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ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the...

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ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect information and not a Tender document 2. To be typed in English 3. Information to be authenticated by supportive documents wherever possible 4. Dispatch of this form does not necessarily mean automatic empanelment. 5. Hospitals should have the following minimum requirement as notified in the Tender 6. Information may be verified by site visit. 7. Each page of this document to be stamped & signed by Competent Authority. 8. All measurements to be mentioned in Ft./Sq.ft. 9. Information not filled will be considered as not existent in the organization. 10. Rates will not be changed for a period of 2 years from the date of empanelment. 11. Fire preventive / Pollution Control / Bio Medical Waste Management and other statutory certificates. 1. GENERAL INFORMATION Category of Hospital applied for Empanelment (Please in the appropriate category). 1 Name of Hospital Unit 2 Registration Number 3 Registration Authority 4 Address (Mention landmark if any) 5 City 6 District 7 State Super specialty hospitals with tertiary care facilities Multi-specialty hospitals Specialty hospitals Other Specialty hospitals
Transcript
Page 1: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

ANNEXURE – I

TECHNICAL BID

IMPORTANT NOTE:

1. Please read the following information carefully before filling up the form. This form is only

to collect information and not a Tender document

2. To be typed in English

3. Information to be authenticated by supportive documents wherever possible

4. Dispatch of this form does not necessarily mean automatic empanelment.

5. Hospitals should have the following minimum requirement as notified in the Tender

6. Information may be verified by site visit.

7. Each page of this document to be stamped & signed by Competent Authority.

8. All measurements to be mentioned in Ft./Sq.ft.

9. Information not filled will be considered as not existent in the organization.

10. Rates will not be changed for a period of 2 years from the date of empanelment.

11. Fire preventive / Pollution Control / Bio Medical Waste Management and other statutory

certificates.

1. GENERAL INFORMATION

• Category of Hospital applied for Empanelment (Please ���� in the appropriate category).

1 Name of Hospital Unit

2 Registration Number

3 Registration Authority

4 Address (Mention landmark if any)

5 City

6 District

7 State

Super specialty hospitals with tertiary care

facilities

Multi-specialty hospitals

Specialty hospitals

Other Specialty hospitals

Page 2: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

8 PIN

9 Contact Details

10 Telephone (s) with STD Codes

11 Fax Number (s)

12 Mobile Phone (s)

13 E-mail ID

14 Website

15 Nearest Railway Station & app.

Distance

16 Nearest Bus Stop & app distance

17 Most convenient Mode of Transport

18 PAN No.

19 GST Reg. No.

2.1 Type of Ownership

Proprietary / Trust / Private Limited / Govt. / Semi. Govt. / Associates / Co.op Sec./ Partnership

etc)

If others, please specify

2.2 Whether your Hospital-Organization is a Non-Profit Organization?

2.3 Ownership Identity (Select any one option) furnish details about hospitals

Name(s) of

(Proprietary/partner/Director/Associated etc)

Page 3: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

(Attach extra sheet if required)

2.4.1 Is your hospital approved under section 17(2) of IT Act, 1961

For exemption of hospitalization expenses as a perquisite from employee’ income?

2.4.2 PAN No. Details

GST No.

2.4.3 Accreditations of any acquired i.e. ISO 9001, NABH etc.

If yes, give details. Attach Fire NOC.

3.1 Do you have insurance against fire hazards?

Policy No Issued By

Policy Value Valid Up to

3.2 Documentation

Identification of Indoor Patients Unique Identifier

Medical Records Maintained for >3 years

Medical Records Management Person

4. Contact Details

SR.NO. Contact Person for Name Tel No & Extn

4.01 Head of Operation/Admin

4.02 Accounts & Billing

4.03 Admission

4.04 Doctor for Clinical Information

(Attach more sheets if required)

5. MEDICAL SERVICE PROVIDED AT YOUR CENTRE (Tick mark against all relevant box)

Sr. No.

Medical services

Services provided

during Time

Indoor

Our Door 24 hrs <24 Hr

5.1 Primary Care Service

5.1.1 General Medicine

5.1.2 General Surgery

5.1.3 Orthopaedics

5.1.4 General Paediatrics

5.1.5 Gynaecology

5.1.6 Obstetrics

5.02 Medical Termination of Pregnancies

5.03 Family planning surgeries

5.04 Ophthalmology

5.05 ENT

5.06 Physiotherapy

Page 4: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

5.07 Occupational Therapy

5.08 Immunization

5.09 Laparoscopic Surgery

5.10 Gastro-Intestinal Surgery

5.11 Neurology Surgeries

5.12 Oncosurgery

5.13 Chemotherapy

5.14 Radation

5.15 Cardiology/CVTS

5.16 Endocrine Services

5.17 Respiration/Chest

5.18 Dermatology

5.19 Dental Services

5.20 Mental Diseases

5.21 Urology/Nephrology

5.22 Infertility treatment (Male & Female)

( Any services existent in your organization but not mentioned above can be added in the blank spaces. Attach more

sheets if required)

• Wherever application specific registration have been obtained

6. OVERALL INFRASTRUCTURAL DETAILS

Do you have the whole premises for your use?

(owned/Leased/rented)

If the premises where you operate from has

other Occupants?

Which floor of the premises you operate

from?

Premises from where you operate is……

Total area under utilization for Clinical, ancillary & other support services directly related to

healthcare purpose

Built Up Sq.Ft

Open area Sq.Ft

Parking for patient’s vehicles

Age of Building

Accessibility

Page 5: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

7. INTERNAL INFRASTRUCTURE DETAILS

7.1 General

(A=24Hrs., B=<Hrs., C=<6 Hrs.)

Sr.No. Infrastructure Time Duration

7.01.1 Water Supply

7.01.2 Electricity

7.01.3 Generator Back Up

7.01.4 UPS System for all areas

7.07.5 UPS System for all areas

7.07.6 Emergency Ambulance Services

Details of Bed Strength

Total No. of Beds

Sr.No. Type of Bed No. of Bed No. of Toilet

7.03.1 AC Suite

7.03.2 AC Single Deluxe

7.03.3 Non AC Single

7.04.4 Non AC Twin Sharing

7.05.5 General

7.06.6 Day Care

7.07.7 Labour room

7.07.8 Dialysis

7.07.9 ICCU

7.07.10 Other

7.07.11 Semi Deluxe AC

7.07.12 SICU

7.07.13

7.07.14

( Any services existent in your organization but not mentioned above can be added in the blank

spaces. Attached more sheets if required)

8. Operation Theatres Description

OT Table Type A1 used A2 Mechanical A3 Hydraulic A4 Electrical

Lighting B1 Household B2 Pedestal B3 Ceiling

(Mounted

Rotating)

B4 (Ceiling

Mounted Sliding)

Suction Machine C1 Separate C2 Central

Electro Cautery D1 Ordinary D2 Solid State

Cardiac Monitor E1 No E2 Yes

Cardiac-

Defibrillator

F1 No F2 Yes

Operation

Theatre

Name

(If any)

Area OT

Table

Type

Lighting Suction

Machinery

Electro

cautery

Cardiac

Monitor

Cardiac

defibrillator

Page 6: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

9. DETAILS OF MEDICAL STAFF WITH MONITORING RESPONSIBITIES

Sr. No Area of work List of Acceptable Qualification

9.01 General Clinical Wards

9.02 Intensive Care Areas

9.03 Labour rooms

9.04 Operation Theatre

9.05 Specialized Operation theatres

9.06 Dialysis

9.07 Other Clinical Departments

9.08 Day care facilities

9.09 Casualty

9.10 OPD

10. HUMAN RESOURCES ON PAYROLL

Sr.No. Staff (Category) Strength(Nos.)

10.01 Total Full time Doctors (Other than RMO’s)

10.02 Total Doctors in ward Duties (RMO’s)

10.03 Other Supportive Staff (Clinical)

10.04 Other Supportive Staff (Non-Clinical)

10.05 Total Staff- All (Ind. Clinical& non Clinical)

11. MEDICAL SERVICES PROVIDED AT YOUR CENTRE

11.01 Emergency Clinical Services

SL.No

Clinical Speciality

NA

Monitoring only &

after Transferring

after Stabilization

Acute stage

stabilizing

interventions

Full therapeutic

interventions

undertaken

11.01.1 Casualty

11.01.2 Medico legal

11.01.3 Cardiology

11.01.4 Cardiovascular

11.01.5 Thoracic Surgery

11.01.6 Respiratory system

11.01.7 Upper G1 open

Sugery

11.01.8 Lower G1 open

Sugery

11.01.9 Upper G1 Endoscopy

11.01.10 lower G1 Endoscopy

11.01.11 Urology

11.01.12 Neurosurgery

11.01.13 Paediatric Medical

11.01.14 Neonatology

11.01.15 Nephrology

11.01.16 Urology

Page 7: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

11.01.17 Neurology

11.01.18 Nephrology

11.01.19 Neurosurgery

11.01.20 Medical Intensive

Care

11.01.21 Surgical Intensive

Carte

11.01.22 Oncosurgery

11.01.23 Chemotherapy

11.01.24 Radiotherapy

11.01.25

(Any Services existent in your Organization but not mentioned above can be added in the blank

spaces. Attach more sheets if required)

11.02 Tertiary Support Services

Sl. No. Name 24 Hrs Provided During time (From-to)

11.02.1 Nephrology

11.02.2 Urology

11.02.3 Neurology

11.04.4 Neurosurgery

11.04.5 Cardiology

11.04.6 Cardiac Surgery

11.04.7 Paediatric Surgery

11.04.8 Paediatric Surgery

11.04.9 Paediatric Specialized

11.04.10 Neonatology

11.04.11 Medical Intensive Care

11.04.12

11.04.13

11.04.14

(Any services existent in your organization but not mentioned above can be added in the blank

spaces. Attach more sheets if required.)

11.03 Infertility Treatment

Sl. No. Name 24 Hrs Provided During time (From-to)

11.03.1 Infertility

11.04 Clinical Support Services

Sl. No. Name NA 24

Hrs

Provided during

time (from-to)

Indoor Outdoor

11.04.1 Radiology

11. 04.2 Sonography

11. 04.3 CT Scan

11. 04.4 MRI

11. 04.5 Clinical Patgology

11.04.6 Biochemistry Lab

Page 8: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

11.04.7 Cytology

11.04.8 Enzymology

11.04.9 Endocrinology Lab

11.04.10 Histopathology

11.04.11 Dialysis

11.04.12 Ventilator Support

11.04.13 Blood bank

11.04.14 Blood

Fractionation

11.04.15 Nuclear imaging

centre

(Any Service existent in your organization but not mentioned above can be added in the blank

spaces. Attach more sheets if required.)

12. OTHER DETAILS

Ambulances

Sr. No. Ambulatory Care Owned by Organization Outsourced

12.01.1 Total Ambulances

12.01.2 General

12.01.3 Cardiac

12.01.4 Neonatal

12.01.5 Ventilator Support

12.01.6 Doctor Accompanies

12.01.7 Details of Mortuary, if any

13. DETAILS OF STAFF WITH NURSING CAPABALITIES

Acceptable Qualification

A Non Certified B Non Certified but experience of > 2

years

C Certified by Private Institute D Diploma/Degree from recognized

Nursing school

Sr.No Area of Work Acceptable Qualification

13.01 General Area

13.02 Intensive Care Areas

13.03 Labour Room

13.04 General Operation theatre

13.05 Specialized Operation theatre

13.06 Dialysis

13.07 Other Clinical Departments

13.08 Casualty/OPD

(Any work area existent in your organization but not mentioned above can be added in the blank

spaced. Attach more Sheets if required)

Note: Kindly provide RTO registration Number, Make & Year details separately

Page 9: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

14. DETAILS OF STAFF WITH PARAMEDICAL CAPABILITIES, IF ANY.

List of Acceptable Qualifications

Sr. No. Area of Work Acceptable Qualification

14.01 Lab Technicians

14.02 Radiology Technicians

14.03 CT scan Technicians

14.04 Dialysis Technicians

14.05 OT Assistants

14.06 Physiotherapist

14.07 Others

14.08

(Any work area existent in your organization but not mentioned above can be added in the blank

spaced. Attach more Sheets if required)

15. OTHER AMENITIES AT PREMISES

Sr. No Amenities Option

15.01 Waiting Room Available for 24 Hrs.

15.02 Waiting Room Ventilation

15.03 Patient Food included in Accommodation

15.04 Canteen Availability for Relatives

15.05 Publish Phone Availability within premises

15.06 STD/ISD Availability within premises

15.07 Fax Availability within premises

15.08 Photocopying Availability

15.09 24 Hrs Billing facility

15.10 Computerized Billing

15.11 Direct Telephone Access to Intensive Care Areas

15.12 Direct Telephone Access to Wards

15.13 Chemist within premises

15.14 PR Desk

15.15

(Any work area existent in your organization but not mentioned above can be added in the blank

spaced. Attach more Sheets if required)

INFORMATION PROVIDED BY

Name of the Person

Designation in the organization

Date

Place

Signature

Stamp of health care unit

Page 10: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

ANNEXURE - II

FINANCIAL BID

SCHEDULE OF TARIFFS

(All charges in Indian Rupees and INCLUSIVE of SURCHARGES, if any)

The hospital shall submit the rates of all procedures / investigations / facilities available and the

charged in the hospital as per the format submitted in the Technical bid. This list should be

exhaustive and complete in all respects. No charges shall be billed outside the list & rates quoted

in the financial bid.

SAMPLE FORMAT FOR SUBMISSION OF RATES

AS PER CLAUSE 7.1 OF NIT

(All charges in Indian Rupees and INCLUSIVE of SURCHARGES, if any)

This sample format is only for demonstration. Hospital is not required to submit the rates

in this. Hospital shall provide the rates as per the available format in the respective

hospitals.

I. Room Rent & Consultation Tariff

Sl. No. Category Name Room Rent Tariff

1 STANDARD

2 SEMI-PRIVATE

3 PRIVATE

4 PRIVATE DELUXE

5 DELUXE

6 SUITE

7 VIP SUITE

8 LIVER TRANSPLANT UNIT

9 STROKE WARD

10 DAY CARE

11 POST OPERATIVE BED

12 AGCH BMT PRIVATE

13 ISOLATION

14 CRIB

15 ICU

16 CORONARY CARE UNIT

17 CARDIO-THORACIC AND VASCULAR SURGICAL WARD I

18 CARDIO-THORACIC AND VASCULAR SURGICAL WARD II

19 SURGICAL ICU

20 NEURO ICU

21 ICU EXTENSION

22 GASTRO - ITU

23 PAED ICU

24 GASTRO - HDU

Page 11: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

25 HDU

26 STROKE HDU

27 NNICU - 1

28 NNICU - 2

29 NNICU - 3

30 Emergency

31

II. OT Tariff & Cathlab Charges

Sl.

N

o

Service Name

From

Unit

(Minute

s)

To Unit

(Minute

s)

STAND

ARD

SEMI-

PRIVA

TE

PRIVA

TE

PRIVA

TE

Dlx

DLX

Suite

VIP

Sui

te

1 OT CHARGES 0 30

2 OT CHARGES 31 60

3 OT CHARGES 61 90

4 OT CHARGES 91 120

5 OT CHARGES 121 150

6 OT CHARGES 151 180

7 OT CHARGES 181 210

8 OT CHARGES 211 240

9 OT CHARGES 241 270

10 OT CHARGES 271 300

11 OT CHARGES 301 330

12 OT CHARGES 331 360

13 OT CHARGES 361 390

14 OT CHARGES 391 420

15 OT CHARGES 421 450

16 OT CHARGES 451 480

17 OT CHARGES 481 510

18 OT CHARGES 511 540

19 OT CHARGES 541 600

Sl.

No

Service

Name

From

Unit

(Minute

s)

To Unit

(Minute

s)

STAND

ARD

SEMI-

PRIVA

TE

PRIVA

TE

PRIVA

TE

DLX

Suite

VIP

Sui

te

Dlx

1 CATHLAB

CHARGES 0 30

2 CATHLAB

CHARGES 31 60

3 CATHLAB

CHARGES 61 90

4 CATHLAB

CHARGES 91 120

Page 12: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

5 CATHLAB

CHARGES 121 150

6 CATHLAB

CHARGES 151 180

7 CATHLAB

CHARGES 181 210

8 CATHLAB

CHARGES 211 240

III. Medical Equipment Tariff

Sl.

No. Service Name From Unit To Unit Rate Charge Policy

1 INFUSION PUMP OT601 0 1 DAILY USAGE

2 ALPHA BED HUNTLEIGH 0 1 DAILY USAGE

3 ALPHATRANCELL HUNTLEIGH 0 1 DAILY USAGE

4 ALPHAXCELL HUNTLEIGH 0 1 DAILY USAGE

5

BI PAP KNIGHT STAR 330 BI LEVEL

VENTILATOR SYSTEM PURITAL

BENNETT UK MAKE CAT NO. Y

KS330 NA

0 1 DAILY USAGE

6 BODY RESTRAINER SMALL 0 1 DAILY USAGE

7 CAMERA 0 1 DAILY USAGE

8 ENDOSCOPY EQUIPMENT PER

USAGE

PER

USAGE PER USAGE

9 FLOWTRON EXCEL PUMP 0 1 DAILY USAGE

10 FLOWTRON EXCEL SYSTEM CALF 0 1 DAILY USAGE

11 FLOWTRON EXCEL SYSTEM THIGH 0 1 DAILY USAGE

12 HAND RESTRAINER 0 1 DAILY USAGE

13 HARMONIC SCALPEL PER

USAGE

PER

USAGE PER USAGE

14

HOTLINE BLOOD AND FLUID

WARMER LEVEL 1 U.S.A. CAT NO. HL

90 MAKE SMITHS MEDICAL

INTERNATIONAL LTD.

PER

USAGE

PER

USAGE PER USAGE

15

IMAGE GUIDANCE SYSTEM FOR

NEUROSURGERY MODEL VECTOR

VISION COMPACT WITH STANDARD

INSTRUMENTATION AND

ACCESSORIES

PER

USAGE

PER

USAGE PER USAGE

16 LIPOSUCTION MACHINE PER

USAGE

PER

USAGE PER USAGE

17 LITHOCLAST 0 1 DAILY USAGE

18 MICROSCOPE E200 0 30 DEFINE MINUTE

USAGE

19 MICROSCOPE E200 31 1440 DEFINE MINUTE

USAGE

Page 13: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

20

MOBILE IITV MODEL BV LIBRA 9

INCH 2 STANDARD MONITORS BV 9

INCH CASSETTE HOLDER

SPRINGBOW FOR C ARC

PER

USAGE

PER

USAGE PER USAGE

21 MORCELLATOR 0 1 DAILY USAGE

22 NEBULIZER MACHINE PER

USAGE

PER

USAGE PER USAGE

23 NERVE STIMULATOR PER

USAGE

PER

USAGE PER USAGE

24 NIMBUS HUNTLEIGH 0 1 DAILY USAGE

25 OXYGEN CONNECTION 0 1 HOURLY USAGE

26 STEREOSTATIC SYSTEM PER

USAGE

PER

USAGE PER USAGE

27 SYRINGE PUMP SP500 0 1 DAILY USAGE

28 THERMACHOICE PER

USAGE

PER

USAGE PER USAGE

29 VENTILATOR AV800 0 1 DAILY USAGE

30 WATER BED 0 1 DAILY USAGE

31 C-ARM 121 150 DEFINE MINUTE

USAGE

32 C-ARM 0 30 DEFINE MINUTE

USAGE

33 C-ARM 151 180 DEFINE MINUTE

USAGE

34 C-ARM 31 120 DEFINE MINUTE

USAGE

35 C-ARM 181 270 DEFINE MINUTE

USAGE

36 CARDIAC MONITOR 0 1 DAILY USAGE

37 COLPOSCOPE 0 1 DAILY USAGE

38 ACU PULSE CO2 LASER EQUIPMENT 0 30 DEFINE MINUTE

USAGE

39 ACU PULSE CO2 LASER EQUIPMENT 121 150 DEFINE MINUTE

USAGE

40 ACU PULSE CO2 LASER EQUIPMENT 151 180 DEFINE MINUTE

USAGE

41 ACU PULSE CO2 LASER EQUIPMENT 31 60 DEFINE MINUTE

USAGE

42 ACU PULSE CO2 LASER EQUIPMENT 61 90 DEFINE MINUTE

USAGE

43 ACU PULSE CO2 LASER EQUIPMENT 91 120 DEFINE MINUTE

USAGE

44

BIPAP MACHINE MAKE

RESPIRONICS MODEL NO.FOCUS

1033869

0 1 DAILY USAGE

45

BAIR HUGGER PATIENT WARMING

SYSTEM MODEL 505 ARIZANT

HEALTHCARE USA MAKE

0 1 DAILY USAGE

46 BRONCHOSCOPE 0 1 DAILY USAGE

47 CAMERA MULTI IMAGE 0 1 DAILY USAGE

Page 14: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

48 COMPACT ORTHOPAEDIC AIR DRILL

SYSTEM STRYKER 0 1 DAILY USAGE

49 CUSA EXCEL+ Ultrasonic Surgical

Aspirator 0 1 DAILY USAGE

50 DA VINCY ROBOTIC MEDICAL

EQUIPMENT 0 1 DAILY USAGE

51

DERMATOME KIT ELECTRONIC

CODE NO.882100000 MAKE

ZIMMER

0 1 DAILY USAGE

52 HIGH FREQUENCY OSILLATORY

VENTILATOR 0 1 DAILY USAGE

53 HOLMIUM LASER PROSTATE 0 1 DAILY USAGE

54 HOLMIUM STONE URS 0 1 DAILY USAGE

55 HOLMIUM STRICTURES 0 1 DAILY USAGE

56 HOLMIUM TUMOR PER

USAGE

PER

USAGE PER USAGE

57 LITHOTRIPSY GREATER THAN 1 CM

LESS THAN 2 CM

PER

USAGE

PER

USAGE PER USAGE

58 MEDICAL OZONE GENERATOR PER

USAGE

PER

USAGE PER USAGE

59

MICRO DEBRIDER XPS 3000

POWERED ENT SYSTEM

MEDTRONICS

PER

USAGE

PER

USAGE PER USAGE

60 MIDAS REX DRILL 0 1 DAILY USAGE

61 OPERATING MICROSCOPE PER

USAGE

PER

USAGE PER USAGE

62

PULSE OXIMETER MODEL 3800

WITH 5.5HOURS BATTERY BACK UP

COMBINATION OF LED AND LCD

DISPLAY FOR SPO2 PULSE RATE AND

PLETHYSMOGRAPH WAVEFORM

DATEX OHMED

0 1 DAILY USAGE

63 RADIONICS CRW SYSTEM 0 1 DAILY USAGE

64 ROBOTIC SURGICAL SYSTEM

NAVIGATION BRAIN LAB 0 1 DAILY USAGE

65

SOVEREIGN PHACO

EMULSIFICATION SYSTEM WITH

WHITE STAR AND STANDARD

ACCESSORIES FULL CATARACT

SURGERY FUNCTION PHACO I A

DIATHERMY

PER

USAGE

PER

USAGE PER USAGE

66

SCD EXPRESS FOOT CUFFS REGULAR

CODE T73032 MFG BY TYCO

HEALTHCARE PVT. LTD. KENDALL

0 1 DAILY USAGE

67 SPO2 MONITOR (Pulse Oximeter) 0 1 DAILY USAGE

68 TNP CONSOLE EQUIPMENT 0 1 DAILY USAGE

69 TORNADO SHAVER CAT NO 288022 0 1 DAILY USAGE

70 TPS CONSOLE ELECTRICALLY

OPERATED CAT NO . 5100 001 000

PER

USAGE

PER

USAGE PER USAGE

71 VAPR3 GENERATOR 0 1 DAILY USAGE

72 HARMONY SCALPEL PER PER PER USAGE

Page 15: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

USAGE USAGE

73 FMS DUO+PUMP CAT NO 284580 0 1 DAILY USAGE

74 Nerve Integrity Monitor Model NIM

ECLIPSE Spinal System 0 1 DAILY USAGE

75 PCA PUMP 0 1 DAILY USAGE

76 ASCOPE3 ADULT INTUBATION WITH

SUCTION (AMBU) 0 1 DAILY USAGE

77 HIPEC PER

USAGE

PER

USAGE PER USAGE

78 GAMMA COUNTERS PER

USAGE

PER

USAGE PER USAGE

79 VIDEO LARYNGOSCOPE PER

USAGE

PER

USAGE PER USAGE

80 ENDOVENOUS LASER - UNILATERAL PER

USAGE

PER

USAGE PER USAGE

81 ENDOVENOUS LASER - BILATERAL PER

USAGE

PER

USAGE PER USAGE

82 COBLATOR PER

USAGE

PER

USAGE PER USAGE

83 BRAIN NAVIGATOR SYSTEM PER

USAGE

PER

USAGE PER USAGE

84 THERMEDICO PAIN RF MACHINE

WITH CANNULA

PER

USAGE

PER

USAGE PER USAGE

IV. Package Tariff

SL

N

O

Departme

nt SERVICE NAME

PKGs

Days

Stn

d SP Pvt

Pvt

Dlx Dlx

SUI

TE

VIP

Suit

e

1 Cath Lab

DIGITAL

SUBTRACTION

ANGIOGRAPHY (DSA)

(PACKAGE)

1

2 Cath Lab

ANGIOGRAM/ANGIO

GRAPHY (CAG)

(PACKAGE)

1

3 Cath Lab

FRACTIONAL FLOW

RESERVE - FFR

(PACKAGE)

1

4 Cath Lab VALVOPLASTY

(PACKAGE) 2

5 Cath Lab

INTRA VASCULAR

ULTRASOUND(IVUS)

(PACKAGE) (NEW)

1

6 Cath Lab

BALLOON

VALVOPLASTY

(PACKAGE) (NEW)

2

Page 16: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

7 Cath Lab

PERIPHERAL

ANGIOGRAPHY(PAG)

(PACKAGE) (NEW)

1

8 Cath Lab OCT (PACKAGE)

(NEW) 1

9 Cath Lab ROTABLATION

(PACKAGE) (NEW) 1

10 Cath Lab PTCA (PACKAGE)-

2018 3

11 Cath Lab PPI(SINGLE

CHAMBER)-2018 3

12 Cath Lab EP STUDY

(PACKAGE)-2018 1

13 Cath Lab 3D RF ABLATION

(PACKAGE)-2018 2

14 Cath Lab PPI(DUAL CHAMBER)

(PACKAGE)-2018 3

15 Cath Lab

PTCA (COMPLEX AND

PRIMARY)

(PACKAGE)-2018

3

16 CARDIOLO

GY

CABG (GROUP-I)

(PACKAGE) 7

17 CARDIOLO

GY

C A B G (RISK

PROFILE-I)

(PACKAGE)

7

18 CARDIOLO

GY

C A B G (RISK

PROFILE-II)

(PACKAGE)

7

19 CARDIOLO

GY

C A B G (RISK

PROFILE-III)

(PACKAGE)

7

20 CARDIOLO

GY

CORONARY FLOW

ASSESMENT

(PACKAGE)

1

21 CARDIOLO

GY

PAED ASD DEVICE

CLOSURE (PACKAGE) 2

22 CARDIOLO

GY

PAED ATRIAL

SEPTOSTOMY

(PACKAGE)

2

23 CARDIOLO

GY

PAED CARDIAC

CATHETERIZATION

(PACKAGE)

2

24 CARDIOLO

GY

PAED EMBOLIZATION

(PACKAGE) 3

25 CARDIOLO

GY

PAED PDA DEVICE

CLOSURE (PACKAGE) 2

26 CARDIOLO

GY

PAED VSD DEVICE

CLOSURE (PACKAGE) 3

27 CARDIOLO

GY

PAED BALLOON

VOLVOPLASTY

(PACKAGE)

2

Page 17: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

28 CARDIOLO

GY

PTCA PLUS IVUS

(PACKAGE) 3

29 CARDIOLO

GY

MINI EP STUDY PLUS

RF ABLATION

(PACKAGE)

2

30 CARDIOLO

GY

MINI EP STUDY

(PACKAGE)-2018 1

31 CARDIOLO

GY

RF ABLATION

(PACKAGE)-2018 2

32 Cardiac

Thoracic MICS - PACKAGE 8

33 Cardiac

Thoracic

MICS (RISK PROFILE-I)

PACKAGE 8

34 Cardiac

Thoracic

MICS (RISK PROFILE-

II) PACKAGE 8

35 Cardiac

Thoracic

MICS (RISK PROFILE-

III) PACKAGE 8

36 Cardiac

Thoracic

COMPLEX

CONGENITAL HEART

SURGERY PACKAGE

(9 DAYS)

9

37 Cardiac

Thoracic

COMPLEX

CONGENITAL HEART

SURGERY PACKAGE

(7 DAYS)

7

38 Cardiac

Thoracic

COMPLEX

CONGENITAL HEART

SURGERY PACKAGE

(7 DAYS) (EXCLUDING

IMPLANT)

7

39 Cardiac

Thoracic

SIMPLE CONGENITAL

HEART SURGERY

PACKAGE (3 DAYS)

(EXCLUDING

IMPLANT)

3

40 Cardiac

Thoracic

SIMPLE CONGENITAL

HEART SURGERY

PACKAGE (3 DAYS)

3

41 Cardiac

Thoracic

CONGENITAL HEART

SURGERY PACKAGE

(7 DAYS)

7

42

Cardiovasc

ular &

Thoracic

Surgery

OPEN HEART

SURGERY(O.H.S)

(PACKAGE)

7

43

Cardiovasc

ular &

Thoracic

Surgery

CABG (CAT-II)

PACKAGE 10

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44 Orthopaed

ics

TOTAL HIP

REPLACEMENT

BILATERAL (EX

IMPLANT) (PACKAGE)

6

45 Orthopaed

ics

TOTAL HIP

REPLACEMENT

UNILATERAL

(EXCLUDING

IMPLANT) (PACKAGE)

5

46 Orthopaed

ics

TOTAL KNEE

REPLACEMENT

BILATERAL

(EXCLUDING

IMPLANT) (PACKAGE)

6

47 Orthopaed

ics

TOTAL KNEE

REPLACEMENT

UNILATERAL

(EXCLUDING

IMPLANT) (PACKAGE)

5

48 Orthopaed

ics

ARTHROSCOPY

INTERMEDIATE

(PACKAGE)

1

49 Orthopaed

ics

ARTHROSCOPY

MAJOR (PACKAGE) 2

50 Orthopaed

ics

ARTHROSCOPY

MINOR (PACKAGE) 1

51 Orthopaed

ics

TRAUMA PACKAGE

GRADE - I 1

52 Orthopaed

ics

TRAUMA PACKAGE

GRADE - II 2

53 Orthopaed

ics

TRAUMA PACKAGE

GRADE - III 3

54 Orthopaed

ics

TRAUMA PACKAGE

GRADE - IV 4

55 Orthopaed

ics

TRAUMA PACKAGE

GRADE - V 4

56 Orthopaed

ics

TRAUMA PACKAGE

GRADE - VI 5

57 Orthopaed

ics REGROW (PACKAGE) 2

58 Orthopaed

ics

REGROW PLUS HTO

(PACKAGE) 4

59 Urology ROBOTIC SURGERY

GRADE I (PACKAGE) 3

60 Urology ROBOTIC SURGERY

GRADE II (PACKAGE) 3

61 Urology ROBOTIC SURGERY

GRADE III (PACKAGE) 3

62 Urology ROBOTIC SURGERY

GRADE IV (PACKAGE) 3

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63 Urology

SPECIAL ROBOTIC

SURGERY GRADE I

(PACKAGE)

3

64 Urology

SPECIAL ROBOTIC

SURGERY GRADE II

(PACKAGE)

3

65 Urology

SPECIAL ROBOTIC

SURGERY GRADE III

(PACKAGE)

3

66 Urology

SPECIAL ROBOTIC

SURGERY GRADE IV

(PACKAGE)

3

67 Urology

ROBOTIC DONOR

NEPHRECTOMY

(PACKAGE)

3

68 Urology

FIBREOPTIC

CYSTOSCOPY +

BIOPSY (PACKAGE)

1

69 Urology

HOLMIUM LASER

PROSTATE INTERNAL

SURGERY

STONE/TUMOUR

(PACKAGE)

2

70 Urology

HOLMIUM

STRICTURES(BNI)

(PACKAGE)

2

71 Urology HOLMIUM LASER

SURGERY (PACKAGE) 2

72 Urology

FLEXI URS-

INTRARENAL STONE

SURGERY (PACKAGE)

2

73 Urology

FLEXI URS-

INTRARENAL

TUMOUR SURGERY

(PACKAGE)

2

74 Urology

FIBREOPTIC

CYSTOSCOPY

(PACKAGE)

1

75 Urology

FIBREOPTIC

CYSTOSCOPY+STENT

REMOVAL (PACKAGE)

1

76 Urology

HOLMIUM LASER

PROSTATE

(PACKAGE)

2

77 Urology

HOLMIUM LASER-

STONE/TUMOUR

(PACKAGE)

2

78 Urology

CYSTOSCOPY (NON-

FIBEROPTIC)

PACKAGE

1

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79 General

Surgery

LIVER TRANSPLANT

PKG-DONOR

(PACKAGE)

10

80 General

Surgery

LIVER TRANSPLANT

PKG-

RECIPIENT(NORMAL)

(PACKAGE)

15

81 General

Surgery

LIVER TRANSPLANT

PKG-RECIPIENT(HIGH

RISK) (PACKAGE)

15

82 General

Surgery

DAYCARE GRADE I

(PACKAGE) 1

83 General

Surgery

DAYCARE GRADE II

(PACKAGE) 1

84 General

Surgery

DAYCARE GRADE III

(PACKAGE) 1

85 General

Surgery

PHACO +

MULTIFOCAL 1

86 General

Surgery

PHACO +

TRABULECTOMY 1

87 General

Surgery TRABULECTOMY 1

88 General

Surgery

ROBOTIC

CHOLECYSTECTOMY

(PACKAGE)

2

89 General

Surgery

ROBOTIC BARIATRIC

SURGERY (PACKAGE) 5

90 General

Surgery

LAP

CHOLECYSTECTOMY

(PACKAGE)

2

91 Ear Nose

and Throat

TONSILLECTOMY

(PACKAGE) 2

92 Ear Nose

and Throat

TONSILLOADENOIDE

CTOMY (PACKAGE) 2

93 Ear Nose

and Throat

TYMPANOPLASTY

(PACKAGE) 2

94 Ear Nose

and Throat

MASTOIDECTOMY

WITH

TYMPANOPLASTY

(PACKAGE)

2

95 Ear Nose

and Throat

MYRINGOTOMY

WITH GROMMET

INSERTION

(PACKAGE)

1

96 Ear Nose

and Throat

SEPTOPLASTY

(PACKAGE) 2

97 Ear Nose

and Throat

ADENOIDECTOMY

(PACKAGE) 2

98 Ophthalmo

logy

IOL-PHACO

PACKAGE-I PACKAGE 1

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99 Ophthalmo

logy

IOL-PHACO

PACKAGE-II PACKAGE 1

10

0

Ophthalmo

logy

IOL-PHACO

PACKAGE-III

PACKAGE

1

10

1

Ophthalmo

logy

IOL-PHACO

PACKAGE-IV

PACKAGE

1

10

2

Nephrolog

y

PAEDIATRIC RENAL

BIOPSY PACKAGE 1

10

3

Gastroente

rology and

Hepatolog

y

GAS-

HEMORRHOIDAL

ARTERY LIGATION

(SMALL) (PACKAGE)

1

10

4

Gastroente

rology and

Hepatolog

y

GAS-

HEMORRHOIDAL

ARTERY LIGATION

(LARGE) (PACKAGE)

1

10

5 Neurology

ACUTE STROKE IV

THROMBOLYSIS

PACKAGE (PACKAGE)

1

10

6 Neurology

INTRA ARTERIAL

THROMBOLYSIS / IV-

IA BRIDGING PKG

(PACKAGE)

1

10

7

Vascular

and Non

Vascular

Interventio

n

DSA (VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

1

10

8

Vascular

and Non

Vascular

Interventio

n

PERMACATH

INSERTION

(VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

1

10

9

Vascular

and Non

Vascular

Interventio

n

PICC LINE (VASCULAR

AND NON-VASCULAR

INTERVENTION)

PACKAGE

1

11

0

Vascular

and Non

Vascular

Interventio

n

HICKMAN LINE

INSERTION

(VASCULAR AND

NON-VASCULAR)

PACKAGE

1

11

1

Vascular

and Non

Vascular

Interventio

n

PTBD (SINGLE

BILLIARY DRAINAGE

VASCULAR AND

NON-VASCULAR)

PACKAGE

1

Page 22: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

11

2

Vascular

and Non

Vascular

Interventio

n

PTBD (DOUBLE

BILLIARY DRAINAGE

VASCULAR AND

NON-VASCULAR)

PACKAGE

1

11

3

Vascular

and Non

Vascular

Interventio

n

CATHETER

REPOSITIONING

(VASCULAR AND

NON-VASCULAR)

PACKAGE

1

11

4

Vascular

and Non

Vascular

Interventio

n

IVC FILTER

(VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

2

11

5

Vascular

and Non

Vascular

Interventio

n

VENOPLASTY

(VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

1

11

6

Vascular

and Non

Vascular

Interventio

n

STENTING

(VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

2

11

7

Vascular

and Non

Vascular

Interventio

n

MESENTRIC

(VASCULAR AND

NON-VASCULAR

INTERVENTION)

PACKAGE

1

11

8

Vascular

and Non

Vascular

Interventio

n

BILLARY STENTING

(VASCULAR AND

NON-VASCULAR)

PACKAGE

3

11

9

Vascular

and Non

Vascular

Interventio

n

R F ABLATION

(VASCULAR AND

NON- VASCULAR)

PACKAGE

2

12

0

Vascular

and Non

Vascular

Interventio

n

MICROWEB

ABLATION

(VASCULAR AND

NON-VASCULAR)

PACKAGE

2

12

1

Vascular

and Non

Vascular

Interventio

n

EMBOLIZATION

(VASCULAR AND

NON-VASCULAR)

PACKAGE

2

Page 23: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

12

2

Vascular

and Non

Vascular

Interventio

n

NERVE BLOCK

(VASCULAR AND

NON-VASCULAR)

PACKAGE

1

12

3

Vascular

and Non

Vascular

Interventio

n

NERVE ABLATION

(VASCULAR AND

NON-VASCULAR)

PACKAGE

1

12

4 Radiology

PERFORATED

ENDOVENOUS LASER

PACKAGE

(UNILATERAL)

1

12

5 Radiology

PERFORATED

ENDOVENOUS LASER

PACKAGE

(BILATERAL)

1

12

6 Radiology

ENDOVENOUS LASER

PACKAGE

(UNILATERAL)

1

12

7 Radiology

ENDOVENOUS LASER

PACKAGE

(BILATERAL)

1

12

8

Bariatric

Surgery SLEEVE (PACKAGE) 3

12

9

Bariatric

Surgery

MGB (MINI GASTRIC

BYPASS) PACKAGE 3

13

0

Bariatric

Surgery

REVISIONAL

BARIATRIC SURGERY

(PACKAGE)

4

13

1

Bariatric

Surgery

RE - LAPAROSCOPY

(PACKAGE) 2

13

2

Bariatric

Surgery

RE - LAPAROSCOPY

SPECIAL (PACKAGE) 2

13

3

Bariatric

Surgery

LAP CHOLY (SPECIAL)

PACKAGE 2

13

4

Bariatric

Surgery

UMBILICAL HERNIA

(PACKAGE) 2

13

5

Bariatric

Surgery

ETEP RS (EXTENDED

TOTALLY

EXTRAPERITONEAL

RIVES-STOPA)

PACKAGE

2

13

6

Bariatric

Surgery OPEN TAR (PACKAGE) 7

13

7

Bariatric

Surgery IPOM (PACKAGE) 2

13

8

Bariatric

Surgery eTEP TAR (PACKAGE) 2

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13

9

Bariatric

Surgery

MESH

EXPLANTATION

(PACKAGE)

4

14

0

Bariatric

Surgery

UNILATERAL TEP

(PACKAGE) 2

14

1

Bariatric

Surgery

BILATERAL TEP

(PACKAGE) 2

14

2

Bariatric

Surgery

EXPLORATORY

LAPAROTOMY

(PACKAGE)

11

14

3

Bariatric

Surgery SCOLA (PACKAGE) 0

14

4

Bariatric

Surgery

BARIATRIC SURGERY

PACKAGE (SPL)

PACKAGE

2

14

5

Bariatric

Surgery

MAJOR HERNIA

(AWR) SURGERY

PACKAGE (SPL)

2

14

6

Ear Nose

and Throat

FESS (ASSURED

PACKAGE) 2

14

7

Gastroente

rology and

Hepatolog

y

LAP

APPENDICECTOMY

(PACKAGE)

2

14

8

V. IP Service Tariff

Sl

N

o

Service

Type Department Service Name Stnd

S

Pvt

Pv

t

Dlx

Sui

te

VIP

Suite

1 Investigatio

ns BioChemistry

VITAMIN D

TOTAL(25-OH)-

SERUM

2 Investigatio

ns BioChemistry ALT(SGPT) - SERUM

3 Investigatio

ns BioChemistry

ALBUMIN - ASCITIC /

PERITONEAL FLUID

4 Investigatio

ns BioChemistry ALBUMIN - SERUM

5 Investigatio

ns BioChemistry

ALBUMIN(MICROAL

BUMINURIA):QUAN

TITATIVE-SPOT

URINE

6 Investigatio

ns BioChemistry

ALBUMIN -

SYNOVIAL FLUID

7 Investigatio

ns BioChemistry

ALKALINE

PHOSPHATASE -

SERUM

Page 25: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

8 Investigatio

ns BioChemistry

ALPHA FETO

PROTEIN - SERUM

9 Investigatio

ns BioChemistry

AMMONIA -

PLASMA

10 Investigatio

ns BioChemistry

AMYLASE - ASCITIC

FLUID

11 Investigatio

ns BioChemistry AMYLASE - FLUID

12 Investigatio

ns BioChemistry

AMYLASE - PLEURAL

FLUID

13 Investigatio

ns BioChemistry AMYLASE - SERUM

14 Investigatio

ns BioChemistry AST (SGOT) - SERUM

15 Investigatio

ns BioChemistry

CA 125(CANCER

ANTIGEN) - SERUM

16 Investigatio

ns BioChemistry

CA (CANCER

ANTIGEN) 15-3 -

SERUM

17 Investigatio

ns BioChemistry

CA (CANCER

ANTIGEN) 19-9 -

SERUM

18 Investigatio

ns BioChemistry

CALCIUM - 24 HRS

URINE

19 Investigatio

ns BioChemistry CALCIUM - SERUM

20 Investigatio

ns BioChemistry

CALCIUM - SPOT

URINE

21 Investigatio

ns BioChemistry

CARBAMAZEPINE -

SERUM

22 Investigatio

ns BioChemistry

CEA: CARCINO

EMBRYONIC

ANTIGEN - SERUM

23 Investigatio

ns BioChemistry

CERULOPLASMIN -

SERUM

24 Investigatio

ns BioChemistry

CHLORIDE - 24 HRS

URINE

25 Investigatio

ns BioChemistry CHLORIDE - CSF

26 Investigatio

ns BioChemistry

CHLORIDE - ASCITIC

FLUID

27 Investigatio

ns BioChemistry CHLORIDE - SERUM

28 Investigatio

ns BioChemistry

CHLORIDE - SPOT

URINE

Page 26: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

29 Investigatio

ns BioChemistry

CHOLESTEROL -

FLUID

30 Investigatio

ns BioChemistry

CHOLESTEROL -

SERUM

31 Investigatio

ns BioChemistry

CK (CPK) - MB -

SERUM

32 Investigatio

ns BioChemistry

CK (CPK): CREATINE

KINASE - SERUM

33 Investigatio

ns BioChemistry CORTISOL - SERUM

34 Investigatio

ns BioChemistry

CREATININE - 24

HRS URINE

35 Investigatio

ns BioChemistry

CREATININE -

SERUM

36 Investigatio

ns BioChemistry

CREATININE - SPOT

URINE

37 Investigatio

ns BioChemistry

CREATININE

CLEARANCE TEST -

24 HOURS URINE

38 Investigatio

ns BioChemistry

DHEA(S)

DEHYDROEPIANDRO

STERONE SULPHATE

- SERUM

39 Investigatio

ns BioChemistry DIGOXIN - SERUM

40 Investigatio

ns BioChemistry ESTRADIOL - SERUM

41 Investigatio

ns BioChemistry FERRITIN - SERUM

42 Investigatio

ns BioChemistry FREE PSA - SERUM

43 Investigatio

ns BioChemistry FREE T4 - SERUM

44 Investigatio

ns BioChemistry

FSH: FOLLICLE

STIMULATING

HORMONE - SERUM

45 Investigatio

ns BioChemistry

GGTP: GAMMA

GLUTAMYL

TRANSPEPTIDASE -

SERUM

46 Investigatio

ns BioChemistry

GH: GROWTH

HORMONE - SERUM

47 Investigatio

ns BioChemistry

GLUCOSE - ASCITIC /

PERITONEAL FLUID

48 Investigatio

ns BioChemistry GLUCOSE - CSF

Page 27: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

49 Investigatio

ns BioChemistry GLUCOSE - FLUID

50 Investigatio

ns BioChemistry

GLUCOSE -

PERICARDIAL FLUID

51 Investigatio

ns BioChemistry

GLUCOSE - PLASMA

(FASTING)

52 Investigatio

ns BioChemistry

GLUCOSE - PLASMA

(POST PRANDIAL)

53 Investigatio

ns BioChemistry

GLUCOSE - PLASMA

(RANDOM)

54 Investigatio

ns BioChemistry

GLUCOSE -

SYNOVIAL FLUID

55 Investigatio

ns BioChemistry

HBA1C

(GLYCOSYLATED

HAEMOGLOBIN)-

WHOLE BLOOD

56 Investigatio

ns BioChemistry

BETA-

HCG:QUANTITATIVE

- SERUM/PLASMA

57 Investigatio

ns BioChemistry

HDL CHOLESTEROL -

SERUM

58 Investigatio

ns BioChemistry

HOMOCYSTEINE -

SERUM

59 Investigatio

ns BioChemistry INSULIN - SERUM

60 Investigatio

ns BioChemistry IRON - SERUM

61 Investigatio

ns BioChemistry

IRON BINDING

CAPACITY TOTAL -

SERUM

62 Investigatio

ns BioChemistry LACTATE - PLASMA

63 Investigatio

ns BioChemistry

LDH: LACTATE

DEHYDROGENASE -

ASCITIC /

PERITONEAL FLUID

64 Investigatio

ns BioChemistry

LDH: LACTATE

DEHYDROGENASE -

FLUID

65 Investigatio

ns BioChemistry

LDH: LACTATE

DEHYDROGENASE -

PLEURAL FLUID

66 Investigatio

ns BioChemistry

LDH: LACTATE

DEHYDROGENASE -

SERUM

67 Investigatio

ns BioChemistry

LDL CHOLESTEROL -

SERUM

Page 28: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

68 Investigatio

ns BioChemistry

LH: LEUTINIZING

HORMONE - SERUM

69 Investigatio

ns BioChemistry LIPASE - SERUM

70 Investigatio

ns BioChemistry

Lp(a): LIPOPROTEIN

(a) - SERUM

71 Investigatio

ns BioChemistry

MAGNESIUM -

SERUM

72 Investigatio

ns BioChemistry

OSMOLALITY -

SERUM

73 Investigatio

ns BioChemistry

OSMOLALITY -

URINE

74 Investigatio

ns BioChemistry

PHENOBARBITAL -

SERUM

75 Investigatio

ns BioChemistry

PHENYTOIN -

SERUM

76 Investigatio

ns BioChemistry

PHOSPHORUS,

INORGANIC - 24 HRS

URINE

77 Investigatio

ns BioChemistry

PHOSPHORUS,

INORGANIC -

SERUM

78 Investigatio

ns BioChemistry

PHOSPHORUS,

INORGANIC - SPOT

URINE

79 Investigatio

ns BioChemistry

POTASSIUM - 24

HRS URINE

80 Investigatio

ns BioChemistry

POTASSIUM -

SERUM

81 Investigatio

ns BioChemistry

POTASSIUM - SPOT

URINE

82 Investigatio

ns BioChemistry PROLACTIN - SERUM

83 Investigatio

ns BioChemistry

PROGESTERONE -

SERUM

84 Investigatio

ns BioChemistry

PROTEIN TOTAL - 24

HRS URINE

85 Investigatio

ns BioChemistry

PROTEIN TOTAL -

ASCITIC /

PERITONEAL FLUID

86 Investigatio

ns BioChemistry PROTEIN - CSF

87 Investigatio

ns BioChemistry

PROTEIN TOTAL -

FLUID

88 Investigatio

ns BioChemistry

PROTEIN TOTAL -

PERICARDIAL FLUID

Page 29: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

89 Investigatio

ns BioChemistry

PROTEIN TOTAL -

PLEURAL FLUID

90 Investigatio

ns BioChemistry

PROTEIN TOTAL -

SERUM

91 Investigatio

ns BioChemistry

PROTEIN TOTAL -

SPOT URINE

92 Investigatio

ns BioChemistry

PROTEIN TOTAL -

SYNOVIAL FLUID

93 Investigatio

ns BioChemistry

SODIUM - 24 HRS

URINE

94 Investigatio

ns BioChemistry SODIUM - SERUM

95 Investigatio

ns BioChemistry

SODIUM - SPOT

URINE

96 Investigatio

ns BioChemistry

TOTAL T3: TRI

IODOTHYRONINE -

SERUM

97 Investigatio

ns BioChemistry

TOTAL T4:

THYROXINE -

SERUM

98 Investigatio

ns BioChemistry

TESTOSTERONE -

SERUM

99 Investigatio

ns BioChemistry

THYROGLOBULIN -

SERUM

10

0

Investigatio

ns BioChemistry

TRIGLYCERIDES -

SERUM

10

1

Investigatio

ns BioChemistry

HS-TROPONIN I

(HIGH SENSITIVITY

TROPONIN-I)

10

2

Investigatio

ns BioChemistry

TROPONIN T,

QUANTITATIVE -

SERUM

10

3

Investigatio

ns BioChemistry

TSH: THYROID

STIMULATING

HORMONE - SERUM

10

4

Investigatio

ns BioChemistry

UREA - 24 HRS

URINE

10

5

Investigatio

ns BioChemistry UREA - SERUM

10

6

Investigatio

ns BioChemistry UREA - SPOT URINE

10

7

Investigatio

ns BioChemistry URIC ACID - SERUM

10

8

Investigatio

ns BioChemistry

URIC ACID - SPOT

URINE

10

9

Investigatio

ns BioChemistry

VALPROIC ACID -

SERUM

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11

0

Investigatio

ns BioChemistry

VITAMIN B12 -

SERUM

11

1

Investigatio

ns BioChemistry FOLATE - SERUM

11

2

Investigatio

ns BioChemistry

VLDL CHOLESTEROL

- SERUM

11

3

Investigatio

ns BioChemistry

VMA(VANILLYL

MANDELIC

ACID),QUANTITATIV

E - 24 HR URINE

11

4

Investigatio

ns BioChemistry

ANTI - THYROID

ANTIBODIES

11

5

Investigatio

ns BioChemistry

NT-PRO BNP(N-

TERMINAL PRO

BRAIN NATRIURETIC

PEPTIDE)-SERUM

11

6

Investigatio

ns BioChemistry

IRON AND IRON

BINDING CAPACITY-

SERUM

11

7

Investigatio

ns BioChemistry

TACROLIMUS -

WHOLE BLOOD

11

8

Investigatio

ns BioChemistry

PROSTATIC SPECIFIC

ANTIGEN (PSA

TOTAL) - SERUM

11

9

Investigatio

ns BioChemistry

BETA - 2

MICROGLOBULIN -

SERUM

12

0

Investigatio

ns BioChemistry C - PEPTIDE - SERUM

12

1

Investigatio

ns BioChemistry

FREE

TESTOSTERONE -

SERUM

12

2

Investigatio

ns BioChemistry FREE T3 - SERUM

12

3

Investigatio

ns BioChemistry PAPP-A

12

4

Investigatio

ns BioChemistry

HUMAN SEX

HORMONE -

BINDING

GLOBULIN(SHBG)-

SERUM

12

5

Investigatio

ns BioChemistry

POTASSIUM -

SWEAT

12

6

Investigatio

ns BioChemistry SODIUM - SWEAT

12

7

Investigatio

ns BioChemistry

PERITONEAL

DIALYSIS FLUID FOR

SUGAR

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12

8

Investigatio

ns BioChemistry

LIPOPROTEIN A1 -

SERUM

12

9

Investigatio

ns BioChemistry

LIPOPROTEIN B -

SERUM

13

0

Investigatio

ns BioChemistry

TRANSFERIN

SATURATION -

SERUM

13

1

Investigatio

ns BioChemistry

ANTI PHOSPHOLIPID

ANTIBODY IgM -

SERUM

13

2

Investigatio

ns BioChemistry

C - PEPTIDE

(FASTING) - SERUM

13

3

Investigatio

ns BioChemistry

C - PEPTIDE (PP) -

SERUM

13

4

Investigatio

ns BioChemistry

EPTOIN/PHENYTOIN

- SERUM

13

5

Investigatio

ns BioChemistry LACTATE - CSF

13

6

Investigatio

ns BioChemistry

ADRENO CORTICO

TROPHIC HORMONE

- ACTH - PLASMA

13

7

Investigatio

ns BioChemistry

CORTISOL - SERUM

(AM)

13

8

Investigatio

ns BioChemistry

CYCLOSPORINE

LEVEL - WHOLE

BLOOD

13

9

Investigatio

ns BioChemistry

INSULIN (FASTING) -

SERUM

14

0

Investigatio

ns BioChemistry

INSULIN (PP) -

SERUM

14

1

Investigatio

ns BioChemistry

PARATHYROID

HORMONE [PTH] -

SERUM

14

2

Investigatio

ns BioChemistry

BLOOD GAS

ANALYSIS (ABG)

14

3

Investigatio

ns BioChemistry LIPASE - URINE

14

4

Investigatio

ns BioChemistry

BUN (BLOOD UREA

NITROGEN)

14

5

Investigatio

ns BioChemistry

CYST FLUID FOR

ANALYSIS

14

6

Investigatio

ns BioChemistry LIPASE - FLUID

14

7

Investigatio

ns BioChemistry

CORTISOL - SERUM

(PM)

14

8

Investigatio

ns BioChemistry

VITAMIN D (25-

HYDROXY)

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14

9

Investigatio

ns BioChemistry

TOTAL PROTEIN AG -

RATIO

15

0

Investigatio

ns BioChemistry

5 HIAA

QUANTITATIVE (24

HRS. URINE)

15

1

Investigatio

ns BioChemistry

BICARBONATE -

SERUM

15

2

Investigatio

ns BioChemistry

MAU

(MICROALBUMIN) -

SPOT URINE

15

3

Investigatio

ns BioChemistry

BILIRUBIN SERUM -

TOTAL/DIRECT

15

4

Investigatio

ns BioChemistry

ANTI

THYROGLOBULIN -

SERUM

15

5

Investigatio

ns BioChemistry

SERUM FREE BETA

hCG

15

6

Investigatio

ns BioChemistry

LITHIUM LEVEL -

SERUM

15

7

Investigatio

ns BioChemistry ANTI TPO

15

8

Investigatio

ns BioChemistry

PLEURAL FLUID FOR

SUGAR

15

9

Investigatio

ns BioChemistry

FREE ANDROGEN

INDEX

16

0

Investigatio

ns BioChemistry

PERITONEAL

DIALYSIS FLUID FOR

CREATININE

16

1

Investigatio

ns BioChemistry INTACT PTH

16

2

Investigatio

ns BioChemistry

FLUID FOR

CREATININE

16

3

Investigatio

ns BioChemistry

CAPD FLUID FOR

BUN

16

4

Investigatio

ns BioChemistry

CAPD FLUID FOR

CREATININE

16

5

Investigatio

ns BioChemistry

CAPD FLUID FOR

SUGAR

16

6

Investigatio

ns BioChemistry

CAPD FLUID FOR

UREA

16

7

Investigatio

ns BioChemistry FLUID FOR CA 19.9

16

8

Investigatio

ns BioChemistry FLUID FOR CA-125

16

9

Investigatio

ns BioChemistry FLUID FOR CEA

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17

0

Investigatio

ns BioChemistry

PERICARDIAL FLUID

FOR ALBUMIN

17

1

Investigatio

ns BioChemistry

PERICARDIAL FLUID

FOR CHLORIDE

17

2

Investigatio

ns BioChemistry

PERICARDIAL FLUID

FOR LDH

17

3

Investigatio

ns BioChemistry

PERITONEAL FLUID

FOR BUN

17

4

Investigatio

ns BioChemistry

SERUM CORTISOL

(RANDOM)

17

5

Investigatio

ns BioChemistry

NON PROTEIN

NITROGEN-SERUM

17

6

Investigatio

ns BioChemistry

ABG WITH

COOXIMETRY

17

7

Investigatio

ns BioChemistry

ABG WITH

LACTATES

17

8

Investigatio

ns BioChemistry

ANTIPHOSPOLIPID

ANTIBODY IGG AND

IGM

17

9

Investigatio

ns BioChemistry

ESTIMATED

GLOMERULAR

FITTRATION

RATE(eGFR)

18

0

Investigatio

ns BioChemistry

CSF PROTEIN

ELECTROPHERISIS

18

1

Investigatio

ns BioChemistry LDH ISOENZYMES

18

2

Investigatio

ns BioChemistry

NEWBORN

SCREENING URINE

EXTENDED(PREVENT

INE)

18

3

Investigatio

ns BioChemistry

NEWBORN

SCREENING URINE

ROUTINE(PREVENTI

NE)

18

4

Investigatio

ns BioChemistry

ROMA(RISK OF

OVARION

MALIGNENCY

ALGORITHM)

18

5

Investigatio

ns BioChemistry

CORTISOL -

SERUM(30min)

18

6

Investigatio

ns BioChemistry

CORTISOL -

SERUM(60min)

18

7

Investigatio

ns BioChemistry

BLOOD UREA AND

CREATININE SERUM

18

8

Investigatio

ns BioChemistry BMT DRUG LEVEL

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18

9

Investigatio

ns BioChemistry SIROLIMUS LEVEL

19

0

Investigatio

ns BioChemistry

CONTINUOUS

GLUCOSE

MONITORING -

CGMD

19

1

Investigatio

ns BioChemistry

ANTI MULLERIAN

HORMONE (AMH)

SERUM

19

2

Investigatio

ns BioChemistry

EVEROLIMUS DRUG

LEVEL WHOLE

BLOOD

19

3

Investigatio

ns BioChemistry

URINE

MICROALBUMIN (24

HRS)

19

4

Investigatio

ns BioChemistry

URINE PROTEIN

CREATININE RATIO

19

5

Investigatio

ns BioChemistry

URIC ACID 24 HRS

URINE

19

6

Investigatio

ns BioChemistry

CORRECTED SERUM

CALCIUM

19

7

Investigatio

ns BioChemistry

ALBUMIN - PLEURAL

FLUID

19

8

Investigatio

ns BioChemistry ALBUMIN - FLUID

19

9

Investigatio

ns BioChemistry

VENOUS BLOOD

GAS (VBG)

20

0

Investigatio

ns BioChemistry

SERUM CORTISOL

LEVEL (MICS)

20

1

Investigatio

ns BioChemistry

HS - CRP (HIGH

SENSITIVE CRP) -

SERUM

20

2

Investigatio

ns BioChemistry HBA1C - BLOOD

20

3

Investigatio

ns BioChemistry BNP - PLASMA

20

4

Investigatio

ns Haematology

ABSOLUTE

EOSINOPHIL COUNT

20

5

Investigatio

ns Haematology

ABSOLUTE

LYMPHOCYTE

COUNT (ALC)

20

6

Investigatio

ns Haematology

ABSOLUTE

NEUTROPHIL

COUNT

20

7

Investigatio

ns Haematology

ACTIVATED PARTIAL

THROMBOPLASTIN

TIME

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20

8

Investigatio

ns Haematology BLEEDING TIME (BT)

20

9

Investigatio

ns Haematology

BONE MARROW

SMEAR FOR

OPINION

21

0

Investigatio

ns Haematology

BONE MARROW

ASPIRATION

CYTOLOGY [BMA]

21

1

Investigatio

ns Haematology CLOT RETRACTION

21

2

Investigatio

ns Haematology

COMPLETE

HAEMOGRAM

21

3

Investigatio

ns Haematology D-DIMER

21

4

Investigatio

ns Haematology

ERYTHROCYTE

SEDIMENTATION

RATE (ESR)

21

5

Investigatio

ns Haematology FACTOR VIII C ASSAY

21

6

Investigatio

ns Haematology

FLUID CELL TYPE

AND CELL COUNT -

SYNOVIAL

21

7

Investigatio

ns Haematology

FLUID CELL COUNT

AND CELL TYPE -

PLEURAL

21

8

Investigatio

ns Haematology

FLUID CELL COUNT -

ASCITIC

21

9

Investigatio

ns Haematology

G6 PD ASSAY

(MANUAL-

SPECTROPHOTOME

TRY)

22

0

Investigatio

ns Haematology

HEMOGLOBIN

(AUTOMATION)

22

1

Investigatio

ns Haematology LE TEST [CELLS]

22

2

Investigatio

ns Haematology

MALARIAL ANTIGEN

DETECTION TEST

22

3

Investigatio

ns Haematology

PACKED CELL

VOLUME [PCV]-

(Automation)

22

4

Investigatio

ns Haematology

SMEAR FOR

MALARIA PARASITES

22

5

Investigatio

ns Haematology

SMEAR FOR

MICROFILARIA

PARASITES

22

6

Investigatio

ns Haematology

PERIPHERAL BLOOD

SMEAR (PBS)

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22

7

Investigatio

ns Haematology

PLASMA

FIBRINOGEN

22

8

Investigatio

ns Haematology

PLASMA

HEMOGLOBIN

22

9

Investigatio

ns Haematology PLATELET COUNT

23

0

Investigatio

ns Haematology

PROTHROMBIN

TIME

23

1

Investigatio

ns Haematology

RBC

COUNT(Automation

)

23

2

Investigatio

ns Haematology

RETICULOCYTE

COUNT

23

3

Investigatio

ns Haematology SEMEN ANALYSIS

23

4

Investigatio

ns Haematology SICKLING TEST

23

5

Investigatio

ns Haematology

STOOL FOR

REDUCING

SUBSTANCES

23

6

Investigatio

ns Haematology

STOOL OCCULT

BLOOD

23

7

Investigatio

ns Haematology STOOL ROUTINE

23

8

Investigatio

ns Haematology SUCROSE LYSIS TEST

23

9

Investigatio

ns Haematology THROMBIN TIME

24

0

Investigatio

ns Haematology

URINE FOR

KETONES

24

1

Investigatio

ns Haematology

URINE- BENCE

JONES PROTEINS

24

2

Investigatio

ns Haematology

URINE- BILE

PIGMENT AND BILE

SALT

24

3

Investigatio

ns Haematology

URINE FOR

UROBILINOGEN

24

4

Investigatio

ns Haematology

URINE

HEMOGLOBIN

24

5

Investigatio

ns Haematology

URINE

HEMOSIDERIN

24

6

Investigatio

ns Haematology

URINE ROUTINE

AND MICROSCOPY

24

7

Investigatio

ns Haematology URINE FOR CHYLE

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24

8

Investigatio

ns Haematology

Hb

ELECTROPHORESIS/

HPLC

24

9

Investigatio

ns Haematology

PORPHOBILINOGEN

- SPOT

URINE(QUALITATIVE

SCREEN)

25

0

Investigatio

ns Haematology

BONE MARROW

BIOPSY

25

1

Investigatio

ns Haematology

ACUTE MYELOID

LEUKEMIA (AML)

CHARACTERIZATION

PANEL

25

2

Investigatio

ns Haematology MCV MCHC MCH

25

3

Investigatio

ns Haematology

URINE FOR

REDUCING

SUBSTANCES

25

4

Investigatio

ns Haematology

LEUCOCYTE COUNT

(TC and DC)

25

5

Investigatio

ns Haematology CD4 AND CD8

25

6

Investigatio

ns Haematology CBC

25

7

Investigatio

ns Haematology

NASAL SMEAR FOR

EOSINOPHILS

25

8

Investigatio

ns Haematology

URINE FOR

MYOGLOBIN

25

9

Investigatio

ns Haematology

WBC COUNT (TC

and DC)

26

0

Investigatio

ns Haematology

CLPD

PANEL(CHRONIC

LYMPHO

PROFILERATIVE

DISOREDER PANEL)

26

1

Investigatio

ns Haematology

ACUTE LEUKEMIA

PANEL(COMPREHEN

SIVE)

26

2

Investigatio

ns Haematology

ANY SINGLE(CD)

MARKER

26

3

Investigatio

ns Haematology

STOOL FOR

OVA,PARASITE,CYST

26

4

Investigatio

ns Haematology HEINZ BODY TEST

26

5

Investigatio

ns Haematology

B A L FLUID FOR

CELL TYPE CELL

COUNT

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26

6

Investigatio

ns Haematology

BASOPHILIC

STIPPLING

26

7

Investigatio

ns Haematology

BONE MARROW

[PERLS STAIN]

26

8

Investigatio

ns Haematology

CAPD FLUID FOR

CELL TYPE AND CELL

COUNTS

26

9

Investigatio

ns Haematology

SPUTUM FOR

EOSINOPHILS

27

0

Investigatio

ns Haematology

PERITONEAL

DIALYSIS FLUID CELL

COUNT

27

1

Investigatio

ns Haematology

RED CELL OSMOTIC

FRAGILITY WITH

INCUBATION

27

2

Investigatio

ns Haematology

ALL PANEL BY FLOW

CYTOMETRY

27

3

Investigatio

ns Haematology

CD 34/ HSC

COUNT(HEMOPOETI

C STEM CELL

COUNT)

27

4

Investigatio

ns Haematology

URINE SUGAR -

POST PRANDIAL

(QUALITATIVE)

27

5

Investigatio

ns Haematology

FLUID CELL TYPE

AND CELL COUNT

27

6

Investigatio

ns Haematology

IMMUNE

DEFICIENCY PANNEL

- II, (CD3, CD4, CD8)

27

7

Investigatio

ns Haematology

URINE SPECIFIC

GRAVITY

27

8

Investigatio

ns Haematology

PACKED CELL

VOLUME, BODY

FLUIDS, PCV

27

9

Investigatio

ns Haematology

MULTIPLE

MYELOMA PANEL

BY FLOW

CYTOMETRY

28

0

Investigatio

ns Haematology MIXING STUDY PT

28

1

Investigatio

ns Haematology MIXING STUDY- PTT

28

2

Investigatio

ns Haematology

FLUID FOR CELL

COUNT AND TYPE -

DRAINAGE TUBE

28

3

Investigatio

ns Haematology

PNH BY FLOW

CYTOMETRY

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28

4

Investigatio

ns Haematology

ASCITIC FLUID FOR

CELL TYPE CELL

COUNT

28

5

Investigatio

ns Haematology

CD2 ABSOLUTE

COUNT

28

6

Investigatio

ns Haematology

COMBO QUEST II

FOR AML

28

7

Investigatio

ns Haematology

COMPLETE BLOOD

PICTURE [CBP]

28

8

Investigatio

ns Haematology

CSF FOR CELL TYPE

CELL COUNT

28

9

Investigatio

ns Haematology DC AND MP

29

0

Investigatio

ns Haematology FILARIA ANTIGEN

29

1

Investigatio

ns Haematology

FLOW CYTOMERTY

SINGLE PROTOCOL

29

2

Investigatio

ns Haematology

FLUID FOR BILE SALT

BILE PIGMENT

29

3

Investigatio

ns Haematology

FLUID FOR

EOSINOPHIL COUNT

29

4

Investigatio

ns Haematology

FLUID FOR

HEAMOGLOBIN

29

5

Investigatio

ns Haematology

FLUID FROM CYST

FOR CELL TYPE CELL

COUNT

29

6

Investigatio

ns Haematology HB,TC,DC

29

7

Investigatio

ns Haematology

STOOL FOR FAT

DROPLETS

29

8

Investigatio

ns Haematology

URINE SUGAR -

RANDOM(QUALITAT

IVE)

29

9

Investigatio

ns Haematology

WBC COUNT

[TOTAL]

30

0

Investigatio

ns Haematology TC,DC

30

1

Investigatio

ns Haematology

PERIPHERAL BLOOD

SMEAR FOR

SCHISTOCYTES

30

2

Investigatio

ns Haematology

PERIPHERAL BLOOD

SMEAR FOR

ACANTHOCYTES

30

3

Investigatio

ns Haematology

FRAGILE X DECET

AND KARYO OF PERI

BLD CELL()

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30

4

Investigatio

ns Haematology STEM CELL COUNT

30

5

Investigatio

ns Haematology

IHC

PANEL(HAEMATOLO

GY)

30

6

Investigatio

ns Haematology

IMMUNOHISTOCHE

MISTRY/PER SLIDE

(HAEMATOLOGY)

30

7

Investigatio

ns Haematology

BONE MARROW

BIOPSY FOR

OPINION

30

8

Investigatio

ns Haematology

MYCARDIO GENETIC

TEST

30

9

Investigatio

ns Haematology

BCR/ABL WITH IS

RATIO

31

0

Investigatio

ns Haematology

MULTIPLE

MYELOMA

COMPREHENSIVE -

FISH

31

1

Investigatio

ns Haematology

AML COMBOQUEST

5 (NPM1 MUTATION

FLT3 MUTATION

CEBPA MUTATION)

31

2

Investigatio

ns Haematology

TRANSLOCATION

(11 OF 14) BY FISH

31

3

Investigatio

ns Haematology FACTOR IX ASSAY

31

4

Investigatio

ns Haematology

EMA DYEBINDING

TEST

31

5

Investigatio

ns Haematology

EXTENDED IHC

PACKAGE (12

ANTIGEN) FOR

HAEMATOLOGY

31

6

Investigatio

ns Haematology

COMPLETE BLOOD

PICTURE (CBP) FOR

LEUKEMIA

31

7

Investigatio

ns Microbiology MANTOUX TEST

31

8

Investigatio

ns Microbiology HBe(e ANTIGEN)

31

9

Investigatio

ns Microbiology

CRYPTOCOCCUS

ANTIGEN

32

0

Investigatio

ns Microbiology

RUBELLA IGG

ANTIBODIES

32

1

Investigatio

ns Microbiology

TOXOPLASMA IGG

ANTIBODIES

32

2

Investigatio

ns Microbiology

AFB CULTURE

[SPUTUM](Bact

Page 41: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

Alert 3D)

32

3

Investigatio

ns Microbiology

AFB CULTURE

[STOOL](Bact Alert

3D)

32

4

Investigatio

ns Microbiology

AFB CULTURE TIPS

[CATH,SUC,TRACL

ET](Bact Alert 3D)

32

5

Investigatio

ns Microbiology

AFB CULTURE

[URETHRAL

SWAB](Bact Alert

3D)

32

6

Investigatio

ns Microbiology

AFB CULTURE

[URINE](Bact Alert

3D)

32

7

Investigatio

ns Microbiology

AFB CULTURE

[OTHERS] (Bact Alert

3D)

32

8

Investigatio

ns Microbiology

ACID FAST STAIN

OTHERS

32

9

Investigatio

ns Microbiology

ACID FAST STAIN

[TIP]

33

0

Investigatio

ns Microbiology

ACID FAST STAIN

[PUS]

33

1

Investigatio

ns Microbiology

ACID FAST STAIN

[SPUTUM]

33

2

Investigatio

ns Microbiology

ACID FAST STAIN

[URINE]

33

3

Investigatio

ns Microbiology

ACID FAST STAIN

[BAL]

33

4

Investigatio

ns Microbiology

ACID FAST STAIN

[BODY FLUID]

33

5

Investigatio

ns Microbiology

ACID FAST STAIN

[CSF]

33

6

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY [BODY

FLUIDS]

33

7

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY [CSF]

33

8

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[OTHERS]

33

9

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY [PUS]

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34

0

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[VAGINAL SWAB]

34

1

Investigatio

ns Microbiology

ANTI - HBe (e

ANTIBODY)

34

2

Investigatio

ns Microbiology HAV-IGM

34

3

Investigatio

ns Microbiology ANTI HBc IgM

34

4

Investigatio

ns Microbiology ANTI HCV CMIA

34

5

Investigatio

ns Microbiology

LEPTOSPIRA IGM

ANTIBODIES

34

6

Investigatio

ns Microbiology ASO TITRE

34

7

Investigatio

ns Microbiology

COMPLEMENT

LEVEL - C3

34

8

Investigatio

ns Microbiology

COMPLEMENT

LEVEL C4

34

9

Investigatio

ns Microbiology

C-REACTIVE

PROTEIN (CRP)

35

0

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [URINE]

35

1

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[BLOOD]

35

2

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [C S F]

35

3

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [RECTAL

SWAB]

35

4

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[SPUTUM]

35

5

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[THROAT SWAB]

35

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[WOUND SWAB]

35

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [EYE

SWAB]

35

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[FLUIDS]

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35

9

Investigatio

ns Microbiology

GRAM STAIN

[BLOOD]

36

0

Investigatio

ns Microbiology

GRAM STAIN

[OTHERS]

36

1

Investigatio

ns Microbiology GRAM STAIN [TIP]

36

2

Investigatio

ns Microbiology

GRAM STAIN [ BODY

FLUID]

36

3

Investigatio

ns Microbiology GRAM STAIN [CSF]

36

4

Investigatio

ns Microbiology GRAM STAIN [PUS]

36

5

Investigatio

ns Microbiology

GRAM STAIN

[SPUTUM]

36

6

Investigatio

ns Microbiology

GRAM STAIN

[STOOL]

36

7

Investigatio

ns Microbiology

GRAM STAIN

[THROAT SWAB]

36

8

Investigatio

ns Microbiology

GRAM STAIN

[URINE]

36

9

Investigatio

ns Microbiology

IMMUNOGLOBULIN

- IgA

37

0

Investigatio

ns Microbiology

IMMUNOGLOBULIN

- IgG

37

1

Investigatio

ns Microbiology

IMMUNOGLOBULIN

- IgM

37

2

Investigatio

ns Microbiology

INDIA-INK

PREPARATION

37

3

Investigatio

ns Microbiology

WATER ANALYSIS

[FOR COLIFORM

COUNT]

37

4

Investigatio

ns Microbiology

AFB CULTURE

[BAL/TRACHEAL](Ba

ct Alert 3D)

37

5

Investigatio

ns Microbiology

AFB CULTURE

[CONJUNCTIVAL

SWAB](Bact Alert

3D)

37

6

Investigatio

ns Microbiology

AFB CULTURE

[NASAL SWAB](Bact

Alert 3D)

37

7

Investigatio

ns Microbiology

YEAST

IDENTIFICATION

AND SUSCEPTIBILITY

37

8

Investigatio

ns Microbiology WIDAL TEST

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37

9

Investigatio

ns Microbiology

ANTI LKM-1 /LIVER-

KIDNEY-

MICROSOMAL

ANTIBODIES (

IMMUNOBLOT

ASSAY)

38

0

Investigatio

ns Microbiology

ANTI SMOOTH

MUSCLE ANTI BODY

(SMA)

38

1

Investigatio

ns Microbiology

ANTI CCP (CYCLIC

CITRULLINATED

PEPTIDE)

38

2

Investigatio

ns Microbiology VDRL (QUALITATIVE)

38

3

Investigatio

ns Microbiology

ANTI HCV

ANTIBODIES

38

4

Investigatio

ns Microbiology

PREALBUMIN

SERUM

38

5

Investigatio

ns Microbiology

TORCH IgG

COMPLEX

38

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [BAL]

38

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[THROAT

SECRETION]

38

8

Investigatio

ns Microbiology

HIGH SENSITIVE

(CRP)

38

9

Investigatio

ns Microbiology

TORCH IgM

COMPLEX

39

0

Investigatio

ns Microbiology

HBC TOTAL CORE

ANTIBODY

39

1

Investigatio

ns Microbiology

CYTOMEGALOVIRUS

ANTIBODIES Ig G

39

2

Investigatio

ns Microbiology

MDR-TB DETECTION

BY REVERSE

HYBRIDIZATION

39

3

Investigatio

ns Microbiology RA FACTOR

39

4

Investigatio

ns Microbiology

TOXOPLASMA

ANTIBODIES IG M

39

5

Investigatio

ns Microbiology

CYTOMEGALOVIRUS

ANTIBODIES Ig M

39

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[CENTRAL LINE TIP]

39

7

Investigatio

ns Microbiology

GRAM STAIN

[WOUND SWAB]

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39

8

Investigatio

ns Microbiology

GRAM STAIN [EYE

SWAB]

39

9

Investigatio

ns Microbiology

GRAM STAIN

[TRACHEAL

SECRETION]

40

0

Investigatio

ns Microbiology

GRAM STAIN

[ENDOTRACHEAL

SECRETIONS]

40

1

Investigatio

ns Microbiology

GRAM STAIN

[RECTAL SWAB]

40

2

Investigatio

ns Microbiology

GRAM STAIN

[SEMEN]

40

3

Investigatio

ns Microbiology

GRAM STAIN

[PLEURAL FLUID]

40

4

Investigatio

ns Microbiology

GRAM STAIN

[PERITONEAL FLUID]

40

5

Investigatio

ns Microbiology

GRAM STAIN

[SYNOVIAL LUID]

40

6

Investigatio

ns Microbiology

GRAM STAIN

[ASCITIC FLUID]

40

7

Investigatio

ns Microbiology

GRAM STAIN

(EXPRESSED

PROSTATIC

SECRETIONS)

40

8

Investigatio

ns Microbiology GRAM STAIN [ICD]

40

9

Investigatio

ns Microbiology

GRAM STAIN

[PERICARDIAL

FLUID]

41

0

Investigatio

ns Microbiology

GRAM STAIN

[UREATHRAL SWAB]

41

1

Investigatio

ns Microbiology

GRAM STAIN

[VAGINAL SWAB]

41

2

Investigatio

ns Microbiology

GRAM STAIN

[TISSUE]

41

3

Investigatio

ns Microbiology

STOOL HANGING

DROP

41

4

Investigatio

ns Microbiology

Dark Field [

Leptospirious Smear

]

41

5

Investigatio

ns Microbiology

ACID FAST STAIN

[EYE FLUID]

41

6

Investigatio

ns Microbiology

ACID FAST STAIN

[TRACHEAL

SECRETION]

41

7

Investigatio

ns Microbiology

ACID FAST STAIN

[ET]

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41

8

Investigatio

ns Microbiology

ACID FAST STAIN

[PLEURAL FLUID]

41

9

Investigatio

ns Microbiology

ACID FAST STAIN

[PERITONEAL FLUID]

42

0

Investigatio

ns Microbiology

ACID FAST STAIN

[SYNOVIAL LUID]

42

1

Investigatio

ns Microbiology

ACID FAST STAIN

[ASCITIC FLUID]

42

2

Investigatio

ns Microbiology

ACID FAST STAIN

[ICD FLUID]

42

3

Investigatio

ns Microbiology

ACID FAST STAIN

[PERICARDIAL

FLUID]

42

4

Investigatio

ns Microbiology

ACID FAST STAIN

[LYMPH NODE]

42

5

Investigatio

ns Microbiology

ACID FAST STAIN

[TISSUE]

42

6

Investigatio

ns Microbiology

ACID FAST STAIN (

LEPRA BACILLI)

42

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [PUS]

42

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[TRACHEAL

SECRETION]

42

9

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [ET]

43

0

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[SEMEN]

43

1

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[PLEURAL FLUID]

43

2

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[PERITONEAL FLUID]

43

3

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[SYNOVIAL FLUID]

43

4

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[ASCITIC FLUID]

43

5

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

(OTHERS)

43

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[DIALYSIS CATH TIP]

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43

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [ICD]

43

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[PERICARDIAL

FLUID]

43

9

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[URETHRAL SWAB]

44

0

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [NASAL

SWAB]

44

1

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[VAGINAL SWAB]

44

2

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[TONSIL]

44

3

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [LYMPH

NODE]

44

4

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[TISSUE]

44

5

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[PERITONEAL FLUID]

44

6

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[SYNOVIAL FLUID]

44

7

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[ASCITIC FLUID]

44

8

Investigatio

ns Microbiology

ANAEROBIC

CULTURE AND

SENSITIVITY

[PERICARDIAL

FLUID]

44

9

Investigatio

ns Microbiology

FUNGUS CULTURE

[SPUTUM]

45

0

Investigatio

ns Microbiology

FUNGUS CULTURE

[THROAT SWAB]

45

1

Investigatio

ns Microbiology

FUNGUS CULTURE

[WOUND SWAB]

45

2

Investigatio

ns Microbiology

FUNGUS CULTURE

[BLOOD]

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45

3

Investigatio

ns Microbiology

FUNGUS CULTURE

[C S F]

45

4

Investigatio

ns Microbiology

FUNGUS CULTURE

[PUS]

45

5

Investigatio

ns Microbiology

FUNGUS CULTURE

[BAL]

45

6

Investigatio

ns Microbiology

FUNGUS CULTURE

[URINE]

45

7

Investigatio

ns Microbiology

FUNGUS CULTURE

[TRACHEAL

SECRETION]

45

8

Investigatio

ns Microbiology

FUNGUS CULTURE

[ET]

45

9

Investigatio

ns Microbiology

FUNGUS CULTURE

[STOOL]

46

0

Investigatio

ns Microbiology

FUNGUS CULTURE

[RECTAL SWAB]

46

1

Investigatio

ns Microbiology

FUNGUS CULTURE

[PLEURAL FLUID]

46

2

Investigatio

ns Microbiology

FUNGUS CULTURE

[PERITONEAL FLUID]

46

3

Investigatio

ns Microbiology

FUNGUS CULTURE

[SYNOVIAL LUID]

46

4

Investigatio

ns Microbiology

FUNGUS CULTURE

[ASCITIC FLUID]

46

5

Investigatio

ns Microbiology

FUNGUS CULTURE

[SEMEN]

46

6

Investigatio

ns Microbiology

FUNGUS CULTURE

[DIALYSIS CATH TIP]

46

7

Investigatio

ns Microbiology

FUNGUS CULTURE

[ICD FLUID]

46

8

Investigatio

ns Microbiology

FUNGUS CULTURE

[PERICARDIAL

FLUID]

46

9

Investigatio

ns Microbiology

FUNGUS CULTURE

[URETHRAL SWAB]

47

0

Investigatio

ns Microbiology

FUNGUS CULTURE

[VAGINAL SWAB]

47

1

Investigatio

ns Microbiology

FUNGUS CULTURE

[LYMPH NODE]

47

2

Investigatio

ns Microbiology

FUNGUS CULTURE

[CERVICAL SWAB]

47

3

Investigatio

ns Microbiology

AFB CULTURE

[BLOOD](Bact Alert

3D)

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47

4

Investigatio

ns Microbiology

AFB CULTURE [C S

F](Bact Alert 3D)

47

5

Investigatio

ns Microbiology

AFB CULTURE

[TRACHEAL

SECRETION](Bact

Alert 3D)

47

6

Investigatio

ns Microbiology

AFB CULTURE

[ET](Bact Alert 3D)

47

7

Investigatio

ns Microbiology

AFB CULTURE

[PLEURAL

FLUID](Bact Alert

3D)

47

8

Investigatio

ns Microbiology

AFB CULTURE

[PERITONEAL

FLUID](Bact Alert

3D)

47

9

Investigatio

ns Microbiology

AFB CULTURE

[SYNOVIAL

FLUID](Bact Alert

3D)

48

0

Investigatio

ns Microbiology

AFB CULTURE

[ASCITIC FLUID](Bact

Alert 3D)

48

1

Investigatio

ns Microbiology

AFB CULTURE

[EPS](Bact Alert 3D)

48

2

Investigatio

ns Microbiology

AFB CULTURE [ICD

FLUID ](Bact Alert

3D)

48

3

Investigatio

ns Microbiology

AFB CULTURE

[LYMPH NODE](Bact

Alert 3D)

48

4

Investigatio

ns Microbiology RUBELLA IgM

48

5

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [STOOL]

48

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[ADENOID TISSUE]

48

7

Investigatio

ns Microbiology

FUNGAL CULTURE

[EPS]

48

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY[FEMOR

AL CATH]

48

9

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[PERIPHERAL LINE

TIP]

49

0

Investigatio

ns Microbiology HSV 1 2 IGG IGM

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49

1

Investigatio

ns Microbiology CHIKUNGUNYA IgM

49

2

Investigatio

ns Microbiology HIV TEST(RAPID)

49

3

Investigatio

ns Microbiology

ASPERGILLUS

ANTIGEN-

GALACTOMANNAN

ASSAY

49

4

Investigatio

ns Microbiology

AFB CULTURE

(FNAC) (BACT ALERT

3D)

49

5

Investigatio

ns Microbiology

ANTI NUCLEAR

ANTIBODIES/ANA(I

MMUNOFLUORESCE

NCE)

49

6

Investigatio

ns Microbiology

CMV RT PCR

QUANTITATIVE

49

7

Investigatio

ns Microbiology

HIV CONFIRMATION

TEST [WESTERN

BLOT]

49

8

Investigatio

ns Microbiology

SMEAR FOR

CANDIDA

49

9

Investigatio

ns Microbiology HIV ANTI BODIES

50

0

Investigatio

ns Microbiology

DENGUE SEROLOGY

( IgM AND IgG )

50

1

Investigatio

ns Microbiology

AFB CULTURE

[TISSUE](BACT

ALERT 3D)

50

2

Investigatio

ns Microbiology

AFB CULTURE

[ENDOMETRIUM](B

ACT ALERT 3D)

50

3

Investigatio

ns Microbiology

AFB CULTURE

[ASPIRATE](BACT

ALERT 3D)

50

4

Investigatio

ns Microbiology

AFB CULTURE

[RYLES TUBE

ASPIRATE](BACT

ALERT 3D)

50

5

Investigatio

ns Microbiology

AFB CULTURE

[SEMEN](BACT

ALERT 3D)

50

6

Investigatio

ns Microbiology

AFB CULTURE

[WOUND

SWAB](BACT ALERT

3D)

50

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[TISSUE]

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50

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [EAR

SWAB]

50

9

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[ASPIRATE PUS]

51

0

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [LIVER

ASPIRATE]

51

1

Investigatio

ns Microbiology

FUNGUS CULTURE

[OTHERS]

51

2

Investigatio

ns Microbiology

DENGUE NS1

ANTIGEN

51

3

Investigatio

ns Microbiology

ACID FAST STAIN

[CONJUNCTIVAL

SWAB]

51

4

Investigatio

ns Microbiology

ACID FAST STAIN

[WOUND SWAB]

51

5

Investigatio

ns Microbiology

FUNGUS CULTURE

[ASPIRATE]

51

6

Investigatio

ns Microbiology

FUNGUS CULTURE

[CONJUNCTIVAL

SWAB]

51

7

Investigatio

ns Microbiology

FUNGUS CULTURE

[ENDOMETRIUM]

51

8

Investigatio

ns Microbiology

FUNGUS CULTURE

[NASAL SWAB]

51

9

Investigatio

ns Microbiology

FUNGUS CULTURE

[RYLES TUBE

ASPIRATE]

52

0

Investigatio

ns Microbiology

FUNGUS CULTURE

[TISSUE]

52

1

Investigatio

ns Microbiology

GRAM STAIN

[ASPIRATE]

52

2

Investigatio

ns Microbiology

GRAM STAIN

[CONJUNCTIVAL

SWAB]

52

3

Investigatio

ns Microbiology

GRAM STAIN

[ENDOMETRIUM]

52

4

Investigatio

ns Microbiology

GRAM STAIN

[LYMPH NODE]

52

5

Investigatio

ns Microbiology

GRAM STAIN

[NASAL SWAB]

52

6

Investigatio

ns Microbiology

GRAM STAIN [RYLES

TUBE ASPIRATE]

52

7

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY

[ENDOMETRIUM]

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52

8

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [RYLES

TUBE ASPIRATE]

52

9

Investigatio

ns Microbiology

ACID FAST STAIN

[ASPIRATE]

53

0

Investigatio

ns Microbiology

ACID FAST STAIN

[BLOOD]

53

1

Investigatio

ns Microbiology

ACID FAST STAIN

[ENDOMETRIUM]

53

2

Investigatio

ns Microbiology

ACID FAST STAIN

[EPS]

53

3

Investigatio

ns Microbiology

ACID FAST STAIN

[NASAL SWAB]

53

4

Investigatio

ns Microbiology

ACID FAST STAIN

[RYLES TUBE

ASPIRATE]

53

5

Investigatio

ns Microbiology

ACID FAST STAIN

[SEMEN]

53

6

Investigatio

ns Microbiology HIV P24 ANTIGEN

53

7

Investigatio

ns Microbiology

CULTURE and

SENSITIVITY EAR

SWAB

53

8

Investigatio

ns Microbiology

CULTURE and

SENSITIVITY SKIN

SWAB

53

9

Investigatio

ns Microbiology

SS-A (Ro) IgG

ANTIBODIES

54

0

Investigatio

ns Microbiology

SS-B (La) IgG

ANTIBODIES

54

1

Investigatio

ns Microbiology

ADENO AND

ROTAVIRUS AG IN

STOOL (RAPID TEST)

54

2

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY [NAIL

CLIP]

54

3

Investigatio

ns Microbiology

FUNGUS CULTURE

[NAIL CLIP]

54

4

Investigatio

ns Microbiology

AFB CULTURE

(BONE MARROW)

(Bact Alert 3D)

54

5

Investigatio

ns Microbiology

WET MOUNT (SKIN

SCRAPING)

54

6

Investigatio

ns Microbiology

AFB CULTURE

(PUS)(Bact Alert 3D)

54

7

Investigatio

ns Microbiology

FUNGUS CULTURE

(BONE MARROW)

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54

8

Investigatio

ns Microbiology

ACID FAST STAIN

(BONE MARROW)

54

9

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY (BONE

MARROW)

55

0

Investigatio

ns Microbiology

GRAM STAIN (BONE

MARROW)

55

1

Investigatio

ns Microbiology

AFB CULTURE

[FLUID](Bact Alert

3D)

55

2

Investigatio

ns Microbiology

FUNGUS CULTURE

BONE

55

3

Investigatio

ns Microbiology

ACID FAST STAIN

BONE

55

4

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY BONE

55

5

Investigatio

ns Microbiology GRAM STAIN BONE

55

6

Investigatio

ns Microbiology

ALBERT'S STAINING

[THROAT SWAB]

55

7

Investigatio

ns Microbiology

ANTI JO-1

ANTIBODIES

55

8

Investigatio

ns Microbiology

ANTI RNP/SM

ANTIBODIES (

IMMUNOBLOT

ASSAY)

55

9

Investigatio

ns Microbiology

ANTI SCL -70

ANTIBODIES (

IMMUNOBLOT

ASSAY)

56

0

Investigatio

ns Microbiology

ANTI SSB/LA

ANTIBODIES (

IMMUNOBLOT

ASSAY)

56

1

Investigatio

ns Microbiology

CLOSTRIDIUM

DIFFICILE TOXIN

AandB DETECTION-

STOOL

56

2

Investigatio

ns Microbiology

ELISA ANTI HSV 1

and 2 IgM

56

3

Investigatio

ns Microbiology

ELISA ANTI HSV 1

and 2 IgG

56

4

Investigatio

ns Microbiology

HSV 1 AND 2 RT PCR

ASSAY

56

5

Investigatio

ns Microbiology

ROTAVIRUS

ANTIGEN (STOOL)

56

6

Investigatio

ns Microbiology

ANTI HCV RAPID

TEST

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56

7

Investigatio

ns Microbiology

URINE PREGNANCY

TEST

56

8

Investigatio

ns Microbiology WEIL FELIX TEST

56

9

Investigatio

ns Microbiology

ANTI

MITOCHONDRIAL

ANTIBODIES-

M2(AMA-M2)

57

0

Investigatio

ns Microbiology

MTB DETECTION

AND DRUG

RESISTANCE 2nd

LINE (HAIN-

Genotype)

57

1

Investigatio

ns Microbiology

ALDEHYDE SERUM

TEST

57

2

Investigatio

ns Microbiology TYPHI DOT -IgM

57

3

Investigatio

ns Microbiology Anti HBs

57

4

Investigatio

ns Microbiology

CMV Antibodies -

IgM

57

5

Investigatio

ns Microbiology HIV VIRAL LOAD

57

6

Investigatio

ns Microbiology TORCH IGG and IGM

57

7

Investigatio

ns Microbiology SWAB C/S

57

8

Investigatio

ns Microbiology KOH PREPERATION

57

9

Investigatio

ns Microbiology

SMEAR FOR

FUNGUS

58

0

Investigatio

ns Microbiology

HBV DNA

QUANTITATIVE

58

1

Investigatio

ns Microbiology ANTI- DS DNA

58

2

Investigatio

ns Microbiology

PCT - Q

(Procalcitonin)

58

3

Investigatio

ns Microbiology

ACID FAST STAIN

(BILE)

58

4

Investigatio

ns Microbiology

ACID FAST STAIN

(GASTRIC JUICE)

58

5

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY (BILE)

58

6

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY (Central

Tip)

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58

7

Investigatio

ns Microbiology

ANTI NEUTROPHIL

CYTOPLASMIC

ANTIBODIES IF

58

8

Investigatio

ns Microbiology

PNUEMOSLIDE

PANEL IgM

58

9

Investigatio

ns Microbiology

ACID FAST STAIN

(FLUID)

59

0

Investigatio

ns Microbiology

GRAM STAIN

(FLUID)

59

1

Investigatio

ns Microbiology

HBV DNA

QUALITATIVE(PCR)

59

2

Investigatio

ns Microbiology QUANTIFERON TB

59

3

Investigatio

ns Microbiology

HCV RNA PCR

QUANTITATIVE

59

4

Investigatio

ns Microbiology

HCV RNA PCR

QUALITATIVE

59

5

Investigatio

ns Microbiology TB PCR DNA

59

6

Investigatio

ns Microbiology

SERUM LIGHTCHAIN

ASSAY

59

7

Investigatio

ns Microbiology

(METROPOLIS)

JAPANESE

ENCEPAHILITS

VIRUS PCR (JE VIRUS

PCR)

59

8

Investigatio

ns Microbiology

RT PCR FOR H1N1

TEST

59

9

Investigatio

ns Microbiology

ADENOSINE

DEAMINASE

60

0

Investigatio

ns Microbiology ADENOVIRUS C PCR

60

1

Investigatio

ns Microbiology

ANA / ANF IN

DILUTION

60

2

Investigatio

ns Microbiology

ANTI HAV

ANTIBODY(TOTAL)

60

3

Investigatio

ns Microbiology

ANTI HBE (E ANTI

BODY)

60

4

Investigatio

ns Microbiology

ANTI HBS

(ANTIBODY TO

AUSTRALIA-

ANTIGEN)

60

5

Investigatio

ns Microbiology ANTI HEV IgM

60

6

Investigatio

ns Microbiology

ANTIBODY TO RNP -

Sm, IgG

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60

7

Investigatio

ns Microbiology

ANTIBODY TO

SSA/RO

60

8

Investigatio

ns Microbiology

Antinuclear

antibody Panel ( 14

antibody panel)

60

9

Investigatio

ns Microbiology

AUSTRALIA

ANTIGEN

DETECTION (ELISA)

61

0

Investigatio

ns Microbiology

AUTOIMMUNE

HEPATITIS PANEL

61

1

Investigatio

ns Microbiology

AUTOMATED

BLOOD CULTURE

(BACT T ALERT)

61

2

Investigatio

ns Microbiology

BLOOD C/S -

AEORBIC (CENTRAL

LINE)

61

3

Investigatio

ns Microbiology

BLOOD C/S -

AEROBIC

(PERIPHERAL LINE)

61

4

Investigatio

ns Microbiology

BLOOD CULTURE

AND SENSITIVITY -

AEROBIC

61

5

Investigatio

ns Microbiology C3 AND C4

61

6

Investigatio

ns Microbiology

C-ANCA IN

DILUTION

61

7

Investigatio

ns Microbiology

CMV ANTIBODY

[IGG]

61

8

Investigatio

ns Microbiology

CMV DNA

DETECTION PCR

61

9

Investigatio

ns Microbiology

BLOOD CULTURE

AND SENSITIVITY

[ANAEROBIC ]

62

0

Investigatio

ns Microbiology

CULTURE AND

SENSITIVITY FOR

ASPIRATED FLUID

62

1

Investigatio

ns Microbiology

DENGUE

SEROLOGY(IGM

AND IGG) GOVT

REFERALS

62

2

Investigatio

ns Microbiology

EBV (Ebstein Barr

Virus) PCR

62

3

Investigatio

ns Microbiology

EBV VIRAL CAPSID

Ag IgM

62

4

Investigatio

ns Microbiology

HBsAg SEROLOGY -

ELIFA/CMIA

62

5

Investigatio

ns Microbiology

HCV RNA

QUANTITATIVE/VIR

AL LOAD

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62

6

Investigatio

ns Microbiology

HEPATITIS B PCR

QUANTITATIVE

62

7

Investigatio

ns Microbiology

IgG4(IMMUNOGLBU

LIN IgG4)

62

8

Investigatio

ns Microbiology

IMMUNOGLOBULIN

IgE

62

9

Investigatio

ns Microbiology

KOH MOUNT FOR

FUNGAL ELEMENTS

DETECTION

63

0

Investigatio

ns Microbiology

RAPID HBSAg

SEROLOGY

63

1

Investigatio

ns Microbiology

TISSUE

TRANSGLUTAMINAS

E,IgA

63

2

Investigatio

ns Microbiology

TREPONEMA

PALLIDUM

ANTIBODY

DETECTION

63

3

Investigatio

ns Microbiology

HIV SEROLOGY

(RAPID)

63

4

Investigatio

ns Microbiology

CSF/SERUM IgG

INDEX

63

5

Investigatio

ns Microbiology

STOOL FOR

CRYPTOSPORIDIUM

AND ISOSPORA

63

6

Investigatio

ns Microbiology

JAPANESE

ENCEPHALITIS (JE)

VIRUS IGM SERUM

(ELISA)

63

7

Investigatio

ns Microbiology

JAPANESE

ENCEPHALITIS (JE)

VIRUS IGM CSF

(ELISA)

63

8

Investigatio

ns Microbiology aHBc

63

9

Investigatio

ns Microbiology

HELICOBACTER

PYLORI IgG

64

0

Investigatio

ns Microbiology

LEGIONELLA

URINARY ANTIGEN

64

1

Investigatio

ns Microbiology

MYCOBACTERIUM

SPECIATION

64

2

Investigatio

ns Microbiology

PNEUMOBACT IGG

AND IGM (FOR A

TYPICAL BACTERIAL

PNEUMONIA)

64

3

Investigatio

ns Microbiology

BRUCELLA

AGGLUTINATION

TEST

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64

4

Investigatio

ns Microbiology

EBV VCA IgG

(EBSTEIN BARR

VIRUS VCA IgG)

64

5

Investigatio

ns Microbiology

VIRAL TRANSPORT

MEDIA

64

6

Investigatio

ns Microbiology

RESPIRATORY

SYNCYTIAL

VIRUS/METAPNEUM

OVIRUS RT PCR

64

7

Investigatio

ns Microbiology

HUMAN

CORONAVIRUS/HU

MAN

PARAINFLUENZA RT

PCR

64

8

Investigatio

ns Microbiology

CHLAMYDIA/MYCOP

LASMA

PNEUMONIAE RT

PCR

64

9

Investigatio

ns Microbiology

ATYPICAL

PNEUMONIA PANEL

BY RT PCR

65

0

Investigatio

ns Microbiology

MTB DNA

DETECTION WITH

RIFAMPICIN

SUSCEPTIBILITY

GENE XPERT

65

1

Investigatio

ns Microbiology

HPV (HUMAN

PAPILLOMA VIRUS)

DNA DETECTION

65

2

Investigatio

ns Microbiology

COMPREHENSIVE

G.I. PANEL

65

3

Investigatio

ns Microbiology

COMPREHENSIVE

RESPIRATORY

PANEL

65

4

Investigatio

ns Microbiology

COMPREHENSIVE

CNS PANEL

65

5

Investigatio

ns Microbiology

SCRUB TYPHUS IGM

ELISA

65

6

Investigatio

ns Microbiology

SURVEILLANCE

CULTURE

65

7

Investigatio

ns Microbiology

PNEUMOCOCCAL

ANTIGEN

DETECTION IN

URINE

65

8

Investigatio

ns Microbiology PNEUMONIA PANEL

65

9

Investigatio

ns

Transplantatio

n immunology

ANTI CARDIOLIPIN

AB IGG

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66

0

Investigatio

ns

Transplantatio

n immunology

ANTI CARDIOLIPIN

AB IGM

66

1

Investigatio

ns

Transplantatio

n immunology ANTI GLIADIN - IgA

66

2

Investigatio

ns

Transplantatio

n immunology

ANTI - GBM -

ANTIBODIES

66

3

Investigatio

ns

Transplantatio

n immunology HLA DR TYPING

66

4

Investigatio

ns

Transplantatio

n immunology

TISSUE CROSS

MATCHING

(Lymphocytotoxicity

Method)

66

5

Investigatio

ns

Transplantatio

n immunology

ANTI-PARIETAL CELL

ANTIBODY (APCA) -

SCREENING

66

6

Investigatio

ns

Transplantatio

n immunology

HLA -B27

MOLECULAR TYPING

66

7

Investigatio

ns

Transplantatio

n immunology

ALLERGY SCREEN

ANIMAL MIX

66

8

Investigatio

ns

Transplantatio

n immunology

ASPERGILLUS

FUMIGATUS

66

9

Investigatio

ns

Transplantatio

n immunology

ABACHI WOOD

DUST

67

0

Investigatio

ns

Transplantatio

n immunology ALTERNARIA

67

1

Investigatio

ns

Transplantatio

n immunology

AMERICAN

COCKROACH

67

2

Investigatio

ns

Transplantatio

n immunology AMOXICILLOYL

67

3

Investigatio

ns

Transplantatio

n immunology AMPICILLOYL

67

4

Investigatio

ns

Transplantatio

n immunology CLADOSPIRIUM

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67

5

Investigatio

ns

Transplantatio

n immunology

COMMON

RAGWEED

67

6

Investigatio

ns

Transplantatio

n immunology COTTON SEED

67

7

Investigatio

ns

Transplantatio

n immunology COWS MILK

67

8

Investigatio

ns

Transplantatio

n immunology D FARINAE

67

9

Investigatio

ns

Transplantatio

n immunology D PTERONYSSINUS

68

0

Investigatio

ns

Transplantatio

n immunology EGG

68

1

Investigatio

ns

Transplantatio

n immunology

ENDOMYSIUM,

RETICULIN

(MONKEY LIVER)

68

2

Investigatio

ns

Transplantatio

n immunology

ETO,PHTHALIC,HCH

O,CHLORAMIN T

68

3

Investigatio

ns

Transplantatio

n immunology FEATHERS MIX

68

4

Investigatio

ns

Transplantatio

n immunology

FISH MIX

1(Cod,Shrimp,Blue,

Mussel,Tuna,Salmon

)

68

5

Investigatio

ns

Transplantatio

n immunology

FISH,SHRIMP,BLUE

MUSSEL,TUNA,SAL

MON

68

6

Investigatio

ns

Transplantatio

n immunology

FOOD MIX1-

Peanut,Hazelnut,Bra

zilnut,Almond,Coco

nut

68

7

Investigatio

ns

Transplantatio

n immunology

FOOD MIX2-

Rye,Rice,Potato,Mus

hroom,Pumpkin

68

8

Investigatio

ns

Transplantatio

n immunology

FRUIT MIX1 -

Kiwi,Mango,Banana,

Avocado,Papaya

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68

9

Investigatio

ns

Transplantatio

n immunology GLIADIN IGG

69

0

Investigatio

ns

Transplantatio

n immunology GOOSEFOOT

69

1

Investigatio

ns

Transplantatio

n immunology GRASS MIX

69

2

Investigatio

ns

Transplantatio

n immunology HLA ABC DQ DR

69

3

Investigatio

ns

Transplantatio

n immunology HLA ABDR

69

4

Investigatio

ns

Transplantatio

n immunology IGE (KU/L)

69

5

Investigatio

ns

Transplantatio

n immunology

ISOCYANATES,PHTH

ALIC ANHYDRIDE

69

6

Investigatio

ns

Transplantatio

n immunology

KIWI,MANGO,BANA

NA,AVOCADO,PAP

69

7

Investigatio

ns

Transplantatio

n immunology LATEX

69

8

Investigatio

ns

Transplantatio

n immunology

MEAT MIX1-

Pork,Beef,Egg

Yolk,Chicken,Turkey

69

9

Investigatio

ns

Transplantatio

n immunology MORPHINE

70

0

Investigatio

ns

Transplantatio

n immunology MOULD MIX

70

1

Investigatio

ns

Transplantatio

n immunology

MPO ANTIBODY

LEVEL

70

2

Investigatio

ns

Transplantatio

n immunology MUGWORT

70

3

Investigatio

ns

Transplantatio

n immunology

NEURONAL

ANTIBODIES IgG

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70

4

Investigatio

ns

Transplantatio

n immunology

NUT MIX ((Peanut,

Hazelnut, Brazilnut,

Almond, Coconut)

70

5

Investigatio

ns

Transplantatio

n immunology

PEANUT,HAZELNUT,

BRAZILNUT,ALMON

D

70

6

Investigatio

ns

Transplantatio

n immunology PENICILLIN G

70

7

Investigatio

ns

Transplantatio

n immunology PENICILLIN V

70

8

Investigatio

ns

Transplantatio

n immunology PENICILLIUM

70

9

Investigatio

ns

Transplantatio

n immunology PHOLCODINE

71

0

Investigatio

ns

Transplantatio

n immunology

PORK,BEEF,EGG,YOL

K,CHICKEN,TURKE

71

1

Investigatio

ns

Transplantatio

n immunology

PR3 ANTIBODY

LEVEL

71

2

Investigatio

ns

Transplantatio

n immunology

PRECIPITINS

ASPERGILLUS IgG

71

3

Investigatio

ns

Transplantatio

n immunology

PRECIPITINS AVIAN

IgG

71

4

Investigatio

ns

Transplantatio

n immunology

RYE,RICE,POTATO,M

USHROOM,PUMPKI

N

71

5

Investigatio

ns

Transplantatio

n immunology SHRIMP

71

6

Investigatio

ns

Transplantatio

n immunology SOYABEAN

71

7

Investigatio

ns

Transplantatio

n immunology SUXAMETHONIUM

71

8

Investigatio

ns

Transplantatio

n immunology TREE POLLEN MIX

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71

9

Investigatio

ns

Transplantatio

n immunology WEED MIX

72

0

Investigatio

ns

Transplantatio

n immunology WHEAT

72

1

Investigatio

ns

Transplantatio

n immunology

SPECIFIC IgE

CHLORHEXIDINE

72

2

Investigatio

ns

Transplantatio

n immunology

T-CELL CDC HLA

CROSSMATCH

(KIDNEY

TRANSPLANT)

72

3

Investigatio

ns

Transplantatio

n immunology

MINI SKIN PRICK

TEST

72

4

Investigatio

ns

Transplantatio

n immunology

TSH-R antibody

(TRAB ELISA)

72

5

Investigatio

ns

Transplantatio

n immunology

ACETYCHOLINE

RECEPTOR

ANTIBODY(AChR

Antibody)

72

6

Investigatio

ns

Transplantatio

n immunology DEMENTIA PANEL

72

7

Investigatio

ns

Transplantatio

n immunology

NK - KIR

GENOTYPING AND

LIGAND

72

8

Investigatio

ns

Transplantatio

n immunology PATCH TESTING

72

9

Investigatio

ns

Transplantatio

n immunology

THYROTROPIN

RECEPTOR ELISA

(TSHR ELISA)

73

0

Investigatio

ns

Transplantatio

n immunology

ANTI MuSK

ANTIBODIES SERUM

73

1

Investigatio

ns

Transplantatio

n immunology

COMPREHENSIVE

ALLERGY PANEL

73

2

Investigatio

ns

Transplantatio

n immunology SKIN PRICK TESTING

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73

3

Investigatio

ns

Transplantatio

n immunology

BETA2 GPI IGG

ANTIBODY

73

4

Investigatio

ns

Transplantatio

n immunology

BETA2 GPI IGM

ANTIBODY

73

5

Investigatio

ns

Transplantatio

n immunology

CRYOGLOBULINS

(SCREENING/QUALI

TATIVE)

73

6

Investigatio

ns

Transplantatio

n immunology PLA2R IGG (ELISA)

73

7

Investigatio

ns

Transplantatio

n immunology

MICROPOLYSPORA

FAENI IGG

73

8

Investigatio

ns

Transplantatio

n immunology

STACHYBOTRYS

ATRA IGG

73

9

Investigatio

ns

Transplantatio

n immunology

THERMOACTINOMY

CES VULGARIS IGG

74

0

Investigatio

ns

Transplantatio

n immunology

DNA EXTRACTION

AND STORAGE

74

1

Investigatio

ns

Transplantatio

n immunology

SPECIFIC IgE OMEGA

-5- GLIADIN

(RECOMBINANT

WHEAT)

74

2

Investigatio

ns

Transplantatio

n immunology

ASCA IgG AND IgA

(PHADIA)

74

3

Investigatio

ns

Transplantatio

n immunology

F2 ImmunoCAP

Allergen Milk

74

4

Investigatio

ns

Transplantatio

n immunology

F13 ImmunoCAP

Allergen Peanut

74

5

Investigatio

ns

Transplantatio

n immunology

F36 ImmunoCAP

Allergen Coconut

74

6

Investigatio

ns

Transplantatio

n immunology

F3 ImmunoCAP

Allergen Fish (cod)

74

7

Investigatio

ns

Transplantatio

n immunology

F35 ImmunoCAP

Allergen Potato

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74

8

Investigatio

ns

Transplantatio

n immunology

F27 ImmunoCAP

Allergen Beef

74

9

Investigatio

ns

Transplantatio

n immunology

F245 ImmunoCAP

Allergen Egg

75

0

Investigatio

ns

Transplantatio

n immunology

F8 ImmunoCAP

Allergen Maize-Corn

75

1

Investigatio

ns

Transplantatio

n immunology

F9 ImmunoCAP

Allergen Maize Rice

75

2

Investigatio

ns

Transplantatio

n immunology

F88 ImmunoCAP

Allergen Mutton

75

3

Investigatio

ns

Transplantatio

n immunology

F24 ImmunoCAP

Allergen Shrimp

75

4

Investigatio

ns

Transplantatio

n immunology

F4 ImmunoCAP

Allergen Wheat

75

5

Investigatio

ns

Transplantatio

n immunology

D1 ImmunoCAP

Allergen

Dermatophagoides

pteronyssinus

75

6

Investigatio

ns

Transplantatio

n immunology

D2 ImmunoCAP

Allergen

Dermatophagoides

farinee

75

7

Investigatio

ns

Transplantatio

n immunology

1206 ImmunoCAP

Allergen Cockroach-

American

75

8

Investigatio

ns

Transplantatio

n immunology

E1 ImmunoCAP

Allergen Cat

epithelium and

dander

75

9

Investigatio

ns

Transplantatio

n immunology

E5 ImmunoCAP

Allergen Dog dander

76

0

Investigatio

ns

Transplantatio

n immunology

G2 ImmunoCAP

Allergen Bermuda

grass

76

1

Investigatio

ns

Transplantatio

n immunology

G10 ImmunoCAP

Allergen Johnson

grass

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76

2

Investigatio

ns

Transplantatio

n immunology

e215 ImmunoCAP

Pigeon feathers

76

3

Investigatio

ns

Transplantatio

n immunology

m3 ImmunoCAP

Allergen Aspergillus

fumigatus

76

4

Investigatio

ns

Transplantatio

n immunology

W1 ImmunoCAP

Allergen Common

ragweed

76

5

Investigatio

ns

Transplantatio

n immunology

C1 ImmunoCAP

Allergen Penicilloyl

G

76

6

Investigatio

ns

Transplantatio

n immunology

C2 ImmunoCAP

Allergen Penicilloyl

V

76

7

Investigatio

ns

Transplantatio

n immunology

C5 ImmunoCAP

Allergen Ampicilloyl

76

8

Investigatio

ns

Transplantatio

n immunology

C6 ImmunoCAP

Allergen

Amoxicillioyl

76

9

Investigatio

ns

Transplantatio

n immunology

C261 ImmunoCAP

Allergen Pholcodine

77

0

Investigatio

ns

Transplantatio

n immunology

C202 ImmunoCAP

Allergen

Suxamethonium

77

1

Investigatio

ns

Transplantatio

n immunology

C260 ImmunoCAP

Allergen Quaternary

Ammonium-

Morphine

77

2

Investigatio

ns

Transplantatio

n immunology

C73 ImmunoCAP

Allergen Insulin

human

77

3

Investigatio

ns

Transplantatio

n immunology

C8 ImmunoCAP

Allergen

Chlorhexidine

77

4

Investigatio

ns

Transplantatio

n immunology

K82 ImmunoCAP

Allergen Latex

77

5

Investigatio

ns

Transplantatio

n immunology

i208 rApi m 1

Phospholiphase A2

Honey bee

77

6

Investigatio

ns

Transplantatio

n immunology

i3 ImmunoCAP

Allergen Common

wasp

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77

7

Investigatio

ns

Transplantatio

n immunology

l5 ImmunoCAP

Allergen Yellow

hornet

77

8

Investigatio

ns

Transplantatio

n immunology

l1 ImmunoCAP

Allergen Honey bee

77

9

Investigatio

ns

Transplantatio

n immunology

T AND B CELL HLA

CDC CROSSMATCH

(RENAL

TRANSPLANT)

78

0

Investigatio

ns

Transplantatio

n immunology

T AND B CELL HLA

CDC CROSSMATCH

(RENAL

TRANSPLANT) -

DONOR

78

1

Investigatio

ns

Histopatholog

y ER / PR STUDY

78

2

Investigatio

ns

Histopatholog

y FNAC / FNAB

78

3

Investigatio

ns

Histopatholog

y

IHC ONE ANTIGEN

(HISTO)

78

4

Investigatio

ns

Histopatholog

y

FROZEN SECTION

WITH PARAFFIN

FOLLOW UP

78

5

Investigatio

ns

Histopatholog

y LIVER BIOPSY

78

6

Investigatio

ns

Histopatholog

y

IHC - PACKAGE - 1 (5

TO 8 ANTIGENS)

78

7

Investigatio

ns

Histopatholog

y EXTRA SLIDE

78

8

Investigatio

ns

Histopatholog

y

SKIN BIOPSY-IF

ONLY

78

9

Investigatio

ns

Histopatholog

y

HISTOPATHOLOGY

SLIDE FOR OPINION

79

0

Investigatio

ns

Histopatholog

y CSF FOR CYTOLOGY

79

1

Investigatio

ns

Histopatholog

y

FLUID FOR

CYTOLOGY(FLUID

FOR MALIGNANT

CELLS

79

2

Investigatio

ns

Histopatholog

y

FNAC STAINED

SLIDE FOR OPINION

79

3

Investigatio

ns

Histopatholog

y

FNAC UNSTAINED

SLIDE FOR OPINION

79

4

Investigatio

ns

Histopatholog

y

PAP SMEAR

/CERVICAL SMEAR

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79

5

Investigatio

ns

Histopatholog

y

SLIDE FOR

OPINION(NON-

GYNAEC)

79

6

Investigatio

ns

Histopatholog

y

SPUTUM FOR

CYTOLOGY

79

7

Investigatio

ns

Histopatholog

y TZANCK SMEAR

79

8

Investigatio

ns

Histopatholog

y

HISTOPATHOLOGY

TEST [LARGE]

79

9

Investigatio

ns

Histopatholog

y

HISTOPATHOLOGY

TEST [MEDIUM]

80

0

Investigatio

ns

Histopatholog

y

HISTOPATHOLOGY

TEST [SMALL]

80

1

Investigatio

ns

Histopatholog

y

NEEDLE BIOPSY

KIDNEY

80

2

Investigatio

ns

Histopatholog

y

KIDNEY BIOPSY IF

ONLY

80

3

Investigatio

ns

Histopatholog

y

PAP SMEAR

EXAMINATION

(ONLY FOR FEMALE)

80

4

Investigatio

ns

Histopatholog

y

CYTOLOGY

SYNOVIAL FLUID

FOR CRYSTALS

80

5

Investigatio

ns

Histopatholog

y

ERPR HER 2 NEU

and KI-67

80

6

Investigatio

ns

Histopatholog

y

HISTOPATHOLGY

TEST (EXTRA LARGE)

80

7

Investigatio

ns

Histopatholog

y

SLIDE AND BLOCK

FOR OPINION

80

8

Investigatio

ns

Histopatholog

y

CT/USG GUIDED

FNAC(CYTOLOGY)

80

9

Investigatio

ns

Histopatholog

y

EXTRA SLIDE (MORE

THAN ONE SLIDE)

81

0

Investigatio

ns

Histopatholog

y

IMMUNOHISTOCHE

MISTRY / PER SLIDE

81

1

Investigatio

ns

Histopatholog

y

PAS [PERIODIC ACID

SCHIFF] STAIN

81

2

Investigatio

ns

Histopatholog

y

STAIN FOR

PNEUMOCYSTIS

JIROVECII

81

3

Investigatio

ns

Histopatholog

y

WET MOUNT FOR

HYDATID SCOLEX

81

4

Investigatio

ns

Histopatholog

y

NRAS MUTATION

ANALYSIS (EXONS 2

3 4)

81

5

Investigatio

ns

Histopatholog

y

HAEMOSIDERIN

LADEN

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MACROPHGES

81

6

Investigatio

ns

Histopatholog

y BRAF MUTATION

81

7

Investigatio

ns

Histopatholog

y BODY FLUID FOR PH

81

8

Investigatio

ns

Histopatholog

y

EXTENDED IHC

PACKAGE (12

ANTIGEN)

81

9

Investigatio

ns

Histopatholog

y PD - L1 (IHC)

82

0

Investigatio

ns

Histopatholog

y

HISTOPATHOLOGY

EXAMINATION

(RADICAL

PROSTECTOMY)

82

1

Investigatio

ns

Histopatholog

y ALK (D5F3)

82

2

Investigatio

ns

Histopatholog

y SKIN BIOPSY - I.F.

82

3

Investigatio

ns

Histopatholog

y KIDNEY BIOPSY - I.F.

82

4

Investigatio

ns

Blood Bank - 2

Services COLD AGGLUTININS

82

5

Investigatio

ns

Blood Bank - 2

Services

BLOOD GROUPING

AND TYPING (ABO

AND RH)

82

6

Investigatio

ns

Blood Bank - 2

Services

DIRECT COOMBS

TEST

82

7

Investigatio

ns

Blood Bank - 2

Services

RH AND KELL

TYPING

82

8

Investigatio

ns

Blood Bank - 2

Services

INDIRECT COOMBS

TEST

82

9

Investigatio

ns

Blood Bank - 2

Services

ANTIBODY SCREEN

AND

IDENTIFICATION

83

0

Investigatio

ns

Blood Bank - 2

Services

ANTIBODY

SCREENING

83

1

Investigatio

ns

Blood Bank - 2

Services ANTIBODY TITRE

83

2

Investigatio

ns

Blood Bank - 2

Services

EXTENDED COOMBS

TEST

83

3

Investigatio

ns

Blood Bank - 2

Services

EXTENDED RED CELL

ANTIGEN

PHENOTYPE

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83

4

Investigatio

ns

Blood Bank - 2

Services

HEPARIN INDUCED

THROMBOCYTOPEN

IA (HIT SCREENING)

83

5

Investigatio

ns

Blood Bank - 2

Services

PROXYSMAL

NOCTURNAL

HEMOGLOBINURIA

(PNH SCREENING)

83

6

Investigatio

ns

Blood Bank - 2

Services RH-ANTIBODY TITRE

83

7

Investigatio

ns

Emergency

Medical

Services

TROPONIN T

83

8

Investigatio

ns

Emergency

Medical

Services

PLATELET COUNT

(POCT - ER)

83

9

Investigatio

ns

Emergency

Medical

Services

PT (PROTHROMBIN

TIME) (POCT - ER)

84

0

Investigatio

ns

Emergency

Medical

Services

INR

(INTERNATIONAL

NORMALIZED

RATIO) (POCT - ER)

84

1

Investigatio

ns CARDIOLOGY ECG

84

2

Investigatio

ns CARDIOLOGY ECHO SCREENING

84

3

Investigatio

ns CARDIOLOGY

DOBUTAMINE

STRESS ECHO

84

4

Investigatio

ns CARDIOLOGY HOLTER MONITOR

84

5

Investigatio

ns CARDIOLOGY TILT TABLE TEST

84

6

Investigatio

ns CARDIOLOGY

ECHO

TRANSESOPHAGEAL

84

7

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC- OB & GY

PACKAGE

84

8

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC - TISSUE

SPECTRAL DOPPLAR

84

9

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC -

MUSCULO SKELETAL

APPLIC

85

0

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC -

ABDOMINAL

APPLICATIONS

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85

1

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC -

ECHOCARDIOGRAPH

Y (PAED)

85

2

Investigatio

ns CARDIOLOGY

VIVID I SYSTEM -

CARDIAC -

ECHOCARDIOGRAPH

Y (ADULT)

85

3

Investigatio

ns CARDIOLOGY

TREADMILL TEST /

STRESS TEST

85

4

Investigatio

ns CARDIOLOGY

2D

ECHOCARDIOGRAPH

Y WITH COLOUR

DOPPLER STUDY

85

5

Investigatio

ns CARDIOLOGY

ECHO SCREENING

(BEDSIDE)

85

6

Investigatio

ns CARDIOLOGY

2D

ECHOCARDIOGRAPH

Y

85

7

Investigatio

ns CARDIOLOGY

E.C.G WITH

CAROTID MASSAGE

85

8

Investigatio

ns CARDIOLOGY ECG-PACEMAKER

85

9

Investigatio

ns CARDIOLOGY

ECHOCARDIOGRAPH

Y(CALCUTTA

RECUE/PULMO-

CARE)

86

0

Investigatio

ns CARDIOLOGY

TILT TABLE TEST

(PORT TRUST)

86

1

Investigatio

ns CARDIOLOGY

PAED ECHO

SCREENING

86

2

Investigatio

ns CARDIOLOGY

PAED BED SIDE

ECHO SCREENING

86

3

Investigatio

ns CARDIOLOGY

PAEDIATRIC ECHO

CARDIOGRAPHY

(DD)

86

4

Investigatio

ns CARDIOLOGY BEDSIDE ECHO (DD)

86

5

Investigatio

ns CARDIOLOGY

PAEDIATRIC ECG

(DD)

86

6

Investigatio

ns

C T Scan

Radiology

CT SCAN ORBITS

(EYE)

86

7

Investigatio

ns

C T Scan

Radiology

CT SCAN LOWER

ABDOMEN/PELVIS

86

8

Investigatio

ns

C T Scan

Radiology

CT SCAN - CERVICAL

SPINE

86

9

Investigatio

ns

C T Scan

Radiology

CT SCAN - LUMBAR

SPINE

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87

0

Investigatio

ns

C T Scan

Radiology

CT SCAN OF PARA

NASAL SINUSES

87

1

Investigatio

ns

C T Scan

Radiology CT SCAN BRAIN

87

2

Investigatio

ns

C T Scan

Radiology

CT SCAN TEMPORAL

BONES

87

3

Investigatio

ns

C T Scan

Radiology

CT PULMONARY

ANGIOGRAPHY

87

4

Investigatio

ns

C T Scan

Radiology

CT SCAN - DORSAL

SPINE

87

5

Investigatio

ns

C T Scan

Radiology CT SCAN 3D FACE

87

6

Investigatio

ns

C T Scan

Radiology CT SCAN CHEST

87

7

Investigatio

ns

C T Scan

Radiology CT SCAN KUB

87

8

Investigatio

ns

C T Scan

Radiology

CT SCAN LUMBAR

SPINE WITH

SACROILIAC JOINTS

87

9

Investigatio

ns

C T Scan

Radiology

CT SCAN

MYELOGRAM

88

0

Investigatio

ns

C T Scan

Radiology CT SCAN NECK

88

1

Investigatio

ns

C T Scan

Radiology

CT SCAN

PERIPHERAL

ANGIOGRAPHY

88

2

Investigatio

ns

C T Scan

Radiology

CT SCAN RENAL

ANGIOGRAPHY

88

3

Investigatio

ns

C T Scan

Radiology

CT SCAN UPPER

ABDOMEN

88

4

Investigatio

ns

C T Scan

Radiology

CT SCAN WHOLE

ABDOMEN

88

5

Investigatio

ns

C T Scan

Radiology CT SCAN HIP JOINTS

88

6

Investigatio

ns

C T Scan

Radiology DEXA SCAN

88

7

Investigatio

ns

C T Scan

Radiology CT SCAN SCREENING

88

8

Investigatio

ns

C T Scan

Radiology

CT SCAN SPINE CV

JUNCTION

88

9

Investigatio

ns

C T Scan

Radiology

CT CALCIUM

SCORING

89

0

Investigatio

ns

C T Scan

Radiology

CT VIRTUAL

BRONCHOSCOPY

89

1

Investigatio

ns

C T Scan

Radiology

CT VIRTUAL

COLONOSCOPY

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89

2

Investigatio

ns

C T Scan

Radiology CT JOIN SINGLE

89

3

Investigatio

ns

C T Scan

Radiology CT CARDIAC ANGIO

89

4

Investigatio

ns

C T Scan

Radiology

CT CARDIAC ANGIO

WITH SPECIAL

CONTRAST

89

5

Investigatio

ns

C T Scan

Radiology

CT PAROTID

SIALOGRAPHY

89

6

Investigatio

ns

C T Scan

Radiology

CT SPLENO PORTO

VENOGRAM

89

7

Investigatio

ns

C T Scan

Radiology

CT VIRTUAL

ENDOSCOPY

89

8

Investigatio

ns

C T Scan

Radiology CT ANGIOGRAPHY

89

9

Investigatio

ns

C T Scan

Radiology CT BASE OF SKULL

90

0

Investigatio

ns

C T Scan

Radiology CT CD

90

1

Investigatio

ns

C T Scan

Radiology

CT

CISTERNOGRAPHY

90

2

Investigatio

ns

C T Scan

Radiology CT DENSITOMETRY

90

3

Investigatio

ns

C T Scan

Radiology

CT EXTREMITY

(BILATERAL)

90

4

Investigatio

ns

C T Scan

Radiology

CT EXTREMITY

(UNILATERAL)

90

5

Investigatio

ns

C T Scan

Radiology CT FOLLOW-UP

90

6

Investigatio

ns

C T Scan

Radiology CT LOWER THORAX

90

7

Investigatio

ns

C T Scan

Radiology

CT LUMBO SACRAL

SPINE

90

8

Investigatio

ns

C T Scan

Radiology CT ONE REGION

90

9

Investigatio

ns

C T Scan

Radiology

CT PITUITARY /

SELLA

91

0

Investigatio

ns

C T Scan

Radiology

CT

RECONSTRUCTION

91

1

Investigatio

ns

C T Scan

Radiology

CT SACRO ILIAC

JOINTS

91

2

Investigatio

ns

C T Scan

Radiology

CT SACRUM AND

COCCYX

91

3

Investigatio

ns

C T Scan

Radiology

CT SCAN FILM (PER

FILM)

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91

4

Investigatio

ns

C T Scan

Radiology

CT TRANSPLANT

KIDNEY

91

5

Investigatio

ns

C T Scan

Radiology

FNAC DONE WITH

CT

91

6

Investigatio

ns

C T Scan

Radiology

IONIC CONTRAST

(20CC.)

91

7

Investigatio

ns

C T Scan

Radiology

IONIC CONTRAST

(50CC.)

91

8

Investigatio

ns

C T Scan

Radiology

NON IONIC

CONTRAST (100 CC)

91

9

Investigatio

ns

C T Scan

Radiology

NON IONIC

CONTRAST (25CC.)

92

0

Investigatio

ns

C T Scan

Radiology

NONIONIC

CONTRAST (10 CC)

92

1

Investigatio

ns

C T Scan

Radiology

NONIONIC

CONTRAST (50 CC.)

92

2

Investigatio

ns

C T Scan

Radiology

ANAESTHETIC

CHARGE FOR CT

(DR.AGHL)

92

3

Investigatio

ns

C T Scan

Radiology

ANAESTHETIC

CHARGE FOR CT (DR

T DAS AND TEAM)

92

4

Investigatio

ns

C T Scan

Radiology CT ENTEROCLYSIS

92

5

Investigatio

ns

C T Scan

Radiology CT ENTEROGRAPHY

92

6

Investigatio

ns

C T Scan

Radiology CT AORTOGRAM

92

7

Investigatio

ns Pet CT

CT 128 CARDIAC

ANGIO

92

8

Investigatio

ns Pet CT

CT128 CARDIAC

ANGIO WITH

SPECIAL CONTRAST

92

9

Investigatio

ns Pet CT

PET CT

BODY/OTHERS-

WITH CONTRAST

93

0

Investigatio

ns Pet CT

PET CT

BODY/OTHERS-

WITHOUT

CONTRAST

93

1

Investigatio

ns Pet CT

PET CT REGIONAL-

WITHOUT

CONTRAST

93

2

Investigatio

ns Pet CT

PET CT

BRAIN/REGIONAL-

WITHOUT

CONTRAST

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93

3

Investigatio

ns Pet CT

PET CT

BRAIN/REGIONAL-

WITH CONTRAST

93

4

Investigatio

ns MRI Radiology MRI BRAIN

93

5

Investigatio

ns MRI Radiology MRI CHEST

93

6

Investigatio

ns MRI Radiology MRI NASOPHARYNX

93

7

Investigatio

ns MRI Radiology MRI ORBITS

93

8

Investigatio

ns MRI Radiology

MRI SHOULDER

(BOTH JOINTS)

93

9

Investigatio

ns MRI Radiology MRI ANKLE

94

0

Investigatio

ns MRI Radiology

MRI BOTH HIP

JOINTS

94

1

Investigatio

ns MRI Radiology

10ML CONTRAST

(MRI)

94

2

Investigatio

ns MRI Radiology MRI NECK

94

3

Investigatio

ns MRI Radiology MRI CERVICAL SPINE

94

4

Investigatio

ns MRI Radiology

MRI-TEMPORAL

LOBES

94

5

Investigatio

ns MRI Radiology

MRI UPPER

ABDOMEN

94

6

Investigatio

ns MRI Radiology MRI SKULL BASE

94

7

Investigatio

ns MRI Radiology MRI MRCP

94

8

Investigatio

ns MRI Radiology MRI DORSAL SPINE

94

9

Investigatio

ns MRI Radiology

MRI BRAIN WITH

SPECTROSCOPY

95

0

Investigatio

ns MRI Radiology

MRI BRACHIAL

PLEXUS

95

1

Investigatio

ns MRI Radiology

MRI WHOLE

ABDOMEN

95

2

Investigatio

ns MRI Radiology

MRI BRAIN WITH

MR ANGIO AND MR

VENOGRAM

(INTRACRANIAL)

95

3

Investigatio

ns MRI Radiology

MRI BRAIN WITH

PITUITARY GLAND

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95

4

Investigatio

ns MRI Radiology

MRI ELBOW JOINTS

(BOTH)

95

5

Investigatio

ns MRI Radiology

MRI ADRENAL

GLAND

95

6

Investigatio

ns MRI Radiology

MRI FOOT WITH

ANKLE (LEFT)

95

7

Investigatio

ns MRI Radiology

MRI FOOT WITH

ANKLE (RIGHT)

95

8

Investigatio

ns MRI Radiology

MRI FOREARMS

(BOTH)

95

9

Investigatio

ns MRI Radiology MRI LEGS (BOTH)

96

0

Investigatio

ns MRI Radiology

MRI LOWER

ABDOMEN

96

1

Investigatio

ns MRI Radiology

MRI LUMBAR SPINE

WITH SACROILIAC

JOINTS

96

2

Investigatio

ns MRI Radiology MRI THIGHS (BOTH)

96

3

Investigatio

ns MRI Radiology

MRI LUMBO-SACRAL

SPINE

96

4

Investigatio

ns MRI Radiology MRI WRIST

96

5

Investigatio

ns MRI Radiology MRI KNEE JOINT

96

6

Investigatio

ns MRI Radiology MRI SPECTROSCOPY

96

7

Investigatio

ns MRI Radiology

MRI THORACIC

OUTLET

96

8

Investigatio

ns MRI Radiology MRI BREAST

96

9

Investigatio

ns MRI Radiology MRI VENOGRAPHY

97

0

Investigatio

ns MRI Radiology

MRI CONTRAST

ONLY

97

1

Investigatio

ns MRI Radiology

MRI FACE / ORAL

CAVITY

97

2

Investigatio

ns MRI Radiology CARDIAC MRI

97

3

Investigatio

ns MRI Radiology MR ANGIOGRAPHY

97

4

Investigatio

ns MRI Radiology

MR ANGIOGRAPHY

OF NECK VESSEL

97

5

Investigatio

ns MRI Radiology MRCP SCREENING

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97

6

Investigatio

ns MRI Radiology

MRI BRAIN WITH

MR ANGIOGRAPHY

97

7

Investigatio

ns MRI Radiology

MRI BRAIN WITH

MRA BRAIN AND

NECK

97

8

Investigatio

ns MRI Radiology MRI EXTREMITY

97

9

Investigatio

ns MRI Radiology MRI FOOT

98

0

Investigatio

ns MRI Radiology MRI HIP AND THIGH

98

1

Investigatio

ns MRI Radiology

MRI HIP

UNILATERAL

98

2

Investigatio

ns MRI Radiology MRI ONE REGION

98

3

Investigatio

ns MRI Radiology MRI PHARYNX

98

4

Investigatio

ns MRI Radiology

MRI SACRO

COCCYGEAL REGION

98

5

Investigatio

ns MRI Radiology MRI SCREENING

98

6

Investigatio

ns MRI Radiology MRI SMALL PART

98

7

Investigatio

ns MRI Radiology

MRI UPPER ABD

WITH MRCP

98

8

Investigatio

ns MRI Radiology

MRI UPPER THIGH

AND LOWER

ABDOMEN

98

9

Investigatio

ns MRI Radiology MRI UROGRAM

99

0

Investigatio

ns MRI Radiology

ANAESTHETIC

CHARGE FOR MRI

(DR.AGHL)

99

1

Investigatio

ns MRI Radiology

ANAESTHETIC

CHARGE FOR MRI

(DR T DAS AND

TEAM)

99

2

Investigatio

ns MRI Radiology MRI ENTEROCLYSIS

99

3

Investigatio

ns MRI Radiology

MRI

ENTEROGRAPHY

99

4

Investigatio

ns MRI Radiology MR AORTOGRAM

99

5

Investigatio

ns MRI Radiology MRI 3T CHEST

99

6

Investigatio

ns MRI Radiology

MRI 3T

NASOPHARYNX

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99

7

Investigatio

ns MRI Radiology MRI 3T ORBITS

99

8

Investigatio

ns MRI Radiology

MRI 3T CERVICAL

SPINE

99

9

Investigatio

ns MRI Radiology MRI 3T BRAIN

10

00

Investigatio

ns MRI Radiology

MRI 3T SHOULDER

(BOTH JOINTS)

10

01

Investigatio

ns MRI Radiology MRI 3T ANKLE

10

02

Investigatio

ns MRI Radiology

MRI 3T BOTH HIP

JOINTS

10

03

Investigatio

ns MRI Radiology

10ML CONTRAST

(MRI 3T)

10

04

Investigatio

ns MRI Radiology MRI 3T NECK

10

05

Investigatio

ns MRI Radiology

MRI 3T TEMPORAL

LOBES

10

06

Investigatio

ns MRI Radiology

MRI 3T UPPER

ABDOMEN

10

07

Investigatio

ns MRI Radiology MRI 3T SKULL BASE

10

08

Investigatio

ns MRI Radiology

MRI 3T MRCP AND

UPPER ABDOMEN

10

09

Investigatio

ns MRI Radiology

MRI 3T DORSAL

SPINE

10

10

Investigatio

ns MRI Radiology

MRI 3T BRAIN WITH

SPECTROSCOPY

10

11

Investigatio

ns MRI Radiology

MRI 3T

ENTEROGRAPHY

10

12

Investigatio

ns MRI Radiology

MRI 3T WHOLE

ABDOMEN

10

13

Investigatio

ns MRI Radiology

MRI 3T

ENTEROCLYSIS

10

14

Investigatio

ns MRI Radiology

MRI 3T BRACHIAL

PLEXUS

10

15

Investigatio

ns MRI Radiology

MRI 3T LUMBAR

SPINE WITH

SACROILIAC JOINTS

10

16

Investigatio

ns MRI Radiology MRI 3T UROGRAM

10

17

Investigatio

ns MRI Radiology

MRI 3T BRAIN WITH

MR ANGIO AND MR

VENOGRAM(INTRAC

RANIAL)

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10

18

Investigatio

ns MRI Radiology

MRI 3T UPPER

THIGH AND LOWER

ABDOMEN

10

19

Investigatio

ns MRI Radiology

MRI 3T LUMBO

SACRAL SPINE

10

20

Investigatio

ns MRI Radiology

MRI 3T BRAIN WITH

PITUITARY GLAND

10

21

Investigatio

ns MRI Radiology

MRI 3T UPPER ABD

WITH MRCP

10

22

Investigatio

ns MRI Radiology MRI 3T SMALL PART

10

23

Investigatio

ns MRI Radiology

MRI 3T ELBOW

JOINTS(BOTH)

10

24

Investigatio

ns MRI Radiology

MRI 3T

SPECTROSCOPY

10

25

Investigatio

ns MRI Radiology MRI 3T SCREENING

10

26

Investigatio

ns MRI Radiology

MRI 3T FOOT WITH

ANKLE(LEFT)

10

27

Investigatio

ns MRI Radiology

MRI 3T THORACIC

OUTLET

10

28

Investigatio

ns MRI Radiology

MRI 3T ADRENAL

GLAND

10

29

Investigatio

ns MRI Radiology

MRI 3T SACRO

COCCYGEAL REGION

10

30

Investigatio

ns MRI Radiology MRI 3T BREAST

10

31

Investigatio

ns MRI Radiology

MRI 3T FOOT WITH

ANKLE(RIGHT)

10

32

Investigatio

ns MRI Radiology MRI 3T PHARYNX

10

33

Investigatio

ns MRI Radiology MRI 3T LEGS(BOTH)

10

34

Investigatio

ns MRI Radiology

MRI 3T

VENOGRAPHY

10

35

Investigatio

ns MRI Radiology

MRI 3T LOWER

ABDOMEN

10

36

Investigatio

ns MRI Radiology

MRI 3T CONTRAST

ONLY

10

37

Investigatio

ns MRI Radiology

MRI 3T

THIGHS(BOTH)

10

38

Investigatio

ns MRI Radiology MRI 3T WRIST

10

39

Investigatio

ns MRI Radiology MRI 3T KNEE JOINT

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10

40

Investigatio

ns MRI Radiology

MRI 3T FACE/ORAL

CAVITY

10

41

Investigatio

ns MRI Radiology

ANAESTHESIA FOR

MRI 3T

10

42

Investigatio

ns MRI Radiology CARDIAC MRI 3T

10

43

Investigatio

ns MRI Radiology MRI 3T ONE REGION

10

44

Investigatio

ns MRI Radiology

MRI 3T FOREARMS

(BOTH)

10

45

Investigatio

ns MRI Radiology

MRI 3T BRAIN WITH

MR ANGIOGRAPHY

10

46

Investigatio

ns MRI Radiology

MRI 3T BRAIN WITH

MRA BRAIN AND

NECK

10

47

Investigatio

ns MRI Radiology MRI 3T EXTREMITY

10

48

Investigatio

ns MRI Radiology MRI 3T FOOT

10

49

Investigatio

ns MRI Radiology

MRI 3T HIP AND

THIGH

10

50

Investigatio

ns MRI Radiology

MRI 3T HIP

UNILATERAL

10

51

Investigatio

ns MRI Radiology

MRI ANKYLOSING

SPONDYLITIS

SCREENING

10

52

Investigatio

ns MRI Radiology MRI PDFF

10

53

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND -

UPPER ABDOMEN

10

54

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND -

LOWER ABDOMEN

(PELVIS)

10

55

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND -

WHOLE ABDOMEN

10

56

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND OF

CHEST

10

57

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND -

FOLLICULAR STUDY

10

58

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

TRANSPLANT

KIDNEY

10

59

Investigatio

ns

Ultrasound

Radiology ULTRASOUND KUB

10

60

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SCREENING UPPER

ABDOMEN

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10

61

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SCREENING LOWER

ABDOMEN

10

62

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SCREENING WHOLE

ABDOMEN

10

63

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SCROTUM

10

64

Investigatio

ns

Ultrasound

Radiology DOPPLER ABDOMEN

10

65

Investigatio

ns

Ultrasound

Radiology

TRANSVAGINAL

ULTRASOUND

10

66

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

NEUROSONOGRAM

SCREENING

10

67

Investigatio

ns

Ultrasound

Radiology

DOPPLER LOWER

LIMB VENOUS BOTH

10

68

Investigatio

ns

Ultrasound

Radiology

DOPPLER PELVIS /

ILIAC VESSELS

10

69

Investigatio

ns

Ultrasound

Radiology DOPPLER PENILE

10

70

Investigatio

ns

Ultrasound

Radiology

DOPPLER RENAL

ARTERY

10

71

Investigatio

ns

Ultrasound

Radiology

DOPPLER UPPER

LIMB ARTERIAL

BOTH

10

72

Investigatio

ns

Ultrasound

Radiology

DOPPLER UPPER

LIMB VENOUS BOTH

10

73

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

BLADDER

10

74

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

EYE/BALL

10

75

Investigatio

ns

Ultrasound

Radiology

DOPPLER LOWER

LIMB ARTERIAL

BOTH

10

76

Investigatio

ns

Ultrasound

Radiology

DOPPLER STUDY

TRANSPLANT

KIDNEY

10

77

Investigatio

ns

Ultrasound

Radiology

DOPPLER

SPLENOPORTAL

10

78

Investigatio

ns

Ultrasound

Radiology

DOPPLER SCROTAL

STUDY

10

79

Investigatio

ns

Ultrasound

Radiology

DOPPLER STUDY OF

AORTA

10

80

Investigatio

ns

Ultrasound

Radiology

ULTRA SOUND

THYROID

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10

81

Investigatio

ns

Ultrasound

Radiology

DOPPLER STUDY

OBSTETRIC

10

82

Investigatio

ns

Ultrasound

Radiology BREAST

10

83

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

BREAST BILATERAL

10

84

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

BREAST UNILATERAL

10

85

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND FOR

CONGENITAL

ANOMALY

10

86

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND JOINT

(UNILATERAL)

10

87

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND KUBP

+ TRANSRECTAL

10

88

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

MUSCULOSKELETAL

10

89

Investigatio

ns

Ultrasound

Radiology ULTRASOUND NECK

10

90

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

PREGNANCY

10

91

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

PREGNANCY +

DOPPLER

10

92

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

PROSTATE

10

93

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SINGLE ORGAN

10

94

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

WHOLE ABD +

TRANSRECTAL

10

95

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

FOLLOW-UP

10

96

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

GUIDED

PROCEDURE

10

97

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND JOINT

BILATERAL

10

98

Investigatio

ns

Ultrasound

Radiology DOPPLER CAROTID

10

99

Investigatio

ns

Ultrasound

Radiology

DOPPLER LOWER

LIMB ARTERIAL

(SINGLE)

11

00

Investigatio

ns

Ultrasound

Radiology

DOPPLER LOWER

LIMB VENOUS

(SINGLE)

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11

01

Investigatio

ns

Ultrasound

Radiology

DOPPLER SINGLE

ORGAN

11

02

Investigatio

ns

Ultrasound

Radiology

DOPPLER

TRANSCRANIAL

11

03

Investigatio

ns

Ultrasound

Radiology

DOPPLER UPPER

LIMB ARTERIAL

(SINGLE)

11

04

Investigatio

ns

Ultrasound

Radiology

DOPPLER UPPER

LIMB VENOUS

(SINGLE)

11

05

Investigatio

ns

Ultrasound

Radiology DOPPLER BREAST

11

06

Investigatio

ns

Ultrasound

Radiology

DOPPLER OTHER

REGION

11

07

Investigatio

ns

Ultrasound

Radiology

DOPPLER

TRANSVAGINAL

11

08

Investigatio

ns

Ultrasound

Radiology

USG TRANSRECTAL

ULTRASOUND

11

09

Investigatio

ns

Ultrasound

Radiology

USG

BEDSIDE/PORTABLE

(W/O FILM)

11

10

Investigatio

ns

Ultrasound

Radiology

ULTRASOUND

SCREENING NECK

11

11

Investigatio

ns X Ray

X-RAY ABDOMEN

(KUB)

11

12

Investigatio

ns X Ray

X-RAY ABDOMEN

ERECT

11

13

Investigatio

ns X Ray

X-RAY BOTH ANKLE

AP AND LAT

11

14

Investigatio

ns X Ray

X-RAY BOTH FEET

AP AND LAT

11

15

Investigatio

ns X Ray

X-RAY BOTH HANDS

AP

11

16

Investigatio

ns X Ray

X-RAY BOTH HANDS

AP AND LAT

11

17

Investigatio

ns X Ray

X-RAY BOTH HIPS AP

VIEW

11

18

Investigatio

ns X Ray

X-RAY BOTH KNEES

(AP)

11

19

Investigatio

ns X Ray

X-RAY BOTH KNEES

AP AND LAT

11

20

Investigatio

ns X Ray

X-RAY BOTH KNEES

LAT VIEW

11

21

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE AP

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11

22

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE AP AND LAT

11

23

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE LAT

11

24

Investigatio

ns X Ray X-RAY CHEST AP

11

25

Investigatio

ns X Ray

X-RAY CHEST

OBLIQUE VIEW

11

26

Investigatio

ns X Ray X-RAY CHEST PA

11

27

Investigatio

ns X Ray

X-RAY CHEST PA

AND LAT

11

28

Investigatio

ns X Ray X-RAY CLAVICLE AP

11

29

Investigatio

ns X Ray

X-RAY (INDEX)

SINGLE FINGER AP

AND LAT

11

30

Investigatio

ns X Ray

X-RAY KNEE(LEFT)

AP AND LAT

11

31

Investigatio

ns X Ray

X-RAY KNEE (RIGHT)

AP AND LAT

11

32

Investigatio

ns X Ray

X-RAY LEFT

SHOULDER AP AND

LAT

11

33

Investigatio

ns X Ray

X-RAY LUMBAR

SPINE AP

11

34

Investigatio

ns X Ray

X-RAY LUMBAR

SPINE AP AND LAT

11

35

Investigatio

ns X Ray X-RAY PNS

11

36

Investigatio

ns X Ray

X-RAY RIGHT

SHOULDER AP AND

LAT

11

37

Investigatio

ns X Ray

X-RAY SKULL AP

AND LAT

11

38

Investigatio

ns X Ray

X-RAY THIGH - AP

AND LATERAL

11

39

Investigatio

ns X Ray X-RAY SKULL LAT

11

40

Investigatio

ns X Ray X-RAY SKULL AP

11

41

Investigatio

ns X Ray

X-RAY SCAPHOID -

AP AND LATERAL

11

42

Investigatio

ns X Ray

X-RAY HIP JOINT

(RIGHT) AP

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11

43

Investigatio

ns X Ray

X-RAY HIP JOINT

(RIGHT) AP and LAT

11

44

Investigatio

ns X Ray

X-RAY HIP JOINT

(RIGHT) LAT

11

45

Investigatio

ns X Ray

X-RAY DORSAL

SPINE AP

11

46

Investigatio

ns X Ray

X-RAY DORSAL

SPINE AP and LAT

11

47

Investigatio

ns X Ray

X-RAY DORSAL

SPINE LAT

11

48

Investigatio

ns X Ray

X-RAY LUMBAR

SPINE LAT

11

49

Investigatio

ns X Ray

X-RAY FOREARM AP

AND LAT LEFT

11

50

Investigatio

ns X Ray

X-RAY FOREARM AP

AND LAT RIGHT

11

51

Investigatio

ns X Ray

X-RAY FOREARM AP

LEFT

11

52

Investigatio

ns X Ray

X-RAY FOREARM AP

RIGHT

11

53

Investigatio

ns X Ray

X-RAY FOREARM

LAT LEFT

11

54

Investigatio

ns X Ray

X-RAY FOREARM

LAT RIGHT

11

55

Investigatio

ns X Ray

X-RAY HAND AP

AND LAT LEFT

11

56

Investigatio

ns X Ray

X-RAY HAND AP

AND LAT RIGHT

11

57

Investigatio

ns X Ray

X-RAY HAND AP

AND OBLIQUE

RIGHT

11

58

Investigatio

ns X Ray

X-RAY HAND AP

LEFT

11

59

Investigatio

ns X Ray

X-RAY HAND AP

RIGHT

11

60

Investigatio

ns X Ray

X-RAY HAND LAT

LEFT

11

61

Investigatio

ns X Ray

X-RAY HAND LAT

RIGHT

11

62

Investigatio

ns X Ray

X-RAY HANDS AND

WRIST AP BOTH

11

63

Investigatio

ns X Ray

X-RAY HANDS AND

WRIST LAT BOTH

11

64

Investigatio

ns X Ray

X-RAY HEEL LAT

LEFT

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11

65

Investigatio

ns X Ray

X-RAY HEEL LAT

RIGHT

11

66

Investigatio

ns X Ray

X-RAY HEELS AP

BOTH

11

67

Investigatio

ns X Ray

X-RAY HEELS LAT

BOTH

11

68

Investigatio

ns X Ray

X-RAY HUMERUS AP

AND LAT LEFT

11

69

Investigatio

ns X Ray

X-RAY ELBOW LAT

RIGHT

11

70

Investigatio

ns X Ray

X-RAY FEET AP

BOTH

11

71

Investigatio

ns X Ray

X-RAY FEET LAT

BOTH

11

72

Investigatio

ns X Ray

X-RAY FEMUR AP

AND LAT LEFT

11

73

Investigatio

ns X Ray

X-RAY ELBOW AP

AND LAT LEFT

11

74

Investigatio

ns X Ray

X-RAY ELBOW AP

AND LAT RIGHT

11

75

Investigatio

ns X Ray

X-RAY ELBOW AP

LEFT

11

76

Investigatio

ns X Ray

X-RAY ELBOW AP

RIGHT

11

77

Investigatio

ns X Ray

X-RAY ELBOW LAT

LEFT

11

78

Investigatio

ns X Ray

X-RAY ANKLE AP

AND LAT LEFT

11

79

Investigatio

ns X Ray

X-RAY ANKLE AP

AND LAT RIGHT

11

80

Investigatio

ns X Ray

X-RAY ANKLE AP

LEFT

11

81

Investigatio

ns X Ray

X-RAY ANKLE LAT

LEFT

11

82

Investigatio

ns X Ray

X-RAY ANKLE LAT

RIGHT

11

83

Investigatio

ns X Ray

X-RAY ARM AP AND

LAT LEFT - ONE FILM

11

84

Investigatio

ns X Ray

X-RAY ARM AP AND

LAT RIGHT

11

85

Investigatio

ns X Ray

X-RAY BASE OF

SKULL

11

86

Investigatio

ns X Ray

X-RAY BIG TOE AP

AND LAT

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11

87

Investigatio

ns X Ray

X-RAY CALCANEUM

LAT BOTH

11

88

Investigatio

ns X Ray

X-RAY CALCANIUM

AP AND LAT BOTH

11

89

Investigatio

ns X Ray

X-RAY CALDWELLS

VIEW

11

90

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE (FLEX AND

EXT)

11

91

Investigatio

ns X Ray

X-RAY CHEST

LORDOTIC VIEW

11

92

Investigatio

ns X Ray X-RAY COCCYX AP

11

93

Investigatio

ns X Ray X-RAY COCCYX LAT

11

94

Investigatio

ns X Ray

X-RAY CONE VIEW

SELLA

11

95

Investigatio

ns X Ray X-RAY CV JUNCTION

11

96

Investigatio

ns X Ray

X-RAY DORSAL

SPINE AP LAT AND

OBLIQUE

11

97

Investigatio

ns X Ray

X-RAY SCAPULA AP

AND LAT

11

98

Investigatio

ns X Ray

X-RAY

TEMPOROMANDIBU

LAR JOINT-SINGLE

11

99

Investigatio

ns X Ray

X-RAY TIBIA AP AND

LAT BOTH

12

00

Investigatio

ns X Ray

X-RAY FEMUR AP

RIGHT

12

01

Investigatio

ns X Ray

X-RAY FEMUR LAT

RIGHT

12

02

Investigatio

ns X Ray

X-RAY FOOT AP AND

LAT LEFT

12

03

Investigatio

ns X Ray

X-RAY FOOT AP AND

LAT RIGHT

12

04

Investigatio

ns X Ray

X-RAY FOOT AP AND

OBLIQUE LEFT

12

05

Investigatio

ns X Ray

X-RAY FOOT AP AND

OBLIQUE RIGHT

12

06

Investigatio

ns X Ray X-RAY FOOT AP LEFT

12

07

Investigatio

ns X Ray

X-RAY FOOT AP

RIGHT

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12

08

Investigatio

ns X Ray

X-RAY FOOT LAT

LEFT

12

09

Investigatio

ns X Ray

X-RAY FOOT LAT

RIGHT

12

10

Investigatio

ns X Ray

X-RAY SHOULDER

LAT RIGHT

12

11

Investigatio

ns X Ray

X-RAY SKULL

TOWNS VIEW

12

12

Investigatio

ns X Ray

X-RAY STERNUM AP

AND LAT

12

13

Investigatio

ns X Ray

X-RAY STERNUM

OBLIQUE AND LAT

12

14

Investigatio

ns X Ray

X-RAY THUMB AP

AND LAT LEFT

12

15

Investigatio

ns X Ray

X-RAY TIBIA AND

ANKLE AP AND LAT

RIGHT

12

16

Investigatio

ns X Ray

X-RAY TIBIA AP AND

LAT RIGHT

12

17

Investigatio

ns X Ray X-RAY TIBIA AP LEFT

12

18

Investigatio

ns X Ray

X-RAY HUMERUS AP

AND LAT RIGHT

12

19

Investigatio

ns X Ray X-RAY KNEE AP LEFT

12

20

Investigatio

ns X Ray

X-RAY KNEE AP

RIGHT

12

21

Investigatio

ns X Ray

X-RAY KNEE LAT

LEFT

12

22

Investigatio

ns X Ray

X-RAY KNEE LAT

RIGHT

12

23

Investigatio

ns X Ray

X-RAY LEG AP AND

LAT LEFT

12

24

Investigatio

ns X Ray

X-RAY LEG AP AND

LAT RIGHT

12

25

Investigatio

ns X Ray X-RAY LEG AP LEFT

12

26

Investigatio

ns X Ray X-RAY LEG AP RIGHT

12

27

Investigatio

ns X Ray X-RAY LEFT LEG LAT

12

28

Investigatio

ns X Ray

X-RAY LEG LAT

RIGHT

12

29

Investigatio

ns X Ray

X-RAY MASTOID

LEFT

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12

30

Investigatio

ns X Ray

X-RAY MASTOID

RIGHT

12

31

Investigatio

ns X Ray

X-RAY MASTOIDS

BOTH

12

32

Investigatio

ns X Ray

X-RAY NECK AP AND

LAT

12

33

Investigatio

ns X Ray X-RAY NECK LAT

12

34

Investigatio

ns X Ray

X-RAY NECK SOFT

TISSUE

(NASOPHARYNX)

12

35

Investigatio

ns X Ray

X-RAY ODONTOID

(OPEN MOUTH)

12

36

Investigatio

ns X Ray X-RAY ORBITS

12

37

Investigatio

ns X Ray

X-RAY PARANASAL

SINUSES (PNS) AP

AND LAT

12

38

Investigatio

ns X Ray

X-RAY PERORBITAL

VIEW

12

39

Investigatio

ns X Ray

X-RAY SACRO ILIAC

JOINTS

12

40

Investigatio

ns X Ray

X-RAY LEFT

SHOULDER AP

12

41

Investigatio

ns X Ray

X-RAY SHOULDER

AP RIGHT

12

42

Investigatio

ns X Ray

X-RAY WRIST AP

AND LAT BOTH

12

43

Investigatio

ns X Ray

X-RAY WRIST AP

AND LAT LEFT

12

44

Investigatio

ns X Ray

X-RAY WRIST AP

AND LAT RIGHT

12

45

Investigatio

ns X Ray

X-RAY WRIST AP

RIGHT

12

46

Investigatio

ns X Ray

X-RAY WRIST LAT

LEFT

12

47

Investigatio

ns X Ray

X-RAY WRIST LAT

RIGHT

12

48

Investigatio

ns X Ray

X-RAY ABDOMEN AP

SUPINE

12

49

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE AP LAT AND

OBLIQUE

12

50

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE OBLIQUES

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12

51

Investigatio

ns X Ray

X-RAY FINGER AP

AND LAT MIDDLE

12

52

Investigatio

ns X Ray

X-RAY

LUMBOSACRAL

SPINE AP LAT AND

OBLIQUE

12

53

Investigatio

ns X Ray

X-RAY

LUMBOSACRAL

SPINE LAT (FLEX

AND EXT)

12

54

Investigatio

ns X Ray X-RAY HEEL AP LEFT

12

55

Investigatio

ns X Ray

X-RAY HEEL AP

RIGHT

12

56

Investigatio

ns X Ray X-RAY CHEST LAT

12

57

Investigatio

ns X Ray

X-RAY KNEE AP AND

LAT AND SKYLINE

VIEW

12

58

Investigatio

ns X Ray X-RAY ARM AP

12

59

Investigatio

ns X Ray X-RAY ARM LATERAL

12

60

Investigatio

ns X Ray X-RAY FEMUR AP

12

61

Investigatio

ns X Ray

X-RAY FEMUR

LATERAL

12

62

Investigatio

ns X Ray

X-RAY SHOULDER

AP AND AXILLARY

LEFT

12

63

Investigatio

ns X Ray

X-RAY WRIST AP

LEFT

12

64

Investigatio

ns X Ray X-RAY PELVIS PA

12

65

Investigatio

ns X Ray

X-RAY

DORSOLUMBAR

SPINE LATERAL

12

66

Investigatio

ns X Ray

X-RAY

DORSOLUMBAR

SPINE AP

12

67

Investigatio

ns X Ray

X-RAY BOTH KNEE

AP LAT SKY LINE

VIEW

12

68

Investigatio

ns X Ray

X-RAY LEFT HIP AP

and LAT

12

69

Investigatio

ns X Ray

X-RAY SKY LINE

VIEW OF PATELLA

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12

70

Investigatio

ns X Ray

X-RAY HUMERUS

LAT RIGHT

12

71

Investigatio

ns X Ray

X-RAY PELVIS WITH

BOTH HIPS AP

12

72

Investigatio

ns X Ray

X-RAY BOTH HIP AP

and LAT

12

73

Investigatio

ns X Ray X-RAY LEFT HIP AP

12

74

Investigatio

ns X Ray X-RAY LEFT HIP LT

12

75

Investigatio

ns X Ray

X-RAY RIGHT

HUMERUS AP

12

76

Investigatio

ns X Ray

X-RAY LEFT FOOT AP

AND LAT AND

OBLIQUE

12

77

Investigatio

ns X Ray

X-RAY RIGHT FOOT

AP AND LAT AND

OBLIQUE

12

78

Investigatio

ns X Ray

X-RAY RIGHT FEMUR

/ THIGH AP AND LAT

12

79

Investigatio

ns X Ray

X-RAY RIGHT

HUMERUS AP AND

LAT

12

80

Investigatio

ns X Ray

X-RAY SHOULDER

AP AND LAT AND

AXIAL

12

81

Investigatio

ns X Ray

X-RAY LEFT HAND

AP AND OBLIQUE

12

82

Investigatio

ns X Ray

X- RAY SACRO ILIAC

JOINTS PA

12

83

Investigatio

ns X Ray

X-RAY BOTH HEELS

AP AND LAT

12

84

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE (FLE AND EXT

AND NEUTRAL)

12

85

Investigatio

ns X Ray

X-RAY CERVICAL

SPINE OPEN MOUTH

VIEW

12

86

Investigatio

ns X Ray X-RAY LEFT ARM AP

12

87

Investigatio

ns X Ray

X-RAY LEFT ARM

LAT

12

88

Investigatio

ns X Ray

X-RAY LEFT FEMUR

AP

12

89

Investigatio

ns X Ray

X-RAY LEFT FEMUR

LAT

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12

90

Investigatio

ns X Ray

X-RAY LEFT HEEL :

AP AND LAT

12

91

Investigatio

ns X Ray

X-RAY LEFT

HUMERUS LAT

12

92

Investigatio

ns X Ray

X-RAY LEFT KNEE AP

LAT AND SKYLINE

12

93

Investigatio

ns X Ray

X-RAY LEFT

SHOULDER AP LAT

AND AXILLARY

12

94

Investigatio

ns X Ray

X-RAY LEFT

SHOULDER LAT

12

95

Investigatio

ns X Ray

X-RAY LEFT THIGH

AP

12

96

Investigatio

ns X Ray

X-RAY LEFT THIGH

AP AND LAT

12

97

Investigatio

ns X Ray

X-RAY LEFT THIGH

LAT

12

98

Investigatio

ns X Ray

X-RAY LEFT TIBIA

LAT

12

99

Investigatio

ns X Ray

X-RAY LEFT TIBIA

WITH KNEE AP AND

LAT

13

00

Investigatio

ns X Ray

X-RAY

LUMBOSACRAL

SPINE : B/L OBL

13

01

Investigatio

ns X Ray

X-RAY

LUMBOSACRAL

SPINE : SINGLE OBL

13

02

Investigatio

ns X Ray

X-RAY

MAMMOGRAPHY

BILATERAL

13

03

Investigatio

ns X Ray

X-RAY

MAMMOGRAPHY

BILATERAL (MHC)

13

04

Investigatio

ns X Ray

X-RAY

MAMMOGRPAHY

UNILATERAL

13

05

Investigatio

ns X Ray X-RAY MANDIBLE AP

13

06

Investigatio

ns X Ray

X-RAY MANDIBLE

LAT

13

07

Investigatio

ns X Ray X-RAY PELVIS

13

08

Investigatio

ns X Ray

X-RAY RIGHT HEEL :

AP AND LAT

13

09

Investigatio

ns X Ray

X-RAY RIGHT

SHOULDER AP AND

AXILLARY

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13

10

Investigatio

ns X Ray X-RAY ROUTINE

13

11

Investigatio

ns X Ray

X-RAY SCREENING

FLOUROSCOPY

13

12

Investigatio

ns X Ray

X-RAY BED SIDE (

PORTABLE )

13

13

Investigatio

ns X Ray X-RAY BONE AGE

13

14

Investigatio

ns X Ray

X-RAY LOWER LIMB

STANDING WITH

PELVIS (BILATERAL)

13

15

Investigatio

ns Radiology

BARIUM ENEMA

(SINGLE CONT.)

13

16

Investigatio

ns Radiology BARIUM SWALLOW

13

17

Investigatio

ns Radiology CAVITOGRAM

13

18

Investigatio

ns Radiology SIALOGRAM

13

19

Investigatio

ns Radiology SINOGRAM

13

20

Investigatio

ns Radiology

SMALL BOWEL

ENEMA

13

21

Investigatio

ns Radiology

PROC. CHG:

EMBOLIZATION

13

22

Investigatio

ns Radiology

DACROCYSTOGRAP

HY

13

23

Investigatio

ns Radiology

BARIUM MEAL

FOLLOW THROUGH

13

24

Investigatio

ns Radiology

PROC.

CHG:ABDOMINAL

PARACENTESIS

13

25

Investigatio

ns Radiology

HYSTEROSALPINGO

GRAM (HSG)

13

26

Investigatio

ns Radiology

PROC. CHG: PERCUT

CATHETER

DRAINAGE

13

27

Investigatio

ns Radiology

PROC. CHG:

VERTEBROPLASTY 1

13

28

Investigatio

ns Radiology

PROC. CHG:

LUMBER PUNCTURE

13

29

Investigatio

ns Radiology

T.TUBE

CHOLANGIOGRAM

13

30

Investigatio

ns Radiology NEPHROSTOGRAM

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13

31

Investigatio

ns Radiology FISTULOGRAM

13

32

Investigatio

ns Radiology

PROC. CHG: CORE

BIOPSY

13

33

Investigatio

ns Radiology

PROC.CHG:BONE

BIOPSY

13

34

Investigatio

ns Radiology

PROC. CHG:

STENTING

13

35

Investigatio

ns Radiology URETHROGRAM

13

36

Investigatio

ns Radiology

PROC.

CHG:RADIOFREQUE

NCY ABLATION

(SMALL)

13

37

Investigatio

ns Radiology

INTRAVENOUS

PYELOGRAPHY

13

38

Investigatio

ns Radiology

PROC. CHG:

COELIAC BLOCK

13

39

Investigatio

ns Radiology

PROC. CHG:

VERTEBRA BIOPSY

13

40

Investigatio

ns Radiology

SMALL DRESSING

SET

13

41

Investigatio

ns Radiology

PROC. CHG:

URETERIC STENTING

13

42

Investigatio

ns Radiology

PROC. CHG: PERCUT

NEPHROSTOMY

13

43

Investigatio

ns Radiology

PROC: CHG: ABCESS

DRAINAGE

13

44

Investigatio

ns Radiology PROC. CHG.: FNAC

13

45

Investigatio

ns Radiology

PROC. CHG:

TRANSJUGULAR

LIVER BIOPSY

13

46

Investigatio

ns Radiology

PROC. CHG:

TRANSHEP.

CHOLANGIO (PTC)

13

47

Investigatio

ns Radiology

PROC.CHG:VISCERAL

ANGIO

13

48

Investigatio

ns Radiology

PROC: CHG: MINOR

PROCEDURES

13

49

Investigatio

ns Radiology

PROC. CHG: TRUCUT

BIOPSY

13

50

Investigatio

ns Radiology

MICTURATING

CYSTOURETHROGRA

M (MCU)

13

51

Investigatio

ns Radiology

PROC. CHG:

THERAPEUTIC

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ASPIRATION

13

52

Investigatio

ns Radiology

BARIUM MEAL

(SINGLE CONT.)

13

53

Investigatio

ns Radiology

BARIUM MEAL

(DOUBLE CONT.)

13

54

Investigatio

ns Radiology

BARIUM ENEMA

(DOUBLE CONT.)

13

55

Investigatio

ns Radiology

GASTRO CONRAY

MEAL

13

56

Investigatio

ns Radiology DISTAL COLOGRAM

13

57

Investigatio

ns Radiology

GASTROCONRAY

FOLLOW-THROUGH

13

58

Investigatio

ns Radiology

Anaesthetic code for

MRI

13

59

Investigatio

ns Radiology

BARIUM IC

JUNCTION

13

60

Investigatio

ns Radiology

CONSULTATION/RE

VIEW BY

RADIOLOGIST

13

61

Investigatio

ns Radiology

FLOURO: MAJOR

PROCEDURE

13

62

Investigatio

ns Radiology

FLURO: MINOR

PROCEDURE

13

63

Investigatio

ns Radiology

LARGE DRESSING

SET

13

64

Investigatio

ns Radiology

PROC. CHG:

ABSCESS

ASPIRATION(NEEDLE

)

13

65

Investigatio

ns Radiology

PROC. CHG:

ANTEGRADE

PYELOGRAM

13

66

Investigatio

ns Radiology

PROC. CHG:

BEDSIDE

13

67

Investigatio

ns Radiology

PROC. CHG:

CATHETER

EXCHANGE

13

68

Investigatio

ns Radiology

PROC. CHG:

EMERGENCY USG

CASE

13

69

Investigatio

ns Radiology

PROC. CHG: EXT.

BILIARY DRAINAGE

13

70

Investigatio

ns Radiology

PROC. CHG:

FOLLOW UP

ASPIRATION

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13

71

Investigatio

ns Radiology

PROC. CHG: INT-EXT

DRAINAGE

13

72

Investigatio

ns Radiology

PROC. CHG: NERVE

ROOT INJECTION

13

73

Investigatio

ns Radiology

PROC. CHG: PERCUT

CHOLECYSTOSTOMY

13

74

Investigatio

ns Radiology

PROC. CHG:

PSUEDOCYST

DRAINAGE(CATH)

13

75

Investigatio

ns Radiology

PROC. CHG:

PSUEDOCYST

DRAINAGE(NEEDLE)

13

76

Investigatio

ns Radiology

PROC. CHG: SMALL

BOWEL ENEMA

13

77

Investigatio

ns Radiology

PROC. CHG: SPECIAL

INVEST

13

78

Investigatio

ns Radiology

PROC. CHG: TROCAR

DRAIN

13

79

Investigatio

ns Radiology

PROC. CHG:

VERTEBROPLASTY 2

13

80

Investigatio

ns Radiology

PROC. CHG:FOLLOW

UP

13

81

Investigatio

ns Radiology

PROC.

CHG:INTERNALIZATI

ON OF STRICTURE

13

82

Investigatio

ns Radiology

PROC. CHG:RING

BILIARY DRAINAGE

13

83

Investigatio

ns Radiology

PROC.

CHG:VISCERAL

BIOPSY

13

84

Investigatio

ns Radiology

PROC.CHG:

DIAGNOSTIC

ASPIRATION

13

85

Investigatio

ns Radiology

PROC.CHG:ALCOHO

L ABLATION

13

86

Investigatio

ns Radiology

PROC.CHG:CYST

SCLEROTHERAPY

13

87

Investigatio

ns Radiology

PROC.CHG:DEEP

FNAC

13

88

Investigatio

ns Radiology

PROC.CHG:DIAGNOS

TIC+THERAPUTIC

ASPIRATION

13

89

Investigatio

ns Radiology

PROC.CHG:INTERCO

STAL DRAINAGE

13

90

Investigatio

ns Radiology PROC.CHG:P A I R S

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13

91

Investigatio

ns Radiology

PROC.CHG:PLEUROC

ENTESIS

13

92

Investigatio

ns Radiology

PROC.CHG:RING

DRAINAGE

13

93

Investigatio

ns Radiology

PROC.CHG:SPECIAL

PROCEDURE

13

94

Investigatio

ns Radiology

PROC.CHG:TRANSPL

ANT NEPHROSTOMY

13

95

Investigatio

ns Radiology

PROC.CHG:VISCERAL

ABCESS ASPIRATION

13

96

Investigatio

ns Radiology

PROC.CHG:VISCERAL

ABCESS DRAINAGE

13

97

Investigatio

ns Radiology

PROC: CHG:

ASPIRATION BIOPSY

13

98

Investigatio

ns Radiology

PROC: CHG:

DRAINAGE

13

99

Investigatio

ns Radiology

PROC: CHG: METAL

STENTING

14

00

Investigatio

ns Radiology

PROC: CHG:PTBD

GRAM

14

01

Investigatio

ns Radiology

PROC.CHG.TTUMOR

ABLATION/EMBOLIZ

ATION

14

02

Investigatio

ns Radiology

PROC.CHG FILTER

PLACEMENT

14

03

Investigatio

ns Radiology

PROC. CHG

TRANSINGULAR

LIVER BIOPSY

14

04

Investigatio

ns Radiology

PROC. CHG

STENTING

14

05

Investigatio

ns Radiology

PROC. CHG

INTRATHECAL

INJECTION WITH

CSF DRAINAGE

14

06

Investigatio

ns

Nuclear

Medicine

Radiology

GASTROESOPHAGEA

L REFLUX

14

07

Investigatio

ns

Nuclear

Medicine

Radiology

LUNG PERFUSION

SCAN

14

08

Investigatio

ns

Nuclear

Medicine

Radiology

RBC BLOOD POOL

SCAN

14

09

Investigatio

ns

Nuclear

Medicine

Radiology

THYROID SCAN

(WITH 99M Tc)

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14

10

Investigatio

ns

Nuclear

Medicine

Radiology

IODINE-131

THERAPY FOR

THYROTOXICOSIS

14

11

Investigatio

ns

Nuclear

Medicine

Radiology

NUCLEAR EXTRA

FILM CHARGES (PER

FILM)

14

12

Investigatio

ns

Nuclear

Medicine

Radiology

IODINE-131

THYROID SCAN

14

13

Investigatio

ns

Nuclear

Medicine

Radiology

WHOLE BODY BONE

SPECT

14

14

Investigatio

ns

Nuclear

Medicine

Radiology

MECKELS

DIVERTICULUM

SCAN

14

15

Investigatio

ns

Nuclear

Medicine

Radiology

BONE SCAN

(REGIONAL)

14

16

Investigatio

ns

Nuclear

Medicine

Radiology

IODINE-131 WHOLE

BODY SCAN

14

17

Investigatio

ns

Nuclear

Medicine

Radiology

PHOSPHOROUS-32

(P-32) THERAPY

14

18

Investigatio

ns

Nuclear

Medicine

Radiology

PARATHYROID SCAN

PLANAR

14

19

Investigatio

ns

Nuclear

Medicine

Radiology

NM HEPATO BILIARY

SCAN

14

20

Investigatio

ns

Nuclear

Medicine

Radiology

RENAL DYNAMIC

STUDY

14

21

Investigatio

ns

Nuclear

Medicine

Radiology

BONE SCAN - THREE

PHASE (SINGLE

REGION)

14

22

Investigatio

ns

Nuclear

Medicine

Radiology

BONE SCAN - THREE

PHASE (SINGLE

REGION)WHOLE

BODY

14

23

Investigatio

ns

Nuclear

Medicine

Radiology

BONE SCAN SPECT

(SINGLE REGION)

14

24

Investigatio

ns

Nuclear

Medicine

Radiology

BRAIN SPECT

(PERFUSION SCAN)

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25

Investigatio

ns

Nuclear

Medicine

Radiology

BRAIN SPECT

(TUMOUR

IMAGING)

14

26

Investigatio

ns

Nuclear

Medicine

Radiology

CARDIAC FIRST PASS

STUDY

14

27

Investigatio

ns

Nuclear

Medicine

Radiology

CARDIAC REST AND

STRESS MUGA

14

28

Investigatio

ns

Nuclear

Medicine

Radiology

CARDIAC REST

MUGA

14

29

Investigatio

ns

Nuclear

Medicine

Radiology

DOBUTAMINE

STRESS

MYOCARDIAL

PERFUSION

(THALLIUM/TETRO/

MIBI)

14

30

Investigatio

ns

Nuclear

Medicine

Radiology

GALLIUM-67 SCAN

14

31

Investigatio

ns

Nuclear

Medicine

Radiology

GASTRO INTESTINAL

BLEEDING STUDY

14

32

Investigatio

ns

Nuclear

Medicine

Radiology

IODINE - 131 MIBG

SCAN (BRIT)

14

33

Investigatio

ns

Nuclear

Medicine

Radiology

IODINE -131

THERAPY FOR

THYROTOXICOSIS

(BELOW 12 mci)

14

34

Investigatio

ns

Nuclear

Medicine

Radiology

ISOTOPE

VENOGRAPHY

14

35

Investigatio

ns

Nuclear

Medicine

Radiology

LIVER SCAN

14

36

Investigatio

ns

Nuclear

Medicine

Radiology

LIVER SCAN WITH

SPECT

14

37

Investigatio

ns

Nuclear

Medicine

Radiology

LUNG VENTILATION

PERFUSION (V/Q)

SCAN

14

38

Investigatio

ns

Nuclear

Medicine

Radiology

LUNG VENTILATION

SCAN

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14

39

Investigatio

ns

Nuclear

Medicine

Radiology

PHYSICIAN

CHARGES: DEBASISH

CHOWDHURY

14

40

Investigatio

ns

Nuclear

Medicine

Radiology

PROC. CHG. RADIO -

IODINE

ADMINISTRATION

14

41

Investigatio

ns

Nuclear

Medicine

Radiology

PROC. CHG. FOR

PHARMACOLOGICAL

STRESS SCAN

14

42

Investigatio

ns

Nuclear

Medicine

Radiology

RADIO - ISOTOPE

URETERIC REFLUX

(INDIRECT)

14

43

Investigatio

ns

Nuclear

Medicine

Radiology

RENAL DYNAMIC

STUDY (BASELINE

AND WITH

CASTOPRIL)

14

44

Investigatio

ns

Nuclear

Medicine

Radiology

RENAL DYNAMIC

STUDY (WITH

CAPTOPRIL ONLY)

14

45

Investigatio

ns

Nuclear

Medicine

Radiology

RENAL DYNAMIC

STUDY WITH VUR

14

46

Investigatio

ns

Nuclear

Medicine

Radiology

REVIEW OF SCAN

FILMS (NUCLEAR

MEDICINE)

14

47

Investigatio

ns

Nuclear

Medicine

Radiology

SALIVARY IMAGING

/ PAROTID

SCINTIGRAPHY

14

48

Investigatio

ns

Nuclear

Medicine

Radiology

SCINTI -

MAMMOGRAPHY

(BOTH BREASTS)

14

49

Investigatio

ns

Nuclear

Medicine

Radiology

SCINTI -

MAMMOGRAPHY

(SINGLE BREASTS)

14

50

Investigatio

ns

Nuclear

Medicine

Radiology

SHUNT STUDY - 1

14

51

Investigatio

ns

Nuclear

Medicine

Radiology

REST MYOCARDIAL

PERFUSION SPECT

SCAN

(THALLIUM/TERO/M

IBI)

14

52

Investigatio

ns

Nuclear

Medicine

Radiology

STRESS

MYOCARDIAL

PERFUSION SPECT

SCAN

(THALLIUM/TERO/M

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IBI)

14

53

Investigatio

ns

Nuclear

Medicine

Radiology

SPLEEN SCAN

14

54

Investigatio

ns

Nuclear

Medicine

Radiology

TC 99M DMSA

RENAL SCAN

14

55

Investigatio

ns

Nuclear

Medicine

Radiology

TESTICULAR SCAN

14

56

Investigatio

ns

Nuclear

Medicine

Radiology

V. U. REFLUX

14

57

Investigatio

ns

Nuclear

Medicine

Radiology

WHOLE BODY BONE

SCAN

14

58

Investigatio

ns

Nuclear

Medicine

Radiology

WHOLE BODY Tc-V-

DMSA SCAN

14

59

Investigatio

ns

Nuclear

Medicine

Radiology

PROC. CHG. FOR

RADIO ISTOPE

ADMINISTRATION

14

60

Investigatio

ns

Nuclear

Medicine

Radiology

RADIONUCLIDE

TUMOUR IMAGING

14

61

Investigatio

ns

Nuclear

Medicine

Radiology

153 SAMARIUM

EDTMP THERAPY

14

62

Investigatio

ns

Nuclear

Medicine

Radiology

SENTINEL

LYMPHNODE

BIOPSY

14

63

Investigatio

ns

Nuclear

Medicine

Radiology

SAMARIUM

THERAPY

14

64

Investigatio

ns

Nuclear

Medicine

Radiology

18F (NaF) WHOLE

BODY PET CT

14

65

Investigatio

ns

Ear Nose and

Throat AUDIOMETRY(MHC)

14

66

Investigatio

ns

Gastroenterol

ogy

UREA BREATH

TEST(EKO CDD)

14

67

Investigatio

ns

Gastroenterol

ogy

COLONOSCOPY -

FULL (GAS-PKG)

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14

68

Investigatio

ns

Gastroenterol

ogy

HELUICOBACTER

PYLORI UFT3000

QUICK TEST

14

69

Investigatio

ns

Gastroenterol

ogy PEPTEST

14

70

Investigatio

ns

Gastroenterol

ogy

COLON VIEW QUICK

TEST

14

71

Investigatio

ns

Gastroenterol

ogy CELIAC QUICK TEST

14

72

Investigatio

ns

Gastroenterol

ogy

LACTOSE

INTOLERANCE

QUICK TEST

14

73

Investigatio

ns

Gastroenterol

ogy QUANT ON CAL

14

74

Investigatio

ns

Gastroenterol

ogy

SCHEBO PANCREAS

ELASTASE 1 QUICK

14

75

Investigatio

ns

Gastroenterol

ogy GASTROPANEL TEST

14

76

Investigatio

ns Medical

LIFE STYLE

COUNSELLING NON-

MHC

14

77

Investigatio

ns Medical

PHYSICIAN

CHARGES

14

78

Investigatio

ns Nephrology

HAMEO-

DIALYSIS(PER

SITTING)-PPN

14

79

Investigatio

ns Neurology

BRACHIAL PLEXUS

LATENCY STUDIES

14

80

Investigatio

ns Neurology

NCV AND EMG - 2

LIMBS

14

81

Investigatio

ns Neurology

NCV AND EMG - 4

LIMBS

14

82

Investigatio

ns Neurology BAER

14

83

Investigatio

ns Neurology

VIDEO EEG - 6

HOURS

14

84

Investigatio

ns Neurology

SYMPATHETIC SKIN

RESPONSE

14

85

Investigatio

ns Neurology EEG-SLEEP

14

86

Investigatio

ns Neurology

REPETITIVE NERVE

SIMULATION(RNST/

DECREMENT TEST)

14

87

Investigatio

ns Neurology EMG TWO LIMBS

14

88

Investigatio

ns Neurology H REFLEX STUDIES

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14

89

Investigatio

ns Neurology VIDEO EEG 3 HOURS

14

90

Investigatio

ns Neurology

EMG ALL FOUR

LIMBS

14

91

Investigatio

ns Neurology

EVOKE POTENTIAL

PORTABLE/BLINK

REFLEX/RNS

14

92

Investigatio

ns Neurology

NCV ALL FOUR

LIMBS

14

93

Investigatio

ns Neurology

SEP STUDY 2 (UPPER

/ LOWER ) LIMBS

14

94

Investigatio

ns Neurology NCV 2 LIMBS

14

95

Investigatio

ns Neurology VEP (FLASH)

14

96

Investigatio

ns Neurology

EEG (AWAKE AND

SLEEP)

14

97

Investigatio

ns Neurology EEG AWAKE

14

98

Investigatio

ns Neurology VEP(PR)

14

99

Investigatio

ns Neurology

FACIAL NERVE

CONDUCTION AND

BLINK REFLEX (7TH

NERVE LATENCY

STUDY)

15

00

Investigatio

ns Neurology

NCV FOUR LIMBS

BEDSIDE

15

01

Investigatio

ns Neurology

NCV TWO LIMBS

BEDSIDE

15

02

Investigatio

ns Neurology

REPETITIVE NERVE

SIMULATION

(RNST/DECREMENT

TEST) BEDSIDE

15

03

Investigatio

ns

Obstretics &

Gynaecology BETA-HCG

15

04

Investigatio

ns

Obstretics &

Gynaecology CTG CHARGES

15

05

Investigatio

ns

Obstretics &

Gynaecology

FIRST TRIMESTER

SCREENING(PROFILE

)

15

06

Investigatio

ns Paediatrics

CDC BASIC

COUNSELING

15

07

Investigatio

ns Paediatrics

CDC-

CONSULTATION

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15

08

Investigatio

ns

Pulmonary

Function Lab

SPIROMETRY WITH

OR WITHOUT

REVERSIBILITY(PFT)

15

09

Investigatio

ns

Pulmonary

Function Lab

PULM NEBULIZER

THERAPY

15

10

Investigatio

ns

Pulmonary

Function Lab

TRANSBRONCHIAL

NEEDLE ASPIRATION

15

11

Investigatio

ns

Pulmonary

Function Lab

6 MINUTE WALK

TEST

15

12

Investigatio

ns

Pulmonary

Function Lab

SPIROMETRY+FRC+

DLCO

15

13

Investigatio

ns

Pulmonary

Function Lab SPIROMETRY+DLCO

15

14

Investigatio

ns

Pulmonary

Function Lab FRC (TLC , RV)

15

15

Investigatio

ns

Pulmonary

Function Lab

FREE PFT WITH

DLCO + TLC

15

16

Investigatio

ns

Pulmonary

Function Lab

FULL PFT WITH

DLCO AND TLC

15

17

Investigatio

ns

Pulmonary

Function Lab

FIBREOPTIC NASAL

BRONCOSCOPY

15

18

Investigatio

ns

Pulmonary

Function Lab

EBUS

VISUALISATION

15

19

Investigatio

ns

Pulmonary

Function Lab

EXHALED NITRIC

OXIDE TEST

15

20

Investigatio

ns

Pulmonary

Function Lab FENO TEST

15

21

Investigatio

ns Sleep Lab SLEEP STUDY

15

22

Investigatio

ns Sleep Lab

OBSTRUCTIVE SLEEP

APNEA SCREENING

15

23

Investigatio

ns

Food and

Beverages DIETICIAN CHARGES

15

24

Investigatio

ns

Others

Cardiology EBUS TBNA

15

25

Investigatio

ns

Others

Cardiology

EBUS STAGING OF

MALIGNANCY

15

26

Investigatio

ns

FETAL

MEDICINE

CVS PROCEDURE

CHARGE

15

27

Investigatio

ns

FETAL

MEDICINE

AMNIOCENTESIS

PROCEDURE

CHARGE

15

28

Investigatio

ns

FETAL

MEDICINE

FETAL REDUCTION

PROCEDURE

CHARGE

15 Profile Haematology COAGULATION

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29 PROFILE

15

30 Profile BioChemistry

LIVER FUNCTION

TEST (PACKAGE)

15

31 Profile BioChemistry

LIPID PROFILE TEST

(PACKAGE)

15

32 Profile Wards Others CATH PROFILE

15

33 Profile BioChemistry

FEMALE HORMONE

PROFILE

15

34 Profile BioChemistry

MALE HORMONE

PROFILE

15

35 Profile Lab Others

NUTRITIONAL

ANAEMIA PROFILE

15

36 Profile BioChemistry

PITUITARY PACK -

FEMALE

15

37 Profile BioChemistry PUBERTY PROFILE

15

38 Profile Lab Others RENAL PACKAGE - I

15

39 Profile Lab Others RENAL PACKAGE - II

15

40 Profile Lab Others

THALASSEMIA

PROFILE

15

41 Profile BioChemistry

THYROID

MONITORING

PROFILE

15

42 Profile BioChemistry

THYROID PROFILE -

I(T3,T4 AND TSH)

15

43 Profile BioChemistry

ELECTROLYTES -

SERUM/PLASMA(Na

+,K+,Cl-)

15

44 Profile BioChemistry

GLUCOSE

TOLERANCE TEST

(GTT)

15

45 Profile BioChemistry

GLUCOSE

TOLERANCE TEST

GTT (3)-

GESTATIONAL

15

46 Profile BioChemistry

BIO-CHEMICAL

ANALYSIS

(SYNOVIAL FLUID)

15

47 Profile BioChemistry

BIO-CHEMICAL

ANALYSIS (CSF)

15

48 Profile Wards Others

HEALTHY HEART

PACKAGE WITH TMT

15

49 Profile Wards Others MEDI PACK

15

50 Profile Wards Others SURGI PACK

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15

51 Profile Wards Others

TOTAL DIABETIC

CHECK UP

15

52 Profile BioChemistry CARDIAC ENZYMES

15

53 Profile BioChemistry THYROID PACKAGE

15

54 Profile Wards Others NEURO PACK

15

55 Profile BioChemistry GROWTH PROFILE-2

15

56 Profile Lab Others

ANTE-NATAL

SCREENING PACK

WITH USG

OBSTETRIC

15

57 Profile Lab Others

NEONATAL/PEDIATR

ICS SEPSIS SCREEN -

3

15

58 Profile BioChemistry

FREE THYROID

PROFILE

15

59 Profile Lab Others

BLOOD PROFILE A

(BPA)

15

60 Profile BioChemistry

BLOOD PROFILE B

(BPB)

15

61 Profile Lab Others RENAL PACKAGE III

15

62 Profile BioChemistry

BIOCHEMICAL

ANALYSIS- ASCITIC

FLUID

15

63 Profile Lab Others

HAEMODIALYSIS

PROFILE - I

15

64 Profile BioChemistry

ADVANCE THYROID

PROFILE

15

65 Profile BioChemistry ACTH Stim

15

66 Profile Wards Others ALLO BMT WORKUP

15

67 Profile Wards Others

ALLO BMT WORKUP

2

15

68 Profile Wards Others

AUTO BMT

WORKUP

15

69 Profile Wards Others

BMT DONOR

WORKUP

15

70 Profile Wards Others

BMT DONOR

WORKUP 2

15

71 Profile

Transplantatio

n immunology

ASTHMA/RIHINITIS

PANEL (ADULT)

PROFILE

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15

72 Profile Microbiology

BAL FLUID FOR

MICROBIOLOGICAL

TESTING PROFILE-I

15

73 Profile Microbiology

BAL FLUID FOR

MICROBIOLOGICAL

TESTING PROFILE-II

15

74 Profile Haematology

BMT COAGULATION

PROFILE 1

15

75 Profile Lab Others BMT CSF PROFILE

15

76 Profile Haematology

BMT FLOW

CYTOMETRY

PROFILE 2

15

77 Profile Haematology

BMT FLOW

CYTOMETRY

PROFILE 3

15

78 Profile Lab Others BMT PROFILE 1

15

79 Profile Lab Others BMT PROFILE 2

15

80 Profile Lab Others BMT PROFILE 3

15

81 Profile Lab Others BMT PROFILE 4

15

82 Profile

Blood Bank - 2

Services

BMT RED CELL

PROFILE

15

83 Profile Microbiology

BMT SEPTIC PROFILE

1

15

84 Profile Wards Others

BMT SEPTIC PROFILE

2

15

85 Profile Lab Others

BMT SEPTIC PROFILE

3

15

86 Profile Microbiology

BMT SEPTIC PROFILE

4

15

87 Profile Wards Others

BMT SEPTIC PROFILE

5

15

88 Profile Microbiology

BMT SEROLOGY

PROFILE

15

89 Profile Lab Others BMT STOOL PROFILE

15

90 Profile Microbiology

BMT VIRAL PROFILE

1

15

91 Profile Microbiology

BMT VIRAL PROFILE

2

15

92 Profile Microbiology

BMT VIRAL PROFILE

3

15

93 Profile Lab Others

BONE MARROW

PROFILE

15 Profile Microbiology CRBSI

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94

15

95 Profile Microbiology

CRBSI SEPSIS

PACKAGE

15

96 Profile

Transplantatio

n immunology

DRUG ALLERGY

PANEL PROFILE

15

97 Profile

Transplantatio

n immunology

DUST ALLERGY

PANEL PROFILE

15

98 Profile

Transplantatio

n immunology

ECZEMA PANEL

PROFILE

15

99 Profile

Transplantatio

n immunology

FOOD ALLERGY

PANEL PROFILE

16

00 Profile Microbiology

HEPATITIS B

PROFILE

16

01 Profile Microbiology HEPATITIS PANEL

16

02 Profile Lab Others INFECTION PROFILE

16

03 Profile Wards Others

JOINT

REPLACEMENT

PROFILE

16

04 Profile Lab Others

LYMPHOMA

SCREEN(HAEM4)

16

05 Profile

Transplantatio

n immunology

MOULD/WEED

ALLERGY PANEL

PROFILE

16

06 Profile Lab Others

MYCLOMA

SCREEN(HAEM3)

16

07 Profile

Transplantatio

n immunology

OCCUPATIONAL

ALLERGY PANEL

PROFILE

16

08 Profile Lab Others

PAEDIATRIC SEPTIC

PROFILE-I

16

09 Profile Wards Others

PAEDIATRIC SEPTIC

PROFILE-II

16

10 Profile Lab Others

POLYCYTHAEMIA(H

AEM5)

16

11 Profile Microbiology

PRE DIALYSIS

SEROLOGY PACKAGE

16

12 Profile Microbiology

PRE SURGERY

SPUTUM C/S AND

GRAM STAIN

16

13 Profile Lab Others Renal Profile II Plus

16 Profile Lab Others RHEUMATOLOGY

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14 PROFILE-I

16

15 Profile Lab Others

RHEUMATOLOGY

PROFILE-II

16

16 Profile Lab Others

SEPTIC PROFILE

(ICCU)

16

17 Profile Wards Others SEPTIC PROFILE I

16

18 Profile Wards Others

Short Stature

Package-I

16

19 Profile Wards Others

Short Stature

Package-II

16

20 Profile Lab Others

THALASSAEMIA

COUNSELLING

SERUM(HAEM7)

16

21 Profile Lab Others

THROMBOCYTOPEN

IA SCREEN(HAEM2)

16

22 Profile Lab Others

TRANSPLANT

PACKAGE

16

23 Profile

Transplantatio

n immunology

WHEEZE/RHINITIS

PANEL (CHILD)

PROFILE

16

24 Profile Wards Others

ADVANCED HEART

CHECK

16

25 Profile BioChemistry DI PACKAGE

16

26 Profile Wards Others STROKE CHEQ.

16

27 Profile Wards Others

EP SCREENING

PROFILE

16

28 Profile Wards Others

BMT RADIOLOGY

PROFILE

16

29 Profile X Ray

X RAY-SKELETAL

SURVEY

16

30 Profile BioChemistry

EXTENDED LIPID

PROFILE

16

31 Profile BioChemistry

FREE T4 AND TSH

16

32 Profile BioChemistry

CSF TEST PROFILE

16

33 Profile

Transplantatio

n immunology ABPA PANEL

16

34 Profile Lab Others

THALASSEMIA

PACKAGES I

16

35 Profile Lab Others

THALASSEMIA

PACKAGES II

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16

36 Profile Haematology

BMT FLOW

CYTOMETRY

PROFILE 1

16

37 Profile Haematology BMT HLA PROFILE 1

16

38 Profile Haematology

COMPLETE

HAEMOGRAM

PROFILE

16

39 Profile Haematology HB,TC,DC,ESR

16

40 Profile Haematology TC,DC,ESR

16

41 Profile

ADMINISTRAT

ION

COMPLETE FOOT

EXAMINATION

16

42 Profile

Transplantatio

n immunology

ANTI-PHOSPHOLIPID

ANTIBODY

SYNDROME (APS)

PANEL

16

43 Profile CARDIOLOGY ILD PACKAGE

16

44 Profile

Transplantatio

n immunology

SERUM PROTEIN

ELECTROPHORESIS

(CAPILLARY)

16

45 Profile

Transplantatio

n immunology

SERUM PROTEIN

IMMUNOFIXATION

(CAPILLARY)

16

46 Profile

Transplantatio

n immunology

CRYOGLOBULIN

(QUANTITATIVE)

16

47 Profile

Transplantatio

n immunology

FARMERS LUNG

PANEL

16

48 Profile Lab Others RENAL PACKAGE IV

16

49 Profile BioChemistry HLH SCREENING

16

50 Profile Lab Others

RHEUMATOLOGY

PROFILE-III

16

51 Profile

FETAL

MEDICINE

AMNIOCENTESIS

WITH KAEYOTYPING

16

52 Profile

FETAL

MEDICINE

AMNIOCENTESIS

WITH FISH

16

53 Profile

FETAL

MEDICINE

AMNIOCENTESIS

WITH PRENATAL

BoBs

16

54 Profile

FETAL

MEDICINE

CVS WITH

KAEYOTYPING

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16

55 Profile

FETAL

MEDICINE CVS WITH FISH

16

56 Profile

FETAL

MEDICINE

CVS WITH

PRENATAL BoBs

16

57 Profile

Transplantatio

n immunology

FOOD ALLERGY

PANEL

(ImmunoCAP)

16

58 Profile

Transplantatio

n immunology

RHINITIS OR

ASTHMA PANEL

(ImmunoCAP)

16

59 Profile

Transplantatio

n immunology

DRUG ALLERGY

PANEL

(ImmunoCAP)

16

60 Profile

Transplantatio

n immunology

DUST ALLERGY

PANEL

(ImmunoCAP)

16

61 Profile

Transplantatio

n immunology

COMPREHENSIVE

ALLERGY PANEL

(ImmunoCAP)

16

62 Profile

Transplantatio

n immunology

ALLERGIC

BRONCHOPULMON

ARY ASPERGILLOSIS

(ABPA) PANEL

(ImmunoCAP)

16

63 Profile

Transplantatio

n immunology

INSECT VENOM

ALLERGY PANEL

(ImmunoCAP)

16

64 Profile

FETAL

MEDICINE

CVS (Chorionic Villus

Sampling)

16

65 Profile

FETAL

MEDICINE

AMNIOCENTESIS

PLUS FISH AND

KAEYOYTPING

16

66 Profile

FETAL

MEDICINE

CVS PLUS FISH AND

KAEYOTYPING

16

67 Profile Lab Others

INFECTION PROFILE

PLUS

16

68 Profile Lab Others

SEPTIC PROFILE

(ICCU) PLUS

16

69

Blood Bank

Procedure

Blood Bank - 1

Products IRRADATION

16

70

Blood Bank

Procedure

Blood Bank - 1

Products

PLATELET

CONCENTRATE

LEUCOREDUCTION

16

71

Blood Bank

Procedure

Blood Bank - 1

Products POOLING CHARGES

16

72

Blood Bank

Procedure

Blood Bank - 1

Products

RED CELL

LEUCOREDUCTION

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16

73

Blood Bank

Procedure

Blood Bank - 1

Products

CRYOPRESERVATIO

N

16

74

Blood Bank

Procedure

Blood Bank - 1

Products

BMT STEM CELL

HARVEST PROFILE II

16

75

Blood Bank

Procedure

Blood Bank - 1

Products

BMT STEM CELL

HARVEST PROFILE I

16

76

Blood Bank

Procedure

Blood Bank - 1

Products

THERAPEUTIC

APHERESIS

16

77

Blood Bank

Procedure

Blood Bank - 1

Products

APHAERESIS

PLATELET-SPLIT

DOSE:PROC.CHG

16

78

Blood Bank

Procedure

Blood Bank - 1

Products

THERAPEUTIC

PLASMA EXCHANGE

(TPE)

16

79

Invasive

Procedures

Gastroenterol

ogy

CAPSULE

ENDOSCOPY

16

80

Invasive

Procedures

Gastroenterol

ogy PEG REMOVAL

16

81

Invasive

Procedures

Gastroenterol

ogy

PEG REPLACEMENT

SET

16

82

Invasive

Procedures

Gastroenterol

ogy SIGMOIDOSCOPY

16

83

Invasive

Procedures Haematology

HAEM-BONE

MARROW WORKUP

16

84

Invasive

Procedures Urology

SUPRAPUBIC

CATHERISATION

(CYSTOMY)

16

85

Invasive

Procedures

Gastroenterol

ogy

GASTROSTOMY (P E

G)

16

86

Invasive

Procedures

Gastroenterol

ogy GLUE INJECTION

16

87

Invasive

Procedures

Gastroenterol

ogy ERCP DIAGNOSTIC

16

88

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(METAL)

16

89

Invasive

Procedures

Gastroenterol

ogy 24 HRS PH METRY

16

90

Invasive

Procedures Orthopaedics

ASPIRATION &

INTRA ARTICULAR

INJECTIONS(B)

16

91

Invasive

Procedures

Blood Bank - 1

Products

THERAPEUTIC

BLEEDING

16

92

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

(MINOR)

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16

93

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

(MAJOR)

16

94

Invasive

Procedures

Gastroenterol

ogy

NARROW BAND

IMAGING CHARGE

16

95

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(COL

ONIC)

16

96

Invasive

Procedures

Gastroenterol

ogy

FOREIGN BODY

EXTRACTION

16

97

Invasive

Procedures

Gastroenterol

ogy CD RECORDING

16

98

Invasive

Procedures

Gastroenterol

ogy SCLEROTHERAPY

16

99

Invasive

Procedures

Gastroenterol

ogy

EMERGENCY

CHARGE (LARGE)

17

00

Invasive

Procedures

Gastroenterol

ogy

NASOBILARY

DRAINAGE

17

01

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY+ILE

OSCOPY

17

02

Invasive

Procedures

Gastroenterol

ogy

CRE BALLON

DILATATION (BS)

17

03

Invasive

Procedures

Gastroenterol

ogy RAPID UREASE TEST

17

04

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY

LIMITED

17

05

Invasive

Procedures

Gastroenterol

ogy

COMPLETE DOUBLE

BALLOON

ENTEROSCOPY

17

06

Invasive

Procedures

Gastroenterol

ogy

PSEUDOCYST

DRAINAGE

17

07

Invasive

Procedures

Gastroenterol

ogy INJ HEMOSTASIS

17

08

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(UPP

ER GI)

17

09

Invasive

Procedures

Gastroenterol

ogy

MAJOR

MISCELLANEOUS

17

10

Invasive

Procedures

Gastroenterol

ogy

HYDROGEN BREATH

TEST

17

11

Invasive

Procedures

Gastroenterol

ogy STONE EXTRACTION

17

12

Invasive

Procedures

Gastroenterol

ogy COLONOSCOPY FULL

17

13

Invasive

Procedures

Gastroenterol

ogy SPHINCTEROTOMY

17

14

Invasive

Procedures

Gastroenterol

ogy UPPER ENDOSCOPY

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17

15

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC

BIOPSY

17

16

Invasive

Procedures

Gastroenterol

ogy

ESOPHAGEAL

PROSTHESIS

17

17

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(PLASTIC)

17

18

Invasive

Procedures

Gastroenterol

ogy UGI MANOMETRY

17

19

Invasive

Procedures

Gastroenterol

ogy LGI MANOMETRY

17

20

Invasive

Procedures

Gastroenterol

ogy

LIVER

BIOPSY(GASTRO)

17

21

Invasive

Procedures

Gastroenterol

ogy

GASTROSCOPY(DIAG

NOSTIC)

17

22

Invasive

Procedures

Gastroenterol

ogy CLIP

17

23

Invasive

Procedures

Gastroenterol

ogy

ANAE-DOUBLE

BALLON

ENDOSCOPY

17

24

Invasive

Procedures

Gastroenterol

ogy ELASTROGRAPHY

17

25

Invasive

Procedures

Gastroenterol

ogy

ENTERAL METAL

STENT

17

26

Invasive

Procedures

Gastroenterol

ogy

ANAESTHESIA

CHARGES-LARGE

17

27

Invasive

Procedures

Gastroenterol

ogy

ANAESTHESIA

CHARGES-MEDIUM

17

28

Invasive

Procedures

Gastroenterol

ogy

ANAESTHESIA

CHARGES-SHORT

17

29

Invasive

Procedures

Gastroenterol

ogy BAND LIGATION

17

30

Invasive

Procedures

Gastroenterol

ogy BILIARY BRUSHING

17

31

Invasive

Procedures

Gastroenterol

ogy

COLONIC TRANSIT

TIME

17

32

Invasive

Procedures

Gastroenterol

ogy

COMPLETE SMALL

BOWEL

EVALUATION

17

33

Invasive

Procedures

Gastroenterol

ogy

DIATATATION(STRIC

TURE)

17

34

Invasive

Procedures

Gastroenterol

ogy

EMERGENCY

CHARGE (SMALL)

17

35

Invasive

Procedures

Gastroenterol

ogy

EMERGENCY

CHARGES PER UNIT

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17

36

Invasive

Procedures

Gastroenterol

ogy

ENDOLOOP

PROCEDURE

CHARGE

17

37

Invasive

Procedures

Gastroenterol

ogy

ENDOLUMINAL

RFA(INTERMEDIATE)

17

38

Invasive

Procedures

Gastroenterol

ogy

ENDOLUMINAL

RFA(LARGE)

17

39

Invasive

Procedures

Gastroenterol

ogy

ENDOLUMINAL

RFA(SMALL)

17

40

Invasive

Procedures

Gastroenterol

ogy ENDOSCOPIC FNAC

17

41

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC TUBE

PLACEMENT

17

42

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIST

CHARGE (LARGE)

17

43

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIST

CHARGE (SMALL)

17

44

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPY KIT

CHARGE

17

45

Invasive

Procedures

Gastroenterol

ogy EUS-FNA(MAJOR)

17

46

Invasive

Procedures

Gastroenterol

ogy EUS-FNA(REGULAR)

17

47

Invasive

Procedures

Gastroenterol

ogy

GAS-RADIAL JAW 4

LARGE CAPACITY

WITH NEEDLE 240

CM

17

48

Invasive

Procedures

Gastroenterol

ogy

GLUE INJECTOR

NEEDLE

17

49

Invasive

Procedures

Gastroenterol

ogy

HEMOSTASIS BY

GOLD PROBE

17

50

Invasive

Procedures

Gastroenterol

ogy

HEMOSTATIC CLIP

PROCEDURE

17

51

Invasive

Procedures

Gastroenterol

ogy

HEMOSTATIS CLIP

CHARGE

17

52

Invasive

Procedures

Gastroenterol

ogy HEPATONORM

17

53

Invasive

Procedures

Gastroenterol

ogy HX 20 LOOP

17

54

Invasive

Procedures

Gastroenterol

ogy

LIVER TRANSPLANT

CLINIC

17

55

Invasive

Procedures

Gastroenterol

ogy LOOP CHARGE

17

56

Invasive

Procedures

Gastroenterol

ogy

MECHANICAL

LITHOTRIPSY

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17

57

Invasive

Procedures

Gastroenterol

ogy

MINOR

MISCELLANEOUS

17

58

Invasive

Procedures

Gastroenterol

ogy

MINOR PAPILLA

CANULATION

17

59

Invasive

Procedures

Gastroenterol

ogy

MINOR PAPPULA

STENTING/SPHINCT

ERCCTOMY

17

60

Invasive

Procedures

Gastroenterol

ogy MULTI BAND COOK

17

61

Invasive

Procedures

Gastroenterol

ogy

NASOJEJUNAL TUBE

PLACEMENT

17

62

Invasive

Procedures

Gastroenterol

ogy PEG SET

17

63

Invasive

Procedures

Gastroenterol

ogy

PER OPERATIVE

ENTEROSCOPY

17

64

Invasive

Procedures

Gastroenterol

ogy

PILL-CAM

ENDOSCOPY

17

65

Invasive

Procedures

Gastroenterol

ogy

PLASTIC BILLIARY

STENTS ALL SIZES

17

66

Invasive

Procedures

Gastroenterol

ogy PRE CUTTING

17

67

Invasive

Procedures

Gastroenterol

ogy

SINGLE VESSEL

DOPLER(LT)

17

68

Invasive

Procedures

Gastroenterol

ogy

SPYGLASS(INTERME

DIATE)

17

69

Invasive

Procedures

Gastroenterol

ogy SPYGLASS(MAJOR)

17

70

Invasive

Procedures

Gastroenterol

ogy SPYGLASS(SMALL)

17

71

Invasive

Procedures

Gastroenterol

ogy

CELLVIZIO PROBE

(SMALL)

17

72

Invasive

Procedures

Gastroenterol

ogy

CELLVIZIO PROBE

(LARGE)

17

73

Invasive

Procedures Nephrology

PERMACATH

INSERTION

17

74

Invasive

Procedures

Gastroenterol

ogy

SMALL BOWEL

ENTEROSCOPE

17

75

Invasive

Procedures Radiology

PROC. CHG:NERVE

BLOCK

17

76

Invasive

Procedures

Gastroenterol

ogy

EMBOLIZATION COIL

MWCE-35-55

17

77

Invasive

Procedures

Ophthalmolog

y

CAUTERISATION OF

EYELASHES IN

TRICHIASIS (SINGLE

EYE)-INTERMEDIATE

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17

78

Invasive

Procedures Medical PROC.CHG.TIPS

17

79

Invasive

Procedures

Anaesthesiolo

gy

CARDIAC

ANASTHESIST-SPL

17

80

Invasive

Procedures

Anaesthesiolo

gy SIDATION

17

81

Invasive

Procedures Critical Care

PCHG: CENTRAL

LINE

17

82

Invasive

Procedures Critical Care INTUBATION

17

83

Invasive

Procedures Critical Care CHEST DRAIN

17

84

Invasive

Procedures Critical Care

PERICARDIOCENTESI

S

17

85

Invasive

Procedures Critical Care

ABDOMINAL

PARACENTE

17

86

Invasive

Procedures

Emergency

Medical

Services

ABCESS DRN/ASP-

MAJOR

17

87

Invasive

Procedures

Emergency

Medical

Services

ABCESS DRN/ASP-

MINOR

17

88

Invasive

Procedures

Emergency

Medical

Services

SUTURING-

MAJ(+8HRS)

17

89

Invasive

Procedures

Emergency

Medical

Services

SUTURING-MIN(-

8HRS)

17

90

Invasive

Procedures Critical Care

TEMPORARY

PACING

17

91

Invasive

Procedures

Others

Cardiology

CATH LAB

CHARGE(30 MINS)

17

92

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (1 HR)

17

93

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (2 HRS)

17

94

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (3 HRS)

17

95

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (4 HRS)

17

96

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (5 HRS)

17

97

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (30 MINS)

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17

98

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (1.5 HR)

17

99

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (2.5 HRS)

18

00

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (3.5 HRS)

18

01

Invasive

Procedures

Others

Cardiology

EXTRA CATHLAB

CHG (4.5 HRS)

18

02

Invasive

Procedures Critical Care ARTERIAL LINE

18

03

Invasive

Procedures Critical Care

CENTRAL VENOUS

CATHET

18

04

Invasive

Procedures Critical Care

CCG ENDO

TRACHEAL INTUBAT

18

05

Invasive

Procedures Critical Care

CCG-SWEN-GANZ

CATHETERIZ

18

06

Invasive

Procedures Critical Care

CCG-

BRONCHOSCOPY

18

07

Invasive

Procedures Critical Care

CCG-LUMBER

PUNCTURE

18

08

Invasive

Procedures Critical Care

CCG-ABDOMINAL

PERECENTESI

18

09

Invasive

Procedures Critical Care

CCG-

THORACENTESIS

18

10

Invasive

Procedures Critical Care

CCG-CHEST TUBE

INSERTION

18

11

Invasive

Procedures Critical Care

CCG-TEMPORARY

TRANS-VENOS

18

12

Invasive

Procedures Critical Care

CCG-

PERICARDIOCENTESI

S

18

13

Invasive

Procedures Critical Care

PCHG: LUMBER

PUNCTURE

18

14

Invasive

Procedures Critical Care PLEURAL TAP

18

15

Invasive

Procedures Critical Care

SUPRAPUBIC

CATHETERN

18

16

Invasive

Procedures Critical Care

SWEN GANZ

CATHETERN

18

17

Invasive

Procedures Critical Care CPAP TITRATION

18

18

Invasive

Procedures Critical Care

PCHG:STITCH

CUTTING

18

19

Invasive

Procedures Critical Care PCHG:CUT DOWN

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18

20

Invasive

Procedures Critical Care PCHG:C.V.P

18

21

Invasive

Procedures Critical Care

PCHG:DRAIN

REMOVAL

18

22

Invasive

Procedures Critical Care

PCHG: INFUSION

INJECTION

18

23

Invasive

Procedures Critical Care

FUEL -CENTRAL

VENOUS CATHET

18

24

Invasive

Procedures Critical Care

VASOSPASM

MONITORING (FIRST

TIME ALL FIVE

BUNDLE)

18

25

Invasive

Procedures Critical Care

REPEAT

VASOSPASM

MONITORING

18

26

Invasive

Procedures Dermatology

COHERENT

SURGICAL SCARS

18

27

Invasive

Procedures Dermatology

COHERENT ANTI

AGEING

18

28

Invasive

Procedures Dermatology

COHERENT OPEN

POES

18

29

Invasive

Procedures Dermatology

COHERENT

ENLARGED PORES

18

30

Invasive

Procedures Dermatology

COHERENT HAIR

GROWTH/LOSS

18

31

Invasive

Procedures Dermatology

COHERENT STRETCH

MARK

18

32

Invasive

Procedures Dermatology SEROMA REMOVAL

18

33

Invasive

Procedures Dermatology

DOUBLE SURFACE

PHOTHERAPY

18

34

Invasive

Procedures

Food and

Beverages DIET CHART

18

35

Invasive

Procedures

Emergency

Medical

Services

RAPID CARDIAC

DIAGNOS

18

36

Invasive

Procedures

Emergency

Medical

Services

RESACITATION

CHARGE

18

37

Invasive

Procedures

Emergency

Medical

Services

EMG DOC TEAM

KOL(1HR)

18

38

Invasive

Procedures

Emergency

Medical

Services

EQUIP AMBULANCE

UPTO 3KM

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18

39

Invasive

Procedures

Emergency

Medical

Services

EQUIP AMBULANCE

O2/HR

18

40

Invasive

Procedures

Emergency

Medical

Services

EQUIP AMBULANCE

SYRINGE PUMP/HR

18

41

Invasive

Procedures

Emergency

Medical

Services

EQUIP AMBULANCE

VENTILATOR

CHARGE/HR

18

42

Invasive

Procedures

Emergency

Medical

Services

ABDOMINAL

PERECENTESIS

18

43

Invasive

Procedures

Emergency

Medical

Services

ACUTE CHEST PAIN

PACKAGE

18

44

Invasive

Procedures

Emergency

Medical

Services

RAPID CARDIAC

DIAGNOSTIC

READING

18

45

Invasive

Procedures

Emergency

Medical

Services

OXYGEN

CHARGE(1ST HR)

18

46

Invasive

Procedures

Emergency

Medical

Services

OXYGEN CHARGE

(NEXT HR)

18

47

Invasive

Procedures

Emergency

Medical

Services

PROC CHG-CSSD

(MINOR)

18

48

Invasive

Procedures

Emergency

Medical

Services

VENTILLATOR

CHARGE (1ST HR)

18

49

Invasive

Procedures

Emergency

Medical

Services

VENTILLATOR

CHARGE (ADDL

HOUR)

18

50

Invasive

Procedures

Emergency

Medical

Services

STRLZN CHG SMALL

SET

18

51

Invasive

Procedures

Emergency

Medical

Services

STRLZN CHG LARGE

SET

18

52

Invasive

Procedures

Emergency

Medical

Services

DISITAL NERVE

BLOCK

18

53

Invasive

Procedures

Emergency

Medical

Services

FOREIGN BODY

REMOVAL -EYE

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18

54

Invasive

Procedures

Emergency

Medical

Services

CONT GLUCOSE

MONTRNG

18

55

Invasive

Procedures Medical

CBG MONITORING

CHARGE*

18

56

Invasive

Procedures

Gastroenterol

ogy

DILATATION (

STRICTUR

18

57

Invasive

Procedures

Gastroenterol

ogy

ACHALASIA CARDIA

DILA

18

58

Invasive

Procedures

Gastroenterol

ogy

NASOBILIARY

DRAINAGE

18

59

Invasive

Procedures

Gastroenterol

ogy

CRE BALLOON

DILATATIO

18

60

Invasive

Procedures

Gastroenterol

ogy

CASSETE

RECORDING

18

61

Invasive

Procedures

Gastroenterol

ogy

ENTONOX GAS

CHARGES

18

62

Invasive

Procedures

Gastroenterol

ogy

GAS ANAE DOUBLE

BALLON

18

63

Invasive

Procedures

Gastroenterol

ogy

SB TUBE

PLACEMENT

18

64

Invasive

Procedures

Gastroenterol

ogy

JEJUNAL TUBE

PLACEM

18

65

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE-

SHORT

18

66

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE

SHORT (BS)

18

67

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE

MEDM

18

68

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE

MEDM (BS)

18

69

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE

LARGE

18

70

Invasive

Procedures

Gastroenterol

ogy

ANEA CHARGE

LARGE (BS)

18

71

Invasive

Procedures

Gastroenterol

ogy

EMG

CHARGE(SMALL)

18

72

Invasive

Procedures

Gastroenterol

ogy

EMG CHARGE

(LARGE)

18

73

Invasive

Procedures

Gastroenterol

ogy AMPULLECTOMY

18

74

Invasive

Procedures

Gastroenterol

ogy

PL BLRY STNTS ALL

SZS

18

75

Invasive

Procedures

Gastroenterol

ogy DIAGNOSTIC EUS

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18

76

Invasive

Procedures

Gastroenterol

ogy

CAPSUL

ENTEROSCOPY

18

77

Invasive

Procedures

Gastroenterol

ogy

SURGEONS

FEE(LARGE)

18

78

Invasive

Procedures

Gastroenterol

ogy

SURGIONS FEE

(MIDIUM)

18

79

Invasive

Procedures

Gastroenterol

ogy

SURGIONS

FEE(SHORT)

18

80

Invasive

Procedures

Gastroenterol

ogy

ABDOMINAL

PARECENTESIS

18

81

Invasive

Procedures

Gastroenterol

ogy

INTRAGASTIC

BALLOON

IMPLANTATION

18

82

Invasive

Procedures

Gastroenterol

ogy

OVESCO CLIPPING

(SMALL)

18

83

Invasive

Procedures

Gastroenterol

ogy

OVESCO CLIPPING

(MEDIUM)

18

84

Invasive

Procedures

Gastroenterol

ogy

OVESCO CLIPPING

(LARGE)

18

85

Invasive

Procedures

Gastroenterol

ogy EMR/ESD (SMALL)

18

86

Invasive

Procedures

Gastroenterol

ogy

EMR/ESD

(MEDIUM)

18

87

Invasive

Procedures

Gastroenterol

ogy EMR/ESD (LARGE)

18

88

Invasive

Procedures

Gastroenterol

ogy

BILIARY RFA

(SMALL)

18

89

Invasive

Procedures

Gastroenterol

ogy BILIARY RFA (LARGE)

18

90

Invasive

Procedures

Gastroenterol

ogy BILIARY RFA PROB

18

91

Invasive

Procedures

Gastroenterol

ogy BAND STANDARD

18

92

Invasive

Procedures

Gastroenterol

ogy

INTRAGASTRIC

BALLOON

18

93

Invasive

Procedures

Gastroenterol

ogy

DILATATION

(STRICTUR) (BS)

18

94

Invasive

Procedures

Gastroenterol

ogy

ACHALASIA CARDIA

DILA (BS)

18

95

Invasive

Procedures

Gastroenterol

ogy

NASOBILIARY

DRAINAGE (BS)

18

96

Invasive

Procedures

Gastroenterol

ogy

HEMOSTATIC CLIP

(BS)

18

97

Invasive

Procedures

Gastroenterol

ogy

INJECTION

HEMOSTATIS (BS)

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18

98

Invasive

Procedures

Gastroenterol

ogy

CASSETE

RECORDING (BS)

18

99

Invasive

Procedures

Gastroenterol

ogy

PAPILLA CANNU

MINOR (BS)

19

00

Invasive

Procedures

Gastroenterol

ogy

PAPPU STNT

SPINGT(M) (BS)

19

01

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPY KIT

CHG (BS)

19

02

Invasive

Procedures

Obstretics &

Gynaecology

PCHG:NORMAL

DELIVERY SET

19

03

Invasive

Procedures

Obstretics &

Gynaecology

PCHG: LUCS ATTND

(N)

19

04

Invasive

Procedures

Obstretics &

Gynaecology

PCHG: LUCS ATTND

(N) EMG

19

05

Invasive

Procedures

Obstretics &

Gynaecology

PCHG: LUCS ATTND

(C)

19

06

Invasive

Procedures

Obstretics &

Gynaecology

PCHG: LUCS ATTND

(C) EMG

19

07

Invasive

Procedures

Emergency

Medical

Services

FACIAL WOUND

STRICTURE

19

08

Invasive

Procedures

Emergency

Medical

Services

FOCUSED

EVALUATION IN LIFE

SUPPORT

19

09

Invasive

Procedures Nephrology NEP-PROC.CHARGE

19

10

Invasive

Procedures Urology LITHOTRIPSY PKG I

19

11

Invasive

Procedures Urology LITHOTRYPSY PKG II

19

12

Invasive

Procedures Urology LITHOTRYPSY PKG III

19

13

Invasive

Procedures Urology

LITHOTRYPSY PKG

IV

19

14

Invasive

Procedures Urology LITHOTRYPSY PKG V

19

15

Invasive

Procedures Nephrology CRRT PROCEDURE

19

16

Invasive

Procedures Urology

LITHOTRIPSY

STONE-LARGE

19

17

Invasive

Procedures Urology

LITHOTRIPSY

STONE-SMALL

19

18

Invasive

Procedures Urology

SUPRAPUBIC

CYSTOSTOMY

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19

19

Invasive

Procedures Neurology

PERSONALITY

DVLPMNT T

19

20

Invasive

Procedures Neurology

COUNCELLING &

THERAPY

19

21

Invasive

Procedures Neurology

PERSONALITY & IQ

CHLD

19

22

Invasive

Procedures Neurology

SPL EDU

ASSESMENT

19

23

Invasive

Procedures Neurology

SPL EDUCATION

PACKAGE

19

24

Invasive

Procedures Neurology

COUNSL OF INH

PATIENT

19

25

Invasive

Procedures Neurology

M/N BLK WITH EMG

BIO

19

26

Invasive

Procedures Neurology NCG CHARGE

19

27

Invasive

Procedures Neurology

EEG PROCEDURE

CHARGE

19

28

Invasive

Procedures Neurology THROMBOLYSIS

19

29

Invasive

Procedures

Ophthalmolog

y

BIOMETRY-CORP-

SINGLE

19

30

Invasive

Procedures

Ophthalmolog

y

BIOMETRY-

CORP(BOTH)

19

31

Invasive

Procedures

Ophthalmolog

y

CAUTERISATION OF

EYELASHES IN

TRICHIASIS (SINGLE

EYE) -

INTERMEDIATE

19

32

Invasive

Procedures Orthopaedics

PCHG:POP APPL

LOWER LIMB

19

33

Invasive

Procedures Orthopaedics

PCHG:POP APPL

UPPER LIMB

19

34

Invasive

Procedures Orthopaedics

PCHG:POP APPL

POP REMOVAL

19

35

Invasive

Procedures Orthopaedics

INTRA ARTICULAR

INJECTION

19

36

Invasive

Procedures

Ear Nose and

Throat

PCHG:TRACHEOSTO

MY

19

37

Invasive

Procedures

Pulmonary

Function Lab ICD

19

38

Invasive

Procedures

Pulmonary

Function Lab

INTERCOSTAL

DRAINAGE

19

39

Invasive

Procedures

Pulmonary

Function Lab THORACENTESIS

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19

40

Invasive

Procedures

Pulmonary

Function Lab THORACOSCOPY

19

41

Invasive

Procedures

Emergency

Medical

Services

WOUND STICH

19

42

Invasive

Procedures Urology

LITHOTRIPSY(STAGH

ORN)

19

43

Invasive

Procedures Urology

TRANS RECTAL

PROSTATE BIOPSY

19

44

Invasive

Procedures

Gastroenterol

ogy

SIGMOIDOSCOPY

(BS)

19

45

Invasive

Procedures

Gastroenterol

ogy

GASTROSTOMY (P E

G) (BS)

19

46

Invasive

Procedures

Gastroenterol

ogy

GLUE INJECTION

(BS)

19

47

Invasive

Procedures

Gastroenterol

ogy

ERCP DIAGNOSTIC

(BS)

19

48

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(METAL)(B

S)

19

49

Invasive

Procedures

Gastroenterol

ogy

24 HRS PH

METRY(BS)

19

50

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

(MINOR)(BS)

19

51

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

(MAJOR)(BS)

19

52

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(COL

ONIC)(BS)

19

53

Invasive

Procedures

Gastroenterol

ogy CD RECORDING(BS)

19

54

Invasive

Procedures

Gastroenterol

ogy

SCLEROTHERAPY(BS

)

19

55

Invasive

Procedures

Gastroenterol

ogy

RAPID UREASE

TEST(BS)

19

56

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY

LIMITED(BS)

19

57

Invasive

Procedures

Gastroenterol

ogy

PSEUDOCYST

DRAINAGE(BS)

19

58

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(UPP

ER GI)(BS)

19

59

Invasive

Procedures

Gastroenterol

ogy

MAJOR

MISCELLANEOUS(BS

)

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19

60

Invasive

Procedures

Gastroenterol

ogy

STONE

EXTRACTION(BS)

19

61

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY

FULL(BS)

19

62

Invasive

Procedures

Gastroenterol

ogy

SPHINCTEROTOMY(

BS)

19

63

Invasive

Procedures

Gastroenterol

ogy

UPPER

ENDOSCOPY(BS)

19

64

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC

BIOPSY(BS)

19

65

Invasive

Procedures

Gastroenterol

ogy

ESOPHAGEAL

PROSTHESIS(BS)

19

66

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(PLASTIC)(

BS)

19

67

Invasive

Procedures

Gastroenterol

ogy

UGI

MANOMETRY(BS)

19

68

Invasive

Procedures

Gastroenterol

ogy

LGI

MANOMETRY(BS)

19

69

Invasive

Procedures

Gastroenterol

ogy

LIVER

BIOPSY(GASTRO)(BS

)

19

70

Invasive

Procedures

Gastroenterol

ogy

ENTERAL METAL

STENT(BS)

19

71

Invasive

Procedures

Gastroenterol

ogy BAND LIGATION(BS)

19

72

Invasive

Procedures

Gastroenterol

ogy

BILIARY

BRUSHING(BS)

19

73

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC

FNAC(BS)

19

74

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC TUBE

PLACEMENT(BS)

19

75

Invasive

Procedures

Gastroenterol

ogy

MECHANICAL

LITHOTRIPSY(BS)

19

76

Invasive

Procedures

Gastroenterol

ogy

MINOR

MISCELLANEOUS(BS

)

19

77

Invasive

Procedures

Gastroenterol

ogy

NASOJEJUNAL TUBE

PLACEMENT(BS)

19

78

Invasive

Procedures

Gastroenterol

ogy

PER OPERATIVE

ENTEROSCOPY(BS)

19

79

Invasive

Procedures

Gastroenterol

ogy PRE CUTTING(BS)

19

80

Invasive

Procedures

Gastroenterol

ogy

GAS-BILIARY LASER

MAJOR

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19

81

Invasive

Procedures

Gastroenterol

ogy

GAS-BILIARY LASER

MEDIUM

19

82

Invasive

Procedures

Gastroenterol

ogy

GAS-BILIARY LASER

SMALL

19

83

Invasive

Procedures

Gastroenterol

ogy

GAS - ANESTHESIA

INTERVENTION

MAJOR

19

84

Invasive

Procedures

Gastroenterol

ogy

GAS - ANESTHESIA

INTERVENTION

MINOR

19

85

Invasive

Procedures Critical Care

VIVID IQ - I.V.C.

DIAMETER

MEASUREMENT

19

86

Invasive

Procedures Critical Care

VIVID IQ -

VISUALIZATION OF

BODY FLUID

COLLECTIONS

19

87

Invasive

Procedures Critical Care

VIVID IQ - CARDIO

VISUALIZATION

19

88

Invasive

Procedures Critical Care

VIVID IQ -

PULMONARY

ASSESSMENT

19

89

Invasive

Procedures Critical Care

VIVID IQ - CENTRAL

LINE

INTRODUCTION

19

90

Invasive

Procedures Critical Care

VIVID IQ - PLEURAL

FLUID TAPPING

(DIAGNOSTIC)

19

91

Invasive

Procedures Critical Care

VIVID IQ - PLEURAL

FLUID TAPPING

(THERAPUTIC)

19

92

Invasive

Procedures Critical Care

VIVID IQ -

PERICARDIAL FLUID

DRAINAGE

19

93

Invasive

Procedures Critical Care

VIVID IQ -

PERITONEAL FLUID

DRAINAGE

19

94

Invasive

Procedures Critical Care

VIVID IQ - RENAL

BIOPSY

19

95

Invasive

Procedures Critical Care

VIVID IQ - P.I.C.C

LINE

19

96

Invasive

Procedures Critical Care

VIVID IQ -

ULTRASOUND

GUIDED NERVE

BLOCK

19

97

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(METAL)

(KD)

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19

98

Invasive

Procedures

Gastroenterol

ogy

CAPSULE

ENDOSCOPY (KD)

19

99

Invasive

Procedures

Gastroenterol

ogy

PEG REPLACEMENT

SET (KD)

20

00

Invasive

Procedures

Gastroenterol

ogy

SIGMOIDOSCOPY

(KD)

20

01

Invasive

Procedures

Gastroenterol

ogy

GLUE INJECTION

(KD)

20

02

Invasive

Procedures

Gastroenterol

ogy

ERCP DIAGNOSTIC

(KD)

20

03

Invasive

Procedures

Gastroenterol

ogy

GASTROSTOMY (P E

G) (KD)

20

04

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

MAJOR KD

20

05

Invasive

Procedures

Gastroenterol

ogy

ARGON PLASMA

COAGULATION

(MINOR) (KD)

20

06

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(COL

ONIC) (KD)

20

07

Invasive

Procedures

Gastroenterol

ogy

FOREIGN BODY

EXTRACTION (KD)

20

08

Invasive

Procedures

Gastroenterol

ogy CD RECORDING (KD)

20

09

Invasive

Procedures

Gastroenterol

ogy

SCLEROTHERAPY

(KD)

20

10

Invasive

Procedures

Gastroenterol

ogy

NASOBILARY

DRAINAGE (KD)

20

11

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY

PLUS ILEOSCOPY

(KD)

20

12

Invasive

Procedures

Gastroenterol

ogy

CRE BALLON

DILATATION (BS)

(KD)

20

13

Invasive

Procedures

Gastroenterol

ogy

RAPID UREASE TEST

(KD)

20

14

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY

LIMITED (KD)

20

15

Invasive

Procedures

Gastroenterol

ogy

INJ HEMOSTASIS

(KD)

20

16

Invasive

Procedures

Gastroenterol

ogy

POLYPECTOMY(UPP

ER GI) (KD)

20

17

Invasive

Procedures

Gastroenterol

ogy

STONE EXTRACTION

(KD)

20

18

Invasive

Procedures

Gastroenterol

ogy

COLONOSCOPY FULL

(KD)

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20

19

Invasive

Procedures

Gastroenterol

ogy

SPHINCTEROTOMY

(KD)

20

20

Invasive

Procedures

Gastroenterol

ogy PEG REMOVAL (KD)

20

21

Invasive

Procedures

Gastroenterol

ogy

UPPER ENDOSCOPY

(KD)

20

22

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC

BIOPSY (KD)

20

23

Invasive

Procedures

Gastroenterol

ogy

ESOPHAGEAL

PROSTHESIS (KD)

20

24

Invasive

Procedures

Gastroenterol

ogy

BILIARY

PANCREATIC

STENTING(PLASTIC)

(KD)

20

25

Invasive

Procedures

Gastroenterol

ogy

LIVER

BIOPSY(GASTRO)(KD

)

20

26

Invasive

Procedures

Gastroenterol

ogy

GASTROSCOPY

DIAGNOSTIC (KD)

20

27

Invasive

Procedures

Gastroenterol

ogy

ENTERAL METAL

STENT (KD)

20

28

Invasive

Procedures

Gastroenterol

ogy

BAND LIGATION

(KD)

20

29

Invasive

Procedures

Gastroenterol

ogy

BILIARY BRUSHING

(KD)

20

30

Invasive

Procedures

Gastroenterol

ogy

DIATATATION(STRIC

TURE) (KD)

20

31

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC TUBE

PLACEMENT (KD)

20

32

Invasive

Procedures

Gastroenterol

ogy

GAS-RADIAL JAW 4

LARGE CAPACITY

WITH NEEDLE 240

CM (KD)

20

33

Invasive

Procedures

Gastroenterol

ogy

GLUE INJECTOR

NEEDLE (KD)

20

34

Invasive

Procedures

Gastroenterol

ogy

HEMOSTASIS BY

GOLD PROBE (KD)

20

35

Invasive

Procedures

Gastroenterol

ogy

HEMOSTATIC CLIP

PROCEDURE (KD)

20

36

Invasive

Procedures

Gastroenterol

ogy

MECHANICAL

LITHOTRIPSY (KD)

20

37

Invasive

Procedures

Gastroenterol

ogy

MINOR PAPILLA

CANULATION (KD)

20

38

Invasive

Procedures

Gastroenterol

ogy

MINOR PAPPULA

STENTING/SPHINCT

ERCCTOMY (KD)

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20

39

Invasive

Procedures

Gastroenterol

ogy

MULTI BAND COOK

(KD)

20

40

Invasive

Procedures

Gastroenterol

ogy

PILL-CAM

ENDOSCOPY (KD)

20

41

Invasive

Procedures

Gastroenterol

ogy PEG SET (KD)

20

42

Invasive

Procedures

Gastroenterol

ogy

PER OPERATIVE

ENTEROSCOPY (KD)

20

43

Invasive

Procedures

Gastroenterol

ogy

PLASTIC BILLIARY

STENTS ALL SIZES

(KD)

20

44

Invasive

Procedures

Gastroenterol

ogy

PL BLRY STNTS ALL

SZS (KD)

20

45

Invasive

Procedures

Gastroenterol

ogy PRE CUTTING (KD)

20

46

Invasive

Procedures

Gastroenterol

ogy

ENDOSCOPIC FNAC

(KD)

20

47

Invasive

Procedures

Gastroenterol

ogy

GAS - UPPER GI

ANESTHESIA

20

48

Invasive

Procedures

Gastroenterol

ogy

GAS -

COLONOSCOPIC

ANESTHESIA

20

49

Invasive

Procedures

Gastroenterol

ogy

GAS - ENDO -

COLON / MEDIUM

ANESTHESIA

20

50

Invasive

Procedures

Gastroenterol

ogy

ERCP PLUS OTHER

LONG THERAPUTIC

PROCEDURES -

ANESTHESIA

20

51

Invasive

Procedures

Gastroenterol

ogy

ANAESTHESIA

CHARGES-

MODERATE

20

52

Invasive

Procedures

Vascular and

Non Vascular

Intervention

USG GUIDED FNAC

20

53

Invasive

Procedures

Vascular and

Non Vascular

Intervention

USG GUIDED

ASPIRATION

20

54

Invasive

Procedures

Vascular and

Non Vascular

Intervention

CT GUIDED FNAC

20

55

Invasive

Procedures

Vascular and

Non Vascular

Intervention

CT GUIDED

ASPIRATION

20

56

Invasive

Procedures

Vascular and

Non Vascular

Intervention

USG GUIDED BIOPSY

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20

57

Invasive

Procedures

Vascular and

Non Vascular

Intervention

CT GUIDED BIOPSY

20

58

Invasive

Procedures

Vascular and

Non Vascular

Intervention

USG GUIDED

CATHETHER

DRAINAGE

20

59

Invasive

Procedures

Vascular and

Non Vascular

Intervention

CT GUIDED

CATHETHER

DRAINAGE

20

60

Invasive

Procedures

Vascular and

Non Vascular

Intervention

PERCUTANEOUS

PROCEDURE MINOR

20

61

Invasive

Procedures

Vascular and

Non Vascular

Intervention

PERCUTANEOUS

PROCEDURE MAJOR

20

62

Invasive

Procedures

Ear Nose and

Throat

DISE (DRUG

INDUCED SLEEP

ENDOSCOPY)

20

63

Invasive

Procedures Radiology

FOAM SCELERO

THERAPY

20

64

Invasive

Procedures

Gastroenterol

ogy

GAS -

FLUOROSCOPY

20

65

Invasive

Procedures

Vascular and

Non Vascular

Intervention

USG GUIDED

ASPIRATION

(THERAPUTIC)

20

66

Non

Invasive

Procedure

Ear Nose and

Throat

PURE TONE

AUDIOMETRY

20

67

Non

Invasive

Procedure

Ear Nose and

Throat

SPECIAL TEST

BATTERY S1 S1

20

68

Non

Invasive

Procedure

General

Surgery DRAIN REMOVAL

20

69

Non

Invasive

Procedure

Ear Nose and

Throat

FIBREOPTIC

LARYNGOSCOPY

20

70

Non

Invasive

Procedure

Obstretics &

Gynaecology IUCD INSERTION

20

71

Non

Invasive

Procedure

Ophthalmolog

y

CORNEAL

PACHYMETRY

20

72

Non

Invasive

Procedure

Radiation

Oncology IMRT PACKAGE

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20

73

Non

Invasive

Procedure

Radiation

Oncology 3D CRT PACKAGE

20

74

Non

Invasive

Procedure

Blood Bank - 1

Products

PLATELET CONCENT

: PROC. CHARGES

20

75

Non

Invasive

Procedure

Pulmonary

Function Lab BRONCHOSCOPY

20

76

Non

Invasive

Procedure

Ophthalmolog

y

BIOMETRY(SINGLE

EYE)

20

77

Non

Invasive

Procedure

Dermatology SKIN BIOPSY

20

78

Non

Invasive

Procedure

Emergency

Medical

Services

CHEST TUBE

INSERTION

20

79

Non

Invasive

Procedure

Nephrology JUGULAR

CATHETERIZATION

20

80

Non

Invasive

Procedure

Urology URODYNAMIC

STUDY

20

81

Non

Invasive

Procedure

Radiation

Oncology SRS PACKAGE

20

82

Non

Invasive

Procedure

Radiation

Oncology SRT PACKAGE

20

83

Non

Invasive

Procedure

Neurology IQ ASSESSMENT

20

84

Non

Invasive

Procedure

Blood Bank - 1

Products

APHAERESIS

PLATELET:PROC.CH

G

20

85

Non

Invasive

Procedure

Nephrology CRRT PROCEDURE

CHARGES

20

86

Non

Invasive

Procedure

Nephrology PERITONEAL

DIALYSIS INITIATION

20

87

Non

Invasive

Procedure

Nephrology HAEMODIALYSIS

(SINGLE USE)

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20

88

Non

Invasive

Procedure

Blood Bank - 1

Products

CRYOPRECIPITATE:

PROC. CHARGES

20

89

Non

Invasive

Procedure

Blood Bank - 1

Products

FRESH FROZEN

PLASMA- BLOOD

UNITS

20

90

Non

Invasive

Procedure

Nephrology SUBCLAVIAN

CATHETERISATION

20

91

Non

Invasive

Procedure

CARDIOLOGY CARDIOVERSION

20

92

Non

Invasive

Procedure

Emergency

Medical

Services

PROC CHG-RYL''S

TUBE INSERTION

20

93

Non

Invasive

Procedure

Urology UROFLOWMETRY

20

94

Non

Invasive

Procedure

Blood Bank - 1

Products

PACKED RED BLOOD

CELL(PRBC) : PROC.

CHARGES

20

95

Non

Invasive

Procedure

Blood Bank - 1

Products AUTOLOGUS PRP

20

96

Non

Invasive

Procedure

Radiation

Oncology

RAPID ARC WITH

IMRT RATE

PACKAGE

20

97

Non

Invasive

Procedure

Urology PROSTATE BIOPSY

20

98

Non

Invasive

Procedure

CARDIOLOGY

HD7XE

ECHOCARDIOGRAPH

Y

20

99

Non

Invasive

Procedure

Emergency

Medical

Services

FAST SCAN

21

00

Non

Invasive

Procedure

Critical Care IVC FILLING

21

01

Non

Invasive

Procedure

Medical NEBULIZER

THERAPY

21

02

Non

Invasive

Procedure

Urology FOLEYS

CATHETERIZATION

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21

03

Non

Invasive

Procedure

Radiation

Oncology 3 D PLANNING

21

04

Non

Invasive

Procedure

Nephrology HAEMODIALYSIS

21

05

Non

Invasive

Procedure

Dermatology COHERENT ACNE

SCARS

21

06

Non

Invasive

Procedure

Emergency

Medical

Services

ARTERIAL LINE

21

07

Non

Invasive

Procedure

Urology URETHRAL

DILATATION

21

08

Non

Invasive

Procedure

Ear Nose and

Throat

ENT-TINNITUS

RETRAINING

THERAPY

21

09

Non

Invasive

Procedure

Neurology

LUMBER PUNCTURE

PROCEDURE

CHARGE

21

10

Non

Invasive

Procedure

Blood Bank - 1

Products

APHERESIS DONOR

SCREENING BY

ELISA/ECI AND NAT

21

11

Non

Invasive

Procedure

Urology LITHOTRIPSY STONE

LESS THAN 1 CM

21

12

Non

Invasive

Procedure

Obstretics &

Gynaecology

PROC CHG-H.S.G

SET

21

13

Non

Invasive

Procedure

Neurology ICP SCREENING

21

14

Non

Invasive

Procedure

Neurology VIDEO EEG 24 HRS

21

15

Non

Invasive

Procedure

Pulmonary

Function Lab

ICU

BRONCHOSCOPY

21

16

Non

Invasive

Procedure

Blood Bank - 1

Products

NAT-SCREENING

TEST-CORDLIFE

21

17

Non

Invasive

Procedure

Ophthalmolog

y

BIOMETRY(BOTH

EYE)

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21

18

Non

Invasive

Procedure

Ear Nose and

Throat SPEECH THERAPY

21

19

Non

Invasive

Procedure

Ear Nose and

Throat SRT/SDS

21

20

Non

Invasive

Procedure

Ear Nose and

Throat

SWALLOWING

ASSESSMENT

21

21

Non

Invasive

Procedure

Ear Nose and

Throat

SWALLOWING

THERAPY

21

22

Non

Invasive

Procedure

Ear Nose and

Throat TONE DECAY TEST

21

23

Non

Invasive

Procedure

Ear Nose and

Throat

TYMPANOMETRY(DI

AGNOSTIC)

21

24

Non

Invasive

Procedure

Ear Nose and

Throat STROBOSCOPY

21

25

Non

Invasive

Procedure

Pulmonary

Function Lab

PAED

BRONCHOSCOPY

21

26

Non

Invasive

Procedure

Pulmonary

Function Lab

THERAPEUTIC ICU

BRONCHOSCOPY

21

27

Non

Invasive

Procedure

Dermatology

PHOTOTHERAPY

(NARROW BAND

UVB)

21

28

Non

Invasive

Procedure

Dermatology PHOTOTHERAPY

(PUVA)

21

29

Non

Invasive

Procedure

Oncology

Medical PBSC HARVEST

21

30

Non

Invasive

Procedure

Radiation

Oncology

SRT SINGLE

FRACTION

21

31

Non

Invasive

Procedure

Radiation

Oncology

3D-CRT SINGLE

FRACTION

21

32

Non

Invasive

Procedure

Radiation

Oncology

ELECTRON BEAM

THERAPY /

FRACTION

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21

33

Non

Invasive

Procedure

Radiation

Oncology RT- IGRT PACKAGE

21

34

Non

Invasive

Procedure

Radiation

Oncology

RT- IGRT SINGLE

FRACTION

21

35

Non

Invasive

Procedure

Radiation

Oncology

INTRA CAVITARY

BRACHYTHERAPY /

SITTING

21

36

Non

Invasive

Procedure

Radiation

Oncology

PALLIATIVE

RADIATION SINGLE

FRACTION

21

37

Non

Invasive

Procedure

Radiation

Oncology

PRE-RADIATION

PROFILE

21

38

Non

Invasive

Procedure

Radiation

Oncology

RADICAL

BRACHYTHERAPY /

SITTING

21

39

Non

Invasive

Procedure

Radiation

Oncology

BRACHYTHERAPY

SURFACE MOULD

21

40

Non

Invasive

Procedure

Radiation

Oncology

CONVENTIONAL

RADIO THERAPY

PACKAGE

21

41

Non

Invasive

Procedure

Radiation

Oncology

CONVENTIONAL

RADIO THERAPY

SINGLE FRACTION

21

42

Non

Invasive

Procedure

Radiation

Oncology

IMRT SINGLE

FRACTION

21

43

Non

Invasive

Procedure

Radiation

Oncology

PALLIATIVE

RADIATION

THERAPY PACKAGE

21

44

Non

Invasive

Procedure

Paediatrics CDC-COUNCELLING

21

45

Non

Invasive

Procedure

Paediatrics CDC-PROCEDURE

BASIC

21

46

Non

Invasive

Procedure

Paediatrics CDC-PROCEDURE

COMPREHENSIVE

21

47

Non

Invasive

Procedure

Paediatrics CDC-PROCEDURE

DETAILED

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21

48

Non

Invasive

Procedure

Paediatrics CDC-PROCEDURE

REGULAR

21

49

Non

Invasive

Procedure

Blood Bank - 1

Products

PEDI PACK FFP

PROCESSING

CHARGE

21

50

Non

Invasive

Procedure

Blood Bank - 1

Products

PEDI-PACK

PRBC:PROC CHG

21

51

Non

Invasive

Procedure

Blood Bank - 1

Products

PLATLET RICH

PLASMA - PROC.

CHARGES

21

52

Non

Invasive

Procedure

Blood Bank - 1

Products

CRYO POOR

PLASMA(PROC

CHARGE)

21

53

Non

Invasive

Procedure

Blood Bank - 1

Products

GRANULOCYTE

CONC. : PROC.

CHARGES

21

54

Non

Invasive

Procedure

Neurology

POST

THROMBOLYSIS

MONITORING (1st

HR,2nd HR,24th HR)

21

55

Non

Invasive

Procedure

Neurology STOP PROTOCOL

21

56

Non

Invasive

Procedure

Neurology REPEAT VMR

21

57

Non

Invasive

Procedure

Neurology VASO MOTOR

REACTIVITY (VMR)

21

58

Non

Invasive

Procedure

Neurology BUBBLE STUDY

(PFO)

21

59

Non

Invasive

Procedure

Neurology

EMBOLI

MONITORNING/

REPEAT EMBOLI

MONITORING

21

60

Non

Invasive

Procedure

Neurology COMPLETE TCD

SCREENING

21

61

Non

Invasive

Procedure

Neurology INTRA CRANIAL TCD

SCREENING

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21

62

Non

Invasive

Procedure

Ear Nose and

Throat

AUDIOMETRY TEST

BATTERY

21

63

Non

Invasive

Procedure

Ear Nose and

Throat

EUSTACHIAN TUBE

FUNCTION TEST

21

64

Non

Invasive

Procedure

Gastroenterol

ogy

IMPEDENCE TEST

BATTERY

21

65

Non

Invasive

Procedure

Gastroenterol

ogy

LANGUAGE

THERAPY

21

66

Non

Invasive

Procedure

General

Medicine

NEW BORN

HEARING

SCREENING

21

67

Non

Invasive

Procedure

General

Surgery

OTHER AUDIOLOGIC

SPECIAL TEST

(EACH)

21

68

Non

Invasive

Procedure

Ear Nose and

Throat

OTOACOUSTIC

ESTIMATION(OAE)

21

69

Non

Invasive

Procedure

Neonatology VOICE ASSESSMENT

21

70

Non

Invasive

Procedure

Neurology

VOICE

THEPAPY/SPEECH

THERAPY

21

71

Non

Invasive

Procedure

Neurology

AMBULATORY

ELECTRO

ENCEPHALOGRAPHY

21

72

Non

Invasive

Procedure

Neurology BAER STUDY

21

73

Non

Invasive

Procedure

Neurology EMG-FACIAL

21

74

Non

Invasive

Procedure

Neurology NCV+EMG-FACIAL

21

75

Non

Invasive

Procedure

Neurology CONDUCTION

BLOCK PROTOCOL

21

76

Non

Invasive

Procedure

Neurology CSF DRAINAGE

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21

77

Non

Invasive

Procedure

Neurology EEG CHARGE FOR

VENDOR

21

78

Non

Invasive

Procedure

Neurology

NEURO

PSYCHOLOGICAL

TEST(II)

21

79

Non

Invasive

Procedure

Neurology SPNICTER-EMG

21

80

Non

Invasive

Procedure

Neurology SSEP (LOWER

LIMBS)

21

81

Non

Invasive

Procedure

Neurology SSEP - UPPER LIMB

21

82

Non

Invasive

Procedure

Paediatrics DEVELOPMENTAL

ASSESSMENT

21

83

Non

Invasive

Procedure

Pulmonary

Function Lab

INTRA PLEURAL

INJECTION

21

84

Non

Invasive

Procedure

Ophthalmolog

y

OPTH-

Pachymetry(Single

eye)

21

85

Non

Invasive

Procedure

Dermatology SINGLE SURFACE

PHOTOTHERAPY

21

86

Non

Invasive

Procedure

General

Surgery STOMA THERAPY

21

87

Non

Invasive

Procedure

General

Surgery

STOMA THERAPY-

SN

21

88

Non

Invasive

Procedure

General

Surgery STOMA THERAPY-BS

21

89

Non

Invasive

Procedure

General

Surgery

STOMA THERAPY-

PSB

21

90

Non

Invasive

Procedure

Blood Bank - 1

Products

THERAPEUTIC

PLATELETPHERESIS

21

91

Non

Invasive

Procedure

Blood Bank - 1

Products

BLOOD UNITS

CRYOPRECIPITATE -

SERVICE CHARGE

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21

92

Non

Invasive

Procedure

Blood Bank - 1

Products

BLOOD UNITS

GRANULOCYTE

CONC. SERVICE

CHARGES

21

93

Non

Invasive

Procedure

Emergency

Medical

Services

PROC CHG-

CARDIOVERSION

21

94

Non

Invasive

Procedure

Emergency

Medical

Services

PROC CHG-

ARTERIAL LINE

21

95

Non

Invasive

Procedure

Others

Cardiology

PACING CABL

INSERTN

21

96

Non

Invasive

Procedure

Critical Care

TELE-MEDICINE-

INTENSIVE CARE

PATIENTS

21

97

Non

Invasive

Procedure

Critical Care

TELE-MEDICINE-

INPATIENT

MANAGEMENT/2ND

OPINION

21

98

Non

Invasive

Procedure

Critical Care SPCL ATTENDANT

CHG(12HRS)

21

99

Non

Invasive

Procedure

Critical Care SPCL ATTENDANT

CHG(24HRS)

22

00

Non

Invasive

Procedure

Emergency

Medical

Services

NON-EQUIP

AMBULANCE UPTO

3KM

22

01

Non

Invasive

Procedure

Emergency

Medical

Services

SMALL EQUIP

AMBULANCE UPTO

10KM

22

02

Non

Invasive

Procedure

Emergency

Medical

Services

EQUIP AMBULANCE

MONITOR CHARGE

/HR

22

03

Non

Invasive

Procedure

Emergency

Medical

Services

EQUIP AMBULANCE

/ KM AFTER 3KM

22

04

Non

Invasive

Procedure

Emergency

Medical

Services

NON-EQUIP

AMBULANCE / KM

AFTER 3KM

22

05

Non

Invasive

Procedure

Emergency

Medical

Services

SMALL EQUIP

AMBULANCE / KM

AFTER 10KM

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22

06

Non

Invasive

Procedure

Emergency

Medical

Services

DOCTORS TEAM-

POOL OUTSIDE

KOLKATA (1ST HR)

22

07

Non

Invasive

Procedure

Emergency

Medical

Services

DOCTOR WITH

VENTILLATOR IN

KOLKATA

22

08

Non

Invasive

Procedure

Emergency

Medical

Services

DOCTOR WITH

VENTILLATOR

OUTSIDE KOLKATA

22

09

Non

Invasive

Procedure

Emergency

Medical

Services

DOCTORS TEAM-

POOL OUTSIDE

KOLKATA (ADDL HR)

22

10

Non

Invasive

Procedure

Emergency

Medical

Services

DOCTOR TEAM

POOL IN KOLKATA

(ADDL HR)

22

11

Non

Invasive

Procedure

Oncology

Medical

CHEMO LOW INCL

SPL CHARGE

22

12

Non

Invasive

Procedure

Oncology

Medical

CHEMO HGH INCL

SPL CHARGE

22

13

Non

Invasive

Procedure

Operation

Theatre

STERLZTN CH-

MINOR OT CONS*

22

14

Non

Invasive

Procedure

Operation

Theatre

STERLZTN CH-

MAJOR OT CONS*

22

15

Non

Invasive

Procedure

Ear Nose and

Throat

IMPEDENCE

AUDIOMETRY

22

16

Non

Invasive

Procedure

Ear Nose and

Throat

SHORT INCREMNT

(SISI)

22

17

Non

Invasive

Procedure

Ear Nose and

Throat

PEAD AUDIO

ASSESSMENT

22

18

Non

Invasive

Procedure

Ear Nose and

Throat

ACOUSTIC REFLEX

DECAY

22

19

Non

Invasive

Procedure

Ear Nose and

Throat HEARING AID TRIAL

22

20

Non

Invasive

Procedure

Ear Nose and

Throat PTA

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22

21

Non

Invasive

Procedure

Ear Nose and

Throat

ABR (THRESHHOLD

EST.)

22

22

Non

Invasive

Procedure

Ear Nose and

Throat IMP AUDIOMETRY

22

23

Non

Invasive

Procedure

Ear Nose and

Throat

SPEECH &

LANGUAGE ASS

22

24

Non

Invasive

Procedure

Ear Nose and

Throat AEP

22

25

Non

Invasive

Procedure

Ear Nose and

Throat ASSR

22

26

Non

Invasive

Procedure

Ear Nose and

Throat D.P.O.A.E

22

27

Non

Invasive

Procedure

Ear Nose and

Throat PRAAT ASSESSMENT

22

28

Non

Invasive

Procedure

Ear Nose and

Throat

SPEECH

AUDIOMETRY TES

22

29

Non

Invasive

Procedure

Ear Nose and

Throat E.N.G

22

30

Non

Invasive

Procedure

Ear Nose and

Throat BOA

22

31

Non

Invasive

Procedure

Ear Nose and

Throat

NASAL FLEXIBLE

FIBREOPTIC

ENDOSCOPY

22

32

Non

Invasive

Procedure

Ear Nose and

Throat

FLEXIBLE

FIBREOPTIC

LARYNGOSCOPY

22

33

Non

Invasive

Procedure

Ear Nose and

Throat

NASAL PACKING

CHARGE

22

34

Non

Invasive

Procedure

Paediatrics BIRTH CERTIFICATE*

22

35

Non

Invasive

Procedure

Paediatrics BIRTH

CERT(EXTRA)*

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22

36

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

KNEE ASSESSMENT

22

37

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

KNEE TRAINING /

SESSN

22

38

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

BLNC ASSESSMENT

22

39

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

BLNC TRAINING /

SESSN

22

40

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

BIOFEEDBK

ASSESSMENT

22

41

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

BIOFEEDBK

TRAINING

22

42

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

BIOFEEDBK

BLOCK/PART

22

43

Non

Invasive

Procedure

Physiotherapy

and Rehab

Center

PHYSIOTHERAPY

22

44

Non

Invasive

Procedure

Psychiatry PSYCHOMETRY

22

45

Non

Invasive

Procedure

Sleep Lab OBST SLEEP APNEA

22

46

Non

Invasive

Procedure

Emergency

Medical

Services

STERLZTN CH-BURN

DR-MAJOR*

22

47

Non

Invasive

Procedure

Emergency

Medical

Services

STERLZTN CH-BURN

DR-MINOR*

22

48

Non

Invasive

Procedure

Emergency

Medical

Services

BURN DRESSING

22

49

Non

Invasive

Procedure

Ophthalmolog

y

OPHTHAL -

REFRACTION

22

50

Non

Invasive

Procedure

ADMINISTRAT

ION

DIABETIC

RETINOPATHY

SCREEENING

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22

51

Non

Invasive

Procedure

ADMINISTRAT

ION

VPT/BIOTHESIOMET

ER

22

52

Non

Invasive

Procedure

ADMINISTRAT

ION VASCULAR DOPPLER

22

53

Non

Invasive

Procedure

ADMINISTRAT

ION PODIA SCAN

22

54

Non

Invasive

Procedure

Blood Bank - 1

Products

WHOLE HUMAN

BLOOD : PROC.

CHARGES

22

55

Non

Invasive

Procedure

Diabetics CGMS

22

56

Non

Invasive

Procedure

Diabetics

SUBCUTANEOUS

INSULIN INFUSION

THERAPY

22

57

Non

Invasive

Procedure

Ophthalmolog

y

I AND S OF

CHALAZION

22

58

Non

Invasive

Procedure

Orthopaedics

PLATELET RICH

PLASMA (PRP)

INJECTION THERAPY

22

59

Non

Invasive

Procedure

Gastroenterol

ogy

SINUS TRACT

ENDOSCOPY

(MINOR)

22

60

Non

Invasive

Procedure

Gastroenterol

ogy

SINUS TRACT

ENDOSCOPY

(MAJOR)

22

61

Non

Invasive

Procedure

Blood Bank - 1

Products

PLATELET

CROSSMATCH

22

62

Non

Invasive

Procedure

Gastroenterol

ogy GAS-TEG (MIN)

22

63

Non

Invasive

Procedure

Gastroenterol

ogy GAS-TEG (MAJ)

22

64

Non

Invasive

Procedure

Gastroenterol

ogy GAS - POEM MINOR

22

65

Non

Invasive

Procedure

Gastroenterol

ogy GAS - POEM MAJOR

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22

66

Non

Invasive

Procedure

Oncology

Medical

BMT BONE

MARROW BIOPSY

PROCEDURE

CHARGE

22

67

Non

Invasive

Procedure

Oncology

Medical

BMT INTRATHECAL

THERAPY

22

68

Non

Invasive

Procedure

Oncology

Medical

BMT HICKMAN LINE

INSERTION

22

69

Non

Invasive

Procedure

Oncology

Medical

BMT PICC LINE

INSERTION

22

70

Non

Invasive

Procedure

Oncology

Medical

BMT PROTOCOL

CHARGE AML

22

71

Non

Invasive

Procedure

Oncology

Medical

BMT SKIN BIOPSY

PROCEDURE

22

72

Non

Invasive

Procedure

Oncology

Medical

BMT PROTOCOL

CHARGE ALL

22

73

Non

Invasive

Procedure

Oncology

Medical

BMT

PROTOCOLCHARGE

LYMPHOMA

22

74

Non

Invasive

Procedure

Oncology

Medical

BMT PROTOCOL

MYELOMA

22

75

Non

Invasive

Procedure

Oncology

Medical

BMT PROTOCOL

CHARGE MISC

22

76

Non

Invasive

Procedure

Gastroenterol

ogy GCG-LEVEL-I

22

77

Non

Invasive

Procedure

Gastroenterol

ogy GCG-LEVEL-II

22

78

Non

Invasive

Procedure

Gastroenterol

ogy GCG-LEVEL-III

22

79

Non

Invasive

Procedure

Paediatrics

INTENSIVE

PHOTOTHERAPY

(BILISOFT)

22

80

Non

Invasive

Procedure

Gastroenterol

ogy

GAS-

COMPREHENSIVE

CONSULTATION

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PACKAGE (MAJOR)

22

81

Non

Invasive

Procedure

Gastroenterol

ogy

GAS-

COMPREHENSIVE

CONSULTATION

PACKAGE (NORMAL)

22

82

Non

Invasive

Procedure

Emergency

Medical

Services

CBG MONITORING

CHARGE/HOUR

22

83

Non

Invasive

Procedure

Pulmonary

Function Lab

BRONCHOSCOPIC

ARGON PLASMA

PROC

22

84

Non

Invasive

Procedure

Pulmonary

Function Lab

BRONCHOSCOPIC

SELF EXPNDBLE

METALIC STENT

PROC

22

85

Non

Invasive

Procedure

Obstretics &

Gynaecology

NUCAL

TRANSLUCENCY

SCAN - NT ONLY

22

86

Non

Invasive

Procedure

Obstretics &

Gynaecology

NUCAL

TRANSLUCENCY

SCAN - NT TWINS

ONLY

22

87

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL ANATOMY /

ANOMALY SCAN

22

88

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL ANATOMY /

ANOMALY SCAN

TWINS

22

89

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL WELLBEING

ASSESSMENT SCAN -

GROWTH /

DOPPLER FETAL

PROFILE

22

90

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL WELLBEING

ASSESSMENT SCAN -

GROWTH/DOPPLER

FETAL PROFILE

TWINS

22

91

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL SCAN

SCREENING

22

92

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL SCAN

SCREENING TWINS

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22

93

Non

Invasive

Procedure

Obstretics &

Gynaecology

FETAL

ECHOCARDIOGRAPH

Y

22

94

Non

Invasive

Procedure

Obstretics &

Gynaecology FETAL 4D USG

22

95

Non

Invasive

Procedure

Obstretics &

Gynaecology

COUNSELLING FOR

INVASIVE TEST

22

96

Non

Invasive

Procedure

Obstretics &

Gynaecology

EARLY PREGNANCY

TRANS - VAGINAL

SCANS

22

97

Non

Invasive

Procedure

Obstretics &

Gynaecology

COMBINED FIRST

TRIMESTER

SCREENING

22

98

Non

Invasive

Procedure

Psychiatry PSYCHOLOGICAL

ASSESSMENT

22

99

Non

Invasive

Procedure

CARDIOLOGY PACEMAKER/DEVIC

E CHECK-UP

23

00

Non

Invasive

Procedure

Critical Care CCG -

CONSULTATION

23

01

Non

Invasive

Procedure

Critical Care ECMO 10

23

02

Non

Invasive

Procedure

Ophthalmolog

y

PROC.CHG - BOTOX

INJ. (SINGLE EYE)

23

03

Non

Invasive

Procedure

Ophthalmolog

y

PROC.CHG - BOTOX

INJ. (BOTH EYES)

23

04

Non

Invasive

Procedure

Paediatrics

SPECIALIZED

DETAILED ADVISORY

CONSULTATION

23

05

Non

Invasive

Procedure

Neurology EEG - BEDSIDE PROC

23

06

Non

Invasive

Procedure

Critical Care RCCG -

CONSULTATION

23

07

Non

Invasive

Procedure

Cardiothoracic

& Vascular

Surgery

TRANSIENT TIME

FLOWMETRY (TTFM)

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23

08

Non

Invasive

Procedure

Blood Bank - 1

Products

Transfusion

Monitoring Charges

23

09

Non

Invasive

Procedure

Dermatology ANTI HAIR LOSS

THERAPY

23

10

Non

Invasive

Procedure

Dermatology SKIN BOOSTER

TREATMENT

23

11

Non

Invasive

Procedure

Dermatology

ANTI ACNE AND

LIGHTING

TREATMENT (KH)

23

12

Non

Invasive

Procedure

Dermatology

ANTI ACNE AND

LIGHTING

TREATMENT (KOJIC)

23

13

Non

Invasive

Procedure

Dermatology

EXFOLIATION

EFFECT TREATMENT

(TCA)

23

14

Non

Invasive

Procedure

Dermatology

LIFTING AND

LIGHTENING

TREATMENT

(ARGININE)

23

15

Non

Invasive

Procedure

Dermatology LIGHTENING EFFECT

TREATMENT (LIFT)

23

16

Non

Invasive

Procedure

Dermatology

IMPROVES SKIN

PHOTOAGING

THERAPY

(LIGHTENING)

23

17

Non

Invasive

Procedure

Dermatology

ADVANCED YELLOW

PEEL THERAPY

(TRYSES)

23

18

Non

Invasive

Procedure

Dermatology

CHEMICAL PEELING

THERAPY

(VEDAPEEL)

23

19

Non

Invasive

Procedure

Dermatology YELLOW PEEL

THERAPY (RETINOL)

23

20

Non

Invasive

Procedure

Dermatology

ANTI ACNE EFFECT

TREATMENT

(SALISALIC)

23

21

Non

Invasive

Procedure

Dermatology

GLOWING EFFECT

TREATMENT (VIT -

C)

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23

22

Non

Invasive

Procedure

Dermatology

ANTI ACNE AND

LIGHTING

TREATMENT

23

23

Non

Invasive

Procedure

Dermatology

ANTI ACNE

TREATMENT

(VEDASOL)

23

24

Non

Invasive

Procedure

Dermatology

COMBINATION

PEELING

TREATMENT

23

25

Non

Invasive

Procedure

FETAL

MEDICINE TRIPLETS ANATOMY

23

26

Non

Invasive

Procedure

FETAL

MEDICINE TRIPLETS GROWTH

23

27

Non

Invasive

Procedure

Paediatrics

CDC - INTIAL

DETAILED CDC

ASSESSMENT

23

28

Non

Invasive

Procedure

Paediatrics CDC - FOLLOW -UP

CDC ASSESSMENT

23

29

Non

Invasive

Procedure

Paediatrics CDC - MDT SESSION

23

30

Non

Invasive

Procedure

Paediatrics

CDC - INDIVIDUAL

COUNSELING

SESSION

23

31

Non

Invasive

Procedure

Paediatrics CDC - THERAPY

SESSION

23

32

Non

Invasive

Procedure

Health Check CDC - JOINT

SESSION

23

33

Non

Invasive

Procedure

Ophthalmolog

y

OCT FOR RETINA

(MACULA) SINGLE

EYE

23

34

Non

Invasive

Procedure

Ophthalmolog

y

OCT FOR

GLAUCOMA (RNFL)

SINGLE EYE

23

35

Non

Invasive

Procedure

Ophthalmolog

y

OCT FOR ANTERIOR

SEGMENT SINGLE

EYE

23

36

Non

Invasive

Procedure

Radiation

Oncology

RAPID ARC WITH

IMRT RATE SINGLE

FRACTION

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23

37

Non

Invasive

Procedure

Radiation

Oncology

PALLIATIVE RT

HIGHER DOSE

SINGLE FRACTION

23

38

Non

Invasive

Procedure

Oncology

Medical

CONSULTATION

AND ASSESSMENT

FEES

23

39

Non

Invasive

Procedure

Oncology

Medical

CANCER

REHABILITATION I

PACKAGE

23

40

Non

Invasive

Procedure

Oncology

Medical

CANCER

REHABILITATION II

PACKAGE

23

41

Non

Invasive

Procedure

Oncology

Medical

UNILATERAL

LYMPHOEDEMA

MANAGEMENT

23

42

Non

Invasive

Procedure

Oncology

Medical

BILATERAL

LYMPHOEDEMA

MANAGEMENT

23

43

Non

Invasive

Procedure

Oncology

Medical

SINGLE INJECTION

(ONCO DAY CARE)

23

44

Non

Invasive

Procedure

Oncology

Medical

INFUSION THERAPY

(UPTO 30 MIN)

23

45

Non

Invasive

Procedure

Oncology

Medical

INFUSION THERAPY

(30 MINS TO 3 HRS)

23

46

Non

Invasive

Procedure

Oncology

Medical

INFUSION THERAPY

(3 HRS TO 6 HRS)

23

47

Non

Invasive

Procedure

Oncology

Medical

INFUSION THERAPY

(MORE THAN 6 HRS)

23

48

Non

Invasive

Procedure

Oncology

Medical

IMMUNOTHERAPY/

MONOCLONAL

ANTIBODY

INFUSION

23

49

Emergency

Services

Emergency

Medical

Services

PERICARDIOCENTESI

S - USG GUIDED

23

50

Emergency

Services Medical PLASTER CUTTING

23

51

Emergency

Services

Emergency

Medical

Services

AMBULANCE

DOCTOR CHARGES

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23

52

Emergency

Services

Emergency

Medical

Services

EMERGENCY

DRESSING (MINOR)

23

53

Emergency

Services

Emergency

Medical

Services

INCISION AND

DRAINAGE

23

54

Emergency

Services

Emergency

Medical

Services

DRUG

ADMINISTARTION

CHARGES

23

55

Emergency

Services

Emergency

Medical

Services

EMERGENCY

DRESSING (MAJOR)

23

56

Emergency

Services

Emergency

Medical

Services

EMERGENCY

PHYSICIAN

CHARGES

23

57

Emergency

Services

Emergency

Medical

Services

ABDOMINAL

PARECENTESIS -

BLIND

23

58

Emergency

Services

Emergency

Medical

Services

NERVE BLOCK

23

59

Emergency

Services

Emergency

Medical

Services

FOREIGN BODY

REMOVAL NOSE

23

60

Emergency

Services

Emergency

Medical

Services

AMBULANCE

DOCTOR CHARGES

(ADDITIONAL HOUR)

23

61

Emergency

Services

Emergency

Medical

Services

FOREIGN BODY

REMOVAL -THROAT

EMERGENCY

23

62

Emergency

Services

Emergency

Medical

Services

CENTRAL LINE: USG

GUIDED

23

63

Emergency

Services

Emergency

Medical

Services

CENTRAL LINE

23

64

Emergency

Services

Emergency

Medical

Services

ENDOTRACHEAL

INTUBATION

23

65

Emergency

Services

Emergency

Medical

Services

LUMBER PUNCTURE

23

66

Emergency

Services

Emergency

Medical

Services

ELBOW

DISLOCATION

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23

67

Emergency

Services Medical

CLIP REMOVAL

CHARGES

23

68

Emergency

Services

Emergency

Medical

Services

FOREIGN BODY

REMOVAL EAR

23

69

Emergency

Services

Emergency

Medical

Services

NAIL EXICISION

23

70

Emergency

Services

Emergency

Medical

Services

UL DISLOCATION

SHOULDER : OPEN

REDUCTION

23

71

Emergency

Services

Emergency

Medical

Services

SUTURING MAJOR

(EMERGENCY)

23

72

Emergency

Services

Emergency

Medical

Services

SUTURING MINOR

(EMERGENCY)

23

73

Emergency

Services

Emergency

Medical

Services

EMERGENCY (BED

CHARGE + IV

ACCESS +

ADMINISTRATION)

23

74

Emergency

Services

Emergency

Medical

Services

ABDOMINAL

PARECENTESIS -

USG GUIDED

23

75

Emergency

Services

Emergency

Medical

Services

ADHESIVE TAPE

(STERI-STRIP) (WITH

MATERIAL)

23

76

Emergency

Services

Emergency

Medical

Services

ADHESIVE TAPE

(STERI-STRIP)

(WITHOUT MATERIA

23

77

Emergency

Services

Emergency

Medical

Services

CHEMICAL

CARDIOVERSION

(SVT, AF)

23

78

Emergency

Services

Emergency

Medical

Services

DIALYSIS LINE

INSERTION - BLIND

23

79

Emergency

Services

Emergency

Medical

Services

DIALYSIS LINE

INSERTION - USG

GUIDED

23

80

Emergency

Services

Emergency

Medical

Services

DISLOCATION -

PATELLA

23

81

Emergency

Services

Emergency

Medical

Services

DISLOCATION

UNDER PSA - JAW

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23

82

Emergency

Services

Emergency

Medical

Services

FOLEY''S CATH

23

83

Emergency

Services

Emergency

Medical

Services

FOLEY''S CATH

CHANGE /

REINSERTION

23

84

Emergency

Services

Emergency

Medical

Services

GLUE THERAPY

(CYANO-ACRYLATE)

(WITH MATERIAL

23

85

Emergency

Services

Emergency

Medical

Services

GLUE THERAPY

(CYANO-ACRYLATE)

(WITHOUT MATER

23

86

Emergency

Services

Emergency

Medical

Services

INCISION AND

DRAINAGE WITH

DIGITAL BLOCK

23

87

Emergency

Services

Emergency

Medical

Services

INCISION AND

DRAINAGE

WITHOUT DIGITAL

BLOCK

23

88

Emergency

Services

Emergency

Medical

Services

INTERCOSTAL CHEST

DRAIN

23

89

Emergency

Services

Emergency

Medical

Services

LIPS / FACIAL

REPAIR (WITH 4-

0/5-0 SUTURES)

23

90

Emergency

Services

Emergency

Medical

Services

LMA INSERTION

23

91

Emergency

Services

Emergency

Medical

Services

MINOR FINGER/TOE

INJURIES

23

92

Emergency

Services

Emergency

Medical

Services

PERIPHERAL I.V.

ACCESS FOR OPD

23

93

Emergency

Services

Emergency

Medical

Services

PLEUROCENTESIS -

BLIND

23

94

Emergency

Services

Emergency

Medical

Services

PLEUROCENTESIS -

USG GUIDED

23

95

Emergency

Services

Emergency

Medical

Services

POP (LOWER LIMB-

ABOVE KNEE)

23

96

Emergency

Services

Emergency

Medical

Services

POP (LOWER LIMB-

BELOW KNEE)

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23

97

Emergency

Services

Emergency

Medical

Services

POP (UPPER LIMB-

ABOVE ELBOW)

23

98

Emergency

Services

Emergency

Medical

Services

POP (UPPER LIMB-

BELOW ELBOW)

23

99

Emergency

Services

Emergency

Medical

Services

PROC CHG-

SUTURING:MORE

THAN ONE

WOUNDS

24

00

Emergency

Services

Emergency

Medical

Services

PROCEDURAL

SEDATION

ANALGESIA

24

01

Emergency

Services

Emergency

Medical

Services

RYLE'S TUBE

INSERTION

24

02

Emergency

Services

Emergency

Medical

Services

STITCHES

REMOVAL/CUTTING

- MAJOR

24

03

Emergency

Services

Emergency

Medical

Services

STITCHES

REMOVAL/CUTTING

- MINOR

24

04

Emergency

Services

Emergency

Medical

Services

SUPRAPUBIC

CATHETERISATION

24

05

Emergency

Services

Emergency

Medical

Services

SURGICAL CLIP

REMOVAL - MAJOR

24

06

Emergency

Services

Emergency

Medical

Services

SURGICAL CLIP

REMOVAL - MINOR

24

07

Emergency

Services

Emergency

Medical

Services

SURGICAL

CRICOTHYROIDOTO

MY

24

08

Emergency

Services

Emergency

Medical

Services

TRANS VENOUS

PACING

24

09

Emergency

Services

Emergency

Medical

Services

AMBULANCE / KM

AFTER 3 KM

24

10

Emergency

Services

Emergency

Medical

Services

AMBULANCE BIPAP

CHARGE / HOUR

24

11

Emergency

Services

Emergency

Medical

Services

AMBULANCE

MONITOR CHARGE /

HOUR

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24

12

Emergency

Services

Emergency

Medical

Services

AMBULANCE

OXYGEN / HOUR

(NOT 1ST HOUR)

24

13

Emergency

Services

Emergency

Medical

Services

AMBULANCE PULSE

GENERATOR ADDL /

HOUR

24

14

Emergency

Services

Emergency

Medical

Services

AMBULANCE PULSE

GENERATOR

CHARGE / HOUR

24

15

Emergency

Services

Emergency

Medical

Services

AMBULANCE

SYRINGE PUMP /

HOUR

24

16

Emergency

Services

Emergency

Medical

Services

AMBULANCE UPTO

3 KM

24

17

Emergency

Services

Emergency

Medical

Services

AMBULANCE

VENTILATOR

CHARGE / HOUR

24

18

Emergency

Services

Emergency

Medical

Services

AMBULANCE

WAITING CHARGE /

HOUR

24

19

Emergency

Services

Emergency

Medical

Services

BASIC AMBULANCE

/ KM AFTER 3 KM

24

20

Emergency

Services

Emergency

Medical

Services

BASIC AMBULANCE

UPTO 3 KM

24

21

Emergency

Services

Emergency

Medical

Services

EQUIP AMBULANCE

VENTILATOR ADDL /

HOUR

24

22

Emergency

Services

Emergency

Medical

Services

MONITOR CHARGE

24

23

Emergency

Services

Emergency

Medical

Services

TROP-T

24

24

Emergency

Services

Emergency

Medical

Services

EMG SOB

24

25

Emergency

Services

Emergency

Medical

Services

EMG D-DIMER

24

26

Emergency

Services

Emergency

Medical

Services

EMG TOX DRUG

SCREENING

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24

27

Emergency

Services

Emergency

Medical

Services

EMG TROPONIN I

24

28

Emergency

Services

Emergency

Medical

Services

EMG NT-PRO BNP

24

29

Emergency

Services Medical

DRESSING

PROCEDURE-MAJOR

24

30

Emergency

Services Medical

DRESSING

PROCEDURE-MINOR

24

31

Emergency

Services

Emergency

Medical

Services

URINE DIP STICK

24

32

Emergency

Services

Emergency

Medical

Services

ANKLE

DISLOCATION

24

33

Emergency

Services

Emergency

Medical

Services

MANUAL

EVALUTION OF

IMPACTED STOOL

24

34

Emergency

Services

Emergency

Medical

Services

EMERGENCY

PATIENT SERVICES

24

35

Health

Checkup Health Check

ADVANCED

CONSTIPATION

PACKAGE

24

36

Physiothera

py

Physiotherapy

and Rehab

Center

LASER TREATMENT

24

37

Physiothera

py

Physiotherapy

and Rehab

Center

CONSULTATION -

PHYSIOTHERAPY

24

38

Physiothera

py

Physiotherapy

and Rehab

Center

TILT TABLE

TRAINING

24

39

Physiothera

py

Physiotherapy

and Rehab

Center

CHEST

PHYSIOTHERAPY

24

40

Physiothera

py

Physiotherapy

and Rehab

Center

CERVICAL TRACTION

24

41

Physiothera

py

Physiotherapy

and Rehab

Center

EXERCISES

DEMONSTRATION

24

42

Physiothera

py

Physiotherapy

and Rehab

Center

ELECTRICAL

STIMULATION

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24

43

Physiothera

py

Physiotherapy

and Rehab

Center

INTERFERENTIAL

THERAPY

24

44

Physiothera

py

Physiotherapy

and Rehab

Center

SHORT WAVE

DIATHERMY

24

45

Physiothera

py

Physiotherapy

and Rehab

Center

LUMBER TRACTION

24

46

Physiothera

py

Physiotherapy

and Rehab

Center

CPM

24

47

Physiothera

py

Physiotherapy

and Rehab

Center

INFRA RED

24

48

Physiothera

py

Physiotherapy

and Rehab

Center

TENS

24

49

Physiothera

py

Physiotherapy

and Rehab

Center

GAIT TRAINING

24

50

Physiothera

py

Physiotherapy

and Rehab

Center

US + IFT

24

51

Physiothera

py

Physiotherapy

and Rehab

Center

ULTRASOUND

THERAPHY

24

52

Physiothera

py

Physiotherapy

and Rehab

Center

IFT + PWB

24

53

Physiothera

py

Physiotherapy

and Rehab

Center

KNEE JOINTS SPAD

TRACTION

24

54

Physiothera

py

Physiotherapy

and Rehab

Center

MICROWAVE

DIATHERMY - PER

SESSION

24

55

Physiothera

py

Physiotherapy

and Rehab

Center

QUADRICEPS CHAIR

TRAINING(PER

SESSION)

24

56

Physiothera

py

Physiotherapy

and Rehab

Center

SWD + IFT

24

57

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + IFT

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24

58

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION +

STIMULATION

24

59

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + SWD

24

60

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + SWD +

IFT

24

61

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + US

24

62

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + US + IFT

24

63

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + US + IFT

+ EXERCISES

24

64

Physiothera

py

Physiotherapy

and Rehab

Center

TRACTION + US + IFT

+ SWD

24

65

Physiothera

py

Physiotherapy

and Rehab

Center

US + IFT +

STIMULATION

24

66

Physiothera

py

Physiotherapy

and Rehab

Center

US + KNEE JOINT +

SPAD FRACTION

24

67

Physiothera

py

Physiotherapy

and Rehab

Center

US + PWB

24

68

Physiothera

py

Physiotherapy

and Rehab

Center

US + SW +

TRACTION

24

69

Physiothera

py

Physiotherapy

and Rehab

Center

US + TENS

24

70

Physiothera

py

Physiotherapy

and Rehab

Center

US+STIMULATION

24

71

Physiothera

py

Physiotherapy

and Rehab

Center

SRC-M/N BLOCK

W/O EMG

BIOFEEDBACK(PROC

EDURE CHARGE)

24

72

Physiothera

py

Physiotherapy

and Rehab

Center

SRC-SPINE

ASSESSMENT

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24

73

Physiothera

py

Physiotherapy

and Rehab

Center

SRC-SPINE

TRAINING / SESSION

24

74

Physiothera

py

Physiotherapy

and Rehab

Center

SRC-STROKE

ASSESSMENT

24

75

Physiothera

py

Physiotherapy

and Rehab

Center

SRC-STROKE

TRAINING / SESSION

24

76

Physiothera

py

Physiotherapy

and Rehab

Center

HOME

PHYSIOTHERAPY 1

24

77

Physiothera

py

Physiotherapy

and Rehab

Center

HOME

PHYSIOTHERAPY 2

24

78

Physiothera

py

Physiotherapy

and Rehab

Center

HOME

PHYSIOTHERAPY 3

24

79

Rehabilitati

on Psychiatry

PSY-

PSYCHOLOGICAL

PROFILE

24

80

Ward

consumable

s(OT stores)

Ultrasound

Radiology

ULTRASOUND

FILM(DUPLICATE)

24

81

Ward

consumable

s(OT stores)

Radiology CORE BIOPSY

NEEDLE

24

82

Ward

consumable

s(OT stores)

Radiology CAMERA COVER

24

83

Ward

consumable

s(OT stores)

Radiology

DEVON TROCAR

DRAINAGE

CATHETER 10 F

24

84

Ward

consumable

s(OT stores)

Radiology

DEVON TROCAR

DRAINAGE

CATHETER 12 F

24

85

Ward

consumable

s(OT stores)

Radiology

DEVON TROCAR

DRAINAGE

CATHETER 14 F

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24

86

Ward

consumable

s(OT stores)

Radiology

DEVON TROCAR

DRAINAGE

CATHETER 16 F

24

87

Ward

consumable

s(OT stores)

Radiology

DEVON TROCAR

DRAINAGE

CATHETER 8.5 F

24

88

Ward

consumable

s(OT stores)

Radiology PLAIN SHEET SMALL

24

89

Ward

consumable

s(OT stores)

Radiology SHOE COVER

24

90

Ward

consumable

s(OT stores)

Radiology SURGEONS

DISPOSABLE GOWN

24

91

Ward

consumable

s(OT stores)

Radiology

THORACIC TROCAR

CATHETER

(ROMSONS)

24

92

Ward

consumable

s(OT stores)

Radiology

TRUCUT BIOPSY

NEEDLE 16 GZ X 10

CMS

24

93

Ward

consumable

s(OT stores)

Radiology

TRUCUT BIOPSY

NEEDLE 16 GZ X 15

CMS

24

94

Consultatio

n

F & B Main

Kitchen DIET COUNSELLING

24

95

Consultatio

n Medical

ASSISTANT DOCTOR

FEE

24

96

Consultatio

n

Healthy Heart

Clinic

COUNSELLING (LIFE

STYLE

MODIFICATION)

24

97

Consultatio

n Neurology

SHORT

NEUROPSYCHOLOG

Y CONSULTATION

FOR ADULTS-II

24

98

Consultatio

n Neurology

CLINICAL

PERSONALITY

ASESSMENT

CONSULTATION FOR

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CHILDREN

24

99

Consultatio

n Neurology

NEUROPSYCHOLOG

Y CLINICAL

CONSULTATION FOR

CHILDREN

25

00

Consultatio

n Neurology

NEURO

CONSULTATION-

COUNSELLING

25

01

Consultatio

n Neurology

NEURO COGNITIVE

BEHAVIOURAL

CONSULTATION

25

02

Consultatio

n Neurology

NEUROPSYCHOLOG

Y CLINICAL

CONSULTATION FOR

ADULTS-I

25

03

Consultatio

n Neurology

NEUROPSYCHOLOG

Y CLINICAL

CONSULTATION FOR

ADULTS-II

25

04

Consultatio

n Neurology

NEURO CLINICAL

PERSONALITY

ASESSMENT

CONSULTATION FOR

ADULTS

25

05

Consultatio

n Radiology

CONSULTATION/RE

VIEW BY

RADIOLOGIST Dr

USHA GOENKA

25

06

Consultatio

n

Blood Bank - 2

Services

BMT PHYSICIAN

FEES(AUTOLOGOUS)

25

07

Consultatio

n

Blood Bank - 2

Services

BMT PHYSICIAN

FEES(ALLOGENEIC)

25

08

Consultatio

n Neurology COGNITIVE 1

25

09

Consultatio

n Neurology COGNITIVE 2

25

10

Consultatio

n Neurology COGNITIVE 3

25

11

Consultatio

n Neurology

PERSONALITY

PROFILE (SET OF 4

ONLY)

25

12

Consultatio

n Neurology

THERAPY /

COUNSELING (PER

SESSION)

25

13

Consultatio

n Consultation

PRE ANAESTHESIA

CONSULTATION

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25

14

Consultatio

n

Nuclear

Medicine

Radiology

PET CT REVIEW

(SECOND OPINION)

25

15

Consultatio

n

Nuclear

Medicine

Radiology

PET CT REVIEW

(FULL REPORT)

25

16 Equipment

Gastroenterol

ogy

ENDOSCOPY

EQUIPMENT

25

17 Equipment

Operation

Theatre HARMONIC SCALPEL

25

18 Equipment

Operation

Theatre

HOTLINE BLOOD

AND FLUID

WARMER LEVEL 1

U.S.A. CAT NO. HL

90 MAKE SMITHS

MEDICAL

INTERNATIONAL

LTD.

25

19 Equipment

Operation

Theatre

IMAGE GUIDANCE

SYSTEM FOR

NEUROSURGERY

MODEL VECTOR

VISION COMPACT

WITH STANDARD

INSTRUMENTATION

AND ACCESSORIES

25

20 Equipment

Plastic &

Cosmetic

Surgery

LIPOSUCTION

MACHINE

25

21 Equipment

Operation

Theatre

MOBILE IITV MODEL

BV LIBRA 9 INCH 2

STANDARD

MONITORS BV 9

INCH CASSETTE

HOLDER

SPRINGBOW FOR C

ARC

25

22 Equipment Wards Others

NEBULIZER

MACHINE

25

23 Equipment

Operation

Theatre NERVE STIMULATOR

25

24 Equipment

Operation

Theatre

STEREOSTATIC

SYSTEM

25

25 Equipment

Operation

Theatre THERMACHOICE

25

26 Equipment Urology HOLMIUM TUMOR

Page 163: ANNEXURE – I IMPORTANT NOTE · ANNEXURE – I TECHNICAL BID IMPORTANT NOTE: 1. Please read the following information carefully before filling up the form. This form is only to collect

25

27 Equipment Urology

LITHOTRIPSY

GREATER THAN 1

CM LESS THAN 2 CM

25

28 Equipment

Ear Nose and

Throat

MEDICAL OZONE

GENERATOR

25

29 Equipment

Laboratory

Services

MICRO DEBRIDER

XPS 3000 POWERED

ENT SYSTEM

MEDTRONICS

25

30 Equipment

Operation

Theatre

OPERATING

MICROSCOPE

25

31 Equipment

Operation

Theatre

SOVEREIGN PHACO

EMULSIFICATION

SYSTEM WITH

WHITE STAR AND

STANDARD

ACCESSORIES FULL

CATARACT SURGERY

FUNCTION PHACO I

A DIATHERMY

25

32 Equipment

Operation

Theatre

TPS CONSOLE

ELECTRICALLY

OPERATED CAT NO .

5100 001 000

25

33 Equipment

Operation

Theatre HARMONY SCALPEL

25

34 Equipment

Operation

Theatre HIPEC

25

35 Equipment

Operation

Theatre GAMMA COUNTERS

25

36 Equipment

Operation

Theatre

VIDEO

LARYNGOSCOPE

25

37 Equipment Cath Lab

ENDOVENOUS

LASER - UNILATERAL

25

38 Equipment Cath Lab

ENDOVENOUS

LASER - BILATERAL

25

39 Equipment

Operation

Theatre COBLATOR

25

40 Equipment

Operation

Theatre

BRAIN NAVIGATOR

SYSTEM

25

41 Equipment Cath Lab

THERMEDICO PAIN

RF MACHINE WITH

CANNULA

25

42

Medical

Administrati

on

Medical GOWN

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25

43

Medical

Administrati

on

Medical FITNESS

CERTIFICATE

25

44

Medical

Administrati

on

CSSD CSSD PRODUCT

CHG-MEDIUM

25

45

Medical

Administrati

on

CSSD CSSD PRODUCT

CHG-SMALL

25

46

Medical

Administrati

on

CSSD CSSD PRODUCT

CHG-LARGE

25

47

Medical

Records Medical Medical Records

25

48

Nutritional

and

Functional

Assessment

Charges

Food and

Beverages

NUTRITIONAL &

FUNCTIONAL

ASSESSMENT

25

49

Cath Lab

Procedures Radiology

BALLOON

DILATATION OF

VENUS STRICTURE

The bidder shall quote the rates for the procedures / investigations / facilities available in the

hospital other than mentioned above.

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ANNEXURE - III

U N D E R T A K I N G

It is certified that my Hospital/Company/ Firm/concern has never been black listed by any of

the Departments / Autonomous Institutions / Public Sector Undertakings of the Government of

India or any other State Government or Public Sector Banks or Local Bodies/Municipalities and

no criminal case is pending against the said hospital/Company/Firm as on ___ /___/______.

Place:

Date : / /

Signature of the Authorized Person of the Bidder :


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