PTCULINDEX S.No Department/Speciality 1 General Information 2 Room Tariff 3 Consultations 4 Critical...

SCHEDULE OF CHARGES

2018

Medanta -The Medicity

(A Unit of Global Health Private Limited)

Sector 38, Gurgaon - 122001

Haryana

Phone: +91 124 4141414

INDEX

S.No Department/Speciality

1 General Information

2 Room Tariff

3 Consultations

4 Critical Care & Pain Clinic

5 Breast Surgeries

6 Cardiac Surgery Packages - Adult

7 Cardiac Surgery Packages - Pediatric

8 Day Care Packages

9 Cath Procedures Packages

10 Thoracic Surgery

11 Vascular Surgery

12 Dental

13 Dermatology

14 Ear, Nose & Throat (ENT)

15 Gastroenterology

16 Gastrointestinal Surgeries

17 Medical Procedures

18 Head & Neck Surgery

19 Ayurveda

20 Nephrology

21 Neurology

22 Digital subtraction angiography (DSA)

23 Neurosurgery

24 Nuclear Medicine

25 Obs & Gyne

26 Medical Oncology

27 Opthalmology

28 Orthopaedics Surgeries - Adults

29 Orthopaedic Procedures

30 Orthopaedics Packages

31 Orthopaedics Surgeries - Pediatric

32 Radiation Oncology

33 Pediatric Surgeries

34 Physiotherapy

35 Plastic Surgery

36 Psychiatry

37 Respiratory Medicine/Sleep Lab

38 Kidney & LiverTransplant

39 Urology

40 Interventional Radiology

41 Endocrinology & Rheumatology

42 Health Packages

43 Heart Station

44 Blood Bank

45 Radiology

46 Laboratory

47 Others

A Unit of Global Health Pvt. Ltd.

GENERAL INFORMATIONS INDEX

OP Consultation (Amt. in Rs.)

Registration charges Rs.200

OP Consultation Charges cum Registartion Charges Rs.800 to Rs.2000

Admission Charges Rs.350

1

2

1

BED TRANSFER

In the event of a bed transfer on the request of the patient to higher bed caegory during the course of treatment, there will

be retrospective increase in the surgical/ procedure charges as per the upgraded room category from the day of

admission, all the other charges from the date of transfer shall be as per revised bed category.

In case of packages, transfer of patient to a higher bed category on the request of the patient , shall result in upgraded

package charges.

DOCTOR VISIT CHARGES Doctor visit between 10 pm to 6 am, on Sunday and all public holiday will be charged as 1.5 times of the normal charges.

SURGERY CHARGES:

1 Surgery Charges are as defined in the Surgery tariff section. However any surgery done between 10 pm to 6 am or on

Sunday or public holiday, as emergency surgery, shall be charged 1.5 times of normal surgeon fee.

ANESTHESIA CHARGES 1 Anesthesia Charges shall be @35% of the surgeon fees. 2 Standby Anesthesia shall be charged @20% on surgeon fee.

OT CHARGES 1 OT Charges are 85% of Surgeon fees. 2 If any Surgery is done on OPD basis, OT charges will be 50% of Surgeon fees. 3 If any Surgery is done on day care basis and under LA, OT Charges will be charged 50% of Surgeon fee.

CONSUMABLES, MEDICINES & BED CAHRGES 1 Consumables , Drugs, Medicines and Implants etc. during the course of the treatment will be charged on the basis of

actual usage 2 Bed Charges will be charged on the basis of room category.

**Prices are subject to change without prior notice**

3 A Unit of Global Health Pvt. Ltd.

Billing Rules

Outpatient Department

I. OPD consultation fee · Consultation fee 800 - 2000 · Dietician 250 · Physiotherapy Refer List Note/s:

1. Registration fee Rs 200.

2. Follow up visit in the same specialty within a week shall be free

3. First follow up visit-post surgery shall not be charged, within a month

4. Admission Charges Rs 350.

Inpatient department

I. Room charges Twin sharing room 6,000 Single bedded room 9,000 Single Deluxe 11,500 Super Deluxe 15,500 Suite 22,500 ICU/Recovery/HCC/EMR 13,000 HDU 9,000 Day care (up to 2 hours) 500 Day care (up to 4 hours) 1,000 Day care (up to 8 hours) 1,500 Day care (up to 24 hours) 2,500 II. Basis of computation of IPD bed charges · Check out time is 11.00 am. · Up to 8 hours of extended stay after check out time half day room rent shall be charged, beyond 8 hours full day rent shall be charged, subject to the availability of the room · Where patient gets discharged within 24 hours of admission, room/ bed shall be charged for one day only · If patient gets admitted in day care, however requires hospitalization then bed charges for the opted room category shall be charged for the entire stay in hospital · Patient stay up to 8 hours in room shall be charged as half day and stay beyond 8 hours shall be charged as full day · If because of any reason the patient’s treatment is discontinued within 3 hours of admission on the recommendation of the consultant; room rent and IP doctor visit shall not be charged · If patient retains the room in case of ICU/ OT transfer then room charges shall be charged in addition to ICU charges, subject to the availability and approval.

III. Bed transfer 1. Non- package cases · Surgical/ procedure cases · In the event of bed transfer on request of the patient to higher bed category during the course of treatment, there shall be retrospective

increase in the surgical/procedure charges as per the upgraded room category from the day of admission, all the other charges from the date of

transfer shall be as per the revised bed category.

· Surgery/ procedure charges (OT, anesthesia and surgeons fee) shall be charged as per downgraded category only when the request for transfer

to lower bed category is given one day (24hrs) prior to the surgery, subject to availability of bed; all the other charges from the date of transfer

shall be as per the revised bed category.

· Medical management · All the charges shall be as per the opted bed category.

2. Packages · Transfer of patient to a higher bed category on request of the patient, shall result in upgraded package charges. IV. Direct admission to ICU or emergency · Where patient gets admitted in ICU and emergency directly, procedure/ surgery rates defined for twin sharing shall be applicable, however if patient opts for single room and above for transfer after ICU or ER stay, charges for procedure/ surgery shall be as per opted bed category.

V. IP Visit 1. Treating consultant can charge maximum of 2 visits per day, irrespective of the no. of visits in ward. 2. In case of ICU stay, treating consultant and intensivist can charge maximum 2 visits each. 3. Referral consultant can charge maximum 1 visit per day per specialty. 4. Visits between 10pm – 6 am, all public holidays and Sunday shall be charged as emergency visits, Emergency visits shall be one and a half of the normal visits. 5. Operating surgeon/ unit visits shall not be charged one day pre-op and on the day of surgery. No visit charges applicable in case of a day care procedure/ surgery by the primary consultant/ unit.

VI. Operation charges (non-package) 1. Surgeon fee calculation · Single surgeon performs more than one surgery in same sitting at the same site 100% surgeon’s fee for major surgery and 50% surgeon’s fee for rest of the surgeries costing less. · Single surgeon performs more than one surgery in same sitting on different sites both the surgeries shall be charged in full · Multiple surgeons perform more than one surgery in same sitting both shall charge 100% for major surgery and 50% for rest for the surgeries costing less. · Single/multiple surgeons perform more than one surgery in multiple sittings both the surgeries shall be charged in full. · Any emergency (10pm – 6 am, all public holidays and Sunday) procedure/ surgery shall be one and a half times the normal charges

2. OT charges shall be · 85% of the surgeons fee for cases done under general and regional anesthesia · 50% of surgeons fee for cases done under standby and local anesthesia

3. Anesthesia charges · Charges for anesthesia are as follows as a percentage of the surgeon’s fee:

· Anesthesia - 35% · Standby anesthesia shall be 20%

4. Re-exploration · Package cases: In case of reexploration within the package days, no additional charges shall be applicable. · Non- package cases: - Within 48 hours: No charges - Beyond 48 hours: 25% of the surgeons fee

VII. Day care · In case of day care surgery/ procedure charges shall be as per twin sharing, however if patient requires hospitalization the charges of opted bed category shall be applicable.

VIII. Deposit at the time of admission

Room type Deposit amount Suite Rs 70,000 Super deluxe Rs 50,000 Single & single deluxe Rs 30,000 Twin sharing Rs 20,000 ICU Rs 50,000 · Surgical cases: In case of surgery 100% of the estimate/ package amount shall be deposited before surgery. OT clearance shall be given only on full payment of total cost estimate.

ROOM RENT TARIFF

S.No Code no Room Category Charges in INR

1 ADRC000001 Twin Sharing Room - Deluxe 6,000

2 ADRC000005 Single Bedded Room 9,000

3 ADRC000002 Single Bedded - Deluxe 11,500

4 ADRC000008 Single Bedded - Super Deluxe 15,500

5 ADRC000003 Suite 22,500

6 ADRC000004 ICU/CCU/Emergency 13,000

7 ADRC000006 Recovery Room 13,000

8 ADRC000007 Heart Command 13,000

9 ADRC000018 Hight Dependency Unit (HDU) 9,000

10 ADRC000025 Day Care Bed charges up to 2 Hrs 500

11 ADRC000023 Day Care Bed charges more than 2 hrs up to 4 Hrs 1,000

12 ADRC000009 Day Care Bed charges more than 4 hrs up to 8 Hrs 1,500

13 ADRC000026 Day Care Bed Charges more than 8 hours, upto 24 2,500

hours

14 ADRC000010 Chemotherapy Day Care Bed charges upto 2 hours 500

15 ADRC000011 Chemotherapy Day Care Bed charges upto 4 Hrs 1,000

16 ADRC000012 Chemotherapy Day Care Bed charges upto 8 hours 1,500


IP VISIT CONSULTATIONS

Service Code Description Charges in INR

** Sharing Single Single Dlx Super Dlx Suite ICU/CCU

CVAN000001 IP Visit Anesthesia 600 600 750 750 1,000 1,250 750

CVCV000001 IP Visit/Consult 600 600 750 750 1,000 1,250 750

CVCV000002 IP Visit Psychologist 600 600 750 750 1,000 1,250 750

CVCV000003 IP Visit Cardiology 600 600 750 750 1,000 1,250 750

CVCV000004 IP Visit CTVS 600 600 750 750 1,000 1,250 750

CVCV000005 IP Visit Orthopaedics 600 600 750 750 1,000 1,250 750

CVCV000007 IP Visit Endocrinology 600 600 750 750 1,000 1,250 750

CVCV000009 IP Visit Ortho Anesthesia 600 600 750 750 1,000 1,250 750

ANCC000017 ICU Visit Charges 750 750 750 750 750 750 750


Anaesthesia

S. no Billing code Service name Charges in INR

1 ANCC000001 Pacing Transvenous 3,000

2 ANCC000002 ADP (Abdominal Diagnostic Paracentesis) 2,500

3 ANCC000003 AL (Arterial Line) 2,000

4 ANCC000004 ATP (Abdominal Therapeutic Paracentesis) 3,500

5 ANCC000006 Bedside bronchoscopy 11,000

6 ANCC000009 Bronchoscopic intubation 5,500

7 ANCC000010 Arterial puncture and blood gas sample 800

8 ANCC000013 Ventilator Charges 24 hrs 5,000

9 ANCC000014 Continuous SCO2 monitoring 2,500

10 ANCC000015 CVL (Central venous line) insertion 2,500

11 ANCC000016 Dialysis catheterization 3,200

12 ANCC000017 ICU Visit Charges 750

13 ANCC000019 Epidural blood patch/Steroid injection 2,000

14 ANCC000020 Epidural Catheter insetion 3,500

15 ANCC000021 Foleys Catheter Insertion 1,000

16 ANCC000023 Hypothermia Induction 4,000

17 ANCC000024 IABP care 1,000

18 ANCC000025 Initial Vent. + Intubation 4,500

19 ANCC000026 Intercostal Tube Drainage 5,500

20 ANCC000028 Lumbar Puncture 3,300

21 ANCC000029 Minitracheostomy 3,000

22 ANCC000030 Narcoanalysis 1,500

23 ANCC000032 PA Catheter insertion 4,000

24 ANCC000033 Pacing Transcutaneous 2,000

25 ANCC000034 PCA (Patient Control Analgesia) 3,000

26 ANCC000035 Percutaneous Tracheostomy 8,000

27 ANCC000036 PICC 1,500

28 ANCC000040 Ryles tube insertion 1,000

29 ANCC000042 Ventilator Charges/Hour 250

30 ANCC000046 Anaesthetist cover and Cannulation Fee 500

31 ANCC000047 CT MR Sedation Charges 1,500

32 ANCC000048 GA charges other than OT 3,000

33 ANCC000049 Disposables for CT/MRI Under Sedation 500

34 ANCC000050 Disposables for CT/MRI Under GA 1,500

35 ANCC000051 ECMO 100,000

36 ANCC000052 High frequency ventilation (intubation charges) with patient circuit 25,000

37 ANCC000054 High frequency ventilation charges per day (24 hours) 5,000

38 ANCC000056 IABP Insertion charges 10,000

39 ANCC000057 NAVA INITIAL VENT+INTUBATION 5,500

40 ANCC000058 NAVA VENTILATOR CHARGE 24hrs 4,500

41 ANCC000059 ACT (Activated clotting time) 400

42 ANCC000060 MOLECULAR ABSORBENT RECIRCULATING SYSTEM (MARS) PROC CHARGES 10,000

43 ANCC000061 NOXBOX NITRIC OXIDE CHARGE AT UPTO 5 PPM (PER DAY) 6,000

44 ANCC000062 NOXBOX NITRIC OXIDE CHARGE AT 5 TO 10 PPM (PER DAY) 12,000




48 ANCC000066 NOXBOX NITRIC OXIDE CHARGE ABOVE 25 PPM (PER DAY) 35,000

49 ANCC000067 Oxygen Charges with nurse in terminals/ambulance /aircraft/tarmac 500

50 ANCC000068 Oxygen with Doctor in terminals/aircraft/tarmac 700

51 ANCC000069 Cardio Pulmonary resuscitation Charges (Including consumables) 1500

52 ANCC000070 Endo Tracheal Intubation with Mechanical ventilation/Ambu support (Excluding 1000

consumable & drugs)

53 ANCC000071 Intra Operative TEE 3,600

54 ANCC000072 UNIVERSAL JET VENTILATOR CHARGES 5,500


Breast surgery

Surgeon fee in INR

S. No Billing code Service Name Sharing/ Single

Single Dlx Super Dlx Suite

**

1 BSSU000001 Excision of breast lump 16,100 20,125 28,175 36,225 40,250

2 BSSU000002 Major duct excision 16,100 20,125 28,175 36,225 40,250

3 BSSU000003 Microdochectomy 16,100 20,125 28,175 36,225 40,250

4 BSSU000004 Incision and drainage of breast abscess 6,400 8,000 11,200 14,400 16,000

5 BSSU000005 Bilateral breast reduction 48,300 60,375 84,525 108,675 120,750

6 BSSU000006 Diagnostic wide local excision 11,800 14,750 20,650 26,550 29,500

7 BSSU000007 Marker guided diagnostic WLE 29,300 36,625 51,275 65,925 73,250

8 BSSU000008 Sentinel node biopsy 29,300 36,625 51,275 65,925 73,250

9 BSSU000009 Axillary clearance 30,600 38,250 53,550 68,850 76,500

10 BSSU000010 Wide local excision 29,300 36,625 51,275 65,925 73,250

11 BSSU000016 Re-excision of breast 16,100 20,125 28,175 36,225 40,250

12 BSSU000017 Simple mastectomy 30,600 38,250 53,550 68,850 76,500

13 BSSU000025 Breast reconstruction using implant 40,300 50,375 70,525 90,675 100,750

14 BSSU000026 Breast reconstruction using LD flap 48,300 60,375 84,525 108,675 120,750

15 BSSU000027 Correction of inverted nipple- bilateral 40,300 50,375 70,525 90,675 100,750

16 BSSU000028 Correction of inverted nipple- unilateral 24,200 30,250 42,350 54,450 60,500

17 BSSU000029 Excision of supernumerary/ breast/nipple 22,600 28,250 39,550 50,850 56,500

18 BSSU000034 Modified Radical Mastectomy 45,100 56,375 78,925 101,475 112,750

19 BSSU000040 Axillary Lymph Node Excision 11,800 14,750 20,650 26,550 29,500

20 BSSU000041 Excision of accessory axillary breast tissue 20,500 25,625 35,875 46,125 51,250

21 BSSU000042 Aspiration of breast abscess 3,000 3,750 5,250 6,750 7,500

22 BSSU000043 Clinical core biopsy of breast lump 4,400 5,500 7,700 9,900 11,000

23 BSSU000044 I@D of breast abscess under local anaesthetic 4,400 5,500 7,700 9,900 11,000

24 BSSU000045 Excision of breast skin lump under local 4,400 5,500 7,700 9,900 11,000

anaesthetic

25 BSSU000046 LUMP/FIBROADENOMA BREAST 10,700 13,375 18,725 24,075 26,750

EXCISION/SECTOR MASTECTOMY

26 BSSU000047 Skin sparing mastectomy 53,300 66,625 93,275 119,925 133,250


CARDIAC SURGERY PACKAGES - ADULT

S No. Billing Code Service Name Package Charges in INR Limit of

Day Stay Sharing/ Single Single Dlx Super Dlx Suite Medicine &

(ICU+Room) ** Consumables

(Rs)

1 CTAD000001 CABG (P) 2+6 235,000 285,000 345,000 415,000 515,000 **

35 CTAD000084 Aorta replacement/ repair (P) 3+7 305,000 380,000 460,000 550,000 650,000 **

39 CTAD000091 AORTIC BIFEMORAL BYPASS GRAFT (P) 2+4 145,000 180,000 220,000 265,000 325,000 **

40 CTAD000092 Aorta wrapping (P) 3+7 305,000 380,000 460,000 550,000 650,000 **

55 CTAD000114 ASCENDING AORTA REPLACEMENT/ repair+ Single valve repair / replacement (P) 3+7 395,000 475,000 570,000 680,000 850,000 **

58 CTAD000118 Redo aortic aneurysm repair (P) 2+6 325,000 395,000 475,000 565,000 715,000 **

72 CTAD000142 Aorta Replacement/Repair+Arch Replacement/Repair (P) 3+7 385,000 465,000 510,000 585,000 685,000

**

85 CTAD000162 CABG+SUPRA CORONARY ASCEN AORTIC REPLA+HEMI ARCH REPLA ON TCA (P) 3+7 383,000 463,000 558,000 668,000 838,000 **

87 CTAD000164 Redo Aortic Arch Replacement (P) 3+7 395,000 475,000 570,000 680,000 870,000 **

91 CTAD000173 CABG + Single valve replacement/ repair + Ascending Aortic + Hemiarch Replacement (P) 3+7 403,000 483,000 578,000 688,000 873,000 **

92 CTAD000174 Ascending Aorta Replacement + Double valve replacement / repair (P) 3+7 405,000 490,000 585,000 695,000 870,000 **

95 CTAD000179 ASD/ VSD surgery+ AORTA REPLACEMENT (P) 3+7 385,000 465,000 560,000 670,000 825,000 **

114 CTAD000206 Redo Aorto Bifemoral Bypass (P) 2+6 225,000 265,000 315,000 385,000 515,000 **

127 CTAD000223 Redo Ascending Aorta Replacement+Single Valve Replacement/Repair (P) 3+6 475,000 565,000 665,000 785,000 1,030,000 **

130 CTAD000226 CABG + Ascending Aortic raplacement (P) 3+7 355,000 430,000 520,000 630,000 785,000 **

131 CTAD000227 Redo replacement of ascending aorta + total arch + Elefhant trunk (P) 3+7 408,000 488,000 583,000 608,000 728,000 **

138 CTAD000234 AORTOPLASTY Nil 75,000 90,000 120,000 150,000 165,000 Nil

143 CTAD000239 Aortic bifemoral bypass graft + CABG (P) 2+6 275,000 350,000 405,000 475,000 590,000 **

145 CTAD000241 Redo-Ascending Aorta Replacement+Double Valve Replacement/Repair (P) 3+7 505,000 600,000 700,000 820,000 1,090,000 **

152 CTAD000248 Supra Coronary Aortic Root Replacement + Redo Sternotomy & Pheripheral (Bypass) (P) 3+6 390,000 470,000 565,000 675,000 855,000 **

159 CTAD000255 Bentall procedure + Sub aortic membrane resection (P) 3+7 425,000 505,000 600,000 710,000 885,000 **

160 CTAD000256 REDO ASCENDING/ DESCENDING AORTA REPLACEMENT (P) 3+7 405,000 480,000 560,000 650,000 750,000 **

163 CTAD000259 AORTIC BIFEMORAL BYPASS GRAFT+FEMORO-POPLITEAL BYPASS GRAFT (P) 2+6 220,000 275,000 343,000 429,000 537,000 80,000

164 CTAD000261 Triple Valve Replacement/ repair + Aorta Replacement/ repair (P) 2+6 415,000 495,000 585,000 695,000 885,000 **

169 CTAD000266 CABG/Other Open Heart Surgery+Single Valve Replacement/Repair+Aorta Replacement/Repair (P) 2+6 413,000 483,000 563,000 653,000 773,000

**

171 CTAD000268 CABG+Double Valve Replacement/Repair+Ascending Aorta Replacement (P) 3+7 467,000 563,000 663,000 783,000 993,000 **

173 CTAD000270 Aorta Replacement/Repair+COA Repair (P) 2+6 340,000 415,000 505,000 615,000 745,000 **

175 CTAD000273 Redo Aorta Replacement/Repair+Hemi Arch+CABG/Other Open Heart Surgery (P) 3+7 533,000 628,000 728,000 848,000 1,108,000 **

176 CTAD000274 Redo Aortic Root Replacement (P) 3+7 440,000 515,000 595,000 695,000 795,000 **

177 CTAD000275 Aorta Replacement/Repair+Arch Replacement/Repair+CABG/Other Open Heart Surgery (P) 3+7 443,000 523,000 618,000 728,000 928,000 **

181 CTAD000279 Single Valve replacement/repair+ Subaortic Membrane Resection + PDA Ligation (P) 2+6 345,000 420,000 510,000 620,000 750,000 **

182 CTAD000280 Supravalvular Aortoplasty (P) 3+7 370,000 445,000 535,000 645,000 765,000 **

183 CTAD000281 AVR+Aortic Wrapping (P) 3+7 368,000 443,000 533,000 643,000 813,000 **

188 CTAD000286 Septal Myomectomy + Aortic Valve Replacement + Aortic Wrapping (P) 3+6 430,000 510,000 605,000 715,000 885,000 **

PACKAGE INCLUSIONS:

# Package includes Surgeon fee/ OT/Anesthesia charges # Package days as mentioned against each Package # Routine investigations during package days. # ** Medicines & consumables limit Rs 100000/

EXCLUSIONS : # Room rent beyond package days # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Implant will be charged extra # IABP , if required , will be charged . # Any additional procedure will be charged extra

CARDIAC SURGERY ADULT SERVICE

S Billing Code Service Name Charges in INR

No. Day Stay Sharing/ Single Single Dlx Super Dlx Suite **

1 CTAS000001 Cardiac Temponade Evacuation _ 10,000 12,500 17,500 22,500 25,000 2 CTAS000002 Pacing wire removal _ 10,000 12,500 17,500 22,500 25,000

3 CTAS000003 Haematoma Aspiration _ 5,000 6,300 8,800 11,300 12,500

Cardiac Surgery - Paediatric Packages

Package Charges in INR Limit of

Medicine &

S No. Billing Code Service Name Day Stay Sharing/ ** Single Single Dlx Super Dlx Suite

Consumables

(ICU+Room)

(Rs)

1 CTPD000001 PDA LIGATION (PAED) (P) 2+4 85,000 115,000 145,000 175,000 205,000 35,000

2 CTPD000002 MAPCA LIGATION (PAED) (P) 2+4 85,000 115,000 145,000 175,000 205,000 35,000

3 CTPD000005 BT SHUNT WITHOUT BYPASS (PAED) (P) 2+4 110,000 145,000 175,000 205,000 245,000 45,000

4 CTPD000006 CENTRAL SHUNT (PAED) (P) 2+4 110,000 145,000 175,000 205,000 245,000 45,000

5 CTPD000007 COARCTATION REPAIR (PAED) (P) 2+4 110,000 145,000 175,000 205,000 245,000 45,000

6 CTPD000008 BD GLENN WITHOUT BYPASS (PAED) (P) 2+4 110,000 145,000 175,000 205,000 245,000 45,000

7 CTPD000009 Closed heart surgery (Paed) (P) 2+4 110,000 145,000 175,000 205,000 245,000 45,000

8 CTPD000010 ATRIAL SEPTECTOMY (PAED) (P) 4+8 160,000 200,000 240,000 295,000 355,000 **

9 CTPD000011 BT SHUNT WITH BYPASS (PAED) (P) 4+8 160,000 200,000 240,000 295,000 355,000 **

10 CTPD000012 BD GLENN ON BYPASS (PAED) (P) 4+8 160,000 200,000 240,000 295,000 355,000 70,000

11 CTPD000015 Open Heart Surgery (Pediatrics) (P) 4+8 190,000 245,000 300,000 355,000 420,000 **

12 CTPD000016 ASD/VSD closure (Paed) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

13 CTPD000017 TOF - DORV REPAIR (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

14 CTPD000020 Single valve replacement/ repair (Paed) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

15 CTPD000021 RESECTION OF SUBAORTIC MEMBRANE (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

16 CTPD000022 Senning/Double Switch Operation (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

17 CTPD000023 TAPVC REPAIR (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

18 CTPD000024 AV CANAL REPAIR (PAED) (P) 4+8 195,000 250,000 305,000 360,000 425,000 **

19 CTPD000025 REV OPERATION (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

20 CTPD000027 ARTERIAL SWITCH (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

21 CTPD000028 FONTAN PROCEDURE (PAED) (P) 4+8 195,000 250,000 305,000 360,000 425,000 **

22 CTPD000029 TCPC (PAED) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

23 CTPD000031 Conduit Replacement / repair (P) 4+8 195,000 250,000 305,000 360,000 425,000 **

24 CTPD000033 ALCAPA (PAED) (P) 4+8 140,000 180,000 220,000 260,000 310,000 60,000

25 CTPD000036 Redo Conduit Replacement / repair (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

26 CTPD000037 Open heart surgery HBSAG+ve(Paed) (P) 4+8 200,000 255,000 310,000 370,000 445,000 **

27 CTPD000039 Double Valve Replacement /Repair+Other Open Heart Surgery (Paed) (P) 4+8 315,000 380,000 465,000 580,000 705,000 **

28 CTPD000040 Single Valve Replacement/ repair +Other Open Heart Surgery(Paed) (P) 4+8 255,000 320,000 390,000 465,000 565,000 **

29 CTPD000041 VSD/ASD CLOSURE+Other Open Heart Surgery(Paed) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

30 CTPD000042 Diaphramatic Plication (Paed) 16,000 22,000 26,000 31,000 36,000

31 CTPD000043 Redo Single Valve Replacement/ Repair+Other Open Heart Surgery(Paed) (P) 4+8 300,000 365,000 445,000 545,000 665,000 **

32 CTPD000044 Redo open Heart Surgery(Paed) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

33 CTPD000045 Heart Port surgery (Pead) (P) 4+8 235,000 290,000 350,000 430,000 525,000 **

34 CTPD000046 Line Up Induction (P) 4+8 215,000 270,000 330,000 395,000 475,000 **

35 CTPD000047 Bentall-Pediatric (P) 4+8 275,000 340,000 415,000 500,000 615,000 **

36 CTPD000048 Bentall + Single valve replacement/ repair (Paed) (P) 4+8 325,000 390,000 475,000 595,000 725,000 **

37 CTPD000051 ASD Closure + VSD Closure (P) 4+8 225,000 290,000 330,000 380,000 430,000 **

38 CTPD000052 Aorta Repair (Pead) (P) 4+8 255,000 305,000 370,000 445,000 545,000 **

39 CTPD000053 PA Banding + Atrial Septectomy -(Paed) (P) 4+8 190,000 250,000 300,000 360,000 420,000 **

40 CTPD000054 Bentall + Rastelli Procedure (paed) (P) 4+8 355,000 420,000 505,000 625,000 790,000 **

41 CTPD000055 Double Valve replacement / repair (P) 4+8 230,000 295,000 335,000 385,000 435,000 **

42 CTPD000056 Redo Double Valve replacement / repair (P) 4+8 290,000 360,000 440,000 530,000 645,000 **

43 CTPD000057 ASD Closure+VSD Closure+PDA Ligation(Pead) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

44 CTPD000058 Sam Resection+Total Correction(Pead) (P) 4+8 230,000 295,000 335,000 385,000 435,000 **

45 CTPD000059 Other Cardiac Surgery (Paed) - Minor (P) 0+1 55,000 67,500 92,500 117,500 130,000

46 CTPD000060 BD Glenn + Atrial septectomy (Paed) (P) 4+8 200,000 255,000 310,000 370,000 445,000 90,000

47 CTPD000061 Triple Valve Replacement/Repair(Pead) (P) 4+8 275,000 335,000 415,000 500,000 615,000 **

48 CTPD000062 SN Valve Rpla/Rp+Opn¿Hrt¿Sx+Sam Resec (P) 4+8 300,000 365,000 445,000 545,000 665,000 85,000

49 CTPD000063 Redo-Closed Heart Surgery (P) 4+8 170,000 210,000 250,000 305,000 365,000 50,000

50 CTPD000064 P A Banding - Paed (P) 2+4 110,000 145,000 175,000 205,000 245,000 50,000

51 CTPD000065 Senning + Restelli Procedure (Paed) (P) 4+8 265,000 315,000 380,000 455,000 555,000 **

52 CTPD000066 Exploratory Sternotomy (Paed) (P) 4+8 140,000 180,000 220,000 260,000 310,000 70,000

53 CTPD000067 COA repair + PDA ligation (paed) (P) 4+8 135,000 170,000 210,000 250,000 300,000 **

54 CTPD000068 ASD/VSD closure+Single valve replacement / repair + PDA ligation (paed) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

55 CTPD000069 Redo BD Glenn (Paed) (P) 4+8 220,000 285,000 325,000 375,000 425,000 **

56 CTPD000070 Infundibular Resection + Pulmonary Valvotomy (Paed) (P) 4+8 225,000 260,000 310,000 370,000 450,000 **

57 CTPD000071 Total Correction + LPA Plasty (Paed) (P) 4+8 275,000 335,000 415,000 500,000 615,000 **

58 CTPD000072 Epicardial Pacemaker Implantation (Paed) (P) 3+3 140,000 180,000 220,000 260,000 310,000 70,000

59 CTPD000073 Arterial Switch+PDA Ligation+VSD/ASD Closure (Paed) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

60 CTPD000074 ASD/ VSD Closure + PDA Ligation + Subaortic Membrane Resection (Paed) 4+8 250,000 310,000 380,000 460,000 560,000 100,000

(P)

61 CTPD000075 Redo VSD/ASD Closure + P A Banding (Pead) (P) 4+8 275,000 350,000 430,000 520,000 620,000 100,000

62 CTPD000076 TAPVC + PA Banding (Paed) (P) 4+8 215,000 270,000 330,000 395,000 475,000 **

63 CTPD000077 Redo Single valve replacement (Paed) (P) 4+8 245,000 305,000 375,000 455,000 555,000 **

64 CTPD000078 Total Correction+PDA Ligation (Paed) (P) 4+8 200,000 255,000 310,000 370,000 445,000 **

65 CTPD000079 Redo Bentall (paed) (P) 4+8 335,000 400,000 475,000 560,000 675,000 **

66 CTPD000080 PDA Ligation + COA Repair + PA Band (paed) (P) 4+8 165,000 205,000 245,000 300,000 360,000 **

67 CTPD000081 TAPVC Repair+PDA Ligation (Paed) (P) 4+8 210,000 260,000 320,000 385,000 465,000 **

68 CTPD000082 ASD/VSD+Single valve replacement/repair+Other open heart surgery(paed) 4+8 285,000 345,000 425,000 510,000 625,000 **

(P)

69 CTPD000083 Ross Procedure(paed) (P) 4+8 275,000 340,000 415,000 500,000 615,000 **

70 CTPD000084 Redo Double Valve Replacement/Repair+ASD/VSD Closure(Paed) (P) 4+8 335,000 400,000 475,000 560,000 675,000 **

71 CTPD000085 Total Correction + Conduit Repair (Paed) (P) 4+8 230,000 295,000 335,000 385,000 435,000 **

72 CTPD000086 RVOT Resection (Paed) (P) 4+8 185,000 240,000 295,000 350,000 410,000 **

73 CTPD000087 BD Glenn+Other Open Heart Surgery(Pead) 4+8 230,000 295,000 335,000 385,000 435,000 **

74 CTPD000088 Rastelli Procedure (paed) (P) 4+8 275,000 340,000 415,000 500,000 615,000 **

75 CTPD000089 ASD/ VSD Closure + PDA Ligation (Paed) (P) 4+8 210,000 260,000 320,000 385,000 465,000 **

76 CTPD000090 Open Heart Surgery (High Risk) (Paed) (P) 4+8 240,000 300,000 370,000 450,000 550,000 **

PACKAGE INCLUSIONS:

# Package includes Surgeon fee/ OT/Anesthesia charges # Package days are mentioned against each Package # Routine investigations during package days. # ** Medicines & consumables limit Rs 80000/-

EXCLUSIONS : # Room rent beyond package days # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Implant will be charged extra # IABP , if required , will be charged . # Any additional procedure will be charged extra


Day Care Packages

S.No Code no Procedure Name Charges in INR

Pain Clinic

1 ANPC000001 NERVE BLOCK (DIAGNOSTIC)-Day care (P) 2,750

2 ANPC000002 NERVE BLOCK (THERAPEUTIC) (P) 7,810

3 ANPC000003 U S GUIDED PERIPHERAL NERVE BLOCK (P) 9,900

4 ANPC000004 NEUROLYTIC BLOCK (P) 11,000

5 ANPC000005 EPIDURAL BLOCK (CERVICAL) (P) 19,250

6 ANPC000006 EPIDURAL BLOCK (DORSAL) (P) 10,670

7 ANPC000007 EPIDURAL BLOCK (LUMBAR) (P) 10,670

8 ANPC000008 PLEXUS BLOCK (P) 11,000

9 ANPC000009 TRIGGER POINT INJECTION (P) 2,750

10 ANPC000010 LUMBER SYMPATHETIC BLOCK (P) 11,220

11 ANPC000011 RF ABLATION (NERVE BLOCK) (P) 35,200

12 ANPC000012 INTRATHECAL INJECTION (P) 6,710

13 ANPC000013 INTRATHECAL PUMP IMPLANTATION (P) 43,450

14 ANPC000014 SELECTIVE NERVE ROOT BLOCK (LUMBAR) (P) 11,000

15 ANPC000015 FACET BLOCK-SINGLE (LUMBAR) (P) 7,700

16 ANPC000016 FACET BLOCK-MULTIPLE (LUMBAR) (P) 11,000

17 ANPC000017 STELLATE GANGLION BLOCK (U S GUIDED) (P) 11,550

18 ANPC000018 COELIAC PLEXUS BLOCK-DIAGNOSTIC/THERAPUATIC (U S GUIDED) (P) 22,000

19 ANPC000019 SUPERIOR HYPOGASTRIC BLOCK-DIAGNOSTIC/THERAPUATIC (U S GUIDED) 18,700

(P)

20 ANPC000020 GANGLION IMPAR-DIAGNOSTIC/THERAPUATIC (U S GUIDED) (P) 35,200

21 ANPC000021 TRIGEMINAL NEURALGIA RF ABLATION (P) 38,500

22 ANPC000022 SLECTIVE NERVE ROOT BLOCK (CERVICAL) (P) 14,850

23 ANPC000023 FACET BLOCK-SINGLE (CERVICAL) (P) 11,000

24 ANPC000024 FACET BLOCK-MULTIPLE (CERVICAL) (P) 15,400

25 ANPC000025 GANGLION IMPAR (DIAGNOSTIC) 7,700

26 ANPC000026 Epidural block (Dorsal) - image guided 11,770

27 ANPC000027 Epidural block (lumbarl) - image guided 11,770

28 ANPC000028 Selective nerve root block (lumbar) single - image guided 4,730

29 ANPC000029 Sacroiliac joint injection- image guided 5,500

30 ANPC000030 General Aneasthesia charges (Ophthalmology) 5,500

Prostatic Biopsy

1 UOUS000056 Prostatic Biopsy(TRUS)-Daycare (P) 4,000


Interventional Cardiology S. Billing Code Procedure Name Packag Day Stay Packages charges in INR Limit of Medicine No e (P) (ICU+Roo Day care Sharing Single Single Dlx Super Dlx Suite & Consumables

m) (Rs) Cath-Paediatric including anesthesia charges

1 CACP000003 BALLOON PULMONARY VALVOTOMY (PAED) P 1+2 90,000 105,000 125,000 155,000 195,000 40,000 2 CACP000004 BALLOON AORTIC VALVOTOMY (PAED) P 1+2 90,000 105,000 125,000 155,000 195,000 40,000 3 CACP000006 BALLOON DILATATION OF COARCTATION (PAED) P 1+1 45,000 60,000 70,000 85,000 105,000 20,000 4 CACP000010 BALLOON DILATATION OF SYSTEMIC VENOUS PATHWAY (PAED) P 1+1 45,000 60,000 70,000 85,000 105,000 20,000

5 CACP000011 BALLOON MITRAL VALVOTOMY (PAED) P 1+2 90,000 105,000 125,000 155,000 195,000 40,000 6 CACP000012 BALLOON TRICUSPID VALVOTOMY (PAED) P 1+2 90,000 105,000 125,000 155,000 195,000 40,000 7 CACP000013 BALLOON ATRIAL SEPTOSTOMY (PAED) P 1+1 45,000 60,000 70,000 85,000 105,000 20,000 8 CACP000015 CLOSURE OF FENESTRATED FONTAN/TCPC (PAED) P 1+1 55,000 70,000 85,000 130,000 155,000 20,000 9 CACP000016 CARDIAC CATHETERIZATION WITH COILING OF MAPCA (PAED) P 1+1 16,000 20,000 25,000 35,000 50,000 8,000

10 CACP000017 COILING OF PULMONARY AV FISTULA/S (PAED) P 1+1 55,000 70,000 80,000 95,000 115,000 20,000 11 CACP000018 COILING/DEVICE CLOSURE OF CORONARY AV FISTULA (PAED) P 1+1 55,000 70,000 85,000 130,000 155,000 20,000

12 CACP000021 DEVICE CLOSURE OF MITRAL PARAVALVAR LEAK-Paed/Adult P 1+1 55,000 70,000 85,000 130,000 155,000 20,000

13 CACP000022 DEVICE CLOSURE OF VSD (PAED) P 1+1 55,000 70,000 85,000 130,000 155,000 20,000 14 CACP000024 STENTING OF CONDUIT (PAED) P 1+1 55,000 70,000 85,000 130,000 155,000 20,000 15 CACP000025 STENTING OF PULMONARY ARTERY (PAED) P 1+1 55,000 70,000 85,000 130,000 155,000 20,000 16 CACP000026 STENTING OF THE SYSTEMIC VENOUS PATHWAY (PAED) P 1+2 70,000 85,000 100,000 145,000 170,000 20,000 17 CACP000028 DEVICE CLOSURE OF ASD (PAED) P 1+2 100,000 115,000 130,000 175,000 200,000 40,000 18 CACP000030 DEVICE CLOSURE OF PDA (PAED) P 1+2 100,000 115,000 130,000 175,000 200,000 40,000 19 CACP000032 PEDIATRIC DIAGNOSTIC STUDY/CARDIAC CATH (PAED) P 1+1 16,000 20,000 25,000 35,000 50,000 8,000 20 CACP000033 PEDIATRIC DIAGNOSTIC CHECK STUDY (PAED) P 0+1 9,000 14,000 16,000 20,000 25,000 5,000

Angiography 21 CAAG000001 CORONARY ANGIOGRAPHY P 0+1 11,000 16,000 19,000 23,000 36,000 55,000 8,000 22 CAAG000004 PULMONARY ANGIOGRAPHY P 0+1 16,000 19,000 23,000 36,000 55,000 8,000 23 CAAG000005 CHECK ANGIOGRAPHY P 0+1 9,500 11,000 16,000 30,000 40,000 8,000 24 CAAG000006 CAROTID ANGIOGRAPHY P 0+1 15,000 18,000 22,000 35,000 50,000 8,000 25 CAAG000007 PERIPHERAL ANGIOGRAPHY P 0+1 15,000 18,000 22,000 35,000 50,000 8,000 26 CAAG000009 RENAL ANGIOGRAPHY P 0+1 15,000 18,000 22,000 35,000 50,000 8,000 27 CAAG000010 VENOGRAPHY P 0+1 15,000 18,000 22,000 35,000 50,000 8,000 28 CAAG000011 Pre-Angio Check

29 CAAG000013 CAG + Cardiac Biopsy P 0+1 22,000 25,000 31,000 45,000 60,000 8,000 30 CAAG000014 IVUS (Intra Vascular Ultrasound Study) P 0+1 29,000 35,000 42,000 60,000 80,000 8,000 31 CAAG000015 Renal angiography with RDN - research P 0+1 22,000 25,000 31,000 45,000 60,000 8,000

Angioplasty/Stenting 32 CAAP000005 COIL CLOSURE OF PDA P 1+2 80,000 95,000 110,000 155,000 180,000 40,000 33 CAAP000007 CORONARY ANGIOPLASTY - Single vessel P 1+1 145,000 155,000 170,000 235,000 285,000 40,000 34 CAAP000008 RENAL ANGIOPLASTY P 1+1 145,000 155,000 170,000 235,000 285,000 40,000 35 CAAP000009 PERIPHERAL ANGIOPLASTY - Single vessel P 1+1 145,000 155,000 170,000 235,000 285,000 40,000 36 CAAP000010 CORONARY ANGIOPLASTY - Single vessel+ INTRA VASCULAR P 1+1 165,000 175,000 190,000 255,000 305,000 40,000 37 CAAP000012 CORONARY ANGIOPLASTY - Single vessel + ROTABLATION P 1+1 165,000 175,000 190,000 255,000 305,000 40,000

38 CAAP000014 PRIMARY PTCA/ BALLOONING - Single vessels P 1+2 155,000 165,000 175,000 240,000 290,000 40,000 39 CAAP000015 CAROTID ANGIOPLASTY P 1+1 145,000 155,000 170,000 235,000 285,000 40,000 40 CAAP000025 Balloon mitral/ tricuspid valvuloplasty P 0+1 85,000 105,000 125,000 210,000 260,000 40,000 41 CAAP000026 AORTIC AND PULMONARY VALVULOPLASTY P 1+1 120,000 135,000 160,000 200,000 265,000 40,000 42 CAAP000029 DEVICE CLOSURE OF ACQUIRED VSD P 1+2 70,000 85,000 100,000 145,000 170,000 20,000 43 CAAP000030 DEVICE CLOSURE OF ASD P 1+2 80,000 95,000 110,000 155,000 180,000 20,000 44 CAAP000031 DEVICE CLOSURE OF VSD P 1+2 80,000 95,000 110,000 155,000 180,000 20,000 45 CAAP000032 DEVICE CLOSURE OF PDA P 1+2 70,000 85,000 100,000 145,000 170,000 20,000 46 CAAP000034 IVC FILTER PLACEMENT P 1+2 70,000 85,000 100,000 145,000 170,000 20,000 47 CAAP000035 Pre Angioplasty Check Up

48 CAAP000036 AORTIC STENT GRAFTING P 2+2 170,000 190,000 220,000 260,000 295,000 40,000 49 CAAP000037 CORONARY ANGIOPLASTY Complex (Single Vessel) P 1+2 165,000 175,000 190,000 255,000 305,000 40,000 50 CAAP000038 Loop Recorder P 1+1 45,000 60,000 70,000 85,000 105,000 20,000 51 CAAP000040 PTCA - Single vessel+ Rotablation + IVUS P 1+2 190,000 210,000 240,000 280,000 315,000 40,000 52 CAAP000041 Complex PTCA (2 Sitting) with IVUS/Rotablation P 1+2 190,000 210,000 240,000 280,000 315,000 40,000 53 CAAP000042 Percutaneous Aortic Valve Replacement (Core Valve) P 1+2 170,000 190,000 220,000 260,000 295,000 3,000 54 CAAP000044 PTCA 2nd sitting P 1+2 180,000 200,000 230,000 270,000 305,000 40,000 55 CAAP000045 PTCA (2 Sitting) + IVUS + Rotablation P 1+2 215,000 235,000 265,000 305,000 350,000 40,000 56 CAAP000046 PRIMARY PTCA - Single vessel+ROTABLATION P 1+2 185,000 195,000 210,000 275,000 325,000 40,000 57 CAAP000047 Coiling /Device Closure of Coronary AV Fistula P 1+2 80,000 100,000 140,000 180,000 200,000 40,000 58 CAAP000048 PTCA (2 Sitting) with IVUS/Rotablation P 1+2 180,000 200,000 230,000 270,000 305,000 40,000 59 CAAP000049 CORONARY ANGIOPLASTY - Multi vessels P 1+1 165,000 175,000 190,000 255,000 305,000 40,000 60 CAAP000050 PERIPHERAL ANGIOPLASTY - Multi vessels P 1+1 165,000 175,000 190,000 255,000 305,000 40,000 61 CAAP000051 CORONARY ANGIOPLASTY - Multi vessels+ INTRA VASCULAR P 1+1 185,000 195,000 210,000 275,000 325,000 40,000

ULTRASOUND STUDY

62 CAAP000052 CORONARY ANGIOPLASTY - Multi vessels + ROTABLATION P 1+1 185,000 195,000 210,000 275,000 325,000 40,000

63 CAAP000053 PRIMARY PTCA/ BALLOONING - Multi vessels P 1+2 175,000 185,000 195,000 260,000 310,000 40,000 64 CAAP000054 CORONARY ANGIOPLASTY Complex (Multi Vessels) P 1+2 185,000 195,000 210,000 275,000 325,000 40,000 65 CAAP000055 PTCA - Multi vessels+ Rotablation + IVUS P 1+1 210,000 230,000 260,000 300,000 335,000 40,000 66 CAAP000056 PRIMARY PTCA - Multi vessels+ROTABLATION P 1+2 205,000 215,000 230,000 295,000 345,000 40,000 67 CAAP000057 CORONARY ANGIOPLASTY P 1+2 125,000 135,000 150,000 215,000 265,000 40,000 68 CAAP000058 PERIPHERAL ANGIOPLASTY P 1+2 125,000 135,000 150,000 215,000 265,000 40,000 69 CAAP000059 CORONARY ANGIOPLASTY + INTRA VASCULAR ULTRASOUND P 1+2 145,000 155,000 165,000 230,000 280,000 40,000

STUDY

70 CAAP000060 CORONARY ANGIOPLASTY + ROTABLATION P 1+2 145,000 155,000 165,000 230,000 280,000 40,000 71 CAAP000061 PRIMARY PTCA/ BALLOONING P 1+2 135,000 145,000 155,000 220,000 270,000 40,000 72 CAAP000062 CORONARY ANGIOPLASTY COMPLEX P 1+2 145,000 155,000 165,000 215,000 265,000 40,000 73 CAAP000063 PTCA + Rotablation + IVUS P 1+2 170,000 190,000 220,000 260,000 295,000 40,000 74 CAAP000064 PRIMARY PTCA+ROTABLATION P 1+2 165,000 175,000 190,000 250,000 335,000 40,000


S. Billing Code Procedure Name Packag Day Stay Packages charges in INR Limit of Medicine No e (P) (ICU+Roo Day care Sharing Single Single Dlx Super Dlx Suite & Consumables

m) (Rs) EPS-Lab

56 CAEP000001 ELECTROPHYSIOLOGY STUDY- ROUTINE P 0+1 18,000 22,000 25,000 30,000 35,000 8,000 57 CAEP000002 ELECTROPHYSIOLOGY STUDY- COMPLEX P 0+1 25,000 30,000 35,000 45,000 55,000 8,000 58 CAEP000004 Carto Electrophysiology procedure with Carto Catheter- St Jude P 0+1 145,000 155,000 165,000 230,000 280,000 71,780

59 CAEP000005 ADDITIONAL NAVISTART CATHETER W/O REF. PATCH P 0+1 75,000 80,000 100,000 125,000 160,000 8,000 60 CAEP000006 ADDITIONAL NAVISTART THERMOCOL CATHETER W/O REF. P 0+1 85,000 95,000 120,000 125,000 150,000 8,000

PATCH

61 CAEP000007 Carto Electrophysiology procedure with 3D SORROUND FLOW - P 0+1 185,000 205,000 235,000 275,000 310,000 124,700 SF Thermocoal Catheter (Cordis- J & J) (One Sorround Flow

Catheter + One Patch)

62 CAEP000008 Carto Electrophysiology procedure with Thermocoal Catheter P 0+1 160,000 170,000 195,000 220,000 255,000 110,000 (Cordis-J &J) (One Navistar Catheter + one patch)

63 CAEP000009 Carto Electrophysiology Procedure with Smart Touch Catheter- P 0+1 241,000 261,000 291,000 331,000 366,000 165,000 (Cordis-J& J) (One Smart Touch Catheter +One Patch)

Cath Procedures-Other 63 CAOT000001 ENDO VENNUS VASCULAR LASER THERAPY P 1+2 50,000 50,000 60,000 80,000 100,000 40,000 64 CAOT000002 FLUROSCOPY 1,000 1,250 1,750 2,250 2,500 Delete Package 65 CAOT000003 PERICARDIAL TAPPING 5,000 10,000 12,000 16,000 20,000

66 CAOT000004 PERIPHERAL THROMBOLYSIS P 0+1 17,500 19,000 23,000 32,000 40,000 8,000 67 CAOT000005 ALCOHOL SEPTAL ABLATION P 1+2 120,000 120,000 135,000 200,000 250,000 40,000 68 CAOT000006 CARDIOVERSION 3,000 5,000 7,500 9,000 10,000 Delete Package 69 CAOT000007 Radio frequency ablation with EP study P 0+1 65,000 70,000 75,000 125,000 150,000 8,000 70 CAOT000008 Radio frequency ablation (THERMOCOOL/HALO/LASSO) with EP P 0+1 80,000 95,000 115,000 200,000 250,000 8,000

study

71 CAOT000009 EECP One sitting 3,500

72 CAOT000010 EECP (15 sittings) 52,500

73 CAOT000011 EECP (21 sittings) 73,500

74 CAOT000012 EECP Package (35 sittings ) 115,000

75 CAOT000014 Myocardial Biopsy P 0+1 27,500 31,250 43,750 56,250 62,500 8,000 76 CAOT000015 Bone Marrow Concentrate Therapy For Heart Failure P 0+1 165,000 165,000 180,000 200,000 250,000 112,200 78 CAOT000017 RSOV Device Closure P 1+2 150,000 170,000 195,000 265,000 325,000 40,000 79 CAOT000018 Wound exploration 2,000 2,500 3,500 4,500 5,000

Pacemaker Procedure Charges 79 CAPM000001 ICD PROCEDURE Dual Chamber P 1+2 90,000 105,000 130,000 150,000 175,000 40,000 80 CAPM000002 COMBOS DEVICE PROCEDURE P 1+3 90,000 105,000 130,000 150,000 175,000 40,000 81 CAPM000003 PACEMAKER REPOSITIONING P 0+1 14,000 18,500 21,500 33,500 46,500 8,000 82 CAPM000004 PACEMAKER PROC SINGLE CHAMBER P 1+2 60,000 75,000 90,000 110,000 145,000 22,000 83 CAPM000005 PACEMAKER PROC. DOUBLE CHAMBER P 1+2 65,000 80,000 95,000 115,000 150,000 22,000 84 CAPM000006 PACEMAKER PROC. BIVENTRICULAR P 1+3 75,000 85,000 105,000 130,000 165,000 25,000 85 CAPM000007 PACEMAKER/COMBO/LOOP EXPLANATION P 0+1 14,000 18,500 21,500 33,500 46,500 8,000 86 CAPM000008 TEMPORARY PACING P 0+1 10,000 15,000 17,000 21,000 27,000 Nil 87 CAPM000009 LEAD REPLACEMENT P 0+1 14,000 18,500 21,500 33,500 46,500 8,000 88 CAPM000011 ICD PROCEDURE Single Chamber P 1+2 85,000 100,000 125,000 145,000 170,000 40,000

Angio CD/ Film

88 CACD000001 Angio CD/ Film(CD) 1,000 1,000 1,000 1,000 1,000 PACKAGE INCLUSIONS:

# Package includes Surgeon fee/ OT/Anesthesia charges # Package days are mentioned against each Package # Routine investigations during package days. # ** Medicines & consumables limit Rs 40000/-

EXCLUSIONS : # Room rent beyond package days # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Stents/ pacemekrs/ combo device/ ICD or any other implant will be charged extra. # Any additional procedure will be charged extra


Thoracic surgery Surgeon fee in INR

S No. Billing code Service name Sharing/ Single Single Dlx Super Dlx Suite

**

1 CTTS000001 ANTERIOR MEDIASTINAL TUMOUR EXCISION 38,700 48,375 67,725 87,075 96,750

2 CTTS000002 ANTERIOR MEDIASTINAL TUMOUR EXCISION + 42,300 52,875 74,025 95,175 105,750

PERICARDIECTOMY

3 CTTS000003 CERVICAL RIB EXCISION IN TOS 31,700 39,625 55,475 71,325 79,250

4 CTTS000004 CAVOTOMY & THROMBECTOMY 31,600 39,500 55,300 71,100 79,000

5 CTTS000005 CHEST WALL RESECTION & RECONSTRUCTION 38,500 48,125 67,375 86,625 96,250

6 CTTS000006 CLAMSHELL THORACOTOMY 17,700 22,125 30,975 39,825 44,250

7 CTTS000008 ELOSSER FLAP CONSTRUCTION IN BPF 31,700 39,625 55,475 71,325 79,250

8 CTTS000009 EMERGENCY THORACOTOMY IN TRAUMA CHEST 21,200 26,500 37,100 47,700 53,000

9 CTTS000010 EXTRAPLEURAL PNEUMONECTOMY IN 42,300 52,875 74,025 95,175 105,750

MESOTHELIOMA

10 CTTS000011 HARVESTING MUSCLE PEDICLED GRAFT & REINF 31,600 39,500 55,300 71,100 79,000

OF BRONCHIAL STUMP

11 CTTS000012 HELLER'S OPERATION CARDIO MYOTOMY 21,200 26,500 37,100 47,700 53,000

12 CTTS000013 HEMICLAMSHELL INCISION 14,100 17,625 24,675 31,725 35,250

13 CTTS000014 IVS TUMOUR RESECTION 42,300 52,875 74,025 95,175 105,750

14 CTTS000015 LOBECTOMY, LUNG 44,800 56,000 78,400 100,800 112,000

15 CTTS000017 MAXIMAL THYMECTOMY, COMBINED CERVICAL & 42,300 52,875 74,025 95,175 105,750

TRANS-STERNAL

16 CTTS000018 MEDIAN STERNOTOMY 35,100 43,875 61,425 78,975 87,750

17 CTTS000019 MEDIASTINOSCOPY AND STAGING 14,100 17,625 24,675 31,725 35,250

18 CTTS000020 OESOPHAGEAL EXCLUSION IN CHEST TRAUMA 24,600 30,750 43,050 55,350 61,500

19 CTTS000021 OESOPHAGEAL PERFORATION REPAIR 21,200 26,500 37,100 47,700 53,000

20 CTTS000022 OESOPHAGEAL REPLACEMENT SURGERY 31,600 39,500 55,300 71,100 79,000

21 CTTS000023 OESOPHAGEAL STRICTURE REPAIR 35,100 43,875 61,425 78,975 87,750

22 CTTS000024 VATS PERICARDIECTOMY 44,800 56,000 78,400 100,800 112,000

23 CTTS000025 PLEURECTOMY/DECORTICATION 44,800 56,000 78,400 100,800 112,000

24 CTTS000026 PLEUROPERITONEAL SHUNT/PLEURO VENOUS 21,200 26,500 37,100 47,700 53,000

SHUNT

25 CTTS000027 PNEUMONECTOMY 44,800 56,000 78,400 100,800 112,000

26 CTTS000028 PNEUMONECTOMY WITH MEDIASTINAL LYMPH 52,700 65,875 92,225 118,575 131,750

NODE DISSECTION

27 CTTS000029 PULMONARY ARTERIO VENOUS 38,800 48,500 67,900 87,300 97,000

MALFORMATION/SEQUESTRATION SURGERY

28 CTTS000030 PULMONARY ARTERY/VEIN REPAIR 42,300 52,875 74,025 95,175 105,750

29 CTTS000031 RIB FIXATIONS IN TRAUMATIC FLAIL CHEST 28,400 35,500 49,700 63,900 71,000

30 CTTS000032 RIB RESECTION AND INTERCOSTAL DRAINAGE 10,600 13,250 18,550 23,850 26,500

31 CTTS000033 SINUS EXCISION CHEST 14,100 17,625 24,675 31,725 35,250

32 CTTS000034 SLEEVE RESECTION AND BRONCHOPLASTY 42,300 52,875 74,025 95,175 105,750

33 CTTS000035 STERNECTOMY IN STERNAL WOUND DEHISCENSE 26,500 33,125 46,375 59,625 66,250

34 CTTS000036 SUBCLAVION ARTERY RECONSTRUCTION THROUGH 38,800 48,500 67,900 87,300 97,000

THORACOTOMY

35 CTTS000037 SUPERIOR SULUS TUMOUR RESECTION 38,800 48,500 67,900 87,300 97,000

36 CTTS000038 SURGERY OF GASTRO OESOPHAGEAL REFLUX 24,700 30,875 43,225 55,575 61,750

37 CTTS000039 SURGERY OF GASTRO OESOPHAGEAL 24,700 30,875 43,225 55,575 61,750

DIVERTICULUM

38 CTTS000040 THORACENTESIS 3,500 4,375 6,125 7,875 8,750

39 CTTS000041 THORACIC AORTIC ANEURYSM REPAIR 62,000 77,500 108,500 139,500 155,000

40 CTTS000042 THORACIC DUCT REPAIR IN CHYLOTHORAX 35,100 43,875 61,425 78,975 87,750

41 CTTS000043 THORACOSTOMY AND PLEURODESIS 24,700 30,875 43,225 55,575 61,750

42 CTTS000044 THORACOTOMY (POSTEROLATERAL) 10,600 13,250 18,550 23,850 26,500

43 CTTS000045 THORACOTOMY AND PERICARDIAL WINDOW 17,700 22,125 30,975 39,825 44,250

CONSTRUCTION

44 CTTS000046 TRACHEAL RESECTION AND RECONSTRUCTION 26,400 33,000 46,200 59,400 66,000

45 CTTS000047 TRACHEOESOPHAGEAL FISTULA REPAIR 35,100 43,875 61,425 78,975 87,750

46 CTTS000048 TRANSAXILLARY 1ST RIB RESECTION IN THORACIC 31,700 39,625 55,475 71,325 79,250

OUTLET SYNDROME A Unit of Global Health Pvt. Ltd.

Surgeon fee in INR


**

47 CTTS000049 TUBE THORACOSTOMY 7,200 9,000 12,600 16,200 18,000

48 CTTS000050 VOLUME REDUCTION SURGERY FOR EMPHYSEMA 38,800 48,500 67,900 87,300 97,000

49 CTTS000051 WEDGE RESECTION OF LUNG 14,100 17,625 24,675 31,725 35,250

50 CTTS000052 PLEURAL BIOPSY (WITH THORACOTOMY) 14,100 17,625 24,675 31,725 35,250

51 CTTS000053 HYDATID CYST LUNG, EXCISION 44,100 55,125 77,175 99,225 110,250

52 CTTS000054 ASPIRATION PERICARDIAL CAVITY/PERICARDIAL 11,800 14,750 20,650 26,550 29,500

TAPPING

53 CTTS000055 DRAINAGE PERICARDIAL CAVITY 35,100 43,875 61,425 78,975 87,750

54 CTTS000056 LUNG BIOPSY OPEN 17,700 22,125 30,975 39,825 44,250

55 CTTS000057 MEDIASTINAL BIOPSY 24,700 30,875 43,225 55,575 61,750

56 CTTS000058 CERVICAL/ LUMBAR SYNPATHECTOMY - Open 28,400 35,500 49,700 63,900 71,000

57 CTTS000059 COARCTATION OF AORTA REPAIR 35,100 43,875 61,425 78,975 87,750

58 CTTS000060 BULLECTOMY 31,700 39,625 55,475 71,325 79,250

59 CTTS000061 BRONCHOPLASTY PROCEDURE 42,300 52,875 74,025 95,175 105,750

60 CTTS000062 BRONCHOPLASTY FISTULA CLOSURE 42,300 52,875 74,025 95,175 105,750

61 CTTS000063 SYMPATHECTOMY TRANSTHORACIC 31,600 39,500 55,300 71,100 79,000

62 CTTS000065 SURGERY FOR CHYLOTHORAX 44,100 55,125 77,175 99,225 110,250

63 CTTS000066 SURGERY FOR GASTROESOPHGEAL REFLUX 21,200 26,500 37,100 47,700 53,000

64 CTTS000067 THORACOCTOMY & FOREIGN BODY REMOVAL 35,100 43,875 61,425 78,975 87,750

65 CTTS000068 Diagnostic Bronchoscopy ( with biopsy) 9,600 12,000 16,800 21,600 24,000

66 CTTS000069 Foreigh Body removal by flexible bronchoscope 9,100 11,375 15,925 20,475 22,750

67 CTTS000070 Foreigh Body removal by Rigid bronchoscope 16,500 20,625 28,875 37,125 41,250

68 CTTS000071 Endobronchial Laser Therapy 13,300 16,625 23,275 29,925 33,250

69 CTTS000072 Endobronchial Cryotherapy 13,200 16,500 23,100 29,700 33,000

70 CTTS000073 Endobronchial carcinoid resection 13,200 16,500 23,100 29,700 33,000

71 CTTS000074 Endobronchial Lasering for Hemoptysis 13,200 16,500 23,100 29,700 33,000

72 CTTS000075 Rigid bronchoscopy and Bronchopleural fistula 12,700 15,875 22,225 28,575 31,750

closure

73 CTTS000076 Dilatation of congenital webs 13,200 16,500 23,100 29,700 33,000

74 CTTS000077 Tracheal stenting for Benign strictures 19,900 24,875 34,825 44,775 49,750

75 CTTS000078 Tracheal stenting for Trachea-Oesophageal fistula 19,900 24,875 34,825 44,775 49,750

76 CTTS000079 Tracheal stenting for malignant tumour obstruction 19,900 24,875 34,825 44,775 49,750

77 CTTS000080 Bronchial stenting for benign and malignant 19,900 24,875 34,825 44,775 49,750

conditions

78 CTTS000081 Cervical Rib excision 13,200 16,500 23,100 29,700 33,000

79 CTTS000082 Excision of Cervical Rib / Scalenotomy 13,200 16,500 23,100 29,700 33,000

80 CTTS000083 Intercostal Block 4,000 5,000 7,000 9,000 10,000

81 CTTS000084 Chest / Pleural Aspiration in OT 2,600 3,250 4,550 5,850 6,500

82 CTTS000085 Diagnostic Thoracoscopy and Drainage 6,000 7,500 10,500 13,500 15,000

83 CTTS000086 Diagnostic Thoracoscopy and Biopsy 9,200 11,500 16,100 20,700 23,000

84 CTTS000087 Excision of Chest Wall Tumour ( Excluding ribs) 15,800 19,750 27,650 35,550 39,500

85 CTTS000088 Excision of Chest Wall Tumour ( including ribs) 19,900 24,875 34,825 44,775 49,750

86 CTTS000089 Open Pleural Biopsy 9,400 11,750 16,450 21,150 23,500

87 CTTS000090 Rib Resection & Drainage of Pus 13,300 16,625 23,275 29,925 33,250

88 CTTS000091 Thoracotomy and Evacuation of Hematoma 21,200 26,500 37,100 47,700 53,000

89 CTTS000092 Thoracotomy and re exploration for Bleeding 21,200 26,500 37,100 47,700 53,000

90 CTTS000093 Thoracotomy for anterolateral decompression 21,200 26,500 37,100 47,700 53,000

91 CTTS000094 Thoracotomy for penetrating Injury of chest 21,200 26,500 37,100 47,700 53,000

92 CTTS000095 Lobectomy in Life Threatening hemoptysis 52,800 66,000 92,400 118,800 132,000

93 CTTS000096 Decortication for Empyema Thoracis 19,900 24,875 34,825 44,775 49,750

94 CTTS000097 Intercostal Chest Drain 8,800 11,000 15,400 19,800 22,000

95 CTTS000098 Open Lung Biopsy 19,900 24,875 34,825 44,775 49,750

96 CTTS000099 Thoracotomy and Lobectomy 29,300 36,625 51,275 65,925 73,250

97 CTTS000100 Thoracotomy & Pneumonectomy 29,300 36,625 51,275 65,925 73,250


Surgeon fee in INR


**

98 CTTS000101 Thoracotomy and segmental resection of Lung 29,300 36,625 51,275 65,925 73,250

99 CTTS000102 Thoracotomy and decortication of Lung 19,800 24,750 34,650 44,550 49,500

100 CTTS000103 Thoracotomy and excision of bronchogenic cyst of 21,300 26,625 37,275 47,925 53,250

lung

101 CTTS000104 Thoracotomy and Excision of dermoid cyst of Lung 21,300 26,625 37,275 47,925 53,250

102 CTTS000105 Thoracotmy and excision of Hydatid cyst of Lung 21,300 26,625 37,275 47,925 53,250

103 CTTS000106 Thoracotomy , Pleurectomy and excision of 26,400 33,000 46,200 59,400 66,000

Emphysematous bullae

104 CTTS000107 Thoracotomy and Bronchoplasty 47,000 58,750 82,250 105,750 117,500

105 CTTS000108 Thoracotomy and Bronchopleural fistula closure 47,000 58,750 82,250 105,750 117,500

106 CTTS000109 Harvesting of muscle pedicle graft and 35,100 43,875 61,425 78,975 87,750

reinforcement of Bronchisl stump

107 CTTS000110 VATS/ Thoracoscopic Lobectomy 50,900 63,625 89,075 114,525 127,250

108 CTTS000111 VATS / Thoracoscopic Pnumonectomy 49,900 62,375 87,325 112,275 124,750

109 CTTS000112 VATS/ Thoracoscopic Segmentectomy 49,900 62,375 87,325 112,275 124,750

110 CTTS000113 VATS/ Thoracoscopic Lung Biopsy 20,000 25,000 35,000 45,000 50,000

111 CTTS000114 VATS/ Thoracoscopic Lung Metastatectomy 19,900 24,875 34,825 44,775 49,750

112 CTTS000115 VATS/ Thoracoscopic Enucleation of Hamartoma 19,900 24,875 34,825 44,775 49,750

113 CTTS000116 VATS/ Thoracoscopic Thymectomy 49,500 61,875 86,625 111,375 123,750

114 CTTS000117 VATS/ Thoracoscopic Parathyroid excision 35,200 44,000 61,600 79,200 88,000

115 CTTS000118 VATS/ Thoracoscopic Excision of mediastinal 49,500 61,875 86,625 111,375 123,750

tumours

116 CTTS000119 VATS/ Thoracoscopic Excision of mediastinal cysts 49,500 61,875 86,625 111,375 123,750

117 CTTS000120 VATS/ Thoracoscopic Cervical Symphatectomy 35,100 43,875 61,425 78,975 87,750

118 CTTS000121 VATS/ Thoracoscopic Suturing of lung tears / leaks 19,900 24,875 34,825 44,775 49,750

119 CTTS000122 VATS/ Thoracoscopic Pericardial window for 32,100 40,125 56,175 72,225 80,250

Pericardial Effusion

120 CTTS000123 VATS/ Thoracoscopic Pleural biopsy 13,200 16,500 23,100 29,700 33,000

121 CTTS000124 VATS/ Thoracoscopic Drainage of pleural effusion 8,000 10,000 14,000 18,000 20,000

122 CTTS000125 VATS/ Thoracoscopic Pleurodesis 13,200 16,500 23,100 29,700 33,000

123 CTTS000126 VATS/ Thoracoscopic Bullectomy / Pleurectomy for 35,100 43,875 61,425 78,975 87,750

Pneumothorax

124 CTTS000127 VATS/ Thoracoscopic Lung Volume Reduction 43,200 54,000 75,600 97,200 108,000

Surgery

125 CTTS000128 Diagnostic VATS/ Thoracoscopy in Trauma 35,100 43,875 61,425 78,975 87,750

126 CTTS000129 VATS/ Thoracoscopic Control & Drainage of 35,100 43,875 61,425 78,975 87,750

Haemothorax

127 CTTS000130 VATS/ Thoracoscopic Treatment and sealing of 41,800 52,250 73,150 94,050 104,500

Chylothorax

128 CTTS000131 VATS/ Thoracoscopic Drainage of Empyema 35,100 43,875 61,425 78,975 87,750

129 CTTS000132 VATS/ Thoracoscopic Decortication 40,700 50,875 71,225 91,575 101,750

130 CTTS000133 VATS/ Thoracoscopic placement of extrapleural 9,400 11,750 16,450 21,150 23,500

catheters for analgesia

131 CTTS000134 VATS/ Thoracoscopic Systematic nodal dissection 27,500 34,375 48,125 61,875 68,750

of mediastinal and intrathoracic nodes

132 CTTS000135 VATS/ Thoracoscopic Harvesting of phrenic nerve 27,500 34,375 48,125 61,875 68,750

133 CTTS000136 Excision of Medistinal Tumours (Open) 25,000 31,250 43,750 56,250 62,500

134 CTTS000137 VATS Thoracoscopic Mediastinal Lymph node 27,900 34,875 48,825 62,775 69,750

biopsy

135 CTTS000138 Thoracoscopic Mediastinal Tumour excision 43,200 54,000 75,600 97,200 108,000


Surgeon fee in INR


**

136 CTTS000140 Thoracotomy and mediastinal lymph Node Biopsy 12,900 16,125 22,575 29,025 32,250

137 CTTS000141 Thymectomy ( Open) 25,400 31,750 44,450 57,150 63,500

138 CTTS000142 VATS / Thoracoscopic Ligation of Thoracic duct 44,000 55,000 77,000 99,000 110,000

139 CTTS000143 Video Mediastinoscopy 19,800 24,750 34,650 44,550 49,500

140 CTTS000144 Anterior mediastinotomy 15,800 19,750 27,650 35,550 39,500

141 CTTS000145 Excision of retrosternal goiter 25,000 31,250 43,750 56,250 62,500

142 CTTS000146 Diaphragmatic Rupture 39,100 48,875 68,425 87,975 97,750

143 CTTS000147 Local anesthesia thoracoscopy 12,100 15,125 21,175 27,225 30,250

144 CTTS000148 Intrapleural antibiotic washout 6,100 7,625 10,675 13,725 15,250

145 CTTS000149 Digital suction device 4,300 5,375 7,525 9,675 10,750

146 CTTS000150 Talc pleurodesis 9,700 12,125 16,975 21,825 24,250

147 CTTS000151 Suturing of chest wall laceration (small) 3,700 4,625 6,475 8,325 9,250

148 CTTS000152 Suturing of chest wall laceration (large) 6,100 7,625 10,675 13,725 15,250

149 CTTS000153 Robotic Lobectomy 65,500 81,875 114,625 147,375 163,750

150 CTTS000154 Robotic Pnumonectomy 65,500 81,875 114,625 147,375 163,750

151 CTTS000155 Robotic Segmentectomy 65,500 81,875 114,625 147,375 163,750

152 CTTS000156 Robotic Lung Metastatectomy 31,900 39,875 55,825 71,775 79,750

153 CTTS000157 Robotic Enucleation of Hamartoma 31,900 39,875 55,825 71,775 79,750

154 CTTS000158 Robotic Thymectomy 58,600 73,250 102,550 131,850 146,500

155 CTTS000159 Robotic Parathyroid excision 65,500 81,875 114,625 147,375 163,750

156 CTTS000160 Robotic Excision of mediastinal tumours 65,500 81,875 114,625 147,375 163,750

157 CTTS000161 Robotic Excision of mediastinal cysts 65,500 81,875 114,625 147,375 163,750

158 CTTS000162 Robotic Cervical Symphatectomy 45,100 56,375 78,925 101,475 112,750

159 CTTS000163 Robotic Resection of Thoracic Outlet Tumours 60,000 75,000 105,000 135,000 150,000

160 CTTS000164 Robotic Chest Wall Surgery for Tumours and 52,800 66,000 92,400 118,800 132,000

Deformities

161 CTTS000165 Robotic Plication of Diaphragm 51,700 64,625 90,475 116,325 129,250

162 CTTS000166 Robotic Ligation of Thoracic Duct for Chylothorax 51,700 64,625 90,475 116,325 129,250

163 CTTS000167 Intercostal drain insertion in ICU 13,200 16,500 23,100 29,700 33,000

164 CTTS000168 Rigid bronchoscopy 8,800 11,000 15,400 19,800 22,000

165 CTTS000169 Thoracoscopic sleeve lobectomy 60,500 75,625 105,875 136,125 151,250


Vascular Surgery

S.No Billing code Service name Surgeon fee in INR

Sharing/* Single Single Dlx Super Dlx Suite

1 CTVS000001 ABDOMINAL AROTIC ANEURYSM REPAIR - EVAR 38,500 48,125 67,375 86,625 96,250

2 CTVS000002 AORTO BIFEMORAL BYPASS without endarterectomy 36,100 45,125 63,175 81,225 90,250

3 CTVS000003 AORTO ILIAC BYPASS 28,800 36,000 50,400 64,800 72,000

4 CTVS000004 AXILLO FEMORAL BYPASS 28,800 36,000 50,400 64,800 72,000

5 CTVS000005 CAROTICO BRACHIAL BYPASS GRAFT,SYTHETHETIC 19,600 24,500 34,300 44,100 49,000

6 CTVS000006 CAROTID BYPASS GRAFT 32,800 41,000 57,400 73,800 82,000

7 CTVS000007 CAROTID ENDARTRECTOMY 33,000 41,250 57,750 74,250 82,500

8 CTVS000008 CERVICAL SYMPATHECTOMY 19,600 24,500 34,300 44,100 49,000

9 CTVS000009 CONGENITAL A.V. FISTULA REPAIR 19,600 24,500 34,300 44,100 49,000

10 CTVS000010 ENDARTERACTOMY OF ANY PERIPHERAL VESSEL 21,600 27,000 37,800 48,600 54,000

11 CTVS000011 EXCISION OF CAROTID BODY TUMOUR WITH USE OF SHUNT 32,800 41,000 57,400 73,800 82,000

12 CTVS000012 EXCISION OF CAROTID BODY TUMOR 26,200 32,750 45,850 58,950 65,500

13 CTVS000013 EXCISION OF CERVICAL RIB 32,800 41,000 57,400 73,800 82,000

14 CTVS000016 FEMORAL CROSSED -LEG GRAFT 26,200 32,750 45,850 58,950 65,500

15 CTVS000017 FEMORAL EMBOLECTOMY -BILATERAL 33,000 41,250 57,750 74,250 82,500

16 CTVS000018 FEMORAL EMBOLECTOMY -UNILATERAL 27,500 34,375 48,125 61,875 68,750

17 CTVS000019 FEMORO POPLITEAL BYPASS USING SYNTHETIC GRAFT 23,700 29,625 41,475 53,325 59,250

18 CTVS000020 FEMOROPOPILITEAL BYPASS USING AUTOGENOUS VEIN 28,800 36,000 50,400 64,800 72,000

19 CTVS000021 LIENO RENAL, PROTO CAVAL OR MESOCAVAL SHUNT 32,800 41,000 57,400 73,800 82,000

20 CTVS000022 LIGATION OF ESOPHAGEAL VARICES 32,800 41,000 57,400 73,800 82,000

21 CTVS000023 LUMBAR SYMPATHECTOMY 19,600 24,500 34,300 44,100 49,000

22 CTVS000024 MANAGEMENT OF POPLITEAL ARTERY ENTRAPMENT 19,600 24,500 34,300 44,100 49,000

23 CTVS000025 PERIPHERAL ARTERIAL ANEURYSM REPAIR 26,200 32,750 45,850 58,950 65,500

24 CTVS000026 PERIPHERAL VASCULAR INJURY REPAIR 28,800 36,000 50,400 64,800 72,000

25 CTVS000027 PROFUNDAPLASTY USING PATCH 26,200 32,750 45,850 58,950 65,500

26 CTVS000028 RESECTION AND GRAFTING OF THORACIC ANEURYSMS 39,200 49,000 68,600 88,200 98,000

27 CTVS000029 SUBCLAVIAN ARTERY BYPASS 19,600 24,500 34,300 44,100 49,000

28 CTVS000030 Arterial thromboendarterectomy 26,200 32,750 45,850 58,950 65,500

29 CTVS000034 FEMORAL & POPLITEAL, THROMBO EMBOLECTOMY 26,800 33,500 46,900 60,300 67,000

(UNILATERAL)

30 CTVS000035 SHUNT & FISTULAS FOR HEMODIALYSIS 11,000 13,750 19,250 24,750 27,500

31 CTVS000036 VARICOSE VEIN SURGERY FOR BOTH LEGS 36,900 46,125 64,575 83,025 92,250

32 CTVS000037 VARICOSE VEIN SURGERY FOR SINGLE LEG 25,100 31,375 43,925 56,475 62,750

33 CTVS000038 FEMORO DISTAL BYPASS 36,800 46,000 64,400 82,800 92,000

34 CTVS000039 SURGERY FOR THORACIC OUTLET SYNDROME 41,800 52,250 73,150 94,050 104,500

35 CTVS000040 FEMORAL ARTERIOGRAM ON TABLE 6,000 7,500 10,500 13,500 15,000

36 CTVS000041 OTHER ARTERIAL BYPASS SURGERY USING VEIN 30,200 37,750 52,850 67,950 75,500

37 CTVS000042 OTHER ARTERIAL BYPASS SURGERY USING SYNTHETIC GRAFT 26,900 33,625 47,075 60,525 67,250

38 CTVS000043 SUPERIOR VENA CAVA BYPASS 40,200 50,250 70,350 90,450 100,500

39 CTVS000044 INFERIOR VENA CAVA BYPASS 40,200 50,250 70,350 90,450 100,500

40 CTVS000045 PALMA DALE PROCEDURE 30,200 37,750 52,850 67,950 75,500

41 CTVS000046 ILIAC VEIN BYPASS 30,200 37,750 52,850 67,950 75,500

42 CTVS000047 FEMORAL VEIN VALVULOPLASTY 29,600 37,000 51,800 66,600 74,000

43 CTVS000048 AXILLARY VEIN TRANSFER 33,500 41,875 58,625 75,375 83,750

44 CTVS000049 DIABETIC FOOT DEBRIDEMENT 13,500 16,875 23,625 30,375 33,750

45 CTVS000050 OMENTAL TRANSFER 26,900 33,625 47,075 60,525 67,250

46 CTVS000051 VENOUS THROMBECTOMY 25,800 32,250 45,150 58,050 64,500

47 CTVS000054 Open surgery for varicose veins Bilateral 22,800 28,500 39,900 51,300 57,000

48 CTVS000055 Open surgery for varicose veins unilateral 19,800 24,750 34,650 44,550 49,500

49 CTVS000064 Chemoport Insertion 8,500 10,625 14,875 19,125 21,250

50 CTVS000065 Chemoport Removal 5,500 6,875 9,625 12,375 13,750

51 CTVS000066 Hickman Line Insertion/ Removal 8,500 10,625 14,875 19,125 21,250

52 CTVS000067 Permacath Placement/Insertion/ removal 8,300 10,375 14,525 18,675 20,750

53 CTVS000068 AORTO BIFEMORAL BYPASS with endarterectomy 39,900 49,875 69,825 89,775 99,750

54 CTVS000070 Laproscopic Assisted Aorto - Distal vvascular Anastomosis 27,000 33,750 47,250 60,750 67,500

55 CTVS000071 Axillary - brachial bypass using synthetic graft 39,900 49,875 69,825 89,775 99,750

56 CTVS000072 Extra - Anatomical Bypass 39,900 49,875 69,825 89,775 99,750

57 CTVS000074 Extra - Anatomical Bilateral axillo - Bifemoral bypass using 39,900 49,875 69,825 89,775 99,750

synthetic Grafting

58 CTVS000075 Cartoid - axillary bypass using synthetic grafting 42,600 53,250 74,550 95,850 106,500

59 CTVS000077 Femoro - Popliteal bypass using Reversed LSV 39,900 49,875 69,825 89,775 99,750

60 CTVS000082 BRACHIAL ENDARTERECTOMY WITH PTFE PATCH PLASTY 34,100 42,625 59,675 76,725 85,250

61 CTVS000086 Eversion carotid Endartertctomy 34,100 42,625 59,675 76,725 85,250

62 CTVS000096 Exploration & Repair of Axillary Arterial Injury - Primary Repair 24,200 30,250 42,350 54,450 60,500

63 CTVS000097 Exploration & Repair of Axillary Arterial Injury Using vein Graft 42,600 53,250 74,550 95,850 106,500

64 CTVS000113 Exploration & Ligation for Bleeding due to Traumatic Arterial 10,700 13,375 18,725 24,075 26,750

Injury A Unit of Global Health Pvt. Ltd.


Sharing/* Single Single Dlx Super Dlx Suite

65 CTVS000123 Open aortic aneurysm repair 42,600 53,250 74,550 95,850 106,500

66 CTVS000127 Ruptured Infra Renal Abdominal Aoritc Aneurysm Repair - Aorto 42,600 53,250 74,550 95,850 106,500

Bi-Iliac Bypass graft

67 CTVS000143 Recanalisation of chronic total occlusion (CTO)- Single segment 33,400 41,750 58,450 75,150 83,500

68 CTVS000144 Recanalisation of Chronic total occlusion with patch plasty 35,500 44,375 62,125 79,875 88,750

69 CTVS000145 Endovascular aneurysm repair 35,500 44,375 62,125 79,875 88,750

70 CTVS000146 Angio embolisation (minor) 25,300 31,625 44,275 56,925 63,250

71 CTVS000147 Peripheral angioplasty (Vascular) 27,500 34,375 48,125 61,875 68,750

72 CTVS000148 Endoluminal bypass 39,000 48,750 68,250 87,750 97,500

73 CTVS000151 Angio embolisation (major) 31,700 39,625 55,475 71,325 79,250

74 CTVS000152 A.V.Fistula salvage 6,400 8,000 11,200 14,400 16,000

75 CTVS000153 Recanalisation of CTO - Multi level 38,000 47,500 66,500 85,500 95,000

76 CTVS000159 Subinitmal recanalisation of CTO - Focal 25,300 31,625 44,275 56,925 63,250

77 CTVS000161 Excision of Vascular malformation-Minor 5,100 6,375 8,925 11,475 12,750

78 CTVS000162 Excision of vascular malformation Intermediate 19,100 23,875 33,425 42,975 47,750

79 CTVS000163 Excision of vascular malformation Major 34,900 43,625 61,075 78,525 87,250

80 CTVS000167 IVC filter insertion 33,000 41,250 57,750 74,250 82,500

81 CTVS000169 Foreign body tumour removal 6,400 8,000 11,200 14,400 16,000

82 CTVS000171 Hickman line removal 5,500 6,875 9,625 12,375 13,750

83 CTVS000172 Thrombolysis intra arterial 22,000 27,500 38,500 49,500 55,000

84 CTVS000173 Peripheral Angiography (Vascular) 8,800 11,000 15,400 19,800 22,000

85 CTVS000174 Minor Vascular repair with graft 31,700 39,625 55,475 71,325 79,250

86 CTVS000175 Major vascular repair with interposition graft 38,000 47,500 66,500 85,500 95,000

87 CTVS000176 Decompression Fasciotomy 6,400 8,000 11,200 14,400 16,000

88 CTVS000177 Vein Exploration 5,100 6,375 8,925 11,475 12,750

89 CTVS000178 Revision of A V Fistula 6,400 8,000 11,200 14,400 16,000

90 CTVS000179 Diabetic foot debridement (Small) 2,600 3,250 4,550 5,850 6,500

91 CTVS000180 Diabetic foot debridement (Medium) 3,900 4,875 6,825 8,775 9,750

92 CTVS000181 Diabetic foot debridement (Large) 6,400 8,000 11,200 14,400 16,000

93 CTVS000184 Toe Amputation 7,300 9,125 12,775 16,425 18,250

94 CTVS000185 Foot amputation 10,600 13,250 18,550 23,850 26,500

95 CTVS000186 Above knee amputation 44,400 55,500 77,700 99,900 111,000

96 CTVS000187 Below knee amputation 33,000 41,250 57,750 74,250 82,500

97 CTVS000189 Small artery aneurysm repair 19,100 23,875 33,425 42,975 47,750

98 CTVS000190 IVC Filter Removal 10,800 13,500 18,900 24,300 27,000

99 CTVS000195 Minor vascular repair without graft 26,400 33,000 46,200 59,400 66,000

100 CTVS000197 AV Fistula with assisted maturation 22,000 27,500 38,500 49,500 55,000

101 CTVS000198 Secondary Assisted Central Venous access for Hemodialysis 16,500 20,625 28,875 37,125 41,250

102 CTVS000199 Central venous access with¿tunnelled catheter 18,500 23,125 32,375 41,625 46,250

103 CTVS000200 CT compatible implantable device for chemotherapy 15,900 19,875 27,825 35,775 39,750

104 CTVS000201 Venoplasty for failing AV fistula 18,500 23,125 32,375 41,625 46,250

105 CTVS000202 Embolisation for vascular malformations - Large 16,500 20,625 28,875 37,125 41,250

106 CTVS000203 Mono nuclear cell therapy for chronic limb ischemia-S 33,000 41,250 57,750 74,250 82,500

Packages S.No Billing code Service name

Day Care Sharing Single Single Dlx Super Dlx Suite 1 CTVS000149 Venous thermal ablation -Unilateral* (P) 112,000 117,000 147,000 187,000 222,000 247,000 2 CTVS000150 Venous thermal ablation -Bilateral* (P) 133,000 138,000 173,000 213,000 248,000 273,000 3 CTVS000193 Venous thermal ablation with RFA - Unilateral* (P) 125,000 130,000 150,000 180,000 220,000 250,000 4 CTVS000194 Venous thermal ablation with RFA- Bilateral* (P) 159,000 165,000 185,000 225,000 270,000 290,000

Procedures S.No Billing code Service name

Sharing Single Single Dlx Super Dlx Suite

1 CTVP000001 Vein Mapping 800 1,000 1,400 1,800 2,000

2 CTVP000002 Bifurcation Scan (carotid/ Aorta/ femoral) 1,700 2,125 2,975 3,825 4,250

3 CTVP000003 Insole With Bipedal Correction (1st Pair) 5,100 6,375 8,925 11,475 12,750

4 CTVP000004 Insole With Bipedal Correction (2nd Pair) 3,900 4,875 6,825 8,775 9,750

5 CTVP000005 Insole With Single Correction (1st Pair) 3,900 4,875 6,825 8,775 9,750

6 CTVP000006 Insole With Single Correction (2nd Pair) 3,200 4,000 5,600 7,200 8,000

7 CTVP000007 Foot Scan (Mat / F Scan) 1,400 1,750 2,450 3,150 3,500

8 CTVP000008 TCPO2 800 1,000 1,400 1,800 2,000

9 CTVP000009 Cutaneous Angiography "spy" 3,200 4,000 5,600 7,200 8,000

10 CTVP000010 Wound Healing Therapy Charges Per Hour 2,600 3,250 4,550 5,850 6,500

11 CTVP000011 Diabetic foot debridement (Small) 2,600 3,250 4,550 5,850 6,500

12 CTVP000012 Diabetic foot debridement (Medium) 3,900 4,875 6,825 8,775 9,750

13 CTVP000013 Diabetic foot debridement (Large) 6,400 8,000 11,200 14,400 16,000

14 CTVP000014 Diabetic foot vascular assessment procedure 400 500 700 900 1,000

15 CTVP000015 Insole for balance correction 2,600 3,250 4,550 5,850 6,500

16 CTVP000016 INJECTION SCLROTHERAPY (PER SITTING) 2,700 3,375 4,725 6,075 6,750

17 CTVP000017 Ultrasonic Assisted Wound DebridementA Unit of Global Health Pvt2,000.Ltd. 2,500 3,500 4,500 5,000


Sharing/* Single Single Dlx Super Dlx Suite 18 CTVP000018 Amputation Minor (vascular) 2,700 3,375 4,725 6,075 6,750 19 CTVP000019 Dressing Minor (Vascular) 670 838 1,173 1,508 1,675 20 CTVP000020 Dressing Major (Vascular) 1,400 1,750 2,450 3,150 3,500 21 CTVP000021 Debridement Minor (Vascular) 670 838 1,173 1,508 1,675 22 CTVP000022 Thrombin injection for Peripheral Aneurysm 20,000 25,000 35,000 45,000 50,000 23 CTVP000023 Embolisation for vascular malformations - Small 5,500 6,875 9,625 12,375 13,750 24 CTVP000024 Embolisation for vascular malformations - Medium 11,000 13,750 19,250 24,750 27,500 25 CTVP000025 Follow-up for difficult AV access 2,800 3,500 4,900 6,300 7,000 26 CTVP000026 Foot Insole 1,700 2,125 2,975 3,825 4,250 27 CTVP000027 Single correction 2,200 2,750 3,850 4,950 5,500 28 CTVP000028 Double correction 2,800 3,500 4,900 6,300 7,000 29 CTVP000029 Multiple corrections 3,300 4,125 5,775 7,425 8,250 30 CTVP000030 Insole Upgrade 550 688 963 1,238 1,375 31 CTVP000031 Mono nuclear cell therapy for chronic limb ischemia-P 33,000 41,250 57,750 74,250 82,500 32 CTVP000032 USG DOPPLER EXTREMITY (SINGLE) ARTERIAL 3,450 4,313 6,038 7,763 8,625 33 CTVP000033 USG DOPPLER EXTREMITY (SINGLE) VENOUS 3,450 4,313 6,038 7,763 8,625 34 CTVP000034 USG DOPPLER EXTREMITY (BOTH) ARTERIAL 5,200 6,500 9,100 11,700 13,000 35 CTVP000035 USG DOPPLER EXTREMITY (BOTH) VENOUS 5,200 6,500 9,100 11,700 13,000 36 CTVP000036 MOBILE USG DOPPLER EXTREMITY (SINGLE) ARTERIAL 5,200 6,500 9,100 11,700 13,000 37 CTVP000037 MOBILE USG DOPPLER EXTREMITY (SINGLE) VENOUS 5,200 6,500 9,100 11,700 13,000 38 CTVP000038 MOBILE USG DOPPLER EXTREM (BOTH) ARTERIAL 7,800 9,750 13,650 17,550 19,500 39 CTVP000039 MOBILE USG DOPPLER EXTREM (BOTH) VENOUS 7,800 9,750 13,650 17,550 19,500


Dental Procedures

S.No Code no Service Name Surgeon / Procedure charges in INR

** Sharing Single Single Dlx Super Dlx Suite

1 DNPR000001 DECIDUOUS RCT (POSTERIOR) 3,500

2 DNPR000002 DECIDUOUS RCT (ANTERIOR ) 3,000

3 DNPR000003 SCALING PER SITTING 1,000

4 DNPR000004 X RAY (RVG ) 200

5 DNPR000005 PREVENTIVE RESIN RESTORATION (PRR) 700

6 DNPR000015 Orthognathic surgery per jaw grade 1 60,000



9 DNPR000019 IMF grade 2 20,000

10 DNPR000020 ALL CERAMIC CROWN GRADE IV 20,000

11 DNPR000023 APICOECTOMY - GRADE 1 10,000

12 DNPR000025 CHAIR SIDE BLEACHING (PARTIAL) 5,500

13 DNPR000026 BLEACHING ( BY TRAY METHOD ) GRADE I 8,000

14 DNPR000027 Implant bone grafting (GBR) grade 1 5,000




18 DNPR000032 CAST PARTIAL DENTURE ( METAL FRAME ) 16,500

19 DNPR000033 CAST PARTIAL DENTURE (PER TOOTH ) 2,200

20 DNPR000034 COMPOSITE CROWN 3,000

21 DNPR000035 COMPOSITE FILLINGS ONE SURFACE 1,100

22 DNPR000036 COMPOSITE FILLINGS CLASS II 2,000

DNPR000037 COMPOSITE FILLINGS CLASS III / CLASS IV / COMPLEX FILLING 3,000

23

24 DNPR000038 COMPOSITE LAMINATES 5,000

25 DNPR000039 DEPIGMENTATION ( PER ARCH) 6,000

26 DNPR000042 CROWN CEMENTATION ( PER UNIT ) 1,100

27 DNPR000050 DENTURE ADJUSTMENT (MINOR ) 500



28 DNPR000051 DENTURE REPAIR GRADE I 1,100

29 DNPR000052 DIASTEMA CLOSURE BY COMPOSITE GRADE I 8,000

30 DNPR000053 DIASTEMA CLOSURE BY COMPOSITE GRADE II 10,000

31 DNPR000054 OPG WITH CD 700

32 DNPR000060 FIXED ORTHO PORCELAIN BRACES STAGE I 35,000

33 DNPR000061 FIXED ORTHO TRANSPARENT BRACES STAGE I 30,000

34 DNPR000062 PERIODONTAL FLAP SURGERY (PER SEGMENT ) 6,000

35 DNPR000063 TOPICAL FLUORIDE TREATMENT GRADE I 2,200

36 DNPR000069 FULL DENTURE ACRYLIC ( PER JAW ) 15,000

37 DNPR000071 GIC CLASS V 700

38 DNPR000072 GIC CLASS I 1,000

39 DNPR000073 GIC LINER 500

40 DNPR000076 IMF grade 1 10,000

41 DNPR000080 Extraction wisdom tooth 5,000

42 DNPR000081 Extraction impacted tooth grade 1 7,500



45 DNPR000085 INLAY /ONLAY GRADE I 8,000

46 DNPR000086 CHAIR SIDE BLEACHING GRADE I 8,000

47 DNPR000087 CHAIR SIDE BLEACHING GRADE II 10,000

48 DNPR000088 CHAIR SIDE BLEACHING GRADE III 12,000

49 DNPR000091 CERAMIC VENEER GRADE I 8,000

50 DNPR000092 CERAMIC VENEER GRADE II 10,000

51 DNPR000095 ALL CERAMIC CROWN GRADE III 16,500

52 DNPR000097 Minor surgical procedure grade 1 3,000




56 DNPR000101 MODELS 1,100

57 DNPR000103 NIGHT GUARD SOFT 5,500



58 DNPR000105 STUDY / DIAGNOSTIC CAST & TREATMENT PLAN 2,200

59 DNPR000107 ORTHO TREATMENT (INST.) Type 1 5,000




63 DNPR000114 OPERCULECTOMY 3,000

64 DNPR000119 PORCELAIN TO METAL CROWN Grade I 6,000

65 DNPR000122 METAL CERAMIC CROWN 8,000

66 DNPR000123 Maxillary fracture ORIF grade 1 25,000



69 DNPR000127 REMOVABLE ORTHO RETAINER ( EACH ) 7,000

70 DNPR000128 RPD ( 1 ST THREE TEETH ) 6,000

71 DNPR000129 RPD FLEXIBLE ( EVERY ADDITIONAL TOOTH ) 2,000

72 DNPR000130 RPD FLEXIBLE PLATE 7,000

73 DNPR000131 ROOT CANAL TREATMENT (ANTERIOR ) 5,500

74 DNPR000132 ROOT CANAL TREATMENT (POSTERIOR ) 7,500

75 DNPR000135 ROOT PLANING (PER QUADRANT) 3,500

76 DNPR000137 RPD ( EVERY ADDITIONAL TOOTH ) 1,000

77 DNPR000139 SCALING GRADE II 3,000

78 DNPR000140 SCALING GRADE III 4,000

79 DNPR000141 SCALING GRADE I 2,000

80 DNPR000142 SEALANTS (PER TOOTH ) 600

81 DNPR000143 SELECTIVE GRINDING (PER ARCH ) 500

82 DNPR000150 Extraction (surgical) 4,000

83 DNPR000151 TEMPORARY CROWN 1,100

84 DNPR000152 TEMPORARY FILLING 550

85 DNPR000153 Extraction grade 2 2,000


87 DNPR000155 TOOTH JEWELLERY 3,500



88 DNPR000158 ALL CERAMIC CROWN GRADE I 11,000

89 DNPR000163 Implant grade 1 25,000

90 DNPR000166 ALL CERAMIC CROWN GRADE II 13,500

91 DNPR000169 TMJ arthrocentesis per side 15,000

92 DNPR000170 PRECISION ATTACHMENT ( SINGLE) 10,000

93 DNPR000171 PRECISION ATTACHMENT ( DOUBLE ) 15,000

94 DNPR000172 ALIGNER STAGE I 80,000

95 DNPR000173 ALIGNER STAGE II 50,000

96 DNPR000174 ALIGNER STAGE III 50,000

97 DNPR000175 Additional aligner 10,000

98 DNPR000176 PREVENTIVE TREATMENT GRADE II 3,000

99 DNPR000177 PREVENTIVE TREATMENT GRADE III 5,000

100 DNPR000179 STAINLESS STEEL CROWN 3,000

101 DNPR000182 OBTURATOR SIMPLE 30,000

102 DNPR000183 OBTURATOR COMPLEX 40,000

103 DNPR000184 APICOECTOMY - GRADE II 15,000

104 DNPR000186 FIXED ORTHO METAL BRACES STAGE I 25,000

105 DNPR000190 INLAY /ONLAY GRADE II 10,000

106 DNPR000191 CERAMIC VENEER GRADE III 12,000

107 DNPR000192 NIGHT GUARD HARD 15,000

108 DNPR000193 RE ROOT CANAL TREATMENT ( ANTERIOR ) 7,000

109 DNPR000194 RE ROOT CANAL TREATMENT (POSTERIOR ) 10,000

110 DNPR000195 Implant grade 3 45,000

111 DNPR000196 CROWN LENGTHENING Grade I 1,500

112 DNPR000197 PREVENTIVE TREATMENT GRADE I 1,200

113 DNPR000198 FIBER SPLINTING GRADE I ( UPTO 4 TEETH ) 6,000

114 DNPR000199 FIBER SPLINTING GRADE II 8,000

115 DNPR000200 VESTIBULOPLASTY 4,500

116 DNPR000201 GINGIVOPLASTY GRADE I 3,000

117 DNPR000202 FRENOTOMY 3,000



118 DNPR000203 GINGIVECTOMY (PER TOOTH ) 1,500

119 DNPR000206 Ridge augmentation 20,000

120 DNPR000207 DENTIN DESENSITISATION (PER TOOTH ) 500

121 DNPR000208 FUNCTIONAL APPLIANCE GRADE I 25,000

122 DNPR000209 FUNCTIONAL APPLIANCE GRADE II 35,000

123 DNPR000210 HEADGEAR 25,000

124 DNPR000211 FIXED MAXILLARY EXPANDER 25,000

125 DNPR000212 FIXED HABIT BREAKING APPLIANCE GRADE I 15,000

126 DNPR000213 FIXED HABIT BREAKING APPLIANCE GRADE II 20,000

127 DNPR000214 BONDED LINGUAL RETAINER PER ARCH GRADE I 7,000

128 DNPR000215 BONDED LINGUAL RETAINER PER ARCH GRADE II 9,000

129 DNPR000216 3D CUSTOMISED LINGUAL INDIAN BRACES STAGE I 50,000

130 DNPR000218 IMPORTED INCOGNITO AMERICAN BRACES GRADE I 100,000

131 DNPR000219 IMPORTED INCOGNITO AMERICAN BRACES GRADE II 200,000

132 DNPR000220 REMOVABLE APPLIANCE GRADE I 10,000

133 DNPR000221 REMOVABLE APPLIANCE GRADE II 15,000

134 DNPR000222 REMOVABLE APPLIANCE GRADE III 20,000

135 DNPR000223 FIXED ORTHO SELF LIGATING ( METAL ) STAGE I 45,000

136 DNPR000226 FIXED ORTHO SELF LIGATING ( CERAMIC ) STAGE I 55,000

137 DNPR000228 INVISALIGN ALIGNERS AMERICAN STAGE I 200,000

138 DNPR000229 INVISALIGN ALIGNERS AMERICAN STAGE II 50,000

139 DNPR000230 INVISALIGN ALIGNERS AMERICAN STAGE III 50,000

140 DNPR000231 INVISALIGN ALIGNERS AMERICAN STAGE IV 50,000

141 DNPR000232 TMJ surgery per side grade 1 40,000

142 DNPR000233 TMJ surgery per side grade 2 50,000

143 DNPR000234 Cyst and tumour removal grade 1 15,000


145 DNPR000237 SCALING ( CHILD ) 1,500

146 DNPR000238 ROOT COVERAGE (without soft tissue graft ) 6,000

147 DNPR000239 ROOT COVERAGE ( with soft tissue graft ) 9,000



148 DNPR000240 ROOT PLANING (PER TOOTH) 1,500

149 DNPR000241 ROOT CANAL DRESSING 1,000

150 DNPR000242 FIBER SPLINTING GRADE III 10,000

151 DNPR000243 FIBER POST 3,000

152 DNPR000244 GINGIVOPLASTY GRADE II 4,500

153 DNPR000245 PERIODONTAL FLAP SURGERY (PER QUADRANT) 8,000

154 DNPR000246 PERIODONTAL BONE GRAFTING GRADE I 4,000

155 DNPR000247 PERIODONTAL BONE GRAFTING GRADE II 6,000

156 DNPR000248 GTR WITH COLLAGEN MEMBRANE Grade I 6,000

157 DNPR000249 GTR WITH TITANIUM MESH 10,000

158 DNPR000250 BLEACHING ( BY TRAY METHOD ) GRADE II 10,000

159 DNPR000251 GIC CLASS II 2,000

160 DNPR000252 CORE BUILD UP 3,000

161 DNPR000253 NANO HYBRID RESTORATION GRADE I 1,100

162 DNPR000254 NANO HYBRID RESTORATION GRADE II 2,000

163 DNPR000255 MTA GRADE I 1,500

164 DNPR000256 MTA GRADE II 2,500

165 DNPR000257 PULPOTOMY 3,000

166 DNPR000258 TOPICAL FLUORIDE TREATMENT GRADE II 3,000


168 DNPR000260 Extraction socket preservation 5,000

169 DNPR000261 DECIDUOUS TOOTH EXTRACTION GRADE I 1,000

170 DNPR000262 DECIDUOUS TOOTH EXTRACTION GRADE II 2,000

171 DNPR000263 CHAIR SIDE BLEACHING (SINGLE TOOTH ) 1,100

172 DNPR000264 SPACE MAINTAINER GRADE I 5,000

173 DNPR000265 SPACE MAINTAINER GRADE II 10,000

174 DNPR000266 INVISALIGN ALIGNERS LITE GRADE I 90,000

175 DNPR000267 INVISALIGN ALIGNERS LITE GRADE II 1,25,000

176 DNPR000268 Implant All on Four per jaw grade 1 140,000

177 DNPR000269 Implant All on Four per jaw grade 2 180,000



178 DNPR000270 Implant prosthesis grade 1 5,000




182 DNPR000274 Implant prosthesis All On four per jaw grade 1 70,000



185 DNPR000277 Maxillary sinus lift (with out bone graft) grade 1 10,000

186 DNPR000278 Maxillary sinus lift (with out bone graft) grade 2 20,000

187 DNPR000279 Mandibular nerve repositioning grade 1 15,000

188 DNPR000280 Mandibular nerve repositioning grade 2 25,000

189 DNPR000281 Ridge split 5,000

190 DNPR000282 Facial laceration repair grade 1 10,000

191 DNPR000283 Mandibular fracture ORIF grade 1 25,000





196 DNPR000288 TMJ stabilization appliance 25,000

197 DNPR000289 TMJ anterior repositioning appliance 25,000

198 DNPR000290 TMJ total joint replacement per side 60,000

199 DNPR000291 Sleep apnoea appliance 100,000

200 DNPR000292 Snoring appliance 20,000

201 DNPR000293 Intra muscular injection Grade I 2,000

202 DNPR000294 Intra muscular injection Grade II 3,500

203 DNPR000295 Intra muscular injection Grade III 5,000

204 DNPR000296 Trauma teeth splinting per tooth grade 1 8,000

205 DNPR000297 Trauma teeth splinting per tooth grade 2 10,000

206 DNPR000298 Calcium hydroxide dressing 1,000

207 DNPR000299 INVISALIGN ALIGNERS INSTALMENT 10,000



208 DNPR000301 Crown Lengthening Grade II 3,000

209 DNPR000306 Pocket therapyGradeI 3,500

210 DNPR000307 Pocket therapy GradeII 4,500

211 DNPR000308 Pocket therapy GradeIII 5,500

212 DNPR000312 Biopsy Grade I 700

213 DNPR000313 Biopsy GradeII 1,200

214 DNPR000317 Root resection/Hemisection 3,000

215 DNPR000327 Reliner Grade I 4,000

216 DNPR000328 Reliner Grade II 7,000

217 DNPR000329 Reliner Grade III 8,000

218 DNPR000330 Implant Grade 2 40,000

219 DNPR000331 Flexible CD/ arch 18,000

220 DNPR000332 GTR WITH COLLAGEN MEMBRANE Grade II 8,000

221 DNPR000333 Denture Lucitrone /arch 14,500

Dental Surgeries

1 DNOT000001 DENTAL CYST, EXCISION AND JAW RECONSTRUCTION 23,936 23,936 29,920 41,888 53,856 59,840

2 DNOT000002 DENTAL CYST AND TUMOR EXCISION 11,352 11,352 14,190 19,866 25,542 28,380

3 DNOT000003 CYST AND BENIGN TUMORS OF PALATE 6,952 6,952 8,690 12,166 15,642 17,380

Dermatology

S. No Billing Code Service Name Charges in INR

1 DMDM000004 Skin Biopsy (Punch/ Elliptical) 1,820

2 DMDM000005 BOTOX Procedure Charges 6,050

3 DMDM000007 Comedone Extraction (For 5) 660

4 DMDM000011 Ear Piercing Under LA 1,820

5 DMDM000015 Chemical peel Glycolic and others 2,420

6 DMDM000017 Ingrowing nail removal (per nail) 1,210

7 DMDM000021 Injection Intradermal per additional lesion 120

8 DMDM000022 Injection Intradermal (upto 5 lesions) 600

9 DMDM000023 Pulse Therapy 2,420

10 DMDM000026 Radiofrequency T/T (Warts,DPNS,Acros, Skintags) upto 5 lesions 2,420

11 DMDM000027 Radiofrequency T/T (Warts,DPNS,Acros, Skintags) per additional lesion 240

12 DMDM000030 Suture Removal (Dermatology) 130

13 DMDM000035 Removal of epidermal/ other cyst 6,050

14 DMDM000043 Cryocautery (upto 5) 2,420

15 DMDM000044 Cryocautery per additional lesion 240

16 DMDM000045 Chemical peel - TCA peel 3,030

17 DMDM000046 Dermaroller Therapy 3,030

18 DMDM000047 Microdermabrasion 2,420

19 DMDM000048 PRP Therapy 6,050

20 DMDM000049 Minor dermato procedures 1,820

21 DMDM000050 SOFT TISSUE FILLER Procedure Charges Stage - I 4,840

22 DMDM000051 SOFT TISSUE FILLER Procedure Charges Stage - II 7,870


ENT surgery


Sharing Single Single Dlx Super Dlx Suite

1 ENOT000001 PhonoMicrosurgery 18,700 23,375 32,725 42,075 46,750 2 ENOT000002 Laser application 8,800 11,000 15,400 19,800 22,000 3 ENOT000003 Cord Lateralisation 27,500 34,375 48,125 61,875 68,750 4 ENOT000004 Drooling surgery 25,300 31,625 44,275 56,925 63,250

5 ENOT000005 Resection end to end anasthomosis trochea 38,500 48,125 67,375 86,625 96,250

6 ENOT000006 Cancer buccal mucosa excision 24,200 30,250 42,350 54,450 60,500 7 ENOT000008 Cancer buccal mucosa excision +supra Omohyoid neck 49,500 61,875 86,625 111,375 123,750

dissection+Mandibulectomy

8 ENOT000010 Laser assisted uvulaplasty 14,300 17,875 25,025 32,175 35,750 9 ENOT000011 Cochlea Implantation 37,400 46,750 65,450 84,150 93,500 10 ENOT000012 BAHA 33,000 41,250 57,750 74,250 82,500 11 ENOT000013 Nasal Fracture Reduction 13,800 17,250 24,150 31,050 34,500 12 ENOT000014 Wax Removal Under GA 4,400 5,500 7,700 9,900 11,000 13 ENOT000015 Myringotomy Unilateral 4,400 5,500 7,700 9,900 11,000 14 ENOT000016 Myringotomy BilateraL 8,800 11,000 15,400 19,800 22,000 15 ENOT000017 Aural Polypectomy 8,800 11,000 15,400 19,800 22,000 16 ENOT000019 Myringoplasty 17,600 22,000 30,800 39,600 44,000 17 ENOT000020 Mastoidectomy(MRM) 28,600 35,750 50,050 64,350 71,500 18 ENOT000021 Tympanomastoidectomy 35,200 44,000 61,600 79,200 88,000 19 ENOT000022 Mastoidectomy(cortical) 23,100 28,875 40,425 51,975 57,750 20 ENOT000023 Tympanoplasty 28,600 35,750 50,050 64,350 71,500 21 ENOT000024 Pre Auricular sinus 16,500 20,625 28,875 37,125 41,250 22 ENOT000025 Labyrinthectomy- 36,800 46,000 64,400 82,800 92,000 23 ENOT000026 Endolymphatic sac decompression 36,800 46,000 64,400 82,800 92,000 24 ENOT000028 Cautery and patch ear 3,700 4,625 6,475 8,325 9,250 25 ENOT000031 I and D Mastoid Abscess 9,700 12,125 16,975 21,825 24,250 26 ENOT000032 Nasal septal closure 18,200 22,750 31,850 40,950 45,500 27 ENOT000033 Endoscopic Excision Of Angiofibroma 44,000 55,000 77,000 99,000 110,000 28 ENOT000034 Angiofibroma Excision 49,500 61,875 86,625 111,375 123,750 29 ENOT000035 Tonsillectomy 18,700 23,375 32,725 42,075 46,750 30 ENOT000036 Tonsillectomy and adenoidectomy 29,700 37,125 51,975 66,825 74,250 31 ENOT000037 Adenoidectomy 18,700 23,375 32,725 42,075 46,750 32 ENOT000038 Styloidectomy 17,600 22,000 30,800 39,600 44,000 33 ENOT000039 Choanal atresia 22,000 27,500 38,500 49,500 55,000 34 ENOT000040 Oroantral Fistula Repair 19,200 24,000 33,600 43,200 48,000 35 ENOT000041 Young's Operation 7,300 9,125 12,775 16,425 18,250 36 ENOT000042 Retropharyngeal Abscess Drainage 16,500 20,625 28,875 37,125 41,250 37 ENOT000043 Parapharyngeal Abscess Drainage 22,000 27,500 38,500 49,500 55,000 38 ENOT000044 Parapharyngeal Tumour Excision 38,500 48,125 67,375 86,625 96,250 39 ENOT000045 Release Of Tongue tie 8,800 11,000 15,400 19,800 22,000 40 ENOT000046 Uvulopharyngoplasty 30,800 38,500 53,900 69,300 77,000 41 ENOT000047 Superficial Parotidectomy 27,500 34,375 48,125 61,875 68,750 42 ENOT000048 Total Parotidectomy 38,500 48,125 67,375 86,625 96,250 43 ENOT000049 Quincy I or D 11,000 13,750 19,250 24,750 27,500 44 ENOT000050 Palatal tumor / Cyst remover 9,900 12,375 17,325 22,275 24,750 45 ENOT000051 Ranula marsupialisation 13,200 16,500 23,100 29,700 33,000 46 ENOT000052 Intratympanic injection 4,400 5,500 7,700 9,900 11,000 47 ENOT000053 Suturing of lacerated wound ENT 4,400 5,500 7,700 9,900 11,000 48 ENOT000054 Caldwel Luc.unilateral 12,100 15,125 21,175 27,225 30,250 49 ENOT000055 Caldwel Luc. Bilateral 17,600 22,000 30,800 39,600 44,000 50 ENOT000056 External Ethmoidectomy 29,700 37,125 51,975 66,825 74,250 51 ENOT000057 Radical frontoethmoshheredectomy 42,900 53,625 75,075 96,525 107,250 52 ENOT000058 Antral wash 6,100 7,625 10,675 13,725 15,250 53 ENOT000059 Cautery turbinater 7,700 9,625 13,475 17,325 19,250 54 ENOT000060 Turbinectomy 9,900 12,375 17,325 22,275 24,750 55 ENOT000061 Lateral rhinotomy 29,700 37,125 51,975 66,825 74,250 56 ENOT000062 FESS limited 16,500 20,625 28,875 37,125 41,250 57 ENOT000063 FESS 24,200 30,250 42,350 54,450 60,500 58 ENOT000065 Nasal endoscopy 4,400 5,500 7,700 9,900 11,000 59 ENOT000066 Septoplasty 18,700 23,375 32,725 42,075 46,750 60 ENOT000067 Extended septoplasty 26,400 33,000 46,200 59,400 66,000



61 ENOT000068 Maxillectomy 44,000 55,000 77,000 99,000 110,000

62 ENOT000069 Rhinoplasty 38,500 48,125 67,375 86,625 96,250 63 ENOT000070 Anterior nasal packing 5,500 6,875 9,625 12,375 13,750 64 ENOT000071 Posterior nasal packing 6,600 8,250 11,550 14,850 16,500 65 ENOT000072 CSF Rhinorrhea repair 44,000 55,000 77,000 99,000 110,000 66 ENOT000073 Endoscopic DCR 29,700 37,125 51,975 66,825 74,250 67 ENOT000074 Endoscopic Optic nerve decompression - ENT 38,500 48,125 67,375 86,625 96,250 68 ENOT000075 Endoscopic nasal biopsy/cautery 9,900 12,375 17,325 22,275 24,750 69 ENOT000076 Nasal septal I and D 6,600 8,250 11,550 14,850 16,500 70 ENOT000077 Synechiae release 4,400 5,500 7,700 9,900 11,000 71 ENOT000078 Microlaryngeal Surgery large lesion 29,700 37,125 51,975 66,825 74,250 72 ENOT000079 Oropharyngeal stricture dilatation 9,900 12,375 17,325 22,275 24,750 73 ENOT000080 Ext Carotid artery ligation 13,200 16,500 23,100 29,700 33,000 74 ENOT000082 Laryngofissure 27,500 34,375 48,125 61,875 68,750 75 ENOT000083 Submandibular gland excision 22,000 27,500 38,500 49,500 55,000 76 ENOT000084 Excision of Thyroglossal Cyst/Fistula 23,100 28,875 40,425 51,975 57,750 77 ENOT000085 Lymph gland Biopsy 6,600 8,250 11,550 14,850 16,500 78 ENOT000086 Tracheoplasty 37,400 46,750 65,450 84,150 93,500 79 ENOT000087 Arytenoidectomy 29,700 37,125 51,975 66,825 74,250 80 ENOT000088 Cyst Aspiration 2,200 2,750 3,850 4,950 5,500 81 ENOT000090 Hemithyroidectomy 25,300 31,625 44,275 56,925 63,250 82 ENOT000091 Subtotol thyroidectomy 30,800 38,500 53,900 69,300 77,000 83 ENOT000092 Total thyroidectomy 35,200 44,000 61,600 79,200 88,000 84 ENOT000093 Thyroplasty Type 1 22,000 27,500 38,500 49,500 55,000 85 ENOT000094 Thyroplasty Type 1 Arytenoid adduction 30,800 38,500 53,900 69,300 77,000 86 ENOT000095 Thyroplasty Type 2 29,700 37,125 51,975 66,825 74,250 87 ENOT000096 Thyroplasty Type 3 26,400 33,000 46,200 59,400 66,000 88 ENOT000097 Thyroplasty Type 4 23,100 28,875 40,425 51,975 57,750 89 ENOT000098 Ludwigs Angina drainage 15,400 19,250 26,950 34,650 38,500 90 ENOT000099 Stapedectomy 36,300 45,375 63,525 81,675 90,750 91 ENOT000100 Carotid body tumour 44,000 55,000 77,000 99,000 110,000 92 ENOT000101 Glomus Tympanicum excision 35,200 44,000 61,600 79,200 88,000 93 ENOT000102 Glomus jugulare excision 44,000 55,000 77,000 99,000 110,000 94 ENOT000103 LASER cordectomy 29,700 37,125 51,975 66,825 74,250 95 ENOT000104 Partial Laryngectomy 30,800 38,500 53,900 69,300 77,000 96 ENOT000105 Partial Maxillectomy 33,000 41,250 57,750 74,250 82,500 97 ENOT000106 Cyst/Fistula excision 4,400 5,500 7,700 9,900 11,000 98 ENOT000107 Ear Piercing 3,300 4,125 5,775 7,425 8,250 99 ENOT000109 Direct Laryngoscopy 7,200 9,000 12,600 16,200 18,000 100 ENOT000110 Hypopharyngoscopy 8,300 10,375 14,525 18,675 20,750 101 ENOT000111 Oesophagoscopy 9,900 12,375 17,325 22,275 24,750 102 ENOT000112 Bronchoscopy 11,000 13,750 19,250 24,750 27,500 103 ENOT000114 Tracheostomy 17,600 22,000 30,800 39,600 44,000 104 ENOT000115 Microlaryngeal Surgery small lesion 14,300 17,875 25,025 32,175 35,750 105 ENOT000116 Frontal trephination 15,400 19,250 26,950 34,650 38,500 106 ENOT000117 Sphenoidotomy 20,900 26,125 36,575 47,025 52,250 107 ENOT000118 Osteoplastic flap surgery 33,000 41,250 57,750 74,250 82,500 108 ENOT000119 Craniofacial resection 52,800 66,000 92,400 118,800 132,000 109 ENOT000120 Extensive craniofacial resection 66,000 82,500 115,500 148,500 165,000 110 ENOT000125 Nasal Polyps/Sinusitis(FESS)-Extended-B/l 42,900 53,625 75,075 96,525 107,250 111 ENOT000130 Laser Tonsillectomy 23,100 28,875 40,425 51,975 57,750 112 ENOT000134 Grommet single 4,400 5,500 7,700 9,900 11,000 113 ENOT000135 Grommet bilateral 8,800 11,000 15,400 19,800 22,000 114 ENOT000136 Through Myringoplasty 12,100 15,125 21,175 27,225 30,250 115 ENOT000137 Radical mastoidectomy for Malignancy 55,000 68,750 96,250 123,750 137,500 116 ENOT000138 Facial nerve decompression 38,500 48,125 67,375 86,625 96,250 117 ENOT000139 Facial Nerve Repair with nerve graft 46,200 57,750 80,850 103,950 115,500 118 ENOT000140 Aural atresia recanalization 25,300 31,625 44,275 56,925 63,250 119 ENOT000141 collo aural fistula repair 14,300 17,875 25,025 32,175 35,750 120 ENOT000142 Advanced schwannomas and hemangiomas of the facial nerve 33,000 41,250 57,750 74,250 82,500

121 ENOT000143 Tympanic neurectomy 15,400 19,250 26,950 34,650 38,500 122 ENOT000144 Debridement for malignant otitis externa 38,500 48,125 67,375 86,625 96,250 123 ENOT000145 Chemical labrynthectomy 9,680 12,100 16,940 21,780 24,200 124 ENOT000146 External auditory canal osteoma excision 13,200 16,500 23,100 29,700 33,000



125 ENOT000147 Pinna reconstruction 46,200 57,750 80,850 103,950 115,500

126 ENOT000148 Meatoplasty - ENT 13,200 16,500 23,100 29,700 33,000 127 ENOT000150 Pseudocyst pinna excision steroid injection 9,900 12,375 17,325 22,275 24,750 128 ENOT000152 Keloid excision (Multiple) 13,200 16,500 23,100 29,700 33,000 129 ENOT000153 Tympanotomy 27,500 34,375 48,125 61,875 68,750 130 ENOT000154 Partial adenoidectomy / debrider/ cautery/laser 16,500 20,625 28,875 37,125 41,250 131 ENOT000156 Tonsillar biopsy for unknown Primary 10,500 13,125 18,375 23,625 26,250 132 ENOT000157 Oral cavity lesion excisional biopsy Minor 6,100 7,625 10,675 13,725 15,250 133 ENOT000158 Oral cavity lesion excisional biopsy Major 11,000 13,750 19,250 24,750 27,500 134 ENOT000159 laser excision of submucous fibrosis 12,100 15,125 21,175 27,225 30,250 135 ENOT000160 Esophageal foreign body removal 16,500 20,625 28,875 37,125 41,250 136 ENOT000161 Airway foreign body removal 24,200 30,250 42,350 54,450 60,500 137 ENOT000162 Bronchoscopic laser Mass excision 25,300 31,625 44,275 56,925 63,250 138 ENOT000163 Foreign Body removal - major 22,000 27,500 38,500 49,500 55,000 139 ENOT000164 Styloidectomy (Bilateral) 28,600 35,750 50,050 64,350 71,500 140 ENOT000166 Excision of Branchial sinus 16,500 20,625 28,875 37,125 41,250 141 ENOT000167 Excision of Sinus in Neck 13,200 16,500 23,100 29,700 33,000 142 ENOT000168 Parotid Abscess drainage 16,500 20,625 28,875 37,125 41,250 143 ENOT000169 Minor ENT abscess drainage 7,700 9,625 13,475 17,325 19,250 144 ENOT000170 Major ENT abcess drainage 16,500 20,625 28,875 37,125 41,250 145 ENOT000172 Medialisation Thyroplasty 28,600 35,750 50,050 64,350 71,500 146 ENOT000173 Posterior cordectomy and Arytenoidectomy 23,100 28,875 40,425 51,975 57,750 147 ENOT000174 Tracheal stoma Revision 18,700 23,375 32,725 42,075 46,750 148 ENOT000175 Tracheal stoma closure 12,100 15,125 21,175 27,225 30,250 149 ENOT000176 Tracheastomy granulation Cautery / Laser excision 8,800 11,000 15,400 19,800 22,000 150 ENOT000177 Laser charges 8,470 10,588 14,823 19,058 21,175 151 ENOT000178 Mucocele excision 16,500 20,625 28,875 37,125 41,250

152 ENOT000180 Plunging ranula excision 22,000 27,500 38,500 49,500 55,000 153 ENOT000182 Parapharyngeal abscessTranscervical approach 24,200 30,250 42,350 54,450 60,500 154 ENOT000184 Cricopharyngeal Myotomy 11,000 13,750 19,250 24,750 27,500 155 ENOT000185 Endoscopic diverticulotomy with cautery, laser, or stapler 16,500 20,625 28,875 37,125 41,250

156 ENOT000186 Tracheoesophageal fistula repair 38,500 48,125 67,375 86,625 96,250 157 ENOT000187 Submandibular gland stone removal 13,200 16,500 23,100 29,700 33,000 158 ENOT000188 Sublingual gland excision 9,900 12,375 17,325 22,275 24,750 159 ENOT000189 Supraglottoplasty 18,700 23,375 32,725 42,075 46,750 160 ENOT000190 Laryngeal Cleft repair 22,000 27,500 38,500 49,500 55,000 161 ENOT000191 Vallecular cyst excision 13,200 16,500 23,100 29,700 33,000 162 ENOT000192 Microlaryngobronchoscopy 8,800 11,000 15,400 19,800 22,000 163 ENOT000193 Flexible bronchoscopy 5,500 6,875 9,625 12,375 13,750 164 ENOT000194 Laryngotracheal reconstruction pediatric (ACCG) 33,000 41,250 57,750 74,250 82,500 165 ENOT000195 Laryngotracheal reconstruction pediatric (ACCG+PCCG) 49,500 61,875 86,625 111,375 123,750 166 ENOT000196 Laryngotracheal reconstruction Adult 44,000 55,000 77,000 99,000 110,000 167 ENOT000197 Cricotracheal reconstruction pediatric 38,500 48,125 67,375 86,625 96,250 168 ENOT000198 Posterior Pharyngoplasty for VPI 27,500 34,375 48,125 61,875 68,750 169 ENOT000199 Cleft palate repair 15,400 19,250 26,950 34,650 38,500 170 ENOT000201 Recurrent respiratory papilloma excision Primary (Major) 33,000 41,250 57,750 74,250 82,500 171 ENOT000202 Recurrent respiratory papilloma excision Revision (Minor) 24,200 30,250 42,350 54,450 60,500

172 ENOT000204 Endoscopic Debrider Assisted Adenoidectomy 23,100 28,875 40,425 51,975 57,750 173 ENOT000205 Snoroplasty 17,600 22,000 30,800 39,600 44,000 174 ENOT000206 Difficult Intabulation 4,400 5,500 7,700 9,900 11,000 175 ENOT000207 Nasal septal Perforation repair 15,400 19,250 26,950 34,650 38,500 176 ENOT000208 Monopolar cautery turbinate reduction 6,600 8,250 11,550 14,850 16,500 177 ENOT000209 Modified Young's Operation 11,000 13,750 19,250 24,750 27,500 178 ENOT000210 Transnasal Spurectomy 12,100 15,125 21,175 27,225 30,250 179 ENOT000211 Transnasal RF vidian Neurectomy 15,400 19,250 26,950 34,650 38,500 180 ENOT000212 Alar reconstruction 15,400 19,250 26,950 34,650 38,500 181 ENOT000213 Nasal valve repair 12,100 15,125 21,175 27,225 30,250 182 ENOT000214 Bleeding polypus septum removal 9,900 12,375 17,325 22,275 24,750 183 ENOT000215 Rhinolith Removal 15,400 19,250 26,950 34,650 38,500 184 ENOT000216 Rhinosporidiosis excision 18,700 23,375 32,725 42,075 46,750 185 ENOT000218 Epistaxis Mucosal Grafting (osler rendu syndrome) 14,300 17,875 25,025 32,175 35,750 186 ENOT000219 Rhinophyma excision 15,400 19,250 26,950 34,650 38,500 187 ENOT000220 Nasofacial skin malignancy excision with primary closure 15,400 19,250 26,950 34,650 38,500 188 ENOT000221 Nasofacial skin malignancy excision with Local Flap 20,900 26,125 36,575 47,025 52,250 189 ENOT000222 Nasopharyngeal cyst excision 12,100 15,125 21,175 27,225 30,250



190 ENOT000224 Nasal Polypectomy unilateral 9,900 12,375 17,325 22,275 24,750

191 ENOT000225 Nasal polypectomy bilateral 15,400 19,250 26,950 34,650 38,500 192 ENOT000226 Nasopharyngeal stenosis adhesionolysis with stenting 14,300 17,875 25,025 32,175 35,750 193 ENOT000227 Diff. Septoplasty 37,400 46,750 65,450 84,150 93,500 194 ENOT000228 Sub Mucosal Resection 16,500 20,625 28,875 37,125 41,250 195 ENOT000229 Tip- plasty 27,500 34,375 48,125 61,875 68,750 196 ENOT000230 Hump Reduction 23,100 28,875 40,425 51,975 57,750 197 ENOT000232 Uncinectomy 14,300 17,875 25,025 32,175 35,750 198 ENOT000233 Middle Meatal antrostomy 14,300 17,875 25,025 32,175 35,750 199 ENOT000234 FESS- extended 44,000 55,000 77,000 99,000 110,000 200 ENOT000235 tonsillotomy 13,200 16,500 23,100 29,700 33,000 201 ENOT000236 nasal septal closure (local flap ) 25,300 31,625 44,275 56,925 63,250 202 ENOT000237 angiofibroma excision going upto skull base 60,500 75,625 105,875 136,125 151,250 203 ENOT000238 Microlaryngeal Surgery medium lesion 23,100 28,875 40,425 51,975 57,750 204 ENOT000240 Multiple facial fracture reduction 27,500 34,375 48,125 61,875 68,750 205 ENOT000241 Septorhinoplasty 44,000 55,000 77,000 99,000 110,000 206 ENOT000242 Laryngeal framework surgery 35,200 44,000 61,600 79,200 88,000 207 ENOT000243 tracheoscopy 11,000 13,750 19,250 24,750 27,500 208 ENOT000244 FESS Bilateral 29,700 37,125 51,975 66,825 74,250 209 ENOT000245 neck mass excision large 25,300 31,625 44,275 56,925 63,250 210 ENOT000246 Extended radical parotidectomy 49,500 61,875 86,625 111,375 123,750 211 ENOT000248 PARTIAL glossectomy 27,500 34,375 48,125 61,875 68,750 212 ENOT000249 Maxillectomy radical 38,500 48,125 67,375 86,625 96,250 213 ENOT000250 total thyroidectomy with neck clearance 55,000 68,750 96,250 123,750 137,500 214 ENOT000251 sialoendoscopy therapeutic 23,100 28,875 40,425 51,975 57,750 215 ENOT000253 DEBRIDEMENT - Large - ENT 16,500 20,625 28,875 37,125 41,250 216 ENOT000254 DEBRIDEMENT ENT small 6,600 8,250 11,550 14,850 16,500 217 ENOT000255 Transoral Laser surgery 27,500 34,375 48,125 61,875 68,750 218 ENOT000256 skull base surgery simple - ENT 33,000 41,250 57,750 74,250 82,500 219 ENOT000257 skull base surgery complex - ENT 60,500 75,625 105,875 136,125 151,250 220 ENOT000258 submandibular gland excision (malignant)/ difficult 29,700 37,125 51,975 66,825 74,250 221 ENOT000259 parathyroid gland excision single 33,000 41,250 57,750 74,250 82,500 222 ENOT000260 lymph Node Biopsy difficult 11,000 13,750 19,250 24,750 27,500 223 ENOT000261 paratthyroid gland excision large /multiple glands 39,600 49,500 69,300 89,100 99,000 224 ENOT000262 TEMPORAL BONE resection/debridement 60,500 75,625 105,875 136,125 151,250 225 ENOT000263 temporal BONE simple 23,000 28,750 40,250 51,750 57,500 226 ENOT000264 Tracheostomy complex 25,300 31,625 44,275 56,925 63,250 227 ENOT000265 Tracheo-ESOPHAGEAL PROSTHESIS Puncture 17,600 22,000 30,800 39,600 44,000 228 ENOT000266 Tracheo-ESOPHAGEAL PROSTHESIS INSERTION/ change 3,300 4,125 5,775 7,425 8,250 229 ENOT000267 Panendoscopy with Blind Biopsies 14,300 17,875 25,025 32,175 35,750 230 ENOT000268 Sclerotherapy 6,600 8,250 11,550 14,850 16,500 231 ENOT000269 Difficult Direct laryngoscopy 12,100 15,125 21,175 27,225 30,250 232 ENOT000270 Neck dissection + Skin Grafting 35,200 44,000 61,600 79,200 88,000 233 ENOT000271 Rt. Para pharyngeal Tumor Excision 40,700 50,875 71,225 91,575 101,750 234 ENOT000272 Extensive Neck lymphangioma excision 50,600 63,250 88,550 113,850 126,500 235 ENOT000273 Supra Omohyoid Neck Dissection 16,500 20,625 28,875 37,125 41,250 236 ENOT000275 Laser MLS 24,200 30,250 42,350 54,450 60,500 237 ENOT000276 Commando Operation 60,500 75,625 105,875 136,125 151,250 238 ENOT000277 Cochlear Implants Complex 49,500 61,875 86,625 111,375 123,750 239 ENOT000278 Tracheostomy Stand By 5,500 6,875 9,625 12,375 13,750 240 ENOT000280 Dressing Minor 2,200 2,750 3,850 4,950 5,500 241 ENOT000281 Dressing Major 4,400 5,500 7,700 9,900 11,000 242 ENOT000282 Laser Fulguration 11,000 13,750 19,250 24,750 27,500 243 ENOT000283 Endoscopic Skull Base Surgery 47,300 59,125 82,775 106,425 118,250 244 ENOT000284 Resuturing of Wound 3,300 4,125 5,775 7,425 8,250 245 ENOT000286 Wound Reexploration 5,500 6,875 9,625 12,375 13,750 246 ENOT000287 Ossiculoplasty 22,000 27,500 38,500 49,500 55,000 247 ENOT000290 Cricotracheal Reconstruction 46,200 57,750 80,850 103,950 115,500 248 ENOT000291 Biopsy 5,000 6,250 8,750 11,250 12,500 249 ENOT000292 Stent Removal - ENT 3,300 4,125 5,775 7,425 8,250 250 ENOT000294 Mod Neck Dissection 27,500 34,375 48,125 61,875 68,750 251 ENOT000295 Functional Neck Dissection 27,500 34,375 48,125 61,875 68,750 252 ENOT000296 Selective Neck Dissection 33,000 41,250 57,750 74,250 82,500 253 ENOT000297 Radical Neck Dissection 44,000 55,000 77,000 99,000 110,000 254 ENOT000298 Bilateral Neck Dissection 49,500 61,875 86,625 111,375 123,750 255 ENOT000300 OSA Surgery Complex 49,500 61,875 86,625 111,375 123,750 256 ENOT000301 OSA Surgery Simple 27,500 34,375 48,125 61,875 68,750

257 ENOT000303 Sialoendoscopy A Unit of Global Health Pvt. Ltd. 16,500 20,625 28,875 37,125 41,250


258 ENOT000304 Sublabial Approach Nasal Mass 25,300 31,625 44,275 56,925 63,250

259 ENOT000305 Turbinoplasty 18,700 23,375 32,725 42,075 46,750 260 ENOT000306 SMD 8,800 11,000 15,400 19,800 22,000 261 ENOT000307 Foreign Body removal minor 5,500 6,875 9,625 12,375 13,750 262 ENOT000310 Fracture Maxilla Reduction 17,600 22,000 30,800 39,600 44,000 263 ENOT000312 Nasal abscess drainage 11,000 13,750 19,250 24,750 27,500 264 ENOT000313 Mastoidectomy for complicated COM 49,500 61,875 86,625 111,375 123,750 265 ENOT000316 rib harvest 11,000 13,750 19,250 24,750 27,500 266 ENOT000318 parotidectomy 44,000 55,000 77,000 99,000 110,000 267 ENOT000319 paraphyrangeal mass excision 49,500 61,875 86,625 111,375 123,750 268 ENOT000320 laryngectomy 49,500 61,875 86,625 111,375 123,750 269 ENOT000322 extended thyroidectomy 55,000 68,750 96,250 123,750 137,500 270 ENOT000325 cochlear implant rehabilitation package 71,500 89,375 125,125 160,875 178,750 271 ENOT000326 Ossiculoplasty Complex 46,200 57,750 80,850 103,950 115,500 272 ENOT000327 Trans oral robotic surgery 27,500 34,375 48,125 61,875 68,750 273 ENOT000328 Distant flap 24,200 30,250 42,350 54,450 60,500 274 ENOT000329 SUBMANDIBULAR SIALADENECTOMY 11,000 13,750 19,250 24,750 27,500 275 ENOT000330 Lingual Thyroid 11,000 13,750 19,250 24,750 27,500 276 ENOT000331 Scalene node biopsy 3,080 3,850 5,390 6,930 7,700

277 ENOT000333 Submucous cyst excision 7,700 9,625 13,475 17,325 19,250 278 ENOT000334 Submucous Resection 13,000 16,250 22,750 29,250 32,500 279 ENOT000335 Pectoralis Major flap 33,000 41,250 57,750 74,250 82,500 280 ENOT000336 Skin grafting 11,000 13,750 19,250 24,750 27,500 281 ENOT000337 Head and Neck Major 66,000 82,500 115,500 148,500 165,000 282 ENOT000338 Head and Neck Medium 55,000 68,750 96,250 123,750 137,500 283 ENOT000339 Local flap 16,500 20,625 28,875 37,125 41,250 284 ENOT000340 Debridement major 27,500 34,375 48,125 61,875 68,750 285 ENOT000341 Debridement minor 16,500 20,625 28,875 37,125 41,250 286 ENOT000342 Orbital exenteration 27,500 34,375 48,125 61,875 68,750

ENT Procedures 1 ENPR000001 FB removal nose 6,100 7,625 10,675 13,725 15,250 2 ENPR000002 FB removal ear 3,900 4,875 6,825 8,775 9,750 3 ENPR000003 FB removal oropharynx 3,300 4,125 5,775 7,425 8,250 4 ENPR000006 Intra oral injection 1,500 1,875 2,625 3,375 3,750 5 ENPR000007 Intra nasal injection 1,700 2,125 2,975 3,825 4,250 6 ENPR000009 Chemical cauterisation 1,600 2,000 2,800 3,600 4,000 7 ENPR000010 Injection oral cavity, nose, palate 1,800 2,250 3,150 4,050 4,500 8 ENPR000011 Epley maneuver 2,200 2,750 3,850 4,950 5,500 9 ENPR000012 Nasal endoscopy 1,300 1,625 2,275 2,925 3,250 10 ENPR000014 Stroboscopy 2,200 2,750 3,850 4,950 5,500 11 ENPR000015 90 degree telescopy 1,000 1,250 1,750 2,250 2,500 12 ENPR000017 Tympanometry 550 688 963 1,238 1,375 13 ENPR000019 Speech Therapy ( Sort Session) 550 688 963 1,238 1,375 14 ENPR000020 Caloric test 1,100 1,375 1,925 2,475 2,750 15 ENPR000021 Positional test 1,100 1,375 1,925 2,475 2,750 16 ENPR000022 Otoacoustic emission 2,400 3,000 4,200 5,400 6,000 17 ENPR000023 BERA 5,500 6,875 9,625 12,375 13,750 18 ENPR000024 ASSR 5,900 7,375 10,325 13,275 14,750 19 ENPR000025 Quinsy Incision and Drainage 8,300 10,375 14,525 18,675 20,750 20 ENPR000026 Stone removal submandibular duct 4,400 5,500 7,700 9,900 11,000 21 ENPR000027 Biopsy ENT 2,200 2,750 3,850 4,950 5,500 22 ENPR000028 Release of tongue tie 4,400 5,500 7,700 9,900 11,000 23 ENPR000029 Fibreoptic laryngoscopy 1,700 2,125 2,975 3,825 4,250 24 ENPR000030 Nasal pack removal 1,100 1,375 1,925 2,475 2,750 25 ENPR000031 I&D Abcess - ENT 2,500 3,125 4,375 5,625 6,250 26 ENPR000032 Diathermy 1,000 1,250 1,750 2,250 2,500 27 ENPR000033 Rhinoscopy 1,000 1,250 1,750 2,250 2,500 28 ENPR000034 Synechia release 2,200 2,750 3,850 4,950 5,500 29 ENPR000035 Reduction of nasal bone fracture 6,700 8,375 11,725 15,075 16,750 30 ENPR000036 Nasal packing merocoele 1,100 1,375 1,925 2,475 2,750 31 ENPR000037 Wax removal 1,000 1,250 1,750 2,250 2,500 32 ENPR000038 Mastoid abscess 16,500 20,625 28,875 37,125 41,250 33 ENPR000039 Examination under microscope 2,100 2,625 3,675 4,725 5,250 34 ENPR000040 Ear lobule repair unilateral 3,400 4,250 5,950 7,650 8,500 35 ENPR000041 Ear lobule repair bilateral 2,200 2,750 3,850 4,950 5,500 36 ENPR000042 Aural polypectomy 6,600 8,250 11,550 14,850 16,500 37 ENPR000043 Small keloid/ cyst/wart 2,200 2,750 3,850 4,950 5,500 38 ENPR000045 Suction clearance A Unit of Global Health Pvt. Ltd. 800 1,000 1,400 1,800 2,000


39 ENPR000046 Tracheostomy Procedure 14,300 17,875 25,025 32,175 35,750

40 ENPR000047 Dressing small ENT 440 550 770 990 1,100 41 ENPR000048 Dressing medium ENT 660 825 1,155 1,485 1,650 42 ENPR000049 Dressing large ENT 1,300 1,625 2,275 2,925 3,250 43 ENPR000050 Pure tone audiometry 550 688 963 1,238 1,375 44 ENPR000052 Voice Therapy 550 688 963 1,238 1,375 45 ENPR000053 Speech discrimation test 550 688 963 1,238 1,375 46 ENPR000054 Special tests of hearing 900 1,125 1,575 2,025 2,250 47 ENPR000055 Tests for malingeering 1,300 1,625 2,275 2,925 3,250 48 ENPR000057 Swallow Therapy ( Long Session) 660 825 1,155 1,485 1,650 49 ENPR000058 small wound repair (ENT) 1,200 1,500 2,100 2,700 3,000 50 ENPR000059 suturing (ENT) 800 1,000 1,400 1,800 2,000 51 ENPR000060 local wound debridement (ENT) 800 1,000 1,400 1,800 2,000 52 ENPR000062 Ear Laceration Repair (Small) 4,100 5,125 7,175 9,225 10,250 53 ENPR000063 Ear Laceration Repair (Largel) 6,600 8,250 11,550 14,850 16,500 54 ENPR000064 Facial Laceration Repair (Small) 4,400 5,500 7,700 9,900 11,000 55 ENPR000065 Facial Laceration Repair (Large) 11,000 13,750 19,250 24,750 27,500 56 ENPR000066 Nasal Packing Merocoele Bilateral 2,200 2,750 3,850 4,950 5,500 57 ENPR000067 Medium Wound Suturing 3,400 4,250 5,950 7,650 8,500 58 ENPR000068 Small Wound Suturing 2,200 2,750 3,850 4,950 5,500 59 ENPR000069 Large Wound Suturing 4,700 5,875 8,225 10,575 11,750 60 ENPR000070 Deep Excision Biopsy 2,800 3,500 4,900 6,300 7,000 61 ENPR000071 BERA Screening 1,100 1,375 1,925 2,475 2,750 62 ENPR000072 FEES 2,200 2,750 3,850 4,950 5,500 63 ENPR000073 Tracheostomy Beside (Complex) 23,100 28,875 40,425 51,975 57,750 64 ENPR000074 Tracheostomy Tube Charge 1,400 1,750 2,450 3,150 3,500 65 ENPR000075 Hearing Aid Trial 660 825 1,155 1,485 1,650 66 ENPR000076 Speech Therapy ( Long Session) 660 825 1,155 1,485 1,650 67 ENPR000077 Swallow Therapy ( Short Session) 440 550 770 990 1,100 68 ENPR000078 Swallowing Evaluation 660 825 1,155 1,485 1,650 69 ENPR000079 WAB Evaluation 700 875 1,225 1,575 1,750 70 ENPR000080 Intratympanic injection 2,200 2,750 3,850 4,950 5,500

71 ENPR000081 Intracordal Botulinium injection 2,800 3,500 4,900 6,300 7,000 72 ENPR000082 Nasal Cavity endoscopic cleaning 1,700 2,125 2,975 3,825 4,250 73 ENPR000083 Trans nasal oesophagoscopy 3,300 4,125 5,775 7,425 8,250 74 ENPR000084 Cochlear implant programming 2,200 2,750 3,850 4,950 5,500 75 ENPR000085 AVT 660 825 1,155 1,485 1,650

76 ENPR000086 Cochlear implant processor fitting charge 10,000

77 ENPR000087 Pre Op Onco Radiation-ENT 1,000

78 ENPR000088 Allergy Test (P) 5,000 6,250 8,750 11,250 12,500


Gastroenterology Services

Billing code Service Name Surgeon fee in INR

Sharing/** Single Single Dlx Super Dlx Suite

GNGN000022 SB TUBE PLACEMENT 6,300 7,875 11,025 14,175 15,750

GNGN000030 ESOPHAGEAL PROSTHESIS 19,000 23,750 33,250 42,750 47,500

GNGN000034 UGI ENDOSCOPY 6,100 7,625 10,675 13,725 15,250

GNGN000035 EST / GLUE INJECTION 13,500 16,875 23,625 30,375 33,750

GNGN000036 ARGON PLASMA COAGULATION 13,500 16,875 23,625 30,375 33,750

GNGN000037 HAEMOCLIP APPLICATION 12,800 16,000 22,400 28,800 32,000

GNGN000038 CRE BALLOON DILATION 13,500 16,875 23,625 30,375 33,750

GNGN000039 DILATION SAVRY GILLARD 13,500 16,875 23,625 30,375 33,750

GNGN000040 SUBSEQUENT DILATION 13,500 16,875 23,625 30,375 33,750

GNGN000041 ACHALASIA CARDIA DILATION 17,600 22,000 30,800 39,600 44,000

GNGN000042 FOREIGN BODY REMOVAL 15,500 19,375 27,125 34,875 38,750

GNGN000043 BANDING (EVL) 12,200 15,250 21,350 27,450 30,500

GNGN000044 COLONOSCOPY 10,100 12,625 17,675 22,725 25,250

GNGN000045 COLONOSCOPY LEFT SIDED 7,600 9,500 13,300 17,100 19,000

GNGN000046 SIGMOIDOSCOPY 3,920 4,900 6,860 8,820 9,800

GNGN000047 Polypectomy simple 23,020 28,775 40,285 51,795 57,550

GNGN000048 EMR / ESD 33,400 41,750 58,450 75,150 83,500

GNGN000049 PEG 15,310 19,138 26,793 34,448 38,275

GNGN000050 MANOMETRY ESOPHAGEAL / RECTAL 7,720 9,650 13,510 17,370 19,300

GNGN000051 PH MONITORING + MANOMETRY 11,010 13,763 19,268 24,773 27,525

GNGN000052 PH MONITORING 7,380 9,225 12,915 16,605 18,450

GNGN000054 ENTEROSCOPY - PUSH 10,100 12,625 17,675 22,725 25,250

GNGN000056 Single side ballon enteroscopy 20,000 25,000 35,000 45,000 50,000

GNGN000058 EUS - DIAGNOSTIC 8,800 11,000 15,400 19,800 22,000

GNGN000059 EUS + FNA 13,200 16,500 23,100 29,700 33,000

GNGN000060 EUS CYSTOGASTROSTOMY 32,000 40,000 56,000 72,000 80,000

GNGN000061 EUS GUIDED CELIAC BLOCK 15,800 19,750 27,650 35,550 39,500

GNGN000062 ERCP - SIDE VIEWING 6,100 7,625 10,675 13,725 15,250

GNGN000063 ERCP - DIAGNOSTIC 10,750 13,438 18,813 24,188 26,875

GNGN000064 ERCP - Therapeutic 24,700 30,875 43,225 55,575 61,750

GNGN000067 ERCP - MECHANICAL LITHOTRIPSY 27,600 34,500 48,300 62,100 69,000

GNGN000068 BILIARY CRE BALOON DILATION 24,720 30,900 43,260 55,620 61,800

GNGN000071 ERCP + CYSTOGASTROSTOMY 32,000 40,000 56,000 72,000 80,000

GNGN000072 SEMS - ESOPHAGEAL 24,070 30,088 42,123 54,158 60,175

GNGN000073 SEMS - DUODENAL 24,070 30,088 42,123 54,158 60,175

GNGN000074 SEMS - COLONIC 24,070 30,088 42,123 54,158 60,175

GNGN000076 NJ TUBE PLACEMENT 4,550 5,688 7,963 10,238 11,375

GNGN000077 NASOGASTRIC TUBE PLACEMENT 3,920 4,900 6,860 8,820 9,800

GNGN000078 LIVER BIOPSY 5,800 7,250 10,150 13,050 14,500

GNGN000080 ASCITIC TAPING - DIAGNOSTIC 3,300 4,125 5,775 7,425 8,250

GNGN000081 ASCITIC TAPING - THERAPEUTIC 3,920 4,900 6,860 8,820 9,800

GNGN000093 CAPSULE ENDOSCOPY 15,310 19,138 26,793 34,448 38,275

GNGN000160 Endoloop 11,100 13,875 19,425 24,975 27,750

GNGN000161 Single ballon enteroscopy both side 32,000 40,000 56,000 72,000 80,000

GNGN000165 Fluoroscopy Therapeutic 2,800 3,500 4,900 6,300 7,000

GNGN000166 Fluoroscopy Diagnostic 2,000 2,500 3,500 4,500 5,000

GNGN000167 Biliary SEMS (Single) 24,720 30,900 43,260 55,620 61,800

GNGN000169 SPY GLASS / CHOLEDOCHOSCOPY 35,000 43,750 61,250 78,780 87,500

GNGN000170 SPY GLASS + BIOPSY 40,000 50,000 70,000 90,000 100,000

GNGN000171 LASER LITHOTRIPSY 50,000 62,500 87,500 112,500 125,000

GNGN000172 BIB PLACEMENT 19,700 24,625 34,475 44,325 49,250

GNGN000173 BIB REMOVAL 8,990 11,238 15,733 20,228 22,475

GNGN000174 PEG REPLACEMENT/ REMOVAL 4,300 5,375 7,525 9,675 10,750


Billing code Service Name Surgeon fee in INR Sharing/** Single Single Dlx Super Dlx Suite GNGN000175 ZENKER'S DIVERTICULUM 22,100 27,625 38,675 49,725 55,250

GNGN000176 Balloon replacement tube 3,920 4,900 6,860 8,820 9,800

GNGN000177 Fibroscan 4,600 5,750 8,050 10,350 11,500

GNGN000178 Review of external capsule endoscopy 4,430 5,538 7,753 9,968 11,075

CD

GNGN000179 BILIARY SEMS-BILATERAL 32,000 40,000 56,000 72,000 80,000

GNGN000181 Peroral Endoscopic Myotomy 125,000 159,000 200,000 245,000 285,000

GNGN000182 Hydrogen Breath Test (P) 2,500 3,125 4,375 5,625 6,250

GNGN000184 Polypectomy complex 27,600 34,500 48,300 62,100 69,000


GI Surgery

S. No Billing code Service Name Surgeon Fee in INR

** SH SN SD SU SX

1 GNGS000002 anoplasty 13,800 13,800 17,250 24,150 31,050 34,500

2 GNGS000007 Trans anal rectal biopsy 5,500 5,500 6,875 9,625 12,375 13,750

3 GNGS000008 Laying opn of fistula in ano(HighLevel)+/- seton 20,000 20,000 25,000 35,000 45,000 50,000

4 GNGS000009 Laying opn of fistula in ano(Low Level)+/- seton 15,000 15,000 18,750 26,250 33,750 37,500

5 GNGS000010 SETON REMOVALorlaying open of residual fistula-in-ano 12,000 12,000 15,000 21,000 27,000 30,000

6 GNGS000011 Haemorrhoidectomy 20,000 20,000 25,000 35,000 45,000 50,000

7 GNGS000012 Stapled Haemorrhoidectomy 20,000 20,000 25,000 35,000 45,000 50,000

8 GNGS000013 Anal sphincter Repair 25,000 25,000 31,250 43,750 56,250 62,500

9 GNGS000014 Rectal polyp Exc 3,850 3,850 4,813 6,738 8,663 9,625

10 GNGS000015 Lateral sphincterotomy or fissurectomy 15,000 15,000 18,750 26,250 33,750 37,500

11 GNGS000016 Delormes procedure 23,100 23,100 28,875 40,425 51,975 57,750

12 GNGS000018 Appendicectomy 22,000 22,000 27,500 38,500 49,500 55,000

13 GNGS000019 Appendicular absecess drainage 15,400 15,400 19,250 26,950 34,650 38,500

14 GNGS000020 Lap appendicectomy 26,000 26,000 32,500 45,500 58,500 65,000

15 GNGS000021 Lap gastrectomy 37,500 37,500 46,875 65,625 84,375 93,750

16 GNGS000022 Partial or Subtotal Gastrectomy 45,000 45,000 56,250 78,750 101,250 112,500

17 GNGS000023 Radical gastrectomy 55,000 55,000 68,750 96,250 123,750 137,500

18 GNGS000024 Total gasterctomy 60,000 60,000 75,000 105,000 135,000 150,000

19 GNGS000025 Gastrostomy 15,000 15,000 18,750 26,250 33,750 37,500

20 GNGS000026 Lap gastrostomy 20,000 20,000 25,000 35,000 45,000 50,000

21 GNGS000027 Pyloromotomy for pyloric stenosis/ pyloroplasty 13,750 13,750 17,188 24,063 30,938 34,375

22 GNGS000028 Closure of perforated peptic ulcer 28,000 28,000 35,000 49,000 63,000 70,000

23 GNGS000030 Gastro-jejunostomy(without vagotomy) 27,000 27,000 33,750 47,250 60,750 67,500

24 GNGS000032 Lap closure of perforation peptic ulcer 30,000 30,000 37,500 52,500 67,500 75,000

25 GNGS000034 Lap gastro - jejunostomy( GJ ) 35,000 35,000 43,750 61,250 78,750 87,500

26 GNGS000035 Lap truncal vegotomy & gastro jejunostomy 30,000 30,000 37,500 52,500 67,500 75,000

27 GNGS000036 Truncal vegotomy & gestro - jejunostomy 25,000 25,000 31,250 43,750 56,250 62,500

28 GNGS000037 Truncal vegotomy & pyloroplasty 27,000 27,000 33,750 47,250 60,750 67,500

29 GNGS000038 Drainage of abdominal wall haematoma 10,000 10,000 12,500 17,500 22,500 25,000

30 GNGS000040 Drainage of psoas abscess 10,000 10,000 12,500 17,500 22,500 25,000

31 GNGS000041 Inci and drainage of large/deep abscess 12,000 12,000 15,000 21,000 27,000 30,000

32 GNGS000042 Inci and drainage of small/superficial abscess 5,000 5,000 6,250 8,750 11,250 12,500

33 GNGS000043 Ischorectal abscess drainage 15,000 15,000 18,750 26,250 33,750 37,500

34 GNGS000044 Perianal abscess drainage 12,000 12,000 15,000 21,000 27,000 30,000

35 GNGS000045 Retroperitoneal drainage of abscess 15,000 15,000 18,750 26,250 33,750 37,500


** SH SN SD SU SX

36 GNGS000055 Diagnostic Laproscopy 18,000 18,000 22,500 31,500 40,500 45,000

37 GNGS000056 Exploratory Laparotomy (including small biopsy) 20,000 20,000 25,000 35,000 45,000 50,000

38 GNGS000057 open / lap adhesiolysis 25,000 25,000 31,250 43,750 56,250 62,500

39 GNGS000058 Lap drainage of intra abdominal collection 25,000 25,000 31,250 43,750 56,250 62,500

40 GNGS000060 Mesentric cyst Exc 30,000 30,000 37,500 52,500 67,500 75,000

41 GNGS000061 Omentectomy 24,000 24,000 30,000 42,000 54,000 60,000

42 GNGS000063 Retroperitoneal tumour Exc 40,000 40,000 50,000 70,000 90,000 100,000

43 GNGS000069 Aspiration of ganglion + localorsteroid injection 1,320 1,320 1,650 2,310 2,970 3,300

44 GNGS000070 Aspiration of haematoma 2,000 2,000 2,500 3,500 4,500 5,000

45 GNGS000072 Exc of sinus( soft tissue) 10,000 10,000 12,500 17,500 22,500 25,000

46 GNGS000073 Lap removal of infected mesh 25,000 25,000 31,250 43,750 56,250 62,500

47 GNGS000074 Muscle biopsy 3,850 3,850 4,813 6,738 8,663 9,625

48 GNGS000076 Exc of pilonidal sinus + primary closure 25,000 25,000 31,250 43,750 56,250 62,500

49 GNGS000077 Exc of pilonidal sinus- local excision 25,000 25,000 31,250 43,750 56,250 62,500

50 GNGS000080 Lap splenectomy 40,000 40,000 50,000 70,000 90,000 100,000

51 GNGS000081 splenectomy(open) 35,000 35,000 43,750 61,250 78,750 87,500

52 GNGS000086 Exc of Mltpl cysts 8,250 8,250 10,313 14,438 18,563 20,625

53 GNGS000087 Exc of S superf sft tissue mass 10,000 10,000 12,500 17,500 22,500 25,000

54 GNGS000090 Suturing of large lacerated wound 6,160 6,160 7,700 10,780 13,860 15,400

55 GNGS000091 Suturing of small lacerated wound 4,180 4,180 5,225 7,315 9,405 10,450

56 GNGS000092 Secondary wound closure(suturing) 15,400 15,400 19,250 26,950 34,650 38,500

57 GNGS000093 Exc of cholangiocarcinoma - Local 40,000 40,000 50,000 70,000 90,000 100,000

58 GNGS000094 Exc of choledochal cyst and hepatico-jejunostomy 50,000 50,000 62,500 87,500 112,500 125,000

59 GNGS000095 Hepatico-jejunostomy(open) 45,000 45,000 56,250 78,750 101,250 112,500

60 GNGS000096 Hepatico porto-enterostomy(Kasais operation) 33,000 33,000 41,250 57,750 74,250 82,500

61 GNGS000097 Lap exc of choledochal cyst and hepatico-jejunostomy 50,000 50,000 62,500 87,500 112,500 125,000

62 GNGS000098 Lap hepatico- jejunostomy 50,000 50,000 62,500 87,500 112,500 125,000

63 GNGS000099 Primary Rep of common hepatic orbile duct 20,000 20,000 25,000 35,000 45,000 50,000

64 GNGS000100 Open cholecystectomy 24,000 24,000 30,000 42,000 54,000 60,000

65 GNGS000101 cholecystom and choledocholithotomy(open) 35,000 35,000 43,750 61,250 78,750 87,500

66 GNGS000102 Lap cholecystectomy 25,000 25,000 31,250 43,750 56,250 62,500

67 GNGS000103 Lap cholecystom&choledocholithotomy(CBD exploration) 35,000 35,000 43,750 61,250 78,750 87,500

68 GNGS000104 cholecystom + choledochoduodenostomy 35,000 35,000 43,750 61,250 78,750 87,500

69 GNGS000106 Radical cholecystomy (without bile duct excision) 55,000 55,000 68,750 96,250 123,750 137,500

70 GNGS000107 Radical cholecystomy (+bile duct excision) 60,000 60,000 75,000 105,000 135,000 150,000

71 GNGS000109 Left hepatectomy 60,000 60,000 75,000 105,000 135,000 150,000

72 GNGS000111 Exc of cholangiocarcinoma WITH HEPATECTOMY 65,000 65,000 81,250 113,750 146,250 162,500


** SH SN SD SU SX

73 GNGS000112 Partial liv resc(lateral segmentectomy) 40,000 40,000 50,000 70,000 90,000 100,000

74 GNGS000113 Right hepatectomy 60,000 60,000 75,000 105,000 135,000 150,000

75 GNGS000114 Right hepatic trisegmentectomy 70,000 70,000 87,500 122,500 157,500 175,000

76 GNGS000115 Lap deroofing of non- hydatid liv cyst 35,000 35,000 43,750 61,250 78,750 87,500

77 GNGS000116 Lap drainage of liv abscess drainage 30,000 30,000 37,500 52,500 67,500 75,000

78 GNGS000117 liv abscess drainage(open) 25,000 25,000 31,250 43,750 56,250 62,500

79 GNGS000118 Open deroofingorExc on non- hydatid liv cyst 25,000 25,000 31,250 43,750 56,250 62,500

80 GNGS000119 Distal pancreatectomy & pancreatico- jejunostomy 45,000 45,000 56,250 78,750 101,250 112,500

81 GNGS000120 Freys procedure 55,000 55,000 68,750 96,250 123,750 137,500

82 GNGS000121 Enucleation of pancreatic tumour 35,000 35,000 43,750 61,250 78,750 87,500

83 GNGS000122 Lap cysto - gastrostomy 40,000 40,000 50,000 70,000 90,000 100,000

84 GNGS000123 Lap cysto - jejunostomy 40,000 40,000 50,000 70,000 90,000 100,000

85 GNGS000124 Lap distal pancreatectomy 50,000 50,000 62,500 87,500 112,500 125,000

86 GNGS000125 Lap drainage of pseudopancreatic cyst 35,000 35,000 43,750 61,250 78,750 87,500

87 GNGS000126 Peustows operation 45,000 45,000 56,250 78,750 101,250 112,500

88 GNGS000127 Lap Whipples operation 65,000 65,000 81,250 113,750 146,250 162,500

89 GNGS000128 Laptomy and drainage of pseudopancreatic cyst 25,000 25,000 31,250 43,750 56,250 62,500

90 GNGS000129 Lateral pancreatico -jejunostomy 40,000 40,000 50,000 70,000 90,000 100,000

91 GNGS000130 Necrosectomy and drainage of pancreatic abscess 40,000 40,000 50,000 70,000 90,000 100,000

92 GNGS000131 Roux-en -Y cystojejunostomy(open) 35,000 35,000 43,750 61,250 78,750 87,500

93 GNGS000132 Whipples procedure 70,000 70,000 87,500 122,500 157,500 175,000

94 GNGS000133 Lap Rep of diaphragmatic hernia 35,000 35,000 43,750 61,250 78,750 87,500

95 GNGS000134 open repair of diphrag hernia 35,000 35,000 43,750 61,250 78,750 87,500

96 GNGS000136 Lap repair epig hernia 25,000 25,000 31,250 43,750 56,250 62,500

97 GNGS000137 Open Rep of epigastric hernia 20,000 20,000 25,000 35,000 45,000 50,000

98 GNGS000139 Lap femoral hernia reapir b/l 28,000 28,000 35,000 49,000 63,000 70,000

99 GNGS000140 Lap femoral hernia reapir u/l 22,000 22,000 27,500 38,500 49,500 55,000

100 GNGS000141 Open Rep of femoral hernia 20,000 20,000 25,000 35,000 45,000 50,000

101 GNGS000143 Lap IPOM 30,000 30,000 37,500 52,500 67,500 75,000

102 GNGS000144 Open Rep of Incial hernia 26,000 26,000 32,500 45,500 58,500 65,000

103 GNGS000146 Open Rep of Recurrent Incial hernia + mesh 40,000 40,000 50,000 70,000 90,000 100,000

104 GNGS000156 Lap Rep of INGUINAL hernia BL 35,000 35,000 43,750 61,250 78,750 87,500

105 GNGS000157 Lap Rep of INGUINAL hernia UL 25,000 25,000 31,250 43,750 56,250 62,500

106 GNGS000160 Open Rep of INGUINAL hernia BL 30,000 30,000 37,500 52,500 67,500 75,000

107 GNGS000161 Open Rep of INGUINAL hernia UL 20,000 20,000 25,000 35,000 45,000 50,000

108 GNGS000164 Removal of infected mesh 16,000 16,000 20,000 28,000 36,000 40,000

109 GNGS000167 Lap lumbar hernia Rep 25,000 25,000 31,250 43,750 56,250 62,500


** SH SN SD SU SX

110 GNGS000168 Open Rep of lumbar hernia 25,000 25,000 31,250 43,750 56,250 62,500

111 GNGS000170 Lap Rep of obturatorhernia 19,910 19,910 24,888 34,843 44,798 49,775

112 GNGS000171 Open Rep of obturatorhernia 24,200 24,200 30,250 42,350 54,450 60,500

113 GNGS000172 Lap spigelian hernia Rep 23,650 23,650 29,563 41,388 53,213 59,125

114 GNGS000173 Open Spigelian hernia Rep 24,200 24,200 30,250 42,350 54,450 60,500

115 GNGS000174 Lap Rep of umb hernia 25,000 25,000 31,250 43,750 56,250 62,500

116 GNGS000175 Open Rep of umb hernia 20,000 20,000 25,000 35,000 45,000 50,000

117 GNGS000178 Lap ventral hernia 30,000 30,000 37,500 52,500 67,500 75,000

118 GNGS000179 Open ventral hernia 25,000 25,000 31,250 43,750 56,250 62,500

119 GNGS000182 Ventral hernia Rep + abdominoplasty 50,000 50,000 62,500 87,500 112,500 125,000

120 GNGS000183 Hydatid cyst - drainage 30,000 30,000 37,500 52,500 67,500 75,000

121 GNGS000184 Hydatid cyst - pericystectomy 40,000 40,000 50,000 70,000 90,000 100,000

122 GNGS000189 Anteriorresc + total mesorectal Exc(TME) -open 40,000 40,000 50,000 70,000 90,000 100,000

123 GNGS000190 Colonic interposition 50,000 50,000 62,500 87,500 112,500 125,000

124 GNGS000191 Lap anterior resc+total mesorectal Exc(TME) 45,000 45,000 56,250 78,750 101,250 112,500

125 GNGS000192 Lap assisted abdominoperineal resc(APR) 60,000 60,000 75,000 105,000 135,000 150,000

126 GNGS000194 Lap assisted Segmental colectomy 35,000 35,000 43,750 61,250 78,750 87,500

127 GNGS000195 Lap proctocolectomy 55,000 55,000 68,750 96,250 123,750 137,500

128 GNGS000197 Total colectomy 50,000 50,000 62,500 87,500 112,500 125,000

129 GNGS000199 Proctocolectomy(open) 50,000 50,000 62,500 87,500 112,500 125,000

130 GNGS000202 Restorative proctocolectomy 60,000 60,000 75,000 105,000 135,000 150,000

131 GNGS000203 Segmental colectomy(open) 35,000 35,000 43,750 61,250 78,750 87,500

132 GNGS000204 Sigmoidordescending colectomy(open) 35,000 35,000 43,750 61,250 78,750 87,500

133 GNGS000207 Subtotal colectomy(open) 40,000 40,000 50,000 70,000 90,000 100,000

134 GNGS000208 Transabdominal rectopexy(open/ lap) 35,000 35,000 43,750 61,250 78,750 87,500

135 GNGS000211 Lap pull through forHirschprungs disease 24,200 24,200 30,250 42,350 54,450 60,500

136 GNGS000216 Trans-anal pull through forHirschprungs disease 24,200 24,200 30,250 42,350 54,450 60,500

137 GNGS000218 Feeding jejunostomy 20,000 20,000 25,000 35,000 45,000 50,000

138 GNGS000219 Lap closure of intestinal perforation 25,000 25,000 31,250 43,750 56,250 62,500

139 GNGS000220 Lap Meckels diverticulectomy 25,000 25,000 31,250 43,750 56,250 62,500

140 GNGS000221 Lap small bowel resc 25,000 25,000 31,250 43,750 56,250 62,500

141 GNGS000223 Laptomy & closure of intestinal perforation 30,000 30,000 37,500 52,500 67,500 75,000

142 GNGS000225 Mltpl intestinal resc and anastomosis 35,000 35,000 43,750 61,250 78,750 87,500

143 GNGS000228 Single intestinal resc and anastomosis 25,000 25,000 31,250 43,750 56,250 62,500

144 GNGS000231 Closure of colostomy 25,000 25,000 31,250 43,750 56,250 62,500

145 GNGS000232 Closure of ileostomy 25,000 25,000 31,250 43,750 56,250 62,500

146 GNGS000238 Ileostomy 25,000 25,000 31,250 43,750 56,250 62,500


** SH SN SD SU SX

147 GNGS000241 Sigmoid/ transverse colostomy 25,000 25,000 31,250 43,750 56,250 62,500

148 GNGS000244 Tube caecostomy 15,000 15,000 18,750 26,250 33,750 37,500

149 GNGS000245 Lap bilio -pancreatic diversion 86,000 86,000 107,500 150,500 193,500 215,000

150 GNGS000246 Lap adjustable gastric banding 55,000 55,000 68,750 96,250 123,750 137,500

151 GNGS000247 Lap gastric band removal 43,000 43,000 53,750 75,250 96,750 107,500

152 GNGS000248 Lap Roux-en-Y gastric bypass 72,600 72,600 90,750 127,050 163,350 181,500

153 GNGS000249 Lap sleeve gastrectomy 61,000 61,000 76,250 106,750 137,250 152,500

154 GNGS000250 Lap / open oesophageal cardiomyotomy 35,000 35,000 43,750 61,250 78,750 87,500

155 GNGS000253 Open Enucleation of leiomyoma of oesophageal( transthoracic) 30,000 30,000 37,500 52,500 67,500 75,000

156 GNGS000255 Oesophagostomy 20,000 20,000 25,000 35,000 45,000 50,000

157 GNGS000256 Transaction of oesophagus and EEA stapling 20,350 20,350 25,438 35,613 45,788 50,875

158 GNGS000261 Oesophageal stricturoplasty 20,350 20,350 25,438 35,613 45,788 50,875

159 GNGS000262 IvorLewis oesophagectomy 60,000 60,000 75,000 105,000 135,000 150,000

160 GNGS000263 Mc- Keown oesophagectomy 60,000 60,000 75,000 105,000 135,000 150,000

161 GNGS000264 Transhiatal oesophagectomy 60,000 60,000 75,000 105,000 135,000 150,000

162 GNGS000266 Lap fundoplication( Nissen) 35,000 35,000 43,750 61,250 78,750 87,500

163 GNGS000267 Lap fundoplication-partial 34,000 34,000 42,500 59,500 76,500 85,000

164 GNGS000269 open fundoplication 30,000 30,000 37,500 52,500 67,500 75,000

165 GNGS000272 Laparoscopic Omentectomy 45,000 45,000 56,250 78,750 101,250 112,500

166 GNGS000273 Pancrease presening duodenal resec+DJ+FJ 40,000 40,000 50,000 70,000 90,000 100,000

167 GNGS000275 EXC LAPAROTMY+LIG OF MLTPL HEMANGIOMA IN SML 40,000 40,000 50,000 70,000 90,000 100,000

168 GNGS000276 Spleeno Renal Shunt 60,000 60,000 75,000 105,000 135,000 150,000

169 GNGS000277 EXPLORATORY LAPOROTOMY + IO ENDEROSCOPY ILEOSTOMY 1,500 1,500 1,875 2,625 3,375 3,750

170 GNGS000280 Haemorrhoid Banding- per band 1,100 1,100 1,375 1,925 2,475 2,750

171 GNGS000282 Ilio-inguinal approach (2 windows) 8,250 8,250 10,313 14,438 18,563 20,625

172 GNGS000283 Ilio-inguinal approach (3 windows) 11,000 11,000 13,750 19,250 24,750 27,500

173 GNGS000284 B/L-inguinal approach (2 windows) 16,500 16,500 20,625 28,875 37,125 41,250

174 GNGS000285 B/L-inguinal approach (3 windows) 22,000 22,000 27,500 38,500 49,500 55,000

175 GNGS000286 Open Metastatectomy/ Lap Metastatectomy 30,000 30,000 37,500 52,500 67,500 75,000

176 GNGS000287 EXAMINATION UNDER ANESTHESIA 8,000 8,000 10,000 14,000 18,000 20,000

177 GNGS000288 Inguinal Lymph Node Resection 20,000 20,000 25,000 35,000 45,000 50,000

178 GNGS000289 redo fundoplication 35,000 35,000 43,750 61,250 78,750 87,500

179 GNGS000290 Reversal Of Fundoplication 30,000 30,000 37,500 52,500 67,500 75,000

180 GNGS000291 TRANSABDOMINAL RESECTION RECTOPEXY LAP/OPEN 45,000 45,000 56,250 78,750 101,250 112,500

181 GNGS000292 Open abdominoperineal resc(APR) 60,000 60,000 75,000 105,000 135,000 150,000

182 GNGS000293 VATS esophagectomy 65,000 65,000 81,250 113,750 146,250 162,500

183 GNGS000294 JEJUNAL INTERPOSITION 24,000 24,000 30,000 42,000 54,000 60,000


** SH SN SD SU SX

184 GNGS000295 Revision Bariatric Surgery 97,000 97,000 121,250 169,750 218,250 242,500

185 GNGS000296 UMBILECTOMY 8,000 8,000 10,000 14,000 18,000 20,000

186 GNGS000297 Complex hepatectomy 80,500 80,500 100,625 140,875 181,125 201,250

187 GNGS000298 Partial hepatectomy 57,500 57,500 71,875 100,625 129,375 143,750

188 GNGS000299 Endostem Implantation 25,000 25,000 31,250 43,750 56,250 62,500

189 GNGS000300 exc of pilondial sinus with flap repair 30,000 30,000 37,500 52,500 67,500 75,000

190 GNGS000301 Haemorrhoid Banding - multiple 3,300 3,300 4,125 5,775 7,425 8,250

191 GNGS000302 Incision and drainage of medium abscess 8,000 8,000 10,000 14,000 18,000 20,000

192 GNGS000303 Incision and drainage of large abscess 10,000 10,000 12,500 17,500 22,500 25,000

193 GNGS000304 Laproscopic enucleation of leiomyoma of oesophageal 25,000 25,000 31,250 43,750 56,250 62,500

194 GNGS000305 Mini gastric bypass 66,000 66,000 82,500 115,500 148,500 165,000

195 GNGS000306 Seton change 2,500 2,500 3,125 4,375 5,625 6,250

196 GNGS000307 LAP. ULTRA LOW ANTERIOR RESECTION 55,000 55,000 68,750 96,250 123,750 137,500

197 GNGS000308 Video Assisted Anal Fistula Treatment 25,000 25,000 31,250 43,750 56,250 62,500

198 GNGS000309 Stapled Transanal Rectal Resection 25,000 25,000 31,250 43,750 56,250 62,500

199 GNGS000310 Cytoreductive surgery with HIPEC 180,000 180,000 225,000 315,000 405,000 450,000

200 GNGS000311 Open Distal Pancreatectomy 45,000 45,000 56,250 78,750 101,250 112,500

201 GNGS000312 Pack Removal / Change 10,000 10,000 12,500 17,500 22,500 25,000

Medical Procedures

Charges

S.No Code no Procedure Name Sharing/ Single Single Dlx Super Dlx Suite

**

1 GSPR000007 LYMPH NODE BIOPSY 6,380 7,975 11,165 14,355 15,950

2 GSPR000042 Arterial/Venous blood gas analysis 550 688 963 1,238 1,375

3 GSPR000111 Blood glucose by glucometer 80 80 80 80 80

4 GSPR000118 Syringe Pump / Infusion 420 525 735 945 1,050

5 GSPR000119 Dressing Small (<5cm) 120 150 210 270 300

6 GSPR000120 Dressing Medium(5-10cm) 240 300 420 540 600

7 GSPR000121 Dressing Large (10-15cm) 480 600 840 1,080 1,200

8 GSPR000122 Dressing Extra large (>15cm) 1,210 1,513 2,118 2,723 3,025

9 GSPR000123 Chest tube Insertion 4,620 5,775 8,085 10,395 11,550

10 GSPR000124 Chest tube Removal 2,750 3,438 4,813 6,188 6,875

11 GSPR000125 Catheter insertion 970 1,213 1,698 2,183 2,425

12 GSPR000126 Catheter removal 550 688 963 1,238 1,375

13 GSPR000127 Nebulization 160 200 280 360 400

14 GSPR000128 IV Canulation Adult 970 1,213 1,698 2,183 2,425

15 GSPR000129 IV Canulation Paed(Normal) 970 1,213 1,698 2,183 2,425

16 GSPR000130 IV Canulation Paed (Cut open) 1,330 1,663 2,328 2,993 3,325

17 GSPR000131 Radial/ Arterial canulation 2,530 3,163 4,428 5,693 6,325

18 GSPR000133 Injection administration charges 50 60 90 110 120

19 GSPR000136 Triage Cardiac Panel 2,750 3,438 4,813 6,188 6,875

20 GSPR000137 Tube/catheter/suture removal 550 688 963 1,238 1,375

21 GSPR000138 Sodium potassium Hb - POCT 660 825 1,155 1,485 1,650

22 GSPR000139 NGAL-POCT 2,860 3,575 5,005 6,435 7,150

23 GSPR000140 BNP- POCT 3,630 4,538 6,353 8,168 9,075

24 GSPR000141 TOX Urine- POCT 2,750 3,438 4,813 6,188 6,875

25 GSPR000142 Ionized Calcium - POCT 460 575 805 1,035 1,150

26 GSPR000143 IV infusion with cannulation medium duration 950 1,188 1,663 2,138 2,375

27 GSPR000144 IV infusion with cannulation long duration 1,580 1,975 2,765 3,555 3,950

28 GSPR000145 Suturing medium 500 620 870 1,120 1,250

29 GSPR000146 IV infusion with cannulation short duration 500 620 870 1,120 1,250

30 GSPR000147 IV cannulation charges-EMR 250 310 440 560 630

31 GSPR000148 Condom Catheter insertion 200 250 350 450 500

32 GSPR000149 Suction Charges 200 250 350 450 500

33 GSPR000150 POCT-NT Pro BNP 1,600 2,000 2800 3600 4000

34 GSPR000151 POCT - PCT 2,600 3,250 4,550 5,850 6,500

35 GSPR000152 POCT - HsCRP 1,000 1,250 1,750 2,250 2,500

36 GSPR000153 POCT - D-Dimer 1,200 1,500 2,100 2,700 3,000

37 GSPR000154 POCT - DOA 2,600 3,250 4,550 5,850 6,500

38 GSPR000155 POCT - Nicotine 750 938 1,313 1,688 1,875

39 GSPR000156 Suturing small 400 500 700 900 1,000

40 GSPR000157 Suturing large 700 875 1,225 1,575 1,750

41 GSPR000158 IV Infusion (Excluding Consumables & drugs) 200 250 350 450 500

42 GSPR000159 BP Checkup 50 63 88 113 125

43 GSPR000160 Splinting-2"inches 400 500 700 900 1,000

44 GSPR000161 Splinting-3"inches 450 563 788 1,013 1,125




48 GSPR000165 Alco sensor 1,500 1,875 2,625 3,375 3,750

49 GSPR000166 POCT - Glycosylated Haemoglobin (Hba1c) 550 688 963 1,238 1,375

50 GSPR000167 POCT -Urinary Microalbumin to Creatinine Ratio 650 813 1,138 1,463 1,625

51 GSPR000168 POCT- Lipid Profile 600 750 1,050 1,350 1,500

52 GSPR000169 POCT - Renal Function Test 800 1,000 1,400 1,800 2,000

53 GSPR000171 Enema Charges 300 375 525 675 750

54 GSPR000172 Nasal Pack Insertion 120 150 210 270 300

55 GSPR000173 Oxygen Administration per hour 100 125 175 225 250

56 GSPR000174 Eye Irrigation 100 125 175 225 250

57 GSPR000175 Ear Irrigation 100 125 175 225 250

58 GSPR000176 Steam Inhalation 150 188 263 338 375

59 GSPR000177 Stoma Care A Unit of Global Health Pvt. Ltd. 250 313 438 563 625

Head and Neck Surgery Surgeon fee in INR

S No. Billing Code Service name Sharing/ Single Single Dlx Super Dlx Suite

**

1 HNHN000001 CERVICO - FACIAL RESECTION OF VASCULAR MASS, COMPLEX 50,000 62,500 87,500 112,500 125,000

2 HNHN000002 CERVICO - FACIAL RESECTION OF VASCULAR MASS, SIMPLE 17,600 22,000 30,800 39,600 44,000

3 HNHN000003 CERVICO - FACIAL RESECTION, LARGE 38,500 48,125 67,375 86,625 96,250

4 HNHN000004 CERVICO-FACIAL Resc. MEDIUM 22,000 27,500 38,500 49,500 55,000

5 HNHN000006 LIP EXCISION, COMPLEX EXCLUDING REPAIR 22,000 27,500 38,500 49,500 55,000

6 HNHN000007 LIP EXCISION, SIMPLE 7,040 8,800 12,320 15,840 17,600

7 HNHN000008 PREAURICULAR SINUS / CYST EXCISION, COMPLEX 27,500 34,375 48,125 61,875 68,750

8 HNHN000009 PREAURICULAR SINUS / CYST EXCISION, SIMPLE 9,900 12,375 17,325 22,275 24,750

9 HNHN000010 DEBRIDEMENT (Head & Neck) 13,200 16,500 23,100 29,700 33,000

10 HNHN000011 DRAINAGE OF CERVICOFACIAL ABSCESS - LARGE 9,000 11,250 15,750 20,250 22,500

11 HNHN000013 DRAINAGE OF DEEP NECK SPACE ABSCESS 20,000 25,000 35,000 45,000 50,000

12 HNHN000031 DIVERTICULECTOMY CERVICAL, ENDOSCOPIC, 16,500 20,625 28,875 37,125 41,250

13 HNHN000032 DIVERTICULECTOMY CERVICAL, OPEN 22,000 27,500 38,500 49,500 55,000

14 HNHN000033 ESOPHAGEAL RESECTION, CERVICAL, COMPLEX 22,000 27,500 38,500 49,500 55,000

15 HNHN000034 ESOPHAGEAL RESECTION, CERVICAL, SIMPLE 13,200 16,500 23,100 29,700 33,000

16 HNHN000035 PHARYNGOTOMY 22,000 27,500 38,500 49,500 55,000

17 HNHN000036 LARYNGECTOMY - TOTAL 35,000 43,750 61,250 78,750 87,500

18 HNHN000037 LARYNGECTOMY PARTIAL 30,000 37,500 52,500 67,500 75,000

19 HNHN000038 LARYNGECTOMY WITH PARTIAL PHARYNGECTOMY 45,000 56,250 78,750 101,250 112,500

20 HNHN000039 LARYNGOFISSURE 22,000 27,500 38,500 49,500 55,000

21 HNHN000040 LARYNGOPHARYNGECTOMY, EXTENDED 55,000 68,750 96,250 123,750 137,500

22 HNHN000041 LASER RESECTION LARYNX, MORE THAN ONE SUBSITE 35,000 43,750 61,250 78,750 87,500

23 HNHN000042 LASER RESECTION LARYNX, ONE SUBSITE 22,000 27,500 38,500 49,500 55,000

24 HNHN000044 MEDIAL CANTHOPEXY 3,520 4,400 6,160 7,920 8,800

25 HNHN000045 MICROLARYNGOSCOPY - DIAGNOSTIC / BIOPSY 8,000 10,000 14,000 18,000 20,000

26 HNHN000046 MICROLARYNGOSCOPY - EXCISION OF MASS, COMPLEX 20,000 25,000 35,000 45,000 50,000

27 HNHN000047 MICROLARYNGOSCOPY - EXCISION OF MASS, SIMPLE 12,000 15,000 21,000 27,000 30,000

28 HNHN000048 CONTROL OF HEMORRHAGE COMPLEX 27,500 34,375 48,125 61,875 68,750

29 HNHN000049 CONTROL OF HEMORRHAGE SIMPLE 5,280 6,600 9,240 11,880 13,200

30 HNHN000050 MAXILLARY SWING APPROACH 27,500 34,375 48,125 61,875 68,750

31 HNHN000051 MAXILLECTOMY - EXTENDED 55,000 68,750 96,250 123,750 137,500

32 HNHN000052 MAXILLECTOMY - PARTIAL 30,000 37,500 52,500 67,500 75,000

33 HNHN000053 MAXILLECTOMY - TOTAL 45,000 56,250 78,750 101,250 112,500

34 HNHN000054 OSTEOPLASTIC FLAP APPROACH 27,500 34,375 48,125 61,875 68,750

35 HNHN000056 NECK DISSECTION - EXTENDED 40,000 50,000 70,000 90,000 100,000

36 HNHN000057 NECK DISSECTION - MODIFIED / RADICAL 40,000 50,000 70,000 90,000 100,000

37 HNHN000058 NECK DISSECTION - PARATRACHEAL 20,000 25,000 35,000 45,000 50,000

38 HNHN000059 NECK DISSECTION - SELECTIVE 35,000 43,750 61,250 78,750 87,500

39 HNHN000060 NECK DISSECTION - SUPERIOR MEDIASTINAL VIA NECK 20,000 25,000 35,000 45,000 50,000

40 HNHN000061 NECK EXPLORATION, COMPLEX 22,000 27,500 38,500 49,500 55,000

41 HNHN000062 NECK EXPLORATION, SIMPLE 8,800 11,000 15,400 19,800 22,000

42 HNHN000064 NECK MASS EXCISION, COMPLEX 25,000 31,250 43,750 56,250 62,500

43 HNHN000066 SUBMANDIBULAR GLAND REMOVAL 16,500 20,625 28,875 37,125 41,250

44 HNHN000067 THYROGLOSSAL CYST SURGERY 20,000 25,000 35,000 45,000 50,000

45 HNHN000068 GLOSSECTOMY, EXTENDING BEYOND ANTERIOR TONGUE 30,000 37,500 52,500 67,500 75,000

46 HNHN000069 GLOSSECTOMY, PARTIAL 20,000 25,000 35,000 45,000 50,000

47 HNHN000070 GLOSSECTOMY, SUBTOTAL OR TOTAL 40,000 50,000 70,000 90,000 100,000

48 HNHN000071 LASER RESECTION, ORAL CAVITY, LARGE 22,000 27,500 38,500 49,500 55,000

49 HNHN000072 LASER RESECTION, ORAL CAVITY, SMALL 8,800 11,000 15,400 19,800 22,000

50 HNHN000073 MANDIBULAR LESION REMOVAL - LARGE 26,400 33,000 46,200 59,400 66,000

51 HNHN000074 MANDIBULAR LESION REMOVAL - SMALL 5,280 6,600 9,240 11,880 13,200

52 HNHN000075 MANDIBULECTOMY (MARGINAL) 20,000 25,000 35,000 45,000 50,000

53 HNHN000076 MANDIBULECTOMY (SEGMENTAL) 25,000 31,250 43,750 56,250 62,500

54 HNHN000077 MANDIBULOTOMY APPROACH 25,000 31,250 43,750 56,250 62,500

55 HNHN000078 ORAL COMPOSITE RESECTION (LARGE) 50,000 62,500 87,500 112,500 125,000

56 HNHN000079 ORAL COMPOSITE RESECTION (SMALL) 25,000 31,250 43,750 56,250 62,500

57 HNHN000080 ORAL MUCOSAL EXCISION, COMPLEX 25,000 31,250 43,750 56,250 62,500

58 HNHN000082 ORAL RESECTION Others (LARGE)Unit of Global Health Pvt. Ltd. 22,000 27,500 38,500 49,500 55,000

Surgeon fee in INR


**

59 HNHN000083 ORAL RESECTION Others (SMALL) 13,200 16,500 23,100 29,700 33,000

60 HNHN000084 SALIVARY DUCT DIVERSION / REPAIR 10,000 12,500 17,500 22,500 25,000

61 HNHN000085 SUBMANDIBULAR DUCT STONE REMOVAL 5,500 6,875 9,625 12,375 13,750

62 HNHN000086 OROPHARYGEAL RESECTION WITH LASER, SMALL 13,200 16,500 23,100 29,700 33,000

63 HNHN000087 OROPHARYNGEAL RESECTION WITH LASER LARGE 27,500 34,375 48,125 61,875 68,750

64 HNHN000088 OROPHARYNGEAL RESECTION, EXTENSIVE 40,000 50,000 70,000 90,000 100,000

65 HNHN000089 OROPHARYNGEAL RESECTION, LIMITED 13,200 16,500 23,100 29,700 33,000

66 HNHN000090 TRANSHYOID APPROACH 17,600 22,000 30,800 39,600 44,000

67 HNHN000091 PAROTIDECTOMY, LATERAL LOBE 40,000 50,000 70,000 90,000 100,000

68 HNHN000092 PAROTIDECTOMY, RADICAL 60,000 75,000 105,000 135,000 150,000

69 HNHN000093 PAROTIDECTOMY, TOTAL / DEEP LOBE 50,000 62,500 87,500 112,500 125,000

70 HNHN000094 PHOTODYNAMIC THERAPY TO HEAD & NECK, COMPLEX 22,000 27,500 38,500 49,500 55,000

71 HNHN000095 PHOTODYNAMIC THERAPY TO HEAD & NECK, ENDOSCOPIC 27,500 34,375 48,125 61,875 68,750

72 HNHN000097 BONE GRAFT TO FACIAL BONES 14,080 17,600 24,640 31,680 35,200

73 HNHN000098 CARTILAGE GRAFT - NOSE OR EAR, HARVESTING 7,040 8,800 12,320 15,840 17,600

74 HNHN000099 CARTILAGE GRAFT TO FACIAL REGION 7,040 8,800 12,320 15,840 17,600

75 HNHN000100 COMPLEX FACIAL REPAIR - LARGE 19,800 24,750 34,650 44,550 49,500

76 HNHN000101 COMPLEX FACIAL REPAIR - SMALL 13,200 16,500 23,100 29,700 33,000

77 HNHN000102 FACIAL NERVE PARALYSIS - NERVE REPAIR 15,000 18,750 26,250 33,750 37,500

78 HNHN000103 FACIAL NERVE PARALYSIS - STATIC REPAIR 15,000 18,750 26,250 33,750 37,500

79 HNHN000104 FLAP DELAY 7,040 8,800 12,320 15,840 17,600

80 HNHN000105 FLAP INSET TO H&N 13,200 16,500 23,100 29,700 33,000

81 HNHN000108 FLAP, LOCAL TO HEAD & NECK REGION, LARGE 16,500 20,625 28,875 37,125 41,250

82 HNHN000109 FLAP, NOT SPECIFIED, TO HEAD AND NECK SITE, LARGE 22,000 27,500 38,500 49,500 55,000

83 HNHN000110 FLAP, NOT SPECIFIED, TO HEAD AND NECK SITE, SMALL 11,000 13,750 19,250 24,750 27,500

84 HNHN000111 FLAP, PEDICLED TO HEAD & NECK REGION, LARGE 35,000 43,750 61,250 78,750 87,500

85 HNHN000112 FLAP, PEDICLED TO HEAD & NECK REGION, SMALL 16,500 20,625 28,875 37,125 41,250

86 HNHN000113 ORO-ANTRAL FISTULA REPAIR, COMPLEX 15,840 19,800 27,720 35,640 39,600

87 HNHN000115 PHARYNGOESOPHAGEAL REPAIR 22,000 27,500 38,500 49,500 55,000

88 HNHN000116 REPAIR, HEAD & NECK, COMPLEX, Others 22,000 27,500 38,500 49,500 55,000

89 HNHN000122 SKIN GRAFT TO HEAD & NECK, LARGE 22,000 27,500 38,500 49,500 55,000

90 HNHN000123 SKIN GRAFT TO HEAD & NECK, MEDIUM 13,200 16,500 23,100 29,700 33,000

91 HNHN000124 SKIN GRAFT TO HEAD & NECK, SMALL 6,600 8,250 11,550 14,850 16,500

92 HNHN000125 PARAPHARYNGEAL SPACE RESECTION 30,000 37,500 52,500 67,500 75,000

93 HNHN000126 SKULL BASE SURGERY, APPROACH NOT OTHERS 38,500 48,125 67,375 86,625 96,250

94 HNHN000127 SKULL BASE SURGERY, CRANIOFACIAL APPROACH, ANTERIOR 38,500 48,125 67,375 86,625 96,250

95 HNHN000128 SKULL BASE SURGERY, CRANIOFACIAL APPROACH, LATERAL 44,000 55,000 77,000 99,000 110,000

96 HNHN000129 SKULL BASE SURGERY, RESECTION OF LESION 22,000 27,500 38,500 49,500 55,000

97 HNHN000130 TRANSMAXILLARY APPROACH TO INFRATEMPORAL FOSSA 30,800 38,500 53,900 69,300 77,000

98 HNHN000133 EXTERNAL AUDITORY CANALPLASTY/ RESECTION 15,840 19,800 27,720 35,640 39,600

99 HNHN000134 TEMPORAL BONE RESECTION, EXTENSIVE 40,000 50,000 70,000 90,000 100,000

100 HNHN000135 TEMPORAL BONE RESECTION, LIMITED 13,200 16,500 23,100 29,700 33,000

101 HNHN000136 PARATHYROID AUTOTRANSPLANTATION 10,000 12,500 17,500 22,500 25,000

102 HNHN000137 PARATHYROIDECTOMY, FOUR GLAND EXPLORATION 40,000 50,000 70,000 90,000 100,000

103 HNHN000138 PARATHYROIDECTOMY, SINGLE 30,000 37,500 52,500 67,500 75,000

104 HNHN000139 THYROIDECTOMY, EXTENDED 50,000 62,500 87,500 112,500 125,000

105 HNHN000140 THYROIDECTOMY, HEMI 25,000 31,250 43,750 56,250 62,500

106 HNHN000141 THYROIDECTOMY, LOBECTOMY 15,000 18,750 26,250 33,750 37,500

107 HNHN000142 THYROIDECTOMY, REMOVAL OF SUBSTERNAL GOITRE 20,000 25,000 35,000 45,000 50,000

108 HNHN000143 THYROIDECTOMY, TOTAL 40,000 50,000 70,000 90,000 100,000

109 HNHN000144 LARYNGOTRACHEAL RECONSTRUCTION 33,000 41,250 57,750 74,250 82,500

110 HNHN000145 LARYNGOTRACHEOPLASTY - COMPLEX 22,000 27,500 38,500 49,500 55,000

111 HNHN000146 LARYNGOTRACHEOPLASTY - SIMPLE 13,200 16,500 23,100 29,700 33,000

112 HNHN000147 TRACHEAL RESECTION AND ANASTAMOSIS - CERVICAL 50,000 62,500 87,500 112,500 125,000

113 HNHN000148 TRACHEO - ESOPHAGEAL PROSTHESIS INSERTION 2,000 2,500 3,500 4,500 5,000

114 HNHN000149 TRACHEO - ESOPHAGEAL PUNCTURE 8,000 10,000 14,000 18,000 20,000

115 HNHN000210 Nerv Graft To H&N 22,000 27,500 38,500 49,500 55,000

116 HNHN000211 Facial Bone Plating 16,500 20,625 28,875 37,125 41,250

117 HNHN000212 Dental Extraction and Socket Closure 2,200 2,750 3,850 4,950 5,500


Surgeon fee in INR


**

118 HNHN000213 Dacrocystorhinostomy (During Open Surgery) 8,800 11,000 15,400 19,800 22,000

119 HNHN000214 Sinonasal Excision Simple 6,600 8,250 11,550 14,850 16,500

120 HNHN000215 Sinonasal Excision Complex 35,000 43,750 61,250 78,750 87,500

121 HNHN000216 Thyroidectomy,Partial, Transaxillary 30,000 37,500 52,500 67,500 75,000

122 HNHN000217 Thyroidectomy,Total, Transaxillary 45,000 56,250 78,750 101,250 112,500

123 HNHN000218 Oral Composite Resc, (L) Via Lip Split 55,000 68,750 96,250 123,750 137,500

124 HNHN000219 Infratemporal Fossa Resection 22,000 27,500 38,500 49,500 55,000

125 HNHN000220 Cervico Facial Resection Small 5,500 6,875 9,625 12,375 13,750

126 HNHN000221 Drainage Of Cervicofacial Abscess Small 3,850 4,813 6,738 8,663 9,625

127 HNHN000222 Drainage Of Peritonsillar Abscess 3,850 4,813 6,738 8,663 9,625

128 HNHN000223 Drainage Of Superficial Neck Abscess 7,700 9,625 13,475 17,325 19,250

129 HNHN000224 Dressing Head & Neck Large 4,000 5,000 7,000 9,000 10,000

130 HNHN000225 Dressing Head & Neck Medium 2,000 2,500 3,500 4,500 5,000

131 HNHN000226 Dressing Head & Neck Small 1,000 1,250 1,750 2,250 2,500

132 HNHN000227 90 Dgree Laryngoscopy 800 1,000 1,400 1,800 2,000

133 HNHN000228 Biopsy Head N Neck 4,400 5,500 7,700 9,900 11,000

134 HNHN000229 Biopsy Head N Neck Endoscopic/Microscopic 5,500 6,875 9,625 12,375 13,750

135 HNHN000230 Esophagoscopy/Hypopharyng Rigid Diag. 4,400 5,500 7,700 9,900 11,000

136 HNHN000231 Esophagoscopy/Hypopharyng Rigid Therap. 8,800 11,000 15,400 19,800 22,000

137 HNHN000232 Fibreoptic Laryngoscopy Diagnostic 2,750 3,438 4,813 6,188 6,875

138 HNHN000233 Fibreoptic Laryngoscopy Therapeutic 5,500 6,875 9,625 12,375 13,750

139 HNHN000234 FNAC Cervico Facial Region 1,200 1,500 2,100 2,700 3,000

140 HNHN000235 Nasal Endoscopy Diagnostic 1,200 1,500 2,100 2,700 3,000

141 HNHN000236 Panendoscopy 7,700 9,625 13,475 17,325 19,250

142 HNHN000237 Interdental Wiring 4,950 6,188 8,663 11,138 12,375

143 HNHN000238 LYMPH Node Excision Biopsy Neck Single 6,600 8,250 11,550 14,850 16,500

144 HNHN000239 Neck Mass Biopsy 8,800 11,000 15,400 19,800 22,000

145 HNHN000240 Neck Mass Excision Simple 11,000 13,750 19,250 24,750 27,500

146 HNHN000241 Oral Muscosal Excision Simple 5,500 6,875 9,625 12,375 13,750

147 HNHN000242 Photodynamic Therapy To Head & Neck Simple 13,200 16,500 23,100 29,700 33,000

148 HNHN000243 Flap Sectioning 11,000 13,750 19,250 24,750 27,500

149 HNHN000244 Flap Local To Head & Neck Region Small 8,800 11,000 15,400 19,800 22,000

150 HNHN000245 Repair Head & Neck Simple Not Specified 13,200 16,500 23,100 29,700 33,000

151 HNHN000246 Repair Oral Multilayer/CMPLX/Mlpl 15,000 18,750 26,250 33,750 37,500

152 HNHN000247 Repair Oral Simple 7,700 9,625 13,475 17,325 19,250

153 HNHN000248 Secondary Suturing Head & Neck Major 7,700 9,625 13,475 17,325 19,250

154 HNHN000249 Secondary Suturing Head & Neck Minor 3,740 4,675 6,545 8,415 9,350

155 HNHN000250 Radiofrequency Base Of Tongue 5,500 6,875 9,625 12,375 13,750

156 HNHN000251 Radiofrequency Palate 5,500 6,875 9,625 12,375 13,750

157 HNHN000252 Tracheostomy Decanulation 1,500 1,875 2,625 3,375 3,750

158 HNHN000253 Tracheostomy Tube Change 800 1,000 1,400 1,800 2,000

159 HNHN000254 Tracheostomy Closure 6,600 8,250 11,550 14,850 16,500

160 HNHN000255 Tracheostomy Stenosis Repair 8,800 11,000 15,400 19,800 22,000

161 HNHN000256 Dental Extraction and Socket Closure (Multiple) 5,000 6,250 8,750 11,250 12,500

162 HNHN000257 Hemithyroidectomy (extended) 30,000 37,500 52,500 67,500 75,000

163 HNHN000258 Myotomy 10,000 12,500 17,500 22,500 25,000

Head and Neck Procedures

1 HNPR000001 CERVICO FACIAL RESECTION SMALL 5,500 6,875 9,625 12,375 13,750

2 HNPR000002 DRAINAGE OF CERVICOFACIAL ABSCESS SMALL 3,850 4,813 6,738 8,663 9,625

3 HNPR000003 DRAINAGE OF PERITONSILLAR ABSCESS 3,850 4,813 6,738 8,663 9,625

4 HNPR000004 DRAINAGE OF SUPERFICIAL NECK ABSCESS 7,700 9,625 13,475 17,325 19,250

5 HNPR000005 DRESSING H & N LARGE 3,300 4,125 5,775 7,425 8,250

6 HNPR000006 DRESSING H & N MEDIUM 1,980 2,475 3,465 4,455 4,950

7 HNPR000007 DRESSING HEAD & NECK SMALL 700 875 1,225 1,575 1,750

8 HNPR000008 90 DEGREE LARYNGOSCOPY 700 875 1,225 1,575 1,750

9 HNPR000009 Biopsy Head N Neck 3,000 3,750 5,250 6,750 7,500

10 HNPR000010 Biopsy Head N Neck Endoscopic/Microscopic 5,500 6,875 9,625 12,375 13,750

11 HNPR000011 ESOPHAGOSCOPY / HYPOPHARYNG RIGID DIAG. 4,400 5,500 7,700 9,900 11,000

12 HNPR000012 ESOPHAGOSCOPY / HYPOPHARYNG RIGID THERAP. 8,800 11,000 15,400 19,800 22,000


Surgeon fee in INR


**

13 HNPR000013 FIBREOPTIC LARYNGOSCOPY DIAGNOSTIC 3,000 3,750 5,250 6,750 7,500

14 HNPR000014 FIBREOPTIC LARYNGOSCOPY THERAPEUTIC 5,500 6,875 9,625 12,375 13,750

15 HNPR000015 FNAC CERVICO FACIAL REGION 1,210 1,513 2,118 2,723 3,025

16 HNPR000016 LARYNGOSCOPY DIRECT DIAGNOSTIC 4,400 5,500 7,700 9,900 11,000

17 HNPR000017 LARYNGOSCOPY DIRECT THERAPEUTIC 8,800 11,000 15,400 19,800 22,000

18 HNPR000018 NASAL ENDOSCOPY DIAGNOSTIC 1,500 1,875 2,625 3,375 3,750

19 HNPR000019 PANENDOSCOPY 7,700 9,625 13,475 17,325 19,250

20 HNPR000020 INTERDENTAL WIRING 4,950 6,188 8,663 11,138 12,375

21 HNPR000021 LYMPH NODE EXCISION BIOPSY NECK SINGLE 6,600 8,250 11,550 14,850 16,500

22 HNPR000022 NECK MASS BIOPSY 10,000 12,500 17,500 22,500 25,000

23 HNPR000023 NECK MASS EXCISION SIMPLE 13,000 16,250 22,750 29,250 32,500

24 HNPR000024 ORAL MUCOSAL EXCISION SIMPLE 5,500 6,875 9,625 12,375 13,750

25 HNPR000025 PHOTODYNAMIC THERAPY TO HEAD & NECK SIMPLE 13,200 16,500 23,100 29,700 33,000

26 HNPR000026 FLAP SECTIONING 11,000 13,750 19,250 24,750 27,500

27 HNPR000027 FLAP LOCAL TO HEAD & NECK REGION SMALL 8,800 11,000 15,400 19,800 22,000

28 HNPR000028 OROANTRAL FISTULA REPAIR SIMPLE 13,200 16,500 23,100 29,700 33,000

29 HNPR000029 REPAIR HEAD & NECK SIMPLE NOT SPECIFIED 13,200 16,500 23,100 29,700 33,000

30 HNPR000030 REPAIR ORAL MULTILAYER / CMPLX / Mltpl 15,000 18,750 26,250 33,750 37,500

31 HNPR000031 REPAIR ORAL SIMPLE 7,700 9,625 13,475 17,325 19,250

32 HNPR000032 SECONDARY SUTURING HEAD & NECK MAJOR 7,700 9,625 13,475 17,325 19,250

33 HNPR000033 SECONDARY SUTURING HEAD & NECK MINOR 3,740 4,675 6,545 8,415 9,350

34 HNPR000034 RADIOFREQUENCY BASE OF TONGUE 5,500 6,875 9,625 12,375 13,750

35 HNPR000035 RADIOFREQUENCY PALATE 5,500 6,875 9,625 12,375 13,750

36 HNPR000036 TRACHEOSTOMY 13,000 16,250 22,750 29,250 32,500

37 HNPR000037 TRACHEOSTOMY DECANULATION 1,300 1,625 2,275 2,925 3,250

38 HNPR000038 TRACHEOSTOMY TUBE CHANAGE 1,000 1,250 1,750 2,250 2,500

39 HNPR000039 TRACHEOSTOMY CLOSURE 6,600 8,250 11,550 14,850 16,500

40 HNPR000040 TRACHEOSTOMY STENOSIS REPAIR 8,800 11,000 15,400 19,800 22,000


Ayurveda

S.No Code no Service name Charges in INR 1 HMAY000001 Abhyangam-Children (below 16) 660 2 HMAY000002 Anjanam 165 3 HMAY000003 Anna lepanam-One limb 490 4 HMAY000004 Aschyothanam 165 5 HMAY000005 Avagaha Swedam 660 6 HMAY000006 Dhoopanam 330 7 HMAY000007 Gandoosham 165 8 HMAY000008 Kabalam 165 9 HMAY000009 Karnapooranam 330 10 HMAY000010 Ksheera Dhoomam/Nadee swedam-One limb 490 11 HMAY000011 Lepana- one joint / one area 165 12 HMAY000012 Localised anushna Sekam-One limb 330 13 HMAY000013 Localised massage of one joint 330 14 HMAY000014 Matravasthy 660 15 HMAY000015 Nadee Swedam-Two limbs 660 16 HMAY000016 Nadee Swedam-One limb 490 17 HMAY000017 Nasyam 490 18 HMAY000018 Netrasekam 165 19 HMAY000019 Pada abhyangam 490 20 HMAY000020 Pada abhyangam+Nadee swedam 660 21 HMAY000021 Prathimarsa Nasyam 165 22 HMAY000022 Purampada 165 23 HMAY000024 Rooksha Swedam (Local) 490 24 HMAY000025 Sarvanga Nadee swedam 660 25 HMAY000026 Sarvanga Bashpa Swedam 490 26 HMAY000027 Shashtika Pinda Swedam One limb 490 27 HMAY000028 Sirolepam 490 28 HMAY000029 Siropichu 330 29 HMAY000030 Sirovasthy 1,480 30 HMAY000031 Snehapanam 165 31 HMAY000032 Tarpanam 990 32 HMAY000033 Thalam 165 33 HMAY000034 Thapa Swedam 165 34 HMAY000035 Twarita Vasti 490 35 HMAY000036 Upanaha Swedam 330 36 HMAY000037 Abhyangam 1,100 37 HMAY000039 Anna lepanam- Full body 1,320 38 HMAY000040 Choorna Pinda Swedam-Snigdha- Two limbs 880 39 HMAY000041 Choorna Pinda Swedam-Snigdha- Full body 1,100 40 HMAY000042 General Massage 1,320 41 HMAY000043 Jambeera Pinda Swedam- Two limbs 880 42 HMAY000044 Jambeera Pinda Swedam- Full body 1,320 43 HMAY000045 Kateevasthy 1,540 44 HMAY000046 Kheera Dhara 1,650 45 HMAY000047 Lepanam- Two limbs 440 46 HMAY000048 Lepanam- Full body 880 47 HMAY000049 Localised Ushna Sekam- Two limbs 660 48 HMAY000050 Patra Potala Swedam Two limbs 880 49 HMAY000051 Patra Potala Swedam Full body 1,100 50 HMAY000052 Rooksha Swedam - Two limbs 880 51 HMAY000053 Rooksha Swedam - Full body 1,320 52 HMAY000054 Snehavasthy 660 53 HMAY000055 Thaila Dhara 1,540 54 HMAY000056 Thakra Dhara 1,650 55 HMAY000057 Udwarthanam 1,100 56 HMAY000058 Urovasthy 880 57 HMAY000059 Pizhichil (Kayasekam) 2,970 58 HMAY000060 Shashtika Pinda Swedam (Njavara Kizhi) 1,980 59 HMAY000061 Agni Karmam 1,650 60 HMAY000062 Cervical Spine corrective massage 1,100 61 HMAY000063 Fracture management with Splint 10 cm, 15 cm 3,300 62 HMAY000064 Fracture management with Splint 20 cm,30 cm 2,200 63 HMAY000065 Jalookavacharanam per sitting 2,200 64 HMAY000066 Kashaya Vasthy (Nirooha) 2,200 65 HMAY000067 Kshara Karmam 1,650 66 HMAY000068 Ksheera Vasthy 2,200 67 HMAY000069 Kuttanam 2,200 68 HMAY000070 Low back spine corrective massage 1,650 69 HMAY000071 Prachanam 2,200 70 HMAY000072 Putapakam 1,650 71 HMAY000073 Rakta Mokshan 2,750 72 HMAY000074 Reduction and management of Joint massage 1,100 73 HMAY000075 Sprain injury managment without Splint 10cm,15cm 820 74 HMAY000076 Sprain injury managment without Splint 20 cm30 cm 1,100 75 HMAY000077 Tuvaraka rasayana seva 5,500 76 HMAY000078 Uttara vasti 3,300 77 HMAY000079 Vaitharana vasthy 2,200 78 HMAY000080 Vamanam 4,950 79 HMAY000081 Therapeutic Yoga 380

A Unit of Gl obal He alth Pvt. Ltd.

Nephrology Charges in INR

S. No Department Billing code Service name Package Sharing Single Single Dlx Super Dlx Suite (P)

1 Package NPDC000001 Dialysis Package Consolidated (Regular) - 30 Sitting P 87,000

2 Package NPDC000002 Dialysis Package Consolidated (VIP) - 30 sitting P 135,000

3 Package NPPR000001 REGULAR DIALYSIS SINGLE P 3,500

4 Package NPPR000002 REUSE DIALYSIS P 2,700

5 Package NPPR000003 Isolation Dialysis P 4,000

6 Package NPPR000004 EMERGENCY DIALYSIS P 4,500

7 Package NPPR000005 PORTABLE DIALYSIS P 4,600

8 Package NPPR000006 VIP DIALYSIS P 5,000

9 Package NPPR000007 SLEDD 8 HRS P 8,000

10 Package NPPR000008 SLEDD 12 HRS P 16,000

11 Package NPPR000009 FEMORAL CATHETERIZATION P 2,300

12 Package NPPR000010 IJ CATHETERIZATION P 3,500

13 Package NPPR000011 PERMACATH INSERTION P 5,500

14 Procedure NPPR000012 CRRT monitoring charges per day 0 4,000 5,000 7,000 9,000 10,000

15 Package NPPR000013 ACUTE PD P 3,700

16 Package NPPR000015 KIDNEY BIOPSY-NATIVE/GRAFT P 8,000 11,000 14,500 18,500 25,500

17 Procedure NPPR000016 Body Composition Monitor 1,500 1,875 2,625 3,375 3,750

18 Procedure NPPR000017 CAPD Flushing 500 625 875 1,125 1,250

19 Procedure NPPR000018 CAPD Exchange 250 313 438 563 625

20 Procedure NPPR000019 Exit site dressing 200 250 350 450 500

21 Procedure NPPR000020 Peritoneal equilibration test (PET) & Adequacy 1,500 1,875 2,625 3,225 3,750

22 Procedure NPPR000021 CAPD Training (Per Day) 4,000 5,000 7,000 9,000 10,000

23 Procedure NPPR000022 Transfer set change 500 625 875 1,125 1,250

24 Package NPPR000025 P D Training Charges 15,000 18,750 26,250 33,750 37,500

25 Package NPPR000026 CRRT Inititation charges + one day monitoring P 16,000 20,000 28,000 34,400 40,000

26 Package NPPR000028 Online Hemodiafilteration 5008* P 4000

27 Package NPPR000029 Regular Dialysis with F8 dialyser P 4,000

28 Package NPPR000030 VIP DIALYSIS WITH F8 DIALYSER P 5,800

29 Package NPPR000031 Online Isolation Hemodiafilteration 5008 P 4300

30 Package NPPR000032 Emergency Dialysis 5008 P 5000

31 Package NPPR000033 VIP Dialysis with 5008 P 6800 DAY CARE PACKAGE

S. No Department Billing code Service name Day Care

1 Package NPPR000027 LINQ Explant Procedure-Medtronic P 17,500


Neurology

S.No Billing Code Service name

Charges in INR


Diagnostic

1 NUNU000001 Apnoea Test 2,540 2,540 3,175 4,445 5,715 6,350

2 NUNU000012 Cold Calorie Test 2,540 2,540 3,175 4,445 5,715 6,350

3 NUNU000013 CSF Manometry (Bed Side) 5,775 5,775 7,219 10,106 12,994 14,438

4 NUNU000014 EEG Aubulatory 10,160 10,160 12,700 17,780 22,860 25,400

5 NUNU000015 EEG-routine 2,100 2,100 2,625 3,675 4,725 5,250

6 NUNU000016 EMG 3,470 3,470 4,338 6,073 7,808 8,675

7 NUNU000017 EP(BAER) 2,678 2,678 3,348 4,687 6,026 6,695

8 NUNU000018 EP(SSEP) 2,950 2,950 3,688 5,163 6,638 7,375

9 NUNU000019 EP(VER) 3,470 3,470 4,338 6,073 7,808 8,675

10 NUNU000021 Head Up Tilt Test 2,940 2,940 3,675 5,145 6,615 7,350

11 NUNU000024 NCV 2 limbs motor + sensory 4,620 4,620 5,775 8,085 10,395 11,550

12 NUNU000025 NCV 2 limbs motor + sensory+EMG 5,250 5,250 6,563 9,188 11,813 13,125

13 NUNU000026 NCV 4 limbs motor + sensory 8,085 8,085 10,106 14,149 18,191 20,213

14 NUNU000027 NCV4 limbs motor+ sensory+EMG 10,500 10,500 13,125 18,375 23,625 26,250

15 NUNU000029 PSG-CPAP titration studies 6,350 6,350 7,938 11,113 14,288 15,875

16 NUNU000030 PSG-MSLT 10,160 10,160 12,700 17,780 22,860 25,400

17 NUNU000031 PSG Overnight 10,160 10,160 12,700 17,780 22,860 25,400

18 NUNU000032 RNS-T 2,310 2,310 2,888 4,043 5,198 5,775

19 NUNU000033 SF EMG 3,810 3,810 4,763 6,668 8,573 9,525

20 NUNU000034 Sympathetic Skin Response 1,785 1,785 2,231 3,124 4,016 4,463

21 NUNU000035 tap test for NPH 7,620 7,620 9,525 13,335 17,145 19,050

22 NUNU000036 VEEG(Long term) 10,500 10,500 13,125 18,375 23,625 26,250

23 NUNU000037 VEEG(Short term) 5,250 5,250 6,563 9,188 11,813 13,125

24 NUNU000042 Motor Evoked Potential (MEP) + Somato-sensory Evoked 12,600 12,600 15,750 22,050 28,350 31,500

Potentials(SEP) +EMG

25 NUNU000043 MEP/ SEP + EMG 9,450 9,450 11,813 16,538 21,263 23,625

26 NUNU000044 EMG(Intra OP Neuro-physiological testing) 9,240 9,240 11,550 16,170 20,790 23,100

27 NUNU000045 Brachial plexus CV/EMG 7,350 7,350 9,188 12,863 16,538 18,375

28 NUNU000047 Blink reflex 1,575 1,575 1,969 2,756 3,544 3,938

29 NUNU000048 Neck Venous Doppler 2,540 2,540 3,175 4,445 5,715 6,350

30 NUNU000049 Trans Cranial Doppler Monitoring 5,780 5,780 7,225 10,115 13,005 14,450

31 NUNU000050 EEG monitoring (Bedside) 3,850 3,850 4,813 6,738 8,663 9,625

32 NUNU000055 Video EEG Package - 3 Days (P) 40,000 40,000 50,000 70,000 90,000 100,000

33 NUNU000056 Video EEG Package - 5 Days (P) 57,750 57,750 72,188 101,063 129,938 144,375

Procedures

32 NUNU000002 Baclofen Pump Refilling 1,960 1,960 2,450 3,430 4,410 4,900

33 NUNU000003 Botulinum Toxin Inj. for -Blepharospasm 3,230 3,230 4,038 5,653 7,268 8,075

34 NUNU000004 Botulinum Toxin Inj. for -Cervical Dystonia 3,810 3,810 4,763 6,668 8,573 9,525

35 NUNU000005 Botulinum Toxin Inj. for -Dystonia (each Site) 1,785 1,785 2,231 3,124 4,016 4,463

36 NUNU000006 Botulinum Toxin Inj. for -Headache 4,620 4,620 5,775 8,085 10,395 11,550

37 NUNU000007 Botulinum Toxin Inj. for -Hemefacial spasm 3,230 3,230 4,038 5,653 7,268 8,075

38 NUNU000008 Botulinum Toxin Inj. for -Spasmodic Dysphonia 9,470 9,470 11,838 16,573 21,308 23,675

39 NUNU000009 Botulinum Toxin Inj. for -Spasticity (each Site) 4,620 4,620 5,775 8,085 10,395 11,550

40 NUNU000010 Botulinum Toxin Inj. for -Trigeminal Neuralgia 32,340 32,340 40,425 56,595 72,765 80,850

41 NUNU000011 Botulinum Toxin Inj. for -Writer's Cramp (EMG guided) 6,350 6,350 7,938 11,113 14,288 15,875

42 NUNU000020 Epley manoeuvre 6,930 6,930 8,663 12,128 15,593 17,325

43 NUNU000022 Lumber Puncuture (Neurology) 3,465 3,465 4,331 6,064 7,796 8,663

44 NUNU000023 Muscle Biopsy 2,100 2,100 2,625 3,675 4,725 5,250

45 NUNU000028 Nerve Biopsy 2,310 2,310 2,888 4,043 5,198 5,775

46 NUNU000046 Intravenous Thrombolysis 10,500 10,500 13,125 18,375 23,625 26,250

47 NUNU000051 Brain Suite 31,500 31,500 39,375 55,125 70,875 78,750

48 NUNU000052 Pre op MRI with Navigation 15,750 15,750 19,688 27,563 35,438 39,375

49 NUNU000053 Post op MRI 5,250 5,250 6,563 9,188 11,813 13,125

50 NUNU000054 Post op MRI V P Shunt T2 (One Image) 2,100 2,100 2,625 3,675 4,725 5,250

51 NUNU000057 Surgical Navigation 10,000 10,000 12,500 17,500 22,500 25,000

52 NUNU000058 Surgical Navigation + Multidimensional Intraoperative Imaging 25,000 25,000 31,250 43,750 56,250 62,500


Digital subtraction angiography (DSA)

S.No Code no Procedure Name

Charges in INR

Sharing/ ** Single Single Dlx Super Dlx Suite

1 NSDA000001 TF Epidural Nerve Block Lumbar-Single 3,810 4,763 6,668 8,573 9,525

2 NSDA000002 TF Epidural Nerve Block Lumbar-Multiple 7,620 9,525 13,335 17,145 19,050

3 NSDA000003 TF Epidural Nerve Block Cervical-Single 10,160 12,700 17,780 22,860 25,400

4 NSDA000004 TF Epidural Nerve Block Cervical-Multiple 20,330 25,413 35,578 45,743 50,825

5 NSDA000005 Facet block Single level 4,500 5,625 7,875 10,125 11,250

6 NSDA000006 Facet block Multiple 8,890 11,113 15,558 20,003 22,225

7 NSDA000007 Epidural steroidal injection 6,350 7,938 11,113 14,288 15,875

8 NSDA000008 Sacroiliac joint injection 4,500 5,625 7,875 10,125 11,250

9 NSDA000009 Greater and Lesser occipital nerve blocks 4,500 5,625 7,875 10,125 11,250

10 NSDA000011 Therapeutic pain injection 2,540 3,175 4,445 5,715 6,350

11 NSDA000012 Diagnostic Nerve Block 2,770 3,463 4,848 6,233 6,925

12 NSDA000013 Fluoro- guided Lumbar Puncture 3,810 4,763 6,668 8,573 9,525

13 NSDA000014 Check Angiogram (P) 25,000 30,000 37,000 44,000 53,000

14 NSDA000015 DSA cerebral (P) 25,000 30,000 37,000 44,000 53,000

15 NSDA000016 Spinal angiography 16,750 20,938 29,313 37,688 41,875

16 NSDA000017 Intraarterial vasodilatation 21,950 27,438 38,413 49,388 54,875

17 NSDA000018 Vertebroplasty 21,950 27,438 38,413 49,388 54,875

18 NSDA000019 Parent vessel occlusion 46,780 58,475 81,865 105,255 116,950

19 NSDA000020 Tumor embolization simple 21,950 27,438 38,413 49,388 54,875

20 NSDA000021 Peripheral Artery Embolization 26,570 33,213 46,498 59,783 66,425

21 NSDA000022 Balloon test occlusion 38,120 47,650 66,710 85,770 95,300

22 NSDA000023 Intraarterial recanalisation 38,120 47,650 66,710 85,770 95,300

23 NSDA000024 Carotid stenting 46,780 58,475 81,865 105,255 116,950

24 NSDA000025 Tumor embolization (complex) 43,890 54,863 76,808 98,753 109,725

25 NSDA000026 Venous stenting 46,780 58,475 81,865 105,255 116,950

26 NSDA000027 Venous thrombolysis 29,450 36,813 51,538 66,263 73,625

27 NSDA000028 Cerebral AVM embolization 58,910 73,638 103,093 132,548 147,275

28 NSDA000029 Intracranial aneurysm embolization 58,910 73,638 103,093 132,548 147,275

29 NSDA000030 Intracranial angioplasty 58,910 73,638 103,093 132,548 147,275

30 NSDA000031 Spinal AVM embolization 58,910 73,638 103,093 132,548 147,275

31 NSDA000032 Intracranial angioplasty for vasospasm 58,910 73,638 103,093 132,548 147,275

32 NSDA000033 Intracranial stenting 58,910 73,638 103,093 132,548 147,275

33 NSDA000034 Complex aneurysm embolization 80,850 101,063 141,488 181,913 202,125

34 NSDA000035 Intracranial aneurysm -two(same session) 80,850 101,063 141,488 181,913 202,125

Note: 1. 25% of procedure charges will be charged as anesthesia charges. 2. 50% of the procedure will be charged as DSA lab charges.


Neurosurgery

S.No Code no Service name

Surgeon fee in INR


SHUNT

1 NSNS000002 Ommaya Reservoir placement 51,000 63,750 89,250 114,750 127,500

2 NSNS000003 V.P. Shunt 53,130 66,413 92,978 119,543 132,825

3 NSNS000004 Shunt Revision 51,000 63,750 89,250 114,750 127,500

4 NSNS000005 V. A. Shunt 60,060 75,075 105,105 135,135 150,150

5 NSNS000006 LP Shunt 45,000 56,250 78,750 101,250 112,500

6 NSNS000007 SyringoPeritoneal Shunt 60,060 75,075 105,105 135,135 150,150

7 NSNS000008 Biventricular Shunt 60,060 75,075 105,105 135,135 150,150

8 NSNS000009 Syringo Subarachnoid Shunt 60,060 75,075 105,105 135,135 150,150

SCALP & SKULL

1 NSNS000010 Burr Hole Single 12,100 15,125 21,175 27,225 30,250

2 NSNS000011 Scalp hematoma/ abscess/ mass 22,000 27,500 38,500 49,500 55,000

3 NSNS000012 Scalp Complex 45,000 56,250 78,750 101,250 112,500

4 NSNS000013 Burr hole Multiple 45,000 56,250 78,750 101,250 112,500

5 NSNS000014 Calvarial tumor/ mass (extra cranial) 45,000 56,250 78,750 101,250 112,500

6 NSNS000015 Facial reconstruction procedure 115,500 144,375 202,125 259,875 288,750

7 NSNS000016 Cranioplasty 47,000 58,750 82,250 105,750 117,500

8 NSNS000017 Frontal sinus surgery 51,000 63,750 89,250 114,750 127,500

9 NSNS000018 Bone Flap Removal 60,060 75,075 105,105 135,135 150,150

NERVES

1 NSNS000019 Carpal Tunnel Syndrome 23,000 28,750 40,250 51,750 57,500

2 NSNS000020 Nerve Exploration 45,000 56,250 78,750 101,250 112,500

22,000 27,500 38,500 49,500 55,000

3 NSNS000021 Entrapment neuropathy decompression

4 NSNS000022 Neurolysis external/ internal 22,000 27,500 38,500 49,500 55,000

5 NSNS000023 Brachial plexus injury 60,060 75,075 105,105 135,135 150,150

6 NSNS000024 Nerve transposition 60,060 75,075 105,105 135,135 150,150

7 NSNS000025 Cable graft & fascicular suture 84,000 105,000 147,000 189,000 210,000

8 NSNS000026 Facial reinnervation procedure 60,060 75,075 105,105 135,135 150,150

9 NSNS000027 Nerve Transplant 84,000 105,000 147,000 189,000 210,000

HEAD INJURY/ HAEMATOMAS

1 NSNS000030 Craniotomy for head injury 60,060 75,075 105,105 135,135 150,150

2 NSNS000031 Chronic Subdural haematoma 45,000 56,250 78,750 101,250 112,500

3 NSNS000032 Depressed fracture simple 51,000 63,750 89,250 114,750 127,500

4 NSNS000033 Depressed fracture complex 60,000 75,000 105,000 135,000 150,000

5 NSNS000034 Extra dural haematoma 60,060 75,075 105,105 135,135 150,150

6 NSNS000035 Cerebral contusion 60,060 75,075 105,105 135,135 150,150

7 NSNS000036 Intracerebral haematoma 60,060 75,075 105,105 135,135 150,150

8 NSNS000037 Subdural haematoma craniotomy 60,060 75,075 105,105 135,135 150,150

9 NSNS000038 Decompressive craniotomy 63,000 78,750 110,250 141,750 157,500

84,000 105,000 147,000 189,000 210,000

10 NSNS000039 Decompressive craniotomy and duroplasty

11 NSNS000040 Bilateral haematomas 84,000 105,000 147,000 189,000 210,000

12 NSNS000041 ICP Monitoring 3,850 4,813 6,738 8,663 9,625

13 NSNS000042 Laceration Suturing 3,020 3,775 5,285 6,795 7,550

14 NSNS000043 Laceration Suturing for Avulsion 12,080 15,100 21,140 27,180 30,200

SPINE

1 NSNS000044 Skull Traction 8,050 10,063 14,088 18,113 20,125

60,060 75,075 105,105 135,135 150,150

2 NSNS000045 Cervical/ Thoracic/Lumbar laminotomy

54,600 68,250 95,550 122,850 136,500

3 NSNS000046 Cervical/ Thoracic/Lumbar laminectomy

4 NSNS000047 lumbar laminectomy with discectomy 60,060 75,075 105,105 135,135 150,150

5 NSNS000048 lumbar fenestration 60,060 75,075 105,105 135,135 150,150

6 NSNS000049 lumbar microdiscectomy 60,060 75,075 105,105 135,135 150,150

7 NSNS000050 Spinal endoscopic discectomy 84,000 105,000 147,000 189,000 210,000

8 NSNS000051 Cervical foraminotomy 60,060 75,075 105,105 135,135 150,150

9 NSNS000052 Cervical discectomy 60,060 75,075 105,105 135,135 150,150

10 NSNS000053 Cervical fusion - Anterior 84,000 105,000 147,000 189,000 210,000

11 NSNS000054 Cervical fusion - Posterior 84,000 105,000 147,000 189,000 210,000

12 NSNS000055 Corpectomy cervical A Unit of Global Health84,000Pvt. Ltd. 105,000 147,000 189,000 210,000

S.No Code no Service name Surgeon fee in INR


13 NSNS000056 Corpectomy with fusion 76,650 95,813 134,138 172,463 191,625

14 NSNS000057 Open door laminoplasty 60,060 75,075 105,105 135,135 150,150

84,000 105,000 147,000 189,000 210,000

15 NSNS000058 Anterior or AL approach vertebrectomy

84,000 105,000 147,000 189,000 210,000

16 NSNS000059 Posterior or PL approach vertebrectomy

60,060 75,075 105,105 135,135 150,150

17 NSNS000060 Traumatic intradural haematomas (spinal)

18 NSNS000061 Laminoplasty 60,060 75,075 105,105 135,135 150,150

19 NSNS000062 PLIF/ Posterior thoracic fixation 84,000 105,000 147,000 189,000 210,000

80,200 100,250 140,350 180,450 200,500

20 NSNS000063 Intradural extramedullary spinal tumor

21 NSNS000064 Giant spinal tumor 115,500 144,375 202,125 259,875 288,750

22 NSNS000065 Extradural spinal tumor 84,000 105,000 147,000 189,000 210,000

23 NSNS000066 Special approach to spinal tumor 115,500 144,375 202,125 259,875 288,750

24 NSNS000067 Intramedulary spinal tumor 84,000 105,000 147,000 189,000 210,000

25 NSNS000068 Posterior decompression ACM 60,060 75,075 105,105 135,135 150,150

115,500 144,375 202,125 259,875 288,750

26 NSNS000069 Transoral decompression + post. Fixation

27 NSNS000070 Transoral biopsy 51,000 63,750 89,250 114,750 127,500

28 NSNS000071 Posterior fixation 76,650 95,813 134,138 172,463 191,625

29 NSNS000072 Spinal tumor excision with fixation 115,500 144,375 202,125 259,875 288,750

MINIMALLY INVASIVE SPINE

84,000 105,000 147,000 189,000 210,000

1 NSNS000073 Endoportal endomicroscopic discectomy

2 NSNS000074 Endoportal Foraminotomy 84,000 105,000 147,000 189,000 210,000

3 NSNS000075 Endoportal intradural tumor removal 84,000 105,000 147,000 189,000 210,000

Endoportal endomicroscopic canal 84,000 105,000 147,000 189,000 210,000

4 NSNS000076 decompression

Endoportal transforaminal interbody 76,650 95,813 134,138 172,463 191,625

5 NSNS000077 fusion

84,000 105,000 147,000 189,000 210,000

6 NSNS000078 Endoportal endomicroscopic corpectomy

84,000 105,000 147,000 189,000 210,000

7 NSNS000079 Percutaneous Pedicle Screw Placement

8 NSNS000080 Vertebroplasty 60,060 75,075 105,105 135,135 150,150

9 NSNS000081 Kyphoplasty 54,600 68,250 95,550 122,850 136,500

DEVELOPMENTAL

1 NSNS000082 Repair of congenital defects 51,000 63,750 89,250 114,750 127,500

2 NSNS000083 Meningocele 51,000 63,750 89,250 114,750 127,500

3 NSNS000084 Meningomyelocele 60,060 75,075 105,105 135,135 150,150

4 NSNS000085 Untethering cord 60,060 75,075 105,105 135,135 150,150

5 NSNS000086 Diastometamyelia 84,000 105,000 147,000 189,000 210,000

6 NSNS000087 Dipolomyelia with bony spur 84,000 105,000 147,000 189,000 210,000

7 NSNS000088 Lipomeningomyelocele 84,000 105,000 147,000 189,000 210,000

84,000 105,000 147,000 189,000 210,000

8 NSNS000089 Meningomyecele with intradural tumor

9 NSNS000090 Encephalocele 84,000 105,000 147,000 189,000 210,000

10 NSNS000091 Encephalocele complicated 115,500 144,375 202,125 259,875 288,750

11 NSNS000092 Craniosynostosis 84,000 105,000 147,000 189,000 210,000

ENDOSCOPIC BRAIN & SKULL BASE

1 NSNS000093 Endoscopic diagnostic 40,950 51,188 71,663 92,138 102,375

2 NSNS000094 Endoscopic ventriculoscopy 51,000 63,750 89,250 114,750 127,500

3 NSNS000095 Endoscopic ventriculostomy 60,060 75,075 105,105 135,135 150,150

4 NSNS000096 Endoscopic Aqueductoplasy 60,060 75,075 105,105 135,135 150,150

5 NSNS000097 Endoscopic ventricular tumor biopsy 84,000 105,000 147,000 189,000 210,000

6 NSNS000098 Endosocpic colloid cyst removal 84,000 105,000 147,000 189,000 210,000

7 NSNS000099 Endoportal brain tumor excision 84,000 105,000 147,000 189,000 210,000

8 NSNS000100 Endoscopic CSF Rhinorrhoea 60,060 75,075 105,105 135,135 150,150

9 NSNS000101 Endoscopic frontal sinus surgery 60,060 75,075 105,105 135,135 150,150

10 NSNS000102 Endoscopic ethmoid surgery 60,060 75,075 105,105 135,135 150,150

11 NSNS000103 Endoscopic Sphenoid Sinus Surgery 60,000 75,000 105,000 135,000 150,000




84,000 105,000 147,000 189,000 210,000

12 NSNS000104 Endoscopic optic nerve decompression

13 NSNS000105 Endoscopic clival tumor 115,500 144,375 202,125 259,875 288,750

14 NSNS000106 Endoscopic transphenoidal 84,000 105,000 147,000 189,000 210,000

15 NSNS000107 Endoscopic complex 115,500 144,375 202,125 259,875 288,750

115,500 144,375 202,125 259,875 288,750

16 NSNS000108 Endoscopic endonasal odointoid removal

TUMORS AND LESIONS

1 NSNS000109 Supratentorial SOL 76,650 95,813 134,138 172,463 191,625

2 NSNS000110 Supratentorial SOL deep 115,500 144,375 202,125 259,875 288,750

3 NSNS000111 Abscess excision 84,000 105,000 147,000 189,000 210,000

4 NSNS000112 Posterior fossa SOL 76,650 95,813 134,138 172,463 191,625

5 NSNS000113 Posterior fossa SOL deep 115,500 144,375 202,125 259,875 288,750

6 NSNS000114 Intralateral Ventricular mass 84,000 105,000 147,000 189,000 210,000

7 NSNS000115 Intra third ventricular mass 84,000 105,000 147,000 189,000 210,000

8 NSNS000116 CP angle tumor 84,000 105,000 147,000 189,000 210,000

9 NSNS000117 Orbital tumor 84,000 105,000 147,000 189,000 210,000

10 NSNS000118 Microscopic transphenoidal 76,650 95,813 134,138 172,463 191,625

11 NSNS000119 Epidermoid 84,000 105,000 147,000 189,000 210,000

12 NSNS000120 Posterior third ventricular tumor 84,000 105,000 147,000 189,000 210,000

13 NSNS000121 Acoustic Schwanomma 84,310 105,388 147,543 189,698 210,775

14 NSNS000122 Fifth Nerve Schwannomma 84,000 105,000 147,000 189,000 210,000

VASCULAR

1 NSNS000123 Microvascular decompression 54,600 68,250 95,550 122,850 136,500

2 NSNS000124 Exploratory craniotomy for aneurysm 60,060 75,075 105,105 135,135 150,150

3 NSNS000125 Aneurysm simple 84,000 105,000 147,000 189,000 210,000

4 NSNS000126 Aneurysm Complex 115,500 144,375 202,125 259,875 288,750

5 NSNS000127 STA MCA Bypass 84,000 105,000 147,000 189,000 210,000

6 NSNS000128 Artero venous fistula 84,000 105,000 147,000 189,000 210,000

115,500 144,375 202,125 259,875 288,750

7 NSNS000129 Artero venous malformation complex

8 NSNS000130 Carotid endarterectomy 84,000 105,000 147,000 189,000 210,000

9 NSNS000131 Carotid ligation and repair 60,060 75,075 105,105 135,135 150,150

SKULL BASE

1 NSNS000132 Skull base approachs - simple 84,000 105,000 147,000 189,000 210,000

2 NSNS000133 Skull base approachs complex 115,500 144,375 202,125 259,875 288,750

3 NSNS000134 Anterior fossa approaches 84,000 105,000 147,000 189,000 210,000

4 NSNS000135 Middle fossa approach 84,000 105,000 147,000 189,000 210,000

5 NSNS000136 Far Lateral Approach 84,000 105,000 147,000 189,000 210,000

FUNCTIONAL

1 NSNS000137 Craniotomy for epilepsy 84,000 105,000 147,000 189,000 210,000

2 NSNS000138 Temporal lobectomy 84,000 105,000 147,000 189,000 210,000

3 NSNS000139 Amygadalo hippocampectomy 84,000 105,000 147,000 189,000 210,000

4 NSNS000140 Lesionectomy 54,600 68,250 95,550 122,850 136,500

5 NSNS000141 Callosotomy 60,060 75,075 105,105 135,135 150,150

6 NSNS000142 Hemispherectomy 115,500 144,375 202,125 259,875 288,750

7 NSNS000143 Surgery for spasticity 84,000 105,000 147,000 189,000 210,000

8 NSNS000144 Special functional procedure 84,000 105,000 147,000 189,000 210,000

9 NSNS000145 Cingulotomy 60,060 75,075 105,105 135,135 150,150

10 NSNS000146 RF Lesioning for Trigeminal Neuralgia 22,000 27,500 38,500 49,500 55,000

STEREOTAXY

1 NSNS000147 Stereotaxy diagnostic 60,060 75,075 105,105 135,135 150,150

2 NSNS000148 Stereotaxy therapeutic 84,000 105,000 147,000 189,000 210,000

3 NSNS000149 Stereo endoscopy 115,500 144,375 202,125 259,875 288,750

4 NSNS000150 Functional stereotaxy 84,000 105,000 147,000 189,000 210,000

5 NSNS000151 Deep brain lesioning 84,000 105,000 147,000 189,000 210,000

6 NSNS000152 Stereotactic Biopsy 60,000 75,000 105,000 135,000 150,000

PERCUTANEOUS PAIN PROCEDURES

1 NSNS000156 Ganglion block 8,050 10,063 14,088 18,113 20,125

2 NSNS000157 Joint injection peripheral 8,050 10,063 14,088 18,113 20,125

3 NSNS000158 Joint injection spinal 12,080 15,100 21,140 27,180 30,200

4 NSNS000162 Adhesinolysis 22,000 27,500 38,500 49,500 55,000




5 NSNS000166 Radiofrequecy ablation 12,080 15,100 21,140 27,180 30,200

7 NSNS000169 Stimulator implantation 51,000 63,750 89,250 114,750 127,500

8 NSNS000170 Discography 12,080 15,100 21,140 27,180 30,200

MISCELLANEOUS

1 NSNS000171 Lumbar puncture (neurosurgery) 3,465 4,331 6,064 7,796 8,663

2 NSNS000172 SCD Charge (per day) 2,900 3,625 5,075 6,525 7,250

3 NSNS000174 Intraoperative monitoring 12,080 15,100 21,140 27,180 30,200

4 NSNS000175 Suture removal/dressing 2,900 3,625 5,075 6,525 7,250

5 NSNS000176 Subdural tap 8,050 10,063 14,088 18,113 20,125

6 NSNS000177 Cisternal tap 8,050 10,063 14,088 18,113 20,125

7 NSNS000178 Ventricular tap 8,050 10,063 14,088 18,113 20,125

8 NSNS000179 Ventricular tap drain 8,050 10,063 14,088 18,113 20,125

9 NSNS000180 Biopsy/Nerve/Muscle 2,900 3,625 5,075 6,525 7,250

10 NSNS000183 External lumbar drainage 8,050 10,063 14,088 18,113 20,125

11 NSNS000184 External Ventricular drainage 7,350 9,188 12,863 16,538 18,375

12 NSNS000185 Neurofibroma excision 22,000 27,500 38,500 49,500 55,000

13 NSNS000186 CSF Leak Repair 12,080 15,100 21,140 27,180 30,200

14 NSNS000187 Simple Spine 45,000 56,250 78,750 101,250 112,500

15 NSNS000188 Higher Spine 84,000 105,000 147,000 189,000 210,000

16 NSNS000189 Simple Brain 45,000 56,250 78,750 101,250 112,500

17 NSNS000190 Higher Brain 50,820 63,525 88,935 114,345 127,050

18 NSNS000191 Spinal Flavectomy 50,820 63,525 88,935 114,345 127,050

19 NSNS000192 Spinal Synovectomy 50,820 63,525 88,935 114,345 127,050

20 NSNS000193 Exploratory Craniotomy 50,820 63,525 88,935 114,345 127,050

21 NSNS000194 Unilateral DBS 60,060 75,075 105,105 135,135 150,150

22 NSNS000195 DBS Pacemaker insertion 22,000 27,500 38,500 49,500 55,000

23 NSNS000196 DBS Lead Adjustment 7,250 9,063 12,688 16,313 18,125

24 NSNS000197 DBS contralateral lead insertion 50,820 63,525 88,935 114,345 127,050

25 NSNS000199 Bilateral DBS 84,000 105,000 147,000 189,000 210,000


Nuclear Medicine Investigation

S. No Billing code Service Name Charges in INR 1 NMPR000001 Exercise /Dobutamine/Gated Myocardial Perfusion Scintigraphy 16,500 2 NMPR000004 MUGA RN-Ventriculograpy (REST) 5,500 3 NMPR000005 First-pass RN-Cardiac study (Shunt/ AVM) 6,600 4 NMPR000006 Renal Function Study (DTPA) 5,000 5 NMPR000007 Renal Function Study + GFR (DTPA) 6,000 6 NMPR000008 Renal Function Study (EC) 7,500 7 NMPR000009 Renal DMSA Study 6,600 8 NMPR000010 Renal Transplant Study 5,500 9 NMPR000011 Renal Captopril Study 7,700 10 NMPR000013 Thyroid Perfusion Scan & Uptake (Tc-99m) 4,000 11 NMPR000018 Whole Body Bone Scan (3-Phase)) 6,000 12 NMPR000019 GI-Bleed Study 6,600 13 NMPR000020 Liver-Spleen Scan 4,400 14 NMPR000022 Hepatobiliary (HIDA) study 6,600 15 NMPR000023 Meckels Scan 4,500 16 NMPR000024 Lung Perfusion Scan 6,500 17 NMPR000026 Lung V/Q Scan 9,350 18 NMPR000027 PET-CT Whole Body (PET+CECT) 27,000 19 NMPR000028 PET Brain Scan 21,500 20 NMPR000029 PET Heart for Viability/Hibernation 27,500 21 NMPR000030 Radionuclide Venography 7,150 22 NMPR000031 Parathyroid scanning 9,350 23 NMPR000032 Gastric-Emptying Study 6,600 24 NMPR000033 GE-Reflux Study 6,600 25 NMPR000034 Radionuclide Esophageal Transit Study (RETS) 6,600 26 NMPR000035 Lung Perfusion Scan + Ascending Radionuclide Venography 11,500 27 NMPR000036 V/Q lung scan + Ascending Radionuclide Venography 13,500 28 NMPR000037 PET-CT Whole body (PET+Non Contrast CT) 24,000 29 NMPR000040 Octreotide (Tektrotyd 99m-Tc- Tyr-Octreotide-EDDA) scan 77,000 30 NMPR000041 Lymphoscintigraphy 8,800 31 NMPR000042 l-131-MIBG 28,000 32 NMPR000044 Radionuclide Cisternography 11,000 33 NMPR000045 67-Ga-Gallium Scan (Organ) 10,000 34 NMPR000046 67-Ga-Gallium Scan (Whole body) 15,000 35 NMPR000048 Sentinal node scanning 10,000 36 NMPR000049 Whole Body Bone Scan (MDP-BRIT) 5,200 37 NMPR000050 NM- RT PLANNING (Without Contrast) 4,400 38 NMPR000051 NM - RT PLANNING (With Contrast) 6,250 39 NMPR000052 Hepatic Shunt Scintigraphic Evaulation 8,500 40 NMPR000056 Brain SPECT 12,000 41 NMPR000057 Ictal Brain SPECT 12,100 42 NMPR000058 Ictal + Interictal Brain SPECT 19,800 43 NMPR000059 Dose for Brain SPECT 4,950 44 NMPR000063 DRCG Direct Radionuclide Cystourethrogrphy 8,800 45 NMPR000064 PET-CT Whole Body (PET+3-Phase CECT) 29,000 46 NMPR000065 Nitrate Augmented Rest-Redistribution Thallium Myocardial Perfusion Scintigraphy 14,300 47 NMPR000066 Testicular/ Scrotal Scintigraphy 7,150 48 NMPR000067 Intracath MAA Scintigraphy 13,200 49 NMPR000068 Y-90 Therasphere Therapy (Nuclear– Medicine) 750,000 50 NMPR000069 SIR SPHERE THERAPY 750,000 51 NMPR000070 Gastric Distribution Study 9,900 52 NMPR000072 PET Heart for Sarcoidosis 27,500 53 NMPR000073 PET-CECT Whole Body for Sarcoidosis 27,000 54 NMPR000074 PET-NCCT Whole Body for Sarcoidosis 24,000 55 NMPR000075 Gallium68 PSMA Whole Body (PSMA PET-CECT) 27,500 56 NMPR000076 Gallium68 DOTA Whole Body (DOTA-PET-CECT) 28,500 57 NMPR000077 Gallium68 PSMA Whole Body (PSMA PET-non-contrast CT) 26,500 58 NMPR000078 Gallium68 DOTA Whole Body (DOTA-PET-non contrast CT) 27,500 59 NMPR000079 Tc99m TRODAT Brain SPECT 24,000 60 NMPR000080 I-131 uptake & Thyroid Scan 5,500 61 NMPR000081 I-131 Whole body scan 10,000 62 NMPR000082 Radio-Iodine therapy(< 5mCi) 9,000 63 NMPR000083 Radio-Iodine therapy (5mCi-10 mCi) 15,000 64 NMPR000084 Radio-Iodine Therapy ( >10 mCi upto 20 mCi) 20,000 65 NMPR000085 I-131 uptake (RAIU) 2500 66 NMPR000086 Radio-Iodine Therapy ( >20mCi-30mCi) 25,000 67 NMPR000087 Outside PET CT Review 8000


Obs and Gynae surgery Surgeon fee in INR

S No. Billing code Service name Sharing/ ** Single Single Dlx Super Dlx Suite

1 OBGS000001 DIAGNOSTIC LAPAROSCOPY 7,900 9,875 13,825 17,775 19,750

2 OBGS000002 DIAG LAPARO+HYSTERO 12,300 15,375 21,525 27,675 30,750

3 OBGS000003 DIAGNOSTIC LAPARO+HYSTERO+EB 15,900 19,875 27,825 35,775 39,750

4 OBGS000004 DIAG LAP+CHROMOTUBATION 11,200 14,000 19,600 25,200 28,000

5 OBGS000005 DIAG LAP +HYSTERO+CHROMOTUBATION+EB 17,600 22,000 30,800 39,600 44,000

6 OBGS000006 DIAG LAP+CHROMO+EB 14,100 17,625 24,675 31,725 35,250

7 OBGS000007 LAP TARGETED BIOPSY 9,500 11,875 16,625 21,375 23,750

8 OBGS000008 LAP OVARIAN DRILLING 11,700 14,625 20,475 26,325 29,250

9 OBGS000009 LAP REMOVAL OF LOST IUCD 12,300 15,375 21,525 27,675 30,750

10 OBGS000010 LAP OVARIAN CYSTECTOMY-SIMPLE (small) 17,300 21,625 30,275 38,925 43,250

11 OBGS000011 LAP OVARIAN CYSTECTOMY-COMPLEX (large) 22,700 28,375 39,725 51,075 56,750

12 OBGS000012 LAP- OOPHRECTOMY 14,100 17,625 24,675 31,725 35,250

13 OBGS000013 LAP- OOPHRECTOMY BILATERAL 18,800 23,500 32,900 42,300 47,000

14 OBGS000014 LAP ASPIRATION OF CYST 8,800 11,000 15,400 19,800 22,000

15 OBGS000015 LAP- SALPINGO -OOPHRECTOMY 18,500 23,125 32,375 41,625 46,250

16 OBGS000016 LAP -SALPINGECTOMY 11,700 14,625 20,475 26,325 29,250

17 OBGS000017 LAP TUBAL CAUTERY 14,100 17,625 24,675 31,725 35,250

18 OBGS000018 LAP TUBAL OCCLUSION 11,700 14,625 20,475 26,325 29,250

19 OBGS000019 LAP SURGERY FOR ECTOPIC-SIMPLE 17,300 21,625 30,275 38,925 43,250

20 OBGS000020 LAP SURGERY FOR ECTOPIC-COMPLEX 22,700 28,375 39,725 51,075 56,750

21 OBGS000021 LAP- SALPINGOSTOMY 15,900 19,875 27,825 35,775 39,750

22 OBGS000022 LAP DIVISION OF FIMBRIAL ADHESIONS 11,700 14,625 20,475 26,325 29,250

23 OBGS000023 LAP-FIMBRIOPLASTY 14,100 17,625 24,675 31,725 35,250

24 OBGS000024 LAP TUBAL RECANALIZATION 29,300 36,625 51,275 65,925 73,250

25 OBGS000025 LAP EXCISION OF ENDOMETRIOTIC LESIONS 17,600 22,000 30,800 39,600 44,000

26 OBGS000026 LAP ABLATION OF ENDOMETRIOTIC LESIONS 12,300 15,375 21,525 27,675 30,750

27 OBGS000027 LAP SURG-SEVERE ENDOMETRIOSIS 21,200 26,500 37,100 47,700 53,000

28 OBGS000028 LAP ADHESIOLYSIS-SIMPLE 11,700 14,625 20,475 26,325 29,250

29 OBGS000029 LAP ADHESIOLYSIS-COMPLEX 18,500 23,125 32,375 41,625 46,250

30 OBGS000030 LAP MYOMECTOMY -SIMPLE /small 20,000 25,000 35,000 45,000 50,000

31 OBGS000031 LAP MYOMECTOMY-COMPLEX/large/multiple 33,300 41,625 58,275 74,925 83,250

32 OBGS000032 LAVH 27,600 34,500 48,300 62,100 69,000

33 OBGS000033 LAVH+S/O 29,300 36,625 51,275 65,925 73,250

34 OBGS000034 LAVH-COMPLEX 35,200 44,000 61,600 79,200 88,000

35 OBGS000035 LAVH+S/O-COMPLEX 41,000 51,250 71,750 92,250 102,500

36 OBGS000036 TOTAL LAP HYSTERECTOMY 35,300 44,125 61,775 79,425 88,250

37 OBGS000037 TOTAL LAP HYSTERECTOMY COMPLEX 46,900 58,625 82,075 105,525 117,250

38 OBGS000038 LAP RADICAL HYST 52,700 65,875 92,225 118,575 131,750

39 OBGS000039 LSH-SIMPLE 21,200 26,500 37,100 47,700 53,000

40 OBGS000040 LSH+SO+SIMPLE 25,900 32,375 45,325 58,275 64,750

41 OBGS000041 LSH-COMPLEX 29,300 36,625 51,275 65,925 73,250

42 OBGS000042 LSH+SO-COMPLEX 32,900 41,125 57,575 74,025 82,250

43 OBGS000043 LAVH+ADHESIOLYSIS 32,900 41,125 57,575 74,025 82,250

44 OBGS000044 LAP VAULT SUSPENSION 33,300 41,625 58,275 74,925 83,250

45 OBGS000045 LAP BURCH COLPOSUSPENSION 28,000 35,000 49,000 63,000 70,000

46 OBGS000046 LAP METROPLASY 35,200 44,000 61,600 79,200 88,000

47 OBGS000047 LAP ENTEROCOELE REPAIR 27,600 34,500 48,300 62,100 69,000

48 OBGS000048 LAP REPAIR OF GENITAL PROLAPSE 35,200 44,000 61,600 79,200 88,000

49 OBGS000049 HYSTEROSCOPY-DIAGNOSTIC 5,900 7,375 10,325 13,275 14,750

50 OBGS000050 HYSTEROSCOPY WITH END BIOPSY 8,300 10,375 14,525 18,675 20,750

51 OBGS000051 HYSTEROSCOPIC POLYPECTOMY 9,500 11,875 16,625 21,375 23,750

52 OBGS000052 HYSTERO-SYNECHIOLYSIS-Level 1 6,600 8,250 11,550 14,850 16,500



55 OBGS000055 HYSTERO-SEPTUM RESECTION 15,300 19,125 26,775 34,425 38,250

56 OBGS000056 HYSTEROSCOPIC MYOMECTOMY-SMALL 14,100 17,625 24,675 31,725 35,250

57 OBGS000057 HYSTEROSCOPIC MYOMECTOMY-LARGE 20,000 25,000 35,000 45,000 50,000

58 OBGS000058 HYSTERO FOREIGN BODY REMOVAL / IUCD 8,300 10,375 14,525 18,675 20,750

59 OBGS000059 HYSTERO-ENDOMETRIAL ABLATION 11,800 14,750 20,650 26,550 29,500

60 OBGS000060 HYSTERO-ENDOMETRIAL RESECTION /TCRE 22,900 28,625 40,075 51,525 57,250

61 OBGS000061 HYSTERO-CORNUAL CATHETERIZATION SINGLE 8,800 11,000 15,400 19,800 22,000

62 OBGS000062 HYSTERO-CORNUAL CATHETERIZATION DOUBLE 15,300 19,125 26,775 34,425 38,250


Surgeon fee in INR


63 OBGS000063 I&D PERINEAL ABSCESS 3,600 4,500 6,300 8,100 9,000

64 OBGS000064 REPAIR PERINEAL TEAR -SIMPLE 5,900 7,375 10,325 13,275 14,750

65 OBGS000065 REPAIR OF 3RD -4TH DEGREE PERINEAL TEAR 11,800 14,750 20,650 26,550 29,500

66 OBGS000066 REPAIR PERINEAL TEAR TRAUMATIC 7,900 9,875 13,825 17,775 19,750

67 OBGS000067 I&D BARTHOLINS ABSCESS 4,200 5,250 7,350 9,450 10,500

68 OBGS000068 HYMENOTOMY 4,300 5,375 7,525 9,675 10,750

69 OBGS000069 PARTIAL REMOVAL OF HYMEN 4,200 5,250 7,350 9,450 10,500

70 OBGS000070 BARTHOLIN CYST EXCISION 7,900 9,875 13,825 17,775 19,750

71 OBGS000071 BARTHOLIN CYST MARSUPILIZATION 5,500 6,875 9,625 12,375 13,750

72 OBGS000072 ABLATE VULVA LESION-SIMPLE 5,900 7,375 10,325 13,275 14,750

73 OBGS000073 ABLATE VULVA LESION-EXTENSIVE 8,300 10,375 14,525 18,675 20,750

74 OBGS000074 COLPOSCOPY - VULVA 3,600 4,500 6,300 8,100 9,000

75 OBGS000075 COLPOSCOPY - VULVA + BIOPSY 5,900 7,375 10,325 13,275 14,750

76 OBGS000076 VULVAL BIOPSY-SINGLE 3,600 4,500 6,300 8,100 9,000

77 OBGS000077 VULVAL BIOPSY -MULTIPLE 4,800 6,000 8,400 10,800 12,000

78 OBGS000078 I&D VULVO-VAGINAL HEMATOMA 7,100 8,875 12,425 15,975 17,750

79 OBGS000079 REPAIR OF VAGINA 4,800 6,000 8,400 10,800 12,000

80 OBGS000080 EXCISION OF VAGINAL SEPTUM 5,900 7,375 10,325 13,275 14,750

81 OBGS000081 REMOVAL OF VAGINAL LESION-SINGLE 3,600 4,500 6,300 8,100 9,000

82 OBGS000082 REMOVAL OF VAGINAL LESION-MULTIPLE 5,900 7,375 10,325 13,275 14,750

83 OBGS000083 COLPOSCOPY-VAGINA 3,600 4,500 6,300 8,100 9,000

84 OBGS000084 COLPOSCOPY-VAGINA+BIOPSY 5,900 7,375 10,325 13,275 14,750

85 OBGS000085 VAGINAL BIOPSY-SINGLE 3,600 4,500 6,300 8,100 9,000

86 OBGS000086 VAGINAL BIOPSY-MULTIPLE 4,800 6,000 8,400 10,800 12,000

87 OBGS000087 VAG DILATATION (GA) 1,900 2,375 3,325 4,275 4,750

88 OBGS000088 EUA 3,600 4,500 6,300 8,100 9,000

89 OBGS000089 IMPACTED VAG FB REMOVAL 5,900 7,375 10,325 13,275 14,750

90 OBGS000090 COLPOTOMY + EXPLORATION 3,600 4,500 6,300 8,100 9,000

91 OBGS000091 COLPOTOMY+ DRAINAGE OF PELVIC ABSCESS 5,900 7,375 10,325 13,275 14,750

92 OBGS000092 COLPOCENTESIS 3,100 3,875 5,425 6,975 7,750

93 OBGS000093 VAGINOPLASTY WITHOUT GRAFT 23,500 29,375 41,125 52,875 58,750

94 OBGS000094 VAGINOPLASTY WITH GRAFT 27,600 34,500 48,300 62,100 69,000

95 OBGS000095 DRAINAGE OF PELVIC ABCESS (COLPOTOMY) 11,700 14,625 20,475 26,325 29,250

96 OBGS000096 RVF REPAIR -VAGINAL 17,600 22,000 30,800 39,600 44,000

97 OBGS000097 RVFREPAIR -ABDOMINAL 21,200 26,500 37,100 47,700 53,000

98 OBGS000098 CPT REPAIR 23,500 29,375 41,125 52,875 58,750

99 OBGS000099 VVF REPAIR -VAGINAL 27,600 34,500 48,300 62,100 69,000

100 OBGS000100 VVF REPAIR- VESICOVAGINAL 33,300 41,625 58,275 74,925 83,250

101 OBGS000101 THREE SWAB TEST FOR VVF 1,400 1,750 2,450 3,150 3,500

102 OBGS000102 VAGINAL B/L SALPINGECTOMY 18,500 23,125 32,375 41,625 46,250

103 OBGS000103 VAGINAL B/L SALPINGO-OPHERECTOMY 27,600 34,500 48,300 62,100 69,000

104 OBGS000104 VAGINAL OVARIAN CYSTECTOMY 19,100 23,875 33,425 42,975 47,750

105 OBGS000105 COLPOSCOPY-CERVIX 3,600 4,500 6,300 8,100 9,000

106 OBGS000106 COLPO+CX BIOPSY 5,900 7,375 10,325 13,275 14,750

107 OBGS000107 COLPO+ECC+CX BIOPSY 8,800 11,000 15,400 19,800 22,000

108 OBGS000108 COLPO+ECC 5,900 7,375 10,325 13,275 14,750

109 OBGS000109 CRYOTHERAPY 3,600 4,500 6,300 8,100 9,000

110 OBGS000110 CX-BIOPSY 3,600 4,500 6,300 8,100 9,000

111 OBGS000111 ENDOCERVICAL CURETTAGE 3,600 4,500 6,300 8,100 9,000

112 OBGS000112 CAUTERY CERVIX 3,600 4,500 6,300 8,100 9,000

113 OBGS000113 LASER ABLATION 5,900 7,375 10,325 13,275 14,750

114 OBGS000114 TRACHELORRAPHY 10,800 13,500 18,900 24,300 27,000

115 OBGS000115 DILATATION OF CX CANAL 1,200 1,500 2,100 2,700 3,000

116 OBGS000116 LEEP / LLETZ /LEETZ 6,600 8,250 11,550 14,850 16,500

117 OBGS000117 LOOP CONIZATION 9,500 11,875 16,625 21,375 23,750

118 OBGS000118 COLD KNIFE CONIZATION 9,500 11,875 16,625 21,375 23,750

119 OBGS000119 CERVICAL POYPECTOMY-SMALL 5,900 7,375 10,325 13,275 14,750

120 OBGS000120 CERVICAL POYPECTOMY-LARGE 9,500 11,875 16,625 21,375 23,750

121 OBGS000121 ENDOMETRIAL BIOPSY 3,600 4,500 6,300 8,100 9,000

122 OBGS000122 D&C 5,900 7,375 10,325 13,275 14,750

123 OBGS000123 FRACTIONAL CURETTAGE 8,300 10,375 14,525 18,675 20,750

124 OBGS000124 ENDOMETRIAL ABLATION (thermachoice) 11,700 14,625 20,475 26,325 29,250

125 OBGS000125 PYOMETRA / HEMATOMETRA DRAINAGE 8,300 10,375 14,525 18,675 20,750

126 OBGS000126 TAH 22,900 28,625 40,075 51,525 57,250

127 OBGS000127 TAH+BSO A Unit of Global Health Pvt. Ltd. 23,500 29,375 41,125 52,875 58,750

Surgeon fee in INR


128 OBGS000128 TAH -COMPLEX 26,000 32,500 45,500 58,500 65,000

129 OBGS000129 TAH+BSO COMPLEX/ HIGH RISK 36,000 45,000 63,000 81,000 90,000

130 OBGS000130 SUBTOTAL HYSTERECTOMY 18,500 23,125 32,375 41,625 46,250

131 OBGS000131 ABD MYOMECTOMY-SIMPLE 18,300 22,875 32,025 41,175 45,750

132 OBGS000132 ABDO-MYOMECTOMY-COMPLEX 29,300 36,625 51,275 65,925 73,250

133 OBGS000133 VAGINAL MYOMECTOMY-SIMPLE 14,100 17,625 24,675 31,725 35,250

134 OBGS000134 CX STUMP REMOVAL-VAGINAL 14,100 17,625 24,675 31,725 35,250

135 OBGS000135 CX STUMP REMOVAL-ABDOMINAL 17,600 22,000 30,800 39,600 44,000

136 OBGS000136 CX STUMP REMOVAL+PFR 29,300 36,625 51,275 65,925 73,250

137 OBGS000137 PLASTIC REPAIR OF UTERUS (METROPLASTY) 18,500 23,125 32,375 41,625 46,250

138 OBGS000138 VAG HYST 23,500 29,375 41,125 52,875 58,750

139 OBGS000139 VAG HYST WITH PFR 29,300 36,625 51,275 65,925 73,250

140 OBGS000140 NON DESCENT VAGINAL HYST 32,900 41,125 57,575 74,025 82,250

141 OBGS000141 VAG HYST +PFR -COMPLEX 33,300 41,625 58,275 74,925 83,250

142 OBGS000142 NON DESCENT VAG HYST -COMPLEX 35,200 44,000 61,600 79,200 88,000

143 OBGS000143 COMBINED ANTEROPOSTERIOR REPAIR 13,900 17,375 24,325 31,275 34,750

144 OBGS000144 COMBINED AP REPAIR + ENTEROCELE REPAIR 14,100 17,625 24,675 31,725 35,250

145 OBGS000145 MESH INSERTION FOR PFR REPAIR (ADD-ON) 5,900 7,375 10,325 13,275 14,750

146 OBGS000146 ENTEROCELE REPAIR-VAGINAL 9,500 11,875 16,625 21,375 23,750

147 OBGS000147 ENTEROCELE REPAIR-ABDOMINAL 17,600 22,000 30,800 39,600 44,000

148 OBGS000148 URETHROCELE REPAIR 5,900 7,375 10,325 13,275 14,750

149 OBGS000149 CYSTOCELE REPAIR 9,300 11,625 16,275 20,925 23,250

150 OBGS000150 RECTOCELE REPAIR 9,500 11,875 16,625 21,375 23,750

151 OBGS000151 FOTHERGILLS REPAIR 18,500 23,125 32,375 41,625 46,250

152 OBGS000152 REPAIR PARAVAGINAL DEFECT 15,900 19,875 27,825 35,775 39,750

153 OBGS000153 REVISE SLING REPAIR 15,900 19,875 27,825 35,775 39,750

154 OBGS000155 VAGINAL OPERATION FOR STRESS INCONTINENCE 12,300 15,375 21,525 27,675 30,750

155 OBGS000156 GILLIAMS VENTROSUSPENSION 7,900 9,875 13,825 17,775 19,750

156 OBGS000157 COLPOPEXY-ABDOMINAL/COLPOSUSPENSION 29,280 36,600 51,240 65,880 73,200

157 OBGS000158 COLPOPEXY, VAGINAL; EXTRA-PERITONEAL 9,500 11,875 16,625 21,375 23,750

158 OBGS000159 COLPOPEXY, VAGINAL; INTRA-PERITONEAL 17,600 22,000 30,800 39,600 44,000

159 OBGS000160 VAULT REPAIR 25,900 32,375 45,325 58,275 64,750

160 OBGS000161 PEREYRA PROCEDURE + ANTERIOR COLPORRHAP 9,500 11,875 16,625 21,375 23,750

161 OBGS000162 COLPOCLEISIS - LE FORT 12,500 15,625 21,875 28,125 31,250

162 OBGS000163 MINILAP TUBAL LIGATION 9,300 11,625 16,275 20,925 23,250

163 OBGS000164 POSTPARTUM STERILISATION 8,300 10,375 14,525 18,675 20,750

164 OBGS000165 PERCUTANEOUS ASPIRATION OF CYST 5,900 7,375 10,325 13,275 14,750

165 OBGS000166 ECTOPIC LAPAROTOMY(EMERGENCY) 21,200 26,500 37,100 47,700 53,000

166 OBGS000167 SALPINGECTOMY 9,500 11,875 16,625 21,375 23,750

167 OBGS000168 SALPINGOSTOMY 11,800 14,750 20,650 26,550 29,500

168 OBGS000169 SALPINGO-OOPHERECTOMY 12,300 15,375 21,525 27,675 30,750

169 OBGS000170 LYSIS OF ADHESIONS (SALPINGOLYSIS OVARIOLYSIS) 14,100 17,625 24,675 31,725 35,250

170 OBGS000171 TUBAL RECANALISATION/TUBOPLASY (microsurgery) 27,600 34,500 48,300 62,100 69,000

171 OBGS000172 NEOSALPINGOSTOMY 14,100 17,625 24,675 31,725 35,250

172 OBGS000173 DRAINAGE OF OVARIAN CYST-VAGINAL 5,900 7,375 10,325 13,275 14,750

173 OBGS000174 TRANSPOSITION OVARY(S) 9,300 11,625 16,275 20,925 23,250

174 OBGS000175 BIOPSY OF OVARY(S) 5,900 7,375 10,325 13,275 14,750

175 OBGS000176 WEDGE RESECTION OVARY 12,300 15,375 21,525 27,675 30,750

176 OBGS000177 OVARIAN CYSTECTOMY- U/L/OVARIOTOMY for benign 12,300 15,375 21,525 27,675 30,750

177 OBGS000184 AMNIOCENTESIS-THERAPEUTIC 6,300 7,875 11,025 14,175 15,750

178 OBGS000186 MLTPL pregnancy fetal reduction 15,300 19,125 26,775 34,425 38,250

179 OBGS000187 INTERNAL PODALIC VERSION (IPV) 9,500 11,875 16,625 21,375 23,750

180 OBGS000188 EXTERNAL CEPHALIC VERSION (ECV) 5,900 7,375 10,325 13,275 14,750

181 OBGS000189 CERVICAL ECNCIRCLAGE- MC DONALDS 9,300 11,625 16,275 20,925 23,250

182 OBGS000190 CERVICAL ENCIRCLAGE-SHIRODKAR 9,500 11,875 16,625 21,375 23,750

183 OBGS000191 CERVICAL ECNCIRCLAGE-ABDOMINAL 14,100 17,625 24,675 31,725 35,250

184 OBGS000192 REMOVAL OF CERCLAGE 1,200 1,500 2,100 2,700 3,000

185 OBGS000193 HYSTEROTOMY 12,400 15,500 21,700 27,900 31,000

186 OBGS000194 HYSTEROTOMY HIGH RISK 20,000 25,000 35,000 45,000 50,000

187 OBGS000195 HYSTEROTOMY FOR FAILED MEDICAL ABORTION 13,300 16,625 23,275 29,925 33,250

188 OBGS000196 NORMAL DELIVERY 23,500 29,375 41,125 52,875 58,750

189 OBGS000197 PAINLESS VAGINAL DELIVERY 29,300 36,625 51,275 65,925 73,250

190 OBGS000198 VAGINAL DELIVERY-HIGH RISK 25,800 32,250 45,150 58,050 64,500

191 OBGS000199 VBAC 29,300 36,625 51,275 65,925 73,250


Surgeon fee in INR


192 OBGS000200 INSTRUMENTAL DELIVERY 29,300 36,625 51,275 65,925 73,250

193 OBGS000201 LSCS 26,600 33,250 46,550 59,850 66,500

194 OBGS000202 LSCS-HIGH RISK 33,300 41,625 58,275 74,925 83,250

195 OBGS000203 LSCS FOLL ATTEMPTED TOL 29,300 36,625 51,275 65,925 73,250

196 OBGS000205 OBS TOTAL HYSTERECTOMY 29,300 36,625 51,275 65,925 73,250

197 OBGS000206 REPAIR RUPTURE UTERUS 29,300 36,625 51,275 65,925 73,250

198 OBGS000207 MRP (MANNUAL REMOVAL OF PLACENTA) 5,900 7,375 10,325 13,275 14,750

199 OBGS000208 POSTPARTUM EVACUATION 5,900 7,375 10,325 13,275 14,750

200 OBGS000209 EVAC FOLLOWING DELIVERY 7,100 8,875 12,425 15,975 17,750

201 OBGS000210 MTP-1ST TRIM-D&E 5,900 7,375 10,325 13,275 14,750

202 OBGS000211 MTP-1ST TM-HIGH RISK 9,500 11,875 16,625 21,375 23,750

203 OBGS000212 INCOMPLETE ABORTION -D&E 5,900 7,375 10,325 13,275 14,750

204 OBGS000213 D&E FOR FAILED MEDICAL ABORTION 4,800 6,000 8,400 10,800 12,000

205 OBGS000214 D&E HIGH RISK 9,500 11,875 16,625 21,375 23,750

206 OBGS000215 MISSED ABORTION -1ST TRIM-D&E 7,100 8,875 12,425 15,975 17,750

207 OBGS000216 SEPTIC ABORTION - D&E 9,500 11,875 16,625 21,375 23,750

208 OBGS000217 IUD DELIVERY-2ND TRIMESTER 9,500 11,875 16,625 21,375 23,750

209 OBGS000218 MEDICAL ABORTION -MIDTRIMESTER 11,700 14,625 20,475 26,325 29,250

210 OBGS000219 MEDICAL ABORTION -MIDTRIMESTER HIGH RISK 17,300 21,625 30,275 38,925 43,250

211 OBGS000220 H MOLE EVACUATION 11,700 14,625 20,475 26,325 29,250

212 OBGS000221 EPISIO-OR VAGINAL REPAIR 5,900 7,375 10,325 13,275 14,750

214 OBGS000223 PERINEAL TEAR REPAIR 7,100 8,875 12,425 15,975 17,750

215 OBGS000224 DRAINAGE OF VULVAL HEMATOMA 9,300 11,625 16,275 20,925 23,250

216 OBGS000225 POSTPARTUM TUBAL LIGATION(MINILAP) 8,300 10,375 14,525 18,675 20,750

217 OBGS000226 TUBAL LIGATION WITH CS(ADD-ON) 5,900 7,375 10,325 13,275 14,750

218 OBGS000227 MTP WITH TUBAL LIGATION 17,600 22,000 30,800 39,600 44,000

219 OBGS000228 REMOVAL OF SMPL VULVAL TUMOUR 7,100 8,875 12,425 15,975 17,750

220 OBGS000229 VULVECTOMY SMPL PARTIAL 12,900 16,125 22,575 29,025 32,250

221 OBGS000230 VULVECTOMY SMPL COMPLETE 15,300 19,125 26,775 34,425 38,250

222 OBGS000231 VULVECTOMY RADICAL PARTIAL 17,600 22,000 30,800 39,600 44,000

223 OBGS000232 VULVECTOMY RAD PARTIAL UL LN 21,200 26,500 37,100 47,700 53,000

224 OBGS000233 VULVECTOMY RAD PARTIAL+BL LN 23,500 29,375 41,125 52,875 58,750

225 OBGS000234 VULVECTOMY RADICAL COMPLETE 30,500 38,125 53,375 68,625 76,250

226 OBGS000235 VULVECTOMY RADCOMPLETE+UL LN 32,500 40,625 56,875 73,125 81,250

227 OBGS000236 VULVECTOMY RADCOMPLETE+BL LN 39,700 49,625 69,475 89,325 99,250

228 OBGS000237 VULVECTOMY RADCOMPLETE+GR+P LN 50,500 63,125 88,375 113,625 126,250

229 OBGS000238 VAGINECTOMY PARTIAL 11,700 14,625 20,475 26,325 29,250

230 OBGS000239 VAGINECTOMY PARTIAL+PARAVAGINAL 15,900 19,875 27,825 35,775 39,750

231 OBGS000240 VAGINECTOMY PARTIALPARAVAGIN LN 28,900 36,125 50,575 65,025 72,250

232 OBGS000241 VAGINECTOMY COMPLETE 15,900 19,875 27,825 35,775 39,750

233 OBGS000242 RADICAL VAGINECTOMY 28,900 36,125 50,575 65,025 72,250

234 OBGS000243 RADICAL VAGINECTOMY+NODES 50,500 63,125 88,375 113,625 126,250

235 OBGS000244 RADICAL TRACHELECTOMY 50,500 63,125 88,375 113,625 126,250

236 OBGS000245 TAHBSOLN SAMPLING 36,400 45,500 63,700 81,900 91,000

237 OBGS000246 RADICAL ABDOMINAL HYSTERECTOMY 38,600 48,250 67,550 86,850 96,500

238 OBGS000247 PELVIC EXENTERATION FOR GYNEC MALIG 50,500 63,125 88,375 113,625 126,250

239 OBGS000248 RADICAL VAGINAL HYSTERECTOMY 32,500 40,625 56,875 73,125 81,250

240 OBGS000249 STAGING LAPAROTOMY 38,800 48,500 67,900 87,300 97,000

241 OBGS000250 RESECTION OVARIAN MALIG BSO+OMENTECTOMY 28,900 36,125 50,575 65,025 72,250

242 OBGS000251 RESECTION OVARIAN MALIG+TAHBSO+OMENT+N 45,900 57,375 80,325 103,275 114,750

243 OBGS000252 RADICAL DEBULKING WITHOUT TAH 50,500 63,125 88,375 113,625 126,250

244 OBGS000253 RADICAL DEBULKING WITH TAH 57,700 72,125 100,975 129,825 144,250

245 OBGS000254 RADICAL DEBULKING WITH TAH+NODES 60,200 75,250 105,350 135,450 150,500

246 OBGS000255 TAH+BSO+OMENTEC FOR MALIG 41,300 51,625 72,275 92,925 103,250

247 OBGS000256 RECURRENT GYN MALIG RESEC 29,300 36,625 51,275 65,925 73,250

248 OBGS000257 RECURRENT GYN MALIG+NODES 48,600 60,750 85,050 109,350 121,500

249 OBGS000258 EXPLORATORY LAPAROTOMY 32,500 40,625 56,875 73,125 81,250

250 OBGS000259 PELVIC LYMPH NODE DISSECTION 11,700 14,625 20,475 26,325 29,250

251 OBGS000260 RESUTURING - BURST ABDOMEN 17,600 22,000 30,800 39,600 44,000

252 OBGS000261 RESUTURING OF ABDOMINAL WOUND 5,900 7,375 10,325 13,275 14,750

253 OBGS000262 DRAINAGE OF ABDOMINAL WALL HEMATOMA 9,300 11,625 16,275 20,925 23,250

254 OBGS000263 LAPAROTOMY 17,600 22,000 30,800 39,600 44,000

255 OBGS000265 HSG (PROCEDURE CHARGES) 3,000 3,750 5,250 6,750 7,500

256 OBGS000266 HYDROTUBATION 1,400 1,750 2,450 3,150 3,500


Surgeon fee in INR


257 OBGS000267 ENDOMETRIAL SAMPLING (PROCEDURE CHARGES) 1,900 2,375 3,325 4,275 4,750

258 OBGS000269 IUCD REMOVAL 600 750 1,050 1,350 1,500

259 OBGS000270 IUCD INSERTION 2,000 2,500 3,500 4,500 5,000

260 OBGS000271 MIRENA INSERTION 1,900 2,375 3,325 4,275 4,750

261 OBGS000274 MEDICAL MANAGEMENT OF ECTOPIC 5,900 7,375 10,325 13,275 14,750

262 OBGS000280 OVARIAN TRANSPOSITION lap/ robotic 20,000 25,000 35,000 45,000 50,000

263 OBGS000281 Lap radical lymphadenectomy 23,500 29,375 41,125 52,875 58,750

264 OBGS000282 Vaginal tag excision 5,400 6,750 9,450 12,150 13,500

265 OBGS000283 Tru - clear morcellation (including consumable) 9,700 12,125 16,975 21,825 24,250

Obs and Gynae Procedure

1 OBPR000002 AMNIOCENTESIS-THERAPEUTIC (Procedure) 4,100 5,125 7,175 9,225 10,250

2 OBPR000003 I&D BARTHOLINS ABSCESS 2,700 3,375 4,725 6,075 6,750

3 OBPR000004 VIA 550 688 963 1,238 1,375

4 OBPR000005 COLPOSCOPY - VULVA 2,400 3,000 4,200 5,400 6,000

5 OBPR000006 COLPOSCOPY - VULVA + BIOPSY 3,900 4,875 6,825 8,775 9,750

6 OBPR000007 Biopsy small Gynae 2,400 3,000 4,200 5,400 6,000

7 OBPR000008 VULVAL BIOPSY -MULTIPLE 3,100 3,875 5,425 6,975 7,750

8 OBPR000009 VULVAL I&D 2,700 3,375 4,725 6,075 6,750

9 OBPR000010 COLPOSCOPY-VAGINA 2,400 3,000 4,200 5,400 6,000

10 OBPR000011 COLPOSCOPY-VAGINA+BIOPSY 3,900 4,875 6,825 8,775 9,750

11 OBPR000013 VAGINAL BIOPSY-MULTIPLE 3,100 3,875 5,425 6,975 7,750

12 OBPR000014 Vaginal dilatation 1,200 1,500 2,100 2,700 3,000

13 OBPR000015 VAGINAL PESSARY INSERTION 1,000 1,250 1,750 2,250 2,500

14 OBPR000016 COLPOSCOPY-CERVIX 2,400 3,000 4,200 5,400 6,000

15 OBPR000017 COLPO+CX BIOPSY 3,900 4,875 6,825 8,775 9,750

16 OBPR000018 COLPO+ECC+CX BIOPSY 5,800 7,250 10,150 13,050 14,500

17 OBPR000019 COLPO+ECC 3,900 4,875 6,825 8,775 9,750

18 OBPR000020 CRYOTHERAPY 2,400 3,000 4,200 5,400 6,000

19 OBPR000023 CAUTERY CERVIX 2,400 3,000 4,200 5,400 6,000

20 OBPR000024 CERVICAL POYPECTOMY-SMALL 3,900 4,875 6,825 8,775 9,750

21 OBPR000025 PERCUTANEOUS ASPIRATION OF CYST 3,900 4,875 6,825 8,775 9,750

22 OBPR000026 RESUTURING OF ABDOMINAL WOUND 3,900 4,875 6,825 8,775 9,750

23 OBPR000027 MIRENA INSERTION 2,400 3,000 4,200 5,400 6,000

24 OBPR000028 THREE SWAB TEST FOR VVF 1,300 1,625 2,275 2,925 3,250

25 OBPR000029 CST 600 750 1,050 1,350 1,500

26 OBPR000030 NST-EXTENDED 800 1,000 1,400 1,800 2,000

27 OBPR000032 CTG INTERPRET+SUPERVISION (monitoring ) 1,300 1,625 2,275 2,925 3,250

28 OBPR000033 CTG-INTERPRETATION 600 750 1,050 1,350 1,500

29 OBPR000034 multiple pregnancy fetal reduction 10,500 13,125 18,375 23,625 26,250

30 OBPR000035 REMOVAL OF CIRCLAGE 750 938 1,313 1,688 1,875

31 OBPR000036 IUI (single) 2,800 3,500 4,900 6,300 7,000

32 OBPR000037 IUI ( 2 sittings) 5,000 6,250 8,750 11,250 12,500

33 OBPR000038 PCT (postcoital test ) 550 688 963 1,238 1,375

34 OBPR000039 DRESSING SMALL (Gyne) 350 438 613 788 875

35 OBPR000040 DRESSING LARGE (Gyne) 550 688 963 1,238 1,375

36 OBPR000041 SSG (PROCEDURE CHARGES) 1,700 2,125 2,975 3,825 4,250

37 OBPR000042 HSG (PROCEDURE CHARGES) 2,800 3,500 4,900 6,300 7,000

38 OBPR000043 HYDROTUBATION 1,300 1,625 2,275 2,925 3,250

39 OBPR000044 ENDOMETRIAL SAMPLING (PROCEDURE CHARGES) 2,400 3,000 4,200 5,400 6,000

40 OBPR000045 MEDICAL MTP PACKAGE (INCLUSIVE OF MEDICINES) 3,900 4,875 6,825 8,775 9,750

41 OBPR000046 IUCD REMOVAL 550 688 963 1,238 1,375

42 OBPR000047 IUCD INSERTION 2,310 2,888 4,043 5,198 5,775

43 OBPR000048 NST 550 688 963 1,238 1,375

44 OBPR000049 PAP SMEAR SAMPLING (procedure) 550 688 963 1,238 1,375

45 OBPR000050 HPV SAMPLING (procedure) 550 688 963 1,238 1,375

46 OBPR000051 HVS SAMPLING (procedure) 550 688 963 1,238 1,375

47 OBPR000052 PAP SMEAR SAMPLING (lab + procedure) 1,100 1,375 1,925 2,475 2,750

48 OBPR000054 New born ressusitation after birth by duty physician 2,500 3,125 4,375 5,625 6,250


Medical Oncology Package (P) Charges in INR

Sr. no. Billing code Service name Sharing/ Single Single Dlx Super Dlx Suite

**

1 ONMD000001 Bone Marrow Aspiration - Medical Oncology 3,800 4,750 6,650 8,550 9,500

2 ONMD000002 Bone Marrow Aspiration and Biopsy - Medical 6,330 7,913 11,078 14,243 15,825

Oncology

3 ONMD000004 Chemotherapy IV push - per day 650 810 1,140 1,465 1,625

4 ONMD000005 Chemotherapy short infusion - per day 4,430 5,538 7,753 9,968 11,075

5 ONMD000006 Chemotherapy long infusion - per day 5,060 6,325 8,855 11,385 12,650

6 ONMD000007 Chemotherapy continuous infusion - per day 5,690 7,113 9,958 12,803 14,225

7 ONMD000009 High-Dose Non-Transplant - per day 7,590 9,488 13,283 17,078 18,975

8 ONMD000010 Leukemia Induction Chemotherapy - per day 6,330 7,913 11,078 14,243 15,825

9 ONMD000011 Intra-thecal chemotherapy - per day 4,430 5,538 7,753 9,968 11,075

10 ONMD000013 Chemotherapy Biological Agent Infusion - per day 6,330 7,913 11,078 14,243 15,825

11 ONMD000014 Chemotherapy Biological Agent IV Push - per day 3,160 3,950 5,530 7,110 7,900

12 ONMD000015 PICC Line Insertion - Medical Oncology 6,330 7,913 11,078 14,243 15,825

13 ONMD000016 PICC Line Repair 1,100 1,375 1,925 2,475 2,750

14 ONMD000017 PICC Line / Central Line Dressing 190 238 333 428 475

15 ONMD000018 Chemotherapy by Pump - per day 5,060 6,325 8,855 11,385 12,650

16 ONMD000020 Chemotherapy SC or IM Anti-Neoplastic - per day 750 938 1,313 1,688 1,875

17 ONMD000021 Chemotherapy Injection Ommaya - per day 2,530 3,163 4,428 5,693 6,325

18 ONMD000022 SC Hormonal Pellet Implantation 630 788 1,103 1,418 1,575

19 ONMD000023 Removal of PICC / non tunneled catheter 253 316 443 569 633

20 ONMD000024 Chemotherapy Protocol Charges 5,060 6,325 8,855 11,385 12,650

21 ONMD000025 Chemotherapy Planning Charges 12,650 15,813 22,138 28,463 31,625

22 ONMD000029 IV Fluids short duration - per day 1,200 1,500 2,100 2,700 3,000

23 ONMD000030 IV Fluids long duration - per day 1,580 1,975 2,765 3,555 3,950

24 ONMD000031 Chemotherapy Intra-Vesical - per day 6,330 7,913 11,078 14,243 15,825

25 ONMD000032 Chemotherapy Intra-peritoneal/Intrapleural - per 6,330 7,913 11,078 14,243 15,825

day

26 ONMD000033 High-Dose Methotrexate - per day 12,650 15,813 22,138 28,463 31,625

27 ONMD000035 HDCT SCT- Autologous 94,880 118,600 166,040 213,480 237,200

28 ONMD000036 HDCT SCT- Allogeneic 158,130 197,663 276,728 355,793 395,325

29 ONMD000042 Chemotherapy continuous infusion more than 24 11,500 14,375 20,125 25,875 28,750

hrs upto 48 hrs

30 ONMD000043 APCEDEN charges P 635,000

Oncology Surgery

1 ONSR000001 Bone Marrow Harvest Charges 20000 25000 35000 45000 50000

PACKAGES Charges in INR

S No. Billing code Service name Day Care Sharing/ Single Single Dlx Super Dlx Suite

**

1 ONMD000043 APCEDEN charges 635,000

2 ONMD000043 APCEDEN charges 1st

sitting 0

3 ONMD000043 APCEDEN charges 2nd

sitting 0

4 ONMD000043 APCEDEN charges 3rd

sitting 0

5 ONMD000043 APCEDEN charges 4th

sitting 0


sitting 0


sitting 0


Opthalmology

S.No Billing Code Procedure Name Package Charges in INR

(P) ** Sharing Single Single Dlx Super Dlx Suite Opthalmology Procedures

1 OMPR000001 Chalazion incision and curettage under LA - one eye 5,000

2 OMPR000002 DRAINAGE OF LACRIMAL ABSCESS 5,000

3 OMPR000003 TARASORRAPHY (ONE EYE) 8,500

4 OMPR000004 UNCOMPLICATED LID TEAR REPAIR 8,500

5 OMPR000005 Fundus photograph (with print) 1,000

7 OMPR000007 COLOR PHOTOS (SLIDES / PRINT ) 2,000

8 OMPR000008 ARGON LASER PROCEDURE ( SINGLE SITTING) 3,500

9 OMPR000009 ARGON LASER PROCEDURE (PRP) MIN 3 SITTING 9,000

10 OMPR000010 ARGON LASER SUTURELYSIS 2,500

13 OMPR000013 CUSTOM ABLATION (ADDITIONAL TO ABOVE) 5,000

14 OMPR000014 Yag laser procedure 4,000

17 OMPR000017 EYE EXERCISE (10 SITTINGS) 1,000

18 OMPR000018 ORTHOPTIC WORKUP 350

19 OMPR000019 PARALYTIC SQUINT WORKUP 1,500

20 OMPR000020 PERIMETRY COMPUTERISED (SINGLE EYE) 1,500

21 OMPR000021 PERIMETRY COMPUTERISED (BOTH EYE) 2,500

22 OMPR000022 GONIOSCOPY (BOTH EYE) 650

23 OMPR000023 IOL POWER CALC (A-SCAN) PER EYE 750

24 OMPR000024 INDIRECT OPHTHALMOSCOPY 350

25 OMPR000025 CONTACT LENS (PAIR) 2,000

26 OMPR000026 TRAPECULECTOMY UNDER L.A 30,000

27 OMPR000027 Ptergium Surgery Ex With One Eye P 35,000

28 OMPR000028 Corneoscleral Tear Repair + Ac Wash 15,000 15,000 18,750 26,300 34,000 37,500 30 OMPR000033 Intravitreal Injection (Inj. Avestin) Per Eye P 20,000

31 OMPR000034 Ultrasound (biometry / A-Scan) Per Eye 1,000

32 OMPR000035 Evisceration with PMMA implant under LA P 30,000 35,000 40,000 45,000 55,000 65,000 33 OMPR000036 Canthotomy- Eye Lid Surgery 10,000 10,000 12,500 17,500 22,500 25,000 34 OMPR000037 OCT (Optical Coherence Tomography ) 3,500

35 OMPR000038 Visual field Analysis (GoldMann) per eye 1,200

36 OMPR000039 Keratometry 1,000

37 OMPR000040 Specular Microscopy (Both Eyes) 1,500

38 OMPR000041 I Tracey 1,100

40 OMPR000043 B scan ultrasound 1,500

41 OMPR000044 Intravitreal Injection (Inj. Lucentis) Per Eye P 30,000

42 OMPR000045 Intravitreal Injection (Inj. Ozurdex) Per Eye P 55,000

43 OMPR000046 Laser charges 5,000

44 OMPR000047 Prophylactic Laser 15,000

45 OMPR000048 Prophylactic Laser (1 Quadratn) 8,000

46 OMPR000049 Botox Injection-5 6,500

47 OMPR000050 Visual Field Analysis (Per Eye) Octopus 1,200

48 OMPR000051 Pentacam HR 3,500

49 OMPR000052 Fundus Fluorescein Angiography ( FFA) 4,500

50 OMPR000053 Diurnal variation 1,500

51 OMPR000054 Synoptophore exercises (per sitting) 500

52 OMPR000055 Colour Vision testing 500

53 OMPR000056 Neostigmine Test 5,000

54 OMPR000057 Tensilon Test 5,000

55 OMPR000058 Pachymetry 1,500

56 OMPR000059 Anterior segment photograph (without print) 500

57 OMPR000060 Anterior segment photograph (with Print) 1,000

58 OMPR000061 Suture removal- ophthalmology 750

59 OMPR000062 Corneal scraping 500

60 OMPR000063 Corneal foreign body removal 1,000

61 OMPR000064 Punctual plug insertion 1,500

62 OMPR000065 Fundus photograph (without print) 500

63 OMPR000066 Cryopexy 4,000

64 OMPR000067 ICG angiography 7,500

65 OMPR000068 Autofluoresence with colour photo 2,000

66 OMPR000069 Posterior Subtenon (PST) Injection 1,500

67 OMPR000070 RETINA LASER 1 Quadrant 8,000




71 OMPR000074 Subconjunctival injection 500

72 OMPR000075 Syringing & probing 1,500

73 OMPR000076 Len star A Unit of Global Health Pvt. Ltd. 1,500


(P) ** Sharing Single Single Dlx Super Dlx Suite 74 OMPR000077 Cataract pre op work up - Basic 1,500

75 OMPR000078 Cataract pre op work up - Premium 5,000

76 OMPR000079 Botox Injection for single eye (15to20 units) 16,000

77 OMPR000080 Canalicular Curettage 5,000

78 OMPR000081 Incision & Drainage of Abscess 7,000

79 OMPR000082 Intravitreal Tricot injection (IVTA) P 7,000

80 OMPR000083 Silicon Oil removal (Internal) one eye P 15,000

81 OMPR000084 AC reformation with glue +BCL P 17,000

82 OMPR000085 Femto LASIK (Bladeless) - One Eye 50,000

83 OMPR000086 Femto LASIK (Bladeless) - Both Eye 90,000

84 OMPR000087 LASIK-Basic (Both Eye) 35,000

85 OMPR000088 LASIK-Basic (One Eye) 20,000

86 OMPR000089 LASIK-Wavefront Optimized (Both Eye) 45,000

87 OMPR000090 LASIK-Wavefront Optimized (One Eye) 25,000

88 OMPR000091 LASIK-Advanced-(Both Eye) 55,000

89 OMPR000092 LASIK-Advanced-(One Eye) 30,000

90 OMPR000093 Incisional Biopsy-OPD P 4,500

91 OMPR000094 Femto Intacs-One Eye P 75,000

92 OMPR000095 Femto Intacs-Both Eye P 140,000

93 OMPR000096 Dermis Fat Graft P 50,000

94 OMPR000097 Conjunctival FVG excision with AMG Transplantation P 26,800

95 OMPR000098 IOL Removal P 15,000

96 OMPR000099 Bilateral Medial Canthal Tendon Resection P 20,000

97 OMPR000100 FU-OCT 1,000

98 OMPR000101 Dacryocystectomy P 30,000

Ophthalmology Surgery/Packages 1 OMSU000001 Cataract Surgery Ophth - I P 28,000

2 OMSU000002 Cataract Surgery Ophth - II P 32,000

3 OMSU000003 Cataract Surgery Ophth - III P 35,000

4 OMSU000004 Cataract + Cost of Lens 7000/- Included 24,000

5 OMSU000005 MICS 24,000

6 OMSU000006 Cryo of Lettice Under GA P 35,000

7 OMSU000007 Removal of Growth + excision + repair of lid P 45,000

8 OMSU000008 Cryo of Lettice Under LA 25,000

9 OMSU000010 CORNEAL CROSS LINKING (C3R) One Eye P 30,000

10 OMSU000011 CATARACT SURGERY (PHACO) Without IOL P 25,000 27,500 31,250

11 OMSU000012 CATARACT SURGERY (PHACO) WITH RAYNER IOL 25,000

12 OMSU000013 Cataract Surgery Including single Plece Lens P 30,000

13 OMSU000014 Cataract Surgery Including IQ Lens P 33,000

14 OMSU000015 PERFORATING RUPTURE OF EACH EYE BALL 20,000

15 OMSU000016 PHACO CATRACT SURGERY(GA) P 13,000 13,000

16 OMSU000017 Squint correction (Horizontol Muscle-Each eye) P 35,000

17 OMSU000018 Explantation of Dislocated IOL with Ant. Vitrectomy P 20,000

18 OMSU000019 Intra ocular lens implantation 10,000

19 OMSU000020 Lithiasis Excoriation (Both Eyes) P 25,000 25,000 31250 43,750 56,250 62,500 20 OMSU000021 Lithiasis Excoriation (One Eye) P 15,000 15,000 18,750 26,250 33,750 37,500 21 OMSU000022 Pterygium exercision with autograft P 35,000 Daycare

22 OMSU000023 Squint Surgery P 60,000 Daycare

23 OMSU000024 Conjunctival Cyst Removal P 20,000 20,000 25,000 35,000 45,000 50,000 24 OMSU000025 ORBIT TUMOR REMOVAL 30,000 30,000 37,500 52,500 67,500 75,000 25 OMSU000026 Globe Repair P 28,000 28,000 35,000 49,000 63,000 70,000 26 OMSU000027 Cataract Surgery Ophth-IV-Multifocal P 64,000

27 OMSU000028 Cataract Surgery Opthal-V-TORIC P 50,000

28 OMSU000029 Lid Growth Excision-Day care P 33,000

29 OMSU000032 MULTIPLE OPTHALMIC PROCEDURE P 95,000 95,000 118,750 166,250 213,750 237,500 30 OMSU000033 Orbital fat removal under local Anesthesia P 50,000

31 OMSU000034 Repositioning Of Dislocated Refractive Lens P 45,000

32 OMSU000035 Congenital Cataract Surgery Without Lens P 46,000

33 OMSU000036 Congenital Cataract Surgery With Foldable IOL P 54,500

34 OMSU000038 Phacoemulsification Foldable Mulit Focal With Toric P 110,000

35 OMSU000039 Orbital Exentration 15,000 15,000 18,750 26,250 33,750 37,500 36 OMSU000041 Intravitreal Injection ( per eye ) 4,000 4,000 5,000 7,000 9,000 10,000 37 OMSU000042 Cataract Surgery Including single Plece Lens P 30,000

38 OMSU000043 Cataract Surgery Including IQ Lens P 39,000

39 OMSU000044 Cataract Surgery Including Toric lens - MC P 49,000

40 OMSU000045 Cataract Surgery Including Restore lens - MC P 65,000

41 OMSU000046 Laser Cataract Including Restore Lens P 115,000 115,000 143,750

42 OMSU000047 Laser Cataract Including ART Lens P 155,000 A Unit of Global Health Pvt. Ltd.


(P) ** Sharing Single Single Dlx Super Dlx Suite 43 OMSU000048 Laser Cataract Including IQ Lens P 85,000

44 OMSU000049 Laser Cataract Including Toric Lens P 100,000

45 OMSU000050 Vitrectomy P 70,000

46 OMSU000051 Vitrectomy and lancectomy P 80,000

47 OMSU000052 Enucleation One Eye 17,000 17,000 21,250 29,750 38,250 42,500 48 OMSU000053 Sceral Buckling GA/LA P 50,000 50,000 65,000 90,000 115,000 13,000 49 OMSU000054 Injection Botox Package-Both Eye P 20,000

50 OMSU000055 Anterior Retinal Cryopexy - One Eye P 12,000 15,500 21,000 30,000 40,000 48,000 51 OMSU000056 Laser Cataract Including single piece lense P 80,000

52 OMSU000057 Ptosis surgery under GA P 40,000

53 OMSU000058 Cataract Surgery Including ART Lens P 105,000

54 OMSU000059 Anterior Vitrectomy P 50,000

55 OMSU000060 Nystagmus Surgery package(LA) (upto 2 muscles) P 45,000

56 OMSU000061 Dacryocystorhinostomy-DCR P 36,500 36,500 47,000 65,000 85,000 100,000 57 OMSU000062 Trabeculectomy P 30,000 35,000 45,000 60,000 80,000 95,000 58 OMSU000063 Trabeculectomy with Mitomycin C P 35,000 40,000 50,000 70,000 90,000 100,000 59 OMSU000064 Squint surgery with 3 muscles under LA P 40,000

60 OMSU000065 Squint surgery with 2 muscles under GA P 35,000

61 OMSU000066 Eyelid reconstruction flap/Skin grafting P 45,000

62 OMSU000067 Examination under anaesthesia 5,000

63 OMSU000068 Excisional biopsy - Ophthalmology P 15,000

64 OMSU000069 Anterior orbitotomy (preseptal mass) under LA P 40,000 40,000 50,000 70,000 90,000 100,000 65 OMSU000070 Eyelid reconstruction flap with GA P 50,000

66 OMSU000071 Tarsorrhaphy P 9,000 9,000 11,250

67 OMSU000072 Silicon Oil Removal P 25,000

68 OMSU000073 Squint surgery 1 muscle under GA P 25,000

69 OMSU000074 Tarsal strip procedure P 25,000

70 OMSU000075 Squint surgery 2 muscle under LA P 30,000

71 OMSU000076 Eyelid repair P 25,000

77 OMSU000077 Primary Lens Removal P 35,000

78 OMSU000078 Secondary Intra Ocular Lens Implantation P 25,000

79 OMSU000079 Entropion Correction (Per Eye)under LA P 25,000

80 OMSU000080 Chalazion Incision and Curettage - One Eye under LA P 5,000

81 OMSU000081 Chalazion Incision and Curettage - Both Eyes under LA P 10,000

82 OMSU000082 Eyelid Reconstruction with Cuttler Beard Stage 2 P 5,000

83 OMSU000083 Everting Suture P 15,000

84 OMSU000084 Pars plana vitrectomy under LA P 59,000

85 OMSU000085 LE Intracameral C3F8 gas injection under LA P 5,000

86 OMSU000086 LE post cataract Sx wound leak P 30,000

87 OMSU000087 RE Lens aspiration with Anterior vitrectomy P 30,000

88 OMSU000088 AC wash P 8,000

89 OMSU000089 Injection Ozurdex P 39,000

90 OMSU000090 Scleral Buckling Surgery P 45,000

91 OMSU000092 Blepharophimosis Correction (Transnasal Wiring) P 60,000

92 OMSU000093 Pneumatic Retinopexy P 30,000

93 OMSU000094 ERM peeling under oil P 15,000

94 OMSU000095 IOL Repositioning+Antr Vitrectomy P 15,000

95 OMSU000097 Excision biopsy - bilateral P 22,500

96 OMSU000098 Orbitotomy P 60,000

97 OMSU000099 General anesthesia charges- ophthal 5,000

98 OMSU000100 Syringing and Probing-Therapeutic P 8,000

99 OMSU000101 Squint surgery 1 muscle under LA P 20,000

100 OMSU000102 Vitreous lavage under LA P 25,000

101 OMSU000103 Intravitreal Injection Accentrix P 30,000

102 OMSU000104 Vitreous Biopsy P 5,000

103 OMSU000105 Lipoma Excision under LA P 25,000

104 OMSU000106 Left Upper Eyelid Xanthelesma Palpebrum P 15,000

105 OMSU000107 Scleral Fixation P 30,000

106 OMSU000108 Scleral Fixation with glue P 35,000

107 OMSU000109 Pupilloplasty under LA P 20,000

108 OMSU000112 DCR with Intubation under LA P 40,000 40,000 50,000 70,000 90,000 100,000 109 OMSU000114 Toric ICL (one eye) P 75,000

110 OMSU000115 Spherical ICL (one eye) P 60,000

111 OMSU000116 Ptosis Surgery (B/L) P 55,000

112 OMSU000118 Orbital floor reconstruction with ePTFE plate under GA P 55,000

113 OMSU000119 Lid Aponeurotic Repair under LA P 15,000

114 OMSU000120 Enucleation + Silicon Implant P 35,000 35,000 44,000 62,000 78,700 87,500 115 OMSU000121 Vitreous lavage under LA - Internal P 15,000



(P) ** Sharing Single Single Dlx Super Dlx Suite 116 OMSU000122 Phacoemulsification + Acrysof Multifocal IOL P 30,000

117 OMSU000123 LenSx + Acrysof Multifocal IOL P 80,000

118 OMSU000124 Canalicular repair with minimonoka stent under LA P 35,000

119 OMSU000125 Blepharoplasty (upper Lids) Both Eyes under LA P 45,000

120 OMSU000126 Ocular prosthesis Standard-OPD P 20,000

121 OMSU000127 Ocular prosthesis Customized-OPD P 30,000

122 OMSU000128 Eyelid Reconstruction Flap/Skin Grafting (Both Eyes)-LA P 70,000

123 OMSU000129 Photo Refractive Keratectomy P 20,000

124 OMSU000130 Conjunctival FVG Excision P 25,000

125 OMSU000131 Upper lid gold weight implant with lower lid LTS-Day Care P 45,000

126 OMSU000132 Bleb Repair under LA P 30,000

127 OMSU000133 Epiblepharon Correction Under LA P 25,000

128 OMSU000134 Orbital Decompression under LA P 45,000 47,000 60,000 82,000 105,000 130,000 129 OMSU000135 Upper lid gold weight implant under LA P 30,000 33,000 42,000 60,000 76,000 90,000 130 OMSU000136 Penetrating Keratoplasty P 50,000

131 OMSU000137 Lid Spacer (One Eyelid) Under LA P 30,000

132 OMSU000138 Squint Surgery 4 Muscles Under LA-Day Care P 50,000

133 OMSU000139 Cataract Surgery (Lensx) Without IOL Implant P 65,000

134 OMSU000140 DSAEK P 60,000

135 OMSU000141 Secondary IOL insertion P 15,000


Orthopaedic adult - Non package service S.No Billing code Service name Surgeon fee in INR Sharing/ ** Single Single Dlx Super Dlx Suite

1 OPAS000001 k wire fixation of finger 8,800 11,000 15,400 19,800 22,000

2 OPAS000002 ORIF mallet finger 27,500 34,375 48,125 61,875 68,750

3 OPAS000003 ORIF phalanx/metacarpal 27,500 34,375 48,125 61,875 68,750

4 OPAS000004 ORIF scaphoid 27,500 34,375 48,125 61,875 68,750

5 OPAS000005 Vascularized bone graft and ORIF for non union scaphoid 27,500 34,375 48,125 61,875 68,750

6 OPAS000006 ORIF wrist 27,500 34,375 48,125 61,875 68,750

7 OPAS000007 Closed reduction and k wire fixation for wrist 27,500 34,375 48,125 61,875 68,750

8 OPAS000008 Osteotomy of malunion of wrist 27,500 34,375 48,125 61,875 68,750

9 OPAS000010 ORIF radial head 22,000 27,500 38,500 49,500 55,000

10 OPAS000011 ORIF Coronoid 22,000 27,500 38,500 49,500 55,000

11 OPAS000012 ORIF olecranon (TBW/ PLATING) 22,000 27,500 38,500 49,500 55,000

12 OPAS000013 ORIF inter/intra condylar region of humerus 33,000 41,250 57,750 74,250 82,500

13 OPAS000015 CRIF humerus intra-medullary nailing 27,500 34,375 48,125 61,875 68,750

14 OPAS000017 Closed reduction and k wire fixation of proximal humerus 16,500 20,625 28,875 37,125 41,250

15 OPAS000019 ORIF clavicle 22,000 27,500 38,500 49,500 55,000

16 OPAS000020 ORIF glenoid /scapula 27,500 34,375 48,125 61,875 68,750

17 OPAS000021 ORIF sterno clavicular dislocation 24,750 30,938 43,313 55,688 61,875

18 OPAS000022 CR OF DISLOC-HAND&UPPER EXTREMITY-LA,IV SED/GA 11,000 13,750 19,250 24,750 27,500

19 OPAS000023 k wire fixation of toes, phalanx, metatarsals 8,800 11,000 15,400 19,800 22,000

20 OPAS000024 ORIF CALCANEUM with k wires 27,500 34,375 48,125 61,875 68,750

21 OPAS000026 ORIF talus 27,500 34,375 48,125 61,875 68,750

22 OPAS000027 ORIF Ankel 27,500 34,375 48,125 61,875 68,750

23 OPAS000028 Closed reduction and interlocking nailing of tibia 30,250 37,813 52,938 68,063 75,625

24 OPAS000029 ORIF tibia plating 30,250 37,813 52,938 68,063 75,625

25 OPAS000030 Debridement and external fixation of compound tibia 22,000 27,500 38,500 49,500 55,000

26 OPAS000031 ORIF tibial plateau 30,250 37,813 52,938 68,063 75,625

27 OPAS000032 Closed reduction and internal fixation tibial plateau 30,250 37,813 52,938 68,063 75,625

28 OPAS000033 ORIF femoral condyles 30,250 37,813 52,938 68,063 75,625

29 OPAS000034 ORIF supra condylar femur plating 30,250 37,813 52,938 68,063 75,625

30 OPAS000035 ORIF supra condylar femur intra-medullary nailing 30,250 37,813 52,938 68,063 75,625

31 OPAS000036 Closed reduction and interlocked nailing of femur 30,250 37,813 52,938 68,063 75,625

32 OPAS000037 Dynamization of interlocked nail 5,500 6,875 9,625 12,375 13,750

33 OPAS000038 k wire removal 3,300 4,125 5,775 7,425 8,250

34 OPAS000039 Implant removal large 11,000 13,750 19,250 24,750 27,500

35 OPAS000040 Implant removal small 8,250 10,313 14,438 18,563 20,625

36 OPAS000041 DHS/ Cannulated screw fixation for proximal femoral 22,000 27,500 38,500 49,500 55,000

37 OPAS000042 ORIF acetabulum 27,500 34,375 48,125 61,875 68,750

38 OPAS000043 CLOSED REDUCTION OF DISLOCATIONS IN HIP AND LE UNDER 8,800 11,000 15,400 19,800 22,000

LA, IV SEDATION OR GA

39 OPAS000046 ORIF ilium 27,500 34,375 48,125 61,875 68,750

40 OPAS000048 ORIF Fracture Pubis 27,500 34,375 48,125 61,875 68,750

41 OPAS000049 Close reduction in OT(under GA)/emergency (sedation) 8,250 10,313 14,438 18,563 20,625

42 OPAS000050 Above knee / elbow POP slab /cast 8,250 10,313 14,438 18,563 20,625

43 OPAS000051 Below knee/ elbow POP slab/cast 5,500 6,875 9,625 12,375 13,750

44 OPAS000053 Tendon transfer 33,000 41,250 57,750 74,250 82,500

45 OPAS000054 Illizarov fixator application - osteotomy & bone grafting 30,250 37,813 52,938 68,063 75,625

46 OPAS000055 Skin Grafting - Small 13,750 17,188 24,063 30,938 34,375

47 OPAS000056 Skin Grafting - Large 22,000 27,500 38,500 49,500 55,000

48 OPAS000057 Myocutaneous Flap 22,000 27,500 38,500 49,500 55,000

49 OPAS000058 Arthrodesis Large Joint 24,750 30,938 43,313 55,688 61,875

50 OPAS000059 Arthrodesis Small joint 16,500 20,625 28,875 37,125 41,250 51 OPAS000060 Amputation Large Joint 19,250 24,063 33,688 43,313 48,125




52 OPAS000061 Amputation Small Joint 11,000 13,750 19,250 24,750 27,500

53 OPAS000062 Biopsy Bone and soft tissue 8,250 10,313 14,438 18,563 20,625

54 OPAS000063 CTEV - Manipulation 2,200 2,750 3,850 4,950 5,500

55 OPAS000064 CTEV - surgery 22,000 27,500 38,500 49,500 55,000

56 OPAS000065 Fasciotomy 16,500 20,625 28,875 37,125 41,250

57 OPAS000067 Dynamization 2,200 2,750 3,850 4,950 5,500

58 OPAS000069 Osteotomy - Simple 16,500 20,625 28,875 37,125 41,250

59 OPAS000070 Osteotomy - Complex 19,250 24,063 33,688 43,313 48,125

60 OPAS000071 External Fixation 11,000 13,750 19,250 24,750 27,500

61 OPAS000072 Dressing in Operation theatre 1,100 1,375 1,925 2,475 2,750

62 OPAS000073 Examination under anaesthesia/MVA 1,100 1,375 1,925 2,475 2,750

63 OPAS000074 Bone Grafting Small 8,250 10,313 14,438 18,563 20,625

64 OPAS000075 Bone grafting Big 16,500 20,625 28,875 37,125 41,250

65 OPAS000079 Curettage+ Bone grafting for ABC/GCT/LYTIC lession/OM 27,500 34,375 48,125 61,875 68,750

66 OPAS000080 Exostoses Excision 19,250 24,063 33,688 43,313 48,125

67 OPAS000081 Osteotomy Lower limb 16,500 20,625 28,875 37,125 41,250

68 OPAS000082 IAD 11,000 13,750 19,250 24,750 27,500

69 OPAS000083 Open Reduction of dislocation 5,500 6,875 9,625 12,375 13,750

70 OPAS000085 Endoscopic carpel tunnel release 16,500 20,625 28,875 37,125 41,250

71 OPAS000086 Endoscopic carpel tunnel release Open release 8,800 11,000 15,400 19,800 22,000

72 OPAS000087 Nerve repair 27,500 34,375 48,125 61,875 68,750

73 OPAS000088 Cable grafting 27,500 34,375 48,125 61,875 68,750

74 OPAS000089 Acute tendon repair (single) 16,500 20,625 28,875 37,125 41,250

75 OPAS000091 Tendon Grafting (Single stage) 19,250 24,063 33,688 43,313 48,125

76 OPAS000092 Tendon Grafting 1 stage with silastic rods & pulley recons. 24,750 30,938 43,313 55,688 61,875

77 OPAS000093 Tendon Grafting 2 stage with silastic rods & pulley recons. 27,500 34,375 48,125 61,875 68,750

78 OPAS000094 Joint leveling procedure in wrist 22,000 27,500 38,500 49,500 55,000

79 OPAS000095 Revascularization Lunate using Vascularised Bone Grafting 27,500 34,375 48,125 61,875 68,750

80 OPAS000096 DRUJ stabilization procedures 27,500 34,375 48,125 61,875 68,750

81 OPAS000097 GCT tendon sheath 27,500 34,375 48,125 61,875 68,750

82 OPAS000098 GCt bone 27,500 34,375 48,125 61,875 68,750

83 OPAS000099 Hemangioma 27,500 34,375 48,125 61,875 68,750

84 OPAS000100 Ganglion 8,800 11,000 15,400 19,800 22,000

85 OPAS000101 Radial Club Hand 24,750 30,938 43,313 55,688 61,875

86 OPAS000102 Elbow instability-Ligamentous instability 24,750 30,938 43,313 55,688 61,875

87 OPAS000103 Cubital Tunnel Syndrome 24,750 30,938 43,313 55,688 61,875

88 OPAS000104 Radial tunnel Syndrome 24,750 30,938 43,313 55,688 61,875

89 OPAS000105 Tennis Elbow 24,750 30,938 43,313 55,688 61,875

90 OPAS000106 Golfer's Elbow 24,750 30,938 43,313 55,688 61,875

91 OPAS000107 Olecranon Brusitis 24,750 30,938 43,313 55,688 61,875

92 OPAS000108 Proximal Humeral fractures fixation 24,750 30,938 43,313 55,688 61,875

96 OPAS000121 Bipolar hemiarthroplasty 30,250 37,813 52,938 68,063 75,625

101 OPAS000133 Arthroscopic Capsular Release 27,500 34,375 48,125 61,875 68,750

102 OPAS000134 Arthoscopic Bankart repair 27,500 34,375 48,125 61,875 68,750

103 OPAS000137 Joint Replacement Order Set 6,380 7,975 11,165 14,355 15,950

110 OPAS000161 Skeletal traction application 3,850 4,813 6,738 8,663 9,625

111 OPAS000162 ORIF ilium/Pubic rami 27,500 34,375 48,125 61,875 68,750

112 OPAS000163 ORIF Acetabulum (Complex) 33,000 41,250 57,750 74,250 82,500

113 OPAS000164 ORIF Pelvis Simple 24,750 30,938 43,313 55,688 61,875

114 OPAS000165 ORIF Pelvis (Complex) 30,250 37,813 52,938 68,063 75,625

115 OPAS000166 Closed reduction and external fixation pelvis 16,500 20,625 28,875 37,125 41,250

116 OPAS000167 SI joint fixation (Simple) 22,000 27,500 38,500 49,500 55,000

117 OPAS000168 SI joint fixation (Complex) 27,500 34,375 48,125 61,875 68,750

A Unit of Global Health Pvt.

Ltd.

S.No Billing code Service name Surgeon fee in INR Sharing/ ** Single Single Dlx Super Dlx Suite

118 OPAS000169 Bone grafting (Medium) 11,000 13,750 19,250 24,750 27,500

119 OPAS000170 Intra articular fragment excision 22,000 27,500 38,500 49,500 55,000

120 OPAS000171 Hip arthrotomy 16,500 20,625 28,875 37,125 41,250

121 OPAS000172 Cannulated screw fixation (Open) 20,350 25,438 35,613 45,788 50,875

122 OPAS000173 Cannulated screw fixation (Closed) 22,000 27,500 38,500 49,500 55,000

123 OPAS000174 DHS/DCS (Complex) 24,750 30,938 43,313 55,688 61,875

124 OPAS000175 PFN 27,500 34,375 48,125 61,875 68,750

125 OPAS000176 Core Decompression Hip 16,500 20,625 28,875 37,125 41,250

126 OPAS000177 ORIF Single Bone forearm LCDCP/ nail 27,500 34,375 48,125 61,875 68,750

127 OPAS000178 ORIF # single bone of forearm locking plate 27,500 34,375 48,125 61,875 68,750

128 OPAS000179 ORIF # both bone of forearm LCDCP/ nail 27,500 34,375 48,125 61,875 68,750

129 OPAS000180 ORIF # both bone of forearm locking plate 27,500 34,375 48,125 61,875 68,750

130 OPAS000181 ORIF # olecranon with locking plate 24,200 30,250 42,350 54,450 60,500

131 OPAS000182 ORIF # humerus plating LCPDP 27,500 34,375 48,125 61,875 68,750

132 OPAS000183 ORIF # humerus with locking plate 27,500 34,375 48,125 61,875 68,750

133 OPAS000184 ORIF # proximal humerus locking plate 30,800 38,500 53,900 69,300 77,000

134 OPAS000185 CRIF # calcanem with K wires 24,750 30,938 43,313 55,688 61,875

135 OPAS000186 ORIF # ankle trimalleolar 30,250 37,813 52,938 68,063 75,625

136 OPAS000187 ORIF # tibia with locking plate 30,250 37,813 52,938 68,063 75,625

137 OPAS000188 Close reduction of dislocations hip and lower extrimities 11,000 13,750 19,250 24,750 27,500

under General Anesthesia, IV sedation or G

138 OPAS000189 Close reduction and fixation of sacroiliac joint disruption 24,750 30,938 43,313 55,688 61,875

139 OPAS000190 Closed reduction and external fixation of pelvic # 27,500 34,375 48,125 61,875 68,750

140 OPAS000191 ORIF # patella 27,500 34,375 48,125 61,875 68,750

141 OPAS000192 Debridement Large 16,500 20,625 28,875 37,125 41,250

142 OPAS000193 Debridement Small 8,250 10,313 14,438 18,563 20,625

143 OPAS000194 Open Reduction of dislocation 24,750 30,938 43,313 55,688 61,875

144 OPAS000195 Open reduction under GA 27,500 34,375 48,125 61,875 68,750

145 OPAS000196 Open reduction with iliac bone grafing 33,000 41,250 57,750 74,250 82,500

146 OPAS000197 Open reduction + soft tissue reconstruction 27,500 34,375 48,125 61,875 68,750

147 OPAS000198 Recurrent dislocation open stabilisation 27,500 34,375 48,125 61,875 68,750

148 OPAS000199 Bristow-Latarjet procedure 33,000 41,250 57,750 74,250 82,500

149 OPAS000200 Modified Bristow-Latarjet 33,000 41,250 57,750 74,250 82,500

150 OPAS000201 Eden-Hybinnet Procedure 33,000 41,250 57,750 74,250 82,500

151 OPAS000202 McLaughlin Procedure 27,500 34,375 48,125 61,875 68,750

152 OPAS000203 Arthroscopic Latarjet 38,500 48,125 67,375 86,625 96,250

153 OPAS000204 Open reduction + Osteotomy 33,000 41,250 57,750 74,250 82,500

154 OPAS000205 Remplissage 27,500 34,375 48,125 61,875 68,750

155 OPAS000206 Arthroscopic Remplissage 27,500 34,375 48,125 61,875 68,750

156 OPAS000207 Diagnostic Arthroscopy 16,500 20,625 28,875 37,125 41,250

157 OPAS000208 Arthroscopic Sub-acromial decomressionASAD 27,500 34,375 48,125 61,875 68,750

158 OPAS000209 Arthroscpic SAD + Excision Lateral end Clavicle 33,000 41,250 57,750 74,250 82,500

159 OPAS000210 Arthroscopic repair small cuff tear 27,500 34,375 48,125 61,875 68,750

160 OPAS000211 Arthroscopic repair medium cuff tear 30,250 37,813 52,938 68,063 75,625

161 OPAS000212 Arthroscopic repair large cuff tear 33,000 41,250 57,750 74,250 82,500

162 OPAS000213 Artroscopic repair massive cuff tear 38,500 48,125 67,375 86,625 96,250

163 OPAS000214 Arthroscopic SLAP repair 27,500 34,375 48,125 61,875 68,750

164 OPAS000215 Arthroscopic Ganglion cyst debridement 22,000 27,500 38,500 49,500 55,000

165 OPAS000216 Arthroscopic Suprascapular nerve release 38,500 48,125 67,375 86,625 96,250

166 OPAS000217 Arthroscopic debridement 22,000 27,500 38,500 49,500 55,000

167 OPAS000218 Arthroscopic anterior stabilisation 27,500 34,375 48,125 61,875 68,750

168 OPAS000219 Arthroscopic posterior stabilisation 27,500 34,375 48,125 61,875 68,750

169 OPAS000220 Arthroscopic posterior instability 27,500 34,375 48,125 61,875 68,750

170 OPAS000221 Open rotator cuff repair for small-medium tears 27,500 34,375 48,125 61,875 68,750

171 OPAS000222 Open repair for large and massive AtearsUnit of Global Health Pvt. 33,000Ltd. 41,250 57,750 74,250 82,500



172 OPAS000223 Open repair of cuff tears ACJ excision 27,500 34,375 48,125 61,875 68,750

173 OPAS000224 shoulder resurfacing humeral side 27,500 34,375 48,125 61,875 68,750

174 OPAS000225 total shoulder arthroplasty 38,500 48,125 67,375 86,625 96,250

175 OPAS000226 Shoulder hemiarthroplasty 27,500 34,375 48,125 61,875 68,750

176 OPAS000227 Reverse shoulder arthroplasty 38,500 48,125 67,375 86,625 96,250

177 OPAS000228 implant removal from shoulder 13,200 16,500 23,100 29,700 33,000

178 OPAS000229 Implant removal from shoulder + refixation 33,000 41,250 57,750 74,250 82,500

179 OPAS000230 Proximal humeral plate fixation simple 24,750 30,938 43,313 55,688 61,875

180 OPAS000231 Proximal humeral plate fixation complex 27,500 34,375 48,125 61,875 68,750

181 OPAS000232 Humeral fracture non-union 27,500 34,375 48,125 61,875 68,750

182 OPAS000233 Humeral non-union ORIF + Bone grafting 33,000 41,250 57,750 74,250 82,500

183 OPAS000234 Fracture clavicle K wire 16,500 20,625 28,875 37,125 41,250

184 OPAS000235 Fracture clavicle ORIF Complex 22,000 27,500 38,500 49,500 55,000

185 OPAS000236 Clavicle Non-union ORIF + BG 27,500 34,375 48,125 61,875 68,750

186 OPAS000237 A-C joint grade III reconstruction with plate 22,000 27,500 38,500 49,500 55,000

187 OPAS000238 A-C joint grade IV-VI reconstruction with plate 27,500 34,375 48,125 61,875 68,750

188 OPAS000239 A-C joint reconstruction (Weaver-Dunn) 22,000 27,500 38,500 49,500 55,000

189 OPAS000240 A-C Joint anatomic reconstruction 27,500 34,375 48,125 61,875 68,750

190 OPAS000241 Arthroscopic A-C joint reconstruction 35,750 44,688 62,563 80,438 89,375

191 OPAS000242 Closed reduction and plaster application for fracture 11,000 13,750 19,250 24,750 27,500

192 OPAS000243 Shoulder arthrodesis 38,500 48,125 67,375 86,625 96,250

193 OPAS000244 Shoulder tumour excision 33,000 41,250 57,750 74,250 82,500

194 OPAS000245 Complex shoulder reconstruction 38,500 48,125 67,375 86,625 96,250

195 OPAS000246 Scapulo-thoacic bursoscopy 24,200 30,250 42,350 54,450 60,500

196 OPAS000247 Scapular osteotomy 33,000 41,250 57,750 74,250 82,500

197 OPAS000248 Tendon transfer complex 33,000 41,250 57,750 74,250 82,500

198 OPAS000249 Rev TKR - Stg 1 30,250 37,813 52,938 68,063 75,625

199 OPAS000250 Debridement & Poly exchange 33,000 41,250 57,750 74,250 82,500

200 OPAS000251 Arthroscopy after TKR - joint lavage 24,750 30,938 43,313 55,688 61,875

201 OPAS000252 Joint aspiration 11,000 13,750 19,250 24,750 27,500

202 OPAS000253 Periprosthetic fracture 38,500 48,125 67,375 86,625 96,250

203 OPAS000254 Periprosthetic fracture & poly exchange 41,250 51,563 72,188 92,813 103,125

204 OPAS000255 osteotomy femur 30,250 37,813 52,938 68,063 75,625

205 OPAS000256 osteotomy tibia 30,250 37,813 52,938 68,063 75,625

206 OPAS000257 Fracture tibia / femur - knee 27,500 34,375 48,125 61,875 68,750

207 OPAS000258 Arthrodesis 30,250 37,813 52,938 68,063 75,625

208 OPAS000259 Arthrotomy (Septic Arthritis) open 19,250 24,063 33,688 43,313 48,125

209 OPAS000260 TKR after tumor resection 66,000 82,500 115,500 148,500 165,000

210 OPAS000261 Quadriceps Plasty / Repair 30,250 37,813 52,938 68,063 75,625

211 OPAS000262 Patella Tendon Ovulsion Re - Repair 30,250 37,813 52,938 68,063 75,625

212 OPAS000263 Hamstring Lengthening 22,000 27,500 38,500 49,500 55,000

213 OPAS000264 Release of contracture around the knee 22,000 27,500 38,500 49,500 55,000

214 OPAS000265 Tumours Around the - Excision, Bone grafting, Reconstruction 24,750 30,938 43,313 55,688 61,875

215 OPAS000266 Postero medial / posterolateral reconstruction 38,500 48,125 67,375 86,625 96,250

216 OPAS000267 MCL repair / reconstruction 38,500 48,125 67,375 86,625 96,250

217 OPAS000268 Patellar dislocation - lateral retinacular release & medial 30,250 37,813 52,938 68,063 75,625

plication

218 OPAS000269 Patellar dislocation + osteotomy 33,000 41,250 57,750 74,250 82,500

219 OPAS000270 Meniscal transplant 49,500 61,875 86,625 111,375 123,750

220 OPAS000271 ACL / PCL avulsion - fixator (arthroscopic open) 35,750 44,688 62,563 80,438 89,375

221 OPAS000272 Osteochondral fracture - pinning 33,000 41,250 57,750 74,250 82,500

222 OPAS000273 Arthroscopic fracture reduction and percutaneous fixation 33,000 41,250 57,750 74,250 82,500

223 OPAS000274 Arthroscopic Pcica Excision 16,500 20,625 28,875 37,125 41,250

224 OPAS000275 Simple Distal Radius # 27,500 34,375 48,125 61,875 68,750

225 OPAS000276 Complex Distal Radius # 27,500 34,375 48,125 61,875 68,750

226 OPAS000277 Arthroscopic Assisted Distal Radius # 33,000 41,250 57,750 74,250 82,500


Ltd.



227 OPAS000278 Arthroscopy small joints 30,250 37,813 52,938 68,063 75,625

229 OPAS000281 Spil Ostectomy and Interl Fixations 26,565 33,206 46,489 59,771 66,413

231 OPAS000285 Girdle Stone Arthroplasty 24,750 30,938 43,313 55,688 61,875

232 OPAS000286 Rev THR Stage 1 27,500 34,375 48,125 61,875 68,750

233 OPAS000287 ORIF Simple 13,750 17,188 24,063 30,938 34,375

234 OPAS000288 ORIF Complex 19,250 24,063 33,688 43,313 48,125

235 OPAS000289 ORIF minimally invasive 27,500 34,375 48,125 61,875 68,750

236 OPAS000290 Hand Reconstruction Simple 24,200 30,250 42,350 54,450 60,500

237 OPAS000291 Hand Reconstruction Complex 29,700 37,125 51,975 66,825 74,250

238 OPAS000292 Wrist Reconstruction Simple 33,000 41,250 57,750 74,250 82,500

239 OPAS000293 Wrist Reconstruction Complex 27,500 34,375 48,125 61,875 68,750

240 OPAS000294 Open Carpal Tunnel Release with median nerve neurolysis 22,000 27,500 38,500 49,500 55,000

241 OPAS000295 ECRB Release 16,500 20,625 28,875 37,125 41,250

242 OPAS000296 Tumor Excision 16,500 20,625 28,875 37,125 41,250

243 OPAS000297 Acute tendon repair (complex) 22,000 27,500 38,500 49,500 55,000

248 OPAS000303 Unilateral-Total Elbow Joint Replacement 38,500 48,125 67,375 86,625 96,250

249 OPAS000304 Total Ankle Arthroplasty 38,500 48,125 67,375 86,625 96,250

250 OPAS000305 Elbow Arthroscopic arthrolysis 33,000 41,250 57,750 74,250 82,500

251 OPAS000306 Elbow Arthrolysis soft tissue 22,000 27,500 38,500 49,500 55,000

252 OPAS000307 Elbow Arthrolysis bony block removal 27,500 34,375 48,125 61,875 68,750

253 OPAS000308 Elbow Complex arthrolysis 33,000 41,250 57,750 74,250 82,500

254 OPAS000309 Revision Total elbow replacement 44,000 55,000 77,000 99,000 110,000

255 OPAS000310 Radial Head Replacement 27,500 34,375 48,125 61,875 68,750

256 OPAS000311 Elbow Fusion 33,000 41,250 57,750 74,250 82,500

257 OPAS000312 Complex ORIF elbow 33,000 41,250 57,750 74,250 82,500

258 OPAS000313 Elbow reconstruction simple 22,000 27,500 38,500 49,500 55,000

259 OPAS000314 Elbow reconstruction complex 27,500 34,375 48,125 61,875 68,750

260 OPAS000315 Wrist Replacement 38,500 48,125 67,375 86,625 96,250

261 OPAS000316 Wrist Revision 44,000 55,000 77,000 99,000 110,000

262 OPAS000317 Wrist arthroscopy diagnostic 22,000 27,500 38,500 49,500 55,000

263 OPAS000318 Wrist arthroscopy Simple 27,500 34,375 48,125 61,875 68,750

264 OPAS000319 Wrist arthroscopy Complex 33,000 41,250 57,750 74,250 82,500

265 OPAS000320 Complex ORIF wrist 33,000 41,250 57,750 74,250 82,500

266 OPAS000321 Carpal Tunnel with neurolysis 16,500 20,625 28,875 37,125 41,250

267 OPAS000322 Finger Reconstruction simple 22,000 27,500 38,500 49,500 55,000

268 OPAS000323 Finger Reconstruction complex 27,500 34,375 48,125 61,875 68,750

269 OPAS000324 Small joint replacement one 27,500 34,375 48,125 61,875 68,750

270 OPAS000325 Small joint replacement two 33,000 41,250 57,750 74,250 82,500

271 OPAS000326 Small Joint replacement > 2 38,500 48,125 67,375 86,625 96,250

272 OPAS000327 Complex ORIF Hand 33,000 41,250 57,750 74,250 82,500

273 OPAS000328 Soft tissue procedure simple 5,500 6,875 9,625 12,375 13,750

274 OPAS000329 Complex soft tissue procedure 11,000 13,750 19,250 24,750 27,500

275 OPAS000330 Reconstruction bony/soft tissue 16,500 20,625 28,875 37,125 41,250

276 OPAS000331 THR for fracture neck of femur 33,000 41,250 57,750 74,250 82,500

277 OPAS000332 Toe nail excision partial 3,850 4,813 6,738 8,663 9,625

278 OPAS000333 Toe nail excision total 4,950 6,188 8,663 11,138 12,375

279 OPAS000334 Total Nail ablation 5,500 6,875 9,625 12,375 13,750

280 OPAS000335 Hammer toe/claw toe soft tissue procedure single 7,700 9,625 13,475 17,325 19,250

281 OPAS000336 Hammer toe/claw toe bony procedure single 10,450 13,063 18,288 23,513 26,125

282 OPAS000337 Hammer toe/claw toe bony procedure multiple toes 13,750 17,188 24,063 30,938 34,375

283 OPAS000338 Neil's osteotomy 9,350 11,688 16,363 21,038 23,375

284 OPAS000339 First MTP joint excision arthroplasty 19,250 24,063 33,688 43,313 48,125

285 OPAS000340 First MTP joint Arthrodesis 24,200 30,250 42,350 54,450 60,500

286 OPAS000341 Rheumatoid forefoot reconstruction 27,500 34,375 48,125 61,875 68,750

287 OPAS000342 Morton Neuroma excision 13,750 17,188 24,063 30,938 34,375

288 OPAS000343 Bunioneet excision 11,000 13,750 19,250 24,750 27,500

289 OPAS000344 Halux Valgus bunionectomy 8,800 11,000 15,400 19,800 22,000


Ltd.

S.No Billing code Service name Surgeon fee in INR Sharing/ ** Single Single Dlx Super Dlx Suite

290 OPAS000345 Halux valgus soft tissue procedure 8,800 11,000 15,400 19,800 22,000

291 OPAS000346 Halux Valgus Bismionectomy + DSTP 13,750 17,188 24,063 30,938 34,375

292 OPAS000347 Halus Valgus osteotomy 14,850 18,563 25,988 33,413 37,125

293 OPAS000348 Halux Valgus Osteotomy + DSTP+ Bunionectomy 24,750 30,938 43,313 55,688 61,875

294 OPAS000349 Plantar Plate reconstruction MTP joint 17,050 21,313 29,838 38,363 42,625

295 OPAS000350 Accessory Navicular Excision 9,350 11,688 16,363 21,038 23,375

296 OPAS000351 Accessory Navicular Excision & Kidner Procedure 13,750 17,188 24,063 30,938 34,375

297 OPAS000352 Midfoot Arthrodesis 24,200 30,250 42,350 54,450 60,500

298 OPAS000353 Hagland deformity excision 11,000 13,750 19,250 24,750 27,500

299 OPAS000354 Hagland deformity excision + FHL transfer 16,500 20,625 28,875 37,125 41,250

300 OPAS000355 Peronear Tendon Exploration / Repair 13,200 16,500 23,100 29,700 33,000

301 OPAS000356 Tibials Posterior Tendon exploration/repair 13,200 16,500 23,100 29,700 33,000

302 OPAS000357 Plantar fascitis PRP injection 5,500 6,875 9,625 12,375 13,750

303 OPAS000358 Plantar fascitis RF ablation 8,250 10,313 14,438 18,563 20,625

304 OPAS000359 Flat foot FDS transfer 13,200 16,500 23,100 29,700 33,000

305 OPAS000360 Flat foot FDS transfer + Calcaneal osteotomy 22,000 27,500 38,500 49,500 55,000

306 OPAS000361 Complex flat foot Reconstruction with multiple osteotonies 30,800 38,500 53,900 69,300 77,000

307 OPAS000362 Ankle Arthroscopy 19,800 24,750 34,650 44,550 49,500

308 OPAS000363 Ankle arthroscopy OCD refracture/debridement 22,000 27,500 38,500 49,500 55,000

309 OPAS000364 Ankle Arthrodesis 24,200 30,250 42,350 54,450 60,500

310 OPAS000365 Mini open ankle fusion 27,500 34,375 48,125 61,875 68,750

311 OPAS000366 Brostrum laterral ligament reconstruction 24,750 30,938 43,313 55,688 61,875

312 OPAS000367 Deltoid ligament Reconstruction 27,500 34,375 48,125 61,875 68,750

313 OPAS000368 Lateral ligament peroneal Tendon Transfer 27,500 34,375 48,125 61,875 68,750

314 OPAS000369 Pantalar Arthrodesis 33,000 41,250 57,750 74,250 82,500

315 OPAS000370 Tripple arthrodesis 27,500 34,375 48,125 61,875 68,750

316 OPAS000371 Elbow Arthroscopy 27,500 34,375 48,125 61,875 68,750

317 OPAS000372 Listranc fracture ORIF 24,200 30,250 42,350 54,450 60,500

318 OPAS000373 External fixator foot & ankle 22,000 27,500 38,500 49,500 55,000

319 OPAS000374 Pilon fracture ORIF 27,500 34,375 48,125 61,875 68,750

320 OPAS000375 Talus fracture ORIF single approach 24,750 30,938 43,313 55,688 61,875

321 OPAS000376 Talus fracture ORIF two approach 27,500 34,375 48,125 61,875 68,750

322 OPAS000380 Excision of Biopsy Cervical 11,000 13,750 19,250 24,750 27,500

323 OPAS000381 Extensor Tendon Release Right Elbow 103,000

324 OPAS000382 Unilateral TKR Complex 230,000 265,000 355,000 450,000 515,000

325 OPAS000383 Anterolateral Ligament Reconstruction 100,000 125,000 165,000 205,000 235,000

326 OPAS000384 ACL Anterolateral Ligament Reconstruction 180,000 205,000 245,000 285,000 320,000


Orthopaedics Procedure

S.No Billing code Service name Charges in INR

Sharing/ Single Single Dlx Super Dlx Suite **

1 OPAP000001 Below elbow(BE)slab 1,000 1,250 1,750 2,250 2,500 2 OPAP000002 Below elbow(BE) cast 1,500 1,875 2,625 3,375 3,750 3 OPAP000003 Below elbow(BE) cast with manipulation 2,000 2,500 3,500 4,500 5,000 4 OPAP000004 Above elbow(AE) slab 1,500 1,875 2,625 3,375 3,750 5 OPAP000005 Above elbow(AE) cast 2,000 2,500 3,500 4,500 5,000 6 OPAP000006 Above elbow(AE) cast with manipulation 2,500 3,125 4,375 5,625 6,250 7 OPAP000007 Below knee(BK) slab 1,500 1,875 2,625 3,375 3,750 8 OPAP000008 Below knee(BK) cast 2,000 2,500 3,500 4,500 5,000 9 OPAP000009 Below knee(BK)cast with manipulation 2,500 3,125 4,375 5,625 6,250 10 OPAP000010 Above knee(AK) slab 2,000 2,500 3,500 4,500 5,000 11 OPAP000011 Above knee(AK) cast 2,500 3,125 4,375 5,625 6,250 12 OPAP000012 Above knee(AK) cast with manipulation 3,000 3,750 5,250 6,750 7,500 13 OPAP000013 POP Removal 500 625 875 1,125 1,250 14 OPAP000014 Fibreglass CAST Removal 1,000 1,250 1,750 2,250 2,500 15 OPAP000015 Hip Spica 8,000 10,000 14,000 18,000 20,000 16 OPAP000016 Shoulder Spica 5,000 6,250 8,750 11,250 12,500 17 OPAP000017 CTEV cast UNILATERAL 2,500 3,125 4,375 5,625 6,250 18 OPAP000018 CTEV cast BILATERAL 5,000 6,250 8,750 11,250 12,500 19 OPAP000019 Implant removal -SMALL ( single K-wire) 1,000 1,250 1,750 2,250 2,500 20 OPAP000020 Implant removal -MEDIUM (Multiple K-wires or small 2,000 2,500 3,500 4,500 5,000 external fixator)

21 OPAP000021 Implant removal - LARGE ( Large External fixator) 3,000 3,750 5,250 6,750 7,500 22 OPAP000022 Ortho Injection 1,000 1,250 1,750 2,250 2,500 23 OPAP000023 Ortho Dressing Minor 200 250 350 450 500 24 OPAP000024 Ortho Dressing Medium 600 750 1,050 1,350 1,500 25 OPAP000025 Ortho Dressing Large 900 1,125 1,575 2,025 2,250 26 OPAP000026 Buddy Strapping 600 750 1,050 1,350 1,500 27 OPAP000027 Suture removal and dressing - Minor 500 625 875 1,125 1,250

28 OPAP000028 Suture removal and dressing - Major 1,000 1,250 1,750 2,250 2,500

ORTHOPAEDICS PACKAGES

S. No Billing code Package description Day Stay Packages charges in INR

(ICU+HDU Multibed Sharing/ Single Single Dlx Super Dlx Suite +Room) **

1 OPAS000118 U/L TKR (P) 1+1+4 174,250 205,000 240,000 300,000 370,000 425,000 2 OPAS000119 U/L UKA (P) 1+1+1 131,750 155,000 175,000 225,000 270,000 380,000 3 OPAS000120 U/L THR (P) 1+1+4 165,750 195,000 225,000 290,000 355,000 415,000 4 OPAS000298 U/L THR (Complex) (P) 1+1+5 174,250 205,000 240,000 300,000 345,000 450,000 5 OPAS000123 B/L UKA (P) 1+0+4 199,750 245,000 298,000 399,000 496,000 565,000 6 OPAS000122 B/L TKR (P) 1+1+5 276,250 325,000 390,000 505,000 630,000 710,000 7 OPAS000124 B/L THR (P) 2+2+6 280,500 330,000 390,000 500,000 615,000 695,000 8 OPAS000151 U/L UKA + U/L TKR (P) 1+1+5 276,250 325,000 390,000 505,000 630,000 710,000 9 OPAS000280 U/L TKR+ U/L THR (P) 1+1+5 276,250 325,000 390,000 505,000 630,000 710,000

10 OPAS000125 Rev TKR U/L (P) 1+1+5 225,250 265,000 315,000 405,000 500,000 565,000 11 OPAS000142 Rev TKR B/L (P) 2+2+6 365,500 430,000 500,000 655,000 810,000 910,000 12 OPAS000150 Rev THR U/L (P) 1+1+5 225,250 265,000 315,000 405,000 500,000 570,000 13 OPAS000153 Rev ACL (P) 0+0+1 136,000 160,000 185,000 225,000 300,000 430,000 14 OPAS000301 A'scopy (P) 0+0+1 63,750 75,000 95,000 125,000 160,000 185,000 15 OPAS000154 Unilateral ACL (P) 0+0+1 97,750 115,000 140,000 180,000 220,000 250,000 16 OPAS000157 PCL (P) 0+0+1 119,000 140,000 170,000 220,000 275,000 310,000 17 OPAS000299 Core decompression U/L (P) 0+0+1 38,250 45,000 76,000 92,000 110,000 130,000 18 OPAS000300 Core decompression B/L (P) 0+0+1 51,000 60,000 90,000 115,000 140,000 165,000 19 OPAS000377 A'scopy hip (P) 0+0+1 42,500 50,000 65,000 82,000 105,000 120,000 20 OPAS000378 Bilateral TKR complex (P) 1+1+5 297,500 350,000 425,000 560,000 695,000 780,000 21 OPAS000379 Bilateral ACL (P) 0+0+2 144,500 170,000 210,000 270,000 330,000 375,000 22 OPAS000381 Extensor Tendon Release Right Elbow (P) 0+0+1 87,500 103,000

23 OPAS000382 Unilateral TKR Complex (P) 1+1+5 195,500 230,000 265,000 355,000 450,000 515,000 24 OPAS000383 Anterolateral Ligament Reconstruction (P) 0+0+1 85,000 100,000 125,000 165,000 205,000 235,000 25 OPAS000384 ACL Anterolateral Ligament Reconstruction (P) 1+0+1 153,000 180,000 205,000 245,000 285,000 320,000

26 OPAS000385 Unilateral TKR Complex+Unilateral THR (P) 1+1+5 278,000 327,500 392,000 507,000 632,000 712,000

PACKAGE INCLUSIONS:

# Package includes Surgeon fee/ OT/Anesthesia charges # Package days are mentioned against each package # Routine Investigations during package days. # Routine Medicines & consumables during package days. # Pysiotherapy during package days

EXCLUSIONS : # Room rent beyond package days # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Cost of Implants will be charged extra # Any additional procedure will be charged extra


Orthopaedic - Peadiatric S.

Billing code Service name Surgeon fee in INR

No

Sharing/ ** Single

Single Dlx Super Dlx Suite

1 OPPS000112 ORIF Knee Fracture Arthoscopic 19,250 24,063 33,688 43,313 48,125

2 OPPS000225 Congenital Torticollis Soft tissue release unipolar-Spine 19,250 24,063 33,688 43,313 48,125

3 OPPS000227 Decompression Spine Posterior Approach/ laminectomy 1level 35,750 44,688 62,563 80,438 89,375

4 OPPS000228 Decompression Spine Posterior Approach/ laminectomy 2 -3 38,500 48,125 67,375 86,625 96,250

levels-Spine

5 OPPS000229 Decompression Spine Posterior Approach/ laminectomy >3 levels 49,500 61,875 86,625 111,375 123,750

6 OPPS000230 Decompression Spine Anterior Approach Cervical 41,250 51,563 72,188 92,813 103,125

7 OPPS000231 Decompression Spine Anterior Approach Dorsal 41,250 51,563 72,188 92,813 103,125

8 OPPS000232 Decompression Spine Anterior Approach Lumbar 44,000 55,000 77,000 99,000 110,000

9 OPPS000233 Decompression Spine Anterior Approach Extended 55,000 68,750 96,250 123,750 137,500

10 OPPS000234 ORIF Posterior Approach 1 Level-Spine 35,750 44,688 62,563 80,438 89,375

11 OPPS000235 ORIF Posterior Approach 2 Level -Spine 35,750 44,688 62,563 80,438 89,375

12 OPPS000236 ORIF Posterior Approach 3 Level -Spine 38,500 48,125 67,375 86,625 96,250

13 OPPS000237 ORIF Posterior Approach > 3 Level-Spine 44,000 55,000 77,000 99,000 110,000

14 OPPS000238 ORIF Anterior Approach 1 Level-Spine 33,000 41,250 57,750 74,250 82,500



17 OPPS000241 ORIF Anterior Approach > 3 Level-Spine 55,000 68,750 96,250 123,750 137,500

18 OPPS000242 Arthrodesis 1 Level Anterior-Spine 49,500 61,875 86,625 111,375 123,750



21 OPPS000245 Arthrodesis 1 Level Posterior -Spine 33,000 41,250 57,750 74,250 82,500

22 OPPS000246 Arthrodesis 2 Level Posterior-Spine 35,750 44,688 62,563 80,438 89,375

23 OPPS000247 Arthrodesis 3-4 Level Posterior-Spine 38,500 48,125 67,375 86,625 96,250

24 OPPS000248 Arthrodesis anterior + posterior -Spine 60,500 75,625 105,875 136,125 151,250

25 OPPS000249 Osteotomy Posterior approach-Spine 41,250 51,563 72,188 92,813 103,125

26 OPPS000250 Posterior element biopsy Spine– 13,750 17,188 24,063 30,938 34,375

27 OPPS000251 Kyphoplasty balloon-Spine 33,000 41,250 57,750 74,250 82,500

28 OPPS000252 Vertebroplasty-Spine 22,000 27,500 38,500 49,500 55,000

29 OPPS000253 Coccyx excision –Spine 24,750 30,938 43,313 55,688 61,875

30 OPPS000254 Kyphosis correction spine 44,000 55,000 77,000 99,000 110,000

31 OPPS000255 Scoliosis correction posterior-Spine 55,000 68,750 96,250 123,750 137,500

32 OPPS000256 Scoliosis correction Anterior-Spine 60,500 75,625 105,875 136,125 151,250

33 OPPS000257 Scoliosis correction Anterior + posterior-Spine 71,500 89,375 125,125 160,875 178,750

34 OPPS000258 Scoliosis - Hemiphysiodesis spine 55,000 68,750 96,250 123,750 137,500

35 OPPS000259 Spondylolisthesis surgery posterior-Spine 44,000 55,000 77,000 99,000 110,000

36 OPPS000260 Spondylolisthesis surgery Anterior & posterior-Spine 66,000 82,500 115,500 148,500 165,000

37 OPPS000261 Costoplasty rib hump-Spine 33,000 41,250 57,750 74,250 82,500

38 OPPS000262 Discogram-Spine 8,250 10,313 14,438 18,563 20,625

39 OPPS000263 Discectomy Microdiscectomy-Spine 33,000 41,250 57,750 74,250 82,500

40 OPPS000264 Fenestration Spine– multiple levels 44,000 55,000 77,000 99,000 110,000

41 OPPS000265 Discectomy with Diam prosthesis-Spine 49,500 61,875 86,625 111,375 123,750

42 OPPS000266 Total Lumbar disc replacemernt-Spine 66,000 82,500 115,500 148,500 165,000

43 OPPS000267 Total Cervical disc replacemernt-Spine 66,000 82,500 115,500 148,500 165,000

44 OPPS000268 Cervical Spine vertebraplasty 55,000 68,750 96,250 123,750 137,500

45 OPPS000269 PLIF / TLIFSpine– 49,500 61,875 86,625 111,375 123,750

46 OPPS000418 Dequervians Release-Wrist/Hand 8,250 10,313 14,438 18,563 20,625

47 OPPS000547 Biopsy Core 3,850 4,813 6,738 8,663 9,625

48 OPPS000548 Biopsy Open 5,500 6,875 9,625 12,375 13,750

49 OPPS000549 Biopsy spine transpedicular 8,250 10,313 14,438 18,563 20,625

50 OPPS000550 Biopsy excisional 11,000 13,750 19,250 24,750 27,500

51 OPPS000551 Tumour excision small 13,200 16,500 23,100 29,700 33,000

52 OPPS000552 Tumour excision small with bone graft 16,500 20,625 28,875 37,125 41,250

53 OPPS000553 Tumour excision medium 19,250 24,063 33,688 43,313 48,125

54 OPPS000554 Tumour excision with bone graft 22,000 27,500 38,500 49,500 55,000

55 OPPS000555 Tumour excision large 27,500 34,375 48,125 61,875 68,750

56 OPPS000557 Tumour excision large with reconstruction 48,400 60,500 84,700 108,900 121,000

57 OPPS000558 Tumour excision large with implant / growing rods 29,700 37,125 51,975 66,825 74,250

58 OPPS000559 Tumour excision spine 52,800 66,000 92,400 118,800 132,000

59 OPPS000560 Tumour excision spine with reconstruction 59,400 74,250 103,950 133,650 148,500

60 OPPS000613 Bone Graft Large Bi- Iliac Crest 16,500 20,625 28,875 37,125 41,250

61 OPPS000619 Tumour excision with limb salvage 59,400 74,250 103,950 133,650 148,500

62 OPPS000620 Tumour excision Complex 38,500 48,125 67,375 86,625 96,250

63 OPPS000621 Kyphosis correction spine complex 55,000 68,750 96,250 123,750 137,500

64 OPPS000622 TLIF 1 level with decompression 55,000 68,750 96,250 123,750 137,500

65 OPPS000623 Scoliosis correction complex 71,500 89,375 125,125 160,875 178,750

66 OPPS000624 Scoliosis correction extensive 1 approach 60,500 75,625 105,875 136,125 151,250

67 OPPS000625 Scoliosis correction extensive 2 approaches 71,500 89,375 125,125 160,875 178,750

68 OPPS000626 Cervical Disc replacement 1 level with decompression 66,000 82,500 115,500 148,500 165,000

69 OPPS000627 Cervical disc replacement 1 level revision 71,500 89,375 125,125 160,875 178,750


Radiation Oncology Charges in INR


**

1 ONRT000001 PRRT 2D HEAD AND NECK 37,000

2 ONRT000002 PRRT 3D CRT HEAD AND NECK 50,000

3 ONRT000003 PRRT IMRT HEAD AND NECK 70,000

4 ONRT000004 PRRT 2D Breast post MRM 28,000

5 ONRT000005 PRRT 2D BREAST BCS +ELECTRONS 35,000

6 ONRT000006 PRRT 3D CRT BREAST POST MRM 45,000

7 ONRT000007 PRRT 3D CRT POST BCS +ELECTRONS 50,000

8 ONRT000008 PRRT IMRT BREAST 45,000

9 ONRT000009 PRRT 4 D BREAST TREATMENT WITH ABC 76,000

10 ONRT000010 PRRT 2D PELVIS 22,000

11 ONRT000011 PRRT 3DCRT PELVIS 45,000

12 ONRT000012 PRRT IMRT PELVIS 45,000

13 ONRT000013 PRRT SBRT 85,000

14 ONRT000014 PRRT ABC 58,000

15 ONRT000015 PRRT 2D LUNG/OESOPHAGUS 35,000

16 ONRT000016 PRRT 3D CRT LUNG/OESOPHAGUS 50,000

17 ONRT000017 PRRT IMRT LUNG/OESOPHAGUS 45,000

18 ONRT000018 PRRT 4DIGRT 114,500

LUNG/LIVER/PANCREAS/GALLBLADDER

19 ONRT000019 PRRT 2D BRAIN TUMOURS 28,000

20 ONRT000020 PRRT 3D CRT/SRT BRAIN TUMOURS 45,000

21 ONRT000021 PRRT IMRT BRAIN TUMOURS 45,000

22 ONRT000022 PRRT STEREOTACTIC RADIOSURGERY FRAME LESS 63,500

23 ONRT000023 PRRT STEREOTACTIC RADIOSURGERY WITH 82,500

FRAME

24 ONRT000024 PRRT CRANIO SPINAL IRRADIATION 76,000

25 ONRT000025 PRRT GERMAN HELMET 32,000

26 ONRT000026 PRRT PALLIATIVE 5FRACTIONSWITHSIMULATION 10,000

27 ONRT000027 PRRT PALLIATIVE 10FRACTIONSWITHSIMULATION 10,000

28 ONRT000028 PRRT PALLIATIVE MULTIPLE SITES ON ONE DAY 12,500

29 ONRT000029 PRRT 2D ABDOMINAL/RETROPERITONEAL 28,000

IRRADIATION

30 ONRT000030 PRRT 3DCRT/ABDOMINAL/RETOPERITONEAL 35,000

IRRADIATION

31 ONRT000031 PRRT IMRT 68,000

ABDOMINAL/RETROPERITONEALIRRADIATION

32 ONRT000032 PRRT SOFT TISSUE SARCOMA/LYMPHOMA- LIMBS 25,500

33 ONRT000033 PRRT VMAT RADICAL 100,000

34 ONRT000034 PRRT VMAT PALLIATIVE 76,000

35 ONRT000035 PRRT ELECTRONS BOOST/PALLIATIVE 16,000

36 ONRT000036 PRRT ELECTRONS RADICAL 25,500

37 ONRT000037 PRRT TOTAL SKIN ELECTRON THERAPY 75,000

38 ONRT000038 PRRT TOTAL BODY RADIATION 23,000

39 ONRT000039 XVI 75,000

40 ONRT000040 EPID 3,000

41 ONRT000041 PRRT INTRACAVITARY POST OPERATIVE /FRACTION 20,000

42 ONRT000042 PRRT INTRA LUMENAL-NASOPHARYNX/FRACTION 8,800

43 ONRT000043 PRRT Intra luminal lung&oesophagus/fraction 5,000

44 ONRT000044 PRRT MOULD TREATMENT RADICAL 45,000

45 ONRT000045 PRRT MOULD TREATMENT BOOST 28,000


Charges in INR


**

46 ONRT000046 RT BLOOD PRODUCT IRRADIATION 1,000

47 ONRT000047 RT 2D HEAD AND NECK 75,000

48 ONRT000048 RT 3D CRT HEAD AND NECK 80,000

49 ONRT000049 RT IMRT HEAD AND NECK 100,000

50 ONRT000050 RT 2D Breast post MRM 75,000

51 ONRT000051 RT 2D BREAST BCS +ELECTRONS 80,000

52 ONRT000052 RT 3D CRT BREAST POST MRM 80,000

53 ONRT000053 RT 3D CRT POST BCS +ELECTRONS 82,000

54 ONRT000054 RT IMRT BREAST 100,000

55 ONRT000055 RT 4 D BREAST TREATMENT WITH ABC 170,000

56 ONRT000056 RT 2D PELVIS 65,000

57 ONRT000057 RT 3DCRT PELVIS 80,000

58 ONRT000058 RT IMRT PELVIS 100,000

59 ONRT000059 RT CHARGES PER FRACTION 27,500

60 ONRT000060 RT 2D LUNG/OESOPHAGUS 75,000

61 ONRT000061 RT 3D CRT LUNG/OESOPHAGUS 80,000

62 ONRT000062 RT IMRT LUNG/OESOPHAGUS 100,000

63 ONRT000063 RT 4D IGRTLUNG/LIVER/PANCREAS/GALL BLADDER 170,000

64 ONRT000064 RT 2D BRAIN TUMOURS 75,000

65 ONRT000065 RT 3D CRT/SRT BRAIN TUMOURS 85,000

66 ONRT000066 RT IMRT BRAIN TUMOURS 100,000

67 ONRT000067 RT STEREOTACTIC RADIOSURGERY FRAME LESS 114,500

68 ONRT000068 RT STEREOTACTIC RADIOSURGERY WITH FRAME 114,500

69 ONRT000069 RT CRANIO SPINAL IRRADIATION 150,000

70 ONRT000070 RT GERMAN HELMET 40,000

71 ONRT000071 RT SINGLE FRACTION WITHOUT SIMULATION 5,000

72 ONRT000072 RT SINGLE FRACTION WITH SIMULATION 6,000

73 ONRT000073 RT PALLIATIVE 5FRACTIONSWITHSIMULATION 20,000

74 ONRT000074 RT PALLIATIVE 10FRACTIONSWITHSIMULATION 45,000

75 ONRT000075 RT PALLIATIVE MULTIPLE SITES ON ONE DAY 6,600

76 ONRT000076 PALLIATIVE MULTIPLE SITES FRACTIONATED 50,000

77 ONRT000077 RT 2D ABDOMINAL/RETROPERITONEAL 75,000

IRRADIATION

78 ONRT000078 RT 3D CRT/ABDOMINAL/RETOPERITONEAL 80,000

IRRADIATION

79 ONRT000079 RT IMRT ABDOMINAL/RETROPERITONEAL 115,000

IRRADIATION

80 ONRT000080 SOFT TISSUE SARCOMA/LYMPHOMA- LIMBS 100,000

81 ONRT000081 RT VMAT RADICAL 175,000

82 ONRT000082 RT VMAT PALLIATIVE 45,000

83 ONRT000083 RT ELECTRONS BOOST/PALLIATIVE 30,000

84 ONRT000084 RT ELECTRONS RADICAL 70,000

85 ONRT000085 RT TOTAL SKIN ELECTRON THERAPY 210,000

86 ONRT000086 RT TOTAL BODY RADIATION 60,000

87 ONRT000087 RT INTRACAVITARY POST OPERATIVE /FRACTION 20,000

88 ONRT000088 RT INTRA LUMENAL-NASOPHARYNX/FRACTION 20,000

89 ONRT000089 RT Intra luminal lung&oesophagus/fraction 20,000

90 ONRT000090 RT MOULD TREATMENT RADICAL 75,000

91 ONRT000091 RT MOULD TREATMENT BOOST 45,000

92 ONRT000092 RT Weekly review 3 sittings 1,800





Charges in INR


**



98 ONRT000098 PRRT Brain palliative 20,000

99 ONRT000099 RT Brain palliative 40,000

100 ONRT000100 RT Brain palliative with boost 55,000

101 ONRT000101 Intracavitary Cervix/fraction HDR 25,000

102 ONRT000102 Anal Canal HDR 50,000

103 ONRT000103 Prostate HDR/Fraction 40,000

104 ONRT000104 Breast HDR 40,000

105 ONRT000105 Soft tissue sarcoma HDR 40,000

106 ONRT000106 Intra op Implant placement HDR 20,000

107 ONRT000107 Pre implant volume mapping 5,500

108 ONRT000108 Prostate implant 85,000

109 ONRT000109 Any other site intraop seed implant 50,000

110 ONRT000110 Palliative radiation (Palliative RT) 50,000

111 ONRT000111 PRRT SRS Benign 120,000

112 ONRT000112 RT SRS Benign 140,000

113 ONRT000113 IGRT VMAT 220,000

114 ONRT000114 IGRT 220,000

115 ONRT000115 SRT PALL 30,000

116 ONRT000116 RT SBRT 30,000

117 ONRT000117 Pre Planning Prostate Seed Implant 50,000

118 ONRT000118 PRRT Mantle 66,000

119 ONRT000119 RT Mantle 110,000

120 ONRT000120 Radiation-Cyber Knife(Per Fraction) 50,000

121 ONRT000121 PRRT Cyber knife 80,000

122 ONRT000122 Cancer Bisphosphonates 1,000

123 ONRT000123 Cancer Hormone Therapy 1,000

124 ONRT000124 Tomotherapy Planning 50,000

125 ONRT000125 Tomotherapy Mould Charges 15,000

130 ONRT000130 Tomotherapy Planning with One Fraction 55,000

131 ONRT000131 Respiratory Gating with Linear accelerator planning 150,000

132 ONRT000132 INTERSTITIAL BRACHY-THERAPY upto 6 fractions 170,000

PACKAGES

Charges in INR

S No. Billing code Service name Day Care Sharing/ Single Single Dlx Super Dlx Suite

**

1 ONRT000121 Cyber Knife Package 1 250,000 250,000 275,000 325,000 475,000



4 ONRT000126 Tomotherapy upto 10 Fractions 85,000

5 ONRT000127 Tomotherapy From 11 to 20 Fractions 100,000

6 ONRT000128 Tomotherapy upto 30 Fractions 150,000

7 ONRT000129 Tomotherapy More Than 30 Fractions 175,000


Pediatrics Surgeries

Surgeon fee in INR


**

1 PDPN000001 Inguinal Herniotomy (Unilateral) (Paed) 18,100 22,625 31,675 40,725 45,250

2 PDPN000002 Neonatal hernia (Bilateral) (Paed) 23,430 29,288 41,003 52,718 58,575

3 PDPN000003 Inguinal Hernia Repair (Herniorraphy) (Paed) 21,290 26,613 37,258 47,903 53,225

4 PDPN000004 Bassini repair of ingunial hernia with mesh (unilateral) 23,430 29,288 41,003 52,718 58,575

(Paed)

5 PDPN000005 Inguinal Herniotomy (Bilateral) (Paed) 21,290 26,613 37,258 47,903 53,225

6 PDPN000006 Neonatal hernia (Unilateral) (pead) 21,290 26,613 37,258 47,903 53,225

7 PDPN000007 Repair ventral hernia (not umbilical) (pead) 22,890 28,613 40,058 51,503 57,225

8 PDPN000008 Epigastric/ UMB Hernia (pead) 21,290 26,613 37,258 47,903 53,225

9 PDPN000009 Femoral Hernia/Herniorraphy (pead) 21,290 26,613 37,258 47,903 53,225

10 PDPN000010 Incisional Hernia Repair without Marlex Mesh (pead) 26,620 33,275 46,585 59,895 66,550

11 PDPN000011 Obstructed Hernia (Any Type) (pead) 21,290 26,613 37,258 47,903 53,225

12 PDPN000012 Rare Hernia-Obturator (pead) 29,280 36,600 51,240 65,880 73,200

13 PDPN000013 Rare Hernia-Spigelian (pead) 29,280 36,600 51,240 65,880 73,200

14 PDPN000014 Repair Recurrent Incisional Hernia with/without Mesh 26,620 33,275 46,585 59,895 66,550

(pead)

15 PDPN000015 Umbilical Hernia with mesh (pead) 26,620 33,275 46,585 59,895 66,550

16 PDPN000016 Hernias/Umbilical Hernia without mesh (pead) 18,100 22,625 31,675 40,725 45,250

17 PDPN000017 Ventral hernia with mesh (pead) 26,620 33,275 46,585 59,895 66,550

18 PDPN000018 Ischorectal Abscess Drainage (pead) 15,970 19,963 27,948 35,933 39,925

19 PDPN000019 Perianal Abscess Drainage (pead) 12,780 15,975 22,365 28,755 31,950

20 PDPN000020 Retroperitoneal Drainage of abscess (pead) 18,100 22,625 31,675 40,725 45,250

21 PDPN000021 Incision and Drainage of/superficial abscess (pead) 4,260 5,325 7,455 9,585 10,650

22 PDPN000022 Incision and Drainage of deep abscess (pead) 8,520 10,650 14,910 19,170 21,300

23 PDPN000023 Abscess Drainage-multiple (pead) 10,650 13,313 18,638 23,963 26,625

24 PDPN000024 Drainage of abdominal wall haematoma (pead) 10,650 13,313 18,638 23,963 26,625

25 PDPN000025 Drainage of paravertebral abscess (pead) 10,650 13,313 18,638 23,963 26,625

26 PDPN000026 Drainage of psoas abscess (pead) 10,650 13,313 18,638 23,963 26,625

27 PDPN000027 Drainage of Subdiaphragmatic Abscess/Perigastric- 18,100 22,625 31,675 40,725 45,250

Extra peritoneum (pead)

28 PDPN000028 Gastrostomy Open/Lap (pead) 18,100 22,625 31,675 40,725 45,250

29 PDPN000029 Gastro-Jejunostomy & pyloroplasty (pead) 28,220 35,275 49,385 63,495 70,550

30 PDPN000030 Exomphalos (omphalocele) repair (pead) 34,070 42,588 59,623 76,658 85,175

31 PDPN000031 Gastroschisis repair (pead) 34,070 42,588 59,623 76,658 85,175

32 PDPN000032 Exploratory Laparotomy (pead) 12,780 15,975 22,365 28,755 31,950

33 PDPN000033 Splenectomy/open/lap (pead) 29,280 36,600 51,240 65,880 73,200

34 PDPN000034 Necrosectomy & Open Drainage of Pancreatic Abscess 28,220 35,275 49,385 63,495 70,550

(pead)

35 PDPN000035 Left Hemicolectomy (pead) 28,220 35,275 49,385 63,495 70,550

36 PDPN000036 Right Hemicolectomy (pead) 28,220 35,275 49,385 63,495 70,550

37 PDPN000037 Fundoplication (pead) 28,220 35,275 49,385 63,495 70,550

38 PDPN000038 Resection & Anastomosis (Single) (pead) 15,970 19,963 27,948 35,933 39,925

39 PDPN000039 Resection & Anastomosis (Single paed.) (pead) 26,620 33,275 46,585 59,895 66,550

40 PDPN000040 Resection & Anastomosis (Multiple) (pead) 31,280 39,100 54,740 70,380 78,200

41 PDPN000041 Ascitic Tap (pead) 2,660 3,325 4,655 5,985 6,650

42 PDPN000042 Diagnostic laparoscopy (pead) 18,100 22,625 31,675 40,725 45,250

43 PDPN000043 Diagnostic laparotomy (pead) 18,100 22,625 31,675 40,725 45,250

44 PDPN000044 Duodenal Atresia/Annular pancreas (Duodeno 31,940 39,925 55,895 71,865 79,850

jejunostomy) (pead)

45 PDPN000045 Drainge of intraperitoneal cyst hydatid (pead) 31,940 39,925 55,895 71,865 79,850

47 PDPN000047 Exomphalos minor (pead) 21,290 26,613 37,258 47,903 53,225

48 PDPN000048 Jejunostomy (pead) 18,100 22,625 31,675 40,725 45,250


Surgeon fee in INR


**

49 PDPN000049 Intussusception-Simple Reduction in fluro or OT 26,620 33,275 46,585 59,895 66,550

(pead)

50 PDPN000050 Mal Rotation of Gut (Division of ladd's band + 31,940 39,925 55,895 71,865 79,850

Appendicectomy (pead)

51 PDPN000051 Mesenteric Cyst Excision (pead) 18,630 23,288 32,603 41,918 46,575

52 PDPN000052 Meckel's Diverticulum (pead) 21,290 26,613 37,258 47,903 53,225

53 PDPN000053 Neonatal Intestinal Obstruction (pead) 31,940 39,925 55,895 71,865 79,850

54 PDPN000054 Perforated Intestine Closure (pead) 31,940 39,925 55,895 71,865 79,850

55 PDPN000055 Pseudopancreaticcyst-Cystogastrostomy (pead) 18,630 23,288 32,603 41,918 46,575

56 PDPN000056 Ramstedt's Operation (pead) 21,290 26,613 37,258 47,903 53,225

57 PDPN000057 Colon transposition (pead) 37,270 46,588 65,223 83,858 93,175

58 PDPN000058 Gastric pull up (pead) 37,270 46,588 65,223 83,858 93,175

59 PDPN000059 Total procto colostomy (pead) 34,070 42,588 59,623 76,658 85,175

60 PDPN000060 division of intra abdominal bands (pead) 21,290 26,613 37,258 47,903 53,225

61 PDPN000061 Intestine Perforation closure (pead) 21,290 26,613 37,258 47,903 53,225

62 PDPN000062 Tube caecostomy (pead) 13,310 16,638 23,293 29,948 33,275

63 PDPN000063 Volvulous of Sigmoid Colon (Simple Untwist) (pead) 18,630 23,288 32,603 41,918 46,575

64 PDPN000064 Resection volvulus (pead) 29,280 36,600 51,240 65,880 73,200

65 PDPN000065 Umbilectomy with/without Entering Peritoneal Cavity 26,620 33,275 46,585 59,895 66,550

(pead)

66 PDPN000066 Anoplasty (pead) 16,500 20,625 28,875 37,125 41,250

67 PDPN000067 Ano-rectal Fistula-High Level (pead) 18,630 23,288 32,603 41,918 46,575

68 PDPN000068 Ano-rectal Fistula-Low Level (pead) 14,910 18,638 26,093 33,548 37,275

69 PDPN000069 Haemorrhoidectomy (pead) 14,910 18,638 26,093 33,548 37,275

70 PDPN000070 Anal Fissure (Sphincterotomy/Fissurectomy) (pead) 13,840 17,300 24,220 31,140 34,600

71 PDPN000071 Anal Dilatation (pead) 6,920 8,650 12,110 15,570 17,300

72 PDPN000072 Abdominoperineal Resection of Rectum (pead) 37,270 46,588 65,223 83,858 93,175

73 PDPN000073 High Anorectal malformation (Pull Through) (pead) 37,270 46,588 65,223 83,858 93,175

74 PDPN000074 Hirschsprung's Surgery-Pull Through) (pead) 37,270 46,588 65,223 83,858 93,175

75 PDPN000075 PSARP-limited (pead) 21,290 26,613 37,258 47,903 53,225

76 PDPN000076 PSARP-Complete (pead) 26,620 33,275 46,585 59,895 66,550

77 PDPN000077 Rectal myomectomy (pead) 15,970 19,963 27,948 35,933 39,925

78 PDPN000078 Rectal Biopsy (pead) 6,920 8,650 12,110 15,570 17,300

79 PDPN000079 Rectal Polyp Excision (pead) 7,990 9,988 13,983 17,978 19,975

80 PDPN000080 Sigmoidoscopy (with or without Biopsy) (pead) 7,990 9,988 13,983 17,978 19,975

81 PDPN000081 Sclero Therapy Rectum (pead) 7,990 9,988 13,983 17,978 19,975

82 PDPN000082 Thierschs Operation/Wiring (pead) 7,990 9,988 13,983 17,978 19,975

83 PDPN000083 Rectal prolapse rectopexy open/lap (pead) 28,220 35,275 49,385 63,495 70,550

84 PDPN000084 Dressing wound (pead) 2,660 3,325 4,655 5,985 6,650

85 PDPN000085 FB Removal superficial (pead) 4,260 5,325 7,455 9,585 10,650

86 PDPN000086 Deep FB (pead) 8,520 10,650 14,910 19,170 21,300

87 PDPN000087 Minor (pead) 5,320 6,650 9,310 11,970 13,300

88 PDPN000088 Medium (pead) 10,650 13,313 18,638 23,963 26,625

89 PDPN000089 Large (pead) 15,970 19,963 27,948 35,933 39,925

90 PDPN000090 Nail bed reconstruction- single finger (pead) 21,290 26,613 37,258 47,903 53,225

91 PDPN000091 Nail bed reconstruction- two fingers (pead) 28,220 35,275 49,385 63,495 70,550

92 PDPN000092 Nail bed repair - multiple (pead) 21,290 26,613 37,258 47,903 53,225

93 PDPN000093 Nail bed repair- single (pead) 14,910 18,638 26,093 33,548 37,275

94 PDPN000094 Nail bed repair- two nail beds (pead) 19,170 23,963 33,548 43,133 47,925

95 PDPN000095 Split skin gr for finger tip injuries (pead) 21,300 26,625 37,275 47,925 53,250

96 PDPN000096 Nail Bed Repair -Single (pead) 14,910 18,638 26,093 33,548 37,275

97 PDPN000097 Nail Bed reconstruction-Single finger (pead) 21,830 27,288 38,203 49,118 54,575

98 PDPN000098 Polydactly (Bifid) (pead) 19,160 23,950 33,530 43,110 47,900


Ltd.

Surgeon fee in INR


**

99 PDPN000099 Polydactly (Correction) (pead) 13,310 16,638 23,293 29,948 33,275

100 PDPN000100 Polydactly Single Skin Tag (pead) 6,650 8,313 11,638 14,963 16,625

101 PDPN000101 Paronychia (one side) (pead) 6,650 8,313 11,638 14,963 16,625

102 PDPN000102 Syndactly-Single (pead) 26,620 33,275 46,585 59,895 66,550

103 PDPN000103 Exc of multiple cysts (pead) 17,570 21,963 30,748 39,533 43,925

104 PDPN000104 Exc of cyst / mole (pead) 8,520 10,650 14,910 19,170 21,300

105 PDPN000105 Branchial Cyst or Fistula/Sinus (Unilateral) (pead) 18,100 22,625 31,675 40,725 45,250

106 PDPN000106 Branchial Cyst or Fistula/Sinus (Bilateral) (pead) 21,300 26,625 37,275 47,925 53,250

107 PDPN000107 Cystic hygroma (Major) (pead) 26,620 33,275 46,585 59,895 66,550

108 PDPN000108 Cystic hygroma (Minor) (pead) 21,300 26,625 37,275 47,925 53,250

109 PDPN000109 Excision of Mass (pead) 15,970 19,963 27,948 35,933 39,925

110 PDPN000110 Paediatric Tracheostomy (pead) 15,970 19,963 27,948 35,933 39,925

111 PDPN000111 Ranula excision (pead) 21,300 26,625 37,275 47,925 53,250

112 PDPN000112 Ranula Small (pead) 10,650 13,313 18,638 23,963 26,625

113 PDPN000113 Release of Sternocleidomastoid-Torticollis (pead) 18,100 22,625 31,675 40,725 45,250

114 PDPN000114 Sub-Mandibular Salivary Gland Removal (pead) 19,170 23,963 33,548 43,133 47,925

115 PDPN000115 Superficial Parotidectomy (pead) 34,070 42,588 59,623 76,658 85,175

116 PDPN000116 Thyroglossal Cyst/Sinus/Fistula (pead) 18,100 22,625 31,675 40,725 45,250

117 PDPN000117 Tongue Tie (pead) 7,990 9,988 13,983 17,978 19,975

118 PDPN000118 Mucocoel (pead) 7,990 9,988 13,983 17,978 19,975

119 PDPN000119 Choledochal cyst (Roux-en-Y) (pead) 31,940 39,925 55,895 71,865 79,850

120 PDPN000120 Bililary Atresia (Kasai procedure) (pead) 42,590 53,238 74,533 95,828 106,475

121 PDPN000121 Cholecystectomy (pead) 26,620 33,275 46,585 59,895 66,550

122 PDPN000122 Open Drainage of Liver Abscess (pead) 26,620 33,275 46,585 59,895 66,550

123 PDPN000123 Aspiration of Liver Abscess (pead) 4,260 5,325 7,455 9,585 10,650

124 PDPN000124 Aspiration of Liver Abscess Multiple (pead) 8,520 10,650 14,910 19,170 21,300

125 PDPN000125 Cholecystostomy & Choledochodudenostony (pead) 29,280 36,600 51,240 65,880 73,200

126 PDPN000126 Cholecystostomy (pead) 21,300 26,625 37,275 47,925 53,250

127 PDPN000127 Hydatid Cyst of Liver (pead) 30,880 38,600 54,040 69,480 77,200

128 PDPN000128 Left hepatectomy (pead) 35,270 44,088 61,723 79,358 88,175

129 PDPN000129 Left liver lobectomy (pead) 37,270 46,588 65,223 83,858 93,175

130 PDPN000130 Liver resection with excision of CBD (pead) 49,250 61,563 86,188 110,813 123,125

131 PDPN000131 Partial liver resection (lateral segmentectomy) (pead) 21,960 27,450 38,430 49,410 54,900

132 PDPN000132 Right hepatectomy (pead) 41,260 51,575 72,205 92,835 103,150

133 PDPN000133 Right hepatic trisegmentectomy (pead) 45,250 56,563 79,188 101,813 113,125

134 PDPN000134 Distal pancreatectomy & pancreatico- jejunostomy 30,610 38,263 53,568 68,873 76,525

(pead)

135 PDPN000135 Insulinoma excision (pead) 30,610 38,263 53,568 68,873 76,525

136 PDPN000136 Laparoscopic cysto - gastrostomy (pead) 27,290 34,113 47,758 61,403 68,225

137 PDPN000137 Laparoscopic cysto - jejunostomy (pead) 27,290 34,113 47,758 61,403 68,225

138 PDPN000138 Laparoscopic distal pancreatectomy (pead) 32,940 41,175 57,645 74,115 82,350

139 PDPN000139 Laparoscopic drainage of pseudopancreatic cyst 27,290 34,113 47,758 61,403 68,225

(pead)

140 PDPN000140 Necrosectomy and drainage of pancreatic abscess 27,950 34,938 48,913 62,888 69,875

(pead)

141 PDPN000141 urethral fistula Repair (pead) 13,310 16,638 23,293 29,948 33,275

142 PDPN000142 Chordee correction (pead) 18,100 22,625 31,675 40,725 45,250

143 PDPN000143 URETHROPLASTY (paed) 29,280 36,600 51,240 65,880 73,200

144 PDPN000144 1st stage Hypospadias repair - staged (pead) 21,300 26,625 37,275 47,925 53,250

145 PDPN000145 2nd stage Hypospadias repair -staged (pead) 37,270 46,588 65,223 83,858 93,175

146 PDPN000146 Single stage proximal Hypospadias repair / chordee 42,590 53,238 74,533 95,828 106,475

without hypospadias (pead)


Ltd.

Surgeon fee in INR


**

147 PDPN000147 Laproscopy orchidopexy (pead) 26,620 33,275 46,585 59,895 66,550

148 PDPN000148 Laparoscopic Adhesiolysis (pead) 21,300 26,625 37,275 47,925 53,250

149 PDPN000149 Laparoscopic/open Adrenalectomy (pead) 33,330 41,663 58,328 74,993 83,325

150 PDPN000150 Laparoscopic Fundoplication (pead) 31,940 39,925 55,895 71,865 79,850

151 PDPN000151 Laparoscopic pull through resection and Anastomosis 31,940 39,925 55,895 71,865 79,850

(pead)

152 PDPN000152 Laparoscopic pyeloplasty/open (pead) 26,620 33,275 46,585 59,895 66,550

153 PDPN000153 Laproscopic reduction of Intussusception (pead) 26,620 33,275 46,585 59,895 66,550

154 PDPN000154 Laparoscopy & Ladds Band (pead) 26,620 33,275 46,585 59,895 66,550

155 PDPN000155 Lap/Open Appendicectomy (pead) 21,300 26,625 37,275 47,925 53,250

156 PDPN000156 Lap/Open Complicated Appendicectomy (pead) 26,620 33,275 46,585 59,895 66,550

157 PDPN000157 Lap-Rectal prolapse (pead) 28,220 35,275 49,385 63,495 70,550

158 PDPN000158 Tumor soft tissue small (pead) 10,650 13,313 18,638 23,963 26,625

159 PDPN000159 Tumor soft tissue large (pead) 18,630 23,288 32,603 41,918 46,575

160 PDPN000160 Exc of skin lesion- extremities/ trunk (5-10 cm) (pead) 24,490 30,613 42,858 55,103 61,226

161 PDPN000161 Exc of skin lesion-extremities/trunk (less than 5cm) 18,100 22,625 31,675 40,725 45,250

(pead)

162 PDPN000162 Exc of skin lesion-extremities/trunk (more than 10cm) 35,670 44,588 62,423 80,258 89,175

(pead)

163 PDPN000163 Exc of skin lesion- face (less than 2cm) (pead) 14,910 18,638 26,093 33,548 37,275

164 PDPN000164 Exc of skin lesion-face (more than 2cm) (pead) 21,300 26,625 37,275 47,925 53,250

165 PDPN000165 Laceration small (pead) 3,190 3,988 5,583 7,178 7,975

166 PDPN000166 Laceration medium (pead) 5,320 6,650 9,310 11,970 13,300

167 PDPN000167 Laceration large (pead) 7,450 9,313 13,038 16,763 18,625

168 PDPN000168 Multiple lacerations (pead) 14,910 18,638 26,093 33,548 37,275

169 PDPN000169 Small multiple lacerations (pead) 12,240 15,300 21,420 27,540 30,600

170 PDPN000171 Lacerations- facial Medium (pead) 6,650 8,313 11,638 14,963 16,625

171 PDPN000172 Lacerations- facial Large (pead) 10,650 13,313 18,638 23,963 26,625

172 PDPN000173 Lacerations- facial Small multiple (pead) 14,910 18,638 26,093 33,548 37,275

173 PDPN000174 Lacerations- facial Large multiple (pead) 29,280 36,600 51,240 65,880 73,200

174 PDPN000175 Excision of skin lesion >2cm face (pead) 12,780 15,975 22,365 28,755 31,950

175 PDPN000176 Excision of skin lesion <2cm face (pead) 21,830 27,288 38,203 49,118 54,575

176 PDPN000177 Exc of haemangioma- extremities/ trunk (5-10cm) 21,300 26,625 37,275 47,925 53,250

(pead)

177 PDPN000178 Exc of haemangioma- extremities/ trunk (more than 31,940 39,925 55,895 71,865 79,850

10cm) (pead)

178 PDPN000179 Exc of haemangioma- face (less than 2cm) (pead) 18,100 22,625 31,675 40,725 45,250

179 PDPN000180 Exc of haemangioma- face (more than2cm) (pead) 29,280 36,600 51,240 65,880 73,200

180 PDPN000181 skin graft large (pead) 26,620 33,275 46,585 59,895 66,550

181 PDPN000182 Skin Graft small (pead) 12,240 15,300 21,420 27,540 30,600

182 PDPN000183 skin graft medium (pead) 18,100 22,625 31,675 40,725 45,250

183 PDPN000184 Z plasty/singhe (pead) 10,650 13,313 18,638 23,963 26,625

184 PDPN000185 Z plasty/multiply (pead) 17,040 21,300 29,820 38,340 42,600

186 PDPN000188 Small (pead) 4,790 5,988 8,383 10,778 11,975

187 PDPN000189 Examination Under Anesthesia (pead) 6,650 8,313 11,638 14,963 16,625

188 PDPN000190 Excision of imperforate hymen (pead) 8,520 10,650 14,910 19,170 21,300

189 PDPN000191 Laparoscopic Ovarian Torsion (pead) 26,620 33,275 46,585 59,895 66,550

190 PDPN000192 Vaginoplasty (pead) 33,330 41,663 58,328 74,993 83,325

191 PDPN000193 Oesophagoscopy rigid Removal FB (pead) 7,990 9,988 13,983 17,978 19,975

192 PDPN000194 Bronchoscopy Paediatric (pead) 10,650 13,313 18,638 23,963 26,625

193 PDPN000195 Bronchoscopy Paediatric + FB Removal/Lavage (pead) 19,170 23,963 33,548 43,133 47,925


Surgeon fee in INR


**

194 PDPN000196 Chest Tube Insertion (pead) 7,990 9,988 13,983 17,978 19,975

195 PDPN000197 Diaphragmatic Hernia/Eventration of Diaphragm 35,140 43,925 61,495 79,065 87,850

Lap/Open (pead)

196 PDPN000198 Diagnostic Thoracoscopy/Thoractomy (pead) 13,310 16,638 23,293 29,948 33,275

197 PDPN000199 Intercostal chest Drainage (pead) 6,390 7,988 11,183 14,378 15,975

198 PDPN000200 Lung Abscess Surgery (pead) 29,280 36,600 51,240 65,880 73,200

199 PDPN000201 Lung Biopsy (pead) 13,310 16,638 23,293 29,948 33,275

200 PDPN000202 Oesophagostomy (pead) 13,310 16,638 23,293 29,948 33,275

201 PDPN000203 Ped Esophageal Dilatation (pead) 7,980 9,975 13,965 17,955 19,950

202 PDPN000204 Pleurodesis (pead) 6,650 8,313 11,638 14,963 16,625

203 PDPN000205 Pleural Tap (pead) 2,660 3,325 4,655 5,985 6,650

204 PDPN000206 Thoracotomy Decortication (Paed) 31,940 39,925 55,895 71,865 79,850

205 PDPN000207 Thoracotomy & lobectomy for lesion (pead) 31,940 39,925 55,895 71,865 79,850

206 PDPN000208 Thoracotomy & pneumonectomy (Paed) 31,940 39,925 55,895 71,865 79,850

207 PDPN000209 Thoracotomy & segmental resection of Lung (Paed) 31,940 39,925 55,895 71,865 79,850

208 PDPN000210 Thoracotomy & excision of bronchogenic cyst of lung 31,940 39,925 55,895 71,865 79,850

(Paed)

209 PDPN000216 Oesophageal Cadiomyotomy (pead) 28,220 35,275 49,385 63,495 70,550

210 PDPN000217 Oesophageal Atresia and tracheo-oesophageal fistula 42,590 53,238 74,533 95,828 106,475

(pead)

211 PDPN000218 Oesophageal stricturoplasty (pead) 24,490 30,613 42,858 55,103 61,226

212 PDPN000219 Dilatation of oesophageal - first stage (pead) 6,390 7,988 11,183 14,378 15,975

213 PDPN000220 Thoracotomy, pleurectomy & excision of 26,350 32,938 46,113 59,288 65,875

emphysematous bullae (pead)

214 PDPN000221 Dilatation of congenital webs (pead) 13,310 16,638 23,293 29,948 33,275

215 PDPN000222 Diagnostic Bronchoscopy Flexible (pead) 9,520 11,900 16,660 21,420 23,800

216 PDPN000223 Foreigh Body removal by flexible bronchoscope 7,320 9,150 12,810 16,470 18,300

(pead)

217 PDPN000224 Foreigh Body removal by Rigid bronchoscope (pead) 8,780 10,975 15,365 19,755 21,950

218 PDPN000225 Rigid bronchoscopy and Bronchopleural fistula closure 13,177 16,471 23,060 29,648 32,942

(pead)

219 PDPN000226 Dilatation of congenital webs-Comple (pead) 19,770 24,713 34,598 44,483 49,425

220 PDPN000227 Tracheal stenting for Benign strictures (pead) 19,770 24,713 34,598 44,483 49,425

221 PDPN000228 Tracheal stenting for Trachea-Oesophageal fistula 19,770 24,713 34,598 44,483 49,425

(pead)

222 PDPN000229 Cervical Rib excision (pead) 13,180 16,475 23,065 29,655 32,950

223 PDPN000230 Excision of Cervical Rib / Scalenotomy (pead) 13,180 16,475 23,065 29,655 32,950

224 PDPN000231 Intercostal Block (pead) 3,950 4,938 6,913 8,888 9,875

225 PDPN000232 Excision of Chest Wall Tumour ( Excluding ribs) (pead) 9,220 11,525 16,135 20,745 23,050

226 PDPN000233 Excision of Chest Wall Tumour ( including ribs) (pead) 19,770 24,713 34,598 44,483 49,425

227 PDPN000234 Rib Resection & Drainage of Pus (pead) 13,180 16,475 23,065 29,655 32,950

228 PDPN000235 Plural Biposy (pead) 10,650 13,313 18,638 23,963 26,625

229 PDPN000236 Thoracotomy and Evacuation of Hematoma (pead) 21,230 26,538 37,153 47,768 53,075

230 PDPN000237 Thoracotomy and re exploration for Bleeding (pead) 21,230 26,538 37,153 47,768 53,075

231 PDPN000238 Thoracotomy for penetrating Injury of chest (pead) 21,230 26,538 37,153 47,768 53,075

232 PDPN000239 Decortication for Empyema Thoracis (pead) 19,770 24,713 34,598 44,483 49,425

233 PDPN000240 Open lung biopsy (pead) 19,770 24,713 34,598 44,483 49,425

234 PDPN000241 Thoracotomy & Lobectomy (pead) 29,280 36,600 51,240 65,880 73,200

235 PDPN000242 Thoracotomy & Pneumonectomy (pead) 29,280 36,600 51,240 65,880 73,200


Surgeon fee in INR


**

236 PDPN000243 Thoracotomy & segmental resection of Lung (pead) 29,280 36,600 51,240 65,880 73,200

237 PDPN000244 Thoracotomy & decortication of Lung (pead) 19,770 24,713 34,598 44,483 49,425

238 PDPN000245 Thoracotomy & excision of bronchogenic cyst of lung 21,230 26,538 37,153 47,768 53,075

(pead)

239 PDPN000246 Thoracotomy & Excision of dermoid cyst of Lung 21,230 26,538 37,153 47,768 53,075

(pead)

240 PDPN000247 Thoracotomy & excision of Hydatid cyst of Lung 21,230 26,538 37,153 47,768 53,075

(pead)

241 PDPN000248 Thoracotomy , Pleurectomy and excision of 26,350 32,938 46,113 59,288 65,875

Emphysematous bullae (Paed) (pead)

242 PDPN000249 Thoracotomy and Bronchopleural fistula closure 46,850 58,563 81,988 105,413 117,125

(pead)

243 PDPN000250 VATS/ Thoracoscopic Lobectomy (pead) 49,780 62,225 87,115 112,005 124,450

244 PDPN000251 VATS / Thoracoscopic Pnumonectomy (pead) 49,780 62,225 87,115 112,005 124,450

245 PDPN000252 VATS/ Thoracoscopic Segmentectomy (pead) 49,780 62,225 87,115 112,005 124,450

246 PDPN000253 VATS/ Thoracoscopic Lung Biopsy (pead) 19,770 24,713 34,598 44,483 49,425

247 PDPN000254 VATS/ Thoracoscopic Enucleation of Hamartoma 19,770 24,713 34,598 44,483 49,425

(pead)

248 PDPN000255 VATS/ Thoracoscopic Parathyroid excision (pead) 24,890 31,112 43,557 56,002 62,224

249 PDPN000256 VATS/ Thoracoscopic Excision of mediastinal tumours 43,190 53,988 75,583 97,178 107,975

(pead)

250 PDPN000257 VATS/ Thoracoscopic Excision of mediastinal cysts 43,190 53,988 75,583 97,178 107,975

(pead)

251 PDPN000258 VATS/ Thoracoscopic Suturing of lung tears / leaks 19,770 24,713 34,598 44,483 49,425

(pead)

252 PDPN000259 VATS/ Thoracoscopic Pericardial window for 39,090 48,863 68,408 87,953 97,725

Pericardial Effusion (pead)

253 PDPN000260 VATS/ Thoracoscopic Pleural biopsy (pead) 9,220 11,525 16,135 20,745 23,050

254 PDPN000261 VATS/ Thoracoscopic Drainage of pleural effusion 7,900 9,875 13,825 17,775 19,750

(pead)

255 PDPN000262 VATS/ Thoracoscopic Pleurodesis (pead) 11,710 14,638 20,493 26,348 29,275

256 PDPN000263 VATS/ Thoracoscopic Bullectomy / Pleurectomy for 35,140 43,925 61,495 79,065 87,850

Pneumothorax (pead)

257 PDPN000264 VATS/ Thoracoscopic Lung Volume Reduction Surgery 43,190 53,988 75,583 97,178 107,975

(pead)

258 PDPN000265 Diagnostic VATS/ Thoracoscopy in Trauma (pead) 35,140 43,925 61,495 79,065 87,850

259 PDPN000266 VATS/ Thoracoscopic Control & Drainage of 35,140 43,925 61,495 79,065 87,850

Haemothorax (pead)

260 PDPN000267 VATS/ Thoracoscopic Treatment and sealing of 35,140 43,925 61,495 79,065 87,850

Chylothorax (pead)

261 PDPN000268 VATS/ Thoracoscopic Drainage of Empyema (pead) 35,140 43,925 61,495 79,065 87,850

262 PDPN000269 VATS/ Thoracoscopic Decortication (pead) 35,140 43,925 61,495 79,065 87,850

263 PDPN000270 Excision of Medistinal Tumours (Open) (pead) 24,890 31,112 43,557 56,002 62,224

264 PDPN000271 Thoracoscopic Mediastinal Lymph node biopsy (pead) 27,820 34,775 48,685 62,595 69,550

265 PDPN000272 Thoracoscopic Mediastinal Tumour excision (pead) 43,190 53,988 75,583 97,178 107,975

266 PDPN000273 VATS / Thoracoscopic Thymectomy (pead) 43,190 53,988 75,583 97,178 107,975

267 PDPN000274 Thoracotomy and mediastinal lymph Node Biopsy 12,740 15,925 22,295 28,665 31,850

(pead)

268 PDPN000275 Thymectomy ( Open) (pead) 24,890 31,112 43,557 56,002 62,224

269 PDPN000276 VATS / Thoracoscopic Ligation of Thoracic duct (pead) 35,140 43,925 61,495 79,065 87,850


Surgeon fee in INR


**

270 PDPN000277 Video Mediastinoscopy (pead) 15,660 19,575 27,405 35,235 39,150

271 PDPN000278 Anterior mediastinotomy (pead) 15,660 19,575 27,405 35,235 39,150

272 PDPN000279 Excision of retrosternal goiter (pead) 24,890 31,112 43,557 56,002 62,224

273 PDPN000280 Diaphragmatic Rupture (pead) 39,090 48,863 68,408 87,953 97,725

274 PDPN000281 Oesophageal myotomy (pead) 23,430 29,288 41,003 52,718 58,575

275 PDPN000282 Palatoplasty Complete palate (pead) 29,280 36,600 51,240 65,880 73,200

276 PDPN000283 Palatoplasty Secondary palate (pead) 26,620 33,275 46,585 59,895 66,550

277 PDPN000284 Cleft lip + anterior palate repair b/l (pead) 37,800 47,251 66,151 85,051 94,501

278 PDPN000285 Cleft lip + anterior palate repair u/l (pead) 32,480 40,600 56,840 73,080 81,200

279 PDPN000286 Alar adjustment (pead) 12,780 15,975 22,365 28,755 31,950

280 PDPN000287 (Cleft lip repair b/l ) incomplete (pead) 26,620 33,275 46,585 59,895 66,550

281 PDPN000288 (Cleft lip repair b/l ) complete (pead) 35,140 43,925 61,495 79,065 87,850

282 PDPN000289 (Cleft lip repair u/l ) incomplete (pead) 21,830 27,288 38,203 49,118 54,575

283 PDPN000290 (Cleft lip repair u/l ) complete (pead) 26,620 33,275 46,585 59,895 66,550

284 PDPN000291 Laminectomy for lipo MMC (pead) 42,590 53,238 74,533 95,828 106,475

285 PDPN000292 Myelomeningocele (pead) 42,590 53,238 74,533 95,828 106,475

286 PDPN000293 Revision Shunt (pead) 37,270 46,588 65,223 83,858 93,175

287 PDPN000294 VP Shunt for hydrocephalus (pead) 42,590 53,238 74,533 95,828 106,475

288 PDPN000295 VA Shunt for hydrocephalus (pead) 42,590 53,238 74,533 95,828 106,475

289 PDPN000296 Ventricular Puncture (pead) 6,390 7,988 11,183 14,378 15,975

290 PDPN000297 Encephacoel (pead) 42,590 53,238 74,533 95,828 106,475

291 PDPN000298 External ventricular drainage (pead) 7,990 9,988 13,983 17,978 19,975

292 PDPN000299 Bladder Stone (pead) 17,300 21,625 30,275 38,925 43,250

293 PDPN000300 Augmentation Cystoplasty (pead) 33,330 41,663 58,328 74,993 83,325

294 PDPN000301 Open Drainage Perinephric Abscess (pead) 13,310 16,638 23,293 29,948 33,275

295 PDPN000302 Cystolithotomy/Trocar SPC/Suprapubic Cystostomy 13,310 16,638 23,293 29,948 33,275

(pead)

296 PDPN000303 Cystoscopy (pead) 6,920 8,650 12,110 15,570 17,300

297 PDPN000304 Cystoscopy and valves fulguration/Neonatal (pead) 15,970 19,963 27,948 35,933 39,925

298 PDPN000305 Cystocopy with retrograde catheterisation-bilateral 15,970 19,963 27,948 35,933 39,925

(pead)

299 PDPN000306 Cystocopy with retrograde ureteric catheterisation- 10,650 13,313 18,638 23,963 26,625

unilateral (pead)

300 PDPN000307 Cystoscopic stent removal (pead) 3,990 4,988 6,983 8,978 9,975

301 PDPN000308 Change of Nephrostomy Tube (pead) 2,660 3,325 4,655 5,985 6,650

302 PDPN000309 Dilatation of Urethral Stricture/Calibration (pead) 6,650 8,313 11,638 14,963 16,625

303 PDPN000310 Double J stent placement in ureter-bilateral (pead) 15,970 19,963 27,948 35,933 39,925

304 PDPN000311 Double J stent placement in ureter-Unilateral (pead) 10,650 13,313 18,638 23,963 26,625

305 PDPN000312 Epispadis Repair (pead) 26,620 33,275 46,585 59,895 66,550

306 PDPN000313 Epispadis exstroply Repair (pead) 42,590 53,238 74,533 95,828 106,475

307 PDPN000314 Circumcision (pead) 10,650 13,313 18,638 23,963 26,625

308 PDPN000315 Meatoplasty (pead) 10,650 13,313 18,638 23,963 26,625

309 PDPN000316 Meatotomy (pead) 4,260 5,325 7,455 9,585 10,650

310 PDPN000317 Mitrofanoff (pead) 33,330 41,663 58,328 74,993 83,325

311 PDPN000318 Nephrectomy Simple (pead) 33,330 41,663 58,328 74,993 83,325

312 PDPN000319 Nephroblastoma excision (pead) 31,940 39,925 55,895 71,865 79,850

313 PDPN000320 Wilm's Tumoue excision (pead) 31,940 39,925 55,895 71,865 79,850

314 PDPN000321 Nephrostomy-Open (pead) 13,310 16,638 23,293 29,948 33,275

315 PDPN000322 Partial Nephrectomy/Nephrolithotomy (pead) 53,240 66,550 93,170 119,790 133,100

316 PDPN000323 Radical Nephroureterectomy (pead) 33,330 41,663 58,328 74,993 83,325

317 PDPN000324 Nephrostomy-Percutaneous (pead) 33,330 41,663 58,328 74,993 83,325

318 PDPN000325 Precutaneous Kidney Biopsy stand by(pead) 2,660 3,325 4,655 5,985 6,650

319 PDPN000326 Pyelolithotomy (pead) 33,270 41,588 58,223 74,858 83,175


Ltd.

Surgeon fee in INR


**

320 PDPN000327 Pyeloplasty Lap/open (pead) 33,270 41,588 58,223 74,858 83,175

321 PDPN000328 CAPD Insertion /Removal (pead) 7,990 9,988 13,983 17,978 19,975

322 PDPN000329 Varicocoel (pead) 20,020 25,025 35,035 45,045 50,050

323 PDPN000330 Reduction of Paraphimosis (pead) 5,320 6,650 9,310 11,970 13,300

324 PDPN000331 Repair of Bladder Major (pead) 21,290 26,613 37,258 47,903 53,225

325 PDPN000332 Repair of Bladder Minor (pead) 10,650 13,313 18,638 23,963 26,625

326 PDPN000333 Total Cystectomy (pead) 26,620 33,275 46,585 59,895 66,550

327 PDPN000334 Urethroscopy Diagnostic (pead) 5,320 6,650 9,310 11,970 13,300

328 PDPN000335 Ureteric Implantation (Unilateral) (pead) 26,620 33,275 46,585 59,895 66,550

329 PDPN000336 Ureteric Implantation (Bilateral) (pead) 37,270 46,588 65,223 83,858 93,175

330 PDPN000337 Ureterolithotomy (pead) 21,290 26,613 37,258 47,903 53,225

331 PDPN000338 Ureterostomy (Unilateral) (pead) 21,290 26,613 37,258 47,903 53,225

332 PDPN000339 Urethral Injury Repair (pead) 13,310 16,638 23,293 29,948 33,275

333 PDPN000340 Urethrostomy (pead) 13,310 16,638 23,293 29,948 33,275

334 PDPN000341 Vesicostomy (pead) 26,620 33,275 46,585 59,895 66,550

335 PDPN000342 Doral slit prepuce (pead) 6,390 7,988 11,183 14,378 15,975

336 PDPN000343 Urtheral Diverticulam Repair (pead) 21,290 26,613 37,258 47,903 53,225

337 PDPN000344 RGU Uro (pead) 2,130 2,662 3,727 4,792 5,324

338 PDPN000345 MCU Uro Macturatung Cystourethrogram (pead) 2,660 3,325 4,655 5,985 6,650

339 PDPN000346 Nephrostogram (pead) 2,130 2,662 3,727 4,792 5,324

340 PDPN000347 Colonic Biopsy (pead) 26,620 33,275 46,585 59,895 66,550

341 PDPN000348 Colostomy Closure (pead) 21,290 26,613 37,258 47,903 53,225

342 PDPN000349 Colostomy Transverse (pead) 28,750 35,937 50,312 64,687 71,874

343 PDPN000350 Colostomy loop (pead) 21,290 26,613 37,258 47,903 53,225

344 PDPN000351 Colostomy End (pead) 21,290 26,613 37,258 47,903 53,225

345 PDPN000352 Colostomy (pead) 26,620 33,275 46,585 59,895 66,550

346 PDPN000353 Heineko Miculicz Neonates (pead) 26,620 33,275 46,585 59,895 66,550

347 PDPN000354 lleostomy/End neonates (pead) 26,620 33,275 46,585 59,895 66,550

348 PDPN000355 llieal Atresia-Bishop Koop (pead) 26,620 33,275 46,585 59,895 66,550

349 PDPN000356 llieal Atresia-End-Do-End (pead) 26,620 33,275 46,585 59,895 66,550

350 PDPN000357 Orchidectomy (Unilateral) (pead) 18,630 23,288 32,603 41,918 46,575

351 PDPN000358 Orchidectomy (Bilateral) (pead) 21,290 26,613 37,258 47,903 53,225

352 PDPN000359 Orchidopexy (Unilateral) (pead) 26,620 33,275 46,585 59,895 66,550

353 PDPN000360 Orchidopexy (Bilateral) (pead) 31,940 39,925 55,895 71,865 79,850

354 PDPN000361 Torsion Testis (pead) 18,630 23,288 32,603 41,918 46,575

355 PDPN000362 Testicular Biopsy (pead) 10,650 13,313 18,638 23,963 26,625

356 PDPN000363 Torsion+fixation of other testis (pead) 21,290 26,613 37,258 47,903 53,225

357 PDPN000364 Chemoport Insertion (pead) 9,580 11,975 16,765 21,555 23,950

358 PDPN000365 Chemoport Removal (pead) 9,580 11,975 16,765 21,555 23,950

359 PDPN000366 Hickman Line Insertion (pead) 9,580 11,975 16,765 21,555 23,950

360 PDPN000367 Central venous line insertion (pead) 4,790 5,988 8,383 10,778 11,975

361 PDPN000368 Central Umbillical Cutdown (pead) 7,990 9,988 13,983 17,978 19,975

362 PDPN000369 Neonate Central Venous Access/PICC Line (pead) 9,580 11,975 16,765 21,555 23,950

363 PDPN000370 Venesection (pead) 9,580 11,975 16,765 21,555 23,950

364 PDPN000371 Miscellaneous Minor 1 (pead) 1,330 1,663 2,328 2,993 3,325








372 PDPN000379 Clitoroplasty (pead) 37,270 46,588 65,223 83,858 93,175

373 PDPN000380 Marsupilazation (pead) 21,290 26,613 37,258 47,903 53,225

374 PDPN000381 Pilonidal Sinus (pead) 21,290 26,613 37,258 47,903 53,225


Ltd.

Surgeon fee in INR


**

375 PDPN000382 Sacrococcygeal Teratoma (pead) 26,620 33,275 46,585 59,895 66,550

376 PDPN000383 Wide excision of superficial tumor (Trunk/limbs) 18,630 23,288 32,603 41,918 46,575

(pead)

377 PDPN000384 Stricturoplasty (pead) 24,490 30,613 42,858 55,103 61,226

378 PDPN000385 PAN ENDOSCOPY perineum (paed) 18,000 22,500 31,500 40,500 45,000

379 PDPN000386 Scrotal Exporation (paed) 10,000 12,500 17,500 22,500 25,000

380 PDPN000387 Gonadal Biopsy (paed) 20,000 25,000 35,000 45,000 50,000

381 PDPN000388 LAP Ovarian Cyst excision BGN/MGN (paed) 21,000 26,250 36,750 47,250 52,500

382 PDPN000389 Retroperitoneal tumour Exc (paed) 40,000 50,000 70,000 90,000 100,000

383 PDPN000390 Repair of congenital defects (paed) 51,000 63,750 89,250 114,750 127,500

384 PDPN000391 Meningocele (paed) 51,000 63,750 89,250 114,750 127,500

385 PDPN000392 Meningomyelocele (paed) 60,060 75,075 105,105 135,135 150,150

386 PDPN000393 Untethering cord (paed) 60,060 75,075 105,105 135,135 150,150

387 PDPN000394 Diastometamyelia (paed) 84,000 105,000 147,000 189,000 210,000

388 PDPN000395 Dipolomyelia with bony spur (paed) 84,000 105,000 147,000 189,000 210,000

389 PDPN000396 Lipomeningomyelocele (paed) 84,000 105,000 147,000 189,000 210,000

390 PDPN000397 Meningomyelocele with intradural tumor (paed) 84,000 105,000 147,000 189,000 210,000

391 PDPN000398 Encephalocele complicated (paed) 115,500 144,375 202,125 259,875 288,750

392 PDPN000399 Encephalocele (paed) 84,000 105,000 147,000 189,000 210,000

393 PDPN000400 Cervical lymph node biopsy (paed) 10,000 12,500 17,500 22,500 25,000

394 PDPN000401 Inguinal lymph node resection (paed) 20,000 25,000 35,000 45,000 50,000

395 PDPN000402 Drainage of deep neck space abscess (paed) 20,000 25,000 35,000 45,000 50,000

396 PDPN000403 Drainage of superficial neck abscess (paed) 7,700 9,625 13,475 17,325 19,250

397 PDPN000404 Neck Mass Excision Large (paed) 23,000 28,750 40,250 51,750 57,500

398 PDPN000405 Closure of ileostomy (paed) 25,000 31,250 43,750 56,250 62,500

399 PDPN000406 ileostomy (paed) 25,000 31,250 43,750 56,250 62,500

400 PDPN000407 Truncal vegotomy & pyloroplasty (paed) 27,000 33,750 47,250 60,750 67,500

401 PDPN000408 Excision of medium size superficial soft tissue mass (pa 24,200 30,250 42,350 54,450 60,500

402 PDPN000409 Debridement Large (Paed) 20,000 25,000 35,000 45,000 50,000

403 PDPN000410 Debridement Medium (Paed) 10,000 12,500 17,500 22,500 25,000

404 PDPN000411 Debridement Small (Paed) 6,700 8,375 11,725 15,075 16,750

405 PDPN000412 Multiple biopsies of small and large bowel (Paed) 50,000 62,500 87,500 112,500 125,000

406 PDPN000413 SAC / SILO for giant Omphaloceal 80,000 100,000 140,000 180,000 200,000

407 PDPN000414 Transanal endorectal surgery 40,000 50,000 70,000 90,000 100,000

Pediatrics/Neonatal Procedures

1 PDPR000001 Neonatal Resuscitation Charges 2,200 2,750 3,850 4,950 5,500

Paediatrics Surgery-Others

1 PDPO000001 PSARP + laprotomy for Ano Rectal 36,300 45,375 63,525 81,675 90,750


Physiotherapy

S. No Billing Code Service name Charges_ per visit in INR

OPD IPD

1 PTPT000007 Physio Consultation with long exercise upto 60 minute 1,350 1,350

2 PTPT000010 Short Exercise Therapy+1 Electrohterapy Modality 700 700

3 PTPT000011 Short Exercise Therapy+2 Electrohterapy Modality 800 800

4 PTPT000013 1 Electrotherapy Modality+hot/cold pack 250 250

5 PTPT000014 2 Electrotherapy Modality+hot/cold pack 400 400

6 PTPT000015 Home Education Program 600 600

7 PTPT000018 Long Exercise Therapy+ 1 Electrotherapy Modality 800 800

8 PTPT000019 Long Exercise Therapy+ 2 Electrotherapy Modality 900 900

9 PTPT000022 Physio Consultation with Short exercise upto 40 minute 900 900

10 PTPT000023 Home Education Program+ADL Review 750 750

11 PTPT000024 1 Ultrasound Modality (Therapeutic) 200 200

12 PTPT000025 Special Electrotherapy Modality (Laser/PST/Shockwave) 500 500

13 PTPT000026 Special Electrotherapy Modality+1 Modality 600 600

14 PTPT000027 Special Electrotherapy Modality+2 Modality 700 700

15 PTPT000028 Short Exercise Therapy+1 Special Electrotherapy Modality 800 800

16 PTPT000029 Short Exercise Therapy+1 Special Electrotherapy+1 Modality 900 900

17 PTPT000030 Short Exercise Therapy+1 Special Electrotherapy+2 Modality 1,000 1,000

18 PTPT000031 Physiotherapist visit upto 20 Minute 500 500

19 PTPT000032 Comprehensive neuro rehabilitation - I 900 900

20 PTPT000033 Comprehensive neuro rehabilitation - II 1,200 1,200

21 PTAO000001 Manual Therapy+Medical Training Therapy 30 mts - Aktivortho 1,200 1,200

22 PTAO000002 Manual Therapy+Medical Training Therapy 60 mts - Aktivortho 2,000 2,000

23 PTAO000003 Physio Consult - Aktivortho 750 750

24 PTAO000004 Doctor Consult-Rehab Specialist –Long Session >30 mins 1,200 600

25 PTAO000005 Electro Therapy (Single Modality) - Aktivortho 400 400

26 PTAO000006 Electro Therapy (Two Modality) - Aktivortho 600 600

27 PTAO000007 Electro Therapy per additional Modality - Aktivortho 100 100

28 PTAO000008 Taping for small tapes - Aktivortho 500 500

29 PTAO000009 Taping for large tapes - Aktivortho 800 800

30 PTAO000010 Hot or Cold Pack - Aktivortho 250 250

31 PTAO000011 Doctor Consult-Rehab Specialist –Short Session upto 30 mins 900 400

32 PTAO000012 Swallow evaluation (30 mins) 750 750

33 PTAO000013 Swallow therapy (long) (40 mins) 900 900

34 PTAO000014 Swallow therapy (long with vital stem) (60 mins) 1,200 1,200

35 PTAO000015 Swallow therapy (short) (10-20 mins) 500 500

36 PTAO000016 Speech therapy (long) (40 mins) 900 900

37 PTAO000017 Speech therapy (short) (30 mins) 600 600

38 PTAO000018 Speech Evaluation (30-45 mins) 750 750

39 PTAO000019 Myoline+Doctor Consultation 2,000 2,000

40 PTAO000020 Medanta Employee fitness Package 2,900


Plastic surgery

Billing code

Surgeon fee in INR

S.No Service charges Sharing/ ** Single Single Dlx Super Dlx Suite

no.

1 PSOT000001 Abdominoplasty 40,000 50,000 70,000 90,000 100,000

2 PSOT000002 Abdominoplasty with limited incision (mini) 30,300 37,875 53,025 68,175 75,750

3 PSOT000003 Abdominoplasty with liposuction 53,300 66,625 93,275 119,925 133,250

4 PSOT000005 Neo-umbiloplasty 26,700 33,375 46,725 60,075 66,750

5 PSOT000007 Breast augmentation 40,000 50,000 70,000 90,000 100,000

6 PSOT000014 Gynaecomastia excision- bilateral 33,300 41,625 58,275 74,925 83,250

7 PSOT000015 Gynaecomastia excision-unilateral 26,700 33,375 46,725 60,075 66,750

8 PSOT000016 Liposuction and excision of gynaecomastia -bilateral 40,000 50,000 70,000 90,000 100,000

9 PSOT000017 Liposuction and excision of gynaecomastia -unilateral 26,700 33,375 46,725 60,075 66,750

10 PSOT000018 Nipple reconstruction-bilateral 40,000 50,000 70,000 90,000 100,000

11 PSOT000019 Nipple reconstruction-unilateral 26,700 33,375 46,725 60,075 66,750

12 PSOT000020 Peri-areolar breast lift/ mastopexy 40,000 50,000 70,000 90,000 100,000

13 PSOT000021 Reduction mammoplasty-bilateral 53,300 66,625 93,275 119,925 133,250

14 PSOT000022 Reduction mammoplasty-unilateral 37,300 46,625 65,275 83,925 93,250

15 PSOT000023 Removal of breast implant 29,300 36,625 51,275 65,925 73,250

16 PSOT000024 Labial fold excision (lasioplasty) 26,700 33,375 46,725 60,075 66,750

17 PSOT000025 Penile lengthening 36,000 45,000 63,000 81,000 90,000

18 PSOT000027 Penile surgery for erectile dysfunction ( maleable 30,600 38,250 53,550 68,850 76,500

prosthes)

19 PSOT000028 Vaginal tightening with perineorraphy 44,000 55,000 77,000 99,000 110,000

20 PSOT000030 (augmentation phalloplasty ) free flap 80,600 100,750 141,050 181,350 201,500

21 PSOT000031 Botox per unit (excluding cost of botox) 220 275 385 495 550

22 PSOT000032 Chemical peel of face 4,200 5,250 7,350 9,450 10,500

23 PSOT000033 Dimple creation u/l 22,000 27,500 38,500 49,500 55,000

24 PSOT000034 Dimple creation b/l 29,300 36,625 51,275 65,925 73,250

25 PSOT000035 Filler / area (excluding cost) 8,000 10,000 14,000 18,000 20,000

26 PSOT000036 Hair transplant (per graft) 80 100 140 180 200

27 PSOT000037 Hair graft eyebrow/scar/moustache 40,000 50,000 70,000 90,000 100,000

28 PSOT000038 Intralesional injection (in ot) 4,800 6,000 8,400 10,800 12,000

29 PSOT000039 Lip reduction 33,300 41,625 58,275 74,925 83,250


Billing code

Surgeon fee in INR


no.

30 PSOT000042 Endoscopic brow/ forehead lift 40,000 50,000 70,000 90,000 100,000

31 PSOT000046 Face lift- mini 53,300 66,625 93,275 119,925 133,250

32 PSOT000047 Face lift- small scar 66,600 83,250 116,550 149,850 166,500

33 PSOT000051 Face + Neck lift 53,300 66,625 93,275 119,925 133,250

34 PSOT000052 Thread lift 29,300 36,625 51,275 65,925 73,250

35 PSOT000082 (Cleft lip repair unilateral ) complete 33,300 41,625 58,275 74,925 83,250

36 PSOT000083 (Cleft lip repair unilateral ) incomplete 26,700 33,375 46,725 60,075 66,750

37 PSOT000084 (Cleft lip repair bilateral ) complete 46,600 58,250 81,550 104,850 116,500

38 PSOT000085 (Cleft lip repair bilateral ) incomplete 40,000 50,000 70,000 90,000 100,000

39 PSOT000087 Complete cleft lip with anterior palate repair 40,000 50,000 70,000 90,000 100,000

unilateral

40 PSOT000088 Complete cleft lip with anterior palate repair bilateral 53,300 66,625 93,275 119,925 133,250

41 PSOT000089 Correction of macrostomia u/l 20,000 25,000 35,000 45,000 50,000

42 PSOT000090 Correction of microstomia b/l 33,300 41,625 58,275 74,925 83,250

43 PSOT000091 Facial bi-partition for hypertelorism 81,200 101,500 142,100 182,700 203,000

44 PSOT000092 Orbital repositioning for hypertelorism-extra cranial 81,200 101,500 142,100 182,700 203,000

&intracranial approach

45 PSOT000093 Orbital repositioning for hypertelorism-extra cranial 79,900 99,875 139,825 179,775 199,750

&intracranial approach with bone graft

46 PSOT000094 Orbital repositioning for hypertelorism extracranial 67,900 84,875 118,825 152,775 169,750

approach

47 PSOT000095 Orbital repositioning for hypertelorism extracranial 81,200 101,500 142,100 182,700 203,000

approach with bone graft

48 PSOT000097 Contracture release of neck 40,000 50,000 70,000 90,000 100,000

49 PSOT000098 Sternomastoid release -unipolar 24,000 30,000 42,000 54,000 60,000

50 PSOT000099 Sternomastoid release -bipolar 32,000 40,000 56,000 72,000 80,000

51 PSOT000100 cranioplasty with implant - Plastic surgery 40,000 50,000 70,000 90,000 100,000

52 PSOT000101 Cranioplasty with bone graft - Plastic surgery 53,300 66,625 93,275 119,925 133,250

53 PSOT000102 Craniostenosis (multiple cranial sutures)- 77,200 96,500 135,100 173,700 193,000

reconstruction of cranial vault

54 PSOT000103 Craniostenosis (multiple cranial sutures)- 61,300 76,625 107,275 137,925 153,250

reconstruction of cranial vault & bone grafting

55 PSOT000104 Craniostenosis (single cranial suture)- reconstruction 49,300 61,625 86,275 110,925 123,250

of cranial vault

56 PSOT000105 Craniostenosis (single cranial suture)- reconstruction 54,600 68,250 95,550 122,850 136,500

of cranial vault & bone grafting

57 PSOT000108 Debridement Medium - plastic surgery 10,000 12,500 17,500 22,500 25,000

58 PSOT000109 Debridement Small - plastic surgery 6,700 8,375 11,725 15,075 16,750

59 PSOT000114 Burn wound dressing (large) 16,000 20,000 28,000 36,000 40,000


Billing code

Surgeon fee in INR


no.

60 PSOT000115 Burn wound dressing (medium) 11,300 14,125 19,775 25,425 28,250

61 PSOT000116 Burn wound dressing (minor) 6,600 8,250 11,550 14,850 16,500

62 PSOT000117 Dressing in ot- major 8,100 10,125 14,175 18,225 20,250

63 PSOT000118 Dressing in ot- medium 5,000 6,250 8,750 11,250 12,500

64 PSOT000119 Dressing in ot-minor/suture removal 2,400 3,000 4,200 5,400 6,000

65 PSOT000123 Blepharoplasty both lids both eyes 46,600 58,250 81,550 104,850 116,500

66 PSOT000124 Blepharoplasty one lid both eyes 33,300 41,625 58,275 74,925 83,250

67 PSOT000147 Ptosis surgery 33,300 41,625 58,275 74,925 83,250

68 PSOT000153 Tarsorrhaphy 5,000 6,250 8,750 11,250 12,500

69 PSOT000159 Excision of scar/ lesion/wound and skin grafting-major 41,300 51,625 72,275 92,925 103,250

70 PSOT000160 Excision of scar/ lesion/wound and skin grafting- 32,000 40,000 56,000 72,000 80,000

medium

71 PSOT000161 Excision of scar/ lesion/wound and skin grafting-minor 22,700 28,375 39,725 51,075 56,750

72 PSOT000164 Expander insertion-single 26,700 33,375 46,725 60,075 66,750

73 PSOT000165 Expander insertion -two 40,000 50,000 70,000 90,000 100,000

74 PSOT000166 additional expander insertion 6,700 8,375 11,725 15,075 16,750

75 PSOT000167 Expander removal & contouring - multiple 46,600 58,250 81,550 104,850 116,500

76 PSOT000168 Expander removal & contouring - single 33,300 41,625 58,275 74,925 83,250

77 PSOT000170 Facial reanimation 81,200 101,500 142,100 182,700 203,000

78 PSOT000172 P free flap 66,600 83,250 116,550 149,850 166,500

79 PSOT000174 Delay of flap 8,100 10,125 14,175 18,225 20,250

80 PSOT000176 Flap insetting (large) 20,000 25,000 35,000 45,000 50,000

81 PSOT000177 Flap insetting (small) 11,700 14,625 20,475 26,325 29,250

82 PSOT000181 Local transposition flap-large 33,300 41,625 58,275 74,925 83,250

83 PSOT000182 Local transposition flap-medium 26,700 33,375 46,725 60,075 66,750

84 PSOT000183 Local transposition flap- small 20,000 25,000 35,000 45,000 50,000

85 PSOT000204 Excision of haemangioma- extremities/ trunk (5-10cm) 26,700 33,375 46,725 60,075 66,750

86 PSOT000206 Excision of haemangioma- extremities/ trunk (more 33,300 41,625 58,275 74,925 83,250

than 10cm)

87 PSOT000207 Excision of haemangioma- face (less than 2cm) 26,700 33,375 46,725 60,075 66,750

88 PSOT000208 Excision of haemangioma- face (more than2cm) 33,300 41,625 58,275 74,925 83,250

89 PSOT000209 Flap cover for pilonidal sinus 33,300 41,625 58,275 74,925 83,250


Billing code

Surgeon fee in INR


no.

90 PSOT000213 Excision of ganglion 20,000 25,000 35,000 45,000 50,000

91 PSOT000214 Excision of large superficial soft tissue mass/ tumour - 33,300 41,625 58,275 74,925 83,250

excluding neuroma or ganglion

92 PSOT000215 Excision of medium size superficial soft tissue mass/ 26,700 33,375 46,725 60,075 66,750

tumour- excluding neuroma of ganglion

93 PSOT000216 Excision of multiple cyst/ lipoma/ mole 20,000 25,000 35,000 45,000 50,000

94 PSOT000217 Excision of single cysts/ lipoma/ moles 9,200 11,500 16,100 20,700 23,000

95 PSOT000219 Contracture release for camptodactyly single finger 20,000 25,000 35,000 45,000 50,000

96 PSOT000232 Debulking of macrodactyly 38,600 48,250 67,550 86,850 96,500

97 PSOT000234 Excision of extra digit with ligament reconstruction 29,300 36,625 51,275 65,925 73,250

(excluding thumb)

98 PSOT000235 First web release for cleft hand 29,300 36,625 51,275 65,925 73,250

99 PSOT000236 Free microvascular/ joint transfer 66,600 83,250 116,550 149,850 166,500

100 PSOT000237 Free phalangeal/ bone transfer for brachydactyly 25,300 31,625 44,275 56,925 63,250

101 PSOT000239 On-top plasty / pollicization 40,000 50,000 70,000 90,000 100,000

102 PSOT000240 Pollicization for hypoplastic thumb 61,300 76,625 107,275 137,925 153,250

103 PSOT000241 Radial club hand- centralisation radialisation 29,300 36,625 51,275 65,925 73,250

104 PSOT000242 Radial club hand- distractor/external fixator 20,000 25,000 35,000 45,000 50,000

application

105 PSOT000246 Ray resectiion for macrodactyly 32,000 40,000 56,000 72,000 80,000

106 PSOT000248 Syndactyly release-complex 37,300 46,625 65,275 83,925 93,250

107 PSOT000249 Syndactyly release-simple 26,600 33,250 46,550 59,850 66,500

108 PSOT000259 Distractor/jess application for hand 20,000 25,000 35,000 45,000 50,000

109 PSOT000273 Burns contracture release-one finger/toe/minor 22,700 28,375 39,725 51,075 56,750

110 PSOT000274 Burns contracture release-two fingers/toes/medium 32,000 40,000 56,000 72,000 80,000

111 PSOT000275 skin grafting 51,900 64,875 90,825 116,775 129,750

112 PSOT000276 Burn grafting extensive 46,600 58,250 81,550 104,850 116,500

113 PSOT000277 Burn grafting large 40,000 50,000 70,000 90,000 100,000

114 PSOT000278 Burn grafting medium 33,300 41,625 58,275 74,925 83,250

115 PSOT000279 Burn grafting small 20,000 25,000 35,000 45,000 50,000

116 PSOT000283 Composite grafting for finger tip injuries 20,000 25,000 35,000 45,000 50,000

117 PSOT000284 Correction of mallet finger 20,000 25,000 35,000 45,000 50,000

118 PSOT000285 Correction of mallet finger- extensor tendon repair 32,000 40,000 56,000 72,000 80,000

119 PSOT000286 Correction of mallet finger- tendon repair with k- 33,300 41,625 58,275 74,925 83,250

wiring


Billing code

Surgeon fee in INR


no.

120 PSOT000287 Cross finger flap for finger tip injuries 29,300 36,625 51,275 65,925 73,250

121 PSOT000319 Full thickness skin grafting for finger tip injuries 32,000 40,000 56,000 72,000 80,000

122 PSOT000320 Groin/abdominal flap cover for hand injuries-large 38,600 48,250 67,550 86,850 96,500

(multiple flaps)

123 PSOT000321 Groin /abdominal flap cover for hand injuries-large 26,600 33,250 46,550 59,850 66,500

(single flap)

124 PSOT000323 Groin/abdominal flap cover for hand injuries-medium 32,000 40,000 56,000 72,000 80,000

(multiple flaps)

125 PSOT000324 Groin /abdominal flap cover for hand injuries-medium 22,700 28,375 39,725 51,075 56,750

(single flap)

126 PSOT000326 Groin/abdominal flap cover for hand injuries-small 25,300 31,625 44,275 56,925 63,250

(multiple flaps)

127 PSOT000327 Groin /abdominal flap cover for hand injuries-small 20,000 25,000 35,000 45,000 50,000

(single flap)

128 PSOT000329 Homodigital flap for finger tip injuries 25,300 31,625 44,275 56,925 63,250

129 PSOT000330 Krukenbergs operation 25,300 31,625 44,275 56,925 63,250

130 PSOT000332 Nail bed reconstruction- single finger 22,700 28,375 39,725 51,075 56,750

131 PSOT000335 Nail bed repair- single 16,000 20,000 28,000 36,000 40,000

132 PSOT000342 Shortening and closure of finger stump 16,000 20,000 28,000 36,000 40,000

133 PSOT000345 Swan neck deformity correction- single finger 29,300 36,625 51,275 65,925 73,250

134 PSOT000349 Tenolysis of flexor/ extensor tendons- single 16,000 20,000 28,000 36,000 40,000

135 PSOT000351 Toe transfer 81,200 101,500 142,100 182,700 203,000

136 PSOT000353 Trigger finger release 13,300 16,625 23,275 29,925 33,250

137 PSOT000361 Head and neck repair- complex 29,300 36,625 51,275 65,925 73,250

138 PSOT000362 Head and neck repair-simple 14,700 18,375 25,725 33,075 36,750

139 PSOT000366 Pedicled flap - major 40,000 50,000 70,000 90,000 100,000

140 PSOT000367 Pedicled flap - medium 33,300 41,625 58,275 74,925 83,250

141 PSOT000368 Pedicled flap - minor 26,700 33,375 46,725 60,075 66,750

142 PSOT000372 Chordee correction 20,000 25,000 35,000 45,000 50,000

143 PSOT000379 Buttock implant 36,000 45,000 63,000 81,000 90,000

144 PSOT000380 Calf implant 32,000 40,000 56,000 72,000 80,000

145 PSOT000381 Malar/ cheek implant 29,300 36,625 51,275 65,925 73,250

146 PSOT000394 Lacerations- small 7,300 9,125 12,775 16,425 18,250

147 PSOT000395 Lacerations- medium 11,100 13,875 19,425 24,975 27,750

148 PSOT000396 Lacerations- large 16,000 20,000 28,000 36,000 40,000

149 PSOT000397 Lacerations- facial multiple/ extensive 32,000 40,000 56,000 72,000 80,000


Billing code

Surgeon fee in INR


no.

150 PSOT000398 Liposuction Upto 1 litre 29,300 36,625 51,275 65,925 73,250

151 PSOT000403 Lipoinjection Upto 10ml 23,960 29,950 41,930 53,910 59,900

152 PSOT000404 Lipoinjection 10 - 20ml 32,000 40,000 56,000 72,000 80,000

153 PSOT000405 Lipoinjection > 20ml 40,000 50,000 70,000 90,000 100,000

154 PSOT000406 Digit nerve repair 25,300 31,625 44,275 56,925 63,250

155 PSOT000407 Digital nerve graft 32,000 40,000 56,000 72,000 80,000

156 PSOT000408 Median nerve repair 32,000 40,000 56,000 72,000 80,000

157 PSOT000409 Median nerve graft 47,900 59,875 83,825 107,775 119,750

158 PSOT000410 Ulnar nerve repair 32,000 40,000 56,000 72,000 80,000

159 PSOT000411 Ulnar nerve graft 47,900 59,875 83,825 107,775 119,750

160 PSOT000412 Radial nerve repair 32,000 40,000 56,000 72,000 80,000

161 PSOT000413 Radial nerve graft 47,900 59,875 83,825 107,775 119,750

162 PSOT000414 Nerve transfer Single 47,900 59,875 83,825 107,775 119,750

163 PSOT000417 Nerve grafting One graft 47,900 59,875 83,825 107,775 119,750

164 PSOT000420 Functioning free muscle transfer 79,900 99,875 139,825 179,775 199,750

165 PSOT000421 Latissimus dorsi flap-free 66,600 83,250 116,550 149,850 166,500

166 PSOT000422 Latissimus dorsi flap-pedicle 33,300 41,625 58,275 74,925 83,250

167 PSOT000423 Gracilis muscle/myocutaneous flap-free 66,600 83,250 116,550 149,850 166,500

168 PSOT000424 Gracilis muscle/myocutaneous flap-pedicle 33,300 41,625 58,275 74,925 83,250

169 PSOT000425 Free fibular flap 79,900 99,875 139,825 179,775 199,750

170 PSOT000427 Radial artery flap -pedicle 33,300 41,625 58,275 74,925 83,250

171 PSOT000428 Radial artery flap-free 66,600 83,250 116,550 149,850 166,500

172 PSOT000429 Free style free flap 66,600 83,250 116,550 149,850 166,500

173 PSOT000430 Parascapular flap 66,600 83,250 116,550 149,850 166,500

174 PSOT000431 Diep flap 79,900 99,875 139,825 179,775 199,750

175 PSOT000432 Dcia flap 66,600 83,250 116,550 149,850 166,500

176 PSOT000442 Excision of neuroma- major nerve 36,000 45,000 63,000 81,000 90,000

177 PSOT000443 Excision of neuroma-minor nerve 24,000 30,000 42,000 54,000 60,000

178 PSOT000446 Correction of congenital ear lobule deformity 24,000 30,000 42,000 54,000 60,000

179 PSOT000447 Ear lobule repair- bilateral 8,000 10,000 14,000 18,000 20,000


Billing code

Surgeon fee in INR


no.

180 PSOT000448 Ear lobule repair- unilateral 4,000 5,000 7,000 9,000 10,000

181 PSOT000449 Ear lobule repair with cartilage graft 16,000 20,000 28,000 36,000 40,000

182 PSOT000450 Otoplasty for bat ears (bilateral) 36,000 45,000 63,000 81,000 90,000

183 PSOT000451 Otoplasty for bat ears (unilateral) 24,000 30,000 42,000 54,000 60,000

184 PSOT000452 Bilateral sagittal split osteotomy 54,600 68,250 95,550 122,850 136,500

185 PSOT000454 Lefort i osteotomy with advancement 50,600 63,250 88,550 113,850 126,500

186 PSOT000455 Lefort i osteotomy with application of distractor 54,600 68,250 95,550 122,850 136,500

187 PSOT000456 Lefort i osteotomy with impaction/ intrusion 51,900 64,875 90,825 116,775 129,750

188 PSOT000457 Lefort iii (extracranial) advancement 63,900 79,875 111,825 143,775 159,750

189 PSOT000458 Lefort iii (intracranial) advancement- monobloc 63,900 79,875 111,825 143,775 159,750

190 PSOT000459 Lefort iii osteotomy with application of distractor 63,900 79,875 111,825 143,775 159,750

191 PSOT000460 Lefort iii with lefort i advancement 63,900 79,875 111,825 143,775 159,750

192 PSOT000461 Segmental mandibular osteotomy (multiple) 40,000 50,000 70,000 90,000 100,000

193 PSOT000462 Segmental mandibular osteotomy (single) 32,000 40,000 56,000 72,000 80,000

194 PSOT000463 Segmental maxillary osteotomy (multiple) 40,000 50,000 70,000 90,000 100,000

195 PSOT000471 Mandible reconstruction with bone graft 36,000 45,000 63,000 81,000 90,000

196 PSOT000472 Mandible reconstruction with bone plate 29,300 36,625 51,275 65,925 73,250

197 PSOT000473 Mandible reonstruction with free fibular flap 79,900 99,875 139,825 179,775 199,750

198 PSOT000475 Maxillary reconstruction(complicated) with bone graft 33,300 41,625 58,275 74,925 83,250

199 PSOT000478 Alveolar fracture- closed reduction 13,200 16,500 23,100 29,700 33,000

200 PSOT000479 Alveolar fracture- open reduction 20,000 25,000 35,000 45,000 50,000

201 PSOT000481 Arch bar removal 5,200 6,500 9,100 11,700 13,000

202 PSOT000496 Nasal bone fracture- closed reduction with 13,300 16,625 23,275 29,925 33,250

manipulation/stabilisation

203 PSOT000507 Orbital blow out fracture-open reduction + alloplastic 29,300 36,625 51,275 65,925 73,250

implant

204 PSOT000508 Orbital blow out fracture-open reduction + bone graft 36,000 45,000 63,000 81,000 90,000

205 PSOT000512 Tm joint dislocation- closed reduction 20,000 25,000 35,000 45,000 50,000

206 PSOT000513 Tm joint dislocation-open reduction 29,300 36,625 51,275 65,925 73,250

207 PSOT000518 Ear reconstruction 1st stage 40,000 50,000 70,000 90,000 100,000

208 PSOT000519 Ear reconstruction 2nd stage 26,700 33,375 46,725 60,075 66,750

209 PSOT000520 Ear reconstruction 3rd stage 21,300 26,625 37,275 47,925 53,250


Billing code

Surgeon fee in INR


no.

210 PSOT000523 Keloid excision single/ small 21,300 26,625 37,275 47,925 53,250

211 PSOT000526 Otoplasty for acquired ear deformity (bilateral)/ 33,300 41,625 58,275 74,925 83,250

extensive

212 PSOT000527 Otoplasty for acquired ear deformity (unilateral) 29,300 36,625 51,275 65,925 73,250

213 PSOT000528 Otoplasty for lop ears (bilateral) 33,300 41,625 58,275 74,925 83,250

214 PSOT000529 Otoplasty for lop ears (unilateral) 24,000 30,000 42,000 54,000 60,000

215 PSOT000532 Redo palatoplasty 40,000 50,000 70,000 90,000 100,000

216 PSOT000534 Pharyngeal flap pharyngoplasty 33,300 41,625 58,275 74,925 83,250

217 PSOT000535 Palatal fistula closure Local flap 32,000 40,000 56,000 72,000 80,000

218 PSOT000536 Palatal fistula closure Tongue flap 32,000 40,000 56,000 72,000 80,000

219 PSOT000537 Palatal fistula closure Mucosal flap 32,000 40,000 56,000 72,000 80,000

220 PSOT000538 Palatal fistula closure Famm flap 40,000 50,000 70,000 90,000 100,000

221 PSOT000539 Belt lipectomy 58,600 73,250 102,550 131,850 146,500

222 PSOT000540 Brachioplasty / arm lift 33,300 41,625 58,275 74,925 83,250

223 PSOT000541 Reverse abdominoplasty/ torsoplasty 40,000 50,000 70,000 90,000 100,000

224 PSOT000543 Post bariatric surgery Thighplasty 46,600 58,250 81,550 104,850 116,500

225 PSOT000544 Post bariatric surgery Upper body lift 50,600 63,250 88,550 113,850 126,500

226 PSOT000545 Radiofrequency ablation Single mole 6,600 8,250 11,550 14,850 16,500

227 PSOT000547 Radiofrequency ablation Additional moles 3,000 3,750 5,250 6,750 7,500

228 PSOT000548 Reimplantation of finger -single 59,900 74,875 104,825 134,775 149,750

229 PSOT000549 Reimplantation of fingers- two fingers 73,200 91,500 128,100 164,700 183,000

230 PSOT000550 Reimplantation each additional finger (after two 16,000 20,000 28,000 36,000 40,000

fingers)

231 PSOT000551 Reimplantation of upper limb at forearm level 66,600 83,250 116,550 149,850 166,500

232 PSOT000552 Reimplantation of upper limb at palm level 66,600 83,250 116,550 149,850 166,500

233 PSOT000553 Reimplantation of upper limb at upper arm level 79,900 99,875 139,825 179,775 199,750

234 PSOT000554 Reimplantation of upper limb at wrist level 66,600 83,250 116,550 149,850 166,500

235 PSOT000557 Revascularisation of finger -single 26,600 33,250 46,550 59,850 66,500

236 PSOT000561 Revascularisation of upper limb 53,300 66,625 93,275 119,925 133,250

237 PSOT000565 Closed aesthetic rhinoplasty 40,000 50,000 70,000 90,000 100,000

238 PSOT000566 Open tip composite rhinoplasty 46,600 58,250 81,550 104,850 116,500

239 PSOT000567 Reconstructive rhinoplasty-forehead flap (single stage) 34,600 43,250 60,550 77,850 86,500


Billing code

Surgeon fee in INR


no.

240 PSOT000568 Reconstructive rhinoplasty-forehead flap (stage one of 33,300 41,625 58,275 74,925 83,250

two stages)

241 PSOT000569 Reconstructive rhinoplasty -forehead flap (stage two 26,600 33,250 46,550 59,850 66,500

of two stages)

242 PSOT000572 Nasal tip plasty 32,000 40,000 56,000 72,000 80,000

243 PSOT000574 Corrective septorhinoplasty 46,600 58,250 81,550 104,850 116,500

244 PSOT000581 Skin grafting-major 33,300 41,625 58,275 74,925 83,250

245 PSOT000582 Skin grafting -minor 13,300 16,625 23,275 29,925 33,250

246 PSOT000583 Split skin grafting-medium 20,000 25,000 35,000 45,000 50,000

247 PSOT000590 Total parotidectomy (nerve preserving) 40,000 50,000 70,000 90,000 100,000

248 PSOT000591 Total parotidectomy (with nerve grafting) 53,300 66,625 93,275 119,925 133,250

249 PSOT000592 David chuangs muscle transfer procedure 66,600 83,250 116,550 149,850 166,500

250 PSOT000595 Muscle transfer 40,000 50,000 70,000 90,000 100,000

251 PSOT000612 Skin graft Vaginoplasty 32,000 40,000 56,000 72,000 80,000

252 PSOT000613 Flap Vaginoplasty 51,900 64,875 90,825 116,775 129,750

253 PSOT000614 Pedicled omental transfer for sternal wound 53,300 66,625 93,275 119,925 133,250

254 PSOT000615 Kenacort injection 1,400 1,750 2,450 3,150 3,500

255 PSOT000617 Dressing(ward & opd)Large - Plastic surgery 3,200 4,000 5,600 7,200 8,000

256 PSOT000618 Dressing (ward & opd) Medium - Plastic surgery 1,600 2,000 2,800 3,600 4,000

257 PSOT000619 Dressing (ward & opd) Small - Plastic surgery 1,000 1,250 1,750 2,250 2,500

258 PSOT000620 Long bone - Free Fibula 73,200 91,500 128,100 164,700 183,000

259 PSOT000621 ANTERIOR ABDOMINAL WALL RECONS. WITH+REPAIR 44,000 55,000 77,000 99,000 110,000

260 PSOT000622 Incisional hernia repair+component separation 51,300 64,125 89,775 115,425 128,250

261 PSOT000623 EXCISION SEBACEOUS CYST 22,000 27,500 38,500 49,500 55,000

262 PSOT000624 Medium VAC dressing 5,200 6,500 9,100 11,700 13,000

263 PSOT000625 Large VAC dressing 7,300 9,125 12,775 16,425 18,250

264 PSOT000626 Hepatic artery anastomosis 1 vessel/M 16,000 20,000 28,000 36,000 40,000

265 PSOT000627 Hepatic artery anastomosis 2 vessel/M 25,300 31,625 44,275 56,925 63,250

266 PSOT000628 Expander removal & contouring - additional 13,300 16,625 23,275 29,925 33,250

267 PSOT000629 TM Joint ankylosis B/L 46,600 58,250 81,550 104,850 116,500

268 PSOT000630 TM Joint release U/L 40,000 50,000 70,000 90,000 100,000

269 PSOT000631 Polydactyly - Complex 33,300 41,625 58,275 74,925 83,250


Billing code

Surgeon fee in INR


no.

270 PSOT000632 Polydactyly - multiple 40,000 50,000 70,000 90,000 100,000

271 PSOT000633 Syndactyly release - multiple 40,000 50,000 70,000 90,000 100,000

272 PSOT000634 Hand ligament reapir/ reconstruction 26,700 33,375 46,725 60,075 66,750

273 PSOT000635 Accessory digit excision 13,300 16,625 23,275 29,925 33,250

274 PSOT000636 Muscle transfer (1-2) 26,600 33,250 46,550 59,850 66,500

275 PSOT000637 Muscle transfer (3-4) 40,000 50,000 70,000 90,000 100,000

276 PSOT000638 Muscle transfer > 5 53,300 66,625 93,275 119,925 133,250

277 PSOT000639 Redo - rhinoplasty 59,900 74,875 104,825 134,775 149,750

278 PSOT000640 Ear reconstruction 4th stage 26,700 33,375 46,725 60,075 66,750

279 PSOT000641 Ear reconstruction with medpore - 3rd stage 26,700 33,375 46,725 60,075 66,750

280 PSOT000642 Keloid excision multiple /large 26,700 33,375 46,725 60,075 66,750

281 PSOT000643 Arterial repair 26,700 33,375 46,725 60,075 66,750

282 PSOT000644 Arterial reconstruction 40,000 50,000 70,000 90,000 100,000

283 PSOT000645 Z plasty single 20,000 25,000 35,000 45,000 50,000

284 PSOT000646 Z plasty multiple 26,700 33,375 46,725 60,075 66,750

285 PSOT000647 Dermabrasion/ laser resurfacing - small 13,300 16,625 23,275 29,925 33,250

286 PSOT000648 Dermabrasion/ laser resurfacing - medium 26,600 33,250 46,550 59,850 66,500

287 PSOT000649 Dermabrasion/ laser resurfacing - large 40,000 50,000 70,000 90,000 100,000

288 PSOT000650 Dermabrasion/ laser resurfacing - extensive 53,300 66,625 93,275 119,925 133,250

289 PSOT000651 Complete cleft lip+ hard palate + 10 ward unilateral 46,600 58,250 81,550 104,850 116,500

290 PSOT000652 Complete cleft lip+ hard palate + 10 ward bilateral 53,300 66,625 93,275 119,925 133,250

291 PSOT000653 Incomplete cleft palate 26,700 33,375 46,725 60,075 66,750

292 PSOT000654 Submucuos cleft palate 26,700 33,375 46,725 60,075 66,750

293 PSOT000655 Complete cleft palate 40,000 50,000 70,000 90,000 100,000

294 PSOT000656 Secondary cleft palate 33,300 41,625 58,275 74,925 83,250

295 PSOT000657 Cleft lip revision 33,300 41,625 58,275 74,925 83,250

296 PSOT000658 Alveolar bone grafting 33,300 41,625 58,275 74,925 83,250

297 PSOT000659 CLN tip rhinoplasty 26,700 33,375 46,725 60,075 66,750

298 PSOT000660 Face scar small 13,300 16,625 23,275 29,925 33,250

299 PSOT000661 Face scar multiple 26,600 33,250 46,550 59,850 66,500


Billing code

Surgeon fee in INR


no.

300 PSOT000662 Face scar large 40,000 50,000 70,000 90,000 100,000

301 PSOT000663 Face scar extensive 53,300 66,625 93,275 119,925 133,250

302 PSOT000664 ORIF facial fracture single 40,000 50,000 70,000 90,000 100,000

303 PSOT000665 ORIF facial fracture multiple 53,300 66,625 93,275 119,925 133,250

304 PSOT000666 ORIF facial fracture panfacial 79,900 99,875 139,825 179,775 199,750

305 PSOT000667 ORIF facial fracture panfacial with NE 99,900 124,875 174,825 224,775 249,750

306 PSOT000668 ORIF facial fracture arch bar/ IMF 20,000 25,000 35,000 45,000 50,000

307 PSOT000669 Genioplasty with implant 33,300 41,625 58,275 74,925 83,250

308 PSOT000670 Genioplasty without implant 40,000 50,000 70,000 90,000 100,000

309 PSOT000671 Flap insetting (medium) 13,300 16,625 23,275 29,925 33,250

310 PSOT000672 Debridement Large - plastic surgery 20,000 25,000 35,000 45,000 50,000

311 PSOT000673 Preputioplasty 20,000 25,000 35,000 45,000 50,000

312 PSOT000674 Plate removal -Single 13,300 16,625 23,275 29,925 33,250

313 PSOT000675 Plate removal - Two 20,000 25,000 35,000 45,000 50,000

314 PSOT000676 Plate removal - Multiple 26,700 33,375 46,725 60,075 66,750


Psychiatry

S.N Code no Service name Charges in INR

o

1 PYPS000001 Psycho Diagnostics for Personality trait 1500

2 PYPS000002 Psycho diagnostics for Memory 1500

3 PYPS000003 Psycho Diagnostics for Cognitive Functions 3000

4 PYPS000004 Psycho Diagnostics for Learning Disability 2500

5 PYPS000005 Psycho Diagnostics for Intelligence 1500

6 PYPS000006 Psycho Diagnostics for Functioning @ Work 2000

7 PYPS000007 Psycho Diagnostics for Functioning @ home 2000

8 PYPS000008 Psycho Diagnostics for OCD 1500

9 PYPS000009 Psycho Diagnostics for ADD 3000

10 PYPS000010 Psycho Diagnostics for Eating Disorders 3000

11 PYPS000011 Psycho Diagnostics for Depression 1000

12 PYPS000012 Psycho Diagnostics for Anxiety 1000

13 PYPS000013 Psycho Diagnostics for Dementia 3000

14 PYPS000014 Psycho Diagnostics for Sexual Dysfunction 3000

15 PYPS000015 Psycho Diagnostics for Substance Abuse 3000

16 PYPS000016 Projective Tests for Personality for Adults 3000

17 PYPS000017 Projective Test for Temperament Children 2500

18 PYPS000018 Psycho Diagnostics for Family Environment 1500

19 PYPS000019 Psycho Diagnostics for Stress and Quality 1000

20 PYPS000020 Psycho Diagnostics for Disability 1000


Respiratory & Sleep Study Department Billing code Service name

** Day care Sharing Single Single Dlx Super Dlx Suite

Bronchoscopy RMBS000002 Bronchoscopy with BAL (P) 11,000 11,000 13,500 18,500 26,000 35,000 42,500 RMBS000003 Bronchoscopy with EBB (P) 13,000 13,000 15,500 21,000 29,500 39,000 47,500 RMBS000004 Bronchoscopy with TBB (P) 14,000 14,000 16,500 22,000 32,000 41,000 50,000 RMBS000005 Bronchoscopy with TBNA (P) 15,000 15,000 17,500 23,500 33,000 43,000 53,000 RMBS000006 BRONCHOSCOPY BRUSHING 2,000 2,000 2,000 2,500 3,500 4,500 5,000 RMBS000007 BRONCHOSCOPY WITH FORIEGN BODY REMOVAL 16,500 16,500 16,500 20,625 28,875 37,125 41,250 RMBS000008 BRONCHOSCOPY WITH ELECTROCAUTERY 19,000 19,000 19,000 23,750 33,250 42,750 47,500 RMBS000009 BRONCHOSCOPY WITH BALLOON DIALATATION 19,000 19,000 19,000 23,750 33,250 42,750 47,500 RMBS000010 BRONCHOSCOPY WITH ENDOTRACHEAL STENTING 19,000 19,000 19,000 23,750 33,250 42,750 47,500 Pulmonary RMPM000001 Pulmonary function test 1,000

Medicine RMPM000002 Pulmonary function test with Bronchodilator Reversibility 1,200

RMPM000003 Pulmonary function test with BRD and Diffusion 1,500

RMPM000004 Bronchodilator Reversibility 300

RMPM000005 Diffusion study 300

RMPM000006 6 Minute walk test 200

RMPM000007 BPAP / CPAP including initiation per day 2,500 2,500 3,125 4,375 5,625 6,250 Respiratory RMRM000001 Pleural (aspiration)Tapping Diagnostic 2,500 2,500 3,125 4,375 5,625 6,250 Medicine RMRM000002 Pleural (aspiration)Tapping Therapeutic 4,000 4,000 5,000 7,000 9,000 10,000

RMRM000003 Pleurodesis 3,000 3,000 3,750 5,250 6,750 7,500 RMRM000004 Inter Costal Tube Drainage(I C D insertion) 8,000 8,000 10,000 14,000 18,000 20,000 RMRM000005 CO Monitoring Test 300

RMRM000006 Pleural Biopsy 8,000 8,000 10,000 12,000 16,000 20,000 22,000 RMRM000007 Medical Thoracoscopy 15,000 15,000 16,000 18,000 20,000 22,000 25,000 RMRM000008 Medical Thoracoscopy + Pleural Biposy 20,000 20,000 22,000 24,000 26,000 28,000 30,000 RMRM000009 Endobronchial USG with FNA under LA (P) 26,000

RMRM000010 Endobronchial USG with FNA under GA (P) 31,000

RMRM000011 Endobronchial Ultrasound with FNA under MAC (P) 28,000

RMRM000012 PERCUTANEOUS TRUCUT LUNG BIOPSY 5,000 5,000 5,000 6,250 8,750 11,250 12,500 RMRM000013 PERCUTANEOUS FINE NEEDLE LUNG ASPIRATION CYTOLOGY 3,300 3,300 3,300 4,125 5,775 7,425 8,250

RMRM000014 CERVICAL/AXILLARY LYMPH NODE ASPIRATION CYTOLOGY 3,300 3,300 3,300 4,125 5,775 7,425 8,250

Sleep Lab SLSL000002 Titration Study (P) 12,000 12,000 18,000 24,000 31,000 SLSL000003 Dual Night sleep study (P) 22,000 22,000 33,000 44,500 58,000 SLSL000004 Single night sleep study (P) 15,000 15,000 22,000 28,000 31,000 SLSL000006 Sleep Study with MSLT (P) 20,000 20,000 29,000 38,500 47,000 SLSL000009 Home Sleep testing charges 4,000 4,000

SLSL000010 Refundable security charges - Sleep study 4,000 4,000


LIVER TRANSPLANT PACKAGES

S NO. Code Description of pacakge Package in Day Stay(ICU+Room) INR

1 TRLT000007 Liver Transplant Recipient-SN (P) 1,965,000 Recipient 5+8 5+8 Donor 1+5 1+5

2 TRLT000007 Liver Transplant Recipient-SUP Dlx (P) 2,965,000 Recipient 6+18 6+18 Donor 1+7 1+7

3 TRLT000007 Liver Transplant Recipient-Suite (P) 3,215,000 Recipient 6+18 6+18 Donor 1+7 1+7

4 TRLT000011 Liver Transplant High Risk Rec-Single (P) 2,265,000 Recipient 5+13 5+13 Donor 1+5 1+5

5 TRLT000013 Liver Transplant (Ped)<5Yr-Rec- Single (P) 1,560,000 Recipient 5+15 5+15 Donor 2+6 2+6

6 TRLT000015 Liver Transplant (Ped)>5Yr-Rec- Single (P) 1,660,000 Recipient 5+15 5+15 Donor 2+6 2+6

7 TRLT000017 Liver Trans (Ped) High Risk-Rec-Single (P) 1,760,000 Recipient 5+15 5+15 Donor 2+6 2+6

8 TRLT000021 FULMINANT LIVER FAILURE REC-SN (P) 1,965,000 Recipient 5+8 5+8 Donor 1+5 1+5

9 TRLT000023 Cadaveric Liver Transplant-SN (P) 2,590,000 Recipient 5+15 5+15

10 TRLT000024 Intestinal/Multivisceral Transplant (P) 6,000,000 20+40

11 TRLT000025 Liver Transplant Package Special_P-SN (P) 2,115,000 Recipient 5+8 5+8 Donor 1+5 1+5

13 TRLT000029 Liver Transplant (P) Pkg< 5Yrs Spl_P-SN (P) 1,710,000 Recipient 5+15 5+15 Donor 2+6 2+6

14 TRLT000031 Liver Transplant (P) Pkg>5Yrs Spl_P-SN (P) 1,810,000 Recipient 5+15 5+15 Donor 2+6 2+6

15 TRLT000035 Liver Transplant (Eco) Recipient-SN (P) 1,606,500 Recipient 3+7 3+7 Donor 1+4 1+4 PACKAGE INCLUSIONS:

# Package includes Surgeons team charges/ OT/Anesthesia charges # Package days are mentioned against each package for Recipient & Donor # Routine Investigations during package days as per limit # Routine Medicine & consumables during package days as per limit.

EXCLUSIONS : # Room rent beyond package days / package limit. # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Any special medicines # Any additional procedure will be charged extra

KIDNEY TRANSPLANT PACKAGES

S NO. Billing Code Description of pacakge Day Stay SN SD SU SX (ICU+Room)

1 TRKT000001 Kidney Transplant-Related-SN (P) 5+5 450,000 500,000 550,000 700,000 2 TRKT000007 Cadaver Kidney transplant Recipient-SN (P) 5+5 600,000 675,000 750,000 900,000 3 TRKT000009 Kidney Transplant -Unrelated-SN (P) 5+5 450,000 500,000 550,000 700,000 PACKAGE INCLUSIONS:

# Package includes Surgeons team charges/ OT/Anesthesia charges # Package days are mentioned against each package for Recipient & Donor # Routine Investigations during package days as per limit # Above package includes medicine & consumables to extend of Rs 180000 for s.no 1 & 3 and for s.no 2 limit is Rs.75000

EXCLUSIONS : # Room rent beyond package days / package limit. # Medicine & consumables/ investigations beyond package days & package limit will be charged on actual # Inj stimulect or equivalent or any Special medicines will be charged extra , if used. # Any additional procedure will be charged extra


Liver Transplant

S. No Billing code Service name Charges

1 TRLT000001 Tumour Evaluation Fee for Liver Transplant 5,000

2 TRLT000002 Online Liver Transplant Consultation 10,000

3 TRLT000009 LTP EARLY DISCHARGE Recipient 1,750,000

4 TRLT000006 Recipient Post Transplant Follow up Fees (Pediatric) 115,000

5 TRLT000003 Pre Liver Transplant-Recipient Evaluation Fee (Pediatric) 60,000

6 TRLT000019 AIET (Autologous Immune Enhancement Therapy)-1 440,000

7 TRLT000020 AIET (Autologous Immune Enhancement Therapy) - 2 300,000

8 TRLT000033 Pre Liver Transplant-Recipient Evaluation Fee (Adult) 65,000

9 TRLT000034 Recipient Post Transplant Follow Up Fees (Adult) 125,000

10 TRLT000005 Donor post operative Follow Up Fees 15,000

11 TRLT000004 Pre Liver Transplant-Donor Evaluation Fee 20,000

Kidney Transplant

1 TRKT000005 Kidney Transplant Pre Evaluation Pkg 6,000

2 TRKT000006 Kidney Transplant Post Transplant Pkg 7,000

UROLOGY SURGERY

S. No Billing code Service name Surgeon fee in INR

Sharing /** Single Single Dlx Super Dlx Suite

1 UOUS000001 RPLND 55,000 68,750 96,250 123,750 137,500

2 UOUS000002 Adrenalectomy -open 30,250 37,813 52,938 68,063 75,625

3 UOUS000003 Augmentation cystoplasty 50,000 62,500 87,500 112,500 125,000

4 UOUS000004 Bladder stone (open/endoscopic) 15,730 19,663 27,528 35,393 39,325

5 UOUS000005 bladder diverticulectomy -open 30,000 37,500 52,500 67,500 75,000

6 UOUS000006 Cystectomy (partial) 30,000 37,500 52,500 67,500 75,000

7 UOUS000007 Exostrophy Repair 50,000 62,500 87,500 112,500 125,000

8 UOUS000008 Mitrofanoff 35,000 43,750 61,250 78,750 87,500

9 UOUS000009 Radical Cystectomy + Ileal Conduit - 55,000 68,750 96,250 123,750 137,500

10 UOUS000010 Radical Cystectomy+Orthotopic Bladder 65,000 81,250 113,750 146,250 162,500

11 UOUS000011 Suprabubic Cystostomy 10,000 12,500 17,500 22,500 25,000

12 UOUS000012 TURBT 16,500 20,625 28,875 37,125 41,250

13 UOUS000013 VVF Repair 35,000 43,750 61,250 78,750 87,500

14 UOUS000014 Botox injection (intravesical/intrasphinteric) 15,000 18,750 26,250 33,750 37,500

15 UOUS000015 Cystoscopy with biopsy 8,800 11,000 15,400 19,800 22,000

16 UOUS000016 Cystoscopy without biopsy 5,500 6,875 9,625 12,375 13,750

17 UOUS000017 D.J Stenting/ stent insertion ( Unilateral ) 9,680 12,100 16,940 21,780 24,200

18 UOUS000018 DJ stent removal 2,420 3,025 4,235 5,445 6,050

19 UOUS000019 Change of Nephrostomy Tube(LA) 4,000 5,000 7,000 9,000 10,000

20 UOUS000020 Endopyelotomy 27,500 34,375 48,125 61,875 68,750

21 UOUS000021 Nephrectomy (Partial) -open 66,000 82,500 115,500 148,500 165,000

22 UOUS000022 Nephrectomy (Radical) -open 38,500 48,125 67,375 86,625 96,250

23 UOUS000023 Nephrectomy (Simple) -open 38,500 48,125 67,375 86,625 96,250

24 UOUS000024 Nephrectomy Nephroureterectomy (Radical 38,500 48,125 67,375 86,625 96,250

) -open

25 UOUS000025 Nephrostomy - Open 15,000 18,750 26,250 33,750 37,500

26 UOUS000026 PCNL/Open/Laproscopic pyelolithotomy u/l 27,500 34,375 48,125 61,875 68,750

(Single Tract)

27 UOUS000028 Pyeloplasty - open 30,250 37,813 52,938 68,063 75,625

28 UOUS000032 CAPD Catheter Insertion 12,500 15,625 21,875 28,125 31,250

29 UOUS000033 CAPD Catheter removal 7,260 9,075 12,705 16,335 18,150

30 UOUS000034 Permacath Insertion 12,500 15,625 21,875 28,125 31,250

31 UOUS000035 Permacath Removal 5,000 6,250 8,750 11,250 12,500

32 UOUS000036 Circumcision/ Meatoplasty 9,680 12,100 16,940 21,780 24,200

33 UOUS000037 Epispadias Repair - Primary Repair 35,000 43,750 61,250 78,750 87,500

34 UOUS000038 Frenuloplasty 5,000 6,250 8,750 11,250 12,500

35 UOUS000039 Hypospadias Repair ( Single Stage ) 30,000 37,500 52,500 67,500 75,000

36 UOUS000040 Hypospadias Repair ( Two Stage -First Stage 18,200 22,750 31,850 40,950 45,500

)

37 UOUS000041 Hypospadias Repair ( Two Stage -Second 18,200 22,750 31,850 40,950 45,500

Stage )

38 UOUS000042 Inguinal lymphadenectomy (unilateral) 20,570 25,713 35,998 46,283 51,425

39 UOUS000044 Meatotomy 5,000 6,250 8,750 11,250 12,500

40 UOUS000045 Nesbit's Procedure 20,000 25,000 35,000 45,000 50,000

41 UOUS000046 Penectomy ( Partial ) 25,000 31,250 43,750 56,250 62,500

42 UOUS000047 Penectomy ( Total ) 35,000 43,750 61,250 78,750 87,500

43 UOUS000048 Penile Implant 40,000 50,000 70,000 90,000 100,000

44 UOUS000049 Penile tumor biopsy 4,000 5,000 7,000 9,000 10,000 45 UOUS000050 Bladder Neck Incision / TUIP 18,150 22,688 31,763 40,838 45,375


S. No Billing code Service name Surgeon fee in INR Sharing /** Single Single Dlx Super Dlx Suite

46 UOUS000051 Lap/ robotic radical Prostatectomy 66,000 82,500 115,500 148,500 165,000

47 UOUS000052 Open/laser Prostatectomy/TRUP-BPH less 24,200 30,250 42,350 54,450 60,500

than 50 gms

48 UOUS000056 TRUS Guided Prostate Biopsy (P) 10,000 12,500 17,500 22,500 25,000

49 UOUS000059 Orchidopexy Unilateral - Open 24,200 30,250 42,350 54,450 60,500

50 UOUS000060 Hydrocele - Unilateral 9,680 12,100 16,940 21,780 24,200

51 UOUS000061 Orchidectomy Unilateral - Simple 16,940 21,175 29,645 38,115 42,350

52 UOUS000062 Scrotal exploration 10,000 12,500 17,500 22,500 25,000

53 UOUS000063 Testicular biopsy 10,000 12,500 17,500 22,500 25,000

54 UOUS000064 Testicular prosthesis(Unilateral) 18,200 22,750 31,850 40,950 45,500

55 UOUS000065 Testicular torsion surgery 25,000 31,250 43,750 56,250 62,500

56 UOUS000066 Varicocelectomy Unilateral - Microsurgical 18150 22688 31763 40838 45375

57 UOUS000067 Vasectomy 10,000 12,500 17,500 22,500 25,000

58 UOUS000068 RIRS (unilateral) 30,250 37,813 52,938 68,063 75,625

59 UOUS000069 Ureteric Reimplantation ( Unilateral ) 30,000 37,500 52,500 67,500 75,000

60 UOUS000070 Ureteric Reimplantation with Boari flap 35,000 43,750 61,250 78,750 87,500

Unilateral - Open

61 UOUS000072 Ureterolithotomy (Lap/Open) 25,000 31,250 43,750 56,250 62,500

62 UOUS000073 Ureterolysis (Lap/Open) 35,000 43,750 61,250 78,750 87,500

63 UOUS000074 Ureteroscopic Stone Removal - Unilateral 16,500 20,625 28,875 37,125 41,250

64 UOUS000075 Ureteroscopy ( Diagnostic ) 9,075 11,344 15,881 20,419 22,688

65 UOUS000076 Ureteroureterostomy - Open/lap 35,000 43,750 61,250 78,750 87,500

66 UOUS000077 Urinary diversion without cystectomy 35,000 43,750 61,250 78,750 87,500

(conduit)

67 UOUS000078 Incontinence surgery (AUS) 45,000 56,250 78,750 101,250 112,500

68 UOUS000079 Incontinence surgery (injectable) 15,000 18,750 26,250 33,750 37,500

69 UOUS000080 Incontinence surgery (Sling)- Male 24,200 30,250 42,350 54,450 60,500

70 UOUS000081 Optical Internal Urethrotomy(OIU) 11,000 13,750 19,250 24,750 27,500

71 UOUS000082 Perineal Urethrostomy 15,000 18,750 26,250 33,750 37,500

72 UOUS000083 PUV Fulguration 15,000 18,750 26,250 33,750 37,500

73 UOUS000084 URETHRAL DIVERTICULUM REPAIR 20,000 25,000 35,000 45,000 50,000

74 UOUS000085 Urethroplasty ( Single Stage ) 30,250 37,813 52,938 68,063 75,625

75 UOUS000086 Urethroplasty (Two Staged- First Stage) 18,150 22,688 31,763 40,838 45,375

76 UOUS000087 Urethroplasty (Two Staged-Second Stage) 18,150 22,688 31,763 40,838 45,375

77 UOUS000088 Microsurgical Vasoepididymal /Vasovasal 35,000 43,750 61,250 78,750 87,500

Anastomosis (Unilateral)

78 UOUS000094 Pelvic Floor Repair (minor) 20,000 25,000 35,000 45,000 50,000

79 UOUS000095 Pelvic Floor Repair (major) 35,000 43,750 61,250 78,750 87,500

80 UOUS000096 TVT-O/ TVT 18,150 22,688 31,763 40,838 45,375

81 UOUS000097 Laparoscopic renal cyst deroofing 25,000 31,250 43,750 56,250 62,500

82 UOUS000098 Open de-roofing of Renal cyst 25,000 31,250 43,750 56,250 62,500

83 UOUS000099 Laparoscopic/Robotic pelvic 20,000 25,000 35,000 45,000 50,000

lymphadnectomy

84 UOUS000101 York Masson Recto Urinary Fistula Repair 40,000 50,000 70,000 90,000 100,000

85 UOUS000102 Laproscopic Ureterectomy 21,000 26,250 36,750 47,250 52,500

86 UOUS000103 Adrenalectomy -laproscopic 30,250 37,813 52,938 68,063 75,625

87 UOUS000104 Bladder Diverticulectomy -Laproscopic 30,000 37,500 52,500 67,500 75,000

88 UOUS000105 Inguinal lymphadenectomy (bilateral) 35,000 43,750 61,250 78,750 87,500

89 UOUS000106 Partial Nephrectomy - Laproscopic 66,000 82,500 115,500 148,500 165,000 A Unit of Global Health Pvt. Ltd.



90 UOUS000107 Radical Nephrectomy - Laproscopic 50,000 62,500 87,500 112,500 125,000

91 UOUS000108 Nephrectomy Simple - Laproscopic 38,500 48,125 67,375 86,625 96,250

92 UOUS000109 Radical Nephrectomy Nephroureterectomy - 50,000 62,500 87,500 112,500 125,000

Laproscopic

93 UOUS000110 Nephrostomy - Laproscopic 15,000 18,750 26,250 33,750 37,500

94 UOUS000113 Pyeloplasty - Laparoscopic 30,250 37,813 52,938 68,063 75,625

95 UOUS000114 Epispadias Repair - Crippled Epispaedias 30,000 37,500 52,500 67,500 75,000

96 UOUS000115 Orchidopexy Unilateral - Laproscopic 27,000 33,750 47,250 60,750 67,500

97 UOUS000116 Orchidopexy Bilateral - Open 40,000 50,000 70,000 90,000 100,000

98 UOUS000117 Orchidopexy Bilateral -Laproscopic 40,000 50,000 70,000 90,000 100,000

99 UOUS000118 Hydrocele - Bilateral 15,000 18,750 26,250 33,750 37,500

100 UOUS000119 Orchidectomy Unilateral - Radical 20,000 25,000 35,000 45,000 50,000

101 UOUS000120 Varicocelectomy Unilateral- Laproscopic 20,000 25,000 35,000 45,000 50,000

102 UOUS000121 Varicocelectomy Bilateral -Microsurgical 30,000 37,500 52,500 67,500 75,000

103 UOUS000122 Varicocelectomy Bilateral -laproscopic 30,000 37,500 52,500 67,500 75,000

104 UOUS000123 Ureteric Reimplantation With Boari Flap 50,000 62,500 87,500 112,500 125,000

(Unilateral) - Laproscopic

105 UOUS000124 Ureteroureterostomy - Laproscopic 40,000 50,000 70,000 90,000 100,000

106 UOUS000126 Orchidectomy Bilateral - Simple 15,000 18,750 26,250 33,750 37,500

107 UOUS000127 Orchidectomy Bilateral - Radical 20,000 25,000 35,000 45,000 50,000

108 UOUS000128 Bladder Pacemaker Placement 20,000 25,000 35,000 45,000 50,000

109 UOUS000129 Radical nephrectomy + IVC Thrombectomy 70,000 87,500 122,500 157,500 175,000

110 UOUS000130 Nephroscopy + Biopsy 10,000 12,500 17,500 22,500 25,000

111 UOUS000131 Renal auto – transplantation surgery 75,000 93,750 131,250 168,750 187,500

112 UOUS000132 EXCISION OF MULTIPLE SCROTAL 10,000 12,500 17,500 22,500 25,000

SEBACEOUS CYSTS

113 UOUS000133 Ureteroscopic stone removal - Bilateral 27,500 34,375 48,125 61,875 68,750

114 UOUS000134 Fusion Prostate Biopsy (P) 30,500 38,125 53,375 68,625 76,250

115 UOUS000135 Laser Procedure femilift- surgeon fee (P) 30,000 37,500 52,500 67,500 75,000

116 UOUS000136 Laser procedure femilift surgeons fee - stage 18,400 23,000 32,200 41,400 46,000

1 (P)

117 UOUS000137 Laser procedure femilift surgeons fee -stage 21,800 27,250 38,150 49,050 54,500

2/3 (P)

118 UOUS000138 Epididymectomy 10,000 12,500 17,500 22,500 25,000

119 UOUS000139 RGP/Ureteric Catheterization 5,500 6,875 9,625 12,375 13,750

120 UOUS000140 Relook Ureteroscopy + Stent removal 5,500 6,875 9,625 12,375 13,750

121 UOUS000141 Hemiscrotectomy 15,000 18,750 26,250 33,750 37,500

122 UOUS000142 Urethrectomy 20,000 25,000 35,000 45,000 50,000

123 UOUS000143 Re suturing/Secondary suturing 10,000 12,500 17,500 22,500 25,000

124 UOUS000144 Urethral fistula closure 10,000 12,500 17,500 22,500 25,000

125 UOUS000145 PCNL/Open/Laproscopic pyelolithotomy u/l 30,250 37,813 52,938 68,063 75,625

(>1 Tract)

126 UOUS000146 Open/laser Prostatectomy/TRUP-BPH less 30,250 37,813 52,938 68,063 75,625

than 51-100 gms

127 UOUS000147 Open/laser Prostatectomy/TRUP-BPH more 36,300 45,375 63,525 81,675 90,750

than 100 gms

128 UOUS000148 Vesicostomy 12,100 15,125 21,175 27,225 30,250

129 UOUS000149 Penile fracture repair 40,000 50,000 70,000 90,000 100,000

A Unit of Global

Health Pvt. Ltd.



130 UOUS000150 Seminal Vesiculectomy 40,000 50,000 70,000 90,000 100,000

131 UOUS000151 Post Operative Urological Examination 4,000 5,000 7,000 9,000 10,000

132 UOUS000152 Ureterocele incision 15,000 18,750 26,250 33,750 37,500

133 UOUS000153 Inguinal Herniotomy (Unilateral) 14,000 17,500 24,500 31,500 35,000

134 UOUS000154 Inguinal Herniotomy (Bilateral) 18,000 22,500 31,500 40,500 45,000

135 UOUS000155 Cystoscopy +Deflux injection (Unilateral) 15,000 18,750

26,250 33,750 37,500

136 UOUS000156 Cystoscopy +Deflux injection (Bilateral) 20,000 25,000

35,000 45,000 50,000

137 UOUS000157 Bladder Neck Repair 20,000 25,000 35,000 45,000 50,000

138 UOUS000158 Incontinence surgery (Sling)- Female 24,200 30,250 42,350 54,450 60,500

UROLOGY Procedures

Charges in INR

S. No Billing code Service name Sharing /** Single Single Dlx Super Dlx Suite

1 UOPR000002 Voiding Cystometry 5,000 6,250 8,750 11,250 12,500

2 UOPR000009 Lithotripsy <1 cm stone 27,500 34,375 48,125 61,875 68,750

3 UOPR000010 Lithotripsy >1 cm stone 35,000 43,750 61,250 78,750 87,500

4 UOPR000012 Minor suturing/procedure 4,000 5,000 7,000 9,000 10,000

5 UOPR000013 NMP 22 3,850 4,813 6,738 8,663 9,625

6 UOPR000014 PIPE test 2,500 3,125 4,375 5,625 6,250

7 UOPR000015 TRUS guided prostate biopsy 19,800 24,750 34,650 44,550 49,500

8 UOPR000016 Tube/catheter/suture removal 550 688 963 1,238 1,375

9 UOPR000017 Urethral dilatation 1,650 2,063 2,888 3,713 4,125

10 UOPR000018 Urethral calibration 1,500 1,875 2,625 3,375 3,750

11 UOPR000019 Uroflowmetry 1,000 1,250 1,750 2,250 2,500

12 UOPR000021 Videourodynamics 7,500 9,375 13,125 16,875 18,750

13 UOPR000022 Bladder Scan 500 625 875 1,125 1,250

14 UOPR000023 BCG instillation 4,000 5,000 7,000 9,000 10,000

15 UOPR000026 Dressing 1,000 1,250 1,750 2,250 2,500

16 UOPR000027 Catheterization (with ordinary Foleys) 1,500 1,875 2,625 3,375 3,750

17 UOPR000028 Catheterization (with ordinary silicone 2,200 2,750 3,850 4,950 5,500

catheter)

18 UOPR000031 Lithotripsy - Post PCNL residual stone 15,000 18,750 26,250 33,750 37,500

19 UOPR000041 Uroflowmetry + Bladder scan 1,500 1,875 2,625 3,375 3,750

20 UOPR000044 Miscellaneous procedure 550 688 963 1,238 1,375

21 UOPR000045 Uro Micturating Cystourethrogram (MCU) 2,500 3,125 4,375 5,625 6,250

22 UOPR000046 Uro Retrograde Urethrogram (RGU) 2,500 3,125 4,375 5,625 6,250

23 UOPR000047 Uro Nephrostogram 2,500 3,125 4,375 5,625 6,250

24 UOPR000048 Uro cytogram 2,500 3,125 4,375 5,625 6,250

25 UOPR000049 Uro retrograde pyelogram (RGP) 2,200 2,750 3,850 4,950 5,500

26 UOPR000050 Pelvic Neurostimulation 1,000 1,250 1,750 2,250 2,500

27 UOPR000051 Uroflowmetry + EMG 1,500 1,875 2,625 3,375 3,750

28 UOPR000052 Uroflowmetry + EMG + Bladder Scan 2,000 2,500 3,500 4,500 5,000


Interventional Radiology

S.No Code no Service Name Charges in INR


1 RDIR000004 USG guided FNAC 3,300 3,300 4,125 5,775 7,425 8,250

2 RDIR000005 USG guided FNAC (Mob) 5,060 5,060 6,325 8,855 11,385 12,650

3 RDIR000006 CT guided FNAC 7,018 7,018 8,773 12,282 15,791 17,545

4 RDIR000007 USG guided Biopsy 5,060 5,060 6,325 8,855 11,385 12,650

5 RDIR000008 USG guided Biopsy (Mob) 7,590 7,590 9,488 13,283 17,078 18,975

6 RDIR000009 CT guided Biopsy 8,349 8,349 10,436 14,611 18,785 20,873

7 RDIR000010 Fluoroscopy guided bone biopsy 6,897 6,897 8,621 12,070 15,518 17,243

8 RDIR000011 CT guided bone biopsy 10,890 10,890 13,613 19,058 24,503 27,225

9 RDIR000012 VERTEBROPLASTY SINGLE 11,495 11,495 14,369 20,116 25,864 28,738

10 RDIR000013 VERTEBROPLASTY MULTIPLE 21,780 21,780 27,225 38,115 49,005 54,450

11 RDIR000014 USG guided drainage 7,590 7,590 9,488 13,283 17,078 18,975

12 RDIR000015 USG guided drainage (Mob) 10,120 10,120 12,650 17,710 22,770 25,300

13 RDIR000016 USG guided drainage Multiple 13,310 13,310 16,638 23,293 29,948 33,275

14 RDIR000017 USG guided drainage Multiple (Mob) 16,698 16,698 20,873 29,222 37,571 41,745

15 RDIR000018 CT guided drainage 10,527 10,527 13,159 18,422 23,686 26,318

16 RDIR000019 CT guided drainage Multiple 16,940 16,940 21,175 29,645 38,115 42,350

17 RDIR000020 Tube change/ tube upsizing/ tube repositioning 3,190 3,190 3,988 5,583 7,178 7,975

18 RDIR000021 USG guided tumor ablation Chemical 10,406 10,406 13,008 18,211 23,414 26,015

19 RDIR000022 USG guided tumor ablation thermal 21,780 21,780 27,225 38,115 49,005 54,450

20 RDIR000023 CT guided tumor ablation Chemical 13,310 13,310 16,638 23,293 29,948 33,275

21 RDIR000024 CT guided tumor ablation thermal 21,175 21,175 26,469 37,056 47,644 52,938

22 RDIR000025 CYST ABLATION 10,285 10,285 12,856 17,999 23,141 25,713

23 RDIR000026 FALLOPIAN TUBE RECANALIZATION 12,100 12,100 15,125 21,175 27,225 30,250

24 RDIR000027 Biliary Drainage Single System (PTBD Single System) 9,900 9,900 12,375 17,325 22,275 24,750

25 RDIR000028 Biliary Drainage Two System (PTBD Two System) 15,400 15,400 19,250 26,950 34,650 38,500

26 RDIR000029 Biliary Drainage Three System (PTBD Three System) 19,800 19,800 24,750 34,650 44,550 49,500

RDIR000030 Biliary Drainage More Than Three System (PTBD More Than 22,000 22,000 27,500 38,500 49,500 55,000

27 Three System)

28 RDIR000031 NEPHROSTOMY UNILATERAL 7,260 7,260 9,075 12,705 16,335 18,150

29 RDIR000032 NEPHROSTOMY BILATERAL 10,890 10,890 13,613 19,058 24,503 27,225

30 RDIR000033 Internalization & Stenting Single System 9,900 9,900 12,375 17,325 22,275 24,750

31 RDIR000034 Internalization & Stenting Two System 16,500 16,500 20,625 28,875 37,125 41,250

32 RDIR000035 Internalization & Stenting Three System 19,250 19,250 24,063 33,688 43,313 48,125

33 RDIR000036 Internalization & Stenting More Than Three System 27,500 27,500 34,375 48,125 61,875 68,750

34 RDIR000037 CHOLECYSTOSTOMY 9,680 9,680 12,100 16,940 21,780 24,200

35 RDIR000038 MOB CHOLECYSTOSTOMY 13,310 13,310 16,638 23,293 29,948 33,275

36 RDIR000039 CT Guided Celiac Ganglion Block 13,915 13,915 17,394 24,351 31,309 34,788

37 RDIR000040 PERCUTANEOUS CYSTOGASTROSTOMY 10,285 10,285 12,856 17,999 23,141 25,713

38 RDIR000041 ESOPHAGEAL STENTING 21,780 21,780 27,225 38,115 49,005 54,450

39 RDIR000042 DUODENAL/COLONIC STENTING 24,200 24,200 30,250 42,350 54,450 60,500

40 RDIR000043 ANGIOGRAPHY (IR Vascular) 10,527 10,527 13,159 18,422 23,686 26,318

41 RDIR000044 ANGIOPLASTY (IR Vascular) 36,300 36,300 45,375 63,525 81,675 90,750

42 RDIR000045 ANGIOPLASTY & STENTING (IR Vascular) 48,400 48,400 60,500 84,700 108,900 121,000

43 RDIR000046 EMBOLIZATION FOR BLEEDING 38,500 38,500 48,125 67,375 86,625 96,250

44 RDIR000047 EMBOLIZATION FOR VARICOCELE 31,460 31,460 39,325 55,055 70,785 78,650

45 RDIR000048 Tumor Embolization 38,500 38,500 48,125 67,375 86,625 96,250

46 RDIR000049 PARTIAL SPLENIC EMBOLIZATION 33,000 33,000 41,250 57,750 74,250 82,500

55,000 55,000 68,750 96,250 123,750 137,500

47 RDIR000050 RADIOEMBOLIZATION, COILING AND SHUNT EVALUATION

48 RDIR000051 YTTRIUM 90 THERAPY INFUSION 25,300 25,300 31,625 44,275 56,925 63,250

49 RDIR000052 PORTAL VEIN EMBOLIZATION 38,500 38,500 48,125 67,375 86,625 96,250

50 RDIR000053 TRANSJUGULAR BIOPSY 16,500 16,500 20,625 28,875 37,125 41,250

77,000 77,000 96,250 134,750 173,250 192,500

51 RDIR000054 TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS)

52 RDIR000055 TIPS + EMBOLIZATION 88,000 88,000 110,000 154,000 198,000 220,000

BALLOON OCCLUDED RETROGRADE TRANSVENOUS OBLITER 72,600 72,600 90,750 127,050 163,350 181,500

53 RDIR000056 OF VARICES

54 RDIR000057 USG guided aspiration 2,783 2,783 3,479 4,870 6,262 6,958

55 RDIR000058 USG guided aspiration (Mob) 4,235 4,235 5,294 7,411 9,529 10,588

56 RDIR000059 CT guided aspiration 5,808 5,808 7,260 10,164 13,068 14,520

57 RDIR000064 Portal Vein Stenting 33,000 33,000 41,250 57,750 74,250 82,500

58 RDIR000073 PERCUTANEOUS EMBOLISATION 15,125 15,125 18,906 26,469 34,031 37,813

59 RDIR000074 Thrombolysis 44,000 44,000 55,000 77,000 99,000 110,000

60 RDIR000075 PERCUTANEOUS SCLEROTHERAPY 9,075 9,075 11,344 15,881 20,419 22,688


S.No Code no Service Name Charges in INR


61 RDIR000076 RF ABLATION OF VARICOSE VEINS 24,200 24,200 30,250 42,350 54,450 60,500

62 RDIR000078 BILIARY HILAR RECONSTRUCTION 48,400 48,400 60,500 84,700 108,900 121,000

63 RDIR000079 TVS OR TRUS GUIDED SAMPLING 9,680 9,680 12,100 16,940 21,780 24,200

64 RDIR000080 IMAGE GUIDED LINE INSERTION 7,260 7,260 9,075 12,705 16,335 18,150

65 RDIR000081 Catheter internalization Single system 8,250 8,250 10,313 14,438 18,563 20,625

66 RDIR000082 Catheter internalization Two system 13,750 13,750 17,188 24,063 30,938 34,375

67 RDIR000083 Catheter internalization Three system 16,500 16,500 20,625 28,875 37,125 41,250

68 RDIR000084 Catheter internalization More than three system 22,000 22,000 27,500 38,500 49,500 55,000

69 RDIR000085 REVERSE CYSTOGASTROSTOMY 18,150 18,150 22,688 31,763 40,838 45,375

70 RDIR000086 PERCUTANEOUS FISTULO-GASTROSTOMY 24,200 24,200 30,250 42,350 54,450 60,500

71 RDIR000087 USG guided Trans gastric drainage 11,000 11,000 13,750 19,250 24,750 27,500

72 RDIR000088 CT guided Trans gastric drainage 12,100 12,100 15,125 21,175 27,225 30,250

73 RDIR000089 URETERAL STENTING UNILATERAL 9,075 9,075 11,344 15,881 20,419 22,688

74 RDIR000090 URETERAL STENTING BILATERAL 15,125 15,125 18,906 26,469 34,031 37,813

75 RDIR000091 URETERAL STENTING MULTIPLE 18,150 18,150 22,688 31,763 40,838 45,375

76 RDIR000092 CELIAC GANGLION BLOCK USG GUIDANCE 9,075 9,075 11,344 15,881 20,419 22,688

77 RDIR000093 THERAPEUTIC ASPIRATION USG GUIDANCE 5,500 5,500 6,875 9,625 12,375 13,750

78 RDIR000094 MOBILE THERAPEUTIC ASPIRATION USG GUIDANCE 8,250 8,250 10,313 14,438 18,563 20,625

79 RDIR000095 PERCUTANEOUS GASTROSTOMY 18,150 18,150 22,688 31,763 40,838 45,375

80 RDIR000096 PERCUTANEOUS FEEDING JEJUNOSTOMY 18,150 18,150 22,688 31,763 40,838 45,375

81 RDIR000097 PERCUTANEOUS BILIO-ENTERIC ANASTOMOSIS 44,000 44,000 55,000 77,000 99,000 110,000

82 RDIR000098 Intraductal cytology 16,500 16,500 20,625 28,875 37,125 41,250

83 RDIR000099 Intraductal biopsy 16,500 16,500 20,625 28,875 37,125 41,250

84 RDIR000100 Interventional Radiology Procedure A 9,075 9,075 11,344 15,881 20,419 22,688

85 RDIR000101 Interventional Radiology Procedure B 18,150 18,150 22,688 31,763 40,838 45,375

86 RDIR000102 Interventional Radiology Procedure C 24,200 24,200 30,250 42,350 54,450 60,500

87 RDIR000103 Interventional Radiology Procedure D 30,250 30,250 37,813 52,938 68,063 75,625

88 RDIR000130 PERCUTANEOUS PLUG BIOPSY 9,075 9,075 11,344 15,881 20,419 22,688

89 RDIR000131 INTERVENTIONAL RADIOLOGY REVIEW 1,513 1,513 1,891 2,647 3,403 3,781

90 RDIR000134 Interventional Radiology Procedure E 42,350 42,350 52,938 74,113 95,288 105,875

91 RDIR000135 Interventional Radiology Procedure F 60,500 60,500 75,625 105,875 136,125 151,250

92 RDIR000136 Interventional Radiology Procedure G 72,600 72,600 90,750 127,050 163,350 181,500

93 RDIR000137 CT guided chest biopsy 16,500 16,500 20,625 28,875 37,125 41,250

94 RDIR000138 USG guided chest biopsy 11,000 11,000 13,750 19,250 24,750 27,500

95 RDIR000139 Treatment Planning & Evaluation 3,025 3,025 3,781 5,294 6,806 7,563

96 RDIR000140 Invasive pressure gradiant measurement 12,100 12,100 15,125 21,175 27,225 30,250

97 RDIR000141 CT Guided Fiducial Placement 24,200 24,200 30,250 42,350 54,450 60,500

98 RDIR000142 USG Guided Fiducial Placement 18,150 18,150 22,688 31,763 40,838 45,375

99 RDIR000143 TRUS/TVS Guided Fiducial Placement 24,200 24,200 30,250 42,350 54,450 60,500

100 RDIR000144 Mobile Nephrostomy-Unilateral 10,890 10,890 13,613 19,058 24,503 27,225

101 RDIR000145 Mobile Nephrostomy-Bilateral 16,335 16,335 20,419 28,586 36,754 40,838

102 RDIR000146 Percutaneous veno venous shunt 30,000 30,000 37,500 52,500 67,500 75,000

103 RDIR000147 USG guided renal biopsy 6,600 6,600 8,250 11,550 14,850 16,500

104 RDIR000148 USG guided renal biopsy (mob ) 8,800 8,800 11,000 15,400 19,800 22,000

105 RDIR000149 Fluoroscopic nephrostomy unilateral 8,800 8,800 11,000 15,400 19,800 22,000

106 RDIR000150 Fluoroscopic nephrostomy bilateral 13,200 13,200 16,500 23,100 29,700 33,000

107 RDIR000151 Suprapubic cystostomy 8,800 8,800 11,000 15,400 19,800 22,000

108 RDIR000152 Percutaneous hemostasis 2,200 2,200 2,750 3,850 4,950 5,500

109 RDIR000153 IR limited evaluation 550 550 688 963 1,238 1,375

110 RDIR000154 TRUS/ TVS guided drainage 11,000 11,000 13,750 19,250 24,750 27,500

111 RDIR000155 USG guided biopsy multiple 7,700 7,700 9,625 13,475 17,325 19,250

112 RDIR000156 USG guided biopsy multiple (mob) 11,000 11,000 13,750 19,250 24,750 27,500

113 RDIR000157 USG guided FNAC multiple 5,500 5,500 6,875 9,625 12,375 13,750

114 RDIR000158 USG guided FNAC multiple (mob) 7,700 7,700 9,625 13,475 17,325 19,250

115 RDIR000159 Tube change multiple 5,000 5,000 6,250 8,750 11,250 12,500

116 RDIR000160 Perfint Maxio charges for biopsy 5,000 5,000 6,250 8,750 11,250 12,500

117 RDIR000161 Perfint Maxio charges for RF ablation 40,000 40,000 50,000 70,000 90,000 100,000

118 RDIR000162 Perfint Maxio charges for pain care procedure 30,000 30,000 37,500 52,500 67,500 75,000

119 RDIR000163 Intra distal tumor ablation 21,780 21,780 27,225 38,115 49,005 54,450


Other Specialities

S.No Code no Procedure Name Charges in INR

** Day Care Sharing Single Single Dlx Super Dlx Suite

Endocrinology

1 OSEN000001 Versalab-Auto 600

2 OSEN000002 Cardiac Autonomic Neuropathy System analyzer (CANS) 600

3 OSEN000003 Vibration Perception Test (VPT) (Vibrotherm Dx) 300

4 OSEN000004 Hot and Cold pain test (HCT) (Vibrotherm Dx) 300

5 OSEN000005 Body Composition Analyzer (BCA) 400

7 OSEN000007 CGMS(continuous glucose monitoring system) 5,000

8 OSEN000008 Diabetic Package(Annual) (P) 15,000

9 OSEN000009 Diabetes Package-3 Months (P) 9,000

10 OSEN000010 Diabetes Package-6 month (P) 11,000

11 OSEN000011 Weight Management Program (3-Mnth) (P) 6,000

12 OSEN000012 Weight Management Program (6-Mnth) (P) 10,000

13 OSEN000013 Weight Management Program (Annual) (P) 15,000

14 OSEN000014 Weight Management Program-Men(3-Mnth) (P) 12,500

15 OSEN000015 Weight Management Program-Men(6-Mnth) (P) 15,000

16 OSEN000016 Weight Management Program-Men(1-Year) (P) 20,000

17 OSEN000017 Weight Management Program-Women(3-Mnth) (P) 12,500

18 OSEN000018 Weight Management Program-Women(6-Mnth) (P) 15,000

19 OSEN000019 Weight Management Program-Women(1-Year) (P) 20,000

20 OSEN000020 Weight Mgmt Prog-Child & Adolescent(3-Mnth) (P) 10,000

21 OSEN000021 Weight Mgmt Prog-Child & Adolescent(6-Mnth) (P) 15,000

22 OSEN000022 Weight Mgmt Prog-Child & Adolescent(1-Year) (P) 18,000

23 OSEN000023 Fundus Photograph 500

24 OSEN000024 Foot Assessment (Monofilament) 200

25 OSEN000025 Abbot Librepro CGMS 3,000

26 OSEN000026 Diagnostic Diabetes Package POCT (P) 3,000

Rheumatology

1 OSRH000001 Joint Injection (single) 2,000 2,000 2,500 3,500 4,500 5,000

2 OSRH000002 Complex Joint Injection (single) 3,000 3,000 3,750 5,250 6,750 7,500

3 OSRH000003 Deep joint injection 4,000 4,000 5,000 7,000 9,000 10,000

4 OSRH000004 Joint Aspiration (single) 1,000 1,000 1,250 1,750 2,250 2,500

5 OSRH000005 Soft Tissue Injection (single) 2,000 2,000 2,500 3,500 4,500 5,000

6 OSRH000006 Skin Biopsy 3,000 3,000 3,750 5,250 6,750 7,500

7 OSRH000007 Minor Salivary Gland Biopsy (P) 7,000 7,000

8 OSRH000008 Muscle Biopsy (P) 7,000 7,000

9 OSRH000009 Nerve Biopsy (P) 10,000 10,000 14,000 22,000 30,000 45,000

10 OSRH000010 Schirmer Test 200 200 200 200 200 200

11 OSRH000011 Abdominal Fat biopsy (P) 7,000 7,000

12 OSRH000012 Bone Marrow examination 4,000 4,000 5,000 7,000 9,000 10,000

13 OSRH000014 Intra-articular Injection + Aspiration 2,500 2,500 3,000 3,500 4,500 6,000

14 OSRH000015 Nail fold Capillaroscopy 2,000 2,000 2,500 3,000 4,000 5,500

15 OSRH000016 Deep Skin Biopsy (P) 7,000 7,000

16 OSRH000017 Endoxan (P) 3,000 3,000

17 OSRH000018 Methylprednisolone (Solumedrol) (P) 4,000 4,000

18 OSRH000019 Ristova(1gm) (P) 80,000 80,000

19 OSRH000020 Ristova(500 mg) (P) 43,000 43,000

20 OSRH000021 Reditux (1g) (P) 80,000 80,000

21 OSRH000022 Remicade (400) (P) 152,000 152,000

22 OSRH000023 Remicade (300) (P) 115,000 115,000

23 OSRH000024 Remicade (200) (P) 77,500 77,500

24 OSRH000025 Remicade (100) (P) 41,000 41,000

25 OSRH000026 Vacosteo (P) 5,500 5,500

26 OSRH000027 Aclasta (P) 22,000 22,000

Robotic Charges

1 RBRB000001 Robotic Charges 50,000


Health Care Packages

Sr. Billing code Service name Charges no.

1 HCCC000001 Cyber City Basic Health Check 2,800 2 HCCC000002 Cyber City Executive Health Check - Women 5,500 3 HCCC000003 Cyber City Executive Health Check - Men 5,500 4 HCCC000004 Cyber City Whole Body Check - Men 16,000 5 HCCC000005 Cyber City Whole Body Check - Women 16,000 6 HCCC000006 Cyber City Pre Employment Check 1,500 7 HCHC000014 Medanta Vascular Screening (Add On)(Corp) 1,000 8 HCHC000015 Medanta Hypertension Check (Add On)(Corp) 2,000 9 HCHC000016 Medanta Add on Diabetes Check (Add On)(Corp) 2,500 10 HCHC000017 Medanta Heart Check CABG/PTCA Follow-up with ECHO(Corp) 2,600 11 HCHC000022 Medanta Heart Check CABG/PTCA Follow-up with TMT(Corp) 2,600 12 HCHC000025 Punj Llyod Health Check-up Pkg-1 4,700 13 HCHC000026 Punj Llyod Health Check-up Pkg-2 5,500 14 HCHC000032 Woman's Day Special Package 1,500 15 HCHC000033 HONDA CARS INDIA LTD PKG 2 2,750 16 HCHC000049 Medanta Basic Health Check 3,500 17 HCHC000052 Medanta Healthy Heart 6,000 18 HCHC000053 Medanta Executive Whole Body Check (Men) 18,000 19 HCHC000054 Medanta Executive Whole Body Check (Women) 18,000 20 HCHC000055 Medanta Years to Life MEN 27,000 21 HCHC000061 Medanta Hypertension Check 8,500 22 HCHC000062 HONDA CARS INDIA LTD PKG 1 3,300 23 HCHC000064 HONDA CARS INDIA LTD PKG 4 1,500 24 HCHC000073 Medanta Post PTCA/CABG/Valve Follow up 5,000 25 HCHC000074 Medanta Post Valve Follow up Stress ECHO 4,500 26 HCHC000075 Medanta Years to Life WOMEN 27,000 27 HCHC000076 Lab Test-Glucose, CBC 270 28 HCHC000077 Lipid Profile 315 29 HCHC000078 Chemistry Panel 7 1,691 30 HCHC000079 Hepatitis Screening for A,B,C 4,845 31 HCHC000080 Stool Routine &Stool C/S 383 32 HCHC000081 Hepatitis Profiles(HAV Abs,HBs Ag,HCV Ab) 3,150 33 HCHC000083 DNA Blood Stick collection (blood drop) 113 34 HCHC000086 GHPL Employee Health Checkup 1,640 35 HCHC000089 Johnson Matthey Catalyst-Format 1 1,379 36 HCHC000090 Johnson Matthey Catalyst-Format 2 2,650 37 HCHC000091 Johnson Matthey Catalyst-Format 3 3,250 38 HCHC000092 Johnson Matthey Catalyst-Format 4 875 39 HCHC000093 Johnson Matthey Catalyst-Pre EHC 3,000 40 HCHC000102 HONDA CARS INDIA LTD PKG 3 2,000 41 HCHC000103 HONDA CARS INDIA LTD PRE EMP HC PKG 5 1,000 42 HCHC000104 Hepatitis day screening 150 43 HCHC000109 Minda Executive Health check Package 1 3,000 44 HCHC000110 Minda Executive Health check Package 2 4,500 45 HCHC000114 Diabetes package (1 time) Advance 10,800 46 HCHC000115 Diabetes Package (1 time) Basic 4,800 47 HCHC000124 Pre Employment Screening (20-30 yrs) 750 48 HCHC000126 Pre Employment Screening (above 40 yre) (Male) 4,050 49 HCHC000130 DLF Building India Package A 3,930 50 HCHC000131 DLF Building India Package B 12,170 51 HCHC000132 Mitsui Kinzoku Components Health Package A 3,500 52 HCHC000133 Mitsui Kinzoku Components Health Package B 8,300 53 HCHC000136 Bausch & Lomb Health Check Up-Male 5,000 54 HCHC000137 Bausch & Lomb Health Check Up-Female 5,000 55 HCHC000141 GKN Drive Line Pre Employment Health Check UP 700 56 HCHC000142 RJ Corp Ltd -Health Check Up (Male) 4,300 57 HCHC000143 RJ Corp Ltd -Health Check Up (Female) 5,100 58 HCHC000145 KPMG & BSR Below 35 Years - Male 4,300 59 HCHC000146 KPMG & BSR Above 35 Years - Female 7,200 60 HCHC000147 KPMG & BSR Above 35 Years - Male 5,900 61 HCHC000148 KPMG & BSR Below 35 Years - Female 4,800 62 HCHC000149 Power Grip Corp Health Checkup Plan A-Male 6,500 63 HCHC000150 Power Grip Corp Health Checkup Plan A-Female 8,000


64 HCHC000151 Power Grip Corp Health Checkup Plan B-Male 2,900 65 HCHC000152 Power Grip Corp Health Checkup Plan B-Female 3,300 66 HCHC000164 ITC TOBACCO Plan- A (Male) 3,800 67 HCHC000165 ITC TOBACCO Plan- A (Female) 3,800 68 HCHC000166 ITC TOBACCO EHC Plan - C (Male) 5,800 69 HCHC000167 ITC TOBACCO EHC Plan - C (Female) 5,800 70 HCHC000168 Honda Motorcycle & Scooter India Health Cheackup (Male) 4,800 71 HCHC000169 Honda Motorcycle & Scooter India Health Cheackup (Female) 4,800 72 HCHC000170 Annual Health Check up of Outsourced Employees 500 73 HCHC000171 Steel Authority India Limited (40 yrs Above -Male) 4,000 74 HCHC000172 Steel Authority India Limited (40 yrs Above) Female 4,000 75 HCHC000173 Steel Authority India Limited (Below 40 years) Male 3,500 76 HCHC000174 Steel Authority India Limited (Below 40 years) Female 3,500 77 HCHC000175 EIL Health Checkup for all other employees -MALE 1,700 78 HCHC000176 EIL Health Checkup for all other employees -Female 1,900 79 HCHC000177 EIL DIRECTORS & CMD HEALTH CHECK UP-MALE 6,500 80 HCHC000178 EIL DIRECTORS & CMD HEALTH CHECK UP-FEMALE 6,500 81 HCHC000187 Vaccination Package -c 200 82 HCHC000191 Indus EHC-50 Yrs & Above-Male 9,200 83 HCHC000192 Indus EHC-50 &Above Yrs-Female 9,600 84 HCHC000194 Daiichi Sankyo Annual Health Checkup (Male) 4,700 85 HCHC000195 Daiichi Sankyo Annual Health Checkup (Female) 5,000 86 HCHC000202 TCI Whole Body Checkup (Women) 12,900 87 HCHC000203 TCI Whole Body Checkup (Men) 11,900 88 HCHC000204 TCI Basic Health Checkup 2,600 89 HCHC000217 GKN Driveline HC Below 35 yrs (Male) 2,800 90 HCHC000218 GKN Driveline HC Below 35 yrs (Female) 2,800 91 HCHC000219 GKN Driveline HC Above 35 yrs (Male) 3,800 92 HCHC000220 GKN Driveline HC Above 35 Years (Female) 4,300 93 HCHC000221 GKN Driveline HC Above 50 Years Male & Female 5,500 94 HCHC000224 Indo Rama EHC Male 5,580 95 HCHC000229 RSS Health Checkup-Male 2,000 96 HCHC000230 Lanco Infratech Pre Emp HC Pkg 2,100 97 HCHC000234 SHARAK Health Package 2 2,000 98 HCHC000239 Lanco Annual Health Check Up (Male) 4,000 99 HCHC000240 Lanco Annual Health Check Up (Female) 4,500 100 HCHC000246 Mitsubishi Materials Annual Health Check 2,900 101 HCHC000247 Daiichi Sankyo Pre Employment Health Checkup 1,700 102 HCHC000254 Bariatric Pre Surgery 20,000 103 HCHC000259 Daiichi Radio Active Checkup 2,600 104 HCHC000261 MEDICLINIC PRE EMPLOYMENT HEALTH CHECK UP 1,500 105 HCHC000263 EIL-Health Check Up 3,500 106 HCHC000277 SHARAK Health Package 1 2,000 107 HCHC000278 SHARAK Health Package 3 2,900 108 HCHC000281 Bechtel India Pvt.Ltd. Health Check-Male 5,500 109 HCHC000282 Bechtel India Pvt.Ltd.Health Check-Female 6,500 110 HCHC000283 JSL - Executive Health Check 5,000 111 HCHC000284 JSL - Pre Employment Health Check 1,800 112 HCHC000305 JTEKT Sona HC Plan-A Upto 35-Male 4,400 113 HCHC000306 JTEKT Sona HC Plan-A Upto 35-Female 4,800 114 HCHC000310 MEDICLINIC BASIC HEALTH CHECK UP 3,000 115 HCHC000311 MEDICLINIC HEALTHY HEART 5,500 116 HCHC000312 MEDICLINIC POST VALVE FOLLOW UP 4,500 117 HCHC000313 MEDICLINIC POST PTCA/ POST CABG FOLLOW UP 3,500 118 HCHC000314 Interglobe Annual Health Check (Male) 5,000 119 HCHC000315 Interglobe Annual Health Check (Female) 5,000 120 HCHC000322 ITC TOBACCO EHC Plan - B (Male) 5,000 121 HCHC000323 ITC TOBACCO EHC Plan - B (Female) 5,000 122 HCHC000325 NSDC Pre Employment Health Check 1,700 123 HCHC000331 Hindustan Times Camp Health Checkup 0 124 HCHC000333 INTERTEK Camp Health Checkup 0 125 HCHC000336 World Continence Week (Urine Analysis) 120 126 HCHC000337 World Continence Week (Uroflowmetry) 750 127 HCHC000338 World Continence Week (Uroflowmetry+Bladder Scan) 1,000 128 HCHC000339 PNB Executive Health Checkup-Male 3,250


129 HCHC000340 PNB Executive Health Checkup-Female 3,250 130 HCHC000350 Sharak Executive Health Check Package 4 3,500 131 HCHC000351 Sharak Executive Health Check Package 5 4,700 132 HCHC000352 GE Master HC for Men < 30 years 3,400 133 HCHC000353 GE Master HC for Women < 30 Years 3,851 134 HCHC000354 GE Master HC >40 Years Men 8,500 135 HCHC000355 GE Master HC <40 Years Women 8,500 136 HCHC000356 GE Master EHC 30-40 Years Men 6,588 137 HCHC000357 GE Master EHC 30-40 Years Women 7,548 138 HCHC000361 Indus EHC 30-39 Year -Male 4,800 139 HCHC000362 Indus EHC 30-39 Year -Female 5,350 140 HCHC000363 Indus EHC - 40-49 Years - Male 6,800 141 HCHC000364 Indus EHC - 40-49 Years-Female 7,000 142 HCHC000370 PWC Health Check up 30-40 Years-Male 2,400 143 HCHC000371 PWC Health Check up 40-50 Years-Male 4,500 144 HCHC000372 PWC Health Check up Above 50 Years-Male 6,100 145 HCHC000379 Maruti Suzuki Executive Package-Male 3,250 146 HCHC000380 Maruti Suzuki Executive Package-Female 3,500 147 HCHC000381 Vaccination Package for food handler - Contractual Staff 150 148 HCHC000382 Maruti Suzuki Comprehensive Package 4,000 149 HCHC000384 Mediclinic Comprehensive Health Check Up - Male 5,400 150 HCHC000385 Mediclinic Comprehensive Health Check Up - Female 5,400 151 HCHC000386 Mediclinic Diabetes Health Package 7,500 152 HCHC000387 EIL GM & ED Health Check - Male 5,000 153 HCHC000388 EIL GM & ED Health Check - Female 5,000 154 HCHC000394 OBC Health Check Package 2,000 155 HCHC000396 LIC Health Check -1(Male) 5,000 156 HCHC000398 LIC Health Check -3 (Male) 3,000 157 HCHC000399 LIC Health Check -1 Female 5,000 158 HCHC000401 LIC Health Check -2 Female 4,000 159 HCHC000402 LIC Health Check -2 Male 4,000 160 HCHC000403 LIC Health Check -3 Female 3,000 161 HCHC000404 Lumax Executive Health Check 3,500 162 HCHC000405 Bridgestone Pre EHC 2,000 163 HCHC000406 Bridgestone Annual EHC Blw 40 yrs 3,000 164 HCHC000407 Bridgestone Annual EHC Abv 40 yrs 4,200 165 HCHC000434 Loreal Pre Employment - F 900 166 HCHC000435 ABRL Pre Emp-Contract 850 167 HCHC000441 World Network Services HC 35-40 Male 2,365 168 HCHC000442 World Network Services HC 35-40 Female 2,665 169 HCHC000443 World Network Services HC Abv 40 Male 3,890 170 HCHC000444 World Network Services HC Abv 40 Female 5,040 171 HCHC000452 ECI Telecom Health Check up 1,000 172 HCHC000453 DLF Employee Fitness Certification 400 173 HCHC000455 Cushman & Wakefield Health Checkup 400 174 HCHC000456 Jones Lang Lasalle Health Checkup 400 175 HCHC000457 BMW Health Checkup Pkg (Fasting) 1,500 176 HCHC000458 BMW Health Checkup Pkg (Non Fasting) 1,100 177 HCHC000459 Cyber City Diabetes Package - Basic 4,800 178 HCHC000464 E I Dupont Pvt Ltd HC-Male Pkg-1 5,000 179 HCHC000465 E I Dupont Pvt Ltd HC-Female Pkg-2 5,000 180 HCHC000466 E I Dupont India Pvt Ltd Pre Employment Pkg-3 2,500 181 HCHC000482 Vipul Health Checkup Package-1 3,750 182 HCHC000483 Vipul Health Checkup Package-2-Male 4,250 183 HCHC000484 Vipul Health Checkup Package-2-Female 4,500 184 HCHC000485 Vipul Health Checkup Package-3 4,350 185 HCHC000486 Vipul Health Checkup Package-4 3,750 186 HCHC000489 Indo Rama EHC Female 5,880 187 HCHC000490 Vaccination package for outsource employees 89 188 HCHC000492 Religare Platinum Package-Male 3,600 189 HCHC000493 Religare Platinum Package-Female 3,600 190 HCHC000496 Beam Global Spirit & Wine EHC Option-A-Male 4,000 191 HCHC000497 Beam Global Spirit & Wine EHC Option A-Female 4,000 192 HCHC000498 Beam Global Spirit & Wine EHC Option-B-Male 4,000 193 HCHC000499 Beam Global Spirit & Wine EHC Option-B-Female 4,000


194 HCHC000500 Beam Global Spirit & Wine Pre Emp HC-Male 1,350 195 HCHC000501 Beam Global Spirit & Wine Pre Emp HC-Female 1,350 196 HCHC000504 Midland Credit India Emp HC-Male 5,000 197 HCHC000505 Midland Credit India Emp HC-Female 5,500 198 HCHC000506 IKEA Services EHC Plan A-Male 4,950 199 HCHC000507 IKEA Services EHC Plan A-Female 4,950 200 HCHC000508 IKEA Services EHC Plan B-Male 5,790 201 HCHC000509 IKEA Services EHC Plan B-Female 5,790 202 HCHC000510 IKEA Services Pre Emp HC-Male 1,350 203 HCHC000519 DSM India Pre Emp HC-Male 2,600 204 HCHC000520 DSM India Pre Emp HC-Female 2,700 205 HCHC000521 DSM India Annual Health Checkup-Male 3,700 206 HCHC000522 DSM India Annual Health Checkup-Female 3,800 207 HCHC000523 P L Engineering EHC Pkg-M 4,700 208 HCHC000524 P L Engineering EHC Pkg-F 4,700 209 HCHC000526 Eicher EHC Above 35 Years-Male 4,000 210 HCHC000527 Eicher EHC Above 35 Years-Female 4,450 211 HCHC000528 Eicher Whole Body HC Above 45 Years-Male 5,400 212 HCHC000529 Eicher Whole Body HC Above 45 Years-Female 6,000 213 HCHC000530 Eicher Pre Emp Health Checkup-Female 1,200 214 HCHC000531 Cameron Manufecturing India Pvt Ltd HC-Male 4,500 215 HCHC000532 Cameron Manufecturing India Pvt Ltd HC-Female 4,900 216 HCHC000533 Reliance HC More Than 40Y-Male 4,400 217 HCHC000534 Reliance HC More Than 40Y-F(With Mammo) 5,100 218 HCHC000535 Reliance HC Less Than 40Y-Male 1,800 219 HCHC000536 Reliance HC Less Than 40Y-Female 1,800 220 HCHC000538 Reserve Bank of India HC Pkg-Male 5,800 221 HCHC000539 Reserve Bank of India HC Pkg-Female 6,400 222 HCHC000540 World Heart Day HC With Fasting 499 223 HCHC000541 World Heart Day HC Without Fasting 799 224 HCHC000542 Nestle India HC Less Than 35 Yrs-Male 3,200 225 HCHC000543 Nestle India HC Less Than 35 Yrs-Female 3,500 226 HCHC000544 Nestle India HC More Than 35 Yrs-Male 4,400 227 HCHC000545 Nestle India HC More Than 35 Yrs-Female 5,300 228 HCHC000548 Railtel Health Check - Female 6,600 229 HCHC000549 Railtel Health Check - Male 6,000 230 HCHC000550 Aida India HC Below 40 Years-Male 4,700 231 HCHC000551 Aida India HC Below 40 Years-Female 5,000 232 HCHC000552 Aida India HC Above 40 Years-Male 5,800 233 HCHC000553 SRF Health Checkup Pkg-A 1,900 234 HCHC000554 SRF Health Checkup Pkg-B 2,500 235 HCHC000555 SRF Health Checkup Male Pkg-C 5,000 236 HCHC000560 Minda Mgmt Srv Ltd EHC 4,700 237 HCHC000561 Future First Annual HC Pkg-Male 3,000 238 HCHC000562 Hindustan Unilever Baseline Health Checkup Package 2,200 239 HCHC000563 Hindustan Unilever Ltd HC Above 50 Yrs-Male 3,400 240 HCHC000564 Hindustan Unilever Ltd HC Above 50 Yrs-Female 5,600 241 HCHC000591 Microsoft Corporation India HC Pkg-Male 7,500 242 HCHC000592 Microsoft Corporation India HC Pkg-Female 7,500 243 HCHC000595 BMR Annual Health Checkup Pkg-1-Male 8,000 244 HCHC000596 BMR Annual Health Checkup Pkg-1-Female 8,250 245 HCHC000597 BMR Annual Health Checkup Pkg-2-Male 7,000 246 HCHC000598 BMR Annual Health Checkup Pkg-2-Female 7,350 247 HCHC000599 Yamaha Music Annual HC Package-Male 3,300 248 HCHC000600 Yamaha Music Annual HC Package-Female 3,600 249 HCHC000606 Triveni Engineering & Industries Ltd HC Pkg 4,500 250 HCHC000607 Sona Koyo Steering Systems Ltd HC Package 3,600 251 HCHC000608 Landbase India Limited HC Pkg-Male 5,520 252 HCHC000609 Landbase India Limited HC Pkg-Female 5,780 253 HCHC000610 Tata Sky Annual HC-M 4,500 254 HCHC000611 Tata Sky AHC-F W/O Mammography 4,500 255 HCHC000612 Tata Sky AHC-F Wth Mammography 5,500 256 HCHC000613 Mckinsey c/o united hc male below 40 yrs 7,500 257 HCHC000614 Mckinsey c/o united hc female below 40 yrs 8,500 258 HCHC000615 Mckinsey c/o united hc Children 2,500


259 HCHC000616 NDTV Annual Health Checkup Package 4,500 260 HCHC000625 AT&T Master Health Checkup-Male 3,320 261 HCHC000626 AT&T AHC Master Medical Above 35Y-F 2,820 262 HCHC000630 LT Food Limited AHC Pkg 1 (20-45Yrs)-Male 2,300 263 HCHC000631 LT Food Limited AHC Pkg 1 (20-45Yrs)-Female 2,400 264 HCHC000632 LT Food Limited AHC Pkg 2 (45 & Above)-Male 3,700 265 HCHC000633 LT Food Limited AHC Pkg 2 (45 & Above)-Female 4,000 266 HCHC000641 HPCL-Mittal Engergy Ltd Pre Emp HC 2,500 267 HCHC000642 LOREAL Pre Emp Health Checkup-Men 800 268 HCHC000669 Degania Medical Devices EHC 850 269 HCHC000685 Cognizant Technologies Solutions HC upto 35Yrs-Male 800 270 HCHC000686 Cognizant Technologies Solutions HC upto 35Yrs-Female 1,400 271 HCHC000687 Cognizant Technologies Solutions HC 36-45Yrs-Male 2,300 272 HCHC000688 Cognizant Technologies Solutions HC 36-45Yrs-Female 2,800 273 HCHC000689 Cognizant Technologies Solutions HC 46Yrs & Above-Male 2,900 274 HCHC000690 Cognizant Technologies Solutions HC 46Yrs & Above-Female 3,000 275 HCHC000691 Soma Isolux Pre Employment Health Checkup 1,200 276 HCHC000692 L & T EHC 3,900 277 HCHC000696 Sita Health Checkup Package-Male 4,500 278 HCHC000697 Sita Health Checkup Package-Female 4,500 279 HCHC000699 NSKFDC Health Checkup Package A-Male 12,000 280 HCHC000700 NSKFDC Health Checkup Package A-Female 12,000 281 HCHC000701 NSKFDC Health Checkup Package B-Male 10,000 282 HCHC000702 NSKFDC Health Checkup Package B-Female 10,000 283 HCHC000703 Kuoni Destination EHC Package-Male 7,000 284 HCHC000704 Kuoni Destination EHC Package-Female 8,000 285 HCHC000710 NSDC Annual Health Checkup-Male 4,875 286 HCHC000711 NSDC Annual Health Checkup-Female 4,875 287 HCHC000712 Orange Health Checkup Package-1 2,000 288 HCHC000713 Orange Health Checkup Package-2 4,000 289 HCHC000714 GE (UHIC) Health Checkup Package-Male 4,600 290 HCHC000715 GE (UHIC) Health Checkup Package-Female 4,850 291 HCHC000716 PVR Cinemas Pre Emp Package 1,000 292 HCHC000717 Indus Pre Emp HC-Male 1,600 293 HCHC000718 Indus Pre Emp HC-Female 2,100 294 HCHC000719 10c India Internet HC Package 3,200 295 HCHC000720 Hitachi Metglas India Pre EHC 1,500 296 HCHC000721 Cairn India Pre EHC Protocol-1 4,100 297 HCHC000722 Cairn India Pre EHC Protocol-2 5,000 298 HCHC000724 Sentiss Pharma HC -Male 5,700 299 HCHC000725 Sentiss Pharma HC -Female 6,000 300 HCHC000727 H T Education Ltd Pre Emp Health Checkup Pkg 1,400 301 HCHC000728 H T Mobile Solution Pre Emp HC 1,400 302 HCHC000729 Fixfly e-Ventures Ltd Pre Emp HC 1,400 303 HCHC000730 HT Media Ltd Pre Emp HC Pkg 1,400 304 HCHC000731 Pernod Ricard India Pre Emp Health Checku Up-Women 2,800 305 HCHC000732 Pernod Ricard India Pre Emp Health Checku Up-Men 2,650 306 HCHC000733 Ed World Private Ltd Pre Emp Health Check Up 1,400 307 HCHC000734 India Education Services Pre Emp Health Checkup 1,400 308 HCHC000735 Top Movies Entertainment Pre Emp Health Checkup 1,400 309 HCHC000736 Ivy Talent India Pre Emp Health Checkup 1,400 310 HCHC000737 H T Global Education Pre Emp Health Checkup 1,400 311 HCHC000738 H T Digital Media Holdings Pre Health Checkup 1,400 312 HCHC000739 H T Learning Centers Limited Pre Emp Health Checkup 1,400 313 HCHC000740 H T Music & Entertainment Company Limited Pre Emp Health Checkup 1,400 314 HCHC000741 ITC(Tobacco) Pre Emp Below 40 Years 4,200 315 HCHC000750 JTEKT Sona HC Plan-B Above 35Years-Male 9,600 316 HCHC000751 JTEKT Sona HC Plan-B Above 35Years-Female 9,900 317 HCHC000752 Wapcos Preventive Health Checkup 5,395 318 HCHC000755 Ashok Leyland (CG20 To CG27) EHC-Male 3,800 319 HCHC000756 Ashok Leyland (CG20 To CG27) EHC-Female 4,200 320 HCHC000757 Ashok Leyland (CG28 & Above) EHC-Male 4,700 321 HCHC000758 Ashok Leyland (CG28 & Above) EHC-Female 5,100 322 HCHC000759 Fanuc India Annual Health Checkup-Men 5,200 323 HCHC000760 Fanuc India Annual Health Checkup-Women 5,700


324 HCHC000761 Saxo AS AHC Package (Below 30 Years)-Male/Female 2,380 325 HCHC000762 Saxo AS AHC Package 30-40Years-Men 4,675 326 HCHC000763 Saxo AS AHC Package 30-40Years-Women 4,675 327 HCHC000764 Saxo AS AHC Package 40Years & Above-Men 13,600 328 HCHC000765 Saxo AS AHC Package 40Years & Above-Women 13,600 329 HCHC000766 The Chemours India AHC Pkg-Male 5,000 330 HCHC000767 The Chemours India AHC Pkg-Female 5,000 331 HCHC000768 The Chemours India Pre Emp HC Pkg 2,500 332 HCHC000771 World Connect AHC Pkg 4,700 333 HCHC000776 Quality Council Comprehensive HC-Male 10,000 334 HCHC000777 Quality Council Comprehensive HC-Female 10,000 335 HCHC000778 SIDBI Com Health Check With VIT-D-Male 6,200 336 HCHC000779 SIDBI Comprehensive Health Check-Male 5,200 337 HCHC000780 SIDBI Comprehensive Health Check With CT Angio-Male 11,000 338 HCHC000781 SIDBI Comprehensive Health Check With CT Angio & VIT-D-Male 12,000 339 HCHC000782 SIDBI Comprehensive Health Check-Female 5,400 340 HCHC000783 SIDBI Comprehensive Health Check With VIT-D-Female 6,400 341 HCHC000784 SIDBI Comprehensive Health Check With Mammography-Female 6,500 342 HCHC000785 SIDBI Comprehensive Health Check With Mammography and VIT-D-Female 7,500 343 HCHC000786 SIDBI Comprehensive Health Check With CT Angio-Female 11,200 344 HCHC000787 SIDBI Comprehensive Health Check With CT Angio & VIT-D-Female 12,200 345 HCHC000788 SIDBI Comprehensive Health Check With CT Angio & Mammography-Female 12,300 346 HCHC000789 SIDBI Comprehensive Health Check With CT Angio & Mammography & VIT-D-Female 13,300 347 HCHC000790 RSS Health Checkup-Female 2,200 348 HCHC000791 AT&T EHC Pkg Below 35 Years-Male 3,000 349 HCHC000792 AT&T EHC Pkg Below 35 Years-Female 4,000 350 HCHC000793 AT&T EHC Pkg Above 35 Years-Male 6,300 351 HCHC000794 AT&T EHC Pkg Above 35 Years-Female 6,500 352 HCHC000795 Fresenius Kabi Oncology Health Checkup Above 40-Female 4,000 353 HCHC000796 Fresenius Kabi Oncology Health Checkup Above 40-Male 4,000 354 HCHC000797 Fresenius Kabi Oncology Health Checkup Below 40years 3,000 355 HCHC000798 Fresenius Kabi Oncology Pre Emp Health Checkup 1,600 356 HCHC000799 Atkins EHC Pakcage Below 35 Years 1,300 357 HCHC000800 Atkins EHC Pakcage Above 35 Years 3,800 358 HCHC000801 Comviva Technologies Annual Health Checkup-Male 2,000 359 HCHC000802 Comviva Technologies Annual Health Checkup-Female 2,500 360 HCHC000803 MM Hard Metals Pre Emp HC 2,900 361 HCHC000804 Fresenius Kabi Health Checkup Pkg for I & D Employees 3,000 362 HCHC000805 Jet Airways Initial Medical/Pre Emp Health Checkup Package 4,500 363 HCHC000806 Jet Airways Renewal Medicals/Annual Health Checkup Package 3,500 364 HCHC000807 Bajaj Allainz HCS Package 2,500 365 HCHC000808 Bajaj Allainz HCS Annual >25 Male 1,000 366 HCHC000809 Bajaj Allainz HCS Annual >25 Female 1,200 367 HCHC000810 Bajaj Allainz HCS Annual 5-25 Years 500 368 HCHC000811 ADANI Annual Health Checkup Package-A 5,200 369 HCHC000812 ADANI Annual Health Checkup Package-B 2,000 370 HCHC000813 GE Pre Emp Health Checkup (UHIC) 1,000 371 HCHC000814 GE Below 40 Years (UHIC) 2,150 372 HCHC000815 GE Above 40 Years(UHIC) 3,600 373 HCHC000816 GE Annual Health Checkup Upto 35 Years-Men (UHIC) 1,300 374 HCHC000817 GE Annual Health Checkup Upto 35 Years-Women (UHIC) 2,100 375 HCHC000818 GE Annual Health Checkup 36-45 Years-Men (UHIC) 3,100 376 HCHC000819 GE Annual Health Checkup 36-45 Years-Women (UHIC) 3,600 377 HCHC000820 GE Annual Health Checkup 46 Years and Above-Men (UHIC) 4,600 378 HCHC000821 GE Annual Health Checkup 46 Years and Above-Women (UHIC) 5,600 379 HCHC000822 Orange Health Checkup Package-3 Male 6,000 380 HCHC000823 Orange Health Checkup Package-3 Female 6,000 381 HCHC000824 Black Rock Annual Health Checkup Package-Male 5,400 382 HCHC000825 Black Rock Annual Health Checkup Package-Female 1 5,400 383 HCHC000826 Black Rock Annual Health Checkup Package-Female 2 6,000 384 HCHC000827 Hain Celestial India Pre Emp Health Checkup 1,200 385 HCHC000828 Hain Celestial India Annual Health Checkup 5,400 386 HCHC000829 Bajaj Allainz Basic Vital Health Checkup 1,200 387 HCHC000830 Penguin Plan-3(40 Y Above) M 5,500 388 HCHC000831 Penguin Plan-3(40 Y Above) F 6,000


389 HCHC000832 Penguin Plan-2(Upto 30-39 Years) M 3,175 390 HCHC000833 Penguin Plan-2(Upto 30-39 Years) F 3,400 391 HCHC000834 Penguin Plan-1(Upto 29 Years) M & F 1,250 392 HCHC000835 Pernod Ricard Executive Health Checkup-Male 4,675 393 HCHC000836 Pernod Ricard Executive Health Checkup-Female 4,675 394 HCHC000837 Pernod Ricard Whole Body Health Checkup-Male 7,800 395 HCHC000838 Pernod Ricard Whole Body Health Checkup-Female 7,950 396 HCHC000839 Deliotte Below 30 Years-Men C/O Bajaj Allianz 2,000 397 HCHC000840 Deliotte Above 30 Years-Men C/O Bajaj Allianz 3,300 398 HCHC000841 Deliotte Below 30 Years-Women C/O Bajaj Allianz 2,100 399 HCHC000842 Deliotte Above 30 Years-Women C/O Bajaj Allianz 3,200 400 HCHC000843 Intercontinental Hotel Annual Health Checkup Pkg 4,500 401 HCHC000844 Asics India Executive Health Checkup Pkg-Male 3,500 402 HCHC000845 Asics India Executive Health Checkup Pkg-Female 3,500 403 HCHC000846 SRF Health Checkup Female Pkg-C 5,000 404 HCHC000847 Hotel Taj-Male 6,000 405 HCHC000848 Hotel Taj-Female 6,700 406 HCHC000849 PNB General Health Checkup-Male 1,500 407 HCHC000850 PNB General Health Checkup-Female 1,500 408 HCHC000851 BPCL <30 Years Below JG H & Workmen Pkg-1 5,200 409 HCHC000852 BPCL 30-40 Years Below JG H & Workmen Pkg-2 5,400 410 HCHC000854 BPCL >50 Years Below JG H & Workmen Pkg-4-Male 7,300 411 HCHC000855 BPCL HC H & Above Entire Group Pkg-5-Male 7,500 412 HCHC000856 NBARD Health Checkup Pkg-Male 6,100 413 HCHC000857 NBARD Health Checkup Pkg-Female 6,700 414 HCHC000858 Samsung Engineering General-Male 4,800 415 HCHC000859 Samsung Engineering General-Female 5,500 416 HCHC000860 Samsung Engineering-Healthy Heart 4,000 417 HCHC000861 Samsung Engineering-Hypertension Check 6,800 418 HCHC000862 Samsung Engineering-Whole Body 12,000 419 HCHC000863 Samsung Engineering-Year to Life 21,000 420 HCHC000864 Huber+Suhner Basic Health Check Up 1,850 421 HCHC000865 Huber+Suhner 40 & Above -Male 5,250 422 HCHC000866 Huber+Suhner 40 & Above -Female 5,250 423 HCHC000867 Huber+Suhner Executive Health Checkup-Male 9,500 424 HCHC000868 Huber+Suhner Executive Health Checkup-Female 9,500 425 HCHC000869 Accord Group Pre Emp Health Checkup Package 1,700 426 HCHC000870 Accord Group Annual Health Checkup Package-Male 5,700 427 HCHC000871 Accord Group Annual Health Checkup Without Mammography-Female 5,000 428 HCHC000872 Accord Group Annual Health Checkup With Mammography-Female 5,700 429 HCHC000873 MMTC-PAMP Annual Health Checkup-Male 6,000 430 HCHC000874 MMTC-PAMP Annual Health Checkup-Female 7,500 431 HCHC000876 Nestle R & D Annual Health Checkup Less Than 35 Years-Male 3,200 432 HCHC000877 Nestle R & D Annual Health Checkup Less Than 35 Years-Female 3,500 433 HCHC000878 Nestle R & D Annual Health Checkup More Than 35 Years-Male 4,400 434 HCHC000879 Nestle R & D Annual Health Checkup More Than 35 Years-Female 5,300 435 HCHC000880 Dassault Systems Health Checku Package 4,000 436 HCHC000881 Avon Beauty Annual Health Checkup Pkg 2,800 437 HCHC000882 Future First Annual HC Pkg-Female 3,000 438 HCHC000883 Prathama Bank Health Check Pkg 2,500 439 HCHC000884 Jindal Stainless Pre Emp Health Checkup 1,100 440 HCHC000885 Jindal Stainless AHC Above 40 Years-Male 4,200 441 HCHC000886 Jindal Stainless AHC Above 40 Years-Female 4,200 442 HCHC000887 Adventz Group Annual Health Checkup-Male 5,800 443 HCHC000888 Adventz Group Annual Health Checkup-Female 6,650 444 HCHC000889 Star India (20-30 Years) Health Checkup-Male 2,800 445 HCHC000890 Star India (20-30 Years) Health Checkup-Female 3,200 446 HCHC000891 Star India (30-45 Years) Health Checkup-Male 4,700 447 HCHC000892 Star India (30-45 Years) Health Checkup-Female 5,100 448 HCHC000893 Star India Above 45 Years Health Checkup-Male 6,700 449 HCHC000894 Star India Above 45 Years Health Checkup-Female 7,400 450 HCHC000895 Schneider HC Under 35 Yrs-Male/Female-Pkg-1 1,850 451 HCHC000896 Schneider HC >35 Yrs-Male-Pkg-2 2,250 452 HCHC000897 Schneider HC >35 Yrs-Female-Pkg-2 3,550 453 HCHC000898 Deliotte Additional Health Checkup Package-1 1,400


454 HCHC000899 Deliotte Additional Health Checkup Package-2 3,300 455 HCHC000900 Orange Renewable Health Checkup (20-30 Years)-Male 2,800 456 HCHC000901 Orange Renewable Health Checkup (20-30 Years)-Female 3,200 457 HCHC000902 Orange Renewable Health Checkup (30-45 Years)-Male 4,700 458 HCHC000903 Orange Renewable Health Checkup (30-45 Years)-Female 5,100 459 HCHC000904 Orange Renewable Health Checkup (45 Years & Above)-Male 6,500 460 HCHC000905 Orange Renewable Health Checkup (45 Years & Above)-Female 7,200 461 HCHC000906 Halcrow and CH2M Health Checkup Package 3,600 462 HCHC000907 Lanco Group Health Checkup Package 1,300 463 HCHC000908 CVENT India Health Checkup Below 40 Years 5,000 464 HCHC000909 CVENT India Health Checkup Above 40 Years 6,000 465 HCHC000910 Manpower Health Checkup Package-Male 10,000 466 HCHC000911 Manpower Health Checkup Package-Female 10,000 467 HCHC000912 Musculo Skeletal Assessment 3,000 468 HCHC000913 Wellness Package 1-(21-30 Male) 40,000 469 HCHC000914 Wellness Package 1-(21-30 Female) 40,000 470 HCHC000915 Wellness Package 2-(31-40 Male) 50,000 471 HCHC000916 Wellness Package 2-(31-40 Female) 50,000 472 HCHC000917 Wellness Package 3-Male (41-60 Male) 70,000 473 HCHC000918 Wellness Package 3-(41-60 Female) 70,000 474 HCHC000919 Wellness Package 4-(61 & Abv Male) 75,000 475 HCHC000920 Wellness Package 4-(61 & Abv Female) 75,000 476 HCHC000921 KPMG-Male 2,250 477 HCHC000922 KPMG-Female 1,600 478 HCHC000923 MMC Yearly Health Checkup 3,750 479 HCHC000924 Basic Liver Evaluation Pkg 2,500 480 HCHC000925 IHG Executive Health Checkup Package 4,500 481 HCHC000926 HPCL Health Checkup upto 40 Years-Male & Female 3,000 482 HCHC000927 HPCL Health Checkup Above 40 Years-Male 4,500 483 HCHC000928 HPCL Health Checkup Above 40 Years-Female 5,500 484 HCHC000929 Suzlon Energy Health Checkup 40-44 Year-Male 1,500 485 HCHC000930 Suzlon Energy Health Checkup 40-44 Year-Female 1,800 486 HCHC000931 Suzlon Energy Health Checkup 45 Years & Above-Male 2,600 487 HCHC000932 Suzlon Energy Health Checkup 45 Years & Above-Female 2,900 488 HCHC000933 Suzlon Energy Pre Emp Health Checkup 1,400 489 HCHC000934 Proec Energy Executive Health Checkup-1 2,900 490 HCHC000935 Proec Energy Executive Health Checkup-2 4,100 491 HCHC000936 Reliance Industries Pre Emp Health Checkup 1,500 492 HCHC000937 Wellness Package-1 Diabetes Mellitus 9,800 493 HCHC000938 Wellness Package-2 Hypertension 9,800 494 HCHC000939 Wellness Package-3 CAD 9,400 495 HCHC000940 Wellness Package-4 Stroke 29,500 496 HCHC000941 Wellness Package-5 Respiratory Diseases 7,000 497 HCHC000942 Wellness Package-6 Obesity 19,000 498 HCHC000943 Wellness Package-7 Immunocompromised 8,000 499 HCHC000944 Wellness Package-8 Liver Diseases 5,500 500 HCHC000945 Wellness Package-9 Metabolic Syndrome 23,000 501 HCHC000948 PNB Metlife Health Checkup Below 50 Year-Male 6,000 502 HCHC000949 PNB Metlife Health Checkup Below 50 Year-Female 6,200 503 HCHC000950 PNB Metlife Health Checkup Above 50 Year-Male 6,500 504 HCHC000951 PNB Metlife Health Checkup Above 50 Year-Female 7,500 505 HCHC000952 Yamaha Group Pre Emp Health Checkup Package 1,700 506 HCHC000953 Shell India EHC Below 40 Years 5,000 507 HCHC000954 Shell India EHC Above 40 Years 6,000 508 HCHC000955 PWC Health Check up 30-40 Years-Female 2,400 509 HCHC000956 PWC Health Check up 40-50 Years-Female 4,500 510 HCHC000957 PWC Health Check up Above 50 Years-Female 6,100 511 HCHC000958 Ciena AHC (For Paramount Health Services TPA) Package 1-Male 4,900 512 HCHC000959 Ciena AHC (For Paramount Health Services TPA) Package 1-Female 5,300 513 HCHC000960 Ciena AHC (For Paramount Health Services TPA) Package 2-Male 6,400 514 HCHC000961 Ciena AHC (For Paramount Health Services TPA) Package 2-Female 6,800 515 HCHC000962 Expedia Offsite HC Package-M 2,100 516 HCHC000963 Expedia Onsite HC Package-M 1,500 517 HCHC000964 Fluor Daniel Health Chekup Package (Below 40 Years) 5,000 518 HCHC000965 Fluor Daniel Health Chekup Package Above 40 Years-Female 6,000


519 HCHC000966 Fluor Daniel Health Chekup Package Above 40 Years-Male 6,000 520 HCHC000967 BPCL 41-50 Years Below JG H & Workmen pkg-3 7,300 521 HCHC000968 BPCL >50 Years Below JG H & Workmen Pkg-4-Female 7,300 522 HCHC000969 BPCL HC H & Above Entire Group Pkg-5-Female 7,500 523 HCHC000970 GE Healthcare PB & above upto 35 Years-Female (MAHS) 2,900 524 HCHC000971 GE Healthcare PB & above 36-45 Years-Male (MAHS) 3,900 525 HCHC000972 GE Healthcare PB & above upto 35 Years-Male (MAHS) 2,000 526 HCHC000973 GE Healthcare PB & above 36-45 Years-Female (MAHS) 4,400 527 HCHC000974 GE Healthcare PB & above 46 Years-Male (MAHS) 6,000 528 HCHC000975 GE Healthcare PB & above 46 Years-Female (MAHS) 6,900 529 HCHC000976 GE Healthcare EB & above Male (MAHS) 5,000 530 HCHC000977 GE Healthcare EB & above Female (MAHS) 5,500 531 HCHC000979 ITC(Tobacco) Pre Emp Above 40 Years 4,500 532 HCHC000980 QH Talbros Pre Emp Health Checkup Package 1,400 533 HCHC000981 QH Talbros EHC Package Below 40 Years 4,000 534 HCHC000982 QH Talbros EHC Package Above 40 Years-Male 6,000 535 HCHC000983 QH Talbros EHC Package Above 40 Years-Female 6,000 536 HCHC000984 Mahindra & Mahindra Health Checkup Package 1,100 537 HCHC000985 HPCL-Mittal Health Checkup Abv 50 Years-Male 5,400 538 HCHC000986 Star India EHC Pkg-Male 7,000 539 HCHC000987 Star India EHC Pkg-Female 8,100 540 HCHC000988 HPCL-Mittal HC less than 40 yrs- Male 4,900 541 HCHC000989 HPCL-Mittal HC less than 40 yrs- Female 5,100 542 HCHC000990 HPCL-Mittal HC B/w 40-50 yrs- Male 5,400 543 HCHC000991 HPCL-Mittal HC B/w 40-50 yrs- Female 6,000 544 HCHC000992 HPCL-Mittal HC Abv 50Y-Female 7,200 545 HCHC000993 SpiceJet Limited (For E-Meditek Global) Annual Health Checkup-Male 8,100 546 HCHC000994 SpiceJet Limited (For E-Meditek Global) Annual Health Checkup-Female 8,700 547 HCHC000995 Rites Health Checkup Package 3,500 548 HCHC000996 WNS Global Health Checkup 35-40 Years-Male (E-Meditek) 4,200 549 HCHC000997 WNS Global Health Checkup 35-40 Years-Female (E-Meditek) 4,700 550 HCHC000998 WNS Global Health Checkup 40 Years and Above-Male (E-Meditek) 4,700 551 HCHC000999 WNS Global Health Checkup 40 Years and Above-Female (E-Meditek) 6,000 552 HCHC001000 Soma Isolux Healthy Heart Health Checkup 8,600 553 HCHC001001 Soma Isolux Basic Health Checkup 3,150 554 HCHC001002 Soma Isolux Year of Life-Male 22,500 555 HCHC001003 Soma Isolux Year of Life-Female 22,500 556 HCHC001004 Tata Communications Health Checkup-Male 4,950 557 HCHC001005 Tata Communications Health Checkup-Female 5,400 558 HCHC001006 Loreal EHC Package C/O UHIC 1,830 559 HCHC001007 The World Bank Blw 45 Yrs-Male Pkg-A 4,500 560 HCHC001008 The World Bank Abv 45 Yrs-Male Pkg-C 7,000 561 HCHC001009 The World Bank Abv 50 Yrs-Male Pkg-E 7,000 562 HCHC001010 The World Bank Blw 45 Yrs-Male Pkg-B 5,000 563 HCHC001011 The World Bank Abv 45 Yrs-Male Pkg-D 7,500 564 HCHC001012 The World Bank Abv 50 Yrs-Male Pkg-F 8,600 565 HCHC001013 The World Bank Blw 40 Yrs-Fem Pkg-A 5,400 566 HCHC001014 The World Bank Abv 40 Yrs-Fem Pkg-C 7,000 567 HCHC001015 The World Bank Abv 60 Yrs-Fem Pkg-E 7,000 568 HCHC001016 The World Bank Blw 40 Yrs-Fem Pkg-B 6,000 569 HCHC001017 The World Bank Abv 40 Yrs-Fem Pkg-D 8,200 570 HCHC001018 The World Bank Abv 60 Yrs-Fem Pkg-F 9,500 571 HCHC001019 Sita Pre Emp Health Checkukp Package 1,500 572 HCHC001020 BMW Health Checkup Package-Male (Bajaj Allianz Gen Ins Com Ltd) 7,700 573 HCHC001021 BMW Health Checkup Package-Female (Bajaj Allianz Gen Ins Com Ltd) 8,000 574 HCHC001022 Shri Education Health Check Abv 40 yrs- Male 5,800 575 HCHC001023 Shri EducationHealth Check Abv 40 yrs-Female 5,800 576 HCHC001024 Shri EducationHealth Check 30-40 yrs 2,400 577 HCHC001025 Shri EducationHealth Check 20-30 yrs 1,300 578 HCHC001026 Reckitt Benckiser India Annual Health Checkup Ltd-Female 4,000 579 HCHC001027 Reckitt Benckiser India Annual Health Checkup Ltd-Male 3,400 580 HCHC001028 HPI Offsite HC (Fasting)-Medi Assist Health Care Services 3,150 581 HCHC001029 HPI Offsite HC (Non Fasting)-Medi Assist Health Care Services 2,900 582 HCHC001030 HPI Additional Test-Medi Assist Health Care Services 1,700 583 HCHC001031 Coca Cola EHC for Future Generali India Insurance Company Ltd-Male 4,500


584 HCHC001032 Coca Cola EHC for Future Generali India Insurance Company Ltd-Female 5,500 585 HCHC001033 Viavi HC Package-Male 4,400 586 HCHC001034 Viavi HC Package-Female 4,400 587 HCHC001035 SRF Pre Emp HC 1,800 588 HCHC001036 Cairn India Executive Health Checkup Package-Female 4,350 589 HCHC001037 Cairn India Executive Health Checkup Package-Male 4,350 590 HCHC001038 Invenio Business Solutions HC Pkg 2,600 591 HCHC001039 Visa Package-Male 5,100 592 HCHC001040 Visa Package-Female 5,500 593 HCHC001041 Visa Package-Female with Mammography Above 45 Years 6,200 594 HCHC001044 State Bank of Patiala AHC Pkg-Male 3,400 595 HCHC001045 State Bank of Patiala AHC Pkg-Female 4,300 596 HCHC001046 POSOCO Health Checkup Pkg A-Male 6,500 597 HCHC001047 POSOCO Health Checkup Pkg A-Female 8,000 598 HCHC001048 POSOCO Health Checkup Pkg B-Male 3,100 599 HCHC001049 POSOCO Health Checkup Pkg B-Female 3,400 600 HCHC001050 HT Digital Information Pre Emp Health Checkup 1,400 601 HCHC001051 Daawat Foods Annual Health Checkup Package 1 (20-45)-Male 2,100 602 HCHC001052 Daawat Foods Annual Health Checkup Package 1 (20-45)-Female 2,250 603 HCHC001053 Daawat Foods Annual Health Checkup Package 2 (45 and Above)-Male 3,500 604 HCHC001054 Daawat Foods Annual Health Checkup Package 2 (45 and Above)-Female 3,800 605 HCHC001055 Cisco HC Below 35-Male for United Healthcare Parekh TPA 2,900 606 HCHC001056 Cisco HC Below 35-Female for United Healthcare Parekh TPA 3,250 607 HCHC001057 Cisco HC Above 35-Male for United Healthcare Parekh TPA 3,200 608 HCHC001058 Cisco HC Above 35-Female for United Healthcare Parekh TPA 3,400 609 HCHC001059 Vicus Screeing Package-1 10,000 610 HCHC001061 E I Dupont Below 50 Years-Male Pkg-4 5,735 611 HCHC001062 E I Dupont Below 50 Years-Female Pkg-5 5,600 612 HCHC001063 E I Dupont Above 50 Years-Male Pkg-6 6,180 613 HCHC001064 E I Dupont Above 50 Years-Female- Pkg-7 6,770 614 HCHC001065 E I Dupont Pre Emp-Male- Pkg-8 3,650 615 HCHC001066 E I Dupont Pre Emp-Female-Pkg-9 3,650 616 HCHC001067 Acteon India HC 20-30-Male 3,200 617 HCHC001068 Acteon India HC 20-30-Female 3,600 618 HCHC001069 Acteon India HC 30-45-Male 5,100 619 HCHC001070 Acteon India HC 30-45-Female 5,500 620 HCHC001071 Acteon India HC 45 & Above-Male(Without Stress Echo) 7,000 621 HCHC001072 Acteon India HC 45 & Above-Male(With Stress Echo) 8,000 622 HCHC001073 Acteon India HC 45 & Above-Female(Without Stress Echo) 8,000 623 HCHC001074 Acteon India HC 45 & Above-Female(With Stress Echo) 9,000 624 HCHC001075 Deliotte Additional HC Vitamin D For Bajaj Allianz 1,900 625 HCHC001076 Deliotte Additional HC Vitamin B12 For Bajaj Allianz 1,200 626 HCHC001077 Deliotte Additional HC USG Whoel Abdomen For Bajaj Allianz 2,200 627 HCHC001078 Johnson Matthey Chemical HC Pkg-1 1,379 628 HCHC001079 Johnson Matthey Chemical HC Pkg-2 2,650 629 HCHC001080 Johnson Matthey Chemical HC Pkg-3 3,250 630 HCHC001081 Johnson Matthey Chemical HC Pkg-4 2,279 631 HCHC001082 Life Insurance Corporation Bikaner HC Pkg-1-Male 5,000 632 HCHC001083 Life Insurance Corporation Bikaner HC Pkg-2-Male 4,000 633 HCHC001084 Life Insurance Corporation Bikaner HC Pkg-3-Male 3,000 634 HCHC001085 Life Insurance Corporation Bikaner HC Pkg-1-Female 5,000 635 HCHC001086 Life Insurance Corporation Bikaner HC Pkg-2-Female 4,000 636 HCHC001087 Life Insurance Corporation Bikaner HC Pkg-3-Female 3,000 637 HCHC001088 Ingersoll Rand Health Checkup-Female 3,500 638 HCHC001089 Ingersoll Rand Health Checkup-Male 3,500 639 HCHC001090 Publicis HC Pkg-Male For PHCMPL 4,000 640 HCHC001091 Publicis HC Pkg-Female For PHCMPL 4,400 641 HCHC001092 Publicis HC Pkg-Child For PHCMPL 2,400 642 HCHC001093 ArcoFemi Health Checkup Pkg-Male 6,000 643 HCHC001094 ArcoFemi Health Checkup Pkg-Female 6,000 644 HCHC001095 Cowi India C/O Religare Health Insurance HC Pkg-Male/Female 2,100 645 HCHC001096 Fidelity AHC-Male (UHPTPA) 3,000 646 HCHC001097 Fidelity AHC-Female (UHPTPA) 4,400 647 HCHC001098 Eicher Pre Emp Health Checkup-Male 1,200 648 HCHC001099 Medi Assist Standard HC Common-Male/Female 1,600


649 HCHC001100 Medi Assist Standard Premium HC Common-Male/Female 2,100 650 HCHC001101 Medi Assist EHC Common-Male/Female 2,400 651 HCHC001102 Medi Assist Master HC-Male 3,950 652 HCHC001104 Medi Assist Advance HC-Male 4,450 653 HCHC001105 Medi Assist Advance HC-Female 5,650 654 HCHC001106 Medi Assist Master HC-Female 3,500 655 HCHC001107 Medi Assist Well Women Pkg 4,300 656 HCHC001108 DSM India HC for Support Staff-Male/Female 1,000 657 HCHC001109 JCB India Health Checkup Pkg-Male 4,150 658 HCHC001110 JCB India Health Checkup Pkg-Female 4,850 659 HCHC001111 NHPC- Male (TMT) 6,000 660 HCHC001112 NHPC- Male (TMT & Audiometry) 6,000 661 HCHC001113 NHPC- Male (stress echo excluding TMT)P challanged emp 6,000 662 HCHC001114 NHPC-M(stress echo exc TMT with Audio)H/O emp 6,000 663 HCHC001115 NHPC- Female(TMT) 6,700 664 HCHC001116 NHPC- Female(TMT & Audiometry) 6,700 665 HCHC001117 NHPC- Female(stress echo excluding TMT)P challanged emp 6,700 666 HCHC001118 NHPC- Female(stress echo excluding TMT with Audio)H/O emp 6,700 667 HCHC001119 IKEA Services Pre Emp HC-Female 1,350 668 HCHC001120 Religare Super Platinum HC Pkg-Male 6,500 669 HCHC001121 Religare Super Platinum HC Pkg Less than 45 Years-Female 6,700 670 HCHC001122 Religare Super Platinum HC Pkg More Than 45 Years-Female 6,700 671 HCHC001123 Airport Authority Annual Health Checkup-Male/Female 3,900 672 HCHC001124 SB Solar Services Pvt Ltd-Male(20-30 Y) 3,000 673 HCHC001125 SB Solar Services Pvt Ltd-Female(20-30 Y) 3,300 674 HCHC001126 SB Solar Services Pvt Ltd-male(30-45 Y) 5,000 675 HCHC001127 SB Solar Services Pvt Ltd-Female(30-45 Y) 5,300 676 HCHC001128 SB Solar Services Pvt Ltd-Male(45 above) 5,400 677 HCHC001129 SB Solar Services Pvt Ltd-Female(45 above) 6,000 678 HCHC001130 Medi Assist CA-125 Add. Test 1,500 679 HCHC001131 ICICI Osram lighting Pvt Ltd HCU Male 5,625 680 HCHC001132 ICICI Osram lighting Pvt Ltd HCU Female 5,528 681 HCHC001133 Health Assure Pvt Ltd C/o Exide Medicals Female & Male 3,500 682 HCHC001134 Future Generali C/O Addidas Tech-Male 3,800 683 HCHC001135 Future Generali C/O Addidas Tech-Female 4,700 684 HCHC001136 Jindal Group of com pre emp Male 1,800 685 HCHC001137 Jindal Group of com pre emp Female 1,800 686 HCHC001138 Jindal Group of com AHC Male 5,000 687 HCHC001139 Jindal Group of com AHC Female 5,000 688 HCHC001140 Kayako Support System HC-Male 2,000 689 HCHC001141 Kayako Support System HC-Female 2,000 690 HCHC001142 JSW Annual Health Package-Male 12,000 691 HCHC001143 JSW Annual Health Package-Female 12,000 692 HCHC001144 ITC HOTEL Div. Plan A-M<35 3,000 693 HCHC001145 ITC HOTEL Div. Plan A-F<35 3,000 694 HCHC001146 ITC HOTEL Div. Plan B-M 35-45 5,000 695 HCHC001147 ITC HOTEL Div. Plan B-F 35-45 5,000 696 HCHC001148 ITC HOTEL Div. Plan C-M>45 7,000 697 HCHC001149 ITC HOTEL Div. Plan C-F>45 7,000 698 HCHC001150 Bajaj Allianz GI Globus Marine-M 2,400 699 HCHC001151 Bajaj Allianz GI Globus Marine-F 2,600 700 HCHC001152 Religare Health Insurance-Bacardi Package-Male 4,300 701 HCHC001153 Religare Health Insurance-Bacardi Package-Female 4,300 702 HCHC001154 PeopleHealth Biomarker Package 5,000


703 HCHC001155 Medi Assist-Sopra Steria-EHC Package-M 6,200 704 HCHC001156 Medi Assist-Sopra Steria-EHC Package-F 7,000 705 HCHC001157 Kidney Disease Screening package 1,500 706 HCHC001158 Sona Koyo Steering Sys Ltd HC Pkg-Female 8,400 707 HCHC001159 Sona Koyo Steering Sys Ltd HC Pkg-Male 8,400 708 HCHC001160 H D Motors/Religare Health Insurance Annual HC-Female 6,250 709 HCHC001161 H D Motors/Religare Health Insurance Annual HC-Male 6,250 710 HCHC001162 Mckinsey c/o united hc male above 40 yrs 7,500 711 HCHC001163 Mckinsey c/o united hc female above 40 yrs 8,500 712 HCHC001166 Reliance HC >40Y-F(Without Mammo) 4,600 713 HCHC001167 Annual Medical Examination of Group A Officers (Male) 2,000 714 HCHC001168 Annual Medical Examination of Group A officer (Female) 2,200 715 HCHC001169 Tractebel Engineering Private Limited 1,200 716 HCHC001170 MYCOM ANNUAL HEALTH PCKG-F 4,500 717 HCHC001171 MYCOM ANNUAL HEALTH PCKG-M 4,500 718 HCHC001172 Mother's Day Package 1,999 719 HCHC001173 Tupperware cust. Pckg AMC-M 4,000 720 HCHC001174 Tupperware cust. Pckg AMC-F 4,000 721 HCHC001175 Tupperware cust Pckg AWBC-M(EC) 6,600 722 HCHC001176 Tupperware cust Pckg AWBC-F(EC) 7,000 723 HCHC001177 Basic Pituitary Package 2,800 724 HCHC001178 Microprollactinoma Package 1,800 725 HCHC001179 Pituitary Evaluation Package 2,400 726 HCHC001180 Macroadenoma/Sellar Supersellar Lesion Panel-Female 7,600 727 HCHC001181 Macroadenoma/Sellar Supersellar Lesion Panel-Male 7,500 728 HCHC001182 Acromegaly Panel-Female 13,800 729 HCHC001183 Acromegaly Panel-Male 15,400 730 HCHC001184 Macro Prolactinoma Panel-Female 11,500 731 HCHC001185 Macro Prolactinoma Panel-Male 10,500 732 HCHC001186 ICICI LOMBARD GENERAL INS-GBT pckg above 35 Year 4,000 733 HCHC001187 ICICI LOMBARD GENERAL INS-GBT pckg Below 35 Year 1,800 734 HCHC001188 Fanuc india Annual Master HC-Male 4,500 735 HCHC001189 Fanuc india Annual Master HC-Female 4,700 736 HCHC001190 E I Dupont Food Hander test 1,200 737 HCHC001191 DSM SINOCHEM ONSITE HC 3,400 738 HCHC001192 GMR Grp Basic Package M & F 2,380 739 HCHC001193 GMR Grp Exe Health Checkup Below 40 F 4,675 740 HCHC001194 GMR Grp Exe Health Checkup Below 40 M 4,675 741 HCHC001195 GMR Grp Exe Health Checkup Above 40 F 13,600 742 HCHC001196 GMR Grp Exe Health Checkup Above 40 M 13,600 743 HCHC001197 GMR Grp Exe Diabetes Basic Pkg M & F 4,080 744 HCHC001198 Father’s day 1,999 745 HCHC001199 Amdoc co medi asst blw 40 yr M 3,100 746 HCHC001200 Amdoc co medi asst blw 40 yr F 4,000 747 HCHC001201 Amdoc co medi asst M 40 yr abv 3,400 748 HCHC001202 Amdoc co medi asst F 40 yr abv 4,700 749 HCHC001220 Lung Transplant (Receipient) Assessment 75,000 750 HCHC001278 Basic Spine Evaluation 15,000


PORTEA

749 HCHV000001 Home Care Doctor Single Visit-Portea 1,000 750 HCHV000002 Home Care Physiotherapist Single Visit-Portea 700 751 HCHV000003 Home Care Nurse Single Visit-Portea 450 752 HCHV000004 Home Care Nurse Per 12 hr-Portea -Female 1,500 753 HCHV000006 Home Care Trained Attendant Per 12 hr Shift-Portea 650 754 HCHV000010 Nursing 30 days package 12 hr- Portea-Female 40,500 755 HCHV000011 Nursing 30 days package 24 hr-Portea 71,400 756 HCHV000012 Nursing 30 days package stay-in-Portea- Female 72,900

Heart station

S.No Billing code Service name Charges in INR

1 HSTN000001 Transthoracic echo 3,000

2 HSTN000002 AMBULATORY B.P. MONITORING 2,500

3 HSTN000003 CAROTID INTIMA MEDIA THICKNESS ASSESMENT 1,100

4 HSTN000006 ECG 300

5 HSTN000007 Echo Dobutamine Stres 4,500

6 HSTN000009 FMD-Manual 1,000

7 HSTN000010 HOLTER MONITORING 3,000

8 HSTN000011 IMA DUPLEX SCAN 2,500

9 HSTN000012 PEDIATRIC ECHO 2,800

10 HSTN000013 PEDIATRIC TRANS ESOPHAGEAL ECHO 3,200

11 HSTN000019 Stress Echocardiography 4,000

12 HSTN000020 TISSUE DOPPLER IMAGING 2,800

13 HSTN000021 TRANS ESOPHAGEAL ECHO/2D 3,600

14 HSTN000022 EXERCISE STRESS ECG (TMT) 2,500

15 HSTN000023 VASCULAR DOPPLER 2,500

16 HSTN000028 BODY FAT ANALYSIS 100

17 HSTN000029 PULSE WAVE ANALYSIS 1,800

18 HSTN000032 USG GUIDED PSUDO ANEURYSM COMPRESSION 3,000

19 HSTN000034 Transthoracic Echo with contrast 5,000

20 HSTN000035 Echo Dobutamine Stress with contrast 6,500

21 HSTN000036 Paediatric Echocardiography with contrast 6,000

22 HSTN000037 Stress Echocardiography with contrast 8,400

23 HSTN000038 Review of reports 1,800

24 HSTN000042 Fetal Echocardiography 2,800

25 HSTN000043 Baroreceptor Reflex Sensitivity Test 5,000

26 HSTN000044 Flow mediated dilatation (FMD)-Automated 1,800

27 HSTN000045 Telemetry Charges Per Day 1,000

28 HSTN000046 Cardiopulmonary exercise testing 6,000

29 HSTN000047 HEAD-UP TILT TEST 3,000

30 HSAC000001 Heart Alert / ECG Monitoring 1 Week 2,000





35 HSAC000006 Refundable Security Deposit 6,500

36 HSME000001 Mobile Transthoracic Echo 3,000

37 HSME000002 Mobile Pediatric Echo 2,800

38 HSME000003 Mobile Echo Dobutamine Stres 4,500

39 HSME000004 Mobile Pediatric Trans Esophageal Echo 3,200

40 HSME000005 Mobile Stress Echocardiography 4,000

41 HSME000006 Mobile Trans Esophageal Echo/2D 3,600

42 HSME000007 Mobile Transthoracic Echo with Contrast 5,000

43 HSME000008 Mobile Echo Dobutamine Stress with Contrast 6,500

44 HSME000009 Mobile Pediatric Echocardiography with Contrast 6,000

45 HSME000010 Mobile Stress Echocardiography with Contrast 8,400

46 HSME000011 Mobile Fetal Echocardiography 2,800


Radiology

S.No Billing Code

Service Name Charges in

no. INR

Computerized Tomography (CT)

1 RDCT000001 CT ANGIOGRAPHY BRAIN 10,000

2 RDCT000002 CT ANGIOGRAPHY NECK 11,000

3 RDCT000003 CT ANGIOGRAPHY CHEST 10,500

4 RDCT000004 CT ANGIOGRAPHY PULMONARY 10,500

5 RDCT000005 CT ANGIOGRAPHY ABDOMEN 14,000

6 RDCT000006 CT ANGIOGRAPHY RENAL 10,500

7 RDCT000007 CT ANGIOGRAPHY PERIPHERAL 12,650

8 RDCT000010 CT BRAIN (CONTRAST) 4,600

9 RDCT000011 CT BRAIN (PLAIN) 3,100

10 RDCT000012 CT BRAIN SELLA (PITUITARY) (CONTRAST) 5,175

11 RDCT000013 CT BRAIN SELLA (PITUITARY) (PLAIN) 4,000

12 RDCT000015 CT CARDIAC FOR CONGENITAL HEART DISEASE 12,500

13 RDCT000017 CT CHEST (CONTRAST) 6,900

14 RDCT000018 CT CHEST (PLAIN) 4,600

15 RDCT000019 CT CISTERNOGRAPHY / MYELOGRAPHY 10,350

16 RDCT000020 CT CORONARY ANGIO 14,000

17 RDCT000023 CT DYNAMIC STUDY - LIVER 12,500

18 RDCT000024 CT DYNAMIC STUDY - PANCREAS 11,500

19 RDCT000025 CT DYNAMIC STUDY - KIDNEYS 12,500

20 RDCT000026 CT DYNAMIC STUDY - OTHER (PER PART) 11,500

21 RDCT000027 CECT Abdomen With Enteroclysis 12,000

22 RDCT000028 CT EXTRA CONTRAST CHARGES - NI(NON-IONIC) (PER 50ML) 1,380

23 RDCT000029 CT EXTRA CONTRAST CHARGES - I(IONIC) (PER 20ML) 575

24 RDCT000030 CT EXTRA FILM CHARGES (PER FILM) 350

25 RDCT000039 CT EXTREMITIES (CONTRAST) UPPER PROXIMAL (ARM) 6,900

26 RDCT000040 CT EXTREMITIES (CONTRAST) UPPER DISTAL (FOREARM) 6,900

27 RDCT000041 CT EXTREMITIES (CONTRAST) LOWER PROXIMAL (THIGH) 6,900

28 RDCT000042 CT EXTREMITIES (CONTRAST) LOWER DISTAL (LEG) 6,900

29 RDCT000043 CT EXTREMITIES (PLAIN) UPPER PROXIMAL (ARM) 5,700

30 RDCT000044 CT EXTREMITIES (PLAIN) UPPER DISTAL (FOREARM) 5,700

31 RDCT000045 CT EXTREMITIES (PLAIN) LOWER PROXIMAL (THIGH) 5,700

32 RDCT000046 CT EXTREMITIES (PLAIN) LOWER DISTAL (LEG) 5,700

33 RDCT000048 CT JOINTS SINGLE (PLAIN) SHOULDER 5,200

34 RDCT000049 CT JOINTS SINGLE (PLAIN) ELBOW 5,200

35 RDCT000050 CT JOINTS SINGLE (PLAIN) WRIST 5,200

36 RDCT000051 CT JOINTS SINGLE (PLAIN) HAND 5,200

37 RDCT000052 CT JOINTS SINGLE (PLAIN) KNEE 5,200

38 RDCT000053 CT JOINTS SINGLE (PLAIN) ANKLE 5,200

39 RDCT000054 CT JOINTS SINGLE (PLAIN) FOOT 5,200

40 RDCT000055 CT JOINTS BOTH (PLAIN) TEMPORO-MANDIBULAR 5,700

41 RDCT000056 CT JOINTS BOTH (PLAIN) SHOULDER 7,475

42 RDCT000057 CT JOINTS BOTH (PLAIN) STERNUM/STERNO-CLAVICULAR 5,700

43 RDCT000058 CT JOINTS BOTH (PLAIN) ELBOW 7,475

44 RDCT000059 CT JOINTS BOTH (PLAIN) WRIST 7,475

45 RDCT000060 CT JOINTS BOTH (PLAIN) HAND 7,475

46 RDCT000061 CT JOINTS BOTH (PLAIN) SACROILIAC (SI) 5,700

47 RDCT000062 CT JOINTS BOTH (PLAIN) HIP 5,700

48 RDCT000063 CT JOINTS BOTH (PLAIN) KNEE 5,700

49 RDCT000064 CT JOINTS BOTH (PLAIN) ANKLE 5,700

50 RDCT000065 CT JOINTS BOTH (PLAIN) FOOT 5,700

51 RDCT000066 CT KUB (CONTRAST) 8,200

52 RDCT000067 CT KUB (PLAIN) 6,500


S.No Billing Code


no. INR

53 RDCT000068 CT LOWER ABDOMEN/PELVIS (CONTRAST) 6,325

54 RDCT000069 CT LOWER ABDOMEN/PELVIS (PLAIN) 4,600

55 RDCT000070 CT NECK/PHARYNX/LARYNX (CONTRAST) 6,500

56 RDCT000071 CT NECK/PHARYNX/LARYNX (PLAIN) 4,800

57 RDCT000072 CT PNS/FACE/ORBITS (CONTRAST) 6,200

58 RDCT000073 CT PNS/FACE/ORBITS (PLAIN) 4,400

59 RDCT000074 CT SCAN (LIMITED SUDY) (CONTRAST) 5,750

60 RDCT000075 CT SCAN (LIMITED SUDY) (PLAIN) 4,025

61 RDCT000076 CT SPINE (PLAIN) CV JUNCTION 5,175

62 RDCT000077 CT SPINE (PLAIN) CERVICAL 5,175

63 RDCT000078 CT SPINE (PLAIN) CERVICO-DORSAL 5,175

64 RDCT000079 CT SPINE (PLAIN) DORSAL 5,175

65 RDCT000080 CT SPINE (PLAIN) DORSO-LUMBAR 5,175

66 RDCT000081 CT SPINE (PLAIN) LUMBAR/LUMBOSACRAL 5,175

67 RDCT000082 CT SPINE (PLAIN) SACRUM & COCCYX 5,175

68 RDCT000083 CT SINOGRAM 6,900

69 RDCT000087 CT TWO REGIONS (CONTRAST) 9,200

70 RDCT000088 CT TWO REGIONS (PLAIN) 6,325

71 RDCT000089 CT UPPER ABDOMEN (CONTRAST) 7,500

72 RDCT000090 CT UPPER ABDOMEN (PLAIN) 5,300

73 RDCT000091 CT UROGRAPHY 9,500

74 RDCT000092 CT WHOLE ABDOMEN (CONTRAST) 11,000

75 RDCT000093 CT WHOLE ABDOMEN (PLAIN) 7,500

76 RDCT000094 CT WHOLE BODY (BRAIN + NECK + CHEST + WHOLE ABDO) (CONTRAST) 18,400

77 RDCT000095 CT WHOLE BODY (BRAIN + NECK + CHEST + WHOLE ABDO) (PLAIN) 13,800

78 RDCT000097 CT BRONCHOSCOPY 3D-VIRTUAL 8,050

79 RDCT000098 CT CHOLANGIOPANCREATICOGRAPHY 3D-VIRTUAL 9,200

80 RDCT000099 CT COLONOSCOPY 3D-VIRTUAL 8,800

81 RDCT000100 HRCT CHEST 5,175

82 RDCT000101 HRCT TEMPORAL BONES 5,175

83 RDCT000106 RT PLANNING CT WITHOUT CONTRAST 4,025

84 RDCT000107 RT PLANNING CT WITH CONTRAST 5,750

86 RDCT000111 CT FOR RENAL DONOR EVALUATION 13,800

87 RDCT000112 CT FOR ACUTE STROKE (BRAIN,CTA,PERFUSION) 20,000

88 RDCT000113 CT ANGIOGRAPHY ENTIRE AORTA 14,950

89 RDCT000114 CT ANGIOGRAPHY ABDOMEN & PERIPHERAL 18,400

90 RDCT000115 CT PARANSAL SINUSES (CORONAL ONLY) 2,875

91 RDCT000116 CT CORONARY CALCIUM SCORING 4,025

92 RDCT000117 Triple Phase CT (Liver) + Volumetry + Liver Angio 15,525

93 RDCT000118 Extra CD charges (CT) 400

94 RDCT000119 Liver donor review charges (complete) 6,325

95 RDCT000120 Volumetry Review charges 4,025

96 RDCT000121 CT TOPOGRAM/SCNOGRAM 2,070

97 RDCT000122 CT WHOLE SPINE (Plain) 14,500

98 RDCT000123 CT WHOLE SPINE (contrast) 15,525

99 RDCT000124 SECURITY FOR ORAL CONTRAST 575

100 RDCT000125 CT CHEST+WHOLE ABDOMEN (CONTRAST) 14,500

101 RDCT000126 CT CHEST+WHOLE ABDOMEN (PLAIN) 11,500

102 RDCT000128 3D CT reconstruction only 2,500

103 RDCT000129 CT angiography - Neck and brain 18,000

104 RDCT000130 CT angiography - Neck and chest 16,100

105 RDCT000131 CT angiography - Pulmonary and coronary 17,250

106 RDCT000132 CT angiography A-PulmonaryUnitofGlobaland HealthlowerlimbsPvt. Ltd(DVT. protocol) 17,250

S.No Billing Code


no. INR

107 RDCT000133 CECT abdomen with enterography 10,500

108 RDCT000134 CT angiography -Head, neck and chest 20,125

109 RDCT000135 CT angiography - Chest, abdomen and lower limbs 25,000

110 RDCT000136 CT Para nasal sinus - plain 4,500

111 RDCT000137 CT face - plain 4,700

112 RDCT000138 CT orbit - plain 4,800

113 RDCT000139 CT Para nasal sinus - contrast 5,750

114 RDCT000140 CT face - contrast 6,200

115 RDCT000141 CT orbit - contrast 6,500

116 RDCT000142 CT sleep apnea - plain 4,600

117 RDCT000143 CT Guided Injection 6,000

118 RDCT000144 CT urography stone protocol 9,500

119 RDCT000145 CT perfusion per part 9,500

120 RDCT000147 Outside CT/MRI Body Review 5,000

121 RDCT000148 Outside CT/MRI Head Review 2,500

122 RDCT000149 Limited Radiology Review 1,000

123 RDCT000150 3D Reconstruction Face 2,500

124 RDCT000151 3D Reconstruction Pelvis 2,500

125 RDCT000152 3D Reconstruction Whole Spine 2,500

126 RDCT000153 Trauma Protocol A (P) 24,775

127 RDCT000154 Trauma Protocol B (P) 27,775

128 RDCT000155 Outside CT/MRI MSK Review 3,500

Dexa

1 RDDX000001 DEXA SPINE 2,400

2 RDDX000002 DEXA SPINE & FEMUR 3,200

3 RDDX000003 DEXA SPINE, FEMUR & RADIUS 4,400

4 RDDX000004 DEXA WHOLE BODY SCAN 5,000

5 RDDX000005 DEXA for FAT analysis 1,550

Fluoroscopy

1 RDFL000002 BARIUM ENEMA SINGLE CONTRAST 2,415

2 RDFL000003 BARIUM ENEMA DOUBLE CONTRAST 5,200

3 RDFL000004 BARIUM ENTEROCLYSIS WITH TUBE 7,475

4 RDFL000005 BARIUM ENTEROGRAPHY 6,325

5 RDFL000006 BARIUM HYPOTONIC DUODENOGRAPHY 2,185

6 RDFL000007 BARIUM MEAL FOLLOW THROUGH (BMFT) 6,200

7 RDFL000008 BARIUM PERORAL PNEUMOCOLON 2,415

8 RDFL000009 BARIUM SWALLOW 2,700

9 RDFL000010 BARIM TUBE ESOPHAGOGRAM (NEWBORN) 1,035

10 RDFL000011 BARIUM UPPER GI STUDY SINGLE CONTRAST 2,070

11 RDFL000012 BARIUM UPPER GI STUDY DOUBLE CONTRAST 3,450

12 RDFL000013 BARIUM STUDY 2,200

13 RDFL000014 DYE STUDY DACRYOCYSTOGRAM 2,200

14 RDFL000015 DYE STUDY ENEMA 3,800

15 RDFL000016 NEPHROSTOGRAM 1,600

16 RDFL000017 DYE STUDY PHARYNGOGRAM 1,600

17 RDFL000019 DYE STUDY SIALOGRAM PAROTID BOTH 3,350

18 RDFL000020 DYE STUDY SIALOGRAM PAROTID SINGLE 1,840

19 RDFL000021 DYE STUDY SIALOGRAM SUBMANDIBULAR BOTH 4,150

20 RDFL000022 DYE STUDY SIALOGRAM SUBMANDIBULAR SINGLE 2,650

21 RDFL000023 DYE STUDY SINOGRAM/FISTULOGRAM 2,650

22 RDFL000024 DYE STUDY CHOLANGIOGRAM 1,610

23 RDFL000025 DYE STUDY UPPER GI 3,350

24 RDFL000026 DYE STUDY 1,840

25 RDFL000027 DYE STUDY CAVERNOSOGRAM 2,420

26 RDFL000028 FLUOROSCOPY SCREENINGAUnitoflobalONLYHealth Pvt. Ltd. 1,300

S.No Billing Code


no. INR

27 RDFL000029 GENITOGRAM (NEWBORN) 1,725

28 RDFL000030 HYSTEROSALPINGOGRAM (HSG) 4,600

29 RDFL000031 INTRAVENOUS UROGRAPHY (IVU) 5,175

30 RDFL000032 MICTURATING CYSTOURETHROGRAM (MCU) 3,000

31 RDFL000033 MCU & RGU 4,000

32 RDFL000034 RETROGRADE GENITOURETHROGRAM (RGU) 2,100

33 RDFL000035 Distal loop colostogram 1,150

34 RDFL000036 Distal loop illeostogram 1,150

35 RDFL000037 Fluoroscopy with injection 3,000

36 RDFL000038 VFSS - video fluoroscopic swallow study 6,000

Mammography

1 RDMM000001 MAMMOGRAPHY SINGLE BREAST 1,200

2 RDMM000002 MAMMOGRAPHY BOTH BREAST 2,300

3 RDMM000004 SPOT COMPRESSION/CONE MAGNIFICATION PER VIEW 690

4 RDMM000005 MAMMOGRAPHY DUCTOGRAPHY SINGLE 1,500

5 RDMM000006 MAMMOGRAPHY DUCTOGRAPHY BOTH 2,800

6 RDMM000007 MAMMOGRAPHY SINGLE BREAST SPECIAL VIEW 550

7 RDMM000008 REVIEW OF EXTERNAL MAMMOGRAM 575

8 RDMM000009 Stereotactic Breast wire localisation 5,000

9 RDMM000010 Stereotactic Breast clip placement 4,025

10 RDMM000013 Stereotactic Breast Biopsy 7,500

11 RDMM000014 Stereotactic Breast FNAC 4,025

Magnetic Resonance Imaging (MRI)

1 RDMR000001 MR ANGIOGRAPHY CONTRAST ABDOMEN 12,650

2 RDMR000002 MR ANGIOGRAPHY CONTRAST BRAIN 12,650

3 RDMR000003 MR ANGIOGRAPHY CONTRAST CHEST 12,650

4 RDMR000004 MR ANGIOGRAPHY CONTRAST EXTREMITY 12,650

5 RDMR000005 MR ANGIOGRAPHY CONTRAST NECK 12,650

6 RDMR000006 MR ANGIOGRAPHY CONTRAST PULMONARY 12,650

7 RDMR000007 MR ANGIOGRAPHY CONTRAST RENAL 12,650

8 RDMR000008 MR ANGIOGRAPHY CONTRAST NECK & BRAIN 18,975

9 RDMR000009 MR ANGIOGRAPHY CONTRAST AORTIC ARCH & NECK 16,100

10 RDMR000010 MR ANGIOGRAPHY CONTRAST THORACIC & ABDOMINAL AORTA 18,975

11 RDMR000011 MR ANGIOGRAPHY CONTRAST TWO PARTS 18,975

12 RDMR000012 MR ANGIOGRAPHY CONTRAST THREE PARTS 24,725

13 RDMR000013 MR ANGIOGRAPHY PLAIN ABDOMEN 9,000

14 RDMR000014 MR ANGIOGRAPHY PLAIN BRAIN 9,000

15 RDMR000015 MR ANGIOGRAPHY PLAIN EXTREMITIES 9,000

16 RDMR000016 MR ANGIOGRAPHY PLAIN NECK 9,000

17 RDMR000017 MR ANGIOGRAPHY PLAIN BRAIN & NECK 15,000

18 RDMR000018 MRI BRACHIAL PLEXUS SINGLE 9,200

19 RDMR000020 MRI BRAIN CONTRAST 12,000

20 RDMR000022 MRI BRAIN PLAIN 7,950

21 RDMR000024 MRI BRAIN WITH CSF FLOW STUDY 10,900

22 RDMR000025 MRI BRAIN WITH EPILEPSY PROTOCOL 9,200

23 RDMR000028 MRI BRAIN WITH 3D 8,625

24 RDMR000029 MRI BREAST BOTH CONTRAST 14,500

25 RDMR000030 MRI CARDIAC CONTRAST 17,250

26 RDMR000031 MRI CARDIAC PLAIN 13,225

27 RDMR000032 MRI CHEST CONTRAST 11,500

28 RDMR000033 MRI CHEST PLAIN 7,950

29 RDMR000034 MR CHOLANGIOPANCREATICOGRAPHY (MRCP)(ONLY) 8,600

30 RDMR000035 MRI CISTERNOGRAPHY/MYELOGRAPHY 8,050

31 RDMR000038 MRI DYNAMIC STUDY KIDNEYS 13,800

32 RDMR000039 MRI DYNAMIC STUDYAUnitLIVERofGlobal Health Pvt. Ltd. 13,800

S.No Billing Code


no. INR

33 RDMR000040 MRI DYNAMIC STUDY PANCREAS 13,800

34 RDMR000041 MRI DYNAMIC STUDY PITUITARY 12,650

35 RDMR000042 MRI DYNAMIC STUDY OTHER (PER PART) 12,650

36 RDMR000043 MR ENTEROCLYSIS CONTRAST 13,800

37 RDMR000044 MR ENTEROCLYSIS PLAIN 9,800

38 RDMR000045 MRI EXTRA CONTRAST CHARGES - PER 10CC 4,025

39 RDMR000046 MRI EXTRA FILM CHARGES - PER FILM 450

40 RDMR000047 MRI EXTREMITIES SINGLE LEG (CONTRAST) 11,500

41 RDMR000048 MRI EXTREMITIES SINGLE THIGH (CONTRAST) 11,500

42 RDMR000049 MRI EXTREMITIES SINGLE FOREARM (CONTRAST) 11,500

43 RDMR000050 MRI EXTREMITIES SINGLE ARM (CONTRAST) 11,500

44 RDMR000051 MRI EXTREMITIES SINGLE LEG (PLAIN) 7,950

45 RDMR000052 MRI EXTREMITIES SINGLE THIGH (PLAIN) 7,950

46 RDMR000053 MRI EXTREMITIES SINGLE FOREARM (PLAIN) 7,950

47 RDMR000054 MRI EXTREMITIES SINGLE ARM (PLAIN) 7,950

48 RDMR000063 MRI FETAL STUDY 11,500

49 RDMR000064 MR FISTULOGRAM CONTRAST 12,600

50 RDMR000065 MR FISTULOGRAM PLAIN 8,650

52 RDMR000067 MRI INNER EAR (PLAIN) 8,000

53 RDMR000068 MRI JOINT SINGLE CONTRAST FOOT 11,500

54 RDMR000069 MRI JOINT SINGLE CONTRAST ANKLE 11,500

55 RDMR000070 MRI JOINT SINGLE CONTRAST KNEE 11,500

56 RDMR000071 MRI JOINT SINGLE CONTRAST SHOULDER 11,500

57 RDMR000072 MRI JOINT SINGLE CONTRAST ELBOW 11,500

58 RDMR000073 MRI JOINT SINGLE CONTRAST WRIST 11,500

59 RDMR000074 MRI JOINT SINGLE CONTRAST HAND 11,500

60 RDMR000075 MRI JOINT SINGLE PLAIN FOOT 7,950

61 RDMR000076 MRI JOINT SINGLE PLAIN ANKLE 7,950

62 RDMR000077 MRI JOINT SINGLE PLAIN KNEE 7,950

63 RDMR000078 MRI JOINT SINGLE PLAIN SHOULDER 7,950

64 RDMR000079 MRI JOINT SINGLE PLAIN ELBOW 7,950

65 RDMR000080 MRI JOINT SINGLE PLAIN WRIST 7,950

66 RDMR000081 MRI JOINT SINGLE PLAIN HAND 7,950

67 RDMR000082 MRI JOINT BOTH (R & L) CONTRAST FOOT 23,000

68 RDMR000083 MRI JOINT BOTH (R & L) CONTRAST ANKLE 23,000

69 RDMR000084 MRI JOINT BOTH (R & L) CONTRAST KNEE 23,000

70 RDMR000085 MRI JOINT BOTH (R & L) CONTRAST HIP 11,500

71 RDMR000086 MRI JOINT BOTH (R & L) CONTRAST SI JOINTS 11,500

72 RDMR000096 MRI JOINT BOTH (R & L) PLAIN HIP 7,950

73 RDMR000097 MRI JOINT BOTH (R & L) PLAIN SI JOINTS 7,950

74 RDMR000099 MRI JOINT BOTH (R & L) PLAIN STERNOCLAVICULAR 8,050

75 RDMR000104 MRI JOINT EXTRA ARTHROGRAPHY BOTH (R & L) 11,500

76 RDMR000105 MRI JOINT EXTRA ARTHROGRAPHY SINGLE 5,750

77 RDMR000106 MRI LOWER ABDOMEN/PELVIS CONTRAST 12,650

78 RDMR000107 MRI LOWER ABDOMEN/PELVIS PLAIN 8,650

79 RDMR000108 MRI NASOPHARYNX/PNS CONTRAST 11,500

80 RDMR000109 MRI NASOPHARYNX/PNS PLAIN 7,950

81 RDMR000110 MRI NECK/ THYROID/ LARYNX CONTRAST 11,500

82 RDMR000111 MRI NECK/THYROID/LARYNX PLAIN 7,950

83 RDMR000112 MRI ORBITS CONTRAST 11,500

84 RDMR000113 MRI ORBITS PLAIN 7,950

85 RDMR000114 MRI PROSTATE CONTRAST 11,500

86 RDMR000115 MRI PROSTATE PLAIN 8,050

87 RDMR000116 MRI RECTUM (HIGH RESOLUTION) CONTRAST 11,500

88 RDMR000117 MRI RECTUM (HIGHAUnitRESOLUTION)ofGlobalHealthPLAINPvt. Ltd. 8,050

S.No Billing Code


no. INR

89 RDMR000118 MRI SELLA (PITUITARY FOSSA) CONTRAST 11,500

90 RDMR000119 MRI SELLA (PITUITARY FOSSA) PLAIN 7,950

91 RDMR000120 MR SINOGRAM CONTRAST 11,500

92 RDMR000121 MR SINOGRAM PLAIN 7,950

93 RDMR000122 MR SPECTROSCOPY EXTRA 7,000

94 RDMR000123 MRI SPINE CONTRAST CV JUNCTION 11,500

95 RDMR000124 MRI SPINE CONTRAST CERVICAL 11,500

96 RDMR000125 MRI SPINE CONTRAST CERVICODORSAL 11,500

97 RDMR000126 MRI SPINE CONTRAST DORSAL 11,500

98 RDMR000127 MRI SPINE CONTRAST DORSOLUMBAR 11,500

99 RDMR000128 MRI SPINE CONTRAST LUMBOSACRAL 11,500

100 RDMR000129 MRI SPINE CONTRAST SACRUM & COCCYX 11,500

101 RDMR000131 MRI SPINE PLAIN CV JUNCTION 7,950

102 RDMR000132 MRI SPINE PLAIN CERVICAL 7,950

103 RDMR000133 MRI SPINE PLAIN CERVICODORSAL 7,950

104 RDMR000134 MRI SPINE PLAIN DORSAL 7,950

105 RDMR000135 MRI SPINE PLAIN DORSOLUMBAR 7,950

106 RDMR000136 MRI SPINE PLAIN LUMBOSACRAL 7,950

107 RDMR000137 MRI SPINE PLAIN SACRUM & COCCYX 7,950

108 RDMR000138 MRI SPINE PLAIN WHOLE (PEDIATRIC) 12,650

109 RDMR000143 MRI UPPER ABDOMEN CONTRAST 12,650

110 RDMR000144 MRI UPPER ABDOMEN PLAIN 8,650

111 RDMR000147 MR UROGRAPHY (MRU) CONTRAST 12,650

112 RDMR000148 MR UROGRAPHY (MRU) PLAIN 8,650

113 RDMR000149 MR VENOGRAPHY CONTRAST 11,500

114 RDMR000150 MR VENOGRAPHY PLAIN 8,200

115 RDMR000151 MRI WHOLE ABDOMEN CONTRAST 21,300

116 RDMR000152 MRI WHOLE ABDOMEN PLAIN 17,250

117 RDMR000153 MRI GUIDED ASPIRTION 4,000

118 RDMR000154 MRI GUIDED BIOPSY 5,200

119 RDMR000155 MRI GUIDED DRAINAGE WITH PIG TAIL 5,200

120 RDMR000156 MRI GUIDED (FNAC) 4,025

121 RDMR000158 MRI SCREEING WHOLE SPINE 9,200

122 RDMR000159 MRI BRAIN ADDITIONAL CSF FLOW 4,500

123 RDMR000161 MRI BRAIN ADDITIONAL PERFUSION STUDY 12,000

124 RDMR000163 MRI BRAIN ADDITIONAL TRACTOGRAPHY 7,950

125 RDMR000164 MRI WHOLE BODY SCREENING EXAM 23,000

126 RDMR000165 RT PLANNING MRI WITHOUT CONTRAST 9,200

127 RDMR000166 RT PLANNING MRI WITH CONTRAST 13,200

128 RDMR000169 MRI SCREENING PACKAGE - LS SPINE & SI JOINTS 7,950

129 RDMR000172 MRI PORTOGRAPHY (CONTRAST) 11,500

130 RDMR000177 MRI Extra Cartilage Mapping (Single) 4,600

131 RDMR000179 Extra CD charges (MRI) 600

132 RDMR000180 MRI per part (unspecified) plain 7,950

133 RDMR000181 MRI per part (unspecified) with Contrast 11,500

134 RDMR000182 MRI BRAIN ADDITIONAL FUNCTIONAL EXAM (per activity) 7,950

135 RDMR000183 MRI SCREENING PER PART - Emergency 4,200

136 RDMR000184 MRI SCREENING PER PART 4,800

137 RDMR000185 RT PLANNING MRI CONTRAST WITH SPECTROSCOPY 19,000

138 RDMR000186 MRI Temporal Bone (Plain) 8,600

139 RDMR000187 MRI Prostate (dynamic) with Spectroscopy 18,400

140 RDMR000188 MRI Breast with contrast & spectroscopy 15,000

141 RDMR000189 MRI FACE (PLAIN) 7,950

142 RDMR000190 MRI FACE (CONTRAST) 11,500

143 RDMR000191 MRI SKULL BASEAPLAINUnit of Global Health Pvt. Ltd. 7,950

S.No Billing Code


no.

INR

144 RDMR000192 MRI SKULL BASE CONTRAST 11,500

145 RDMR000193 MRI FINGER PLAIN 7,950

146 RDMR000194 MRI FINGER CONTRAST 11,500

147 RDMR000195 MRI TOE PLAIN 7,950

148 RDMR000196 MRI TOE CONTRAST 11,500

149 RDMR000197 MRI AXILLA PLAIN 7,950

150 RDMR000198 MRI AXILLA CONTRAST 11,500

151 RDMR000199 MRI GLUTEAL REGION PLAIN 7,950

152 RDMR000200 MRI GLUTEAL REGION CONTRAST 11,500

153 RDMR000201 MR CISTERNOGRAPHY CONTRAST 11,500

154 RDMR000202 MR BRAIN WITH CP ANGLE PLAIN 8,600

155 RDMR000203 MR BRAIN WITH CP ANGLE CONTRAST 12,650

156 RDMR000204 MR BRAIN DBS PROTOCOL PLAIN 7,950

157 RDMR000205 MR BRAIN DBS PROTOCOL CONTRAST 11,500

158 RDMR000206 MR PENIS / SCROTUM PLAIN 7,950

159 RDMR000207 MR PENIS / SCROTUM CONTRAST 11,500

160 RDMR000208 MR ENTEROGRAPHY 9,200

161 RDMR000209 MR DEFECOGRAPHY 11,500

163 RDMR000211 MR Liver fat estimation 2,500

164 RDMR000212 MRCP with contrast-Donor 9,800

165 RDMR000213 MRI Iron estimation 6,000

166 RDMR000214 Cardiac amyloidosis 5,200

167 RDMR000215 MRI Plain SI Joints SPA protocol 7,950

168 RDMR000216 MRI both hands with contrast 8,050

169 RDMR000217 MRI single clavicle - plain 7,950

170 RDMR000218 MRI single scapulae - plain 7,950

171 RDMR000219 MRI single pectoralis muscle - plain 7,950

172 RDMR000220 MRI single thoracic outlet - plain 13,800

173 RDMR000221 MRI single thoracic outlet - contrast 17,250

174 RDMR000222 MR Guided Breast Biopsy(VAB) (P) 40,000

175 RDMR000223 MRI Cisternography with intrathecal contrast 9,000

176 RDMR000224 MRI Sialography Contrast 10,000

177 RDMR000225 Prostate MRI fusion biopsy marking 3,000

178 RDMR000226 MRI Brain Tumor Protocol 1 (P) 12,000



181 RDMR000229 MRI Infection/Inflammation Protocol 1 (P) 20,000

182 RDMR000230 MRI Stoke/Acute Stroke Protocol 1 (P) 21,500

183 RDMR000231 MRI Spine Disorder (Cervical) Protocol 1 (P) 12,750

184 RDMR000232 MRI Spine Disorder (Cervical) Protocol 2 (P) 20,500

185 RDMR000233 MRI Spine Disorder (Lumbar) Protocol 1 (P) 12,750

186 RDMR000234 MRI Spine Disorder (Thoracic) Protocol 1 (P) 12,750

187 RDMR000235 MRI Spine Disorder (Lumbar) Protocol 2 (P) 20,500

188 RDMR000236 MRI Spine Disorder (Thoracic) Protocol 2 (P) 20,500

189 RDMR000237 MRI Spine Lumbar Plain 7,950

190 RDMR000238 MRI Spine Lumbar Contrast 11,500

191 RDMR000239 MRI LS spine pelvis and hip (contrast) 19,450

192 RDMR000240 MRI cervical spine & shoulder screen-contrast 19,450

193 RDMR000241 MRI whole spine screen,hip & pelvis (contrast) 17,150

Mobile Ultrasound

1 RDMU000001 MOB USG BRAIN ( NEONATE) 1,800

2 RDMU000002 MOBILE USG Both Breast 2,700

3 RDMU000003 MOB USG CHEST 2,250

4 RDMU000004 MOB USG DOPPLER ABDOMEN 4,950

5 RDMU000005 MOB USG DOPPLERAUnitBRAINofGlobal(NEONATE)Health Pvt. Ltd. 4,025

S.No Billing Code


no. INR

6 RDMU000006 MOB USG DOPPLER CAROTID 4,950

7 RDMU000007 MOBILE USG DOPPLER EXTREMITY BL ARTERIAL 7,800

8 RDMU000008 MOBILE USG DOPPLER EXTREMITY (BOTH) VENOUS 7,800

9 RDMU000009 MOBILE USG DOPPLER EXTREM SINGLE ARTERIAL 5,200

10 RDMU000010 MOBILE USG DOPPLER EXTREM (SINGLE) VENOUS 5,200

11 RDMU000011 MOB USG DOPPLER ORBITS 2,250

12 RDMU000012 MOBILE USG DOPPLER (PER PART) 4,300

13 RDMU000013 MOB USG DOPPLER PELVIS 2,250

14 RDMU000014 MOB USG DOPPLER PENILE 7,800

15 RDMU000015 MOB USG DOPPLER RENALS 5,850

16 RDMU000016 MOB USG DOPPLER SCROTUM 4,500

17 RDMU000017 MOB USG DOPPLER SMALL PARTS 3,900

18 RDMU000018 MOB USG DOPPLER SPLENOPORTAL 4,300

19 RDMU000019 MOB USG DOPPLER TRANSPLANT RENAL 4,950

20 RDMU000020 MOB USG EXTREMITY 2,400

21 RDMU000021 MOB USG FOLLICULAR MONITORING 3,300

22 RDMU000022 MOBILE USG GUIDED ASPIRATION 3,000

23 RDMU000023 MOB USG JOINT/MUSCULOSKELETAL 1,840

24 RDMU000024 MOB USG KUB 2,400

25 RDMU000025 MOB USG LOWER ABDOMEN/PELVIS 2,250

26 RDMU000026 MOB USG NECK 2,250

27 RDMU000027 MOB USG ORBITS 2,250

28 RDMU000028 MOB USG PREGNANCY EARLY 2,400

29 RDMU000029 MOB USG PREGNANCY 1 TRIM (GENETIC SCAN) 3,300

30 RDMU000030 MOB USG PREGNANCY GROWTH SCAN 2,600

31 RDMU000031 MOB USG PREGNANCY ANOMALY/DETAILED SCAN 5,700

32 RDMU000032 MOB USG PREGNANCY DOPPLER 4,950

33 RDMU000033 MOB USG PREGNANCY BIOPHYISCAL PROFILE 4,400

34 RDMU000034 MOB USG PREGNANCY 3D/4D 5,200

35 RDMU000035 MOB USG PREGNANCY LIMITED STUDY ONLY 1,850

36 RDMU000036 MOB USG SCREENING/LIMITED EXAMINATION 1,850

37 RDMU000037 MOB USG SCROTUM 2,700

38 RDMU000038 MOB USG THYROID GLAND 2,200

39 RDMU000039 MOB USG TRANSPLANT STUDY 3,450

40 RDMU000040 MOB USG TRANSRECTAL (TRUS) 2,650

41 RDMU000041 MOB USG TRANSVAGINAL (TVS) 2,775

42 RDMU000042 MOB USG UPPER ABDOMEN 2,250

43 RDMU000043 MOB USG WHOLE ABDOMEN 3,300

44 RDMU000044 Mobile USG Guided Biopsy 6,350

45 RDMU000045 MOBILE USG GUIDED DRAINAGE WITH PIG TAIL 6,350

46 RDMU000046 MOBILE USG GUIDED FNAC 4,400

47 RDMU000047 MOBILE USG PREGNANCY ANOMALY/DETAILED SCAN (TWIN) 6,550

48 RDMU000048 MOBILE USG CRANIUM 1,950

49 RDMU000049 MOBILE USG RENAL GRAFT DOPPLER 3,900

50 RDMU000050 MOBILE USG RENAL GRAFT PLAIN 2,700

51 RDMU000051 MOBILE USG FOR LIVER ELASTOGRAPHY 1,250

52 RDMU000052 MOBILE USG FOR MARKING SITE 850

53 RDMU000053 MOBILE USG SOFT TISSUE WITH DOPPLER 4,300

54 RDMU000054 MOBILE USG SOFT TISSUE WITHOUT DOPPLER 2,050

55 RDMU000055 MOBILE Post Void Residual Urine 900

56 RDMU000056 MOBILE USG Single Breast 1,650

57 RDMU000057 MOBILE Intra Operative USG 6,900

58 RDMU000058 MOBILE Contrast USG 4,300

59 RDMU000059 MOBILE USG guided breast wire localisation 6,750

60 RDMU000060 MOBILE USG guidedAUnitBreastofGlobalclipplacementHealthPvt. Ltd. 5,200

S.No Billing Code


no. INR

61 RDMU000061 MOBILE USG Upper Abdomen + TVS 4,800

62 RDMU000062 MOBILE USG Axillae (both) 2,100

63 RDMU000063 MOBILE USG guided Breast Biopsy 7,750

64 RDMU000064 MOBILE Vaccum assisted breast biopsy (under guidence) 20,700

65 RDMU000065 MOBILE USG AXILLA (single) 1,050

Mobile X-Ray

1 RDMX000001 MOB XRAY ABDOMEN 540

2 RDMX000002 MOB XRAY ACROMIO-CLAVICULAR JOINT BOTH 1080

3 RDMX000003 MOB XRAY ACROMIO-CLAVICULAR JOINT SINGLE 540

4 RDMX000004 MOB XRAY ANKLE BOTH- LATERAL 1080

5 RDMX000005 MOB XRAY ANKLE SINGLE 1080

6 RDMX000006 MOB XRAY ARM BOTH 1080

7 RDMX000007 MOB XRAY ARM SINGLE 540

8 RDMX000008 MOB XRAY CALCANEUM BOTH 1080

9 RDMX000009 MOB XRAY CALCANEUM SINGLE 540

10 RDMX000010 MOB XRAY CHEST 525

11 RDMX000011 MOB XRAY CHEST FOR RIBS 540

12 RDMX000012 MOB XRAY CHEST PENETRATED 540

13 RDMX000013 MOB XRAY CLAVICLE BOTH- AP 540

14 RDMX000014 MOB XRAY CLAVICLE SINGLE 540

15 RDMX000015 MOB XRAY COCCYX 540

16 RDMX000016 MOB XRAY ELBOW BOTH 1080

17 RDMX000017 MOB XRAY ELBOW SINGLE 540

18 RDMX000018 MOB XRAY FACE NASAL BONE 540

19 RDMX000019 MOB XRAY FACE ORBITS 540

20 RDMX000020 MOB XRAY FACE PARANASAL SINUSES 540

21 RDMX000021 MOB XRAY FACE ZYGOMATIC ARCH 540

22 RDMX000022 MOB XRAY FEMUR BOTH 1080

23 RDMX000023 MOB XRAY FEMUR SINGLE 540

24 RDMX000024 MOB XRAY FINGERS 540

25 RDMX000025 MOB XRAY FOOT BOTH 540

26 RDMX000026 MOB XRAY FOOT SINGLE 540

27 RDMX000027 MOB XRAY FOREARM BOTH- LATERAL 1080

28 RDMX000028 MOB XRAY FOREARM SINGLE 540

29 RDMX000029 MOB XRAY HANDS BOTH 540

30 RDMX000030 MOB XRAY HANDS SINGLE 540

31 RDMX000031 MOB XRAY HIP BOTH- LATERAL 1080

32 RDMX000032 MOB XRAY HIP SINGLE 540

33 RDMX000033 MOB XRAY HUMERUS BOTH 1080

34 RDMX000034 MOB XRAY HUMERUS SINGLE 540

35 RDMX000035 MOB XRAY KNEE BOTH- LATERAL 1080

36 RDMX000036 MOB XRAY KNEE SINGLE 540

37 RDMX000037 MOB XRAY KUB 540

38 RDMX000038 MOB XRAY LEG BOTH-LATERAL 1080

39 RDMX000039 MOB XRAY LEG SINGLE 540

40 RDMX000040 MOB XRAY MANDIBLE BOTH 1080

41 RDMX000041 MOB XRAY MANDIBLE SINGLE 540

42 RDMX000042 MOB XRAY NEUROLOGY CERVICAL MYELOGRAM 5700

43 RDMX000043 MOB XRAY NEUROLOGY LUMBAR MYELOGRAM 5800

44 RDMX000044 MOB XRAY NEUROLOGY THORACIC MYELOGRAM 5800

45 RDMX000046 MOB XRAY PARANASAL SINUSES 540

46 RDMX000047 MOB XRAY PATELLA BOTH- AP 540

47 RDMX000048 MOB XRAY PATELLA SINGLE 540

48 RDMX000049 MOB XRAY PELVIS 540

49 RDMX000050 MOB XRAY SI JOINTSAUnitBOTHofGlobal Health Pvt. Ltd. 540

S.No Billing Code


no. INR

50 RDMX000051 MOB XRAY SI JOINT SINGLE 540

51 RDMX000052 MOB XRAY SACRUM 540

52 RDMX000053 MOB XRAY SCAPULA BOTH 1080

53 RDMX000054 MOB XRAY SCAPULA SINGLE 540

54 RDMX000055 MOB XRAY SHOULDER BOTH 1080

55 RDMX000056 MOB XRAY SHOULDER SINGLE 540

56 RDMX000057 MOB XRAY SKULL 540

57 RDMX000058 MOB XRAY SKULL BASE 540

58 RDMX000059 MOB XRAY SKULL CONED VIEW OF SELLA 540

59 RDMX000060 MOB XRAY SKULL MASTOIDS BOTH 1080

60 RDMX000061 MOB XRAY SKULL MASTOIDS SINGLE 540

61 RDMX000062 MOB XRAY SKULL OPTIC FORAMEN BOTH 1080

62 RDMX000063 MOB XRAY SKULL OPTIC FORAMEN SINGLE 540

63 RDMX000064 MOB XRAY SPINE CV JUNCTION 540

64 RDMX000065 MOB XRAY SPINE CERVICAL 540

65 RDMX000066 MOB XRAY SPINE CERVICODORSAL 540

66 RDMX000067 MOB XRAY SPINE DORSAL 540

67 RDMX000068 MOB XRAY SPINE DORSOLUMBAR 540

68 RDMX000069 MOB XRAY SPINE LUMBOSACRAL 540

69 RDMX000070 MOB XRAY SPINE SACRUM & COCCYX 540

70 RDMX000071 MOB XRAY STERNUM 540

71 RDMX000072 MOB XRAY STERNOCLAVICULAR JOINT BOTH 540

72 RDMX000073 MOB XRAY STERNOCLAVICULAR JOINT SINGLE 540

73 RDMX000074 MOB XRAY THIGH BOTH 1080

74 RDMX000075 MOB XRAY THIGH SINGLE 540

75 RDMX000076 MOB XRAY TEMPORO MANDIBULAR JOINT BOTH 1080

76 RDMX000077 MOB XRAY TEMPORO MANDIBULAR JOINT SINGLE 540

77 RDMX000078 MOB XRAY TOES 540

78 RDMX000079 MOB XRAY WRIST BOTH 1080

79 RDMX000080 MOB XRAY WRIST SINGLE 540

80 RDMX000081 MOB XRAY STYLOID PROCESS 540

81 RDMX000082 MOB XRAY ABDOMEN - ERECT & SUPINE 1080

82 RDMX000083 MOB XRAY ANKLE BOTH - AP & LATERAL 1,650

83 RDMX000084 MOB XRAY ANKLE SINGLE - AP & LATERAL 1080

84 RDMX000085 MOB XRAY ARM BOTH - AP & LATERAL 2,175

85 RDMX000086 MOB XRAY ARM SINGLE - AP & LATERAL 1080

86 RDMX000087 MOB XRAY CALCANEUM BOTH - AXIAL & LATERAL 2,175

87 RDMX000088 MOB XRAY CALCANEUM SINGLE - AXIAL & LATERAL 1080

88 RDMX000089 MOB XRAY CHEST - PA & LATERAL 1080

89 RDMX000090 MOB XRAY CHEST - AP & LATERAL 1080

90 RDMX000091 MOB XRAY CHEST FOR RIBS - AP & OBLIQUE 1080

91 RDMX000092 MOB XRAY CLAVICLE BOTH - AP & OBLIQUE 1,650

92 RDMX000093 MOB XRAY CLAVICLE SINGLE - AP & OBLIQUE 1080

93 RDMX000094 MOB XRAY COCCYX - AP & LATERAL 1080

94 RDMX000095 MOB XRAY ELBOW BOTH - AP & LATERAL 2,175

95 RDMX000096 MOB XRAY ELBOW SINGLE - AP & LATERAL 1080

96 RDMX000097 MOB XRAY FACE NASAL BONE - AP & LATERAL 1080

97 RDMX000098 MOB XRAY FACE ORBITS - CALDWELL & LATERAL 1080

98 RDMX000099 MOB XRAY FEMUR BOTH - AP & LATERAL 2,175

99 RDMX000100 MOB XRAY FEMUR SINGLE - AP & LATERAL 1080

100 RDMX000101 MOB XRAY FINGERS - AP & LATERAL 1080

101 RDMX000102 MOB XRAY FINGERS - AP & OBLIQUE 1080

102 RDMX000103 MOB XRAY FOOT BOTH - AP & OBLIQUE 1,650

103 RDMX000104 MOB XRAY FOOT SINGLE - AP & OBLIQUE 1080

104 RDMX000105 MOB XRAY FOOTA BOTHUnitof-APGlobal&LATERALHealth Pvt. Ltd. 1,650

S.No Billing Code


no. INR

105 RDMX000106 MOB XRAY FOOT SINGLE - AP & LATERAL 1080

106 RDMX000107 MOB XRAY FOREARM BOTH - AP & LATERAL 1,650

107 RDMX000108 MOB XRAY FOREARM SINGLE - AP & LATERAL 1080

108 RDMX000109 MOB XRAY HANDS BOTH - AP & LATERAL 1,650

109 RDMX000110 MOB XRAY HANDS SINGLE - AP & LATERAL 1080

110 RDMX000111 MOB XRAY HIP BOTH - AP & LATERAL 1,650

111 RDMX000112 MOB XRAY HIP SINGLE - AP & LATERAL 1080

112 RDMX000113 MOB XRAY HIP BOTH - JUDET'S LATERAL & MEDIAL 2,175

113 RDMX000114 MOB XRAY HIP SINGLE - JUDET'S LATERAL & MEDIAL 1080

114 RDMX000115 MOB XRAY HUMERUS BOTH - AP & LATERAL 2,175

115 RDMX000116 MOB XRAY HUMERUS SINGLE - AP & LATERAL 1080

116 RDMX000117 MOB XRAY KNEE BOTH - AP & LATERAL 1,650

117 RDMX000118 MOB XRAY KNEE SINGLE - AP & LATERAL 1080

118 RDMX000119 MOB XRAY KNEE BOTH - AP, LATERAL & AXIAL 2,700

119 RDMX000120 MOB XRAY KNEE SINGLE - AP, LATERAL & AXIAL 1,650

120 RDMX000121 MOB XRAY KUB - AP & LATERAL 1080

121 RDMX000122 MOB XRAY LEG BOTH - AP & LATERAL 1,650

122 RDMX000123 MOB XRAY LEG SINGLE - AP & LATERAL 1080

123 RDMX000124 MOB XRAY MANDIBLE BOTH - AP & OBLIQUE 1,650

124 RDMX000125 MOB XRAY MANDIBLE SINGLE - AP & OBLIQUE 1080

125 RDMX000126 MOB XRAY PATELLA BOTH - AP & LATERAL 1,650

126 RDMX000127 MOB XRAY PATELLA SINGLE - AP & LATERAL 1080

127 RDMX000128 MOB XRAY PATELLA BOTH - AP & AXIAL 1,650

128 RDMX000129 MOB XRAY PATELLA SINGLE - AP & AXIAL 1080

129 RDMX000130 MOB XRAY PATELLA BOTH - AP, LATERAL & AXIAL 2,700

130 RDMX000131 MOB XRAY PATELLA SINGLE - AP, LATERAL & AXIAL 1,650

131 RDMX000132 MOB XRAY SACRUM - AP & LATERAL 1080

132 RDMX000133 MOB XRAY SCAPULA BOTH - AP & SCAPULA LATERAL 2,175

133 RDMX000134 MOB XRAY SCAPULA SINGLE - AP & SCAPULA LATERAL 1080

134 RDMX000135 MOB XRAY SCAPULA BOTH - AP & AXILLARY 2,175

135 RDMX000136 MOB XRAY SCAPULA SINGLE - AP & AXILLARY 1080

136 RDMX000137 MOB XRAY SHOULDER BOTH - AP & AXILLARY 2,175

137 RDMX000138 MOB XRAY SHOULDER SINGLE - AP & AXILLARY 1080

138 RDMX000139 MOB XRAY SKULL - AP & LATERAL 1080

139 RDMX000140 MOB XRAY SKULL MASTOIDS BOTH - TOWNE'S & B/L OBLIQUES 1,650

140 RDMX000141 MOB XRAY SKULL MASTOIDS SINGLE - TOWNE'S & OBLIQUE 1080

141 RDMX000142 MOB XRAY SPINE CV JUNCTION - AP & LATERAL 1080

142 RDMX000143 MOB XRAY SPINE CV JUNCTION - OPEN MOUTH, LAT IN FLEX & EXTN 1,650

143 RDMX000144 MOB XRAY SPINE CERVICAL - AP & LATERAL 1080

144 RDMX000145 MOB XRAY SPINE CERVICAL - BOTH OBLIQUES 1080

145 RDMX000146 MOB XRAY SPINE CERVICODORSAL - AP & LATERAL 1080

146 RDMX000147 MOB XRAY SPINE CERVICODORSAL - BOTH OBLIQUES 1080

147 RDMX000148 MOB XRAY SPINE DORSAL - AP & LATERAL 1080

148 RDMX000149 MOB XRAY SPINE DORSAL - BOTH OBLIQUES 1080

149 RDMX000150 MOB XRAY SPINE DORSOLUMBAR - AP & LATERAL 1080

150 RDMX000151 MOB XRAY SPINE DORSOLUMBAR - BOTH OBLIQUES 1080

151 RDMX000152 MOB XRAY SPINE LUMBOSACRAL - AP & LATERAL 1080

152 RDMX000153 MOB XRAY SPINE LUMBOSACRAL - BOTH OBLIQUES 1080

153 RDMX000154 MOB XRAY SPINE SACRUM & COCCYX - AP & LATERAL 1080

154 RDMX000155 MOB XRAY STERNUM - AP & LATERAL 1080

155 RDMX000156 MOB XRAY STERNUM - AP & OBLIQUE 1080

156 RDMX000157 MOB XRAY STERNOCLAVICULAR JOINT BOTH - AP & OBLIQUE 1,650

157 RDMX000158 MOB XRAY STERNOCLAVICULAR JOINT SINGLE - AP & OBLIQUE 1080

158 RDMX000159 MOB XRAY THIGHA UnitBOTHof- GlobalAP&LATERALHealth Pvt. Ltd. 2,175

S.No Billing Code


no. INR

159 RDMX000160 MOB XRAY THIGH SINGLE - AP & LATERAL 1080

160 RDMX000161 MOB XRAY TMJOINT BOTH - OPEN & CLOSED MOUTH 2,175

161 RDMX000162 MOB XRAY TMJOINT SINGLE - OPEN & CLOSED MOUTH 1080

162 RDMX000163 MOB XRAY TOES - AP & LATERAL 1080

163 RDMX000164 MOB XRAY TOES - AP & OBLIQUE 1080

164 RDMX000165 MOB XRAY WRIST BOTH - AP & LATERAL 1,650

165 RDMX000166 MOB XRAY WRIST SINGLE - AP & LATERAL 1080

166 RDMX000167 MOB XRAY WRIST BOTH - AP, LATERAL & ULNAR DEVIATION 2,700

167 RDMX000168 MOB XRAY WRIST SINGLE - AP, LATERAL & ULNAR DEVIATION 1,650

168 RDMX000169 MOB XRAY STYLOID PROCESS - LATERAL & TOWNE'S 1080

169 RDMX000170 MOB XRAY SOFT TISSUE NECK LATERAL 540

170 RDMX000171 MOB XRAY NASOPHARYNX LATERAL 540

171 RDMX000172 MOB XRAY SKELETAL SURVEY 4400

172 RDMX000173 MOB XRAY ANKLE BOTH- AP 540

173 RDMX000174 MOB XRAY CLAVICLE BOTH -OBLIQUE 1080

174 RDMX000175 MOB XRAY FOREARM BOTH- AP 540

175 RDMX000176 MOB XRAY HIP BOTH- AP 540

176 RDMX000177 MOB XRAY KNEE BOTH- AP 540

177 RDMX000178 MOB XRAY LEG BOTH- AP 540

178 RDMX000179 MOB XRAY PATELLA BOTH- AXIAL 1080

179 RDMX000180 MOB XRAY PATELLA BOTH- LATERAL 1080

180 RDMX000181 MOB XRAY STERNOCLAVICULAR JOINT BOTH- OBLIQUE 1080

181 RDMX000182 MOB XRAY WRIST BOTH- AP 540

Ultrasound

1 RDUS000001 USG BRAIN (NEONATE) 1,200

2 RDUS000002 USG Both Breast 1,800

3 RDUS000003 USG CHEST 1,500

4 RDUS000004 USG DOPPLER ABDOMEN 3,300

5 RDUS000005 USG DOPPLER BRAIN (NEONATE) 2,900

6 RDUS000006 USG DOPPLER CAROTIDS 3,300

7 RDUS000007 USG DOPPLER EXTREMITY (BOTH) ARTERIAL 5,200

8 RDUS000008 USG DOPPLER EXTREMITY (Single) VENOUS 3,450

9 RDUS000009 USG DOPPLER EXTREMITY (SINGLE) ARTERIAL 3,450

10 RDUS000010 USG DOPPLER EXTREMITY (Both) VENOUS 5,200

11 RDUS000011 USG DOPPLER ORBITS 2,900

12 RDUS000012 USG DOPPLER (PER PART) 2,900

13 RDUS000013 USG DOPPLER PELVIS 2,900

14 RDUS000014 USG DOPPLER PENILE 5,200

15 RDUS000015 USG DOPPLER RENALS 3,900

16 RDUS000016 USG DOPPLER SCROTUM 3,000

17 RDUS000017 USG DOPPLER SMALL PARTS 2,900

18 RDUS000018 USG DOPPLER SPLENOPORTAL 2,900

19 RDUS000020 USG EXTREMITY 1,600

20 RDUS000021 USG FOLLICULAR MONITORING 2,200

21 RDUS000023 USG JOINT/MUSCULOSKELETAL 1,380

22 RDUS000024 USG KUB 1,600

23 RDUS000025 USG LOWER ABDOMEN/PELVIS 1,500

24 RDUS000026 USG NECK 1,500

25 RDUS000028 USG PREGNANCY EARLY 1,600

26 RDUS000029 USG PREGNANCY 1 TRIM (GENETIC SCAN)(NT/NB) 2,200

27 RDUS000030 USG PREGNANCY GROWTH SCAN 1,730

28 RDUS000031 USG PREGNANCY ANOMALY/DETAILED SCAN 3,800

29 RDUS000032 USG PREGNANCY DOPPLER 3,300

30 RDUS000033 USG PREGNANCY BIOPHYSICAL PROFILE 2,900

31 RDUS000034 USG PREGNANCY 3D/4DUnitof Global Health Pvt. Ltd. 3,450

S.No Billing Code


no. INR

32 RDUS000035 USG PREGNANCY LIMITED STUDY ONLY 1,150

33 RDUS000036 USG SCREENING/LIMITED EXAMINATION ONLY 1,150

34 RDUS000037 USG SCROTUM 1,800

35 RDUS000038 USG THYROID GLAND 1,450

36 RDUS000039 USG TRANSPLANT STUDY 2,300

37 RDUS000040 USG TRANSRECTAL (TRUS) 1,730

38 RDUS000041 USG TRANSVAGINAL (TVS) 1,850

39 RDUS000042 USG UPPER ABDOMEN 1,500

40 RDUS000043 USG WHOLE ABDOMEN 2,200

41 RDUS000048 USG PREGNANCY ANOMALY/DETAILED SCAN (TWIN) 5,750

42 RDUS000049 USG CRANIUM 1,300

43 RDUS000050 USG SOFT TISSUE WITH DOPPLER 2,875

44 RDUS000051 USG SOFT TISSUE WITHOUT DOPPLER 1,400

45 RDUS000053 Post Void Residual Urine 600

46 RDUS000054 USG Single Breast 1,100

47 RDUS000055 USG RENAL GRAFT DOPPLER 2,900

48 RDUS000056 USG RENAL GRAFT PLAIN 1,800

49 RDUS000057 USG FOR LIVER ELASTOGRAPHY 1,720

50 RDUS000058 USG FOR MARKING SITE 600

51 RDUS000059 Intra Operative USG 4,600

52 RDUS000060 Contrast USG 2,900

53 RDUS000061 USG guided breast wire localisation 4,500

54 RDUS000063 USG guided Breast clip placement 3,450

55 RDUS000064 USG Upper Abdomen + TVS 3,200

56 RDUS000065 USG Axillae (both) 1,380

57 RDUS000066 USG guided Breast Biopsy 5,200

58 RDUS000067 USG guided Breast FNAC/Aspiration 3,450

59 RDUS000068 Vaccum assisted breast biopsy (under guidence) 13,800

60 RDUS000069 USG AXILLA (single) 700

61 RDUS000070 MSK ultrasound 1,725

62 RDUS000071 Msk ultrasound with steroid injection 2,900

63 RDUS000072 US - 7 for rheumatoid Arthritis 2,300

64 RDUS000073 MSk ultrasound guided aspiration 4,025

65 RDUS000074 Ultrasound Guided Breast Lump Excision (VAB) (P) 35,000

66 RDUS000076 Ultrasound guided PRP injection 5,000

67 RDUS000077 Post-operative MSK ultrasound 2,300

68 RDUS000078 Ultrasound Review 500

X-Ray

1 RDXR000001 XRAY ABDOMEN 360

2 RDXR000002 XRAY ACROMIO-CLAVICULAR JOINT BOTH 700

3 RDXR000003 XRAY ACROMIO-CLAVICULAR JOINT SINGLE 360

4 RDXR000004 XRAY ANKLE BOTH- LATERAL 700

5 RDXR000005 XRAY ANKLE SINGLE 360

6 RDXR000006 XRAY ARM BOTH 700

7 RDXR000007 XRAY ARM SINGLE 360

8 RDXR000008 XRAY CALCANEUM BOTH 700

9 RDXR000009 XRAY CALCANEUM SINGLE 360

10 RDXR000010 XRAY CHEST 350

11 RDXR000011 XRAY CHEST FOR RIBS 360

12 RDXR000012 XRAY CHEST PENETRATED 360

13 RDXR000013 XRAY CLAVICLE BOTH- AP 360

14 RDXR000014 XRAY CLAVICLE SINGLE 360

15 RDXR000015 XRAY COCCYX 360

16 RDXR000016 XRAY ELBOW BOTH 700

17 RDXR000017 XRAY ELBOW SINGLEAUnit of Global Health Pvt. Ltd. 360

S.No Billing Code


no. INR

18 RDXR000018 XRAY FACE NASAL BONE 360

19 RDXR000019 XRAY FACE ORBITS 360

20 RDXR000020 XRAY FACE PARANASAL SINUSES 360

21 RDXR000021 XRAY FACE ZYGOMATIC ARCH 360

22 RDXR000022 XRAY FEMUR BOTH 700

23 RDXR000023 XRAY FEMUR SINGLE 360

24 RDXR000024 XRAY FINGERS 360

25 RDXR000025 XRAY FOOT BOTH 360

26 RDXR000026 XRAY FOOT SINGLE 360

27 RDXR000027 XRAY FOREARM BOTH- LATERAL 700

28 RDXR000028 XRAY FOREARM SINGLE 360

29 RDXR000029 XRAY HANDS BOTH 360

30 RDXR000030 XRAY HANDS SINGLE 360

31 RDXR000031 XRAY HIP BOTH- LATERAL 700

32 RDXR000032 XRAY HIP SINGLE 360

33 RDXR000033 XRAY HUMERUS BOTH 700

34 RDXR000034 XRAY HUMERUS SINGLE 360

35 RDXR000035 XRAY KNEE BOTH- LATERAL 700

36 RDXR000036 XRAY KNEE SINGLE 360

37 RDXR000037 XRAY KUB 360

38 RDXR000038 XRAY LEG BOTH-LATERAL 700

39 RDXR000039 XRAY LEG SINGLE 360

40 RDXR000040 XRAY MANDIBLE BOTH 700

41 RDXR000041 XRAY MANDIBLE SINGLE 360

42 RDXR000042 XRAY NEUROLOGY CERVICAL MYELOGRAM 3,850

43 RDXR000043 XRAY NEUROLOGY LUMBAR MYELOGRAM 3,850

44 RDXR000044 XRAY NEUROLOGY THORACIC MYELOGRAM 3,850

45 RDXR000046 XRAY PARANASAL SINUSES 360

46 RDXR000047 XRAY PATELLA BOTH- AP 360

47 RDXR000048 XRAY PATELLA SINGLE 360

48 RDXR000049 XRAY PELVIS 360

49 RDXR000050 XRAY SI JOINTS BOTH 360

50 RDXR000051 XRAY SI JOINT SINGLE 360

51 RDXR000052 XRAY SACRUM 360

52 RDXR000053 XRAY SCAPULA BOTH 700

53 RDXR000054 XRAY SCAPULA SINGLE 360

54 RDXR000055 XRAY SHOULDER BOTH 700

55 RDXR000056 XRAY SHOULDER SINGLE 360

56 RDXR000057 XRAY SKULL 360

57 RDXR000058 XRAY SKULL BASE 360

58 RDXR000059 XRAY SKULL CONED VIEWD OF SELLA 360

59 RDXR000060 XRAY SKULL MASTOIDS BOTH 700

60 RDXR000061 XRAY SKULL MASTOIDS SINGLE 360

61 RDXR000062 XRAY SKULL OPTIC FORAMEN BOTH 700

62 RDXR000063 XRAY SKULL OPTIC FORAMEN SINGLE 360

63 RDXR000064 XRAY SPINE CV JUNCTION 360

64 RDXR000065 XRAY SPINE CERVICAL 360

65 RDXR000066 XRAY SPINE CERVICODORSAL 360

66 RDXR000067 XRAY SPINE DORSAL 360

67 RDXR000068 XRAY SPINE DORSOLUMBAR 360

68 RDXR000069 XRAY SPINE LUMBOSACRAL 360

69 RDXR000070 XRAY SPINE SACRUM & COCCYX (ONE PART) 360

70 RDXR000071 XRAY STERNUM 360

71 RDXR000072 XRAY STERNO CLAVICULAR JOINT BOTH - AP 360

72 RDXR000073 XRAY STERNOCLAVICULARUnitofGlobalJOINT HealthSINGLEPvt. Ltd. 360

S.No Billing Code


no. INR

73 RDXR000074 XRAY THIGH BOTH 700

74 RDXR000075 XRAY THIGH SINGLE 360

75 RDXR000076 XRAY TMJ (TEMPORO MANDIBULAR JOINT) BOTH 700

76 RDXR000077 XRAY TMJ (TEMPORO MANDIBULAR JOINT) SINGLE 360

77 RDXR000078 XRAY TOES 360

78 RDXR000079 XRAY WRIST BOTH - LATERAL 700

79 RDXR000080 XRAY WRIST SINGLE 360

80 RDXR000081 XRAY STYLOID PROCESS 360

81 RDXR000082 X-RAY ABDOMEN - ERECT & SUPINE 700

82 RDXR000083 X-RAY ANKLE BOTH - AP & LATERAL 1,100

83 RDXR000084 X-RAY ANKLE SINGLE - AP & LATERAL 700

84 RDXR000085 XRAY ARM BOTH - AP & LATERAL 1,450

85 RDXR000086 XRAY ARM SINGLE - AP & LATERAL 700

86 RDXR000087 XRAY CALCANEUM BOTH - AXIAL & LATERAL 1,450

87 RDXR000088 XRAY CALCANEUM SINGLE - AXIAL & LATERAL 700

88 RDXR000089 XRAY CHEST - PA & LATERAL 700

89 RDXR000090 XRAY CHEST - AP & LATERAL 700

90 RDXR000091 XRAY CHEST FOR RIBS - AP & OBLIQUE 700

91 RDXR000092 XRAY CLAVICLE BOTH - AP & OBLIQUE 1,100

92 RDXR000093 XRAY CLAVICLE SINGLE - AP & OBLIQUE 700

93 RDXR000094 XRAY COCCYX - AP & LATERAL 700

94 RDXR000095 XRAY ELBOW BOTH - AP & LATERAL 1,450

95 RDXR000096 XRAY ELBOW SINGLE - AP & LATERAL 700

96 RDXR000097 XRAY FACE NASAL BONE - AP & LATERAL 700

97 RDXR000098 XRAY FACE ORBITS - CALDWELL & LATERAL 700

98 RDXR000099 XRAY FEMUR BOTH - AP & LATERAL 1,450

99 RDXR000100 XRAY FEMUR SINGLE - AP & LATERAL 700

100 RDXR000101 XRAY FINGERS - AP & LATERAL 700

101 RDXR000102 XRAY FINGERS - AP & OBLIQUE 700

102 RDXR000103 XRAY FOOT BOTH - AP & OBLIQUE 1,100

103 RDXR000104 XRAY FOOT SINGLE - AP & OBLIQUE 700

104 RDXR000105 XRAY FOOT BOTH - AP & LATERAL 1,100

105 RDXR000106 XRAY FOOT SINGLE - AP & LATERAL 700

106 RDXR000107 XRAY FOREARM BOTH - AP & LATERAL 1,100

107 RDXR000108 XRAY FOREARM SINGLE - AP & LATERAL 700

108 RDXR000109 XRAY HANDS BOTH - AP & LATERAL 1,100

109 RDXR000110 XRAY HANDS SINGLE - AP & LATERAL 700

110 RDXR000111 XRAY HIP BOTH - AP & LATERAL 1,100

111 RDXR000112 XRAY HIP SINGLE - AP & LATERAL 700

112 RDXR000113 XRAY HIP BOTH - JUDET'S LATERAL & MEDIAL 1,450

113 RDXR000114 XRAY HIP SINGLE - JUDET'S LATERAL & MEDIAL 700

114 RDXR000115 XRAY HUMERUS BOTH - AP & LATERAL 1,450

115 RDXR000116 XRAY HUMERUS SINGLE - AP & LATERAL 700

116 RDXR000117 XRAY KNEE BOTH - AP & LATERAL 1,100

117 RDXR000118 XRAY KNEE SINGLE - AP & LATERAL 700

118 RDXR000119 XRAY KNEE BOTH - AP, LATERAL & AXIAL 1,800

119 RDXR000120 XRAY KNEE SINGLE - AP, LATERAL & AXIAL 1,100

120 RDXR000121 XRAY KUB - AP & LATERAL 700

121 RDXR000122 XRAY LEG BOTH - AP & LATERAL 1,100

122 RDXR000123 XRAY LEG SINGLE - AP & LATERAL 700

123 RDXR000124 XRAY MANDIBLE BOTH - AP & OBLIQUE 1,100

124 RDXR000125 XRAY MANDIBLE SINGLE - AP & OBLIQUE 700

125 RDXR000126 XRAY PATELLA BOTH - AP & LATERAL 1,100

126 RDXR000127 XRAY PATELLA SINGLE - AP & LATERAL 700

127 RDXR000128 XRAY PATELLA BOTHAUnit- APof Global&AXIALHealth Pvt. Ltd. 1,100

S.No Billing Code


no. INR

128 RDXR000129 XRAY PATELLA SINGLE - AP & AXIAL 700

129 RDXR000130 XRAY PATELLA BOTH - AP, LATERAL & AXIAL 1,800

130 RDXR000131 XRAY PATELLA SINGLE - AP, LATERAL & AXIAL 1,100

131 RDXR000132 XRAY SACRUM - AP & LATERAL 700

132 RDXR000133 XRAY SCAPULA BOTH - AP & SCAPULA LATERAL 1,450

133 RDXR000134 XRAY SCAPULA SINGLE - AP & SCAPULA LATERAL 700

134 RDXR000135 XRAY SCAPULA BOTH - AP & AXILLARY 1,450

135 RDXR000136 XRAY SCAPULA SINGLE - AP & AXILLARY 700

136 RDXR000137 XRAY SHOULDER BOTH - AP & AXILLARY 1,450

137 RDXR000138 XRAY SHOULDER SINGLE - AP & AXILLARY 700

138 RDXR000139 XRAY SKULL - AP & LATERAL 700

139 RDXR000140 XRAY SKULL MASTOIDS BOTH - TOWNE'S & B/L OBLIQUES 1,100

140 RDXR000141 XRAY SKULL MASTOIDS SINGLE - TOWNE'S & OBLIQUE 700

141 RDXR000142 XRAY SPINE CV JUNCTION - AP & LATERAL 700

142 RDXR000143 XRAY SPINE CV JUNCTION - OPEN MOUTH, LAT IN FLEX & EXTN 1,100

143 RDXR000144 XRAY SPINE CERVICAL - AP & LATERAL 700

144 RDXR000145 XRAY SPINE CERVICAL - BOTH OBLIQUES 700

145 RDXR000146 XRAY SPINE CERVICODORSAL - AP & LATERAL 700

146 RDXR000147 XRAY SPINE CERVICODORSAL - BOTH OBLIQUES 700

147 RDXR000148 XRAY SPINE DORSAL - AP & LATERAL 700

148 RDXR000149 XRAY SPINE DORSAL - BOTH OBLIQUES 700

149 RDXR000150 XRAY SPINE DORSOLUMBAR - AP & LATERAL 700

150 RDXR000151 XRAY SPINE DORSOLUMBAR - BOTH OBLIQUES 700

151 RDXR000152 XRAY SPINE LUMBOSACRAL - AP & LATERAL 700

152 RDXR000153 XRAY SPINE LUMBOSACRAL - BOTH OBLIQUES 700

153 RDXR000154 XRAY SPINE SACRUM & COCCYX - AP & LATERAL 700

154 RDXR000155 XRAY STERNUM - AP & LATERAL 700

155 RDXR000156 XRAY STERNUM - AP & OBLIQUE 700

156 RDXR000157 XRAY STERNOCLAVICULAR JOINT BOTH - AP & OBLIQUE 1,100

157 RDXR000158 XRAY STERNOCLAVICULAR JOINT SINGLE - AP & OBLIQUE 700

158 RDXR000159 XRAY THIGH BOTH - AP & LATERAL 1,450

159 RDXR000160 XRAY THIGH SINGLE - AP & LATERAL 700

160 RDXR000161 XRAY TMJOINT BOTH - OPEN & CLOSED MOUTH 1,450

161 RDXR000162 XRAY TMJOINT SINGLE - OPEN & CLOSED MOUTH 700

162 RDXR000163 XRAY TOES - AP & LATERAL 700

163 RDXR000164 XRAY TOES - AP & OBLIQUE 700

164 RDXR000165 XRAY WRIST BOTH - AP & LATERAL 1,100

165 RDXR000166 XRAY WRIST SINGLE - AP & LATERAL 700

166 RDXR000167 XRAY WRIST BOTH - AP, LATERAL & ULNAR DEVIATION 1,800

167 RDXR000168 XRAY WRIST SINGLE - AP, LATERAL & ULNAR DEVIATION 1,100

168 RDXR000169 XRAY STYLOID PROCESS - LATERAL & TOWNE'S 700

169 RDXR000170 X-RAY SOFT TISSUE NECK LATERAL 360

170 RDXR000171 X-RAY NASOPHARYNX LATERAL 360

171 RDXR000172 SKELETAL SURVEY 2,750

172 RDXR000173 Extra X-ray film charges (per film) 100

173 RDXR000174 Orthoscanogram 1,100

174 RDXR000175 XRAY ANKLE BOTH- AP 360

175 RDXR000176 XRAY FOREARM BOTH- AP 360

176 RDXR000177 XRAY HIP BOTH- AP 360

177 RDXR000178 XRAY KNEE BOTH- AP 360

178 RDXR000179 XRAY LEG BOTH- AP 360

179 RDXR000180 XRAY WRIST BOTH- AP 360

180 RDXR000181 XRAY CLAVICLE BOTH -OBLIQUE 700

181 RDXR000182 XRAY PATELLA BOTH- LATERAL 700

182 RDXR000183 XRAY PATELLA BOTHAUnit-AXIALofGlobal Health Pvt. Ltd. 700

S.No Billing Code


no. INR

183 RDXR000184 XRAY STERNOCLAVICULAR JOINT BOTH- OBLIQUE 700

184 RDXR000185 Bowel transit study-First visit 850

185 RDXR000187 Bowel transit study-Subsequent visit 360

186 RDXR000188 XRay whole spine AP & lateral with analysis 2,300

187 RDXR000189 Xray LS spine lateral flexion & extension analysis 900

188 RDXR000190 X ray LS spine & hip - lateral flexion & Extension analysis 2,000

189 RDXR000191 Xray cervical spine lateral Flexion & extension analysis 900

Mobile CT

1 RDMC000001 Mobile CT Brain (Contrast) 7,000

2 RDMC000002 Mobile CT Brain (Plain) 4,650

3 RDMC000003 Mobile CT Brain Sell Pituitary (Contrast) 7,800

4 RDMC000004 Mobile CT Brain Sell Pituitary (Plain) 6,000

5 RDMC000005 Mobile CT PNS/Face/Orbits ( Contrast) 9,300

6 RDMC000006 Mobile CT PNS/Face/Orbits (Plain) 6,600

7 RDMC000007 Mobile CT Paranasal Sinus Coronal Only 6,750


Blood Bank

S. No Billing code Service Name Charges in INR

1 BBBB000001 Blood group and Ab Screening 550

2 BBBB000003 Platelet Concentrate Leukocyte Depleted 1,950

3 BBBB000004 PLATELETS, APHERESIS 0

4 BBBB000005 CRYOPRECIPITATE 880

5 BBBB000006 FRESH FROZEN PLASMA 1,500

6 BBBB000007 CRYOPOOR PLASMA 800

7 BBBB000008 Coomb's Direct 550

8 BBBB000009 Coomb's Indirect 550

9 BBBB000011 Anti-HIV I & II antibody 660

10 BBBB000012 Anti-HCV antibody 990

11 BBBB000013 HbsAg 880

12 BBBB000014 Serological Test for Syphilis (VDRL) 425

13 BBBB000016 WHOLE BLOOD /COMPONENT'S CROSS MATCHING 300

14 BBBB000017 Irregular Antibody Screening 350

15 BBBB000018 WHOLE BLOOD 3,500

16 BBBB000036 Therapeutic Phlebotomy 1,200

17 BBBB000037 Therapeutic Plasmapheresis (Conventional) 18,000

18 BBBB000038 Red Cell Exchange 36,000

19 BBBB000039 Peripheral Blood Stem Cell Harvest 45,000

20 BBBB000042 Cryobanking of Stem Cells (3 Years) 35,000

21 BBBB000043 Paediatric RBC Leukodepleted + Cross Match 2,300

22 BBBB000044 Apheresis Procedure 10,500

23 BBBB000045 Apheresis Screening 500

24 BBBB000048 Granulocyte Harvest 16,000

25 BBBB000049 Irregular Antibody Identification 1,200

26 BBBB000064 Anti A blood group Antibody Titre 1,000

27 BBBB000065 Anti B blood group Antibody Titre 1,000

28 BBBB000067 Non Leucoreduced Red Cell 800

29 BBBB000068 Non Leucoreduced Platelets 400

30 BBBB000069 Non Leucoreduced Plasma 400

31 BBBB000070 Cascade filtration for ABO antibody 45,000

32 BBBB000071 Stem Cell Infusion 2,000

33 BBBB000072 Component Washing 1,000

34 BBBB000073 ECP-Exposure 33,000

35 BBBB000074 PRP 3,000

36 BBBB000075 ECP - Harvest 15,000

37 BBBB000076 Cryopreservation of BM/ MPB sample (Totipotent) 55,000

38 BBBB000077 Leucount 2,000

39 BBBB000078 RBC + Cross match 3,200

40 BBBB000079 RBC (Bulk Issue) 3,200

41 BBBB000080 Therapeutic Plasmapheresis (Immunoadsorption) 20,000

42 BBBB000081 Cryopreservation of BM/ MPB sample (Cellugen) 45,000

43 BBBB000086 Platelet for Dengue patients only 400

44 BBBB000087 RBC + Cross match for Thalassemia major patients 0

45 BBBB000088 Monocyte Harvest 40,000

46 BBBB000090 Re-constitution of blood 1,000


Laboratory

S.No Billing Code no Service Name Charges in INR

Biochemistry

1 LBBC000001 Albumin 200

2 LBBC000002 Alkaline Phosphatase 250

3 LBBC000003 Bilirubin Total 300

4 LBBC000004 Bilirubin Direct 110

5 LBBC000005 Bilirubin Indirect 150

6 LBBC000006 SGOT (AST) 200

7 LBBC000007 SGPT (ALT) 200

8 LBBC000008 Gamma GT 300

9 LBBC000009 Total Protein 250

10 LBBC000010 Globulin 280

11 LBBC000011 A/G RATIO 300

12 LBBC000013 Serum Creatinine 200

13 LBBC000014 Uric Acid (Serum) 250

14 LBBC000015 Total Cholesterol 150

15 LBBC000016 Triglycerides 270

16 LBBC000017 HDL - Cholesterol 220

17 LBBC000018 LDL - Cholesterol 300

18 LBBC000019 VLDL - Cholesterol 320

19 LBBC000020 Sodium (Serum) 200

20 LBBC000021 Potassium (Serum) 200

21 LBBC000022 Chloride 250

23 LBBC000024 Serum Amylase 550

24 LBBC000025 Calcium (Serum) 250

25 LBBC000027 Creatine phosphokinase 590

26 LBBC000028 CKMB 350

27 LBBC000029 Iron, serum (Fe) 550

28 LBBC000030 Lactate dehydrogenase 550

29 LBBC000031 Lipase 800

30 LBBC000032 Magnesium (Serum) 600

31 LBBC000033 Phosphorus (Serum) 250

32 LBBC000034 Bicarbonate 200

33 LBBC000035 Lactic acid (lactate) 1,050

34 LBBC000039 Thyroid Stimulating Hormone 450

35 LBBC000040 Free T3 450

36 LBBC000041 Free T4 500

37 LBBC000044 Follicle-stimulating hormone 600

38 LBBC000045 Vitamin B12 1,200

39 LBBC000046 D Total iron binding capacity 500

40 LBBC000047 Glucose (Fasting) 110

41 LBBC000048 Glucose (Post Prandial) 120

42 LBBC000049 Glucose (Random) 110

43 LBBC000050 Glucose (CSF) 120

44 LBBC000051 Renal Function Test 1,000

45 LBBC000052 Lipid Profile 900

46 LBBC000053 Serum Electrolytes 500

47 LBBC000054 Liver Function Test 1,100

48 LBBC000055 Basic Metabolic Panel 1,320

49 LBBC000056 Comprehensive Metabolic Panel 1,450

50 LBBC000057 Serum Myoglobin 1,800

51 LBBC000058 Troponin-l 1,800

52 LBBC000059 Urine Protein(Random) 300

53 LBBC000060 Urine Protein(24 hr) 350

54 LBBC000063 Rheumatoid Factor 550

55 LBBC000064 Protein(CSF) 300 A Unit of Global Health Pvt. Ltd.


56 LBBC000065 Phenytoin 900

57 LBBC000070 Ammonia 1,200

58 LBBC000071 Amylase Urine 500

60 LBBC000075 Cortisol 600

61 LBBC000078 Urine Urea 300

62 LBBC000081 Calcium Urine 290

64 LBBC000086 Urine creatinine 24 hrs 300

65 LBBC000088 Creatinine(IDMS)Urine 300

66 LBBC000089 C-Reactive Protein 450

67 LBBC000090 Digoxin 900

68 LBBC000092 High Sensitivity C-Reactive Protein 750

69 LBBC000096 Leutinizing Hormone 600

70 LBBC000097 Potassium(Urine) 220

71 LBBC000099 Microalbumin 700

72 LBBC000102 Sodium(Urine)24 Hour 350

73 LBBC000103 Sodium(Urine)Random 250

75 LBBC000108 Phosphorous(Urine) 260

76 LBBC000112 Uric Acid(Urine) 300

77 LBBC000113 Valproic Acid 750

78 LBBC000114 Vancomycin 750

79 LBBC000115 Homocysteine 1,250

80 LBBC000116 Glycocylated Hemoglobin 850

81 LBBC000118 CA125 1,300

82 LBBC000119 CA153 1,600

83 LBBC000120 CA199 1,050

84 LBBC000121 CEA 850

85 LBBC000123 Prostatic Specific Antigen,Total 950

86 LBBC000124 Ferritin 1,040

87 LBBC000126 Prolactin 650

88 LBBC000128 Testosterone 1,620

89 LBBC000129 Total Beta HCG 1,390

90 LBBC000131 Antistreptolysin O 800

91 LBBC000133 Progesterone 600

92 LBBC000134 Glucose Urine (24 hour) 120

93 LBBC000135 Glucose Urine(Random) 90

94 LBBC000136 Urea/Creat Ratio 300

95 LBBC000137 Cholesterol/HDLC Ratio 390

96 LBBC000138 % MB (CKMB/CK Ratio) 820

97 LBBC000139 Percent Iron Saturation 450

98 LBBC000140 Alpha Fetoprotein 950

99 LBBC000141 Estradiol 1,000

100 LBBC000144 Cardiac Profile 4,800

101 LBBC000146 Chloride(CSF) 100

102 LBBC000147 CSF for Biochemical Analysis 420

103 LBBC000148 Thyroid Profile 1,000

104 LBBC000149 Blood Urea 150

105 LBBC000150 Body Fluids Biochemistry 330

106 LBBC000152 NT pro-BNP 3,360

107 LBBC000154 Glucose Challenge Test 160

108 LBBC000164 Cyclosporine 0 2,500

109 LBBC000165 Cyclosporine 2 2,500

110 LBBC000166 Pre HD Urea 130

111 LBBC000167 Post HD Urea 130

112 LBBC000168 Tacrograph level/ Tacrolimus 2,500

113 LBBC000169 Urine protein creatinine ratio random 650

114 LBBC000170 Urine creatinine random 350

115 LBBC000172 Folate Level A Unit of Global Health Pvt. Ltd. 1,300


116 LBBC000175 Serum Methotrexate 2,100

117 LBBC000179 Urine Osmolality 800

118 LBBC000180 Serum Osmolality 800

120 LBBC000325 ANTI CYCLIC CITRULLINATED PEPTIDE;ANTI CCP 1,900

121 LBBC000409 CHYLE EXAMINATION 430

122 LBBC000429 CORTISOL BASAL (Z010) 700

123 LBBC000450 CORTISOL, SERUM (EVENING SAMPLE) 650

124 LBBC000451 CORTISOL, SERUM (MIDNIGHT SAMPLE) 700

125 LBBC000452 CORTISOL, SERUM (MORNING SAMPLE) 650

127 LBBC000596 HOMOCYSTEINE, QUANTITATIVE, SERUM 950

128 LBBC000750 PTH (PARATHYROID HORMONE), INTACT 1,500

129 LBBC000845 Pregnancy 1 hr Glucose Challenge Test 150

130 LBBC000849 Body Fluids Amylase 500

131 LBBC000850 Lactate Dehydrogenase(LDH),Body Fluids 400

132 LBBC000852 Albumin(Body Fluids) 150

134 LBBC000855 IMMUNOFIXATION ELECTROPHORESIS (IFE), SERUM 6,950

135 LBBC000860 Urinary Chloride - Random 250

136 LBBC000861 Urinary Potassium - Random 250

137 LBBC000862 Urinary Potassium - 24 hrs 250

138 LBBC000863 Urinary Phosphorous - 24 hrs 300

139 LBBC000864 Urinary Uric Acid - 24 hrs 200

140 LBBC000867 Total Bilirubin (Drain Fluid) 300

141 LBBC000868 Direct Bilirubin (Drain Fluid) 300

142 LBBC000869 Urea (Drain Fluid) 150

143 LBBC000870 Creatinine (Drain Fluid) 200

144 LBBC000871 Cholestrol (Drain Fluid) 110

145 LBBC000872 Triglycerides (Drain Fluid) 350

146 LBBC000878 PROTEIN, DRAIN FLUID 220

147 LBBC000881 Creatinine Clearance 600

148 LBBC000883 Random Glucose(Fluids) 100

149 LBBC000884 Total Protein(Fluids) 200

150 LBBC000885 Cardiac Profile (Parliament Pkg) 4,800

151 LBBC000887 Percent Iron saturation(group test) 450

152 LBBC000889 Cystatin C 4,950

153 LBBC000890 Serum Ascities Albumin Gradiant(SAAG) 270

154 LBBC000891 Lipoprotein (a) / Lp(a) 1,000

155 LBBC000892 BNP; B-TYPE NATRIURETIC PEPTIDE 2,000

156 LBBC000893 Vitamin-D (25 OH) 1,900

157 LBBC000894 N-GAL 4,950

158 LBBC000895 Urinary Microalbumin to Creatinine Ratio 1,000

159 LBBC000896 Tacrolimus (Tacrograf - Biocon) 1,200

160 LBBC000897 Cyclosporin ( Cyclophil ME - Biocon) 1,320

162 LBBC000900 GTT (Non-Pregnant females/Males) 530

163 LBBC000901 GTT (Pregnant Females) 530

164 LBBC000902 Glucose Challenge Test (Pregnant) 160

165 LBBC000903 Tacrolimus(Astellas) 1,200

166 LBBC000904 Tacrolimus(Panacea) 1,200

167 LBBC000905 Tacrolimus(Ranbaxy) 1,200

168 LBBC000907 Lipid Profile-Extended 1,490

169 LBBC000909 Troponin-I (Spot-Qualitative) 2,750

170 LBBC000910 Tacrolimus(Novartis) 1,200

171 LBBC000911 Tacrolimus(Cadila) 1,200

172 LBBC000912 Tacrolimus (INTAS) 1,200

173 LBBC000913 Protein Electrophoresis 1,160

174 LBBC000914 Tacrolimus(Bioniche) 1,200

175 LBBC000915 Tacrolimus(Gennova) 1,200

176 LBBC000917 Tacrolimus(Anthem) A Unit of Global Health Pvt. Ltd. 1,200


177 LBBC000918 Tacrolimus(Workhardt) 1,200

178 LBBC000919 Cyclosporin 0 - Anthem 1,320

179 LBBC000920 Cyclosporin 2 - Anthem 1,320

180 LBBC000921 Cyclosporin 0 - Panecea 1,320

181 LBBC000922 Cyclosporin 1 - Panecea 1,320

182 LBBC000923 Cyclosporin Profile - Panecea 2,640

183 LBBC000924 Complement C3 850

184 LBBC000925 Complement C4 850

185 LBBC000926 Immunogloblulin IgG 720

186 LBBC000927 Immunogloblulin IgA 720

187 LBBC000928 Immunogloblulin IgM 1,000

188 LBBC000929 Transferrin 1,200

189 LBBC000930 Ceruloplasmin 1,300

190 LBBC000932 Insulin Fasting/ PP 800

191 LBBC000934 Urinary Magnesium Creatinine ratio 650

192 LBBC000935 Urinary Calcium Creatinine ratio 400

193 LBBC000916 Tacrolimus La Renon 1,200

194 LBBC000936 Alcohol 800

195 LBBC000937 Adenosine Deaminase 650

196 LBBC000938 Urine albumin creatinine ratio 800

197 LBBC000939 BETA - 2 - MICROGLOBULIN 1,800

198 LBBC000940 ANTI- TPO 1,200

199 LBBC000951 ST2 4,000

200 LBBC000952 CKMB Mass 600

201 LBBC000953 High Sensitivity Troponin I (Research) 0

202 LBBC000954 Small Dense LDL 0

Clinical Pathology

1 LBCP000001 CYP2C19 - 2 Gene Analysis 11,200

Haematology

1 LBHM000001 Hemoglobin 150

2 LBHM000002 Hematocrit 150

3 LBHM000003 RBC Count 180

4 LBHM000004 MCV 150

5 LBHM000005 MCH 150

6 LBHM000006 MCHC 150

7 LBHM000007 WBC 150

8 LBHM000008 Platelet Count 240

9 LBHM000009 Erythrocyte Sedimentation Rate 200

10 LBHM000010 Neutrophil 150

11 LBHM000011 Lymphocyte 150

12 LBHM000012 Eosinophil 150

13 LBHM000013 Monocyte 150

14 LBHM000014 Basophil 150

15 LBHM000016 Activated Partial Thromboplastin Time 675

16 LBHM000020 Complete Blood Count(CBC) 400

17 LBHM000021 Hemogram 900

18 LBHM000022 Differential Count 300

19 LBHM000024 CBC + DIFF 450

20 LBHM000025 CBC+RET 650

21 LBHM000026 CBC+DIFF+RET+ Immature platelet fraction+IRF 850

22 LBHM000028 CBC+DIFF+NRBC 700

23 LBHM000029 CBC+DIFF+RET+NRBC 750

24 LBHM000030 Blasts 0

25 LBHM000031 Myeloblasts 0

26 LBHM000032 Lymphoblasts 0

27 LBHM000033 Monoblasts 0

28 LBHM000034 Promyelocytes A Unit of Global Health Pvt. Ltd. 0


29 LBHM000035 Promonocytes 0

30 LBHM000036 Prolymphocytes 0

31 LBHM000037 Myelocytes 0

32 LBHM000038 Meta Myelocytes 0

33 LBHM000039 Band Forms 0

36 LBHM000042 Reticulocytes 420

37 LBHM000043 D-dimers 1,650

38 LBHM000044 Fibrinogen 1,100

39 LBHM000046 Bone Marrow Aspiration 2,300

40 LBHM000050 Nucleated RBC 0

41 LBHM000051 Absolute Basophil Count 440

42 LBHM000052 Absolute Eosinophil Count 400

43 LBHM000053 Absolute Lymphocyte Count 400

44 LBHM000054 Absolute Neutrophil Count 400

45 LBHM000055 Absolute Monocyte Count 400

46 LBHM000057 Sickling Test 300

47 LBHM000058 PROTHROMBIN TIME & INR 550

48 LBHM000059 Mean Platelet Volume 750

49 LBHM000060 Platelet Distribution Width 750

50 LBHM000061 Semen Analysis 700

51 LBHM000062 Malarial Parasite 300

52 LBHM000097 Factor IX assay Functional 1,820

53 LBHM000100 Factor VII assay Functional 3,030

54 LBHM000101 Factor VIII assay Functional 1,820

55 LBHM000103 APTT Mixing studies 1,000

56 LBHM000104 PT Mixing studies 900

57 LBHM000108 Haemophilia panel (Factor VIII & IX) 3,500

59 LBHM000113 Factor XIII (Clot solubility) 700

60 LBHM000114 LAP score 1,650

61 LBHM000116 G6PD Quantitative 900

62 LBHM000117 G-6 PD Qualitative 550

64 LBHM000171 CBC with Hb HPLC 1,000

65 LBHM000173 Urine Analysis 200

66 LBHM000174 PH 210

67 LBHM000175 Specific Gravity 210

68 LBHM000176 Ketone bodies 200

69 LBHM000179 Bence jones protein 300

70 LBHM000183 CBC+DIFF+PS 900

71 LBHM000184 pH Body Fluids 150

72 LBHM000240 Drain Fluid - Hb & PCV 200

73 LBHM000243 Lupus Anticogulant Panel 2,640

74 LBHM000244 Hb-H inclusion bodies 580

75 LBHM000246 Urine for Pregnancy 300

77 LBHM000252 Urine for myoglobulin 610

78 LBHM000253 Urine for Hemoglobinuria 600

79 LBHM000254 Urine for Fat 640

80 LBHM000255 Urine for Bile Salts 230

81 LBHM000256 Synovial fluid for Crystals 640

82 LBHM000257 Demonstration of Heinz Bodies 1,160

83 LBHM000258 Reticulocyte Haemoglobin (Ret Hb) 700

84 LBHM000259 Immature Platelet Fraction (IPF) 700

85 LBHM000260 Haematopoietic Progenitor Cell (HPC) counts 700

86 LBHM000262 MPO Stain 1,200

87 LBHM000265 Pearl's Stain 400

88 LBHM000267 Bethesda assay for factor VIII inhibitors 16,500

89 LBHM000273 Peripheral Smear (PS) 800 90 LBHM000274 Reducing Substances in Urine 200



91 LBHM000275 Reducing Substances in Stool 150

92 LBHM000276 Factor XI assay 4,400

93 LBHM000277 CSF for Total & Differential Counts 880

94 LBHM000278 Body Fluids cytology - Cell Count 1,100

95 LBHM000280 Mediclinic-Platelet Count 50

96 LBHM000281 Heparin Induced Thrombocytopenia 3,500

97 LBHM000286 BCR ABL International Scale 8,500

98 LBHM000287 JAK2 By Real Time PCR 7,000

99 LBHM000288 Karyotyping for Heamatological Malignancy 3,600

100 LBHM000289 FISH analysis for Del(17p13)-TP53 gene deletion 4,200

101 LBHM000290 FISH analysis for BCR/ABL1,t(9;22)(q34;q11) 4,500

102 LBHM000291 FISH analysis for KMT2A(MLL)(11q23)gene rearrangement 4,500

103 LBHM000292 FISH analysis for PML/RARA, t(15;17)(q24;q21) 4,800

104 LBHM000293 FISH analysis for RUNXI/RUNXITI,t(8;21)(q21;q22) 4,500

105 LBHM000294 FISH analysis for ETV6/RUNX1,t(12;21)(p13:q22) 4,500

106 LBHM000295 FISH analysis for CBFB gene,16q22 4,300

107 LBHM000296 AML Panel by FISH 10,000

108 LBHM000297 ALL Panel by FISH 9,000

109 LBHM000298 MINIMAL RESIDUAL DISEASE (MRD) 11,000

110 LBHM000299 Flowcyto immunophenotyp-custom panel-1(8 marker) 5,500

111 LBHM000300 FLOWCYTOMETRY FOR EMA (5 - EOSIN MALAMIDE) 1,650

112 LBHM000301 LYMPH NODE/TISSUE FLOW CYTOMETRY 16,500

113 LBHM000302 Flowcytometric- CLL/Lymphoma panel 14,500

114 LBHM000303 Flowcytometric PNH Panel 8,000

115 LBHM000304 Flow cytometric myeloma panel 5,780

116 LBHM000305 Flowcytometric acute leukemia panel 15,500

117 LBHM000306 MDS Panel 11,000

118 LBHM000307 Flow cytometric Perforin assay 3,100

119 LBHM000308 Flow cytometric DHR assay 3,100

120 LBHM000309 Flow cytometric Double Negative T Cells (DNT) 3,100

121 LBHM000310 Flow cytometric test for Leucocyte Adhesion Defeciency (LAD-1) 3,100

Histopathology

1 LBHP000004 Frozen Section/Intra Operative Cytology per specimen- HPE with IHC/Special Stains if 2,200

needed

2 LBHP000005 Diagnostic Biopsy- Unspecified 1,900

3 LBHP000006 Excision Specimen Biopsy- Unspecified 2,200

4 LBHP000007 Large Specimen Biopsy- Unspecified 2,700

5 LBHP000008 Radical Specimen Biopsy- Unspecified 4,000

6 LBHP000012 Review of Outside Slide 3 to 5 (Histo) 3,300

7 LBHP000013 Review of Outside Slide 6 to 10 (Histo) 4,400

8 LBHP000014 Review of Outside Slide upto 2 (Histo) 2,200

9 LBHP000017 Slides Issued for second opinion(per slide) - Histo 165

10 LBHP000018 2 IHC Marker Panel 3,800




14 LBHP000022 More Than 10 IHC Marker panel 16,000

15 LBHP000023 Estrogen and Pregesterone Receptors 3,000

16 LBHP000024 Hercept Test 3,500

17 LBHP000034 Liver Biopsy- Native- HPE with IHC/Special Stains if needed 3,800

18 LBHP000036 Immunofluorescence 1 antibody 1,200

19 LBHP000037 1 IHC Marker 1,900

20 LBHP000038 Prostate Trucut Needle Biopsy- HPE with IHC/Special Stains if needed 4,200

21 LBHP000039 Bone Marrow Biopsy-HPE with IHC/Special Stains if needed 6,500

22 LBHP000040 Biopsy Radical Prostatectomy- HPE with IHC/Special Stains if needed 7,500

23 LBHP000047 Frozen Sect/Intra Op Cyto/specimen-2 Specimen 3,000 24 LBHP000048 Frozen Section/Intra Op Cyt 3-5 Specimen 3,800



25 LBHP000049 Frozen Section/Intra Operative Cytology Per Spec. 5-10 Spec 5,300

26 LBHP000051 Urgent Tru Cut Biopsy- Rapid Processing 5,170

27 LBHP000057 Review of outside slide >10 Slides 6,800

28 LBHP000061 EM Interpretation 3,500

29 LBHP000062 Amputations-Limb 2,550

30 LBHP000063 Appendix- HPE with IHC/Special Stains if needed 2,250

31 LBHP000064 Bone Specimen - small- HPE with IHC/Special Stains if needed 2,750

32 LBHP000065 Bone Tumour- Large- HPE with IHC/Special Stains if needed 3,600

33 LBHP000066 Breast- Wide local Excision- HPE with IHC/Special Stains if needed 2,850

34 LBHP000067 Breast Lump ( Non Tumour)- HPE with IHC/Special Stains if needed 2,850

35 LBHP000068 Breast Lump with reflex IHC 7,600

36 LBHP000069 Breast Lump - HPE with IHC/Special Stains if needed 2,350

37 LBHP000070 Breast Lesion- Major Duct Excision- HPE with IHC/Special Stains if needed 6,150

38 LBHP000071 Breast MRM with ER, PR, Hercept - HPE with IHC/Special Stains if needed 10,400

39 LBHP000072 Breast MRM - HPE with IHC/Special Stains if needed 4,150

40 LBHP000073 Breast Tru Cut Biopsy- HPE with IHC/Special Stains if needed 2,200

41 LBHP000074 Wide local Excision - HPE with IHC/Special Stains if needed 3,100

42 LBHP000075 Wide Local excision with ER, PR, Hercept- HPE with IHC/Special Stains if needed 9,150

43 LBHP000076 Breast Tru Cut Biopsy with ER, PR, Hercept-- HPE with IHC/Special Stains if needed 8,650

44 LBHP000077 Buccal Mucosal Biopsy- HPE with IHC/Special Stains if needed 2,200

45 LBHP000078 Cardiac Tumour- HPE with IHC/Special Stains if needed 4,100

46 LBHP000079 Cardiac wall/ Valve Biopsy- HPE with IHC/Special Stains if needed 2,300

47 LBHP000080 Cervix Biopsy- HPE with IHC/Special Stains if needed 2,800

48 LBHP000081 Cervix Cone Biopsy- HPE with IHC/Special Stains if needed 3,100

49 LBHP000082 Clot Biopsy- HPE with IHC/Special Stains if needed 2,050

50 LBHP000083 Colectomy / APR- HPE with IHC/Special Stains if needed 6,200

51 LBHP000084 Colectomy / APR with MSI- HPE with IHC/Special Stains if needed 11,900

52 LBHP000085 Commando With RND / MND- HPE with IHC/Special Stains if needed 6,200

53 LBHP000086 Endobroncheal / Laryngeal Biopsy- HPE with IHC/Special Stains if needed 6,000

54 LBHP000087 Endometrium (D&C Material)- HPE with IHC/Special Stains if needed 3,200

55 LBHP000088 Endomyocardial Biopsy- HPE with IHC/Special Stains if needed 2,700

56 LBHP000089 Eye ball Specimen- HPE with IHC/Special Stains if needed 3,000

57 LBHP000090 Fallopian Tube- HPE with IHC/Special Stains if needed 2,250

58 LBHP000091 Fistulectomy / Sinus Tract - HPE with IHC/Special Stains if needed 2,500

59 LBHP000092 Gall Bladder- HPE with IHC/Special Stains if needed 2,100

60 LBHP000093 Gastrectomy- HPE with IHC/Special Stains if needed 7,200

61 LBHP000094 GI Endoscopic Biopsy >4 Container- HPE with IHC/Special Stains if needed 8,750

62 LBHP000095 GI Endoscopic Biopsy 1 Container- HPE with IHC/Special Stains if needed 2,100




66 LBHP000099 Granulation Tissue 2,300

67 LBHP000100 Haemorrhoids- HPE with IHC/Special Stains if needed 2,350

68 LBHP000101 Head and neck Oncology specimen- HPE with IHC/Special Stains if needed 5,450

69 LBHP000102 Hemimandibulectomy With RND / MND- HPE with IHC/Special Stains if needed 5,450

70 LBHP000103 Hepatic Resection- HPE with IHC/Special Stains if needed 5,600

71 LBHP000104 Hirschsprung's Disease- HPE with IHC/Special Stains if needed 3,350

72 LBHP000105 Lung (Lobectomy)- HPE with IHC/Special Stains if needed 7,000

73 LBHP000106 Lung Tru Cut Biopsy- HPE with IHC/Special Stains if needed 7,000

74 LBHP000107 Lymph Node ( Lymphoma Panel)- HPE with IHC/Special Stains if needed 13,600

75 LBHP000108 Lymph Node (Non Lymphoma Panel)- HPE with IHC/Special Stains if needed 2,700

76 LBHP000109 Mediastinal Mass- HPE with IHC/Special Stains if needed 6,350

77 LBHP000110 Nasal Polyp- HPE with IHC/Special Stains if needed 2,700

78 LBHP000111 Nasal Sinus Biopsy- HPE with IHC/Special Stains if needed 2,700

79 LBHP000112 Nephrectomy (Non Tumorous)- HPE with IHC/Special Stains if needed 3,500 80 LBHP000113 Oesophagectomy- HPE with IHC/Special Stains if needed 5,150



81 LBHP000114 Omental Mass- HPE with IHC/Special Stains if needed 5,000

82 LBHP000115 Oral Biopsy- HPE with IHC/Special Stains if needed 2,700

83 LBHP000116 Orchidectomy Spcimen- HPE with IHC/Special Stains if needed (Tumour) 6,900

84 LBHP000117 Orchidectomy Spcimen- HPE with IHC/Special Stains if needed (Non-Tumour) 2,700

85 LBHP000118 Ovarian Mass (Large)- HPE with IHC/Special Stains if needed 5,000

86 LBHP000119 Parathyroid Biopsy- HPE with IHC/Special Stains if needed 2,850

87 LBHP000120 Parotidectomy- HPE with IHC/Special Stains if needed 3,950

88 LBHP000121 Partial Nepherectomy- HPE with IHC/Special Stains if needed 4,900

89 LBHP000122 Penectomy- HPE with IHC/Special Stains if needed 4,150

90 LBHP000123 Placenta- HPE with IHC/Special Stains if needed 3,800

91 LBHP000124 Pleural Biopsy- HPE with IHC/Special Stains if needed 3,750

92 LBHP000125 Prostate Chips (Tur-P)- HPE with IHC/Special Stains if needed 3,300

93 LBHP000126 Radical Cystectomy- HPE with IHC/Special Stains if needed 6,050

94 LBHP000127 Radical Neck Dissection- HPE with IHC/Special Stains if needed 4,000

95 LBHP000128 Radical Nephrectomy- HPE with IHC/Special Stains if needed 6,200

96 LBHP000129 Sebaceous cyst- HPE with IHC/Special Stains if needed 2,350

97 LBHP000130 Skin Biopsy- HPE with IF if needed 3,250

98 LBHP000131 Skin Biopsy With Immunofluorescence- HPE with IHC/Special Stains if needed 3,500

99 LBHP000132 Sleeve Gastrectomy- HPE with IHC/Special Stains if needed 2,500

100 LBHP000133 Small Intestinal Resection- HPE with IHC/Special Stains if needed 3,700

101 LBHP000134 Small Intestinal Resection/ GIST/ Soft Tissue Tumour- HPE with IHC/Special Stains if needed 6,800

102 LBHP000135 Soft Tissue Tumor With Special Stains- HPE with IHC/Special Stains if needed 8,700

103 LBHP000136 Spleen- HPE with IHC/Special Stains if needed 2,350

104 LBHP000137 Synovial Biopsy- HPE with IHC/Special Stains if needed 2,700

105 LBHP000138 Testicular biopsy- HPE with IHC/Special Stains if needed 2,700

106 LBHP000139 Thyroidectomy- HPE with IHC/Special Stains if needed 5,400

107 LBHP000140 Transplant Liver Biopsy- HPE with IHC/Special Stains if needed 3,900

108 LBHP000141 Tru cut Oncology Biopsy/ Intervention assisted Biopsy- HPE with IHC/Special Stains if 9,000

needed

109 LBHP000142 TUR Urinary Bladder- HPE with IHC/Special Stains if needed 3,500

110 LBHP000143 Urinary Bladder Biopsy- Small- HPE with IHC/Special Stains if needed 2,200

111 LBHP000144 Uterus With/Without Adnexae- Non Tumour- HPE with IHC/Special Stains if needed 3,000

112 LBHP000145 Radical Hystrectomy- Tumour- HPE with IHC/Special Stains if needed 5,850

113 LBHP000146 Werthiems Hysterectomy- HPE with IHC/Special Stains if needed 6,200

114 LBHP000147 Whipples Resection- HPE with IHC/Special Stains if needed 7,950

115 LBHP000148 Native kidney biopsy review (slides only) 4,250

116 LBHP000149 Native kidney biopsy block review with limited IF 5,800

117 LBHP000150 Rapid native kidney biopsy with full IF panel- HPE with IHC/Special Stains if needed 9,000

118 LBHP000151 Native kidney biopsy + IF + EM- HPE with IHC/Special Stains if needed 16,000

119 LBHP000152 Transplant kidney biopsy with C4d- HPE with IHC/Special Stains if needed 6,620

120 LBHP000153 Transplant kidney biopsy with C4d and full IF panel - HPE with IHC/Special Stains if needed 7,400

121 LBHP000154 Transplant kidney biopsy review (slides only) 4,600

122 LBHP000155 Rapid Transplant kidney biopsy with C4d- HPE with IHC/Special Stains if needed 7,750

123 LBHP000156 Transplant kidney biopsy + IF + EM- HPE with IHC/Special Stains if needed 16,000

124 LBHP000157 Glioma with Reflex IHC 13,980

125 LBHP000158 Muscle tissue with Enzyme Histochemistry with Reflex IHC 15,950

126 LBHP000159 Nerve Biopsy with Special Stain with Reflex IHC 4,600

127 LBHP000160 Pituitary Tumour with Reflex IHC 13,300

128 LBHP000161 Brain Tumour - Non Glioma with reflex IHC 5,700

129 LBHP000162 ALK IHC FOR LUNG CARCINOMA 5,500

130 LBHP000163 EBER ISH 5,500

131 LBHP000164 Native kidney biopsy with Complete IF panel 6,050 132 LBHP000165 Epilepsy with Reflex IHC 8,100



133 LBHP000166 Tonsils 2,980

134 LBHP000167 Fiboepithelial Polyp 2,440

135 LBHP000168 Vaccum assisted breast biopsy with IHC 7,300

136 LBHP000169 Muscle biopsy with special stains 4,260

137 LBHP000170 ATRX 2,520

138 LBHP000171 IDH-1 2,520

139 LBHP000172 Electron Microscopy with Interpretation 10,500

140 LBHP000173 Head and Neck Biopsy 3,250

141 LBHP000174 BRAF by IHC 5,000

142 LBHP000175 Her2 by FISH 10,000

143 LBHP000176 1p19q by FISH 10,000

144 LBHP000177 MSI 7,600

Microbiology

1 LBMB000001 Stool Analysis 290

2 LBMB000003 Colour 0

3 LBMB000014 Pus Cells 0

4 LBMB000015 Epithelial Cells 0

5 LBMB000016 Red Blood Cells 130

6 LBMB000019 Others 0

7 LBMB000020 Consistency 0

8 LBMB000021 Blood 0

9 LBMB000022 Mucus 0

10 LBMB000024 Cysts 0

11 LBMB000025 Ova 0

12 LBMB000027 Anti-HAV IgM 1,300

13 LBMB000028 Anti-HBc Total 1,250

14 LBMB000029 Anti-HBc IgM 1,250

15 LBMB000030 Anti-HBe 1,200

16 LBMB000031 Anti-HBs 770

17 LBMB000034 HBeAg 900

18 LBMB000036 Aerobic C&S Blood - Two Samples 1,600

19 LBMB000037 Aerobic C&S Blood (Paediatric&Neonat) - Two Samples 1,900

20 LBMB000038 Aerobic C&S Body Fluids 1,100

21 LBMB000039 Aerobic C&S Broncho-alveolar Lavage 1,100

22 LBMB000040 Aerobic C&S Conjunctival Swab 1,100

23 LBMB000041 Aerobic C&S CSF 1,100

24 LBMB000042 Aerobic C&S Nasal Swab 1,100

25 LBMB000043 Aerobic C&S 1,100

26 LBMB000044 Aerobic C&S Pus 1,100

27 LBMB000045 Aerobic C&S Sputum 1,100

28 LBMB000046 Aerobic C&S Stool 1,100

29 LBMB000047 Aerobic C&S Throat Swab / Washings 1,100

30 LBMB000048 Aerobic C&S Tips Catheter,Suction,Tracheal 1,100

31 LBMB000049 Aerobic C&S Urethral Swab 1,100

32 LBMB000050 Aerobic C&S Urine 1,100

33 LBMB000051 Aerobic C&S High Vaginal Swab/Cervical 1,100

34 LBMB000052 Aerobic C/S Semen 1,100

35 LBMB000063 AFB Stain (Z N) / Smear Exam 350

36 LBMB000064 AFB Stain (Z N) / Smear Exam.- Sputum 350

37 LBMB000065 AFB Stain (Z N) / Smear Exam.- Urine 350

38 LBMB000066 AFB Stain (Z N) / Smear Exam.-BAL 350

39 LBMB000067 AFB Stain (Z N) / Smear Exam.-CSF 350

40 LBMB000068 AFB Stain (Z N) / Smear Exam.-Pus 350

41 LBMB000069 Albert's Staining - Throat Swab 350

42 LBMB000075 Anaerobic C&S Blood 1,900

43 LBMB000076 Anaerobic C&S Body Fluids 1,540 44 LBMB000077 Anaerobic C&S Broncho-alveolar Lavage 1,540



45 LBMB000078 Anaerobic C&S CSF 1,540

46 LBMB000079 Anaerobic C&S 1,540

47 LBMB000080 Anaerobic C&S Pus 1,540

48 LBMB000085 Anaerobic C&S High Vaginal Swab/Cervical 1,540

49 LBMB000092 Comb. Antigens CSF 3,900

50 LBMB000093 Cryptococcal Ag detection (Quantitative) 2,860

51 LBMB000094 Cryptococcus Antigen Detection in CSF 2,200

52 LBMB000095 Cryptococcus Antigen Detection in Serum 1,820

53 LBMB000096 CSF N. Meningitidis Antigen (Acyw-135) 1,430

54 LBMB000097 CSF Strept. pneumoniae capsular antigen 1,430

55 LBMB000113 Anti CMV IgG Antibodies 1,210

56 LBMB000114 Anti CMV IgM 1,210

57 LBMB000116 Anti HBe / HB 'e' Antigen Combine 1,650

58 LBMB000121 Anti HEV IgM 1,700

59 LBMB000130 Anti Rubella IgG 960

60 LBMB000131 Anti Rubella IgM 990

61 LBMB000132 Anti Toxoplasma IgG 960

62 LBMB000133 Anti Toxoplasma IgM 990

63 LBMB000135 Hepatitis B Profile 6,220

64 LBMB000139 TORCH Complex profile IgG 1,500

65 LBMB000140 TORCH Complex profile IgM 2,970

66 LBMB000141 Total Anti HAV Antibodies (Total) 1,200

67 LBMB000144 Fungal C&S Blood 1,540

68 LBMB000145 Fungal C&S Body Fluids 1,100

69 LBMB000146 Fungal C&S Broncho-alveolar lavage 1,100

70 LBMB000147 Fungal C&S Conjunctival Swab 1,100

71 LBMB000148 Fungal C&S CSF 1,100

72 LBMB000149 Fungal C&S 1,100

73 LBMB000150 Fungal C&S Pus 1,100

74 LBMB000151 Fungal C&S Sputum 1,100

75 LBMB000152 Fungal C&S Stool 1,100

76 LBMB000153 Fungal C&S Throat Swab 1,100

77 LBMB000155 Fungal C&S Urethral Swab 1,100

78 LBMB000156 Fungal C&S Urine 1,100

79 LBMB000157 Fungal C&S High Vaginal Swab/Cervical 1,100

80 LBMB000158 KOH Mount - Body Fluid 300

81 LBMB000159 KOH Mount - CSF 300

82 LBMB000160 KOH Mount 300

83 LBMB000161 KOH Mount - Pus 280

84 LBMB000162 KOH Mount - Sputum 300

85 LBMB000163 KOH Mount - Throat Swab 300

86 LBMB000165 KOH Mount - Urine 300

87 LBMB000166 KOH Mount -BAL 300

88 LBMB000167 Gram's Stain - BAL 350

89 LBMB000168 Gram's Stain - Body Fluid 350

90 LBMB000169 Gram's Stain - CSF 350

91 LBMB000170 Gram's Stain 350

92 LBMB000171 Gram Stain - Pus 350

93 LBMB000172 Gram Stain - Sputum 350

94 LBMB000174 Gram Stain - Throat Swab 350

95 LBMB000176 Gram Stain - Urine 350

96 LBMB000177 H. Influenzae B Antigen - Blood 1,430

97 LBMB000178 H. Influenzae B Antigen - CSF 1,430

98 LBMB000180 India Ink Preparation 280

99 LBMB000185 Tuberculosis Screening ( Mantoux test) 200

100 LBMB000186 Mod.Z.N.Staining for Nocardia-BAL 280 101 LBMB000187 Mod.Z.N.Staining for Nocardia-CSF 280



102 LBMB000188 Mod.Z.N.Staining for Nocardia-Pus 280

103 LBMB000189 Mod.Z.N.Staining for Nocardia-Sputum 280

104 LBMB000191 Mod.Z.N.Staining for Nocardia-Urine 280

105 LBMB000192 Mod.Z.N.Staining for Nocardia-Body Fluids 280

106 LBMB000193 Mod.Z.N.Staining for Nocardia-Stool 280

107 LBMB000194 Mod.Z.N.Staining for Nocardia-Throat 280

108 LBMB000196 Procalcitionin assay (Quantitative / PCT(Quant.) 2,600

109 LBMB000214 Widal Test 500

110 LBMB000219 Chikungunya IgM 600

111 LBMB000220 Dengue Virus IgG/IgM, NS1Ag 600

112 LBMB000222 Malaria Antigen 850

113 LBMB000223 Quantiferon Gold TB 3,700

114 LBMB000312 STOOL EXAMINATION, OCCULT BLOOD # 290

115 LBMB000315 PNEUMOCYSTIS SPECIES, IMMUNOFLUORESCENCE 1,540

116 LBMB000322 Entamoeba histolytica Antibody, IgG, EIA 1,500

117 LBMB000385 CMV DNA Qualitative, Rt-PCR 3,800

118 LBMB000405 TyphidotIgG/IgM 600

119 LBMB000408 Echinococcus Decetion for Scolices in Hydatid Cyst Fluid 440

120 LBMB000409 MICROFILARIA DETECTION 300

121 LBMB000411 Rapid card test Leptospira antibody IgG/IgM 830

122 LBMB000412 Stool Examination Hanging drop Preparation 200

123 LBMB000415 Aerobic C&S+Gram Stain(Body Fluids) 1,350

124 LBMB000416 Aerobic C&S+Gram Stain(CSF) 1,350

125 LBMB000417 Aerobic C&S+Gram Stain 1,350

126 LBMB000418 Aerobic C&S+Gram Stain(Pus) 1,350

127 LBMB000419 Aerobic C&S+Gram Stain(Sputum) 1,350

128 LBMB000420 Aerobic C&S+Gram Stain(Throat Swab / Washings) 1,350

129 LBMB000422 Line Probe Assay (HAIN Test) for TB 5,500

130 LBMB000423 Line Probe Assay (HAIN test 2) for XDR TB 3,470

131 LBMB000425 Pus for Microscopy - Trophozoites 230

132 LBMB000426 Stool for Cryptococcus 300

133 LBMB000428 Anti HEV IgG 1,430

134 LBMB000445 EBV Ab TO VIRAL CAPSID ANTIGEN IgM 1,650

135 LBMB000446 EBV Ab TO VIRAL CAPSID ANTIGEN IgG 1,800

136 LBMB000448 EBV quantitative PCR 3,600

137 LBMB000449 Galactommamme 3,000

138 LBMB000450 BK Virus DNA PCR 4,900

139 LBMB000451 Respiratory Multi - plex PCR 6,850

140 LBMB000452 Dengue IgM (Elisa) 600

141 LBMB000453 Pneumocystis Jiroveci (PCR) 2,200

142 LBMB000460 Aerobic C&S Valve 1,200

143 LBMB000461 Gram Stain - Valve 350

144 LBMB000464 Influenza A & B including H1N1 5,000

145 LBMB000465 Aerobic C&S Nasal Swab for MRSA 500

146 LBMB000466 Aerobic C&S Rectal Swab for VRE 600

147 LBMB000467 Mediclinic-Dengue Virus IgG/IgM, NS1Ag 600

148 LBMB000468 HBV Qualitative PCR 5780

149 LBMB000469 HBV Quantitative PCR 8350

150 LBMB000470 HCV Qualitative PCR 5,200

151 LBMB000471 HCV Quantitative PCR 7,900

152 LBMB000472 Dengue Profile 600

153 LBMB000473 Acute Meningitis PCR Panel 7,500

154 LBMB000474 ANA/ANF, IFA 1,500

155 LBMB000475 ANA/ANF , IFA IN Dil 3,000

156 LBMB000476 Anti ds DNA ELISA 2,000

157 LBMB000477 ENA Profile (ANA Quantitative) 3,300

158 LBMB000478 ANCA- COMBI A Unit of Global Health Pvt. Ltd. 4,950


159 LBMB000479 ANCA -IFA 2,200

160 LBMB000480 ANCA-MPO-LIA 2,500

161 LBMB000481 ANCA-PR3-LIA 2,500

162 LBMB000482 ANCA-GBM-LIA 2,200

163 LBMB000483 ANCA-LIA 3,850

164 LBMB000484 Clostridium difficile screening test 3,000

165 LBMB000485 Immunoglobulin IgE (Total) 600

166 LBMB000486 AFB culture + drug resistance screening (SIREPz) 5,000

167 LBMB000489 C. difficile PCR 3,200

168 LBMB000490 Calprotectin combo rapid card test 3,500

169 LBMB000493 Endotoxin Activity Assay 7,250

170 LBMB000494 Mycobacterium TB PCR (Genexpert - Rifampcin) 2,200

171 LBMB000495 Rapid sepsis PCR (film array) panel 14,000

172 LBMB000496 Rapid meningitis PCR (film array) panel 14,000

173 LBMB000497 Adenovirus Quantitative/Qualitative 7,000

174 LBMB000498 HSV 1+2 , IGG, SERUM 600

175 LBMB000499 HSV 1+2 , IGM, SERUM 600

176 LBMB000500 TTG IGA 1,000

177 LBMB000501 GI Panel By Biofire 13,500

178 LBMB000502 CARDIOLIPIN ANTIBODY, IgG 800

179 LBMB000503 CARDIOLIPIN ANTIBODY, IgM 800

180 LBMB000504 BETA 2 GLYCOPROTEIN , IgG 1,000

181 LBMB000505 BETA 2 GLYCOPROTEIN , IgM 1,000

182 LBMB000506 Macroscopic Analysis for parasites and insects 400

183 LBMB000507 Rapid CRO Detection 3,000

189 LBMB000508 Research Rapid Sepsis Panel 0

190 LBMB000509 Rapid Respiratory Multiplex Filmarray 14,000

191 LBMB000510 Aerobic C&S Blood -Four Samples 2,100

192 LBMB000511 Weil Felix Test 800

Molecular Biology

1 LBML000001 HLA CROSS MATCH(CDC) 5,780

2 LBML000002 HLA CROSS MATCH(FLOW) 8,800

3 LBML000004 HLA TYPING CLASS 1(DONOR)-Solid Organ Transplant 9,500

4 LBML000005 HLA TYPING CLASS 2(DONOR)-Solid Organ Transplant 9,500

5 LBML000006 HLA TYPING CLASS 1(PATIENT)-Solid Organ Transplant 9,500

6 LBML000007 HLA TYPING CLASS 2(PATIENT)-Solid Organ Transplant 9,500

7 LBML000020 KRAS Mutation analysis 10,500

8 LBML000022 HLA B27 3,200

9 LBML000024 Flowcytometric- Immunophenotyping, any single marker 2,000

10 LBML000025 Flowcytometric stem cell (CD34+) enumeration 4,400

11 LBML000031 T CELL ENUMERATION (CD4/CD8/CD3) 2,800

12 LBML000032 IMMUNODEFICIENCY PANEL 4,500

13 LBML000053 DNA Extraction-Whole Blood 2,310

14 LBML000058 HLA B51 PCR 6,600

15 LBML000062 Immune Deficiency Panel ( CD19,CD56,CD3,CD4,CD8) 4,950

16 LBML000064 Flowcytometry, NK Cell Enumeration 3,470

17 LBML000073 Urgent - HLA Typing- Patient 22,000

18 LBML000074 Urgent - HLA Typing- Donor 22,000

19 LBML000078 Panel reacting antibodies (PRA) by flow cytometry 14,500

20 LBML000080 EGFR Mutation Analysis 11,500

21 LBML000087 MUTATION ANALYSIS FOR BRAF 10,000

22 LBML000104 MUTATION ANALYSIS FOR HRAS 10,000

23 LBML000105 MUTATION ANALYSIS FOR IDH1 10,000

24 LBML000106 JAK2 Mutation Panel by NGS 7,000

25 LBML000108 MUTATION ANALYSIS FOR IDH2 10,000

26 LBML000110 MUTATION ANALYSIS FOR KIT 10,000 27 LBML000113 MUTATION ANALYSIS FOR MPL 10,000



28 LBML000116 MUTATION ANALYSIS FOR NRAS 10,000

29 LBML000117 MUTATION ANALYSIS FOR PDGFRA 8,000

30 LBML000135 HLA - ABDR - SSO 26,000

31 LBML000136 HLA-A-SSO 5,000

32 LBML000137 HLA-B-SSO 5,000

33 LBML000138 HLA-DR-SSO 5,000

34 LBML000139 Crossmatch - Luminex 12,000

35 LBML000140 LSA - Class -1 20,000

36 LBML000141 LSA - Class -2 14,000

37 LBML000142 Lifescreen Delux (PRA) 12,000

38 LBML000143 Class - 1 - Ab - PRA - Luminex 10,000

39 LBML000144 Class - 2 - Ab - PRA - Luminex 10,000

40 LBML000145 KIR Typing 10,000

41 LBML000146 MICA antibody screen 28,000

42 LBML000147 CD19 - Flowcytometry 2,500

43 LBML000150 HLA for Celiac disease (DQB1*02/DQ8) 5,000

44 LBML000151 HLA for Rheumatoid arthritis (DRB1*04) 4,000

45 LBML000152 HLA for Carbamezipine induced Steven Johnson Sydrome ( B*15) 4,000

46 LBML000153 HLA for Multiple Sclerosis(DRB1*15) 4,000

47 LBML000154 HLA for ART-Abacavir (B*57) 4,000

48 LBML000155 HLA for Juvenile idiopathic arthritis (DRB1*08) 4,000

49 LBML000156 HLA for Psoriasis (Cw*06) 4,500

50 LBML000157 HLA for Juvenile spodyloarthritis (B*07) 4,000

51 LBML000158 Cytokine Assay – 7 Markers 3,000

52 LBML000159 HLA-C-SSO 5,000

53 LBML000161 HLA-DQ-SSO 5,000

54 LBML000162 HLA Cross Match-CDC (Urgent) 8,000

55 LBML000163 HLA Cross Match-Flow cytometry (Urgent) 11,000

56 LBML000164 Flowcytometry Monocyte Enumeration 2,500

Cytopathology

1 LBCT000001 Cell Block 1,900

2 LBCT000002 FNAC - For Reporting 2,400

3 LBCT000003 Interventional FNAC 3,200

4 LBCT000004 Pap smear 900

5 LBCT000005 Sputum for Malignant Cells(Day 1) 2,500

6 LBCT000006 Sputum for Malignant Cells(Day 2) 0

7 LBCT000007 Sputum for Malignant Cells(Day 3) 0

8 LBCT000008 Urine for Malignant Cells(Day 1) 2,500

9 LBCT000009 Urine for Malignant Cells(Day 2) 0

10 LBCT000010 Urine for Malignant Cells(Day 3) 0

11 LBCT000014 Body Fluids for Malignant Cytology 1,100

12 LBCT000015 Review of Outside Slide upto 2 (Cyto) 2,500

13 LBCT000016 Review of Outside Slide 3 to 5 (Cyto) 3,500

14 LBCT000017 Review of Outside Slide 6 to 10 (Cyto) 4,500

15 LBCT000018 Slides Issued for 2nd opinion(per slide)(Cyto) 200

16 LBCT000019 Endoscopic ultrasound guided FNAC 5,200

17 LBCT000020 Histochemical stains 1,000

18 LBCT000021 Imprint Cytology upto 2 Specimens 2,500

19 LBCT000022 1 Immunocytochemistry(ICC) Marker 1,900

20 LBCT000023 2 Immunocytochemistry(ICC) Marker Panel 3,800



23 LBCT000026 EBUS FNAC 5,500

24 LBCT000028 FNAC- Second Site 500

Lab Order Set

1 LBOR000001 CSF Analysis Panel 1,820 2 LBOR000002 Pre-op eye surgery package 910



3 LBOR000003 CSF Neurosurgery 3,960

4 LBOR000004 Chronic Meningitis Neurosurgery 6,380

5 LBOR000005 PUS Neurosurgery 3,850

6 LBOR000006 Granulation Tissue Neurosurgery 6,380

7 LBOR000007 Fever Workup(Mild) 1,760

8 LBOR000008 Fever Workup(Moderate) 3,410

9 LBOR000009 Fever Workup(Severe) 7,040

10 LBOR000010 Infection screen(Procalcitonin & CRP) 1,820

11 LBOR000011 IBD PROFILE 4,960

12 LBOR000012 Kidney Panel 1 1,280

13 LBOR000013 Urology Pre-operative panel 2,200

14 LBOR000014 Dialysis Panel 1 1,100

15 LBOR000015 Renal Transplant Panel 1 560

16 LBOR000016 Dialysis Panel 2 5,060

17 LBOR000017 Renal Transplant Panel 2 3,750

18 LBOR000018 Urology Pre-operative panel-2 2,750

19 LBOR000019 PRP Therapy 7,700

20 LBOR000020 Needle Stick Injury Panel-GHPL Employees 0

Lal Path Lab

1 LBLL000002 17 - HYDROXYPROGESTERONE( 17-OHP)(Lal) 1,300

2 LBLL000006 5-alpha - DIHYDROTESTOSTERONE; 5a - DHT (Lal) 2,700

3 LBLL000007 5-HIAA (5-HYDROXYINDOLEACETIC ACID), 24-HOUR URINE (Lal) 2,650

4 LBLL000009 ACETYL CHOLINE RECEPTOR (ACHR) BINDING ANTIBODY (Lal) 2,170

5 LBLL000029 ALLERGY, FOOD PANEL 1 (Lal) 5,500

6 LBLL000030 ALLERGY COMPREHENSIVE PROFILE (Lal) 10,000

7 LBLL000044 ALLERGY, INDIVIDUAL,MARKER GLUTEN(Lasa) (Lal) 1,800

8 LBLL000047 ALLERGY, INDIVIDUAL,MARKER, MILK (Lal) 1,100

9 LBLL000057 ALLERGY, INDIVIDUAL,MARKER, ASPERGILLUS FUMIGATUS (Lal) 1,100

10 LBLL000066 ALPHA-1-ANTITRYPSIN QUANTITATION; AAT (Lal) 2,000

11 LBLL000089 ANDROSTENEDIONE (Lal) 1,820

12 LBLL000095 HEPATITIS DELTA ANTIBODY (Anti-HDV) IGM (Lal) 2,550

13 LBLL000096 HELICOBACTER PYLORI, IgA (Lal) 1,600

14 LBLL000097 HELICOBACTER PYLORI, IgG (Lal) 1,600

15 LBLL000101 MUMPS VIRUS ANTIBODY, IgG (Lal) 1,600

16 LBLL000102 MUMPS VIRUS ANTIBODY, IgM (Lal) 1,600

17 LBLL000132 BIOTINIDASE ACTIVITY, QUANTITATIVE, BLOOD (Lal) 3,800

18 LBLL000138 BRUCELLA AGGLUTINATION TEST (Lal) 700

19 LBLL000156 C1 ESTERASE INHIBITOR, PROTEIN QUANTITATION (Lal) 2,200

20 LBLL000172 Calcitonin(Lal) 2,150

21 LBLL000178 CANNABINOIDS (DELTA-9-THC METABOLITES),SCREEN, URINE; MARIJUANA (Lal) 680

22 LBLL000181 CARDIOLIPIN ANTIBODIES PANEL *IgG *IgA *IgM (Lal) 2,400

23 LBLL000187 CATECHOLAMINES & VMA, 24-HOURURINE (Lal) 7,800

LBLL000200 CHLAMYDIA / CHLAMYDOPHILA SEROLOGY (Lal) 14,710

24

25 LBLL000208 CHROMOSOME ANALYSIS (KARYOTYPE) , BLOOD (Lal) 2,850

26 LBLL000296 FACTOR II, FUNCTIONAL (Lal) 7,200

27 LBLL000298 FIBRINOGEN DEGRADATION PRODUCTS (FDP), BLOOD (Lal) 980

28 LBLL000299 FRUCTOSAMINE(Lal) 470

29 LBLL000308 GALACTOSEMIA, NEWBORN SCREEN(Lal) 250

30 LBLL000309 Stone analysis with picture (Lal) 1,050

31 LBLL000377 HOMOVANILLIC ACID (HVA), 24-HOUR URINE (Lal) 8,000

32 LBLL000393 IMD PANEL, QUANTITATIVE BLOOD (Lal) 4,000

33 LBLL000434 LEISHMANIA ( KALA AZAR) ANTIBODY, IgG (Lal) 1,600

34 LBLL000469 MUMPS VIRUS ANTIBODIES PANEL, IgG & IgM (Lal) 3,100

35 LBLL000474 Neuron Specific Enolase (NSE)Serum(Lal) 3,200

36 LBLL000476 NICKEL, 24-HOUR URINE(Lal) 3,100 37 LBLL000477 NICKEL, RANDOM URINE (Lal) 3,100



38 LBLL000488 OROTIC ACID(Lal) 3,500

39 LBLL000489 Osmotic Fragility Test, RBC fragility test (Lal) 490

40 LBLL000525 Protein C Functional(Lal) 3,950

41 LBLL000526 Protein S Functional(Lal) 3,300

43 LBLL000543 ASCA (ANTI SACCHAROMYCES CEREVISIAE) ANTIBODY, IGG (Lal) 1,400

44 LBLL000544 ASCA (ANTI SACCHAROMYCES CEREVISIAE) ANTIBODY, IGA (Lal) 1,400

45 LBLL000553 ERYTHROPOIETIN; EPO (Lal) 2,000

46 LBLL000563 SPHINGOLIPIDOSIS PANEL 2 *GAUCHER DISEASE *NIEMANN PICK DISEASE (Lal) 4,050

47 LBLL000582 THYROGLOBULIN; Tg Cancer Marker (Lal) 1,700

48 LBLL000586 TPHA; TREPONEMA PALLIDUM HEMAGGLUTINATION (Lal) 550

49 LBLL000639 5-HIAA (5-HYDROXYINDOLEACETIC ACID), RANDOM URINE (Lal) 2,650

50 LBLL000641 ACID PHOSPHATASE, TOTAL (Lal) 170

51 LBLL000643 ALDOSTERONE, SERUM (Lal) 1,600

52 LBLL000649 Amino Acids, Qualitative, Plasma (LAL) 1,200

53 LBLL000650 AMINO ACIDS, QUALITATIVE, TWO DIMENSIONAL, URINE (Lal) 1,230

54 LBLL000657 BETA-2 GLYCO. PROT-1,IGA (Lal) 920

55 LBLL000660 APOLIPOPROTEINS A1 & B INCLUDES APO B/APO A1 RATIO (Lal) 680

56 LBLL000664 BETA-2 GLYCO.PROT-1,PANEL,IgG, IgM, IgA (Lal) 2,600

57 LBLL000674 CARBAMAZEPINE (Lal) 800

58 LBLL000714 GALACTOSE -1-PHOSPHATE, QUANTITATIVE, BLOOD (Lal) 1,700

59 LBLL000715 Gliadin Deamidated Antibody, Iga (LAL) 1,700

60 LBLL000716 Gliadin Deamidated Antibody, Igg (LAL) 1,700

61 LBLL000725 Immunoglobulin Igd & Ige Typing,Serum (LAL) 6,950

62 LBLL000734 Inhibin A, Pregnancy (LAL) 750

63 LBLL000735 Inhibin A, Reproductive Marker (LAL) 750

64 LBLL000740 KAPPA / LAMBDA LIGHT CHAINS, FREE, SERUM (Lal) 6,500

65 LBLL000741 Kappa / Lambda Light Chains, Free, Urine (LAL) 6,500

66 LBLL000747 Lead, Blood (LAL) 1,640

67 LBLL000755 Manganese, Blood (LAL) 1,900

68 LBLL000758 MATERNAL SERUM SCREEN 4 ;QUADRUPLE TEST (Lal) 3,290

69 LBLL000759 Metabolic Screen, Basic, Urine (LAL) 630

70 LBLL000768 MYELIN BASIC PROTEIN; MBP (Lal) 4,550

71 LBLL000771 Newborn Screening (LAL) 1,800

72 LBLL000780 P1NP (PROCOLLAGEN TYPE 1 AMINO TERMINAL PROPEPTIDE ) TOTAL (Lal) 1,570

73 LBLL000781 Pcod (Polycystic Ovarian Disease) Panel (LAL) 3,100

74 LBLL000784 PORPHOBILINOGEN (PBG), QUANTITATIVE,24 HR URINE (Lal) 3,490

75 LBLL000794 SUCCINYLACETONE, URINE (Lal) 3,500

76 LBLL000795 T3, Total (LAL) 190

77 LBLL000796 T4, Total (LAL) 190

78 LBLL000797 Testosterone Free (LAL) 1,850

79 LBLL000811 VMA (VANILMANDELIC ACID), 24-HOUR URINE (Lal) 3,500

80 LBLL000813 Activated Protein C-Resistance;APCR(LAL) 3,900

81 LBLL000826 THROMBOPHILIA PROFILE (Lal) 14,500

82 LBLL000839 Allergy, Phadiatop, Adult (LAL) 950

83 LBLL000840 ALLERGY PHADIATOP PEDIATRIC (Lal) 950

84 LBLL000907 Filaria Antigen (LAL) 790

85 LBLL000912 HELICOBACTER PYLORI ANTIBODIES PANEL IgA & IgG (Lal) 3,100

86 LBLL000952 PARVOVIRUS B - 19 ANTIBODIES PANEL, IgG & IgM (Lal) 4,550

87 LBLL000985 AML ETO T(8:21) Gene Rearrangement, PCR Qualitative (Lal) 4,200

88 LBLL000989 ANTI - ds DNA ANTIBODY, EIA (Lal) 1,200

89 LBLL000994 Chimerism,Post-Engraftment (LAL) 5,700

90 LBLL000995 CHIMERISM PRE-ENGRAFTMENT,DONOR &RECIPIENT (Lal) 10,000

91 LBLL000996 CHIMERISM,PRE-ENGRAFTMENT (Lal) 5,700

92 LBLL001109 ANTITHYROGLOBULIN ANTIBODY; ANTI Tg (Lal) 1,300

93 LBLL001015 FISH for '22q deletion or LSI Di George/VCFS (Lal) 5,600

94 LBLL001046 HEPATITIS C VIRAL RNA, GENOTYPE (Lal) 6,700 95 LBLL001051 HIV GENOTYPING & DRUG RESISTANCE (Lal) 21,000



96 LBLL001069 Insulin Antibodies (LAL) 1,990

97 LBLL001078 LEUKEMIA GENETIC PROFILE - ANY 6 MARKERS, PCR,QUALITATIVE(Lal) 6,600

98 LBLL001090 Plasma Renin Activity (LAL) 5,200

99 LBLL001099 SS-B/La ANTIBODY (Lal) 1,450

100 LBLL001107 Sirolimus ( rapamycin) (Lal) 4,600

101 LBLL001108 DRUGS OF ABUSE,7 DRUGS URINE SCREEN (Lal) 4,000

102 LBLL001110 PHENCYCLIDINE (PCP), SCREEN, URINE (Lal) 630

103 LBLL001112 Cocaine & Metabolites Screen,Urine (Lal) 690

104 LBLL001115 Echinococcus(Hydatid Serology)IgG,Serum 1,200

105 LBLL001117 ACTH (Lal) 1,480

106 LBLL001118 SMOOTH MUSCLE ANTIBODY (ASMA), IFA (Lal) 1,700

107 LBLL001119 ALDOLASE (Lal) 690

108 LBLL001120 ALDOSTERONE, 24-HOUR URINE (Lal) 1,600

109 LBLL001121 ALUMINIUM, SERUM (Lal) 2,000

110 LBLL001122 AMINO ACIDS QUANTITATIVE, URINE, 45 AMINO ACIDS / FULL PANEL (Lal) 5,200

111 LBLL001123 AMINO ACIDS QUANTITATIVE, PLASMA, 45 AMINO ACIDS / FULL PANEL (Lal) 5,200

112 LBLL001126 MYCOPLASMA PNEUMONIAE IGM, SERUM (Lal) 2,000

113 LBLL001127 PHOSPHOLIPID SYNDROME PANEL (Lal) 4,500

114 LBLL001128 ANTI SOLUBLE LIVER ANTIGEN; SLA (Lal) 1,300

115 LBLL001129 ANTISPERM ANTIBODY, SERUM (Lal) 800

116 LBLL001130 ARSENIC, BLOOD (Lal) 2,750

117 LBLL001131 ASPERGILLUS ANTIBODIES PANEL, IgG & IgM, SERUM (Lal) 3,200

118 LBLL001132 BETA-2-MICROGLOBULIN, 24 hr URINE (Lal) 1,300

119 LBLL001134 BRUCELLA ANTIBODIES IgG & IgM (Lal) 1,850

120 LBLL001135 CA 72.4; GASTRIC CANCER MARKER (Lal) 1,450

121 LBLL001136 CARDIOLIPIN ANTIBODY, IgA (Lal) 820

122 LBLL001139 CATECHOLAMINES, 24-HOUR URINE (Lal) 4,500

123 LBLL001140 CATECHOLAMINES, RANDOM URINE (Lal) 4,500

124 LBLL001141 CHOLINESTERASE, SERUM (Lal) 490

125 LBLL001142 CHROMIUM, BLOOD (Lal) 3,200

126 LBLL001143 CHROMOGRANIN A; CGA (Lal) 6,900

127 LBLL001145 COBALT, BLOOD (Lal) 3,200

128 LBLL001146 COPPER, 24-HOUR URINE (Lal) 1,850

129 LBLL001147 COPPER, SERUM (Lal) 1,300

130 LBLL001148 CORTISOL STIMULATION BY ACTH (Lal) 1,650

131 LBLL001149 C-PEPTIDE,FASTING,SERUM (Lal) 1,050

132 LBLL001150 CSF PROTEIN ELECTROPHORESIS / OLIGOCLONAL BANDS (Lal) 3,900

133 LBLL001151 CULTURE, DIPHTHERIA (Lal) 1,100

134 LBLL001152 CULTURE, CLOSTRIDIUM DIFFICILE (Lal) 1,200

135 LBLL001155 MATERNAL SERUM SCREEN 2 (Lal) 2,150

136 LBLL001156 ECHOVIRUS ANTIBODY, IgG (Lal) 2,450

137 LBLL001157 ECHOVIRUS ANTIBODY, IgM (Lal) 2,450

138 LBLL001158 ELECTRON MICROSCOPY (EM) (Lal) 7,000

139 LBLL001159 ENDOMYSIAL ANTIBODY, IgA, IFA (Lal) 1,700

140 LBLL001160 FACTOR V, FUNCTIONAL (Lal) 3,200

141 LBLL001161 FACTOR X, FUNCTIONAL (Lal) 4,700

142 LBLL001162 FACTOR XII, FUNCTIONAL (Lal) 3,200

143 LBLL001163 FISH for 'MDS Panel - Chromosomes 5q, 7q, 8q & 20q. (Lal) 8,200

144 LBLL001165 GALACTOSE, QUANTITATIVE, PLASMA (Lal) 1,600

145 LBLL001166 GALACTOSEMIA (EPIMERASE), QUANTITATIVE, BLOOD (Lal) 2,450

146 LBLL001167 GALACTOSEMIA CLASSICAL (TRANSFERASE), QUANTITATIVE, BLOOD (Lal) 1,900

147 LBLL001168 GALACTOSEMIA SCREENING, BLOOD (Lal) 700

148 LBLL001169 GANGLIOSIDE ANTIBODY PROFILE, IGM (Lal) 4,000

149 LBLL001170 GANGLIOSIDE ANTIBODY PROFILE , IGG (Lal) 4,000

150 LBLL001171 GASTRIN(Lal) 1,200

151 LBLL001172 GLIADIN DEAMIDATED ANTIBODIES PANEL, IgA & IgG (Lal) 3,000 152 LBLL001173 GOODPASTURE'S SYNDROME PANEL (Lal) 3,130



153 LBLL001174 GROWTH HORMONE STIMULATION TEST (Lal) 3,000

154 LBLL001175 GROWTH HORMONE SUPPRESSION BY GLUCOSE (Lal) 2,250

155 LBLL001176 GROWTH HORMONE; GH (Lal) 750

LBLL001177 HAM TEST; PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH), SCREENING TEST (Lal) 1,200

156

157 LBLL001178 HAPTOGLOBIN (Lal) 1,900

158 LBLL001179 HEPATITIS B VIRUS GENOTYPING,DRUG RESISTANCE,QUANTITATIVE PCR (Lal) 15,500

159 LBLL001181 HERPES SIMPLEX VIRUS (HSV) TYPE 1 & 2, PCR, QUALITATIVE (Lal) 6,100

160 LBLL001182 HERPES SIMPLEX VIRUS (HSV) TYPE I, PCR, QUALITATIVE (Lal) 3,700

161 LBLL001183 HERPES SIMPLEX VIRUS (HSV) TYPE 2, PCR, QUALITATIVE (Lal) 3,700

162 LBLL001184 HERPES SIMPLEX VIRUS (HSV) 2, IGM, SERUM (Lal) 700

163 LBLL001185 HIV 1 & 2 ANTIBODIES, SCREENING TEST (Lal) 480

164 LBLL001187 HIV 1 & 2 ANTIBODIES, WESTERN BLOT (Lal) 3,350

LBLL001188 HLA CELIAC DISEASE ( DR-DQB1-DQA1 HAPLOTYPE ASSOCIATED INCLUDING DQ2,DQ8) (Lal) 5,700

165

LBLL001189 HPV (HUMAN PAPILLOMA VIRUS) DETECTION AND GENOTYPING, QUALITATIVE PCR (Lal) 1,100

166

167 LBLL001191 IGF - I & GROWTH HORMONE PANEL (Lal) 4,500

168 LBLL001192 IGF - I; SOMATOMEDIN - C (Lal) 3,990

169 LBLL001194 IMATINIB RESISTANCE MUTATIONAL ANALYSIS;IRMA (Lal) 7,800

170 LBLL001195 INHIBIN B (Lal) 1,900

171 LBLL001198 LEPTIN (Lal) 3,900

172 LBLL001199 LITHIUM (Lal) 300

173 LBLL001200 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODY IN DILUTIONS, IFA (Lal) 3,100

174 LBLL001202 SLE (Systemic Lupeous Erythematosus Panel) (Lal) 4,150

175 LBLL001203 MERCURY, RANDOM URINE (Lal) 3,240

176 LBLL001204 MITOCHONDRIAL ANTIBODY (AMA), IFA (Lal) 1,700

177 LBLL001205 MITOCHONDRIAL ANTIBODY (AMA), IFA IN DILUTIONS (Lal) 2,900

178 LBLL001206 MONO TEST (INFECTIOUS MONONUCLEOSIS) (Lal) 1,100

179 LBLL001207 MUCOPOLYSACCHARIDOSIS (MPS) TYPE 1 (HURLER), QUANTITATIVE, BLOOD (Lal) 4,700

180 LBLL001208 MYCOBACTERIUM TUBERCULOSIS,RRNA DETECTION, TMA (Lal) 2,500

181 LBLL001211 ORGANIC ACIDS, QUANTITATIVE, RANDOM URINE, FULL PANEL (Lal) 3,500

182 LBLL001212 PARIETAL CELL ANTIBODY, IFA (Lal) 1,480

183 LBLL001213 PARVOVIRUS B - 19 ANTIBODY, IgG (Lal) 2,450

184 LBLL001214 PARVOVIRUS B - 19 ANTIBODY, IgM (Lal) 2,450

185 LBLL001215 PARVOVIRUS B19 DETECTION , PCR (Lal) 3,500

186 LBLL001217 PHOSPHOLIPID ANTIBODIES PANEL,IgG & IgM (Lal) 1,400

187 LBLL001220 PORPHYRINS TOTAL, QUALITATIVE, 24-HOUR URINE (Lal) 4,400

188 LBLL001221 PORPHYRINS TOTAL, QUALITATIVE, RANDOM URINE (Lal) 4,400

189 LBLL001224 PYRUVATE; PYRUVIC ACID (Lal) 3,250

190 LBLL001225 Scl-70 (SCLERODERMA ) ANTIBODY (Lal) 1,150

191 LBLL001226 SELENIUM, SERUM (Lal) 3,100

192 LBLL001227 SMOOTH MUSCLE ANTIBODY (ASMA), IFA IN DILUTIONS (Lal) 3,300

193 LBLL001228 SS-A/Ro ANTIBODY (Lal) 1,450

194 LBLL001229 SUCCINYLACETONE, BLOOD (Lal) 3,500

195 LBLL001231 THYROID PROFILE, TOTAL (Lal) 500

196 LBLL001232 TPMT (THIOPURINE METHYL TRANSFERASE) GENOTYPING (Lal) 5,200

197 LBLL001234 TUMOUR NECROSIS FACTOR (TNF), ALPHA (Lal) 3,900

198 LBLL001237 PROTEIN ELECTROPHORESIS, 24-HOUR URINE (Lal) 3,900

199 LBLL001238 VARICELLA ZOSTER VIRUS (VZV) ANTIBODIES PANEL, IGG & IGM (Lal) 2,200

200 LBLL001240 ZINC, SERUM / PLASMA (Lal) 1,800

201 LBLL001241 MANGANESE, 24-HOUR URINE (Lal) 1,900

202 LBLL001242 Vitamin D 125 Di hydroxyl 3,200

203 LBLL001243 VARICELLA ZOSTER VIRUS (VZV) ANTIBODY, IGG 1,180

204 LBLL001244 CYTOMEGALOVIRUS (CMV), AVIDITY, IgG 580

205 LBLL001245 HELICOBACTER PYLORI ANTIGEN, STOOL 2,100 206 LBLL001246 Autoimmune Encephalitis Panel 18,000



207 LBLL001247 TSH Receptor Antibody 3,750

208 LBLL001250 DUCHENNE / BECKER MUSCULAR DYSTROPHY (DMD/BMD) GENE MUTATION (Lal) 7,500

209 LBLL001251 MUSK (muscle specific Kinase) antibody serum (Lal) 5,500

LBLL001252 C1 ESTERASE INHIBITOR, FUNCTIONAL ACTIVITY; C1 INACTIVATOR, FUNCTIONAL (Lal) 3,650

210

LBLL001253 ALCOHOL, ETHYL GLUCURONIDE (ETG) & ETHYL SULPHATE (ETS) QUANTITATIVE ASSAY, 1,000

211 URINE (Lal)

212 LBLL001254 VGKC (Volted Gated Potassium channel) (Lal) 7,000

213 LBLL001255 Food Intolerance Test (Lal) 14,500

214 LBLL001256 Anti NMDA Receptor/Antiglutamate antibody (Lal) 6,250

215 LBLL001257 PORPHOBILINOGEN (PBG), QUALITATIVE, URINE (Lal) 3,490

216 LBLL001258 ANTI-NMO (NEUROMYELITIS OPTICA ) ANTIBODY /AQUAPORIN 4 (Lal) 4,500

LBLL001259 NEURONAL (PARANEOPLASTIC) AUTOANTIBODIES PROFILE (AMPHIPHYSIN* CV2* 9,000

217 PNMA2(MA2/TA)* ANNA-1/HU* ANNA-2/RI* PCA-1/YO) (Lal)

218 LBLL001261 CYSTIC FIBROSIS MUTATION DETECTION (Lal) 16,500

219 LBLL001262 EVEROLIMUS 4,600

220 LBLL001263 SCA (Spinocerebellar ataxia),comprehensive profile 11,000

221 LBLL001264 SCA -12 (Spinocerebellar ataxia),PPP2R2B gene mutation 2,500

222 LBLL001265 Chromofic chromosome SNP microarray 750k, High resolution 28,000

223 LBLL001266 C-PEPTIDE,FASTING,SERUM (Lal) 1,050

224 LBLL001267 Cortisol, Free 24 Hrs. Urine (Lal) 800

225 LBLL001268 FISH - CLL panel (Lal) 8,600

226 LBLL001269 ANTI DNase B; ANTIDEOXYRIBONUCLEASE B (Lal) 1,200

227 LBLL001271 OPIATES SCREEN,RANDOM URINE (Lal) 650

228 LBLL001272 SPUTUM EXAMINATION, OVA & PARASITES (Lal) 130

229 LBLL001275 CHIMERISM, PREENGRAFTMENT , DONOR & RECIPIENT (Lal) 10,000

230 LBLL001276 Chimerism,Post-Engraftment (Lal) 5,700

231 LBLL001277 OXALATE, RANDOM URINE (Lal) 1,700

232 LBLL001279 Immunoglobulin Igg Synthesis index & Rate (Lal) 2,450

233 LBLL001280 CULTURED AFB OTHER THAN TUBERCULOSIS (MOTT), DST FORSLOW GROWERS 8,500

234 LBLL001281 CULTURED AFB OTHER THAN TUBERCULOSIS (MOTT), DST FORRAPID GROWERS 7,500

235 LBLL001282 CULTURED AFB ANTITUBERCULARDST, 10 DRUGS PANEL 10,500







242 LBLL001289 CULTURED AFB ANTITUBERCULARDST, AMIKACIN 2,700

243 LBLL001290 CULTURED AFB ANTITUBERCULARDST, CAPREOMYCIN 2,700

244 LBLL001291 CULTURED AFB ANTITUBERCULARDST, CLOFAZIMINE 2,700

245 LBLL001292 CULTURED AFB ANTITUBERCULARDST, CYCLOSERINE 2,700

246 LBLL001293 CULTURED AFB ANTITUBERCULARDST, ETHAMBUTOL 2,700

247 LBLL001294 CULTURED AFB ANTITUBERCULARDST, ETHIONAMIDE 2,700

248 LBLL001295 CULTURED AFB ANTITUBERCULARDST, ISONIAZID 2,700

249 LBLL001296 CULTURED AFB ANTITUBERCULARDST, KANAMYCIN 2,700

250 LBLL001297 CULTURED AFB ANTITUBERCULARDST,LEVOFLOXACIN 2,700

251 LBLL001298 CULTURED AFB ANTITUBERCULARDST, LINEZOLID 3200

252 LBLL001299 CULTURED AFB ANTITUBERCULARDST,MOXIFLOXACIN 3,700

253 LBLL001300 CULTURED AFB ANTITUBERCULARDST,OFLOXACIN 2,700

254 LBLL001301 CULTURED AFB ANTITUBERCULARDST, PAS 2,700

255 LBLL001302 CULTURED AFB ANTITUBERCULARDST, PYRAZINAMIDE 3,700

256 LBLL001303 CULTURED AFB ANTITUBERCULARDST, RAPID 10 SECOND LINEDRUGS PANEL 10,000

257 LBLL001304 CULTURED AFB ANTITUBERCULARDST, RAPID 5 SECOND LINEDRUGS PANEL 5500

258 LBLL001305 CULTURED AFB ANTITUBERCULARDST, RIFAMPICIN 2,700

259 LBLL001306 CULTURED AFB ANTITUBERCULARDST, STREPTOMYCIN 2,700 260 LBLL001307 CULTURED MOLD ANTIFUNGAL DRUG SENSITIVITY (DST)TEST 10,000



Quest Diagnostic

1 LBQL000001 Lung Cancer (NSCLC), ALK 2P23 Rearrangement, FISH (QD) 12,500

2 LBQL000003 Acetaminophen (QD) 2,740

3 LBQL000005 Immunofixation (IFE), Urine (QD) 7,930

4 LBQL000009 Arginine Vasopressin (AVP, Antidiuretic Hormone, ADH) (QD) 6,860

5 LBQL000010 Carboxyhemoglobin, Blood (QD) 6,130

6 LBQL000011 Catecholamines, Fractionated,Plasma (QD) 4,060

7 LBQL000022 Complement Component C2 (QD) 3,840

8 LBQL000023 Estriol, Unconjugated (uE3)(QD) 1,235

9 LBQL000025 Estrogen, Total, Serum (QD) 6,600

10 LBQL000040 Copper, Liver (QD) 25,980

11 LBQL000041 Intrinsic Factor Blocking Antibody (QD) 2,850

12 LBQL000044 Complement, Total (CH50) (QD) 2,450

13 LBQL000047 Mercury, Blood (QD) 2,400

14 LBQL000050 Oligoclonal Bands (IgG), CSF (QD) 7,920

15 LBQL000555 BRCAvantage Comprehensive evaluation 30,800

16 LBQL000058 Amylase Isoenzyme (QD) 1,730

17 LBQL000059 Beta-2-Microglobulin, Urine (QD) 2,840

18 LBQL000061 Thyroxin Binding Globulin (TBG) (QD) 4,530

19 LBQL000064 Vasoactive Intestinal Polypeptid VIP(QD) 6,280

20 LBQL000068 Vitamin E (Tocopherol) (QD) 4,750

21 LBQL000100 IgG Subclass 4 (QD) 4,180

22 LBQL000101 Beta 2 Microglobulin, CSF (QD) 2,480

23 LBQL000105 Thyrotropin-binding inhibitory immunoglobulin (Tbii) (QD) 3,500

24 LBQL000110 Corticosterone, LC/MS/MS (QD) 3,060

25 LBQL000112 Gentamicin (QD) 4,010

26 LBQL000117 Heavy Metals, Blood (QD) 8,990

27 LBQL000125 Alpha Subunit (QD) 2,590

28 LBQL000132 Beta 2 Transferrin (QD) 6,650



29 LBQL000136 Tissue Transglutaminase (tTG) Antibodies (IgG) (QD) 970

30 LBQL000137 Tissue Transglutaminase (tTG) Antibodies Panel (IgA, IgG) (QD) 1,810

31 LBQL000144 Bile Acid Total (QD) 3,570

32 LBQL000145 Metanephrines, Fractionated 24 Hrs Urine (QD) 4,300

33 LBQL000150 Levetiracetam (QD) 3,380

34 LBQL000152 Coccidioides Ab,CF and ID, Serum (QD) 6,000

35 LBQL000157 Metanephrines, Fractionated,Free, LC/MS/MS Plasma (QD) 5,300

36 LBQL000167 Insulin like Growth Factor I (IGF-I)(QD) 3,330

37 LBQL000178 Collagen Type I C-Telopeptide (CTx) (QD) 5,290

38 LBQL000179 Alpha Feto Protein (AFP), CSF (QD) 3,450

39 LBQL000198 Histoplasma Galactomannan Antigen, Urine (QD) 10,230

40 LBQL000204 Serotonin, Serum (QD) 4,110

41 LBQL000217 Pregnenolone, LC/MS/MS (QD) 3,570

42 LBQL000226 PTH-Related Protein (PTH-rP) (QD) 2,110

43 LBQL000228 Tryptase (QD) 6,530

44 LBQL000239 Vitamin B2 (QD) 6,040

45 LBQL000302 Phospholipid Antibody IgA (QD) 590

46 LBQL000315 T3 Reverse, LC/MS/MS (QD) 2,400

47 LBQL000317 Vitamin B3 (QD) 3,880

48 LBQL000321 Antithrombin III Activity (QD) 2,970

49 LBQL000333 Heparin-Induced Platelet Antibody (QD) 4,400

50 LBQL000370 Celiac disease panel (Tissue Transglutaminase IgA, Total IgA, Gliadin Antibody IgA) (QD) 3,095

51 LBQL000382 C1 Inhibitor, Protein (QD) 3,520

52 LBQL000386 Florescent Treponemal Ab (FTA-ABS) (QD) 3,440

53 LBQL000428 Dihydropyrimidine Dehydrogenase (DPD) Gene Mutation Analysis (QD) 11,660

54 LBQL000430 Herpes Virus 6 DNA, Qualitative Real-Time PCR (QD) 15,460

55 LBQL000443 XSense®, Fragile X with Reflex (QD) 5,720

56 LBQL000445 Inflammatory Bowel Disease Differential Panel (ASCA IgG, ASCA IgA, ANCA Screen, Atypical 4,900

57 LBQL000480 Schistosoma Antibody (IgG), FMI, Serum (QD) 3,280

58 LBQL000483 Acetylcholine Receptor Blocking Ab (QD) 6,900

59 LBQL000536 Prothrombin (Factor II) 20210G>A Mutation Analysis (QD) 5,510

60 LBQL000559 Quest Expert diagnosis 1 (less than 7 IHC Markers) (QD) 10,800

61 LBQL000560 Quest Expert diagnosis 2 (More than 7 IHC Markers)(QD) 12,800

62 LBQL000562 Oncovantage 55,000

63 LBQL000564 Adenovirus DNA, Quantitative Real-Time PCR (QD) 12,840

64 LBQL000566 Cold Hemagglutinins (349) (QD) 3,200

65 LBQL000567 Coxsackie A Antibodies, Serum (QD) 7,580

66 LBQL000568 Giardia Antigen, EIA,Stool (QD) 4,270

67 LBQL000569 HPV DNA, High Risk (QD) 1,890

68 LBQL000570 Legionella Antigen, EIA , Urine (QD) 5,880



69 LBQL000571 Lyme Disease Antibodies w/Reflex to Western Blot (QD) 1,890

70 LBQL000573 PCNA Antibody, IFA [16010X] (QD) 11,620

71 LBQL000574 Phospholipid Antibodies Panel (IgG, IgM & IgA) (QD) 1,940

72 LBQL000575 Platelet Antibodies, Indirect (IgG, IgM, IgA) (QD) 6,630

73 LBQL000577 Ristocetin Cofactor (QD) 6,410

74 LBQL000579 Streptozyme Screen with Reflex to Titer (QD) 7,600

75 LBQL000581 Very Long Chain Fatty Acids (QD) 6,150

76 LBQL000582 Oxalate, Serum/Plasma (QD) 17,330

77 LBQL000583 Lyme Disease Ab (IgG)(QD) 3,810

78 LBQL000584 Lyme Disease Antibodies Panel (IgG &IgM), Western Blot (QD 5,590

79 LBQL000585 Myelin Associated Glycoprotein (MAG)-SGPG antibody (IGM) (QD) 7,410

80 LBQL000586 Phosphatidylserine Antibodies (IgG and IgM) (QD) 3,670

81 LBQL000587 Theophylline (QD) 2,160

82 LBQL000588 Vitamin B1,Plasma (QD) 3,450

83 LBQL000589 Testosterone Free bioavailability and total,LC/MS/MS (QD) 6,030

84 LBQL000591 Watson Genomics (QD) 72,490

85 LBQL000592 Angiotensin I Converting Enzyme (ACE), Serum (QD) 1,045

86 LBQL000593 LIVER KIDNEY MICROSOME (LKM-1) (QD) 1,650

87 LBQL000594 Anti Mullerian Hormone ELISA (QD) 1,980

88 LBQL000595 DHEA Sulphate (QD) 1,050

89 LBQL000596 HIV 1 RNA, Quantitative PCR, Expanded Range (QD) 6,450

90 LBQL000597 GAD 65 (Glutamic Acid Decarboxylase-65) (QD) 3,250

91 LBQL000598 Protein C & Protein S, Functional (QD) 7,070

92 LBQL000599 Maternal Serum Screen 3 (Triple Screen) (QD) 2,340

93 LBQL000600 Phospholipid Antibody IgM (QD) 770

94 LBQL000601 Rickettsia (Typhus Fever) Antibody (IgG, IgM) with reflex to titers (QD) 5,440

95 LBQL000602 Mycobacterium Tuberculosis Real Time - PCR (QD) 2,205

96 LBQL000603 Phospholipid Antibody IgG (QD) 770

97 LBQL000604 Von Willebrand Factor (vWF) Antigen (QD) 4,820

98 LBQL000605 Insulin like Growth Factor Binding Protein-3 (IGF BP3) (QD) 2,050

99 LBQL000606 Mycoplasma Pneumoniae Antibody (IgG) By EIA (QD) 1,370

100 LBQL000607 Vitamin A (Retinol) (QD) 4,750

101 LBQL000608 Measles (Rubeola) IgG & IgM Antibody (QD) 2,630

102 LBQL000609 Mycoplasma Pneumoniae Antibody Panel (IgG, IgM), EIA (QD) 2,330

103 LBQL000610 PTH, Intact and Calcium (QD) 1,650

105 LBQL000612 Nocardia Culture (QD) 990

106 LBQL000613 IGA SUBCLASSES (QD) 9,650

107 LBQL000614 Protein S Antigen (QD) 1,860

108 LBQL000615 Antithrombin III, Antigen (QD) 2,930

109 LBQL000616 Protein C Antigen(85302) (QD) 2,120

110 LBQL000617 Alkaline Phosphatase, Bone Specific (QD) 4,180

111 LBQL000618 LP-PLA2 Activity (QD) 2,180

112 LBQL000619 Amikacin (QD) 5,330

113 LBQL000620 Viscosity, Serum (QD) 7,360

114 LBQL000621 Q Fever (Coxiella burnetii) Antibodies (IgG, IgM) with Reflex to Titers (QD) 6,310



Core Diagnostics

1 LBCD000004 MGMT - (CD) 7,000

2 LBCD000005 IDH 1 & 2 - (CD) 7,000

3 LBCD000010 Ckit (CD) 7,000

4 LBCD000011 pulmoCORE II Panel1 (CD) 44,999

5 LBCD000012 ROS-1 9,999

Outsourced - HEGP

1 LBGP000001 Examens demands (analysis) - HEGP 146,000

Onquest Lab

1 LBOQ000010 Thyroid Antibodies Profile (OQ) 2,310

2 LBOQ000011 Chlamydia trachomatis IgG, IgA, IgM (OQ) 6,000

3 LBOQ000012 Chromosomal Studies (Fanconi's Anemia) (OQ) 7,900

4 LBOQ000013 Chromosome Analysis (POC) (OQ) 6,000

5 LBOQ000014 C-myc Gene by Quantitative PCR (OQ) 10,000

6 LBOQ000016 Cortisol (Morning & Evening Sample) (OQ) 970

7 LBOQ000018 Cryoglobulins Screening (Qualitative)(OQ) 1,450

8 LBOQ000019 Cysticercosis (Anti Taenia Solium IgG) (OQ) 1,210

9 LBOQ000020 FIP1 L1 -PDGFRa RTPCR (OQ) 5,450

10 LBOQ000021 17p13 by FISH (OQ) 4,100

11 LBOQ000022 del17p by FISH (OQ) 4,100

12 LBOQ000025 FISH - Multiple Myeloma (OQ) 8,800

13 LBOQ000027 Burkitt Lymphoma (OQ) 7,150

14 LBOQ000028 Fragile X Syndrome (OQ) 6,930

15 LBOQ000029 Ovarian Cancer Panel (OQ) 3,200

16 LBOQ000031 Annexin 1 (IHC Marker) (OQ) 1,650

17 LBOQ000033 Metanephrines, 24 Hrs. Urine (OQ) 2,700

18 LBOQ000034 Methyl Malonic Acid (OQ) 2,400

19 LBOQ000035 MGMT Methylation Test- Glioblastoma (OQ) 12,500

20 LBOQ000037 Vitamin C (Ascorbic Acid) (OQ) 3,850

21 LBOQ000038 Translocation PML/RARa Qualitative RTPCR (OQ) 4,850

22 LBOQ000040 Free PSA (Free Prostate Specific Antigen) (OQ) 850

23 LBOQ000042 RETT syndrome (MECP2 mutation analysis) (OQ) 8,000

24 LBOQ000043 sHBG (Sex Hormone Binding Globulin) (OQ) 2,200

25 LBOQ000044 Troponin - T (OQ) 1,490

26 LBOQ000045 Urine Conitine / Nicotine (OQ) 1,820

27 LBOQ000047 Vitamin B6 (OQ) 6,050

28 LBOQ000049 Factor V Leiden mutation (OQ) 3,000

29 LBOQ000050 Rubella (Measles) IgG (OQ) 2,180

30 LBOQ000051 Phenobarbitone Screen Urine (OQ) 740

31 LBOQ000052 Stool For Rota Virus (OQ) 1,980

32 LBOQ000053 MTHFR MUTATION DETECTION (OQ) 2,750

33 LBOQ000054 Rubella (Measles) IgM (OQ) 2,180

34 LBOQ000055 Gilbert Syndrome Genotyping (UGT1A1) (OQ) 6,600

35 LBOQ000056 Vitamin K1 (OQ) 5,000

36 LBOQ000057 BRCA1&2Comprehensive (Gene Sequencing) (OQ) 20,000

37 LBOQ000058 Omega 3 & 6 Fatty Acid (OQ) 5,450

38 LBOQ000059 Free Beta -hCG (OQ) 600

39 LBOQ000060 Legionella Pneumophila antibodies (OQ) 5,000

40 LBOQ000061 Bone Marrow, Sudan Black Stain (OQ) 370

41 LBOQ000062 HBV Drug Resistance Assay (OQ) 7,850

42 LBOQ000063 Amino Acid (Qualitative) (OQ) 1,580

43 LBOQ000064 Anti-Endomysial Antibody, IgA (OQ) 2,500

44 LBOQ000065 Rubella (German Measles) IgG (OQ) 490

Outsourced-Positive Bioscience

1 LBPG000001 Personal genome testing - all diseases 100,000 2 LBPG000002 Personal genome testing - top 25 diseases 40,000



3 LBPG000003 Personal genome testing - top 10 cancer 30,000

Urolab

1 LBUL000001 Kidney Analysis With Picture 1,500

2 LBUL000002 24 Hrs. Urinary Metabolite" Litho-Risk" Profile with coloured graph 4,500

3 LBUL000003 Citrate, 24-Hour Urine 1,500

4 LBUL000004 Oxalate, 24-Hour Urine 2,000

Chimeralab

1 LBCL000001 HLA Typing (Low) A,B,C & DRB1 Loci 30,000

2 LBCL000002 HLA Typing (Low) A,B,C,DRB1 & DQB1 Loci 37,500

3 LBCL000003 HLA Typing (Intermediate) A Locus 2,917

4 LBCL000004 HLA Typing (Intermediate) B Locus 2,917

5 LBCL000005 HLA Typing (Intermediate) C Locus 2,917

6 LBCL000006 HLA Typing (Intermediate) DRB1 Locus 2,917

7 LBCL000007 HLA Typing (Intermediate) DQB1 Locus 2,917

8 LBCL000008 HLA Typing (Intermediate) A,B & DRB1 Loci 8,167

9 LBCL000009 HLA Typing (Intermediate) A,B,C,DRB1 & DQB1 Loci 12,833

10 LBCL000010 HLA Typing (High) A Locus 3,500

11 LBCL000011 HLA Typing (High) B Locus 3,500

12 LBCL000012 HLA Typing (High) C Locus 3,500

13 LBCL000013 HLA Typing (High) DRB1 Locus 3,500

14 LBCL000014 HLA Typing (High) DQB1 Locus 3,500

15 LBCL000015 HLA Typing (High) A,B & DRB1 Loci 10,267

16 LBCL000016 HLA Typing (High) A,B,C,DRB1 & DQB1 Loci 16,729

17 LBCL000017 Mitochondrial DNA Analysis 37,500

18 LBCL000018 YSTR DNA Analysis 24,000

19 LBCL000019 Autosomal DNA Analysis 37,500

20 LBCL000020 Donor Specific Antibody 15,000

23 LBCL000023 HLA Typing (Intermediate) DPA1 Locus 2,917

24 LBCL000024 HLA Typing (Intermediate) DPB1 Locus 2,917

25 LBCL000025 HLA Typing (High) DPA1 Locus 3,500

26 LBCL000026 HLA Typing (High) DPB1 Locus 3,500


OTHERS

S. Code no Service Name Charges in INR

No

Equipment Charges

1 ECEC000001 DVT prophylaxis below knee ( With Cuff) Per Day 500

2 ECEC000002 DVT prophylaxis above knee(Without cuff) Per Day 500

3 ECEC000003 Alfa trancell ( Pressure area care) Per Day 300

4 ECEC000006 Nimbus II ( Pressure area care) Per Day 600

5 ECEC000007 VAC Therapy Equipment (Arjo Huntleigh) Per day 1,800

6 ECEC000008 VAC Therapy Equipment (Technomac) 1,800

7 ECEC000011 EVL Equipment Charges-Unilateral 30,000

8 ECEC000012 EVL Equipment Charges-Bilateral 50,000

9 ECEC000013 RFA Laser Equipment Charges-UL 30,000

10 ECEC000014 RFA Laser Equipment Charges-BL 50,000

11 ECEC000015 Alpha Trancell Deluxe 400

12 ECEC000016 AUTO Logic 500

13 ECEC000017 Equipment Charges-Fusion prostate biopsy 12,000

14 ECEC000018 Renal - laser femilift equipment 16,000

15 ECEC000019 Rental - laser femilift equipment single sitting 8,000

Miscellaneous Sharing Single Single Dlx Super Dlx Suite

1 MCMC000018 Package Closed 0

2 MCMC000022 Duplicate CD for PET-CT 500

3 MCMC000023 Additional / Duplicate Color Print 150

4 MCMC000024 Additional / Duplicate Film 110

5 MCMC000025 Home Sample Collection Charges (op) 150

6 MCMC000029 Medanta Health Card Charge - New 100

7 MCMC000030 Medanta Health Card Charge - Lost 100

8 MCPR000002 Phototherapy charges 2,000 2,000 2,500 3,500 4,500 5,000

9 MCVA000015 Chicken Pox 1,150

10 MCVA000017 Vaccine Hepatitis B -Shanvac -B (1ml) 89


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