General User Charges in AIIMS Raipur

S No. Name of General Charges Paying Ward General Remark

Ward/OPD
1 Registration Charges 200 25

2 Bed Charges Per Day (Sami 2000 35 Patients being adm

Deluxe) itted in
3 Bed Charges Per Day (Deluxe) 3000 35 Paying/General
4 Diet Charges Per Day 200 Optional Nil ward will pay an
advance for 10
days charges at the
time of admission.
5 ICU/NICU/PICU/CCU Charges 1000 (Above & 300
Per Day Over to Bed
Charge
6 Minor Operation in OT/MOT 250 100
not mentioned in list, under L
A
7 Minor Operation in OT/MOT 1000 300
not mentioned in list, under G
A
8 Major Operation in OT, Not 2000 1000
mentioned in list under G A
9 Medical Certificate (Sickness) 10 10
10 Medical Certificate (Fitness) 10 10
11 Tubectomy / Laparoscopic 25 20
Sterilization
12 Death file charges 25 25
13 Medico Legal Injury Report 50 50
(MLR)
14 Birth / Death Certificate 1st 0 0
Copy
15 Birth / Death Certificate 5 5
Subsequent Copy
16 Additional correction in Birth 10 10
/ Death / certificate
17 Completion of LIC / Insurance 50 50
claim file
18 Subsequent Pass if on special 50 50
condition
19 Supply of blood (One Unit) 250 75
1
 20 Medical Board Certificate 500 500 On Special Case

User Charges for Investigations in AIIMS Raipur

S No. Name of Investigations Paying General Remark

Ward Ward/OPD
Anaesthsia
1 ABG 75 50
2 ABG ALONGWITH 150 100
ELECTROLYTES(NA+,K+)(Na,K)
3 ONLY ELECTROLYTES(Na+,K+,Cl,Ca+) 75 50

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

9 GLUCOSE TOLERANCE TEST (GTT) 250 100

10 INORGANIC PHOSPHORUS (Pi) 25 25

11 LACTATE DEHYDROGENASE (LDH) 50 50

2
12 MAGNESIUM (Mg2+) 50 25
13 POTASSIUM SODIUM-(K+ & NA+) (OPD- 25 25
Patient)
14 ALBUMIN AND GLOBULMIN PROTIENS - 25 25
(OPD-Patient)
15 C-REACTIVE PROTEIN (CRP) 50 25
16 SERUM IRON 25 25
17 ALANINE TRANSAMINASE/ASPARTATE 25 25
TRANSAMINASE-ALT/AST SGPT/SGOT-
(OPD-Patient)

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

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

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

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

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

29 CREATININE (IN- Patient) 25 20

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

34 URINARY CHLORIDES (24 HRS. 25 25

QUANTITATIVE)
3
35 URINARY CREATININE (24 HRS. 25 25
QUANTITATIVE
36 URINARY GLUCOSE (QUANTITATIVE) 10 10

37 URINARY PHOSPHORUS (24 HRS 25 25

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

40 URINE CALCIUM (24HRS QUANTITATIVE)) 25 25

41 URINE UROBILINOGEN (QUALITATIVE) 50 50

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

47 CREATINE KINASE(CK-MB) 200 100

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

51 URINARY PROPHOBILINOGEN/ 100 50

UROBILINOGEN (QUALITATIVE)

52 STOOL OCCULT BLOOD (OB) 250 125

53 PSA 200 100
54 ALCOHOL 200 100
55 APOLOPOPROTEIN A-I (APO AI) 200 100

56 APOLOPOPROTEIN B (APO B) 250 125

57 C3 250 125
58 C4 250 125
59 MYOGLOBIN 300 150

4
60 RHEUMATOID FACTOR (Rh) 300 150
61 GAMMA GLUTAMYL TRANSFERASE (GGT) 100 50

62 BILIRUBIN(CONJUGATED) (D-Bil) -(In- 25 20

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

70 TOTAL CHOLESTEROL (IN-Patient) 25 20

71 LIPID PROFILE (IN-Patient) 25 20

72 HCG 200 100
73 AFP. 500 250
74 CA 125. 500 250
75 CA 15.3 500 250
76 CA 19.9 500 250
77 CEA . 500 250
78 FERRITIN 200 100
79 RBC FOLATE 200 100
80 FOLATE 200 100
81 VITAMIN B12 200 100
82 PRO BNP 600 300
83 TROPONIN T 200 100
84 FREE PSA (TOTAL/ FREE PSA) 200 100
85 COPPER(CU) 250 100
86 ZINC(ZN) 250 100
87 LEAD (BLOOD/URINE). 250 100
88 SELENIUM 250 100
89 MERCURY 250 100
90 CERULOPLASMIN 150 75
5
 91 CHROMIUM 250 100
92 LIVER FUNCTION TEST(LFT)(ALP D-BIL T- 250 200
BIL ALT/AST ALBUMIN & GLOBULMIN
PROTIENS TOTAL PROTEIN)

93 SERUM/ PLASMA OSMOLALITY 250 125

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

1 ECHO/TEE 100 100

2 EXERCISE TMT 200 100
3 TILT TEST 500 150
Centre Sophisticated Intrument Cell

1 FLOW CYTOMETER (Sample Acquistion 50 25

per tube)
2 REAL-TIME PCR-96 WELL PLATE (per 2000 500
Plate)
3 REAL-TIME PCR-COVERING FOIL (per Foil) 400 100

4 REAL-TIME PCR 2700 1500

5 SIMPLE PCR 1000 500
6 2-D ELECTROPHORESIS(Include PH 800 800
STRIP) PER SAMPLE

7 DHPLC Sample Analysis(per Sample) 100 25

8 FLOW CYTOMETER (Sample Sorting per 2000 500

Sample)
9 REAL-TIME PCR-8 well Strip(per Strip) 200 50

6
 10 HPLC Sample Analysis (per Sample) 400 100

11 FPLC Sample Analysis(per Sample) 400 100

12 AUTOMATED DNA SEQUENCER(per 500 350

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

Cytology
1 BUCCAL SMEAR FOR SEX CHROMATIN 25 25

2 ESTROGEN RECEPTOR 900 270

3 IMMUNOCYTOCHEMISTRY (Per Antibody) 500 300

4 IMMUNOCYTOCHEMISTRY ( 5 Antibody) 2500 1500

5 PROGESTERON RECEPTOR 900 270

6 HPV TESTING 1600 800
7 CYTOPATHOLOGY FNA 100 100
8 FLOCYTOMETRIC IMMUNOPHENOTYPING 500 300
(1 Antibody)

9 FLOCYTOMETRIC IMMUNOPHENOTYPING 3000 1500

(5 Antibody)

10 CERVICAL SMEAR (PAP SMEAR) 200 100

11 GYNAEC-HISTOPATHOLOGY (BIOPSY) 250 100

12 LIQUID BASED CYTOLOGY (LBC) 200 100

13 EXFOLIATIVE CYTOLOGY (MALIGLANT 100 100

CYTOLOGY)

7
 14 IHC-I (UPTO 2 ANTIBODIES)-IHC 500 500
(IMMUNO CHEMISTRY)
15 IHC-II (UPTO 3-5 ANTIBODIES)-IHC 1500 1500
(IMMUNO CHEMISTRY)
16 IHC-III ( MORE THAN 5 ANTIBODIES)- 2500 2500
IHC(IMMUNO CHEMISTRY)

17 FISH 4000 2000

18 BLOCKS/ SLIDES FOR OPINION/ REVIEW 500 500
(UPTO 2 BLOCKS)INCLUDING CELL BLOCK

19 BLOCKS/ SLIDES FOR OPINION/ REVIEW 1000 1000

(3 OR MORE BLOCKS)

20 ISSUE OF PARAFFIN BLOCKS -(SECURITY 1000 1000

RETURN)
21 ISSUE OF DUPLICATE UNSTAINED SLIDES 200 200
(UPTO 2SLIDES)

22 ISSUE OF DUPLICATE UNSTAINED SLIDES 500 500

(MORETHAN 2 SLIDES)

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

5 CORTISOL-POST DEXA 115 75

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

9 CORTISOL-ITT 565 375

10 TESTOSTERONE BASAL 300 200
11 RESP TO HCG STIMULATION 900 600
12 E2-17 B 225 150
8
13 DHT 300 200
14 PROGESTERONE 300 200
15 GROWTH HORMONE-BASAL 115 75
16 GROWTH HORMONE-RESP TO ITT/Ggt 565 375

17 INSULIN - BASAL 150 100

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

41 GLUCAGON -C- PEPTIDE TEST - C-PEPTIDE 1500 1000

(-15 0 6 MIN)
42 SYNACTHEN STIMULATION TEST- 750 500
CORTISOL (0 30 60 MIN)
43 GnrH STIMULATION TEST - LH (0 AND AT 750 500
120 MIN)
9
 44 HCG STIMULATION TEST - LH 1500 1000
TESTOSTERONE (0 HRS)
45 HCG STIMULATION TEST - 1500 1000
TESTOSTERONE (72 HRS)
46 WATER DEPRIVATION TEST - SERUM 2000 1500
OSMOLALITY
47 WATER DEPRIVATION TEST - URINE 2000 1500
OSMOLALITY
48 ANTI-GAD65 ANTI-IA2 ANTI-INSULIN 3000 1500

49 ANTI-THYROGLOBULIN (ANTI-TG) 700 350

50 ANTI MULLERIAN HORMONE (AMH) 2000 1000

51 BETA-CROSS LAPS 1000 500

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

55 ANTI-GAD65 1000 500

56 ANTI-IA2 1000 500
57 ANTI-INSULIN 1000 500
Gastroenterology
1 HBsAg ELISA 100 50
2 ANTI HBc IgM ELISA 300 150
3 ANTI HBc TOTAL ELISA 300 150
4 HBeAg/ ANTI HBc AB ELISA 300 150
5 ANTI HCV ELISA 200 100
6 ANTI HDC IgM/ IgG ELISA 300 150
7 ANTI HAV IgM/ IgG ELISA 300 150
8 ANTI HEV IgM/ IgG ELISA 300 150
9 ROTA VIRUS Ag ELISA 300 200
10 ANTI CMV IgM/ IgG ELISA 150 100
11 ENDOSONOGRAPHY (EUS) 250 100
12 INTRADUCTAL ULTRASOUND/ CATHETER 500 250
EUS (IDUS)
13 CALPROTECTIN ASSAY 700 350
10
 14 CMV PP 65 ANTIGEN (Ag) ELISA 325 250

15 ANTI HSV 1 IgM ELISA 225 150

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

7 BONE MARROW ASPIRATION AND 600 400

TREPHINE BIOPSY
8 BONE MARROW ASPIRATION ONLY 300 200

9 CYTOGENETIC STUDY FROM PERIPHERAL 1000 500

BLOOD/BONE MARROW

10 CLOT RETRACTION TIME 25 25

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

14 ERYTHROCYTE SEDIMENTATION RATE 25 20

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

11
19 COMPLETE BLOOD COUNT 50 50
(CBC)/(HEMOGRAM (HB TLC PLATELET
COUNT RBC/RED CELL INDICES)

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

23 L.E. CELLS 100 100

24 MET-HAEMOGLOBIN ESTIMATION 75 75

25 OSMOTIC FRAGILITY (RBC) 30 30

26 PTTK/APTT 30 30
27 PLATELET FUNCTION TEST/ PLATELET 200 150
AGGREGATION STUDIES

28 PROTEIN C 500 150

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

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

39 UNSTABLE HEMOGLOBINS 100 50

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

12
44 DNA-BASED MUTATION DETECTION IN 3500 1750
THALASSEMIA
45 Prothrombin Time (In-Patient) 25 20
46 Inr (In-Patient) 25 20
47 PT-INR (OPD-PATIENT) 25 25
48 COAGULATION SCREEN-PT PTTK 300 150
FIBRINOGEN
49 SERUM IRON, TIBC & SERUM FERRITIN 300 150

50 LUPUS ANTICOAGULANT 200 150

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

53 FIBRINOGEN ASSAY BY CLOTTING 150 100

METHOD
54 PLATELETS ASSOCIATED ANTIBODY 100 100

55 SERUM HOMOCYSTEINE LEVELS 800 500

56 IMMUNOPHENOTYPING FOR PLATELET 1000 500

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

63 FACTOR II ASSAY 1800 1200

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

13
68 FACTOR XI ASSAY 1800 1200
69 VON WILLEBRAND ANTIGEN ASSAY (vWF 500 250
ANTIGEN)
70 RISTOCETIN COFACTOR ACTIVITY (RiCof) 300 150

71 STEM CELL/ CD34 CELL ENUMERATION 1200 1200

BY FLOW CYTOMETRY

72 FLOW CYTOMETRY FOR PLATELET 1200 1200

FUNCTION DISORDERS

73 DNA-BASED MUTATION TESTING IN 2000 1000

LEUKEMIA (PER MUTATION)

74 EXTENDED PANEL PER MONOCLONAL 300 300

INSTEAD OF FLOW CYTOMETRIC
IMMUNOPHENOTYPING INDIVIDUAL
MONOCLONAL ANTIBODY

75 CHROMOSOMAL BREAKAGE STUDIES 1000 500

FROM PERIPHERAL BLOOD

76 INHIBITOR SCREEN 500 250

77 D-DIMER ASSAY QUANTITATIVE 300 200

78 PRESUMPTIVE TEST OF 50 30
HEMOLYSIS(PLASMA HEMOGLOBIN)

79 PRESUMPTIVE TEST OF 50 30
HEMOLYSIS(URINE HEMOGLOBIN)

80 FACTOR XIII ANTIGEN ASSAY 100 50

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

14
 84 FISH PANEL I FOR HEMATOLOGY-SINGLE 2000 1500
PROBE
85 FISH PANEL II FOR HEMATOLOGY-TWO/ 3000 2300
THREE PROBE

86 FISH PANEL III FOR HEMATOLOGY- FOUR 4000 3000

OR MORE PROBES OR ON SORTED CELLS

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

20 ULTRASOUND 250 100

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

15
 5 IHC-I (UPTO 2 ANTIBODIES)-HIC 500 500
(IMMUNOCHEMISTRY)
6 IF-I (UPTO 5 ANTIBODIES)-HIC 1000 500
(IMMUNOFLUORESENCE)
7 IF-II (MORE THAN 5 ANTIBODIES)-HIC 1500 1000
(IMMUNOFLUORESENCE)

8 MUSCLE ENZYME HISTOCHEMISTRY 1500 1000

(EHC)
9 BLOCKS/ SLIDES FOR OPINION/REVIEW 500 500
(UPTO 2 BLOCKS)

10 BLOCKS/ SLIDES FOR OPINION/REVIEW 1000 1000

(3 OR MORE BLOCKS)

11 ISSUE OF PARAFFIN BLOCKS -(SECURITY 1000 1000

FOR RETURN)
12 ISSUE OF DUPLICATE UNSTAINED SLIDES 200 200
(UPTO 2 SLIDES)

13 ISSUE OF DUPLICATE UNSTAINED SLIDES 500 500

(MORE THAN 2 SLIDES)

14 OUTSIDE SPECIMEN FOR PROCESSING 500 500

FOR EM (1 BLOCK/GRID)
STUDENT/SCIENTIST

15 OUTSIDE SPECIMEN FOR CRYOSTAT 200 200

SECTION
Immunopathology
1 ANTITHYROID ANTIBODY TEST 50 50

2 TUMOUR MARKER TEST (CEA) 500 250

3 CROSSMATCH (PBL) 100 100
4 CROSSMATCH T, B AND DTT 200 100
5 CADAVER CROSSMATCH 100 100
6 PREGNANCY TEST 50 50
7 ALPHA-1 ANTYTRYPSIN 500 250
8 ALPHA FETOPROTEIN 500 250
16
9 CIEP FOR KALA-AZAR 100 100
10 Immunoglobulin G A M 300 100
11 SERUM IGE (ELISA) 500 250
12 DYSMORPHIC RBC 25 25
13 AUTO-ANTIBODY PROFILE COMPOSITE 750 500
TESTING (IIF)(ANA SMA AMA LKM PCR)

14 ANCA (ANTINEUTROPHIL ANTIBODIES)- 1200 600

IIF
15 CMV ANTIGEN STUDY 500 250
16 NBT TEST 50 50
17 LYMPHOCOCYTE PROLIFERATION 200 100

18 CHEMOTAXIS-NEUTROPHILS 200 100

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

24 ANA ON HEP-2 CELLS IIF 500 250

25 ISLET CELL ANTIBODY (IIF) 500 250
26 ANTI ADRENAL ANTIBODY (IIF) 500 250

27 Beta HCG (ELISA) 500 250

28 CA-125 (ELISA) 500 250
29 tTG (ELISA) 500 250
30 dsDNA (ELISA) 500 250
31 PR3- PROTENIASE-3 (ELISA) 500 250
32 MPO (ELISA) 500 250
33 LIVER LINE BLOT ASSAY 2000 1000
(IMMUNOBLOTING)
34 ANA LINE BLOT ASSAY 2000 1000
(IMMUNOBLOTING)
35 GAD-65 (ELISA) 1000 500
36 SERUM IgG (NEPHELOMETRY) 200 100
37 SERUM IgA (NEPHELOMETRY) 200 100
38 SERUM IgM (NEPHELOMETRY) 200 100
17
39 C3 QUANTITATIVE (NEPHELOMETRY) 250 125

40 MULTIPLEX PCR FOR DYSTROPHIN 3000 1500

SCREENING FOR CHILDREN (FOR
DUCHENNE MUSCULAR DYSTROPHY)

41 THYROID MICROSOMAL ANTIBODIES 300 150

(TMA)
42 PROSTATE SPECIFIC ANTIGEN (ELISA) 500 250

43 URINE FOR BENCE JONES PROTEINS (BJP) 100 100

44 URINE FOR ELECTROPHORESIS 100 100

45 PAGE FOR CSF 100 100

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

48 LATEX AGGLUTINATION FOR RF ETC 50 50

49 DIRECT FLOURESCENCE SKIN 450 300

50 DIRECT FLOURESCENCE KIDNEY 450 300

51 FLOWCYTOMETRY (FLC)(FSC SSC) FOR 50 50

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

18
63 HIV(OPT OUT) SCREENING(ELISA) 30 30

64 SEMEN ANALYSIS. 100 50

65 SPECIFIC ANA(ANTI-Ro/ANTI- 500 250
La/Sm/Ribo-P/Scl-70 etc) PER ANTIBODY

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

70 ANTIBODY RESPONSE TO ANTIGENS 3000 1500

(PNUEMOVAX)
71 ANTI-DIPTHERIA ANTIBODY TITRES. 125 100

72 ANTI-TETANUS ANTIBODY TITRES 125 100

73 PHAGOCYTIC ASSAY BY FLOW 1000 600

CYTOMETRY.
74 GENETIC MUTATION ANALYSIS IN 3000 2000
PRIMARY IMMUNODEFICIENCY DISEASES
(PIDs) (PER MUTATION TEST)

75 NK CELL FUNCTION ASSAY. 3000 1500

76 IMMUNOPHENOTYPING FOR CVID 3000 1500

77 LYMPHOCYTE ACTIVATION/ 1500 1000

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

80 APOPTOSIS ASSAY 3000 1500

19
81 FLOWCYTOMETRIC LYMPHOCYTE SUBSET 3000 1500
ANALYSIS

82 ISOHAEMAGLUTININS TITRES 100 50

83 ANTI-ENDOMYSIAL ANTIBODY BY 200 100
INDIRECT IMMUNOFLUORESCENCE

84 HLA-DQ2 AND DQ8 FOR CELIAC DISEASE 4000 3000

85 FREE LIGHT CHAINS KAPPA BY 1000 500

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

91 DONOR SPECIFIC ANTIBODIES (DSA) 4000 2000

92 COMPLEMENT SCREENING (CH50) 200 100

93 CD40/ CD40L ASSAY BY 1000 600

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

103 CMV VIRAL LOAD- 2000 2000

104 AQUAPORIN-4 (NMO) 3500 2500

20
105 GANGLIOSIDE PROFILE IMMUNOBLOT 3000 2500

106 PARANEOPLASTIC PROFILE 2400 2000

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

114 SYSTEMIC SCLEROSIS PROFILE 4000 2000

IMMUNOBLOT
115 ALLERGY PROFILE BY IMMUNOBLOT 4500 3000
(EACH OF INHALATION/FOOD/ATOPY)

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

2 LIBRARY FACILITY USED BY SPOUSE 0 500

CHILDREN OR PARENTS OF THE FACULTY
RESIDENTS AND OTHER STAFF (THREE
MONTH CHARGES)

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

3 Urine Afb (Smear Concentration Method) 25 25

4 BACTERIOLOGICAL EXAMINATION OF 150 100

WATER

21
5 BACTERIAL CULTURE FOR STERILE BODY 300 150
FLUIDS(CULTURE AND SENSITIVITY)

6 SMEAR FOR BACTERIA (GRAM STAIN) 25 25

7 BACTERIAL CULTURE (STOOL CULTURE 300 150

(ENTERIC PATHOGENS))

8 THROAT SWAB CULTURE/ SENSITIVITY 300 150

9 BACTERIAL CULTURE (URINE 300 150

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

13 ANTISTREPTOLYSIN (LATEX)(ASO TEST) 300 150

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

25 STREPTOCOCCUS PNEUMONIAE 200 100

26 HAEMAPHILIUS INFLUENZAE 200 100

27 NEISSERIA MENINGITIDDIS 200 100
22
28 STREPTOCOCCUS 600 300
PNEUMONIAE+HAEMPHILUS
INFLUENZA+NEISSERIA MENINGITIDDIS
(TRIPLE ANTIGEN)

29 BACTEC CULTURE 450 300

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

33 SPUTUM SMEAR ONLY FOR AFB 150 100

34 ELISA FOR DETECTION OF ANTIGEN 150 100

35 ELISA FOR DETECTION OF ANTIBODY 150 100

36 FUNGAL SEROLOGY(CANDIDA 150 100

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

23
49 MICROSCOPIC AGGLUTINATION TESTS 600 300
(MAT) FOR LEPROSPIROSIS

50 MDR TB DETECTION BY MOLECULAR LINE 25 20

PROBE ASSAY UNDER RNTCP
PROGRAMME

51 ELISA FOR IgM ANTIBODY DETECTION 500 250

FOR SCRUB THYPUS

52 WEIL FELIX 200 100

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

62 EIA FOR CAMPYLOBACTER ANTIGEN 600 400

DETECTION
63 EIA FOR SHIGA TOXINS I & II DETECTION 800 600

64 CLOSTRIDIUM DIFFICILE TOXIN A AND B 500 300

65 CULTURE FOR LEPTOSPIRA 300 150

66 BACTERIAL VAGINOSIS (NUGENTS 100 50
SCORING AND CULTURE)

24
 67 DARK DROUND ILLUMINATION (DGI) FOR 100 50
SPIROCHEATES /LEPTOSPIRA

68 PCR FOR CHLAMDIA TRACHOMATIS 300 150

69 PCR FOR MYCOBACTERIA 1200 600

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

73 RHEUMATOID FACTOR /RA FACTOR BY 300 150

NEPHELOMETRY
74 ELISA FOR MYCOPLASMA PNEUMONIAEN 300 150
IgM ANTIBODY

75 BACTERIAL CULTURE OF ALL 300 150

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

79 PCR FOR SCRUB TYPHUS 300 150

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

1 COPPER(CU) ESTIMATION 250 100

2 ZINC(ZN) ESTIMATION 250 100
3 SERUM CERULOPLASMIN 150 75
4 LACTATE ESTIMATION 350 150
5 AMMONIA 200 100
Nephrology
1 TEG WITH KAOLIN 450 350
25
 2 TEG WITH HEPARINASE & KAOLIN 2200 1100

3 CREATINE KINASE MB (CKMB) 200 100

4 CHOLESTEROL (LDL CHOLESTEROL HDL 200 100
CHOLESTEROL

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

14 ALANINE AMINOTRANSFERASE(SGPT/ 25 25
ALT)

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

20 GLYCOSYLATED HAEMOGLOBIN (HbA1c) 250 100

21 C REACTIVE PROTEIN (CRP) 50 25

22 LACTATE DEHYDROGENASE (LDH). 50 50

23 D-DIMER 300 200

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

26
 2 EEG WITH ACTIVATION 500 150
3 EMG ALONE 250 150
4 EMG AND NERVE CONDUCTION 500 150

5 EMG ANALYSIS ALONE 250 100

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

10 VISUAL AND BRAIN STEM EVOKED 500 150

RESPONSE STUDY
11 VISUAL EVOKED RESPONSE ONLY 250 100

12 CSF TBM PCR 1500 750

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

19 PECHLORATE DISCHARGE TEST 400 200

20 PERITONEO - PLEURAL SCAN 600 300

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

30 MPI-THALLIUM/MIBI/MYOVIEW 6000 3000

31 RENOGRAM(DTPA/EC) 600 300

32 SCINTIMAMMOGRAPHY 1000 500
33 SENTINEL LYMPH NODE MAPPING 1000 500

34 TUMOR IMAGING (MIBI/THALLIUM) 1000 500

35 BRAIN SPECT 1000 500

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

39 PET SCAN (18F-NaF) – BONE 2000 1000

Parasitology
1 QBC FOR MALARIA PARASITE 40 25
2 ANIMAL INOCULATION FOR - 300 200
TOXOPLASMOSIS/ FREE LIVING AMOEBA

28
3 DIRECT MICROSCOPIC EXAMINATION OF 150 75
STOOL
4 ALDEHYDE TEST FOR KALA-AZAR 25 25

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

8 ANTIBODY DETECTION (IgG) FOR 150 100

CYSTICERCOSIS (NCC) SEROLOGY

9 ANTIBODY DETECTION (IgG) FOR 150 100

HYDATIDOSIS (HYDATID) SEROLOGY

10 ANTIBODY DETECTION (IgG) FOR KALA- 400 200

AZAR (RK-39)SEROLOGY

11 ANTIBODY DETECTION (IgG) FOR 150 100

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

14 ANTIBODY DETECTION (IgM) FOR 150 100

MALARIA SEROLOGY
15 TOXOPLASMA AVIDITY ELISA SEROLOGY 500 250

16 TRICHINELLA SEROLOGY 500 250

17 PCR FOR TOXOPLASMOSIS 1200 600
18 PCR FOR LEISHMANIASIS 1200 600
19 SPECIAL STAINING TECHNIQUES FOR 150 75
PARASITES LIKE CRYPTOSPORIDIUM

20 SPECIAL STAINING TECHNIQUES FOR 150 75

PARASITES LIKE ISOSPORA

29
21 SPECIAL STAINING TECHNIQUES FOR 150 75
PARASITES LIKE MICROSPORIDIA

22 BODY FLUID(CSF) EXAMINATION FOR 45 30

PARASITES

23 BODY FLUID(URINE) EXAMINATION FOR 45 30

PARASITES

24 BODY FLUID(PLEURAL FLUID) 45 30

EXAMINATION FOR PARASITES

25 BODY FLUID(PERITONEAL FLUID) 45 30

EXAMINATION FOR PARASITES

26 BODY FLUID(HYDATID FLUID) 45 30

EXAMINATION FOR PARASITES

27 BLOOD SMEAR FOR PARASITE(MALARIA.) 15 10

28 BLOOD SMEAR FOR PARASITE(FILARIA.) 15 10

29 BLOOD SMEAR FOR 15 10

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

31 CULTURE FOR PARASITE(ENTAMOEBA) 150 100

32 CULTURE FOR PARASITE(LEISHMANIA) 150 100

33 CULTURE FOR PARASITE(TRICHOMONAS) 150 100

34 CULTURE FOR 150 100

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

36 ANTIGEN DETECTION FOR MALARIA 250 150

30
 37 ANTIGEN DETECTION FOR FILARIASIS 250 150

38 PLASMODIUM VIVAX (LAMP) 1200 600

39 PLASMODIUM FALCIPARUM (LAMP) 1200 600

40 LAMP TOXOPLASMA GONDII 1200 600

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

9 SKIN TEST FOR ALLERGENS- FUNGAL 100 100

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

14 FIBROPTIC BRONCHOSCOPY 250 100

15 NBT DYE REDUCTION TEST 50 50
16 URINE ELECTROPHORESIS 100 100

31
17 PHA MITOGEN STIMULATION TEST 100 100

18 REHUMATOLD FACTOR(1GM, 1GM, 300 100

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

28 CYTOGENETIC TEST 500 150

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

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

36 ANTI-TETNUS ANTIBODY TITRES 125 100

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

ALL TEST

38 SPOT URINARY PROTEIN/CREATININE 100 50

RATIO
39 LEAD (BLOOD/URINE ) 250 100
40 CARBAMAZEPINE 300 150

32
41 THEOPHYLINE 300 150
42 PHENOBARBITAL 300 150
43 PHENYTOIN 300 150
44 VALPORIC ACID 300 150
45 VANCOMYCIN 300 150
46 CYCLOSPERIN A 1000 500
47 AMPHETAMINE 300 150
48 BARBITURATE 300 150
49 BENZODIAZEPINE 300 150
50 CANNABINOIDS 300 150
51 COCAINE METABILINE 300 150
52 METHADONE 300 150
53 OPIATE 300 150
54 PHENCYCLIDINE 300 150
55 PSA1 400 200
56 MOLECULAR TEST (PCR BASED) 2000 1250

57 PRENATAL DIAGNOSIS BY MOLECULAR 3000 1750

TESTS.
58 CHROMOSOMAL ANALYSIS ON BLOOD 500 250

59 CHROMOSOMAL ANALYSIS ON AMNIOTIC 2000 1000

FLUID/POC
60 FLUORESCENT IN SITUHYBRIDIZATION 4000 3000
ON BLOOD (MICRO DETECTION SYN/X-Y)

61 FLUORESCENT IN SITUHYBRIDIZATION 6000 3500

ANTENANTAL DIAGNOSIS

62 SPECIAL CULTURES FOR CHROMOSOMAL 1000 500

BREAKAGE
63 RETINOL (HPLC) 1000 500
64 TOCOPHEROL (HPLC) 1000 500
65 BIOTINIDASE (SPECTROPHOMETRY) 500 250

33
66 GALACTOSE-1-p URIDY 1 1000 500
TANSFERASE(GALT) (FLUOROMETRY)

67 TYROSINE (FLUOROMETRY) 300 150

68 CONGENITAL HYPOTHYROIDISM (CH), 450 300
CONGENTIAL ADRENAL HYPERPLASIA
(CAH), G6PD DEFICIENCY

69 HIV p24 ANTIGEN ESTIMATION 450 300

70 IgM ANTI BORRELIA ANTIBODY 450 300

71 IgG ANTI BORRELIA ANTIBODY 450 300

72 PCR FOR BORRELIA/ LYME 2700 1800

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

78 ANTI DS DNA ANTIBODY EST BY IIF 400 200

79 DETECTION OF BRUTON TYROSINE 1500 1000

KINASE(BtK PROTEIN OF PERIPHERAL
BLOOD MONOCYTES)

80 DETECTION OF WISKOTT ALDRICH 1500 1000

SYNDROME(WAS) PROTEIN ON
PERIPHERAL BLOOD LYMPHOCYTES

81 ABSOLUTE RETICULOCYTE COUNT 160 80

34
82 RETICULOCYTE PRODUCTION INDEX 160 80

83 GENETIC MUTATION ANALYSIS IN 3000 2000

PRIMARY IMMUNODEFICIENCY DISEASES
(PIDs) (PER TEST)

84 NK CELL FUNCTION ASSAY 3000 1500

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

89 CVID 3000 1500

90 LYMPHOCYTE SUBSET ANALYSIS FOR 300 300
PRIMARY IMMUNE DEFICIENCY WORK UP
(PER ANTIBODY)

91 SERUM B12 200 100

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

35
107 ICP-MS (MORE THAN 6 ELEMENTS) 1200 600

108 DNA BASED MUTATION TESTING FOR 1500 1000

SINGLE GENE DISORDERS

109 DNA BASED MUTATION TESTING IN 2000 1000

LEUKEMIA
110 BODY FLUID TLC & DLC 50 25
111 IMMATURE RETICULOCYTE FRACTION 80 40
(IRF)
112 IMMATURE PLATELET FRACTION (IPF) & 80 40
OR PLATELET-O

113 IRF + IPF/ PLATELET-O 160 80

114 RETICULATED HAEMOGLOBIN (Re-Hb) 80 40

115 METHOTREXATE 1000 500

116 ORGANIC ACID PROFILE BY GCMS 2000 1000

117 METHYLMALONIC ACID (MMA) BY GCMS) 1000 500

118 AMINO ACID PROFILE BY TMS (PLASMA 2000 1000

URINE CSF)
119 ELISA FOR PK ENZYME DEFICIENCY 1000 500

120 ELISA FOR HEPCIDIN 1000 500

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

36
 128 RETICULOCYTE COUNT. 50 50
129 SERUM FERRITIN. 115 100
Pharmacology (Drug Monitoring Charges)

1 THERAPEUTICS DRUG MONITORING 200 100

Physical Rehabilitation Medicine

1 PSYCHOLOGICAL TESTING (CHILDREN 60 60

UPTO 5 YEARS OF AGE)

2 PSYCHOLOGICAL TESTING (PATIENTS 6 100 100

YEARS AND ABOVE)

3 PRM- THERAPEUTIC ACTIVITIES (OT) 25 20

4 PRM ORTHOTIC & PROSTHETIC 25 25

FABRICATION
5 PRM- ELECTROTHERAPY-1 MODALITY 50 50

6 PRM- ELECTROTHERAPY-2 MODALITY 50 50

7 PRM- ELECTROTHERAPY-3 MODALITY 50 50

8 PRM- THERAPEUTIC EXERCISES (PT) 25 20

9 PRM- ELECTRO-DIAGNOSTIC TESTING 40 40

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

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

Plastic Surgery
37
1 ABSCESS DRAINAGE 250 100
2 BIOPSY(PUNCH/ EXCISION/ CERVICAL 250 100
CONE/ ENDOMETRIAL/ BONE TUMOR/
TESTICULAR

3 EXCISION LARGE TUMOUR 1000 300

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

11 PREPARATION & TRANSFER OF TUBE 250 100

PEDICLES
12 REPAIR OF FACIAL FRACTURE 1000 300
13 REPLANTATION OF UPPER/LOWER LIMBS 8000 4000
& OTHER

14 RESECTION OF JAW 2000 1000

15 SEGMENTAL RESECTION OF JAW 1000 500

16 ABDOMINAL FLAPS 2000 1000

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

21 GROIN FLAP 2000 1000

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

38
 26 SPLIT THICKNESS SKIN GRAFTING 500 150

27 ANTERIOR TRANSPOSITION OF ULNAR 2000 1000

NERVE
28 BANKART'S OPERATION 2000 1000
Psychiatry
1 PSYCHOLOGICAL TEST : SINGLE TEST 125 100

2 PSYCHOLOGICAL TEST : BLOCK OF TESTS 250 100

3 PSYCHOLOGICAL TEST : MAXIMUM FROM 500 150

ONE PATIENT

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

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

9 PSYCHOTHERAPY CHARGES(Package 900 450

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

3 BRONCHOSCOPY. 500 250

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

39
 5 CARDIO-PULMONARY EXERCISE TESTS 500 200

6 SLEEP STUDIES 1000 500

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

2 BARIUM ENEMA 250 100

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

8 CT GUIDED PROCEDURES 1500 750

9 CT HEAD (PLAIN & CONTRAST) 2000 1000

10 CT MYELOGRAPHY/ MYELO C.T. 2000 1000

11 CT- HEAD (PLAIN) 1000 300

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

14 FISTULOGRAPHY 200 100

15 FLUOROSCOPY 50 50
16 FLUOROSCOPY INTERVENTIONAL GUIDED 500 150
PROCEDURE

17 GASTROGRAPHIN MEAL 250 100

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

40
21 INFERIOR VENOCAVOGRAPHY 1000 300
22 INTRAVENOUS PYELOGRAPHY (IVP) 450 135

23 MAMMOGRAPHY 250 100

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

26 MYELOGRAPHY CT/ MYELO CT 1000 300

27 NEPHROSTOGRAM 200 100
28 O.T.PROCEDURES (PER FILM) 25 25
29 PTC (PERCUTANEOUS TRANSHEPATIC 500 150
CHOLANGIOGRAPHY)

30 RGU (RETROGRADE URETHROGRAPHY) 100 100

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

32 SHUNTOGRAM 500 150

33 SIALOGRAPHY 250 100
34 SINOGRAM 250 100
35 T.T.C. (T-TUBE CHOLANGIOGRAPHY) 250 100

36 TOMOGRAPHY 500 150

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

39 VASCULAR INTERVENTIONAL 2000 1000

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

41
 48 TOOTH PANORAX 250 100
49 COLOUR DOPPLER 500 200
50 SCANOGRAM 100 100
51 DIGITAL X-RAY 100 100
52 QCT BONE DENSITOMETRY-DEXA- CT 300 300
PROCEDURE
53 MRI (SINGLE REGION) 4500 2500
54 CT FOR STONE DENSITY 300 100
55 CT FOR SOFT TISSUE THICKNESS 300 100

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

57 DEXA SCAN FOR BONE DENSITOMETRY 450 300

58 MR ELASTOGRAPHY 4500 2500

Transfusion Medicine
1 BLOOD GROUPING ABO and RhD 100 50

2 BLOOD GROUPING AND CROSSMATCHING 500 150

OF EACH UNIT OF PACKED RED BLOOD
CELLS (PRBCS)

3 DIRECT COOMBS TEST 200 100

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

13 IRRADIATION OF BLOOD COMPONENTS 300 100

42
 14 WASHED BLOOD COMPONENTS 300 100

15 PLATELETPHERESIS 500 150

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

17 THERAPEUTIC APHERESIS 500 150

18 FLOW CYTOMETRY (CD 34/STEM CELL 1200 1200
ENUMERATION)

Virology
1 ADENO VIRUS ANTIGEN DETECTION 1000 300

2 CMV IgM 150 100

3 RUBELLA IgM 150 100
4 HSV 1 IgM 225 150
5 HSV 2 IgM 225 150
6 VZV IgM 150 100
7 MEASLES IgM 225 150
8 DENGUE IgM 25 20
9 JEIgM 475 350
10 PARVOVIRUS B19 IgM 450 300
11 EBV VCA IgM 225 150
12 ROTA VIRUS ANTIGEN 300 200
13 HSV ANTIBODY IF 150 100
14 HSV 1 ANTIGEN 325 250
15 HSV 2 ANTIGEN 325 250
16 VZV ANTIGEN 325 250
17 RSV ANTIGEN 325 250
18 CMV PP 65 ANTIGEN 500 250
19 RABIES ANTIGEN TEST 75 50
20 HAV IgM 300 150
21 ANTI HCV 200 100
22 HbsAg 100 50
23 HEV IgM 300 150
24 HEV-RTPCR 2000 1000
43
25 HBV VIRAL LOAD 1500 1000
26 HCV VIRAL LOAD 1500 1000
27 HIV Viral Load 1500 1000
28 HCV GENOTYPING 4000 2000
29 HSV- DNA PCR 1200 600
30 CMV- DNA PCR 1200 600
31 JE-RT PCR 2000 1000
32 DENGUE-NS1 ANTIGEN. 25 20
33 CMV VIRAL LOAD 4000 2000
34 RUBELLA IgG 300 150
35 CMV IgG 300 150
36 MUMPS IgM 300 150
37 CHIKUNGUNYA IgM 25 20

44
 User Charges for Procedures in AIIMS Raipur

S Name of Procedure Paying General Remark

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

3 ANGIOPLASTY 7000 3500

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

9 C.A.B.G. + IABP 40000 20000

10 C.A.B.G. + SINGLE VALVE REPLACEMENT 18000 9000

11 C.M.V. 4000 2000

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

23 MITRAL BALLOON VALVOPLASTY 9000 4500

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

45
 29 REPLANT 250 100
30 SINGLE VALVE REPLACEMENT/MVR 9000 4500
31 T.O.F. 12000 6000
32 V.S.D. 9000 4500
Cardiology
1 BALLOON VALVOTOMY/ PTMC - HC 5000 2500
2 CARDIAC CATHETERISATION & ANGIOGRAPHY-HC 1000 500

3 CARDIAC CATHETERISATION - HC 1000 500

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

8 ENDOMYOCARDIAL BIOPSY - HC 2000 1000

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

14 PLAIN BALLOON ANGIOPLASTY(PTCA) 2000 1000

15 RF ABLATION – HC 7500 3750

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

22 PERMANENT PACEMAKER IMPLANTATION (PLUS COST OF 6000 3000

PACEMAKER)-BI-VENTICULAR-HC

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

24 INTRA AOREITC BALOON PUMP - HC 2000 1000

25 INTRA VASCULAR COIL CLOSURE - HC 2000 1000

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

27 APRTOC/PULM.VALVOTOMY – HC 2000 1000

28 IVC FILTER – HC 2000 1000

46
 29 PERIPHERAL STENTING INCLUDING COACET 2000 1000

30 PERMANENT PACEMAKER IMPLANTATION (PLUS COST OF 2000 1000

PACEMAKER) -SINGLE CHAMBER - HC

31 CARDIAC CATHETERIZATION (WITHOUT ANGIOGRAPHY) 1000 300

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

8 COMPLETE DENTURE ACRYLIC - ONE JAW 500 150

9 COMPLETE DENTURE ACRYLIC - BOTH JAWS 1000 300

10 CONDYLECTOMY 1000 300

11 CYSECTOMY 250 100
12 DEFINITIVE OBTURATOR WITH TEETH 500 150

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

COMPOSITE

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

PATIENT

15 EXTRACTION PER TOOTH 25 25

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

23 FIXED PARTIAL DENTURE 3 UTS.WITH PORCELAIN 2000 1000

VEENERING-NON PRECIOUS ALLOY

47
24 FIXED PARTIAL DENTURE PER ADDITIONAL TOOTH WITH 250 100
PROCELAIN VEENERING-SEMI PRECIOUS ALLOY

25 FIXED PARTIAL DENTURE-3 UNITS WITH ACRYLIC 1000 300

VENEERING
26 FIXED PARTIAL DENTURE PER ADDITION TOOTH IN GOLD 250 100
ALLOY
27 FIXED PARTIAL DENTURE PER ADDITION TOOTH WITH 250 100
VEENERING-SEMI PRECIOUS ALLOY

28 FIXED PARTIAL DENTURE PER ADDITIONAL UNIT WITH 500 150

ACRYLIC
29 FRACTURE JAW-OPEN REDUCTION 1000 300
30 FRACTURE JAWS-CLOSED REDUCTION 500 150

31 FRENECTOMTY 150 100

32 FULL METAL CROWN (NICKEL CHROME) 200 100

33 GINGIVECTOMY FULL MOUTH 1000 300

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

40 ORTHODONTIC APPLIANCE,BITE PLATES, RETRACTION 250 100

PLATE
41 ORHTODENTIC TREATMENT BANDING/BONDING PER 50 50
TOOTH EXCLUDING COST OF THE MATERIAL TO BE
BROUGHT BY THE PATIENT

42 OSTEOTOMY 1000 300

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

49 REMOVABLE ACRYLIC PARTIAL DENTURE PER ADDITIONAL 50 50

TOOTH

48
 50 REMOVABLE ACRYLIC PARTIAL DENTURE WITH ONE TOOTH 100 100

51 REMOVABLE CAST PARTIAL DENTURE (CHROMECOBALT) 500 150

WITH ONE TOOTH

52 REMOVAL OF IMPACTION 250 100

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

57 ROOT AMPUTATION 250 100

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

61 SEGMENTAL RESECTION OF JAW 1000 500

62 SEQUESTRECTOMY 250 100
63 SIALOLITHOTOMY 250 100
64 SILVER CAST SPLINT PER DENTAL ARCH 250 100

65 SINGLE JACKET CROWN/DOWEL CROWN IN NON PRECIOUS 250 100

ALLOY
66 SINGLE THREE QUARTER CROWN (NICKEL-CHROME) 250 100

67 SPACE MAINTAINER - SINGLE TOOTH 150 100

68 SPACE MAINTAINER - MULTIPLE TEETH 250 100

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

71 SURGICAL REMOVAL OF ROOT 250 100

72 TOTAL EXTRACTIONAL BOTH JAWS 1000 300
73 TUMOUR EXCISION 1000 300
74 VEENERING-NON PRECIOUS ALLOY 1000 300
75 DENTAL IMPLANT PER UNIT EXCLUDING MATERIAL 1100 550

Dermatology
1 MINI PUNCH GRAFTING FOR VITILIGO 150 100

2 DERMABRASION 100 100

3 MOLE EXCISION 50 50
4 FACE PEEL 100 100

49
 5 SHAVE BIOPSY 50 50
6 PUVA (MONTH OF 12 SITTINGS) 100 100
7 PATCH TEST 50 50
8 SIDE LAB PROCEDURE 25 20
9 SKIN BIOPSY 100 100
10 FULGRATION / CAUTERI/ INTRALESION/ SCRAPING OF 30 30
WART,CORNS/ COMEDON EXTRACTION ETC.

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

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

PER WEEK)

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

6 BIOPSY NECK 250 100

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

50
19 FOREIGN BODY EAR AND NOSE REMOVAL 250 100

20 FRONTAL SINUS OPERATION 2000 1000

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

43 PURE TONE AUDIOMETRY 150 100

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

51
 58 BIOPSY.. 100 50
59 LOBULOPLASTY 200 100
60 CRYOSURGERY 200 100
61 SYRINGING 25 20
62 DILATATION 100 50
63 TONGUE TIE RELEASE 100 20
64 SPEECH AUDIOMETRY 150 50
65 HEARING AID FITTING 150 50
66 EVOKED RESPONSE AUDIOMETRY 300 150
67 BOA 150 50
68 SPEECH THERAPY PACKAGE FOR FOUR SESSION 200 100

69 AUDITO.VERBAL THER.FOR COCHLEAR IMPLANT 5000 5000

70 VNG(VIDEO NYSTAGMOGRAPHY) 200 200

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

77 WESTERN APHRASIA BATTERY (WAB) 25 20

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

79 ARTICULATION TESTS - HAT PAT 25 20

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

9 PANCREATIC ELASTASE IN SERUM 250 100

10 PANCREATIC ELASTASE IN STOOL 250 100
52
 11 SERUM GASTRIN 100 100
12 DILATATION OF ESOPHAGUS: WITH ANAESTHESIA 500 150

13 DILATATION OF ESOPHAGUS: WITHOUT ANAESTH 200 100

14 SIGMOIDOSCOPY 250 100

15 EXCISION RECTAL PLOYPS-WITHOUT ANAESTHESIA 200 100

16 EXCISION RECTAL PLOYPS-WITH ANAESTHESIA 500 150

17 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITHOUT 200 100

ANAESTHESIA

18 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITH GA 500 150

19 MANOMETRY 400 200

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

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

23 FAECAL LACTOFERRIN ASSAY 500 300

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

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

4 PARATHYROIDECTOMY 6000 3000

53
 5 PAROTIDECTOMY RADICAL/TOTAL 5000 2500
6 SUBMANDIBULAR GLAND EXCISION 1000 500
7 THYROGLOSSAL CYST,FISTUAL,BRANCHIAL CYST AND 1000 300
OTHER NECK SURGERY

8 THYROIDECTOMY TOTAL/NEAR TOTAL 5000 2500

9 TRACHEOSTOMY 300 150

10 ADRENALECTOMY (PHEOCHROMOCYTOMA / 5000 2500
CUSHINGS/CONNS ETC.)

11 AXILLARY CLEARANCE 1000 300

12 BREAST CONSERVATION SURGERY FOR CANCER 1500 750

13 BREAST RECONSTRUCTION AFTER MASTECTOMY 3500 1750

14 EXCISION OF BENIGN BREAST LUMP/ABSCESS 250 100

15 PANCREATIC ENDOCRINE TUMOURS 4000 2000

16 RADICAL MASTECTOMY 2500 1250
17 SIMPLE MASTECTOMY WITH AXILARY CLEARANCE 2000 1000

18 INTERCOSTAL DRAINAGE 250 100

19 THORACTOMY FOR GENERAL SURGERY PROCEDURE 2500 1250

20 OTHER MAJOR CHEST SURGERY AS ADDITIONAL 2500 1250

PROCEDURE IN GS
21 APPENDICETOMY 1000 300
22 BILE DUCT CARCINOMA SURGERY/ PERI AMPLLARY 5000 2500
CARCINOMA SURGERY (WHIPPLES OPERATION)

23 BYPASS PROCEDURES,OPERATIVE STENTING ECT FOR 2000 1000

MALIGNANT JAUNDICE

24 CHOLECYSTECTOMY + CBD EXPLORATION + DRAINAGE 3000 1500

PROCEDURE

25 CHOLECYSTECTOMY + CBD EXPLORATION 2500 1250

26 COLOSTOMY CLOSURE 1000 300

27 COLOSTOMY/ILEOSTOMY 1500 750
28 FEEDING JEJUNOSTOMY,GASTROSTOMY 500 150

29 FISSURE , FISTULAE , HAEMORRHOIDS 250 100

30 GALL BLADDER SURGERY 500 150

54
31 HERNIA REPAIR(INGUINAL,UMBILICAL,EPIGASTRIC) 1000 300

32 HERNIA REPAIR (MESH REPAIR) 1500 750

33 ILEOCAECAL RESECTION,COLOSTOMY PARTIAL 2000 1000

34 INGUINAL/AXILLARY BLOCK DISSECTION 2000 1000

35 INTESTINAL OBSTRUCTION, 1500 750

ADHESIOLYSIS,STRRCTEROPLASTY ETC.

36 LAPAROSCOPIC CHOLECYSTECTOMY 5000 2500

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

40 LIVER RESECTIONS FOR CANCER 4000 2000

41 LAPROTOMYH WITH MINOR BIOPSY PROCEDURE AFTER 1000 300
(STAGING LAPAROTOMY/ LIVER BIOPSY)

42 OPERATION FOR CANCER OF OESOPHAGUS 4000 2000

43 OPERATION FOR CANCER OF STOMACH/TOTAL 3000 1500

44 PANCRATECTOMIES AND PANCREATIC DRAINAGE 3000 1500

PROCEDURE AND NECROSECTOMY

45 PARTIAL AMPUTATION OF PENIS 1000 500

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

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

PERFORATION ETC.

49 SPHINCTER SAVING PROCEDURES OF RECTUM 3000 1500

50 SURGERY FOR BILE DUCT STRICTURES 5000 2500

51 SURGERY FOR PORTAL HYPERTENTION 5000 2500

52 AORTIC SURGERY 10000 5000

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

55
58 PERIPHERAL VASCULAR TRAUMA REPAIR 2000 1000

59 VENOUS SURGERY INCLUDING VARICOSE VEINS 2000 1000

60 AMPUTATION (ANY LIMB) 2000 1000

61 AMPUTATION HAND/FOOT 1000 300
62 DIABETIC FOOT DERBRIDEMENT 500 150
63 OTHER RETROPERITONEAL DRAINAGE OF ABSCES 1500 750

64 RETROPERITONEAL TUMOUR EXCISION 3500 1750

65 ABSCESS DRAINAGE UNDER G.A. 250 100

66 ASPIRATION OF COLD ABSCESS/CYSTS 250 100

67 BIOPSY(PUNCH/EXCISION/ CERVICAL CONE/ ENOMERIAL/ 250 100

BONE TUMOUR/ TESTICULAR EYE ETC)

68 CIRCUMCISION 250 100

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

71 INJECTION OF KELOIDS 250 100

72 LACERATION SUTURE,ABSCESS DRAINAGE UN-LA 100 100

73 EXAMINATION UNDER G.A. 250 100

74 NECK LN DISSECTION FOR CANCER - SUPRAHYOID 3000 1500

75 PAROTIDECTOMY- SUPERFICIAL 3000 1500

76 THYROIDECTOMY- HEMI/SUB-TOTAL 3000 1500

77 THYROIDECTOMY- ENUCLEATIONJ OF NODULE 1000 300

78 AMOEBIC LIVER ABSCESS, HYDATID.LIVER, 2000 1000

RESECTIONAL,DEBRIDEMENT FOR TRAUMA ETC.

79 CHOLECYSTECOMY- STANDARD 2000 1000

80 CHOLECYSTECOMY- MINI LAP 2500 1250
81 COLOSTOMY CLOSURE WITH RESTORATION GUT 1500 750

82 INCISIONAL HERNIA- ANATOMICAL 2000 1000

83 INCISIONAL HERNIA- WITH MESH(PAT'S MESH 2500 1250

84 TOTAL COLECTOMY ABDOMINO-PERI RESECTION 4000 2000

56
 85 OPERATION OF CANCER OF STOMACH-SUB TOTAL/ 2000 1000
ANTRECTOMY

86 TOTAL AMPUTATION OF PENIS 2000 1000

87 INCISION AND DRAINAGE- GEN. ANAESTHESIA 250 100

88 COLONOSCOPY. 250 100

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

94 ENDOSCOPY PLUS REMOVAL OF FOREIGN BODY WITH 500 150

ANAESTHESIA.

95 ENDOSONOGRAPHY (EUS). 250 100

96 SIGMIODOSCOPY. 250 100
97 DILATATION OF ESOPHAGUS WITH ANAESTHESIA. 500 150

98 DILATATION OF ESOPHAGUS WITHOUT ANAESTHESIA. 200 100

99 ENDOSCOPIC RETROGRADE CHOLANGIO 500 150

PANCREATOGRAPHY (ERCP).

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

3 INTERMITTENT PERITONEAL DIALYSIS 230 100

4 PLASMA PHERESIS 500 150

5 CAPD CATHETER INSERTION SURGERY 500 150

6 CAPD INTIATION TRAINING 500 150

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

57
 7 CRANIOTOMY FOR ANEURYSM AND ARTERIOVENOUS 8000 4000
MALFORMATION
8 CRANIOTOMY FOR TUMOURS(OTHR THN SKULL BASE) 8000 4000

9 CRANIOTOMY OR CRANITERECTOMY FOR HEAD INJURIES 5000 2500

10 CRANIOTOMY-SKULL BASE SURGERY 8000 4000

11 CRANIOTOMY-TRANSPHENOIDAL SURGERY 5000 2500

12 EXPLORATARY BURRHOLES 2000 1000

13 I.C.P. MONITORING 1000 500
14 INTRAMEDULLARY TUMOUR SURGERY 5000 2500

15 LAMINECTOMY 5000 2500

16 LUMBER PUNCTURE/VENTRICULAR TAP 250 100

17 NERVE BLOCK FOR PAIN 500 150

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

23 SPINAL FUSION 5000 2500

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

31 TWIST DRILL ASPIRATIONS 250 100

32 V.P. SHUNT/REVISION SHUNT 2000 1000
33 VENTRICULOGRAM/CSF PRESSURE MONITORING 1000 300

34 CLOSRE OF SPINAL NEURAL.TUBE DEFECT FOR Eg 2000 1000

MENINGOCELE, MENINGOMYELOCELE, SPINAL DYRAPHISM

35 EXCISION OF SACROCOCOYGEAL TERATOMA 2000 1000

36 CRANCTOMY-CRANIOTOMY FOR CP ANGLE TUMOUR 8000 4000

58
 37 GAMMA KNIFE THERAPY 100000 75000
Nuclear Medicine
1 FDG SALE (10 mCi calibrated for destination) 6000 6000

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

3 RN THERAPY (IODINE-131) FOR THYROID CANCER (UPTO 50 2000 2000

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

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

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

THAN 150 mCi)

9 RN THERAPY FOR MAT. BONE PAIN PALLIATION 4000 2000

10 PET SCAN - SINGLE REGION 6000 3000

11 PET SCAN - FOLLOW UP 8000 4000
12 INFECTION IMAGING WITH LEUKOCYTES 2000 1000

13 RN THERAPY (SIRT/TARE) FOR LIVER CANCER (SELECTIVE 10000 5000

INTRA-ARTERIAL RADIONUCLIDE THERAPY(SIRT))

14 RN THERAPY (LU-177 DOTATATE) FOR NEUROENDOCRINE 50000 20000

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

19 RN SKIN PATCH THERAPY 2000 1000

20 DACRYOSCINTIGRAPHY 400 200
21 GFR (IN-VITRO) 600 300
Obstetrics & Gynaecology
1 ABD. PERINEAL RECONSTRUCTION CX+UTERUS+VAGINA 5000 2500

2 CAESAERIAN HYSYTERECTOMY 2000 1000

3 CERVICAL BIOPSY 250 100
4 COLOPOTOMY 500 150
5 COLPOELEISIS/COLPORRHOPHY 1000 300

59
 6 CONE BIOPSY CERVIX 1000 300
7 CRYOSURGERY 200 100
8 D&C 500 150
9 DELIVERIES NORMAL 1000 500
10 DILATATION OF CERVIX 250 100
11 ELECTRO CAUTERIZATION 250 100
12 ENDOMETRIAL BIOPSY 250 100
13 EVACUATION 500 150
14 FRACTIONAL CURETTAGE 500 150
15 HYDROTUBATOION 250 100
16 HYMENECTOMY 250 100
17 HYSTERECTOMY(ABDOMINAL) 2000 1000
18 HYSTERECTOMY(WERTHEIMS) 5000 2500
19 MANUAL REMOVAL OF PLACENTA 1000 300
20 OVARION CYSTECTOMY 1000 500
21 OVARITOMY 1000 300
22 PELVIC EXENTERATION 5000 2500
23 PLASTIC OPERATION ON UTERUS 2000 1000
24 RADICAL VULVECTOMY 2000 1000
25 REPAIR OF PERINEAL TEAR 500 150
26 SALPINGECTOMY 1000 300
27 SALPINGOSTOMY 1000 300
28 SCHAUHA'S OPERATION 5000 2500
29 TUBAL INSUFFLATION 250 100
30 TUBOPLASTY 2000 1000
31 VAGINAL HYSTERECTOMY 2000 1000
32 VAGINOPLASTY 500 150
33 WEDGE RESECTION OF OVARY 1000 300
34 WERTHEIM'S HYSTERECTOMY 5000 2500
35 MANCHESTER OPERATION 2000 1000
36 VAULT REPAIR(VAGINAL) 1000 300
37 ABDOMINAL SLING 1000 300
38 MYOMECTOMY 1000 300
39 EXPLORATORYLAPAROTOMY 1000 300
40 RECTOVAGINAL FISTULA 2000 1000
41 VESICOVAGINAL FISTULA 2000 1000
42 SIMPLE VULVECTOMY 1000 300
43 B/L INTERNAL ILIAC LIGATION 1000 300
44 ABDOMINOPERINEAL REPAIR 1000 300
45 DIAGNOSTIC LAPAROSCOPY 1000 500

60
46 LAPAROSCOPIC REMOVAL OF IUCD 500 150
47 DIAGNOSTIC HYSTEROSCOPY 250 100
48 HYSTEROSCOPIC REMOVAL OF STENT 500 150

49 HYSTEROSCOPIC REMOVAL OF IUCD 500 150

50 HYSTEROSCOPIC ADHESIOLYSIS 1000 500
51 FORCEPS/VACUUM EXTRACTION DELIVERY 1500 750

52 CESAREAN SECTION 2000 1000

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

57 DESTRUCTIVE OPER.- WITH ANAESTHESIA 1000 300

58 OPERATION FOR STRESS INCONTINENCE 1500 750

59 VULVAL BIOPSY 250 100

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

64 BARTHOLIN ABSCESS- MARSUPALISATION 500 150

65 POLYPECTOMY 500 150

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

71 SINUS EXCISION 250 100

72 IVF-IN VITRO FERTILIZAT-HOSPITAL CHARGES 2500 2500

73 ADHESIOLYSIS/TUBOPLASTY 1000 500

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

61
 81 PRENATAL SCREENING- 1ST TRIMESTER (DUAL SCREENING) 1000 500

82 PRENATAL SCREENING- 2ND TRIMESTER (TRIPLE 1500 750

SCREENING)
83 COLPOSCOPY 300 150
84 SEMEN ANALYSIS 100 50
85 Semen Culture 100 50
86 INTRAUTERINE INSEMINATION (IUI) 300 150
87 INTRAUTER INE TRANSFUSION (IUT) 1000 500

88 HYSTEROSCOPY & LAPAROSCOPY (HYSTEROLAP) 1000 500

89 LEEP 300 150

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

94 EXAMINATION UNDER G.A 250 100

Ophthalmology
1 ABSCESS INCISION AND DRAINAGE (LID LACRIMAL) 250 100

2 APPLICATION OF CORNEAL GLUE 575 170

3 AUTO PERIMETRY 50 50
4 AUTOREFRACTION OR REFRACTION UNDER TROPLICAMIDE 10 10

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

7 BUCKLE REMOVAL 1000 300

8 C-DCR (CONJUCTIVE DACRYO CYST RHONOSTOMY 5000 2500

9 CANALICULOPLASTY 2000 1000

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

15 COMBINED PK WITH GLAUCOMA SURGERY OR VITRECTOMY 5000 2500

OR LENS
16 CONJECTIVOPLASTY 2000 1000
17 CONTACT LENS TRIAL 45 45
18 CORNEAL F.B. REMOVAL 250 100

62
19 CRYOTHERAPY (CONJUCTIVAL/CORNEAL) 1000 300

20 CRYOTHERAPY RETINAL 2000 1000

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

30 DIURNAL VARNATION/WATER DRINKING TEST 50 50

31 ECTROPION CORRECTION 2000 1000

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

34 ENUCLEATION 2000 1000

35 ENUCLEATION WITH ORBITRAL IMPLANT 2000 1000

36 EPICANTHOUS 2000 1000

37 EVISCERATION 1000 300
38 EXAMINATION UNDER ANAESTHESIA 230 100

39 EXENTERATION 2000 1000

40 EXENTERATION WITH SKIN GRAFTING 5000 2500

41 EXPRESSION OF FOLLICIES 250 100

42 FLUORESCEIN ANGIOGRAPHY 115 100
43 HESS CHARTING 25 25
44 INTRACULAR FOREIGN BODY REMOVAL KERATOPLASTY 5000 2500

45 IRIDECTOMY 2000 1000

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

49 KERATO-REFRACTIVE SURGERY 5000 2500

50 KERATOPROSTHESIS STAGE -I 2000 1000
51 KERATOPROSTHESIS STAGE -II 2000 1000
52 LAMELLER KERATROPLASTY 2000 1000
53 LATERAL ORBIOTOMY 5000 2500

63
54 LID RETRACTION 2000 1000
55 LIMBAL RING X-RAY 250 100
56 ORTHOPTIC EXERCISE ON SYNAPTOPHORE 115 100

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

61 PENETRATING KEROTOPLASTY 5000 2500

62 PERIMETRY 25 25
63 PHOTOCOAGULATION (XEBIB/ARC) PER SITTING 1000 300

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

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

74 REMOVAL OF ORBITAL IMPLANT 250 100

75 REPAIR OF CORNEAL WOUND 2000 1000
76 REPAIR OF PERFORATING EYE INJURY 1750 875

77 REPAIR OF SCLERAL RUPTURE 2000 1000

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

64
 90 THERMOKERATOPLASTY 2000 1000
91 TRABECULECTOMY 2000 1000
92 TRABECULOTOMY WITH TRABECULECTOMY 2000 1000

93 TREPHINATION 2000 1000

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

99 LASIK SURGERY SINGLE EYE-HOSPITAL CHARGE 1000 1000

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

HOSPITALCHARGES

101 FEMTO ASSISTED LASIK SURGERY(SINGLE EYE) 2500 2500

102 FEMTO ASSISTED KERATOPLASTY(RECIPIENT & DONOR 5000 5000

EYE)

103 FEMTO ASSISSTED INTRA CORNEAL RINGS BOTH EYE 2000 2000

104 FEMTO ASSISISTED INTRA CORNEAL RINGS SINGLE EYE 1000 1000

105 IVIA (AVASTIN) INJECTION INCLUDING TWO PAIRS OF 100 100

GLOVES AND EYE DRAPE SHEET-HOSPITAL CHARGES

106 RETINA LAB PACAKGE (RLP) (REFRACTION BIOMETRY 250 250

PERIMETRY OCT FFA ULTRASOUND(FOR 6 MONTHS))

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

108 HLA B27 BY FLOW CYTOMETRY 1500 750

109 LUCENTIS INJECTION(PACKAGE FOR RETINA DESEASE WITH 500 500
4 PAIRS OF GLOVES EYE BUDS AND SYRINGES)- HC

110 OZURDEX INJECTION PACKAGE -HC 500 500

111 MULTIPLEX OCULAR VIRAL PCR 1200 600
112 OCULAR FUNGAL SMEAR/KOH EXAMINATION 50 25

113 CD3/CD4/CD8 900 450

65
114 IL-10 AND IL-6 QUNATICYTOKINE 1200 600
115 OCULAR DEMODEX EXAMINATION 60 30
116 OCULAR ADENO VIRUS PCR 1200 600
117 OCULAR TUBERCULOSIS PCR (MULTIPLEX-NESTED) 800 400

118 OCULAR TOXOPLASMA PCR 1200 600

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

120 OCULAR FUNGAL PCR 600 300

121 PCR FOR PAN BACTERIAL FROM OCULAR FLUIDS 600 300

122 GENEXPERT CEPHHEID FROM OCULAR FLUIDS 3000 1500

123 Mtb/NTM OCULAR DIAGNOSTIC TEST 1200 600

124 ADENO VIRUS IMMUNO FLUORESCENCE 600 300

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

126 MOLECULAR GENETIC MUTATION RT PCR/ SEQUENCING 4000 2000

127 LINE PROBE ASSAY FROM OCULAR FLUIDS 25 20

128 RIF ANTIBIOTIC RESISTANCE OCULAR FLUIDS 25 20

129 INTERFERON-GAMMA RELEASE ASSAYS (IGRA) 2000 1000

130 AUTOLOGOUS SERUM 100 50

131 AMNIOTIC MEMBRANE 400 200
Orthopaedics (Amputations)
1 AMPUTATIONS THROUGH ARM/FOREARM 2000 1000

2 AMPUTATIONS THROUGH HAND/FOOT 1000 300

3 AMPUTATIONS THROUGH THIGH/LEG 2000 1000

4 DISRTICUL.THROUGH MAJOR JOINTS OF LIMB 2000 1000

5 DISARTICULATION THRU SMALL JOINTS OF HAND/ FEET 500 150

6 EXCISION OF SUPERNUMERY DIGIT 500 150

7 FORE QUARTER AMPUTATION 5000 2500
8 HIND QUARTER AMPUTATION 5000 2500
9 ARTHRODESIS OF LARGE JOINTS (HIP,KNEE,SHOULDER, 2000 1000
ANKLE, WRIST)

66
10 ARTHRODESIS OF SMALL JOINTS OF HAND/FOOT 1000 300

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

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

13 LAVAGE 1000 300

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

31 FIBULECTOMY 1000 300

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

36 EXCISIONAL ARTHROPLASTY OF HIP 2000 1000

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

39 EXTERNAL FIXATION WITH SOFT TISSUE RECONSTRUCTION 5000 2500

PROCEDURE

40 MINI FIXATOR 2000 1000

41 PIN AND PLASTER APPLICATION 2000 1000
42 RING FIXATOR 2000 1000
43 TABULAR EXTERNAL FIXATOR 2000 1000
44 INTERLOCKING NAILING 1000 300
67
45 K.WIRE FIXATION 500 150
46 MEYER'S PROCEDURE 5000 2500
47 NAILING 2000 1000
48 NECK RECONSTRUCTION 5000 2500
49 PLATING 2000 1000
50 SCREW FIXATION 500 150
51 CONDYLAR BLADE PLATES 5000 2500
52 DYNAMIC COMPRESSION SCREW 5000 2500
53 DYNAMIC HIP SCREW 5000 2500
54 SD.P.NAIL PLATE 5000 2500
55 TENSION BAND WIRING 1000 300
56 PARTIAL (HEMI) HIP REPLACEMENT 5000 2500
57 REPLACEMENT OF SMALL JOINTS OF HAND OR FOOT 5000 2500

58 TOTAL HIP REPLACEMENT 8000 4000

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

61 FEMORAL LENGTHENING 5000 2500

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

64 TIBIAL LENGTHENING 5000 2500

65 CLOSED REDUCTION OF FRACTURES/DISLOCATIONS UNDER 1000 300
GA

66 CLOSED REDUCTION OF FRACTURE & /DISLOCATION UNDER 250 100

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

76 OPEN REDUCTION OF DISLOCATION 1000 300

77 SEQUESTRECTOMY 500 150
78 SAUCERIZATION 500 150
79 SINUS TRACT EXCISION 50 50

68
 80 BODY JACKET (PVC) 500 150
81 CAST BRACE 500 150
82 FLOOR REACTION ORTHOSIS (FRO) 1000 300
83 HAND SPLINTS 250 100
84 CORRECTIVE OSTEOTOMY OF LONG BONES 2000 1000

85 CORRECTIVE OSTEOTOMY OF SMALL BONES 2000 1000

86 FRENCH OSTEOTOMY 2000 1000

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

103 REDICLED FLAP 2000 1000

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

107 BANKART'S OPERATION 2000 1000

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

111 MC BRIDGE PROCEDURE 2000 1000

112 NEUROLYSIS 2000 1000
113 PUTTI PLAT OPERATION 2000 1000

69
114 RECONS.SURGERY OF THE HAND (FOR POST TRAUMATIC & 2000 1000
CONGENITAL ANOMALIES/ DEFORMITIES)

115 SYNOVECTOMY 2000 1000

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

120 MAX PAGE RELEASE 1000 300

121 POSTERO MEDIAL SOFT TISSUE RELEASE 1000 300

122 SOUTTER'S AND YOUNTS SOFT TISSUE RELEASE 1000 300

123 STEINDLER'S RELEASE 1000 300

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

133 ANTERIOR LOOSENING 8000 4000

134 ANTERIOR LOOSENING WITH INSTRUMENTATION 8000 4000

135 ANTERIOR SPINAL FUSION 5000 2500

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

141 POSTEROLATERAL SPINAL FUSION WITH 5000 2500

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

144 TRANSTHORACIC DECOMPRESSION 8000 4000

145 TENDON REPAIR/GRAFTING 2000 1000
146 CURETTAGE 5000 2500

70
147 CURETTAGE WITH BONE GRAFTING 1000 300
148 CURETTAGE WITH BONE CEMENT 1000 300
149 DEBULKING OF THE TUMOUR 2000 1000
150 EXCISION OF THE TUMOURS OF THE HAND OR FOOT 1000 300

151 RADICAL RESECTION OF THE LARGE TUMOUR 2000 1000

152 RESECTION ARTHRODESIS (WITH INTERNAL OR EXTERNAL 5000 2500

FIXATION)
Paediatric Surgery
1 ABDOMINOPERINEAL PULL THROUGH 5000 2500

2 ANOPLASTY FOR IMPERFORATE ANUS 2000 1000

3 LAP. APPENDICECTOMY 2000 1000

4 BIOPSY OF ULCER 250 100
5 BRACHIAL SINUS EXCISION 1000 300
6 CHANGE OF SUPRAPUBIC CYSTOSTOMY TUBE 50 50

7 CIRCUMCISION 250 100

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

13 CYSTO PANADOSCOPY 500 150

14 CYSTOLITHOTOMY 1000 300
15 CYSTOSTOMY 250 100
16 DRAINAGE OF ABSCESS SUTURING OF MINOR 250 100

17 EPISPADIAS REPAIR 1000 300

18 EXAMINATION UNDER G.A. 250 100
19 EXCISION OF OMPHALOMESENTRIC DUCT 2000 1000

20 EXCISION OF POSTERIOR URETHERAL VALVE 2000 1000

21 EXCISION OF RECTAL POLYP 1000 300

22 EXCISION OF SMALL CYSTS GANGLIA ETC 250 100

23 GASTROSTOMY 1000 300

24 GUT BACK OPERATION FOR IMPERFORATE ANUS 1000 300

25 HEMIHEPATECTOMY 5000 2500

71
26 HYDROCORTISONE INJECTION OF PEYRONIES DI 250 100

27 IIEAL OR COLON CONDUIT 5000 2500

28 INTERCOSTAL DRAINAGE 250 100
29 INTUSSUSCEPTION 2000 1000
30 LAPAROTOMY WITH ADDL.PROCEDURES LIKE RESECTION & 2000 1000
ANASTOMOSIS

31 LIGATION OF UMBLICAL POLYP 250 100

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

35 MINOR URETHROPLASTY 250 100

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

44 PREPUCIAL DILATATION 250 100

45 PRIMARY RECONSTRUCTION FOR EXTROPHY OF BLADDER 5000 2500

46 PYELOLITHOTOMY 2000 1000

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

49 PYLOROMYOTOMY 2000 1000

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

51 REPAIR OF PARTIAL CLEFT LIP 1000 300

52 REVISION/ DILATATION OF ILEOSTOMY/ COLOSTOMY 250 100

53 RIB RESECTION AND DRAINAGE 1000 300

54 SCAR EXCISION UNDER GA 250 100
55 SECONDARY PROCEDURE FOR EXTROPHY OF BLADDER 1000 300

56 SIQMODIOSCOPY UNDER GA 500 150

57 SKIN TAG EXCISION UNDER GA 250 100
58 SPLENECTOMY 2000 1000
59 STITCH REMOVAL UNDER GA 250 100

72
60 SURGICAL SEPARATION OF CONJOINED SIAMESE TWINS 8000 4000

61 TAPPING OF HYDROCELE 250 100

62 TESTICULAR BIOPSY 250 100
63 THYROGLOSSAL SINUS AND FISTULA EXCISION 1000 300

64 TOTAL CORRECTION OF EXTROPHY OF URINARY BLADDER 5000 2500

65 TRACHEO-OESOPHAGEAL FISTULA WITH OESOPHAGEAL 5000 2500

ATRESIA
66 TRANSPOSITION OF ANUS FOR ECTOPIC ANUS 2000 1000

67 URETEROSTOMY OR URETERS SIGMOIDOSTOMY 5000 2500

68 URETHROPLASTY FOR PENILE OR PENOSCROTAL TYPE 5000 2500

HYPOSPADIAS
69 URINARY DIVERSION E.G. CUTANEOUS VESICOSTOMY OR 2000 1000
URETOROSTOMY

70 VENTRICULOATRIAL SHUNT 2000 1000

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

78 MEDIASTINAL DUPLICATION/TUMOUR 5000 2500

79 BRONCHOSCOPY 600 300

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

83 LIVER INJURY-SUTURING OF LIVER PARENCHYMA 1000 300

84 LIVER ABSCESS DRAINAGE 1500 750

85 HYDATID CYST LIVER 2000 1000
86 SURGERY FOR MALROTATION-LADD'S PROCEDURE 2000 1000

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

88 COLOSTOMY CLOSURE/ILEOSTOMY CLOSURE 1500 750

73
 89 MODIFIED DUHAMEL'S PROCEDURE/ TRANSANAL PULL 3000 1500
THROUGH

90 SURGERY FOR CLOACA 5000 2500

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

94 MESENTERIC CYST EXCISION 1500 750

95 EXOMPHALOS/GASTROSCHISIS REPAIR 3000 1500

96 NISSEN'S FUNDOPLICATION 2000 1000

97 OESOPHAGEAL DILATATION UNDER GA 500 150

98 EXCISION OF RETROPERITONEAL LUMP 3000 1500

99 MECKEL'S DIVERTICULECTOMY 1000 300

100 OESOPHAGOSCOPY 500 150
101 URETERIC REIMPLANTATION 2000 1000
102 SURGERY FOR CLOACAL EXSTROPHY 5000 2500
103 ANTERIOR URETHRAL DIVERTICULUM 2000 1000

104 OVARIAN TUMOUR 2000 1000

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

109 DIAGNOSTIC LAPAROSCOPY 1000 500

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

2 EXTERNAL RADIATION (PALLIATIVE TREATMENT)- 3000 1500

CONVENTIONAL RADIOTHERAPY AND 3-D CRT

3 RADIOTHERAPY BY INTERSTITIAL BRACHY THER 3000 1500

4 EXTERNAL RADIATION (RADICAL TREATNMENT)- 5000 2500

CONVENTIONAL RADIOTHERAPY AND 3-D CRT

5 I.M.R.T 10000 5000

6 I.G.R.T 15000 7500
7 V.M.A.T 20000 10000
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 8 S.B.R.T 20000 10000
Renal Transplant Surgery
1 AV FISTULA FOR HD. 1000 500
2 SYNTHETIC GRAFT FOR DIALYSIS ACCESS. 2000 1000

3 ULTRASOUND TO EVALUATE FORE ARM VESSELS FOR 100 100

CREATION OF VASCULAR ACCESS

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

2 CAVERNOSOMETRY AND CAVERNOSOGRAPHY 300 100

3 CYSTOGRAM 150 100

4 INTRAVESICAL INSTILLATION OF CHEMOTHERAPY/ BCG 150 100

5 MCU + RGU 250 100

6 NEPHROSTOGRAM 200 100
7 PIPE TEST 150 100
8 RETROGRADE/ANTEGRADE CONTRAST STUDY 150 100

9 RGP (RETROGRADE URETEROPYELOGRAM) 300 100

10 RGU/ MCU 100 100

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

15 CIRCUMCISION/MEATOPLASTY UNDER LA 250 100

16 CLOT EVACUATION/BLADDER IRRIGATION-LA UN 250 100

17 CYSTOSCOPY/CHECK CYSTOSCOPY UNDER LA 250 100

18 ENDOSCOPIC REMOVAL OF URETERIC STENT/BLADDER 250 100

STONE/FOREIGN BODY

19 INCISION AND DRAINAGE OF ABSCESS UNDER LA 250 100

20 OPEN SURGICAL BIOPSY OF PENILE LESION UNDER LA 250 100

21 OPERATIONS FOR HYDROCELE UNDER LA 250 100

22 REDUCATION OF PARAPHOMOSIS UNDER LA 250 100

75
23 RETROGRADE URETERIC CATHETERISATION UNDER LA 250 100

24 SECONDARY SUTURING OF WOUNDS UNDER LA 250 100

25 TESTICULAR BIOPSY UNDER LA 250 100

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

28 URETHERAL DILATATION UNDER LA 250 100

29 CHECK CYSTOSCOPY/ FULGURATION OF BLADDER TUMOUR 1000 300

30 CYSTOSCOPY AND BLADDER BIOPSY 1000 300

31 DEROOFING OF EJACULATORY DUCT-GA 1000 300

32 DEROOFING / INCISION OF URETEROCELE-GA 1000 300

33 DETORS.&ORCHIOPEXY FOR TORSIONTESTIES-GA 1000 300

34 ENDOSCOPIC INCISION OF BLADDER NECK-GA 1000 300

35 ENDOSCOPIC RETRIEVAL OF BLADDER STONE-GA 1000 300

36 EXAMINAT.UNDER ANAESTH.(EUA)FOR COMPLEX GENITO- 1000 300

URINARY FISTULA/ GENITAL

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

38 EXCISION OF VESICO-CUTANEOUS FISTULA-GA 1000 300

39 MEATOPLASTY-GA 1000 300

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

46 REPAIR OF URETHRAL FISTULA-GA 1000 300

47 SUPRAPUBLIC CYSTOSTOMY/ CYSTOLITHOTOMY-GA 1000 300

48 URETERIC STENTING-GA 1000 300

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

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50 BILATER.INTERN. ILIAC ARTERY LIGATION 2000 1000

51 CHORDEE CORRECTION FOR PENILE CHORDEE WITH 2000 1000

HYPOSPADIAS
52 DRAINAGE OF PERINEPHRIC ABSCESS 2000 1000

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

URETERO-URETEROSTOMY

54 ENDOSCOPIC RETRIEVAL/BASKETING OF URETERAL STONE 2000 1000

55 EXCISION AND/DEROOFING OF RENAL CYST 2000 1000

56 EXCISION OF ADRENAL CYST 2000 1000

57 EXCISION OF SINUS/FISTULA IN FLANK REGION 2000 1000

58 CYSTOLITHOTRIPSY 2000 1000

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

61 IMPLANTATION OF PENILE PROSTHESIS 2000 1000

62 LYMPHATIC DISCONNECTION OF KIDNEY FOR CHYLURIA 2000 1000

63 NEPHRECTOMY FOR PYONEPHROSIS/ NON-FUNCTIONING 2000 1000

KIDNEY

64 NEPHROPEXY FOR MOBILE KIDNEY 2000 1000

65 OPEN KIDNEY BIOPSY 2000 1000
66 OPEN NEPHROSTOMY 2000 1000
67 OPEN PROSTATECTOMY (RETROPUBIC/ TRANSVESICAL) 2000 1000

68 OPERATIVE REPAIR OF BLADDER INJURY 2000 1000

69 ORCHIOPEXY FOR UNDESCENDED TESTIS 2000 1000

70 PARTIAL CYSTECTOMY/ENBLOCK CYTOTECTOMY FOR 2000 1000

URECHAL LESION

71 PARTIAL NEPHRECTOMY 2000 1000

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

74 PERINEAL ANASTOMOTIC URETHROPLASTY 2000 1000

77
75 PYELOLITHOTOMY/ EXTENDED PYELOLITHOTOMY/ 2000 1000
NEPHROLITHOTOMY

76 PYELOPLASTY FOR UPJ OBSTRUCTION 2000 1000

77 REPAIR OF HYPOSPADIAS 2000 1000

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

80 SURGERY FOR MALE URINARY INCONTINENCE 2000 1000

81 SURGERY FOR STRESS URINARY INCONTINENCE IN FEMALE 2000 1000

82 TUR BLADDER TUMOUR 2000 1000

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

86 URETHRECTOMY 2000 1000

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

89 ANATROPHIC NEPHROLITHOTOMY 5000 2500

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

92 CONTINENT URINARY DIVERSION 5000 2500

93 EXCISION OF LARGE RETROPERITONEAL TUMOUR 5000 2500

94 EXCISION OF PHEOCHROMOCYTOMA/ ADRENAL TUMOUR 5000 2500

95 ILEAL LOOP REPLACEMENT OF URETER 5000 2500

96 INGUINAL BLOCK DISSECTION 5000 2500

97 MICROSURGICAL VASO-EPIDIDYMAL ANASTOMOSIS (VEA) 5000 2500
VASO-VASAL ANASTOMOSIS (VVA)

98 PELVIC EXENTERATION 5000 2500

99 RADICAL CYSTECTOMY WITH URINARY DIVERSION 5000 2500

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

101 RADICAL PROSTATECTOMY 5000 2500

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

103 REPAIR OF EXTROPHY OF BLADDER /BLADDER NECK 5000 2500

RECONSTRUCTION
104 REPAIR OF RECTOURETHRAL FISTULA 5000 2500

105 RETROPERITONEAL LYMPH NODE DISSECTION (RPLND) 5000 2500

106 TRANSPUBLIC URETHROPLASTY 5000 2500

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

109 URETEROCYSTOSTOMY/ REPAIR OF URETERO-VAGINAL 5000 2500

FISTULA (UVF)
110 ABSCESS DRAINAGE UNDER G.A. 250 100
111 ABSCESS INCISION AND DRAINAGE UNDER G.A. 250 100

112 BIOPSY UNDER G.A. 250 100

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

116 EXAMINATION UNDER G.A. 250 100

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

120 LITHOTRIPSY 9000 7000

121 BILATERAL SCROTAL ORCHIECTOMY UNDER GA 1000 300

122 CIRCUMCISION/ MEATOPLASTY UNDER GA 1000 300

79
123 CLOT EVACUATION/ BLADDER IRRIGATION GA 1000 300

124 CYSTESCOPY/ CHECK CYSTOSCOPY UNDER GA 1000 300

125 INCISION & DRAINAGE OF ABSCESS UNDER GA 1000 300

126 OPEN SURGICAL BIOPSY OF PENILE LESION GA 1000 300

127 OPERATIONS FOR HYDROCELE UNDER GA 1000 300

128 REDUCTION OF PARAPHIMOSIS UNDER GA 1000 300

129 RETROGRADE URETERIC CATHETERISATION GA 1000 300

130 SECONDARY SUTRUING OF WOUNDS UNDER GA 1000 300

131 TESTICULAR BIOPSY UNDER GA 1000 300

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

134 URETHRAL DILATATION UNDER GA 500 250

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

80