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1 Consultation OPD 150 1502 Consultation- for Inpatients 300 3003 Dressings of wounds 50 584 Suturing of wounds with local anesthesia 108 1245 Aspiration Plural Effusion - Diagnostic 193 2226 Aspiration Plural Effusion - Therapeutic 120 1387 Abdominal Aspiration - Diagnostic 345 3978 Abdominal Aspiration - Therapeutic 460 5299 Pericardial Aspiration 380 43710 Joints Aspiration 317 36511 Biopsy Skin 230 26512 Removal of Stitches 36 4113 Venesection 124 14314 Phimosis Under LA 1311 150815 Sternal puncture 173 19916 Injection for Haemorrhoids 414 47617 Injection for Varicose Veins 350 40318 Catheterisation 83 9519 Dilatation of Urethra 500 57520 Incision & Drainage 420 48321 Intercostal Drainage 125 14422 Peritoneal dialysis 1466 1686
TREATMENT PROCEDURE SKIN23 Excision of Moles 345 39724 Excision of Warts 310 35725 Excision of Molluscum contagiosum 130 15026 Excision of Veneral Warts 160 18427 Excision of Corns 140 16128 I/D Injection Keloid 97 11229 Chemical Cautery (s) 110 127
TREATMENT PROCEDURE OPTHALMOLOGY30 Subconjunctival/subtenon’s injections in one eyes 69 7931 Subconjunctival/subtenon’s injections in both eyes 138 15832 Pterygium surgery 86 9933 Conjunctival peritomy 58 6734 Conjunctival wound repair or exploration following blunt
trauma115 132
35 Removal of corneal foreign body 115 13236 Cauterization of ulcer/subconjunctival injection in one eye 69 79
37 Cauterization of ulcer/subconjunctival injection in both eyes
45 EDTA for band shaped keratopathy 863 99246 Arcuate keratotomy for astigmatism 2800 322047 Re-suturing (Primary suturing) of corneal wound 1150 132348 Penetrating keratoplasty ---- with glaucoma surgery 12144 1396649 Penetrating keratoplasty --- with vitrectomy 12144 1396650 Penetrating keratoplasty ---- with IOL implantation 13656 1570351 DALK- Deep anterior lamellar keratoplasty 17250 1983852 Keratoprosthesis stage I and II 11500 1322553 DSAEK- Descemet’s stripping automated endothelial
keratoplasty16675 19176
54 ALTK- Automated lamellar therapeutic keratoplasty 16500 1897555 Probing and Syringing of lacrimal sac- in one eye 69 7956 Probing and Syringing of lacrimal sac- in both eye 138 15957 Dacryocystorhinostomy—Plain 1725 198458 Dacryocystorhinostomy—Plain with intubation and/or
94 Chalazion incision and curettage in both eyes 431 49695 Ptosis surgery with fasanella servat procedure 2300 264596 Ptosis surgery with LPS resection one lid 5500 632597 Ptosis surgery with Sling surgery one lid 6670 767198 Ectropion surgery- one lid 1400 161099 Ectropion surgery- both lids 2500 2875100 Epicanthus correction 1550 1783101 Cantholysis and canthotomy 575 460102 Entropion surgery- one lid 1380 1587103 Entropion surgery- both lids 2000 2300104 Tarsorraphy 650 748105 Suturing of lid lacerations 1150 1323106 Lid retraction repair 1700 1955107 Concretions removal 115 132108 Bucket handle procedure for lid tumors 345 397109 Cheek rotation flap for lid tumors 6900 3450110 Orbitotomy 8050 9258111 Enucleation 3000 3450112 Enucleation with orbital implants and artificial prosthesis 3000 3450
113 Evisceration 3450 3968114 Evisceration with orbital implants and artificial prosthesis 5693 6547
115 Telecanthus correction 5175 5951116 Orbital decompression 5750 6613117 Exenteration 6900 7935118 Exenteration with skin grafting 5750 6613119 Fracture orbital repair 9200 10580120 Retinal laser procedures 1500 1725121 Retinal detachment surgery 11500 13225122 Retinal detachment surgery with scleral buckling 13800 15870123 Buckle removal 1150 1323124 Silicone oil removal 2800 3220125 Anterior retina l cryopexy 1162 1336126 Squint correction for one eye 5000 5750127 Squint correction for both eyes 7500 8625128 Trabeculectomy 6900 7935129 Trabeculotomy 6900 7935130 Trabeculectomy with Trabeculotomy 10350 11903131 Trephition 2300 2645132 Goniotomy 345 397133 Glaucoma surgery with Glaucoma valves 6900+valve 2645134 Cyclocryotherapy 1150 1323135 YAG laser iridotomy 1500 1725136 YAG laser capsulotomy 1093 1257137 ALT-Argon laser trabeculoplasty 1495 1719138 PDT-Photodymic therapy 3450 3968139 TTT- Transpupillary thermal therapy 3000 3450140 PTK- Phototherapeutic keratectomy 7500 8625141 Argon/diode laser for retinal detatchment 1150 1323142 Intralase application for keratoconus 5750 6613143 EOG- electro-oculogram 900 1035
144 ERG- Electro-retinogram 794 913145 VEP- visually evoked potential 800 920146 Vitrectomy- pars plana 11500 13225147 Intravitreal injections- of antibiotics 1150 1323148 Intravitreal injections- of avastin including cost of drug 3450 3968
149 Intravitreal injections- of lucentis including cost of drug 3000 3450
150 X- Ray orbit 115 132151 CT-orbit and brain 173 199152 MRI- Orbit and brain 3450 3968153 Dacryocystography 340 391154 Orbital angio-graphical studies 1500 1725155 ECCE with IOL 3450 3968156 SICS with IOL 5000 920157 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781 12398
158 Pars plana lensectomy with/without IOL 10350 11903159 Secondary IOL implantation- AC IOL PC IOL or scleral
fixated IOL6900 7935
160 Cataract extraction with IOL with capsular tension rings (Cionni’s ring)
13500 15525
161 Optic nerve sheathotomy 7500 8625162 Iridodialysis repair or papillary reconstruction 5000 5750163 Iris cyst removal 850 978164 Lid Abscess incision and Drainage 1700 1955165 Orbital Abscess incision and Drainage 3000 3450166 Biopsy 460 529167 Paracentesis 230 265168 Scleral graft for scleral melting or perforation 2800 3220169 Amniotic membrane grafting 1100 1265170 Cyclodiathermy 2300 2645171 Intraocular foreign body removal 187 215172 Electrolysis 230 265173 Perforating injury repair 4500 5175174 Botulinum injection for blepharospasm or squint 2500 2875
TREATMENT PROCEDURE DENTAL PROCEDURES 175 Flap Operation per quadrant 360 414176 Gingivectomy per quadrant 234 269177 Reduction & immobilization of fracture- Maxilla Under LA 900 1035
178 Reduction & immobilization of fracture-Mandible Under LA
3500 4025
179 splints/Cirucum mandibular wiring under LA 510 587180 splints/Cirucum mandibular wiring under GA 990 1139181 Internal wire fixation/plate fixation of Maxilla under LA 3000 3450
182 Internal wire fixation/plate fixation of Maxilla under GA 4000 4600
183 Internal wire fixation/plate fixation of Mandible under LA 3500 4025
184 Internal wire fixation/plate fixation of Mandible under GA 4250 4888
185 Extraction per tooth under LA 80 92186 Complicated Ext. per Tooth under LA 100 115187 Extraction of impacted tooth under LA 160 184188 Extraction in mentally retarded/patients with systemic
diseases/patient with special needs under short term GA939 1080
189 Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupalisation upto 4 cms under LA
244 281
190 Cyst & tumour of Maxilla/mandible by enucleation/ excision/ marsupalisation size more than 4 cms under LA
406 467
191 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA
1000 1150
192 TM joint ankylosis- under GA 7500 8625193 Biopsy Intraoral-Soft tissue 374 430194 Biopsy Intraoral-Bone 374 430195 Hemi-mandibulectomy with graft 4250 4888196 Hemi-mandibulectomy without graft 2550 2933197 Segmental-mandibulectomy with graft 3400 3910198 Segmental-mandibulectomy without graft 990 1139199 Maxillectomy- Total with graft 2500 2875200 Maxillectomy- Total without graft 1950 2243201 Maxillectomy- partial with graft 3000 3450202 Maxillectomy- partial without graft 2500 2875203 Release of fibrous bands & grafting -in (OSMF) treatment
208 Apicoectomy- Single root 500 575209 Apicoectomy-Multiple roots 650 748210 Metal Crown-per unit 500 575211 Metal crown with Acrylic facing per unit 700 805212 Complete single denture-metal based 1500 1725213 Complete denture- acrylic based per arch 950 1093214 Removable partial denture-Metal based-upto 3 teeth 700 805
215 Removable partial denture-Metal based-more than 3 teeth 900 1035
271 Caldwell Luc Surgery 10626 12220272 Angiofibroma Excision 17000 19550273 Endoscopic Hypophysectomy 21500 24725274 Endoscopic Optic Nerve Decompression 32775 37691275 Decompression of Orbit 25500 29325276 Punch/Wedge biopsy 674 775277 Tonsillectomy 5000 5750278 Uvulo-palatoplasty 15000 17250279 FESS for antrochoal polyp 5750 6613280 FESS for ethmoidal polyp 5750 6613281 Polyp removal ear 748 860282 Polyp removal Nose(Septal polyp) 748 860283 Mastoidectomy plus Ossciculoplasty including TORP or
PORP2415 2777
284 Endolymphatic sac decompression 2875 3306285 Diagnostic endoscopy under GA 2300 2645286 Yonges operation for Atrophic rhinitis 6900 7935287 Vidian neurectomy for vasomotor Rhinitis 10350 11903288 nasal Packing-anterior 345 397289 nasal Packing-posterior 805 926290 Ranula Excision 6843 7869291 Tongue Tie excision 1500 1725292 Sub Mandibular Duct Lithotomy 269 309293 Adenoidectomy 5640 6486294 Palatopharyngoplasty 8165 9390295 Pharyngoplasty 17193 19772296 Styloidectomy 9200 10580297 Direct laryngoscopy including Biopsy under GA 5000 5750298 Oesophagoscopy/foreign body removal from 1800 2070299 Bronchoscopy with F.B.removal 2438 2804300 Other Major Surgery 15000 17250301 Other Minor Surgery 8500 10000
TREATMENT PROCEDURE FOR HEAD AND NECK302 Ear Lobe Repair one side 500 575303 Excision of Pinna for Growth (Squamous/Basal/ Injuries)
Skin Only 4000 4600
304 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage
3800 4370
305 Partial Amputation of Pinna 4500 5175306 Total Amputation of Pinna 6200 7130307 Total Amputation & Excision of External Auditory Meatus 1500 1725
308 Excision of Cystic Hygroma 5175 5951309 Excision of Cystic Hygroma Extensive 7452 8570310 Excision of Branchial Cyst 10350 11903311 Excision of Branchial Sinus 10350 11903312 Excision of Pharyngeal Diverticulum 10580 12167313 Excision of Carotid Body-Tumours 11615 13357314 Operation for Cervical Rib 12500 14375315 Block Dissection of Cervical Lymph Nodes 15000 17250316 Pharyngectomy & Reconstruction 15000 17250317 Operation for Carcinoma Lip - Wedge-Excision 8050 9258
368 Radical mastectomy-formal or modified. 28750 33063369 Excision of mammary fistula 15525 17854370 Segmental resection of breast 16100 18515371 Other Major Surgery 25000 28750372 Other Minor Surgery 5000 5750
TREATMENT PROCEDURE GENERAL SURGERY373 Injury Of Superficial Soft Tissues 425 500374 Suturing of small wounds 269 309375 Secondary suture of wounds 290 334376 Debridement of wounds 450 518377 Removal Of Foreign Bodies 300 345
Biopsies378 Excision of Cervical Lymph Node 1725 1984379 Excision of Axillary Lymph Node 2277 2619380 Excision of Inguinal Lymph Node 2277 2619381 Excision Biopsy of Ulcers 1470 1691382 Excision Biopsy of Superficial Lumps 3220 3703383 Incision Biopsy of Growths/Ulcers 1470 1691384 Trucut Needle Biopsy 1550 1783385 Percutaneous Kidney Biopsy 1470 1691386 Marrow Biopsy (Open) 1060 1219387 Muscle Biopsy 1470 1691388 Scalene Node Biopsy 1350 1553389 Excision of Sebaceous Cysts 1242 1428390 Excision of Superficial Lipoma 1932 2222391 Excision of Superficial Neurofibroma 2500 2875392 Excision of Dermoid Cysts 2277 2619393 Haemorrhoidectomy 2500 2875394 Stappler haemorrhoidectomy 4025 4629395 keloid excision 1150 1323396 Vericose vein surgery;Tendelenburg operation with
suturing or ligation.8625 9919
TREATMENT PROCEDURE OESOPHAGUS397 Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750 33063
398 Operations for Replacement of Oesophagus by Colon 25000 28750
459 Resection & Anastomosis of Small Intestine 20700 23805460 Duodenal Diverticulum 18400 21160461 Operation for Intestinal Obstruction 10350 11903462 Operation for Intestinal perforation 7762 8926463 Benign Tumours of Small Intestine 19550 22483464 Excision of Small Intestine Fistula 19550 22483465 Operations for GI Bleed 16000 18400466 Operations for Haemorrhage of Small Intestines 19550 22483467 Operations of the Duplication of the Intestines 17825 20499468 Operations for Recurrent Intestinal Obstruction (Noble
Plication & Other Operations for Adhesions)23000 26450
469 Ilieosigmoidostomy and related resection 16790 19309470 Ilieotransverse Colostomy and related resection 16790 19309471 Caecostomy 3903 4488472 Loop Colostomy Transverse Sigmoid 13110 15077473 Terminal Colostomy 17250 19838474 Closure of Colostomy 17480 20102475 Right Hemi-Colectomy 13800 15870476 Left Hemi-Colectomy 13800 15870477 Total Colectomy 17250 19838478 Operations for Volvulus of Large Bowel 24920 28658479 Operations for Sigmoid Diverticulitis 18630 21425480 Fissure in Ano with Internal sphinctrectomy with
fissurectomy.5750 6613
481 Fissure in Ano - Fissurectomy 13800 15870482 Rectal Polyp-Excision 5658 6507483 Operation of Haemorrhoids -Lords procedure 1343 1544484 Fistula in Ano - High Fistulectomy 16780 19297485 Fistula in Ano - Low Fistulectomy 9867 11347486 Prolapse Rectum - Theirch Wiring 10350 11903487 Prolapse Rectum - Rectopexy 5750 6613488 Prolapse Rectum - Grahams Operation 18400 21160489 Operations for Hirschsprungs Disease 14260 16399490 Excision of Pilonidal Sinus (open) 11500 13225491 Excision of Pilonidal Sinus with closure 11500 13225492 Abdomino-Perineal Excision of Rectum 18300 21045493 Anterior Resection of rectum 21850 25128494 Pull Through Abdominal Resection 17170 19746495 Retro Peritoneal Tumor Removal 18000 20700496 Radio ablation of varicose veins 1800 2070497 Laser ablation of varicose veins 17250 19838498 Laproscopic Fundoplication 19300 22195499 Laproscopic Spleenectomy 25000 28750500 Laproscopic Removal of hydatid cyst 18000 20700501 Laproscopic treatment of Pseudo Pancreatic cyst 18000 20700
670 Laparoscopy Sterilization 3450 3968671 LAVH 10350 11903672 Balloon Temponade for PPH 2800 3220673 Total laparoscopic hysterectomy 25243 29029674 Laparoscopic treatment of Ectopic pregnancy-
salpingectomy/salpinostomy conservative9775 11241
675 Conisation of cervix 4025 4629676 Trachhelectomy of cervix for early CA cervix 5500 6325677 Hysteroscopic cannulation 2875 3306678 Laparotomy recannalization of Fallopian tubes-
(Tubuloplasty)22425 25789
679 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty)
734 Nephrolithomy -laproscopic/endoscopic 14000 16100735 Pyelolithotomy-open 13000 14950736 Pyelolithotomy -laproscopic/endoscopic 10580 12167737 Operations for Hydronephrosis -pyeloplasty open 18400 21160738 Operations for Hydronephrosis -pyeloplasty
Lap/endoscopic19000 21850
739 Operations for Hydronephrosis Endoplyelotomy antegrade 20000 23000
740 Operations for Hydronephrosis Endoplyelotomy retrograde
20000 23000
741 Operations for Hydronephrosis -ureterocalicostomy 18000 20700742 Operations for Hydronephrosis-Ileal ureter 18000 20700743 Open Drainage of Perinephric Abscess 8000 9200744 Percutaneous Drainage of Perinephric Abscess -Ultrasound
guided5750
745 Cavernostomy 9775 11500746 Operations for Cyst of the Kidney -open 11960 13754747 Operations for Cyst of the Kidney -Lap/endoscopic 14030 16135748 Ureterolithotomy -open 13248 15235749 Ureterolithotomy-Lap/Endoscopic 10000 11500750 Nephroureterectomy open 16100 18515751 Nephroureterectomy -Lap/Endoscopic 16100 18515752 Operations for Ureter for -Double Ureters 19000 21850753 Operations for Ureter -for Ectopia of Single Ureter 18000 20700754 Operations for Vesico- ureteric Reflux -Open 18000 20700755 Operations for Vesico- ureteric Reflux-Lap/Endoscopic 18000 20700
756 Operations for Vesico- ureteric Reflux/ Urinary incontinence with bulking agents
20700 23805
757 Ureterostomy - Cutaneous 12000 13800758 Uretero-Colic anastomosis 16000 18400759 Formation of an Ileal Conduit 17250 19838760 Ureteric Catheterisation 690 794761 Biopsy of Bladder (Cystoscopic) 2300 2645762 Cysto-Litholapaxy 10925 12564763 Operations for Injuries of the Bladder 10000 11500764 Suprapubic Drainage (Cystostomy/vesicostomy) 6000 6900765 Simple Cystectomy 17250 19838766 Diverticulectomy -open 16000 18400767 Diverticulectomy- Lap/Endoscopic 18400 21160768 Diverticulectomy -Endoscopic incision of neck 1725 1984769 Augmentation Cystoplasty 6670 7671770 Operations for Extrophy of the Bladder- Single stage repair 22300 25645
771 Operations for Extrophy of the Bladder- Multistage repair 20815 23937
772 Operations for Extrophy of the Bladder- simple cystectomy with urinary diversion
22500 25875
773 Repair of Ureterocoel -Open 13800 15870774 Repair of Ureterocoel -Lap/Endoscopic 14375 16531775 Repair of Ureterocoel -Endoscopic incision 13000 14950776 Open Suprapubic Prostatectomy 20700 23805
777 Open Retropubic Prostatectomy 20125 23144778 Transurethral Resection of Prostate (TURP) 18630 21425779 Urethroscopy/ Cystopanendoscopy 4600 5290780 Internal urethrotomy -optical 5750 6613781 Internal urethrotomy -Core through urethroplasty 11040 12696782 Urethral Reconstruction -End to end ansatamosis 3450 3968783 Urethral Reconstruction - substitution urethroplasty
(Transpubic urethroplasty 19550 22483
784 Abdomino Perineal urethroplasty 14000 16100785 Posterior Urethral Valve fulguration. 11270 12961786 Operations for Incontinence of Urine - Male -Open 17250 19838787 Operations for Incontinence of Urine - Male -Sling 18400 21160788 Operations for Incontinence of Urine - Male-Bulking agent 19435 22350
789 Operations for Incontinence of Urine - Female -Open 17250 19838
790 Operations for Incontinence of Urine - Female-Sling 18400 21160791 Operations for Incontinence of Urine - Female-Bulking
agent 19435 22350
792 Reduction of Paraphimosis 1725 1984793 Circumcision 3000 3450794 Meatotomy 2346 2698795 Meatoplasty 3220 3703796 Operations for Hypospadias + Chordee Correction 1208 1389797 Operations for Hypospadias - Second Stage 15000 17250798 Operations for Hypospadias - One Stage Repair 9200 10580799 Operations for Crippled Hypospadias 11500 13225800 Operations for Epispadias _primary repair 12593 14482801 Operations for Epispadias-crippled epispadias 11385 13093802 Partial Amputation of the Penis 10764 12379803 Total amputation of the Penis 12000 13800804 Orchidectomy-Simple 9775 11241805 Orchidectomy -Radical 12075 13886806 Post Radical Orchidectomy retroperitoneal lymph node
dissection.14000 16100
807 Epididymectomy 8000 9200808 Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma- Open25300 29095
809 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -Lap/Endoscopic
14375 16531
810 Operations for Hydrocele - Unilateral 5865 6745811 Operations for Hydrocele - Bilateral 8556 9839812 Vasectomy (Should be free for Family Welfare) 6230 7165813 Operation for Torsion of Testis 11500 13225814 Micro-surgical Vasovasostomy /Vaso epidedymal
ansatamosis.11040 12696
815 Operations for Varicocele Unilateral-Microsurgical 7705 8861816 Operations for Varicocele Palomo’s Unilateral - Lap 9200 10580817 Operations for Varicocele Bilateral --Microsurgical 12650 14548818 Operations for Varicocele Bilateral – Lap/ Palomo 14950 17193819 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-
913 Hollmium YAG Prostate Surgery 1725 1984914 Hollmium YAG OIU 4600 5290915 Hollmium YAG Core Through 17250 19838916 Hollmium YAG Stone Lithotripsy 10200 12000917 Green Light laser for prostate 17250 19838918 RIRS/ Flexible Ureteroscopy 6800 7820919 Microscopic VEA/ Vaso-Vasostomy (for Infertility) 13500 15525920 Cystoscopic Botulinum Toxin Injection ( Over active
bladder/ Neurogenic bladder)6800 7820
921 Peyronie’s disease – Plaque excision with grafting 3400 4000922 High Intensity Focus Ultrasound (HIFU) (Robotic) for
Carcinoma prostrate and renal cell carcinoma4600 5290
923 Prosthetic surgery for urinary incontinence 2300 2645924 TRUS guided prostate biopsy 575 661925 Ultra sound guided PCN 720 828926 Other Major Surgery 15000 17250927 Other Minor Surgery 6800 7820
TREATMENT PROCEDURE NEURO-SURGERY928 Craniotomy and Evacuation of Haematoma -Subdural 50715 58322
929 Craniotomy and Evacuation of Haematoma -Extradural 50000 57500
930 Evacuation /Excision of Brain Abscess by craniotomy 40000 46000
931 Excision of Lobe (Frontal Temporal Cerebellum etc.) 41000 47150
1012 Steriotactic aspiration of intracerebral haematoma 32545 374271013 Endoscopic aspiration of intracerebellar haematoma 40000 46000
1014 Steriotactic Radiosurgery for brain pathology(X knife/Gamma ) - ONE session
57500 66125
1015 Steriotactic Radiosurgery for brain pathology(X knife / Gamma knife -Two or more sessions
27560 31694
1016 Chemotheraphy wafers for malignant brain tumors 14450 166181017 Battery Placement for DBS 22000 253001018 Baclofen pump implantation for spasticity 17330 199301019 Peripheral Nerve tumor surgery 24000 276001020 Surgery Intra Cranial Meningioma 20000 230001021 Surgery for Intracranial Schwannoma 35000 402501022 Surgery for Gliomas 45000 517501023 Surgery for Orbital tumors 40000 460001024 Surgery for Cranial (Skull) tumors 38500 442751025 Surgery for Scalp AVM’s 25000 287501026 Kyphoplasty 40000 460001027 Balloon Kyphoplasty 40000 460001028 Lesioning procedures for Parkinson’s disease, Dystonia etc. 35000 40250
1029 Other Major Surgery 42500 500001030 Other Minor Surgery 17000 20000
TREATMENT PROCEDURE PAEDIATRIC SURGERY1031 Excision of thyroglossal Duct/Cyst 16000 184001032 Diaphragmatic Hernia Repair (Thoracic or Abdominal
1054 Imperforate Anus Low Anomaly -Cut Back Operation 10235 11770
1055 Imperforate Anus Low Anomaly - Perineal Anoplasty 12000 13800
1056 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through
12500 14375
1057 Imperforate Anus High Anomaly - Closure of Colostomy 8625 9919
1058 Intususception Operation 20700 238051059 Choledochoduodenostomy for Atresia of Extra Hepatic
Billiary Duct 15000 17250
1060 Operation of Choledochal Cyst 16000 184001061 Nephrectomy for -Pyonephrosis 17000 195501062 Nephrectomy for - Hydronephrosis 15000 172501063 Nephrectomy for -Wilms Tumour 8257 94961064 Paraortic Lymphadenoctomy with Nephrectomy for Wilms
Tumour20000 23000
1065 Sacro-Coccygeal Teratoma Excision 14000 161001066 Neuroblastoma Debulking 16000 184001067 Neuroblastoma Total Excision 20700 238051068 Rhabdomyosarcoma wide Excision 15000 172501069 Congenital Atresia & Stenosis of Small Intestine 19000 218501070 Muconium ileus 16000 184001071 Mal-rotation & Volvulus of the Midgut 15000 172501072 Excision of Meckle’s Deverticulum 12000 138001073 Other Major Surgery 27000 310501074 Other Minor Surgery 11050 13000
TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY
1075 Primary Suturing of Wound 300 3451076 Injection of Keloids - Ganglion 1099 12641077 Injection of Keloids - Haemangioma 1150 13231078 Free Grafts - Wolfe Grafts 1725 19841079 Free Grafts - Theirech- Small Area 5% 7475 85961080 Free Grafts - Large Area 10% 8000 92001081 Free Grafts - Very Large Area 20% and above. 10350 11903
1085 Skin Flaps - Cross Finger 12500 143751086 Skin Flaps - Abdomil 9350 110001087 Skin Flaps - Thoracic 9350 110001088 Skin Flaps - Arm Etc. 11000 126501089 Subcutaneous Pedicle Flaps Raising 6900 79351090 Subcutaneous Pedicle Flaps Delay 5950 70001091 Subcutaneous Pedicle Flaps Transfer 5950 70001092 Cartilate Grafting 8625 99191093 Reduction of Facial Fractures of Nose 1380 15871094 Reduction of Facial Fractures of Maxilla 8000 92001095 Reduction of Fractures of Mandible & Maxilla - Eye Let
Splinting 7475 8596
1096 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints
6900 7935
1097 Reduction of Fractures of Mandible & Maxilla - Gumming Splints
7500 8625
1098 Internal Wire Fixation of Mandible & Maxilla 11500 132251099 Cleft Lip - repair. 12650 145481100 Cleft Palate Repair 11500 132251101 Primary Bone Grafting for alveolar cleft in Cleft Lip 11500 132251102 Secondary Surgery for Cleft Lip Deformity 10000 115001103 Secondary Surgery for Cleft Palate 12650 145481104 Reconstruction of Eyelid Defects - Minor 6325 72741105 Reconstruction of Eyelid Defects - Major 8500 97751106 Plastic Surgery of Different Regions of the Ear - Minor 8050 9258
1107 Plastic Surgery of Different Regions of the Ear - Major 10350 11903
1108 Plastic Surgery of the Nose - Minor 8050 92581109 Plastic Surgery of the Nose - Major 9500 109251110 Plastic Surgery for Facial Paralysis (Support with
1173 Close Reduction of Dislocations 3174 36501174 Open Reduction of Dislocations 3439 39551175 Open Reduction of Fracture Dislocation & Internal Fixation 13500 15525
1176 Neurolysis/Nerve repair 13800 158701177 Nerve Repair with Grafting 16675 191761178 Tendon with Transplant or Graft 10350 119031179 Tendon Lengthening/Tendon repair 8050 92581180 Tendon Transfer 3105 35711181 Laminectomy Excision Disc and Tumours 4830 55551182 Spil Ostectomy and Internal Fixations 24150 277731183 Anterolateral decompression for tuberculosis/ Costo-
Transversectomy 3450 3968
1184 Antereolateral Decompression and Spil Fusion 19350 222531185 Corrective Ostectomy & Internal Fixation - short bones 13800 15870
1243 More than 2 Level 12000 138001244 Scoliosis Surgery/ Deformity Correction of Spine 25000 287501245 Vertebroplasty 12000 138001246 Spinal Injections 450 5181247 DHS for Fracture Neck Femur 15000 172501248 Proximal Femoral Nail (PFN for IT Fracture) 14000 161001249 Spinal Osteotomy 1434 16491250 Illizarov’s / External Fixation for Trauma 13000 149501251 Soft Tissue Operations for Polio/ Cerebral Palsy 10557 124201252 Mini Fixator for Hand/Foot 9000 103501253 Other Major Surgery 38250 450001254 Other Minor Surgery 11883 13980
1395 FDG Whole body PET / CT Scan 20528 236071396 Brain I Heart FDG PET / CTScan, 14663 168621397 Gallium-68 Peptide PET / CT imaging for Neuroendocrine
Tumor 15000 17250
LABORATORY MEDICINE / CLINICAL PATHOLOGY1398 Urine routine- pH, Specific gravity, sugar, protein and
1410 Platelet count 48 551411 Reticulocyte count 48 551412 Absolute Eosinophil count 48 551413 Packed Cell Volume (PCV) 13 151414 Peripheral Smear Examination 43 491415 Smear for Malaria parasite 41 471416 Bleeding Time 35 401417 Osmotic fragility Test 50 581418 Bone Marrow Smear Examination 70 811419 Bone Marrow Smear Examination with iron stain 250 2881420 Bone Marrow Smear Examination and cytochemistry 440 506
1421 Activated partial ThromboplastinTime (APTT) 102 1171422 Rapid test for malaria(card test) 44 511423 WBC cytochemistry for leukemia -Complete panel 110 1271424 Bleeding Disorder panel- PT, APTT, Thrombin Time
Fibrinogen, D-Dimer/ FDP400 460
1425 Factor Assays-Factor VIII 720 8281426 Factor Assays-Factor IX 680 7821427 Platelet Function test 50 581428 Tests for hypercoagulable states- Protein C, Protein S,
Antithrombin400 460
1429 Tests for lupus anticoagulant 150 1731430 Tests for Antiphospholipid antibody IgG, IgM ( for
cardiolipin and B2 Glycoprotein 1)500 575
1431 Thalassemia studies (Red Cell indices and Hb HPLC) 560 6441432 Tests for Sickling / Hb HPLC) 77 89
LABORATORY MEDICINE / BLOOD BANK1433 Blood Group & RH Type 30 351434 Cross match 50 581435 Red cell concentrate 35 40
1436 Coomb’s Test Direct 90 1041437 Coomb’s Test Indirect 100 1151438 Single Cell 115 1351439 3 cell panel- antibody screening for pregnant female 170 200
1440 11 cells panel for antibody identification 170 2001441 Serology 383 4501442 HBs Ag 102 1201443 HCV 128 1501444 HIV I and II 150 1731445 VDRL 43 501446 RH Antibody titer 80 921447 Platelet Concentrate 56 641448 Random Donor Platelet(RDP) 128 1501449 Single Donor Platelet (SDP- Aphresis) 150 173
LABORATORY MEDICINE / HISTOPATHOLOGY 1450 Routine-H & E 90 1041451 special stain 65 751452 Immunohistochemistry(IHC) 750 8631453 Frozen section 780 8971454 Paraffin section 343 394
LABORATORY MEDICINE / CYTOLOGY 1455 Pap Smear 150 1731456 Body fluid for Malignant cells 150 1731457 FNAC 200 2301458 special stain on cytology 80 92
NAME OF INVESTIGATION / FLOW CYTOMETRY1459 Leukemia panel /Lymphoma panel 1536 17661460 PNH Panel-CD55,CD59 1000 1150
LABORATORY MEDICINE / CYTOGENETIC STUDIES 1461 Karyotyping 1539 17701462 FISH 500 5751463 PCR 1500 1725
LABORATORY MEDICINE / BIO-CHEMISTRY1464 Blood Glucose Random 24 281465 24 hrs urine for Proteins,Sodium, creatinine 50 581466 Blood Urea Nitrogen 54 621467 Serum Creatinine 55 631468 Quantitative Albumin/Sugar 20 231469 Urine Bile Pigment and Salt 25 291470 Urine Urobilinogen 20 231471 Urine Ketones 30 351472 Urine Occult Blood 35 401473 Urine total proteins 18 211474 Rheumatoid Factor test 100 1151475 Bence Jones protein 47 541476 Serum Uric Acid 55 631477 Serum Bilirubin total & direct 80 921478 Serum Iron 90 1041479 C.R.P. 100 1151480 C.R.P Quantitative 160 184
1543 Apo A1. 200 2301544 Apo B. 199 2291545 Lp (a). 445 5121546 CD 3,4 and 8 counts 170 2001547 CD 3,4 and 8 percentage 170 2001548 LDL. 62 711549 Homocysteine. 400 4601550 HB Electrophoresis. 440 5061551 Serum Electrophoresis. 220 2531552 Fibrinogen. 165 1901553 Chloride. 60 691554 Magnesium. 150 1731555 GGTP. 90 1041556 Lipase. 239 2751557 Fructosamine. 200 2301558 β2 microglobulin 90 1041559 Catecholamines. 1050 12081560 Creatinine clearance. 120 138
NAME OF INVESTIGATION / TUMOUR MARKERS1561 PSA- Total. 312 3591562 PSA- Free. 375 4311563 AFP. 300 3451564 HCG. 120 1381565 CA. 125. 391 4501566 CA 19,9. 616 7081567 CA 15.3. 560 6441568 Vinyl Mandelic Acid 350 4031569 Calcitonin 300 3451570 Carcioembryonic antigen(CEA) 340 391
OTHERS1571 Immunofluorescence 150 1731572 Direct(Skin and kidney Disease) 425 5001573 Indirect (antids DNA Anti Smith ANCA) 425 5001574 VitD3 assay 550 6331575 Serum Protein electrophoresis with
1641 Pelvis A.P (one film) 110 1271642 T. M. Joints (one film) 110 1271643 Abdomen & Pelvis for K. U. B. 128 1501644 Skull A. P. & Lateral (2 films) 255 3001645 Spine A. P. & Lateral (2 films) 250 2881646 PNS view (1 film) 110 127
X RAY CONTRAST STUDIES1647 Barium Swallow 510 6001648 Barium Upper GI study 800 9201649 Barium Upper GI study (Double contrast) 935 11001650 Barium Meal follow through 935 11001651 Barium Enema (Single contrast/double contrast) 850 10001652 Small bowel enteroclysis 1020 12001653 ERCP (Endoscopic Retrograde Cholangio –
Pancreatography)2500 2875
1654 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/Nephrostogram
1670 C. T. Chest - with contrast (+/- CT angiography) 2500 28751671 C. T. Scan Abdomen Including Pelvis With Contrast 1700 19551672 C. T. Scan Abdomen Including Pelvis Without Contrast 1500 1725
1673 C. T. Scan Whole Abdomen Without Contrast 3000 34501674 C. T. Scan Whole Abdomen With Contrast 4500 51751675 Triple Phase CT abdomen 1200 13801676 CT angiography abdomen/ Chest 4500 51751677 CT Enteroclysis 6000 69001678 C. T. Scan Neck – Without Contrast 1500 17251679 C. T. Scan Neck – With Contrast 1870 22001680 C. T. Scan Orbits - Without Contrast 1190 14001681 C. T. Scan Orbits - With Contrast 1615 19001682 C. T. Scan of Para Nasal Sinuses- Without Contrast 900 10351683 C. T. Scan of Para Nasal Sinuses - With Contrast 1600 18401684 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without
contrast1500 1725
1685 CT Temporal bone – without contrast 893 10501686 CT - Dental 1275 15001687 C. T. Scan Limbs -Without Contrast 1700 20001688 C. T. Scan Limbs -With Contrast including CT angiography 2253 2650
1689 C.T. Guided intervention –FNAC 1200 13801690 C.T. Guided Trucut Biopsy 1200 13801691 C. T. Guided intervention -percutaneous catheter
drainage / tube placement1305 1535
MRI1692 MRI Head – Without Contrast 1998 23501693 MRI Head – With Contrast 2848 33501694 MRI Orbits – Without Contrast 1445 17001695 MRI Orbits – With Contrast 4000 46001696 MRI Nasopharynx and PNS – Without Contrast 2450 28181697 MRI Nasopharynx and PNS – With Contrast 5000 57501698 MR for Salivary Glands with Sialography 3000 34501699 MRI Neck - Without Contrast 5000 57501700 MRI Neck- with contrast 3000 34501701 MRI Shoulder – With contrast 2125 25001702 MRI Shoulder – Without contrast 2125 25001703 MRI shoulder both Joints - Without contrast 2125 25001704 MRI Shoulder both joints – With contrast 5000 57501705 MRI Wrist Single joint - Without contrast 2125 25001706 MRI Wrist Single joint - With contrast 4000 46001707 MRI Wrist both joints - Without contrast 2125 25001708 MRI Wrist Both joints - With contrast 5000 57501709 MRI knee Single joint - Without contrast 2125 25001710 MRI knee Single joint - With contrast 5000 57501711 MRI knee both joints - Without contrast 2125 25001712 MRI knee both joints - With contrast 5000 57501713 MRI Ankle Single joint - Without contrast 2125 25001714 MRI Ankle single joint - With contrast 5000 57501715 MRI Ankle both joints - With contrast 5000 57501716 MRI Ankle both joints - Without contrast 2500 2875