SCTIMST, PRE-REVISED AND REVISED PROCEDURE CHARGES Jan1, 2016 for full paying D category

CODE NAME Existing

Total Charge

Revised Total

Charge

CS03 ICR 56,050 72,190

Made at par with CGHS rates

CS06 RSOV REPAIR 54,580 90,720 - do -

CS09 CABG 65,660 91,800 - do -

CS12 EBSTEIN'S ANOMALY REPAIR 56,050 71,190 - do -

CS35 PDA 24,290 30,070 - do -

CS60 CABG WITHOUT BYPASS 54,570 113,570 - do -

CS65 TAPVC REPAIR 57,800 78,940 - do -

CS68 COMPLETE AV CANAL REPAIR 56,670 91,820 - do -

CS95 SENNING OPERATION 61,690 62,210 - do -

NS1X SURGERY FOR BONY TUMOURS/LESIONS OF THE SKULL VAULT WITH CRANIOPLASTY 33,600 60,100 - do -

BC26 S-ELECTROLYTE (K,NA,CL) 130 140 MD12 INJECTION BOTOX 5 UNITS 65 70 MD20 BOTULINUM TOXIN-BOTOX 5 65 70 BC22 S-CALCIUM 110 120 BC32 S-LDH 110 120

CC51

URINE ROUTINE[COLOUR,PH,SP.GRAVITY,ALBUMIN,GLUCOSE,ACETONE,BILEPIGMENT,BILE SALT, UROBILLLINOGEN... 110 120

EP01 VA/VF 110 120 NM09 VA/VF 110 120

CC41 APTTACTIVATED PARTIALPROTHROMINTIME 100 110 MB31 ENTERIC FEVER-WIDAL 200 220 MB37 BRUCELLA 200 220 BB10 PLASMAPHERESIS 190 210 BC31 S-INORG.PHOSPHOROUS 90 100 CC23 PROTHROMBIN TIME 90 100 RA42 ADDITIONAL LASER FILM 90 100 MB16 ADNB 250 280 BB17 RESERVING ONE UNIT -OUTSIDE PATIENT 80 90 BB24 RESERVING ONE UNIT - IP PATIENTS 80 90 BC25 S-CREATININE 80 90 BC57 LDL CHOLESTEROL[DIRECT] 160 180 BC61 S-PROTEINS (ALBUMIN) 80 90 BC75 S-GLUCOSE PP 80 100 MB61 THROAT SWAB CULTURE 400 450 MB63 EYE SWAB CULTURE 400 450 MB64 NASAL SWAB CULTURE 400 450 MB65 SPUTUM CULTURE 400 450 NM58 SOMATO-PSYCHIC RELAXATION (SPR) 80 90 NM59 PSYCHIATRIC EVALUATION 160 180 RA1P CT CONTRAST EXTRA 10ML 80 90

SL01 PSYCHIATRIC EVALUATION 160 180 NM07 WARD CHARGES - A 230 260 BC05 CREATININE CLEARANCE 150 170 BC17 S-CHOLESTROL HDL 150 170 BC34 S-TRIGLYCERIDES 150 170 BC36 S-URIC ACID 150 170 EP20 OCCUPATIONAL THERAPY 150 170 EP23 SPEECH THERAPY 150 170 MB07 COLD AGLUTINATION 150 170 MB24 PAUL BUNNEL TEST 150 170 MB36 HIV ELISA 300 340 MB49 HEPATITIS B - AG 300 340 MB53 HEPATITIS C ANTIBODY 300 340 MS05 DIET EXPENSES 150 170 NM60 SPEECH THERAPY 150 170 NM92 OCCUPATIONAL THERAPY 150 170 NM95 REGULAR KREP FOLLOW UP 150 170

PC12 PHYSIOTHERAPY - PLAIN EXERCISES + PENS/IFT/UST 150 170

PC20 CONSULTATION CHARGE (CLINICAL PSYCHOLOGIST) 150 170

PT21 COMBINED LUMBER AND CERVICAL TRACTION 150 170 ST06 PHYSIOTHERAPY 150 170 ST07 OCCUPATIONAL THERAPY 150 170 ST08 SPEECH THERAPY 150 170 ST10 PHYSIATRIST CONSULTATION 150 170 ST11 PSYCHIATRIST CONSULTATION 150 170 ST15 SWALLOW ASSESSMENT AND THERAPY 150 170 BB03 PAEDIATRIC WB 510 580 CS75 TRACHEOSTOMY 290 330 BB37 W - PEAD - LR - RBC 360 410 BC07 ELECTROPHORESIS PROTEIN 360 410 BB29 PEAD RARBC 430 490 BB18 PEADIATRIC RBC 570 650 BB19 PEADIATRIC MWB 570 650 BB06 FRESH FROZEN PLASMA 350 400 BB08 RBC 350 400 BB11 PLATELET CONCENTRATE 350 400 BB30 RBC - SAG 280 320 BB31 PEAD - SAG 140 160 BB32 W - SAG 560 640 BC67 SERUM-CKMB 210 240 CC19 PLASMA FIBRINOGEN 210 240 CC20 PLASMA HB 70 80 CC22 PLATELET COUNT 70 80 CC24 THROMBIN TIME (TT) 70 80 CC28 PL.FLUID-CELL COUNT 70 80 CC45 PORPHOBILINOGEN 70 80 CC52 URINE BILE PIGMET+ BILE SALT 70 80 CC53 URINE ACETONE+ALBUMIN+SUGAR 70 80

CC55 RBC INDICES(MCV, MCH,MCHC) 70 80 CM45 TROP T (QUANTITATIVE) 700 800 NM05 SOMATO SENS EVOK POT 560 640 NM06 VISUAL EVOK POT TEST 560 640 PA04 IMMUNOGLOBULIN IGA QUANTITATIVE 350 400 PA05 IMMUNOGLOBULIN IGG QUANTITATIVE 350 400

PA07 IMMUNOGLOBULIN-CSF IGG QUANTITATIVE 350 400 PA12 DETC.ANTI.TUBERCULOS IGG IN CSF 350 400

PA29 IMMUNOELECTROPHORES IGA QUALITATIVE 350 400

PA30 IMMUNOELECTROPHORES IGM QUALITATIVE 350 400 PA31 B LYMPHOCYTE ASSAY 350 400

PA32 IMMUNOGLOBULIN-CSF IGA QUANTITATIVE 350 400 PA35 DETC.ANTI.TUBERCULOS IGM IN CSF 350 400 PA38 ANTI NEUTROPHIL CYTOPLASMIC AB 350 400 PT09 ELETRIC VIBRATOR 70 80 PT11 INTERFERENTIAL THERAPY 70 80 RA1Q CT CONTRAST EXTRA 20ML 140 160 RA60 ULTRASOUND SCAN ABDOMEN 560 640 RA64 C.T. CONTRAST 50 ML 350 400 RA55 MRI CONTRAST 10ML 760 870

AN07 FIBEROPTIC BRONCHOSCOPY (ANESTHESIA) 690 790 AN19 REGIONAL BLOCKS (ANESTHESIA) 690 790 EP25 VNS PROGRAMMING 620 710 EP26 WADA 620 710 EP27 SPECT 620 710 RA4O MRI DIFFUSION - PLAIN 1,240 1,420 MD31 BOTULINUM TOXIN-DYSPORT 10 358 410 RA3F SINGLE SEQUENCE 1,170 1,340 RA3G SWI/MRS 1,170 1,340 CM32 HOLTER MONITORING 1,100 1,260 MB97 PCR - HSV 1,650 1,890

PA50 ANTI GANGLIOSIDE GA1 ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA 550 630

PA51

ANTI GANGLIOSIDE GM1 ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA POSITIVE 550 630

PA52

ANTI GANGLIOSIDE GM2 ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA 550 630

PA53

ANTI GANGLIOSIDE GD1A ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA 550 630

PA54

ANTI GANGLIOSIDE GD1B ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA 550 630

PA55

ANTI GANGLIOSIDE GQ1B ANTIBODIES (IGG & IGMMIX) IN SERUM BY ELISA 550 630

AN17 ANESTHESIA FOR CT SCAN 820 940 NM02 EEG 820 940 AN05 ARTERIAL LINE (ANESTHESIA) 750 860 AN10 EPIDURAL (ANESTHESIA) 750 860 MD67 U/L DBS-REVIEW 750 860

NM75 VEEG ROUTINE 30 MINUTES 750 860 PA28 TUMOUR NECHROSIS FACTOR 750 860

PC15 PHYSIOTHERAPY - PLAIN EXERCISES + ANY TWO OF TENS/IFT/UST/TRACTION/ES (5 DAY PACKAGE) 750 860

BC69 SERUM-ARYL SULPHATASE - A 340 390

AN06 PULMONARY ARTERY CATHETER (ANESTHESIA) 1,290 1,480 RA6C CT CONTRAST VISCIPAQUE 50ML 950 1,090

AN23 ANESTHESIA FOR NEURO-INTERVENTIONS (upto 3 HRS) 2,780 3,190

AN28 ANESTHESIA FOR PERIPHERAL INTERVENTIONS (up to 3HRS) / MUSCLE BIOPSY 2,780 3,190

AN32 ANESTHESIA FOR CT GUIDED PROCEDURES ( 2 HRS or more) 2,780 3,190

NM11 V.DIGITAL EEG (3 HR) 1,220 1,400

RA0F CT ORBIT/SELLA PLAIN AND CONTRAST ENHANCED 2,300 2,640

RA0G CT PNS PLAIN AND CONTRAST ENHANCED 2,300 2,640 RA74 CT CERVICAL SPINE PLAIN 2,500 2,870 AN20 ANESTHESIA FOR CARDIAC CATH 2,970 3,410 EP17 NEUROPSYCHOLOGYSELECTED BATTERY 270 310 SL02 NEUROPSYCHOLOGY TESTING 270 310 RA50 MRI MR UROGRAPHY 3,170 3,640 AN39 ANESTHESIA FOR ICD 3,370 3,870 MD27 BOTULINUM TOXIN-DYSPORT 75 2,682 3,080 NM88 NERVE BIOPSY 1,010 1,160 NM89 MUSCLE BIOPSY 1,010 1,160 ST02 INTRAVENOUS PACKAGE TPA>50 MG 4,510 5,180 RA29 CT HEAD - PLAIN 1,750 2,010 AN15 ANESTHESIA FOR MRI NEURO 1,480 1,700 EP02 VEEG ROUTINE 30 MINUTES 740 850 RA89 LASER ABLATION OSTEORD OSTEOMA 8,140 9,350 MD13 INJECTION BOTOX 25 UNITS 3,221 3,700 MD17 BOTULINUM TOXIN-BOTOX 25 3,221 3,700

AN37 ANESTHESIA FOR PDA DEVICE/COIL CLOSURE OR STENTING 1,950 2,240 RA0P CT-CORONARY ANGIO 7,060 8,110

BB28 PROCESSING ONE UNIT OF BLOOD FOR INDUSTRY 1,210 1,390 NS2G GRID PLACEMENT 9,740 11,190 NS2H DEPTH ELECTRODE PLACEMENT 9,740 11,190 NS2L PALLIDODOTMY 9,740 11,190

NS2N OTHER PROCEDURES FOR MOVEMENT DISORDER 9,740 11,190

NS2X TRANSPHENOIDAL BIOPSY OF SPHENOID SINUS/SELLAR LESIONS 9,740 11,190 NS2Z INSERTION OF SPINAL CORD STIMULATOR 9,740 11,190

NS3G STEREOTACTIC DRAINAGE OF INTRACRANIAL ABSCESS 9,740 11,190

NS3H ULTASOUND GUIDED DRANIANGE OF INTRACRANIAL ABSCESS 9,740 11,190

NS3I IMAGE GUIDED DRAINAGE OF INTRACRANIAL ABSCESS 9,740 11,190 NS3L REMOVAL OF INFECTED BONE FLAP 9,740 11,190

NS3M WOUND DEBRIDEMENT AND REMOVAL OF INFECTED IMPLANTS 9,740 11,190

NS3N INSERTION OF VENTRICULOPERITONEAL SHUNT 9,740 11,190

NS3O REVISION OF VENTRICULOPERITONEAL SHUNT 9,740 11,190 NS3R INSERTION OF LUMBOPERITONEAL SHUNT 9,740 11,190 NS3T REVISION OF LUMBOPERITONEAL SHUNT 9,740 11,190

NS4I OPEN BIOPSY OF VERTEBRAL BODY /SPINE 9,740 11,190

NS4K SPINAL CORD PROCEDURE- NOT ELSEWHERE CODED 9,740 11,190 NS4V DORSAL CERVICAL FORAMINOTOMY 9,740 11,190

NS5J WOUND REPAIR AND SECONDARY NEUROLYSIS 9,740 11,190

NS5Q STEREOTACTIC BIOPSY OF LESION OF BRAIN TISSUE 9,740 11,190

NS5R BURR-HOLE USG GUIDED BIOPSY OF LESION OF BRAIN TISSUE 9,740 11,190

NS5S BURR HOLE IMAGE GUIDED BIOPSY OF BRAIN LESIONS 9,740 11,190 NS78 ELEVATION OF DEPRESSED FRACTURE 9,740 11,190 NS79 FIXATION OF FACIAL FRACTURES 9,740 11,190 NS80 FIXATION OF MANDIBULAR FRACTURE 9,740 11,190

NS85 REEXPLORATION FOR OPERATIVE HEMATOMA 9,740 11,190

NS93 INDIRECT CEREBRAL VASCULARISATION PROCEDURES EG; EDAS,EDAMS 9,740 11,190

NS96 CAROTID ENDARTERECTOMY 9,740 11,190 MD74 MOTOR PHYSIOLOGY 470 540

RA0E CT NECK PLAIN AND CONTRAST ENHANCED 2,820 3,240 RA2U TRANS CRANIAL DOPPLER 940 1,080 RA62 DOPPLER - CAROTID (NVD) 940 1,080 RA88 LASER DISC DECOMPRESSION+MATERIAL 7,990 9,180 RA8P DOPPLER - RENAL 940 1,080 RA8Q DOPPLER - ABDOMEN 940 1,080 EP15 SPHENOIDAL ELECTRODE PLACEMENT 4,630 5,320 RA20 THROMB THERAPY 10,800 12,410 RA0X CARDIAC CT 5,500 6,320

RA59 MR ANGIOGRAPHY-CEREBRAL- WITHOUT CONTRAST WITH FILM 2,950 3,390

RA0Y TRIPPLE RULE OUT STUDY (Aorta+cardiac+pulm) 6,970 8,010

RA2G PERIPHERAL INTERVENTION GRADE C (less than 3 hrs) 8,310 9,550 RA4I MRA ARCH NECK CONTRAST ENHANCED 4,490 5,160 CM65 PA STENTING 9,850 11,320 AN44 EVOKED POTENTIALS (ANESTHESIA) 1,340 1,540 RA61 DOPPLER - PERIPHERAL 1,340 1,540 RA97 VERTIBRO PLASTY 7,370 8,470

CM04 BALLOON PULMONARY VALVE (BPV) 10,250 11,780 CS84 WOUND DEBRIDEMENT 2,210 2,540 CS85 STERNAL WIRE REMOVAL 2,210 2,540 MD26 BOTULINUM TOXIN-DYSPORT 100 3,576 4,110 NS1Q GRAFT TO FACIAL NERVE 15,200 17,470 NS1R HYPOGLOSSOFACIAL ANASTOMOSIS 15,200 17,470

NS1T LATERAL ORBITOTOMY FOR EXCISION OF ORBITAL TUMOURS 15,200 17,470

NS1U ANTERIOR /ANTEROMEDIAL APPROACH FOR ORBITAL TUMOURS 15,200 17,470 NS1V OPTIC NERVE FENESTRATION 15,200 17,470

NS2I GRID PLACEMENT AND DEPTH ELECTRODE PLACEMENT 15,200 17,470 NS2J VAGAL NERVE STIMULATION 15,200 17,470 NS2K DEEP BRAIN STIMULATION 15,200 17,470 NS2O ENDOSCOPIC THIRD VENTRICULOSTOMY 15,200 17,470 NS2U ENDOSCOPIC SEPTOSTOMY AND SHUNT 15,200 17,470 NS2W TRANSPHENOIDAL CSF LEAK REPAIR 15,200 17,470 NS3C SPINAL ROOT RHIZOTOMY 15,200 17,470 NS3F DREZ LESION 15,200 17,470

NS3Q INSERTION OF SYRINGOPERITONEAL SHUNT 15,200 17,470 NS4A REPAIR FOR CSF OTORRHEA 15,200 17,470 NS4O FORAMEN MAGNUM DECOMPRESSION 15,200 17,470

NS4R ANTERIOR CERVICAL DISCECTOMY SINGLE LEVEL/MULTIPLE LEVEL 15,200 17,470

NS5C PRIMARY SURGERY FOR LUMBAR DISC/DEGENERATIVE DISEASE 15,200 17,470 NS5G LUMBAR DECOMPRESSIVE LAMINECTOMY 15,200 17,470

NS73 CRANIOTOMY FOR EXTRADURAL HAEMATOMA 15,200 17,470

NS75 BURR-HOLES FOR SUBDURAL HAEMATOMA/HYGROMA 15,200 17,470

NS92 DIRECT CEREBRAL REVASCULARIZATION: LOW FLOW BYPASS 15,200 17,470 CS56 AVFISTULA LOCAL ANAESTHESIA 9,240 10,620 EP12 INTRAOPERATIVE ECoG 12,720 14,620 RA56 MRI BRAIN + MRA CONTRAST ENHANCED 6,360 7,310

RA5M

MRI BRAIN (EPILEPSY PROTOCOL)+DIFFUSION + SPECTROSCOPY+T2 RELAXOMETRY WITHOUT CONTRAST WITH FILM 6,360 7,310

RA0N CT-LOWER LIMB ANGIO 4,820 5,540 RA0O CT-PULMONARY ANGIO 4,820 5,540

RA0S CT-BRAIN+NECK ANGIO (STROKE PROTOCOL) 4,820 5,540 CM02 BALLOON ANGIO AORTIC VALVE (BAV) 12,250 14,080 CM03 BALLOON DILATATION OF COA 12,250 14,080

RA0B CT DORSAL SPINE PLAIN AND CONTRAST ENHANCED 3,280 3,770

AN13 INTUBATION AND RESUSCITATION (ANESTHESIA) 1,740 2,000 RA46 MRI C-SPINE- PLAIN 4,550 5,230 CM54 EPS+RFA 9,500 10,920

RA70 CT ABDOMEN/PELVIS PLAIN & CONTRAST ENHANCED 4,750 5,460

RA90 OESO PHAGAL, TRACHIEL STENTING & BILIARY INTERVENTIONS 6,890 7,920 CM17 PACEMAKER LEAD REPOSITIONING 4,950 5,690

RA0A CT CERVICAL SPINE PLAIN & CONTRAST ENHANCED 3,010 3,460

CM59 CARDIAC RESYNCHRONISATION THERAPY (CRT) 15,250 17,530 RA3D MRI RESEARCH(PROJECT)1HR 3,410 3,920 AN30 ANESTHESIA FOR DSA (less than 6 HRS) 4,680 5,380 AN38 ANESTHESIA FOR CRT 4,680 5,380 CM08 BALLOON ATRIAL SEPTOSTOMY (BAS) 18,250 20,980 RA4S MRI ABDOMEN - CONTRAST ENHANCED 6,350 7,300 ST14 INTRAARTERIAL THROMBOLYSIS 4,010 4,610 CM55 EPS+ADVANCED MAPPING+RFA 13,500 15,520 RA2N STROKE PROTOCOL 1-DTI,SWI,FLAIR 2,740 3,150

AN33 ANESTHESIA FOR CT GUIDED PROCEDURES ( less than 2 HRS) 1,470 1,690

RA1V MRI LUMBAR SPINE CONTRAST ENHANCED 5,880 6,760 TS19 OESPH.INTUBATION 6,080 6,990 CM06 BALLOON MITRAL VALVE (BMV) 23,250 26,730 RA85 BONE DENSITOMETRY 3,140 3,610 RA92 CT STERIO TACTIC BIOP 3,140 3,610 CS57 AVFISTULA GENL ANAESTHESIA 10,020 11,520 CM18 PACEMAKER IMPLANTATION 8,950 10,290 CM63 MAPCA COIL/DEVICE CLOSURE 9,950 11,440

CS17 FEMORAL POPLITEAL BYPASS OPERATION 31,920 36,700 CS19 AORTO CAROTID BYPASS OPERATION 34,320 39,460 CS74 WOUND PROCEDURES 2,270 2,610 RA1X MRI PLAQUE PLAIN 2,470 2,840 TS27 OESPHAGOSCOPY 7,410 8,520 CM30 CATH RT +ANGIO 7,810 8,980 CM66 CAVF CLOSURE 13,750 15,810 RA03 BARIUM ENEMA 3,070 3,530 CS21 CARO.SUBCL.BYPASS OPERATION 34,370 39,520

RA5I MRI MRA (PERIPHERALS) - CONTRAST ENHANCED WITH FILM 6,340 7,290

RA2E PERIPHERAL INTERVENTION GRADE A ( more than 6 hrs) 16,550 19,030 MD23 BOTULINUM TOXIN-DYSPORT 450 16,089 18,500 CS43 EXPL.THORACOTOMY 31,230 35,910 CS25 EX.ANATOMIC BYPASS OPERATION 42,040 48,340 TS09 DIAP.HERNIA REPAIR 33,430 38,440 CS14 POST MI VSD REPAIR 54,580 62,760 CS50 VSD CLOSURE 54,580 62,760 CS61 ARTERIAL SWITCH OPERATION 65,250 75,030 CS62 ARCH REPAIR 65,250 75,030

CS63 UNIFOCALIZATION AND CORRECTIVE PROCEDURE 65,250 75,030 CS07 DOUBLE VALVE REPLACEMENT 68,650 78,940

CS13 ABDOMEN/THORACIC AORTIC ANSM REPAIR 37,090 42,650

CS11 ABDOMEN/THORACIC AORTIC ANSM REPAIR-CPB 58,970 67,810 TS07 HIATUS.HERNIA REPAIR 32,820 37,740 CS64 RE- OPERATIONS - ON CPB 66,170 76,090 TS15 CHESTWALL SURGERY 31,150 35,820 CS77 MV REPAIR 62,500 71,870 CS97 AORTIC DISSSECTION REPAIR 62,500 71,870 TS17 THO.OUTLET DECOMP. 31,080 35,740 CS37 COARCTATION AORTA REPAIR 31,880 36,660 TS13 OESPHAGOMYOTOMY 17,340 19,940 MD62 DBS UNILATERAL 55,020 63,270 TS30 LYMPH NODE BIOPSY ( Under GA) 9,870 11,350 RA17 ADDL.EMBOLISATION 12,070 13,880

CS90 MINISTERNOTOMY AND CORRECTIVE PROCEDURE 60,950 70,090 CS70 ALCAPA 62,150 71,470 CS87 PERICARDECTOMY 28,140 32,360 MD63 DBS BILATERAL 85,020 97,770 CS76 CAROTID ENDARTERECTOMY 29,340 33,740 CS23 RENAL ART BYPASS OPERATION 30,940 35,580 CS02 BENTAL PROCEDURE 70,080 80,590

NS1W SURGERY FOR TUMOURS/LESIONS OF THE SKULL VAULT 25,470 29,290

NS2A ANTERIOR TEMPORAL LOBECTOMY AND AMYGDALOHIPPOCAMPECTOMY 25,470 29,290

NS2Q ENDOSCOPIC BIOPSY OF SPHENOID SINUS/SELLAR LESIONS 25,470 29,290

NS2T ENDOSCOPIC EVACUATION OF HEMATOMA 25,470 29,290

NS3D OPEN SPINAL CORDOTOMY 25,470 29,290 NS3E PERCUTANEOUS CORDOTOMY 25,470 29,290

NS3J CRANIOTOMY FOR EXCISION OF INTRACRANIAL ABSCESS 25,470 29,290

NS3K CRANIOTOMY FOR DRAINAGE OF SUBDURAL EMPYEMA 25,470 29,290

NS3Y TRANSPHENOIDAL DECOMPRESSION OF PITUITARY TUMOURS 25,470 29,290

NS3Z TRANSCRANIAL REPAIR OF CSF RHINORHEA 25,470 29,290

NS4E EXCISION OF INTRADURAL EXTRAMEDULLARY SPINAL TUMOURS 25,470 29,290

NS4G EXCISION OF EXTRADURAL SPINAL TUMOURS 25,470 29,290 NS4N VERTEBEROPLASTY 25,470 29,290

NS4Q DECOMPRESSIVE LAMINECTOMY/LAMINOPLASTY 25,470 29,290

NS4S ANTERIOR CERVICAL DISCECTOMY SINGLE LEVEL/MULTIPLE LEVEL WITH FUSION AND INSTRUMENTATION 25,470 29,290

NS4T ANTERIOR CORPECTOMY AND FUSION WITH INSTRUMENTATION 25,470 29,290

NS4U OCCIPITO/C1- C2 STABILISATION USING INSTRUMENTATION 25,470 29,290

NS4W UPPER CERVICAL SPINE STABILIZATION & INTRUMENTATION 25,470 29,290

NS4X POSTERIOR DECOMPRESSIVE LAMINECTOMY/LAMINOTOMY THORACIC 25,470 29,290

NS5D PRIMARY SURGERY FOR LUMBAR DISC/DEGENERATIVE DISEASE (INSTRUMENTATION) 25,470 29,290

NS5E REVISION SURGERY FOR LUMBAR DISC/DEGENERATIVE DISEASE 25,470 29,290

NS5H LUMBAR DECOMPRESSIVE LAMINECTOMY AND STABILIZATION WITH INSTRUMENTATION 25,470 29,290

NS5I ENDOSCOPIC DISC SURGERY 25,470 29,290

NS5L OTHER PERIPHERAL NERVE ANASTOMOSIS/GRAFT 25,470 29,290

NS74 CRANIOTOMY FOR SUBDURAL HAEMATOMA 25,470 29,290

NS77 CRANIOTOMY FOR REMOVAL OF FOREIGN BODY/PENETRATING INJURY 25,470 29,290

NS81 DECOMPRESSIVE CRANIECTOMY 25,470 29,290

NS82 DECOMPRESSIVE CRANIECTOMY WITH DUROPLASTY 25,470 29,290

NS84 POST FOSSA DECOMPRESSIVE CRANIECTOMY 25,470 29,290

NS95 CRANIOTOMY FOR SPONTANEOUS ICH (INFRATENTORIAL) 25,470 29,290 CS01 ASD CLOSURE 53,940 62,030 CS08 LA MYXOMA 53,940 62,030 CS27 ENDARTERECTOMY 28,670 32,970 CS33 CMV 30,870 35,500 CS15 AORTO FEMORAL BYPASS OPERATION 33,470 38,490 NS1J EXCISION OF MENINGIOMA-SKULL BASE 50,270 57,810

NS1K EXCISION OF INVASIVE /EXTENSIVE MENINGIOMAS- INCLUDING THOSE WITH EXTRACRANIAL EXTENSION 50,270 57,810

NS4D DECOMPRESSION/BIOPSY OF INTRAMEDULLARY SPINAL CORD LESION WITH INSTRUMENTATION 50,270 57,810

NS89 CRANIOTOMY AND CLIPPING OF COMPLEX ANEURYSMS 50,270 57,810

CS66 CONDUIT REPAIRS 61,870 71,150 CS05 AORTIC VALVE REPLACEMENT 65,070 74,830 CS96 MITRAL VALVE REPLACEMENT 65,070 74,830 CS89 RE-DO AORTIC VALVE REPLACEMENT 70,670 81,270

AN41 ANESTHESIA FOR ICD VF INDUCTION / SHORT GA 1,000 1,150 BB02 WB 800 920 CM10 EPS - HBE STUDY 4,600 5,290 CM22 EXCERCISE ECG (TMT) 1,000 1,150 CM38 TRANCSOPHAGEAL ECHO 1,000 1,150 CM39 DOBUTAMINE STRESS ECHO 1,000 1,150 CM40 TROP T (QUALITATIVE) 400 460 CM48 AMBULATORY BP MONITORING 1,000 1,150

CM56 ILR IMPLANTATION (ILR) 5,000 5,750 CM69 D-DIMER 600 690 CM70 IVUS 2,000 2,300 CM71 IABP 2,000 2,300 CM72 CORONARY PRESSURE WIRE 2,000 2,300 CM73 TEE GUIDANCE (PERIPROCEDURAL) 2,000 2,300 CM74 TEMPORARY PACING (PERIPROCEDURAL) 2,000 2,300 CM77 INTRACARDIAC ECHO (PERIPROCEDURAL) 2,000 2,300 CM80 OBSERVATION CHARGE ABOVE 6 HOURS 800 920 CS1A ORGAN RETRIVAL 55,000 63,250 CS39 PERICARDIOSTOMY 3,000 3,450 CS47 CLASSICAL BT SHUNT 33,200 38,180 CS67 VALVE REPAIRS 55,800 64,170 CS71 AP WINDOW REPAIR 57,800 66,470 CS99 NORWOOD PROCEDURE 65,800 75,670 EP24 VNS IMPLANTATION 400,000 460,000 MB1L PERICARDIAL FLUID CULTURE 400 460 MB25 RF-LATEX 200 230 MB27 TPHA SERUM 200 230 MB59 BLOOD CULTURE 400 460 MB60 URINE CULTURE 400 460 MB62 ENDO TRACHEAL CULTURE 400 460 MB66 PLEURA FLUID CULTURE 400 460 MB67 PERITONEAL FLUID CULTURE 400 460 MB68 SUB GALEAL FLUID CULTURE 400 460 MB69 ASPIRATE CULTURE 400 460 MB70 FAECES CULTURE 400 460 MB72 CANNULA TIP CULTURE 400 460 MB73 MISCELLANEOUS 400 460 MB74 PUS CULTURE 400 460 MB76 GASTRIC ASPIRATE TB CULTURE 600 690 MB77 SPUTUM TB CULTURE 600 690 MB79 TISSUE TB CULTURE 600 690 MB80 URINE TB CULTURE 600 690 MB81 FLUID FUNGAL CULTURE 400 460 MB83 BLOOD FUNGAL CULTURE 400 460 MB84 CSF FUNGAL CULTURE 400 460 MB85 SPUTUM FUNGAL CULTURE 400 460 MB86 TISSUE FUNGAL CULTURE 400 460 MB91 EAR SWAB 400 460 MB96 PCR - TB 800 920 MD68 B/L DBS-REVIEW 2,000 2,300 MS01 ICU CHARGES 1,000 1,150 MS32 VENTILATOR CHARGE 1,000 1,150 MS36 MEDICAL MANAGEMENT CHARGE 15,000 17,250 NC02 INTRACRANIAL AVM EMBOLISM 120,000 138,000 NC03 ANEURYSM COILING 300,000 345,000 NC04 SPINAL ANGIOGRAM 9,000 10,350 NC05 BALLOON OCCLUSION TEST 14,000 16,100 NC06 STROKE INTERVENTION 50,000 57,500

NC07 CCF EMBOLISATION 20,000 23,000 NC08 PERIPHERAL EMBOLISATION 20,000 23,000 NC09 SPINAL EMBOLISATION 25,000 28,750 NC10 OTHER INTERVENTIONS 16,000 18,400 NC20 ANGIOPLASTY 20,000 23,000 NM80 DETAILED SPEECH EVALUATION 200 230 PA13 MUSCLE BIOPSY 400 460 PA14 NERVE BIOPSY 400 460 PA15 ELECTROPHORESIS-BL. 200 230 PA19 BIOPSY ROUTINE 400 460 PA23 ANTI STRIATED MUSCLE ANTI BODY 200 230 PA25 ANTI PORKINJI CELL A 200 230 PA26 FINE N ASPIRATION CY 200 230 PA43 ANTTHYROID PEROXIDASE IG G 400 460 PA44 CSF IG G INDEX 600 690

PA45 AQUAPORIN 4 ANTIBODY IN SERUM BY ELISA 1,800 2,070 PA57 OLIGOCLONAL BANDS(OCB) 1,000 1,150 PC03 INTERVENTIONS (MINOR I) 1,000 1,150 PC06 INTERVENTIONS (MAJOR I) 5,000 5,750 PC07 INTERVENTIONS (MAJOR II) 6,000 6,900

PC17 REHAB - MUSCULOSKELETAL INFILTRATIONS (LOCAL ANAESTHETIC) 400 460

PC19 REHAB - JOINT ASPIRATION/INFILTRATION/TENDON SHEET INFILTRATION 600 690

RA0H CT ABDOMEN PLAIN 3,200 3,680 RA0J CT LOWER ABDOMEN/PELVIS PLAIN 2,800 3,220 RA0K CT UPPER ABDOMEN PLAIN 2,800 3,220 RA0W CT-CALCIUM SCORING CARDIAC 2,600 2,990 RA1S CD CHARGES 200 230 RA2H DSA CHARGE (3 HOURS) 1,000 1,150 RA2I DSA CHARGE (6 HOURS) 2,000 2,300 RA2V ULTRASOUND CONTRAST 1 ML 1,000 1,150 RA37 MRI - HEAD 5,600 6,440 RA3E MRI RESEARCH (PROJECT)2HR 4,600 5,290

RA5O MRI MRA - WHOLE AORTA + PERIPHERAL CONTRAST ENHANCED 6,800 7,820 ST03 TCD FLOW STUDY 600 690 ST04 TCD EMBOLI DETECTION 1,000 1,150 CS94 RE- DO CABG 72,660 83,560 TS11 OESPHAGEL BYPASS 34,130 39,250 CS04 BDG 54,660 62,860 CS72 PARTIAL AV CANAL REPAIR 54,660 62,860 CS69 TCPC 61,590 70,830 CS91 ASD CLOSURE THROUGH THORACOTOMY 55,190 63,470 CS54 MODIFIED BT SHUNT 34,860 40,090 CS29 EMBOLECTOMY 17,330 19,930 EP14 CORTICAL STIMULATIN AND MAPPING 12,730 14,640 CS98 OMV 53,250 61,240 CS93 RE -DO DUBLE VALVE REPLACEMENT 74,240 85,380

RA0Z NEURO INTERVENTIONS GRADE A ( more than 6 hrs) 18,460 21,230 CS73 PA BANDING 26,590 30,580 CS92 RE- DO MITRAL VALVE REPLACEMENT 70,770 81,390

NS1B CRANIOTOMY FOR LESIONS INVOLVING THE BRAIN STEM 40,180 46,210

NS1C CRANIOTOMY FOR LATERAL VENTRICULAR LESIONS 40,180 46,210

NS1E CRANIOTOMY FOR POSTERIOR THIRD VENTRICULAR LESIONS/PINEAL LESIONS 40,180 46,210

NS1I EXCISION OF MENINGIOMA HIGH CONVEXITY /FALX/PARASAGITAL 40,180 46,210

NS1L CRANIOTOMY FOR EXCISION OF CEREBELLOPONTINE ANGLE SCHWANNOMAS 40,180 46,210

NS1M CRANIOTOMY FOR EXCISION OF FIFTH NERVE SCHWANNOMAS 40,180 46,210

NS1N EXCISION OF LESION OF LOWER CRANIAL NERVES/UPPER CERVICAL NERVES - BOTH CRANIAL AND UPPER CERVICAL 40,180 46,210

NS2E HEMISPHEROROTOMY 40,180 46,210 NS2F MULTILOBAR RESECTION 40,180 46,210

NS2R ENDOSCOPIC RESECTION OF SELLAR/BASAL SKULL LESIONS 40,180 46,210

NS2S ENDOSCOPIC RESECTION/DECOMPRESSION OF INTRAVENTRICULAR LESIONS 40,180 46,210

NS4C

DECOMPRESSION/BIOPSY OF INTRAMEDULLARY SPINAL CORD LESION 40,180 46,210

NS4M SURGERY FOR SPINAL DYSRAPHISM WITH INSTRUMENTATION 40,180 46,210

NS4Z OTHER (ANTEROLATERAL/POSTEROLATERAL) THORACIC DECOMPRESSION WITH INSTRUMENTATION) 40,180 46,210

NS5B

SURGERY FOR THORACIC DISC/DEGEN DISEASE (INSTRUMENTATION) 40,180 46,210

NS5K BRACHIAL PLEXUS INJURY REPAIR 40,180 46,210

NS88 CRANIOTOMY AND CLIPPING OF INTRACRANIAL ANEURYSM 40,180 46,210 NS90 CRANIOTOMY AND EXCISION OF AVM 40,180 46,210

NS91 DIRECT CEREBRAL REVASCULARISATION PROCEDURES HIGH FLOW BYPASS 40,180 46,210

NS99

CRANIOTOMY FOR LESIONS OF SUPRASELLAR AREA/INSULA/ELOQUENT AREA/MULTILOBAR/MULTICOMPARTMENTAL LESION 40,180 46,210

MD22 BOTULINUM TOXIN-DYSPORT 500 17,877 20,560 CM52 CAG WITH LV ANGIOGRAM 5,930 6,820 RA4R MRI ABDOMEN - PLAIN 5,330 6,130 CS78 EXPLORATORY LAPAROTOMY 24,050 27,660 CS59 VAT BIOPSY LUNG/MEDISTINUM 21,650 24,900

RA2O STROKE PROTOCOL 2-DTI,SWI,FLAIR,PERFUSION 4,330 4,980

RA40 MRI - SPINE:LUMBAR 4,330 4,980 CS88 CAROTID BODY TUMOR EXCISION 25,580 29,420

RA68 CT CHEST PLAIN & CONTRAST ENHANCED 3,930 4,520 TS05 TRACHEAL RECONSTRUCTION 35,370 40,680 NS2M BATTERY REPLACEMENT 7,060 8,120

NS3A REVISION/REMOVAL OF SPINAL CORD STIMULATOR 7,060 8,120

NS3B INSERTION OF SPINAL DRUG DELIVERY SYSTEM 7,060 8,120

NS3P REMOVAL OF VENTRICULOPERITONEAL SHUNT 7,060 8,120 NS3S REMOVAL OF LUMBOPERITONEAL SHUNT 7,060 8,120 NS3U INSERTION OF OMAYA RESERVOIR 7,060 8,120

NS3W OTHER CSF DRAINAGE/SHUNT PROCEDURE 7,060 8,120

NS4B REPAIR OF CSF FISTULAS FROM OPERATIVE WOUNDS 7,060 8,120

NS4J CT GUIDED BIOPSY OF VERTEBRAL BODY SPINE 7,060 8,120 NS5Z LSCS 7,060 8,120 NS6A LAPROTOMY 7,060 8,120 NS6B SKIN GRAFTING 7,060 8,120 NS6C OTHER PLASTIC SURGERY PROCEDURES 7,060 8,120 NS6D MASTOIDECTOMY 7,060 8,120 NS6E OTHER ENT PROCEDURES 7,060 8,120 NS87 CEREBRAL ANGIOGRAPHY 7,060 8,120 NS97 CAROTID LIGATION 7,060 8,120 CM14 ENDOCARDIAL BIOPSY 17,450 20,070 CM51 CAG WITH CATH 6,460 7,430 CM09 PTCA 15,850 18,230 CM60 PDA DEVICE CLOSURE 15,250 17,540 CM61 VSD DEVICE CLOSURE 15,250 17,540 CM62 RSOV DEVICE CLOSURE 15,250 17,540 EP10 INTRAOPERATIVE SSEP 6,060 6,970 NM70 INTRA OPERATIVE SSPE 6,060 6,970 RA52 MRI PROSTATE - CONTRAST ENHANCED 6,060 6,970 TS31 THYROIDECTOMY 24,970 28,720 EP08 V.DIGITAL EEG 3 DAYS 5,460 6,280 CS45 EPICAR.PACEMAK.IMPLANTATION 15,580 17,920 TS03 MEDIASTINAL TUMOUR REMOVAL 25,900 29,790 RA0Q CT-CHEST+ABDOMEN 4,860 5,590

RA2D NEURO INTERVENTIONS GRADE C (less than 3 hrs) 9,720 11,180 TS01 LOBECTOMY 25,430 29,250 TS34 PNEUMONECTOMY 25,430 29,250

AN22 ANESTHESIA FOR NEURO-INTERVENTIONS (more than 3 HRS and less than 6 HRS) 5,990 6,890

AN27 ANESTHESIA FOR PERIPHERAL INTERVENTIONS (more than 3 HRS and less than 6 HRS) 5,990 6,890

MD24 BOTULINUM TOXIN-DYSPORT 300 10,728 12,340 MD25 BOTULINUM TOXIN-DYSPORT 150 5,364 6,170

MD08 INJECTION BOTOX 100 UNITS 12,884 14,820 MD09 INJECTION BOTOX 50 UNITS 6,442 7,410 MD15 BOTULINUM TOXIN-BOTOX 100 12,884 14,820 MD16 BOTULINUM TOXIN-BOTOX 50 6,442 7,410

NS3V INSERTION OF EXTERNAL VENTRICULAR DRAIN 5,590 6,430 NS3X SPINAL CSF DRAINAGE/ MONITORING 5,590 6,430 NS5N CARPEL TUNNEL DECOMPRESSION 5,590 6,430

NS5O OTHER PERIPHERAL NERVE DECOMPRESSION 5,590 6,430 NS5P RADIOFREQUENCY ABLATION 5,590 6,430 NS5T PERIPHERAL NERVE BIOPSY 5,590 6,430 NS5U TEMPORAL ARTERY BIOPSY 5,590 6,430 NS5V MENINGOCORTICAL BIOPSY 5,590 6,430 NS5W MUSCLE BIOPSY 5,590 6,430 NS5X WOUND RESUTURING 5,590 6,430 NS5Y TRACHEOSTOMY 5,590 6,430

NS76 TWIST DRILL ASPIRATION OF SUBDURAL COLLECTIONS 5,590 6,430 NS86 ICP MONITORING 5,590 6,430 CM42 PDA COIL EMBOLISATION CLOSURE 9,250 10,640 TS23 DECORTICATION 25,020 28,780

NS1A CRANIOTOMY FOR LESION OF CEREBELLUM 33,600 38,650

NS1D CRANIOTOMY FOR ANTERIOR THIRD VENTRICLE LESIONS 33,600 38,650

NS1F CRANIOTOMY FOR FOURTH VENTRICULAR LESIONS 33,600 38,650

NS1G CRANIOTOMY FOR LESION AT OTHER SITE INCLUDING CISTERNS/CSF FISSURES 33,600 38,650

NS1H EXCISION OF MENINGIOMA- CONVEXITY 33,600 38,650

NS1O MICROVACULAR DECOMPRESSION OF TRIGEMINAL NERVE 33,600 38,650

NS1P MICROVASCULAR DECOMPRESSION OF FACIAL NERVE 33,600 38,650

NS1S TRANSCRANIAL EXCISION OF ORBITAL TUMOURS 33,600 38,650

NS1Y SURGERY FOR BONY LESIONS INVOLVING BASE OF SKULL 33,600 38,650

NS2B TEMPORAL LESIONAL EPILEPSY SURGERY OTHER THAN MTS 33,600 38,650

NS2C EXTRA TEMPORAL LESIONAL EPILEPSY SURGERY 33,600 38,650 NS2D CORPUS CALLOSOTOMY 33,600 38,650 NS2P ENDOSCOPIC CSF RHINORHEA REPAIR 33,600 38,650 NS2Y PSYCHOSURGERY 33,600 38,650

NS4F EXCISION OF INTRADURAL EXTRAMEDULLARY SPINAL TUMOURS WITH INSTRUMENTATION 33,600 38,650

NS4H

EXCISION OF EXTRADURAL SPINAL TUMOURS WITH INSTRUMENTATION 33,600 38,650

NS4L SURGERY FOR SPINAL DYSRAPHISM 33,600 38,650 NS4P TRANSORAL EXCISION OF ODONTOID 33,600 38,650

NS4Y OTHER (ANTEROLATERAL/POSTEROLATERAL) THORACIC DECOMPRESSION 33,600 38,650

NS5A SURGERY FOR THORACIC DISC/DEGENERATIVE DISEASE 33,600 38,650

NS5F REVISION SURGERY FOR LUMBAR DISC/DEGENERATIVE DISEASE (INSTRUMENTATION) 33,600 38,650

NS5M

MUSCLE/NERVE TRANSOPISITION AND OTHER CORRECTIVE PROCEDURES 33,600 38,650

NS83

DECOMPRESSIVE CRANIECTOMY WITH DUROPLASTY AND LOBECTOMY 33,600 38,650

NS94 CRANIOTOMY FOR SPONTANEOUS ICH (SUPRATENTORIAL) 33,600 38,650

NS98 CRANIOTOMY FOR LESION OF FRONTAL LOBE/ TEMPORAL LOBE/ PARIETAL LOBE/OCCIPITAL LOBE 33,600 38,650

RA18 ADDL. ANGIOPLASTY 9,980 11,480 CM43 ASD DEVICE CLOSURE 8,250 9,490

AN21 ANESTHESIA FOR NEURO-INTERVENTIONS (6 HRS and more) 9,180 10,560

AN26 ANESTHESIA FOR PERIPHERAL INTERVENTIONS (6 HRS and more) 9,180 10,560 AN29 ANESTHESIA FOR DSA (6 HRS and more ) 9,180 10,560

RA6E MRI BRAIN OR ORBIT- CONTRAST ENHANCED WITH FILM 6,120 7,040 CM53 EPS BASAL 7,250 8,340 CS82 RE EXPLORATION -MAJOR 2,860 3,290 RA4K MRI fMRI- FUNCTION-PLAIN 2,860 3,290 RA1U MRI NAVIGATION CONTRAST ENHANCED 5,520 6,350 TS21 THYMECTOMY 25,870 29,760 TS25 MEDIASTINOSCOPY 10,840 12,470 RA4G MRA NECK CONTRAST ENHANCED 3,990 4,590 NM15 HEMONECTIF PLASMA 10,440 12,010 RA05 BRONCHOGRAM 3,790 4,360

RA4D MRA CIRCLE OF WILLIS PLAIN (WITHOUT CONTRAST) 2,460 2,830

CS86 WOUND DEBRIDEMENT & FLAP RECONSTRUCTION 17,020 19,580

RA5N MRI BRAIN (EPILEPSY PROTOCOL)+DIFFUSION +SPECTROSCOPY+ T2 RELAXOMETRY CONTRAST ENHANCED WITH FILM 7,180 8,260

RA5R MRI CARDIAC + MYOCARDIAC PERFUSION - CONTRAST ENHANCED 7,180 8,260

RA5V MRI CARDIAC + THORACIC AORTA CONTRAST ENHANCED 6,980 8,030

RA41 MRI - THORAX 5,650 6,500 ST01 INTRAVENOUS PACKAGE TPA 50 MG 4,520 5,200 CM01 CORONORY ANGIOGRAPHY 5,450 6,270 RA0T CT-BRAIN PERFUSION 4,320 4,970 RA4T MRI PELVIS - PLAIN WITH FILM 5,250 6,040 RA77 CT ORBIT/SELLA 2,060 2,370 RA78 CT NECK 2,060 2,370

CS31 AMPUTATION 16,940 19,490 CM67 ASD SIZING 7,440 8,560 RA0M CT-UPPER LIMB ANGIO 4,650 5,350 AN16 ANESTHESIA FOR MRI- CARDIAC 2,590 2,980 RA83 CT MYELO/CISTERNOGRAPHY 5,180 5,960 EP07 V.DIGITAL EEG (48 HR) 4,250 4,890 NC01 DIAGNOSTIC CEREBRAL ANGIOGRAM 8,500 9,780

RA0D CT LUMBAR SPINE PLAIN AND CONTRAST ENHANCED 3,320 3,820 CM57 ICD IMPLANTATION (ICD) 12,150 13,980 BB15 PLATELETE (AP-PLC) 7,170 8,250 BB16 PLASMA (AP FFP) 7,170 8,250

MD11 REPOSITION / NEUROSTIMULATOR REPLACEMENT 5,510 6,340

RA2F PERIPHERAL INTERVENTION GRADE B (3-6 hrs) 13,210 15,200 BB20 LEUCO FILTERED RBC - WHOLE BLOOD 1,460 1,680 MS16 BLOOD BANK TESTING CHARGES 730 840 RA2M MOVEMENT DISORDER MR PACKAGE 6,570 7,560

RA5Z MR CEREBRAL VENOGRAPHY- WITHOUT CONTRAST WITH FILM 3,650 4,200 RA86 CT GUIDED BIOPSY (BODY) 4,910 5,650 EP13 SUBDURAL STRIP/GRID MON.(SSGEM) 9,090 10,460 RA91 CT ABDOMEN & PELVIS 4,180 4,810

RA5F MR ANGIOGRAPHY-PERIPHERAL - WITHOUT CONTRAST WITH FILM 3,450 3,970 TS32 SKIN GRAFTING 6,170 7,100 RA48 MRI D-SPINE - PLAIN 4,710 5,420 RA1W MRI BRAIN DEMENTIA PROTOCOL 5,240 6,030 CM64 PDA STENTING 9,750 11,220 PC08 INTERVENTIONS (MAJOR III) 6,500 7,480 RA81 CT CHEST (HRCT) 3,250 3,740

RA5Q MRI PULMONARY ANGIO - CONTRAST ENHANCED 4,510 5,190 CM12 CARDIAC CATH R/L 5,770 6,640 RA5G MRI JOINTS - PLAIN WITH FILM 5,570 6,410 CS79 RESUTURING - MAJOR 4,310 4,960 TS26 BRONCOSCOPY 4,310 4,960 RA4M fMRI MORE THAN 2 FUNCTION - PLAIN 4,840 5,570 CM58 PACEMAKER REPLACEMENT 8,950 10,300 RA49 MRI D-SPINE - CONTRAST ENHANCED 5,900 6,790

RA2C NEURO INTERVENTIONS GRADE B (3-6 hrs) 14,120 16,250 RA47 MRI C-SPINE- CONTRAST ENHANCED 5,170 5,950 RA4F MRA NECK PLAIN 2,850 3,280 RA71 CT EXTREMITIES 2,850 3,280 RA73 CT DORSAL SPINE PLAIN 2,850 3,280

RA5Y MRI TEMPOROMANDI-BULAR JOINT- CONTRAST ENHANCED WITH FILM 6,760 7,780

RA5K MRI BRAIN + DIFFISION + PERFUSION CONTRAST ENHANCED 6,560 7,550

AN11 ENDOTRACHEAL INTUBATION (ANESTHESIA) 530 610

RA02 ANGIOGRAM-4 VESSEL 5,300 6,100

RA07 MR VENOGRAPHY - CONTRAST ENHANCED 4,570 5,260 RA0I CT CHEST PLAIN 2,980 3,430 CM16 PACEMAKER EXPLANTATION 2,450 2,820

RA5C MRI CARDIAC - CONTRAST ENHANCED WITH FILM 6,290 7,240 RA4L MRI fMRI- 2FUNCTION-PLAIN 3,840 4,420

SL06 POLYSOMNOGRAPHY WITH CPAP TITRATION 3,310 3,810 CM11 AORTOGRAM/CATH LEFT+ANGIO 6,950 8,000 EP11 INTRAOPERATIVE CLINICAL MONITORING 3,640 4,190 NM71 INTRA OPERATIVE NM 3,640 4,190 RA5B MRI CARDIAC - PLAIN 5,890 6,780 RA57 IVP ROUTINE 2,250 2,590 RA72 CT LUMBAR SPINE PLAIN 2,250 2,590 NM04 NERVE COND.STUDY 860 990 RA93 CT VIRTUAL ENDOSCOPY 4,300 4,950 RA4U MRI PELVIS - CONTRAST ENHANCED 6,350 7,310 RA0R CT-ABDOMEN TRIPPLE PHASE STUDY 5,490 6,320 RA5H MRI JOINTS - CONTRAST WITH FILM 6,680 7,690

RA2K MRI CARDIAC - CONTRAST ENHANCED UNDER GA(WITHOUT GA CHARGES) 7,010 8,070

CM68 CAG WITH LV ANGIOGRAM+CATH 8,000 9,210 RA6D MRI BRAIN OR ORBIT- PLAIN 5,950 6,850 MD58 PALLIDOTOMY UNILATERAL 21,020 24,200 MD59 THALAMOTOMY UNILATERAL 21,020 24,200 MD60 THALAMOTOMY UNILATERAL SUB 21,020 24,200

AN34 ANESTHESIA FOR MRI- NEURO WITH INTUBATION 2,710 3,120 AN35 ANESTHESIA FOR ASD DEVICE CLOSURES 2,710 3,120

AN36 ANESTHESIA FOR PDA DEVICE/COIL CLOSURE OR STENTING - INFANT (WITH INTUBATION) 2,710 3,120

AN42 ANESTHESIA FOR EPS 2,710 3,120

RA5X MRI TEMPOROMANDI-BULAR JOINT - WITH FILM 5,750 6,620 EP06 V.DIGITAL EEG (24HR) 3,040 3,500 MD72 SURGICAL PLANNING SYSTEM 3,040 3,500

RA5W MRI BRAIN + TRACTO GRAPHY - CONTRAST ENHANCED 7,070 8,140 RA5J MRI STERIOTAXY- PLAIN WITH FILM 5,550 6,390

RA1Y CT NAVIGATION WITH CONTRAST ENHANCED 4,360 5,020 CM13 CARDIAC CATH R & L+ANGIO 7,000 8,060 PC05 INTERVENTIONS (MINOR III) 3,500 4,030 RA0L CT-AORTIC+LOWER LIMB ANGIO 6,470 7,450

AN24 ANESTHESIA FOR ADDITIONAL PER 1 HOUR 1,320 1,520

AN25 ANESTHESIA FOR ADDITIONAL PER 0.5 HRS 660 760 AN31 ANESTHESIA STANDBY / HOUR 1,320 1,520 AN40 ANESTHESIA FOR PPI 2,310 2,660

CM15 TEMPORARY PACING (isolated procedure) 4,950 5,700 CM44 PERICARDIAL ASPIRATION 1,650 1,900

CM50 CAG CHECK ANGIO ONLY (isolated procedure) 2,970 3,420 EP03 VEEG 1HR. EXTENDED ROUTINE 990 1,140 SL09 MULTIPLE SLEEP LATENCY TEST (MSLT) 1,650 1,900

RA4E MRA CIRCLE OF WILLIS CONTRAST ENHANCED 3,760 4,330 RA51 MRI PROSTATE - PLAIN 5,340 6,150 MD73 EMG GUIDED BOTOX INJECTION 1,450 1,670

RA0U CT-TEMPORAL BONE/3D RECONSTRUCTION 4,480 5,160

RA69 CT UPPER ABDOMEN PLAIN & CONTRAST ENHANCED 4,150 4,780 RA79 CT HEAD (ANGIO) 4,150 4,780

SL07 POLYSOMNOGRAPHY WITHOUT CPAP TITRATION 3,030 3,490

RA5L MRI BRAIN+ DIFFUSION+PERFUSION +SPECTROSCOPY - CONTRAST ENHANCED 6,850 7,890

CS80 RESUTURING - MINOR 2,040 2,350 RA95 CT ANGIO NECK 4,080 4,700 RA84 DENTAL SCAN 3,290 3,790 CM46 PRO BNP 1,250 1,440 CS81 RE EXPLORATION -MINOR 1,250 1,440 MD79 TMS DYSKINESIA TREATMENT 2,500 2,880 PC04 INTERVENTIONS (MINOR II) 2,500 2,880 PC09 INTERVENTIONS (RISK) 2,500 2,880 RA10 MYELOGRAPHY 2,500 2,880 RA1M T2 RELAXOMETRY 1,250 1,440 RA4N MRI MRS-PLAIN 2,170 2,500

RA4J MRI TRACTOGRAPHY PLAIN WITH FILM & COLOUR SHEET 3,550 4,090 MD28 BOTULINUM TOXIN-DYSPORT 50 1,788 2,060

AN45 STANDBY FOR SURGICAL TRACHEOSTOMY (ANESTHESIA) 1,970 2,270 NM90 EMG & NERVE COND STUDY 1,510 1,740

RA4C MRI SCREENING (SINGLE PART) PLAIN WITH FILM 2,560 2,950 RA01 AORTOGRAPHY 5,250 6,050 ST05 TCD BUBBLE TEST 1,050 1,210 AN03 CENTRAL VENOUS LINE (ANESTHESIA) 590 680 RA1N SURFACE COIL IMAGING 2,360 2,720 RA2T PORTABLE USG/DOPPLER 1,180 1,360 RA6B CT CONTRAST VISCIPAQUE 100ML 1,900 2,190 RA76 CT PNS 1,900 2,190 RA4V MRI MRCP - PLAIN 3,340 3,850

AN14 TRANSESOPHAGEAL ECHO (PERIOPERATIVE - ANESTHESIA) 3,010 3,470 RA4P MRI PERFUSION - CONTRAST ENHANCED 3,010 3,470 RA04 BARIUM SWALLOW 1,570 1,810 RA4Q MRI CSF FLOW STUDY - PLAIN 2,420 2,790 RA2W ULTRASOUND GUIDED BIOPSY 1,700 1,960

RA6F CT HEAD PLAIN & CONTRAST ENHANCED 2,680 3,090 EP05 V.DIGITAL EEG (8HR) 1,830 2,110 NM74 VEEG 1HR. EXTENDED ROUTINE 980 1,130

AN08 PERCUTANEOUS TRACHEOSTOMY (ANESTHESIA) 1,370 1,580

PA46 ACETYLCHOLINE RECEPTOR ANTIBODY IN SERUM ELISA 1,500 1,730 AN04 CAVAFIX (ANESTHESIA) 520 600

AN18 TRANSPORT OF VENTILATED PATIENTS TO CATH LAB/MRI/CT SCAN (ANESTHESIA) 780 900

BB36 W - LR - RBC 650 750 BC29 SGOT/AST 130 150 BC30 SGPT/ALT 130 150 BC40 URINARY ELECTROLYTE (K,NA,CL) 130 150 BC56 MICROALBUMIN[URINE] 130 150 CM20 ECG ROUTINE 130 150 MD77 TRANSMAGNETIC STIMULATION(TMS) 390 450 NM77 NEUROPSYCHOLOGYSELECTED BATTERY 260 300 NM84 TRANS MAGNETIC STIMULATOR TMS 390 450

PC13 PHYSIOTHERAPY - PLAIN EXERCISES + TENS/IFT/UST/TRA/ES (5 DAY PACKAGE) 650 750

RA7D X-RAY MASTOIDS - B/L - LAWS PROJECTION 260 300

RA7E X-RAY T.M.JOINT - B/L - LATERAL OBLIQUE 260 300

EP04 V.DIGITAL EEG (3 HR) 1,230 1,420 EP09 V. DIGITAL EEG ADDL 24 HOURS 1,230 1,420 MD29 BOTULINUM TOXIN-DYSPORT 30 1,074 1,240 MD30 BOTULINUM TOXIN-DYSPORT 15 537 620 MD07 INJECTION CHARGE FOR BOTULINUM 710 820 BB12 WHITE CELL PREP (BUFFY COAT) 450 520 BB13 PLATELET RICH PLASMA 450 520 BB14 PAEDIATRIC FFP 450 520 BB22 LEUKO REDUCED RBC LR-RBC 450 520 BB23 LEUKO REDUCED PLATELET 450 520 BB25 IRRADIATED RBC 450 520 BB26 IRRADIATED PC5 450 520 PA27 IMMUNO HISTO CHEMIST 450 520

PA49 ANTI MUSCLE SPECIFIC TYROSINE KINASE ANTIBODY IGG IN SERUM BY ELISA 450 520

PC11 PHYSIOTHERAPY - PLAIN EXCERCISES (5 DAY PACKAGE) 450 520

RA8A CHECK DUPLEX SCAN 510 590

AN12 INTUBATION WITH NEWER AIRWAY GADGETS (ANESTHESIA) 700 810 PA41 ANTI CYSTICERCOSIS IG G 700 810 RA66 C.T. CONTRAST 100 ML 700 810 AN43 PERIPHERAL VENOUS LINE (ANESTHESIA) 190 220 BB34 RA - SAG 380 440 BB38 RA - PEAD - SAG 190 220 BC06 CSF C/G/P 190 220 EP18 NEURO PSYCHOLOGY FULL BATTERY 380 440

MD75 NEUROPSYCHOLOGY EVALUATION - MOV 380 440 NM78 NEURO PSYCHOLOGY FULL BATTERY 380 440 RA2L MRI CONTRAST 5 ML 380 440 ST09 SPEECH EVALUATION ( Detailed) 190 220 NM91 REPETITIVE NERVE STIMULATION 1,010 1,170 AN09 LUMBAR PUNCTURE (ANESTHESIA) 440 510 CM19 CARDIO VERSION 500 580 CM37 ROUTINE 2D ECHO DOPPLER 500 580 CM41 HUTT 500 580 CM79 OBSERVATION CHARGE UPTO 6 HOURS 500 580 MB04 VIRAL ISOLATION 500 580 MB11 CSF CULTURE 500 580 MB12 ANAEROBIC CULTURE BLOOD 500 580 MB1B BLOOD/FLUID AEROBIC AUTOMATED 500 580 MB1K PROCALCITONIN 1,000 1,160 MB87 PUS ANAEROBIC CULTURE 500 580 MB89 ASPIRATE ANAEROBIC CULTURE 500 580 MD76 NEUROPSYCHOLOGY SCREENING - MOV 250 290 MD78 IMAGE GUIDED TMS 500 580 MS04 BED (WARD) CHARGES 250 290 MS31 MEDICAL CARE CHARGES (ICU) 500 580 MS40 HAEMODYALISIS 1,000 1,160

NM1A COMPREHENSIVE COGNITIVE EVALUATION OF 12 YEAR OLD CHILD 500 580

NM1B COMPREHENSIVE EVALUATION OF LANGUAGE FUNCTION (CELF) 500 580 NM1C 3 MONTH INFANT EVALUATION 250 290 NM57 NEURO PSYCHOLOGY TESTING 250 290 NM93 PRECONCEPTION COUNSELLING 250 290 NM94 EARLY PREGNANCY EVALUATION 250 290 NM96 LATE PREGNANCY EVALUATION 250 290 NM97 NEONATAL EVALUATION 250 290

NM98 INFANT EVALUATION AT ONE YEAR OF AGE 250 290 PA01 ANTINUCLEAR FACTOR 250 290 PA09 IMMUNO COMPLEX 250 290 PA10 MUSCLEHISTOCHEMISTRY 500 580 PA11 DETECTION-C3 250 290 PA17 S.COMPLEMENT LEVEL 250 290 PA20 REF-HISTOPATHOLOGY 250 290 PA34 DETECTION-C4 250 290

PA47 ANTI-MYELIN BASIC PROTEIN ANTIBODY IGG IN SERUM BY ELISA 500 580

PA48 ANTI-MYELIN BASIC PROTEIN ANTIBODY IGG IN CSF BY ELISA 500 580

PA56 ANTI HU ANTIBODYIGG IN SERUM BY INDIRECT IMMUNOFLUORESCENCE POSITIVE 250 290

PC18 REHAB - MUSCULOSKELETAL INFILTRATIONS (LOCAL ANAESTHETIC + STEROID) 500 580

RA2J ADDL. DSA CHARGE(MORETHAN 6 HRS) -- EACH HOUR 500 580 BB21 WASHED RBC 560 650 BC59 LIPOPROTEIN[A][LP(A)] 560 650 NM01 BR.STEM&EVOK POTTEST 560 650 BB35 W - PEAD - SAG 310 360 EP28 EEG-FMRI 620 720 MD14 INJECTION BOTOX 10 UNITS 129 150 MD19 BOTULINUM TOXIN-BOTOX 10 129 150 BB27 IRRADIATED LR PC 490 570 BC18 URINARY VMA 610 710 MS39 PERITONEAL DIALYSIS 610 710 AN46 ANESTHESIA FOR CARDIOVERSION 300 350 BC02 BENCE JONES PROTEINS 60 70 BC11 GLUCOSE TOLERAN.TEST 360 420 BC19 S-ACID PHOSPHATASE 120 140 BC54 SERUM HEXOSAMINIDASE TOTAL 360 420 BC55 GLYCOSYLATED HEMOGLOBIN 300 350 CC01 CSF CELL COUNT 60 70 CC05 STOOL-MICROSCOPIC 60 70 CC15 HB 60 70 CC25 HAEMATOLOGY TLC DLC 60 70 CC26 PERIPHERAL SMEAR 120 140 CC42 RETICULOCYTE COUNT 60 70 CC43 AEC 60 70 CC44 RBC COUNT 60 70

CC54 HEMOGRAM ROUTINE- HB TLC DLC PCV PLC RBC count AEC ESR 180 210 CM23 ECHO SCREENING ONLY 300 350 CM78 OBSERVATION CHARGE UPTO 3 HOURS 300 350

EP16 ROUTINE NEUROPSYCHOLOGY COUNSELLING 120 140 EP22 SPEECH EVALUATION (ROUTINE) 180 210 MB06 CRP TEST 300 350 MB08 CULTURE TB CSF 600 700 MB17 ASO 300 350 MB1C TSH 300 350 MB1D FT4 300 350 MB1E FT3 300 350 MB75 FLUID TB CULTURE 600 700 MS03 MEDICAL CARE CHARGES(WARD) 300 350 MS35 MRD CHARGES - IP 300 350 NM79 ABRIDGED SPEECH EVALUATION 180 210

NM99 INTEGRATED NEUROPSYCHOLOGICAL TEST AND MALAYALAM LANGUAGE PROFICIENCY TEST AT 6 YEARS 300 350

PA03 IMMUNOGLOBULIN IGM QUANTITATIVE 300 350 PA06 T LYMPHOCYTE ASSAY 300 350 PA08 IMMUNOGLOBULIN-BLOOD 300 350 PA22 ANTI-PHOSPHO LIPID ANTIBODY(APLA) 300 350 PA24 ANTI TITIN ANTI BODY 300 350

PA33 IMMUNOGLOBULIN-CSF IGM QUANTITATIVE 300 350 PA36 ANTI-PHOSPHO LIPID IGM 300 350 PA37 ANTI DS DNA 300 350 PA39 ANTIMICOBACTIRIAL IG G 300 350 PA40 ANTIMICOBACTIRIAL IG M 300 350 PA42 ANTI THYROGLBULIN IG G 300 350 PC16 REHAB - TRIGGER POINT INJECTION 300 350 PT01 EXERCISE FOR A REGION 60 70 RA1R CT CONTRAST EXTRA 25ML 180 210 RA24 X-RAY PORTABLE - CHEST 360 420 SL03 COUNSELING 120 140 SL04 DENTAL SLEEP MEDICINE 120 140 SL05 PHOTOTHERAPY 120 140 ST12 NEUROPSYCHOLOGIST COUNSELLING 120 140

AN01 PULMONARY FUNCTION TEST (ANESTHESIA) 350 410 MD32 BOTULINUM TOXIN-DYSPORT 5 179 210 BC70 ESTIMATION OF PLASMA AMMONIA 230 270 MB50 COXSACKIE B (NT) 400 470 MB71 TISSUE CULTURE 400 470 MB82 URINE FUNGAL CULTURE 400 470 BC24 S-CPK 170 200 BC62 ELECTROLYTE + SUGAR 340 400 BC76 BLOOD GAS+ELECTROLYTE+LACTATE 340 400

PC14 PHYSIOTHERAPY - PLAIN EXCERCISES + ANY TWO OF TENS/IFT/UST/TRACTION/ES (SINGLE DAY) 170 200

BB05 CRYOPRECITATATE 220 260 BB09 PLASMA STORED (SDP) 220 260 BB33 CPP 110 130 BC49 SERUM AMYLASE 220 260

AN02 NASOGASTRIC TUBE INTRODUCTION (ANESTHESIA) 160 190 RA1A X-RAY LUMBO SACRAL - AP 160 190 RA1B X-RAY PELVIS - AP 160 190 RA22 X-RAY CHEST 160 190 RA25 X-RAY SKULL - AP 160 190 RA26 X-RAY ABDOMEN - SUPINE 160 190 RA27 X-RAY DORSAL SPINE - AP 160 190 RA28 X-RAY CERVICAL SPINE - AP 160 190 RA2A X-RAY CALCANEUM - AXIAL 160 190 RA3A X-RAY FEMUR - AP 160 190 RA4A X-RAY KNEE JOINT - AP 160 190 RA5A X-RAY LEG - AP 160 190 RA6A X-RAY ANKLE JOINT - AP 160 190 RA6G X-RAY ABDOMEN - ERECT 160 190 RA6H X-RAY ANKLE JOINT - LAT 160 190 RA6I X-RAY CHEST - LATERAL 160 190 RA6J X-RAY FEMUR - LAT 160 190 RA6K X-RAY FOOT - LATERAL 160 190

RA6L X-RAY FOOT - OBLIQUE 160 190 RA6M X-RAY KNEE JOINT - LATERAL 160 190 RA6N X-RAY KNEE JOINT - SKYLINE 160 190 RA6P X-RAY LEG - LATERAL 160 190 RA6Q X-RAY CALCANEUM - LATERAL 160 190 RA6R X-RAY NECK - LATERAL 160 190 RA6S X-RAY S.I JOINT - PA 160 190 RA6T X-RAY S.I JOINT - RIGHT OBLIQUE 160 190 RA6U X-RAY S.I JOINT - LEFT OBLIQUE 160 190 RA6V X-RAY HIPJOINT - AP 160 190 RA6W X-RAY HIPJOINT - LATERAL 160 190 RA6X X-RAY SKULL - PA 160 190 RA6Y X-RAY SKULL - LATERAL 160 190 RA6Z X-RAY SKULL - TOWNES 160 190 RA7A X-RAY FOOT - AP 160 190 RA7B X-RAY NASAL BONE - LATERAL 160 190 RA7C X-RAY PNS - WATERS VIEW 160 190 RA7F X-RAY MANDIBLE - PA 160 190 RA7G X-RAY MANDIBLE - OBLIQUE 160 190 RA7H X-RAY CERVICAL SPINE - LATERAL 160 190 RA7J X-RAY CERVICAL SPINE - FLEXION 160 190 RA7K X-RAY CERVICAL SPINE - EXTENSION 160 190 RA7L X-RAY CVJ - AP 160 190 RA7M X-RAY CVJ - OPEN MOUTH 160 190 RA7N X-RAY CVJ - LATERAL(NEUTRAL) 160 190 RA7P X-RAY CVJ - FLEXION 160 190 RA7Q X-RAY CVJ - EXTENSION 160 190 RA7R X-RAY DORSAL SPINE - LATERAL 160 190

RA7S X-RAY LUMBO SACRAL - LATERAL(NEUTRAL) 160 190 RA7T X-RAY LUMBO SACRAL - FLEXION 160 190 RA7U X-RAY LUMBO SACRAL - EXTENSION 160 190 RA7V X-RAY SHOULDER - LATERAL 160 190 RA7W X-RAY SHOULDER - AXIAL 160 190 RA7X X-RAY HUMERUS - AP 160 190 RA7Y X-RAY HUMERUS - LATERAL 160 190 RA7Z X-RAY ELBOW - AP 160 190 RA8B X-RAY ELBOW - LATERAL 160 190 RA8C X-RAY FOREARM - AP 160 190 RA8D X-RAY FOREARM - LATERAL 160 190 RA8E X-RAY WRIST JOINT - PA 160 190 RA8F X-RAY WRIST JOINT - LATERAL 160 190 RA8G X-RAY WRIST JOINT - OBLIQUE 160 190 RA8H X-RAY WRIST JOINT - ULNAR DEVIATION 160 190 RA8J X-RAY HAND - PA 160 190 RA8K X-RAY HAND - BALL CATCHING 160 190 RA8L X-RAY HAND - LATERAL 160 190 RA8M X-RAY HAND - OBLIQUE 160 190 RA8N X-RAY KUB 160 190 RA98 X-RAY NECK - AP 160 190 RA99 X-RAY SHOULDER - AP 160 190

MS33 CATHETERIZATION (BLADDER) 210 250 BB04 CROM'S TEST DIRECT & INDIRECT 100 120 BC23 S-CHOLESTEROL 100 120 BC58 MAGNESIUM[SERUM] 100 120 BC60 S-BILIRUBIN DIRECT 100 120 CC04 STOOF-OCCULT BLOOD 50 60 CM31 PACEMAKER PROGRAMMING 300 360

CM75 VASCULAR CLOSURE (POSTPROCEDURAL) 200 240 CM76 FLUOROSCOPY (CATH LAB) ONLY 100 120 EP19 PSYCHIATRIC EVALUATION 150 180 MB99 RPR 200 240 MD21 PYRIDO STIGMINE 60 MG -10 NO 50 60 MS34 MRD CHARGES - OP 50 60 PA18 CSF MALIGNANT TEST 100 120 PA21 SPUTUM-MALIGNANTCELL 100 120

PC10 PHYSIOTHERAPY - PLAIN EXERCISES (SINGLE DAY) 100 120 PT04 TENS 50 60 PT05 EXERCIES FOR PARAPLEGIA/HEMIPLEGIA 100 120 PT07 MUSCLE TESTING 100 120 PT14 EXERCISE FOR WHOLE BODY 100 120 PT18 C P MASSAGE AND EXERCISE 100 120

PT20 BREATHING EXERCISE & POSTURAL DRAINAGE 100 120 PT22 FES 100 120 PT23 UNWEIGHING EXERCISES 100 120 RA1O CT CONTRAST EXTRA 5ML 50 60 RA36 FLUOROSCOPY 100 120 EP21 DETAILED SPEECH EVALUATION 190 230 BB01 BLOOD GROUPING+RH 90 110 PT10 LUMBAR TRACTION 90 110 PT12 WAX BATH 90 110 PT17 INTERMITTANT CERVICAL TRACTION 90 110 PT19 POST - POLIO EXERCISES 90 110 BC01 ASCITICFLUID-PROTEIN 80 100 BC04 BLOOD UREA NITROGEN 80 100 BC13 PLEURALFLUID-PROTEIN 80 100 BC14 PERICARD.FLUID-PROTE 80 100 BC20 S-ALKAL.PHOSPHATATE 80 100 BC21 S-BILIRUBIN TOTAL 80 100 BC27 S-GLUCOSE FASTING 80 100 BC28 S-GLUCOSE RANDOM 80 100 BC33 S-PROTEINS (TOTAL) 80 100 BC39 URINARY PROTEINS 80 100 BC41 URINE UREA NITROGEN 80 100 BC42 24 HOURS URINE PROTEIN 80 100 CC11 URINE MICROSCOPY 40 50 CC17 PACKED CELL VOL 40 50 CC47 URINE REACTION 40 50 CC50 UROBILINOGEN 40 50

PT02 RESPIRATORY THERAPY 80 100 PT15 S W DIATHERMY 80 100 PT16 ELETRICAL STIMULATION 80 100 RA2X X-RAY FILM 40 50 NM22 AUDIOMETRY 180 230 CC14 ESR 30 40 CC48 URINE SP-GRAVITY 30 40 CM21 ECG RHYTHM STRIP 30 40 CS16 WOUND DRESSING - CS 30 40 PT06 ULTRASONIC THERAPY 70 100 MS02 OXYGEN CHARGES (PER HOUR) 20 30 PT03 UV THERAPY 50 80 MS13 DONOR ROOM RENT 550 1,000 CC46 URINE COLOUR 10 20 CM28 REVIEW CHARGE 150 300 CM47 REGISTRATION CHARGES 250 400 CS49 REVIEW CHARGE-CVTS 150 300 CS58 REGISTRATION CHARGES 250 400 EP30 REVIEW CHARGES (EPILEPSY) 150 300 MD10 REVIEW CHARGE 150 300

NC12 NEUROVASCULAR CLINIC REVIEW CHARGE 150 300 NM10 REVIEW CHARGE 150 300 NM85 REGISTRATION CHARGES 250 400 NS55 REVIEW CHARGE 150 300 NS72 REGISTRATION CHARGES 250 400 PC01 REGISTRATION CHARGES 250 400 PC02 REVIEW CHARGES 150 300 PT08 INFRA RED 50 100 PT13 HOT PACK 50 100 RA1Z REVIEW CHARGE 150 300 RA2B REGISTRATION CHARGES 250 400 SL08 REVIEW CHARGE 150 300 ST13 STROKE CLINIC REVIEW CHARGE 150 300

AN47 INTER DEPARTMENTAL CONSULTATION - AN - OP 0 250

AN48 INTER DEPARTMENTAL CONSULTATION - AN - IP 0 250

CM81 INTER DEPARTMENTAL CONSULTATION - CM - OP 0 250

CM82 INTER DEPARTMENTAL CONSULTATION - CM - IP 0 250

CS2A INTER DEPARTMENTAL CONSULTATION - CS - OP 0 250

CS2B INTER DEPARTMENTAL CONSULTATION - CS - IP 0 250 CS83 RE EXPLORATION - (SAME DAY) 0 0 EP29 INTRACRANIAL ELECTRODE COST 0 0

EP31 INTER DEPARTMENTAL CONSULTATION - EP - OP 0 250

EP32 INTER DEPARTMENTAL CONSULTATION - EP - IP 0 250

MD61 THALAMOTOMY BILATERAL 0 0

MD80 INTER DEPARTMENTAL CONSULTATION - MD - OP 0 250

MD81 INTER DEPARTMENTAL CONSULTATION - MD - IP 0 250 MS06 CONSUMABLE CHARGES 0 0 MS14 DRUGS USED 0 0 MS15 COSTLY ITEMS 0 0 MS17 OTHER ITEMS 0 0 MS30 EXTERNAL CONSULTATION 0 0 MS37 EXTERNAL PRESCRIPTION 0 0

MS38 EXTERNAL PRESCRIPTION (WITHOUT CONCESSION) 0 0

NM2A INTER DEPARTMENTAL CONSULTATION - NM - OP 0 250

NM2B INTER DEPARTMENTAL CONSULTATION - NM - IP 0 250 NM2C RESUSCITATION 0 240 NM2D LUMBAR PUNCTURE 0 270

NM2E CONTINUOUS VENOVENOUS/ ARTERIOVENOUS HEMOFILTRATION 0 2,980

NM2F HEMODIALYSIS FOR SERONEGATIVE CASES 0 1,850

NM2G HEMODIALYSIS FOR SEROPOSITIVE CASES 0 2,180 NM2H ACUTE PERITONEAL DIALYSIS 0 1,920 NM2J URETHRAL CATHETERIZATION 0 110 NM2K REMOVAL OF SUTURES 0 50 NM2L COLD CALORIE TEST 0 230

NS6F INTER DEPARTMENTAL CONSULTATION - NS - OP 0 250

NS6G INTER DEPARTMENTAL CONSULTATION - NS - IP 0 250

PT24 BALANCE TRAINING/ POSTURAL EXERCISES 0 170 PT25 VIRTUAL REALITY TRAINING 0 170 PT26 TREADMILL/DST GAIT TRAINING 0 170

RA2Y INTER DEPARTMENTAL CONSULTATION - IR - OP 0 250

RA2Z INTER DEPARTMENTAL CONSULTATION - IR - IP 0 250

SL10 INTER DEPARTMENTAL CONSULTATION - SL - OP 0 250

SL11 INTER DEPARTMENTAL CONSULTATION - SL - IP 0 250

ST16 INTER DEPARTMENTAL CONSULTATION - ST - OP 0 250

ST17 INTER DEPARTMENTAL CONSULTATION - ST - IP 0 250