General User Charges in AIIMS Raipur

Home , Immunopathology, Manchester operation, Scintimammography, Sialography

S No. Name of General Charges Paying Ward General Remark Ward/OPD 1 Registration Charges 200 25

2 Bed Charges Per Day (Sami 2000 35 Patients being adm Deluxe) itted in 3 Bed Charges Per Day (Deluxe) 3000 35 Paying/General 4 Diet Charges Per Day 200 Optional Nil ward will pay an advance for 10 days charges at the time of admission. 5 ICU/NICU/PICU/CCU Charges 1000 (Above & 300 Per Day Over to Bed Charge 6 Minor Operation in OT/MOT 250 100 not mentioned in list, under L A 7 Minor Operation in OT/MOT 1000 300 not mentioned in list, under G A 8 Major Operation in OT, Not 2000 1000 mentioned in list under G A 9 Medical Certificate (Sickness) 10 10 10 Medical Certificate (Fitness) 10 10 11 Tubectomy / Laparoscopic 25 20 Sterilization 12 Death file charges 25 25 13 Medico Legal Injury Report 50 50 (MLR) 14 Birth / Death Certificate 1st 0 0 Copy 15 Birth / Death Certificate 5 5 Subsequent Copy 16 Additional correction in Birth 10 10 / Death / certificate 17 Completion of LIC / Insurance 50 50 claim file 18 Subsequent Pass if on special 50 50 condition 19 Supply of blood (One Unit) 250 75

20 Medical Board Certificate 500 500 On Special Case

User Charges for Investigations in AIIMS Raipur

S No. Name of Investigations Paying General Remark Ward Ward/OPD Anaesthsia 1 ABG 75 50 2 ABG ALONGWITH 150 100 ELECTROLYTES(NA+,K+)(Na,K) 3 ONLY ELECTROLYTES(Na+,K+,Cl,Ca+) 75 50

4 ONLY CALCIUM 50 25 5 GLUCOSE 25 20 6 LACTATE 25 20 7 UREA. 25 20 8 OSMOLITY 25 20 9 Hb 25 20 10 HCT 25 20 Biochemistry 1 ACID PHOSPHATASE (ACP) 25 25 2 ALKALINE PHOSPHATASE (ALP) -(OPD- 25 25 Patient) 3 AMYLASE 25 25 4 CALCIUM 50 25 5 CHLORIDES (CL-) 25 20 6 BILIRUBIN(CONJUGATED) (D-Bil) -(Opd- 25 25 Patient) 7 CREATININE (OPD-Patient) 25 25 8 CREATININE KINASE-NAC (CK-NAC) 25 25

9 GLUCOSE TOLERANCE TEST (GTT) 250 100

10 INORGANIC PHOSPHORUS (Pi) 25 25 11 LACTATE DEHYDROGENASE (LDH) 50 50

12 MAGNESIUM (Mg2+) 50 25 13 POTASSIUM SODIUM-(K+ & NA+) (OPD- 25 25 Patient) 14 ALBUMIN AND GLOBULMIN PROTIENS - 25 25 (OPD-Patient) 15 C-REACTIVE PROTEIN (CRP) 50 25 16 SERUM IRON 25 25 17 ALANINE TRANSAMINASE/ASPARTATE 25 25 TRANSAMINASE-ALT/AST SGPT/SGOT- (OPD-Patient)

18 BILIRUBIN TOTAL (T-BIL) (OPD-Patient) 25 25

19 TOTAL CHOLESTEROL 25 25 20 TOTAL PROTIEN 25 20 21 TRIGLYCERIDES (TG) -(OPD-Patient) 50 50

22 UREA 25 20 23 URIC ACID 50 25 24 TRIGLYCERIDES (TG)-(IN- Patient) 25 20

25 Hdl Cholesterol(In-Patient) 25 20 26 ALKALINE PHOSPHATASE (ALP) -(IN- 25 20 Patient) 27 ALANINETRANSAMINASE/ASPARTATE 25 20 TRANSAMINASE-ALT/AST SGPT/SGOT - (IN-Patient)

28 BILIRUBIN TOTAL (T-BIL) -(IN-Patient) 25 20

29 CREATININE (IN- Patient) 25 20 30 POTASSIUM & SODIUM (K+ & NA+)-(IN- 25 20 Patient) 31 GLUCOSE (RBS/ FBS) 25 20 32 LIPASE 100 50 33 BENCE JONES PROTEINS URINARY (BJP) 25 25

34 URINARY CHLORIDES (24 HRS. 25 25 QUANTITATIVE) 3

35 URINARY CREATININE (24 HRS. 25 25 QUANTITATIVE 36 URINARY GLUCOSE (QUANTITATIVE) 10 10

37 URINARY PHOSPHORUS (24 HRS 25 25 QUANTITATIVE) 38 URINARY SODIUM AND/OR POTASIUM 25 25 (QUANTITATIVE) 39 URINE ALBUMIN (24 HRS QUANTITATIVE) 25 25

40 URINE CALCIUM (24HRS QUANTITATIVE)) 25 25

41 URINE UROBILINOGEN (QUALITATIVE) 50 50

42 CHYLOMICRONS 10 10 43 CSF CHLORIDES 10 10 44 CSF GLUCOSE 25 25 45 CSF PROTEIN 25 25 46 SWEAT CHLORIDE ESTIMATION 50 50

47 CREATINE KINASE(CK-MB) 200 100 48 PLASMA LP(a) 150 100 49 LIPID PROFILE (OPD-Patient) 200 100 50 ARSENLIC (Blood, Urine, Nails, Hair) 250 100

51 URINARY PROPHOBILINOGEN/ 100 50 UROBILINOGEN (QUALITATIVE)

52 STOOL OCCULT BLOOD (OB) 250 125 53 PSA 200 100 54 ALCOHOL 200 100 55 APOLOPOPROTEIN A-I (APO AI) 200 100

56 APOLOPOPROTEIN B (APO B) 250 125 57 C3 250 125 58 C4 250 125 59 MYOGLOBIN 300 150

60 RHEUMATOID FACTOR (Rh) 300 150 61 GAMMA GLUTAMYL TRANSFERASE (GGT) 100 50

62 BILIRUBIN(CONJUGATED) (D-Bil) -(In- 25 20 Patient) 63 ALBUMIN AND GLOBULMIN PROTIENS - 25 20 (IN-Patient) 64 URINARY URIC ACID 24 HRS. 50 25 65 URINARY MAGNESIUM 24 HRS 50 25 66 URINARY UREA 24 HRS. 25 25 67 URINARY VMA (24 HRS.) 800 400 68 URINARY SPOT SODIUM (Na+) Potassium 50 25 (k+) CHLORIDE(CL-) 69 URINARY SODIUM (Na+) Potassium (k+) 50 25 CHLORIDE(CL-)(24 HRS.)

70 TOTAL CHOLESTEROL (IN-Patient) 25 20

71 LIPID PROFILE (IN-Patient) 25 20 72 HCG 200 100 73 AFP. 500 250 74 CA 125. 500 250 75 CA 15.3 500 250 76 CA 19.9 500 250 77 CEA . 500 250 78 FERRITIN 200 100 79 RBC FOLATE 200 100 80 FOLATE 200 100 81 VITAMIN B12 200 100 82 PRO BNP 600 300 83 TROPONIN T 200 100 84 FREE PSA (TOTAL/ FREE PSA) 200 100 85 COPPER(CU) 250 100 86 ZINC(ZN) 250 100 87 LEAD (BLOOD/URINE). 250 100 88 SELENIUM 250 100 89 MERCURY 250 100 90 CERULOPLASMIN 150 75 5

91 CHROMIUM 250 100 92 LIVER FUNCTION TEST(LFT)(ALP D-BIL T- 250 200 BIL ALT/AST ALBUMIN & GLOBULMIN PROTIENS TOTAL PROTEIN)

93 SERUM/ PLASMA OSMOLALITY 250 125 94 URINE OSMOLALITY. 250 125 95 RANDOM GLUCOSE 25 20 96 FASTING GLUCOSE 25 20 97 DUMMY(INFECT) 25 20 Biophysics 1 14c-Urea Breath Test 300 200 2 FTIR ANALYSIS OF RENAL/ GALL STONES 200 100

1 ECHO/TEE 100 100 2 EXERCISE TMT 200 100 3 TILT TEST 500 150 Centre Sophisticated Intrument Cell

1 FLOW CYTOMETER (Sample Acquistion 50 25 per tube) 2 REAL-TIME PCR-96 WELL PLATE (per 2000 500 Plate) 3 REAL-TIME PCR-COVERING FOIL (per Foil) 400 100

4 REAL-TIME PCR 2700 1500 5 SIMPLE PCR 1000 500 6 2-D ELECTROPHORESIS(Include PH 800 800 STRIP) PER SAMPLE

7 DHPLC Sample Analysis(per Sample) 100 25

8 FLOW CYTOMETER (Sample Sorting per 2000 500 Sample) 9 REAL-TIME PCR-8 well Strip(per Strip) 200 50

10 HPLC Sample Analysis (per Sample) 400 100

11 FPLC Sample Analysis(per Sample) 400 100

12 AUTOMATED DNA SEQUENCER(per 500 350 Reaction) 13 MALDI TOF/TOF Instrument uses (per 1200 300 Hour) 14 MALDI TOF/TOF Sample processing in Gel 1000 250 (per Sample) 15 MALDI TOF/TOF Sample processing in 200 50 Solution (per Sample)

Cytology 1 BUCCAL SMEAR FOR SEX CHROMATIN 25 25

2 ESTROGEN RECEPTOR 900 270 3 IMMUNOCYTOCHEMISTRY (Per Antibody) 500 300

4 IMMUNOCYTOCHEMISTRY ( 5 Antibody) 2500 1500

5 PROGESTERON RECEPTOR 900 270 6 HPV TESTING 1600 800 7 CYTOPATHOLOGY FNA 100 100 8 FLOCYTOMETRIC IMMUNOPHENOTYPING 500 300 (1 Antibody)

9 FLOCYTOMETRIC IMMUNOPHENOTYPING 3000 1500 (5 Antibody)

10 CERVICAL SMEAR (PAP SMEAR) 200 100

11 GYNAEC-HISTOPATHOLOGY (BIOPSY) 250 100

12 LIQUID BASED CYTOLOGY (LBC) 200 100

13 EXFOLIATIVE CYTOLOGY (MALIGLANT 100 100 CYTOLOGY)

14 IHC-I (UPTO 2 ANTIBODIES)-IHC 500 500 (IMMUNO CHEMISTRY) 15 IHC-II (UPTO 3-5 ANTIBODIES)-IHC 1500 1500 (IMMUNO CHEMISTRY) 16 IHC-III ( MORE THAN 5 ANTIBODIES)- 2500 2500 IHC(IMMUNO CHEMISTRY)

17 FISH 4000 2000 18 BLOCKS/ SLIDES FOR OPINION/ REVIEW 500 500 (UPTO 2 BLOCKS)INCLUDING CELL BLOCK

19 BLOCKS/ SLIDES FOR OPINION/ REVIEW 1000 1000 (3 OR MORE BLOCKS)

20 ISSUE OF PARAFFIN BLOCKS -(SECURITY 1000 1000 RETURN) 21 ISSUE OF DUPLICATE UNSTAINED SLIDES 200 200 (UPTO 2SLIDES)

22 ISSUE OF DUPLICATE UNSTAINED SLIDES 500 500 (MORETHAN 2 SLIDES)

23 Dummy cytology 25 20 Endocrinology 1 TSH 200 100 2 T3 & T4 200 100 3 T3 & T4 & TSH 300 200 4 CORTISOL-AM/PM OVERNIGHT 225 150

5 CORTISOL-POST DEXA 115 75 6 CORTISOL-LOW DOSE 115 75 7 CORTISOL-HIGH DOSE 115 75 8 CORTISOL-ACTH STIMULATION 450 300

9 CORTISOL-ITT 565 375 10 TESTOSTERONE BASAL 300 200 11 RESP TO HCG STIMULATION 900 600 12 E2-17 B 225 150 8

13 DHT 300 200 14 PROGESTERONE 300 200 15 GROWTH HORMONE-BASAL 115 75 16 GROWTH HORMONE-RESP TO ITT/Ggt 565 375

17 INSULIN - BASAL 150 100 18 LH & FSH 450 300 19 PRL (PROLACTIN) 225 150 20 HbA1c 250 100 21 PLANTER PRESSURE STUDIES 100 50 22 CORTISOL 250 125 23 INSULIN 250 125 24 C-PEPTIDE 500 250 25 PTH 400 200 26 ACTH 400 200 27 25(OH)D 700 350 28 A-TPO 300 150 29 TG 500 250 30 PLASMA OSMOLALITY 250 125 31 URINE OSMOLALITY 250 125 32 T3 100 50 33 T4 100 50 34 LH 225 150 35 FSH 225 150 36 DHEAS 500 250 37 Procalcitonin (Pct) 1500 750 38 INSULIN TOLERANCE TEST - GH (0 30 60 2000 1500 90 MIN) 39 INSULIN TOLERANCE TEST- CORTISOL (0 2000 1500 60 120 MIN)- 40 GH-OGTT TEST - GH (0 60 120 MIN) 500 350

41 GLUCAGON -C- PEPTIDE TEST - C-PEPTIDE 1500 1000 (-15 0 6 MIN) 42 SYNACTHEN STIMULATION TEST- 750 500 CORTISOL (0 30 60 MIN) 43 GnrH STIMULATION TEST - LH (0 AND AT 750 500 120 MIN) 9

44 HCG STIMULATION TEST - LH 1500 1000 TESTOSTERONE (0 HRS) 45 HCG STIMULATION TEST - 1500 1000 TESTOSTERONE (72 HRS) 46 WATER DEPRIVATION TEST - SERUM 2000 1500 OSMOLALITY 47 WATER DEPRIVATION TEST - URINE 2000 1500 OSMOLALITY 48 ANTI-GAD65 ANTI-IA2 ANTI-INSULIN 3000 1500

49 ANTI-THYROGLOBULIN (ANTI-TG) 700 350

50 ANTI MULLERIAN HORMONE (AMH) 2000 1000

51 BETA-CROSS LAPS 1000 500 52 N-MID OSTEOCALCIN 1000 500 53 PINP 1000 500 54 PKG-HBAIC VPT ABI MICROALBUMINURIA 600 300 FUNDUS EXAMINATION

55 ANTI-GAD65 1000 500 56 ANTI-IA2 1000 500 57 ANTI-INSULIN 1000 500 Gastroenterology 1 HBsAg ELISA 100 50 2 ANTI HBc IgM ELISA 300 150 3 ANTI HBc TOTAL ELISA 300 150 4 HBeAg/ ANTI HBc AB ELISA 300 150 5 ANTI HCV ELISA 200 100 6 ANTI HDC IgM/ IgG ELISA 300 150 7 ANTI HAV IgM/ IgG ELISA 300 150 8 ANTI HEV IgM/ IgG ELISA 300 150 9 ROTA VIRUS Ag ELISA 300 200 10 ANTI CMV IgM/ IgG ELISA 150 100 11 ENDOSONOGRAPHY (EUS) 250 100 12 INTRADUCTAL ULTRASOUND/ CATHETER 500 250 EUS (IDUS) 13 CALPROTECTIN ASSAY 700 350

14 CMV PP 65 ANTIGEN (Ag) ELISA 325 250

15 ANTI HSV 1 IgM ELISA 225 150 16 ANTI HSV 2 IgM ELISA 225 150 17 HSV 1 ANTIGEN(Ag)ELISA 325 250 18 HSV 2 ANTIGEN(Ag) ELISA 325 250 Hematology 1 ANTENATAL DIAGNOSIS OF 6000 4000 THALASSEMIA 2 ANTI-THROMBIN-III ASSAY 600 500 3 AUTO HAEMOLYSIS 150 100 4 BLEEDING TIME (BT) 30 30 5 BONE MARROW/ BLOOD CELL 50 50 CYTOCHEMISTRY (PER STAIN) 6 PERIPHERAL SMEAR (BLOOD FILM 50 50 MORPHOLOGY) (OPD-Patient)

7 BONE MARROW ASPIRATION AND 600 400 TREPHINE BIOPSY 8 BONE MARROW ASPIRATION ONLY 300 200

9 CYTOGENETIC STUDY FROM PERIPHERAL 1000 500 BLOOD/BONE MARROW

10 CLOT RETRACTION TIME 25 25 11 CLOTTING TIME 10 10 12 COOMBS' TEST 200 100 13 CORRECTION STUDIES IN COAGULATION 375 250

14 ERYTHROCYTE SEDIMENTATION RATE 25 20 (ESR) 15 FDPs/FIBRIN MONOMERS 75 75 16 FOETAL HAEMOGLOBIN 25 20 17 G6PD SCREENING TEST 50 30 18 HAM'S TEST 150 100

19 COMPLETE BLOOD COUNT 50 50 (CBC)/(HEMOGRAM (HB TLC PLATELET COUNT RBC/RED CELL INDICES)

20 HEINZ BODIES 25 25 21 HESS TEST 30 30 22 INCUBATED OSMOTIC FRAGILITY (RBC) 25 25

23 L.E. CELLS 100 100 24 MET-HAEMOGLOBIN ESTIMATION 75 75

25 OSMOTIC FRAGILITY (RBC) 30 30 26 PTTK/APTT 30 30 27 PLATELET FUNCTION TEST/ PLATELET 200 150 AGGREGATION STUDIES

28 PROTEIN C 500 150 29 PROTEIN S 500 150 30 RETICULOCYTE COUNT 50 50 31 Screening For Thalassemias & 700 350 Hemoglobinopathies By Hplc 32 SERUM B12 ASSAY 200 100 33 SERUM FERRITIN 115 100 34 SERUM FOLATE & RED CELL FOLATE 115 100

35 SICKLING TEST 50 30 36 SUCROSE LYSIS TEST 25 25 37 TEST FOR FIBRINOLYSIS 250 100 38 THROMOBOPLASTIN GENERATION TEST 75 75

39 UNSTABLE HEMOGLOBINS 100 50 40 URINE HEMOSIDERIN 30 30 41 CSF CELL COUNT AND MICROSCOPIC 25 25 EXAMINATION 42 URINE ROUTINE AND MICROSCOPIC 25 20 EXAMINATION 43 HEMOPHILIA - DNA DIAGNOSIS 6000 3000

44 DNA-BASED MUTATION DETECTION IN 3500 1750 THALASSEMIA 45 Prothrombin Time (In-Patient) 25 20 46 Inr (In-Patient) 25 20 47 PT-INR (OPD-PATIENT) 25 25 48 COAGULATION SCREEN-PT PTTK 300 150 FIBRINOGEN 49 SERUM IRON, TIBC & SERUM FERRITIN 300 150

50 LUPUS ANTICOAGULANT 200 150 51 D-DIMER TEST QUALITATIVE 300 200 52 DNA-BASED MUTATION TESTING FOR 1500 1000 SINGLE GENE DISORDERS

53 FIBRINOGEN ASSAY BY CLOTTING 150 100 METHOD 54 PLATELETS ASSOCIATED ANTIBODY 100 100

55 SERUM HOMOCYSTEINE LEVELS 800 500

56 IMMUNOPHENOTYPING FOR PLATELET 1000 500 FUNCTION DEFECT 57 MOLECULAR TESTING BY REVERSE 4500 3000 TRANSCRIPTASE PCR (RT-PCR) IN LEUKEMIA 58 MOLECULAR TESTING BY REAL TIME 4500 3000 QUANTITATIVE PCR (RQ-PCR) IN LEUKEMIA 59 FACTOR VIII ASSAY 1000 500 60 FACTOR INHIBITOR 1000 500 61 ANTI CARDIOLIPIN ANTIBODY 1000 500 62 ANTI BETA 2 GLYCOPROTEIN-1 (GP1) 1000 500

63 FACTOR II ASSAY 1800 1200 64 FACTOR V ASSAY 1800 1200 65 FACTOR VII ASSAY 1800 1200 66 FACTOR IX ASSAY 1800 1200 67 FACTOR X ASSAY 1800 1200

68 FACTOR XI ASSAY 1800 1200 69 VON WILLEBRAND ANTIGEN ASSAY (vWF 500 250 ANTIGEN) 70 RISTOCETIN COFACTOR ACTIVITY (RiCof) 300 150

71 STEM CELL/ CD34 CELL ENUMERATION 1200 1200 BY FLOW CYTOMETRY

72 FLOW CYTOMETRY FOR PLATELET 1200 1200 FUNCTION DISORDERS

73 DNA-BASED MUTATION TESTING IN 2000 1000 LEUKEMIA (PER MUTATION)

74 EXTENDED PANEL PER MONOCLONAL 300 300 INSTEAD OF FLOW CYTOMETRIC IMMUNOPHENOTYPING INDIVIDUAL MONOCLONAL ANTIBODY

75 CHROMOSOMAL BREAKAGE STUDIES 1000 500 FROM PERIPHERAL BLOOD

76 INHIBITOR SCREEN 500 250 77 D-DIMER ASSAY QUANTITATIVE 300 200

78 PRESUMPTIVE TEST OF 50 30 HEMOLYSIS(PLASMA HEMOGLOBIN)

79 PRESUMPTIVE TEST OF 50 30 HEMOLYSIS(URINE HEMOGLOBIN)

80 FACTOR XIII ANTIGEN ASSAY 100 50 81 ANTI Xa ASSAY FOR HEPARIN 1000 500 82 EMA DYE BINDING TEST BY 400 200 FLOWCYTOMETRY 83 FLUID EXAMINATION (TOTAL AND 25 20 DIFFERENTIAL COUNTS)

84 FISH PANEL I FOR HEMATOLOGY-SINGLE 2000 1500 PROBE 85 FISH PANEL II FOR HEMATOLOGY-TWO/ 3000 2300 THREE PROBE

86 FISH PANEL III FOR HEMATOLOGY- FOUR 4000 3000 OR MORE PROBES OR ON SORTED CELLS

Hepatology 1 ANTI HBC 1GM 300 150 2 HAV IgM. 300 150 3 ANTI HBS/IGG. 300 150 4 HBeAg. 300 150 5 ANTI HBe 300 150 6 ANTI HCV. 200 100 7 HbsAg. 100 50 8 TOTAL ANTI HBc/ HBc (IgG) 300 150 9 HEV IgM/ ANTI HEV 1GM 300 150 10 FIBROSCAN 300 300 11 BIOELECTRICAL IMPEDANCE 50 50 ANALYSER(BIA) 12 SIGMOIDOSCOPY (LGIE) 250 100 13 COLONOSCOPY (LGIE) 250 100 14 ENTROSCOPY 250 100 15 E.R.C.P 500 150 16 Liver Function Test (Lft) 125 125 17 ENDOSONOGRAPHY (EUS) 250 100 18 UPPER GI ENDOSCOPY (UGIE) 250 100 19 RAPID BLOOD AMMONIA ESTIMATION 250 250

20 ULTRASOUND 250 100 Histopathology 1 IF FOR KIDNEY BIOPSY 450 300 2 ELECTRON MICROSCOPY (EM) 1000 500 3 BIOPSY (HISTOPATH) 250 100 4 SERUM ANTI HAV IgG ELISA 300 150

5 IHC-I (UPTO 2 ANTIBODIES)-HIC 500 500 (IMMUNOCHEMISTRY) 6 IF-I (UPTO 5 ANTIBODIES)-HIC 1000 500 (IMMUNOFLUORESENCE) 7 IF-II (MORE THAN 5 ANTIBODIES)-HIC 1500 1000 (IMMUNOFLUORESENCE)

8 MUSCLE ENZYME HISTOCHEMISTRY 1500 1000 (EHC) 9 BLOCKS/ SLIDES FOR OPINION/REVIEW 500 500 (UPTO 2 BLOCKS)

10 BLOCKS/ SLIDES FOR OPINION/REVIEW 1000 1000 (3 OR MORE BLOCKS)

11 ISSUE OF PARAFFIN BLOCKS -(SECURITY 1000 1000 FOR RETURN) 12 ISSUE OF DUPLICATE UNSTAINED SLIDES 200 200 (UPTO 2 SLIDES)

13 ISSUE OF DUPLICATE UNSTAINED SLIDES 500 500 (MORE THAN 2 SLIDES)

14 OUTSIDE SPECIMEN FOR PROCESSING 500 500 FOR EM (1 BLOCK/GRID) STUDENT/SCIENTIST

15 OUTSIDE SPECIMEN FOR CRYOSTAT 200 200 SECTION Immunopathology 1 ANTITHYROID ANTIBODY TEST 50 50

2 TUMOUR MARKER TEST (CEA) 500 250 3 CROSSMATCH (PBL) 100 100 4 CROSSMATCH T, B AND DTT 200 100 5 CADAVER CROSSMATCH 100 100 6 PREGNANCY TEST 50 50 7 ALPHA-1 ANTYTRYPSIN 500 250 8 ALPHA FETOPROTEIN 500 250

9 CIEP FOR KALA-AZAR 100 100 10 Immunoglobulin G A M 300 100 11 SERUM IGE (ELISA) 500 250 12 DYSMORPHIC RBC 25 25 13 AUTO-ANTIBODY PROFILE COMPOSITE 750 500 TESTING (IIF)(ANA SMA AMA LKM PCR)

14 ANCA (ANTINEUTROPHIL ANTIBODIES)- 1200 600 IIF 15 CMV ANTIGEN STUDY 500 250 16 NBT TEST 50 50 17 LYMPHOCOCYTE PROLIFERATION 200 100

18 CHEMOTAXIS-NEUTROPHILS 200 100 19 FLC FOR CD3/ CD19 500 150 20 SERUM ELECTROPHORESIS 200 100 21 PANEL REACTIVE ANTIBODY 500 150 22 ABC SEROLOGY(STAGE 1) 3000 1500 23 HLA-DR BETA (LOW RESOLUTION DNA) 6000 3000

24 ANA ON HEP-2 CELLS IIF 500 250 25 ISLET CELL ANTIBODY (IIF) 500 250 26 ANTI ADRENAL ANTIBODY (IIF) 500 250

27 Beta HCG (ELISA) 500 250 28 CA-125 (ELISA) 500 250 29 tTG (ELISA) 500 250 30 dsDNA (ELISA) 500 250 31 PR3- PROTENIASE-3 (ELISA) 500 250 32 MPO (ELISA) 500 250 33 LIVER LINE BLOT ASSAY 2000 1000 (IMMUNOBLOTING) 34 ANA LINE BLOT ASSAY 2000 1000 (IMMUNOBLOTING) 35 GAD-65 (ELISA) 1000 500 36 SERUM IgG (NEPHELOMETRY) 200 100 37 SERUM IgA (NEPHELOMETRY) 200 100 38 SERUM IgM (NEPHELOMETRY) 200 100 17

39 C3 QUANTITATIVE (NEPHELOMETRY) 250 125

40 MULTIPLEX PCR FOR DYSTROPHIN 3000 1500 SCREENING FOR CHILDREN (FOR DUCHENNE MUSCULAR DYSTROPHY)

41 THYROID MICROSOMAL ANTIBODIES 300 150 (TMA) 42 PROSTATE SPECIFIC ANTIGEN (ELISA) 500 250

43 URINE FOR BENCE JONES PROTEINS (BJP) 100 100

44 URINE FOR ELECTROPHORESIS 100 100

45 PAGE FOR CSF 100 100 46 Sds Page For Fluids 100 100 47 LATEX AGGLUTINATION FOR CRP 50 25

48 LATEX AGGLUTINATION FOR RF ETC 50 50

49 DIRECT FLOURESCENCE SKIN 450 300 50 DIRECT FLOURESCENCE KIDNEY 450 300

51 FLOWCYTOMETRY (FLC)(FSC SSC) FOR 50 50 CSF 52 FLOWCYTOMETRY (FLC)(FSC SSC) FOR 50 50 OTHER FLUID 53 FLC FOR CD4 500 150 54 FLC FOR CD8 500 150 55 FLC FOR CD3 500 150 56 FLC FOR CD19 500 150 57 PCR FOR TB 500 150 58 CMV LOAD BY rtPCR 3500 2000 59 EBV LOAD BY rtPCR 3500 2000 60 HLA-A (DNA BASED) 10000 5000 61 HLA-B (DNA BASED) 10000 5000 62 HIV(OPT OUT) SCREENING(RAPID TEST) 30 30

63 HIV(OPT OUT) SCREENING(ELISA) 30 30

64 SEMEN ANALYSIS. 100 50 65 SPECIFIC ANA(ANTI-Ro/ANTI- 500 250 La/Sm/Ribo-P/Scl-70 etc) PER ANTIBODY

66 IMMUNOGLOBULIN 25 20 67 CRYOGLOBULINS 100 100 68 B2 MICROGLOBULIN(B2M) 1500 750 69 IgG SUBCLASSES QUANTITATION BY 1500 500 NEPHELOMETRY (IgG1 IgG2 gG3 IgG4 FOR INDIVIDUAL ANTIBODY)

70 ANTIBODY RESPONSE TO ANTIGENS 3000 1500 (PNUEMOVAX) 71 ANTI-DIPTHERIA ANTIBODY TITRES. 125 100

72 ANTI-TETANUS ANTIBODY TITRES 125 100

73 PHAGOCYTIC ASSAY BY FLOW 1000 600 CYTOMETRY. 74 GENETIC MUTATION ANALYSIS IN 3000 2000 PRIMARY IMMUNODEFICIENCY DISEASES (PIDs) (PER MUTATION TEST)

75 NK CELL FUNCTION ASSAY. 3000 1500 76 IMMUNOPHENOTYPING FOR CVID 3000 1500

77 LYMPHOCYTE ACTIVATION/ 1500 1000 PROLIFERATION 78 DHR BY FLOWCYTOMETRY 500 300 79 FLOWCYTOMETRIC ANALYSIS OF 1500 1000 PROTEIN EXPRESSION IN PID i.e. BTK/ WASP/ ICOS/ BAFER/dp 91 phox/ LAD etc. (PER PROTEIN)

80 APOPTOSIS ASSAY 3000 1500

81 FLOWCYTOMETRIC LYMPHOCYTE SUBSET 3000 1500 ANALYSIS

82 ISOHAEMAGLUTININS TITRES 100 50 83 ANTI-ENDOMYSIAL ANTIBODY BY 200 100 INDIRECT IMMUNOFLUORESCENCE

84 HLA-DQ2 AND DQ8 FOR CELIAC DISEASE 4000 3000

85 FREE LIGHT CHAINS KAPPA BY 1000 500 NEPHELOMETRY 86 FREE LIGHT CHAINS LAMBDA BY 1000 500 NEPHELOMETRY 87 CA 15.3 500 250 88 CA 19.9 500 250 89 CYFRA-21 500 250 90 CYCLIC CITRULLINATED PEPTIDE (CCP) 500 250

91 DONOR SPECIFIC ANTIBODIES (DSA) 4000 2000

92 COMPLEMENT SCREENING (CH50) 200 100

93 CD40/ CD40L ASSAY BY 1000 600 FLOWCYTOMETRY 94 CD40 BY FLOWCYTOMETRY 500 300 95 CD40L BY FLOWCYTOMETRY 500 300 96 SPECIFIC IgE FOR ALLERGY (PER 500 250 ALLERGEN) 97 SPECIFIC IgE FOR ALLERGY-SINGLE 500 250 ALLERGEN 98 MAST CELL TRYPTASE 500 250 99 Immunofixation 2500 1000 100 HLA B27 2000 1200 101 HLA B35 1500 750 102 HLA TYPING BY LUMINEX (ABDR) 10500 5000

103 CMV VIRAL LOAD- 2000 2000 104 AQUAPORIN-4 (NMO) 3500 2500

105 GANGLIOSIDE PROFILE IMMUNOBLOT 3000 2500

106 PARANEOPLASTIC PROFILE 2400 2000 IMMUNOBLOT/PER TEST 107 HLA-MEDIUM RESOLUTION 6000 4000 108 PLA2R ELISA 4000 2000 109 DESMOGLEIN-1 ELISA 3000 1500 110 DESMOGLEIN-3 ELISA 3000 1500 111 BP-180 ELISA 4000 2000 112 BP230 ELISA 4000 2000 113 MYOSITIS PROFILE IMMUNOBLOT 8000 4000

114 SYSTEMIC SCLEROSIS PROFILE 4000 2000 IMMUNOBLOT 115 ALLERGY PROFILE BY IMMUNOBLOT 4500 3000 (EACH OF INHALATION/FOOD/ATOPY)

Library 1 LIBRARY FACILITY USED BY SPOUSE 0 200 CHILDREN OR PARENTS OF THE FACULTY RESIDENTS AND OTHER STAFF (PER MONTH CHARGES)

2 LIBRARY FACILITY USED BY SPOUSE 0 500 CHILDREN OR PARENTS OF THE FACULTY RESIDENTS AND OTHER STAFF (THREE MONTH CHARGES)

Medical Microbiology 1 MYCOBACTERICAL SUSCEPTIBILITY 150 100 TESTS 2 URINE FOR AFB SMEAR AND CULTURE 150 100

3 Urine Afb (Smear Concentration Method) 25 25

4 BACTERIOLOGICAL EXAMINATION OF 150 100 WATER

5 BACTERIAL CULTURE FOR STERILE BODY 300 150 FLUIDS(CULTURE AND SENSITIVITY)

6 SMEAR FOR BACTERIA (GRAM STAIN) 25 25

7 BACTERIAL CULTURE (STOOL CULTURE 300 150 (ENTERIC PATHOGENS))

8 THROAT SWAB CULTURE/ SENSITIVITY 300 150

9 BACTERIAL CULTURE (URINE 300 150 CULTURE/SENSITIVITY) 10 MYCOPLASMA CULTURE 150 100 11 Rapid Culture Mycobacteria (Bactecmgit- 1000 500 960) 12 ANTIMICROBIAL SUSCEPTIBILITY FOR 2000 1000 MYCOBACTERIA (BACTEC MGIT 960)

13 ANTISTREPTOLYSIN (LATEX)(ASO TEST) 300 150

14 BRUCELLA AGGLUTINATION 50 50 15 COLD AGGLUTININ TEST 50 50 16 CRP 100 50 17 LATEX AGGLUTINATION TESTS FOR 50 50 RAPID DIAGNOSIS 18 Serum Aslo 50 50 19 STERILITY TEST 50 50 20 TPHA TESTS FOR SYPHILIS 100 100 21 V.D.R.L. 50 50 22 WIDAL AGGLUTINATION 50 50 23 GONOCOCCAL CULTURE 150 100 24 ANTIBIOTIC SENSITIVITY FOR FUNGI 100 100

25 STREPTOCOCCUS PNEUMONIAE 200 100

26 HAEMAPHILIUS INFLUENZAE 200 100 27 NEISSERIA MENINGITIDDIS 200 100 22

28 STREPTOCOCCUS 600 300 PNEUMONIAE+HAEMPHILUS INFLUENZA+NEISSERIA MENINGITIDDIS (TRIPLE ANTIGEN)

29 BACTEC CULTURE 450 300 30 GALACTOMANNAN ASSAY FOR 600 300 ASPERGILLUS BY ELISA 31 ANTIGEN DETECTION FOR 400 200 CRYPTOCOCCUS BY LATEX AGGLUTINATION 32 Sputum Concentration & Culture Of Afb 150 100

33 SPUTUM SMEAR ONLY FOR AFB 150 100

34 ELISA FOR DETECTION OF ANTIGEN 150 100

35 ELISA FOR DETECTION OF ANTIBODY 150 100

36 FUNGAL SEROLOGY(CANDIDA 150 100 ASPERGILLUS) 37 FUNGAL 150 100 SEROLOGY(HISTOPLASMA/BLASTOMYCES ETC.) 38 FUNGAL SKIN TESTS(CANDIDA 50 50 ASPERGILLUS) 39 SMEAR/KOH EXAMINATION FOR 25 25 FUNGUS(PUS) 40 ELISA FOR GONOCOCCUS 250 100 41 ELISA FOR CHLAMYDIA 250 100 42 ELISA FOR LEPTOSPIRA 250 100 43 PCR FOR ANY BACTERIA 600 300 44 PCR FOR ANY FUNGUS 600 300 45 RTPCR FOR ANY BACTERIA 600 300 46 RTPCR FOR ANY FUNGUS 600 300 47 MULTI PLEX PCR 800 400 48 RTPCR FOR MYCOBACTERIA 800 400

49 MICROSCOPIC AGGLUTINATION TESTS 600 300 (MAT) FOR LEPROSPIROSIS

50 MDR TB DETECTION BY MOLECULAR LINE 25 20 PROBE ASSAY UNDER RNTCP PROGRAMME

51 ELISA FOR IgM ANTIBODY DETECTION 500 250 FOR SCRUB THYPUS

52 WEIL FELIX 200 100 53 PCR FOR SHIGELLA 400 200 54 PCR FOR CAMPYLOBACTER 400 200 55 PCR FOR CLOSTRIDIUM 400 200 56 PCR FOR SHIGA TOXIN PRODUCING E. 400 200 COLI 57 MULTIPLEX PCR FOR DIARRHEAGENIC E. 800 400 COLI 58 BACTERIAL CULTURE FOR 200 100 CAMPYLOBACTER 59 ANTIGEN DETECTION (RAPID TEST) FOR 200 100 CHOLERA 60 ANTIGEN DETECTION (RAPID TEST) FOR 200 100 SHIGEILOSIS 61 ANTIGEN DETECTION (RAPID TEST) FOR 200 100 SHIGA TOXIN PRODUCING E. COLI

62 EIA FOR CAMPYLOBACTER ANTIGEN 600 400 DETECTION 63 EIA FOR SHIGA TOXINS I & II DETECTION 800 600

64 CLOSTRIDIUM DIFFICILE TOXIN A AND B 500 300

65 CULTURE FOR LEPTOSPIRA 300 150 66 BACTERIAL VAGINOSIS (NUGENTS 100 50 SCORING AND CULTURE)

67 DARK DROUND ILLUMINATION (DGI) FOR 100 50 SPIROCHEATES /LEPTOSPIRA

68 PCR FOR CHLAMDIA TRACHOMATIS 300 150

69 PCR FOR MYCOBACTERIA 1200 600 70 ASPERGILLUS SPECIFIC IgE 500 400 71 PCP FOR BAL/SPUTUM 50 25 72 1 3 BETA D GLUCAN DETECTION 4000 2000

73 RHEUMATOID FACTOR /RA FACTOR BY 300 150 NEPHELOMETRY 74 ELISA FOR MYCOPLASMA PNEUMONIAEN 300 150 IgM ANTIBODY

75 BACTERIAL CULTURE OF ALL 300 150 SPECIMENS(INCLUDING SMEAR MICROSCOPY AND SUSCEPTIBILITY TESTS) 76 Fungal Culture (All Specimens) 200 150 77 Total Ige (Only For Abpa Cases) 500 400 78 THERAPETIC DRUG MONITORING OF 150 100 VORICONAZOLE/ ITRACONAZOLE

79 PCR FOR SCRUB TYPHUS 300 150 80 GENEXPERT MTB/ RIF ASSAY 3000 1500 81 PCR FOR PNEUMOCYSTIS PNEUMONIA 1000 500 (PCP) Micro Tech. Biotechnology Lab. (Paed.)

1 COPPER(CU) ESTIMATION 250 100 2 ZINC(ZN) ESTIMATION 250 100 3 SERUM CERULOPLASMIN 150 75 4 LACTATE ESTIMATION 350 150 5 AMMONIA 200 100 Nephrology 1 TEG WITH KAOLIN 450 350 25

2 TEG WITH HEPARINASE & KAOLIN 2200 1100

3 CREATINE KINASE MB (CKMB) 200 100 4 CHOLESTEROL (LDL CHOLESTEROL HDL 200 100 CHOLESTEROL

5 TRIGLYCERIDES 50 50 6 ALPHA AMYLASE 25 25 7 LIPASE. 100 50 8 CALCIUM. 50 25 9 PHOSPHORUS 25 25 10 MAGNESIUM 50 25 11 BILIRUBIN TOTAL 25 25 12 BILIRUBIN DIRECT 25 25 13 ASPARTATE AMINOTRANSFERASE (SGOT/ 25 25 AST)

14 ALANINE AMINOTRANSFERASE(SGPT/ 25 25 ALT)

15 ALKALINE PHOSPHATASE 25 25 16 URIC ACID. 50 25 17 URINE ALBUMIN 25 20 18 CREATININE (BY ENZYMATIC METHOD - 25 25 KINASE) 19 GLUTAMYL TRANSPEPTIDASE (GGT) 250 100

20 GLYCOSYLATED HAEMOGLOBIN (HbA1c) 250 100

21 C REACTIVE PROTEIN (CRP) 50 25 22 LACTATE DEHYDROGENASE (LDH). 50 50

23 D-DIMER 300 200 24 AMMONIA (NH3) 200 100 25 IRON 300 150 Neurology 1 DOPPLER EXAMINATION FOR CAROTID 500 150 VESSELS

2 EEG WITH ACTIVATION 500 150 3 EMG ALONE 250 150 4 EMG AND NERVE CONDUCTION 500 150

5 EMG ANALYSIS ALONE 250 100 6 LONG SLEEP EEG STUDY 1000 300 7 NERVE CONDUCTION ALONE 250 100 8 SLEEP DEPRIVED EEG STUDY 500 150 9 SOMATOSENSORY EVOKED RESPONSE 250 100

10 VISUAL AND BRAIN STEM EVOKED 500 150 RESPONSE STUDY 11 VISUAL EVOKED RESPONSE ONLY 250 100

12 CSF TBM PCR 1500 750 13 MULTIPLEX PCR DYSTROPHIN 3000 1500 SCREENING(ALL 18 EXONS) 14 PARK2 GENES SCREENING (ALL 12 3000 1500 EXONS) 15 BACLOFEN PUMP REFILLING AND ITS 500 500 PROGRAM. 16 MLP TEST 4500 2300 Nuclear Medicine 1 BONE SCAN 1000 500 2 PARATHYROID SCAN 1200 600 3 GASTRIC EMPTYING 600 300 4 GI BLEEDING DETECTION 600 300 5 LIVER RES SCAN 600 300 6 LIVER BLOOD POOL SCAN 600 300 7 LUNG PERFUSION SCAN 1000 500 8 RENAL DMSA/GHA SCAN 600 300 9 DRCG (VUR) STUDY 400 200 10 SPLEEN SCAN 600 300 11 ESOPHAGUS MOTILITY 400 200 12 FIRST PASS (CARDIAC) STUDY 600 300 13 GE REFLUX 400 200 14 MUGA (CARDIAC) STUDY 1000 500 15 HEPATOBILIARY SCAN 600 300 27

16 LUNG (VENTILATION) SCAN 1000 500 17 LYMPHOSCINTOGRAPHY 600 300 18 MECKEL'S DIVERTICULUM DETECTION 400 200

19 PECHLORATE DISCHARGE TEST 400 200

20 PERITONEO - PLEURAL SCAN 600 300 21 RAIU (IODINE UPTAKE) 400 200 22 MIBG SCAN 3000 1500 23 SALIVARY GLAND SCAN 400 200 24 THYROID SCAN 400 200 25 CISTERNOGRAPHY 600 300 26 TESTICULAR SCAN 600 300 27 RN THERAPY (IODINE 131) FOR 2000 1000 THYROTOXICOSIS 28 VENOGRAPHY 1000 500 29 IODINE-131 WHOLE BODY SCAN 600 300

30 MPI-THALLIUM/MIBI/MYOVIEW 6000 3000

31 RENOGRAM(DTPA/EC) 600 300 32 SCINTIMAMMOGRAPHY 1000 500 33 SENTINEL LYMPH NODE MAPPING 1000 500

34 TUMOR IMAGING (MIBI/THALLIUM) 1000 500

35 BRAIN SPECT 1000 500 36 PET SCAN - WHOLE BODY 10000 7000 37 PET SCAN – BRAIN 6000 3000 38 PET SCAN - CARDIAC PERFUSION 6000 3000

39 PET SCAN (18F-NaF) – BONE 2000 1000 Parasitology 1 QBC FOR MALARIA PARASITE 40 25 2 ANIMAL INOCULATION FOR - 300 200 TOXOPLASMOSIS/ FREE LIVING AMOEBA

3 DIRECT MICROSCOPIC EXAMINATION OF 150 75 STOOL 4 ALDEHYDE TEST FOR KALA-AZAR 25 25

5 CASONI'S TEST 70 70 6 ANTIBODY DETECTION (IgG) FOR 150 100 AMOEBIASIS SEROLOGY 7 ANTIBODY DETECTION (IgG) FOR 150 100 TOXOPLASMOSIS SEROLOGY

8 ANTIBODY DETECTION (IgG) FOR 150 100 CYSTICERCOSIS (NCC) SEROLOGY

9 ANTIBODY DETECTION (IgG) FOR 150 100 HYDATIDOSIS (HYDATID) SEROLOGY

10 ANTIBODY DETECTION (IgG) FOR KALA- 400 200 AZAR (RK-39)SEROLOGY

11 ANTIBODY DETECTION (IgG) FOR 150 100 MALARIA SEROLOGY 12 ANTIBODY DETECTION (IgG) FOR 150 100 TOXOCARIASIS SEROLOGY 13 ANTIBODY DETECTION (IgM) FOR 150 100 TOXOPLASMOSIS SEROLOGY

14 ANTIBODY DETECTION (IgM) FOR 150 100 MALARIA SEROLOGY 15 TOXOPLASMA AVIDITY ELISA SEROLOGY 500 250

16 TRICHINELLA SEROLOGY 500 250 17 PCR FOR TOXOPLASMOSIS 1200 600 18 PCR FOR LEISHMANIASIS 1200 600 19 SPECIAL STAINING TECHNIQUES FOR 150 75 PARASITES LIKE CRYPTOSPORIDIUM

20 SPECIAL STAINING TECHNIQUES FOR 150 75 PARASITES LIKE ISOSPORA

21 SPECIAL STAINING TECHNIQUES FOR 150 75 PARASITES LIKE MICROSPORIDIA

22 BODY FLUID(CSF) EXAMINATION FOR 45 30 PARASITES

23 BODY FLUID(URINE) EXAMINATION FOR 45 30 PARASITES

24 BODY FLUID(PLEURAL FLUID) 45 30 EXAMINATION FOR PARASITES

25 BODY FLUID(PERITONEAL FLUID) 45 30 EXAMINATION FOR PARASITES

26 BODY FLUID(HYDATID FLUID) 45 30 EXAMINATION FOR PARASITES

27 BLOOD SMEAR FOR PARASITE(MALARIA.) 15 10

28 BLOOD SMEAR FOR PARASITE(FILARIA.) 15 10

29 BLOOD SMEAR FOR 15 10 PARASITE(LEISHMANIA ETC.) 30 BLOOD SMEAR FOR PARASITE(OTHERS) 15 10

31 CULTURE FOR PARASITE(ENTAMOEBA) 150 100

32 CULTURE FOR PARASITE(LEISHMANIA) 150 100

33 CULTURE FOR PARASITE(TRICHOMONAS) 150 100

34 CULTURE FOR 150 100 PARASITE(ACANTHAMOEBA) 35 CULTURE FOR PARASITE(NAEGLERIA) 150 100

36 ANTIGEN DETECTION FOR MALARIA 250 150

37 ANTIGEN DETECTION FOR FILARIASIS 250 150

38 PLASMODIUM VIVAX (LAMP) 1200 600 39 PLASMODIUM FALCIPARUM (LAMP) 1200 600

40 LAMP TOXOPLASMA GONDII 1200 600 41 PCR FOR ACANTHAMOEBA 1200 600 42 LAMP FOR ACANTHAMOEBA 1200 600 43 PCR FOR ENTAMOEBA spp 1200 600 44 LAMP FOR ENTAMOEBA spp 1200 600 45 FISH PANEL I FOR HEMATOLOGY- SINGLE 2000 1500 PROBE 46 FISH-TWO/ THREE PROBE 3000 2300 47 FISH-FOUR/ FIVE PROBE 4000 3000 Pediatric 1 INTRADERMAL SKIN TEST - SINGLE 400 120 BATTERY 2 INTRADERMAL SKIN TEST - DOUBLE 800 240 BATTERY 3 SCRATCH TEST 100 100 4 CHALLENGE TEST 100 100 5 I.Q. TEST BELOW 6 YEARS 50 50 6 I.Q. TEST ABOVE 6 YEARS 100 100 7 MCV+MCH+MCHC 90 90 8 SKIN TEST FOR ALLERGENS- POLLENS 100 100

9 SKIN TEST FOR ALLERGENS- FUNGAL 100 100 ANTIGENS 10 SKIN TEST FOR ALLERGENS- BOTH 200 100 ANTIGENS 11 HEMAPHERSIS PROCEDURES 100 100 12 BROCHIAL CHALLENGE TEST 250 100 13 PEDIATRIC LUNG FUNCTION TEST 100 100

14 FIBROPTIC BRONCHOSCOPY 250 100 15 NBT DYE REDUCTION TEST 50 50 16 URINE ELECTROPHORESIS 100 100

17 PHA MITOGEN STIMULATION TEST 100 100

18 REHUMATOLD FACTOR(1GM, 1GM, 300 100 1GA)PER TEST 19 ASO 50 50 20 HS CRP QUANTITATIVE 200 100 21 C3 _ 50 50 22 C4 _ 50 50 23 ANTI DS DNA 200 100 24 SERUM IMMUNOGLO.(IgG,IgA & IgM) per 200 100 CLASS 25 T & B CELL RESETTING 100 100 26 IgG SUBCLASSES ESTIMATION TEST (IgG1, 1500 500 IgG2, gG3, IgG4) 27 CVS FOR SEXING FOR X-LINKED DISEASES 1500 750

28 CYTOGENETIC TEST 500 150 29 PRENATAL DIAG.OF ATAXIA 6000 3000 TELANGIECTASIA/ FRAGILE X 30 PRENATAL DIAG.OF THALASSEMIA DMD 4500 2250 HEMOPHILIA OR /ENZYME

31 MCV 30 30 32 MCH 30 30 33 MCHC 30 30 34 SERUM IMMUNOGLOBNULIS 600 180 (IgG+IgA+IgM) COMBINED 35 ANTI-DIPTHERIA ANTIBODY TITRES 125 100

36 ANTI-TETNUS ANTIBODY TITRES 125 100

37 REHUMATOLD FACTOR(1GM+1GM+1GA) 800 250 ALL TEST

38 SPOT URINARY PROTEIN/CREATININE 100 50 RATIO 39 LEAD (BLOOD/URINE ) 250 100 40 CARBAMAZEPINE 300 150

41 THEOPHYLINE 300 150 42 PHENOBARBITAL 300 150 43 PHENYTOIN 300 150 44 VALPORIC ACID 300 150 45 VANCOMYCIN 300 150 46 CYCLOSPERIN A 1000 500 47 AMPHETAMINE 300 150 48 BARBITURATE 300 150 49 BENZODIAZEPINE 300 150 50 CANNABINOIDS 300 150 51 COCAINE METABILINE 300 150 52 METHADONE 300 150 53 OPIATE 300 150 54 PHENCYCLIDINE 300 150 55 PSA1 400 200 56 MOLECULAR TEST (PCR BASED) 2000 1250

57 PRENATAL DIAGNOSIS BY MOLECULAR 3000 1750 TESTS. 58 CHROMOSOMAL ANALYSIS ON BLOOD 500 250

59 CHROMOSOMAL ANALYSIS ON AMNIOTIC 2000 1000 FLUID/POC 60 FLUORESCENT IN SITUHYBRIDIZATION 4000 3000 ON BLOOD (MICRO DETECTION SYN/X-Y)

61 FLUORESCENT IN SITUHYBRIDIZATION 6000 3500 ANTENANTAL DIAGNOSIS

62 SPECIAL CULTURES FOR CHROMOSOMAL 1000 500 BREAKAGE 63 RETINOL (HPLC) 1000 500 64 TOCOPHEROL (HPLC) 1000 500 65 BIOTINIDASE (SPECTROPHOMETRY) 500 250

66 GALACTOSE-1-p URIDY 1 1000 500 TANSFERASE(GALT) (FLUOROMETRY)

67 TYROSINE (FLUOROMETRY) 300 150 68 CONGENITAL HYPOTHYROIDISM (CH), 450 300 CONGENTIAL ADRENAL HYPERPLASIA (CAH), G6PD DEFICIENCY

69 HIV p24 ANTIGEN ESTIMATION 450 300

70 IgM ANTI BORRELIA ANTIBODY 450 300

71 IgG ANTI BORRELIA ANTIBODY 450 300

72 PCR FOR BORRELIA/ LYME 2700 1800 73 MANNOSE BINDING LECTIN (MBL) ELISA 1500 1000 TEST 74 MITOGEN STIMULATION TEST-FLOW 1500 1000 CYTOMETRY 75 OXIDATIVE BURST TEST BY FLOW 500 300 CYTOMETRY 76 PHAGOCYTIC ASSAY BY FLOW 1000 600 CYTOMETRY 77 FUNCTIONAL ASSESSMENT OF 1500 1000 COMPLEMENT SYSTEM BY ELISA

78 ANTI DS DNA ANTIBODY EST BY IIF 400 200

79 DETECTION OF BRUTON TYROSINE 1500 1000 KINASE(BtK PROTEIN OF PERIPHERAL BLOOD MONOCYTES)

80 DETECTION OF WISKOTT ALDRICH 1500 1000 SYNDROME(WAS) PROTEIN ON PERIPHERAL BLOOD LYMPHOCYTES

81 ABSOLUTE RETICULOCYTE COUNT 160 80

82 RETICULOCYTE PRODUCTION INDEX 160 80

83 GENETIC MUTATION ANALYSIS IN 3000 2000 PRIMARY IMMUNODEFICIENCY DISEASES (PIDs) (PER TEST)

84 NK CELL FUNCTION ASSAY 3000 1500 85 ESTIMATION OF SERUM COMPLEMENT 3000 1500 COMPONENTS 86 ANTIBODY RESPONSE TO 3000 1500 POLYSACCHARIDE ANTIGENS (PNUEMOVAX) 87 SERUM SOLUBLE CD 25 (SCD25/ SIL-2R) 3000 1500 ESTIMATION 88 SERUM SOLUBLE FASL (sFASL) ASSAY 3000 1500

89 CVID 3000 1500 90 LYMPHOCYTE SUBSET ANALYSIS FOR 300 300 PRIMARY IMMUNE DEFICIENCY WORK UP (PER ANTIBODY)

91 SERUM B12 200 100 92 SERUM FOLATE 115 100 93 SERUM T3/T4 & TSH 300 200 94 SERUM 25(OH)D 700 350 95 SERUM T3 100 50 96 SERUM T4 100 50 97 SERUM TSH 200 100 98 T3 & T4. 200 100 99 TACROLIMUS 1000 500 100 SIROLIMUS 1000 500 101 EVEROLIMUS 1000 500 102 CYCLOSPORINE 1000 500 103 NEW BORN SCREENING 1000 400 104 HOMOCYSTEINE 800 500 105 ICP-MS (1-3 ELEMENTS) 300 150 106 ICP-MS (4-6 ELEMENTS) 600 300

107 ICP-MS (MORE THAN 6 ELEMENTS) 1200 600

108 DNA BASED MUTATION TESTING FOR 1500 1000 SINGLE GENE DISORDERS

109 DNA BASED MUTATION TESTING IN 2000 1000 LEUKEMIA 110 BODY FLUID TLC & DLC 50 25 111 IMMATURE RETICULOCYTE FRACTION 80 40 (IRF) 112 IMMATURE PLATELET FRACTION (IPF) & 80 40 OR PLATELET-O

113 IRF + IPF/ PLATELET-O 160 80 114 RETICULATED HAEMOGLOBIN (Re-Hb) 80 40

115 METHOTREXATE 1000 500 116 ORGANIC ACID PROFILE BY GCMS 2000 1000

117 METHYLMALONIC ACID (MMA) BY GCMS) 1000 500

118 AMINO ACID PROFILE BY TMS (PLASMA 2000 1000 URINE CSF) 119 ELISA FOR PK ENZYME DEFICIENCY 1000 500

120 ELISA FOR HEPCIDIN 1000 500 121 ELISA FOR SOLUBLE TRANSFERRIN 1000 500 RECEPTOR 122 URINARY SULFILLE 100 50 123 MLPA ASSAY FOR LEUKEMIA AND SOLID 2000 1500 CANCERS 124 ARMS PCR 2000 1500 125 ESR-ERYTHROCYTE SEDIMENTATION 25 20 RATE 126 G6PD TEST SCREENING 50 30 127 COMPLETE BLOOD COUNT- 50 50 (CBC)/(HEMOGRAM(HB TLC PLATELET COUNT RBC/RED CELL INDICES)

128 RETICULOCYTE COUNT. 50 50 129 SERUM FERRITIN. 115 100 Pharmacology (Drug Monitoring Charges)

1 THERAPEUTICS DRUG MONITORING 200 100

Physical Rehabilitation Medicine

1 PSYCHOLOGICAL TESTING (CHILDREN 60 60 UPTO 5 YEARS OF AGE)

2 PSYCHOLOGICAL TESTING (PATIENTS 6 100 100 YEARS AND ABOVE)

3 PRM- THERAPEUTIC ACTIVITIES (OT) 25 20

4 PRM ORTHOTIC & PROSTHETIC 25 25 FABRICATION 5 PRM- ELECTROTHERAPY-1 MODALITY 50 50

6 PRM- ELECTROTHERAPY-2 MODALITY 50 50

7 PRM- ELECTROTHERAPY-3 MODALITY 50 50

8 PRM- THERAPEUTIC EXERCISES (PT) 25 20

9 PRM- ELECTRO-DIAGNOSTIC TESTING 40 40 (PT) 10 PRM- PHYSICAL-DIAGNOSTIC TESTING 25 20 (PT) 11 SIMPLE GAIT ANALYSIS 600 600 12 EMG PLUS GAIT ANALYSIS COMBINED 3500 2500

Physiotherapy 1 HI-FREQUENCY RADIATION-CUM- 45 45 COMPUTERIZED 2 CHARGES FOR EXISTING FACILITIES 30 30

Plastic Surgery 37

1 ABSCESS DRAINAGE 250 100 2 BIOPSY(PUNCH/ EXCISION/ CERVICAL 250 100 CONE/ ENDOMETRIAL/ BONE TUMOR/ TESTICULAR

3 EXCISION LARGE TUMOUR 1000 300 4 EXCISION AND SKIN GRAFT OF 1000 300 CONTRACTURE 5 EXCISION OF CHEEK CANCER 2000 1000 6 EXCISION OF SMALL TUMOUR 250 100 7 HAND SPLINTS 250 100 8 INJECTION OF KELOIDS 250 100 9 LACERATION SUTURE/UNDER LOCAL 100 100 ANAESTHESIA 10 NERVE REPAIR / GRAFTING (MAJOR) 5000 2500

11 PREPARATION & TRANSFER OF TUBE 250 100 PEDICLES 12 REPAIR OF FACIAL FRACTURE 1000 300 13 REPLANTATION OF UPPER/LOWER LIMBS 8000 4000 & OTHER

14 RESECTION OF JAW 2000 1000 15 SEGMENTAL RESECTION OF JAW 1000 500

16 ABDOMINAL FLAPS 2000 1000 17 CROSS FINGER FLAP 2000 1000 18 CROSS LEG FLAP 2000 1000 19 FREE FLAP 5000 2500 20 FULL THICKNESS SKIN GRAFTING 500 250

21 GROIN FLAP 2000 1000 22 MYOCUTANEOUS FLAP 2000 1000 23 MYOPLASTY WITH/WITHOUT SKIN 2000 1000 GRAFTING 24 REDICLE FLAP 2000 1000 25 ROTATION FLAP 2000 1000

26 SPLIT THICKNESS SKIN GRAFTING 500 150

27 ANTERIOR TRANSPOSITION OF ULNAR 2000 1000 NERVE 28 BANKART'S OPERATION 2000 1000 Psychiatry 1 PSYCHOLOGICAL TEST : SINGLE TEST 125 100

2 PSYCHOLOGICAL TEST : BLOCK OF TESTS 250 100

3 PSYCHOLOGICAL TEST : MAXIMUM FROM 500 150 ONE PATIENT

4 PSYCHOLOGICAL 60 60 TEST:I.Q.TESTING(CHILDREN) 5 PSYCHOTHERAPY CHARGES (INDIVIDUAL 200 100 CHARGES) 6 E.C.T. CHARGES (INDIVIDUAL CHARGES) 400 200

7 SERUM LITHIUM 50 25 8 E.C.T. CHARGES (Package Charges) 2000 1000

9 PSYCHOTHERAPY CHARGES(Package 900 450 Charges) 10 rTMS (INDIVIDUAL CHARGES) 300 150 11 rTMS(Package Charges) 1400 700 Pulmonary Medicine 1 COMPLETE LUNG FUNCTION 500 150 ASSESSMENT INCLUDING BODY PLETHYSMOGRAPHY 2 BRONCHIAL CHALLENGE STUDIES 150 100

3 BRONCHOSCOPY. 500 250 4 SPECIAL PULMONARY FUNCTION TESTS 500 200 (PFT) (LUNG VOLUMES, AIRWAY RESISTANCE COMPLIANCE ETC)

5 CARDIO-PULMONARY EXERCISE TESTS 500 200

6 SLEEP STUDIES 1000 500 7 RIGID/INVERVENTIONAL 1000 500 BRONCHOSCOPY 8 THORACOSCOPY 1000 500 Radiodignosis 1 AORTOGRAPHY/DIGITAL SUBSTRACTION 1000 300 ANGIOGRAPHY

2 BARIUM ENEMA 250 100 3 BARIUM MEAL 250 100 4 BARIUM SWALLOW 250 100 5 BRONCHOGRAPHY 300 150 6 COLOGRAM 250 100 7 CT BODY (SPINE/CHEST/ABDOMEN) 2250 1125

8 CT GUIDED PROCEDURES 1500 750 9 CT HEAD (PLAIN & CONTRAST) 2000 1000

10 CT MYELOGRAPHY/ MYELO C.T. 2000 1000

11 CT- HEAD (PLAIN) 1000 300 12 CT HEAD (CONTRAST) 1000 300 13 ERCP (ENDOSCOPIC RETROGRADE 500 150 CHOLANGIOPANCREATOGRAPHY)

14 FISTULOGRAPHY 200 100 15 FLUOROSCOPY 50 50 16 FLUOROSCOPY INTERVENTIONAL GUIDED 500 150 PROCEDURE

17 GASTROGRAPHIN MEAL 250 100 18 GASTROGRAPHINE SWALLOW 250 100 19 HEPATOGRAPHY 500 150 20 HYSTEROSALPHINGOGRAPHY (HSG) 450 135

21 INFERIOR VENOCAVOGRAPHY 1000 300 22 INTRAVENOUS PYELOGRAPHY (IVP) 450 135

23 MAMMOGRAPHY 250 100 24 MCU + RGU 250 100 25 MICTURATING CYSTOURETHROGRAPHY 100 100 (MCU)

26 MYELOGRAPHY CT/ MYELO CT 1000 300 27 NEPHROSTOGRAM 200 100 28 O.T.PROCEDURES (PER FILM) 25 25 29 PTC (PERCUTANEOUS TRANSHEPATIC 500 150 CHOLANGIOGRAPHY)

30 RGU (RETROGRADE URETHROGRAPHY) 100 100

31 S.P.V. (SPLENOPORTOVENOGRAPHY) 500 150

32 SHUNTOGRAM 500 150 33 SIALOGRAPHY 250 100 34 SINOGRAM 250 100 35 T.T.C. (T-TUBE CHOLANGIOGRAPHY) 250 100

36 TOMOGRAPHY 500 150 37 ULTRASONOGRAPHY 250 100 38 ULTRASOUND GUIDED PROCEDURES, 500 150 BIOPSY, FNAC, DRAINAGE ETC.

39 VASCULAR INTERVENTIONAL 2000 1000 PROCEDURES 40 VENOGRAPHY PERIPHERAL 450 135 41 ABDOMEN (PER FILM) 25 25 42 CHEST (PER FILM) 25 25 43 PNS (PER FILM) 25 25 44 SKELETON (PER FILM) 25 25 45 SKULL (PER FILM) 25 25 46 SPINE (PER FILM) 25 25 47 TOOTH – SINGLE 25 25

48 TOOTH PANORAX 250 100 49 COLOUR DOPPLER 500 200 50 SCANOGRAM 100 100 51 DIGITAL X-RAY 100 100 52 QCT BONE DENSITOMETRY-DEXA- CT 300 300 PROCEDURE 53 MRI (SINGLE REGION) 4500 2500 54 CT FOR STONE DENSITY 300 100 55 CT FOR SOFT TISSUE THICKNESS 300 100

56 DIGITAL RADIOGRAPHY,PER(SPOT OR 50 25 VIEW)

57 DEXA SCAN FOR BONE DENSITOMETRY 450 300

58 MR ELASTOGRAPHY 4500 2500 Transfusion Medicine 1 BLOOD GROUPING ABO and RhD 100 50

2 BLOOD GROUPING AND CROSSMATCHING 500 150 OF EACH UNIT OF PACKED RED BLOOD CELLS (PRBCS)

3 DIRECT COOMBS TEST 200 100 4 EXTENDED Rh TYPING 200 100 5 PHENOTYPING FOR MINOR BLOOD GROUP 300 100 ANTIGENS 6 ABO ANTIBODY TITER 200 50 7 Rh ANTIBODY TITER 200 50 8 INDIRECT COOMBS TEST 300 100 9 ANTIBODY SCREEN 300 100 10 ANTIBODY IDENTIFICATION 500 150 11 PLATELET CONCENTRATES 200 60 12 FRESH FROZEN PLASMA (FFP)/ CRYO 200 60

13 IRRADIATION OF BLOOD COMPONENTS 300 100

14 WASHED BLOOD COMPONENTS 300 100

15 PLATELETPHERESIS 500 150 16 TTI SCREENING & HEMOGRAM FOR 445 290 APHERESIS (HBSAG ANTI-HCV HIV RAPID /ELISA MALARIA(PBF) SYPHILIS(VDRL) HEMOGRAM)

17 THERAPEUTIC APHERESIS 500 150 18 FLOW CYTOMETRY (CD 34/STEM CELL 1200 1200 ENUMERATION)

Virology 1 ADENO VIRUS ANTIGEN DETECTION 1000 300

2 CMV IgM 150 100 3 RUBELLA IgM 150 100 4 HSV 1 IgM 225 150 5 HSV 2 IgM 225 150 6 VZV IgM 150 100 7 MEASLES IgM 225 150 8 DENGUE IgM 25 20 9 JEIgM 475 350 10 PARVOVIRUS B19 IgM 450 300 11 EBV VCA IgM 225 150 12 ROTA VIRUS ANTIGEN 300 200 13 HSV ANTIBODY IF 150 100 14 HSV 1 ANTIGEN 325 250 15 HSV 2 ANTIGEN 325 250 16 VZV ANTIGEN 325 250 17 RSV ANTIGEN 325 250 18 CMV PP 65 ANTIGEN 500 250 19 RABIES ANTIGEN TEST 75 50 20 HAV IgM 300 150 21 ANTI HCV 200 100 22 HbsAg 100 50 23 HEV IgM 300 150 24 HEV-RTPCR 2000 1000 43

25 HBV VIRAL LOAD 1500 1000 26 HCV VIRAL LOAD 1500 1000 27 HIV Viral Load 1500 1000 28 HCV GENOTYPING 4000 2000 29 HSV- DNA PCR 1200 600 30 CMV- DNA PCR 1200 600 31 JE-RT PCR 2000 1000 32 DENGUE-NS1 ANTIGEN. 25 20 33 CMV VIRAL LOAD 4000 2000 34 RUBELLA IgG 300 150 35 CMV IgG 300 150 36 MUMPS IgM 300 150 37 CHIKUNGUNYA IgM 25 20

User Charges for Procedures in AIIMS Raipur

S Name of Procedure Paying General Remark No. Ward Ward/OPD Anatomy 1 COMPLETE EMBALMING 2000 2000 2 PARTIAL EMBALMING 4000 4000 Cardio Thoracic Surgery 1 A.S.D. 7000 3500 2 ABDOMINAL/THORACIC AORTIC ANEURYSM 10000 5000

3 ANGIOPLASTY 7000 3500 4 ASCENDING AORTA REPLACEMENT 20000 10000 5 ATRIAL SEPTOSTOMY 8000 4000 6 B.T. SHUNT 9000 4500 7 C.A.B.G.- Hc 14000 7000 8 C.A.B.G. + DOUBLE VALVE REPLACEMENT 18000 9000

9 C.A.B.G. + IABP 40000 20000 10 C.A.B.G. + SINGLE VALVE REPLACEMENT 18000 9000

11 C.M.V. 4000 2000 12 COARACTATION OF AORTA 9000 4500 13 COIL EMBOLISATION 2000 1000 14 CONDUIT REPAIR 14000 7000 15 D.S.A. 1000 300 16 DOUBLE VALVE REPLACEMENT 12000 6000 17 EMBOLECTOMY 5000 2500 18 OESOPHAGECTOMY/COLON BYPASS 3500 1750 19 FONTAN PROCEDURE 18000 9000 20 I/C DRAINAGE 250 100 21 IMPLANT 2000 1000 22 LOBECTOMY/PHEUMONECTOMY/DECORTICATION,EXCISION 4000 2000 OF HYDATID OR MEDIASTINAL CYST

23 MITRAL BALLOON VALVOPLASTY 9000 4500 24 P.D.A. 4000 2000 25 PERICARDIECTOMY 4000 2000 26 PERIPHERAL ANGIOPLASTY 5000 2500 27 PERIPHERAL VASCULAR SURGERY 2000 1000 28 PULMONARY AORTIC VALVOPLASTY 2000 1000

29 REPLANT 250 100 30 SINGLE VALVE REPLACEMENT/MVR 9000 4500 31 T.O.F. 12000 6000 32 V.S.D. 9000 4500 Cardiology 1 BALLOON VALVOTOMY/ PTMC - HC 5000 2500 2 CARDIAC CATHETERISATION & ANGIOGRAPHY-HC 1000 500

3 CARDIAC CATHETERISATION - HC 1000 500 4 CARDIOVERSION 100 100 5 COARCTATION DILATATION - HC 2000 1000 6 DIRECTIONAL ATHRECTOMY 7000 3500 7 ELECTRO PHYSIOLOGICAL STUDY - HC 2000 1000

8 ENDOMYOCARDIAL BIOPSY - HC 2000 1000 9 HOLTER 200 100 10 I.A.B.P 3000 1500 11 INTRA CORONARY STENTING 7000 3500 12 INTRAVASCULAR COILS 2000 1000 13 TEMPORARY PACEMAKER IMPLANTATION 2000 1000

14 PLAIN BALLOON ANGIOPLASTY(PTCA) 2000 1000

15 RF ABLATION – HC 7500 3750 16 ROTABLATION 7000 3500 17 SEPTOSTOMY – HC 2000 1000 18 TESTING OF PACEMAKER (PERTEST) 100 100 19 CORONARY ANGIOGRAPHY - HC 500 500 20 CORONARY ANGIOPLASTY - HC 5000 2000 21 PERMANENT PACEMAKER IMPLANTATION (PLUS COST OF 4000 2000 PACEMAKER) DUAL CHAMBER-HC

22 PERMANENT PACEMAKER IMPLANTATION (PLUS COST OF 6000 3000 PACEMAKER)-BI-VENTICULAR-HC

23 AICD IMPLANTATION (PLUS COST OF AICD)-HC 4000 2000

24 INTRA AOREITC BALOON PUMP - HC 2000 1000 25 INTRA VASCULAR COIL CLOSURE - HC 2000 1000

26 DEVICE IMPLANTATION (ASD,VSD,PDA,IVC FILTER) - HC 2000 1000

27 APRTOC/PULM.VALVOTOMY – HC 2000 1000 28 IVC FILTER – HC 2000 1000

29 PERIPHERAL STENTING INCLUDING COACET 2000 1000

30 PERMANENT PACEMAKER IMPLANTATION (PLUS COST OF 2000 1000 PACEMAKER) -SINGLE CHAMBER - HC

31 CARDIAC CATHETERIZATION (WITHOUT ANGIOGRAPHY) 1000 300

Dental Surgery 1 ABSCESS INCISION 250 100 2 ACRYLIC FULL CROWN 100 100 3 ACTIVATOR 250 100 4 ALL EXTRACTIONS IN ONE JAW 250 100 5 ALVEOLECTOMY 250 100 6 APICAL CURETTAGE 250 100 7 CAST INLAY PER TOOTH(NON-PRECIOUS ALLOY) 100 100

8 COMPLETE DENTURE ACRYLIC - ONE JAW 500 150

9 COMPLETE DENTURE ACRYLIC - BOTH JAWS 1000 300

10 CONDYLECTOMY 1000 300 11 CYSECTOMY 250 100 12 DEFINITIVE OBTURATOR WITH TEETH 500 150

13 DENTAL RESTORATION CLASS-II TYPE WITH AG AMALGEN 100 100 COMPOSITE

14 EXPANSION PLATE (EXCLUDING SCREW TO BE BROUGHT BY 250 100 PATIENT

15 EXTRACTION PER TOOTH 25 25 16 FISTULA CLOSURE 250 100 17 FISTULECTOMY 250 100 18 FIXATION OF FRACTURE OF JAWS 1000 300 19 FIXED APPLIANCES BOTH JAWS 1000 300 20 FIXED APPLIANCES ONE JAW 500 150 21 FIXED PARTIAL DENTURE 3 UNITS IN GOLD ALLOY 500 150 (EXCLUDING GOLD) 22 FIXED PARTIAL DENTURE 3 UNITS WITH PROCELAIN 250 100

23 FIXED PARTIAL DENTURE 3 UTS.WITH PORCELAIN 2000 1000 VEENERING-NON PRECIOUS ALLOY

24 FIXED PARTIAL DENTURE PER ADDITIONAL TOOTH WITH 250 100 PROCELAIN VEENERING-SEMI PRECIOUS ALLOY

25 FIXED PARTIAL DENTURE-3 UNITS WITH ACRYLIC 1000 300 VENEERING 26 FIXED PARTIAL DENTURE PER ADDITION TOOTH IN GOLD 250 100 ALLOY 27 FIXED PARTIAL DENTURE PER ADDITION TOOTH WITH 250 100 VEENERING-SEMI PRECIOUS ALLOY

28 FIXED PARTIAL DENTURE PER ADDITIONAL UNIT WITH 500 150 ACRYLIC 29 FRACTURE JAW-OPEN REDUCTION 1000 300 30 FRACTURE JAWS-CLOSED REDUCTION 500 150

31 FRENECTOMTY 150 100 32 FULL METAL CROWN (NICKEL CHROME) 200 100

33 GINGIVECTOMY FULL MOUTH 1000 300 34 GINGIVECTOMY PER SEGMENT 250 100 35 GROWTH REMOVAL 250 100 36 HEAD GEAR(EXCLUDING STRAPS TO BE BROUGHT BY 250 100 PATIENT) 37 INCLINED PLANE/ REPAIR OF PLANE 100 100 38 MANDIBULECTOMY 2000 1000 39 NASAL/ AURICULAR/ ORBITAL PROSTHESIS 250 100

40 ORTHODONTIC APPLIANCE,BITE PLATES, RETRACTION 250 100 PLATE 41 ORHTODENTIC TREATMENT BANDING/BONDING PER 50 50 TOOTH EXCLUDING COST OF THE MATERIAL TO BE BROUGHT BY THE PATIENT

42 OSTEOTOMY 1000 300 43 PERICORONOTOMY 150 100 44 PERIPHERAL NEURECTOMY 500 150 45 PORCELAIN FULL CROWN 250 100 46 PORCELAIN TO METAL CROWN 500 150 47 PULPOTOMY 250 100 48 REMOVABLE CAST PARTIAL DENTURE(CHROMOCOBALT) 50 50 PER ADDITIONAL TOOTH

49 REMOVABLE ACRYLIC PARTIAL DENTURE PER ADDITIONAL 50 50 TOOTH

50 REMOVABLE ACRYLIC PARTIAL DENTURE WITH ONE TOOTH 100 100

51 REMOVABLE CAST PARTIAL DENTURE (CHROMECOBALT) 500 150 WITH ONE TOOTH

52 REMOVAL OF IMPACTION 250 100 53 REPAIRING/ RE ALIGNING DENTURE 100 100 54 RESECTION OF JAW 2000 1000 55 RESTORATIONS PER SURFACE 125 100 56 ROCHETT'S (MARYLAND) BRIDGE 3 UNITS 250 100

57 ROOT AMPUTATION 250 100 58 ROOT PLANNING 250 100 59 SCALING : CHRONIC GINGIVITIS 150 100 60 SCALING : CDP TREATMENT/ ROOT PLANNING 250 100

61 SEGMENTAL RESECTION OF JAW 1000 500 62 SEQUESTRECTOMY 250 100 63 SIALOLITHOTOMY 250 100 64 SILVER CAST SPLINT PER DENTAL ARCH 250 100

65 SINGLE JACKET CROWN/DOWEL CROWN IN NON PRECIOUS 250 100 ALLOY 66 SINGLE THREE QUARTER CROWN (NICKEL-CHROME) 250 100

67 SPACE MAINTAINER - SINGLE TOOTH 150 100

68 SPACE MAINTAINER - MULTIPLE TEETH 250 100

69 STUDY CASTS 50 50 70 SURGICAL OBTURATOR/ INTERMEDIATE OBTURATOR 100 100 (WITHOUT TEETH)

71 SURGICAL REMOVAL OF ROOT 250 100 72 TOTAL EXTRACTIONAL BOTH JAWS 1000 300 73 TUMOUR EXCISION 1000 300 74 VEENERING-NON PRECIOUS ALLOY 1000 300 75 DENTAL IMPLANT PER UNIT EXCLUDING MATERIAL 1100 550

Dermatology 1 MINI PUNCH GRAFTING FOR VITILIGO 150 100

2 DERMABRASION 100 100 3 MOLE EXCISION 50 50 4 FACE PEEL 100 100

5 SHAVE BIOPSY 50 50 6 PUVA (MONTH OF 12 SITTINGS) 100 100 7 PATCH TEST 50 50 8 SIDE LAB PROCEDURE 25 20 9 SKIN BIOPSY 100 100 10 FULGRATION / CAUTERI/ INTRALESION/ SCRAPING OF 30 30 WART,CORNS/ COMEDON EXTRACTION ETC.

11 ELECTROLYSIS 30 30 12 PHYSICAL TEST FOR URTICARIA 30 30 13 FULGARATION 30 30 14 CAUTERY 30 30 15 INTRALESIONAL INJECTION 30 30 16 PARING AND CUTERY OF WART 30 30 17 PARING AND CUTERY OF CORNS 30 30 18 COMEDONE EXTRACTION 30 30 19 DIODE LASER (HAIR REMOVAL)PER SITTING 1000 500

20 EXCIMER LASER (PSORIASIS AND VITILIGO)(PER TWO VISIT 500 500 PER WEEK)

Ent/ Othorhinolaryngology 1 ADENOIDECTOMY 500 200 2 ANTRAL BIOPSY 250 100 3 ANTRAL WASH 200 100 4 AURAL POLYPECTOMY 250 100 5 B.M.TEST FOR EUSTACHIAN TUBE FUNCTION 50 50

6 BIOPSY NECK 250 100 7 BLOCK DISSECTION OF NECK 5000 2500 8 BRONCHOSCOPY 500 250 9 BSER 300 150 10 C.W.L. (RT.) (MINOR) 1000 300 11 CALDWELL LUC'S OPERATION 500 200 12 CALORIC TEST 100 100 13 DIRECT LARYNGOSCOPY 500 150 14 ELECTROMYSTAGMOGRAPHY 250 100 15 ETHMOIDECTOMY 2000 1000 16 EXCISION OF TEMOPORAL BONE 5000 2500 17 FESS 2000 1000 18 FIBEROPTIC ENDOSCOPY 250 100

19 FOREIGN BODY EAR AND NOSE REMOVAL 250 100

20 FRONTAL SINUS OPERATION 2000 1000 21 IMPEDENCE AUDIOMETRY 200 100 22 INTRANASAL ANTROSTOMY 250 100 23 LARYNGECTOMY 5000 2500 24 LARYNGOFISSURE 2000 1000 25 LARYNGOPHAYRYNGECTOMY 5000 2500 26 LARYNGOSCOPY 500 150 27 LASER THERAPY 500 250 28 LATERAL PHARYNGOTOMY 2000 1000 29 LATERAL RHINOTOMY 2000 1000 30 MASTOIDECTOMY 2000 1000 31 MAXILLECTOMY 2000 1000 32 MEATOPLASTY 200 100 33 MICROLARYNGOSCOPY 500 200 34 MYRINGOPLASTY 1000 300 35 MYRINGOTOMY 250 100 36 NASAL CAUTERY 250 100 37 NASAL POLYPECTOMY 1000 300 38 OESPHAGOSCOPY 500 150 39 OLFACTOMETRY 50 50 40 PARTIAL GLOSSECTOMY 5000 2500 41 PINNAPLASTY/ATRESIOPLASTY 2000 1000 42 PLASTOPHARYNGOPLASTY FOR RHINOLALIS ABSENTA 5000 2500

43 PURE TONE AUDIOMETRY 150 100 44 R.N.D. 5000 2500 45 RHINOPLASTY(M.R.M.) 2000 1000 46 SEPTOPLASTY 500 150 47 SPECIALISED TESTS OF HEARING 200 100 48 STAPEDECTOMY 5000 2500 49 SUBMANDIBULAR GLAND EXCISION 1000 500 50 SUBMUCUS RESECTION OF SEPTUM 500 150 51 TONSILLECTOMY 500 150 52 TRACHEOSTOMY 300 150 53 TRANSPALATAL OPERATION 2000 1000 54 TURBINECTOMY 250 100 55 TYMPANOPLASTY 5000 2500 56 FUNCTIONAL ENDOSCOPY 250 100 57 TRACHEOSTOMY(REVISION) 300 150

58 BIOPSY.. 100 50 59 LOBULOPLASTY 200 100 60 CRYOSURGERY 200 100 61 SYRINGING 25 20 62 DILATATION 100 50 63 TONGUE TIE RELEASE 100 20 64 SPEECH AUDIOMETRY 150 50 65 HEARING AID FITTING 150 50 66 EVOKED RESPONSE AUDIOMETRY 300 150 67 BOA 150 50 68 SPEECH THERAPY PACKAGE FOR FOUR SESSION 200 100

69 AUDITO.VERBAL THER.FOR COCHLEAR IMPLANT 5000 5000

70 VNG(VIDEO NYSTAGMOGRAPHY) 200 200 71 OTA ACOUSTIC EMISSIONS (OAES) 100 100 72 ASSR 150 150 73 VEMP 150 150 74 REAR EAR MEASUREMENT 150 150 75 HEARING AID ANALYSIS 150 150 76 MULTI FREQUENCY TYMPANOMETRY 100 100

77 WESTERN APHRASIA BATTERY (WAB) 25 20

78 LANGUAGE TEST (3 DLAT REELS M-CHAT MTDDA) 25 20

79 ARTICULATION TESTS - HAT PAT 25 20 80 FDA 25 20 81 FLUENCY TESTS - SSI SPI 25 20 82 AERODYNAMIC MEASURERS 25 20 83 LPT 25 20 Gastroenterology 1 SCLEROTHERAPY WITHOUT ANAE. 300 100 2 SCLEROTHERAPY WITH GEN, ANAE. 600 180 3 INTESTINAL BIOPSY CAPSULAR 100 100 4 INTESTINAL BIOPSY ENTEROSCOPIC 300 100 5 PTBD 300 100 6 HYDROGEN BREATH TEST 50 50 7 ADENOSIBE DEA MINASE 50 50 8 ASCITIC FUILD AND SERUM ALBUMIN GRADIEN 50 50

9 PANCREATIC ELASTASE IN SERUM 250 100 10 PANCREATIC ELASTASE IN STOOL 250 100 52

11 SERUM GASTRIN 100 100 12 DILATATION OF ESOPHAGUS: WITH ANAESTHESIA 500 150

13 DILATATION OF ESOPHAGUS: WITHOUT ANAESTH 200 100

14 SIGMOIDOSCOPY 250 100 15 EXCISION RECTAL PLOYPS-WITHOUT ANAESTHESIA 200 100

16 EXCISION RECTAL PLOYPS-WITH ANAESTHESIA 500 150

17 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITHOUT 200 100 ANAESTHESIA

18 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITH GA 500 150

19 MANOMETRY 400 200 20 pHMETRY 400 200 21 SCREENING TEST FOR CELIAC DISEASE ANTI ENDO MYSIAL 600 180 HUC ANTIBODY TEST

22 CLOSTRIDIUM DIFFICILE ASSAY (C-DIFFICILE TOXIN ASSAY) 500 300

23 FAECAL LACTOFERRIN ASSAY 500 300 24 MYELOPEROXIDASE ACTIVITY 500 300 25 HS- CRP (C-Reactive Protein) 200 100 26 VIAGGLUTININS 200 100 27 CLOSTRIDIUM PERFRINGENS ELISA 500 250 28 ENDOTOXIN ASSAY 500 300 29 CAPSULE ENDOSCOPY 500 250 30 tTG 500 250 31 D-XYLOSE 50 50 32 ENDOSCOPIC RETROGRADE 500 150 CHOLANGIOPANCREATOGRAPHY (ERCP)

33 BARIUM TESTS 25 20 34 ULTRASOUND. 250 100 35 DOPPLER 25 20 36 ENDOSCOPY 250 100 37 COLONOSCOPY 250 100 General Surgery 1 CERVIAL RIB EXCISION 3000 1500 2 INTRA-ORAL SURGERY 1500 750 3 NECK LN DISSECTION FOR CANCER RIDICAL 5000 2500

4 PARATHYROIDECTOMY 6000 3000 53

5 PAROTIDECTOMY RADICAL/TOTAL 5000 2500 6 SUBMANDIBULAR GLAND EXCISION 1000 500 7 THYROGLOSSAL CYST,FISTUAL,BRANCHIAL CYST AND 1000 300 OTHER NECK SURGERY

8 THYROIDECTOMY TOTAL/NEAR TOTAL 5000 2500

9 TRACHEOSTOMY 300 150 10 ADRENALECTOMY (PHEOCHROMOCYTOMA / 5000 2500 CUSHINGS/CONNS ETC.)

11 AXILLARY CLEARANCE 1000 300 12 BREAST CONSERVATION SURGERY FOR CANCER 1500 750

13 BREAST RECONSTRUCTION AFTER MASTECTOMY 3500 1750

14 EXCISION OF BENIGN BREAST LUMP/ABSCESS 250 100

15 PANCREATIC ENDOCRINE TUMOURS 4000 2000 16 RADICAL MASTECTOMY 2500 1250 17 SIMPLE MASTECTOMY WITH AXILARY CLEARANCE 2000 1000

18 INTERCOSTAL DRAINAGE 250 100 19 THORACTOMY FOR GENERAL SURGERY PROCEDURE 2500 1250

20 OTHER MAJOR CHEST SURGERY AS ADDITIONAL 2500 1250 PROCEDURE IN GS 21 APPENDICETOMY 1000 300 22 BILE DUCT CARCINOMA SURGERY/ PERI AMPLLARY 5000 2500 CARCINOMA SURGERY (WHIPPLES OPERATION)

23 BYPASS PROCEDURES,OPERATIVE STENTING ECT FOR 2000 1000 MALIGNANT JAUNDICE

24 CHOLECYSTECTOMY + CBD EXPLORATION + DRAINAGE 3000 1500 PROCEDURE

25 CHOLECYSTECTOMY + CBD EXPLORATION 2500 1250

26 COLOSTOMY CLOSURE 1000 300 27 COLOSTOMY/ILEOSTOMY 1500 750 28 FEEDING JEJUNOSTOMY,GASTROSTOMY 500 150

29 FISSURE , FISTULAE , HAEMORRHOIDS 250 100

30 GALL BLADDER SURGERY 500 150

31 HERNIA REPAIR(INGUINAL,UMBILICAL,EPIGASTRIC) 1000 300

32 HERNIA REPAIR (MESH REPAIR) 1500 750 33 ILEOCAECAL RESECTION,COLOSTOMY PARTIAL 2000 1000

34 INGUINAL/AXILLARY BLOCK DISSECTION 2000 1000

35 INTESTINAL OBSTRUCTION, 1500 750 ADHESIOLYSIS,STRRCTEROPLASTY ETC.

36 LAPAROSCOPIC CHOLECYSTECTOMY 5000 2500 37 LAPAROSCOPIC HERNIA SURGERY 2500 1250 38 LAPAROSCOPY DIAGNOSIS 2000 1000 39 LAPAROTOMY FOR PERITONITIS AND TRAUMA 2000 1000

40 LIVER RESECTIONS FOR CANCER 4000 2000 41 LAPROTOMYH WITH MINOR BIOPSY PROCEDURE AFTER 1000 300 (STAGING LAPAROTOMY/ LIVER BIOPSY)

42 OPERATION FOR CANCER OF OESOPHAGUS 4000 2000

43 OPERATION FOR CANCER OF STOMACH/TOTAL 3000 1500

44 PANCRATECTOMIES AND PANCREATIC DRAINAGE 3000 1500 PROCEDURE AND NECROSECTOMY

45 PARTIAL AMPUTATION OF PENIS 1000 500 46 PEPTIC ULCER SURGERY 1500 750 47 RADICAL AMPUTATION OF PENIS AND LN DISSECTION 2000 1000

48 SMALL INTESTINE RESEC. FOR TB,TUMORS.,FISTULAE AND 2000 1000 PERFORATION ETC.

49 SPHINCTER SAVING PROCEDURES OF RECTUM 3000 1500

50 SURGERY FOR BILE DUCT STRICTURES 5000 2500

51 SURGERY FOR PORTAL HYPERTENTION 5000 2500

52 AORTIC SURGERY 10000 5000 53 CAROTID BODY TUMOUR 4000 2000 54 CAROTID SURGERY 4000 2000 55 EMBOLECTOMIES 2000 1000 56 LUMBAR SYMPATHECTOMIES 1500 750 57 PERIPHERAL VASCULAR GRAFTING AND RESECTION 2000 1000

58 PERIPHERAL VASCULAR TRAUMA REPAIR 2000 1000

59 VENOUS SURGERY INCLUDING VARICOSE VEINS 2000 1000

60 AMPUTATION (ANY LIMB) 2000 1000 61 AMPUTATION HAND/FOOT 1000 300 62 DIABETIC FOOT DERBRIDEMENT 500 150 63 OTHER RETROPERITONEAL DRAINAGE OF ABSCES 1500 750

64 RETROPERITONEAL TUMOUR EXCISION 3500 1750

65 ABSCESS DRAINAGE UNDER G.A. 250 100 66 ASPIRATION OF COLD ABSCESS/CYSTS 250 100

67 BIOPSY(PUNCH/EXCISION/ CERVICAL CONE/ ENOMERIAL/ 250 100 BONE TUMOUR/ TESTICULAR EYE ETC)

68 CIRCUMCISION 250 100 69 EXCISION OF SMALL TUMOUR 250 100 70 INCISION AND DRAINAGE UNDER L.A. 100 100

71 INJECTION OF KELOIDS 250 100 72 LACERATION SUTURE,ABSCESS DRAINAGE UN-LA 100 100

73 EXAMINATION UNDER G.A. 250 100 74 NECK LN DISSECTION FOR CANCER - SUPRAHYOID 3000 1500

75 PAROTIDECTOMY- SUPERFICIAL 3000 1500 76 THYROIDECTOMY- HEMI/SUB-TOTAL 3000 1500

77 THYROIDECTOMY- ENUCLEATIONJ OF NODULE 1000 300

78 AMOEBIC LIVER ABSCESS, HYDATID.LIVER, 2000 1000 RESECTIONAL,DEBRIDEMENT FOR TRAUMA ETC.

79 CHOLECYSTECOMY- STANDARD 2000 1000 80 CHOLECYSTECOMY- MINI LAP 2500 1250 81 COLOSTOMY CLOSURE WITH RESTORATION GUT 1500 750

82 INCISIONAL HERNIA- ANATOMICAL 2000 1000 83 INCISIONAL HERNIA- WITH MESH(PAT'S MESH 2500 1250

84 TOTAL COLECTOMY ABDOMINO-PERI RESECTION 4000 2000

85 OPERATION OF CANCER OF STOMACH-SUB TOTAL/ 2000 1000 ANTRECTOMY

86 TOTAL AMPUTATION OF PENIS 2000 1000 87 INCISION AND DRAINAGE- GEN. ANAESTHESIA 250 100

88 COLONOSCOPY. 250 100 89 DIAGNOSTIC LAPAROSCOPY. 1000 500 90 ENDOSCOPY. 250 100 91 ENTROSCOPY. 250 100 92 UPPER GI ENDOSCOPY (UGIE). 250 100 93 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITHOUT 200 100 ANAESTHESIA.

94 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITH 500 150 ANAESTHESIA.

95 ENDOSONOGRAPHY (EUS). 250 100 96 SIGMIODOSCOPY. 250 100 97 DILATATION OF ESOPHAGUS WITH ANAESTHESIA. 500 150

98 DILATATION OF ESOPHAGUS WITHOUT ANAESTHESIA. 200 100

99 ENDOSCOPIC RETROGRADE CHOLANGIO 500 150 PANCREATOGRAPHY (ERCP).

Nephrology 1 CAVH/ CAVHD/ CVVH/ CVVHD (FOR EACH SESSION UP TO 24 1000 300 HRS.) 2 HEMODIALYSIS ON HOLLOW FIBER DIALSYER 400 120

3 INTERMITTENT PERITONEAL DIALYSIS 230 100

4 PLASMA PHERESIS 500 150 5 CAPD CATHETER INSERTION SURGERY 500 150

6 CAPD INTIATION TRAINING 500 150 7 RENAL BIOPSY 500 150 Neurosurgery 1 BONE FLAP REMOVAL 1000 300 2 CERVICAL/DISC SURGERY 6500 3250 3 CRANIAL MEMINGOCELES 8000 4000 4 CRANIECTOMY FOR EPILEPSY 8000 4000 5 CRANIOPLASTY AND DURAPLASTY 5000 2500 6 CRANIOTOMY-BRAIN BIOPSY 1725 860

7 CRANIOTOMY FOR ANEURYSM AND ARTERIOVENOUS 8000 4000 MALFORMATION 8 CRANIOTOMY FOR TUMOURS(OTHR THN SKULL BASE) 8000 4000

9 CRANIOTOMY OR CRANITERECTOMY FOR HEAD INJURIES 5000 2500

10 CRANIOTOMY-SKULL BASE SURGERY 8000 4000 11 CRANIOTOMY-TRANSPHENOIDAL SURGERY 5000 2500

12 EXPLORATARY BURRHOLES 2000 1000 13 I.C.P. MONITORING 1000 500 14 INTRAMEDULLARY TUMOUR SURGERY 5000 2500

15 LAMINECTOMY 5000 2500 16 LUMBER PUNCTURE/VENTRICULAR TAP 250 100

17 NERVE BLOCK FOR PAIN 500 150 18 ORBITAL EXPLORATIONS 5000 2500 19 PERIPHERAL NERVE SURGERY 5000 2500 20 POSTERIOR FOSSA SURGERY 8000 4000 21 R.F. LESION MAKING 500 150 22 SPINAL BLOCK FOR PAIN WITH ANAESTHESIA 500 150

23 SPINAL FUSION 5000 2500 24 SPINAL MENINGOCELES 2000 1000 25 STEREOTACTIC SURGERY 5000 2500 26 SUBCUTANEOUS BIOPSIES 250 100 27 SURGERY OF ALL INTRACRANIAL AND CAROTID BLOOD 8000 4000 VASSELS 28 TRANS-ORAL SURGERY 8000 4000 29 TRANSCRANIAL DOPPLER 1000 300 30 TRANSNASAL SURGERY FOR SKULL BASE 5000 2500

31 TWIST DRILL ASPIRATIONS 250 100 32 V.P. SHUNT/REVISION SHUNT 2000 1000 33 VENTRICULOGRAM/CSF PRESSURE MONITORING 1000 300

34 CLOSRE OF SPINAL NEURAL.TUBE DEFECT FOR Eg 2000 1000 MENINGOCELE, MENINGOMYELOCELE, SPINAL DYRAPHISM

35 EXCISION OF SACROCOCOYGEAL TERATOMA 2000 1000

36 CRANCTOMY-CRANIOTOMY FOR CP ANGLE TUMOUR 8000 4000

37 GAMMA KNIFE THERAPY 100000 75000 Nuclear Medicine 1 FDG SALE (10 mCi calibrated for destination) 6000 6000

2 FDG SALE (50 mCi calibrated for destination) 25000 25000

3 RN THERAPY (IODINE-131) FOR THYROID CANCER (UPTO 50 2000 2000 mCi) 4 RN THERAPY (IODINE-131) FOR THYROID CANCER (51-100 5000 5000 mCi) 5 RN THERAPY (IODINE-131) FOR THYROID CANCER (100-150 8000 8000 mCi) 6 RN THERAPY (1ODINE-131 MIBG) UPTO 100 mCi 25000 25000

7 RN THERAPY (IODINE-131 MIBG) UPTO 200 mCi 37500 37500

8 RN THERAPY (IODINE-131) FOR THYROID CANCER (MORE 10000 10000 THAN 150 mCi)

9 RN THERAPY FOR MAT. BONE PAIN PALLIATION 4000 2000

10 PET SCAN - SINGLE REGION 6000 3000 11 PET SCAN - FOLLOW UP 8000 4000 12 INFECTION IMAGING WITH LEUKOCYTES 2000 1000

13 RN THERAPY (SIRT/TARE) FOR LIVER CANCER (SELECTIVE 10000 5000 INTRA-ARTERIAL RADIONUCLIDE THERAPY(SIRT))

14 RN THERAPY (LU-177 DOTATATE) FOR NEUROENDOCRINE 50000 20000 TUMORS 15 RN THERAPY- RADIOSYNOVECTOMY 8000 4000 16 PET SCAN- CARDIAC METABOLISM 6000 3000 17 PET GUIDED BIOPSY 2000 1000 18 RN THERAPY (LU-177 PSMA) FOR PROSTATE CANCER 40000 20000

19 RN SKIN PATCH THERAPY 2000 1000 20 DACRYOSCINTIGRAPHY 400 200 21 GFR (IN-VITRO) 600 300 Obstetrics & Gynaecology 1 ABD. PERINEAL RECONSTRUCTION CX+UTERUS+VAGINA 5000 2500

2 CAESAERIAN HYSYTERECTOMY 2000 1000 3 CERVICAL BIOPSY 250 100 4 COLOPOTOMY 500 150 5 COLPOELEISIS/COLPORRHOPHY 1000 300

6 CONE BIOPSY CERVIX 1000 300 7 CRYOSURGERY 200 100 8 D & C 500 150 9 DELIVERIES NORMAL 1000 500 10 DILATATION OF CERVIX 250 100 11 ELECTRO CAUTERIZATION 250 100 12 ENDOMETRIAL BIOPSY 250 100 13 EVACUATION 500 150 14 FRACTIONAL CURETTAGE 500 150 15 HYDROTUBATOION 250 100 16 HYMENECTOMY 250 100 17 HYSTERECTOMY(ABDOMINAL) 2000 1000 18 HYSTERECTOMY(WERTHEIMS) 5000 2500 19 MANUAL REMOVAL OF PLACENTA 1000 300 20 OVARION CYSTECTOMY 1000 500 21 OVARITOMY 1000 300 22 PELVIC EXENTERATION 5000 2500 23 PLASTIC OPERATION ON UTERUS 2000 1000 24 RADICAL VULVECTOMY 2000 1000 25 REPAIR OF PERINEAL TEAR 500 150 26 SALPINGECTOMY 1000 300 27 SALPINGOSTOMY 1000 300 28 SCHAUHA'S OPERATION 5000 2500 29 TUBAL INSUFFLATION 250 100 30 TUBOPLASTY 2000 1000 31 VAGINAL HYSTERECTOMY 2000 1000 32 VAGINOPLASTY 500 150 33 WEDGE RESECTION OF OVARY 1000 300 34 WERTHEIM'S HYSTERECTOMY 5000 2500 35 MANCHESTER OPERATION 2000 1000 36 VAULT REPAIR(VAGINAL) 1000 300 37 ABDOMINAL SLING 1000 300 38 MYOMECTOMY 1000 300 39 EXPLORATORYLAPAROTOMY 1000 300 40 RECTOVAGINAL FISTULA 2000 1000 41 VESICOVAGINAL FISTULA 2000 1000 42 SIMPLE VULVECTOMY 1000 300 43 B/L INTERNAL ILIAC LIGATION 1000 300 44 ABDOMINOPERINEAL REPAIR 1000 300 45 DIAGNOSTIC LAPAROSCOPY 1000 500

46 LAPAROSCOPIC REMOVAL OF IUCD 500 150 47 DIAGNOSTIC HYSTEROSCOPY 250 100 48 HYSTEROSCOPIC REMOVAL OF STENT 500 150

49 HYSTEROSCOPIC REMOVAL OF IUCD 500 150 50 HYSTEROSCOPIC ADHESIOLYSIS 1000 500 51 FORCEPS/VACUUM EXTRACTION DELIVERY 1500 750

52 CESAREAN SECTION 2000 1000 53 HYSTEROTOMY 2000 1000 54 M.T.P - FIRST TRIMESTER 500 150 55 M.T.P - SECOND TRIMESTER 1000 300 56 DESTRUCTIVE OPER.- WITHOUT ANAESTH.ESIA 500 150

57 DESTRUCTIVE OPER.- WITH ANAESTHESIA 1000 300

58 OPERATION FOR STRESS INCONTINENCE 1500 750

59 VULVAL BIOPSY 250 100 60 VAGINAL BIOPSY 250 100 61 DRAINAGE OF VULVAL HEMATOMA 500 150 62 BARTHOLIN ABSCESS- DRAINAGE 500 150 63 BARTHOLIN ABSCESS- ENUCLEATION 500 150

64 BARTHOLIN ABSCESS- MARSUPALISATION 500 150

65 POLYPECTOMY 500 150 66 DILATATION & CURRETTAGE 500 150 67 HYSTEROSALPINGOGRAPHY 250 100 68 MANUAL REMOVAL OF PLACENTA 500 150 69 EUA 250 100 70 CERVICAL OCCLUSION FOR INCOMPETENCE 500 150

71 SINUS EXCISION 250 100 72 IVF-IN VITRO FERTILIZAT-HOSPITAL CHARGES 2500 2500

73 ADHESIOLYSIS/TUBOPLASTY 1000 500 74 LAVH 1000 500 75 HYSEROSCOPIC SEPTUM EXCISION 1000 500 76 TUBAL CANNULATION 1000 500 77 AMNIOCENTESIS 500 250 78 CVS 500 250 79 CORDOCENTESIS 500 250 80 FETAL REDUCTION 500 250 61

81 PRENATAL SCREENING- 1ST TRIMESTER (DUAL SCREENING) 1000 500

82 PRENATAL SCREENING- 2ND TRIMESTER (TRIPLE 1500 750 SCREENING) 83 COLPOSCOPY 300 150 84 SEMEN ANALYSIS 100 50 85 Semen Culture 100 50 86 INTRAUTERINE INSEMINATION (IUI) 300 150 87 INTRAUTER INE TRANSFUSION (IUT) 1000 500

88 HYSTEROSCOPY & LAPAROSCOPY (HYSTEROLAP) 1000 500

89 LEEP 300 150 90 LAPAROSCOPIC OVARIAN DRILLING 1000 500 91 IVF - ET – HC 3000 3000 92 IVF - ICSI -ET - HC 3000 3000 93 CRYOFREEZING & THAWING OF OOCYTES/ EMBRYOS - HC 3000 3000

94 EXAMINATION UNDER G.A 250 100 Ophthalmology 1 ABSCESS INCISION AND DRAINAGE (LID LACRIMAL) 250 100

2 APPLICATION OF CORNEAL GLUE 575 170 3 AUTO PERIMETRY 50 50 4 AUTOREFRACTION OR REFRACTION UNDER TROPLICAMIDE 10 10

5 BJERRUM'S SCREEN 50 50 6 BOAT/FUNGAL CULTURE SENSITIVITY 50 50

7 BUCKLE REMOVAL 1000 300 8 C-DCR (CONJUCTIVE DACRYO CYST RHONOSTOMY 5000 2500

9 CANALICULOPLASTY 2000 1000 10 CANTHOTOMY/CANTHOLYSIS 250 100 11 CAPSULOISIDECTOMY 2000 1000 12 CATARACT EXTRACTION (IOL LENS) 2000 1000 13 CATARACT EXTRACTION (ECC-ICC) 2000 1000 14 CHALAZION (INCISION AND CURETTAGE) 250 100

15 COMBINED PK WITH GLAUCOMA SURGERY OR VITRECTOMY 5000 2500 OR LENS 16 CONJECTIVOPLASTY 2000 1000 17 CONTACT LENS TRIAL 45 45 18 CORNEAL F.B. REMOVAL 250 100

19 CRYOTHERAPY (CONJUCTIVAL/CORNEAL) 1000 300

20 CRYOTHERAPY RETINAL 2000 1000 21 CURETTE EVACUATION 1000 300 22 CYELOCRYO-THERAPY 1000 300 23 CYLODIATHERMY 2000 1000 24 DACRYOCYSTECTOMY (DCY) 2000 1000 25 DACRYOCYSTORHINCSTOMY (DSR) 2000 1000 26 DARK ADAPTOMATRY 50 50 27 DCR WITH FISTULECTOMY 2000 1000 28 DERMOID EXCESSION WITH IK 2000 1000 29 DERMOID EXCISION (LIMITAL-SCLERAL) 2000 1000

30 DIURNAL VARNATION/WATER DRINKING TEST 50 50

31 ECTROPION CORRECTION 2000 1000 32 ELECTROLYSIS 250 100 33 ENTROPION CORRECTION (EACH LID) 1000 300

34 ENUCLEATION 2000 1000 35 ENUCLEATION WITH ORBITRAL IMPLANT 2000 1000

36 EPICANTHOUS 2000 1000 37 EVISCERATION 1000 300 38 EXAMINATION UNDER ANAESTHESIA 230 100

39 EXENTERATION 2000 1000 40 EXENTERATION WITH SKIN GRAFTING 5000 2500

41 EXPRESSION OF FOLLICIES 250 100 42 FLUORESCEIN ANGIOGRAPHY 115 100 43 HESS CHARTING 25 25 44 INTRACULAR FOREIGN BODY REMOVAL KERATOPLASTY 5000 2500

45 IRIDECTOMY 2000 1000 46 IRIDODIALYSIS REPAIR 2000 1000 47 IRIS CYST REMOVAL 2000 1000 48 KDH/GRAM SMEAR PUS FOR CULTURE 25 25

49 KERATO-REFRACTIVE SURGERY 5000 2500 50 KERATOPROSTHESIS STAGE -I 2000 1000 51 KERATOPROSTHESIS STAGE -II 2000 1000 52 LAMELLER KERATROPLASTY 2000 1000 53 LATERAL ORBIOTOMY 5000 2500 63

54 LID RETRACTION 2000 1000 55 LIMBAL RING X-RAY 250 100 56 ORTHOPTIC EXERCISE ON SYNAPTOPHORE 115 100

57 ORTHOPTICS 20 20 58 PARACENTASIS 250 100 59 PARITOMY/PERITECTOMY 250 100 60 PARS PLANA LENSECTOMY/SKIN GRAFTING 2000 1000

61 PENETRATING KEROTOPLASTY 5000 2500 62 PERIMETRY 25 25 63 PHOTOCOAGULATION (XEBIB/ARC) PER SITTING 1000 300

64 PHOTOKERATOSCOPY 50 50 65 PK WITH LENS EXTRACTION AND IOL IMPLANT (TRIPLE 5000 2500 PROCEDURE) 66 PROLAPSED IRIS REPAIR 2000 1000 67 PROPHYLACTIC CRYOPEXY 2000 1000 68 PTORYGIUM 250 100 69 PTOSIS CORRECTION 2000 1000 70 RADIAL KERATOTOMY (BOTH EYES) 2000 1000 71 RECURRENT PTERYGIUM IK/MEMHANE GRAFT 5000 2500

72 REFRACTION DRY/HA 10 10 73 REMOVAL OF INTRAOCULAR FOREIGN BODY 1750 875

74 REMOVAL OF ORBITAL IMPLANT 250 100 75 REPAIR OF CORNEAL WOUND 2000 1000 76 REPAIR OF PERFORATING EYE INJURY 1750 875

77 REPAIR OF SCLERAL RUPTURE 2000 1000 78 RESUTURING OF CORNEAL WOUND 250 100 79 RETINAL DETACHMENT SURGERY 2000 1000 80 SCLERAL GRAFT/SLINGOPERATION 2000 1000 81 SCLERECTOMY 2000 1000 82 SECONDARY IDL IMPLANTATION 2000 1000 83 SOCKET REPAIR 1000 300 84 SQUINT SURGERY 2000 1000 85 SUTURING OF LID WOUND 250 100 86 SYRINGING AND PROBING 250 100 87 TARSORRHAPHY 250 100 88 TATOOING 1000 300 89 TELECANTHUS 2000 1000

90 THERMOKERATOPLASTY 2000 1000 91 TRABECULECTOMY 2000 1000 92 TRABECULOTOMY WITH TRABECULECTOMY 2000 1000

93 TREPHINATION 2000 1000 94 ULTRASONOGRAPHY B SCAN 250 100 95 VITRECTOMY (PARAS PLANA) 5000 2500 96 WART EXCISION 250 100 97 PLASTIC LID REPAIR 2000 1000 98 LASIK SURGERY BOTH EYES-HOSPITAL CHARGES 2000 2000

99 LASIK SURGERY SINGLE EYE-HOSPITAL CHARGE 1000 1000

100 FEMTO ASSISTED LASIK SURGERY(BOTH EYE) - 5000 5000 HOSPITALCHARGES

101 FEMTO ASSISTED LASIK SURGERY(SINGLE EYE) 2500 2500

102 FEMTO ASSISTED KERATOPLASTY(RECIPIENT & DONOR 5000 5000 EYE)

103 FEMTO ASSISSTED INTRA CORNEAL RINGS BOTH EYE 2000 2000

104 FEMTO ASSISISTED INTRA CORNEAL RINGS SINGLE EYE 1000 1000

105 IVIA (AVASTIN) INJECTION INCLUDING TWO PAIRS OF 100 100 GLOVES AND EYE DRAPE SHEET-HOSPITAL CHARGES

106 RETINA LAB PACAKGE (RLP) (REFRACTION BIOMETRY 250 250 PERIMETRY OCT FFA ULTRASOUND(FOR 6 MONTHS))

107 LENS & CORNEA LAB PACKAGE (LCLP) (REFRACTION 100 100 CONFOCAL MICROSCOPY PERIMETRY PENTACEM ORA TOPOGRAPHY BIOMETRY(FOR 6 MONTHS))

108 HLA B27 BY FLOW CYTOMETRY 1500 750 109 LUCENTIS INJECTION(PACKAGE FOR RETINA DESEASE WITH 500 500 4 PAIRS OF GLOVES EYE BUDS AND SYRINGES)- HC

110 OZURDEX INJECTION PACKAGE -HC 500 500 111 MULTIPLEX OCULAR VIRAL PCR 1200 600 112 OCULAR FUNGAL SMEAR/KOH EXAMINATION 50 25

113 CD3/CD4/CD8 900 450

114 IL-10 AND IL-6 QUNATICYTOKINE 1200 600 115 OCULAR DEMODEX EXAMINATION 60 30 116 OCULAR ADENO VIRUS PCR 1200 600 117 OCULAR TUBERCULOSIS PCR (MULTIPLEX-NESTED) 800 400

118 OCULAR TOXOPLASMA PCR 1200 600 119 REAL TIME M.TB PCR FROM OCULAR FLUIDS 1200 600

120 OCULAR FUNGAL PCR 600 300 121 PCR FOR PAN BACTERIAL FROM OCULAR FLUIDS 600 300

122 GENEXPERT CEPHHEID FROM OCULAR FLUIDS 3000 1500

123 Mtb/NTM OCULAR DIAGNOSTIC TEST 1200 600

124 ADENO VIRUS IMMUNO FLUORESCENCE 600 300

125 FEMTO SECOND CATARACT SURGERY (FSCP-1) FOR SINGLE 1000 1000 EYE - HC

126 MOLECULAR GENETIC MUTATION RT PCR/ SEQUENCING 4000 2000

127 LINE PROBE ASSAY FROM OCULAR FLUIDS 25 20

128 RIF ANTIBIOTIC RESISTANCE OCULAR FLUIDS 25 20

129 INTERFERON-GAMMA RELEASE ASSAYS (IGRA) 2000 1000

130 AUTOLOGOUS SERUM 100 50 131 AMNIOTIC MEMBRANE 400 200 Orthopaedics (Amputations) 1 AMPUTATIONS THROUGH ARM/FOREARM 2000 1000

2 AMPUTATIONS THROUGH HAND/FOOT 1000 300

3 AMPUTATIONS THROUGH THIGH/LEG 2000 1000

4 DISRTICUL.THROUGH MAJOR JOINTS OF LIMB 2000 1000

5 DISARTICULATION THRU SMALL JOINTS OF HAND/ FEET 500 150

6 EXCISION OF SUPERNUMERY DIGIT 500 150 7 FORE QUARTER AMPUTATION 5000 2500 8 HIND QUARTER AMPUTATION 5000 2500 9 ARTHRODESIS OF LARGE JOINTS (HIP,KNEE,SHOULDER, 2000 1000 ANKLE, WRIST)

10 ARTHRODESIS OF SMALL JOINTS OF HAND/FOOT 1000 300

11 DIAGNOSTIC ARTHR.OF SMALL/LARGE JOINT UNDER L.A. 500 150

12 DIAGNOSTIC ARTHR.OF SMALL/LARGE JOINT UNDER G.A. 1000 300

13 LAVAGE 1000 300 14 LIGAMENT RECONSTRUCTION 2000 1000 15 MENISECTOMY (PARTIAL/TOTAL) 2000 1000 16 REMOVAL OF LOOSE BODY 2000 1000 17 SYNOVIAL BIOPSY 2000 1000 18 C.T. GUIDED BIOPSY 1000 300 19 EXCISIONAL BIOPSY 1000 300 20 NEEDLE BIOPSY 500 150 21 OPEN BIOPSY 500 150 22 COMPOSITE GRAFTING 2000 1000 23 FIBULAR/TIBIAL GRAFTING 1000 300 24 ILIAC CREST GRAFTING 1000 300 25 THEMESTOR GRAFTING 2000 1000 26 RIB GRAFTING 1000 300 27 DEBRIDEMENT & REPAIR 250 100 28 FASCIECTOMY 250 100 29 SLOUGHECTOMY 250 100 30 EXCISION OF ACCESSORY BONE (NAVICULAR) 1000 300

31 FIBULECTOMY 1000 300 32 PATELLECTOMY (PARTIAL/TOTAL) 1000 300 33 PROXIMAL ROW CARPECTOMY 1000 300 34 TALECTOMY 1000 300 35 EXCISIONAL ARTHROPLASTY OF ELBOW 2000 1000

36 EXCISIONAL ARTHROPLASTY OF HIP 2000 1000 37 EXCISIONAL ARTHROPLASTY OF SMALL JOINTS OF 2000 1000 HAND/FOOT 38 EXCISIONAL ARTHROPLASTY OF TM JOINT 2000 1000

39 EXTERNAL FIXATION WITH SOFT TISSUE RECONSTRUCTION 5000 2500 PROCEDURE

40 MINI FIXATOR 2000 1000 41 PIN AND PLASTER APPLICATION 2000 1000 42 RING FIXATOR 2000 1000 43 TABULAR EXTERNAL FIXATOR 2000 1000 44 INTERLOCKING NAILING 1000 300 67

45 K.WIRE FIXATION 500 150 46 MEYER'S PROCEDURE 5000 2500 47 NAILING 2000 1000 48 NECK RECONSTRUCTION 5000 2500 49 PLATING 2000 1000 50 SCREW FIXATION 500 150 51 CONDYLAR BLADE PLATES 5000 2500 52 DYNAMIC COMPRESSION SCREW 5000 2500 53 DYNAMIC HIP SCREW 5000 2500 54 SD.P.NAIL PLATE 5000 2500 55 TENSION BAND WIRING 1000 300 56 PARTIAL (HEMI) HIP REPLACEMENT 5000 2500 57 REPLACEMENT OF SMALL JOINTS OF HAND OR FOOT 5000 2500

58 TOTAL HIP REPLACEMENT 8000 4000 59 TOTAL KNEE REPLACEMENT 8000 4000 60 TOTAL SHOULDER/ELBOW REPLACEMENT 5000 2500

61 FEMORAL LENGTHENING 5000 2500 62 HUMERAL LENGTHENING 5000 2500 63 METACARPAL/PHALANGEAL LENGTHENING 5000 2500

64 TIBIAL LENGTHENING 5000 2500 65 CLOSED REDUCTION OF FRACTURES/DISLOCATIONS UNDER 1000 300 GA

66 CLOSED REDUCTION OF FRACTURE & /DISLOCATION UNDER 250 100 LA 67 CORRECTION OF DEFORMITIES 1000 300 68 MANIPULATION UNDER G.A. 1000 300 69 STEINDLER'S FLEXOROPLASTY 1000 300 70 EGGER'S PROCEDURE 1000 300 71 OPONENPLASTY 1000 300 72 NERVE REPAIR/GRAFTING 5000 2500 73 TRAPEZIUS TRANSFER 2000 1000 74 OPEN REDUCTION OF C.D.H. (CONGENITAL DISLOCATION. 1000 300 HIP) 75 OPEN REDUCTION OF C.D.H. WITH OSTEOTOMY 2000 1000

76 OPEN REDUCTION OF DISLOCATION 1000 300 77 SEQUESTRECTOMY 500 150 78 SAUCERIZATION 500 150 79 SINUS TRACT EXCISION 50 50

80 BODY JACKET (PVC) 500 150 81 CAST BRACE 500 150 82 FLOOR REACTION ORTHOSIS (FRO) 1000 300 83 HAND SPLINTS 250 100 84 CORRECTIVE OSTEOTOMY OF LONG BONES 2000 1000

85 CORRECTIVE OSTEOTOMY OF SMALL BONES 2000 1000

86 FRENCH OSTEOTOMY 2000 1000 87 HIGH TIBIAL OSTEOTOMY 2000 1000 88 MC MURRAY'S OSTEOTOMY 2000 1000 89 OSTEOTOMY OF THE PELVIS (SALTER'S 2000 1000 CHEFTYRYPAMBERTION) 90 REPLANTATION 8000 4000 91 VALGUS/VARUS OSTEOTOMY 2000 1000 92 HALO TRACTION/DISTRACTION 2000 1000 93 SKULL TRACTION 500 150 94 TRACTION THROUGH TIBIA, FEMUR, OLECRANON, 250 100 CALCANEUM 95 ABDOMINAL FLAP 2000 1000 96 CROSS FINGER FLAP 2000 1000 97 CROSS LEG FLAP 2000 1000 98 FREE FLAP 5000 2500 99 FULL THICKNESS SKIN GRAFTING 500 250 100 GROIN FLAP 2000 1000 101 MYOCUTANEOUS FLAP 2000 1000 102 MYOPLASTY WITH/WITHOUT SKIN GRAFTING 2000 1000

103 REDICLED FLAP 2000 1000 104 ROTATION FLAP 2000 1000 105 SPLIT THICKNESS SKIN GRAFTING 500 150 106 ANTERIOR TRANSPOSITION OF ULNAR NERVE 2000 1000

107 BANKART'S OPERATION 2000 1000 108 BRISTWO'S OPERATION 2000 1000 109 JOINT DEBRIDEMENT 2000 1000 110 LIGAMENT RECONSTRUCTION OF THE KNEE,ANKLE 2000 1000

111 MC BRIDGE PROCEDURE 2000 1000 112 NEUROLYSIS 2000 1000 113 PUTTI PLAT OPERATION 2000 1000

114 RECONS.SURGERY OF THE HAND (FOR POST TRAUMATIC & 2000 1000 CONGENITAL ANOMALIES/ DEFORMITIES)

115 SYNOVECTOMY 2000 1000 116 CARPAL TUNNEL RELEASE 1000 300 117 DEFAITING OPERATION 1000 300 118 DEQUERVAM'S RELEASE 1000 300 119 DUPUYTRON'S SOFT TISSUE RELEASE 1000 300

120 MAX PAGE RELEASE 1000 300 121 POSTERO MEDIAL SOFT TISSUE RELEASE 1000 300

122 SOUTTER'S AND YOUNTS SOFT TISSUE RELEASE 1000 300

123 STEINDLER'S RELEASE 1000 300 124 SUBCUTANEOUS TENOTOMY 1000 300 125 SYNDACTYLY RELEASE 1000 300 126 T.A. LENGTHENING 1000 300 127 TENOTOMY-OPEN 1000 300 128 TORTICOLLIS RELEASE 1000 300 129 TRIGGER FINGER/THUMB RELEASE 1000 300 130 WILSON'S SOFT TISSUE RELEASE 1000 300 131 Z-PLASTY FOR CONTRACTURES 1000 300 132 ANTERIORELETERAL DECOMPRESSION 5000 2500

133 ANTERIOR LOOSENING 8000 4000 134 ANTERIOR LOOSENING WITH INSTRUMENTATION 8000 4000

135 ANTERIOR SPINAL FUSION 5000 2500 136 DISCETOMY 5000 2500 137 EXCISION OF DIASTEMATOMYELIA 9000 4500 138 LAMINECTOMY 5000 2500 139 POSTEROLATERAL SPINAL FUSION 5000 2500 140 POSTERIOR SPINAL FUSION WITH INSTRUMENTATION 5000 2500

141 POSTEROLATERAL SPINAL FUSION WITH 5000 2500 INSTRUMENTATATION 142 SPINAL FUSION (POSTERIOR) 5000 2500 143 SPINAL INSTRUMENTATION (WITHOUT FUSION) 5000 2500

144 TRANSTHORACIC DECOMPRESSION 8000 4000 145 TENDON REPAIR/GRAFTING 2000 1000 146 CURETTAGE 5000 2500

147 CURETTAGE WITH BONE GRAFTING 1000 300 148 CURETTAGE WITH BONE CEMENT 1000 300 149 DEBULKING OF THE TUMOUR 2000 1000 150 EXCISION OF THE TUMOURS OF THE HAND OR FOOT 1000 300

151 RADICAL RESECTION OF THE LARGE TUMOUR 2000 1000

152 RESECTION ARTHRODESIS (WITH INTERNAL OR EXTERNAL 5000 2500 FIXATION) Paediatric Surgery 1 ABDOMINOPERINEAL PULL THROUGH 5000 2500

2 ANOPLASTY FOR IMPERFORATE ANUS 2000 1000

3 LAP. APPENDICECTOMY 2000 1000 4 BIOPSY OF ULCER 250 100 5 BRACHIAL SINUS EXCISION 1000 300 6 CHANGE OF SUPRAPUBIC CYSTOSTOMY TUBE 50 50

7 CIRCUMCISION 250 100 8 CLEFT LIP (COMPLETE REPAIR) 5000 2500 9 CLEFT PALATE REPAIR 5000 2500 10 COLONIC TRANSPLANT 5000 2500 11 CORN EXCISION 100 100 12 CORRECTIVE PROCEDURE FOR BILIARY ATRESIA 5000 2500

13 CYSTO PANADOSCOPY 500 150 14 CYSTOLITHOTOMY 1000 300 15 CYSTOSTOMY 250 100 16 DRAINAGE OF ABSCESS SUTURING OF MINOR 250 100

17 EPISPADIAS REPAIR 1000 300 18 EXAMINATION UNDER G.A. 250 100 19 EXCISION OF OMPHALOMESENTRIC DUCT 2000 1000

20 EXCISION OF POSTERIOR URETHERAL VALVE 2000 1000

21 EXCISION OF RECTAL POLYP 1000 300 22 EXCISION OF SMALL CYSTS GANGLIA ETC 250 100

23 GASTROSTOMY 1000 300 24 GUT BACK OPERATION FOR IMPERFORATE ANUS 1000 300

25 HEMIHEPATECTOMY 5000 2500

26 HYDROCORTISONE INJECTION OF PEYRONIES DI 250 100

27 IIEAL OR COLON CONDUIT 5000 2500 28 INTERCOSTAL DRAINAGE 250 100 29 INTUSSUSCEPTION 2000 1000 30 LAPAROTOMY WITH ADDL.PROCEDURES LIKE RESECTION & 2000 1000 ANASTOMOSIS

31 LIGATION OF UMBLICAL POLYP 250 100 32 LYMPHNODE BIOPSY 250 100 33 MEATOTOMY UNDER G.A. 250 100 34 MINOR CORRECTION OF REPAIRED LIP OR PALATE 250 100

35 MINOR URETHROPLASTY 250 100 36 NEPHRECTOMY 2000 1000 37 NEPHROSTOMY TUBE CHANGE 250 100 38 OESOPHAGOSTOMY 2000 1000 39 PAROTID FISTULA CLOSURE 1000 300 40 PELVIC OSTEOTOMY 1000 300 41 PERINEAL URETHROSTOMY 1000 300 42 PREAURICULAR SINUS EXCISION 1000 300 43 PREPUCIAL ADVANCEMENT AND CHORDEE CORRECTION 1000 300

44 PREPUCIAL DILATATION 250 100 45 PRIMARY RECONSTRUCTION FOR EXTROPHY OF BLADDER 5000 2500

46 PYELOLITHOTOMY 2000 1000 47 PYELOPLASTY 2000 1000 48 PYELOROPLASTY WITH OR WITHOUT VAGOTOMY 2000 1000

49 PYLOROMYOTOMY 2000 1000 50 REPAIR OF HIATUS HERNIA/LAP.HERNIA REPAIR 2000 1000

51 REPAIR OF PARTIAL CLEFT LIP 1000 300 52 REVISION/ DILATATION OF ILEOSTOMY/ COLOSTOMY 250 100

53 RIB RESECTION AND DRAINAGE 1000 300 54 SCAR EXCISION UNDER GA 250 100 55 SECONDARY PROCEDURE FOR EXTROPHY OF BLADDER 1000 300

56 SIQMODIOSCOPY UNDER GA 500 150 57 SKIN TAG EXCISION UNDER GA 250 100 58 SPLENECTOMY 2000 1000 59 STITCH REMOVAL UNDER GA 250 100

60 SURGICAL SEPARATION OF CONJOINED SIAMESE TWINS 8000 4000

61 TAPPING OF HYDROCELE 250 100 62 TESTICULAR BIOPSY 250 100 63 THYROGLOSSAL SINUS AND FISTULA EXCISION 1000 300

64 TOTAL CORRECTION OF EXTROPHY OF URINARY BLADDER 5000 2500

65 TRACHEO-OESOPHAGEAL FISTULA WITH OESOPHAGEAL 5000 2500 ATRESIA 66 TRANSPOSITION OF ANUS FOR ECTOPIC ANUS 2000 1000

67 URETEROSTOMY OR URETERS SIGMOIDOSTOMY 5000 2500

68 URETHROPLASTY FOR PENILE OR PENOSCROTAL TYPE 5000 2500 HYPOSPADIAS 69 URINARY DIVERSION E.G. CUTANEOUS VESICOSTOMY OR 2000 1000 URETOROSTOMY

70 VENTRICULOATRIAL SHUNT 2000 1000 71 SYNDACTYLE 250 100 72 OESOPHAGEAL REPLACEMENT 5000 2500 73 HYDATID CYST LUNG 3000 1500 74 DECORTICATION 2000 1000 75 EVENTRATION DIAPHRAGM 2000 1000 76 DIAPHRAGMATIC HERNIA 3000 1500 77 PECTUS EXCAVATUM/CHEST DEFORMITIES 5000 2500

78 MEDIASTINAL DUPLICATION/TUMOUR 5000 2500

79 BRONCHOSCOPY 600 300 80 CHOLECYSTECTOMY 1000 300 81 SURGERY FOR CHOLEDOCHAL CYST 3000 1500 82 SURGERY FOR EXTRAHEPATIC BILIARY ATRESIA 3000 1500

83 LIVER INJURY-SUTURING OF LIVER PARENCHYMA 1000 300

84 LIVER ABSCESS DRAINAGE 1500 750 85 HYDATID CYST LIVER 2000 1000 86 SURGERY FOR MALROTATION-LADD'S PROCEDURE 2000 1000

87 COLOSTOMY/HARTMAN'S PROCED/ILEOST/GASTRO 1000 300

88 COLOSTOMY CLOSURE/ILEOSTOMY CLOSURE 1500 750

89 MODIFIED DUHAMEL'S PROCEDURE/ TRANSANAL PULL 3000 1500 THROUGH

90 SURGERY FOR CLOACA 5000 2500 91 MYECTOMY/RECTAL BIOPSY 1000 300 92 DUODENO-DUODENOSTOMY 2000 1000 93 SURGERY FOR ILEAL/JEJUNAL ATRESIA 2000 1000

94 MESENTERIC CYST EXCISION 1500 750 95 EXOMPHALOS/GASTROSCHISIS REPAIR 3000 1500

96 NISSEN'S FUNDOPLICATION 2000 1000 97 OESOPHAGEAL DILATATION UNDER GA 500 150

98 EXCISION OF RETROPERITONEAL LUMP 3000 1500

99 MECKEL'S DIVERTICULECTOMY 1000 300 100 OESOPHAGOSCOPY 500 150 101 URETERIC REIMPLANTATION 2000 1000 102 SURGERY FOR CLOACAL EXSTROPHY 5000 2500 103 ANTERIOR URETHRAL DIVERTICULUM 2000 1000

104 OVARIAN TUMOUR 2000 1000 105 URETHRAL DILATATION 500 250 106 HERNIOTOMY/ HYDROCELE SURG./ UMBILICAL 1000 300 HERNIOTOMY 107 RELEASE OF TONGUE TIE 500 150 108 SUTURING OF MINOR LACERATION UNDER LA 250 100

109 DIAGNOSTIC LAPAROSCOPY 1000 500 110 URODYNAMICS 450 150 111 LAP. HERNIA REPAIR 2000 1000 Radiotherapy (Irch) 1 MEDICAL MANAGEMENT OF CANCER (ONCOLOGY) 1500 750

2 EXTERNAL RADIATION (PALLIATIVE TREATMENT)- 3000 1500 CONVENTIONAL RADIOTHERAPY AND 3-D CRT

3 RADIOTHERAPY BY INTERSTITIAL BRACHY THER 3000 1500

4 EXTERNAL RADIATION (RADICAL TREATNMENT)- 5000 2500 CONVENTIONAL RADIOTHERAPY AND 3-D CRT

5 I.M.R.T 10000 5000 6 I.G.R.T 15000 7500 7 V.M.A.T 20000 10000 74

8 S.B.R.T 20000 10000 Renal Transplant Surgery 1 AV FISTULA FOR HD. 1000 500 2 SYNTHETIC GRAFT FOR DIALYSIS ACCESS. 2000 1000

3 ULTRASOUND TO EVALUATE FORE ARM VESSELS FOR 100 100 CREATION OF VASCULAR ACCESS

Urology 1 CHANGE OF URETHRAL CATHETER/ NEPHROSTOMY TUBE/ 50 50 URETHERAL CALIBRATION

2 CAVERNOSOMETRY AND CAVERNOSOGRAPHY 300 100

3 CYSTOGRAM 150 100 4 INTRAVESICAL INSTILLATION OF CHEMOTHERAPY/ BCG 150 100

5 MCU + RGU 250 100 6 NEPHROSTOGRAM 200 100 7 PIPE TEST 150 100 8 RETROGRADE/ANTEGRADE CONTRAST STUDY 150 100

9 RGP (RETROGRADE URETEROPYELOGRAM) 300 100

10 RGU/ MCU 100 100 11 SINOGRAM/FISTULOGRAM 250 100 12 URODYNAMIC STUDY 450 135 13 VAS SEMINAL VESICULOGRAM 150 100 14 BILATERAL SCROTAL ORCHIECTOMY UNDER LA 250 100

15 CIRCUMCISION/MEATOPLASTY UNDER LA 250 100

16 CLOT EVACUATION/BLADDER IRRIGATION-LA UN 250 100

17 CYSTOSCOPY/CHECK CYSTOSCOPY UNDER LA 250 100

18 ENDOSCOPIC REMOVAL OF URETERIC STENT/BLADDER 250 100 STONE/FOREIGN BODY

19 INCISION AND DRAINAGE OF ABSCESS UNDER LA 250 100

20 OPEN SURGICAL BIOPSY OF PENILE LESION UNDER LA 250 100

21 OPERATIONS FOR HYDROCELE UNDER LA 250 100

22 REDUCATION OF PARAPHOMOSIS UNDER LA 250 100

23 RETROGRADE URETERIC CATHETERISATION UNDER LA 250 100

24 SECONDARY SUTURING OF WOUNDS UNDER LA 250 100

25 TESTICULAR BIOPSY UNDER LA 250 100 26 TROCAR CYSTOSTOMY UNDER LA 250 100 27 TRUE CUT BIOPSY OF PROSTATE UNDER LA 250 100

28 URETHERAL DILATATION UNDER LA 250 100

29 CHECK CYSTOSCOPY/ FULGURATION OF BLADDER TUMOUR 1000 300

30 CYSTOSCOPY AND BLADDER BIOPSY 1000 300 31 DEROOFING OF EJACULATORY DUCT-GA 1000 300

32 DEROOFING / INCISION OF URETEROCELE-GA 1000 300

33 DETORS.&ORCHIOPEXY FOR TORSIONTESTIES-GA 1000 300

34 ENDOSCOPIC INCISION OF BLADDER NECK-GA 1000 300

35 ENDOSCOPIC RETRIEVAL OF BLADDER STONE-GA 1000 300

36 EXAMINAT.UNDER ANAESTH.(EUA)FOR COMPLEX GENITO- 1000 300 URINARY FISTULA/ GENITAL

37 GENITO-URINARY FISTULA/ GENITAL.ANOMALIES-GA 1000 300

38 EXCISION OF VESICO-CUTANEOUS FISTULA-GA 1000 300

39 MEATOPLASTY-GA 1000 300 40 OPERATION FOR PRIAPISM-GA 1000 300 41 OPTICAL INTERNAL URETHROTOMY (OIU)/ CORE THROUGH 1000 300 OIC-GA 42 PALOMO'S OPERATION-GA 1000 300 43 RELOOK PCNL-GA 1000 300 44 RELOOK TUR-P-GA 1000 300 45 REMOVAL OF FOREIGN BODIES AROUND PENIS 1000 300 (CONSTRICING METAL RINGS ETC)-GA

46 REPAIR OF URETHRAL FISTULA-GA 1000 300 47 SUPRAPUBLIC CYSTOSTOMY/ CYSTOLITHOTOMY-GA 1000 300

48 URETERIC STENTING-GA 1000 300 49 VEA-(VASO-EPIDIDYMAL ANASTOMOSIS)/ VVA- (VASOVASAL 1000 300 ANASTOMOSIS) –GA

50 BILATER.INTERN. ILIAC ARTERY LIGATION 2000 1000

51 CHORDEE CORRECTION FOR PENILE CHORDEE WITH 2000 1000 HYPOSPADIAS 52 DRAINAGE OF PERINEPHRIC ABSCESS 2000 1000

53 END TO END TRANO-URETERO URETEROSTOMY/ TRANS- 2000 1000 URETERO-URETEROSTOMY

54 ENDOSCOPIC RETRIEVAL/BASKETING OF URETERAL STONE 2000 1000

55 EXCISION AND/DEROOFING OF RENAL CYST 2000 1000

56 EXCISION OF ADRENAL CYST 2000 1000 57 EXCISION OF SINUS/FISTULA IN FLANK REGION 2000 1000

58 CYSTOLITHOTRIPSY 2000 1000 59 HIGH INGUINAL ORCHIECTOMY 2000 1000 60 ILEAL CONDUIT URINARY DIVERSION FOR BENIGN DISEASE 2000 1000

61 IMPLANTATION OF PENILE PROSTHESIS 2000 1000

62 LYMPHATIC DISCONNECTION OF KIDNEY FOR CHYLURIA 2000 1000

63 NEPHRECTOMY FOR PYONEPHROSIS/ NON-FUNCTIONING 2000 1000 KIDNEY

64 NEPHROPEXY FOR MOBILE KIDNEY 2000 1000 65 OPEN KIDNEY BIOPSY 2000 1000 66 OPEN NEPHROSTOMY 2000 1000 67 OPEN PROSTATECTOMY (RETROPUBIC/ TRANSVESICAL) 2000 1000

68 OPERATIVE REPAIR OF BLADDER INJURY 2000 1000

69 ORCHIOPEXY FOR UNDESCENDED TESTIS 2000 1000

70 PARTIAL CYSTECTOMY/ENBLOCK CYTOTECTOMY FOR 2000 1000 URECHAL LESION

71 PARTIAL NEPHRECTOMY 2000 1000 72 PARTIAL AMPUTATION OF PENIS 1000 500 73 PCNL (PERCUTANEOUS NEPHROLITHOTRIPSY) 2000 1000

74 PERINEAL ANASTOMOTIC URETHROPLASTY 2000 1000

75 PYELOLITHOTOMY/ EXTENDED PYELOLITHOTOMY/ 2000 1000 NEPHROLITHOTOMY

76 PYELOPLASTY FOR UPJ OBSTRUCTION 2000 1000

77 REPAIR OF HYPOSPADIAS 2000 1000 78 REPAIR OF UNCOMPLICATED VVT/ UVF(UTERO-VESICAL 2000 1000 FISTULA) 79 STAGE-I URETHROPLASTY/ IInd STAGE URETHROPLASTY/ 2000 1000 PERINEAL URETHROSTOMY

80 SURGERY FOR MALE URINARY INCONTINENCE 2000 1000

81 SURGERY FOR STRESS URINARY INCONTINENCE IN FEMALE 2000 1000

82 TUR BLADDER TUMOUR 2000 1000 83 TUR PROSTATE/ BLADDER NECK 2000 1000 84 URETERO-SIGMOIDOSTOMY 2000 1000 85 URETEROLITHOTOMY/ URETEROLYSIS/ DAVIS INTUBATED 2000 1000 URETEROTOMY

86 URETHRECTOMY 2000 1000 87 URS AND INTRACORPOREAL LITHOTRIPSY OF URETERIC 2000 1000 STONE 88 VAGINOPLASTY/GENITAL RECONSTRUCTION 2000 1000

89 ANATROPHIC NEPHROLITHOTOMY 5000 2500 90 AUGMENTATION CYSTOPLASTY 5000 2500 91 BOARI FLAP URETEROPLASTY/ VESICO-CALICOSTOMY/ 5000 2500 VESICO-PYELOSTOMY

92 CONTINENT URINARY DIVERSION 5000 2500 93 EXCISION OF LARGE RETROPERITONEAL TUMOUR 5000 2500

94 EXCISION OF PHEOCHROMOCYTOMA/ ADRENAL TUMOUR 5000 2500

95 ILEAL LOOP REPLACEMENT OF URETER 5000 2500

96 INGUINAL BLOCK DISSECTION 5000 2500 97 MICROSURGICAL VASO-EPIDIDYMAL ANASTOMOSIS (VEA) 5000 2500 VASO-VASAL ANASTOMOSIS (VVA)

98 PELVIC EXENTERATION 5000 2500 99 RADICAL CYSTECTOMY WITH URINARY DIVERSION 5000 2500

100 RADICAL NEPHRECTOMY/ RENAL PARENCHYMA 5000 2500 PRESERVATION PROCEDURE FOR KIDNEY TUMOUR/ NEPHRO-URETERECTOMY FOR TCC RENAL PELVIS

101 RADICAL PROSTATECTOMY 5000 2500 102 REPAIR OF COMPLICATED VESICOVAGINAL FISTULA 5000 2500 (VVF)I.E. VVF WITH UVF AND LOSS OF BLADDER NECK AND URETHRA AND RECTOVAGINAL FISTULA

103 REPAIR OF EXTROPHY OF BLADDER /BLADDER NECK 5000 2500 RECONSTRUCTION 104 REPAIR OF RECTOURETHRAL FISTULA 5000 2500

105 RETROPERITONEAL LYMPH NODE DISSECTION (RPLND) 5000 2500

106 TRANSPUBLIC URETHROPLASTY 5000 2500 107 URETERO-CALICOSTOMY/ URETERO-PYELOSTOMY FOR UPJ 5000 2500 STRICTURE 108 URETEROLYSIS & OMENTAL WRAPING/ 5000 2500 INRAPERITONEALIZATION OF URETERS FOR RETROPERITONEAL FIBROSIS

109 URETEROCYSTOSTOMY/ REPAIR OF URETERO-VAGINAL 5000 2500 FISTULA (UVF) 110 ABSCESS DRAINAGE UNDER G.A. 250 100 111 ABSCESS INCISION AND DRAINAGE UNDER G.A. 250 100

112 BIOPSY UNDER G.A. 250 100 113 BRONCHOSCOPY 250 100 114 ENDOSCOPY UNDER G.A. 500 150 115 ENDO.(BRONCHO./ UPPER GI/ COLONO/ LARYNGOSCOPY/ 250 100 CYSTOSCOPY/ NASOPHARYNGOSCOPY

116 EXAMINATION UNDER G.A. 250 100 117 PULMONARY FUNCTION TESTS 250 100 118 STITCH REMOVAL UNDER G.A. 250 100 119 TREATMENT IN INTENSIVE CARE AREAS(PER DAY OVER 1000 300 AND ABOVE PER DAY CHARGES)

120 LITHOTRIPSY 9000 7000 121 BILATERAL SCROTAL ORCHIECTOMY UNDER GA 1000 300

122 CIRCUMCISION/ MEATOPLASTY UNDER GA 1000 300

123 CLOT EVACUATION/ BLADDER IRRIGATION GA 1000 300

124 CYSTESCOPY/ CHECK CYSTOSCOPY UNDER GA 1000 300

125 INCISION & DRAINAGE OF ABSCESS UNDER GA 1000 300

126 OPEN SURGICAL BIOPSY OF PENILE LESION GA 1000 300

127 OPERATIONS FOR HYDROCELE UNDER GA 1000 300

128 REDUCTION OF PARAPHIMOSIS UNDER GA 1000 300

129 RETROGRADE URETERIC CATHETERISATION GA 1000 300

130 SECONDARY SUTRUING OF WOUNDS UNDER GA 1000 300

131 TESTICULAR BIOPSY UNDER GA 1000 300 132 TROCAR CYSTOSTOMY UNDER GA 1000 300 133 TRUE CUT BIOPSY OF PROSTATE UNDER GA 1000 300

134 URETHRAL DILATATION UNDER GA 500 250 135 TOTAL AMPUTATION OF PENIS 2000 1000 136 UROFLOWMETRY 150 100 137 CAPD CATHETER INSERTION 500 150 138 URODYNAMIC STUDY INCLUDING PRESSURE FLOW 150 100 ANALYSIS 139 ROBOTIC ASSISTED SURGICAL PROCEDURE (PYELOPLASTY/ 60000 30000 PYELOLITHOTOMY/ URETEROLOYHOYOMY/ VVF REPAIR ETC/ RADICAL PROSTECTOMY/ RADICAL CYSTECTOMY/ NEPHRON SPARING SURGERY FOR KIDNEY TUMOR/ RPLND ETC