Joint Package Details (TKR /THR, Revision TKR / THR / Uni comp TKR)

Inclusions • Stay - TKR /THR U/L 4 Days (1day ICU + 3 rooms); TKR B/L 5 Days (1+4) / THR B/L 7 Days (2+5) Revision TKR /THR U/L 5 Days (1day ICU + 4 room); Revision TKR / THR B/L 7 Days (2+5) Unicompartmental TKR 3 days (1+2) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee & Physio Charges - Treating team visits and physiotherapy is part of package during the package stay. • DVT pump charges during ICU Days

Exclusions • Over and above stay will be charged extra. Any extra stay in ICU beyond the package day’s differential rent will be charged (ICU - room type). All Investigation will be charged as per actual. All Drugs & Consumables will be charged as per actual. • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Any special drugs & consumable as per the patient medical condition will be charged • All implants / Stoking/ patch will be charged extra. • Blood Processing Charges - any additional blood consumptions will be charged on actual • Doctor fee & Physiotherapy Charges - Any cross consultations, doctor & physiotherapy charges during over and above package stay

Arthroscopy / Meniscus / Biopsy ACL / PCL / MCL

Inclusions • Stay - Two Day • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All Investigations will be charged as per actual • All Drugs & Consumables will be charged as per actuals • All implants / Stoking/ patch will be charged extra. • Blood Processing Charges will be charged on actual • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Cardiac Surgery (CABG)

Inclusions • Stay - Routine 7 Day (2 day ICU + 5 day room) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay (maximum Rs 50000) • Routine drugs & consumable inclusive during package stay maximum (Rs 70000) • Blood Processing Charges - 6 Cross match & 6 Blood component • Doctor fee & Physio Charges - Treating team visits and physiotherapy is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Any special drugs & consumable as per the patient medical condition will be charged • All patches will be charged extra. • Blood Processing Charges will be charged on actual • Doctor fee & Physiotherapy Charges - Any cross consultations, doctor & physiotherapy charges during over and above package stay

Cardiac Surgery (AVR/MVR/OMV/ASD/VSD/TOF/ICR/Open Heart Surgery)

Inclusions • Stay - Routine 8 Day (3 day ICU + 5 day room) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay (maximum Rs 50000) • Routine drugs & consumable inclusive during package stay ( maximum Rs 70000) • Blood Processing Charges - 6 Cross match & 6 Blood component • Doctor fee & Physio Charges - Treating team visits and physiotherapy is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All patches will be charged extra. • Doctor fee & Physiotherapy Charges - Any cross consultations, doctor & physiotherapy charges during over and above package stay

Close Heart Surgery

Inclusions • Stay - Routine 6 Day (2 day ICU + 4 day room) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Blood Processing Charges - 4 Cross match & 4 Blood component • Doctor fee & Physio Charges - Treating team visits and physiotherapy is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All Investigations will be charged as per actual • All Drugs & consumables will be charged as per actual. • All patches will be charged extra. • Blood Processing Charges will be charged on actual • Doctor fee & Physiotherapy Charges - Any cross consultations, doctor & physiotherapy charges during over and above package stay

Cardiology Procedure Angiography: - (Coronary/Renal/carotid/peripheral)

Inclusions • Stay - 1 Day Room • Procedure cost, Cath Lab charges • 1 Angio Guidewire, 1 Sheath, 1 Catheter, 1Manifold 3 port, 1 dye inclusive during package stay • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All Investigations will be charged as per actual • Drugs & Consumables other than above would be charged on actuals, average consumption value comes at around 3k • All non -ionic dye patches will be charged extra. • Any item mentioned above if used more than one quantity will be charged as per rates mentioned above • Blood Processing Charges will be charged on actual • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Angioplasty: - (Coronary /renal/carotid/peripheral)

Inclusions • Stay - 2 Day Room (1ICU+1Day room) • Procedure cost, Cath Lab charges • Routine investigation inclusive during package stay. • 1 Balloon, 1 PTCA Guidewire, 1 Angio Guidewire, 1 Guiding catheter, 1 Inflation device, 1 Dye is part of package. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Any additional balloon if used will be charged @ 15k and any item mentioned above if used more than one quantity will be charged as per rates mentioned above • Drugs & Consumables would be charged on actuals, average consumption value comes at around 17k • All non -ionic dye patches will be charged extra. • All stent & extra Balloon if used will be charges extra • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Packages (ICD/AICD/ASD/VSD /Biventricular device)

Inclusions • ICD/AICD and Biventricular - 4 Day (1+3) ASD/VSD- 3day (1+2) • Procedure cost, Cath Lab charges • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All Investigations will be charged as per actual • All Drugs & consumables will be charged as per actual • All Pacemakers / Device / Filters charges will be extra • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Pacemaker & Device Packages (Pacemaker (Single chamber / double /combo/IVC Filter)

Inclusions • Stay - 3 Day (1+2) room) Pace maker; ICD/AICD and Biventricular - 4 Day (1+3) ASD/VSD- 3day (1+2); IVC Filter -2 day (1+1) • Procedure cost, Cath Lab charges • Routine investigation inclusive during package stay. • Routine drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Any special drugs & consumable as per the patient medical condition will be charged • All Pacemakers / Device / Filters charges will be extra • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

EP Study /RF Ablation

Inclusions • Stay -EP Study 1day (1 day room) RF Ablation-2day (1 ICU+1 Room) • Procedure cost, Cath Lab charges • Routine investigation inclusive during package stay. • Routine drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • Any special investigation done as per the patient medical condition will be charged extra • Any special drugs & consumable as per the patient medical condition will be charged • All non -ionic dye patches charges will be extra. • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required )

RENAL PACKAGES Kidney Transplant Package

Inclusions • Stay -Recipient- 9 Day (6 days+3 ICU ); Donor-5 day (1day ICU+ 4 Day room) Day of admission both patients will be admitted in Twin Sharing Room • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay. • One pre-operative dialysis for recipient if required during admission • Any re-exploration charges if needed during hospital stay covered in package • Post operative kidney biopsy & processing if need. • DJ Stent removal after four week as day care procedure • Blood Processing Charges - 5 Cross match & 5 Blood component for recipient 1 for Donor • Routine drugs & consumable inclusive during package stay. • Doctor fee & Physiotherapy - Urology & nephrology team visits and Physiotherapy Visits during the package duration. • 2 Bottle mineral water per for recipient during package days.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All Drugs & consumables will be charged as per actual. • All investigation will be charges extra on actual in all above packages. • Blood Processing Charges will be charged on actual • Any special drugs & consumable as per the patient medical condition will be charged • Doctor fee & Physiotherapy charges -any cross consultations, treating doctor & physiotherapy charges will charge extra. (if required)

Holmium (Laser) TURP / Ureteroscopy/ RIRS

Inclusions • Stay - 2 day for TURP and 1 day for ureteroscopy • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charged extra • All Drugs & consumables will be charged as per actual • Any special drugs & consumable as per the patient medical condition will be charged • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

TURP/PCNL/Bladder Neck Incision/TUIP

Package Inclusions • Stay - TURP-3day PCNL-2 Day TUIP-2 Day (2 day room) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • All investigation will be charged extra • All Drugs & consumables will be charged as per actual • Any additional procedure performed will be charged on actual. • Doctor fee - Any cross consultations, doctor charges will charges extra (if required )

Cystoscopy/Prostate biopsy

Inclusions • Stay - cystoscopy-1day room Prostate Biopsy-1 day room • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Rs.3000/-is drugs & consumables limit in all cystoscopy packages. • In prostate Biopsy only one biopsy is part of the package. • Routine drugs & consumable inclusive during package stay.(prostate biopsy) • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charged extra on actual in all above packages. • PAC Will be charged extra. • Any special drugs & consumable as per the patient medical condition will be charged • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Kidney Biopsy with Sonosite/Ultrasound

Inclusions • Stay - 1day room/ Daycare • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Kidney Biopsy is part of the package. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charged extra • All Drugs & consumables will be charged as per actual

• PAC will be charged extra. • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

AV Graft /DJ Stenting-Unilateral/bilateral/Stent Removal/Hydrocele/Circumcision/AV Graft.

Inclusions • One day/daycare package • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charges extra on actual in all above packages. • Over and above the package all the investigation will be charged on actual. • Any special drugs & consumable as per the patient medical condition will be charged. • PAC and blood processing will be charged extra. • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

General Surgery Packages (Lap Chole / Appendicectomy / Hernioplasty B/L & U/L) (Lap Chole- SILS / Appendicectomy- SILS)

Package Inclusions • Stay -2 day room • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charged extra • All Drugs & consumables will be charged as per actual • Mesh/Harmonic scale/Tacker if use will be charged extra. • PAC will be charged extra • Any cross consultations/ Physiotherapy Charges, doctor charges above package stay will charges extra (if required )

Pulmo Thoracic Package - (Routine / Complex)

Inclusions • Stay - Routine 7 Day (2 ICU+ 5 Day room) Complex -7Day(3 ICU+4Day room) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay • Routine One stapler, drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay. • Blood Processing Charges - 2 Cross match & 2 Blood component for above mentioned packages.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charges extra on actual in all above packages. • Any special drugs & consumable as per the patient medical condition will be charged • Mesh/Harmonic scale/ tacker if use will be charged extra. • PAC will be charged extra • Any cross consultations Charges, doctor/Physiotherapy charges above package stay will charges extra (if required)

Gynecology Packages

Inclusions • Stay - Based on the packages (check tariff list for the package days) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All pre & Special Post op investigation will be charges extra on actual. • All Investigations will be charged as per actual. • All Drugs & consumables will be charge as per actual. • Any special drugs & consumable as per the patient medical condition will be charged • All Blood processing Charges will be charged extra. • All bed side procedures will be charged extra • Harmonic scale/Tacker if use will be charged extra. • PAC will be charged extra • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

IOL Packages

Inclusions • Day care Stay • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Cost of the Lens will be extra. • Any additional procedure performed will be charged on actual. • All investigations will be charges extra on actual. • Any special drugs & consumable as per the patient medical condition will be charged • All bed side / all other procedures will be charged extra • PAC / pre work ups will be charged extra • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

Diagnostic Thoracoscopy/ Mediastionoscopy (P)

Inclusions • One day package • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • Routine investigation inclusive during package stay. • Routine drugs & consumable inclusive during package stay. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charges extra on actual in all above packages. • Over and above the package all the investigation will be charged on actual. • Any special drugs & consumable as per the patient medical condition will be charged. • Mesh/Harmonic scale/ tacker if use will be charged extra. • PAC and blood processing will be charged extra. • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

MAS & Bariatric Surgery Lap Sleeve Gastrectomy package (1+2)/ Gastric Bypass (1+2)/Gastric Banding (1+2)/ Lap Gastric Banding Complex (1+2)/ Lap Gastric Bypass package (1+3)

Inclusions • Package days (mentioned above) • Surgeon fee, O.T., Anesthesia and Assistant Surgeon charges (If any). • PAC and blood processing will be charged extra. • Doctor fee - Treating team visits is part of package during the package stay.

Exclusions • Over and above stay will be charged extra. • Any additional procedure performed will be charged on actual. • All investigation will be charged extra • All Drugs & consumables will be charged as per actual. • Any cross consultations/Physiotherapy Charges, doctor charges above package stay will charges extra (if required)

GENERAL BILLING RULES & GUIDELINES

1. One Time Registration Charges Rs. 100/- (Non-refundable). 2. Admission Charges Rs.1000/- & Documentation Charges Rs.500/- will be charge on each Admission. 3. Tariff Chargeability of the Daycare is Equivalent to the General Ward category. 4. Presidential Suite price is available on Request. 5. All charges shall vary as per Room category. 6. All ICU chargeability is equivalent to Single Room. 7. Doctor charges are Twice a day either by Doctor/Unit/Team. 8. CD Charges for the procedure/Investigation will be charges Extra. 9. MLC Charges will be applicable as per the Hospital rates. 10. All refund more than Rs.20000/- will be refunded through cheque in one working Day. 11. All Unlisted /listed open Surgery / Procedure performed under will be charge Extra. 12. All Surgery / Procedure under Laparoscopic /Endoscopic mode will charge 25% Extra. 13. Mortuary Charges per day Rs.2500/-. No Mortuary Charges applicable for FHVK patient till one day. Next day onwards charges will be applicable. 14. No Discounts are applicable on packages/TPA cases etc. 15. Only one benefit is permitted, in case of multiple options (Please choose any one). 16. All Implant used in the surgery/package will be charged as per MRP. 17. No separate invoice will be provided in any circumstances. 18. Implant sticker (if any) will be provided as per request. 19. Emergency Charges: Applicable on all Sundays, Holidays & 8.00pm to 8.00am on Weekdays. 19.1 Doctor's Visit: 100% extra 19.2 All Investigations: 25% Extra

20. The OPD Consultation Charges Is Based on the Designation or Consultant wish. 21. First Follow Up Visits With In 7 Days Will Be Free. 22. No Free Consult for Psychiatry/ Psychology / Pediatric Department/Rheumatology department. 23. One Consultation Is Free For All Surgical Admission With In Three Weeks. 24. OPD Consultation Charges Rs.400/- To 2000/-. 25. IPD Doctors' Team Visiting Charges:

a. The visiting charges for consultants shall vary depending on the Bed Category of patient and specialty. Doctors visiting charges shall be levied twice a day, by Doctor/Unit Team. Any referral or cross consultations will be charged separately. Emergency Visits will be charged @ 100% extra (on Sundays, Holidays & 8pm to 8am on week days,)

26. Special Nursing Care:

a. In case the patient requires special nursing care it would be charged @ RS.3000/-(24 Hours) Rs.1500 (up to 6Hours). The charges for the type of mattress used/day + the cost of sterilized dressings shall be charged as per actuals.

27. Special General Duty Assistants (GDA) Care:

a. For 12hrs Shift of GDA is Rs.1050/- b. For 24hrs Shift of GDA is Rs.2100/- c. For 09hrs Shift of GDA is Rs.700/-

28. Policy Guidelines:

a. Billing cycle is from 11 am to 11 am. b. After 6:00 pm Full Day Rent will be charge c. Less than 24hrs stay will be considered as one day. d. In Ward Up to 6 hours of stay will be treated as Half Day. e. In ICU Up to 12 hours of stay will be treated as Half Day. f. In Daycare Minimum One slot (6Hrs.) will be chargeable. g. In Case If Patient Need To Stay Over Night, Will Be Charge As Per Ward. h. In Case of Up gradation of room all the charges would be according to the higher opted category from day One except Room Rent. i. In case of down gradation of the room charges will be of opted category once the patient is physically shifted to the lower category. j. In case of package if Up gradation or down gradation will charged as per higher bed category. k. In case of package if Up gradation or down gradation will charged as per higher bed category. l. ICU Charges INCLUDE - Room rent, RMO & nursing charges, In-fusion / syringe pump, Pulse Oximetry and cardiac monitoring. m. ICU Charges DO NOT INLCUDE - Air Mattress, Patient Warming System, Consultants/ Specialty Doctors Visit, Ventilator (Initiation/ maintenance Charges), Investigations, Procedures, Consumables, Medicines etc. n. Where a Patient is admitted to ICU bed directly, the charges for procedure/surgery will be in line with the rates applicable in Single room. However if the Patient opts for a category which is higher than Single room the surgeries/procedures will be charged as per the Charges applicable to the type of higher category of the bed. The bed charges will be as per ICU bed charges. o. Double occupancy (twin sharing) for ICU Patients is not allowed, however in exceptional circumstances, after approval can be extended & charged as per actual room rent.

29. Surgery Procedure:

a. Procedure/ Surgery will be charged according to opted Bed category. b. For High Risk Cases, 25% on the Procedure charge will be charged extra. If more than 2 procedures are being done in 1 sitting, then the High Risk charges of 25% will be calculated on the total of the procedure charges for the different procedures. c. For emergency Cases, 25% on the Procedure charge will be charged extra. If more than 2 procedures are being done in 1 sitting, then the emergency case charges of 25% will be calculated on the total of the procedure charges for the different procedures. d. For High Risk & Emergency Cases, 40% of the procedure charge will be charged extra. If more than 2 procedures are being done in 1 sitting then the High Risk & Emergency Cases charges will be charged 40% of total procedure charges for the different procedure. e. Assistant Surgeon charges will be 30% of the procedure cost (requirement based - Hospital/Consultant decision is final for charging). f. All Emergency procedures OPD to be charged 25% extra. (On Holidays, Sundays & between 8pm to 8am on Week Days). g. Normal Delivery and Caesarean Section are exempted from emergency charges.

30. For Multiple procedures:

a. For multiple procedures in 1 sitting, if the procedures/surgeries are performed in the same region, then Full charges of Main/Higher cost procedure + 50% for subsequent procedure will be charged. b. For Multiple surgeries performed in different regions will attract the full procedure charges of each surgery/procedure.

31. For Re-exploration Surgery:

a. In case where it is within 24 hours No Procedure will be charge. b. Charges for re-operation between 24hrs to 48hrs: 25% of procedure will be charge. c. Charges for re-operation between 48hrs to 120hrs 50% of procedure will be charge. d. Charges for re-operation after 120hrs 100% of procedure will be charge.

32. OT Charges:

a. OT Charges shall be 80% of the procedure charges. b. OT Charges shall be calculated based on the net procedure price as applicable (in case of high risk, emergency, re-exploration, staged surgeries, etc.) c. In case multiple procedures are done under same anesthesia, OT charges shall be calculated on the composite procedure charges as per section 32.2. d. In case procedures are done under different anesthesia, OT charges shall be levied on each procedure independently. e. Cath Lab Charges: f. Cath Lab Charges shall be 50% of the procedure charges. g. For Interventional radiology surgery/procedure cath lab charges will be 10%. h. Cath Lab charges shall be calculated based on the net procedure price as applicable (in case of high risk, emergency, re-exploration, staged surgeries, etc.) i. Packages: j. If two packages performed by same surgeon/specialist in same setting (same day), lower cost package will be charged half and stay will be according to the higher cost package. k. If two package of different specialty is performed in same setting (same day), the lower cost package is to be charged 75% and stay will be according to the higher cost package. l. If multiple package performed in same setting, high risk/emergency than 25% charges will be extra of total cost of packages. m. Packages are prepared after all permissible discounted minimal usage items for normal condition cases wherein there is no detailed description. n. Packages are non-discountable and are exempted from any time-bound offers/initiatives, unless and until mentioned in specific. o. All promotional Charges are only for cash Patients admitted in that duration. p. Packages are as per the rates mentioned in the Charges list q. Anesthesia will be charged as per the categories below: r. General Anesthesia 40% of surgeon charges. s. Epidural Anesthesia 30% of surgeon charges. t. Spinal Anesthesia 30% of surgeon charges. u. Nerve Block Anesthesia 30% of surgeon charges. v. Local Anesthesia 20% of surgeon charges. w. Stand by Anesthetist (LA + Anesthetist Charge) 30% of surgeon charges. x. Anesthesia charges shall be calculated based on the net procedure price as applicable (in case of high risk, emergency, re-exploration, staged surgeries Etc.). y. If a surgeon requires local anesthesia/ sedation to be given by the anesthesiologist and monitored by them then the charges for the standby will be 30% of the procedure charges. z. In case for multiple procedures are done under same anesthesia than anesthesia charges shall be calculated on the composite procedure Charges as per section 32.2. aa. In case procedures are done under different anesthesia, anesthesia charges shall be levied on each procedure independently. bb. If anesthetist is required during MRI, charges for same shall be calculated as per the room category and shall be charged over and above the MRI charges. cc. Special Equipment Charges: dd. Any special equipment utilized for the procedure will be charged additionally, over & above the normal charges 25% of Surgeon's fee. ee. The special equipment charges will be billed once only, per patient per equipment, regardless of the fact that one or multiple equipment are used during the surgery ff. In case of multiple surgeries the special equipment charges would be taken as per higher Surgeon Fees. gg. TPA Policy: hh. All TPA patients are treated as cash patients till the time of final approval received from the respective TPA. ii. The patient is required to pay the difference/Non-medical item in the permissible amount and the actual bill. jj. The hospital does not take guarantee of approvals from the TPA/Insurance Company, but will just facilitate the process and approval. kk. Advance Deposit Policy: ll. At the time of admission, advance is to be taken from patients as per Room category opted by them. mm. In Medical Cases (Conservation Treatment), Advance to be taken as mentioned below:

i. Presidential Suite Rs125000/- ii. ICU Rs75000/- iii. Deluxe Suite/Suite Rs50000/- iv. Single Deluxe Room Rs40000/- v. Single/Single Classic Rs35000/- vi. Triple Sharing/Twin Classic Rs25000/- vii. General Ward Rs20000/- nn. Inside Surgical Cases, 100% of the estimated surgical expenses (Surgery Cost + OT Consumables + Implants) to be taken as Advance. Cases where package rates are applicable, entire package cost are to be taken as an advance. oo. In Cases where a patient is availing of the CASHLESS FACILITY through TPA (Individual policy) and initial approval has been received, differential amount is to be taken in cases where approval received is lesser than the estimate provided. In cases where approval is not received then it will be treated as cash patient. pp. In cases where a patient is availing of the cashless facility through TPA (Corporate policy) a minimum of Rs5000/- (General Ward) & Rs10000/- (Triple sharing/Twin/Single/Deluxe/ICU) is to be taken as advance for non-payable items along with the copy of Medi-claim/TPA/Health Card, ID card of the policy holder and/or ID Card of the patient which may be an employee or dependent. qq. All Life threatening cases do not require mandatory advance deposit at the time of admission. In all cases where proper advance is not taken, an undertaking will be taken by patient after receiving approval from the Head-PCS (who would take further approval from Head Admin/ MS) Financial Responsibility taken by the treating Consultant.

33. Room Rent/ICU Charges and IPD Doctor visit :

ROOM & ICU TYPE RENT DR VISIT DAYCARE 2250 700 GENERAL WARD 3500 700 TRIPAL SHARING 5000 800 TWIN CLASSIC 7000 900 SINGLE ROOM 10500 1000 SINGLE CLASSIC 12000 1200 SINGLE DELUXE 15000 1400 SUITE 18000 1600 DELUXE SUITE 25000 1800 ICU 15000 1000 ICU LEVEL - 3 15000 1000 PICU LEVEL -1 8000 1000 HDU 11000 1000 PICU LEVEL -2 11000 1000 PICU LEVEL -3 13000 1000 NICU LEVEL -1 3400 1000 NICU LEVEL -2 5200 1000 NICU LEVEL -3 7500 1000 TRIAGE BED UPTO ONE 800 CHARGES HRS TRIAGE BED 500 per AFTER ONE CHARGES hrs HRS

34. *If a new born baby with mother is admitted, the charges levied for the mother shall be applicable in the baby’s case.

The charges of surgeries, procedure, investigations and doctors are as per room category given below

COST OF SURGERY/PROCEDURE/INVESTIGATION/DOCTOR S.NO ROOM CATEGORY VISIT A WARD 100% of General Ward B TRIPLE SHARING 105% of General Ward C TWIN CLASSIC 115% of General Ward D SINGLE ROOM 125% of General Ward E SINGLE CLASSIC 135% of General Ward F SINGLE DELUXE 135% of General Ward G SUITE 150% of General Ward H DELUXE SUITE 160% of General Ward PRESIDENTIAL I SUITE 200% of General Ward

35. Ambulance Charges:

a. Within Delhi NCR Rs2000/- will be charge, Outside Delhi NCR Rs.40/- Per Km will be charged. b. Doctor Charges Rs1000/-, In Case Of Specialist Rs.5000/- will be charged. c. Equipment Charges Will Be Charged On Actual. d. Any Drugs Consumables Used Will Be Charged Extra. FORTIS Triple TWIN Single SINGLE DLX STANDARD Ward SINGLE SUITE P SUITE Sharing CLASSIC Classic DLX SUITE TARIFF S.No. DEPARTMENT Name price1 price121 price122 price123 price124 price125 price126 price127 price128 price129 1 Anesthesia Acupuncture One Course ( 10 Sitting ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 2 Anesthesia Acupuncture Subsequent Course ( 10 setting ) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 3 Anesthesia ANESTHESIA FOR MRI / CT SCAN 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 4 Anesthesia ANESTHESIA LEVEL 1 – (STAND BY CHARGES) 3000 3000 3000 3000 3000 3000 3000 3000 3000 3000 5 Anesthesia ANESTHESIA LEVEL II – (UPTO 30 MINUTES) 4500 4500 4500 4500 4500 4500 4500 4500 4500 4500 6 Anesthesia ANESTHESIA LEVEL III – (30 MINS - 1 HOUR) 6000 6000 6000 6000 6000 6000 6000 6000 6000 6000 7 Anesthesia ANESTHESIA LEVEL IV - (> 1 HOUR) 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 8 Anesthesia CHEMOPORT INSERTION 2650 2650 2790 3050 3320 3580 3580 3980 4240 5300 9 Anesthesia CHRONIC BACKACHE MANAGEMENT 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 10 Anesthesia CONTINUOUS ARTERIOVENOUS HEMOFILTRATION - CAVH / VAVH11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 11 Anesthesia DISPOSABLE & PREPARATION MAJOR 1600 1600 1680 1840 2000 2160 2160 2400 2560 3200 12 Anesthesia DISPOSABLE & PREPARATION MEDIUM 1050 1050 1110 1210 1320 1420 1420 1580 1680 2100 13 Anesthesia DISPOSABLE & PREPARATION MINOR 800 800 840 920 1000 1080 1080 1200 1280 1600 14 Anesthesia IV + PAC + SEDATION 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 15 Anesthesia MARS KIT IMPLEMENTATION CHARGES (DOCTORS) 13900 13900 14600 15990 17380 18770 18770 20850 22240 27800 16 Anesthesia MARS KIT IMPLEMENTATION CHARGES (TECHNICIANS) 1450 1450 1530 1670 1820 1960 1960 2180 2320 2900 17 Anesthesia OZONE DISCOLYSIS 5250 5250 5520 6040 6570 7090 7090 7880 8400 10500 18 Anesthesia PAIN MANAGEMENT ( POST OPERATIVE ) 2450 2450 2580 2820 3070 3310 3310 3680 3920 4900 19 Bed-Side Procedures ABSCESS ASPIRATION ( ORTHOPEDICS ) 2000 2500 2500 2500 2500 2500 2500 3000 3200 4000 20 Bed-Side Procedures ALPHA BED (AUTOLOGICAL) 450 450 450 450 450 450 450 450 450 450 21 Bed-Side Procedures ALPHA BED (MEDITECH) 225 500 500 500 500 500 500 680 720 800 22 Bed-Side Procedures ALPHA TRANCEL (ARJOHUNTLEIGH) 225 285 285 285 285 285 285 388 410 456 23 Bed-Side Procedures ALPHA XCELL (ARJOHUNTLEIGH) 325 410 410 410 410 410 410 558 590 656 24 Bed-Side Procedures ANESTHESIOLOGIST CHARGE FOR SEDATION 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 25 Bed-Side Procedures ARTERIAL LINE INSERTION 1200 2000 2000 2000 2000 2000 2000 2720 2880 3200 26 Bed-Side Procedures ARTERIAL LINE INSERTION / CANNULATION - FEMORAL ( CRITIC1440 1800 1800 1800 1800 1800 1800 2448 2592 2880 27 Bed-Side Procedures ASPIRATION ( COLD ABSCESS / TUBERCULAR ABSCESS ) - BEDSIDE 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 28 Bed-Side Procedures ASPIRATION BIOPSY ( BEDSIDE ) 1900 2380 2380 2380 2380 2380 2380 3237 3427 3808 29 Bed-Side Procedures BCG INSTILLATION ( BLADDER ) 2450 3070 3070 3070 3070 3070 3070 4175 4421 4912 30 Bed-Side Procedures BILEVEL POSITIVE AIRWAY PRESSURE ( BIPAP ) - PER DAY 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 31 Bed-Side Procedures BIPAP (Standby) 950 1190 1190 1190 1190 1190 1190 1618 1714 1904 32 Bed-Side Procedures BLOOD TRANSFUSION MONITORING 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 33 Bed-Side Procedures BRONCHOSCOPY ( CRITICAL CARE ) 6500 8200 8200 8200 8200 8200 8200 11152 11808 13120 34 Bed-Side Procedures BRONCHOSCOPY + BAL ( CRITICAL CARE ) 6500 8800 8800 8800 8800 8800 8800 11968 12672 14080 35 Bed-Side Procedures Bronchoscopy TBLP/ TBNA - ( CC ) 5200 6500 6500 6500 6500 6500 6500 8840 9360 10400 36 Bed-Side Procedures Bronchoscopy + BAL + TBB - ( CC ) 7000 10700 10700 10700 10700 10700 10700 14552 15408 17120 37 Bed-Side Procedures CASTS APPLICATION ( BELOW ELBOW ) 1900 2380 2380 2380 2380 2380 2380 3237 3427 3808 38 Bed-Side Procedures CASTS APPLICATION - FULL ( BELOW KNEE ) 2450 3070 3070 3070 3070 3070 3070 4175 4421 4912 39 Bed-Side Procedures CATHETERIZATION ( Adult) 650 820 820 820 820 820 820 1115 1181 1312 40 Bed-Side Procedures CATHETERIZATION ( FOLEYS) - BEDSIDE 1000 1565 1565 1565 1565 1565 1565 2128 2254 2504 41 Bed-Side Procedures CATHETERIZATION ( PEDIATRIC ) 650 820 820 820 820 820 820 1115 1181 1312 42 Bed-Side Procedures CATHETERIZATION (DOUBLE LUMEN) 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 43 Bed-Side Procedures COUGH ASSIST - BEDSIDE 850 1070 1070 1070 1070 1070 1070 1455 1541 1712 44 Bed-Side Procedures Dialysis Monitoring in ICU 400 500 500 500 500 500 500 680 720 800 45 Bed-Side Procedures DRESSING MEDIUM 650 820 820 820 820 820 820 1115 1181 1312 46 Bed-Side Procedures DRESSING SMALL 350 440 440 440 440 440 440 598 634 704 47 Bed-Side Procedures DRESSING VERY SMALL 150 190 190 190 190 190 190 258 274 304 48 Bed-Side Procedures DVT PUMP 10E CHARGE 850 1070 1070 1070 1070 1070 1070 1455 1541 1712 49 Bed-Side Procedures DVT PUMP 20E CHARGE 850 1070 1070 1070 1070 1070 1070 1455 1541 1712 50 Bed-Side Procedures DVT PUMP SET NO KLOT 60 850 1065 1065 1065 1065 1065 1065 1448 1534 1704 51 Bed-Side Procedures ENDOTRACHEAL INTUBATION 960 1200 1200 1200 1200 1200 1200 1632 1728 1920 52 Bed-Side Procedures ENEMA ADMINSTRATION 400 565 565 565 565 565 565 768 814 904 53 Bed-Side Procedures EXCHANGE TRANSFUSION ( BEDSIDE ) 5300 6630 6630 6630 6630 6630 6630 9017 9547 10608 54 Bed-Side Procedures FEMORAL CATHETERIZATION - BEDSIDE 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 55 Bed-Side Procedures GASTRIC LAVAGE ( BEDSIDE ) 1450 1820 1820 1820 1820 1820 1820 2475 2621 2912 56 Bed-Side Procedures Hemodylasis Cathether Insertion Femoral 3600 4500 4500 4500 4500 4500 4500 6120 6480 7200 57 Bed-Side Procedures Hemodylasis Cathether Insertion IJ/Subclavian 5600 7000 7000 7000 7000 7000 7000 9520 10080 11200 58 Bed-Side Procedures HEMORRHOIDS INJECTION - BEDSIDE 3650 4570 4570 4570 4570 4570 4570 6215 6581 7312 59 Bed-Side Procedures IABP Insertion 2800 3500 3500 3500 3500 3500 3500 4760 5040 5600 60 Bed-Side Procedures INFUSION CHARGES 400 500 500 500 500 500 500 680 720 800 61 Bed-Side Procedures Injection Charges OPD / ER 150 190 190 190 190 190 190 258 274 304 62 Bed-Side Procedures INJECTION INTRAARTICULAR ( BEDSIDE ) 900 1130 1130 1130 1130 1130 1130 1537 1627 1808 63 Bed-Side Procedures INTER COSTAL DRAIN ( ICD ) INSERTION - BEDSIDE 3600 4500 4500 4500 4500 4500 4500 6120 6480 7200 64 Bed-Side Procedures INTERMITTENT PNEUMATIC COMPRESSION 450 570 570 570 570 570 570 775 821 912 65 Bed-Side Procedures INTRA - AORTIC BALLOON PUMP ( IABP ) - UPTO 10 HRS 1000 1000 1000 1000 1000 1000 1000 1360 1440 1600 66 Bed-Side Procedures INTRAAORTIC BALLOON PUMP ( IABP ) - PER DAY 2000 2000 2000 2000 2000 2000 2000 2720 2880 3200 67 Bed-Side Procedures INTUBATION + INITIATION OF VENTILATION 2800 3500 3500 3500 3500 3500 3500 4760 5040 5600 68 Bed-Side Procedures IV Cannulation By Doctor 500 630 630 630 630 630 630 857 907 1008 69 Bed-Side Procedures JOINT ASPIRATION ( BEDSIDE ) 2450 3070 3070 3070 3070 3070 3070 4175 4421 4912 70 Bed-Side Procedures LUMBAR PUNCTURE ( BEDSIDE ) 1600 2500 2500 2500 2500 2500 2500 3400 3600 4000 71 Bed-Side Procedures MINI TRACHEOSTOMY ( CRITICAL CARE ) 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 72 Bed-Side Procedures NEBULIZATION 200 285 285 285 285 285 285 388 410 456 73 Bed-Side Procedures PERIPHERALLY INSERTED CENTRAL CATHETER ( PICC ) INSERTIO 2400 4375 4375 4375 4375 4375 4375 5950 6300 7000 74 Bed-Side Procedures PERITONEAL DIALYSIS ( INTERMITTENT ) 7900 9880 9880 9880 9880 9880 9880 13437 14227 15808 75 Bed-Side Procedures PERITONEAL TAP / ASCITIC TAP ( BEDSIDE ) 2000 2940 2940 2940 2940 2940 2940 3998 4234 4704 76 Bed-Side Procedures PLASTER OF PARIS ( POP ) FULL PLASTER - FINGERS 900 1130 1130 1130 1130 1130 1130 1537 1627 1808 77 Bed-Side Procedures PLASTER OF PARIS ( POP ) SLAB APPLICATION - FINGER 700 880 880 880 880 880 880 1197 1267 1408 78 Bed-Side Procedures PLEURAL FLUID ASPIRATION ( DIAGNOSTIC ) 2000 2500 2500 2500 2500 2500 2500 3400 3600 4000 79 Bed-Side Procedures PLEURAL FLUID ASPIRATION ( THERAPEUTIC ) 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 80 Bed-Side Procedures POP CAST APPLICATION - FULL ( ABOVE ELBOW ) 2950 3690 3690 3690 3690 3690 3690 5018 5314 5904 81 Bed-Side Procedures POP CAST APPLICATION - FULL ( ABOVE KNEE ) 3650 4570 4570 4570 4570 4570 4570 6215 6581 7312 82 Bed-Side Procedures POP CYLINDER CAST APPLICATION 3650 4570 4570 4570 4570 4570 4570 6215 6581 7312 83 Bed-Side Procedures POP CYLINDER SLAB APPLICATION 3100 3880 3880 3880 3880 3880 3880 5277 5587 6208 84 Bed-Side Procedures POP HIP SPICA ( BILATERAL ) / DOUBLE HIP SPICA APPLICATION 9600 12000 12000 12000 12000 12000 12000 16320 17280 19200 85 Bed-Side Procedures POP HIP SPICA APPLICATION ( LEFT ) 5900 7380 7380 7380 7380 7380 7380 10037 10627 11808 86 Bed-Side Procedures POP REMOVAL 450 570 570 570 570 570 570 775 821 912 87 Bed-Side Procedures POP SLAB APPLICATION ( ABOVE ELBOW ) 2700 3380 3380 3380 3380 3380 3380 4597 4867 5408 88 Bed-Side Procedures POP SLAB APPLICATION ( ABOVE KNEE ) 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 89 Bed-Side Procedures POP SLAB APPLICATION ( BELOW ELBOW ) 1250 1570 1570 1570 1570 1570 1570 2135 2261 2512 90 Bed-Side Procedures PRE-ANESTHESIA CHECKUP ( PAC ) 1100 1380 1380 1380 1380 1380 1380 1877 1987 2208 91 Bed-Side Procedures PRE-ANESTHESIA CHECKUP ( PAC ) II 700 700 740 810 880 950 950 1050 1120 1400 92 Bed-Side Procedures PRE-ANESTHESIA CHECKUP ( PAC ) III 500 500 530 580 630 680 680 750 800 1000 93 Bed-Side Procedures PRE-ANESTHESIA CHECKUP ( PAC ) IV 500 500 530 580 630 680 680 750 800 1000 94 Bed-Side Procedures PSOAS ABSCESS DRAINAGE ( ORTHOPEDICS ) 2000 2500 2500 2500 2500 2500 2500 3400 3600 4000 95 Bed-Side Procedures RESPIFIT S TRAINER DEVICE (LIFECARE MEDICA) 650 650 650 650 650 650 650 884 936 1040 96 Bed-Side Procedures RYLES TUBE INSERTION 400 500 500 500 500 500 500 680 720 800 97 Bed-Side Procedures RYLES TUBE INSERTION ( PEDIATRIC ) 500 630 630 630 630 630 630 857 907 1008 98 Bed-Side Procedures SEDATION ( FOR DRESSING ) 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 99 Bed-Side Procedures SKIN TRACTION 1900 2380 2380 2380 2380 2380 2380 3237 3427 3808 100 Bed-Side Procedures SLAB APPLICATION ( BELOW KNEE ) 1900 2380 2380 2380 2380 2380 2380 3237 3427 3808 101 Bed-Side Procedures SPICA CAST / POP JACKETS APPLICATION - SHOULDER 5300 6630 6630 6630 6630 6630 6630 9017 9547 10608 102 Bed-Side Procedures STAND BY ANESTHESIA FOR MRI / CT 450 570 570 570 570 570 570 775 821 912 103 Bed-Side Procedures STERNAL PUNCTURE 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 104 Bed-Side Procedures SURGICAL PART PREPARATION - BEDSIDE 100 130 130 130 130 130 130 177 187 208 105 Bed-Side Procedures SWAN GANZ LINE INSERTION 3600 4500 4500 4500 4500 4500 4500 6120 6480 7200 106 Bed-Side Procedures TOE NAIL ( INGROWING ) REMOVAL - BEDSIDE 1900 2380 2380 2380 2380 2380 2380 3237 3427 3808 107 Bed-Side Procedures TRACHEOSTOMY PERCUTANEOUS ( CRITICAL CARE ) 12000 15000 15000 15000 15000 15000 15000 20400 21600 24000 108 Bed-Side Procedures URETHRAL CALIBRATION 1250 1570 1570 1570 1570 1570 1570 2135 2261 2512 109 Bed-Side Procedures VENTILATOR ( PER DAY ) 3200 3200 3200 3200 3200 3200 3200 4352 4608 5120 110 CARDIO THORACIC & VASCULARANEURYSM REPAIR (PERIPHERAL) 23000 23000 24150 26450 28750 31050 31050 34500 36800 46000 111 CARDIO THORACIC & VASCULARANEURYSMS - (P) 241200 172420 172420 199220 306420 325220 333220 400220 427020 809910 112 CARDIO THORACIC & VASCULARAORTIC VALVE REPLACEMENT ( AVR ) WITH EMERGENCY / HIG243000 243000 243000 270000 378000 397000 405000 472500 499500 939130 113 CARDIO THORACIC & VASCULARAORTOFEMORAL BYPASS - (P) 99000 101000 101000 112000 156000 164000 167000 194500 225630 606400 114 CARDIO THORACIC & VASCULARAORTOFEMORAL BYPASS - (P) 200000 190000 200000 215000 270000 342000 379500 448350 490530 963000 115 CARDIO THORACIC & VASCULARASD / VSD / TOF / ICR WITH EMERGENCY / HIGH RISK - (P) 243000 182500 182500 209500 317500 336500 344500 412000 439000 878630 116 CARDIO THORACIC & VASCULARAURICULAR SEPTAL DEFECT ( ASD ) - (P) 200000 200000 200000 225000 315000 331000 337500 393750 433130 900000 117 CARDIO THORACIC & VASCULARAURICULAR SEPTAL DEFECT ( ASD ) WITH EMERGENCY / HIGH R243000 243000 243000 270000 378000 397000 405000 472500 499500 939130 118 CARDIO THORACIC & VASCULARAXILLO - FEMORAL BYPASS / UPPER & LOWER LIMB GRAFTING113620 95920 95920 102300 155020 163800 172260 205700 232510 620600 119 CARDIO THORACIC & VASCULARCAROTID ENDARTERECTOMY - (P) 100000 84000 84000 84000 124000 131000 134000 159000 177180 438550 120 CARDIO THORACIC & VASCULARCLOSED HEART SURGERY - (P) 108000 103400 103400 115400 163400 171900 175400 212420 250720 761360 121 CARDIO THORACIC & VASCULARCORONARY ARTERY BYPASS GRAFTING ( CABG ) + AORTIC VALVE256500 284700 294700 295000 411000 431000 439500 515790 555280 897320 122 CARDIO THORACIC & VASCULARCORONARY ARTERY BYPASS GRAFTING ( CABG ) + MITRAL VALVE R256500 284700 294700 295000 411000 431000 439500 515790 555280 897320 123 CARDIO THORACIC & VASCULARCORONARY ARTERY BYPASS GRAFTING ( CABG ) - (P) 180000 220000 230000 245000 300000 387000 424500 498750 542130 1017000 124 CARDIO THORACIC & VASCULARCORONARY ARTERY BYPASS GRAFTING ( CABG ) WITH EMERGE243000 243000 243000 270000 378000 397000 405000 472500 499500 939130 125 CARDIO THORACIC & VASCULARDOUBLE VALVE REPLACEMENT ( DVR ) - (P) 216000 190000 200000 215000 270000 342000 379500 448350 490530 963000 126 CARDIO THORACIC & VASCULAREMBOLECTOMY - (P) 52000 33300 33300 38300 61100 65300 66800 81050 86750 181300 127 CARDIO THORACIC & VASCULARFEMORO - POPLITEAL BYPASS - (P) 113620 95920 95920 102300 155020 163800 172260 205700 232510 620600 128 CARDIO THORACIC & VASCULARMEDIASTINOTOMY / MIDSTERNOTOMY - (P) 100000 100000 100000 100000 140000 147000 150000 175000 193180 454550 129 CARDIO THORACIC & VASCULARMITRAL VALVE REPLACEMENT ( MVR ) - (P) 200000 190000 200000 215000 270000 342000 379500 448350 490530 963000 130 CARDIO THORACIC & VASCULARMITRAL VALVE REPLACEMENT ( MVR ) WITH EMERGENCY / HIG243000 243000 243000 270000 378000 397000 405000 472500 499500 939130 131 CARDIO THORACIC & VASCULAROPEN HEART SURGERY - (P) 200000 151600 151600 176600 266600 282600 289100 345350 384730 851600 132 CARDIO THORACIC & VASCULAROPEN MITRAL VALVOTOMY ( OMV ) - (P) 200000 164000 164000 189000 279000 295000 301500 357750 397130 864000 133 CARDIO THORACIC & VASCULAROPEN MITRAL VALVOTOMY ( OMV ) WITH HIGH RISK / EMERG243000 182600 182600 209600 317600 336600 344600 412100 439100 878730 134 CARDIO THORACIC & VASCULARPDA DEVICE SURGICAL ( CLOSE HEART ) - (P) 100000 91000 91000 91000 131000 138000 141000 166000 205770 191000 135 CARDIO THORACIC & VASCULARPDA DEVICE SURGICAL ( OPEN ) - (P) 200000 164000 164000 189000 279000 295000 301500 357750 397130 864000 136 CARDIO THORACIC & VASCULARPDA DEVICE SURGICAL ( OPEN ) WITH EMERGENCY / HIGH RISK -243000 182600 182600 209600 317600 336600 344600 412100 439100 878730 137 CARDIO THORACIC & VASCULARPERICARDIECTOMY - (P) 92050 92050 92050 100000 140000 147000 150000 175000 193180 454550 138 CARDIO THORACIC & VASCULARRADICAL PLEUROPNEUMONECTOMY 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 139 CARDIO THORACIC & VASCULARREDO CORONARY ARTERY BYPASS GRAFTING ( CABG ) - (P) 242890 242890 242890 270000 378000 397000 405000 472500 499500 903770 140 CARDIO THORACIC & VASCULARREOPENING ( CTVS ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 141 CARDIO THORACIC & VASCULARSTERNAL REWIRING 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 142 CARDIO THORACIC & VASCULARTETROLOGY OF FALLOT / ICR - (P) 200000 164000 164000 189000 279000 295000 301500 357750 397130 864000 143 CARDIO THORACIC & VASCULARTHORACOTOMY ( CTVS ) - (P) 100000 84000 84000 84000 124000 131000 149910 159000 197300 184000 144 CARDIO THORACIC & VASCULARVENTRICULAR SEPTAL DEFECT ( VSD ) - (P) 200000 164000 164000 189000 279000 295000 301500 357750 397130 864000 145 CARDIO THORACIC & VASCULARVENTRICULAR SEPTAL DEFECT ( VSD ) WITH EMERGENCY/HIGH R243000 182600 182600 209600 317600 336600 344600 412100 439100 878730 146 Cardiology ASD / VSD DEVICE CLOSURE - (P) 72000 63000 63000 63000 91800 97000 99000 117000 124200 323310 147 Cardiology BALLOON VALVULOPLASTY - (P) 72000 72000 72000 79200 100800 106000 108000 126000 133200 332310 148 Cardiology BIVENTRICULAR DEVICE / COMBO - (P) 80000 80000 80000 88000 112000 118000 130700 169010 191550 450700 149 Cardiology BMV / BPV - BALLOON - (P) 80000 80000 80000 88000 112000 118000 126670 153330 166670 266670 150 Cardiology CAROTID ANGIOGRAPHY - (P) 13500 13500 13500 15000 18900 20000 22500 29250 40500 168750 151 Cardiology CAROTID ANGIOGRAPHY IN DAY CARE - (P) 12000 12000 12000 12000 12000 12000 12000 12000 12000 12000 152 Cardiology CAROTID ANGIOPLASTY - (P) 80000 80000 80000 88000 112000 118000 130700 169010 191550 450700 153 Cardiology CATH STUDY / CARDIAC CATHERIZATION - (P) 13500 13500 13500 15000 18900 20000 27000 39380 45000 168750 154 Cardiology CHECK ANGIOGRAPHY - (P) 10000 10000 10000 11000 14000 15000 15000 17500 18500 20000 155 Cardiology COIL EMBOLIZATION - (P) 40000 40000 40000 44000 56000 59000 60000 70000 74000 171430 156 Cardiology CORONARY ANGIOGRAPHY ( CAG ) - (P) 15000 12000 12000 13000 18000 19500 22760 32760 39760 96760 157 Cardiology CORONARY ANGIOGRAPHY ( CAG ) IN DAY CARE - (P) 12000 12000 12000 12000 12000 12000 12000 12000 12000 12000 158 Cardiology CORONARY ANGIOGRAPHY ( CAG ) WITH CORONARY ANGIOPLAS132000 106500 117500 128000 150500 181250 192880 227880 243380 289880 159 Cardiology CORONARY ANGIOPLASTY ( PTCA ) - (P) 99000 89000 100000 110000 130000 160000 170000 221000 234200 254000 160 Cardiology ELECTROPHYSIOLOGY ( EP ) STUDY - (P) 20000 20000 20000 22000 28000 29500 30000 36470 47060 176470 161 Cardiology ICD / AICD - (P) 88000 71620 71620 80420 106820 113120 119810 151240 172190 402670 162 Cardiology IVC FILTER IMPLANTATION - (P) 75000 75000 75000 82500 105000 110500 136360 172730 204550 681820 163 Cardiology PACEMAKER - DOUBLE CHAMBER - (P) 60000 67500 67500 72500 97500 103000 105000 123750 140000 367500 164 Cardiology PACEMAKER - SINGLE CHAMBER - (P) 50000 52500 52500 57500 76500 81000 82500 107100 123900 352500 165 Cardiology PERICARDIAL TAPPING 7000 7000 7350 7700 8750 9450 9450 10500 11200 14000 166 Cardiology PERIPHERAL ANGIOGRAPHY IN DAY CARE - (P) 12000 12000 12000 12000 12000 12000 12000 12000 12000 12000 167 Cardiology PERIPHERAL ANGIOPLASTY - (P) 80000 80000 80000 88000 112000 118000 130700 169010 191550 450700 168 Cardiology PERIPHERAL/RENAL ANGIOGRAPHY - (P) 13500 13500 13500 15000 18900 20000 27000 39380 45000 168750 169 Cardiology RADIOFREQUENCY ABLATION (RFA) - (P) 65000 65000 65000 71500 91000 96000 97500 120550 135910 236360 170 Cardiology RENAL ANGIOGRAPHY - (P) 13500 13500 13500 14850 18900 20000 27000 39380 45000 168750 171 Cardiology RENAL ANGIOGRAPHY IN DAY CARE - (P) 12000 12000 12000 12000 12000 12000 12000 12000 12000 12000 172 Cardiology RENAL ANGIOPLASTY - (P) 80000 80000 80000 88000 112000 118000 130700 169010 191550 450700 173 Cardiology TEMPORARY PACEMAKER INSERTION ( TPI ) - (P) 7500 7500 7500 8250 10500 11000 11250 13130 13880 15000 174 Dental AIR POLISHING - GRADE 1 1600 1600 1680 1840 2000 2160 2160 2400 2560 3200 175 Dental AIR POLISHING - GRADE 2 2150 2150 2260 2480 2690 2910 2910 3230 3440 4300 176 Dental AIR POLISHING - GRADE 3 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 177 Dental Air Polishing GR IV 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 178 Dental ALAR ADJUSTMENT ( NOSE ) 7700 7700 8090 8860 9630 10400 10400 11550 12320 15400 179 Dental ALVEOLAR BONE GRAFTING 17800 17800 18690 20470 22250 24030 24030 26700 28480 35600 180 Dental ALVEOLOPLASTY ( DOUBLE ARCH ) 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 181 Dental ALVEOLOPLASTY ( PER TOOTH ) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 182 Dental ALVEOLOPLASTY ( SINGLE ARCH ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 183 Dental Amalgam Replacement GR I 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 184 Dental APICOECTOMY 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 185 Dental ARCH BAR APPLICATION 8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 186 Dental AVULSED / EXTRUDED TOOTH REIMPLANTATION 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 187 Dental BITE PLANE APPLIANCE ( GRADE 1 ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 188 Dental BITE PLANE APPLIANCE ( GRADE 2 ) 9750 9750 10240 11220 12190 13170 13170 14630 15600 19500 189 Dental BLEACHING ( PARTIAL ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 190 Dental BLEACHING TEETH ( TRAY METHOD + SUPPLY ) 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 191 Dental Bleaching Ultra 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 192 Dental BONE GRAFT GRADE 1 ( PER TOOTH ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 193 Dental BONE GRAFT GRADE 2 ( PER TOOTH ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 194 Dental BONE GRAFT GRADE 3 ( PER TOOTH ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 195 Dental BONE GRAFTING ( POSTERIOR TEETH ) 64800 64800 68040 74520 81000 87480 87480 97200 103680 129600 196 Dental BONE GRAFTING - ILIAC CREST ( GRADE 1 ) 17800 17800 18690 20470 22250 24030 24030 26700 28480 35600 197 Dental BONE GRAFTING - ILIAC CREST ( GRADE 2 ) 19950 19950 20950 22950 24940 26940 26940 29930 31920 39900 198 Dental BONE GRAFTING( PER TOOTH ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 199 Dental BONE PLATE / IMPLANT REMOVAL 11200 11200 11760 12880 14000 15120 15120 16800 17920 22400 200 Dental BRACKET PLACEMENT (HIGH END) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 201 Dental BRACKET PLACEMENT STAGE 1(HIGH END) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 202 Dental BRACKET PLACEMENT STAGE 2 (HIGH END) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 203 Dental BRIDGE CAST ( UNITS ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 204 Dental BRIGHT SMILE (HIGH END) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 205 Dental CAD-CAM CROWNS GRADE I 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 206 Dental CAD-CAM CROWNS GRADE II 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 207 Dental CAD-CAM CROWNS GRADE III 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 208 Dental CAD-CAM VENEERS GRADE I 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 209 Dental CAD-CAMVENEERSGRADE II 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 210 Dental CAD-CAMVENEERSGRADE III 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 211 Dental CALDWELL LUC OPERATION ( ORAL SURGERY ) 11900 11900 12500 13690 14880 16070 16070 17850 19040 23800 212 Dental CAST PARTIAL DENTURE ( METAL FRAME ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 213 Dental CAST PARTIAL DENTURE ( METAL FRAME ) GRADE I 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 214 Dental CAST PARTIAL DENTURE ( PER TOOTH ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 215 Dental CAUTERIZATION ( ORAL ) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 216 Dental CEPHALOMETRIC ANALYSIS 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 217 Dental Ceramco Crown 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 218 Dental Clear Aligners 270000 270000 283500 310500 337500 364500 364500 405000 432000 540000 219 Dental Clear Aligners grade I 324000 324000 340200 372600 405000 437400 437400 486000 518400 648000 220 Dental Clear Aligners grade II 378000 378000 396900 434700 472500 510300 510300 567000 604800 756000 221 Dental CLEAR PATH ALIGNERS GRADE I 200000 200000 210000 230000 250000 270000 270000 300000 320000 400000 222 Dental CLEAR PATH ALIGNERS GRADE II 220000 220000 231000 253000 275000 297000 297000 330000 352000 440000 223 Dental CLEAR PATH ALIGNERS GRADE III 250000 250000 262500 287500 312500 337500 337500 375000 400000 500000 224 Dental CLEFT LIP SURGERY ( BILATERAL ) 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 225 Dental CLEFT LIP SURGERY ( UNILATERAL ) 23750 23750 24940 27320 29690 32070 32070 35630 38000 47500 226 Dental CLEFT PALATE 23750 23750 24940 27320 29690 32070 32070 35630 38000 47500 227 Dental COMPLETE TOOTH BUILD UP - GRADE 2 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 228 Dental COMPOSITE FILLING 950 950 1000 1100 1190 1290 1290 1430 1520 1900 229 Dental COMPOSITE FILLING ( GRADE 1 ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 230 Dental COMPOSITE FILLING ( GRADE 2 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 231 Dental COMPOSITE FILLINGS ( ONE SURFACE ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 232 Dental COMPOSITE FILLINGS ( TWO SURFACES ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 233 Dental COMPOSITE FILLINGS( THREE SURFACES ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 234 Dental COMPOSITE LAMINATES 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 235 Dental COMPOSITE TOOTH BUILD UP ( GRADE 1 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 236 Dental CONDYLAR FRACTURE OPEN REDUCTION ( GRADE 1 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 237 Dental CONDYLAR FRACTURE OPEN REDUCTION ( GRADE 2 ) 33500 33500 35180 38530 41880 45230 45230 50250 53600 67000 238 Dental CORE BUILD UP ( GRADE 1 ) 1800 1800 1890 2070 2250 2430 2430 2700 2880 3600 239 Dental CORE BUILD UP ( GRADE 2 ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 240 Dental CORE BUILD UP ( GRADE 3 ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 241 Dental CORONOPLASTY ( PER TOOTH ) 600 600 630 690 750 810 810 900 960 1200 242 Dental COSMETIC FILLING GR 1 (HIGH END) 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 243 Dental COSMETIC FILLING GR 2 (HIGH END) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 244 Dental COSMETIC LIP CORRECTION 17850 17850 18750 20530 22320 24100 24100 26780 28560 35700 245 Dental CROWN ( ALL CERAMIC ) 19400 19400 20370 22310 24250 26190 26190 29100 31040 38800 246 Dental CROWN ( COMPOSITE ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 247 Dental CROWN ( FULL CAST ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 248 Dental CROWN ( LOW FUSING CERAMIC ) - PER CROWN 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 249 Dental CROWN ( METAL ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 250 Dental CROWN ( PORCELAIN ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 251 Dental CROWN / BRIDGE PLACEMENT ( PER ABUTMENT ) 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 252 Dental CROWN ACRYLIC ( PER UNIT ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 253 Dental CROWN CERAMIC VITA - NORMAL ( PER CROWN ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 254 Dental CROWN LAMINATED ( CERGO ) PER CROWN 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 255 Dental CROWN PLACEMENT ( LUTING CEMENT ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 256 Dental CROWN PRECIOUS METAL CERAMIC ( HG ) - PER UNIT 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 257 Dental CROWN RECEMENTATION ( GRADE 1 ) 600 600 630 690 750 810 810 900 960 1200 258 Dental CROWN RECEMENTATION ( GRADE 2 ) 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 259 Dental CROWN VITA 3D ( PER CROWN ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 260 Dental CURETTAGE ( FULL MOUTH ) GRADE 1 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 261 Dental CURETTAGE ( FULL MOUTH ) GRADE 2 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 262 Dental CURETTAGE ( FULL MOUTH ) GRADE 3 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 263 Dental CURETTAGE FULL MOUTH (HIGH END) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 264 Dental CURETTAGE GRADE 1 - PER QUADRANT ( DENTAL ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 265 Dental CURETTAGE GRADE 2 - PER QUADRANT ( DENTAL ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 266 Dental CURETTAGE GRADE 3 - PER QUADRANT ( DENTAL ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 267 Dental CURETTAGE GRADE 4 - PER QUADRANT ( DENTAL ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 268 Dental CURETTAGE HALF MOUTH (HIGH END) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 269 Dental CURRETTAGE - FULL MOUTH ( GRADE 3 ) 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 270 Dental DENTAL APPLIANCE ( GRADE 1 ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 271 Dental DENTAL APPLIANCE ( GRADE 2 ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 272 Dental DENTAL APPLIANCE ( GRADE 3 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 273 Dental DENTAL IMPLANT ( ANTERIOR TEETH ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 274 Dental DENTAL INLAY 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 275 Dental DENTAL MODELS ( ORTHODONTICS ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 276 Dental DENTAL POST - CASTED ( GRADE 1 ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 277 Dental DENTAL POST - CASTED ( GRADE 2 ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 278 Dental DENTAL SEALANTS 550 550 580 640 690 750 750 830 880 1100 279 Dental DENTAL WIRE REMOVAL 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 280 Dental DENTAL X-RAY - INTRAORAL PERIAPICAL ( IOPA ) 250 250 270 290 320 340 340 380 400 500 281 Dental DENTAL X-RAY BITEWING 300 300 320 350 380 410 410 450 480 600 282 Dental DENTASCAN 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 283 Dental DENTURE ( REPAIR ) GRADE 1 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 284 Dental DENTURE ACRYLIC LOWER ( FULL ) 13500 13500 14180 15530 16880 18230 18230 20250 21600 27000 285 Dental DENTURE ACRYLIC UPPER ( FULL ) 13500 13500 14180 15530 16880 18230 18230 20250 21600 27000 286 Dental DENTURE ADJUSTMENT 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 287 Dental DENTURE ADJUSTMENT ( MINOR ) 300 300 320 350 380 410 410 450 480 600 288 Dental DENTURE ADJUSTMENT - MAJOR 650 650 690 750 820 880 880 980 1040 1300 289 Dental DENTURE CAST PARTIAL ( ADDITIONAL TOOTH ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 290 Dental DENTURE RELINING / REBASING ( GRADE 1 ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 291 Dental DENTURE RELINING / REBASING ( GRADE 2 ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 292 Dental DIAGNOSTIC BLOCK ( GRADE 1 ) 500 500 530 580 630 680 680 750 800 1000 293 Dental DIAGNOSTIC BLOCK ( GRADE 2 ) 600 600 630 690 750 810 810 900 960 1200 294 Dental DIASTEMA CLOSURE 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 295 Dental DIASTEMA CLOSURE ( GRADE 1 ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 296 Dental DIASTEMA CLOSURE ( GRADE 2 ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 297 Dental DIASTEMA CLOSURE ( GRADE 3 ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 298 Dental Diastema Opening GR I 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 299 Dental Diastema Opening GR II 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 300 Dental DISTANT FLAP ( GRADE 1 ) 17850 17850 18750 20530 22320 24100 24100 26780 28560 35700 301 Dental DISTANT FLAP ( GRADE 2 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 302 Dental DYCAL LINER 550 550 580 640 690 750 750 830 880 1100 303 Dental DYCAL LINER - GRADE 1 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 304 Dental EXCISIONAL BIOPSY ( DENTAL ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 305 Dental Extraction of tooth (under GA) gr II 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 306 Dental Extraction of tooth (under LA)grade IV 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 307 Dental FACIAL BONES FRACTURE ( MULTIPLE ) REPAIR - GRADE 1 ( MA29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 308 Dental FACIAL BONES FRACTURE ( MULTIPLE ) REPAIR - GRADE 2 ( MA38650 38650 40590 44450 48320 52180 52180 57980 61840 77300 309 Dental Filling Glass Inomer GR IV 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 310 Dental FILLING GLASS INOMER GR III 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 311 Dental FILLING MIRACLE MIX ( CLASS 2 ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 312 Dental FILLING MIRACLE MIX ( GRADE 1 ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 313 Dental FILLING SILVER ALLOY ( ONE SURFACE ) 550 550 580 640 690 750 750 830 880 1100 314 Dental FILLING SILVER ALLOY( THREE SURFACE ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 315 Dental FILLING SILVER ALLOY( TWO SURFACE ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 316 Dental FIXED ORTHODONTIC APPLIANCES ( METAL BRACKET ) 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 317 Dental FIXED ORTHODONTIC APPLIANCES ( PORCELAIN BRACKET ) 64800 64800 68040 74520 81000 87480 87480 97200 103680 129600 318 Dental FIXED ORTHODONTIC APPLIANCES ( TRANSPARENT BRACKET ) 54000 54000 56700 62100 67500 72900 72900 81000 86400 108000 319 Dental FLAP SURGERY - PER SEGMENT ( DENTAL ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 320 Dental FLUORIDE TREATMENT 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 321 Dental Fluoride Treatment GR I 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 322 Dental FREE FLAPS ( GRADE 1 ) 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 323 Dental FREE FLAPS ( GRADE 2 ) 38350 38350 40270 44110 47940 51780 51780 57530 61360 76700 324 Dental FREE FLAPS ( GRADE 3 ) 47550 47550 49930 54690 59440 64200 64200 71330 76080 95100 325 Dental FRENECTOMY ( ORAL SURGERY ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 326 Dental Full lower denture acrylic grade I 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 327 Dental Full lower denture acrylic grade II 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 328 Dental Full upper denture acrylic grade I 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 329 Dental Full upper denture acrylic grade II 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 330 Dental FUNCTIONAL APPLIANCE 14250 14250 14970 16390 17820 19240 19240 21380 22800 28500 331 Dental FUNCTIONAL APPLIANCE ( GRADE I ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 332 Dental FUNCTIONAL APPLIANCE ( GRADE II ) 19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 333 Dental GENIOPLASTY 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 334 Dental GERMAN METAL CERAMIC CROWN (HIGH END) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 335 Dental GINGIVAL RETRACTION CORD PLACEMENT 450 450 480 520 570 610 610 680 720 900 336 Dental GINGIVECTOMY - PER TOOTH 550 550 580 640 690 750 750 830 880 1100 337 Dental GLASS IONOMER CEMENT ( LINER ) 550 550 580 640 690 750 750 830 880 1100 338 Dental GLASS IONOMER FILLING ( CLASS 1 ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 339 Dental GLASS IONOMER FILLING ( CLASS 5 ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 340 Dental GLASS IONOMER FILLING ( GRADE 1 ) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 341 Dental GLASS IONOMER FILLING ( GRADE 2 ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 342 Dental GLOSSECTOMY ( PARTIAL ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 343 Dental GUARDS (HIGH END) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 344 Dental GUM CURETTAGE ( PER TOOTH ) 300 300 320 350 380 410 410 450 480 600 345 Dental GUM CURETTAGE (PER TOOTH) - GRADE 1 500 500 530 580 630 680 680 750 800 1000 346 Dental GUMS COSMETIC TREATMENT ( GRADE 3 ) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 347 Dental HEMANGIOMA EXCISION - LARGE ( ORAL SURGERY ) 14600 14600 15330 16790 18250 19710 19710 21900 23360 29200 348 Dental HEMANGIOMA EXCISION - MEDIUM ( ORAL SURGERY ) 11900 11900 12500 13690 14880 16070 16070 17850 19040 23800 349 Dental HEMANGIOMA EXCISION - SMALL ( ORAL SURGERY ) 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 350 Dental HEMANGIOMA SELEROSING INJECTION 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 351 Dental HEMIMANDIBULECTOMY ( ORAL SURGERY ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 352 Dental HEMIMAXILLECTOMY ( GRADE 1 ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 353 Dental HEMIMAXILLECTOMY ( GRADE 2 ) 14600 14600 15330 16790 18250 19710 19710 21900 23360 29200 354 Dental HIGH END BONE GRAFT (PER SOCKET) GRADE I 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 355 Dental HIGH END BONE GRAFT (PER SOCKET) GRADE II 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 356 Dental HIGH END BONE GRAFT (PER SOCKET) GRADE III 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 357 Dental HIGH END COMPOSITE LAMINATES GRADE I 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 358 Dental HIGH END COMPOSITE LAMINATES GRADE II 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 359 Dental HIGH END COMPOSITE LAMINATES GRADE III 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 360 Dental HIGH END IMPLANT 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 361 Dental IMMEDIATE LOADING IMPLANT ( PER IMPLANT ) 81000 81000 85050 93150 101250 109350 109350 121500 129600 162000 362 Dental IMMEDIATE LOADING IMPLANT WITH CROWN GRADE I 100000 100000 105000 115000 125000 135000 135000 150000 160000 200000 363 Dental IMMEDIATE LOADING IMPLANT WITH CROWN GRADE II 125000 125000 131250 143750 156250 168750 168750 187500 200000 250000 364 Dental IMMEDIATE LOADING IMPLANT WITH CROWN GRADE III 150000 150000 157500 172500 187500 202500 202500 225000 240000 300000 365 Dental IMPACTED TOOTH SURGICAL EXTRACTION 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 366 Dental IMPACTED TOOTH SURGICAL EXTRACTION ( GRADE 1 ) - PER TO 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 367 Dental IMPACTED TOOTH SURGICAL EXTRACTION ( GRADE 2 ) - PER TO 8100 8100 8510 9320 10130 10940 10940 12150 12960 16200 368 Dental IMPACTED TOOTH SURGICAL EXTRACTION ( GRADE 3 ) - PER TO10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 369 Dental IMPACTED TOOTH SURGICAL EXTRACTION ( GRADE 4 ) - PER TO16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 370 Dental IMPACTED TOOTH SURGICAL EXTRACTION (INVERTED) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 371 Dental IMPALNT SUPPORTED COMPLETE DENTURE ( 2 IMPLANTS ) 270000 270000 283500 310500 337500 364500 364500 405000 432000 540000 372 Dental IMPALNT SUPPORTED COMPLETE DENTURE ( 4 IMPLANTS ) 432000 432000 453600 496800 540000 583200 583200 648000 691200 864000 373 Dental IMPALNT SUPPORTED DENTURE ( 2 IMPLANTS ) 270000 270000 283500 310500 337500 364500 364500 405000 432000 540000 374 Dental IMPALNT SUPPORTED DENTURE ( 4 IMPLANTS ) 378000 378000 396900 434700 472500 510300 510300 567000 604800 756000 375 Dental INCISION AND DRAINAGE ( GRADE 1 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 376 Dental INCISION AND DRAINAGE ( GRADE 2 ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 377 Dental INCISION AND DRAINAGE ( GRADE 3 ) 9750 9750 10240 11220 12190 13170 13170 14630 15600 19500 378 Dental INCISION AND DRAINAGE, GR I (UNDER GA) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 379 Dental INCISION AND DRAINAGE, GR II (UNDER GA) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 380 Dental INCISIONAL BIOPSY ( ORAL ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 381 Dental INSTA BLEACH 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 382 Dental INSTA BLEACHING ( GRADE 1 ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 383 Dental INSTA BLEACHING ( GRADE 2 ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 384 Dental INTER MAXILLARY FIXATION ( IMF ) GRADE 1 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 385 Dental INTER MAXILLARY FIXATION ( IMF ) GRADE 3 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 386 Dental INTER MAXILLARY FIXATION ( IMF ) GRADE 4 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 387 Dental INTERDENTAL WIRING ( MANDIBLE FRACTURE ) - MAXILLOFAC8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 388 Dental INTERDENTAL WIRING - MAXILLA FRACTURE / INTERMAXILLAR8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 389 Dental INTERMAXILLARY FIXATION ( IMF ) REMOVAL ( DENTAL ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 390 Dental INTERMAXILLARY FIXATION ( IMF ) WITH ARCH BAR - MAXILLA FR14050 14050 14760 16160 17570 18970 18970 21080 22480 28100 391 Dental INTRALESIONAL INJECTION - PER SITTING ( GRADE 1 ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 392 Dental INTRALESIONAL INJECTION - PER SITTING ( GRADE 2 ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 393 Dental JAW RECONSTRUCTION ( GRADE 1 ) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 394 Dental JAW RECONSTRUCTION ( GRADE 2 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 395 Dental JAW RESECTION ( GRADE 1 ) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 396 Dental JAW RESECTION ( GRADE 2 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 397 Dental Laminated crown (per crown) 25950 25950 27250 29850 32440 35040 35040 38930 41520 51900 398 Dental LAMINATED VENEER ( CERGO ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 399 Dental LAMINATED VENEER ( EMPRESS 2 ) 19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 400 Dental Lat Ceph 600 600 630 690 750 810 810 900 960 1200 401 Dental LATERAL CEPHALOGRAPH 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 402 Dental LATERAL CEPHALOGRAPH 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 403 Dental LINGUAL BRACES GRADE I 120600 120600 126630 138690 150750 162810 162810 180900 192960 241200 404 Dental LINGUAL BRACES GRADE II 150000 150000 157500 172500 187500 202500 202500 225000 240000 300000 405 Dental LINGUAL BRACES GRADE III 180000 180000 189000 207000 225000 243000 243000 270000 288000 360000 406 Dental LOCAL FLAP ( GRADE 1 ) 8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 407 Dental LOCAL FLAP ( GRADE 2 ) 16600 16600 17430 19090 20750 22410 22410 24900 26560 33200 408 Dental LOWER FULL DENTURE WITH THREE IMPLANTS 216000 216000 226800 248400 270000 291600 291600 324000 345600 432000 409 Dental Lower Night Guard GR I 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 410 Dental MALALIGNED IMPACTED TOOTH REMOVAL GRADE I 8100 8100 8510 9320 10130 10940 10940 12150 12960 16200 411 Dental MALALIGNED IMPACTED TOOTH REMOVAL GRADE II 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 412 Dental MALALIGNED IMPACTED TOOTH REMOVAL GRADE III 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 413 Dental MALALIGNED IMPACTED TOOTH REMOVAL GRADE IV 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 414 Dental MALIGNANT TUMOR ( GRADE I ) EXCISION 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 415 Dental MALIGNANT TUMOR ( GRADE II ) EXCISION 35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 416 Dental MANDIBLE FRACTURE - OPEN REDUCTION AND FIXATION - GRA21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 417 Dental MANDIBLE FRACTURE CIRCUMMANDIBULAR WIRING ( MAXILLO15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 418 Dental MANDIBLE FRACTURE OPEN REDUCTION AND FIXATION - GRA16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 419 Dental MANDIBLE FRACTURE OPEN REDUCTION AND FIXATION - GRA32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 420 Dental MANDIBLE FRACTURE REDUCTION AND FIXATION ( TITANIUM 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 421 Dental MANDIBULAR CONDYLE OPEN REDUCTION & INTERNAL FIXATIO20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 422 Dental MANDIBULAR DENTOALVEOLAR FRACTURE REDUCTION ( MAX13700 13700 14390 15760 17130 18500 18500 20550 21920 27400 423 Dental MANDIBULECTOMY ( ORAL SURGERY ) 35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 424 Dental MAXILLARY ALVEOLECTOMY ( PER TOOTH ) 450 450 480 520 570 610 610 680 720 900 425 Dental MAXILLARY DENTOALVEOLAR FRACTURE REDUCTION ( MAXILLO14050 14050 14760 16160 17570 18970 18970 21080 22480 28100 426 Dental MAXILLARY FRACTURES REDUCTION + FIXATION - GRADE 1 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 427 Dental MAXILLARY FRACTURES REDUCTION + FIXATION - GRADE 2 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 428 Dental MAXILLARY FRACTURES REDUCTION + FIXATION - GRADE 3 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 429 Dental MAXILLARY FRACTURES REDUCTION + FIXATION - GRADE 4 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 430 Dental MAXILLARY INTER DENTAL WIRING AND SPLINTING OF LOOSE T4150 4150 4360 4780 5190 5610 5610 6230 6640 8300 431 Dental MAXILLARY INTER DENTAL WIRING AND SPLINTING OF LOOSE T5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 432 Dental MAXILLECTOMY ( DENTAL SURGERY ) 16600 16600 17430 19090 20750 22410 22410 24900 26560 33200 433 Dental MAXILLOFACIAL LACERATED WOUND SUTURING ( LARGE ) 7150 7150 7510 8230 8940 9660 9660 10730 11440 14300 434 Dental MAXILLOFACIAL LACERATED WOUND SUTURING ( MEDIUM ) 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 435 Dental MAXILLOFACIAL LACERATED WOUND SUTURING ( SMALL ) 4800 4800 5040 5520 6000 6480 6480 7200 7680 9600 436 Dental MAXILLOFACIAL RHINOPLASTY 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 437 Dental MAXILLOFACIAL SCAR REVISION ( GRADE 1 ) 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 438 Dental MAXILLOFACIAL SCAR REVISION ( GRADE 2 ) 14250 14250 14970 16390 17820 19240 19240 21380 22800 28500 439 Dental MINOR SURGICAL PROCEDURES ( GRADE 1 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 440 Dental MINOR SURGICAL PROCEDURES ( GRADE 2 ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 441 Dental MINOR SURGICAL PROCEDURES ( GRADE 3 ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 442 Dental MINOR SURGICAL PROCEDURES ( GRADE 4 ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 443 Dental NECK DISSECTION ( GRADE 1 ) 18900 18900 19850 21740 23630 25520 25520 28350 30240 37800 444 Dental NECK DISSECTION ( GRADE 2 ) 28500 28500 29930 32780 35630 38480 38480 42750 45600 57000 445 Dental NECK DISSECTION ( GRADE 3 ) 40400 40400 42420 46460 50500 54540 54540 60600 64640 80800 446 Dental NERVE REPOSITIONING 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 447 Dental NEURECTOMY (MULTIPLE NERVE) 11350 11350 11920 13060 14190 15330 15330 17030 18160 22700 448 Dental NEURECTOMY (SINGLE NERVE) 5350 5350 5620 6160 6690 7230 7230 8030 8560 10700 449 Dental NICKEL- CHROMIUM POST ( CUSTOM MADE ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 450 Dental NIGHT GUARD ( UPPER ) - GRADE 1 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 451 Dental NIGHT GUARD - LOWER 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 452 Dental NIGHT GUARD - UPPER 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 453 Dental NIGHT GUARD APPLIANCE ( DENTAL ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 454 Dental OBTURATOR LUCITONE ( 3 TEETH ) 8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 455 Dental OBTURATOR MAXILLOFACIAL ( GRADE 1 ) 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 456 Dental OBTURATOR MAXILLOFACIAL ( GRADE 2 ) 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 457 Dental OCCLUSAL EQUILIBRATION / ADJUSTMENT 650 650 690 750 820 880 880 980 1040 1300 458 Dental ODONTOGENIC TUMOR RESECTION ( GRADE 1 ) 14600 14600 15330 16790 18250 19710 19710 21900 23360 29200 459 Dental ODONTOGENIC TUMOR RESECTION ( GRADE 2 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 460 Dental ODONTOGENIC TUMOR RESECTION / EXCISION - LARGE 11350 11350 11920 13060 14190 15330 15330 17030 18160 22700 461 Dental ODONTOGENIC TUMOR RESECTION / EXCISION - SMALL 13500 13500 14180 15530 16880 18230 18230 20250 21600 27000 462 Dental ONLAY PORECLAIN FUSED TO METAL ( PFM ) - PER UNIT ( GRAD 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 463 Dental ONLAY PORECLAIN FUSED TO METAL ( PFM ) - PER UNIT ( GRAD 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 464 Dental ORAL CYST ENUCLEATION ( LARGE ) 16750 16750 17590 19270 20940 22620 22620 25130 26800 33500 465 Dental ORAL CYST ENUCLEATION ( SMALL ) 11350 11350 11920 13060 14190 15330 15330 17030 18160 22700 466 Dental ORAL CYST EXCISION / REMOVAL ( SMALL ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 467 Dental ORAL CYST REMOVAL - MAJOR / LARGE ( DENTAL ) 13500 13500 14180 15530 16880 18230 18230 20250 21600 27000 468 Dental ORAL PROPHYLAXIS THERAPY 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 469 Dental OROANTRAL FISTULA REPAIR ( ORAL SURGERY ) 8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 470 Dental ORTHO APPLIANCE FIXED ( PORCELIAN ) 64800 64800 68040 74520 81000 87480 87480 97200 103680 129600 471 Dental Ortho Appliance Fixed (Metal) Gr.I 60000 60000 63000 69000 75000 81000 81000 90000 96000 120000 472 Dental Ortho Appliance Fixed (Metal) Gr.II 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 473 Dental Ortho Appliance Fixed (Metal) Gr.III 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 474 Dental Ortho Appliance Fixed (Porcelain) Gr.I 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 475 Dental Ortho Appliance Fixed (Porcelain) Gr.II 100000 100000 105000 115000 125000 135000 135000 150000 160000 200000 476 Dental Ortho Appliance Fixed (Porcelain) Gr.III 120000 120000 126000 138000 150000 162000 162000 180000 192000 240000 477 Dental ORTHO RETENTION / SIMPLE CORRECTION 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 478 Dental Ortho treatment stage 4 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 479 Dental ORTHODONTIC BRACES (AMERICAN METAL) GRADE I 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 480 Dental ORTHODONTIC BRACES (AMERICAN METAL) GRADE II 100000 100000 105000 115000 125000 135000 135000 150000 160000 200000 481 Dental ORTHODONTIC BRACES (AMERICAN METAL) GRADE III 120000 120000 126000 138000 150000 162000 162000 180000 192000 240000 482 Dental ORTHODONTIC BRACES (PORCELAIN) GRADE I 100000 100000 105000 115000 125000 135000 135000 150000 160000 200000 483 Dental ORTHODONTIC BRACES (PORCELAIN) GRADE II 120000 120000 126000 138000 150000 162000 162000 180000 192000 240000 484 Dental ORTHODONTIC BRACES (PORCELAIN) GRADE III 150000 150000 157500 172500 187500 202500 202500 225000 240000 300000 485 Dental ORTHODONTIC RETENTION ( LINGUAL ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 486 Dental ORTHODONTIC STUDY, DIAGNOSTIC CAST AND TREATMENT PLAN 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 487 Dental ORTHODONTIC TREATMENT ( AMERICAN BRACKETS ) 54000 54000 56700 62100 67500 72900 72900 81000 86400 108000 488 Dental ORTHODONTIC TREATMENT ( FIXED ORTHOLINGUAL BRACKET 81000 81000 85050 93150 101250 109350 109350 121500 129600 162000 489 Dental ORTHODONTIC TREATMENT ( INST ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 490 Dental ORTHODONTIC TREATMENT ( STAGE 1 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 491 Dental ORTHODONTIC TREATMENT ( STAGE 1 ) HIGH END 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 492 Dental ORTHODONTIC TREATMENT ( STAGE 2 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 493 Dental ORTHODONTIC TREATMENT ( STAGE 2 ) HIGH END 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 494 Dental ORTHODONTIC TREATMENT ( STAGE 3 ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 495 Dental ORTHODONTIC TREATMENT ( STAGE 3 ) HIGH END 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 496 Dental ORTHODONTIC TREATMENT ( STAGE 4 ) HIGH END 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 497 Dental ORTHODONTIC TREATMENT ( STAGE 5 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 498 Dental ORTHODONTIC TREATMENT ( STAGE 5 ) HIGH END 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 499 Dental ORTHODONTIC TREATMENT ( STAGE 6 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 500 Dental ORTHODONTIC TREATMENT ( STAGE 6 ) HIGH END 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 501 Dental ORTHODONTIC TREATMENT ( STAGE 7 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 502 Dental ORTHODONTIC TREATMENT ( STAGE 7 ) HIGH END 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 503 Dental ORTHOGNATHIC SURGERY - DOUBLE JAW ( GRADE 1 ) 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 504 Dental ORTHOGNATHIC SURGERY - DOUBLE JAW ( GRADE 2 ) 35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 505 Dental ORTHOGNATHIC SURGERY - SINGLE JAW ( GRADE 1 ) 17850 17850 18750 20530 22320 24100 24100 26780 28560 35700 506 Dental ORTHOGNATHIC SURGERY - SINGLE JAW ( GRADE 2 ) 20800 20800 21840 23920 26000 28080 28080 31200 33280 41600 507 Dental ORTHOLINGUAL BRACKETS ( GRADE 1 ) 108000 108000 113400 124200 135000 145800 145800 162000 172800 216000 508 Dental ORTHOLINGUAL BRACKETS ( GRADE 2 ) 129600 129600 136080 149040 162000 174960 174960 194400 207360 259200 509 Dental ORTHOPANTAMOGRAM ( OPG ) 550 550 580 640 690 750 750 830 880 1100 510 Dental ORTHOPANTAMOGRAM ( OPG ) - DIGITAL 600 600 630 690 750 810 810 900 960 1200 511 Dental PALATAL FISTULA SURGERY 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 512 Dental PAROTID GLAND SURGERY ( GRADE 1 ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 513 Dental PAROTID GLAND SURGERY ( GRADE 2 ) 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 514 Dental PERFORATION REPAIR SURGERY ( GRADE 1 ) - ORAL SURGERY 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 515 Dental PERFORATION REPAIR SURGERY ( GRADE 2 ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 516 Dental PERICORONAL FLAP EXCISION - GRADE 1 1950 1950 2050 2250 2440 2640 2640 2930 3120 3900 517 Dental PERICORONAL FLAP SURGERY 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 518 Dental Periodontal Curettage GR I (Per tooth ) 750 750 790 870 940 1020 1020 1130 1200 1500 519 Dental PERIODONTAL CURRETTAGE ( PER TOOTH ) 550 550 580 640 690 750 750 830 880 1100 520 Dental PERIODONTAL WIRING ( ANTERIOR TEETH ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 521 Dental Periodontal Wiring GR I 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 522 Dental PERIODONTIA CROWN LENGTHENING 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 523 Dental PERIODONTIA GINGIVOPLASTY - PER QUADRANT ( GRADE 1 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 524 Dental PERIODONTIA GIRGIVECTOMY - PER QUADRANT ( GRADE 2 ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 525 Dental PIN RETAINED FILLINGS 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 526 Dental PIT AND FISSURE SEALANT 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 527 Dental PLATELET RICH PLASMA AUGMENTATION 4550 4550 4780 5240 5690 6150 6150 6830 7280 9100 528 Dental PORCELAIN FUSED TO METAL BRIDGE - UNIT 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 529 Dental POST AND CORE ( DENTAL ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 530 Dental POSTERIOR TEETH IMPLANT WITH BONE GRAFT 108000 108000 113400 124200 135000 145800 145800 162000 172800 216000 531 Dental PULPECTOMY 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 532 Dental PULPECTOMY ( GRADE 1 ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 533 Dental PULPECTOMY ( GRADE 2 ) 7050 7050 7410 8110 8820 9520 9520 10580 11280 14100 534 Dental PULPOTOMY 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 535 Dental Re Root Canal (Posterior Tooth) GR I 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 536 Dental Re Root Canal (Anterior Tooth) GR I 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 537 Dental RE-ROOT CANAL TREATMENT (ANTERIOR TOOTH) 7050 7050 7410 8110 8820 9520 9520 10580 11280 14100 538 Dental RE-ROOT CANAL TREATMENT (POSTERIOR TOOTH) 9200 9200 9660 10580 11500 12420 12420 13800 14720 18400 539 Dental REMOVABLE ORTHODONTIC APPLIANCE RETAINERS ( EACH UN 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 540 Dental REMOVABLE PARTIAL DENTURE ( EVERY ADDITIONAL TOOTH ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 541 Dental REMOVABLE PARTIAL DENTURE ( FIRST 3 TEETH ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 542 Dental REMOVABLE PARTIAL DENTURE ( FLEXIBLE PLATE ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 543 Dental REMOVABLE PARTIAL DENTURE ( FLEXIBLE PLATE ) HIGH END G8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 544 Dental REMOVABLE PARTIAL DENTURE ( FLEXIBLE PLATE ) HIGH END G10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 545 Dental REMOVABLE PARTIAL DENTURE ( FLEXIBLE PLATE ) HIGH END G12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 546 Dental REMOVABLE PARTIAL DENTURE ( RPD ) SINGLE TOOTH - TYPE 1 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 547 Dental REMOVABLE PARTIAL DENTURE FLEXIBLE ( EVERY ADDITIONAL 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 548 Dental REMOVABLE PARTIAL DENTURE FLEXIBLE ( EVERY ADDITIONAL 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 549 Dental REMOVABLE PARTIAL DENTURE FLEXIBLE ( EVERY ADDITIONAL 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 550 Dental ROOT CANAL TREATMENT ( RCT ) + POST - GRADE 1 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 551 Dental ROOT CANAL TREATMENT ( RCT ) - ANTERIOR TEETH 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 552 Dental ROOT CANAL TREATMENT ( RCT ) GRADE 1 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 553 Dental ROOT CANAL TREATMENT ( RCT ) POSTERIOR TEETH 7050 7050 7410 8110 8820 9520 9520 10580 11280 14100 554 Dental ROOT CANAL TREATMENT - ANTERIOR TEETH ( GRADE 1 ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 555 Dental ROOT CANAL TREATMENT - POSTERIOR ( GRADE 1 ) 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 556 Dental ROOT CANAL TREATMENT - POSTERIOR ( GRADE 2 ) 8100 8100 8510 9320 10130 10940 10940 12150 12960 16200 557 Dental ROOT CANAL TREATMENT - POSTERIOR ( GRADE 3 ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 558 Dental ROOT CANAL TREATMENT GRADE 1 (HIGH END) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 559 Dental ROOT CANAL TREATMENT GRADE 2 (HIGH END) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 560 Dental ROOT CANAL TREATMENT GRADE 3 (HIGH END) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 561 Dental ROOT PLANING ( PER QUADRANT ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 562 Dental SCALING 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 563 Dental SCALING ( GRADE 1 ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 564 Dental SCALING ( GRADE 2 ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 565 Dental SCALING ( GRADE 3 ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 566 Dental SCALING ( GRADE 4 ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 567 Dental SCALING ( GRADE 5 ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 568 Dental SELECTIVE GRINDING ( LOWER TEETH ) 300 300 320 350 380 410 410 450 480 600 569 Dental SELECTIVE GRINDING ( PER TOOTH ) 500 500 530 580 630 680 680 750 800 1000 570 Dental SELECTIVE GRINDING ( UPPER TEETH ) 300 300 320 350 380 410 410 450 480 600 571 Dental SILVER AMALGAM REPLACEMENT ( PER TOOTH ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 572 Dental SILVER AMALGAM REPLACEMENT + LINER ( PER TOOTH ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 573 Dental SINUS LIFT + BONE GRAFT ( PER TOOTH ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 574 Dental SINUS LIFT + BONE GRAFTS ( GRADE 1 ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 575 Dental SINUS LIFT + BONE GRAFTS ( GRADE 2 ) 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 576 Dental SINUS LIFT + BONE GRAFTS ( GRADE 3 ) 64800 64800 68040 74520 81000 87480 87480 97200 103680 129600 577 Dental SINUS LIFT PROCEDURE GRADE I 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 578 Dental SINUS LIFT PROCEDURE GRADE II 60000 60000 63000 69000 75000 81000 81000 90000 96000 120000 579 Dental SINUS LIFT PROCEDURE GRADE III 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 580 Dental SNORE GUARD 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 581 Dental SNORE GUARD ( GRADE 1 ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 582 Dental SNORE GUARD ( GRADE 2 ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 583 Dental SOCKET (DRY) 900 900 950 1040 1130 1220 1220 1350 1440 1800 584 Dental SOCKET DRESSING 300 300 320 350 380 410 410 450 480 600 585 Dental SPACE MAINTAINERS ( FIXED ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 586 Dental SPACE MAINTAINERS ( REMOVABLE ) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 587 Dental SPECIAL TRAY FABRICATION - DOUBLE ARCH 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 588 Dental SPECIAL TRAY FABRICATION - SINGLE ARCH 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 589 Dental SPECIALIST CONSULT 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 590 Dental SPLINTING TEETH ( FIBER ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 591 Dental SPLINTING TEETH ( FIBER ) PER TOOTH - GRADE 1 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 592 Dental SPLINTING TEETH ( WIRE ) - PER TOOTH 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 593 Dental SPLINTING TEETH ( WIRE ) PER TOOTH - GRADE 1 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 594 Dental SUBMANDIBULAR CALCULI REMOVAL ( INTRAORAL ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 595 Dental SUBMANDIBULAR GLAND REMOVAL 17300 17300 18170 19900 21630 23360 23360 25950 27680 34600 596 Dental SUBMENTAL GLAND REMOVAL ( EXTRAORAL ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 597 Dental SUBMENTAL GLAND REMOVAL ( INTRAORAL ) 9200 9200 9660 10580 11500 12420 12420 13800 14720 18400 598 Dental SURGICAL EXPOSURE OF TOOTH 1800 1800 1890 2070 2250 2430 2430 2700 2880 3600 599 Dental SUTURE REMOVAL ( LARGE ) 1350 1350 1420 1560 1690 1830 1830 2030 2160 2700 600 Dental SUTURE REMOVAL ( MEDIUM ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 601 Dental SUTURE REMOVAL ( SMALL ) 450 450 480 520 570 610 610 680 720 900 602 Dental TEMPORARY CROWN ( PER CROWN ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 603 Dental TEMPORARY FILLING ( PER TOOTH ) 600 600 630 690 750 810 810 900 960 1200 604 Dental TEMPOROMANDIBULAR JOINT ( TMJ ) ARTHROCENTESIS 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 605 Dental TEMPOROMANDIBULAR JOINT ( TMJ ) LAVAGE 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 606 Dental TEMPOROMANDIBULAR JOINT INJECTIONS 3450 3450 3630 3970 4320 4660 4660 5180 5520 6900 607 Dental TEMPOROMANDIBULAR JOINT SURGERY ( BILATERAL ) 35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 608 Dental TEMPOROMANDIBULAR JOINT SURGERY ( UNILATERAL ) 18900 18900 19850 21740 23630 25520 25520 28350 30240 37800 609 Dental TMJ DISLOCATION REDUCTION 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 610 Dental TONGUE TIE RELEASE ( ORAL SURGERY ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 611 Dental TOOTH EXTRACTION 900 900 950 1040 1130 1220 1220 1350 1440 1800 612 Dental TOOTH EXTRACTION ( GRADE 1 ) 1450 1450 1530 1670 1820 1960 1960 2180 2320 2900 613 Dental TOOTH EXTRACTION ( GRADE 2 ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 614 Dental TOOTH EXTRACTION ( GRADE 3 ) 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 615 Dental TOOTH EXTRACTION ( LOOSE / MOBILE ) 650 650 690 750 820 880 880 980 1040 1300 616 Dental TOOTH JEWELLERY ( PER DIAMOND ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 617 Dental TOOTH JEWELLERY ( PER DIAMOND ) GRADE 1 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 618 Dental TOOTH SURGICAL EXTRACTION 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 619 Dental Upper /Lower full denture with 3 implants grade I 324000 324000 340200 372600 405000 437400 437400 486000 518400 648000 620 Dental Upper /Lower full denture with 3 implants grade II 378000 378000 396900 434700 472500 510300 510300 567000 604800 756000 621 Dental Upper /Lower full denture with 4 implants 378000 378000 396900 434700 472500 510300 510300 567000 604800 756000 622 Dental Upper /Lower full denture with 4 implants Grade I 432000 432000 453600 496800 540000 583200 583200 648000 691200 864000 623 Dental Upper /Lower full denture with 4 implants Grade II 486000 486000 510300 558900 607500 656100 656100 729000 777600 972000 624 Dental Upper facial third/ cranial base fracture Grade I (Simple) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 625 Dental Upper facial third/ cranial base fracture Grade II (Comminuted/ Com50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 626 Dental Upper facial third/ cranial base fracture Grade III (Multiple) 75000 75000 78750 86250 93750 101250 101250 112500 120000 150000 627 Dental UPPER FULL DENTURE WITH THREE IMPLANTS 216000 216000 226800 248400 270000 291600 291600 324000 345600 432000 628 Dental Upper Obturator Denture Grade I 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 629 Dental Upper Obturator Denture Grade II 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 630 Dental Upper Obturator Plate Grade I 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 631 Dental Upper Obturator Plate Grade II 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 632 Dental Vita 3D Crown Adv. (Per Crown) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 633 Dental WHITE LESION SURGICAL EXCISION + GRAFTING 17850 17850 18750 20530 22320 24100 24100 26780 28560 35700 634 Dental WOUND DEBRIDEMENT / DRESSING - LARGE 5400 5400 5700 6300 6800 7300 7300 8100 8700 10800 635 Dental WOUND DEBRIDEMENT / DRESSING - MEDIUM 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 636 Dental WOUND DEBRIDEMENT / DRESSING - SMALL 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 637 Dental ZYGOMA FRACTURE REPAIR 17850 17850 18750 20530 22320 24100 24100 26780 28560 35700 638 Dermatology Botox 100 Units 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 639 Dermatology BOTOX INJECTION ( 50 UNITS ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 640 Dermatology CORN / CALLOSITY PAIRING 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 641 Dermatology DERMAROLLERS TREATMENT 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 642 Dermatology DERMATOSIS PAPULOSA NIGRA (DPN) ELECTRIC CAUTERIZATIO350 350 370 410 440 480 480 530 560 700 643 Dermatology DERMATOSIS PAPULOSA NIGRA (DPN) ELECTRIC CAUTERIZATIO1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 644 Dermatology Filler Injection ( 1 syringe)- Fortelis/Juvederm Ultra plus/Juvede30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 645 Dermatology Filler Injection ( 2 syring )Fortelis/Juvederm Ultra plus/Juvederm50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 646 Dermatology Glycolic acid / Salicylic Acid Peel - 6 Session 12500 12500 13130 14380 15630 16880 16880 18750 20000 25000 647 Dermatology Glycolic acid / Salicylic Acid Peel - 6 Session- large part 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 648 Dermatology Glycolic acid / Salicylic Acid Peel - 6 Session- medium part 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 649 Dermatology Glycolic acid / Salicylic Acid Peel - Per Session- large part 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 650 Dermatology Glycolic acid / Salicylic Acid Peel - Per Session- medium part 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 651 Dermatology Glycolic acid / Salicylic Acid Peel - Per Session- small part 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 652 Dermatology INGROWING TOE NAIL EXCISION + MATRICECTOMY 2900 2900 3050 3340 3630 3920 3920 4350 4640 5800 653 Dermatology INTRALESIONAL INJECTION 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 654 Dermatology Large Lesion (Initial) 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 655 Dermatology Large per Lesion 750 750 790 870 940 1020 1020 1130 1200 1500 656 Dermatology LESION REMOVAL - SMALL 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 657 Dermatology MILIA EXTRACTION 1ST 5 LESIONS 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 658 Dermatology MILIA EXTRACTION EVERY SUBSEQUENT LESION 250 250 270 290 320 340 340 380 400 500 659 Dermatology MOLLUSCUM CONTAGIOSUM REMOVAL !ST 5 LESIONS 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 660 Dermatology MOLLUSCUM CONTAGIOSUM REMOVAL EVERY SUBSEQUENT L 250 250 270 290 320 340 340 380 400 500 661 Dermatology REMOVAL OF BIG LESION 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 662 Dermatology SKIN BIOPSY ( DERMA ) 2900 2900 3050 3340 3630 3920 3920 4350 4640 5800 663 Dermatology Small Lesion (Initial) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 664 Dermatology Small per Lesion 550 550 580 640 690 750 750 830 880 1100 665 DIABETOLOGY CORN / CALLUS DEBRIDEMENT ( DIABETOLOGY ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 666 DIABETOLOGY DIABETIC WOUNDS DRESSING ( MAJOR ) 550 550 580 640 690 750 750 830 880 1100 667 DIABETOLOGY DIABETIC WOUNDS DRESSING ( MINOR ) 300 300 320 350 380 410 410 450 480 600 668 DIABETOLOGY Thinner (P) 4950 4950 4950 5500 7700 8000 8250 9650 10200 11000 669 DIABETOLOGY TOE NAIL ( INGROWING ) CORRECTION ( DIABETOLOGY ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 670 DIABETOLOGY ULCER DEBRIDEMENT ( DIABETIC FOOT ) GRADE 1 2750 2750 2890 3170 3440 3720 3720 4130 4400 5500 671 DIABETOLOGY ULCER DEBRIDEMENT ( DIABETIC FOOT ) GRADE 2 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 672 E.N.T ACOUSTIC NEUROMA SURGICAL REMOVAL - ENT 59000 59000 61950 67850 73750 79650 79650 88500 94400 118000 673 E.N.T ADENOTONSILLECTOMY 21900 21900 23000 25190 27380 29570 29570 32850 35040 43800 674 E.N.T ANGIOFIBROMA EXCISION 49500 49500 51980 56930 61880 66830 66830 74250 79200 99000 675 E.N.T ANTERIOR ETHMOIDAL ARTERY LIGATION - ENT 29000 29000 30450 33350 36250 39150 39150 43500 46400 58000 676 E.N.T ANTRAL PUNCTURE ( BILATERAL ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 677 E.N.T ANTRAL PUNCTURE ( LEFT ) 1400 1400 1470 1610 1750 1890 1890 2100 2240 2800 678 E.N.T ANTRAL WASH OUT ( LEFT ) 1900 1900 2000 2190 2380 2570 2570 2850 3040 3800 679 E.N.T ANTRAL WASH OUT( BILATERAL ) 2950 3500 3500 3500 3500 3500 3500 4760 5040 5600 680 E.N.T AUDIOMETRY IMPEDENCE 450 450 480 520 570 610 610 680 720 900 681 E.N.T AUDIOMETRY PURE TONE 450 450 480 520 570 610 610 680 720 900 682 E.N.T AUDITORY BRAINSTEM RESPONSE TEST ( ABR ) / BRAINSTEM EVOKE3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 683 E.N.T AUDITORY STEADY STATE RESPONSE (ASSR) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 684 E.N.T BIOPSY ( ENT ) 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 685 E.N.T BRAIN STEM EVOKED RESPONSE AUDIOMETRY ( BERA ) TEST - ADUL3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 686 E.N.T BRANCHIAL CYST EXCISION ( ENT ) 19500 19500 20480 22430 24380 26330 26330 29250 31200 39000 687 E.N.T BRANCHIAL FISTULA EXCISION ( ENT ) 19500 19500 20480 22430 24380 26330 26330 29250 31200 39000 688 E.N.T BUCCAL MUCOSA WIDE EXCISION 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 689 E.N.T BUCCAL MUCOSA WIDE EXCISION + MARGINAL MANDIBULECT 39000 39000 40950 44850 48750 52650 52650 58500 62400 78000 690 E.N.T CALORIC TEST ( ENT ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 691 E.N.T Cartilage Reconstruction Of TM 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 692 E.N.T CAUTERIZATION ( EPISTAXIS ) 29000 29000 30450 33350 36250 39150 39150 43500 46400 58000 693 E.N.T CEREBROSPINAL FLUID ( CSF ) RHINORRHEA REPAIR - ENDOSCO 41050 41050 43110 47210 51320 55420 55420 61580 65680 82100 694 E.N.T CHOANAL ATRESIA RECANALISATION 26350 26350 27670 30310 32940 35580 35580 39530 42160 52700 695 E.N.T COCHLEAR IMPLANT - (P) 147500 147500 167500 199000 216500 239000 250500 295000 322500 386500 696 E.N.T COLONOSCOPY + POLYPECTOMY 12650 12650 13290 14550 15820 17080 17080 18980 20240 25300 697 E.N.T COLRULOPLOSTY BOTH EAR 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 698 E.N.T COLRULOPLOSTY ONE EAR 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 699 E.N.T COMMANDOS SURGERY 64800 64800 68040 74520 81000 87480 87480 97200 103680 129600 700 E.N.T CONSULTATION ( HEARING AID ) 350 350 370 410 440 480 480 530 560 700 701 E.N.T CORDECTOMY ( ENDOSCOPIC ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 702 E.N.T CORTICAL MASTOIDECTOMY RADICAL ( MODIFIED ) 25950 25950 27250 29850 32440 35040 35040 38930 41520 51900 703 E.N.T DACROCYSTORHINOSTOMY ( DCR ) - ENT 20550 20550 21580 23640 25690 27750 27750 30830 32880 41100 704 E.N.T DACRYOCYSTORHINOSTOMY ( DCR ) - ENDOSCOPIC ( ENT ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 705 E.N.T DENTAL IMPLANT ( POSTERIOR TEETH ) 71300 71300 74870 82000 89130 96260 96260 106950 114080 142600 706 E.N.T DERMOID CYST ( SUBLINGUAL ) EXCISION -ENT 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 707 E.N.T DERMOID CYST EXCISION - ENT 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 708 E.N.T DRESSING 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 709 E.N.T DRESSING ENT 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 710 E.N.T EAR LOBE / LOBULE REPAIR - BILATERAL ( ENT ) 5900 5900 6200 6790 7380 7970 7970 8850 9440 11800 711 E.N.T EAR LOBE REPAIR (ONE SIDE) 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 712 E.N.T EAR PACKING 500 500 530 580 630 680 680 750 800 1000 713 E.N.T EAR RECONSTRUCTION ( OPEN ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 714 E.N.T EAR RECONSTRUCTION (CLOSED) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 715 E.N.T EAR SUCTION CLEARANCE ( BILATERAL ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 716 E.N.T EAR WAX REMOVAL - BILATERAL 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 717 E.N.T EAR WAX REMOVAL - LEFT 600 600 630 690 750 810 810 900 960 1200 718 E.N.T ENDOLYMPHATIC SAC DECOMPRESSION 39000 39000 40950 44850 48750 52650 52650 58500 62400 78000 719 E.N.T Endoscopic Anterior Skull Base Surgery 79000 79000 82950 90850 98750 106650 106650 118500 126400 158000 720 E.N.T Endoscopic Trans- Nasal Trans Sphenoidal Surgery 59000 59000 61950 67850 73750 79650 79650 88500 94400 118000 721 E.N.T EPLEYS MANEUVRE 5900 5900 6200 6790 7380 7970 7970 8850 9440 11800 722 E.N.T ESOPHAGEAL STRICTURE DILATATION - STAGE 1 ( ENT ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 723 E.N.T ETHMOIDECTOMY EXTERNAL 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 724 E.N.T ETHMOIDECTOMY TRANSANTRAL ( BILATERAL ) 19900 19900 20900 22890 24880 26870 26870 29850 31840 39800 725 E.N.T EXOSTOSIS REMOVAL - EAR 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 726 E.N.T Expansion Pharyngoplasty 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 727 E.N.T EXTERNAL AUDITORY CANAL GROWTH EXCISION 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 728 E.N.T EXTERNAL CAROTID ARTERY LIGATION - ENT 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 729 E.N.T FACIAL NERVE DECOMPRESSION ( ENT ) 39500 39500 41480 45430 49380 53330 53330 59250 63200 79000 730 E.N.T FIBREOPTIC LARYNGOSCOPY ( FOL ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 731 E.N.T FOREHEAD EXPLORATION ( ENT ) 2050 2050 2160 2360 2570 2770 2770 3080 3280 4100 732 E.N.T FOREIGN BODY EAR ( LEFT ) REMOVAL 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 733 E.N.T FOREIGN BODY REMOVAL ( BRONCHOSCOPY RIGID ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 734 E.N.T FOREIGN BODY REMOVAL ( LARYNX ) 9750 9750 10240 11220 12190 13170 13170 14630 15600 19500 735 E.N.T FOREIGN BODY REMOVAL (DIRECT LARYNGOSCOPY ASSISTED) 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 736 E.N.T FOREIGN BODY REMOVAL (ESOPHAGOSCOPE ASSISTED) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 737 E.N.T FOREIGN BODY REMOVAL - EAR OR NOSE 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 738 E.N.T FOREIGN BODY REMOVAL - HYPOPHARYNX 9750 9750 10240 11220 12190 13170 13170 14630 15600 19500 739 E.N.T FRONTAL SINUS SURGERY RADICAL 43500 43500 45680 50030 54380 58730 58730 65250 69600 87000 740 E.N.T FUNCTIONAL ENDOSCOPIC SINUS SURGERY ( FESS ) - EXTENDE22800 22800 24000 26300 28500 30800 30800 34200 36500 45600 741 E.N.T FUNCTIONAL ENDOSCOPIC SINUS SURGERY ( FESS ) EXTENDED29500 29500 30980 33930 36880 39830 39830 44250 47200 59000 742 E.N.T FUNCTIONAL ENDOSCOPIC SINUS SURGERY ( FESS ) LIMITED - B23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 743 E.N.T FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS) - UNILATERA 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 744 E.N.T GLOMUS JUGULARE TUMOR EXCISION ( ENT ) 69000 69000 72450 79350 86250 93150 93150 103500 110400 138000 745 E.N.T GLOSSECTOMY - LIMITED 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 746 E.N.T GLOSSECTOMY PARTIAL ( ENT ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 747 E.N.T HEARING AID (HA) TRIAL (AUDIOLOGY) 650 650 690 750 820 880 880 980 1040 1300 748 E.N.T HEMANGIOMA EXCISION ( ENT ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 749 E.N.T HEMIGLOSSECTOMY ( ENT ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 750 E.N.T HEMIGLOSSECTOMY + RADICAL NECK DESECTION ( ENT ) 37800 37800 39690 43470 47250 51030 51030 56700 60480 75600 751 E.N.T Hernia Laryngectomy 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 752 E.N.T HYDROCORTISONE / GENTAMYCIN INSTILLATION - INTRATYMP7900 7900 8300 9090 9880 10670 10670 11850 12640 15800 753 E.N.T HYPOPHARYNGOSCOPY EXAMINATION 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 754 E.N.T KTP LASER TREATMENT - SMALL 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 755 E.N.T KTP LASER TREATMENT- MEDIUM 9750 9750 10240 11220 12190 13170 13170 14630 15600 19500 756 E.N.T LARYNGEAL / TRACHEAL STENOSIS EXCISION + REPAIR 41500 41500 43580 47730 51880 56030 56030 62250 66400 83000 757 E.N.T LARYNGEAL WEB EXCISION 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 758 E.N.T LARYNGECTOMY CONSERVATIVE 41050 41050 43110 47210 51320 55420 55420 61580 65680 82100 759 E.N.T LARYNGECTOMY PARTIAL 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 760 E.N.T LARYNGECTOMY SUPRAGLOTTIC 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 761 E.N.T LARYNGECTOMY TOTAL 37800 37800 39690 43470 47250 51030 51030 56700 60480 75600 762 E.N.T LARYNGECTOMY WITH BLOCK DISSECTION 48600 48600 51030 55890 60750 65610 65610 72900 77760 97200 763 E.N.T LARYNGOSCOPY DIRECT ( ENT ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 764 E.N.T LARYNGOSCOPY FIBEROPTIC ( DIAGNOSTIC ) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 765 E.N.T LARYNGOSCOPY FIBREOPTIC ( 1ST SITTING ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 766 E.N.T LARYNGOSCOPY RIGID 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 767 E.N.T LARYNGOTOMY ( LARYNGOFISSURE ) 19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 768 E.N.T LASER UP3 - ENT 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 769 E.N.T Lateral Skull Base Surgery 69000 69000 72450 79350 86250 93150 93150 103500 110400 138000 770 E.N.T MASTOID CAVITY OBLITERATION 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 771 E.N.T MASTOIDECTOMY 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 772 E.N.T MASTOIDECTOMY + TYMPANOPLASTY 37800 37800 39690 43470 47250 51030 51030 56700 60480 75600 773 E.N.T MASTOIDECTOMY MODIFIED RADICAL 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 774 E.N.T MASTOIDECTOMY RADICAL 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 775 E.N.T MAXILLECTOMY MEDIAL 34500 34500 36230 39680 43130 46580 46580 51750 55200 69000 776 E.N.T MAXILLECTOMY PARTIAL / MEDIAL 26600 26600 27930 30590 33250 35910 35910 39900 42560 53200 777 E.N.T MAXILLECTOMY TOTAL 50250 50250 52770 57790 62820 67840 67840 75380 80400 100500 778 E.N.T MEATAL STENOSIS CORRECTION ( ENT ) 7900 7900 8300 9090 9880 10670 10670 11850 12640 15800 779 E.N.T MEATOPLASTY WITH CAVAPLASTY + SKIN GRAFTING 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 780 E.N.T MENIERES DISEASE ( GENTAMYCIN THERAPY / SITTING ) 7900 7900 8300 9090 9880 10670 10670 11850 12640 15800 781 E.N.T MICROLARYNGEAL SURGERY 19500 19500 20480 22430 24380 26330 26330 29250 31200 39000 782 E.N.T Middle Cranial Fossa Exploration / Decompression / Repair Fn 59000 59000 61950 67850 73750 79650 79650 88500 94400 118000 783 E.N.T MINI TRACHEOSTOMY 9200 9200 9700 10600 11500 12500 12500 13800 14800 18400 784 E.N.T MYRINGOPLASTY 17400 17400 18270 20010 21750 23490 23490 26100 27840 34800 785 E.N.T MYRINGOTOMY ( LEFT ) 5750 5750 6040 6620 7190 7770 7770 8630 9200 11500 786 E.N.T MYRINGOTOMY BILATERAL 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 787 E.N.T MYRINGOTOMY WITH GROMMET INSERTION ( BOTH EARS ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 788 E.N.T MYRINGOTOMY WITH GROMMET INSERTION ( LEFT EAR ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 789 E.N.T NASAL BIOPSY - ENT 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 790 E.N.T NASAL BONES - REDUCTION MANIPULATION 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 791 E.N.T NASAL BONES FRACTURE REDUCTION 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 792 E.N.T NASAL CAUTERIZATION 1400 1400 1470 1610 1750 1890 1890 2100 2240 2800 793 E.N.T NASAL ENDOSCOPY - DIAGNOSTIC ( ENT ) 2900 2900 3050 3340 3630 3920 3920 4350 4640 5800 794 E.N.T NASAL PACKING ( ANTERIOR & POSTERIOR ) - UNILATERAL 19500 19500 20480 22430 24380 26330 26330 29250 31200 39000 795 E.N.T NASAL PACKING ( POSTERIOR ) 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 796 E.N.T NASAL PACKING(ANTERIOR) 5900 5900 6200 6790 7380 7970 7970 8850 9440 11800 797 E.N.T NASAL PHARYNGOLARYNGOSCOPY 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 798 E.N.T NASAL POLYPECTOMY ( BILATERAL ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 799 E.N.T NASAL PUNCH BIOPSY 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 800 E.N.T NASAL SINUS ENDOSCOPY ( POST OPERATIVE ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 801 E.N.T NASAL TUMOR EXCISION ( ENDOSCOPIC ) 39000 39000 40950 44850 48750 52650 52650 58500 62400 78000 802 E.N.T NASOETHMOIDAL COMPLEX FRACTURE SURGICAL REDUCTION16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 803 E.N.T NASOPHARYNGEAL ANGIOFIBROMA EXCISION 37800 37800 39690 43470 47250 51030 51030 56700 60480 75600 804 E.N.T NASOPHARYNX EXAMINATION + BIOPSY 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 805 E.N.T NECK DISSECTION RADICAL ( ENT ) 48600 48600 51030 55890 60750 65610 65610 72900 77760 97200 806 E.N.T NECK EXPLORATION + BIOPSY - ENT 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 807 E.N.T NECK WOUNDS ( SMALL ) SUTURING 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 808 E.N.T OPTIC NERVE DECOMPRESSION ( ENDOSCOPIC ) 48600 48600 51030 55890 60750 65610 65610 72900 77760 97200 809 E.N.T ORBITAL DECOMPRESSION ( ENDOSCOPIC ) 48600 48600 51030 55890 60750 65610 65610 72900 77760 97200 810 E.N.T OROANTRAL FISTULA REPAIR ( ENT ) 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 811 E.N.T OROPHARYNX / ORAL CAVITY PUNCH BIOPSY 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 812 E.N.T OSSICULOPLASTY 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 813 E.N.T OTOACOUSTIC EMISSIONS ( OAE ) 750 750 790 870 940 1020 1020 1130 1200 1500 814 E.N.T OTOENDOSCOPY 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 815 E.N.T OTOMICROSCOPY 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 816 E.N.T PALATAL REPAIR 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 817 E.N.T PALATOPLASTY 19500 19500 20480 22430 24380 26330 26330 29250 31200 39000 818 E.N.T PAN ENDOSCOPY + BIOPSY 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 819 E.N.T PAPILLOMA EXCISION - TONGUE ( ENT ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 820 E.N.T PARA PHARYNGEAL TUMOR EXCISION 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 821 E.N.T PARAPHARYNGEAL ABSCESS INCISION AND DRAINAGE 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 822 E.N.T Peritonsillar Abscess Drainage without Anesthesia 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 823 E.N.T PERITONSILLAR ABSCESS INCISION AND DRAINAGE 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 824 E.N.T PERITONSILLAR ABSCESS INCISION AND DRAINAGE 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 825 E.N.T PHARYNGEAL DIVERTICULUM EXCISION ( ENT ) 20550 20550 21580 23640 25690 27750 27750 30830 32880 41100 826 E.N.T PHARYNGOTOMY LATERAL 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 827 E.N.T PINNA PIERCING ( BILATERAL ) - ENT 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 828 E.N.T PINNA PIERCING ( LEFT ) - ENT 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 829 E.N.T PLAY AUDIOMETRY 650 650 690 750 820 880 880 980 1040 1300 830 E.N.T POLYPECTOMY NASAL( LEFT ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 831 E.N.T POSITIONAL TEST - ENT 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 832 E.N.T PREAURICULAR SINUS EXCISION 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 833 E.N.T PUNCH BIOPSY ( ENT ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 834 E.N.T RADIOFREQUENCY ABLATION (UP3) - 1ST SITTING 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 835 E.N.T RADIOFREQUENCY ABLATION (UP3) -SUBSEQUENT SITTING 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 836 E.N.T RETROPHARYNGEAL ABSCESS INCISION AND DRAINAGE 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 837 E.N.T REVISION MASTOIDECTOMY 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 838 E.N.T RHINOPLASTY ( ENT ) 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 839 E.N.T RHINOTOMY 19900 19900 20900 22890 24880 26870 26870 29850 31840 39800 840 E.N.T RHINOTOMY LATERAL 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 841 E.N.T SEBACEOUS CYST ( NECK ) EXCISION ( ENT ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 842 E.N.T SELECTIVE GRINDING ( GRADE 2 ) - PER TOOTH 59400 59400 62370 68310 74250 80190 80190 89100 95040 118800 843 E.N.T SEPTOPLASTY 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 844 E.N.T SEPTOPLASTY + RADIOFREQUENCY ABLATION 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 845 E.N.T SEPTORHINOPLASTY ( SEPTOPLASTY + RHINOPLASTY ) 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 846 E.N.T SHORT INCREMENT SENSITIVITY INDEX ( SISI ) 650 650 690 750 820 880 880 980 1040 1300 847 E.N.T SMALL CYST EXCISION ( ENT ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 848 E.N.T SMALL WOUND SUTURING ( ENT ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 849 E.N.T Specilal Tests 350 350 370 410 440 480 480 530 560 700 850 E.N.T SPEECH DISCRIMINATION SCORE ( SDS ) - SPEECH AUDIOMETR 450 450 480 520 570 610 610 680 720 900 851 E.N.T SPEECH THERAPY ( 1ST SESSION ) 450 450 480 520 570 610 610 680 720 900 852 E.N.T SPEECH THERAPY ( FOLLOW UP SESSION ) 350 350 370 410 440 480 480 530 560 700 853 E.N.T SPEECH THERAPY ( PER SITTING ) 450 450 480 520 570 610 610 680 720 900 854 E.N.T SPHENOID SINUS SURGERY RADICAL 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 855 E.N.T SPHENOIDECTOMY ( ENDOSCOPIC ) 29000 29000 30450 33350 36250 39150 39150 43500 46400 58000 856 E.N.T SPHENOPALATINE ARTERY (SPA) LIGATION ( ENDOSCOPIC ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 857 E.N.T SPLINT REMOVAL ( ENT ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 858 E.N.T SPLINT REMOVAL ( ENT ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 859 E.N.T STAPEDECTOMY 39000 39000 40950 44850 48750 52650 52650 58500 62400 78000 860 E.N.T STROBOSCOPY (1ST SITTING) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 861 E.N.T STYLOIDECTOMY ( BILATERAL ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 862 E.N.T STYLOIDECTOMY ( LEFT ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 863 E.N.T SUBMANDIBULAR DUCT CALCULUS REMOVAL - INTRAORAL ( ENT 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 864 E.N.T SUBMUCOSAL DIATHERMY CAUTERIZATION 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 865 E.N.T SUBMUCOUS DIATHERMY - LEFT 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 866 E.N.T Submucus Resection 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 867 E.N.T SUBNASAL DIATHERMY 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 868 E.N.T SUTURE REMOVAL ( ENT ) 750 750 790 870 940 1020 1020 1130 1200 1500 869 E.N.T SYNAECHIAE EXCISION - NASAL ( BILATERAL ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 870 E.N.T SYNAECHIAE EXCISION - NASAL ( LEFT ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 871 E.N.T SYRINGING EAR ( FOR FOREIGN BODY REMOVAL ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 872 E.N.T Temporal Encephalocoele Repair 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 873 E.N.T Temporal Encephalocoele Repair Middle Cranial Fossa 49000 49000 51450 56350 61250 66150 66150 73500 78400 98000 874 E.N.T THYROGLOSSAL CYST EXCISION ( ENT ) 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 875 E.N.T THYROGLOSSAL SINUS EXCISION ( ENT ) 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 876 E.N.T THYROPLASTY 29500 29500 30980 33930 36880 39830 39830 44250 47200 59000 877 E.N.T TONGUE BIOPSY 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 878 E.N.T Tongue Suspension 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 879 E.N.T TONGUE TIE RELEASE + SUTURING ( ENT ) 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 880 E.N.T TONGUE ULCER EXCISION - ENT 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 881 E.N.T TONSILLAR FLORA 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 882 E.N.T TONSILLECTOMY ( LEFT ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 883 E.N.T TRACHEAL RECONSTRUCTION 43200 43200 45360 49680 54000 58320 58320 64800 69120 86400 884 E.N.T TRACHEOSTOMY ( ENT ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 885 E.N.T TRACHEOSTOMY TUBE REPLACEMENT 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 886 E.N.T TURBIMECTOMY LOWER ( BILATERAL ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 887 E.N.T TURBINATE REDUCTION (MICRO DEBRIDER) - BILATERAL 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 888 E.N.T TURBINECTOMY MIDDLE ( BILATERAL ) 13500 13500 14180 15530 16880 18230 18230 20250 21600 27000 889 E.N.T TURBINECTOMY PARTIAL 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 890 E.N.T TYMPANOMASTOIDECTOMY 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 891 E.N.T TYMPANOPLASTY 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 892 E.N.T TYMPANOTOMY 15150 15150 15910 17430 18940 20460 20460 22730 24240 30300 893 E.N.T UVULOPALATOPLASTY - ENT 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 894 E.N.T UVULOPHARYNGOPALATOPLASTY - ENT 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 895 E.N.T VIDEO ENDOSCOPY - ENT 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 896 E.N.T VIDIAN NEURECTOMY - ENT 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 897 Gastroenterolgy ACHALASIA CARDIA DILATATION 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 898 Gastroenterolgy ARGON PLASMA COAGULATION ( APC ) - SMALL AREA 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 899 Gastroenterolgy ASCITIC TAP (PARACENTESIS) THERAPEUTIC 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 900 Gastroenterolgy BIB PLACEMENT (P) 32600 20600 20600 24200 38700 41500 42300 51350 55000 60400 901 Gastroenterolgy BIB Removal 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 902 Gastroenterolgy BIB Placement DAY CARE (P) 31350 20600 20600 24200 38700 41500 42300 51350 55000 60400 903 Gastroenterolgy BILIARY PAPILLOTOMY ( GASTROINTESTINAL SURGERY ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 904 Gastroenterolgy BILIARY STENT REMOVAL 10200 10200 10710 11730 12750 13770 13770 15300 16320 20400 905 Gastroenterolgy BILIARY STENTING ( GASTROINTESTINAL SURGERY ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 906 Gastroenterolgy BILIARY STONE EXTRACTION ( GASTROINTESTINAL SURGERY ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 907 Gastroenterolgy BIPOLAR CAUTERIZATION ( ENDOSCOPIC ) - GASTROENTEROLO 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 908 Gastroenterolgy Bolus Impaction Renuoval 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 909 Gastroenterolgy C- UREA BREATH TEST (H.PYLORI) 4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 910 Gastroenterolgy CAPSULE ENDOSCOPY 44300 44300 46520 50950 55380 59810 59810 66450 70880 88600 911 Gastroenterolgy CBD / PD STENT REMOVAL ( ENDOSCOPIC ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 912 Gastroenterolgy COLON DILATATION 12650 12650 13290 14550 15820 17080 17080 18980 20240 25300 913 Gastroenterolgy COLONOSCOPY ( FULL LENGTH ) - BEDSIDE 9700 9700 10200 11200 12200 13100 13100 14600 15600 19400 914 Gastroenterolgy COLONOSCOPY ( PEDIATRIC ) 9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 915 Gastroenterolgy COLONOSCOPY LEFT ( LIMITED ) 6300 6300 6700 7300 7900 8600 8600 9500 10100 12600 916 Gastroenterolgy COLONOSCOPY WITH BIOPSY 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 917 Gastroenterolgy ENDOCRYL INJECTION ( ENDOSCOPIC ) - GASTROENTEROLOGY 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 918 Gastroenterolgy ENDOPROSTHESIS ( UPPER GIT ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 919 Gastroenterolgy ENDOPROSTHESIS (COLONIC) 12500 12500 13130 14380 15630 16880 16880 18750 20000 25000 920 Gastroenterolgy ENDOSCOPIC BIOPSY (SINGLE SITE) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 921 Gastroenterolgy ENDOSCOPIC MUCOSAL RESECTION ( EMR ) - ( GASTROENTERO9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 922 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 923 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 924 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (15600 15600 16400 18000 19500 21100 21100 23400 25000 31200 925 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 926 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (10200 10200 10710 11730 12750 13770 13770 15300 16320 20400 927 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 928 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 929 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (17000 17000 17850 19550 21250 22950 22950 25500 27200 34000 930 Gastroenterolgy ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 931 Gastroenterolgy ENDOSCOPY ( BEDSIDE ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 932 Gastroenterolgy ENDOSCOPY BEDSIDE ( GASTROENTEROLOGY ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 933 Gastroenterolgy ENTEROSCOPY 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 934 Gastroenterolgy ESOPHAGEAL DILATATION - GASTROENTEROLOGY 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 935 Gastroenterolgy ESOPHAGEAL VARICES BAND LIGATION ( ENDOSCOPIC ) 6900 6900 7250 7940 8630 9320 9320 10350 11040 13800 936 Gastroenterolgy ESOPHAGOGASTRODUODENOSCOPY ( PEDIATRIC ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 937 Gastroenterolgy FIBROSCAN 3500 3500 3680 4030 4380 4730 4970 5250 5600 7000 938 Gastroenterolgy FOREIGN BODY (GIT) REMOVAL 6900 6900 7250 7940 8630 9320 9320 10350 11040 13800 939 Gastroenterolgy GASTROSTOMY ( ENDOSCOPIC ) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 940 Gastroenterolgy GI ( UPPER ) ENDOSCOPY - DIAGNOSTIC 4100 4100 4400 4800 5200 5600 5600 6200 6600 8200 941 Gastroenterolgy HEMOCLIP ( ENDOSCOPIC ) - GASTROENTEROLOGY 8450 8450 8880 9720 10570 11410 11410 12680 13520 16900 942 Gastroenterolgy LIVER BIOPSY ( PEDIATRIC ) 4900 4900 5150 5640 6130 6620 6620 7350 7840 9800 943 Gastroenterolgy LIVER BIOPSY PERCUTANEOUS ( GASTROENTEROLOGY ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 944 Gastroenterolgy MECHANICAL LITHOTRIPSY 10500 10500 11030 12080 13130 14180 14180 15750 16800 21000 945 Gastroenterolgy METAL STENTING ( ENDOSCOPIC ) - GASTROENTEROLOGY 10400 10400 10920 11960 13000 14040 14040 15600 16640 20800 946 Gastroenterolgy MONOPOLAR CAUTERIZATION ( ENDOSCOPIC ) - GASTROENTE6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 947 Gastroenterolgy N J Tube Insertion (Non Endoscopic) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 948 Gastroenterolgy NASAL JEJUNAL FEEDING TUBE ( NJFT ) PLACEMENT 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 949 Gastroenterolgy NECTACRYLE INJECTION ( ENDOSCOPIC ) - GASTROENTEROLOG 8650 8650 9090 9950 10820 11680 11680 12980 13840 17300 950 Gastroenterolgy PEDIATRIC ENDOSCOPY ( < 12 YEARS ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 951 Gastroenterolgy PERCUTANEOUS ENDOSCOPIC GASTROSTOMY ( PEG ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 952 Gastroenterolgy PERCUTANEOUS ENDOSCOPIC GASTROSTOMY ( PEG ) REMOVA 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 953 Gastroenterolgy PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY 122450 122450 128580 140820 153070 165310 165310 183680 195920 244900 954 Gastroenterolgy POLYPECTOMY 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 955 Gastroenterolgy POLYPECTOMY GASTROINTESTINAL ( ENDOSCOPIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 956 Gastroenterolgy PSEUDOCYST DRAINAGE ( ENDOSCOPIC ) - GASTROENTEROLOG 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 957 Gastroenterolgy PYLORIC ( ANTRAL ) STENTING - ENDOSCOPIC 10400 10400 10920 11960 13000 14040 14040 15600 16640 20800 958 Gastroenterolgy RECTAL DECOMPRESSION ( MANUAL ) 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 959 Gastroenterolgy RUT TEST (H.PYLORI) 1000 1000 1050 1150 1250 1350 1000 1360 1440 1600 960 Gastroenterolgy RYLES TUBE INSERTION ( ENDOSCOPIC ) 6300 6300 6620 7250 7880 8510 8510 9450 10080 12600 961 Gastroenterolgy SCLEROTHERAPY ENDOSCOPIC (EST) 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 962 Gastroenterolgy SELF EXPANDABLE ESOPHAGEAL METALLIC STENT ( SEMS ) PLAC10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 963 Gastroenterolgy SENGSTAKEN BLAKMORE TUBE PLACEMENT 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 964 Gastroenterolgy SIGMOIDOSCOPY ( DIAGNOSTIC ) 2900 2900 3050 3340 3630 3920 3920 4350 4640 5800 965 Gastroenterolgy SIGMOIDOSCOPY ( PEDIATRIC ) 3400 3400 3570 3910 4250 4590 4590 5100 5440 6800 966 Gastroenterolgy STENT REMOVAL ( ENDOSCOPIC ) - GASTROENTEROLOGY 5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 967 Gastroenterolgy UGI ENDOSCOPY ARGON PLASMA COAGULATION 9800 9800 10290 11270 12250 13230 13230 14700 15680 19600 968 Gastroenterolgy ULCER SCLEROTHERAPY 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 969 Gastroenterolgy UPPER GASTROINTESTINAL ENDOSCOPY + BIOPSY 6200 6200 6600 7200 7800 8400 8400 9300 10000 12400 970 GENERAL SURGERY ABDOMINAL ABSCESS DRAINAGE 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 971 GENERAL SURGERY ABDOMINAL WALL HEMATOMA DRAINAGE 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 972 GENERAL SURGERY Abdomino Perineal Resection (Intermediate)- (P) 267300 168300 168300 198000 251500 269500 322000 406500 450450 629500 973 GENERAL SURGERY Abdomino Perineal Resection (Major)- (P) 297000 179000 179000 212000 271500 291000 349500 443000 492500 690500 974 GENERAL SURGERY ABDOMINOPERINEAL PULL THROUGH RESECTION + COLONIC AN30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 975 GENERAL SURGERY ABSCESS ( SMALL ) INCISION AND DRAINAGE 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 976 GENERAL SURGERY ABSCESS (RETROPERITONEAL) DRAINAGE - GENERAL SURGERY 19400 19400 20370 22310 24250 26190 26190 29100 31040 38800 977 GENERAL SURGERY ADHESIOLYSIS / DIVISION OF BANDS 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 978 GENERAL SURGERY AMPUTATION - PENIS ( TOTAL ) + BLOCK DISSECTION 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 979 GENERAL SURGERY AMPUTATION PENIS - PARTIAL ( GENERAL SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 980 GENERAL SURGERY ANAL SPHINCTER REPAIR ( GENERAL SURGERY ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 981 GENERAL SURGERY Anterior Resection With Ileostomy/Colostoy (Intermediate) - (P 283500 174500 174500 206000 263000 282000 337500 427000 473750 663500 982 GENERAL SURGERY Anterior Resection With Ileostomy/Colostoy (Major) - (P) 315000 186000 186000 221000 284000 305000 367000 466500 518500 729000 983 GENERAL SURGERY APPENDICECTOMY ( ACUTE APPENDICITIS ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 984 GENERAL SURGERY APPENDICULAR ABSCESS DRAINAGE 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 985 GENERAL SURGERY BRANCHIAL CYST EXCISION 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 986 GENERAL SURGERY BREAST ABSCESS DRAINAGE 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 987 GENERAL SURGERY BREAST LUMP (FIBROADENOMA) EXCISION WITH SECTOR MAS10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 988 GENERAL SURGERY BURST ABDOMEN REPAIR 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 989 GENERAL SURGERY CARBUNCLE EXCISION 9500 9500 9980 10930 11880 12830 12830 14250 15200 19000 990 GENERAL SURGERY CERVICAL SYMPATHECTOMY - GENERAL SURGERY 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 991 GENERAL SURGERY CHOLECYSTECTOMY ( OPEN ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 992 GENERAL SURGERY CHOLECYSTECTOMY + CHOLEDOCHOLITHOTOMY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 993 GENERAL SURGERY CHOLECYSTOJEJUNOSTOMY 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 994 GENERAL SURGERY CHOLECYSTOJEJUNOSTOMY ( LAPAROSCOPIC ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 995 GENERAL SURGERY COLECTOMY + ILEORECTAL ANASTOMOSIS 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 996 GENERAL SURGERY COLECTOMY + LLEORECTAL ANASTOMOSIS ( LAPAROSCOPIC ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 997 GENERAL SURGERY COLECTOMY SIGMOID 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 998 GENERAL SURGERY COLON REPLACEMENT SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 999 GENERAL SURGERY COMMON HEPATIC DUCT RESECTION + REPAIR 31600 31600 33180 36340 39500 42660 42660 47400 50560 63200 1000 GENERAL SURGERY CYST EXCISION ( GENERAL SURGERY ) 7600 7600 7980 8740 9500 10260 10260 11400 12160 15200 1001 GENERAL SURGERY CYSTIC HYGROMA EXCISION ( MAJOR ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1002 GENERAL SURGERY CYSTIC HYGROMA EXCISION ( MINOR ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1003 GENERAL SURGERY DERMOID CYST EXCISION 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1004 GENERAL SURGERY DEVASCULARIZATION ( GENERAL SURGERY ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1005 GENERAL SURGERY DUODENOSTOMY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1006 GENERAL SURGERY EAR LOBULE REPAIR ( LEFT ) - GENERAL SURGERY 6900 6900 7250 7940 8630 9320 9320 10350 11040 13800 1007 GENERAL SURGERY Exploratory Laparotomy + Resection Anastaomosis - (P) 175500 103500 103500 123000 158500 170500 205000 260500 288750 407000 1008 GENERAL SURGERY Exploratory Laparotomy + Simple Closure Of Perforated Ulcer/R194700 101500 101500 120500 155000 166500 200000 254000 282000 397000 1009 GENERAL SURGERY Exploratory Laparotomy - (P) 139500 89600 89600 105100 133100 142600 170100 214100 236850 330600 1010 GENERAL SURGERY EXPLORATORY LAPAROTOMY - GENERAL SURGERY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1011 GENERAL SURGERY FASCIOTOMY - LARGE ( GENERAL SURGERY ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 1012 GENERAL SURGERY FISSURECTOMY 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1013 GENERAL SURGERY FISTULA IN ANO ( HIGH LEVEL ) REPAIR / FISTULECTOMY 19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 1014 GENERAL SURGERY FISTULA IN ANO ( LOW LEVEL ) REPAIR / FISTULECTOMY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1015 GENERAL SURGERY FISTULECTOMY - GENERAL SURGERY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1016 GENERAL SURGERY FREIGN BODY ( ESOPHAGUS ) REMOVAL - OPEN 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1017 GENERAL SURGERY GASTRECTOMY - PARTIAL / SUBTOTAL ( GI SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1018 GENERAL SURGERY GASTRECTOMY - TOTAL ( GI SURGERY ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 1019 GENERAL SURGERY GASTROJEJUNOSTOMY ( GENERAL SURGERY ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1020 GENERAL SURGERY Gastrostomy or Jejunostomy 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1021 GENERAL SURGERY HAEMORRHOIDECTOMY STAPLED - (P) 79200 41000 45000 52900 60800 68800 68800 80600 88600 120200 1022 GENERAL SURGERY HEMI COLECTOMY (TRANSVERSE) - GENERAL SURGERY 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 1023 GENERAL SURGERY Hemicolectomy, Ileostomy/Colostomy (Intermediate) - (P) 283500 174500 174500 206000 263000 282000 337500 427000 473750 663500 1024 GENERAL SURGERY Hemicolectomy, Ileostomy/Colostomy (Major) - (P) 315000 186000 186000 221000 284000 305000 367000 466500 518500 729000 1025 GENERAL SURGERY HEMORRHOIDECTOMY ( OPEN ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1026 GENERAL SURGERY HERNIA ( DIAPHRAGMATIC ) REPAIR - GENERAL SURGERY 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1027 GENERAL SURGERY HERNIA ( INCISIONAL - STRANGULATED ) REPAIR - GENERAL SUR20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1028 GENERAL SURGERY HERNIA ( INGUINAL ) REPAIR - GENERAL SURGERY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1029 GENERAL SURGERY HERNIA ( INGUINAL - RECURRENT ) REPAIR 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1030 GENERAL SURGERY HERNIA ( STRANGULATED - ANY EXCEPT INCISIONAL HERNIA ) R22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1031 GENERAL SURGERY HERNIA ( VENTRAL / INCISIONAL ) REPAIR 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1032 GENERAL SURGERY HERNIA (EPIGASTRIC) REPAIR 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1033 GENERAL SURGERY HERNIA (HIATUS) REPAIR - GENERAL SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1034 GENERAL SURGERY HERNIA (INCISIONAL) REPAIR - GENERAL SURGERY 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1035 GENERAL SURGERY HERNIA (SPIGELIAN) REPAIR - GENERAL SURGERY 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1036 GENERAL SURGERY HERNIOPLASTY ( BILATERAL ) 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1037 GENERAL SURGERY HERNIOPLASTY ( LEFT ) 17500 17500 18380 20130 21880 23630 23630 26250 28000 35000 1038 GENERAL SURGERY HERNIORRHAPHY FEMORAL 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1039 GENERAL SURGERY HIRSCHSPRUNGS DISEASE RESECTION 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1040 GENERAL SURGERY HYDATID CYST ( LIVER ) EXCISION - GENERAL SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1041 GENERAL SURGERY HYDROCOELE REPAIR ( LEFT ) 13900 13900 14600 15990 17380 18770 18770 20850 22240 27800 1042 GENERAL SURGERY ILEOSTOMY / JEJUNOSTOMY CLOSURE 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1043 GENERAL SURGERY INGUINAL HERNIOTOMY ( LEFT ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1044 GENERAL SURGERY INSULINOMA EXCISION 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1045 GENERAL SURGERY INTESTINAL FISTULA REPAIR 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1046 GENERAL SURGERY INTESTINAL RESECTION AND ANASTOMOSIS 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1047 GENERAL SURGERY INTUSSUSCEPTION SURGICAL REDUCTION 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1048 GENERAL SURGERY ISCHIORECTAL ABSCESS SURGICAL DRAINAGE 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1049 GENERAL SURGERY JEJUNAL INTERPOSITION (POST POLY GASTRECTOMY) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1050 GENERAL SURGERY JEJUNOJEJUNOSTOMY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1051 GENERAL SURGERY JEJUNOJEJUNOSTOMY ( LAPAROSCOPIC ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1052 GENERAL SURGERY LAPAROSCOPY DIAGNOSTIC ( GENERAL SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1053 GENERAL SURGERY LINGUAL THYROID EXCISION 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1054 GENERAL SURGERY LIPOMA (MULTIPLE) EXCISION 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1055 GENERAL SURGERY LIPOMA EXCISION 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1056 GENERAL SURGERY LIVER ABSCESS DRAINAGE ( OPEN ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1057 GENERAL SURGERY LIVER PARTIAL RESECTION (LATERAL SEGMENTECTOMY) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1058 GENERAL SURGERY LOOP COLOSTOMY CLOSURE 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1059 GENERAL SURGERY LORDS PROCEDURE - ANAL DILATATION 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 1060 GENERAL SURGERY LYMPH NODE BIOPSY ( GENERAL SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1061 GENERAL SURGERY MESENTERIC CYST EXCISION 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 1062 GENERAL SURGERY NECK DISSECTION RADICAL ( GENERAL SURGERY ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1063 GENERAL SURGERY Oesophagectomy Reconstruction & FJ (Intermediate) - (P) 291600 177600 177600 210000 268500 288000 345000 437000 485400 794000 1064 GENERAL SURGERY Oesophagectomy Reconstruction & FJ (Major) - (P) 324000 190000 190000 226000 291000 312500 376000 478000 532000 747500 1065 GENERAL SURGERY ORCHIDECTOMY ( LEFT ) - GENERAL SURGERY 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1066 GENERAL SURGERY ORCHIDOPEXY ( LEFT ) - GENERAL SURGERY 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1067 GENERAL SURGERY PANCREATIC ABSCESS NECROSECTOMY AND DRAINAGE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1068 GENERAL SURGERY PANCREATIC PSEUDOCYST SURGERY ( LAPAROSCOPIC ) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1069 GENERAL SURGERY PARACENTESIS - GENERAL SURGERY 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 1070 GENERAL SURGERY PARATHYROIDECTOMY - GENERAL SURGERY 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1071 GENERAL SURGERY PAROTIDECTOMY (TOTAL) - GENERAL SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1072 GENERAL SURGERY PAROTIDECTOMY SUPERFICIAL ( GENERAL SURGERY ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1073 GENERAL SURGERY Partial Gastrectomy & FJ (Intermediate) - (P) 274500 171500 171500 202000 257000 275000 329000 415500 461250 644000 1074 GENERAL SURGERY Partial Gastrectomy & FJ (Major) - (P) 301500 181500 181500 215000 275500 295500 355000 450000 499750 701000 1075 GENERAL SURGERY PERFORATED PEPTIC ULCER CLOSURE ( SIMPLE ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1076 GENERAL SURGERY PERIANAL / ISCHIORECTAL / GLUTEAL ABSCESS DRINAGE 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1077 GENERAL SURGERY PILONIDAL SINUS EXCISION 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 1078 GENERAL SURGERY PORTAL HYPERTENSION SURGERY 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1079 GENERAL SURGERY PROCTOCOLECTOMY 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 1080 GENERAL SURGERY PYLOROMYOTOMY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1081 GENERAL SURGERY RANULA EXCISION ( GENERAL SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1082 GENERAL SURGERY RECTAL PROLAPSE REPAIR 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 1083 GENERAL SURGERY RECTOPEXY STAPLED 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1084 GENERAL SURGERY RECURRENT ULCER SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1085 GENERAL SURGERY RETROPERITONEAL TUMOR EXCISION 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1086 GENERAL SURGERY RIB RESECTION + DRAINAGE ( GENERAL SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1087 GENERAL SURGERY Roux Eny Hepatico Jejunostomy (Intermediate) - (P) 243000 159000 159000 169000 235000 251000 299000 376000 415500 578500 1088 GENERAL SURGERY Roux Eny Hepatico Jejunostomy (Major) - (P) 270000 169000 169000 199000 253000 271000 324000 409000 454000 633500 1089 GENERAL SURGERY SALIVARY GLAND ( SUBMANDIBULAR ) REMOVAL / SIALADENEC18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1090 GENERAL SURGERY SCALENE NODE BIOPSY 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1091 GENERAL SURGERY SCALENOTOMY ( SCALENUS ANTICUS SYNDROME ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1092 GENERAL SURGERY SCROTAL CYSTS ( MULTIPLE ) EXCISION - GENERAL SURGERY 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1093 GENERAL SURGERY SEBACEOUS CYST EXCISION 6200 6200 6510 7130 7750 8370 8370 9300 9920 12400 1094 GENERAL SURGERY SMALL BOWEL RESECTION AND ANASTOMOSIS (MULTIPLE) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1095 GENERAL SURGERY SPLENECTOMY 22500 22500 23700 25900 28200 30400 30400 33800 36000 45000 1096 GENERAL SURGERY SUBMANDIBULAR DUCT CALCULUS REMOVAL - INTRAORAL ( G11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 1097 GENERAL SURGERY SUPRAPUBIC DRAINAGE - GENERAL SURGERY 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1098 GENERAL SURGERY Surgery For Intestinal Obstruction - (P) 162000 98000 98000 116000 148500 159500 191000 242000 269000 377000 1099 GENERAL SURGERY Surgery For Pancreatic Necrosectomy (Intermediate) - (P) 243000 165000 165000 192000 241000 257000 305000 382000 421500 584500 1100 GENERAL SURGERY Surgery For Pancreatic Necrosectomy (Major) - (P) 270000 175000 175000 205000 259000 277000 330000 415000 460000 639500 1101 GENERAL SURGERY Surgery For Pseudopancreatic Cyst (Intermediate) - (P) 243000 161000 161000 188000 237000 253000 301000 378000 417500 580500 1102 GENERAL SURGERY Surgery For Pseudopancreatic Cyst (Major) - (P) 270000 174000 174000 204000 258000 276000 329000 414000 459000 638500 1103 GENERAL SURGERY SUTURE OF PANCREAS 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1104 GENERAL SURGERY THIERSCH OPERATION 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1105 GENERAL SURGERY THYROGLOSSAL CYST EXCISION 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1106 GENERAL SURGERY THYROID LOBECTOMY 35000 29550 30800 46930 58700 63400 63400 70400 75100 93900 1107 GENERAL SURGERY THYROIDECTOMY (SUBTOTAL) - GENERAL SURGERY 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 1108 GENERAL SURGERY THYROIDECTOMY (TOTAL) - GENERAL SURGERY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1109 GENERAL SURGERY Total Gastrectomy & FJ (Intermediate) - (P) 291600 177600 177600 210000 268500 288000 345000 437000 485400 680000 1110 GENERAL SURGERY Total Gastrectomy & FJ (Major) - (P) 324000 190000 190000 226000 291000 312500 376000 478000 532000 747500 1111 GENERAL SURGERY TRIPLE BYPASS SURGERY 37800 37800 39690 43470 47250 51030 51030 56700 60480 75600 1112 GENERAL SURGERY TUBE CAECOSTOMY 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1113 GENERAL SURGERY TUMOR EXCISION ( LARGE - SUPERFICIAL ) - GENERAL SURGERY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1114 GENERAL SURGERY TUMOR EXCISION ( SMALL - SUPERFICIAL ) - GENERAL SURGER 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1115 GENERAL SURGERY UMBILECTOMY 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1116 GENERAL SURGERY VAGOTOMY ( HIGHLY SELECTIVE ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1117 GENERAL SURGERY VAGOTOMY ( TOTAL ) + DRAINAGE 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1118 GENERAL SURGERY VARICOSE VEINS EXCISION ( BILATERAL ) 28700 28700 30140 33010 35880 38750 38750 43050 45920 57400 1119 GENERAL SURGERY VARICOSE VEINS EXCISION ( ENDOSCOPIC ) - BILATERAL 49100 49100 51560 56470 61380 66290 66290 73650 78560 98200 1120 GENERAL SURGERY VARICOSE VEINS EXCISION ( ENDOSCOPIC ) LEFT 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 1121 GENERAL SURGERY VARICOSE VEINS EXCISION ( LEFT ) 30000 24550 25550 41180 51500 55600 55600 61800 65900 82400 1122 GENERAL SURGERY VOLVULUS ( COLON ) RESECTION + ANASTOMOSIS 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1123 GENERAL SURGERY VOLVULUS (SIGMOID COLON) UNTWISTING 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1124 GENERAL SURGERY Whipples & FJ (Intermediate) - (P) 295650 165650 165650 198500 258000 277500 336000 429500 477730 676000 1125 GENERAL SURGERY Whipples & FJ (Major) - (P) 328500 191500 191500 228000 294000 316000 380500 484000 538250 758000 1126 GI SURGERY MECKELS DIVERTICULUM EXCISION ( GASTROINTESTINAL SURG19450 19450 20430 22370 24320 26260 26260 29180 31120 38900 1127 Intervntional Radiology ANGIOGRAPHIC MAPPING (SPECIFIC ARTERY / BODY PART) 21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1128 Intervntional Radiology ARTERIAL / VENOUS MAPPING 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 1129 Intervntional Radiology ARTERIO PORTOGRAM ( INTERVENTIONAL RADIOLOGY ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 1130 Intervntional Radiology ARTERIO-VENOUS GRAFT/FISTULA ANGIOPLASTY & THROBOLY 14300 14300 15020 16450 17880 19310 19310 21450 22880 28600 1131 Intervntional Radiology BALLOON OCCLUSION CAROTID-CAVERNOUS FISTULA (CCF) 47900 47900 50300 55090 59880 64670 64670 71850 76640 95800 1132 Intervntional Radiology BRONCHIAL ARTERY EMBOLIZATION ( RADIOLOGY ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 1133 Intervntional Radiology CAROTID/VERTEBRAL ARTERY STENOSIS STENTING 43000 43000 45150 49450 53750 58050 58050 64500 68800 86000 1134 Intervntional Radiology CBD STENT INSERTION ( PERCUTANEOUS ) - ONE SIDE 11520 11520 12100 13250 14400 15560 15560 17280 18440 23040 1135 Intervntional Radiology CEREBRAL ARTERIOVENOUS MALFORMATION ( AVM ) EMBOLIZ38300 38300 40220 44050 47880 51710 51710 57450 61280 76600 1136 Intervntional Radiology CHEMOEMBOLIZATION - HEPATIC TUMOUR / METS 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1137 Intervntional Radiology CHOLANGIOGRAM ( PRE / INTRA / POST PROCEDURE ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1138 Intervntional Radiology CHOLANGIOGRAM / TUBE CHOLANGIOGRAM 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1139 Intervntional Radiology COILING OF INTRACRANIAL ANEURYSM - ATTEMPTED 23900 23900 25100 27490 29880 32270 32270 35850 38240 47800 1140 Intervntional Radiology COMMON BILE DUCT BALLOONOPLASTY 6700 6700 7040 7710 8380 9050 9050 10050 10720 13400 1141 Intervntional Radiology DIGITAL SUBTRACTION ANGIOGRAPHY ( DSA ) INTRAAARTERIA22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1142 Intervntional Radiology DRAINAGE CATHETER REMOVAL 4700 4700 4940 5410 5880 6350 6350 7050 7520 9400 1143 Intervntional Radiology EMBOLIZATION - PREOPERATIVE 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1144 Intervntional Radiology EVALUATION FOR FALLOPIAN TUBE HSG ( INTERVENTIONAL RA8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1145 Intervntional Radiology EVALUATION FOR NASAL BLEEDING / NASAL MASS / BLEEDING 24900 24900 26150 28640 31130 33620 33620 37350 39840 49800 1146 Intervntional Radiology EXTERNAL / INTERNAL CAROTID ARTERY TUMOR EMBOLIZATIO28700 28700 30140 33010 35880 38750 38750 43050 45920 57400 1147 Intervntional Radiology FALLOPIAN TUBE CATHETERIZATION - BILATERAL ( INTERVENT25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1148 Intervntional Radiology FLOW ANAYSIS FOR VERTEBROPLASTY 9600 9600 10080 11040 12000 12960 12960 14400 15360 19200 1149 Intervntional Radiology GASTROINTESTINAL ( GI ) BLEED ANGIOGRAPHY / EMBOLIZATIO 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 1150 Intervntional Radiology GLUE EMBOLIZATION ( INTERVENTIONAL RADIOLOGY ) 57400 57400 60270 66010 71750 77490 77490 86100 91840 114800 1151 Intervntional Radiology GUIDED DIALYSIS CATHETER INSERTION ( IJ / FEMORAL / NON-16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 1152 Intervntional Radiology GUIDED FALLOPIAN TUBE RECANNULATION 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1153 Intervntional Radiology GUIDED O3 THERAPY FOR SINGLE DISC HERNIATION & FACETA22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1154 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - DISC HERNIATION & FACETAL 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 1155 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - DISC HERNIATION ( MULTIPLE ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1156 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - DISC HERNIATION ( SINGLE ) 17000 17000 17850 19550 21250 22950 22950 25500 27200 34000 1157 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - FACETAL JOINT 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 1158 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - FACETAL JOINT ( MULTIPLE ) 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 1159 Intervntional Radiology GUIDED OZONE ( O3 ) THERAPY - SINGLE JOINT ( KNEE / SHOULD20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1160 Intervntional Radiology Guided Prostatic Artery Embolization 39000 39000 40950 44850 48750 52650 52650 58500 62400 78000 1161 Intervntional Radiology GUIDED UTERINE ARTERY EMBOLIZATION ( UAE ) - UTERINE FIB38300 38300 40220 44050 47880 51710 51710 57450 61280 76600 1162 Intervntional Radiology HEAD & NECK VESSELS EVALUATION ( INTERVENTIONAL RADIO17300 17300 18170 19900 21630 23360 23360 25950 27680 34600 1163 Intervntional Radiology HEMANGIOMA EMBOLIZATION ( INTERVENTIONAL RADIOLOGY 38000 38000 39900 43700 47500 51300 51300 57000 60800 76000 1164 Intervntional Radiology IMAGE GUIDED PERIPHERAL INSERTION OF CENTRAL CATHETE8470 8470 8900 9750 10590 11440 11440 12710 13560 16940 1165 Intervntional Radiology INFERIOR VENA CAVA EVALUATION / FILTER INSERTION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1166 Intervntional Radiology INTERNAL CAROTID ARTERY - PROXIMAL OCCLUSION ( INTERVE23900 23900 25100 27490 29880 32270 32270 35850 38240 47800 1167 Intervntional Radiology INTRA - ARTERIAL THROMBOLYSIS ( RADIOLOGY ) 38300 38300 40220 44050 47880 51710 51710 57450 61280 76600 1168 Intervntional Radiology INTRAARTERIAL / VENOUS EMBOLIZATION 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1169 Intervntional Radiology INTRACRANIAL ANEURYSM COILING ( INTERVENTIONAL RADIO67000 67000 70350 77050 83750 90450 90450 100500 107200 134000 1170 Intervntional Radiology INTRACRANIAL ANGIOPLASTY ( INTERVENTIONAL RADIOLOGY ) 47900 47900 50300 55090 59880 64670 64670 71850 76640 95800 1171 Intervntional Radiology INTRACRANIAL ANGIOPLASTY + STENTING ( INTERVENTIONAL 38300 38300 40220 44050 47880 51710 51710 57450 61280 76600 1172 Intervntional Radiology INTRACRANIAL DRUG THERAPY - POST SAH VASOSPASM 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 1173 Intervntional Radiology LONG TERM TUNNELLED DIALYSIS CATHETER INSERTION ( ULT19200 19200 20160 22080 24000 25920 25920 28800 30720 38400 1174 Intervntional Radiology LOWER EXTREMITY PELVIC ARTERIAL ANGIOPLASTY/STENTING33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 1175 Intervntional Radiology MANAGEMENT OF NECK VESSELS DISSECTION WITH STENTING 62200 62200 65310 71530 77750 83970 83970 93300 99520 124400 1176 Intervntional Radiology Mapping for BPH Embolozation 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 1177 Intervntional Radiology Median Lobe Embolization for BPH 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1178 Intervntional Radiology MEDIASTINAL SYNDROMES - INTERVENTIONAL 33400 33400 35070 38410 41750 45090 45090 50100 53440 66800 1179 Intervntional Radiology NEUCLEOLYSIS MAPPING 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 1180 Intervntional Radiology NUCLEOLYSIS ( MULTIPLE DISC ) 23000 23000 24150 26450 28750 31050 31050 34500 36800 46000 1181 Intervntional Radiology NUCLEOLYSIS ( SINGLE DISC ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1182 Intervntional Radiology PELVIC MASS / PELVIC CONGESTION SYNDROME / TUMOR EMB35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1183 Intervntional Radiology PERCUTANEOUS BILIARY DUCT / CBD STONE / STENT REMOVA 8040 8040 8450 9250 10050 10860 10860 12060 12870 16080 1184 Intervntional Radiology PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE ( PTBD ) UL22920 22920 24070 26360 28650 30950 30950 34380 36680 45840 1185 Intervntional Radiology PLEURAL EFFUSION /ASCITES / ABSESS ASPIRATION & DRAINAG11400 11400 11970 13110 14250 15390 15390 17100 18240 22800 1186 Intervntional Radiology PORT/TUNNELLED CATHETER INSERTION/REVISION/REMOVAL 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1187 Intervntional Radiology POST PANCREATITIS SEQUELES / EMBOLIZATION OF VARIOUS CA21000 21000 22050 24150 26250 28350 28350 31500 33600 42000 1188 Intervntional Radiology POST-OP/TRAUMA VASCULAR / NON VASCULAR INTERVENTIO 31570 31570 33150 36310 39470 42620 42620 47360 50520 63140 1189 Intervntional Radiology PRE-PROCEDURE / POST-PROCEDURE USG /DOPPLER EVALUAT 2040 2040 2150 2350 2550 2760 2760 3060 3270 4080 1190 Intervntional Radiology PRE-PROCEDURE VENOGRAM ( CENTRAL / UPPER / LOWER LIMB 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1191 Intervntional Radiology Prostatic Artery Embolozation for BPH 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 1192 Intervntional Radiology RADIOFREQUENCY ( RF ) ABLATION - VARICOSE VEIN ( MULTIP28700 28700 30140 33010 35880 38750 38750 43050 45920 57400 1193 Intervntional Radiology RADIOFREQUENCY ( RF ) ABLATION - VARICOSE VEIN ( SHORT SE22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1194 Intervntional Radiology RADIOFREQUENCY ( RF ) ABLATION - VARICOSE VEIN ONE LEG 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1195 Intervntional Radiology SPINAL ANGIOGRAM ( INTERVENTIONAL RADIOLOGY ) 33400 33400 35070 38410 41750 45090 45090 50100 53440 66800 1196 Intervntional Radiology SPINAL ARTERIOVENOUS MALFORMATION ( AVM ) EMBOLIZAT67000 67000 70350 77050 83750 90450 90450 100500 107200 134000 1197 Intervntional Radiology SPINAL TUMOR EMBOLIZATION 38300 38300 40220 44050 47880 51710 51710 57450 61280 76600 1198 Intervntional Radiology SPLENIC ARTERY / HEPARIC ARTERY / ANEURYSM EMBOLIZATIO 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1199 Intervntional Radiology THROMBOLYSIS ( INTERVENTIONAL RADIOLOGY ) 47900 47900 50300 55090 59880 64670 64670 71850 76640 95800 1200 Intervntional Radiology TIPS ( TRANS -JUGULAR PORTO - SYSTEMIC SHUNT ) - INTERVE36300 36300 38120 41750 45380 49010 49010 54450 58080 72600 1201 Intervntional Radiology TRANS-ARTERIAL CHEMO FOR HEPATIC / SPECIFIC TUMOR INT22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1202 Intervntional Radiology TRANSJUGULAR LIVER / KIDNEY BIOPSY (RADIOLOGY) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 1203 Intervntional Radiology TUMOR EMBOLIZATION ( BENIGN / MALIGNANT ) - INTERVENT28700 28700 30140 33010 35880 38750 38750 43050 45920 57400 1204 Intervntional Radiology TUMOR EMBOLIZATION ( FED BY MULTIPLE ARTERIES ) 47900 47900 50300 55090 59880 64670 64670 71850 76640 95800 1205 Intervntional Radiology TUMOR EMBOLIZATION ( INTERVENTIONAL RADIOLOGY ) 23000 23000 24150 26450 28750 31050 31050 34500 36800 46000 1206 Intervntional Radiology UTERINE / OVARIAN ARTERY MAPPING FOR EMBOLIZATION ( IN10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1207 Intervntional Radiology UTERINE ARTERY EMBOLIZATION ( UAE ) - MULTIPLE FIBROIDS / A42000 42000 44100 48300 52500 56700 56700 63000 67200 84000 1208 Intervntional Radiology VARICOSE MAPPING DOPPLER / CONTRAST 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 1209 Intervntional Radiology VARICOSE VEIN MAPPING ( RADIOFREQUENCY ABLATION ) ON 9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 1210 Intervntional Radiology VENOUS SINUS SAMPLING ( PETROSAL SINUS ) 23900 23900 25100 27490 29880 32270 32270 35850 38240 47800 1211 Intervntional Radiology VENOUS/AV MALFORMATION INTERVENTIONAL 22920 22920 24070 26360 28650 30950 30950 34380 36680 45840 1212 Intervntional Radiology VERICOSEAL INTERVENTIONAL 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1213 Intervntional Radiology VERTEBRAL BODY HEMANGIOMA / METS EMBOLIZATION 28700 28700 30140 33010 35880 38750 38750 43050 45920 57400 1214 Intervntional Radiology VERTEBROPLASTY ( INTERVENTIONAL RADIOLOGY ) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1215 LAPAROSCOPIC ADHESIOLYSIS LAPAROSCOPIC ( GENERAL SURGERY ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 1216 LAPAROSCOPIC ADRENALECTOMY ( LAPAROSCOPIC ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1217 LAPAROSCOPIC CHOLECYSTECTOMY ( LAPAROSCOPIC ) WITH COMMON BILE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1218 LAPAROSCOPIC CHOLECYSTECTOMY + CHOLEDOCHODUODENOSTOMY ( LAPAR30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1219 LAPAROSCOPIC DIAPHRAGM REPAIR ( LAPAROSCOPIC ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1220 LAPAROSCOPIC DUODENAL PERFORATION CLOSURE ( LAPAROSCOPIC ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1221 LAPAROSCOPIC FUNDOPLICATION ( LAPAROSCOPIC ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1222 LAPAROSCOPIC GASTRIC BYPASS - (P) 265000 147400 147400 170000 203000 240400 240400 279900 310000 412400 1223 LAPAROSCOPIC GASTROJEJUNOSTOMY ( LAPAROSCOPIC ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1224 LAPAROSCOPIC HERNIA ( SPIGELIAN ) REPAIR ( LAPAROSCOPIC ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1225 LAPAROSCOPIC HERNIA ( VENTRAL / INCISIONAL ) REPAIR - LAPAROSCOPIC 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1226 LAPAROSCOPIC HERNIA (UMBILICAL) REPAIR ( LAPAROSCOPIC ) - GENERAL SUR22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1227 LAPAROSCOPIC HERNIA INCISIONAL ( RECURRENT ) REPAIR - LAPAROSCOPIC 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1228 LAPAROSCOPIC HYDATID CYST OF LIVER EXCISION ( LAPAROSCOPIC ) - GENERA30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1229 LAPAROSCOPIC LAP GASTRIC BANDING COMPLEX (P) 448260 239260 239260 260500 341000 368500 451000 583000 660500 932000 1230 LAPAROSCOPIC LAP GASTRIC BYPASS COMPLEX (P) 405000 212000 212000 257500 357000 384500 467000 599000 639500 948000 1231 LAPAROSCOPIC LAP PARTIAL GASTRECTOMY-(P) 219000 78500 78500 86500 119500 123000 130500 154500 175000 227000 1232 LAPAROSCOPIC LAP SLEEVE GASTRECTOMY COMPLEX (P) 360000 186000 186000 226000 306000 330000 402000 517500 566000 822000 1233 LAPAROSCOPIC LAPAROSCOPIC APPENDICECTOMY - (P) 54000 41000 41000 47000 62000 66000 77000 95000 121180 143000 1234 LAPAROSCOPIC LAPAROSCOPIC CHOLECYSTECTOMY - (P) 55800 42800 42800 49000 62000 66000 77000 95000 133450 143000 1235 LAPAROSCOPIC LAPAROSCOPIC GASTRIC BANDING ( LAGB) - (P) 309640 173140 173140 188500 243500 262500 319500 411000 464750 652000 1236 LAPAROSCOPIC LAPAROSCOPIC HERNIOPLASTY B/L - (P) 70200 43700 43700 51500 68500 73500 87500 110500 138050 171000 1237 LAPAROSCOPIC LAPAROSCOPIC HERNIOPLASTY U/L - (P) 58500 39300 39300 45800 60800 64800 76800 96300 121460 147800 1238 LAPAROSCOPIC LAPAROSCOPIC SLEEVE GASTRECTOMY - (P) 252000 140000 140000 161000 194000 228500 228500 228500 294800 396500 1239 LAPAROSCOPIC NEPHRECTOMY LAPAROSCOPIC ( GENERAL SURGERY ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1240 LAPAROSCOPIC NEPHRECTOMY RADICAL - LAPAROSCOPIC ( GENERAL SURGER 30700 30700 32240 35310 38380 41450 41450 46050 49120 61400 1241 LAPAROSCOPIC PARATHYROIDECTOMY ( LAPAROSCOPIC ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 1242 LAPAROSCOPIC SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY ( SILS ) - 63000 40000 40000 47000 62000 66500 79000 99500 131680 153500 1243 LAPAROSCOPIC THYROIDECTOMY ( SUBTOTAL ) - ENDOSCOPIC 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1244 LAPAROSCOPIC VARICOCELECTOMY ( LAPAROSCOPIC ) LEFT SIDE 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1245 LAPAROSCOPIC VARICOCELECTOMY LAPAROSCOPIC - BILATERAL ( GENERAL SUR18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 1246 NEPHROLOGY ADEQUACY TEST 2100 2100 2210 2420 2630 2840 2840 3150 3360 4200 1247 NEPHROLOGY ARTERIOVENOUS ( AV ) SHUNT ( NEPHROLOGY ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1248 NEPHROLOGY AV FISTULA - (P) 22680 15180 15180 17700 27780 30000 56500 36600 49500 142500 1249 NEPHROLOGY AV FISTULA IN DAYCARE - (P) 21000 21000 21000 21000 21000 21000 21000 21000 21000 21000 1250 NEPHROLOGY BODY WATER ASSESMENT ( NEPHROLOGY ) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1251 NEPHROLOGY CONTINOUS AMBULATORY PERITONEAL DIALYSIS ( CAPD ) CAT11800 11800 12390 13570 14750 15930 15930 17700 18880 23600 1252 NEPHROLOGY CONTINOUS AMBULATORY PERITONEAL DIALYSIS ( CAPD ) TRA14100 14100 14810 16220 17630 19040 19040 21150 22560 28200 1253 NEPHROLOGY CONTINUOUS RENAL REPLACEMENT THERAPY ( CRRT ) - DAILY1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 1254 NEPHROLOGY CONTINUOUS RENAL REPLACEMENT THERAPY ( CRRT ) INITIAT 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 1255 NEPHROLOGY DIALYSIS ISOLATION / SINGLE USE - FOR HIV POSITIVE / HBS AG2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 1256 NEPHROLOGY DIALYSIS PERITONEAL 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 1257 NEPHROLOGY DIALYSIS WITH F6 DIALYSER (EMERGENCY) 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1258 NEPHROLOGY DIALYSIS WITH F6 DIALYZER 3300 3500 3680 4030 4380 4730 4730 5250 5600 7000 1259 NEPHROLOGY DIALYSIS WITH F6 DIALYZER ( PORTABLE ) 4400 4400 4700 5100 5500 6000 6000 6600 7100 8800 1260 NEPHROLOGY DIALYSIS WITH F6 DIALYZER ( REUSE ) 2400 2700 2840 3110 3380 3650 3650 4050 4320 5400 1261 NEPHROLOGY Dialysis with F6 reuse Dialyser ( Night ) 2200 2200 2400 2600 2800 3000 3000 3300 3600 4400 1262 NEPHROLOGY DIALYSIS WITH F8 DIALYSER (EMERGENCY) 3700 4000 4200 4600 5000 5400 5400 6000 6400 8000 1263 NEPHROLOGY DIALYSIS WITH F8 DIALYZER 3400 3800 3990 4370 4750 5130 5130 5700 6080 7600 1264 NEPHROLOGY DIALYSIS WITH F8 DIALYZER ( PORTABLE ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1265 NEPHROLOGY DIALYSIS WITH F8 DIALYZER ( REUSE ) 2500 2900 3050 3340 3630 3920 3920 4350 4640 5800 1266 NEPHROLOGY FLUSHING 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 1267 NEPHROLOGY HIGH FLUX DIALYSIS 3400 3400 3570 3910 4250 4590 4590 5100 5440 6800 1268 NEPHROLOGY INITIAL TRAINING ( PER DAY ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1269 NEPHROLOGY INITIAL TRAINING (3 SITTING) 8800 8800 9240 10120 11000 11880 11880 13200 14080 17600 1270 NEPHROLOGY Kidney Biopsy Daycare (P) 16500 16500 16500 16500 16500 16500 16500 16500 16500 16500 1271 NEPHROLOGY KIDNEY BIOPSY (P) 18000 8500 8500 10500 20000 21500 24500 34500 46000 90500 1272 NEPHROLOGY MAINTENANCE DIALYSIS (WITH REUSE OF DIALYZER) 1850 1850 1950 2130 2320 2500 2500 2780 2960 3700 1273 NEPHROLOGY PERITONEAL EQUILIBRIUM TEST (PET) 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 1274 NEPHROLOGY PLASMA EXCHANGE / APHERESIS (PER SITTING) 5300 5300 5570 6100 6630 7160 7160 7950 8480 10600 1275 NEPHROLOGY Premium Dialysis 4900 4900 5200 5700 6200 6700 6700 7400 7900 9800 1276 NEPHROLOGY RE-TRAINING ( PER DAY ) 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 1277 NEPHROLOGY REGIONAL PD CENTER PER EXCHANGE 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 1278 NEPHROLOGY RETRAINING FOR CONTINUOUS AMBULATORY PERITONEAL DIA8900 8900 9350 10240 11130 12020 12020 13350 14240 17800 1279 NEPHROLOGY SUSTAINED LOW EFFICACY DIALYSIS ( SLED ) - F6 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1280 NEPHROLOGY SUSTAINED LOW EFFICACY DIALYSIS ( SLED ) - F8 8600 8600 9030 9890 10750 11610 11610 12900 13760 17200 1281 NEPHROLOGY TRANSFER SET CHANGE 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 1282 NEUROSURGERY ANEURYSM EMBOLIZATION - COMPLEX 60540 60540 63570 69630 75680 81730 81730 90810 96870 121080 1283 NEUROSURGERY ARTERIAL EMBOLIZATION (EXTRACRANIAL) 25080 25080 26340 28850 31350 33860 33860 37620 40130 50160 1284 NEUROSURGERY AVULSION SUTURING 4620 4620 4860 5320 5780 6240 6240 6930 7400 9240 1285 NEUROSURGERY BALLOON TEST OCCLUSION 28200 28200 29610 32430 35250 38070 38070 42300 45120 56400 1286 NEUROSURGERY BIOPSY - PERCUTANEOUS 6300 6300 6620 7250 7880 8510 8510 9450 10080 12600 1287 NEUROSURGERY BOTOX INJECTION ( FOR DYSTONIA ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1288 NEUROSURGERY BOTOX INJECTION FOR FATERPASTICITY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1289 NEUROSURGERY BRACHIAL PLEXUS SURGERY 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1290 NEUROSURGERY BURR HOLE 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 1291 NEUROSURGERY CAROTID ARTERY ANGIOPLASTY + STENTING 31320 31320 32890 36020 39150 42290 42290 46980 50120 62640 1292 NEUROSURGERY CAROTID ENDARTERECTOMY ( NEUROSURGERY ) 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1293 NEUROSURGERY CEREBRAL ARETRIOVENOUS MALFORMATION ( AVM ) EMBOLIZ42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1294 NEUROSURGERY CEREBRAL DIGITAL SUBTRACTION ANGIOGRAPHY ( DSA ) 8400 8400 8820 9660 10500 11340 11340 12600 13440 16800 1295 NEUROSURGERY CEREBROSPINAL FLUID ( CSF ) DIVERSION PROCEDURES 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1296 NEUROSURGERY CEREBROSPINAL FLUID ( CSF ) DIVERSION PROCEDURES - LAPA41400 41400 43470 47610 51750 55890 55890 62100 66240 82800 1297 NEUROSURGERY CERVICAL / LUMBAR / DORSAL DISCECTOMY ( MICROSCOPIC ) 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1298 NEUROSURGERY CERVICAL / LUMBAR DISCECTOMY ( ENDOSCOPIC ) 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1299 NEUROSURGERY CERVICAL CORPECTOMY ( MULTI SEGMENT ) + RECONSTRUCTIO 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1300 NEUROSURGERY CERVICAL CORPECTOMY ( SINGLE SEGMENT ) + FUSION 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1301 NEUROSURGERY CERVICAL DISCECTOMY + FUSION 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1302 NEUROSURGERY CRANIAL THERAPEUTIC PROCEDURE ( ENDOSCOPIC ) 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1303 NEUROSURGERY CRANIOPLASTY 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1304 NEUROSURGERY CRANIOTOMY ( ELECTIVE ) - FOR TUMORS 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1305 NEUROSURGERY CRANIOTOMY ( EMERGENCY ) - CARDIOVASCULAR ACCIDENT (66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1306 NEUROSURGERY CRANIOTOMY ( FOR EXTRADURAL LESION ) 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1307 NEUROSURGERY CRANIOTOMY - EPILEPSY SURGERY 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1308 NEUROSURGERY CRANIOTOMY - MICROVASCULAR DECOMPRESSION 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1309 NEUROSURGERY CRANIOTOMY - VASCULAR MALFORMATION REPAIR 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1310 NEUROSURGERY CRANIOTOMY REDO ( FOR PROCEDURE DONE OUTSIDE ) 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1311 NEUROSURGERY CRANIOVERTEBRAL ( CV ) JUNCTION ANOMALY DECOMPRESSIO58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1312 NEUROSURGERY CRANIOVERTEBRAL JUNCTION ( CV JUNCTION ) FUSION - POST49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1313 NEUROSURGERY CRANIOVERTEBRAL JUNCTION ANOMALY SURGERY ( ANTERIOR82860 82860 87010 95290 103580 111870 111870 124290 132580 165720 1314 NEUROSURGERY DISC REPLACEMENT ( CERVICAL / LUMBAR ) - LEVEL I 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1315 NEUROSURGERY DISCOGRAPHY 4620 4620 4860 5320 5780 6240 6240 6930 7400 9240 1316 NEUROSURGERY FORAMEN MAGNUM TUMOR SURGERY 66540 66540 69870 76530 83180 89830 89830 99810 106470 133080 1317 NEUROSURGERY INTRACRANIAL ANEURYSM SURGERY - SINGLE 42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1318 NEUROSURGERY INTRACRANIAL ANEURYSM SURGERY - TWO ( SAME SESSION ) 60540 60540 63570 69630 75680 81730 81730 90810 96870 121080 1319 NEUROSURGERY INTRACRANIAL ANGIOPLASTY ( NEUROSURGERY ) 42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1320 NEUROSURGERY INTRACRANIAL ANGIOPLASTY ( VASOSPASM ) 42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1321 NEUROSURGERY INTRACRANIAL PRESSURE MONITORING BY TWIST DRILL PROC4620 4620 4860 5320 5780 6240 6240 6930 7400 9240 1322 NEUROSURGERY LACERATION SUTURING ( NEUROSURGERY ) 3300 3300 3470 3800 4130 4460 4460 4950 5280 6600 1323 NEUROSURGERY LAMINECTOMY 33300 33300 34970 38300 41630 44960 44960 49950 53280 66600 1324 NEUROSURGERY LAMINOPLASTY 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1325 NEUROSURGERY LUMBAR DISC SURGERY REVISION 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1326 NEUROSURGERY MUSCLE BIOPSY ( NEUROSURGERY ) 4620 4620 4860 5320 5780 6240 6240 6930 7400 9240 1327 NEUROSURGERY NERVE ENTRAPMENT RELEASE 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1328 NEUROSURGERY NEUROENDOSCOPIC PROCEDURE ( DIAGNOSTIC ) 33300 33300 34970 38300 41630 44960 44960 49950 53280 66600 1329 NEUROSURGERY PARENT VESSEL OCCLUSION 17760 17760 18650 20430 22200 23980 23980 26640 28420 35520 1330 NEUROSURGERY PUMP IMPLANTATION ( THERAPEUTIC ) 49620 49620 52110 57070 62030 66990 66990 74430 79400 99240 1331 NEUROSURGERY SCALP SWELLING EXCISION ( LARGE ) 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 1332 NEUROSURGERY SCALP SWELLING EXCISION ( SMALL ) 3300 3300 3470 3800 4130 4460 4460 4950 5280 6600 1333 NEUROSURGERY SCALP WOUND SUTURING ( NEUROSURGERY ) 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 1334 NEUROSURGERY SPINAL ANGIOGRAPHY ( NEUROSURGERY ) 10440 10440 10970 12010 13050 14100 14100 15660 16710 20880 1335 NEUROSURGERY SPINAL ARTERIOVENOUS MALFORMATION ( AVM ) SURGERY 42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1336 NEUROSURGERY SPINAL DECOMPRESSION ( ANTERIOR + POSTERIOR ) + RECONS82860 82860 87010 95290 103580 111870 111870 124290 132580 165720 1337 NEUROSURGERY SPINAL DYSRAPHISM SURGERY 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1338 NEUROSURGERY SPINAL INJECTIONS ( THERAPEUTIC ) - FOR PAIN 16980 16980 17830 19530 21230 22930 22930 25470 27170 33960 1339 NEUROSURGERY SPINAL TUMOR ( EXTRADURAL ) SURGERY 42420 42420 44550 48790 53030 57270 57270 63630 67880 84840 1340 NEUROSURGERY SPINAL TUMOR ( INTRADURAL ) SURGERY 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1341 NEUROSURGERY SPINE DECOMPRESSION ( ANTERIOR ) 82860 82860 87010 95290 103580 111870 111870 124290 132580 165720 1342 NEUROSURGERY SPINE DECOMPRESSION ( POSTERIOR ) + FUSION 58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1343 NEUROSURGERY STENTING INTRACRANIAL ( NEUROSURGERY ) 42840 42840 44990 49270 53550 57840 57840 64260 68550 85680 1344 NEUROSURGERY STEREOTACTIC BIOPSY 33300 33300 34970 38300 41630 44960 44960 49950 53280 66600 1345 NEUROSURGERY STEROTACTIC DEEP BRAIN STIMULATION ( DBS ) SURGERY 82860 82860 87010 95290 103580 111870 111870 124290 132580 165720 1346 NEUROSURGERY SUBDURAL HEMATOMA ( SDH ) EVACUATION 33300 33300 34970 38300 41630 44960 44960 49950 53280 66600 1347 NEUROSURGERY TRANSSPHENOIDAL PROCEDURE FOR PITUITARY / CSF RHINOR58740 58740 61680 67560 73430 79300 79300 88110 93990 117480 1348 NEUROSURGERY TUMOR EMBOLIZATION ( COMPLEX ) 31320 31320 32890 36020 39150 42290 42290 46980 50120 62640 1349 NEUROSURGERY TUMOR EMBOLIZATION ( SIMPLE ) 17760 17760 18650 20430 22200 23980 23980 26640 28420 35520 1350 NEUROSURGERY VASODILATATION INTRAAARTERIAL 15660 15660 16450 18010 19580 21150 21150 23490 25060 31320 1351 NEUROSURGERY VENOUS STENTING ( NEUROSURGERY ) 31320 31320 32890 36020 39150 42290 42290 46980 50120 62640 1352 NEUROSURGERY VENOUS THROMBOLYSIS 31320 31320 32890 36020 39150 42290 42290 46980 50120 62640 1353 NEUROSURGERY VERTEBRAL BIOPSY ( PERCUTANEOUS ) 21600 21600 22680 24840 27000 29160 29160 32400 34560 43200 1354 NEUROSURGERY VERTEBROPLASTY 33300 33300 34970 38300 41630 44960 44960 49950 53280 66600 1355 OBSTETRICS & GYNAE. ABDOMEN RESUTURING 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1356 OBSTETRICS & GYNAE. ABDOMINAL HYSTERECTOMY ( AH ) COMPLEX - (P) 89290 89290 89290 102640 156040 165640 169390 213140 241140 369140 1357 OBSTETRICS & GYNAE. ABDOMINAL HYSTERECTOMY ( AH ) REGULAR - (P) 71930 71930 71930 82730 125530 133230 136230 164730 185730 275730 1358 OBSTETRICS & GYNAE. ABORTION - MIDTRIMESTER 7900 7900 8300 9090 9880 10670 10670 11850 12640 15800 1359 OBSTETRICS & GYNAE. ADENOIDECTOMY 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 1360 OBSTETRICS & GYNAE. ADENOIDECTOMY + MYRINGOTOMY ( BILATERAL ) + GROMET IN19000 19000 19950 21850 23750 25650 25650 28500 30400 38000 1361 OBSTETRICS & GYNAE. ADHESIOLYSIS ( SYNECHOTOMY ) HYSTEROSCOPIC - LEVEL 3 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1362 OBSTETRICS & GYNAE. ADHESIOLYSIS LAPAROSCOPIC ( OBSTETRICS AND GYNECOLOG 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1363 OBSTETRICS & GYNAE. ADHESIOLYSIS OPEN ( OBSTETRICS AND GYNECOLOGY ) 9900 9900 10400 11390 12380 13370 13370 14850 15840 19800 1364 OBSTETRICS & GYNAE. AMNIOCENTESIS 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1365 OBSTETRICS & GYNAE. AMNIOINFUSION 4800 4800 5040 5520 6000 6480 6480 7200 7680 9600 1366 OBSTETRICS & GYNAE. ARTIFICIAL INSEMINATION OF DONOR 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 1367 OBSTETRICS & GYNAE. ASPIRATION / DRAINAGE + PRESSURE BANDAGE APPLICATION 1800 1800 1890 2070 2250 2430 2430 2700 2880 3600 1368 OBSTETRICS & GYNAE. BIOPSY ( LAPAROSCOPIC ) 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1369 OBSTETRICS & GYNAE. BUCCAL CYST EXCISION 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1370 OBSTETRICS & GYNAE. BURCH COLPOSUSPENSION ( LAPAROSCOPIC ) 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1371 OBSTETRICS & GYNAE. CAUTERY PATCHING 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1372 OBSTETRICS & GYNAE. CERVICAL BIOPSY 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1373 OBSTETRICS & GYNAE. CERVICAL CONE BIOPSY 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1374 OBSTETRICS & GYNAE. CERVICAL LYMPH NODE EXCISION BIOPSY ( ENT ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 1375 OBSTETRICS & GYNAE. CHEMICAL CAUTERIZATION ( SMALL CENTRAL PERFORATION ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1376 OBSTETRICS & GYNAE. COLPORRHAPHY ( ANTERIOR + POSTERIOR ) 13300 13300 13970 15300 16630 17960 17960 19950 21280 26600 1377 OBSTETRICS & GYNAE. COLPOSCOPIC BIOPSY - (P) 7120 7120 7120 7970 12670 13470 17670 24770 31770 149470 1378 OBSTETRICS & GYNAE. COLPOSCOPIC BIOPSY IN DAYCARE - (P) 3570 3570 3570 3570 3570 3570 3570 3570 3570 3570 1379 OBSTETRICS & GYNAE. COLPOSCOPY 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 1380 OBSTETRICS & GYNAE. CRYOTHERAPY/CAUTERY 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 1381 OBSTETRICS & GYNAE. CURETTAGE FRACTIONAL 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1382 OBSTETRICS & GYNAE. CYSTOCOELE REPAIR 9860 9860 10360 11340 12330 13320 13320 14790 15780 19720 1383 OBSTETRICS & GYNAE. DIAGNOSTIC LAP DILATION AND CURETTAGE (D&C) WITH HYST28640 28640 28640 34300 56940 61200 62600 76750 82410 127700 1384 OBSTETRICS & GYNAE. DIATHERMY CAUTERIZATION ( NASAL ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1385 OBSTETRICS & GYNAE. DILATATION AND CURETTAGE ( DNC ) 4500 4500 4800 5200 5700 6100 6100 6800 7200 9000 1386 OBSTETRICS & GYNAE. DILATION AND CURETTAGE (D&C) WITH HYSTEROSCOPY - (P) 42300 23180 24500 28500 43980 47180 48180 58680 64280 135180 1387 OBSTETRICS & GYNAE. DILATION AND CURETTAGE (D&C) WITH HYSTEROSCOPY IN DA24200 24200 24200 24200 24200 24200 24200 24200 24200 24200 1388 OBSTETRICS & GYNAE. EAR EXAMINATION UNDER MICROSCOPE ( EUM ) 2030 2030 2140 2340 2540 2750 2750 3050 3250 4060 1389 OBSTETRICS & GYNAE. ECTOPIC PREGNANCY (LAPAROSCOPIC PROCEDURE) 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1390 OBSTETRICS & GYNAE. END TO END ANASTOMOSIS ( BILATERAL ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1391 OBSTETRICS & GYNAE. ENDOMETRIAL BIOPSY 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 1392 OBSTETRICS & GYNAE. ENDOMETRIOTIC SPOTS ABLATION ( LAPAROSCOPIC ) 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1393 OBSTETRICS & GYNAE. ENTEROCELE REPAIR - LAPAROSCOPIC ( OBSTETRICS AND GYNE24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1394 OBSTETRICS & GYNAE. ESOPHAGEAL STRICTURE DILATION 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1395 OBSTETRICS & GYNAE. EXAMINATION UNDER ANESTHESIA ( EUA ) + NEEDLING ( OBST3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1396 OBSTETRICS & GYNAE. FACIAL WOUND REPAIR ( MAJOR ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1397 OBSTETRICS & GYNAE. FACIAL WOUND REPAIR ( MINOR ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1398 OBSTETRICS & GYNAE. FENTONS PROCEDURE ( VAGINAL RECONSTRUCTION ) 7300 7300 7670 8400 9130 9860 9860 10950 11680 14600 1399 OBSTETRICS & GYNAE. FIMBRIOLYSIS ( LAPAROSCOPIC ) 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1400 OBSTETRICS & GYNAE. GENITAL ONCO COMPLEX - (P) 147200 147200 147200 172000 271200 289000 296000 358000 382800 524000 1401 OBSTETRICS & GYNAE. GENITAL ONCO LAPAROSCOPY - (P) 95140 95140 95140 112640 183040 195640 200640 244640 268140 336640 1402 OBSTETRICS & GYNAE. GENITAL ONCO ROUTINE - (P) 155790 155790 155790 173100 242340 254500 259650 325000 367000 600000 1403 OBSTETRICS & GYNAE. HEMATOCOLPOS DRAINAGE 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1404 OBSTETRICS & GYNAE. HYMENECTOMY 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1405 OBSTETRICS & GYNAE. HYMENOPLASTY (Daycare) - GA 37000 37000 37000 37000 37000 37000 37000 37000 37000 37000 1406 OBSTETRICS & GYNAE. HYMENOPLASTY (Daycare) - LA 34000 34000 34000 34000 34000 34000 34000 34000 34000 34000 1407 OBSTETRICS & GYNAE. HYMENOPLASTY - GA 40500 40500 42530 46580 50630 54680 54680 60750 64800 81000 1408 OBSTETRICS & GYNAE. HYMENOPLASTY - LA 37500 37500 39380 43130 46880 50630 50630 56250 60000 75000 1409 OBSTETRICS & GYNAE. HYSTERECTOMY LAPAROSCOPIC ( FOR SEVERE EMDOMETRIOS 30300 30300 31820 34850 37880 40910 40910 45450 48480 60600 1410 OBSTETRICS & GYNAE. HYSTERECTOMY RADICAL ( FOR CARCINOMA BODY OF UTERUS 36300 36300 38120 41750 45380 49010 49010 54450 58080 72600 1411 OBSTETRICS & GYNAE. HYSTERECTOMY TOTAL ( LAPAROSCOPIC ) 32450 32450 34080 37320 40570 43810 43810 48680 51920 64900 1412 OBSTETRICS & GYNAE. HYSTEROSALPINGOGRAPHY ( HSG ) - CHARGES FOR GYNECOLO700 700 740 810 880 950 950 1050 1120 1400 1413 OBSTETRICS & GYNAE. HYSTEROSCOPIC MYOMECTOMY ( LARGE ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1414 OBSTETRICS & GYNAE. HYSTEROSCOPIC MYOMECTOMY ( SMALL ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1415 OBSTETRICS & GYNAE. HYSTEROSCOPY (DIAGNOSTIC) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1416 OBSTETRICS & GYNAE. HYSTEROSCOPY + LAPAROSCOPY ( DIAGNOSTIC ) 10900 10900 11450 12540 13630 14720 14720 16350 17440 21800 1417 OBSTETRICS & GYNAE. HYSTEROSCOPY DIAGNOSTIC ( WITH / WITHOUT BIOPSY ) 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1418 OBSTETRICS & GYNAE. HYSTEROTOMY 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1419 OBSTETRICS & GYNAE. INTRA UTERINE CONTRACEPTIVE DEVICE ( IUCD ) INSERTION 1400 1400 1470 1610 1750 1890 1890 2100 2240 2800 1420 OBSTETRICS & GYNAE. INTRA UTERINE CONTRACEPTIVE DEVICE ( IUCD ) REMOVAL 700 700 740 810 880 950 950 1050 1120 1400 1421 OBSTETRICS & GYNAE. INTRA UTERINE CONTRACEPTIVE DEVICE ( IUCD ) REMOVAL HY8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 1422 OBSTETRICS & GYNAE. INTRAUTERINE CONTRACEPTIVE DEVICE ( IUCD - MULTILOAD )700 700 740 810 880 950 950 1050 1120 1400 1423 OBSTETRICS & GYNAE. LABIAL CYST EXCISION 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1424 OBSTETRICS & GYNAE. LABIAL CYST EXCISION ( ENT ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1425 OBSTETRICS & GYNAE. LAPARATOMY ( FOR OVARIAN CANCER ) 36300 36300 38120 41750 45380 49010 49010 54450 58080 72600 1426 OBSTETRICS & GYNAE. LAPAROSCOPE ASSISTED VAGINAL HYSTERECTOMY ( LAVH ) 26600 26600 27930 30590 33250 35910 35910 39900 42560 53200 1427 OBSTETRICS & GYNAE. LAPAROSCOPE ASSISTED VAGINAL HYSTERECTOMY ( LAVH ) + ADHE32100 32100 33710 36920 40130 43340 43340 48150 51360 64200 1428 OBSTETRICS & GYNAE. LAPAROSCOPY - OPERATIVE ( FOR ENDOMETRIOSIS ) 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1429 OBSTETRICS & GYNAE. LAPAROSCOPY DIAGNOSTIC ( WITH / WITHOUT CHROMOTUBA7300 7300 7670 8400 9130 9860 9860 10950 11680 14600 1430 OBSTETRICS & GYNAE. LAPAROSCOPY LEVEL 1 - (P) 33120 33120 33120 37420 62580 67020 68870 84600 90890 124520 1431 OBSTETRICS & GYNAE. LAPAROSCOPY LEVEL 2 - (P) 50640 50640 50640 60240 98640 105740 108240 132240 141840 164240 1432 OBSTETRICS & GYNAE. LAPAROSCOPY LEVEL 3 - (P) 68770 68770 68770 81640 133120 142440 145990 178170 191040 252940 1433 OBSTETRICS & GYNAE. LAPAROSCOPY LEVEL 4 - (P) 88000 88000 88000 103800 168560 179900 184750 225230 249900 341900 1434 OBSTETRICS & GYNAE. LAPAROTOMY ( OBSTETRICS AND GYNECOLOGY) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1435 OBSTETRICS & GYNAE. LAPAROTOMY + EXCISION (OVARIAN/PARA OVARIAN CYST ) 12100 12100 12710 13920 15130 16340 16340 18150 19360 24200 1436 OBSTETRICS & GYNAE. LAPAROTOMY FOR ECTOPIC PREGNANCY 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1437 OBSTETRICS & GYNAE. LARGE LOOP EXCISION OF TRANSFORMATION ZONE (LLETZ) 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1438 OBSTETRICS & GYNAE. LARYNGEAL PAPILLOMA EXCISION 19000 19000 19950 21850 23750 25650 25650 28500 30400 38000 1439 OBSTETRICS & GYNAE. LE FORTS OPERATION (GENITAL PROLAPSE) 10900 10900 11450 12540 13630 14720 14720 16350 17440 21800 1440 OBSTETRICS & GYNAE. LEEP COLPOSCOPY - (P) 8975 8975 8975 10175 14975 16175 20075 28175 35175 148175 1441 OBSTETRICS & GYNAE. LEEP COLPOSCOPY IN DAYCARE - (P) 6100 6100 6100 6100 6100 6100 6100 6100 6100 6100 1442 OBSTETRICS & GYNAE. LOST INTRA UTERINE CONTRACEPTIVE DEVICE ( IUCD ) REMOVA12100 12100 12710 13920 15130 16340 16340 18150 19360 24200 1443 OBSTETRICS & GYNAE. LOWER SEGMENT CAESAREAN SECTION ( LSCS ) - (P) 50000 50000 60000 90000 110000 115000 125000 150000 200000 450000 1444 OBSTETRICS & GYNAE. LSCS Repeat (P) 60000 60000 70000 90000 105000 105000 120000 140000 190000 290000 1445 OBSTETRICS & GYNAE. MANCHESTER REPAIR ( FOTHERGILL OPERATION ) 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1446 OBSTETRICS & GYNAE. MARSUPIALIZATION ( OBSTETRICS & GYNAECOLOGY ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1447 OBSTETRICS & GYNAE. MCDONALDS SUTURING 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1448 OBSTETRICS & GYNAE. MEDICAL TERMINATION OF PREGNANCY ( MTP ) + STERLIZATIO14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1449 OBSTETRICS & GYNAE. MEDICAL TERMINATION OF PREGNANCY (MTP) - 1ST TRIMEST 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1450 OBSTETRICS & GYNAE. MEDICAL TERMINATION OF PREGNANCY (MTP) - 2ND TRIMEST 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1451 OBSTETRICS & GYNAE. MYOMECTOMY - LAPAROSCOPIC ( OBSTETRICS AND GYNECOLO24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1452 OBSTETRICS & GYNAE. MYOMECTOMY SIMPLE 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 1453 OBSTETRICS & GYNAE. NASAL ENDOSCOPY + BLEEDING POINTS CAUTERIZATION ( EPIS10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1454 OBSTETRICS & GYNAE. NASAL SYNECHIA REMOVAL 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1455 OBSTETRICS & GYNAE. NATURAL ACCESS COMPLEX - (P) 66550 66550 66550 79150 128630 137450 141000 171930 194250 255450 1456 OBSTETRICS & GYNAE. NATURAL ACCESS ROUTINE - (P) 52625 52625 52625 62875 103875 111375 114125 139755 150005 165375 1457 OBSTETRICS & GYNAE. NEOSALPINGOSTOMY ( LAPAROSCOPIC ) 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1458 OBSTETRICS & GYNAE. NORMAL VAGINAL DELIVERY ( NVD ) - (P) 40000 40000 50000 80000 100000 110000 120000 145000 190000 450000 1459 OBSTETRICS & GYNAE. OOPHORECTOMY ( LAPAROSCOPIC ) 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1460 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 1 - (P) 24735 24735 24735 29735 49335 53235 54235 66485 73835 130735 1461 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 1 IN DAYCARE - (P) 27125 27125 27125 27125 27125 27125 27125 27125 27125 27125 1462 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 2 - (P) 48640 48640 48640 53640 82440 87640 89640 107640 114840 131640 1463 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 2 IN DAYCARE - (P) 39830 39830 39830 39830 39830 39830 39830 39830 39830 39830 1464 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 3 - (P) 37430 37430 37430 43930 75730 81430 83680 103560 111510 123430 1465 OBSTETRICS & GYNAE. OPERATIVE HYSTEROSCOPY LEVEL 3 IN DAYCARE - (P) 39875 39875 39875 39875 39875 39875 39875 39875 39875 39875 1466 OBSTETRICS & GYNAE. OROANTRAL FISTULA CLOSURE 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1467 OBSTETRICS & GYNAE. OVARIAN BIOPSY (LAPAROSCOPIC ) 10900 10900 11450 12540 13630 14720 14720 16350 17440 21800 1468 OBSTETRICS & GYNAE. OVARIAN CYST ASPIRATION ( LAPAROSCOPIC ) 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1469 OBSTETRICS & GYNAE. OVARIAN CYSTECTOMY ( LAPAROSCOPIC ) - COMPLEX 16900 16900 17750 19440 21130 22820 22820 25350 27040 33800 1470 OBSTETRICS & GYNAE. PALATOPLASTY - RADIOFREQUENCY ( RF ) ASSISTED - 1ST SITTING 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1471 OBSTETRICS & GYNAE. PALATOPLASTY - RADIOFREQUENCY ( RF ) ASSISTED - SUBSEQUENT 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1472 OBSTETRICS & GYNAE. PERINEAL TEAR ( POST COITAL / TRAUMATIC ) REPAIR 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1473 OBSTETRICS & GYNAE. PERINEAL TEAR SUTURING 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1474 OBSTETRICS & GYNAE. PLUNGING RANULA EXCISION ( ENT ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 1475 OBSTETRICS & GYNAE. POLYPECTOMY HYSTEROSCOPIC 6700 6700 7040 7710 8380 9050 9050 10050 10720 13400 1476 OBSTETRICS & GYNAE. POST COITAL TEST (PCT) 800 800 840 920 1000 1080 1080 1200 1280 1600 1477 OBSTETRICS & GYNAE. RECTO VAGINAL FISTULA REPAIR 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 1478 OBSTETRICS & GYNAE. RECTOCELE REPAIR 7300 7300 7670 8400 9130 9860 9860 10950 11680 14600 1479 OBSTETRICS & GYNAE. RECTOURETHRAL FISTULA REPAIR 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1480 OBSTETRICS & GYNAE. RETAINED PLACENTA - MANUAL REMOVAL ( UNDER SEDATION 5500 5500 5780 6330 6880 7430 7810 8250 8800 11000 1481 OBSTETRICS & GYNAE. SALPINGO OOPHORECTOMY ( LAPAROSCOPIC ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1482 OBSTETRICS & GYNAE. SALPINGO OOPHORECTOMY ( LAPAROTOMY ) - BILATERAL 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1483 OBSTETRICS & GYNAE. SALPINGOSTOMY ( LAPAROSCOPIC ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1484 OBSTETRICS & GYNAE. SEPTAL ABSCESS INCISION AND DRAINAGE 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1485 OBSTETRICS & GYNAE. SLING PROCEDURE (FOR URINARY STRESS INCONTINENCE) 21200 21200 22260 24380 26500 28620 28620 31800 33920 42400 1486 OBSTETRICS & GYNAE. STERILIZATION ABDOMINAL 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1487 OBSTETRICS & GYNAE. STERLISATION ( LAPAROSCOPIC ) 6100 6100 6410 7020 7630 8240 8240 9150 9760 12200 1488 OBSTETRICS & GYNAE. SUCTION AND EVACUATION 6800 6800 7140 7820 8500 9180 9180 10200 10880 13600 1489 OBSTETRICS & GYNAE. THERMACHOICE UTERINE BALLOON THERAPY 13300 13300 13970 15300 16630 17960 17960 19950 21280 26600 1490 OBSTETRICS & GYNAE. TOTAL ABDOMINAL HYSTERECTOMY 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1491 OBSTETRICS & GYNAE. TOTAL ABDOMINAL HYSTERECTOMY ( TAH ) + BILATERAL SALP24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1492 OBSTETRICS & GYNAE. TOTAL ABDOMINAL HYSTERECTOMY LAPAROSCOPIC ( TLAH ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 1493 OBSTETRICS & GYNAE. TRANS ABDOMINAL PROCEDURE FOR URINARY STRESS INCON20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1494 OBSTETRICS & GYNAE. TRANSCERVICAL RESECTION OF ENDOMETRIUM ( TCRE ) 15200 15200 15960 17480 19000 20520 20520 22800 24320 30400 1495 OBSTETRICS & GYNAE. TUBAL CANNULATION ( HYSTEROSCOPIC ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 1496 OBSTETRICS & GYNAE. TUBAL CANNULATION ( OPEN ) 21200 21200 22260 24380 26500 28620 28620 31800 33920 42400 1497 OBSTETRICS & GYNAE. TUBAL LIGATION 6700 6700 7040 7710 8380 9050 9050 10050 10720 13400 1498 OBSTETRICS & GYNAE. TUBAL RECANALIZATION - LAPAROSCOPIC ( OBSTETRICS AND G24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1499 OBSTETRICS & GYNAE. TUBOPLASTY ( LAPAROSCOPIC ) 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1500 OBSTETRICS & GYNAE. TURBINATE REDUCTION ( BILATERAL ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 1501 OBSTETRICS & GYNAE. URETHRAL CARBUNCLE EXCISION 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1502 OBSTETRICS & GYNAE. UTERINE ( ENDOMETRIAL ) POLYPECTOMY 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1503 OBSTETRICS & GYNAE. UTERUS EVACUATION 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1504 OBSTETRICS & GYNAE. VAGINAL EXPLORATION 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 1505 OBSTETRICS & GYNAE. VAGINAL FOREIGN BODY REMOVAL 3700 3700 3890 4260 4630 5000 5000 5550 5920 7400 1506 OBSTETRICS & GYNAE. VAGINAL HYSTERECTOMY 21800 21800 22890 25070 27250 29430 29430 32700 34880 43600 1507 OBSTETRICS & GYNAE. VAGINAL HYSTERECTOMY (NON DESCENT) 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1508 OBSTETRICS & GYNAE. VAGINAL HYSTERECTOMY + ANTERIOR COLPORRHAPHY 21800 21800 22890 25070 27250 29430 29430 32700 34880 43600 1509 OBSTETRICS & GYNAE. VAGINAL MYOMECTOMY 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 1510 OBSTETRICS & GYNAE. VAGINAL SEPTUM EXCISION 7300 7300 7670 8400 9130 9860 9860 10950 11680 14600 1511 OBSTETRICS & GYNAE. VAGINOPLASTY ( FOR VAGINAL AGENESIS ) 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1512 OBSTETRICS & GYNAE. VAULT REPAIR ( POST HYSTERECTOMY ) 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 1513 OBSTETRICS & GYNAE. VENTEROSUSPENSION ( LAPAROSCOPIC ) OF UTERUS ALONE 12800 12800 13440 14720 16000 17280 17280 19200 20480 25600 1514 OBSTETRICS & GYNAE. VENTRAL SUSPENSION OF UTERUS ( LAPAROTOMY ) 12800 12800 13440 14720 16000 17280 17280 19200 20480 25600 1515 OBSTETRICS & GYNAE. VESICOVAGINAL FISTULA ( VVF ) REPAIR - OBSTETRICS AND GY24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 1516 OBSTETRICS & GYNAE. VULVAL BIOPSY 3900 3900 4100 4490 4880 5270 5270 5850 6240 7800 1517 OBSTETRICS & GYNAE. VULVAL HAEMATOMA ( POST DELIVERY ) EVACUATION 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1518 OBSTETRICS & GYNAE. VULVAL HEMATOMA DRAINAGE 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 1519 OBSTETRICS & GYNAE. VULVECTOMY (SIMPLE) 14500 14500 15230 16680 18130 19580 19580 21750 23200 29000 1520 Oncology BIOPSY TRUCUT - DEEP ( ONCOSURGERY ) 5400 5400 5670 6210 6750 7290 7290 8100 8640 10800 1521 Oncology CHEMO PLANNING CHARGES 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1522 Oncology CHEMOPORT INSERTION ( ONCOLOGY ) 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 1523 Oncology CHEMOPORT REMOVAL ( ONCOLOGY ) 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 1524 Oncology CHEMOTHERAPY (BOLUS) - MULTI DRUG 800 800 840 920 1000 1080 1080 1200 1280 1600 1525 Oncology CHEMOTHERAPY (HIGH DOSE) 2600 2600 2730 2990 3250 3510 3510 3900 4160 5200 1526 Oncology CHEMOTHERAPY (INFUSIONAL) 1550 1550 1630 1790 1940 2100 2100 2330 2480 3100 1527 Oncology CHEMOTHERAPY (INFUSIONAL) - MULTI DRUG 2600 2600 2730 2990 3250 3510 3510 3900 4160 5200 1528 Oncology CHEMOTHERAPY (INFUSIONAL) - SINGLE DRUG (PER DAY) 1550 1550 1630 1790 1940 2100 2100 2330 2480 3100 1529 Oncology CHEMOTHERAPY (INTRAPLEURAL) 1550 1550 1630 1790 1940 2100 2100 2330 2480 3100 1530 Oncology CHEMOTHERAPY (INTRATHECAL) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 1531 Oncology CHEMOTHERAPY (INTRAVESICAL) 1550 1550 1630 1790 1940 2100 2100 2330 2480 3100 1532 Oncology CHEMOTHERAPY (ORAL) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1533 Oncology CHEMOTHERAPY (PLANNING + COUNSELLING) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 1534 Oncology CHEMOTHERAPY INTRAARTERIAL - PER DAY ( ONCOLOGY ) 2600 2600 2730 2990 3250 3510 3510 3900 4160 5200 1535 Oncology CHEMOTHERAPY INTRAPERICARDIAL - PER DAY 1550 1550 1630 1790 1940 2100 2100 2330 2480 3100 1536 Oncology LAPAROSCOPE ASSISTED VAGINA HYSTERECTOMY (LAVH) + SA31500 31500 33080 36230 39380 42530 42530 47250 50400 63000 1537 Oncology LARYNGOPHARYNGECTOMY TOTAL + GASTRIC PULL UP PROCE45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 1538 Oncology LUMPECTOMY ( ONCOSURGERY ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1539 Oncology OMENTECTOMY ( ONCOSURGERY ) 36200 36200 38010 41630 45250 48870 48870 54300 57920 72400 1540 Oncology REVISION SURGERY ( FOR WIDE LOCAL EXCISION OF BREAST LUM21300 21300 22370 24500 26630 28760 28760 31950 34080 42600 1541 Oncology VAGINECTOMY PARTIAL 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 1542 Oncology VULVECTOMY RADICAL ( ONCOSURGERY ) 24100 24100 25310 27720 30130 32540 32540 36150 38560 48200 1543 Oncology WERTHEIMS HYSTERECTOMY ( ONCOSURGERY ) 30100 30100 31610 34620 37630 40640 40640 45150 48160 60200 1544 Oncology WHIPPLES / PYLORUS PRESERVING PANCREATICODUODENECT35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 1545 OPHTHALMOLOGY 20 G VR SURGERY (P) 55000 55000 57750 63250 68750 74250 74250 82500 88000 110000 1546 OPHTHALMOLOGY 23 G VR SURGERY (P) 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 1547 OPHTHALMOLOGY 3 MIRROR EXAMINATION ( BOTH EYES ) 650 650 690 750 820 880 880 980 1040 1300 1548 OPHTHALMOLOGY 3 MIRROR EXAMINATION ( LEFT EYE ) 450 450 480 520 570 610 610 680 720 900 1549 OPHTHALMOLOGY A SCAN BIOMETRY ULTRASOUND ( BOTH EYES ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1550 OPHTHALMOLOGY A SCAN BIOMETRY ULTRASOUND ( LEFT EYE ) 600 600 630 690 750 810 810 900 960 1200 1551 OPHTHALMOLOGY A SCAN BIOMETRY ULTRASOUND ( RIGHT EYE ) 600 600 630 690 750 810 810 900 960 1200 1552 OPHTHALMOLOGY AMSLER GRID TEST ( BOTH EYES ) 150 150 160 180 190 210 210 230 240 300 1553 OPHTHALMOLOGY AMSLER GRID TEST ( LEFT EYE ) 50 50 60 60 70 70 70 80 80 100 1554 OPHTHALMOLOGY APPLANATION TONOMETRY ( BOTH EYES ) 150 150 160 180 190 210 210 230 240 300 1555 OPHTHALMOLOGY APPLANATION TONOMETRY ( LEFT EYE ) 150 150 160 180 190 210 210 230 240 300 1556 OPHTHALMOLOGY ARGON LASER TRABECULOPLASTY ( ALT ) - BILATERAL 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 1557 OPHTHALMOLOGY ARGON LASER TRABECULOPLASTY ( ALT ) - LEFT EYE 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 1558 OPHTHALMOLOGY AUTOMATED PERIMETRY ( OCTOPUS - GIX ) - BOTH EYES 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1559 OPHTHALMOLOGY AUTOMATED PERIMETRY ( OCTOPUS - GIX ) - LEFT EYE 850 850 900 980 1070 1150 1150 1280 1360 1700 1560 OPHTHALMOLOGY B SCAN BIOMETRY ULTRASOUND ( BOTH EYES ) 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 1561 OPHTHALMOLOGY B SCAN BIOMETRY ULTRASOUND ( LEFT EYE ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 1562 OPHTHALMOLOGY BANDAGE CONTACT LENS (BCL) FITTINGS - BOTH EYES 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1563 OPHTHALMOLOGY BANDAGE CONTACT LENS (BCL) FITTINGS - LEFT EYE 500 500 530 580 630 680 680 750 800 1000 1564 OPHTHALMOLOGY BETADINE CLEANSING OF LID MARGIN ( BOTH EYES ) 350 350 370 410 440 480 480 530 560 700 1565 OPHTHALMOLOGY BETADINE CLEANSING OF LID MARGIN ( LEFT EYE ) 250 250 270 290 320 340 340 380 400 500 1566 OPHTHALMOLOGY BIOMICROSCOPY ENDOTHELIAL 550 550 580 640 690 750 750 830 880 1100 1567 OPHTHALMOLOGY BLADE FREE LASIK (BOTH EYES) (P) 95000 95000 99750 109250 118750 128250 128250 142500 152000 190000 1568 OPHTHALMOLOGY BLEPHAROPLASTY (PER LID) (P) 45000 45000 47250 51750 56250 60750 60750 67500 72000 90000 1569 OPHTHALMOLOGY C - LASIK ( BILATERAL ) (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1570 OPHTHALMOLOGY C - LASIK ( LEFT EYE ) (P) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1571 OPHTHALMOLOGY CAUTERIZATION ( BILATERAL ) 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 1572 OPHTHALMOLOGY CHALAZION EXCISION ( MULTIPLE ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1573 OPHTHALMOLOGY CHALAZION EXCISION ( SINGLE ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1574 OPHTHALMOLOGY COLOR VISION TEST ( ISHIHARA ) - BOTH EYES 200 200 210 230 250 270 270 300 320 400 1575 OPHTHALMOLOGY COLOR VISION TEST ( ISHIHARA ) - LEFT EYE 150 150 160 180 190 210 210 230 240 300 1576 OPHTHALMOLOGY COMPLEX CLW FOREHEAD REPAIR 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1577 OPHTHALMOLOGY COMPLEX CLW SCALP REPAIR 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1578 OPHTHALMOLOGY CONJUNCTIVAL CYST REMOVAL (P) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1579 OPHTHALMOLOGY CONJUNCTIVAL FLAP CORRECTION 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1580 OPHTHALMOLOGY CONJUNCTIVAL GROWTH EXCISION 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1581 OPHTHALMOLOGY CONJUNCTIVAL TUMOR ( LIMBUS ) - SURGICAL RESECTION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1582 OPHTHALMOLOGY CONTACT LENS TRIAL ( BOTH EYES ) 300 300 320 350 380 410 410 450 480 600 1583 OPHTHALMOLOGY CONTACT LENS TRIAL ( LEFT EYE ) 300 300 320 350 380 410 410 450 480 600 1584 OPHTHALMOLOGY CONTRAST SENSITIVITY TEST ( BOTH EYES ) 300 300 320 350 380 410 410 450 480 600 1585 OPHTHALMOLOGY CONTRAST SENSITIVITY TEST ( LEFT EYE ) 200 200 210 230 250 270 270 300 320 400 1586 OPHTHALMOLOGY CORNEAL FOREIGN BODY REMOVAL 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1587 OPHTHALMOLOGY CORNEAL FOREIGN BODY REMOVAL ( DEEP - SINGLE ) 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1588 OPHTHALMOLOGY CORNEAL FOREIGN BODY REMOVAL ( SUPERFICIA L) 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1589 OPHTHALMOLOGY CORNEAL GRAFTING ( GLAUCOMA ) (P) 75000 75000 78750 86250 93750 101250 101250 112500 120000 150000 1590 OPHTHALMOLOGY CORNEAL GRAFTING ( OPTICAL GRAFT ) (P) 75000 75000 78750 86250 93750 101250 101250 112500 120000 150000 1591 OPHTHALMOLOGY CORNEAL GRAFTING - THERAPEUTIC PENETRATING KERATOPLAS62000 62000 65100 71300 77500 83700 83700 93000 99200 124000 1592 OPHTHALMOLOGY CORNEAL SUTURE REMOVAL 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1593 OPHTHALMOLOGY CORNEAL TEAR REPAIR (P) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1594 OPHTHALMOLOGY CORNEAL TOPOGRAPHY 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1595 OPHTHALMOLOGY CORNEAL TOPOGRAPHY ( CTG ) PATHFINDER ANALYSIS - BOTH 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 1596 OPHTHALMOLOGY CORNEAL TOPOGRAPHY ( CTG ) PATHFINDER ANALYSIS - LEFT EY 900 900 950 1040 1130 1220 1220 1350 1440 1800 1597 OPHTHALMOLOGY CORNEAL TOPOGRAPHY ( CTG ) SUBSEQUENT SCAN + CHANGE1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 1598 OPHTHALMOLOGY CORNEAL TOPOGRAPHY ( CTG ) SUBSEQUENT SCAN + CHANGE900 900 950 1040 1130 1220 1220 1350 1440 1800 1599 OPHTHALMOLOGY CORNEAL/CONJUNCTIVAL SCRAPINGS ( BOTH EYES ) 300 300 320 350 380 410 410 450 480 600 1600 OPHTHALMOLOGY CORNEAL/CONJUNCTIVAL SCRAPINGS ( LEFT EYE ) 200 200 210 230 250 270 270 300 320 400 1601 OPHTHALMOLOGY CROSS LINKING (PER EYE) (P) 32500 32500 34130 37380 40630 43880 43880 48750 52000 65000 1602 OPHTHALMOLOGY CRYOTHERAPHY ONE EYE BE 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1603 OPHTHALMOLOGY CULTURE / SENSITIVITY SWAB TEST - BOTH EYES 550 550 580 640 690 750 750 830 880 1100 1604 OPHTHALMOLOGY CULTURE / SENSITIVITY SWAB TEST - LEFT EYE 300 300 320 350 380 410 410 450 480 600 1605 OPHTHALMOLOGY CUSTOMISED LASIK (BOTH EYES) (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1606 OPHTHALMOLOGY CYCLOCRYOPEXY ( PER SITTING ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 1607 OPHTHALMOLOGY CYCLOPLEGIC REFRACTION TEST 400 400 420 460 500 540 540 600 640 800 1608 OPHTHALMOLOGY DACRYOCYSTORHINOSTOMY ( DCR ) - OPHTHALMOLOGY (P) 55000 55000 57750 63250 68750 74250 74250 82500 88000 110000 1609 OPHTHALMOLOGY DACRYOCYSTOTOMY ( OPHTHALMOLOGY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1610 OPHTHALMOLOGY DALK UNDER LA (DAYCARE) (P) 125000 125000 131250 143750 156250 168750 168750 187500 200000 250000 1611 OPHTHALMOLOGY DARK ROOM PRONE TEST 350 350 370 410 440 480 480 530 560 700 1612 OPHTHALMOLOGY DIDO/FOCAL/PRP PER SETTING BE 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 1613 OPHTHALMOLOGY DIDO/FOCAL/PRP PER SETTING DE 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1614 OPHTHALMOLOGY DIURNAL VARIATION STUDY 650 650 690 750 820 880 880 980 1040 1300 1615 OPHTHALMOLOGY ECTROPION CORRECTION ( LEFT ) - OPHTHALMOLOGY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1616 OPHTHALMOLOGY ECTROPION CORRECTION + GRAFTING (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1617 OPHTHALMOLOGY ENTROPION CORRECTION ( BILATERAL ) - OPHTHALMOLOGY (P 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1618 OPHTHALMOLOGY ENTROPION CORRECTION ( LEFT ) - OPHTHALMOLOGY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1619 OPHTHALMOLOGY ENTROPION CORRECTION + GRAFTING (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1620 OPHTHALMOLOGY ENUCLEATION 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1621 OPHTHALMOLOGY ENUCLEATION / EVISCERATION + IMPLANT (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1622 OPHTHALMOLOGY EPILATION LID ( BOTH EYES ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1623 OPHTHALMOLOGY EPILATION LID ( LEFT EYE ) 500 500 530 580 630 680 680 750 800 1000 1624 OPHTHALMOLOGY EPITHELIAL DEBRIDEMENT + BETADINE CAUTERIZATION ( BOTH 350 350 370 410 440 480 480 530 560 700 1625 OPHTHALMOLOGY EPITHELIAL DEBRIDEMENT + BETADINE CAUTERIZATION ( LEFT 300 300 320 350 380 410 410 450 480 600 1626 OPHTHALMOLOGY EVISCERATION 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1627 OPHTHALMOLOGY EXAMINATION UNDER ANESTHESIA ( EUA ) - OPHTHALMOLOG 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1628 OPHTHALMOLOGY EXOPHTHALMOMETRY ( BOTH EYES ) 300 300 320 350 380 410 410 450 480 600 1629 OPHTHALMOLOGY EXOPHTHALMOMETRY ( LEFT EYE ) 300 300 320 350 380 410 410 450 480 600 1630 OPHTHALMOLOGY EYE CAP TEST ( ANTERIOR SEGMENT ) FOR PHOTO DOCUMENT350 350 370 410 440 480 480 530 560 700 1631 OPHTHALMOLOGY EYE CAP TEST ( ANTERIOR SEGMENT ) FOR PHOTO DOCUMENT350 350 370 410 440 480 480 530 560 700 1632 OPHTHALMOLOGY EYE EXERCISES WITH SYNOPTOPHORE 200 200 210 230 250 270 270 300 320 400 1633 OPHTHALMOLOGY EYELID SUTURING 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1634 OPHTHALMOLOGY FEMTO LASER ASSISTED KERATOPLASTY 110000 110000 115500 126500 137500 148500 148500 165000 176000 220000 1635 OPHTHALMOLOGY FEMTO LASIK ( BILATERAL ) (P) 97200 97200 102060 111780 121500 131220 131220 145800 155520 194400 1636 OPHTHALMOLOGY FEMTO LASIK ( LEFT EYE ) (P) 70200 70200 73710 80730 87750 94770 94770 105300 112320 140400 1637 OPHTHALMOLOGY FEMTO/ ROBOTIC CATARACT SURGERY (P) 125000 125000 131250 143750 156250 168750 168750 187500 200000 250000 1638 OPHTHALMOLOGY FFA (BOTH EYES) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1639 OPHTHALMOLOGY FLUORESCEIN ANGIOGRAPHY ( BOTH EYES ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1640 OPHTHALMOLOGY FLUORESCEIN ANGIOGRAPHY ( LEFT EYE ) 1750 1750 1840 2020 2190 2370 2370 2630 2800 3500 1641 OPHTHALMOLOGY FORNIX IRRIGATION ( BOTH EYES ) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1642 OPHTHALMOLOGY FORNIX IRRIGATION ( LEFT EYE ) 1050 1050 1110 1210 1320 1420 1420 1580 1680 2100 1643 OPHTHALMOLOGY FUNDUS COLOR PHOTOGRAPHY ( BOTH EYES ) 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 1644 OPHTHALMOLOGY FUNDUS COLOR PHOTOGRAPHY ( LEFT EYE ) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 1645 OPHTHALMOLOGY FUNDUS COLOR PHOTOGRAPHY ( RIGHT EYE ) 1350 1350 1420 1560 1690 1830 1830 2030 2160 2700 1646 OPHTHALMOLOGY GLAUCOMA SURGERY WITH GFD (P) 120000 120000 126000 138000 150000 162000 162000 180000 192000 240000 1647 OPHTHALMOLOGY GONIOSCOPY ( BOTH EYES ) 450 450 480 520 570 610 610 680 720 900 1648 OPHTHALMOLOGY GONIOSCOPY ( LEFT EYE ) 300 300 320 350 380 410 410 450 480 600 1649 OPHTHALMOLOGY GONIOSCOPY (PER EYE) 500 500 530 580 630 680 680 750 800 1000 1650 OPHTHALMOLOGY GRAMS STAIN (GM SMEAR) EACH (LAB CHARGES)-ONE EYE 150 150 160 180 190 210 210 230 240 300 1651 OPHTHALMOLOGY GREEN LASER - LEFT EYE ( PER SITTING ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1652 OPHTHALMOLOGY HESS CHARTING ( BOTH EYES ) 350 350 370 410 440 480 480 530 560 700 1653 OPHTHALMOLOGY HESS CHARTING ( LEFT EYE ) 300 300 320 350 380 410 410 450 480 600 1654 OPHTHALMOLOGY HYPEROPIC LASIK ( BILATERAL ) (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1655 OPHTHALMOLOGY HYPEROPIC LASIK ( LEFT EYE ) (P) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1656 OPHTHALMOLOGY ICL (NON TORIC) BOTH EYE P 200000 200000 210000 230000 250000 270000 270000 300000 320000 400000 1657 OPHTHALMOLOGY ICL INDIAN (TORIC) BOTH EYE P 250000 250000 262500 287500 312500 337500 337500 375000 400000 500000 1658 OPHTHALMOLOGY ICL INDIAN (NON TORIC) BOTH EYE P 150000 150000 157500 172500 187500 202500 202500 225000 240000 300000 1659 OPHTHALMOLOGY ICL (TORIC) BOTH EYE P 300000 300000 315000 345000 375000 405000 405000 450000 480000 600000 1660 OPHTHALMOLOGY INJ. OZURDEX (PER EYE) (P) 65000 65000 68250 74750 81250 87750 87750 97500 104000 130000 1661 OPHTHALMOLOGY INJECTION INTRAVITREAL ( AVASTIN ) (P) 17000 17000 17850 19550 21250 22950 22950 25500 27200 34000 1662 OPHTHALMOLOGY INJECTION INTRAVITREAL ( FOR ENDOPHTHALMITIS ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1663 OPHTHALMOLOGY INJECTION INTRAVITREAL ( LUCENTIS ) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1664 OPHTHALMOLOGY INTRA STROMAL RING (PER EYE) (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1665 OPHTHALMOLOGY INTRAOCULAR LENS ( IOL ) IMPLANTATION - SECONDARY (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1666 OPHTHALMOLOGY IOL MASTER - ASTIGMATIC KERATOTOMY + NON CONTACT BIO1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 1667 OPHTHALMOLOGY IOL MASTER - ASTIGMATIC KERATOTOMY + NON CONTACT BIO1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1668 OPHTHALMOLOGY IOL MASTER - AUTO KERATOTOMY + NON CONTACT BIOMETR2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1669 OPHTHALMOLOGY KERATOMETRY AUTOMATED ( BOTH EYES ) 200 200 210 230 250 270 270 300 320 400 1670 OPHTHALMOLOGY KERATOMETRY AUTOMATED ( LEFT EYE ) 500 500 530 580 630 680 680 750 800 1000 1671 OPHTHALMOLOGY KERATOPLASTY (PER EYE) (P) 75000 75000 78750 86250 93750 101250 101250 112500 120000 150000 1672 OPHTHALMOLOGY KOH SLIDE PREP. (EACH) (LAB CHARGES)-ONE EYE 100 100 110 120 130 140 140 150 160 200 1673 OPHTHALMOLOGY LACRIMAL ABSCESS DRAINAGE 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 1674 OPHTHALMOLOGY LACRIMAL CANALICULI REPAIR 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1675 OPHTHALMOLOGY LACRIMAL SYRINGING ( BOTH EYES ) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1676 OPHTHALMOLOGY LACRIMAL SYRINGING ( LEFT EYE ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1677 OPHTHALMOLOGY LACRIMAL SYRINGING ( RIGHT EYE ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1678 OPHTHALMOLOGY LASER PI ( PER EYE) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1679 OPHTHALMOLOGY LASER THERAPY ( FOR DIABETIC OPTHALMOPATHY ) - ONE SITT 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1680 OPHTHALMOLOGY LASER THERAPY (POST CATARACT) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 1681 OPHTHALMOLOGY LASER TREATMENT - RETINOPATHY OF PREMATURITY ( ROP ) -27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 1682 OPHTHALMOLOGY LASER TREATMENT - RETINOPATHY OF PREMATURITY ( ROP ) -16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 1683 OPHTHALMOLOGY LEFT LATERAL CANTHUS FIXATION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1684 OPHTHALMOLOGY LEFT LOWER LID LACERATION REPAIR + LID RECONSTRUCTION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1685 OPHTHALMOLOGY LEFT ORBITAL FLOOR FRACTURE REPAIR (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1686 OPHTHALMOLOGY LEFT UPPER LID SEPTAL RUPTURE WITH FAT PROLAPSE REPAIR 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1687 OPHTHALMOLOGY LENS ASPIRATION (P) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1688 OPHTHALMOLOGY LENSECTOMY (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1689 OPHTHALMOLOGY LENSECTOMY + PHACOEMULSIFICATION 30200 30200 31710 34730 37750 40770 40770 45300 48320 60400 1690 OPHTHALMOLOGY LID ABSCESS INCISION AND DRAINAGE 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1691 OPHTHALMOLOGY LID CANALICULAR REPAIR ( COMPLEX ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 1692 OPHTHALMOLOGY LID CANALICULAR REPAIR ( SIMPLE ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 1693 OPHTHALMOLOGY LID MASSAGE 300 300 320 350 380 410 410 450 480 600 1694 OPHTHALMOLOGY LIMBAL DERMOID AND GROWTH REMOVAL ( SMALL ) (P) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 1695 OPHTHALMOLOGY LIMBAL DERMOID EXCISION (P) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 1696 OPHTHALMOLOGY LOW VISION AIDS TRIAL ( LVA ) - BOTH EYES 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1697 OPHTHALMOLOGY LOW VISION AIDS TRIAL ( LVA ) - LEFT EYE 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 1698 OPHTHALMOLOGY MICS WITH AMO SENSAR 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1699 OPHTHALMOLOGY MICS WITH AMO TECNIS 1 (P) 45000 45000 47250 51750 56250 60750 60750 67500 72000 90000 1700 OPHTHALMOLOGY MICS WITH INDIAN FOLDABLE (P) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 1701 OPHTHALMOLOGY MICS WITH MULTIFOCAL IOL (P) 77500 77500 81380 89130 96880 104630 104630 116250 124000 155000 1702 OPHTHALMOLOGY MICS WITH SYMPHONY LENS (P) 112500 112500 118130 129380 140630 151880 151880 168750 180000 225000 1703 OPHTHALMOLOGY MICS WITH TORIC IOL (P) 62500 62500 65630 71880 78130 84380 84380 93750 100000 125000 1704 OPHTHALMOLOGY OCT - BOTH EYES 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1705 OPHTHALMOLOGY OCT - ONE EYE 2600 2600 2730 2990 3250 3510 3510 3900 4160 5200 1706 OPHTHALMOLOGY OCT- Spectral + Glancoma BE 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1707 OPHTHALMOLOGY OCT- Spectral + Glancoma DE 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1708 OPHTHALMOLOGY OPHTHALMOLOGICAL CONSULTATION + FUNDUS EXAMINATIO900 900 950 1040 1130 1220 1220 1350 1440 1800 1709 OPHTHALMOLOGY OPHTHALMOSCOPY INDIRECT ( BOTH EYES ) 200 200 210 230 250 270 270 300 320 400 1710 OPHTHALMOLOGY OPHTHALMOSCOPY INDIRECT ( LEFT EYE ) 500 500 530 580 630 680 680 750 800 1000 1711 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY ( OCT ) SCAN - MACULA (4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1712 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY ( OCT ) SCAN - MACULA (2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 1713 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY ( OCT ) SCAN - SPECTRAL 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 1714 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY ( OCT ) SCAN - SPECTRAL 2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 1715 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) - FIRST SCAN ( BOT2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 1716 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) - FIRST SCAN ( LEFT 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1717 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) - SUBSEQUENT SCA2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 1718 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) - SUBSEQUENT SCA2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1719 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) SCAN FIRST - MACULA (2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1720 OPHTHALMOLOGY OPTICAL COHERENCE TOMOGRAPHY (OCT) SCAN SUBSEQUENT2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1721 OPHTHALMOLOGY ORTHOPTIC CHECK UP ( LEFT EYE ) - OPHTHALMOLOGY 150 150 160 180 190 210 210 230 240 300 1722 OPHTHALMOLOGY ORTHOPTIC CHECKUP ( BOTH EYES ) - OPHTHALMOLOGY 150 150 160 180 190 210 210 230 240 300 1723 OPHTHALMOLOGY ORTHOPTIC EXERCISES ( BOTH EYES ) PER VISIT - OPHTHALMO 300 300 320 350 380 410 410 450 480 600 1724 OPHTHALMOLOGY ORTHOPTIC EXERCISES ( LEFT EYE ) PER VISIT - OPHTHALMOLO 200 200 210 230 250 270 270 300 320 400 1725 OPHTHALMOLOGY PACHYMETRY ( LEFT EYE ) 650 650 690 750 820 880 880 980 1040 1300 1726 OPHTHALMOLOGY PACHYMETRY ( RIGHT EYE ) 650 650 690 750 820 880 880 980 1040 1300 1727 OPHTHALMOLOGY PACHYMETRY FOR CENTRAL CORNEAL THICKNESS (CCT) MEAS1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1728 OPHTHALMOLOGY PACHYMETRY FOR CENTRAL CORNEAL THICKNESS (CCT) MEAS500 500 530 580 630 680 680 750 800 1000 1729 OPHTHALMOLOGY PACHYMETRY MAP ( ULTRASONIC ) BOTH EYES 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1730 OPHTHALMOLOGY PACHYMETRY MAP ( ULTRASONIC ) LEFT EYE 650 650 690 750 820 880 880 980 1040 1300 1731 OPHTHALMOLOGY PAN RETINAL PHOTOCOAGULATION ( PRP ) - LEFT EYE 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1732 OPHTHALMOLOGY PAN RETINAL PHOTOCOAGULATION ( PRP ) - RIGHT EYE 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1733 OPHTHALMOLOGY PARS PLANA VITRECTOMY ( PPV ) (P) 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 1734 OPHTHALMOLOGY PERFORATING INJURY ( EYEBALL ) REPAIR - PARTIAL (P) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1735 OPHTHALMOLOGY PERFORATING INJURY ( EYEBALL ) REPAIR - TOTAL (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1736 OPHTHALMOLOGY PHACO + IOL - 3PC IN DAYCARE - (P) 30200 30200 30200 30200 30200 30200 30200 30200 30200 30200 1737 OPHTHALMOLOGY PHACO + IOL - ACRY - EXP - PREM IN DAYCARE - (P) 32400 32400 32400 32400 32400 32400 32400 32400 32400 32400 1738 OPHTHALMOLOGY PHACO + IOL - ACRY - IQ IN DAYCARE - (P) 30300 30300 30300 30300 30300 30300 30300 30300 30300 30300 1739 OPHTHALMOLOGY PHACO + IOL - ACRY - MF - PREM IN DAYCARE - (P) 32400 32400 32400 32400 32400 32400 32400 32400 32400 32400 1740 OPHTHALMOLOGY PHACO + IOL - ACRY - SGL IN DAYCARE - (P) 30200 30200 30200 30200 30200 30200 30200 30200 30200 30200 1741 OPHTHALMOLOGY PHACO + IOL - ACRY - TOR - PREM IN DAYCARE - (P) 32400 32400 32400 32400 32400 32400 32400 32400 32400 32400 1742 OPHTHALMOLOGY PHACO + IOL- B -BASIC IN DAYCARE - (P) 28000 28000 28000 28000 28000 28000 28000 28000 28000 28000 1743 OPHTHALMOLOGY PHAKIC INTRAOCULAR LENS ( IOL ) IMPLANTATION - LEFT EYE 59400 59400 62370 68310 74250 80190 80190 89100 95040 118800 1744 OPHTHALMOLOGY PHAKIC INTRAOCULAR LENS ( IOL ) IMPLANTATION - LEFT EYE ( 60000 60000 63000 69000 75000 81000 81000 90000 96000 120000 1745 OPHTHALMOLOGY PHOTODYNAMIC THERAPY ( PDT ) (P) 102600 102600 107730 117990 128250 138510 138510 153900 164160 205200 1746 OPHTHALMOLOGY PHOTOREFRACTIVE KERATECTOMY ( PRK ) WITH EXCIMER LAS40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1747 OPHTHALMOLOGY PHOTOREFRACTIVE KERATECTOMY ( PRK ) WITH EXCIMER LAS20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1748 OPHTHALMOLOGY PHOTOTHERAPEUTIC KERATECTOMY ( PTK ) WITH EXCIMER LA40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1749 OPHTHALMOLOGY PHOTOTHERAPEUTIC KERATECTOMY ( PTK ) WITH EXCIMER LA20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1750 OPHTHALMOLOGY PNEUMATIC RETINOPEXY 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1751 OPHTHALMOLOGY PROBING + SYRINGING ( BILATERAL ) (P) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1752 OPHTHALMOLOGY PROBING + SYRINGING ( LEFT EYE ) 3250 3250 3420 3740 4070 4390 4390 4880 5200 6500 1753 OPHTHALMOLOGY PROBING + SYRINGING ( LEFT EYE ) (P) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1754 OPHTHALMOLOGY PTERYGIUM EXCISION ( SMALL ) (P) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1755 OPHTHALMOLOGY PTERYGIUM EXCISION + AUTO GRAFTING (P) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1756 OPHTHALMOLOGY PTERYGIUM EXCISION + GRAFTING (P) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1757 OPHTHALMOLOGY PTERYGIUM LARGE EXCISION (P) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 1758 OPHTHALMOLOGY PTOSIS CORRECTION ( BILATERAL ) (P) 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 1759 OPHTHALMOLOGY PTOSIS CORRECTION ( RIGHT EYE ) (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1760 OPHTHALMOLOGY RD SURGERY (P) 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 1761 OPHTHALMOLOGY REFRACTION TESTING 500 500 530 580 630 680 680 750 800 1000 1762 OPHTHALMOLOGY REFRACTION TESTING ( POST DILATATION) 500 500 530 580 630 680 680 750 800 1000 1763 OPHTHALMOLOGY REFRACTOMETRY AUTOMATED ( BOTH EYES ) 150 150 160 180 190 210 210 230 240 300 1764 OPHTHALMOLOGY REFRACTOMETRY AUTOMATED ( LEFT EYE ) 50 50 60 60 70 70 70 80 80 100 1765 OPHTHALMOLOGY RETINAL INTERFEROMETRY ( BOTH EYES ) 300 300 320 350 380 410 410 450 480 600 1766 OPHTHALMOLOGY RETINAL INTERFEROMETRY ( LASER ) - BOTH EYES 250 250 270 290 320 340 340 380 400 500 1767 OPHTHALMOLOGY RETINAL INTERFEROMETRY ( LASER ) - LEFT EYE 250 250 270 290 320 340 340 380 400 500 1768 OPHTHALMOLOGY RETINAL INTERFEROMETRY ( LEFT EYE ) 300 300 320 350 380 410 410 450 480 600 1769 OPHTHALMOLOGY RETINAL LASER ( LEFT EYE ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1770 OPHTHALMOLOGY RETINAL LASER ( PER SITTING ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 1771 OPHTHALMOLOGY RETINAL NERVE FIBER LAYER ( RNFL ) ANALYSIS - BOTH EYES 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 1772 OPHTHALMOLOGY RETINAL NERVE FIBER LAYER ( RNFL ) ANALYSIS - LEFT EYE 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 1773 OPHTHALMOLOGY RETINAL NERVE FIBER LAYER ( RNFL ) ANALYSIS - SUBSEQUENT2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 1774 OPHTHALMOLOGY RETINAL NERVE FIBER LAYER ( RNFL ) ANALYSIS - SUBSEQUENT2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1775 OPHTHALMOLOGY RETINOCRYOPEXY ( PER QUADRANT ) - PER SITTING 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 1776 OPHTHALMOLOGY RIGHT MEDIAL CANTHUS CLW WITH MPL REPAIR 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 1777 OPHTHALMOLOGY ROSE BENGAL (RB) / LISSAMINE GREEN (LG) STAINING - BOTH EY 150 150 160 180 190 210 210 230 240 300 1778 OPHTHALMOLOGY ROSE BENGAL (RB) / LISSAMINE GREEN (LG) STAINING - LEFT EY 150 150 160 180 190 210 210 230 240 300 1779 OPHTHALMOLOGY SCHIRMER TEST 250 250 270 290 320 340 340 380 400 500 1780 OPHTHALMOLOGY SCLEROCORNEAL TEAR REPAIR (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1781 OPHTHALMOLOGY SCREENING OF PREMATURE NEWBORNS RETINA (ROP) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 1782 OPHTHALMOLOGY SILICONE OIL REMOVAL (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1783 OPHTHALMOLOGY SLERAL BUCKING SURGERY (P) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1784 OPHTHALMOLOGY SPECULAR MICROSCOPY ( LEFT EYE ) 350 350 370 410 440 480 480 530 560 700 1785 OPHTHALMOLOGY SPECULAR MICROSCOPY (MANUAL) - BOTH EYES 550 550 580 640 690 750 750 830 880 1100 1786 OPHTHALMOLOGY SQUINT (PER MUSCLE) (P) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 1787 OPHTHALMOLOGY STANDARD LASIK (BOTH EYES) (P) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1788 OPHTHALMOLOGY SUBCONJUNCTIVAL INJECTION ( BOTH EYES ) 800 800 840 920 1000 1080 1080 1200 1280 1600 1789 OPHTHALMOLOGY SUBCONJUNCTIVAL INJECTION ( LEFT EYE ) 400 400 420 460 500 540 540 600 640 800 1790 OPHTHALMOLOGY SYMBLEPHARON RELEASE + GRAFTING (P) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 1791 OPHTHALMOLOGY SYMBLEPHARON RELEASE / SYMBLEPHARECTOMY 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1792 OPHTHALMOLOGY TARSORRHAPHY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 1793 OPHTHALMOLOGY THREE MIRROR CONTACT LENS EXAMINATION ( FUNDUS ) - BO1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 1794 OPHTHALMOLOGY THREE MIRROR CONTACT LENS EXAMINATION ( FUNDUS ) - LE 500 500 530 580 630 680 680 750 800 1000 1795 OPHTHALMOLOGY TITMUS COMPREHENSIVE SCREENING ( TIT ) - BOTH EYES 400 400 420 460 500 540 540 600 640 800 1796 OPHTHALMOLOGY TITMUS COMPREHENSIVE SCREENING ( TIT ) - LEFT EYE 300 300 320 350 380 410 410 450 480 600 1797 OPHTHALMOLOGY TORIC PHAKIC INTRAOCULAR LENS ( IOL ) IMPLANTATION (P) 70200 70200 73710 80730 87750 94770 94770 105300 112320 140400 1798 OPHTHALMOLOGY TRAB WITH AHMED VALVE (PER EYE) (P) 95000 95000 99750 109250 118750 128250 128250 142500 152000 190000 1799 OPHTHALMOLOGY TRABECULECTOMY (P) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 1800 OPHTHALMOLOGY ULCER CAUTERIZATION CHEMICAL ( WITH CARBOLIC ACID ) BO550 550 580 640 690 750 750 830 880 1100 1801 OPHTHALMOLOGY VIDEO CLIP ( BOTH EYES ) 350 350 370 410 440 480 480 530 560 700 1802 OPHTHALMOLOGY VIDEO CLIP ( LEFT EYE ) 350 350 370 410 440 480 480 530 560 700 1803 OPHTHALMOLOGY VITRECTOMY - INFECTED (P) 70000 70000 73500 80500 87500 94500 94500 105000 112000 140000 1804 OPHTHALMOLOGY VITREORETINAL SURGERY - PARS PLANA VITRECTOMY ( PPV ) +2700 2700 2840 3110 3380 3650 3650 4050 4320 5400 1805 OPHTHALMOLOGY VITREORETINAL SURGERY - PARS PLANA VITRECTOMY ( PPV ) +45300 45300 47570 52100 56630 61160 61160 67950 72480 90600 1806 OPHTHALMOLOGY VITREORETINAL SURGERY - PARS PLANA VITRECTOMY ( PPV ) +5950 5950 6250 6850 7440 8040 8040 8930 9520 11900 1807 OPHTHALMOLOGY VITREORETINAL SURGERY - PARS PLANA VITRECTOMY ( PPV ) +4350 4350 4570 5010 5440 5880 5880 6530 6960 8700 1808 OPHTHALMOLOGY WATER DRINKING TEST - INTRAOCULAR PRESSURE ( IOP ) MEA650 650 690 750 820 880 880 980 1040 1300 1809 OPHTHALMOLOGY XANTHELASMA SURGERY ( LEFT EYE ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 1810 OPHTHALMOLOGY YAG CAPSULOTOMY ( BILATERAL ) (P) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 1811 OPHTHALMOLOGY YAG CAPSULOTOMY ( LEFT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1812 OPHTHALMOLOGY YAG CAPSULOTOMY ( RIGHT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1813 OPHTHALMOLOGY YAG IRIDOTOMY ( LEFT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1814 OPHTHALMOLOGY YAG IRIDOTOMY ( RIGHT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1815 OPHTHALMOLOGY YAG LASER IRIDOTOMY ( PERIPHERAL ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1816 OPHTHALMOLOGY YAG LASER SURGERY ( LEFT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1817 OPHTHALMOLOGY YAG LASER SURGERY ( RIGHT EYE ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 1818 ORTHOPAEDIC ABSCESS INCISION + DRAINAGE ( ORTHOPEDICS ) 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1819 ORTHOPAEDIC ACETABULAR / PELVIC FIXATION 33330 33330 35000 38330 41670 45000 45000 50000 53330 66660 1820 ORTHOPAEDIC ACL / PCL / MCL - (P) 68500 41000 41000 47500 77500 83000 85000 112500 126500 172500 1821 ORTHOPAEDIC AMPUTATION - ABOVE KNEE 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1822 ORTHOPAEDIC AMPUTATION - BELOW KNEE ( ORTHOPEDICS ) 23980 23980 25180 27580 29980 32380 32380 35970 38370 47960 1823 ORTHOPAEDIC AMPUTATION - DIGIT ( MULTIPLE ) 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1824 ORTHOPAEDIC AMPUTATION - DIGIT ( SINGLE ) 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1825 ORTHOPAEDIC AMPUTATION - FOREQUARTER 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1826 ORTHOPAEDIC AMPUTATION - HINDQUARTER 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1827 ORTHOPAEDIC AMPUTATION REVISION 11990 11990 12590 13790 14990 16190 16190 17990 19190 23980 1828 ORTHOPAEDIC ARTHOSCOPY/MENISCUS/BIOSPY - (P) 46000 30640 30640 35640 56040 59640 126640 169640 182640 175640 1829 ORTHOPAEDIC ARTHRODESIS ( LARGE JOINT ) 23980 23980 25180 27580 29980 32380 32380 35970 38370 47960 1830 ORTHOPAEDIC ARTHRODESIS ( SMALL JOINT ) 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1831 ORTHOPAEDIC ARTHRODESIS ( TRIPLE ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1832 ORTHOPAEDIC ARTHRODESIS ELBOW 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1833 ORTHOPAEDIC ARTHRODESIS HIP 35970 35970 37770 41370 44970 48560 48560 53960 57560 71940 1834 ORTHOPAEDIC ARTHROLYSIS 18590 18590 19520 21380 23240 25100 25100 27890 29750 37180 1835 ORTHOPAEDIC ARTHROPLASTY ( GIRDLE STONE ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1836 ORTHOPAEDIC ARTHROPLASTY HIP ( RESURFACE ) LEFT 37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1837 ORTHOPAEDIC ARTHROSCOPIC BANKART REPAIR 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 1838 ORTHOPAEDIC ARTHROSCOPY ( DIAGNOSTIC ) 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1839 ORTHOPAEDIC BIPOLAR ARTHROPLASTY HIP 30250 30250 31770 34790 37820 40840 40840 45380 48400 60500 1840 ORTHOPAEDIC BONE BIOPSY 8470 8470 8900 9750 10590 11440 11440 12710 13560 16940 1841 ORTHOPAEDIC BONE GRAFTING 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1842 ORTHOPAEDIC BONE GRAFTING ( SCAPHOID NONUNION ) 14080 14080 14790 16200 17600 19010 19010 21120 22530 28160 1843 ORTHOPAEDIC CARPAL TUNNEL DECOMPRESSION 10890 10890 11440 12530 13620 14710 14710 16340 17430 21780 1844 ORTHOPAEDIC CENTRALIZATION OF ULNA 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1845 ORTHOPAEDIC CHANGE OF ARTICULAR SURFACE 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1846 ORTHOPAEDIC CLOSED NAILING LONG BONES ( FEMUR ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1847 ORTHOPAEDIC CLOSED NAILING LONG BONES ( HUMERUS ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1848 ORTHOPAEDIC CLOSED NAILING LONG BONES ( TIBIA ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1849 ORTHOPAEDIC CLOSED REDUCTION + INTERNAL FIXATION 12100 12100 12710 13920 15130 16340 16340 18150 19360 24200 1850 ORTHOPAEDIC CLOSED REDUCTION + K WIRE FIXATION 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1851 ORTHOPAEDIC CLOSED REDUCTION + POP APPLICATION ( ABOVE ELBOW ) 9350 9350 9820 10760 11690 12630 12630 14030 14960 18700 1852 ORTHOPAEDIC CLOSED REDUCTION + POP APPLICATION ( BELOW ELBOW ) 9350 9350 9820 10760 11690 12630 12630 14030 14960 18700 1853 ORTHOPAEDIC COAX EXCISION 21340 21340 22410 24550 26680 28810 28810 32010 34150 42680 1854 ORTHOPAEDIC COLLATERAL LIGAMENT RECONSTRUCTION ( ELBOW ) 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1855 ORTHOPAEDIC COLLATERAL LIGAMENT RECONSTRUCTION ( ULNA ) 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1856 ORTHOPAEDIC CONGENITAL DISLOCATION OF HIP ( CDH ) REDUCTION - OPEN37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1857 ORTHOPAEDIC CONGENITAL TALIPES EQUINOVARUS ( CTEV / CLUB FOOT ) CO26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1858 ORTHOPAEDIC CONGENITAL TALIPES EQUINOVARUS ( CTEV / CLUB FOOT ) MA8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1859 ORTHOPAEDIC DE QUERVAINS RELEASE 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1860 ORTHOPAEDIC DECOMPRESSION POSTERIOR & FUSION SPINE (LEVEL-III) 100000 100000 105000 115000 125000 135000 135000 150000 160000 200000 1861 ORTHOPAEDIC DRESSING LARGE ( ORTHOPEDICS ) 7040 7040 7400 8100 8800 9510 9510 10560 11270 14080 1862 ORTHOPAEDIC DRESSING SMALL ( ORTHOPEDICS ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 1863 ORTHOPAEDIC ELBOW JOINT MANIPULATION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1864 ORTHOPAEDIC Elbow/Ankle Replacement 25500 25500 26780 29330 31880 34430 34430 38250 40800 51000 1865 ORTHOPAEDIC EXOSTOSIS REMOVAL 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1866 ORTHOPAEDIC EXTENSOR SYNOVECTOMY 9350 9350 9820 10760 11690 12630 12630 14030 14960 18700 1867 ORTHOPAEDIC EXTERNAL FIXATOR ( COMPLEX ) APPLICATION 37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1868 ORTHOPAEDIC EXTERNAL FIXATOR ( LOWER LIMB ) - LEFT 11550 11550 12130 13290 14440 15600 15600 17330 18480 23100 1869 ORTHOPAEDIC EXTERNAL FIXATOR ( UPPER LIMB ) - LEFT 11550 11550 12130 13290 14440 15600 15600 17330 18480 23100 1870 ORTHOPAEDIC EXTERNAL HINGE DISTRACTION SYSTEM ( EHDS ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1871 ORTHOPAEDIC FASCIECTOMY - LIMITED 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1872 ORTHOPAEDIC FASCIOTOMY - LOWER LIMB 10340 10340 10860 11900 12930 13960 13960 15510 16550 20680 1873 ORTHOPAEDIC FASCIOTOMY LEG ( LEFT ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1874 ORTHOPAEDIC FIRST WEB SPACE RECONSTRUCTION - FACE 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1875 ORTHOPAEDIC FIXATOR READJUSTMENT 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1876 ORTHOPAEDIC FIXATOR REMOVAL 6820 6820 7170 7850 8530 9210 9210 10230 10920 13640 1877 ORTHOPAEDIC FRACTURE ( MULTIPLE ) FIXATION 37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1878 ORTHOPAEDIC FRACTURES CLOSED REDUCTION + POP APPLICATION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1879 ORTHOPAEDIC FRENCH OSTEOTOMY 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1880 ORTHOPAEDIC FRENCH OSTEOTOMY - MODIFIED 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1881 ORTHOPAEDIC GROIN FLAP 16720 16720 17560 19230 20900 22580 22580 25080 26760 33440 1882 ORTHOPAEDIC HAND FRACTURE ( MULTIPLE ) REDUCTION + TENDON INJURY (13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1883 ORTHOPAEDIC HAND FRACTURE ( MULTIPLE - WITHOUT SKIN LOSS ) CORRECT 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1884 ORTHOPAEDIC HEMIARTHROPLASTY SHOULDER 22550 22550 23680 25940 28190 30450 30450 33830 36080 45100 1885 ORTHOPAEDIC HIP FRACTURE FIXATION - DYNAMIC HIP SCREW ( DHS ) / JEWE26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1886 ORTHOPAEDIC HIP SURGERY FOR PERTHES DISEASE ( PEDIATRIC ) 37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1887 ORTHOPAEDIC HIP SURGERY FOR SLIPPED CAPITAL FEMORAL EPIPHYSIS ( SCFE37290 37290 39160 42890 46620 50350 50350 55940 59670 74580 1888 ORTHOPAEDIC IMPLANT REMOVAL ( ORTHOPEDICS ) 11990 11990 12590 13790 14990 16190 16190 17990 19190 23980 1889 ORTHOPAEDIC IMPLANT REMOVAL - SMALL BONES 7920 7920 8320 9110 9900 10700 10700 11880 12680 15840 1890 ORTHOPAEDIC INCISION AND DRAINAGE ( ORTHOPEDICS ) 3960 3960 4160 4560 4950 5350 5350 5940 6340 7920 1891 ORTHOPAEDIC JOINT ASPIRATION 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1892 ORTHOPAEDIC JOINT DISLOCATION CLOSED REDUCTION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1893 ORTHOPAEDIC JOINT MANIPULATION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1894 ORTHOPAEDIC K WIRE FIXATION ( SMALL BONES ) 9350 9350 9820 10760 11690 12630 12630 14030 14960 18700 1895 ORTHOPAEDIC K WIRE REMOVAL 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1896 ORTHOPAEDIC KNEE LIGAMENT RECONSTRUCTION ( COMPLEX ) + STABILIZAT 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 1897 ORTHOPAEDIC LIMB LENGTHENING 17270 17270 18140 19870 21590 23320 23320 25910 27640 34540 1898 ORTHOPAEDIC LIP REPAIR ( ORTHOPEDICS ) 6710 6710 7050 7720 8390 9060 9060 10070 10740 13420 1899 ORTHOPAEDIC LONG BONES FRACTURE FIXATION ( EXTERNAL ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1900 ORTHOPAEDIC MICROVASCULAR FREE FLAP 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1901 ORTHOPAEDIC MOLE REMOVAL ( ORTHOPEDICS ) 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1902 ORTHOPAEDIC MUSCLE SLIDE OPERATION ( VOLKMANNS CONTRACTURE ) - FO15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1903 ORTHOPAEDIC NAIL DYNAMIZATION 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1904 ORTHOPAEDIC NERVE GRAFTING + REPAIR ( ORTHOPEDICS ) 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1905 ORTHOPAEDIC NERVE REPAIR ( ORTHOPEDICS ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1906 ORTHOPAEDIC NERVE REPAIR ( PRIMARY ) 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1907 ORTHOPAEDIC NERVE REPAIR ( SINGLE ) - MAJOR NERVE ( ORTHOPEDICS ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1908 ORTHOPAEDIC NEUROFIBROMA EXCISION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1909 ORTHOPAEDIC NUCLEOPLASTY 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 1910 ORTHOPAEDIC OPEN REDUCTION & INTERNAL FIXATION ( ORIF ) - INTRAARTIC26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1911 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) - LONG BO 22660 22660 23800 26060 28330 30600 30600 33990 36260 45320 1912 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) - METAPH 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1913 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) - PATELLA 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1914 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) - PERIPRO34980 34980 36730 40230 43730 47230 47230 52470 55970 69960 1915 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) WITH NAILING26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1916 ORTHOPAEDIC OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) WITH PLAT26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1917 ORTHOPAEDIC OSTEOMYELITIS - SURGICAL DECOMPRESSION 8690 8690 9130 10000 10870 11740 11740 13040 13910 17380 1918 ORTHOPAEDIC OSTEOTOMY AROUND HIP 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1919 ORTHOPAEDIC OSTEOTOMY CALCANEAL 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1920 ORTHOPAEDIC OSTEOTOMY HIGH TIBIAL 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1921 ORTHOPAEDIC PARTIAL HIP REPLACEMENT U/L (PACKAGE) 114000 114000 133000 148000 172000 179000 192000 216000 253000 386000 1922 ORTHOPAEDIC Reverse Shoulder Replacement 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 1923 ORTHOPAEDIC REVISION OF TOTAL HIP REPLACEMENT ( THR ) - UL - (P) 162000 117000 117000 135000 207000 220000 225000 270000 295120 478260 1924 ORTHOPAEDIC REVISION OF TOTAL KNEE REPLACEMENT ( TKR ) - BL - (P) 238500 176500 176500 203000 309000 328000 335500 421730 474310 674110 1925 ORTHOPAEDIC REVISION OF TOTAL KNEE REPLACEMENT ( TKR ) - UL - (P) 162000 116000 116000 134000 206000 219000 224000 269000 294120 477260 1926 ORTHOPAEDIC ROTATION FLAPS 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1927 ORTHOPAEDIC ROTATOR CUFF REPAIR ( ARTHROSCOPIC ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1928 ORTHOPAEDIC ROTATOR CUFF REPAIR ( OPEN ) 15950 15950 16750 18350 19940 21540 21540 23930 25520 31900 1929 ORTHOPAEDIC SACROILIAC FUSION 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1930 ORTHOPAEDIC SEQUESTRECTOMY ( ORTHOPEDICS ) 9130 9130 9590 10500 11420 12330 12330 13700 14610 18260 1931 ORTHOPAEDIC Shoulder Arthroscopy - SAD/Capsular Release - ( P ) 75000 75000 78750 86250 93750 101250 101250 112500 120000 150000 1932 ORTHOPAEDIC SKELETAL TRACTION APPLICATION 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1933 ORTHOPAEDIC SMALL BONES FRACTURE FIXATION ( EXTERNAL ) 10340 10340 10860 11900 12930 13960 13960 15510 16550 20680 1934 ORTHOPAEDIC SMALL JOINT MANIPULATION 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1935 ORTHOPAEDIC SMALL JOINT REPLACEMENT 29260 29260 30730 33650 36580 39510 39510 43890 46820 58520 1936 ORTHOPAEDIC SOFT TISSUE RELEASE - LATERAL ( BELOW KNEE ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1937 ORTHOPAEDIC SOFT TISSUE TIGHTENING - MEDIAL ( BELOW KNEE ) 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1938 ORTHOPAEDIC STEM CELL THERAPY - LEVEL 1 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 1939 ORTHOPAEDIC STEM CELL THERAPY - LEVEL 2 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 1940 ORTHOPAEDIC STEM CELL THEREPY 66000 66000 69300 75900 82500 89100 89100 99000 105600 132000 1941 ORTHOPAEDIC SYNOVECTOMY KNEE JOINT ( OPEN ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1942 ORTHOPAEDIC SYNOVECTOMY WRIST JOINT ( OPEN ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1943 ORTHOPAEDIC SYNOVIAL BIOPSY 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1944 ORTHOPAEDIC TENDO ACHILLES ( TA ) LENGTHENING ( LIMB LENGTHENING - M27280 27280 28650 31380 34100 36830 36830 40920 43650 54560 1945 ORTHOPAEDIC TENDO ACHILLES ( TA ) LENGTHENING ( LIMB LENGTHENING - M27280 27280 28650 31380 34100 36830 36830 40920 43650 54560 1946 ORTHOPAEDIC TENDON ( MULTIPLE ) REPAIR - HAND 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1947 ORTHOPAEDIC TENDON GRAFTING - SINGLE ( ORTHOPEDICS ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1948 ORTHOPAEDIC TENNIS ELBOW - DEBRIDEMENT & RELEASE ( NIRSCHLS PROCE6710 6710 7050 7720 8390 9060 9060 10070 10740 13420 1949 ORTHOPAEDIC TENOLYSIS ( FLEXOR TENDON ) 13310 13310 13980 15310 16640 17970 17970 19970 21300 26620 1950 ORTHOPAEDIC THORACIC/LUMBER SPINE FIXATION (UPTO 2 LEVELS) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 1951 ORTHOPAEDIC THUMB RECONSTRUCTION 26620 26620 27960 30620 33280 35940 35940 39930 42600 53240 1952 ORTHOPAEDIC TIBIAL ARTICULAR HEIGHT CHANGE 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 1953 ORTHOPAEDIC TOE NAIL ( INGROWING ) EXCISION 4730 4730 4970 5440 5920 6390 6390 7100 7570 9460 1954 ORTHOPAEDIC TOTAL HIP REPLACEMENT ( THR ) - BL - (P) 207000 149400 149400 172400 264400 280900 287400 344900 370890 467510 1955 ORTHOPAEDIC TOTAL HIP REPLACEMENT ( THR ) - UL - (P) 131400 96900 96900 111500 169900 180500 184500 238590 280610 490680 1956 ORTHOPAEDIC TOTAL KNEE REPLACEMENT ( TKR ) - BL - (P) 207000 153500 159000 171500 245500 258500 267000 312000 332000 412000 1957 ORTHOPAEDIC TOTAL KNEE REPLACEMENT ( TKR ) - UL - (P) 131400 97500 102500 109000 155500 163500 172500 210500 244500 317500 1958 ORTHOPAEDIC Total Shoulder Replacement 23500 23500 24680 27030 29380 31730 31730 35250 37600 47000 1959 ORTHOPAEDIC TRIGGER FINGER RELEASE 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 1960 ORTHOPAEDIC TUMOR CURETTAGE + BONE GRAFTING 20020 20020 21030 23030 25030 27030 27030 30030 32040 40040 1961 ORTHOPAEDIC UNICOMPARTMENTAL TOTAL KNEE REPLACEMENT ( TKR - UC )110000 110000 115500 126500 137500 148500 148500 165000 176000 220000 1962 ORTHOPAEDIC WOUND DEBRIDEMENT ( ORTHOPEDICS ) 6710 6710 7050 7720 8390 9060 9060 10070 10740 13420 1963 OTHER PROCEDURES ABSCESS ASPIRATION ( BEDSIDE ) 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 1964 OTHER PROCEDURES ACNE TREATMENT 1550 1940 1940 1940 1940 1940 1940 2638 2794 3104 1965 OTHER PROCEDURES ANTRAL WASH OUT( BILATERAL ) 2800 2800 2940 3220 3500 3780 3780 4200 4480 5600 1966 OTHER PROCEDURES BIOPSY 5400 6750 6750 6750 6750 6750 6750 9180 9720 10800 1967 OTHER PROCEDURES BONE MARROW & BIOPSY REPORTING 3750 4690 4690 4690 4690 4690 4690 6378 6754 7504 1968 OTHER PROCEDURES BONE MARROW ASPIRATION 2500 3130 3130 3130 3130 3130 3130 4257 4507 5008 1969 OTHER PROCEDURES BONE MARROW ASPIRATION BIOPSY ( ONCOLOGY ) 5000 6250 6250 6250 6250 6250 6250 8500 9000 10000 1970 OTHER PROCEDURES C PAP TITRATION 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 1971 OTHER PROCEDURES CARDIAC MONITORING 500 500 500 500 500 500 500 500 500 500 1972 OTHER PROCEDURES CARDIO PULMONARY RESUSCITATION ( CPR ) 1400 1750 1750 1750 1750 1750 1750 2380 2520 2800 1973 OTHER PROCEDURES CARDIOTOCOGRAPHY ( CTG ) - 1ST VISIT 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 1974 OTHER PROCEDURES CARDIOTOCOGRAPHY ( CTG ) - 2ND VISIT 650 820 820 820 820 820 820 1115 1181 1312 1975 OTHER PROCEDURES CAUTERIZATION CHEMICAL (SILVER NITRATE) FOR EPISTAXIS 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 1976 OTHER PROCEDURES CAUTERIZATION ELECTRIC ( EPISTAXIS ) 5400 6750 6750 6750 6750 6750 6750 9180 9720 10800 1977 OTHER PROCEDURES CENTRAL LINE INSERTION 5000 6250 6250 6250 6250 6250 6250 8500 9000 10000 1978 OTHER PROCEDURES Cervical Spine and Individual Muscles scan 550 690 690 690 690 690 690 938 994 1104 1979 OTHER PROCEDURES CHARGES FOR ENDOSCOPY 3800 4750 4750 4750 4750 4750 4750 6460 6840 7600 1980 OTHER PROCEDURES CHARGES FOR LAPAROSCOPY 3800 4750 4750 4750 4750 4750 4750 6460 6840 7600 1981 OTHER PROCEDURES CHEMICAL ( ALCOHOL ) ABLATION - TUMOR MASS 23500 29380 29380 29380 29380 29380 29380 39957 42307 47008 1982 OTHER PROCEDURES CHEMICAL CAUTERIZATION WITH TRICHLOROACETIC ACID ( TC650 820 820 820 820 820 820 1115 1181 1312 1983 OTHER PROCEDURES CHEMICAL CAUTERIZATION WITH TRICHLOROACETIC ACID ( TC1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 1984 OTHER PROCEDURES CHEST TUBE DRAINAGE (BEDSIDE) 4500 5630 5630 5630 5630 5630 5630 7657 8107 9008 1985 OTHER PROCEDURES CLEAN LACERATED WOUND ( CLW ) SUTURING ( PLASTIC SURG 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 1986 OTHER PROCEDURES CLEAN LACERATED WOUND ( CLW ) SUTURING - SINGLE ( LARG8700 10880 10880 10880 10880 10880 10880 14797 15667 17408 1987 OTHER PROCEDURES CLEAN LACERATED WOUND ( CLW ) SUTURING - SINGLE ( SMALL350 440 440 440 440 440 440 598 634 704 1988 OTHER PROCEDURES COGNITIVE FUNCTION TESTS 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 1989 OTHER PROCEDURES COMEDONE EXTRACTION ( 5 SESSIONS ) 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 1990 OTHER PROCEDURES CONGENITAL TALIPES EQUINOVARUS ( CTEV / CLUB FOOT ) PLAS1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 1991 OTHER PROCEDURES CRYOTHERAPY LIQUID NITROGEN (MILD) 2800 3500 3500 3500 3500 3500 3500 4760 5040 5600 1992 OTHER PROCEDURES CRYOTHERAPY LIQUID NITROGEN (MODERATE) 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 1993 OTHER PROCEDURES CRYOTHERAPY LIQUID NITROGEN (SEVERE) 7050 8820 8820 8820 8820 8820 8820 11995 12701 14112 1994 OTHER PROCEDURES CU - T INSERTION 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 1995 OTHER PROCEDURES DEBRIDEMENT OF WOUND (MEDIUM) 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 1996 OTHER PROCEDURES DEBRIDEMENT OF WOUND (SMALL) 2050 2570 2570 2570 2570 2570 2570 3495 3701 4112 1997 OTHER PROCEDURES DEBRIDEMENT OF WOUNDS (LARGE / EXTENSIVE) 3850 4820 4820 4820 4820 4820 4820 6555 6941 7712 1998 OTHER PROCEDURES DECANNULATION TRACHEOSTOMY ( ENT ) 3900 4900 4900 4900 4900 4900 4900 6664 7056 7840 1999 OTHER PROCEDURES DERMATOPATHOLOGY ( SINGLE LESION ) 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2000 OTHER PROCEDURES DETAILED EVALUATION ADULT ( PSYCHOLOGY ) 1550 1940 1940 1940 1940 1940 1940 2638 2794 3104 2001 OTHER PROCEDURES DETAILED EVALUATION CHILD ( PSYCHOLOGY ) 1400 1750 1750 1750 1750 1750 1750 2380 2520 2800 2002 OTHER PROCEDURES DIAGNOSTIC EVALUATION ( PSYCHOLOGY ) 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2003 OTHER PROCEDURES DRESSING - MAJOR ( GENERAL SURGERY ) 900 1130 1130 1130 1130 1130 1130 1537 1627 1808 2004 OTHER PROCEDURES DYSLEXIA BATTERY 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2005 OTHER PROCEDURES EAR NOSE SUCTION CLEARANCE ( LEFT ) 1100 1380 1380 1380 1380 1380 1380 1877 1987 2208 2006 OTHER PROCEDURES EAR PIERCING ( PEDIATRIC ) 2600 3250 3250 3250 3250 3250 3250 4420 4680 5200 2007 OTHER PROCEDURES ELECTRIC CAUTERIZATION ( FOR PLANTAR WARTS ) 1950 2440 2440 2440 2440 2440 2440 3318 3514 3904 2008 OTHER PROCEDURES ER CHARGES FOR CLOSED REDUCTION OF FRACTURE 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2009 OTHER PROCEDURES EXAMINATION UNDER ANESTHESIA ( OBSTETRICS AND GYNEC2050 2570 2570 2570 2570 2570 2570 3495 3701 4112 2010 OTHER PROCEDURES EXCISION BIOPSY - ULCER 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2011 OTHER PROCEDURES FACE CLEAN LACERATED WOUND ( CLW ) SUTURING ( MULTIP1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2012 OTHER PROCEDURES FACE CLEAN LACERATED WOUND ( CLW ) SUTURING ( SINGLE LAY1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2013 OTHER PROCEDURES FINE NEEDLE ASPIRATION CYTOLOGY (FNAC) PROCEDURE - GE800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2014 OTHER PROCEDURES FINGER NAIL REMOVAL (COMPLETE) 1400 1750 1750 1750 1750 1750 1750 2380 2520 2800 2015 OTHER PROCEDURES FOREIGN BODY ( IMPACTED ) REMOVAL EAR 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2016 OTHER PROCEDURES FOREIGN BODY REMOVAL NASAL CAVITY 3250 4070 4070 4070 4070 4070 4070 5535 5861 6512 2017 OTHER PROCEDURES Garments Pump (One Time) 350 440 440 440 440 440 440 598 634 704 2018 OTHER PROCEDURES Garments Pump (One Time) 450 570 570 570 570 570 570 775 821 912 2019 OTHER PROCEDURES GENITAL WART EXCISION (PER ADDITIONAL WART) 650 820 820 820 820 820 820 1115 1181 1312 2020 OTHER PROCEDURES HYDROTUBATION 3800 4750 4750 4750 4750 4750 4750 6460 6840 7600 2021 OTHER PROCEDURES HYPNOTHERAPY 1950 2440 2440 2440 2440 2440 2440 3318 3514 3904 2022 OTHER PROCEDURES INJECTION INTRA THECAL 1950 2440 2440 2440 2440 2440 2440 3318 3514 3904 2023 OTHER PROCEDURES INJECTION INTRAARTICULAR 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 2024 OTHER PROCEDURES INJECTION INTRADERMAL ( 1 TO 5 LESIONS ) - DERMATOLOGY 650 820 820 820 820 820 820 1115 1181 1312 2025 OTHER PROCEDURES INJECTION INTRADERMAL ( MORE THAN 5 LESIONS ) - DERMAT1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2026 OTHER PROCEDURES IQ TEST 1550 1940 1940 1940 1940 1940 1940 2638 2794 3104 2027 OTHER PROCEDURES LARNYGOSCOPY FIBREOPTIC 2800 3500 3500 3500 3500 3500 3500 4760 5040 5600 2028 OTHER PROCEDURES LIVER ABSCESS ASPIRATION 3700 4630 4630 4630 4630 4630 4630 6297 6667 7408 2029 OTHER PROCEDURES LIVER BIOPSY ( GENERAL SURGERY ) 3450 4320 4320 4320 4320 4320 4320 5875 6221 6912 2030 OTHER PROCEDURES LOWER LIMB ( LEFT ) CLEAN LACERATED WOUND ( CLW ) SUTUR1100 1380 1380 1380 1380 1380 1380 1877 1987 2208 2031 OTHER PROCEDURES LOWER LIMB ( LEFT ) CLEAN LACERATED WOUND ( CLW ) SUTUR650 820 820 820 820 820 820 1115 1181 1312 2032 OTHER PROCEDURES MANIPULATION UNDER ANESTHESIA ( MUA ) 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 2033 OTHER PROCEDURES MUCOSA BIOPSY 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 2034 OTHER PROCEDURES NASAL ENDOSCOPY ( FIBREOPTIC ) 4900 6130 6130 6130 6130 6130 6130 8337 8827 9808 2035 OTHER PROCEDURES NASAL TURBINATE INJECTION ( FOR SUB MUCOSAL FIBROSIS ) 4350 5440 5440 5440 5440 5440 5440 7398 7834 8704 2036 OTHER PROCEDURES NERVE BIOPSY 5800 7250 7250 7250 7250 7250 7250 9860 10440 11600 2037 OTHER PROCEDURES NEUROLINGUISTIC PROGRAMMING ( NLP ) 2350 2940 2940 2940 2940 2940 2940 3998 4234 4704 2038 OTHER PROCEDURES NEUROPSYCHOLOGICAL BATTERY 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2039 OTHER PROCEDURES NIMBUS II 450 570 570 570 570 570 570 775 821 912 2040 OTHER PROCEDURES OXYGEN CHARGES UP TO 12HRS 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2041 OTHER PROCEDURES OXYGEN CHARGES UP TO 24HRS 2500 3130 3130 3130 3130 3130 3130 4257 4507 5008 2042 OTHER PROCEDURES OXYGEN CHARGES UP TO 6HRS 700 880 880 880 880 880 880 1197 1267 1408 2043 OTHER PROCEDURES PACEMAKER PROGRAMMING 1650 2070 2070 2070 2070 2070 2070 2815 2981 3312 2044 OTHER PROCEDURES PARACENTESIS / ASCITIC TAPPING / PERITONEAL FLUID ASPIRA900 1130 1130 1130 1130 1130 1130 1537 1627 1808 2045 OTHER PROCEDURES PATCH TEST - DERMATOLOGY 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 2046 OTHER PROCEDURES PERSONALITY TEST / ASSESSMENT 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 2047 OTHER PROCEDURES PHIMOSIS CORRECTION 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 2048 OTHER PROCEDURES POP APPLICATION 4750 5940 5940 5940 5940 5940 5940 8078 8554 9504 2049 OTHER PROCEDURES POTASSIUM HYDROXIDE ( KOH ) EXAMINATION - DERMATOLO 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2050 OTHER PROCEDURES PSYCHOTHERAPY 450 570 570 570 570 570 570 775 821 912 2051 OTHER PROCEDURES PUNCH BIOPSY ( GENERAL SURGERY ) 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2052 OTHER PROCEDURES PUNCH GRAFTING ( PER PUNCH ) 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2053 OTHER PROCEDURES RESUSCITATION ( PEDIATRIC ) 3500 4380 4380 4380 4380 4380 4380 5957 6307 7008 2054 OTHER PROCEDURES SCALP CLEAN LACERATED WOUND ( CLW ) SUTURING ( MULTIP1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 2055 OTHER PROCEDURES SCALP CLEAN LACERATED WOUND ( CLW ) SUTURING ( SINGLE LAY450 570 570 570 570 570 570 775 821 912 2056 OTHER PROCEDURES SCALP CLEAN LACERATED WOUND ( CLW ) SUTURING ( WITH ST650 820 820 820 820 820 820 1115 1181 1312 2057 OTHER PROCEDURES STOMACH LAVAGE / WASH 550 690 690 690 690 690 690 938 994 1104 2058 OTHER PROCEDURES STRAPPING 450 570 570 570 570 570 570 775 821 912 2059 OTHER PROCEDURES STRAPPING - FIGURE OF 8 BANDAGE 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2060 OTHER PROCEDURES STRAPPING ANKLE 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2061 OTHER PROCEDURES STRAPPING BALL BANDAGE 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2062 OTHER PROCEDURES STRAPPING CHEST 1950 2440 2440 2440 2440 2440 2440 3318 3514 3904 2063 OTHER PROCEDURES STRAPPING CUFF AND COLLAR SLING 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2064 OTHER PROCEDURES STRAPPING ELBOW 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2065 OTHER PROCEDURES STRAPPING FINGER 900 1130 1130 1130 1130 1130 1130 1537 1627 1808 2066 OTHER PROCEDURES STRAPPING KNEE 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2067 OTHER PROCEDURES STRAPPING NASAL BONE FRACTURE 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2068 OTHER PROCEDURES STRAPPING SHOULDER 1950 2440 2440 2440 2440 2440 2440 3318 3514 3904 2069 OTHER PROCEDURES STRAPPING TOES 900 1130 1130 1130 1130 1130 1130 1537 1627 1808 2070 OTHER PROCEDURES STRAPPING WRIST 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2071 OTHER PROCEDURES STREPTOKINASE INJECTION PROCEDURE 3550 4440 4440 4440 4440 4440 4440 6038 6394 7104 2072 OTHER PROCEDURES SUBMUCOSA BIOPSY 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 2073 OTHER PROCEDURES SUCTION CLEARANCE OF TRACHEOSTOMY ( EACH TIME ) 550 690 690 690 690 690 690 938 994 1104 2074 OTHER PROCEDURES SUTURE ( STITCH ) REMOVAL WOUND ( 7 TO 12 ) 450 570 570 570 570 570 570 775 821 912 2075 OTHER PROCEDURES SUTURE ( STITCH ) REMOVAL WOUND ( LESS THAN 7 ) 350 440 440 440 440 440 440 598 634 704 2076 OTHER PROCEDURES SUTURE ( STITCH ) REMOVAL WOUND ( MORE THAN 12 ) 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2077 OTHER PROCEDURES SUTURE REMOVAL 150 190 190 190 190 190 190 258 274 304 2078 OTHER PROCEDURES SYRINGING EAR ( FOR WAX REMOVAL ) - LEFT EAR 1100 1380 1380 1380 1380 1380 1380 1877 1987 2208 2079 OTHER PROCEDURES Thoracic and Lumbar Spine scan 850 1070 1070 1070 1070 1070 1070 1455 1541 1712 2080 OTHER PROCEDURES TONE DECAY STUDY 350 440 440 440 440 440 440 598 634 704 2081 OTHER PROCEDURES TRUCUT NEEDLE BIOPSY 1850 2320 2320 2320 2320 2320 2320 3155 3341 3712 2082 OTHER PROCEDURES TYMPANOMETRY 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 2083 OTHER PROCEDURES UPPER LIMB ( LEFT ) CLEAN LACERATED WOUND ( CLW ) SUTUR1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2084 OTHER PROCEDURES UPPER LIMB ( LEFT ) CLEAN LACERATED WOUND ( CLW ) SUTUR800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2085 OTHER PROCEDURES VENESECTION 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 2086 OTHER PROCEDURES Whole Spine scan 1100 1380 1380 1380 1380 1380 1380 1877 1987 2208 2087 OTHER PROCEDURES WOUND SUTURING ( 2 LAYERS ) - LESS THAN 6 STITCHES 1400 1750 1750 1750 1750 1750 1750 2380 2520 2800 2088 OTHER PROCEDURES WOUND SUTURING - LESS THAN 6 STITCHES 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 2089 OTHER PROCEDURES WOUND SUTURING - MORE THAN 6 STITCHES 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 2090 PAIN CLINIC ACUPUNCTURE ( PER SITTING ) 450 450 480 520 570 610 610 680 720 900 2091 PAIN CLINIC ANESTHESIA EPIDURAL ( OBSTETRICS ) 7900 7900 8690 9880 9880 9880 11060 13430 14220 15800 2092 PAIN CLINIC BRONCHOSCOPY ( FOR REMOVAL OF FOREIGN BODY ) - PEDIAT 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2093 PAIN CLINIC COELIAC GANGLION BLOCK 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 2094 PAIN CLINIC DORSAL ROOT GANGLION ( DRG ) RHIZOTOMY 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 2095 PAIN CLINIC EPIDURAL INJECTION ( THORACIC ) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 2096 PAIN CLINIC FACET JOINT INJECTION 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 2097 PAIN CLINIC INJECTION EPIDURAL ( CAUDAL ) 1850 1850 1950 2130 2320 2500 2500 2780 2960 3700 2098 PAIN CLINIC INJECTIONS ( TRIGGER POINT ) ANESTHESIA 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 2099 PAIN CLINIC JOINT INJECTION 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 2100 PAIN CLINIC LOCAL INFILTRATION 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800 2101 PAIN CLINIC LUMBAR EPIDURAL BLOCK CONTINUOUS 2300 2300 2500 2700 2900 3200 3200 3500 3700 4600 2102 PAIN CLINIC PERIPHERAL NERVE BLOCK 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 2103 PAIN CLINIC SPINAL LIGAMENT INJECTION ( DIAGNOSTIC ) 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 2104 PAIN CLINIC SPINAL NERVE ROOT BLOCK 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 2105 PAIN CLINIC STELLATE GANGLION BLOCK 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 2106 PAIN CLINIC SYNDACTYLY RELEASE - SINGLE ( PLASTIC SURGERY ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 2107 Pediatric ABDOMINO POSTERIO SAGGITAL ANORECTOPLASTY (PEDIATRIC21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2108 Pediatric ABDOMINOPERINEAL PULL THROUGH ( PEDIATRIC ) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2109 Pediatric ABSCESS DRAINAGE ( LARGE ) - ( PEDIATRIC ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2110 Pediatric ABSCESS DRAINAGE ( MEDIUM ) - ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2111 Pediatric ABSCESS DRAINAGE ( SMALL ) - ( PEDIATRIC ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2112 Pediatric ABSCESS DRAINAGE - MULTIPLE (PEDIATRIC SURGERY) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2113 Pediatric ADHESIOLYSIS ( LABIAL ) ( PEDIATRIC ) 540 540 570 630 680 730 730 810 870 1080 2114 Pediatric ADHESIOLYSIS LAPAROSCOPIC ( PEDIATRIC ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2115 Pediatric ADRENALECTOMY LAPAROSCOPIC ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2116 Pediatric ANAL DILATATION ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2117 Pediatric ANAL FISSURECTOMY (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2118 Pediatric ANAL SPHINCTER REPAIR (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2119 Pediatric ANAL TRANSPOSITION FOR ECTOPIC ANUS ( PEDIATRIC ) 13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2120 Pediatric ANO RECTAL FISTULA LOW LEVEL SURGICAL EXCISION ( PEDIAT 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2121 Pediatric ANOPLASTY ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2122 Pediatric ANORECTAL MYECTOMY ( PEDIATRICS ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2123 Pediatric AORTOPEXY (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2124 Pediatric APPENDICECTOMY ( LAPAROSCOPIC ) - PEDIATRIC 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2125 Pediatric APPENDICECTOMY OPEN ( PEDIATRIC ) 10900 10900 11450 12540 13630 14720 14720 16350 17440 21800 2126 Pediatric APPENDICOVESICOSTOMY (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2127 Pediatric APPENDICULAR ABSCESS DRAINAGE ( PEDIATRIC ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2128 Pediatric ARTERIAL LINE INSERTION - PEDIATRIC 1710 1710 1800 1970 2140 2310 2310 2570 2740 3420 2129 Pediatric ASPIRATION OF CYST - SMALL ( PEDIATRICS ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2130 Pediatric AUGMENTATION CYSTOPLASTY ( PEDIATRIC ) 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2131 Pediatric BILIARY ATRESIA - LAPROTOMY + CHOLANGIOGRAM (PEDIATR11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2132 Pediatric BLADDER AUGMENTATION( PEDIATRICS ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2133 Pediatric BLADDER DIVERTICULECTOMY ( BILATERAL ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2134 Pediatric BLADDER DIVERTICULECTOMY ( RIGHT )- PEDIATRICS 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2135 Pediatric BLADDER EXOSTROPHY REPAIR (BLADDER TURN IN ) ( PEDIATR 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2136 Pediatric BLADDER EXOSTROPHY REPAIR - COMPLETE ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2137 Pediatric BLADDER NECK REPAIR (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2138 Pediatric BONE MARROW ASPIRATION / BIOPSY ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2139 Pediatric BONE MARROW HARVESTING ( PEDIATRIC ) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2140 Pediatric BRANCHIAL CYST / FISTULA ( PEDIATRICS ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2141 Pediatric BRONCHOPLEURAL FISTULA REPAIR - CERVICAL (PEDIATRIC SUR17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2142 Pediatric BRONCHOPLEURAL FISTULA REPAIR - THORACOTOMY (PEDIAT24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2143 Pediatric BRONCHOSCOPIC BIOPSY (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2144 Pediatric BRONCHOSCOPIC DILATATION (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2145 Pediatric BRONCHOSCOPY ( FLEXIBLE ) - ( PEDIATRIC ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2146 Pediatric BRONCHOSCOPY ( RIGID ) - DIAGNOSTIC ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2147 Pediatric BURROW ANOPLASTY (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2148 Pediatric CAPD PLACEMENT (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2149 Pediatric CAPD REMOVAL (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2150 Pediatric CARDIOMYOTOMY ( LAPROSCOPIC / OPEN ) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2151 Pediatric CATHETERISATION ( PEDIATRICS ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2152 Pediatric CENTRAL PERIPHERAL LINE SURGICAL INSERTION ( PEDIATRICS 1530 1530 1610 1760 1920 2070 2070 2300 2450 3060 2153 Pediatric CENTRAL VENOUS CATHETER ( CVC ) INSERTION - PEDIATRIC 2880 2880 3030 3320 3600 3890 3890 4320 4610 5760 2154 Pediatric CHANGE OF CATHETER (PEDIATRIC SURGERY) 1710 1710 1800 1970 2140 2310 2310 2570 2740 3420 2155 Pediatric CHECK CYSTOSCOPY (PEDIATRIC SURGERY) 2880 2880 3030 3320 3600 3890 3890 4320 4610 5760 2156 Pediatric CHEMOPORT INSERTION (PEDIATRIC SURGERY) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2157 Pediatric CHEST TUBE ( MANIPULATION WITH DRESSING ) ( PEDIATRIC ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2158 Pediatric CHEST TUBE DRAINAGE - PEDIATRIC 3330 3330 3500 3830 4170 4500 4500 5000 5330 6660 2159 Pediatric CHEST TUBE DRESSING ( PEDIATRIC ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2160 Pediatric CHEST TUBE INSERTION ( PEDIATRIC ) 4500 4500 4730 5180 5630 6080 6080 6750 7200 9000 2161 Pediatric CHILD OCCUPATIONAL THERAPIST ( 60 MIN ) 990 990 1040 1140 1240 1340 1340 1490 1590 1980 2162 Pediatric CHIMNEY STOMA (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2163 Pediatric CHOLEDOCHAL CYST EXCISION ( PEDIATRIC ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2164 Pediatric CLEFT LIP ( COMPLETE ) REPAIR - LEFT SIDE 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2165 Pediatric CLEFT LIP ( COMPLETE ) REPAIR - RIGHT SIDE 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2166 Pediatric CLEFT LIP ( INCOMPLETE ) REPAIR - LEFT SIDE ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2167 Pediatric CLEFT LIP ( INCOMPLETE ) REPAIR - RIGHT SIDE ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2168 Pediatric CLEFT LIP + PALATE ( ANTERIOR ) REPAIR ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2169 Pediatric CLEFT LIP REPAIR ( BILATERAL )- PEDIATRIC 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2170 Pediatric CLEFT PALATE REPAIR ( POSTERIOR ) PALATE 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2171 Pediatric CLEFT PALATE REPAIR - COMPLETE CLEFT ( PEDIATRIC ) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2172 Pediatric CLITOROPLASTY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2173 Pediatric CLOSURE OF URETEROSTOMY - UNILATERAL ( PEDIATRICS ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2174 Pediatric CLOSURE OF URETEROSTOMY BILATERAL 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2175 Pediatric COHEN REIMPLANTATION + TAPERING (PEDIATRIC SURGERY) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2176 Pediatric COLON INTERPOSITIONING (PEDIATRIC SURGERY) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2177 Pediatric COLORRHAPHY + END COLOSTOMY (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2178 Pediatric COLOSTOMY CLOSURE ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2179 Pediatric COLOSTOMY WITH BIOPSY ( PEDIATRICS ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2180 Pediatric COLOSTOMY WITHOUT BIOPSY ( PEDIATRICS ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2181 Pediatric COMMON SHEATH REIMPLANTATION - URETER (PEDIATRIC SUR21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2182 Pediatric CONJOINT TWINS SEPERATION WITH RECONSTRUCTION (PEDIA114400 114400 120120 131560 143000 154440 154440 171600 183040 228800 2183 Pediatric CONTRACTURE ( RELEASE ) ( PEDIATRIC ) 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 2184 Pediatric CONTRACTURE RELEASE + Z- PLASTY (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2185 Pediatric CYST ( ASPIRATION ) - DEEP ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2186 Pediatric CYSTECTOMY AND URINARY DIVERSION (PEDIATRIC SURGERY) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2187 Pediatric CYSTIC HYGROMA (MAJOR) EXCISION ( PEDIATRIC ) 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2188 Pediatric CYSTIC HYGROMA (MINOR) EXCISION ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2189 Pediatric CYSTOGASTROSTOMY / CYSTOJEJUNOSTOMY FOR PSEUDOPAN17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2190 Pediatric CYSTOSCOPIC DEFLUX INJECTION (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2191 Pediatric CYSTOSCOPY & DJ STENT REMOVAL (PEDIATRIC SURGERY) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2192 Pediatric CYSTOSCOPY ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2193 Pediatric CYSTOSCOPY + VALVE FULGURATION ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2194 Pediatric CYSTOSCOPY - DIAGNOSTIC ( PEDIATRICS ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2195 Pediatric DEBRIDEMENT ( LARGE > 5 CM ) ( PEDIATRIC ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2196 Pediatric DEBRIDEMENT ( MEDIUM ) ( PEDIATRIC ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 2197 Pediatric DEBRIDEMENT - MINOR ( PEDIATRICS ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2198 Pediatric DECORTICATION - OPEN (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2199 Pediatric DEEP ABSCESS / MULTIPLE ABSCESS DRAINAGE 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 2200 Pediatric DIAGNOSTIC LAPROSCOPY WITH BIOPSY ( PEDIATRICS ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2201 Pediatric DIAPHRAGMATIC HERNIA - LAPAROSCOPIC (PEDIATRIC SURGE 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2202 Pediatric DIVERTICULECTOMY+REIMPLANTATION (PEDIATRIC SURGERY) 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2203 Pediatric DORSAL SLIT PREPUCE (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2204 Pediatric DOUBLE J STENT PLACEMENT IN URETER ( LEFT ) - PEDIATRIC 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 2205 Pediatric DOUBLE J STENT PLACEMENT IN URETER ( RIGHT ) - PEDIATRIC 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 2206 Pediatric DRESSING WOUND ( LARGE ) - PEDIATRICS 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2207 Pediatric DRESSING WOUND ( MEDIUM ) ( PEDIATRIC ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2208 Pediatric DRESSING WOUND ( PEDIATRIC ) 270 270 290 320 340 370 370 410 440 540 2209 Pediatric DRESSING WOUND ( SMALL ) - PEDIATRICS 900 900 950 1040 1130 1220 1220 1350 1440 1800 2210 Pediatric DUODENODUODENOSTOMY (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2211 Pediatric ELECTROCAUTERIZATION ( PEDIATRIC ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2212 Pediatric ENDOPYELOTOMY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2213 Pediatric ENDOSCOPIC VUR CORRECTION - BILATERAL ( PEDIATRICS ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2214 Pediatric ENDOSCOPIC VUR CORRECTION - UNILATERAL ( PEDIATRICS ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2215 Pediatric EPIGASTRIC HERNIA REPAIR ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2216 Pediatric EPISPADIAS REPAIR ( PEDIATRIC ) 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2217 Pediatric ESOPHAGEAL ATRESIA + TRACHEOESOPHAGEAL FISTULA REPA27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2218 Pediatric ESOPHAGEAL DILATATION (PEDIATRIC SURGERY) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2219 Pediatric ESOPHAGEAL SUBSTITUTION ( PEDIATRICS ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2220 Pediatric ESOPHAGOSCOPIC FOREIGN BODY REMOVAL (PEDIATRIC SUR 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2221 Pediatric ESOPHAGOSCOPY (PEDIATRIC SURGERY) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2222 Pediatric ESOPHAGOSTOMY + GASTROSTOMY ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2223 Pediatric EXCHANGE TRANSFUSION WITH UMBLICAL CATHETERIZATION6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 2224 Pediatric EXCISION & REPAIR OF MENINGOMYELOCELE (PEDIATRIC SURG34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2225 Pediatric EXCISION PREAURICULAR TAGS ( PEDIATRICS ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2226 Pediatric EXOMPHALOS REPAIR ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2227 Pediatric EXTENDED HEPATECTOMY (PEDIATRIC SURGERY) 51500 51500 54080 59230 64380 69530 69530 77250 82400 103000 2228 Pediatric EXTERIORISATION OF BOWEL LOOPS (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2229 Pediatric EXTRA VENTRICULAR DRAIANGE (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2230 Pediatric FACE SCARS ( SIMPLE ) ( PEDIATRIC ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2231 Pediatric FACE WOUND ( REPAIR ) - MEDIUM ( PEDIATRIC ) 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 2232 Pediatric FACE WOUND ( REPAIR ) - MINOR ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2233 Pediatric FEEDING JEJUNOSTOMY (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2234 Pediatric FIBREOPTIC BRONCHOSCOPY WITH BAL ( FUNGAL WORK UP ) -13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2235 Pediatric FIBREOPTIC BRONCHOSCOPY WITH BAL ( TB WORK UP) - PEDIA 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2236 Pediatric FIBREOPTIC BRONCHOSCOPY WITH BRONCHO-ALVEOLAR LAVA12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2237 Pediatric FIBROADENOMA EXCISION ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2238 Pediatric FISTULECTOMY (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2239 Pediatric FLOUROSCOPIC INTUSSUSCEPTION PRESSURE REDUCTION (PE11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2240 Pediatric FOLEY CATHETER INSERTION - PEDIATRIC 720 720 760 830 900 980 980 1080 1160 1440 2241 Pediatric FOWLER STEPHEN PROCEDURE - STAGE II (PEDIATRIC SURGERY 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2242 Pediatric FULL THICKNESS SKIN GRAFT (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2243 Pediatric FUNDOPLICATION - OPEN (PEDIATRIC SURGERY) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2244 Pediatric FUNDOPLICATION LAPAROSCOPIC ( PEDIATRIC ) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2245 Pediatric GASTRIC LAVAGE - PEDIATRIC 1530 1530 1610 1760 1920 2070 2070 2300 2450 3060 2246 Pediatric GASTRIC LAVAGE / STOMACH WASH ( NEW BORN ) 180 180 190 210 230 250 250 270 290 360 2247 Pediatric GASTRIC LAVAGE / STOMACH WASH - POISONING ( PEDIATRIC 900 900 950 1040 1130 1220 1220 1350 1440 1800 2248 Pediatric GASTRIC PULLUP + GASTRIC TUBE REPLACEMENT + COLONIC IN34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2249 Pediatric GASTRIC RESECTION (PEDIATRIC SURGERY) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2250 Pediatric GASTRIC VOLVULUS REPAIR (PEDIATRIC SURGERY) 26400 26400 27720 30360 33000 35640 35640 39600 42240 52800 2251 Pediatric GASTROGRAFFIN ENEMAS (PEDIATRIC SURGERY) 1710 1710 1800 1970 2140 2310 2310 2570 2740 3420 2252 Pediatric GASTROJEJUNOSTOMY ( PEDIATRIC ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2253 Pediatric GASTROSCHISIS REPAIR ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2254 Pediatric GASTROSTOMY ( NEONATAL ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2255 Pediatric GASTROSTOMY ( PEDIATRIC ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2256 Pediatric GASTROSTOMY + RETROGRADE THREADING (PEDIATRIC SURG 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2257 Pediatric GASTROSTOMY CLOSURE (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2258 Pediatric GENITOURINARY PANENDOSCOPY (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2259 Pediatric GRACILIS SLING (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2260 Pediatric GYNAECOMASTIA / SUPERNUMERARY BREAST EXCISION - UNILAT10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2261 Pediatric GYNAECOMASTIA / SUPERNUMERARY BREAST EXCISION -BILAT15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2262 Pediatric HAEMATOMA DRAINAGE (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2263 Pediatric HAND SURGERY ( EXTRA DIGIT ) - COMPLEX ( PEDIATRICS ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2264 Pediatric HAND SURGERY ( EXTRA DIGIT ) - SIMPLE ( PEDIATRICS ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2265 Pediatric HAND SURGERY ( SYNDACTYLY COMPLEX ) - COMPLETE ( PEDIA19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2266 Pediatric HAND SURGERY ( SYNDACTYLY PARTIAL/SIMPLE ) ( PEDIATRIC ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2267 Pediatric HEMANGIOMA EXCISION - LARGE 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2268 Pediatric HEMANGIOMA EXCISION - MEDIUM 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2269 Pediatric HEMANGIOMA EXCISION - SMALL 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2270 Pediatric HEMI NEPHROURETERECTOMY ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2271 Pediatric HEMIONEPHRECTOMY - UNILATERAL ( PEDIATRICS ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2272 Pediatric HEMITHYROIDECTOMY (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2273 Pediatric HEPATECTOMY LEFT (PEDIATRIC SURGERY) 45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 2274 Pediatric HEPATECTOMY RIGHT (PEDIATRIC SURGERY) 45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 2275 Pediatric HERNIA ( DIAPHRAGMATIC ) REPAIR + EVENTRATION OF DIAPH24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2276 Pediatric HERNIA (PRIMARY REPAIR) - UMBILICAL CORD (PEDIATRIC SUR 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2277 Pediatric HERNIA REPAIR ( UNILATERAL ) OPEN / LAPAROSCOPIC ( PEDIA 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2278 Pediatric HICKMANN CATHETER INSERTION (PEDIATRIC SURGERY) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2279 Pediatric HICKMANN CATHETER REMOVAL (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2280 Pediatric HIRSCHPRUNG DISEASE - LAPROSCOPIC PULL THROUGH (PEDIA34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2281 Pediatric HIRSCHPRUNG DISEASE - REDO PULL THROUGH (PEDIATRIC SUR34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2282 Pediatric HIRSCHSPRUNG SURGERY PULL THROUGH ( PEDIATRIC ) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 2283 Pediatric HYDROCOELE HIGH LIGATION - BILATERAL (PEDIATRIC SURGER 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2284 Pediatric HYDROCOELE HIGH LIGATION - UNILATERAL (PEDIATRIC SURGE 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2285 Pediatric HYPOSPADIAS ( DISTAL ) REPAIR - ONE STAGE ( PEDIATRIC ) 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2286 Pediatric HYPOSPADIAS ( GLANDULAR / CORONAL ) CORRECTION - PEDIA13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2287 Pediatric HYPOSPADIAS ( PROXIMAL ) - SINGLE STAGE ( PEDIATRICS ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2288 Pediatric HYPOSPADIAS - MAPGI ( PEDIATRICS ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2289 Pediatric HYPOSPADIAS BRACKA PROCEDURE - STAGE 1 (PEDIATRIC SUR16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2290 Pediatric HYPOSPADIAS CHORDEE CORRECTION ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2291 Pediatric HYPOSPADIAS CORRECTION (2ND STAGE) - PEDIATRIC 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2292 Pediatric HYPOSPADIAS WITH URETHRAL FISTULA REPAIR - LARGE ( PED12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2293 Pediatric HYPOSPADIAS WITH URETHRAL FISTULA REPAIR - SMALL ( PED10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2294 Pediatric ILEOVESICOSTOMY ON MONTI PRINCIPLE (PEDIATRIC SURGERY 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2295 Pediatric IMPERFORATE HYMEN EXCISION ( PEDIATRIC ) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2296 Pediatric INFECTED MESH REMOVAL (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2297 Pediatric INGROWING TOE NAIL ( PEDIATRICS ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2298 Pediatric INGUINAL HERNIA ( RECURRENT ) REPAIR BILATERAL - OPEN / L15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2299 Pediatric INGUINAL HERNIA - OBSTRUCTED / IRREDUCIBLE (PEDIATRIC SUR13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2300 Pediatric INGUINAL HERNIORRHAPHY ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2301 Pediatric INGUINAL HERNIOTOMY - BILATERAL ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2302 Pediatric INGUINAL HERNIOTOMY - LEFT SIDE ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2303 Pediatric INGUINAL HERNIOTOMY - RIGHT SIDE ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2304 Pediatric INGUINAL HERNIOTOMY NEONATAL - BILATERAL (PEDIATRIC SUR17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2305 Pediatric INGUINAL HERNIOTOMY NEONATAL - UNILATERAL (PEDIATRIC11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2306 Pediatric INTESTINAL ATRESIA (NEONATAL) SURGICAL REPAIR ( PEDIATR 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2307 Pediatric INTESTINAL PERFORATION CLOSURE ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2308 Pediatric INTESTINAL RESECTION ( MULTIPLE ) + ANASTOMOSIS ( PEDIAT18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2309 Pediatric INTESTINE RESECTION AND ANASTAMOSIS ( PEDIATRIC ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2310 Pediatric INTRA - OSSEOUS DRIP ( PEDIATRICS ) 540 540 570 630 680 730 730 810 870 1080 2311 Pediatric INTRAVENOUS CANNULATION ( PEDIATRIC ) 630 630 670 730 790 860 860 950 1010 1260 2312 Pediatric INTRAVENTRICULAR / SUB DURAL TAP (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2313 Pediatric INTUBATION + INITIATION OF VENTILATION ( PEDIATRIC ) 2160 2160 2270 2490 2700 2920 2920 3240 3460 4320 2314 Pediatric INTUSSUSCEPTION - RESECTION (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2315 Pediatric INTUSSUSCEPTION SURGICAL REDUCTION ( PEDIATRIC ) 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2316 Pediatric KASAIS PROCEDURE - HEPATO-PORTOENTEROSTOMY FOR BILIA29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 2317 Pediatric KIDNEY BIOPSY PRECUTANEOUS (STANDBY) - PEDIATRIC 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 2318 Pediatric LABIOPLASTY / MONSPLASTY / FOURCHIOPLASTY ( FEMINIZING18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2319 Pediatric LACERATIONS SUTURING - SMALL ( PEDIATRIC ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2320 Pediatric LADD PROCEDURE (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2321 Pediatric LADDS BAND RESECTION LAPAROSCOPY ( PEDIATRIC ) 13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2322 Pediatric LAMINECTOMY & REPAIR OF MENINGOMYELOCELE (PEDIATRIC51500 51500 54080 59230 64380 69530 69530 77250 82400 103000 2323 Pediatric LAMINECTOMY - SPINA BIFIDA OCCULTA ( PEDIATRIC ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2324 Pediatric LAPAROSCOPIC CHOLECYSTECTOMY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2325 Pediatric LAPAROSCOPIC FOWLER STEPHEN PROCEDURE - STAGE I (PED11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2326 Pediatric LAPAROSCOPIC PYLOROMYOTOMY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2327 Pediatric LAPAROSCOPIC SALPINGO-OPHORECTEMY (PEDIATRIC SURGER 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2328 Pediatric LAPAROSCOPY (DIAGNOSTIC) ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2329 Pediatric LAPAROSCOPY FOR INTERSEX (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2330 Pediatric LAPAROTOMY + EXCISION CYST 15200 15200 15960 17480 19000 20520 20520 22800 24320 30400 2331 Pediatric LAPAROTOMY + EXCISION OF DUPLICATION CYST (PEDIATRIC SUR13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2332 Pediatric LAPAROTOMY + THORACOTOMY + EXCISION OF DUPLCATION CY25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2333 Pediatric LAPAROTOMY EXPLORATORY ( PEDIATRIC ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2334 Pediatric LAPROTOMY & ADHESIONLYSIS (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2335 Pediatric LAYING OPEN OF STRICTURE URETHRA (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2336 Pediatric LIVER ABCESS - LAPROSCOPIC DRAINAGE (PEDIATRIC SURGERY 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2337 Pediatric LIVER ABSCESS (MULTIPLE) ASPIRATION ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2338 Pediatric LIVER ABSCESS ASPIRATION - SIMPLE ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2339 Pediatric LIVER ABSCESS OPEN DRAINAGE ( PEDIATRIC ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2340 Pediatric LIVER BIOPSY (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2341 Pediatric LOCALIZED DUODENAL RESECTION & RECONSTRUCTION (PEDIA17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2342 Pediatric LOOP URETEROSTOMY - UNILATERAL (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2343 Pediatric LYMPH NODE BIOPSY (SUPERFICIAL) ( PEDIATRIC ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2344 Pediatric MACE PROCEDURE (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2345 Pediatric MASS/CYST EXCISION BY POSTERIO SAGITTAL ROUTE (PEDIATR25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2346 Pediatric MEATOTOMY ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2347 Pediatric MEATOTOMY (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2348 Pediatric MECKELS DIVERTICULECTOMY (PEDIATRIC ) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2349 Pediatric MECONIUM CYST WALL - DECORTICATION (PEDIATRIC SURGER 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2350 Pediatric MEDIASTINAL/ RETROPERITONEAL TUMOUR (EXCISION ) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2351 Pediatric MICTURATING CYSTOURETHROGRAM CATHETERIZATION ( MC540 540 570 630 680 730 730 810 870 1080 2352 Pediatric MINILAPAROTOMY FOR INTERSEX (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2353 Pediatric MISCELLANEOUS MINOR PROCEDURE (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2354 Pediatric MONSPLASTY (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2355 Pediatric MUCOUS/RETENTION CYST EXCISION (PEDIATRIC SURGERY) 4050 4050 4260 4660 5070 5470 5470 6080 6480 8100 2356 Pediatric MUSCLE BIOPSY ( PEDIATRIC ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2357 Pediatric NEAR TOTAL PANCREATECTOMY (PEDIATRIC SURGERY) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 2358 Pediatric NEBULIZATION - PEDIATRIC 180 180 190 210 230 250 250 270 290 360 2359 Pediatric NECK SINUS ( EXCISION ) ( PEDIATRIC ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2360 Pediatric Neonatal Blood Transfusion 500 500 530 580 630 680 680 750 800 1000 2361 Pediatric Neonatal Central Line (applicable once in 7 days) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 2362 Pediatric Neonatal Chest drain 3700 3700 3890 4260 4630 5000 5000 5550 5920 7400 2363 Pediatric Neonatal Endotracheal intubation (once in 4 days) 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 2364 Pediatric Neonatal Exchange transfusion including catheterisation 6500 6500 6830 7480 8130 8780 8780 9750 10400 13000 2365 Pediatric Neonatal I.V. Cannulation -Neonatologist 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 2366 Pediatric Neonatal Initiation of ventilator (including intubation) to be bill2100 2100 2210 2420 2630 2840 2840 3150 3360 4200 2367 Pediatric Neonatal Intraventricular tap 1700 1700 1790 1960 2130 2300 2300 2550 2720 3400 2368 Pediatric Neonatal Lumbar puncture 2100 2100 2210 2420 2630 2840 2840 3150 3360 4200 2369 Pediatric Neonatal Peripheral arterial line 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 2370 Pediatric Neonatal Pleural / Ascitic tap 2100 2100 2210 2420 2630 2840 2840 3150 3360 4200 2371 Pediatric NEONATAL RESUSCITATION 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 2372 Pediatric Neonatal Suprapubic aspiration 900 900 950 1040 1130 1220 1220 1350 1440 1800 2373 Pediatric Neonatal Surfactant administration to be billed once 2500 2500 2630 2880 3130 3380 3380 3750 4000 5000 2374 Pediatric Neonatal Umbilical catheterisation - arterial/ venous 1700 1700 1790 1960 2130 2300 2300 2550 2720 3400 2375 Pediatric NEPHRECTOMY (FOR NEPHROBLASTOMA / WILMS TUMOR) - P26400 26400 27720 30360 33000 35640 35640 39600 42240 52800 2376 Pediatric NEPHRECTOMY LAPROSCOPIC (PEDIATRIC SURGERY) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2377 Pediatric NEPHRECTOMY OPEN (PEDIATRIC SURGERY) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2378 Pediatric NEPHROLITHOTOMY ( PEDIATRIC ) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2379 Pediatric NEPHROSTOMY (PERCUTANEOUS) ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2380 Pediatric NEPHROURETERECTOMY ( PEDIATRIC ) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2381 Pediatric NEUROBLASTOMA EXCISION ( PEDIATRIC ) 21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2382 Pediatric OMENTAL/MESENTRIC CYST EXCISION (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2383 Pediatric OPEN CHOLECYSTECTOMY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2384 Pediatric ORCHIDECTOMY ( BILATERAL )- PEDIATRIC 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2385 Pediatric ORCHIDECTOMY ( LEFT )- PEDIATRIC 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2386 Pediatric ORCHIDECTOMY ( RIGHT )- PEDIATRIC 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2387 Pediatric ORCHIDOPEXY ( BILATERAL )- PEDIATRIC 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2388 Pediatric ORCHIDOPEXY ( LEFT )- PEDIATRIC 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2389 Pediatric ORCHIDOPEXY ( RIGHT )- PEDIATRIC 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2390 Pediatric PAEDIATRIC PHOTOTHERAPY CHARGES ( DOUBLE SURFACE )PE 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 2391 Pediatric PAEDIATRIC PHOTOTHERAPY CHARGES ( SINGLE SURFACE ) PE 700 700 740 810 880 950 950 1050 1120 1400 2392 Pediatric PAEDIATRIC PHOTOTHERAPY CHARGES ( TRIPLE SURFACE) PER 1600 1600 1680 1840 2000 2160 2160 2400 2560 3200 2393 Pediatric PARATHYROIDECTOMY (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2394 Pediatric PARENTERAL SEDATION ( ALL PROCEDURES ) ( PEDIATRIC ) 1170 1170 1230 1350 1470 1580 1580 1760 1880 2340 2395 Pediatric PC ENEMA - PEDIATRIC 540 540 570 630 680 730 730 810 870 1080 2396 Pediatric PECTUS DEFORMITY REPAIR (PEDIATRIC SURGERY) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2397 Pediatric PEDIATRIC PERITONEAL DIALYSIS ( PD ) CATHETER PLACEMENT6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2398 Pediatric PENOSCROTAL TRANSPOSITION CORRECTION (PEDIATRIC SURG 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2399 Pediatric PERIANAL ABSCESS DRAINAGE ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2400 Pediatric PERINEAL ADHESIOLYSIS (PEDIATRIC SURGERY) 1710 1710 1800 1970 2140 2310 2310 2570 2740 3420 2401 Pediatric PERIPHERAL ARTERIAL CATHETERIZATION ( NEONATAL ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2402 Pediatric PERIPHERAL ARTERIAL LINE PLACEMENT 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2403 Pediatric PERITONEAL DRAINAGE (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2404 Pediatric PERITONEAL FLUID ASPIRATION - DIAGNOSTIC ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2405 Pediatric PERITONEAL LAVAGE (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2406 Pediatric PHALLOPLASTY (PEDIATRIC SURGERY) 34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2407 Pediatric PHOTOTHERAPY ( NEONATAL ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2408 Pediatric PLAIN FIBREOPTIC BRONCHOSCOPY ( DIAGNOSTIC ) - PEDIATRIC 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2409 Pediatric PLEURAL FLUID ASPIRATION - PEDIATRIC 2070 2070 2180 2390 2590 2800 2800 3110 3320 4140 2410 Pediatric PLEURAL FLUID ASPIRATION - USG GUIDED ( PEDIATRIC) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2411 Pediatric PORTOENTEROSTOMY ( PEDIATRIC ) 29900 29900 31400 34390 37380 40370 40370 44850 47840 59800 2412 Pediatric POSTERIOR SAGITTAL ANORECTOPLASTY ( PSARP) - LIMITED - (13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2413 Pediatric POSTERIOR SAGITTAL ANORECTOPLASTY (PSARP) - COMPLETE19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2414 Pediatric POUCH COLON EXCISION (PEDIATRIC SURGERY) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2415 Pediatric PREAURICULAR TAGS ( EXCISION ) - BILATERAL ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2416 Pediatric PREPUCIAL ADHESIONLYSIS (PEDIATRIC SURGERY) 1710 1710 1800 1970 2140 2310 2310 2570 2740 3420 2417 Pediatric PREPUCIAL ADHESIONS REDUCTION ( PEDIATRIC ) 540 540 570 630 680 730 730 810 870 1080 2418 Pediatric PREPUCIAL ADHESIONS REDUCTION ( PEDIATRIC ) 800 800 840 920 1000 1080 1080 1200 1280 1600 2419 Pediatric PRIAPISM ( ASPIRATION ) ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2420 Pediatric PRIMARY REPAIR OF EXOMPHALOS/GASTROSCHISIS WITH MES29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 2421 Pediatric PSOAS ABSCESS DRAINAGE ( PEDIATRIC ) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2422 Pediatric PULL THROUGH RESECTION AND ANASTOMOSIS ( LAPAROSCO34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2423 Pediatric PULL THROUGH RESECTION WITH ANASTOMOSIS ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2424 Pediatric PULMONARY METASTATECTOMY (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2425 Pediatric PVID EXCISION (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2426 Pediatric PYELOLITHOTOMY ( PEDIATRIC ) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2427 Pediatric PYELOPLASTY ( PEDIATRIC ) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2428 Pediatric PYELOPLASTY LAPAROSCOPIC ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2429 Pediatric PYELOPLASTY NEONATES (PEDIATRIC SURGERY) 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2430 Pediatric PYLOROMYOTOMY (FOR PYLORIC STENOSIS) - ( PEDIATRIC ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2431 Pediatric PYLOROPLASTY ( PEDIATRIC ) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2432 Pediatric RAILROADING OF URETHRA (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2433 Pediatric RANNULA EXCISION (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2434 Pediatric RECTAL POLYP EXCISION ( PEDIATRIC ) 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2435 Pediatric RECTAL SUCTION BIOPSY ( PEDIATRIC ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2436 Pediatric RECTOPEXY ( LAPAROSCOPIC ) ( PEDIATRIC ) 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2437 Pediatric RECURRENT INGUINAL HERNIA REPAIR - OPEN / LAPAROSCOPIC13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2438 Pediatric REDO EPISPADIAS REPAIR (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2439 Pediatric REDO PYELOPLASTY (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2440 Pediatric REDO PYLOROMYOTOMY (PEDIATRIC SURGERY) 18400 18400 19320 21160 23000 24840 24840 27600 29440 36800 2441 Pediatric REDO TURN IN FOR EXSTROPHY (PEDIATRIC SURGERY) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 2442 Pediatric RELEASE OF OBSTRUCTING BAND (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2443 Pediatric RELEASE TONGUE TIE + V-Y PLASTY ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2444 Pediatric RENAL BIOPSY ( NEONATAL ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2445 Pediatric RENAL STONE - LASER FRAGMENTATION (PEDIATRIC SURGERY 34400 34400 36120 39560 43000 46440 46440 51600 55040 68800 2446 Pediatric RESECTION & END TO END ANASTOMOSIS OF URETHRAL STRIC14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2447 Pediatric RETAINED STENT - EXPLORATION & REMOVAL (PEDIATRIC SUR14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 2448 Pediatric RETROGRADE PYELOGRAM (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2449 Pediatric RETROPERITONEAL TERATOMA EXCISION (PEDIATRIC SURGERY 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2450 Pediatric REVISION COLOSTOMY (PEDIATRIC SURGERY) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2451 Pediatric RUPTURED APPENDIX - APPENDECTOMY + PERITONEAL TOILET12100 12100 12710 13920 15130 16340 16340 18150 19360 24200 2452 Pediatric SALPINGO-OOPHORECTOMY (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2453 Pediatric SCALP AVULSION REPAIR ( MAJOR ) - ( PEDIATRIC ) 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2454 Pediatric SCALP AVULSION REPAIR ( MINOR ) - ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2455 Pediatric SCLEROTHERAPY (INJECTION) - ( PEDIATRIC ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2456 Pediatric SCLEROTHERAPY (INJECTION) FOR HAEMANGIOMA / CYSTIC HY2880 2880 3030 3320 3600 3890 3890 4320 4610 5760 2457 Pediatric SCROTAL EXPLORATION (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2458 Pediatric SECONDARY SUTURING - ABDOMINAL / OTHERS ( PEDIATRICS 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2459 Pediatric SECONDARY SUTURING - MAJOR (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2460 Pediatric SECONDARY SUTURING - WOUND (PEDIATRIC SURGERY) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2461 Pediatric SETON PLACEMENT ( FOR FISTULA ) (PEDIATRIC SURGERY) 4050 4050 4260 4660 5070 5470 5470 6080 6480 8100 2462 Pediatric SHUNT SURGERY ( FOR PORTAL HYPERTENSION ) (PEDIATRIC SUR45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 2463 Pediatric SIGMOIDOSCOPY (PEDIATRIC SURGERY) 2250 2250 2370 2590 2820 3040 3040 3380 3600 4500 2464 Pediatric SILO RECONSTRUCTION (PEDIATRIC SURGERY) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2465 Pediatric SILO REMOVAL & REPAIR (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2466 Pediatric SILO RESUTURING (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2467 Pediatric SINUS + RIB EXCISION (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2468 Pediatric SKIN LESION EXCISION - LARGE (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2469 Pediatric SKIN LESION EXCISION - MEDIUM ( PEDIATRICS ) 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 2470 Pediatric SOBER URETEROSTOMY - UNILATERAL (PEDIATRIC SURGERY) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2471 Pediatric SPHINCTEROTOMY (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2472 Pediatric SPINA BIFIDA REPAIR - LARGE ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2473 Pediatric SPINA BIFIDA REPAIR - SMALL ( PEDIATRIC ) 14700 14700 15440 16910 18380 19850 19850 22050 23520 29400 2474 Pediatric SPLEENECTOMY (PEDIATRIC SURGERY) 17100 17100 17960 19670 21380 23090 23090 25650 27360 34200 2475 Pediatric SPLEENECTOMY - LAPROSCOPIC (PEDIATRIC SURGERY) 25100 25100 26360 28870 31380 33890 33890 37650 40160 50200 2476 Pediatric SPLIT THICKNESS GRAFT (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2477 Pediatric STOMACH WASH ( PEDIATRIC ) 1540 1540 1620 1780 1930 2080 2080 2310 2470 3080 2478 Pediatric STRICTUROPLASTY ( PEDIATRIC ) 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2479 Pediatric SUBDURAL / INTRAVENTRICULAR TAP ( PEDIATRIC ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2480 Pediatric SUIGUIRA PROCEDURE ( FOR PORTAL HYPERTENSION ) (PEDIAT45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 2481 Pediatric SUPERFICIAL TUMOUR EXCISION - MEDIUM (PEDIATRIC SURG 4600 4600 4830 5290 5750 6210 6210 6900 7360 9200 2482 Pediatric SUPRABIC CYSTOSTOMY - TROCAR (PEDIATRIC SURGERY) 4050 4050 4260 4660 5070 5470 5470 6080 6480 8100 2483 Pediatric SUPRAPUBIC ASPIRATION ( PEDIATRIC ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2484 Pediatric SUPRAPUBIC CYSTOLITHOTOMY - PEDIATRICS 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2485 Pediatric SUPRAPUBIC CYSTOSTOMY ( PEDIATRIC ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 2486 Pediatric SUPRAPUBIC FISTULA CLOSURE (PEDIATRIC SURGERY) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2487 Pediatric SURGERY FOR NECROTIZING ENTEROCOLITIS (NEC) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2488 Pediatric SUTURE REMOVAL ( PEDIATRIC ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2489 Pediatric SUTURING ( SINGLE LAYER ) - UPTO 3 ( PEDIATRICS ) 540 540 570 630 680 730 730 810 870 1080 2490 Pediatric SYNDACTYLY RELEASE ( 1 FINGER ) / SIMPLE SYNDACTYLY ( PE13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2491 Pediatric SYNDACTYLY RELEASE ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2492 Pediatric TAPERING ENTEROPLASTY (PEDIATRIC SURGERY) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2493 Pediatric TENKOFFS CATHERER INSERTION + PEDIATRIC DIALYSIS INITIA3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2494 Pediatric TESTICULAR BIOPSY ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2495 Pediatric TESTICULAR PROSTHESIS (PEDIATRIC SURGERY) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2496 Pediatric THIERSCH SCLEROTHERAPY - RECTAL PROLAPSE ( PEDIATRICS ) 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 2497 Pediatric THORACOSCOPIC DECORTICATION ( PEDIATRICS ) 15800 15800 16590 18170 19750 21330 21330 23700 25280 31600 2498 Pediatric THORACOSCOPY ( DIAGNOSTIC ) + BIOPSY (PEDIATRIC SURGER 13800 13800 14490 15870 17250 18630 18630 20700 22080 27600 2499 Pediatric THORACOSCOPY (DIAGNOSTIC)- PEDIATRIC 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2500 Pediatric THORACOTOMY + DUPLICATION CYST EXCISION (PEDIATRIC SUR20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2501 Pediatric THORACOTOMY + MASS EXCISION (PEDIATRIC SURGERY) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2502 Pediatric THORACOTOMY + BRONCHOTOMY & RETRIEVAL OF FOREIGN B21700 21700 22790 24960 27130 29300 29300 32550 34720 43400 2503 Pediatric THORACOTOMY + CYST EXCISION ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2504 Pediatric THORACOTOMY + LAMINECTOMY + NEUROENTERIC CYST EXC40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 2505 Pediatric THORACOTOMY + LOBECTOMY ( PEDIATRIC ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2506 Pediatric THORACOTOMY + PNEUMONECTOMY ( PEDIATRIC ) 29900 29900 31400 34390 37380 40370 40370 44850 47840 59800 2507 Pediatric THYROGLOSSAL CYST EXCISION ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2508 Pediatric TISSUE EXPANDERS PLACEMENT (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2509 Pediatric TISSUE EXPANDERS REMOVAL (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2510 Pediatric TISSUE EXTRACTION / FLUID ASPIRATION FOR BIOPSY / LAB ST1350 1350 1420 1560 1690 1830 1830 2030 2160 2700 2511 Pediatric TISSUE EXTRACTION / FLUID ASPIRATION FOR BIOPSY/ LAB. ST1530 1530 1610 1760 1920 2070 2070 2300 2450 3060 2512 Pediatric TONGUE TIE CORRECTION ( PEDIATRIC ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2513 Pediatric TORN EAR LOBULE ( REPAIR ) - BILATERAL ( PEDIATRIC ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 2514 Pediatric TORN EAR LOBULE REPAIR - RIGHT EAR ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2515 Pediatric TORSION TESTIS ( CONTRALATERAL FIXATION ) - OT OR UNDER13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2516 Pediatric TORTICOLLIS RELEASE ( PEDIATRIC ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2517 Pediatric TOTAL PROCTOCOLECTOMY+ ILEOANAL ANASTOMOSIS (PEDIA26400 26400 27720 30360 33000 35640 35640 39600 42240 52800 2518 Pediatric TOTAL PROCTOCOLECTOMY+ ILEOANAL J/S POUCH ANASTOM30900 30900 32450 35540 38630 41720 41720 46350 49440 61800 2519 Pediatric TOTAL UROGENITAL MOBILISATION (PEDIATRIC SURGERY) 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2520 Pediatric TRACHEAL ASPIRATION ( PEDIATRIC ) 1530 1530 1610 1760 1920 2070 2070 2300 2450 3060 2521 Pediatric TRACHEOSTOMY ( PEDIATRIC ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2522 Pediatric TRANSPUBIC RESECTION & ANASTOMOSIS OF URETHRAL STRIC22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2523 Pediatric TROCAR CYSTOSTOMY ( PEDIATRICS ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2524 Pediatric TUBE CECOSTOMY (PEDIATRIC SURGERY) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2525 Pediatric TUBE DRAINAGE ( FOR EMPYEMA / PNEUMOTHORAX ) 2970 2970 3120 3420 3720 4010 4010 4460 4760 5940 2526 Pediatric TUMOR EXCISION ( LARGE - SUPERFICIAL ) - PEDIATRIC 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 2527 Pediatric TUMOR EXCISION ( SMALL - SUPERFICIAL ) - PEDIATRIC 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2528 Pediatric UMBILICAL ARTERIAL CATHETERIZATION ( NEONATAL ) 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2529 Pediatric UMBILICAL CATHETERIZATION ( PEDIATRICS ) 1900 1900 2000 2190 2380 2570 2570 2850 3040 3800 2530 Pediatric UMBILICAL CATHETERIZATION - ARTERIAL + VENOUS ( PEDIAT 1260 1260 1330 1450 1580 1710 1710 1890 2020 2520 2531 Pediatric UMBILICAL GRANULOMA CAUTERIZATION (PEDIATRIC SURGER 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2532 Pediatric UMBILICAL HERNIA REPAIR ( PEDIATRICS ) 8200 8200 8610 9430 10250 11070 11070 12300 13120 16400 2533 Pediatric URACHUS EXCISION (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2534 Pediatric URETERIC REIMPLANTATION ( LAPAROSCOPIC ) ( PEDIATRIC ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2535 Pediatric URETERIC REIMPLANTATION - BILATERAL ( PEDIATRIC ) 24500 24500 25730 28180 30630 33080 33080 36750 39200 49000 2536 Pediatric URETERIC RESECTION & END TO END ANASTOMOSIS (PEDIATR10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2537 Pediatric URETEROCALYCOSTOMY (PEDIATRIC SURGERY) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2538 Pediatric URETEROCELES - CYSTOSCOPIC DEROOFING (PEDIATRIC SURGE 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2539 Pediatric URETEROLITHOTOMY ( PEDIATRIC ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2540 Pediatric URETEROSCOPY (PEDIATRIC SURGERY) 5760 5760 6050 6630 7200 7780 7780 8640 9220 11520 2541 Pediatric URETEROSIGMOIDOSTOMY (PEDIATRIC SURGERY) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2542 Pediatric URETEROSTOMY ( BILATERAL ) - PEDIATRIC 20600 20600 21630 23690 25750 27810 27810 30900 32960 41200 2543 Pediatric URETHRAL DILATATION ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2544 Pediatric URETHRAL FISTULA REPAIR ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2545 Pediatric URETHROTOMY ( OPTICAL ) ( PEDIATRIC ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2546 Pediatric V P SHUNT / VA SHUNT ( PEDIATRICS ) 27300 27300 28670 31400 34130 36860 36860 40950 43680 54600 2547 Pediatric VACCINATION CHARGES (BCG POLIO HAPATITIS B) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 2548 Pediatric VAGINAL DILATATION (PEDIATRIC SURGERY) 2250 2250 2370 2590 2820 3040 3040 3380 3600 4500 2549 Pediatric VAGINAL REPLACEMENT (PEDIATRIC SURGERY) 30900 30900 32450 35540 38630 41720 41720 46350 49440 61800 2550 Pediatric VAGINOPLASTY ( PEDIATRIC ) 22900 22900 24050 26340 28630 30920 30920 34350 36640 45800 2551 Pediatric VAGINOPLASTY + CLITOROPLASTY ( CONGENITAL ADRENAL HY29900 29900 31400 34390 37380 40370 40370 44850 47840 59800 2552 Pediatric VAGINOSTOMY (PEDIATRIC SURGERY) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2553 Pediatric VARICOCELE - RIGHT ( PEDIATRICS ) 9100 9100 9560 10470 11380 12290 12290 13650 14560 18200 2554 Pediatric VARICOCELECTOMY - BILATERAL ( PEDIATRICS ) 11100 11100 11660 12770 13880 14990 14990 16650 17760 22200 2555 Pediatric VENESECTION FOR VENOUS ACCESS ( PEDIATRIC ) 2520 2520 2650 2900 3150 3410 3410 3780 4040 5040 2556 Pediatric VENTRICULO PERITONEAL SHUNT PLACEMENT 26400 26400 27720 30360 33000 35640 35640 39600 42240 52800 2557 Pediatric VESICOSTOMY ( PEDIATRIC ) 11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 2558 Pediatric VESICOSTOMY CLOSURE ( PEDIATRICS ) 10300 10300 10820 11850 12880 13910 13910 15450 16480 20600 2559 Pediatric VP SHUNT REMOVAL (PEDIATRIC SURGERY) 6840 6840 7190 7870 8550 9240 9240 10260 10950 13680 2560 Pediatric VP SHUNT REVISION (PEDIATRIC SURGERY) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 2561 Pediatric WEDGE BIOPSY ( PEDIATRICS ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2562 Pediatric WHIPPLE PROCEDURE (PEDIATRIC SURGERY) 45700 45700 47990 52560 57130 61700 61700 68550 73120 91400 2563 Pediatric WOUND REPAIR ( MAJOR / MULTIPLE ) ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2564 Pediatric WOUND REPAIR ( MEDIUM ) - OTHER THAN FACE ( PEDIATRIC ) 4950 4950 5200 5700 6190 6690 6690 7430 7920 9900 2565 Pediatric WOUND REPAIR ( MINOR ) ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2566 Pediatric WOUND REPAIR ( MINOR ) - OTHER THAN FACE ( PEDIATRIC ) 1980 1980 2080 2280 2480 2680 2680 2970 3170 3960 2567 Pediatric Endocrinology BETA HUMAN CHORIONIC GONADOTROPIN ( BETA HCG ) TEST 800 800 840 920 1000 1080 1080 1200 1280 1600 2568 Pediatric Endocrinology CIRCUMCISION ( PEDIATRIC ) 4300 4300 4520 4950 5380 5810 5810 6450 6880 8600 2569 Pediatric Endocrinology FASTING PROFILE IN HYPOGLYCEMIA ( PEDIATRIC ) 3850 3850 4050 4430 4820 5200 5200 5780 6160 7700 2570 Pediatric Endocrinology GLUCAGON STIMULATION PROCEDURE 3850 3850 4050 4430 4820 5200 5200 5780 6160 7700 2571 Pediatric Endocrinology HYDROCORTISONE DAY CURVE ( PEDIATRIC ) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 2572 Pediatric Endocrinology INSULIN TOLERANCE PROCEDURE 3850 3850 4050 4430 4820 5200 5200 5780 6160 7700 2573 Pediatric Endocrinology LUTEINIZING HORMONE RELEASING HORMONE (LHRH) PROCE 2050 2050 2160 2360 2570 2770 2770 3080 3280 4100 2574 Pediatric Endocrinology LYMPH NODE BIOPSY ( PEDIATRIC ) 6600 6600 6930 7590 8250 8910 8910 9900 10560 13200 2575 Pediatric Endocrinology ORAL GLUCOSE TOLERANCE PROCEDURE 450 450 480 520 570 610 610 680 720 900 2576 Pediatric Endocrinology PHYSIOLOGICAL SYNACTHEN PROCEDURE 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 2577 Pediatric Endocrinology SKIN LESION ( MINOR ) - EXCISION ( PEDIATRIC ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 2578 Pediatric Endocrinology STANDARD SYNACTHEN PROCEDURE 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 2579 Pediatric Endocrinology THYROTROPIN RELEASING HORMONE (TRH) PROCEDURE 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 2580 Pediatric Endocrinology WATER DEPRIVATION PROCEDURE 3850 3850 4050 4430 4820 5200 5200 5780 6160 7700 2581 PHYSIOTHERAPY ANTENATAL EXERCISE ( UP TO 45 MINS ) 450 570 570 570 570 570 570 775 821 912 2582 PHYSIOTHERAPY CERVICAL TRACTION (PHYSIOTHERAPY ) 300 380 380 380 380 380 380 517 547 608 2583 PHYSIOTHERAPY CHEST PHYSIOTHERAPY ( NIGHT ) 450 570 570 570 570 570 570 775 821 912 2584 PHYSIOTHERAPY CONTINUOUS PASSIVE MOTION ( CPM ) 250 320 320 320 320 320 320 435 461 512 2585 PHYSIOTHERAPY CRYOTHERAPY ( ICE PACK APPLICATION ) 200 250 250 250 250 250 250 340 360 400 2586 PHYSIOTHERAPY DIATHERMY SHORT WAVE (PHYSIOTHERAPY) 300 380 380 380 380 380 380 517 547 608 2587 PHYSIOTHERAPY ELECTROTHERAPY - INTENSITY/TIME ( I/T ) CURVE / STRENGTH450 570 570 570 570 570 570 775 821 912 2588 PHYSIOTHERAPY ELECTROTHERAPY - INTERFERENTIAL THERAPY 300 380 380 380 380 380 380 517 547 608 2589 PHYSIOTHERAPY ELECTROTHERAPY - IONTOPHORESIS 300 380 380 380 380 380 380 517 547 608 2590 PHYSIOTHERAPY ELECTROTHERAPY - MOIST HEAT / INFRARED 200 250 250 250 250 250 250 340 360 400 2591 PHYSIOTHERAPY ELECTROTHERAPY - TENS / ELECTRONIC MUSCLE STIMULATION 300 380 380 380 380 380 380 517 547 608 2592 PHYSIOTHERAPY EXERCISE THERAPY ( UPTO 45 MINS. ) 450 570 570 570 570 570 570 775 821 912 2593 PHYSIOTHERAPY LASER THERAPY (PHYSIOTHERAPY) 300 380 380 380 380 380 380 517 547 608 2594 PHYSIOTHERAPY LONGER TRACTION HOURS ( PER DAY ) 600 750 750 750 750 750 750 1020 1080 1200 2595 PHYSIOTHERAPY PARAFFIN WAX BATH 300 380 380 380 380 380 380 517 547 608 2596 PHYSIOTHERAPY PHYSIOTHERAPY CHEST 300 380 380 380 380 380 380 517 547 608 2597 PHYSIOTHERAPY Physiotherapy Consultation 450 570 570 570 570 570 570 775 821 912 2598 PHYSIOTHERAPY SHORT EXERCISE UPTO 15 MINS 300 380 380 380 380 380 380 517 547 608 2599 PHYSIOTHERAPY ULTRASOUND THERAPY (PHYSIOTHERAPY) 300 380 380 380 380 380 380 517 547 608 2600 PLASTIC SURGERY ABBE FLAP SURGERY 15300 15300 16070 17600 19130 20660 20660 22950 24480 30600 2601 PLASTIC SURGERY ABDOMINOPLASTY + LIPOSUCTION ( ONE REGION ) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 2602 PLASTIC SURGERY ABDOMINOPLASTY + LIPOSUCTION ( PLASTIC SURGERY ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 2603 PLASTIC SURGERY ABDOMINOPLASTY - LARGE ( PLASTIC SURGERY ) 32500 32500 34200 37400 40700 43900 43900 48800 52000 65000 2604 PLASTIC SURGERY ABDOMINOPLASTY - SMALL ( PLASTIC SURGERY ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2605 PLASTIC SURGERY ABDOMINOPLASTY+LIPOSUCTION - EXTENDED 32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 2606 PLASTIC SURGERY ABDOMINOPLASTY+LIPOSUCTION -PARTIAL 19800 19800 20790 22770 24750 26730 26730 29700 31680 39600 2607 PLASTIC SURGERY ALAR ADJUSTMENT 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2608 PLASTIC SURGERY ARCH BAR REMOVAL ( PLASTIC SURGERY ) 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 2609 PLASTIC SURGERY ARTERIOVENOUS (AV ) FISTULA CREATION ( PLASTIC SURGERY 12670 12670 13310 14580 15840 17110 17110 19010 20280 25340 2610 PLASTIC SURGERY ARTERIOVENOUS (AV ) MALFORMATION REPAIR - PLASTIC SUR17000 17000 17850 19550 21250 22950 22950 25500 27200 34000 2611 PLASTIC SURGERY ARTHRODESIS ( PLASTIC SURGERY ) 10970 10970 11520 12620 13720 14810 14810 16460 17560 21940 2612 PLASTIC SURGERY ARTHROPLASTY - TEMPOROMANDIBULLAR ( TM ) JOINT ( LEFT 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2613 PLASTIC SURGERY AUGMENTATION MAMMOPLASTY ( WITH IMPLANT ) - BOTH SI 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2614 PLASTIC SURGERY AUGMENTATION MAMMOPLASTY ( WITH IMPLANT ) - LEFT SID 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2615 PLASTIC SURGERY BENIGN LESION EXCISION ( EXTRA LARGE ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2616 PLASTIC SURGERY BENIGN LESION EXCISION ( LARGE ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2617 PLASTIC SURGERY BENIGN LESION EXCISION ( MEDIUM ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2618 PLASTIC SURGERY BLADDER EXOSTROPHY REPAIR ( PLASTIC SURGERY ) 13430 13430 14110 15450 16790 18140 18140 20150 21490 26860 2619 PLASTIC SURGERY BLEPHAROPLASTY - LOWER EYELID ( BILATERAL ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2620 PLASTIC SURGERY BLEPHAROPLASTY - LOWER EYELID ( EXCESSIVE HERNIATED FA24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2621 PLASTIC SURGERY BLEPHAROPLASTY - UPPER + LOWER EYELID 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2622 PLASTIC SURGERY BLEPHAROPLASTY - UPPER EYELID ( BILATERAL ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2623 PLASTIC SURGERY BLEPHAROPLASTY - UPPER EYELID ( EXCESSIVE HERNIATED FAT20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2624 PLASTIC SURGERY BODY LIFT ( CENTER ) 80000 80000 84000 92000 100000 108000 108000 120000 128000 160000 2625 PLASTIC SURGERY BODY LIFT ( LOWER - TOTAL ) 84150 84150 88360 96780 105190 113610 113610 126230 134640 168300 2626 PLASTIC SURGERY BODY LIFT ( UPPER ) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 2627 PLASTIC SURGERY BONY FIXATION - PER FRACTURE ( PLASTIC SURGERY ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 2628 PLASTIC SURGERY BRACHIAL PLEXUS EXPLORATION 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 2629 PLASTIC SURGERY BRACHIAL PLEXUS EXPLORATION + NERVE REPAIR ( PLASTIC SUR20400 20400 21420 23460 25500 27540 27540 30600 32640 40800 2630 PLASTIC SURGERY BRACHIAL PLEXUS EXPLORATION + NERVE TRANSFER 25500 25500 26780 29330 31880 34430 34430 38250 40800 51000 2631 PLASTIC SURGERY BRACHIOPLASTY ( ARM LIFT ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2632 PLASTIC SURGERY BREAST MASS ( BENIGN ) REMOVAL - LARGE / COMPLEX 21420 21420 22500 24640 26780 28920 28920 32130 34280 42840 2633 PLASTIC SURGERY BREAST MASS ( BENIGN ) REMOVAL - MEDIUM 16070 16070 16880 18490 20090 21700 21700 24110 25720 32140 2634 PLASTIC SURGERY BREAST MASS ( BENIGN ) REMOVAL - SMALL 10710 10710 11250 12320 13390 14460 14460 16070 17140 21420 2635 PLASTIC SURGERY BREAST RECONSTRUCTION ( WITH EXPANDER / IMPLANT ) - EA24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2636 PLASTIC SURGERY BREAST RECONSTRUCTION ( WITH IMPLANT ) 34430 34430 36160 39600 43040 46490 46490 51650 55090 68860 2637 PLASTIC SURGERY BROW LIFT ( ENDOSCOPIC ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2638 PLASTIC SURGERY BROW LIFT ( THROUGH UPPER EYELID ) + BLEPHAROPLASTY 15300 15300 16070 17600 19130 20660 20660 22950 24480 30600 2639 PLASTIC SURGERY BURN DRESSING ( SMALL - COMPLEX ) 1580 1580 1660 1820 1980 2140 2140 2370 2530 3160 2640 PLASTIC SURGERY BURN DRESSING - COMPLEX ( LARGE - MORE THAN 30 % ) 4760 4760 5000 5480 5950 6430 6430 7140 7620 9520 2641 PLASTIC SURGERY BURN DRESSING - COMPLEX ( MEDIUM - LESS THAN 30 % ) 2980 2980 3130 3430 3730 4030 4030 4470 4770 5960 2642 PLASTIC SURGERY BURN DRESSING - LARGE 5800 5800 6090 6670 7250 7830 7830 8700 9280 11600 2643 PLASTIC SURGERY BURN DRESSING CHANGE 8160 8160 8570 9390 10200 11020 11020 12240 13060 16320 2644 PLASTIC SURGERY BURN ESCHAROTOMY - EACH ( PLASTIC SURGERY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2645 PLASTIC SURGERY BURN GRAFTING ( EXTENSIVE ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2646 PLASTIC SURGERY BURN GRAFTING ( LARGE ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2647 PLASTIC SURGERY BURN GRAFTING ( MEDIUM ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2648 PLASTIC SURGERY BURN GRAFTING ( SMALL ) 8460 8460 8890 9730 10580 11430 11430 12690 13540 16920 2649 PLASTIC SURGERY BURNS DRESSING ( LARGE >30% ) 6210 6210 6530 7150 7770 8390 8390 9320 9940 12420 2650 PLASTIC SURGERY BURNS DRESSING ( MEDIUM 10-30% ) 3740 3740 3930 4310 4680 5050 5050 5610 5990 7480 2651 PLASTIC SURGERY BURNS DRESSING ( MINOR 5 - 10% ) 1150 1150 1210 1330 1440 1560 1560 1730 1840 2300 2652 PLASTIC SURGERY BURNS DRESSING ( SMALL <5% ) 1840 1840 1940 2120 2300 2490 2490 2760 2950 3680 2653 PLASTIC SURGERY BUTTOCK ( GLUTEAL ) LIFT 34000 34000 35700 39100 42500 45900 45900 51000 54400 68000 2654 PLASTIC SURGERY CANTHOPEXY 26010 26010 27320 29920 32520 35120 35120 39020 41620 52020 2655 PLASTIC SURGERY CAPSULECTOMY OPEN ( PER SIDE ) 13770 13770 14460 15840 17220 18590 18590 20660 22040 27540 2656 PLASTIC SURGERY CAPSULECTOMY PERIPROSTHETIC ( PER SIDE ) 13770 13770 14460 15840 17220 18590 18590 20660 22040 27540 2657 PLASTIC SURGERY CARPAL TUNNEL SYNDROME ( PER SIDE ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2658 PLASTIC SURGERY CARTILAGE GRAFT ( EAR ) 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 2659 PLASTIC SURGERY CHEEK CARCINOMA EXCISION + RECONSTRUCTION 26610 26610 27950 30610 33270 35930 35930 39920 42580 53220 2660 PLASTIC SURGERY CHEEK IMPLANT - BILATERAL 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2661 PLASTIC SURGERY CHEEK IMPLANT - PER SIDE 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2662 PLASTIC SURGERY CHIN AUGMENTATION 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2663 PLASTIC SURGERY CLEFT LIP ( COMPLETE ) REPAIR - BILATERAL 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2664 PLASTIC SURGERY CLEFT LIP ( COMPLETE ) REPAIR - LEFT 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2665 PLASTIC SURGERY CLEFT LIP ( SECONDARY ) REPAIR ( PLASTIC SURGERY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2666 PLASTIC SURGERY CLEFT LIP + CLEFT PALATE REPAIR ( PLASTIC SURGERY ) 18530 18530 19460 21310 23170 25020 25020 27800 29650 37060 2667 PLASTIC SURGERY CLEFT LIP NASAL DEFORMITY ( SECONDARY ) REVISION 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2668 PLASTIC SURGERY CLEFT LIP REVISION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2669 PLASTIC SURGERY CLEFT PALATE FISTULA REPAIR ( PLASTIC SURGERY ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2670 PLASTIC SURGERY CLEFT PALATE REPAIR ( PLASTIC SURGERY ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2671 PLASTIC SURGERY CLEFT PALATE REPAIR - COMPLETE 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2672 PLASTIC SURGERY CLEFT PALATE REPAIR - SOFT PALATE ( PLASTIC SURGERY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2673 PLASTIC SURGERY COMPOSITE GRAFT ( PLASTIC SURGERY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2674 PLASTIC SURGERY COMPOSITE GRAFT - LARGE 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2675 PLASTIC SURGERY COMPOSITE GRAFT - MEDIUM 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2676 PLASTIC SURGERY COMPOSITE GRAFT - SMALL 9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 2677 PLASTIC SURGERY CONTRACTURE RELEASE ( EXTENSIVE ) - MULTIPLE FINGERS 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2678 PLASTIC SURGERY CONTRACTURE RELEASE - FINGER ( MINOR ) 6800 6800 7140 7820 8500 9180 9180 10200 10880 13600 2679 PLASTIC SURGERY CONTRACTURE RELEASE - MILD / SMALL 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2680 PLASTIC SURGERY CONTRACTURE RELEASE - MODERATE / MEDIUM 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2681 PLASTIC SURGERY CONTRACTURE RELEASE - SEVERE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2682 PLASTIC SURGERY CRANIAL BONE GRAFTING 19300 19300 20270 22200 24130 26060 26060 28950 30880 38600 2683 PLASTIC SURGERY CROSS FACIAL NERVE GRAFTING ( FACIAL PARALYSIS ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2684 PLASTIC SURGERY CYST EXCISION - LARGE ( PLASTIC SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2685 PLASTIC SURGERY CYST EXCISION - MEDIUM ( PLASTIC SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2686 PLASTIC SURGERY CYST EXCISION - SMALL ( PLASTIC SURGERY ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 2687 PLASTIC SURGERY DERMABRASION ( SMALL REGION ) - PERIORAL 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2688 PLASTIC SURGERY DERMABRASION FACE ( FULL FACE ) 25250 25250 26520 29040 31570 34090 34090 37880 40400 50500 2689 PLASTIC SURGERY DERMABRASION FACE ( PARTIAL ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2690 PLASTIC SURGERY DESLOUGHING - LARGE ( PLASTIC SURGERY ) 6380 6380 6700 7340 7980 8620 8620 9570 10210 12760 2691 PLASTIC SURGERY DESLOUGHING - MEDIUM ( PLASTIC SURGERY ) 4050 4050 4260 4660 5070 5470 5470 6080 6480 8100 2692 PLASTIC SURGERY DESLOUGHING - SMALL ( PLASTIC SURGERY ) 1830 1830 1930 2110 2290 2480 2480 2750 2930 3660 2693 PLASTIC SURGERY DRESSING ( LARGE - COMPLEX ) 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 2694 PLASTIC SURGERY DRESSING ( LARGE - SIMPLE ) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 2695 PLASTIC SURGERY DRESSING ( MEDIUM - COMPLEX ) 3150 3150 3310 3630 3940 4260 4260 4730 5040 6300 2696 PLASTIC SURGERY DRESSING ( MEDIUM - SIMPLE ) 900 900 950 1040 1130 1220 1220 1350 1440 1800 2697 PLASTIC SURGERY DRESSING ( SMALL - COMPLEX ) 3400 3400 3570 3910 4250 4590 4590 5100 5440 6800 2698 PLASTIC SURGERY DRESSING ( SMALL - SIMPLE ) 500 500 530 580 630 680 680 750 800 1000 2699 PLASTIC SURGERY DRESSING - EXTRA LARGE ( PLASTIC SURGERY ) 6290 6290 6610 7240 7870 8500 8500 9440 10070 12580 2700 PLASTIC SURGERY DRESSING CHANGE - EXTRA LARGE ( PLASTIC SURGERY ) 1960 1960 2060 2260 2450 2650 2650 2940 3140 3920 2701 PLASTIC SURGERY DRESSING CHANGE - LARGE ( PLASTIC SURGERY ) 1500 1500 1580 1730 1880 2030 2030 2250 2400 3000 2702 PLASTIC SURGERY DRESSING CHANGE - MEDIUM ( PLASTIC SURGERY ) 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 2703 PLASTIC SURGERY DRESSING CHANGE - SMALL ( PLASTIC SURGERY ) 500 500 530 580 630 680 680 750 800 1000 2704 PLASTIC SURGERY DUPUYTRENS CONTRACTURE RELEASE ( PLASTIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2705 PLASTIC SURGERY ECTOPIC BLADDER RECONSTRUCTION ( PLASTIC SURGERY ) 19380 19380 20350 22290 24230 26170 26170 29070 31010 38760 2706 PLASTIC SURGERY ECTROPION CORRECTION - BOTH EYES ( PLASTIC SURGERY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2707 PLASTIC SURGERY ELEPHANTIASIS ( LIMB ) SURGICAL TREATMENT - PER STAGE 19300 19300 20270 22200 24130 26060 26060 28950 30880 38600 2708 PLASTIC SURGERY ELEPHANTIASIS ( SCROTUM ) SURGICAL TREATMENT ( PLASTIC17600 17600 18480 20240 22000 23760 23760 26400 28160 35200 2709 PLASTIC SURGERY EPICANTHUS CORRECTION ( BOTH EYES ) 18360 18360 19280 21120 22950 24790 24790 27540 29380 36720 2710 PLASTIC SURGERY EPICANTHUS CORRECTION ( LEFT EYE ) 10710 10710 11250 12320 13390 14460 14460 16070 17140 21420 2711 PLASTIC SURGERY EPISPADIAS ( GENITALIA ) RECONSTRUCTION ( PLASTIC SURGER 22610 22610 23750 26010 28270 30530 30530 33920 36180 45220 2712 PLASTIC SURGERY EPISPADIAS ( URETHRA ) RECONSTRUCTION ( PLASTIC SURGER 10970 10970 11520 12620 13720 14810 14810 16460 17560 21940 2713 PLASTIC SURGERY EPISPADIAS REPAIR + ECTOPIC VESICOURETERAL RECONSTRUC25250 25250 26520 29040 31570 34090 34090 37880 40400 50500 2714 PLASTIC SURGERY ESCHAR REMOVAL ( TANGENTIAL EXCISION ) - 8 TO 20% 6800 6800 7140 7820 8500 9180 9180 10200 10880 13600 2715 PLASTIC SURGERY ESCHAR REMOVAL ( TANGENTIAL EXCISION ) < 8% 4510 4510 4740 5190 5640 6090 6090 6770 7220 9020 2716 PLASTIC SURGERY ESCHAR REMOVAL ( TANGENTIAL EXCISION ) > 20% 11400 11400 11970 13110 14250 15390 15390 17100 18240 22800 2717 PLASTIC SURGERY EXPANDER REMOVAL + CONTOURING ( MULTIPLE ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2718 PLASTIC SURGERY EXPANDER REMOVAL + CONTOURING ( SINGLE ) 15560 15560 16340 17900 19450 21010 21010 23340 24900 31120 2719 PLASTIC SURGERY EYE BAGS ECTROPIAN. ENTORPION (JR) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2720 PLASTIC SURGERY EYEBROW / EYELASH GRAFT 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 2721 PLASTIC SURGERY EYELID RECONSTRUCTION - PARTIAL ( PLASTIC SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2722 PLASTIC SURGERY EYELID RECONSTRUCTION - TOTAL ( PLASTIC SURGERY ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2723 PLASTIC SURGERY EYELID WEDGE RESECTION + RECONSTRUCTION ( PLASTIC SUR14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2724 PLASTIC SURGERY FACE LIFT ( LOWER FACE ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 2725 PLASTIC SURGERY FACE LIFT ( MID FACE ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2726 PLASTIC SURGERY FACE LIFT ( THREAD ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2727 PLASTIC SURGERY FACE LIFT - SMAS ( SUPERFICIAL MUSCULOAPONEUROTIC SYST 45000 45000 47250 51750 56250 60750 60750 67500 72000 90000 2728 PLASTIC SURGERY FACE SCAR ( LARGE ) SURGICAL EXCISION / REPAIR - COMPLICA 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2729 PLASTIC SURGERY FACE SCAR ( LARGE ) SURGICAL EXCISION / REPAIR - SIMPLE 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2730 PLASTIC SURGERY FACE SCAR ( MEDIUM ) SURGICAL EXCISION/ REPAIR - COMPLIC12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2731 PLASTIC SURGERY FACE SCAR ( MEDIUM ) SURGICAL EXCISION/ REPAIR - SIMPLE 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2732 PLASTIC SURGERY FACE SCAR ( SMALL ) SURGICAL EXCISION / REPAIR - COMPLICA 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2733 PLASTIC SURGERY FACE SCAR ( SMALL ) SURGICAL EXCISION / REPAIR - SIMPLE 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 2734 PLASTIC SURGERY FACE WOUNDS SKIN DEFECT ( LARGE - MULTIPLE ) REPAIR WIT28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2735 PLASTIC SURGERY FACIAL BONE ( MAXILLA ) FRACTURE REDUCTION - PLASTIC SUR15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 2736 PLASTIC SURGERY FACIAL BONES ( FRONTAL BONE ) FRACTURE REPAIR - BILATER18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2737 PLASTIC SURGERY FACIAL BONES ( FRONTAL BONE ) FRACTURE REPAIR - LEFT SID12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2738 PLASTIC SURGERY FACIAL BONES ( MANDIBLE ) FRACTURE CLOSED REDUCTION ( P16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2739 PLASTIC SURGERY FACIAL BONES ( MAXILLARY ) FRACTURE CLOSED REDUCTION 9600 9600 10080 11040 12000 12960 12960 14400 15360 19200 2740 PLASTIC SURGERY FACIAL FRACTURE ( COMPLEX ) REPAIR ( PLASTIC SURGERY ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 2741 PLASTIC SURGERY FACIAL NERVE REPAIR 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2742 PLASTIC SURGERY FACIAL SLING PROCEDURE ( FACIAL PARALYSIS ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2743 PLASTIC SURGERY FASCIOCUTANEOUS FLAP PROCEDURE ( LARGE ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2744 PLASTIC SURGERY FASCIOCUTANEOUS FLAP PROCEDURE ( MEDIUM / INTERMED24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2745 PLASTIC SURGERY FASCIOCUTANEOUS FLAP PROCEDURE ( SMALL ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2746 PLASTIC SURGERY FAT PAD ( BUCCAL ) REMOVAL 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2747 PLASTIC SURGERY FAT PAD ( SUBMENTAL ) REMOVAL 13770 13770 14460 15840 17220 18590 18590 20660 22040 27540 2748 PLASTIC SURGERY FATTY SKIN TUCK ( PUBIC AREA ) 18360 18360 19280 21120 22950 24790 24790 27540 29380 36720 2749 PLASTIC SURGERY FILLER PER ML.. 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 2750 PLASTIC SURGERY FINGER / HAND FRACTURE CLOSED REDUCTION - PER FRACTUR 4510 4510 4740 5190 5640 6090 6090 6770 7220 9020 2751 PLASTIC SURGERY FINGER INJURY ( COMPLEX ) REPAIR - SINGLE ( PLASTIC SURGE 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2752 PLASTIC SURGERY FINGER TIP INJURY FLAP RECONSTRUCTION 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2753 PLASTIC SURGERY FINGER TIP INJURY REPAIR + GRAFTING ( PLASTIC SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2754 PLASTIC SURGERY FLAP DELAY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2755 PLASTIC SURGERY FLAP DETACHMENT + FINAL INSET 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2756 PLASTIC SURGERY FLAP INSETTING 8800 8800 9240 10120 11000 11880 11880 13200 14080 17600 2757 PLASTIC SURGERY FLAP RECONSTRUCTION 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 2758 PLASTIC SURGERY FOREHEAD + BROW LIFT - CORONAL ( OPEN ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2759 PLASTIC SURGERY FOREHEAD LIFT ( ENDOSCOPIC ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2760 PLASTIC SURGERY FOREHEAD REDUCTION 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2761 PLASTIC SURGERY FOREIGN BODY REMOVAL ( COMPLEX / VERY DEEP ) - PLASTIC SUR9950 9950 10450 11450 12440 13440 13440 14930 15920 19900 2762 PLASTIC SURGERY FOREIGN BODY REMOVAL WOUND ( DEEP ) - PLASTIC SURGERY 5020 5020 5280 5780 6280 6780 6780 7530 8040 10040 2763 PLASTIC SURGERY FOREIGN BODY REMOVAL WOUND ( SUPERFICIAL ) - PLASTIC SUR2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 2764 PLASTIC SURGERY FRONTALIS SLING PROCEDURE FOR PTOSIS ( LEFT SIDE ) 12750 12750 13390 14670 15940 17220 17220 19130 20400 25500 2765 PLASTIC SURGERY FUNCTIONAL FREE MUSCLE TRANSFER ( FACIAL PARALYSIS ) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 2766 PLASTIC SURGERY Gynecomastia (excision and liposuction)-Small 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2767 PLASTIC SURGERY Gynecomastia (excision and liposuction)Male Breast reduction 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2768 PLASTIC SURGERY HAIR TRANSPLANT ( PER HAIR GRAFT ) 100 100 110 120 130 140 140 150 160 200 2769 PLASTIC SURGERY HAIR TRANSPLANT - LARGE ( PER SITTING ) 60000 60000 63000 69000 75000 81000 81000 90000 96000 120000 2770 PLASTIC SURGERY HAIR TRANSPLANT - MEDIUM ( PER SITTING ) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 2771 PLASTIC SURGERY HAIR TRANSPLANT - SMALL ( PER SITTING ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2772 PLASTIC SURGERY HAND FRACTURE CLOSED REDUCTION + K WIRE FIXATION - PE6630 6630 6970 7630 8290 8960 8960 9950 10610 13260 2773 PLASTIC SURGERY HAND INJURY REPAIR ( MAJOR ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2774 PLASTIC SURGERY HAND SURGERY ( REPAIR + GRAFT ) 13090 13090 13750 15060 16370 17680 17680 19640 20950 26180 2775 PLASTIC SURGERY HEMANGIOMA ( EXCISION EXTENDED ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2776 PLASTIC SURGERY HEMANGIOMA ( EXTENSIVE ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2777 PLASTIC SURGERY HEMANGIOMA EXCISION - LARGE ( PLASTIC SURGERY ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2778 PLASTIC SURGERY HEMANGIOMA EXCISION - MEDIUM ( PLASTIC SURGERY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2779 PLASTIC SURGERY HEMANGIOMA EXCISION - SMALL ( PLASTIC SURGERY ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2780 PLASTIC SURGERY HEMANGIOMA SCLEROSANT INJECTION ( PLASTIC SURGERY ) 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 2781 PLASTIC SURGERY HERNIA ( INCISIONAL ) REPAIR - PLASTIC SURGERY 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2782 PLASTIC SURGERY HYPOSPADIAS CHORDEE CORRECTION ( 1ST STAGE) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2783 PLASTIC SURGERY HYPOSPADIAS FISTULA CLOSURE 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2784 PLASTIC SURGERY HYPOSPADIAS FISTULA REPAIR ( PLASTIC SURGERY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2785 PLASTIC SURGERY HYPOSPADIAS MEATOTOMY ( PLASTIC SURGERY ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 2786 PLASTIC SURGERY HYPOSPADIAS REPAIR + URETHRA RECONSTRUCTION ( 2ND ST20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2787 PLASTIC SURGERY HYPOSPADIAS REPAIR - ONE STAGE ( PLASTIC SURGERY ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2788 PLASTIC SURGERY ILIAC CREST BONE GRAFTING 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2789 PLASTIC SURGERY IMPLANT MATERIAL REMOVAL - PER SIDE ( PLASTIC SURGERY ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2790 PLASTIC SURGERY INTACT IMPLANT REMOVAL - PER SIDE ( PLASTIC SURGERY ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2791 PLASTIC SURGERY INTERMAXILLARY FIXATION ( IMF ) - PLASTIC SURGERY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2792 PLASTIC SURGERY INTERNAL FIXATION ( PLATING ) - HAND FRACTURE 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 2793 PLASTIC SURGERY INVERTED NIPPLE - UNILATERAL ( PLASTIC SURGERY ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2794 PLASTIC SURGERY INVERTED NIPPLES EVERSION 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2795 PLASTIC SURGERY KELOID ( LARGE ) INJECTION ( PLASTIC SURGERY ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 2796 PLASTIC SURGERY KELOID ( SMALL ) INJECTION ( PLASTIC SURGERY ) 270 270 290 320 340 370 370 410 440 540 2797 PLASTIC SURGERY KELOID INJECTION ( LARGE - MULTIPLE ) 3830 3830 4030 4410 4790 5180 5180 5750 6130 7660 2798 PLASTIC SURGERY KELOID INJECTION ( SMALL - MULTIPLE ) 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 2799 PLASTIC SURGERY KELOID INJECTION - LARGE LARGE 3600 3600 3780 4140 4500 4860 4860 5400 5760 7200 2800 PLASTIC SURGERY KELOID INJECTION - LARGE SMALL 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 2801 PLASTIC SURGERY LACERATED WOUND ( SINGLE / VERY SMALL / SIMPLE ) REPAIR6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 2802 PLASTIC SURGERY LACERATION ( MULTIPLE ) REPAIR 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2803 PLASTIC SURGERY LACERATION ( SINGLE ) REPAIR - MEDIUM 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2804 PLASTIC SURGERY LACERATION REPAIR - LARGE 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2805 PLASTIC SURGERY LACERATION SUTURING - SMALL ( PLASTIC SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2806 PLASTIC SURGERY LIMB AVULSION INJURIES SURGICAL REPAIR ( EXTENSIVE ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 2807 PLASTIC SURGERY LIMB AVULSION INJURIES SURGICAL REPAIR ( LIMITED ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 2808 PLASTIC SURGERY LIMB AVULSION INJURIES SURGICAL REPAIR ( MODERATE ) 19800 19800 20790 22770 24750 26730 26730 29700 31680 39600 2809 PLASTIC SURGERY LIP REDUCTION 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2810 PLASTIC SURGERY LIP REJUVENATION 18360 18360 19280 21120 22950 24790 24790 27540 29380 36720 2811 PLASTIC SURGERY LIPOINJECTION ( MAJOR ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2812 PLASTIC SURGERY LIPOINJECTION ( MINOR ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2813 PLASTIC SURGERY LIPOMA EXCISION ( EXTRA SMALL ) 4510 4510 4740 5190 5640 6090 6090 6770 7220 9020 2814 PLASTIC SURGERY LIPOMA EXCISION - LARGE ( PLASTIC SURGERY ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 2815 PLASTIC SURGERY LIPOMA EXCISION - MEDIUM ( PLASTIC SURGERY ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 2816 PLASTIC SURGERY LIPOMA EXCISION - SMALL ( PLASTIC SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2817 PLASTIC SURGERY LIPOSCULPTURE ( 2-3 SMALL REGION ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2818 PLASTIC SURGERY LIPOSCULPTURE ( FULL FACE ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2819 PLASTIC SURGERY LIPOSCULPTURE ( SMALL REGION ) 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2820 PLASTIC SURGERY LIPOSUCTION ( MEDIUM ) - LIMITED 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2821 PLASTIC SURGERY LIPOSUCTION ( ONE REGION ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2822 PLASTIC SURGERY LIPOSUCTION ( SMALL ) - LIMITED 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2823 PLASTIC SURGERY LIPOSUCTION ( THREE REGION ) 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 2824 PLASTIC SURGERY LIPOSUCTION ( TWO REGION ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 2825 PLASTIC SURGERY LIPOSUCTION - SUBMENTAL ( UNDER CHIN ) FAT PAD 13770 13770 14460 15840 17220 18590 18590 20660 22040 27540 2826 PLASTIC SURGERY LOCAL FLAP 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2827 PLASTIC SURGERY LUMP / TUMOR EXCISION + COVER ( LARGE ) - PLASTIC SURGER 35490 35490 37270 40820 44370 47920 47920 53240 56790 70980 2828 PLASTIC SURGERY LUMP / TUMOR EXCISION + COVER ( MEDIUM ) - PLASTIC SURG 31160 31160 32720 35840 38950 42070 42070 46740 49860 62320 2829 PLASTIC SURGERY LUMP / TUMOR EXCISION + COVER ( SMALL ) - PLASTIC SURGE 29290 29290 30760 33690 36620 39550 39550 43940 46870 58580 2830 PLASTIC SURGERY MALAR FRACTURE CLOSED REDUCTION (PLASTIC SURGERY) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2831 PLASTIC SURGERY MALAR FRACTURE OPEN REDUCTION ( PLASTIC SURGERY ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2832 PLASTIC SURGERY MALE BREAST REDUCTION / GYNECOMASTIA CORRECTION ( EX24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2833 PLASTIC SURGERY MAMMOPLASTY - AUGMENTATION B/L 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2834 PLASTIC SURGERY MANDIBLE RECONSTRUCTION ( WITH BONE FLAP ) 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 2835 PLASTIC SURGERY MANDIBLE RECONSTRUCTION ( WITH BONE GRAFT ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2836 PLASTIC SURGERY MANDIBLE RECONSTRUCTION ( WITH IMPLANT ) ( PLASTIC SUR15300 15300 16070 17600 19130 20660 20660 22950 24480 30600 2837 PLASTIC SURGERY MANDIBULAR OSTEOTOMY 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 2838 PLASTIC SURGERY MASTECTOMY ( SEGMENTAL ) + AXILLARY CLEARANCE 26780 26780 28120 30800 33480 36160 36160 40170 42850 53560 2839 PLASTIC SURGERY MASTECTOMY - MODIFIED RADICAL ( PLASTIC SURGERY ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2840 PLASTIC SURGERY MASTECTOMY MODIFIED RADICAL + AXILLARY CLEARANCE 35000 35000 36800 40300 43800 47300 47300 52500 56000 70000 2841 PLASTIC SURGERY MASTOPEXY 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2842 PLASTIC SURGERY MAXILLARY OSTEOTOMY 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2843 PLASTIC SURGERY MICRONEURAL REPAIR ( PLASTIC SURGERY ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2844 PLASTIC SURGERY MICROTIA SURGERY - FIRST STAGE ( PLASTIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2845 PLASTIC SURGERY MICROTIA SURGERY - SECOND STAGE ( PLASTIC SURGERY ) 13600 13600 14280 15640 17000 18360 18360 20400 21760 27200 2846 PLASTIC SURGERY MICROTIA SURGERY - THIRD STAGE ( PLASTIC SURGERY ) 9780 9780 10270 11250 12230 13210 13210 14670 15650 19560 2847 PLASTIC SURGERY MICROVASCULAR FREE FLAP ( PLASTIC SURGERY ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2848 PLASTIC SURGERY MICROVASCULAR FREE FLAP - MEDIUM 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2849 PLASTIC SURGERY MICROVASCULAR FREE FLAP LARGE (PLASTIC SURG) 40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 2850 PLASTIC SURGERY MICROVASCULAR FREE FLAP SMALL (PLASTIC SURG) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2851 PLASTIC SURGERY MICROVASCULAR REPAIR 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2852 PLASTIC SURGERY MINIABDOMINOPLASTY + ABDOMINAL LIPOSUCTION ( MINOR 23400 23400 24570 26910 29250 31590 31590 35100 37440 46800 2853 PLASTIC SURGERY MINIABDOMINOPLASTY + LIPOSUCTION 26780 26780 28120 30800 33480 36160 36160 40170 42850 53560 2854 PLASTIC SURGERY MUSCLE FLAP ( FOR FACIAL PARALYSIS ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2855 PLASTIC SURGERY MYOCUTANEOUS FLAP 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2856 PLASTIC SURGERY MYOCUTANEOUS FLAP ( LARGE ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2857 PLASTIC SURGERY MYOCUTANEOUS FLAP ( SMALL ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2858 PLASTIC SURGERY NAIL BED INJURY REPAIR - MULTIPLE ( PLASTIC SURGERY ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2859 PLASTIC SURGERY NAIL BED INJURY REPAIR - ONE FINGER ( PLASTIC SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2860 PLASTIC SURGERY NASAL BONE FRACTURE CLOSED REDUCTION ( PLASTIC SURGE 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2861 PLASTIC SURGERY NASAL DEFORMITY + CLEFT LIP REPAIR 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2862 PLASTIC SURGERY NASAL PACK REMOVAL ( PLASTIC SURGERY ) 1700 1700 1790 1960 2130 2300 2300 2550 2720 3400 2863 PLASTIC SURGERY NASAL TIP OSTEOTOMY REVISION - MAJOR 24480 24480 25710 28160 30600 33050 33050 36720 39170 48960 2864 PLASTIC SURGERY NECK LIFT - EXTENSIVE ( WITH FULL SMAS FACE LIFT ) 52000 52000 54600 59800 65000 70200 70200 78000 83200 104000 2865 PLASTIC SURGERY NECK LIFT - EXTENSIVE ( WITHOUT FACE LIFT ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2866 PLASTIC SURGERY NERVE GRAFTING ( MAJOR ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2867 PLASTIC SURGERY NERVE GRAFTING ( MINOR ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2868 PLASTIC SURGERY NERVE GRAFTING - MEDIUM 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2869 PLASTIC SURGERY NERVE GRAFTING - SMALL 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2870 PLASTIC SURGERY NERVE REPAIR ( PLASTIC SURGERY ) 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 2871 PLASTIC SURGERY NEUROTIZATION ( FACIAL PARALYSIS ) 16660 16660 17500 19160 20830 22500 22500 24990 26660 33320 2872 PLASTIC SURGERY NEUROVASCULAR FLAP 22500 22500 23630 25880 28130 30380 30380 33750 36000 45000 2873 PLASTIC SURGERY NIPPLE REDUCTION 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2874 PLASTIC SURGERY NOSE FRACTURE ( COMPOUND ) FIXATION 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 2875 PLASTIC SURGERY OPEN REDUCTION INTERNAL FIXATION ( ORIF ) - MANDIBLE + M22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2876 PLASTIC SURGERY ORBITO ZYGOMATIC SIMPLE FRACTURE REPAIR 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2877 PLASTIC SURGERY ORBITOZYGOMATIC FRACTURE ( COMPLEX ) REPAIR 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2878 PLASTIC SURGERY OSTEOTOMY EXTRACRANIAL ( PLASTIC SURGERY ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2879 PLASTIC SURGERY OTOPLASTY ( PROTRUDING EAR / BAT EAR ) - BILATERAL 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2880 PLASTIC SURGERY OTOPLASTY ( PROTRUDING EAR / BAT EAR ) - LEFT 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2881 PLASTIC SURGERY PALATE FISTULA CLOSURE ( PLASTIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2882 PLASTIC SURGERY PANNICULECTOMY ( LARGE ) 50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 2883 PLASTIC SURGERY PEDICLE GRAFT / FLAP ( LARGE ) 14400 14400 15120 16560 18000 19440 19440 21600 23040 28800 2884 PLASTIC SURGERY PEDICLE GRAFT / FLAP ( SMALL ) 9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 2885 PLASTIC SURGERY PENILE CURVATURE CORRECTION ( PLASTIC SURGERY ) 38680 38680 40620 44490 48350 52220 52220 58020 61890 77360 2886 PLASTIC SURGERY PENILE IMPLANT SURGERY ( INFLATABLE ) FOR ERECTILE DYSFUN25160 25160 26420 28940 31450 33970 33970 37740 40260 50320 2887 PLASTIC SURGERY PENILE IMPLANT SURGERY ( MALLEABLE ) FOR ERECTILE DYSFUN21340 21340 22410 24550 26680 28810 28810 32010 34150 42680 2888 PLASTIC SURGERY PENILE RECONSTRUCTION WITH FLAP 38680 38680 40620 44490 48350 52220 52220 58020 61890 77360 2889 PLASTIC SURGERY PENIS AESTHETIC IMPROVEMENT ( AFTER HYPOSPADIAS / INJUR 10630 10630 11170 12230 13290 14360 14360 15950 17010 21260 2890 PLASTIC SURGERY PERIPHERAL VESSEL ( SINGLE ) REPAIR 15300 15300 16070 17600 19130 20660 20660 22950 24480 30600 2891 PLASTIC SURGERY PERIPHERAL VESSEL REPAIR ( WITH VEIN GRAFT ) 17430 17430 18310 20050 21790 23540 23540 26150 27890 34860 2892 PLASTIC SURGERY PHARYNGEAL POUCH EXCISION + CRICOPHARYNGEAL MYOTOM12670 12670 13310 14580 15840 17110 17110 19010 20280 25340 2893 PLASTIC SURGERY PHARYNGOPLASTY ( PLASTIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2894 PLASTIC SURGERY PHIMOSIS CORRECTION ( PLASTIC SURGERY ) 3320 3320 3490 3820 4150 4490 4490 4980 5320 6640 2895 PLASTIC SURGERY POLARIZATION + ISLAND FLAPS 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2896 PLASTIC SURGERY POLYDACTYLY CORRECTION ( COMPLEX ) 13010 13010 13670 14970 16270 17570 17570 19520 20820 26020 2897 PLASTIC SURGERY POLYDACTYLY CORRECTION - SINGLE EXTRA DIGIT ( PLASTIC SUR8840 8840 9290 10170 11050 11940 11940 13260 14150 17680 2898 PLASTIC SURGERY POST BURN CONTRACTURE RELEASE ( COMPLEX ) 16240 16240 17060 18680 20300 21930 21930 24360 25990 32480 2899 PLASTIC SURGERY POST BURN CONTRACTURE RELEASE ( SIMPLE ) 8160 8160 8570 9390 10200 11020 11020 12240 13060 16320 2900 PLASTIC SURGERY PREAURICULAR SINUS EXCISION ( PLASTIC SURGERY ) 10630 10630 11170 12230 13290 14360 14360 15950 17010 21260 2901 PLASTIC SURGERY PREAURICULAR SKIN TAG REMOVAL ( PLASTIC SURGERY ) 5870 5870 6170 6760 7340 7930 7930 8810 9400 11740 2902 PLASTIC SURGERY PRESSURE SORE FLAP 16660 16660 17500 19160 20830 22500 22500 24990 26660 33320 2903 PLASTIC SURGERY PTOSIS SURGICAL CORRECTION - LEFT EYE ( PLASTIC SURGERY ) 10880 10880 11430 12520 13600 14690 14690 16320 17410 21760 2904 PLASTIC SURGERY PULLEY RECONSTRUCTION ( PLASTIC SURGERY ) 18450 18450 19380 21220 23070 24910 24910 27680 29520 36900 2905 PLASTIC SURGERY PULP + NAIL BED + BONE INJURY REPAIR 10970 10970 11520 12620 13720 14810 14810 16460 17560 21940 2906 PLASTIC SURGERY PULP INJURY REPAIR WITH FLAP COVER 8840 8840 9290 10170 11050 11940 11940 13260 14150 17680 2907 PLASTIC SURGERY PULP INJURY REPAIR WITH GRAFT 6550 6550 6880 7540 8190 8850 8850 9830 10480 13100 2908 PLASTIC SURGERY RECONSTRUCTION MAMMOPLASTY ( LEFT SIDE ) 42000 42000 44100 48300 52500 56700 56700 63000 67200 84000 2909 PLASTIC SURGERY REDUCTION MAMMOPLASTY ( LEFT SIDE ) 36000 36000 37800 41400 45000 48600 48600 54000 57600 72000 2910 PLASTIC SURGERY REPLANTATION ( SCALP AVULSION INJURIES ) 38680 38680 40620 44490 48350 52220 52220 58020 61890 77360 2911 PLASTIC SURGERY REPLANTATION - DIGIT ( MULTIPLE > 2 ) 39600 39600 41580 45540 49500 53460 53460 59400 63360 79200 2912 PLASTIC SURGERY REPLANTATION - DIGIT ( SINGLE ) 25250 25250 26520 29040 31570 34090 34090 37880 40400 50500 2913 PLASTIC SURGERY REPLANTATION - OTHER PARTS ( PLASTIC SURGERY ) 33070 33070 34730 38040 41340 44650 44650 49610 52920 66140 2914 PLASTIC SURGERY REPLANTATION HAND ( PLASTIC SURGERY ) 27230 27230 28600 31320 34040 36770 36770 40850 43570 54460 2915 PLASTIC SURGERY REPLANTATION OF DIGITS - OTHER PARTS 39600 39600 41580 45540 49500 53460 53460 59400 63360 79200 2916 PLASTIC SURGERY REVASCULARIZATION - LIMB ( LEFT ) 27000 27000 28350 31050 33750 36450 36450 40500 43200 54000 2917 PLASTIC SURGERY RHINOPLASTY ( SECONDARY ) REVISION - MINOR 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2918 PLASTIC SURGERY RHINOPLASTY COSMETIC 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2919 PLASTIC SURGERY RHINOPLASTY RECONSTRUCTIVE ( LIMITED ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 2920 PLASTIC SURGERY RHINOPLASTY RECONSTRUCTIVE ( PARTIAL ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2921 PLASTIC SURGERY RHINOPLASTY RECONSTRUCTIVE - FULL / EXTENSIVE 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2922 PLASTIC SURGERY RHINOPLASTY RECONSTRUCTIVE- LARGE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2923 PLASTIC SURGERY RHINOPLASTY RECONSTRUCTIVE- MINI 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2924 PLASTIC SURGERY RHINOPLASTY TIP 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2925 PLASTIC SURGERY SCAR EXCISION / REPAIR ( EXTRA LARGE ) - SIMPLE 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2926 PLASTIC SURGERY SCAR REVISION ( EXTRA LARGE ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2927 PLASTIC SURGERY SCAR REVISION ( LARGE ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 2928 PLASTIC SURGERY SCAR REVISION ( MEDIUM ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2929 PLASTIC SURGERY SCAR REVISION ( SMALL ) 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 2930 PLASTIC SURGERY SCROTUM / PENIS AVULSION INJURIES SURGICAL REPAIR 28800 28800 30240 33120 36000 38880 38880 43200 46080 57600 2931 PLASTIC SURGERY SEPTOPLASTY / SUBMUCOUS RESECTION ( SMR ) - PLASTIC SUR18360 18360 19280 21120 22950 24790 24790 27540 29380 36720 2932 PLASTIC SURGERY SEX CHANGE / REASSIGNMENT SURGERY ( MALE TO FEMALE - VAG50000 50000 52500 57500 62500 67500 67500 75000 80000 100000 2933 PLASTIC SURGERY SKIN CORRECTION ( FACIAL PARALYSIS ) 16660 16660 17500 19160 20830 22500 22500 24990 26660 33320 2934 PLASTIC SURGERY SKIN GRAFT - FULL THICKNESS ( HALF FACE - VERY LARGE AREA 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 2935 PLASTIC SURGERY SKIN GRAFT - FULL THICKNESS ( LARGE ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2936 PLASTIC SURGERY SKIN GRAFT - FULL THICKNESS ( MEDIUM ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2937 PLASTIC SURGERY SKIN GRAFT - FULL THICKNESS ( SMALL ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 2938 PLASTIC SURGERY SPINA BIFIDA REPAIR ( PLASTIC SURGERY ) 16660 16660 17500 19160 20830 22500 22500 24990 26660 33320 2939 PLASTIC SURGERY SPLIT EAR LOBULE REPAIR ( BILATERAL ) - PLASTIC SURGERY 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 2940 PLASTIC SURGERY SPLIT EAR LOBULE REPAIR - LEFT ( PLASTIC SURGERY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2941 PLASTIC SURGERY SUBCRANIAL SURGERY 32980 32980 34630 37930 41230 44530 44530 49470 52770 65960 2942 PLASTIC SURGERY SUCTION ASSISTED LIPECTOMY ( SAL ) - FACE + NECK 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 2943 PLASTIC SURGERY SUCTION ASSISTED LIPECTOMY ( SAL ) - NECK 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2944 PLASTIC SURGERY SURGICAL TOILET ( LARGE ) 6380 6380 6700 7340 7980 8620 8620 9570 10210 12760 2945 PLASTIC SURGERY SURGICAL TOILET ( MEDIUM ) 4000 4000 4200 4600 5000 5400 5400 6000 6400 8000 2946 PLASTIC SURGERY SURGICAL TOILET ( SMALL ) 1790 1790 1880 2060 2240 2420 2420 2690 2870 3580 2947 PLASTIC SURGERY SUTURE REMOVAL - EXTRA LARGE ( PLASTIC SURGERY ) 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 2948 PLASTIC SURGERY SYNDACTLY - SINGLE 8840 8840 9290 10170 11050 11940 11940 13260 14150 17680 2949 PLASTIC SURGERY SYNDACTYLY ( HAND / FOOT ) RELEASE - COMPLEX 14400 14400 15120 16560 18000 19440 19440 21600 23040 28800 2950 PLASTIC SURGERY TEMPOROMANDIBULAR JOINT RELEASE ( BILATERAL ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2951 PLASTIC SURGERY TENDON GRAFTING 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 2952 PLASTIC SURGERY TENDON GRAFTING ( SINGLE ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 2953 PLASTIC SURGERY TENDON GRAFTING - PROSTHETIC ( 1ST STAGE ) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2954 PLASTIC SURGERY TENDON GRAFTING - PROSTHETIC ( 2ND STAGE ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 2955 PLASTIC SURGERY TENDON GRAFTING WITH PROSTHESIS 12330 12330 12950 14180 15420 16650 16650 18500 19730 24660 2956 PLASTIC SURGERY TENDON INJURY REPAIR ( PLASTIC SURGERY ) 12600 12600 13230 14490 15750 17010 17010 18900 20160 25200 2957 PLASTIC SURGERY TENDON INJURY REPAIR - MULTIPLE 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2958 PLASTIC SURGERY TENDON REPAIR - SINGLE 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 2959 PLASTIC SURGERY TENDON TRANSFER - SINGLE 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2960 PLASTIC SURGERY THIGH + BUTTOCK LIFT ( CIRCUMFERENTIAL ) 46000 46000 48300 52900 57500 62100 62100 69000 73600 92000 2961 PLASTIC SURGERY THIGH LIFT ( MEDIAL ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 2962 PLASTIC SURGERY THIGH LIFT + BUTTOCK LIFT 60000 60000 63000 69000 75000 81000 81000 90000 96000 120000 2963 PLASTIC SURGERY THIGH LIFT - CIRCUMFERENTIAL ( PER SIDE ) 32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 2964 PLASTIC SURGERY TISSUE EXPANDER INSERTION 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 2965 PLASTIC SURGERY TISSUE EXPANDER INSUFFLATION ( PER SITTING ) 270 270 290 320 340 370 370 410 440 540 2966 PLASTIC SURGERY TONGUE FLAP PROCEDURE 13090 13090 13750 15060 16370 17680 17680 19640 20950 26180 2967 PLASTIC SURGERY TONGUE FLAP PROCEDURE ( 1ST STAGE ) 13090 13090 13750 15060 16370 17680 17680 19640 20950 26180 2968 PLASTIC SURGERY TONGUE FLAP PROCEDURE ( 2ND STAGE ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 2969 PLASTIC SURGERY TONGUE TIE RELEASE ( PLASTIC SURGERY ) 2980 2980 3130 3430 3730 4030 4030 4470 4770 5960 2970 PLASTIC SURGERY TORTICOLLIS RELEASE 18450 18450 19380 21220 23070 24910 24910 27680 29520 36900 2971 PLASTIC SURGERY TRANSCRANIAL SURGERY 38000 38000 39900 43700 47500 51300 51300 57000 60800 76000 2972 PLASTIC SURGERY TRAUMATIC EAR LOSS ( PARTIAL ) SURGERY 16450 16450 17280 18920 20570 22210 22210 24680 26320 32900 2973 PLASTIC SURGERY TRAUMATIC EAR LOSS ( TOTAL ) SURGERY 21850 21850 22950 25130 27320 29500 29500 32780 34960 43700 2974 PLASTIC SURGERY TUBOPLASTY ( PLASTIC SURGERY ) 17510 17510 18390 20140 21890 23640 23640 26270 28020 35020 2975 PLASTIC SURGERY URETERIC REIMPLANTATION - UNILATERAL ( PEDIATRIC ) 19100 19100 20060 21970 23880 25790 25790 28650 30560 38200 2976 PLASTIC SURGERY VAGINOPLASTY ( PLASTIC SURGERY ) 24000 24000 25200 27600 30000 32400 32400 36000 38400 48000 2977 PLASTIC SURGERY VARICOSE VEIN STRIPPING ( MAJOR ) 26010 26010 27320 29920 32520 35120 35120 39020 41620 52020 2978 PLASTIC SURGERY VARICOSE VEIN STRIPPING - MINOR ( PLASTIC SURGERY ) 18510 18510 19440 21290 23140 24990 24990 27770 29620 37020 2979 PLASTIC SURGERY VAS DEFERENS RECANALIZATION ( BILATERAL ) 27200 27200 28560 31280 34000 36720 36720 40800 43520 54400 2980 PLASTIC SURGERY VAS DEFERENS RECANALIZATION ( ONE ) 19640 19640 20630 22590 24550 26520 26520 29460 31430 39280 2981 PLASTIC SURGERY VASCULAR PEDICLE LIGATION 4760 4760 5000 5480 5950 6430 6430 7140 7620 9520 2982 PLASTIC SURGERY VERMILION RECONSTRUCTION + Z - PLASTY ( LIP ) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 2983 PLASTIC SURGERY WOUND ( OTHER THAN BURN ) COVER WITH SPLIT THICKNESS16750 16750 17590 19270 20940 22620 22620 25130 26800 33500 2984 PLASTIC SURGERY WOUND ( OTHER THAN BURN ) COVER WITH SPLIT THICKNESS10630 10630 11170 12230 13290 14360 14360 15950 17010 21260 2985 PLASTIC SURGERY WOUND ( OTHER THAN BURN ) COVER WITH SPLIT THICKNESS6800 6800 7140 7820 8500 9180 9180 10200 10880 13600 2986 PLASTIC SURGERY WOUND DEBRIDEMENT - EXTENSIVE ( PLASTIC SURGERY ) 9180 9180 9640 10560 11480 12400 12400 13770 14690 18360 2987 PLASTIC SURGERY WOUND DEBRIDEMENT - LARGE ( PLASTIC SURGERY ) 6800 6800 7140 7820 8500 9180 9180 10200 10880 13600 2988 PLASTIC SURGERY WOUND DEBRIDEMENT - SMALL ( PLASTIC SURGERY ) 5500 5500 5800 6400 6900 7500 7500 8300 8800 11000 2989 PLASTIC SURGERY WOUND DEBRIDEMENT - SUPERFICIAL ( PLASTIC SURGERY ) 2810 2810 2960 3240 3520 3800 3800 4220 4500 5620 2990 PLASTIC SURGERY Z - PLASTY ( SMALL ) 19800 19800 20790 22770 24750 26730 26730 29700 31680 39600 2991 PLASTIC SURGERY Z / W PLASTY -EXTENDED 8500 8500 8930 9780 10630 11480 11480 12750 13600 17000 2992 PLASTIC SURGERY Z / W PLASTY -LARGE 19800 19800 20790 22770 24750 26730 26730 29700 31680 39600 2993 PLASTIC SURGERY Z / W PLASTY -MEDIUM 10800 10800 11340 12420 13500 14580 14580 16200 17280 21600 2994 PLASTIC SURGERY Z / W PLASTY -SMALL 7700 7700 8090 8860 9630 10400 10400 11550 12320 15400 2995 PULMONARY/THORARCIC 6 MIN WALK TEST 770 770 810 890 970 1040 1040 1160 1240 1540 2996 PULMONARY/THORARCIC ACHALASIA CARDIA REPAIR 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 2997 PULMONARY/THORARCIC ACHALASIA CARDIA SURGERY 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 2998 PULMONARY/THORARCIC ADHESIOLYSIS + DIVISION OF BANDS ( GENERAL SURGERY ) 13900 13900 14600 15990 17380 18770 18770 20850 22240 27800 2999 PULMONARY/THORARCIC ADRENALECTOMY FOR ADRENAL TUMOR - BILATERAL ( ONCOS24900 24900 26150 28640 31130 33620 33620 37350 39840 49800 3000 PULMONARY/THORARCIC ADRENALECTOMY FOR ADRENAL TUMOR - LEFT ( ONCOSURGE 22500 22500 23630 25880 28130 30380 30380 33750 36000 45000 3001 PULMONARY/THORARCIC AMPUTATION PENIS - PARTIAL ( ONCOSURGERY ) 1200 1200 1260 1380 1500 1620 1620 1800 1920 2400 3002 PULMONARY/THORARCIC AMPUTATION PENIS - TOTAL ( GENERAL SURGERY ) 16600 16600 17430 19090 20750 22410 22410 24900 26560 33200 3003 PULMONARY/THORARCIC AXILLARY LYMPH NODE DISSECTION ( THORACIC SURGERY ) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 3004 PULMONARY/THORARCIC BENIGN TUMORS ENUCLEATION (THORACIC SURGERY) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 3005 PULMONARY/THORARCIC BILOBECTOMY ( LUNG ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 3006 PULMONARY/THORARCIC BREAST LUMP ( BENIGN ) EXCISION 7500 7500 7880 8630 9380 10130 10130 11250 12000 15000 3007 PULMONARY/THORARCIC BREAST LUMP EXCISION + SENTINEL NODE BIOPSY 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 3008 PULMONARY/THORARCIC BRONCHIAL PROVOCATION TEST 2050 2050 2160 2360 2570 2770 2770 3080 3280 4100 3009 PULMONARY/THORARCIC BRONCHOGENIC CYST SURGERY 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3010 PULMONARY/THORARCIC BRONCHOPLASTIC RESECTION 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3011 PULMONARY/THORARCIC BRONCHOPLEURAL FISTULA CLOSURE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3012 PULMONARY/THORARCIC BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( BAL ) + END8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 3013 PULMONARY/THORARCIC BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( BAL ) + TRAN8500 8500 9000 9800 10700 11500 11500 12800 13600 17000 3014 PULMONARY/THORARCIC BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( BAL ) + TRAN9000 9000 9500 10400 11300 12200 12200 13500 14400 18000 3015 PULMONARY/THORARCIC BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( BAL ) + TRAN10500 10500 11100 12100 13200 14200 14200 15800 16800 21000 3016 PULMONARY/THORARCIC BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( BAL ) + TRAN8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 3017 PULMONARY/THORARCIC BRONCHOSCOPY + FOREIGN BODY REMOVAL 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3018 PULMONARY/THORARCIC BRONCHOSCOPY - ( PULMONOLOGY ) 6500 6500 6900 7500 8200 8800 8800 9800 10400 13000 3019 PULMONARY/THORARCIC BRONCHOSCOPY RIGID 15000 15000 15800 17300 18800 20300 20300 22500 24000 30000 3020 PULMONARY/THORARCIC BULLECTOMY 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3021 PULMONARY/THORARCIC CARCINOID TUMOR + METASTASIS SURGERY 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3022 PULMONARY/THORARCIC CARINAL RECONSTRUCTION 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 3023 PULMONARY/THORARCIC CERVICAL RIB EXCISION ( THORACIC SURGERY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 3024 PULMONARY/THORARCIC CHEST TUBE INTERCOSTAL DRAINAGE ( PULMONOLOGY & THO8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 3025 PULMONARY/THORARCIC CHEST WALL FLAP RECONSTRUCTION ( THORACIC SURGERY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 3026 PULMONARY/THORARCIC CHEST WALL RESECTION + RECONSTRUCTION 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 3027 PULMONARY/THORARCIC CLOT EVACUATION BY OPEN THORACOTOMY 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 3028 PULMONARY/THORARCIC COMPLETE BRONCHOSCOPY + BRONCHOALVEOLAR LAVAGE ( B 7000 7000 7400 8100 8800 9500 9500 10500 11200 14000 3029 PULMONARY/THORARCIC COMPLETE OVERNIGHT POLYSOMNOGRAPHY ( COP ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3030 PULMONARY/THORARCIC COMPLETE OVERNIGHT POLYSOMNOGRAPHY ( COP ) WITH CO11500 11500 12080 13230 14380 15530 15530 17250 18400 23000 3031 PULMONARY/THORARCIC COMPLETE OVERNIGHT POLYSOMNOGRAPHY ( POP ) WITH CO14600 14600 15330 16790 18250 19710 19710 21900 23360 29200 3032 PULMONARY/THORARCIC COMPLETE OVERNIGHT POLYSOMNOGRAPHY ( POP ) WITH MULT13200 13200 13860 15180 16500 17820 17820 19800 21120 26400 3033 PULMONARY/THORARCIC COMPLETE PULMONARY FUNCTION TEST ( PFT ) 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 3034 PULMONARY/THORARCIC DECORTICATION + LOBECTOMY ( LUNG ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3035 PULMONARY/THORARCIC DECORTICATION LUNG ( THORACIC SURGERY ) 41500 36050 37650 54480 68100 73600 73600 81800 87200 109000 3036 PULMONARY/THORARCIC DIAGNOSTIC THORACOSCOPY - (P) 58200 68200 68200 64000 89600 94500 96000 112000 118400 150000 3037 PULMONARY/THORARCIC DIAPHRAGMATIC RECONSTRUCTION 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3038 PULMONARY/THORARCIC EBUS 8000 8000 8400 9200 10000 10800 11340 12000 12800 16000 3039 PULMONARY/THORARCIC EBUS+FNA 10000 10000 10500 11500 12500 13500 14180 15000 16000 20000 3040 PULMONARY/THORARCIC ECTOPIC PARATHYROID TUMOR EXCISION ( THORACIC SURGER 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3041 PULMONARY/THORARCIC ELOESSER FLAP WINDOW THORACOSTOMY ( PULMONOLOGY ) 14900 14900 15650 17140 18630 20120 20120 22350 23840 29800 3042 PULMONARY/THORARCIC EMPYEMECTOMY 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3043 PULMONARY/THORARCIC ESOPHAGEAL BYPASS ( THORACIC SURGERY ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3044 PULMONARY/THORARCIC ESOPHAGEAL DILATATION ( THORACIC SURGERY ) 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3045 PULMONARY/THORARCIC ESOPHAGEAL DIVERSION ( THORACIC SURGERY ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3046 PULMONARY/THORARCIC ESOPHAGEAL DIVERTICULUM EXCISION ( THORACIC SURGERY ) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3047 PULMONARY/THORARCIC ESOPHAGEAL STENTING ( THORACIC SURGERY ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 3048 PULMONARY/THORARCIC ESOPHAGEAL TRANSECTION + REPAIR ( THORACIC SURGERY ) 18200 18200 19110 20930 22750 24570 24570 27300 29120 36400 3049 PULMONARY/THORARCIC ESOPHAGECTOMY + RECONSTRUCTION ( THORACIC SURGERY ) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 3050 PULMONARY/THORARCIC FEEDING GASTROSTOMY 12500 12500 13130 14380 15630 16880 16880 18750 20000 25000 3051 PULMONARY/THORARCIC FINE NEEDLE ASPIRATION CYTOLOGY ( FNAC ) LUNG 7100 7100 7460 8170 8880 9590 9590 10650 11360 14200 3052 PULMONARY/THORARCIC GASTRECTOMY ( TOTAL ) + PRIMARY LESION MANAGEMENT ( Z33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3053 PULMONARY/THORARCIC GASTROESOPHAGEAL REFLUX ( GER ) + HIATUS HERNIA SURGE 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3054 PULMONARY/THORARCIC GOITRE / THYROID ( RETROSTERNAL ) EXCISION 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3055 PULMONARY/THORARCIC GROIN DISSECTION - BILATERAL 23800 23800 24990 27370 29750 32130 32130 35700 38080 47600 3056 PULMONARY/THORARCIC GROIN DISSECTION - LEFT SIDE 16600 16600 17430 19090 20750 22410 22410 24900 26560 33200 3057 PULMONARY/THORARCIC HEMOTHORAX EVACUATION ( THORACIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3058 PULMONARY/THORARCIC HERNIA ( DIAPHRAGMATIC ) REPAIR - THORACIC SURGERY 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3059 PULMONARY/THORARCIC HERNIA ( INGUINAL ) REPAIR - BILATERAL 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 3060 PULMONARY/THORARCIC HERNIA ( INGUINAL ) REPAIR - LEFT SIDE 11900 11900 12500 13690 14880 16070 16070 17850 19040 23800 3061 PULMONARY/THORARCIC HYDATID DISEASE SURGERY - BILATERAL ( THORACIC SURGERY 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3062 PULMONARY/THORARCIC HYDATID DISEASE SURGERY - LEFT ( THORACIC SURGERY ) 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 3063 PULMONARY/THORARCIC INITIATION OF BIPAP 1650 1650 1740 1900 2070 2230 2230 2480 2640 3300 3064 PULMONARY/THORARCIC INITIATION OF VENTILATOR 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 3065 PULMONARY/THORARCIC INTESTINAL OBSTRUCTION SURGERY 23600 23600 24780 27140 29500 31860 31860 35400 37760 47200 3066 PULMONARY/THORARCIC INTUBATION BRONCHOSCOPIC 9000 9000 9450 10350 11250 12150 12150 13500 14400 18000 3067 PULMONARY/THORARCIC LIVER RESECTION ( FOR ENDOCRINE MALIGNANCY ) - THORACIC32400 32400 34020 37260 40500 43740 43740 48600 51840 64800 3068 PULMONARY/THORARCIC LOBECTOMY LUNG ( THORACIC SURGERY ) 38000 32550 33950 50380 63000 68100 68100 75600 80700 100800 3069 PULMONARY/THORARCIC LUNG ABSCESS SURGERY ( THORACIC SURGERY ) 28000 28000 29400 32200 35000 37800 37800 42000 44800 56000 3070 PULMONARY/THORARCIC LUNG BIOPSY ( THORACIC SURGERY ) 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3071 PULMONARY/THORARCIC LUNG BIOPSY OPEN ( THORACIC SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3072 PULMONARY/THORARCIC LUNG BIOPSY THORACOSCOPIC ( PULMONOLOGY ) 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 3073 PULMONARY/THORARCIC LUNG NEEDLE BIOPSY ( PULMONOLOGY ) 3700 3700 3890 4260 4630 5000 5000 5550 5920 7400 3074 PULMONARY/THORARCIC LUNG RESECTION ( SEGMENTAL ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3075 PULMONARY/THORARCIC LUNG RESECTION + CHEST WALL RESECTION 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 3076 PULMONARY/THORARCIC LUNG RESECTION + MEDIASTINAL NODE DISSECTION + CHEST W40000 40000 42000 46000 50000 54000 54000 60000 64000 80000 3077 PULMONARY/THORARCIC LUNG VOLUME REDUCTION SURGERY ( BILATERAL ) 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 3078 PULMONARY/THORARCIC LUNG VOLUME REDUCTION SURGERY ( LEFT ) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3079 PULMONARY/THORARCIC LYMPH NODE BIOPSY ( THORACOSCOPIC ) 11900 11900 12500 13690 14880 16070 16070 17850 19040 23800 3080 PULMONARY/THORARCIC LYMPH NODE DISSECTION - RETROPERITONEAL 23600 23600 24780 27140 29500 31860 31860 35400 37760 47200 3081 PULMONARY/THORARCIC MAMILLARY DUCT FISTULA SURGERY 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 3082 PULMONARY/THORARCIC MASTECTOMY ( SIMPLE ) + AXILLARY DISSECTION ( GENERAL S32000 32000 33600 36800 40000 43200 43200 48000 51200 64000 3083 PULMONARY/THORARCIC MASTECTOMY BILATERAL 20400 20400 21420 23460 25500 27540 27540 30600 32640 40800 3084 PULMONARY/THORARCIC MASTECTOMY MODIFIED RADICAL ( THORACIC SURGERY ) 26000 26000 27300 29900 32500 35100 35100 39000 41600 52000 3085 PULMONARY/THORARCIC MASTECTOMY RADICAL 23300 23300 24470 26800 29130 31460 31460 34950 37280 46600 3086 PULMONARY/THORARCIC MEDIASTINAL LYMPH NODE BIOPSY ( THORACIC SURGERY ) 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3087 PULMONARY/THORARCIC MEDIASTINAL LYMPHADENECTOMY 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 3088 PULMONARY/THORARCIC MEDIASTINAL MASS EXCISION 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3089 PULMONARY/THORARCIC MEDIASTINAL TUMOR EXCISION ( THORACIC SURGERY ) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3090 PULMONARY/THORARCIC MEDIASTIONOSCOPY (P) 57370 57370 57370 92000 112800 116500 118000 134730 141940 194460 3091 PULMONARY/THORARCIC MEDICAL THORACOSCOPY / PLEUROSCOPY + BIOPSY 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3092 PULMONARY/THORARCIC MULTIPLE SLEEP LATENCY TEST ( MSLT ) - AFTER COP USE 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 3093 PULMONARY/THORARCIC NECK DISSECTION 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 3094 PULMONARY/THORARCIC PARATHYROID ADENOMA EXCISION ( THORACIC SURGERY ) 23000 23000 24150 26450 28750 31050 31050 34500 36800 46000 3095 PULMONARY/THORARCIC PARATHYROID AUTOTRANSPLANTATION ( THORACIC SURGERY 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 3096 PULMONARY/THORARCIC PARATHYROID HYPERPLASIA SURGERY 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3097 PULMONARY/THORARCIC PERCUTANEOUS TRACHEOSTOMY ( PULMONOLOGY ) 4300 4300 4600 5000 5400 5900 5900 6500 6900 8600 3098 PULMONARY/THORARCIC PERICARDIAL ASPIRATION 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 3099 PULMONARY/THORARCIC PERICARDIAL TUBE DRAINAGE 6550 6550 6880 7540 8190 8850 8850 9830 10480 13100 3100 PULMONARY/THORARCIC PERICARDIO- PERITONEAL WINDOW CREATION 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 3101 PULMONARY/THORARCIC PERITONEAL DIALYSIS CATHETER INSERTION 4400 4400 4620 5060 5500 5940 5940 6600 7040 8800 3102 PULMONARY/THORARCIC PHEOCHROMOCYTOMA ( EXTRA ADRENAL ) EXCISION ( THORA27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3103 PULMONARY/THORARCIC PLEURAL ASPIRATION ( TAP ) - THERAPEUTIC 3000 3000 3150 3450 3750 4050 4050 4500 4800 6000 3104 PULMONARY/THORARCIC PLEURAL ASPIRATION / TAP ( THORACOCENTESIS ) < 200 ML - D1950 1950 2050 2250 2440 2640 2640 2930 3120 3900 3105 PULMONARY/THORARCIC PLEURAL BIOPSY ( GENERAL SURGERY ) 5000 5000 5250 5750 6250 6750 6750 7500 8000 10000 3106 PULMONARY/THORARCIC PLEURAL BIOPSY - THORACOSCOPIC ( PULMONOLOGY ) 11900 11900 12500 13690 14880 16070 16070 17850 19040 23800 3107 PULMONARY/THORARCIC PLEURECTOMY + AIR LEAK OBLITERATION 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3108 PULMONARY/THORARCIC PLEURECTOMY + EMPYEMA EXCISION ( WITHOUT LUNG RESEC23000 23000 24150 26450 28750 31050 31050 34500 36800 46000 3109 PULMONARY/THORARCIC PLEURO PERICARDIAL WINDOW CREATION 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 3110 PULMONARY/THORARCIC PLEURO PERITONEAL SHUNT 14000 14000 14700 16100 17500 18900 18900 21000 22400 28000 3111 PULMONARY/THORARCIC PLEURODESIS ( PULMONOLOGY ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 3112 PULMONARY/THORARCIC PLEUROSCOPY 7300 7300 7670 8400 9130 9860 9860 10950 11680 14600 3113 PULMONARY/THORARCIC PLEUROSCOPY / MEDICAL THORACOSCOPY 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3114 PULMONARY/THORARCIC PLEUROSCOPY WITH BIOPSY 8950 8950 9400 10300 11190 12090 12090 13430 14320 17900 3115 PULMONARY/THORARCIC PLICATION DIAPHRAGM 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3116 PULMONARY/THORARCIC PNEUMONECTOMY ( THORACIC SURGERY ) 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3117 PULMONARY/THORARCIC PSEUDOPANCREATIC CYST DRAINAGE 29700 29700 31190 34160 37130 40100 40100 44550 47520 59400 3118 PULMONARY/THORARCIC PULMONARY FUNCTION TEST ( PFT ) - BEDSIDE 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 3119 PULMONARY/THORARCIC PULMONARY FUNCTION TEST ( PFT ) ROUTINE 900 900 950 1040 1130 1220 1220 1350 1440 1800 3120 PULMONARY/THORARCIC PULMONARY FUNCTION TEST ( PFT ) WITH BRONCHODILATOR 1050 1050 1110 1210 1320 1420 1420 1580 1680 2100 3121 PULMONARY/THORARCIC PULMONARY FUNCTION TEST ( PFT ) WITH DIFFUSION STUDIES 1850 1850 1950 2130 2320 2500 2500 2780 2960 3700 3122 PULMONARY/THORARCIC PULMONARY FUNCTION TEST ( PFT ) WITH EXERCISE 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 3123 PULMONARY/THORARCIC PULSE OXIMETRY 1850 1850 1950 2130 2320 2500 2500 2780 2960 3700 3124 PULMONARY/THORARCIC REMOVAL AND FLAP INSETTING (SMALL) (PLASTIC SURG) 21300 21300 22370 24500 26630 28760 28760 31950 34080 42600 3125 PULMONARY/THORARCIC RIGID BRONCHOSCOPY + ELECTROCOAGULATION 15000 15000 15750 17250 18750 20250 20250 22500 24000 30000 3126 PULMONARY/THORARCIC RIGID BRONCHOSCOPY + LASER ABLATION 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 3127 PULMONARY/THORARCIC SCALENOTOMY ( FOR SCALENUS SYNDROME ) 8000 8000 8400 9200 10000 10800 10800 12000 12800 16000 3128 PULMONARY/THORARCIC SENTINEL NODE BIOPSY ( BILATERAL ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 3129 PULMONARY/THORARCIC SENTINEL NODE BIOPSY ( LEFT ) 12000 12000 12600 13800 15000 16200 16200 18000 19200 24000 3130 PULMONARY/THORARCIC SLEEP STUDY (COMPLETE OVERNIGHT PULSE OXYMETRY) 1400 1400 1470 1610 1750 1890 1890 2100 2240 2800 3131 PULMONARY/THORARCIC SLEEP STUDY (ESOPHAGEAL PRESSURE MONITORING) 14050 14050 14760 16160 17570 18970 18970 21080 22480 28100 3132 PULMONARY/THORARCIC SLEEP STUDY (LIMITED) 6000 6000 6300 6900 7500 8100 8100 9000 9600 12000 3133 PULMONARY/THORARCIC SLEEP STUDY (TRANSCUTANEOUS) - PULMONOLOGY 1850 1850 1950 2130 2320 2500 2500 2780 2960 3700 3134 PULMONARY/THORARCIC SLEEP STUDY - DIAGNOSTIC CPAP TITRATION (SPLIT STUDY) 16200 16200 17010 18630 20250 21870 21870 24300 25920 32400 3135 PULMONARY/THORARCIC SLEEP STUDY AMBULATORY 7000 7000 7350 8050 8750 9450 9450 10500 11200 14000 3136 PULMONARY/THORARCIC STERNAL DEBRIDEMENT + MUSCLE FLAP ROTATION 28500 28500 29930 32780 35630 38480 38480 42750 45600 57000 3137 PULMONARY/THORARCIC STERNAL RESECTION + RECONSTRUCTION 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3138 PULMONARY/THORARCIC SYMPATHECTOMY ( BILATERAL ) FOR HYPERHYDROSIS 32900 32900 34550 37840 41130 44420 44420 49350 52640 65800 3139 PULMONARY/THORARCIC SYMPATHECTOMY ( THORACOSCOPIC ) - BILATERAL 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3140 PULMONARY/THORARCIC Therapeutic Bronchoscopy 16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 3141 PULMONARY/THORARCIC THORACIC DUCT EXCISION - TOTAL ( THORACIC SURGERY ) 13000 13000 13650 14950 16250 17550 17550 19500 20800 26000 3142 PULMONARY/THORARCIC THORACIC OUTLET OBSTRUCTION SURGERY 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3143 PULMONARY/THORARCIC Thoracic Pulmo Package Simple - (P) 143000 143000 143000 164450 178750 193050 193050 214500 228800 286000 3144 PULMONARY/THORARCIC THORACIC PULMO PACKAGES - (P) 176500 176500 176500 225000 299000 312000 317500 363750 382790 801760 3145 PULMONARY/THORARCIC THORACIC PULMO PACKAGES COMPLEX - (P) 223300 223300 223300 277000 371800 388500 395500 454750 478450 811630 3146 PULMONARY/THORARCIC THORACOPLASTY + APICOLYSIS 21900 21900 23000 25190 27380 29570 29570 32850 35040 43800 3147 PULMONARY/THORARCIC THORACOSCOPY FOR CHYLOTHORAX 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3148 PULMONARY/THORARCIC THORACOTOMY ( FOR ANTEROLATERAL DECOMPRESSION ) 25000 25000 26250 28750 31250 33750 33750 37500 40000 50000 3149 PULMONARY/THORARCIC THORACOTOMY ( FOR HYDATID CYST REMOVAL) - THORACIC SUR16000 16000 16800 18400 20000 21600 21600 24000 25600 32000 3150 PULMONARY/THORARCIC THORACOTOMY ( FOR MEDIASTINAL TUMOR ) 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3151 PULMONARY/THORARCIC THORACOTOMY ( FOR PERFORATING / PENETRATING INJURY ) 28600 28600 30030 32890 35750 38610 38610 42900 45760 57200 3152 PULMONARY/THORARCIC THORACOTOMY EXPLORATORY ( THORACIC SURGERY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3153 PULMONARY/THORARCIC THYMECTOMY ( THORACIC SURGERY ) 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3154 PULMONARY/THORARCIC THYMECTOMY THORACOSCOPIC ( THORACIC SURGERY ) 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3155 PULMONARY/THORARCIC TRACHEAL DILATATION + STENTING 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3156 PULMONARY/THORARCIC TRACHEOESOPHAGEAL FISTULA ( TEF ) SURGERY 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3157 PULMONARY/THORARCIC TRACHEOSTOMY ( PULMONOLOGY ) 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 3158 PULMONARY/THORARCIC TRACHEOSTOMY CLOSURE 10000 10000 10500 11500 12500 13500 13500 15000 16000 20000 3159 PULMONARY/THORARCIC TRANSBRONCHIAL NEEDLE ASPIRATION ( TBNA ) - BRONCHOSC5500 5500 5800 6400 6900 7500 7500 8300 8800 11000 3160 PULMONARY/THORARCIC TUMOR WIDE EXCISION 28000 22550 23450 38880 48600 52500 52500 58400 62300 77800 3161 PULMONARY/THORARCIC WIDE LOCAL EXCISION + AXILLARY DISSECTION 18000 18000 18900 20700 22500 24300 24300 27000 28800 36000 3162 RHEUMATOLOGY SOFT TISSUE INJECTION ( RHEUMATOLOGY ) 300 300 320 350 380 410 410 450 480 600 3163 SPINE & TRAUMA ACHILLES TENDON REPAIR 40425 40425 42450 46490 50540 54580 54580 60640 64680 80850 3164 SPINE & TRAUMA BALLOON KYPHOPLASTY ( LEVEL I ) 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 3165 SPINE & TRAUMA BALLOON KYPHOPLASTY ( LEVEL II ) 66000 66000 69300 75900 82500 89100 89100 99000 105600 132000 3166 SPINE & TRAUMA DISC REPLACEMENT ( CERVICAL / LUMBAR ) - LEVEL II 83250 83250 87420 95740 104070 112390 112390 124880 133200 166500 3167 SPINE & TRAUMA DISCECTOMY ( OPEN ) 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 3168 SPINE & TRAUMA FEMORAL RECONSTRUCTION ( DISTAL ) 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3169 SPINE & TRAUMA HUMERUS RECONSTRUCTION ( DISTAL ) 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3170 SPINE & TRAUMA HUMERUS RECONSTRUCTION ( PROXIMAL ) 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3171 SPINE & TRAUMA OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) PELVIS / AC63525 63525 66710 73060 79410 85760 85760 95290 101640 127050 3172 SPINE & TRAUMA OPEN REDUCTION AND INTERNAL FIXATION ( ORIF ) PELVIS / AC40425 40425 42450 46490 50540 54580 54580 60640 64680 80850 3173 SPINE & TRAUMA SPINE DECOMPRESSION ( POSTERIOR ) + FUSION - LEVEL II 75900 75900 79700 87290 94880 102470 102470 113850 121440 151800 3174 SPINE & TRAUMA SPINE DECOMPRESSION ( POSTERIOR ) + POSTERIOR LUMBAR IN53900 53900 56600 61990 67380 72770 72770 80850 86240 107800 3175 SPINE & TRAUMA TIBIAL ( DISTAL ) / PILON RECONSTRUCTION 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3176 SPINE & TRAUMA TIBIAL RECONSTRUCTION ( PROXIMAL ) 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3177 SPINE & TRAUMA TRAUMA RECONSTRUCTION ( PROXIMAL ) 46200 46200 48510 53130 57750 62370 62370 69300 73920 92400 3178 UROLOGY A. V Graft (P) 40590 40590 40590 45100 63140 66500 67650 85800 93500 165000 3179 UROLOGY A. V Graft Daycare (P) 39490 39490 39490 39490 39490 39490 39490 39490 39490 39490 3180 UROLOGY ABSCESS INCISION AND DRAINAGE (UROLOGY) 12980 12980 13630 14930 16230 17530 17530 19470 20770 25960 3181 UROLOGY ADRENALECTOMY ( LAPAROSCOPIC ) - UROLOGY 30050 30050 31560 34560 37570 40570 40570 45080 48080 60100 3182 UROLOGY ADRENALECTOMY ( OPEN ) - UROLOGY 30050 30050 31560 34560 37570 40570 40570 45080 48080 60100 3183 UROLOGY ANASTOMOTIC URETHROPLASTY -COMPLEX 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3184 UROLOGY ANASTOMOTIC URETHROPLASTY -SIMPLE 19250 19250 20220 22140 24070 25990 25990 28880 30800 38500 3185 UROLOGY AORTORENAL BY PASS 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 3186 UROLOGY ARTERIOVENOUS FISTULA CORRECTION ( UROLOGY ) 9080 9080 9540 10450 11350 12260 12260 13620 14530 18160 3187 UROLOGY AUTOTRANSPLANTATION 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 3188 UROLOGY BLADDER DIVERTICULECTOMY 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3189 UROLOGY BLADDER EXOSTROPHY REPAIR 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 3190 UROLOGY BLADDER NECK INCISION ( BNI ) / TUIP - (P) 61880 61880 61880 68750 97900 103000 112200 149600 173800 330000 3191 UROLOGY BLADDER RUPTURE REPAIR (MAJOR) 18040 18040 18950 20750 22550 24360 24360 27060 28870 36080 3192 UROLOGY BLADDER RUPTURE REPAIR (MINOR) 9050 9050 9510 10410 11320 12220 12220 13580 14480 18100 3193 UROLOGY BLADDER TUMOR LASER CHARGES 26870 26870 28220 30910 33590 36280 36280 40310 43000 53740 3194 UROLOGY BNI Bladder Neck Resection - (P) 67500 67500 67500 75000 105000 110500 112500 131250 138750 150000 3195 UROLOGY BOTOX INJECTION ( INTRAVESICAL / INTRASPHINTERIC ) 17820 17820 18720 20500 22280 24060 24060 26730 28520 35640 3196 UROLOGY BUCCAL MUCOSAL URETHROPLASTY- COMPLEX 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3197 UROLOGY BUCCAL MUCOSAL URETHROPLASTY- SIMPLE 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3198 UROLOGY CATHETER REMOVAL ( UROLOGY ) 380 380 400 440 480 520 520 570 610 760 3199 UROLOGY CHARGES FOR HOLMIUN LASER 15000 15000 15000 15000 15000 15000 15000 15000 15000 15000 3200 UROLOGY CIRCUMCISION - (P) 17330 17330 17330 19250 28050 29500 33000 44000 51700 165000 3201 UROLOGY CIRCUMCISION IN DAYCARE - (P) 16230 16230 16230 16230 16230 16230 16230 16230 16230 16230 3202 UROLOGY Closure fistula (under LA) 4240 4240 4460 4880 5300 5730 5730 6360 6790 8480 3203 UROLOGY CONTINUOUS AMBULATORY PERITONEAL DIALYSIS ( CAPD ) CA8250 8250 8670 9490 10320 11140 11140 12380 13200 16500 3204 UROLOGY CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) CAT8930 8930 9380 10270 11170 12060 12060 13400 14290 17860 3205 UROLOGY CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) CAT8930 8930 9380 10270 11170 12060 12060 13400 14290 17860 3206 UROLOGY CYSTECTOMY (PARTIAL) 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3207 UROLOGY CYSTECTOMY (RADICAL) + ORTHOTOPIC BLADDER 45180 45180 47440 51960 56480 61000 61000 67770 72290 90360 3208 UROLOGY CYSTECTOMY RADICAL + ILEAL CONDUIT 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 3209 UROLOGY CYSTOLITHOTOMY OPEN 9050 9050 9510 10410 11320 12220 12220 13580 14480 18100 3210 UROLOGY CYSTOLITHOTOMY PERCUTANEOUS 10750 10750 11290 12370 13440 14520 14520 16130 17200 21500 3211 UROLOGY CYSTOLITHOTRIPSY 9900 9900 10400 11390 12380 13370 13370 14850 15840 19800 3212 UROLOGY CYSTOPLASTY AUGMENTATION 30360 30360 31880 34920 37950 40990 40990 45540 48580 60720 3213 UROLOGY CYSTOSCOPY ( DIAGNOSTIC) UNDER GA - (P) 20300 14300 14300 16550 25570 27500 31400 43500 52300 159000 3214 UROLOGY CYSTOSCOPY ( DIAGNOSTIC) UNDER GA IN DAY CARE - (P) 19500 19500 19500 19500 19500 19500 19500 19500 19500 19500 3215 UROLOGY CYSTOSCOPY ( DIAGNOSTIC) UNDER LA - (P) 19310 19310 19310 21450 30030 32000 35200 46200 53900 165000 3216 UROLOGY CYSTOSCOPY ( DIAGNOSTIC) UNDER LA IN DAY CARE - (P) 18500 18500 18500 18500 18500 18500 18500 18500 18500 18500 3217 UROLOGY CYSTOSCOPY WITH BIOPSY UNDER GA IN DAY CARE - (P) 17000 17000 17000 17000 17000 17000 17000 17000 17000 17000 3218 UROLOGY CYSTOSTOMY TROCAR (SUPRAPUBIC) 8250 8250 8670 9490 10320 11140 11140 12380 13200 16500 3219 UROLOGY DEFLUX INJECTION 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3220 UROLOGY DETRUSOR SEROMYOTOMY 15180 15180 15940 17460 18980 20500 20500 22770 24290 30360 3221 UROLOGY DIVERTICULECTOMY / BLADDER DIVERTICULUM EXCISION 16490 16490 17320 18970 20620 22270 22270 24740 26390 32980 3222 UROLOGY DJ STENTING B/L - (P) 16830 16830 16830 18700 27500 29000 33000 44000 51700 165000 3223 UROLOGY DJ STENTING B/L IN DAYCARE - (P) 15730 15730 15730 15730 15730 15730 15730 15730 15730 15730 3224 UROLOGY DJ STENTING U/L - (P) 14130 14130 14130 15700 23300 24500 27800 38000 45000 150000 3225 UROLOGY DJ STENTING U/L IN DAYCARE - (P) 11600 11600 11600 11600 11600 11600 11600 11600 11600 11600 3226 UROLOGY ENDOPYELOTOMY 22480 22480 23610 25860 28100 30350 30350 33720 35970 44960 3227 UROLOGY EPISPADIAS REPAIR (UROLOGY) 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 3228 UROLOGY EPISPADIAS REPAIR SECOND STAGE 19800 19800 20790 22770 24750 26730 26730 29700 31680 39600 3229 UROLOGY FRENULOPLASTY (UROLOGY ) 3300 3300 3470 3800 4130 4460 4460 4950 5280 6600 3230 UROLOGY HEPATORENAL BY PASS 35000 35000 36750 40250 43750 47250 47250 52500 56000 70000 3231 UROLOGY HIGH ORCHIECTOMY 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3232 UROLOGY Holmium TURP More Than 60 Grams - (P) 117000 117000 117000 130000 182000 191500 195000 227500 240500 260000 3233 UROLOGY HOLMIUM TURP - (P) 99000 99000 99000 110000 154000 162000 165000 192500 203500 220000 3234 UROLOGY HOLMIUM URETEROSCOPY - STONE REMOVAL - (P) 66000 66000 66000 72600 101640 107000 108900 127050 134310 165000 3235 UROLOGY HYDROCELE REPAIR - BILATERAL ( UROLOGY ) 11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3236 UROLOGY HYDROCELE U/L UNDER GA - (P) 26240 26240 26240 29150 40810 43000 45100 59180 66880 165000 3237 UROLOGY HYDROCELE U/L UNDER GA IN DAYCARE - (P) 25140 25140 25140 25140 25140 25140 25140 25140 25140 25140 3238 UROLOGY HYDROCELE U/L UNDER LA - (P) 23760 23760 23760 26400 36960 39000 41910 55330 63030 165000 3239 UROLOGY HYDROCELE U/L UNDER LA IN DAYCARE - (P) 22660 22660 22660 22660 22660 22660 22660 22660 22660 22660 3240 UROLOGY HYPOSPADIAS REPAIR ( TWO STAGE ) - 1ST STAGE ( UROLOGY ) 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3241 UROLOGY HYPOSPADIAS REPAIR ( TWO STAGE ) - 2ND STAGE ( UROLOGY 17840 17840 18740 20520 22300 24090 24090 26760 28550 35680 3242 UROLOGY HYPOSPADIAS REPAIR - SINGLE STAGE ( UROLOGY ) 23820 23820 25020 27400 29780 32160 32160 35730 38120 47640 3243 UROLOGY ILEAL URETER 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3244 UROLOGY INFUNDIBULOTOMY 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3245 UROLOGY INGUINAL LYMPHADENECTOMY (SUPERFICIAL) BILATERAL 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 3246 UROLOGY INGUINAL LYMPHADENECTOMY (SUPERFICIAL) LEFT 17600 17600 18480 20240 22000 23760 23760 26400 28160 35200 3247 UROLOGY KIDNEY TRANSPLANT PACKAGE ( DONOR + RECIPIENT ) - (P) 180000 180000 180000 180000 180000 195000 220000 330000 405000 630000 3248 UROLOGY LAP KIDNEY TRANSPLANT PACKAGE (DONOR + RECIPIENT) (P) 375000 375000 375000 375000 525000 551500 562500 656250 693750 858750 3249 UROLOGY LAP URETROLYSIS B/L 30000 30000 31500 34500 37500 40500 40500 45000 48000 60000 3250 UROLOGY LAP URETROLYSIS U/L 20000 20000 21000 23000 25000 27000 27000 30000 32000 40000 3251 UROLOGY LAPAROSCOPIC CYST DEROOFING 23580 23580 24760 27120 29480 31840 31840 35370 37730 47160 3252 UROLOGY LITHOTRIPSY ( FOR RESIDUAL STONE - POST PCNL ) 13440 13440 14120 15460 16800 18150 18150 20160 21510 26880 3253 UROLOGY LITHOTRIPSY STONE <1 CM (SMALL) - (P) 21780 21780 21780 21780 30490 32500 32670 38120 40290 43560 3254 UROLOGY LITHOTRIPSY STONE >1 CM (LARGE) - (P) 26620 26620 26620 26620 37270 39500 39930 46590 49250 53240 3255 UROLOGY MEATOPLASTY 7460 7460 7840 8580 9330 10080 10080 11190 11940 14920 3256 UROLOGY MEATOTOMY ( UROLOGY ) 4040 4040 4250 4650 5050 5460 5460 6060 6470 8080 3257 UROLOGY Microsurgical Varicocelectomy B/L 20160 20160 21170 23190 25200 27220 27220 30240 32260 40320 3258 UROLOGY Microsurgical Varicocelectomy U/L 13440 13440 14120 15460 16800 18150 18150 20160 21510 26880 3259 UROLOGY MITROFANOFF APPENDICOVESICOSTOMY ( UROLOGY ) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3260 UROLOGY NEPHRECTOMY 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3261 UROLOGY NEPHRECTOMY PARTIAL 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3262 UROLOGY NEPHRECTOMY PARTIAL - LAPAROSCOPIC ( UROLOGY ) 39210 39210 41180 45100 49020 52940 52940 58820 62740 78420 3263 UROLOGY NEPHRECTOMY RADICAL 27360 27360 28730 31470 34200 36940 36940 41040 43780 54720 3264 UROLOGY NEPHROSTOMY OPEN 8310 8310 8730 9560 10390 11220 11220 12470 13300 16620 3265 UROLOGY NEPHROSTOMY PERCUTANEOUS 10990 10990 11540 12640 13740 14840 14840 16490 17590 21980 3266 UROLOGY NEPHROSTOMY TUBE CHANGE 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 3267 UROLOGY NEPHROURETERECTOMY RADICAL ( OPEN ) 37010 37010 38870 42570 46270 49970 49970 55520 59220 74020 3268 UROLOGY NEPHROURETERECTOMY RADICAL - LAPAROSCOPIC ( UROLOG 36270 36270 38090 41720 45340 48970 48970 54410 58040 72540 3269 UROLOGY NESBITS PROCEDURE 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3270 UROLOGY NMP22 BLADDER CHECK TEST 4770 4770 5010 5490 5970 6440 6440 7160 7640 9540 3271 UROLOGY OPTICAL INTERNAL URETHROTOMY ( OIU ) - (P) 40700 40700 40700 45100 63140 66500 67650 84700 92400 165000 3272 UROLOGY ORCHIDECTOMY ( LEFT ) 12470 12470 13100 14350 15590 16840 16840 18710 19960 24940 3273 UROLOGY ORCHIDECTOMY - BILATERAL ( UROLOGY ) 17840 17840 18740 20520 22300 24090 24090 26760 28550 35680 3274 UROLOGY ORCHIDOPEXY ( BILATERAL ) - UROLOGY 16490 16490 17320 18970 20620 22270 22270 24740 26390 32980 3275 UROLOGY ORCHIDOPEXY ( LAPAROSCOPIC ) - UROLOGY 10990 10990 11540 12640 13740 14840 14840 16490 17590 21980 3276 UROLOGY Orchiodectomy under LA B/L 15290 15290 16060 17590 19120 20650 20650 22940 24470 30580 3277 UROLOGY Orchiodectomy under LA U/L 10670 10670 11210 12280 13340 14410 14410 16010 17080 21340 3278 UROLOGY PENECTOMY (TOTAL) WITHOUT LYMPHADECTOMY U/L 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3279 UROLOGY PENECTOMY PARTIAL 13750 13750 14440 15820 17190 18570 18570 20630 22000 27500 3280 UROLOGY PENECTOMY TOTAL 33000 33000 34650 37950 41250 44550 44550 49500 52800 66000 3281 UROLOGY PENECTOMY TOTAL WITHOUT LYMPHADECTOMY 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3282 UROLOGY PENILE IMPLANT SURGERY ( UROLOGY ) 33590 33590 35270 38630 41990 45350 45350 50390 53750 67180 3283 UROLOGY PERCUTANEOUS NEPHROLITHOTOMY ( PCNL ) - (P) 60000 44500 47500 57500 87500 92500 97500 132500 157500 302500 3284 UROLOGY PERMACATH INSERTION 6730 6730 7070 7740 8420 9090 9090 10100 10770 13460 3285 UROLOGY PERMACATH REMOVAL (UROLOGY) 4890 4890 5140 5630 6120 6610 6610 7340 7830 9780 3286 UROLOGY Peyronnie Plague Excision& Vein Grafting 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3287 UROLOGY PROSTATE BIOPSY ( TRUS GUIDED ) - (P) 16200 16200 16200 18000 26000 27500 30500 40500 47500 150000 3288 UROLOGY PROSTATE BIOPSY ( TRUS GUIDED ) IN DAYCARE - (P) 16720 16720 16720 16720 16720 16720 16720 16720 16720 16720 3289 UROLOGY PROSTATECTOMY OPEN ( UROLOGY ) 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3290 UROLOGY PROSTATECTOMY RADICAL 44000 44000 46200 50600 55000 59400 59400 66000 70400 88000 3291 UROLOGY PROSTATECTOMY RADICAL - LAPAROSCOPIC ( UROLOGY ) 44210 44210 46430 50850 55270 59690 59690 66320 70740 88420 3292 UROLOGY PYELOLITHOTOMY 20520 20520 21550 23600 25650 27710 27710 30780 32840 41040 3293 UROLOGY PYELOPLASTY 20520 20520 21550 23600 25650 27710 27710 30780 32840 41040 3294 UROLOGY PYELOPLASTY - LAPAROSCOPIC ( UROLOGY ) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3295 UROLOGY RETROGRADE INTRA RENAL SURGERY ( RIRS ) - (P) 82500 39820 39820 45320 80520 86820 89320 111320 120120 133320 3296 UROLOGY RETROPERITONEAL LYMPH NODE DISSECTION ( RPLND ) - URO 33590 33590 35270 38630 41990 45350 45350 50390 53750 67180 3297 UROLOGY SCROTAL EXPLORATION ( UROLOGY ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 3298 UROLOGY SCROTAL EXPLORATION + MICROSURGICAL VASOEPIDIDYMAL AN20160 20160 21170 23190 25200 27220 27220 30240 32260 40320 3299 UROLOGY SCROTAL EXPLORATION + MICROSURGICAL VASOEPIDIDYMAL AN13440 13440 14120 15460 16800 18150 18150 20160 21510 26880 3300 UROLOGY SCROTAL EXPLORATION + VASO-VASAL ANASTOMOSIS - MICRO16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3301 UROLOGY SCROTAL EXPLORATION + VASO-VASAL ANASTOMOSIS - MICRO11000 11000 11550 12650 13750 14850 14850 16500 17600 22000 3302 UROLOGY SLING / BURCH / RAZ / STAMEY - 20520 20520 21550 23600 25650 27710 27710 30780 32840 41040 3303 UROLOGY SPLENORENAL BYPASS 38500 38500 40430 44280 48130 51980 51980 57750 61600 77000 3304 UROLOGY Staged Urethroplasty 1st Stage 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3305 UROLOGY Staged Urethroplasty 2nd Stage 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3306 UROLOGY Stent Removal GA Daycare - (P) 17500 17500 17500 17500 17500 17500 17500 17500 17500 17500 3307 UROLOGY Stent Removal LA Daycare - (P) 15000 15000 15000 15000 15000 15000 15000 15000 15000 15000 3308 UROLOGY SUTURING SECONDARY ( LARGE ) 6110 6110 6420 7030 7640 8250 8250 9170 9780 12220 3309 UROLOGY SUTURING SECONDARY ( SMALL ) 3430 3430 3610 3950 4290 4640 4640 5150 5490 6860 3310 UROLOGY TESTICULAR BIOPSY - UNILATERAL ( UROLOGY ) 5500 5500 5780 6330 6880 7430 7430 8250 8800 11000 3311 UROLOGY TESTICULAR PROSTHESIS ( BILATERAL ) 10750 10750 11290 12370 13440 14520 14520 16130 17200 21500 3312 UROLOGY TESTICULAR PROSTHESIS ( LEFT ) 6730 6730 7070 7740 8420 9090 9090 10100 10770 13460 3313 UROLOGY TORSION TESTIS - SURGICAL CORRECTION 13440 13440 14120 15460 16800 18150 18150 20160 21510 26880 3314 UROLOGY TRACHEAL RESECTION 24200 24200 25410 27830 30250 32670 32670 36300 38720 48400 3315 UROLOGY TRANS - URETHRAL RESECTION OF THE PROSTATE ( TURP ) - (P 70000 42200 47200 52200 82200 87200 97200 137200 157200 297200 3316 UROLOGY TRANSURETHRAL RESECTION OF BLADDER TUMOR ( TURB ) 20520 20520 21550 23600 25650 27710 27710 30780 32840 41040 3317 UROLOGY TRANSURETROURETEROSTOMY 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3318 UROLOGY TURP More Than 60 Grams - (P) 94500 94500 94500 105000 147000 154500 157500 183750 194250 210000 3319 UROLOGY Two Stage Urethroplasty 1st Stage 16500 16500 17330 18980 20630 22280 22280 24750 26400 33000 3320 UROLOGY Two Stage Urethroplasty 2nd Stage 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3321 UROLOGY URETERAL REIMPLANTATION WITH BOARI FLAP 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3322 UROLOGY URETERIC REIMPLANTATION ( BILATERAL ) 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3323 UROLOGY URETERIC REIMPLANTATION ( LEFT ) 16490 16490 17320 18970 20620 22270 22270 24740 26390 32980 3324 UROLOGY URETERIC REIMPLANTATION LAPAROSCOPIC ( BILATERAL ) - UR26870 26870 28220 30910 33590 36280 36280 40310 43000 53740 3325 UROLOGY Uretero-uretrostomy 22000 22000 23100 25300 27500 29700 29700 33000 35200 44000 3326 UROLOGY URETEROCELE INCISION ( LEFT ) 13200 13200 13860 15180 16500 17820 17820 19800 21120 26400 3327 UROLOGY URETEROLITHOTOMY 12470 12470 13100 14350 15590 16840 16840 18710 19960 24940 3328 UROLOGY URETEROLYSIS ( BILATERAL ) 20520 20520 21550 23600 25650 27710 27710 30780 32840 41040 3329 UROLOGY URETEROLYSIS ( LEFT ) 18080 18080 18990 20800 22600 24410 24410 27120 28930 36160 3330 UROLOGY URETEROSCOPY ( STONE REMOVAL ) - (P) 50050 50050 50050 55550 77770 82000 83330 100100 108900 165000 3331 UROLOGY URETEROSCOPY (DIAGNOSTIC) 11970 11970 12570 13770 14970 16160 16160 17960 19160 23940 3332 UROLOGY URETEROURETEROSTOMY / BOARI FLAP 22480 22480 23610 25860 28100 30350 30350 33720 35970 44960 3333 UROLOGY URETHRAL CATHETERIZATION ( UROLOGY ) 1360 1360 1430 1570 1700 1840 1840 2040 2180 2720 3334 UROLOGY URETHRAL DIVERTICULUM REPAIR 10750 10750 11290 12370 13440 14520 14520 16130 17200 21500 3335 UROLOGY URETHRAL FISTULA REPAIR 2200 2200 2310 2530 2750 2970 2970 3300 3520 4400 3336 UROLOGY URETHRAL VALVE POSTERIOR ( PUV ) FULGURATION 13440 13440 14120 15460 16800 18150 18150 20160 21510 26880 3337 UROLOGY URETHRO VAGINAL FISTULA REPAIR 22480 22480 23610 25860 28100 30350 30350 33720 35970 44960 3338 UROLOGY URETHROPLASTY (SINGLE STAGE) 22480 22480 23610 25860 28100 30350 30350 33720 35970 44960 3339 UROLOGY URETHROPLASTY (TWO STAGE) - 1ST STAGE 12090 12090 12700 13910 15120 16330 16330 18140 19350 24180 3340 UROLOGY URETHROPLASTY (TWO STAGE) - 2ND STAGE 12090 12090 12700 13910 15120 16330 16330 18140 19350 24180 3341 UROLOGY URETHROSTOMY PERINEAL 13750 13750 14440 15820 17190 18570 18570 20630 22000 27500 3342 UROLOGY Uretrocalicstomy 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3343 UROLOGY URINARY SPHINCTER CREATION - ARTIFICIAL 33550 33550 35230 38590 41940 45300 45300 50330 53680 67100 3344 UROLOGY UROFLOWMETRY 1100 1100 1160 1270 1380 1490 1490 1650 1760 2200 3345 UROLOGY UVF 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3346 UROLOGY VARICOCELECTOMY ( BILATERAL ) 11800 11800 12390 13570 14750 15930 15930 17700 18880 23600 3347 UROLOGY VARICOCELECTOMY ( LEFT ) 9300 9300 9770 10700 11630 12560 12560 13950 14880 18600 3348 UROLOGY VASECTOMY ( UROLOGY ) 10230 10230 10750 11770 12790 13820 13820 15350 16370 20460 3349 UROLOGY VESICOVAGINAL FISTULA ( VVF ) REPAIR - UROLOGY 27500 27500 28880 31630 34380 37130 37130 41250 44000 55000 3350 UROLOGY VIDEO-URODYNAMICS 5260 5260 5530 6050 6580 7110 7110 7890 8420 10520 3351 UROLOGY VOIDING CYSTOMETRY 3060 3060 3220 3520 3830 4140 4140 4590 4900 6120 3352 UROLOGY WEBBED PENIS RELEASE 22840 22840 23990 26270 28550 30840 30840 34260 36550 45680 3353 Vascular Surgery PERIPHERAL ENDARTERECTOMY 24400 24400 25620 28060 30500 32940 32940 36600 39040 48800 3354 Vascular Surgery SPINAL CORD STIMULATOR INSERTION ( NEUROSURGERY ) 35650 35650 37440 41000 44570 48130 48130 53480 57040 71300 3355 DEPARTMENT TestName price1 price121 price122 price123 price124 price125 price126 price127 price128 price129 3356 BLOOD BANK DONOR SCREENING CHARGES 2100 2630 2630 2630 2630 2630 2630 3570 3780 4200 3357 DIABETIC 24HR INSULIN INITIATION / MODIFICATION 7400 9805 9805 9805 9805 9805 9805 13335 14120 15688 3358 DIABETIC 3-LHRH PROCEDURE 7400 9805 9805 9805 9805 9805 9805 13335 14120 15688 3359 DIABETIC 4-GLUCAGON TOLERANCE PROCEDURE 7400 9805 9805 9805 9805 9805 9805 13335 14120 15688 3360 DIABETIC 5-SYYNACTHTHEN (ACTH) STIMULATION TEST 7900 10468 10468 10468 10468 10468 10468 14236 15074 16748 3361 DIABETIC AMBULATORY B.P. MONITORING 1500 2025 2025 2025 2025 2025 2025 2754 2916 3240 3362 DIABETIC AUTONOMIC NERVE FUNCTION TEST 1400 1890 1890 1890 1890 1890 1890 2571 2722 3024 3363 DIABETIC BODY FAT ANALYSIS - SEGMENTAL AND TOTAL 600 818 818 818 818 818 818 1112 1178 1308 3364 DIABETIC CAROTID INTIMA MEDIA THICKNESS MEASUREMENT 2550 3412 3412 3412 3412 3412 3412 4640 4913 5458 3365 DIABETIC COMPREHENSIVE DIABETES EDUCATION FOR TYPE 1 600 818 818 818 818 818 818 1112 1178 1308 3366 DIABETIC CONTINUOUS GLUCOSE MONITORING ( DIABETOLOGY ) 6900 9143 9143 9143 9143 9143 9143 12434 13166 14628 3367 DIABETIC CONTINUOUS GLUCOSE MONITORING SYSTEM ( CGMS ) 6900 9143 9143 9143 9143 9143 9143 12434 13166 14628 3368 DIABETIC DIET AND EXERCISE PACKAGE 250 342 342 342 342 342 342 465 492 546 3369 DIABETIC DIET EDUCATION AND THERAPEUTIC LIFESTYLE CONSULTATIO 545 682 682 682 682 682 682 927 981 1090 3370 DIABETIC FLASH GLUCOSE MONITORING SENSOR 2500 3130 3130 3130 3130 3130 3130 4250 4500 5000 3371 DIABETIC FOOT CARE EDUCATION 400 545 545 545 545 545 545 742 785 872 3372 DIABETIC FOOT CARE PACKAGE 950 1295 1295 1295 1295 1295 1295 1762 1865 2072 3373 DIABETIC FOOT CARE PACKAGE ADVANCED 3450 4615 4615 4615 4615 4615 4615 6277 6646 7384 3374 DIABETIC FOOT PRESSURE ASSESSMENT 1800 2430 2430 2430 2430 2430 2430 3305 3500 3888 3375 DIABETIC HOME SLEEP TESTING WITH HOME NURSING SERVICE 8500 11263 11263 11263 11263 11263 11263 15317 16218 18020 3376 DIABETIC HOME SLEEP TESTING[] 8500 11263 11263 11263 11263 11263 11263 15317 16218 18020 3377 DIABETIC HOT, COLD AND PAIN TESTING 600 818 818 818 818 818 818 1112 1178 1308 3378 DIABETIC INSULIN INITIATION PACKAGE 450 614 614 614 614 614 614 835 884 982 3379 DIABETIC INSULIN PUMP INITIATION, DEMONSTRATION AND TRAINING 3450 4615 4615 4615 4615 4615 4615 6277 6646 7384 3380 DIABETIC INSULIN PUMP INSERTION ( DIABETOLOGY ) 1750 2363 2363 2363 2363 2363 2363 3213 3402 3780 3381 DIABETIC INSULIN TOLERANCE PROCEDURE 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 3382 DIABETIC T1DM (NEW) 35000 46375 46375 46375 46375 46375 46375 63070 66780 74200 3383 DIABETIC TELE MONITORING PACKAGE (1 MONTH*) 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 3384 DIABETIC TELE MONITORING PACKAGE (1 YEAR*) 16200 21465 21465 21465 21465 21465 21465 29193 30910 34344 3385 DIABETIC TELE MONITORING PACKAGE (14 DAYS INTENSIVE*) 16200 21465 21465 21465 21465 21465 21465 29193 30910 34344 3386 DIABETIC TELE MONITORING PACKAGE (3 MONTHS*) 8500 11263 11263 11263 11263 11263 11263 15317 16218 18020 3387 DIABETIC TELE MONITORING PACKAGE (6 MONTHS*) 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 3388 DIABETIC TELE MONITORING PACKAGE (6 WEEK*) 13500 17888 17888 17888 17888 17888 17888 24327 25758 28620 3389 DIABETIC VENOUS DOPPLER - UPPER LIMB ( BILATERAL ) NIC 900 1227 1227 1227 1227 1227 1227 1668 1766 1962 3390 DIABETIC VIBRATION PERCEPTION TESTING 800 1090 1090 1090 1090 1090 1090 1483 1570 1744 3391 DIABETIC ZOLIDERONIC ACID PACKAGE 4500 5963 5963 5963 5963 5963 5963 8109 8586 9540 3392 LAB MEDICINE(SRL) 1, 25 DIHYDROXY VITAMIN D (8825-SRL) 3500 4380 4380 4380 4380 4380 4380 5950 6300 7000 3393 LAB MEDICINE(SRL) 1, 25-DIHYDROXY VITAMIN D3 EIA (8822G-SRL) 3300 4414 4414 4414 4414 4414 4414 6003 6356 7062 3394 LAB MEDICINE(SRL) 11Q23/ MLL REARRANGEMENT (FISH) (6019F-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3395 LAB MEDICINE(SRL) 14Q32/ IGH GENE REARRANGEMENT [FISH] (6020F-SRL) 4670 6189 6189 6189 6189 6189 6189 8417 8912 9902 3396 LAB MEDICINE(SRL) 17-A-HYDROXYPROGESTERONE, SERUM (3190-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 3397 LAB MEDICINE(SRL) 17-ALPHA-HYDROXYPROGESTERONE, DRIED BLOOD SPOT (3311- 610 832 832 832 832 832 832 1131 1197 1330 3398 LAB MEDICINE(SRL) 17-KETOSTEROIDS, URINE (3313-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 3399 LAB MEDICINE(SRL) 17P11.2 DUPLICATION, CMT1A, FISH (81996-SRL) 42020 55678 55678 55678 55678 55678 55678 75722 80176 89084 3400 LAB MEDICINE(SRL) 1P AND 19Q FISH 15000 19875 19875 19875 19875 19875 19875 27030 28620 31800 3401 LAB MEDICINE(SRL) 21-HYDROXYLASE ANTIBODIES, SERUM (81970-SRL) 20920 27720 27720 27720 27720 27720 27720 37700 39917 44352 3402 LAB MEDICINE(SRL) 25 - HYDROXYVITAMIN D, SERUM (8823-SRL) 1750 2190 2190 2190 2190 2190 2190 2980 3150 3500 3403 LAB MEDICINE(SRL) 25-HYDROXY VITAMIN D3 EIA (8823G-SRL) 1740 2175 2175 2175 2175 2175 2435 2680 2960 3060 3404 LAB MEDICINE(SRL) 5-HYDROXY- 3-INDOLE ACETIC ACID (5-HIAA) (9952-SRL) 3500 4380 4380 4380 4380 4380 4380 5950 6300 7000 3405 LAB MEDICINE(SRL) 5-METHYLTETRAHYDROFOLATE (91403-SRL) 19170 25402 25402 25402 25402 25402 25402 34546 36578 40642 3406 LAB MEDICINE(SRL) ABCD3 (1674BB-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3407 LAB MEDICINE(SRL) ABCD3/ABCD4 (1674BU-SRL) 2470 3304 3304 3304 3304 3304 3304 4494 4758 5286 3408 LAB MEDICINE(SRL) ABCD3/ABCD8 (1674BW-SRL) 2570 3438 3438 3438 3438 3438 3438 4675 4950 5500 3409 LAB MEDICINE(SRL) ABCD8 (1674BH-SRL) 2570 3438 3438 3438 3438 3438 3438 4675 4950 5500 3410 LAB MEDICINE(SRL) ABO GROUP & RH TYPE, EDTA WHOLE BLOOD (5100-SRL) 425 530 530 530 530 530 595 655 720 780 3411 LAB MEDICINE(SRL) ABS EOSINOPHIL COUNT, EDTA WHOLE BLOOD (1262-SRL) 210 287 287 287 287 287 287 390 413 458 3412 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG U1SNRNP (1215-SRL) 2570 3438 3438 3438 3438 3438 3438 4675 4950 5500 3413 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: JO-1 (1208-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3414 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: SCL-70 (1235-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3415 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: SM (1220-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3416 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: SS-A & SS-B (1007-SRL) 4920 6520 6520 6520 6520 6520 6520 8868 9389 10432 3417 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: SS-A (1204-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3418 LAB MEDICINE(SRL) ABS TO EXTRACTABLE NUCLEAR AG: SS-B (1205-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3419 LAB MEDICINE(SRL) ABSOLUTE NEUTROPHIL COUNT, BLOOD (5110N-SRL) 510 695 695 695 695 695 695 946 1001 1112 3420 LAB MEDICINE(SRL) ACANTHAMOEBA/NEAGLERIA SPECIES (80401-SRL) 17520 23215 23215 23215 23215 23215 23215 31573 33430 37144 3421 LAB MEDICINE(SRL) ACETAMINOPHEN, PLASMA (8698-SRL) 14520 19240 19240 19240 19240 19240 19240 26167 27706 30784 3422 LAB MEDICINE(SRL) ACETONE, SERUM (0011LS-SRL) 660 900 900 900 900 900 900 1224 1296 1440 3423 LAB MEDICINE(SRL) ACETYLCHOLINE RECEPTOR AUTOANTIBODIES (1411-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3424 LAB MEDICINE(SRL) ACH RECEPTOR (MUSCLE) BINDING AB (8338-SRL) 21170 28052 28052 28052 28052 28052 28052 38150 40394 44882 3425 LAB MEDICINE(SRL) ACID FAST BACILLI SMEAR (5320-SRL) 260 355 355 355 355 355 355 483 512 568 3426 LAB MEDICINE(SRL) ACT PARTIAL THROMBO PLASTIN TIME(APTT), PLASMA (3895-S 640 800 800 800 800 800 895 985 1090 1180 3427 LAB MEDICINE(SRL) ACTH STIMULATION TEST, 1-HOUR, SERUM (3103-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 3428 LAB MEDICINE(SRL) ACTH,PHOTO, TISSUE/PARAFFIN BLOCK (Z161KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3429 LAB MEDICINE(SRL) ACTIVATED PROTEIN C RESISTANCE (APC-R), PLASMA (5901-SR 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 3430 LAB MEDICINE(SRL) ACTIVE VITAMIN B12 (HOLOTRANSCOBALMIN) 1500 1880 1880 1880 1880 1880 1880 2550 2700 3000 3431 LAB MEDICINE(SRL) ACUTE HEPATITIS VIRUS - EVALUATION - III (7757-SRL) 5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 3432 LAB MEDICINE(SRL) ACUTE HEPATITIS VIRUS EVALUATION - II (7755-SRL) 5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 3433 LAB MEDICINE(SRL) ACUTE LEUKEMIA PANEL (1608-SRL) 9520 12615 12615 12615 12615 12615 12615 17157 18166 20184 3434 LAB MEDICINE(SRL) ACUTE LYMPHOBLASTIC LEUKEMIA PANEL (1606-SRL) 11420 15133 15133 15133 15133 15133 15133 20581 21791 24212 3435 LAB MEDICINE(SRL) ACUTE MYELOID LEUKEMIA PANEL (1047-SRL) 11420 15133 15133 15133 15133 15133 15133 20581 21791 24212 3436 LAB MEDICINE(SRL) ACUTE PROMYELOCYTIC LEUKEMIA T (5840-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3437 LAB MEDICINE(SRL) ACUTE PYREXIA PROFILE 25020 33153 33153 33153 33153 33153 33153 45088 47740 53044 3438 LAB MEDICINE(SRL) ADENOCARCINOMA VS MALIGNANT MESOTHELIOMA (Z217-SR 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 3439 LAB MEDICINE(SRL) ADENOSINE DEAMINASE (3131-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 3440 LAB MEDICINE(SRL) ADENOVIRUS ABS, IGG AND IGM, S (8152-SRL) 18520 24540 24540 24540 24540 24540 24540 33375 35338 39264 3441 LAB MEDICINE(SRL) ADENOVIRUS IGG, SERUM (9921I-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 3442 LAB MEDICINE(SRL) ADENOVIRUS IGM, SERUM (9924I-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 3443 LAB MEDICINE(SRL) ADENOVIRUS PCR 4200 4200 4200 4200 4200 4200 4200 5720 6050 6720 3444 LAB MEDICINE(SRL) ADENOVIRUS PCR (7589-SRL) 4320 5779 5779 5779 5779 5779 5779 7860 8322 9246 3445 LAB MEDICINE(SRL) ADRB2 GENOTYPING FOR B-2-AGONIST RESPONSIVENESS (9938R3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3446 LAB MEDICINE(SRL) ADRENOCORTICOTROPIC HORM, TISSUE/PB (Z161K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3447 LAB MEDICINE(SRL) ADRENOCORTICOTROPIC HORMONE, PLASMA (3102-SRL) 1860 2512 2512 2512 2512 2512 2512 3416 3617 4018 3448 LAB MEDICINE(SRL) AEROBIC CULTURE & SUSCEPTIBILITY 1040 1300 1300 1300 1300 1300 1455 1605 1770 2070 3449 LAB MEDICINE(SRL) AEROBIC CULTURE (1221-SRL) 660 900 900 900 900 900 900 1224 1296 1440 3450 LAB MEDICINE(SRL) AEROBIC SUSCEPTIBILITY GRAM NEGATIVE 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 3451 LAB MEDICINE(SRL) AEROBIC SUSCEPTIBILITY GRAM POSITIVE 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 3452 LAB MEDICINE(SRL) AEROBIC SUSCEPTIBILITY URINE 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 3453 LAB MEDICINE(SRL) AFB BACTEC CULTURE (1464-SRL) 1415 1770 1770 1769 1770 1770 1980 2180 2405 2830 3454 LAB MEDICINE(SRL) AFB CULTURE (BLOOD) (1464BA-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3455 LAB MEDICINE(SRL) AFB LJ SUSC - CAPREOMYCIN (CA5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3456 LAB MEDICINE(SRL) AFB LJ SUSC - CIPROFLOXACIN (CI5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3457 LAB MEDICINE(SRL) AFB LJ SUSC - CYCLOSERINE (CY5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3458 LAB MEDICINE(SRL) AFB LJ SUSC - ETHAMBUTOL (ET5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3459 LAB MEDICINE(SRL) AFB LJ SUSC - ETHIONAMIDE (EH5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3460 LAB MEDICINE(SRL) AFB LJ SUSC - ISONIAZID (IS5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3461 LAB MEDICINE(SRL) AFB LJ SUSC - KANAMYCIN (KA5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3462 LAB MEDICINE(SRL) AFB LJ SUSC - OFLOXACIN (OF5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3463 LAB MEDICINE(SRL) AFB LJ SUSC - PAS (PA5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3464 LAB MEDICINE(SRL) AFB LJ SUSC - PYRAZINAMIDE (PY5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3465 LAB MEDICINE(SRL) AFB LJ SUSC - RIFAMBUTIN (RF5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3466 LAB MEDICINE(SRL) AFB LJ SUSC - RIFAMPICIN (RI5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3467 LAB MEDICINE(SRL) AFB LJ SUSC - STREPTOMYCIN (ST5653-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3468 LAB MEDICINE(SRL) AFB LJ SUSC - AMIKACIN (AK5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3469 LAB MEDICINE(SRL) AFB LJ SUSC - AUGMENTIN (AU5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3470 LAB MEDICINE(SRL) AFB LJ SUSC - CLOFAZIMINE (FL5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3471 LAB MEDICINE(SRL) AFB LJ SUSC - ROXITHROMYCIN (RX5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3472 LAB MEDICINE(SRL) AFB LJ SUSC - SPARFLOXACIN (SP5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3473 LAB MEDICINE(SRL) AFB LJ SUSC - THIACETAZONE (TH5653-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3474 LAB MEDICINE(SRL) AFB LJ SUSCEPTIBILITY - 10 DRUGS (2419LS-SRL) 4970 6587 6587 6587 6587 6587 6587 8958 9485 10538 3475 LAB MEDICINE(SRL) AFB LJ SUSCEPTIBILITY - 5 DRUGS (2419LP-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 3476 LAB MEDICINE(SRL) AFB SMEAR - 5 SAMPLES (5320U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3477 LAB MEDICINE(SRL) AFB SMEAR AND CULTURE (2419-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3478 LAB MEDICINE(SRL) AFB SMEARS - 3 SAMPLES (5320S-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 3479 LAB MEDICINE(SRL) AFB STAIN & BACTEC CULTURE (3 SAMPLES) (1464S-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3480 LAB MEDICINE(SRL) AFB STAIN & BACTEC CULTURE (5 SAMPLES) (1464U-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 3481 LAB MEDICINE(SRL) AFB SUSC PAS 1.0 MG/ML (PA5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3482 LAB MEDICINE(SRL) AFB SUSC. AMIKACIN (AM5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3483 LAB MEDICINE(SRL) AFB SUSC. CAPREOMYCIN (CA5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3484 LAB MEDICINE(SRL) AFB SUSC. CIPROFLOXACIN (CI5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3485 LAB MEDICINE(SRL) AFB SUSC. CLOFAZIMINE (FL5654-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3486 LAB MEDICINE(SRL) AFB SUSC. CYCLOSERINE (CY5654-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 3487 LAB MEDICINE(SRL) AFB SUSC. ETHAMBUTOL (ET5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3488 LAB MEDICINE(SRL) AFB SUSC. ETHIONAMIDE (EH5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3489 LAB MEDICINE(SRL) AFB SUSC. ISONIAZID (IS5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3490 LAB MEDICINE(SRL) AFB SUSC. OFLOXACIN (OF5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3491 LAB MEDICINE(SRL) AFB SUSC. PROTHIONAMIDE (PT5654-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3492 LAB MEDICINE(SRL) AFB SUSC. PYRAZINAMIDE (PY5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3493 LAB MEDICINE(SRL) AFB SUSC. RIFAMPIN (RI5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3494 LAB MEDICINE(SRL) AFB SUSC. ROXITHROMYCIN (RX5654-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3495 LAB MEDICINE(SRL) AFB SUSC. SIRE PANEL (1490-SRL) 5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 3496 LAB MEDICINE(SRL) AFB SUSC. SIREP PANEL (5649-SRL) 7020 9303 9303 9303 9303 9303 9303 12652 13396 14884 3497 LAB MEDICINE(SRL) AFB SUSC. SPARFLOXACIN (SP5654-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3498 LAB MEDICINE(SRL) AFB SUSC. STREPTOMYCIN (ST5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3499 LAB MEDICINE(SRL) AFB SUSC.KANAMYCIN (KA5654-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3500 LAB MEDICINE(SRL) AFB SUSCEPTIBILITY - MGIT (13 DRUGS PANEL) 12000 15000 15000 15000 15000 15000 15000 20400 21600 24000 3501 LAB MEDICINE(SRL) AFB SUSCEPTIBILITY - MGIT 960 (10 DRUGS) (1464R2-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 3502 LAB MEDICINE(SRL) AFB SUSCEPTIBILITY - MGIT 960 (5 DRUGS) (1464R1-SRL) 7020 9303 9303 9303 9303 9303 9303 12652 13396 14884 3503 LAB MEDICINE(SRL) AIANTI-TRYP,P JOTO, TISSUE/PARAFFIN BLOCK (Z072KP-SRL) 2120 2837 2837 2837 2837 2837 2837 3858 4085 4538 3504 LAB MEDICINE(SRL) ALA DEHYDRATASE AND PBG DEAMIN,RBC (9625-SRL) 25720 34080 34080 34080 34080 34080 34080 46349 49076 54528 3505 LAB MEDICINE(SRL) ALANINE AMINOTRANSFERASE, SERUM (1347H-SRL) 280 350 350 350 350 350 390 430 475 560 3506 LAB MEDICINE(SRL) ALBUMIN+GLOBULIN+A/G RATIO, SERUM (1580H-SRL) 260 355 355 355 355 355 355 483 512 568 3507 LAB MEDICINE(SRL) ALBUMIN, SERUM (1510H-SRL) 150 275 275 275 275 275 275 375 400 440 3508 LAB MEDICINE(SRL) ALCOHOL (ETHANOL), SERUM 2320 3104 3104 3104 3104 3104 3104 4222 4470 4966 3509 LAB MEDICINE(SRL) ALCOHOL (ETHANOL), URINE (4100-SRL) 2320 3104 3104 3104 3104 3104 3104 4222 4470 4966 3510 LAB MEDICINE(SRL) ALDOLASE, SERUM (1391D-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3511 LAB MEDICINE(SRL) ALDOSTERONE WITH SODIUM, URINE (15150-SRL) 23870 31629 31629 31629 31629 31629 31629 43016 45546 50606 3512 LAB MEDICINE(SRL) ALDOSTERONE, SERUM (3105-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3513 LAB MEDICINE(SRL) ALK (EML4-ALK) FISH 14040 17550 17550 17550 17550 17550 17550 23870 25280 28080 3514 LAB MEDICINE(SRL) ALK (EML4-ALK) FISH (6028F-SRL) 30770 40772 40772 40772 40772 40772 40772 55449 58711 65234 3515 LAB MEDICINE(SRL) ALK1 (Z209K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3516 LAB MEDICINE(SRL) ALKALINE PHOSPHATASE ISOENZYMES (9992-SRL) 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 3517 LAB MEDICINE(SRL) ALKALINE PHOSPHATASE ISOENZYMES (3996-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 3518 LAB MEDICINE(SRL) ALKALINE PHOSPHATASE, SERUM (3930H-SRL) 210 300 300 300 300 300 300 410 435 480 3519 LAB MEDICINE(SRL) ALLERGEN - ACACIA (3111-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3520 LAB MEDICINE(SRL) ALLERGEN - ACTH (3255-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3521 LAB MEDICINE(SRL) ALLERGEN - ALDER, SERUM (3349-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3522 LAB MEDICINE(SRL) ALLERGEN - ALMOND, SERUM (3101-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3523 LAB MEDICINE(SRL) ALLERGEN - ALTERNARIA TENUIS, SERUM (3050-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3524 LAB MEDICINE(SRL) ALLERGEN - APPLE (3210-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3525 LAB MEDICINE(SRL) ALLERGEN - ASPERGILLUS FUMIGATUS (3053-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3526 LAB MEDICINE(SRL) ALLERGEN - BAKER S YEAST, SERUM (3090-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3527 LAB MEDICINE(SRL) ALLERGEN - BANANA (3087-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3528 LAB MEDICINE(SRL) ALLERGEN - BARLEY (3094-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3529 LAB MEDICINE(SRL) ALLERGEN - BEEF, SERUM (3330-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3530 LAB MEDICINE(SRL) ALLERGEN - BERMUDA GRASS (3162-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3531 LAB MEDICINE(SRL) ALLERGEN - BIRCH, SERUM (3117-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3532 LAB MEDICINE(SRL) ALLERGEN - BLUE MUSSEL, SERUM (3335-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3533 LAB MEDICINE(SRL) ALLERGEN - BRAZIL NUT, SERUM (3341-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3534 LAB MEDICINE(SRL) ALLERGEN - BUCKWHEAT, SERUM (3355-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3535 LAB MEDICINE(SRL) ALLERGEN - CABBAGE (3083-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3536 LAB MEDICINE(SRL) ALLERGEN - CANDIDA ALBICANS, SERUM (3051-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3537 LAB MEDICINE(SRL) ALLERGEN - CARROT, SERUM (3213-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3538 LAB MEDICINE(SRL) ALLERGEN - CASEIN, SERUM (3056-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3539 LAB MEDICINE(SRL) ALLERGEN - CASHEW (3085-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3540 LAB MEDICINE(SRL) ALLERGEN - CAT DANDER/ EPITHELIUM, SERUM (3047-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3541 LAB MEDICINE(SRL) ALLERGEN - CAULIFLOWER (3096-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3542 LAB MEDICINE(SRL) ALLERGEN - CELERY, SERUM (3360-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3543 LAB MEDICINE(SRL) ALLERGEN - CHEESE CHEDDAR, SERUM (3057-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3544 LAB MEDICINE(SRL) ALLERGEN - CHICKEN FEATHERS (3118-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3545 LAB MEDICINE(SRL) ALLERGEN - CHICKEN MEAT, SERUM (3063-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3546 LAB MEDICINE(SRL) ALLERGEN - CLADOSPORIUM HERBARUM (3055-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3547 LAB MEDICINE(SRL) ALLERGEN - COCKLEBUR (3153-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3548 LAB MEDICINE(SRL) ALLERGEN - COCKROACH, SERUM (3059-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3549 LAB MEDICINE(SRL) ALLERGEN - COCOA (3108-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3550 LAB MEDICINE(SRL) ALLERGEN - COCONUT, SERUM (3060-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3551 LAB MEDICINE(SRL) ALLERGEN - CODFISH, SERUM (3331-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3552 LAB MEDICINE(SRL) ALLERGEN - COFFEE (3199-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3553 LAB MEDICINE(SRL) ALLERGEN - COMMON RAGWEED (3161-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3554 LAB MEDICINE(SRL) ALLERGEN - COMMON REED GRASS * (3166-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3555 LAB MEDICINE(SRL) ALLERGEN - CORN, SERUM (3093-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3556 LAB MEDICINE(SRL) ALLERGEN - COW DANDER (3130-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3557 LAB MEDICINE(SRL) ALLERGEN - CRAB (3068-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3558 LAB MEDICINE(SRL) ALLERGEN - CULTIVATED RYE, SERUM (3233-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3559 LAB MEDICINE(SRL) ALLERGEN - DERMATOPHAGOIDES FARINAE (3173-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3560 LAB MEDICINE(SRL) ALLERGEN - DERMATOPHAGOIDES PTERNYSSINUS (3036-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3561 LAB MEDICINE(SRL) ALLERGEN - DOG DANDER (3042-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3562 LAB MEDICINE(SRL) ALLERGEN - DUST PANEL (3033-SRL) 3220 4308 4308 4308 4308 4308 4308 5859 6203 6892 3563 LAB MEDICINE(SRL) ALLERGEN - EGG WHITE, SERUM (3043-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3564 LAB MEDICINE(SRL) ALLERGEN - EGG YOLK, SERUM (3076-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3565 LAB MEDICINE(SRL) ALLERGEN - ENGLISH PLANTAIN, SERUM (3159-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3566 LAB MEDICINE(SRL) ALLERGEN - EUCALYPTUS (3119-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3567 LAB MEDICINE(SRL) ALLERGEN - FOOD PANEL 2 (3031-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3568 LAB MEDICINE(SRL) ALLERGEN - FOOD PANEL 3 (3074-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3569 LAB MEDICINE(SRL) ALLERGEN - FOOD PANEL 7 (3075-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3570 LAB MEDICINE(SRL) ALLERGEN - GARLIC (3064-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3571 LAB MEDICINE(SRL) ALLERGEN - GLUTEN (3065-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3572 LAB MEDICINE(SRL) ALLERGEN - GOAT EPITHELIUM (3136-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3573 LAB MEDICINE(SRL) ALLERGEN - GOLDEN ROD (3354-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3574 LAB MEDICINE(SRL) ALLERGEN - GRAPE (3229-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3575 LAB MEDICINE(SRL) ALLERGEN - GREEN PEA (3058-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3576 LAB MEDICINE(SRL) ALLERGEN - GREENPEPPER (3097-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3577 LAB MEDICINE(SRL) ALLERGEN - GUINEA PIG EPITHELIUM, SERUM (3127-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3578 LAB MEDICINE(SRL) ALLERGEN - HAMSTER EPITH (3345-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3579 LAB MEDICINE(SRL) ALLERGEN - HAZEL, SERUM (3350-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3580 LAB MEDICINE(SRL) ALLERGEN - HAZELNUT (3340-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3581 LAB MEDICINE(SRL) ALLERGEN - HELMENTHOSPORIUM HALODES (3148-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3582 LAB MEDICINE(SRL) ALLERGEN - HONEY BEE VENOM (3133-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3583 LAB MEDICINE(SRL) ALLERGEN - HORSE DANDER, SERUM (3137-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3584 LAB MEDICINE(SRL) ALLERGEN - HOUSE DUST GREER, SERUM (3044-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3585 LAB MEDICINE(SRL) ALLERGEN - INSULIN BOVINE (3197-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3586 LAB MEDICINE(SRL) ALLERGEN - INSULIN HUMAN (3079-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3587 LAB MEDICINE(SRL) ALLERGEN - INSULIN PORCINE (3080-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3588 LAB MEDICINE(SRL) ALLERGEN - JAPANESE CEDAR (3115-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3589 LAB MEDICINE(SRL) ALLERGEN - JOHNSON GRASS (3164-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3590 LAB MEDICINE(SRL) ALLERGEN - KIWI FRUIT (3088-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3591 LAB MEDICINE(SRL) ALLERGEN - LAMB, SERUM (3332-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3592 LAB MEDICINE(SRL) ALLERGEN - LATEX (3041-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3593 LAB MEDICINE(SRL) ALLERGEN - LEMON (3203-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3594 LAB MEDICINE(SRL) ALLERGEN - LETTUCE (3200-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3595 LAB MEDICINE(SRL) ALLERGEN - LOBSTER (3336-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3596 LAB MEDICINE(SRL) ALLERGEN - MALT (3207-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3597 LAB MEDICINE(SRL) ALLERGEN - MANGO (3054-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3598 LAB MEDICINE(SRL) ALLERGEN - MEADOW FESCUE (3168-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3599 LAB MEDICINE(SRL) ALLERGEN - MELON (3209-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3600 LAB MEDICINE(SRL) ALLERGEN - MILK, SERUM (3037-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3601 LAB MEDICINE(SRL) ALLERGEN - MOLD PANEL, SERUM (3034-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3602 LAB MEDICINE(SRL) ALLERGEN - MOSQUITO (3129-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3603 LAB MEDICINE(SRL) ALLERGEN - MOUSE EPITHELIUM (3138-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3604 LAB MEDICINE(SRL) ALLERGEN - MUCOR RACEMOSUS (3052-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3605 LAB MEDICINE(SRL) ALLERGEN - MUGWORT, SERUM (3160-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3606 LAB MEDICINE(SRL) ALLERGEN - MUSHROOM (3201-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3607 LAB MEDICINE(SRL) ALLERGEN - MUSTARD (3208-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3608 LAB MEDICINE(SRL) ALLERGEN - NETTLE, SERUM (3157-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3609 LAB MEDICINE(SRL) ALLERGEN - OAT, SERUM (3219-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3610 LAB MEDICINE(SRL) ALLERGEN - ONION (3211-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3611 LAB MEDICINE(SRL) ALLERGEN - ORANGE, SERUM (3030-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3612 LAB MEDICINE(SRL) ALLERGEN - ORCHARD GRASS (3165-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3613 LAB MEDICINE(SRL) ALLERGEN - PAPERWASP VENOM (3132-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 3614 LAB MEDICINE(SRL) ALLERGEN - PARIETARIA OFFICINALIS (3158-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3615 LAB MEDICINE(SRL) ALLERGEN - PARROT FEATHERS (3135-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3616 LAB MEDICINE(SRL) ALLERGEN - PEACH (3205-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3617 LAB MEDICINE(SRL) ALLERGEN - PEANUT, SERUM (3077-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3618 LAB MEDICINE(SRL) ALLERGEN - PEAR (3086-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3619 LAB MEDICINE(SRL) ALLERGEN - PENICILLIN G (3195-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3620 LAB MEDICINE(SRL) ALLERGEN - PENICILLIUM NOTATUM (3015-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3621 LAB MEDICINE(SRL) ALLERGEN - PIGEON DROPPINGS (3139-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3622 LAB MEDICINE(SRL) ALLERGEN - PINEAPPLE (3081-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3623 LAB MEDICINE(SRL) ALLERGEN - PISTACHIO (3202-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3624 LAB MEDICINE(SRL) ALLERGEN - PLUM (3227-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3625 LAB MEDICINE(SRL) ALLERGEN - PORK, SERUM (3333-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3626 LAB MEDICINE(SRL) ALLERGEN - POTATO, SERUM (3107-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3627 LAB MEDICINE(SRL) ALLERGEN - RABBIT EPITH (3329-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3628 LAB MEDICINE(SRL) ALLERGEN - RAT EPITHELIUM (3144-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3629 LAB MEDICINE(SRL) ALLERGEN - RHIZOPUS NIGRICANS (3145-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3630 LAB MEDICINE(SRL) ALLERGEN - RICE (3038-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3631 LAB MEDICINE(SRL) ALLERGEN - SALMON, SERUM (3343-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3632 LAB MEDICINE(SRL) ALLERGEN - SESAME SEED, SERUM (3092-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3633 LAB MEDICINE(SRL) ALLERGEN - SHRIMP, SERUM (3067-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3634 LAB MEDICINE(SRL) ALLERGEN - SILK (3169-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3635 LAB MEDICINE(SRL) ALLERGEN - SOYABEAN, SERUM (3061-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3636 LAB MEDICINE(SRL) ALLERGEN - SPINACH (3225-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3637 LAB MEDICINE(SRL) ALLERGEN - STEMPHYLLIUM BOTRYOSUM * (3147-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3638 LAB MEDICINE(SRL) ALLERGEN - STRAWBERRY (3106-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3639 LAB MEDICINE(SRL) ALLERGEN - SWEET VERNAL GRASS, SERUM (3346-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3640 LAB MEDICINE(SRL) ALLERGEN - SWINE EPITHELIUM (3122-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3641 LAB MEDICINE(SRL) ALLERGEN - TIMOTHY GRASS (3167-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3642 LAB MEDICINE(SRL) ALLERGEN - TOMATO, SERUM (3212-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3643 LAB MEDICINE(SRL) ALLERGEN - TRICHOPHYTON (3141-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3644 LAB MEDICINE(SRL) ALLERGEN - TUNA (3342-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3645 LAB MEDICINE(SRL) ALLERGEN - VELVET, SERUM (3348-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3646 LAB MEDICINE(SRL) ALLERGEN - WALNUT, SERUM (3098-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3647 LAB MEDICINE(SRL) ALLERGEN - WHEAT, SERUM (3039-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3648 LAB MEDICINE(SRL) ALLERGEN - WHITE BEAN (3091-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3649 LAB MEDICINE(SRL) ALLERGEN - WILLOW, SERUM (3352-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3650 LAB MEDICINE(SRL) ALLERGEN -LAMBS QUARTER, SERUM (3353-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3651 LAB MEDICINE(SRL) ALLERGEN -PHADIATOP ADULT (4430-SRL) 1210 1634 1634 1634 1634 1634 1634 2222 2353 2614 3652 LAB MEDICINE(SRL) ALLERGEN -PHADIATOP INFANT (4432-SRL) 1210 1634 1634 1634 1634 1634 1634 2222 2353 2614 3653 LAB MEDICINE(SRL) ALLERGEN: AMOXICILLIN (3181-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3654 LAB MEDICINE(SRL) ALLERGEN: AMPICILLIN (3187-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3655 LAB MEDICINE(SRL) ALLERGEN: PENICILLIN V (3188-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3656 LAB MEDICINE(SRL) ALLERGY PANEL (3078-SRL) 8170 10827 10827 10827 10827 10827 10827 14724 15590 17322 3657 LAB MEDICINE(SRL) ALLERGY PANEL 2 (29 ALLERGENS) (2109-SRL) 10170 13477 13477 13477 13477 13477 13477 18328 19406 21562 3658 LAB MEDICINE(SRL) ALLERGY PANEL 3 (19 ALLERGENS) (2179-SRL) 7420 9833 9833 9833 9833 9833 9833 13373 14159 15732 3659 LAB MEDICINE(SRL) ALPHA FETOPROTEIN-FLUID, BODY FLUID (3109F-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 3660 LAB MEDICINE(SRL) ALPHA THALASSEMIA PCR (2479-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 3661 LAB MEDICINE(SRL) ALPHA THALASSEMIA PCR -PNDT (2480-SRL) 12320 16325 16325 16325 16325 16325 16325 22202 23508 26120 3662 LAB MEDICINE(SRL) ALPHA-1-ANTITRPSIN,IHC, TISSUE/PB (Z072K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3663 LAB MEDICINE(SRL) ALPHA-1-ANTITRYPSIN GENOTYPE PROFILE (83050-SRL) 30920 40970 40970 40970 40970 40970 40970 55720 58997 65552 3664 LAB MEDICINE(SRL) ALPHA-1-ANTITRYPSIN, SERUM (1512D-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3665 LAB MEDICINE(SRL) ALPHA-FETOPROTEIN IHC, TISSUE/PB (Z071K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3666 LAB MEDICINE(SRL) ALPHA-FETOPROTEIN, SERUM (3109-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3667 LAB MEDICINE(SRL) ALPHA-FETOPROTEIN,CSF (3109C-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 3668 LAB MEDICINE(SRL) ALPHA-GALACTOSIDASE, S (8784-SRL) 25620 33948 33948 33948 33948 33948 33948 46169 48885 54316 3669 LAB MEDICINE(SRL) ALPRAZOLAN, S (500155-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 3670 LAB MEDICINE(SRL) ALUMINIUM, PLASMA 9148-SRL 2880 2880 2880 2880 2880 2880 2880 3920 4150 4610 3671 LAB MEDICINE(SRL) ALUMINIUM,SERUM (8873-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3672 LAB MEDICINE(SRL) AMH / MIS (1705-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 3673 LAB MEDICINE(SRL) AMH PLUS (4501-SRL) 3130 3130 3130 3130 3130 3130 3130 4260 4510 5010 3674 LAB MEDICINE(SRL) AMINO ACID ANALYSIS, PLASMA (3509-SRL) 8420 11158 11158 11158 11158 11158 11158 15175 16067 17852 3675 LAB MEDICINE(SRL) AMINO ACID ANALYSIS, URINE RANDOM (3510-SRL) 8420 11158 11158 11158 11158 11158 11158 15175 16067 17852 3676 LAB MEDICINE(SRL) AMINO ACIDS,QTY, PLASMA, SPINAL FLUID, OR URINE (9233-S 23970 31762 31762 31762 31762 31762 31762 43196 45737 50818 3677 LAB MEDICINE(SRL) AMIODARONE (CORDARONE) (9247-SRL) 16370 21692 21692 21692 21692 21692 21692 29501 31236 34706 3678 LAB MEDICINE(SRL) AML WITH NORMAL CYTOGENETICS 9180 11480 11480 11480 11480 11480 11480 15610 16530 18360 3679 LAB MEDICINE(SRL) AML-ETO BY FISH (6008F-SRL) 5070 6719 6719 6719 6719 6719 6719 9138 9675 10750 3680 LAB MEDICINE(SRL) AMMONIA (3507-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 3681 LAB MEDICINE(SRL) AMPHETAMINE, URINE (4134U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3682 LAB MEDICINE(SRL) AMPLICOR HIV-1 DNA 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 3683 LAB MEDICINE(SRL) AMYLASE, 24HRS URINE (3844UHD-SRL) 510 695 695 695 695 695 695 946 1001 1112 3684 LAB MEDICINE(SRL) AMYLASE, SERUM (3844D-SRL) 410 559 559 559 559 559 559 760 805 894 3685 LAB MEDICINE(SRL) ANA POSITIVE REFLEX TO ENA PROFILE (9206RFX-SRL)[9206RF 4442 4442 4450 4450 4450 4450 4450 6050 6400 7110 3686 LAB MEDICINE(SRL) ANAEROBIC CULTURE (5708-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3687 LAB MEDICINE(SRL) ANCA POSITIVE REFLEX MPO, PR3 ANTIBODIES (9207RFX-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3688 LAB MEDICINE(SRL) ANDROSTENEDIONE, SERUM (3113-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 3689 LAB MEDICINE(SRL) ANEMIA PROFILE I (1068A-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3690 LAB MEDICINE(SRL) ANEMIA PROFILE II 1310 1640 1640 1640 1640 1640 1640 2230 2360 2620 3691 LAB MEDICINE(SRL) ANGIOTENSIN CONVERTING ENZYME, SERUM (3114D-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3692 LAB MEDICINE(SRL) ANTE-NATAL PANEL (1359A-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3693 LAB MEDICINE(SRL) ANTENATAL COMBO (ANC COMBO) (1360-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3694 LAB MEDICINE(SRL) ANTI - CCP ANTIBODIES, SERUM (3301-SRL) 2070 2590 2590 2590 2590 2590 2900 3190 3520 3586 3695 LAB MEDICINE(SRL) ANTI - INSULIN ANTIBODIES, SERUM (3191-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 3696 LAB MEDICINE(SRL) ANTI - P63 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3697 LAB MEDICINE(SRL) ANTI ?2 GLYCOPROTEIN 1 IGG (1720-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3698 LAB MEDICINE(SRL) ANTI ?2 GLYCOPROTEIN 1 IGM (1719-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3699 LAB MEDICINE(SRL) ANTI CARDIOLIPIN ANTIBODIES IGG, SERUM (3371G-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 3700 LAB MEDICINE(SRL) ANTI CARDIOLIPIN ANTIBODIES IGM, SERUM (3371M-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 3701 LAB MEDICINE(SRL) ANTI CENTROMERE ANTIBODIES (1202-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3702 LAB MEDICINE(SRL) ANTI HISTONES ANTIBODIES (1203-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3703 LAB MEDICINE(SRL) ANTI MITOCHONDRIAL ANTIBODIES WITH TITRES, SERUM (1102T4870 6454 6454 6454 6454 6454 6454 8778 9294 10326 3704 LAB MEDICINE(SRL) ANTI MPO AUTOANTIBODIES (1295I-SRL) 1610 2174 2174 2174 2174 2174 2174 2957 3131 3478 3705 LAB MEDICINE(SRL) ANTI OVARY ANTOBODIES (AOA) (1180-SRL) 3720 4977 4977 4977 4977 4977 4977 6768 7166 7962 3706 LAB MEDICINE(SRL) ANTI OVARY ANTOBODIES (AOA) WITH TITRE (1180T-SRL) 6770 8972 8972 8972 8972 8972 8972 12201 12919 14354 3707 LAB MEDICINE(SRL) ANTI PARIETAL CELL ANTIBODIES (APCA) (1101-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3708 LAB MEDICINE(SRL) ANTI PHOSPHOLIPID IGG ANTIBODIES (1711T-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3709 LAB MEDICINE(SRL) ANTI PR3 AUTOANTIBODIES (1296I-SRL) 1610 2174 2174 2174 2174 2174 2174 2957 3131 3478 3710 LAB MEDICINE(SRL) ANTI SMOOTH MUSCLES ANTIBODIES WITH TITRES, SERUM (1106T4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 3711 LAB MEDICINE(SRL) ANTI SOLUBLE LIVER ANTIGEN, SERUM (3303-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 3712 LAB MEDICINE(SRL) ANTI THROMBIN III ANTIGEN (5952-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 3713 LAB MEDICINE(SRL) ANTI-EPSTEIN-BARR VIRUS, LMP ( Z258K-SRL ) 2500 3130 3130 3130 3130 3130 3130 4250 4500 5000 3714 LAB MEDICINE(SRL) ANTI-GLOMERULAR BASEMENT MEMBRANE IGG ANTIBODIES (2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3715 LAB MEDICINE(SRL) ANTI-HUMAN GROSS CYSTIC DISEASE FLUID PROTEIN-15 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3716 LAB MEDICINE(SRL) ANTI-ISLET CELL ANTIBODIES WITH TITRE, SERUM (1166T-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3717 LAB MEDICINE(SRL) ANTI-ISLET CELL ANTIBODIES, SERUM (1166-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 3718 LAB MEDICINE(SRL) ANTI-NMDA RECEPTOR ENCEPHALITIS IGG ABS BY IFA (2244-SR 8000 10600 10600 10600 10600 10600 10600 14416 15264 16960 3719 LAB MEDICINE(SRL) ANTI-NUCLEAR AB-IFA, HEP2, SERUM (1100-SRL) 1330 1660 1660 1660 1660 1660 1860 2050 2260 2506 3720 LAB MEDICINE(SRL) ANTI-PHOSPHOLIPASE A2 RECEPTOR (PLA2R) IGG 4590 5740 5740 5740 5740 5740 5740 7810 8270 9180 3721 LAB MEDICINE(SRL) ANTI-PHOSPHOLIPID IGM ANTIBODY (1735-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3722 LAB MEDICINE(SRL) ANTI-THYROGLOBULIN ANTIBODIES (1110-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 3723 LAB MEDICINE(SRL) ANTI-THYROID MICROSOMAL AB, SERUM (110216-SRL) 11520 15265 15265 15265 15265 15265 15265 20761 21982 24424 3724 LAB MEDICINE(SRL) ANTI-THYROID PEROXIDASE ANTIBODIES (3062-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 3725 LAB MEDICINE(SRL) ANTIBODIES TO EXTRACTABLE NUCLEAR ANTIGENS (1236-SRL) 7070 9369 9369 9369 9369 9369 9369 12742 13491 14990 3726 LAB MEDICINE(SRL) ANTIGLIADIN IGA ANTIBODIES, SERUM (1287-SRL) 3420 4575 4575 4575 4575 4575 4575 6222 6588 7320 3727 LAB MEDICINE(SRL) ANTIGLIADIN IGG ANTIBODIES, SERUM (1260-SRL) 3420 4575 4575 4575 4575 4575 4575 6222 6588 7320 3728 LAB MEDICINE(SRL) ANTIMITOCHONDRIAL ANTIBODIES, AMA (1102-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 3729 LAB MEDICINE(SRL) ANTINEUTROPHIL CYTOPLASMIC AB(ANCA), SERUM (1862-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3730 LAB MEDICINE(SRL) ANTIPARIETAL CELL ANTIBODIES WITH TITERS (1101T-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3731 LAB MEDICINE(SRL) ANTIPHOSPHOLIPID EVAL (1080A-SRL) 4270 5712 5712 5712 5712 5712 5712 7768 8225 9138 3732 LAB MEDICINE(SRL) ANTISMOOTH MUSCLE ABS (IFA), SERUM (1106-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 3733 LAB MEDICINE(SRL) ANTISTREPTOLYSIN - O, SERUM (2376D-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3734 LAB MEDICINE(SRL) ANTISTREPTOLYSIN O, SERUM (1332-SRL) 510 695 695 695 695 695 695 946 1001 1112 3735 LAB MEDICINE(SRL) ANTITHROMBIN ACTIVITY, PLASMA (5951-SRL) 4020 5378 5378 5378 5378 5378 5378 7314 7744 8604 3736 LAB MEDICINE(SRL) APOLIPOPROTEIN - A1, SERUM (1901D-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 3737 LAB MEDICINE(SRL) APOLIPOPROTEIN - B, SERUM (1903D-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 3738 LAB MEDICINE(SRL) APOLIPOPROTEIN EVALUATION (1900-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3739 LAB MEDICINE(SRL) ARGININE VASOPRESSIN, PLASMA (80344-SRL) 13470 17849 17849 17849 17849 17849 17849 24275 25703 28558 3740 LAB MEDICINE(SRL) ARSENIC, BLOOD 14020 4470 4470 4470 4470 4470 4470 6070 6430 7140 3741 LAB MEDICINE(SRL) ARSENIC, BLOOD 3570 3570 3930 4470 4470 4470 5000 6070 6430 7140 3742 LAB MEDICINE(SRL) ARSENIC, HAIR OR NAILS (8651-SRL) 14020 18578 18578 18578 18578 18578 18578 25266 26752 29724 3743 LAB MEDICINE(SRL) ARSENIC, URINE 14520 19240 19240 19240 19240 19240 19240 26167 27706 30784 3744 LAB MEDICINE(SRL) ARTHRITIS PANEL 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 3745 LAB MEDICINE(SRL) ARTHRITIS PANEL (RHEUMATOID ARTHRITIS PANEL) (5008-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 3746 LAB MEDICINE(SRL) ARTHRITIS PANEL-1 (1576-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 3747 LAB MEDICINE(SRL) ARTHRITIS PANEL-2 (1582-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 3748 LAB MEDICINE(SRL) ARYLSULFATASE A, LEUKOCYTES (8779-SRL) 31770 42097 42097 42097 42097 42097 42097 57251 60619 67354 3749 LAB MEDICINE(SRL) ASCA IGA, SERUM (1111-SRL) 2770 3705 3705 3705 3705 3705 3705 5039 5336 5928 3750 LAB MEDICINE(SRL) ASCA IGG, SERUM (1108-SRL) 2770 3705 3705 3705 3705 3705 3705 5039 5336 5928 3751 LAB MEDICINE(SRL) ASCITIC FLUID, ROUTINE (5194-SRL) 460 628 628 628 628 628 628 854 904 1004 3752 LAB MEDICINE(SRL) ASCORBIC ACID, PLASMA (8312-SRL) 18670 24739 24739 24739 24739 24739 24739 33645 35624 39582 3753 LAB MEDICINE(SRL) ASKA-SKELETAL (STRIATED)MUSCLE ANTIBODY,(SERUM IF) 5800 7250 7250 7250 7250 7250 7250 9860 10440 11600 3754 LAB MEDICINE(SRL) ASPARTATE AMINOTRANSFERASE, SERUM (1345H-SRL) 210 275 275 275 275 275 275 375 400 440 3755 LAB MEDICINE(SRL) ASPERGILLUS ANTIBODIES, SERUM (2326-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3756 LAB MEDICINE(SRL) ASPERGILLUS FUMIGATUS DNA DETECTION (2327-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3757 LAB MEDICINE(SRL) AUTOANTIBODIES TO SS-A/RO, S (81360-SRL) 13120 17385 17385 17385 17385 17385 17385 23644 25035 27816 3758 LAB MEDICINE(SRL) AUTOANTIBODIES TO SS-B /LA, S (81359-SRL) 13120 17385 17385 17385 17385 17385 17385 23644 25035 27816 3759 LAB MEDICINE(SRL) AUTOANTIBODIES TO U1RNP, SERUM (81357-SRL) 13120 17385 17385 17385 17385 17385 17385 23644 25035 27816 3760 LAB MEDICINE(SRL) AUTOGEN (DT5102-SRL) 9370 12417 12417 12417 12417 12417 12417 16887 17880 19866 3761 LAB MEDICINE(SRL) AUTOGEN (DT5102-SRL) 9370 9933 10927 12417 12417 12417 13907 16887 17880 19866 3762 LAB MEDICINE(SRL) AUTOIMMUNE ENCEPHALITIS PANEL, SERUM 45000 45000 45000 45000 45000 45000 45000 61200 64800 72000 3763 LAB MEDICINE(SRL) AUTOIMMUNE HEPATITIS PANEL 1 (1019A-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3764 LAB MEDICINE(SRL) AUTOIMMUNE HEPATITIS PANEL 2 (1019B-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3765 LAB MEDICINE(SRL) B-CELL GENE REARRANGEMENT PCR (9907-SRL) 18020 23878 23878 23878 23878 23878 23878 32474 34384 38204 3766 LAB MEDICINE(SRL) B2-MICROGLOBULIN, SERUM (3143-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 3767 LAB MEDICINE(SRL) B2-MICROGLOBULIN, URINE (3143U-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 3768 LAB MEDICINE(SRL) BACTEC BLOOD CULTURE 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 3769 LAB MEDICINE(SRL) BACTERIAL ANTIGEN DETECTION (9601-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3770 LAB MEDICINE(SRL) BACTERIAL ANTIGEN TEST, CSF/URINE (80366-SRL) 20720 27455 27455 27455 27455 27455 27455 37339 39536 43928 3771 LAB MEDICINE(SRL) BACTERIAL ANTIGENS, CSF (9601C-SRL) 5000 6625 6625 6625 6625 6625 6625 9010 9540 10600 3772 LAB MEDICINE(SRL) BACTERIAL MENINGITIDIS MULTIPLEX PCR (9883-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 3773 LAB MEDICINE(SRL) BACTERIAL MENINGITIS PROFILE 18470 24474 24474 24474 24474 24474 24474 33285 35243 39158 3774 LAB MEDICINE(SRL) BACTERIAL PNEUMONIA PANEL (9886-SRL) 6920 9170 9170 9170 9170 9170 9170 12472 13205 14672 3775 LAB MEDICINE(SRL) BARBITURATES, URINE (4135U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3776 LAB MEDICINE(SRL) BARTONELLA ANTIBODY PANEL (81575-SRL) 15970 21162 21162 21162 21162 21162 21162 28780 30473 33858 3777 LAB MEDICINE(SRL) BCL-2, TISSUE/PARAFFIN BLOCK (Z014K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3778 LAB MEDICINE(SRL) BCL-6 ONCOPROTEIN 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 3779 LAB MEDICINE(SRL) BCL2, PHOTO (Z014KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3780 LAB MEDICINE(SRL) BCR-ABL 1 KINASE DOMAIN MUTATION ANALYSIS (5351-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3781 LAB MEDICINE(SRL) BCR-ABL QUANTITATIVE (IS) (9892IS-SRL) 11250 11250 11250 11250 11250 11250 11250 15300 16200 18000 3782 LAB MEDICINE(SRL) BCR-ABL T(9;22) BY FISH (6001F-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3783 LAB MEDICINE(SRL) BCR-ABL TRANSCRIPT QUANTIFICATION (9892-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3784 LAB MEDICINE(SRL) BCR/ABL -QUANTITATIVE (5350QN-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3785 LAB MEDICINE(SRL) BCR/ABL GENE TRANSLOCATION (5350-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3786 LAB MEDICINE(SRL) BENCE JONES, URINE (1589-SRL) 560 764 764 764 764 764 764 1039 1100 1222 3787 LAB MEDICINE(SRL) BENZODIAZEPINES, URINE (4136U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3788 LAB MEDICINE(SRL) BETA CROSSLAPS (1058-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3789 LAB MEDICINE(SRL) BETA HCG CSF (3184C-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 3790 LAB MEDICINE(SRL) BETA HCG IHC, TISSUE/PARAFFIN BLOCK (Z073K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 3791 LAB MEDICINE(SRL) BETA HCG STIMULATION TEST 500 630 630 630 630 630 630 850 900 1000 3792 LAB MEDICINE(SRL) BETA-2-MICROGLOBULIN CSF (3143C-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 3793 LAB MEDICINE(SRL) BETA-THALASSEMIA (2482-SRL) 8270 10959 10959 10959 10959 10959 10959 14904 15781 17534 3794 LAB MEDICINE(SRL) BETA-THALASSEMIA PND (2483-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 3795 LAB MEDICINE(SRL) BETASCREEN (3142-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3796 LAB MEDICINE(SRL) BICARBONATE, SERUM (1030HD-SRL) 410 559 559 559 559 559 559 760 805 894 3797 LAB MEDICINE(SRL) BILIRUBIN (TOTAL, DIRECT, INDIRECT), SERUM (1527H-SRL) 260 340 340 340 338 340 340 460 490 540 3798 LAB MEDICINE(SRL) BILIRUBIN, DIRECT, SERUM (1526H-SRL) 260 340 340 340 338 340 340 460 490 540 3799 LAB MEDICINE(SRL) BILIRUBIN, TOTAL, SERUM (1088H-SRL) 450 340 340 340 338 340 340 460 490 540 3800 LAB MEDICINE(SRL) BILIRUBIN,DIRECT (1526P-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3801 LAB MEDICINE(SRL) BIOTINIDASE DEFICIENCY, DRIED BLOOD SPOT (3320-SRL) 610 832 832 832 832 832 832 1131 1197 1330 3802 LAB MEDICINE(SRL) BIOTINIDASE, BLOOD (9359-SRL) 16020 21228 21228 21228 21228 21228 21228 28870 30568 33964 3803 LAB MEDICINE(SRL) BIRD FLU PCR (2477-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3804 LAB MEDICINE(SRL) BISMUTH, 24HRS URINE (8407U24-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3805 LAB MEDICINE(SRL) BISMUTH, BLOOD (8407-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3806 LAB MEDICINE(SRL) BISMUTH, URINE (8407U-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3807 LAB MEDICINE(SRL) BK VIRUS QUANTITATIVE REAL TIME PCR (7163-SRL) 9020 11953 11953 11953 11953 11953 11953 16256 17212 19124 3808 LAB MEDICINE(SRL) BLEEDING TIME & CLOTTING TIME, EDTA WHOLE BLOOD (1090- 210 275 275 275 275 275 275 375 400 440 3809 LAB MEDICINE(SRL) BLOCK REVIEW/SLIDE REVIEW UPTO 8 BLOCKS OR SLIDES (4055- 6270 8309 8309 8309 8309 8309 8309 11300 11965 13294 3810 LAB MEDICINE(SRL) BLOCK/SLIDE REVIEW MORE THAN 8 BLOCKS OR SLIDES (4056- 6470 8574 8574 8574 8574 8574 8574 11661 12347 13718 3811 LAB MEDICINE(SRL) BLOOD CLOT CULTURE (1206-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 3812 LAB MEDICINE(SRL) BLOOD COAGULATION PROFILE (1389CO-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3813 LAB MEDICINE(SRL) BLOOD CULTURE & SUSCEPTIBILITY (5200BC-SRL) 560 764 764 764 764 764 764 1039 1100 1222 3814 LAB MEDICINE(SRL) BLOOD CULTURE - BACTEC PLUS (1212-SRL) 1495 1870 1870 1870 1870 1870 2095 2305 2545 2376 3815 LAB MEDICINE(SRL) BLOOD CULTURE - BACTEC PLUS ANAEROBIC (1212NP-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3816 LAB MEDICINE(SRL) BLOOD CULTURE: YEAST - BACTEC (1212M-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3817 LAB MEDICINE(SRL) BLOOD LYMPHO CULTURE (5814B-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 3818 LAB MEDICINE(SRL) BLOOD UREA NITROGEN, SERUM (1079H-SRL) 300 375 375 375 375 375 420 465 510 400 3819 LAB MEDICINE(SRL) BODY FLUID – AEROBIC C/S 1385 1730 1730 1730 1730 1730 1940 2135 2355 2236 3820 LAB MEDICINE(SRL) BODY FLUID – AEROBIC CULTURE 510 1398 1398 1398 1398 1398 1398 1901 2013 2236 3821 LAB MEDICINE(SRL) BODY FLUID CULTURE & SUSCEPTIBILITY (1194A-SRL) 390 490 490 490 490 490 490 670 710 780 3822 LAB MEDICINE(SRL) BOH PANEL (1014-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 3823 LAB MEDICINE(SRL) BONE ALKALINE PHOSPHATASE, SERUM (82985-SRL) 17570 23282 23282 23282 23282 23282 23282 31663 33525 37250 3824 LAB MEDICINE(SRL) BONE HISTOPATHOLOGY (1509-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3825 LAB MEDICINE(SRL) BONE HISTOPATHOLOGY (PHOTO) (1509P-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3826 LAB MEDICINE(SRL) BONE MARROW ASPIRATION 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3827 LAB MEDICINE(SRL) BONE MARROW ASPIRATION WITH MPO (9214RFX-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 3828 LAB MEDICINE(SRL) BONE MARROW REFLEX LAP (9222RFX-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 3829 LAB MEDICINE(SRL) BONE ROUND CELL TUMOUR, TISSUE/PB (Z226-SRL) 10470 13874 13874 13874 13874 13874 13874 18869 19979 22198 3830 LAB MEDICINE(SRL) BORRELIA BURGDORFERI BY PCR (80574-SRL) 41620 55148 55148 55148 55148 55148 55148 75001 79413 88236 3831 LAB MEDICINE(SRL) BORRELIA BURGDORFERI IGG, SERUM (2069I-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3832 LAB MEDICINE(SRL) BORRELIA BURGDORFERI IGM ANTIBODIES, SERUM (2070I-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3833 LAB MEDICINE(SRL) BR PROF 2A,PHOTO (1813P-SRL) 8070 10694 10694 10694 10694 10694 10694 14544 15399 17110 3834 LAB MEDICINE(SRL) BR PROF 4A, PHOTO (1812P-SRL) 9520 12615 12615 12615 12615 12615 12615 17157 18166 20184 3835 LAB MEDICINE(SRL) BR PROF 5A,PHOTO (1811P-SRL) 11620 15398 15398 15398 15398 15398 15398 20941 22173 24636 3836 LAB MEDICINE(SRL) BR PROF 6A,PHOTO (1816P-SRL) 18070 23944 23944 23944 23944 23944 23944 32564 34479 38310 3837 LAB MEDICINE(SRL) BR PROFILE IA,PHOTO (1804P-SRL) 5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 3838 LAB MEDICINE(SRL) BRAF V600E MUTATION (RD1317-SRL) 5000 6625 6625 6625 6625 6625 6625 9010 9540 10600 3839 LAB MEDICINE(SRL) BRAIN BIOPSY (1519-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3840 LAB MEDICINE(SRL) BRCA 1 AND 2 GENETIC TEST ? BREAST CANCER (RD1421-SRL) 20000 26500 26500 26500 26500 26500 26500 36040 38160 42400 3841 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS PROFILE (Z229-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 3842 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 4A (IHC) (1812- 8520 11290 11290 11290 11290 11290 11290 15355 16258 18064 3843 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 1A (IHC) (1804- 6120 8110 8110 8110 8110 8110 8110 11030 11679 12976 3844 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 2A (1813-SRL) 7320 9700 9700 9700 9700 9700 9700 13192 13968 15520 3845 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 3A (IHC) (1817- 7320 9700 9700 9700 9700 9700 9700 13192 13968 15520 3846 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 5A (1811-SRL) 9370 12417 12417 12417 12417 12417 12417 16887 17880 19866 3847 LAB MEDICINE(SRL) BREAST CANCER PROGNOSIS TUMOR PROFILE # 6A (1816-SRL) 11970 15862 15862 15862 15862 15862 15862 21572 22841 25378 3848 LAB MEDICINE(SRL) BREAST CARCINOMA ASSOC AG (CA 27.29) (81413-SRL) 15320 20300 20300 20300 20300 20300 20300 27608 29232 32480 3849 LAB MEDICINE(SRL) BREAST META MARKER, TISSUE/PARAFFIN BLOCK (Z011K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 3850 LAB MEDICINE(SRL) BREAST MONITOR I, SERUM (3022-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3851 LAB MEDICINE(SRL) BRONCHOALVEOLAR FLUID ANALYSIS (5190-SRL) 410 559 559 559 559 559 559 760 805 894 3852 LAB MEDICINE(SRL) BRUCELLA IGG & IGM ANTIBODIES, SERUM (8831-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 3853 LAB MEDICINE(SRL) BRUCELLA IGG ANTIBODIES (8831G-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 3854 LAB MEDICINE(SRL) BRUCELLA IGM ANTIBODIES (8831M-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 3855 LAB MEDICINE(SRL) BUCCAL MUCOSA SMEAR (5823-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3856 LAB MEDICINE(SRL) BUCCAL SMEAR (2438C-SRL) 260 355 355 355 355 355 355 483 512 568 3857 LAB MEDICINE(SRL) C DIFFICILE TOXIN A/B (1218T-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3858 LAB MEDICINE(SRL) C PEPTIDE, SERUM (3140-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3859 LAB MEDICINE(SRL) C TRACHOMATIS DNA DETECTOR (7437-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3860 LAB MEDICINE(SRL) C-KIT MUTATION DETECTION (RD1308-SRL) 3870 5177 5177 5177 5177 5177 5177 7040 7454 8282 3861 LAB MEDICINE(SRL) C-MYC AMPLIFICATION (9908-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3862 LAB MEDICINE(SRL) C-REACTIVE PROTEIN, SERUM (1535D-SRL) 695 870 870 870 870 870 975 1075 1185 764 3863 LAB MEDICINE(SRL) C-REACTIVE PROTEIN, SERUM (1535D-SRL) 350 382 421 478 478 478 535 650 688 764 3864 LAB MEDICINE(SRL) C-REACTIVE PROTEIN, SERUM (QUANTITATIVE) (1535N-SRL) 510 695 695 695 695 695 695 946 1001 1112 3865 LAB MEDICINE(SRL) C1 ESTERASE INHIB, FUNCTIONAL (81493-SRL) 13770 18247 18247 18247 18247 18247 18247 24815 26275 29194 3866 LAB MEDICINE(SRL) C1 ESTERASE INHIBITOR ANTIGEN,SERUM (8198-SRL) 14770 19572 19572 19572 19572 19572 19572 26617 28183 31314 3867 LAB MEDICINE(SRL) C1Q COMPLEMENT, FUNCTIONAL, SERUM (83374-SRL) 14570 19307 19307 19307 19307 19307 19307 26257 27801 30890 3868 LAB MEDICINE(SRL) C2 COMPLEMENT FUNCTIONAL, SERUM (81835-SRL) 7870 10429 10429 10429 10429 10429 10429 14184 15018 16686 3869 LAB MEDICINE(SRL) C4 (FOURTH COMPONENT OF COMPLEMENT), SERUM (8171-S 11120 14735 14735 14735 14735 14735 14735 20040 21219 23576 3870 LAB MEDICINE(SRL) C4D IMMUNOFLUORESCENCE (1500CD-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3871 LAB MEDICINE(SRL) C5 (FIFTH COMPONENT OF COMPLEMENT),SERUM (9266-SRL) 16170 21427 21427 21427 21427 21427 21427 29140 30854 34282 3872 LAB MEDICINE(SRL) CA 125 (CHEMILUMINESCENCE), FLUID (3121F-SRL) 1260 1702 1702 1702 1702 1702 1702 2314 2450 2722 3873 LAB MEDICINE(SRL) CA 125 (OVARIAN CANCER MONITOR), SERUM (3121-SRL) 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 3874 LAB MEDICINE(SRL) CA 125, TISSUE/PARAFFIN BLOCK (Z057K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3875 LAB MEDICINE(SRL) CA 15-3, SERUM (3134-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3876 LAB MEDICINE(SRL) CA 19-9, SERUM (3120-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 3877 LAB MEDICINE(SRL) CA 19-9, TISSUE/PARAFFIN BLOCK (Z111K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3878 LAB MEDICINE(SRL) CA 72-4 (4117-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3879 LAB MEDICINE(SRL) CADMIUM, BLOOD (9143-SRL) 4320 4590 4590 4590 4590 4590 4590 6240 6610 7340 3880 LAB MEDICINE(SRL) CADMIUM, BLOOD (9143-SRL) 3670 3670 4040 4590 4590 4590 5140 6240 6610 7340 3881 LAB MEDICINE(SRL) CALCITONIN (THYROCALCITONIN), SERUM (3126-SRL) 2770 3705 3705 3705 3705 3705 3705 5039 5336 5928 3882 LAB MEDICINE(SRL) CALCITONIN IHC, TISSUE/PARAFFIN BLOCK (Z171K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3883 LAB MEDICINE(SRL) CALCIUM, 24HRS URINE (4836UH-SRL) 310 423 423 423 423 423 423 575 609 676 3884 LAB MEDICINE(SRL) CALCIUM, IONIZED, SERUM (8378-SRL) 14120 18710 18710 18710 18710 18710 18710 25446 26943 29936 3885 LAB MEDICINE(SRL) CALCIUM, SERUM (4836H-SRL) 320 400 400 400 400 400 450 495 545 640 3886 LAB MEDICINE(SRL) CALPONIN (Z223K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3887 LAB MEDICINE(SRL) CALR GENE MUTATION ANALYSIS 6000 7950 7950 7950 7950 7950 7950 10812 11448 12720 3888 LAB MEDICINE(SRL) CALRETENIN (Z058K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3889 LAB MEDICINE(SRL) CAMPYLOBACTER CULTURE (5704-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 3890 LAB MEDICINE(SRL) CANCER AWARENESS DAY (HM40-SRL) 300 409 409 409 409 409 409 556 589 654 3891 LAB MEDICINE(SRL) CANCER AWARENESS DAY (MALE > 45YRS) (HM41-SRL) 1150 1553 1553 1553 1553 1553 1553 2112 2236 2484 3892 LAB MEDICINE(SRL) CANCER AWARENESS DAY(FEMALE REQUIRE MAMMO & PAP) (650 887 887 887 887 887 887 1206 1277 1418 3893 LAB MEDICINE(SRL) CANDIDA ALBICANS ABS,DD, SERUM (2330-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 3894 LAB MEDICINE(SRL) CANDIDA ALBICANS DNA DETECTION (2331-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3895 LAB MEDICINE(SRL) CANNABINOIDS, URINE (4137U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 3896 LAB MEDICINE(SRL) CARBAMAZEPINE, SERUM (4116-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3897 LAB MEDICINE(SRL) CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT) 770 970 970 970 970 970 970 1310 1390 1540 3898 LAB MEDICINE(SRL) CARCINO EMBRYONIC ANTIGEN, BODY FLUID (3258F-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 3899 LAB MEDICINE(SRL) CARCINO EMBRYONIC ANTIGEN, CSF (3258C-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 3900 LAB MEDICINE(SRL) CARCINO EMBRYONIC ANTIGEN, SERUM (3258-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 3901 LAB MEDICINE(SRL) CARDIAC ENZYME PANEL, SERUM (1164-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 3902 LAB MEDICINE(SRL) CARDIOLIPIN ANTIBODIES, SERUM (3371-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 3903 LAB MEDICINE(SRL) CARNITINE, PLASMA OR SERUM (8802-SRL) 22170 29377 29377 29377 29377 29377 29377 39952 42302 47002 3904 LAB MEDICINE(SRL) CATECHOLAMINE FRACTIONATION, PLASMA, FREE (8532-SRL) 21770 28847 28847 28847 28847 28847 28847 39231 41539 46154 3905 LAB MEDICINE(SRL) CATECHOLAMINE FRACTIONATION, URINARY FREE (9276-SRL) 19520 25865 25865 25865 25865 25865 25865 35177 37246 41384 3906 LAB MEDICINE(SRL) CATECHOLAMINES, PLASMA (3304-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 3907 LAB MEDICINE(SRL) CATECHOLAMINES, URINE (3304U-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 3908 LAB MEDICINE(SRL) CATHEPSIN D,PHOTO, TISSUE/PARAFFIN BLOCK (Z003KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3909 LAB MEDICINE(SRL) CATHESPIN D,IHC, TISSUE/PARAFFIN BLOCK (Z003K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3910 LAB MEDICINE(SRL) CBC REFLEX TO LAP (9211RFX-SRL) 710 968 968 968 968 968 968 1316 1394 1548 3911 LAB MEDICINE(SRL) CBC WITH ESR (CBC+PS+ESR) EDTA WHOLE BLOOD/SMEAR (5111- 820 1025 1025 1025 1025 1025 1150 1265 1395 1640 3912 LAB MEDICINE(SRL) CCD3 (1602-SRL) 5020 6653 6653 6653 6653 6653 6653 9048 9580 10644 3913 LAB MEDICINE(SRL) CCD79A (1604-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 3914 LAB MEDICINE(SRL) CD 10 (Z219K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3915 LAB MEDICINE(SRL) CD 11C-PERCENT (1675BN-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3916 LAB MEDICINE(SRL) CD 13-PERCENT (1674BI-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3917 LAB MEDICINE(SRL) CD 138 (Z244K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3918 LAB MEDICINE(SRL) CD 15 IHC, TISSUE/PARAFFIN BLOCK (Z030K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 3919 LAB MEDICINE(SRL) CD 15-PERCENT (1674BK-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3920 LAB MEDICINE(SRL) CD 19/KAPPA PERCENT (1675BS-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3921 LAB MEDICINE(SRL) CD 19/LAMBDA PERCENT (1675BT-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3922 LAB MEDICINE(SRL) CD 1A (Z224K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3923 LAB MEDICINE(SRL) CD 56 (Z248K-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3924 LAB MEDICINE(SRL) CD-5, PERCENT (1675BD-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3925 LAB MEDICINE(SRL) CD10 (CALLA) (1676BC-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3926 LAB MEDICINE(SRL) CD103 (1673-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3927 LAB MEDICINE(SRL) CD117 / C-KIT, TISSUE/PARAFFIN BLOCK (Z117K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3928 LAB MEDICINE(SRL) CD14 - PERCENT (1674BJ-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3929 LAB MEDICINE(SRL) CD16,56 PERCENT (NATURAL KILLER CELL) (1674BL-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 3930 LAB MEDICINE(SRL) CD19-PERCENT (1675BA-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3931 LAB MEDICINE(SRL) CD19/TDT-PERCENT (1675BU-SRL) 8770 11622 11622 11622 11622 11622 11622 15805 16735 18594 3932 LAB MEDICINE(SRL) CD2-PERCENT (1675BC-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3933 LAB MEDICINE(SRL) CD20 IHC (PAN B CELL), TISSUE/PARAFFIN BLOCK (Z022K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3934 LAB MEDICINE(SRL) CD20, PHOTO, TISSUE/PARAFFIN BLOCK (Z022KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3935 LAB MEDICINE(SRL) CD20-PERCENT (1675BB-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3936 LAB MEDICINE(SRL) CD21 IHC, TISSUE/PARAFFIN BLOCK (Z034K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3937 LAB MEDICINE(SRL) CD22-PERCENT (1677BD-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3938 LAB MEDICINE(SRL) CD23-PERCENT (1677BC-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3939 LAB MEDICINE(SRL) CD25 (IL2 RECEPTOR) (1674BM-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3940 LAB MEDICINE(SRL) CD3 IHC (PAN T-CELL), TISSUE/PARAFFIN BLOCK (Z023K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3941 LAB MEDICINE(SRL) CD3 PHOTO, TISSUE/PARAFFIN BLOCK (Z023KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3942 LAB MEDICINE(SRL) CD3-PERCENT (1674BA-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3943 LAB MEDICINE(SRL) CD3/CD 19-PERCENT (1674BX-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3944 LAB MEDICINE(SRL) CD3/CD16+56 (1674BY-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3945 LAB MEDICINE(SRL) CD3/CD4-PERCENT (1674BT-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3946 LAB MEDICINE(SRL) CD3/CD8% (1674BV-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3947 LAB MEDICINE(SRL) CD3/HLA-DR-PERCENT (1674BZ-SRL) 5020 6653 6653 6653 6653 6653 6653 9048 9580 10644 3948 LAB MEDICINE(SRL) CD30 KI-1,IHC, TISSUE/PARAFFIN BLOCK (Z029K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3949 LAB MEDICINE(SRL) CD31, IHC, TISSUE/PARAFFIN BLOCK (Z212K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3950 LAB MEDICINE(SRL) CD33 - PERCENT (1674BO-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3951 LAB MEDICINE(SRL) CD34 IN PARAFFIN BLOCK, TISSUE/PB (Z211K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3952 LAB MEDICINE(SRL) CD38-PERCENT (1674BQ-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3953 LAB MEDICINE(SRL) CD4 IHC, TISSUE/PARAFFIN BLOCK (Z025K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3954 LAB MEDICINE(SRL) CD4-PERCENT (1674BC-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3955 LAB MEDICINE(SRL) CD41-PERCENT (1676BA-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3956 LAB MEDICINE(SRL) CD43,IHC, TISSUE (Z024K-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 3957 LAB MEDICINE(SRL) CD45 IHC, TISSUE/PARAFFIN BLOCK (Z021K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3958 LAB MEDICINE(SRL) CD45 LEUCOCYTE ABSOLUTE COUNT (1616-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3959 LAB MEDICINE(SRL) CD45,PHOTO, TISSUE/PARAFFIN BLOCK (Z021KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 3960 LAB MEDICINE(SRL) CD45-PERCENT (1676BB-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3961 LAB MEDICINE(SRL) CD45RA IHC, TISSUE/PARAFFIN BLOCK (Z033K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3962 LAB MEDICINE(SRL) CD45RB IHC, TISSUE/PARAFFIN BLOCK (Z036K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3963 LAB MEDICINE(SRL) CD45RO IHC, TISSUE/PARAFFIN BLOCK (Z035K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3964 LAB MEDICINE(SRL) CD5, IHC, TISSUE/PARAFFIN BLOCK (Z213K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3965 LAB MEDICINE(SRL) CD5/CD 19-PERCENT (1675BP-SRL) 6720 8905 8905 8905 8905 8905 8905 12111 12824 14248 3966 LAB MEDICINE(SRL) CD61-PERCENT (1677BE-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3967 LAB MEDICINE(SRL) CD68 IHC, TISSUE/PARAFFIN BLOCK (Z026K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3968 LAB MEDICINE(SRL) CD7-PERCENT (1674BF-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3969 LAB MEDICINE(SRL) CD72 (Z020K-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 3970 LAB MEDICINE(SRL) CD8-PERCENT (1674BG-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 3971 LAB MEDICINE(SRL) CEA IHC, TISSUE/PARAFFIN BLOCK (Z043K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 3972 LAB MEDICINE(SRL) CELIAC PROFILE (1073-SRL) 9370 12417 12417 12417 12417 12417 12417 16887 17880 19866 3973 LAB MEDICINE(SRL) CENTAL BANK OF INDIA HEALTH CHECK UP (F) (HM64-SRL) 2252 13543 13543 13543 13543 13543 13543 18418 19502 21668 3974 LAB MEDICINE(SRL) CENTAL BANK OF INDIA HEALTH CHECK UP (F) (HM64-SRL) 10220 10834 11918 13543 13543 13543 15168 18418 19502 21668 3975 LAB MEDICINE(SRL) CENTROMERE ANTIBODIES, SERUM (9278-SRL) 11970 15862 15862 15862 15862 15862 15862 21572 22841 25378 3976 LAB MEDICINE(SRL) CEREBROSPINAL FLUID (CSF) IGG INDEX (8009-SRL) 20620 27323 27323 27323 27323 27323 27323 37159 39345 43716 3977 LAB MEDICINE(SRL) CEREBROSPINAL FLUID, ROUTINE (5195-SRL) 460 628 628 628 628 628 628 854 904 1004 3978 LAB MEDICINE(SRL) CERULOPLASMIN, SERUM (1516D-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3979 LAB MEDICINE(SRL) CERVIREAL HPV E6/E7 MRNA (RD1468-SRL) 2970 3973 3973 3973 3973 3973 3973 5403 5721 6356 3980 LAB MEDICINE(SRL) CHEMISTRY 6 PROFILE, SERUM/PLASMA (1571-SRL) 510 695 695 695 695 695 695 946 1001 1112 3981 LAB MEDICINE(SRL) CHEMISTRY 7 PROFILE, SERUM/PLASMA (1572-SRL) 560 764 764 764 764 764 764 1039 1100 1222 3982 LAB MEDICINE(SRL) CHEMISTRY PANEL & CBC 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3983 LAB MEDICINE(SRL) CHEMISTRY PANEL & CBC 1410 1523 1676 1904 1904 1904 2133 2590 2742 3046 3984 LAB MEDICINE(SRL) CHEMISTRY PROFILE, SERUM/ PLASMA (1390-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 3985 LAB MEDICINE(SRL) CHIKUNGUNYA IGM ANTIBODIES RAPID (2492-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 3986 LAB MEDICINE(SRL) CHIKUNGUNYA IGM ANTIBODY, CSF (2491C-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 3987 LAB MEDICINE(SRL) CHIKUNGUNYA IGM ANTIBODY, SERUM (2491-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 3988 LAB MEDICINE(SRL) CHLAMYDIA PNEUMONIAE ANTIBODIES, SERUM (9405-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 3989 LAB MEDICINE(SRL) CHLAMYDIA PNEUMONIAE IGA ANTIBODIES, SERUM (9410-SR 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 3990 LAB MEDICINE(SRL) CHLAMYDIA PNEUMONIAE IGG ANTIBODIES, SERUM (9408-SR 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 3991 LAB MEDICINE(SRL) CHLAMYDIA PNEUMONIAE IGM ANTIBODIES, SERUM (9409-SR 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 3992 LAB MEDICINE(SRL) CHLAMYDIA SPECIATION BY RFLP (7438-SRL) 5170 6852 6852 6852 6852 6852 6852 9318 9866 10962 3993 LAB MEDICINE(SRL) CHLAMYDIA TRACHOMATIS ANTIBODIES, SERUM (9404-SRL) 4320 5779 5779 5779 5779 5779 5779 7860 8322 9246 3994 LAB MEDICINE(SRL) CHLAMYDIA TRACHOMATIS IGG, SERUM (9406-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3995 LAB MEDICINE(SRL) CHLAMYDIA TRACHOMATIS IGM, SERUM (9411-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 3996 LAB MEDICINE(SRL) CHLORIDE, 24HRS URINE (1182UHD-SRL) 310 423 423 423 423 423 423 575 609 676 3997 LAB MEDICINE(SRL) CHLORIDE, SERUM (1182HD-SRL) 260 355 355 355 355 355 355 483 512 568 3998 LAB MEDICINE(SRL) CHOLESTEROL HDL, SERUM (1124HD-SRL) 260 365 365 365 363 365 365 495 525 580 3999 LAB MEDICINE(SRL) CHOLESTEROL, SERUM (3350HD-SRL) 260 355 355 355 355 355 355 483 512 568 4000 LAB MEDICINE(SRL) CHR LYMPHOPROLIFERATIVE DISORDERS (1609-SRL) 13820 18313 18313 18313 18313 18313 18313 24905 26370 29300 4001 LAB MEDICINE(SRL) CHROMIUM, BLOOD (9147-SRL) 4250 4250 4250 4250 4250 4250 4250 5780 6120 6800 4002 LAB MEDICINE(SRL) CHROMO PHOTO, TISSUE/PARAFFIN BLOCK (Z081KP-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4003 LAB MEDICINE(SRL) CHROMOGRANIN A (3951-SRL) 6720 8905 8905 8905 8905 8905 8905 12111 12824 14248 4004 LAB MEDICINE(SRL) CHROMOGRANIN A,IHC, TISSUE/PARAFFIN BLOCK (Z081K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4005 LAB MEDICINE(SRL) CHROMOSOME ANALYSIS, CHORIONIC VILLUS (80257-SRL) 126120 167110 167110 167110 167110 167110 167110 227270 240639 267376 4006 LAB MEDICINE(SRL) CHROMOSOME ANALYSIS: HEMATOLOGICAL DISORDERS (5800- 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4007 LAB MEDICINE(SRL) CHROMOSOME BREAKAGE TEST ? FANCONI?S ANEMIA (5812- 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4008 LAB MEDICINE(SRL) CHRONIC FATIGUE SYNDROME PANEL (1024-SRL) 7070 9369 9369 9369 9369 9369 9369 12742 13491 14990 4009 LAB MEDICINE(SRL) CITRATE EXCRETION URINE (9329-SRL) 22420 29708 29708 29708 29708 29708 29708 40403 42779 47532 4010 LAB MEDICINE(SRL) CITRATE, 24HRS URINE 3770 5043 5043 5043 5043 5043 5043 6858 7262 8068 4011 LAB MEDICINE(SRL) CK HMW IHC, TISSUE/PARAFFIN BLOCK (Z045K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4012 LAB MEDICINE(SRL) CK LMW IHC, TISSUE/PB (Z046K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4013 LAB MEDICINE(SRL) CK5/6 (Z221K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4014 LAB MEDICINE(SRL) CLL PANEL FLUORESCENCE IN SITU HYBRIDIZATION (6024F-SRL) 5820 7713 7713 7713 7713 7713 7713 10489 11106 12340 4015 LAB MEDICINE(SRL) CLOSTRIDIUM DIFFICILE TOXIN A/B, STOOL (2412A-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4016 LAB MEDICINE(SRL) CMPO (1603-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4017 LAB MEDICINE(SRL) CMV VIRAL LOAD REAL TIME PCR (7576-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 4018 LAB MEDICINE(SRL) CMV VIRAL LOAD/ GCV RESISTANCE - CMV COMBI TEST (7578- 11970 15862 15862 15862 15862 15862 15862 21572 22841 25378 4019 LAB MEDICINE(SRL) COAG FACTOR V ASSAY, P 21370 28317 28317 28317 28317 28317 28317 38511 40776 45306 4020 LAB MEDICINE(SRL) COAG FACTOR X ASSAY, PLASMA 21270 28184 28184 28184 28184 28184 28184 38330 40585 45094 4021 LAB MEDICINE(SRL) COAG FACTOR XI ASSAY, PLASMA 21320 28250 28250 28250 28250 28250 28250 38420 40680 45200 4022 LAB MEDICINE(SRL) COAG FACTOR XII ASSAY, P (9069-SRL) 21370 28317 28317 28317 28317 28317 28317 38511 40776 45306 4023 LAB MEDICINE(SRL) COAQULATION FACTOR VII ACTIVITY ASSAY, PLASMA (9055-SR 21120 27985 27985 27985 27985 27985 27985 38060 40299 44776 4024 LAB MEDICINE(SRL) COBALT, 24HRS URINE 3670 4909 4909 4909 4909 4909 4909 6676 7069 7854 4025 LAB MEDICINE(SRL) COBALT, BLOOD (9149-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4026 LAB MEDICINE(SRL) COCAINE - URINE (4140-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4027 LAB MEDICINE(SRL) COCCIDIOIDES ANTIBODY, SERUM (8295-SRL) 14920 19770 19770 19770 19770 19770 19770 26888 28469 31632 4028 LAB MEDICINE(SRL) COLD AGGLUTININ TITER, SERUM (8992-SRL) 13320 17650 17650 17650 17650 17650 17650 24004 25416 28240 4029 LAB MEDICINE(SRL) COLORECTAL CANCER PANEL(SRL CODE-4550) 17250 17250 17250 17250 17250 17250 17250 23460 24840 27600 4030 LAB MEDICINE(SRL) COLORECTAL MONITOR, SERUM (3024-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4031 LAB MEDICINE(SRL) COMMON MUTATIONS MTDNA PANEL (RD1465-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4032 LAB MEDICINE(SRL) COMPLEMENT C1Q (1555-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4033 LAB MEDICINE(SRL) COMPLEMENT C3, SERUM (1501D-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4034 LAB MEDICINE(SRL) COMPLEMENT C4, SERUM (1504D-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4035 LAB MEDICINE(SRL) COMPLEMENT TOTAL, SERUM (8167-SRL) 20320 26925 26925 26925 26925 26925 26925 36618 38772 43080 4036 LAB MEDICINE(SRL) COMPLETE BLOOD COUNT, EDTA WHOLE BLOOD + PERIPHERA570 570 630 720 720 720 800 970 1030 1140 4037 LAB MEDICINE(SRL) COMPLETE BLOOD COUNT, EDTA WHOLE BLOOD + PERIPHERA535 720 720 720 720 720 720 970 1030 1140 4038 LAB MEDICINE(SRL) COMPLETE PSA (3548-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4039 LAB MEDICINE(SRL) COMPREHENSIVE ALLERGY - INFANCY (1408-SRL) 7420 9833 9833 9833 9833 9833 9833 13373 14159 15732 4040 LAB MEDICINE(SRL) COMPREHENSIVE ALLERGY PANELS - ADULTS (1404-SRL) 11910 14890 14890 14890 14890 14890 16675 18345 20250 21562 4041 LAB MEDICINE(SRL) COMPREHENSIVE CORONARY RISK PROFILE (1209C-SRL) 4070 5444 5444 5444 5444 5444 5444 7404 7839 8710 4042 LAB MEDICINE(SRL) COMPREHENSIVE DIGESTIVE STOOL ANALYSIS (CDSA) (7006-SR 30000 37500 37500 37500 37500 37500 37500 51000 54000 60000 4043 LAB MEDICINE(SRL) COMPREHENSIVE EXAM STOOL (2362S-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4044 LAB MEDICINE(SRL) COMPREHENSIVE MYELOMA PROTEIN PANEL 8750 8750 8750 8750 8750 8750 8750 11900 12600 14000 4045 LAB MEDICINE(SRL) COMPREHENSIVE NEONATAL SCREENING PANEL (3328II-SRL) 6920 9170 9170 9170 9170 9170 9170 12472 13205 14672 4046 LAB MEDICINE(SRL) COMPREHENSIVE RHINITIS / ASTHMA MINI PANEL (3377-SRL) 5620 7448 7448 7448 7448 7448 7448 10129 10725 11916 4047 LAB MEDICINE(SRL) CONNEXIN 26 GENE MUTATION (RD1309-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4048 LAB MEDICINE(SRL) COOMB S TEST, DIRECT, BLOOD (1120-SRL) 660 900 900 900 900 900 900 1224 1296 1440 4049 LAB MEDICINE(SRL) COPPER REFLEX TO CERULOPLASMIN (9202RFX-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4050 LAB MEDICINE(SRL) COPPER, 24 HRS URINE (9144U24-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4051 LAB MEDICINE(SRL) COPPER, LIVER TISSUE (8687-SRL) 18320 24275 24275 24275 24275 24275 24275 33014 34956 38840 4052 LAB MEDICINE(SRL) COPPER, SERUM (9144-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4053 LAB MEDICINE(SRL) COPPER, URINE (8590-SRL) 11220 14868 14868 14868 14868 14868 14868 20220 21410 23788 4054 LAB MEDICINE(SRL) CORONARY RISK PROFILE (LIPID PROFILE), SERUM (1209AD-SR 1210 1510 1510 1510 1510 1510 1690 1860 2055 1960 4055 LAB MEDICINE(SRL) CORTISOL, S, LC-MS/MS (9369-SRL) 16220 21493 21493 21493 21493 21493 21493 29230 30950 34388 4056 LAB MEDICINE(SRL) CORTISOL, SERUM (3128-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4057 LAB MEDICINE(SRL) CORTISOL, U (8546-SRL) 17120 22685 22685 22685 22685 22685 22685 30852 32667 36296 4058 LAB MEDICINE(SRL) CORTISOL,FREE,24HR URINE (3128U-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4059 LAB MEDICINE(SRL) CREATINE KINASE (CPK), SERUM (3976H-SRL) 410 559 559 559 559 559 559 760 805 894 4060 LAB MEDICINE(SRL) CREATINE KINASE - MB, SERUM (3615D-SRL) 820 1025 1025 1025 1025 1025 1150 1265 1395 1548 4061 LAB MEDICINE(SRL) CREATININE CLEARANCE, SERUM AND URINE (1322-SRL) 510 695 695 695 695 695 695 946 1001 1112 4062 LAB MEDICINE(SRL) CREATININE, 24HRS URINE (1320UH-SRL) 310 423 423 423 423 423 423 575 609 676 4063 LAB MEDICINE(SRL) CREATININE, SERUM (1320H-SRL) 350 440 440 440 440 440 495 545 600 560 4064 LAB MEDICINE(SRL) CRYOGLOBULIN, SERUM (1158CG-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4065 LAB MEDICINE(SRL) CRYPTOCOCCUS ANTIGEN, CSF (9189C-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4066 LAB MEDICINE(SRL) CRYPTOCOCCUS ANTIGEN, SERUM (9189-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4067 LAB MEDICINE(SRL) CRYPTOCOCCUS NEOFORMANS DNA DETECTION (9188-SRL) 8170 10827 10827 10827 10827 10827 10827 14724 15590 17322 4068 LAB MEDICINE(SRL) CRYPTOSPORIDIUM ANTIGEN DETECTION (7661-SRL) 1610 2174 2174 2174 2174 2174 2174 2957 3131 3478 4069 LAB MEDICINE(SRL) CRYSTAL ID, SYNOVIAL FLUID (8719-SRL) 15020 19903 19903 19903 19903 19903 19903 27068 28660 31844 4070 LAB MEDICINE(SRL) CSF BACTERIAL CULTURE REFLEXS TO ANTIGEN DETECTION (9208R6420 8508 8508 8508 8508 8508 8508 11571 12251 13612 4071 LAB MEDICINE(SRL) CSF CULTURE & IDENTIFICATION (1200-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4072 LAB MEDICINE(SRL) CSF CULTURE & SUSCEPTIBILITY (1200CS-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 4073 LAB MEDICINE(SRL) CSF FUNGAL CULTURE REFLEX ANTIGEN DETECTION (9209RFX- 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4074 LAB MEDICINE(SRL) CULTURE & IDENTIFICATION-YEAST (1222-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4075 LAB MEDICINE(SRL) CULTURE BODY FLUID - BACTEC PLUS ANAEROBIC (1195NP-SR 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4076 LAB MEDICINE(SRL) CULTURE, BLOOD (1193-SRL) 610 1825 1825 1825 1825 1825 1825 2485 2630 2920 4077 LAB MEDICINE(SRL) CULTURE, BODY FLUID - BACTEC PLUS AEROBIC (1195AP-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4078 LAB MEDICINE(SRL) CULTURE, BODY FLUID - BACTEC STANDARD AEROBIC (1195AS 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4079 LAB MEDICINE(SRL) CULTURE, BODY FLUID - BACTEC STANDARD ANAEROBIC (1195NS-1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4080 LAB MEDICINE(SRL) CULTURE, BODY FLUID: YEAST - BACTEC (1195M-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4081 LAB MEDICINE(SRL) CULTURE,BLOOD AND SUSCEPTIBILITY (1193CS-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 4082 LAB MEDICINE(SRL) CULTURE: GARDNERELLA VAGINALIS (1419-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4083 LAB MEDICINE(SRL) CULTURE: NEISSERIA GONORRHOEAE (2414-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4084 LAB MEDICINE(SRL) CULTURE; BETA STREP (1192-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4085 LAB MEDICINE(SRL) CULTURE; BODY FLUID (1194-SRL) 540 680 680 680 680 680 680 920 980 1080 4086 LAB MEDICINE(SRL) CULTURE; EAR SWAB (1196-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4087 LAB MEDICINE(SRL) CULTURE; EYE SWAB (1211-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4088 LAB MEDICINE(SRL) CULTURE; NASOPHARYNGEAL (1213-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4089 LAB MEDICINE(SRL) CULTURE; SPUTUM (1217-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4090 LAB MEDICINE(SRL) CULTURE; STOOL - AEROBIC (5700-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4091 LAB MEDICINE(SRL) CULTURE; THROAT SWAB (1219-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4092 LAB MEDICINE(SRL) CULTURE; URINE (1285-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4093 LAB MEDICINE(SRL) CUSTOM IHC PANEL (Z009K-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4094 LAB MEDICINE(SRL) CUSTOM LEUKEMIA PANEL (SP1144-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4095 LAB MEDICINE(SRL) CUSTOM LEUKEMIA PANEL -(SIX SURFACE MARKERS) 6500 8130 8130 8130 8130 8130 8130 11050 11700 13000 4096 LAB MEDICINE(SRL) CUSTOMISED HEALTH CHECK RANBAXY-EXECUTIVE FEMALE (H12612 16712 16712 16712 16712 16712 16712 22728 24065 26738 4097 LAB MEDICINE(SRL) CYCLIN D1, TISSUE/PARAFFIN BLOCK (Z118K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4098 LAB MEDICINE(SRL) CYCLOSPORINE A, WHOLE BLOOD (4314I-SRL) 3220 4308 4308 4308 4308 4308 4308 5859 6203 6892 4099 LAB MEDICINE(SRL) CYFRA 21-1 (3938-SRL) 3420 4575 4575 4575 4575 4575 4575 6222 6588 7320 4100 LAB MEDICINE(SRL) CYSTATIN C (QUANTITATIVE), SERUM (3149-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4101 LAB MEDICINE(SRL) CYSTATIN C, SERUM (82994-SRL) 15070 19969 19969 19969 19969 19969 19969 27158 28755 31950 4102 LAB MEDICINE(SRL) CYSTIC FIBROSIS DELTA F508 GENE MUTATION (RD1446-SRL) 12000 15000 15000 15000 15000 15000 15000 20400 21600 24000 4103 LAB MEDICINE(SRL) CYSTIC FIBROSIS EXTENDED MUTATION PANEL 28500 35630 35630 35630 35630 35630 35630 48450 51300 57000 4104 LAB MEDICINE(SRL) CYSTIC FIBROSIS, DIAGNOSIS AND CARRIER DETECTION (9497- 43970 58262 58262 58262 58262 58262 58262 79236 83897 93218 4105 LAB MEDICINE(SRL) CYSTICERCOSIS,IGG ANTIBODY,WESTERNBLOT ASSAY,SERUM (17770 23547 23547 23547 23547 23547 23547 32023 33907 37674 4106 LAB MEDICINE(SRL) CYSTICERCUS IGG ANTIBODIES, SERUM (9816S-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4107 LAB MEDICINE(SRL) CYSTINE, QUANTITATIVE, URINE (8376-SRL) 22420 29708 29708 29708 29708 29708 29708 40403 42779 47532 4108 LAB MEDICINE(SRL) CYTOCHEMISTRY BLOOD SMEARS/IBM SMEARS (Z208-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4109 LAB MEDICINE(SRL) CYTOKERATIN 18 IHC, TISSUE/PARAFFIN BLOCK (Z054K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4110 LAB MEDICINE(SRL) CYTOKERATIN 20 (Z059K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4111 LAB MEDICINE(SRL) CYTOKERATIN 7 (Z060K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4112 LAB MEDICINE(SRL) CYTOKERATIN 8 IHC, TISSUE/PARAFFIN BLOCK (Z053K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4113 LAB MEDICINE(SRL) CYTOLOGY & PHOTO (1515P-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 4114 LAB MEDICINE(SRL) CYTOLOGY FOR MALIGNANT CELLS (1515SF-SRL) 460 628 628 628 628 628 628 854 904 1004 4115 LAB MEDICINE(SRL) CYTOMEGALOVIRUS DNA PCR (7575-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4116 LAB MEDICINE(SRL) CYTOMEGALOVIRUS IGG & IGM, SERUM (9436-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4117 LAB MEDICINE(SRL) CYTOMEGALOVIRUS IGG AVIDITY (9432-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4118 LAB MEDICINE(SRL) CYTOMEGALOVIRUS IGG, SERUM (9431-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4119 LAB MEDICINE(SRL) CYTOMEGALOVIRUS IGM, SERUM (2486M-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4120 LAB MEDICINE(SRL) CYTOPLASMIC NEUTROPHIL AB, S (9441-SRL) 23470 31099 31099 31099 31099 31099 31099 42295 44783 49758 4121 LAB MEDICINE(SRL) D-DIMER, PLASMA (4200-SRL) 1610 2174 2174 2174 2174 2174 2174 2957 3131 3478 4122 LAB MEDICINE(SRL) DEHYDROEPIANDROSTERONE, SERUM (3146-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4123 LAB MEDICINE(SRL) DEHYDROEPIANDROSTERONE-S, SERUM (3150-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4124 LAB MEDICINE(SRL) DELETION 13Q BY FISH (6017F-SRL) 5520 7315 7315 7315 7315 7315 7315 9949 10534 11704 4125 LAB MEDICINE(SRL) DENGMAL DETECT (DT3210-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4126 LAB MEDICINE(SRL) DENGUE IGG AND IGM, SERUM (7600R-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 4127 LAB MEDICINE(SRL) DENGUE NS1 ANTIGEN ELISA 1690 1690 1690 1690 1690 1690 1690 2300 2440 2710 4128 LAB MEDICINE(SRL) DENGUE RNA PCR (7602-SRL) 3870 5177 5177 5177 5177 5177 5177 7040 7454 8282 4129 LAB MEDICINE(SRL) DENGUE VIRUS ANTIBODIES (7600-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4130 LAB MEDICINE(SRL) DENGUE VIRUS IGG, SERUM (7601-SRL) 3372 3372 3380 3380 3380 3380 3380 4590 4860 5400 4131 LAB MEDICINE(SRL) DENGUE VIRUS IGM, SERUM (7646-SRL) 1904 1904 1910 1910 1910 1910 1910 2590 2750 3050 4132 LAB MEDICINE(SRL) DEOXYCORTICOSTEROIDS, PLASMA (8547-SRL) 15120 20035 20035 20035 20035 20035 20035 27248 28851 32056 4133 LAB MEDICINE(SRL) DESMIN IHC, TISSUE/PARAFFIN BLOCK (Z093K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4134 LAB MEDICINE(SRL) DIABETA SCREEN (3180DS-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4135 LAB MEDICINE(SRL) DIABETES MELLITUS II (DT9201-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4136 LAB MEDICINE(SRL) DIABETES MONITOR (1579-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4137 LAB MEDICINE(SRL) DIABETES MONITORING PANEL-I (DT9200-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4138 LAB MEDICINE(SRL) DIABETES PACKAGE (HM15-SRL) 3620 4843 4843 4843 4843 4843 4843 6586 6974 7748 4139 LAB MEDICINE(SRL) DIABETES PROFILE (1575-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4140 LAB MEDICINE(SRL) DIAZEPAM AND NORDIAZEPAM, S (8629-SRL) 15520 20565 20565 20565 20565 20565 20565 27969 29614 32904 4141 LAB MEDICINE(SRL) DIC (3896-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4142 LAB MEDICINE(SRL) DIGOXIN, SERUM (1548H-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4143 LAB MEDICINE(SRL) DIHYDROPYRIMIDINE DEHYDROGENASE GENE MUTATION - SE15470 20499 20499 20499 20499 20499 20499 27879 29519 32798 4144 LAB MEDICINE(SRL) DIHYDROTESTOSTERONE, SERUM (3151-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4145 LAB MEDICINE(SRL) DIL KAOLIN CLOTTING TIME, PLASMA (1914-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4146 LAB MEDICINE(SRL) DIL RUSSEL VIPER VENOM TIME, PLASMA (1911-SRL) 410 559 559 559 559 559 559 760 805 894 4147 LAB MEDICINE(SRL) DIRECT LDL CHOLESTEROL, SERUM (1533D-SRL) 560 764 764 764 764 764 764 1039 1100 1222 4148 LAB MEDICINE(SRL) DNA FOR VON HIPPEL LINDAU DISEASE (WILD163-SRL) 27570 36532 36532 36532 36532 36532 36532 49683 52605 58450 4149 LAB MEDICINE(SRL) DNA PLOIDY, TISSUE, BLOCK (DNA & CELL CYCLE) (5400K-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4150 LAB MEDICINE(SRL) DONOR SPECIFIC ANTIBODIES (DSA) CLASS I & II 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 4151 LAB MEDICINE(SRL) DOUBLE MARKER TEST (1268-SRL) 3230 4040 4040 4040 4040 4040 4525 4980 5495 6464 4152 LAB MEDICINE(SRL) DOWN S SYNDROME/ AMBIGUOUS EXTERNAL GENITALIA (5814F4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4153 LAB MEDICINE(SRL) DRUG ABUSE SURVEY, URINE (8248-SRL) 11120 14735 14735 14735 14735 14735 14735 20040 21219 23576 4154 LAB MEDICINE(SRL) DRUG ALLERGENS (3257-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4155 LAB MEDICINE(SRL) DRUGS OF ABUSE - 5 DRUGS (4133-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4156 LAB MEDICINE(SRL) DRUGS OF ABUSE - 6 DRUGS (4132-SRL) 3970 5310 5310 5310 5310 5310 5310 7222 7647 8496 4157 LAB MEDICINE(SRL) DRUGS OF ABUSE - 9 DRUGS (4131-SRL) 6450 8060 8060 8060 8060 8060 9025 9930 10960 12764 4158 LAB MEDICINE(SRL) DSDNA (WITH TITRES) (1199-SRL) 1710 2309 2309 2309 2309 2309 2309 3140 3325 3694 4159 LAB MEDICINE(SRL) DUCHENNE / BECKER MUSCULAR DYSTROPHY (2481-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4160 LAB MEDICINE(SRL) EBV (EA) IGG, SERUM (2126EG-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4161 LAB MEDICINE(SRL) EBV (NA) IGG, SERUM (2266EG-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4162 LAB MEDICINE(SRL) EBV (NA) IGM, SERUM (2266EM-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4163 LAB MEDICINE(SRL) EBV (VCA) IGG, SERUM (2116EG-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4164 LAB MEDICINE(SRL) EBV (VCA) IGM, SERUM (2116EM-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4165 LAB MEDICINE(SRL) EBV DETECTION BY PCR, SPINAL FLUID (81239-SRL) 24970 33087 33087 33087 33087 33087 33087 44998 47645 52938 4166 LAB MEDICINE(SRL) EBV DNA PCR (2136-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4167 LAB MEDICINE(SRL) EBV TETRA PANEL (2066-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4168 LAB MEDICINE(SRL) ECHINOCOCCUS DETECTI0N (1409-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4169 LAB MEDICINE(SRL) ECHINOCOCCUS IGG, SERUM (1279-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4170 LAB MEDICINE(SRL) ECHOSENS FIBROMETER VIRUS (4590-SRL) 3470 4642 4642 4642 4642 4642 4642 6313 6684 7426 4171 LAB MEDICINE(SRL) ECHOVIRUS ANTIBODIES PANEL, SERUM (2567-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4172 LAB MEDICINE(SRL) ECZEMA / GIT (NON-VEG & VEG) PANEL (3376-SRL) 6820 9038 9038 9038 9038 9038 9038 12291 13014 14460 4173 LAB MEDICINE(SRL) ECZEMA / GIT (VEG) PANEL (3375-SRL) 5020 6653 6653 6653 6653 6653 6653 9048 9580 10644 4174 LAB MEDICINE(SRL) EGFR (1320HGFR-SRL) 260 355 355 355 355 355 355 483 512 568 4175 LAB MEDICINE(SRL) EGFR (FISH) (6016F-SRL) 5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 4176 LAB MEDICINE(SRL) EGFR MUTATION DETECTION (RD1405-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4177 LAB MEDICINE(SRL) EGFR,PHOTO, TISSUE/PARAFFIN BLOCK (Z005KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4178 LAB MEDICINE(SRL) EHC NEW HOLLAND TRACTORS INDIA PRIVATE LIMITED(F) (HM1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4179 LAB MEDICINE(SRL) EHC NEW HOLLAND TRACTORS INDIA PRIVATE LTD (M) (HM34- 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4180 LAB MEDICINE(SRL) ELECTROLYTES (NA/K/CL), 24HRS URINE (1568UHD-SRL) 460 628 628 628 628 628 628 854 904 1004 4181 LAB MEDICINE(SRL) ELECTROLYTES (NA/K/CL), SERUM (1568HD-SRL) 635 795 795 795 795 795 890 980 1080 1200 4182 LAB MEDICINE(SRL) ELECTRON MICROSCOPY - TISSUE (1503-SRL) 15570 20632 20632 20632 20632 20632 20632 28059 29709 33010 4183 LAB MEDICINE(SRL) ELECTROPHORESIS, CSF (1580C-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4184 LAB MEDICINE(SRL) ELECTROPHORESIS,URINE (1580U-SRL) 3000 3665 3665 3665 3663 3665 3665 4985 5275 5860 4185 LAB MEDICINE(SRL) EMA,IHC (EPITHELIAL MEMBRANE AG), TISSUE/PB (Z049K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4186 LAB MEDICINE(SRL) EMA,PHOTO, TISSUE/PARAFFIN BLOCK (Z049KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4187 LAB MEDICINE(SRL) ENDOMYSIAL IGA ANTIBODIES (IFA) WITH TITRE (1181T-SRL) 3120 4174 4174 4174 4174 4174 4174 5677 6011 6678 4188 LAB MEDICINE(SRL) ENTAMOEBA HISTOLYTICA ANTIBODIES, SERUM (8441-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4189 LAB MEDICINE(SRL) ENTEROQUICK (3525-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4190 LAB MEDICINE(SRL) ENTEROVIRUS BY RAPID PCR (80066-SRL) 23920 31695 31695 31695 31695 31695 31695 43106 45641 50712 4191 LAB MEDICINE(SRL) ENTEROVIRUS REAL TIME PCR (RD1464-SRL) 4420 5913 5913 5913 5913 5913 5913 8041 8514 9460 4192 LAB MEDICINE(SRL) EPIDER GROWTH FACT RCPTR, TISSUE/PB (Z005K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4193 LAB MEDICINE(SRL) EPIDERMAL (PEMPHIGUS) ANTIBODY (IFA) (1177I-SRL) 5600 5600 5600 5600 5600 5600 5600 7620 8070 8960 4194 LAB MEDICINE(SRL) EPSTEIN-BARR VIRUS DNA, QN (82987-SRL) 25070 33219 33219 33219 33219 33219 33219 45178 47835 53150 4195 LAB MEDICINE(SRL) ER & PHOTO, TISSUE/PARAFFIN BLOCK (Z001KP-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4196 LAB MEDICINE(SRL) ER/PGR, PHOTO, TISSUE/PARAFFIN BLOCK (1830KP-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4197 LAB MEDICINE(SRL) ER/PGR,IHC (ESTROGEN RECEPTOR), TISSUE/PB (1830K-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4198 LAB MEDICINE(SRL) ERYTHRO SEDIMENTATION RATE, BLOOD (1569B-SRL) 160 219 219 219 219 219 219 298 315 350 4199 LAB MEDICINE(SRL) ERYTHROPOIETIN, SERUM (1160-SRL) 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 4200 LAB MEDICINE(SRL) ESCHERICHIA COLI K1 AG, CSF (LPA) (2381C-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4201 LAB MEDICINE(SRL) ESCHERICHIA COLI K1 ANTIGEN, SERUM (2381-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4202 LAB MEDICINE(SRL) ESCHERICHIA COLI K1 ANTIGEN, URINE (2381U-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4203 LAB MEDICINE(SRL) ESTRADIOL, SERUM (3155-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 4204 LAB MEDICINE(SRL) ESTRIOL,UNCONJUGATED, SERUM (3156-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4205 LAB MEDICINE(SRL) ESTROGEN RECEPTOR, TISSUE/PB (Z001K-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4206 LAB MEDICINE(SRL) ETHOSUXIMIDE, PLASMA (8769-SRL) 14520 19240 19240 19240 19240 19240 19240 26167 27706 30784 4207 LAB MEDICINE(SRL) EVALUATION OF METASTATIC TUMOUR - NEUROENDOCRINE, 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4208 LAB MEDICINE(SRL) EVALUATION OF METASTATIC TUMOUR- BREAST, TISSUE/PB (Z5920 7845 7845 7845 7845 7845 7845 10670 11297 12552 4209 LAB MEDICINE(SRL) EVALUATION OF METASTATIC TUMOURS (Z235-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4210 LAB MEDICINE(SRL) EVALUATION OF METASTATIC TUMOURS - LIVER (Z233-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4211 LAB MEDICINE(SRL) EVALUATION OF METASTATIC TUMOURS - THYROID, TISSUE (Z2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4212 LAB MEDICINE(SRL) EXTENDED CORONARY RISK PROFILE (1209E-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4213 LAB MEDICINE(SRL) EXTENDED PREOPERATIVE PANEL (1345-SRL) 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 4214 LAB MEDICINE(SRL) EXTRACTABLE NUCLEAR ANTIGENS (1234-SRL) 7070 9369 9369 9369 9369 9369 9369 12742 13491 14990 4215 LAB MEDICINE(SRL) EYE CULTURE ISO, ID & SENSITIVITY (1211CS-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4216 LAB MEDICINE(SRL) FACIOSCAPULOHUMERAL DYSTROPHY (FSHD) (WILD1-SRL) 45370 60117 60117 60117 60117 60117 60117 81759 86568 96186 4217 LAB MEDICINE(SRL) FACTOR II MUTATION DETECTION BY REAL TIME PCR (9893-SR 8720 11555 11555 11555 11555 11555 11555 15715 16640 18488 4218 LAB MEDICINE(SRL) FACTOR IX ACTIVITY, PLASMA (1949-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 4219 LAB MEDICINE(SRL) FACTOR V LEIDEN (R506Q) MUTATION, BLOOD (81419-SRL) 43970 58262 58262 58262 58262 58262 58262 79236 83897 93218 4220 LAB MEDICINE(SRL) FACTOR V MUTATION DETECTION (9894-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4221 LAB MEDICINE(SRL) FACTOR VIII ACTIVITY, PLASMA (1947-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4222 LAB MEDICINE(SRL) FACTOR VIII, TISSUE/PARAFFIN BLOCK (Z097K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4223 LAB MEDICINE(SRL) FACTOR XIII ACTIVITY, PLASMA (1957-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4224 LAB MEDICINE(SRL) FAT, FECES (8310-SRL) 17820 23613 23613 23613 23613 23613 23613 32113 34002 37780 4225 LAB MEDICINE(SRL) FATTY ACID PROFILE, COMPREHENSIVE (82042-SRL) 33570 44482 44482 44482 44482 44482 44482 60495 64053 71170 4226 LAB MEDICINE(SRL) FATTY ACID PROFILE, PEROXISOMAL,S (81369-SRL) 26670 35339 35339 35339 35339 35339 35339 48061 50888 56542 4227 LAB MEDICINE(SRL) FDP ( DR-70) (4209-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4228 LAB MEDICINE(SRL) FEBRILE NEUTROPENIA PROFILE 23120 30635 30635 30635 30635 30635 30635 41664 44115 49016 4229 LAB MEDICINE(SRL) FECAL CALPROTECTIN (9980-SRL) 3770 5043 5043 5043 5043 5043 5043 6858 7262 8068 4230 LAB MEDICINE(SRL) FERRITIN, SERUM (3170-SRL) 1075 1345 1345 1345 1345 1345 1505 1660 1830 2094 4231 LAB MEDICINE(SRL) FERRITIN,IHC, TISSUE/PARAFFIN BLOCK (Z079K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4232 LAB MEDICINE(SRL) FERTILITY PANEL, MALE, SERUM (1577-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4233 LAB MEDICINE(SRL) FERTILITY PANEL, SERUM (1578-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4234 LAB MEDICINE(SRL) FEVER PANEL (1338-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4235 LAB MEDICINE(SRL) FEVER PANEL - 2 (1338ALT1-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4236 LAB MEDICINE(SRL) FEVER SCREENING PANEL (5012-SRL) 2470 3304 3304 3304 3304 3304 3304 4494 4758 5286 4237 LAB MEDICINE(SRL) FIBRINOGEN (1553-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4238 LAB MEDICINE(SRL) FIBRINOGEN DEGREDATION PRODUCTS (FDP), PLASMA (4208- 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4239 LAB MEDICINE(SRL) FIBRINOGEN, PLASMA (1426-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4240 LAB MEDICINE(SRL) FIBROBLAST CULTURE (8482-SRL) 31770 42097 42097 42097 42097 42097 42097 57251 60619 67354 4241 LAB MEDICINE(SRL) FIBROMETER NAFLD 3450 4320 4320 4320 4320 4320 4320 5870 6210 6900 4242 LAB MEDICINE(SRL) FILARIA ANTIBODIES 1000 1363 1363 1363 1363 1363 1363 1853 1962 2180 4243 LAB MEDICINE(SRL) FILARIA ANTIBODY, SERUM (4028-SRL) 3220 4308 4308 4308 4308 4308 4308 5859 6203 6892 4244 LAB MEDICINE(SRL) FILARIA, BLOOD (9232-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 4245 LAB MEDICINE(SRL) FINE NEEDLE ASPIRATION (CYTOLOGY SMEARS), SMEARS (1515- 700 880 880 880 880 880 880 1190 1260 1400 4246 LAB MEDICINE(SRL) FINE NEEDLE ASPIRATION CYTOLOGY, SMEARS (1518-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4247 LAB MEDICINE(SRL) FIP1L1-PDGFRA GENE REARRANGEMENT (RD1314-SRL) 6520 8640 8640 8640 8640 8640 8640 11751 12442 13824 4248 LAB MEDICINE(SRL) FLEXI ALLERGY PANEL (ANY 10 ALLERGENS) (4012-SRL) 5620 7448 7448 7448 7448 7448 7448 10129 10725 11916 4249 LAB MEDICINE(SRL) FLEXI ALLERGY PANEL (ANY 5 ALLERGENS) (4010-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4250 LAB MEDICINE(SRL) FLT3 MUTATION DETECTION (7469-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4251 LAB MEDICINE(SRL) FLU REAL TIME PCR (8008-SRL) 5200 6500 6500 6500 6500 6500 7280 8010 8840 9540 4252 LAB MEDICINE(SRL) FLUORIDE, PLASMA (8641-SRL) 14920 19770 19770 19770 19770 19770 19770 26888 28469 31632 4253 LAB MEDICINE(SRL) FMC-7 PERCENT (1677BF-SRL) 3620 4843 4843 4843 4843 4843 4843 6586 6974 7748 4254 LAB MEDICINE(SRL) FNAC / CYTOLOGY SMEARS 1010 1265 1265 1265 1265 1265 1415 1560 1720 6892 4255 LAB MEDICINE(SRL) FNAC, SLIDE EXAMINATION (1515A-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4256 LAB MEDICINE(SRL) FOLIC ACID, SERUM (3522-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4257 LAB MEDICINE(SRL) FOLLICLE STIMULATING HORMONE, SERUM (3174-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 4258 LAB MEDICINE(SRL) FOLLICULAR LYMPHOMA VS FOLLICULAR HYPERPLASIA (Z221-S 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4259 LAB MEDICINE(SRL) FREE ANDROGEN INDEX, SERUM (3245-SRL) 3720 4977 4977 4977 4977 4977 4977 6768 7166 7962 4260 LAB MEDICINE(SRL) FREE BETA HCG (3285-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4261 LAB MEDICINE(SRL) FREE FATTY ACIDS, TOTAL, SERUM 12970 17187 17187 17187 17187 17187 17187 23374 24749 27498 4262 LAB MEDICINE(SRL) FREE PROTEIN S, PLASMA (3839I-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4263 LAB MEDICINE(SRL) FREE PSA (3545-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4264 LAB MEDICINE(SRL) FREE TESTOSTERONE, SERUM (3248FT-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4265 LAB MEDICINE(SRL) FREE THYROXINE , FT4 (3228-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4266 LAB MEDICINE(SRL) FREE TRIIODOTHYRONINE (FT3), SERUM (3234-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4267 LAB MEDICINE(SRL) FROZEN SECTION {4(122)} (1503FZ-SRL) 3470 4642 4642 4642 4642 4642 4642 6313 6684 7426 4268 LAB MEDICINE(SRL) FRUCTOSAMINE (3935-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4269 LAB MEDICINE(SRL) FSH & LH EVALUATION, SERUM (2020-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4270 LAB MEDICINE(SRL) FSH IHC, TISSUE/PARAFFIN BLOCK (Z162K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4271 LAB MEDICINE(SRL) FUNGAL IDENTIFICATION (5324-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 4272 LAB MEDICINE(SRL) FUNGAL SMEAR (2438A-SRL) 260 355 355 355 355 355 355 483 512 568 4273 LAB MEDICINE(SRL) FUNGAL STAIN (5323-SRL) 330 420 420 420 420 420 420 570 600 660 4274 LAB MEDICINE(SRL) FUNGAL SUSCEPTIBILITY (5660-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4275 LAB MEDICINE(SRL) FUNGAL SUSCEPTIBILITY - SINGLE DRUG (5661-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4276 LAB MEDICINE(SRL) FUNGUS CULTURE & STAIN (5322-SRL) 1120 1120 1240 1400 1400 1400 1570 1910 2020 2240 4277 LAB MEDICINE(SRL) FUNGUS CULTURE & STAIN (BLOOD) (5322B-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4278 LAB MEDICINE(SRL) G-6-PD ACTIVITY, EDTA WHOLE BLOOD (1126-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4279 LAB MEDICINE(SRL) G-6-PD, QUANTITATIVE, BLOOD (1126QT-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4280 LAB MEDICINE(SRL) G6PD QUALITATIVE REFLEX QUANTITATIVE ESTIMATION (9212R1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4281 LAB MEDICINE(SRL) GABAPENTIN, PLASMA OR SERUM (80826-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 4282 LAB MEDICINE(SRL) GALACTOMANNAN (1728-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4283 LAB MEDICINE(SRL) GALACTOSE-1-PHOSPHATE URIDYLTRANSFERASE, BLOOD (8333-19370 25667 25667 25667 25667 25667 25667 34907 36960 41066 4284 LAB MEDICINE(SRL) GAMMA GLUTAMYL TRANSFERASE, SERUM (1294H-SRL) 260 415 415 415 413 415 415 565 595 660 4285 LAB MEDICINE(SRL) GANGLIOSIDE ANTIBODY PANEL, SERUM 32320 42825 42825 42825 42825 42825 42825 58242 61668 68520 4286 LAB MEDICINE(SRL) GASTRIN, SERUM (3175-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4287 LAB MEDICINE(SRL) GASTROENTERITIS SCREENING PANEL (5013-SRL) 660 900 900 900 900 900 900 1224 1296 1440 4288 LAB MEDICINE(SRL) GCV RESISTANCE BY SEQUENCING (7577-SRL) 7470 9899 9899 9899 9899 9899 9899 13463 14255 15838 4289 LAB MEDICINE(SRL) GENTAMICIN, PEAK/POST (84695-SRL) 13720 18180 18180 18180 18180 18180 18180 24725 26180 29088 4290 LAB MEDICINE(SRL) GESTATIONAL GLUCOSE TOLERANCE - 3 310 390 390 390 390 390 390 530 560 620 4291 LAB MEDICINE(SRL) GESTATIONAL GLUCOSE TOLERANCE – 7 810 1020 1020 1020 1020 1020 1020 1380 1460 1620 4292 LAB MEDICINE(SRL) GFAP IHC, TISSUE//PARAFFIN BLOCK (Z084K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4293 LAB MEDICINE(SRL) GIARDIA AG, F (80231-SRL) 12620 16723 16723 16723 16723 16723 16723 22743 24081 26756 4294 LAB MEDICINE(SRL) GLIOMA PANEL (1P/19Q, IDH1/2, MGMT) 24380 24380 24380 24380 24380 24380 24380 33160 35110 39010 4295 LAB MEDICINE(SRL) GLOMERULAR BASEMENT MEMBRANE ANTIBODY - IGG SERUM25820 34213 34213 34213 34213 34213 34213 46529 49266 54740 4296 LAB MEDICINE(SRL) GLUCAGON, PLASMA (9358-SRL) 17320 22950 22950 22950 22950 22950 22950 31212 33048 36720 4297 LAB MEDICINE(SRL) GLUCOSE CHALLENGE TEST (1302GCT-SRL) 160 219 219 219 219 219 219 298 315 350 4298 LAB MEDICINE(SRL) GLUCOSE RANDOM, PLASMA (1302R-SRL) 110 150 150 150 150 150 150 204 216 240 4299 LAB MEDICINE(SRL) GLUCOSE TOLERANCE TEST (GTT) - 8, PLASMA (1126BH-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 4300 LAB MEDICINE(SRL) GLUCOSE TOLERANCE TEST (GTT-2) (1126BS-SRL) 160 219 219 219 219 219 219 298 315 350 4301 LAB MEDICINE(SRL) GLUCOSE, FASTING, PLASMA / URINE (1302H-SRL) 200 250 250 250 250 250 280 310 340 400 4302 LAB MEDICINE(SRL) GLUCOSE, POST-PRANDIAL, PLASMA/URINE (1302-SRL) 110 215 215 215 213 215 215 290 310 340 4303 LAB MEDICINE(SRL) GLUCOSE, URINE (1302UH-SRL) 110 150 150 150 150 150 150 204 216 240 4304 LAB MEDICINE(SRL) GLUCOSE-6-PHOSPHATE DEHYDROGENASE,DRIED BLOOD SPO610 832 832 832 832 832 832 1131 1197 1330 4305 LAB MEDICINE(SRL) GLUTAMIC ACID DECARBOXYLASE (GAD65) ANTIBODY ASSAY (19670 26064 26064 26064 26064 26064 26064 35447 37532 41702 4306 LAB MEDICINE(SRL) GLUTAMIC ACID DECARBOXYLASE IGG ANTIBODIES, SERUM (3193-6270 8309 8309 8309 8309 8309 8309 11300 11965 13294 4307 LAB MEDICINE(SRL) GLUTAMIC ACID DECARBOXYLASE(GAD65) AB ASSAY, S/CSF (81596-6770 8972 8972 8972 8972 8972 8972 12201 12919 14354 4308 LAB MEDICINE(SRL) GLYCOLATE AND GLYCERATE, URINE (80911-SRL) 21370 28317 28317 28317 28317 28317 28317 38511 40776 45306 4309 LAB MEDICINE(SRL) GLYCOPHORIN A (ERYTHROID) (1674BR-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4310 LAB MEDICINE(SRL) GLYCOSYLATED HEMOGLOBIN, EDTA WHOLE BLOOD (3180-SR1265 1580 1580 1580 1580 1580 1770 1950 2150 1440 4311 LAB MEDICINE(SRL) GONOCOCCAL SMEAR (2438B-SRL) 260 355 355 355 355 355 355 483 512 568 4312 LAB MEDICINE(SRL) GRAM STAIN (2438-SRL) 210 287 287 287 287 287 287 390 413 458 4313 LAB MEDICINE(SRL) GRANULOCYTE ANTIBODIES, SERUM (8976-SRL) 23020 30503 30503 30503 30503 30503 30503 41484 43924 48804 4314 LAB MEDICINE(SRL) GROWTH HORMONE STIMULATION TEST, SERUM (3183-SRL) 3870 5177 5177 5177 5177 5177 5177 7040 7454 8282 4315 LAB MEDICINE(SRL) GROWTH HORMONE(GH), TISSUE/PB (Z163K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4316 LAB MEDICINE(SRL) GROWTH HORMONE, SERUM (3182-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4317 LAB MEDICINE(SRL) H.PYLORI CULTURE (2403-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4318 LAB MEDICINE(SRL) HAEMOPHILUS INFLUENZAE TYPE B ANTIGEN, SERUM (9606-S 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4319 LAB MEDICINE(SRL) HAEMOPHILUS INFLUENZAE TYPE B, CSF (9606C-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4320 LAB MEDICINE(SRL) HAM S (ACIDIFIED-SERUM) TEST, BLOOD (3832-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4321 LAB MEDICINE(SRL) HAPTOGLOBIN (1519I-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 4322 LAB MEDICINE(SRL) HAPTOGLOBIN GENOTYPING - PCR (7375-SRL) 4070 5444 5444 5444 5444 5444 5444 7404 7839 8710 4323 LAB MEDICINE(SRL) HAV RNA PCR (2478-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4324 LAB MEDICINE(SRL) HB VARIANT, CBC, SICKLING (9210RFX-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4325 LAB MEDICINE(SRL) HB, TLC & DLC, EDTA WHOLE BLOOD (5101-SRL) 310 423 423 423 423 423 423 575 609 676 4326 LAB MEDICINE(SRL) HB, TLC, DLC & ESR, EDTA WHOLE BLOOD (5102-SRL) 460 628 628 628 628 628 628 854 904 1004 4327 LAB MEDICINE(SRL) HBSAG CONFIRMATION (2449-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4328 LAB MEDICINE(SRL) HBV BASAL CORE PROMOTER MUTATION (7475-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4329 LAB MEDICINE(SRL) HBV DNA QUANTITATIVE (8136-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 4330 LAB MEDICINE(SRL) HBV DRUG RESISTANCE DETECTION (RD1305-SRL) 7370 9767 9767 9767 9767 9767 9767 13283 14064 15626 4331 LAB MEDICINE(SRL) HBV GENOTYPING BY PCR (7474-SRL) 8270 10959 10959 10959 10959 10959 10959 14904 15781 17534 4332 LAB MEDICINE(SRL) HBV PRECORE & BASAL CORE MUTATION REFLEX TO HBEAG (9218R2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4333 LAB MEDICINE(SRL) HBV PRECORE MUTATION (7476-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4334 LAB MEDICINE(SRL) HBV YMDD MUTATION DETECTION (7470-SRL) 3970 5310 5310 5310 5310 5310 5310 7222 7647 8496 4335 LAB MEDICINE(SRL) HCG, SERUM (3184-SRL) 960 1200 1200 1200 1200 1200 1345 1480 1630 1876 4336 LAB MEDICINE(SRL) HCV ABS, SERUM (2446R-SRL) 1650 2060 2060 2060 2060 2060 2305 2540 2800 2506 4337 LAB MEDICINE(SRL) HCV ALPHA (DT4102-SRL) 26370 34942 34942 34942 34942 34942 34942 47521 50316 55906 4338 LAB MEDICINE(SRL) HCV QN BY BDNA, SERUM (81130-SRL) 35020 46403 46403 46403 46403 46403 46403 63108 66820 74244 4339 LAB MEDICINE(SRL) HCV RNA GENOTYPING (7473I-SRL) 15720 20830 20830 20830 20830 20830 20830 28329 29996 33328 4340 LAB MEDICINE(SRL) HCV RNA QUALITATIVE PCR (7516A-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4341 LAB MEDICINE(SRL) HCV RNA QUANTITATIVE (7486-SRL) 13170 17452 17452 17452 17452 17452 17452 23734 25130 27922 4342 LAB MEDICINE(SRL) HCV-4 (7516-SRL) 6770 8972 8972 8972 8972 8972 8972 12201 12919 14354 4343 LAB MEDICINE(SRL) HDV RT-PCR (8400-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4344 LAB MEDICINE(SRL) HEALTH KUNDLI (3901-SRL) 2610 3270 3270 3270 3270 3270 3270 4440 4700 5220 4345 LAB MEDICINE(SRL) HEB B SURF AG IHC, TISSUE/PB (Z076K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4346 LAB MEDICINE(SRL) HELICOBACTER PYLORI ANTIGEN DETECTION (9981-SRL) 1200 1620 1620 1620 1620 1620 1620 2204 2333 2592 4347 LAB MEDICINE(SRL) HELICOBACTER PYLORI ANTIGEN, FECES (81806-SRL) 18620 24673 24673 24673 24673 24673 24673 33555 35529 39476 4348 LAB MEDICINE(SRL) HELICOBACTER PYLORI IGA ANTIBODIES, SERUM (7736-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4349 LAB MEDICINE(SRL) HELICOBACTER PYLORI IGG ANTIBODIES, SERUM (7761-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4350 LAB MEDICINE(SRL) HELICOBACTER PYLORI IGM ANTIBODIES, SERUM (7986-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4351 LAB MEDICINE(SRL) HEMOCHROMATOSIS HFE GENE ANALYSIS, B (81508-SRL) 37620 49848 49848 49848 49848 49848 49848 67793 71781 79756 4352 LAB MEDICINE(SRL) HEMOGLOBIN & HEMATOCRIT, EDTA WHOLE BLOOD (5112-SR 190 240 240 240 240 240 270 300 325 380 4353 LAB MEDICINE(SRL) HEMOGLOBIN (5101A-SRL) 160 219 219 219 219 219 219 298 315 350 4354 LAB MEDICINE(SRL) HEMOGLOBIN A2 AND F (83341-SRL) 12720 16855 16855 16855 16855 16855 16855 22923 24272 26968 4355 LAB MEDICINE(SRL) HEMOGLOBIN BY CYANMETHEMOGLOBIN (5112DR-SRL) 160 219 219 219 219 219 219 298 315 350 4356 LAB MEDICINE(SRL) HEMOGLOBIN VARIANT ANALYSIS, BLOOD (3834-SRL) 1415 1770 1770 1769 1770 1770 1980 2180 2405 2830 4357 LAB MEDICINE(SRL) HEMOGLOBIN, IHC, TISSUE/PARAFFIN BLOCK (Z214K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4358 LAB MEDICINE(SRL) HEMOGLOBIN, PLASMA (9096-SRL) 9670 12814 12814 12814 12814 12814 12814 17427 18452 20502 4359 LAB MEDICINE(SRL) HEMOPHILIA PANEL (3897-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4360 LAB MEDICINE(SRL) HEMOSIDERIN, URINE (8582-SRL) 9820 13013 13013 13013 13013 13013 13013 17697 18738 20820 4361 LAB MEDICINE(SRL) HEP A & B EVALUATION (2463-SRL) 8020 10628 10628 10628 10628 10628 10628 14454 15304 17004 4362 LAB MEDICINE(SRL) HEP B (DNA), PCR - FLUID (8141F-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4363 LAB MEDICINE(SRL) HEP B EVALUATION (2462-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 4364 LAB MEDICINE(SRL) HEP B VIRUS EVALUATION (2461-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4365 LAB MEDICINE(SRL) HEPARIN - PF4 AB (HIT), S (81904-SRL) 24570 32557 32557 32557 32557 32557 32557 44277 46881 52090 4366 LAB MEDICINE(SRL) HEPATITIS A ANTIBODIES (TOTAL), SERUM (2450-SRL) 1260 1702 1702 1702 1702 1702 1702 2314 2450 2722 4367 LAB MEDICINE(SRL) HEPATITIS A ANTIBODIES, SERUM (2460-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4368 LAB MEDICINE(SRL) HEPATITIS A IGM, SERUM (2451-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4369 LAB MEDICINE(SRL) HEPATITIS A VIRUS IGG ANTIBODY (HAV IGG) (6014-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4370 LAB MEDICINE(SRL) HEPATITIS ACUTE EVALUATION 1, SERUM (7756-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4371 LAB MEDICINE(SRL) HEPATITIS B CORE ANTIBODIES (TOTAL), SERUM (2452-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4372 LAB MEDICINE(SRL) HEPATITIS B CORE ANTIGEN, TISSUE/PB (Z077K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4373 LAB MEDICINE(SRL) HEPATITIS B CORE IGM, SERUM (2457-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4374 LAB MEDICINE(SRL) HEPATITIS B SURFACE ABS (QUANT), SERUM (2453QN-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4375 LAB MEDICINE(SRL) HEPATITIS B SURFACE ANTIGEN, SERUM (2470-SRL) 560 750 750 750 750 750 750 1020 1080 1200 4376 LAB MEDICINE(SRL) HEPATITIS B SURFACE ANTIGEN, SERUM (2470-SRL) 600 600 660 750 750 750 840 1020 1080 1200 4377 LAB MEDICINE(SRL) HEPATITIS B VIRUS DNA DETECTOR (8141-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4378 LAB MEDICINE(SRL) HEPATITIS B VIRUS DNA DETECTOR (8141T-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4379 LAB MEDICINE(SRL) HEPATITIS B VIRUS DNA QUANTITATIVE (9890-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 4380 LAB MEDICINE(SRL) HEPATITIS BE ANTIBODIES, SERUM (2455-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4381 LAB MEDICINE(SRL) HEPATITIS BE ANTIGEN, SERUM (2456-SRL) 1145 1430 1430 1430 1430 1430 1600 1760 1945 2290 4382 LAB MEDICINE(SRL) HEPATITIS C ANTIBODIES, SERUM 1710 2135 2135 2135 2135 2135 2390 2630 2905 3046 4383 LAB MEDICINE(SRL) HEPATITIS C ANTIBODIES, SERUM (2446-SRL) 1710 2135 2135 2135 2135 2135 2390 2630 2905 3046 4384 LAB MEDICINE(SRL) HEPATITIS C GENOTYPE, S (15158-SRL) 44670 59189 59189 59189 59189 59189 59189 80497 85232 94702 4385 LAB MEDICINE(SRL) HEPATITIS C VIRUS RNA GENOTYPING (7473-SRL) 21345 26680 26680 26680 26680 26680 29880 32870 36285 38204 4386 LAB MEDICINE(SRL) HEPATITIS C VIRUS RNA QUANTITATIVE (9891-SRL) 14800 18500 18500 18500 18500 18500 20720 22795 25160 27922 4387 LAB MEDICINE(SRL) HEPATITIS DELTA IGG ANTIBODIES, SERUM (2458-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4388 LAB MEDICINE(SRL) HEPATITIS E IGG, SERUM (2466G-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4389 LAB MEDICINE(SRL) HEPATITIS E IGM, SERUM (2466M-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4390 LAB MEDICINE(SRL) HEPATITIS SCREENING PANEL (5011-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4391 LAB MEDICINE(SRL) HER 2/ NEU (6006F-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 4392 LAB MEDICINE(SRL) HER-2/NEU ONCOPROTEIN (IHC), TISSUE/PB (Z004K-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4393 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS 1&2 IGG & IGM, SERUM (8051-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4394 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS BY RAPID PCR (80575-SRL) 24920 33020 33020 33020 33020 33020 33020 44908 47549 52832 4395 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS DNA DETECTOR (7581-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4396 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS-1 IGG, SERUM (9451-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4397 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS-1 IGM, SERUM (9456-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4398 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS-2 IGG, SERUM (9461-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4399 LAB MEDICINE(SRL) HERPES SIMPLEX VIRUS-2 IGM, SERUM (9466-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4400 LAB MEDICINE(SRL) HETEROPHILE ANTIBODIES (HA), SERUM (2116-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4401 LAB MEDICINE(SRL) HEXOSAMINIDASE A (MUGS), SERUM (80350-SRL) 22620 29973 29973 29973 29973 29973 29973 40763 43161 47956 4402 LAB MEDICINE(SRL) HEXOSAMINIDASE A AND TOTAL, S (NAGS) (8774-SRL) 20020 26528 26528 26528 26528 26528 26528 36078 38200 42444 4403 LAB MEDICINE(SRL) HGV RT-PCR (2464-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4404 LAB MEDICINE(SRL) HIGH RESOLUTION BANDING (QUINACRINE & GREMSA BAND) (14170 18777 18777 18777 18777 18777 18777 25536 27038 30042 4405 LAB MEDICINE(SRL) HIGH RISK INFECTION SURVEILLANCE PACKAGE (HM89-SRL) 1510 2039 2039 2039 2039 2039 2039 2773 2936 3262 4406 LAB MEDICINE(SRL) HIGH SENSITIVITY C-REACTIVE PROTEIN (1537D-SRL) 830 1035 1035 1035 1035 1035 1160 1280 1410 1658 4407 LAB MEDICINE(SRL) HIRSUTISM EVALUATION PANEL (1010-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4408 LAB MEDICINE(SRL) HIRSUTISM SCREENING PANEL (1009-SRL) 3870 5177 5177 5177 5177 5177 5177 7040 7454 8282 4409 LAB MEDICINE(SRL) HISTONE AUTOANTIBODIES, SERUM (80944-SRL) 14720 19505 19505 19505 19505 19505 19505 26527 28088 31208 4410 LAB MEDICINE(SRL) HISTOPATH + IGG, IGA, IGM, C3 (1528-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4411 LAB MEDICINE(SRL) HISTOPATHOLOGY REFLEX TO CUSTOM IHC PANEL (9204RFX-S 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4412 LAB MEDICINE(SRL) HISTOPATHOLOGY REPORT (1500-SRL) 1400 1750 1750 1750 1750 1750 1960 2160 2380 2506 4413 LAB MEDICINE(SRL) HISTOPATHOLOGY REPORT (SMALL BIOPSY) (1500C-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4414 LAB MEDICINE(SRL) HISTOPATHOLOGY REPORT WITH PHOTO (1528P-SRL) 4670 6189 6189 6189 6189 6189 6189 8417 8912 9902 4415 LAB MEDICINE(SRL) HISTOPATHOLOGY REVIEW 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 4416 LAB MEDICINE(SRL) HISTOPLASMA ABS,(DD), SERUM (2334-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4417 LAB MEDICINE(SRL) HISTOPLASMA ANTIBODIES (FLUID) (2334F-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4418 LAB MEDICINE(SRL) HISTOPLASMA ANTIBODY, SERUM (8240-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 4419 LAB MEDICINE(SRL) HIV 1 VIRAL LOAD BY COBAS TAQMAN (9885-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4420 LAB MEDICINE(SRL) HIV 1&2 ANTIBODIES,SERUM 610 832 832 832 832 832 832 1131 1197 1330 4421 LAB MEDICINE(SRL) HIV ABS, WESTERN BLOT (3012-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4422 LAB MEDICINE(SRL) HIV ANTIBODIES, SERUM (9916R-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4423 LAB MEDICINE(SRL) HIV DNA DETECTOR (9885B-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4424 LAB MEDICINE(SRL) HIV DRUG RESISTANCE REPORT (9930-SRL) 23970 31762 31762 31762 31762 31762 31762 43196 45737 50818 4425 LAB MEDICINE(SRL) HIV EARLY SCREEN (DT4201-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4426 LAB MEDICINE(SRL) HIV MONITOR (DT4202-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4427 LAB MEDICINE(SRL) HIV P24 ANTIGEN (9881S-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4428 LAB MEDICINE(SRL) HIV ROCHE COBAS MONITOR (DT4204-SRL) 14670 19439 19439 19439 19439 19439 19439 26437 27992 31102 4429 LAB MEDICINE(SRL) HIV-1 GENOTYPIC DRUG RESISTANCE, P (82340-SRL) 61920 82045 82045 82045 82045 82045 82045 111582 118145 131272 4430 LAB MEDICINE(SRL) HIV-1 GENOTYPIC RESISTANCE 14000 17500 17500 17500 17500 17500 17500 23800 25200 28000 4431 LAB MEDICINE(SRL) HIV-1 MONITOR (DT4206-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 4432 LAB MEDICINE(SRL) HIV-1&2 ANTIBODIES, SERUM (9916-SRL) 1360 1700 1700 1700 1700 1700 1905 2100 2310 1220 4433 LAB MEDICINE(SRL) HLA A, B, C (CLASS I ANTIGEN) (1349G-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4434 LAB MEDICINE(SRL) HLA A, B, C - CLASS I ANTIGEN (1349-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4435 LAB MEDICINE(SRL) HLA A, B, C, DR LOCI TYPING PCR DUO 23220 30768 30768 30768 30768 30768 30768 41844 44306 49228 4436 LAB MEDICINE(SRL) HLA A, B, DR LOCI TYPING PCR (9971-SRL) 17000 21250 21250 21250 21250 21250 21250 28900 30600 34000 4437 LAB MEDICINE(SRL) HLA B27 BY PCR (1348-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4438 LAB MEDICINE(SRL) HLA CLASS I A LOCUS PCR (9917-SRL) 12770 16922 16922 16922 16922 16922 16922 23013 24367 27074 4439 LAB MEDICINE(SRL) HLA CLASS I B LOCUS PCR (9911-SRL) 22470 29774 29774 29774 29774 29774 29774 40493 42875 47638 4440 LAB MEDICINE(SRL) HLA CLASS I C LOCUS PCR (9913-SRL) 11670 15464 15464 15464 15464 15464 15464 21031 22268 24742 4441 LAB MEDICINE(SRL) HLA CLASS II DQ LOCUS PCR (9914-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 4442 LAB MEDICINE(SRL) HLA CLASS II DR LOCUS PCR (9915-SRL) 12770 16922 16922 16922 16922 16922 16922 23013 24367 27074 4443 LAB MEDICINE(SRL) HLA DQ TYPING - CELIAC DISEASE (9920-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4444 LAB MEDICINE(SRL) HLA DR/DQ (CLASS II ANTIGEN) (1706G-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4445 LAB MEDICINE(SRL) HLA DR/DQ - CLASS II ANTIGEN (1706-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4446 LAB MEDICINE(SRL) HLA PANEL REACTIVE ANTIBODIES (PRA) CLASS I 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 4447 LAB MEDICINE(SRL) HLA PANEL REACTIVE ANTIBODIES (PRA) CLASS II 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 4448 LAB MEDICINE(SRL) HLA PANEL REACTIVE ANTIBODIES (PRA) SCREEN 8000 10000 10000 10000 10000 10000 10000 13600 14400 16000 4449 LAB MEDICINE(SRL) HLA TYPING CLASS I (SEROLOGY ) & CLASS II (PCR) (1309-SRL) 20000 25000 25000 25000 25000 25000 25000 34000 36000 40000 4450 LAB MEDICINE(SRL) HLA-DR-PERCENT (1675BO-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4451 LAB MEDICINE(SRL) HMB-45 IHC, TISSUE/PARAFFIN BLOCK (Z062K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4452 LAB MEDICINE(SRL) HMB-45,PHOTO, TISSUE/PARAFFIN BLOCK (Z062KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4453 LAB MEDICINE(SRL) HODGKIN S DISEASE - TYPES (Z223-SRL) 8420 11158 11158 11158 11158 11158 11158 15175 16067 17852 4454 LAB MEDICINE(SRL) HOMEOSTATIC MODEL ASSESSMENT (HOMA) 2 (7561-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4455 LAB MEDICINE(SRL) HOMOCYSTEINE REFLEX VIT B12 REFLEX FOLIC ACID (9203RFX- 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4456 LAB MEDICINE(SRL) HOMOCYSTEINE URINE (3344U-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4457 LAB MEDICINE(SRL) HOMOCYSTEINE, SERUM/PLASMA (3344-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4458 LAB MEDICINE(SRL) HOMOGENTISIC ACID URINE (0017LS-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4459 LAB MEDICINE(SRL) HOMOVANILLIC ACID (HVA), URINE (9253-SRL) 16870 22354 22354 22354 22354 22354 22354 30402 32190 35766 4460 LAB MEDICINE(SRL) HP & BREAST PANEL PROGNOSIS (1804S-SRL) 7470 9899 9899 9899 9899 9899 9899 13463 14255 15838 4461 LAB MEDICINE(SRL) HP & PHOTO (1500P-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4462 LAB MEDICINE(SRL) HP - SKIN BIOPSY (1502-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4463 LAB MEDICINE(SRL) HP-SKIN BIOPSY (PHOTO) (1502P-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4464 LAB MEDICINE(SRL) HPV DNA DETECTOR (1820-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4465 LAB MEDICINE(SRL) HPV DUO (1821-SRL) 3870 5177 5177 5177 5177 5177 5177 7040 7454 8282 4466 LAB MEDICINE(SRL) HPV TYPING BY SEQUENCING (1819-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4467 LAB MEDICINE(SRL) HPV:HYBRID CAPTURE 2 HIGH RISK HPV DNA TEST 3100 3880 3880 3880 3880 3880 3880 5270 5580 6200 4468 LAB MEDICINE(SRL) HSV 1&2 IGM ABS COMBINED (9471P-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4469 LAB MEDICINE(SRL) HTLV I & II ANTIBODIES, SERUM (7781-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 4470 LAB MEDICINE(SRL) HTTG/DGP SCREEN (9979-SRL) 1400 1890 1890 1890 1890 1890 1890 2571 2722 3024 4471 LAB MEDICINE(SRL) HUMAN EPIDIDYMIS PROTEIN -4 (HE4) (4113-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 4472 LAB MEDICINE(SRL) HUMAN MILK FAT GLOBULIN,TISSUE/PB (Z052K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4473 LAB MEDICINE(SRL) HUMAN T-CELL LYMPHOTROPIC VIRUS-I/II AB SERUM (9539-SR 13170 17452 17452 17452 17452 17452 17452 23734 25130 27922 4474 LAB MEDICINE(SRL) HYDROXYPROLINE, TOTAL, 2-HOUR COLLECTION, URINE (8423- 22520 29840 29840 29840 29840 29840 29840 40583 42970 47744 4475 LAB MEDICINE(SRL) HYDROXYPROLINE, TOTAL, 24 HR, U (8402-SRL) 23470 31099 31099 31099 31099 31099 31099 42295 44783 49758 4476 LAB MEDICINE(SRL) HYPERSENSITIVITY PNEUM IGG AB, S (8768-SRL) 23670 31364 31364 31364 31364 31364 31364 42655 45164 50182 4477 LAB MEDICINE(SRL) HYPERTENSION PROFILE (1021-SRL) 1860 2512 2512 2512 2512 2512 2512 3416 3617 4018 4478 LAB MEDICINE(SRL) IBD SCREENING PANEL (1020-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 4479 LAB MEDICINE(SRL) IDH1 AND IDH2 GENE MUTATIONS 6400 8480 8480 8480 8480 8480 8480 11533 12212 13568 4480 LAB MEDICINE(SRL) IGD HEAVY CHAIN (SURFACE) (1675BI-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4481 LAB MEDICINE(SRL) IGF-BP3 (3960-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4482 LAB MEDICINE(SRL) IGG HEAVY CHAIN (SURFACE) (1675BE-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4483 LAB MEDICINE(SRL) IGG SUBCLASSES, SERUM (9259-SRL) 28620 37923 37923 37923 37923 37923 37923 51575 54609 60676 4484 LAB MEDICINE(SRL) IGG4 SUB CLASS 6750 8440 8440 8440 8440 8440 8440 11480 12150 13500 4485 LAB MEDICINE(SRL) IGG4, SERUM 6750 8440 8440 8440 8440 8440 8440 11480 12150 13500 4486 LAB MEDICINE(SRL) IGM HEAVY CHAIN (SURFACE) (1675BG-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4487 LAB MEDICINE(SRL) IL-6 (INTERLUEKIN-6) 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 4488 LAB MEDICINE(SRL) IL28B ASSOCIATED VARIANT 4000 5000 5000 5000 5000 5000 5000 6800 7200 8000 4489 LAB MEDICINE(SRL) IMIPRAMINE AND DESIPRAMINE, S (8126-SRL) 16070 21294 21294 21294 21294 21294 21294 28960 30663 34070 4490 LAB MEDICINE(SRL) IMMUNOFIXATION ELEC,CSF (3125C-SRL) 9620 12748 12748 12748 12748 12748 12748 17337 18357 20396 4491 LAB MEDICINE(SRL) IMMUNOFIXATION EP, SERUM (3125-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4492 LAB MEDICINE(SRL) IMMUNOFIXATION EP,URINE (3125U-SRL) 9620 10030 10030 10030 10030 10030 10030 13640 14440 16040 4493 LAB MEDICINE(SRL) IMMUNOFIXATION EP,URINE (3125U-SRL) 8020 8020 8830 10030 10030 10030 11230 13640 14440 16040 4494 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY 3500 4380 4380 4380 4380 4380 4380 5950 6300 7000 4495 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, C3 (TISSUE) (1526-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4496 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, C3 (TISSUE) (PHOTO) 770 970 970 970 970 970 970 1310 1390 1540 4497 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGA (TISSUE) (1523-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4498 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGG (TISSUE) (1522-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4499 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGG (TISSUE) (PHOTO) (1522P 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4500 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGG, IGA, IGM, C3 (TISSU (1527-3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4501 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGM (TISSUE) (1524-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4502 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE ASSAY, IGM (TISSUE) (PHOTO) (1524P 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4503 LAB MEDICINE(SRL) IMMUNOFLUORESCENCE TEST (1527P-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4504 LAB MEDICINE(SRL) IMMUNOGLOBULIN (1045-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4505 LAB MEDICINE(SRL) IMMUNOGLOBULIN D (IGD), SERUM (9272-SRL) 17870 23679 23679 23679 23679 23679 23679 32204 34098 37886 4506 LAB MEDICINE(SRL) IMMUNOHISTOCHEMISTRY : FIVE MARKER (5027-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4507 LAB MEDICINE(SRL) IMMUNOHISTOCHEMISTRY : NINE MARKER (5028-SRL) 8520 11290 11290 11290 11290 11290 11290 15355 16258 18064 4508 LAB MEDICINE(SRL) IMMUNOHISTOCHEMISTRY : SEVEN MARKER (5029-SRL) 8120 10760 10760 10760 10760 10760 10760 14634 15495 17216 4509 LAB MEDICINE(SRL) IMMUNOHISTOCHEMISTRY : SINGLE MARKER (5030-SRL) 2700 3612 3612 3612 3612 3612 3612 4912 5201 5778 4510 LAB MEDICINE(SRL) IMMUNOHISTOCHEMISTRY : THREE MARKER (5032-SRL) 4020 5378 5378 5378 5378 5378 5378 7314 7744 8604 4511 LAB MEDICINE(SRL) IMMUNOREACTIVE TRYPSINOGEN, DRIED BLOOD SPOT (3307- 610 832 832 832 832 832 832 1131 1197 1330 4512 LAB MEDICINE(SRL) IMMUNOREACTIVITY OF PRIMARY CNS, TISSUE (Z240-SRL) 10470 13874 13874 13874 13874 13874 13874 18869 19979 22198 4513 LAB MEDICINE(SRL) INDIRECT COOMBS TEST, SERUM (1121-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4514 LAB MEDICINE(SRL) INDOOR PANEL (1428-SRL) 5620 7448 7448 7448 7448 7448 7448 10129 10725 11916 4515 LAB MEDICINE(SRL) INFECTIOUS MONONUCLEOSIS RAPID TEST, SERUM (9081-SRL) 8520 11290 11290 11290 11290 11290 11290 15355 16258 18064 4516 LAB MEDICINE(SRL) INFLUENZA VIRUS A ANTIBODIES (8169-SRL) 16720 22155 22155 22155 22155 22155 22155 30131 31904 35448 4517 LAB MEDICINE(SRL) INFLUENZA VIRUS A IGG, SERUM (9609I-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4518 LAB MEDICINE(SRL) INFLUENZA VIRUS A IGM, SERUM (9610I-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4519 LAB MEDICINE(SRL) INFLUENZA VIRUS B ANTIBODIES (8175-SRL) 16720 22155 22155 22155 22155 22155 22155 30131 31904 35448 4520 LAB MEDICINE(SRL) INFLUENZA VIRUS B IGG, SERUM (9605I-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4521 LAB MEDICINE(SRL) INFLUENZA VIRUS B IGM, SERUM (9607I-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4522 LAB MEDICINE(SRL) INHIBIN (Z0149K-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4523 LAB MEDICINE(SRL) INHIBIN A (3983-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4524 LAB MEDICINE(SRL) INHIBIN B, LH, FSH & PROLACTIN (1013-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4525 LAB MEDICINE(SRL) INHIBIN B, SERUM (3339-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4526 LAB MEDICINE(SRL) INSULIN (3256-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4527 LAB MEDICINE(SRL) INSULIN LIKE GROWTH FACTOR - I, SERUM (3194-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4528 LAB MEDICINE(SRL) INSULIN, SERUM (3192-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4529 LAB MEDICINE(SRL) INTERLEUKIN 5, PLASMA (82268-SRL) 13170 17452 17452 17452 17452 17452 17452 23734 25130 27922 4530 LAB MEDICINE(SRL) INTRINSIC FACTOR BLOCKING ANTIBODY, SERUM (9335-SRL) 15120 20035 20035 20035 20035 20035 20035 27248 28851 32056 4531 LAB MEDICINE(SRL) INTRINSIC FACTOR IGG, SERUM (9919I-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4532 LAB MEDICINE(SRL) INVERSION 16 (FISH) (6015F-SRL) 5820 7713 7713 7713 7713 7713 7713 10489 11106 12340 4533 LAB MEDICINE(SRL) IODINE, PLASMA OR SERUM (81574-SRL) 17820 23613 23613 23613 23613 23613 23613 32113 34002 37780 4534 LAB MEDICINE(SRL) IRON, SERUM (3532D-SRL) 410 559 559 559 559 559 559 760 805 894 4535 LAB MEDICINE(SRL) IUAC (HM0651-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4536 LAB MEDICINE(SRL) JAK2 EXON 12 MUTATION DETECTION (RD1310-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4537 LAB MEDICINE(SRL) JAK2 V617F MUTATION DETECTION (8386-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4538 LAB MEDICINE(SRL) JAPANESE ENCEPHALITIS VIRUS RNA DETECTION (7595-SRL) 4740 6282 6282 6282 6282 6282 6282 8543 9045 10050 4539 LAB MEDICINE(SRL) JC/BK DNA PCR (9937-SRL) 5070 6719 6719 6719 6719 6719 6719 9138 9675 10750 4540 LAB MEDICINE(SRL) JC/BK VIRUS 6800 9010 9010 9010 9010 9010 9010 12254 12975 14416 4541 LAB MEDICINE(SRL) JC/BK VIRUS DETECTION BY PCR 24920 33020 33020 33020 33020 33020 33020 44908 47549 52832 4542 LAB MEDICINE(SRL) K167,PHOTO, TISSUE/PARAFFIN BLOCK (Z006KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4543 LAB MEDICINE(SRL) KAPPA LIGHT CHAIN (1675BK-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 4544 LAB MEDICINE(SRL) KAPPA LIGHT CHAIN IHC, TISSUE/PARAFFIN BLOCK (Z031K-SRL) 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4545 LAB MEDICINE(SRL) KAPPA,PHOTO, TISSUE/PARAFFIN BLOCK (Z031KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4546 LAB MEDICINE(SRL) KELLOGGS (HM60-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4547 LAB MEDICINE(SRL) KFT PANEL - VK (1542-SRL) 1080 1080 1190 1350 1350 1350 1520 1840 1950 2160 4548 LAB MEDICINE(SRL) KI-67, TISSUE/PARAFFIN BLOCK (Z006K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4549 LAB MEDICINE(SRL) KIDNEY BIOPSY (1534-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4550 LAB MEDICINE(SRL) KIDNEY BIOPSY REFLEX TO IFA (9205RFX-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4551 LAB MEDICINE(SRL) KIDNEY PANEL - 1 (1342-SRL) 1055 1320 1320 1320 1320 1320 1480 1630 1795 1660 4552 LAB MEDICINE(SRL) KIDNEY PANEL - II 950 1190 1190 1190 1190 1190 1190 1620 1710 1900 4553 LAB MEDICINE(SRL) KIDNEY PANEL - II (1574-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4554 LAB MEDICINE(SRL) KIDNEY TRANSPLANT PANEL - VK (1541-SRL) 1440 1440 1590 1800 1800 1800 2020 2450 2600 2880 4555 LAB MEDICINE(SRL) KRAS CODON 12 & 13 MUTATION DETECTION (RD1307-SRL) 8420 11158 11158 11158 11158 11158 11158 15175 16067 17852 4556 LAB MEDICINE(SRL) L-LACTATE, CSF (7441CD-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4557 LAB MEDICINE(SRL) L-LACTATE, FLUORIDE PLASMA (7441D-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4558 LAB MEDICINE(SRL) L.DONOVONI BODIES DETECTION (1492-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4559 LAB MEDICINE(SRL) LACTATE DEHYDROGENASE (LDH) ISOENZYMES (9991-SRL) 6450 8070 8070 8070 8070 8070 8070 10970 11610 12900 4560 LAB MEDICINE(SRL) LACTATE DEHYDROGENASE, SERUM (1009H-SRL) 360 492 492 492 492 492 492 669 708 786 4561 LAB MEDICINE(SRL) LAMBDA LIGHT CHAIN IHC, TISSUE/PARAFFIN BLOCK (Z032K-SR 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4562 LAB MEDICINE(SRL) LAMDA,PHOTO, TISSUE/PARAFFIN BLOCK (Z032KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4563 LAB MEDICINE(SRL) LAMOTRIGINE, PLASMA OR SERUM (80999-SRL) 12720 16855 16855 16855 16855 16855 16855 22923 24272 26968 4564 LAB MEDICINE(SRL) LARGE SPECIMEN (ONE BIG/TWO SMALL), TISSUE/PB (1507-SR 2695 3370 3370 3370 3370 3370 3775 4155 4585 5394 4565 LAB MEDICINE(SRL) LDL SUBFRACTIONATION, PLASMA (81913-SRL) 14070 18644 18644 18644 18644 18644 18644 25356 26847 29830 4566 LAB MEDICINE(SRL) LDL/HDL RATIO 400 545 545 545 545 545 545 742 785 872 4567 LAB MEDICINE(SRL) LE CELL EXAMINATION, BLOOD (1398-SRL) 260 355 355 355 355 355 355 483 512 568 4568 LAB MEDICINE(SRL) LEAD WITH DEMOGRAPHICS, BLOOD (15070-SRL) 11670 15464 15464 15464 15464 15464 15464 21031 22268 24742 4569 LAB MEDICINE(SRL) LEAD, BLOOD (9142-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4570 LAB MEDICINE(SRL) LEAD, HAIR OR NAILS (8495-SRL) 14070 18644 18644 18644 18644 18644 18644 25356 26847 29830 4571 LAB MEDICINE(SRL) LEAD, URINE 11370 15067 15067 15067 15067 15067 15067 20491 21696 24106 4572 LAB MEDICINE(SRL) LEGIONELLA PNEUMOPHILA ANTIBODIES (8122-SRL) 13670 18114 18114 18114 18114 18114 18114 24635 26084 28982 4573 LAB MEDICINE(SRL) LEGIONELLA SPP.CULTURE (2404-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4574 LAB MEDICINE(SRL) LEISHMANIA SPECIES CULTURE (1420-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4575 LAB MEDICINE(SRL) LEISHMANIASIS (VISCERAL) AB, S (86219-SRL) 14020 18578 18578 18578 18578 18578 18578 25266 26752 29724 4576 LAB MEDICINE(SRL) LEPRA SMEAR (2438E-SRL) 260 355 355 355 355 355 355 483 512 568 4577 LAB MEDICINE(SRL) LEPTO CHEQ (DT3220-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4578 LAB MEDICINE(SRL) LEPTOSPIRA DARK FIELD & CULTURE (2398-SRL) 1260 1702 1702 1702 1702 1702 1702 2314 2450 2722 4579 LAB MEDICINE(SRL) LEPTOSPIRA DETECTION (1417-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4580 LAB MEDICINE(SRL) LEPTOSPIRA DNA PCR (9910-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4581 LAB MEDICINE(SRL) LEPTOSPIRA IGG, SERUM (7551-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4582 LAB MEDICINE(SRL) LEPTOSPIRA IGM, SERUM (7621-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4583 LAB MEDICINE(SRL) LEUCOCYTE ALKALINE PHOSPHATASE (LAP) SCORE (Z207K-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4584 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS - PANEL 6 (1678-SRL)[1678][1678]7920 10495 10495 10495 10495 10495 10495 14274 15113 16792 4585 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS-PANEL 1 (1625-SRL) 8820 11688 11688 11688 11688 11688 11688 15895 16830 18700 4586 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS-PANEL 2 (1626-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4587 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS-PANEL 3 (1627-SRL) 9370 12417 12417 12417 12417 12417 12417 16887 17880 19866 4588 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS-PANEL 4 (1628-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4589 LAB MEDICINE(SRL) LEUKEMIA TRANSLOCATIONS-PANEL 5 (1624-SRL) 6220 8243 8243 8243 8243 8243 8243 11210 11870 13188 4590 LAB MEDICINE(SRL) LEUTINIZING HORMONE(LH), TISSUE/PB (Z164K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4591 LAB MEDICINE(SRL) LGL PANEL (1613-SRL) 11385 15087 15087 15087 15087 15087 15087 20518 21725 24138 4592 LAB MEDICINE(SRL) LH, FSH, PROLACTIN, SERUM (2021-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 4593 LAB MEDICINE(SRL) LIPASE, SERUM (3369D-SRL) 990 1240 1240 1240 1240 1240 1390 1530 1685 1548 4594 LAB MEDICINE(SRL) LIPID ELECTROPHORESIS (1587-SRL) 4320 5779 5779 5779 5779 5779 5779 7860 8322 9246 4595 LAB MEDICINE(SRL) LIPID SCREEN (1383-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4596 LAB MEDICINE(SRL) LIPOPROTEIN (A), SERUM (3446D-SRL) 1560 2107 2107 2107 2107 2107 2107 2865 3033 3370 4597 LAB MEDICINE(SRL) LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2 ACTIVITY. 7500 9380 9380 9380 9380 9380 9380 12750 13500 15000 4598 LAB MEDICINE(SRL) LIQUIPREP CYTOLOGY-SEMI AUTOMATED (1274-SRL) 1270 1585 1585 1585 1585 1585 1775 1955 2155 2506 4599 LAB MEDICINE(SRL) LISTERIA ANTIBODY, CF(SERUM) (90048-SRL) 11120 14735 14735 14735 14735 14735 14735 20040 21219 23576 4600 LAB MEDICINE(SRL) LITHIUM, SERUM (4871-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4601 LAB MEDICINE(SRL) LIVER & KIDNEY PROFILE (1022-SRL) 1685 2105 2105 2105 2105 2105 2360 2600 2865 3370 4602 LAB MEDICINE(SRL) LIVER FUNCTION PROFILE, SERUM (1388-SRL) 1450 1810 1810 1810 1810 1810 2025 2230 2460 2640 4603 LAB MEDICINE(SRL) LIVER FUNCTION TEST (WITHOUT GGT) (1387-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 4604 LAB MEDICINE(SRL) LIVER PROFILE - 2 (1389-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4605 LAB MEDICINE(SRL) LIVER-KIDNEY-MICRO ABS (1115-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4606 LAB MEDICINE(SRL) LIVER/KIDNEY MICROSOME TYPE 1 AB, S (80387-SRL) 13020 17253 17253 17253 17253 17253 17253 23464 24844 27604 4607 LAB MEDICINE(SRL) LIVORHYTHM-1 (DT6301-SRL) 6870 9104 9104 9104 9104 9104 9104 12382 13110 14566 4608 LAB MEDICINE(SRL) LIVORHYTHM-2, SERUM (DT6302-SRL) 6270 8309 8309 8309 8309 8309 8309 11300 11965 13294 4609 LAB MEDICINE(SRL) LIVORHYTHM-3 (DT6303-SRL) 5270 6984 6984 6984 6984 6984 6984 9498 10057 11174 4610 LAB MEDICINE(SRL) LIVORHYTHM-4 (DT6304-SRL) 8720 11555 11555 11555 11555 11555 11555 15715 16640 18488 4611 LAB MEDICINE(SRL) LUNG CANCER PANEL 17280 21600 21600 21600 21600 21600 21600 29380 31110 34560 4612 LAB MEDICINE(SRL) LUPUS ANTICOAGULANT (5964-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 4613 LAB MEDICINE(SRL) LUPUS ANTICOAGULANT SCREEN 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4614 LAB MEDICINE(SRL) LUTEINIZING HORMONE, SERUM (3198-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4615 LAB MEDICINE(SRL) LYME DISEASE AB, CONF, S (9535-SRL) 17970 23812 23812 23812 23812 23812 23812 32384 34289 38098 4616 LAB MEDICINE(SRL) LYMPH ENUM,BASIC & NK (1668-SRL) 8570 11357 11357 11357 11357 11357 11357 15445 16353 18170 4617 LAB MEDICINE(SRL) LYMPH ENUM,T & B CELL (1658B-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4618 LAB MEDICINE(SRL) LYMPHOCYTE ENUMERATION (1669-SRL) 6920 9170 9170 9170 9170 9170 9170 12472 13205 14672 4619 LAB MEDICINE(SRL) LYMPHOCYTE SUBSET (T-CELLS), BLOOD (1656B-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4620 LAB MEDICINE(SRL) LYMPHOCYTE SUBSET ENUMERATION, BASIC (1671B-SRL) 6170 8177 8177 8177 8177 8177 8177 11120 11774 13082 4621 LAB MEDICINE(SRL) LYMPHOCYTE SUBSET ENUMERATION, BLOOD (1657B-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4622 LAB MEDICINE(SRL) LYMPHOCYTE SUBSET(CD4 PERCENTAGE & ABSOLUTE COUNT)1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4623 LAB MEDICINE(SRL) LYMPHOMA DIFFERENTIAL DIAGNOSIS (Z219-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 4624 LAB MEDICINE(SRL) LYMPHOMA HP & IHC (1674S-SRL) 8620 11423 11423 11423 11423 11423 11423 15535 16449 18276 4625 LAB MEDICINE(SRL) LYMPHOMA IHC 10670 14139 14139 14139 14139 14139 14139 19229 20360 22622 4626 LAB MEDICINE(SRL) LYMPHOMA VS THYMOMA (Z218-SRL) 6720 8905 8905 8905 8905 8905 8905 12111 12824 14248 4627 LAB MEDICINE(SRL) LYSOZYME (MURAMIDASE), PLASMA (8507-SRL) 15570 20632 20632 20632 20632 20632 20632 28059 29709 33010 4628 LAB MEDICINE(SRL) MACROCYTIC ANEMIA PANEL (3524-SRL) 2770 3705 3705 3705 3705 3705 3705 5039 5336 5928 4629 LAB MEDICINE(SRL) MAGNESIUM, 24HRS URINE (4866UH-SRL) 460 628 628 628 628 628 628 854 904 1004 4630 LAB MEDICINE(SRL) MAGNESIUM, SERUM (4866H-SRL) 590 740 740 740 740 740 830 915 1005 940 4631 LAB MEDICINE(SRL) MALARIA ANTIBODIES RAPID TEST (1394-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4632 LAB MEDICINE(SRL) MALARIA ANTIGEN DETECTION, BLOOD (1395-SRL) 770 960 960 960 960 960 1075 1185 1305 1440 4633 LAB MEDICINE(SRL) MALARIAL PARASITE (M.P), EDTA WHOLE BLOOD/SMEAR (1397- 310 423 423 423 423 423 423 575 609 676 4634 LAB MEDICINE(SRL) MALIGNANT TUMORS : LYMPHOMA VS CARCINOMA, TISSUE (Z3720 4977 4977 4977 4977 4977 4977 6768 7166 7962 4635 LAB MEDICINE(SRL) MAPLE SYRUP URINE DISEASE, DRIED BLOOD SPOT (3322-SRL) 510 695 695 695 695 695 695 946 1001 1112 4636 LAB MEDICINE(SRL) MDR-TB RAPID GENOTYPIC TEST (9950-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4637 LAB MEDICINE(SRL) MEASLES IGG & IGM (8771-SRL) 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 4638 LAB MEDICINE(SRL) MEASLES IGG ANTIBODIES, SERUM (8776-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4639 LAB MEDICINE(SRL) MEASLES IGM ANTIBODIES, SERUM (8781-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4640 LAB MEDICINE(SRL) MEDIUM BIOPSY SPECIMEN, TISSUE/PARAFFIN BLOCK (1511-S 2010 2510 2510 2510 2510 2510 2810 3095 3415 3046 4641 LAB MEDICINE(SRL) MENOPAUSAL DIAGNOSTIC PANEL (1006-SRL) 1710 2309 2309 2309 2309 2309 2309 3140 3325 3694 4642 LAB MEDICINE(SRL) MENOPAUSAL MONITORING PANEL (1008-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4643 LAB MEDICINE(SRL) MERCURY, 24HRS URINE (8411U24-SRL) 3670 4909 4909 4909 4909 4909 4909 6676 7069 7854 4644 LAB MEDICINE(SRL) MERCURY, BLOOD 14570 19307 19307 19307 19307 19307 19307 26257 27801 30890 4645 LAB MEDICINE(SRL) MERCURY, HAIR OR NAILS (8498-SRL) 14920 19770 19770 19770 19770 19770 19770 26888 28469 31632 4646 LAB MEDICINE(SRL) MERCURY, URINE (8411U-SRL) 3670 17590 17590 17590 17590 17590 17590 23920 25330 28140 4647 LAB MEDICINE(SRL) MERCURY, URINE (8411U-SRL) 14070 14070 15480 17590 17590 17590 19700 23920 25330 28140 4648 LAB MEDICINE(SRL) MERCURY,SERUM (9131-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4649 LAB MEDICINE(SRL) METANEPHRINE-FREE, PLASMA (EDTA PLASMA, ELISA) (3315P 6880 6880 6880 6880 6880 6880 6880 9360 9910 11010 4650 LAB MEDICINE(SRL) METANEPHRINES (3317-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4651 LAB MEDICINE(SRL) METANEPHRINES, FRACTIONATED, 24HR, U (83006-SRL) 15370 20367 20367 20367 20367 20367 20367 27699 29328 32586 4652 LAB MEDICINE(SRL) METASIS OF UNKNOWN ORIGIN, TISSUE (Z243K-SRL) 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4653 LAB MEDICINE(SRL) METHAEMOGLOBIN ESTIMATION, BLOOD (4202-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4654 LAB MEDICINE(SRL) METHAMPHETAMINE, URINE (4130-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4655 LAB MEDICINE(SRL) METHOTREXATE, SERUM (8721-SRL) 14570 19307 19307 19307 19307 19307 19307 26257 27801 30890 4656 LAB MEDICINE(SRL) METHYLMALONIC ACID (MMA), QUANTITATIVE, SERUM (80289-20820 27588 27588 27588 27588 27588 27588 37519 39726 44140 4657 LAB MEDICINE(SRL) METHYLMALONIC ACID, URINE (2124-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4658 LAB MEDICINE(SRL) MG/LES EVALUATION (83369-SRL) 52120 69060 69060 69060 69060 69060 69060 93922 99447 110496 4659 LAB MEDICINE(SRL) MHPG(3-METHOXY-4-HYDROXYPHENYLGLYCOL),URINE (8597- 15120 20035 20035 20035 20035 20035 20035 27248 28851 32056 4660 LAB MEDICINE(SRL) MIB 1 (Z245K-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4661 LAB MEDICINE(SRL) MIC-2, TISSUE/PARAFFIN BLOCK (Z218K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4662 LAB MEDICINE(SRL) MICROALBUMINURIA, URINE (3441UD-SRL) 730 910 910 910 910 910 1020 1125 1240 1112 4663 LAB MEDICINE(SRL) MICROFILARIA DETECTION, BLOOD (1493-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 4664 LAB MEDICINE(SRL) MICROSATELLITE INSTABILITY (MSI) (RD1461-SRL) 26000 34450 34450 34450 34450 34450 34450 46852 49608 55120 4665 LAB MEDICINE(SRL) MISMATCH REPAIR GENE (IHC) (9336-SRL) 10500 10500 10500 10500 10500 10500 10500 14280 15120 16800 4666 LAB MEDICINE(SRL) MPL MUTATION DETECTION (RD1322-SRL) 6800 6800 7480 8500 8500 8500 9520 11560 12240 13600 4667 LAB MEDICINE(SRL) MRD FOR B ALL 15300 19130 19130 19130 19130 19130 19130 26010 27540 30600 4668 LAB MEDICINE(SRL) MTHFR GENE MUTATION (9802-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 4669 LAB MEDICINE(SRL) MULTIPLE ENDO NEOPLASIA 2 A MOL ANAL (80573-SRL) 32520 43090 43090 43090 43090 43090 43090 58603 62050 68944 4670 LAB MEDICINE(SRL) MULTIPLE ENDOCRINE NEOPLASIA TYPE 2B (81427-SRL) 38270 50709 50709 50709 50709 50709 50709 68964 73021 81134 4671 LAB MEDICINE(SRL) MULTIPLE MYELOMA PANEL FISH (6031F-SRL) 12020 15928 15928 15928 15928 15928 15928 21662 22936 25484 4672 LAB MEDICINE(SRL) MULTIPLE SCLEROSIS PROFILE (83305-SRL) 25420 33683 33683 33683 33683 33683 33683 45809 48503 53892 4673 LAB MEDICINE(SRL) MUMPS IGG & IGM ANTIBODIES (9711-SRL) 3220 4308 4308 4308 4308 4308 4308 5859 6203 6892 4674 LAB MEDICINE(SRL) MUMPS IGG ANTIBODIES, SERUM (9716-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4675 LAB MEDICINE(SRL) MUMPS IGM ANTIBODIES, SERUM (9721-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4676 LAB MEDICINE(SRL) MURINE TYPHUS ANTIBODIES, IGG ONLY, SERUM (8016-SRL) 15870 21029 21029 21029 21029 21029 21029 28600 30282 33646 4677 LAB MEDICINE(SRL) MUSCLE BIOPSY (1533-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4678 LAB MEDICINE(SRL) MUSK ANTIBODY (91445-SRL) 36920 48920 48920 48920 48920 48920 48920 66532 70445 78272 4679 LAB MEDICINE(SRL) MYCO3PLEX (2435-SRL) 4850 6065 6065 6065 6065 6065 6795 7475 8250 9032 4680 LAB MEDICINE(SRL) MYCO3PLEX AD WITH FREE ADA (2435F-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4681 LAB MEDICINE(SRL) MYCO3PLEX AD WITH FREE HISTOPATHOLOGY (2435T-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4682 LAB MEDICINE(SRL) MYCOBACT CULTURE-BACTEC (1465-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4683 LAB MEDICINE(SRL) MYCOBACTERIA DETECTION A-R SMEAR (1122-SRL) 560 764 764 764 764 764 764 1039 1100 1222 4684 LAB MEDICINE(SRL) MYCOBACTERIUM CULTURE - BACTEC EXTRA PULMONARY (1464E1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 4685 LAB MEDICINE(SRL) MYCOBACTERIUM LEPRAE DNA DETECTOR (2401-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4686 LAB MEDICINE(SRL) MYCOBACTERIUM TB, AMPLIFIED DIRECT (81383-SRL) 32620 43223 43223 43223 43223 43223 43223 58783 62241 69156 4687 LAB MEDICINE(SRL) MYCOPLASMA PNEUMONIAE IGG ANTIBODIES, SERUM (8746- 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4688 LAB MEDICINE(SRL) MYCOPLASMA PNEUMONIAE IGM, SERUM (8746M-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4689 LAB MEDICINE(SRL) MYCOREAL (2434-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4690 LAB MEDICINE(SRL) MYCORESIST (2430-SRL) 4870 6454 6454 6454 6454 6454 6454 8778 9294 10326 4691 LAB MEDICINE(SRL) MYCOTECT (2439-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4692 LAB MEDICINE(SRL) MYELIN BASIC PROTEIN (RD1467-SRL) 4800 6360 6360 6360 6360 6360 6360 8650 9159 10176 4693 LAB MEDICINE(SRL) MYELIN BASIC PROTEIN, SPINAL FLUID (9974-SRL) 2800 3500 3500 3500 3500 3500 3500 4760 5040 5600 4694 LAB MEDICINE(SRL) MYELODYSPLASTIC SYNDROME EVALUATION (FISH) (6018F-SR 8270 10959 10959 10959 10959 10959 10959 14904 15781 17534 4695 LAB MEDICINE(SRL) MYELOMA PANEL (1607-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4696 LAB MEDICINE(SRL) MYELOPEROXIDASE (MPO), BLOOD/SMEAR (Z206-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4697 LAB MEDICINE(SRL) MYELOPEROXIDASE ANTIBODIES SERUM (80389-SRL) 19570 25932 25932 25932 25932 25932 25932 35267 37341 41490 4698 LAB MEDICINE(SRL) MYELOPEROXIDASE, IHC, TISSUE/PARAFFIN BLOCK (Z210K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4699 LAB MEDICINE(SRL) MYELOPROLIFERATIVE NEOPLASM REFLEX PANEL 15000 15000 15000 15000 15000 15000 15000 20400 21600 24000 4700 LAB MEDICINE(SRL) MYO D1 2300 3077 3077 3077 3077 3077 3077 4184 4430 4922 4701 LAB MEDICINE(SRL) MYOGLOBIN, URINE (9273-SRL) 11260 14920 14920 14920 14920 14920 14920 20292 21485 23872 4702 LAB MEDICINE(SRL) MYOGLOBULIN, TISSUE/PARAFFIN BLOCK (Z095K-SRL) 2220 3780 3780 3780 3780 3780 3780 5140 5440 6040 4703 LAB MEDICINE(SRL) MYOGLOBULIN, TISSUE/PARAFFIN BLOCK (Z095K-SRL) 3020 3020 3330 3780 3780 3780 4230 5140 5440 6040 4704 LAB MEDICINE(SRL) MYOTONIC DYSTROPHY, MOLECULAR ANALYSIS, BLOOD (80572-49220 65218 65218 65218 65218 65218 65218 88696 93914 104348 4705 LAB MEDICINE(SRL) N-GAL 1600 2000 2000 2000 2000 2000 2000 2720 2880 3200 4706 LAB MEDICINE(SRL) N-TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE (2121-SRL) 3750 4690 4690 4690 4690 4690 5255 5785 6380 5394 4707 LAB MEDICINE(SRL) NATURAL KILLER PANEL (1611-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4708 LAB MEDICINE(SRL) NBS PANEL 950 1295 1295 1295 1295 1295 1295 1762 1865 2072 4709 LAB MEDICINE(SRL) NEISSERIA MENINGITIDIS ANTIGEN (9611-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4710 LAB MEDICINE(SRL) NEISSERIA MENINGITIDIS ANTIGEN, CSF (9611C-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4711 LAB MEDICINE(SRL) NEONATAL KARYOTYPING (5815-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4712 LAB MEDICINE(SRL) NEONATAL SCREENING - PANEL - I (3328IA-SRL) 3470 4642 4642 4642 4642 4642 4642 6313 6684 7426 4713 LAB MEDICINE(SRL) NEONATAL SCREENING - PANEL II (3328IB-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4714 LAB MEDICINE(SRL) NEONATAL SCREENING PANEL - 3 (3328IC-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 4715 LAB MEDICINE(SRL) NEONATAL SCREENING PANEL - 4 (3328ID-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4716 LAB MEDICINE(SRL) NEOPLASMS, TISSUE/PARAFFIN BLOCK (Z241-SRL) 12770 16922 16922 16922 16922 16922 16922 23013 24367 27074 4717 LAB MEDICINE(SRL) NERVE BIOPSY (1532-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4718 LAB MEDICINE(SRL) NEUROMUSCULAR DISORDERS MTDNA PANEL (RD1463-SRL) 12020 15928 15928 15928 15928 15928 15928 21662 22936 25484 4719 LAB MEDICINE(SRL) NEURON SPECIFIC ENOLASE (1702-SRL) 4500 4500 4500 4500 4500 4500 4500 6120 6480 7200 4720 LAB MEDICINE(SRL) NEURON-SPECIFIC ENOLASE (NSE), SERUM (80913-SRL) 9520 12615 12615 12615 12615 12615 12615 17157 18166 20184 4721 LAB MEDICINE(SRL) NEURON-SPECIFIC ENOLASE(NSE),SPINAL FLUID (81796-SRL) 13020 17253 17253 17253 17253 17253 17253 23464 24844 27604 4722 LAB MEDICINE(SRL) NEUROTOPIC VIRUS PANEL (RD1462-SRL) 4420 5913 5913 5913 5913 5913 5913 8041 8514 9460 4723 LAB MEDICINE(SRL) NEUTROPHIL OXIDATIVE BURST, BLOOD (82560-SRL) 19970 26462 26462 26462 26462 26462 26462 35988 38105 42338 4724 LAB MEDICINE(SRL) NEUTROTRANSMITTER METABOLITES (99991-SRL) 19170 25402 25402 25402 25402 25402 25402 34546 36578 40642 4725 LAB MEDICINE(SRL) NEUVO SKIN PANEL (7010-SRL) 4020 5378 5378 5378 5378 5378 5378 7314 7744 8604 4726 LAB MEDICINE(SRL) NEWBORN SCREENING FOR ACYLCARNITINE & AMINO ACIDS (6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4727 LAB MEDICINE(SRL) NEWBORN SCREENING FOR ACYLCARNITINE & AMINO ACIDS (6020 6382 7021 7978 7978 7978 8935 10850 11488 12764 4728 LAB MEDICINE(SRL) NEWBORN SCREENING FOR ACYLCARNITINE & AMINO ACIDS (4320 5779 5779 5779 5779 5779 5779 7860 8322 9246 4729 LAB MEDICINE(SRL) NHL - IMMUNOPHENOTYPING (Z222-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4730 LAB MEDICINE(SRL) NICKEL, SERUM (9132-SRL) 5630 5630 5630 5630 5630 5630 5630 7660 8110 9010 4731 LAB MEDICINE(SRL) NICOTINE AND METABOLITES, SERUM (82509-SRL) 12770 16922 16922 16922 16922 16922 16922 23013 24367 27074 4732 LAB MEDICINE(SRL) NICOTINE AND METABOLITES, URINE (82510-SRL) 13620 18048 18048 18048 18048 18048 18048 24545 25989 28876 4733 LAB MEDICINE(SRL) NICOTINE METABOLITE, URINE (8826-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4734 LAB MEDICINE(SRL) NK CELL EVALUATION (5422-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4735 LAB MEDICINE(SRL) NMO-IGG, SERUM 37720 49980 49980 49980 49980 49980 49980 67973 71972 79968 4736 LAB MEDICINE(SRL) NON VEG PANEL (1425-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4737 LAB MEDICINE(SRL) NON-HODGKIN S LYMPHOMA VS HODGKIN S DISEASE (Z220-SR 7370 9767 9767 9767 9767 9767 9767 13283 14064 15626 4738 LAB MEDICINE(SRL) NORTRIPTYLINE, PLASMA (81858-SRL) 12120 16060 16060 16060 16060 16060 16060 21842 23127 25696 4739 LAB MEDICINE(SRL) NP57 (NEUTROPHIL ELAST), TISSUE/PB (Z027K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4740 LAB MEDICINE(SRL) NRAS EXON 1 AND 2 MUTATION (RD1316-SRL) 6000 7950 7950 7950 7950 7950 7950 10812 11448 12720 4741 LAB MEDICINE(SRL) NUERON SPEC ENOLASE, TISSUE/PB (Z048K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4742 LAB MEDICINE(SRL) O6-METHYLGUANINE METHYLTRANSFERASE (MGMT) PROMOT 6250 8282 8282 8282 8282 8282 8282 11263 11925 13250 4743 LAB MEDICINE(SRL) OBEY - CT PANEL I (DT8101-SRL) 3970 5310 5310 5310 5310 5310 5310 7222 7647 8496 4744 LAB MEDICINE(SRL) OBEY - CT PANEL II (DT8102-SRL) 4520 5990 5990 5990 5990 5990 5990 8147 8626 9584 4745 LAB MEDICINE(SRL) OLIGOCLONAL BANDS, CSF (1316-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4746 LAB MEDICINE(SRL) OPIATES,URINE (4138U-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4747 LAB MEDICINE(SRL) ORANGE INDIA - PRE-EMPLOYMENT SCREENING (HM0527-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4748 LAB MEDICINE(SRL) ORGANIC ACIDS SCREEN, URINE (3966-SRL) 8250 8250 8250 8250 8250 8250 8250 11220 11880 13200 4749 LAB MEDICINE(SRL) OROTIC ACID, URINE (8905-SRL) 21020 27853 27853 27853 27853 27853 27853 37880 40108 44564 4750 LAB MEDICINE(SRL) OSMOLALITY SERUM 560 764 764 764 764 764 764 1039 1100 1222 4751 LAB MEDICINE(SRL) OSMOLALITY, SERUMM 1060 1330 1330 1330 1330 1330 1330 1810 1910 2120 4752 LAB MEDICINE(SRL) OSMOLALITY, SERUMM 1060 1060 1170 1330 1330 1330 1490 1810 1910 2120 4753 LAB MEDICINE(SRL) OSMOLALITY, URINE (3231U-SRL) 1060 1330 1330 1330 1330 1330 1330 1810 1910 2120 4754 LAB MEDICINE(SRL) OSMOLALITY, URINE (3231U-SRL) 1060 1060 1170 1330 1330 1330 1490 1810 1910 2120 4755 LAB MEDICINE(SRL) OSMOTIC FRAGILITY TEST, BLOOD (5113-SRL) 400 500 500 500 500 500 500 680 720 800 4756 LAB MEDICINE(SRL) OSMOTIC FRAGILITY TEST, BLOOD (5113-SRL) 400 400 440 500 500 500 560 680 720 800 4757 LAB MEDICINE(SRL) OSTEOMON (1060-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4758 LAB MEDICINE(SRL) OSTEONECTIN (Z0150K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4759 LAB MEDICINE(SRL) OSTEOSCREEN PANEL - I (1017-SRL) 3370 4508 4508 4508 4508 4508 4508 6131 6491 7212 4760 LAB MEDICINE(SRL) OSTEOSCREEN PANEL II (1018-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4761 LAB MEDICINE(SRL) OT SURVEILLANCE (LC001-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4762 LAB MEDICINE(SRL) OUTDOOR PANEL (1430-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 4763 LAB MEDICINE(SRL) OVA & PARASITE: COCCIDIA (2363-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4764 LAB MEDICINE(SRL) OVARIAN MALIGNANCY RISK ALGORITHM (ROMA)-HE4+CA125 (2820 3773 3773 3773 3773 3773 3773 5131 5433 6036 4765 LAB MEDICINE(SRL) OXALATE, PLASMA (81408-SRL) 16020 21228 21228 21228 21228 21228 21228 28870 30568 33964 4766 LAB MEDICINE(SRL) P53 IHC, TISSUE/PARAFFIN BLOCK (Z008K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4767 LAB MEDICINE(SRL) P53,PHOTO, TISSUE/PARAFFIN BLOCK (Z008KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4768 LAB MEDICINE(SRL) PAN CYTOKERATIN IHC, TISSUE/PB (Z055K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4769 LAB MEDICINE(SRL) PANCREATIC ELASTASE 9900 12380 12380 12380 12380 12380 12380 16830 17820 19800 4770 LAB MEDICINE(SRL) PANFUNGAL DETECTION AND IDENTIFICATION PANEL (9602-SR 15020 19903 19903 19903 19903 19903 19903 27068 28660 31844 4771 LAB MEDICINE(SRL) PANFUNGAL DNA DETECTION (9603-SRL) 3120 4174 4174 4174 4174 4174 4174 5677 6011 6678 4772 LAB MEDICINE(SRL) PAP & PHOTO (1272P-SRL) 710 954 954 954 954 954 954 1298 1374 1526 4773 LAB MEDICINE(SRL) PAP DUO-LBC (1822-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4774 LAB MEDICINE(SRL) PAP SMEAR REFLEX HPV DETECTION (9216RFX-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4775 LAB MEDICINE(SRL) PAPANICOLAOU SMEAR (1272-SRL) 710 890 890 890 888 890 890 1210 1280 1420 4776 LAB MEDICINE(SRL) PAPILLARY LESION - THYROID (Z231-SRL) 6370 8442 8442 8442 8442 8442 8442 11481 12156 13506 4777 LAB MEDICINE(SRL) PARACETAMOL (1564I-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 4778 LAB MEDICINE(SRL) PARAFFIN BLOCK H&E SLIDE, TISSUE/PB (Z201K-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4779 LAB MEDICINE(SRL) PARAFFIN BLOCKS/H& E SLIDE, TISSUE/PB (Z202K-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4780 LAB MEDICINE(SRL) PARAINFLUENZA IGG, SERUM (9922I-SRL) 1710 2309 2309 2309 2309 2309 2309 3140 3325 3694 4781 LAB MEDICINE(SRL) PARANEOPLASTIC DISORDER PROFILE (3861-SRL) 5400 6750 6750 6750 6750 6750 6750 9180 9720 10800 4782 LAB MEDICINE(SRL) PARATHYROID HORMONE (INTACT), SERUM/PLASMA (3944-SR 1770 2210 2210 2210 2210 2210 2475 2725 3005 3262 4783 LAB MEDICINE(SRL) PARATHYROID HORMONE, PLASMA 1998 2500 2500 2500 2500 2500 2500 3400 3600 4000 4784 LAB MEDICINE(SRL) PARATHYROID HORMONE-RELATED PEPTIDE PLASMA (81774-S 21520 28515 28515 28515 28515 28515 28515 38781 41062 45624 4785 LAB MEDICINE(SRL) PARVOVIRUS B19 AB, IGG & IGM, S (84325-SRL) 16320 21625 21625 21625 21625 21625 21625 29410 31140 34600 4786 LAB MEDICINE(SRL) PARVOVIRUS B19 BY RAPID PCR (83151-SRL) 23670 31364 31364 31364 31364 31364 31364 42655 45164 50182 4787 LAB MEDICINE(SRL) PARVOVIRUS B19 DNA (3305-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4788 LAB MEDICINE(SRL) PARVOVIRUS B19 IGG ANTIBODIES, SERUM (2067I-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4789 LAB MEDICINE(SRL) PARVOVIRUS B19 IGM ANTIBODIES, SERUM (2068I-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4790 LAB MEDICINE(SRL) PCNA IHC, TISSUE/PARAFFIN BLOCK (Z010K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4791 LAB MEDICINE(SRL) PCOD PANEL (1011-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4792 LAB MEDICINE(SRL) PDGFR PLUS 8950 11859 11859 11859 11859 11859 11859 16128 17077 18974 4793 LAB MEDICINE(SRL) PEADIATRIC ALLERGY PANEL (5006-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4794 LAB MEDICINE(SRL) PEPSINOGEN I & II 11000 13750 13750 13750 13750 13750 13750 18700 19800 22000 4795 LAB MEDICINE(SRL) PERIODIC ACID - SCHIFF S (PAS), BLOOD (Z204-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4796 LAB MEDICINE(SRL) PERIPHERAL SMEAR EXAM, EDTA WHOLE BLOOD (5162-SRL) 260 355 355 355 355 355 355 483 512 568 4797 LAB MEDICINE(SRL) PHC DP (POST) (1544-SRL) 82 113 113 113 113 113 113 153 162 180 4798 LAB MEDICINE(SRL) PHC DPM (PRE) (1545-SRL) 1075 1452 1452 1452 1452 1452 1452 1974 2090 2322 4799 LAB MEDICINE(SRL) PHC DPQ (PRE) (1543-SRL) 3289 4400 4400 4400 4400 4400 4400 5984 6336 7040 4800 LAB MEDICINE(SRL) PHENOBARBITAL (1560-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4801 LAB MEDICINE(SRL) PHENYLALANINE, DRIED BLOOD SPOT (3312-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4802 LAB MEDICINE(SRL) PHENYTOIN, SERUM (4103-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4803 LAB MEDICINE(SRL) PHILADELPHIA CHROMOSOME (5834-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4804 LAB MEDICINE(SRL) PHOSPHORUS, 24HRS URINE (1591UH-SRL) 310 423 423 423 423 423 423 575 609 676 4805 LAB MEDICINE(SRL) PHOSPHORUS, SERUM (1591H-SRL) 300 375 375 375 375 375 420 465 510 600 4806 LAB MEDICINE(SRL) PHOTO(BIOPSY), TISSUE/PARAFFIN BLOCK (P0001-SRL) 140 192 192 192 192 192 192 261 276 306 4807 LAB MEDICINE(SRL) PHOTO, TISSUE/PARAFFIN BLOCK (P0002-SRL) 260 355 355 355 355 355 355 483 512 568 4808 LAB MEDICINE(SRL) PHOTO,IHC, TISSUE/PARAFFIN BLOCK (P0003-SRL) 210 287 287 287 287 287 287 390 413 458 4809 LAB MEDICINE(SRL) PIN 4 (Z222K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4810 LAB MEDICINE(SRL) PITUITARY LESIONS HORMONES - PITUITARY, TISSUE/PB (Z239- 8970 11887 11887 11887 11887 11887 11887 16166 17117 19018 4811 LAB MEDICINE(SRL) PIVKA-II (DECARBOXY PROTHROMBINE) 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 4812 LAB MEDICINE(SRL) PLACENTAL ALK PHOS IHC, TISSUE/PB (Z074K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4813 LAB MEDICINE(SRL) PLASMA RENIN ACTIVITY (3216-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 4814 LAB MEDICINE(SRL) PLATELET ANTIBODIES (SERUM,IMMUNOFLUORESCENCE) (5115-9200 11500 11500 11500 11500 11500 11500 15640 16560 18400 4815 LAB MEDICINE(SRL) PLATELET COUNT, EDTA WHOLE BLOOD (5160-SRL) 325 325 330 330 330 330 330 450 470 520 4816 LAB MEDICINE(SRL) PLEURAL EVALUATION PANEL (1723-SRL) 510 695 695 695 695 695 695 946 1001 1112 4817 LAB MEDICINE(SRL) PLEURAL FLUID, ROUTINE (5196-SRL) 510 695 695 695 695 695 695 946 1001 1112 4818 LAB MEDICINE(SRL) PML RARA T(15:17) BY FISH (6003F-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4819 LAB MEDICINE(SRL) PML/RARALPHA T(15:17) BY REAL TIME PCR (QUAL) (9905-SRL) 6370 8442 8442 8442 8442 8442 8442 11481 12156 13506 4820 LAB MEDICINE(SRL) PML/RARALPHA T(15:17) BY REAL TIME PCR (QUANT) (9906-SR 6370 8442 8442 8442 8442 8442 8442 11481 12156 13506 4821 LAB MEDICINE(SRL) PNDT- CHRIONIC VILLES BIOPSY (FISH) (5833F-SRL) 12670 16789 16789 16789 16789 16789 16789 22833 24176 26862 4822 LAB MEDICINE(SRL) PNDT- CHRIONIC VILLES BIOPSY (KARYOTYPING+FISH) (5833-SR 20270 26859 26859 26859 26859 26859 26859 36528 38677 42974 4823 LAB MEDICINE(SRL) PNH DIAGNOSIS (FLOW CYTOMETRY) (1672-SRL) 7670 10164 10164 10164 10164 10164 10164 13823 14636 16262 4824 LAB MEDICINE(SRL) PNUEMOCYSTIS CARINII DETECTION (7745S-SRL) 2190 2930 2930 2930 2930 2930 2930 3985 4220 4688 4825 LAB MEDICINE(SRL) POC KAROTYPING REFLEX POC FISH (9219RFX-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4826 LAB MEDICINE(SRL) POLYCYTHEMIA VERA REFLEX PANEL 7000 7000 7000 7000 7000 7000 7000 9520 10080 11200 4827 LAB MEDICINE(SRL) PORPHOBILINOGEN, (URINE)[] 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4828 LAB MEDICINE(SRL) PORPHOBILINOGEN, QN, RANDOM, U (82068-SRL) 13320 17650 17650 17650 17650 17650 17650 24004 25416 28240 4829 LAB MEDICINE(SRL) PORPHOBILINOGEN, URINE (4170-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4830 LAB MEDICINE(SRL) PORPHYRINS, 24HRS URINE (4516-SRL) 8250 8250 8250 8250 8250 8250 8250 11220 11880 13200 4831 LAB MEDICINE(SRL) PORPHYRINS, FRACTIONATION, PLASMA (8733-SRL) 18870 25004 25004 25004 25004 25004 25004 34006 36006 40006 4832 LAB MEDICINE(SRL) PORPHYRINS, FRACTIONATION, RBC (8735-SRL) 21870 28979 28979 28979 28979 28979 28979 39412 41730 46366 4833 LAB MEDICINE(SRL) PORPHYRINS, QUANTITATIVE, URINE (8562-SRL) 18720 24805 24805 24805 24805 24805 24805 33735 35720 39688 4834 LAB MEDICINE(SRL) PORPHYRINS, TOTAL, PLASMA (8731-SRL) 15970 21162 21162 21162 21162 21162 21162 28780 30473 33858 4835 LAB MEDICINE(SRL) POST TRANSPLANT PROFILE (8001-SRL) 31670 41964 41964 41964 41964 41964 41964 57071 60428 67142 4836 LAB MEDICINE(SRL) POTASSIUM, SERUM (5311HD-SRL) 335 420 420 420 420 420 470 520 570 580 4837 LAB MEDICINE(SRL) POTASSIUM, URINE (5311UHD-SRL) 260 355 355 355 355 355 355 483 512 568 4838 LAB MEDICINE(SRL) PRE CATH WORK TEST (HM0137B-SRL) 1760 2377 2377 2377 2377 2377 2377 3232 3422 3802 4839 LAB MEDICINE(SRL) PRE CTVS WORK TEST (HM0137A-SRL) 4570 6057 6057 6057 6057 6057 6057 8237 8721 9690 4840 LAB MEDICINE(SRL) PRE JOINTS WORKUP TEST (HM0137C-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 4841 LAB MEDICINE(SRL) PREALBUMIN (1550-SRL) 3270 4374 4374 4374 4374 4374 4374 5949 6299 6998 4842 LAB MEDICINE(SRL) PREGNANCY ASSOCIATED PLASMA PROTEIN A, SERUM (3300-S 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4843 LAB MEDICINE(SRL) PREGNANCY TEST, URINE (3189-SRL) 260 355 355 355 355 355 355 483 512 568 4844 LAB MEDICINE(SRL) PRENATAL AMNIOTIC FLUID KARYOTYPING (5832K-SRL) 13520 17915 17915 17915 17915 17915 17915 24365 25798 28664 4845 LAB MEDICINE(SRL) PRENATAL CHORIONIC VILLUS BIOPSY -KARYOTYPING (5833K-S 13520 17915 17915 17915 17915 17915 17915 24365 25798 28664 4846 LAB MEDICINE(SRL) PRENATAL DIAGNOSIS - AMNIOTI FLUID (5832-SRL) 22470 29774 29774 29774 29774 29774 29774 40493 42875 47638 4847 LAB MEDICINE(SRL) PRENATAL DIAGNOSIS - AMNIOTIC FLUID (5832F-SRL) 11870 15729 15729 15729 15729 15729 15729 21392 22650 25166 4848 LAB MEDICINE(SRL) PRENATAL DIAGNOSIS FETAL CORD BLD (5831F-SRL) 11870 15729 15729 15729 15729 15729 15729 21392 22650 25166 4849 LAB MEDICINE(SRL) PRENATAL DIAGNOSIS FETAL CORD BLOOD (5831-SRL) 14370 19042 19042 19042 19042 19042 19042 25897 27420 30466 4850 LAB MEDICINE(SRL) PRENATAL FETAL CORD BLOOD KARYOTYPING (5831K-SRL) 6020 7978 7978 7978 7978 7978 7978 10850 11488 12764 4851 LAB MEDICINE(SRL) PREOPERATIVE PANEL 250 320 320 320 320 320 320 430 450 500 4852 LAB MEDICINE(SRL) PREOPERATIVE PANEL (1344A-SRL) 1260 1702 1702 1702 1702 1702 1702 2314 2450 2722 4853 LAB MEDICINE(SRL) PROCALCITONIN (3226-SRL) 4035 5045 5045 5043 5045 5045 5650 6215 6860 8068 4854 LAB MEDICINE(SRL) PROD OF CONCEPTION CHR (5818-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4855 LAB MEDICINE(SRL) PROGESTERONE RECEPTOR, TISSUE/PB (Z002K-SRL) 1660 2242 2242 2242 2242 2242 2242 3049 3228 3586 4856 LAB MEDICINE(SRL) PROGESTERONE, SERUM (3163-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4857 LAB MEDICINE(SRL) PROLACTIN, SERUM (3206-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 4858 LAB MEDICINE(SRL) PROLACTIN, TISSUE/PARAFFIN BLOCK (Z165K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4859 LAB MEDICINE(SRL) PROLIFERATION MARKERS (Z228-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4860 LAB MEDICINE(SRL) PROPOXYPHENE, URINE (4148-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 4861 LAB MEDICINE(SRL) PROSTATE SEXTANT CORE BIOPSY (1539-SRL) 3470 4642 4642 4642 4642 4642 4642 6313 6684 7426 4862 LAB MEDICINE(SRL) PROSTATE SPECIFIC AG,IHC, TISSUE/PB (Z041K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4863 LAB MEDICINE(SRL) PROSTATE SPECIFIC ANTIGEN, SERUM (3546-SRL) 1145 1430 1430 1430 1430 1430 1600 1760 1945 2290 4864 LAB MEDICINE(SRL) PROTEIN C ACTIVITY, PLASMA (3836-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4865 LAB MEDICINE(SRL) PROTEIN ELECTROPHORESIS REFLEX TO IMMUNOFIXATION (9201R2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 4866 LAB MEDICINE(SRL) PROTEIN ELECTROPHORESIS, SERUM (1580-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 4867 LAB MEDICINE(SRL) PROTEIN REFLEX IMMUNOFIXATION ELECTROPHORESIS (9201R2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 4868 LAB MEDICINE(SRL) PROTEIN S ACTIVITY, PLASMA (3837-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4869 LAB MEDICINE(SRL) PROTEIN, 24HRS URINE (1324U-SRL) 310 423 423 423 423 423 423 575 609 676 4870 LAB MEDICINE(SRL) PROTHROMBIN G 20210 A GENE MUTATION, BLOOD (81742-S 38070 50444 50444 50444 50444 50444 50444 68604 72639 80710 4871 LAB MEDICINE(SRL) PROTHROMBIN TIME, PLASMA (3892-SRL) 650 810 810 810 810 810 905 1000 1100 1000 4872 LAB MEDICINE(SRL) PROTOPORPHYRINS, FRACTIONATION, ERYTHROCYTES (8739-S 17370 23017 23017 23017 23017 23017 23017 31303 33144 36826 4873 LAB MEDICINE(SRL) PS2 IHC, TISSUE/PARAFFIN BLOCK (Z007K-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4874 LAB MEDICINE(SRL) PSA FREE & TOTAL, SERUM (3547-SRL) 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 4875 LAB MEDICINE(SRL) PSA,PHOTO, TISSUE/PARAFFIN BLOCK (Z041KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4876 LAB MEDICINE(SRL) PSA-F 410 559 559 559 559 559 559 760 805 894 4877 LAB MEDICINE(SRL) PSEUDOCHOLINESTERASE, SERUM (8518I-SRL) 1150 1553 1553 1553 1553 1553 1553 2112 2236 2484 4878 LAB MEDICINE(SRL) PTT REFLEX CORRECTION (9221RFX-SRL) 560 764 764 764 764 764 764 1039 1100 1222 4879 LAB MEDICINE(SRL) PYRO DETECT (DT3101-SRL) 3420 4575 4575 4575 4575 4575 4575 6222 6588 7320 4880 LAB MEDICINE(SRL) PYRUVATE KINASE, ERYTHROCYTES (8659-SRL) 15920 21095 21095 21095 21095 21095 21095 28690 30377 33752 4881 LAB MEDICINE(SRL) Q FEVER AB, IGG AND IGM, S (83149-SRL) 15977 21170 21170 21170 21170 21170 21170 28792 30485 33872 4882 LAB MEDICINE(SRL) QUADRUPLE MARKER (1275-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4883 LAB MEDICINE(SRL) QUANTIFERON TB GOLD (2406-SRL) 3970 5310 5310 5310 5310 5310 5310 7222 7647 8496 4884 LAB MEDICINE(SRL) QUINIDINE, PLASMA (8302-SRL) 11170 14802 14802 14802 14802 14802 14802 20130 21314 23682 4885 LAB MEDICINE(SRL) RAAS SCREENING (2333-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 4886 LAB MEDICINE(SRL) RABIES ANTIBODIES (TOTAL) (7185-SRL) 7500 7500 7500 7500 7500 7500 7500 10200 10800 12000 4887 LAB MEDICINE(SRL) RADICAL PROSTATECTOMY 4670 6189 6189 6189 6189 6189 6189 8417 8912 9902 4888 LAB MEDICINE(SRL) RAPID FILARIA ANTIGEN (7664R-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4889 LAB MEDICINE(SRL) RAPID KALAZAR TEST (9074-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 4890 LAB MEDICINE(SRL) RAPID TYPHI IGM (9075-SRL) 775 970 970 968 970 970 1085 1195 1315 1548 4891 LAB MEDICINE(SRL) RATIONAL THYROID PANEL, SERUM (1499RTP-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4892 LAB MEDICINE(SRL) RBC FOLATE, BLOOD (3523-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4893 LAB MEDICINE(SRL) RECURRENT MISCARRIAGE PANEL 20000 20000 20000 20000 20000 20000 20000 27200 28800 32000 4894 LAB MEDICINE(SRL) RED BLOOD CELL (RBC) ENZYME EVALUATION (84161-SRL) 55620 73698 73698 73698 73698 73698 73698 100229 106125 117916 4895 LAB MEDICINE(SRL) REDUCING SUBSTANCES IN URINE (5200R-SRL) 260 355 355 355 355 355 355 483 512 568 4896 LAB MEDICINE(SRL) REDUCING SUBSTANCES, STOOL (2365-SRL) 260 355 355 355 355 355 355 483 512 568 4897 LAB MEDICINE(SRL) RENAL BIOPSY HE + SPECIAL STAINS (1500S-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4898 LAB MEDICINE(SRL) RENAL BIOPSY HE + SPECIAL STAINS + IFA 4620 6123 6123 6123 6123 6123 6123 8327 8817 9796 4899 LAB MEDICINE(SRL) RENAL PACKAGE (FOR KNOWN CASE OF RENAL DISEASE) (HM29-9120 12085 12085 12085 12085 12085 12085 16436 17403 19336 4900 LAB MEDICINE(SRL) RENAL SCREENING PACKAGES (HM30-SRL) 2720 3639 3639 3639 3639 3639 3639 4949 5240 5822 4901 LAB MEDICINE(SRL) RESPIRATORY CULTURE (1214-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4902 LAB MEDICINE(SRL) RESPIRATORY CULTURE AND SUSCEPTIBILITY (1214CS-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 4903 LAB MEDICINE(SRL) RESPIRATORY SYNCYTIAL VIRUS (RSV) ANTIGEN, NASO AS (9570-14470 19174 19174 19174 19174 19174 19174 26077 27611 30678 4904 LAB MEDICINE(SRL) RESPIRATORY SYNCYTIAL VIRUS ABS, IGG & IGM, SERUM (8301-18020 23878 23878 23878 23878 23878 23878 32474 34384 38204 4905 LAB MEDICINE(SRL) RET GENE MUTATIONS (RD1441-SRL) 2000 2000 2000 2000 2000 2000 2000 2720 2880 3200 4906 LAB MEDICINE(SRL) RETICULIN ANTIBODIES, SERUM (9275-SRL) 12820 16988 16988 16988 16988 16988 16988 23103 24462 27180 4907 LAB MEDICINE(SRL) RETICULOCYTE COUNT, EDTA WHOLE BLOOD (5170-SRL) 260 355 355 355 355 355 355 483 512 568 4908 LAB MEDICINE(SRL) RETURN OF PARAFFIN BLOCK/ SLIDE (1500R-SRL) 260 355 355 355 355 355 355 483 512 568 4909 LAB MEDICINE(SRL) REVIEW SLIDE & PHOTO (MORE THAN 2 SLIDES) (Z202KP-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 4910 LAB MEDICINE(SRL) REVIEW SLIDE & PHOTO (UPTO 2 SLIDES) (Z201KP-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4911 LAB MEDICINE(SRL) RH ANTIBODY TITER (1121T-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4912 LAB MEDICINE(SRL) RHEUMATIC FEVER PANEL (5001-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 4913 LAB MEDICINE(SRL) RHEUMATOID FACTOR (1540D-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4914 LAB MEDICINE(SRL) RHEUMATOID FACTOR, SERUM (1328-SRL) 460 628 628 628 628 628 628 854 904 1004 4915 LAB MEDICINE(SRL) RHEUMATOLOGY PROFILE-1 (1074-SRL) 7470 9899 9899 9899 9899 9899 9899 13463 14255 15838 4916 LAB MEDICINE(SRL) RHEUMATOLOGY PROFILE-2 (1075-SRL) 8420 11158 11158 11158 11158 11158 11158 15175 16067 17852 4917 LAB MEDICINE(SRL) RISTOCETIN COFACTOR PLASMA (9046-SRL) 18020 23878 23878 23878 23878 23878 23878 32474 34384 38204 4918 LAB MEDICINE(SRL) ROTAVIRUS ANTIGEN DETECTION (7662-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4919 LAB MEDICINE(SRL) ROUND CELL TUMOURS (ADULTS) - II (Z225-SRL) 5870 7779 7779 7779 7779 7779 7779 10580 11202 12446 4920 LAB MEDICINE(SRL) ROUND CELL TUMOURS (ADULTS) - PANEL I (Z224-SRL) 5870 7779 7779 7779 7779 7779 7779 10580 11202 12446 4921 LAB MEDICINE(SRL) ROUND CELL TUMOURS (CHILDREN) - III (Z230-SRL) 8270 10959 10959 10959 10959 10959 10959 14904 15781 17534 4922 LAB MEDICINE(SRL) ROUTINE COAG PROFILE/PRE-OP PANEL (3898-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4923 LAB MEDICINE(SRL) RUBELLA IGG & IGM, SERUM (9421M-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 4924 LAB MEDICINE(SRL) RUBELLA IGG ANTIBODIES, SERUM (9416M-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4925 LAB MEDICINE(SRL) RUBELLA IGM REFLEX RUBELLA RNA PCR (9217RFX-SRL) 2370 3170 3170 3170 3170 3170 3170 4312 4565 5072 4926 LAB MEDICINE(SRL) RUBELLA IGM, SERUM (2475M-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4927 LAB MEDICINE(SRL) RUBELLA RNA PCR (9415-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 4928 LAB MEDICINE(SRL) S-100 IHC, TISSUE/PARAFFIN BLOCK (Z061K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4929 LAB MEDICINE(SRL) S-100P, TISSUE/PARAFFIN BLOCK (Z217K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4930 LAB MEDICINE(SRL) S100,PHOTO, TISSUE/PARAFFIN BLOCK (Z061KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 4931 LAB MEDICINE(SRL) SALICYLATE, SERUM 10800 13500 13500 13500 13500 13500 13500 18360 19440 21600 4932 LAB MEDICINE(SRL) SALICYLATE, SERUM (8480-SRL) 9470 12549 12549 12549 12549 12549 12549 17067 18071 20078 4933 LAB MEDICINE(SRL) SCA PANEL (SCA TYPE -1,12,2,3,6) 11500 14380 14380 14380 14380 14380 14380 19550 20700 23000 4934 LAB MEDICINE(SRL) SCLERODERMA DIAGNOSTIC PROFILE (5003-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 4935 LAB MEDICINE(SRL) SCRUB TYPHUS ANTIBODIES RAPID (1739-SRL) 760 1037 1037 1037 1037 1037 1037 1410 1493 1658 4936 LAB MEDICINE(SRL) SCRUB TYPHUS IGM (1739E-SRL) 900 1227 1227 1227 1227 1227 1227 1668 1766 1962 4937 LAB MEDICINE(SRL) SEMEN ANALYSIS - SEMEN (1265B-SRL) 610 832 832 832 832 832 832 1131 1197 1330 4938 LAB MEDICINE(SRL) SEMEN ANALYSIS, SEMEN (1265-SRL) 410 559 559 559 559 559 559 760 805 894 4939 LAB MEDICINE(SRL) SEMEN FRUCTOSE, SEMEN (1265A-SRL) 360 492 492 492 492 492 492 669 708 786 4940 LAB MEDICINE(SRL) SEPSIS SCREEN PANEL 4270 5712 5712 5712 5712 5712 5712 7768 8225 9138 4941 LAB MEDICINE(SRL) SEPTI SCREEN 13660 18100 18100 18100 18100 18100 18100 24616 26064 28960 4942 LAB MEDICINE(SRL) SEPTICEMIA PROFILE 12920 17120 17120 17120 17120 17120 17120 23284 24653 27392 4943 LAB MEDICINE(SRL) SEROTONIN, BLOOD (84373-SRL) 11820 15663 15663 15663 15663 15663 15663 21301 22554 25060 4944 LAB MEDICINE(SRL) SERUM LIGHT CHAINS (KAPPA & LAMBDA) (1732-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 4945 LAB MEDICINE(SRL) SEX HORMONE BINDING GLOBULIN, SERUM (3218-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4946 LAB MEDICINE(SRL) SICKLE CELL PCR (2488-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4947 LAB MEDICINE(SRL) SICKLE CELL PCR PND (2489-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 4948 LAB MEDICINE(SRL) SICKLING TEST, BLOOD (1400-SRL) 360 492 492 492 492 492 492 669 708 786 4949 LAB MEDICINE(SRL) SILVER, SERUM (8607-SRL) 14670 19439 19439 19439 19439 19439 19439 26437 27992 31102 4950 LAB MEDICINE(SRL) SINGLE IHC MARKER BY DR. ANITA BORGES (7196-SRL) 910 1240 1240 1240 1240 1240 1240 1687 1786 1984 4951 LAB MEDICINE(SRL) SIROLIMUS, BLOOD (81768-SRL) 14920 19770 19770 19770 19770 19770 19770 26888 28469 31632 4952 LAB MEDICINE(SRL) SKIN TEST-MANTOUX (1256-SRL) 310 423 423 423 423 423 423 575 609 676 4953 LAB MEDICINE(SRL) SLE DIAGNOSTIC PROFILE (5004-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4954 LAB MEDICINE(SRL) SLE PANEL - DR. ASHOK 2620 3505 3505 3505 3505 3505 3505 4767 5048 5608 4955 LAB MEDICINE(SRL) SMOOTH MUSCLE ACTIN,IHC, TISSUE/PB (Z092K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4956 LAB MEDICINE(SRL) SODIUM, SERUM (5306HD-SRL) 345 430 430 430 430 430 480 530 585 580 4957 LAB MEDICINE(SRL) SODIUM, URINE (5306UHD-SRL) 310 423 423 423 423 423 423 575 609 676 4958 LAB MEDICINE(SRL) SOLUBLE TRANSFERRIN RECEPTOR (STFR), SERUM (82957-SRL) 19070 25269 25269 25269 25269 25269 25269 34366 36387 40430 4959 LAB MEDICINE(SRL) SPECIAL STAINS, TISSUE/PARAFFIN BLOCK (Z203K-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4960 LAB MEDICINE(SRL) SPERM ANTIBODIES (5225-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 4961 LAB MEDICINE(SRL) SPERM DNA FRAGMENTATION 7000 9275 9275 9275 9275 9275 9275 12614 13356 14840 4962 LAB MEDICINE(SRL) SPINAL MUSCULAR ATROPHY MICRODELETION PCR (8764-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 4963 LAB MEDICINE(SRL) SPINAL MUSCULAR ATROPHY MICRODELETION PCR-PRENATAL 8270 10959 10959 10959 10959 10959 10959 14904 15781 17534 4964 LAB MEDICINE(SRL) SPINDLE CELL TUMOUR (Z227-SRL) 9620 12748 12748 12748 12748 12748 12748 17337 18357 20396 4965 LAB MEDICINE(SRL) SPOROTHRIX ANTIBODY, SERUM (9673-SRL) 14270 18909 18909 18909 18909 18909 18909 25716 27229 30254 4966 LAB MEDICINE(SRL) SPOT URINE ALBUMIN CREATININE RATIO (3441UACR-SRL) 720 982 982 982 982 982 982 1335 1413 1570 4967 LAB MEDICINE(SRL) SPUTUM CULTURE 1035 1398 1398 1398 1398 1398 1398 1901 2013 2236 4968 LAB MEDICINE(SRL) ST2 (GROWTH STIMULATION EXPRESSED GENE 2) (4194-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 4969 LAB MEDICINE(SRL) STAT ABG 825 1030 1030 1030 1030 1030 1155 1275 1400 2000 4970 LAB MEDICINE(SRL) STD DIAGNOSTIC PANEL (5005-SRL) 7470 9899 9899 9899 9899 9899 9899 13463 14255 15838 4971 LAB MEDICINE(SRL) STONE 11420 15133 15133 15133 15133 15133 15133 20581 21791 24212 4972 LAB MEDICINE(SRL) STONE ANALYSIS (4161-SRL) 1100 1364 1364 1364 1364 1364 1364 1855 1964 2182 4973 LAB MEDICINE(SRL) STOOL - HANGING DROP METHOD (2368-SRL) 360 492 492 492 492 492 492 669 708 786 4974 LAB MEDICINE(SRL) STOOL CULTURE 990 1350 1350 1350 1350 1350 1350 1836 1944 2160 4975 LAB MEDICINE(SRL) STOOL CULTURE & SUSCEPTIBILITY 510 695 695 695 695 695 695 946 1001 1112 4976 LAB MEDICINE(SRL) STOOL FOR OCCULT BLOOD (2367-SRL) 160 219 219 219 219 219 219 298 315 350 4977 LAB MEDICINE(SRL) STOOL ROUTINE REFLEX GIARDIA/CRYPTOSPIRA/ROTAVIRUS (9223R710 968 968 968 968 968 968 1316 1394 1548 4978 LAB MEDICINE(SRL) STOOL: OVA & PARASITE (2361-SRL) 160 219 219 219 219 219 219 298 315 350 4979 LAB MEDICINE(SRL) STREPTOCOCCUS GROUP B ANTIGEN, SERUM (9641-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 4980 LAB MEDICINE(SRL) STREPTOCOCCUS GROUP B ANTIGEN, URINE (9641U-SRL) 940 1282 1282 1282 1282 1282 1282 1743 1845 2050 4981 LAB MEDICINE(SRL) STREPTOCOCCUS GROUP B ANTIGEN,CSF (9641C-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 4982 LAB MEDICINE(SRL) STREPTOCOCCUS PNEUMONIAE ANTIGEN (9636-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 4983 LAB MEDICINE(SRL) STREPTOCOCCUS PNEUMONIAE ANTIGEN, CSF (9636C-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 4984 LAB MEDICINE(SRL) STRIATIONAL (STRIATED MUSCLE) AB, S (8746MYO-SRL) 15570 20632 20632 20632 20632 20632 20632 28059 29709 33010 4985 LAB MEDICINE(SRL) SUCROSE LYSIS TEST, BLOOD (3831-SRL) 710 968 968 968 968 968 968 1316 1394 1548 4986 LAB MEDICINE(SRL) SUDAN BLACK (STAIN), BLOOD/SMEAR (Z205-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 4987 LAB MEDICINE(SRL) SYNAPTOPHYSIN BLOCK, TISSUE/PARAFFIN BLOCK (Z086K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 4988 LAB MEDICINE(SRL) SYNDICATE BANK EXECUTIVES (HM71-SRL) 780 1064 1064 1064 1064 1064 1064 1447 1532 1702 4989 LAB MEDICINE(SRL) SYNDICATE BANK-BRANCH HEADS/ELIGIBLE OFFICERS (HM69-S 780 1064 1064 1064 1064 1064 1064 1447 1532 1702 4990 LAB MEDICINE(SRL) SYNDICATE BANK-WORKMEN STAFF-SPOUSE (HM68-SRL) 730 995 995 995 995 995 995 1354 1433 1592 4991 LAB MEDICINE(SRL) SYNOVIAL FLUID, ROUTINE (5191-SRL) 510 640 640 640 640 640 640 870 920 1020 4992 LAB MEDICINE(SRL) SYPHILIS ANTIBODIES, SERUM (9020E-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 4993 LAB MEDICINE(SRL) SYPHILIS ANTIBODY, SERUM (81814-SRL) 9220 12218 12218 12218 12218 12218 12218 16616 17594 19548 4994 LAB MEDICINE(SRL) T-CELL GENE REARRANGEMENT BY PCR (9909-SRL) 18020 23878 23878 23878 23878 23878 23878 32474 34384 38204 4995 LAB MEDICINE(SRL) T. PALLIDUM HEMAGGLUTINATION (9020-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 4996 LAB MEDICINE(SRL) TACROLIMUS, WHOLE BLOOD (5950A-SRL) 3000 3750 3750 3750 3750 3750 4200 4620 5100 4538 4997 LAB MEDICINE(SRL) TB CULTURE POSITIVE REFLEX MDR (9215RFX-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 4998 LAB MEDICINE(SRL) TBFERON DETECTION (2405-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 4999 LAB MEDICINE(SRL) TDT (TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE) (Z216K-SR 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5000 LAB MEDICINE(SRL) TDT, FC. BLOOD (1635B-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 5001 LAB MEDICINE(SRL) TDT,FC,BONE MARROW (1635M-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 5002 LAB MEDICINE(SRL) TEL-PDGR BETA T(5;12) TRANSLOCATION 5800 7685 7685 7685 7685 7685 7685 10452 11067 12296 5003 LAB MEDICINE(SRL) TEL/ AML1 FUSION, T(12;21)(Q13;Q22), FISH 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 5004 LAB MEDICINE(SRL) TELLURIUM, 24HRS URINE (8417U24-SRL) 3670 4909 4909 4909 4909 4909 4909 6676 7069 7854 5005 LAB MEDICINE(SRL) TELLURIUM, BLOOD (8417-SRL) 3670 4909 4909 4909 4909 4909 4909 6676 7069 7854 5006 LAB MEDICINE(SRL) TELLURIUM, URINE (8417U-SRL) 3670 4909 4909 4909 4909 4909 4909 6676 7069 7854 5007 LAB MEDICINE(SRL) TESTICULAR CA MONITOR, SERUM (3028-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5008 LAB MEDICINE(SRL) TESTOSTERONE, TOTAL, SERUM (3244-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 5009 LAB MEDICINE(SRL) TESTOSTERONE,FREE/TOTAL, SERUM (3248-SRL) 2370 2780 2780 2780 2780 2780 2780 3780 4000 4440 5010 LAB MEDICINE(SRL) TESTOSTERONE,FREE/TOTAL, SERUM (3248-SRL) 2220 2220 2450 2780 2780 2780 3110 3780 4000 4440 5011 LAB MEDICINE(SRL) TETANUS TOXOID IGG ANTIBODIES ASSAY, SERUM (82506-SRL) 14170 18777 18777 18777 18777 18777 18777 25536 27038 30042 5012 LAB MEDICINE(SRL) TETRAHYDROCANNABINOL, URINE (4101-SRL) 1110 1499 1499 1499 1499 1499 1499 2039 2159 2398 5013 LAB MEDICINE(SRL) THALASSEMIA PROFILE (4970B-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5014 LAB MEDICINE(SRL) THEOPHYLLINE (1563I-SRL) 860 1173 1173 1173 1173 1173 1173 1595 1689 1876 5015 LAB MEDICINE(SRL) THINPREP CYTOLOGY 1000 1363 1363 1363 1363 1363 1363 1853 1962 2180 5016 LAB MEDICINE(SRL) THROAT SWAB 1035 1398 1398 1398 1398 1398 1398 1901 2013 2236 5017 LAB MEDICINE(SRL) THROAT SWAB CULTURE & SENSITIVITY (1219A-SRL) 510 695 695 695 695 695 695 946 1001 1112 5018 LAB MEDICINE(SRL) THROMBIN TIME (T.T.), PLASMA (4210-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5019 LAB MEDICINE(SRL) THROMBOCHECK PANEL (1253-SRL) 17550 21935 21935 21935 21935 21935 24565 27025 29830 34388 5020 LAB MEDICINE(SRL) THROMBOCHECK TOTAL 26880 26880 26880 26880 26880 26880 26880 36560 38710 43010 5021 LAB MEDICINE(SRL) THYG,PHOTO, TISSUE/PARAFFIN BLOCK (Z170KP-SRL) 2220 2970 2970 2970 2970 2970 2970 4040 4277 4752 5022 LAB MEDICINE(SRL) THYPROBE, SERUM (DT8100-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 5023 LAB MEDICINE(SRL) THYROGLOBULIN IHC, TISSUE/PARAFFIN BLOCK (Z170K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5024 LAB MEDICINE(SRL) THYROGLOBULIN, SERUM (3251-SRL) 1860 2512 2512 2512 2512 2512 2512 3416 3617 4018 5025 LAB MEDICINE(SRL) THYROID ANTIBODIES, SERUM (1016-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 5026 LAB MEDICINE(SRL) THYROID PANEL II, SERUM (1499-SRL) 1480 1850 1850 1850 1850 1850 2070 2280 2515 2180 5027 LAB MEDICINE(SRL) THYROID PANEL, SERUM (TPC-SRL) 1480 1850 1850 1850 1850 1850 2070 2280 2515 2528 5028 LAB MEDICINE(SRL) THYROID SCREENING PANEL (TSP-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 5029 LAB MEDICINE(SRL) THYROID STIMULATING HORMONE, DRIED BLOOD SPOT (3308- 510 695 695 695 695 695 695 946 1001 1112 5030 LAB MEDICINE(SRL) THYROID STIMULATING HORMONE, SERUM (TSHR-SRL) 220 280 280 280 280 280 280 380 400 440 5031 LAB MEDICINE(SRL) THYROID TRANSCRIPTION FACTOR-1 (Z065K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5032 LAB MEDICINE(SRL) THYROID-STIMULATING IMMUNOGLOBULIN (8634-SRL) 33220 44018 44018 44018 44018 44018 44018 59864 63386 70428 5033 LAB MEDICINE(SRL) THYROPEROXIDASE AB, S (81765-SRL) 13070 17319 17319 17319 17319 17319 17319 23554 24939 27710 5034 LAB MEDICINE(SRL) THYROSCREEN PANEL (5009-SRL) 710 968 968 968 968 968 968 1316 1394 1548 5035 LAB MEDICINE(SRL) THYROTROPIN RECEPTOR AB, S (81797-SRL) 15220 20168 20168 20168 20168 20168 20168 27428 29042 32268 5036 LAB MEDICINE(SRL) TIMEX WATCHES PRE-EMPLOYMENT (HM33-SRL) 740 1009 1009 1009 1009 1009 1009 1372 1453 1614 5037 LAB MEDICINE(SRL) TISSUE CROSSMATCH (1351G-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 5038 LAB MEDICINE(SRL) TISSUE CROSSMATCHING (1351-SRL) 3320 4442 4442 4442 4442 4442 4442 6041 6396 7106 5039 LAB MEDICINE(SRL) TISSUE FOR PROCESSING, TISSUE/PARAFFIN BLOCK (TISSUE-SR 360 492 492 492 492 492 492 669 708 786 5040 LAB MEDICINE(SRL) TISSUE TRANSGLUTAMINASE AB, S(IGA) (82587-SRL) 13970 18512 18512 18512 18512 18512 18512 25176 26657 29618 5041 LAB MEDICINE(SRL) TISSUE TRANSGLUTAMINASE IGA, SERUM (9362-SRL) 1435 1795 1795 1795 1795 1795 2010 2215 2440 2506 5042 LAB MEDICINE(SRL) TOPIRAMATE, SERUM (81546-SRL) 14470 19174 19174 19174 19174 19174 19174 26077 27611 30678 5043 LAB MEDICINE(SRL) TORCH IGG & IGM ABS (EIA) (9901-SRL) 3820 5110 5110 5110 5110 5110 5110 6950 7359 8176 5044 LAB MEDICINE(SRL) TORCH IGG & IGM EVALUATION, SERUM (9901M-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5045 LAB MEDICINE(SRL) TORCH IGG EVALUATION, SERUM (9911M-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 5046 LAB MEDICINE(SRL) TORCH IGM [5 PARAMETERS] (9912-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 5047 LAB MEDICINE(SRL) TORCH IGM EVALUATION, SERUM (2231M-SRL) 1910 2579 2579 2579 2579 2579 2579 3508 3714 4126 5048 LAB MEDICINE(SRL) TORCH PCR (2232-SRL) 7220 9568 9568 9568 9568 9568 9568 13012 13778 15308 5049 LAB MEDICINE(SRL) TOTAL BILE ACIDS (5201-SRL) 2000 2500 2500 2500 2500 2500 2500 3400 3600 4000 5050 LAB MEDICINE(SRL) TOTAL GALACTOSE, DRIED BLOOD SPOT (3309-SRL) 610 832 832 832 832 832 832 1131 1197 1330 5051 LAB MEDICINE(SRL) TOTAL IGA (1506D-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5052 LAB MEDICINE(SRL) TOTAL IGE, SERUM (1245-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5053 LAB MEDICINE(SRL) TOTAL IGG, SERUM (1505D-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5054 LAB MEDICINE(SRL) TOTAL IGM (1508D-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5055 LAB MEDICINE(SRL) TOTAL IRON BINDING CAPACITY, SERUM (3533HD-SRL) 690 865 865 865 865 865 970 1070 1175 1004 5056 LAB MEDICINE(SRL) TOTAL P1NP (1059-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5057 LAB MEDICINE(SRL) TOTAL PROTEIN, CSF (1324C-SRL) 560 764 764 764 764 764 764 1039 1100 1222 5058 LAB MEDICINE(SRL) TOTAL PROTEIN, SERUM (1324H-SRL) 220 340 340 340 338 340 340 460 490 540 5059 LAB MEDICINE(SRL) TOTAL PROTEIN, SYNOVIAL FLUID (1324SF-SRL) 560 764 764 764 764 764 764 1039 1100 1222 5060 LAB MEDICINE(SRL) TOTAL T3, SERUM (3224C-SRL) 510 695 695 695 695 695 695 946 1001 1112 5061 LAB MEDICINE(SRL) TOTAL T4, SERUM (3226C-SRL) 510 695 695 695 695 695 695 946 1001 1112 5062 LAB MEDICINE(SRL) TOTAL TSH, SERUM (3250C-SRL) 710 890 890 890 890 890 995 1095 1210 1120 5063 LAB MEDICINE(SRL) TOX PANEL 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5064 LAB MEDICINE(SRL) TOXOPLASMA ANTIBODIES, SERUM (2261M-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5065 LAB MEDICINE(SRL) TOXOPLASMA GONDII PCR (7522-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 5066 LAB MEDICINE(SRL) TOXOPLASMA IGG, SERUM (9426M-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 5067 LAB MEDICINE(SRL) TOXOPLASMA IGM, SERUM (7661M-SRL) 960 1309 1309 1309 1309 1309 1309 1780 1885 2094 5068 LAB MEDICINE(SRL) TOXORUB (2233-SRL) 5220 6918 6918 6918 6918 6918 6918 9408 9962 11068 5069 LAB MEDICINE(SRL) TPMT GENOTYPING (8030-SRL) 5720 7580 7580 7580 7580 7580 7580 10309 10916 12128 5070 LAB MEDICINE(SRL) TRANSFERRIN, SERUM (1519HD-SRL) 1310 1769 1769 1769 1769 1769 1769 2406 2547 2830 5071 LAB MEDICINE(SRL) TRICHINELLA ANTIBODY, SERUM (9017-SRL) 13120 17385 17385 17385 17385 17385 17385 23644 25035 27816 5072 LAB MEDICINE(SRL) TRIGLYCERIDES, SERUM (3346HD-SRL) 300 550 550 550 550 550 550 750 795 880 5073 LAB MEDICINE(SRL) TRIPLE TEST (1267-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 5074 LAB MEDICINE(SRL) TROPHERYMA WHIPPLEI BY RAPID PCR (80909-SRL) 39470 52299 52299 52299 52299 52299 52299 71127 75311 83678 5075 LAB MEDICINE(SRL) TROPONIN 1 (TROP1-SRL) 2065 2580 2580 2579 2580 2580 2890 3180 3505 4126 5076 LAB MEDICINE(SRL) TROPONIN T,SERUM (82428-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5077 LAB MEDICINE(SRL) TRUE CARD PANEL (1209TCP-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 5078 LAB MEDICINE(SRL) TRYPTASE (4185-SRL) 7620 10098 10098 10098 10098 10098 10098 13733 14541 16156 5079 LAB MEDICINE(SRL) TRYPTASE, SERUM (81608-SRL) 13020 17253 17253 17253 17253 17253 17253 23464 24844 27604 5080 LAB MEDICINE(SRL) TSH 3RD GENERATION, SERUM (3250-SRL) 510 695 695 695 695 695 695 946 1001 1112 5081 LAB MEDICINE(SRL) TSH RECEPTOR ANTIBODIES, SERUM (3254I-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 5082 LAB MEDICINE(SRL) TSH,IHC, TISSUE/PARAFFIN BLOCK (Z166K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5083 LAB MEDICINE(SRL) TUBERCULOSIS MONITORING PANEL (5010-SRL) 1960 2647 2647 2647 2647 2647 2647 3599 3811 4234 5084 LAB MEDICINE(SRL) TUBERCULOSIS PANEL (2440-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 5085 LAB MEDICINE(SRL) TUMOR NECROSIS FACTOR -ALPHA 4500 5630 5630 5630 5630 5630 5630 7650 8100 9000 5086 LAB MEDICINE(SRL) TYPHI-D (DT3200-SRL) 1360 1837 1837 1837 1837 1837 1837 2498 2645 2938 5087 LAB MEDICINE(SRL) TYROSINE, PLASMA (8627-SRL) 25020 33153 33153 33153 33153 33153 33153 45088 47740 53044 5088 LAB MEDICINE(SRL) TZANK SMEAR (2438D-SRL) 210 287 287 287 287 287 287 390 413 458 5089 LAB MEDICINE(SRL) ULTIMATE LIPID PROFILE, SERUM (1532D-SRL) 810 1104 1104 1104 1104 1104 1104 1502 1590 1766 5090 LAB MEDICINE(SRL) UREA NITROGEN, 24HRS URINE (1079UH-SRL) 360 573 573 573 573 573 573 779 825 916 5091 LAB MEDICINE(SRL) UREAPLASMA/MYCOPLASMA CULTURE (2408-SRL) 1410 1904 1904 1904 1904 1904 1904 2590 2742 3046 5092 LAB MEDICINE(SRL) URIC ACID, 24HRS URINE (1310UH-SRL) 260 355 355 355 355 355 355 483 512 568 5093 LAB MEDICINE(SRL) URIC ACID, SERUM (1310H-SRL) 210 340 340 340 338 340 340 460 490 540 5094 LAB MEDICINE(SRL) URINALYSIS (5200U-SRL) 270 340 340 340 340 340 380 420 460 540 5095 LAB MEDICINE(SRL) URINARY OXALATE, 24HRS URINE (4332-SRL) 2170 2903 2903 2903 2903 2903 2903 3948 4180 4644 5096 LAB MEDICINE(SRL) URINARY PROTEIN CREATININE RATIO (1324UC-SRL) 410 559 559 559 559 559 559 760 805 894 5097 LAB MEDICINE(SRL) URINE - PCP (PHENCYCLIDINE), URINE (4139-SRL) 1060 1432 1432 1432 1432 1432 1432 1947 2061 2290 5098 LAB MEDICINE(SRL) URINE ANALYSIS 130 170 170 170 170 170 170 230 240 260 5099 LAB MEDICINE(SRL) URINE CULTURE 1080 1350 1350 1350 1350 1350 1510 1665 1835 2160 5100 LAB MEDICINE(SRL) URINE CULTURE & SUSEPTIBILITY (1285D-SRL) 390 490 490 490 490 490 490 670 710 780 5101 LAB MEDICINE(SRL) URINE CYSTINE (9923-SRL) 10820 14338 14338 14338 14338 14338 14338 19499 20646 22940 5102 LAB MEDICINE(SRL) URINE FOR BILE PIGMENTS & SALTS (5200BPS-SRL) 110 150 150 150 150 150 150 204 216 240 5103 LAB MEDICINE(SRL) URINE SUPERSATURATION PANEL (5002-SRL) 2570 3438 3438 3438 3438 3438 3438 4675 4950 5500 5104 LAB MEDICINE(SRL) UTI - SCREENING PANEL (5007-SRL) 1010 1364 1364 1364 1364 1364 1364 1855 1964 2182 5105 LAB MEDICINE(SRL) VACCICHEQ (DT3203-SRL) 7870 10429 10429 10429 10429 10429 10429 14184 15018 16686 5106 LAB MEDICINE(SRL) VALPROIC ACID, FREE AND TOTAL, S (81771-SRL) 16620 22023 22023 22023 22023 22023 22023 29951 31713 35236 5107 LAB MEDICINE(SRL) VALPROIC ACID, SERUM (3360H-SRL) 1160 1567 1567 1567 1567 1567 1567 2131 2256 2506 5108 LAB MEDICINE(SRL) VANCOMYCIN (4197-SRL) 5670 7514 7514 7514 7514 7514 7514 10219 10820 12022 5109 LAB MEDICINE(SRL) VANCOMYCIN, TROUGH (81592-SRL) 13720 18180 18180 18180 18180 18180 18180 24725 26180 29088 5110 LAB MEDICINE(SRL) VANILLYL MANDELIC ACID, URINE (3318U-SRL) 4220 5645 5645 5645 5645 5645 5645 7678 8129 9032 5111 LAB MEDICINE(SRL) VARICELLA ZOSTER IGG, SERUM (8761-SRL) 2010 2689 2689 2689 2689 2689 2689 3657 3872 4302 5112 LAB MEDICINE(SRL) VARICELLA ZOSTER IGM, SERUM (8766-SRL) 1810 2444 2444 2444 2444 2444 2444 3324 3519 3910 5113 LAB MEDICINE(SRL) VARICELLA-ZOSTER VIRUS BY RAPID PCR (81241-SRL) 24920 33020 33020 33020 33020 33020 33020 44908 47549 52832 5114 LAB MEDICINE(SRL) VASOACTIVE INTESTINAL POLYPEPTIDE (VIP), PLASMA (8150-S 26570 35207 35207 35207 35207 35207 35207 47881 50697 56330 5115 LAB MEDICINE(SRL) VDRL REFLEX TPHA CONFIRMATION (9220RFX-SRL) 510 695 695 695 695 695 695 946 1001 1112 5116 LAB MEDICINE(SRL) VDRL, SERUM (2366-SRL) 260 355 355 355 355 355 355 483 512 568 5117 LAB MEDICINE(SRL) VEG PANEL (1414-SRL) 4770 6322 6322 6322 6322 6322 6322 8597 9103 10114 5118 LAB MEDICINE(SRL) VGKC-VOLTAGE GATEDPOTASSIUM CHANNEL ABS SERUM 13000 17225 17225 17225 17225 17225 17225 23426 24804 27560 5119 LAB MEDICINE(SRL) VIMENTIN IHC, TISSUE/PARAFFIN BLOCK (Z047K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5120 LAB MEDICINE(SRL) VIRAL ENCEPHALITIS PROFILE 13520 17915 17915 17915 17915 17915 17915 24365 25798 28664 5121 LAB MEDICINE(SRL) VIRAL PNEUMONIA PANEL - I (9887-SRL) 5420 7183 7183 7183 7183 7183 7183 9769 10343 11492 5122 LAB MEDICINE(SRL) VIRAL PNEUMONIA PANEL II (9888-SRL) 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 5123 LAB MEDICINE(SRL) VISCOSITY, SERUM (8168-SRL) 14770 19572 19572 19572 19572 19572 19572 26617 28183 31314 5124 LAB MEDICINE(SRL) VITAMIN A BY HPLC, SERUM/ EDTA PLASMA (3511-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5125 LAB MEDICINE(SRL) VITAMIN B1 BY HPLC, SERUM/ EDTA PLASMA (3512-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5126 LAB MEDICINE(SRL) VITAMIN B12 LEVEL, SERUM (3020-SRL) 1425 1780 1780 1780 1780 1780 1995 2195 2420 2540 5127 LAB MEDICINE(SRL) VITAMIN B2 BY HPLC, SERUM/ EDTA PLASMA (3513-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5128 LAB MEDICINE(SRL) VITAMIN B6 BY HPLC, SERUM/ PLASMA (3514-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5129 LAB MEDICINE(SRL) VITAMIN B6, PLASMA OR SERUM (80223-SRL) 22520 29840 29840 29840 29840 29840 29840 40583 42970 47744 5130 LAB MEDICINE(SRL) VITAMIN C BY HPLC, EDTA PLASMA (3516-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5131 LAB MEDICINE(SRL) VITAMIN D 1,25-DIHYDROXY,SERUM (8822-SRL) 20720 25900 25900 25900 25900 25900 25900 35230 37300 41440 5132 LAB MEDICINE(SRL) VITAMIN D DEFICIENCY PANEL - DR. ASHOK 3420 4575 4575 4575 4575 4575 4575 6222 6588 7320 5133 LAB MEDICINE(SRL) VITAMIN D GOLD (25 HYDROXY VITAMIN D GOLD,LCMS) 2200 2200 2200 2200 2200 2200 2200 3000 3170 3520 5134 LAB MEDICINE(SRL) VITAMIN E (3517-SRL) 3570 4775 4775 4775 4775 4775 4775 6494 6876 7640 5135 LAB MEDICINE(SRL) VITAMIN K1 3500 4682 4682 4682 4682 4682 4682 6367 6741 7490 5136 LAB MEDICINE(SRL) VON WILLEBRAND FACTOR ANTIGEN, PLASMA (9051-SRL) 28770 38122 38122 38122 38122 38122 38122 51845 54895 60994 5137 LAB MEDICINE(SRL) VON WILLEBRAND FACTOR MULTIMER,PLASMA (8844-SRL) 48470 64224 64224 64224 64224 64224 64224 87345 92483 102758 5138 LAB MEDICINE(SRL) VON WILLEBRAND FACTOR, PLASMA (9052-SRL) 15020 19903 19903 19903 19903 19903 19903 27068 28660 31844 5139 LAB MEDICINE(SRL) VWF ANTIGEN, PLASMA (9050-SRL) 9270 12284 12284 12284 12284 12284 12284 16706 17689 19654 5140 LAB MEDICINE(SRL) VZV PCR (8762-SRL) 3020 4040 4040 4040 4040 4040 4040 5495 5818 6464 5141 LAB MEDICINE(SRL) VZV PCR PND 6570 8707 8707 8707 8707 8707 8707 11841 12537 13930 5142 LAB MEDICINE(SRL) WARFARIN, PLASMA (8760-SRL) 13770 18247 18247 18247 18247 18247 18247 24815 26275 29194 5143 LAB MEDICINE(SRL) WATER TESTING (1221W-SRL) 1200 1500 1500 1500 1500 1500 1500 2040 2160 2400 5144 LAB MEDICINE(SRL) WEIL-FELIX TEST, SERUM (9121-SRL) 610 832 832 832 832 832 832 1131 1197 1330 5145 LAB MEDICINE(SRL) WEST NILE VIRUS (WNV) ABS, IGG & IGM (84186-SRL) 16570 21957 21957 21957 21957 21957 21957 29861 31617 35130 5146 LAB MEDICINE(SRL) WHITE CELL COUNT AND DIFFERENTIAL, EDTA WB (5122-SRL) 290 360 360 360 360 360 405 450 490 500 5147 LAB MEDICINE(SRL) WIDAL TEST, SERUM (9076-SRL) 260 355 355 355 355 355 355 483 512 568 5148 LAB MEDICINE(SRL) WILM S TUMOR PROTEIN 1 (WT1) (Z119K-SRL) 2270 3037 3037 3037 3037 3037 3037 4130 4373 4858 5149 LAB MEDICINE(SRL) WILMS TUMOR GENE 1 MUTATION DETECTION (RD1407-SRL) 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 5150 LAB MEDICINE(SRL) XPERT MTB/RIF - EXTRAPULMONARY (RD1324EP-SRL) 3110 3890 3890 3890 3890 3890 4355 4795 5290 3694 5151 LAB MEDICINE(SRL) XPERT MTB/RIF - PULMONARY (RD1324-SRL) 4245 5305 5305 5305 5305 5305 5940 6535 7215 3694 5152 LAB MEDICINE(SRL) Y-CHROMOSOME MICRODELETION PCR (RD1321-SRL) 2750 2750 2750 2750 2750 2750 2750 3740 3960 4400 5153 LAB MEDICINE(SRL) YERSINIA CULTURE (5702-SRL) 2070 2769 2769 2769 2769 2769 2769 3766 3987 4430 5154 LAB MEDICINE(SRL) YERSINIA ENTEROCOLITICA IGG, SERUM (3329IG-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 5155 LAB MEDICINE(SRL) YERSINIA ENTEROCOLITICA IGM, SERUM (3329IM-SRL) 2870 3839 3839 3839 3839 3839 3839 5221 5528 6142 5156 LAB MEDICINE(SRL) ZAP-70 (4965-SRL) 7770 10297 10297 10297 10297 10297 10297 14003 14827 16474 5157 LAB MEDICINE(SRL) ZINC, SERUM (9145-SRL) 2520 3372 3372 3372 3372 3372 3372 4585 4855 5394 5158 MAMMA MIA BABY CARE - 1 SESSION 2560 2950 2950 2950 3200 3460 2950 3840 4100 5120 5159 MAMMA MIA BABY MASSAGE - INDIV 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5160 MAMMA MIA BABY MASSAGE - GROUP 1280 1480 1480 1480 1600 1730 1480 1920 2050 2560 5161 MAMMA MIA BACK TO BEING YOU GOLD (1 MONTH) 15000 17250 17250 17250 18750 20250 17250 22500 24000 30000 5162 MAMMA MIA BACK TO BEING YOU GOLD (3 MONTHS)[] 28000 32200 32200 32200 35000 37800 32200 42000 44800 56000 5163 MAMMA MIA BACK TO BEING YOU SILVER (1 MONTH) 10200 11730 11730 11730 12750 13770 11730 15300 16320 20400 5164 MAMMA MIA BACK TO BEING YOU SILVER (3 MONTHS) 25000 28750 28750 28750 31250 33750 28750 37500 40000 50000 5165 MAMMA MIA BIRTH PREP WEEKEND - 1 SESSION (LUNCH + 2 TEA BREAKS) 6500 7480 7480 7480 8130 8780 7480 9750 10400 13000 5166 MAMMA MIA BIRTH PREP WEEKEND - INDIVIDUAL 8000 9200 9200 9200 10000 10800 9200 12000 12800 16000 5167 MAMMA MIA BIRTH PREP WEEKLY - (INDIVIDUAL) 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5168 MAMMA MIA BIRTH PREP WEEKLY - GRP 8000 9200 9200 9200 10000 10800 9200 12000 12800 16000 5169 MAMMA MIA BREASTFEEDING SUPPORT 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000 5170 MAMMA MIA DOULA SUPPORT- SHRUTI/ANIKA/GEETIKA 40000 46000 46000 46000 50000 54000 46000 60000 64000 80000 5171 MAMMA MIA EARLY PREGNANCY CLASS 1920 2210 2210 2210 2400 2600 2210 2880 3080 3840 5172 MAMMA MIA FITNESS CONSULTATION (3 SESSIONS) 2800 3220 3220 3220 3500 3780 3220 4200 4480 5600 5173 MAMMA MIA HOLISTIC FERTILITY COUNSELLING 2800 3220 3220 3220 3500 3780 3220 4200 4480 5600 5174 MAMMA MIA HYPNOBIRTHING - GROUP 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5175 MAMMA MIA LABOR SUPPORT 3500 3500 3500 3500 3500 3500 3500 4760 5040 5600 5176 MAMMA MIA LACTATION CONSULTATION - 1 SESSION (INDIVIDUAL) 2400 2760 2760 2760 3000 3240 2760 3600 3840 4800 5177 MAMMA MIA LACTATION CONSULTATION - 1 SESSION(GROUP) 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5178 MAMMA MIA LACTATION COUNSELLING - 1 SESSION(INDIVIDUAL) 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5179 MAMMA MIA MAMMA MIA COUNSELLING SESSION 500 500 500 500 500 500 500 680 720 800 5180 MAMMA MIA MAMMA MIA PT CONSULTATION 640 740 740 740 800 870 740 960 1030 1280 5181 MAMMA MIA MASSAGE PACKAGE 14000 17500 17500 17500 17500 17500 17500 23800 25200 28000 5182 MAMMA MIA NEW BABY PACKAGE 4760 5950 5950 5950 5950 5950 5950 8100 8570 9520 5183 MAMMA MIA POST-NATAL FITNESS - FOR 12 SESSIONS GROUP 7680 8840 8840 8840 9600 10370 8840 11520 12290 15360 5184 MAMMA MIA POST-NATAL FITNESS - FOR 12 SESSIONS INDIV 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5185 MAMMA MIA POST-NATAL MASSAGE 2800 3220 3220 3220 3500 3780 3220 4200 4480 5600 5186 MAMMA MIA POST-NATAL YOGA - FOR 12 SESSIONS GROUP 7680 8840 8840 8840 9600 10370 8840 11520 12290 15360 5187 MAMMA MIA POST-NATAL YOGA - FOR 12 SESSIONS INDIV 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5188 MAMMA MIA POSTNATAL / PRENATAL FITNESS/ YOGA SESSIONS - FOR 36 SE20160 25200 25200 25200 25200 25200 25200 34280 36290 40320 5189 MAMMA MIA POSTNATAL PACKAGE - OPTION 2 (WITHOUT FITNESS) 7840 9800 9800 9800 9800 9800 9800 13330 14120 15680 5190 MAMMA MIA POSTNATAL PACKAGE - OPTION1 (WITH FITNESS) 14560 18200 18200 18200 18200 18200 18200 24760 26210 29120 5191 MAMMA MIA POSTNATAL WEIGHT LOSS MASSAGE (14 SESSIONS) 34300 42880 42880 42880 42880 42880 42880 58310 61740 68600 5192 MAMMA MIA PREGNANCY FOR DADS - GROUP 1280 1480 1480 1480 1600 1730 1480 1920 2050 2560 5193 MAMMA MIA PREGNANCY MASSAGE 2800 3220 3220 3220 3500 3780 3220 4200 4480 5600 5194 MAMMA MIA PRENATAL FITNESS - FOR 12 SESSIONS GROUP 7680 8840 8840 8840 9600 10370 8840 11520 12290 15360 5195 MAMMA MIA PRENATAL FITNESS - FOR 12 SESSIONS INDIV 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5196 MAMMA MIA PRENATAL YOGA (PREGNANCY SPECIFIC) - FOR 12 SESSIONS GR 7680 8840 8840 8840 9600 10370 8840 11520 12290 15360 5197 MAMMA MIA PRENATAL YOGA (PREGNANCY SPECIFIC) - FOR 12 SESSIONS IN 9600 11040 11040 11040 12000 12960 11040 14400 15360 19200 5198 MAMMA MIA PRENATAL/POSTNATAL FITNESS CONSULTATION - INDIVIDUAL 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5199 MAMMA MIA REFLEXOLOGY. 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5200 MAMMA MIA REFLOXOLOGY PACKAGE - GET 6 MASSAGES FOR THE PRICE O 10000 12500 12500 12500 12500 12500 12500 17000 18000 20000 5201 MAMMA MIA SESSION WITH EXPERT 1600 1840 1840 1840 2000 2160 1840 2400 2560 3200 5202 MAMMA MIA YOGA CONSULTATION ( 3 SESSIONS) 2250 2590 2590 2590 2820 3040 2590 3380 3600 4500 5203 MISCELLANEOUS(INV) 1 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 260 260 290 330 330 330 370 450 470 520 5204 MISCELLANEOUS(INV) 2 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 400 400 440 500 500 500 560 680 720 800 5205 MISCELLANEOUS(INV) 3 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 560 560 620 700 700 700 790 960 1010 1120 5206 MISCELLANEOUS(INV) 4 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 710 710 790 890 890 890 1000 1210 1280 1420 5207 MISCELLANEOUS(INV) 5 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 920 920 1020 1150 1150 1150 1290 1570 1660 1840 5208 MISCELLANEOUS(INV) 6 PATHOLOGY SLIDE ISSUE TO PATIENT - NO BARCODE 1020 1020 1130 1280 1280 1280 1430 1740 1840 2040 5209 MISCELLANEOUS(INV) ACTIVATED CLOTTING TIME ( ACT ) - BEDSIDE 250 342 342 342 342 342 342 465 492 546 5210 MISCELLANEOUS(INV) ANEUPLOIDY 13, 18, 21, X, Y - PRENATAL (AMNIO/CVS) 7000 8750 8750 8750 8750 8750 8750 11900 12600 14000 5211 MISCELLANEOUS(INV) ANEUPLOIDY 13, 18, 21, X, Y – POC 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5212 MISCELLANEOUS(INV) ANEUPLOIDY 13, 18, 21, X, Y – PRENATAL PLUS KARYOTYPE 14000 17500 17500 17500 17500 17500 17500 23800 25200 28000 5213 MISCELLANEOUS(INV) ANEUPLOIDY 13, 21 (PRENATAL) 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5214 MISCELLANEOUS(INV) ANEUPLOIDY 18, X, Y (PRENATAL) 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5215 MISCELLANEOUS(INV) ARTERIAL BLOOD GAS ( ABG ) 825 1030 1030 1030 1030 1030 1155 1275 1400 1200 5216 MISCELLANEOUS(INV) BIOPSY (SMALL) WITH BARCODE - FOR BM BIOPSY 1280 1280 1410 1600 1600 1600 1800 2180 2310 2560 5217 MISCELLANEOUS(INV) BIOPSY MEDIUM WITH IF STUDY WITH 7IF MARKERS WITH BA6120 6120 6740 7650 7650 7650 8570 10410 11020 12240 5218 MISCELLANEOUS(INV) BODY WATER ASSESMENT ( BEDSIDE ) 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5219 MISCELLANEOUS(INV) BONE MARROW ASPIRATION AND PERIPHERAL SMEAR EXAMINAT2500 2500 2750 3130 3130 3130 3500 4250 4500 5000 5220 MISCELLANEOUS(INV) BONE MARROW SLIDES FOR ISSUE TO PATIENT (1 SLIDE) 300 300 330 380 380 380 420 510 540 600 5221 MISCELLANEOUS(INV) CAREER EVALUATION 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5222 MISCELLANEOUS(INV) CMA IN AMNIOTIC FLUID (HD) 65000 81250 81250 81250 81250 81250 81250 110500 117000 130000 5223 MISCELLANEOUS(INV) CMA IN AMNIOTIC FLUID (LD) 37500 46880 46880 46880 46880 46880 46880 63750 67500 75000 5224 MISCELLANEOUS(INV) CMA IN CHORIONIC VILLUS SAMPLE (HD) 65000 81250 81250 81250 81250 81250 81250 110500 117000 130000 5225 MISCELLANEOUS(INV) CMA IN CHORIONIC VILLUS SAMPLE (LD) 37500 46880 46880 46880 46880 46880 46880 63750 67500 75000 5226 MISCELLANEOUS(INV) CMA IN PERIPHERAL BLOOD (HD) 65000 81250 81250 81250 81250 81250 81250 110500 117000 130000 5227 MISCELLANEOUS(INV) CMA IN PERIPHERAL BLOOD (LD) 35000 43750 43750 43750 43750 43750 43750 59500 63000 70000 5228 MISCELLANEOUS(INV) CMA IN PERIPHERAL BLOOD (ULD) 25000 31250 31250 31250 31250 31250 31250 42500 45000 50000 5229 MISCELLANEOUS(INV) CMA IN PRODUCTS OF CONCEPTION (HD) 65000 81250 81250 81250 81250 81250 81250 110500 117000 130000 5230 MISCELLANEOUS(INV) CMA IN PRODUCTS OF CONCEPTION (LD) 35000 43750 43750 43750 43750 43750 43750 59500 63000 70000 5231 MISCELLANEOUS(INV) CMA IN PRODUCTS OF CONCEPTION (ULD) 25000 31250 31250 31250 31250 31250 31250 42500 45000 50000 5232 MISCELLANEOUS(INV) CMV IGG 960 1200 1200 1200 1200 1200 1200 1640 1730 1920 5233 MISCELLANEOUS(INV) CMV IGM 960 1200 1200 1200 1200 1200 1200 1640 1730 1920 5234 MISCELLANEOUS(INV) CMV PCR QUALITATIVE 6020 7530 7530 7530 7530 7530 7530 10240 10840 12040 5235 MISCELLANEOUS(INV) CMV PCR QUANTITATIVE 10000 12500 12500 12500 12500 12500 12500 17000 18000 20000 5236 MISCELLANEOUS(INV) COMPREHENSIVE PSYCHOLOGY EVALUATION 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5237 MISCELLANEOUS(INV) DIET CONSULTATION 500 500 500 500 500 500 500 680 720 800 5238 MISCELLANEOUS(INV) DIGEORGE (22Q11) 6500 8130 8130 8130 8130 8130 8130 11050 11700 13000 5239 MISCELLANEOUS(INV) DOCUMENTATION CHARGES 1000 1250 1250 1250 1250 1250 1250 1700 1800 2000 5240 MISCELLANEOUS(INV) DONOR SCREENING PACKAGE FOR PSYCHOLOGY/ PSYCHIATRY 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5241 MISCELLANEOUS(INV) DOUBLE MARKER/IST TRIMESTER - PAPP-A, FREE B HCG 2200 2750 2750 2750 2750 2750 2750 3740 3960 4400 5242 MISCELLANEOUS(INV) ENDOTOXIN ASSAY 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5243 MISCELLANEOUS(INV) FLOW CYTOMETRIC HLA-CROSS MATCH 12000 12000 13200 15000 15000 15000 16800 20400 21600 24000 5244 MISCELLANEOUS(INV) FLOW CYTOMETRIC MDS PANEL 8000 8000 8800 10000 10000 10000 11200 13600 14400 16000 5245 MISCELLANEOUS(INV) FLOW CYTOMETRY FOR LEUCOCYTE ADHESION DEFECT TYPE 1 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5246 MISCELLANEOUS(INV) FLOW CYTOMETRY FOR MYELOMA 6000 6000 6600 7500 7500 7500 8400 10200 10800 12000 5247 MISCELLANEOUS(INV) FLUROSCOPY. 1880 1880 1880 1880 1880 1880 1880 2560 2710 3010 5248 MISCELLANEOUS(INV) IHC 10 MARKERS WITH BARCODE (ADD ON WITHOUT BARCOD 14280 14280 15710 17850 17850 17850 20000 24280 25710 28560 5249 MISCELLANEOUS(INV) IHC 7 MARKERS WITH BARCODE (ADD ON WITHOUT BARCODE 10810 10810 11900 13520 13520 13520 15140 18380 19460 21620 5250 MISCELLANEOUS(INV) IHC 9 MARKERS WITH BARCODE (ADD ON WITHOUT BARCODE 12040 12040 13250 15050 15050 15050 16860 20470 21680 24080 5251 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO1940 1940 2140 2430 2430 2430 2720 3300 3500 3880 5252 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO3880 3880 4270 4850 4850 4850 5440 6600 6990 7760 5253 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO5420 5420 5970 6780 6780 6780 7590 9220 9760 10840 5254 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO5970 5970 6570 7470 7470 7470 8360 10150 10750 11940 5255 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO7140 7140 7860 8930 8930 8930 10000 12140 12860 14280 5256 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY ADD ON STAINING (HISTOPATHOLO8000 8000 8800 10000 10000 10000 11200 13600 14400 16000 5257 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY STAINING (1 STAIN) WITH BARCOD 1840 1840 2030 2300 2300 2300 2580 3130 3320 3680 5258 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY STAINING (2 STAIN) WITH BARCOD 3670 3670 4040 4590 4590 4590 5140 6240 6610 7340 5259 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY STAINING (3 STAIN) WITH BARCOD 5200 5200 5720 6500 6500 6500 7280 8840 9360 10400 5260 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY STAINING (4 STAIN) WITH BARCOD 5920 5920 6520 7400 7400 7400 8290 10070 10660 11840 5261 MISCELLANEOUS(INV) IMMUNOHISTOCHEMISTRY STAINING (5 STAIN) WITH BARCOD 8360 8360 9200 10450 10450 10450 11710 14220 15050 16720 5262 MISCELLANEOUS(INV) IMMUNOPHENOTYPING (FLOW CYTOMETRY) ACUTE LEUKEMIA17000 17000 18700 21250 21250 21250 23800 28900 30600 34000 5263 MISCELLANEOUS(INV) IMMUNOPHENOTYPING (FLOW CYTOMETRY) CHRONIC LYMPH17000 17000 18700 21250 21250 21250 23800 28900 30600 34000 5264 MISCELLANEOUS(INV) IMMUNOPHENOTYPING (FLOWCYTOMETRY) - LYMPHOMA PA17000 17000 18700 21250 21250 21250 23800 28900 30600 34000 5265 MISCELLANEOUS(INV) IMMUNOPHENOTYPING (FLOWCYTOMETRY) - NK/OBSTETRIC P 5000 5000 5500 6250 6250 6250 7000 8500 9000 10000 5266 MISCELLANEOUS(INV) IMMUNOPHENOTYPING (FLOWCYTOMETRY) - PNH PANEL 7500 7500 8250 9380 9380 9380 10500 12750 13500 15000 5267 MISCELLANEOUS(INV) IQ AND DEVELOPMENTAL ASSESSMENT 3500 4380 4380 4380 4380 4380 4380 5950 6300 7000 5268 MISCELLANEOUS(INV) IRON STAIN BONE MARROW 700 700 770 880 880 880 980 1190 1260 1400 5269 MISCELLANEOUS(INV) KARYOTYPE - AMNIOTIC FLUID 8000 10000 10000 10000 10000 10000 10000 13600 14400 16000 5270 MISCELLANEOUS(INV) KARYOTYPE - BLOOD 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 5271 MISCELLANEOUS(INV) KARYOTYPE - CORD BLOOD 4000 5000 5000 5000 5000 5000 5000 6800 7200 8000 5272 MISCELLANEOUS(INV) KARYOTYPE - CVS 8000 10000 10000 10000 10000 10000 10000 13600 14400 16000 5273 MISCELLANEOUS(INV) KARYOTYPE - PRODUCT OF CONCEPTION 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5274 MISCELLANEOUS(INV) NEUROPSYCHOLOGICAL EVALUATION 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5275 MISCELLANEOUS(INV) NON INVASIVE PRENATAL SCREENING (NIPS) 33000 41250 41250 41250 41250 41250 41250 56100 59400 66000 5276 MISCELLANEOUS(INV) NONSPECIFIC ESTERASE (NSE) - CAE 1600 1600 1760 2000 2000 2000 2240 2720 2880 3200 5277 MISCELLANEOUS(INV) ORTHOPANTAMOGRAM ( OPG ) 400 500 500 500 500 500 500 680 720 800 5278 MISCELLANEOUS(INV) POSITRON EMISSION TOMOGRAPHY CT ( PET - CT ) WITH CONT24300 29650 29650 29650 29650 29650 29650 40325 42700 47440 5279 MISCELLANEOUS(INV) POSITRON EMISSION TOMOGRAPHY CT ( PET - CT ) WITHOUT CO19400 24250 24250 24250 24250 24250 24250 32980 34920 38800 5280 MISCELLANEOUS(INV) PRADER-WILLI 6500 8130 8130 8130 8130 8130 8130 11050 11700 13000 5281 MISCELLANEOUS(INV) PSYCHIATRY HOME VISIT 10000 10000 10000 10000 10000 10000 10000 13600 14400 16000 5282 MISCELLANEOUS(INV) QUADRUPLE MARKER - AFP, B HCG, ESTROIL, INHIBIN A 2700 3380 3380 3380 3380 3380 3380 4590 4860 5400 5283 MISCELLANEOUS(INV) RBS(GLUCOSE BED SIDE) 170 215 215 215 215 215 240 265 290 218 5284 MISCELLANEOUS(INV) REVIEW OF STAINED BONE BIOPSY SECTION RECEIVED FROM O1100 1100 1210 1380 1380 1380 1540 1870 1980 2200 5285 MISCELLANEOUS(INV) SKIN ALLERGY PRICK TEST[] 9000 9000 9000 9000 9000 9000 9000 12240 12960 14400 5286 MISCELLANEOUS(INV) SS MYELOPEROXIDASE (MPO) 650 650 720 820 820 820 910 1110 1170 1300 5287 MISCELLANEOUS(INV) TORCH PROFILE IGG 2170 2720 2720 2720 2720 2720 2720 3690 3910 4340 5288 MISCELLANEOUS(INV) TORCH PROFILE IGM 2170 2720 2720 2720 2720 2720 2720 3690 3910 4340 5289 MISCELLANEOUS(INV) TRIPLE MARKER/ II ND TRIMESTER - AFP, B HCG, ESTRIOL 2400 3000 3000 3000 3000 3000 3000 4080 4320 4800 5290 MISCELLANEOUS(INV) URINE GLUCOSE (BED SIDE) 100 137 137 137 137 137 137 186 197 218 5291 MISCELLANEOUS(INV) URINE KETONE (BED SIDE)[] 100 137 137 137 137 137 137 186 197 218 5292 NEUROLOGY AUTONOMIC FUNCTION TEST 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5293 NEUROLOGY BOTOX INJETION - ELECTROMYOGRAPHY ( EMG ) GUIDED ( ON1050 1418 1418 1418 1418 1418 1418 1928 2042 2268 5294 NEUROLOGY BRAINSTEM AUDITORY EVOKED RESPONSE ( BAER ) - PEDIATRIC2700 3612 3612 3612 3612 3612 3612 4912 5201 5778 5295 NEUROLOGY EEG - BEDSIDE ( NEUROLOGY ) 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 5296 NEUROLOGY EEG-SLEEP DEPRIVATION[] 2600 3478 3478 3478 3478 3478 3478 4730 5008 5564 5297 NEUROLOGY ELECTROENCEPHALOGRAM ( EEG ) - ROUTINE 2690 3360 3360 3360 3360 3360 3765 4145 4570 4780 5298 NEUROLOGY ELECTROMYOGRAM ( EMG ) - ONE LIMB 2150 2877 2877 2877 2877 2877 2877 3912 4142 4602 5299 NEUROLOGY ELECTROMYOGRAPHY ( EMG ) 3000 4475 4475 4475 4475 4475 4475 6090 6445 7160 5300 NEUROLOGY ELECTROMYOGRAPHY ( EMG ) - MORE THAN TWO LIMBS 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5301 NEUROLOGY ELECTROMYOGRAPHY ( EMG ) - TWO LIMBS 2700 3612 3612 3612 3612 3612 3612 4912 5201 5778 5302 NEUROLOGY FACIAL NERVE BLINK REFLEX TEST 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5303 NEUROLOGY FACIAL NERVE STUDY 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5304 NEUROLOGY NCV - TWO LIMBS 4280 5350 5350 5350 5350 5350 5990 6590 7275 8560 5305 NEUROLOGY NCV - MORE THAN TWO LIMBS 7000 9275 9275 9275 9275 9275 9275 12614 13356 14840 5306 NEUROLOGY NCV - ONE LIMB (UPPER LIMBS / LOWER LIMBS) 4000 5350 5350 5350 5350 5350 5350 7276 7704 8560 5307 NEUROLOGY NERVE CONDUCTION VELOCITY ( NCV ) STUDY - ALL LIMBS 7000 9275 9275 9275 9275 9275 9275 12614 13356 14840 5308 NEUROLOGY NERVE CONDUCTION VELOCITY ( NCV ) STUDY - BRACHIAL PLEX 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5309 NEUROLOGY NERVE CONDUCTION VELOCITY ( NCV ) TEST - CARPAL TUNNEL 2150 2877 2877 2877 2877 2877 2877 3912 4142 4602 5310 NEUROLOGY R R INTERAL 1050 1418 1418 1418 1418 1418 1418 1928 2042 2268 5311 NEUROLOGY REPETITIVE NERVE STIMULATION ( RNS ) TEST 1900 2565 2565 2565 2565 2565 2565 3489 3694 4104 5312 NEUROLOGY RNS 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5313 NEUROLOGY SOMATOSENSORY EVOKED POTENTIAL STUDY ( SSEP ) - LOWER2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5314 NEUROLOGY SOMATOSENSORY EVOKED POTENTIAL STUDY ( SSEP ) - UPPER 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5315 NEUROLOGY SYMPATHETIC SKIN RESPONSE ( SSR ) 1250 1688 1688 1688 1688 1688 1688 2295 2430 2700 5316 NEUROLOGY TREMEROGRAM 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5317 NEUROLOGY VIDEO EEG SHORT TERM 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5318 NEUROLOGY VIDEO ELECTROENCEPHALOGRAM ( EEG ) - 12 HOUR 8600 11395 11395 11395 11395 11395 11395 15498 16409 18232 5319 NEUROLOGY VIDEO ELECTROENCEPHALOGRAM ( EEG ) - 24 HOUR 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5320 NEUROLOGY VISUAL EVOKED POTENTIAL STUDY ( VEP ) + BRAINSTEM AUDIT3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5321 NIC AMBULATORY BLOOD PRESSURE ( BP ) MONITORING 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5322 NIC COLOUR DOPPLER / ECHO CARDIOGRAPHY[][][] 2590 3240 3240 3240 3240 3240 3630 3995 4405 5180 5323 NIC DOBUTAMINE STRESS ECHO 5300 6625 6625 6625 6625 6625 7420 8165 9010 10600 5324 NIC ECHOCARDIOGRAPHY ( BEDSIDE ) 3852 4815 4815 4815 4815 4815 4815 6549 6934 7704 5325 NIC ECHOCARDIOGRAPHY SCREENING 2775 3470 3470 3470 3470 3470 3885 4275 4720 2060 5326 NIC ELECTROCARDIOGRAPHY ( ECG ) 12 LEAD 390 490 490 490 490 490 550 605 665 780 5327 NIC EXTERNAL LOOP RECORDER ( ELR ) 17145 21440 21440 21440 21440 21440 21440 29150 30870 34290 5328 NIC HEAD UP TILT TEST ( HUTT ) 2450 3278 3278 3278 3278 3278 3278 4458 4720 5244 5329 NIC HOLTER 2590 3240 3240 3240 3240 3240 3630 3995 4405 5180 5330 NIC STRESS ECHOCARDIOGRAPH 4465 5580 5580 5580 5580 5580 6250 6875 7590 8340 5331 NIC TEE -TRANS ESOPHAGEAL ECHO 3200 4465 4465 4465 4463 4465 4465 6070 6430 7140 5332 NIC TREAD MILL TEST ( TMT ) 2185 2730 2730 2730 2730 2730 3060 3370 3715 4280 5333 NIC VASCULAR DOPPLER STUDY 2250 3010 3010 3010 3010 3010 3010 4094 4335 4816 5334 Nuclear Medicine BRAIN ECD 10000 13250 13250 13250 13250 13250 13250 18020 19080 21200 5335 Nuclear Medicine BRAIN SCAN ( HMPAO ) 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 5336 Nuclear Medicine CAPTOPRIL DTPA STUDY ( FOR SCREENING OF RENTAL HYPERT7000 8750 8750 8750 8750 8750 8750 11900 12600 14000 5337 Nuclear Medicine CARDIAC RESTING MUGA SCAN 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5338 Nuclear Medicine DIRECT RADIONUCLIDE CYSTOGRAM (DRCG) WITH UROFLOWM 4000 5350 5350 5350 5350 5350 5350 7276 7704 8560 5339 Nuclear Medicine DOTA NOC SCAN 28000 37100 37100 37100 37100 37100 37100 50456 53424 59360 5340 Nuclear Medicine GALLIUM SCANNING 25000 31250 31250 31250 31250 31250 31250 42500 45000 50000 5341 Nuclear Medicine GASTRIC EMPTYING STUDY 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 5342 Nuclear Medicine GASTRO ESOPHAGEAL REFLUX ( GER ) SCINTIGRAPHY + GASTRIC4500 5630 5630 5630 5630 5630 5630 7650 8100 9000 5343 Nuclear Medicine GASTRO ESOPHAGEAL REFLUX STUDY 4000 5000 5000 5000 5000 5000 5000 6800 7200 8000 5344 Nuclear Medicine GASTROINTESTINAL ( GI ) BLEED STUDY 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5345 Nuclear Medicine IODINE 131 THERAPY 6500 8130 8130 8130 8130 8130 8130 11050 11700 13000 5346 Nuclear Medicine IODINE SCAN - WHOLE BODY 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5347 Nuclear Medicine LIVER HEPATOBILIARY SCAN 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5348 Nuclear Medicine LIVER SPLEEN SCAN 5000 6250 6250 6250 6250 6250 6250 8500 9000 10000 5349 Nuclear Medicine LUNG PERFUSION SCINTIGRAPHY 6500 8130 8130 8130 8130 8130 8130 11050 11700 13000 5350 Nuclear Medicine LUNG VENTILATION AND PERFUSION SCAN 8500 10630 10630 10630 10630 10630 10630 14450 15300 17000 5351 Nuclear Medicine LUNG VENTILATION SCAN 4500 5630 5630 5630 5630 5630 5630 7650 8100 9000 5352 Nuclear Medicine LYMPHANGIOGRAPHY 7000 8750 8750 8750 8750 8750 8750 11900 12600 14000 5353 Nuclear Medicine MECKEL DIVERTICULUM SCINTIGRAPHY 4000 5000 5000 5000 5000 5000 5000 6800 7200 8000 5354 Nuclear Medicine MIBG SCAN (I - 131) 25000 33125 33125 33125 33125 33125 33125 45050 47700 53000 5355 Nuclear Medicine MYOCARDIAL PERFUSION STUDY - STRESS THALLIUM 12690 15865 15865 15865 15865 15865 17770 19550 21575 28000 5356 Nuclear Medicine MYOCARDIAL PERFUSION STUDY GATED STRESS ( TECHNETIUM 15440 15440 16990 19300 19300 19300 21620 26250 27800 30880 5357 Nuclear Medicine NUCLEAR MEDICINE ((PER FILM) FILM CHARGES[] 450 614 614 614 614 614 614 835 884 982 5358 Nuclear Medicine OCTREOTIDE SCAN 91800 121635 121635 121635 121635 121635 121635 165424 175155 194616 5359 Nuclear Medicine PARATHYROID SESTAMIBI IMAGING 9000 11250 11250 11250 11250 11250 11250 15300 16200 18000 5360 Nuclear Medicine RADIONUCLIDE CISTERNOGRAPHY FOR CEREBROSPINAL FLUID8000 10000 10000 10000 10000 10000 10000 13600 14400 16000 5361 Nuclear Medicine RENAL DMSA SCAN 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5362 Nuclear Medicine RENAL DYNAMIC STUDY WITH GFR (DTPA STUDY) 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5363 Nuclear Medicine SALIVOGRAM 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 5364 Nuclear Medicine SCINTIMAMMOGRAPHY 8500 10630 10630 10630 10630 10630 10630 14450 15300 17000 5365 Nuclear Medicine TESTICULAR SCAN ( NUCLEAR MEDICINE ) 3000 3750 3750 3750 3750 3750 3750 5100 5400 6000 5366 Nuclear Medicine THYROID SCAN / SCINTIGRAPHY ( TECHNETIUM - TC 99M ) 4500 5630 5630 5630 5630 5630 5630 7650 8100 9000 5367 Nuclear Medicine TRANSPLANT EVALUATION 4500 5630 5630 5630 5630 5630 5630 7650 8100 9000 5368 Nuclear Medicine WHITE BLOOD CELL ( WBC ) SCAN 23750 31469 31469 31469 31469 31469 31469 42798 45315 50350 5369 Nuclear Medicine WHOLE BODY BONE SCAN 6000 6000 6600 7500 7500 7500 8400 10200 10800 12000 5370 Nuclear Medicine X-RAY VENOGRAPHY 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 5371 PULMONOLOGY BRONCHIAL PROVOCATION TEST 2050 2743 2743 2743 2743 2743 2743 3730 3950 4388 5372 PULMONOLOGY COMPLETE PULMONARY FUNCTION TEST ( PFT ) 3000 3300 3300 3300 3300 3300 3300 4490 4755 5280 5373 PULMONOLOGY COMPLETE PULMONARY FUNCTION TEST ( PFT ) 2700 2640 2905 3300 3300 3300 3700 4490 4755 5280 5374 PULMONOLOGY Spirometry (PFT) Routine[] 1280 1600 1600 1600 1600 1600 1790 1970 2175 1854 5375 PULMONOLOGY Spirometry with diffusion[] 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5376 Radiology 3D AND 4D WITH COLOR DOPPLER ULTRASOUND 6000 7500 7500 7500 7500 7500 7500 10200 10800 12000 5377 Radiology ABDOMEN (LIVER / PANCREAS) DYNAMIC MRI STUDY CONTRA 12400 16430 16430 16430 16430 16430 16430 22345 23660 26288 5378 Radiology ABDOMEN + UROGRAM MRI ( CONTRAST ) 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5379 Radiology ABDOMEN + UROGRAM MRI ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5380 Radiology ABDOMEN CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5381 Radiology ABDOMEN CT PELVIMETRY 4850 6440 6440 6440 6438 6440 6440 8755 9270 10300 5382 Radiology ABDOMEN X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5383 Radiology ABDOMEN X-RAY ( DECUBITUS ) 500 500 500 500 500 500 500 680 720 800 5384 Radiology ABDOMEN X-RAY ( ERECT ) 500 500 550 630 630 630 700 850 900 1000 5385 Radiology ABDOMEN X-RAY ( OTHER ONE VIEW ) 500 500 550 630 630 630 700 850 900 1000 5386 Radiology ABDOMEN X-RAY ( SUPINE ) 500 500 550 630 630 630 700 850 900 1000 5387 Radiology ANKLE JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5388 Radiology ANKLE JOINT X-RAY ( AP VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5389 Radiology AORTA (THORACIC + ABDOMINAL) CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5390 Radiology ARM + ELBOW JOINT X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5391 Radiology ARTERIOVENOUS (AV) FISTULA RIGHT UPPER ARM ULTRASOUN 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5392 Radiology BARIUM ENEMA 4500 5963 5963 5963 5963 5963 5963 8109 8586 9540 5393 Radiology BARIUM MEAL FOLLOW THROUGH 4000 5350 5350 5350 5350 5350 5350 7276 7704 8560 5394 Radiology BARIUM MEAL STUDY 3500 4682 4682 4682 4682 4682 4682 6367 6741 7490 5395 Radiology BARIUM SWALLOW 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5396 Radiology BONE DENSITOMETRY ( DEXA SCAN ) TWO SITES 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5397 Radiology BONE DENSITOMETRY ( DEXA SCAN ) WHOLE BODY FAT ASSES5400 7155 7155 7155 7155 7155 7155 9731 10304 11448 5398 Radiology BONE SPECT SCAN 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5399 Radiology BRACHIAL PLEXUS MRI ( PLAIN ) 9150 12124 12124 12124 12124 12124 12124 16489 17459 19398 5400 Radiology BRAIN MRI 8230 10290 10290 10290 10290 10290 11525 12680 13995 16460 5401 Radiology BRAIN MRI ( CONTRAST ) 13480 16850 16850 16850 16850 16850 18870 20760 22915 22440 5402 Radiology BRAIN MRI + CSF FLOW STUDY ( CONTRAST ) 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5403 Radiology BRAIN MRI - CEREBROSPINAL FLUID ( CSF ) FLOW STUDY 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5404 Radiology BRAIN MRI - CONTRAST ( EPILEPSY PROTOCOL ) 12400 16430 16430 16430 16430 16430 16430 22345 23660 26288 5405 Radiology BRAIN MRI - PLAIN ( EPILEPSY PROTOCOL ) 8600 11395 11395 11395 11395 11395 11395 15498 16409 18232 5406 Radiology BRAIN MRI CONTRAST (DIFFUSION + PERFUSION IMAGING ) 17250 22857 22857 22857 22857 22857 22857 31085 32913 36570 5407 Radiology BRAIN MRI CONTRAST (DIFFUSION WEIGHTED IMAGING) 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5408 Radiology BRAIN MRI PLAIN + DIFFUSION WEIGHTED 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5409 Radiology BRAIN PERFUSION CT ( CONTRAST ) 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5410 Radiology BREAST ULTRASOUND 1600 2000 2000 2000 2000 2000 2000 2720 2880 3200 5411 Radiology CALCANEUM X-RAY ( AP + AXIAL VIEW ) 800 1000 1000 1000 1000 1000 1000 1360 1440 1600 5412 Radiology CARDIAC CT CALCIUM SCORING 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5413 Radiology CARDIAC MRI ( CONTRAST ) 16000 20000 20000 20000 20000 20000 20000 27200 28800 32000 5414 Radiology CARDIAC MRI ( PLAIN ) 11000 13750 13750 13750 13750 13750 13750 18700 19800 22000 5415 Radiology CARDIAC PET CT 18000 23850 23850 23850 23850 23850 23850 32436 34344 38160 5416 Radiology CAROTID ARTERY CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5417 Radiology CAROTIDS COLOR DOPPLER ULTRASOUND 3265 4080 4080 4080 4080 4080 4570 5030 5550 6400 5418 Radiology CARTILAGE IMAGING MRI ( CONTRAST ) 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5419 Radiology CARTILAGE IMAGING MRI ( PLAIN ) 9150 12124 12124 12124 12124 12124 12124 16489 17459 19398 5420 Radiology CD CHARGES ( RADIOLOGY)[] 400 500 500 500 500 500 500 680 720 800 5421 Radiology CD CHARGES NUCLEAR MEDICINE 500 630 630 630 630 630 630 850 900 1000 5422 Radiology CEREBRAL CT ANGIOGRAPHY ( CONTRAST ) 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5423 Radiology CERVICAL SPINE MRI ( PLAIN ) 7895 9870 9870 9870 9870 9870 11055 12165 13425 14900 5424 Radiology CERVICAL SPINE X-RAY ( AP + LATERAL + OBLIQUE VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5425 Radiology CERVICAL SPINE X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5426 Radiology CERVICAL SPINE X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5427 Radiology CERVICAL SPINE X-RAY ( EXTENSION ) 500 500 550 630 630 630 700 850 900 1000 5428 Radiology CERVICAL SPINE X-RAY ( FLEXION ) 500 500 550 630 630 630 700 850 900 1000 5429 Radiology CERVICAL SPINE X-RAY ( FLEXION + EXTENSION ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5430 Radiology CERVICAL SPINE X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5431 Radiology CERVICAL SPINE X-RAY ( SINGLE OBLIQUE VIEW ) 500 500 550 630 630 630 700 850 900 1000 5432 Radiology CERVICO - DORSAL SPINE MRI PLAIN 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5433 Radiology CHEST CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5434 Radiology CHEST HRCT 5725 7155 7155 7155 7155 7155 8015 8820 9730 11448 5435 Radiology CHEST X -RAY ( ANY OTHER - ONE VIEW) 500 500 550 630 630 630 700 850 900 1000 5436 Radiology CHEST X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5437 Radiology CHEST X-RAY ( LATERAL DECUBITUS ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5438 Radiology CHEST X-RAY ( LATERAL VIEWS ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5439 Radiology CHEST X-RAY ( OBLIQUE VIEW ) 500 500 550 630 630 630 700 850 900 1000 5440 Radiology CHEST X-RAY ( PA VIEW ) 500 500 550 630 630 630 700 850 900 1000 5441 Radiology COCCYX X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5442 Radiology COCCYX X-RAY ( AP VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5443 Radiology COCCYX X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5444 Radiology COLONOSCOPY VIRTUAL CT ( PLAIN ) 8600 11395 11395 11395 11395 11395 11395 15498 16409 18232 5445 Radiology COLOR DOPPLER GRAFT KIDNEY 3200 4000 4000 4000 4000 4000 4000 5440 5760 6400 5446 Radiology CORONARY ARTERY CT ANGIOGRAPHY 15000 15000 16500 18750 18750 18750 21000 25500 27000 30000 5447 Radiology CRANIOVERTEBRAL ( CV ) JUNCTION X-RAY - OPEN MOUTH 500 500 550 630 630 630 700 850 900 1000 5448 Radiology CT ANGIOGRAPHY ( ANY ONE PART ) 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5449 Radiology CT ANGIOGRAPHY + VOLUMETRY LIVER ( CONTRAST ) 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5450 Radiology CT CERVICAL SPINE CONTRAST 7250 9070 9070 9070 9070 9070 9070 12330 13050 14500 5451 Radiology CT CERVICAL SPINE PLAIN 6150 7690 7690 7690 7690 7690 7690 10460 11070 12300 5452 Radiology CT CISTERNOGRAPHY ( CONTRAST ) 8100 10733 10733 10733 10733 10733 10733 14597 15455 17172 5453 Radiology CT DORSAL SPINE CONTRAST 10250 12820 12820 12820 12820 12820 12820 17430 18450 20500 5454 Radiology CT DORSAL SPINE PLAIN 9150 11440 11440 11440 11440 11440 11440 15560 16470 18300 5455 Radiology CT DORSOLUMBER FOR D1 TO S1 CONTRAST 13250 16570 16570 16570 16570 16570 16570 22530 23850 26500 5456 Radiology CT DORSOLUMBER FOR D1 TO S1 PLAIN 12150 15190 15190 15190 15190 15190 15190 20660 21870 24300 5457 Radiology CT DOSROLUMBER SPINE CONTRAST 10250 12820 12820 12820 12820 12820 12820 17430 18450 20500 5458 Radiology CT DOSROLUMBER SPINE PLAIN 9150 11440 11440 11440 11440 11440 11440 15560 16470 18300 5459 Radiology CT ENTEROCLYSIS 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5460 Radiology CT FILM (PER FILM) CHARGES 450 614 614 614 614 614 614 835 884 982 5461 Radiology CT GUIDED CORE BIOPSY ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5462 Radiology CT GUIDED SPECIAL PROCEDURE 16200 21465 21465 21465 21465 21465 21465 29193 30910 34344 5463 Radiology CT LUMBER SPINE CONTRAST 6050 7570 7570 7570 7570 7570 7570 10290 10890 12100 5464 Radiology CT LUMBER SPINE PLAIN 4950 6190 6190 6190 6190 6190 6190 8420 8910 9900 5465 Radiology CT LUMBOSACRAL SPINE CONTRAST 7850 9820 9820 9820 9820 9820 9820 13350 14130 15700 5466 Radiology CT LUMBOSACRAL SPINE PLAIN 6750 8440 8440 8440 8440 8440 8440 11480 12150 13500 5467 Radiology CT PERFUSION ONE BODY PART ( CONTRAST ) 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5468 Radiology CT SCANOGRAM ( PLAIN ) 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5469 Radiology CT SINOGRAM 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5470 Radiology CT UROGRAM 11465 14330 14330 14330 14330 14330 16050 17655 19490 21730 5471 Radiology CT VIRTUAL BRONCHOSCOPY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5472 Radiology CT-3D CT EXTRA CHARGES PLAIN 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5473 Radiology CT-CARDIAC ANGIOGRAPHY 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 5474 Radiology CT-CECT CHEST 6450 8065 8065 8065 8065 8065 9035 9940 10970 12900 5475 Radiology CT-CECT KUB 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5476 Radiology CT-CT CHEST HR CT 5400 6750 6750 6750 6750 6750 7560 8320 9180 10800 5477 Radiology CT-PNS CORONAL CONTRAST 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5478 Radiology CT-VIRTUAL BRONCHOSCOPY PLAIN 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5479 Radiology CT-VIZIPAQUE CONTRAST USE (EXTRA CHARGES) CONTRAST 1050 1418 1418 1418 1418 1418 1418 1928 2042 2268 5480 Radiology DENTASCAN CT 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5481 Radiology DEXA BONE DENSITOMETRY ( SINGLE SITE ) 2700 5400 5940 6750 6750 6750 7560 9180 9720 10800 5482 Radiology DEXA SCAN ( THREE SITES ) 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5483 Radiology DIGITS X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5484 Radiology DOPPLER STUDY OF ARTERIOVENOUS ( AV ) FISTULA 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5485 Radiology DORSAL ( THORACIC ) SPINE X-RAY ( AP VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5486 Radiology DORSAL SPINE AND SCREENING OF ENTIRE SPINE 7290 9115 9115 9115 9115 9115 10210 11235 12395 13674 5487 Radiology DORSAL SPINE MRI SCREENING 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5488 Radiology DORSOLUMBAR ( THORACOLUMBAR ) SPINE X-RAY ( LATERAL 500 500 550 630 630 630 700 850 900 1000 5489 Radiology ELBOW JOINT + FOREARM X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5490 Radiology ELBOW JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5491 Radiology FACE CT ( CONTRAST ) 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5492 Radiology FACE CT ( PLAIN ) 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5493 Radiology FACE MRI ( CONTRAST ) 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5494 Radiology FACE MRI ( PLAIN) 9150 12124 12124 12124 12124 12124 12124 16489 17459 19398 5495 Radiology FEMUR X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5496 Radiology FEMUR X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5497 Radiology FETAL MRI ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5498 Radiology FINGER X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5499 Radiology FINGER X-RAY ( AP VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5500 Radiology FNAC / ASPIRATION ( DIAGNOSTIC ) USG 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5501 Radiology FNAC CT GUIDED 5900 7818 7818 7818 7818 7818 7818 10632 11258 12508 5502 Radiology FOLLICLULAR MONITORING ( SINGLE DAY ) ULTRASOUND 850 1159 1159 1159 1159 1159 1159 1576 1669 1854 5503 Radiology FOLLICULAR STUDY ULTRASOUND 2700 3612 3612 3612 3612 3612 3612 4912 5201 5778 5504 Radiology FOOT X-RAY ( ANY OTHER - ONE VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5505 Radiology FOOT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5506 Radiology FOOT X-RAY ( AP + OBLIQUE VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5507 Radiology FOOT X-RAY ( AP + OBLIQUE VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5508 Radiology FOOT X-RAY ( AP VIEW ) BOTH 500 500 550 630 630 630 700 850 900 1000 5509 Radiology FOOT X-RAY ( OBLIQUE VIEW ) IN EXTENSION 500 500 550 630 630 630 700 850 900 1000 5510 Radiology FOOT X-RAY ( OBLIQUE VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5511 Radiology FOREARM + WRIST JOINT X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5512 Radiology FOREARM + WRIST JOINT X-RAY ( AP + LATERAL VIEW ) RIGHT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5513 Radiology FOREARM X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5514 Radiology FOREARM X-RAY ( AP VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5515 Radiology FOREARM X-RAY ( LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5516 Radiology GASTROGRAFIN STUDY 3500 4682 4682 4682 4682 4682 4682 6367 6741 7490 5517 Radiology HAND X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5518 Radiology HAND X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5519 Radiology HAND X-RAY ( AP + OBLIQUE VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5520 Radiology HAND X-RAY ( AP + OBLIQUE VIEW ) BOTH SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5521 Radiology HAND X-RAY ( AP VIEW ) BILATERAL 500 500 550 630 630 630 700 850 900 1000 5522 Radiology HEAD CT ( CONTRAST ) 4300 5250 5250 5250 5250 5250 5250 7140 7560 8400 5523 Radiology HEAD CT ( PLAIN ) 2900 3625 3625 3625 3625 3625 4060 4470 4930 5800 5524 Radiology HEAD CT ( PLAIN + CONTRAST ) 5400 7155 7155 7155 7155 7155 7155 9731 10304 11448 5525 Radiology HEAD ULTRASOUND 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5526 Radiology HEEL X-RAY ( LATERAL VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5527 Radiology HEPATO BILIARY T-TUBE CHOLANGIOGRAM 3500 4682 4682 4682 4682 4682 4682 6367 6741 7490 5528 Radiology HIP JOINT + THIGH X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5529 Radiology HIP JOINT + THIGH X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5530 Radiology HIP JOINT X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5531 Radiology HIP JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5532 Radiology HIP JOINT X-RAY ( AP VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5533 Radiology HIP JOINT X-RAY ( LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5534 Radiology HUMERUS X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5535 Radiology HYSTEROSALPINGOGRAPHY 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5536 Radiology INTERNAL JUGULAR VEIN (IJV) COLOR DOPPLER ULTRASOUND 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5537 Radiology INTRAVENOUS PYELOGRAPHY ( IVP ) - CONTRAST NON IONIC 4000 5350 5350 5350 5350 5350 5350 7276 7704 8560 5538 Radiology JOINT X-RAY B/L KNEE (HIP JOINT & B/L SHOULDER AP) 1050 1320 1320 1320 1320 1320 1320 1790 1890 2100 5539 Radiology JOINTS CT ( CONTRAST ) 5900 7818 7818 7818 7818 7818 7818 10632 11258 12508 5540 Radiology JOINTS CT ( PLAIN ) 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5541 Radiology KNEE JOINT MRI PLAIN ( LEFT ) 7630 9540 9540 9540 9540 9540 10685 11755 12975 15260 5542 Radiology KNEE JOINT X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5543 Radiology KNEE JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5544 Radiology KNEE JOINT X-RAY ( AP VIEW ) - RIGHT / LEFT 500 500 550 630 630 630 700 850 900 1000 5545 Radiology KNEE JOINT X-RAY ( LATERAL VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5546 Radiology KNEE JOINT X-RAY ( LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5547 Radiology KNEE JOINT X-RAY ( PA VIEW - 30 DEGREE FLEXION ) BOTH SID 500 500 550 630 630 630 700 850 900 1000 5548 Radiology KNEE JOINT X-RAY ( PA VIEW - 30 DEGREE FLEXION ) LEFT 500 500 550 630 630 630 700 850 900 1000 5549 Radiology KNEE JOINT X-RAY ( PA VIEW WITH 30* FLEXION ) 500 500 550 630 630 630 700 850 900 1000 5550 Radiology KNEE JOINT X-RAY ( SKYLINE VIEW ) BOTH SIDE 500 500 550 630 630 630 700 850 900 1000 5551 Radiology KNEE MULTIDETECTOR CT ( MDCT ) TRUE MATCH ( BOTH ) 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5552 Radiology KNEE MULTIDETECTOR CT ( MDCT ) TRUE MATCH ( LEFT ) 7000 9275 9275 9275 9275 9275 9275 12614 13356 14840 5553 Radiology KNEE X-RAY ( MERCHANT VIEW ) 500 500 550 630 630 630 700 850 900 1000 5554 Radiology KUB CT ( CONTRAST ) 10280 12855 12855 12853 12855 12855 14395 15835 17480 20564 5555 Radiology KUB CT ( PLAIN ) 6410 8010 8010 8010 8010 8010 8970 9870 10895 11448 5556 Radiology KUB ULTRASOUND 1600 2000 2000 2000 2000 2000 2240 2465 2720 3200 5557 Radiology KUB X-RAY 500 500 550 630 630 630 700 850 900 1000 5558 Radiology LEG + ANKLE JOINT X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5559 Radiology LEG + ANKLE JOINT X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5560 Radiology LEG + ANKLE JOINT X-RAY ( AP VIEW ) RIGHT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5561 Radiology LEG + KNEE JOINT X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5562 Radiology LEG + KNEE JOINT X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5563 Radiology LEG X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5564 Radiology LIVER + SPLEEN SPECT SCAN 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5565 Radiology LOWER ABDOMEN (PELVIS) CT CONTRAST 6450 7875 7875 7875 7875 7875 7875 10710 11340 12600 5566 Radiology LOWER ABDOMEN (PELVIS) MRI - CONTRAST 11300 13790 13790 13790 13788 13790 13790 18755 19855 22060 5567 Radiology LOWER ABDOMEN / PELVIS ULTRASOUND 1050 1675 1675 1675 1675 1675 1675 2280 2415 2680 5568 Radiology LOWER ABDOMEN MRI ( PLAIN ) 9455 11820 11820 11820 11820 11820 13240 14565 16075 15260 5569 Radiology LOWER LIMB ( BILATERAL ) CT VENOGRAPHY 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5570 Radiology LOWER LIMB MRI CONTRAST ( LEFT ) 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5571 Radiology LUMBAR SPINE X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5572 Radiology LUMBAR SPINE X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5573 Radiology LUMBAR SPINE X-RAY ( BOTH OBLIQUE VIEWS ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5574 Radiology LUMBAR SPINE X-RAY ( EXTENSION ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5575 Radiology LUMBO SACRAL SPINE MRI ( PLAIN ) 8005 10005 10005 10004 10005 10005 11205 12330 13605 16006 5576 Radiology LUMBOSACRAL ( LS ) SPINE MRI SCREENING 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5577 Radiology LUMBOSACRAL SPINE X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5578 Radiology LUMBOSACRAL SPINE X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5579 Radiology LUMBOSACRAL SPINE X-RAY ( EXTENSION ) 500 500 550 630 630 630 700 850 900 1000 5580 Radiology LUMBOSACRAL SPINE X-RAY ( FLEXION ) 500 500 550 630 630 630 700 850 900 1000 5581 Radiology LUMBOSACRAL SPINE X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5582 Radiology MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY ( MR12400 16430 16430 16430 16430 16430 16430 22345 23660 26288 5583 Radiology MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY ( MR9115 11395 11395 11395 11395 11395 12760 14040 15495 18232 5584 Radiology MAMMOGRAPHY - SINGLE BREAST 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5585 Radiology MAMMOGRAPHY BILATERAL 2700 2700 2970 3380 3380 3380 3780 4590 4860 5400 5586 Radiology MANDIBLE X-RAY ( AP + OBLIQUE VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5587 Radiology MASTOIDS X-RAY ( LATERAL OBLIQUE VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5588 Radiology MASTOIDS X-RAY ( LATERAL OBLIQUE VIEW ) LEFT 500 500 550 630 630 630 700 850 900 1000 5589 Radiology MICTURATING CYSTOURETHROGRAPHY ( MCU ) 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5590 Radiology MOSTOID PROCESS X-RAY 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5591 Radiology MRI 3D EXTRA CHARGES 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5592 Radiology MRI ANGIOGRAPHY (ONE ANATOMICAL AREA) CONTRAST 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5593 Radiology MRI ANGIOGRAPHY (ONE ANATOMICAL AREA) PLAIN 8005 10005 10005 10004 10005 10005 11205 12330 13605 16006 5594 Radiology MRI ANGIOGRAPHY PHERIPHERAL ( PLAIN ) 19400 25705 25705 25705 25705 25705 25705 34959 37016 41128 5595 Radiology MRI CISTERNOGRAPHY ( CONTRAST ) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5596 Radiology MRI CISTERNOGRAPHY ( PLAIN ) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5597 Radiology MRI CONTRAST + DIFFUSION STUDY (ONE BODY PART) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5598 Radiology MRI CONTRAST STUDY (ONE ANATOMICAL AREA) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5599 Radiology MRI DEFECOGRAM ( CONTRAST ) 12400 16430 16430 16430 16430 16430 16430 22345 23660 26288 5600 Radiology MRI ENTEROCLYSIS ( CONTRAST ) 19400 25705 25705 25705 25705 25705 25705 34959 37016 41128 5601 Radiology MRI MAMMOGRAPHY ( CONTRAST ) 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5602 Radiology MRI MAMMOGRAPHY ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5603 Radiology MRI PLAIN AND DIFFUSION STUDY (ONE BODY PART) 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5604 Radiology MRI PLAIN STUDY (ONE ANATOMICAL AREA) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5605 Radiology MRI R2* ( R2 STAR ) IMAGING PLAIN 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5606 Radiology MRI SPECTROSCOPY ( BRAIN ) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5607 Radiology MRI TRACTOGRAPHY ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5608 Radiology MRI VENOGRAPHY ( CONTRAST ) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5609 Radiology MRI VENOGRAPHY ( PLAIN ) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5610 Radiology MRI WHOLE SPINE SCREENING 7550 9440 9440 9440 9440 9440 9440 12840 13590 15100 5611 Radiology MRI-BRAIN+FMRI ONE ACTIVITY (CONTRAST) 18900 25043 25043 25043 25043 25043 25043 34058 36062 40068 5612 Radiology MRI-BRAIN+FMRI ONE ACTIVITY PLAIN 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5613 Radiology MRI-BRAIN+FMRI TWO ACTIVITIES (CONTRAST) 25900 34318 34318 34318 34318 34318 34318 46672 49418 54908 5614 Radiology MRI-BRAIN+FMRI TWO ACTIVITIES PLAIN 22650 30012 30012 30012 30012 30012 30012 40816 43217 48018 5615 Radiology MRI-FUNCTIONAL (BOLD IMAGING ONE ACTIVITY) PLAIN 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5616 Radiology MUSCULOSKELETAL ULTRASOUND 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5617 Radiology NASAL BONE X-RAY ( BOTH LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5618 Radiology NECK ( INCLUDING UPPER CHEST ) CECT 5900 7818 7818 7818 7818 7818 7818 10632 11258 12508 5619 Radiology NECK ( INCLUDING UPPER CHEST ) NCCT 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5620 Radiology NECK CT ( CONTRAST ) 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5621 Radiology NECK CT ( PLAIN ) 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5622 Radiology NECK MRI ( PLAIN ) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5623 Radiology NECK ULTRASOUND 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5624 Radiology OBSTETRIC COLOR DOPPLER ULTRASOUND 3425 4280 4280 4280 4280 4280 4795 5275 5820 6848 5625 Radiology OBSTETRIC ULTRASOUND ( LEVEL 2 )[] 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5626 Radiology OBSTETRICS ULTRASOUND 2105 2630 2630 2630 2630 2630 2945 3240 3575 3888 5627 Radiology ORBITS CT ( CONTRAST ) 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5628 Radiology ORBITS CT ( PLAIN ) 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5629 Radiology PARANASAL SINUSES ( PNS ) X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5630 Radiology PARANASAL SINUSES ( PNS ) X-RAY ( AP VIEW ) - OPEN + CLOSE1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5631 Radiology PARANASAL SINUSES ( PNS ) X-RAY ( WATERS VIEW ) 500 500 550 630 630 630 700 850 900 1000 5632 Radiology PARANASAL SINUSES ( PNS ) X-RAY - LATERAL VIEW ( OPEN + CLO1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5633 Radiology PELVIS + FEMUR ( WITH INTERNAL ROTATION ) X-RAY ( PA VIEW 500 500 550 630 630 630 700 850 900 1000 5634 Radiology PELVIS + HIP JOINT X-RAY ( WITH 15 DEGREE INTERNAL ROTAT500 500 550 630 630 630 700 850 900 1000 5635 Radiology PELVIS TRANSVAGINAL ULTRASOUND 1800 1800 1980 2250 2250 2250 2520 3060 3240 3600 5636 Radiology PELVIS ULTRASOUND SCREENING FOR POSTVOID RESIDUAL ( P750 1023 1023 1023 1023 1023 1023 1391 1473 1636 5637 Radiology PELVIS X-RAY ( FROG VIEW ) 500 500 550 630 630 630 700 850 900 1000 5638 Radiology PELVIS X-RAY INCLUDING BOTH HIP JOINTS ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5639 Radiology PELVIS X-RAY SINGLE SITE ( JUDET VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5640 Radiology PENILE COLOR DOPPLER ULTRASOUND 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5641 Radiology PERIPHERAL / EXTREMITY CT ANGIOGRAPHY ( CONTRAST ) 15000 18750 18750 18750 18750 18750 18750 25500 27000 30000 5642 Radiology PERIPHERAL ARTERIAL COLOR DOPPLER - BILATERAL 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5643 Radiology PERIPHERAL VENOUS COLOR DOPPLER - BILATERAL 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5644 Radiology PERIPHERAL VENOUS COLOR DOPPLER STUDY ULTRASOUND ( EA3225 3225 3550 4040 4040 4040 4520 5490 5810 6450 5645 Radiology PET CT BRAIN PLAIN 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5646 Radiology PET CT BRAIN WITH CONTRAST 16000 33125 33125 33125 33125 33125 33125 45050 47700 53000 5647 Radiology PET CT WHOLE BODY PLAIN 25000 31250 31250 31250 31250 31250 31250 42500 45000 50000 5648 Radiology PET CT WHOLE BODY PSMA 25000 31250 31250 31250 31250 31250 31250 42500 45000 50000 5649 Radiology PET CT WHOLE BODY WITH ANGIOGRAPHY 30000 39750 39750 39750 39750 39750 39750 54060 57240 63600 5650 Radiology PET CT WHOLE BODY WITH CONTRAST 28000 35000 35000 35000 35000 35000 35000 47600 50400 56000 5651 Radiology PLEURAL TAP ULTRASOUND GUIDED 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5652 Radiology PNS CT ( AXIAL + CORONAL ) CONTRAST 5050 6692 6692 6692 6692 6692 6692 9101 9636 10706 5653 Radiology PNS CT ( AXIAL + CORONAL )PLAIN 4695 5870 5870 5870 5870 5870 6575 7235 7985 8026 5654 Radiology PNS CT PLAIN ( CORONAL ) 3425 4280 4280 4280 4280 4280 4795 5275 5820 6848 5655 Radiology PORTABLE X-RAY LEFT FOOT AP AND OLI 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5656 Radiology PORTABLE X-RAY RIGHT FOOT AP AND OLI 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5657 Radiology PORTABLE COLOR DOPPLER GRAFT KIDNEY 3950 4940 4940 4940 4940 4940 4940 6720 7110 7900 5658 Radiology PORTABLE COLOUR DOPPLER- PENILE 7200 9540 9540 9540 9540 9540 9540 12975 13738 15264 5659 Radiology PORTABLE COLOUR DOPPLER-ABDOMINAL (RENAL) 5050 6692 6692 6692 6692 6692 6692 9101 9636 10706 5660 Radiology PORTABLE COLOUR DOPPLER-ABDOMINAL(RENAL)B/L 5050 6692 6692 6692 6692 6692 6692 9101 9636 10706 5661 Radiology PORTABLE COLOUR DOPPLER-ARTERIAL / VENOUS (ONE LIMB) 3950 5284 5284 5284 5284 5284 5284 7186 7609 8454 5662 Radiology PORTABLE COLOUR DOPPLER-ARTERIAL / VENOUS BILATERAL[ 7200 9540 9540 9540 9540 9540 9540 12975 13738 15264 5663 Radiology PORTABLE COLOUR DOPPLER-CAROTID 3950 5284 5284 5284 5284 5284 5284 7186 7609 8454 5664 Radiology PORTABLE COLOUR DOPPLER-OBESTRIC 3950 5284 5284 5284 5284 5284 5284 7186 7609 8454 5665 Radiology PORTABLE COLOUR DOPPLER-PERIPHERAL ARTERIAL BILATERA 7200 9540 9540 9540 9540 9540 9540 12975 13738 15264 5666 Radiology PORTABLE COLOUR DOPPLER-PERIPHERAL VENOUS BILATERAL 7200 9540 9540 9540 9540 9540 9540 12975 13738 15264 5667 Radiology PORTABLE KUB WITH PVR[][] 1800 2430 2430 2430 2430 2430 2430 3305 3500 3888 5668 Radiology PORTABLE US- GUIDED FNAC / PROCEDURE[] 3950 5284 5284 5284 5284 5284 5284 7186 7609 8454 5669 Radiology PORTABLE US- UPPER / LOWER ABDOMEN 1700 2295 2295 2295 2295 2295 2295 3122 3305 3672 5670 Radiology PORTABLE USG CRANIAL 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5671 Radiology PORTABLE USG GUIDED FNAC 3950 5284 5284 5284 5284 5284 5284 7186 7609 8454 5672 Radiology PORTABLE USG BREAST 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5673 Radiology PORTABLE USG CHEST[] 1900 2565 2565 2565 2565 2565 2565 3489 3694 4104 5674 Radiology PORTABLE USG FOLLICULAR STUDY ( COMPLETE ) 3450 4615 4615 4615 4615 4615 4615 6277 6646 7384 5675 Radiology PORTABLE USG FOLLICULAR STUDY ( SINGLE DAY ) 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5676 Radiology PORTABLE USG FOR BIOPHYSICAL SCORE 2550 3412 3412 3412 3412 3412 3412 4640 4913 5458 5677 Radiology PORTABLE USG KUB 1800 2430 2430 2430 2430 2430 2430 3305 3500 3888 5678 Radiology PORTABLE USG MUSCULOKELTAL 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5679 Radiology PORTABLE USG NECK 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5680 Radiology PORTABLE USG OBSTETRICS LEVEL II 3100 4147 4147 4147 4147 4147 4147 5639 5971 6634 5681 Radiology PORTABLE USG OBSTETRICS ROUTINE 2550 3412 3412 3412 3412 3412 3412 4640 4913 5458 5682 Radiology PORTABLE USG SCROTUM 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5683 Radiology PORTABLE USG THYROID 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5684 Radiology PORTABLE USG TRUS 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5685 Radiology PORTABLE USG TVS 2350 3144 3144 3144 3144 3144 3144 4276 4527 5030 5686 Radiology PORTABLE USG U/L ABDOMEN 1900 2565 2565 2565 2565 2565 2565 3489 3694 4104 5687 Radiology PORTABLE USG WHOLE ABDOMEN 2890 3610 3610 3610 3610 3610 4045 4450 4910 5778 5688 Radiology PORTABLE X - RAY -SKULL-ANY 2 VIEWS 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5689 Radiology PORTABLE X - RAY - ABDOMEN- AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5690 Radiology PORTABLE X - RAY - ABDOMEN- DECUBITUS[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5691 Radiology PORTABLE X - RAY - ABDOMEN- ERECT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5692 Radiology PORTABLE X - RAY - ABDOMEN- OTHER- ONE VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5693 Radiology PORTABLE X - RAY - ABDOMEN- SUPINE[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5694 Radiology PORTABLE X - RAY - BOTH FEET AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5695 Radiology PORTABLE X - RAY - BOTH HANDS AP VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5696 Radiology PORTABLE X - RAY - BOTH KNEE SKYLINE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5697 Radiology PORTABLE X - RAY - CALCANEUM- AP & AXIAL 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5698 Radiology PORTABLE X - RAY - CHEST- AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5699 Radiology PORTABLE X - RAY - CHEST- DECUBITUS(RIGHT/LEFT) 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5700 Radiology PORTABLE X - RAY - CHEST- LATERAL(RIGHT/LEFT) 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5701 Radiology PORTABLE X - RAY - CHEST- OBLIQUE (FOR RIBS) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5702 Radiology PORTABLE X - RAY - CHEST- OTHER- ONE VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5703 Radiology PORTABLE X - RAY - CHEST- PA 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5704 Radiology PORTABLE X - RAY - COCCYX (LATERAL) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5705 Radiology PORTABLE X - RAY - COCCYX SINGLE VIEW (SITTING & STANDING 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5706 Radiology PORTABLE X - RAY - NASAL BONE 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5707 Radiology PORTABLE X - RAY - NASAL BONE B/L 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5708 Radiology PORTABLE X - RAY - PELVIS- AP VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5709 Radiology PORTABLE X - RAY - PELVIS- SINGLE JUDET’S VIEW 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5710 Radiology PORTABLE X - RAY - PELVIS-AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5711 Radiology PORTABLE X - RAY - PNS-WATERS VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5712 Radiology PORTABLE X - RAY - RT KNEE JOINT - AP & LAT[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5713 Radiology PORTABLE X - RAY - SINGLE FOOT (AP & OBL) 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5714 Radiology PORTABLE X - RAY - SINGLE FOOT- AP & LAT[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5715 Radiology PORTABLE X - RAY - SINGLE HAND-AP & OBLIQUE VIEWS 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5716 Radiology PORTABLE X - RAY - SINGLE HUMERUS- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5717 Radiology PORTABLE X - RAY - SINGLE LEG- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5718 Radiology PORTABLE X - RAY - SINGLE SHOULDER JOINT- AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5719 Radiology PORTABLE X - RAY - SINGLE WRIST-SCAPHOID VIEWS 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5720 Radiology PORTABLE X - RAY - SKULL LAT[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5721 Radiology PORTABLE X - RAY - SKULL-ANY 3 VIEWS 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5722 Radiology PORTABLE X - RAY -SINGLE SHOULDER JOINT- AP & AXIAL &LAT 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5723 Radiology PORTABLE X - RAY -SINGLE SHOULDER JOINT- AP & AXIAL[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5724 Radiology PORTABLE X - RAY ANKLE JOINT AP & LAT[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5725 Radiology PORTABLE X - RAY CERVICAL SPINE AP & LAT[][] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5726 Radiology PORTABLE X - RAY MOSTID 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5727 Radiology PORTABLE X - RAY RIGHT ANKLE AP/ LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5728 Radiology PORTABLE X - RAY RIGHT FOOT AP/ OBLIQE 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5729 Radiology PORTABLE X - RAY RIGHT LEG WITH ANKLE AP/LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5730 Radiology PORTABLE X - RAY SACRUM AP & LAT 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5731 Radiology PORTABLE X - RAY SI JOINT AP/OBI 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5732 Radiology PORTABLE X - RAY SINGLE WRIST JOINT- ANY 2 VIEWS 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5733 Radiology PORTABLE X - RAY SINGLE WRIST JOINT- ANY 3 VIEWS[] 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5734 Radiology PORTABLE X - RAY SINGLE WRIST JOINT- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5735 Radiology PORTABLE X - RAY SKULL-AP & LAT[][] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5736 Radiology PORTABLE X - RAY SOFT TISSUES- LAT(Neck)[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5737 Radiology PORTABLE X - RAY STERNUM LAT & OBL 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5738 Radiology PORTABLE X - RAY STYLOID PROCESS[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5739 Radiology PORTABLE X - RAY- KUB [] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5740 Radiology PORTABLE X - RAY- SINGLE HIP JOINT - AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5741 Radiology PORTABLE X - RAY- COCCYX AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5742 Radiology PORTABLE X - RAY- DIGITS- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5743 Radiology PORTABLE X - RAY- SINGLE HIPJOINT LATERAL 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5744 Radiology PORTABLE X - RAY- SINGLE ELBOW JOINT- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5745 Radiology PORTABLE X - RAY- SINGLE FEMUR- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5746 Radiology PORTABLE X - RAY- SINGLE FOOT- ANY OTHER 1 VIEW 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5747 Radiology PORTABLE X - RAY- SINGLE FOREARM- AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5748 Radiology PORTABLE X - RAY- SINGLE HAND- AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5749 Radiology PORTABLE X - X RAY THIGH AP 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5750 Radiology PORTABLE X RAY PELVIS WITH BOTH HIP AP VIEW[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5751 Radiology PORTABLE X-RAY BOTH HAND AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5752 Radiology PORTABLE X-RAY BOTH KNEE JOINT AP & LAT 4000 4000 4400 5000 5000 5000 5600 6800 7200 8000 5753 Radiology PORTABLE X-RAY FINGER AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5754 Radiology PORTABLE X-RAY FINGER AP/LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5755 Radiology PORTABLE X-RAY HAND B/LAP &LAT 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5756 Radiology PORTABLE X-RAY HAND B/LAP &OBLI 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5757 Radiology PORTABLE X-RAY KNEE B/L AP & LAT[] 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5758 Radiology PORTABLE X-RAY LEFT LEG WITH ANKLE – AP AND LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5759 Radiology PORTABLE X-RAY LT FORE ARM @ WRIST AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5760 Radiology PORTABLE X-RAY LT HAND AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5761 Radiology PORTABLE X-RAY LT KNEE JOINT AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5762 Radiology PORTABLE X-RAY LUMBAR SPINE AP & LAT[][] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5763 Radiology PORTABLE X-RAY LUMBAR SPINE-AP[][] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5764 Radiology PORTABLE X-RAY RIGHT ANKLE AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5765 Radiology PORTABLE X-RAY RIGHT LEG WITH ANKLE – AP AND LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5766 Radiology PORTABLE X-RAY RIGHT LEG WITH ANKLE AP& LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5767 Radiology PORTABLE X-RAY RT FORE ARM @ WRIST AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5768 Radiology PORTABLE X-RAY RT HAND AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5769 Radiology PORTABLE X-RAY Rt KNEE AP & LAT[] 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5770 Radiology PORTABLE X-RAY RT/LT HIP AP VIEW 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5771 Radiology PORTABLE X-RAY SHOULDER WITH UPPER ARM AP 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5772 Radiology PORTABLE X-RAY SHOULDER WITH UPPER ARM AP/LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5773 Radiology PORTABLE X-RAY SHOULDER WITH UPPER ARM LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5774 Radiology PORTABLE X-RAY SI JOINT AP & OBI 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5775 Radiology PORTABLE X-RAY SINGLE SHOULDER AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5776 Radiology PORTABLE X-RAY STYLOID PROCESS AP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5777 Radiology PORTABLE X-RAY WRIST B/LAP & LAT 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5778 Radiology PORTABLE X-RAY WRIST B/LAP & OBLI 3000 3000 3300 3750 3750 3750 4200 5100 5400 6000 5779 Radiology PROSTATE MRI ( CONTRAST ) 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5780 Radiology PROSTATE MRI ( PLAIN ) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5781 Radiology PULMONARY ANGIOGRAPHY + B/L LOWER LIMBS ANGIOGRAP 16200 21465 21465 21465 21465 21465 21465 29193 30910 34344 5782 Radiology PULMONARY CT ANGIOGRAPHY 11450 14310 14310 14310 14310 14310 16025 17630 19460 22896 5783 Radiology RADIOLOGIST CONSULTATION CHARGES DURING EMERGENCY 2000 2500 2500 2500 2500 2500 2500 3400 3600 4000 5784 Radiology RENAL COLOR DOPPLER ULTRASOUND 4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5785 Radiology RENAL COLOR DOPPLER ULTRASOUND ( BILATERAL ) 4500 5963 5963 5963 5963 5963 5963 8109 8586 9540 5786 Radiology RENAL TRANSPLANT COLOR DOPPLER ULTRASOUND STUDY 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5787 Radiology RENAL VESSELS CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5788 Radiology RETROGRADE URETHROGRAPHY ( RGU ) 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5789 Radiology RETROGRADE URETHROGRAPHY ( RGU ) + MICTURATING CYST4500 5963 5963 5963 5963 5963 5963 8109 8586 9540 5790 Radiology SACROILIAC JOINT X-RAY ( AP + OBLIQUE VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5791 Radiology SACROILIAC JOINT X-RAY ( AP + OBLIQUE VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5792 Radiology SACROILIAC JOINT X-RAY ( AP VIEW ) 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5793 Radiology SACRUM + COCCYX X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5794 Radiology SACRUM X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5795 Radiology SCROTAL COLOR DOPPLER STUDY ULTRASOUND 3200 3424 3767 4280 4280 4280 4794 5821 6164 6848 5796 Radiology SELLA ( PITUITARY FOSSA ) / PITUITARY CT ( CONTRAST - NON IO4300 5752 5752 5752 5752 5752 5752 7822 8282 9202 5797 Radiology SELLA (PITUITARY FOSSA) / PITUITARY CT ( PLAIN ) 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5798 Radiology SHOULDER ( GLENOHUMERAL ) JOINT X-RAY ( AP + AXIAL VIEW1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5799 Radiology SHOULDER JOINT X-RAY ( AP + AXIAL + LATERAL VIEW ) LEFT SI 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5800 Radiology SHOULDER JOINT X-RAY ( AP + AXILLARY VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5801 Radiology SHOULDER JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5802 Radiology SHOULDER JOINT X-RAY ( AP + LATERAL VIEW ) RIGHT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5803 Radiology SHOULDER JOINT X-RAY ( AP VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5804 Radiology SHOULDER JOINT X-RAY ( AP VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5805 Radiology SHOULDER JOINT X-RAY ( AXILLARY + OUTLET VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5806 Radiology SHOULDER JOINT X-RAY ( AXILLARY VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5807 Radiology SHOULDER JOINT X-RAY ( LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5808 Radiology SHOULDER JOINT X-RAY ( OUTLET LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5809 Radiology SHOULDER JOINT X-RAY ( OUTLET VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5810 Radiology SHOULDER MRI - LEFT 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5811 Radiology SHOULDER WITH UPPER ARM X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5812 Radiology SHOULDER WITH UPPER ARM X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5813 Radiology SHOULDER WITH UPPER ARM X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5814 Radiology SHOULDER X-RAY LEFT SIDE ( OUTLET AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5815 Radiology SINOGRAM 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5816 Radiology SINOGRAM MRI ( PLAIN ) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5817 Radiology SKULL X-RAY ( ANY 2 VIEWS ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5818 Radiology SKULL X-RAY ( ANY 3 VIEWS ) 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5819 Radiology SKULL X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5820 Radiology SKULL X-RAY ( AP VIEW ) 500 500 550 630 630 630 700 850 900 1000 5821 Radiology SKULL X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5822 Radiology SKULL X-RAY ( LATERAL VIEW ) LEFT 500 500 550 630 630 630 700 850 900 1000 5823 Radiology SKULL X-RAY ( LATERAL VIEW ) RIGHT 500 500 550 630 630 630 700 850 900 1000 5824 Radiology SMALL PARTS COLOR DOPPLER ULTRASOUND 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5825 Radiology SOFT TISSUE NECK X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5826 Radiology SPINE ( 3 VERTEBRAL LEVELS ) CT 3D CONTRAST 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5827 Radiology SPINE ( 3 VERTEBRAL LEVELS ) CT 3D PLAIN 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5828 Radiology SPINE CT ( PLAIN ) - PER LEVEL 600 818 818 818 818 818 818 1112 1178 1308 5829 Radiology SPINE CT MYELOGRAM ( CONTRAST ) - ONE REGION 5400 7155 7155 7155 7155 7155 7155 9731 10304 11448 5830 Radiology SPINE X-RAY ( OBLIQUE VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5831 Radiology SPINE X-RAY DORSAL/LUMBAR/CERVICAL (AP & LAT VIEW) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5832 Radiology STERNUM X-RAY ( LATERAL + OBLIQUE VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5833 Radiology STERNUM X-RAY ( LATERAL VIEW ) 500 500 550 630 630 630 700 850 900 1000 5834 Radiology STYLOID PROCESS X-RAY 500 500 550 630 630 630 700 850 900 1000 5835 Radiology STYLOID PROCESS X-RAY ( AP + LATERAL VIEW ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5836 Radiology SUPRAPUBIC CATHETER INSERTION ULTRASOUND GUIDED 1400 1890 1890 1890 1890 1890 1890 2571 2722 3024 5837 Radiology TC99M EC RENAL SCAN 5500 6880 6880 6880 6880 6880 6880 9350 9900 11000 5838 Radiology TEMPORAL BONE HRCT ( CONTRAST ) 4850 6427 6427 6427 6427 6427 6427 8740 9254 10282 5839 Radiology TEMPORAL BONE HRCT ( PLAIN ) 3750 5017 5017 5017 5017 5017 5017 6823 7224 8026 5840 Radiology TEMPOROMANDIBULAR JOINT X-RAY ( BOTH SIDE ) 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5841 Radiology THIGH + KNEE JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5842 Radiology THIGH + KNEE JOINT X-RAY ( AP VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5843 Radiology THIGH + KNEE JOINT X-RAY ( LATERAL VIEW ) LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5844 Radiology THORACIC CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5845 Radiology THORAX ( CHEST ) CT - CONTRAST 6450 8348 8348 8348 8348 8348 8348 11353 12021 13356 5846 Radiology THORAX ( CHEST ) CT - PLAIN 5400 6997 6997 6997 6997 6997 6997 9515 10075 11194 5847 Radiology THORAX CT ( CECT + HRCT ) 7000 9275 9275 9275 9275 9275 9275 12614 13356 14840 5848 Radiology THUMB X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5849 Radiology THYROID ULTRASOUND 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5850 Radiology TRANSRECTAL ULTRASOUND ( TRUS ) GUIDED BIOPSY 1600 2160 2160 2160 2160 2160 2160 2938 3111 3456 5851 Radiology TRUCUT BIOPSY NEEDLE 2150 2877 2877 2877 2877 2877 2877 3912 4142 4602 5852 Radiology ULTRASOUND 3D/4D 5900 7818 7818 7818 7818 7818 7818 10632 11258 12508 5853 Radiology ULTRASOUND CHEST 1050 1320 1320 1320 1320 1320 1320 1790 1890 2100 5854 Radiology ULTRASOUND FOR BIOPHYSICAL PROFILE SCORE ( BPS ) 2150 2877 2877 2877 2877 2877 2877 3912 4142 4602 5855 Radiology UPPER ABDOMEN CECT ( DUAL PHASE ) CONTRAST 8600 11395 11395 11395 11395 11395 11395 15498 16409 18232 5856 Radiology UPPER ABDOMEN CECT + CT CHOLANGIOGRAPHY ( CONTRAST 6450 8547 8547 8547 8547 8547 8547 11623 12307 13674 5857 Radiology UPPER ABDOMEN MRCP ( CONTRAST ) 14000 18550 18550 18550 18550 18550 18550 25228 26712 29680 5858 Radiology UPPER ABDOMEN MRCP ( PLAIN ) 9700 12853 12853 12853 12853 12853 12853 17480 18508 20564 5859 Radiology UPPER ABDOMEN MRI ( CONTRAST ) 11300 14973 14973 14973 14973 14973 14973 20363 21561 23956 5860 Radiology UPPER ABDOMEN MRI ( PLAIN ) 7550 10004 10004 10004 10004 10004 10004 13606 14406 16006 5861 Radiology UPPER ABDOMEN ULTRASOUND 1260 1575 1575 1575 1575 1575 1765 1945 2140 2500 5862 Radiology UPPER ARM X-RAY 500 500 550 630 630 630 700 850 900 1000 5863 Radiology UPPER LIMB CT ANGIOGRAPHY 10800 14310 14310 14310 14310 14310 14310 19462 20607 22896 5864 Radiology URETHROGRAPHY ASCENDING 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5865 Radiology UROGRAPHY MRI ( PLAIN ) 7550 9215 9215 9215 9213 9215 9215 12530 13270 14740 5866 Radiology US- GUIDED FNAC / PROCEDURE 6975 8720 8720 8720 8720 8720 9765 10745 11860 6848 5867 Radiology USG FILM (PER FILM) CHARGES 400 500 500 500 500 500 500 680 720 800 5868 Radiology USG KIDNEY BIOPSY 3200 4280 4280 4280 4280 4280 4280 5821 6164 6848 5869 Radiology USG OT PROCEDURE CHARGES 5400 7155 7155 7155 7155 7155 7155 9731 10304 11448 5870 Radiology WHOLE ABDOMEN CT ( CONTRAST ) 9700 12125 12125 12125 12125 12125 13580 14940 16490 18000 5871 Radiology WHOLE ABDOMEN CT ( DUAL PHASE ) CONTRAST 12950 17159 17159 17159 17159 17159 17159 23336 24709 27454 5872 Radiology WHOLE ABDOMEN CT ( PLAIN ) 7185 8980 8980 8980 8980 8980 10060 11070 12215 12600 5873 Radiology WHOLE ABDOMEN CT ( TRIPLE PHASE ) CONTRAST 15100 20008 20008 20008 20008 20008 20008 27211 28811 32012 5874 Radiology WHOLE ABDOMEN MRI ( CONTRAST ) 22650 30012 30012 30012 30012 30012 30012 40816 43217 48018 5875 Radiology WHOLE ABDOMEN MRI ( PLAIN ) 16005 20010 20010 20008 20010 20010 22410 24655 27210 32012 5876 Radiology WHOLE ABDOMEN NCCT ( NON CONTRAST ) - BARIATRIC 5900 7818 7818 7818 7818 7818 7818 10632 11258 12508 5877 Radiology WHOLE ABDOMEN ULTRASOUND 2270 2840 2840 2840 2840 2840 3180 3500 3860 3720 5878 Radiology WHOLE BODY ( HEAD TO MID THIGH ) CT ( PLAIN ) 27000 35775 35775 35775 35775 35775 35775 48654 51516 57240 5879 Radiology WHOLE BODY BONE DENSITOMETRY ( DEXA SCAN ) - NUCLEAR5400 7155 7155 7155 7155 7155 7155 9731 10304 11448 5880 Radiology WRIST JOINT + HAND X-RAY ( AP + LATERAL VIEW ) BOTH SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5881 Radiology WRIST JOINT + HAND X-RAY ( AP + LATERAL VIEW ) LEFT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5882 Radiology WRIST JOINT X-RAY ( ANY 2 VIEWS ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5883 Radiology WRIST JOINT X-RAY ( ANY 3 VIEWS ) LEFT SIDE 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5884 Radiology WRIST JOINT X-RAY ( AP + LATERAL + OBLIQUE VIEW ) LEFT 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5885 Radiology WRIST JOINT X-RAY ( AP + LATERAL VIEW ) LEFT SIDE 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5886 Radiology WRIST JOINT X-RAY ( AP + OBLIQUE VIEW ) LEFT 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5887 Radiology WRIST JOINT X-RAY ( SCAPHOID VIEW ) - LEFT SIDE 500 500 550 630 630 630 700 850 900 1000 5888 Radiology WRIST JOINT X-RAY ( ULNAR DEVIATION ) LEFT 500 500 550 630 630 630 700 850 900 1000 5889 Radiology WRIST JOINT X-RAY ( ULNAR DEVIATION ) RIGHT 500 500 550 630 630 630 700 850 900 1000 5890 Radiology X-RAY ( ANY SINGLE VIEW ) 500 500 550 630 630 630 700 850 900 1000 5891 Radiology X-RAY - PELVIS- AP[] 500 500 550 630 630 630 700 850 900 1000 5892 Radiology X-RAY - WRIST-SCAPHOID VIEWS 500 500 550 630 630 630 700 850 900 1000 5893 Radiology X-RAY ANKLE JOINT AP & LAT[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5894 Radiology X-RAY APICOGRAM 500 500 550 630 630 630 700 850 900 1000 5895 Radiology X-RAY B/L HAND-AP 500 500 550 630 630 630 700 850 900 1000 5896 Radiology X-RAY BARRIUM ENTEROCLYSIS 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 5897 Radiology X-RAY BOTH HAND AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5898 Radiology X-RAY BOTH HIP AP & LATERAL VIEW 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5899 Radiology X-RAY BOTH KNEE AP VIEW 500 500 550 630 630 630 700 850 900 1000 5900 Radiology X-RAY CHEST-LAT 500 500 550 630 630 630 700 850 900 1000 5901 Radiology X-RAY CYSTOGRAPHY 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5902 Radiology X-RAY D L SPINE-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5903 Radiology X-RAY FEMOUR-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5904 Radiology X-RAY FEMUR- AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5905 Radiology X-RAY FILM (PER FILM) CHARGES 150 205 205 205 205 205 205 279 296 328 5906 Radiology X-RAY FLUOROSCOPY 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5907 Radiology X-RAY KNEE B/LAP & LAT 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5908 Radiology X-RAY LEFT ELBOW WITH ARM-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5909 Radiology X-RAY LEFT FOOT AP AND OLI 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5910 Radiology X-RAY LEFT FOOT-AP&OBL 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5911 Radiology X-RAY LEFT KNEE WITH THIGH-AP 500 500 550 630 630 630 700 850 900 1000 5912 Radiology X-RAY LEFT KNEE WITH THIGH-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5913 Radiology X-RAY LEFT KNEE WITH THIGH-LAT 500 500 550 630 630 630 700 850 900 1000 5914 Radiology X-RAY LEFT KNEE-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5915 Radiology X-RAY LEFT KNEE-SKYLINE 500 500 550 630 630 630 700 850 900 1000 5916 Radiology X-RAY LEFT LEG WITH ANKLE-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5917 Radiology X-RAY LEFT WRIST AP FOR BONE AGE 550 750 750 750 750 750 750 1020 1080 1200 5918 Radiology X-RAY LEFT WRIST-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5919 Radiology X-RAY LT FORE ARM @ WRIST AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5920 Radiology X-RAY LT HAND AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5921 Radiology X-RAY LT WRIST B/LAP & LAT[][] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5922 Radiology X-RAY ORTHOPANTOMOGRAM ( OPG ) 500 500 550 630 630 630 700 850 900 1000 5923 Radiology X-RAY ORTHOSCANOGRAM 2500 3344 3344 3344 3344 3344 3344 4548 4815 5350 5924 Radiology X-RAY PELVIS FOR BONE AGE 750 1023 1023 1023 1023 1023 1023 1391 1473 1636 5925 Radiology X-RAY RGU 3000 4013 4013 4013 4013 4013 4013 5457 5778 6420 5926 Radiology X-RAY RGU+MCU 4500 5963 5963 5963 5963 5963 5963 8109 8586 9540 5927 Radiology X-RAY RIGHT ANKLE AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5928 Radiology X-RAY RIGHT ELBOW WITH ARM-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5929 Radiology X-RAY RIGHT ELBOW-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5930 Radiology X-RAY RIGHT FINGER-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5931 Radiology X-RAY RIGHT FOOT-AP&OBL 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5932 Radiology X-RAY RIGHT FOREARM-AP& LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5933 Radiology X-RAY RIGHT KNEE WITH THIGH-AP 500 500 550 630 630 630 700 850 900 1000 5934 Radiology X-RAY RIGHT KNEE WITH THIGH-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5935 Radiology X-RAY RIGHT KNEE WITH THIGH-LAT 500 500 550 630 630 630 700 850 900 1000 5936 Radiology X-RAY RIGHT KNEE-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5937 Radiology X-RAY RIGHT KNEE-SKYLINE 500 500 550 630 630 630 700 850 900 1000 5938 Radiology X-RAY RIGHT LEG WITH ANKLE – AP AND LAT[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5939 Radiology X-RAY RIGHT LEG WITH ANKLE AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5940 Radiology X-RAY RIGHT WRIST-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5941 Radiology X-RAY RT FORE ARM @ WRIST AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5942 Radiology X-RAY Rt KNEE AP & LAT[] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5943 Radiology X-RAY RT WRIST B/LAP & LAT[][][] 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5944 Radiology X-RAY SINGLE HIP JOINT - AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5945 Radiology X-RAY SINGLE HIP JOINT LATERAL 500 500 550 630 630 630 700 850 900 1000 5946 Radiology X-RAY SINGLE LEG- AP & LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5947 Radiology X-RAY SINGLE SHOULDER JOINT- AP 500 500 550 630 630 630 700 850 900 1000 5948 Radiology X-RAY STN-LAT 500 500 550 630 630 630 700 850 900 1000 5949 Radiology X-RAY STYLOID PROCESS-AP&LAT 1000 1000 1100 1250 1250 1250 1400 1700 1800 2000 5950 Radiology X-RAY VENOGRAPHY LOWER LIMB ( BOTH ) 10000 13250 13250 13250 13250 13250 13250 18020 19080 21200 5951 Radiology X-RAY VENOGRAPHY LOWER LIMB ( LEFT ) 5500 7288 7288 7288 7288 7288 7288 9911 10494 11660 5952 Radiology X-RAY WHOLE SPINE AP VIEW 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5953 Radiology X-RAY WHOLE SPINE AP VIEW LEFT BENDING 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5954 Radiology X-RAY WHOLE SPINE AP VIEW RIGHT BENDING 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5955 Radiology X-RAY WHOLE SPINE LAT VIEW 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5956 Blood Bank Packed Red Cell – leucodepleted 4750 4750 4990 5470 5940 6420 6420 7130 7600 9500 5957 Blood Bank Platelets Random 1800 1800 1890 2070 2250 2430 2430 2700 2880 3600 5958 Blood Bank Fresh Frozen Plasma 2000 2000 2100 2300 2500 2700 2700 3000 3200 4000 5959 Blood Bank Cryoprecipitate(FAC VIII) 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5960 Blood Bank AHG poor Plasma 1600 1600 1680 1840 2000 2160 2160 2400 2560 3200 5961 Blood Bank WASHED RED BLOOD CELL ( RBC ) 3400 3400 3570 3910 4250 4590 4590 5100 5440 6800 5962 Blood Bank LEUCODEPLETED - WHOLE BLOOD 5250 5250 5520 6040 6570 7090 7090 7880 8400 10500 5963 Blood Bank Platelet on cell separator 15250 15250 16020 17540 19070 20590 20590 22880 24400 30500 5964 Blood Bank Plasma on cell separator(Routine Apheresis) 15250 15250 16020 17540 19070 20590 20590 22880 24400 30500 5965 Blood Bank THERAPEUTIC PLASMA EXCHANGE 19050 19050 20010 21910 23820 25720 25720 28580 30480 38100 5966 Blood Bank THERAPEUTIC PHLEBOTOMY (BLOOD BANK) 1050 1050 1110 1210 1320 1420 1420 1580 1680 2100 5967 Blood Bank CROSS MATCHING 650 650 720 820 820 820 910 1110 1170 1300 5968 Blood Bank Container Charges 100 100 110 120 130 140 140 150 160 200 5969 Blood Bank Antibody Screening 800 800 840 920 1000 1080 1080 1200 1280 1600 5970 Blood Bank ANTIBODY IDENTIFICATION 3800 3800 3990 4370 4750 5130 5130 5700 6080 7600 5971 Blood Bank APHERESIS ( DONOR SCREENING ) 3500 3500 3680 4030 4380 4730 4730 5250 5600 7000 5972 Blood Bank THERAPEUTIC LEUKAPHERESIS 19050 19050 20010 21910 23820 25720 25720 28580 30480 38100 5973 Blood Bank Transfer bag 350 350 370 410 440 480 480 530 560 700 5974 Blood Bank NUCLEIC ACID TEST ( NAT ) 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5975 Blood Bank Antibody titer (IgG & IgM) 1500 1500 1650 1880 1880 1880 2100 2550 2700 3000 5976 Blood Bank BLOOD IRRADIATION CHARGES 2000 2000 2200 2500 2500 2500 2800 3400 3600 4000 5977 Blood Bank COOMBS TEST, DIRECT, BLOOD ( BB ) 650 650 690 750 820 880 880 980 1040 1300 5978 Blood Bank COOMBS TEST, INDIRECT, SERUM ( BB ) 1350 1350 1490 1690 1690 1690 1890 2300 2430 2700 5979 Blood Bank GROUP & SCREEN (TYPE & SCREEN) 1300 1300 1370 1500 1630 1760 1760 1950 2080 2600 5980 Blood Bank ABO GROUP & RH TYPE, BLOOD 500 500 500 630 630 630 700 850 900 1000 5981 Blood Bank Thawed Plasma 800 800 840 920 1000 1080 1080 1200 1280 1600 5982 Blood Bank NEW BORN BLOOD GROUPING INCLUDING DAT 650 650 720 820 820 820 910 1110 1170 1300 5983 Blood Bank Leukocyte Filtration for Platelet conc 2300 2300 2420 2650 2880 3110 3110 3450 3680 4600 5984 Blood Bank RH- SUBGROUP & KELL TYPING 1000 1000 1050 1150 1250 1350 1350 1500 1600 2000 5985 Blood Bank MISCELLANEOUS SERVICES 800 800 880 1000 1000 1000 1120 1360 1440 1600 5986 Blood Bank COLD AGGLUTININ TITER 2400 2400 2520 2760 3000 3240 3240 3600 3840 4800

SR No. Visit Charges Per Visit 1 Ward 700 2 Triple Sharing 800 3 TWIN CLASSIC 900 4 SINGLE 1000 5 Single Classic 1200 6 SINGLE DLX 1400 7 SUITE 1600 8 DLX SUITE 1800 9 P SUITE 2000