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LIST OF EMPANELLED CGHS RATES

PROCEDURE/INVESTIGATION DETAILS (DELHI AND NCR)

NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1 Anti Cardiolipin Antibodies. IgA. 260.0 221.0

2 Anti Cardiolipin Antibodies. IgG. 260.0 221.0

3 Anti Cardiolipin Antibodies. IgM. 260.0 221.0

4 Anti Phospholipid Antibodies. Hb Electrophoresis 455.0 387.0

5 Anti Phospholipid Antibodies. IgA. 413.0 351.0

6 Anti Phospholipid Antibodies. IgG. 413.0 351.0

7 Anti Phospholipid Antibodies. IgM. 413.0 351.0

8 Anti Phospholipid Antibodies. Sickling studies 77.0 65.0

9 Bio-Chemistry ACE 1000.0 850.0

10 Bio-Chemistry Acid Phosphatase 80.0 68.0

11 Bio-Chemistry Alkaline Phosphatase 63.0 54.0

12 Bio-Chemistry Anti HAV Ig M 750.0 637.0

13 Bio-Chemistry Anti Hbs 650.0 552.0

14 Bio-Chemistry Anti-HEV IgM 1000.0 850.0

15 Bio-Chemistry Ant-Smooth Muscle Antibody test 1460.0 1241.0

16 Bio-Chemistry Apo A1. 203.0 173.0

17 Bio-Chemistry Apo B. 203.0 173.0

18 Bio-Chemistry Blood gas analysis 470.0 400.0

19 Bio-Chemistry Blood gas analysis with electrolytes 151.0 128.0

20 Bio-Chemistry Blood Urea Nitrogen 55.0 47.0

21 Bio-Chemistry C3 Complement 650.0 552.0

22 Bio-Chemistry C4 Compliment 650.0 552.0

23 Bio-Chemistry C ANCA-IFA 1500.0 1275.0

24 Bio-Chemistry Carbamazepine. 439.0 373.0

25 Bio-Chemistry Catecholamines. 1400.0 1190.0

26 Bio-Chemistry Chloride. 66.0 56.0

27 Bio-Chemistry CHROMOGRANINE A 5000.0 4250.0

28 Bio-Chemistry CK MB 196.0 167.0

29 Bio-Chemistry C.P.K. 105.0 89.0

30 Bio-Chemistry Creatinine. 56.0 48.0

31 Bio-Chemistry Dilantin (phenytoin). 439.0 373.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

32 Bio-Chemistry ENA(Quantitative) 4600.0 3910.0

33 Bio-Chemistry Erythropoitein Level 2000.0 1700.0

34 Bio-Chemistry Extended Lipid Profile.( Total 700.0 595.0


cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )

35 Bio-Chemistry Faecal Calprotectin 2730.0 2320.0

36 Bio-Chemistry Feritin. 315.0 268.0

37 Bio-Chemistry Fructosamine. 224.0 190.0

38 Bio-Chemistry GGTP. 100.0 85.0

39 Bio-Chemistry Glucose (Fasting & PP) 48.0 41.0

40 Bio-Chemistry Glucose Tolerance Test (GTT) 100.0 85.0

41 Bio-Chemistry H1N1(RT-PCR) 1084.0 921.0

42 Bio-Chemistry Hb A1 C 165.0 140.0

43 Bio-Chemistry HB Electrophoresis. 450.0 383.0

44 Bio-Chemistry HbsAg Quantitative 650.0 552.0

45 Bio-Chemistry Hepatitis B core Antibody HBcAC LEVEL(Hepatitis B Core 480.0 408.0


IgM Antibody)

46 Bio-Chemistry Homocysteine. 455.0 387.0

47 Bio-Chemistry Kidney Function Test. 261.0 222.0

48 Bio-Chemistry L.D.H. 132.0 112.0

49 Bio-Chemistry LDL. 63.0 54.0

50 Bio-Chemistry Lipase. 245.0 208.0

51 Bio-Chemistry Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) 215.0 183.0

52 Bio-Chemistry Lithium. 140.0 119.0

53 Bio-Chemistry Liver Function Test. 275.0 234.0

54 Bio-Chemistry Lp (a). 455.0 387.0

55 Bio-Chemistry Montoux Test 200.0 175.0

56 Bio-Chemistry NT-Pro BNP 2070.0 1800.0

57 Bio-Chemistry P ANCA-IFA 1500.0 1275.0

58 Bio-Chemistry Procalcitonin 2070.0 1800.0

59 Bio-Chemistry Protein Creatinine ratio,urine 138.0 120.0

60 Bio-Chemistry Serum Calcium -Ionic 45.0 38.0

61 Bio-Chemistry Serum Calcium -Total 63.0 54.0

62 Bio-Chemistry Serum Cholesterol 63.0 54.0

63 Bio-Chemistry Serum Electrophoresis. 300.0 255.0

64 Bio-Chemistry serum IGE LEVEL 345.0 300.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

65 Bio-Chemistry Serum Phosphorus 66.0 56.0

66 Bio-Chemistry S.G.O.T. 56.0 48.0

67 Bio-Chemistry S.G.P.T. 56.0 48.0

68 Bio-Chemistry Tacolimus 2645.0 2300.0

69 Bio-Chemistry Torch Test 1288.0 1120.0

70 Bio-Chemistry Total Iron Binding Capacity 100.0 85.0

71 Bio-Chemistry Total Protein Alb/Glo Ratio 70.0 60.0

72 Bio-Chemistry Triglyceride 95.0 81.0

73 Bio-Chemistry Typhidot IgM 400.0 340.0

74 Bio-Chemistry Uric Acid. 56.0 48.0

75 Bio-Chemistry Urine pregnancy test 69.0 59.0

76 Bio-Chemistry Valproic acid. 315.0 268.0

77 Blood Bank Blood Components-Cryoprecipitate 488.0 415.0

78 Blood Bank Blood Components -Fresh Frozen Plasma 3800.0 3230.0

79 Blood Bank Blood Group & RHO Type 33.0 28.0

80 Blood Bank Coomb’s Test Direct 100.0 85.0

81 Blood Bank Coomb’s Test Indirect 119.0 101.0

82 Blood Bank RHO, Antibody titer 119.0 101.0

83 Bone Densitometry Bone Densitometry - Two sites 1800.0 1530.0

84 Cardiology ECG 50.0 43.0

85 Cardiology Lymph angiography 1650.0 1403.0

86 Cardiology Rest thallium / Myocardial Perfusion Scintigraphy 9900.0 8415.0

87 Cardiology Stress thallium / Myocardial Perfusion Scintigraphy 9900.0 8415.0

88 Cardiology TEE 500.0 425.0

89 Cardiology TMT 500.0 425.0

90 Cardiology Venography 3500.0 2975.0

91 Clinical Pathology Albumin. 21.0 18.0

92 Clinical Pathology Bence Jones protein 48.0 41.0

93 Clinical Pathology Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. 100.0 85.0

94 Clinical Pathology Creatinine clearance. 160.0 136.0

95 Clinical Pathology Kappa Lamda light chains free serum 4025.0 3500.0

96 Clinical Pathology Post coital smear examination 100.0 85.0

97 Clinical Pathology Quantitative Albumin/Sugar 24.0 20.0

98 Clinical Pathology Stool occult blood 35.0 30.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

99 Clinical Pathology Stool routine 39.0 33.0

100 Clinical Pathology Urine Bile Pigment and Salt 35.0 30.0

101 Clinical Pathology Urine Ketones 35.0 30.0

102 Clinical Pathology Urine Occult Blood 35.0 30.0

103 Clinical Pathology Urine routine- pH,Specific gravity,sugar,protein and 39.0 33.0
microscopy

104 Clinical Pathology Urine total proteins 21.0 18.0

105 Clinical Pathology Urine Urobilinogen 35.0 30.0

106 CSF a.   Basic studies including cell count, protein, sugar, gram 240.0 204.0
stain, India Ink preparation and smear for AFP

107 CSF b.      Special studies 1200.0 1020.0

108 CSF    Antibody titre (Herpes simplex, cytomegalo virus, 2275.0 1934.0
flavivirus, zoster varicella virus)

109 CSF    Malignant cells 75.0 64.0

110 CSF     Crypto coccal antigen 1138.0 967.0

111 CSF     Oligoclonal band 1500.0 1275.0

112 CSF      Bacterial culture and sensitivity 200.0 170.0

113 CSF      Myelin Basic protein 5040.0 4284.0

114 CSF       Lactate 350.0 298.0

115 CSF       Viral culture 300.0 255.0

116 CSF        PCR for tuberculosis/ Herpes simplex 1229.0 1045.0

117 CT CECT CHEST 2875.0 2500.0

118 CT CT angiography abdomen 5000.0 4250.0

119 CT CT - Dental 1500.0 1275.0

120 CT C. T. Guided intervention -percutaneous  catheter  drainage 1535.0 1305.0


/ tube placement

121 CT CT Head- with Contrast  (+/- CT angiography) 1350.0 1148.0

122 CT CT Head-Without Contrast 1050.0 893.0

123 CT C. T. Scan Limbs  -With Contrast including CT angiography 2650.0 2253.0

124 CT C. T. Scan Limbs  -Without Contrast 2000.0 1700.0

125 CT C. T. Scan Neck (Thyroid, parathyroid, Soft Tissues) – 1800.0 1530.0


Without Contrast

126 CT C. T. Scan Neck  – With Contrast 2200.0 1870.0

127 CT C. T. Scan of Para  Nasal Sinuses - With Contrast 2100.0 1785.0

128 CT C. T. Scan Orbits - With Contrast 1900.0 1615.0

129 CT C. T. Scan Orbits - Without Contrast 1400.0 1190.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

130 CT C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without  1750.0 1488.0


contrast

131 CT CT Temporal bone – without contrast 1050.0 893.0

132 Cytogenetics Gene Expert Test 1035.0 880.0

133 Cytogenetics HLA B 27(PCR) 575.0 500.0

134 Cytogenetics karyotyping 2200.0 1870.0

135 Dental Cephalogram 150.0 128.0

136 Dental Dental IOPA X-ray 70.0 60.0

137 Dental OPG X-ray 200.0 170.0

138 Flow cytometry CD Count: CD3,CD4,CD8 1000.0 850.0

139 Flow cytometry Leukemia panel /Lymphoma panel 3575.0 3039.0

140 Flow cytometry PNH Panel-CD55,CD59 1450.0 1233.0

141 Gastro And Hepatobiliary EUS(Endoscopic utrasound)guided FNAC 15000.0 12750.0

142 Gastro And Hepatobiliary Gastric emptying 1500.0 1275.0

143 Gastro And Hepatobiliary Gastro esophageal Reflux Study (G.E.R. Study) 2000.0 1700.0

144 Gastro And Hepatobiliary Gastro intestinal Bleed (GloB.) Study with Technetium 99m 3500.0 2975.0
labeled RBCs.

145 Gastro And Hepatobiliary Hepatobiliary Scintigraphy. 2500.0 2125.0

146 Gastro And Hepatobiliary Hepatosplenic scintigraphy with Technetium-99m 2500.0 2125.0
radiopharmaceuticals

147 Gastro And Hepatobiliary Meckel's Scan 2000.0 1700.0

148 Genitourinary CT Urography 4500.0 3825.0

149 Genitourinary DJ-Stent Removal 8700.0 7395.0

150 Genitourinary Dynamic Renography. 3500.0 2975.0

151 Genitourinary Dynamic Renography with Captopril 4500.0 3825.0

152 Genitourinary Dynamic Renography with Diuretic. 3500.0 2975.0

153 Genitourinary ENDOCRINOLOGY 0.0 N.A.

154 Genitourinary lodine-131 Whole Body Scan. 3000.0 2550.0

155 Genitourinary Parathyroid Scan 5000.0 4250.0

156 Genitourinary Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 3500.0 2975.0

157 Genitourinary Testicular Scan 1500.0 1275.0

158 Genitourinary Thyroid Scan with Technetium 99m Pertechnetate. 1500.0 1275.0

159 Genitourinary Thyroid Uptake measurements with 131-Iodine. 1600.0 1360.0

160 Genitourinary Whole Body Scan with M.I.B.G. 18000.0 15300.0

161 Haematology Absolute Eosinophil count 50.0 43.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

162 Haematology Bone Marrow Smear Exmination 75.0 64.0

163 Haematology Bone Marrow Smear Exmination and cytochemistry where 665.0 565.0
required.

164 Haematology Clot Retraction Time 35.0 30.0

165 Haematology Complete Haemogram -Hb,RBC count and indices, TLC, DLC, 138.0 117.0
Platelet, ESR, Peripheral smear examination

166 Haematology Differential Leucocytic Count (DLC) 32.0 27.0

167 Haematology E.S.R. 35.0 30.0

168 Haematology Factor Assays-Factor IX 700.0 595.0

169 Haematology Factro Assays-Factor VIII 750.0 638.0

170 Haematology Factro Assays-other Factors 2763.0 2349.0

171 Haematology Foetal Haemoglobin (Hb-F) 154.0 131.0

172 Haematology Haemoglobin (Hb) 19.0 16.0

173 Haematology L.E. Cell 77.0 65.0

174 Haematology Packed Cell Volume (PCV) 35.0 30.0

175 Haematology Partial Thromboplastin 105.0 89.0

176 Haematology Peripheral Smear Examination 44.0 37.0

177 Haematology Platelet count 50.0 43.0

178 Haematology Prothrombin Time (P.T.) 119.0 101.0

179 Haematology Rapid test for malaria(card test) 44.0 37.0

180 Haematology R.B.C. Fragility Test 60.0 51.0

181 Haematology Reticulocyte count 49.0 42.0

182 Haematology Smear for Malaria parasite 42.0 36.0

183 Haematology Total Leucocytic Count (TLC) 32.0 27.0

184 Haematology Total Red Cell count with MCV,MCH,MCHC,DRW 35.0 30.0

185 Harmones Cortisol 266.0 226.0

186 Harmones DHEAS. 450.0 383.0

187 Harmones Enteropoetin 693.0 589.0

188 Harmones Insulin. 325.0 276.0

189 Harmones TPO. 385.0 327.0

190 Harmones TSH 125.0 106.0

191 Histopathology Body fluid for Malignant cells 200.0 170.0

192 Histopathology Cytology 1500.0 1275.0

193 Histopathology Frozen section 878.0 746.0

194 Histopathology Immunohistochemistry(IHC) 100.0 85.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

195 Histopathology Pap Smear 160.0 136.0

196 Histopathology Routine-H & E 228.0 194.0

197 Histopathology special stain 100.0 85.0

198 Histopathology Vaginal Cytology for Hormonal evaluation 160.0 136.0

199 List of procedures/ tests in 24 hr urinary free cotisole 400.0 340.0


Endocrinology

200 List of procedures/ tests in free Testosterone 800.0 680.0


Endocrinology

201 List of procedures/ tests in GAD antibody 1330.0 1131.0


Endocrinology

202 List of procedures/ tests in Growth hormone 350.0 298.0


Endocrinology

203 List of procedures/ tests in IGF-1 2015.0 1713.0


Endocrinology

204 List of procedures/ tests in Insulin associated antibody 449.0 382.0


Endocrinology

205 List of procedures/ tests in Plasma renin activity 1235.0 1050.0


Endocrinology

206 List of procedures/ tests in Total Testosterone 341.0 290.0


Endocrinology

207 List of procedures/ tests in   17 – OH Progesterone 450.0 383.0


Endocrinology

208 List of procedures/ tests in   Anti TPO ante body 400.0 340.0
Endocrinology

209 List of procedures/ tests in   E2 245.0 208.0


Endocrinology

210 List of procedures/ tests in   FSH 188.0 160.0


Endocrinology

211 List of procedures/ tests in   FT4 125.0 106.0


Endocrinology

212 List of procedures/ tests in   FT4/TSH 100.0 85.0


Endocrinology

213 List of procedures/ tests in   IGF-BP3 1788.0 1520.0


Endocrinology

214 List of procedures/ tests in   Islet cell antebody 1015.0 863.0


Endocrinology

215 List of procedures/ tests in   LH 188.0 160.0


Endocrinology

216 List of procedures/ tests in   Osmolality serum 150.0 128.0


Endocrinology

217 List of procedures/ tests in   Osmolality urine 150.0 128.0


Endocrinology
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

218 List of procedures/ tests in   Progesterone 266.0 226.0


Endocrinology

219 List of procedures/ tests in   Prolactin 188.0 160.0


Endocrinology

220 List of procedures/ tests in   PTH 618.0 525.0


Endocrinology

221 List of procedures/ tests in   Serum aldosterone/renin ratio 1250.0 1063.0


Endocrinology

222 List of procedures/ tests in   Serum catecholamine 3500.0 2975.0


Endocrinology

223 List of procedures/ tests in   Sex hormone binding globulin 1333.0 1133.0
Endocrinology

224 List of procedures/ tests in   T3, T4, TSH 213.0 181.0


Endocrinology

225 List of procedures/ tests in   Urinary calcium 94.0 80.0


Endocrinology

226 List of procedures/ tests in    FT3 125.0 106.0


Endocrinology

227 List of procedures/ tests in    FT3/FT4/TSH 300.0 255.0


Endocrinology

228 List of procedures/ tests in    Thyro globulin antibody 700.0 595.0


Endocrinology

229 List of procedures/ tests in    Urinary free catecholamine 1690.0 1437.0


Endocrinology

230 List of procedures/ tests in    Urinary metanephrine/Normetanephrine 1138.0 967.0


Endocrinology

231 List of procedures/ tests in    Urinary potassium 94.0 80.0


Endocrinology

232 List of procedures/ tests in    USG guided FNAC thyroid gland 455.0 387.0
Endocrinology

233 List of procedures/ tests in     24 Hr urinary aldosterone 920.0 782.0


Endocrinology

234 List of procedures/ tests in     Serum aldosterone 1200.0 1020.0


Endocrinology

235 Mammography MRI Mammography 3000.0 2550.0

236 Mammography Ultrasound Mammography 500.0 425.0

237 Mammography X-ray Mammography 500.0 425.0

238 Microbiology & Serology ANA. 320.0 272.0

239 Microbiology & Serology Anti HBC IgM. 488.0 415.0

240 Microbiology & Serology Anti HBC Total. 490.0 417.0

241 Microbiology & Serology Anti Hb-E. 450.0 383.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

242 Microbiology & Serology Anti HBS. 300.0 255.0

243 Microbiology & Serology Anti- HCV. 400.0 340.0

244 Microbiology & Serology Anti- HEV. 618.0 525.0

245 Microbiology & Serology Anti Sperm Antibodies. 406.0 345.0

246 Microbiology & Serology ASO Titer 143.0 122.0

247 Microbiology & Serology Blood culture & sensitivity- manual 160.0 136.0

248 Microbiology & Serology Brucella serology 245.0 208.0

249 Microbiology & Serology C.3. 250.0 213.0

250 Microbiology & Serology C.4. 250.0 213.0

251 Microbiology & Serology C ANCA. 770.0 655.0

252 Microbiology & Serology chlamydae antibody 280.0 238.0

253 Microbiology & Serology Chlamydae antigen 900.0 765.0

254 Microbiology & Serology CMV(Cytomegalo virus). 0.0 N.A.

255 Microbiology & Serology C.R.P. 120.0 102.0

256 Microbiology & Serology C.R.P Quantative 200.0 170.0

257 Microbiology & Serology Direct smear and stain examination for cryptosporidium 100.0 85.0

258 Microbiology & Serology Direct smear and stain examination for P.Carcinei 100.0 85.0

259 Microbiology & Serology Ds DNA. 385.0 327.0

260 Microbiology & Serology HAV. 553.0 470.0

261 Microbiology & Serology HbeAg. 423.0 360.0

262 Microbiology & Serology HbSAg – Elisa. 147.0 125.0

263 Microbiology & Serology HBV DNA. 0.0 N.A.

264 Microbiology & Serology HCV RNA. 0.0 N.A.

265 Microbiology & Serology HCV RNA Quantitative 1725.0 1500.0

266 Microbiology & Serology HPV DNA Test 910.0 774.0

267 Microbiology & Serology HSV. 0.0 N.A.

268 Microbiology & Serology Hydatic Serology. 374.0 318.0

269 Microbiology & Serology Ig A 250.0 213.0

270 Microbiology & Serology IgA. 195.0 166.0

271 Microbiology & Serology IgE. 400.0 340.0

272 Microbiology & Serology IgG. 196.0 167.0

273 Microbiology & Serology IgG. 196.0 167.0

274 Microbiology & Serology IgG. 195.0 166.0

275 Microbiology & Serology IgM. 196.0 167.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

276 Microbiology & Serology IgM. 240.0 204.0

277 Microbiology & Serology IgM. 196.0 167.0

278 Microbiology & Serology Infectuous disease serology and others 0.0 N.A.

279 Microbiology & Serology Influenza A serology 943.0 802.0

280 Microbiology & Serology LCB Count for mycology 150.0 128.0

281 Microbiology & Serology LCB Count for others 300.0 255.0

282 Microbiology & Serology P ANCA. 800.0 680.0

283 Microbiology & Serology PCR for HIV 630.0 536.0

284 Microbiology & Serology PCR for TB 975.0 829.0

285 Microbiology & Serology Qualitative. 2340.0 1989.0

286 Microbiology & Serology Qualitative. 2450.0 2083.0

287 Microbiology & Serology Quantitative. 1600.0 1360.0

288 Microbiology & Serology Rapid AFB Culture. 420.0 357.0

289 Microbiology & Serology Rheumatoid Factor test 105.0 89.0

290 Microbiology & Serology Rota Virus serology 163.0 139.0

291 Microbiology & Serology Rubella 0.0 N.A.

292 Microbiology & Serology Smear gram-strain examination 48.0 41.0

293 Microbiology & Serology Sputum smear A.F.B. stain 56.0 48.0

294 Microbiology & Serology TB IgA. 280.0 238.0

295 Microbiology & Serology TB IgG. 280.0 238.0

296 Microbiology & Serology TB IgM. 280.0 238.0

297 Microbiology & Serology TORCH. 0.0 N.A.

298 Microbiology & Serology Toxoplasmosis. 0.0 N.A.

299 Microbiology & Serology TPHA test 210.0 179.0

300 Microbiology & Serology Triple Marker. 900.0 765.0

301 Microbiology & Serology Tuberculosis 0.0 N.A.

302 Microbiology & Serology Vaginal Smear Examination 80.0 68.0

303 Microbiology & Serology V.D.R.L. 50.0 43.0

304 Microbiology & Serology Vibro cholera culture 300.0 255.0

305 Microbiology & Serology Widal test 70.0 60.0

306 MRI MR cholecysto-pancreatography. 2500.0 2125.0

307 MRI MR Enteroclysis 2500.0 2125.0

308 MRI MRI Angiography – With Contrast 5000.0 4250.0

309 MRI MRI Ankle Single joint - Without contrast 2500.0 2125.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

310 MRI MRI Ankle single  joint - With contrast 5000.0 4250.0

311 MRI MRI Breast - With Contrast 5000.0 4250.0

312 MRI MRI Breast - Without Contrast 2500.0 2125.0

313 MRI MRI Cervical Spine – With Contrast 5000.0 4250.0

314 MRI MRI Cervical Spine – Without Contrast 2500.0 2125.0

315 MRI MRI Chest – With Contrast 5000.0 4250.0

316 MRI MRI Chest – Without Contrast 2500.0 2125.0

317 MRI MRI Dorsal Spine – With Contrast 5000.0 4250.0

318 MRI MRI Dorsal Spine - Without Contrast 2500.0 2125.0

319 MRI MRI Extremities - With contrast 5000.0 4250.0

320 MRI MRI Extremities - Without contrast 2500.0 2125.0

321 MRI MRI knee Single joint - With contrast 5000.0 4250.0

322 MRI MRI knee Single joint - Without contrast 2500.0 2125.0

323 MRI MRI Lumbar Spine – With Contrast 5000.0 4250.0

324 MRI MRI Lumbar Spine  – Without Contrast 2500.0 2125.0

325 MRI MRI Nasopharynx and PNS – With Contrast 5000.0 4250.0

326 MRI MRI Nasopharynx and PNS – Without Contrast 2500.0 2125.0

327 MRI MRI Neck- with contrast 5000.0 4250.0

328 MRI MRI Orbits – With Contrast 5000.0 4250.0

329 MRI MRI Pelvis – Without Contrast 2500.0 2125.0

330 MRI MRI Shoulder – With contrast 2500.0 2125.0

331 MRI MRI Temporomandibular Double Joint  - With contrast 5000.0 4250.0

332 MRI MRI Temporomandibular Double Joint  - Without contrast 2500.0 2125.0

333 MRI MRI Temporomandibular - Single Joint  - With contrast 5000.0 4250.0

334 MRI MRI Temporomandibular - Single Joint  - Without contrast 2500.0 2125.0

335 MRI MRI Wrist Single joint - With contrast 5000.0 4250.0

336 MRI MRI Wrist Single joint - Without contrast 2500.0 2125.0

337 MRI MRI  Pelvis – with contrast 5000.0 4250.0

338 MRI Prostate(multiparametric) 6900.0 6000.0

339 Neurological Investigations Anti MUSK body titre 9500.0 8075.0


And Procedures

340 Neurological Investigations   ACHR anti body titre 8500.0 7225.0


And Procedures

341 Neurological Investigations   Serum COPPER 600.0 510.0


And Procedures
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

342 Neurological Investigations   Serum phenol barbitone level 390.0 332.0


And Procedures

343 Neurological Investigations   Urinary copper 600.0 510.0


And Procedures

344 Neurological Investigations    Coagulation profile 650.0 553.0


And Procedures

345 Neurological Investigations    Serum homocystine 455.0 387.0


And Procedures

346 Neurological Investigations    Serum valproate level 439.0 373.0


And Procedures

347 Neurological Investigations     Serum ceruloplasmin 618.0 525.0


And Procedures

348 Neurological Investigations     Serum lactate level 540.0 459.0


And Procedures

349 Neurological Investigations      Poly somnography 750.0 638.0


And Procedures

350 Neurosciences Brain Perfusion SPECT Scan with Technetium 99m 10000.0 8500.0
radiopharmaceuticals.

351 Neurosciences Radionuclide Cisternography for CSF leak 5000.0 4250.0

352 Nutritional Markers Folic Acid. 350.0 298.0

353 Nutritional Markers HDL Cholestrol 100.0 85.0

354 Nutritional Markers Total Iron Binding Capacity 100.0 85.0

355 Nutritional Markers Vitamin B.12. 256.0 218.0

356 Pet Scan Brain I Heart FDG PET / CTScan, 15000.0 12750.0

357 Pet Scan FDG Whole body PET / CT Scan 21000.0 17850.0

358 Pet Scan Gallium-68 Peptide PET / CT imaging for Neuroendocrine 17000.0 14450.0
Tumor

359 Pet Scan Non-FDG PET / CT Scan 0.0 N.A.

360 Pulmonary Lung Perfusion Scan 3000.0 2550.0

361 Pulmonary Lung Ventilation & Perfusion Scan (V/Q Scan) 5000.0 4250.0

362 Pulmonary Three phase whole body Bone Scan 3500.0 2975.0

363 Pulmonary Whole Body Bone Scan with SPECT. 3500.0 2975.0

364 Tests In Gastro-Enterology a.       D-xylase test 1200.0 1020.0

365 Tests In Gastro-Enterology b.      Fecal fat test/ fecal chymotrypsin/ fecal elastase 1200.0 1020.0

366 Tests In Gastro-Enterology c.       Breath tests 1500.0 1275.0

367 Tests In Gastro-Enterology d.      H pylori serology for ciliac disease 550.0 468.0

368 Tests In Gastro-Enterology e.      HBV genotyping 2730.0 2321.0

369 Tests In Gastro-Enterology f.        HCV genotyping 5450.0 4633.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

370 Tumour Imaging Indium lableled octeriotide Scan. 75000.0 63750.0

371 Tumour Imaging Scintimammography. 5000.0 4250.0

372 Tumour markers. AFP. 345.0 293.0

373 Tumour markers. CA. 125. 400.0 340.0

374 Tumour markers. Carcioembryonic antigen(CEA) 350.0 298.0

375 Tumour markers. HCG. 340.0 289.0

376 Tumour markers. PSA- Free. 450.0 383.0

377 Tumour markers. PSA- Total. 319.0 271.0

378 Ultrasound (USG) Abdomen USG 300.0 255.0

379 Ultrasound (USG) Colour Doppler , Carotid artery 1000.0 850.0

380 Ultrasound (USG) Colour doppler, renal arteries/any other organ 1000.0 850.0

381 Ultrasound (USG) Colour Doppler,  Peripheral Artery/Veins 830.0 706.0

382 Ultrasound (USG) Neonatal head (Tranfontanellar) 500.0 425.0

383 Ultrasound (USG) Neonatal spine 500.0 425.0

384 Ultrasound (USG) Pelvic USG ( prostate, gynae, infertility etc) 300.0 255.0

385 Ultrasound (USG) Small parts USG ( scrotum, thyroid , parathyroid etc) 410.0 349.0

386 Ultrasound (USG) USG Breast 410.0 349.0

387 Ultrasound (USG) USG for Obstetrics -  Anomalies scan 380.0 323.0

388 Ultrasound (USG) USG guided intervention - nephrostomy 875.0 744.0

389 Ultrasound (USG) USG Hystero-Salpaingography  (HSG) 300.0 255.0

390 X-Ray Abdomen AP Supine or Erect (One film) 150.0 128.0

391 X-Ray Abdomen Lateral view (one film) 150.0 128.0

392 X-Ray Chest Lateral (one film) 70.0 60.0

393 X-Ray Chest PA view (one film) 70.0 60.0

394 X-Ray Dental - Panorax 150.0 128.0

395 X-Ray Extremities, bones  & Joints AP & Lateral views (Two films) 300.0 255.0

396 X-Ray Mastoids: Towne view, oblique views (3 films) 300.0 255.0

397 X-Ray Pelvimetry 150.0 128.0

398 X-Ray Pelvis A.P  (one film) 150.0 128.0

399 X-Ray PNS view (1 film) 150.0 128.0

400 X-Ray Skull A. P. & Lateral (2 films) 300.0 255.0

401 X-Ray Spine A. P. & Lateral (2 films) 300.0 255.0

402 X-Ray T. M. Joints (one film) 150.0 128.0

403 X ray Contrast studies Barium Enema (Single contrast/double contrast) 1000.0 850.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

404 X ray Contrast studies Barium Meal follow through 1100.0 935.0

405 X ray Contrast studies Barium Upper GI study 1000.0 850.0

406 X ray Contrast studies Barium Upper GI study (Double contrast) 1100.0 935.0

407 X ray Contrast studies Contrast Hystero-Salpingography (HSG) 1200.0 1020.0

408 X ray Contrast studies Digital Subtraction Angiography (DSA) - abdomen 0.0 N.A.

409 X ray Contrast studies Digital Subtraction Angiography (DSA) – Cerebral  arteries 22000.0 18700.0

410 X ray Contrast studies Digital Subtraction Angiography (DSA) -  chest 0.0 N.A.

411 X ray Contrast studies ERCP (Endoscopic Retrograde Cholangio – Pancreatography) 6010.0 5109.0

412 X ray Contrast studies General :Fistulography 750.0 638.0


/Sinography/Sialography/Dacrocystography/ T-Tube
cholangiogram/Nephrostogram

413 X ray Contrast studies Intravenous Pyelography (IVP) 1400.0 1190.0

414 X ray Contrast studies Micturating  Cystourethrography (MCU) 800.0 680.0

415 X ray Contrast studies Myelography 3500.0 2975.0

416 X ray Contrast studies Percutaneous transhepatic cholangiography (PTC) 1500.0 1275.0

417 X ray Contrast studies Retrograde Urethrography (RGU) 800.0 680.0

418 X ray Contrast studies Small bowel  enteroclysis 1200.0 1020.0

419 Abdomen Abdomino-Perineal Excision of Rectum 21850.0 19000.0

420 Abdomen Anterior Resection of rectum 21850.0 19000.0

421 Abdomen Appendicectomy 8108.0 7050.0

422 Abdomen Appendicular Abscess – Draige 9775.0 8500.0

423 Abdomen Benign Tumours of Small Intestine 19550.0 17000.0

424 Abdomen By Pass Procedure for Inoperable Carcinoma of Pancreas 23000.0 20000.0

425 Abdomen Caecostomy 3903.0 3394.0

426 Abdomen Cholecystectomy 10293.0 8950.0

427 Abdomen Cholecystectomy & Exploration of CBD 13800.0 12000.0

428 Abdomen Cholecystostomy 10293.0 8950.0

429 Abdomen Closure of Colostomy 17480.0 15200.0

430 Abdomen Congenital Diaphragmatic Hernia 18975.0 16500.0

431 Abdomen Cystojejunostomy or Cystogastrostomy 14490.0 12600.0

432 Abdomen Direct Operation on Oesophagus for Portal Hypertension 22885.0 19900.0

433 Abdomen Duodel Diverticulum 18400.0 16000.0

434 Abdomen Duodenojejunostomy 20700.0 18000.0

435 Abdomen Epigastric Hernia Repair 11385.0 9900.0

436 Abdomen Excision of Pilonidal Sinus 11500.0 10000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

437 Abdomen Excision of Small Intestine Fistual 19550.0 17000.0

438 Abdomen Exploratory Laparotomy 12650.0 11000.0

439 Abdomen Femoral Hernia Repair 18285.0 15900.0

440 Abdomen Fibroscan liver 1150.0 1000.0

441 Abdomen Fissure in Ano - Fissurectomy 13800.0 12000.0

442 Abdomen Fissure in Ano with interl sphinctrectomy with fissurectomy. 5750.0 5000.0

443 Abdomen Fistula in Ano - High Fistulectomy 16781.0 14592.0

444 Abdomen Fistula in Ano - Low Fistulectomy 9867.0 8580.0

445 Abdomen Gastric & Duodel Biopsy (Endoscopic) 2243.0 1950.0

446 Abdomen Gastrojejunostomy & Vagotomy 19780.0 17200.0

447 Abdomen Gastroscopy 1725.0 1500.0

448 Abdomen Gastrostomy 8625.0 7500.0

449 Abdomen Hepatic Resections (Lobectomy /Hepatectomy) 14375.0 12500.0

450 Abdomen Hiatus Hernia Repair- Abdomil 14490.0 12600.0

451 Abdomen Hiatus Hernia Repair- Transthoracic 16100.0 14000.0

452 Abdomen Highly Selective Vagotomy 18630.0 16200.0

453 Abdomen Ileostomy 15410.0 13400.0

454 Abdomen Ilieosigmoidostomy 16790.0 14600.0

455 Abdomen Ilieotransverse Colostomy 16790.0 14600.0

456 Abdomen Inguil Hernia - Hernioplasty 17135.0 14900.0

457 Abdomen Inguil Hernia Herniorraphy 14835.0 12900.0

458 Abdomen Jejunostomy 5750.0 5000.0

459 Abdomen Left Hemi-Colectomy 13800.0 12000.0

460 Abdomen Loop Colostomy Transverse Sigmoid 13110.0 11400.0

461 Abdomen Mesenteric Cyst- Excision 11040.0 9600.0

462 Abdomen Mesentericocaval Astomosis 28750.0 25000.0

463 Abdomen Operation for Bleeding Peptic Ulcer 20976.0 18240.0

464 Abdomen Operation for Gastrojejul Ulcer 19780.0 17200.0

465 Abdomen Operation for Hydatid Cyst of Liver 11903.0 10350.0

466 Abdomen Operation for Intestil Obstruction 10350.0 9000.0

467 Abdomen Operation for Intestil perforation 7763.0 6750.0

468 Abdomen Operation of Haemorrhoids -Lords procedure 1580.0 1343.0

469 Abdomen Operation on Adrel Glands - Bilateral 26105.0 22700.0

470 Abdomen Operation on Adrel Glands - Unilateral for Tumour 13800.0 12000.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

471 Abdomen Operations for Haemorrhage of Small Intestines 19550.0 17000.0

472 Abdomen Operations for Hirschsprungs Disease 14260.0 12400.0

473 Abdomen Operations for Neuroblastoma 14600.0 12410.0

474 Abdomen Operations for Recurrent Intestil Obstruction (Noble 23000.0 20000.0
Plication & Other Operations for Adhesions)

475 Abdomen Operations for Sigmoid Diverticulitis 18630.0 16200.0

476 Abdomen Operations for Volvulus of Large Bowel 24921.0 21670.0

477 Abdomen Operations of the Duplication of the Intestines 17825.0 15500.0

478 Abdomen Pancerato Duodenectomy 21735.0 18900.0

479 Abdomen Partial/Subtotal Gastrectomy for Carcinoma 23000.0 20000.0

480 Abdomen Partial/Subtotal Gastrectomy for Ulcer 22425.0 19500.0

481 Abdomen Peritonioscopy/Laparoscopy 4600.0 4000.0

482 Abdomen Portocaval Astomosis 30935.0 26900.0

483 Abdomen Prolapse Rectum - Grahams Operation 18400.0 16000.0

484 Abdomen Prolapse Rectum - Rectopexy 5750.0 5000.0

485 Abdomen Prolapse Rectum - Theirch Wiring 10350.0 9000.0

486 Abdomen Pull Through Abdomil Resection 17710.0 15400.0

487 Abdomen Pyloromyotomy 3105.0 2700.0

488 Abdomen Rare Hernias Repair (Spigalion Obturator Lumbar Sciatic) 22885.0 19900.0

489 Abdomen Rectal Polyp-Excision 5658.0 4920.0

490 Abdomen Repair of CBD 17250.0 15000.0

491 Abdomen Resection & Astomosis of Small Intestine 20700.0 18000.0

492 Abdomen Right Hemi-Colectomy 13800.0 12000.0

493 Abdomen Selective Vagotomy & Draige 18630.0 16200.0

494 Abdomen Simple Closure of Perforated peptic Ulcer 9775.0 8500.0

495 Abdomen Splenectomy - For Hypersplenism 14490.0 12600.0

496 Abdomen Splenectomy - For Trauma 18975.0 16500.0

497 Abdomen Splenorel Astomosis 23000.0 20000.0

498 Abdomen Termil Colostomy 17250.0 15000.0

499 Abdomen Total Colectomy 17250.0 15000.0

500 Abdomen Total Gastrectomy for Cancer 22368.0 19450.0

501 Abdomen Umbilical Hernia Repair 11385.0 9900.0

502 Abdomen Vagotomy Pyleroplasty / Gastro Jejunostomy 13800.0 12000.0

503 Abdomen Ventral /incisiol Hernia Repair 10293.0 8950.0

504 Abdomen Warren Shunt 28750.0 25000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

505 Biopsies Excision Axillary Lymph Node 2277.0 1980.0

506 Biopsies Excision Biopsy of Superficial Lumps 3220.0 2800.0

507 Biopsies Excision Biopsy of Ulcers 1500.0 1275.0

508 Biopsies Excision Cervical Lymph Node 1725.0 1500.0

509 Biopsies Excision of Dermoid Cysts 2277.0 1980.0

510 Biopsies Excision of Inguil Lymph Node 2277.0 1980.0

511 Biopsies Excision of Sebaceous Cysts 1242.0 1080.0

512 Biopsies Excision of Superficial Lipoma 1932.0 1680.0

513 Biopsies Excision of Superficial Neurofibroma 2645.0 2300.0

514 Biopsies Haemorrhoidectomy 2645.0 2300.0

515 Biopsies Incision Biopsy of Growths/Ulcers 1500.0 1275.0

516 Biopsies keloid excision 1150.0 1000.0

517 Biopsies Marrow Biopsy (Open) 1725.0 1275.0

518 Biopsies Muscle Biopsy 1500.0 1275.0

519 Biopsies Percutaneous Kidney Biopsy 1500.0 1275.0

520 Biopsies Scalene Node Biopsy 1323.0 1150.0

521 Biopsies Stapler haemorrhoidectomy 4025.0 3500.0

522 Biopsies Trucut Needle Biopsy 1725.0 1500.0

523 Biopsies Vericose vein surgery;Tendelenburg operation with suturing 8625.0 7500.0
or ligation.

524 Brachytherapy- High Dose GLIADAL WAFER 107830.0 91656.0


radiation (Radiotherapy and
Chemotherapy)

525 Brachytherapy- High Dose Interstitial 60000.0 51000.0


radiation (Radiotherapy and
Chemotherapy)

526 Brachytherapy- High Dose Intracavitory 12000.0 10200.0


radiation (Radiotherapy and
Chemotherapy)

527 Brachytherapy- High Dose Intralumil 10000.0 8500.0


radiation (Radiotherapy and
Chemotherapy)

528 Brachytherapy- High Dose Surface moul 4750.0 4038.0


radiation (Radiotherapy and
Chemotherapy)

529 Burns and Plastic surgery 30% to 50% Burns 1st Dressing 193.0 168.0

530 Burns and Plastic surgery 30% to 50% Burns Subsequent Dressing 152.0 132.0

531 Burns and Plastic surgery After Mastectomy (Reconstruction)Mammoplasty 16675.0 14500.0

532 Burns and Plastic surgery Cartilate Grafting 8625.0 7500.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

533 Burns and Plastic surgery Cleft Lip - repair. 12650.0 11000.0

534 Burns and Plastic surgery Cleft Palate Repair 13225.0 11500.0

535 Burns and Plastic surgery Dermabrasion Face 13225.0 11500.0

536 Burns and Plastic surgery Extensive Burn -above 50% Frist Dressing 276.0 240.0

537 Burns and Plastic surgery Extensive Burn -above 50% Subsequent dressing 193.0 168.0

538 Burns and Plastic surgery Free Grafts - Large Area 10% 8625.0 7500.0

539 Burns and Plastic surgery Free Grafts - Theirech- Small Area 5% 7475.0 6500.0

540 Burns and Plastic surgery Free Grafts - Very Large Area 20% and above. 10350.0 9000.0

541 Burns and Plastic surgery Free Grafts - Wolfe Grafts 6555.0 5700.0

542 Burns and Plastic surgery Injection of Keloids - Ganglion 1380.0 1200.0

543 Burns and Plastic surgery Injection of Keloids - Haemangioma 2300.0 2000.0

544 Burns and Plastic surgery Interl Wire Fixation of Mandible & Maxilla 11500.0 10000.0

545 Burns and Plastic surgery Pendulous Breast - Mammoplasty 18630.0 16200.0

546 Burns and Plastic surgery Plastic Surgery for Facial Paralysis (Support with 18400.0 16000.0
Reanimation)

547 Burns and Plastic surgery Plastic Surgery of Different Regions of the Ear - Major 10350.0 9000.0

548 Burns and Plastic surgery Plastic Surgery of Different Regions of the Ear - Minor 8050.0 7000.0

549 Burns and Plastic surgery Plastic Surgery of the Nose - Major 11178.0 9720.0

550 Burns and Plastic surgery Plastic Surgery of the Nose - Minor 8050.0 7000.0

551 Burns and Plastic surgery Primary Bone Grafting for alveolar cleft in Cleft Lip 11500.0 10000.0

552 Burns and Plastic surgery Primary Suturing of Wound 3450.0 3000.0

553 Burns and Plastic surgery Reconstruction of Eyelid Defects - Major 11178.0 9720.0

554 Burns and Plastic surgery Reconstruction of Eyelid Defects - Minor 6325.0 5500.0

555 Burns and Plastic surgery Reduction of Facial Fractures of Maxilla 12420.0 10800.0

556 Burns and Plastic surgery Reduction of Facial Fractures of Nose 1380.0 1200.0

557 Burns and Plastic surgery Reduction of Fractures of Mandible & Maxilla - Cast Netal 6900.0 6000.0
Splints

558 Burns and Plastic surgery Reduction of Fractures of Mandible & Maxilla - Eye Let 7475.0 6500.0
Splinting

559 Burns and Plastic surgery Reduction of Fractures of Mandible & Maxilla - Gumming 7820.0 6800.0
Splints

560 Burns and Plastic surgery Secondary Surgery for Cleft Lip Deformity 11178.0 9720.0

561 Burns and Plastic surgery Secondary Surgery for Cleft Palate 12650.0 11000.0

562 Burns and Plastic surgery Skin Flaps - Abdomil 13225.0 11500.0

563 Burns and Plastic surgery Skin Flaps - Advancement Flaps 12650.0 11000.0

564 Burns and Plastic surgery Skin Flaps - Arm Etc. 14375.0 12500.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

565 Burns and Plastic surgery Skin Flaps - Cross Finger 13225.0 11500.0

566 Burns and Plastic surgery Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 13225.0 11500.0

567 Burns and Plastic surgery Skin Flaps - Rotation Flaps 8970.0 7800.0

568 Burns and Plastic surgery Skin Flaps - Thoracic 13225.0 11500.0

569 Burns and Plastic surgery Subcutaneous Pedicle Flaps Delay 7475.0 6500.0

570 Burns and Plastic surgery Subcutaneous Pedicle Flaps Raising 6900.0 6000.0

571 Burns and Plastic surgery Subcutaneous Pedicle Flaps Transfer 8625.0 7500.0

572 Burns and Plastic surgery Syndactyly Repair 16675.0 14500.0

573 Burns and Plastic surgery Underdeveloped Breast Mammoplasty 16675.0 14500.0

574 Burns and Plastic surgery upto 30% Burns 1st Dressing 152.0 132.0

575 Burns and Plastic surgery upto 30% Burns Subsequent Dressing 124.0 108.0

576 Cardiovascular and cardiac AICD implantation 28750.0 25000.0


surgery & investigations

577 Cardiovascular and cardiac Aorta femoral bypass 56810.0 49400.0


surgery & investigations

578 Cardiovascular and cardiac Aortic stent graft for aortic aneurysm 86250.0 75000.0
surgery & investigations

579 Cardiovascular and cardiac ASD Closure 53000.0 45050.0


surgery & investigations

580 Cardiovascular and cardiac ASD/VSD/PDA closure device 36225.0 31500.0


surgery & investigations

581 Cardiovascular and cardiac Asending aorta replacement 165000.0 140250.0


surgery & investigations

582 Cardiovascular and cardiac AVBD/PVBD 48300.0 42000.0


surgery & investigations

583 Cardiovascular and cardiac AV Cal repair 161000.0 140000.0


surgery & investigations

584 Cardiovascular and cardiac Balloon corory angioplasty/PTCA 97750.0 85000.0


surgery & investigations

585 Cardiovascular and cardiac balloon valvotomy/PTMC 10500.0 8925.0


surgery & investigations

586 Cardiovascular and cardiac B.T Shunt/Coaractation 51980.0 45200.0


surgery & investigations

587 Cardiovascular and cardiac CABG 130000.0 110500.0


surgery & investigations

588 Cardiovascular and cardiac CABG + IABP 169050.0 147000.0


surgery & investigations

589 Cardiovascular and cardiac CABG +I valve. 169050.0 147000.0


surgery & investigations
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

590 Cardiovascular and cardiac CABG without bypass. 149500.0 130000.0


surgery & investigations

591 Cardiovascular and cardiac Cardiac CT scan 2325.0 1976.0


surgery & investigations

592 Cardiovascular and cardiac Cardiac MRI 2500.0 2125.0


surgery & investigations

593 Cardiovascular and cardiac CART 10350.0 9000.0


surgery & investigations

594 Cardiovascular and cardiac CATH 10350.0 9000.0


surgery & investigations

595 Cardiovascular and cardiac Cine -Barium 2070.0 1800.0


surgery & investigations

596 Cardiovascular and cardiac CMV/PDA 51980.0 45200.0


surgery & investigations

597 Cardiovascular and cardiac Coaractation dilatation 12650.0 11000.0


surgery & investigations

598 Cardiovascular and cardiac Combo device implantation 48300.0 42000.0


surgery & investigations

599 Cardiovascular and cardiac Conduit repair 169050.0 147000.0


surgery & investigations

600 Cardiovascular and cardiac Corory angiography 11500.0 10000.0


surgery & investigations

601 Cardiovascular and cardiac CT Angio-Neck Vessels 6000.0 5100.0


surgery & investigations

602 Cardiovascular and cardiac CT corory angiography 7245.0 6300.0


surgery & investigations

603 Cardiovascular and cardiac C.T Guided biopsy 1265.0 1100.0


surgery & investigations

604 Cardiovascular and cardiac CT guided PTA 2300.0 2000.0


surgery & investigations

605 Cardiovascular and cardiac Digital substraction angiography-Pheripheral artery 11500.0 10000.0
surgery & investigations

606 Cardiovascular and cardiac Digital substraction angiography- venogram 11500.0 10000.0
surgery & investigations

607 Cardiovascular and cardiac Directiol atherectomy 97750.0 85000.0


surgery & investigations

608 Cardiovascular and cardiac Direct stenting 92000.0 80000.0


surgery & investigations

609 Cardiovascular and cardiac DSA + PTA 13800.0 12000.0


surgery & investigations

610 Cardiovascular and cardiac DSO 16100.0 14000.0


surgery & investigations
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

611 Cardiovascular and cardiac DVR 130000.0 110500.0


surgery & investigations

612 Cardiovascular and cardiac EBUS(Endo brachial ultasound) 18370.0 15614.0


surgery & investigations

613 Cardiovascular and cardiac ECG 50.0 43.0


surgery & investigations

614 Cardiovascular and cardiac echocardiography echo adultHolter alysis 1265.0 1100.0
surgery & investigations

615 Cardiovascular and cardiac Electrophysiological studies. 11500.0 10000.0


surgery & investigations

616 Cardiovascular and cardiac Embolisation 28750.0 25000.0


surgery & investigations

617 Cardiovascular and cardiac Endomyocardial biopsy 11500.0 10000.0


surgery & investigations

618 Cardiovascular and cardiac FFR Wire 23500.0 23500.0


surgery & investigations

619 Cardiovascular and cardiac Fonten 169050.0 147000.0


surgery & investigations

620 Cardiovascular and cardiac Gunshot injury 51980.0 45200.0


surgery & investigations

621 Cardiovascular and cardiac Heart transplant 276000.0 240000.0


surgery & investigations

622 Cardiovascular and cardiac IABP 8000.0 6800.0


surgery & investigations

623 Cardiovascular and cardiac Intracoronary OCT 65000.0 65000.0


surgery & investigations

624 Cardiovascular and cardiac Intra corory stenting 97750.0 85000.0


surgery & investigations

625 Cardiovascular and cardiac Intra vascular coils one coil( additiol coil charges extra) 46000.0 40000.0
surgery & investigations

626 Cardiovascular and cardiac IVC Filter 16500.0 14025.0


surgery & investigations

627 Cardiovascular and cardiac IVUS 33960.0 28866.0


surgery & investigations

628 Cardiovascular and cardiac MR angiography. 5635.0 4900.0


surgery & investigations

629 Cardiovascular and cardiac MVR/AVR 53000.0 45050.0


surgery & investigations

630 Cardiovascular and cardiac MV repair + AV repair 106000.0 90100.0


surgery & investigations

631 Cardiovascular and cardiac P.A.Banding septostomy 51980.0 45200.0


surgery & investigations
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

632 Cardiovascular and cardiac Pericardictomy 42320.0 36800.0


surgery & investigations

633 Cardiovascular and cardiac Permanent pacemaker implantation Biventricular 34500.0 30000.0
surgery & investigations

634 Cardiovascular and cardiac Permanent pacemaker implantation- DDD 19320.0 16800.0
surgery & investigations

635 Cardiovascular and cardiac Permanent pacemaker implantation-VVI 13800.0 12000.0


surgery & investigations

636 Cardiovascular and cardiac R.F.ablation 30000.0 25500.0


surgery & investigations

637 Cardiovascular and cardiac Rotablation 50000.0 42500.0


surgery & investigations

638 Cardiovascular and cardiac Senning/ASO with graft 125000.0 106250.0


surgery & investigations

639 Cardiovascular and cardiac Septostomy 20000.0 17000.0


surgery & investigations

640 Cardiovascular and cardiac Sinogram 863.0 750.0


surgery & investigations

641 Cardiovascular and cardiac Stress Echo- Dobutamine 2530.0 2200.0


surgery & investigations

642 Cardiovascular and cardiac Stress Echo -erercise 1955.0 1700.0


surgery & investigations

643 Cardiovascular and cardiac Stress Thallium - exrercise 2500.0 2125.0


surgery & investigations

644 Cardiovascular and cardiac Stress Thallium - pharmacological 3000.0 2550.0


surgery & investigations

645 Cardiovascular and cardiac TEE(Transoesophageal echo 1725.0 1500.0


surgery & investigations

646 Cardiovascular and cardiac TMT 500.0 425.0


surgery & investigations

647 Cardiovascular and cardiac TOF/TAPVC/TCPC/REV/VSOV repair 130000.0 110500.0


surgery & investigations

648 Cardiovascular and cardiac Vascular stent 42000.0 35700.0


surgery & investigations

649 Cardiovascular and cardiac V.D.Glenn/Left atrium myxoma 100000.0 85000.0


surgery & investigations

650 Cardiovascular and cardiac Venous DSA 11500.0 10000.0


surgery & investigations

651 Cardiovascular and cardiac VSD with graft 53000.0 45050.0


surgery & investigations

652 Chemotharapy (Radiotherapy Adjuvant 863.0 750.0


and Chemotherapy)
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

653 Chemotharapy (Radiotherapy Chemoport facility 920.0 800.0


and Chemotherapy)

654 Chemotharapy (Radiotherapy Concurrent-chemoadiation 920.0 800.0


and Chemotherapy)

655 Chemotharapy (Radiotherapy Multiple drugs 897.0 780.0


and Chemotherapy)

656 Chemotharapy (Radiotherapy Neoadjuvant 863.0 750.0


and Chemotherapy)

657 Chemotharapy (Radiotherapy PICC line (peripherally inserted Central canulisation) 920.0 800.0
and Chemotherapy)

658 Chemotharapy (Radiotherapy Single drug 552.0 480.0


and Chemotherapy)

659 Chemotharapy (Radiotherapy Targeted therapy 920.0 800.0


and Chemotherapy)

660 Cobalt 60 therapy Palliative therapy 25000.0 21250.0


(Radiotherapy and
Chemotherapy)

661 Cobalt 60 therapy Radical therapy 70000.0 59500.0


(Radiotherapy and
Chemotherapy)

662 Dental Procedures Amalgum restoration-per tooth 230.0 200.0

663 Dental Procedures Apicoectomy-Multiple roots 748.0 650.0

664 Dental Procedures Apicoectomy- Single root 575.0 500.0

665 Dental Procedures Biopsy Intraoral-Bone 430.0 374.0

666 Dental Procedures Biopsy Intraoral-Soft tissue 430.0 374.0

667 Dental Procedures Complete denture- acrylic based per arch 1093.0 950.0

668 Dental Procedures Complete single denture-metal based 1725.0 1500.0

669 Dental Procedures Complicated Ext. per Tooth under LA 115.0 100.0

670 Dental Procedures Composite Restoration-per tooth-anterior tooth 288.0 250.0

671 Dental Procedures Cyst & tumour of Maxilla/mandible by 1150.0 1000.0


enucleation/excision/marsupalisation size more than 4 cms
under GA

672 Dental Procedures Cyst & tumour of Maxilla/mandible by 467.0 406.0


enucleation/excision/marsupalisation size more than 4 cms
under LA

673 Dental Procedures Cyst & tumour of Maxilla /mandible by 281.0 244.0
enucleation/excision/marsupalisation upto 4 cms under LA

674 Dental Procedures Expansion plate 1150.0 1000.0

675 Dental Procedures Extraction in mentally retarded/patients with systemic 1105.0 939.0
diseases/patient with special needs under short term GA

676 Dental Procedures Extraction of impacted tooth under LA 184.0 160.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

677 Dental Procedures Extraction per tooth under LA 92.0 80.0

678 Dental Procedures Feeding appliance for cleft palate 1725.0 1500.0

679 Dental Procedures Fixed Orhtodontics-per Arch 1380.0 1200.0

680 Dental Procedures Flap Operation per quadrant 414.0 360.0

681 Dental Procedures Functiol orthodentic appliances 3450.0 3000.0

682 Dental Procedures Gingivectomy per quadrant 269.0 234.0

683 Dental Procedures Glas Ionomer-per tooth 230.0 200.0

684 Dental Procedures Habit breaking appliances-Fixed 1725.0 1500.0

685 Dental Procedures Habit breaking appliances-removable 920.0 800.0

686 Dental Procedures Hemi-mandibulectomy with graft 5693.0 4950.0

687 Dental Procedures Hemi-mandibulectomy without graft 3335.0 2900.0

688 Dental Procedures Interl wire fixation/plate fixation of Mandible under GA 5750.0 5000.0

689 Dental Procedures Interl wire fixation/plate fixation of Mandible under LA 4600.0 4000.0

690 Dental Procedures Interl wire fixation/plate fixation of Maxilla under GA 4600.0 4000.0

691 Dental Procedures Interl wire fixation/plate fixation of Maxilla under LA 3450.0 3000.0

692 Dental Procedures Maxillectomy- partial with graft 3450.0 3000.0

693 Dental Procedures Maxillectomy- partial without graft 2875.0 2500.0

694 Dental Procedures Maxillectomy- Total with graft 2875.0 2500.0

695 Dental Procedures Maxillectomy- Total without graft 2243.0 1950.0

696 Dental Procedures Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part) 4025.0 3500.0

697 Dental Procedures Metal Crown-per unit 575.0 500.0

698 Dental Procedures Metal crown with Acrylic facing per unit 805.0 700.0

699 Dental Procedures Obturator (Maxillo-facial) 1725.0 1500.0

700 Dental Procedures Occlusal night guard(splint) 920.0 800.0

701 Dental Procedures Pre-prosthetic surgery- Alveoloplasty 575.0 500.0

702 Dental Procedures Pre-prosthetic surgery - ridge augmentation 1500.0 1275.0

703 Dental Procedures Reduction & immobilasation of fracture-Mandible Under LA 1725.0 1500.0

704 Dental Procedures Reduction & immobilasation of fracture- Maxilla Under LA 1380.0 1200.0

705 Dental Procedures Release of fibrous bands & grafting -in (OSMF) treatment 1725.0 1500.0
under GA

706 Dental Procedures Removable Orthodontics appliance- per Arch 805.0 700.0

707 Dental Procedures Removable partial denture-Acrylic based-more than 3 teeth 310.0 264.0

708 Dental Procedures Removable partial denture-Acrylic based-upto 3 teeth 575.0 500.0

709 Dental Procedures Removable partial denture-Metal based-more than 3 teeth 1035.0 900.0

710 Dental Procedures Removable partial denture-Metal based-upto 3 teeth 805.0 700.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

711 Dental Procedures Root cal Treatment(RCT) Anterior teeth 575.0 500.0

712 Dental Procedures Root cal Treatment(RCT) Posterior teeth 805.0 700.0

713 Dental Procedures Scaling & polishing 345.0 300.0

714 Dental Procedures Segmental-mandibulectomy with graft 4543.0 3950.0

715 Dental Procedures Segmental-mandibulectomy without graft 1139.0 990.0

716 Dental Procedures Space maintainers-Fixed 575.0 500.0

717 Dental Procedures splints/Cirucum mandibular wiring under GA 1139.0 990.0

718 Dental Procedures splints/Cirucum mandibular wiring under LA 587.0 510.0

719 Dental Procedures TM joint ankylosis- under GA 9775.0 8500.0

720 ENT Adenoidectomy 6486.0 5640.0

721 ENT Angiofibroma Excision 18400.0 16000.0

722 ENT Antrum Puncture 966.0 840.0

723 ENT Bronchoscopy with F.B.removal 2804.0 2438.0

724 ENT Caldwell Luc Surgery 10626.0 9240.0

725 ENT Cleft Palate repair 13225.0 11500.0

726 ENT Cold Calorie Test for Vestibular function 173.0 150.0

727 ENT Cranio-facial resection 26450.0 23000.0

728 ENT Decompression of Orbit 26450.0 23000.0

729 ENT Diagnostic sal endoscopy under GA 2300.0 2000.0

730 ENT Direct laryngoscopy including Biopsy under GA 5175.0 4500.0

731 ENT Endolymphatic sac decompression 2875.0 2500.0

732 ENT Endoscopic DCR 13248.0 11520.0

733 ENT Endoscopic Hypophysectomy 23000.0 20000.0

734 ENT Endoscopic Optic Nerve Decompression 32775.0 28500.0

735 ENT Endoscopic Surgery 13800.0 12000.0

736 ENT Facial Nerve Decompression 17250.0 15000.0

737 ENT FESS for antrochoal polyp 5750.0 5000.0

738 ENT FESS for ethmoidal polyp 5750.0 5000.0

739 ENT Fracture Reduction 5750.0 5000.0

740 ENT Impedence with stepedeal reflex 230.0 200.0

741 ENT Intra sal Diathermy 1150.0 1000.0

742 ENT Labyrinthectomy 13800.0 12000.0

743 ENT Lateral Rhinotomy 1150.0 1000.0

744 ENT Mastoidectomy 14950.0 13000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

745 ENT Mastoidectomy plus Ossciculoplasty including TORP or 2415.0 2100.0


PORP

746 ENT Multiple hearing assessment test to Adults 115.0 100.0

747 ENT Myringoplasty 6900.0 6000.0

748 ENT Myringotomy with Grommet insertion 4600.0 4000.0

749 ENT oesophagoscopy/foreign body removal from 1858.0 1616.0

750 ENT Otoplasty 16100.0 14000.0

751 ENT Palatopharyngoplasty 8165.0 7100.0

752 ENT Peritonsillar abscess draige under LA 1449.0 1260.0

753 ENT Pharyngoplasty 17193.0 14950.0

754 ENT Polyp removal ear 748.0 650.0

755 ENT Polyp removal Nose(Septal polyp) 748.0 650.0

756 ENT Polyp removal under GA 1150.0 1000.0

757 ENT Polyp removal under LA 575.0 500.0

758 ENT Punch/Wedge biopsy 674.0 586.0

759 ENT Pure Tone Audiogram 173.0 150.0

760 ENT Ranula Excision 6843.0 5950.0

761 ENT Removal of foreign body From Ear 230.0 200.0

762 ENT Removal of foreign body From Nose 345.0 300.0

763 ENT Rhinoplasty- Non-cosmetic 11500.0 10000.0

764 ENT sal Packing-anterior 345.0 300.0

765 ENT sal Packing-posterior 805.0 700.0

766 ENT Septal Perf. Repair 13800.0 12000.0

767 ENT Septoplasty 5750.0 5000.0

768 ENT Septo-rhinoplasty 16100.0 14000.0

769 ENT SISI Tone Decay 135.0 115.0

770 ENT Skull Base surgery 26450.0 23000.0

771 ENT Speech Assessment 138.0 120.0

772 ENT Speech Discrimition Score 90.0 78.0

773 ENT Speech therapy per session of 30-40 minutes 131.0 114.0

774 ENT Staepedectomy 9200.0 8000.0

775 ENT Styloidectomy 9200.0 8000.0

776 ENT Sub Mandibular Duct Lithotomy 275.0 234.0

777 ENT Submucous Resection 7314.0 6360.0

778 ENT Syringing (Ear) 166.0 144.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

779 ENT Tongue Tie excision 1725.0 1500.0

780 ENT Tonsillectomy 6900.0 6000.0

781 ENT Turbinectomy 5750.0 5000.0

782 ENT Tympanoplasty 13800.0 12000.0

783 ENT Tympanotomy 8625.0 7500.0

784 ENT Uvulo-palatoplasty 17250.0 15000.0

785 ENT Video Laryngoscopy 6000.0 5100.0

786 ENT Vidian neurectomy for vasomotor Rhinitis 10350.0 9000.0

787 ENT Yonges operation for Atrophic rhinitis 6900.0 6000.0

788 General surgery Debridement of wounds 414.0 360.0

789 General surgery Injury Of Superficial Soft Tissues 0.0 N.A.

790 General surgery Removal Of Foreign Bodies 288.0 250.0

791 General surgery Secondary suture of wounds 288.0 250.0

792 General surgery Suturing of small wounds 269.0 234.0

793 Head and Neck Abbe Operation 11500.0 10000.0

794 Head and Neck Block Dissection of Cervical Lymph Nodes 15500.0 13175.0

795 Head and Neck Cheek Advancement 9775.0 8500.0

796 Head and Neck Commondo Operation 23000.0 20000.0

797 Head and Neck Direct Laryngoscopy including biopsy under GA 5175.0 4500.0

798 Head and Neck Ear Lobe Repair one side 566.0 492.0

799 Head and Neck Estlander Operation 7475.0 6500.0

800 Head and Neck Excision of Branchial Cyst 10350.0 9000.0

801 Head and Neck Excision of Branchial Sinus 10350.0 9000.0

802 Head and Neck Excision of Carotid Body-Tumours 13500.0 11475.0

803 Head and Neck Excision of Cystic Hygroma 5175.0 4500.0

804 Head and Neck Excision of Cystic Hygroma Extensive 7452.0 6480.0

805 Head and Neck Excision of Lingual Thyroid 17270.0 14680.0

806 Head and Neck Excision of mandible-segmental 15525.0 13500.0

807 Head and Neck Excision of Parathyroid Adenoma/Carcinoma 21275.0 18500.0

808 Head and Neck Excision of Pharyngeal Diverticulum 10580.0 9200.0

809 Head and Neck Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin 5290.0 4600.0
and Cartilage

810 Head and Neck Excision of Pin for Growth (Squamous/Basal/ Injuries) Skin 4025.0 3500.0
Only

811 Head and Neck Excision of the Maxilla 19320.0 16800.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

812 Head and Neck Excision of Thyroglossal Cyst/Fistula 13225.0 11500.0

813 Head and Neck Fibroptic examition of Larynx under LA 1725.0 1500.0

814 Head and Neck Genioplasty 19550.0 17000.0

815 Head and Neck Hemiglossectomy 11500.0 10000.0

816 Head and Neck Hemithyroidectomy 12650.0 11000.0

817 Head and Neck Hyoid Suspension 10350.0 9000.0

818 Head and Neck Laryngectomy 31050.0 27000.0

819 Head and Neck Laryngofissure 17250.0 15000.0

820 Head and Neck Laryngo Pharyngectomy 17825.0 15500.0

821 Head and Neck Mandibulectomy 21074.0 18325.0

822 Head and Neck Microlaryngeal Surgery 10350.0 9000.0

823 Head and Neck Operation for Carcinoma Lip - Vermilionectomy 8050.0 7000.0

824 Head and Neck Operation for Carcinoma Lip - Wedge-Excision 8050.0 7000.0

825 Head and Neck Operation for Carcinoma Lip - Wedge Excision and 9660.0 8400.0
Vermilonectomy

826 Head and Neck Operation for Cervical Rib 13500.0 11475.0

827 Head and Neck Parotidectomy - Radical 19550.0 17000.0

828 Head and Neck Parotidectomy - Superficial 17250.0 15000.0

829 Head and Neck Parotidectomy - Total 12075.0 10500.0

830 Head and Neck Partial Amputation of Pin 5750.0 5000.0

831 Head and Neck Partial Glossectomy 5520.0 4800.0

832 Head and Neck Partial Thyroidectomy (lobectomy) 11500.0 10000.0

833 Head and Neck Pharyngectomy & Reconstruction 15500.0 13175.0

834 Head and Neck Phonosurgery 13800.0 12000.0

835 Head and Neck Removal of Submandibular Salivary gland 8625.0 7500.0

836 Head and Neck Repair of Parotid Duct 11500.0 10000.0

837 Head and Neck Resection Enucleation of thyroid Adenoma 10580.0 9200.0

838 Head and Neck Subtotal Thyroidectomy 13053.0 11350.0

839 Head and Neck Total Amputation & Excision of Exterl Auditory Meatus 1725.0 1500.0

840 Head and Neck Total Amputation of Pin 7130.0 6200.0

841 Head and Neck Total Glossectomy 22885.0 19900.0

842 Head and Neck Total Thyroidectomy 19550.0 17000.0

843 Head and Neck Total Thyroidectomy and Block Dissection 26450.0 23000.0

844 Head and Neck Tracheal Stenosis Excision 19780.0 17200.0

845 Head and neck cancer Benign Tumour Excisions 11270.0 9800.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

846 Head and neck cancer Breast 28750.0 25000.0

847 Head and neck cancer Carotid Body Excision 28750.0 25000.0

848 Head and neck cancer Draige of abscess 6325.0 5500.0

849 Head and neck cancer Excisiol Biopsies 5750.0 5000.0

850 Head and neck cancer Excision of lumps 9775.0 8500.0

851 Head and neck cancer Excision of mammary fistula 15525.0 13500.0

852 Head and neck cancer Flap Reconstructive Surgery 41400.0 36000.0

853 Head and neck cancer Local mastectomy-simple 12650.0 11000.0

854 Head and neck cancer Modified Radical Neck Dissection 25300.0 22000.0

855 Head and neck cancer Parapharyngeal Tumour Excision 39330.0 34200.0

856 Head and neck cancer Radical mastectomy-formal or modified. 28750.0 25000.0

857 Head and neck cancer Segmental resection of breast 16100.0 14000.0

858 Head and neck cancer Temporal Bone subtotal resection 20700.0 18000.0

859 Head and neck cancer Total Laryngectomy 39192.0 34080.0

860 ICU/CCU procedures (Special Compressed air / piped oxygen 58.0 50.0
Care Cases)

861 ICU/CCU procedures (Special Corory Care with Cardiac Monitoring including ECG & Diet 1250.0 1063.0
Care Cases)

862 ICU/CCU procedures (Special Exchange Transfusion 265.0 230.0


Care Cases)

863 ICU/CCU procedures (Special Incubator charges (Per day) 345.0 300.0
Care Cases)

864 ICU/CCU procedures (Special Neotal ICU charges (Per day) 400.0 340.0
Care Cases)

865 ICU/CCU procedures (Special Paediatric care for New born per day 190.0 162.0
Care Cases)

866 ICU/CCU procedures (Special PFT/(Spirometry with DLCO) 500.0 425.0


Care Cases)

867 ICU/CCU procedures (Special Pneupack ventilator in Nursery (Per day) 575.0 500.0
Care Cases)

868 ICU/CCU procedures (Special Resuscitation 184.0 160.0


Care Cases)

869 ICU/CCU procedures (Special Ventilator charges 560.0 476.0


Care Cases)

870 Linear accelerator Electron beam with Linear accelerator 89060.0 75701.0
(Radiotherapy and
Chemotherapy)

871 Linear accelerator IGRT(Image guided radiotherapy) 150400.0 127840.0


(Radiotherapy and
Chemotherapy)
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

872 Linear accelerator IMRT(Intensity Modulated radiotherapy) 103200.0 87720.0


(Radiotherapy and
Chemotherapy)

873 Linear accelerator Radical therapy 60000.0 51000.0


(Radiotherapy and
Chemotherapy)

874 Linear accelerator Respiratory Gating-alongwith Linear accelerator planning 125000.0 106250.0
(Radiotherapy and
Chemotherapy)

875 Linear accelerator SRS(Stereotactic radio surgery) 82400.0 70040.0


(Radiotherapy and
Chemotherapy)

876 Linear accelerator SRT (Stereotactic radiotherapy) 62400.0 53040.0


(Radiotherapy and
Chemotherapy)

877 Linear accelerator Tomotherapy 0.0 N.A.


(Radiotherapy and
Chemotherapy)

878 Linear accelerator   2 D Planing 5000.0 4250.0


(Radiotherapy and
Chemotherapy)

879 Linear accelerator   3 D Planning 5000.0 4250.0


(Radiotherapy and
Chemotherapy)

880 Linear accelerator    Palliative therapy 35000.0 29750.0


(Radiotherapy and
Chemotherapy)

881 List of procedures/ tests in A)     Endoscopic procedures 0.0 N.A.


Gastroenterology

882 List of procedures/ tests in a.       CBD stones 633.0 550.0


Gastroenterology

883 List of procedures/ tests in a.       Diagnostic angiography 1495.0 1300.0


Gastroenterology

884 List of procedures/ tests in a.       Diagnostic endoscopy 600.0 510.0


Gastroenterology

885 List of procedures/ tests in a.       Diagnostic ERCP 5750.0 5000.0


Gastroenterology

886 List of procedures/ tests in a.       Diagnostic ultrasound 575.0 500.0


Gastroenterology

887 List of procedures/ tests in a.       D-xylase test 1200.0 1020.0


Gastroenterology

888 List of procedures/ tests in a.       Oesophageal PH metry 0.0 N.A.


Gastroenterology

889 List of procedures/ tests in a.       Upper G.I. Endoscopy + Lower G.I. Endoscopy 1725.0 1500.0
Gastroenterology
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

890 List of procedures/ tests in b.      Colored doplar 1000.0 850.0


Gastroenterology

891 List of procedures/ tests in b.      Endoscopic biopsy 345.0 300.0


Gastroenterology

892 List of procedures/ tests in b.      Endoscopic sphincterotomy 2415.0 2100.0


Gastroenterology

893 List of procedures/ tests in B.      Endoscopic ultrasound 0.0 N.A.


Gastroenterology

894 List of procedures/ tests in b.      ERCP 0.0 N.A.


Gastroenterology

895 List of procedures/ tests in b.      Fecal fat test/ fecal chymotrypsin/ fecal elastase 1200.0 1020.0
Gastroenterology

896 List of procedures/ tests in b.      Oesophageal manometry 0.0 N.A.


Gastroenterology

897 List of procedures/ tests in b.      Pancreatic duct stones 10330.0 8781.0
Gastroenterology

898 List of procedures/ tests in b.      Vascular embolization 35630.0 30286.0


Gastroenterology

899 List of procedures/ tests in C.      Angiography 11500.0 10000.0


Gastroenterology

900 List of procedures/ tests in c.       Breath tests 1500.0 1275.0


Gastroenterology

901 List of procedures/ tests in c.       CBD stone extraction 2415.0 2100.0
Gastroenterology

902 List of procedures/ tests in c.       Endoscopic mucosal resection 1898.0 1650.0
Gastroenterology

903 List of procedures/ tests in c.       Small bowel manometry 0.0 N.A.
Gastroenterology

904 List of procedures/ tests in c.       TIPS 4106.0 3035.0


Gastroenterology

905 List of procedures/ tests in c.       Ultrasound guided FC 575.0 500.0


Gastroenterology

906 List of procedures/ tests in d.      Anorectal manometry 0.0 N.A.


Gastroenterology

907 List of procedures/ tests in d.      CBD stricture dilatation 7935.0 6900.0
Gastroenterology

908 List of procedures/ tests in d.      H pylori serology for ciliac disease 550.0 468.0
Gastroenterology

909 List of procedures/ tests in D.      Manometry and PH metry 0.0 N.A.
Gastroenterology

910 List of procedures/ tests in d.      Oesophageal stricture dilatation 1725.0 1500.0
Gastroenterology
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

911 List of procedures/ tests in d.      Trans jugular liver biopsy 6843.0 5950.0
Gastroenterology

912 List of procedures/ tests in d.      Ultrasound guided abscess draige 575.0 500.0
Gastroenterology

913 List of procedures/ tests in e.      Balloon dilatation of achalasia cardia 2875.0 2500.0
Gastroenterology

914 List of procedures/ tests in e.      Biliary stenting (plastic and metallic) 4830.0 4200.0
Gastroenterology

915 List of procedures/ tests in e.      Colonic manometry 0.0 N.A.


Gastroenterology

916 List of procedures/ tests in e.      HBV genotyping 2730.0 2321.0


Gastroenterology

917 List of procedures/ tests in e.      IVC graphy + hepatic veinography 35000.0 29750.0
Gastroenterology

918 List of procedures/ tests in e.      PTBD 2875.0 2500.0


Gastroenterology

919 List of procedures/ tests in E.       Sengstaken blackenesse tube tempode 2875.0 2500.0
Gastroenterology

920 List of procedures/ tests in F.       Lintas machles tube tempode 2875.0 2500.0
Gastroenterology

921 List of procedures/ tests in f.        Balloon angioplasty 97750.0 85000.0


Gastroenterology

922 List of procedures/ tests in f.        Biliary manometry 0.0 N.A.


Gastroenterology

923 List of procedures/ tests in f.        Biliary stenting 4830.0 4200.0


Gastroenterology

924 List of procedures/ tests in f.        Foreign body removal 1725.0 1500.0
Gastroenterology

925 List of procedures/ tests in f.        HCV genotyping 5450.0 4633.0


Gastroenterology

926 List of procedures/ tests in f.        Mechanical lithotripsy of CBD stones 8050.0 7000.0
Gastroenterology

927 List of procedures/ tests in G.     Bichemistry Serology and Molecular biology 0.0 N.A.
Gastroenterology

928 List of procedures/ tests in g.       Muscular stenting 97750.0 85000.0


Gastroenterology

929 List of procedures/ tests in g.       Oesophageal stenting 3450.0 3000.0


Gastroenterology

930 List of procedures/ tests in g.       Pancreatic sphincterotomy 8050.0 7000.0


Gastroenterology

931 List of procedures/ tests in h.      Band ligation of oesophageal varices 2875.0 2500.0
Gastroenterology
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

932 List of procedures/ tests in h.      BRTO 74750.0 65000.0


Gastroenterology

933 List of procedures/ tests in H.      Extra corporeal shortwave lithotripsy 41400.0 36000.0
Gastroenterology

934 List of procedures/ tests in h.      Pancreatic stricture dilatation 5750.0 5000.0
Gastroenterology

935 List of procedures/ tests in I.        Liver biopsy 1380.0 1200.0


Gastroenterology

936 List of procedures/ tests in i.         Pancreatic stone extraction 10350.0 9000.0
Gastroenterology

937 List of procedures/ tests in i.         Portal haemodymic studies 1725.0 1500.0
Gastroenterology

938 List of procedures/ tests in i.         Sclerotherapy of oesophageal varices 2737.0 2380.0
Gastroenterology

939 List of procedures/ tests in j.        Glue injection of varices 2737.0 2380.0
Gastroenterology

940 List of procedures/ tests in j.        Mechanical lithotripsy of pancreatic stones 11385.0 9900.0
Gastroenterology

941 List of procedures/ tests in k.       Argon plasma coagulation 4025.0 3500.0
Gastroenterology

942 List of procedures/ tests in k.       Endoscopic cysto gastrostomy 8050.0 7000.0
Gastroenterology

943 List of procedures/ tests in l.         Balloon dilatation of papilla 6900.0 6000.0
Gastroenterology

944 List of procedures/ tests in l.         Pyloric balloon dilatation 2415.0 2100.0
Gastroenterology

945 List of procedures/ tests in m.    Enteral stenting 3680.0 3200.0


Gastroenterology

946 List of procedures/ tests in n.      Duodel stricture dilation 2415.0 2100.0
Gastroenterology

947 List of procedures/ tests in o.      Single balloon enterocopy 4600.0 4000.0
Gastroenterology

948 List of procedures/ tests in p.      Double balloon enteroscopy 4000.0 3400.0
Gastroenterology

949 List of procedures/ tests in q.      Capsule endoscopy 5175.0 4500.0


Gastroenterology

950 List of procedures/ tests in r.        Polypectomy 1518.0 1320.0


Gastroenterology

951 List of procedures/ tests in s.       Piles banding 1125.0 956.0


Gastroenterology

952 List of procedures/ tests in t.        Colonic stricture dilatation 2737.0 2380.0
Gastroenterology
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

953 List of procedures/ tests in u.      Hot biopsy forceps procedures 4025.0 3500.0
Gastroenterology

954 List of procedures/ tests in v.       Colonic stenting 2737.0 2380.0


Gastroenterology

955 List of procedures/ tests in w.     Junction biopsy 2300.0 2000.0


Gastroenterology

956 List of procedures/ tests in x.       rrow band imaging 3450.0 3000.0
Gastroenterology

957 List of procedures/ tests in y.       Conjugal microscopy 4600.0 4000.0


Gastroenterology

958 Nephrological procedures Acute P.D. catheterization 1725.0 1500.0

959 Nephrological procedures Arterio venous Prosthetic Graft 2128.0 1850.0

960 Nephrological procedures CAPD ( Insertion and Removal ) 2600.0 2261.0

961 Nephrological procedures Continuous Arterio Venous Haemofiltration 1725.0 1500.0

962 Nephrological procedures Cont. Rel Replacement Therapy 17250.0 15000.0

963 Nephrological procedures Dialysis Femoral Catheterization Bilateral 1380.0 1200.0

964 Nephrological procedures Donor nephrectomy- Lap/ endoscopic 46000.0 40000.0

965 Nephrological procedures Donor nephrectomy- Open 28750.0 25000.0

966 Nephrological procedures Double luman sub clavian catheter 1932.0 1680.0

967 Nephrological procedures Femoral Access 886.0 770.0

968 Nephrological procedures Fistula/shunt 5575.0 4848.0

969 Nephrological procedures Formation of an illeal conduit 17250.0 15000.0

970 Nephrological procedures Haemodialysis- For Sero negative cases 1208.0 1050.0

971 Nephrological procedures Haemodialysis- For Sero positive cases 1466.0 1275.0

972 Nephrological procedures Interl jugular cannulization 1208.0 1050.0

973 Nephrological procedures Lymphocoel Post Transplant 5750.0 5000.0

974 Nephrological procedures Nephrolithotomy- Laproscopic/endoscopic 16100.0 14000.0

975 Nephrological procedures Partial Nephrectomy 16215.0 14100.0

976 Nephrological procedures Permacath Insertion 2300.0 2000.0

977 Nephrological procedures Plasma Exchange 2875.0 2500.0

978 Nephrological procedures Pyelolithotomy-laproscopic/ endoscopic 10580.0 9200.0

979 Nephrological procedures pyeloplasty -Lap/ Endoscopic 11250.0 9563.0

980 Nephrological procedures Rel Biopsy 1380.0 1200.0

981 Nephrological procedures Rel Transplantation 115000.0 100000.0

982 Nephrological procedures SLED (Slow Efficiency Dialysis) 1610.0 1400.0

983 Nephrological procedures Subclavian Access 1725.0 1500.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

984 Nephrological procedures Transplant Biopsy 2300.0 2000.0

985 Nephrological procedures Transplant Nephrectomy 23000.0 20000.0

986 Nephrological procedures Ureterolithotomy- Lap/ Endoscopic 10580.0 9200.0

987 Nephrology and Urology. Adreneclectomy Unilateral/Bilateral for Tumour/For 14375.0 12500.0
Carcinoma -Lap/Endoscopic

988 Nephrology and Urology. Adreneclectomy Unilateral/Bilateral for Tumour/For 25300.0 22000.0
Carcinoma- Open

989 Nephrology and Urology. Augmentation Cystoplasty 6670.0 5800.0

990 Nephrology and Urology. Bilateral Nephrouretectomy (tive) 21850.0 19000.0

991 Nephrology and Urology. Biopsy of Bladder (Cystoscopic) 2300.0 2000.0

992 Nephrology and Urology. Block Dissection of Inguil Nodes - Both Sides 23000.0 20000.0

993 Nephrology and Urology. Block Dissection of Inguil Nodes - One Side 6325.0 5500.0

994 Nephrology and Urology. CAPD 2415.0 2100.0

995 Nephrology and Urology. Cavernostomy 11500.0 10000.0

996 Nephrology and Urology. Circumcision 4025.0 3500.0

997 Nephrology and Urology. Closure of Urethral Fistula 11178.0 9720.0

998 Nephrology and Urology. Continuous Arterio Venus Haemofiltration 1725.0 1500.0

999 Nephrology and Urology. Cysto-Litholapexy 10925.0 9500.0

1000 Nephrology and Urology. Cystolithotomy -Suprapubic 9775.0 8500.0

1001 Nephrology and Urology. Cystoscopy with Bladder Biopsy 3381.0 2940.0

1002 Nephrology and Urology. Cystoscopy with Retrograde Catheter - Bilateral /RGP 5589.0 4860.0

1003 Nephrology and Urology. Cystoscopy with Retrograde Catheter -Unilateral /RGP 2803.0 2437.0

1004 Nephrology and Urology. Dialysis Femoral Catheterisation Bilateral 1150.0 1000.0

1005 Nephrology and Urology. Diathermy Destruction of Bladder Neoplasm 8625.0 7500.0

1006 Nephrology and Urology. Dilatation of Stricture Urethra under G.A. 2358.0 2050.0

1007 Nephrology and Urology. Dilatation of Stricture Urethra under LA 1725.0 1500.0

1008 Nephrology and Urology. Diverticulectomy -Endoscopic incision of neck 1725.0 1500.0

1009 Nephrology and Urology. Diverticulectomy- Lap/Endoscopic 18400.0 16000.0

1010 Nephrology and Urology. Diverticulectomy -open 17250.0 15000.0

1011 Nephrology and Urology. Donor Nephrectomy-Lap/Endoscopic 46000.0 40000.0

1012 Nephrology and Urology. Donor Nephrectomy -Open 28750.0 25000.0

1013 Nephrology and Urology. Double Lumen Sub Clavian Catheter 1932.0 1680.0

1014 Nephrology and Urology. Emergency Dialysis Femoral Puncture 932.0 810.0

1015 Nephrology and Urology. Emergency Dialysis Subclavian Puncture 1162.0 1010.0

1016 Nephrology and Urology. Endoscopic Bulking agent Inject 4600.0 4000.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1017 Nephrology and Urology. Endoscopic Removal of Stone in Bladder 3450.0 3000.0

1018 Nephrology and Urology. Epididymectomy 11270.0 9800.0

1019 Nephrology and Urology. Excision of Filarial Scrotum 11500.0 10000.0

1020 Nephrology and Urology. Exploratory Scrototomy 8556.0 7440.0

1021 Nephrology and Urology. Femoral Access 886.0 770.0

1022 Nephrology and Urology. Fistula/Shunt 5575.0 4848.0

1023 Nephrology and Urology. Formation of an Ileal Conduit 17250.0 15000.0

1024 Nephrology and Urology. Gil-Verner’s Extended Pyelolithotomy 3500.0 2975.0

1025 Nephrology and Urology. Haemo Dialysis-For sero negative cases 1208.0 1050.0

1026 Nephrology and Urology. Haemo Dialysis -FOR SERO POSITIVE CASES 1466.0 1275.0

1027 Nephrology and Urology. High Intensity Focus Ultrasound (HIFU) Robotic for 4600.0 4000.0
Carcinoma prostrate and rel cell carcinoma

1028 Nephrology and Urology. Hilioum Laser Prostrate surgery/ Optical Interl 17250.0 15000.0
urethrotomy/Core through/Stone lithotrypsy/Bladder
tumour

1029 Nephrology and Urology. Interl urethrotom -optical 5750.0 5000.0

1030 Nephrology and Urology. Interl urethrotomy -Core through urethroplasty 11040.0 9600.0

1031 Nephrology and Urology. Laproscopic operation for varicocele 7533.0 6550.0

1032 Nephrology and Urology. Laproscopy aassisted orchidopexy 8625.0 7500.0

1033 Nephrology and Urology. Lithotripsy Extra corporeal shock wave. 23000.0 20000.0

1034 Nephrology and Urology. Lymphocoel Post transplant 5750.0 5000.0

1035 Nephrology and Urology. Meatoplasty 3220.0 2800.0

1036 Nephrology and Urology. Meatotomy 2346.0 2040.0

1037 Nephrology and Urology. Micro-surgical Vasovasostomy /Vaso epidedymal 11040.0 9600.0
ansatamosis.

1038 Nephrology and Urology. Nephrectomy Simple-ap/Endoscopic 11500.0 10000.0

1039 Nephrology and Urology. Nephrectomy Simple -Open 10074.0 8760.0

1040 Nephrology and Urology. Nephrolithomy -laproscopic/endoscopic 16100.0 14000.0

1041 Nephrology and Urology. Nephrolithomy -open 16100.0 14000.0

1042 Nephrology and Urology. Nephrostomy -Lap/Endoscopic 12593.0 10950.0

1043 Nephrology and Urology. Nephrostomy -Open 10074.0 8760.0

1044 Nephrology and Urology. Nephroureterectomy -Lap/Endoscopic 16100.0 14000.0

1045 Nephrology and Urology. Nephroureterectomy open 13386.0 11640.0

1046 Nephrology and Urology. Open Draige of Perinephric Abscess 9200.0 8000.0

1047 Nephrology and Urology. Open Retropubic Prostatectomy 20125.0 17500.0

1048 Nephrology and Urology. Open Suprapubic Prostatectomy 20700.0 18000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1049 Nephrology and Urology. Operation for Torsion of Testis 11500.0 10000.0

1050 Nephrology and Urology. Operations for Crippled Hypospadias 12593.0 10950.0

1051 Nephrology and Urology. Operations for Cyst of the Kidney -Lap/endoscopic 14030.0 12200.0

1052 Nephrology and Urology. Operations for Cyst of the Kidney -open 11960.0 10400.0

1053 Nephrology and Urology. Operations for Epispadias-crippled epispaedias 11385.0 9900.0

1054 Nephrology and Urology. Operations for Epispadias _primary repair 12593.0 10950.0

1055 Nephrology and Urology. Operations for Extrophy of the Bladder- Multistage repair 20815.0 18100.0

1056 Nephrology and Urology. Operations for Extrophy of the Bladder- simple cystectomy 23000.0 20000.0
with uriry diversion

1057 Nephrology and Urology. Operations for Extrophy of the Bladder- Single stage repair 22301.0 19392.0

1058 Nephrology and Urology. Operations for Hydrocele - Bilateral 8556.0 7440.0

1059 Nephrology and Urology. Operations for Hydrocele - Unilateral 5865.0 5100.0

1060 Nephrology and Urology. Operations for Hydronephrosis Endoplyelotomy antegrade 20125.0 17500.0

1061 Nephrology and Urology. Operations for Hydronephrosis Endoplyelotomy retrograde 20269.0 17625.0

1062 Nephrology and Urology. Operations for Hydronephrosis-Ileal ureter 20269.0 17625.0

1063 Nephrology and Urology. Operations for Hydronephrosis -pyeloplasty Lap/endoscopic 20700.0 18000.0

1064 Nephrology and Urology. Operations for Hydronephrosis -pyeloplasty open 18400.0 16000.0

1065 Nephrology and Urology. Operations for Hydronephrosis -ureterocalicostomy 18400.0 16000.0

1066 Nephrology and Urology. Operations for Hypospadias + Chordee Correction 1208.0 1050.0

1067 Nephrology and Urology. Operations for Hypospadias - One Stage Repair 12075.0 10500.0

1068 Nephrology and Urology. Operations for Hypospadias - Second Stage 17250.0 15000.0

1069 Nephrology and Urology. Operations for Incontinence of Urine - Female-Bulking agent 19435.0 16900.0

1070 Nephrology and Urology. Operations for Incontinence of Urine - Female -Open 17250.0 15000.0

1071 Nephrology and Urology. Operations for Incontinence of Urine - Female-Sling 18400.0 16000.0

1072 Nephrology and Urology. Operations for Incontinence of Urine - Male-Bulking agent 19435.0 16900.0

1073 Nephrology and Urology. Operations for Incontinence of Urine - Male -Open 17250.0 15000.0

1074 Nephrology and Urology. Operations for Incontinence of Urine - Male -Sling 18400.0 16000.0

1075 Nephrology and Urology. Operations for Injuries of the Bladder 11500.0 10000.0

1076 Nephrology and Urology. Operations for Ureter for -Double Ureters 19550.0 17000.0

1077 Nephrology and Urology. Operations for Ureter -for Ectopia of Single Ureter 20700.0 18000.0

1078 Nephrology and Urology. Operations for Varicocele Palomo’s Bilateral - 14950.0 13000.0
Lap/Endoscopic

1079 Nephrology and Urology. Operations for Varicocele Palomo’s Bilateral --Microsurgical 12650.0 11000.0

1080 Nephrology and Urology. Operations for Varicocele Palomo’s Unilateral - 9200.0 8000.0
Lap/Endoscopic
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1081 Nephrology and Urology. Operations for Varicocele Palomo’s Unilateral-Microsurgical 7705.0 6700.0

1082 Nephrology and Urology. Operations for Vesico- ureteric Reflux-Lap/Endoscopic 20700.0 18000.0

1083 Nephrology and Urology. Operations for Vesico- ureteric Reflux -Open 20700.0 18000.0

1084 Nephrology and Urology. Operations for Vesico- ureteric Reflux-with bulking agents 20700.0 18000.0

1085 Nephrology and Urology. Orchidectomy -Post orchidectomy retroperitoneal lynpy 15985.0 13900.0
node dissection.

1086 Nephrology and Urology. Orchidectomy -Radical 12075.0 10500.0

1087 Nephrology and Urology. Orchidectomy-Simple 9775.0 8500.0

1088 Nephrology and Urology. Orchidopexy - Bilateral -Lap/Endoscopic 15353.0 13350.0

1089 Nephrology and Urology. Orchidopexy - Bilateral -Open 12282.0 10680.0

1090 Nephrology and Urology. Orchidopexy - Unilateral- Lap/Endoscopic 12334.0 10725.0

1091 Nephrology and Urology. Orchidopexy - Unilateral -Open 9867.0 8580.0

1092 Nephrology and Urology. Partial Amputation of the Penis 10764.0 9360.0

1093 Nephrology and Urology. Partial Cystectomy 13800.0 12000.0

1094 Nephrology and Urology. Partial Nephrectomy-laproscopic/endoscopic 14490.0 12600.0

1095 Nephrology and Urology. Partial Nephrectomy -open 16215.0 14100.0

1096 Nephrology and Urology. PCNL - Bilateral 28750.0 25000.0

1097 Nephrology and Urology. PCNL - Unilateral 21850.0 19000.0

1098 Nephrology and Urology. Percutaneous Draige of Perinephric Abscess -Ultrasound 5750.0 5000.0
guided

1099 Nephrology and Urology. Perineal Urethrostomy 4715.0 4100.0

1100 Nephrology and Urology. Plasma Exchange 2875.0 2500.0

1101 Nephrology and Urology. Posterior Urethal Valvu fulguration. 11270.0 9800.0

1102 Nephrology and Urology. Prosthetic surgery for uriry incontinence 2300.0 2000.0

1103 Nephrology and Urology. Pyelolithotomy -laproscopic/endoscopic 10580.0 9200.0

1104 Nephrology and Urology. Pyelolithotomy-open 14950.0 13000.0

1105 Nephrology and Urology. Radical Cystectomy - continent diversion. 16560.0 14400.0

1106 Nephrology and Urology. Radical Cystectomy -Ileal conduit 24150.0 21000.0

1107 Nephrology and Urology. Radical Nephrectomy Nephrectomy -Lap/Endoscopic 20700.0 18000.0

1108 Nephrology and Urology. Radical Nephrectomy Nephrectomy -Open 17250.0 15000.0

1109 Nephrology and Urology. Radical Nephrectomy plus IV thrombus 23000.0 20000.0

1110 Nephrology and Urology. Radical Nephrectomy plus IV thrombus plus cardiac bypass. 23000.0 20000.0

1111 Nephrology and Urology. Radical prostratectomy-Laproscopic 20125.0 17500.0

1112 Nephrology and Urology. Radical prostratectomy-Open 17825.0 15500.0

1113 Nephrology and Urology. Radical prostratectomy- Robotic 20125.0 17500.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1114 Nephrology and Urology. Reduction of Paraphimosis 1725.0 1500.0

1115 Nephrology and Urology. Rel Transplantation 115000.0 100000.0

1116 Nephrology and Urology. Repair of Ureterocoel -Endoscopic incision 13570.0 11800.0

1117 Nephrology and Urology. Repair of Ureterocoel -Lap/Endoscopic 14375.0 12500.0

1118 Nephrology and Urology. Repair of Ureterocoel -Open 13800.0 12000.0

1119 Nephrology and Urology. Resection Bladder Neck Endoscopic /Bladden neck 10925.0 9500.0
incision/transurethral incision on prostrate

1120 Nephrology and Urology. Retroperitoneoscopic nephrolithotomy 12075.0 10500.0

1121 Nephrology and Urology. Retroperitoneoscopic Nephroureteroectomy 13225.0 11500.0

1122 Nephrology and Urology. Retroperitoneoscopic operation for Hyderonephrosis 12305.0 10700.0

1123 Nephrology and Urology. Retroperitoneoscopic pyelolithotomy 12650.0 11000.0

1124 Nephrology and Urology. Retroperitoneoscopic surgery for Rel cyst 9775.0 8500.0

1125 Nephrology and Urology. Retroperitoneoscopic ureterolithotomy 11500.0 10000.0

1126 Nephrology and Urology. Retroperitoneoscopy Nephrectomy 33350.0 29000.0

1127 Nephrology and Urology. Retroperitoneoscopy partial Nephrectomy 13225.0 11500.0

1128 Nephrology and Urology. Simple Cystectomy 17250.0 15000.0

1129 Nephrology and Urology. Subclavian Access 1725.0 1500.0

1130 Nephrology and Urology. Suprapubic Draige (Cystostomy/vesicostomy) 6900.0 6000.0

1131 Nephrology and Urology. Testicular Biopsy 1955.0 1700.0

1132 Nephrology and Urology. Total amputation of the Penis 16100.0 14000.0

1133 Nephrology and Urology. Transplant Nephrectomy 23000.0 20000.0

1134 Nephrology and Urology. Transurethral Resection of Prostate (TURP) 18630.0 16200.0

1135 Nephrology and Urology. TURP & TUR Bladder Tumour 17250.0 15000.0

1136 Nephrology and Urology. TURP with Cystolithotripsy 19090.0 16600.0

1137 Nephrology and Urology. Ultra sound guided Biopsy 575.0 500.0

1138 Nephrology and Urology. Ureteric Catheterisation 690.0 600.0

1139 Nephrology and Urology. Ureteric Reimplant 10494.0 9125.0

1140 Nephrology and Urology. Ureteric Reimplant for MegaureterVesicoureteric 10494.0 9125.0
reflexuterocoel

1141 Nephrology and Urology. Uretero-Colic astomosis 17250.0 15000.0

1142 Nephrology and Urology. Ureterolithotomy-Lap/Endoscopic 10580.0 9200.0

1143 Nephrology and Urology. Ureterolithotomy -open 13386.0 11640.0

1144 Nephrology and Urology. Ureteroscopic Surgery 10350.0 9000.0

1145 Nephrology and Urology. Ureterostomy - Cutaneous 13800.0 12000.0

1146 Nephrology and Urology. Urethral Reconstruction -End to end ansatamosis 3450.0 3000.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1147 Nephrology and Urology. Urethral Reconstruction - substitution urethroplasty 19550.0 17000.0

1148 Nephrology and Urology. Urethroplasty 1st Stage 10925.0 9500.0

1149 Nephrology and Urology. Urethroscopy/ Cystopanendoscopy 4600.0 4000.0

1150 Nephrology and Urology. Urodymic Study (Cystometry) 552.0 480.0

1151 Nephrology and Urology. Uroflow Study (Micturometry) 460.0 400.0

1152 Nephrology and Urology. Vascular Prosthetic Graft 27600.0 24000.0

1153 Nephrology and Urology. Vasectomy (Should be free for Family Welfare) 0.0 N.A.

1154 Nephrology and Urology. Vasico Vagil Fistula Repair 17250.0 15000.0

1155 Nephrology and Urology. Voiding-cysto-urethrogram and retrograde urethrogram 414.0 360.0

1156 Neuro-surgery 4 vessels cerebral angiography 13800.0 12000.0

1157 Neuro-surgery Abscess Tapping 2967.0 2580.0

1158 Neuro-surgery Aneurysm coiling 45885.0 39900.0

1159 Neuro-surgery Anterior Cervical Dissectomy 16618.0 14450.0

1160 Neuro-surgery Anterior Cervical Spine Surgery with fusion 32200.0 28000.0

1161 Neuro-surgery Anterior Lateral Decompression of spine 28750.0 25000.0

1162 Neuro-surgery Baclofen pump implantation lesioning for movement 46000.0 40000.0
disorder including Parkinsonism

1163 Neuro-surgery Brachial Plexus Exploration Microsuturing 15525.0 13500.0

1164 Neuro-surgery Brain Biopsy 7475.0 6500.0

1165 Neuro-surgery Brain Mapping 985.0 837.0

1166 Neuro-surgery Burr hole evacuation of chronic subdural haematoma 24150.0 21000.0

1167 Neuro-surgery Carotid stenting 51980.0 45200.0

1168 Neuro-surgery carpel Tunnel decompression 20700.0 18000.0

1169 Neuro-surgery Cerebellar stimulation for hemifacial spasm 34500.0 30000.0

1170 Neuro-surgery Cerebellar stimulation for other cranial nerve neuralgia 34500.0 30000.0

1171 Neuro-surgery Cervical disc arthroplasty 27600.0 24000.0

1172 Neuro-surgery Cervical laminoplasty 32200.0 28000.0

1173 Neuro-surgery Cervical or Dorsal or Lumbar Laminectomy 23000.0 20000.0

1174 Neuro-surgery Chemotheraphy wafers for malignt brain tumours 19550.0 14450.0

1175 Neuro-surgery Clipping of intracranial aneurysm with use of stent 56810.0 49400.0

1176 Neuro-surgery Combined Trans-oral Surgery & CV Junction Fusion 46000.0 40000.0

1177 Neuro-surgery Corpus callosectomy 40250.0 35000.0

1178 Neuro-surgery Cranial Nerve Astomosis 11500.0 10000.0

1179 Neuro-surgery Cranioplasty 24150.0 21000.0

1180 Neuro-surgery Craniotomy and Evacuation of Haematoma -Extradural 50715.0 44100.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1181 Neuro-surgery Craniotomy and Evacuation of Haematoma -Subdural 50715.0 44100.0

1182 Neuro-surgery C.S.F. Rhinorrhaea 28750.0 25000.0

1183 Neuro-surgery C.V. Junction Fusion procedures 32200.0 28000.0

1184 Neuro-surgery Decompressive cranectomy for hemishpherical acute 51980.0 45200.0


subdural haematoma/brain swelling/large infarct

1185 Neuro-surgery Depressed Fracture 28750.0 25000.0

1186 Neuro-surgery Discectomy 27600.0 24000.0

1187 Neuro-surgery Dorsal column stimulation for bachache in failed back 28750.0 25000.0
syndrome

1188 Neuro-surgery Endarterectomy 23000.0 20000.0

1189 Neuro-surgery Endoscopic 3rd ventriculostomy 40250.0 35000.0

1190 Neuro-surgery Endoscopic adueductoplasty 16100.0 14000.0

1191 Neuro-surgery Endoscopic aspiration of intracerebellar haematoma 51980.0 45200.0

1192 Neuro-surgery Endoscopic cranial surgery/Biopsy/aspiration/aneurysm 51980.0 45200.0


coiling

1193 Neuro-surgery Endoscopic CSF rhinorrhea rapair 39100.0 34000.0

1194 Neuro-surgery Endoscopic discectomy 46000.0 40000.0

1195 Neuro-surgery Endoscopic spil procedure- aneurysm coiling 46000.0 40000.0

1196 Neuro-surgery Endoscopic sympathectomy 17500.0 14875.0

1197 Neuro-surgery Endovascular procedure/embolisation 32200.0 23800.0

1198 Neuro-surgery Epilepsy surgery 51980.0 45200.0

1199 Neuro-surgery Evacuation /Excision of Brain Abscess by craniotomy 54395.0 47300.0

1200 Neuro-surgery Excision of Brain Tumours -Infratentorial 54395.0 47300.0

1201 Neuro-surgery Excision of Brain Tumours -Supratentotial 54395.0 47300.0

1202 Neuro-surgery Excision of Lobe (Frontal Temporal Cerebellum etc.) 54395.0 47300.0

1203 Neuro-surgery Exterl ventricular draige 4600.0 4000.0

1204 Neuro-surgery Facial nerve reconstruction 40250.0 35000.0

1205 Neuro-surgery Foramen magnum decompression 28750.0 25000.0

1206 Neuro-surgery Foramen magnum decompression with syringosubarachnoid 51980.0 45200.0


shunt

1207 Neuro-surgery Hemishpherectomy 32200.0 28000.0

1208 Neuro-surgery IC EC bypass procedures 51980.0 45200.0

1209 Neuro-surgery Image guided surgeryExcision of tethored 40250.0 35000.0

1210 Neuro-surgery Implantation of DBS -One electrode 34500.0 30000.0

1211 Neuro-surgery Implantation of DBS -two electrodes 40250.0 35000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1212 Neuro-surgery Intra arterial thrombolysis with tPA for ischemic stroketTpa- 4600.0 4000.0
activated thromboplastin)

1213 Neuro-surgery Lateral mass C1-C2 screw fixation 32200.0 28000.0

1214 Neuro-surgery Lumbar disc arthroplasty 13800.0 12000.0

1215 Neuro-surgery Lumber Pressure Monitoring 5750.0 5000.0

1216 Neuro-surgery Lumber puncture 207.0 180.0

1217 Neuro-surgery Median Nerve Decompression 15180.0 13200.0

1218 Neuro-surgery Meningo Encephalocoeleexcision and repair 34500.0 30000.0

1219 Neuro-surgery Meningomyelocoel 34500.0 30000.0

1220 Neuro-surgery Microsurgical decompression for Trigemil nerve 43700.0 38000.0

1221 Neuro-surgery Microsurgical excision of Acoustic tomour 39100.0 34000.0

1222 Neuro-surgery Microsurgical excision of meningomas 39100.0 34000.0

1223 Neuro-surgery Nerve Biopsy 6900.0 6000.0

1224 Neuro-surgery Peripheral Nerve Surgery – Major 18400.0 16000.0

1225 Neuro-surgery Peripheral Nerve Surgery Minor 8280.0 7200.0

1226 Neuro-surgery Peripheral Neurectomy (Tirgemil) 15180.0 13200.0

1227 Neuro-surgery Placement of ICP Monitor - 2875.0 2500.0

1228 Neuro-surgery Posterior Cervical Dissectomy 22301.0 19392.0

1229 Neuro-surgery Programmable shunts 28750.0 25000.0

1230 Neuro-surgery Programmable VP shunt 28750.0 25000.0

1231 Neuro-surgery Recanelisation of venous sinuses 27600.0 24000.0

1232 Neuro-surgery RF lesion for facet pain syndrome 17250.0 15000.0

1233 Neuro-surgery R.F. Lesion for Trigemil Neuralgia - 11500.0 10000.0

1234 Neuro-surgery Skull Traction Application 3100.0 2635.0

1235 Neuro-surgery Spasticity Surgery - 39675.0 34500.0

1236 Neuro-surgery Spi Bifida Surgery Minor 18975.0 16500.0

1237 Neuro-surgery Spil Bifida Surgery Major 18975.0 16500.0

1238 Neuro-surgery Spil Fusion Procedure 34500.0 30000.0

1239 Neuro-surgery Spil Intra Medullary Tumours 34500.0 30000.0

1240 Neuro-surgery Stereotaxic Procedures- biopsy/aspiration 23000.0 20000.0

1241 Neuro-surgery steriotactic aspiration of intracerebral haematoma 43988.0 38250.0

1242 Neuro-surgery Steriotactic guided craniotomy 51980.0 45200.0

1243 Neuro-surgery Steriotactic Radiosurgery for brain pathology(X 57500.0 50000.0


kinfe/Gamma knife - ONE session
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1244 Neuro-surgery Steriotactic Radiosurgery for brain pathology(X 57500.0 50000.0


kinfe/Gamma knife -Two or more sessions

1245 Neuro-surgery Subdural Tapping 2456.0 2136.0

1246 Neuro-surgery Surgery for brain stem tumours 43988.0 38250.0

1247 Neuro-surgery Surgery for groving skull fractures-aneurysm coiling 45885.0 39900.0

1248 Neuro-surgery Surgery for intracranial Arteriovenous malformarions(AVM) 43988.0 38250.0

1249 Neuro-surgery Surgery for recurrent disc prolapse/epidural fibrosis 32200.0 28000.0

1250 Neuro-surgery Surgery of spil Cord Tumours 54395.0 47300.0

1251 Neuro-surgery Theco-peritoneal Shunt 12650.0 11000.0

1252 Neuro-surgery Trans Oral Surgery 37375.0 32500.0

1253 Neuro-surgery Trans Sphenoidal Surgery 40250.0 35000.0

1254 Neuro-surgery Trigemil Rhiotomy 15525.0 13500.0

1255 Neuro-surgery Twist Drill Craniostomy 5750.0 5000.0

1256 Neuro-surgery Urokise Therepy for ICH - 1380.0 1200.0

1257 Neuro-surgery Vascular Malformations 23000.0 20000.0

1258 Neuro-surgery Ventricular Tapping 2967.0 2580.0

1259 Neuro-surgery Ventriculo-Atrial Shunt (without valve) 13386.0 11640.0

1260 Neuro-surgery Ventriculoatrial /Ventriculoperitoneal Shunt 27600.0 24000.0

1261 Obstetrics and Gyecology 3rd stage Complication from extra-institutiol delivery etc 4140.0 3600.0

1262 Obstetrics and Gyecology Abdomil Hysterectomy 17250.0 15000.0

1263 Obstetrics and Gyecology Abortion- D & C 2300.0 2000.0

1264 Obstetrics and Gyecology Abortion- Evacuation 3036.0 2640.0

1265 Obstetrics and Gyecology Amneocentosis 1035.0 900.0

1266 Obstetrics and Gyecology Anti Retroviral Therapy. 17078.0 14850.0

1267 Obstetrics and Gyecology Assisted breech delivery 10925.0 9500.0

1268 Obstetrics and Gyecology Biophysical score 690.0 600.0

1269 Obstetrics and Gyecology BLCG 460.0 400.0

1270 Obstetrics and Gyecology Broad Ligment Haemotoma Draige 6900.0 6000.0

1271 Obstetrics and Gyecology Burst-abdomen Repair 10350.0 9000.0

1272 Obstetrics and Gyecology Cesarean Hysterectomy 18975.0 16500.0

1273 Obstetrics and Gyecology Cesarean Section 17250.0 15000.0

1274 Obstetrics and Gyecology Chorionic Villi sampling 1208.0 1050.0

1275 Obstetrics and Gyecology Colporrhaphy with mesh. 16388.0 14250.0

1276 Obstetrics and Gyecology Colporrhaphy without mesh. 13800.0 12000.0

1277 Obstetrics and Gyecology Colposcopy 980.0 833.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1278 Obstetrics and Gyecology Colpotomy-draige P/V needling EUA 3450.0 3000.0

1279 Obstetrics and Gyecology Complete perineal tear-repair 2128.0 1850.0

1280 Obstetrics and Gyecology Conisation of cervix 4025.0 3500.0

1281 Obstetrics and Gyecology Cordocentesis 2990.0 2600.0

1282 Obstetrics and Gyecology D & C and Cervical Biopsy 3163.0 2750.0

1283 Obstetrics and Gyecology Destructive Operation 9200.0 8000.0

1284 Obstetrics and Gyecology Diagnostic Curettage 2484.0 2160.0

1285 Obstetrics and Gyecology Diagnosticcystoscopy 2875.0 2500.0

1286 Obstetrics and Gyecology Drilling of Overy 6325.0 5500.0

1287 Obstetrics and Gyecology Endometrial aspiration cytology 575.0 500.0

1288 Obstetrics and Gyecology Enterocoel repair 11500.0 10000.0

1289 Obstetrics and Gyecology Examition under aesthesia 1150.0 1000.0

1290 Obstetrics and Gyecology Excision of urethral caruncle 3450.0 3000.0

1291 Obstetrics and Gyecology Excision Vagil Cyst/Burtholin Cyst 3450.0 3000.0

1292 Obstetrics and Gyecology Excision Vagil Septum 4600.0 4000.0

1293 Obstetrics and Gyecology Exploration of abdomil Haematoma (after laparotomy + 8050.0 7000.0
LUCS)

1294 Obstetrics and Gyecology Exploration of perineal Haematoma & Resuturing of 8280.0 7200.0
Episiotomy

1295 Obstetrics and Gyecology Exploration of PPH-tear repair 3565.0 3100.0

1296 Obstetrics and Gyecology Fetal nuechal translucency 345.0 300.0

1297 Obstetrics and Gyecology Fractiol Curettage 2760.0 2400.0

1298 Obstetrics and Gyecology Gaping abdomil wound Secondary Suturing 3450.0 3000.0

1299 Obstetrics and Gyecology Gaping Pareneal Wound Secondary Suturing 1656.0 1440.0

1300 Obstetrics and Gyecology HPV testing 575.0 500.0

1301 Obstetrics and Gyecology Hysteroscopic cannulation 2875.0 2500.0

1302 Obstetrics and Gyecology Hysteroscopic endometrial ablation 15525.0 13500.0

1303 Obstetrics and Gyecology Hysteroscopy Diagnostic 7475.0 6500.0

1304 Obstetrics and Gyecology Hysteroscopy Removal of IUCD 8050.0 7000.0

1305 Obstetrics and Gyecology Hysteroscopy Removal of Septum 11385.0 9900.0

1306 Obstetrics and Gyecology Hysteroscopy TCRE 11500.0 10000.0

1307 Obstetrics and Gyecology ICSI 11500.0 10000.0

1308 Obstetrics and Gyecology Interl Iliac ligation 3393.0 2950.0

1309 Obstetrics and Gyecology Interl podalic version and breech extraction 4140.0 3600.0

1310 Obstetrics and Gyecology Interventiol radiographic arterial embolisation 18343.0 15950.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1311 Obstetrics and Gyecology Interventiol Ultrasonography 1000.0 850.0

1312 Obstetrics and Gyecology Intra-uterine fetal blood transfusion 23000.0 20000.0

1313 Obstetrics and Gyecology Intra Uterine Insemition 920.0 800.0

1314 Obstetrics and Gyecology Karyotyping 2200.0 1870.0

1315 Obstetrics and Gyecology Laparascopic treatment of Ectopic pregncy-salpingectomy 9775.0 8500.0

1316 Obstetrics and Gyecology Laparoscopic cystectomy 5750.0 5000.0

1317 Obstetrics and Gyecology Laparoscopic radical Lymphedenectomy 27600.0 24000.0

1318 Obstetrics and Gyecology Laparoscopic recannulation of Fellopian tubes- 22425.0 19500.0
(Tubuloplasty)

1319 Obstetrics and Gyecology Laparoscopic sling operations for prolapse uterus 3450.0 3000.0

1320 Obstetrics and Gyecology laparoscopic treatment for stress incontinence 5750.0 5000.0

1321 Obstetrics and Gyecology Laparoscopic Vault suspension 20125.0 17500.0

1322 Obstetrics and Gyecology Laparoscopy -Diagnostic with chromopertubation 4025.0 3500.0

1323 Obstetrics and Gyecology Laparoscopy LAVH 10350.0 9000.0

1324 Obstetrics and Gyecology Laparoscopy Operative 5750.0 5000.0

1325 Obstetrics and Gyecology Laparoscopy Sterilisation 3450.0 3000.0

1326 Obstetrics and Gyecology Laparotomy abdomil scaro-colpopexy 23000.0 20000.0

1327 Obstetrics and Gyecology Laparotomy-failed laparoscopy to explore 5750.0 5000.0

1328 Obstetrics and Gyecology Laparotomy for Ectopic Pregncy 6325.0 5500.0

1329 Obstetrics and Gyecology Laparotomy for Ectopic Rupture 13800.0 12000.0

1330 Obstetrics and Gyecology Laparotomy-peritonitis Lavage and Draige 11500.0 10000.0

1331 Obstetrics and Gyecology Laparotomy radical Lymphedenectomy 23000.0 20000.0

1332 Obstetrics and Gyecology Laparotomy recannulation of Fellopian tubes-(Tubuloplasty) 17250.0 15000.0

1333 Obstetrics and Gyecology Laparotomy treatment of Ectopic pregncy. 14605.0 12700.0

1334 Obstetrics and Gyecology Laparotomy Vault suspension 16675.0 14500.0

1335 Obstetrics and Gyecology Laparscopic abdomil scaro-colpopexy 24035.0 20900.0

1336 Obstetrics and Gyecology LEETZ(Large Loop Excision of Transformation Zone) 5980.0 5200.0

1337 Obstetrics and Gyecology Loop Electro Surgical procedures. 5980.0 5200.0

1338 Obstetrics and Gyecology Low Forceps 9200.0 8000.0

1339 Obstetrics and Gyecology Low midcavity forceps 9200.0 8000.0

1340 Obstetrics and Gyecology Manchester Operations 15525.0 13500.0

1341 Obstetrics and Gyecology Manual Removal of Placenta 3450.0 3000.0

1342 Obstetrics and Gyecology MTP- 1st Trimester 3036.0 2640.0

1343 Obstetrics and Gyecology MTP - 2nd Trimester 4370.0 3800.0

1344 Obstetrics and Gyecology Myomectomy -laparoscopic 6325.0 5500.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1345 Obstetrics and Gyecology Myomectomy -laparotomy 14375.0 12500.0

1346 Obstetrics and Gyecology Normal delivery or with Episiotomy & P. repair 8625.0 7500.0

1347 Obstetrics and Gyecology Oophorectomy-laparotomy 9200.0 8000.0

1348 Obstetrics and Gyecology Ophorectomy-laparoscopic 9200.0 8000.0

1349 Obstetrics and Gyecology Other-Minor Operation Endometrial 2300.0 2000.0

1350 Obstetrics and Gyecology Ovarean Cystectomy-laparoscopic. 13800.0 12000.0

1351 Obstetrics and Gyecology Ovarean Cystectomy -laparotomy. 13800.0 12000.0

1352 Obstetrics and Gyecology Pap smear 160.0 136.0

1353 Obstetrics and Gyecology Perforation of Uterus after D/E Laparotomy & Closure 13800.0 12000.0

1354 Obstetrics and Gyecology Perineorrhaphy 14950.0 13000.0

1355 Obstetrics and Gyecology Polypectomy 1518.0 1320.0

1356 Obstetrics and Gyecology Quadriple test 2530.0 2200.0

1357 Obstetrics and Gyecology Repair of post-coital tear perineal injury 3508.0 3050.0

1358 Obstetrics and Gyecology Rupture Uterus closure & repair with Tubal Ligation 17250.0 15000.0

1359 Obstetrics and Gyecology RVF Repair 18975.0 16500.0

1360 Obstetrics and Gyecology Salphingectomy 10350.0 9000.0

1361 Obstetrics and Gyecology Salphingo-Oophorectomy 13800.0 12000.0

1362 Obstetrics and Gyecology Shirodhkar Mc. Dolds stich 3220.0 2800.0

1363 Obstetrics and Gyecology Shirodkar’s sling Operation or other sling operations for 3450.0 3000.0
prolapse uterus

1364 Obstetrics and Gyecology Staging laparotomy surgery for CA Overy 6325.0 5500.0

1365 Obstetrics and Gyecology stepwise devascularisation 9200.0 8000.0

1366 Obstetrics and Gyecology Sterilisation Intravagil 4025.0 3500.0

1367 Obstetrics and Gyecology Sterilisation Post ertum 4140.0 3600.0

1368 Obstetrics and Gyecology Suction evacuation vesicular mole Missed abortion D/E 5175.0 4500.0

1369 Obstetrics and Gyecology Thermal ballon ablation. 11500.0 10000.0

1370 Obstetrics and Gyecology Total laparscopic hysterectomy 25243.0 21950.0

1371 Obstetrics and Gyecology Trachleorraphy of cervix for early CA cervix 7130.0 6200.0

1372 Obstetrics and Gyecology trans-obturator tubes for Stress incontinence 11500.0 10000.0

1373 Obstetrics and Gyecology Transvagil sonography (TVS for Follicular 460.0 400.0
monitioringaspiration)

1374 Obstetrics and Gyecology Transvagil tubes for Stress incontinence 17595.0 15300.0

1375 Obstetrics and Gyecology Triple test 1656.0 1440.0

1376 Obstetrics and Gyecology Ultrasonographic myolysis 10293.0 8950.0

1377 Obstetrics and Gyecology vaccum delivery 8625.0 7500.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1378 Obstetrics and Gyecology Vagil Hysterectomy 17250.0 15000.0

1379 Obstetrics and Gyecology Vaginoplasty 14950.0 13000.0

1380 Obstetrics and Gyecology Vulvectomy-Radical 9200.0 8000.0

1381 Obstetrics and Gyecology Vulvectomy -Simple 9200.0 8000.0

1382 Obstetrics and Gyecology Werthimas Hystrectomy for Cancer cervix 26450.0 23000.0

1383 Oesophagus Achalasia Cardia Abdomil 14950.0 13000.0

1384 Oesophagus Achalasia Cardia Transthoracic 12650.0 11000.0

1385 Oesophagus Atresia of Oesophagus and Tracheo Oesophageal Fistula 28750.0 25000.0

1386 Oesophagus Colon-Inter position or Replacement of Oesophagus 22540.0 19600.0

1387 Oesophagus Heller’s Operation 19780.0 17200.0

1388 Oesophagus Oesophageal Intubation (Mausseau Barbin Tube) 11500.0 10000.0

1389 Oesophagus Oesophagectomy for Carcinoma Easophagus 25300.0 22000.0

1390 Oesophagus Oesophago Gastrectomy for mid 1/3 lesion 24495.0 21300.0

1391 Oesophagus Oesophago Gastrectomy – Lower Corringers procedure 21390.0 18600.0

1392 Oesophagus Operations for Replacement of Oesophagus by Colon 25300.0 22000.0

1393 OPD Abdomil Aspiration - Diagnostic 345.0 300.0

1394 OPD Abdomil Aspiration - Therapeutic 460.0 400.0

1395 OPD Aspiration Plural Effusion - Diagnostic 193.0 168.0

1396 OPD Aspiration Plural Effusion - Therapeutic 193.0 168.0

1397 OPD Biopsy Skin 230.0 200.0

1398 OPD Catheterisation 83.0 72.0

1399 OPD Consultation- for Inpatients 72.0 63.0

1400 OPD Consultation OPD 58.0 50.0

1401 OPD Dilatation of Urethra 575.0 500.0

1402 OPD Dressings of wounds 58.0 50.0

1403 OPD Incision & Draige 483.0 420.0

1404 OPD Injection for Haemorrhoids 414.0 360.0

1405 OPD Injection for Varicose Veins 414.0 360.0

1406 OPD Intercostal Draige 125.0 106.0

1407 OPD Joints Aspiration 317.0 276.0

1408 OPD Pericardial Aspiration 380.0 330.0

1409 OPD Peritoneal dialysis 1466.0 1275.0

1410 OPD Phimosis Under LA 1311.0 1140.0

1411 OPD Removal of Stitches 41.0 36.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1412 OPD Sterl puncture 173.0 150.0

1413 OPD Suturing of wounds with local anesthesia 124.0 108.0

1414 OPD Venesection 124.0 108.0

1415 Opthalmology 90 D lens examition 58.0 50.0

1416 Opthalmology ALT-Argon laser trabeculoplasty 1725.0 1500.0

1417 Opthalmology ALTK- Automated lamellar therapeutic keratoplasty 16675.0 14500.0

1418 Opthalmology Amniotic membrane grafting 1150.0 1000.0

1419 Opthalmology Anterior retil cryopexy 1162.0 1010.0

1420 Opthalmology Arcuate keratotomy for astigmatism 2875.0 2500.0

1421 Opthalmology Argon/diode laser for reti 1150.0 1000.0

1422 Opthalmology Auto-refraction 35.0 30.0

1423 Opthalmology Bandage contact lenses for corneal perforation 460.0 400.0

1424 Opthalmology Biopsy 460.0 400.0

1425 Opthalmology Botulinum injection for blepharospasm or squint 2933.0 2550.0

1426 Opthalmology Bucket handle procedure for lid tumors 345.0 300.0

1427 Opthalmology Buckle removal 1150.0 1000.0

1428 Opthalmology Caliculoplasty 2300.0 2000.0

1429 Opthalmology Cantholysis and canthotomy 575.0 500.0

1430 Opthalmology Cataract extraction with IOL with capsular tension rings 13800.0 12000.0
(Cionni’s ring)

1431 Opthalmology Cauterization of ulcer/subconjunctival injection in both eyes 138.0 120.0

1432 Opthalmology Cauterization of ulcer/subconjunctival injection in one eye 69.0 60.0

1433 Opthalmology Chalazion incision and curettage in both eyes 442.0 384.0

1434 Opthalmology Chalazion incision and curettage in one eye 414.0 360.0

1435 Opthalmology Cheek rotation flap for lid tumors 6900.0 6000.0

1436 Opthalmology Concretions removal 115.0 100.0

1437 Opthalmology Conjunctival peritomy 58.0 50.0

1438 Opthalmology Conjunctival wound repair or exploration following blunt 115.0 100.0
trauma

1439 Opthalmology Corneal endothelial cell count with specular micropscopy 230.0 200.0

1440 Opthalmology Corneal grafting—Lamellar keratoplasty 5750.0 5000.0

1441 Opthalmology Corneal grafting—Penetrating keratoplasty 5750.0 5000.0

1442 Opthalmology Corneal pachymetry 230.0 200.0

1443 Opthalmology Corneal topography 331.0 288.0

1444 Opthalmology CT-orbit and brain 173.0 150.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1445 Opthalmology Cyanoacrylate /fibrin glue application for corneal perforation 690.0 600.0

1446 Opthalmology Cyclocryotherapy 1150.0 1000.0

1447 Opthalmology Cyclodiathermy 2300.0 2000.0

1448 Opthalmology Dacryocystectomy 2875.0 2500.0

1449 Opthalmology Dacryocystography 340.0 289.0

1450 Opthalmology Dacryocystorhinostomy—conjunctival with implant 9775.0 8500.0

1451 Opthalmology Dacryocystorhinostomy—Plain 1725.0 1500.0

1452 Opthalmology Dacryocystorhinostomy—Plain with intubation and/or with 9775.0 8500.0


lacrimal implants

1453 Opthalmology DALK- Deep anterior lamellar keratoplasty 17250.0 15000.0

1454 Opthalmology DSAEK- Descemet’s stripping automated endothelial 21275.0 18500.0


keratoplasty

1455 Opthalmology ECCE with IOL 5750.0 5000.0

1456 Opthalmology Ectropion surgery- both lids 3450.0 3000.0

1457 Opthalmology Ectropion surgery- one lid 1725.0 1500.0

1458 Opthalmology EDTA for band shaped keratopathy 863.0 750.0

1459 Opthalmology Electrolysis 230.0 200.0

1460 Opthalmology Entropion surgery- both lids 2760.0 2400.0

1461 Opthalmology Entropion surgery- one lid 1380.0 1200.0

1462 Opthalmology Enucleation 3450.0 3000.0

1463 Opthalmology Enucleation with orbital implants and artificial prosthesis 3450.0 3000.0

1464 Opthalmology EOG- electro-oculogram 920.0 800.0

1465 Opthalmology Epicanthus correction 2300.0 2000.0

1466 Opthalmology ERG- Electrio-retinogram 794.0 690.0

1467 Opthalmology Evisceration 3450.0 3000.0

1468 Opthalmology Evisceration with orbital implants and artificial prosthesis 5693.0 4950.0

1469 Opthalmology Exenteration 6900.0 6000.0

1470 Opthalmology Exenteration with skin grafting 5750.0 5000.0

1471 Opthalmology Fluorescein angiography for fundus or iris 1104.0 960.0

1472 Opthalmology Fracture orbital repair 9200.0 8000.0

1473 Opthalmology GDX--- Nerve fibre layer alyzer 138.0 120.0

1474 Opthalmology Glaucoma surgery with Glaucoma valves 2300.0 2000.0

1475 Opthalmology Gonioscopy 58.0 50.0

1476 Opthalmology Goniotomy 345.0 300.0

1477 Opthalmology HRT- Heidelberg’s retil tomogram 173.0 150.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1478 Opthalmology Indirect ophthalmoscopy 104.0 90.0

1479 Opthalmology Indocyanin green angiography 920.0 800.0

1480 Opthalmology Intralase application for keratoconus 5750.0 5000.0

1481 Opthalmology Intraocular foreign body removal 187.0 163.0

1482 Opthalmology Intravitreal injections- of antibiotics 1150.0 1000.0

1483 Opthalmology Intravitreal injections- of avastin 3450.0 3000.0

1484 Opthalmology Intravitreal injections- of lucentis 3450.0 3000.0

1485 Opthalmology IOP measurement with applation tonometry 58.0 50.0

1486 Opthalmology IOP measurement with schiotz 35.0 30.0

1487 Opthalmology Iridodialysis repair or papillary reconstruction 5693.0 4950.0

1488 Opthalmology Iris cyst removal 863.0 750.0

1489 Opthalmology Keratoconus correction with therapeutic contact lenses 1380.0 1200.0

1490 Opthalmology Keratoprosthesis stage I and II 11500.0 10000.0

1491 Opthalmology Laser interferometry 230.0 200.0

1492 Opthalmology Lees’ charting or Hess’ charting 115.0 100.0

1493 Opthalmology Lid Abscess incision and draige 1725.0 1500.0

1494 Opthalmology Lid retraction repair 1725.0 1500.0

1495 Opthalmology Macular function tests 58.0 50.0

1496 Opthalmology MRI- Orbit and brain 3450.0 3000.0

1497 Opthalmology Non Contact tonometry 58.0 50.0

1498 Opthalmology OCT- Optical coherence tomography 345.0 300.0

1499 Opthalmology Optic nerve sheathotomy 11500.0 10000.0

1500 Opthalmology Orbital Abscess incision and draige 3220.0 2800.0

1501 Opthalmology Orbital angio-graphical studies 1500.0 1500.0

1502 Opthalmology Orbital decompression 5750.0 5000.0

1503 Opthalmology Orbitotomy 8050.0 7000.0

1504 Opthalmology Orthoptic check-up- with synoptophore 44.0 38.0

1505 Opthalmology Orthoptic exercises 58.0 50.0

1506 Opthalmology Paracentesis 230.0 200.0

1507 Opthalmology Pars pla lensectomy with/without IOL 11500.0 10000.0

1508 Opthalmology PDT-Photodymic therapy 3450.0 3000.0

1509 Opthalmology Penetrating keratoplasty ---- with glaucoma surgery 16100.0 14000.0

1510 Opthalmology Penetrating keratoplasty ---- with IOL implantation 3450.0 3000.0

1511 Opthalmology Penetrating keratoplasty --- with vitrectomy 12144.0 10560.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1512 Opthalmology Perforating injury repair 4600.0 4000.0

1513 Opthalmology Perimetry/field test— automated 144.0 125.0

1514 Opthalmology Perimetry/field test—Goldman 144.0 125.0

1515 Opthalmology Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 10781.0 9375.0

1516 Opthalmology Pleoptic exercises 58.0 50.0

1517 Opthalmology Potential acuity metry 115.0 100.0

1518 Opthalmology Probing and Syringing of lacrimal sac- in both eye 138.0 120.0

1519 Opthalmology Probing and Syringing of lacrimal sac- in one eye 69.0 60.0

1520 Opthalmology Pterygium surgeries 86.0 75.0

1521 Opthalmology PTK- Phototherapeutic keratectomy 8050.0 7000.0

1522 Opthalmology Ptosis surgery with fasanella servat procedure 2300.0 2000.0

1523 Opthalmology Ptosis surgery with LPS resection 6843.0 5950.0

1524 Opthalmology Ptosis surgery with Sling surgery 6900.0 6000.0

1525 Opthalmology Punctal plugs for dry eyes 575.0 500.0

1526 Opthalmology Refraction 41.0 36.0

1527 Opthalmology Removal of corneal foreign body 115.0 100.0

1528 Opthalmology Re-suturing (Primary suturing) of corneal wound 1150.0 1000.0

1529 Opthalmology Retil detachment surgery 11500.0 10000.0

1530 Opthalmology Retil detachment surgery with scleral buckling 13800.0 12000.0

1531 Opthalmology Retil laser procedures 1668.0 1450.0

1532 Opthalmology Scleral graft for scleral melting or perforation 2875.0 2500.0

1533 Opthalmology Scleral grafting or conjunctival flap for corneal perforation 2300.0 2000.0

1534 Opthalmology Secondary IOL implantation- AC IOL PC IOL or scleral fixated 6900.0 6000.0
IOL

1535 Opthalmology SICS with IOL 840.0 714.0

1536 Opthalmology Silicone oil removal 2875.0 2500.0

1537 Opthalmology Squint correction for both eyes 1400.0 1190.0

1538 Opthalmology Squint correction for one eye 700.0 595.0

1539 Opthalmology Subconjunctival/subtenon’s injections in both eyes 138.0 120.0

1540 Opthalmology Subconjunctival/subtenon’s injections in one eyes 69.0 60.0

1541 Opthalmology Suturing of lid lacerations 1150.0 1000.0

1542 Opthalmology Tarsorraphy 700.0 595.0

1543 Opthalmology Telecanthus correction 5175.0 4500.0

1544 Opthalmology Three mirror examition for reti 58.0 50.0

1545 Opthalmology Trabeculectomy 6900.0 6000.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1546 Opthalmology Trabeculectomy with Trabeculotomy 2300.0 2000.0

1547 Opthalmology Trabeculotomy 6900.0 6000.0

1548 Opthalmology Trephition 2300.0 2000.0

1549 Opthalmology TTT- Transpupillary thermal therapy 3450.0 3000.0

1550 Opthalmology UBM- Ultrasound biomicroscopy 230.0 200.0

1551 Opthalmology Ultrasound A- Scan 173.0 150.0

1552 Opthalmology Ultrasound B- Scan 288.0 250.0

1553 Opthalmology UV radiation for cross-linking for keratoconus 2300.0 2000.0

1554 Opthalmology VEP- visually evoked potential 920.0 800.0

1555 Opthalmology Vitrectomy- pars pla 5750.0 5000.0

1556 Opthalmology X- Ray orbit 115.0 100.0

1557 Opthalmology YAG laser capsulotomy 1093.0 950.0

1558 Opthalmology YAG laser iridotomy 1725.0 1500.0

1559 Paediatric surgery Abdomil Perineal Pull Through (Hirschaprugis Disease) 20700.0 18000.0

1560 Paediatric surgery Choledochoduodenostomy for Atresia of Extra Hepatic 20700.0 18000.0
Billiary Duct

1561 Paediatric surgery Colon Replacement of Oesophagus 23000.0 20000.0

1562 Paediatric surgery Colostomy Left Iliac 17250.0 15000.0

1563 Paediatric surgery Colostomy Transverse 17250.0 15000.0

1564 Paediatric surgery Congenital Atresia & Stenosis of Small Intestine 23000.0 20000.0

1565 Paediatric surgery Congenital Hydrocele 12558.0 10920.0

1566 Paediatric surgery Congenital Pyloric Stenosis- operation 13938.0 12120.0

1567 Paediatric surgery Diaphragmatic Hernia Repair (Thoracic or Abdomil 17250.0 15000.0
Approach)

1568 Paediatric surgery Duodel- Atresia Operation 14375.0 12500.0

1569 Paediatric surgery Excision of Meckle’s Deverticulum 15755.0 13700.0

1570 Paediatric surgery Excision of thyroglossal Duct/Cyst 16100.0 14000.0

1571 Paediatric surgery Gastrochisis Repair 16100.0 14000.0

1572 Paediatric surgery Hydrocele of Cord 12558.0 10920.0

1573 Paediatric surgery Imperforate Anus High Anomaly - Closure of Colostomy 8625.0 7500.0

1574 Paediatric surgery Imperforate Anus High Anomaly -Sacroabdomino Perineal 20700.0 18000.0
Pull Through

1575 Paediatric surgery Imperforate Anus Low Anomaly -Cut Back Operation 10235.0 8900.0

1576 Paediatric surgery Imperforate Anus Low Anomaly - Perineal Anoplasty 13800.0 12000.0

1577 Paediatric surgery Inguil Herniotomy 12558.0 10920.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1578 Paediatric surgery Intususception Operation 20700.0 18000.0

1579 Paediatric surgery Malrotation of Intestines Operation 17250.0 15000.0

1580 Paediatric surgery Mal-rotation & Volvulus of the Midgut 19182.0 16680.0

1581 Paediatric surgery Meckels Diverticulectomy 2910.0 2910.0

1582 Paediatric surgery Meconium Ileus Operation 17250.0 15000.0

1583 Paediatric surgery Muconium ileus 17250.0 15000.0

1584 Paediatric surgery Nephrectomy for - Hydronephrosis 20700.0 18000.0

1585 Paediatric surgery Nephrectomy for -Pyonephrosis 20700.0 18000.0

1586 Paediatric surgery Nephrectomy for -Wilms Tumour 7180.0 7180.0

1587 Paediatric surgery Neuroblastoma Debulking 17480.0 15200.0

1588 Paediatric surgery Neuroblastoma Total Excision 20700.0 18000.0

1589 Paediatric surgery Omphalocele 1st Stage (Hernia Repair) 15525.0 13500.0

1590 Paediatric surgery Omphalocele 2nd Stge (Hernia Repair) 17250.0 15000.0

1591 Paediatric surgery Omphalo Mesenteric Cyst Excision 17250.0 15000.0

1592 Paediatric surgery Omphalo Mesenteric Duct- Excision 15525.0 13500.0

1593 Paediatric surgery Operation of Choledochal Cyst 20700.0 18000.0

1594 Paediatric surgery Pancreatic Ring Operation 28750.0 25000.0

1595 Paediatric surgery Paraortic Lymphadenoctomy with Nephrectomy for Wilms 23000.0 20000.0
Tumour

1596 Paediatric surgery Rectal Biopsy (Megacolon) 9960.0 8466.0

1597 Paediatric surgery Rhabdomyosarcoma wide Excision 21563.0 18750.0

1598 Paediatric surgery Sacro-Coccygeal Teratoma Excision 17250.0 15000.0

1599 Paediatric surgery Torsion Testis Operation 15525.0 13500.0

1600 Paediatric surgery Tracheo Oesophageal Fistula (Correction Surgery) 25300.0 22000.0

1601 Physiotherapy (Orthopedics) Breathing Exercises & Postural Draige 58.0 50.0

1602 Physiotherapy (Orthopedics) Cerebral Palsy – exercise 58.0 50.0

1603 Physiotherapy (Orthopedics) Electrical stimulation (therapeutic) 78.0 68.0

1604 Physiotherapy (Orthopedics) Hot pack 78.0 68.0

1605 Physiotherapy (Orthopedics) Infra red 71.0 62.0

1606 Physiotherapy (Orthopedics) Intermittent Cervical traction 78.0 68.0

1607 Physiotherapy (Orthopedics) Intermittent Lumbar Traction 78.0 68.0

1608 Physiotherapy (Orthopedics) Muscle testing and diagnostic 78.0 68.0

1609 Physiotherapy (Orthopedics) Post – polio exercise 58.0 50.0

1610 Physiotherapy (Orthopedics) S.W. Diathermy 78.0 68.0

1611 Physiotherapy (Orthopedics) Ultrasonic therapy 78.0 68.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1612 Physiotherapy (Orthopedics) U.V. Therapeutic dose 78.0 68.0

1613 Physiotherapy (Orthopedics) Wax bath 78.0 68.0

1614 Plaster Work (Orthopedics) Above elbow full plaster 173.0 150.0

1615 Plaster Work (Orthopedics) Above knee full plaster 1840.0 1600.0

1616 Plaster Work (Orthopedics) Above knee full slab 1380.0 1200.0

1617 Plaster Work (Orthopedics) Above Knee post-slab 718.0 624.0

1618 Plaster Work (Orthopedics) Below Knee full plaster 173.0 150.0

1619 Plaster Work (Orthopedics) Below Knee post-slab 718.0 624.0

1620 Plaster Work (Orthopedics) Colles fracture Ant. Or post. slab 920.0 800.0

1621 Plaster Work (Orthopedics) Colles Fracture - Below elbow 1150.0 1000.0

1622 Plaster Work (Orthopedics) Colles Fracture - Full plaster 994.0 864.0

1623 Plaster Work (Orthopedics) Double Hip spica 2760.0 2400.0

1624 Plaster Work (Orthopedics) Fingers full plaster 259.0 225.0

1625 Plaster Work (Orthopedics) Fingers (post slab) 259.0 225.0

1626 Plaster Work (Orthopedics) Minerva Jacket 2415.0 2100.0

1627 Plaster Work (Orthopedics) Plaster Jacket 2185.0 1900.0

1628 Plaster Work (Orthopedics) Shoulder spica 1955.0 1700.0

1629 Plaster Work (Orthopedics) Single Hip spica 2243.0 1950.0

1630 Plaster Work (Orthopedics) Tube Plaster (or plaster cylinder) 978.0 850.0

1631 Radio-Isotope Therapy 131-lodine Therapy 8300.0 7055.0


(Nuclear Medicine)

1632 Radio-Isotope Therapy 131-lodine Therapy >100mCi 18000.0 15300.0


(Nuclear Medicine)

1633 Radio-Isotope Therapy 131-lodine Therapy 15-50mCi 12000.0 10200.0


(Nuclear Medicine)

1634 Radio-Isotope Therapy 131-lodine Therapy <15mCi 5130.0 4361.0


(Nuclear Medicine)

1635 Radio-Isotope Therapy 131-lodine Therapy 51-100mCi 15000.0 12750.0


(Nuclear Medicine)

1636 Radio-Isotope Therapy Phosphorus-32 therapy for metastatic bone pain palliation 7130.0 6061.0
(Nuclear Medicine)

1637 Radio-Isotope Therapy Radiosynovectomy with Yttrium 0.0 N.A.


(Nuclear Medicine)

1638 Radio-Isotope Therapy Samarium-153 therapy for metastatic bone pain palliation 10690.0 9087.0
(Nuclear Medicine)

1639 Skin Chemical Cautery (s) 110.0 96.0

1640 Skin Excision of Corns 140.0 119.0


NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1641 Skin Excision of Moles 345.0 300.0

1642 Skin Excision of Molluscumcontagiosum 130.0 111.0

1643 Skin Excision of Veneral Warts 160.0 136.0

1644 Skin Excision of Warts 310.0 264.0

1645 Skin I/D Injection Keloid of Acne 97.0 84.0

1646 Strapping (Orthopedics) Amputations - Above Elbow 6843.0 5950.0

1647 Strapping (Orthopedics) Amputations - Above Knee 10580.0 9200.0

1648 Strapping (Orthopedics) Amputations - Below Elbow 6843.0 5950.0

1649 Strapping (Orthopedics) Amputations - Below Knee 6900.0 6000.0

1650 Strapping (Orthopedics) Amputations - Forequarter 14950.0 13000.0

1651 Strapping (Orthopedics) Amputations -Hind Quarter and Hemipelvectomy 18400.0 16000.0

1652 Strapping (Orthopedics) Antereolateral Decompression and Spil Fusion 26450.0 23000.0

1653 Strapping (Orthopedics) Anterolateral decompression for tuberculosis/ Costo- 3450.0 3000.0
Transversectomy

1654 Strapping (Orthopedics) A.O.Compression Procedures for Fracture Neck Femur 16560.0 14400.0

1655 Strapping (Orthopedics) Application of Functiol Cast Brace 1380.0 1200.0

1656 Strapping (Orthopedics) Application of P.O.P Casts for Upper & Lower Limbs 1093.0 950.0

1657 Strapping (Orthopedics) Application of P.O.P Spices & Jackets 2473.0 2150.0

1658 Strapping (Orthopedics) Application of Skeletal Tractions 949.0 825.0

1659 Strapping (Orthopedics) Application of Skin Traction 690.0 600.0

1660 Strapping (Orthopedics) Arthrodesis of - Major Joints 11040.0 9600.0

1661 Strapping (Orthopedics) Arthrodesis of - Minor Joints 10350.0 9000.0

1662 Strapping (Orthopedics) Arthrography 9200.0 8000.0

1663 Strapping (Orthopedics) Arthroscopy - Diagnostic 8568.0 7450.0

1664 Strapping (Orthopedics) Arthroscopy-therapeutic: with implant 17250.0 15000.0

1665 Strapping (Orthopedics) Arthroscopy-therapeutic: without implant 11500.0 10000.0

1666 Strapping (Orthopedics) Aspiration & Intra Articular Injections 575.0 500.0

1667 Strapping (Orthopedics) Ball bandage 403.0 350.0

1668 Strapping (Orthopedics) Bandage & Strappings for Fractures 552.0 480.0

1669 Strapping (Orthopedics) Bone Grafting 8280.0 7200.0

1670 Strapping (Orthopedics) Close Reduction of Dislocations 3174.0 2760.0

1671 Strapping (Orthopedics) Close Reduction of Fractures of Limb & P.O.P 2760.0 2400.0

1672 Strapping (Orthopedics) Collar and cuff sling 345.0 300.0

1673 Strapping (Orthopedics) Corrective Ostectomy & Interl Fixation - long bones 11040.0 9600.0

1674 Strapping (Orthopedics) Corrective Ostectomy & Interl Fixation - short bones 13800.0 12000.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1675 Strapping (Orthopedics) Disarticulations - Major joint 20700.0 18000.0

1676 Strapping (Orthopedics) Disarticulations - Minor joint 12650.0 11000.0

1677 Strapping (Orthopedics) Excision of Bone Tumours 6900.0 6000.0

1678 Strapping (Orthopedics) Excision or other Operations for Scaphoid Fractures 7188.0 6250.0

1679 Strapping (Orthopedics) Figure of 8 bandage 518.0 450.0

1680 Strapping (Orthopedics) Hemiarthroplasty- Hip 20125.0 17500.0

1681 Strapping (Orthopedics) Hemiarthroplasty- Shoulder 20125.0 17500.0

1682 Strapping (Orthopedics) Ilizarov's exterl fixator 7763.0 6750.0

1683 Strapping (Orthopedics) il Plate Fixations for Fracture Neck Femur 16100.0 14000.0

1684 Strapping (Orthopedics) Laminectomy Excision Disc and Tumours 4830.0 4200.0

1685 Strapping (Orthopedics) Multiple Pinning Fracture Neck Femur 11500.0 10000.0

1686 Strapping (Orthopedics) Myocutaneous and Fasciocutaneous FlaP Procedures for 18630.0 16200.0
Limbs

1687 Strapping (Orthopedics) Nerve Repair with Grafting 18975.0 16500.0

1688 Strapping (Orthopedics) Neurolysis/Nerve repair 13800.0 12000.0

1689 Strapping (Orthopedics) Open Reduction & Interl Fixation of Fingurs & Toes 5520.0 4800.0

1690 Strapping (Orthopedics) Open Reduction of Dislocations 3439.0 2990.0

1691 Strapping (Orthopedics) Open Reduction of Fracture Dislocation & Interl Fixation 13800.0 12000.0

1692 Strapping (Orthopedics) Open Reduction of Fracture Neck Femur Muscle Pedicle 19550.0 17000.0
Graft and Interl Fixations

1693 Strapping (Orthopedics) Open Reduction of fracture of Long Bones of Upper / Lower 9660.0 8400.0
Limb -AO Procedures

1694 Strapping (Orthopedics) Open Reduction offracture of Long Bones of Upper / Lower 9660.0 8400.0
Limb -iling & Exterl Fixation

1695 Strapping (Orthopedics) Operations for Brachial Plexus & Cervical Rib 24150.0 21000.0

1696 Strapping (Orthopedics) Pelvi-acetebular fracture -interl fixation 8625.0 7500.0

1697 Strapping (Orthopedics) Reduction of Compound Fractures 2760.0 2400.0

1698 Strapping (Orthopedics) Removal of Plates/IL 4140.0 3600.0

1699 Strapping (Orthopedics) Removal of Wires & Screw 1800.0 1530.0

1700 Strapping (Orthopedics) Sequestrectomy & Saucerisation 6900.0 6000.0

1701 Strapping (Orthopedics) Sequestrectomy & Saucerizations -Arthrotomy 10235.0 8900.0

1702 Strapping (Orthopedics) Soft Tissue Operation on JOINTS -LARGE 16560.0 14400.0

1703 Strapping (Orthopedics) Soft Tissue Operation on JOINTS -SMALL 6900.0 6000.0

1704 Strapping (Orthopedics) Soft Tissue Operations for C.T.E.V. 8050.0 7000.0

1705 Strapping (Orthopedics) Soft Tissue Operations for Polio 6900.0 6000.0

1706 Strapping (Orthopedics) Spil Ostectomy and Interl Fixations 24150.0 21000.0
NON-
Sr. NABH/NABL NABH
No. Procedure Type CGHS Treatment Procedure/Investigation List Rate Rate

1707 Strapping (Orthopedics) Strapping of Ankle 345.0 300.0

1708 Strapping (Orthopedics) Strapping of Chest 489.0 425.0

1709 Strapping (Orthopedics) Strapping of Elbow 262.0 228.0

1710 Strapping (Orthopedics) Strapping of Finger 179.0 156.0

1711 Strapping (Orthopedics) Strapping of Knee 345.0 300.0

1712 Strapping (Orthopedics) Strapping of Shoulder 518.0 450.0

1713 Strapping (Orthopedics) Strapping of Toes 179.0 156.0

1714 Strapping (Orthopedics) Strapping of Wrist 262.0 228.0

1715 Strapping (Orthopedics) Tendon Lengthening/Tendon repair 8050.0 7000.0

1716 Strapping (Orthopedics) Tendon Transfer 3105.0 2700.0

1717 Strapping (Orthopedics) Tendon with Transplant or Graft 10350.0 9000.0

1718 Strapping (Orthopedics) Tension Band Wirings 5658.0 4920.0

1719 Strapping (Orthopedics) Total Ankle Joint Replacement 112125.0 97500.0

1720 Strapping (Orthopedics) Total Elbow Joint Replacement 19550.0 17000.0

1721 Strapping (Orthopedics) Total finger joint replacement 23000.0 20000.0

1722 Strapping (Orthopedics) Total Hip Replacement 103500.0 90000.0

1723 Strapping (Orthopedics) Total Knee Joint Replacement 126500.0 110000.0

1724 Strapping (Orthopedics) Total Shoulder Joint Replacement 19550.0 17000.0

1725 Strapping (Orthopedics) Total Wrist Joint Replacement 115000.0 100000.0

1726 Strapping (Orthopedics) Tubular exterl fixator 4600.0 4000.0

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