NCGM Price List - (Rainbow H)

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Confidential- Annexure A

S. Test Discounted
Division Segment ServiceName Methodology Specimen TAT MRP
No. Code Price
Rare 1 Working
1 NCGM NBS5 New Born Screening 5 - NBS5 ELISA & FEIA Dried Blood Spot (DBS) 1800 900
Disease Days
Rare 1 Working
2 NCGM NBS7 New Born Screening 7 - NBS7 ELISA & FEIA Dried Blood Spot (DBS) 2200 1200
Disease Days
Rare New Born Screening 45+-Comprehensive - 2 Working
3 NCGM NBS45 LC-MS/MS, ELISA & FEIA Dried Blood Spot (DBS) 6000 2500
Disease NBS45 Days
Rare 2 Working
4 NCGM NBS-AC New Born Screening-Acylcarnitines - NBS-AC LC-MS/MS Dried Blood Spot (DBS) 3500 1800
Disease Days
Rare 2 Working
5 NCGM NBS-AA New Born Screening-Aminoacids - NBS-AA LC-MS/MS Dried Blood Spot (DBS) 3500 1800
Disease Days
Extracted DNA, Whole Blood EDTA,
Rare Amniotic Fluid, Chorionic Villus 10 Working
6 NCGM T2564 Beta Globin Gene Sequencing (HBB) Sanger 6500 4000
Disease Sample, Buccal swab, Dried Blood Days
Spot (DBS)
Extracted DNA, Whole Blood EDTA,
Rare Beta Thal TRIO (HBB)- Proband+ Mother+ Amniotic Fluid, Chorionic Villus 15 Working
7 NCGM P3899 Sanger 18000 10000
Disease Father Sample, Buccal swab, Dried Blood Days
Spot (DBS)
Rare 10 Working
8 NCGM T2451 Beta Thalassemia (5 Common Mutation) Sanger Whole Blood EDTA, Amniotic Flui 5000 2500
Disease Days
Extracted DNA, Whole Blood EDTA,
Reproduc Prenatal beta globin gene sequencing (HBB) Amniotic Fluid, Chorionic Villus 21 Working
9 NCGM T2566 Sanger 6500 4000
tive & IVF *MCC Not Included Sample, Buccal swab, Dried Blood Days
Spot (DBS)
Reproduc NGS- Next Generation 10 ml of maternal blood in streck, 5 Working
10 NCGM 2112 Focus Non invasive prenatal Testing- NIPT 15000 6500
tive & IVF Sequencing Plasma EDTA Days

Reproduc Comprehensive Non Invasive Prenatal Testing- NGS- Next Generation 10 ml of maternal blood in streck, 5 Working
11 NCGM T3295 25000 7500
tive & IVF NIPT Sequencing Plasma EDTA Days
NIPT- Microdeletion Non Invasive Prenatal
Reproduc NGS- Next Generation 10 ml of maternal blood in streck, 10 Working
12 NCGM 2120 Testing: All Trisomies, along 35000 15000
tive & IVF Sequencing Plasma EDTA Days
with common microdeletions
Rare Whole Blood EDTA, DNA, Amniotic 28 Working
13 NCGM T2549 Congenital Adrenal Hyperplasia (Seq+MLPA) NGS+ MLPA 20000 12000
Disease Fluid, Chorionic Villus Sample, Tissue Days
Extracted DNA, Whole Blood EDTA,
Rare 7 Working
14 NCGM T2550 Cystic Fibrosis (deltaF508) CFTR mutation Sanger Amniotic Fluid, Dried Blood Spot 6000 3000
Disease Days
(DBS)
Rare Fluorescence In Situ Amniotic Fluid, Chorionic Villus 7 Working
15 NCGM T2541 Di-George By FISH 6500 4000
Disease Hybridization Sample, Heparin Whole Blood Days
Extracted DNA, Whole Blood EDTA,
Rare NGS- Next Generation 28 Working
16 NCGM P 909 DMD Combo (Sequencing + MLPA) Amniotic Fluid, Chorionic Villus 28000 14000
Disease Sequencing + MLPA Days
Sample
Extracted DNA, Whole Blood EDTA,
Rare 21 Working
17 NCGM T3717 DMD Duchenne Muscular Dystrophy By MLPA MLPA Amniotic Fluid, Chorionic Villus 8000 5000
Disease Days
Sample
Rare DMD Duchene Muscular Dystrophy- NGS- Next Generation Extracted DNA, Whole Blood EDTA, 28 Working
18 NCGM T2845 21000 10000
Disease Sequencing Sequencing Buccal swab Days
Rare Whole Blood EDTA, Dried Blood Spot 15 Working
19 NCGM T2454 Fragile X Syndrome TP-PCR 8500 5000
Disease (DBS) Days
Rare Extracted DNA, Whole Blood EDTA, 12 Working
20 NCGM T2554 Gilbert Syndrome Sanger 6500 3500
Disease Dried Blood Spot (DBS) Days
Rare 15 Working
21 NCGM T2594 Huntington Disease Molecular Assay PCR/ Fragment Analysis Whole Blood EDTA 8500 5000
Disease Days
Reproduc
22 NCGM M1245 Quadruple Marker - Delfia CLIA Serum 2 Days 3200 1200
tive & IVF
Reproduc
23 NCGM G2180 Quadruple Marker- Priska CLIA Serum 2 Days 3000 1000
tive & IVF
Reproduc
24 NCGM G1452 Double Marker- Delfia CLIA Serum 2 Days 2800 1100
tive & IVF
Reproduc G2361pr
25 NCGM Double Marker- Priska CLIA Serum 2 Days 2800 1000
tive & IVF is
Reproduc
26 NCGM G559 Triple Marker CMIA Serum 2 Days 3000 1200
tive & IVF
Rare Culture Karyotyping and 4ml in Sodium Heparin tube (Green 7 Working
27 NCGM T1511 Karyotyping From Blood 3500 1400
Disease Giemsa Banding top) Days
Whole Blood in Sodium Heparin tube
Reproduc 15 Working
28 NCGM T1977 Karyotyping From Amniotic Fluid Cytogenetics (Green top); AF in falcon tube; CVS in 7100 3000
tive & IVF Days
transport media
Product Of Conception Material:
Reproduc Karyotyping From Product Of Conception NGS- Next Generation Thigh Muscle/ Skin Tissue (3cm) 10 Working
29 NCGM T2008 10000 4000
tive & IVF (POC) By NGS Sequencing Umblical Cord (3cm) in separate Days
container with Normal Saline
Rare KENNEDY DISEASE/SPINAL BULBAR NGS- Next Generation 28 Working
30 NCGM T4163 Whole Blood Heparin 10000 6000
Disease MUSCULAR ATROPHY Sequencing Days

Reproduc Lumos Focus (Carrier Screening)- Female (AR,


31 NCGM P4116
tive & IVF XLR+ DMD+ Fragile X) NGS- Next Generation
28 Working
Sequencing+ MLPA+ K2 EDTA (Lavender top- Blood) 65000 40000
Days
Reproduc Lumos Focus (Carrier Screening)- Male (AR, Sanger/PCR
32 NCGM P4117R
tive & IVF XLR+ SMA)

Lumos Comprehensive (Carrier Screening)-


Reproduc
33 NCGM P4114 Female (AR, XLR+ DMD+
tive & IVF NGS- Next Generation
Fragile X) 28 Working
Sequencing+ MLPA+ K2 EDTA (Lavender top- Blood) 85000 55000
Lumos Comprehensive (Carrier Screening)- Days
Reproduc Sanger/PCR
34 NCGM P4115 Male (AR, XLR+ SMA+ CAH-
tive & IVF
MLPA, Sanger)
Lumos Plus (Carrier Screening)- Female (AR,
Reproduc
35 NCGM P4112 XLR+ DMD+ Fragile X+ Hemophilia
tive & IVF NGS- Next Generation
A) 28 Working
Sequencing+ MLPA+ K2 EDTA (Lavender top- Blood) 95000 65000
Lumos Plus (Carrier Screening)- Male (AR, XLR+ Days
Reproduc Sanger/PCR
36 NCGM P4113 SMA+ CAH- MLPA, Sanger+
tive & IVF
Aplha Thal- MLPA)
Rare Microarray Rapidsure Constitutional (315K) Product Of Conception Material, 15 Working
37 NCGM T3759 Affymetrix 22000 8500
Disease *MCC Charges additional Extracted DNA, Whole Blood EDTA Days
Extracted DNA, Whole Blood EDTA,
Rare Prenatal Microarray 315K *MCC Charges 12 Working
38 NCGM T3657 Affymetrix Amniotic Fluid, Cord Blood, Chorionic 22000 8500
Disease additional Days
Villus Sample
Product Of Conception Material,
Extracted DNA, Whole Blood EDTA,
Rare Microarray Rapidsure Deepdive (750k) 15 Working
39 NCGM T3656 Affymetrix Amniotic Fluid, Cord Blood, Chorionic 28000 12500
Disease *MCC Charges additional Days
Villus Sample, Buccal swab, Dried
Blood Spot (DBS)
Extracted DNA, Whole Blood EDTA,
Reprodu Prenatal Microarray 750K *MCC Charges 12 Working
40 T1096 4455 Affymetrix Amniotic Fluid, Cord Blood, Chorionic 28000 12500
ctive & IVF additional Days
Villus Sample
Amniotic Fluid, Chorionic Villus
Reproduc Sample, Other, Product Of 4 Working
41 NCGM 2115 MCC Check by QF-PCR QFPCR 3000 1500
tive & IVF Conception Material, Extracted DNA, Days
Whole Blood EDTA
Amniotic Fluid, Chorionic Villus
Reproduc Sample, Other, Product Of 4 Working
42 NCGM T2116 Aneuploidy detection by QF-PCR QFPCR 3500 1500
tive & IVF Conception Material, Extracted DNA, Days
Whole Blood EDTA
Amniotic Fluid, Chorionic Villus
Reproduc Prenatal Rapid Combo (MCC+ Aneuploidy Sample, Other, Product Of 7 Working
43 NCGM P 904 QFPCR 7000 3000
tive & IVF detection by QF-PCR) Conception Material, Extracted DNA, Days
Whole Blood EDTA
Extracted DNA, Whole Blood EDTA,
Rare NGS- Next Generation 28 Working
44 NCGM T3212 Mitochondrial DNA Sequencing Amniotic Fluid, Chorionic Villus 18000 7000
Disease Sequencing Days
Sample, Dried Blood Spot (DBS)
Rare 21 Working
45 NCGM M8796 MLPA (Others) MLPA Extracted DNA, Whole Blood EDTA 10000 6500
Disease Days
Whole Blood EDTA, Amniotic Fluid,
Rare NGS- Next Generation Chorionic Villus Sample, Dried Blood 28 Working
46 NCGM T3360 ORION -Single gene (Single gene NGS) 21000 10000
Disease Sequencing Spot (DBS), Product Of Conception Days
Material, Extracted DNA
Tissue, Product Of Conception
Material, Extracted DNA, Whole
Rare NGS- Next Generation 28 Working
47 NCGM T4594 ORION (WES-Whole Exome Sequencing) Blood EDTA, Amniotic Fluid, Cord 34000 14000
Disease Sequencing Days
Blood, Chorionic Villus Sample, Dried
Blood Spot (DBS
Whole Blood EDTA, Amniotic Fluid,
Rare Prenatal ORION (WES-Whole Exome NGS- Next Generation Chorionic Villus Sample, Dried Blood 28 Working
48 NCGM T4592 34000 14000
Disease Sequencing) *MCC Charges additional Sequencing Spot (DBS), Product Of Conception Days
Material, Extracted DNA

Whole Blood EDTA, Amniotic Fluid,


Rare ORION Focus (Clinical NGS- Next Generation Chorionic Villus Sample, Dried Blood 28 Working
49 NCGM T4595 28000 12000
Disease Exome/Mendeliome/Panel testing) Sequencing Spot (DBS), Product Of Conception Days
Material, Extracted DNA

Whole Blood EDTA, Amniotic Fluid,


Rare ORION PLUS (Whole Exome + Mitochondrial NGS- Next Generation Chorionic Villus Sample, Dried Blood 28 Working
50 NCGM T1012 38000 17000
Disease DNA Sequencing) Sequencing Spot (DBS), Product Of Conception Days
Material, Extracted DNA

Whole Blood EDTA, Amniotic Fluid,


Rare NGS- Next Generation Chorionic Villus Sample, Dried Blood 45 Working
51 NCGM T4617 ORION_TRIO (Proband+ Mother+ Father) 75000 40000
Disease Sequencing Spot (DBS), Product Of Conception Days
Material, Extracted DNA
Reproduc NGS- Next Generation 21 Working
52 NCGM T3011 PrePGT-M Work Up Whole Blood EDTA 15000 7500
tive & IVF Sequencing Days

Reproduc NGS- Next Generation 8 Working


53 NCGM T2826 PGT-A (EMBRYO) Trophoblast Cell 14000 10000
tive & IVF Sequencing Days
Reproduc NGS- Next Generation 8 Working
54 NCGM T3087 PGT-A FOR 2 EMBRYOS (Extended) Trophoblast Cell 28000 18000
tive & IVF Sequencing Days
Reproduc NGS- Next Generation 8 Working
55 NCGM T3088 PGT-A FOR 3 EMBRYOS (Extended) Trophoblast Cell 42000 28000
tive & IVF Sequencing Days
Reproduc NGS- Next Generation 10 Working
56 NCGM T3025 PGT-M (Embryo) Trophoblast Cell 16000 10000
tive & IVF Sequencing Days
Reproduc Optima Time for Endometrial NGS- Next Generation 28 Working
57 NCGM T3067 Endometrium Tissue 40000 25000
tive & IVF Receptivity Assay (ERA) Sequencing Days
Rare Prader-Willi/ Angelman Syndromes By Fluorescence In Situ Amniotic Fluid, Chorionic Villus 7 Working
58 NCGM T2540 7000 3500
Disease FISH Hybridization Sample, Heparin Whole Blood Days
Rare Prader-Willi/ Angelman Syndromes by 21 Working
59 NCGM T2935 MLPA Whole Blood EDTA 15000 7000
Disease MS-MLPA Days
Heparin- Whole Blood , Product Of
Reproduc Pre/Post Natal Diagnosis Chromosome 13 18 Fluorescence In Situ 7 Working
60 NCGM T2536 Conception Material, Amniotic Fluid, 9600 3500
tive & IVF 21 X & Y By FISH Hybridization Days
Chorionic Villus Sample
Extracted DNA, Whole Blood EDTA,
Reproduc Amniotic Fluid, Chorionic Villus 21 Working
61 NCGM T2566 Prenatal beta globin gene sequencing (HBB) Sanger 13000 7000
tive & IVF Sample, Buccal swab, Dried Blood Days
Spot (DBS)
Tissue, Whole Blood EDTA, DNA,
Rare 28 Working
62 NCGM T2543 Sanger Validation for 1 Variant Sanger Amniotic Fluid, Chorionic Villus 7000 4000
Disease Days
Sample, Dried Blood Spot (DBS)
Tissue, Extracted DNA, Whole Blood
Rare EDTA, DNA, Amniotic Fluid, Chorionic 28 Working
63 NCGM SVF2V Sanger Validation for 2 Variants Sanger 12000 7000
Disease Villus Sample, Other, Dried Blood Days
Spot (DBS)
Tissue, Extracted DNA, Whole Blood
Rare EDTA, DNA, Amniotic Fluid, Chorionic 28 Working
64 NCGM SVF3V Sanger validation for 3 variants Sanger 15000 9000
Disease Villus Sample, Other, Dried Blood Days
Spot (DBS)
Rare 21 Working
65 NCGM T3725 Friedreich Ataxia Mutation Analysis PCR Whole Blood EDTA 8500 5000
Disease Days
Rare 21 Working
66 NCGM T3661 Sickle Cell gene sequencing Sanger Extracted DNA, Whole Blood EDTA 8000 4000
Disease Days
NGS- Next Generation Whole Blood EDTA, Tissue, FTA Card, 28 Working
67 NCGM Oncology T2021 BRCA1&2 by NGS (Germ-line) 24000 10000
Sequencing Extracted DNA Days
28 Working
68 NCGM Oncology T1235 BRCA1&2 (MLPA) MLPA Whole Blood EDTA, Extracted DNA 20000 7000
Days

Whole Blood EDTA, Amniotic Fluid,


Rare 21 Working
69 NCGM T2118 Spinal Muscular Atrophy (SMA) By MLPA MLPA Chorionic Villus Sample, Dried Blood 10000 5000
Disease Days
Spot (DBS), Extracted DNA
Heparin- Whole Blood , Product Of
Reproduc Fluorescence In Situ 4 Working
70 NCGM T2505 X & Y Chromosome By FISH Conception Material, Amniotic Fluid, 5000 2500
tive & IVF Hybridization Days
Chorionic Villus Sample
Rare 7 Working
71 NCGM T1981 Y-Chromosomal Microdeletion by PCR Multiplex PCR Extracted DNA, Whole Blood EDTA 6500 4000
Disease Days

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