Annexure

(As per order no. 44-F(MED)WB dated 16.03.2020)

Codified Rate Chart
Sub Description
Code for Code of Service
of service Total Code DESCRIPTION Maximum
Institution Category
Sl. No. category Approved Rate
1 07 001 BIO 07001001 ACID PHOSPHATASE 200
2 07 001 BIO 07001002 ACETAMINOPHEN (PARACETAMOL) 750
3 07 001 BIO 07001003 ADA 400
4 07 001 BIO 07001004 ADENO VIRUS IGG 630
5 07 001 BIO 07001005 Adeno Virus IgM 630
6 07 001 BIO 07001006 Adrenocorticophic Hormone (ACTH) 670
7 07 001 BIO 07001007 Alk Phosphatase 120
8 07 001 BIO 07001008 Albumin 80
9 07 001 BIO 07001009 Aldolase 450
10 07 001 BIO 07001010 Aldosterone 820
11 07 001 BIO 07001011 Alfa Feto Protein 400
12 07 001 BIO 07001012 Alfa 1 Antitrypsine 820
13 07 001 BIO 07001013 ALT/SGPT 70
14 07 001 BIO 07001014 Amylase (Serum) 200
15 07 001 BIO 07001015 Ammonia 400
16 07 001 BIO 07001016 Amikacin 400
17 07 001 BIO 07001017 Angiotensin Coverting Enzyme (ACE) 500
18 07 001 BIO 07001018 Anti Cardiolipin Antibodies 1170
19 07 001 BIO 07001019 Anti Cardiolipin Antibody- IgA 470
20 07 001 BIO 07001020 Anti Cardiolipin Antibody- IgG 470
21 07 001 BIO 07001021 Anti Cardiolipin Antibody- IgM 470
22 07 001 BIO 07001022 Anti CCP Antibody 650
23 07 001 BIO 07001023 Anti HCV 470
24 07 001 BIO 07001024 Anti HCV IgG 680
25 07 001 BIO 07001025 Anti HCV IgM 720
26 07 001 BIO 07001026 Anti HCV IgG & IgM 1400
27 07 001 BIO 07001027 Anti HEV IgG 470
28 07 001 BIO 07001028 Anti HEV IgM 470
29 07 001 BIO 07001029 Anti HEV IgG & IgM 950
30 07 001 BIO 07001030 Anti Mullerian Factor 1170
31 07 001 BIO 07001031 Anti Mullerian Hormone 1170
32 07 001 BIO 07001032 Anti TPO Antibody 500
33 07 001 BIO 07001033 APTT 200
34 07 001 BIO 07001034 Arsenic 1300
35 07 001 BIO 07001035 Aspergillus Antibodies 1400
36 07 001 BIO 07001036 AspergilluslgG in Serum 900
37 07 001 BIO 07001037 Asperigillus Precipitin in Serum 1250
38 07 001 BIO 07001038 AST (SGOT) 70
39 07 001 BIO 07001039 Bilirubin (Total/Direct) 70
40 07 001 BIO 07001040 Blood Ammonia Level 400
41 07 001 BIO 07001041 Blood Gas Analysis 350
42 07 001 BIO 07001042 B2 Microglobulin 550
43 07 001 BIO 07001043 Beta HGG 390
44 07 001 BIO 07001044 Carbamezapine 370
45 07 001 BIO 07001045 Cardiac Enzyme 700
46 07 001 BIO 07001046 Catecholamines Plasma 3200
47 07 001 BIO 07001047 C-Peptide 400
48 07 001 BIO 07001048 CA 125 500
49 07 001 BIO 07001049 CA 153 650
50 07 001 BIO 07001050 CA 199 650
51 07 001 BIO 07001051 CEA 400
52 07 001 BIO 07001052 Chloride 100
53 07 001 BIO 07001053 Ceruplasmin 470
54 07 001 BIO 07001054 Cortisol 370
55 07 001 BIO 07001055 Cot Combing Power (HCO3) 140
56 07 001 BIO 07001056 Complement C3 300
57 07 001 BIO 07001057 Complement C4 300
58 07 001 BIO 07001058 Copper 300
59 07 001 BIO 07001059 Creatinine 100
60 07 001 BIO 07001060 CPK 240
61 07 001 BIO 07001061 CPK with MB 240
62 07 001 BIO 07001062 CSF- Protein, Chloride (each) 100
63 07 001 BIO 07001063 CSF for ADA 400
64 07 001 BIO 07001064 CSF for LDH 230
65 07 001 BIO 07001065 Cystatin C 450
66 07 001 BIO 07001066 DHEA 1000
67 07 001 BIO 07001067 DHEA Sulphate 500
68 07 001 BIO 07001068 Direct Bilirubin 100
69 07 001 BIO 07001069 Digoxin level 390
70 07 001 BIO 07001070 Doxylase Excretion of urine 250
71 07 001 BIO 07001071 Echovirus IgG&IgM 2500
72 07 001 BIO 07001072 Electrolytes 260
73 07 001 BIO 07001073 Elisa for Myco TB/Kochs 800
74 07 001 BIO 07001074 Erythropoietin 750
75 07 001 BIO 07001075 Estradiol 370
76 07 001 BIO 07001076 Fecal fat estimation 250
77 07 001 BIO 07001077 Fasting Plasma Glucose 60
78 07 001 BIO 07001078 FDP 600
79 07 001 BIO 07001079 Ferritin 370
80 07 001 BIO 07001080 First Trimestar Double Marker Test (with USG) 1750
81 07 001 BIO 07001081 Folic Acid 470
82 07 001 BIO 07001082 Free T3 200
83 07 001 BIO 07001083 Free T4 200
84 07 001 BIO 07001084 Free Testosterone 670
85 07 001 BIO 07001085 FSH 300
86 07 001 BIO 07001086 Gastric Analysis 120
87 07 001 BIO 07001087 Glucose (fasting & PP) 120
88 07 001 BIO 07001088 Glucose Tolerance with Curve 240
89 07 001 BIO 07001089 Glycosylated Hb 300
90 07 001 BIO 07001090 GGT 280
91 07 001 BIO 07001091 Globulin 70
92 07 001 BIO 07001092 Growth Hormone 800
93 07 001 BIO 07001093 GTT 280
94 07 001 BIO 07001094 Hb Electrophoresis 220
95 07 001 BIO 07001095 HDL CholesteroINLDL Cholesterol 170
96 07 001 BIO 07001096 HCG/Urine Estriol 400
97 07 001 BIO 07001097 Hepatitis A 900
98 07 001 BIO 07001098 Hepatitis B 1850
99 07 001 BIO 07001099 Hepatitis Profile 2900
100 07 001 BIO 07001100 Homocystine 1250
101 07 001 BIO 07001101 HSV PCR (Qualitative) 1750
102 07 001 BIO 07001102 lBI 200
103 07 001 BIO 07001103 Immunoglobulin IgA 200
104 07 001 BIO 07001104 Immunoglobulin IgE 370
105 07 001 BIO 07001105 Immunoglobulin electrophoresis 2500
106 07 001 BIO 07001106 Immunoglobulin IgG 200
107 07 001 BIO 07001107 Immunoglobulin IgM 200
108 07 001 BIO 07001108 Inorganic Phosphate 110
109 07 001 BIO 07001109 Insulin (Fasting) 400
110 07 001 BIO 07001110 Insulin (Post Prandial) 400
111 07 001 BIO 07001111 Iron 260
112 07 001 BIO 07001112 Total Iron binding capacity (TIBC) 450
113 07 001 BIO 07001113 Lactose tolerance (Qualitative) 50
114 07 001 BIO 07001114 L-Lactate 420
115 07 001 BIO 07001115 Lead 720
116 07 001 BIO 07001116 Lithium 290
117 07 001 BIO 07001117 LH 290
118 07 001 BIO 07001118 LDH 200
119 07 001 BIO 07001119 LDL Cholesterol 220
120 07 001 BIO 07001120 Liver Function Test 440
121 07 001 BIO 07001121 LFT with GGT 450
122 07 001 BIO 07001122 Lipase 300
123 07 001 BIO 07001123 Lipid Profile 450
124 07 001 BIO 07001124 Lipoprotein-a 400
125 07 001 BIO 07001125 Magnesium 290
126 07 001 BIO 07001126 Mercury 1420
127 07 001 BIO 07001127 Mumps IgG 700
128 07 001 BIO 07001128 Myoglobin 350
129 07 001 BIO 07001129 NPN/BUN 40
130 07 001 BIO 07001130 Na/K/Ca/bicarbonate/Choride 70
131 07 001 BIO 07001131 NTPro BNP 1070
132 07 001 BIO 07001132 PAAP-A 550
133 07 001 BIO 07001133 Parathyroid Hormone Intact 620
134 07 001 BIO 07001134 Phenobarbitol 420
135 07 001 BIO 07001135 Phenytoin 410
136 07 001 BIO 07001136 Phosphate 110
137 07 001 BIO 07001137 Pleural Fluid for ADA 400
138 07 001 BIO 07001138 Pleural Fluid for LDH 220
139 07 001 BIO 07001139 Pleural Fluid for Protein 100
140 07 001 BIO 07001140 Pleural Fluid for Sodium 100
141 07 001 BIO 07001141 Pleural Fluid for Sugar 70
142 07 001 BIO 07001142 Post Prandial Plasma Glucose 60
143 07 001 BIO 07001143 Potassium 100
144 07 001 BIO 07001144 Procalcitonin 1150
145 07 001 BIO 07001145 Protein Electrophoresis,urine 500
146 07 001 BIO 07001146 Prolactin / Oestrogen 330
147 07 001 BIO 07001147 Progesterone 400
148 07 001 BIO 07001148 PSA/Free PSA 800
149 07 001 BIO 07001149 Random Plasma Glucose 60
150 07 001 BIO 07001150 Second Trimester Quadruple Market Test (with 1850
151 07 001 BIO 07001151 Serum Triglyceride 150
152 07 001 BIO 07001152 Serum Cholesterol 120
153 07 001 BIO 07001153 Sex Hormone Binding Globulin 530
154 07 001 BIO 07001154 Sugar (Blood/CSF/Ascitic fluid) each 60
155 07 001 BIO 07001155 SGOT 70
156 07 001 BIO 07001156 SGPT 70
157 07 001 BIO 07001157 Sodium 100
158 07 001 BIO 07001158 Spot Urine for Protein and Creatinine Ratio 340
159 07 001 BIO 07001159 Spot Urine for Microalbumin & Creatinine Ratio 340
160 07 001 BIO 07001160 T3 200
161 07 001 BIO 07001161 T4 200
162 07 001 BIO 07001162 T3 T4 TSH combined (Thyroid Panel) 400
163 07 001 BIO 07001163 Thyroid Panel Free (FT3,FT4,TSH) 500
164 07 001 BIO 07001164 Thyroid Panel Extended (FT3,FT4,TSH,Anti TPO) 1000
165 07 001 BIO 07001165 TSH (3rd Generation) 200
166 07 001 BIO 07001166 TIBC 300
167 07 001 BIO 07001167 Testosterone 400
168 07 001 BIO 07001168 Thyroglobulin Antibody 670
169 07 001 BIO 07001169 Total Prostate Specific Antigen (PSA) 350
170 07 001 BIO 07001170 Total Protein 100
171 07 001 BIO 07001171 Total Cholesterol 100
172 07 001 BIO 07001172 TPHA 240
173 07 001 BIO 07001173 Triglyceride 150
174 07 001 BIO 07001174 Troponin T 700
175 07 001 BIO 07001175 Urea 100
176 07 001 BIO 07001176 Urea Nitrogen (BUN) 100
177 07 001 BIO 07001177 Uric Acid 100
178 07 001 BIO 07001178 Urine-Bile Salt/Pigment 50
179 07 001 BIO 07001179 Urine Creatinine Clearance (3 hrs/24 hrs) 100
180 07 001 BIO 07001180 Urine-Albumin/Sugar(each) 50
181 07 001 BIO 07001181 Urine for Micro Albumin (24 hrs) 300
182 07 001 BIO 07001182 Urine Calcium 100
183 07 001 BIO 07001183 Urine Protein (24 hours) 60
184 07 001 BIO 07001184 Urine for VMA (24 Hours) 1000
185 07 001 BIO 07001185 Urine Corticosteroids 110
186 07 001 BIO 07001186 Urine Na/Cl/K 100
187 07 001 BIO 07001187 Urinary Copper 450
188 07 001 BIO 07001188 Valproic Acid 400
189 07 001 BIO 07001189 Vitamin B12 500
190 07 001 BIO 07001190 VLDL-Cholesterol 170
191 07 001 BIO 07001191 Vanden Berg Reaction 150
192 07 001 BIO 07001192 17 Alfa Hydroxy Progesterone 500
193 07 001 BIO 07001193 25 Hydroxy Vitamin D Total 900
194 07 002 HAE 07002001 Absolute Basophils 70
195 07 002 HAE 07002002 Abnormal Cells 60
196 07 002 HAE 07002003 Absolute Eosinophil Count 70
197 07 002 HAE 07002004 Absolute Lymphocytes 70
198 07 002 HAE 07002005 Absolute Monocytes 70
199 07 002 HAE 07002006 Absolute Neutrophil Count 70
200 07 002 HAE 07002007 Anti Thrombin III 900
201 07 002 HAE 07002008 Apolipoprotein A-1 250
202 07 002 HAE 07002009 Apolipoprotein B 250
203 07 002 HAE 07002010 B-2 Morphology 380
204 07 002 HAE 07002011 Basophil 70
205 07 002 HAE 07002012 BT 30
206 07 002 HAE 07002013 BT/CT 60
207 07 002 HAE 07002014 Blood Grouping 120
208 07 002 HAE 07002015 Bone Marrow 750
209 07 002 HAE 07002016 Bone Marrow Biopsy 900
210 07 002 HAE 07002017 Complete Hemogram 170
211 07 002 HAE 07002018 Coagulation Profile 1000
212 07 002 HAE 07002019 CD-8 500
213 07 002 HAE 07002020 Cell Count 120
214 07 002 HAE 07002021 Cell Type 120
215 07 002 HAE 07002022 Clotting Time (Lee & White Method 30
216 07 002 HAE 07002023 Chromosomal Analysis with Gimesa Banding 1350
217 07 002 HAE 07002024 Chromosomal Analysis (Product of Conception) 2250
218 07 002 HAE 07002025 Coombs Test 120
219 07 002 HAE 07002026 DC 70
220 07 002 HAE 07002027 DNA study for Micobacterium Tuberculosis 800
221 07 002 HAE 07002028 ESR (Westergren) 1st Hour reading 70
222 07 002 HAE 07002029 Eosinophil 70
223 07 002 HAE 07002030 Factor VIII 600
224 07 002 HAE 07002031 Factor IX 750
225 07 002 HAE 07002032 Fibrinogen 700
226 07 002 HAE 07002033 Filaria Film 180
227 07 002 HAE 07002034 FoetalHb 200
228 07 002 HAE 07002035 G6PD 325
229 07 002 HAE 07002036 Hb%,TC,DC 100
230 07 002 HAE 07002037 Hb%,TC,DC & ESR 150
231 07 002 HAE 07002038 Hb%,TC,DC,MP 150
232 07 002 HAE 07002039 HEM, TC , DC, Platelets 150
233 07 002 HAE 07002040 HbF (HPLC) 400
234 07 002 HAE 07002041 HCT 70
235 07 002 HAE 07002042 Haemosiderin in Urine 150
236 07 002 HAE 07002043 Hgb 70
237 07 002 HAE 07002044 Immunofixation electrophoresis 2500
238 07 002 HAE 07002045 Kaolin Clotting Time 100
239 07 002 HAE 07002046 LE Cells 250
240 07 002 HAE 07002047 Lupas Anticoagulant 650
241 07 002 HAE 07002048 Lymphocyte 70
242 07 002 HAE 07002049 PCV,ESR, 70
243 07 002 HAE 07002050 Malarial Paracyte 100
244 07 002 HAE 07002051 MCH 70
245 07 002 HAE 07002052 MCHC 70
246 07 002 HAE 07002053 MCV 70
247 07 002 HAE 07002054 Microfilaria 185
248 07 002 HAE 07002055 Monocyte 70
249 07 002 HAE 07002056 Neutrophil 70
250 07 002 HAE 07002057 Osmotic Fragility 300
251 07 002 HAE 07002058 Peripheral Smear 70
252 07 002 HAE 07002059 Platelet 70
253 07 002 HAE 07002060 ProCGlobal Profile 1750
254 07 002 HAE 07002061 Prothrombine Time 120
255 07 002 HAE 07002062 Protein C 1000
256 07 002 HAE 07002063 Protein S 1000
257 07 002 HAE 07002064 RBC 70
258 07 002 HAE 07002065 RBC Folate 800
259 07 002 HAE 07002066 RBC Morphology 70
260 07 002 HAE 07002067 RDW 70
261 07 002 HAE 07002068 Reticulocyte Count 90
262 07 002 HAE 07002069 Sickling Test 100
263 07 002 HAE 07002070 Sperm Function Test with Comet Assay 750
264 07 002 HAE 07002071 TC,DC 110
265 07 002 HAE 07002072 Thalassemia Screening 400
266 07 002 HAE 07002073 Throbin Time 400
267 07 002 HAE 07002074 Trephine Biopsy 850
268 07 002 HAE 07002075 WBC 70
269 07 003 HPC 07003001 Appendix —each block 200
270 07 003 HPC 07003002 Bone Tissue — Biopsy-each block 200
271 07 003 HPC 07003003 Breast-each block 200
272 07 003 HPC 07003004 Cervical Tissue-each block 200
273 07 003 HPC 07003005 Colonoscopy-Biopsy 200
274 07 003 HPC 07003006 Cerebro Spinal Fluid (CSF) for Cell Count 100
275 07 003 HPC 07003007 CSF for Cell Type 100
276 07 003 HPC 07003008 CSF for Cytology (PAP) 200
277 07 003 HPC 07003009 Cytology with PAP Stain 200
278 07 003 HPC 07003010 Endometrial Tissue — each block 200
279 07 003 HPC 07003011 Endoscopy Biopsy 200
280 07 003 HPC 07003012 Fibroid-each block 200
281 07 003 HPC 07003013 Fistula 200
282 07 003 HPC 07003014 FNAC 400
283 07 003 HPC 07003015 FNAC —USG Guided FNAC 500
284 07 003 HPC 07003016 Gall Bladder —each block 200
285 07 003 HPC 07003017 Histopathology 200
286 07 003 HPC 07003018 Histopathology —each block 200
287 07 003 HPC 07003019 Lipoma —each block 200
288 07 003 HPC 07003020 Malignant Cell- cell block 200
289 07 003 HPC 07003021 Malignant Cell-PAP Stain 200
290 07 003 HPC 07003022 Ovarian Cyst (two blocks) 400
291 07 003 HPC 07003023 PAP Stain for Cytochromeassay 200
292 07 003 HPC 07003024 Peritoneal/Pleural/Ascitic Fluid/Other Body Fluids for Cytology (each) 200
293 07 003 HPC 07003025 Products for Conception-each block 200
294 07 003 HPC 07003026 Renal Biopsy-each block 200
295 07 003 HPC 07003027 Skin Biopsy-each block 200
296 07 003 HPC 07003028 Urine for cytology 200
297 07 003 HPC 07003029 Uterus with Cervix — two blocks 400
298 07 003 HPC 07003030 Uterus, Cervix, Ovary Tubes —four blocks 800
299 07 003 HPC 07003031 Sex chromatin Buccal Smera 600
300 07 003 HPC 07003032 Haemosiderin in Urine 600
301 07 004 MIC 07004001 AFB Culture 600
302 07 004 MIC 07004002 Anaerobic Culture of OT swab 300
303 07 004 MIC 07004003 Anaerobic Culture of Urethral Swab 300
304 07 004 MIC 07004004 Anaerobic Culture with Sensitivity (c/s) of OT Swab 300
305 07 004 MIC 07004005 Anaerobic c/s Urethral swab 300
306 07 004 MIC 07004006 Anterior Chamber Fluid c/s 200
307 07 004 MIC 07004007 Ascitic Fluid c/s 200
308 07 004 MIC 07004008 Aspirated Fluid c/s 200
309 07 004 MIC 07004009 BAL fluid c/s 200
310 07 004 MIC 07004010 Bedsore (PUS) c/s 200
311 07 004 MIC 07004011 Bile for c/s 200
312 07 004 MIC 07004012 Bile from Gall Bladder c/s 200
313 07 004 MIC 07004013 Blood Bag c/s 200
314 07 004 MIC 07004014 Blood c/s 350
315 07 004 MIC 07004015 Bronchial Lavage c/s 200
316 07 004 MIC 07004016 Brush for c/s 200
317 07 004 MIC 07004017 Buckle for eye culture cis 200
318 07 004 MIC 07004018 CV Line tip for c/s 200
319 07 004 MIC 07004019 COPD fluid c/s 200
320 07 004 MIC 07004020 Catheter Tube c/s 200
321 07 004 MIC 07004021 Central Line Tip for c/s 200
322 07 004 MIC 07004022 Cervical swab for c/s 200
323 07 004 MIC 07004023 Conjuctival swab for c/s 200
324 07 004 MIC 07004024 Cerebra Spinal Fluid (CSF) c/s 200
325 07 004 MIC 07004025 CSF for AFB 100
326 07 004 MIC 07004026 CSF for Bactec c/s 400
327 07 004 MIC 07004027 CSF for Gram Stain 80
328 07 004 MIC 07004028 Culture for TB 600
329 07 004 MIC 07004029 Drain Removed Trip c/s 200
330 07 004 MIC 07004030 Drug sensitivity 500
331 07 004 MIC 07004031 Ear swab c/s 200
332 07 004 MIC 07004032 ET Tube for c/s 200
333 07 004 MIC 07004033 Eye smear c/s 200
334 07 004 MIC 07004034 Fluid for c/s 200
335 07 004 MIC 07004035 Fluid from Hematoma for c/s 200
336 07 004 MIC 07004036 Fungal c/s 300
337 07 004 MIC 07004037 Fungal stain 170
338 07 004 MIC 07004038 HBV DNA (Real Time PQR Quantitative) 3400
339 07 004 MIC 07004039 HBV DNA Qualitative 3250
340 07 004 MIC 07004040 HCV RNA Quantitative (Real Time) 3400
341 07 004 MIC 07004041 HCV RNA PCR Qualitative 3250
342 07 004 MIC 07004042 HLAB 27 2100
343 07 004 MIC 07004043 HPV PCR 1050
344 07 004 MIC 07004044 Knee Joint Fluid c/s 200
345 07 004 MIC 07004045 LP Fluid c/s 200
346 07 004 MIC 07004046 Long Line Tip for c/s 200
347 07 004 MIC 07004047 Mycobacrerium Tuberculosis Confirmation Test 1500
348 07 004 MIC 07004048 Nasal swab for c/s 200
349 07 004 MIC 07004049 OT swab for c/s-per swab 300
350 07 004 MIC 07004050 Penis Ulcer 200
351 07 004 MIC 07004051 Peritoneal Fluid for c/s 200
352 07 004 MIC 07004052 Peritoneal Fluid for AFB 100
353 07 004 MIC 07004053 Peritoneal Fluid for Gram stain 80
354 07 004 MIC 07004054 Pleural Fluid c/s 200
355 07 004 MIC 07004055 Pleural Pus for c/s 200
356 07 004 MIC 07004056 Protein Electrophoresis 450
357 07 004 MIC 07004057 Pus c/s 200
358 07 004 MIC 07004058 Pus R/E 200
359 07 004 MIC 07004059 Pus from Abscess c/s 200
360 07 004 MIC 07004060 Semen Analysis 200
361 07 004 MIC 07004061 Semen c/s 200
362 07 004 MIC 07004062 Skin swab c/s 200
363 07 004 MIC 07004063 Sputum for AFB 100
364 07 004 MIC 07004064 Sputum for Gram Stain 80
365 07 004 MIC 07004065 Sputum KLB 140
366 07 004 MIC 07004066 Sputum R/E & c/s 200
367 07 004 MIC 07004067 Stool c/s 200
368 07 004 MIC 07004068 Suction Catheter tip for c/s 200
369 07 004 MIC 07004069 Swab from Bedsore c/s 200
370 07 004 MIC 07004070 Swab from Glans Penis c/s 200
371 07 004 MIC 07004071 Swab from Skin c/s 200
372 07 004 MIC 07004072 Synovial Fluid for c/s 200
373 07 004 MIC 07004073 Throat swab c/s 200
374 07 004 MIC 07004074 Throat swab KLB 140
375 07 004 MIC 07004075 Throat swab R/e & c/s 300
376 07 004 MIC 07004076 Tissue Fluid c/s 200
377 07 004 MIC 07004077 Tissue Material c/s 200
378 07 004 MIC 07004078 Urethral Discharge for c/s 200
379 07 004 MIC 07004079 Urethral Smear for Cytology 250
380 07 004 MIC 07004080 Urethral Smear for Gram Stain 80
381 07 004 MIC 07004081 Urine Culture (Aerobic) 200
382 07 004 MIC 07004082 Urine Culture (Anaerobic) 200
383 07 004 MIC 07004083 Urine c/s 200
384 07 004 MIC 07004084 Vaginal swab c/s 200
385 07 004 MIC 07004085 Vesicle Fluid for c/s 200
386 07 004 MIC 07004086 Vibrio Cholera c/s 200
387 07 004 MIC 07004087 Vitreous Fluid c/s 200
388 07 004 MIC 07004088 Vitreous Aspirate c/s 200
389 07 004 MIC 07004089 Wound swab c/s 200
390 07 004 MIC 07004090 ANA PROFILE 3 1800
391 07 004 MIC 07004091 ANA 360
392 07 004 MIC 07004092 Anti Cep 540
393 07 004 MIC 07004093 Anti maternal Antibody 270
394 07 004 MIC 07004094 Casonis test 50
395 07 004 MIC 07004095 RA Test (latex) 150
396 07 004 MIC 07004096 Urine for AFB 180
397 07 004 MIC 07004097 Anti TG ab EC 540
398 07 005 SER 07005001 Acetyl Choline Receptor Antibody 2500
399 07 005 SER 07005002 Aldehyde 130
400 07 005 SER 07005003 Allergy Screening (Adult) 700
401 07 005 SER 07005004 Allergy Test (Allergen specific IgE) 1750
402 07 005 SER 07005005 ANA-HEP2 (Immunofluroscence) 400
403 07 005 SER 07005006 Anti smooth muscle 1100
404 07 005 SER 07005007 Anti BrucellalgG 600
405 07 005 SER 07005008 Anti BrucellalgM 600
406 07 005 SER 07005009 Anti BrucellalgG&IgM 1000
407 07 005 SER 07005010 Anti Filarial Antibody 300
408 07 005 SER 07005011 ANF (Agglutination) 300
409 07 005 SER 07005012 Anti HBc (Total II) 700
410 07 005 SER 07005013 Anti HBs Total 650
411 07 005 SER 07005014 Anti HBe Total 450
412 07 005 SER 07005015 Anti Histone Antibody 1050
413 07 005 SER 07005016 Anti JO-1 Antibody 1050
414 07 005 SER 07005017 Anti LA/SS-B Antibody 1050
415 07 005 SER 07005018 Anti LKM Antibody 800
416 07 005 SER 07005019 Anti Mitochondrial Antibodies 1100
417 07 005 SER 07005020 Anti Nucleosomes Antibody 1050
418 07 005 SER 07005021 Anti Parietal Cell Antibody 1100
419 07 005 SER 07005022 Anti PCNA Antibody 1050
420 07 005 SER 07005023 Anti PM-Sci Antibody 1050
421 07 005 SER 07005024 Anti Ribosomal P-Protein Antibody 1050
422 07 005 SER 07005025 Anti RO/SS-A Antibody 1050
423 07 005 SER 07005026 Anti SLA/LA Antibodies 1350
424 07 005 SER 07005027 Anti Smooth Muscle Antibody 1100
425 07 005 SER 07005028 Anti Smooth Muscle Antibody with Titre 1100
426 07 005 SER 07005029 Anti U1-nRNP Antibody 1050
427 07 005 SER 07005030 Antibody Screening (Thallasemic) 150
428 07 005 SER 07005031 Antibody Screening (Non-Thallasemic) 200
429 07 005 SER 07005032 ASO Titre 340
430 07 005 SER 07005033 Australian Antigen 120
431 07 005 SER 07005034 Blood Group (Neo Natal & Cord Blood 120
432 07 005 SER 07005035 Blood Group and RH 90
433 07 005 SER 07005036 Campylobacter Jejuni antigen detection 360
434 07 005 SER 07005037 C-ANCA 750
435 07 005 SER 07005038 C-ANCA/P-ANCA 1050
436 07 005 SER 07005039 ChikungunyalgM 430
437 07 005 SER 07005040 CMV IgG 300
438 07 005 SER 07005041 CMV IgM 300
439 07 005 SER 07005042 CMV IgG&IgM 500
440 07 005 SER 07005043 C Reactive Protein 240
441 07 005 SER 07005044 Dengue IgG and IgM 750
442 07 005 SER 07005045 Dengue NS-1 Antigen 750
443 07 005 SER 07005046 Direct Coombs 250
444 07 005 SER 07005047 Drug Abuse Test Single 500
445 07 005 SER 07005048 Drug Abuse Test Urine 925
446 07 005 SER 07005049 DSDNA (Immunofluroscence) 490
447 07 005 SER 07005050 EchinococcusIgG Antibody/Hyda 770
448 07 005 SER 07005051 ENA Screening 1170
449 07 005 SER 07005052 Epstin Barr Virus Capsid Antigen (VCA) IgG 1250
450 07 005 SER 07005053 Epstin Barr Virus Capsid Antigen (VCA) IgM 1250
451 07 005 SER 07005054 Epstin Barr Virus Nuclear Antigen (EBNA) IgM 1250
452 07 005 SER 07005055 Epstin Barr Virus Panel/Heterophile Antibody 2000
453 07 005 SER 07005056 Epstin Barr Virus PB/HA 1250
454 07 005 SER 07005057 Extended Phenotyping & AB Screen (Thallasemic) 300
455 07 005 SER 07005058 Extended Phenotyping & AB Screen (Non Thallasemic) 400
456 07 005 SER 07005059 Extended Phenotyping (Thallasemic) 170
457 07 005 SER 07005060 Extended Phenotyping ( Non Thallasemic) 220
458 07 005 SER 07005061 Filaria Antibody 300
459 07 005 SER 07005062 F Antigen 240
460 07 005 SER 07005063 HAV IgM 450
461 07 005 SER 07005064 HAV Total 450
462 07 005 SER 07005065 HAV IgM & Total 850
463 07 005 SER 07005066 HbcIgM II 450
464 07 005 SER 07005067 Hbe- Ag 400
465 07 005 SER 07005068 Hbs Ag (Elisa) 225
466 07 005 SER 07005069 HCV-4th Gen 425
467 07 005 SER 07005070 Hepatitis E Profile 950
468 07 005 SER 07005071 Herpes — IgG&IgM 525
469 07 005 SER 07005072 Herpes 1&2 IgM (HSV) 300
470 07 005 SER 07005073 HIV (Elisa) 325
471 07 005 SER 07005074 Indirect Coombs 200
472 07 005 SER 07005075 Japanese Encephalitis Virus PCR(JE virus P) 1500
473 07 005 SER 07005076 Jot Autoantibody 1000
474 07 005 SER 07005077 LeptospiralgG 600
475 07 005 SER 07005078 LeptospiralgM 600
476 07 005 SER 07005079 LeptospiralgG&lgM 1020
477 07 005 SER 07005080 Mantoux Test 5 TU 90
478 07 005 SER 07005081 Mantoux Test 10 TU 90
479 07 005 SER 07005082 Measles IgG 570
480 07 005 SER 07005083 Measles IgM 570
481 07 005 SER 07005084 P-ANCA 750
482 07 005 SER 07005085 Phospholipid Antibodies 1025
483 07 005 SER 07005086 Phospholipid IgG Antibodies 500
484 07 005 SER 07005087 Phospholipid IgM Antibodies 500
485 07 005 SER 07005088 Pregnancy Test —urine for pregnancy 120
486 07 005 SER 07005089 RA/CRP/ASO 820
487 07 005 SER 07005090 RA Factor 250
488 07 005 SER 07005091 Rapid Malaria 250
489 07 005 SER 07005092 RNP Antibody 1000
490 07 005 SER 07005093 Rubella IgG 300
491 07 005 SER 07005094 Rubella IgM 300
492 07 005 SER 07005095 Rubella IgG&IgM 570
493 07 005 SER 07005096 Second Trimester Triple Marker Test 900
494 07 005 SER 07005097 TORCH IgG 1100
495 07 005 SER 07005098 TORCH IgM 1100
496 07 005 SER 07005099 TORCH IgG & IgM 2200
497 07 005 SER 07005100 Toxoplasma IgG 300
498 07 005 SER 07005101 Toxoplasma IgM 300
499 07 005 SER 07005102 Typhoid IgM 400
500 07 005 SER 07005103 VDRL 100
501 07 005 SER 07005104 Widal Test (Slide Method) 150
502 07 005 SER 07005105 Widal Test (Tube Method) 150
503 07 006 CPO 07006001 CSF-Cell count, Gram Stain, AFB, Cell Type 250
504 07 006 CPO 07006002 Clostridiumdifficile toxin A&B 1350
505 07 006 CPO 07006003 Elisa Test: TB (IgG/IgM/IgA) 330
506 07 006 CPO 07006004 Elisa for Pregnancy 150
507 07 006 CPO 07006005 Elisa for Measles (IgG Antibody) 230
508 07 006 CPO 07006006 Elisa for Mumps (IgG Antibody) 230
509 07 006 CPO 07006007 Elisa for Mumps (IgM) 260
510 07 006 CPO 07006008 Stool Routine 70
511 07 006 CPO 07006009 Stool Occult Blood 60
512 07 006 CPO 07006010 Stool for PH 50
513 07 006 CPO 07006011 Stool for reducing substances 50
514 07 006 CPO 07006012 Urine Routine 70
515 07 006 CPO 07006013 Urine Choride 100
516 07 006 CPO 07006014 Urine for BSBP 60
517 07 006 CPO 07006015 Urine for Ketone Body 65
518 07 006 CPO 07006016 Urine for PH 50
519 07 006 CPO 07006017 Urine for Protein 60
520 07 006 CPO 07006018 Urine for sugar 60
521 07 006 CPO 07006019 Urine for Occult Blood 65
522 07 006 CPO 07006020 Urine — Osmolity 250
523 07 006 CPO 07006021 Urine Urobilinogen 60
524 07 006 CPO 07006022 Urine — Phosphorus in Urine 100
525 07 006 CPO 07006023 Semen Analysis 280
526 07 007 IHC 07007001 BCL 2 600
527 07 007 IHC 07007002 Breast IHC 1000
528 07 007 IHC 07007003 CD 10 600
529 07 007 IHC 07007004 CD 30 600
530 07 007 IHC 07007005 CD 117 600
531 07 007 IHC 07007006 CD 15 600
532 07 007 IHC 07007007 CD 20 600
533 07 007 IHC 07007008 CD 3 600
534 07 007 IHC 07007009 CD 34 600
535 07 007 IHC 07007010 CD 4 600
536 07 007 IHC 07007011 CD 45 (LCA) 600
537 07 007 IHC 07007012 CD 5 600
538 07 007 IHC 07007013 Chromogranin A 600
539 07 007 IHC 07007014 Desmin 600
540 07 007 IHC 07007015 EMA 600
541 07 007 IHC 07007016 Estrogen & Progesterone Receptors 600
542 07 007 IHC 07007017 Estrogen Receptor 450
543 07 007 IHC 07007018 HP Endrometrium with IHC (PGT 95) 400
544 07 007 IHC 07007019 Ki 67 600
545 07 007 IHC 07007020 Lymphoma IHC 1400
546 07 007 IHC 07007021 Melan A 600
547 07 007 IHC 07007022 NSE 600
548 07 007 IHC 07007023 Pan-Cytorokeratin 600
549 07 007 IHC 07007024 PLAP 600
550 07 007 IHC 07007025 Progesterone Receptor 450
551 07 007 IHC 07007026 S 100 600
552 07 007 IHC 07007027 SM Auto-antibodies 600
553 07 007 IHC 07007028 Smooth Muscle Actin 600
554 07 007 IHC 07007029 Vimentin 600
555 07 008 CAR 07008001 ECG (computerized) 100
556 07 008 CAR 07008002 Echocardiography 450
557 07 008 CAR 07008003 Echo with Doppler study 600
558 07 009 1PHR 07009001 Carbamazepine 300
559 07 009 2PHR 07009002 Theophylline 300
560 07 009 3PHR 07009003 Phenobarbitol 300
561 07 009 4PHR 07009004 Phenytoin 300
562 07 009 5PHR 07009005 Pyrilink DEC 1200
563 07 010 ERH 07010001 25 OH Vit D (RHU) 600
564 07 010 ERH 07010002 ASG (per testing for Neonatal Unit) 120
565 07 010 ERH 07010003 Ag 210
566 07 010 ERH 07010004 Androstenadione EC 480
567 07 010 ERH 07010005 Anti-Tg Ab EC 540
568 07 010 ERH 07010006 Any therapeutic exercise without equipment and instrument (Physical Medicine)30
569 07 010 ERH 07010007 Any treatment with equipment of instrument (Physical Medicine) 60
570 07 010 ERH 07010008 ASMA AMA LKM (RHU) 480
571 07 010 ERH 07010009 ASU 240
572 07 010 ERH 07010010 Bite Plate 120
573 07 010 ERH 07010011 Blood Ammonia Level 180
574 07 010 ERH 07010012 Blood Gas & Electrolyte Analysis 360
575 07 010 ERH 07010013 BR-MA EC 480
576 07 010 ERH 07010014 C3 (RHU) 240
577 07 010 ERH 07010015 CEA EC 300
578 07 010 ERH 07010016 Choilesterol 30
579 07 010 ERH 07010017 CKMB EC 300
580 07 010 ERH 07010018 Composite resin 180
581 07 010 ERH 07010019 Confirmatory Test for PKU/ HPLC 1800
582 07 010 ERH 07010020 Confirmatory Test for Tay-Sach diseases (Metabilic) 1800
583 07 010 ERH 07010021 Cortisol Day Curve (5 Samples) EC 720
584 07 010 ERH 07010022 Cortisol Diurnal Variation (2 Samples) EC 360
585 07 010 ERH 07010023 Cortisol EC 210
586 07 010 ERH 07010024 Cortisol Post Synacthen (3 Samples) EC 540
587 07 010 ERH 07010025 D-Dimer EC 1200
588 07 010 ERH 07010026 Free HCG EC 420
589 07 010 ERH 07010027 FSH & LI-I-Post GnRH 2 Paired Samples EC 780
590 07 010 ERH 07010028 Gastrin EC 360
591 07 010 ERH 07010029 garavindex text of urine 50
592 07 010 ERH 07010030 Growth Hormone je Dyanamic Test EC 660
593 07 010 ERH 07010031 Hs CRP EC 420
594 07 010 ERH 07010032 HsCRP (RHU) 120
595 07 010 ERH 07010033 IBI 144
596 07 010 ERH 07010034 NT-Pro BNP EC 2640
597 07 010 ERH 07010035 Po4 40
598 07 010 ERH 07010036 IGF-1 EC 720
599 07 010 ERH 07010037 IGFBP-3 EC 720
600 07 010 ERH 07010038 IL-10 EC 1080
601 07 010 ERH 07010039 IL-1B EC 1080
602 07 010 ERH 07010040 IL-2R EC 1080
603 07 010 ERH 07010041 IL-6 EC 1080
604 07 010 ERH 07010042 IL-8 EC 1080
605 07 010 ERH 07010043 Measled IPG & IGM 210
606 07 010 ERH 07010044 Measled IPG & IGM 210
607 07 010 ERH 07010045 Metabolic Screening Tests (Profile) 600
608 07 010 ERH 07010046 Monitor 60
609 07 010 ERH 07010047 MPO (RHU) 480
610 07 010 ERH 07010048 Nicotine metabolite EC 360
611 07 010 ERH 07010049 Non-precious alloy (materials to be supplied by the party) 120
612 07 010 ERH 07010050 Osteocalcin EC 600
613 07 010 ERH 07010051 PAP Stain for Cytochromeassay * 120
614 07 010 ERH 07010052 Platelet Function Test 3600
615 07 010 ERH 07010053 PR3 (RHU) 480
616 07 010 ERH 07010054 Rapid TSH EN 150
617 07 010 ERH 07010055 RF(RHU) 180
618 07 010 ERH 07010056 Serum Ferritin 360
619 07 010 ERH 07010057 Serum Lactate Assay 540
620 07 010 ERH 07010058 Single Sreening Test (Metabolic) 120
621 07 010 ERH 07010059 Sucroselysis Test 240
622 07 010 ERH 07010060 T Testosterone Post Hcg (2 Samples) EC 420
623 07 010 ERH 07010061 Test for mitochondrial diseases (Muscle biopsy) 1800
624 07 010 ERH 07010062 Thymol turbidity 30
625 07 010 ERH 07010063 TLC for amino acids in Urine (Metabolic) 1200
626 07 010 ERH 07010064 TRH Stimulation 180
627 07 010 ERH 07010065 Troponin I EC 300
628 07 010 ERH 07010066 Unconj Destriol EC 360
629 07 010 ERH 07010067 Urine BJ Protein 45
630 07 010 ERH 07010068 Urine VMA 180
631 07 010 ERH 07010069 Urine CI 50
632 07 011 SUR 07011001 Abdomino Perineal Pull through Operation 1200
633 07 011 SUR 07011002 Abdominoperineal Research 1200
634 07 011 SUR 07011003 ACL Reconstruction 1200
635 07 011 SUR 07011004 Adenoidectomy 720
636 07 011 SUR 07011005 Adrenalectomy 1200
637 07 011 SUR 07011006 All Pediatric Surgical Operation 1500
638 07 011 SUR 07011007 All Types of Gastrectomy 1200
639 07 011 SUR 07011008 All Types of Pancreatic Surgery 1200
640 07 011 SUR 07011009 All Types of Reconstructive Surgery 1200
641 07 011 SUR 07011010 All Types of Thyroidectomy 1200
642 07 011 SUR 07011011 All Types of Vagotomy with drainage 1200
643 07 011 SUR 07011012 All Types of Vagotomy without drainage 1200
644 07 011 SUR 07011013 Alopecia areata (Intralesional Steriod) max 6 sq 80
645 07 011 SUR 07011014 Amputation of Cervix 720
646 07 011 SUR 07011015 Amputation of Limb 1200
647 07 011 SUR 07011016 Angeo CD Charge 1200
648 07 011 SUR 07011017 Angeo Plast 3000
649 07 011 SUR 07011018 Anterior Orbitotomy 420
650 07 011 SUR 07011019 Anterior Resection 1200
651 07 011 SUR 07011020 Anterior/ Post Exenteration 1200
652 07 011 SUR 07011021 Antero- lateral decompression of spine 1200
653 07 011 SUR 07011022 Antrun Wash 300
654 07 011 SUR 07011023 Appendectomy 720
655 07 011 SUR 07011024 Anterio- Venus Fistula 1200
656 07 011 SUR 07011025 Arthodesis of all joints except interph Jt 1200
657 07 011 SUR 07011026 Arthodesis of Interphalangeal Jts 720
658 07 011 SUR 07011027 Arthoplasty including total hip replacement 1200
659 07 011 SUR 07011028 Artterio- Venus Shunt 1200
660 07 011 SUR 07011029 ASD CLOSURE 66000
661 07 011 SUR 07011030 Aspiration from joint 300
662 07 011 SUR 07011031 Avulsion of glossophNV 720
663 07 011 SUR 07011032 Avulsion of Styloid Pr 720
664 07 011 SUR 07011033 BMV Belun Surgery 1500
665 07 011 SUR 07011034 Biliary enteric anastomosis 1200
666 07 011 SUR 07011035 Biopsy from vaginal Wall 300
667 07 011 SUR 07011036 Biopsy of Bone, Nerve 7 Blood vs 720
668 07 011 SUR 07011037 Biopsy of Skin, SC Tiss, Musceles 300
669 07 011 SUR 07011038 Biopsy under LA 300
670 07 011 SUR 07011039 Bladder Neck Reconstruction 1200
671 07 011 SUR 07011040 Branchial cyst Removal Under GA 1200
672 07 011 SUR 07011041 Burr Hole Exploration 720
673 07 011 SUR 07011042 CAG (Cerdiac Angeogeraphy) 1200
674 07 011 SUR 07011043 CTU (Cerdio Thorasic) 1500
675 07 011 SUR 07011044 CABG 72000
676 07 011 SUR 07011045 Caldwell- luc Operation 720
677 07 011 SUR 07011046 Cannulated Hip Screw and muscle bone grafting 1200
678 07 011 SUR 07011047 Cannulated Hip Screw Fixation 720
679 07 011 SUR 07011048 Cataract with trab 420
680 07 011 SUR 07011049 Cataract Without IOL 300
681 07 011 SUR 07011050 Cervical Biopsy 300
682 07 011 SUR 07011051 Cesarian Section (excluding medicine) 480
683 07 011 SUR 07011052 Chalazion surgery 300
684 07 011 SUR 07011053 Chemical Peeling per sitting 180
685 07 011 SUR 07011054 Choanal atresia 1200
686 07 011 SUR 07011055 Cholecystectomy 1200
687 07 011 SUR 07011056 Cholecdocolithotomy 1200
688 07 011 SUR 07011057 Circumcision with Meatotomy/ Meatoplasty 300
689 07 011 SUR 07011058 Circumcision without Meatotomy/ Meatoplasty 300
690 07 011 SUR 07011059 Colonic Transplant 1200
691 07 011 SUR 07011060 Colonic 1200
692 07 011 SUR 07011061 Colostomy 720
693 07 011 SUR 07011062 Colpo perineorhaphy-posterior 720
694 07 011 SUR 07011063 Coloporrhaphy-anterior 720
695 07 011 SUR 07011064 Correction of Jaw Deformity 1200
696 07 011 SUR 07011065 Cortical Masoidectomy 720
697 07 011 SUR 07011066 Craniotomy 720
698 07 011 SUR 07011067 Cryosurgery of Cervix 720
699 07 011 SUR 07011068 Cruothermy 300
700 07 011 SUR 07011069 CSTR 1200
701 07 011 SUR 07011070 Curettage Biopsy (Each) 144
702 07 011 SUR 07011071 Curettage of Bone 300
703 07 011 SUR 07011072 Curettage & or Bone Grafting 720
704 07 011 SUR 07011073 Cystectomy 1200
705 07 011 SUR 07011074 Cystodiathermy 720
706 07 011 SUR 07011075 D & C & Polypectomy 300
707 07 011 SUR 07011076 D & C / Cervical Cautery 300
708 07 011 SUR 07011077 D 7 C with Endometrial Biopsy 300
709 07 011 SUR 07011078 DIC 300
710 07 011 SUR 07011079 DCR 420
711 07 011 SUR 07011080 DCT 300
712 07 011 SUR 07011081 Debridement UGA 720
713 07 011 SUR 07011082 Diagnostic Arthoscopy 720
714 07 011 SUR 07011083 Diagonostic FESS 720
715 07 011 SUR 07011084 Direct laryngoscopy under GA 720
716 07 011 SUR 07011085 Disarticulation of IPJoint 300
717 07 011 SUR 07011086 Drainage of Bartholine Cyst/ Marsupialization/Barthopline Cystectomy 300
718 07 011 SUR 07011087 Drainage of Liver Abscess 720
719 07 011 SUR 07011088 Drainage of Quincy 300
720 07 011 SUR 07011089 Drainage of Suphrenic Abscess 720
721 07 011 SUR 07011090 Drainage of Surface Abscess 300
722 07 011 SUR 07011091 Drainage Operation for Pseudopsancreatic Cyst 720
723 07 011 SUR 07011092 Dynamic Condylar Screw 1200
724 07 011 SUR 07011093 Dynamic Hip Screw Fixation 1200
725 07 011 SUR 07011094 Ectropion surgery 300
726 07 011 SUR 07011095 Electra- Epilation per sitting 60
727 07 011 SUR 07011096 Electro Surgery (Additional) per lesion 20
728 07 011 SUR 07011097 Electro Surgery (per sitting max 5 lesions) 120
729 07 011 SUR 07011098 Endolymphatic sac decompression 1200
730 07 011 SUR 07011099 Entropion Surgery 300
731 07 011 SUR 07011100 Enucleation 300
732 07 011 SUR 07011101 Epigastric Hernia repair 300
733 07 011 SUR 07011102 ethmomoidal decompopression 1200
734 07 011 SUR 07011103 Evisceration 300
735 07 011 SUR 07011104 Examination under Anesthesia 300
736 07 011 SUR 07011105 Examn & or Suction under OP microscope 300
737 07 011 SUR 07011106 Excision of All Types of Skin and Subcutaneous Swelling 300
738 07 011 SUR 07011107 Excision of Brain Tumor 1500
739 07 011 SUR 07011108 Excision of Cyst/ Small Growth of Gum: Cheek & Tongue 300
740 07 011 SUR 07011109 Excision of demoid cyst under GA 720
741 07 011 SUR 07011110 Excision of Fibroadenoma of Breast 300
742 07 011 SUR 07011111 Excision of Filarial Scrotum with Skin Grafting 720
743 07 011 SUR 07011112 Excision of Filarial Scrotum without Skin Grafting 720
744 07 011 SUR 07011113 Excision of Intraoral Growth & Cyst 1200
745 07 011 SUR 07011114 Excision of radial/ Ulnar head/ exostosis 720
746 07 011 SUR 07011115 Excision of Sebaceous Cyst 300
747 07 011 SUR 07011116 Excision of Superficial Ulcers/ Sinuses 300
748 07 011 SUR 07011117 Excision of Thyroglossal Cyst 720
749 07 011 SUR 07011118 Excision of trachea Esophageal Fistula 1200
750 07 011 SUR 07011119 Excision of Traumatic/ congenitial AV Fistula 1200
751 07 011 SUR 07011120 Excision of Umbilical Fistula 720
752 07 011 SUR 07011121 Excision/ Repair of Encephalo? Meningo Myelocele 1500
753 07 011 SUR 07011122 Excision Biopsy (Each) 180
754 07 011 SUR 07011123 Exenteration 300
755 07 011 SUR 07011124 Exploration of Ureter 720
756 07 011 SUR 07011125 Exploration of Vaginal Vault 300
757 07 011 SUR 07011126 Exploration of Perineal Sinus 720
758 07 011 SUR 07011127 Extra Corporeal Shockwave Lithotripsy (ESWL) 7200
759 07 011 SUR 07011128 FBear Removal under Ga 720
760 07 011 SUR 07011129 FB ear 300
761 07 011 SUR 07011130 FB nose removal 300
762 07 011 SUR 07011131 FESS 12000
763 07 011 SUR 07011132 Fibreoptic Bronchoscopy 360
764 07 011 SUR 07011133 Fistulagram 150
765 07 011 SUR 07011134 Fitilectomy 720
766 07 011 SUR 07011135 Fothergills operation 1200
767 07 011 SUR 07011136 Fracture Zygoma Reduction 720
768 07 011 SUR 07011137 Gastrostomy 720
769 07 011 SUR 07011138 Genaral Surgery 1200
770 07 011 SUR 07011139 Genaral Surgery for OPD 100
771 07 011 SUR 07011140 Genital Warts (Chemo Surgery) per sitting 360
772 07 011 SUR 07011141 Gillams Operation (any type) 1200
773 07 011 SUR 07011142 Glaucoma surgery 420
774 07 011 SUR 07011143 Gram/ Geimsa/ AFD Stain (each) 40
775 07 011 SUR 07011144 Haemorrhoidectomy 720
776 07 011 SUR 07011145 Hemi mandibulectomy with Suprahyoid block dissection 1200
777 07 011 SUR 07011146 Hemiglossectomy C or S Neck Dissection 1200
778 07 011 SUR 07011147 Hepatic Surgery exspect Hepatic Biopsy 1200
779 07 011 SUR 07011148 Hernia Repair Incisional with Mesh Placement 1200
780 07 011 SUR 07011149 Hernia Repair Incisional without Mesh Placement 1200
781 07 011 SUR 07011150 High Tibial Osteotomy 1200
782 07 011 SUR 07011151 Hydrocele Operation 300
783 07 011 SUR 07011152 Hydrotubation 300
784 07 011 SUR 07011153 Hymenectomy 300
785 07 011 SUR 07011154 Hypoapadias/ Epispadias Reconstrution Surgery 1200
786 07 011 SUR 07011155 Hypopharyngoscopy under LA 300
787 07 011 SUR 07011156 Hysterectomy: abdominal 1200
788 07 011 SUR 07011157 IOL (FECO) 600
789 07 011 SUR 07011158 I leal 1200
790 07 011 SUR 07011159 I leocolic 1200
791 07 011 SUR 07011160 I leostomy 720
792 07 011 SUR 07011161 I lizarov fixation 1200
793 07 011 SUR 07011162 IN Antrostomy 300
794 07 011 SUR 07011163 Incision & Drainage of Abscess (Breast/ Gluteal Abscess) 300
795 07 011 SUR 07011164 Inguinal Herniorrhaphy 720
796 07 011 SUR 07011165 Inguinal Herniotomy 720
797 07 011 SUR 07011166 Insufflation 300
798 07 011 SUR 07011167 Intercostal drainage with Rib Resection 720
799 07 011 SUR 07011168 Intercostal drainage without Rib Resection 300
800 07 011 SUR 07011169 Internal fixation of femoral of Tibia 1200
801 07 011 SUR 07011170 Internal fixation of Tibia 1200
802 07 011 SUR 07011171 Internal Nasal Polypectomy 720
803 07 011 SUR 07011172 Intra-Abdominal Abscess 1200
804 07 011 SUR 07011173 IOFB removal by vitrectomy 900
805 07 011 SUR 07011174 IOFB removal 420
806 07 011 SUR 07011175 Je junostomy 720
807 07 011 SUR 07011176 Jess fixation of lower end radial# 720
808 07 011 SUR 07011177 Kellys Operation 720
809 07 011 SUR 07011178 Keloid (Intralesional Steroid) max 6 sq cm approx 80
810 07 011 SUR 07011179 Kennedys/ Pacys/ MMK Procedure 1200
811 07 011 SUR 07011180 KOH Preparation from nail (Each) 30
812 07 011 SUR 07011181 KOH Preparation from Skin (Each) 20
813 07 011 SUR 07011182 Laminectomy 1500
814 07 011 SUR 07011183 Laparotomy with drainage and biopsy 720
815 07 011 SUR 07011184 Laparotomy without drainage and biopsy 720
816 07 011 SUR 07011185 Laparotomy 1200
817 07 011 SUR 07011186 Lateral Internal Sphincterectomy 720
818 07 011 SUR 07011187 Lateral orbitotomy 900
819 07 011 SUR 07011188 Lateral Rhinotomy 1200
820 07 011 SUR 07011189 Lenesectomy 420
821 07 011 SUR 07011190 Lithotripsy Extra corporial shockwave (ESWL) 7200
822 07 011 SUR 07011191 Lithotripsy Percutaneous Nephro (PCNL) 3600
823 07 011 SUR 07011192 Lithotripsy uretero Renoscopic removal of Uretric Stone (URS) 3600
824 07 011 SUR 07011193 Lobectomy 1500
825 07 011 SUR 07011194 LUCS 540
826 07 011 SUR 07011195 Lumber Sympathetomy 1200
827 07 011 SUR 07011196 Lymph node Biopsy 300
828 07 011 SUR 07011197 Lymph node Excision 300
829 07 011 SUR 07011198 Major lid reconstrictions 900
830 07 011 SUR 07011199 Major OT 1200
831 07 011 SUR 07011200 Mandibulectomy 1200
832 07 011 SUR 07011201 Manipulation under Anesthesia 300
833 07 011 SUR 07011202 Manual Anal Dilation 300
834 07 011 SUR 07011203 Max AA Ligation 720
835 07 011 SUR 07011204 McDonads Operation 300
836 07 011 SUR 07011205 Meatal exostosis Excision 720
837 07 011 SUR 07011206 Menisectomy 1200
838 07 011 SUR 07011207 Micro Laryngoscopy 1200
839 07 011 SUR 07011208 Modified Radical Mastectomy 1200
840 07 011 SUR 07011209 Modified Radical Mastoidectomy 1200
841 07 011 SUR 07011210 Molluscum Contagiosum (Chemo Surgery) Additional Each 12
842 07 011 SUR 07011211 Molluscum Contagiosum (Chemo Surgery) per sitting max 6 lesion 80
843 07 011 SUR 07011212 Myomectomy 1200
844 07 011 SUR 07011213 Myringootomy with gromet 300
845 07 011 SUR 07011214 Nephrectomy 1200
846 07 011 SUR 07011215 Nephro Ureterectomy 1200
847 07 011 SUR 07011216 Neuro Surgery 1500
848 07 011 SUR 07011217 Normal Delivery Excluding forcep 420
849 07 011 SUR 07011218 Normal Delivery with forcep 450
850 07 011 SUR 07011219 Nyringotomy 300
851 07 011 SUR 07011220 Desophagoscopy 720
852 07 011 SUR 07011221 Desophano gastrectomy 1500
853 07 011 SUR 07011222 Oophorectomy and other operation of Ovary 1200
854 07 011 SUR 07011223 Open Reduction of Posterior dislocation of hip 1200
855 07 011 SUR 07011224 Operation for Endometriosis 1200
856 07 011 SUR 07011225 Operation for Ankylosis of T M Joints 1200
857 07 011 SUR 07011226 Orchidectomy 720
858 07 011 SUR 07011227 Orchidopexy 1200
859 07 011 SUR 07011228 ORIF Foreaem 1200
860 07 011 SUR 07011229 ORIF of # Olecranon 720
861 07 011 SUR 07011230 ORIF of 3 Patella 720
862 07 011 SUR 07011231 ORIF of both bone Legs 1200
863 07 011 SUR 07011232 ORIF of Metacarpals 720
864 07 011 SUR 07011233 ORIF of metatarsals 720
865 07 011 SUR 07011234 ORIF of radius 1200
866 07 011 SUR 07011235 ORIF of Ulna 1200
867 07 011 SUR 07011236 ORIF Humerus 1200
868 07 011 SUR 07011237 Osteoplastic Flap Operation 1200
869 07 011 SUR 07011238 Osteotom-Any type 1200
870 07 011 SUR 07011239 Other Cardio Thoracic Operation 1500
871 07 011 SUR 07011240 Other Neurosurgical operation 1500
872 07 011 SUR 07011241 Ovarian Cystectomy 1200
873 07 011 SUR 07011242 Ovariotomy 1200
874 07 011 SUR 07011243 PPM (Heart Unit) 1500
875 07 011 SUR 07011244 Palamo's Operation/ High lightion of Testicular Veins for Varicocele 720
876 07 011 SUR 07011245 Pancreato-Duodenectomy 1200
877 07 011 SUR 07011246 Paraumbilical Hernia Repair 720
878 07 011 SUR 07011247 Parotidectomy 1200
879 07 011 SUR 07011248 Partial Amputation of Penis 720
880 07 011 SUR 07011249 Partial Laryngectomy 1200
881 07 011 SUR 07011250 Partial Maxillectomy 1200
882 07 011 SUR 07011251 Patellectomy 720
883 07 011 SUR 07011252 Per Cutenneous Nephro Lithotripsy (PCNL) 3600
884 07 011 SUR 07011253 Phacoemuisification 900
885 07 011 SUR 07011254 Pharyngeal Pouch Surgery 1200
886 07 011 SUR 07011255 Pharyngo Laryngectomy 1200
887 07 011 SUR 07011256 Phonosurgeries 1200
888 07 011 SUR 07011257 Plastic Surgery OT 900
889 07 011 SUR 07011258 PMR 1200
890 07 011 SUR 07011259 Pneumonectomy 1500
891 07 011 SUR 07011260 Porta Systematic Shunt Operation 1500
892 07 011 SUR 07011261 Probing & Dilatation 300
893 07 011 SUR 07011262 Procto Sigmoidoscopy with Biopsy 300
894 07 011 SUR 07011263 Prostatectomy 1200
895 07 011 SUR 07011264 Pterygium surgery 300
896 07 011 SUR 07011265 Ptosis surgery 420
897 07 011 SUR 07011266 Punch Biopsy (Each) 180
898 07 011 SUR 07011267 Punch Grafting Additional (Each) 30
899 07 011 SUR 07011268 Punch Grafting per sitting (max 5 grafts) 180
900 07 011 SUR 07011269 Pyelolithotomy 1200
901 07 011 SUR 07011270 Pyeloplasty 1200
902 07 011 SUR 07011271 Radical mastectomy 1200
903 07 011 SUR 07011272 Radical Hysterectomy 1200
904 07 011 SUR 07011273 Radical mastoidectomy 1200
905 07 011 SUR 07011274 Radical maxillectomy 1200
906 07 011 SUR 07011275 Radical Neck Dissection 1200
907 07 011 SUR 07011276 Rd with vitrectomy with lensectomy 900
908 07 011 SUR 07011277 Rd with vitrectomy without lensectomy 900
909 07 011 SUR 07011278 Reduction of # nasal bone 720
910 07 011 SUR 07011279 Removal of Broad Ligament Cyst or Tumor 720
911 07 011 SUR 07011280 Removal of Calculus from SM Salivary duct 300
912 07 011 SUR 07011281 Oophorectomy 1200
913 07 011 SUR 07011282 Removal of FB from and hypopharynx 300
914 07 011 SUR 07011283 Removal of Foreign Body 300
915 07 011 SUR 07011284 Remorval of Internal Laryngoceles 1200
916 07 011 SUR 07011285 Remorval of rhinolith or FB under GA 720
917 07 011 SUR 07011286 Remorval of Stone/ FB from Salivary Duct 300
918 07 011 SUR 07011287 Repair GUF/RVF 1200
919 07 011 SUR 07011288 Repair of # Mandible 1200
920 07 011 SUR 07011289 Repair of CPT 1200
921 07 011 SUR 07011290 Repair of Diaphragmatic Hernia 1200
922 07 011 SUR 07011291 Repair of Hiatus Hernia 1200
923 07 011 SUR 07011292 Repair of Hiatus Incisional Hernia 1200
924 07 011 SUR 07011293 Repair of Recurrent Hernia 720
925 07 011 SUR 07011294 Repair of split Ear Lobile 300
926 07 011 SUR 07011295 Repair of Vault Prolapse 1200
927 07 011 SUR 07011296 Retro Peritoneal Block Dissection 1200
928 07 011 SUR 07011297 Rhinoplasty 1200
929 07 011 SUR 07011298 Rhinosporidiosis 720
930 07 011 SUR 07011299 Rotation Flap of Skull 720
931 07 011 SUR 07011300 Roux-en-y Anastomosis 1200
932 07 011 SUR 07011301 Salivary Sialo Adenectomy 720
933 07 011 SUR 07011302 Sclerotherapht for Haemorrhoids 300
934 07 011 SUR 07011303 Secondary Suture 300
935 07 011 SUR 07011304 Septop lasty 720
936 07 011 SUR 07011305 Septorihinoplasty 1200
937 07 011 SUR 07011306 Sequestretomy, Saucerisation, irrigation, Suction,Curettage 1200
938 07 011 SUR 07011307 Shave Biopsy (Each) 150
939 07 011 SUR 07011308 Shiodkars Operation 720
940 07 011 SUR 07011309 Simple Mastectomy with Axillary Clearance 1200
941 07 011 SUR 07011310 Simple mastectomy without Axillary Clearance 1200
942 07 011 SUR 07011311 Simple retinal Detachment 420
943 07 011 SUR 07011312 Simple Vitrectomy 420
944 07 011 SUR 07011313 Skeletal traction 300
945 07 011 SUR 07011314 Skin Graftinh Small Area 300
946 07 011 SUR 07011315 Skin Grafting Large Area 720
947 07 011 SUR 07011316 Skin Surface Biopsy (Each) 144
948 07 011 SUR 07011317 Sling surgery (Ptosis) 300
949 07 011 SUR 07011318 Small mas remorval of lid Conjunctiuva, etc 300
950 07 011 SUR 07011319 Small mas remorval of lid 300
951 07 011 SUR 07011320 SMD 300
952 07 011 SUR 07011321 SMR 720
953 07 011 SUR 07011322 Spinal Instrumentation 1200
954 07 011 SUR 07011323 Splenectomy 1200
955 07 011 SUR 07011324 Squint surgery 420
956 07 011 SUR 07011325 Subfascial Ligation of Varicose Vein 300
957 07 011 SUR 07011326 Submandibular Salivary gland excision 1200
958 07 011 SUR 07011327 Suprapublic Cystolithotomy 720
959 07 011 SUR 07011328 Suprapublic Cystostomy 300
960 07 011 SUR 07011329 Surface traction 300
961 07 011 SUR 07011330 Surgery Extra Chrage 300
962 07 011 SUR 07011331 Surgery for Laryngial and tracheal stenosos 1200
963 07 011 SUR 07011332 Surgery of facial nerve 1200
964 07 011 SUR 07011333 Surgery of Glomus Tumor 1200
965 07 011 SUR 07011334 TUR of Bladder Tumor 720
966 07 011 SUR 07011335 Tatooing Additional (per sqcm) 60
967 07 011 SUR 07011336 Tatooing per sitting (max 6 sq cm approx) 360
968 07 011 SUR 07011337 TCA Cautery 300
969 07 011 SUR 07011338 Tendor Transfer/ Grafting 1200
970 07 011 SUR 07011339 Testicular Biopsy 300
971 07 011 SUR 07011340 Thoracotomy 1200
972 07 011 SUR 07011341 Tonsillectomy 720
973 07 011 SUR 07011342 Total Amputation of Penis 1200
974 07 011 SUR 07011343 Total Esophagectomy 1200
975 07 011 SUR 07011344 Total Laryngectomy 1200
976 07 011 SUR 07011345 Tracheostomy 720
977 07 011 SUR 07011346 transpalatal surgery in Post nasal space lesion 1200
978 07 011 SUR 07011347 Trendelenberg Opration (S F Lightion) 1200
979 07 011 SUR 07011348 Tubolasty/ Tubal; Surgery/ Recontruction of Tube 1200
980 07 011 SUR 07011349 Tumors of Orpharynx and soft palate 720
981 07 011 SUR 07011350 Turbinectomy 300
 982 07 011 SUR 07011351 Tympanoplasty 720
983 07 011 SUR 07011352 Tympanotomy 1200
984 07 011 SUR 07011353 Ulcer Excision 300
985 07 011 SUR 07011354 Umbilical Hernia Repair 720
986 07 011 SUR 07011355 UPP 1200
987 07 011 SUR 07011356 Ureteric Transplant 1200
988 07 011 SUR 07011357 Uretero Renoscopic Remorval of Uretric Stone(URS) 3600
989 07 011 SUR 07011358 Ureterolithotomy 1200
990 07 011 SUR 07011359 Ureterosigmoidostomy 1200
991 07 011 SUR 07011360 Urinery Stress inct Operation 1200
992 07 011 SUR 07011361 Urine Baloon Therapy 3000
993 07 011 SUR 07011362 Urinery Diversion 1200
994 07 011 SUR 07011363 Vaginal Cyst Operation 720
995 07 011 SUR 07011364 Vaginal Hysterectomy with PFR 1200
996 07 011 SUR 07011365 Vaginal Hysterectomy 1200
997 07 011 SUR 07011366 Vaginal Reconstruction 1200
998 07 011 SUR 07011367 VALVE REPLACEMENT (WITHOUT VALUE) 66000
999 07 011 SUR 07011368 Varicosr Vein Striping 1200
1000 07 011 SUR 07011369 Vascular Recanalization/ Grafts 1500
1001 07 011 SUR 07011370 VSD CLOSURE 66000
1002 07 011 SUR 07011371 Vulvectomy Radical 1200
1003 07 011 SUR 07011372 Vulvectomy Simple 1200
1004 07 011 SUR 07011373 Wardmayos Operation 1200
1005 07 011 SUR 07011374 Wart (Chemo Surgery) (Additional) Each 20
1006 07 011 SUR 07011375 Wart (Chemo Surgery) per sitting max 6 lesions 80
1007 07 011 SUR 07011376 Wide Excision without Skin Grafting 720
1008 07 011 SUR 07011377 Wide Local Excision with Skin Grafting 1200
1009 07 011 SUR 07011378 Xanthalesma (Chemo Surgery) per sitting 180
1010 07 012 PRO 07012001 Acrylic aplint 120
1011 07 012 PRO 07012002 Amalgam 60
1012 07 012 PRO 07012003 Additional for Biopsy 120
1013 07 012 PRO 07012004 Alvolectomy 240
1014 07 012 PRO 07012005 Angio with DSA 1500
1015 07 012 PRO 07012006 Angiography- Venography 1200
1016 07 012 PRO 07012007 Angiography- Peripheral 1200
1017 07 012 PRO 07012008 Anorectal (Manometery) 360
1018 07 012 PRO 07012009 Anterior Segment Photography 360
1019 07 012 PRO 07012010 Any device Closure 1800
1020 07 012 PRO 07012011 Aortic Valvuloplasty 1500
1021 07 012 PRO 07012012 Apicoectomy- Each additional tooth 40
1022 07 012 PRO 07012013 Apicoectomy- One tooth 70
1023 07 012 PRO 07012014 Apicoectomy (per tooth, with material) 240
1024 07 012 PRO 07012015 Apiocoectomy (per tooth, without material) 180
1025 07 012 PRO 07012016 Won Dilatation 600
1026 07 012 PRO 07012017 Ballon Mitral Valvuloplasty 1500
1027 07 012 PRO 07012018 Cover plate 120
1028 07 012 PRO 07012019 Complete Denture (each jaw) 240
1029 07 012 PRO 07012020 Corneal Topography 240
1030 07 012 PRO 07012021 Coronary Angiogram 1200
1031 07 012 PRO 07012022 Crown (without material) 240
1032 07 012 PRO 07012023 Cystoscopy 420
1033 07 012 PRO 07012024 Ceramometal 600
1034 07 012 PRO 07012025 Ceramometal Crown 600
1035 07 012 PRO 07012026 Diagnostic EP Study 9000
1036 07 012 PRO 07012027 Diagnostic EP Study and ablation 18000
1037 07 012 PRO 07012028 EPO EC 600
1038 07 012 PRO 07012029 Dialation 480
1039 07 012 PRO 07012030 FRCP: Diagnostic 600
1040 07 012 PRO 07012031 ERCP- Diagnostic 600
1041 07 012 PRO 07012032 Esophageal Dilatation (per sitting) 600
1042 07 012 PRO 07012033 Esophageal Manometry 180
1043 07 012 PRO 07012034 Every additional tooth for RPD 20
1044 07 012 PRO 07012035 Fracture without material 240
1045 07 012 PRO 07012036 FFA 480
1046 07 012 PRO 07012037 FFA (Flim & Dye to be supplied by the patient party) 240
1047 07 012 PRO 07012038 Fibrenogen Bronchoscopy 360
1048 07 012 PRO 07012039 Filling/ Restoration per Tooth 30
1049 07 012 PRO 07012040 Fixed Appliance (without material) 1200
1050 07 012 PRO 07012041 Flap Operation (per segment) 120
1051 07 012 PRO 07012042 ENAC/ Tooth 120
1052 07 012 PRO 07012043 Foreign Body Removal 480
1053 07 012 PRO 07012044 Gingivectomy (per segment) 120
1054 07 012 PRO 07012045 GTR operatiopn (one associated without material) 600
1055 07 012 PRO 07012046 Haemodialysis per sitting 600
1056 07 012 PRO 07012047 Immobilisation 300
1057 07 012 PRO 07012048 Impaction 240
1058 07 012 PRO 07012049 Impedance Audiometry 180
1059 07 012 PRO 07012050 Infusion pump (per day for Neonatal Unit) 30
1060 07 012 PRO 07012051 Inj Endoxon i/v (Rheumatology) 80
1061 07 012 PRO 07012052 Inj intra articulation (rheumatology) 80
1062 07 012 PRO 07012053 Inj Rituximal I/V (Rheumatology) 80
1063 07 012 PRO 07012054 Laparoscopy 360
1064 07 012 PRO 07012055 Lapanroscopy (Operation) (free only on specific Govt order) 1200
1065 07 012 PRO 07012056 Laser Therapy- Diode 480
1066 07 012 PRO 07012057 Laser Therapy- Argon 480
1067 07 012 PRO 07012058 Laser Therapy- Yag 480
1068 07 012 PRO 07012059 Light Cure (per tooth) 180
1069 07 012 PRO 07012060 Mitral Valvuloplasty 1500
1070 07 012 PRO 07012061 Mucogingival Operation (per quardrant/ per segment) 240
1071 07 012 PRO 07012062 Occlusal adjustment (for peri- odontal management ) (without material) 120
1072 07 012 PRO 07012063 Optical Coherence Tomography (Both Eye) 960
1073 07 012 PRO 07012064 Optical Coherence Tomography (One Eye) 600
1074 07 012 PRO 07012065 Ordinary extraction: trans alveolar extraction 10
1075 07 012 PRO 07012066 Osseous Periodontal Surgery (per quadrant/ per segment) 360
1076 07 012 PRO 07012067 Oxygen (Flow) (per day for Neonatal Uniot) 30
1077 07 012 PRO 07012068 Obturator (adult) 360
1078 07 012 PRO 07012069 Obturator (Child) 240
1079 07 012 PRO 07012070 OPG 120
1080 07 012 PRO 07012071 Pacing 1500
1081 07 012 PRO 07012072 Palliative (21/3f-5f) 480
1082 07 012 PRO 07012073 Post retained amalgam 90
1083 07 012 PRO 07012074 Percutaneous Abscess Drainage 600
1084 07 012 PRO 07012075 Percutaneous Nephrostomy 600
1085 07 012 PRO 07012076 Percutaneous transhepatic Biliary Drainage 840
1086 07 012 PRO 07012077 Perimetry (Automated) 240
1087 07 012 PRO 07012078 Perimentry (Manual) 240
1088 07 012 PRO 07012079 Peripheral Angioplasty 3000
1089 07 012 PRO 07012080 peritoneal Dialysis per sitting # 360
1090 07 012 PRO 07012081 Percutaneous transhepatic Cholangiography 600
1091 07 012 PRO 07012082 Phaco Surgery 1440
1092 07 012 PRO 07012083 Photo Theraphy (per day for Neonatal Unit) 30
1093 07 012 PRO 07012084 PLASTER UNDER GA 240
1094 07 012 PRO 07012085 POP Cast (Materials t6o be supplied by the party) 60
1095 07 012 PRO 07012086 POPS Seminar 60
1096 07 012 PRO 07012087 Portable X-Ray (for Neonatal Unit) 50
1097 07 012 PRO 07012088 Precious metal (materials to be supplied by the party) 120
1098 07 012 PRO 07012089 PICA 3000
1099 07 012 PRO 07012090 Pulse Oxiimeter (Moniter) (per day for Neonatal Unit) 60
1100 07 012 PRO 07012091 Pure Tone Audiometry 70
1101 07 012 PRO 07012092 Puretone Speech Audiomerty 100
1102 07 012 PRO 07012093 Radio Theraphy Charge 100
1103 07 012 PRO 07012094 RCT (per tooth, without material) 180
1104 07 012 PRO 07012095 RCT (per tooth, with material) 360
1105 07 012 PRO 07012096 Relining/ Recasing of denture (each jaw) 120
1106 07 012 PRO 07012097 Renal Biopsy with LA 240
1107 07 012 PRO 07012098 Removal Appliances (withoput material) 60
1108 07 012 PRO 07012099 Removal of partial denture (eachj jaw, One tooth) 30
1109 07 012 PRO 07012100 Repair of Denture (each jaw) 60
1110 07 012 PRO 07012101 Restorations: Cermic/ Facing/ (without metarial) 120
1111 07 012 PRO 07012102 RESTORATIONS: Inlay (without metarial)/ Tooth 180
1112 07 012 PRO 07012103 RESTORATIONS: Crown (without materarial)/ Tooth 180
1113 07 012 PRO 07012104 RESTORATIONS: Jacket Crown (without metarial)/ per tooth 180
1114 07 012 PRO 07012105 RESTORATIONS: Post-Care (without materials)/per tooth 180
1115 07 012 PRO 07012106 Scelerotheraphy 600
1116 07 012 PRO 07012107 Sigmoidoscopy 276
1117 07 012 PRO 07012108 SISI Tone Decay, Speech Audiometry Speech Audiometry 60
1118 07 012 PRO 07012109 SISI Tone Decay, ABLB Audiometry 60
1119 07 012 PRO 07012110 SISI Tone Decay, Audiometry 60
1120 07 012 PRO 07012111 Speech Therapy (2 nd Shitting) 60
1121 07 012 PRO 07012112 Specular Microscopy 240
1122 07 012 PRO 07012113 Speech theraphy 48
1123 07 012 PRO 07012114 Speech Theraphy 1st Setting 84
1124 07 012 PRO 07012115 Speech Theraphy ( for each subsequent Setting) 48
1125 07 012 PRO 07012116 Space maintainer fiexd 240
1126 07 012 PRO 07012117 Space Maintainer Removable 120
1127 07 012 PRO 07012118 Sub gingival scaling 60
1128 07 012 PRO 07012119 Supra gingival Scaling 120
1129 07 012 PRO 07012120 Stome analysis 120
1130 07 012 PRO 07012121 Splinting/ per tooth 120
1131 07 012 PRO 07012122 Stenting; withoutn stent 1200
1132 07 012 PRO 07012123 Strerge Pump 30
1133 07 012 PRO 07012124 Teletherapy (per Fraction) 96
1134 07 012 PRO 07012125 Teletherapy Palliative Treatment-S=Special Package 30000
1135 07 012 PRO 07012126 Teletherapy Radical Treatment-5= Special Package 6000
1136 07 012 PRO 07012127 TMT without electrode * 360
1137 07 012 PRO 07012128 TP5 planning 300
1138 07 012 PRO 07012129 TPS planning System 600
1139 07 012 PRO 07012130 TNF- EC 1080
1140 07 012 PRO 07012131 Tooth Colored Restoration 120
1141 07 012 PRO 07012132 Upper GI (ManoMetery) 480
1142 07 012 PRO 07012133 Upper GI Endoscopy 300
1143 07 012 PRO 07012134 Ventilator (per day for Neonatal Unit) 240
1144 07 012 PRO 07012135 Ventilator Charge per Day 480
1145 07 013 RAD 07013001 Ba X-Ray: Ileo- Cecreg (Each) 210
1146 07 013 RAD 07013002 Ba X-Ray: Stomach & Duob 210
1147 07 013 RAD 07013003 Baby warmer (per day for Neonatal) 60
1148 07 013 RAD 07013004 Barium X-Ray with follow through 360
1149 07 013 RAD 07013005 Barium Enema 210
1150 07 013 RAD 07013006 Barium Meal Swallow 200
1151 07 013 RAD 07013007 Colonoscopy 420
1152 07 013 RAD 07013008 Colonoscopy with Polypectomy 720
1153 07 013 RAD 07013009 Colour Dapper Study * 540
1154 07 013 RAD 07013010 Colposcopy with Cytoloy 360
1155 07 013 RAD 07013011 Cranial UGS 240
1156 07 013 RAD 07013012 Cystoogram 300
1157 07 013 RAD 07013013 Cystourethrogram 300
1158 07 013 RAD 07013014 CT GUIDED FNAC 960
1159 07 013 RAD 07013015 Dental X-Ray (Per Plate) 42
1160 07 013 RAD 07013016 Dig Barium Enema 960
1161 07 013 RAD 07013017 Dig Barium Meal Ileo-caecal junction 720
1162 07 013 RAD 07013018 Dig Barium Meal Stomach Doudenum 960
1163 07 013 RAD 07013019 Dig Barium Swallow Desophagus 720
1164 07 013 RAD 07013020 Dig Barium Meal follow hrough 1200
1165 07 013 RAD 07013021 Dig Ductography 720
1166 07 013 RAD 07013022 Dig HSG 720
1167 07 013 RAD 07013023 Dig Intravenous Urography (IVU) 1200
1168 07 013 RAD 07013024 Dig Mammography 720
1169 07 013 RAD 07013025 Dig Mtelogram 1800
1170 07 013 RAD 07013026 Dig Portable X- Ray 180
1171 07 013 RAD 07013027 Dig Retrograde Pyelogram 720
1172 07 013 RAD 07013028 Dig SIALOGRAM 720
1173 07 013 RAD 07013029 Dig Sinogram/ Fistulogram 720
1174 07 013 RAD 07013030 Dig Small Bowel Enema 1440
1175 07 013 RAD 07013031 Dig Straight X-Ray 120
1176 07 013 RAD 07013032 Dig T TUBE CHOLANGIOGRAM 720
1177 07 013 RAD 07013033 Dig Urethrogram Asending/ Descending 720
1178 07 013 RAD 07013034 Dig Venogram/ Arteriogram (One Side) 1200
1179 07 013 RAD 07013035 Digital Xray (CR) 84
1180 07 013 RAD 07013036 Echo- Cardiography * 540
1181 07 013 RAD 07013037 Echo (per testing for Neonatal Unit) 240
1182 07 013 RAD 07013038 EEG 120
1183 07 013 RAD 07013039 EMG + NCV All limbs 540
1184 07 013 RAD 07013040 EMG + NCV All limbs without needles 270
1185 07 013 RAD 07013041 EMG + NCV Lower limbs 330
1186 07 013 RAD 07013042 EMG + NCV Lower Limbs Without needles 150
1187 07 013 RAD 07013043 EMG + NCV Upper limbs 330
1188 07 013 RAD 07013044 EMG + NCV Upper Limbs Without needles 150
1189 07 013 RAD 07013045 EMG all limbs 360
1190 07 013 RAD 07013046 EMG all limbs without needles 180
1191 07 013 RAD 07013047 EMG Lower Limb 240
1192 07 013 RAD 07013048 EMG Lower Limb without needles 120
1193 07 013 RAD 07013049 EMG Upper Limb 240
1194 07 013 RAD 07013050 EMG Upper Limb without needles 120
1195 07 013 RAD 07013051 ENG 210
1196 07 013 RAD 07013052 Fluorescence angioscopy 120
1197 07 013 RAD 07013053 Folliculometry 420
1198 07 013 RAD 07013054 Fundus Photography 120
1199 07 013 RAD 07013055 Head & Brain & Neak 960
1200 07 013 RAD 07013056 Holter Monitoring without electrode * 450
1201 07 013 RAD 07013057 HSG (without contrast) 300
1202 07 013 RAD 07013058 I- 131 Uptake 240
1203 07 013 RAD 07013059 IVP 360
1204 07 013 RAD 07013060 Liver GB Pancrea, Spleen 300
1205 07 013 RAD 07013061 Lower Abdomen 270
1206 07 013 RAD 07013062 Lp A 480
1207 07 013 RAD 07013063 Lung Function Test 240
1208 07 013 RAD 07013064 MCU 240
1209 07 013 RAD 07013065 MRI 840
1210 07 013 RAD 07013066 MRI (Brain + M R Angio) 3600
1211 07 013 RAD 07013067 MRI ANY SINGLE JOINT 2160
1212 07 013 RAD 07013068 MRI BREAST (MR MAMMOGRAPHY) 6000
1213 07 013 RAD 07013069 MRI CERVICAL 2160
1214 07 013 RAD 07013070 MRI CHEST 2160
1215 07 013 RAD 07013071 MRI DIT (Diffusion Tensor Imaging) 2400
1216 07 013 RAD 07013072 MRI DORSAL 2160
1217 07 013 RAD 07013073 MRI FOETAL 2400
1218 07 013 RAD 07013074 MRI FOOT 2160
1219 07 013 RAD 07013075 MRI FUNCTIONAL 2400
1220 07 013 RAD 07013076 MRI LOWER ABDOMEN 2160
1221 07 013 RAD 07013077 MRI LUMO SACRAL 2160
1222 07 013 RAD 07013078 MRI MR COLOGRAPHY 2400
1223 07 013 RAD 07013079 MRI MR TACTORGRAPHY 2400
1224 07 013 RAD 07013080 MRI MR VENOGRAPHY / LYMP ANGIOGRAPHY 2160
1225 07 013 RAD 07013081 MRI MRCP 2160
1226 07 013 RAD 07013082 MRI OF ANY LONG BONE 2160
1227 07 013 RAD 07013083 MRI OF HAND 2160
1228 07 013 RAD 07013084 MRI ORBIT 2160
1229 07 013 RAD 07013085 MRI PELVIS (female) 2160
1230 07 013 RAD 07013086 MRI PELVIS (Floor) 2160
1231 07 013 RAD 07013087 MRI PERIPHERAL VENOGRAPHY/ ANGIOGRAPHY 6000
1232 07 013 RAD 07013088 MRI PNS 2160
1233 07 013 RAD 07013089 MRI PROSTRATE/ PELVIS FLOOR 2160
1234 07 013 RAD 07013090 MRI SI JOINT 2160
1235 07 013 RAD 07013091 MRI SPECTROSCOPY 2160
1236 07 013 RAD 07013092 MRI Temporo Manbibular Joint 2160
1237 07 013 RAD 07013093 MRI UPPER ABDOMEN 2160
1238 07 013 RAD 07013094 MRI WHOLE BODY 6000
1239 07 013 RAD 07013095 MRI (Brain & Cranium) 2400
1240 07 013 RAD 07013096 MRI (Cariac) 6000
1241 07 013 RAD 07013097 MRI (KUB) 2880
1242 07 013 RAD 07013098 MRI (Neck) 2160
1243 07 013 RAD 07013099 MRI (Spine) 2400
1244 07 013 RAD 07013100 MRI (Temporal Bone) 2160
1245 07 013 RAD 07013101 MRI (Whole Abdomen) 4560
1246 07 013 RAD 07013102 Myelography 720
1247 07 013 RAD 07013103 Myofunctional Appliances (without material) 360
1248 07 013 RAD 07013104 NCV all limbs 330
1249 07 013 RAD 07013105 NCV Upper/ Lower Limbs 210
1250 07 013 RAD 07013106 PCN 600
1251 07 013 RAD 07013107 PCNL 3600
1252 07 013 RAD 07013108 PCV 24
1253 07 013 RAD 07013109 PDA Coil Closure 1500
1254 07 013 RAD 07013110 Pelvis 1200
1255 07 013 RAD 07013111 Plain X-Ray (per Plate) 48
1256 07 013 RAD 07013112 Pregnancy USG 270
1257 07 013 RAD 07013113 PROSTATIC BIOPSY 600
1258 07 013 RAD 07013114 SOFT TISSUE 240
1259 07 013 RAD 07013115 Testis: Both 300
1260 07 013 RAD 07013116 Thorax 1800
1261 07 013 RAD 07013117 thyroid 180
1262 07 013 RAD 07013118 thyroid Scan 360
1263 07 013 RAD 07013119 T-Tube colongiogram 300
1264 07 013 RAD 07013120 TRUS 300
1265 07 013 RAD 07013121 USG (per testing for Neonatal Unit) 240
1266 07 013 RAD 07013122 Upper Abdomen 300
1267 07 013 RAD 07013123 Urethrogram 300
1268 07 013 RAD 07013124 Urodynamic Study * 720
1269 07 013 RAD 07013125 Uroflowmetry 180
1270 07 013 RAD 07013126 USG (Trans- vaginal/ Trans- rectal) 330
1271 07 013 RAD 07013127 USG A SCAN 60
1272 07 013 RAD 07013128 USG B Scan (with flim) 240
1273 07 013 RAD 07013129 USG Screening 180
1274 07 013 RAD 07013130 Whole Abdomen 420
1275 07 013 RAD 07013131 X-Ray (Sinogram) 180
1276 07 013 RAD 07013132 X-Ray: Parallax 60
1277 07 013 RAD 07013133 X-Ray: Occlusal 60
1278 07 014 USG 07014001 USG Upper Abdomen 300
1279 07 014 USG 07014002 USG Lower Abdomen 300
1280 07 014 USG 07014003 USG Whole Abdomen 450
1281 07 015 CT SCAN 07015001 Coronary Angiogram with calcium scoring (128 Slice) 5000
1282 07 015 CT SCAN 07015002 Coronary Angiogram with calcium scoring (256 Slice) 6000
1283 07 015 CT SCAN 07015003 Coronary Angiogram (Post CABG) (128 Slice) 5000
1284 07 015 CT SCAN 07015004 Coronary Angiogram (Post CABG) (256 Slice) 6000
1285 07 015 CT SCAN 07015005 Pulmonary Angiogram (64 Slice) 5000
1286 07 015 CT SCAN 07015006 Pulmonary Angiogram (128 Slice) 6000
1287 07 015 CT SCAN 07015007 Pulmonary Angiogram (256 Slice) 7000
1288 07 015 CT SCAN 07015008 Triple rule out Angiogram (Coronary/Pulmonary/Renal) (128 Slice) 10000
1289 07 015 CT SCAN 07015009 Triple rule out Angiogram (Coronary/Pulmonary/Renal) (256 Slice) 12000
1290 07 015 CT SCAN 07015010 Hepatic or Kidney Donor/ Recipient evaluation (64 Slice) 5000
1291 07 015 CT SCAN 07015011 Hepatic or Kidney Donor/ Recipient evaluation (128 Slice) 6000
1292 07 015 CT SCAN 07015012 Hepatic or Kidney Donor/ Recipient evaluation (256 Slice) 7000
1293 07 015 CT SCAN 07015013 Virtual Endoscopy (64 Slice) 6000
1294 07 015 CT SCAN 07015014 Virtual Endoscopy (128 Slice) 7000
1295 07 015 CT SCAN 07015015 Virtual Endoscopy (256 Slice) 8000
1296 07 015 CT SCAN 07015016 Post Metlic implantation evaluation (64 Slice) 4000
1297 07 015 CT SCAN 07015017 Post Metlic implantation evaluation (128 Slice) 5000
1298 07 015 CT SCAN 07015018 Post Metlic implantation evaluation (256 Slice) 6000
1299 07 015 CT SCAN 07015019 Liver/Renal/ any organ Volumertry (64 Slice) 5000
1300 07 015 CT SCAN 07015020 Liver/Renal/ any organ Volumertry (128 Slice) 6000
1301 07 015 CT SCAN 07015021 Liver/Renal/ any organ Volumertry (256 Slice) 7000
1302 07 015 CT SCAN 07015022 CT perfusion of any organ (64 Slice) 3000
1303 07 015 CT SCAN 07015023 CT perfusion of any organ (128 Slice) 4000
1304 07 015 CT SCAN 07015024 CT perfusion of any organ (256 Slice) 5000
Dual Energy application/ DECt LIKE Renal Stone composition,
constrast enhancement quantifucation, Iodine detection, ligament
07 015 CT SCAN
Tendon differentiation, Myocardial viability assesment, Thrombus/
1305 07015025 embolus confirmation etc (256 Slice) 5000
1306 07 015 CT SCAN 07015026 Brain/Head (Capex by Covt rate) 500
1307 07 015 CT SCAN 07015027 Brain/Head (Capex by Partner rate) 600
1308 07 015 CT SCAN 07015028 Brain/Head (Capex by Partner 32 Slice) 600
1309 07 015 CT SCAN 07015029 Orbit (Capex by Covt rate) 500
1310 07 015 CT SCAN 07015030 Orbit (Capex by Partner rate) 600
1311 07 015 CT SCAN 07015031 Orbit (Capex by Partner 32 Slice) 600
1312 07 015 CT SCAN 07015032 Pituitary/ Sella (Capex by Covt rate) 500
1313 07 015 CT SCAN 07015033 Pituitary/ Sella (Capex by Partner rate) 600
1314 07 015 CT SCAN 07015034 Pituitary/ Sella (Capex by Partner 32 Slice) 600
1315 07 015 CT SCAN 07015035 PNS Nasopharynx (Capex by Covt rate) 725
1316 07 015 CT SCAN 07015036 PNS Nasopharynx (Capex by Partner rate) 870
1317 07 015 CT SCAN 07015037 PNS Nasopharynx (Capex by Partner 32 Slice) 870
1318 07 015 CT SCAN 07015038 Neak (Capex by Covt rate) 725
1319 07 015 CT SCAN 07015039 Neak (Capex by Partner rate) 870
1320 07 015 CT SCAN 07015040 Neak (Capex by Partner 32 Slice) 870
1321 07 015 CT SCAN 07015041 Face (Capex by Covt rate) 725
1322 07 015 CT SCAN 07015042 Face (Capex by Partner rate) 870
1323 07 015 CT SCAN 07015043 Face (Capex by Partner 32 Slice) 870
1324 07 015 CT SCAN 07015044 Thorax/Cheast (Capex by Covt rate) 725
1325 07 015 CT SCAN 07015045 Thorax/Cheast (Capex by Partner rate) 870
1326 07 015 CT SCAN 07015046 Thorax/Cheast (Capex by Partner 32 Slice) 870
1327 07 015 CT SCAN 07015047 Upper/Lower Abdomen (Capex by Covt rate) 725
1328 07 015 CT SCAN 07015048 Upper/Lower Abdomen (Capex by Partner rate) 870
1329 07 015 CT SCAN 07015049 Upper/Lower Abdomen (Capex by Partner 32 Slice) 870
1330 07 015 CT SCAN 07015050 Whole Abdomen (Capex by Covt rate) 1450
1331 07 015 CT SCAN 07015051 Whole Abdomen (Capex by Partner rate) 1740
1332 07 015 CT SCAN 07015052 Whole Abdomen (Capex by Partner 32 Slice) 1740
1333 07 015 CT SCAN 07015053 Cervical/ Lumber Spine (Capex by Covt rate) 725
1334 07 015 CT SCAN 07015054 Cervical/ Lumber Spine (Capex by Partner rate) 870
1335 07 015 CT SCAN 07015055 Cervical/ Lumber Spine (Capex by Partner 32 Slice) 870
1336 07 015 CT SCAN 07015056 Pelvis (Capex by Covt rate) 725
1337 07 015 CT SCAN 07015057 Pelvis (Capex by Partner rate) 870
1338 07 015 CT SCAN 07015058 Pelvis (Capex by Partner 32 Slice) 870
1339 07 015 CT SCAN 07015059 Limb/ U Limb (Capex by Covt rate) 875
1340 07 015 CT SCAN 07015060 Limb/ U Limb (Capex by Partner rate) 1050
1341 07 015 CT SCAN 07015061 Limb/ U Limb (Capex by Partner 32 Slice) 1050
1342 07 015 CT SCAN 07015062 femur/ Tibia/ Thigh/ any joint (Capex by Covt rate) 725
1343 07 015 CT SCAN 07015063 femur/ Tibia/ Thigh/ any joint (Capex by Partner rate) 870
1344 07 015 CT SCAN 07015064 femur/ Tibia/ Thigh/ any joint (Capex by Partner 32 Slice) 870
1345 07 015 CT SCAN 07015065 CT Guided FNAC (Capex by Covt rate) 500
1346 07 015 CT SCAN 07015066 CT Guided FNAC (Capex by Partner rate) 600
1347 07 015 CT SCAN 07015067 CT Guided FNAC (Capex by Partner 32 Slice) 600
1348 07 015 CT SCAN 07015068 KUB/CT Urography (Capex by Covt rate) 1400
1349 07 015 CT SCAN 07015069 KUB/CT Urography (Capex by Partner rate) 1500
1350 07 015 CT SCAN 07015070 KUB/CT Urography (Capex by Partner 32 Slice) 1500
1351 07 015 CT SCAN 07015071 HRCT Thorax (Capex by Covt rate) 725
1352 07 015 CT SCAN 07015072 HRCT Thorax (Capex by Partner rate) 800
1353 07 015 CT SCAN 07015073 HRCT Thorax (Capex by Partner 32 Slice) 800
1354 07 015 CT SCAN 07015074 HRCT Temporal Bone (Capex by Covt rate) 725
1355 07 015 CT SCAN 07015075 HRCT Temporal Bone (Capex by Partner rate) 800
1356 07 015 CT SCAN 07015076 HRCT Temporal Bone (Capex by Partner 32 Slice) 800
1357 07 015 CT SCAN 07015077 D CT of an organ/part/ joint (Capex by Covt rate) 750
1358 07 015 CT SCAN 07015078 D CT of an organ/part/ joint (Capex by Partner rate) 900
1359 07 015 CT SCAN 07015079 D CT of an organ/part/ joint (Capex by Partner 32 Slice) 900
1360 07 015 CT SCAN 07015080 Head/Neak (Capex by Covt rate) (CT Angiography/Venography) 1200
1361 07 015 CT SCAN 07015081 Head/Neak (Capex by Partner rate) (CT Angiography/Venography) 1440
Head/Neak (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1362 07015082 Angiography/Venography) 1440
Thorax/Cheast (Capex by Covt rate) (CT Angiography/Venography)
07 015 CT SCAN
1363 07015083 1200
07 015 CT SCAN
1364 07015084 Thorax/Cheast (Capex by Partner rate) (CT Angiography/Venography) 1440
Thorax/Cheast (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1365 07015085 Angiography/Venography) 1440
07 015 CT SCAN
1366 07015086 Upper Abdomen (Capex by Covt rate) (CT Angiography/Venography) 1200
Upper Abdomen (Capex by Partner rate)(CT
07 015 CT SCAN
1367 07015087 Angiography/Venography) 1440
 Upper Abdomen (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1368 07015088 Angiography/Venography) 1440
07 015 CT SCAN
1369 07015089 Lower Abdomen (Capex by Covt rate) (CT Angiography/Venography) 1200
Lower Abdomen (Capex by Partner rate) (CT
07 015 CT SCAN
1370 07015090 Angiography/Venography) 1400
Lower Abdomen (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1371 07015091 Angiography/Venography) 1400
07 015 CT SCAN
1372 07015092 Whole Abdomen (Capex by Covt rate) (CT Angiography/Venography) 2000
Whole Abdomen (Capex by Partner rate) (CT
07 015 CT SCAN
1373 07015093 Angiography/Venography) 2400
Whole Abdomen (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1374 07015094 Angiography/Venography) 2400
Peripheral Each limb (Capex by Covt rate) (CT
07 015 CT SCAN
1375 07015095 Angiography/Venography) 1800
Peripheral Each limb (Capex by Partner rate) (CT
07 015 CT SCAN
1376 07015096 Angiography/Venography) 2160
Peripheral Each limb (Capex by Partner 32 Slice) (CT
07 015 CT SCAN
1377 07015097 Angiography/Venography) 2160
Local/ spacific vascular territory like coeliac axis, superior mesentric
07 015 CT SCAN artery, renal artery, spleno- portal axis etc (Capex by Covt rate) (CT
1378 07015098 Angiography/Venography) 1500
Local/ spacific vascular territory like coeliac axis, superior mesentric
07 015 CT SCAN artery, renal artery, spleno- portal axis etc (Capex by Partner rate) (CT
1379 07015099 Angiography/Venography) 1800
Local/ spacific vascular territory like coeliac axis, superior mesentric
07 015 CT SCAN artery, renal artery, spleno- portal axis etc (Capex by Partner 32 Slice)
1380 07015100 1800
(CT Angiography/Venography)
Triphasis CT For a Specific organ / region of interest (with automatic
07 015 CT SCAN power injector) (Capex by Covt rate) (Triphasic CT Scan)
1381 07015101 1800
 Triphasis CT For a Specific organ / region of interest (with automatic
07 015 CT SCAN power injector) (Capex by Partner rate) (Triphasic CT Scan)
1382 07015102 2160
Triphasis CT For a Specific organ / region of interest (with automatic
07 015 CT SCAN power injector) (Capex by Partner 32 Slice) (Triphasic CT Scan)
1383 07015103 2160
1384 07 015 CT SCAN 07015104 A: whole spine (Capex by Covt rate) (Myelography) 3200
1385 07 015 CT SCAN 07015105 A: whole spine (Capex by Partner rate) (Myelography) 3800
1386 07 015 CT SCAN 07015106 A: whole spine (Capex by Partner 32 Slice rate) (Myelography) 3800
1387 07 015 CT SCAN 07015107 B: single part (Capex by Covt rate) (Myelography) 1900
1388 07 015 CT SCAN 07015108 B: single part (Capex by Partner rate) (Myelography) 2300
1389 07 015 CT SCAN 07015109 B: single part (Capex by Partner 32 Slice rate) (Myelography) 2300
1390 07 015 CT SCAN 07015110 CT Cistrrnography (Capex by Covt rate) 1900
1391 07 015 CT SCAN 07015111 CT Cistrrnography (Capex by Partner rate) 2300
1392 07 015 CT SCAN 07015112 CT Cistrrnography (Capex by Partner 32 Slice) 2300
1393 07 015 CT SCAN 07015113 CT Enterography (Dual Phase) (Capex by Covt rate) 2600
1394 07 015 CT SCAN 07015114 CT Enterography (Dual Phase) (Capex by Partner rate) 3100
1395 07 015 CT SCAN 07015115 CT Enterography (Dual Phase) (Capex by Partner 32 Slice) 3100
CT Cochela and inner ear (with or without Cochlear impant) (Capex
07 015 CT SCAN
1396 07015116 by Covt rate) 1900
CT Cochela and inner ear (with or without Cochlear impant) (Capex
07 015 CT SCAN
1397 07015117 by Partner rate) 2300
CT Cochela and inner ear (with or without Cochlear impant) (Capex
07 015 CT SCAN
1398 07015118 by Partner 32 Slice) 2300
Quantitative CT Bone Mineral Density assessment (Single Part)
07 015 CT SCAN
1399 07015119 (Capex by Covt rate) 1300
Quantitative CT Bone Mineral Density assessment (Single Part)
07 015 CT SCAN
1400 07015120 (Capex by Partner rate) 1600
Quantitative CT Bone Mineral Density assessment (Single Part)
07 015 CT SCAN
1401 07015121 (Capex by Partner 32 Slice) 1600
Single occupancy large (5.2 * 6 Mtr.) at Medical College and 4000
07 016 ROOM RENT
1402 07016001 Hospital in Kolkata
 Single occupancy small (2.4 * 6 Mtr.)at Medical College and 2500
07 016 ROOM RENT
1403 07016002 Hospital in Kolkata
Double occupancy large cabin (5.2 * 6 Mtr.)at Medical College and 2000
07 016 ROOM RENT
1404 07016003 Hospital in Kolkata
Single occupancy small (5.2 * 6 Mtr.) with Intensive Care Unit at 5000
07 016 ROOM RENT
1405 07016004 Medical College and Hospital in Kolkata
Single occupancy large (2.4 * 6 Mtr.) Intensive Care Unit at 3500
07 016 ROOM RENT
1406 07016005 Medical College and Hospital in Kolkata
Single occupancy large (5.2 * 6 Mtr.) at Medical College outside 2000
07 016 ROOM RENT
1407 07016006 Kolkata
Single occupancy small (2.4 * 6 Mtr.)at Medical College outside 1500
07 016 ROOM RENT
1408 07016007 Kolkata
Double occupancy large cabin (5.2 * 6 Mtr.)at Medical College 1000
07 016 ROOM RENT
1409 07016008 outside Kolkata
Single occupancy large (5.2 * 6 Mtr.) with Intensive Care Unit at 3000
07 016 ROOM RENT
1410 07016009 Medical College outside Kolkata
Single occupancy small (2.4 * 6 Mtr.) with Intensive Care Unit at 2500
07 016 ROOM RENT
1411 07016010 Medical College outside Kolkata
Single occupancy large (5.2 * 6 Mtr.) at Hospital outside Kolkata 1500
07 016 ROOM RENT
1412 07016011
Single occupancy small (2.4 * 6 Mtr.)at Hospital outside Kolkata 1000
07 016 ROOM RENT
1413 07016012
Double occupancy large cabin (5.2 * 6 Mtr.) at Hospital outside 750
07 016 ROOM RENT
1414 07016013 Kolkata
Single occupancy large (5.2 * 6 Mtr.) with Intensive Care Unit at 2500
07 016 ROOM RENT
1415 07016014 Medical College outside Kolkata
Single occupancy small (2.4 * 6 Mtr.) with Intensive Care Unit at 1750
07 016 ROOM RENT
1416 07016015 Medical College outside Kolkata
GENERAL
07 017
1417 CHARGES 07017001 Personal Attendent 750