limb MSC204 Finger cot splint 173 194 Artficial Limb MSC205 Thumb spica 594 195 Artficial Limb MSC206 Wrist & forearm brace 1,404 196 Artficial Limb MSC050 AFO low profile 886 197 Artficial Limb MSC060 Knuckle Bender 951 198 Artficial Limb MSC070 L.S Belt 1,426 199 Artficial Limb MSC090 Cervical collar soft 832 200 Artficial Limb MSC100 Arm Sling 530 201 Artficial Limb MSC080 Knee Immobilizer 886 202 Artficial Limb MSC118 Breast prosthesis-1 9,504 203 Artficial Limb MSC119 Breast prosthesis-2 14,256 204 Artficial Limb MSC120 Below knee-1 118,800 205 Artficial Limb MSC121 Below knee-2 225,720 206 Artficial Limb MSC123 Below knee-4 106,920 207 Artficial Limb MSC124 Above knee-1 201,960 208 Artficial Limb MSC125 Above knee-2 361,152 209 Artficial Limb MSC126 Above knee-3 415,800 210 Artficial Limb MSC127 Above knee-4 535,194 211 Artficial Limb MSC128 Above knee-5 831,600 212 Artficial Limb MSC129 Above knee-6 1,188,000 213 Artficial Limb MSC130 Hip Articulation-1 297,000 214 Artficial Limb MSC131 Hip Articulation-2 415,800 215 Artficial Limb MSC132 Hip Articulation-3 950,400 216 Artficial Limb MSC133 Foot Orthotics diabetic-1 3,564 217 Artficial Limb MSC134 Foot Orthotics diabetic-2 5,940 218 Artficial Limb MSC135 Foot Orthotics diabetic-3 9,504 219 Artficial Limb MSC136 Foot orthotics functional-1 4,752 220 Artficial Limb MSC137 Foot orthotics functional-2 9,504 221 Artficial Limb MSC138 Supra malleolar orthoses-1 2,970 222 Artficial Limb MSC139 Supra malleolar orthoses-2 4,752 223 Artficial Limb MSC140 AFO-1 3,564 224 Artficial Limb MSC141 AFO-2 4,158 225 Artficial Limb MSC142 AFO-3 7,128 226 Artficial Limb MSC13 AFO-4 8,316 227 Artficial Limb MSC144 FRO-1 3,564 228 Artficial Limb MSC145 FRO-2 5,940 229 Artficial Limb MSC027 Taylors Brace 2,376 230 Artficial Limb MSC028 Chest Binder 1,188 231 Artficial Limb MSC029 ASH Brace 1,188 232 Artficial Limb MSC030 BL Elbow Crutches 1,188 233 Artficial Limb MSC146 KAFO-1 14,256 234 Artficial Limb MSC147 KAFO-2 29,700 235 Artficial Limb MSC148 KAFO-3 53,460 236 Artficial Limb MSC149 HKFO-1 23,760 237 Artficial Limb MSC150 HKFO-2 53,460 238 Artficial Limb MSC151 Hip Abduction Brace-1 10,692 239 Artficial Limb MSC152 Hip Abduction Brace-2 16,632 240 Artficial Limb MSC153 Tibial Brace-1 14,256 241 Artficial Limb MSC154 Tibial Brace-2 4,752 242 Artficial Limb MSC155 Tibial Brace-3 9,504 243 Artficial Limb MSC156 Knee Brace-1 4,752 244 Artficial Limb MSC157 Knee Brace-2 9,504 245 Artficial Limb MSC158 Thigh brace 3,564 246 Artficial Limb MSC224 Cervical Collar (soft) 832 247 Artficial Limb MSC225 Cervical Collar 1,782 248 Artficial Limb MSC226 Philadelphia Collar(prefabricated) 1,070 249 Artficial Limb MSC227 Philadelphia Collar-1 1,782 250 Artficial Limb MSC228 Philadelphia Collar-2 4,158 251 Artficial Limb MSC229 Custom cervical collar-1 2,970 252 Artficial Limb MSC230 Custom cervical collar-2 5,346 253 Artficial Limb MSC231 Miami J collar 14,256 254 Artficial Limb MSC232 Halo Brace-1 178,200 255 Artficial Limb MSC233 Halo Brace-2 23,760 256 Artficial Limb MSC234 APTLSO-1 14,256 257 Artficial Limb MSC235 APTLSO-2 9,504 258 Artficial Limb MSC236 TLSO-1 5,940 259 Artficial Limb MSC239 LSO-2 7,128 260 Artficial Limb MSC238 LSO-1 4,158 261 Artficial Limb MSC240 Abdominal Binder 1,782 262 Artficial Limb MSC241 L S Belt XXL 1,782 263 ASCC OHA09 1st Evalutation (Indian) 1,080 264 ASCC OHA016 Session charges 60 mins sc (INT) 1,269 265 ASCC OHA117 1st Evalutation 45 min 2,106 266 ASCC OHA018 Re Evalutation 30 min Int 1,782 267 ASCC OHA019 Regular home visit 1,134 268 ASCC OHA021 Sneh consult home visit charges 1,782 269 ASCC OHA022 Dr. Snenal home visit charges 2,970 270 ASCC OHA023 Home program 1month (with video) 6,426 271 ASCC OHA024 home program 3month (with video) 17,118 272 ASCC OHA025 home program 3month (without video) 9,126 273 ASCC OHA026 home program 6month (with video) 23,490 274 ASCC OHA045 Home program 1month (withot video) 4,158 275 ASCC OHA027 home program 1month (with video) INT 11,394 276 ASCC OHA028 home program 3month (with video) INT 19,926 277 ASCC OHA029 home program 6month (with video) INT 33,750 278 ASCC OHA046 5 Session 30 min 1,502 279 ASCC OHA047 10 Session 30 min 2,949 280 ASCC OHA048 20 Session 30 min 5,703 281 ASCC OHA01 Session Charges half hour(Indian) 324 282 ASCC OHA02 Session Charges one hour(Indian) 540 283 ASCC OHA03 Session Charges SC 30 min (Indian) 486 284 ASCC OHA04 Session Charges 60 mins SC (Indian) 864 285 ASCC OHA06 Session Charges 30 mins(INT) 486 286 ASCC OHA08 Session Charges 60 mins(INT) 859 287 ASCC OHA012 5 session 30 min (INT) 2,252 288 ASCC OHA013 10 Session pkg charges (INT) 4,423 289 ASCC OHA014 20 Session 30 min (INT) 8,554 290 ASCC OHA015 Session Charges 30 mins SC(INT) 729 291 ASCC OHA35 5 Session 60 min INT 3,975 292 ASCC OHA034 10 Session 60 min INT 7,814 293 ASCC OHA033 20 Session 60 min INT 15,110 294 ASCC OHA030 5 Session 60 min 2,501 295 ASCC OHA031 10 Session 60 min 4,914 296 ASCC OHA032 20 Session 60 min 9,504 297 ASCC OHA011 Re Evalution (Indian) 945 298 Auto Immunology LBN001 Immunoglobulin IgG-CSF 1,500 299 Auto Immunology LBN003 Immunoglobulin Profile-CSF 13,500 300 Auto Immunology LBN030 Anti Phospholipid Antibody (IgG+IgM) 1,400 301 Auto Immunology LBN031 Antineutrophil Cytoplasmic Ab,IFA Dilu 3,500 302 Auto Immunology LBN032 Immunoglobulin IgM-CSF 6,000 303 Auto Immunology LBN033 Tissue Transglutaminase Antibody,IgA 1,100 304 Auto Immunology LBN006 Antinuclear Antibodies-ANA/ANF, IFA- Scr 1,600 305 Auto Immunology LBN008 ANCA Ab,IFA 1,800 306 Auto Immunology LBN007 Antinuclear Antibodies-ANA/ANF, IFA- Dil 3,000 307 Auto Immunology LBN009 Antinuclear antibodies-ANA/ANF, -EIA 800 308 Auto Immunology LBN010 Anti Thyroid Peroxidase Antibody 1,300 309 Auto Immunology LBN012 Anti Smooth Muscle Ab, IFA 1,800 310 Auto Immunology LBN013 Antithyroglobulin Antibody 1,300 311 Auto Immunology LBN015 Anti Cardiolipin Antibody-IgA,Serum 900 312 Auto Immunology LBN016 Anti-CCP Antibody 1,900 313 Auto Immunology LBN017 Anti ds DNA Antibody 1,100 314 Auto Immunology LBN018 Anti DNase B Anti Deoxyribonuclease B 1,300 315 Auto Immunology LBN019 Antiendomysial Antibody IgA ,IFA 1,800 316 Auto Immunology LBN020 Antiendomysial Antibody IgA In Dil 3,500 317 Auto Immunology LBN021 Antibodies To Etractable Nuclear Antigen 4,300 318 Auto Immunology LBN022 Anti Gliadin Antibody ,IgA, Eia 1,800 319 Auto Immunology LBN023 Anti Gliadin Antibody ,IgG,Eia 1,800 320 Auto Immunology LBN024 Antibodies To SS-A/RO 1,400 321 Auto Immunology LBN027 Immunoglobulin profile serum,IgG, IgA,I 1,100 322 Auto Immunology LBN028 Antibodies To Jo1 1,400 323 Auto Immunology LBE043 Insulin Antibodies 2,100 324 Auto Immunology LBN005 Anti Gastric Parietal Antibodies 1,500 325 Auto Immunology LBN037 ANCA-MPO/ p-ANCA 1,700 326 Auto Immunology LBN038 lmmunoglobulin lgE-Total Serum 1,000 327 Auto Immunology LBN041 lmmunoglobulin lgM-Serum 500 328 Auto Immunology LBN042 Antibodies To PM1(Polymyositis Associate 7,300 329 Auto Immunology LBN043 Antibodies To Ss-B/La 1,400 330 Auto Immunology LBN045 Intrinsic Factor Antibody 7,800 331 Auto Immunology LBN047 Rheumatoid Factor Test 500 332 Auto Immunology LBN048 c-ANCA,Serin Proteinase 3 Antibodies (EI 1,800 333 Auto Immunology LBN057 Antithyroid Antibody Panel 2,700 334 Auto Immunology LBN090 Immunoglobulin IgD & IgE Typing serum 7,500 335 Auto Immunology LBN80 Liver Kidney Microsomal Antibody,IFA 1,800 336 Auto Immunology LBN81 Liver Kidney Microsomal Antibody Dilutio 3,200 337 Auto Immunology LBN02 Immunoglobin IgA 400 338 Auto Immunology LBN64 Anti Cardiolipin Antibodies Panel IgA,Ig 2,500 339 Auto Immunology LBN058 Antimitochondrial Antibody,IFA 1,800 340 Auto Immunology LBN059 Antimitochondrial Antibody,In Dilution 3,000 341 Auto Immunology LBN65 Anti-Single Stranded DNA Antibody 2,500 342 Auto Immunology LBN061 Sjoghren's Syndrome Antibodies 2,900 343 Auto Immunology LBN62 Anti cardiolipin antibody IgG, SERUM 900 344 Auto Immunology LBN63 Anti cardiolipin antibody IgM, SERUM 900 345 Auto Immunology LBN48 Extractable Nuclear Antigen(ENA) Quantitative 6,200 346 Auto Immunology LBN31 Anti Neuromyelitis OPTICA (NMO Antibodie 8,000 347 Auto Immunology LBN091 Anti ds DNA Antibody CRITHIDIA IFA 1,700 348 Auto Immunology LBN110 Immunoglobulin IgG 400 349 Auto Immunology LBN15 Anti Glomerular Basement Membrane AB-IFA 1,575 350 Auto Immunology LBN101 Food Allergy From Veg Food 6,200 351 Auto Immunology LBN102 Food Allergy From Non-veg food 1,600 352 Auto Immunology LBN103 Inhalant Allergy With Contact Allergy 1,300 353 Auto Immunology LBN104 Drug Allergy 2,000 354 Auto Immunology LBN105 Veg Profile(Veg food+NonVeg Food) 3,900 355 Auto Immunology LBN106 Veg Profile(Veg food+Inhalant) 2,800 356 Ayurveda AYR001 Abhayangam- keraliya ayurvedic massage 2,560 357 Ayurveda AYR023 Shiropada- deeply relaxing head and foot 2,279 358 Ayurveda AYR003 Sarvanga Swedana- Whole body steam treat 767 359 Ayurveda AYR004 Shirodhara- Deep relaxation therapy 2,981 360 Ayurveda AYR005 Pizhichil- Medicated Oil Bath 3,975 361 Ayurveda AYR006 Udvartana- Anti obesity massage 3,413 362 Ayurveda AYR007 Patra Pottali Sweda- (Local) Leaf bundle 1,977 363 Ayurveda AYR008 Nasya- Nasal rejuvenating therapy 1,696 364 Ayurveda AYR009 Shiroabhyanga-Rejuvenative head and shol 713 365 Ayurveda AYR010 Takradhara /Ksheera dhara - Medicated de 2,560 366 Ayurveda AYR011 Shirovasti/ Pichu - Medicated oil/ med 1,977 367 Ayurveda AYR012 Podikizhi/ Shastika Pinda Sweda/ Navara 3,975 368 Ayurveda AYR013 Netra Tarpan- Eye soothing & nourishing 1,134 369 Ayurveda AYR014 Karna Pooran,Kavala & Gandush- Cleansing 2,560 370 Ayurveda AYR015 Mukhalepan-Herbal Face therapy. 2,560 371 Ayurveda AYR016 Vasti- Excellent Ayurveda enema therap 1,696 372 Ayurveda AYR017 Uttar Vasti- Special enema for females 1,977 373 Ayurveda AYR018 Kati/ Hridya/Chakra/Greeva/Ansh Vasti- 1,696 374 Ayurveda AYR019 Marma massage - soothing and replenishi 3,122 375 Ayurveda AYR020 Aroma massage & Compresses- relaxing and 2,560 376 Ayurveda AYR021 OshadhiTreatment-Cocoon 4,277 377 Ayurveda AYR022 Shiroabhyanganasya Sense organs rejuv 2,560 378 Ayurveda AYR002 Swedish massage 2,279 379 Bed Charges EM003 ER Triage Charges 600 380 Bed Charges EM0_01 ER Bed Charges < 2 hrs 292 381 Bed Charges EM0_02 ER Bed Charges after 2 hrs 292 382 Bed Charges OHB001 Chemotherapy Bed Charges < 30 minutes 378 383 Bed Charges OHB002 Chemotherapy Bed Charges 30min to 4hrs 1,286 384 Bed Charges OHB003 Chemotherapy Bed Charges > 4 hrs 1,944 385 Bed Charges OHB004 Daycare Bed Charges up to 3 hours 1,199 386 Bed Charges OHB005 Daycare Bed Charges upto 8 hours 2,500 387 Biochemistry LBB014 Bilirubin, Direct 150 388 Biochemistry LBB015 Bilirubin, Total 150 389 Biochemistry LBB016 Beta-2 Microglobulin,serum 1,200 390 Biochemistry LBB017 Blood Urea Nitrogen, Serum 150 391 Biochemistry LBB018 Calcium; After Calcium Infusion Test 200 392 Biochemistry LBB019 Calcium - Ionized 500 393 Biochemistry LBB020 Calcium - Total 200 394 Biochemistry LBB021 Cholesterol-Total, Serum 150 395 Biochemistry LBB022 Chloride; Blood 250 396 Biochemistry LBB023 Creatine, MB Fraction 500 397 Biochemistry LBB024 Bicarbonate 250 398 Biochemistry LBB025 CK (CPK) - Total 300 399 Biochemistry LBB026 Creatinine - Serum 150 400 Biochemistry LBB028 Glutamyltransferase, Gamma (GGT) 250 401 Biochemistry LBB029 HDL Choleterol-Direct Measurement 200 402 Biochemistry LBB030 Iron - Serum 300 403 Biochemistry LBB031 Phosphorus, Serum 200 404 Biochemistry LBB032 Lipase 1,100 405 Biochemistry LBB033 Lactate (Lactic Acid) 1,100 406 Biochemistry LBB034 Lactate Dehydrogenase (LD), (LDH); 500 407 Biochemistry LBB035 LDL Cholesterol - Direct Measurement 400 408 Biochemistry LBB004 Glucose -Body Fluid 150 409 Biochemistry LBB005 Creatinine Clearance Test 600 410 Biochemistry LBB006 Glucose Test - 2Hr Pp 150 411 Biochemistry LBB007 Glucose - Random 150 412 Biochemistry LBB008 Alkaline Phosphatase 250 413 Biochemistry LBB009 SGPT / ALT 200 414 Biochemistry LBB010 Ammonia 1,200 415 Biochemistry LBB011 Amylase 500 416 Biochemistry LBB012 Acid Phosphatase, Total 250 417 Biochemistry LBB013 SGOT / AST 200 418 Biochemistry LBB037 Magnesium 700 419 Biochemistry LBB038 Osmolality, Blood 900 420 Biochemistry LBB039 Potassium, Serum 250 421 Biochemistry LBB040 Sodium,Serum 250 422 Biochemistry LBB041 Total Iron Binding Test 500 423 Biochemistry LBB042 Triglycerides 300 424 Biochemistry LBB043 Uric Acid,Blood 200 425 Biochemistry LBB044 VLDL Cholesterol - Direct Measurement 300 426 Biochemistry LBB045 Blood Urea Nitrogen , Urine 300 427 Biochemistry LBB046 Calcium In Urine 300 428 Biochemistry LBB047 Creatinine - Other Source 150 429 Biochemistry LBB048 Phosphorus, Urine 300 430 Biochemistry LBB049 Microalbumin, Quantitative 700 431 Biochemistry LBB050 Osmolality ,Urine 900 432 Biochemistry LBB051 Potassium, Urine 250 433 Biochemistry LBB052 Sodium, Urine 400 434 Biochemistry LBB053 Chloride,Urine 400 435 Biochemistry LBB054 Glycosylated Hemoglobin Test (A1C) 900 436 Biochemistry LBB073 Chemistry 7 900 437 Biochemistry LBB074 BUN/Creatinine Ratio 300 438 Biochemistry LBB075 Protein, Urine 400 439 Biochemistry LBB076 Uric Acid, Urine 400 440 Biochemistry LBB077 Protein-24hrs Urine 400 441 Biochemistry LBB078 Creatinine-24hrs Urine 300 442 Biochemistry LBB081 Diabetic Panel 2,300 443 Biochemistry LBB082 Oncology Prifile 2,200 444 Biochemistry LBB057 GTT-3 Samples 300 445 Biochemistry LBB060 Albumin, Serum 150 446 Biochemistry LBB061 Transferrin 1,400 447 Biochemistry LBB062 Rheumatoid Factor, Quantantative 600 448 Biochemistry LBB063 Liver Function Test 900 449 Biochemistry LBB064 Renal Function Test 1,000 450 Biochemistry LBB065 Lipid Profile 1,000 451 Biochemistry LBB066 Cardiac Enzymes 1,100 452 Biochemistry LBB067 Blood Glucose-Fasting 150 453 Biochemistry LBB068 Bone Profile 500 454 Biochemistry LBB070 Manganese Serum 2,500 455 Biochemistry LBB071 Electrolytes, Serum 500 456 Biochemistry LBB072 Cardiac Enzymes1 3,000 457 Biochemistry LBB072 Cardiac Enzymes1 3,000 458 Biochemistry LBB0062 Protein, Serum 250 459 Biochemistry LBB085 Chemistry 10 1,900 460 Biochemistry LBB086 Basic PreOperative Panel 4,300 461 Biochemistry LBB088 Extended PreOperative Panel 5,000 462 Biochemistry LBB089 Haemodialysis profile 1,400 463 Biochemistry LBB090 Glucose Challange Test(GCT) 150 464 Biochemistry LBB291 Protein Body Fluid 400 465 Biochemistry LBB120 LIPID PROFILE (EXTENDED) 2,300 466 Biochemistry LBB93 BONE-SPECIFIC ALKALINE PHOSPHATE(BSAP) 4,000 467 Biochemistry LBB94 ALKALINE PHOSPHATE ISOENZYME 4,000 468 Biochemistry LBB100 Manganese- 24 hours urine 2,500 469 Biochemistry LBB131 CRP Quantitative 800 470 Biochemistry LBB097 Cystatin C 1,000 471 Biochemistry LBB98 Oxalate, 24 Hour Urine 1,800 472 Biochemistry LBB97 Citrate, 24 Hour Urine 1,100 473 Biochemistry LBB7 Chem-7 Extened Panel 3,200 474 Biochemistry LBB198 Amiodarone 5,100 475 Biochemistry LBB00165 HDL:LDL 0 476 Biochemistry LBB197 Chemo-Profile 2,100 477 Biochemistry LBB91 Albumin, body fluids 200 478 Biochemistry LBB92 C-Reactive Protien Hs 900 479 Biochemistry LBB123 GTT – 4 samples 500 480 Biochemistry LBB124 GTT - 5 samples 600 481 Biochemistry LBB125 Gestational GTT 500 482 Biochemistry LBB099 Creatinine, urine 300 483 Biochemistry LBB098 Microalbumin - creatinine ratio 1,100 484 Biochemistry LBB191 Mucopolysaccharidosis(MPS) Screen, Urine 500 485 Biochemistry LBB192 Mucopolysaccharidosis(MPS)Typing 24 HrUr 4,000 486 Biochemistry LBB091 Adenosine Deaminase (ADA) 600 487 Biochemistry LBB106 GTT 6 sample 600 488 Biochemistry LBB107 GTT 7 samples 700 489 Biochemistry LBB297 Renal Function Test 2 1,400 490 Biochemistry LBB298 Protein creatinine ratio –urine 700 491 Biochemistry LBB10 Small dense LDL (SdLDL) 2,350 492 Biochemistry LBB202 Creatinine Serum (STAT) 200 493 Biochemistry LBB203 Blood Urea Nitrogen Serum (STAT) 200 494 Biochemistry LBB094 Magnesium-Randon /24 Hour Urine 600 495 Blood Bank LBT101 Single blood bags for Autologous blood 141 496 Blood Pressure MonitorinCDA001 Ambulatory Blood Pressure Monitoring 2,916 497 Bone Densitometry RDB001 Bone Densitometry (X Ray Based 3,500 498 Bone Densitometry RDB002 Bone Densitometry Whole Body( 5,300 499 Bone Densitometry RDB003 Bone Densitometry(single site) 2,600 500 Brachytherapy RAB083 BRACHYTHERAPY OT PROCEDURE 8,250 501 Brachytherapy RAB18 Brachytherapy Delivery Interstitial 38,016 502 Brachytherapy RAB076 Brachytherapy planning Intraoperative 11,880 503 Brachytherapy RAB076 Brachytherapy planning Intraoperative 11,880 504 Brachytherapy RAB077 Brachytherapy Delivery Intracavitary 19,008 505 Brachytherapy RAB073 Brachytherapy planning Intracavitary 2,376 506 Brachytherapy RAB074 Brachytherapy planning Intracavitary 4,752 507 Brachytherapy RAB075 Brachytherapy planning Interstitial 9,504 508 Brachytherapy RAB012 Prostate Seed Brachytherapy (Pe 79,189 509 Brachytherapy RAB008 Brachytherapy Delivery Intraoperative 47,520 510 Brachytherapy RAB011 Prostate Seed Brachytherapy (Pr 6,600 511 Brachytherapy RAB013 Postate Seed Brachytherapy (Po 13,189 512 Brachytherapy RAB014 Postate Seed Brachytherapy (Co 527,945 513 Breast Clinic BCA007 Incision Of Breast Lesion 14,672 514 Breast Clinic BCP011 Ultrasound Guided Abscess Aspiration(Sub 3,564 515 Breast Clinic BCA010 Nipple Exploration 14,672 516 Breast Clinic BCA011 Excision Of Breast Duct Fistul 14,672 517 Breast Clinic BCA015 Partial Mastectomy 22,810 518 Breast Clinic BCA016 Partial Mastectomy With Lymph 29,938 519 Breast Clinic BCA017 Mastectomy Simple ,Complete 22,810 520 Breast Clinic BCA020 Mastectomy , Modified Radical 29,938 521 Breast Clinic BCA021 Correct Inverted Nipple(S) 14,672 522 Breast Clinic BCA022 Biopsy/Removal,Lymph Nodes 22,810 523 Breast Clinic BCP300 Axiliary Clearance 18,533 524 Breast Clinic BCA301 Excision, breast lesion (large) 22,810 525 Breast Clinic BCA302 Excision.brest lesion(small) 11,679 526 Breast Clinic BCP80 Mini I & D Breast 4,574 527 Breast Clinic BCA080 Wire guided excision 29,938 528 Breast Clinic BCA081 Subcutaneos/ NippleSparing Mastectomy+Ax 29,938 529 Breast Clinic BCP003 Drainage Of Breast Lesion(1St Session) ( 2,852 530 Breast Clinic BCP004 Drainage Of Breast Lesion(Subsequent Ses 2,852 531 Breast Clinic BCP008 Biopsy Breast Percutaneous Without Image 3,564 532 Breast Clinic BCP009 Biopsy Breast Percutaneous With Image (U 4,562 533 Breast Clinic BCP010 Ultrasound Guided Abscess Aspiration(1St 4,574 534 Cariology CDG012 FFR Procedure 12,100 535 Cariology CDG01 Transthoracic Echocardiography 3D 3,909 536 Cariology CDG002 IABP Insertion 7,974 537 Cariology CDG015 Angio Cardio Fee 6,498 538 Cariology CDG019 Angioplasty Cardio fee 23,232 539 Cariology CDC010 Contrast Echo 2,953 540 Cariology CDG005 Cardiac Monitoring (per day) 1,622 541 Cariology CDG011 Carto Mapping 121,000 542 Cath Lab CAR001 Atrial Septostomy 71,280 543 Cath Lab CAG002 Coronary Angiography ( Day Care ) 13,189 544 Cath Lab CAR002 Transcatheter Closure of Paten 85,536 545 Cath Lab CAR003 Transcatheter Closure Of Atrial Septal D 85,536 546 Cath Lab CAR004 Transcatheter Closure Of Ventricular Sep 85,536 547 Cath Lab CAR010 Transvenous Temporary Cardiac Pacing 10,692 548 Cath Lab CAR012 PERCUTANEOUS EMBOLIZATION 19,246 549 Cath Lab CAV001 Balloon Valvotomy (Incl Catheterization) 92,664 550 Cath Lab CAV002 Balloon Valvotomy 71,280 551 Cath Lab CAG003 Coronary Angiography ( Follow Up ) 7,841 552 Cath Lab CAP004 Pacemaker Insertion- Temporary 8,554 553 Cath Lab CAA001 Coronary Angioplasty Simple 118,800 554 Cath Lab CAE001 Electrophysiologic Study Basic 15,682 555 Cath Lab CAE002 Electrophysiologic study Stimu 28,512 556 Cath Lab CAE003 Electrophysiology Study Intra 28,512 557 Cath Lab CAG001 Coronary Angiography 23,089 558 Clinical Pathology LBP003 Stool Examination Routine 300 559 Clinical Pathology LBP004 Occult Blood, stool 200 560 Clinical Pathology LBP013 Urine Pregnancy Test 300 561 Clinical Pathology LBP014 Urine Routine Analysis 200 562 Clinical Pathology LBP80 BILE SALT (URINE) 150 563 Clinical Pathology LBP81 BILE PIGMENT (URINE) 150 564 Clinical Pathology LBP101 Semen Fructose 300 565 Clinical Pathology LBP091 Hemoglobin Free Urine 250 566 Clinical Pathology LBP91 CHYLE EXAMINATION (RANDOM URINE) 600 567 Clinical Pathology LBP62 Urine Glucose 150 568 Clinical Pathology LBP61 Urine Ketone 150 569 Clinical Pathology LBP93 Urine Protein (Qualitative) 150 570 Clinical Pathology LBP94 Urine Albumin (Qualitative) 150 571 Clinical Pathology LBP60 Bence Jones Protein 700 572 Clinical Pathology LBP021 Ph, Urine 150 573 Clinical Pathology LBP018 Stool for pH & Reducing substances 200 574 Clinical Pathology LBP019 Stool for Hanging Drop Preparation 200 575 Coagulation LBG007 Factor II - Functional 7,500 576 Coagulation LBG008 Factor V, Functional 3,000 577 Coagulation LBG009 Factor VII functional 3,300 578 Coagulation LBG011 Factor IX functional 1,800 579 Coagulation LBG012 Fibrinogen -Clotting Activity 700 580 Coagulation LBG013 Fibrin Degradation Products (FDP) Semi Q 1,000 581 Coagulation LBG014 PT - INR / Prothrombin Time 500 582 Coagulation LBG015 Von Willibrand factor antigen 11,300 583 Coagulation LBG016 Protein C, Antigen 12,000 584 Coagulation LBG017 Protein C , functional 4,000 585 Coagulation LBG019 Protein S, Functional 3,000 586 Coagulation LBG020 Protein S, Antegen 14,000 587 Coagulation LBG022 TT - Thrombin Time, Plasma 800 588 Coagulation LBG001 Factor VIII studies 1,500 589 Coagulation LBG002 Antithrombin III, Functional 2,500 590 Coagulation LBG005 Factor XI (Functional) 3,300 591 Coagulation LBG006 Factor XIII (Functional) 400 592 Coagulation LBG003 Ristocetin Cofactor 20,500 593 Coagulation LBG004 FactorX functional 4,800 594 Coagulation LBG023 Factor XII (Functional) 3,300 595 Coagulation LBG025 Clotting Time 100 596 Coagulation LBG027 D-dimer, semiquantitative 1,200 597 Coagulation LBG028 Bleeding Time Test 150 598 Coagulation LBG033 Prothrombin time (PT) with INR 500 599 Coagulation LBG034 Activated partial thromboplas time(APTT) 700 600 Coagulation LBG21 FACTOR V LEIDEN MUTATION ANALYSIS 5,000 601 Coagulation LBG095 THROMBOPHILIA PROFILE 15,000 602 Coagulation LBG035 Lupus Anticoagulant Panel 2,500 603 Coagulation LBG20 Activated Protein C-Resistance (APCR) 3,700 604 Coagulation LBG058 Platelet Antibodies (Direct & Indirect) 20,000 605 Consultation COC15 Consultation Charges 540 606 Consultation COC15 Consultation Charges 540 607 Consultation COC15 Consultation Charges 540 608 Consultation COC15 Consultation Charges 540 609 Consultation COC15 Consultation Charges 540 610 Consultation COC15 Consultation Charges 540 611 Consultation COC15 Consultation Charges 540 612 Consultation COC15 Consultation Charges 540 613 Consultation COC15 Consultation Charges 540 614 Consultation COC15 Consultation Charges 540 615 Consultation COC1 Follow Up Outpatient Visit 324 616 Consultation COC2 New Outpatient Visit 324 617 Consultation COC805 Night Charges Medical Officer 2,160 618 Consultation COC806 Day Charges Speacialist 2,160 619 Consultation COC807 Day Charges Medical officer 1,080 620 Consultation COC447 Dr. Ashutosh Gupta 810 621 Consultation COC0100 Cycle Monitoring IUI cycle 2,916 622 Consultation COC800 Ante Natal Follow Up 1,545 623 Consultation COC120 Anaesthesia Consult Pkg for RT 1 Week 2,916 624 Consultation COC121 Anaesthesia Consult Pkg for RT 2 Week 5,400 625 Consultation COC122 Anaesthesia Consult Pkg for RT 3 Week 8,100 626 Consultation COC123 Anaesthesia Consult Pkg for RT 4 Week 10,800 627 Consultation COC124 Anaesthesia Consult Pkg for RT 6 Week 16,200 628 Consultation COC125 Anaesthesia Consult Pkg for RT 5 Week 13,500 629 Consultation COC102 ECHS consult charges 66 630 Consultation COC071 Radiation Theraphy Consult Charges 3,500 631 Consultation COC072 Palliative Consult Charges 2,160 632 Consultation COC090 Dietetics Visit 500 633 Consultation COC090 Dietetics Visit 500 634 Consultation COC090 Dietetics Visit 500 635 Consultation COC090 Dietetics Visit 500 636 Consultation COC090 Dietetics Visit 500 637 Consultation COC53 PAC VISIT 1,000 638 Consultation COC53 PAC VISIT 500 639 Consultation COC53 PAC VISIT 1,000 640 Consultation COC53 PAC VISIT 1,200 641 Consultation COC53 PAC VISIT 500 642 Consultation COC53 PAC VISIT 500 643 Consultation COC16 IP visit/consult 2,600 644 Consultation COC16 IP visit/consult 1,100 645 Consultation COC16 IP visit/consult 1,000 646 Consultation COC16 IP visit/consult 1,000 647 Consultation COC16 IP visit/consult 1,000 648 Consultation COC16 IP visit/consult 1,000 649 Consultation COC16 IP visit/consult 1,000 650 Consultation COC16 IP visit/consult 900 651 Consultation COC16 IP visit/consult 900 652 Consultation COC16 IP visit/consult 600 653 Consultation COC16 IP visit/consult 800 654 Consultation COC16 IP visit/consult 1,000 655 Consultation COC16 IP visit/consult 1,300 656 Consultation COC16 IP visit/consult 1,100 657 Consultation COC16 IP visit/consult 1,100 658 Consultation COC16 IP visit/consult 2,100 659 Consultation COC16 IP visit/consult 600 660 Consultation COC09 Neonatalogist Visit 1,600 661 Consultation COC09 Neonatalogist Visit 800 662 Consultation COC09 Neonatalogist Visit 500 663 Consultation COC09 Neonatalogist Visit 1,600 664 Consultation COC09 Neonatalogist Visit 800 665 Consultation COC32 Optrimetric Visit - Pkg 324 666 Consultation COC33 Endocrine Consult - Pkg 324 667 Consultation COC34 Dietician Consult - Pkg 324 668 Consultation COC36 Gynae Consult - Pkg 432 669 Consultation COC38 Home Visit- by Specialist 2,160 670 Consultation COC39 VC Visit 324 671 Consultation COC41 Internal Medicine Consultation(PKG) 0 672 Consultation COC090 Dietetics Visit 300 673 Consultation COC090 Dietetics Visit 400 674 Consultation COC090 Dietetics Visit 500 675 Consultation COC090 Dietetics Visit 500 676 Consultation COC090 Dietetics Visit 500 677 Consultation COC090 Dietetics Visit 800 678 Consultation COC090 Dietetics Visit 1,000 679 Consultation COC820 Camp Diet consult Charges 108 680 Consultation COC66 Angiography Cardio Fee 5,282 681 Consultation COC67 Angioplasty Cardio Fee 19,203 682 Consultation COC804 Night Charges for Speacialist 4,320 683 Consultation COC134 Charitable OPD 324 684 Consultation COC22 ER Consult Dwarka 270 685 Consultation COC129 Diabetic Foot 1,080 686 Consultation COC130 Orthotics & Prosthetics 324 687 Consultation COC18 Non ER Emergency Consultation 540 688 Consultation COC21 ER Consult 600 689 Consultation COC58 Pulmonology Consult 540 690 Consultation COC24 LDRP Consult 1,080 691 Consultation COC24 LDRP Consult 1,000 692 Consultation COC25 Visit 0 693 Consultation COC26 AMP Visit 54 694 Consultation COC27 Specialist Visit 54 695 Consultation COC27 Specialist Visit 54 696 Consultation COC036 Physio Session 540 697 Consultation COC171 Lactation Consultant 810 698 Consultation COC143 Primary HDU visit 972 699 Consultation COC144 Secondary HDU visit 1,100 700 Consultation COC142 Primary ICU visit 1,296 701 Consultation COC141 secondary ICU visit 1,300 702 Consultation COC53 PAC VISIT 500 703 Consultation COC53 PAC VISIT 1,000 704 Consultation COC53 PAC VISIT 1,000 705 Consultation COC53 PAC VISIT 2,000 706 Consultation COC53 PAC VISIT 700 707 Consultation COC53 PAC VISIT 800 708 Consultation COC53 PAC VISIT 2,500 709 Consultation COC53 PAC VISIT 1,000 710 Consultation COC53 PAC VISIT 1,000 711 Consultation COC53 PAC VISIT 1,000 712 Consultation COC53 PAC VISIT 500 713 Consultation COC53 PAC VISIT 750 714 Consultation ENS001 Speech Consultation 540 715 Consultation ER1_BED Emergency Bed Charges 249 716 Consultation GYN329 Obstetrician Fees LSCS 40,000 717 Consultation GYN329 Obstetrician Fees LSCS 30,000 718 Consultation GYN329 Obstetrician Fees LSCS 20,000 719 Consultation GYN329 Obstetrician Fees LSCS 18,000 720 Consultation GYN329 Obstetrician Fees LSCS 11,000 721 Consultation GYN329 Obstetrician Fees LSCS 9,000 722 Consultation GYN328 Obstetrician fees (Normal) 2,798 723 Consumables PAINM01 INTRAATICULAR INJECTION 2,063 724 Consumables PHC656 UGI endoscopy consummables 1,026 725 Consumables PHC657 Colonoscopy consummable 1,296 726 Consumables PHC658 ERCP consummable 2,052 727 Consumables PHO652 Povidone Iodine Scrub 500ml 577 728 Consumables PHO653 Povidone Iodine 500ml 256 729 Consumables PHO639 PRONE HEAD REST EL-141 (TRULIFE) 216 730 Consumables PHO640 PRONE POSITIONER EL-903 (TRULIFE) 216 731 Consumables PHC1 Pharmacy Consumables 5.25% 1 732 CT RDC419 CT Dental Lower Jaw 1,000 733 CT RDC520 CT Entrography 9,900 734 CT RDC092 CT Right / Left Arm with contrast 7,600 735 CT RDC093 CT Right / Left Arm without contrast 5,400 736 CT RDC097 CT Right / Left forearm with contrast 7,200 737 CT RDC099 CT Right / Left forearm without contrast 5,400 738 CT RDC100 CT Right / Left Hand with contrast 7,600 739 CT RDC101 CT Right / Left Hand without contrast 5,400 740 CT RDC104 CT Right / Left Thigh with contrast 7,600 741 CT RDC521 CT Neck, chest, abdomen & pelvis with contrast (onco 15,000 742 CT RDC522 CT Neck, chest, abdomen & pelvis without contrast (onco) 10,000 743 CT RDC523 CT Neck, Chest with contrast (Onco 10,000 744 CT RDC524 CT Neck, Chest without contrast (Onco 6,000 745 CT RDC525 CT Chest & Abdomen with contrast (onco) 12,000 746 CT RDC526 CT Chest & Abdomen without contrast (onco 8,000 747 CT RDC106 CT Right / Left Thigh without contrast 5,400 748 CT RDC108 CT Right / Left Leg with contrast 7,600 749 CT RDC109 CT Right / Left Leg without contrast 5,400 750 CT RDC112 CT Right / Left Foot with contrast 7,600 751 CT RDC113 CT Right / Left Foot without contrast 5,400 752 CT RDC116 CT Dental complete 2,900 753 CT RDC117 CT Dental Upper Jaw 1,700 754 CT RDC120 CT Contrast Charges (Plain) 1,800 755 CT RDC121 CT Contrast Charges (for Angiography) 2,600 756 CT RDC045 CT Upper Abdomen with Contrast 8,200 757 CT RDC1000 CT Lungs(Tobacco) 2,500 758 CT RDC0100 CT Coronary Angiogram(AHWP) 11,300 759 CT RDC0119 CT THORASIC ANGIO 10,500 760 CT RDC1200 CT AORTOGRAM 17,500 761 CT RDC1201 CT PULMONARY ANGIO DVT 17,500 762 CT RDC1202 CT THORASIC ANGIO+ ABDOMINAL ANGIO 17,500 763 CT RDC073 CT Joints one with contrast 7,200 764 CT RDC074 CT Joints extra 2,700 765 CT RDC072 CT Joints one without contrast 5,400 766 CT RDC019 CT Temporal Bone / Internal Ear - Axial 4,500 767 CT RDC020 CT Temporal Bone/Inner Ear-Axial/CorHRCT 5,500 768 CT RDC021 CT Naso Pharynx with contrast 6,500 769 CT RDC022 CT Naso Pharynx without contra 5,400 770 CT RDC023 CT Maxillo-facial Region 5,400 771 CT RDC024 CT Maxillo-facial Region with contrast 6,600 772 CT RDC025 CT Neck with contrast 7,100 773 CT RDC026 CT Neck without contrast 5,400 774 CT RDC027 CT Neck Extended with contrast 10,900 775 CT RDC028 CT Angio- Neck Vessels 9,900 776 CT RDC029 CT Thorax (Chest) with Contras 9,800 777 CT RDC030 CT Thorax HRCT (High Resolutio 4,400 778 CT RDC031 CT Pulmonary Angiogram 9,400 779 CT RDC032 CT Pulmonary Angio with Periph 16,000 780 CT RDC033 CT Virtual Bronchoscopy 8,900 781 CT RDC034 CT Chest with Contrast 7,100 782 CT RDC035 CT Chest without contrast 4,400 783 CT RDC036 CT Coronary with Pulmonary Ang 18,700 784 CT RDC037 CT Coronary Angiogram 13,200 785 CT RDC038 CT Coronary with Renal Angiogr 18,700 786 CT RDC039 CT Abdomen Angiogram 10,500 787 CT RDC040 CT Angio- Portal-venous/Mesent 12,100 788 CT RDC041 CT Whole Abdomen with Contrast 9,900 789 CT RDC042 CT Whole Abdomen without contr 7,200 790 CT RDC043 CT Upper Abdomen & Lower Chest 6,300 791 CT RDC044 CT Upper Abdomen plain with fe 4,800 792 CT RDC046 CT Upper Abdomen without contr 5,400 793 CT RDC047 CT Liver Angiogram with Volume 14,300 794 CT RDC048 CT Liver Triphasic 12,100 795 CT RDC049 CT Cholangiogram 12,100 796 CT RDC050 CT Virtual Colonoscopy 9,800 797 CT RDC051 CT Enteroclysis 17,600 798 CT RDC052 CT Lower Abdomen with contrast 8,200 799 CT RDC053 CT Lower Abdomen without contr 5,400 800 CT RDC054 CT KUB with contrast 8,200 801 CT RDC055 CT Pelvis-Trauma 5,400 802 CT RDC056 CT KUB without contrast 5,400 803 CT RDC057 CT Urogram Antero - Posterior 8,200 804 CT RDC058 CT Renal Angiogram 10,900 805 CT RDC059 CT Pediatric Angiogram 10,700 806 CT RDC060 CT Myelogram 8,900 807 CT RDC061 CT Cervical Spine without Contrast 5,400 808 CT RDC062 CT Cervical Spine with Contrast 7,600 809 CT RDC063 CT Thoracic Spine without Contrast 5,400 810 CT RDC064 CT Thoracic Spine with Contrast 7,600 811 CT RDC065 CT L.S.Spine without Contrast 5,400 812 CT RDC066 CT Lumbo - sacral (LS) Spine with Contrast 7,600 813 CT RDC067 CT Upper Extremity without contrast 6,500 814 CT RDC068 CT Upper Extremity with contrast 8,700 815 CT RDC069 CT Lower Extremity without contrast 6,500 816 CT RDC070 CT Lower Extremity with contrast 8,700 817 CT RDC071 CT Extremities extra region 2,700 818 CT RDC075 CT Angiogram Peripheral Upper 12,500 819 CT RDC076 CT Angiogram Peripheral Lower 12,500 820 CT RDC077 CT Venogram-single extremity 10,500 821 CT RDC078 CT Triphasic 12,100 822 CT RDC079 CT Sinogram 4,900 823 CT RDC080 CT Guided Biopsy 8,900 824 CT RDC081 CT Guided Catheter Drainage 9,800 825 CT RDC082 CT Guided fluid aspiration(Therapeutic) 8,000 826 CT RDC083 CT Guided fluid aspiration(Diagnostic) 6,300 827 CT RDC084 CT Guided FNAC 6,300 828 CT RDC085 CT 3D Reconstruction 2,200 829 CT RDC086 CT CD Charges 600 830 CT RDC087 CT Extra Film Charges 300 831 CT RDC088 CT Review Charges 2,200 832 CT RDC089 CT Scan Extra Film (Per Film) 300 833 CT RDC090 CT Scanogram 3,200 834 CT RDC091 CT-Whole Spine 14,300 835 CT RDC001 CT Head / Brain with Contrast 4,500 836 CT RDC002 CT Head / Brain without Contrast 3,200 837 CT RDC002 CT Head / Brain without Contrast 3,200 838 CT RDC003 CT Head / Brain Perfusion study 8,000 839 CT RDC004 CT Cranial Angiogram 9,900 840 CT RDC005 CT Cranial Venogram 12,500 841 CT RDC006 CT Stroke Protocol 14,300 842 CT RDC007 CT Cranio - Vertebral (CV) Junction 5,400 843 CT RDC008 CT Pituitary - Axial and Coronal (Both) 6,300 844 CT RDC009 CT Pituitary - Axial or Corona 5,400 845 CT RDC010 CT Sella without contrast 4,500 846 CT RDC011 CT Cisternogram 8,900 847 CT RDC012 CT PNS - Axial / Coronal (Any 3,200 848 CT RDC013 CT PNS Axial & Coronal without contrast 4,300 849 CT RDC014 CT PNS Axial and Coronal with contrast 6,500 850 CT RDC015 CT PNS (Limited) - One Coronal 2,700 851 CT RDC016 CT Orbit - Axial and Coronal (Both) 6,500 852 CT RDC017 CT Orbit - Axial or Coronal (Any One) 4,500 853 CT RDC018 CT Orbit with contrast 7,600 854 CTVS CDV532 Institution of partial bypass through fe 23,760 855 CTVS CDV533 Resection of thoraco abdominal aneurysm 118,800 856 CTVS CDV534 Complex AV Fistula Ligation 35,640 857 CTVS CDV535 Simple AV Fistula Ligation 23,760 858 CTVS CDV536 Emergency Median Sternotomy & Evacuation 29,700 859 CTVS CDV537 Emergency Median Sternotomy & Evacuation 35,640 860 CTVS CDV538 Emergency OT team stand by1st hour 23,760 861 CTVS CDV539 Every additional half hour 11,880 862 CTVS CDV540 Ministernotomy 23,760 863 CTVS CDV541 TE Of SVC and RTvein 35,640 864 CTVS CDV543 Thoracotomy two lobectomy adhesions 59,400 865 CTVS CDV542 Limb debridement reconstruction 47,520 866 CTVS CDV544 Supra Coronary Graft Replacement Ascendi 47,520 867 CTVS CDV546 Excision of right atrial myxoma 59,400 868 CTVS CDV103 Thymectomy 42,768 869 CTVS CDV104 Mediastinoscopy 29,938 870 CTVS CDV105 Aorto-bi-iliac/aorto-bi-fem bypass 48,708 871 CTVS CDV106 Suprarenal aneurysm repair/bypass 58,450 872 CTVS CDV107 Thoracoabdominal aneurysm repair 85,536 873 CTVS CDV102 Chemport/Hickmann 8,839 874 CTVS CDV555 Undergone Redo Comlex Peripheral Bypass 64,800 875 CTVS CDV547 Resection of Ascending Aortic Aneurysm replacement with h 95,040 876 CTVS CDV548 Aortic valve replacement and mitral valve commissurotomy 47,520 877 CTVS CDV549 Hypothermic circulatory arrest 23,760 878 CTVS CDV553 Neck Exploration & foreign body removal 43,200 879 CTVS CDV559 HICKMAN LINE REMOVAL 2,160 880 CTVS CDV550 Endomyocardial stripping left & right 32,400 881 CTVS CDV0545 CABG x 2 Mitral valve ring Annuloplasty LV aneurysmectomy 93,960 882 CTVS CDV560 Intracardiac TOF repair + Re routing of systemic venous drain 30,100 883 CTVS CDV556 AVR with VSD Closure 86,400 884 CTVS CDV0200 MINI THORACOTOMY and MULTIPLE BIOPSIES 17,820 885 CTVS CDV0552 EXCISION OF L.A. MYXOMA WITH ASD CLOSURE 94,500 886 CTVS CDV398 Femoral Posterior Tibial Bypass Grafting 64,800 887 CTVS CDV554 Bullectomy and Pleurodesis via Thoracotomy 43,200 888 CTVS CDV528 Thoracotomy and resection of Giant and C 41,580 889 CTVS CDV529 Median Sternotomy and Cardiopulmonary by 23,760 890 CTVS CDV530 Extraction of Rt. atrial, Rt. Ventricula 35,640 891 CTVS CDV531 Explant of CRT device 11,880 892 CTVS CDV350 Endoscopic Vein Harvesting 36,567 893 CTVS CDV351 Repair of Iliac Aneurysm 36,567 894 CTVS CDV352 Extra-anatomical Arterial Bypass 36,567 895 CTVS CDV353 Perpheral Artery bypass Graft 36,567 896 CTVS CDV354 Resection of AVM,major 36,567 897 CTVS CDV355 Traumatic repair of vein/artery major 36,567 898 CTVS CDV357 Varicose Vein Surgery Highligation B/L 33,360 899 CTVS CDV358 Varicose Vein B/L SPJ ligation 27,586 900 CTVS CDV359 Embolectomy 27,586 901 CTVS CDV360 USFS B/L 27,586 902 CTVS CDV361 Varicose Vein Surgery Highligation Singl 27,586 903 CTVS CDV362 Varicose Vein Surgery SPJ Single 21,812 904 CTVS CDV363 Below knee amputaion 23,760 905 CTVS CDV364 Peripheral Artery Repair 21,812 906 CTVS CDV365 Above knee amputation 18,343 907 CTVS CDV366 Vascular Access HD Major 18,343 908 CTVS CDV367 Leg Faciotomy 18,343 909 CTVS CDV368 Peripheral Artery Exposure 18,343 910 CTVS CDV369 Peripheral Artery Stenting 18,343 911 CTVS CDV370 USFS Single 18,343 912 CTVS CDV371 Stem Cell Therapy Plan B 18,343 913 CTVS CDV372 Revision of AVF 18,343 914 CTVS CDV373 Traumatic repair of vein/artery minor 18,343 915 CTVS CDV374 DiagnosticPeripheral Angio 14,755 916 CTVS CDV375 Vascular Access HD Minor 12,831 917 CTVS CDV376 Transmetatarsal Amputation 12,831 918 CTVS CDV377 Stem Cell therapy Plan A 9,231 919 CTVS CDV378 Thrombin injection of pseudoan 9,231 920 CTVS CDV379 Treatment of AVM,minor 9,231 921 CTVS CDV380 Toe Amputation 7,699 922 CTVS CDV381 Debridement 3,850 923 CTVS CDV382 Triple Valve Surgery (TVS) 102,644 924 CTVS CDV383 Muscle sparing minithoracotomy and blebe 32,076 925 CTVS CDV384 Muscle sparing minithoracotomy and blebe 51,322 926 CTVS CDV199 Ecmo Placement 35,640 927 CTVS CDV108 Resection of AV malformation 42,768 928 CTVS CDV101 Angio & Coil Embolization 14,256 929 CTVS CDV300 Above Knee Amputation 22,810 930 CTVS CDV301 Axillo-bi-fem bypass 42,768 931 CTVS CDV302 Below knee Amputation 18,533 932 CTVS CDV303 Bronchial Fistula Repair 42,768 933 CTVS CDV304 Bronchoscopy Flexible therapeutic 8,839 934 CTVS CDV305 Bronchoscopy Rigid 14,672 935 CTVS CDV306 Carotid Body tumour resec 42,768 936 CTVS CDV307 Carotid Endarterectomy 42,768 937 CTVS CDV308 Ex of infected peripheral bypass 42,768 938 CTVS CDV309 HD Access minor 5,406 939 CTVS CDV310 Lung Injury repair 29,938 940 CTVS CDV311 Neck Dissection for THE 16,537 941 CTVS CDV312 Needle Pericardiocentesis 8,839 942 CTVS CDV313 PAA open 42,768 943 CTVS CDV314 PDA Surgical Closure 42,768 944 CTVS CDV315 Pericardiectomy 71,280 945 CTVS CDV316 Peripheral Artery Embolectomy 34,215 946 CTVS CDV317 Repair of periph pseudoan 22,810 947 CTVS CDV318 Retroperitoneal/Thoracic Expos 22,810 948 CTVS CDV319 TAA open Repair 85,536 949 CTVS CDV320 TEVAR 71,280 950 CTVS CDV321 Thoracic Tear repair 64,152 951 CTVS CDV322 Thorac Exp for THE 22,810 952 CTVS CDV323 Toe Amputation 8,839 953 CTVS CDV324 Transmetatarsal Amputation 11,679 954 CTVS CDV325 Trachebronchial resect/reconst 58,450 955 CTVS CDV326 Vein sclerotherapy 2,840 956 CTVS CDV509 Thrombin injection of pseudoan 7,841 957 CTVS CDV334 AAA repair 64,152 958 CTVS CDV335 Thorecoabdominal anuerysm repair 92,379 959 CTVS CDV336 Excsion of infected aortic graft 73,122 960 CTVS CDV337 Suprarenal Aneurysm repair/bypass 73,122 961 CTVS CDV338 ABG/ABIG 55,171 962 CTVS CDV339 Endovascular Aortic Stenting 55,171 963 CTVS CDV340 Endovascular Aneurysm Repair 55,171 964 CTVS CDV341 TEVAR 55,171 965 CTVS CDV341 TEVAR 55,171 966 CTVS CDV343 Peripheral Bypass using vein 46,190 967 CTVS CDV344 Surgery of Thoracic Outlet Syndrome.25,0 46,190 968 CTVS CDV345 Carotid Artery stenting 36,567 969 CTVS CDV346 Carotid Body tumor 36,567 970 CTVS CDV347 Carotid endarterectomy 36,567 971 CTVS CDV348 Carotid Bypass 36,567 972 CTVS CDV349 Carotid Subclavian bypass 36,567 973 CTVS CDV519 Tracheal Fistula 34,643 974 CTVS CDV510 Endovascular Arotic Stenting 128,304 975 CTVS CDV520 ASOV Repair 38,492 976 CTVS CDV526 Right Lateral Thoracotomy-- Posterior M 35,640 977 CTVS CDV527 Emergency Medial Sternotomy and Cardio P 35,640 978 CTVS CDV116 Chemport/Hickmann Removal 6,273 979 CTVS CDV0328 Varicose Veins Surgery - Bilateral 34,215 980 CTVS CDV0327 Varicose Veins Surgery - Unilateral 20,672 981 CTVS CDV333 Resection of Media Spernal Tumar,SV with 102,644 982 CTVS CDV521 Epicardial Lead Placement 38,492 983 CTVS CDV085 Peripheral Artery Or Vein Stent 22,810 984 CTVS CDV086 Carotid Artery Stenting Proced 29,938 985 CTVS CDV087 Percutaneous Atherectomy 22,810 986 CTVS CDV088 Percutaneous Thrombectomy/Thro 22,810 987 CTVS CDV089 Percutaneous Embolization Proc 22,810 988 CTVS CDV090 Percutaneous Retreival Of Intr 22,810 989 CTVS CDV050 Closure Of Atrial Septal Defec 64,152 990 CTVS CDV051 Closure Of Ventricular Septal 71,280 991 CTVS CDV052 Closure Of Atrial Septal Defec 85,536 992 CTVS CDV522 LV Aneurysm and CABG 2 Vassel 89,813 993 CTVS CDV524 Resection of Ascending Aortic aneurysm s 65,340 994 CTVS CDV525 AVR- MVR & Tricuspid repair without ring 89,100 995 CTVS CDV062 Peripheral Arterial Bypass Usi 42,768 996 CTVS CDV064 Bypass Graft Revision 34,215 997 CTVS CDV065 Peripheral Arterial Transposit 29,938 998 CTVS CDV073 Thrombectomy/Revision Of Hemod 7,841 999 CTVS CDV075 Leg Fasciotomy 29,938 1000 CTVS CDV036 CABG/Valve Procedure 85,536 1001 CTVS CDV037 Double Valve Surgery Procedure 85,536 1002 CTVS CDV038 Redo Cardiac Surgery 85,536 1003 CTVS CDV039 Resection of Left Ventricular 85,536 1004 CTVS CDV040 Repair Of Post-Infarct Ventric 85,536 1005 CTVS CDV041 Left Ventricale Respiration Pro 85,536 1006 CTVS CDV042 Repair Of Aortic Coarctation 85,536 1007 CTVS CDV043 Aortic Root Replacement Proced 85,536 1008 CTVS CDV044 Aortic Arch Aneurysm Rapair 114,037 1009 CTVS CDV014 Decortication Procedure 29,938 1010 CTVS CDV015 Lung Resection : Pneumonectomy 58,450 1011 CTVS CDV016 Lung Resection : Lobectomy 42,768 1012 CTVS CDV017 Lung Resection : Wedge 22,810 1013 CTVS CDV018 Lung Resection : Pancoasts Tumo 64,152 1014 CTVS CDV019 Repair Of Bronchial Fistula 35,640 1015 CTVS CDV020 Diagnostic Thoracoscopy 22,810 1016 CTVS CDV021 Therapeutic Thoracoscopy 22,810 1017 CTVS CDV022 Chest Wall Reconstruction 22,810 1018 CTVS CDV024 Pericardial Window 29,938 1019 CTVS CDV025 Resection Of Cardiac Tumour 64,152 1020 CTVS CDV026 Cardiac Arrhythmia Surgery 71,280 1021 CTVS CDV055 Repair Of Tetralogy Of Fallot 58,450 1022 CTVS CDV054 Shunt Procedure 42,768 1023 CTVS CDV056 Repair Of Aortic Coarctation 58,450 1024 CTVS CDV057 Complex Congenital Cardiac Sur 71,280 1025 CTVS CDV058 AAA Open 58,450 1026 CTVS CDV078 Endovascular Repair Of Abdominal 58,450 1027 CTVS CDV027 Repair Of Cardiac Injury 71,280 1028 CTVS CDV028 Aortic Valve Surgery 71,280 1029 CTVS CDV029 Mitral Valve Surgery 71,280 1030 CTVS CDV030 Tricuspid Valve Surgery 71,280 1031 CTVS CDV031 Pulmonary Valve Surgery 71,280 1032 CTVS CDV032 Repair Of Cardiac Fistula 71,280 1033 CTVS CDV033 Correction Of Coronary Anomaly 58,450 1034 CTVS CDV034 CABG 71,280 1035 CTVS CDV045 Pulmonary Artery 71,280 1036 CTVS CDV046 Institution Of Extracorporeal 29,938 1037 CTVS CDV047 Insertion Of Intra-Aortic Ball 7,128 1038 CTVS CDV079 Endovascular Repair Of lliac A 58,450 1039 CTVS CDV080 Branched Aortic Endograft Plac 71,280 1040 CTVS CDV081 Diagnostic Peripheral Arteriog 14,672 1041 CTVS CDV082 Insertion Of Ivc ( Inferior Vena ) 16,537 1042 CTVS CDV083 Peripheral Artery Or Vein Angi 16,537 1043 CTVS CDV002 Surgery For Thoracic Outlet Sy 42,768 1044 CTVS CDV003 Resection of Sternum 29,938 1045 CTVS CDV004 Repair of Pectus Excavatum 42,768 1046 CTVS CDV005 Treatment of Rib Fractures 22,810 1047 CTVS CDV006 Treatment of Sternal Fracture 22,810 1048 CTVS CDV010 Thoracocentesis 2,341 1049 CTVS CDV012 Surgery for Empyema 29,938 1050 CTVS CDV013 Explotory Thoracotomy 22,810 1051 CTVS CDV066 Carotid -Carotid Bypass 29,938 1052 CTVS CDV067 Ex of Infected Abd/Thor Bypass 40,915 1053 CTVS CDV068 Peripheral Arterial Exposure P 22,810 1054 CTVS CDV069 Postoperative/Post ProcedureExploration 14,672 1055 CTVS CDV070 Treatment Of Ateriovenous Fis 29,938 1056 CTVS CDV071 Traumatic Arterial Injury Repa 42,768 1057 CTVS CDV072 HD Access Major 11,702 1058 CTVS CDV001 Chest Wall Resection 29,938 1059 CTVS CDV060 Peripheral Artery Endarterecto 34,215 1060 CTVS Procedures CDP001 Tracheobronchial Injury repair 29,938 1061 CTVS Procedures CDP141 LA Clot Removalâ€. 21,600 1062 CTVS Procedures CDP140 Basilic vein transposition 25,661 1063 CTVS Procedures CDP1000 Endoscopic Vein Harvesting 53,591 1064 CTVS Procedures CDP1001 Coronary Flow measurement 24,948 1065 CTVS Procedures CDV011 Chest Tube Insertion-Adult 6,273 1066 Cytochemistry LBZ001 Special Stains 500 1067 Cytochemistry LBZ002 Lap,Nap Score (Wbc Alkaline Phosphatase) 1,100 1068 Cytochemistry LBZ010 PAS Stain 700 1069 Cytochemistry LBZ011 Myelo Peroxidase Stain 700 1070 Cytochemistry LBZ012 AFB Stain - Tissue /Block 700 1071 Cytochemistry LBZ013 Massons Trichrome Stain 700 1072 Cytochemistry LBZ014 Congo Red Stain 600 1073 Cytochemistry LBZ015 Iron Stain Peripheral Blood 700 1074 Cytochemistry LBZ016 Reticulin Stain 700 1075 Cytochemistry LBZ017 Silver stain Methamine 700 1076 Cytochemistry LBZ15 GMS Stain 700 1077 Cytogenetics LBY001 Her-2 - Neu, FISH Method 12,000 1078 Cytogenetics LBY098 Cancer Of unknown Origin 60,000 1079 Cytogenetics LBY062 TPMT genotyping 8,800 1080 Cytogenetics LBY199 DNA for Hereditary Haemochromatosis 4,400 1081 Cytogenetics LBY097 DiGeorge 22q del(FISH) 5,900 1082 Cytogenetics LBY096 EGFR mutation 12,000 1083 Cytogenetics LBY067 MDS panel - Del 7q,5q,20q & trisomy-8 10,600 1084 Cytogenetics LBY21 BCR/ABL t(9;22) - FISH 5,500 1085 Cytogenetics LBY22 AML1/ETO t(8;21) - FISH 5,000 1086 Cytogenetics LBY23 PML/RARa t(15;17)- FISH 5,600 1087 Cytogenetics LBY24 TEL/AML1 t(12;21)- FISH 4,800 1088 Cytogenetics LBY25 Del (13q14.3)- FISH 5,000 1089 Cytogenetics LBY26 IgH/BCl 2 t(14;18)- FISH 5,500 1090 Cytogenetics LBY27 IgH/CCND1 t(11;14)- FISH 5,500 1091 Cytogenetics LBY28 MLL gene rearrangement - FISH 6,600 1092 Cytogenetics LBY29 FLT3 Mutation - PCR 3,000 1093 Cytogenetics LBY30 JAK2 Mutation - PCR 5,200 1094 Cytogenetics LBY31 Imatinib resistance( IRMA ) - PCR 12,000 1095 Cytogenetics LBY32 N- Myc gene amplification 12,000 1096 Cytogenetics LBY33 C-myc gene amplification 14,700 1097 Cytogenetics LBY34 Cyclin D1 gene amplification 15,000 1098 Cytogenetics LBY35 BCR/ABL - RT- PCR( Quantitative ) 7,300 1099 Cytogenetics LBY36 PML/RARa- RT- PCR ( Quantitative ) 10,500 1100 Cytogenetics LBY91 B Cell clonality analysis for IgH 6,500 1101 Cytogenetics LBY96 CD 56 1,700 1102 Cytogenetics LBY80 DPD Gene Mutations 8,100 1103 Cytogenetics LBY201 Chromosomal analysis Karyotyping 3,700 1104 Cytogenetics LBY202 Chromosomal analysis – Products of co 6,300 1105 Cytogenetics LBY004 Chromosomes analysis in hematological di 5,600 1106 Cytogenetics LBY013 Delta F -508 test for Cystic fibrosis 4,100 1107 Cytogenetics LBY003 Product of conception(POC)-Fish 14,000 1108 Cytogenetics LBY47 FISH 13/18/21/X/Y CVS 6,480 1109 Cytogenetics LBY48 KARYOTYPE CVS 6,000 1110 Cytogenetics LBY50 MICRODELETION CVS/AF 6,000 1111 Cytogenetics LBY51 FISH 13/18/21/X/Y A/F 6,000 1112 Cytogenetics LBY54 KARYOTYPE A/F 6,000 1113 Cytogenetics LBY110 Chimerism Pre-Engraftment Donor Recip 9,900 1114 Cytogenetics LBY38 Fanconis Anemia 7,400 1115 Cytogenetics LBY59 CHIMERISM POST ENGRAFTMENT 5,000 1116 Cytogenetics LBY200 Pml Rara- Qualitative PCR 3,500 1117 Cytogenetics LBY56 POC For Culture Karyotyping 4,400 1118 Cytogenetics LBY71 PDGFR a Mutation PCR 4,500 1119 Cytogenetics LBY72 PDGFR b Mutation PCR 3,500 1120 Cytogenetics LBY267 NPM1 Gene Mutation 3,800 1121 Cytogenetics LBY45 BCR /ABL by Qualitative PCR 3,900 1122 Cytogenetics LBY215 Myeloma in situ: del13q14.3, t(11,14), (4, 14),(14,16) 10,700 1123 Cytogenetics LBY216 del 17p13.1 for multiple myeloma 3,400 1124 Cytogenetics LBY217 ALK by Fish 9,900 1125 Cytogenetics LBY65 Micro Array 35,000 1126 Cytogenetics LBY55 X,Y Chimerism Screening 4,400 1127 Cytogenetics LBY58 Minimal residual disease 10,500 1128 Cytogenetics LBY064 Chromosomal breakage syndrome 8,600 1129 Cytogenetics LBY82 AML Categorization by PCR 8,500 1130 Cytology LBC001 Body Fluid Cell Count 300 1131 Cytology LBC006 Pap Smear - Lab 800 1132 Cytology LBC007 Cytopathology-Fluid Cytology 1,000 1133 Cytology LBC008 Slide Review-Cytology 800 1134 Cytology LBC095 Cell block 1,000 1135 Cytology LBC91 Liquid-based cytology-PAP 1,400 1136 Cytology LBC80 CSF routine Examination 700 1137 Cytology LBC51 Urine, dysmorphic RBC 400 1138 Cytology LBC010 FNAC Evaluation 1,400 1139 Cytology LBC012 FNAC Procedure & evaluation 1,500 1140 Cytology LBC54 Liquid Based Cytology PAP & HPV DNA 2,500 1141 Cytology LBC76 Polarizing Microscopy 400 1142 Dental DNT355 Implant 41,580 1143 Dental DNT188 Orthognathic Treatment - Malocclusion 29,700 1144 Dental DNT356 Implant 1 37,800 1145 Dental DNT357 Implant 2 33,480 1146 Dental DNT400 Maxillectomy 54,000 1147 Dental DNT358 Abutment And Crown 17,280 1148 Dental DNT309 Night Guard 2,852 1149 Dental DNT310 Occlusal Rehab 551 1150 Dental DNT273 Indirect Pulp Capping 1,134 1151 Dental DNT312 AG Filling 1,275 1152 Dental DNT274 Inlay 2,549 1153 Dental DNT313 Composite Filling 1,016 1154 Dental DNT275 Metal Crown 2,549 1155 Dental DNT314 Composite Veneer 1,988 1156 Dental DNT276 Porcelain Crown 4,990 1157 Dental DNT277 RCT 3,294 1158 Dental DNT317 Curettage +Filling 1,404 1159 Dental DNT318 GI Filling 1,134 1160 Dental DNT278 Consultation 357 1161 Dental DNT319 Indirect Pulp Capping 1,134 1162 Dental DNT279 IOPA 281 1163 Dental DNT320 Inlay 2,549 1164 Dental DNT321 Metal Crown 2,852 1165 Dental DNT322 Porcelain Crown 4,990 1166 Dental DNT324 Ortho Dental Part Payment 1 11,880 1167 Dental DNT325 Ortho Dental Part Payment 2 5,940 1168 Dental DNT326 Root Canal Treatment(RCT) Gr1 3,759 1169 Dental DNT327 Porcelain Crown Grade 01 4,277 1170 Dental DNT241 Opuerculectomy(non os) 1,134 1171 Dental DNT220 Orq Antral Fistula 7,128 1172 Dental DNT242 Surgical Removal 4,990 1173 Dental DNT222 Ulcer Cauterization 713 1174 Dental DNT243 U/L Removal 6,416 1175 Dental DNT223 Acrylic Denture (5 Teeth) 5,346 1176 Dental DNT225 Cast Partial Denture 5,703 1177 Dental DNT246 Curettage and filling 1,404 1178 Dental DNT226 Consultation + IOPA 638 1179 Dental DNT247 Curettage and Scaling 1,696 1180 Dental DNT227 Fixed Bridge (3 Unit) 17,820 1181 Dental DNT248 Flap Surgery 4,990 1182 Dental DNT228 Fixed Bridge (4 Unit) 23,760 1183 Dental DNT249 Inlay 2,549 1184 Dental DNT229 Fixed Bridge (5 Unit) 29,700 1185 Dental DNT250 Local curettage 713 1186 Dental DNT280 Desensitizing 551 1187 Dental DNT251 Metal Crown 2,549 1188 Dental DNT281 Bleaching 10,692 1189 Dental DNT252 Porcelain Crown 4,482 1190 Dental DNT284 Gentle Bleaching 7,128 1191 Dental DNT285 One visit Scaling 854 1192 Dental DNT256 Enameloplasty 551 1193 Dental DNT286 Scaling + Air Flow 1,404 1194 Dental DNT257 Extraction 756 1195 Dental DNT287 Two Visit Scaling 1,134 1196 Dental DNT288 Laminate 1,988 1197 Dental DNT258 Surgical Exposure 4,482 1198 Dental DNT289 Ag Filling 1,404 1199 Dental DNT290 Composite Filling 1,134 1200 Dental DNT294 Metal Crown 2,549 1201 Dental DNT262 Metal Crown-Abrastion/Erosion 2,852 1202 Dental DNT296 Porcelain Crown 4,990 1203 Dental DNT263 Porcelain Crown 4,482 1204 Dental DNT298 Adv Medicine 411 1205 Dental DNT265 Surgical Extraction(non os) 1,523 1206 Dental DNT266 AG Filling 1,275 1207 Dental DNT302 OPG 864 1208 Dental DNT267 Composite Filling 1,016 1209 Dental DNT303 RCT 3,564 1210 Dental DNT268 Composite Veneer 1,696 1211 Dental DNT304 Reduction 11,405 1212 Dental DNT305 Splinting 1,134 1213 Dental DNT306 Suture Placed 713 1214 Dental DNT524 Ortho Dontic Part Payment 1-Adult 17,820 1215 Dental DNT525 Ortho Dontic Part Payment 2-Adult 2,970 1216 Dental DNT328 Complete dental scan 2,279 1217 Dental DNT329 CT Scan Denta Scan of Mandible 1,275 1218 Dental DNT331 RCT GRADE 3 4,968 1219 Dental DNT332 PART PAYMENT IMPLANT 1 7,128 1220 Dental DNT333 PART PAYMENT IMPLANT 2 4,277 1221 Dental DNT334 ALL CERAMIC CROWN 10,692 1222 Dental DNT335 COMPOSITE FILLING MOD 1,782 1223 Dental DNT336 IMPLANT CROWN 6,480 1224 Dental DNT337 INDIRECT SINUS LIFT 9,504 1225 Dental DNT338 FLEXIBLE DENTURE <5 9,980 1226 Dental DNT339 FLEXIBLE DENTURE >5 12,831 1227 Dental DNT340 SPLINTING PERIO 4,752 1228 Dental DNT341 PART PAYMENT PERIO 2,549 1229 Dental DNT342 PART PAYMENT PERIO2 2,852 1230 Dental DNT343 SOCKET PRESERVATION 2,852 1231 Dental DNT344 BONE AUGMENTATION 21,384 1232 Dental DNT240 Curettage 508 1233 Dental DNT218 Cyst Removal 7,128 1234 Dental DNT219 Fibroid Removal 4,277 1235 Dental DNT103 Consultation + IOPA 713 1236 Dental DNT037 Single visit RCT 4,277 1237 Dental DNT105 Hard Denture Reline 1,134 1238 Dental DNT106 Single Denture 10,692 1239 Dental DNT107 Soft Denture Reline 2,139 1240 Dental DNT040 Denture repair 551 1241 Dental DNT108 Tooth Addition 551 1242 Dental DNT041 Denture repair + Hard reline 2,376 1243 Dental DNT109 U/L Denture 14,256 1244 Dental DNT345 Full mouth curettage and root planning 11,405 1245 Dental DNT346 Full mouth fluoride treatment 1,426 1246 Dental DNT347 Complete denture grade II 28,080 1247 Dental DNT348 Surgical obturator 17,820 1248 Dental DNT349 Interim obturator 14,256 1249 Dental DNT350 Permanent obturator 23,760 1250 Dental DNT351 Procera crown 14,256 1251 Dental DNT352 Procera crown grade II 16,632 1252 Dental DNT353 Scaling and polishing grade II 2,852 1253 Dental DNT007 Night Guard 3,564 1254 Dental DNT158 Curettage 551 1255 Dental DNT008 Porcelain Crown 5,940 1256 Dental DNT159 Flap + Gingivectomy 5,346 1257 Dental DNT160 Frenectomy(os) 4,752 1258 Dental DNT161 Gingivectomy(non perio) 1,134 1259 Dental DNT011 Apicoectomy 6,416 1260 Dental DNT012 Consultation 411 1261 Dental DNT014 Incision + drainage 713 1262 Dental DNT166 Mesiodens Removal 4,277 1263 Dental DNT015 Perio Curettage 2,139 1264 Dental DNT167 Surgical Exposure 4,990 1265 Dental DNT016 RCT 4,158 1266 Dental DNT168 Surgical Impaction 5,940 1267 Dental DNT170 U/L Surgical Impaction 8,100 1268 Dental DNT171 Upper Third Molar Extraction(os) 4,277 1269 Dental DNT019 Composite Filling 1,134 1270 Dental DNT172 Apicoectomy 6,534 1271 Dental DNT173 Consultation + IOPA 713 1272 Dental DNT174 Hemi-section 4,990 1273 Dental DNT175 Metal Crown 2,852 1274 Dental DNT176 Porcelain Crown 4,990 1275 Dental DNT177 Repeat RCT 5,940 1276 Dental DNT023 Metal Crown 2,852 1277 Dental DNT024 Miracle Mix Filling 1,696 1278 Dental DNT025 Occlusal Equilibration 713 1279 Dental DNT181 Extraction 854 1280 Dental DNT182 Surgical Extraction(non os) 2,700 1281 Dental DNT026 Porcelain Crown 4,990 1282 Dental DNT193 Apicoectomy 4,990 1283 Dental DNT027 RCT 4,752 1284 Dental DNT194 Consultation 357 1285 Dental DNT028 3 Unit Bridge 17,820 1286 Dental DNT029 4 Unit Bridge 23,760 1287 Dental DNT196 Core Filling 1,188 1288 Dental DNT197 Hemi-section 4,990 1289 Dental DNT030 Crown Recementation 551 1290 Dental DNT198 Metal Crown 2,549 1291 Dental DNT031 Crown Repair 1,782 1292 Dental DNT199 Porcelain Crown 4,990 1293 Dental DNT032 Extraction 551 1294 Dental DNT200 Post 1,426 1295 Dental DNT033 Metal Crown 2,852 1296 Dental DNT034 Porcelain Crown 5,346 1297 Dental DNT035 RCT 3,564 1298 Dental DNT102 Alveoloplasty 4,277 1299 Dental DNT140 MM Filling 1,696 1300 Dental DNT078 Multiple Visit Scaling 2,139 1301 Dental DNT079 One visit Scaling 1,188 1302 Dental DNT142 Scaling 1,134 1303 Dental DNT080 Scaling + Air Flow 1,404 1304 Dental DNT144 IOPA 260 1305 Dental DNT081 Two visit Scaling 1,426 1306 Dental DNT145 Extraction 756 1307 Dental DNT082 U/L Gross Curettage 2,139 1308 Dental DNT146 Hemi-section 5,940 1309 Dental DNT083 Consultation- Chronic 389 1310 Dental DNT148 Porcelain Crown 4,482 1311 Dental DNT086 Extraction 854 1312 Dental DNT087 Flaps 4,990 1313 Dental DNT088 Splinting 2,970 1314 Dental DNT089 Bone graft 5,703 1315 Dental DNT091 Consultation 389 1316 Dental DNT097 Segmental Curettage 2,139 1317 Dental DNT092 Metal Crown 2,852 1318 Dental DNT098 Segmental Flaps 4,990 1319 Dental DNT093 Multiple visit scaling 2,139 1320 Dental DNT099 U/L Gross Curettage 2,139 1321 Dental DNT094 Porcelain Crown 4,990 1322 Dental DNT201 Repeat RCT 4,277 1323 Dental DNT202 RCT 3,208 1324 Dental DNT203 AG Filling 1,275 1325 Dental DNT204 Composite Filling 1,016 1326 Dental DNT230 Implant 49,896 1327 Dental DNT207 GI Filling 1,016 1328 Dental DNT208 Inlay 2,312 1329 Dental DNT233 Single Sitting RCT 4,277 1330 Dental DNT209 Metal Crown 2,549 1331 Dental DNT234 Porcelain Crown 4,990 1332 Dental DNT210 Porcelain Crown 4,482 1333 Dental DNT211 RCT 3,208 1334 Dental DNT212 Sealants 713 1335 Dental DNT236 Cauterization 713 1336 Dental DNT213 Abscess drainage 551 1337 Dental DNT214 Biopsy 4,277 1338 Dental DNT001 Composite Cervical Filling 594 1339 Dental DNT150 RCT + Post` 4,277 1340 Dental DNT151 Surgical Extraction(non OS ) 1,782 1341 Dental DNT003 IOPA 292 1342 Dental DNT005 GI Cervical Filling 951 1343 Dental DNT155 Extraction 854 1344 Dental DNT006 Metal Crown 3,564 1345 Dental DNT042 Denture repair + Soft reline 2,970 1346 Dental DNT043 Denture Replacement single 8,316 1347 Dental DNT112 Fluoride Therapy 713 1348 Dental DNT044 Denture Replacement(U/L) 19,008 1349 Dental DNT113 GI Fillings 1,134 1350 Dental DNT045 Spring Addition 551 1351 Dental DNT114 Ortho Trainer 4,752 1352 Dental DNT046 Tooth Addition 551 1353 Dental DNT115 Orthodontic Consultation 551 1354 Dental DNT047 AG Refilling 1,404 1355 Dental DNT048 Composite filling 1,426 1356 Dental DNT116 Pit & Fissure Sealant 713 1357 Dental DNT117 Serial Extraction 519 1358 Dental DNT118 Ceramic Veneer 10,584 1359 Dental DNT051 Curettage+ Refilling 1,696 1360 Dental DNT052 Extraction-Broken Crown/Faulty Crown 551 1361 Dental DNT053 GI Filling Repair 1,134 1362 Dental DNT119 Composite Veneer 2,376 1363 Dental DNT054 Indirect Pulp Capping 1,188 1364 Dental DNT055 Inlay 1,782 1365 Dental DNT121 Crown Porcelain 4,990 1366 Dental DNT056 Metal Crown 1,782 1367 Dental DNT057 Porcelain Crown 4,990 1368 Dental DNT122 Ortho Treatment 53,460 1369 Dental DNT058 RCT 3,564 1370 Dental DNT059 Composite Filling 1,134 1371 Dental DNT126 Dressing 551 1372 Dental DNT127 Enmaloplast 713 1373 Dental DNT128 Bridge Repair 1,134 1374 Dental DNT063 Extraction 854 1375 Dental DNT063 Extraction 854 1376 Dental DNT065 Extraction +Space Maintainer 2,376 1377 Dental DNT130 Metal Bridge 2,852 1378 Dental DNT066 GI + calcium 854 1379 Dental DNT067 GI/Ag Filling 854 1380 Dental DNT131 Porcelain Bridge 4,277 1381 Dental DNT068 Pulpotomy 2,733 1382 Dental DNT132 Ag Filling 1,404 1383 Dental DNT133 Composite Filling 1,134 1384 Dental DNT072 Metal Crown 2,852 1385 Dental DNT136 Curettage 594 1386 Dental DNT137 Extraction 756 1387 Dental DNT073 Porcelain Crown 4,990 1388 Dental DNT075 Single Visit RCT 4,277 1389 Dental DNT138 Irrigation 551 1390 Dental DNT139 Metal Crown 2,852 1391 Dermatology DRS101 GLYCOLIC PEEL PER SESSION 2,000 1392 Dermatology DRS102 GLYCOLIC PEEL FOUR SESSION 7,200 1393 Dermatology DRS103 SALICYLIC PEEL per session 2,000 1394 Dermatology DRS104 SALICYLIC PEEL FOUR SESSION 7,200 1395 Dermatology DRS105 TCA PEEL PER SESSION 3,000 1396 Dermatology DRS106 TCA PEEL FOUR SESSION 10,800 1397 Dermatology DRS107 YELLOW PEEL PER SESSION 3,000 1398 Dermatology DRS108 YELLOW PEEL FOUR SESSION 9,600 1399 Dermatology DRS109 ARGI/LACTIC PEEL per session 1,200 1400 Dermatology DRS110 ARGI/LACTIC PEEL four session 4,320 1401 Dermatology DRS111 DARK CIRCLES per session 800 1402 Dermatology DRS112 DARK CIRCLES four session 2,000 1403 Dermatology DRS113 LIPOLYSIS small Area 2,970 1404 Dermatology DRS114 LIPOLYSIS small Area four session 10,690 1405 Dermatology DRS115 Lipolysis Large area per session 7,120 1406 Dermatology DRS116 Lipolysis Large area four session 26,130 1407 Dermatology DRS117 MESOGLOW per session 2,970 1408 Dermatology DRS118 MESOGLOW four session 10,690 1409 Dermatology DRS119 MESOBOTOX per session 5,000 1410 Dermatology DRS120 MESOBOTOX four session 17,000 1411 Dermatology DRS121 HAIR GROWTH per session 1,780 1412 Dermatology DRS122 Hair Growth four session 6,530 1413 Dermatology DRS123 MICRODERMABRASION per session 2,000 1414 Dermatology DRS124 MICRODERMABRASION four session 7,200 1415 Dermatology DRS125 Biopsy Small 1,780 1416 Dermatology DRS126 Biopsy Medium 2,370 1417 Dermatology DRS127 Biopsy Large 2,970 1418 Dermatology DRS129 RADIOFREQUENCY CUTERY/ CO2 LASER single 1,500 1419 Dermatology DRS130 RADIOFREQUENCY CUTERY/ CO2 LASER 1-5 les 2,500 1420 Dermatology DRS131 RADIOFREQUENCY CUTERY/ CO2 LASER 5-10 le 5,000 1421 Dermatology DRS132 RADIOFREQUENCY CUTERY/ CO2 LASER < 10 le 8,310 1422 Dermatology DRS133 RADIOFREQUENCY CUTERY/ CO2 LASER Full Fa 30,000 1423 Dermatology DRS134 VITILIGO SURGERY small 15,000 1424 Dermatology DRS135 VITILIGO SURGERY Medium 25,000 1425 Dermatology DRS136 VITILIGO SURGERY large 40,000 1426 Dermatology DRS137 UVB PHOTOTHERAPY small area per session 2,000 1427 Dermatology DRS138 UVB PHOTOTHERAPY large area four sessio 3,560 1428 Dermatology DRS139 UVB PHOTOTHERAPY Large area per session 3,000 1429 Dermatology DRS140 UVB PHOTOTHERAPY Large area four session 9,600 1430 Dermatology DRS141 PHOTOREJUVENATION with IPL per session 4,000 1431 Dermatology DRS142 PHOTOREJUVENATION with IPL fourr session 13,600 1432 Dermatology DRS143 ACNE LASER single session 2,370 1433 Dermatology DRS299 Yellow Peel 5 Session 10,000 1434 Dermatology DRS300 Yellow Peel 5 Session Ex 12,000 1435 Dermatology DRS313 UVB Phototherapy Full Body 12 Session 8,000 1436 Dermatology DRS314 UVB Phototherapy Full Body 12 Session Ex 10,000 1437 Dermatology DRS315 Small Ex 750 1438 Dermatology DRS316 Medium Ex 1,500 1439 Dermatology DRS317 Large Ex 2,700 1440 Dermatology DRS318 Comedone extraction Small ext 1,200 1441 Dermatology DRS319 Comedone extraction Medium ext 2,000 1442 Dermatology DRS320 Comedone extraction Large ext 4,000 1443 Dermatology DRS321 Tatoo Removal Single Small 6,000 1444 Dermatology DRS322 Tatoo Removal Single Small Ex 7,500 1445 Dermatology DRS323 Tatoo Removal Medium 10,000 1446 Dermatology DRS324 Tatoo Removal Medum Ex 15,000 1447 Dermatology DRS325 Tatoo Removal Large 15,000 1448 Dermatology DRS326 Tatoo Removal Large Ex 19,000 1449 Dermatology DRS327 Pixel Small Ex 6,500 1450 Dermatology DRS328 Pixel Medium Ex 13,000 1451 Dermatology DRS329 Pixel Large Ex 19,000 1452 Dermatology DRS330 Nose Piercing 3,000 1453 Dermatology DRS331 Nose Piercing Ex 4,500 1454 Dermatology DRS332 Ear Piercing 5,000 1455 Dermatology DRS333 Ear Piercing Ex 7,500 1456 Dermatology DRS334 Mesobotox 2 sessions 9,000 1457 Dermatology DRS072 Laser hair reduction upper lip 2,000 1458 Dermatology DRS073 Laser hair reduction upeer lip ex 2,500 1459 Dermatology DRS074 Laser hair reduction side locks 3,000 1460 Dermatology DRS075 Laser hair reduction side locks ex 4,000 1461 Dermatology DRS076 Laser hair reduction Jaw line 3,500 1462 Dermatology DRS077 Laser hair reduction Jaw line ex 5,000 1463 Dermatology DRS078 Laser hair reduction Mid Brows 1,000 1464 Dermatology DRS079 Laser hair reduction Mid brows ex 1,500 1465 Dermatology DRS080 Laser hair reduction Ear lobes 1,200 1466 Dermatology DRS081 Laser hair reduction ear lobes ex 1,800 1467 Dermatology DRS082 Laser hair reduction Forehead 3,000 1468 Dermatology DRS083 Laser hair reduction forehead ex 4,000 1469 Dermatology DRS084 Laser hair reduction Temples 1,500 1470 Dermatology DRS085 Laser hair reduction Temples ex 2,000 1471 Dermatology DRS086 Laser hair reduction Hair line 1,500 1472 Dermatology DRS087 Laser hair reduction hair line ex 2,000 1473 Dermatology DRS088 Laser hair reduction nose 1,200 1474 Dermatology DRS089 Laser hair reduction nose ex 1,500 1475 Dermatology DRS090 Laser hair reduction Beard Shaping 3,000 1476 Dermatology DRS091 Laser hair reduction Beard Shaping Ex 4,000 1477 Dermatology DRS092 Laser hair reduction upper neck 2,500 1478 Dermatology DRS093 Laser hair reduction Upper Neck Ex 3,000 1479 Dermatology DRS094 Laser hair reduction Lower Neck 2,500 1480 Dermatology DRS095 Laser hair reduction lower neck ex 3,500 1481 Dermatology DRS096 Laser hair reduction Posterior Neck 3,000 1482 Dermatology DRS144 ACNE LASER four session 8,310 1483 Dermatology DRS145 LASER HAIR REDUCTION small area 2,000 1484 Dermatology DRS146 LASER HAIR REDUCTION lower face 4,500 1485 Dermatology DRS147 LASER HAIR REDUCTION full face 5,000 1486 Dermatology DRS148 INTRALESIONAL STEROID small area 600 1487 Dermatology DRS149 INTRALESIONAL STEROID medium area 1,200 1488 Dermatology DRS150 INTRALESIONAL STEROID large area 2,500 1489 Dermatology DRS151 COMEDON EXTRACTION small area 1,000 1490 Dermatology DRS152 COMEDON EXTRACTION Medium area 1,500 1491 Dermatology DRS153 COMEDON EXTRACTION Large area 3,000 1492 Dermatology DRS154 CRYTHERAPY small area 600 1493 Dermatology DRS155 CRYTHERAPY medium area 1,200 1494 Dermatology DRS156 CRYTHERAPY Large area 2,500 1495 Dermatology DRS157 Tatto Removal 15,000 1496 Dermatology DRS251 TCA peels Back upper Ex 4,500 1497 Dermatology DRS253 TCA peels Back Lower Ex 4,500 1498 Dermatology DRS254 TCA peels Back Full 6,000 1499 Dermatology DRS255 TCA peels Back Full Ex 6,500 1500 Dermatology DRS256 TCA peels Legs Thighs 6,000 1501 Dermatology DRS257 TCA peels Legs Thighs Ex 7,000 1502 Dermatology DRS258 TCA peels Lower Legs 5,000 1503 Dermatology DRS259 TCA peels Lower Legs ex 6,000 1504 Dermatology DRS260 TCA peels Full Legs 9,000 1505 Dermatology DRS261 TCA peels Full Legs Ex 11,000 1506 Dermatology DRS336 TCA PEELS Back Lower 3,500 1507 Dermatology DRS337 Salicylic peel 5 session Ex 12,000 1508 Dermatology DRS342 LASER HAIR REDUCTION Full Bikini 5,000 1509 Dermatology DRS262 TCA peels Bikni 2,000 1510 Dermatology DRS263 TCA Peels Bikni ex 3,000 1511 Dermatology DRS264 GLYCOLIC PEEL neck 1,500 1512 Dermatology DRS265 GLYCOLIC PEELNeck ex 2,000 1513 Dermatology DRS266 GLYCOLIC PEEL chest 3,500 1514 Dermatology DRS267 GLYCOLIC PEELchest Ex 4,500 1515 Dermatology DRS268 GLYCOLIC PEEL back upper 3,000 1516 Dermatology DRS269 GLYCOLIC PEEL Back upper Ex 4,000 1517 Dermatology DRS270 GLYCOLIC PEEL Back Lower 3,500 1518 Dermatology DRS271 GLYCOLIC PEEL Back Lower Ex 4,500 1519 Dermatology DRS272 GLYCOLIC PEEL Back Full 5,500 1520 Dermatology DRS097 Laser hair reduction Posterior Neck Ex 4,000 1521 Dermatology DRS098 Laser hair reduction FULL NECK 4,500 1522 Dermatology DRS099 Laser hair reduction FULL NECK EX 5,000 1523 Dermatology DRS301 Agri Lactic Peel Per Session Ex 1,500 1524 Dermatology DRS302 Agri Lactic Peel 5` Session 4,500 1525 Dermatology DRS303 Agri Lactic Peel 5 Session Ex 6,500 1526 Dermatology DRS304 Dark Circle Per Session Ex 1,000 1527 Dermatology DRS305 Dark Circle 5 Session 2,500 1528 Dermatology DRS306 Dark Circle 5 Session Ex 3,500 1529 Dermatology DRS307 Microdermabrassion Per sesson Ex 2,500 1530 Dermatology DRS308 Microdermabrassion 5 sesson 8,000 1531 Dermatology DRS309 Microdermabrassion 5 sesson Ex 10,500 1532 Dermatology DRS310 UVB Phototherapy Spot Per Session (Small Patch) 2,000 1533 Dermatology DRS311 UVB Phototherapy Spot Per Session Ex 3,000 1534 Dermatology DRS312 UVB Phototherapy Full Body Per Session 800 1535 Dermatology DRS220 Laser hair reduction upper back 30,000 1536 Dermatology DRS221 Laser hair reduction Upper Back Ex 40,000 1537 Dermatology DRS222 Laser hair reduction Lower Back 30,000 1538 Dermatology DRS223 Laser hair reduction Lower Back Ex 40,000 1539 Dermatology DRS224 Laser hair reduction Full Back 50,000 1540 Dermatology DRS225 Laser hair reduction Full Back Ex 12,000 1541 Dermatology DRS226 Laser hair reduction Full Front Anterior 10,000 1542 Dermatology DRS227 Laser hair reduction Full Front Anterior Ex 12,000 1543 Dermatology DRS228 Laser hair reduction Bikini Line 2,500 1544 Dermatology DRS229 Laser hair reduction Bikini Line Ex 3,500 1545 Dermatology DRS230 Laser hair reduction Full Bikini Ex 6,000 1546 Dermatology DRS231 Laser hair reduction Gluteal 3,500 1547 Dermatology DRS233 Laser hair reduction Gluteal Ex 4,500 1548 Dermatology DRS234 Laser hair reduction Buttocks 5,000 1549 Dermatology DRS287 GLYCOLIC PEEL Face ex 3,000 1550 Dermatology DRS288 Oxypeel 4,000 1551 Dermatology DRS289 Oxypeel Ex 5,000 1552 Dermatology DRS290 Oxypeel + Medicine Therapy 4,500 1553 Dermatology DRS291 Oxypeel + Medicine Therapy Ex 5,500 1554 Dermatology DRS292 GLYCOLIC PEEL per session Ex 3,000 1555 Dermatology DRS293 GLYCOLIC PEEL 5 session 8,000 1556 Dermatology DRS294 GLYCOLIC PEEL 5 session Ex 12,000 1557 Dermatology DRS295 Salicylic Peel Per Session Ex 2,000 1558 Dermatology DRS296 Salicylic peel 5 session 8,000 1559 Dermatology DRS298 Yellow Peel Per Session Ex 3,000 1560 Dermatology DRS273 GLYCOLIC PEEL Back Full Ex 7,000 1561 Dermatology DRS274 GLYCOLIC PEEL Arms 5,000 1562 Dermatology DRS275 GLYCOLIC PEEL Arms Ex 6,000 1563 Dermatology DRS276 GLYCOLIC PEEL Full Arms 8,000 1564 Dermatology DRS277 GLYCOLIC PEEL Full Arms Ex 9,000 1565 Dermatology DRS278 GLYCOLIC PEEL Face,Chest,U Back & H Arms 8,000 1566 Dermatology DRS279 GLYCOLIC PEEL Face,Chest,U Back & H Arms Ex 12,000 1567 Dermatology DRS280 GLYCOLIC PEEL Upper Arms 3,500 1568 Dermatology DRS281 GLYCOLIC PEEL Upper Arms Ex 4,500 1569 Dermatology DRS282 GLYCOLIC PEEL Gluteal Region 8,000 1570 Dermatology DRS283 GLYCOLIC PEEL Gluteal Region Ex 11,000 1571 Dermatology DRS284 GLYCOLIC PEEL Gluteal Region Small Area 4,000 1572 Dermatology DRS285 GLYCOLIC PEEL Gluteal Region Small Area Ex 7,000 1573 Dermatology DRS058 FOOD ALLERGY(VEG FOOD) 2,990 1574 Dermatology DRS059 FOOD ALLERGY (NON VEG) 1,870 1575 Dermatology DRS060 INHALANT WITH CONTACT 1,680 1576 Dermatology DRS061 DRUG ALLERGY COST 2,430 1577 Dermatology DRS062 VEG PROFILE(VEG+NVEG) 3,740 1578 Dermatology DRS063 VEG PROFILE(VEG FOOD+INHALANT) 3,450 1579 Dermatology DRS064 VEGFOOD+NON VEG+INHALANT) 4,300 1580 Dermatology DRS065 VEG+NON VEG+INHALANT+DRUG) 6,170 1581 Dermatology DRS286 GLYCOLIC PEEL face 2,000 1582 Dermatology DRS066 Laser hair reduction Full Face (Without Neck) EX 8,000 1583 Dermatology DRS067 Laser hair reduction Full Face (WithNeck) 7,500 1584 Dermatology DRS068 Laser hair reduction Full Face (WithNeck) Ex 9,000 1585 Dermatology DRS069 Laser hair reduction Lower face EX 6,500 1586 Dermatology DRS070 Laser hair reduction chin 2,500 1587 Dermatology DRS071 Laser hair reduction chin ex 3,000 1588 Dermatology DRS335 Botox per unit 400 1589 Dermatology DRS100 Laser hair reduction Shoulders 5,000 1590 Dermatology DRS201 Laser hair reduction UNDER ARMS 3,500 1591 Dermatology DRS202 Laser hair reduction UNDER ARMS EX 4,500 1592 Dermatology DRS203 Laser hair reduction HALF ARMS 8,000 1593 Dermatology DRS204 Laser hair reduction HALF ARMS EX 12,000 1594 Dermatology DRS205 Laser hair reduction FULL ARMS 12,000 1595 Dermatology DRS206 Laser hair reduction FULL ARMS EX 14,000 1596 Dermatology DRS207 Laser hair reduction 10 fingers 1,500 1597 Dermatology DRS208 Laser hair reduction 10 fingers ex 2,000 1598 Dermatology DRS209 Laser hair reduction 20 toes 2,000 1599 Dermatology DRS210 Laser hair reduction 20 Toes ex 2,700 1600 Dermatology DRS211 Laser hair reduction midriff 2,500 1601 Dermatology DRS212 Laser hair reduction Midriff Ex 3,500 1602 Dermatology DRS213 Laser hair reduction Aerola 2,500 1603 Dermatology DRS214 Laser hair reduction Aerola ex 3,000 1604 Dermatology DRS215 Laser hair reduction chest 5,000 1605 Dermatology DRS216 Laser hair reduction Abdomen Line 3,000 1606 Dermatology DRS217 Laser hair reduction Abdomen Line Ex 4,000 1607 Dermatology DRS218 Laser hair reduction Abdomen 5,500 1608 Dermatology DRS219 Laser hair reduction Abdomen Ex 6,500 1609 Dermatology DRS235 Laser hair reduction Buttocks Ex 6,000 1610 Dermatology DRS236 Laser hair reduction Half Legs ( Thighs) 8,000 1611 Dermatology DRS237 Laser hair reduction Half Legs ( Thighs) Ex 9,000 1612 Dermatology DRS238 Laser hair reduction Half Legs (Lower) 7,000 1613 Dermatology DRS239 Laser hair reduction Full Legs 14,000 1614 Dermatology DRS240 Laser hair reduction Full Legs Ex 20,000 1615 Dermatology DRS241 Laser hair reduction full body 55,000 1616 Dermatology DRS242 TCA peels neck 2,000 1617 Dermatology DRS243 TCA peels Neck ex 3,000 1618 Dermatology DRS244 TCA peels chest 4,000 1619 Dermatology DRS245 TCA peels Chest Ex 5,500 1620 Dermatology DRS246 TCA peels Face 3,000 1621 Dermatology DRS247 TCA peels face Ex 3,800 1622 Dermatology DRS248 TCA peels Face+neck 3,200 1623 Dermatology DRS250 TCA Peels Back upper 3,500 1624 Drugs PHO642 FRESOFOL 15 ML(50 ML) 216 1625 DSA DSA024 Two Complex Aneurysm 59,876 1626 DSA DSP002 Percutaneous sclerotherapy 8,839 1627 DSA DSA002 Balloon test occlusion 21,384 1628 DSA DSA003 Cerebral AVM embolisation 58,450 1629 DSA DSA004 Complex aneurysm 59,876 1630 DSA DSA005 CT cisternography 6,273 1631 DSA DSA006 DSA cerebral 11,679 1632 DSA DSA007 Follow-up peripheral angiogram 7,841 1633 DSA DSA008 Intraarterial thrombolysis 38,492 1634 DSA DSA009 Intraarterial vasodilatation 22,810 1635 DSA DSA010 Intracranial aneurysm - single 40,915 1636 DSA DSA011 Intracranial aneurysm - two (same sessio 85,536 1637 DSA DSA012 Intracranial angioplasty and/or stenting 58,450 1638 DSA DSA013 Parent vessel occlusion 35,640 1639 DSA DSA014 Spinal angiography 14,672 1640 DSA DSA015 Spinal AVM embolisation 58,450 1641 DSA DSA016 Spinal tumor embolisation 16,537 1642 DSA DSA017 Tumor embolisation complex 42,768 1643 DSA DSA018 Tumor embolisation simple 24,948 1644 DSA DSA019 Venous stenting 42,768 1645 DSA DSA020 Venous thrombolysis 26,136 1646 DSA DSP001 Percutaneous biopsy 8,839 1647 DSA DSA001 Arch vessel stenting 48,708 1648 Echo CDC008 Crt Echocardiogram 3,996 1649 Echo CDC007 Fetal Echocardiography 3,348 1650 ECHO CDC001 Transthoracic Echocardiography 3,348 1651 ECHO CDC002 Transesophageal Echocardiography 3,834 1652 EHC Package EHA901 Motoman Motherson pre employement checku 700 1653 EHC Package EHA900 Motoman Motherson Exe health checkup 2,100 1654 EHC Package EHA295 Kuoni EXECUTIVE HEALTH CHECK FOR Male 5,800 1655 EHC Package EHA296 Kuoni EXECUTIVE HEALTH CHECK FOR Female 7,300 1656 EHC Package EHA296 Kuoni EXECUTIVE HEALTH CHECK FOR Female 7,300 1657 EHC Package EHA134 SRF Chemicals > 40 4,000 1658 EHC Package EHA135 Metlife Ladies below 35 2,600 1659 EHC Package EHA230 AIDA Health Check up Male 5,900 1660 EHC Package EHA231 AIDA Health Check up Female 5,900 1661 EHC Package EHA175 Lanco Infratech Ltd 1,000 1662 EHC Package EHA136 PSN PRE EMPLOYMENT 1,300 1663 EHC Package EHA137 P & G Pre-Employment Package 3,250 1664 EHC Package EHA138 State Bank Academy Female 2,300 1665 EHC Package EHA139 State Bank Academy - Male 2,300 1666 EHC Package EHA140 Special Package 1,840 1667 EHC Package EHA19 Artemis Pre Employement mrd< 35 560 1668 EHC Package EHA20 Artemis Pre Employement mrd< 35 600 1669 EHC Package EHA178 Diwali Bonanza Kids Additional 750 1670 EHC Package EHA179 Diwali Bonanza Kids 1,250 1671 EHC Package EHA0291 Diwali Bonanza Gold Health Check men 4,000 1672 EHC Package EHA292 Diwali Bonanza Gold Health Check women 4,000 1673 EHC Package EHA160 Jai Bharat Maruti Ltd Pre Emp 500 1674 EHC Package EHA159 The Scottish High School 700 1675 EHC Package EHA120 TIMES OF INDIA 3,000 1676 EHC Package EHA0160 P& G Periodic Male 3,500 1677 EHC Package EHA161 P& G Female < 35 4,500 1678 EHC Package EHA121 MET LIFE Male Below 50 2,250 1679 EHC Package EHA122 MET Life Men above 50 9,000 1680 EHC Package EHA200 Gold Cancer Check-Men 43,200 1681 EHC Package EHA201 Gold Cancer Check-Female 43,200 1682 EHC Package EHA202 Platinum Health check-Men 64,800 1683 EHC Package EHA203 Platinum health Check-Women 64,800 1684 EHC Package EHA164 Silver Check <40 Men 3,995 1685 EHC Package EHA165 Silver Check <40 Women 5,075 1686 EHC Package EHA166 Gold Package>40 Men 7,020 1687 EHC Package EHA167 Gold Check >40 Women 10,045 1688 EHC Package EHA183 LANCO ANPARA POWER LIMITED 2,300 1689 EHC Package EHA123 Punj Llyod Limited 3,300 1690 EHC Package EHA124 APOLLO INTL - MANAGER 3,650 1691 EHC Package EHA1 EHC - Male 2,900 1692 EHC Package EHA10 EHC - Cairn Men Above 50 5,120 1693 EHC Package EHA11 EHC Mckinsey for Men 6,657 1694 EHC Package EHA12 EHC Mckinsey for Women 6,757 1695 EHC Package EHA13 EHC Mckinsey for Women >40 6,757 1696 EHC Package EHA15 EHC Mckinsey for Children 1,900 1697 EHC Package EHA905 Gyne Screening for women 4,730 1698 EHC Package EHA119 Intratek Testing Services (I)PVT LTD. 1,200 1699 EHC Package EHA82 ARICENT - MALE 3,000 1700 EHC Package EHA83 ARICENT - FEMALE 3,250 1701 EHC Package EHA061 HI-LEX EHC 4,000 1702 EHC Package EHA062 HI-LEX PRE EMPLOYMENT 500 1703 EHC Package EHA141 STATE BANK OF PATIALA 3,500 1704 EHC Package EHA143 BP INDIA PRE EMPLOYMENT 1,350 1705 EHC Package EHA098 Field Fresh Foods Private Limited-PreEmp 750 1706 EHC Package EHA097 Field Fresh Foods Private Limited 2,500 1707 EHC Package EHA099 Degania Medical Services Pvt.Ltd 1,410 1708 EHC Package EHA144 SODEXO EMPLOYEE PACKAGE 254 1709 EHC Package EHA0144 Alstom Power 1,100 1710 EHC Package EHA145 Silver Package(Men<40yrs) 3,780 1711 EHC Package EHA146 Silver Package(Women<40yrs) 4,320 1712 EHC Package EHA147 Gold Package(Men<40yrs) 6,910 1713 EHC Package EHA148 Gold Package(Women<40yrs) 9,505 1714 EHC Package EHA902 Nitto Denco India Pvt. Ltd - Male 3,000 1715 EHC Package EHA903 Nitto Denco India Pvt. Ltd - Female 3,500 1716 EHC Package EHA100 Vanu India Private Limited-Master 1,200 1717 EHC Package EHA101 Vanu India Private Limited-Executive 3,000 1718 EHC Package EHA102 Lanco Green Power Pvt.Ltd. 1,350 1719 EHC Package EHA110 Hindustan Coca Cola Pre-Emp 950 1720 EHC Package EHA149 RBS Pre Employment Pkg 1,350 1721 EHC Package EHA150 HERO HONDA MOTORS - F 5,500 1722 EHC Package EHA151 JBM Group > 45 yrs 2,900 1723 EHC Package EHA170 Gold Heart Checkup Package-Men 54,000 1724 EHC Package EHA171 Gold Heart Checkup Package-Woman 54,000 1725 EHC Package EHA301 Convergys India Health Check UP 3,500 1726 EHC Package EHA303 Lanco Babandh 1,200 1727 EHC Package EHA112 Reliance SEZ 41 to 50(Male) 1,326 1728 EHC Package EHA113 Reliance SEZ 41 to 50(Female) 2,200 1729 EHC Package EHA114 Orange Cross Package 4,250 1730 EHC Package EHA108 Abir Constructions Pvt. Ltd. 800 1731 EHC Package EHA115 Reliance SEZ < 40 750 1732 EHC Package EHA116 RELIANCE SEZ >51 MEN 2,627 1733 EHC Package EHA117 RELIANCE SEZ >51 WOMEN 3,311 1734 EHC Package EHA118 OMNILINE PRE EMPLOYMENT 1,350 1735 EHC Package EHA152 APOLLO DKV 3,000 1736 EHC Package EHA126 APOLLO INTL WOMEN CHECK 3,400 1737 EHC Package EHA168 Silver Cancer Check Men 5,290 1738 EHC Package EHA169 Silver Cancer Check Women 6,370 1739 EHC Package EHA906 Bechtel India Pvt. Ltd.-Female 9,390 1740 EHC Package EHA907 Bechtel India Pvt. Ltd.-Male 8,590 1741 EHC Package EHA908 CII pre employment -Female 1,200 1742 EHC Package EHA0194 Lanco Himvat Power Pvt Limited 2,700 1743 EHC Package EHA125 APOLLO INTL EXEC 2,300 1744 EHC Package EHA127 Honda Motorcycles & Scooters M 4,800 1745 EHC Package EHA128 Honda Motorcycles & Scooters F 4,800 1746 EHC Package EHA0170 Cairn Executive Health Check 4,300 1747 EHC Package EHA0170 Cairn Executive Health Check 4,300 1748 EHC Package EHA130 Cincom < 40 1,200 1749 EHC Package EHA131 Cincom > 40 2,000 1750 EHC Package EHA180 Interglobe Health Checkup 4,400 1751 EHC Package EHA980 BP Alpha Extended Male 6,700 1752 EHC Package EHA053 Ericsson Men below 30 yrs 2,500 1753 EHC Package EHA054 Ericsson Men above 30 yrs 3,750 1754 EHC Package EHA055 Ericsson Women above 30 yrs 3,750 1755 EHC Package EHA056 Ericsson Women Below 30 yrs 2,500 1756 EHC Package EHA057 Ericsson Pre Employment 999 1757 EHC Package EHA095 VIPUL > 40 1,800 1758 EHC Package EHA096 VIPUL < 40 1,800 1759 EHC Package EHA41 ITC Tobacco Male < 45 yrs 2,800 1760 EHC Package EHA42 ITC Tobacco Female < 45 yrs 3,550 1761 EHC Package EHA43 ITC Tobacco Male > 45 yrs 4,300 1762 EHC Package EHA44 ITC Tobacco Female > 45 yrs 5,000 1763 EHC Package EHA030 Amex 1 750 1764 EHC Package EHA031 Amex2 850 1765 EHC Package EHA033 Customized Health Checkup - Package 2 wi 2,075 1766 EHC Package EHA034 Pre-Employment Health Checkup 1,475 1767 EHC Package EHA035 F Bar 500 1768 EHC Package EHA84 RBS India Development Centre 3,000 1769 EHC Package EHA86 Nunhems Male Below 40 2,700 1770 EHC Package EHA087 Nunhems Below 40 Women 3,300 1771 EHC Package EHA088 Nunhems Above 40 Men 4,700 1772 EHC Package EHA089 Nunhems Above 40 Women 5,300 1773 EHC Package EHA090 Yum Restaurants Pre Employment 1,000 1774 EHC Package EHA091 CII Package for less than 40 years 3,000 1775 EHC Package EHA092 CII Pre Employment 1,100 1776 EHC Package EHA093 Amex Banking Corporation Pre Employment 850 1777 EHC Package EHA094 ENERGY INFRATECH PRE-EMP 800 1778 EHC Package EHA036 Reliance India 2,500 1779 EHC Package EHA32 Ameriprise Pre-employment 750 1780 EHC Package EHA153 Lafarge India PVT LTD >35 3,700 1781 EHC Package EHA154 Lafarge India PVT LTD < 35 3,000 1782 EHC Package EHA304 Nitto Denco India Pvt Ltd 2,000 1783 EHC Package EHA305 LANCO SOLAR ENERGY PVT LTD 1,000 1784 EHC Package EHA155 Bacardi-Martini India Male>30 4,950 1785 EHC Package EHA156 Bacrdi-Martini India < 30 2,700 1786 EHC Package EHA157 Bacrdi-Martini India Female>30 5,400 1787 EHC Package EHA29 Bharti Airtel I 2,000 1788 EHC Package EHA30 Bharti Airtel II 1,510 1789 EHC Package EHA21 SILVER PACKAGE( LESS THAN 30 3,000 1790 EHC Package EHA22 GOLD PACKAGE(Above 30 years) 3,000 1791 EHC Package EHA23 HEART HEALTH CHECK 4,000 1792 EHC Package EHA50 American Express AEIPL-I 750 1793 EHC Package EHA51 American Express AEIPL-II 850 1794 EHC Package EHA77 FRIGOGLASS INDIA PRE EMPLOYMENT 550 1795 EHC Package EHA78 ITC HOTEL PRE EMPLOYMENT 1,350 1796 EHC Package EHA24 DIABETIC CHECK 2,810 1797 EHC Package EHA25 Cancer Screening for Men > 50 years 4,600 1798 EHC Package EHA26 Cancer Screening for women > 50 years 5,500 1799 EHC Package EHA27 WELL WOMEN CHECK PLUS (>40 YEA 6,000 1800 EHC Package EHA027 Silver Cancer Check-FEMALE 3,000 1801 EHC Package EHA028 Silver Cancer Check-MALE 2,150 1802 EHC Package EHA80 CARGILL INDIA PRE EMP MALE 800 1803 EHC Package EHA81 CARGILL INDIA PRE EMP FEMALE 1,000 1804 EHC Package EHA957 Advance Group 1,500 1805 EHC Package EHA991 Airtel Option1 2,000 1806 EHC Package EHA992 Airtel Option2 3,000 1807 EHC Package EHA768 HCCB Package Male 4,500 1808 EHC Package EHA769 HCCB Package Female 5,200 1809 EHC Package EHA928 Coca Cola India Pvt. Ltd. Health Check Up for Males 3,350 1810 EHC Package EHA929 Coca Cola India Pvt. Ltd. Health Check Up for Females 4,850 1811 EHC Package EHA930 Executive Health Check up Below 40 4,530 1812 EHC Package EHA931 SMS GROUP MASTER ABOVE 40 9,500 1813 EHC Package EHA942 Future Value ’s Executive Male chkup 3,000 1814 EHC Package EHA943 Future Value ’s Executive Female chkup 6,000 1815 EHC Package EHA555 Hindustan Petroleum Health Check Up Basic (M) 3,000 1816 EHC Package EHA556 industan Petroleum Silver Health Check ( Men>40 Years) 4,000 1817 EHC Package EHA719 ILFS TYPE1 PRE EMP CHECK UP 1,000 1818 EHC Package EHA721 RAPID METRO PRE EMP CHECK UP 1,000 1819 EHC Package EHA722 RAPID METRO TEST FOR TRAIN OPERATOR 1,100 1820 EHC Package EHA730 Convergys Health Package 600 1821 EHC Package EHA215 Hindustan Coca Cola Beverages Male 4,000 1822 EHC Package EHA216 Hindustan Coca Cola Female 5,000 1823 EHC Package EHA107 Siemens Industry Software(India) Pvt. Ltd 6,000 1824 EHC Package EHA918 SRF CORPORATE-VISA PACKAGE 1,080 1825 EHC Package EHA919 Children Health Check Up 2,587 1826 EHC Package EHA950 MOSAIC AON GLOBAL INSURANCE BROKERS 7,600 1827 EHC Package EHA953 Adventz Group FEMALE Zauri Management 6,000 1828 EHC Package EHA956 Adventz Group Male Zauri Management 5,500 1829 EHC Package EHA946 UHC(PNB METLIFE) 6,425 1830 EHC Package EHA948 Fidelity Women New 4,400 1831 EHC Package EHA949 Fidelity Pre-emp New 400 1832 EHC Package EHA58 Indus Tower Pre-Employment 750 1833 EHC Package EHA59 Indus Tower Male 2,500 1834 EHC Package EHA60 Indus Tower Female 2,300 1835 EHC Package EHA28 Apollo Pre employment pkg 650 1836 EHC Package EHA723 ILFS TYPE3 ANNUAL HEALTH CHECK UP 3,500 1837 EHC Package EHA724 RAPID METRO Type 3-Annual Heal 3,500 1838 EHC Package EHA933 JBM < 45yrs Male Female 1,700 1839 EHC Package EHA999 Diabetes Full Circle Package1 5,000 1840 EHC Package EHA196 Maruti Suzuki Male< 50 yr 2,500 1841 EHC Package EHA197 Maruti Suzuki Male> 50 yr 4,000 1842 EHC Package EHA198 Maruti Suzuki Female< 50 yr 2,500 1843 EHC Package EHA205 Maruti Suzuki Female> 50 yr 3,500 1844 EHC Package EHA418 HD Motors(via-Religare) 2,300 1845 EHC Package EHA923 Infosys Master pkg 2,940 1846 EHC Package EHA924 Infosys mini master 1,040 1847 EHC Package EHA925 Infosys well women check up 2,220 1848 EHC Package EHA926 Infosys comprihensive check up 1,285 1849 EHC Package EHA972 Religare Health Insurance Male 3,300 1850 EHC Package EHA973 Religare Insurance Female 3,700 1851 EHC Package EHA0319 HD Motors Cons (via Religare) 2,700 1852 EHC Package EHA968 Citi bank/ Apollo Munich Health check up package 3,000 1853 EHC Package EHA889 Golden Agri Pre Emp Female 3,150 1854 EHC Package EHA982 RITES Limited 3,500 1855 EHC Package EHA725 HEART HEALTH CHECK-UP POST CABG 5,000 1856 EHC Package EHA726 HEALTHY HEART HEALTH CHECK-UP PACKAGE 6,050 1857 EHC Package EHA936 Free Basic Health Check Voucher 0 1858 EHC Package EHA882 Lanco Pre emp 1,000 1859 EHC Package EHA883 Lanco general 2,300 1860 EHC Package EHA952 Harley Davidson Pre Employment 5,300 1861 EHC Package EHA966 BP Alpha Basic Male 5,700 1862 EHC Package EHA979 BP Alpha Basic Female 5,900 1863 EHC Package EHA333 Himshakti Pvt. Ltd 25-35 2,500 1864 EHC Package EHA334 Himshakti Pvt. Ltd Abve 35 yr 3,600 1865 EHC Package EHA335 Bhavishya Bharat Pvt.Ltd 25-35 2,500 1866 EHC Package EHA336 Bhavishya Bharat Pvt. Ltd abve 35 Yr 3,600 1867 EHC Package EHA506 Lanco Amarkantak Power limited 2,300 1868 EHC Package EHA401 New Silver Check Male < 40 4,400 1869 EHC Package EHA402 New Silver Check Female < 40 Y 4,750 1870 EHC Package EHA403 New Gold check Male >40 7,900 1871 EHC Package EHA404 New Gold Check Female > 40 Yrs 11,000 1872 EHC Package EHA405 NEW PLATINUM CHECK MALE 31,850 1873 EHC Package EHA406 New Platinum Pkg Women 35,000 1874 EHC Package EHA407 New Diabetic Check 4,400 1875 EHC Package EHA408 New Cancer Screening Male 5,100 1876 EHC Package EHA409 New Cancer Screening Female 6,400 1877 EHC Package EHA891 NSN Pre Emp Chk Up 800 1878 EHC Package EHA892 NSN Chk Up< 40 years 2,000 1879 EHC Package EHA893 NSN Chk Up>40 years 4,000 1880 EHC Package EHA947 Fidelity Male new 3,000 1881 EHC Package EHA913 Basic Annual Health Check up colt 1,200 1882 EHC Package EHA914 Silver Annual Healthcheck up - 30 - 40 Yrs MALES colt 2,200 1883 EHC Package EHA915 Silver Annual Healthcheck up - 30 - 40 Yrs FEMALES colt 2,400 1884 EHC Package EHA916 Gold Annual Healthcheck up - 40 Yrs and above MALES colt 3,700 1885 EHC Package EHA917 Gold Annual Healthcheck up - 40 Yrs and above FEMALES c 3,600 1886 EHC Package EHA998 Health Package< 45 years 1,700 1887 EHC Package EHA911 Kohlear India Health Package 1,500 1888 EHC Package EHA927 Convergys coupon 3,100 1889 EHC Package EHA934 Cairn Protocol 1 Age <=40yrs 4,000 1890 EHC Package EHA935 Cairn Protocol 2 Age > 40yrs 5,000 1891 EHC Package EHA940 Isolux Corsan India pre employment 1,000 1892 EHC Package EHA941 Isolux Corsan India Annual 2,300 1893 EHC Package EHA832 SRF Chemicals 20-30 Health Check Up 1,000 1894 EHC Package EHA833 SRF Chemicals 30-40 Health Check 2,000 1895 EHC Package EHA668 Industrial Pre Employment Health Check Up 900 1896 EHC Package EHA751 Executive Health check up Package 3,060 1897 EHC Package EHA752 Non Executive Health check up Package 2,500 1898 EHC Package EHA951 Max Bupa Mediassistindia Package 3,000 1899 EHC Package EHA981 BP Alpha Extended Female 8,300 1900 EHC Package EHA974 BP India Basic Male 5,700 1901 EHC Package EHA975 BP India Basic Female 5,900 1902 EHC Package EHA976 BP India extended Male 6,700 1903 EHC Package EHA977 BP India extended Female 8,300 1904 EHC Package EHA938 Delta Corporate 200 1905 EHC Package EHA932 Adani Enterprises Health Check Up 5,000 1906 EHC Package EHA106 United Health group Camp Employee 2,640 1907 EHC Package EHA910 SPIL Health check-up 2,000 1908 EHC Package EHA959 Mars(Male) Health Check 5,500 1909 EHC Package EHA960 Venus(Female) Health Check 5,500 1910 EHC Package EHA961 Kardia(Cardiac) Health Check 4,500 1911 EHC Package EHA962 Cancer (Male) Health Check 3,500 1912 EHC Package EHA963 Cancer (Female) Health Check 4,500 1913 EHC Package EHA340 Pepsico health check option - 1 3,600 1914 EHC Package EHA341 Pepsico health check option - 2) 3,600 1915 EHC Package EHA969 Future Generali/ British Telecom Male Health check package 3,350 1916 EHC Package EHA970 Future Generali/ British Telecom Female Health check packa 4,850 1917 EHC Package EHA971 Future Generali/ British Telecom Basic Health check packag 750 1918 EHC Package EHA727 Corporate Health Executive Male< 40 years 3,600 1919 EHC Package EHA728 Corporate Health Executive Female< 40 years 4,000 1920 EHC Package EHA881 Comviva Male Health Chk Up 2,000 1921 EHC Package EHA888 Comviva Female Health Chk Up 2,300 1922 EHC Package EHA939 Colt Vipul MedCorp Package 4,500 1923 EHC Package EHA944 Bechtel Prudent Brokers 3,000 1924 EHC Package EHA410 Basic Health Check Male 3,350 1925 EHC Package EHA411 Basic Health Check Female 4,250 1926 EHC Package EHA01 AHWP HBA1C 400 1927 EHC Package EHA02 AHWP DIET 200 1928 EHC Package EHA03 AHWP Dental 330 1929 EHC Package EHA789 Hero Honda Motors (M) 4,800 1930 EHC Package EHA701 Golder Associates Pre Employment Health 2,500 1931 EHC Package EHA702 Golder Associates Post- Employment Healt 2,500 1932 EHC Package EHA704 DDE Renewable Energy Pvt Ltd 1,000 1933 EHC Package EHA705 Electromech Maritech Pvt Ltd 1,000 1934 EHC Package EHA706 Finehope Allied engineering pvt Ltd 1,000 1935 EHC Package EHA707 KVK 1,000 1936 EHC Package EHA708 Newton 1,000 1937 EHC Package EHA709 Saidham 1,000 1938 EHC Package EHA710 Vasavi 1,000 1939 EHC Package EHA711 Unique 1,000 1940 EHC Package EHA712 Ambit 1,000 1941 EHC Package EHA713 Diwakar 1,000 1942 EHC Package EHA714 Khaya 1,000 1943 EHC Package EHA703 Orint Craft 4,600 1944 EHC Package EHA717 Taj Employees health check Female 5,500 1945 EHC Package EHA718 Taj Employees health check Male 5,500 1946 EHC Package EHA715 Lanco Solar Private Limited Health Packa 2,500 1947 EHC Package EHA716 Lanco NETS Health Package 2,300 1948 EHC Package EHA912 Bio Metrics 400 1949 EHC Package EHA886 OXYLANE FOR MALE EMPLOYEE 2,500 1950 EHC Package EHA885 OXYLANE FOR FEMALE EMPLOYEE 3,000 1951 EHC Package EHA954 Kuoni Male Health check up 5,800 1952 EHC Package EHA306 Sona Koyo employees health checkup packa 3,000 1953 EHC Package EHA307 Belden India P. Ltd 1,200 1954 EHC Package EHA320 Dwarka Health Check 1,200 1955 EHC Package EHA355 SIEMENS GROUP 3,000 1956 EHC Package EHA359 Dwarka Gold Health Check(F) 4,250 1957 EHC Package EHA358 Dwarka Silver pkg women < 40 4,000 1958 EHC Package EHA357 Dwarka Gold Health Check(M) 4,000 1959 EHC Package EHA356 Dwarka Silver pkg Men < 40 3,000 1960 EHC Package EHA360 Dwarka Platinum Health Pck (M) 4,449 1961 EHC Package EHA361 Dwarka Platinum Health Pck (F) 3,056 1962 EHC Package EHA308 Nokia Siemens employees >40 years 4,000 1963 EHC Package EHA309 Nokia Siemens employees < 40 years 2,000 1964 EHC Package EHA310 Nokia Siemens pre employment package 800 1965 EHC Package EHA400 DLF Phase 3 4,400 1966 EHC Package EHA909 Convergys pkg for women 1,300 1967 EHC Package EHA884 Hella Pre Employment Chk UP 2,200 1968 EHC Package EHA729 Brother international male 5,000 1969 EHC Package EHA739 Brother Interanational female 5,500 1970 EHC Package EHA311 Sona Koya Health check package-female 3,000 1971 EHC Package EHA312 Lanco Babandh Health Check 1,700 1972 EHC Package EHA314 Abir Construction age 25-35 year 2,500 1973 EHC Package EHA315 Abir Construction age above 35 Year 3,600 1974 EHC Package EHA316 Energy Infratech 25 to 35 2,500 1975 EHC Package EHA317 Energy Infratech 35 years 3,600 1976 EHC Package EHA318 Athena Damwe Pvt. Ltd 25-35 2,500 1977 EHC Package EHA319 Athena Damwe Pvt. Ltd above 35 Year 3,600 1978 EHC Package EHA321 Teesta Urja Pvt. Ltd 25-35 2,500 1979 EHC Package EHA322 Teesta Urja Pvt. Ltd above 35 Year 3,600 1980 EHC Package EHA323 Everest Power Pvt. Ltd 25-35 2,500 1981 EHC Package EHA324 Everest Power Pvt. Ltd abve 35 YR 3,600 1982 EHC Package EHA325 Patikari Power Pvt. Ltd 25-35 2,500 1983 EHC Package EHA326 Patikari Power Pvt. Ltd ab 35 Year 3,600 1984 EHC Package EHA327 Athena Infra Pvt. Ltd 25-35 2,500 1985 EHC Package EHA328 Athena Infra Pvt. Ltd Above 35 Yr 3,600 1986 EHC Package EHA329 Teesta Vally Power Ltd 25-35 2,500 1987 EHC Package EHA330 Teesta Vally Power Ltd Abve 35 3,600 1988 EHC Package MKP2000 Camp for Marketing Promotions 0 1989 EHC Package MKP073 Honda Siel Pre Employement 70 1990 EHC Package MKP063 Honda Siel Pack 1 Male 280 1991 EHC Package MKP064 Honda Siel Pack 1 Female 300 1992 EHC Package MKP065 Honda Siel Pack 2 Male 240 1993 EHC Package MKP066 Honda Siel Pack 2 Female 240 1994 EHC Package MKP067 Honda Siel Pack 3 Male 180 1995 EHC Package MKP068 Honda Siel Pack 3 Female 180 1996 EHC Package MKP069 Honda Siel Pack 4 Male 150 1997 EHC Package MKP070 Honda Siel Pack 4 Female 150 1998 EHC Package MKP074 Aztec Exim Pvt.Ltd. Pre Employment 90 1999 EHC Package MKP071 HONDA SIEL PACK 5 MALE 100 2000 EHC Package MKP072 HONDA SIEL PACK 5 FEMALE 100 2001 EHC Package PKA014 ESPN MEN PACKAGE 300 2002 EHC Package PKA016 ESPN WOMEN PACKAGE II 340 2003 EHC Package PKA017 ESPN WOMEN PACKAGE III 280 2004 EHC Package PKA018 Acme Female 1,150 2005 EHC Package PKA019 Acme Male 110 2006 EHC Package PKA008 AIR FRANCE PLAN A WOMEN 215 2007 EHC Package PKA009 AIR FRANCE PLAN B WOMEN 495 2008 EHC Package PKA011 PO BARIATRIC SURGERY I 7,610 2009 EHC Package PKA012 PO BARIATRIC SURGERY II 8,000 2010 EHC Package PKA021 GROZ ENGINEERING OFFICER 170 2011 EHC Package PKA022 GROZ ENGINEERING WORKER 30 2012 EHC Package PKA023 Basic Screening-Women 165 2013 EHC Package PKA030 FIDELITY PRE-EMPLOYMENT 450 2014 EHC Package PKA040 FIDELITY MEN <30 1,300 2015 EHC Package PKA041 FIDELITY MEN >30 2,600 2016 EHC Package PKA042 FIDELITY MEN >40 2,500 2017 EHC Package PKA043 FIDELITY WOMEN <30 1,300 2018 EHC Package PKA044 FIDELITY WOMEN >30 2,600 2019 EHC Package PKA045 FIDELITY WOMEN >40 3,300 2020 EHC Package PKA046 GENERAL HEALTH CHECK (PACKAGE I) 67 2021 EHC Package PKA047 MASTER HEALTH CHECK (PACKAGE II) 175 2022 EHC Package PKA048 EXECUTIVE HEALTH CHECK (PACKAGE III) 200 2023 EHC Package PKA049 EXECUTIVE HEALTH CHECK (PACKAGE IV) 300 2024 EHC Package PKA015 ESPN WOMEN PACKAGE I 340 2025 Electrocardiogram CDE12 External ECG Monitor Recording (V patch) 10,000 2026 Electrocardiogram CDE001 Electrocardiogram, Tracing 216 2027 Electrocardiogram CDE002 Electrocardiogram, Complete 324 2028 Embryologist EBD012 IMSI 4,400 2029 Embryologist EBD021 TESA with Cryopreservation of tissue (3 months). 27,500 2030 Embryologist EBD015 Pre-IVF cryopres (3 months) 3,850 2031 Embryologist EBD001 IVF / ICSI (Embryologist) 8,250 2032 Embryologist EBD002 TESA (Embryologist) 1,650 2033 Embryologist EBD003 TESA-ICSI (Embryologist) 13,060 2034 Embryologist EBD011 TESA with Cryopreservation of tissue (6 1,650 2035 Embryologist EBD005 IVF with Blastocyst transfer(Embryologis 11,880 2036 Embryologist EBD006 ICSI-IMSI (Embryologist) 13,660 2037 Embryologist EBD007 Frozen Embryo Transfer (Embryologist) 5,500 2038 Embryologist EBD008 IVF-using Donor Oocytes (Embryologist) 8,910 2039 Embryologist EBD009 IVF-using Donor sperm(Embryologist) 8,910 2040 Embryologist EBD010 IVF- using Donor Embryo 8,910 2041 Embryologist EBD004 IVF with Assisted Hatching(Embryologist) 11,880 2042 Endocrinology LBE001 Cortisol-Free Serum 10,100 2043 Endocrinology LBE002 ACTH, Serum 1,700 2044 Endocrinology LBE028 Testosterone Response, 3 Pooled Samples 700 2045 Endocrinology LBE030 Testosterone,Total 900 2046 Endocrinology LBE031 Thyroid Stimulating Hormone (TSH) 500 2047 Endocrinology LBE032 Cortisol Morning ( 8am - 10am ) 700 2048 Endocrinology LBE033 Hydroxycorticosteroids,17-24 Hr Urine 6,500 2049 Endocrinology LBE034 Hydroxyindolacetic Acid,5-24 Hr urine 2,500 2050 Endocrinology LBE035 Ketosteroids,17-(17-KS)Total,24hrs 6,200 2051 Endocrinology LBE003 Aldosterone,Serum 1,800 2052 Endocrinology LBE004 Androstenedione 1,900 2053 Endocrinology LBE005 Immunoassay, Tumor, Ca 15-3 1,300 2054 Endocrinology LBE006 Carcinoembryonic Antigen(CEA) 800 2055 Endocrinology LBE007 Calcitonin, Serum 2,400 2056 Endocrinology LBE008 Dehydroepiandrosterone (DHEA) 2,500 2057 Endocrinology LBE009 Dehydroepiandrosterone-Sulfate (DHEA-S) 1,000 2058 Endocrinology LBE010 Estradiol Response Panel, 3 Pooled Sampl 700 2059 Endocrinology LBE011 Follicle Stimulating Hormone (FSH) 700 2060 Endocrinology LBE012 Free T-3(FT-3) 500 2061 Endocrinology LBE015 Growth Hormone, (HGH) (Somatotropin) 800 2062 Endocrinology LBE016 Insulin; 2 Hrs PP 1,000 2063 Endocrinology LBE017 Insulin; Fasting 1,000 2064 Endocrinology LBE018 Immunoassay, Tumor, Ca 19.9 1,300 2065 Endocrinology LBE019 Hydroxyprogesterone,17-OH 1,500 2066 Endocrinology LBE020 Estradiol E2 ,Serum 700 2067 Endocrinology LBE021 Immunoassay, Tumor, Ca 125 1,200 2068 Endocrinology LBE022 Progesterone, Serum 700 2069 Endocrinology LBE023 Prolactin, serum 700 2070 Endocrinology LBE024 PSA, Total 1,000 2071 Endocrinology LBE026 Parathyroid Hormone,Intact 1,900 2072 Endocrinology LBE027 Estrogens-Total Serum 11,000 2073 Endocrinology LBE054 Dihydrotestosterone 5 Alpha 2,800 2074 Endocrinology LBE055 Luteinizing Hormone(LH) 600 2075 Endocrinology LBE057 17-Hydroxypregenolone 11,800 2076 Endocrinology LBE058 PSA, Free 1,000 2077 Endocrinology LBE059 Testosterone, Free 2,100 2078 Endocrinology LBE060 Free Thyroxine, F T4 500 2079 Endocrinology LBE061 Chorionic Gonadotropin Test,(HCG);Quan 900 2080 Endocrinology LBE063 Alpha-Fetoprotein,Serum 1,000 2081 Endocrinology LBE064 Sex Hormone Binding Globulin (SHBG) 2,700 2082 Endocrinology LBE065 Thyroglobulin,Serum 2,000 2083 Endocrinology LBE066 Total Thyroxine (TT4) 300 2084 Endocrinology LBE068 Total Triodothyronine (TT3) 300 2085 Endocrinology LBE070 Hormones- Menopausal 1,700 2086 Endocrinology LBE071 Triple Marker 2,400 2087 Endocrinology LBEO72 Pregnancy Associated Plasma Protein A 1,900 2088 Endocrinology LBE073 Double Marker Test 2,200 2089 Endocrinology LBE052 Alpha-Fetoprotein, Amniotic 900 2090 Endocrinology LBE076 Estriol uE3,Unconjugate,Serum 1,500 2091 Endocrinology LBE078 Thyroid Function Test- Free 1,000 2092 Endocrinology LBE079 Metanephrines- 24 Hr Urine 10,000 2093 Endocrinology LBE080 Polycystic ovarian disease 4,200 2094 Endocrinology LBE050 Cortisol Evening ( 4pm - 6pm ) 700 2095 Endocrinology LBE046 Gastrin 1,300 2096 Endocrinology LBE072 Antibodies To Scl 70 (Scleroderma) 1,100 2097 Endocrinology LBE083 Growth Hormone Antibody 14,500 2098 Endocrinology LBE91 IGF Binding Protein-3 (IGFBP-3) 3,800 2099 Endocrinology LBE97 TSH, NEWBORN SCREEN 300 2100 Endocrinology LBE182 Maternal Quadri-Screen 3,600 2101 Endocrinology LBE091 Catecholamines,24 hrs Urine 4,500 2102 Endocrinology LBE120 Catecholamines - Blood 7,000 2103 Endocrinology LBE082 IGF-1,Somatomedin C 4,100 2104 Endocrinology LBE081 Erythropoitein 1,900 2105 Endocrinology LBE102 Growth Hormone Suppressed Glucose 2 sample 1,600 2106 Endocrinology LBE103 Growth Hormone Suppressed Glucose 3 sample 2,300 2107 Endocrinology LBE104 Growth Hormone Stimulation 2 sample 1,600 2108 Endocrinology LBE098 Ferritin 900 2109 Endocrinology LBE088 Growth Hormone Stimulation 3 sample 2,300 2110 Endocrinology LBE092 Growth Hormone Stimulation 5 sample 3,900 2111 Endocrinology LBE167 Growth stimulation 4 sample 3,100 2112 Endocrinology LBE084 Growth Hormone Stimulation 6 sample 4,700 2113 Endocrinology LBE085 Growth Hormone Suppressed Glucose 4 sam 3,100 2114 Endocrinology LBE086 Growth Hormone Suppressed Glucose 5 sam 3,900 2115 Endocrinology LBE087 Growth Hormone Suppressed Glucose 6 sam 4,600 2116 Endocrinology LBE089 Cl-esterase Inhibitor protein Quantative 2,100 2117 Endoscopy EOA091 Pancreatic stenting 15,444 2118 Endoscopy EOA092 Endoscopy during sleeve gastrectomy(in O 5,940 2119 Endoscopy EOA093 Stent Removal 5,940 2120 Endoscopy EOA094 Colonoscopic sclerotherapy 7,722 2121 Endoscopy EOA095 peg removal 2,970 2122 Endoscopy EOA096 EVL 6,534 2123 Endoscopy EOA097 esophageal stenting 10,098 2124 Endoscopy EOA098 esophageal dilation 6,534 2125 Endoscopy EOA67 AHWP Colonoscopy 4,158 2126 Endoscopy EOA001 THERAPEUTIC ESOPHAGOSCOPY WITH 4,551 2127 Endoscopy EOA003 Diagnostic upper endoscopy 4,551 2128 Endoscopy EOA005 DIAGNOSTIC ERCP 16,514 2129 Endoscopy EOA006 DIAGNOSTIC SIGMOIDOSCOPY 3,564 2130 Endoscopy EOA023 ESOPHAGEAL STRICTURE DILATATIO 8,839 2131 Endoscopy EOA013 SHORT COLONOSCOPY+/- BIOPSY 5,406 2132 Endoscopy EOA014 Upper Endoscopy with Banding 8,839 2133 Endoscopy EOA015 Upper Endoscopy with Stenting 14,672 2134 Endoscopy EOA016 ACHALASIA DILATATION 11,679 2135 Endoscopy EOA017 BALLON TAMPONADE 3,564 2136 Endoscopy EOA018 BILIARY STENTING 20,672 2137 Endoscopy EOA020 CYSTOGASTROSTOMY 16,514 2138 Endoscopy EOA021 ENTERAL DILATATION 11,679 2139 Endoscopy EOA022 ESOPHAGEAL DILATATION-SUBSEQUE 7,841 2140 Endoscopy EOA025 EPT 18,533 2141 Endoscopy EOA026 EPT+ MECHANICAL LITHOTRIPSY 27,075 2142 Endoscopy EOA027 EST 7,841 2143 Endoscopy EOA028 EST SUBSEQUENT 7,841 2144 Endoscopy EOA029 Endoscopic Foreign Body removal 9,683 2145 Endoscopy EOA030 GLUE INJECTION OF VARICES 7,841 2146 Endoscopy EOA031 LIVER BIOPSY 6,273 2147 Endoscopy EOA035 PTBD 24,948 2148 Endoscopy EOA011 Long Colonoscopy+/- biopsy 7,841 2149 Endoscopy EOA159 ENDOSCOPIC BOWEL WASH 6,480 2150 Endoscopy EOA69 ERCP + Stone Extraction + Pancreatic Stenting 45,620 2151 Endoscopy EOA70 ERCP + Stone Extraction + Biliary Stenting 45,620 2152 Endoscopy EOA71 ERCP + Pancreatic Stenting + Biliary Stenting 45,620 2153 Endoscopy EOA72 ERCP + Stone Extraction + Pancreatic Stenting + Biliary Ste 68,429 2154 Endoscopy EOA060 Diagnostic esophagoscopy 2,115 2155 Endoscopy EOA062 Capsule Endoscopy 59,400 2156 Endoscopy EOA061 Colonoscopic decompression 8,839 2157 Endoscopy EOA036 Side viewing endoscopy 6,273 2158 Endoscopy EOA037 Sigmoidoscopy with control of bleeding 7,841 2159 Endoscopy EOA038 colonoscopy with metal stenting 16,514 2160 Endoscopy EOA039 Colonoscopy with APC 14,672 2161 Endoscopy EOA040 ERCP+stone extraction 22,810 2162 Endoscopy EOA041 ERCP(repeat within 3 months) 9,695 2163 Endoscopy EOA043 ERCP + pancreatic stenting 22,810 2164 Endoscopy EOA044 ERCP+brushings/biopsy 22,810 2165 Endoscopy EOA045 ERCP+minor papilla sphincterotomy 24,948 2166 Endoscopy EOA047 Upper endoscopy with control of bleeding 9,695 2167 Endoscopy EOA048 Upper endoscopy with argon plasma coagul 11,679 2168 Endoscopy EOA049 Nasojejunal feeding tube placement 7,841 2169 Endoscopy EOA050 PEG replacement(without endoscopy) 1,557 2170 Endoscopy EOA051 Small bowel enteroscopy 8,839 2171 Endoscopy EOA052 small bowel enteroscopy(with APC) 8,839 2172 Endoscopy EOA053 Diagnostic paracentesis 2,852 2173 Endoscopy EOA054 Therapeutic paracentesis 4,562 2174 Endoscopy EOA055 Endoscopic mucosal resection 11,679 2175 Endoscopy EOA056 ERCP cyst gastrostomy 24,948 2176 Endoscopy EOA057 Diagnostic EUS(minor procedure) 8,839 2177 Endoscopy EOA058 Diagnostic EUS(Major procedure) 16,514 2178 Endoscopy EOA059 EUS + FNA 11,679 2179 Endoscopy EOA58 Sengstaken tube placement 3,564 2180 Endoscopy EOA59 Sigmoidoscopy with hermorrhoidalbanding 6,273 2181 Endoscopy EOA090 Peg Placement 11,679 2182 Endoscopy EOA65 Esophagogastroduodenoscopy 6,416 2183 Endoscopy EOA66 Colonoscopy with ileoscopy 9,160 2184 Endoscopy EOA64 Colonoscopy with control of bleeding 11,548 2185 Endoscopy EOA63 BIB placement 25,661 2186 Endoscopy EOA063 Polypectomy Small 11,679 2187 Endoscopy EOA064 Polypectomy Medium 14,672 2188 Endoscopy EOA065 Polypectomy Large 16,514 2189 Endoscopy EOA066 Intragastric balloon 64,152 2190 Endoscopy EOA51 Upper endoscopy with biopsy 5,406 2191 Endoscopy EOA53 Endoscopic sclerotherapy 8,839 2192 Endoscopy EOA54 Balloon tamponade 3,303 2193 Endoscopy EOA55 ERCP + Biliary stenting 22,810 2194 Endoscopy EOA56 ERCP + mechanical lithotripsy 29,938 2195 Endoscopy EOA57 Endoscopic NG tube placement 6,273 2196 Endoscopy EOA099 side viewing endoscopy with biopsy 4,752 2197 Endoscopy EOA100 colonic stenting 13,068 2198 Endoscopy EOA101 Repeat ERCP 8,910 2199 Endoscopy EOA102 endoscopy with bimodaltherapy 7,128 2200 Endoscopy EOA103 enteroscopy with jejunal tube placement 5,940 2201 Endoscopy EOA104 enteroscopy 6,534 2202 Endoscopy EOA105 large volume paracentesis 3,564 2203 Endoscopy EOA106 paracentesis 2,970 2204 Endoscopy EOA107 esophagoscopy 2,139 2205 Endoscopy EOA108 colon decompression 6,534 2206 Endoscopy EOA61 PEG placement 11,679 2207 ENT ENT208 Microlaryngoscopy - stripping 18,864 2208 ENT ENT210 Thyroplasty 30,492 2209 ENT ENT001 Control Of Hemorrhage Complex 23,232 2210 ENT ENT033 Esophagoscopy Rigid, Therapeutic 14,944 2211 ENT ENT071 Repair, Head & Neck, Complex, Not Otherw 30,492 2212 ENT ENT087 Laryngopharyngectomy, Extended 54,596 2213 ENT ENT088 Laser Resection Larynx, more than one su 39,204 2214 ENT ENT229 External auditory canalplasty/Resection 27,588 2215 ENT ENT089 Laser Resection Larynx, one subsite 27,588 2216 ENT ENT090 Mastoidectomy, Antrostomy 9,003 2217 ENT ENT231 Temporal bone resection, extensive 43,560 2218 ENT ENT091 Mastoidectomy, Cortical 18,864 2219 ENT ENT171 Glossectomy, partial 18,864 2220 ENT ENT002 Control Of Hemorrhage Simple 7,986 2221 ENT ENT003 Complex Cervico-Facial Resection of Vasc 59,532 2222 ENT ENT004 Simple Cervico-Facial Resection of Vascu 30,492 2223 ENT ENT005 Cervico - Facial Resection, La 34,848 2224 ENT ENT006 Cervico - Facial Resection, Sm 16,844 2225 ENT ENT007 Lip Excision, Complex Excludin 30,492 2226 ENT ENT008 Lip Excision, Simple 21,054 2227 ENT ENT009 Complex Preauricular Sinus / Cyst Excisi 23,232 2228 ENT ENT010 Simple Preauricular Sinus/Cyst Excision 7,986 2229 ENT ENT011 Debridement Of Facial Bones 16,844 2230 ENT ENT012 Drainage Of Neck Abscess 9,874 2231 ENT ENT014 Drainage of Cervicofacia Abscess-Small 5,506 2232 ENT ENT227 Uvulopalatopharyngoplasty 23,232 2233 ENT ENT191 Oropharygeal resection with laser / RF, 27,588 2234 ENT ENT192 Oropharyngeal resection with laser / RF, 49,659 2235 ENT ENT193 Oropharyngeal resection, extensive 39,204 2236 ENT ENT194 Oropharyngeal resection, limited 11,895 2237 ENT ENT195 Parathyroid autotransplantation 9,874 2238 ENT ENT125 Septoplasty 9,862 2239 ENT ENT126 Submucous Diathermy of Turbinate, Each S 2,904 2240 ENT ENT151 Lymph node Excision biopsy, Neck, Simple 7,986 2241 ENT ENT153 Neck Dissection, Paratracheal 14,944 2242 ENT ENT152 Neck Dissection, Modified 34,836 2243 ENT ENT155 Neck Dissection, Radical Extended 43,560 2244 ENT ENT196 Parathyroidectomy, multiple / for hyperp 34,836 2245 ENT ENT197 Parathyroidectomy, single 25,410 2246 ENT ENT198 Parotidectomy, lateral lobe 30,492 2247 ENT ENT072 Repair, Head & Neck, Simple, Not Otherwi 14,944 2248 ENT ENT073 Repair, Oral - Multilayered/Complex/Mult 16,844 2249 ENT ENT074 Repair, Oral - Simple 9,003 2250 ENT ENT075 Skin Graft to Head & Neck, Large 25,410 2251 ENT ENT076 Skin Graft to Head & Neck, Medium 13,456 2252 ENT ENT077 Skin Graft to Head & Neck, Small 9,874 2253 ENT ENT078 Endolymphatic Sac Surgery 39,204 2254 ENT ENT079 Translabyrinthine Approach 39,204 2255 ENT ENT082 laryngectomy - Total 39,204 2256 ENT ENT084 Laryngectomy with Near Total or Total ph 49,659 2257 ENT ENT085 Laryngectomy with Partial Pharyngectomy 43,560 2258 ENT ENT086 Laryngofissure 30,492 2259 ENT ENT059 Flap Inset to Aerodigestive Tract 18,864 2260 ENT ENT060 Flap Inset to Other Sites in Head & Neck 11,895 2261 ENT ENT061 Flap Sectioning 11,895 2262 ENT ENT062 Flap, Not Specified, Large to Head and N 34,848 2263 ENT ENT063 Flap, Not specified, Small to Head and N 21,054 2264 ENT ENT064 Flap, Pedicled to Head & Neck Region, La 30,492 2265 ENT ENT065 Flap, Pedicled to Head & Neck Region, Sm 14,944 2266 ENT ENT066 Flap, Rotation or Advancement Small 11,895 2267 ENT ENT067 Flap, Rotation or Advancement Large 25,410 2268 ENT ENT068 Oro-antral Fistula Repair, Complex 23,232 2269 ENT ENT069 Oro-antral Fistula Repair, Simple 11,895 2270 ENT ENT070 Pharyngoesophageal Repair 30,492 2271 ENT ENT184 Large Oral resection, not specified 34,848 2272 ENT ENT185 Small Oral resection, not specifie 18,864 2273 ENT ENT188 Salivary duct diversion / repair 16,844 2274 ENT ENT189 Submandibular duct stone removal 5,506 2275 ENT ENT233 Thyroidectomy, extended 54,596 2276 ENT ENT181 Oral composite resection (small) 27,588 2277 ENT ENT182 Oral mucosal excision, simple 5,506 2278 ENT ENT164 Submandibular Gland Removal 16,844 2279 ENT ENT165 Thyroglossal Cyst Surgery 16,844 2280 ENT ENT166 Transhyoid Approach 23,232 2281 ENT ENT199 Parotidectomy, radical 43,560 2282 ENT ENT200 Parotidectomy, total / deep lobe 39,204 2283 ENT ENT202 Microlaryngoscopy - diagnostic 6,389 2284 ENT ENT203 Microlaryngoscopy - excision of mass, co 23,232 2285 ENT ENT204 Microlaryngoscopy - excision of mass, si 14,944 2286 ENT ENT147 Nasal endoscopy, therapeutic for epistax 23,232 2287 ENT ENT148 Nasal endoscopy, therapeutic For Epistax 4,635 2288 ENT ENT036 FNAC - Cervico Facial Region 1,586 2289 ENT ENT038 Laryngoscopy Direct - Therapeutic 14,944 2290 ENT ENT040 Microscopy, Ear 1,586 2291 ENT ENT042 Panendoscopy 11,895 2292 ENT ENT043 Stroboscopy 5,506 2293 ENT ENT044 Wax Removal, External Auditory Canal 1,586 2294 ENT ENT045 Diverticulectomy Cervical, Endoscopic 23,232 2295 ENT ENT046 Diverticulectomy Cervical, Open 27,588 2296 ENT ENT047 Esophageal Resection, Cervical, Complex 39,204 2297 ENT ENT048 Esophageal Resection, Cervical, Simple 23,232 2298 ENT ENT049 Foreign Body Removal,External Ear,Micros 5,506 2299 ENT ENT050 Foreign Body Removal, External Ear, Simp 2,904 2300 ENT ENT051 Foreign Body Removal, Nose, Endoscopic 5,506 2301 ENT ENT052 Foreign Body Removal, Nose, Simple 2,904 2302 ENT ENT053 Bone Graft to Facial Bones 23,232 2303 ENT ENT054 Cartilage Graft - Nose or Ear, Harvestin 11,895 2304 ENT ENT055 Cartilage Graft to Facial R 11,895 2305 ENT ENT056 Complex Facial Repair - Large 27,588 2306 ENT ENT057 Complex facial repair - small 10,419 2307 ENT ENT058 Flap Delay 11,895 2308 ENT ENT211 Photodynamic therapy to head & neck, com 30,492 2309 ENT ENT212 Photodynamic therapy to head & neck, end 39,204 2310 ENT ENT213 Photodynamic therapy to head & neck, sim 21,054 2311 ENT ENT215 Facial nerve paralysis - Nerve repair 30,492 2312 ENT ENT216 Facial nerve paralysis - Static repair 18,876 2313 ENT ENT218 Parapharyngeal space resection 39,204 2314 ENT ENT219 Skull base surgery, approach not otherwi 43,560 2315 ENT ENT100 Interdental Wiring 7,986 2316 ENT ENT101 Medial Canthopexy 7,986 2317 ENT ENT102 Nasal Bone Fracture Repair - Closed 7,986 2318 ENT ENT103 Cochlear Implant 39,204 2319 ENT ENT105 Facial Nerve Decompression, Each Segment 30,492 2320 ENT ENT106 Myringoplasty 23,232 2321 ENT ENT107 Myringotomy with Grommet, Each Side 2,904 2322 ENT ENT109 Ossiculoplasty 30,492 2323 ENT ENT110 Stapedotomy 30,492 2324 ENT ENT112 Tympanoplasty 30,492 2325 ENT ENT113 Tympanotomy, Not Otherwise Specified 30,492 2326 ENT ENT114 Choanal Atresia Repair, One side 23,232 2327 ENT ENT116 Nasal Packing, Anterior 1,586 2328 ENT ENT120 Nasal Turbinectomy - One Side 5,506 2329 ENT ENT122 Nasal Vestibuloplasty, Each Side 16,844 2330 ENT ENT123 Osteoplastic Flap Approach 30,492 2331 ENT ENT234 Thyroidectomy, hemi 27,588 2332 ENT ENT401 “Tracheostomy difficulty through neck ma 26,620 2333 ENT ENT337 FIBREOPTIC LARYNGOSCOPY - DIAGNOSTIC 2,904 2334 ENT ENT339 MYRINGOTOMY , WITH GROMMET BILATERAL 4,635 2335 ENT ENT341 SEPTAL RECONSTRUCTION/EXTENDED SEPTOPLAS 16,819 2336 ENT ENT342 NASAL ENDOSCOPY - DIAGNOSTIC 2,904 2337 ENT ENT232 Temporal bone resection, limited 27,588 2338 ENT ENT093 Mastoidectomy, Modified Radical 30,492 2339 ENT ENT169 Pharyngotomy 34,836 2340 ENT ENT170 Glossectomy,extending beyond Anterior t 34,836 2341 ENT ENT018 Peritonsillar Abscess Drainage 2,904 2342 ENT ENT021 Wound Dressing, Head & Neck, Minor 956 2343 ENT ENT022 Wound Dressing, Head & Neck, Medium 2,904 2344 ENT ENT023 Wound Dressing, Head & Neck, Major 5,506 2345 ENT ENT024 Secondary Suturing, Head & Neck Major 9,874 2346 ENT ENT025 Secondary Suturing, Head & Neck Minor 5,506 2347 ENT ENT029 Biopsy ENT 2,904 2348 ENT ENT030 Biopsy, ENT, Endoscopic/Microscopic 5,506 2349 ENT ENT220 Skull base surgery, craniofac appr Anter 54,596 2350 ENT ENT221 Skull base surgery, craniofac appr Lat 65,340 2351 ENT ENT222 Skull base surgery, infratemporal fossa 54,596 2352 ENT ENT223 Skull base surgery, resection of lesion 39,204 2353 ENT ENT224 Transmaxillary approach to infratemporal 54,596 2354 ENT ENT225 Radiofrequency base of tongue 7,986 2355 ENT ENT226 Radiofrequency palate 7,986 2356 ENT ENT156 Neck Dissection, Selective 30,492 2357 ENT ENT157 Neck Dissection, Superior Mediastinal Vi 14,944 2358 ENT ENT160 Neck Mass Biopsy 5,506 2359 ENT ENT161 Neck Mass Excision, Complex 25,410 2360 ENT ENT162 Neck Mass Excision, Simple 11,895 2361 ENT ENT172 Glossectomy, subtotal or total 27,588 2362 ENT ENT173 Laser resection, oral cavity, large 27,588 2363 ENT ENT174 Laser resection, oral cavity, small 7,986 2364 ENT ENT175 Mandibular cyst removal - large 34,848 2365 ENT ENT176 Mandibular cyst removal - small 9,003 2366 ENT ENT177 Mandibulectomy (marginal) 16,844 2367 ENT ENT178 Mandibulectomy (segmental) 23,232 2368 ENT ENT179 Mandibulotomy approach 34,836 2369 ENT ENT180 Oral composite resection (large) 39,204 2370 ENT ENT127 ESS - Anterior, each side 9,862 2371 ENT ENT128 ESS - Lesion Removal, Complex 49,659 2372 ENT ENT129 ESS - lesion removal, simple 16,251 2373 ENT ENT130 ESS - CSF leak repair 34,836 2374 ENT ENT133 ESS - Extended, Each Side 16,844 2375 ENT ENT135 ESS - lacrimal sac surgery 23,232 2376 ENT ENT136 ESS - Limited, each side 6,389 2377 ENT ENT140 ESS - Septoplasty 16,844 2378 ENT ENT1052 MICROLARYNGOSCOPY - REMOVAL OF NODULE 9,003 2379 ENT ENT1056 TONGUE TIE RELEASE 2,904 2380 ENT ENT1054 NECK DISSECTION, RADICAL 34,836 2381 ENT ENT1053 NASAL PACKING, POSTERIOR 2,904 2382 ENT ENP400 90 DEGREE LARYNGOSCOPY 1,586 2383 ENT ENT343 CHOANAL ATRESIA REPAIR, BILATERAL 30,492 2384 ENT ENT344 ETHMOIDECTOMY VIA EXTERNAL ROUTE 30,492 2385 ENT ENT349 SUBMUCOUS DIATHERMY OF TURBINATE, BILATE 4,635 2386 ENT ENT350 ESS - ANTERIOR, BILATERAL 16,844 2387 ENT ENT352 ESS - EXTENDED, BEYOND SINUSES 34,836 2388 ENT ENT353 ESS - EXTENDED,BILATERAL 30,492 2389 ENT ENT354 ESS - LIMITED, BILATERAL 11,895 2390 ENT ENT402 Endolaryngeal Drainage of Cyst 27,830 2391 ENT ENT403 Sub Mucosol Concho Pexy unilateral 9,680 2392 ENT ENT404 Sub Mucosol Concho Pexy bilateral 15,730 2393 ENT ENT405 Montgomery T-Tube Insertion -Difficult 36,300 2394 ENT ENT092 Mastoidectomy, Facial Recess Approach 30,492 2395 ENT ENT094 Mastoidectomy, Radical 30,492 2396 ENT ENT095 Maxillary Swing Approach 34,836 2397 ENT ENT096 Maxillectomy - Extended 43,560 2398 ENT ENT097 Maxillectomy - Partial 30,492 2399 ENT ENT098 Maxillectomy - Total 34,836 2400 ENT ENT235 Thyroidectomy, lobectomy 23,232 2401 ENT ENT236 Thyroidectomy, removal of substernal goi 23,232 2402 ENT ENT238 Thyroidectomy, total 39,600 2403 ENT ENT239 Adenoidectomy 6,389 2404 ENT ENT240 Adenoidectomy, endoscopic 11,895 2405 ENT ENT241 Tonsillectomy 11,895 2406 ENT ENT242 Laryngoplasty - complex 34,848 2407 ENT ENT243 Laryngoplasty - simple 21,514 2408 ENT ENT244 Tracheal resection and anastamosis - cer 43,560 2409 ENT ENT245 Tracheo - esophageal prosthesis insertio 2,396 2410 ENT ENT246 Tracheo - esophageal puncture 9,874 2411 ENT ENT247 Tracheoplasty - cervical 34,848 2412 ENT ENT248 TRACHEOSTOMY - ADULT, EMERGENCY / BEDSID 14,944 2413 ENT ENT249 Tracheostomy - adult, planned 14,944 2414 ENT ENT252 Tracheostomy - tube chanage 1,586 2415 ENT ENT253 Tracheostomy closure 7,986 2416 ENT ENT254 Tracheostomy stenosis repair 9,874 2417 ENT ENT255 Laryngotracheal reconstruction 39,204 2418 ENT ENP058 Lymph nodeExcision biopsy,Neck,Simple-Tr 6,982 2419 ENT ENP012 Drainage Of Deep NeckSpace 20,909 2420 ENT ENP013 Drainage Of Cervicofacial Abscess- Large 30,480 2421 ENT ENP018 Fnac - Cervico Facial Region (Under Tr) 1,392 2422 ENT ENP019 Foreign Body Removal, External Ear, Comp 4,901 2423 ENT ENP020 Foreign Body Removal, External Ear, Simp 2,541 2424 ENT ENP021 Foreign Body Removal, Nose, Complex (Und 4,538 2425 ENT ENP022 control Of Hemorrhage Aerodigestive Trac 2,541 2426 ENT ENP023 Interdental Wiring (Under Tr) 6,982 2427 ENT ENP024 Laryngoscopy Direct - Diagnostic Includi 6,050 2428 ENT ENP026 Microscopy, Ear (Under Tr) 1,392 2429 ENT ENP027 Myringotomy With Grommet, Each Side (Und 3,328 2430 ENT ENP028 Myringotomy, Each Side (Under Tr) 2,941 2431 ENT ENP029 Nasal Bone Fracture Repair - Closed (Und 6,982 2432 ENT ENP030 Nasal Endoscopy - Diagnostic (Under Tr) 2,541 2433 ENT ENP032 Nasal Endoscopy, Therapeutic For Epistax 4,992 2434 ENT ENP033 Nasal Packing, Anterior (Under Tr) 2,287 2435 ENT ENP034 Nasal Packing, Posterior (Under Tr) 3,267 2436 ENT ENP036 Neck Mass Biopsy (Under Tr) 8,168 2437 ENT ENP042 Repair, Oral - Simple (Under Tr) 9,801 2438 ENT ENP043 Secondary Suturing, Head & Neck, Major ( 12,705 2439 ENT ENP044 Secondary Suturing, Head & Neck, Minor ( 6,534 2440 ENT ENP049 Wax Removal, External Auditory Canal (Un 1,634 2441 ENT ENP001 Biopsy, ENT(TR) 2,541 2442 ENT ENP002 Fibreoptic Laryngoscopy - Theraputic 5,107 2443 ENT ENT407 Endoscopic Excision of Nasopharyngeal Ly 18,150 2444 ENT ENP428 Drainage of Cervico-facial Abscess- Medium 18,150 2445 ENT ENT406 Lingual Tonsillectomy 16,940 2446 ENT ENP427 Syringing bilateral: 726 2447 ENT ENP426 Syringing Unilateral 363 2448 ENT ENT435 Myringoplasty Patch 6,000 2449 ENT ENT436 Myringoplasty simple 12,000 2450 ENT ENT437 Fess extensive sinus including frontal. 35,000 2451 ENT ENT438 Drooling surgery 20,000 2452 ENT ENT439 Microlaryngobronchoscopy 4,000 2453 ENT ENT440 Permeatal tympanoplasty simple 8,000 2454 ENT ENT441 Post op wound exploration 3,000 2455 ENT ENT442 Oropharyngeal resection, difficult 18,000 2456 ENT ENT443 Microlaryngoscopy - excision of mass Difficult 25,000 2457 ENT ENT444 Thyroplasty Type -I 18,000 2458 ENT ENT445 Thyroplasty Type -II 22,000 2459 ENT ENT446 Thyroplasty Type- III 20,000 2460 ENT ENT447 Thyroplasty Type- IV 20,000 2461 ENT ENT448 Inj. Botox - ENT 4,000 2462 ENT ENT449 Multi level OSA Surgery Two Levels 28,000 2463 ENT ENT450 Two level Surgery three Levels 32,000 2464 ENT ENT451 Multi level OSA Surgery more than Three levels 38,000 2465 ENT ENT452 Laser ENT       12,000 2466 ENT ENT453 Radio Frequency ENT     10,000 2467 ENT ENT454 Dix hallpike manuvoure 1,200 2468 ENT ENT455 Epleys manuvoure 2,000 2469 ENT ENT456 Post op dressing ear 2,000 2470 ENT ENT457 Rf turbinate ablation each side nose 2,000 2471 ENT ENT458 Endoscopic removal and debridement post op simple 3,000 2472 ENT ENT459 Endoscopic debridement post op extensive 6,000 2473 ENT ENT460 FEES    3,000 2474 ENT ENT461 FEES screening  1,500 2475 ENT ENT462 Oto Endoscopy   700 2476 ENT ENT463 Flexible brochoscopic biopsy simple 6,000 2477 ENT ENT464 Flexible bronchoscpic biopsy  difficult airway.  10,000 2478 ENT ENT465 Intralesional steroid injection   1,000 2479 ENT ENT466 Diagnostic sleep endoscopy 5,000 2480 ENT ENT567 Transtympanic injections under eum 6,000 2481 ENT ENT468 Transtympanic Dexa opd   800 2482 ENT ENT469 Vestibular function tests  2,000 2483 ENT ENT432 MASTOID EXPLORATION AND PROCEED 37,510 2484 ENT ENT408 STYLOIDECTOMY 10,890 2485 ENT ENP495 Epley's Manuver 3,025 2486 ENT ENT429 ATTICOANTROSTOMY 32,065 2487 ENT ENT430 Dacryocystorhinostomy (DCR) 48,400 2488 ENT ENT431 Tonsillectomy powered Instruments 18,000 2489 ENT ENT433 Adenoidectomy Microdebrider Assisted 18,000 2490 ENT ENT434 Lymph node Biopsy Difficult 15,000 2491 ENT ENP409 MASTOID EXPLORATION AND PROCEED 37,510 2492 ENT ENT470 Caloric testing    500 2493 ENT ENT471 Tongue base channeling with Rf   2,000 2494 ENT ENT472 Bedside laryngoscopy  2,000 2495 ENT ENT473 Nasogastric tube endoscopic insertion  2,000 2496 ENT ENT474 Ear cleaning      500 2497 ENT ENP051 Wound Dressing, Head & Neck, Major (Unde 6,534 2498 ENT ENP052 Wound Dressing, Head & Neck, Medium (Und 4,574 2499 ENT ENP053 Wound Dressing, Head & Neck, Minor (Unde 1,634 2500 ENT ENP056 Stroboscopy (Under Tr) 3,267 2501 Equipment Charge OHA110 Navigation charges for Bilateral TKR/THR 16,200 2502 Equipment Charge OHA111 Navigation charges for Bilateral TKR/THR 21,600 2503 Equipment Charge OHA112 Navigation charges for Unilateral TKR/THR 10,800 2504 ER procedures CDE001 Electrocardiogram, Tracing 216 2505 ER procedures EMP021 Complex (involving > one layer-Small 2,852 2506 ER procedures EMP022 Complex (involving>one layer)medium 5,406 2507 ER procedures EMP023 Complex (involving>one layer) - Large 7,841 2508 ER procedures EMP024 Foreign Body Removal -Ear/Nose (Simple 2,353 2509 ER procedures EMP025 Foreign Body Removal - Eye (Corneal) w 3,564 2510 ER procedures EMP026 Foreign Body Removal -Musculoskeletal 2,852 2511 ER procedures EMP027 Dressing - Small ER 321 2512 ER procedures EMP028 Dressing - Medium -ER 927 2513 ER procedures EMP029 Dressing - Large _ER 1,557 2514 ER procedures EMP030 Arthrocentesis- ER 2,353 2515 ER procedures EMP031 Burns-Small 5,406 2516 ER procedures EMP032 Burns-Medium 9,695 2517 ER procedures EMP033 Burns -Large-ER 14,672 2518 ER procedures EMP039 Cardio-version- ER 3,208 2519 ER procedures EMP041 Porta Vent- ER 1,557 2520 ER procedures EMP002 IV Infusion - ER 499 2521 ER procedures EMP003 IM Injection administration- ER 96 2522 ER procedures EMP009 Gastric Lavage- adult 2,353 2523 ER procedures EMP011 BP Measurement- ER 84 2524 ER procedures EMP012 Foley's Catheterization- ER 642 2525 ER procedures EMP014 Fracture/ Dislocation Immobilization- ER 927 2526 ER procedures EMP018 Suturing - Simple Small -ER 476 2527 ER procedures EMP019 Suturing - Simple Medium -ER 1,557 2528 ER procedures EMP020 Suturing - Simple large -ER 2,353 2529 ER procedures EMP042 ASSISTED MANUAL VENTILATION 927 2530 ER procedures EMP043 IV INJECTION ADMINISTRATION 131 2531 ER procedures EMP048 Removal of Cast 927 2532 ER procedures EMP049 Strapping Hand or Fingers 321 2533 ER procedures EMP051 Syringing of Eye 476 2534 ER procedures EMP052 Anterior Nasal Packing 2,353 2535 ER procedures EMP053 removal 927 2536 ER procedures EMP054 Ingrowing Toe Nail 2,353 2537 ER procedures EMP056 Suture Removal 297 2538 ER procedures EMP057 PC Enema 927 2539 ER procedures EMP058 Venesection(Adult) 2,353 2540 ER procedures EMP059 Removal of Foleys Catheter 202 2541 ER procedures EMP060 Ultrasound Guided Fluid Aspiration(Diag) 2,353 2542 ER procedures EMP061 Ultrasound Guided Fluid Aspiration(Ther) 3,303 2543 ER procedures EMP062 POP Slab Application (ER) Long Arm 1,557 2544 ER procedures EMP063 POP Slab Application (ER) Short Arm 927 2545 ER procedures EMP064 POP Slab Application (ER) Long Leg 1,557 2546 ER procedures EMP065 POP Slab Application (ER) Short Leg 868 2547 ER procedures EMP066 ER Observation Charges (Upto 2 Hours) 321 2548 ER procedures EMP067 ER Observation Charges (2 to 6 Hours) 1,557 2549 ER procedures EMP068 ER Observation Charges (6 to 12 Hours) 2,353 2550 ER procedures EMP069 ER Observation Charges (12 to 24 Hours) 2,852 2551 ER procedures EMP073 Miscellaneous Surgical Procedure (ER) 927 2552 ER procedures EMA69 Dressing very large 3,564 2553 ER procedures EMP161 Screening/Bedside ECHO 1,402 2554 ER procedures EMP100 Cannulation Charges (ER) 214 2555 ER procedures EMP162 Triage Profile (SOB) - Rs 2500/ 2,970 2556 ER procedures EMP163 USG Abdomen (Fast Screen) 476 2557 External Beam RAX004 Radiation Delivery - Conventional 42,341 2558 External Beam RAX006 Radiation Electron delivery 71,269 2559 External Beam RAX007 Contouring Conventional 12,831 2560 External Beam RAX008 Contouring 3DCRT 14,114 2561 External Beam RAX009 Contouring IMRT/IGRT 28,227 2562 External Beam RAX067 Radiation Therapy Cast & Moulding 6,416 2563 External Beam RAX068 Radiation Therapy TPS CT 5,133 2564 External Beam RAX069 IMRT < = 30 Fractions 82,757 2565 External Beam RAX070 IMRT 31 to 40 Fractions 96,549 2566 External Beam RAX071 IMRT > 40 Fractions 110,342 2567 External Beam RAX072 PET CT based RT planning 21,420 2568 External Beam RAX073 IGRT <= 30 Fractions 140,493 2569 External Beam RAX074 IGRT 31 to 41 Fractions 163,909 2570 External Beam RAX075 IGRT > 41 Fractions 187,324 2571 External Beam RAX014 Radiation Delivery - 3DCRT 70,568 2572 External Beam RAX017 Palliative Radiotherapy-Simple 38,492 2573 External Beam RAX018 Extended Complex Palliative RT 64,152 2574 External Beam RAX024 Single Fraction(With Simulation) 4,990 2575 External Beam RAX026 Interim Adaptive planning 28,227 2576 External Beam RAX027 RT Planning IGRT/IMRT 28,227 2577 External Beam RAX028 Total Body Irradiation 71,269 2578 External Beam RAX029 Total Skin Electron Therapy 128,281 2579 External Beam RAB009 German Helmet Plans 14,245 2580 External Beam RAX031 RT Planing - Conventional 12,831 2581 External Beam RAX038 RT Planning 3DCRT 15,397 2582 External Beam RAX039 Respiratory Gating and ABC Setup 71,269 2583 External Beam RAI001 Irradiation of Blood Products 1,414 2584 Fetal Medicine PRO01 Amniocentesis 5,000 2585 Fetal Medicine PRO02 Chorionic Villus Sampling (CVS) 5,000 2586 Fetal Medicine PRO03 Amnioinfusion 10,000 2587 Fetal Medicine PRO04 Amnioreduction 12,000 2588 Fetal Medicine PRO05 Drainage procedure 12,000 2589 Fetal Medicine PRO06 OPD Consultation 1,000 2590 Flowcytometry LBW003 HLA - B27 by Flowcytomerry 2,600 2591 Flowcytometry LBW031 Acute Leukemias panel Extended 12,100 2592 Flowcytometry LBW032 AML Characterization by Flow 11,000 2593 Flowcytometry LBW033 ALL Characterization by Flow 11,000 2594 Flowcytometry LBW034 CLL/HCL/SLL comprehensive panel by Flow 15,000 2595 Flowcytometry LBW039 Lymphoma Diagnostic Panel 14,000 2596 Flowcytometry LBW86 CD4 Count 1,700 2597 Flowcytometry LBW81 NKC By Flow 4,500 2598 Flowcytometry LBW91 PNH(CD55,CD59) 2,500 2599 Flowcytometry LBW006 CD4/CD8 (Lymph enum.study-T cells) 2,500 2600 Flowcytometry LBW065 Immune Deficiency Panel 2,500 2601 Flowcytometry LBW007 CLL/HCL/SLL(Basic)by Flow 9,000 2602 Flowcytometry LBW004 Acute Leukemia Panel-T,B or Myeloid 10,300 2603 Flowcytometry LBW18 Obstetric Flow Panel(NK Cells & CD 19) 4,900 2604 Flowcytometry LBW10 PNH Comprehensive Panel 4,000 2605 Flowcytometry LBW047 Leukemia panel Flowcytometry Cytogene 14,500 2606 Fluroscopy RDF021 HSG-FLUOROSCOPY GUIDED 2,700 2607 Fluroscopy RDF001 Barium Enema Double Contrast 6,200 2608 Fluroscopy RDF002 Barium Enema Routine 5,300 2609 Fluroscopy RDF003 Cologram 2,700 2610 Fluroscopy RDF004 Fistulogram 3,600 2611 Fluroscopy RDF005 Barium Meal Follow Through 5,300 2612 Fluroscopy RDF006 Barium Meal Upper G.I. (Upper 4,500 2613 Fluroscopy RDF007 Barium Swallow for Cardiac Cha 2,700 2614 Fluroscopy RDF008 Barium Swallow of Oesophagus 2,700 2615 Fluroscopy RDF009 Fluroscopy 700 2616 Fluroscopy RDF010 Gastrograffin Enema Study 6,300 2617 Fluroscopy RDF011 Gastrograffin Swallow Study 3,200 2618 Fluroscopy RDF012 Gastrograffin Meal Study 5,400 2619 Fluroscopy RDF013 Hystero Salphingo Gram (HSG) 2,700 2620 Fluroscopy RDF014 Micturating Cysto Urethrogram 5,000 2621 Fluroscopy RDF015 Intravenous Pyelogram (IVP) / 6,300 2622 Fluroscopy RDF016 Pyelogram - Retrograde 5,400 2623 Fluroscopy RDF017 Sialogram-One side 3,600 2624 Fluroscopy RDF018 Sinogram 3,600 2625 Fluroscopy RDF019 Urethogram - Retrograde 4,500 2626 Fluroscopy RDF020 Lumber puncture (Fluro Guidan 1,800 2627 FNAC OHA010 Usg Guided FNAC 4,094 2628 FNAC OHA020 CT guided FNAc 6,286 2629 Frozen Section LBF001 Frozen Section (11 or more specimens) 4,428 2630 Frozen Section LBF005 Frozen Section (1-2 specimens) 1,836 2631 Frozen Section LBF006 Frozen section (3-5 specimen) 2,808 2632 Frozen Section LBF007 Frozen section (6-10specimen) 3,672 2633 GASTROENTEROLOGYGAS006 Achlasia cardia Myotomy 35,640 2634 GASTROENTEROLOGYGAS007 Hiatus hernia Fundoplication 35,640 2635 GASTROENTEROLOGYGAS008 Foreign body impaction Thoracotomy & rem 47,520 2636 GASTROENTEROLOGYGAS009 Esophageal diverticulum¿s Excision/Surge 41,580 2637 GASTROENTEROLOGYGAS010 Esophageal tear Esophagostomy+Thoracotom 53,460 2638 GASTROENTEROLOGYGAS011 Repair of (vii) Gastric/Colon ¿ interpos 65,340 2639 GASTROENTEROLOGYGAS012 Peptic ulcer TV & GJ 29,700 2640 GASTROENTEROLOGYGAS013 Peptic ulcer Highly selective vagotomy 29,700 2641 GASTROENTEROLOGYGAS014 Peptic ulcer Antrectomy 35,640 2642 GASTROENTEROLOGYGAS015 Cancers D-2 Gastrectomy 47,520 2643 GASTROENTEROLOGYGAS016 Cancers D-3 Gastrectomy 59,400 2644 GASTROENTEROLOGYGAS017 Cancers ¿ Bypass 29,700 2645 GASTROENTEROLOGYGAS018 Bezoar Removal 29,700 2646 GASTROENTEROLOGYGAS019 Corrosive injury Bypass 29,700 2647 GASTROENTEROLOGYGAS020 Corrosive injury Resection 35,640 2648 GASTROENTEROLOGYGAS076 Esophagogastroduodenoscopy+variceal banding 10,692 2649 GASTROENTEROLOGYGAS077 Esophagogastroduodenoscopy+control bleeding 11,276 2650 GASTROENTEROLOGYGAS078 Esophagogastroduodenoscopy+Placement Peg Tube 12,636 2651 GASTROENTEROLOGYGAS079 Colonoscopy with ileoscopy decompression 12,599 2652 GASTROENTEROLOGYGAS080 Colonscopy with ileoscopy control of bleeding 14,494 2653 GASTROENTEROLOGYGAS021 Periampullary Ca Whipple¿s resection 65,340 2654 GASTROENTEROLOGYGAS022 Periampullary Ca Ampulectomy 53,460 2655 GASTROENTEROLOGYGAS023 Periampullary Ca Bypass only 41,580 2656 GASTROENTEROLOGYGAS024 Periampullary Ca ple¿s resection 65,340 2657 GASTROENTEROLOGYGAS025 Periampullary Ca Ampulectomy 53,460 2658 GASTROENTEROLOGYGAS026 Periampullary Ca ¿Bypass only 41,580 2659 GASTROENTEROLOGYGAS027 Ca Head Whipple¿s 65,340 2660 GASTROENTEROLOGYGAS028 Ca Head Bypass 41,580 2661 GASTROENTEROLOGYGAS029 Distal tumour/trauma Distal/caudal pancr 65,340 2662 GASTROENTEROLOGYGAS030 Distal tumour/trauma Distal/caudal pancr 53,460 2663 GASTROENTEROLOGYGAS031 Ac. Pancreatits Necrosectomy 59,400 2664 GASTROENTEROLOGYGAS032 Ch. Pancreatitis LPJ 53,460 2665 GASTROENTEROLOGYGAS033 Ch. Pancreatitis Frey¿s procedure 59,400 2666 GASTROENTEROLOGYGAS034 Pseudocyst Cysto ¿ enterostomy 41,580 2667 GASTROENTEROLOGYGAS035 Pancreatic fistula Fistulo-jejunostomy/r 47,520 2668 GASTROENTEROLOGYGAS036 Pseudoaneurysmal Bleed Embolization / Su 47,520 2669 GASTROENTEROLOGYGAS037 Insulinoma Localisation & excision 47,520 2670 GASTROENTEROLOGYGAS038 Tumour Resection 47,520 2671 GASTROENTEROLOGYGAS039 Others Resection 35,640 2672 GASTROENTEROLOGYGAS040 Colon cancer Radical hemicolectomy, Rt o 47,520 2673 GASTROENTEROLOGYGAS041 Rectal cancer Anterior ¿ resection 47,520 2674 GASTROENTEROLOGYGAS042 Rectal cancer Low-ant resection 53,460 2675 GASTROENTEROLOGYGAS043 Rectal cancer Ultra low-ant resection 59,400 2676 GASTROENTEROLOGYGAS044 Rectal cancer Pelvic Exentration 71,280 2677 GASTROENTEROLOGYGAS045 Hirschsprung¿s Disease Duhamel / Swenson 41,580 2678 GASTROENTEROLOGYGAS046 Inflammatory bowel disease Total colect 71,280 2679 GASTROENTEROLOGYGAS047 Cyst Excision 35,640 2680 GASTROENTEROLOGYGAS048 Simple Excision 47,520 2681 GASTROENTEROLOGYGAS049 Hydatid Excision 41,580 2682 GASTROENTEROLOGYGAS050 Haemangiomas Enucleation or excision 41,580 2683 GASTROENTEROLOGYGAS051 Tumours Heptatectomy Seg II/III 59,400 2684 GASTROENTEROLOGYGAS052 Tumours Hemihepatectomy (Rt or Lt) 71,280 2685 GASTROENTEROLOGYGAS053 Tumours ¿ Trisegmentectomy 47,520 2686 GASTROENTEROLOGYGAS054 Injuries Resectional/Non-resectional Sur 59,400 2687 GASTROENTEROLOGYGAS055 Portal hypertension Shunt 65,340 2688 GASTROENTEROLOGYGAS056 Portal hypertension Devascularisation 41,580 2689 GASTROENTEROLOGYGAS057 Gall bladder stone Cholecystectomy-Lap/o 41,580 2690 GASTROENTEROLOGYGAS058 CBD Stones Removal & ¿T¿ tube 53,460 2691 GASTROENTEROLOGYGAS060 CBD Stones Trans duodenalsphincteroplast 53,460 2692 GASTROENTEROLOGYGAS061 Benign strictures Heptaticojejunostomy 59,400 2693 GASTROENTEROLOGYGAS062 Rec-Benign strictures Re-do Heptaticojej 41,580 2694 GASTROENTEROLOGYGAS063 Ca Gall bladder (advanced) Seg III bypas 53,460 2695 GASTROENTEROLOGYGAS064 Ca Gall bladder Radical/extended radical 41,580 2696 GASTROENTEROLOGYGAS065 Cholangio-Ca Seg III by pass 53,460 2697 GASTROENTEROLOGYGAS066 Cholangio-Ca Radical resection 53,460 2698 GASTROENTEROLOGYGAS067 Intrahepatic stones Modified hepaticojej 59,400 2699 GASTROENTEROLOGYGAS068 Choledochalcyst (various types) Excision 35,640 2700 GASTROENTEROLOGYGAS069 Trauma Depending upon type/severity of i 47,520 2701 GASTROENTEROLOGYGAS070 Large complicated incisional hernia Mesh 47,520 2702 GASTROENTEROLOGYGAS071 Ascites (intractable) Peritoneo-venous s 41,580 2703 GASTROENTEROLOGYGAS072 Obscure G.I. bleed Investigation (manage 41,580 2704 GASTROENTEROLOGYGAS073 Omentectomy Excision 41,580 2705 GASTROENTEROLOGYGAS074 Spleen Splenectomy 41,580 2706 GASTROENTEROLOGYGAS075 Spleen Splenorraphy 41,580 2707 GASTROENTEROLOGYGAS001 Cancers Ivor-Lewis 53,460 2708 GASTROENTEROLOGYGAS002 Cancers McKeon¿s 59,400 2709 GASTROENTEROLOGYGAS003 Cancers Transhiatal DE 53,460 2710 GASTROENTEROLOGYGAS004 Cancers Radical Surgery 71,280 2711 GASTROENTEROLOGYGAS005 Corrosive strictures Colon transplant 71,280 2712 General MSC098 House Call Charges (Nursing) 638 2713 General Surgery GSG578 Manual evacuation of stool 5,000 2714 General Surgery GSG576 Small Incsional Hernia with Mesh Hernioplasty(GI Surgery) 27,500 2715 General Surgery GSG577 Giant Incisional Hernia with Mesh Hernioplasty(GI Surgery) 38,500 2716 General Surgery GSG569 Fissurectomy/Lateral Sphincterotomy 9,350 2717 General Surgery GSG461 Seton Removal 10,813 2718 General Surgery GSP573 Dressing Minor(General Surgery) 477 2719 General Surgery GSP574 Dressing Medium(General Surgery) 800 2720 General Surgery GSP575 Dressing Large(General Surgery) 1,200 2721 General Surgery GSG554 Dressing (T) 200 2722 General Surgery GSP001 BIOPSY/REMOVAL, LYMPH NODES 5,764 2723 General Surgery GSG504 Lap Gastrectomy with reconstruction 59,400 2724 General Surgery GSG507 Laparoscopic gastro jejunostomy with ROU 54,120 2725 General Surgery GSG508 Laparoscopic hemicolectomy 31,669 2726 General Surgery GSG509 Open /Laparoscopic hemicolectomy with ly 39,600 2727 General Surgery GSG510 Laparoscopic radical hemicolectomy 44,902 2728 General Surgery GSG511 Laparoscopic anterior resection 44,902 2729 General Surgery GSG512 Laparoscopic low anterior resection 54,120 2730 General Surgery GSG513 Laparoscopic abdominoperineal resection 39,600 2731 General Surgery GSG514 Laparoscopic total colectomy with illeo 44,902 2732 General Surgery GSG515 Laparoscopic total proctocolectomy with 54,120 2733 General Surgery GSG555 Laparoscopic Hemithyroidectomy 39,600 2734 General Surgery GSG516 Laparoscopic Hartman's procedure 39,600 2735 General Surgery GSG517 Laparoscopic reversal of Hartman's proce 39,600 2736 General Surgery GSG518 Laparoscopic assisted small bowel resect 27,720 2737 General Surgery GSG519 Laparoscopic assisted small bowel strict 26,400 2738 General Surgery GSG521 Diagnostic laparoscopy with open radical 54,120 2739 General Surgery GSG522 Diagnostic laparoscopy level-I 7,550 2740 General Surgery GSG523 Diagnostic laparoscopy level-II 11,440 2741 General Surgery GSG524 Diagnostic laparoscopy level-III 16,110 2742 General Surgery GSG525 Laparoscopic adhenolysis-minor 13,585 2743 General Surgery GSG526 Laparoscopic adhenolysis-extensive 19,140 2744 General Surgery GSG527 Laparoscopic assisted tripple bypass 45,122 2745 General Surgery GSG529 Laparoscopic nephrectomy 45,122 2746 General Surgery GSG530 Laparoscopic radical nephrectomy 54,120 2747 General Surgery GSG531 Laparoscopic partial nephrectomy 44,902 2748 General Surgery GSG532 Laparoscopic adrenalectomy 45,122 2749 General Surgery GSG533 Laparoscopic deroofing of cyst 31,669 2750 General Surgery GSG542 Stapler hemorrhoidectomy with sphinctero 19,140 2751 General Surgery GSG543 Pancreaticoduodenectomy 65,989 2752 General Surgery GSG545 CAPD catheter insertion 13,585 2753 General Surgery GSG561 LAP/OPEN VENTRAL/ EPIGASTRIC/ UMBLICAL 19,140 2754 General Surgery GSG460 Lap-Varicocelectomy 19,140 2755 General Surgery GSG0513 Ischiorectal Abscess 13,585 2756 General Surgery GSG0515 Lap Inguinal/Femoral hernia Bilateral 31,669 2757 General Surgery GSG0516 Lap Inguinal/Femoral hernia unilateral 25,080 2758 General Surgery GSG0517 Lap Inguinal/Femoral hernia irreducible/ 31,669 2759 General Surgery GSG0518 LAP/OPEN ventral/epigastric/umblical her 31,669 2760 General Surgery GSG0519 LAP/OPEN ventral/epigastric/umblical her 27,720 2761 General Surgery GSG0520 LAP/OPEN ventral/epigastric/umblical her 23,100 2762 General Surgery GSG0521 Laparoscoipc Loop Gastro Jejunostomy 31,669 2763 General Surgery GSG0522 Laparoscopic sub total colectomy 39,600 2764 General Surgery GSG0524 Laparoscopic total colectomy reconstruct 45,144 2765 General Surgery GSG0525 Laparoscopic total gastrectomy reconstru 59,400 2766 General Surgery GSG0526 Laparoscopy Hepatico jejunostomy 54,120 2767 General Surgery GSG0527 Laparoscopy Splenectomy 39,600 2768 General Surgery GSG0528 Lymphnode biopsy deep large 8,184 2769 General Surgery GSG0529 Lymphnode biopsy deep Small 7,260 2770 General Surgery GSG0530 Lymphnode biopsy superficial/large 5,005 2771 General Surgery GSG0531 Lymphnode biopsy superficial/Small 4,213 2772 General Surgery GSG0533 Open Cholecystectomy 23,100 2773 General Surgery GSG0534 Open Cholecystectomy with cbd exploratio 31,669 2774 General Surgery GSG0535 Open Inguinal/femoral Hernia bilateral 25,080 2775 General Surgery GSG0536 Open Inguinal/femoral Hernia unilateral 19,140 2776 General Surgery GSG0537 Open Inguinal/femoral Hernia Irreducible 27,720 2777 General Surgery GSG0538 Open/Lap heller's Myotomy 31,669 2778 General Surgery GSG0539 Open/Lap heller's Myotomy with wrap 39,600 2779 General Surgery GSG0540 Pancreaticodudenecto my with lymp dissec 79,200 2780 General Surgery GSG0541 Revision colostomy/IIeostomy 13,585 2781 General Surgery GSG0542 Revision gastric bypass 105,600 2782 General Surgery GSG0543 Revision Gastro jejunostomy 35,640 2783 General Surgery GSG1253 Laparoscopic total gastrectomy with reco 59,400 2784 General Surgery GSG1252 Laparoscopic hemicolectomy with lymphnod 31,669 2785 General Surgery GSG1251 Laparoscopic fundoplication total 39,600 2786 General Surgery GSG1250 Laparoscopic Colostomy 19,140 2787 General Surgery GSG1249 Laparoscopic choledochal cyst excision w 59,400 2788 General Surgery GSG1239 LAP/OPEN VENTRAL/ EPIGASTRIC/ UMBLICAL H 19,140 2789 General Surgery GSG720 RADICAL CHOLECYSTECTOMY WITH BILE DUCT R 65,989 2790 General Surgery GSG489 Lap Banding 59,400 2791 General Surgery GSG490 Sleeve Gastrectomy 65,989 2792 General Surgery GSG491 Gastric Bypass 72,600 2793 General Surgery GSG547 Reversal of Hartman’s Procedure 39,600 2794 General Surgery GSG546 CAPD Catheter Removal 13,585 2795 General Surgery GSG560 Rt / Lt Hemicolectomy 26,730 2796 General Surgery GSG492 Lap Band Removal 59,400 2797 General Surgery GSG493 Sleeve to Gastric Bypass 92,400 2798 General Surgery GSG494 Lap Band to Sleeve Gastrectomy 92,400 2799 General Surgery GSG495 Laparoscopic repair of diaphragmatic her 45,122 2800 General Surgery GSG496 Laparoscopic transhiatal esophagectomy 39,600 2801 General Surgery GSG497 Laparoscopic transhiatal esophagectomy w 37,884 2802 General Surgery GSG498 Diagnostic lap and transhiatal esophagec 54,120 2803 General Surgery GSG499 Laparoscopic fundoplication partial 31,669 2804 General Surgery GSG501 Laparoscopic subtotal gastrectomy with r 39,600 2805 General Surgery GSG568 Pancreatico Jejunostomy with Roux en Y R 39,600 2806 General Surgery GSP501 Abscess Drainage Large 2,167 2807 General Surgery GSP502 Abscess Drainage Medium 1,441 2808 General Surgery GSP503 Abscess Drainage Samll/superficial 858 2809 General Surgery GSG0504 Debridement Deep 10,813 2810 General Surgery GSG0505 Debridement Large 8,965 2811 General Surgery GSG0506 Debridement Medium 7,260 2812 General Surgery GSG0507 Epigastric hernia-Small 19,140 2813 General Surgery GSG0508 Epigastric hernia-Medium 23,100 2814 General Surgery GSG0509 Examination Under Anaesthesia 8,184 2815 General Surgery GSG0510 Excision of pilonidal sinus with primary 17,160 2816 General Surgery GSG0511 Fistulectomy complex 19,140 2817 General Surgery GSG0512 Horse Shoe Fistulectomy 23,100 2818 General Surgery GSG562 Radical Cholecystectomy without Bileduct 54,120 2819 General Surgery GSG564 Major Liver Resection 54,120 2820 General Surgery GSG447 Debridement- Small 2,640 2821 General Surgery GSG800 Recurrent Retroperitonial Sarcoma 39,600 2822 General Surgery GSG567 Laparoscopic Rectoplexy 27,720 2823 General Surgery GSG269 PARTIAL PANCEATECTOMY 31,680 2824 General Surgery GSG274 PANCREATECTOMY-DISTAL PANCREATETIC LYMPN 45,144 2825 General Surgery GSG277 DRAIN PANCREATIC PSEUDOCYST OPEN 27,720 2826 General Surgery GSG291 DRAIN, OPEN, RETROPERITONIAL ABSCESS 19,140 2827 General Surgery GSG295 BIOPSY, ABDOMINAL MASS-EXCISION 21,142 2828 General Surgery GSG296 BIOPSY, ABDOMINAL MASS-UMBILECTOMY 17,160 2829 General Surgery GSG297 BIOPSY, ABDOMINAL MASS-OMENTECTOMY, 17,160 2830 General Surgery GSG411 LUMPECTOMY 13,585 2831 General Surgery GSG416 HYDAITED CYST OF LIVER 27,720 2832 General Surgery GSG420 LAP DUODENAL PERFORATION CLOSURE 27,720 2833 General Surgery GSG421 LAP LIVER CYST EXCISION 27,720 2834 General Surgery GSG219 WEDGE BIOPSY OF LIVER 5,005 2835 General Surgery GSG221 PARTIAL REMOVAL OF LIVER TRISEGMENTECTOM 45,144 2836 General Surgery GSG223 PARTIAL REMOVAL OF LIVER TOTAL RIGHT LOB 35,640 2837 General Surgery GSG227 REPAIR LIVER WOUND EXTENSIVE 23,100 2838 General Surgery GSG238 LAPAROSCOPIC CHOLECYSTECTOMY 25,080 2839 General Surgery GSG248 EXCISION OF BILE DUCT TUMOR 45,144 2840 General Surgery GSG256 FUSE LIVER DUCTS & BOWEL 31,680 2841 General Surgery GSG261 DRAINAGE OF ABDOMEN 19,140 2842 General Surgery GSG264 REMOVAL OF PANCREATIC STONE 23,100 2843 General Surgery GSG265 BIOPSY OF PANCREAS, OPEN 6,721 2844 General Surgery GSG266 NEEDLE BIOPSY 3,300 2845 General Surgery GSG121 ILEOSTOMY/JEJUNOSTOMY 15,312 2846 General Surgery GSG124 DEVISE BOWEL POUCH 15,312 2847 General Surgery GSG125 COLOSTOMY 15,312 2848 General Surgery GSG129 INTESTINAL STRICTUROPLASTY 17,160 2849 General Surgery GSG175 REPAIR RECTAL / BLADDER FISTULA 31,680 2850 General Surgery GSG331 ORCHIECTOMY- SIMPLE 13,585 2851 General Surgery GSG285 EXPLORATION OF ABDOMEN-REOPENING 19,140 2852 General Surgery GSG287 EXPLORATION OF ABDOMEN- OPEN 19,140 2853 General Surgery GSG398 EXCISION OF PILONIDAL SINUS 13,585 2854 General Surgery GSG407 VOLVULUS OF COLON SIMPLE UNTWISTING 19,140 2855 General Surgery GSG387 TRUCUT NEEDLE BIOPSY 1,441 2856 General Surgery GSG389 VENESECTION 2,167 2857 General Surgery GSG390 INGROWING TOE NAIL 2,640 2858 General Surgery GSG391 MUSCLE BIOPSY 2,640 2859 General Surgery GSG393 FOREIGN BODY REMOVAL SUPERFICIAL 5,005 2860 General Surgery GSG178 REPAIR RECTOURETHRAL FISTULA 31,680 2861 General Surgery GSG180 DILATION OF ANAL SPHINCTER 7,260 2862 General Surgery GSG193 HEMORRHOIDECTOMY-EXTERNAL COMPLETE 13,585 2863 General Surgery GSG196 REMOVE HEMORRHOIDS & FISSURE 19,140 2864 General Surgery GSG197 REMOVE HEMORRHOIDS & FISTULA 23,100 2865 General Surgery GSG198 HEMORRHOIDECTOMY-MILLIGAN MORGAN 15,312 2866 General Surgery GSG200 REMOVAL OF ANAL FISTULA 13,585 2867 General Surgery GSG202 REMOVAL OF HEMORRHOID CLOT 8,976 2868 General Surgery GSG207 ANOSCOPY AND DILATION 5,808 2869 General Surgery GSG209 REPAIR OF ANAL SPHINCTER 23,100 2870 General Surgery GSG217 PERCUTANOUS DRAIN, LIVER LESION 8,184 2871 General Surgery GSG396 FOREIGN BODY REMOVAL DEEP 10,813 2872 General Surgery GSG069 REVISE STOMACH-BOWEL FUSION WITH RECONST 33,000 2873 General Surgery GSG105 LAPAROSCOPY,JEJUNOSTOMY 19,140 2874 General Surgery GSG115 LAPAROSCOPIC CHOLEYCYSTECTOMY WITH EXPLO 39,600 2875 General Surgery GSG340 EXPLORE EPIDIDYMIS 8,184 2876 General Surgery GSG343 DRAINAGE OF SCROTUM/Perianal Abcess 8,184 2877 General Surgery GSG344 EXPLORE SCROTUM 8,184 2878 General Surgery GSG347 REMOVAL OF SPERM CORD LESION- OTHER 13,585 2879 General Surgery GSG353 SIGMOIDOSCOPY AND BIOPSY 10,813 2880 General Surgery GSG356 CATHETERISATION 440 2881 General Surgery GSG357 GASTRIC LAVAGE 1,441 2882 General Surgery GSG371 PARONYCHIA 2,167 2883 General Surgery GSG372 ASPIRATION OF PLEURAL EFFUSION/TAP 1,441 2884 General Surgery GSG379 CIRCUCISION 10,813 2885 General Surgery GSG380 HYDROCELE - UNILATERAL 10,813 2886 General Surgery GSG384 WEDGE BIOPSY 2,640 2887 General Surgery GSG386 SMALL CYST/DERMOID EXCISION 3,300 2888 General Surgery GSG138 EXCISION OF MESENTERY LESION 17,160 2889 General Surgery GSG139 REPAIR OF MESENTERY 17,160 2890 General Surgery GSG141 DRAIN APP ABSCESS, OPEN 19,140 2891 General Surgery GSG143 APPENDECTOMY OPEN/REPTURED 19,140 2892 General Surgery GSG146 LAPAROSCOPY, APPENDECTOMY 19,140 2893 General Surgery GSG147 DRAINAGE OF PELVIC ABSCESS 13,585 2894 General Surgery GSG150 BIOPSY OF RECTUM 8,184 2895 General Surgery GSG164 LAPAROSCOPIC PROCTOPEXY 31,669 2896 General Surgery GSG165 LAPAROSCOPIC PROCTOPEXY WITH SIGMOID RES 45,144 2897 General Surgery GSG045 BIOPSY OF STOMACH 13,585 2898 General Surgery GSG061 LAPAROSCOPY, GASTROSTOMY 19,140 2899 General Surgery GSG031 REPAIR OF ESOPHAGUS 23,100 2900 General Surgery GSG012 REMOVAL, NECK/ARMPIT LESION 7,260 2901 General Surgery GSG014 REPAIR DIAPHRAGM LACERATION 13,585 2902 General Surgery GSG075 FREEING OF BOWEL ADHESION 19,140 2903 General Surgery GSG079 DECOMPRESS SMALL BOWEL 15,312 2904 General Surgery GSG082 CORRECT MALROTATION OF BOWEL 19,140 2905 General Surgery GSG083 EXCISE INTESTINE LESION(S)-SINGLE ENTERO 19,140 2906 General Surgery GSG088 BOWEL TO BOWEL FUSION 17,160 2907 Gynaecology GYN325 HSG FLUOROSCOPY GUIDED 1,134 2908 Gyne Onco ONC035 ilial conduit 33,360 2909 Gyne Onco ONC046 Vulva/ Fraction Curettage 6,416 2910 Gyne Onco ONC037 small LEEP/LEETZ 9,623 2911 Gyne Onco ONC038 Large LEEP/LEETZ 10,906 2912 Gyne Onco ONC001 Trachelectomy 23,095 2913 Gyne Onco ONC002 Radical Trachelectomy 53,888 2914 Gyne Onco ONC003 Type-hysterectomy+BSO 30,793 2915 Gyne Onco ONC004 Complicated Type I hysterectomy 33,360 2916 Gyne Onco ONC005 Type II hysterectomy+PLND 43,624 2917 Gyne Onco ONC006 Type III Radical hysterectomy+PLND 53,888 2918 Gyne Onco ONC007 Radical Hysterectomy 43,624 2919 Gyne Onco ONC008 Laproscopic Radical Hysterectomy 65,436 2920 Gyne Onco ONC009 Laproscopic Pelvic Lymph Node Dissection 34,643 2921 Gyne Onco ONC010 Laproscopic Para aortic Lymph Node Disse 34,643 2922 Gyne Onco ONC011 Laproscopic Retroperitoneal Lymph Node D 60,303 2923 Gyne Onco ONC012 Pelvic Lymph Node Dissection 28,227 2924 Gyne Onco ONC013 Para aortic Lymph Node Dissection 28,227 2925 Gyne Onco ONC014 Retroperitoneal Lymph Node Dissection 53,888 2926 Gyne Onco ONC015 omentectomy 18,474 2927 Gyne Onco ONC016 staging for endometrial cancer 53,888 2928 Gyne Onco ONC017 staging for ovarian cancer 53,888 2929 Gyne Onco ONC018 cyto reductive surgery for advanced stag 53,888 2930 Gyne Onco ONC019 simple vulvectomy 23,095 2931 Gyne Onco ONC020 radical vulvectomy 35,926 2932 Gyne Onco ONC021 radical vulvectomy with unilateral ingui 48,756 2933 Gyne Onco ONC022 radical vulvectomy with bilateral inguin 53,888 2934 Gyne Onco ONC023 wide resection cancer Vulva 30,793 2935 Gyne Onco ONC024 unilateral inguino femoral node dissecti 23,095 2936 Gyne Onco ONC025 bilateral inguino femoral node dissectio 35,926 2937 Gyne Onco ONC026 total vaginectomy 30,793 2938 Gyne Onco ONC027 partial vaginectomy 26,944 2939 Gyne Onco ONC028 second look laprotomy 30,793 2940 Gyne Onco ONC029 excision of ovarian mass 24,378 2941 Gyne Onco ONC030 exploratory laprotomy 20,529 2942 Gyne Onco ONC031 anterior exenteration 60,303 2943 Gyne Onco ONC032 posterior exenteration 60,303 2944 Gyne Onco ONC033 total exenteration 73,134 2945 Gyne Onco ONC034 low anterior resection 48,756 2946 Gyne Onco ONC039 cone biopsy 9,623 2947 Gyne Onco ONC040 vulvular biopsy 3,588 2948 Gyne Onco ONC041 biopsy cervix/vaginal/vulvular growth 3,695 2949 Gyne Onco ONC042 endocervical curettege 1,284 2950 Gyne Onco ONC043 endometrial biopsy 3,588 2951 Gyne Onco ONC044 colposcopy 4,491 2952 Gyne Onco ONC045 colposcopy and biopsy cervix/vagina/vulv 5,774 2953 Gyne Onco ONC036 surgery for recurrent gynaecological can 61,586 2954 Gynecology GYN211 MIDTRIMESTER ABORTION 11,000 2955 Gynecology GYN032 LAP ADESIOLYSIS-SIMPLE 16,200 2956 Gynecology GYN002 DIAGNOSTICS LAPAROSCOPIC+HYSTEROSCOPY 12,813 2957 Gynecology GYN007 LAPROSCOPIC TARGETED BIOPSY 9,695 2958 Gynecology GYN008 LAPROSCOPIC OVARIAN DRILLING 14,672 2959 Gynecology GYN009 HYDROSCOPIC REMOVAL OF LOST IUCD 7,829 2960 Gynecology GYN012 LAP SURGERY FOR ECTOPIC-SIMPLE 16,537 2961 Gynecology GYN013 LAP SURGERY FOR ECTOPIC-COMPLEX 18,533 2962 Gynecology GYN014 LAPAROSCOPIC MYOMECTOMY -Small 18,500 2963 Gynecology GYN015 LAPAROSCOPIC MYOMECTOMY(LARGE/MULTIPLE) 32,692 2964 Gynecology GYN016 LAVH 34,848 2965 Gynecology GYN017 LAVH WITH SALPINGO-OPHRECTOMY 39,204 2966 Gynecology GYN019 LAVH+S/O-COMPLEX 41,800 2967 Gynecology GYN066 MARSUPILIZATION 7,560 2968 Gynecology GYN201 HYSTERECTOMY TOTAL ABDOMINAL 33,000 2969 Gynecology GYN202 REPAIR OF RUPTURED UTERUS 24,948 2970 Gynecology GYN020 HYSTERECTOMY-TOTAL LAPROSCOPIC 39,204 2971 Gynecology GYN021 LAP RADICAL HYST 64,152 2972 Gynecology GYN027 LAP VAULT SUSPENSION 29,938 2973 Gynecology GYN028 LAP BURCH COLPOSUSPENSION 29,938 2974 Gynecology GYN146 VAGINOPLASTY 48,730 2975 Gynecology GYN147 RECTOVAGINAL FISTULA REPAIR 14,672 2976 Gynecology GYN036 LAPAROSCOPIC ABLATION OF ENDOMETRIOSIS SIMPL 16,537 2977 Gynecology GYN216 REPAIR OF PERINEAL TEAR - SECOND DEGREE 9,695 2978 Gynecology GYN040 Laparoscopic Fimbrioplasty 14,672 2979 Gynecology GYN041 LAPAROSCOPIC SALPINGOSTOMY 14,256 2980 Gynecology GYN223 SIMPLE VULVECTOMY 14,672 2981 Gynecology GYN042 LAPAROSCOPIC ASPIRATION OF CYST 9,695 2982 Gynecology GYN043 LAP- OOPHORECTOMY 17,108 2983 Gynecology GYN228 VULVECTOMY, RAD,COMPLETE+UL LN 39,383 2984 Gynecology GYN229 TOTAL VULVECTOMY WITH DISSECTION OF NODE 42,768 2985 Gynecology GYN133 ABD MYOMECTOMY-SIMPLE 18,000 2986 Gynecology GYN134 VAGINAL MYOMECTOMY 25,410 2987 Gynecology GYN136 SUBTOTAL HYSTERECTOMY 21,384 2988 Gynecology GYN106 FRACTIONAL CURETTAGE 5,000 2989 Gynecology GYN109 RESUTURING OF ABDOMINAL WOUND 8,640 2990 Gynecology GYN033 LAP ADESIOLYSIS-COMPLEX 20,672 2991 Gynecology GYN174 RESUTURING -BURST ABDOMEN 16,200 2992 Gynecology GYN181 AMNIOCENTESIS-THERAPEUTIC 4,562 2993 Gynecology GYN182 AMNIOINFUSION 5,406 2994 Gynecology GYN183 HYSTEROTOMY 22,810 2995 Gynecology GYN153 PLASTIC REPAIR OF UTERUS (METROPLASTY)OPEN 14,672 2996 Gynecology GYN044 LAP -SALPINGECTOMY 18,576 2997 Gynecology GYN045 TUBAL RECANALIZATION- LAPRASCOPIC 34,215 2998 Gynecology GYN046 LAPROSCOPIC SURGERY-SEVERE ENDOMETRIOSIS 22,810 2999 Gynecology GYN047 DIAGNOSTIC HYSTEROSCOPY 7,000 3000 Gynecology GYN049 HYSTEROSCOPIC POLYPECTOMY SMALL 9,874 3001 Gynecology GYN051 HYSTEROSCOPIC SYNECHIOTOMY LEVEL II 9,874 3002 Gynecology GYN052 HYSTEROSCOPIC SEPTUM RESECTION 16,844 3003 Gynecology GYN053 HYSTEROSCOPIC MYOMECTOMY-SMALL 9,695 3004 Gynecology GYN054 HYSTEROSCOPIC MYOMECTOMY-LARGE 16,537 3005 Gynecology GYN055 FOREIGN BODY REMOVAL FROM VAGINA 4,562 3006 Gynecology GYN056 ENDOMETRIAL ABLATION (TCRE) 16,537 3007 Gynecology GYN058 CORNUAL CATHETERIZATION 14,672 3008 Gynecology GYN060 REPAIR OF PERINEAL TEAR - FIRST DEGREE 7,829 3009 Gynecology GYN162 TUBAL RECANALISATION- OPEN 29,938 3010 Gynecology GYN061 REPAIR OF PERINEAL TEAR -THIRD DEGREE 16,200 3011 Gynecology GYN206 SUCTION & EVACUATION HIGH 7,829 3012 Gynecology GYN241 HYSTERECTOMY- RADICAL OPEN 42,768 3013 Gynecology GYN243 LAPAROTOMY FOR OVARIAN CANCER 42,768 3014 Gynecology GYN249 RECURRENT GYN MALIG RESEC 61,325 3015 Gynecology GYN067 REMOVAL OF SIMPLE VULVA TUMOUR 7,829 3016 Gynecology GYN186 MC DONALDS STITCH 11,679 3017 Gynecology GYN191 HIGH RISK PREGNANCY(DELIVERY BY ANY MET) 29,938 3018 Gynecology GYN196 MANUAL REMOVAL OF PLACENTA 7,829 3019 Gynecology GYN092 CRYOCAUTERY OF CREVIX 2,341 3020 Gynecology GYN097 TRACHELORRAPHY 7,829 3021 Gynecology GYN099 LARGE LOOP EXCISION OF TRANSFORMATION ZO 10,906 3022 Gynecology GYN104 ENDOMETRIAL ASPIRATION BIOPSY 1,545 3023 Gynecology GYN105 D&C 5,000 3024 Gynecology GYN112 CYSTOCELE REPAIR 8,839 3025 Gynecology GYN113 POSTERIOR REPAIR 7,829 3026 Gynecology GYN114 MIRENA COIL INSERTION 3,588 3027 Gynecology GYN115 COLPOPERINEORAPHY OR FOTHERGILL OPERATIO 18,533 3028 Gynecology GYN117 TOTAL ABDO HYSTERECT+SALPINGO-OPHRECTOMY 31,900 3029 Gynecology GYN118 TAH -COMPLEX 31,900 3030 Gynecology GYN119 TAH+BSO-COMPLEX 33,000 3031 Gynecology GYN120 VAG HYSTERECT WITH REPAIR(ANTER AND/OR) 30,492 3032 Gynecology GYN121 VAGINAL HYSTERECTOMY+SALPINGO OPHRECTOMY 30,492 3033 Gynecology GYN075 EXCISION OF VAGINAL SEPTUM 7,829 3034 Gynecology GYN079 COLPOSCOPY+BIOPSY 6,401 3035 Gynecology GYN081 VAGINAL BIOPSY 4,562 3036 Gynecology GYN500 Caesarean Section 24,948 3037 Gynecology GYN503 IUCD insertion 2,341 3038 Gynecology GYN504 Normal/Forceps delivery 22,810 3039 Gynecology GYN505 Laparoscopic Cystectomy Ovarian(Complex) 21,120 3040 Gynecology GYN0296 Uterine Polyp/pedunculated myoma 7,829 3041 Gynecology GYN0302 Cervical Biopsy & Cautery / Endometrial 5,406 3042 Gynecology GYN0303 Colposcopy + biopsy + cryo 7,829 3043 Gynecology GYN0305 Cone Biopsy 9,623 3044 Gynecology GYN0306 Excision of Labial Cyst 4,551 3045 Gynecology GYN0307 Excision of Urethral Caruncle 4,551 3046 Gynecology GYN0308 Fenton's Operation for rec 7,829 3047 Gynecology GYN0309 Hysteroscopic Cornual catheterization 9,683 3048 Gynecology GYN0310 Hysteroscopic synechotomy LEVEL III 16,537 3049 Gynecology GYN0312 Laproscopic surgery for lost IUCD 14,672 3050 Gynecology GYN0313 LAVH with Adhesiolysis 38,492 3051 Gynecology GYN0316 Manchester 20,529 3052 Gynecology GYN0317 Microwave Endometrial Ablation 16,537 3053 Gynecology GYN0319 MTP with sterilization 14,040 3054 Gynecology GYN03220 Myolysis 16,537 3055 Gynecology GYN0321 Abdominal Myomectomy(Complex/Multiple) 29,900 3056 Gynecology GYN0322 Operative Laparoscopy + Operative Hyster 18,533 3057 Gynecology GYN0323 Ovarian cystectomy - complex/multiple op 22,000 3058 Gynecology GYN0324 Ovarian cystectomy - simple open 14,672 3059 Gynecology GYN0328 Richardson sling operation 14,672 3060 Gynecology GYN0329 RVF Repair 29,938 3061 Gynecology GYN0330 Salpingo-ophrectomy bilateral - open 20,996 3062 Gynecology GYN0331 Salpingo-ophrectomy unilateral - open 13,922 3063 Gynecology GYN0332 Sonosalpingography 2,341 3064 Gynecology GYN0333 Suction & Evacuation 4,551 3065 Gynecology GYN0335 Thermochoice Uterine Balloon Therapy 16,537 3066 Gynecology GYN0336 Trans cervical resection of endometrium 16,537 3067 Gynecology GYN0337 Laparoscopic Recanalization 29,938 3068 Gynecology GYN0338 Vaginal Hysterectomy & Repair 24,948 3069 Gynecology GYN0339 Vaginal Operation for SUI 11,679 3070 Gynecology GYN0342 Ventrisusupension of the uterus alone 14,672 3071 Gynecology GYN359 Lap Sterlization 8,970 3072 Gynecology GYN290 OPD MTP 4,562 3073 Gynecology GYN122 NON DESCENT VAGINAL HYSTERECTOMY 34,215 3074 Haematology LBA004 Erythrocyte Sedementation Rate (ESR) 100 3075 Haematology LBA005 G6PD Enzyme - Quantiative 1,000 3076 Haematology LBA006 G6PD screen,Neonatal 300 3077 Haematology LBA007 Hemoglobin Electrophoresis 1,100 3078 Haematology LBA008 Hematocrit(PCV) 150 3079 Haematology LBA009 Hemoglobin 150 3080 Haematology LBA010 Heinz Bodies, Direct 150 3081 Haematology LBA011 RBC Osmotic Fragility 600 3082 Haematology LBA012 Platelet Count 150 3083 Haematology LBA013 Peripheral Blood Smear Interpretation 200 3084 Haematology LBA014 Automated RBC Count 150 3085 Haematology LBA015 Manual Reticulocyte Count 400 3086 Haematology LBA016 Total Leukocyte Count (TLC) 150 3087 Haematology LBA001 Bone Marrow Interpretation 1,000 3088 Haematology LBA018 RBC Stickle Cell Test 200 3089 Haematology LBA019 Malarial Antigen 900 3090 Haematology LBA020 Thin & Thick Smear For Malarial Parasite 200 3091 Haematology LBA021 Microfilaria Detection 300 3092 Haematology LBA022 CBC 400 3093 Haematology LBA023 Differential Count (DLC) 200 3094 Haematology LBA024 CBC+ESR+PS / Hemogram 500 3095 Haematology LBA026 Anaemia Studies 4,700 3096 Haematology LBA027 Anteenatal Screen 1,900 3097 Haematology LBA028 Arthiritis Profile 1,300 3098 Haematology LBA030 Coagulation Profile 1,100 3099 Haematology LBA031 Dengue Fever Serology 2,200 3100 Haematology LBL032 Fever Panel 1,000 3101 Haematology LBA033 Thalassaemia Studies 2,900 3102 Haematology LBA066 Comprehensive Coagulation 2,600 3103 Haematology LBA068 Bone Marrow Slide Review 800 3104 Haematology LBA069 Bone Marrow Trephine Biopsy 1,300 3105 Haematology LBA071 Filaria Antigen (W.bancrofti) 900 3106 Haematology LBA38 Pyruvate Kinase Erythrocytes (PK) 15,820 3107 Histopathology LBH002 Large Histopathology Specimen 2,000 3108 Histopathology LBH003 Medium Histopathology Specimen 1,500 3109 Histopathology LBH004 Small Histopathology Specimen 1,200 3110 Histopathology LBH005 Slides/Blocks for review- 1-2 no. 800 3111 Histopathology LBH010 Bone Specimen-Medium 1,400 3112 Histopathology LBH012 Issue of slides (1-2) 300 3113 Histopathology LBH013 Issue of slides 3-5 600 3114 Histopathology LBH098 Radical histopathology specimen 4,500 3115 Histopathology LBH98 Second Opinion (Quest) 13,800 3116 Histopathology LBH014 Slides/Blocks for review- 3-6 no. 1,200 3117 Histopathology LBH015 Slides/Blocks for review- 7 & above 1,500 3118 Histopathology LBH25 Second Opinion (Core) 10,000 3119 Histopathology LBH113 Kidney biopsy Panel 7,100 3120 Histopathology LBH188 ELECTRON MICROSCOPY 14,000 3121 Holistic Medicine HOL002 Psycho Therapy 540 3122 Holter Monitoring CDG112 EXTERNAL LOOP RECORDING 15,444 3123 Holter Monitoring CDH002 Holter detachment home visit 972 3124 Holter Monitoring CDH003 Holter attachment home visit 972 3125 Holter Monitoring CDH004 Holter Monitoring 3,240 3126 Home Care program MSC400 Home charges Procedure-1 540 3127 Home Care program MSC401 Home Care Procedure Charges -2 810 3128 Home Care program MSC402 Home Care Procedure charges -3 1,080 3129 Home Care program MSC403 Home Care Physiotherapy Services 1,080 3130 Home Care program MSC404 Home care Doctor's Consultation 2,700 3131 Immunohistochemistry LBE002 ACTH, Serum 1,700 3132 Immunohistochemistry LBI026 PR (Progesterone Receptor) 1,700 3133 Immunohistochemistry LBI039 Thyroglobulin - Tissue 1,700 3134 Immunohistochemistry LBI040 Direct Immunofluorescence-IgG 700 3135 Immunohistochemistry LBI041 IgA - Tissue, Direct Immunofluorescence 700 3136 Immunohistochemistry LBI042 IgM - Tissue, Direct Immunofluorescence 700 3137 Immunohistochemistry LBI043 C3-Tissue, Direct Immunofluorescence 800 3138 Immunohistochemistry LBI044 C 1q Direct Immunoflourescence 800 3139 Immunohistochemistry LBI027 Kappa Lightchain 1,700 3140 Immunohistochemistry LBI028 GFAP (Glial Fibrilliary Acidic Protein) 1,700 3141 Immunohistochemistry LBI029 Lamda LightChain 1,700 3142 Immunohistochemistry LBI30 HMB 45 1,500 3143 Immunohistochemistry LBI031 K i 67 1,800 3144 Immunohistochemistry LBI032 MPO (Myeloperoxidase) Tissue 1,700 3145 Immunohistochemistry LBI033 NSE (Neuron Specific Enolase) 1,900 3146 Immunohistochemistry LBI035 PLAP - Tissue 1,700 3147 Immunohistochemistry LBI025 ER (Estrogen Receptor) 1,700 3148 Immunohistochemistry LBI036 PSA (Prostate Specific Antigen) - Tissue 1,700 3149 Immunohistochemistry LBI038 S 100 - Tissue 1,900 3150 Immunohistochemistry LBI001 Actin (Smooth Muscle Actin) 1,900 3151 Immunohistochemistry LBI002 BCL2 1,900 3152 Immunohistochemistry LBI003 Calretinin 1,700 3153 Immunohistochemistry LBI004 CD 15 -Tissue 1,700 3154 Immunohistochemistry LBI005 CD 20-Tissue 1,700 3155 Immunohistochemistry LBI006 CD -3-Tissue 1,700 3156 Immunohistochemistry LBI007 CD 30-Tissue 1,700 3157 Immunohistochemistry LBI008 CD45 (Leucocyte Common Antigen)-Tissue 1,700 3158 Immunohistochemistry LBI010 CD 68-Tissue 1,700 3159 Immunohistochemistry LBI011 CD 79a 1,700 3160 Immunohistochemistry LBI012 CD 99 (MIC-2) 1,700 3161 Immunohistochemistry LBI013 CD 10 1,700 3162 Immunohistochemistry LBI014 CD 117 1,700 3163 Immunohistochemistry LBI015 CD 23 1,700 3164 Immunohistochemistry LBI017 CD 34-Tissue 1,700 3165 Immunohistochemistry LBI018 CD 5 1,700 3166 Immunohistochemistry LBI019 C ERB B2/HER-2-NEU 1,900 3167 Immunohistochemistry LBI020 Chromogranin A 1,700 3168 Immunohistochemistry LBI021 CK (Pancytokeratin) 1,700 3169 Immunohistochemistry LBI022 Desmin 1,700 3170 Immunohistochemistry LBI023 Calcitonin 1,700 3171 Immunohistochemistry LBI024 EMA (Epithelial Membrane Antigen) 1,700 3172 Immunohistochemistry LBI046 Histo-Kidney biopsy Panel-1 4,300 3173 Immunohistochemistry LBI096 Hep Par -1 1,700 3174 Immunohistochemistry LBI92 TdT 1,700 3175 Immunohistochemistry LBI049 ALK-1 in tissue 1,640 3176 Immunohistochemistry LBI51 CD1a 1,700 3177 Immunohistochemistry LBI098 EBV (IHC MARKER) 1,700 3178 Immunohistochemistry LBI98 IHC Panel - 2 markers 3,500 3179 Immunohistochemistry LBI99 IHC Panel - 3 markers 5,100 3180 Immunohistochemistry LBI100 IHC Panel - 4 markers 6,800 3181 Immunohistochemistry LBI101 IHC Panel - 6 markers 10,000 3182 Immunohistochemistry LBI32 CA-125 tissue 1,700 3183 Immunohistochemistry LBI33 CEA tissue 1,700 3184 Immunohistochemistry LBI34 CK-7 1,700 3185 Immunohistochemistry LBI35 CK-20 1,700 3186 Immunohistochemistry LBI36 TTF-1 tissue 1,700 3187 Immunohistochemistry LBI49 K-Ras Mutation 9,900 3188 Immunohistochemistry LBI047 Vimentin-Tissue 1,900 3189 Immunohistochemistry LBI21 Myogenin 1,640 3190 Immunohistochemistry LBI22 P63 1,640 3191 Immunohistochemistry LBI23 Synaptophysin 1,640 3192 Immunohistochemistry LBI24 BerEP4 1,640 3193 Immunohistochemistry LBI10 MMR (IHC) 6,600 3194 Immunohistochemistry LBI097 E-Cadherin 1,700 3195 Immunohistochemistry LBI60 IHC for DOG-1 1,800 3196 Interventional RadiologyRDI127 (PM)Artery / aneurysm/ embolization 45,144 3197 Interventional RadiologyRDI128 (PM)Post pancreatitis sequeles intervent 29,700 3198 Interventional RadiologyRDI129 (PM)GI Bleed and ischemia evaluation 26,136 3199 Interventional RadiologyRDI130 (PM)GI Bleed and ischemia Interventional 33,264 3200 Interventional RadiologyRDI131 (PM)Chemoembolization / drug/ isotops of 45,144 3201 Interventional RadiologyRDI132 (PM)Angiography for specific part of bod 22,572 3202 Interventional RadiologyRDI133 (PM)Image guided peripheral insertion of 8,316 3203 Interventional RadiologyRDI134 (PM)Image guided peripheral insertion of 10,692 3204 Interventional RadiologyRDI135 (PM)USG/DSA guided Long term tunnelled d 23,760 3205 Interventional RadiologyRDI136 (PM)Pre-procedure venogram for short/lon 5,940 3206 Interventional RadiologyRDI137 (PM)Port/tunnelled catheter insertion/re 21,384 3207 Interventional RadiologyRDI138 (PM)Bronchial artery embolization 33,264 3208 Interventional RadiologyRDI139 (PM)Tumour embolization 45,144 3209 Interventional RadiologyRDI141 (PM)Spinal angiogram 29,700 3210 Interventional RadiologyRDI142 (PM)Embolization of external carotid art 23,760 3211 Interventional RadiologyRDI143 (PM)Embolization of internal carotid art 28,512 3212 Interventional RadiologyRDI145 (PM)Embolization of spinal Tumours 32,076 3213 Interventional RadiologyRDI146 (PM)Embolization for vertebral body hema 35,640 3214 Interventional RadiologyRDI147 (PM)Mapping of arteries for embolization 16,632 3215 Interventional RadiologyRDI148 (PM)Vertebroplasty (verteral body/pelvic 29,700 3216 Interventional RadiologyRDI149 (PM)Venous sinus sampling (Petrosal sinu 23,760 3217 Interventional RadiologyRDI150 (PM)Embolization of tumours fed by both 49,896 3218 Interventional RadiologyRDI151 (PM)Embolization of tumours fed by VA or 71,280 3219 Interventional RadiologyRDI152 (PM)Glue embolization of tumours 49,896 3220 Interventional RadiologyRDI153 (PM)Thrombolysis 59,400 3221 Interventional RadiologyRDI154 (PM)CCF balloon occlusion 41,580 3222 Interventional RadiologyRDI155 (PM)Proximal occlusion of internal carot 29,700 3223 Interventional RadiologyRDI156 (PM)Cerebral AVM Embolization 47,520 3224 Interventional RadiologyRDI157 (PM)Spinal AVM embolization/AVF emboliza 83,160 3225 Interventional RadiologyRDI158 (PM)Coiling of intracranial aneurysm 47,520 3226 Interventional RadiologyRDI159 (PM)Coiling of multiple aneurysm 59,400 3227 Interventional RadiologyRDI160 (PM)Coiling of intracranial aneurysm att 29,700 3228 Interventional RadiologyRDI161 (PM)intracranial angioplasty 59,400 3229 Interventional RadiologyRDI162 (PM)Intracranial drug therapy for post S 23,760 3230 Interventional RadiologyRDI163 (PM)Intra arterial thrombolysis 38,016 3231 Interventional RadiologyRDI164 (PM)Angiogplasty & stenting for carotid/ 53,460 3232 Interventional RadiologyRDI165 (PM)Intercranial angioplasty & stenting 47,520 3233 Interventional RadiologyRDI166 (PM)Tumour / hemangioma embolization- Be 23,760 3234 Interventional RadiologyRDI167 (PM)Hemangiomas embolization 32,076 3235 Interventional RadiologyRDI168 (PM)Intra arterial DSA 20,196 3236 Interventional RadiologyRDI169 (PM)Intra arterial / Venous Embolization 26,136 3237 Interventional RadiologyRDI171 (PM)Head & neck vessels evaluation 19,008 3238 Interventional RadiologyRDI170 (PM)mapping venous/arterial 8,316 3239 Interventional RadiologyRDI217 Balloon angioplasty 19,440 3240 Interventional RadiologyRDI218 Thrombin injection for pseudoaneurysm 14,580 3241 Interventional RadiologyRDI239 Cholecystostomy 8,100 3242 Interventional RadiologyRDI240 Cholecystostomy (Mobile) 9,720 3243 Interventional RadiologyRDI241 Nephrostomy (Bilateral) 9,720 3244 Interventional RadiologyRDI242 Interventional Radiology Review 540 3245 Interventional RadiologyRDI243 Interventional Radiology Procedure A 5,400 3246 Interventional RadiologyRDI260 Interventional Radiology Procedure B 10,800 3247 Interventional RadiologyRDI245 Interventional Radiology Procedure C 16,200 3248 Interventional RadiologyRDI246 Interventional Radiology Procedure D 21,600 3249 Interventional RadiologyRDI247 Nephrostomy (Unilateral) 5,400 3250 Interventional RadiologyRDI248 USG Guided Drainage (MULTIPLE) MOBILE 13,500 3251 Interventional RadiologyRDI225 USG Guided Drainage (Complex) 7,560 3252 Interventional RadiologyRDI226 USG Guided Drainage (MOBILE) 8,100 3253 Interventional RadiologyRDI227 USG Guided Drainage (MULTIPLE) 10,800 3254 Interventional RadiologyRDI228 CT Guided Drainage (Complex)) 10,800 3255 Interventional RadiologyRDI229 CT Guided Drainage (MULTIPLE) 13,500 3256 Interventional RadiologyRDI230 USG Guided Aspiration ( DIGNOSTIC Mobile) 3,780 3257 Interventional RadiologyRDI231 Therapeutic Aspiration USG Guidance(M) 5,400 3258 Interventional RadiologyRDI232 Percutaneous Biopsy & Tract Embolization 8,100 3259 Interventional RadiologyRDI092 Gastro 35,640 3260 Interventional RadiologyRDI093 Abdominal 7,128 3261 Interventional RadiologyRDI094 Check Angiogram 6,534 3262 Interventional RadiologyRDI095 Intrarterial Vasodilatation 14,256 3263 Interventional RadiologyRDI096 Peripheral Artery Embolization 21,384 3264 Interventional RadiologyRDI097 Tumor Fed by Vertebral/Spinal 35,640 3265 Interventional RadiologyRDI098 (PM)UAE for fibroids/adenomyosis/PPH/fai 46,332 3266 Interventional RadiologyRDI099 (PM)Pre-operative embolization 23,760 3267 Interventional RadiologyRDI101 (PM)Pelvic mass / pelvic congestion synd 28,512 3268 Interventional RadiologyRDI102 (PM)Fallopian tube catheterization ( for 14,256 3269 Interventional RadiologyRDI103 (PM)Fallopian tube catheterization ( for 23,760 3270 Interventional RadiologyRDI104 (PM)Evaluation for fallopian tube HSG 8,316 3271 Interventional RadiologyRDI105 (PM)Pre/post procedure USG /doppler eval 1,664 3272 Interventional RadiologyRDI106 (PM)Uterine artery embolization for mult 41,580 3273 Interventional RadiologyRDI100 (PM)Mapping of uterine/ovarian artery fo 8,316 3274 Interventional RadiologyRDI107 (PM)Varicose Vein Ablation one leg 35,640 3275 Interventional RadiologyRDI108 (PM)mapping Varicose Vein 8,316 3276 Interventional RadiologyRDI109 (PM)varicose vein ablation short segmen 28,512 3277 Interventional RadiologyRDI110 (PM)Varicose vein ablation multiple shor 30,888 3278 Interventional RadiologyRDI111 (PM)Pre Post procedure contrast / Dopple 9,504 3279 Interventional RadiologyRDI112 (PM)USG/DSA guided PTBD one side 19,008 3280 Interventional RadiologyRDI113 (PM)USG/DSA guided PTBD two side 26,136 3281 Interventional RadiologyRDI114 (PM)CBD ballonoplasty 8,316 3282 Interventional RadiologyRDI115 (PM)Cholangiogram pre/intra/post procedu 4,752 3283 Interventional RadiologyRDI116 (PM)Percutaneous CBD stent(one side) 10,692 3284 Interventional RadiologyRDI117 (PM)Percutaneous CBD stent (two side) 15,444 3285 Interventional RadiologyRDI118 (PM)Percutaneous Billiary duct / CBD sto 8,316 3286 Interventional RadiologyRDI119 (PM)Removal of drainage catheter 2,970 3287 Interventional RadiologyRDI120 (PM)Cholangiogram / Tube Cholangiogram 3,564 3288 Interventional RadiologyRDI121 (PM)Post-operative hepatic/cystic duct e 5,940 3289 Interventional RadiologyRDI122 (PM)Post-operative / trauma vascular / n 29,700 3290 Interventional RadiologyRDI123 (PM)Pleural effusion/ascites/absess aspi 14,256 3291 Interventional RadiologyRDI124 (PM)Transjuglar Liver Biopsy 29,700 3292 Interventional RadiologyRDI125 (PM)Tips (Trans-Jugular porto-systimic s 39,204 3293 Interventional RadiologyRDI126 (PM)Arterio-Portogram 23,760 3294 Interventional RadiologyRDI222 CT Guided Biopsy (Complex) 9,720 3295 Interventional RadiologyRDI223 CT Guided Bone Biopsy 9,720 3296 Interventional RadiologyRDI224 USG/CT Guided Lung Biopsy 8,100 3297 Interventional RadiologyRDI234 Trans-Gastric Drainage USG Guided 7,560 3298 Interventional RadiologyRDI235 Trans-Gastric Drainage CT Guided 9,720 3299 Interventional RadiologyRDI236 Percutaneous Cystogastrostomy 9,180 3300 Interventional RadiologyRDI237 USG Guided Tumor Ablation (Chemical) 8,640 3301 Interventional RadiologyRDI238 CT Guided Tumor Ablation (Chemical) 10,800 3302 Interventional RadiologyRDI181 Attempt cerebral AVM embolization 40,500 3303 Interventional RadiologyRDI182 Indirect CCF OCCLUSION 64,800 3304 Interventional RadiologyRDI183 Extremity AVM embolization 40,500 3305 Interventional RadiologyRDI184 I/A thrombolysis 36,742 3306 Interventional RadiologyRDI185 venous thrombolysis 40,824 3307 Interventional RadiologyRDI186 Mechanical thrombolysis 56,700 3308 Interventional RadiologyRDI187 CCSVI Procedure 40,500 3309 Interventional RadiologyRDI188 uterine bleeder embolization 24,300 3310 Interventional RadiologyRDI189 RF Multiple segment varicose 48,600 3311 Interventional RadiologyRDI190 Complex angio embolization 35,640 3312 Interventional RadiologyRDI191 Angio embolization 19,440 3313 Interventional RadiologyRDI192 Detailed abdominal angiogram 19,440 3314 Interventional RadiologyRDI193 Peripheral Artery Embolization 29,160 3315 Interventional RadiologyRDI194 Balloon test occlusion 40,500 3316 Interventional RadiologyRDI195 Foam scelrotherapy 16,200 3317 Interventional RadiologyRDI196 Intra vascular foreign body removal 12,960 3318 Interventional RadiologyRDI197 IVC Filter deployment/ Retreival 38,880 3319 Interventional RadiologyRDI198 PTBD (More than Two System) 32,400 3320 Interventional RadiologyRDI199 Internalization & Stenting (More than two System) 24,300 3321 Interventional RadiologyRDI200 Biliary Hilar Reconstruction 48,600 3322 Interventional RadiologyRDI201 HVPG (Hepatic Venous Pressure Gradient) 14,580 3323 Interventional RadiologyRDI202 Hepatic Venous / IVC Angioplasty 32,400 3324 Interventional RadiologyRDI203 Hepatic Veins /IVC Venogrphy 19,440 3325 Interventional RadiologyRDI204 IVC Angioplasty & Stenting 48,600 3326 Interventional RadiologyRDI205 Combined IVC & Hepatic veins Angioplasty & Stenting 89,100 3327 Interventional RadiologyRDI206 Hepatic Venous Angioplasty & Stenting 48,600 3328 Interventional RadiologyRDI207 Portal Vein Embolization 35,640 3329 Interventional RadiologyRDI208 Catheter Internalization Single system 8,100 3330 Interventional RadiologyRDI209 Catheter Internalization Two system 12,150 3331 Interventional RadiologyRDI210 Catheter Internalization More thanTwo system 16,200 3332 Interventional RadiologyRDI211 Intraductal cytology 8,100 3333 Interventional RadiologyRDI212 Interventional Radiology Procedure A 8,100 3334 Interventional RadiologyRDI213 Interventional Radiology Procedure B 16,200 3335 Interventional RadiologyRDI214 Interventional Radiology Procedure C 24,300 3336 Interventional RadiologyRDI215 Interventional Radiology Procedure D 32,400 3337 Interventional RadiologyRDI216 Balloon angiopasty and stenting 38,880 3338 Interventional RadiologyRDI219 USG Guided FNAC (MOBILE) 5,400 3339 Interventional RadiologyRDI180 gastro bleeder embolization 48,600 3340 Interventional RadiologyRDI249 USG Guided FNAC (Complex) 4,320 3341 Interventional RadiologyRDI220 USG Guided Biopsy (Complex) 7,020 3342 Interventional RadiologyRDI221 USG Guided Biopsy(MOBILE) 6,696 3343 Interventional RadiologyRDI034 USG/DSA guided Long term tunnelled dialy 3,695 3344 Interventional RadiologyRDI035 Pre-procedure venogram for short/long te 6,534 3345 Interventional RadiologyRDI036 Post/tunnelled catheter insertion/revisi 26,136 3346 Interventional RadiologyRDI037 Bronchial artery embolization 17,820 3347 Interventional RadiologyRDI038 Tumor embolization 17,820 3348 Interventional RadiologyRDI041 Angiography/Venogram (Diagnostic) (One s 25,091 3349 Interventional RadiologyRDI042 Preoperative Embolisation/Bronchial Arte 40,452 3350 Interventional RadiologyRDI043 Cerebral Angiogram 7,841 3351 Interventional RadiologyRDI144 Peripheral arterial angioplasty with ste 62,929 3352 Interventional RadiologyRDI244 Coiling OF intracranial aneurysm 112,385 3353 Interventional RadiologyRDI45 Embolization for Nasal bleeding / sinus 17,820 3354 Interventional RadiologyRDI058 Percutaneous Transhepatic Cholangiogram/ 5,940 3355 Interventional RadiologyRDI059 PTBD external drainage(PTBD)/Percutaneou 18,533 3356 Interventional RadiologyRDI060 PTBD-Externo-internalisation primary 24,236 3357 Interventional RadiologyRDI061 PTBD-Externo-internalisation primary 14,256 3358 Interventional RadiologyRDI062 PCN/PTBD with primary stenting 3,564 3359 Interventional RadiologyRDI063 Tips(Trans-jugular porto-systemic shunt) 71,280 3360 Interventional RadiologyRDI064 USG Guided Aneurysm Embolisation 11,405 3361 Interventional RadiologyRDI065 Trans Arterial chemotherapy infusion 22,810 3362 Interventional RadiologyRDI066 Radiofrequency Ablation of hepatic tumou 31,364 3363 Interventional RadiologyRDI067 Radiochemoembolisation 57,024 3364 Interventional RadiologyRDI068 Naso Jejunal intubation 8,554 3365 Interventional RadiologyRDI069 Head and neck vessels evaluation(celebra 19,008 3366 Interventional RadiologyRDI070 Spinal Angiogram 11,880 3367 Interventional RadiologyRDI071 Embolization of tumour fed by VA or spin 64,152 3368 Interventional RadiologyRDI072 Vertebroplasty(verteral body/pelvic bone 49,896 3369 Interventional RadiologyRDI001 UAE for fibroids/adenomyosis/PPH/failed 65,340 3370 Interventional RadiologyRDI002 Pre-operative embolization 34,833 3371 Interventional RadiologyRDI003 Mapping of uterine/ovarian artery for em 15,231 3372 Interventional RadiologyRDI004 Pelvic mass/pelvic congestion syndrome/t 43,553 3373 Interventional RadiologyRDI005 Fallopian tube catheterization(for block 17,417 3374 Interventional RadiologyRDI006 Fallopian tube catheterization(for block 32,670 3375 Interventional RadiologyRDI007 Evaluation for fallopian tube HSG 15,231 3376 Interventional RadiologyRDI008 Pre/Post procedure USG/Dopler evaluation 2,175 3377 Interventional RadiologyRDI009 Uterine artery embolization for multiple 17,820 3378 Interventional RadiologyRDI010 USG/DSA guided PTBD one side 28,311 3379 Interventional RadiologyRDI011 USG/DSA guided PTBD two side 35,284 3380 Interventional RadiologyRDI012 CBD Ballonoplasty 10,883 3381 Interventional RadiologyRDI013 Cholangiogram pre/intra/post procedure 6,534 3382 Interventional RadiologyRDI014 Percutaneous CBD stent(one side) 15,231 3383 Interventional RadiologyRDI015 Percutaneous CBD stent(two side) 21,765 3384 Interventional RadiologyRDI016 Percutaneous Billiary duct/CBD stone/ste 10,883 3385 Interventional RadiologyRDI017 Removal of drainage catheter 3,279 3386 Interventional RadiologyRDI018 Cholangiogram/ Tube Cholangiogram 4,349 3387 Interventional RadiologyRDI019 Post-operative hepatic/cystic duct evalu 6,534 3388 Interventional RadiologyRDI020 Post-operative/trauma vascular/non vascu 43,553 3389 Interventional RadiologyRDI021 Pleural effusion/ascites/absess aspirati 15,231 3390 Interventional RadiologyRDI022 Transjuglar Liver Biopsy 43,553 3391 Interventional RadiologyRDI023 Tips(Trans-Jugular porto-systimic shunt) 65,340 3392 Interventional RadiologyRDI024 Arterio-portogram 32,670 3393 Interventional RadiologyRDI025 Splenic artery/aneurysm/embolization 17,820 3394 Interventional RadiologyRDI026 Post pancreatitis sequeles interventions 43,553 3395 Interventional RadiologyRDI027 GI Bleed and ischemia evaluation 34,833 3396 Interventional RadiologyRDI028 GI Bleed and ischemia interventional 47,901 3397 Interventional RadiologyRDI029 Trans-arterial I-131/chemo for hepatic/s 34,833 3398 Interventional RadiologyRDI030 Chemoembolizationof hepatic tumor/mets 29,700 3399 Interventional RadiologyRDI031 Angiography for specific part of body 32,670 3400 Interventional RadiologyRDI032 Image guided peripheral insertion of cen 10,883 3401 Interventional RadiologyRDI033 Image guided(USG/DSA)dialysis catheter i 8,697 3402 Interventional RadiologyRDI040 IVC EVALUATION 13,068 3403 Interventional RadiologyRDI039 Budd Chari syndrome 52,272 3404 Interventional RadiologyRDI073 Venous sinus sampling(petrosal sinus) 35,640 3405 Interventional RadiologyRDI074 CCF occlusion 71,280 3406 Interventional RadiologyRDI075 Test occlusion test 47,520 3407 Interventional RadiologyRDI076 Cerebral AVM embolization(BesidesVB Terr 40,915 3408 Interventional RadiologyRDI077 AVM embolization in the vertebrobasilar 40,915 3409 Interventional RadiologyRDI078 Spinal AVM embolization 47,520 3410 Interventional RadiologyRDI079 Coiling of multiple aneurysm 92,664 3411 Interventional RadiologyRDI080 Coiling of intracranial aneurysm attempt 35,640 3412 Interventional RadiologyRDI081 Proximal occlusion of internal carotid a 71,280 3413 Interventional RadiologyRDI083 intracranial arterial thrombolysis 49,896 3414 Interventional RadiologyRDI082 Intracranial drug therapy post SAH vasos 42,768 3415 Interventional RadiologyRDI084 Intracranial Venous thrombolysis 64,152 3416 Interventional RadiologyRDI085 Angiogplasty for carotid/vertebral arter 37,066 3417 Interventional RadiologyRDI086 Stenting for carotid/vertebral artery st 64,152 3418 Interventional RadiologyRDI087 Intracranial angioplasty 47,520 3419 Interventional RadiologyRDI088 Intracranial stenting 47,520 3420 Interventional RadiologyRDI089 Ozone discolysis 21,384 3421 Interventional RadiologyRDI091 Varicose vein RF ablation short segment 35,640 3422 Interventional RadiologyRDI090 Varicose vein RF ablation multiple short 39,204 3423 Interventional RadiologyRDI46 Glue/onyx embolization of tumours 57,024 3424 Interventional RadiologyRDI047 Embolisation 37,066 3425 Interventional RadiologyRDI048 angioplasty(arterial/venous)without sten 25,661 3426 Interventional RadiologyRDI049 Aortic angioplasty/stenting 71,280 3427 Interventional RadiologyRDI050 Abdominal aortic aneurysm graft placemen 85,536 3428 Interventional RadiologyRDI051 IVC Filter placement/retrival 28,512 3429 Interventional RadiologyRDI052 Venous sampling(Adrenal/renal vein) 21,384 3430 Interventional RadiologyRDI053 Intra vascular catheter/foreign body rem 9,980 3431 Interventional RadiologyRDI054 Usg Guided Foam Sclerotherapy 17,108 3432 Interventional RadiologyRDI055 Endovenous Laser Ablation of Varicose Ve 49,896 3433 Interventional RadiologyRDI056 Dialysis catheter insertion(IJ,Femoral)T 18,533 3434 Interventional RadiologyRDI057 Chest port Insertion for Chemotherapy 15,682 3435 IP procedures PRO037 US for hemodynamics 810 3436 IP procedures PRO040 Nasojejumal tube insertation 1,620 3437 IP procedures PRO041 Pleurodesis 2,700 3438 IP procedures PRO042 ICU ultrasound charges 810 3439 IP procedures PRO038 Lumber Drain 2,160 3440 IP procedures PRO039 Bone marrow aspration & biopsy 1,620 3441 IP procedures PRO029 Barium enetroclysis 9,695 3442 IP procedures PRO020 Lumbar Puncture 2,341 3443 IP procedures PRO001 Ventilator management 3,564 3444 IP procedures PRO002 Emergency HD management 2,341 3445 IP procedures PRO003 HD catheter insertion 5,406 3446 IP procedures PRO004 Arterial line insertion 1,414 3447 IP procedures PRO005 BIPAP management 2,567 3448 IP procedures PRO006 Bronchoscopy (ICU) 7,128 3449 IP procedures PRO007 Cardioversion 5,406 3450 IP procedures PRO008 Percutaneous Tracheostomy 9,695 3451 IP procedures PRO009 Tracheostomy tube change 713 3452 IP procedures PRO010 Tracheostomy decannulation 713 3453 IP procedures PRO011 Chest Tube Insertion 4,990 3454 IP procedures PRO012 CPR Charges 2,139 3455 IP procedures PRO013 Emergency intubation 3,564 3456 IP procedures PRO014 PA catheter insertion 5,691 3457 IP procedures PRO015 CVP line insertion 2,840 3458 IP procedures PRO016 PICC line insertion 6,273 3459 IP procedures PRO018 Thoracocentesis 1,414 3460 IP procedures PRO019 Paracentesis 713 3461 IP procedures PRO030 Foleys Catheterization (ICU) 713 3462 IP procedures PRO100 Aspiration of Cyst - Large/complex 3,184 3463 IP procedures PRO101 Aspiration of Cyst - Medium 2,483 3464 IP procedures PRO102 Aspiration of Cyst - Small/simple 1,640 3465 IP procedures PRO033 IABP Daily Management 1,414 3466 IP procedures PRO034 Temporary Pacing Insertion 3,564 3467 IP procedures PRO035 BAIR Hugger Charges 416 3468 IP procedures PRO036 Carbogen Therapy 642 3469 IVF IVF01 IVF Donor Investigation Package-Part1 0 3470 IVF IVF03 IVF Donor investigation Part-III 0 3471 IVF IVF02 IVF Donor Investigation Package-Part2 0 3472 Labortary LBR001 Septic Screen 4,640 3473 Liver Transplant GSG556 Donor Liver Transplant 486,000 3474 Liver Transplant GSG557 Donor Liver Transplant 150,000 3475 Liver Transplant GSG656 Triphasic study of Liver (donor) 12,000 3476 Liver Transplant GSG558 International - Auto 118,800 3477 Liver Transplant GSG700 International Allo 162,000 3478 Liver Transplant GSG701 Indian Auto 75,600 3479 Liver Transplant GSG702 Indian Allo 108,000 3480 Mammography RDG002 Mammography Bilateral 2,200 3481 Mammography RDG002 Mammography Bilateral 2,200 3482 Mammography RDG003 mammography Single Breast 1,200 3483 Mammography RDG004 Mammography-Coned / Magnified 600 3484 Mammography RDG005 Stereotactic Localisation of J 6,800 3485 Mammography RDG006 Stereotactic Localisation of J 4,600 3486 Mammography RDG007 Stereotactic Localisation of J 6,500 3487 Mammography RDG008 Mammography Review charges 900 3488 Marketing ProgrammesMKP312 Heartfelt Screening Package 9,936 3489 Marketing ProgrammesMKP100 Freedom Cancer Screening-Female 314 3490 Marketing ProgrammesMKP101 Freedom Cancer Screening-Male 270 3491 Marketing ProgrammesMKP173 Stroke Detection 432 3492 Marketing ProgrammesMKP4 ABHCP Package 65 3493 Marketing ProgrammesMKP10 CT Angio Promotion CAMP 54 3494 Marketing ProgrammesMKP2 ANP Basic package 3 3495 Marketing ProgrammesMKP3 ACP Package 6 3496 Marketing ProgrammesMKP7 Cardiac Promotion Camp 0 3497 Marketing ProgrammesMKP8 Womens Day Promotion 0 3498 Marketing ProgrammesMSC01 Cancer Screenin Men 2,592 3499 Marketing ProgrammesMSC02 Cancer Screening women 3,132 3500 Marketing ProgrammesPKA020 Breast screening 3,240 3501 Marketing ProgrammesPKA033 Cardiac Risk Screening 54 3502 Marketing Promotion MKP12 Registration Fee 432 3503 Marketing Promotion MKP9 Heart Club Membership 540 3504 Marketing Promotion MKP9 Heart Club Membership 540 3505 Medical Informatics MIA001 Film Charges 119 3506 Medical Informatics MIA003 Internet Usage Charges 300 3507 Medical Informatics MIA002 Laptop Hire Charges 1,167 3508 Microbiology LBM001 Blood Culture & Sensitivity (1 Aerobic +1 Anaerobic Bottle) 1,500 3509 Microbiology LBM003 Stool Culutre & Sensitivity 1,100 3510 Microbiology LBM004 Culture & Sensitivity Others 1,000 3511 Microbiology LBM005 Smear For Afb Stain Zn 400 3512 Microbiology LBM006 Smear For Afb Flourescent 400 3513 Microbiology LBM010 Skin Fungi Culture 1,400 3514 Microbiology LBM012 Smear, Gram Stain 400 3515 Microbiology LBM014 Culture & senstivity Bacteria Anaerobic 2,300 3516 Microbiology LBM016 Culture Water 1,000 3517 Microbiology LBM017 Smear Albert Stain 400 3518 Microbiology LBM018 Smear, Wet Mount, Saline/Ink/Koh 300 3519 Microbiology LBM019 Mycobacteria Culture 1,500 3520 Microbiology LBM021 Tissue Exam For Fungi 300 3521 Microbiology LBM022 Blood Fungus Culture & Sensitivity 1,500 3522 Microbiology LBM024 Urine Bacteria Culture & Sensitivity 1,000 3523 Microbiology LBM025 Lactophenol Cotton Blue Test 300 3524 Microbiology LBS164 Food Handlers Screen 800 3525 Microbiology LBM037 India Ink Method 200 3526 Microbiology LBM038 Montoux Test 200 3527 Microbiology LBM101 Mycobacterium species identification 1,300 3528 Microbiology LBM92 H1N1-RT PCR 5,000 3529 Microbiology LBM081 HIV DNA Detector, Qualitative PCR 3,900 3530 Microbiology LBM050 Fungus Culture and Sensitivity 2,500 3531 Microbiology LBM191 Mycoplasma/Ureaplasma Culture 1,300 3532 Microbiology LBM98 Culture,Actinomyces 1,200 3533 Microbiology LBM098 CRYPTOSPORIDIUM/ISOSPORA IDENTIFICATION, 300 3534 Microbiology LBM91 Pneumocystis Carinii(Direct Fluorescent 2,900 3535 Microbiology LBM0000092Pneumocystis Carinii (S. stain:Microscop 2,900 3536 Microbiology LBM091 Hanging drop 200 3537 Microbiology LBM49 HELICOBACTOR PYLORI CULTURE 1,200 3538 Microbiology LBM080 FUNGAL SENSITIVITY 900 3539 Microbiology LBM81 ET CULTURE & SENSITIVITY 1,400 3540 Microbiology LBM82 PUS CULTURE & SENSITIVITY 1,000 3541 Microbiology LBM83 CASPOFUNGIN 'E' TEST 800 3542 Microbiology LBM040 Water Culture Dialysis 1,100 3543 Microbiology LBM041 M.TB Panel 3,300 3544 Microbiology LBM039 MRSA Nasal Swab culture 1,000 3545 Microbiology LBM055 Single Drug Sensitivity For Mycobacteriu 3,100 3546 Microbiology LBM10 4 Drug Pannel 3,100 3547 Microbiology LBM14 5 Drug Pannel 4,700 3548 Microbiology LBM45 10 Drug Pannel 9,000 3549 Microbiology LBM48 15 Drug Pannel 13,800 3550 Microbiology LBM110 Clostridium Difficile Culture 1,000 3551 Microbiology LBM078 Sputum Culture and sensitivity 1,100 3552 Microbiology LBM062 Throat swab culture and sensitivity 1,100 3553 Microbiology LBM054 HVS(High vaginal swab) culture and sensi 1,000 3554 Microbiology LBM087 Semen Culture and sensitivity 1,000 3555 Microbiology LBM095 Surveillance Culture 1,200 3556 Misc. GYN1 D & C OR MTP 4,137 3557 Misc. GYN326 HYSTEROSALPINGOGRAPHY 4,914 3558 Misc. MKP805 Health Chk For Radiation 2,160 3559 Misc. MSC10 Privilege Card 540 3560 Misc. MSC11 Privilege Addition 108 3561 Misc. MSC0120 Nursing care charges 300 3562 Misc. MSC0120 Nursing care charges 300 3563 Misc. MSC0120 Nursing care charges 300 3564 Misc. MSC0120 Nursing care charges 300 3565 Misc. MSC0120 Nursing care charges 300 3566 Misc. MSC0120 Nursing care charges 500 3567 Misc. MSC0120 Nursing care charges 500 3568 Misc. MSC0120 Nursing care charges 200 3569 Misc. MSC0120 Nursing care charges 300 3570 Misc. MSC0120 Nursing care charges 200 3571 Misc. MSC0120 Nursing care charges 300 3572 Misc. MSC0120 Nursing care charges 300 3573 Misc. MSC0120 Nursing care charges 200 3574 Misc. MSC0120 Nursing care charges 200 3575 Misc. MSC0120 Nursing care charges 300 3576 Misc. MSC0120 Nursing care charges 200 3577 Misc. MSC0120 Nursing care charges 300 3578 Misc. MSC0120 Nursing care charges 300 3579 Misc. MSC0120 Nursing care charges 300 3580 Misc. OHA21 Dwarka Camp registration 54 3581 Misc. OHA7 Home collection charges 162 3582 Misc. OHA15 Home Collection Charges Delhi 324 3583 Misc. OHA1 Courier Charges(Gurgaon) 11 3584 Misc. OHA2 Courier Charges(NCR) 22 3585 Misc. OHA3 Courier Charges(All States in India) 44 3586 Misc. OHA05 H1N1 Influenza Vaccination 292 3587 Misc. OTA1003 Ureteroscope Charges 2,333 3588 Misc. OTA1001 Laparoscopic set Partial 1,944 3589 Misc. OTA1000 Laparoscopic set Complete 3,240 3590 Misc. OTA1004 Hysteroscope Charge 2,333 3591 Misc. PRO098 NICU Ventilator Charges 1,944 3592 Misc. WDL_HOSPHospital Charges 778 3593 Molecular Biology LBO003 Hepatitis B Viral DNA -PCR Qualitative 3,700 3594 Molecular Biology LBO004 Hepatitis B, DNA, Quantitative PCR 10,000 3595 Molecular Biology LBO005 Hepatitis C, RNA , PCR Qualitative 4,000 3596 Molecular Biology LBO006 Hepatitis C, RNA Quantitative PCR 10,000 3597 Molecular Biology LBO012 N. Gonorrhoeae, DNA PCR Qualitative 2,800 3598 Molecular Biology LBO013 M.Tuberculo, DNA, Qualitative 2,200 3599 Molecular Biology LBO092 HEPATITIS C VIRAL RNA,GENOTYPE 7,400 3600 Molecular Biology LBO200 HLA B27 BY PCR 2,500 3601 Molecular Biology LBO98 HLA DNA TYPING FOR KIDNEY TRANSPLANT, PC 15,700 3602 Molecular Biology LBO091 TORCH-PCR 6,500 3603 Molecular Biology LBO92 HPV DNA BY HYBRID CAPTURE METHOD 2,000 3604 Molecular Biology LBO095 Parvovirus B19 DNA PCR 3,000 3605 Molecular Biology LBO051 HIV-1 RNA, QUANTITIATIVE RT PCR 5,200 3606 Molecular Biology LBO053 HIV -1 Real Time PCR (Monitor) 6,500 3607 Molecular Biology LBO100 HIV-1 RNA PCR & CD Markers(3) 7,300 3608 Molecular Biology LBO018 HPV, DNA ,PCR-Qualitative 2,000 3609 Molecular Biology LBO052 Rubella RNA PCR 3,200 3610 Molecular Biology LBO026 Cytomegalovirus DNA PCR Detector 4,100 3611 Molecular Biology LBO019 HSV,DNA 1&2 Detection (CSF) 5,600 3612 Molecular Biology LBO93 Chlamydia Trachomatis DNA PCR Qualitative 3,300 3613 Molecular Biology LBO94 Chlamydia Trachomatis/Nisseria Gonnorhea DNA SDA 2,000 3614 Molecular Biology LBO96 Neisseria Gonorrhoea DNA Test (Hybrid Capture 2) 1,000 3615 Molecular Biology LBO97 Chlamydia & N. Gonorrhoea DNA Test (Hybrid Capture 2) 1,500 3616 Molecular Biology LBO110 HER2 neu Gene Amplification(RT-PCR) 10,500 3617 Molecular Biology LBO198 HLA - CELIAC DISEASE (DQB1*02, 1*03, DQA1*05; 01) 4,800 3618 Molecular Biology LBO81 HLA DNA TYPING FOR BONE MARROW TRANSPLA 20,900 3619 Molecular Biology LBO077 B.K Virus DNA PCR Qualitative (Urine) 5,300 3620 Molecular Biology LBO18 TB Real Expert 2,500 3621 Molecular Biology LBO038 Cytomegalovirus Quantitative PCR 7,500 3622 Molecular Biology LBO10 Leptospira DNA PCR 1,600 3623 Molecular Biology LBO098 EPSTEIN BARR VIRUS EBV DNA PCR 3,200 3624 Molecular Biology LBO088 HLA DNA TYPING FOR LIVER TRANSPLANT 15,700 3625 MRI RDM0138 MRI Face 8,400 3626 MRI RDM0139 MRI Neck and oral cavity 13,100 3627 MRI RDM164 MRI Spine D12 to L2 7,400 3628 MRI RDM165 MRI Limited Study 5,500 3629 MRI RDM145 MRI Chest 9,800 3630 MRI RDM146 MRI PNS with Contrast 12,000 3631 MRI RDM147 MRI FACE with Contrast 12,000 3632 MRI RDM148 MRI Rt. / Lt. Hip joint with contrast 11,200 3633 MRI RDM149 MRI Both Hip joints with contrast 15,700 3634 MRI RDM150 MRI Oral Cavity 8,400 3635 MRI RDM151 MRI Oral Cavity with Contrast 12,000 3636 MRI RDM153 MRI Neck and Oral cavity with contrast 17,100 3637 MRI RDM166 MRI Upper Abdomen with contrast 12,000 3638 MRI RDM155 MRI Lower Abdomen with contrast 12,000 3639 MRI RDM156 MRI Whole Abdomen with contrast 18,200 3640 MRI RDM157 MRI Prostate 8,300 3641 MRI RDM158 MRI Prostate with contrast 12,000 3642 MRI RDM159 MRI Prostate & Spectroscopy with contrast 16,400 3643 MRI RDM161 MRI Breast single with contrast 12,000 3644 MRI RDM162 MRI Breast bilateral with contrast 16,400 3645 MRI RDM163 Radiology Consumable (biopsy / FNAC needles) 4,400 3646 MRI RDM082 MRI Right / Left Elbow joint with contrast 11,200 3647 MRI RDM083 MRI Right / Left Elbow joint without contrast 7,600 3648 MRI RDM084 MRI Left / Right Foot with conrast 11,200 3649 MRI RDM086 MRI Right / Left Wrist joint with contrast 11,200 3650 MRI RDM087 MRI Right Wrist joint without contrast 7,600 3651 MRI RDM088 MRI Left / Right Wrist joint with contrast 11,200 3652 MRI RDM089 MRI Left Wrist joint without contrast 7,600 3653 MRI RDM090 MRI Right / Left knee joints with contrast 11,200 3654 MRI RDM091 MRI Right / Left knee joints without contrast 7,400 3655 MRI RDM095 MRI Left knee joint without contrast 7,400 3656 MRI RDM096 MRI Left / Right Ankle joint with contrast 11,200 3657 MRI RDM097 MRI Left / Right Ankle joint without contrast 7,400 3658 MRI RDM098 MRI Right / Left arm with contrast 11,200 3659 MRI RDM099 MRI Right / Left Arm without conrast 8,000 3660 MRI RDM102 MRI Right / Left forearm with conrast 11,200 3661 MRI RDM103 MRI Right / Left forearm without conrast 8,000 3662 MRI RDM106 MRI Right / Left Hand with conrast 11,200 3663 MRI RDM107 MRI Right / Left Hand without conrast 8,000 3664 MRI RDM110 MRI Right / Left Thigh with conrast 11,200 3665 MRI RDM111 MRI Right / Left Thigh without conrast 8,000 3666 MRI RDM114 MRI Right / Left Leg with conrast 11,200 3667 MRI RDM115 MRI Right / Left Leg without conrast 8,000 3668 MRI RDM119 MRI Right / Left Foot without conrast 8,000 3669 MRI RDM120 MRI Right / Left Foot with conrast 11,200 3670 MRI RDM1152 MRI Neck with contrast 12,000 3671 MRI RDM167 MRI Both Hip joints 10,900 3672 MRI RDM168 Consumable for peadiatric sedation 1,000 3673 MRI RDM143 MRI Maxillo-facial 7,700 3674 MRI RDM125 MR SPECTROSCOPY 7,600 3675 MRI RDM126 MR brain with spectroscopy 12,600 3676 MRI RDM075 MRI stroke protocol with angio 13,300 3677 MRI RDM079 MRI epilepsy Protocol 8,300 3678 MRI RDM080 MRI Left / Right shoulder joint with contrast 11,200 3679 MRI RDM081 MRI Left / Right shoulder joint without contrast 7,400 3680 MRI RDM131 MRI Right Ankle joint without contrast 7,400 3681 MRI RDM132 MRI Right Ankle joint with contrast 11,200 3682 MRI RDM129 MRI SI JONT 7,600 3683 MRI RDM0130 MRI FEATAL 9,800 3684 MRI RDM0131 MRI PNS 8,400 3685 MRI RDM0132 MRI VENOGRAM 7,600 3686 MRI RDM0133 MRI THORASIC ANGIO 8,400 3687 MRI RDM0134 MRI HIP JOINT 7,600 3688 MRI RDM0135 MRI WHOLE SPINE 19,800 3689 MRI RDM0136 MRI WHOLE BODY 19,100 3690 MRI RDM0137 MRI WHOLE SPINE SCREENIG 8,000 3691 MRI RDM85 MRI Left Elbow joint with contrast 11,200 3692 MRI RDM033 MRI Chest / Cardiac 13,200 3693 MRI RDM034 MRI Thoracic Aorta 12,600 3694 MRI RDM035 Myocardial Viability on MRI 17,500 3695 MRI RDM036 MRI Breast single 8,400 3696 MRI RDM037 MRI Breast bilateral 12,900 3697 MRI RDM038 MRI Upper Abdomen 8,400 3698 MRI RDM039 MRI Lower Abdomen 8,400 3699 MRI RDM040 MRI Whole Abdomen 14,200 3700 MRI RDM041 MRI Liver/ Pancreas /Kidneys- 12,600 3701 MRI RDM042 MRI Cholangiography (MRCP) 8,400 3702 MRI RDM043 MRI Urography 8,400 3703 MRI RDM044 MRI Renal Angiogram 8,400 3704 MRI RDM045 MRI Renal Angiogram with Contr 12,000 3705 MRI RDM060 MR Myelogram 8,400 3706 MRI RDM061 MRI Angiogram Spine 12,600 3707 MRI RDM062 MRI Arthrogram 14,000 3708 MRI RDM063 MRI Peripheral Angiogram 12,600 3709 MRI RDM064 MRI Peripheral venogram 12,600 3710 MRI RDM065 MRI Fistulogram 7,400 3711 MRI RDM066 MRI Tractography 8,400 3712 MRI RDM067 MRI 3D Reconstruction / Volume 4,900 3713 MRI RDM068 MRI Bone Marrow Study 14,000 3714 MRI RDM069 MRI Screening 6,000 3715 MRI RDM070 MRI Contrast Charges-Non Ionic 4,900 3716 MRI RDM071 MRI Contrast Charges 4,200 3717 MRI RDM073 MRI Extra film (per film) 300 3718 MRI RDM074 MRI - CD 600 3719 MRI RDM054 MRI Spine Cervical Vertebra (C 7,600 3720 MRI RDM055 MRI Spine Cervical 7,400 3721 MRI RDM056 MRI Spine Dorsal 8,400 3722 MRI RDM057 MRI Spine Lumbosacral 7,400 3723 MRI RDM058 MRI Spine Coccyx 7,600 3724 MRI RDM059 MRI Spine Extra region 4,200 3725 MRI RDM021 MRI Perfusion Study 12,000 3726 MRI RDM022 MRI CSF Flow Study 8,400 3727 MRI RDM023 MRI Functional 8,400 3728 MRI RDM024 MRI Stroke protocol 8,200 3729 MRI RDM025 MRI Inner Ears 8,400 3730 MRI RDM026 MRI Naso pharynx / larynx 8,400 3731 MRI RDM027 MRI Optic Nerve 8,400 3732 MRI RDM028 MRI Orbits 8,400 3733 MRI RDM029 MRI Neck 8,400 3734 MRI RDM030 MRI Brachial plexus Single 8,400 3735 MRI RDM031 MRI Brachial plexus Two 14,000 3736 MRI RDM032 MRI Cardiac 9,900 3737 MRI RDM001 MRI Angiogram Abdomen with Con 12,600 3738 MRI RDM002 MRI Angiogram Abdomen without 8,700 3739 MRI RDM003 MRI Angiogram Head With Contra 11,200 3740 MRI RDM004 MRI Angiogram Head without con 7,600 3741 MRI RDM005 MRI Angiogram Neck Without Con 7,600 3742 MRI RDM006 MRI Angiogram Neck With Contra 10,900 3743 MRI RDM007 MRI Angiogram / Venogram with 10,900 3744 MRI RDM008 MRI Angiogram Venogram without 7,600 3745 MRI RDM009 MRI Brain 7,300 3746 MRI RDM010 MRI Brain with Contrast 10,900 3747 MRI RDM011 MRI Brain -Seizure Protocol 8,300 3748 MRI RDM012 MRI Brain Posterior fossa/Skul 8,400 3749 MRI RDM014 MRI Brain with Angiogram witho 12,000 3750 MRI RDM015 MRI Brain with Angiogram with 15,300 3751 MRI RDM016 MRI Brain with Venogram withou 12,000 3752 MRI RDM017 MRI Brain with Venogram with c 15,300 3753 MRI RDM018 MRI Pitutary without contrast 9,900 3754 MRI RDM019 MRI Pitutary with contrast 12,600 3755 MRI RDM020 MRI Cisternogram 8,400 3756 Nephrology NPP070 Induction immunosuppression/iv iron infusion 3,240 3757 Nephrology NPP024 Internal Jugglar Cannulation 3,014 3758 Nephrology NPS003 Diabetic Fistula 11,322 3759 Nephrology NPS156 Transplant Nephrectomy 22,810 3760 Nephrology NPS155 Renal transplantation 53,591 3761 Nephrology NPP033 Highflux Hemodialysis One Evaluation 3,845 3762 Nephrology NPP034 Highflux Repeated Evaluation 2,625 3763 Nephrology NPP032 Diabetic Fistula 11,319 3764 Nephrology NPP025 Perm Cath Insertion 7,550 3765 Nephrology NPP026 Av Shunt 4,526 3766 Nephrology NPP028 Peritonial Cath 3,759 3767 Nephrology NPP029 Capd Implantation 15,110 3768 Nephrology NPP030 Kidney Niddle Biopsy 3,921 3769 Nephrology NPP031 Transplant Kidney Biopsy 3,921 3770 Nephrology NPP013 Hemodialysis, One Evaluation 4,320 3771 Nephrology NPP014 Hemodialysis, Repeated Evaluation 2,495 3772 Nephrology NPP015 Peritoneal Dialysis 4,526 3773 Nephrology NPP016 Dialysis, Repeated Evaluation 11,319 3774 Nephrology NPP068 Percutaneous renal biopsy 6,146 3775 Nephrology NPP069 Hemodialysis Emergency/ icu 7,690 3776 Nephrology NPP001 ESRD Related Services, Month For Patient 39,269 3777 Nephrology NPP002 ESRD Related Services, Month For Patient 31,342 3778 Nephrology NPP003 ESRD Related Services, Month For Patient 31,342 3779 Nephrology NPP004 ESRD Related Services, Month For Patient 31,342 3780 Nephrology NPP005 ESRD Related Services, Day, 1St Use For 4,072 3781 Nephrology NPP006 ESRD Related Services, Day, 1St Use For 3,273 3782 Nephrology NPP007 ESRD Related Services, Day, 1St Use For 3,273 3783 Nephrology NPP008 ESRD Related Services, Day, 1St Use For 3,273 3784 Nephrology NPP009 End Stage Related Diseases Related Servi 3,273 3785 Nephrology NPP010 End Stage Related Diseases Related Servi 2,420 3786 Nephrology NPP011 End Stage Related Diseases Related Servi 2,420 3787 Nephrology NPP012 End Stage Related Diseases Related Servi 2,420 3788 Nephrology NPP017 Dialysis Training, Complete 7,128 3789 Nephrology NPP018 Hemoperfusion 12,075 3790 Nephrology NPP019 Emergency Dialysis 3,467 3791 Nephrology NPP020 Crrt / Sled (Slow Low Efficency Dialysis 11,319 3792 Nephrology NPP022 Femoral Vain Cannulation 2,106 3793 Nephrology NPP023 Subclavian Vain Cannulation 3,014 3794 Nephrology NPS002 AV Fistula 10,871 3795 Neurology NEN035 EEG Additional hour 1,944 3796 Neurology NEN036 EEG emergency 4,428 3797 Neurology NEN037 EEGSleep deprivation upto 1hr (with vide 4,428 3798 Neurology NEN038 EEG Video- upto 30 minutes 5,616 3799 Neurology NEN039 EEG Bedside 4,428 3800 Neurology NEN040 EEG Overnight (without video at patient 10,800 3801 Neurology NEN041 NCV+EMG (2 limbs) 10,800 3802 Neurology NEN042 NCV+EMG (> 2 limbs) 14,364 3803 Neurology NEN043 NCV Facial 4,428 3804 Neurology NEN044 RNST-Decrement test 5,616 3805 Neurology NEN033 Video EEG (upto 12 hrs) 10,800 3806 Neurology NEN034 Video EEG (upto 24 hrs) 18,036 3807 Neurology NEN100 Injection for STS 2,387 3808 Neurology NEN101 Polysomnography 16,827 3809 Neurology NEN102 Sleep Study 21,050 3810 Neurology NEN103 Thrombolysis in stroke 26,936 3811 Neurology NEN104 Titration Of CPAP Machine 4,634 3812 Neurology NEN90 CSF Drainage NPN 6,380 3813 Neurology NEN015 Botox for writer's cramp 7,668 3814 Neurology NEN017 Nerve conduction study 1 limb 4,428 3815 Neurology NEN018 Nerve conduction study 2 limb 5,616 3816 Neurology NEN019 Nerve conduction study more than 2 limbs 7,668 3817 Neurology NEN020 Nerve conduction study+EMG (1 limb) 7,668 3818 Neurology NEN020 Nerve conduction study+EMG (1 limb) 7,668 3819 Neurology NEN021 Nerve conduction study+EMG(Limited) 6,696 3820 Neurology NEN022 Portable EEG 2,916 3821 Neurology NEN023 Post SAH monitoring per day 2,916 3822 Neurology NEN024 Repetitive nerve stimulation 5,616 3823 Neurology NEN025 Sedation in Neurophysiology 432 3824 Neurology NEN027 SSEP 5,616 3825 Neurology NEN028 Sympathetic skin response 2,916 3826 Neurology NEN029 TCD monitoring during thrombolysis 7,668 3827 Neurology NEN030 Tensilon monitoring 4,428 3828 Neurology NEN031 VEP 4,428 3829 Neurology NEN001 ELECTRODE STIMULATION, BRAIN 9,612 3830 Neurology NEN002 ELECTRODE STIM, BRAIN ADD-ON 1,944 3831 Neurology NEM001 EMG 1 LIMB 4,428 3832 Neurology NEM002 EMG 2 LIMB 5,616 3833 Neurology NEM003 EMG MORE THEN 2 LIMBS 7,668 3834 Neurology NEE002 EXTENSIVE EEG (>1HR) INCLUDING RECORDING 5,616 3835 Neurology NEE003 EXTENSIVE EEG (>1HR) RECORDING INCOMA OR 5,616 3836 Neurology NEE004 EXTENSIVE EEG (>1HR) CEREBRAL DEATH EVAL 6,696 3837 Neurology NEN003 BAEP 5,616 3838 Neurology NEE005 OVERNIGHT EEG 14,364 3839 Neurology NEE006 AMBULATORY EEG MONITORING 14,364 3840 Neurology NEN009 Botox for hyperhidrosis 2,916 3841 Neurology NEM004 FOR EMG GUIDANCE 1,944 3842 Neurology NEN004 Blink reflex 5,616 3843 Neurology NEN005 Botox for blepharospasm 5,616 3844 Neurology NEN006 Botox for dystonias 7,668 3845 Neurology NEN007 Chemical Sphincterotomy for Fissure in Ano 7,668 3846 Neurology NEN008 Botox for forehead lines/ frown lines 2,916 3847 Neurology NEN010 Botox for masseter muscle hypertrophy(Bi 5,616 3848 Neurology NEN011 Botox for migraine 5,616 3849 Neurology NEN012 Botox for spasmodic dysphonia 7,668 3850 Neurology NEN013 Botox for spasticity 5,616 3851 Neurology NEN014 Botox for ticsBotox for hemifacial spasm 5,616 3852 Neurology NEN032 Routine EEG (30-45 MINS) 2,592 3853 Neurosurgery NUS1 Surgery for Head injury 58,438 3854 Neurosurgery NUS40 Bone Flap Removal 14,672 3855 Neurosurgery NUS3 Trans sphenoidal Procedure 58,438 3856 Neurosurgery NUS4 AVM 71,269 3857 Neurosurgery NUS5 Aneurysms 71,269 3858 Neurosurgery NUS7 Posterior Fossa Tumors 71,269 3859 Neurosurgery NUS8 Cranioplasty 58,438 3860 Neurosurgery NUS9 Chronic Subdural hematoma 42,757 3861 Neurosurgery NUS10 Single level discectomy lubmer Cervical 53,591 3862 Neurosurgery NUS18 Spinal Dysraphism 58,438 3863 Neurosurgery NUS22 Cervical Disc replacement 55,029 3864 Neurosurgery NUS23 Meningocoele 42,757 3865 Neurosurgery NUS25 Shunt -VP,TP,VA 50,000 3866 Neurosurgery NUS26 Endoscopic third Venticulostomy 58,438 3867 Neurosurgery NUS27 Brachial plexus 58,438 3868 Neurosurgery NUS32 Skull tration 7,829 3869 Neurosurgery NUS33 Carpal tunnel syndrome 14,672 3870 Neurosurgery NUS35 Multiple Burr Hole 42,000 3871 Neurosurgery NUS41 Aneurysms Multiple 99,781 3872 Neurosurgery NUS42 Anterior & Posterior Spine Surgery 99,781 3873 Neurosurgery NUS43 Carotid endarterectomy 58,438 3874 Neurosurgery NUS44 Convexity Meningioma 58,438 3875 Neurosurgery NUS45 Craniosynostosis 58,438 3876 Neurosurgery NUS46 Cranio-Vertebral Junction 71,269 3877 Neurosurgery NUS47 Debridement - Neuro 3,564 3878 Neurosurgery NUS48 Deep Brain Stimulation 91,800 3879 Neurosurgery NUS49 EVD-Hydrocephalux/Hematoma / ICP Monitor 14,672 3880 Neurosurgery NUS50 Glioma Surgery 58,438 3881 Neurosurgery NUS51 Hematoma Evacuation 58,438 3882 Neurosurgery NUS52 Intraventricular Surgeries 71,269 3883 Neurosurgery NUS53 Laceration Repair 3,564 3884 Neurosurgery NUS54 Laminectomy - lumbar & cervical 53,591 3885 Neurosurgery NUS55 More than 1 level lumbar & cervical disc 58,438 3886 Neurosurgery NUS56 Redo Surgery for spine 58,438 3887 Neurosurgery NUS57 Scalp Avulsion Repair 7,829 3888 Neurosurgery NUS58 Shunt Removal 14,672 3889 Neurosurgery NUS59 Skull Base Lesions / CP Angle Tumors 71,269 3890 Neurosurgery NUS60 Spine - IDEM & ED 58,438 3891 Neurosurgery NUS61 Spine-Intramedullary 71,269 3892 Neurosurgery NUS62 Stereotactic procedure 58,438 3893 Neurosurgery NUS63 Tethered cord 53,591 3894 Neurosurgery NUS64 Tracheostomy _bed side emergency 14,672 3895 Neurosurgery NUS65 Trial Implant - Spinal Cord Stimulation 19,246 3896 Neurosurgery NUS66 Implantation - Spinal Cord Stimulation 57,737 3897 Neurosurgery NUS220 Tapping - brain abscess / cyst aspiratio 42,757 3898 Neurosurgery NUS34 Lumbar Drainage Procedure 7,829 3899 Neurosurgery NUS2 Craniotomy for tumor/aneurysm/AVM 72,588 3900 Nuclear Medicine NMN081 Brain SPECT (Perfusion Tc ECD) Scan 9,900 3901 Nuclear Medicine NMN083 Brain SPECT (Perfusion Tc HMPAO) Scan 14,300 3902 Nuclear Medicine NMN084 Brain SPECT (BBB: MIBI/GHA) Scan 9,400 3903 Nuclear Medicine NMN085 PET CT Review Comparision 3,850 3904 Nuclear Medicine NMN052 MIBG SCAN 16,120 3905 Nuclear Medicine NMN053 ADENOSINE MYOCARDIAL PERFUSION SCAN 14,780 3906 Nuclear Medicine NMN054 DOBUTAMINE MYOCRADIAL PERFUSION SCAN 13,440 3907 Nuclear Medicine NMN055 GALLIUM SCAN 24,200 3908 Nuclear Medicine NMN056 Stress Thallium, Single 9,400 3909 Nuclear Medicine NMN57 MIBG Scanning Charges 5,370 3910 Nuclear Medicine NMN442 Recombinant TSH (Thyrogen) injection 96,000 3911 Nuclear Medicine NMN158 MIBG Scan Urgent 33,000 3912 Nuclear Medicine NMN071 Renal Captopril Study 6,600 3913 Nuclear Medicine NMN072 Radionuclilde Ascending Venography 4,400 3914 Nuclear Medicine NMN073 Radionuclide Cisternography 7,920 3915 Nuclear Medicine NMN074 Radioactive I-131 uptake and scan 3,300 3916 Nuclear Medicine NMN075 Radioactive I-131 uptake 2,200 3917 Nuclear Medicine NMN076 P-32 therapy for bone metastases 8,800 3918 Nuclear Medicine NMN077 Ictal + Interictal Brain SPECT 19,800 3919 Nuclear Medicine NMN078 Hepatic Shunt Evaluation Study 9,350 3920 Nuclear Medicine NMN079 Gastric Emptying Study 2,750 3921 Nuclear Medicine NMN080 Ciprofloxacin Infection Imaging 8,250 3922 Nuclear Medicine NMN057 WBC LABELLED SCAN 17,460 3923 Nuclear Medicine NMN401 Metabolic Biopsies 9,680 3924 Nuclear Medicine NMN402 PET CT review 1,210 3925 Nuclear Medicine NMN060 Sentinel node imaging (nano colloid) 13,440 3926 Nuclear Medicine NMN061 Sentinel node imaging (sulfur colloid) 6,710 3927 Nuclear Medicine NMN062 Sentinel node imaging (FDG) 16,120 3928 Nuclear Medicine NMN80 F-18 Bone Scan 20,160 3929 Nuclear Medicine NMN01 Cardiac PET and Stress MPS 18,330 3930 Nuclear Medicine NMN50 Iodine-131 Low Dose Therapy 10-20mCi 9,400 3931 Nuclear Medicine NMN400 Tc-99M labeled Octretide scan 87,380 3932 Nuclear Medicine NMN082 Cardiac PET and Stress (Adenosine) MPS 20,770 3933 Nuclear Medicine NMN58 PET CT planning whole body 18,330 3934 Nuclear Medicine NMN59 PET CT planning limited 15,890 3935 Nuclear Medicine NMN60 TPS CT with contrast 4,690 3936 Nuclear Medicine NMN61 TPS CT with out contrast 3,350 3937 Nuclear Medicine NMN050 Whole body PET CT with low dose CT 20,770 3938 Nuclear Medicine NMN046 Pet Mayocardia Viability with Tec 99 Per 12,220 3939 Nuclear Medicine NMN047 PET CT Whole Body with Diagnostic CT 23,330 3940 Nuclear Medicine NMN51 Strontium-89 therapy 137,500 3941 Nuclear Medicine NMN52 Samarium Therapy 47,030 3942 Nuclear Medicine NMN040 Iodine-131 Low Dose Therapy upto 5mCi 4,020 3943 Nuclear Medicine NMN041 Iodine-131 Low Dose Therapy 5-10 mCi 6,050 3944 Nuclear Medicine NMN042 Iodine-131 Low Dose Therapy 25mCi 12,100 3945 Nuclear Medicine NMN025 Heart First Pass, Single 3,350 3946 Nuclear Medicine NMN026 Lung Perfusion imaging 4,690 3947 Nuclear Medicine NMN027 Aerosol Lung Image, Multiple 3,000 3948 Nuclear Medicine NMN028 Lung differential function 4,960 3949 Nuclear Medicine NMN029 Brain Imaging (3D) 9,400 3950 Nuclear Medicine NMN030 Brain Imaging (Pet) 12,100 3951 Nuclear Medicine NMN031 Csf Leakage Imaging 7,400 3952 Nuclear Medicine NMN032 Nuclear Exam of Tear Flow 5,400 3953 Nuclear Medicine NMN033 Kidney Imaging, Morphology 4,020 3954 Nuclear Medicine NMN034 Kidney Flow/function Image 4,020 3955 Nuclear Medicine NMN035 Kidney Flow/ function Image 6,050 3956 Nuclear Medicine NMN036 Ureteral Reflux Study 2,680 3957 Nuclear Medicine NMN037 Testucular imaging with Vascu 2,680 3958 Nuclear Medicine NMN039 Tumorimage Pet/ Ct Skul-Thig 16,790 3959 Nuclear Medicine NMN001 Thyroid Imaging 2,680 3960 Nuclear Medicine NMN002 THYROID METASTASIS IMAGINING 4,020 3961 Nuclear Medicine NMN003 Parathyriod Nuclear Imaging 5,360 3962 Nuclear Medicine NMN004 Bone Marrow Imagining 4,690 3963 Nuclear Medicine NMN005 Red Cell Sequestration 3,700 3964 Nuclear Medicine NMN006 Spleen imaging 3,350 3965 Nuclear Medicine NMN007 Lymphphatic System Imaging 4,960 3966 Nuclear Medicine NMN008 Liver imaging 3,350 3967 Nuclear Medicine NMN009 Liver function Study 4,960 3968 Nuclear Medicine NMN011 Silver Gland Imaging 2,680 3969 Nuclear Medicine NMN012 Gastroesophgeal Reflex Exa 2,680 3970 Nuclear Medicine NMN013 Gastric Gland imaging 2,680 3971 Nuclear Medicine NMN014 Acute Gi blood loss Imaging 2,680 3972 Nuclear Medicine NMN015 Meckel'S Divert Exam 4,020 3973 Nuclear Medicine NMN016 Leveen/AShunt Patency Exam 3,350 3974 Nuclear Medicine NMN017 Bone Imaging, Whole Body 4,690 3975 Nuclear Medicine NMN018 Bone Imaging, 3 Phase 4,690 3976 Nuclear Medicine NMN019 Cardiac Shunt imaging 4,020 3977 Nuclear Medicine NMN020 Vascular Flow Imaging 3,350 3978 Nuclear Medicine NMN021 Heart muscle imaging(pet) 12,100 3979 Nuclear Medicine NMN023 MUGA/RNV 3,350 3980 Nuclear Medicine NMN024 Stress Thallium Stress and Rest 12,100 3981 Nuclear Medicine NMN024 Stress Thallium Stress and Rest 12,100 3982 Nuclear Medicine NMN010 Hepatobiliary Imaging 4,020 3983 Nuclear Medicine NMN043 89-Sr 87,370 3984 Nursing Order DAG0004 Urine Sugar & Ketone(Keto Strips) 44 3985 Nursing Order DAG0003 Blood Glucose by Glucometer 81 3986 Nursing Order PRO326 Dressing Major(Nursing) 324 3987 Nursing Order PRO131 DVT Pump (O) 854 3988 Nursing Order PRO021 Nebulization 292 3989 Nursing Order PRO022 ABG 746 3990 Nursing Order PRO023 Blood Glucose 76 3991 Nursing Order PRO024 ACT 918 3992 Nursing Order PRO025 Alpha bed charges (per day) 292 3993 Nursing Order PRO026 DVT Pump (per day) 854 3994 Nursing Order PRO027 Oxygen Charges (per day) 918 3995 Nursing Order PRO028 Capnography monitoring (per day) 1,556 3996 Nursing Order PRO130 Alpha Mattress (O) 411 3997 Nursing Order PRO327 Dressing Minor(Nursing) 108 3998 OBGY Pro GYN400 Post Coital Test 962 3999 OBGY Procedures GYP037 Biopsy Cervix(punch/wedge/cervical polypectomy) 3,695 4000 OBGY Procedures GYP047 Antenatal Classes Package 6,500 4001 OBGY Procedures GYN503 IUCD insertion 2,341 4002 OBGY Procedures GYP111 Haematoma Large >5cm vulval 7,829 4003 OBGY Procedures GYP112 Haematocolpos drainage/colpotomy 8,640 4004 OBGY Procedures GYP113 IUI 3,888 4005 OBGY Procedures GYP114 Laparoscopic Cystectomy Ovarian (Simple) 18,876 4006 OBGY Procedures GYP115 Laparoscopic Salphingo-oopherectomy (Unilateral) 18,533 4007 OBGY Procedures GYP116 Laparoscopic Salphingoopherectomy - Bilateral 24,948 4008 OBGY Procedures GYP117 LAP Surgery for ruptured corpus luteal cyst 18,533 4009 OBGY Procedures GYP118 Lap Adhesiolysis Simple 14,672 4010 OBGY Procedures GYP119 Lap Adhesiolysis Extensive 20,672 4011 OBGY Procedures GYP120 Laparotomy for lost IUCD 11,679 4012 OBGY Procedures GYP121 Laparotomy for ectopic 14,672 4013 OBGY Procedures GYP004 IUCD REMOVAL 1,557 4014 OBGY Procedures GYP007 NON-STRESS TEST 927 4015 OBGY Procedures GYP013 Consultaion With PAP Smear 1,415 4016 OBGY Procedures GYP122 Laparotomy for endomtriosis 18,900 4017 OBGY Procedures GYP123 Lap post hysterectomy for TO mass 29,938 4018 OBGY Procedures GYP124 Mc Donald’s stitch Removal 2,160 4019 OBGY Procedures GYP125 NDVH (complex) 39,204 4020 OBGY Procedures GYP126 NDVH with BSO 39,204 4021 OBGY Procedures GYP127 Open sterilization (abdominal /Vaginal) 7,829 4022 OBGY Procedures GYP128 Ovariotomy 14,672 4023 OBGY Procedures GYP129 Ovarian Biopsy 6,401 4024 OBGY Procedures GYP130 Polypectomy (cervical /uterine ) 3,695 4025 OBGY Procedures GYP131 Pyometra drainage under GA 8,640 4026 OBGY Procedures GYP132 Sacrospinous fixation( Open) 25,056 4027 OBGY Procedures GYP133 Sacrospinous fixation (Lap) 27,216 4028 OBGY Procedures GYP134 Salpingectomy ( Laparotomy) 16,200 4029 OBGY Procedures GYP136 Salpingo-oophrectomy (open unilateral ) 13,922 4030 OBGY Procedures GYP137 Salpingostomy ( Laparotomy) 11,880 4031 OBGY Procedures GYP138 Scar Endometriosis Small 7,829 4032 OBGY Procedures GYP139 Scar Endometriosis Large 12,356 4033 OBGY Procedures GYP098 Endocervical curettage 1,284 4034 OBGY Procedures GYP099 Endometrial Biopsy 3,588 4035 OBGY Procedures GYP100 Episiotomy Resuturing 5,400 4036 OBGY Procedures GYP110 Examination under anesthesia 8,839 4037 OBGY Procedures GYP109 Exploration of abdominal cavity /Exploratory Laprotomy 20,529 4038 OBGY Procedures GYP026 Colposcopy 4,491 4039 OBGY Procedures GYP140 Suturing ( Simple) 3,240 4040 OBGY Procedures GYP141 Suturing ( Complex/large) 9,720 4041 OBGY Procedures GYP142 TLH with USO/BSO 41,800 4042 OBGY Procedures GYP143 TOT/TVT 28,793 4043 OBGY Procedures GYP144 vaginal(breech/ forceps/vacuum ) 25,197 4044 OBGY Procedures GYP145 Vaginal (High Risk ) 27,087 4045 OBGY Procedures GYP146 Vaginal hysterectomy 29,093 4046 OBGY Procedures GYP147 Vaginal hysterectomy with BSO with PFR 34,848 4047 OBGY Procedures GYP148 Vaginal cyst/ abscess 4,562 4048 OBGY Procedures GYP149 VBAC (vaginal birth after Cesarean ) 29,938 4049 OBGY Procedures GYN360 Stress incontinence(Lap) 30,888 4050 OBGY Procedures GYP086 Abdominal Sling Operation 24,948 4051 OBGY Procedures GYP087 Abscess Drainage(Small ) 1,318 4052 OBGY Procedures GYP088 Abscess Drainage (Large) 1,977 4053 OBGY Procedures GYP089 Abdominal Myomectomy Large 22,000 4054 OBGY Procedures GYP090 Cesarean Hysterectomy 34,848 4055 OBGY Procedures GYP091 Cesarean Twins 29,938 4056 OBGY Procedures GYP092 Cesarean with sterilization 29,938 4057 OBGY Procedures GYP093 Cryocautery + Colposcopy 5,940 4058 OBGY Procedures GYP094 Diagnostic Hysteroscopy & EB 8,337 4059 OBGY Procedures GYP095 Debridement (deep) 9,839 4060 OBGY Procedures GYP096 Dressing (Small) 540 4061 OBGY Procedures GYP097 Dressing ( large) 1,685 4062 OBGY Procedures GYP108 Hymenectomy 6,273 4063 OBGY Procedures GYP107 Hysteroscopic Metroplasty 9,874 4064 OBGY Procedures GYP106 Hysteroscopic Polypectomy ( Large) 11,108 4065 OBGY Procedures GYP105 Hysteroscopic Synechiotomy Level I 7,974 4066 OBGY Procedures GYP104 Hysteroscopic Septum resection (Complex/complete) 18,876 4067 OBGY Procedures GYP103 Haematoma Small <5cm Vulval 6,273 4068 Oncology MOB005 Removal Of Picc / Nontunneled 464 4069 Oncology MOC001 Bone Marrow Aspiration-Med Onco 5,061 4070 Oncology MOA052 High-dose Non-Transplant 11,679 4071 Oncology MOA053 Leukemia Induction Chemotherapy/Day 11,679 4072 Oncology MOA054 IV Canulation charges-Med Onco 1,557 4073 Oncology MOA62 Stem Cell Harvestation 96,228 4074 Oncology MOA055 Chemotherapy Protocol charges 5,406 4075 Oncology MOA056 High-Dose Methotrexate 16,537 4076 Oncology MOA057 Chemotherapy Multiagent IVP 6,273 4077 Oncology MOA058 Chemogtherapy IV push 927 4078 Oncology MOA0132 Bisphosphonate IV push 808 4079 Oncology MOC004 Immunosuppressive infusion for 6-8 HRS 2,970 4080 Oncology MOA059 Chemotherapy short infusion 5,406 4081 Oncology MOA060 Chemotherapy long infusion 6,273 4082 Oncology MOA061 Chemotherapy continuous infusion 7,829 4083 Oncology MOA070 BRAC Analysis 284,904 4084 Oncology MOP001 Chemotherapy Inj in Ommaya 3,564 4085 Oncology MOP002 Chemotherapy Intravesical 6,273 4086 Oncology MOP003 SC Hormonal Pellet Implantation 1,557 4087 Oncology MOP004 PICC line/ Central Line dressing 226 4088 Oncology MOP005 PICC/CVC Repair 1,557 4089 Oncology MOP006 IV Fluids Short Duration less than 3 hrs 1,557 4090 Oncology MOP007 IV Fluids Long Duration more than 3 hrs 2,341 4091 Oncology MOP010 Lumbar Puncture-Medical Oncology 4,562 4092 Oncology MOA012 Chemotherapy Biological Agent 5,548 4093 Oncology MOA013 Chemotherapy Intraperitoneal 11,679 4094 Oncology MOC002 Bone Marrow Biopsy-Med Onco 5,394 4095 Oncology MOC003 Bone Marrow Aspiration & Biopsy-Med Onco 7,936 4096 Oncology MOA018 Chemotherapy by Pump 6,273 4097 Oncology MOA019 Chemotherapy SC or IM Antineoplastic 464 4098 Oncology MOA016 Chemotherapy Planning Charges 16,537 4099 Oncology MOB001 PICC Line Insertion 6,273 4100 Ophthalmology OPP026 Chalazion I + C 4,551 4101 Ophthalmology OPP027 Cyst Excision (eyelid) 7,829 4102 Ophthalmology OPP030 Tarsorrhaphy 4,408 4103 Ophthalmology OPP032 Repair Brow Defect (frontalis sling) 14,672 4104 Ophthalmology OPP033 Entropion Surgery 12,831 4105 Ophthalmology OPP035 Entropion Surgery with Graft 18,521 4106 Ophthalmology OPP036 Entropion Suture 11,679 4107 Ophthalmology OPP037 Ectropion Surgery with Graft 20,660 4108 Ophthalmology OPP040 Hyphema drainage 7,829 4109 Ophthalmology OPP055 Epicanthus 14,672 4110 Ophthalmology OPP057 Repair Lid Coloboma Without graft 14,672 4111 Ophthalmology OPP061 Dacrycystorhinostomy (DCR) complex 19,246 4112 Ophthalmology OPR261 Ptosis Bilateral 27,075 4113 Ophthalmology OPR262 Ptosis unilateral 18,521 4114 Ophthalmology OPR263 Punctal Closure partial 927 4115 Ophthalmology OPR265 Squint Surgery Horizontal Muscle 16,537 4116 Ophthalmology OPR266 Squint Surgery with one vertical muscle 18,521 4117 Ophthalmology OPR267 Squint Surgery with two vertical/oblique 20,660 4118 Ophthalmology OPR0150 Exentertion 16,680 4119 Ophthalmology OPR0148 Enucleation 16,680 4120 Ophthalmology OPR049 Enucleation with Implant 18,533 4121 Ophthalmology OPL1000 Lasik-Standard Package 27,000 4122 Ophthalmology OPL1001 Lasik-Custom Vue Package 38,880 4123 Ophthalmology OPL1002 Lasik-Standard PRK Package 23,760 4124 Ophthalmology OPL1003 Lasik-Custom Vue PRK Package 35,640 4125 Ophthalmology OPL1006 Lasik Standard Pkg(One Eye) 14,580 4126 Ophthalmology OPL1007 Lasik Custom Vue Pkg(One Eye) 20,520 4127 Ophthalmology OPP041 Repair Eyelid Tear 11,679 4128 Ophthalmology OPP002 Evisceration With Implant 14,672 4129 Ophthalmology OPP003 Corneo scleral perforation repair 20,660 4130 Ophthalmology OPP004 Removal FB From Eye (Superficial) 3,564 4131 Ophthalmology OPP006 Removal Of Pterygium 3,564 4132 Ophthalmology OPP007 Removal Of Pterygium With Graft 5,406 4133 Ophthalmology OPG001 Glaucoma Surgery 14,672 4134 Ophthalmology OPG002 Glaucoma Surgery with MMC 18,521 4135 Ophthalmology OPG003 Glaucoma surgery complex 18,521 4136 Ophthalmology OPG005 Conjunctival flap 7,829 4137 Ophthalmology OPP012 Cyst Excision (conjunctival) 11,548 4138 Ophthalmology OPP042 Repair Eyelid and Margin Tear 18,521 4139 Ophthalmology OPP044 Dacrycystorhinostomy (DCR) 18,605 4140 Ophthalmology OPP045 Dacrycystorhinostomy (DCR) with intubati 20,529 4141 Ophthalmology OPP047 Repair Tear Ducts 16,537 4142 Ophthalmology OPP048 Syringing Probing 3,588 4143 Ophthalmology OPP051 Cyst Excision (Dermoid) 14,672 4144 Ophthalmology OPP052 Examination Under Ga 2,341 4145 Ophthalmology OPC001 Cataract Surgery, Complex 18,521 4146 Ophthalmology OPC002 Cataract Surgery With IOL 11,679 4147 Ophthalmology OPC003 Corneal perforation repair 14,672 4148 Ophthalmology OPP014 Repair Detached Retina 18,521 4149 Ophthalmology OPP074 Socket reconstruction with graft 18,521 4150 Ophthalmology OPP075 Socket reconstruction complex 19,246 4151 Ophthalmology OPP076 Secondary IOL implantation 11,679 4152 Ophthalmology OPP077 Scleral fixation of IOL 18,521 4153 Ophthalmology OPP078 Symblephron Release with graft 14,672 4154 Ophthalmology OPP079 Symblephron Release with Amniotic membra 18,521 4155 Ophthalmology OPP092 Orbital Biopsy 9,683 4156 Ophthalmology OPP093 Suture Readjustment 927 4157 Ophthalmology OPR148 Phaco with multifocal IOL 27,000 4158 Ophthalmology OPR150 Phaco with Toric IOL 27,000 4159 Ophthalmology OPR152 Phakic IOL/ ICL implantation 27,000 4160 Ophthalmology OPR154 Intravitreal Injection 1,557 4161 Ophthalmology OPR155 Conjunctival laceration repair 4,562 4162 Ophthalmology OPR155 Conjunctival laceration repair 4,562 4163 Ophthalmology OPP094 Yag Synechiolysis 3,006 4164 Ophthalmology OPP095 Yag Hyloidotomy 5,513 4165 Ophthalmology OPP096 Laser pupilloplasty 5,406 4166 Ophthalmology OPP097 Lid Laceration repair small 4,551 4167 Ophthalmology OPP098 Lid Laceration repair medium 9,683 4168 Ophthalmology OPP099 Paracentesis 1,557 4169 Ophthalmology OPP100 Electrolysis 2,115 4170 Ophthalmology OPP101 Cautery of papilloma/hemangioma 2,341 4171 Ophthalmology OPP103 Xanthelesma removal 2,341 4172 Ophthalmology OPP104 Orthoptic workup 713 4173 Ophthalmology OPP105 Laser retinopexy 6,261 4174 Ophthalmology OPP106 Automated perimetry (Standard) 2,139 4175 Ophthalmology OPP107 Automated perimetry (Screening) 1,699 4176 Ophthalmology OPP108 Eye dressing 927 4177 Ophthalmology OPP109 Retinal cryopexy 4,551 4178 Ophthalmology OPP110 Cyclocryo 4,551 4179 Ophthalmology OPP111 DLCP 4,551 4180 Ophthalmology OPP112 Periocular injection 927 4181 Ophthalmology OPP113 Epilation/concretion removal 464 4182 Ophthalmology OPP114 Wavescan 1,414 4183 Ophthalmology OPP115 Corneal topography 1,414 4184 Ophthalmology OPP116 Central Pachymetry 927 4185 Ophthalmology OPP117 Multi point pachymetry 998 4186 Ophthalmology OPP122 Eye injection intracameral(OPD) 2,341 4187 Ophthalmology OPP123 Intracameral Gas injection(OPD) 1,557 4188 Ophthalmology OPP124 Corneal scraping(OPD) 927 4189 Ophthalmology OPP125 Chalazion I&C(OPD) 2,567 4190 Ophthalmology OPP126 Exploration syringing tear ducts(OPD) 3,208 4191 Ophthalmology OPR250 Blepharoplasty 2 lids 24,948 4192 Ophthalmology OPR251 Cyclocryo/ARC 2,483 4193 Ophthalmology OPR252 DCT 1,842 4194 Ophthalmology OPR253 Drainage of orbital abcess 10,277 4195 Ophthalmology OPR255 Evisceration 11,679 4196 Ophthalmology OPR256 Glue Application 6,273 4197 Ophthalmology OPR257 Indirect Opthalmoscopy 927 4198 Ophthalmology OPR258 Laser DCR 14,969 4199 Ophthalmology OPR259 Membranectomy/Lensectomy 18,521 4200 Ophthalmology OPR260 Pars Plana Vitrectomy 20,660 4201 Ophthalmology OPR169 Lasik Package 45,144 4202 Ophthalmology OPP168 ROP screening 1,620 4203 Ophthalmology OPP170 Fundus photograph 1,080 4204 Ophthalmology OPP171 Multiquadrant prophylactic Laser 6,480 4205 Ophthalmology OPP175 Refraction 45 4206 Ophthalmology OPP191 Pleoptic Exercise 63 4207 Ophthalmology OPP192 Ultrasound A-scan 187 4208 Ophthalmology OPP192 Ultrasound A-scan 187 4209 Ophthalmology OPP193 Auto Refraction 38 4210 Ophthalmology OPP193 Auto Refraction 38 4211 Ophthalmology OPP195 Non contact tonometry 63 4212 Ophthalmology OPP196 IOP Measurement with applation tonometry 63 4213 Ophthalmology OPP197 Three Mirror examition for reti 63 4214 Ophthalmology OPP198 90 D lense examition 63 4215 Ophthalmology OPP199 Gonioscopy CGHS 63 4216 Ophthalmology OPP156 Limbal stem cell harvest 10,800 4217 Ophthalmology OPP157 Keratoplasty complex 29,160 4218 Ophthalmology OPP158 Punctal closure complete 1,620 4219 Ophthalmology OPP159 Anterior segment reconstruction 17,280 4220 Ophthalmology OPP162 Diurnal Variation 1,080 4221 Ophthalmology OPP268 Pneumatic retinopexy 16,200 4222 Ophthalmology OPP269 Membrane peeling 11,880 4223 Ophthalmology OPP270 Phaco frag 11,880 4224 Ophthalmology OPP271 Endolaser 10,800 4225 Ophthalmology OPP272 Sutureless vitrectomy 29,160 4226 Ophthalmology OPP274 ROP laser treatment per eye 10,800 4227 Ophthalmology OPR001 Macular Laser 5,406 4228 Ophthalmology OPR002 PRP single sitting (OPD) 5,406 4229 Ophthalmology OPR004 Stye I & D 4,551 4230 Ophthalmology OPR005 Suture Removal (Corneo - Scler 927 4231 Ophthalmology OPR007 Fundus Fluorescein Angiography 2,567 4232 Ophthalmology OPR008 Yag Capsulotomy 4,099 4233 Ophthalmology OPR009 Yag Iridotomy 4,610 4234 Ophthalmology OPR010 PRP Complete 17,096 4235 Ophthalmology OPP081 Remove Foreign Body from eye (Deep) 9,695 4236 Ophthalmology OPP082 Repair Detached Retina (VR surgery) 24,840 4237 Ophthalmology OPP083 Silicon oil removal / injection 9,695 4238 Ophthalmology OPP084 Macular Hole surgery 20,660 4239 Ophthalmology OPP085 Keratoplasty 17,280 4240 Ophthalmology OPP086 Specialised keratoplasty 21,600 4241 Ophthalmology OPP087 Limbal stem cell transplantation 14,684 4242 Ophthalmology OPP088 Corneal tattooing 4,562 4243 Ophthalmology OPP089 Patch graft 14,684 4244 Ophthalmology OPP090 Intra-cameral gas injection 2,852 4245 Ophthalmology OPP091 corneal scraping 381 4246 Ophthalmology OPP062 Orbitotomy lateral 27,075 4247 Ophthalmology OPP063 Orbitotomy anterior 20,660 4248 Ophthalmology OPP064 Remove Eyelid tumor-Cyst Excision 11,679 4249 Ophthalmology OPP065 Remove Eyelid tumor-Tumour Excision 18,521 4250 Ophthalmology OPP066 Eyelid Tumour Excision with graft/flap 20,660 4251 Ophthalmology OPP067 Blepharoplasty1lid 14,672 4252 Ophthalmology OPP070 Repair of blow-out fracture 20,660 4253 Ophthalmology OPP071 Repair Eyelid Wound-Both Eye Lids 12,960 4254 Ophthalmology OPP072 Repair Of Lid Coloboma With Grafting And 20,660 4255 Ophthalmology OPP073 Socket reconstruction 3,564 4256 Opthalomogy OPR900 BCL LENSE 292 4257 Orthopedic OPR674 Intra Thical Pump (Beclofen) 38,492 4258 Orthopedic ORP070 POP slab without reduction-BE/BK 1,093 4259 Orthopedic ORP015 Cast AK/AE 4,562 4260 Orthopedic ORP016 Buddy Strapping - STS 927 4261 Orthopedic ORP029 Nail dynamization - Tibia/Fibula/Femur/H 4,562 4262 Orthopedic ORP031 External Fixator removal (llizarov remov 5,406 4263 Orthopedic ORP032 K wire removal (OPD)>2 1,557 4264 Orthopedic ORP037 Synovial Biopsy 7,128 4265 Orthopedic ORP042 Finger nail removal (Single) 2,341 4266 Orthopedic ORP050 MUA - wrist/ Distal radius/ Radius/Small 5,406 4267 Orthopedic ORP062 K wire fixation in closed fracture - Foo 9,695 4268 Orthopedic ORP064 Skin Traction 1,557 4269 Orthopedic ORP066 Sequestrectomy +/- sauceriz- hand/ankle/ 5,406 4270 Orthopedic ORP067 Sternal puncture/Bone Marrow Aspiration 2,341 4271 Orthopedic ORP001 Intra-articular injection-Knee/Ankle/Wri 2,341 4272 Orthopedic ORP003 Facetal Injection - Single 4,562 4273 Orthopedic ORP004 Facetal Injection - multiple 8,839 4274 Orthopedic ORP010 RJ Bandage/Strapping 1,557 4275 Orthopedic ORP013 POP slab without reduction-BE 1,093 4276 Orthopedics ORG807 Adductor tenotomy obturator neurectomy 17,820 4277 Orthopedics ORG798 SEMLS Complex 62,727 4278 Orthopedics ORG799 SEMLS Large 54,173 4279 Orthopedics ORG805 SEMLS Medium 34,928 4280 Orthopedics ORG806 SEMLS Small 22,097 4281 Orthopedics ORP912 Adductor tenotomy + obturator neurectomy 14,850 4282 Orthopedics ORP913 SEMLS Complex 52,272 4283 Orthopedics ORP914 SEMLS Large 45,144 4284 Orthopedics ORP915 SEMLS medium 29,106 4285 Orthopedics ORP916 SEMLS small 18,414 4286 Orthopedics ORP917 Excision scar medium 6,470 4287 Orthopedics ORP918 Excision scar large 9,332 4288 Orthopedics ORP919 Excision scar extensive 13,997 4289 Orthopedics ORD6751 Posterior instrumentation spine->level 2 58,438 4290 Orthopedics ORB687 ACL/PCL Reconstruction- Knee(Arthtoscopi 38,492 4291 Orthopedics ORC006 Artificial Cervical Disc Replacement one 71,269 4292 Orthopedics ORG801 Closed Reduc-Hand/Foot+Sedation/LA 4,551 4293 Orthopedics ORG802 Corrective osteotomy-Shoulder 22,810 4294 Orthopedics ORG804 Distal radius/forearm k-wire fixation 9,683 4295 Orthopedics ORG900 Remov Plate-Rad/ulna/tib/fib- 1 bone 7,829 4296 Orthopedics ORG901 Synovectomy wrist/Ankle 16,537 4297 Orthopedics ORG902 Tibial shaft fract open with reduct/plat 22,810 4298 Orthopedics ORG903 TKR-bilateral 71,269 4299 Orthopedics ORG904 Triple Arthrodesis -Ankle 24,937 4300 Orthopedics ORG0001 Amputation - each additional digit 3,564 4301 Orthopedics ORG850 Special Bilateral Knee Replacement Pkg 213,817 4302 Orthopedics ORG906 Excision of Olecranon Bursal with Remova 11,405 4303 Orthopedics ORP691 Excision of Hemiverterbae with fusion 128,281 4304 Orthopedics OR2692 Total Elbow Joint Replacement-Revision 78,397 4305 Orthopedics OR2693 Total Shoulder Joint Replacement – Revis 78,397 4306 Orthopedics ORG907 Intrathecal baclofen pump implantation 38,492 4307 Orthopedics ORG9 Nucleoplasty 25,661 4308 Orthopedics ORG800 Closed Reduc-Elbow+sedation/LA 4,551 4309 Orthopedics ORG426 Medial lateral collateral ligament recon 14,672 4310 Orthopedics ORG427 Tendo achilles primary repair or lengthe 14,672 4311 Orthopedics ORG428 Repair , Primary , Torn Ligament 12,831 4312 Orthopedics ORG429 Non union shaft - humerus 38,492 4313 Orthopedics ORG430 Infected Non-union-major with ring fixat 42,757 4314 Orthopedics ORG431 Tendon Repair Hand - Single 11,679 4315 Orthopedics ORG433 Tendo Achilles delayed repair or reconst 16,537 4316 Orthopedics ORG435 Debridement and unreamed nailing-Tibia 34,203 4317 Orthopedics ORG443 Open reduction fracture/dislocation-Foot 16,537 4318 Orthopedics ORG449 Tendo Repair ahnd - Subsequent 5,406 4319 Orthopedics ORG451 Tendon transfer - hand/foot 22,810 4320 Orthopedics ORG455 Skin Grafting - Minor 6,831 4321 Orthopedics ORG457 Fig of 8 bandage 927 4322 Orthopedics ORG460 Tennis Elbow Release 7,829 4323 Orthopedics ORG461 Adductor Tenotomy - hip 7,829 4324 Orthopedics ORG462 Adductor Tenotomy - hip(Percutaneous) 5,014 4325 Orthopedics OR2099 Total Shoulder Joint Replacement Prima 48,756 4326 Orthopedics ORG908 Middle and Lowe 1/3rd Fracture Shaft Hum 21,384 4327 Orthopedics ORG270 Debridement and external fixator - Tibia 24,937 4328 Orthopedics ORG271 Nailing with bone grafting - non union T 29,926 4329 Orthopedics ORG272 ORIF- lateral/Medial Mallelous 16,537 4330 Orthopedics ORG273 Open Treatment Of Wrist Bone F 16,537 4331 Orthopedics ORG279 Osteotomy - Tibia/Fibula/HTO 24,937 4332 Orthopedics ORG280 Dynamic Hip Screw(DHS/DCS) - Hip 27,075 4333 Orthopedics ORG281 Osteostomy - Ankle 16,537 4334 Orthopedics ORG282 Osteostomy- Matatarsal/Tarsal/Multiple 18,521 4335 Orthopedics ORG283 Osteostomy - Pelvic 34,203 4336 Orthopedics ORG284 Malunion correction ankle(supramedullar) 34,203 4337 Orthopedics ORG285 Dwyers Osteotomy(Calcaneum) 16,537 4338 Orthopedics ORG296 Patellectomy 16,537 4339 Orthopedics ORG297 Eternal Fixation- Pelvis 22,810 4340 Orthopedics ORG298 Supracondylar Fracture Humerus- MUA & wr 14,672 4341 Orthopedics ORG302 Percutaneous Screws removal 4,551 4342 Orthopedics ORG303 Zadeks(Ingrown Toe Nail) Procedure - Foo 7,829 4343 Orthopedics ORG304 External Fixation - Fwmur/Humerus/Forear 14,672 4344 Orthopedics ORG305 Halo/Cx traction/Skeletal Traction appli 8,839 4345 Orthopedics ORG308 Int. Fixation in Situ, of SCFE 18,521 4346 Orthopedics ORG311 Vertebroplasty 34,203 4347 Orthopedics ORG315 Quadricepsplasty- Knee Joint 18,521 4348 Orthopedics ORG317 Limb lengthinig- Femur/Tib/Fib 38,492 4349 Orthopedics ORG320 Crush injury-Single finger Reconstructio 6,273 4350 Orthopedics ORG322 ORIF - patella 16,537 4351 Orthopedics ORG323 Repair of quadriceps or patellar tendon 14,672 4352 Orthopedics ORG420 Non union shaft- femur/forearm 38,492 4353 Orthopedics ORG421 Infected Non-union-major bones with AO 38,492 4354 Orthopedics ORG071 Jpint Replacements - Small 34,203 4355 Orthopedics ORG362 Muscle transfer - Shoulder 38,492 4356 Orthopedics ORG366 K wire removal (OPD)<2 927 4357 Orthopedics ORG370 Removal Of Stotch Cast 1,557 4358 Orthopedics ORG371 Synovectomy - Elbow 18,521 4359 Orthopedics ORG372 Exostotis removal - deep 16,537 4360 Orthopedics ORG373 Radial head replacement 22,810 4361 Orthopedics ORG374 Bursa extenstion forearm 6,273 4362 Orthopedics ORG375 Exostosis Removal- Superficial 7,829 4363 Orthopedics ORG376 Exostosis myositis- Elbow 16,537 4364 Orthopedics ORG377 Radial head excision - Elbow 9,695 4365 Orthopedics ORG378 Remove plate- Femur/Hum/DCD/DHS 11,679 4366 Orthopedics ORG380 Remov Plate- Rad/Ulna/Tib/Fib- 2 Bones 9,695 4367 Orthopedics ORG248 ORIF-Fract/disloc small bones hand/foot 8,839 4368 Orthopedics ORG249 ORIF- Galeazzi/ Monteggia 22,810 4369 Orthopedics ORG250 Tibial shaft fract open eith reduct/plat 22,810 4370 Orthopedics ORG251 ORIF Forearm both bones 22,810 4371 Orthopedics ORG252 ORIF Forearm single bones 14,672 4372 Orthopedics ORG253 Tibial shaft fract open with reduct/plat 22,810 4373 Orthopedics ORG254 ORIF - Intercondylar Humerus 22,810 4374 Orthopedics ORG256 Interlock nailing - Tibia 29,926 4375 Orthopedics ORG257 Interlock nailing - SC 34,203 4376 Orthopedics ORG258 Interlock nailing - Femur / Humerus 34,203 4377 Orthopedics ORG261 Old neglected dislocation surgery-elbow/ 34,203 4378 Orthopedics ORG262 Openreduction Dislocation - Knee joint 22,810 4379 Orthopedics ORG263 ORIF- Scaphoid + bone graft 24,937 4380 Orthopedics ORG264 ORIF- Shoulder/upper humerus 18,521 4381 Orthopedics ORG265 ORIF - Supracondylar 20,660 4382 Orthopedics ORG267 Dislocation open reduction - Carpal/Peru 18,521 4383 Orthopedics ORG172 Surg recurring dislocat shoulder - Open 38,492 4384 Orthopedics ORG331 Tarsal coalition Release(TCR)- Ankle 18,521 4385 Orthopedics ORG333 Peroneal tunnel decompression - Carpal t 11,679 4386 Orthopedics ORG339 Interlock nail removal 11,679 4387 Orthopedics ORG343 External Fixator wire (llizarov adjustme 4,562 4388 Orthopedics ORG345 K wire fixation in closed fracture - Foo 4,562 4389 Orthopedics ORG353 K wire removal under GA 4,562 4390 Orthopedics ORG355 K nail/V nail/Square Nail removal 8,839 4391 Orthopedics ORG405 Exc. Distal end radius + reconst. Upper 38,492 4392 Orthopedics ORG412 Infected Non-union-minor bones with AO 24,937 4393 Orthopedics ORG210 MUA- Fracture Ankle 8,839 4394 Orthopedics ORG211 llizarov/procedures- Humerus/forearm/Tib 27,075 4395 Orthopedics ORF003 SL joint Arthrodesis - Pelvis 24,937 4396 Orthopedics ORF004 Tumour Resection & graft small 34,203 4397 Orthopedics ORF007 CSTR/PMSTR(Soft tissue release)in clubfo 27,075 4398 Orthopedics ORF008 Tumour Resection & graft large 42,757 4399 Orthopedics ORF009 Ring fixator- Femur(Other than limb leng 34,203 4400 Orthopedics ORG011 Biopsy Arm / Elbow Soft Tissue 2,567 4401 Orthopedics ORG012 Biopsy Forearm Soft Tissue 2,840 4402 Orthopedics ORG013 Biopsy/lavage/arthrotomy- Hip/ Shoulder 14,672 4403 Orthopedics ORG017 Posterior element Biopsy Spine 7,829 4404 Orthopedics ORG018 Open Biopsy - Pelvis/Hip 18,521 4405 Orthopedics ORG019 Sternomastoid release- STS-Bipolar 14,672 4406 Orthopedics ORG020 Sternomastoid release- STS- Bipolar 11,679 4407 Orthopedics ORG023 Ganglion excision - Wrist 4,562 4408 Orthopedics ORG024 Bone Biopsy 3,564 4409 Orthopedics ORG025 Posterior Release in club foot/ Equinus 14,672 4410 Orthopedics ORG026 Proximal Row Carpectomy - Wrist 16,537 4411 Orthopedics ORG029 Cervical Spine Laminoplasty 53,591 4412 Orthopedics ORG033 Closed Reduce - Dista Radius/ Ulma + sed 4,562 4413 Orthopedics ORG034 Distal radius/forearm - K - wire fixatio 16,537 4414 Orthopedics ORG035 MUA - Shoulder/ Humerus/ Ankle / Foot 7,829 4415 Orthopedics ORG039 MUA forearm/Distal radius external fixa 11,679 4416 Orthopedics ORG040 Closed reduc - Tibia/ Fibula/Ankle+ seda 4,562 4417 Orthopedics ORG048 MUA Carpal/Pericarpal 5,406 4418 Orthopedics ORG049 Closed Reduc - Shoulder + sedation/ LA 4,562 4419 Orthopedics ORG050 MUA Calcaneum 5,406 4420 Orthopedics ORG054 MUA for dislocation speracondylar fractu 5,406 4421 Orthopedics ORG056 Trigger finger release - Hand/ thumb 7,829 4422 Orthopedics ORG474 Open reduction dislocation - HIP 25,079 4423 Orthopedics ORG475 Mallet finger repair/fixation 7,829 4424 Orthopedics ORG476 Hemipelvectomy 78,397 4425 Orthopedics ORG478 ORIF - Pelvic & Acetabular fracture 42,757 4426 Orthopedics ORG480 Fracture - Talus 22,810 4427 Orthopedics ORG481 Fracture Femural neck-MUA & internal Fix 29,926 4428 Orthopedics ORG482 Fracture - Calcaneum / talus 22,810 4429 Orthopedics ORG483 Fracture Femoral Neck Open reduction & n 34,203 4430 Orthopedics ORG485 ORIF - Pelvis single column 29,926 4431 Orthopedics ORG487 Periarticular fracture knee(Upper end ti 29,926 4432 Orthopedics ORG492 K wire fixation in closed fracture - Foo 14,672 4433 Orthopedics ORG505 Fenestration - Spine 38,492 4434 Orthopedics ORG507 Llizarov bone transport for gap non - un 20,660 4435 Orthopedics ORG189 Local Infiltration of LA/ Steroids 1,557 4436 Orthopedics ORG196 Tibia non-union with bone graft/plating 33,253 4437 Orthopedics ORG199 Ant approach/ORIF>2levels Spine 85,525 4438 Orthopedics ORG200 Posterior instrumentation Spine 1 or 2 L 39,597 4439 Orthopedics ORG201 Spinal Fracture-Posterior Fixation with 58,438 4440 Orthopedics ORG202 Anterolateral decomression - Spine 42,757 4441 Orthopedics ORG205 MUA-Fracture Femur in Child 11,679 4442 Orthopedics ORG209 De Querrvains Release 7,829 4443 Orthopedics ORG133 Retrocal Caneal Exostosis or bursa excis 7,829 4444 Orthopedics ORG136 Supracondylar Corrective Osteotomy - UL 24,937 4445 Orthopedics ORD032 Remove anterior Spine instrumentation 38,492 4446 Orthopedics ORG175 Operative arthroscopy - Elbow 27,075 4447 Orthopedics ORG180 Ganglion Excision - Foot 7,829 4448 Orthopedics ORG183 Hand /Finger Surgery 5,133 4449 Orthopedics ORG184 External Fixation - Tibia/Fibula 14,672 4450 Orthopedics ORG186 Bone Grafting orthopedic(any site) 18,521 4451 Orthopedics ORG213 Ligamentous Reconstruction for carpal un 29,926 4452 Orthopedics ORG217 MUA Hip 7,829 4453 Orthopedics ORG219 Muscle Biopsy 4,562 4454 Orthopedics ORG223 Open Reduction Internal Fixation 22,228 4455 Orthopedics ORG229 AC joint(Isolated) - ORIF 20,660 4456 Orthopedics ORG230 Non union ORIF with bone grafting- Clavi 29,926 4457 Orthopedics ORG236 MUA & pinning - Shoulder/Hip 9,695 4458 Orthopedics ORG239 Triple pelvic osteotomy - Pelvis 35,640 4459 Orthopedics ORG240 MUA & K wire Fixation-Forearm/Tibia/Fibu 16,537 4460 Orthopedics ORG242 Dislocation open reduction Open - Elbow 22,810 4461 Orthopedics ORG244 ORIF Femur with plate 29,926 4462 Orthopedics ORG246 ORIF Femur with Nail 27,075 4463 Orthopedics ORG469 MUA-Hip/Knee joint for Dislocation/Stiff 9,695 4464 Orthopedics ORG472 Major Soft tissue release - HIP 18,521 4465 Orthopedics ORD023 Ant approach/ORIF upto 2 level -Spines 78,385 4466 Orthopedics ORD037 Radial/Ulnar styloid excision 9,695 4467 Orthopedics ORD041 Shoulder spice/Hip spica Application 7,829 4468 Orthopedics ORD043 Pre patellar bursa excision 7,829 4469 Orthopedics ORD044 LCS decompression & fusion(>2 levels) 48,756 4470 Orthopedics ORD045 Posterolateral fusion in Liesthesis 48,756 4471 Orthopedics ORD047 Scoliososis AP release + cast 85,525 4472 Orthopedics ORD048 Scoliosis AP release + Instrumentation 106,909 4473 Orthopedics ORD054 Scoliosis posterior correction 78,385 4474 Orthopedics ORD057 PLIF - Spine 58,438 4475 Orthopedics ORE003 Operative Arthrotomy - Wrist 15,955 4476 Orthopedics ORE004 Souters release-STS/Younts Release 14,672 4477 Orthopedics ORE005 Sub total Synovectomy- Knee joint 18,521 4478 Orthopedics ORE006 Jones Transfer for Ist MT Drop 14,672 4479 Orthopedics ORE007 Meniscectomy- Cruciate ligament reconstr 22,810 4480 Orthopedics ORF002 Weaver Dunn Type Procedures-AC joint(Is) 20,660 4481 Orthopedics ORG121 Excision bursa - Knee joint/ Bakers cyst 11,679 4482 Orthopedics ORG123 Curettage of Bone grafting hand/foot 11,679 4483 Orthopedics ORG125 Curettage & Bonegrafting-hip/pelvis/tibi 29,926 4484 Orthopedics ORG126 Curettage & Bone grafting - humerus/tibi 18,521 4485 Orthopedics ORG128 Excision lateral end - AC joint 11,679 4486 Orthopedics ORG129 Excision lateral end clavicle 11,679 4487 Orthopedics ORG131 Ingrowing Toe nail: Wedge Excision 6,273 4488 Orthopedics ORG091 Sub total synovectomy- Shoulder joint / 27,075 4489 Orthopedics ORG093 Vascularized fibular grafting 42,757 4490 Orthopedics ORG099 Finger nail removal (Multiple) 5,406 4491 Orthopedics ORG102 Olecranon Bursa 6,273 4492 Orthopedics ORD011 Laminectomy>3 levels 48,756 4493 Orthopedics ORD013 Laminectomy upto 2 levels 38,492 4494 Orthopedics ORD016 Lumbar Canal Stenosis - upto 2 levels re 38,492 4495 Orthopedics ORG139 Excision Arthoplasty - Elbow 20,660 4496 Orthopedics ORG142 Single small joint relpacement - Finger 22,810 4497 Orthopedics ORG147 Girdlestone - HIp 22,810 4498 Orthopedics ORG149 Multiple Tendon Transfer - STS 38,492 4499 Orthopedics ORG152 Supracondylar Femoral Osteotomy Fixation 29,926 4500 Orthopedics ORG153 Hammer/mallet toe correction 7,829 4501 Orthopedics ORG156 Pilon Fracture - Ankle & IF & Bone graft 24,937 4502 Orthopedics ORG163 llizarov bone transport for gap non-unio 42,757 4503 Orthopedics ORG104 Fibula Strut grafting 22,810 4504 Orthopedics ORG106 Epiphysiodesis - Staple 8,839 4505 Orthopedics ORG109 Meniscal Excision/removal of loose body 22,810 4506 Orthopedics OR3022 Disarticulation wrist/elbow/ankle/knee 16,537 4507 Orthopedics ORD033 Remove posterior Spine instrumentation 16,537 4508 Orthopedics ORG067 Llizarov/ Fixator modifications- Tibia/F 7,829 4509 Orthopedics ORG072 Sub- acromial bursetomy(Open) 11,679 4510 Orthopedics ORG075 Sequestrectomy +/- sauceriz - upper extr 16,526 4511 Orthopedics ORG076 Sequestrectomy +/- sauceriz - lower extr 22,810 4512 Orthopedics ORG078 Subacromial decompresstion AC joint(Iso) 20,660 4513 Orthopedics ORG080 Fasciotomy - Upper Limb 14,672 4514 Orthopedics ORG081 Decompression acute osteomyelitis - UL/L 14,672 4515 Orthopedics ORG082 Subtrochanteric Osteotomy With Internal 29,926 4516 Orthopedics ORG084 Nerve transposition 14,672 4517 Orthopedics ORB009 Surgery for CDH/CDK 42,757 4518 Orthopedics OR3017 Amputation - above elbow 22,810 4519 Orthopedics OR2005 Ankle replacement - Primary 48,756 4520 Orthopedics ORA003 Cast BK/BE 3,564 4521 Orthopedics ORA004 Skeletal Transaction under LA 3,564 4522 Orthopedics ORB020 Malunion correction with plate 34,203 4523 Orthopedics ORB021 Malunion correction Tibia/Fibula 34,203 4524 Orthopedics ORD001 Spinal jacket application/Minerva jacket 7,829 4525 Orthopedics ORD006 Disectomy - Microdiscectomy 42,757 4526 Orthopedics OR2002 Rotator cuff repair - Shoulder(With or w 29,926 4527 Orthopedics OR2004 Hemiarthroplasty Shoulder/Hip 38,492 4528 Orthopedics OR2023 THR/TKR-Primary 48,756 4529 Orthopedics OR3003 Exc. distal end radius & ulna 9,695 4530 Orthopedics OR3012 Disarticulation Hip/Hand -quarter Amputa 38,492 4531 Orthopedics OR2020 Ankle Replacement - Revision 78,385 4532 Orthopedics OR2021 THR/TKR - Revison 71,269 4533 Orthopedics OR3007 Amputation - SIngle digit 6,273 4534 Orthopedics OR3010 Amputation below elbow 16,537 4535 Orthopedics OR3011 Amputation Hand 14,672 4536 Orthopedics ORA009 EDRo casting 6,273 4537 Orthopedics ORB015 Diagnostic Arthroscopy Shoulder 18,521 4538 Orthopedics ORB017 Revision of fusion of Shoulder(after TS) 38,492 4539 Orthopedics OR2006 Crush injury - hand/Wrist Reconstruction 16,537 4540 Orthopedics OR2008 Surg recurring dislocat shoulder - arthr 42,757 4541 Orthopedics OR2012 MTP joint arthrodesis 11,679 4542 Orthopedics OR3020 Disarticulation shoulder/fore quarter am 38,492 4543 Orthopedics ORB002 Rotator Cuff Repair- Shoulder(Arthrosco 42,757 4544 Orthopedics ORB003 Pantallar Arthrodesis- Ankle 17,452 4545 Orthopedics ORB004 Diagnostic Arthroscopy Elbow/Wrist/Knee/ 16,537 4546 Pacemaker CAP002 Pacemaker Insertion- Epicardia 57,024 4547 Pacemaker CAP003 Pacemaker Insertion - Single Ch 78,408 4548 Pacemaker CAP005 Pacemaker Insertion- Replacement 57,024 4549 Paediatric Surgery PER069 Exchange transfusion 11,679 4550 Paediatric Surgery PER072 Insertion of Tendoff's catheter & Initia 6,273 4551 Paediatric Surgery PER019 MCU Catheterization 939 4552 Paediatric Surgery PER020 Peripheral Arterial Catheterization/Arte 2,341 4553 Paediatric Surgery PER021 Prepucial Adhenolysis 2,341 4554 Paediatric Surgery PER022 Umblical Catheterization 2,840 4555 Paediatric Surgery PER024 Electro Cauterization 2,578 4556 Paediatric Surgery PER026 Parenteral Sedation for All Procedures 1,557 4557 Paediatric Surgery PER056 Rectal Suction Biopsy 4,562 4558 Paediatric Surgery PER057 Release of tongue tie 4,562 4559 Paediatric Surgery PER059 Bronchoscopy- Diagnostic Flexible(Pedi) 4,562 4560 Paediatric Surgery PER060 Suprabic Aspiration 1,557 4561 Paediatric Surgery PER064 Ryle's Tube Insertion 2,590 4562 Paediatric Surgery PER066 Venesection (Pediatric) 4,562 4563 Paediatric Surgery PER067 Tissue Extraction/Fluid Aspiration for B 3,564 4564 Paediatric Surgery PER035 Peritoneal/haemodialysis Dialysis per 24 2,341 4565 Paediatric Surgery PER041 Chest tube insertion -NICU 2,840 4566 Paediatric Surgery PER043 Surgical insertion of central/peripheral 2,840 4567 Paediatric Surgery PER051 Preauricular tags excision U/L 6,273 4568 Paediatric Surgery PER053 Exchange transfusion with Umblical Cathe 5,406 4569 Pain Medicine PAN138 LUMBAR SYMPATHETIC BLOCK 13,500 4570 Pain Medicine PAN139 LUMBAR SYMPATHETIC RF ABLATION 32,400 4571 Pain Medicine PAN140 MANDIBULAR/MAXILLARY NERVER BLOCK 13,500 4572 Pain Medicine PAN141 NERUMODULATION IMPLANTS 37,800 4573 Pain Medicine PAN142 NEURAXIAL/REGIONAL/PLEXUS/SMPATHETIC L.A. BLOC 13,500 4574 Pain Medicine PAN143 NEURAXIAL/REGIONAL/PLEXUS/SYMPATHETIC NEURO 19,440 4575 Pain Medicine PAN144 OZONE INTRADISCAL CHEMONUCLEOLYSIS 32,400 4576 Pain Medicine PAN145 PLEXUS/REGIONAL BLOCK 13,500 4577 Pain Medicine PAN146 PERIARTICULAR/INTRAARTICULAR INJECTION 5,508 4578 Pain Medicine PAN147 PERCUTANEOUS LASER NUCLEOPLASTY 27,000 4579 Pain Medicine PAN148 PAINFUL MYOPATHY INJECTION 4,860 4580 Pain Medicine PAN149 PERCUTANEOUS CEMENTOPLASTY 27,000 4581 Pain Medicine PAN150 PERCUTANEOUS DECOMPRESSION NEUROPLASTY 32,400 4582 Pain Medicine PAN151 PERCUTANEOUS INTRADISCAL DECOMPRESSION INTE 32,400 4583 Pain Medicine PAN152 PERCUTANEOUS PITUITARY NEUROADENOLYSIS 37,800 4584 Pain Medicine PAN153 PERIPHERAL INTERVENTIONAL L.A. BLOCKS 4,320 4585 Pain Medicine PAN154 PERIPHERAL NEUROLYTIC/CONTINUOS BLOCK 13,500 4586 Pain Medicine PAN002 Cervical Epidural Block 6,772 4587 Pain Medicine PAN001 Epidural Adhesiolysis 23,095 4588 Pain Medicine PAN168 SUPERIOR HYPOGASTRIC PLEXUS BLOCK 13,500 4589 Pain Medicine PAN169 SUPERIOR HYPOGASTRIC PLEXUS RF ABLATION 27,000 4590 Pain Medicine PAN170 SUPRAORBITAL/INFRAORBITAL/MENTAL N BLOCK 5,400 4591 Pain Medicine PAN171 SUPRASCAPULAR/POST TIBIAL N/OBTURATOR N. BLOC 10,800 4592 Pain Medicine PAN172 T.M. JOINT BLOCK 5,400 4593 Pain Medicine PAN102 ANTERIOR SCALENE INJECTION 6,480 4594 Pain Medicine PAN103 ADVANCED INTERVENTIONAL PAIN PROCEDURES 32,400 4595 Pain Medicine PAN104 ATLANTOAXIAL JOINT INJECTION 12,960 4596 Pain Medicine PAN105 ATLANTOOCCIPITAL JOINT INJECTION 12,960 4597 Pain Medicine PAN106 BIERS BLOCK 6,480 4598 Pain Medicine PAN107 CAUDAL EPIDURAL INJECTION 6,480 4599 Pain Medicine PAN108 CAUDAL EPIDURAL INJECTION WITH EPIDUROGRAPHY 13,500 4600 Pain Medicine PAN109 CELIAC PLEXU BLOCK 18,900 4601 Pain Medicine PAN110 CERVICAL EPIDURIAL INJECTION 16,200 4602 Pain Medicine PAN111 CERVICAL FACET I/A INJECTION 10,800 4603 Pain Medicine PAN112 CERVICAL MBB 13,500 4604 Pain Medicine PAN113 CERVICAL MB RFA 27,000 4605 Pain Medicine PAN114 COCCYX INJECTION 6,480 4606 Pain Medicine PAN115 CRANIAL NEURALIGIA BLOCK 16,200 4607 Pain Medicine PAN116 EPIDURAL ADENOLYSIS 16,200 4608 Pain Medicine PAN117 FACET DENERVATION (RF ABLATION) 21,600 4609 Pain Medicine PAN118 FACET JOINT BLOCK 13,500 4610 Pain Medicine PAN119 FACET MBB 13,500 4611 Pain Medicine PAN120 GANGLION OF IMPAR BLOCK 13,500 4612 Pain Medicine PAN121 GASSERIAN GANGLION BLOCK 16,200 4613 Pain Medicine PAN122 GASSERIAN GANGLION RF ABLATION 32,400 4614 Pain Medicine PAN123 GASSERIAN GANGLION BALLOON COMPRESSION 43,200 4615 Pain Medicine PAN124 GLOSSOPHARYNGEAL NERVE BLOCK 13,500 4616 Pain Medicine PAN125 HYPOGLOSSAL NERVE BLOCK 13,500 4617 Pain Medicine PAN126 IDET ANNULOPLASTY 32,400 4618 Pain Medicine PAN155 PERMANENT INRATHECAL PUMP IMPLANT 48,600 4619 Pain Medicine PAN156 PERMANENT SPINAL CORD STIMULATION IMPLANT 48,600 4620 Pain Medicine PAN157 PIRIFORMIS INJECTION 10,800 4621 Pain Medicine PAN158 POSTOP. PAINFUL SCAR INJECTION 6,480 4622 Pain Medicine PAN159 PROVOCATIVE DISCOGRAPHY 16,200 4623 Pain Medicine PAN160 PSOAS COMPARTMENT BLOCK 5,400 4624 Pain Medicine PAN161 SACROILIAC JOINT BLOCK 10,800 4625 Pain Medicine PAN162 SCIATIC N.BLOCK 6,480 4626 Pain Medicine PAN163 SELECTIBVE NERVE ROOT SHEATH BLOCK C/T/L/S 13,500 4627 Pain Medicine PAN164 SPHENOPALATINE GANGLION BLOCK 10,800 4628 Pain Medicine PAN165 SPLANCHNIC BLOCK 10,800 4629 Pain Medicine PAN166 STELLATE GANGLION BLOCK 13,500 4630 Pain Medicine PAN167 STELLATE GANGLION RF ABLATION 32,400 4631 Pain Medicine PAN182 VERTEBROPLASY 27,000 4632 Pain Medicine PAN181 VERTEBRAL BONE BIOPSY 13,500 4633 Pain Medicine PAN180 TRIAL SPINAL CORD STIMULATION LEAD IMPLANT 21,600 4634 Pain Medicine PAN179 TRANSFORMINAL EPIDURAL INJECTION 13,500 4635 Pain Medicine PAN178 TRIGGER POINT INJECTIONS 5,400 4636 Pain Medicine PAN177 THREE IN ONE BLOCK SHOULDER 13,500 4637 Pain Medicine PAN176 THORACIC SYMPATHETIC RF ABLATION 32,400 4638 Pain Medicine PAN175 THORACIC SYMPATHETIC BLOCK 16,200 4639 Pain Medicine PAN174 TON RF ABLATION 27,000 4640 Pain Medicine PAN173 TON DIAGNOSTIC INJECTION 13,500 4641 Pain Medicine PAN127 ILIOINGUINAL/ ILIOHYPOGASTRIC/SAPHENOFEMORAL 8,100 4642 Pain Medicine PAN128 INJECTION FOR TENDONITIS/BURSITIS 4,860 4643 Pain Medicine PAN129 INTERCOASTAL N. BLOCK 8,100 4644 Pain Medicine PAN130 INTERLAMMINAR EPIDURAL INJECTION 8,100 4645 Pain Medicine PAN131 INTERLAMMINAR EPIDURAL INJECTION WITH EPIDURO 16,200 4646 Pain Medicine PAN132 INTERPLEURAL BLOCK 8,100 4647 Pain Medicine PAN133 INTRATHECAL INJECTION 6,480 4648 Pain Medicine PAN134 INTRATHECAL PUMP TRIAL CATHETER 16,200 4649 Pain Medicine PAN135 INJECTION FOR SPASTICITY/RIGIDITY/HYPERHIDROSIS 8,100 4650 Pain Medicine PAN136 KYPHOPLASTY 32,400 4651 Pain Medicine PAN137 LAT. CUT N. OF THIGH/SUBCOASTAL/POST OCCIPITAL 13,500 4652 Peadiatric PEP025 Neonatal Phototherapy- 24 hour 886 4653 Peadiatric PEP033 Glucose Sticks (per stick) 87 4654 Peadiatric PEP051 IQ AssessmenT 3,500 4655 Peadiatric PEP053 Child Assessment 1,500 4656 Peadiatric PEP054 Personality Assesssment (Brief) 3,500 4657 Peadiatric PEP055 Personality Assesssment (Detailed) 5,000 4658 Peadiatric PEP050 Family/Marital Therapy 1,500 4659 Peadiatric PEP056 SLD Assessment 3,000 4660 Pediatric PER245 Surfactant administration 1,557 4661 Pediatric PEP246 Lumbar puncture (Pediatric) 2,341 4662 Pediatric PER520 Gastric lavage (neonatal/pedi) 214 4663 Pediatric PER100 CPAP charges(24 Hrs-Paed) 1,604 4664 Pediatric PEP10 Bone marrow aspiration(Pediatric) 3,303 4665 Pediatric PER125 PDA ligation in NICU 59,400 4666 Pediatric PER007 CPAP initiation((Pediatric) 1,604 4667 Pediatric PER011 Parenteral sedation CT/MRI(Pediatric) 1,925 4668 Pediatric PER013 Parenteral sedation(Pediatric) 1,141 4669 Pediatric Surgery PES300 Bronchoscopy - Therapeutic Rigid (pedi) 18,521 4670 Pediatric Surgery PES0005 Excision of choledochal cyst and portoen 53,591 4671 Pediatric Surgery PES0006 Exostrophy of bladder – Turn in 38,492 4672 Pediatric Surgery PES0007 Hypospadias - Prox/Distal 34,203 4673 Pediatric Surgery PES0008 Syndactyly release - 1 finger/simple syn 24,937 4674 Pediatric Surgery PES250 Haemangioma Excision - Minor 6,273 4675 Pediatric Surgery PES251 Inguinal hernia - bilateral (neonatal/pe 24,937 4676 Pediatric Surgery PES252 Inguinal hernia repair - bilateral recur 20,945 4677 Pediatric Surgery PES253 Pull through/resection & anast - laprosc 42,757 4678 Pediatric Surgery PES255 Pyeloplasty - laproscopic (pedi) 42,757 4679 Pediatric Surgery PES257 Ureteric reimplantation - laproscopic (p 38,492 4680 Pediatric Surgery PES056 Anal dilatation(Pedi) 6,273 4681 Pediatric Surgery PES057 Esophageal dilatation (Pedi) 6,273 4682 Pediatric Surgery PES059 Repair of Torn Ear Lobule (B/L) 9,695 4683 Pediatric Surgery PES060 Repair of Torn Ear Lobule (U/L) 6,273 4684 Pediatric Surgery PES062 Urethral dilatation 7,829 4685 Pediatric Surgery PES065 Chest tube insertion -PICU 3,564 4686 Pediatric Surgery PES073 Paed Cystoscopy / Stent Removal 6,273 4687 Pediatric Surgery PES074 Preauricular tags excision B/L 7,829 4688 Pediatric Surgery PES076 Testicular Biopsy 6,273 4689 Pediatric Surgery PES080 Circumcision - Pediactric 8,839 4690 Pediatric Surgery PES084 Release tongue tie + V-Y Plasty 7,829 4691 Pediatric Surgery PES085 Abscess / I & D under GA 8,934 4692 Pediatric Surgery PES088 Peritoneal /Haemodialysis Dialysis per 2 6,273 4693 Pediatric Surgery PES089 Thiersch / Sclerotherapy for Rectal pro 8,839 4694 Pediatric Surgery PES093 Suprabic Cystostomy 9,695 4695 Pediatric Surgery PES098 Neck sinus exicision 14,672 4696 Pediatric Surgery PES100 Cystic hygroma small 16,537 4697 Pediatric Surgery PES101 Excision of Mass (Intra Corporeal) 14,672 4698 Pediatric Surgery PES103 Haemangioma Excision - MAJOR 14,672 4699 Pediatric Surgery PES105 Supra pubic Cystolithotomy 16,537 4700 Pediatric Surgery PES106 Umblicial Hernia Repair(Pedi) 14,672 4701 Pediatric Surgery PES110 Orchidectomy -Biletral (Pedi) 20,660 4702 Pediatric Surgery PES157 Laparotomy + LADDS procedure for Malrota 27,075 4703 Pediatric Surgery PES160 Lap rectopexy 29,926 4704 Pediatric Surgery PES163 Orchidopexy -Biletral (Pedi) 20,660 4705 Pediatric Surgery PES164 Pharyngoplasty 34,215 4706 Pediatric Surgery PES167 Spina bifida repair - large 34,215 4707 Pediatric Surgery PES168 Spina bifida repair - small 27,075 4708 Pediatric Surgery PES171 Ureteric Reimplantation -Open (Pedi) 35,640 4709 Pediatric Surgery PES175 Hemionephrectomy U/L 34,215 4710 Pediatric Surgery PES177 Multiple resection and anastomosis(Pedi) 38,492 4711 Pediatric Surgery PES178 Nephro / Pyelolithotomy(Pedi) 38,492 4712 Pediatric Surgery PES180 Neonatal Esophagostomy/gastrostomy 42,757 4713 Pediatric Surgery PES182 Neonatal Gastrostomy 18,521 4714 Pediatric Surgery PES183 PSARP-Complete 42,757 4715 Pediatric Surgery PES111 Varicocoele B/L 16,537 4716 Pediatric Surgery PES118 Open drainage liver abscess 20,660 4717 Pediatric Surgery PES119 Release of torticollis 18,521 4718 Pediatric Surgery PES121 Anoplasty 22,810 4719 Pediatric Surgery PES123 Bronchoscopy- Diagnostic Rigid(Pedi) 14,672 4720 Pediatric Surgery PES124 Cystoscopy and fulguration of valves(Pe) 22,810 4721 Pediatric Surgery PES126 Hypospadias Chordee Correction 21,123 4722 Pediatric Surgery PES129 Orchidopexy -uniletral (Pedi) 16,537 4723 Pediatric Surgery PES130 Pyloric Stenosis 22,810 4724 Pediatric Surgery PES132 Urethral Fistula (Pedi) 22,810 4725 Pediatric Surgery PES133 Vesicosotomy 20,660 4726 Pediatric Surgery PES137 Gastrostomy 22,810 4727 Pediatric Surgery PES139 Myomectomy for short segment Megacolon 22,810 4728 Pediatric Surgery PES145 Cystic Hygroma large 27,075 4729 Pediatric Surgery PES146 Hypospadias Glandular / Coronal 24,948 4730 Pediatric Surgery PES222 Excisionof chloledochol cyst and portoen 54,161 4731 Pediatric Surgery PES225 Gyneacomastia/Supernumery breastexcision 29,926 4732 Pediatric Surgery PES227 Inguinal herniotomy 13,211 4733 Pediatric Surgery PES232 MAPGI 18,521 4734 Pediatric Surgery PES186 Diaphragmatic hernia repair(Pedi) 42,757 4735 Pediatric Surgery PES187 Exostrophy bladder Complete repair 48,756 4736 Pediatric Surgery PES188 Hemi Nephroureterectomy 48,756 4737 Pediatric Surgery PES191 Pyeloplasty - Open (Pedi) 42,757 4738 Pediatric Surgery PES192 Vaginoplasty (Pediatric) 48,756 4739 Pediatric Surgery PES193 Wilms/ Neuroblastoma resection 48,756 4740 Pediatric Surgery PES194 Complete correction of EA and TEF 48,756 4741 Pediatric Surgery PES201 Portoenterostomy 53,603 4742 Pediatric Surgery PES204 Vaginoplasty/Clitoroplasty for CAH 48,730 4743 Pediatric Surgery PES205 VP / VA SHUNT 34,215 4744 Pediatric Surgery PES219 Cystoscopy Diagnostic(Pediactric) 6,273 4745 Pediatric Surgery PES147 Intestinal atresia 27,075 4746 Pediatric Surgery PES148 Intussusception reduction 27,075 4747 Pediatric Surgery PES151 PSARP- Limited 27,075 4748 Pediatric Surgery PES155 Exomphalos /gastroschisis repair 48,756 4749 Pediatric Surgery PES258 Multiple Colonic biopsies + Rectal Biops 7,128 4750 Pediatric Surgery PES233 Meatotomy (Paed-Surg) 3,564 4751 Pediatric Surgery PES234 Optical Uretherotomy 22,810 4752 Pediatric Surgery PES235 Orhidectomy Unilateral Pedi 16,537 4753 Pediatric Surgery PES240 Sclerotherapy (Injection) 5,406 4754 PFT DAG001 PFT's with diffusion 2,160 4755 PFT DAG002 Lung volume/diffusion study 648 4756 PFT DAG003 Pulse oximetry with 6 MWT 648 4757 PH Anesthesia ETO PHO296 Anesthesia Mask Size 1 535 4758 PH Anesthesia ETO PHO297 Anesthesia Mask Size 0 535 4759 PH Anesthesia ETO PHO298 Nasopharyngeal Airways 9.0mm 517 4760 PH Anesthesia ETO PHO299 Nasopharyngeal Airways 8.0mm 517 4761 PH Anesthesia ETO PHO300 Nasopharyngeal Airways 7.0mm 517 4762 PH Anesthesia ETO PHO301 Endotracheal tube No 8 (Univent) 13,890 4763 PH Anesthesia ETO PHO302 Endotracheal tube No 7.5 (Univent) 13,890 4764 PH Anesthesia ETO PHO303 Endotracheal tube No 7 (Univent) 13,890 4765 PH Anesthesia ETO PHO305 Double Lumen Tube -Left 37 7,635 4766 PH Anesthesia ETO PHO306 Double Lumen Tube -Left 35 7,635 4767 PH Anesthesia ETO PHO307 Leader Cath 20G 1,260 4768 PH Anesthesia ETO PHO308 Catheter Mount 243 4769 PH Anesthesia ETO PHO309 Intubation Stylet 2.0 331 4770 PH Anesthesia ETO PHO310 Intubation Stylet 4.0 331 4771 PH Anesthesia ETO PHO311 Swivel Connector(Bronchoscope) 776 4772 PH Anesthesia ETO PHO312 Flexo Metallic Tube PVC 7.5 CH 1,320 4773 PH Anesthesia ETO PHO313 Flexo Metallic Tube PVC 8 CH 1,320 4774 PH Anesthesia ETO PHO314 Flexo Metallic Tube PVC 8.5 CH 1,320 4775 PH Anesthesia ETO PHO315 Blanket Full Body 2,540 4776 PH Anesthesia ETO PHO316 Blanket Upper Body 2,540 4777 PH Anesthesia ETO PHO317 Blanket Lower Body 2,540 4778 PH Anesthesia ETO PHO318 Hot Line Tubing 1,869 4779 PH Anesthesia ETO PHO319 Pressure Infusor Bag 1000ml 2,834 4780 PH Anesthesia ETO PHO320 Pressure Infusor Bag 500 ml 2,526 4781 PH Anesthesia ETO PHO321 Manifold 2 Core 290 4782 PH Anesthesia ETO PHO322 Tubing Organizer 843 4783 PH Anesthesia ETO PHO323 Bougie-34(Oesophageal) 4,156 4784 PH Anesthesia ETO PHO284 Laryngeal Mask Reuseable 1.0 12,960 4785 PH Anesthesia ETO PHO285 Laryngeal Mask Disposable No 1 1,370 4786 PH Anesthesia ETO PHO286 Laryngeal Mask Disposable No 1.5 1,370 4787 PH Anesthesia ETO PHO287 Laryngeal Mask Disposable No 2 1,370 4788 PH Anesthesia ETO PHO288 Laryngeal Mask Disposable No 3 1,370 4789 PH Anesthesia ETO PHO289 Laryngeal Mask Disposable No 4 1,370 4790 PH Anesthesia ETO PHO290 Laryngeal Mask Disposable No 5 1,370 4791 PH Anesthesia ETO PHO291 Anesthesia Mask Size 6 535 4792 PH Anesthesia ETO PHO292 Anesthesia Mask Size 5 535 4793 PH Anesthesia ETO PHO293 Anesthesia Mask Size 4 535 4794 PH Anesthesia ETO PHO294 Anesthesia Mask Size 3 535 4795 PH Anesthesia ETO PHO295 Anesthesia Mask Size 2 535 4796 PH Anesthesia ETO PHO279 Laryngeal Mask Reuseable 5.0 12,960 4797 PH Anesthesia ETO PHO280 Laryngeal Mask Reuseable 4.0 12,960 4798 PH Anesthesia ETO PHO281 Laryngeal Mask Reuseable 3.0 12,960 4799 PH Anesthesia ETO PHO282 Laryngeal Mask Reuseable 2.5 12,960 4800 PH Anesthesia ETO PHO283 Laryngeal Mask Reuseable 2.0 12,960 4801 PH Anesthesia ETO PHO411 Polypectomy snare 0 4802 PH Anesthesia ETO PHO583 Ventilator Circuit with Reseroir Bag 1,134 4803 PH Anesthesia ETO PHO530 LIPOSUCTION PANTY GIRDLE 5,783 4804 PH Anesthesia ETO PHO531 ENDOTRACHEAL TUBE UNIVENT NO 8 13,890 4805 PH Anesthesia ETO PHO532 VENTILATOR CIRCUIT W/O FILTER (ADULT) 422 4806 PH Anesthesia ETO PHO533 INTUBATION STYLET 5-0 330 4807 PH Anesthesia ETO PHO534 DOUBLE LUMEN 39 LEFT 7,635 4808 PH Anesthesia ETO PHO535 DOUBLE LUMEN 41 LEFT 7,635 4809 PH Anesthesia ETO PHO535 DOUBLE LUMEN 41 LEFT 7,635 4810 PH Anesthesia ETO PHO548 NORTH NASAL TUBE CUFFED NO 8.0 726 4811 PH Anesthesia ETO PHO549 NORTH NASAL TUBE CUFFED NO7.0 726 4812 PH Anesthesia ETO PHO550 NORTH NASAL TUBE CUFFED NO 8.5 726 4813 PH Anesthesia ETO PHO551 NORTH NASAL TUBE PLAIN NO 3.5 488 4814 PH Anesthesia ETO PHO552 NORTH NASAL TUBE PLAIN NO 5.5 488 4815 PH Anesthesia ETO PHO553 SOUTH ORAL TUBE CUFFED NO 7.0 611 4816 PH Anesthesia ETO PHO554 SOUTH ORAL TUBE CUFFED NO 7.5 611 4817 PH Anesthesia ETO PHO555 SOUTH ORAL TUBE CUFFED NO 8.0 611 4818 PH Anesthesia ETO PHO556 SOUTH ORAL TUBE CUFFED NO 8.5 611 4819 PH Anesthesia ETO PHO557 SOUTH ORAL TUBE CUFFED NO 6.0 611 4820 PH Anesthesia ETO PHO558 SOUTH ORAL TUBE CUFFED NO 3.0 611 4821 PH Anesthesia ETO PHO559 SOUTH ORAL TUBE CUFFED NO 5.5 611 4822 PH Anesthesia ETO PHO560 SOUTH ORAL TUBE PLAIN NO 6 343 4823 PH Cardio ETO PHO750 PTCA BALLOON 4.0X10 (DURA STAR) 19,464 4824 PH Cardio ETO PHO751 PTCA BALLOON 1.2X6MM MINITREK 22,131 4825 PH Cardio ETO PHO752 PTCA BALLOON 2.5X20 FIRE STAR 19,464 4826 PH Cardio ETO PHO753 GUIDING CATHETER 6F XBRCA 6,318 4827 PH Cardio ETO PHO754 PTCA BALLOON 1.2X15MM MINITREK 22,131 4828 PH Cardio ETO PHO761 PTCA BALLOON 2.5X12MM (TREK) 22,131 4829 PH Cardio ETO PHO760 Broken Burough Needle(TSCN- 18-71.0) 9,094 4830 PH Cardio ETO PHO882 PTCA BALLOON 3 X 20 MM(VOYAGER NC) 19,911 4831 PH Cardio ETO PHO900 Infant T-Piece (Paed) (2120-000) 2,096 4832 PH Cardio ETO PHO764 IKARI LEFT 3.5 GUIDING CATHETRGCF6IL350N 10,930 4833 PH Cardio ETO PHO765 Stablecut Blade 2,916 4834 PH Cardio ETO PHO766 STAPLER GIA 60 MM 13,608 4835 PH Cardio ETO PHO1033 GUIDE WIRE 0.35X150 ST. TIP(TERUMO) 1,620 4836 PH Cardio ETO PHO1031 QUANTUM MAVERICK BALLOON 2.50X12MM 13,392 4837 PH Cardio ETO PHO1037 HARMONIC SCALPEL PROBE(ACE23P) J&J 44,633 4838 PH Cardio ETO PHO1038 Centrifugal Pump Rota Flow 17,280 4839 PH Cardio ETO PHO1008 PTCA BALLOON 2X8MM (MINITREK) 21,302 4840 PH Cardio ETO PHO1009 PTCA BALLOON NC TREK 4.5 X 12 MM 21,302 4841 PH Cardio ETO PHO981 LIVEWIRE DECAPOLAR CATHETER 23,868 4842 PH Cardio ETO PHO898 PTCA BALLOON NC TREK 4.5 X 08 MM 21,302 4843 PH Cardio ETO PHO755 PTCA BALLOON 3.0X10 (DURA STAR) 19,464 4844 PH Cardio ETO PHO756 PTCA BALLOON MINI TREK 1.5 X 15 22,131 4845 PH Cardio ETO PHO732 PTCA BALLOON 1.5X6MM (MINITREK) 22,131 4846 PH Cardio ETO PHO733 PTCA BALLOON 2X12MM (MINITREK) 22,131 4847 PH Cardio ETO PHO734 PTCA BALLOON 1.5X8MM (MINITREK) 22,131 4848 PH Cardio ETO PHO735 Angiography Catheter 5F JL 5 1,102 4849 PH Cardio ETO PHO736 CO PILOT BLEED BACK CONTROL VALVE-ABBOTT 3,338 4850 PH Cardio ETO PHO737 ANGIOMED ALUMINA INJECTOR -900103 (TYCO) 1,545 4851 PH Cardio ETO PHO738 Angiography G.W J Tip 0.35x260cm(Terumo) 2,722 4852 PH Cardio ETO PHO758 PTCA BALLOON MINI TREK 2.0 X 15 22,131 4853 PH Cardio ETO PHO739 PTCA BALLOON 1.5X12MM (MINITREK) 22,131 4854 PH Cardio ETO PHO740 PTCA BALLOON 2.0 X 06 MM (MINITREK) 22,131 4855 PH Cardio ETO PHO742 PTCA BALLOON 2.5X6MM (TREK) 22,131 4856 PH Cardio ETO PHO743 PTCA BALLOON 1.2X12MM (MINITREK 22,131 4857 PH Cardio ETO PHO744 PTCA BALLON 3.0 X 6MM (VOYAGER -NC) 22,131 4858 PH Cardio ETO PHO745 QUADRIPOLAR CATHETER FIXED 22,585 4859 PH Cardio ETO PHO746 QUADRIPOLAR CATHETER FIXED 4,499 4860 PH Cardio ETO PHO747 DECAPOLAR CATHETER DEFLECTABLE 23,968 4861 PH Cardio ETO PHO748 PTCA Balloon 2.75x9mm(SprinterNC) 15,435 4862 PH Cardio ETO PHO749 PTCA BALLOON 2.5X20 (FIRE STAR) 19,464 4863 PH Cardio ETO PHO668 QUANTUM MAVERICK BALLOON 3.00X15MM 13,392 4864 PH Cardio ETO PHO1036 XTRM WAY BALLOON 2.0X20MM 13,392 4865 PH Cardio ETO PHO1039 FLEXTOME CUTTING BALLOON 3.00X10MM-BOSTO 62,639 4866 PH Cardio ETO PHO1040 ACROBAT I VACCUUM OFF PUMP SYSTEM-MAQUET (OCT 135,000 4867 PH Cardio ETO PHO770 PTCA BALLOON NC TREK 2.5 X 15 MM 21,302 4868 PH Cardio ETO PHO885 PTCA BALLOON NC TREK 3.0 X 12 MM 21,302 4869 PH Cardio ETO PHO1041 GUIDING CATHER 6F EBU 4 MEDTRONIC 6,588 4870 PH Cardio ETO PHO1001 FINE CROSS MG-CTO MICROCATHETER 37,800 4871 PH Cardio ETO PHO884 FEMORAL VENOUS CANNULA 24/29FR 21,189 4872 PH Cardio ETO PHO810 CUTTING BALLON 2.5X10MM-BOSTON 63,072 4873 PH Cardio ETO PHO769 PTCA BALLOON 3.5X15MM(SPRINTERNC) 19,464 4874 PH Cardio ETO PHO864 AMPLATZ RENAL DILATOR SET 075000 (COOK 8,640 4875 PH Cardio ETO PHO1016 PTCA BALLOON NC TREK 4 X 8 MM 21,302 4876 PH Cardio ETO PHO1017 XTRM WAY BALLOON 2.5X10MM 13,392 4877 PH Cardio ETO PHO997 PTCA BALLOON NC TREK 4.0 X 12 MM 21,302 4878 PH Cardio ETO PHO998 PTCA BALLOON NC TREK 3.5 X 08 MM 21,302 4879 PH Cardio ETO PHO1003 AMBU LARYNGEAL MASK REUSABLE 3.0 17,280 4880 PH Cardio ETO PHO1004 AMBU LARYNGEAL MASK REUSABLE 4.0 17,496 4881 PH Cardio ETO PHO893 AMBU LARYNGEAL MASK REUSABLE 5.0 17,712 4882 PH Cardio ETO PHO891 PTCA BALLOON NC TREK 2.75 X 15 MM 21,302 4883 PH Cardio ETO PHO982 CUTTING ELECTRODE 0.35MM (8424.141) 7,165 4884 PH Cardio ETO PHO983 COLLIN'S KNIFE (8423.19) 7,165 4885 PH Cardio ETO PHO1052 XTRM WAY BALLOON 3.0X20MM 12,400 4886 PH Cardio ETO PHO776 PTCA BALLOON NC TREK 2.5 X 08 MM 21,302 4887 PH Cardio ETO PHO780 PTCA BALLOON NC TREK 2.0 X 15 MM 21,302 4888 PH Cardio ETO PHO881 THERAPY COOL FLEX 90,652 4889 PH Cardio ETO PHO886 GUIDING CATHER 6F EBU 3.5 MEDTRONIC 6,588 4890 PH Cardio ETO PHO887 GUIDING CATHER 7F EBU 3.5 MEDTRONIC 6,588 4891 PH Cardio ETO PHO1010 MARCH 1 GUIDING CATHETER 3.5 JR 6F 6,610 4892 PH Cardio ETO PHO1013 PTCA BALLOON 2.5X9 (MAVERICK 2 MONORAIL 12,400 4893 PH Cardio ETO PHO1059 PTCA BALLOON 2.5X20 MAVERICK 2 MONORAIL 12,400 4894 PH Cardio ETO PHO759 PTCA BALLOON 2.5 X 08MM (TREK) 22,131 4895 PH Cardio ETO PHO1020 CUTTING BALLON 2.5X06MM-BOSTON 63,072 4896 PH Cardio ETO PHO1021 ABS FIXATION DEVICE 30TACKS (TABSTACK30) 26,802 4897 PH Cardio ETO PHO772 PTCA BALLOON NC TREK 2.0 X 12 MM 21,302 4898 PH Cardio ETO PHO773 PTCA BALLOON NC TREK 3 X 15 MM 21,302 4899 PH Cardio ETO PHO1007 BARD PERMAFIX FIXATION SYS 30 TACKS 25,380 4900 PH Cardio ETO PHO774 PTCA BALLOON NC TREK 3.5 X 15 MM 21,302 4901 PH Cardio ETO PHO1014 XTRM WAY BALLOON 2.0X15MM 13,392 4902 PH Cardio ETO PHO1069 ARTICULATING ENDO LINEAR CUTTER (EC45A) 36,771 4903 PH Cardio ETO PHO1079 XTRM WAY BALLOON 3.0X10MM 12,400 4904 PH Cardio ETO PHO1078 XTRM WAY BALLOON 3.5X10MM 12,400 4905 PH Cardio ETO PHO771 PTCA BALLOON NC TREK 2.5 X 12 MM 21,302 4906 PH Cardio ETO PHO895 PTCA BALLOON NC TREK 3.0 X 08 MM 21,302 4907 PH Cardio ETO PHO1012 CUTTING ELECTRODE 0.35MM (8424.141) 7,162 4908 PH Cardio ETO PHO677 PTCA BALLOON 2.0X20 MAVERICK 2 MONORAIL 12,960 4909 PH Cardio ETO PHO1057 QUANTUM MAVERICK BALLOON 2.00X12MM 12,400 4910 PH Cardio ETO PHO892 PTCA BALLOON NC TREK 3.5 X 12 MM 21,302 4911 PH Cardio ETO PHO899 Stent Solitaire AB 194,940 4912 PH Cardio ETO PHO1064 HARMONIC BLUE HAND PIECE (HPBLUE) 175,089 4913 PH Cardio ETO PHO1065 HS FOCUS 17CM CURVED SHEAR (FCS17) 39,040 4914 PH Cardio ETO PHO1066 HS FOCUS 9CM CURVED SHEAR (FCS9) 37,267 4915 PH Cardio ETO PHO890 CAROTID BYPASS SHUNT (007755 6,610 4916 PH Cardio ETO PHO1019 PTCA BALLOON NC TREK 4 X 15 MM 21,302 4917 PH Cardio ETO PHO1055 PTCA BALLOON 3.0X12 (MAVERICK 2 MONORAIL 12,400 4918 PH Cardio ETO PHO990 CUTTING BUR (9BA30) (MEDTRONICS) 9,234 4919 PH Cardio ETO PHO991 CUTTING BUR (9BA40) (MEDTRONICS) 11,546 4920 PH Cardio ETO PHO992 CUTTING BUR (9BA50) (MEDTRONICS) 8,262 4921 PH Cardio ETO PHO993 CUTTING BUR (9BA60) (MEDTRONICS) 8,262 4922 PH Cardio ETO PHO1029 XTRM WAY BALLOON 2.5 X 20MM 13,392 4923 PH Cardio ETO PHO1032 QUANTUM MAVERICK BALLOON 2.50X15MM 13,392 4924 PH Cardio ETO PHO1034 XTRM WAY BALLOON 1.5X10MM 13,392 4925 PH Cardio ETO PHO1035 GUIDING CATHE 7F EBU 3.0 MEDTRONIC 6,588 4926 PH Cardio ETO PHO1002 EXPORT AP CATHETER 6F 54,432 4927 PH Cardio ETO PHO1022 PTCA BALLOON 2.5X15 (MAVERICK 2 MONORAIL 13,392 4928 PH Cardio ETO PHO1024 XTRM WAY BALLOON 2.5X15MM 13,392 4929 PH Cardio ETO PHO768 NEURON 6F GUIDING CATHETER(PENUMBRA) 37,930 4930 PH Cardio ETO PHO778 PTCA BALLOON 2.75X15MM(SPRINTERNC 15,737 4931 PH Cardio ETO PHO889 PTCA BALLOON 2.75 X 15 MM(VOYAGER NC) 19,911 4932 PH Cardio ETO PHO1027 GUIDING CATHER 6F EBU 3.0 MEDTRONIC 6,588 4933 PH Cardio ETO PHO1028 XTRM WAY BALLOON 2.0X10MM 13,392 4934 PH Cardio ETO PHO985 IVUS CATHETER ATLANTIS SR PRO - BOSTON 79,272 4935 PH Cardio ETO PHO986 IVUS PULLBACK SLEDGE - BOSTON 14,381 4936 PH Cardio ETO PHO1049 FLEXTOME CUTTING BALLOON 3.00X6MM-BOSTON 58,000 4937 PH Cardio ETO PHO1068 QUANTUM MAVERICK BALLOON 3.5X 8 MM 12,400 4938 PH Cardio ETO PHO871 PTCA BALLOON TREK 3 X 15 21,302 4939 PH Cardio ETO PHO678 BARD PERMAFIX FIXATION SYS 30 TACKS 25,380 4940 PH Cardio ETO PHO763 GUIDING CATH 6F (HOCKEY STICK 6,308 4941 PH Cardio ETO PHO775 PTCA BALLOON NC TREK 2.75 X 12 MM 21,302 4942 PH Cardio ETO PHO999 PTCA BALLOON NC TREK 2 X 8 MM 21,302 4943 PH Cardio ETO PHO781 Trocar Xcel Blunt Tip 12x100mm (H12LP) 11,040 4944 PH Cardio ETO PHO1025 PTCA BALLOON 2.5X12 [MAVERICK 2 MONORAIL] 13,392 4945 PH Cardio ETO PHO1026 LONG60A 60MM ARTICNG LNR CUTTER LONG 41,606 4946 PH Cardio ETO PHO789 ENSITE VELOCITY SURFACE ELECTRODE KIT 83,696 4947 PH Cardio ETO PHO1058 QUANTUM MAVERICK BALLOON 2.00X08MM 12,400 4948 PH Cardio ETO PHO1061 PTCA BALLOON NC TREK 2.5 X 20 MM 19,724 4949 PH Cardio ETO PHO1071 QUANTUM MAVERICK BALLOON 3.00X12MM 12,400 4950 PH Cardio ETO PHO1063 QUANTUM MAVERICK BALLOON 2.50X08MM 12,400 4951 PH Cardio ETO PHO1056 XTRM WAY BALLOON 3.5X15MM 12,400 4952 PH Cardio ETO PHO762 PTCA BALLOON TREK 2.5 X 15 22,131 4953 PH Cardio ETO PHO829 ANGIOSCULPT SCORING BALLON 2.5X15- MERIL 43,200 4954 PH Cardio ETO PHO821 ANGIOSCULPT SCORING BALLON 3.0X15- MERIL 43,200 4955 PH Cardio ETO PHO1090 Solitaire intracranial stent 103,061 4956 PH Cardio ETO PHO1015 XTRM WAY BALLOON 3.0X15MM 13,392 4957 PH Cardio ETO PHO1042 PTCA BALLOON 2.0X12 (MAVERICK 2 MONORAIL 13,392 4958 PH Cardio ETO PHO1062 QUANTUM MAVERICK BALLOON 2.0X 15 MM 12,400 4959 PH Cardio ETO PHO1075 PTCA BALLOON 3.0X15 MAVERICK 2 12,400 4960 PH Cardio ETO PHO1067 PTCA BALLOON 1.5X15 (MAVERICK 2 MONORAIL 12,400 4961 PH Cardio ETO PHO357 Cannula Femoral 21Fr 3/8inch (57421) 9,394 4962 PH Cardio ETO PHO212 PTCA Balloon 4x13mm(powersail) 20,976 4963 PH Cardio ETO PHO214 PTCA Balloon 4x8mm(powersail) 20,998 4964 PH Cardio ETO PHO218 PTCA Balloon 3x13mm(powersail) 20,998 4965 PH Cardio ETO PHO219 PTCA Balloon 4x13mm(powersail) 20,998 4966 PH Cardio ETO PHO220 PTCA Balloon 2.5cmx12mm(voyager) 22,130 4967 PH Cardio ETO PHO223 PTCA Coronary Guidewire ACS DOC 7,559 4968 PH Cardio ETO PHO224 PTCA Coronary Guidewire(Iron Man)0.014x1 7,559 4969 PH Cardio ETO PHO225 PTCA Coronary Guidewire(All Star)0.014x 7,559 4970 PH Cardio ETO PHO226 PTCA Coronary Guidewire(cross IT 200)0.0 7,559 4971 PH Cardio ETO PHO227 PTCA Coronary Guidewire(cross IT 100) 0. 7,559 4972 PH Cardio ETO PHO228 PTCA Coronary Guidewire(Whisper)0.014x19 7,559 4973 PH Cardio ETO PHO229 PTCA Coronary Guidewire(BMW) 0.014x190cm 7,559 4974 PH Cardio ETO PHO231 Radial Sheath 5 Fr(Terumo) 843 4975 PH Cardio ETO PHO234 Guidewire35X150mm(M) 0 4976 PH Cardio ETO PHO236 Angiography Guide wire J Tip 0.32x150cm 1,778 4977 PH Cardio ETO PHO237 Angiography Guide wire J Tip 0.35x150cm 1,778 4978 PH Cardio ETO PHO238 Angiography Guide wire Straight Tip 0.32 1,778 4979 PH Cardio ETO PHO240 Angiography Guide wire J Tip 0.25x150cm 1,774 4980 PH Cardio ETO PHO242 Angiography Guide wire J Tip 0.35X260cm 1,774 4981 PH Cardio ETO PHO243 Angiography Cathter 5F Tiger 1,007 4982 PH Cardio ETO PHO244 Radial Sheath 6F 10 cms 843 4983 PH Cardio ETO PHO245 Guidewire0.35x260cmx3mm(Amplatz super st 9,722 4984 PH Cardio ETO PHO246 Angio.guide wire.35x180cm(magic Torque) 9,722 4985 PH Cardio ETO PHO247 PTCA Cutting Balloon 2.50x10mm(Monorail) 40,261 4986 PH Cardio ETO PHO248 Inflation/Litho system Integrated for Cr 0 4987 PH Cardio ETO PHO249 Stent 3.5x10mm(Monorail) 40,261 4988 PH Cardio ETO PHO250 PTCA Cutting Balloon 2.50x10mm 40,261 4989 PH Cardio ETO PHO251 Angio.G.W.0.35X100CM(Backup meire)C-shap 9,719 4990 PH Cardio ETO PHO252 Angio.guidewire35x 180cm(magic Torque) 9,720 4991 PH Cardio ETO PHO253 PTCA Coronary GW(choice PTplus).014x190c 6,480 4992 PH Cardio ETO PHO256 Guidewire TSF 0.35x80cm 1,879 4993 PH Cardio ETO PHO257 Angio.Cath 5F0.38x100cm H1(cook) 7,718 4994 PH Cardio ETO PHO259 Check Flow Introducer Set MPIS(G12532) 4,295 4995 PH Cardio ETO PHO260 Angio cath 5FRx 100cm St tip(G12005-cook 4,428 4996 PH Cardio ETO PHO261 Angio cath 3FRx150cm ST tip (G12045-infu 6,442 4997 PH Cardio ETO PHO262 Angio cath XL 4FRX150cm St Tip (G36391-C 3,959 4998 PH Cardio ETO PHO263 Angio cath 5FRx100cm MPA (G12002-cook) 4,428 4999 PH Cardio ETO PHO264 Angio cath 5FRx100cm VERT(G12007-Cook) 4,428 5000 PH Cardio ETO PHO265 Angio Cath Cerebral 6FRx125cm H1 (G31134 7,381 5001 PH Cardio ETO PHO266 Ango cath 5FRx100cm Pigtail (g31216-Auro 13,822 5002 PH Cardio ETO PHO267 Angio cath 5FRx70cm Pigtrail (G08832-RF& 2,014 5003 PH Cardio ETO PHO268 Shuttle Sheath 6 fr 0 5004 PH Cardio ETO PHO269 Angiography Cath. Picard R.T. Angle 5Fr 0 5005 PH Cardio ETO PHO270 Angiography Catheter Head Hunter 5F 2,014 5006 PH Cardio ETO PHO271 Angiography Cather 5F Simmons II 0 5007 PH Cardio ETO PHO177 PTCA Coronary Guidewire(BMW)0.014x190cm 7,559 5008 PH Cardio ETO PHO179 PTCA Balloon 3.0X 8 mm (voyager) 22,130 5009 PH Cardio ETO PHO180 PTCA Balloon 2.5x 8mm (voyager) 22,130 5010 PH Cardio ETO PHO181 PTCA Balloon 2x12mm (voyager) 22,130 5011 PH Cardio ETO PHO182 PTCA Balloon 2.5cmx12mm (voyager) 22,130 5012 PH Cardio ETO PHO185 PTCA Coronary Guidewire (BMW)0.014x190cm 7,565 5013 PH Cardio ETO PHO187 PTCA Balloon 2.0x 20mm(sprinter) 19,464 5014 PH Cardio ETO PHO188 PTCA Balloon 2.0x 15mm(sprinter) 19,464 5015 PH Cardio ETO PHO189 PTCA Balloon 2.0x 6mm(sprinter) 19,464 5016 PH Cardio ETO PHO190 PTCA Balloon 1.5x20mm(sprinter) 19,464 5017 PH Cardio ETO PHO191 PTCA Balloon 1.5x15mm(sprinter) 19,464 5018 PH Cardio ETO PHO192 PTCA Balloon 1.5x10mm(sprinter) 19,464 5019 PH Cardio ETO PHO193 PTCA Balloon 1.5x12mm(sprinter) 19,464 5020 PH Cardio ETO PHO194 PTCA Balloon 1.5x6mm(sprinter) 19,464 5021 PH Cardio ETO PHO197 PTCA Balloon 3x12mm(voyager) 22,130 5022 PH Cardio ETO PHO198 PTCA Balloon 2.5x20mm(voyager) 22,130 5023 PH Cardio ETO PHO199 PTCA Balloon 2.5x15mm(voyager) 22,130 5024 PH Cardio ETO PHO200 PTCA Balloon 2x20mm(voyager) 22,130 5025 PH Cardio ETO PHO201 PTCA Balloon 2x15mm(voyager) 22,130 5026 PH Cardio ETO PHO202 PTCA Balloon 2x12mm(voyager) 22,130 5027 PH Cardio ETO PHO203 PTCA Balloon 1.5x15mm(voyager) 22,130 5028 PH Cardio ETO PHO204 PTCA Balloon 2.5x18mm(voyager) 22,130 5029 PH Cardio ETO PHO207 PTCA Balloon 4.5x13mm(powersail) 20,976 5030 PH Cardio ETO PHO208 PTCA Balloon 2.5x8mm(powersail) 20,976 5031 PH Cardio ETO PHO209 PTCA Balloon 3.5x8mm(powersail) 20,976 5032 PH Cardio ETO PHO210 PTCA Balloon 3x8mm(powersail) 20,976 5033 PH Cardio ETO PHO211 PTCA Balloon 2.5x13mm(powersail) 20,976 5034 PH Cardio ETO PHO157 Angiography Catheter 6F AR2 972 5035 PH Cardio ETO PHO158 Angiography Catheter 6F AL1 972 5036 PH Cardio ETO PHO159 Angiography Catheter 6F AR1 972 5037 PH Cardio ETO PHO160 Angiography Catheter 6F JR 4 972 5038 PH Cardio ETO PHO161 Angiography Catheter 6F JL 5 972 5039 PH Cardio ETO PHO162 Angiography Catheter 6F JL 3.5 972 5040 PH Cardio ETO PHO163 Inoue Ballon Catheter No.24 84,806 5041 PH Cardio ETO PHO164 Ptmc Balloon Inoue Set No.28 105,840 5042 PH Cardio ETO PHO166 Introducer Sheath 7FR 45cm 4,560 5043 PH Cardio ETO PHO167 Introducer Sheath 6FR 45cm 450 5044 PH Cardio ETO PHO168 Angiography Catheter Berman 6F 3,856 5045 PH Cardio ETO PHO169 Angiography Catheter Pressure Wedge 7F 2,322 5046 PH Cardio ETO PHO170 Angiography Catheter Pressure Wedge 6F 4,440 5047 PH Cardio ETO PHO171 Angiography Catheter Pressure Wedge 5f 2,322 5048 PH Cardio ETO PHO172 Introducer Sheath 7FR 65cm 4,560 5049 PH Cardio ETO PHO173 Introducer Sheath 6FR 65cm 4,560 5050 PH Cardio ETO PHO174 PTCA Balloon Catheter 3.5x13mm(powersail 20,998 5051 PH Cardio ETO PHO175 PTCA Balloon 4.5x13mm (powersail) 20,998 5052 PH Cardio ETO PHO176 PTCA Balloon 3X12mm (voyager) 22,130 5053 PH Cardio ETO PHO141 Mullin Sheath 8F 7,560 5054 PH Cardio ETO PHO142 Angiography Catheter 5F AR2 972 5055 PH Cardio ETO PHO143 Angiography Catheter 5F AL2 972 5056 PH Cardio ETO PHO145 Angiography Catheter 5FR MP-A2 972 5057 PH Cardio ETO PHO146 Angiography Catheter 6F AL2 972 5058 PH Cardio ETO PHO148 Angiography Catheter 6F IMA 972 5059 PH Cardio ETO PHO149 Inflation Device 8,308 5060 PH Cardio ETO PHO150 Angiography Catheter Pigtail 6F 972 5061 PH Cardio ETO PHO151 Angiography Guidewire J Tip0.35x 145cm 867 5062 PH Cardio ETO PHO152 Angiography Catheter Pigtail5F 972 5063 PH Cardio ETO PHO153 Angiography Catheter 5F AL1 972 5064 PH Cardio ETO PHO154 Angiography Catheter 5F JL 3.5 972 5065 PH Cardio ETO PHO155 Angiography Catheter 5F JL 4 972 5066 PH Cardio ETO PHO156 Angiography Catheter 6F MP1 972 5067 PH Cardio ETO PHO106 Guiding Catheter 6F JL 3.0 6,308 5068 PH Cardio ETO PHO107 Guiding Catheter 6F JL 3.5 6,308 5069 PH Cardio ETO PHO108 PTCA Coronary Guidewire(Shinobi)0.014x19 7,380 5070 PH Cardio ETO PHO109 Guiding Catheter 7F XB 4 6,308 5071 PH Cardio ETO PHO111 Guiding Catheter 7F XB 3 6,308 5072 PH Cardio ETO PHO112 Guiding Catheter 6F XB 3 6,308 5073 PH Cardio ETO PHO113 Guiding Catheter 6F XB 4 6,308 5074 PH Cardio ETO PHO114 Guiding Catheter 6FXB 3.5 6,308 5075 PH Cardio ETO PHO115 Guiding Catheter 7FJR 4.0 6,308 5076 PH Cardio ETO PHO116 Guiding Catheter Renal RDC 6 F 6,308 5077 PH Cardio ETO PHO117 Guiding Catheter 7F AL2 6,308 5078 PH Cardio ETO PHO118 Guiding Catheter 6F AL2 6,308 5079 PH Cardio ETO PHO121 Angiography Catheter6F NTR 972 5080 PH Cardio ETO PHO123 Angiography Catheter5F JR 4 972 5081 PH Cardio ETO PHO124 Angiography Catheter 6F JR4 972 5082 PH Cardio ETO PHO125 Angiography Guidewire J Tip 0.35x 260cm 1,778 5083 PH Cardio ETO PHO128 Export Aspiration Cathter 6F 40,937 5084 PH Cardio ETO PHO130 Angiography Guidewire J Tip 0.35X260cm s 1,778 5085 PH Cardio ETO PHO131 PTCA Balloon 1.5x 12mm(voyager) 22,130 5086 PH Cardio ETO PHO132 Angiography Catheter 6F JL 4 972 5087 PH Cardio ETO PHO134 Angiography Catheter 6F JR 3.5 972 5088 PH Cardio ETO PHO135 Angiography Catheter6FMO A1 972 5089 PH Cardio ETO PHO076 Angiography Cath.Tempo Cobra I(C2)5Fx65c 638 5090 PH Cardio ETO PHO077 Angiography Cath.Tempo Cobra I(C3)5Fx65c 638 5091 PH Cardio ETO PHO078 Angiography Cath.Tempo SIMI 5F x100cm 638 5092 PH Cardio ETO PHO079 Angiography Cath.Tempo Cobra I(C1)5Fx65c 638 5093 PH Cardio ETO PHO080 Guiding Cath.(RDC)7FRx55cm 6,308 5094 PH Cardio ETO PHO081 Guiding Cath.(Hockey Stick)7frX55cm 6,308 5095 PH Cardio ETO PHO082 Introducer Sheath 5F 11 cms 918 5096 PH Cardio ETO PHO083 Introducer Sheath 4F 11cm 918 5097 PH Cardio ETO PHO087 Introducer Sheath 9F 11cms 918 5098 PH Cardio ETO PHO088 Introducer Sheath 8F11cms 918 5099 PH Cardio ETO PHO089 Introducer Sheath 7F 11 cms 918 5100 PH Cardio ETO PHO091 Introducer Sheath 6F 11cms 918 5101 PH Cardio ETO PHO093 Guiding Catheter Renal RDC 7F 6,308 5102 PH Cardio ETO PHO094 Guiding Catheter 7F JL 4.0 6,308 5103 PH Cardio ETO PHO095 Guiding Catheter 7F JL 3.5 6,308 5104 PH Cardio ETO PHO096 Guiding Catheter 6F IMA 6,308 5105 PH Cardio ETO PHO097 Guiding Catheter 6F MP1 6,308 5106 PH Cardio ETO PHO098 Guiding Catheter 6F AR2 6,308 5107 PH Cardio ETO PHO099 Guiding Catheter 6F AR1 6,308 5108 PH Cardio ETO PHO100 Guiding Catheter 6F AL1 6,308 5109 PH Cardio ETO PHO101 Guiding Catheter 6F JR 4.0 6,308 5110 PH Cardio ETO PHO102 Guiding Catheter 6F JL 5.0 6,308 5111 PH Cardio ETO PHO063 Guiding Catheter 7F JR 4.0 6,308 5112 PH Cardio ETO PHO068 Guiding Catheter MPA 6F-125cm 6,308 5113 PH Cardio ETO PHO069 Introducer Sheath 7fr X55cm(vista) 2,014 5114 PH Cardio ETO PHO070 Angiography Cath. Tempo Renal RDC 5F x 8 6,039 5115 PH Cardio ETO PHO071 Guiding Cath. Contra-1 8FRx 55cm( vista) 6,308 5116 PH Cardio ETO PHO072 Introducer Sheath 7FRx23cm(vista) 2,014 5117 PH Cardio ETO PHO073 Introducer Sheath 7FRx45cm(vista) 2,014 5118 PH Cardio ETO PHO074 Introducer Sheath 7FRx90cm(vista) 2,014 5119 PH Cardio ETO PHO075 Angiography Cath.Tempo Renal Small 5F 638 5120 PH Cardio ETO PHO034 Guiding Catheter 6F JR 3.5 6,308 5121 PH Cardio ETO PHO037 Guiding Catheter 7F MPA-1 6,308 5122 PH Cardio ETO PHO038 Guiding Catheter 7F JL 3.0 6,308 5123 PH Cardio ETO PHO039 Guiding Catheter 7F JR-3.5 6,308 5124 PH Cardio ETO PHO040 Angio Cath .Tempo Cobra I(C1)4Fx65cm 9,686 5125 PH Cardio ETO PHO041 Angiography Cath. Tempo SIM 1 4Fx100cm 9,719 5126 PH Cardio ETO PHO042 Guiding Catheter 6F MPA-1 6,308 5127 PH Cardio ETO PHO043 Guiding Catheter 6F IM 6,308 5128 PH Cardio ETO PHO045 Guiding Catheter 6FAR1 6,308 5129 PH Cardio ETO PHO049 Guiding Catheter 6F XB 3.5 6,308 5130 PH Cardio ETO PHO051 Guiding Catheter 6F JL3.0 6,308 5131 PH Cardio ETO PHO052 Guiding Catheter 6F JL 4.0 6,308 5132 PH Cardio ETO PHO053 Guiding Catheter 7F JL 5.0 6,308 5133 PH Cardio ETO PHO006 Introducer Transradial Sheath 5F 11cm 1,275 5134 PH Cardio ETO PHO007 Introducer Sheath Brite Tip 10F/23 cm(co 2,014 5135 PH Cardio ETO PHO010 Guiding Catheter straight 5F/ 0.035/65c 6,308 5136 PH Cardio ETO PHO011 PTCA Balloon 7 x 40 mm(Opta Pro) 16,104 5137 PH Cardio ETO PHO012 Angiography Cathter 6F JR 4 972 5138 PH Cardio ETO PHO013 Angiography Cathter 6F JL4 972 5139 PH Cardio ETO PHO014 Angiography Cathter 6F AL2 972 5140 PH Cardio ETO PHO015 Angiography Cathter 6F AR2 972 5141 PH Cardio ETO PHO018 Guiding Catheter 5F JR3.5 6,308 5142 PH Cardio ETO PHO019 Guiding Catheter 5F JR 4 6,308 5143 PH Cardio ETO PHO021 Guiding Catheter 7F XB 3.5 6,308 5144 PH Cardio ETO PHO028 Introducer Sheath 7F 11cm 918 5145 PH Cardio ETO PHO030 Guiding Catheter 6F XB 3 6,308 5146 PH Cardio ETO PHO714 PTCA BALLOON 2.0X15 (MAVERICK 2 MONORAIL 17,464 5147 PH Cardio ETO PHO715 PTCA BALLOON 1.25X10MM(SPRINTER) 19,464 5148 PH Cardio ETO PHO623 PTCA BALLOON 3.5X12MM (VOYAGER) 22,130 5149 PH Cardio ETO PHO582 Pressure Monitoring Kit Single (Px260) 1,296 5150 PH Cardio ETO PHO584 Ablation cathether( IBI Therapy) 45,144 5151 PH Cardio ETO PHO585 Pacing Lead Bipolar Semifloater 6F Bard 4,860 5152 PH Cardio ETO PHO586 Inflation Device (Boston) 6,231 5153 PH Cardio ETO PHO587 Inflation System Integrated (5062) 32,905 5154 PH Cardio ETO PHO588 Extraction Catheter ProntoV3 (5003) 33,696 5155 PH Cardio ETO PHO002 Introducer Sheath Brite Tip 7 F/ 23cm(co 1,091 5156 PH Cardio ETO PHO003 Introducer Sheath 8F 11cm 913 5157 PH Cardio ETO PHO004 Guiding Catheter 6F JL 3.5 4,486 5158 PH Cardio ETO PHO005 Introducer Transradial Sheath 6F JL 11cm 1,275 5159 PH Cardio ETO PHO618 PTCA Balloon 2.0x12mm (Sprinter) 19,464 5160 PH Cardio ETO PHO703 PTCA BALLON 4.0X 15MM (VOYAGER -NC) 22,130 5161 PH Cardio ETO PHO704 PTCA BALLOON 1.1X20 (ACROSTAK) 22,130 5162 PH Cardio ETO PHO705 PTCA BALLOON 3.5X15 (DURA STAR) 19,464 5163 PH Cardio ETO PHO706 Angiography Cathter 5F AR1 1,113 5164 PH Cardio ETO PHO707 PTCA BALLON 3.0 X 15MM (VOYAGER -NC) 22,130 5165 PH Cardio ETO PHO708 DECAPOLAR CATH. LIVE WIRE+CABLE(ST.JUDE) 48,816 5166 PH Cardio ETO PHO709 GUIDING CATHETER 7F IMA 6,308 5167 PH Cardio ETO PHO710 PTCA BALLON 4.5 X 12MM (VOYAGER -NC 22,131 5168 PH Cardio ETO PHO711 ANGIOGRAPHY CATHETER 4F JR 3.5 1,104 5169 PH Cardio ETO PHO619 PTMC Balloon 26 67,365 5170 PH Cardio ETO PHO620 Accesseries of PTMC Balloon 26 39,870 5171 PH Cardio ETO PHO621 PTMC Balloon 28 67,365 5172 PH Cardio ETO PHO622 Accesseries of PTMC Balloon 28 39,870 5173 PH Cardio ETO PHO688 GUIDER MP XF/8FR 90 CM 11,909 5174 PH Cardio ETO PHO689 PTCA CTO ?BALLOON 1.1X10 (ACROSTAK) 22,130 5175 PH Cardio ETO PHO690 PTCA BALLOON 1.50X10 (FIRE STAR) 19,464 5176 PH Cardio ETO PHO691 PTCA BALLON 4.0 X 12MM (VOYAGER -NC) 22,130 5177 PH Cardio ETO PHO692 PTCA BALLOON 2.5X15 (FIRE STAR) 19,464 5178 PH Cardio ETO PHO693 PTCA BALLON 3.5 X 15MM (VOYAGER -NC) 22,130 5179 PH Cardio ETO PHO695 PTCA BALLOON 1.5X15 (FIRE STAR) 19,464 5180 PH Cardio ETO PHO696 PTCA BALLON 2.5X15MM(SPRINTER) 19,464 5181 PH Cardio ETO PHO697 Guiding Catheter XB LAD 7.F 3.5 (Cordis) 6,308 5182 PH Cardio ETO PHO698 SAFIRE ABLATION CATHETER (ST.JUDE) 54,000 5183 PH Cardio ETO PHO699 SAFIRE ABLATION CABLE-(ST.JUDE) 15,120 5184 PH Cardio ETO PHO700 PTCA BALLOON 3.0X15 (DURA STAR) 19,464 5185 PH Cardio ETO PHO701 PTCA BALLOON 2.0X15 (FIRE STAR) 19,464 5186 PH Cardio ETO PHO702 PTCA BALLOON 2.5X10 (FIRE STAR) 19,464 5187 PH Cardio ETO PHO686 PROGRET MICRO CATH(MC-PP27131)-TERUMO 23,817 5188 PH Cardio ETO PHO687 PTCA BALLOON 2.5X10 (DURA STAR) 19,464 5189 PH Cardio ETO PHO680 PTCA BALLOON 2.75X12 MM (SPRINTER ) 19,464 5190 PH Cardio ETO PHO681 PTCA BALLOON 1.5X8 (APEX PUSH MONORAIL 20,001 5191 PH Cardio ETO PHO682 PTCA BALLOON 3.0X12 MM (SPRINTER NC) 19,464 5192 PH Cardio ETO PHO683 PTCA BALLOON 2.0X10 (FIRE STAR) 19,464 5193 PH Cardio ETO PHO684 CONTROL HIGH PRESSURE SYRINGE 10ML (SMIT 353 5194 PH Cardio ETO PHO685 HIGH PRESSURE TUBING 120CM (SMITH MEDIC 453 5195 PH Cardio ETO PHO654 PTCA Balloon 2.75x12mm(Voyager) 22,130 5196 PH Cardio ETO PHO655 PTCA BALLOON 3.5X12 MM (SPRINTER NC) 19,464 5197 PH Cardio ETO PHO643 HALO CATHETER WITH CONNECTOR (D7T20P15RT 94,725 5198 PH Cardio ETO PHO644 PTCA Balloon 2x8mm(Voyager) 22,130 5199 PH Cardio ETO PHO727 PTCA BALLON 4.5 X 8MM (VOYAGER -NC) 22,130 5200 PH Cardio ETO PHO641 PTCA Balloon 2.5x 10mm(Sprinter) 19,464 5201 PH Cardio ETO PHO604 Angiography Catheter 5F MPA1 972 5202 PH Cardio ETO PHO605 Angiography Cath. Picard R.T.Angle 5Fr 2,074 5203 PH Cardio ETO PHO606 ASPIRATION CATHETER 6FR (THROMBUSTER-II) 48,730 5204 PH Cardio ETO PHO725 PTCA BALLON 4 X 8MM (VOYAGER -NC) 22,130 5205 PH Cardio ETO PHO726 PTCA BALLON 3.5 X 20 MM (VOYAGER -NC) 22,130 5206 PH Cardio ETO PHO609 BALLOON 2.5 9MM (SPRINTER NC) 19,291 5207 PH Cardio ETO PHO610 PTCA BALLOON 2.0X9(SPRINTER) 19,464 5208 PH Cardio ETO PHO611 ASPIRATION CATHETER 7FR (THROMBUSTER-II) 48,730 5209 PH Cardio ETO PHO612 PTA Balloon Dilation Catheter 6x40mm(Opt 16,104 5210 PH Cardio ETO PHO613 PTCA Balloon 5 x 80cm (Opta Pro) 15,811 5211 PH Cardio ETO PHO614 Manifold 2 Core 249 5212 PH Cardio ETO PHO731 PTCA BALLOON 1.2X8MM (MINITREK) 22,131 5213 PH Cardio ETO PHO615 PTCA BALLOON 3.5X8MM (VOYAGER) 22,130 5214 PH Cardio ETO PHO593 PTCA Balloon 2.0x10mm (Sprinter) 19,464 5215 PH Cardio ETO PHO594 PTCA Coronary Guidewire DOC Extension (G 4,812 5216 PH Cardio ETO PHO595 PTCA Balloon 3.5x9mm(SprinterNC) 19,464 5217 PH Cardio ETO PHO596 PTCA Balloon 3.0x9mm(SprinterNC) 19,464 5218 PH Cardio ETO PHO597 GUIDE WIRE 0.35X150CM(J TIP) TERUMO 1,750 5219 PH Cardio ETO PHO632 CAR0883 Tyshak-2 20mmX 6cmX 8F(PDC-534 23,543 5220 PH Cardio ETO PHO721 PTCA BALLOON 2.0X9 (MAVERICK 2 MONORAIL 17,464 5221 PH Cardio ETO PHO723 Utrin Catheter RUC 5F (robertson) 3,942 5222 PH Cardio ETO PHO724 GUIDING CATHETER XB LAD 6F 3.5 (CORDIS) 6,340 5223 PH Cardio ETO PHO598 Introducer Sheath 8Fr 45cm 4,907 5224 PH Cardio ETO PHO600 Protack 5mm (174006) 22,618 5225 PH Cardio ETO PHO633 PTCA Balloon 1.25x6mm(Sprinter Legend) 19,464 5226 PH Cardio ETO PHO601 PTCA Coronary Guidewire(All Star) 0.014x 5,940 5227 PH Cardio ETO PHO602 Angiography Cathter 5F IMA 972 5228 PH Cardio ETO PHO603 Angiography Catheter 5F NTR 486 5229 PH Cardio ETO PHO722 PRESSURE WIRE CERTUS 34,884 5230 PH Cardio ETO PHO717 Guiding Catheter 7F AL1 6,308 5231 PH Cardio ETO PHO719 GUIDING CATHETER 7F AR 1 6,308 5232 PH Cardio ETO PHO590 PTCA Balloon 2.5x12mm (Sprinter) 19,464 5233 PH Cardio ETO PHO591 Angiography Cathter 5F JR 3.5 972 5234 PH Cardio ETO PHO592 PTMC Balloon Inoue Set No 26 105,840 5235 PH Common Surgery ItemPHO1018 CONTOUR CURVED CUTTER 40 MM GREEN CS40G 43,303 5236 PH Common Surgery ItemPHO334 Stapler Linear Cutter TCT 75 15,623 5237 PH Common Surgery ItemPHO335 Stapler Linear Cutter TLC-75 18,898 5238 PH Common Surgery ItemPHO336 Stapler ATG -45 32,263 5239 PH Common Surgery ItemPHO337 Stapler TX 30 25,226 5240 PH Common Surgery ItemPHO338 Stapler TX 30V 25,226 5241 PH Common Surgery ItemPHO339 Stapler TX 30G 25,226 5242 PH Common Surgery ItemPHO340 Stapler TX 60G 25,226 5243 PH Common Surgery ItemPHO341 Stapler Remover 738 5244 PH Common Surgery ItemPHO342 Cautery Plate 918 5245 PH Common Surgery ItemPHO343 Cautery Pencil (Valley Lab) 1,178 5246 PH Common Surgery ItemPHO344 Cautry Tip 6.5 inch(0009)-Modified blade 0 5247 PH Common Surgery ItemPHO345 Cautry Tip 5 inch(0009)-Ball Type 912 5248 PH Common Surgery ItemPHO346 Cautry Tip 2 inch(0315) 605 5249 PH Common Surgery ItemPHO347 Cautry Tip 6.5 inch (0314) 605 5250 PH Common Surgery ItemPHO348 Cautry Tip 4 inch(0314A) 605 5251 PH Common Surgery ItemPHO324 Asepto pump 130 5252 PH Common Surgery ItemPHO325 Trocar Xcel 5x100mm 8,903 5253 PH Common Surgery ItemPHO326 Trocar Xcel 15 mm(bladeless) 9,979 5254 PH Common Surgery ItemPHO327 Trocar Xcel 12x100mm 8,450 5255 PH Common Surgery ItemPHO328 Harmonic Scalpel Probe Long Length(LCSC 38,736 5256 PH Common Surgery ItemPHO329 Harmonic Scalpel Probe Hand Operated(ACE 45,451 5257 PH Common Surgery ItemPHO716 SURGICAL CLIPPER BLADE-3M (REUSABLE) 540 5258 PH Common Surgery ItemPHO0349 Saw balde/Oscillating Balde(519.115) 4,190 5259 PH Common Surgery ItemPHO0350 Saw balde/Oscillating Balde(519.116) 4,190 5260 PH Common Surgery ItemPHO0351 Saw balde/Oscillating Balde(519.117) 4,190 5261 PH Common Surgery ItemPHO0352 Agressiev balde 4.2mm 0 5262 PH Common Surgery ItemPHO589 Legend Oiler/Diffuser Packaging 12,960 5263 PH Common Surgery ItemPHO581 MICROSENSOR BASIC KIT (CODMAN -J&J) 40,155 5264 PH Common Surgery ItemPHO712 CHRONOS B-TCP GRANULES (710.026S) 12,561 5265 PH Common Surgery ItemPHO570 Perforator cranial with Hudson End (210- 15,414 5266 PH Common Surgery ItemPHO571 Dissecting Tool (F2/8TA 23) 5,673 5267 PH Common Surgery ItemPHO572 Phaco knife 15 degree (alcon) 586 5268 PH Common Surgery ItemPHO573 Phaco knife crescent ( alcon) 627 5269 PH Common Surgery ItemPHO574 Phaco knife 3.2 mm (alcon) 627 5270 PH Common Surgery ItemPHO575 Phaco knife 3 mm ( alcon) 709 5271 PH Common Surgery ItemPHO576 Phaco knife 1.3 mm 20 g 633 5272 PH Common Surgery ItemPHO577 Phaco knife 2.78 ( angled) 709 5273 PH Common Surgery ItemPHO578 Phaco knife 2.8 mm ( epsilon) 134 5274 PH Common Surgery ItemPHO579 Phaco knife 15 degree ( epsilon) 134 5275 PH Common Surgery ItemPHO580 Phaco knife cresent ( epsilon) 134 5276 PH Common Surgery ItemPHO694 Ligaclip Applier 5mm (EL5ML) 18,006 5277 PH Common Surgery ItemPHO569 HARMONIC CURVED SHEARS 5 MM (LCSC5HA) 38,737 5278 PH Common Surgery ItemPHO562 Cautry Tip 4 inch (0314A) 604 5279 PH Common Surgery ItemPHO563 Cautry Tip 2 inch (0315) 604 5280 PH Common Surgery ItemPHO565 Cautry Tip Electrode (0013) 623 5281 PH Common Surgery ItemPHO566 Cautry Tip Electrode 853 5282 PH Common Surgery ItemPHO635 Swan Ganz Catheter Thermodilution (831HF 4,144 5283 PH Common Surgery ItemPHO516 ENT PERCISION CUTTER 4.0MM (5290-740-200 8,231 5284 PH Common Surgery ItemPHO517 MANDIBULAR BLADE SMALL (2296-3-103) 1,994 5285 PH Common Surgery ItemPHO518 MANDIBULAR BLADE MEDIUM (2296-3-412) 1,994 5286 PH Common Surgery ItemPHO519 MANDIBULAR BLADE (X-LONG WIDE) 2296-3-50 1,994 5287 PH Common Surgery ItemPHO520 SAW BLADE REF NO 2108-102 2,056 5288 PH Common Surgery ItemPHO521 SAW BLADE REF NO 2108-103 2,176 5289 PH Common Surgery ItemPHO522 SAW BLADE REF NO 4125-127-100 2,686 5290 PH Common Surgery ItemPHO523 TRIPOLAR POWER BLADE (LINA) 10MM 13,030 5291 PH Common Surgery ItemPHO524 TRIPOLAR POWER BLADE (LINA) 5MM 13,551 5292 PH Common Surgery ItemPHO525 GASTRIC CALLIBRATION TUBE GCT 360 9,016 5293 PH Common Surgery ItemPHO728 ENT DISPOSABLE CASSETTE (0290-075-000) 4,266 5294 PH Common Surgery ItemPHO730 MINILAP ALLIGATOR GRASPER (255-000-001) 8,594 5295 PH Common Surgery ItemPHO526 STAPLER UNIVERSAL ENDOGIA GIAUNVXL 37,399 5296 PH Common Surgery ItemPHO527 STAPLER CURVED CIRCULAR CDH33 21,480 5297 PH Common Surgery ItemPHO528 CUTTING LOOP BALL TYPE NO 24 (KARL STORZ 3,162 5298 PH Common Surgery ItemPHO529 CUTTING LOOP NO 24(KARL STORZ) 3,288 5299 PH Common Surgery ItemPHO539 SKIN STAPLER (ROYAL) 751 5300 PH Common Surgery ItemPHO543 DEBRIDER CUTTER 3,942 5301 PH Common Surgery ItemPHO546 LAPROSCOPIC IRRIGATION TUBE (KARL STORZ) 2,409 5302 PH Common Surgery ItemPHO547 HYSTEROSCOPIC IRRIGATION TUBE (KARL STOR 2,409 5303 PH Common Surgery ItemPHO561 Coagulation Forcep Cord E0019 2,339 5304 PH Common Surgery ItemPHO637 AGGRESSIVE CUTTER BLADE 28205AKS(6NOS) 38,905 5305 PH Common Surgery ItemPHO638 LAMINAR FLOW PHACO TIPS 17,436 5306 PH Common Surgery ItemPHO513 STAPLER ENDO LINEAR CUTTER EC 60 36,861 5307 PH Common Surgery ItemPHO599 Contact Lens (Purevision) 778 5308 PH Common Surgery ItemPHO634 LASER FLEX CUFFED 6.0 - TYCO 10,971 5309 PH Common Surgery ItemPHO718 Veress Needle (UV120) 5,044 5310 PH Common Surgery ItemPHO720 Biopsy Gun 18G X 16cm 2,700 5311 PH Common Surgery ItemPHO512 ULTRASONIC HARMONIC SCALPEL 10 MM 44,098 5312 PH CTVS ETO PHO757 Intra Aortic Balloon Cath7.5F 40cc(Datas 54,000 5313 PH CTVS ETO PHO741 OPVAC SYNERGY II-ESTECH (401-230) 47,265 5314 PH CTVS ETO PHO1005 ARTERIAL CANNULA 21 FR. (DLP-57421)-MED 18,832 5315 PH CTVS ETO PHO994 ARTERIAL CANNULA 21 FR. (DLP-57421)-MED 18,832 5316 PH CTVS ETO PHO1006 Venous Cannula femoral (96328) 16,200 5317 PH CTVS ETO PHO995 Breathing System With Bag 2Ltr(2117-000) 7,542 5318 PH CTVS ETO PHO354 Aortic Cannula EOPA(77520) 1,638 5319 PH CTVS ETO PHO355 Atrial Vent Catheter18 FR Sarns 798 5320 PH CTVS ETO PHO356 Cannula Femoral 17Fr 3/8inch (57417) 9,394 5321 PH CTVS ETO PHO358 Cannula Femoral 21Fr 3/8inch (58521) 9,394 5322 PH CTVS ETO PHO359 Cannula Ostial(30212) 1,759 5323 PH CTVS ETO PHO360 Cannula Pulmonary Vent (12004) 1,133 5324 PH CTVS ETO PHO379 Connectors 3/8 x 3/8 42 5325 PH CTVS ETO PHO380 Connectors 3/8 x 3/8 x 1/4 42 5326 PH CTVS ETO PHO381 Connectors 3/8 x 3/8 x 3/8 42 5327 PH CTVS ETO PHO382 Heart Vent Catheter (12016) 1,079 5328 PH CTVS ETO PHO383 Retrograde Cannula (2014) 2,220 5329 PH CTVS ETO PHO384 Retrogrde Cannula (PLD014MIBH) 4,866 5330 PH CTVS ETO PHO385 Venoatrial cath. Canula 36fr 0 5331 PH CTVS ETO PHO386 Venous Cannula 2 Stage (91246c) 1,811 5332 PH CTVS ETO PHO387 Venous Cannula 2 Stage (91251C) 1,811 5333 PH CTVS ETO PHO388 Venous Cannula 2 Stage (91265c ) 1,662 5334 PH CTVS ETO PHO349 Aortic Cannula (80022-Metal Tip) 3,108 5335 PH CTVS ETO PHO350 Aortic Cannula (Curved Tip- 87220) 1,637 5336 PH CTVS ETO PHO351 Aortic Cannula 20 Fr (ISP-3042) 1,704 5337 PH CTVS ETO PHO352 Aortic Cannula 20 Sarns (4949) 1,064 5338 PH CTVS ETO PHO353 Aortic Cannula CVDTip(metal)20f 0 5339 PH CTVS ETO PHO254 Connector Y(Clear body tuohy-Barst)(PTBY 1,879 5340 PH CTVS ETO PHO481 SUMP SUCKER 996 5341 PH CTVS ETO PHO482 CONNECTORS STR.1/2 X 1/2 39 5342 PH CTVS ETO PHO483 CONNECTORS STR. 3/8 X3/8 39 5343 PH CTVS ETO PHO484 CONNECTORS STR.1/4 X 1/4 39 5344 PH CTVS ETO PHO485 CONNECTORS STR.1/2 X 1/4 39 5345 PH CTVS ETO PHO486 CONNECTORS STR.1/2 X 3/8 39 5346 PH CTVS ETO PHO487 CONNECTORS STR.1/4 X 1/4 with luer lock 135 5347 PH CTVS ETO PHO488 CONNECTORS STR. Male luer lock 39 5348 PH CTVS ETO PHO492 CONNECTORS Y 1/2 X 3/8 X 3/8 39 5349 PH CTVS ETO PHO493 CONNECTORS Y 1/2 X 1/4 X 1/4 39 5350 PH CTVS ETO PHO494 CONNECTORS Y 3/8 X 1/2 X 1/2 39 5351 PH CTVS ETO PHO495 CONNECTORS Y 3/8 X 1/4 X 1/4 39 5352 PH CTVS ETO PHO496 CONNECTORS Y 1/4 X 3/8 X 3/8 39 5353 PH CTVS ETO PHO498 CONNECTORS Y 1/2 X 3/8 X 1/4 39 5354 PH CTVS ETO PHO499 MEDEX DOMES 303 5355 PH CTVS ETO PHO500 CP Y ADAPTOR 1,620 5356 PH CTVS ETO PHO444 SNUGGER TUBES(ADULT/PED) 120 5357 PH CTVS ETO PHO447 SUTURE GUIDE 806 5358 PH CTVS ETO PHO448 SURGILOOP 0 5359 PH CTVS ETO PHO458 TUBE ORGANIZER 864 5360 PH CTVS ETO PHO459 VASO VIEW SYSTEM 93,940 5361 PH CTVS ETO PHO460 VASOLOOP YELLOW MINI 402 5362 PH CTVS ETO PHO461 VASOLOOP YELLOW MAXI 453 5363 PH CTVS ETO PHO462 VEIN CANNULA 3007 416 5364 PH CTVS ETO PHO463 AORTIC CANNULA (METAL TIP) 3,108 5365 PH CTVS ETO PHO467 VENOUS CANNULA SINGLE STAGE 22 FR 2,033 5366 PH CTVS ETO PHO429 BLOWER MISTER ED 2,415 5367 PH CTVS ETO PHO430 BLOWER MISTER CARDIO 2,415 5368 PH CTVS ETO PHO431 BLOWER MISTER 2,415 5369 PH CTVS ETO PHO433 BULLDOG WHITE ANGLED 1001-501 453 5370 PH CTVS ETO PHO434 BULLDOG BLUE STR 1001-504 453 5371 PH CTVS ETO PHO435 BULLDOG BLUE ANGLED 1001-505 453 5372 PH CTVS ETO PHO436 BULLDOG RED STR 1001-502 453 5373 PH CTVS ETO PHO437 BULLDOG RED ANGLED 906 5374 PH CTVS ETO PHO438 CORONARY FLOW PROBE 3MM 167,750 5375 PH CTVS ETO PHO439 CORONARY FLOW PROBE 4MM 167,750 5376 PH CTVS ETO PHO440 EMBOLECTOMY CATHETER(2/3/4/5/6) 2,022 5377 PH CTVS ETO PHO441 IMA CANNULA 820 5378 PH CTVS ETO PHO391 Venous Cannula 24 (69424) 1,960 5379 PH CTVS ETO PHO392 Venous Cannula 28 1,960 5380 PH CTVS ETO PHO393 Venous Cannula 28 (69328) 1,960 5381 PH CTVS ETO PHO394 Venous Cannula Medtronic(69428) 1,960 5382 PH CTVS ETO PHO395 Venous Cannula single ( 66128) 1,811 5383 PH CTVS ETO PHO396 Venous Cannula Single (66126) 1,811 5384 PH CTVS ETO PHO397 Venous cannula Single 24Fr  MED 1,960 5385 PH CTVS ETO PHO398 Venous Cannula Single Stage (66130) 1,813 5386 PH CTVS ETO PHO400 Venous Cannula Single Stage (66132) 2,033 5387 PH CTVS ETO PHO401 Venous Cannula Single Stage (66136) 2,033 5388 PH CTVS ETO PHO402 Venous Cannula Single Stage (69320) 2,033 5389 PH CTVS ETO PHO403 Venous Cannula Single Stage( 66134 ) 2,033 5390 PH CTVS ETO PHO404 Venous Cannula 0 5391 PH CTVS ETO PHO713 Pleur-Evac Thoracic Drainage 2500ml 3,737 5392 PH CTVS ETO PHO501 Intar coronary shunt 1.00mm 3,202 5393 PH CTVS ETO PHO502 Intar coronary shunt 1.25mm 3,202 5394 PH CTVS ETO PHO503 Intar coronary shunt 1.50mm 3,202 5395 PH CTVS ETO PHO504 Intar coronary shunt 1.75mm 3,202 5396 PH CTVS ETO PHO505 Intar coronary shunt 2.00mm 3,202 5397 PH CTVS ETO PHO506 Intar coronary shunt 2.25mm 3,202 5398 PH CTVS ETO PHO507 Intar coronary shunt 2.50mm 3,202 5399 PH CTVS ETO PHO508 Intar coronary shunt 2.75mm 3,202 5400 PH CTVS ETO PHO509 Intar coronary shunt 3.00mm 3,202 5401 PH CTVS ETO PHO510 snugger set 120 5402 PH CTVS ETO PHO511 aortic punch 4.00 2,113 5403 PH CTVS ETO PHO568 CORPER CANNULA MED 30012 982 5404 PH CTVS ETO PHO607 VASCULAR GRAFT 8MMX40CM (GORE PROPATEN) 46,557 5405 PH CTVS ETO PHO608 AORTIC GRAFT VALVE 25-514(84597161)ST.JU 105,782 5406 PH CTVS ETO PHO729 MARKING PATCH 4X4 (07828)--BARD 7,776 5407 PH CTVS ETO PHO538 X POSE 4 DEVICE (XP-400) 67,101 5408 PH CTVS ETO PHO616 PTCA Balloon 2.0x12mm (Sprinter) 19,464 5409 PH CTVS ETO PHO617 BALLOON 2.5 9MM (SPRINTER NC) 19,104 5410 PH Dialysis ETO PHO273 Transducer PROTACTOR 0 5411 PH Dialysis ETO PHO274 Dialyzer F-7 with Tubing (Fresinus Kabi) 1,006 5412 PH Dialysis ETO PHO275 Dialyzer F-5 with tubing (Fresinus Kabi) 818 5413 PH Dialysis ETO PHO276 Dialyzer F-6 with tubing (Fresinus Kabi) 818 5414 PH Dialysis ETO PHO277 Dialyzer F-8 with tubing (Fresinus Kabi) 845 5415 PH Dialysis ETO PHO278 Dialyzer F-4 with tubing (Fresinus Kabi) 845 5416 PH Endoscopy ETO PHO365 Connectors 1/4 x 1/2 x 3/8 42 5417 PH Endoscopy ETO PHO406 Extractor retrieval balloon 7,560 5418 PH Endoscopy ETO PHO412 Radial jaw biopsy 3 forceps 0 5419 PH Endoscopy ETO PHO414 Echotip ultra 22G FNA needle 19,713 5420 PH Endoscopy ETO PHO415 Multi band ligator MBL-6 0 5421 PH Endoscopy ETO PHO416 Injector needle 0 5422 PH Endoscopy ETO PHO417 Colonic/eso/pyloric dilation CRE balloon 0 5423 PH Endoscopy ETO PHO419 Syringe assembly for CRE 0 5424 PH Endoscopy ETO PHO420 Achalasia pneumatic pump 0 5425 PH Endoscopy ETO PHO421 Microknife needle knife 0 5426 PH Endoscopy ETO PHO624 Achalasia pneumatic pump 4,397 5427 PH Endoscopy ETO PHO625 Microknife Needle knife 19,078 5428 PH Endoscopy ETO PHO626 Syringe assembly for CRE 1,404 5429 PH Endoscopy ETO PHO627 Colonic /eso/pyloric dilation CRE Balloo 28,367 5430 PH Endoscopy ETO PHO628 Stone Extraction basket 51,668 5431 PH Endoscopy ETO PHO629 Tri 20 Sphinterotome 14,084 5432 PH Endoscopy ETO PHO630 Direct Access System (Dash 22,767 5433 PH Endoscopy ETO PHO631 Gold Probe Cath & fr 27,000 5434 Ph Peaditric Eto PHO636 PH Peaditric ETO 324 5435 Physiotherapy PYY045 Physical Medicine Procedure 497 5436 Physiotherapy PYY046 Therapeutic Exercise Joint Tre 638 5437 Physiotherapy PYY018 Mechanical Traction Therapy 270 5438 Physiotherapy PYY019 Vasopneumatic Device Therapy 281 5439 Physiotherapy PYY020 Paraffin Bath Therapy 270 5440 Physiotherapy PYY021 Whirlpool Therapy 270 5441 Physiotherapy PYY022 Diathermy( Eg, Microwave) 270 5442 Physiotherapy PYY023 Electric Stimulation Therapy 270 5443 Physiotherapy PYY024 Contrast Bath Therapy 270 5444 Physiotherapy PYY025 Ultrasound Therapy 270 5445 Physiotherapy PYY026 Hydrotherapy 357 5446 Physiotherapy PYY027 Physical Therapy Treatment 357 5447 Physiotherapy PYY028 Therapeutic Exercises 638 5448 Physiotherapy PYY029 Neuromuscular Reeducation 486 5449 Physiotherapy PYY030 Group Therapeutic Procedures 486 5450 Physiotherapy PYY047 Electrical Stimulator (Eg Tens) 270 5451 Physiotherapy PYY048 Exercise Equipment 486 5452 Physiotherapy PYY049 Electromagntic Therapy For Pr 270 5453 Physiotherapy PYY050 Low Vision Rehabilitation Occu 335 5454 Physiotherapy PYY051 Low Vision Rehabilition Orient 335 5455 Physiotherapy PYY052 Low Vision Therapy 335 5456 Physiotherapy PYY054 Low-Level Laser Treatment 15M 260 5457 Physiotherapy PYY055 Complex Lymphedema Therapy 281 5458 Physiotherapy PYY038 Self Care Management Training 335 5459 Physiotherapy PYY039 Community /Work Reintegration 281 5460 Physiotherapy PYY040 Wheelchair Management Training 335 5461 Physiotherapy PYY041 Work Hardening 335 5462 Physiotherapy PYY003 Range Of Motion Measurements 270 5463 Physiotherapy PYY004 Assess Dyspnea Not Present 270 5464 Physiotherapy PYY005 Assess Dyspnea Present 270 5465 Physiotherapy PYY006 Initial Examination Involved J 270 5466 Physiotherapy PYY008 Occupational Therapy Re Evalu 270 5467 Physiotherapy PYY009 Physical Performance Test 249 5468 Physiotherapy PYY010 Assistive Technology Assessmen 270 5469 Physiotherapy PYY011 Athletic Training Evaluation 270 5470 Physiotherapy PYY012 Athletic Training Re Evaluatio 270 5471 Physiotherapy PYY013 Falls Assessment 270 5472 Physiotherapy PYY013 Falls Assessment 270 5473 Physiotherapy PYY015 Biofeedback Training 281 5474 Physiotherapy PYY016 Chest Wall Manipulation 357 5475 Physiotherapy PYY017 Hot Or Cold Packs Therapy 270 5476 Physiotherapy PYY056 Physical Or Manipulative Thera 260 5477 Physiotherapy PYY059 Weight Management Class 486 5478 Physiotherapy PYY060 Exercise Class 486 5479 Physiotherapy PYY061 Stress Management Class 281 5480 Physiotherapy PYY062 Diabetic Management Program 486 5481 Physiotherapy PYY063 Cardiac Rehabilitation Program 281 5482 Physiotherapy PYY064 Pulmonary Rehabilitation Progr 486 5483 Physiotherapy PYY065 Pulmonary Rehabilitation Progr 486 5484 Physiotherapy PYY075 Biofeedback - 25 Visits 6,966 5485 Physiotherapy PYY076 Excercise Therapy - 25 Visits 11,405 5486 Physiotherapy PYY077 Geraitric Fitness Programme-2 6,966 5487 Physiotherapy PYY078 Cardiac Rehabilitation Program 8,727 5488 Physiotherapy PYY079 Weight Management Programme-3 8,727 5489 Physiotherapy PYY080 Diabetic Management Programme- 6,966 5490 Physiotherapy PYY081 Pulmonary Rehabilitation Programme 8,727 5491 Physiotherapy PYY067 Pre Natal Excercises ( Individu 281 5492 Physiotherapy PYY068 Pre Natal Excercises(Group Session) 270 5493 Physiotherapy PYY069 Post Natal Excercises ( Individ 281 5494 Physiotherapy PYY070 Post Natal Excercises ( Group S 270 5495 Physiotherapy PYY071 Phonophoresis 270 5496 Physiotherapy PYY072 Interferential Therapy 270 5497 Physiotherapy PYY036 Cognitive Skills Development 335 5498 Physiotherapy PYY037 Sensory Integration 335 5499 Physiotherapy PYY031 Therapeutic Activities 486 5500 Physiotherapy PYY032 Aquatic Therapy/Exercises 281 5501 Physiotherapy PYY033 Gait Training Therapy 357 5502 Physiotherapy PYY034 Physical Medicine Procedure 281 5503 Physiotherapy PYY035 Manual Therapy 270 5504 Physiotherapy PYY042 Work Hardening Add-On 335 5505 Physiotherapy PYY043 Orthotic Management And Traini 497 5506 Physiotherapy PYY044 Prosthetic Training 497 5507 Physiotherapy PYY277 Physiotherapy sessions - Twice /Thrice weekly(12 sessions) 4,536 5508 Physiotherapy PYY211 Shoulder Pain Management (5 visits) 1,782 5509 Physiotherapy PYY212 Shoulder Pain Management 2,495 5510 Physiotherapy PYY213 Shoulder Pain Management 3,564 5511 Physiotherapy PYY214 Shoulder Rehabilitation Exercises 713 5512 Physiotherapy PYY215 Shoulder Rehabilitation Exercises 994 5513 Physiotherapy PYY216 Shoulder Rehabilitation Exercises 1,404 5514 Physiotherapy PYY217 Back Pain Management 1,782 5515 Physiotherapy PYY218 Back Pain Management 2,495 5516 Physiotherapy PYY219 Back Pain Management 3,564 5517 Physiotherapy PYY220 Back Rehabilitation Exercises 713 5518 Physiotherapy PYY221 Back Rehabilitation Exercises 994 5519 Physiotherapy PYY222 Back Rehabilitation Exercises 1,404 5520 Physiotherapy PYY223 Knee Pain Management 1,782 5521 Physiotherapy PYY224 Knee Pain Management 2,495 5522 Physiotherapy PYY225 Knee Pain Management 3,564 5523 Physiotherapy PYY226 Knee Rehabilitation Exercises 713 5524 Physiotherapy PYY227 Knee Rehabilitation Exercises 994 5525 Physiotherapy PYY228 Knee Rehabilitation Exercises 1,404 5526 Physiotherapy PYY0180 Six Minute Walk Test 713 5527 Physiotherapy PYY375 HOME VISIT CHARGES-India(I) 648 5528 Physiotherapy PYY376 HOME VISIT CHARGES - Int(I) 1,080 5529 Plastic Surgery PSS504 Extracranial Osteotomy 34,120 5530 Plastic Surgery PSS505 Extrophy Bladder 18,961 5531 Plastic Surgery PSE001 Hair Transplant (Per Graft) 206 5532 Plastic Surgery PSS507 Hypospadias Meatotomy 4,384 5533 Plastic Surgery PSS508 Microneural Repair 23,951 5534 Plastic Surgery PSS509 Nasal Pack Removal 2,483 5535 Plastic Surgery PSS181 Flap Insetting (Small) 10,265 5536 Plastic Surgery PSS182 Flap -Island Pedicle 7,117 5537 Plastic Surgery PSS196 Flexor Tendon Repair - (Zone 5) - Two Te 25,649 5538 Plastic Surgery PSS183 Flap-Neurovascular Pedicle 34,203 5539 Plastic Surgery PSS193 Flexor Tendon Repair - (Zone 4) - Two Te 25,649 5540 Plastic Surgery PSS189 Flexor Tendon Repair - (Zone 3) - Single 22,798 5541 Plastic Surgery PSS202 Free Functioing Muscle Transfer 64,152 5542 Plastic Surgery PSS203 Free Functioing Muscle Transfer - Latis 85,525 5543 Plastic Surgery PSS204 Free Perforator Flap 51,322 5544 Plastic Surgery PSS208 Genioplasty - Augmentation 23,095 5545 Plastic Surgery PSS435 Brachial plexus repair-neurolysis 38,492 5546 Plastic Surgery PSS436 Digital nerve grafting 35,926 5547 Plastic Surgery PSS437 Digital nerve repair 25,661 5548 Plastic Surgery PSS510 Orbito Zygomatic Complex 31,601 5549 Plastic Surgery PSS511 Penile SurgeryFor Erectile Dysfunction( 34,120 5550 Plastic Surgery PSS512 Penile SurgeryFor Erectile Dysfunction 26,944 5551 Plastic Surgery PSS513 Skin lesion removal - large deep 5,489 5552 Plastic Surgery PSS514 Skin lesion removal - large superfical 2,483 5553 Plastic Surgery PSS515 Skin lesion removal - medium deep 3,790 5554 Plastic Surgery PSS516 Skin lesion removal - medium superfical 1,640 5555 Plastic Surgery PSS517 Skin lesion removal - small deep 1,996 5556 Plastic Surgery PSS518 Skin lesion removal - small superfical 1,093 5557 Plastic Surgery PSS519 Tangential Excision Large 17,452 5558 Plastic Surgery PSS520 Tangential Excision Medium 10,277 5559 Plastic Surgery PSS521 Tangential Excision Small 6,784 5560 Plastic Surgery PSS522 Tendon Grafting 23,939 5561 Plastic Surgery PSS523 Tongue Flap 2’Nd Stage 17,452 5562 Plastic Surgery PSS524 Z Plasty 10,277 5563 Plastic Surgery PSS525 Zygoma # Closed 10,277 5564 Plastic Surgery PSS526 Zygoma # Orif 17,452 5565 Plastic Surgery PSS527 Zygomatico Maxillary Complex 34,120 5566 Plastic Surgery PSS220 Gynecomastia correction ecxcixion -unila 20,529 5567 Plastic Surgery PSS221 Gynecomastia correction excision - bilat 28,227 5568 Plastic Surgery PSS222 Hair Transplantation - Major 44,907 5569 Plastic Surgery PSS223 Hair Transplantation - Medium 32,076 5570 Plastic Surgery PSS224 Hair Transplantation - Minor 19,246 5571 Plastic Surgery PSS225 Hand Burn Contracture Release- Complex 32,076 5572 Plastic Surgery PSS226 Hand Burn Contracture Release- Multiple/ 24,937 5573 Plastic Surgery PSS227 Hand Burn Contracture Release- Simple 20,529 5574 Plastic Surgery PSS230 Hypospadias Repair - Fisrt Stage - MAGPI 30,793 5575 Plastic Surgery PSS231 Hypospadias Repair - Second Stage Correc 23,095 5576 Plastic Surgery PSS232 LeFort I Osteotomy 51,322 5577 Plastic Surgery PSS234 Lefort III - Monobloc 71,851 5578 Plastic Surgery PSS236 LeFort III Fracture (Complicated)-Open R 38,492 5579 Plastic Surgery PSS238 LeFort III Fracture-Open Reduction 37,767 5580 Plastic Surgery PSS239 LeFort III osteotomy 59,020 5581 Plastic Surgery PSS241 Lip Augmentation 17,963 5582 Plastic Surgery PSS242 Lip Lengthening 15,397 5583 Plastic Surgery PSS243 Lip Reduction 128,304 5584 Plastic Surgery PSS244 Brachiolasty 30,793 5585 Plastic Surgery PSS245 Torsoplasty 38,492 5586 Plastic Surgery PSS246 Lipectomy -Single 28,227 5587 Plastic Surgery PSS247 Lipectomy - Thigh 35,926 5588 Plastic Surgery PSS248 Lipoinjection - Large 20,529 5589 Plastic Surgery PSS249 Lipoinjection - Medium 15,397 5590 Plastic Surgery PSS250 Lipoinjection - Small 11,286 5591 Plastic Surgery PSS500 Alar Adjustment 10,277 5592 Plastic Surgery PSS501 Burn Grafting Large 34,120 5593 Plastic Surgery PSS502 Chin Augmentation 23,951 5594 Plastic Surgery PSS503 Cranial Bone Grafting (plastic surgery/E 26,944 5595 Plastic Surgery PSS314 Orbital Fracture - Simple 27,075 5596 Plastic Surgery PSS318 Otoplasty for Acquired Ear Deformity 25,661 5597 Plastic Surgery PSS320 Otoplasty for Ear Deformity / Bat Ears ( 34,203 5598 Plastic Surgery PSS321 Otoplasty for Ear Deformity / Bat Ears ( 21,373 5599 Plastic Surgery PSS252 Liposuction-Small 12,831 5600 Plastic Surgery PSS253 Liposuction-large 30,793 5601 Plastic Surgery PSS254 Liposuction-Medium 17,963 5602 Plastic Surgery PSS419 Brachioplasty/arm lift 35,640 5603 Plastic Surgery PSS422 Correction of face scars - multiple 17,963 5604 Plastic Surgery PSS423 Correction of face scars- single 13,853 5605 Plastic Surgery PSS257 Local Flap for Finger tip Injuries - lar 24,937 5606 Plastic Surgery PSS262 Malar Depressed Fracture (Complicated)- 28,501 5607 Plastic Surgery PSS263 Malar Fracture - Percutaneous treatment 15,397 5608 Plastic Surgery PSS264 Mandible fracture - Open Reduction 21,812 5609 Plastic Surgery PSS265 Mandible fracture - External Fixation 17,963 5610 Plastic Surgery PSS266 Mandible fracture (complicated) - Open r 34,203 5611 Plastic Surgery PSS267 Mandible fracture- Closed Reduction 24,937 5612 Plastic Surgery PSS270 Mandibular Condyle Reconstruction - Comp 33,360 5613 Plastic Surgery PSS274 Mandibular Reconstruction 23,095 5614 Plastic Surgery PSS275 Mastopexy 33,360 5615 Plastic Surgery PSS276 Maxillary LeFort I - Open Reduction 30,793 5616 Plastic Surgery PSS277 Maxillary LeFort I fracture - Closed Red 13,853 5617 Plastic Surgery PSS280 Maxillary Reconstruction (Complicated) w 48,744 5618 Plastic Surgery PSS282 Maxillary Reconstruction 20,529 5619 Plastic Surgery PSS283 Nerve Grafting 38,492 5620 Plastic Surgery PSS284 Nerve Repair 33,360 5621 Plastic Surgery PSS285 Medpore Ear Reconstruction 46,190 5622 Plastic Surgery PSS289 Myocutaneous Pedicle Flap - Medium 19,008 5623 Plastic Surgery PSS339 Reimplantation of foot/hand 51,322 5624 Plastic Surgery PSS340 Reimplantation Leg/Arm 64,152 5625 Plastic Surgery PSS341 Reimplantation of Lower extremity - Mult 58,438 5626 Plastic Surgery PSS344 Reimplantation of Upper extremity - Arm 92,653 5627 Plastic Surgery PSS348 Reimplantation of Single Digit 38,492 5628 Plastic Surgery PSS350 Release of Tongue Tie - Frenuloplasty 6,416 5629 Plastic Surgery PSS352 Removal of Implant 20,529 5630 Plastic Surgery PSS353 Repair of Anterior Palatale 12,831 5631 Plastic Surgery PSS443 Median nerve grafting 48,756 5632 Plastic Surgery PSS447 Radial nerve grafting 38,492 5633 Plastic Surgery PSS448 Radial nerve repair 30,793 5634 Plastic Surgery PSS449 Anterior transposition of ulnar nerve 30,793 5635 Plastic Surgery PSS451 Ulnar nerve grafting 38,492 5636 Plastic Surgery PSS452 Ulnar nerve repair 30,793 5637 Plastic Surgery PSS455 Flap insetting (large) 17,096 5638 Plastic Surgery PSS460 Pedicle flap cover of amputation stump 25,661 5639 Plastic Surgery PSS463 Re-implantation of fingers - four or mor 64,152 5640 Plastic Surgery PSS464 Re-implantation of finger 38,492 5641 Plastic Surgery PSS290 Myocutaneous Pedicle Flap - Large 25,661 5642 Plastic Surgery PSS291 Myocutaneous Pedicle Flap - Small 17,963 5643 Plastic Surgery PSS292 Nail Bed Repair - Single 10,265 5644 Plastic Surgery PSS293 Nail Bed Repair - Multiple 15,397 5645 Plastic Surgery PSS295 Nasal Bone fractire -Open treamtment - C 34,203 5646 Plastic Surgery PSS296 Nasal Bone fractire -Simple 15,397 5647 Plastic Surgery PSS297 Nasal Bone fracture- Closed 12,831 5648 Plastic Surgery PSS299 Nasoethmoid (NOE) Fracture -Single 17,963 5649 Plastic Surgery PSS304 Nasomaxillary Complex Fracture (Lefort I 34,203 5650 Plastic Surgery PSS305 Neck Lift 35,926 5651 Plastic Surgery PSS307 Nipple/Areolar reconstruction 30,793 5652 Plastic Surgery PSS310 Orbital Blowout Fracture - Open Reductio 20,529 5653 Plastic Surgery PSS367 Rhinoplsty - Secondary 25,661 5654 Plastic Surgery PSS414 Repair Laceration- Complex (Large) 12,831 5655 Plastic Surgery PSS369 Rhytidectomy (Facelift) - Endoscopic 41,058 5656 Plastic Surgery PSS413 Repair Laceration- Intermediate (Medium) 6,416 5657 Plastic Surgery PSS412 Botox per unit injected 3,529 5658 Plastic Surgery PSS370 Rhytidectomy 46,190 5659 Plastic Surgery PSS371 Second Toe Transfer 61,586 5660 Plastic Surgery PSS410 Vaginoplasty for Agenesis 38,492 5661 Plastic Surgery PSS375 Skin Grafting Finger tip Injury - Medium 23,095 5662 Plastic Surgery PSS390 Tendon Transfer for Ulnar Nerve Injusry 23,095 5663 Plastic Surgery PSS405 Toe Transfer - Free Tissue Transfer 59,020 5664 Plastic Surgery PSS392 Tenolysis -Multiple 23,095 5665 Plastic Surgery PSS324 Pharyngeal flap 25,661 5666 Plastic Surgery PSS473 Repair of distal hypospadias- single sta 30,793 5667 Plastic Surgery PSS474 Repair of hypospadias fistula 15,397 5668 Plastic Surgery PSS479 Vasectomy reversal - unilateral 15,397 5669 Plastic Surgery PSS480 Free flap - Small 37,209 5670 Plastic Surgery PSS481 Flap- Composite Free 46,190 5671 Plastic Surgery PSS482 Flap- Perforator free flap 51,322 5672 Plastic Surgery PSS483 Flap- Pedicle flap (large) 25,661 5673 Plastic Surgery PSS484 Flap - Pedicle flap (medicum) 20,529 5674 Plastic Surgery PSS485 Flap- Pedicle flap (small) 17,096 5675 Plastic Surgery PSS486 Skin Graft - Small 9,683 5676 Plastic Surgery PSS487 Skin Graft - Medium 19,246 5677 Plastic Surgery PSS488 Skin Graft - Major 23,095 5678 Plastic Surgery PSS489 Skin Graft -Minor 7,699 5679 Plastic Surgery PSS490 Skin Graft -large 24,937 5680 Plastic Surgery PSS325 Pharyngoplasty 30,793 5681 Plastic Surgery PSS326 Palatoplasty 23,095 5682 Plastic Surgery PSS327 Pollicization 41,058 5683 Plastic Surgery PSS328 Polydactyl Excision - Complicated/ with 24,937 5684 Plastic Surgery PSS336 Reconstructive Rhinoplasty- Forehead fla 23,095 5685 Plastic Surgery PSS042 Brachial Plexus Exploration & Nerve Graf 76,983 5686 Plastic Surgery PSS014 Bedsore Ischial Excision with Primary Cl 20,529 5687 Plastic Surgery PSS001 Abdominoplasty 38,492 5688 Plastic Surgery PSS002 Abdominoplasty -Mini 28,227 5689 Plastic Surgery PSS003 Abdominoplasty w Liposuction 42,757 5690 Plastic Surgery PSS004 Abdominoplasty with ventral hernai repai 42,757 5691 Plastic Surgery PSS005 Alveolar Bone Grafting (ABG) 25,661 5692 Plastic Surgery PSS006 Alveolar Fracture -Closed Reduction 10,265 5693 Plastic Surgery PSS007 Alveolar Fracture -Open Reduction 15,397 5694 Plastic Surgery PSS008 Arch Bar Application 12,831 5695 Plastic Surgery PSS009 Bedsore Coccygeal excision with Flap clo 25,661 5696 Plastic Surgery PSS010 Bedsore Coccygeal excision with Muscle/M 34,203 5697 Plastic Surgery PSS011 Bedsore Coccygeal excision with Primary 16,038 5698 Plastic Surgery PSS012 Bedsore Ischial Excision with Myocutaneo 33,360 5699 Plastic Surgery PSS013 Bedsore Ischial Excision with Myocutaneo 28,227 5700 Plastic Surgery PSS403 TMJ Joint Ankylosis - condylectomy/ inte 31,352 5701 Plastic Surgery PSS393 Tenolysis -Single 15,397 5702 Plastic Surgery PSS394 Thread Lift - Forehead 15,397 5703 Plastic Surgery PSS380 Syndactyl Release - Complex 28,227 5704 Plastic Surgery PSS401 TMJ Joint Ankylosis - Arthroplasty + All 30,793 5705 Plastic Surgery PSS395 Thread Lift - Midface 20,529 5706 Plastic Surgery PSS396 Thread Lift - Neck 17,963 5707 Plastic Surgery PSS382 Tendon Grafting - First Stage - Multiple 34,203 5708 Plastic Surgery PSS397 Thread lift Face & Neck 25,661 5709 Plastic Surgery PSS383 Tendon Grafting - First Stage 17,963 5710 Plastic Surgery PSS398 TMJ dislocation - Closed Complicated red 25,661 5711 Plastic Surgery PSS384 Tendon Grafting - Second Stage - Multipl 30,793 5712 Plastic Surgery PSS385 Tendon Grafting - Second Stage - Single 24,937 5713 Plastic Surgery PSS400 TMJ dislocation complicated 25,661 5714 Plastic Surgery PSS386 Tendon Transfer - Multiple 30,793 5715 Plastic Surgery PSS389 Tendon Transfer for Radial Nerve Injusry 34,203 5716 Plastic Surgery PSS387 Tendon Transfer for Median Nerve Injusry 34,203 5717 Plastic Surgery PSS388 Tendon Transfer for Radial Nerve Injusry 48,744 5718 Plastic Surgery PSA0033 Dressing Minor(Plastic Surgery) 737 5719 Plastic Surgery PSA0034 Dressing Medium(Plastic Surgery) 1,236 5720 Plastic Surgery PSA0035 Dressing Large(Plastic Surgery) 1,854 5721 Plastic Surgery PSS362 Rhinoplasty - Primary 28,227 5722 Plastic Surgery PSS365 Rhinoplasty for Cleft Lip/Palate nasal d 34,203 5723 Plastic Surgery PSS366 Septorthinoplasty 33,360 5724 Plastic Surgery PSS096 Cranial Vault Remodelling 51,322 5725 Plastic Surgery PSS045 Breast Augmentation 30,793 5726 Plastic Surgery PSS046 Breast periprosthetic capsulectomy 28,227 5727 Plastic Surgery PSS047 Breast periprosthetic capsulotomy 28,501 5728 Plastic Surgery PSS048 Breast Reconstruction with Free Flap 54,109 5729 Plastic Surgery PSS049 Breast Reconstruction with Lat. Dorsi wi 38,492 5730 Plastic Surgery PSS050 Breast Reconstruction with Latissimus Do 32,076 5731 Plastic Surgery PSS052 Breast Reconstruction with Tissue expand 28,501 5732 Plastic Surgery PSS053 Breast Reconstruction with TRAM double p 48,459 5733 Plastic Surgery PSS054 Breast Reconstruction with TRAM single p 42,757 5734 Plastic Surgery PSS055 Breast Reduction 38,492 5735 Plastic Surgery PSS056 Browlift-Endoscopic 38,492 5736 Plastic Surgery PSS057 Browlift-Open 41,058 5737 Plastic Surgery PSS058 Burn Wound Dressing (Large/Major) 12,831 5738 Plastic Surgery PSS059 Burn Wound Dressing (Minor/Small) 5,133 5739 Plastic Surgery PSS060 Burn Wound Dresssing (Medium) 10,265 5740 Plastic Surgery PSS064 Camptodactyl- Contracture Release - Sing 12,831 5741 Plastic Surgery PSS065 Camptodactyl- Contracture Release with t 42,757 5742 Plastic Surgery PSS066 Camptodactyl- Contracture Release with t 24,937 5743 Plastic Surgery PSS067 Carpal Tunnel Release 25,661 5744 Plastic Surgery PSS068 Chemical Peel face 20,529 5745 Plastic Surgery PSS071 Cleft Lip Repair - Bilateral, One stage 30,793 5746 Plastic Surgery PSS072 Cleft Lip Repair - Unilateral 23,095 5747 Plastic Surgery PSS073 Cleft Lip Repair- Bilateral with Anterio 33,360 5748 Plastic Surgery PSS075 Composite Graft (Large) 19,246 5749 Plastic Surgery PSS076 Composite Graft (Medium) 15,397 5750 Plastic Surgery PSS077 Composite Graft (Small) 11,286 5751 Plastic Surgery PSA028 Botox fee for each sunts 963 5752 Plastic Surgery PSA029 Fillers - 1ml 6,416 5753 Plastic Surgery PSA030 Fillers - .75ml 5,133 5754 Plastic Surgery PSA031 Microdermabrasion - Normal 1,854 5755 Plastic Surgery PSA032 Microdermabrasion - Large 2,804 5756 Plastic Surgery PSA033 Facial Rejuvenation 3,588 5757 Plastic Surgery PSS018 Bedsore Sacral Excision with Myocutaneou 25,661 5758 Plastic Surgery PSS019 Bedsore Sacral Excision with Primary Clo 19,947 5759 Plastic Surgery PSS021 Bedsore Sacral Excision w Skin Grafting 22,810 5760 Plastic Surgery PSS023 Bedsore Trochanteric Excision with Myocu 35,629 5761 Plastic Surgery PSS135 Excision of Arteriovenous malformation/H 25,661 5762 Plastic Surgery PSS172 Facelift 56,454 5763 Plastic Surgery PSS136 Excision of Arteriovenous malformation/H 15,397 5764 Plastic Surgery PSS138 Excision of Cyst -Large 9,683 5765 Plastic Surgery PSS140 Excision of Cyst or Benign Tumor of Pala 24,937 5766 Plastic Surgery PSS142 Excision of Scalp, Extremity Lesion w Z- 24,937 5767 Plastic Surgery PSS144 Excision of Eyelids, Lips, Ear, Nose Les 22,798 5768 Plastic Surgery PSS147 Expander Insertion - Multiple 20,529 5769 Plastic Surgery PSS148 Expander Insertion - Single 12,831 5770 Plastic Surgery PSS149 Expander Removal & Contouring - Multiple 32,076 5771 Plastic Surgery PSS173 Facial Bipartition 76,983 5772 Plastic Surgery PSS174 Facial Nerve Exploraion / Decompression 46,190 5773 Plastic Surgery PSS175 Facial Reanimation Surgery - Second Stag 64,152 5774 Plastic Surgery PSS176 Fasciocutaneous Pedicle Flap - Large 28,227 5775 Plastic Surgery PSS200 Free Cutaneous Flap w microvascular anas 34,203 5776 Plastic Surgery PSS179 Free flap-large 46,190 5777 Plastic Surgery PSS180 Flap Insetting (large) 15,397 5778 Plastic Surgery PSS102 Debridement (large) 7,948 5779 Plastic Surgery PSS103 Debridement (Medium) 5,133 5780 Plastic Surgery PSS104 Debridement (Small) 2,567 5781 Plastic Surgery PSS105 Delay of Flap 7,057 5782 Plastic Surgery PSS154 Extensor Tendon Repair (Zone 3)-Multiple 34,203 5783 Plastic Surgery PSS130 Excision & Grafting - Major 32,076 5784 Plastic Surgery PSS131 Excision & Grafting - Medium 23,095 5785 Plastic Surgery PSS170 Eyelid Reconstruction - Single Lid 12,831 5786 Plastic Surgery PSS079 Correction of Face Scars - Multiple 19,246 5787 Plastic Surgery PSS080 Correction of Face Scars - Single 13,853 5788 Plastic Surgery PSS081 Correction of Inverted Nipples 29,926 5789 Plastic Surgery PSS084 Correction of Mallet Finger-Tendon Repai 31,352 5790 Plastic Surgery PSS085 Cosmeic Blepharoplasty-Upper eyelid w ex 25,649 5791 Plastic Surgery PSS086 Blepharoplasty - 4 eyelids 28,227 5792 Plastic Surgery PSS087 Cosmetic Blepharoplasty-Lower eyelid 20,529 5793 Plastic Surgery PSS088 Cosmetic Blepharoplasty-Lower eyelid w e 23,095 5794 Plastic Surgery PSS089 Blepharoplasty-Upper eyelid 20,529 5795 Plastic Surgery PSS090 Cranioplasty Bone graft 41,058 5796 Plastic Surgery PSS093 Craniosynostosis - Multiple suture-recon 62,715 5797 Plastic Surgery PSS094 Craniosynostosis - Single suture-reconst 53,591 5798 Plastic Surgery PSS150 Expander Removal & Contouring - Single 23,095 5799 Plastic Surgery PSA027 Debridement of Burn Wound - Large 1,854 5800 Plastic Surgery PSA012 Injection of Tissue expander 404 5801 Plastic Surgery PSA013 Repair of Nail Bed Injury - Large/Multip 14,601 5802 Plastic Surgery PSA014 Repair of Nail Bed/finger tip Injury - S 7,627 5803 Plastic Surgery PSA015 Chemical Peel face 9,623 5804 Plastic Surgery PSA016 Excision Biopsy of cyst/lipoma/lump - Sm 3,208 5805 Plastic Surgery PSA017 Excision Biopsy of cyst/lipoma/lump - 2 6,178 5806 Plastic Surgery PSA018 Excision Biopsy of cyst/lipoma/lump - Mu 9,207 5807 Plastic Surgery PSA019 Excision Biopsy of cyst/lipoma/lump - La 8,019 5808 Plastic Surgery PSA020 Excision Biopsy of cyst/lipoma/lump - Me 6,416 5809 Plastic Surgery PSA021 Removal of K - Wire 404 5810 Plastic Surgery PSA022 Debrdement of Wound - Small/Simple 1,236 5811 Plastic Surgery PSA023 Debridement of Wound - Medium 1,236 5812 Plastic Surgery PSA024 Debridement of Wound - Large/Complex 1,854 5813 Plastic Surgery PSA025 Debridement Burn Wound - Small 1,236 5814 Plastic Surgery PSA026 Debridement of Burn Wound - Medium 1,236 5815 Plastic Surgery PSA001 Repair of unilateral ear lobe 4,004 5816 Plastic Surgery PSA002 Repair of bilateral ear lobe 6,416 5817 Plastic Surgery PSA003 Ear Piercing 796 5818 Plastic Surgery PSA004 Repair of Laceration - Small 4,004 5819 Plastic Surgery PSA005 Repair of Laceration - Medium 6,962 5820 Plastic Surgery PSA006 Repair of Laceration - Large 8,019 5821 Plastic Surgery PSA007 Incision and Drainage of Abscess 1,236 5822 Plastic Surgery PSA008 Removal of Arch Bars 7,212 5823 Plastic Surgery PSA009 Intralesional injection of steroid 404 5824 Plastic Surgery PSA010 Filler injection (restylane, perlane, aq 3,208 5825 Plastic Surgery PSA011 Botox Injection 369 5826 Plastic Surgery PSS123 Ear Lobule Repair - Bilateral 9,683 5827 Plastic Surgery PSS124 Ear Lobule Repair - Unilateral 6,261 5828 Plastic Surgery PSS125 Ear Recontruction 1rst Stage - Cartilage 38,492 5829 Plastic Surgery PSS126 Ear Recontruction 2nd Stage 20,529 5830 Plastic Surgery PSS127 Ear Recontruction 3rd Stage 17,322 5831 Plastic Surgery PSS167 Eyebrow Graft 11,286 5832 Plastic Surgery PSS128 Epispadias Reconstruction 34,203 5833 Plastic Surgery PSS108 Dental Cyst Excision-complex 15,397 5834 Plastic Surgery PSS109 Dental Cyst Excision-simple 10,265 5835 Plastic Surgery PSS113 Dermabrasion-Segmental 17,963 5836 Plastic Surgery PSS114 Dermofat Graft -Large 17,322 5837 Plastic Surgery PSS115 Dermofat Graft -Medium 12,831 5838 Plastic Surgery PSS116 Dermofat Graft- Small 10,265 5839 Plastic Surgery PSS117 Digital Nerve grafting 32,076 5840 Plastic Surgery PSS118 Digital Nerve repair 19,246 5841 Plastic Surgery PSS120 Dressing - Major 5,133 5842 Plastic Surgery PSS121 Dressing - Medium 3,850 5843 Plastic Surgery PSS122 Dressing - Minor/Suture Removal 1,925 5844 Plastic Surgery PSS133 Excision of Arteriovenous malformation/H 28,227 5845 Plastic Surgery PSS171 Facelift - Endoscopic 46,190 5846 Pre Anesthesia EvaluatioANL001 PAC Minor Surgery 2-18 yrs 2,592 5847 Pre Anesthesia EvaluatioANL008 PAC Obstetric (Routine Elective case) 2,139 5848 Pre Anesthesia EvaluatioANL009 PAC Obstetric (High Risk case) 2,592 5849 Pre Anesthesia EvaluatioANL010 PAC Obstetric (Emergency case) 4,148 5850 Psychiatric PIC001 Narco Analysis Procedure 4,551 5851 Psychiatric PIC002 ECT Procedure 5,406 5852 Psychiatric PIC005 Aversion therapy 2,139 5853 Psychiatric PIC004 GA Charges for ECT Procedure 5,406 5854 Psychiatric PIC003 Sedation Charges for Narco Analysis 3,564 5855 Pulmonology PUL001 Allergy Test- Food 7,820 5856 Pulmonology PUL003 Group session for patients 1,556 5857 Pulmonology PUL002 Allergy Test-Airborne- 7,820 5858 Pulmonology ProceduresPUL090 Spirometry with DLCO 2,916 5859 Pulmonology ProceduresPUL0025 ICD Placement 4,265 5860 Pulmonology ProceduresPUL0024 Diagnostic Bronchoscopy 9,255 5861 Pulmonology ProceduresPUL027 FOB for tracheobronchial suctioning 3,564 5862 Pulmonology ProceduresPUL028 6 minute walk distance test (6MWDT) 713 5863 Pulmonology ProceduresPUL030 CPAP Titration 7,117 5864 Pulmonology ProceduresPUL031 Apnea Screen (Portable) 2,840 5865 Pulmonology ProceduresPUL032 Complete Overnight polysomnography 17,096 5866 Pulmonology ProceduresPUL033 MSLT (if COP done) 7,117 5867 Pulmonology ProceduresPUL034 MSLT 10,681 5868 Pulmonology ProceduresPUL035 Complete overnight polysomnography CPAP 21,384 5869 Pulmonology ProceduresPUL036 Pulse Oximeter 3,564 5870 Pulmonology ProceduresPUL037 COP with CPAP MSLT 25,661 5871 Pulmonology ProceduresPUL038 COP with MSLT 21,384 5872 Pulmonology ProceduresPUL039 Sleep Study limited 10,681 5873 Pulmonology ProceduresPUL004 Spirometry Basic 1,212 5874 Pulmonology ProceduresPUL005 Spirometry Post Bronchodialator 1,491 5875 Pulmonology ProceduresPUL007 Lung volume study 5,406 5876 Pulmonology ProceduresPUL008 Cardiopulmonary exercise test 9,683 5877 Pulmonology ProceduresPUL009 Bronchial challenge test 3,564 5878 Pulmonology ProceduresPUL010 Fiberoptic bronchscopy(FOB) non ICU sett 7,117 5879 Pulmonology ProceduresPUL011 FOB with bronchoalveolar lavage(BAL) 7,829 5880 Pulmonology ProceduresPUL012 FOB with trans bronchial needle aspirati 9,255 5881 Pulmonology ProceduresPUL013 FOB with transbronchial biopsy(TBLB) 9,255 5882 Pulmonology ProceduresPUL014 Diagnostic Bronchoscopy 9,255 5883 Pulmonology ProceduresPUL015 Bronchoscopy for foreign body removal 11,405 5884 Pulmonology ProceduresPUL016 Diagnostics bronchoscopy + TBNA 11,405 5885 Pulmonology ProceduresPUL017 FOB guided endotracheal intubation 3,564 5886 Pulmonology ProceduresPUL018 FOB with TBLB under fluoroscopy guidance 11,405 5887 Pulmonology ProceduresPUL019 Diagnostic pleural aspiration 713 5888 Pulmonology ProceduresPUL020 Therapeutic pleural aspiration 2,139 5889 Pulmonology ProceduresPUL021 Intercostal drainage 7,117 5890 Pulmonology ProceduresPUL022 Pleural biopsy 5,810 5891 Pulmonology ProceduresPUL023 Pigtail drainage 4,265 5892 Pulmonology ProceduresPUL024 Intrapleural thrombolysis 5,691 5893 Pulmonology ProceduresPUL025 Polysomnography(sleep study)Diagnostic 11,405 5894 Pulmonology ProceduresPUL026 Polysomnography(sleep study)Titration 15,112 5895 Pulmonology ProceduresPUL040 Chemical Pleurodesis 2,139 5896 Pulmonology ProceduresPUL092 Simple Bronchoscopy 7,128 5897 Pulmonology ProceduresPUL091 DLCO 1,497 5898 Reproductive Medicine RMI44 Hypo-Osmotic Swelling test [HOS test] 700 5899 Reproductive Medicine RMI024 DNA fragmentation 8,600 5900 Reproductive Medicine RMI076 Donor semen sample [cryo]. 2,700 5901 Reproductive Medicine RMI008 Antenatal USG TVS / Abdominal-Single 2,700 5902 Reproductive Medicine RMI009 Antenatal USG TVS / Abdominal-twins 3,300 5903 Reproductive Medicine RMI010 Level 2 USG (18-20 weeks )(single) 3,000 5904 Reproductive Medicine RMI011 Level 2 USG (18-20 weeks )(Twins) 5,300 5905 Reproductive Medicine RMI012 BPP (biophysical score) single 1,400 5906 Reproductive Medicine RMI013 BPP (biophysical score) twins) 2,000 5907 Reproductive Medicine RMI014 TVS (transvaginal USG ) 1,600 5908 Reproductive Medicine RMI015 TVS with Doppler (transvaginal Doppler) 2,200 5909 Reproductive Medicine RMI016 Follicular Study / ovulation monitoring 400 5910 Reproductive Medicine RMI017 Follicular Study / ovulation monitoring 1,800 5911 Reproductive Medicine RMI018 SSG/Sonohysterogram 2,700 5912 Reproductive Medicine RMI019 Mock Embryo Transfer (ET) 2,000 5913 Reproductive Medicine RMI020 USG (ultrasound ) guidance 1,500 5914 Reproductive Medicine RMI021 Check scan (antenatal USG ) without film 800 5915 Reproductive Medicine RMI041 Follicular Aspiration 33,000 5916 Reproductive Medicine RMI001 Semen Analysis RM 800 5917 Reproductive Medicine RMI002 Sperm Morphology (diff quick) 1,200 5918 Reproductive Medicine RMI003 Sperm morphology detailed (ISAS) 2,000 5919 Reproductive Medicine RMI004 Semen Preparation IUI RM 2,000 5920 Reproductive Medicine RMI042 DONOR SEMEN SAMPLE 6,600 5921 Reproductive Medicine RMI043 Motile sperm organelle morphology examin 13,200 5922 Reproductive Medicine RMI005 PCT Charges 800 5923 Reproductive Medicine RMI006 Antenatal USG with Doppler (single) 3,000 5924 Reproductive Medicine RMI007 Antenatal USG with Doppler (Twins) 5,300 5925 Reproductive Medicine RMI026 Testicular tissue cryopreservation(6 mnt 9,300 5926 Reproductive Medicine RMI027 Testicular tissue cryopreservation(12 mn 15,900 5927 Reproductive Medicine RMI028 Embryo Cryopreservation(First 6 mnths)RM 26,400 5928 Reproductive Medicine RMI029 Embryo Cryopreservation(Next 6 mnths)RM 13,200 5929 Reproductive Medicine RMI030 Oocyte cryopreservation(First 6 mnths)RM 52,800 5930 Reproductive Medicine RMI031 Oocyte cryopreservation(Next 6 mnths)RM 6,600 5931 Reproductive Medicine RMI032 Embryo cryopreservation(Next 1 yr)RM 11,900 5932 Reproductive Medicine RMI033 Oocyte cryopreservation(Next 1 yr)RM 11,900 5933 Reproductive Medicine RMI034 TVHSS 4,000 5934 Reproductive Medicine RMI035 Cyst Aspiration RM 7,300 5935 Reproductive Medicine RMI038 Intra – Uterine Insemination - with US G 8,600 5936 Reproductive Medicine RMI037 Intra – Uterine Insemination(IUI)-Donor 13,900 5937 Reproductive Medicine RMI036 Intra – Uterine Insemination (IUI)-Husba 7,300 5938 Reproductive Medicine RMI039 Intra-Uterine Insemination(IUI)Husband 2 4,000 5939 Reproductive Medicine RMI040 Intra-Uterine Insemination(IUI)-D II att 11,300 5940 Reproductive Medicine RMI022 Cryopreservation of semen 9,300 5941 Reproductive Medicine RMI023 Cryopreservation of semen 15,900 5942 Reproductive Medicine RMI045 Semen Cryopreservation 1 month 2,700 5943 Serology LBS042 Hepatitis C Ab Card Test 800 5944 Serology LBS044 Hep C Ab Supplemental Testing 16,500 5945 Serology LBS048 HTLV-I /IIAntibody,EIA 16,200 5946 Serology LBS057 Hep B Core Antibody, Total 1,100 5947 Serology LBS059 Hep B Surface Antibody 700 5948 Serology LBS060 Hep Be Antibody 900 5949 Serology LBS061 HIV-1, RNA, Quantitative RT PCR 5,200 5950 Serology LBS063 Hiv-1/HIV-2, Single Assay Card Test 800 5951 Serology LBS067 Leptospira Antibody IgG 1,500 5952 Serology LBS069 Leishmania Antibody (Kala Azar) IgG 1,700 5953 Serology LBS070 Malaria Antibody, IgG 1,200 5954 Serology LBS077 Pneumocystis Species,Immunoflourescence 2,000 5955 Serology LBS078 Measles (Rubeola) - IgG 1,800 5956 Serology LBS079 Measles (Rubeola)- IgM 1,800 5957 Serology LBS020 Cryptococcal Antigen 2,100 5958 Serology LBS021 Clostridium Difficile Toxin A&B Stool, 2,500 5959 Serology LBS024 Amoebic Serology 1,400 5960 Serology LBS027 Brucella Antibody Agglutination test 800 5961 Serology LBS028 Chlamydia Bivalent Antibody, IgG 1,000 5962 Serology LBS029 CMV Antibody, IgG 700 5963 Serology LBS030 Cmv Antibody, IgM 700 5964 Serology LBS034 Dengue Virus IgG 1,000 5965 Serology LBS035 Dengue Virus IgM 1,000 5966 Serology LBS036 Epstein-Barr AntibodyTo Early Antigen 6,700 5967 Serology LBS038 Hep Be Antigen 1,000 5968 Serology LBS039 Hep A Antibody, Total 1,300 5969 Serology LBS040 Hep A Antibody, IgM 1,500 5970 Serology LBS082 VDRL Qualitative 150 5971 Serology LBS083 Rubella Antibody Panel 1,200 5972 Serology LBS084 Rubella -lgG 800 5973 Serology LBS085 Rubella -IgM 800 5974 Serology LBS086 Respioratory Virus Antigen detection 3,000 5975 Serology LBSO89 Varicella-Zoster Antibody IgM 1,400 5976 Serology LBS090 Varicella-Zoster Antibody IgG 1,400 5977 Serology LBS091 Widal Test Slide 300 5978 Serology LBS092 Widal Test Tube 400 5979 Serology LBS058 Hep B Core Antibody Igm 1,100 5980 Serology LBS113 Herpes Simplex 1 & 2 lgG 900 5981 Serology LBS115 HIV- 1 & 2 Ab Western Blot 3,400 5982 Serology LBS118 Hepatitis B Surface Ag , Card Test 900 5983 Serology LBS095 Antistreptolysin O,Titer 800 5984 Serology LBS096 Antistreptolysin O,Screen 700 5985 Serology LBS098 VDRL Quantitative 400 5986 Serology LBS099 Aspergillus Antibody lgG 2,000 5987 Serology LBS100 Aspergillus Antibody lgM 2,000 5988 Serology LBS103 Lyme Disease Antibodies,lgG,lgM,ElA 3,500 5989 Serology LBS104 Lyme Disease Antibody, lgG,W.Blot 8,600 5990 Serology LBS105 Chlamydia Trachomatis Ab panel 9,700 5991 Serology LBS106 Coccidioides Antibody 6,000 5992 Serology LBS107 Q Fever Antibody,lgM,lgG 8,900 5993 Serology LBS108 EB Virus AG to Viral Capsid Antigen lgG 1,700 5994 Serology LBS109 Epstein-Barr Antibody VCA IgM 1,700 5995 Serology LBS110 Helicobacter Pylori,lgA 1,700 5996 Serology LBS112 Herpes Simplex 1 & 2 lgM 900 5997 Serology LBS120 Hepatitis E, Antibody ,lgM 1,700 5998 Serology LBS141 HbsAg Confirmation -ElA 1,000 5999 Serology LBS142 Herpes Virus 6, lgM 8,400 6000 Serology LBS143 Histoplasma Antibody,ID 6,100 6001 Serology LBS144 Streptococcus Group B Antigen Detection 1,000 6002 Serology LBS145 TPHA-Hema Agglutination 700 6003 Serology LBS148 Hepatitis Chronic Panel 6,300 6004 Serology LBS149 Hepatitis B Immunity Screen 2,100 6005 Serology LBS150 Torch Panel (IgM+IgG) 4,100 6006 Serology LBS129 Parvovirus Antibody, lgM 2,700 6007 Serology LBS130 Rotavirus Antigen Detection ,Faeces 600 6008 Serology LBS132 Toxoplasma , Antibody, lgG 800 6009 Serology LBS133 Toxoplasma Antibody ,lgM 800 6010 Serology LBS134 T.Pallidum , Confirm FTA-Abs, lgG,lgM 3,700 6011 Serology LBS135 Mumps Virus lgG ,Antibody 1,800 6012 Serology LBS136 Mumps Virus lgM ,Antibody 1,800 6013 Serology LBS137 Legionella Urinarv Antigen 8,500 6014 Serology LBS139 Cryptococcus antigen,ElA 2,100 6015 Serology LBS153 Hepatitis Acute Panel 6,300 6016 Serology LBS155 Torch Panel ( lgM) 2,000 6017 Serology LBS156 Legionella pneumophlia IgG-IFA 7,000 6018 Serology LBS157 Torch Panel ( lgG ) 2,000 6019 Serology LBS158 Dengue Antibody Panel 2,100 6020 Serology LBS161 Hepatitis Pre Immunization 1,600 6021 Serology LBS163 Legionella pueumophila lgM IFA 7,000 6022 Serology LBS121 Hepatitis E, Antibody ,lgG 1,700 6023 Serology LBS123 Leptospira Antibody ,lgM 1,500 6024 Serology LBS128 Parvovirus Antibody IgG 2,700 6025 Serology LBS151 Bacterial Meningitis Screen 3,000 6026 Serology LBS152 HIV 1 & 2 ELISA 1,000 6027 Serology LBS166 Hepatitis B Carrier 3,500 6028 Serology LBS169 STD PANEL-2 6,700 6029 Serology LBS170 HEPATITIS DIAGNOSTIC STUDIES 8,000 6030 Serology LBS174 Dengue-IgG & IgM, Rapid card test 1,000 6031 Serology LBS175 Mycobacterium serology panel, ELISA 3,000 6032 Serology LBS176 Mycobacterium Combo Test IgA 1,100 6033 Serology LBS177 Mycobacterium Combo Test IgG 1,100 6034 Serology LBS178 Mycobacterium Combo Test IgM 1,100 6035 Serology LBS399 Beta 2 Glycoprotein screen(IgG,IgA & IgM 2,200 6036 Serology LBS206 Rubella Avidity, IgG 700 6037 Serology LBS205 Toxoplasma Avidity, IgG 700 6038 Serology LBS017 Chikungunya Virus Antibody,IgM 900 6039 Serology LBS080 Dengue NS1 Antigen Capture Strip Test 2,200 6040 Serology LBS211 Influenza Ag Detection 1,400 6041 Serology LBS0131 Anti Mullerian Hormone 2,100 6042 Serology LBS95 Acetylcholine Receptor Autoantibodies 4,300 6043 Serology LBS99 Alergen IgE,Immncap(Quanti)Mites 2,000 6044 Serology LBS291 Alergen IgE,Immncap(Quanti)Gluten 2,000 6045 Serology LBS267 Serum IgG Subclass type IV 16,000 6046 Serology LBS292 ALLERGY COMPREHENSIVE PROFILE PEDIATRIC 9,000 6047 Serology LBS2 HLA -ABC & DR, TISSUE CROSS MATCH 1,650 6048 Serology LBS0195 Hepatitis Delta Virus Total Antibodies 2,600 6049 Serology LBS97 Elisa Hiv (L) 600 6050 Serology LBS38 Dengue NS 1 Antigen Elisa 2,200 6051 Serology LBS189 ECHINOCOCCUS (HYDATID SEROLOGY) IgG 1,300 6052 Serology LBS299 CYTOMEGALOVIRUS (CMV)IgG,Avidity 600 6053 Serology LBS290 Sm(SMITH) Antibody IgG 1,100 6054 Serology LBS231 Pneumoslide Test 3,300 6055 Serology LBS94 ANTISPERM ANTIBODY 900 6056 Serology LBS252 MYCOPLASMA PNEUMONIAE IgM ANTIBODIES 2,500 6057 Serology LBS007 Procalcitonin 4,100 6058 Serology LBS67 Coxsackie Antibody -IgG 1,800 6059 Serology LBS68 Coxsackie Antibody -IgM 1,800 6060 Serology LBS69 Coxsackie Antibodies Panel -IgG& IgM 3,400 6061 Serology LBS70 Echovirus Antibody-IgG 2,500 6062 Serology LBS71 Echovirus Antibody-IgM 2,500 6063 Serology LBS72 Echovirus Antibodies Panel- IgG & IgM 4,700 6064 Serology LBS73 Viral Myocarditis Panel -IgM 4,500 6065 Serology LBS74 Viral Myocarditis Panel- IgG 4,500 6066 Serology LBS250 ALLERGEN-MILK (ELISA) 1,200 6067 Serology LBS251 PLATELET ANTIBODY,INDIRECT,IgG 14,400 6068 Serology LBS216 Anti Saccharomyces cerevisiae(ASCA),IgG 8,000 6069 Serology LBS215 Anti Saccharomyces cerevisiae(ASCA),IgA 8,000 6070 Serology LBS207 HLA-B5,SEROLOGY 4,800 6071 Serology LBS298 Ribonucleoprotein-Smith Antigen,IgG (RNP 2,000 6072 Serology LBS89 Donor, Chagas Disease (T cruzi) Screen w 3,700 6073 Serology LBS245 ALLERGY COMPREHENSIVE PROFILE,ADULT 9,000 6074 Serology LBS295 GM1 Gangliosidosis,Quantitative, Blood 1,800 6075 Serology LBS212 Allergy Individual Marker- Aspergillus 1,100 6076 Serology LBS0198 NT-PRO BNP 3,500 6077 Serology LBS196 Cysticercosis Taenia soliam Antibody IgG 1,400 6078 Serology LBS197 Herpes Simplex(1 & 2)IgG & IgM Panel 1,700 6079 Serology LBS198 Mumps Virus Panel 3,400 6080 Serology LBS199 Measles (Rubeola)virus panel 3,200 6081 Serology LBS0165 Hepatitis A Diagnostic Panel 2,400 6082 Serology LBS66 Hepatitis B Serology Panel 4,900 6083 Serology LBS190 Epstein Barr Virus Ab to Nuclear Ag IgG 7,000 6084 Serology LBS191 Epstein Barr virus Panel (VCA IgG & IgM) 3,100 6085 Serology LBS192 Helicobacter Pylori IgG 1,700 6086 Serology LBS193 Helicobacter Pylori Panel (IgG & IgA) 3,100 6087 Serology LBS194 Mono Test 1,200 6088 Serology LBS200 Rapid Typhi IgM (Typhi Dot) 700 6089 Serology LBS201 Fever Panel-1 1,200 6090 Serology LBS18 Brucella IgM Antibodies 1,000 6091 Serology LBS19 Brucella IgG Antibodies 1,000 6092 Serology LBS52 HLA T& B CELL LYMPHOCYTE CROSS MATCH (Donor) 1,650 6093 Serology LBS51 SCL-70,Centromere Antibody 2,000 6094 Serology LBS55 Ganglioside GQ1B Ab IgG 8,540 6095 Serology LBS236 HIV-1 Genotype drug Resistance 17,600 6096 Serology LBS42 Immunoglobulin IgG Synthesis Index & Rate 2,030 6097 Serology LBS209 Aspergillus Fumigatus IgE 1,000 6098 Serology LBS214 U1RNP ANTIBODIES 1,700 6099 Serology LBS46 Scrub Typhus IgM 950 6100 Serology LBS218 Allergy Panel Food 5,000 6101 Serology LBS229 Hepatitis A Antibody(Anti-HAV) IgG 1,300 6102 Serology LBS225 Mycoplasma Pneumoniae IgG Antibodies 1,900 6103 Serology LBS289 Alergen IgE Immncap Quanti Others 1,100 6104 Serology LBS75 Adenovirus Antigen Detection(Qualitative) 700 6105 Serology LBS41 Centromere Antibody 1,200 6106 Serology LBS65 Vitamin D -25-OH (Hydroxy) 1,800 6107 Serology LBS450 IBD Screening Panel(ASCA IgA, ASCA IgG,A 3,900 6108 Serology LBS235 HEPATITIS C ANTIBODY (Anti-HCV)1 1,500 6109 Serology LBS499 Food Intolerance Test 17,000 6110 Serology LBS500 IgD Heavy chain(Surface) 2,700 6111 Serology LBS240 Acetylcoline receptor binding antibodies 11,000 6112 Serology LBS180 HLA Panel Reactive Antibodies 5,600 6113 Serology LBS182 Fluorescent Treponemal Antibodies 2,000 6114 Skin & VD DRS001 INCISION & DRAINAGE (MEDIUM) 1,309 6115 Special Chemistry LBL022 Lead - Blood 1,700 6116 Special Chemistry LBL014 Histamine,Whole Blood 11,500 6117 Special Chemistry LBL015 Lipoprotein (A) 1,100 6118 Special Chemistry LBL016 Vitamin D -1,25-(OH)2 Dihydroxy 4,500 6119 Special Chemistry LBL018 T3 Reverse 14,500 6120 Special Chemistry LBL019 Troponin T, Qualitative 1,500 6121 Special Chemistry LBL0121 VMA, Urine 4,100 6122 Special Chemistry LBL006 Ceruloplasmin Serum 1,100 6123 Special Chemistry LBL007 C-Peptide,Serum 1,100 6124 Special Chemistry LBL009 Copper,Urine 1,900 6125 Special Chemistry LBL011 Folic Acid Serum 1,300 6126 Special Chemistry LBL012 Haptoglobin; Quantitative 1,800 6127 Special Chemistry LBL013 Hydroxyproline; Free 21,000 6128 Special Chemistry LBL001 Zinc 2,000 6129 Special Chemistry LBL003 Amino Acids,Qual,Urine,2-D 1,300 6130 Special Chemistry LBL0025 CPK Isoenzyme electrophoresis 7,000 6131 Special Chemistry LBL0026 Estrogens- Fractionated, Serum 24,000 6132 Special Chemistry LBL0028 Lipoprotein fractionation 17,000 6133 Special Chemistry LBL0029 troponin-I,Quantitative 2,300 6134 Special Chemistry LBL0037 Apolipo Protein A1& B 700 6135 Special Chemistry LBL0040 Vitamine B12 Assay 1,500 6136 Special Chemistry LBL0043 Lead-Urine 1,700 6137 Special Chemistry LBL024 Angiotensin Converting Enzyme- ACE 1,100 6138 Special Chemistry LBL026 Homocysteine,Serum,Quantitatative 1,000 6139 Special Chemistry LBL030 Aluminium 2,100 6140 Special Chemistry LBL035 Hydroxyproline Total,24 hrs Urine 13,600 6141 Special Chemistry LBS171 Complement, C 3 700 6142 Special Chemistry LBS172 Complement, C 4 700 6143 Special Chemistry LBL97 CHROMOGRANIN A (CGA) 7,000 6144 Special Chemistry LBL95 Allergy Marker Shrimp/Prawn 1,100 6145 Special Chemistry LBL199 Porphyrins Total,Qualitative, 24 hours U 5,000 6146 Special Chemistry LBL081 Ethonal(urine) 800 6147 Special Chemistry LBL129 GALACTOSE -1-PHOSPHATE,QUANTITATIVE,BLOO 1,500 6148 Special Chemistry LBL299 Mercury, Random Urine 3,200 6149 Special Chemistry LBL81 Arsenic, 24 hours urine 3,000 6150 Special Chemistry LBL82 Arsenic, Random urine 3,000 6151 Special Chemistry LBL83 Arsenic, Blood 3,000 6152 Special Chemistry LBL118 Methaemoglobin blood 1,100 6153 Special Chemistry LBL100 Polarizing microscopy, body fluids 400 6154 Special Chemistry LBL101 Copper,Serum 1,400 6155 Special Chemistry LBL102 Cortisol,Free,24 hours Urine 900 6156 Special Chemistry LBL105 Tumour Necrosis Factor(TNF) Alpha 4,500 6157 Special Chemistry LBL180 Hemosiderin Urine 400 6158 Special Chemistry LBL087 Plasma Renin Activity (PRA) 5,900 6159 Special Chemistry LBL197 Myeloma Profile –New 9,900 6160 Special Chemistry LBL198 Myeloma profile –Follow up 3,100 6161 Special Chemistry LBL96 Viscosity,Serum 7,300 6162 Special Chemistry LBL91 Serum Neuron specific enolase 3,700 6163 Special Chemistry LBL09 Porphobilinogen Qualitative(urine) 4,000 6164 Special Chemistry LBL200 Methylmalonic Acid(Quantitative)Serum 11,300 6165 Special Chemistry LBL201 INHIBIN A TUMOR MARKER 800 6166 Special Chemistry LBL202 CHOLINESTERASE,SERUM 600 6167 Special Chemistry LBL12 Protein electrophoresis – serum 800 6168 Special Chemistry LBL13 Protein electrophoresis 24 hrs urine 4,500 6169 Special Chemistry LBL14 Protein electrophoresis – CSF 4,500 6170 Special Chemistry LBL15 Immunofixation electrophoresis serum 6,500 6171 Special Chemistry LBL16 Immunofixation electrophoresis -24 hrs U 7,500 6172 Special Chemistry LBL87 Galactosemia Screening,Blood 700 6173 Special Chemistry LBL098 Fabry disease,Quantitative 2,300 6174 Special Chemistry LBL297 Myoglobin,Urine 5,000 6175 Special Chemistry LBL095 FRUCTOSAMINE (SERUM) 600 6176 Special Chemistry LBL145 Galactosemia screen,newborn 300 6177 Special Chemistry LBL92 METABOLIC SCREEN, BASIC, Urine 700 6178 Special Chemistry LBL93 METABOLIC SCREEN,COMPREHENSIVE Urine 1,800 6179 Special Chemistry LBL94 IMD Panel by TMS 4,000 6180 Special Chemistry LBL64 Inhibin A, Maternal screening 800 6181 Special Chemistry LBL042 Alpha 1 Anti trypsin Quantitation 2,100 6182 Special Chemistry LBB0013 Acid Phosphatase, Prostatic 450 6183 Special Chemistry LBL040 Stone Analysis 1,200 6184 Special Chemistry LBL42 Cryoglobulin Screen 1,100 6185 Special Chemistry LBL43 Cryoglobulin Confirmatory 5,500 6186 Special Chemistry LBL44 Kappa/Lambda Light Chain, Free: Serum 6,500 6187 Special Chemistry LBL45 Kappa/Lambda Light Chain, Free: Urine 6,500 6188 Special Chemistry LBL124 GFR(Glomerular Filtration Rate) 200 6189 Special Chemistry LBL125 Zinc Plasma 1,700 6190 Special Chemistry LBL89 VITAMIN E TOCOPHEROL 6,600 6191 Special Chemistry LBL11 Nickel 24 hour urine 3,000 6192 Special Chemistry LBL25 Nickel Random urine 3,000 6193 Special Chemistry LBL26 Chromium Blood 3,000 6194 Special Chemistry LBL27 Chromium 24 hour urine 300 6195 Special Chemistry LBL28 Chromium Random urine 3,000 6196 Special Chemistry LBL0297 Vitamin A (Retinol) 6,600 6197 Special Chemistry LBL99 Homovanillic Acid(HVA) Random urine 8,000 6198 Special Chemistry LBL85 Homovanillic Acid(HVA) 24 hour urine 8,000 6199 Special Chemistry LBL68 VMA, 24 hour urine 4,100 6200 Special Chemistry LBL78 Copper 24 hour urine 1,900 6201 Special Chemistry LBL115 Troponin- i (Qualitative) 1,000 6202 Special Chemistry LBL119 Glucagon 6,300 6203 Special Chemistry LBL67 Calcium 24 hrs Urine 300 6204 Special Chemistry LBL69 Uric Acid 24 hrs Urine 400 6205 Special Chemistry LBL84 Phosphorous 24 hrs Urine 300 6206 Speech Pathology ENS002 Speech Therapy (Demonstration Therapy) 648 6207 Speech Pathology ENS003 Regular Speech Therapy 30 min 486 6208 Speech Pathology ENS004 Regular Speech Therapy 60 min 810 6209 Speech Pathology ENS005 Speech Audiometry 540 6210 Speech Pathology ENS006 Behavioral Observation Audiometry,BOA 648 6211 Speech Pathology ENS025 Hearing Aid Programming 864 6212 Speech Pathology ENS009 Hearing Aid Trial 1,188 6213 Speech Pathology ENS010 Aided Audiogram 702 6214 Speech Pathology ENA001 Pure tone Audiometry(PTA) 810 6215 Speech Pathology ENA002 Impedence 648 6216 Speech Pathology ENA003 PTA/Impedence(Package) 1,404 6217 Speech Pathology ENS007 SPEECH THERAPY PACKAGE (30 min) 5,184 6218 Speech Pathology ENS008 SPEECH THERAPY PACKAGE (60 min) 8,640 6219 Speech Pathology ENA004 BERA (Hearing) 3,240 6220 Speech Pathology ENS011 OAEs - hearing Screening 1,080 6221 Speech Pathology ENS012 Repeat OAE 756 6222 Speech Pathology ENS125 Screening Pure Tone Audiometry (Screening PTA 486 6223 Stress Echo CDC005 3D ECHO 4,428 6224 Stress Echo CDC006 Dobutamine Stress ECHO 6,156 6225 Stress Echo CDC0100 Dobutamine Stress ECHO(AHWP) 1,728 6226 Stress Echo CDC050 ADENOSINE STRESS ECHO 8,748 6227 Stress Echo CDC052 PACEMAKER INTERROGATION 972 6228 Stress Echo CDC004 Stress Echocardiography 4,752 6229 Surgical Oncology SOON28 Palliative Tracheostomy -- Emergency 21,600 6230 Surgical Oncology SOON01 Rt Partial Scapulectomy 30,888 6231 Surgical Oncology SOON30 Stoma Closure under GA 27,000 6232 Surgical Oncology SOON31 External Carotid Ligation 19,440 6233 Surgical Oncology SOON32 Orchidectomy subcapsular 19,440 6234 Surgical Oncology SOON33 Compartmental Resection 41,040 6235 Surgical Oncology SOON34 Wertheim's Hysterectomy 59,400 6236 Surgical Oncology SOON35 Ovarian Laparotomy 27,000 6237 Surgical Oncology SOON36 Simple Omentectomy 18,360 6238 Surgical Oncology SOON37 Additive Splenectomy 19,440 6239 Surgical Oncology SOON38 Cholecystectomy 19,440 6240 Surgical Oncology SOON39 Exploratory Laparotomy with Adhesiolysis 27,000 6241 Surgical Oncology SOON40 Tripple Bypass 48,600 6242 Surgical Oncology SOON41 J pouch reconstruction 21,600 6243 Surgical Oncology SOON42 Complex Abdominal tumor resection 70,200 6244 Surgical Oncology SOON43 Major Abdominal tumor resection 48,600 6245 Surgical Oncology SOON44 Bowel repair surgery (major) 27,000 6246 Surgical Oncology SOON45 Bowel repair surgery (minor) 15,120 6247 Surgical Oncology SOON46 Simple Abdominoplasty 34,992 6248 Surgical Oncology SOON47 Laryngo pharyngo oesophagectomy 64,800 6249 Surgical Oncology SOON02 Oncology Surgery Category A 70,200 6250 Surgical Oncology SOON03 Oncology Surgery Category B 48,600 6251 Surgical Oncology SOON04 Oncology surgery Category C 34,560 6252 Surgical Oncology SOON05 Oncoplasty Small 12,960 6253 Surgical Oncology SOON06 Oncoplasty Medium 19,440 6254 Surgical Oncology SOON07 Oncoplasty Major 27,000 6255 Surgical Oncology SOON08 Radical Mastectomy 35,000 6256 Surgical Oncology SOON09 Breast Conservative surgery 41,040 6257 Surgical Oncology SOON10 Microdochectomy 15,660 6258 Surgical Oncology SOON11 Radical Duct Excision (Hadfield's) 17,820 6259 Surgical Oncology SOON12 Excision,Breast Lesion (Large) 27,000 6260 Surgical Oncology SOON13 Excision,Breast Lesion (Small) 16,200 6261 Surgical Oncology SOON15 Breast Oncoplasty 32,400 6262 Surgical Oncology SOON16 Sentinel Lymph Node Biopsy 27,216 6263 Surgical Oncology SOON17 Oncoport placement 15,660 6264 Surgical Oncology SOON18 Oncoport Removal 8,640 6265 Surgical Oncology SOON19 Onco Dressing(minor) 864 6266 Surgical Oncology SOON20 Onco Dressing(medium) 2,700 6267 Surgical Oncology SOON21 Onco Dressing(major) 4,320 6268 Surgical Oncology SOON22 Onco Biopsy-Deep 9,720 6269 Surgical Oncology SOON23 Onco Lymph Node Biopsy 10,800 6270 Surgical Oncology SOON24 Wide local Excision (Minor) 16,200 6271 Surgical Oncology SOON25 Wide local Excision (Medium) 19,980 6272 Surgical Oncology SOON26 Wide local Excision (Major) 37,800 6273 Surgical Oncology SOON27 Palliative Tracheostomy - Planned 19,440 6274 Surgical Oncology SOON48 Neck Dissection Central 19,440 6275 Surgical Oncology SOON49 Marginal Mandibulectomy for Cancer 27,000 6276 Surgical Oncology SOON50 Parotidectomy Superficial 37,800 6277 Surgical Oncology SOON51 LAR 59,400 6278 Surgical Oncology SOON52 Ultra LAR 64,800 6279 Surgical Oncology SOON53 Para arotic LN Dissection 32,400 6280 Surgical Oncology SOON54 RPLND 56,160 6281 Surgical Oncology SOON55 Iliofemoral LN Dissection 32,400 6282 Surgical Oncology SOON56 B/L Iliofemoral LN Dissection 43,200 6283 Surgical Oncology SOON57 Lobectomy for lung cancer 59,400 6284 Surgical Oncology SOON58 Amputation Major 32,400 6285 Surgical Oncology SOON59 Zolendronic acid therapy 1,296 6286 Surgical Oncology SOON60 Three field Esophagectomy 64,800 6287 Surgical Oncology SOON61 Transhiatal Esophagectomy 59,400 6288 Surgical Oncology SOON62 Whipple's resection 77,760 6289 Surgical Oncology SOON63 APR 38,880 6290 Surgical Oncology SOON29 Feeding Jejunostomy/Gastrostomy 16,200 6291 TILT TABLE TEST CDE003 Tilt Table Evaluation 3,564 6292 TMT CDT003 Tread Mill Stress Test 2,160 6293 Toxicology LBX001 Ethanol ( Alcohol ) Blood 630 6294 Toxicology LBX002 Cyclosporine LC-MS/MS 2,500 6295 Toxicology LBX003 Digoxin 830 6296 Toxicology LBX004 Phenytoin 880 6297 Toxicology LBX005 Lithium 230 6298 Toxicology LBX006 Phencyclidine,Urine 800 6299 Toxicology LBX007 Phenobarbitone 880 6300 Toxicology LBX008 Carbamazepine, Free 4,160 6301 Toxicology LBX009 Carbamazepine, Total 750 6302 Toxicology LBX011 Barbiturates Screen,Urine 630 6303 Toxicology LBX012 Benzodiazepines Screen,Urine 630 6304 Toxicology LBX013 Opiates Screen Urine 600 6305 Toxicology LBX019 Toxicology Screen 5,400 6306 Toxicology LBX24 COCAINE (URINE) 630 6307 Toxicology LBX15 CANNABINOIDS(URINE) 630 6308 Toxicology LBX15 CANNABINOIDS(URINE) 630 6309 Toxicology LBX91 Methadone,Urine 600 6310 Toxicology LBX025 Toxicology screen, Card test 1,400 6311 Toxicology LBX22 Valproic acid 750 6312 Toxicology LBX20 Methotrexate 2,600 6313 Toxicology LBX21 Tacrolimus (FK506) 3,600 6314 Toxicology LBX10 Amphetamine-Urine 600 6315 Toxicology LBX110 Alcohol Screen Urine 630 6316 Toxicology LBX015 Vancomycin Level 5,900 6317 Transfusion Medicine LBT001 Blood Gp Adult 540 6318 Transfusion Medicine LBT002 Bld Gp(Neonate) 756 6319 Transfusion Medicine LBT003 Irregular Antibody Screening 756 6320 Transfusion Medicine LBT004 Direct Coombs Test 540 6321 Transfusion Medicine LBT006 Coombs Crossmatch 864 6322 Transfusion Medicine LBT007 Fresh Frozen Plasma 2,052 6323 Transfusion Medicine LBTE01 Whole Blood 3,564 6324 Transfusion Medicine LBT012 SDPC 16,400 6325 Transfusion Medicine LBT013 Cryoprecipitate 1,944 6326 Transfusion Medicine LBT014 Cryo Poor Plasma 2,052 6327 Transfusion Medicine LBT017 RDPC(Buffycoat Recovered Platete conc 2,160 6328 Transfusion Medicine LBT025 Packed Red Cell 2,700 6329 Transfusion Medicine LBT031 Cross Matching Charges 864 6330 Transfusion Medicine LBT019 Autologus Buffy Coat Concentrate 2,700 6331 Transfusion Medicine LBT032 Therapeutic phlebotomy 1,836 6332 Transfusion Medicine LBT091 Paed.Aliquot SDPC 12,096 6333 Transfusion Medicine LBT100 Donor Screening for Apheresis 2,052 6334 Transfusion Medicine LBT150 Therapeutic procedure 26,136 6335 Transfusion Medicine LBT095 RDPC (Dengue) 648 6336 Transfusion Medicine LBT054 PRBC (Leucodepleted) 5,076 6337 Transfusion Medicine LBT27 Paed. Aliquot PRC 3,888 6338 Transfusion Medicine LBT105 whole blood - Leucodepleted 7,884 6339 Transfusion Medicine LBT76 PBSC (RBC / Plasma Depletion) 5,400 6340 Transfusion Medicine LBT050 Peripheral Blood Stem Cell(PBSC) 37,800 6341 Transfusion Medicine LBT51 Cryop harvest 300ml product 43,200 6342 Transfusion Medicine LBT052 Cryop More 300ml product 64,800 6343 Transfusion Medicine LBT053 Blood grouping antibody screening 1,080 6344 Transfusion Medicine LBT055 Platelet Rich Plasma 16,200 6345 Transfusion Medicine LBT056 Antibody Titration 1,080 6346 Transfusion Medicine LBT057 Irregular Antibody Identification 3,456 6347 Transfusion Medicine LBT058 Nucleic Acid testing 2,700 6348 Transfusion Medicine LBT036 Stem-CD 34+ Enumeration 6,372 6349 Transfusion Medicine LBT106 Single Donor Recovered FreshFrozenPlasma 18,468 6350 TTE CDC001 Transthoracic Echocardiography 3,348 6351 Ultrasound RDU080 USG Guided Amnioinfusion single pregnanc 13,200 6352 Ultrasound RDU081 USG Guided Amniocentesis single pregnan 6,600 6353 Ultrasound RDU082 USG Guided Choronic Villus Sampling sing 7,300 6354 Ultrasound RDU069 USG Obstetrics BPP only 1,500 6355 Ultrasound RDU0069 USG JOINTS 2,200 6356 Ultrasound RDU0070 USG SOFT TISSUE 2,200 6357 Ultrasound RDU0071 USG EXTRIMITY 2,200 6358 Ultrasound RDU0072 USG PREGNENCY WITH 3D/4D 4,000 6359 Ultrasound RDU0300 USG Scrotum 1,800 6360 Ultrasound RDU067 Ultrasound Doppler both limbs -Arterial 5,400 6361 Ultrasound RDU073 Genetics Sonogram 4,000 6362 Ultrasound RDU074 USG preg dop/bio(32 weeks)Twins 5,200 6363 Ultrasound RDU075 Usg Pregnency emergency 4,300 6364 Ultrasound RDU076 USg preg dop/biophysical(32 weeks) 3,600 6365 Ultrasound RDU077 Usg pregnency doppler(28-32 weeks) 3,300 6366 Ultrasound RDU078 USG Doppler for AV Graft 2,000 6367 Ultrasound RDU079 USG Doppler Iliofemoral (Arterial & Veno 3,300 6368 Ultrasound RDU031 Ultrasound Penis 1,500 6369 Ultrasound RDU032 Ultrasound Shoulder 1,600 6370 Ultrasound RDU033 Ultrasound Wrist 1,500 6371 Ultrasound RDU034 Ultrasound Knee Joint 1,600 6372 Ultrasound RDU035 Ultrasound Neonatal Hip 1,800 6373 Ultrasound RDU036 Ultrasound Neonatal skull 1,500 6374 Ultrasound RDU037 Ultrasound spinal canal 1,500 6375 Ultrasound RDU038 Ultrasound Doppler Carotid 3,300 6376 Ultrasound RDU039 Ultrasound Doppler Both Limbs 6,300 6377 Ultrasound RDU040 Ultrasound Doppler Both Limbs 6,300 6378 Ultrasound RDU041 Ultrasound Doppler Single Limb 3,600 6379 Ultrasound RDU042 Ultrasound Doppler Single Limb 6,300 6380 Ultrasound RDU043 Ultrasound Doppler Penile 6,600 6381 Ultrasound RDU044 Ultrasound Doppler Renal 3,900 6382 Ultrasound RDU045 Ultrasound Doppler Transplant 3,600 6383 Ultrasound RDU046 Ultrasound Doppler Scrotal 3,100 6384 Ultrasound RDU047 Ultrasound Doppler transvagina 2,200 6385 Ultrasound RDU050 Ultrasound guided fluid Aspira 2,700 6386 Ultrasound RDU051 Ultrasound guided fluid Aspira 4,500 6387 Ultrasound RDU052 Ultrasound guided FNAC 3,600 6388 Ultrasound RDU053 Ultrasound guided Biopsy 5,400 6389 Ultrasound RDU054 Ultrasound guided RFA (Radio F 27,500 6390 Ultrasound RDU055 Ultrasound guided catheterizat 6,300 6391 Ultrasound RDU056 Ultrasound Percutaneous Nephro 6,300 6392 Ultrasound RDU057 Ultrasound Guided MTP - Ultras 4,400 6393 Ultrasound RDU058 Sonohysterosalpingography Ante 4,400 6394 Ultrasound RDU059 Ultrasound for artery rePoster 5,400 6395 Ultrasound RDU061 Ultrasound Guidance in OT (Ext 1,700 6396 Ultrasound RDU062 Ultrasound Guidance in OT (Fir 2,200 6397 Ultrasound RDU063 Ultrasound Screening Without F 1,100 6398 Ultrasound RDU025 Ultrasound Pregnancy Level 2,900 6399 Ultrasound RDU028 Ultrasound pregnancy follow up 1,500 6400 Ultrasound RDU030 USG pregnancy follow up- complete 3,200 6401 Ultrasound RDU064 Extra USG / X - Ray Film 200 6402 Ultrasound RDU001 Ultrasound Neck/Thyroid 1,500 6403 Ultrasound RDU002 Ultrasound Orbit 1,500 6404 Ultrasound RDU003 Ultrasound Chest 1,500 6405 Ultrasound RDU004 Ultrasound Breasts 1,800 6406 Ultrasound RDU005 Ultrasound Breast -single 1,200 6407 Ultrasound RDU006 Ultrasound Lower Abdomen 1,500 6408 Ultrasound RDU007 Ultrasound Whole Abdomen 2,200 6409 Ultrasound RDU008 Ultrasound Whole abdomen with 2,700 6410 Ultrasound RDU009 Ultrasound Abdominal Doppler ( 3,300 6411 Ultrasound RDU010 Ultrasound Both Kidneys 1,200 6412 Ultrasound RDU011 Ultrasound Kidney,UrinaryBladder 1,500 6413 Ultrasound RDU012 Ultrasound KUB with Transvagin 1,800 6414 Ultrasound RDU013 Ultrasound Upper Abdomen 1,500 6415 Ultrasound RDU014 Ultrasound Transrectal 1,500 6416 Ultrasound RDU015 Ultrasound transrectal for bra 2,200 6417 Ultrasound RDU016 Ultrasound Transvaginal 1,500 6418 Ultrasound RDU017 Ultrasound Follicular Study 2,200 6419 Ultrasound RDU018 Ultrasound Follicular Study 1 600 6420 Ultrasound RDU021 Ultrasound Pregnancy with tran 2,200 6421 Ultrasound RDU022 Ultrasound Pregnancy Level 1/e 2,200 6422 Ultrasound RDU023 Ultrasound Pregnancy Level 4,800 6423 Ultrasound RDU024 Ultrasound Pregnancy Level 2/A 3,700 6424 Urology URU113 Substitution Urethroplasty 38,492 6425 Urology URU114 Suprapubic cystostomy 8,839 6426 Urology URU115 SVG 6,273 6427 Urology URU116 SVG + VEA - Bilateral 29,926 6428 Urology URU117 SVG + VEA - Unilateral 22,810 6429 Urology URU118 Testiculal Biopsy Bilateral 11,679 6430 Urology URU119 Testicular Biopsy (Unilateral) 9,695 6431 Urology URU120 Testiculal ImplantPlacement Bilateral 16,537 6432 Urology URU121 Testicular Implant Placement (Unilateral 14,672 6433 Urology URU122 Torsion Testis Fixation (Unilateral) 14,672 6434 Urology URU123 Torsion Testis Fixation (Bilateral) 16,537 6435 Urology URU124 Transpubic Urethoroplasty 48,756 6436 Urology URU125 Transrectal Prostate Biopsy-LA 4,562 6437 Urology URU126 Transrectal Prostate Biopsy-GA 7,829 6438 Urology URU127 Transurethral Resection of Bladder Tumou 21,384 6439 Urology URU128 Transurethral Resection of Bladder Tumou 29,926 6440 Urology URU130 Trucut Needle Biopsy 2,840 6441 Urology URU131 TUR (P) & TUR (BT) 34,215 6442 Urology URU132 TUR (P) (Transurethral resection of pros 27,075 6443 Urology URU133 TURP + Cystolithotripsy 34,215 6444 Urology URU134 TURP + TUEV - P 39,204 6445 Urology URU135 U.R.S. Diagnostic Bilateral 24,948 6446 Urology URU136 U.R.S. Diagnostic Unilateral 22,810 6447 Urology URU137 Ureterolysis For RPF - Unilateral 34,215 6448 Urology URU138 Uretero Calicostomy 38,492 6449 Urology URU139 Uretero Sigmoidostomy 42,757 6450 Urology URU140 Ureterocele Repair Unilateral 29,926 6451 Urology URU141 Ureterocele Repair Bilateral 34,215 6452 Urology URU142 Ureterolysis For RPF - Bilateral 38,492 6453 Urology URU143 Ureteroscopic Removal of Stone 22,810 6454 Urology URU144 Ureteroscopic Removal of Stone with Intr 25,398 6455 Urology URU145 Uretheroplasty 1st Stage 22,810 6456 Urology URU146 Uretheroplasty 2nd Stage 22,810 6457 Urology URU147 Urethral Caruncle 14,684 6458 Urology URU148 Urethrolithotomy 20,660 6459 Urology URU149 Urethroplasty one stage Procedure 38,492 6460 Urology URU150 Vasectomy B/L 11,679 6461 Urology URU151 Vasectomy Reversal B/L 42,757 6462 Urology URU152 Vasectomy Reversal U/L 34,203 6463 Urology URU153 Vesico-Vaginal Fistula 29,926 6464 Urology URU205 Retrograde intra renal surgery ( RIRS) 34,203 6465 Urology URU087 PCNL-Relook 14,672 6466 Urology URU061 Laproscopic radical nephrectomy 48,495 6467 Urology URU089 Partial nephrectomy 48,756 6468 Urology URU064 Laproscopic surgery for Seminal vesicles 42,757 6469 Urology URU090 Partial amputation of penis 22,810 6470 Urology URU065 Laproscopic surgery for V V F 48,732 6471 Urology URU066 Laproscopic ureteral reimplantation 42,757 6472 Urology URU091 Total Amputation of penis with Perinal u 34,203 6473 Urology URU067 Laproscopic ureterolysis 42,757 6474 Urology URU092 Partial Cystectomy 27,075 6475 Urology URU068 Laser Prostatectomy 38,468 6476 Urology URU093 Percutaneous Kidney Biopsy 6,273 6477 Urology URU094 Percutaneous Nephrostomy 14,672 6478 Urology URU095 Perineal urethrostomy 20,660 6479 Urology URU096 Peyronies plaque excision 20,660 6480 Urology URU097 Phrenuloplasty 11,679 6481 Urology URU098 Posterior Urethral Valve Fulgration 22,810 6482 Urology URU099 Prostatic Stenting (Permanent) 20,660 6483 Urology URU100 Pyelolithotomy 22,810 6484 Urology URU101 R.G.P. Bilateral 11,679 6485 Urology URU069 Lymph Node Biopsy (Superficial) 3,564 6486 Urology URU070 Meatoplasty 14,672 6487 Urology URU071 Meatotomy 6,273 6488 Urology URU072 Minor Surgery 1,557 6489 Urology URU073 Radical Cystectomy + Ileal Conduit 58,438 6490 Urology URU074 Radical Cystectomy + Orthotopic Neo blad 64,152 6491 Urology URU075 Radical Cystectomy + Urethrectomy 64,152 6492 Urology URU076 Nephrectomy Radical 42,757 6493 Urology URU077 Nephrostomy Open 22,810 6494 Urology URU078 Open Prostatectomy 27,075 6495 Urology URU079 Optical Urethrotomy 20,660 6496 Urology URU080 Orchidectomy Bilateral 14,672 6497 Urology URU081 Orchidectomy Unilateral 14,672 6498 Urology URU082 Orchidopexy - Bilateral 22,810 6499 Urology URU083 Orchidopexy - Unilateral 20,660 6500 Urology URU084 P.C.N.L. Multiple stones 30,480 6501 Urology URU085 P.C.N.L. Stag Horn Stone 34,203 6502 Urology URU102 R.P.G. Unilateral 9,683 6503 Urology URU103 Radical Nephroureterectomy with Cuff of 53,591 6504 Urology URP174 Intravesical instillation of BCG 2,376 6505 Urology URU190 Endoscopic Urethral Rail Loading 29,926 6506 Urology URU204 Explantation of Penile Prosthesis 25,661 6507 Urology URU202 Microsurgical Varicoclectomy Bilateral 34,215 6508 Urology URU201 Microsurgical Varicoclectomy Unilateral 27,075 6509 Urology URU203 Buceal Mucosal Urethroplasty 42,757 6510 Urology URP001 Calibration of urethra 2,115 6511 Urology URP002 Pipe test 3,778 6512 Urology URP003 Teaching CIC 3,778 6513 Urology URP004 Uroflowmetry 756 6514 Urology URP005 Andrology Counseling 2,495 6515 Urology URP006 Catheterization 2,353 6516 Urology URP007 Penile Injection with or without Teachin 3,778 6517 Urology URP008 Priapism Aspiration 3,564 6518 Urology URP009 Prostatic Massage 1,664 6519 Urology URP010 Reduction of Paraphimosis 4,527 6520 Urology URU104 Radical Prostatectomy 48,756 6521 Urology URU105 Reimplantation of Ureter - Unilateral 29,926 6522 Urology URU106 Reimplantation of ureter Bilateral 34,215 6523 Urology URU107 Repair of fracture penis 20,660 6524 Urology URU108 Retroperitoneoscopic surgery in Horse Sh 53,603 6525 Urology URU109 Retroperitoneoscopic Ureterolithotomy 34,215 6526 Urology URU110 Simple Nephrectomy 29,926 6527 Urology URU111 Endoscopic Teflon Injection Bilateral 14,672 6528 Urology URU112 Endoscopic Teflon Injection Unilateral 11,679 6529 Urology URU028 D/J Stening Unilateral 9,683 6530 Urology URU001 Abscess Drainage - Large 4,551 6531 Urology URU002 Abscess Drainage - Medium 2,840 6532 Urology URU003 Abscess Drainage - Small 1,557 6533 Urology URU004 Adrenalectomy Bilateral 53,591 6534 Urology URU005 Adrenalectomy Unilateral 29,926 6535 Urology URU006 Anatrophic Nephrolithotomy 48,756 6536 Urology URU007 Anderson Hynes Pyeloplasty 29,926 6537 Urology URU008 Augmentation Ileocystoplasty 53,591 6538 Urology URU009 Autotransplantation of Kidney 71,269 6539 Urology URU010 Bladder Diverticulectomy Excision 20,660 6540 Urology URU011 Bladder neck incision 20,660 6541 Urology URU012 Bladder neck suspension operations or TV 34,203 6542 Urology URU013 Boaris Flat Repair 38,492 6543 Urology URU014 Caverno- Saphemous Shunt Priapism 27,075 6544 Urology URU015 Chordee Correction 11,679 6545 Urology URU016 Circumcision 11,679 6546 Urology URU017 Closure of Urethral Fistula 18,521 6547 Urology URU018 Cystolithotomy Suprapubic 16,537 6548 Urology URU019 Cystoscopic clot evacuation 9,683 6549 Urology URU020 Cystoscopic removal of foreign bodies 9,683 6550 Urology URU062 Laproscopic Radical prostatectomy 64,129 6551 Urology URU063 Laproscopic Rovsing operation (Cyst dero 34,203 6552 Urology URU021 Cystoscopy Diagnostic 7,829 6553 Urology URU022 Cystoscopy + Biopsy 16,537 6554 Urology URU023 Cystoscopy with Retrograde Catheterizati 11,679 6555 Urology URU024 Cystoscopy with Retrograde Catheterizati 9,683 6556 Urology URU025 D/J Stent removal-LA 6,273 6557 Urology URU026 D/J Stent removal 8,839 6558 Urology URU029 D/J Stentong Bilateral 11,679 6559 Urology URU030 Dilatation of Stricture Urethra under L 6,273 6560 Urology URU031 Dilatation of Stricture Urethra under G. 8,839 6561 Urology URU032 Examination under anasthesia 4,551 6562 Urology URU033 Endopyelotomy 38,492 6563 Urology URU034 Endoscopic bladder neck suspension Level 27,075 6564 Urology URU035 Endoscopic bladder neck suspensionLevel2 38,492 6565 Urology URU036 Endoscopic Removal of Stone in Bladder 20,660 6566 Urology URU037 Endoscopic Teflon Injection - Unilateral 20,660 6567 Urology URU038 Endoscopy Teflon Injection - Bilateral 22,810 6568 Urology URU039 Epididmal Cyst Excision Bilateral 14,672 6569 Urology URU040 Epididmal Cyst Excision Unilateral 14,672 6570 Urology URU041 Epididymectomy/ Spermatocelectomy- Unila 14,672 6571 Urology URU042 Exploratory Scrototomy 14,672 6572 Urology URU043 Glanulo-Cavernous Shunt 14,672 6573 Urology URU044 Groin Dissection unilateral 22,810 6574 Urology URU045 Hydroceletomy Unilateral 11,679 6575 Urology URU046 Ileal replacement of ureter 48,756 6576 Urology URU047 Ileo Caeco Cystoplasty 48,756 6577 Urology URU048 Lap Varicocelectomy 27,075 6578 Urology URU088 P.C.N.L. with Endopyelotomy 42,757 6579 Urology URU049 Laparoscopic Adrenalectomy Unilateral 38,492 6580 Urology URU050 Laproscopic adrenectomy 64,129 6581 Urology URU051 Laproscopic diverticulectomy 38,492 6582 Urology URU052 Laproscopic lymph node excision (RPLND) 38,492 6583 Urology URU053 Laproscopic lymphatic ligation 34,203 6584 Urology URU054 Laproscopic Nephro-ureterectomy 48,756 6585 Urology URU055 Laproscopic/Open HIGH Orchidectomy 27,075 6586 Urology URU056 Laproscopic Orchidopexy 34,203 6587 Urology URU057 Laproscopic/Open pelvic lymphadenectomy 38,468 6588 Urology URU086 P.C.N.L. Stone less then 1cm 22,810 6589 Urology URU058 Laproscopic Pyelolithotomy 38,468 6590 Urology URU059 Laproscopic Pyeloplasty 48,756 6591 Urology URU060 Laproscopic Radical Cystectomy 64,152 6592 Vaccines PEV023 Polio 44 6593 X Ray RDX265 X-Ray portable charges 400 6594 X Ray RDX166 X-Ray Nasopharynx for adenoids (Lat) 500 6595 X Ray RDX151 X-Ray Spine -scoliosis lat. Bending R/ L 900 6596 X Ray RDX152 X-Ray Both Wrists- lateral view 900 6597 X Ray RDX153 X-Ray Right Wrist - AP 500 6598 X Ray RDX154 X-Ray Left Wrist- AP 500 6599 X Ray RDX155 X-Ray Right Wrist- lateral 500 6600 X Ray RDX156 X-Ray Left Wrist- Lateral 500 6601 X Ray RDX157 X-Ray Right Heel- Lateral 500 6602 X Ray RDX158 X-Ray Left Heel - Lateral 500 6603 X Ray RDX159 X-Ray Right Knee joint- Lateral 500 6604 X Ray RDX160 X-Ray Left knee joint- lateral 500 6605 X Ray RDX161 X-Ray Both Knee joints Lateral View 900 6606 X Ray RDX163 Gastrograffin meal follow through study 6,800 6607 X Ray RDX164 Gastrograffin enteroclysis study 8,500 6608 X Ray RDX150 Skeletal Screening (without Film) 5,100 6609 X Ray RDX005 X-Ray Styloid Process Antero - 500 6610 X Ray RDX006 X-Ray Temporomandibular (TM) J 1,200 6611 X Ray RDX007 X-Ray Temporomandibular Joint 900 6612 X Ray RDX008 X-Ray PNS Waters view 500 6613 X Ray RDX009 X-Ray Nasal Bone Lateral 500 6614 X Ray RDX011 X-Ray Mandible Antero - Poster 500 6615 X Ray RDX012 X-Ray Mandible Antero - Poster 700 6616 X Ray RDX013 X-Ray Mandible Left OBLIQUE 500 6617 X Ray RDX014 X-Ray Mandible Right OBLIQUE 500 6618 X Ray RDX015 X-Ray Mastoids (Per site) 500 6619 X Ray RDX016 X-Ray Acromion (10 degree Caud 500 6620 X Ray RDX017 X-Ray Left./ Right Clavicle An 500 6621 X Ray RDX018 X-Ray Bilateral Clavicles Ante 500 6622 X Ray RDX020 X-Ray Left. Scapula Antero - P 900 6623 X Ray RDX021 X-Ray Left. Scapula Antero - P 500 6624 X Ray RDX022 X-Ray Right. Scapula Antero - 500 6625 X Ray RDX023 X-Ray Right. Scapula Antero - 900 6626 X Ray RDX024 X-Ray Right. Scapula Antero - 500 6627 X Ray RDX025 X-Ray Shoulder Axillary View 500 6628 X Ray RDX026 X-Ray Left. Shoulder Antero - 500 6629 X Ray RDX027 X-Ray Left.Shoulder Lateral 500 6630 X Ray RDX028 X-Ray Left. Shoulder AP - Lat 900 6631 X Ray RDX029 X-Ray Right. Shoulder Antero - 500 6632 X Ray RDX030 X-Ray Right Shoulder AP - Lat 900 6633 X Ray RDX031 X-Ray Right.Shoulder Lateral 500 6634 X Ray RDX133 X-Ray Chest Left. Lateral Decu 500 6635 X Ray RDX134 X-Ray Chest Right. Lateral Dec 500 6636 X Ray RDX136 X-Ray Chest Right. OBLIQUE 500 6637 X Ray RDX137 X-Ray Chest Antero - Posterior 500 6638 X Ray RDX138 X-Ray Ribs Antero - Posterior 500 6639 X Ray RDX139 X-Ray Ribs OBLIQUE 500 6640 X Ray RDX140 X-Ray Sternum - OBLIQUE 500 6641 X Ray RDX141 X-Ray Sternum Lateral 500 6642 X Ray RDX142 X-Ray Sternum Lateral + OBLIQU 900 6643 X Ray RDX143 X-Ray IOP 500 6644 X Ray RDX144 X-Ray Abdomen Erect / Supine 500 6645 X Ray RDX145 X-Ray Abdomen Erect and Supine 700 6646 X Ray RDX146 X-Ray KUB 500 6647 X Ray RDX147 X-Ray Kidneys 500 6648 X Ray RDX148 X-Ray Infantogram 500 6649 X Ray RDX034 X-Ray LEFT Arm Antero - Poster 900 6650 X Ray RDX035 X-Ray RIGHT. Arm Antero - Post 900 6651 X Ray RDX036 X-Ray RIGHT. Elbow Antero - Po 900 6652 X Ray RDX037 X-Ray Left. Elbow Antero - Pos 900 6653 X Ray RDX038 X-Ray Left. Forearm Antero - P 900 6654 X Ray RDX039 X-Ray Right. Forearm Antero - 900 6655 X Ray RDX040 X-Ray Right. Wrist Antero - Po 900 6656 X Ray RDX041 X-Ray Right.Wrist Antero - Pos 900 6657 X Ray RDX042 X-Ray Right. Wrist for Scapho 1,000 6658 X Ray RDX043 X-Ray Both Wrists Antero - Po 500 6659 X Ray RDX032 X-Ray Gleno Humeral Joint (Tru 500 6660 X Ray RDX033 X-Ray Gleno Humeral Joint at 4 500 6661 X Ray RDX003 X-Ray Skull Antero - Posterior 900 6662 X Ray RDX004 X-Ray Townes view 500 6663 X Ray RDX084 X-Ray Left Ankle Mortice View 500 6664 X Ray RDX085 X-Ray Right Ankle Mortice View 500 6665 X Ray RDX086 X-Ray Left. Foot Antero - Post 900 6666 X Ray RDX087 X-Ray Left. Foot Antero - Post 900 6667 X Ray RDX088 X-Ray Right. Foot Antero - Pos 900 6668 X Ray RDX089 X-Ray Right. Foot Antero - Pos 900 6669 X Ray RDX090 X-Ray Feet Antero - Posterior 500 6670 X Ray RDX091 X-Ray Toes Antero - Posterior 900 6671 X Ray RDX092 X-Ray Left. Heel Axial + Later 900 6672 X Ray RDX092 X-Ray Left. Heel Axial + Later 900 6673 X Ray RDX094 X-Ray Right. Heel Axial + Late 900 6674 X Ray RDX095 X-Ray of Both Heel ( Lateral / 900 6675 X Ray RDX096 X-Ray C. Spine BiLateraleral O 900 6676 X Ray RDX097 X-Ray Cervical Spine AP 500 6677 X Ray RDX098 X-Ray C -Spine AP & Lat 900 6678 X Ray RDX099 X-Ray Cervical Spine Lateral 500 6679 X Ray RDX100 X-Ray Cervical Spine Lateral i 900 6680 X Ray RDX101 X-Ray C1 - C2 Open Mouth View 500 6681 X Ray RDX102 X-Ray Cervico Dorsal Spine Ant 500 6682 X Ray RDX104 X-Ray Cervico Dorsal Spine Lat 500 6683 X Ray RDX105 X-Ray Dorsal Spine Antero - Po 500 6684 X Ray RDX106 X-Ray Dorsal Spine Antero - Po 900 6685 X Ray RDX107 X-Ray Dorsal Spine Lateral 500 6686 X Ray RDX107 X-Ray Dorsal Spine Lateral 500 6687 X Ray RDX109 X-Ray Dorsal Lumbar Spine Ante 500 6688 X Ray RDX111 X-Ray Dorsal Lumbar Spine Late 500 6689 X Ray RDX112 X-Ray Dorso - Lumbar Spine Ext 900 6690 X Ray RDX113 X-Ray Dorso - Lumbar Spine OBL 500 6691 X Ray RDX114 X-Ray Scoliosis View - Dorsolu 500 6692 X Ray RDX115 X-Ray Lumbo Sacral Spine Anter 500 6693 X Ray RDX116 X-Ray Lumbo Sacral Spine Anter 900 6694 X Ray RDX117 X-Ray Lumbo Sacral Spine Bilat 900 6695 X Ray RDX118 Xray Lumbo Sacral Spine Single 500 6696 X Ray RDX119 X-Ray Lumbo Sacral Spine Later 900 6697 X Ray RDX120 X-Ray Lumbo Sacral Spine Later 500 6698 X Ray RDX121 X-Ray Sacro Coccygeal Antero - 500 6699 X Ray RDX122 X-Ray Sacro Coccygeal Joint An 500 6700 X Ray RDX123 X-Ray Sacro Coccygeal Lateral 500 6701 X Ray RDX124 X-Ray Sacrum Antero - Posterio 500 6702 X Ray RDX125 X-Ray Sacrum Antero - Posterio 900 6703 X Ray RDX126 X-Ray Sacrum Lateral 500 6704 X Ray RDX127 X-Ray Coccyx Antero - Posterio 500 6705 X Ray RDX128 X-Ray Coccyx Antero - Posterio 900 6706 X Ray RDX129 X-Ray Coccyx Lateral 500 6707 X Ray RDX130 X-Ray Chest Postero - Anterior 500 6708 X Ray RDX131 X-Ray Chest Left. Lateral 500 6709 X Ray RDX132 X-Ray Chest Right. Lateral 500 6710 X Ray RDX001 X-Ray Skull - Lateraleral 500 6711 X Ray RDX002 X-Ray Skull Antero - Posterior 500 6712 X Ray RDX044 X-Ray Left. Wrist Antero - Pos 900 6713 X Ray RDX045 X-Ray Left.Wrist Antero - Post 900 6714 X Ray RDX046 X-Ray Left Wrist for AP + Lat 900 6715 X Ray RDX047 X-Ray Left. Hand Antero - Post 900 6716 X Ray RDX048 X-Ray Left. Hand Antero - Post 900 6717 X Ray RDX049 X-Ray Right. Finger [any] 500 6718 X Ray RDX050 X-Ray Left. Finger [any] 500 6719 X Ray RDX051 X-RAY Right. Hand Antero - Pos 900 6720 X Ray RDX052 X-Ray Right. Hand Antero - Pos 900 6721 X Ray RDX053 X-Ray Pelvic Inlet 500 6722 X Ray RDX054 X-Ray Pelvic Outlet 500 6723 X Ray RDX055 X-Ray Pelvis - Antero - Poster 500 6724 X Ray RDX056 X-Ray Pelvis Antero - Posterio 900 6725 X Ray RDX057 X-Ray Both Sacro - Iliac (SI) 500 6726 X Ray RDX058 X-Ray Right/Left. Sacro - Ilia 500 6727 X Ray RDX059 X-Ray Sacro - Iliac (SI) Join 900 6728 X Ray RDX060 X-Ray sacro - Iliac (S. I) Joi 900 6729 X Ray RDX061 X-Ray Left. Hip Antero - Poste 500 6730 X Ray RDX062 X-Ray Left. Hip Lateral 500 6731 X Ray RDX063 X-Ray Left. Hip joint - Anter 500 6732 X Ray RDX064 X-Ray Right. Hip Antero - Post 500 6733 X Ray RDX065 X-Ray Right. Hip Antero - Post 900 6734 X Ray RDX066 X-Ray Right. Hip Lateral 500 6735 X Ray RDX067 X-Ray Both Hips-Antero - Poste 500 6736 X Ray RDX068 X-Ray Both Hips Frogleg Latera 500 6737 X Ray RDX069 X-Ray Left. Femur or Thigh Ant 900 6738 X Ray RDX070 X-Ray Right. Femur or Thigh An 900 6739 X Ray RDX071 X-Ray Left. Knee Antero - Post 900 6740 X Ray RDX072 X-Ray Right. Knee Antero - Pos 900 6741 X Ray RDX073 X-Ray Both knee joint Antero - 500 6742 X Ray RDX075 X-Ray Both Knees Antero - Post 500 6743 X Ray RDX076 X-Ray Both Knees Lateral Views 900 6744 X Ray RDX077 X-Ray Postero - Anterior Skyli 500 6745 X Ray RDX078 X-Ray Notch View 500 6746 X Ray RDX079 X-Ray Left. Leg Antero - Poste 900 6747 X Ray RDX080 X-Ray Right. Leg Antero - Post 900 6748 X Ray RDX081 X-Ray Left. Ankle Antero - Po 900 6749 X Ray RDX082 X-Ray Right./Left.Ankle Antero 900 6750 X Ray RDX082 X-Ray Right./Left.Ankle Antero 900 Links Master Package List

Domestic 1 Coronary Angiography 2 Coronary Angioplasty (Simple) 3 Coronary Angioplasty (Complex) 4 Peripheral/Carotid Angiography 5 Peripheral/Carotid Angioplasty 6 BALLOON VALVULOPLASTY 7 Percutaneous Emboliztion 8 Percutaneous Closure of PDA/ASD 9 Pacemaker/AICD/Biventricular Insertion 10 Electrophysiology/Stimulation/Ablation 11 Temporary Pacemaker and IABP Insertion 12 IVC Filter Insertion 13 CABG 14 Aortic or Mitral Valve Surgery (AVR or MVR) 15 Double Valve Surgery (DVR) 16 CABG/Valve 17 ASD (Adult) 18 VSD (Adult) 19 Coarctation (Adult) 20 ASD (Pedi) 21 VSD (Pedi) 22 ASD & VSD (Pedi) 23 Coarctation (Pedi) 24 PDA (Pedi) 25 BT Shunt (Pedi) 26 AV Canal (Pedi) 27 Tetralogy Repair (Pedi) 28 PA Banding (Pedi) 29 Normal Delivery Package 30 Caesarian Section Delivery Package 31 Phaco Packages 32 LASIK Packages 33 IVF / ICSI 34 TESA – ICSI 35 IVF with Assisted Hatching. 36 IVF with Blastocyst transfer 37 ICSI-IMSI. 38 IVF – using Donor Oocytes. (IVF – OD) 39 IVF – using Donor sperm 40 IVF- using Donor Embryo 41 IVF Tariff 42 Kidney Transplant Package 43 DBS Package (Deep Brain Stimulation) 44 BILATERAL TKR 45 UNILATERAL TKR 46 UNILATERAL THR 47 LIVER TRANSPLANT Back

CORONARY ANGIOGRAPHY Check Executi Angiography & Executive Procedure Economy Twin Bed Deluxe Single ve Presidential Suite Transradial Single Suite Day Care Coronary Angiography 12000 12,000 16,000 19,000 23,000 37,000 53,000 Pkg Code CK Q2 Q3 Q4 Q5 Q6 Q7 Package includes 1 day stay in chosen room category Professional fees of the Cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond one day Stay in ICU Professional charges of other Consultants Non ionic dye Any additional procedure Use of drugs / blood

*Basic investigations include - Full Blood Count (x 1), blood sugar (x 4), RFT's (Na, K, urea, creatinine) (x 1), ECG (x 4), chest x-ray (x

# Routine disposables include - Angiography catheter, ionic dye, syringes, needles, IV fluid, local anaesthesia, etc. Back

CORONARY ANGIOPLASTY Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite Coronary Angioplasty (Simple) 105,000 115,000 122,000 130,000 210,000 265,000 Pkg Code Y1 Y2 Y3 Y4 Y5 Y6 Package includes 3 days stay in chosen room category (1 day in ICU & 2 days in room) Professional fees of the Cardiologist *Basic investigations #Routine disposables 1 Holistic Medicine Doctor visit

Package excludes All expenses for stay beyond 3 days in ICU or room Cost of stent(s) Non ionic dye and Gp IIb/ IIIa inhibitor Professional charges of other consultants Any additional procedures Other devices like atherectomy equipment or balloon pump Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), blood sugar (x 4), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 7) lipid profile (x 1), chest x-ray (x 1) , HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1) ,PT/PTT/INR (x 1)

#Routine disposables include - Angioplasty catheter, angioplasty wires, angioplasty balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia Back

CORONARY ANGIOPLASTY (COMPLEX) Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite Coronary Angioplasty (Complex) 115,000 125,000 145,000 162,000 195,000 245,000 Pkg Code Z1 Z2 Z3 Z4 Z5 Z6 Package includes 3 days stay in chosen room category (1 day in ICU & 2 days in room) Professional fees of cardiologist *Basic investigations #Routine disposables 1 Holistic Medicine Doctor visit

Package excludes All expenses for stay beyond 03 days in ICU or room Cost of stent(s) Non ionic dye and Gp IIb/ IIIa inhibitor Professional charges of other consultants Any additional procedures Other devices like atherectomy equipment or balloon pump Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), blood sugar (x 4), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 7) lipid profile (x 1), chest x-ray (x 1) , HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1) ,PT/PTT/INR (x 1) #Routine disposables include - Angioplasty catheter, angioplasty wires, angioplasty balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia Back

PERIPHERAL/CAROTID ANGIOGRAPHY Presidential Procedure Economy Twin Bed Executive Single Deluxe Executive Suite Suite Peripheral Angiography 12,000 14,000 18,000 22000 37000 53000 Pkg Code PT 31 91 Carotid Angiography 12,000 14,000 18,000 22000 37000 53000 Pkg Code 35 CG PC 95 Package includes 1 day stay in chosen room category Professional fees of the Cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond one day Stay in ICU Professional charges of other Consultants Non ionic dye Any additional procedure Use of drugs/blood

*Basic investigations include - Full blood count (x 1), blood sugar (x 4), RFT's (Na, K, urea, creatinine) (x1), ECG (x 1), chest x-ray (x1), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), PT/PTT/INR (x 1)

#Routine disposables include - Angiography catheter, ionic dye, syringes, needles, IV fluid, local anaesthesia, etc.

Back

PERIPHERAL/CAROTID ANGIOPLASTY Presidential Procedure Economy Twin Bed Executive Single Deluxe Executive Suite Suite Peripheral Angioplasty (simple) 100,000 115,000 122,000 130,000 210,000 262000 Pkg Code UA UB UC UD UE UF Carotid/Complex Peripheral Angioplasty/Stenting 100,000 115,000 122,000 130,000 210,000 262000 Pkg Code UG UH UI UJ UK UL Package includes 3 days stay in chosen room category (1 day in ICU & 2 days in room) Professional fees of cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond 03 days in ICU or room Cost of stent(s) Non ionic dye and Gp IIb/ IIIa inhibitor Professional charges of other consultants Any additional procedures Other devices like atherectomy equipment or balloon pump Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), blood sugar (x 4), RFT's (Na, K, urea, creatinine) (x 2), ECG (x 1), lipid profile (x 1), chest x-ray (x 1), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1) ,PT/PTT/INR (x 1)

#Routine disposables include - Angioplasty catheter, angioplasty wires, angioplasty balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia

Back

BALLOON VALVULOPLASTY Presidential Procedure Economy Twin Bed Executive Single Deluxe Executive Suite Suite Percutaneous Balloon Valvuloplasty 90,000 110,000 120,000 130,000 210,000 262,000 Pkg Code US UT UV UW UX UY Package includes 2 days stay in chosen room category (1 day in ICU & 1 day in room) Professional fees of cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond 2 days stay Non ionic dye Professional charges of other consultants Any additional procedures Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 1), chest x-ray (x 1), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1),PT/PTT/INR (x 1)

#Routine disposables include - Inoue/other balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia Back to Index

EMBOLIZATION (Percutaneous) Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Suite Suite Percutaneous Emboliztion Procedure 38000 47000 54,000 70000 115000 175000 Pkg Code Package includes 2 days stay in chosen room category (1 day in ICU & 1 day in room) Professional fees of cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond 2 days stay Cost of coil/snare Non ionic dye Professional charges of other consultants Any additional procedures Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 1), chest x-ray (x 1), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1) ,PT/PTT/INR (x 1)

#Routine disposables include - Angioplasty catheter, angioplasty wires, angioplasty balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia Back to Index

PERCUTANEOUS ASD/PDA CLOSURE Executive Executive Presidential Procedure Economy Bed Twin Bed Deluxe Single Suite Suite Percutaneous Closure of PDA/ASD 45000 52000 65000 85000 130000 195000 Pkg Code FZ FY FX FW FV FU Package includes 2 days stay in chosen room category (1 day in ICU & 1 day in room) Professional fees of cardiologist *Basic investigations #Routine disposables

Package excludes All expenses for stay beyond 2 days stay Cost of coil/snare Non ionic dye Professional charges of other consultants Any additional procedures Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Complete blood count (x 2), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 1), chest x-ray (x 1), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping and cross match (x 1) ,PT/PTT/INR (x 1)

#Routine disposables include - Angioplasty catheter, angioplasty wires, angioplasty balloon (x 1), ionic dye, syringes, needles, IV fluid, local anesthesia Back to Index

PACEMAKER/AICD/BIVENTRICULAR PACER INSERTION Presidential Procedure Economy Twin Room Executive Single Deluxe Room Executive Suite Suite Pacemaker Insertion/Replacement - Single Chamber 47000 52000 58000 68000 105000 135000 Pkg Code Pacemaker Insertion/Replacement - Double Chamber 52000 58000 68000 75000 105000 135000 Pkg Code AICD/Biventricular Pacemaker Insertion 66000 73000 80000 90000 130000 160000 Pkg Code Package includes 3 days stay in chosen room category (1 day in ICU & 2 days in room) Professional fees of Cardiologist *Basic investigations #Routine disposables

Pharmacy drugs up to value AICD/Biventricular Pacemaker Insertion – Rs 2500/- only All other Pacemaker Procedure – Rs 1000/- only

Package excludes All expenses for stay beyond 3 days stay Cost of device Professional charges of other consultants Any additional procedures Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Full blood count (x 2), RFT's (Na, K, urea, creatinine) (x 2), liver function tests (x 1), ECG (x 4), chest x-ray (x 3), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping (x 1) ,PT/PTT/INR (x 1)

#Routine Disposables include - Sutures, syringes, needles, IV fluid, local anaesthesia Back to Index

ELECTROPHYSIOLOGY/STIMULATION/ABLATION/3D MAPING Executive Procedure Economy Twin Bed Deluxe Executive Suite Presidential Suite Single EP Study - Stimulation 25000 27000 30000 34000 42000 53000 Pkg Code 1S 2S 3S 4S 5S 6S Radiofrequency (RF) Ablation 120000 130000 150000 180000 200000 220000 Pkg Code 1R 2R 3R 4R 5R 6R RFA ( 3 D Mapping ) 220000 230000 240000 270000 320000 420000 Pkg Code Package includes 1 day stay in chosen room category 2 day in room & 1 day in ICU (for RF / 3 D Mapping ablation) Professional fees of cardiologist *Basic investigations Cost of Consumables Rs 55000 included in EPS+ RFA without 3D Maping Cost of Consumables Rs 100000 included in EPS+ RFA with 3D Maping Package excludes All expenses for stay beyond the package period Professional charges of other consultants Any other additional procedure Use of drugs/ consummables

*Basic Investigations include: For EP study - basic: Full blood count (x 1) & ECG (x 1) Back to Index

Temporary Pacemaker and IABP Insertion Payouts

Executive Executive Presidential Service/ Room Category Economy Twin Bed Deluxe Single Single Suite Suite

Temporary pacemaker insertion hospital charge 8000 9000 14000 17000 26000 32000 Pkg Code IABP insertion hospital charge 8000 9000 14000 17000 26000 32000 Pkg Code Back to Index

IVC FILTER Executive Executive Presidential Procedure Economy Bed Twin Bed Deluxe Room Single Suite Suite Insertion of IVC Filter 56000 63000 68000 74000 132000 158000 Pkg Code IZ IY IX IW IV IU Package includes 2 days stay in requested room (1 day in HDU & 1 day in room) Professional fees of Cardiologist *Basic investigations #Routine disposables Pharmacy drugs up to value Rs 1500/- only

Package excludes All expenses for stay beyond 2 days stay Cost of device Professional charges of other consultants Any additional procedures Blood products, CT/MRI or lab investigations not mentioned above Any anesthesia charges

*Basic investigations include - Full blood count (x 2), RFT's (Na, K, urea, creatinine) (x 2), ECG (x 1), chest x-ray (x 2), HbsAg (x 1), HCV (x 1), HIV 1 & 2 (x 1), blood grouping (x 1) ,PT/PTT/INR (x 1)

#Routine Disposables include - Sutures, syringes, needles, IV fluid, local anaesthesia

CABG package

Service name Economy Twin sharing Executive Single

Package Charges 205200 235000 266000

Package code 7c 8c 9c Room charges 4 days in ICU/HDU 4 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for endocrinology visits (for diabetic patients) Professional fees for routine physiotherapy visits Basic preoperative and postoperative laboratory & Diagnostic tests:

FBC+Diff, LFT, RFT, Activated partial thromboplas time(APTT), PT - INR / Prothrombin Time, Prothrombin time (PT) with INR, Blood Glucose by Glucometer, Hiv-1/HIV-2, Single Assay Card Test, Hepatitis B Surface Ag , Card Test, Hepatitis C Ab Card Test, Urine Routine Analysis, Blood Group and Rh Type Adult, X-Ray Chest PA, Electrocardiogram Complete, Transthoracic Echocardiography, TSH, PFT (Lung volume/diffusion study), ABG, Carotid doppler

Package excludes:

Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward

Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.)

Use of special drugs/consumables other than routine ones

Cross Matching charges & Use of any blood products

CT scans, MRI scans or lab or diagnostic investigations other than mentioned above.

Re-exploration charges within 24 hrs would be charged over & above the package Back to Index

AORTIC OR MITRAL VALVE PACKAGE Executive Executive Procedure Economy Twin Bed Deluxe Single Presidential Suite Single Suite Aortic or Mitral Valve Package 190,000 210,000 265,000 315,000 370,000 475,000 Pkg Code Package includes: Room charges - 2 days in intensive care (ICU) - 1 days in step-down unit (HDU) - 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for endocrinology visits (for diabetic patients) Professional fees for physiotherapy visits Professional fees for a holistic therapy visit

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges Cross Matching Charges upto 16 Blood Units Package excludes The valve implant cost Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

DOUBLE VALVE PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite Double Valve Surgery 210000 235000 285000 340000 420000 525000 Pkg Code Package includes Room charges - 3 days in intensive care (ICU) - 2 days in step-down unit (HDU) - 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for endocrinology visits (for diabetic patients) Professional fees for physiotherapy visits Professional fees for a holistic therapy visit

Basic preoperative and postoperative diagnostic tests:

Pulmonary function tests, transthoracic echocardiography, intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges Cross Matching Charges upto 16 Blood Units Package excludes The valve implant cost Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

CABG & VALVE PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite CABG/Valve Package 260000 290000 360000 420000 500000 600000 Pkg Code Package includes: Room charges 2 days in ICU 2 days in HDU 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for endocrinology visits (for diabetic patients) Professional fees for routine physiotherapy visits Professional fees for a preoperative dental visit

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes The valve implant cost Any charges related to hospitalization before or after the 9 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 9 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

ASD (ADULT) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite ASD (Adult) Package 190,000 210,000 265,000 315,000 370,000 475,000 Pkg Code Package includes: Room charges - 2 days in intensive care (ICU) - 1 days in step-down unit (HDU) - 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for routine physiotherapy visits Professional fees for a preoperative dental visit

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

VSD (ADULT) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite VSD (Adult) Package 190,000 210,000 265,000 315,000 370,000 475,000 Pkg Code Package includes: Room charges - 2 days in intensive care (ICU) - 1 days in step-down unit (HDU) - 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for routine physiotherapy visits Professional fees for a preoperative dental visit

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

COARCTATION (ADULT) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite Coarctation (Adult) Package 194000 216000 270000 351000 540000 810000 Pkg Code Package includes: Room charges - 2 days in intensive care (ICU) - 1 days in step-down unit (HDU) - 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the ICU team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 8 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants or for CTVS team beyond the 8 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

ASD (PEDI) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite ASD (Pedi) Package 156000 174000 231000 263000 290000 315000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

VSD (PEDI) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite VSD (Pedi) Package 156000 174000 231000 263000 290000 315000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

ASD & VSD PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite ASD/VSD Package 216,000 243,000 297,000 351,000 540,000 810,000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

COARCTATION (PEDI) PACKAGE Executive Deluxe Executive Presidential Procedure Economy Twin Bed Single Single Suite Suite Coarctation (Pedi) Package 135000 162000 270000 351000 540000 810000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

PDA (PEDI) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite PDA (Pedi) PACKAGE 66,000 74,000 105,000 126,000 178,000 210,000 PDA (Pre-mature new born) PACKAGE 81,000 108,000 162,000 351,000 540,000 810,000 Pkg Code Package includes Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 2 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes

Any charges related to hospitalization before or after the 6 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 6 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

BT SHUNT (PEDI) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite BT Shunt (Pedi) Package 90,000 100,000 131,000 158,000 189,000 231,000 Pkg Code Package includes Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 2 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes

Any charges related to hospitalization before or after the 6 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 6 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

AV CANAL PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite AV Canal Package 243,000 270,000 297,000 351,000 540,000 810,000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 2 days in pediatric intensive care (PICU level 2) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

TETRALOGY PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite Tetralogy Package 243,000 270,000 297,000 351,000 540,000 810,000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (PICU level 3) 3 days in pediatric intensive care (PICU level 2) 5 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid duplex and chest x-rays

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 10 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 10 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump etc.) Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

PA BANDING (PEDI) PACKAGE Executive Executive Presidential Procedure Economy Twin Bed Deluxe Single Single Suite Suite PA Banding (Pedi) Package 108,000 135,000 216,000 351,000 540,000 810,000 Pkg Code Package includes: Room charges 2 days in pediatric intensive care (ICU) 2 days in step-down unit (HDU) 3 days in requested category of room Professional fees of cardiac surgery team including post-operative visits Professional fees of cardiac anesthesia team Operating room charges Routine drugs and disposables used in the operating room and ward Professional fees for the pediatric team visits Professional fees for routine physiotherapy visits

Basic preoperative and postoperative diagnostic tests: Pulmonary function tests, transthoracic echocardiography, preoperative and intra-operative trans-esophageal echocardiography, carotid du

Basic preoperative and postoperative laboratory tests: FBC, chemistry-7, magnesium, liver function test, thyroid function test, PT/PTT, urinalysis and culture, HIV and hepatitis profile (HIV1 & 2, blood sugar monitoring, HbA1c, lipid profile, MRSA nasal swab, arterial blood gases (ABG’s), activated clotting times (ACT’s) and routine preoperative cross matching charges

Package excludes Any devices or implants including pacemakers Any charges related to hospitalization before or after the 7 day package, including any extra days in the PICU or ward Professional charges of any other consultants or for CTVS team beyond the 7 day package Any additional procedures or special equipment use (e.g. preoperative or postoperative endoscopy, insertion of intra-aortic balloon pump e Use of special drugs/consumables Use of any blood products CT scans, MRI scans or complex lab investigations Back to Index

Normal Delivery Package

Room Category Twin sharing Standard Single Executive Single Deluxe Single LDRP Suite Executive Suite Presidential Suite

Package Cost 43500 56000 62000 72000 80000 120000 162000

Pkg Code NDPT NDPS NDES N12 N13 N14 N15 Package includes: 1. Two days room rent, patient diet and nursing care for mother and baby. 2. Labour room charges 3. Obstetrician’s fees + Consultation 4. Post delivery Paediatric care including Routine screening & oral vaccination 5 Nursing care charges, Fetal monitoring, Hearing screen, Lactational counseling 6. Post delivery observation in LDRP for first four hours. Package excludes: 1. Charges on actual for optional pain relief procedures, such as epidural 2. Charges of medicines and consumables on actual for mother (which would be approx Rs.10000 - 15000) 3. Mother's investigations 4. Room charges for stay beyond days specified as per room category 5. Multiple births - 50% of the applicable package price charged extra additionally. 6. NICU and phototherapy charges for baby needing special care. 7. Charges for blood products and investigations, if needed. 8. In case of High risk delivery 25 % extra would be charged on the package 9. All additional procedures/surgeries & other than routine consultations would be charged extra 10. Elective deliveries done on holidays & sunday will be charged 25% extra on the package

Please note that the High risk delivery should be communicated to the patient & mention in reports Back to Index

Caesarian Delivery Package Twin Executive Executive Room Category sharing Standard Single Single Deluxe Single LDRP Suite Suite Presidential Suite

Packages Cost 57700 75000 81500 95000 110000 162000 230000 L10 L11 L12 L13 L14 L15 L16 Package code Package includes: 1. Three days room rent, patient diet and nursing care for mother and baby. 2. OT Charges, Anesthetist’s fees and anesthesia gases for caesarean delivery. 3. Obstetrician’s fees + Consultation 4. Post delivery Paediatric care including Routine screening & oral vaccination 5 Nursing care charges, Fetal monitoring, Hearing screen, Lactational counseling 6. Post delivery observation in LDRP for first four hours. Package excludes: 1. Charges on actual for optional pain relief procedures, such as epidural 2. Charges of medicines and consumables on actual for mother (which would be approx Rs.15000 - 20000) 3. Mother's investigations 4. Room charges for stay beyond days specified as per room category 5. Multiple births - 50% of the applicable package price charged extra additionally. 6. NICU and phototherapy charges for baby needing special care. 7. Charges for blood products and investigations, if needed. 8. In case of High risk delivery 25 % extra would be charged on the package 9. All additional procedures/surgeries & other than routine consultations would be charged extra 10. Elective surgeries done on holidays & sunday will be charged 25% extra on the package

Please note that the High risk delivery should be communicated to the patient & mention in reports Back to Index

OPHTHALMOLOGY PHACO PACKAGE Advanced IOL Advanced IOL Hero Honda Procedure Eye Camp Pkg Foldable Pkg Acrylic Pkg Pkg 1 Pkg 2 Pkg Phaco Packages 12,000 18,500 26,500 30,000 35,000 Pkg Code PP PG PA P1 PO HH Inclusions Professional fees of the Ophthalmologist Routine consumables #Routine disposables Implant cost 2 Post operative reviews

Exclusions All expenses for stay beyond day care Professional charges of other Consultants Any additional procedure Use of special drugs/consumables Cardiac monitoring charges (Rs 1000/-) if applicable Tests or Lab Investigations Anesthesia/Anesthesiologist charges

#Routine Disposables include - Keratomes, BSS, visioelastus, syringes, gloves etc *IOL not included in consumables for Maruti. Patient will pay the extra for the IOL **For Indian Airlines patients, IOL cost of Rs 1000 included in package. If patient wants better IOL then he will pay the difference ( IOL cost – Rs 1000) For all packages, if consumable cost is more than the amount allowed, the balance will be collected from patient. Back to Index

OPHTHALMOLOGY LASIK PACKAGES Advanced Advanced Standard Custom Vue Custom Vue Surface Surface Standard Lasik Custom Vue Lasik Procedure Standard PRK Lasik Lasik PRK Ablation Ablation (One Eye) (One Eye) (Standard) (Custom) LASIK Packages 28,500 40,000 24,500 35,500 28,500 40,000 16,000 21,500 Pkg Code LA LC LP LR LL LS LO LV Inclusions Professional fees of the Ophthalmologist Routine consumables # Routine disposables 2 Post operative reviews

Exclusions All expenses for stay beyond day care Professional charges of other Consultants Any additional procedure Use of special drugs/consumables Tests or lab investigations

** In case a patient is booked for both eyes procedure and the procedure is done for one eye only, the charges would be accordingly adjusted.

#Routine disposables includes - blades, BSS, gloves, syringes etc. Back to Index

Artemis IVF Tariff List

S No Package Tariff in INR 1 IVF / ICSI 98,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. Back to index

Artemis IVF Tariff List S No Package Tariff in INR 1 IVF / ICSI + TESA 105,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET). Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 HPE Hisrpathology Examinations Charges (if Done) 3 Any other Investigations ordered / requested 4 Consultation, Medicines and Consumables before and after the procedure. Back to Index

Artemis IVF Tariff List

S Package Tariff in INR No 1 IVF With Assisted Hatching 105,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. 44377.64

44377.64 4000 14784 3140 6000 Back to Index

Artemis IVF Tariff List

S Package Tariff in INR No 1 IVF With Blastocyst Transfer 110,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. Back to Index b0112

Artemis IVF Tariff List S No Package Tariff in INR 1 IVF / ICSI + IMSI 115,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET). Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 HPE Hisrpathology Examinations Charges (if Done) 3 Any other Investigations ordered / requested 4 Consultation, Medicines and Consumables before and after the procedure. Back to Index

Artemis IVF Tariff List

S Package Tariff in INR No 1 IVF / ICSI With Donor Oocyte 185,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET. 7 Consultation, Investigations, Medicines and Consumables for the donor.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. Back to Index

Artemis IVF Tariff List

S Package Tariff in INR No 1 IVF/ICSI With Donor Perm 90,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET. 7 Consultation, Investigations, Medicines and Consumables for the donor.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. Back to Index

Artemis IVF Tariff List

S Package Tariff in INR No 1 IVF/ICSI With Donor Embryo 195,000 Cycle period: From Day of HCG injection to 14 days after Embryo Transfer (ET).

Package Inclusions

1 OPU Charges & Daycare Bed Charges 2 ET Charges in Daycare unit 3 Visiting Embryologist, Anesthetist & Psychologist visit 4 Use of Embryology lab. & Disposables used for the procedure 5 Beta HCG, Urine Pregnancy test 6 Use of Ultrasound Machine for OPU and ET. 7 Consultation, Investigations, Medicines and Consumables for the donor.

Package Exclusions 1 GA (General Anesthesia) Charges for ET 2 Any other Investigations ordered / requested 3 Consultation, Medicines and Consumables before and after the procedure. Back to Index

PACKAGES 1 IVF / ICSI 85000 2 TESA 20000 3 TESA – ICSI 105000 4 IVF with Assisted Hatching. 105000 5 IVF with Blastocyst transfer 110000 6 ICSI-IMSI. 115000 7 Frozen Embryo Transfer 35000 8 IVF – using Donor Oocytes. (IVF – OD) 185000 9 IVF – using Donor sperm 90000 10 IVF- using Donor Embryo 195000 11 TESA with Cryopreservation of tissue (6 months). 32000 12 TESA with Cryopreservation of tissue (3 months). 25000 13 Intra – Uterine Insemination ( IUI ) - Husband 5500 14 Intra – Uterine Insemination ( IUI ) - Husband 2nd attempt 3000 15 Intra – Uterine Insemination ( IUI ) - Donor 10500 16 Intra – Uterine Insemination ( IUI ) - Donor 2nd attempt 8500 17 Intra – Uterine Insemination - with US Guidance 6500 18 Follicular Aspiration 25000 IVF CONSULTS 19 Cycle Monitoring IUI cycle 2500 20 IVF First Consult 1200 21 IVF Follow up Consult - Obs 1000 22 IVF Follow up Consult - Gynae 750 Semen Investigations 23 semen analysis 560 24 sperm morphology 890 25 semen culture and sensitivity 730 26 semen preparation for IUI 1500 27 Motile Sperm Evaluation (HM) 5000 28 DNA fragmentation test 6500 Cryobiology 29 semen cryopreservation (6 mnths) 7000 30 semen cryopreservation (1 year) 12000 31 Testicular tissue cryopreservation (6 months) 7000 32 Testicular tissue cryopreservation (12 months) 12000 33 Embryo Cryopreservation (First 6 months) 20000 34 Oocyte Cryopreservation (First 6 month) 40000 35 Embryo Cryopreservation (Next 6 months) 10000 36 Oocyte Cryopreservation (Next 6 month) 5000 37 Embryo Cryopreservation (Next 1 year) 9000 38 Oocyte Cryopreservation (Next 1 year) 9000 ULTRASOUND PROCEDURES 39 TVHSS (Transvaginal hysterosonosalpingography) 3000 40 TVS 1170 41 TVS with Doppler 1670 42 Follicular monitoring (5 visits) 1330 43 Follicular monitoring -Single 250 44 Check Scan 600 IVF PROCEDURES 45 Post coital Test 600 46 Mock Embryo Transfer 1500 47 Cyst Aspiration 5500 Artemis Renal Transplant Unit Sector-51, Gurgaon, Haryana-122 001 Ph.: +91-124-6767999 Fax: +91-127-6767997 Emergency: +91-124-6767000, www.artemishospital.in KIDNEY TRANSPLANT PACKAGE Kidney Transplant (Open Donor Nephrectomy) Total: 400,000.00

Package Includes * Upto 10 Days stay for Recipient & 7 Days for Donor including One Day Pre - OP stay * Post Operative Lab Charges for the Donor & recipient. * Donor & Recipient OT/Ward Medicines & Consumables * Recipient Pathological Services * Transfusion Services upto Four Units of Blood for Recipient & One Unit for Donor

* Surgeon’s Fee for Donor & Recipient (Rs 60000 for two surgeons, Rs 25000 for Nephrologist) * Anesthesia Fees for Recipient & Donor (Rs 21000 i.e. 35% of surgeon fee) * Food Charges for Recipient & Donor * Pre - Operative Dialysis

Package Excludes * Pre - Operative Donor & Recipient Workup * Stay more than 10 Days for Recipient & 5 Days for Donor-will be charged extra

* Medication Like Gancyclovir, OKT31Hbig, FKSO6, ATG, Azathioprine, Omnacortii, Methyl Prednisolone, Mycophenaiate, TPN, and High end Medication * Corrective Surgery if any after Transplant for Complications or Biopsy Post- OP * Any invasive Cardiac Imaging-or Intervention for Heart Disease * HLA Typing & Cross Matching * Difference of Room Rent will be Charged Extra if the Donor Stays in Higher Category of Room

* Medications’& Management of any Pre Existing illness Like ,Diabetes Mellitus, Hypertension, T.B. etc * Consultation other than Urologist & Nephrologists will be Charged Extra

Artemis Renal Transplant Unit Sector-51, Gurgaon, Haryana-122 001 Ph.: +91-124-6767999 Fax: +91-127-6767997 Emergency: +91-124-6767000, www.artemishospital.in

PRE-KIDNEY TRANSPLANT INVESTIGATION

Donor’s Investigation Includes * X - ray Chest P/A View 265 * ECG 150 * Hb TLC DLC ESR 320 * Platelets 90 * Urea 80 * Creatinine 90 * Phosphate 110 * Uric Acid 110 * Na 125 * K 125 * FBS 60 * T Bilirubin 90 * D Bilirubin 90 * SGOT SGPT 220 * Alkaline 130 * Protein 130 * Albumin 90 * Triglyceride 180 * 24- Hours Urine Protein 200 * Creatinine clearance 390 * Urine C/S 660 * Urine R/N 110 * Ultra sound whole abdomen 1325 * Blood Group 315 * HbsAg 630 (Elisa) 550 (Card) * HCV IgG 1180 (Elisa) 525 (card) * HIV 660 (Elisa) 525 (Card) * VDRL 100 * CMV IgG 420 * CMV IgM 440 * PT 280 * APTT 390 * BT/CT 120 * HLA TYPING/Cross Match 1300 * I.V.P. 3860 * CT-Anglo 12130 * GFR ( DTPA) 3000 * PAP Smear( Female Donor) 440 * ECHO 1200 * Cardiac Consultation 500 * Psychiatry Consultation 400 * Gynecology Consultation 400 32905 Artemis Renal Transplant Unit Sector-51, Gurgaon, Haryana-122 001 Ph.: +91-124-6767999 Fax: +91-127-6767997 Emergency: +91-124-6767000, www.artemishospital.in

Recipient's Investigation Includes

 Hb TLC DLC ESR 320 320

 X - ray Chest P/A View 265 265

 ECG 150 150

 24- Hours Urine Protein 200 200

 Creatinine clearance 390 390

 Urine C/S 660 660

 Urine R/N - 110 110

 Ultra sound whole abdomen 1325 1325

 Blood Group 315 315

 HbsAg 630 (Elisa) 550 (Card)

 HCV IgG 1180 (Elisa) 525 (Card)

 HIV 660 (Elisa) 525 (Card)

 VDRL 100 100

 CMV IgG 420 420

 CMV IgM 440 440

 PT 280 280

 APTT 390 390

 BT/CT 120 120

 HLA TYPING/Cross Match 1300 1300

 MCU 3090 3090  EBV

 Echo 1200 1200

 Dialysis 2300( First evaluation) 1700 (repeat evaluation)

 UGI Endoscopy 2200 2200 17725

Broad breakup (Surgeons Fee) 60000 (Nephrologist fee) 25000 (Anesthetist fee) 21000 (OT Charges) 42000 (investigations donor) 32905 (investigations recipient) 17725 (R R for 15 days @ ICU charges) 108000 (doctors visit @ ICU for 15 days) 15000 Pharmacy Including Drugs & Consumables 80000 321630 Back

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DBS (DEEP BRAIN STIMULATION-PARKISONISM) PACKAGE Executi Executive Deluxe ve Presidenti Procedure Economy Twin Bed Single Single Suite al Suite DBS Package 702,312 728,612 791,412 Pkg Code Package includes: Room charges 1 day in intensive care (ICU) 6 days in requested category of room

Professional fees of neuro surgery team including post-operative visits Professional fees of anesthesia team Operating room charges Professional fees for the ICU team visits Professional fees for routine physiotherapy visits Professional fees for neurologist (assistant surgeon fees)

Basic preoperative and postoperative diagnostic tests: 2 CT scans, MRI scans- Brain Basic preoperative and postoperative laboratory tests:

CBC,liver function test, PT/PTT, urinalysis, HIV and hepatitis profile (HIV1 & 2, HCV, HBsAg), KFT, ECG blood sugar monitoring (if needed) & Echo (if needed) Any implant for Parkinsonism

Package excludes Any charges related to hospitalization before or after the 7 day package, including any extra days in the ICU, HDU or ward Professional charges of any other consultants beyond the 7 day package Any additional procedures or special equipment used Use of all drugs/consumables Back to Index

BILATERAL TKR PACKAGE

Procedure Economy Twin Bed Executive Single

BILATERAL TKR PACKAGE 191,528 220,605 265,756 Pkg Code BIEC BITW UNI2 Package includes: a) Room stay for 7days b). Basic preoperative and postoperative laboratory tests: 1 Basic preoperative Panel,1 RFT,1 FBC, 1 X-ray chest, 2 X-ray knee, 3 Pain management & 1 PAC visit c) Surgeon Fees,Assistant Surgeon Fees , Anaesthetist Charges and Operating room charges. d) Routine drugs ,Medical Consumables used in the Operating Room and Ward upto Rs. 45000/- e) Professional fees for the Ortho Team including Post Operative Visits f) Professional fees for routine physiotherapy visits Package excludes: a.) Implant Cost b.) Cost of Blood & Blood Products c.) CT / MRI d). Lab Investigations not mentioned above e) Professional charges of other Consultants. f) Special nursing assistance request during room stay and Translator services g). Any additional procedures. h) Any ICU/HDU stay if required i). All expenses for stay beyond 7 days j) Any computer assisted surgery would be charged extra k) Any investigation or procedure / prolonged stay / ICU stay arirsing out of complications would be charged extra Note: No other discount will be applicable on these packages Note: The final bill may be higher than this depending on the actual stay / investigation / condition ot the patient

Name PCS / COORDINATOR ______Patient/Attendant Name ______Back to Index

UNILATERAL TKR

Procedure Economy Twin Bed Executive Single

UNILATERAL TKR 131,375 152,430 185,604 Pkg Code UNEC UNTW UNI3 Package includes: a) Room stay for 5days b) Basic preoperative and postoperative laboratory tests: 1 Basic preoperative Panel,1 RFT,1 FBC, 1 X-ray chest, 2 X-ray knee, 3 Pain management & 1 PAC visit c) Surgeon Fees,Assistant Surgeon Fees , Anaesthetist Charges and Operating room charges. d) Routine drugs ,Medical Consumables used in the Operating Room and Ward upto Rs. 27000/- e) Professional fees for the Ortho Team including Post Operative Visits f) Professional fees for routine physiotherapy visits Package excludes: a) Implant Cost b) Cost of Blood & Blood Products c) CT / MRI d. Lab Investigations not mentioned above e) Professional charges of other Consultants. f) Special nursing assistance request during room stay and Translator services g). Any additional procedures. h) Any ICU/HDU stay if required i). All expenses for stay beyond 7 days j) Any computer assisted surgery would be charged extra k) Any investigation or procedure / prolonged stay / ICU stay arirsing out of complications would be charged extra Note: No other discount will be applicable on these packages Note: The final bill may be higher than this depending on the actual stay / investigation / condition ot the patient

Name PCS / COORDINATOR ______Patient/Attendant Name ______Back to Index

UNILATERAL THR Procedure Economy Twin Bed Executive Single

UNILATERAL THR 131375 152430 185,604 Pkg Code UNIEC UNTW UNI3 Package includes: a) Room stay for 5 days b) Basic preoperative and postoperative laboratory tests: 1 Basic preoperative Panel,1 RFT,1 FBC, 1 X-ray chest, 2 X-ray Hip, 3 Pain management & 1 PAC visit c) Surgeon Fees,Assistant Surgeon Fees , Anaesthetist Charges and Operating room charges. d) Routine drugs ,Medical Consumables used in the Operating Room and Ward upto Rs. 27000/- e) Professional fees for the Ortho Team including Post Operative Visits f) Professional fees for routine physiotherapy visits Package excludes: a) Implant Cost b). Cost of Blood & Blood Products c) CT / MRI d) Lab Investigations not mentioned above e) Professional charges of other Consultants. f) Special nursing assistance request during room stay and Translator services g). Any additional procedures. h) Any ICU/HDU stay if required i). All expenses for stay beyond 5 days j) Any computer assisted surgery would be charged extra k) Any investigation or procedure / prolonged stay / ICU stay arirsing out of complications would be charged extra Note: No other discount will be applicable on these packages Note: The final bill may be higher than this depending on the actual stay / investigation / condition ot the patient

Name PCS / COORDINATOR ______Patient/Attendant Name ______

Liver Transplant Package - Rs 2200000 Recepient Donor

Package code : LI Package code : LTPD Includes Includes a) Stay for 21 days (10 days ICU and 11 days in room ) a) Stay for 10 days ( ICU + room) b) Preoperative evaluation of the recipient according to the investigation b) Preoperative evaluation of the donor according to the investigation protocol protocol for the Liver Transplant Patient for the Liver Transplant donor c) Operating room charges, Anaesthetist Charges and Assistant c) Operating room charges, Anaesthetist Charges and Assistant Surgeon Surgeon Fees and Surgeon Fees Fees and Surgeon Fees d) Routine drugs ,disposables and Medical Consumables used in d) Routine drugs ,disposables and Medical Consumables used in the the operating room and ward operating room and ward e) Professional fees for routine physiotherapy visits e) Professional fees for routine physiotherapy visits f) Blood Products f) Blood Products Excludes Excludes a) Stay beyond 21 days a) Stay beyond 10 days b) Blood products consumed above 50000/- & any other b) Blood products consumed above 10000/- & any other investigation investigation not mentioned in the investigation PROTOCOL not mentioned in the investigation PROTOCOL c) Professional charges of other Consultants. c) Professional charges of other Consultants. d) Special nursing assistance request during room stay and d) Special nursing assistance request during room stay and Translator services Translator services e) Any additional procedures e) Any additional procedures