Professional Documents
Culture Documents
PGI Rates
PGI Rates
PGI Rates
DENTAL
1 Dental IOPA X-ray
2 Occlusal X-ray
3 OPG X-ray
PULMONARY
4 Lung Ventilation & Perfusion Scan (V/Q Scan)
5 Lung Perfusion Scan
OSTEOLOGY
6 Whole Body Bone Scan with SPECT.
7 Three phase whole body Bone Scan
NEUROSCIENCES
8 Brain Perfusion SPECT Scan with Technetium 99m
radiopharmaceuticals.
9 Radionuclide Cisternography for CSF leak
GASTRO AND HEPATOBILIARY
10 Gastro esophageal Reflux Study (G.E.R. Study)
11 Gastro intestinal Bleed (GloB.) Study with Technetium
99m labeled RBCs.
12 Hepatobiliary Scintigraphy.
13 Meckel's Scan
14 Hepatosplenic scintigraphy with Technetium-99m
radiopharmaceuticals
15 Gastric emptying
GENITOURINARY
16 Renal Cortical Scintigraphy with Technetium 99m
D.M.S.A.
17 Dynamic Renography.
18 Dynamic Renography with Diuretic.
19 Dynamic Renography with Captopril
20 Testicular Scan
ENDOCRINOLOGY
21 Thyroid Uptake measurements with 131-Iodine.
22 Thyroid Scan with Technetium 99m Pertechnetate.
23 lodine-131 Whole Body Scan.
24 Whole Body Scan with M.I.B.G.
25 Parathyroid Scan
RADIO-ISOTOPE THERAPY
26 131-lodine Therapy
For NABL
/Imaging
60
68
170
5000
3000
4250
2550
3500
3500
2975
2975
10000
8500
5000
4250
2000
3500
1700
2975
2500
2000
2500
2125
1700
2125
1500
1275
3500
2975
3500
3500
4500
1500
2975
2975
3825
1275
1600
1500
1360
1275
3000
18000
5000
2550
15300
4250
Listed Under
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Procedures
S.No.
palliation
32 Samarium-153 therapy for metastatic bone pain
palliation
33 Radiosynovectomy with Yttrium
For NABL
/Imaging
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Listed Under
Procedures
Listed Under
Treatment
Treatment
Procedures
Procedures
CARDIOLOGY
34 Stress thallium / Myocardial Perfusion Scintigraphy
9900
8415
9900
8415
36 Venography
37 ECG
38 STRESS ECHO- DOBUTAMINE
3500
2975
50
43
Listed Under Listed Under
Treatment
Treatment
Procedures
Procedures
1650
1403
500
425
500
425
S.No.
42 Lymph angiography
TUMOUR IMAGING
43 Scintimammography.
44 Indium lableled octeriotide Scan.
PET SCAN
45 FDG Whole body PET / CT Scan
46 Brain I Heart FDG PET / CTScan,
47 Gallium-68 Peptide PET / CT imaging for
Neuroendocrine Tumor
48 Non-FDG PET / CT Scan
Laboratory Medicine
Clinical Pathology
49 Urine routine- pH,Specific gravity,sugar,protein and
microscopy
50 24 hrs urine for Proteins,Sodium,creatinine
51 Urine-Microalbumin
52 Quantitative Albumin/Sugar
53 Urine Bile Pigment and Salt
54 Urine Urobilinogen
55 Urine Ketones
56 Urine Occult Blood
57 Urine total proteins
58 Bence Jones protein
59 Stool routine
60 Stool occult blood
61 Post coital smear examination
62 semen analysis
63 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.
64 Albumin.
65 Creatinine clearance.
Haematology
66 Haemoglobin (Hb)
67 Total Leucocytic Count (TLC)
68 Differential Leucocytic Count (DLC)
69 E.S.R.
70 Total Red Cell count with MCV,MCH,MCHC,DRW
71 Complete Haemogram -Hb,RBC count and indices, TLC,
72
73
74
75
76
77
78
79
80
81
82
83
For NABL
/Imaging
5000
75000
4250
63750
21000
15000
17000
17850
12750
14450
39
33
100
150
24
35
35
35
35
21
48
39
35
100
80
100
85
128
20
30
30
30
30
18
41
33
30
85
68
85
21
160
0
20
32
32
35
35
138
18
136
0
16
27
27
30
30
117
50
49
50
35
44
42
48
35
60
77
154
119
42
42
42
30
37
36
41
30
51
65
131
101
S.No.
For NABL
/Imaging
89
213
37
757
700
595
750
700
2763
638
595
2348
260
260
260
221
221
221
260
260
260
700
455
77
221
221
221
595
387
65
100
100
256
350
100
85
85
218
298
85
33
60
40
100
119
120
119
2800
3800
488
28
51
34
85
101
102
101
2380
3230
414
100
100
878
1500
350
85
85
746
1275
298
160
160
200
136
136
170
S.No.
127 FNAC
128 special stain on cytology
Flow cytometry
129 Leukemia panel /Lymphoma panel
130 CD Count: CD3,CD4,CD8
131 PNH Panel-CD55,CD59
Cytogenetics
132 karyotyping
Tumour markers.
133 PSA- Total.
134 PSA- Free.
135 AFP.
136 HCG.
137 CA. 125.
138 CA 19,9.
139 CA 5,3.
140 Carcioembryonic antigen(CEA)
Bio-Chemistry
141 Blood Glucose Random
142 Blood Urea Nitrogen
143 Serum Creatinine
144 Serum Uric Acid
145 Serum Bilirubin total & direct
146 Serum Iron
147 Serum Cholesterol
148 Total Iron Binding Capacity
149 Glucose (Fasting & PP)
150 Serum Calcium -Total
151 Serum Calcium -Ionic
152 Serum Phosphorus
153 Total Protein Alb/Glo Ratio
154 S.G.P.T.
155 S.G.O.T.
156 Serum amylase
157 Serum Electrolyte
158 Triglyceride
159 Glucose Tolerance Test (GTT)
160 C.P.K.
161 L.D.H.
162 Alkaline Phosphatase
163 Acid Phosphatase
164 CK MB
165 Lithium.
166 Dilantin (phenytoin).
167 Carbamazepine.
168 Valproic acid.
169 Feritin.
170 Blood gas analysis
171 Blood gas analysis with electrolytes
172 Urine pregnancy test
173 Hb A1 C
174 Kidney Function Test.
For NABL
/Imaging
3039
850
1233
0
1870
319
450
345
340
400
630
630
350
271
383
293
289
340
536
536
298
25
55
56
56
0
0
63
100
48
63
45
66
70
56
56
120
140
95
100
105
132
63
80
196
140
439
439
315
315
470
152
69
165
262
21
47
48
48
0
0
54
85
41
54
38
56
60
48
48
102
119
81
85
89
112
54
68
167
119
373
373
268
268
400
129
58
140
222
700
595
203
203
455
64
455
450
300
400
66
154
100
245
224
100
21
1400
160
173
173
387
54
387
383
255
340
56
131
85
208
190
85
18
1190
136
213
75
75
125
188
188
188
266
693
618
840
400
325
266
450
450
770
350
385
400
181
64
64
106
159
159
159
226
589
525
714
340
276
226
383
383
655
298
327
340
48
56
80
100
41
48
68
85
100
85
S.No.
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
For NABL
/Imaging
S.No.
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
For NABL
/Imaging
553
147
300
490
487.5
422.5
450
400
618
900
470
125
255
417
414
359
383
340
525
765
260
260
221
221
260
260
221
221
260
260
221
221
260
260
400
221
221
340
S.No.
266 TB IgG.
267 TB IgM.
268 TB IgA.
Rubella
269 Ig G
270 Ig M
271 Ig A
272 Dengue Serology.
273 Cysticercosis.
274 Hydatic Serology.
275 Anti Sperm Antibodies.
HBV DNA.
276 Qualitative.
277 Quantitative.
HCV RNA.
278 Qualitative.
279 HPV serology
280 Rota Virus serology
281 PCR for TB
282 PCR for HIV
283 Chlamydae antigen
284 chlamydae antibody
285 Brucella serology
286 Influenza A serology
USG, X-ray , CT, MRI, Bone Densitometry
287 USG for Obstetrics - Anomalies scan
288 Abdomen USG
289 Pelvic USG ( prostate, gynae, infertility etc)
290 Small parts USG ( scrotum, thyroid , parathyroid etc)
291
292
293
294
295
296
297
298
299
300
301
For NABL
/Imaging
170
170
213
510
425
318
345
2340
1600
1989
1360
2340
1989
162.5
975
630
900
280
245
943
138
829
536
765
238
208
801
380
300
300
410
323
255
255
349
500
500
425
425
410
349
300
255
1000
850
830
706
1000
850
500
425
700
595
Listed Under Listed Under
Treatment
Treatment
Procedures
302 USG guided intervention - nephrostomy
X-Ray
303 Abdomen AP Supine or Erect (One film)
304 Abdomen Lateral view (one film)
305 Pelvimetry
306 Chest PA view (one film)
Procedures
875
744
150
150
150
70
128
128
128
60
S.No.
For NABL
/Imaging
128
128
128
255
255
128
600
1000
1100
1100
1000
510
850
935
935
850
1200
6010
1020
5109
750
638
1500
1275
1400
800
800
1200
2000
150
3500
22000
1190
680
680
1020
1700
128
2975
18700
9000
7650
500
500
3000
425
425
2550
1050
1350
2000
2500
1700
2400
1700
2400
893
1148
1700
2125
1445
2040
1445
2040
S.No.
347
348
349
350
351
For NABL
/Imaging
1870
1190
1615
1063
2100
1785
1750
1488
1050
1500
2000
2650
893
1275
1700
2253
1500
1535
1275
1305
2350
3350
1700
5000
2500
5000
2400
5000
5000
2500
2500
5000
2500
5000
2500
5000
2500
5000
2500
5000
2500
5000
5000
2500
5500
3000
2500
5000
1998
2848
1445
4250
2125
4250
2040
4250
4250
2125
2125
4250
2125
4250
2125
4250
2125
4250
2125
4250
2125
4250
4250
2125
4675
2550
2125
4250
352
353
354
355
S.No.
For NABL
/Imaging
2500
2125
5000
4250
2500
2125
2500
5000
5000
2500
1000
2500
5000
2500
5000
2500
5000
2500
5000
6000
1200
5000
2500
2500
0
1000
1300
1500
2125
4250
4250
2125
850
2125
4250
2125
4250
2125
4250
2125
4250
5100
1020
4250
2125
2125
0
850
1105
1275
2000
1700
350
750
750
700
298
638
638
595
700
750
750
750
450
8500
9500
350
617.5
350
455
595
638
638
638
383
7225
8075
298
525
298
387
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
EEG/Video EEG
EMG (Electro myography)
Nerve condition velocity (at least 2 limbs)
Decremental response (before and after neo
stigmine)
Incremental response
SSEP (Somato sensory evoked potentials)
Poly somnography
Brachial plexus study
Muscle biopsy
ACHR anti body titre
Anti MUSK body titre
Serum COPPER
Serum ceruloplasmin
Urinary copper
Serum homocystine
S.No.
435
436
437
438
439
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
c.
Breath tests
d. H pylori serology for ciliac disease
e. HBV genotyping
f.
HCV genotyping
Tests in Endocrinology ( in addition to those included
under Harmones)
Urinary VMA
Urinary metanephrine/Normetanephrine
Urinary free catecholamine
Serum catecholamine
Serum aldosterone
24 Hr urinary aldosterone
Plasma renin activity
Serum aldosterone/renin ratio
Osmolality urine
Osmolality serum
Urinary sodium
Urinary Chloride
Urinary potassium
Urinary calcium
Anti TPO ante body
Thyroid binding globulin
Serum cotisole
24 hr urinary free cotisole
For NABL
/Imaging
204
1200
1229
200
200
150
75
1230
1020
1044
170
170
128
64
1046
300
2275
255
1934
1500
5040
350
1138
1275
4284
298
967
1200
1200
1020
1020
1500
550
2730
5450
1275
468
2321
4633
1500
1138
1690
3500
1200
920
1235
1250
150
150
94
50
94
94
400
600
300
400
1275
967
1437
2975
1020
782
1050
1063
128
128
79
43
79
79
340
510
255
340
S.No.
For NABL
/Imaging