CGHS Rates - Lucknow

CGHS package rate Lucknow 2014 updated on 04th May 2021
Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (Lucknow) Non- NABH/Non-NABL Rates NABH/NABL Rates
1 Consultation OPD 135 135
2 Consultation- for Inpatients 270 270
3 Dressings of wounds 45 52.2
4 Suturing of wounds with local anesthesia 97.2 111.6
5 Aspiration Plural Effusion - Diagnostic 108 124.2
6 Aspiration Plural Effusion - Therapeutic 173.7 199.8
7 Abdominal Aspiration - Diagnostic 310.5 357.3
8 Abdominal Aspiration - Therapeutic 414 476.1
9 Pericardial Aspiration 342 393.3
10 Joints Aspiration 285.3 328.5
11 Biopsy Skin 207 238.5
12 Removal of Stitches 32.4 36.9
13 Venesection 111.6 128.7
14 Phimosis Under LA 1179.9 1357.2
15 Sternal puncture 155.7 179.1
16 Injection for Haemorrhoids 372.6 428.4
17 Injection for Varicose Veins 315 362.7
18 Catheterisation 425 500
19 Dilatation of Urethra 450 517.5
20 Incision & Drainage 378 434.7
21 Intercostal Drainage 112.5 129.6
22 Peritoneal Dialysis 1319.4 1517.4
TREATMENT PROCEDURE SKIN
23 Excision of Moles 310.5 357.3
24 Excision of Warts 279 321.3
25 Excision of Molluscum contagiosum 117 135
26 Excision of Venereal Warts 144 165.6
27 Excision of Corns 126 144.9
28 I/D Injection Keloid(Intralesional Injection) 87.3 100.8
29 Chemical Cautery (s) 99 114.3
TREATMENT PROCEDURE OPTHALMOLOGY
30 Subconjunctival/subtenon’s injections in one eyes 62.1 71.1
31 Subconjunctival/subtenon’s injections in both eyes 124.2 142.2
32 Pterygium Surgery 5500 6325
33 Conjunctival Peritomy 52.2 60.3
34 Conjunctival wound repair or exploration following blunttrauma 3300 3795
35 Removal of corneal foreign body 103.5 118.8
36 Cauterization of ulcer/subconjunctival injection in one eye 62.1 71.1
37 Cauterization of ulcer/subconjunctival injection in both eyes 124.2 143.1
38 Corneal grafting—Penetrating keratoplasty 5175 5951.7
39 Corneal grafting—Lamellar keratoplasty 4500 5175
40 Cyanoacrylate /fibrin glue application for corneal perforation 621 714.6
41 Bandage contact lenses for corneal perforation 414 476.1
42 Scleral grafting or conjunctival flap for corneal perforation 2070 2380.5
43 Keratoconus correction with therapeutic contact lenses 1080 1242
44 Ultraviolet (UV) - radiation for cross-linking for keratoconus 1620 1863
45 EDTA for band shaped keratopathy 776.7 892.8
46 Arcuate keratotomy for astigmatism 2520 2898
47 Re-suturing (Primary suturing) of corneal wound 1035 1190.7
48 Penetrating keratoplasty with glaucoma surgery 10929.6 12569.4
49 Penetrating keratoplasty --- with vitrectomy 10929.6 12569.4
50 Penetrating keratoplasty with IOL implantation 12290.4 14132.7
51 DALK- Deep anterior lamellar keratoplasty 15525 17854.2
52 Keratoprosthesis stage I and II 10350 11902.5
53 DSAEK- Descemet’s stripping automated endothelialkeratoplasty 15007.5 17258.4
54 ALTK- Automated lamellar therapeutic keratoplasty 14850 17077.5
55 Probing and Syringing of lacrimal sac- in one eye 62.1 71.1
56 Probing and Syringing of lacrimal sac- in both eye 124.2 143.1
57 Dacryocystorhinostomy—Plain 2587.5 2975.4
58 Dacryocystorhinostomy—Plain with intubation and/or withlacrimal implants 8775 10091.7
59 Dacryocystorhinostomy—conjunctival with implant 8280 9522
60 Caliculoplasty 2070 2380.5
61 Dacryocystectomy 1552.5 1785.6
62 Punctal plugs for dry eyes 117 135
63 Refraction 36 41.4
64 Indirect Ophthalmoscopy 60.3 69.3
65 Orthoptic check-up- with synoptophore 39.6 45.9
66 Lees’ charting or Hess’ charting 90 103.5
67 Orthoptic exercises 45 52.2
68 Pleoptic exercises 45 52.2
69 Perimetry/field test—Goldman 129.6 149.4
70 Perimetry/field test— automated 129.6 149.4
71 Fluorescein angiography for fundus or iris 828 952.2
72 Ultrasound A- Scan 776.7 892.8
73 Ultrasound B- Scan 207 238.5
74 Fundus Photo Test 180 207
75 Indocyanin green angiography 828 952.2
76 Corneal endothelial cell count with specular microscopy 207 238.5
77 Corneal topography 297.9 342.9
78 Corneal pachymetry 207 238.5
79 Auto-refraction 31.5 36
80 Macular function tests 39.6 45.9
81 Potential acuity metry 90 103.5
82 Laser interferometry 155.7 179.1
83 OCT-Optical coherence tomography 1912.5 2250
84 HRT- Heidelberg’s retinal tomogram 135 155.7
85 GDx Nerve fibre layer analyzer 79.2 90.9
86 UBM- Ultrasound bio microscopy 135 155.7
87 Non Contact tonometry (NCT) 45 52.2
88 IOP measurement with schiotz 27 31.5
89 IOP measurement with applation tonometry 45 52.2
90 Three mirror examination for retina 52.2 60.3
91 90 D lens examination 45 52.2
92 Gonioscopy 52.2 60.3
93 Chalazion incision and curettage in one eye 360 414
94 Chalazion incision and curettage in both eyes 387.9 446.4
95 Ptosis surgery with fasanella servat procedure 2070 2380.5
96 Ptosis surgery with LPS resection one lid 4950 5692.5
97 Ptosis surgery with Sling surgery one lid 6003 6903.9
98 Ectropion surgery- one lid 1260 1449
99 Ectropion surgery- both lids 2250 2587.5
100 Epicanthus correction 1395 1604.7
101 Cantholysis and canthotomy 517.5 595.8
102 Entropion surgery- one lid 1242 1428.3
103 Entropion surgery- both lids 1800 2070
104 Tarsorraphy 585 673.2
105 Suturing of lid lacerations 1035 1190.7
106 Lid retraction repair 1530 1759.5
107 Concretions removal 103.5 118.8
108 Bucket handle procedure for lid tumors 310.5 357.3
109 Cheek rotation flap for lid tumors 6210 7141.5
110 Orbitotomy 7245 8332.2
111 Enucleation 2700 3105
112 Enucleation with orbital implants and artificial prosthesis 2700 3105
113 Evisceration 3105 3571.2
114 Evisceration with orbital implants and artificial prosthesis 5123.7 5892.3
115 Telecanthus correction 4657.5 5355.9
116 Orbital decompression 5175 5951.7
117 Exenteration 5175 5951.7
118 Exenteration with skin grafting 6210 7141.5
119 Fracture orbital repair 8280 9522
120 Retinal laser procedures 1350 1552.5
121 Retinal detachment surgery (RDS) 10350 11902.5
122 Retinal detachment surgery (RDS) with scleral buckling 12420 14283
123 Buckle removal 1035 1190.7
124 Silicone oil removal 2520 2898
125 Anterior retinal cryopexy 1045.8 1202.4
126 Squint correction for one eye 4500 5175
127 Squint correction for both eyes 6750 7762.5
128 Trabeculectomy 6210 7141.5
129 Trabeculotomy 6210 7141.5
130 Trabeculectomy with Trabeculotomy 9315 10712.7
131 Trephination 2070 2380.5
Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (LUCKNOW)
132 Goniotomy 310.5 357.3
133 Glaucoma surgery with Glaucoma valves 6210 + valve 7141.5 + valve
134 Cyclocryotherapy 1035 1190.7
135 YAG laser iridotomy 1350 1552.5
136 YAG laser capsulotomy 983.7 1131.3
137 ALT-Argon laser trabeculoplasty 1345.5 1547.1
138 PDT-Photodymic therapy 3105 3571.2
139 TTT- Transpupillary thermal therapy 2700 3105
140 PTK- Phototherapeutic keratectomy 6750 7762.5
141 Argon/diode laser for retinal detatchment 1035 1190.7
142 Intralase application for keratoconus 5175 5951.7
143 EOG- electro-oculogram 810 931.5
144 ERG- Electro-retinogram 714.6 821.7
145 VEP- visually evoked potential 720 828
146 Vitrectomy- pars plana 10350 11902.5
147 Intravitreal injections- of antibiotics 1035 1190.7
148 Intravitreal injections- of Ranibizumab excluding cost of drug 2700 3105
149 X Ray orbit 103.5 118.8
150 CT orbit and brain 1600 1840
151 MRI- Orbit and brain 3105 3571.2
152 Dacryocystography 306 351.9
153 Orbital angio-graphical studies 1350 1552.5
154 Extracapsular cataract extraction (ECCE) with IOL 3105 3571.2
155 Small Incision Cataract Surgery (SICS) with IOL 4500 5175
156 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL 9702.9 11158.2
157 Pars plana lensectomy with/without IOL 9315 10712.7
158 Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL 6210 7141.5
159 Cataract extraction with IOL with capsular tension rings(Cionni’s ring) 12150 13972.5
160 Optic nerve sheathotomy 6750 7762.5
161 Iridodialysis repair or papillary reconstruction 4500 5175
162 Iris cyst removal 765 880.2
163 Lid Abscess incision and Drainage 1530 1759.5
164 Orbital Abscess incision and Drainage 2700 3105
165 Biopsy 414 476.1
166 Paracentesis 207 238.5
167 Scleral graft for scleral melting or perforation 2520 2898
168 Amniotic membrane grafting 990 1138.5
169 Cyclodiathermy 2070 2380.5
170 Intraocular foreign body removal 168.3 193.5
171 Electrolysis 207 238.5
172 Perforating injury repair 4050 4657.5
173 Botulinum injection for blepharospasm or squint 2250 2587.5
Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (Lucknow)
TREATMENT PROCEDURE DENTAL PROCEDURES
174 Flap Operation per quadrant 324 372.6
175 Gingivectomy per quadrant 210.6 242.1
176 Reduction & immobilization of fracture- Maxilla Under LA 810 931.5
177 Reduction & immobilization of fracture-Mandible Under LA 3150 3622.5
178 Splints/Circummandibular wiring under LA 459 528.3
179 splints/Circummandibular wiring under GA 891 1025.1
180 Internal wire fixation/plate fixation of Maxilla under LA 2700 3105
181 Internal wire fixation/plate fixation of Maxilla under GA 3600 4140
182 Internal wire fixation/plate fixation of Mandible under LA 3150 3622.5
183 Internal wire fixation/plate fixation of Mandible under GA 3825 4399.2
184 Extraction per tooth under LA 72 82.8
185 Complicated Extraction per Tooth under LA 90 103.5
186 Extraction of impacted tooth under LA 144 165.6
187 Extraction in mentally retarded/patients with systemicdiseases/patient with special
845.1needs under short term GA 972
188 Cyst & tumour of Maxilla /mandible by enucleation/excision/ marsupialisation 219.6
upto 4 cms under LA 252.9
189 Cyst & tumour of Maxilla / mandible by enucleation / excision / marsupialisation
365.4size more than 4 cms 420.3
190 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupialisation900 size more than 4 cmsunder GA 1035
191 TM joint ankylosis- under GA 6750 7762.5
192 Biopsy Intraoral-Soft tissue 336.6 387
193 Biopsy Intraoral-Bone 336.6 387
194 Hemi-mandibulectomy with graft 18900 21735
195 Hemi-mandibulectomy without graft 18900 21735
196 Segmental-mandibulectomy with graft 3060 3519
197 Segmental-mandibulectomy without graft 891 1025.1
198 Maxillectomy- Total with graft 2250 2587.5
199 Maxillectomy- Total without graft 1755 2018.7
200 Maxillectomy- partial with graft 2700 3105
201 Maxillectomy- partial without graft 2250 2587.5
202 Release of fibrous bands & grafting -in (OSMF) treatmentunder GA 1350 1552.5
203 Pre-prosthetic surgery- Alveoloplasty 450 517.5
204 Pre-prosthetic surgery - ridge augmentation 1080 1242
205 Root canal Treatment(RCT) Anterior teeth(per tooth) 450 517.5
206 Root canal Treatment(RCT) Posterior teeth (per tooth) 630 724.5
207 Apicoectomy- Single root 450 517.5
208 Apicoectomy-Multiple roots 585 673.2
209 Metal Crown-per unit 450 517.5
210 Metal Crown with Acrylic facing per unit 630 724.5
211 Complete single denture-metal based 1350 1552.5
212 Complete denture- acrylic based per arch 855 983.7
213 Removable partial denture-Metal based-upto 3 teeth 630 724.5
214 Removable partial denture-Metal based-more than 3 teeth 810 931.5
215 Removable partial denture-Acrylic based-upto 3 teeth 450 517.5
216 Removable partial denture-Acrylic based-more than 3 teeth / Per tooth 237.6 273.6
217 Amalgam restoration-per tooth 180 207
218 Composite Restoration-per tooth-anterior tooth 225 259.2
219 Glass Ionomer filling-per tooth 180 207
220 Scaling & polishing 270 310.5
221 Removable Orthodontics appliance- per Arch 630 724.5
222 Fixed Orthodontics-per Arch 1035 1190.7
223 Space maintainers-Fixed 450 517.5
224 Habit breaking appliances-removable 720 828
225 Habit breaking appliances-Fixed 1350 1552.5
226 Expansion plate 900 1035
227 Feeding appliance for cleft palate 1350 1552.5
228 Maxillo-facial prosthesis (sal/auricular/orbital/facial lostpart) 3150 3622.5
229 Functional orthodontic appliances 2700 3105
230 Obturator (Maxillo-facial) 1350 1552.5
231 Occlusal night guard(splint) 720 828
TREATMENT PROCEDURE ENT
232 Pure Tone Audiogram 154.8 178.2
233 Impedence with stepedeal reflex 207 238.5
234 Short Increment Sensitivity Index (SISI) Tone Decay 118.8 136.8
235 Multiple hearing assessment test to Adults 103.5 118.8
236 Speech Discrimination Score 81 92.7
237 Speech Assessment 108 124.2
238 Speech therapy per session of 30-40 minutes 117.9 135.9
239 Cold Calorie Test for Vestibular function 154.8 178.2
240 Removal of foreign body From Nose 310.5 357.3
241 Removal of foreign body From Ear 207 238.5
242 Syringing (Ear) 149.4 171.9
243 Polyp removal under LA 517.5 594.9
244 Polyp removal under GA 765 880.2
245 Peritonsillar abscess Drainage under LA 1304.1 1499.4
246 Myringoplasty 6210 7141.5
247 Staepedectomy 8280 9522
248 Myringotomy with Grommet insertion 4140 4761
249 Tympanotomy 7762.5 8927.1
250 Tympanoplasty 12420 14283
251 Mastoidectomy 13455 15473.7
252 Otoplasty 14490 16663.5
253 Labyrinthectomy 12420 14283
254 Skull Base surgery 22500 25875
255 Facial Nerve Decompression 15525 17854.2
256 Septoplasty 5175 5951.7
257 Submucous Resection 6582.6 7569.9
258 Septo-rhinoplasty 14490 16663.5
259 Rhinoplasty- Non-cosmetic 10350 11902.5
260 Fracture Reduction of Nasal Bone 3825 4500
261 Intra nasal Diathermy 1035 1190.7
262 Turbinectomy 5175 5951.7
263 Endoscopic Dacryocystorhinostomy (DCR) 11700 13455
264 Endoscopic Surgery 12420 14283
265 Septal Perforation Repair 12420 14283
266 Antrum Puncture 855 983.7
267 Lateral Rhinotomy 900 1035
268 Cranio-facial resection 22950 26392.5
269 Caldwell Luc Surgery (Radical Antrostomy for maxillary sinus) 9563.4 10998
270 Angiofibroma Excision 15300 17595
271 Endoscopic Hypophysectomy 19350 22252.5
272 Endoscopic Optic Nerve Decompression 29497.5 33921.9
273 Decompression of Orbit 22950 26392.5
274 Punch/Wedge biopsy 606.6 697.5
275 Tonsillectomy 4500 5175
276 Uvulo-palatoplasty 13500 15525
277 Functional Endoscopic Sinus Surgery (FESS) for Antrochoanal polyp 5175 5951.7
278 Functional Endoscopic Sinus Surgery (FESS) for ethmoidal polyp 5175 5951.7
279 Polyp removal ear 673.2 774
280 Polyp removal Nose(Septal polyp) 673.2 774
281 Mastoidectomy plus Ossiculoplasty including TORP (Total Ossicular Replacement
2173.5Prosthesis) or PORP (Partial2499.3
Ossicular Replacement Pro
282 Endolymphatic sac decompression 2587.5 2975.4
283 Diagnostic endoscopy under GA 2070 2380.5
284 Young's operation for Atrophic rhinitis 6210 7141.5
285 Vidian neurectomy for vasomotor Rhinitis 9315 10712.7
286 Nasal Packing-anterior 310.5 357.3
287 Nasal Packing-posterior 724.5 833.4
288 Ranula Excision 6158.7 7082.1
289 Tongue Tie excision 1350 1552.5
290 Sub Mandibular Duct Lithotomy 242.1 278.1
291 Adenoidectomy 5076 5837.4
292 Palatopharyngoplasty 7348.5 8451
293 Pharyngoplasty 15473.7 17794.8
294 Styloidectomy 8280 9522
295 Direct laryngoscopy including Biopsy under GA 4500 5175
296 Oesophagoscopy with foreign body removal from Oesophagus 1620 1863
297 Bronchoscopy with foreign body (FB) removal 2194.2 2523.6
298 Other Major Surgery 13500 15525
299 Other Minor Surgery 7650 9000
TREATMENT PROCEDURE FOR HEAD AND NECK
300 Ear Lobe Repair one side 450 517.5
301 Excision of Pinna for Growth (Squamous/Basal/ Injuries)Skin Only 3600 4140
302 Excision of Pinna for Growth (Squamous/Basal/ Injuries)Skin and Cartilage 3420 3933
303 Partial Amputation of Pinna 4050 4657.5
304 Total Amputation of Pinna 5580 6417
305 Total Amputation & Excision of External Auditory Meatus 1350 1552.5
306 Excision of Cystic Hygroma 4657.5 5355.9
307 Excision of Cystic Hygroma Extensive 6706.8 7713
308 Excision of Branchial Cyst 9315 10712.7
309 Excision of Branchial Sinus 9315 10712.7
310 Excision of Pharyngeal Diverticulum 9522 10950.3
311 Excision of Carotid Body-Tumours 10453.5 12021.3
312 Operation for Cervical Rib 11250 12937.5
313 Block Dissection of Cervical Lymph Nodes 13500 15525
314 Pharyngectomy & Reconstruction 13500 15525
315 Operation for Carcinoma Lip - Wedge-Excision 7245 8332.2
316 Operation for Carcinoma Lip - Vermilionectomy 5182.2 5959.8
317 Operation for Carcinoma Lip - Wedge Excision and Vermilionectomy 8362.8 9617.4
318 Estlander Operation (Estlander flap in plastic surgey of lips) 6727.5 7736.4
319 Abbe Operation (Abbe flap in plastic surgery of lips) 8820 10143
320 Cheek Advancement 8797.5 10116.9
321 Excision of the Maxilla 17388 19996.2
322 Excision of mandible-segmental 13972.5 16068.6
323 Mandibulectomy 18900 21735
324 Partial Glossectomy 4968 5713.2
325 Hemiglossectomy 6300 7245
326 Total Glossectomy 20596.5 23686.2
327 Combined Mandibulectomy and Neck Dissection Operation (Commando Operation)
19800 22770
328 Parotidectomy - Superficial 10867.5 12497.4
329 Parotidectomy - Total 13500 15525
330 Parotidectomy - Radical 17595 20234.7
331 Repair of Parotid Duct 10350 11902.5
332 Removal of Submandibular Salivary gland 7762.5 8927.1
333 Hemithyroidectomy 8550 9832.5
334 Partial Thyroidectomy (lobectomy) 10350 11902.5
335 Subtotal Thyroidectomy 11747.7 13509.9
336 Total Thyroidectomy 17100 19665
337 Resection Enucleation of thyroid Adenoma 9522 10950.3
338 Total Thyroidectomy and Block Dissection 23805 27376.2
339 Excision of Lingual Thyroid 15193.8 17472.6
340 Excision of Thyroglossal Cyst/Fistula 11902.5 13688.1
341 Excision of Parathyroid Adenoma/Carcinoma 19147.5 22019.4
342 Laryngectomy 16042.5 18449.1
343 Laryngo Pharyngectomy 27000 31050
344 Hyoid Suspension 9315 10712.7
345 Genioplasty 10800 12420
346 Direct Laryngoscopy including biopsy under GA 4657.5 5355.9
347 Phonosurgery 12420 14283
348 Fibreoptic examination of Larynx (FOL) under LA 1552.5 1785.6
349 Microlaryngeal Surgery 9315 10712.7
350 Laryngofissure 15525 17854.2
351 Tracheal Stenosis Excision 17802 20472.3
Head and neck cancer
352 Excisional Biopsies 5175 5951.7
353 Benign Tumour Excisions 8550 9832.5
354 Temporal Bone subtotal resection 18630 21424.5
355 Modified Radical Neck Dissection 22770 26185.5
356 Carotid Body Excision 23400 26910
357 Total Laryngectomy 35272.8 40563.9
358 Flap Reconstructive Surgery 37260 42849
359 Parapharyngeal Tumour Excision 35397 40707
TREATMENT PROCEDURE BREAST
362 Drainage of abscess 5400 6210
363 Excision of lumps 6272.1 7212.6
364 Local mastectomy-simple 11385 13093.2
365 Radical mastectomy-formal or modified. 25875 29756.7
366 Excision of mammary fistula 13972.5 16068.6
367 Segmental resection of breast 14490 16663.5
TREATMENT PROCEDURE GENERAL SURGERY
370 Injury Of Superficial Soft Tissues 382.5 450
371 Suturing of small wounds 242.1 278.1
372 Secondary suture of wounds 3400 4000
373 Debridement of wounds 405 466.2
374 Removal Of Foreign Bodies 270 310.5
Biopsies
375 Excision of Cervical Lymph Node 1552.5 1785.6
376 Excision of Axillary Lymph Node 2049.3 2357.1
377 Excision of Inguinal Lymph Node 2049.3 2357.1
378 Excision Biopsy of Ulcers 1323 1521.9
379 Excision Biopsy of Superficial Lumps 2898 3332.7
380 Incision Biopsy of Growths/Ulcers 1323 1521.9
381 Trucut Needle Biopsy 1395 1604.7
382 Percutaneous Kidney Biopsy 1323 1521.9
383 Marrow Biopsy (Open) 954 1097.1
384 Muscle Biopsy 1323 1521.9
385 Scalene Node Biopsy 1215 1397.7
386 Excision of Sebaceous Cysts 1117.8 1285.2
387 Excision of Superficial Lipoma 1738.8 1999.8
388 Excision of Superficial Neurofibroma 2250 2587.5
389 Excision of Dermoid Cysts 2049.3 2357.1
390 Haemorrhoidectomy 20720 24375
391 Stappler haemorrhoidectomy 38000 43700
392 keloid excision 1035 1190.7
393 Varicose vein surgery-Trendelenburg operation with suturing or ligation 10000 11500
TREATMENT PROCEDURE OESOPHAGUS
394 Atresia of Oesophagus and Tracheo Oesophageal Fistula 25875 29756.7
395 Operations for Replacement of Oesophagus by Colon 22500 25875
396 Oesophagectomy for Carcinoma Easophagus 22500 25875
397 Oesophageal Intubation (Mausseau Barbin Tube) 10350 11902.5
398 Achalasia Cardia Transthoracic 13455 15473.7
399 Achalasia Cardia Abdominal 11385 13093.2
400 Oesophago Gastrectomy for mid 1/3 lesion 22045.5 25352.1
401 Heller’s Operation 17775 20441.7
402 Colon-Inter position or Replacement of Oesophagus 20286 23328.9
403 Oesophago Gastrectomy – Lower Corringers procedure 19251 22139.1
404 Other Major Surgery 24862.5 29250
TREATMENT PROCEDURE ABDOMEN / GI SURGERY
406 Gastroscopy 1552.5 1785.6
407 Gastric & Duodenal Biopsy (Endoscopic) 1755 2018.7
408 Pyloromyotomy 2520 2898
409 Gastrostomy 7762.5 8927.1
410 Simple Closure of Perforated peptic Ulcer 8797.5 10116.9
411 Vagotomy Pyleroplasty / Gastro Jejunostomy 12420 14283
412 Duodenojejunostomy 17055 19613.7
413 Partial/Subtotal Gastrectomy for Carcinoma 20700 23805
414 Partial/Subtotal Gastrectomy for Ulcer 20182.5 23210.1
415 Operation for Bleeding Peptic Ulcer 18878.4 21709.8
416 Operation for Gastrojejunal Ulcer 17802 20472.3
417 Total Gastrectomy for Cancer 20131.2 23150.7
418 Highly Selective Vagotomy 16767 19282.5
419 Selective Vagotomy & Drainage 16767 19282.5
420 Congenital Diaphragmatic Hernia 17077.5 19638.9
421 Hiatus Hernia Repair- Abdominal 13041 14997.6
422 Hiatus Hernia Repair- Transthoracic 14490 16663.5
423 Exploratory Laparotomy 11385 13093.2
424 Epigastric Hernia Repair 10246.5 11783.7
425 Umbilical Hernia Repair 10246.5 11783.7
426 Ventral /incisional Hernia Repair 9263.7 10653.3
427 Inguinal Hernia Herniorrhaphy 13351.5 15354
428 Inguinal Hernia - Hernioplasty 14850 17077.5
429 Femoral Hernia Repair 16456.5 18925.2
430 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) 17077.5 19638.9
431 Splenectomy - For Trauma 17077.5 19638.9
432 Splenectomy - For Hypersplenism 13041 14997.6
433 Splenorenal Anastomosis 20700 23805
434 Portocaval Anastomosis 25875 29756.7
435 Direct Operation on Oesophagus for Portal Hypertension 20596.5 23686.2
436 Mesentericocaval Anastomosis 22905 26341.2
437 Warren Shunt (Distal Splenorenal Shunt) 25875 29756.7
438 Pancreatico Duodenectomy (Whipple's procedure) 19561.5 22495.5
439 By Pass Procedure for Inoperable Carcinoma of Pancreas 20700 23805
440 Cystojejunostomy or Cystogastrostomy 13041 14997.6
441 Cholecystectomy 9262.8 10652.4
442 Cholecystectomy & Exploration of CBD 12937.5 14877.9
443 Repair of Common Bile Duct (CBD) 12240 14400
444 Operation for Hydatid Cyst of Liver 10711.8 12318.3
445 Cholecystostomy 9262.8 10652.4
446 Hepatic Resections (Lobectomy /Hepatectomy) 12937.5 14877.9
447 Operation on Adrenal Glands - Bilateral 23494.5 27018.9
448 Operation on Adrenal Glands - Unilateral 12420 14283
449 Appendicectomy 7297.2 8391.6
450 Appendicular Abscess – Drainage 8797.5 10116.9
451 Mesenteric Cyst- Excision 9936 11426.4
452 Peritonioscopy/Laparoscopy 4140 4761
453 Jejunostomy 5175 5951.7
454 Ileostomy 13869 15949.8
455 Resection & Anastomosis of Small Intestine 18630 21424.5
456 Duodenal Diverticulum 16560 19044
457 Operation for Intestinal Obstruction 9315 10712.7
458 Operation for Intestinal perforation 34200 39330
459 Benign Tumours of Small Intestine 17595 20234.7
460 Excision of Small Intestine Fistula 17595 20234.7
461 Operations for GI Bleed 14400 16560
462 Operations for Haemorrhage of Small Intestines 17595 20234.7
463 Operations of the Duplication of the Intestines 16042.5 18449.1
464 Operations for Recurrent Intestinal Obstruction (NoblePlication & Other Operations
20700 for Adhesions) 23805
465 Ileosigmoidostomy and related resection 15111 17378.1
466 Ileotransverse Colostomy and related resection 15111 17378.1
467 Caecostomy 3512.7 4039.2
468 Loop Colostomy Transverse Sigmoid 11799 13569.3
469 Terminal Colostomy 15525 17854.2
470 Closure of Colostomy 15732 18091.8
471 Right Hemicolectomy 12420 14283
472 Left Hemicolectomy 12420 14283
473 Total Colectomy 15525 17854.2
474 Operations for Volvulus of Large Bowel 22428 25792.2
475 Operations for Sigmoid Diverticulitis 16767 19282.5
476 Fissure in Ano with Internal sphinctrectomy withfissurectomy. 12420 14283
477 Fissure in Ano - Fissurectomy 13800 15870
478 Rectal Polyp-Excision 5092.2 5856.3
479 Fistula in Ano - High Fistulectomy 15102 17367.3
480 Fistula in Ano - Low Fistulectomy 8880.3 10212.3
481 Prolapse Rectum - Thiersch Wiring 9315 10712.7
482 Prolapse Rectum - Rectopexy 5175 5951.7
483 Prolapse Rectum - Grahams Operation 16560 19044
484 Operations for Hirschsprungs Disease 12834 14759.1
485 Excision of Pilonidal Sinus (open) 10350 11902.5
486 Excision of Pilonidal Sinus with closure 10350 11902.5
487 Abdomino-Perineal Excision of Rectum 16470 18940.5
488 Anterior Resection of rectum 19665 22615.2
489 Pull Through Abdominal Resection 15453 17771.4
490 Retro Peritoneal Tumor Removal 16200 18630
491 Radio ablation of varicose veins 1620 1863
492 Laser ablation of varicose veins 15525 17854.2
493 Laparoscopic Fundoplication 17370 19975.5
494 Laparoscopic Splenectomy 22500 25875
495 Laparoscopic Removal of hydatid cyst 16200 18630
496 Laparoscopic treatment of Pseudo Pancreatic cyst 16200 18630
497 Laparoscopic Whipple's operation (Laparoscopic Pancreatico Duodenectomy 18000 20700
498 Laparoscopic GI bypass operation 19800 22770
499 Laparoscopic Total Colectomy 22500 25875
500 Laparoscopic Hemicolectomy 20700 23805
501 Laparoscopic Anterior Resection (of Intestine/ Rectum) 20700 23805
502 Laparoscopic Cholecystetomy 17077.5 19638.9
503 Laparoscopic Appedicectomy 16200 18630
504 Laparoscopic Hernia inguinal repair 16200 18630
505 Laparoscopic ventral Hernia Repair 15750 18112.5
506 Laparoscopic Paraumblical Hernia Repair 17500 20125
507 Laparoscopic Adrenelectomy 10800 12420
508 Laparoscopic Nephrectomy 19800 22770
TREATMENT PROCEDURE ICU/CCU PROCEDURES(SPECIAL CARE CASES)
511 Coronary Care with Cardiac Monitoring (Room Rent extra) 675 776.7
512 Compressed air / piped oxygen /per hour 45 52.2
513 Ventilator charges (Per day) 477.9 549.9
514 Paediatric care for New born (Per day) 167.4 192.6
515 Incubator charges (Per day) 310.5 357.3
516 Neonatal ICU charges (Per day) 351.9 405
517 Resuscitation 165.6 190.8
518 Exchange Transfusion 238.5 274.5
519 Pneupack ventilator in Nursery (Per day) 517.5 594.9
TREATMENT PROCEDURE CARDIOVASCULAR ANDCARDIAC SURGERY & INVESTIGATIONS
520 Atrial Septal Defect(ASD) closure 46627.2 53621.1
521 Ventricular septal defect (VSD) with graft 46627.2 53621.1
522 TOF/TAPVC/TCPC/REV/RSOV repair 114367.5 131522.4
523 BD Glenn/Left atrium myxoma 72675 85500
524 Senning/Arterial Switch Operation (ASO) with graft 109969.2 126464.4
525 Double Switch Operation (DSO) 93253.5 107241.3
526 Atrioventricular(AV) canal repair 144900 166635
527 Fontan procedure 152100 174915
528 Conduit repair 152100 174915
529 Coronary Artery Bypass Graft surgery (CABG) 114367.5 131522.4
530 CABG + Intra-Aortic Balloon Pump (IABP) 152100 174915
531 CABG + Valve. 152100 174915
532 CABG without bypass. 126000 144900
533 Ascending aorta replacement 117000 134550
534 Double Valve Replacement (DVR) 155422 178735
535 Mitral valve Replacement(MVR)/ Aortic valve Replacement(AVR) 93253.5 107241.3
536 Mitral Valve repair + Aortic Valve repair 93253.5 107241.3
537 Aorta femoral bypass 46800 53820
538 Blalock-Taussig shunt (BT Shunt) / Coarctation 46782 53799.3
539 Pulmonary Artery Banding (PA Banding) Septostomy 46782 53799.3
540 Pericardectomy 38088 43801.2
541 Congenital cytomegalovirus (CMV)/ patent ductus arteriosus (PDA) 46782 53799.3
542 Gunshot injury 46782 53799.3
543 Heart transplant 248400 285660
544 Balloon coronary angioplasty/PTCA with VCD 72540 83421
545 Balloon coronary angioplasty/PTCA without VCD 72000 82800
546 Rotablation 43987.5 50585.4
547 Percutaneous transvenous mitral commissurotomy (PTMC) / percutaneous mitral
9237.6
balloon valvotomy 10623.6
548 Cardiac Catheterization (CATH) 9000 10350
549 Aortic Arch Replacement 9315 10712.7
550 Aortic Dissection 11385 13093.2
551 Thoraco Abdominal Aneurism Repair 13500 15525
552 Embolectomy 18900 21735
553 Vascular Repair 32400 37260
554 Bentall Repair with Prosthetic Valve 27000 31050
555 Bentall Repair with Biologic Valve 114750 135000
556 Coaractation dilatation 13050 15007.5
557 Coaractation dilatation with Stenting 16650 19147.5
558 Temporary cardiac pacing (TPI) Single Chamber 6750 7762.5
559 Temporary cardiac pacing (TPI) Dual Chamber 7344 8640
560 Permanent pacemaker implantation (PPI)- Single Chamber 12420 14283
561 Permanent pacemaker implantation- Dual Chamber 17388 19996.2
562 Permanent pacemaker implantation (PPI)-Biventricular 31050 35707.5
563 Automatic implantable cardioverter defibrillator (AICD) Single Chamber 25875 29756.7
564 Automatic implantable cardioverter defibrillator (AICD) Dual Chamber 36000 41400
565 Combo device implantation 36000 41400
566 Diagnostic Electrophysiological studies conventional 4095 4709.7
567 Ambulatory BP monitoring 528.3 621
568 External Loop/event recording 2563.2 3015
569 RF Ablation conventional 31500 36225
570 RF Ablation Atrial Tachycardia/Carto 40500 46575
571 Endomyocardial biopsy 9000 10350
572 Intra aortic balloon pump (IABP) 7038 8093.7
573 Intra vascular coils 41400 47610
574 Septostomy- Balloon 14535 17100
575 Septostomy- Blade 17595 20234.7
576 Aortic valve balloon dilatation (AVBD) / pulmonary valve balloon dilatation 43470
(PVBD) 49990.5
577 Digital subtraction angiography-Peripheral artery 10350 11902.5
578 Digital subtraction angiography- venogram 10350 11902.5
579 CT Guided biopsy 1138.5 1309.5
580 Sinogram 776.7 892.8
581 Peripheral Angioplasty with VCD 10350 11902.5
582 Peripheral Angioplasty without VCD 10350 11902.5
583 Renal Angioplasty 54315 63900
584 Intravascular ultrasound (IVUS) 22500 25875
585 Fractional flow reserve (FFR) 11475 13500
586 Holter analysis 765 900
587 Aortic stent grafting for aortic aneurysm 70650 81247.5
588 Inferior Vena Cava (IVC) filter implantation 14516.1 16693.2
589 ASD/VSD/PDA device closure 32602.5 37493.1
590 Electrocardiogram (ECG) 45 52.2
591 Head--up tilt test (HUTT) 1980 2277
592 2D echocardiography 1080 1242
593 3D echocardiography 1262.7 1485
594 Fetal Echo 1260 1449
595 2D Transesophageal Echocardiography (TEE) 1262.7 1485
596 3D Transesophageal Echocardiography (TEE) 1262.7 1485
597 Stress Echo- exercise 1350 1552.5
598 Stress Echo- pharmacological 2250 2587.5
599 Stress Myocardial Perfusion Imaging (MPI)- exercise 1759.5 2070
600 Stress Myocardial Perfusion Imaging (MPI) - pharmacological 2250 2587.5
601 Coronary angiography 10350 11902.5
602 CT coronary angiography 5427 6241.5
603 Cardiac CT scan 2044.8 2351.7
604 Cardiac MRI 2199.6 2529.9
605 Stress Cardiac MRI 2700 3105
606 MR angiography. 5071.5 5832
607 Cardiac PET 1350 1552.5
608 Pericardiocentesis 3150 3622.5
TREATMENT PROCEDURE OBSTETRICS ANDGYNAECOLOGY
611 Normal delivery with or without Episiotomy & P. repair 7200 8280
612 vacuum delivery 7762.5 8927.1
613 Forceps Delivery 8280 9522
614 Cesarean Section(CS) 12645 14542.2
615 Cesarean Hysterectomy 17077.5 19638.9
616 Rupture Uterus closure & repair with Tubal Ligation 15525 17854.2
617 Perforation of Uterus after D/E Laparotomy & Closure 12420 14283
618 Laparotomy for Ectopic pregnancy 12420 14283
619 Laparotomy-peritonitis Lavage and Drainage 10350 11902.5
620 Salphingo-Oophorectomy/ Oophorectomy Laparoscopic 9000 10350
621 Ovarian Cystectomy-laparoscopic. 9315 10712.7
622 Ovarian Cystectomy -laparotomy. 12420 14283
623 Salpingo-Oophorectomy-laparotomy 10368 11923.2
624 Laparoscopic Broad Ligament Hematoma Drainage withrepair 6210 7141.5
625 Exploration of perineal Haematoma & Repair 7200 8280
626 Exploration of abdominal Haematoma (after laparotomy +LSCS) 7245 8332.2
627 Manual Removal of Placenta 3105 3571.2
628 Examination under anesthesia (EUA) 900 1035
629 Burst-abdomen Repair 9000 10350
630 Gaping Perineal Wound Secondary Suturing 1490.4 1713.6
631 Gaping abdominal wound Secondary Suturing 3105 3571.2
632 Complete perineal tear-repair 1915.2 2202.3
633 Exploration of PPH-tear repair 3150 3622.5
634 Suction evacuation vesicular mole 4500 5175
635 Suction evacuation Missed abortion/ incomplete abortion 4657.5 5355.9
636 Colpotomy 3105 3571.2
637 Repair of post-coital tear/ perineal injury 3157.2 3630.6
638 Excision of urethral caruncle 3105 3571.2
639 Shirodhkar/ McDonald stitch 2898 3332.7
640 Abdominal Hysterectomy with or without salpingo-oophorectomy 15525 17854.2
641 Non-descent Vaginal Hysterectomy (NDVH) 15525 17854.2
642 Vaginal Hysterectomy with repairs (UV Prolapse) 15525 17854.2
643 Myomectomy -laparotomy 12600 14490
644 Myomectomy -laparoscopic 5692.5 6546.6
645 Vaginoplasty 13455 15473.7
646 Vulvectomy -Simple 8280 9522
647 Vulvectomy-Radical 8280 9522
648 Rectovaginal Fistula (RVF) Repair 18975 21821
649 Manchester Operation 13500 15525
650 Shirodkar’s sling Operation or other sling operations forprolapse uterus 3105 3571.2
651 Laparoscopic sling operations for prolapse uterus 25200 28980
652 Diagnostic Curettage 2235.6 2571.3
653 Cervical Biopsy 1620 1863
654 Polypectomy 1366.2 1571.4
655 Other-Minor Operation Endometrial 2070 2380.5
656 Excision Vaginal Cyst/Bartholin Cyst 3105 3571.2
657 Excision Vaginal Septum 4140 4761
658 Laparoscopy -Diagnostic with chromopertubation and oradhesiolysis and drilling
3622.5 4166.1
659 Laparoscopy Sterilization 3105 3571.2
660 Laparoscopically Assisted Vaginal Hysterectomy (LAVH) 22718.7 26126.1
661 Balloon Temponade for Post Partum Haemorrhage (PPH) 2520 2898
662 Total laparoscopic hysterectomy 22718.7 26126.1
663 Laparoscopic treatment of Ectopic pregnancy-salpingectomy/salpingostomy conservative
8797.5 10116.9
664 Conisation of cervix 3622.5 4166.1
665 Trachelectomy of cervix for early CA cervix 4950 5692.5
666 Hysteroscopic cannulation 2587.5 2975.4
667 Laparotomy recannalization of Fallopian tubes-(Tubuloplasty) 20182.5 23210.1
668 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty) 17550 20182.5
669 Colposcopy 862.2 991.8
670 Inversion of Uterus – Vaginal Reposition 2250 2587.5
671 Inversion of Uterus – Abdominal Reposition 2250 2587.5
672 Laparoscopic Vesicovaginal Fistula (VVF) Repair 25200 28980
673 Abdominal Vesicovaginal Fistula (VVF) Repair 25200 28980
674 Vaginal Vesicovaginal Fistula (VVF) Repair 25200 28980
675 Interventional Ultrasonography- Chorionic villus sampling (CVS) 792 910.8
676 Amniocentesis 792 910.8
677 Karyotyping 720 828
678 Thermal balloon ablation. 10350 11902.5
679 Ultrasonographic myolysis 9263.7 10653.3
680 Vaginal Myomectomy 9000 10350
681 Intra Uterine Inseminition 828 952.2
682 Intracytoplasmic sperm injection (ICSI) 10350 11902.5
683 Laparotomy abdominal sacro-colpopexy 13500 15525
684 Vaginal Colpopexy 19800 22770
685 Laparoscopic abdominal sacro-colpopexy 18000 20700
686 Laparotomy pelvic Lymphadenectomy 1080 1242
687 Laparoscopic pelvic Lymphadenectomy 3150 3622.5
688 Endometrial aspiration cytology/biopsy 513 590.4
689 Transvaginal sonography (TVS for Follicular monitioring/aspiration) 414 476.1
690 laparoscopic treatment for stress incontinence 13500 15525
691 Transvaginal tapes for Stress incontinence 13500 15525
692 trans-obturator tapes for Stress incontinence 10800 12420
693 Interventional radiographic arterial embolization 16200 18630
694 Diagnostic cystoscopy 2587.5 2975.4
695 Staging laparotomy surgery for Carcinoma Ovary 5692.5 6546.6
696 Internal Iliac ligation 3053.7 3511.8
697 stepwise devascularisation 8280 9522
698 Assisted breech delivery 9832.5 11307.6
699 Intra-uterine fetal blood transfusion 19147.5 22019.4
700 Hysteroscopy Transcervical Resection of Endometrium (TCRE) 7650 8797.5
701 Hysteroscopy Removal of Intra-uterine Contraceptive Device (IUCD) 6750 7762.5
702 Hysteroscopy Removal of Septum 9900 11385
703 Hysteroscopy Diagnostic 6750 7762.5
704 Radical Hysterectomy for Cancer cervix with pelviclymphadenectomy 7650 8797.5
705 Radical Hysterectomy for Cancer endometrium extendingto cervix with pelvic7650
and para aortic lymphadenectomy8797.5
706 Sterilization Post partum (minilap) 3375 3881.7
707 Sterilization interval (minilap) 3375 3881.7
708 Ultrasonography Level II scan/Anomaly Scan 450 517.5
709 Fetal nuchal Translucency 270 310.5
710 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler 765 880.2
711 Medical Termination of Pregnancy (MTP)- 1st Trimester 2700 3105
712 Medical Termination of Pregnancy (MTP) - 2nd Trimester 3933 4523.4
713 Quadruple test 1800 2070
714 Biophysical score 540 621
TREATMENT PROCEDURE NEPHROLOGY AND UROLOGY
717 Partial Nephrectomy -open 14593.5 16782.3
718 Partial Nephrectomy-Laparoscopic/endoscopic 13041 14997.6
719 Nephrolithomy -open 10800 12420
720 Nephrolithomy -Laparoscopic/endoscopic 12600 14490
721 Pyelolithotomy-open 11700 13455
722 Pyelolithotomy -Laparoscopic/endoscopic 9522 10950.3
723 Operations for Hydronephrosis -pyeloplasty open 16560 19044
724 Operations for Hydronephrosis -pyeloplasty Lap/endoscopic 17100 19665
725 Operations for Hydronephrosis Endopyelotomy antegrade 18000 20700
726 Operations for Hydronephrosis Endoplyelotomy retrograde 18000 20700
727 Operations for Hydronephrosis -ureterocalicostomy 16200 18630
728 Operations for Hydronephrosis-Ileal ureter 16200 18630
729 Open Drainage of Perinephric Abscess 7200 8280
730 Percutaneous Drainage of Perinephric Abscess -Ultrasoundguided 5175 5951.7
731 Cavernostomy 8797.5 10350
732 Operations for Cyst of the Kidney -open 10764 12378.6
733 Operations for Cyst of the Kidney -Lap/endoscopic 12627 14521.5
734 Ureterolithotomy -open 11923.2 13711.5
735 Ureterolithotomy-Lap/Endoscopic 9000 10350
736 Nephroureterectomy open 14490 16663.5
737 Nephroureterectomy -Lap/Endoscopic 14490 16663.5
738 Operations for Ureter for -Double Ureters 17100 19665
739 Operations for Ureter -for Ectopia of Single Ureter 16200 18630
740 Operations for Vesicoureteric Reflux (VUR) -Open 16200 18630
741 Operations for Vesicoureteric Reflux (VUR)-Lap/Endoscopic 16200 18630
742 Operations for Vesicoureteric Reflux (VUR)/ Urinary incontinence with bulking 18630
agents 21424.5
743 Ureterostomy - Cutaneous 10800 12420
744 Uretero-Colic anastomosis 14400 16560
745 Formation of an Ileal Conduit 15525 17854.2
746 Ureteric Catheterisation 8278 10950
747 Biopsy of Bladder (Cystoscopic) 2070 2380.5
748 Cysto-Litholapaxy 9832.5 11307.6
749 Operations for Injuries of the Bladder 9000 10350
750 Suprapubic Drainage (Cystostomy/vesicostomy) 5400 6210
751 Simple Cystectomy 15525 17854.2
752 Diverticulectomy -open 14400 16560
753 Diverticulectomy- Lap/Endoscopic 16560 19044
754 Diverticulectomy -Endoscopic incision of neck 1552.5 1785.6
755 Augmentation Cystoplasty 6003 6903.9
756 Operations for Exstrophy of the Bladder- Single stage repair 20070 23080.5
757 Operations for Exstrophy of the Bladder- Multistage repair 18733.5 21543.3
758 Operations for Exstrophy of the Bladder- simple cystectomy with urinary diversion
20250 23287.5
759 Repair of Ureterocoel -Open 12420 14283
760 Repair of Ureterocoel -Lap/Endoscopic 12937.5 14877.9
761 Repair of Ureterocoel -Endoscopic incision 11700 13455
762 Open Suprapubic Prostatectomy 18630 21424.5
763 Open Retropubic Prostatectomy 18112.5 20829.6
764 Transurethral Resection of Prostate (TURP) 16767 19282.5
765 Urethroscopy/ Cystopanendoscopy 4140 4761
766 Internal urethrotomy -optical 5175 5951.7
767 Internal urethrotomy -Core through urethroplasty 9936 11426.4
768 Urethral Reconstruction -End to end ansatamosis 3105 3571.2
769 Urethral Reconstruction - substitution urethroplasty(Transpubic urethroplasty)17595 20234.7
770 Abdomino Perineal urethroplasty 12600 14490
771 Posterior Urethral Valve fulguration. 10143 11664.9
772 Operations for Incontinence of Urine - Male -Open 15525 17854.2
773 Operations for Incontinence of Urine - Male -Sling 16560 19044
774 Operations for Incontinence of Urine - Male-Bulking agent 17491.5 20115
775 Operations for Incontinence of Urine - Female -Open 15525 17854.2
776 Operations for Incontinence of Urine - Female-Sling 16560 19044
777 Operations for Incontinence of Urine - Female-Bulking agent 17491.5 20115
778 Reduction of Paraphimosis 1552.5 1785.6
779 Circumcision 2700 3105
780 Meatotomy 2111.4 2428.2
781 Meatoplasty 2898 3332.7
782 Operations for Hypospadias + Chordee Correction 8280 9522
783 Operations for Hypospadias - Second Stage 13500 15525
784 Operations for Hypospadias - One Stage Repair 8280 9522
785 Operations for Crippled Hypospadias 10350 11902.5
786 Operations for Epispadias _primary repair 11333.7 13033.8
787 Operations for Epispadias-crippled epispadias 10246.5 11783.7
788 Partial Amputation of the Penis 9687.6 11141.1
789 Total amputation of the Penis 10800 12420
790 Orchidectomy-Simple 8797.5 10116.9
791 Orchidectomy -Radical 10867.5 12497.4
792 Post Radical Orchidectomy retroperitoneal lymph nodedissection. 12600 14490
793 Epididymectomy 15938 18750
794 Adreneclectomy Unilateral/Bilateral for Tumour/ForCarcinoma- Open 22770 26185.5
795 Adreneclectomy Unilateral/Bilateral for Tumour/ForCarcinoma -Lap/Endoscopic
12937.5 14877.9
796 Operations for Hydrocele - Unilateral 5278.5 6070.5
797 Operations for Hydrocele - Bilateral 7700.4 8855.1
798 Operation for Torsion of Testis 10350 11902.5
799 Micro-surgical Vasovasostomy /Vaso epidedymalansatamosis . 9936 11426.4
800 Operations for Varicocele Unilateral-Microsurgical 6934.5 7974.9
801 Operations for Varicocele Palomo’s Unilateral - Lap 8280 9522
802 Operations for Varicocele Bilateral --Microsurgical 11385 13093.2
803 Operations for Varicocele Bilateral – Lap/ Palomo 13455 15473.7
804 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-Penis) 5692.5 6546.6
805 Block Dissection of ilio-inguinal Nodes -Both Sides (For Ca-Penis) 20700 23805
806 Excision of Filarial Scrotum 10350 11902.5
807 Kidney Transplantation (related) 200000 230000
808 Kidney Transplantation (Spousal/ unrelated) Includingimmunosuppressant therapy
300000 345000
809 ABO incompatible Transplantation 441000 507150
810 Swap Transplantation 349200 401580
811 Kidney Transplant Graft Nephrectomy 53550 63000
812 Donor Nephrectomy (open) 25875 29756.7
813 Donor Nephrectomy (Laparoscopic) 41400 47610
814 Cadaver Transplantation 74970 86215.5
815 Kidney Transplant with Native Kidney Nephrectomy(Related)/ Unilateral 25200 28980
816 Kidney Transplant with Native Kidney Nephrectomy(Related)/ Bilateral 76500 87975
817 Kidney Transplant with Native Kidney Nephrectomy(Spousal/ Unrelated) Unilateral
76500 87975
818 Kidney Transplant with Native Kidney Nephrectomy(Spousal/ Unrelated) Bilateral
76500 87975
819 Post-Transplant Collection drainage for Lymphocele (open) 6120 7200
820 Post-Transplant Collection drainage for Lymphocele(percutaneous) 6120 7200
821 Post-Transplant Collection drainage for Lymphocele(Laparoscopic) 6885 8100
822 Arteriovenous Fistula for Haemodialysis 2070 2380.5
823 Arteriovenous Shunt for Haemodialysis 3150 3622.5
824 Jugular Catheterization for Haemodialysis 1350 1552.5
825 Subclavian Catheterization for Haemodialysis 2025 2329.2
826 One sided (single Lumen) Femoral Catheterization forHaemodialysis 900 1035
827 Bilateral (single Lumen) Femoral Catheterization forHaemodialysis 1350 1552.5
828 Double Lumen Femoral Catheterization for Haemodialysis 1665 1915.2
829 Permcath Insertion 2520 2898
830 Arterio venous Prosthetic Graft 1665 1915.2
831 Single lumen Jugular Catheterization 1350 1552.5
832 Single lumen Subclavian Catheterization 1530 1800
833 Plasma Exchange/ Plasmapheresis 1552.5 1785.6
834 Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter insertion- Open3150
method 3622.5
835 Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter insertion- Schlendinger/
3150 Seldinger method 3622.5
836 Sustained low efficiency haemodialysis / hemodialysis 1125 1294.2
837 Continuous Veno venous/Arteriovenous Haemofilteration /Hemofilteration 2025 2329.2

838 Haemodialysis / Hemodialysis for Sero negative cases 1260 1449
839 Haemodialysis / Hemodialysis for Sero Positive cases 1485 1708.2
840 Acute Peritoneal Dialysis 1305 1501.2
841 Fistulogram for Arteriovenous Fistula 2250 2587.5
842 Ultrasound guided Kidney Biopsy 765 880.2
843 Fistula stenosis dilation 2700 3105
844 Slow continuous Ultrafilteration 2250 2587.5
845 Percutaneous Nephrolithotomy (PCNL) - Unilateral 18000 20700
846 Percutaneous Nephrolithotomy (PCNL) - Bilateral 22500 25875
847 Endoscopic Bulking agent Inject 4050 4657.5
848 Testicular Biopsy 1759.5 2023.2
849 Radical Nephrectomy -Open 15525 17854.2
850 Radical Nephrectomy -Lap/Endoscopic 18630 21424.5
851 Radical Nephrectomy plus IV thrombus 20700 23805
852 Radical Nephrectomy plus IV thrombus plus cardiac bypass. 20700 23805
853 Vesicovaginal Fistula (VVF) Repair (Open) 14400 16560
854 Vesicovaginal Fistula (VVF) Repair (Laparoscopic) 19800 22770
855 Radical Cystectomy -Ileal conduit 15300 18000
856 Radical Cystectomy - continent diversion. 13500 15525
857 Radical Cystectomy – Neo bladder 16650 19147.5
858 Nephrectomy Simple -Open 9066.6 10426.5
859 Nephrectomy Simple-lap/Endoscopic 11333.7 13033.8
860 Nephrostomy -Open 9000 10350
861 Nephrostomy -Lap/Endoscopic 9633.6 11333.7
862 Ureteric Reimplant for Megaureter/Vesicoureteric reflux/ ureterocele (open) 9444.6 10861.2
863 Ureteric Reimplant for Megaureter/Vesicoureteric reflux/ ureterocele (Laparoscopic)
9444.6 10861.2
864 Partial Cystectomy 12420 14283
865 Transurethral Resection of Prostate (TURP) & Transurethral Resection of Bladder
15525Tumour (TURBT) 17854.2
866 Transurethral Resection of Prostate (TURP) with Cystolithotripsy 15300 17595
867 Closure of Urethral Fistula 9900 11385
868 Orchidopexy - Unilateral -Open 8880.3 10212.3
869 Orchidopexy - Unilateral- Lap/Endoscopic 11100.6 12765.6
870 Orchidopexy - Bilateral -Open 11053.8 12711.6
871 Orchidopexy - Bilateral -Lap/Endoscopic 13050 15007.5
872 Cystolithotomy -Suprapubic 8797.5 10116.9
873 Endoscopic Removal of Stone in Bladder 3105 3571.2
874 Resection Bladder Neck Endoscopic /Bladder neckincision/transurethral incision
9832.5
on prostrate 11307.6
875 Ureteroscopic Surgery 9315 10712.7
876 Urethroplasty 1st Stage 9832.5 11307.6
877 Scrotal Exploration 7700.4 8855.1
878 Perineal Urethrostomy 4243.5 4879.8
879 Dilatation of Stricture Urethra under G.A. 1800 2070
Sr. No. CGHS TREATMENTPROCEDURE/INVESTIGATION LIST (Lucknow) 0.9 0.9
880 Dilatation of Stricture Urethra under LA 1552.5 1785.6
881 Laparoscopic Nephrectomy (Select CGHS rate Code 508 for approved rate) 0.9 0.9
882 Laparoscopic partial Nephrectomy 9000 10350
883 Laparoscopic pyelolithotomy 11385 13093.2
884 Laparoscopic Pyeloplasty 8797.5 10116.9
885 Laparoscopic surgery for Renal cyst 8797.5 10116.9
886 Laparoscopic ureterolithotomy 10350 11902.5
887 Laparoscopic Nephroureterectomy 11902.5 13688.1
888 Extracorporeal Shock Wave Lithotripsy (ESWL) 19550 22483
889 Uroflow Study (Uroflometry) 405 466.2
890 Urodynamic Study (Cystometry) 432 496.8
891 Cystoscopy with Retrograde Catheter -Unilateral /RGP 2522.7 2900.7
892 Cystoscopy with Retrograde Catheter - Bilateral /RGP 4207.5 4950
893 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) 3042.9 3499.2
894 Voiding-cysto-urethrogram and retrograde urethrogram(Nephrostogram) 372.6 428.4
895 Radical prostatectomy-Open 16042.5 18449.1
896 Radical prostatectomy-Laparoscopic 18112.5 20829.6
897 Radical prostatectomy- Robotic (Robotic PartialNephrectomy) 18112.5 20829.6
898 Holmium YAG Prostate Surgery 13500 15525
899 Holmium YAG Optical Internal Urethrotomy (OIU) 4140 4761
900 Holmium YAG Core through internal Urethrotomy 15525 17854.2
901 Holmium YAG Stone Lithotripsy 9180 10800
902 Green Light laser for prostate 15525 17854.2
903 Retrograde Intrarenal Surgery (RIRS)/ Flexible Ureteroscopy 6120 7038
904 Microscopic Vaso-Epididymal Anastomosis (VEA)/ Vasovasostomy (reversal9936 of vasectomy for Infertility treatment)
11426.4
(Select CGHS rate cod
905 Cystoscopic Botulinum Toxin Injection ( Over activebladder/ Neurogenic bladder)
6120 7038
906 Peyronie’s disease – Plaque excision with grafting 3060 3600
907 High Intensity Focus Ultrasound (HIFU) (Robotic) forCarcinoma prostrate and 4140
renal cell carcinoma 4761
908 Prosthetic surgery for urinary incontinence 2070 2380.5
909 Transrectal Ultrasound (TRUS) guided prostate biopsy 517.5 594.9
910 Ultrasound Guided Percutaneous Nephrostomy (PCN) 648 745.2
TREATMENT PROCEDURE NEURO-SURGERY
913 Craniotomy and Evacuation of Haematoma -Subdural 45643.5 52489.8
914 Craniotomy and Evacuation of Haematoma -Extradural 45000 51750
915 Evacuation /Excision of Brain Abscess by craniotomy 36000 41400
916 Excision of Lobe (Frontal Temporal Cerebellum etc.) 36900 42435
917 Excision of Brain Tumours -Supratentorial 35210.7 40491.9
918 Excision of Brain Tumours -Infratentorial 40500 46575
919 Surgery of spinal Cord Tumours 40500 46575
920 Ventriculoatrial /Ventriculoperitoneal Shunt (Select CGHS rate code 938 for approved
10453.5 rates) 12021.3
921 Twist Drill Craniostomy 3825 4500
922 Subdural Tapping 2210.4 2541.6
923 Ventricular Tapping 2670.3 3070.8
924 Abscess Tapping 2587.5 2975.4
925 Placement of Intracranial pressure (ICP) Monitor 2587.5 2975.4
926 Skull Traction Application 2070 2380.5
927 Lumber Pressure Monitoring 3825 4500
928 Vascular Malformations 19800 22770
929 Meningo Encephalocoele excision and repair 13500 15525
930 Meningomyelocoel Repair 22495.5 25869.6
931 CSF Rhinorrhaea Repair 25875 29756.7
932 Cranioplasty 21735 24995.7
933 Anterior Cervical Dissectomy 14940 17181
934 Brachial Plexus Exploration and neurotization 13972.5 16068.6
935 Median Nerve Decompression 12600 14490
936 Peripheral Nerve Surgery – Major 15525 17854.2
937 Peripheral Nerve Surgery Minor 7452 8569.8
938 Ventriculoatrial /Ventriculoperitoneal Shunt 10453.5 12021.3
939 Nerve Biopsy 6210 7141.5
940 Brain Biopsy 5227.2 6011.1
941 Anterior Cervical Spine Surgery with fusion 28980 33327
942 Anterio Lateral Decompression of spine 25875 29756.7
943 Brain Mapping 753.3 866.7
944 Cervical or Dorsal or Lumbar Laminectomy 20700 23805
945 Combined Trans-oral Surgery & Craniovertebral (CV) Junction Fusion 31050 35707.5
946 Craniovertebral Junction (CVJ) Fusion procedures 27000 31050
947 Depressed Fracture Elevation 22500 25875
948 Lumbar Discectomy 24840 28566
949 Endarterectomy (Carotid) 18000 20700
950 Radiofrequency Ablation (RFA) for Trigeminal Neuralgia 10350 11902.5
951 Spasticity Surgery - 35707.5 41063.4
952 Spinal Fusion Procedure 27000 31050
953 Spinal Intra Medullary Tumours 31050 35707.5
954 Spinal Bifida Surgery Major 17077.5 19638.9
955 Spinal Bifida Surgery Minor 13500 15525
956 Stereotaxic Procedures- biopsy/aspiration of cyst 20700 23805
957 Trans Sphenoidal Surgery 27000 31050
958 Trans Oral Surgery 27000 31050
959 Implantation of Deep Brain Stimulation (DBS) -One electrode 31050 35707.5
960 Implantation of Deep Brain Stimulation (DBS) -two electrodes 36225 41659.2
961 Endoscopic aqueductoplasty 13500 15525
962 Facial nerve reconstruction 27000 31050
963 Carotid stenting 38036.7 43741.8
964 Cervical disc arthroplasty 24840 28566
965 Lumbar disc arthroplasty 12420 14283
966 Corpus callostomy for Epilepsy 31500 36225
967 Hemispherotomy for Epilepsy 28980 33327
968 Endoscopic CSF rhinorrhea repair 27000 31050
969 Burr hole evacuation of chronic subdural haematoma 21735 24995.7
970 Epilepsy surgery 32602.5 37493.1
971 Radiofrequency Ablation (RFA) for facet joint pain syndrome 15525 17854.2
972 Cervical laminoplasty 28800 33120
973 Lateral mass C1-C2 screw fixation 20700 23805
974 Microsurgical decompression for Trigeminal nerve 34200 39330
975 Microsurgical decompression for hemifacial spasm 4181.4 4808.7
976 Extracranial-Intracranial Bypass Procedures (EC-IC) bypass procedures 28800 33120
977 Image guided craniotomy 26082 29994.3
978 Baclofen pump implantation 35100 40365
979 Programmable Ventriculo-Peritoneal (VP) shunt 22500 25875
980 Endoscopic sympathectomy 15396.3 17705.7
981 Lumber puncture 186.3 214.2
982 External ventricular drainage (EVD) 4140 4761
983 Endoscopic 3rd ventriculostomy 36000 41400
984 Endoscopic cranial surgery/Biopsy/aspiration 28382.4 32639.4
985 Endoscopic discectomy (Lumbar, Cervical) 32058.9 36867.6
986 Aneurysm coiling (Endovascular) 30960 35604
987 Surgery for skull fractures 36000 41400
988 Carpel Tunnel decompression 13500 15525
989 Clipping of intracranial aneurysm 21735 24995.7
990 Surgery for intracranial Arteriovenous malformations(AVM) 36000 41400
991 Foramen magnum decompression for Chari Malformation 93750 107813
992 Dorsal column stimulation for backache in failed backsyndrome 25875 29756.7
993 Surgery for recurrent disc prolapse/epidural fibrosis 28980 33327
994 Surgery for brain stem tumours 39589.2 45527.4
995 Decompressive craniotomy for hemishpherical acutesubdural haematoma/brain 36000
swelling/large infarct 41400
996 Intra-arterial thrombolysis with Tissue Plasminogen Activator (TPA) (for ischemic
4140 stroke ) 4761
997 Steriotactic aspiration of intracerebral haematoma 29290.5 33684.3
998 Endoscopic aspiration of intracerebellar haematoma 36000 41400
999 Steriotactic Radiosurgery for brain pathology(Xknife/Gamma ) - ONE session24804 28524.6
1000 Steriotactic Radiosurgery for brain pathology(X knife /Gamma knife -Two or 51750
more sessions 59512.5
1001 Chemotheraphy wafers for malignant brain tumors 13005 14956.2
1002 Battery Placement for Deep Brain Stimulation (DBS) 19800 22770
1003 Baclofen pump implantation for spasticity 15597 17937
1004 Peripheral Nerve tumor surgery 21600 24840
1005 Surgery Intra Cranial Meningioma 18000 20700
1006 Surgery for Intracranial Schwannoma 31500 36225
1007 Surgery for Gliomas 40500 46575
1008 Surgery for Orbital tumors 36000 41400
1009 Surgery for Cranial (Skull) tumors 34650 39847.5
1010 Surgery for Scalp Arteriovenous Malformations (AVMs) 22500 25875
1011 Kyphoplasty 36000 41400
1012 Balloon Kyphoplasty 36000 41400
1013 Lesioning procedures for Parkinson’s disease, Dystonia etc. 31500 36225
TREATMENT PROCEDURE PAEDIATRIC SURGERY
1016 Excision of thyroglossal Duct/Cyst 14400 16560
1017 Diaphragmatic Hernia Repair (Thoracic or AbdominalApproach) 15525 17854.2
1018 Tracheo Oesophageal Fistula (Correction Surgery) 20700 23805
1019 Colon Replacement of Oesophagus 20700 23805
1020 Omphalo Mesenteric Cyst Excision 15525 17854.2
1021 Omphalo Mesenteric Duct- Excision 13972.5 16068.6
1022 Meckels Diverticulectomy 3012.3 3464.1
1023 Omphalocele 1st Stage (Hernia Repair) 13972.5 16068.6
1024 Omphalocele 2nd Stge (Hernia Repair) 15525 17854.2
1025 Gastroschisis Repair 14490 16663.5
1026 Inguinal Herniotomy 11302.2 12997.8
1027 Congenital Hydrocele 10800 12420
1028 Hydrocele of Cord 10800 12420
1029 Torsion Testis Operation 13500 15525
1030 Congenital Pyloric Stenosis- operation 12544.2 14426.1
1031 Duodenal Atresia Operation 12600 14490
1032 Pancreatic Ring Operation 20182.5 23210.1
1033 Meconium Ileus Operation 13050 15007.5
1034 Malrotation of Intestines Operation 11700 13455
1035 Rectal Biopsy (Megacolon) 8762.4 10076.4
1036 Colostomy Transverse 13500 15525
1037 Colostomy Left Iliac 13500 15525
1038 Abdominal Perineal Pull Through (Hirschsprung's Disease) 17100 19665
1039 Imperforate Anus Low Anomaly -Cut Back Operation 9211.5 10593
1040 Imperforate Anus Low Anomaly - Perineal Anoplasty 10800 12420
1041 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through 11250 12937.5
1042 Imperforate Anus High Anomaly - Closure of Colostomy 7762.5 8927.1
1043 Intussusception Operation 18630 21424.5
1044 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct 13500 15525
1045 Operation of Choledochal Cyst 14400 16560
1046 Nephrectomy for -Pyonephrosis 15300 17595
1047 Nephrectomy for - Hydronephrosis 13500 15525
1048 Nephrectomy for -Wilms Tumour 13500 15525
1049 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 18000 20700
1050 Sacro-Coccygeal Teratoma Excision 12600 14490
1051 Neuroblastoma Debulking 14400 16560
1052 Neuroblastoma Total Excision 18630 21424.5
1053 Rhabdomyosarcoma wide Excision 13500 15525
1054 Congenital Atresia & Stenosis of Small Intestine 17100 19665
1055 Muconium ileus 14400 16560
1056 Malrotation & Volvulus of the Midgut 13500 15525
1057 Excision of Meckel’s Deverticulum 10800 12420
TREATMENT PROCEDURE BURNS AND PLASTICSURGERY
1060 Primary Suturing of Wound 270 310.5
1061 Injection of Keloids - Ganglion 989.1 1137.6
1062 Injection of Keloids - Haemangioma 1035 1190.7
1063 Free Grafts - Wolfe Grafts 1552.5 1785.6
1064 Free Grafts - Thiersch- Small Area 5% 6727.5 7736.4
1065 Free Grafts - Large Area 10% 7200 8280
1066 Free Grafts - Very Large Area 20% and above. 9315 10712.7
1067 Skin Flaps - Rotation Flaps 8073 9284.4
1068 Skin Flaps - Advancement Flaps 11250 12937.5
1069 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap 11250 12937.5
1070 Skin Flaps - Cross Finger 11250 12937.5
1071 Skin Flaps - Abdominal 8415 9900
1072 Skin Flaps - Thoracic 8415 9900
1073 Skin Flaps - Arm Etc. 9900 11385
1074 Subcutaneous Pedicle Flaps Raising 6210 7141.5
1075 Subcutaneous Pedicle Flaps Delay 5355 6300
1076 Subcutaneous Pedicle Flaps Transfer 5355 6300
1077 Cartilage Grafting 7762.5 8927.1
1078 Reduction of Facial Fractures of Nose 1242 1428.3
1079 Reduction of Facial Fractures of Maxilla 7200 8280
1080 Reduction of Fractures of Mandible & Maxilla - Eyelet Splinting 6727.5 7736.4
1081 Reduction of Fractures of Mandible & Maxilla - Cast Metal Splints 6210 7141.5
1082 Reduction of Fractures of Mandible & Maxilla - Gunning Splints 6750 7762.5
1083 Internal Wire Fixation of Mandible & Maxilla 10350 11902.5
1084 Cleft Lip - repair. 10350 11902.5
1085 Cleft Palate Repair 11385 13093.2
1086 Primary Bone Grafting for alveolar cleft in Cleft Lip 10350 11902.5
1087 Secondary Surgery for Cleft Lip Deformity 9000 10350
1088 Secondary Surgery for Cleft Palate 11385 13093.2
1089 Reconstruction of Eyelid Defects - Minor 5692.5 6546.6
1090 Reconstruction of Eyelid Defects - Major 7650 8797.5
1091 Plastic Surgery of Different Regions of the Ear - Minor 7245 8332.2
1092 Plastic Surgery of Different Regions of the Ear - Major 9315 10712.7
1093 Plastic Surgery of the Nose - Minor 7245 8332.2
1094 Plastic Surgery of the Nose - Major 8550 9832.5
1095 Plastic Surgery for Facial Paralysis (Support withReanimation) 14490 16663.5
1096 Pendulous Breast - Mammoplasty 11700 13455
1097 Underdeveloped Breast Mammoplasty 10800 12420
1098 After Mastectomy (Reconstruction)Mammoplasty 10800 12420
1099 Syndactyly Repair 11475 13500
1100 Dermabrasion Face 11902.5 13688.1
1101 upto 30% Burns 1st Dressing 136.8 157.5
1102 upto 30% Burns Subsequent Dressing 111.6 128.7
1103 30% to 50% Burns 1st Dressing 173.7 199.8
1104 30% to 50% Burns Subsequent Dressing 136.8 157.5
1105 Extensive Burn -above 50% Frist Dressing 248.4 285.3
1106 Extensive Burn -above 50% Subsequent dressing 173.7 199.8
TREATMENT PROCEDURE ORTHOPEDICS
1107 Plaster Work 229.5 270
1108 Fingers (post slab) 233.1 268.2
1109 Fingers full plaster 233.1 268.2
1110 Colles Fracture - Below elbow 880.2 1012.5
1111 Colles Fracture - Full plaster 894.6 1028.7
1112 Colles fracture Ant. Or post. slab 360 414
1113 Above elbow full plaster 155.7 179.1
1114 Above Knee post-slab 517.5 259.2
1115 Below Knee full plaster 155.7 179.1
1116 Below Knee post-slab 646.2 743.4
1117 Tube Plaster (or plaster cylinder) 720 828
1118 Above knee full plaster 1138.5 1309.5
1119 Above knee full slab 1042.2 1198.8
1120 Minerva Jacket 2173.5 2499.3
1121 Plaster Jacket 1966.5 2261.7
1122 Shoulder spica 1759.5 2023.2
1123 Single Hip spica 2018.7 2321.1
1124 Double Hip spica 2484 2856.6
1125 Strapping of Finger 161.1 185.4
1126 Strapping of Toes 162 186.3
1127 Strapping of Wrist 207 238.5
1128 Strapping of Elbow 235.8 270.9
1129 Strapping of Knee 310.5 357.3
1130 Strapping of Ankle 310.5 357.3
1131 Strapping of Chest 414 476.1
1132 Strapping of Shoulder 466.2 536.4
1133 Figure of 8 bandage 466.2 536.4
1134 Collar and cuff sling 229.5 270
1135 Ball bandage 360 414
1136 Application of POP Casts for Upper & Lower Limbs 569.7 655.2
1137 Application of Functional Cast Brace 1215 1397.7
1138 Application of Skin Traction 621 714.6
1139 Application of Skeletal Tractions 854.1 981.9
1140 Bandage & Strappings for Fractures 496.8 571.5
1141 Aspiration & Intra Articular Injections 517.5 594.9
1142 Application of POP Spices & Jackets 2225.7 2559.6
1143 Close Reduction of Fractures of Limb & POP 2340 2691
1144 Reduction of Compound Fractures 2484 2856.6
1145 Open Reduction & Internal Fixation (ORIF) of Fingers & Toes 4657.5 5355.9
1146 Open Reduction of fracture of Long Bones of Upper / Lower Limb -Nailing &7245
External Fixation 8332.2
1147 Open Reduction of fracture of Long Bones of Upper / LowerLimb -AO Procedures
8694 9998.1
1148 Tension Band Wirings 5092.2 5856.3
1149 Bone Grafting 5940.9 6831.9
1150 Excision of Bone Tumours 6210 7141.5
1151 Excision or other Operations for Scaphoid Fractures 6469.2 7439.4
1152 Sequestrectomy & Saucerisation 6210 7141.5
1153 Sequestrectomy & Saucerizations -Arthrotomy 8973.9 10320.3
1154 Multiple Pinning Fracture Neck Femur 10350 11902.5
1155 Plate Fixations for Fracture Neck Femur 12150 13972.5
1156 AO Compression Procedures for Fracture Neck Femur 14904 17139.6
1157 Open Reduction of Fracture Neck Femur Muscle PedicleGraft and Internal Fixations
17550 20182.5
1158 Close Reduction of Dislocations 2856.6 3285
1159 Open Reduction of Dislocations 3095.1 3559.5
1160 Open Reduction & Internal Fixation (ORIF) of Fracture Dislocation 12150 13972.5
1161 Neurolysis/Nerve repair 12420 14283
1162 Nerve Repair with Grafting 15007.5 17258.4
1163 Tendon with Transplant or Graft 9315 10712.7
1164 Tendon Lengthening/Tendon repair 7245 8332.2
1165 Tendon Transfer 2794.5 3213.9
1166 Laminectomy Excision Disc and Tumours 4347 4999.5
1167 Split Osteotomy and Internal Fixations 21735 24995.7
1168 Anterolateral decompression for tuberculosis/ Costo-Transversectomy 3105 3571.2
1169 Antereolateral Decompression and Spine Fusion 17415 20027.7
1170 Corrective Osteotomy & Internal Fixation- short bones 12420 14283
1171 Corrective Osteotomy & Internal Fixation- long bones 9936 11426.4
1172 Arthrodesis of - Minor Joints 9315 10712.7
1173 Arthrodesis of - Major Joints 9000 10350
1174 Soft Tissue Operations for Congenital Talipes Equinovarus (CTEV) 7245 8332.2
1175 Soft Tissue Operations for Polio 6210 7141.5
1176 Hemiarthroplasty- Hip 18000 20700
1177 Hemiarthroplasty- Shoulder 18000 20700
1178 Operations for Brachial Plexus & Cervical Rib 21735 24995.7
1179 Amputations - Below Knee 6210 7141.5
1180 Amputations - Below Elbow 6158.7 7082.1
1181 Amputations - Above Knee 7245 8332.2
1182 Amputations - Above Elbow 6158.7 7082.1
1183 Amputations - Forequarter 11902.5 13688.1
1184 Amputations -Hind Quarter and Hemipelvectomy 16560 19044
1185 Disarticulations - Major joint 18630 21424.5
1186 Disarticulations - Minor joint 11385 13093.2
1187 Arthrography 8280 9522
1188 Arthroscopy - Diagnostic 7711.2 8867.7
1189 Arthroscopy-therapeutic: without implant 9000 10350
1190 Arthroscopy-therapeutic: with implant 15525 17854.2
1191 Soft Tissue Operation on Joints -Small 6210 7141.5
1192 Soft Tissue Operation on Joints -Large 12150 13972.5
1193 Myocutaneous and Fasciocutaneous Flap Procedures for Limbs 16767 19282.5
1194 Removal of Wires & Screw 1584 1821.6
1195 Removal of Plates 3726 4284.9
1196 Total Hip Replacement (THR) 71100 81765
1197 Total Ankle Joint Replacement 85860 98739
1198 Total Knee Joint Replacement (TKR) 99000 113850
1199 Total Shoulder Joint Replacement 71100 81765
1200 Total Elbow Joint Replacement 71100 81765
1201 Total Wrist Joint Replacement 90000 103500
1202 Total finger joint replacement 18000 20700
1203 Tubular external fixator 4140 4761
1204 Ilizarov's external fixator 6986.7 8034.3
1205 Pelvi-acetebular fracture -Internal fixation 7762.5 8927.1
1206 Meniscectomy 10800 12420
1207 Meniscus Repair 9000 10350
1208 Anterior Cruciate Ligament (ACL) Reconstruction 7650 8797.5
1209 Posterior Cruciate Ligament (PCL) Reconstruction 12150 13972.5
1210 Knee Collateral Ligament Reconstruction 11250 12937.5
1211 Bencarf Repair Shoulder 11880 13662
1212 RC Repair 1350 1552.5
1213 Biceps tenodesis 12600 14490
1214 Distal biceps tendon repair 9342 10743.3
1215 Arthrolysis of knee 11250 12937.5
1216 Capsulotomy of Shoulder 14220 16353
1217 Conservative Plaster of Paris (POP) 1080 1242
1218 Application for CTEV per sitting 1080 1242
1219 Total Hip Replacement (THR) Revision Stage-I 15300 17595
1220 Total Hip Replacement (THR) Revision Stage-II 45000 51750
1221 Total Knee Replacement (TKR) Revision Stage-I 31500 36225
1222 Total Knee Replacement (TKR) Revision Stage II 31500 36225
1223 Illizarov/ external fixation for limb lengthening/ deformitycorrection 11250 12937.5
1224 Discectomy/ Micro Discectomy 11250 12937.5
1225 Laminectomy 4181.4 4808.7
1226 Spinal Fixation Cervical/dorsolumbar/ lumbosacral 14400 16560
1227 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level 19800 22770
1228 Spinal Fusion Surgery Cervical/ Lumbar Spine -More than 2 Level 10800 12420
1229 Scoliosis Surgery/ Deformity Correction of Spine 22500 25875
1230 Vertebroplasty 10800 12420
1231 Spinal Injections 405 466.2
1232 Dynamic Hip Screw (DHS) for Fracture Neck Femur 13500 15525
1233 Proximal Femoral Nail (PFN for IT Fracture) 12600 14490
1234 Spinal Osteotomy 1290.6 1484.1
1235 Illizarov’s / External Fixation for Trauma 11700 13455
1236 Soft Tissue Operations for Polio/ Cerebral Palsy 9501.3 11178
1237 Mini Fixator for Hand/Foot 8100 9315
1239 Other Minor Surgery 10694.7 12582
TREATMENT PROCEDURE PHYSIOTHERAPY
1240 Ultrasonic therapy 70.2 81
1241 Shortwave Diathermy (SWD) 70.2 81
1242 Electrical stimulation (therapeutic) 70.2 81
1243 Muscle testing and diagnostic 63.9 73.8
1244 Infrared 70.2 81
1245 Ultraviolet Therapeutic (UV Therapeutic) dose 52.2 60.3
1246 Intermittent Lumbar Traction 70.2 81
1247 Intermittent Cervical traction 67.5 77.4
1248 Wax bath 67.5 77.4
1249 Hot pack 70.2 81
1250 Breathing Exercises & Postural Drainage 45 52.2
1251 Cerebral Palsy – exercise 45 52.2
1252 Post – polio exercise 45 52.2
NUCLEAR MEDICINE / RADIOTHERAPY ANDCHEMOTHERAPY
1253 Cobalt 60 therapy
1254 Cobalt 60 therapy- Radical therapy 61582.5 70820.1
1255 Cobalt 60 therapy- Palliative therapy 21994.2 25293.6
1256 Linear accelerator
1257 Linear accelerator- Radical therapy 52785 60703.2
1258 Linear accelerator- Palliative therapy 30791.7 35410.5
1259 3D Planning 4399.2 5058.9
1260 2D Planning 4399.2 5058.9
1261 IMRT(Intensity Modulated radiotherapy) 90790.2 104409
1262 SRT (Stereotactic radiotherapy) 54896.4 63130.5
1263 SRS(Stereotactic radio surgery) 72491.4 83365.2
1264 IGRT(Image guided radiotherapy) 132314.4 152161.2
1265 Respiratory Gating-alongwith Linear accelerator planning 99000 113850
1266 Electron beam with Linear accelerator 60725.7 71442
1267 Tomotherapy 71460 82179
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGHDOSE RADIATION
1268 Intracavitory 10557 12141
1269 Interstitial 52785 60703.2
1270 Intraluminal 8797.5 10116.9
1271 Surface mould 4179.6 4806.9
1272 Gliadel Wafer 84510 97186.5
NUCLEAR MEDICINE / CHEMOTHERAPY
1273 Neoadjuvant 776.7 892.8
1274 Adjuvant 776.7 892.8
1275 Concurrent-chemoradiation 828 952.2
1276 Single drug 496.8 571.5
1277 Multiple drugs 807.3 928.8
1278 Targeted therapy 828 952.2
1279 Chemoport facility 828 952.2
1280 PICC line (peripherally inserted Central Cannulisation) 828 952.2
LIST OF PROCEDURES/ TESTS INGASTROENTEROLOGY / ENDOSCOPIC PROCEDURES
1281 Upper GI Endoscopy + Lower GI Endoscopy 1552.5 1785.6
1282 Diagnostic endoscopy 225 259.2
1283 Endoscopic biopsy 310.5 357.3
1284 Endoscopic mucosal resection 1388.7 1633.5
1285 Oesophageal stricture dilatation 1552.5 1785.6
1286 Balloon dilatation of achalasia cardia 2587.5 2975.4
1287 Foreign body removal 1552.5 1785.6
1288 Oesophageal stenting 2700 3105
1289 Band ligation of oesophageal varices 2250 2587.5
1290 Sclerotherapy of oesophageal varices 2250 2587.5
1291 Glue injection of varices 2250 2587.5
1292 Argon plasma coagulation 3622.5 4166.1
1293 Pyloric balloon dilatation 2173.5 2499.3
1294 Enteranal stenting 3312 3808.8
1295 Duodenal stricture dilation 891 1025.1
1296 Single balloon enterocopy 3600 4140
1297 Double balloon enteroscopy 3150 3622.5
1298 Capsule endoscopy 4455 5123.7
1299 Piles banding 989.1 1137.6
1300 Colonic stricture dilatation 2463.3 2833.2
1301 Hot biopsy forceps procedures 2700 3105
1302 Colonic stenting 2463.3 2833.2
1303 Junction biopsy 1800 2070
1304 Conjugal microscopy 3600 4140
1305 Endoscopic sphincterotomy 2173.5 2499.3
1306 CBD stone extraction 2173.5 2499.3
1307 CBD stricture dilatation 5850 6727.5
1308 Biliary stenting (plastic and metallic) 4347 4999.5
1309 Mechanical lithotripsy of CBD stones 7200 8280
1310 Pancreatic sphincterotomy 5737.5 6750
1311 Pancreatic stricture dilatation 5175 5951.7
1312 Pancreatic stone extraction 9088.2 10451.7
1313 Mechanical lithotripsy of pancreatic stones 10246.5 11783.7
1314 Endoscopic cysto gastrostomy 7245 8332.2
1315 Balloon dilatation of papilla 6210 7141.5
1316 Ultrasound guided FNAC 517.5 594.9
1317 Ultrasound guided abscess Drainage 648 745.2
1318 Percutaneous Transhepatic Biliary Drainage (PTBD) 1035 1190.7
1319 Diagnostic angiography 1800 2070
1320 Vascular embolization 13590 15628.5
1321 Transjugular Intrahepatic Portosystemic Shunt (TIPS) 4860 5589
1322 Inferior vena cava (IVC) Venography and Hepatic vein (HV) Venography 30790.8 35409.6
1323 Muscular stenting 87975 101171.7
1324 Balloon-occluded Retrograde Intravenous Obliteration (BRTO) 51750 59512.5
1325 Portal haemodymic studies 1721.7 2025
1326 Manometry and PH metry 1450.8 1707.3
1327 Oesophageal PH metry 4500 5175
1328 Oesophageal manometry 4500 5175
1329 Small bowel manometry 6120 7200
1330 Anorectal manometry 6120 7200
1331 Colonic manometry 6885 8100
1332 Biliary manometry 6885 8100
1333 Sengstaken blackenesse tube tempode 2587.5 2975.4
1334 Lintas machles tube tempode 2587.5 2975.4
1335 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase 315 362.7
1336 Breath tests 270 310.5
1337 Extracorporeal Shortwave Lithotripsy (ESWL) (Select CGHS rate code 888 for
19550
approved rate) 22483
1338 Liver biopsy 1242 1428.3
NAME OF INVESTIGATION / DENTAL
1339 Dental IOPA X-ray 45 52.2
1340 Occlusal X-ray 70.2 81
1341 OPG X-ray 176.4 202.5
NAME OF INVESTIGATION / PULMONARY
1342 Lung Ventilation & Perfusion Scan (V/Q Scan) 3240 3726
1343 Lung Perfusion Scan 1800 2070
NAME OF INVESTIGATION / OSTEOLOGY
1344 Whole Body Bone Scan with SPECT. 3078.9 3540.6
1345 Three phase whole body Bone Scan 3078.9 3540.6
NAME OF INVESTIGATION / NEUROSCIENCES
1346 Brain Perfusion SPECT Scan with Technetium 99mradiopharmaceuticals. 8797.5 10116.9
1347 Radionuclide Cisternography for CSF leak 3366 3960
NAME OF INVESTIGATION / GASTRO ANDHEPATOBILIARY
1348 Gastro esophageal Reflux Study (GER Study) 1759.5 2023.2
1349 Gastro intestinal Bleed (GloB.) Study with Technetium 99mlabeled RBCs. 3078.9 3540.6
1350 Hepatobiliary Scintigraphy. 2199.6 2529.9
1351 Meckel's Scan 1759.5 2023.2
1352 Hepatosplenic scintigraphy with Technetium-99mradiopharmaceuticals 1683 1980
1353 Gastric emptying 1147.5 1319.4
NAME OF INVESTIGATION / GENITOURINARY
1354 Renal Cortical Scintigraphy with Technetium 99m Dimercaptosuccinic acid (DMSA)
3078.9 3540.6
1355 Dynamic Renography. 3078.9 3540.6
1356 Dynamic Renography with Diuretic. 3078.9 3540.6
1357 Dynamic Renography with Captopril 1764 2028.6
1358 Testicular Scan 1319.4 1517.4
NAME OF INVESTIGATION / ENDOCRINOLOGY
1359 Thyroid Uptake measurements with 131-Iodine. 1407.6 1619.1
1360 Thyroid Scan with Technetium 99m Pertechnetate. 1319.4 1517.4
1361 Iodine-131 Whole Body Scan 2639.7 3035.7
1362 Whole Body Scan with MIBG 15835.5 18210.6
1363 Parathyroid Scan 4399.2 5058.9
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
1364 131-lodine Therapy 1377 1620
1365 131-lodine Therapy <15mCi 3468.6 3988.8
1366 131-lodine Therapy 15-50mCi 4460.4 5129.1
1367 131-lodine Therapy 51-100mCi 10800 12420
1368 131-lodine Therapy >100mCi 13500 15525
1369 Phosphorus-32 therapy for metastatic bone pain palliation 4500 5175
1370 Samarium-153 therapy for metastatic bone pain palliation 9405 10816.2
1371 Radiosynovectomy with Yttrium 19125 22500
NAME OF INVESTIGATION / CARDIOLOGY
1372 Stress thallium / Myocardial Perfusion Scintigraphy 8505 9781.2
1373 Rest thallium / Myocardial Perfusion Scintigraphy 7200 8280
1374 Venography 2970 3415.5
1375 Treadmill Test (TMT) 440.1 505.8
1376 Transoesophageal Echocardiography (TEE) 440.1 505.8
1377 Lymph angiography 1451.7 1669.5
NAME OF INVESTIGATION / TUMOUR IMAGING
1378 Scintimammography. 4320 4968
1379 Indium labelled octreotide Scan 65981.7 75879
NAME OF INVESTIGATION / PET SCAN
1380 FDG Whole body PET / CT Scan 18475.2 21246.3
1381 Brain I Heart FDG PET / CT Scan 13196.7 15175.8
1382 Gallium-68 Peptide PET / CT imaging for NeuroendocrineTumor 13500 15525
LABORATORY MEDICINE / CLINICAL PATHOLOGY
1383 Urine routine- pH, Specific gravity, sugar, protein andmicroscopy 31.5 36
1384 Urine-Microalbumin 63 72.9
1385 Stool routine 31.5 36
1386 Stool occult blood 21.6 25.2
1387 Post coital smear examination 27 31.5
1388 Semen analysis 31.5 36
LABORATORY MEDICINE / HAEMATOLOGY
1389 Haemoglobin (Hb) 16.2 18.9
1390 Total Leucocytic Count (TLC) 27.9 32.4
1391 Differential Leucocytic Count (DLC) 27.9 32.4
1392 Erythrocyte Sedimentation Rate (ESR) 22.5 26.1
1393 Total Red Cell count with MCV,MCH,MCHC,DRW 28.8 33.3
1394 Complete Haemogram/CBC, Hb,RBC count and indices,TLC, DLC, Platelet,121.5 ESR, Peripheral smear examination
139.5
1395 Platelet count 43.2 49.5
1396 Reticulocyte count 43.2 49.5
1397 Absolute Eosinophil count (AEC) 43.2 49.5
1398 Packed Cell Volume (PCV) 11.7 13.5
1399 Peripheral Smear Examination 38.7 44.1
1400 Smear for Malaria parasite 36.9 42.3
1401 Bleeding Time 31.5 36
1402 Osmotic fragility Test 45 52.2
1403 Bone Marrow Smear Examination 63 72.9
1404 Bone Marrow Smear Examination with iron stain 225 259.2
1405 Bone Marrow Smear Examination and cytochemistry 396 455.4
1406 Activated partial ThromboplastinTime (APTT) 91.8 105.3
1407 Rapid test for malaria(card test) 39.6 45.9
1408 WBC cytochemistry for leukemia -Complete panel 99 114.3
1409 Bleeding Disorder panel- PT, APTT, Thrombin TimeFibrinogen, D-Dimer/ Fibrinogen
360 Degradation Products (FDP)
414
1410 Factor Assays-Factor VIII 648 745.2
1411 Factor Assays-Factor IX 612 703.8
1412 Platelet Function test 45 52.2
1413 Tests for hypercoagulable states- Protein C, Protein S,Antithrombin 360 414
1414 Tests for lupus anticoagulant 135 155.7
1415 Tests for Antiphospholipid antibody IgG, IgM ( forcardiolipin and B2 Glycoprotein
450 1) 517.5
1416 Thalassemia studies (Red Cell indices and Hb HPLC) 504 579.6
1417 Tests for Sickling / Hb HPLC) 69.3 80.1
LABORATORY MEDICINE / BLOOD BANK
1418 Blood Group & RH Type 27 31.5
1419 Cross match 45 52.2
1420 Coomb’s Test Direct 81 93.6
1421 Coomb’s Test Indirect 90 103.5
1422 3 cell panel- antibody screening for pregnant female 153 180
1423 11 cells panel for antibody identification 153 180
1424 Hepatitis B surface antigen (HBsAg) 91.8 108
1425 Hepatitis C virus (HCV) 115.2 135
1426 Human immunodeficiency virus- HIV I and II 135 155.7
1427 Venereal Disease Research Laboratory test (VDRL) 38.7 45
1428 RH Antibody titer 72 82.8
1429 Platelet Concentrate 50.4 57.6
1430 Random Donor Platelet(RDP)- (Select CGHS rate Code 1828 for approved rate) 400 400
1431 Single Donor Platelet (SDP- Apheresis)- (Select CGHS rate Code 1830 for approved
11000 rate) 11000
1432 Routine-H & E 81 93.6
1433 special stain 58.5 67.5
1434 Immunohistochemistry(IHC) 675 776.7
1435 Frozen section 702 807.3
1436 Paraffin section 308.7 354.6
LABORATORY MEDICINE / CYTOLOGY
1437 Pap Smear 135 155.7
1438 Body fluid for Malignant cells 135 155.7
1439 Fine Needle Aspiration Cytology (FNAC) 180 207
NAME OF INVESTIGATION / FLOW CYTOMETRY
1440 Leukemia panel /Lymphoma panel 1382.4 1589.4
1441 Paroxysmal Nocturnal Hemoglobinuria (PNH) Panel-CD55,CD59 900 1035
LABORATORY MEDICINE / CYTOGENETIC STUDIES
1442 Karyotyping (Select CGHS rate code 677 for approved rate) 720 828
1443 Fluorescent in situ hybridization (FISH) 450 517.5
LABORATORY MEDICINE / BIO-CHEMISTRY
1444 Blood Glucose Random 21.6 25.2
1445 24 hrs urine for Proteins,Sodium, creatinine 45 52.2
1446 Blood Urea Nitrogen 48.6 55.8
1447 Serum Creatinine 49.5 56.7
1448 Urine Bile Pigment and Salt 22.5 26.1
1449 Urine Urobilinogen 18 20.7
1450 Urine Ketones 27 31.5
1451 Urine Occult Blood 31.5 36
1452 Urine total proteins 16.2 18.9
1453 Rheumatoid Factor / Rh Factor test 90 103.5
1454 Bence Jones protein 42.3 48.6
1455 Serum Uric Acid 49.5 56.7
1456 Serum Bilirubin total & direct 72 82.8
1457 Serum Iron 81 93.6
1458 C-reactive Protein (CRP) 90 103.5
1459 C-reactive Protein (CRP) Quantitative 144 165.6
1460 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. 81 93.6
1461 Albumin. 16.2 18.9
1462 Creatinine clearance. 72 82.8
1463 Serum Cholesterol 55.8 63.9
1464 Total Iron Binding Capacity (TIBC) 72 82.8
1465 Glucose (Fasting & PP) 42.3 48.6
1466 Serum Calcium –Total 54 62.1
1467 Serum Calcium –Ionic 39.6 45.9
1468 Serum Phosphorus 54 62.1
1469 Total Protein Alb/Glo Ratio 45 52.2
1470 Immunoglobulin G (IgG) 225 259.2
1471 Immunoglobulin M(IgM) 225 259.2
1472 Immunoglobulin A(IgA) 225 259.2
1473 Antinuclear antibody (ANA) 180 207
1474 Anti-double stranded DNA (anti-dsDNA) 315 362.7
1475 Serum glutamic pyruvic transaminase (SGPT) / Alanine Aminotransferase (ALT)
49.5 56.7
1476 Serum Glutamic oxaloacetic transaminase (SGOT) / Aspartate Aminotransferase
49.5(AST) 56.7
1477 Serum amylase 105.3 121.5
1478 Serum Lipase 117 135
1479 Serum Lactate 64.8 74.7
1480 Serum Magnesium 90 103.5
1481 Serum Sodium 45 52.2
1482 Serum Potassium 45 52.2
1483 Serum Ammonia 90 103.5
1484 Anemia Profile 183.6 216
1485 Serum Testosterone 135 155.7
1486 Imprint Smear From Endoscopy 216 248.4
1487 Triglycerides 67.5 77.4
1488 Glucose Tolerance Test (GTT) 81 93.6
1489 Triple Marker. 720 828
1490 Creatine Phosphokinase (CPK)/Creatine Kinase (CK) 90 103.5
1491 Foetal Haemoglobin (HbF) 76.5 90
1492 Prothrombin Time (PT) 99 114.3
1493 Lactate dehydrogenase (LDH) 90 103.5
1494 Alkaline Phosphatase 54 62.1
1495 Acid Phosphatase 70.2 81
1496 CPK MB/CK MB 171 197.1
1497 CK MB Mass/CPK MB Mass 126 144.9
1498 Troponin I 90 103.5
1499 Troponin T 540 621
1500 Glucose-6-Phosphate Dehydrogenase (G6PD) 90 103.5
1501 Lithium. 117 135
1502 Dilantin (phenytoin). 360 414
1503 Carbamazepine. 360 414
1504 Valproic acid. 270 310.5
1505 Ferritin (Select CGHS rate code 1517 for approved rate) 90 103.5
1506 Blood gas analysis / Arterial Blood Gas (ABG) 108 124.2
1507 Blood gas analysis / Arterial Blood Gas (ABG) with electrolytes 414 476.1
1508 Urine pregnancy test 58.5 67.5
1509 Tests for Antiphospholipid antibodies syndrome. 252 289.8
1510 Glycosylated Haemoglobin (HbA1c) 117 135
1511 Haemoglobin Electrophoresis/ Hb HPLC (Select CGHS rate code 1417 for approved
69.3 rate) 80.1
1512 Kidney Function Test (KFT) 202.5 233.1
1513 Liver Function Test (LFT) 202.5 233.1
1514 Lipid Profile. (Total cholesterol, LDL, HDL, Triglycerides) 180 207
Nutritional Markers
1515 Serum Iron 81 93.6
1516 Total Iron Binding Capacity (Select CGHS rate code 1464 for approved rate) 72 82.8
1517 Serum Ferritin 90 103.5
1518 Vitamin B12 assay. 225 259.2
1519 Folic Acid assay. 270 310.5
1520 Extended Lipid Profile. (Total cholesterol, LDL, HDL, Triglycerides Apo A1,Apo
535.5B,Lp (a) ) 615.6
1521 Apolipoprotein A1 (ApoA1) 180 207
1522 Apolipoprotein B (Apo B) 179.1 206.1
1523 Lipoprotein A / Lp A 400.5 460.8
1524 CD 3,4 and 8 counts 153 180
1525 CD 3,4 and 8 percentage 153 180
1526 Low density lipoprotein (LDL) 55.8 63.9
1527 Homocysteine. 360 414
1528 Haemoglobin (Hb) Electrophoresis/ (Select CGHS rate code 1417 for approved 69.3rate) 80.1
1529 Serum Electrophoresis. 198 227.7
1530 Fibrinogen. 148.5 171
1531 Chloride. 54 62.1
1532 Magnesium. 135 155.7
1533 Gamma-Glutamyl Transpeptidase (GGTP) 81 93.6
1534 Lipase. 215.1 247.5
1535 Fructosamine. 180 207
1536 Beta 2 microglobulin (B2M) /β2 microglobulin 81 93.6
1537 Catecholamines. 945 1087.2
1538 Creatinine clearance. 108 124.2
NAME OF INVESTIGATION / TUMOUR MARKERS
1539 Prostate Specific antigen (PSA)- Total. 280.8 323.1
1540 Prostate-specific antigen (PSA) - Free. 337.5 387.9
1541 Alpha Fetoprotein (AFP) 270 310.5
1542 Human chorionic gonadotropin (HCG) 260.1 298.8
1543 Cancer Antigen 125 (CA 125) 351.9 405
1544 Cancer Antigen 19.9 (CA 19.9) 554.4 637.2
1545 Cancer Antigen 15.3 (CA 15.3) 504 579.6
1546 Vanillylmandelic Acid (VMA) 315 362.7
1547 Calcitonin 450 517.5
1548 Carcinoembryonic Antigen (CEA) 306 351.9
OTHERS
1549 Immunofluorescence 135 155.7
1550 Direct(Skin and kidney Disease) 382.5 450
1551 Indirect (antids DNA Anti Smith ANCA) 382.5 450
1552 Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 assay (Vit D3) 495 569.7
1553 Serum Protein electrophoresis withimmunofixation electrophoresis (IFE) 270 310.5
1554 BETA-2 Microglobulin assay (Select CGHS rate code 1536 for approved rate)0.9 0.9
1555 Anti-Cyclic Citrullinated Peptide (Anti CCP) 405 466.2
1556 Anti-tissue Transglutaminase antibody (Anti TTG Antibody) 382.5 450
HORMONES
1557 Serum Erythropoetin 382.5 450
1558 Adrenocorticotropic Hormone (ACTH) 450 517.5
1559 T3, T4, TSH 180 207
1560 Triiodothyronine- T3 57.6 67.5
1561 Tetraiodothyronine T4 57.6 67.5
1562 Thyroid stimulating hormone (TSH) 81 93.6
1563 Luteinizing hormone (LH) 135 155.7
1564 Follicle stimulating hormone (FSH) 135 155.7
1565 Prolactin 135 155.7
1566 Cortisol 225 259.2
1567 PTH(Paratharmone) 450 517.5
1568 C-Peptide (C Peptide / Connecting Peptide) 297 342
1569 Insulin. 135 155.7
1570 Progesterone. 202.5 233.1
1571 17 Hydroxyprogesterone (17 OH Progesterone) 396 455.4
1572 Dehydroepiandrosterone sulfate (DHEAS) 396 455.4
1573 Androstenedione 540 621
1574 Growth Hormone. 306 351.9
LABORATORY/ MEDICINE/CLINICAL PATHOLOGY
1575 Thyroid peroxidase antibody (TPO) 270 310.5
1576 Throglobulin. 270 310.5
1577 Hydatic Serology. 286.2 336.6
1578 Anti Sperm Antibodies. 342 393.3
1579 Hepatitis B Virus (HBV) DNA Qualitative 1800 2070
1580 Hepatitis B Virus (HBV) DNA Quantitative. 1350 1552.5
1581 Hepatitis C Virus (HCV) RNA Qualitative. 1521.9 1750.5
1582 Human papillomaviruse (HPV) Serology 196.2 225.9
1583 Rota Virus serology 117 135
1584 PCR for Tuberculosis (TB) 810 931.5
1585 PCR for Human immunodeficiency virus (HIV) 540 621
1586 Chlamydae antigen 765 880.2
1587 Chlamydae antibody 214.2 252
1588 Brucella serology 207 238.5
1589 Influenza A serology 848.7 975.6
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
1590 USG for Obstetrics - Anomalies scan 770 886
1591 Abdomen USG 290.7 342
1592 Pelvic USG ( prostate, gynae, infertility etc) 229.5 270
1593 Small parts USG ( scrotum, thyroid , parathyroid etc) 314.1 369
1594 Neonatal head (Tranfontanellar) 382.5 440.1
1595 Neonatal spine 450 517.5
1596 Contrast enhanced USG 810 931.5
1597 USG Breast 314.1 369
1598 USG Hysterosalpingography (HSG) 229.5 270
1599 Carotid Doppler 765 900
1600 Arterial Colour Doppler 635.4 747
1601 Venous Colour Doppler 635.4 747
1602 Colour Doppler, renal arteries/any other organ 720 828
1603 USG guided intervention- FNAC 441 507.6
1604 USG guided intervention - biopsy 648 745.2
1605 USG guided intervention - nephrostomy 720 828
X-Ray
1606 Abdomen AP Supine or Erect (One film) 115.2 135
1607 Abdomen Lateral view (one film) 115.2 135
1608 Chest PA view (one film) 54 63
1609 Chest Lateral (one film) 54 63
1610 Mastoids: Towne view, oblique views (3 films) 225 259.2
1611 Extremities, bones & Joints AP & Lateral views (Two films) 229.5 270
1612 Pelvis AP (one film) 99 114.3
1613 Temporomandibular (TM) Joints (one film) 99 114.3
1614 Abdomen & Pelvis for KUB 115.2 135
1615 Skull AP & Lateral (2 films) 229.5 270
1616 Spine AP & Lateral (2 films) 225 259.2
1617 PNS view (1 film) 99 114.3
X-ray CONTRAST STUDIES
1618 Barium Swallow 459 540
1619 Barium Upper GI study 720 828
1620 Barium Upper GI study (Double contrast) 841.5 990
1621 Barium Meal follow through 841.5 990
1622 Barium Enema (Single contrast/double contrast) 765 900
1623 Small bowel enteroclysis 918 1080
1624 ERCP (Endoscopic Retrograde Cholangio –Pancreatography) 2250 2587.5
1625 General:Fistulography / Sinography/Sialography /Dacrocystography/ T-Tube 574.2
cholangiogram /Nephrostogram 675
1626 Percutaneous transhepatic cholangiography (PTC) 1296 1490.4
1627 Intravenous Pyelography (IVP) 1071 1260
1628 Micturating Cystourethrography (MCU) 612 720
1629 Retrograde Urethrography (RGU) 612 720
1630 Contrast Hystero-Salpingography (HSG) 918 1080
1631 X-ray Arthrography 630 724.5
1632 Cephalography 135 155.7
1633 Myelography 2475 2846.7
1634 Diagnostic Digital Subtraction Angiography (DSA) 1574.1 1809.9
MAMMOGRAPHY
1635 X-ray Mammography 283.5 333
1636 MRI Mammography 2295 2700
Computed Tomography (CT) Scan
1637 CT Scan Head-Without Contrast 810 931.5
1638 CT Scan Head- with Contrast -With Contrast including CT angiography 1215 1397.7
1639 CT Scan Chest - without contrast (for lungs) 1530 1800
1640 CT Scan Lower Abdomen (incl. Pelvis) With Contrast 1530 1759.5
1641 CT Scan Lower Abdomen (Incl. Pelvis) Without Contrast 1350 1552.5
1642 CT Scan Whole Abdomen Without Contrast 2700 3105
1643 CT Scan Whole Abdomen With Contrast 4050 4657.5
1644 Triple Phase CT abdomen 4050 4657.5
1645 CT Scan angiography abdomen/ Chest 4050 4657.5
1646 CT Scan Enteroclysis 5400 6210
1647 CT Scan Neck – Without Contrast 1350 1552.5
1648 CT Scan Neck – With Contrast 1683 1980
1649 CT Scan Orbits - Without Contrast 1071 1260
1650 CT Scan Orbits - With Contrast 1453.5 1710
1651 CT Scan of Para Nasal Sinuses- Without Contrast 810 931.5
1652 CT Scan of Para Nasal Sinuses - With Contrast 1440 1656
1653 CT Scan Spine (Cervical, Dorsal, Lumbar, Sacral)–without Contrast 1350 1552.5
1654 CT Scan Temporal bone – without contrast 803.7 945
1655 CT Scan- Dental 1147.5 1350
1656 CT Scan Limbs -Without Contrast 1530 1800
1657 CT Scan Limbs -With Contrast including CT angiography 2027.7 2385
1658 CT Guided intervention –FNAC 1080 1242
1659 CT Guided Trucut Biopsy 1080 1242
1660 CT Guided intervention -percutaneous catheter drainage/tube placement 1174.5 1381.5
MRI
1661 MRI Head – Without Contrast 1798.2 2115
1662 MRI Head – With Contrast 2563.2 3015
1663 MRI Orbits – Without Contrast 1300.5 1530
1664 MRI Orbits – With Contrast 1800 2070
1665 MRI Nasopharynx and PNS – Without Contrast 2205 2536.2
1666 MRI Nasopharynx and PNS – With Contrast 3150 3622.5
1667 MR for Salivary Glands with Sialography 2700 3105
1668 MRI Neck - Without Contrast 2700 3105
1669 MRI Neck- with contrast 4500 5175
1670 MRI Shoulder – Without contrast 1800 2070
1671 MRI Shoulder – With conntrast 2340 2700
1672 MRI shoulder both Joints - Without contrast 2700 3105
1673 MRI Shoulder both joints – With contrast 3600 4140
1674 MRI Wrist Single joint - Without contrast 1912.5 2250
1675 MRI Wrist Single joint - With contrast 3600 4140
1676 MRI Wrist both joints - Without contrast 1912.5 2250
1677 MRI Wrist Both joints - With contrast 4500 5175
1678 MRI knee Single joint - Without contrast 1912.5 2250
1679 MRI knee Single joint - With contrast 4500 5175
1680 MRI knee both joints - Without contrast 1912.5 2250
1681 MRI knee both joints - With contrast 4500 5175
1682 MRI Ankle Single joint - Without contrast 1912.5 2250
1683 MRI Ankle single joint - With contrast 4500 5175
1684 MRI Ankle both joints - With contrast 4500 5175
1685 MRI Ankle both joints - Without contrast 2250 2587.5
1686 MRI Hip - With contrast 2250 2587.5
1687 MRI Hip – without contrast 1912.5 2250
1688 MRI Pelvis – Without Contrast 1912.5 2250
1689 MRI Pelvis – with contrast 4500 5175
1690 MRI Extremities - With contrast 4500 5175
1691 MRI Extremities - Without contrast 1912.5 2250
1692 MRI Temporomandibular – B/L - With contrast 3600 4140
1693 MRI Temporomandibular – B/L - Without contrast 1912.5 2250
1694 MR Temporal Bone/ Inner ear with contrast 3600 4140
1695 MR Temporal Bone/ Inner ear without contrast 2250 2587.5
1696 MRI Abdomen – Without Contrast 1912.5 2250
1697 MRI Abdomen – With Contrast 4500 5175
1698 MRI Breast - With Contrast 3825 4500
1699 MRI Breast - Without Contrast 1912.5 2250
1700 MRI Spine Screening - Without Contrast 900 1035
1701 MRI Chest – Without Contrast 1912.5 2250
1702 MRI Chest – With Contrast 3600 4140
1703 MRI Cervical/Cervico Dorsal Spine – Without Contrast 1912.5 2250
1704 MRI Cervical/ Cervico Dorsal Spine – With Contrast 3600 4140
1705 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast 1912.5 2250
1706 MRI Dorsal/ Dorso Lumbar Spine – With Contrast 3600 4140
1707 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast 1912.5 2250
1708 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast 4500 5175
1709 Whole body MRI (For oncological workup) 4590 5400
1710 MR cholecysto-pancreatography. 4950 5692.5
1711 MRI Angiography - with contrast 4500 5175
1712 MR Enteroclysis 1912.5 2250
BONE DENSITOMETRY (DEXA SCAN)
1713 Dexa Scan Bone Densitometry - Two sites 1350 1552.5
1714 Dexa Scan Bone Densitometry - Three sites (Spine, Hip &extremity) 1800 2070
1715 Dexa Scan Bone Densitometry Whole body 2205 2536.2
NEUROLOGICAL INVESTIGATIONS ANDPROCEDURES
1716 Electroencephalogram (EEG)/ Video EEG 268.2 315
1717 Electromyography (EMG) 574.2 675
1718 Nerve Conduction Velocity(NCV) (at least 2 limbs) 574.2 675
1719 Repititive nerve stimulation (RNS)-Decremental response (before and after neostigmine)
535.5 630
1720 Repetitive nerve stimulation (RNS)-Incremental response 535.5 630
1721 Somatosensory evoked potentials (SSEP) 574.2 675
1722 Polysomnography (PSG) / Sleep study 574.2 675
1723 Brachial plexus study 574.2 675
1724 Muscle biopsy 344.7 405
1725 Acetylcholine receptor (AChR) antibody titre 1663.2 1912.5
1726 Anti muscle specific receptor tyrosine kinase (Anti MuSK) antibody titre 2106 2421.9
1727 Serum copper 450 517.5
1728 Serum ceruloplasmin 405 466.2
1729 Urinary copper 450 517.5
1730 Serum homocysteine 405 466.2
1731 Serum valproate level 283.5 325.8
1732 Serum phenobarbitone level 315 362.7
1733 Coagulation profile 497.7 572.4
1734 Protein C, Protein S, Antithrombin–III (Select CGHS rate code 1413 for approved360 rates) 414
1735 Serum lactate level (Select CGHS rate code 1479 for approved rate) 64.8 74.7
CSF
1736 Basic studies including cell count, protein, sugar, gram stain,India Ink preparation
216 and smear for AFP 248.4
1737 Special studies 900 1035
1738 PCR for tuberculosis/ Herpes simplex 1080 1242
1739 Bacterial culture and sensitivity 180 207
1740 Mycobacterial culture and sensitivity 180 207
1741 Fungal culture 115.2 135
1742 Malignant cells 57.6 67.5
1743 Anti measles antibody titre (with serum antibody titre) 801 921.6
1744 Viral culture 229.5 270
1745 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella virus)
684 786.6
1746 Oligoclonal band 1080 1242
1747 Myelin Basic protein 1683.9 1936.8
1748 Lactate (Select CGHS rate code 1479 for approved rate) 64.8 74.7
1749 Cryptococcal antigen 1024.2 1178.1
TESTS IN GASTRO-ENTEROLOGY
1750 D-xylase test 765 900
1751 Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase (Select CGHS rate code
315 1335 for approved rate) 362.7
1752 Breath tests (select CGHS rate code 1336 for approved rate) 270 310.5
1753 H pylori serology for Coeliac disease /Celiac disease 450 652.5
1754 HBV genotyping 2250 2587.5
1755 HCV genotyping 4387.5 5045.4
TESTS IN ENDOCRINOLOGY ( IN ADDITION TOTHOSE INCLUDED UNDER HORMONES)
1756 Urinary vanillylmandelic acid (VMA) 1350 1552.5
1757 Urinary metanephrine/Normetanephrine 1024.2 1178.1
1758 Urinary free catecholamine 1521 1749.6
1759 Serum catecholamine 3060 3519
1760 Serum aldosterone 1012.5 1164.6
1761 24 Hr urinary aldosterone 828 952.2
1762 Plasma renin activity 900 1035
1763 Serum aldosterone/renin ratio 1080 1242
1764 Osmolality urine 115.2 135
1765 Osmolality serum 115.2 135
1766 Urinary sodium 72 84.6
1767 Urinary Chloride 38.7 45
1768 Urinary potassium 72 84.6
1769 Urinary calcium 72 84.6
1770 Thyroid binding globulin 459 540
1771 24 hour urinary free cortisole 180 207
1772 Islet cell antibody 675 776.7
1773 Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies) 1197 1377
1774 Insulin associated antibody 404.1 464.4
1775 Insulin-like growth factor-1 (IGF-1) 1350 1552.5
1776 Insulin-like growth factor binding protein 3 (IGF-BP3) 1485 1708.2
1777 Sex hormone binding globulin 1199.7 1379.7
1778 USG guided FNAC thyroid gland 348.3 409.5
1779 Estradiol (E2) 187.2 220.5
1780 Thyroglobulin antibody 528.3 607.5
ADDED W.E.F. 14.01.2020
Non NABH/Non NABL Rate in NABH/NABL rates

Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST
Rupee in Rupee
Kappa Lambda Light Chains, Free, Serum/ Serum free light chains
1781 3500 4025
(SFLC)
1782 Serum IGE Level 300 345
1783 NT-Pro BNP 1800 2070
1784 CECT Chest 2500 Including CD 2875
1785 MRI-Prostate (Multi-parametric) 6000/- including CD 6900 Including CD
1786 HCV RNA Quantitative 1500 1725
1787 Tacrolimus 2300 2645

1788 Protein Creatinine Ratio, Urine 120 138
1789 Fibroscan Liver 1000 1150
1790 HLA B27 (PCR) 500 575
1791 Mantoux Test 175 200
1792 Procalcitonin 1800 2070
1793 TORCH Test 1120 1288
1794 Intracoronary OCT (AIIMS Rates) 65000 + GST 65000 + GST
23500 + GST 23500 + GST

1795 Fractional Flow Reserve (FFR) Wire cost (AIIMS Rates
(WireCost), 12750/- (WireCost),15000/--
ADDED W.E.F. 05.06.2020
Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- NABH/Non- NABL Rates NABH/L Rates
1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460

1797 C ANCA-IFA 1275 1500
1798 P ANCA-IFA 1275 1500
1799 Angiotensin converting enzyme (ACE) 850 1000
Endo bronchial Ultrasound (EBUS) -Trans bronchial needle aspiration
1800 15614 18370
(TBNA) -Using New Needle
1801 Extractable Nuclear Antigens (ENA) - Quantitative 3910 4600
1802 Chromogranin A 4250 5000
1803 Faecal calprotectin (fecal calprotectin) 2320 2730
1804 C3-COMPLEMENT 552 650
1805 C4-COMPLEMENT 552 650
1806 Genexpert Test 880 1035
1807 DJ stent removal 7395 8700
1808 Pulmonary Function Test (PFT) / (Spirometry with DLCO) 425 500
1809 EUS (Endoscopic Ultrasound) guided FNAC (Using with Needle) 12750 15000
1810 CT Urography 3825 4500

1811 Video Laryngoscopy 5100 6000
1812 CT Angio-Neck Vessels 5100 6000
1813 H1N1 (RT-PCR) 921 1084
1814 Erythropoietin Level (Select CGHS rate code 1557 for approved rate) See code 1557 See code 1557
1815 Anti HEV IgM 850 1000

1816 Anti HAV IgM 637 750
1817 HBsAg Quantitative 552 650
1818 Typhidot IgM 340 400
Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM

1819 408 480
Antibody)
1820 Anti HBs 552 650
ADDED vide clause 2,5, & 6 of OM F.No. S-11045/36/2012-CGHS (HEC) dated 26.11.2014
1821 Free Triiodothyronine (FT3) 106 125

1822 Free Thyroxine (FT4) 106 125
1823 Widal Test 60 70
1824 Dengue Serology 510 600
1825 Blood component charges - Whole Blood per Unit 1450 1450
1826 Blood component charges - Packed Red Cell per Unit 1450 1450
1827 Blood component charges - Fresh Frozen Plasma 400 400

1828 Platelet Concentrate- Random Donor Platelet (RDP) 400 400
1829 Blood component charges - Cryoprecipitate 200 200
1830 Platelet Concentrate – Single Donor Platelet (SDP)-Apheresis per unit 11000 11000
CCS Group A Officer of above 40 years of age –Male, Annual Health
1831 2000 2000
Check up
CCS Group A Officer of above 40 years of age –female, Annual Health
1832 2200 2200
Check up
ADDED W.E.F. 07.02.2021
1833 Interleukin 6 (IL 6) 1360 1600

1834 High resolution computed Tomography (HRCT Chest) 1700 2000
1835 Fluid air exchange 4250 per eye 5000
1836 C3F8 GAS Injection 4250 per eye 5000
1837 Diurnal variation of IOP 1275 per eye 1500

1838 Silicone oil injection 4250 per eye 5000
1839 Epiretinal Membrane (ERM) Peeling 5950 per eye 7000
1840 Epiretinal Membrane (ERM) Removal 2550 per eye 3000
1841 Internal limiting membrane (ILM) peeling 2550 per eye 3000
1842 Punctoplasty 5525 per eye 6500
1843 Punctal plug(Collagen/silicone) 3400 per eye 4000

1844 Laser Trabeculoplasty Gonioplasty B/E 13600 both eye 16000 both eye
1845 Eye laser pulse therapy 2975 per eye 3500
1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000
1847 Malyugin Ring 8500 10,000

1848 Globe exploration (eye surgery) 8500 10,000
1849 Scleral Fixation Tissue glue 7140 8400
1850 Fibro optic Nasal Endoscopy 1955 2300
1851 Video Stroboscopy 4675 5500
1852 Video Bronchoscopy with BAL 8500 10,000
Sleep deprived EEG (Rate shall be the same CGHS rate of EEG/Video
1853 See code 1716 See code 1716
EEG) Select CGHS rate code 1716

CGHS Rates - Lucknow

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CGHS Rates - Lucknow

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CGHS package rate Lucknow 2014 updated on 04th May 2021

837 Continuous Veno venous/Arteriovenous Haemofilteration /Hemofilteration 2025 2329.2

Non NABH/Non NABL Rate in NABH/NABL rates

1786 HCV RNA Quantitative 1500 1725

1787 Tacrolimus 2300 2645

1793 TORCH Test 1120 1288

1794 Intracoronary OCT (AIIMS Rates) 65000 + GST 65000 + GST

23500 + GST 23500 + GST

1796 Anti –Smooth Muscle Antibody Test (ASMA) 1241 1460

1810 CT Urography 3825 4500

1815 Anti HEV IgM 850 1000

1818 Typhidot IgM 340 400

Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM

1820 Anti HBs 552 650

1821 Free Triiodothyronine (FT3) 106 125

1827 Blood component charges - Fresh Frozen Plasma 400 400

1829 Blood component charges - Cryoprecipitate 200 200

ADDED W.E.F. 07.02.2021

1833 Interleukin 6 (IL 6) 1360 1600

1835 Fluid air exchange 4250 per eye 5000

1836 C3F8 GAS Injection 4250 per eye 5000

1837 Diurnal variation of IOP 1275 per eye 1500

1839 Epiretinal Membrane (ERM) Peeling 5950 per eye 7000

1840 Epiretinal Membrane (ERM) Removal 2550 per eye 3000

1842 Punctoplasty 5525 per eye 6500

1843 Punctal plug(Collagen/silicone) 3400 per eye 4000

1846 Glaucoma valve/Glaucoma Ahmed valve 12750 15000

1847 Malyugin Ring 8500 10,000

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