Latest CGHS Rate File979

Sr. No.
CGHS TREATMENT
Non- NABH/Non-
NABH/NABL
NABL Rates
150
300
50
108
120
193
345
460
380
317
230
36
124
1311
173
414
350
425
500
420
125
1466
Rates
150
300
58
124
138
222
397
529
437
365
265
41
143
1508
199
476
403
500
575
483
144
1686
345
310
130
160
140
97
110
397
357
150
184
161
112
127
69
138
5500
58
3300
79
158
6325
67
3795
35
36
PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Consultation OPD
Consultation- for Inpatients
Dressings of wounds
Suturing of wounds with local anesthesia
Aspiration Plural Effusion - Diagnostic
Aspiration Plural Effusion - Therapeutic
Abdominal Aspiration - Diagnostic
Abdominal Aspiration - Therapeutic
Pericardial Aspiration
Joints Aspiration
Biopsy Skin
Removal of Stitches
Venesection
Phimosis Under LA
Sternal puncture
Injection for Haemorrhoids
Injection for Varicose Veins
Catheterisation
Dilatation of Urethra
Incision & Drainage
Intercostal Drainage
Peritoneal Dialysis
TREATMENT PROCEDURE SKIN
Excision of Moles
Excision of Warts
Excision of Molluscum contagiosum
Excision of Veneral Warts
Excision of Corns
I/D Injection Keloid
Chemical Cautery (s)
TREATMENT PROCEDURE OPTHALMOLOGY
Subconjunctival/subtenons injections in one eyes
Subconjunctival/subtenons injections in both eyes
Pterygium Surgery
Conjunctival Peritomy
Conjunctival wound repair or exploration following blunt
trauma
Removal of corneal foreign body
Cauterization of ulcer/subconjunctival injection in one eye
115
69
132
79
37
Cauterization of ulcer/subconjunctival injection in both eyes 138
159
38
39
40
Corneal graftingPenetrating keratoplasty

5750
Corneal graftingLamellar keratoplasty
5000
Cyanoacrylate /fibrin glue application for corneal perforation 690
6613
5750
794
41
Bandage contact lenses for corneal perforation
529
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
460
Sr. No. CGHS TREATMENT
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
Non- NABH/Non-
NABH/NABL

Scleral grafting or conjunctival flap for corneal perforation
NABL Rates
2300
Rates
2645
Keratoconus correction with therapeutic contact lenses

UV radiation for cross-linking for keratoconus
EDTA for band shaped keratopathy
Arcuate keratotomy for astigmatism
Re-suturing (Primary suturing) of corneal wound
Penetrating keratoplasty ---- with glaucoma surgery
Penetrating keratoplasty --- with vitrectomy
Penetrating keratoplasty ---- with IOL implantation
DALK- Deep anterior lamellar keratoplasty
Keratoprosthesis stage I and II
DSAEK- Descemets stripping automated endothelial
keratoplasty
ALTK- Automated lamellar therapeutic keratoplasty
Probing and Syringing of lacrimal sac- in one eye
Probing and Syringing of lacrimal sac- in both eye
DacryocystorhinostomyPlain
DacryocystorhinostomyPlain with intubation and/or with
lacrimal implants
Dacryocystorhinostomyconjunctival with implant
Caliculoplasty
Dacryocystectomy
Punctal plugs for dry eyes
Refraction
Indirect Ophthalmoscopy
Orthoptic check-up- with synoptophore
Lees charting or Hess charting
Orthoptic exercises
Pleoptic exercises
Perimetry/field testGoldman
Perimetry/field test automated
Fluorescein angiography for fundus or iris
Ultrasound A- Scan
Ultrasound B- Scan
Fundus Photo Test
Indocyanin green angiography
Corneal endothelial cell count with specular microscopy
Corneal topography
Corneal pachymetry
Auto-refraction
Macular function tests
Potential acuity metry
Laser interferometry
OCT-Optical coherence tomography
HRT- Heidelbergs retinal tomogram
GDX--- Nerve fibre layer analyzer
1200
1800
863
2800
1150
12144
12144
13656
17250
11500
16675
1380
2070
992
3220
1323
13966
13966
15703
19838
13225
19176
16500
69
138
2875
9750
18975
79
159
3306
11213
9200
2300
1725
130
40
67
44
100
50
50
144
144
920
863
230
200
920
230
331
230
35
44
100
173
2125
150
88
10580
2645
1984
150
46
77
51
115
58
58
166
166
1058
992
265
230
1058
265
381
265
40
51
115
199
2500
173
101
Non- NABH/Non-
NABH/NABL
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114

UBM- Ultrasound bio microscopy
Non Contact tonometry
IOP measurement with schiotz
IOP measurement with applation tonometry
Three mirror examination for reti
90 D lens examination
Gonioscopy
Chalazion incision and curettage in one eye
Chalazion incision and curettage in both eyes
Ptosis surgery with fasanella servat procedure
Ptosis surgery with LPS resection one lid
Ptosis surgery with Sling surgery one lid
Ectropion surgery- one lid
Ectropion surgery- both lids
Epicanthus correction
Cantholysis and canthotomy
Entropion surgery- one lid
Entropion surgery- both lids
Tarsorraphy
Suturing of lid lacerations
Lid retraction repair
Concretions removal
Bucket handle procedure for lid tumors
Cheek rotation flap for lid tumors
Orbitotomy
Enucleation
Enucleation with orbital implants and artificial prosthesis
Evisceration
Evisceration with orbital implants and artificial prosthesis
NABL Rates
150
50
30
50
58
50
58
400
431
2300
5500
6670
1400
2500
1550
575
1380
2000
650
1150
1700
115
345
6900
8050
3000
3000
3450
5693
Rates
173
58
35
58
67
58
67
460
496
2645
6325
7671
1610
2875
1783
662
1587
2300
748
1323
1955
132
397
7935
9258
3450
3450
3968
6547
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
Telecanthus correction
Orbital decompression
Exenteration
Exenteration with skin grafting
Fracture orbital repair
Retinal laser procedures
Retinal detachment surgery
Retinal detachment surgery with scleral buckling
Buckle removal
Silicone oil removal
Anterior retinal cryopexy
Squint correction for one eye
Squint correction for both eyes
Trabeculectomy
Trabeculotomy
Trabeculectomy with Trabeculotomy
Trephition
5175
5750
5750
6900
9200
1500
11500
13800
1150
2800
1162
5000
7500
6900
6900
10350
2300
5951
6613
6613
7935
10580
1725
13225
15870
1323
3220
1336
5750
8625
7935
7935
11903
2645
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
Non- NABH/Non-
NABH/NABL

Goniotomy
Glaucoma surgery with Glaucoma valves
Cyclocryotherapy
YAG laser iridotomy
YAG laser capsulotomy
ALT-Argon laser trabeculoplasty
PDT-Photodymic therapy
TTT- Transpupillary thermal therapy
PTK- Phototherapeutic keratectomy
Argon/diode laser for retinal detatchment
Intralase application for keratoconus
EOG- electro-oculogram
ERG- Electro-retinogram
VEP- visually evoked potential
Vitrectomy- pars plana
Intravitreal injections- of antibiotics
Intravitreal injections- of lucentis excluding cost of drug
X- Ray orbit
CT-orbit and brain
MRI- Orbit and brain
Dacryocystography
Orbital angio-graphical studies
ECCE with IOL
SICS with IOL
Phaco with foldable IOL (silicone and acrylic)/PMMA IOL
NABL Rates
345
6900+valve
1150
1500
1093
1495
3450
3000
7500
1150
5750
900
794
800
11500
1150
3000
115
1600
3450
340
1500
3450
5000
10781
Rates
397
7935 +valve
1323
1725
1257
1719
3968
3450
8625
1323
6613
1035
913
920
13225
1323
3450
132
1840
3968
391
1725
3968
5750
12398
Pars plana lensectomy with/without IOL

Secondary IOL implantation- AC IOL PC IOL or scleral
fixated IOL
Cataract extraction with IOL with capsular tension rings
(Cionnis ring)
Optic nerve sheathotomy
Iridodialysis repair or papillary reconstruction
Iris cyst removal
Lid Abscess incision and Drainage
Orbital Abscess incision and Drainage
Biopsy
Paracentesis
Scleral graft for scleral melting or perforation
Amniotic membrane grafting
Cyclodiathermy
Intraocular foreign body removal
Electrolysis
Perforating injury repair
Botulinum injection for blepharospasm or squint
TREATMENT PROCEDURE DENTAL PROCEDURES
10350
6900
11903
7935
13500
15525
7500
5000
850
1700
3000
460
230
2800
1100
2300
187
230
4500
2500
8625
5750
978
1955
3450
529
265
3220
1265
2645
215
265
5175
2875
Non- NABH/Non-
NABH/NABL
NABL Rates
360
234
900
Rates
414
269
1035
174
175
176

Flap Operation per quadrant
Gingivectomy per quadrant
Reduction & immobilization of fracture- Maxilla Under LA
177
Reduction & immobilization of fracture-Mandible Under LA 3500
4025
178
179
180
181
182
splints/Cirucum mandibular wiring under LA

splints/Cirucum mandibular wiring under GA
Internal wire fixation/plate fixation of Maxilla under LA
Internal wire fixation/plate fixation of Maxilla under GA
Internal wire fixation/plate fixation of Mandible under LA
510
990
3000
4000
3500
587
1139
3450
4600
4025
183
Internal wire fixation/plate fixation of Mandible under GA
4250
4888
184
185
186
187
Extraction per tooth under LA

Complicated Ext. per Tooth under LA
Extraction of impacted tooth under LA
Extraction in mentally retarded/patients with systemic
diseases/patient with special needs under short term GA
Cyst & tumour of Maxilla /mandible by enucleation/
excision/ marsupalisation upto 4 cms under LA
Cyst & tumour of Maxilla/mandible by enucleation/
80
100
160
939
92
115
184
1080
244
281
406
467
1000
1150
7500
374
374
21000
21000
3400
990
2500
1950
3000
2500
1500
8625
430
430
24150
24150
3910
1139
2875
2243
3450
2875
1725
500
1200
500
700
500
650
500
575
1380
575
805
575
748
575
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
excision/ marsupalisation size more than 4 cms under LA

Cyst & tumour of Maxilla/mandible by
enucleation/excision/marsupalisation size more than 4 cms
under GA
TM joint ankylosis- under GA
Biopsy Intraoral-Soft tissue
Biopsy Intraoral-Bone
Hemi-mandibulectomy with graft
Hemi-mandibulectomy without graft
Segmental-mandibulectomy with graft
Segmental-mandibulectomy without graft
Maxillectomy- Total with graft
Maxillectomy- Total without graft
Maxillectomy- partial with graft
Maxillectomy- partial without graft
Release of fibrous bands & grafting -in (OSMF) treatment
under GA
Pre-prosthetic surgery- Alveoloplasty
Pre-prosthetic surgery - ridge augmentation
Root canal Treatment(RCT) Anterior teeth(per tooth)
Root canal Treatment(RCT) Posterior teeth (per tooth)
Apicoectomy- Single root
Apicoectomy-Multiple roots
Metal Crown-per unit
Non- NABH/Non-
NABH/NABL
210
211
212
213
214

Metal Crown with Acrylic facing per unit
Complete single denture-metal based
Complete denture- acrylic based per arch
Removable partial denture-Metal based-upto 3 teeth
Removable partial denture-Metal based-more than 3 teeth
NABL Rates
700
1500
950
700
900
Rates
805
1725
1093
805
1035
215
216
Removable partial denture-Acrylic based-upto 3 teeth

Removable partial denture-Acrylic based-more than 3 teeth
500
264
575
304
217
218
219
220
221
222
223
224
225
226
227
228
Amalgum restoration-per tooth

Composite Restoration-per tooth-anterior tooth
Glas Ionomer-per tooth
Scaling & polishing
Removable Orthodontics appliance- per Arch
Fixed Orhtodontics-per Arch
Space maintainers-Fixed
Habit breaking appliances-removable
Habit breaking appliances-Fixed
Expansion plate
Feeding appliance for cleft palate
Maxillo-facial prosthesis (sal/auricular/orbital/facial lost
part)
Functional orthodentic appliances
Obturator (Maxillo-facial)
Occlusal night guard(splint)
TREATMENT PROCEDURE ENT
Pure Tone Audiogram
Impedence with stepedeal reflex
SISI Tone Decay
Multiple hearing assessment test to Adults
Speech Discrimination Score
Speech Assessment
Speech therapy per session of 30-40 minutes
Cold Calorie Test for Vestibular function
Removal of foreign body From Nose
Removal of foreign body From Ear
Syringing (Ear)
Polyp removal under LA
Polyp removal under GA
Peritonsillar abscess Drainage under LA
Myringoplasty
Staepedectomy
Myringotomy with Grommet insertion
Tympanotomy
Tympanoplasty
Mastoidectomy
Otoplasty
200
250
200
300
700
1150
500
800
1500
1000
1500
3500
230
288
230
345
805
1323
575
920
1725
1150
1725
4025
3000
1500
800
3450
1725
920
172
230
132
115
90
120
131
172
345
230
166
575
850
1449
6900
9200
4600
8625
13800
14950
16100
198
265
152
132
103
138
151
198
397
265
191
661
978
1666
7935
10580
5290
9919
15870
17193
18515
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298

Labyrinthectomy
Skull Base surgery
Facial Nerve Decompression
Septoplasty
Submucous Resection
Septo-rhinoplasty
Rhinoplasty- Non-cosmetic
Fracture Reduction
Intra nasal Diathermy
Turbinectomy
Endoscopic DCR
Endoscopic Surgery
Septal Perforation Repair
Antrum Puncture
Lateral Rhinotomy
Cranio-facial resection
Caldwell Luc Surgery
Angiofibroma Excision
Endoscopic Hypophysectomy
Endoscopic Optic Nerve Decompression
Decompression of Orbit
Punch/Wedge biopsy
Tonsillectomy
Uvulo-palatoplasty
FESS for antrochoal polyp
FESS for ethmoidal polyp
Polyp removal ear
Polyp removal Nose(Septal polyp)
Mastoidectomy plus Ossciculoplasty including TORP or
PORP
Endolymphatic sac decompression
Diagnostic endoscopy under GA
Yonges operation for Atrophic rhinitis
Vidian neurectomy for vasomotor Rhinitis
Nasal Packing-anterior
Nasal Packing-posterior
Ranula Excision
Tongue Tie excision
Sub Mandibular Duct Lithotomy
Adenoidectomy
Palatopharyngoplasty
Pharyngoplasty
Styloidectomy
Direct laryngoscopy including Biopsy under GA
Oesophagoscopy/foreign body removal from
Bronchoscopy with F.B.removal
Other Major Surgery
Non- NABH/Non-
NABH/NABL
NABL Rates
13800
25000
17250
5750
7314
16100
11500
4250
1150
5750
13000
13800
13800
950
1000
25500
10626
17000
21500
32775
25500
674
5000
15000
5750
5750
748
748
2415
Rates
15870
28750
19838
6613
8411
18515
13225
5000
1323
6613
14950
15870
15870
1093
1150
29325
12220
19550
24725
37691
29325
775
5750
17250
6613
6613
860
860
2777
2875
2300
6900
10350
345
805
6843
1500
269
5640
8165
17193
9200
5000
1800
2438
15000
3306
2645
7935
11903
397
926
7869
1725
309
6486
9390
19772
10580
5750
2070
2804
17250
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
Non- NABH/Non-
NABH/NABL

Other Minor Surgery
TREATMENT PROCEDURE FOR HEAD AND NECK
NABL Rates
8500
Rates
10000
Ear Lobe Repair one side

Excision of Pinna for Growth (Squamous/Basal/ Injuries)
Skin Only
Excision of Pinna for Growth (Squamous/Basal/ Injuries)
Skin and Cartilage
Partial Amputation of Pinna
Total Amputation of Pinna
Total Amputation & Excision of External Auditory Meatus
500
4000
575
4600
3800
4370
4500
6200
1500
5175
7130
1725
Excision of Cystic Hygroma

Excision of Cystic Hygroma Extensive
Excision of Branchial Cyst
Excision of Branchial Sinus
Excision of Pharyngeal Diverticulum
Excision of Carotid Body-Tumours
Operation for Cervical Rib
Block Dissection of Cervical Lymph Nodes
Pharyngectomy & Reconstruction
Operation for Carcinoma Lip - Wedge-Excision
Operation for Carcinoma Lip - Vermilionectomy
Operation for Carcinoma Lip - Wedge Excision and
Vermilonectomy
Estlander Operation
Abbe Operation
Cheek Advancement
Excision of the Maxilla
Excision of mandible-segmental
Mandibulectomy
Partial Glossectomy
Hemiglossectomy
Total Glossectomy
Commondo Operation
Parotidectomy - Superficial
Parotidectomy - Total
Parotidectomy - Radical
Repair of Parotid Duct
Removal of Submandibular Salivary gland
Hemithyroidectomy
Partial Thyroidectomy (lobectomy)
Subtotal Thyroidectomy
Total Thyroidectomy
Resection Enucleation of thyroid Adenoma
Total Thyroidectomy and Block Dissection
Excision of Lingual Thyroid
5175
7452
10350
10350
10580
11615
12500
15000
15000
8050
5758
9292
5951
8570
11903
11903
12167
13357
14375
17250
17250
9258
6622
10686
7475
9800
9775
19320
15525
21000
5520
7000
22885
22000
12075
15000
19550
11500
8625
9500
11500
13053
19000
10580
26450
16882
8596
11270
11241
22218
17854
24150
6348
8050
26318
25300
13886
17250
22483
13225
9919
10925
13225
15011
21850
12167
30418
19414
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381

Excision of Thyroglossal Cyst/Fistula
Excision of Parathyroid Adenoma/Carcinoma
Laryngectomy
Laryngo Pharyngectomy
Hyoid Suspension
Genioplasty
Direct Laryngoscopy including biopsy under GA
Phonosurgery
Fibroptic examition of Larynx under LA
Microlaryngeal Surgery
Laryngofissure
Tracheal Stenosis Excision
Head and neck cancer
Excisional Biopsies
Benign Tumour Excisions
Temporal Bone subtotal resection
Modified Radical Neck Dissection
Carotid Body Excision
Total Laryngectomy
Flap Reconstructive Surgery
Parapharyngeal Tumour Excision
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE BREAST
Drainage of abscess
Excision of lumps
Local mastectomy-simple
Radical mastectomy-formal or modified.
Excision of mammary fistula
Segmental resection of breast
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE GENERAL SURGERY
Injury Of Superficial Soft Tissues
Suturing of small wounds
Secondary suture of wounds
Debridement of wounds
Removal Of Foreign Bodies
Biopsies
Excision of Cervical Lymph Node
Excision of Axillary Lymph Node
Excision of Inguinal Lymph Node
Excision Biopsy of Ulcers
Excision Biopsy of Superficial Lumps
Incision Biopsy of Growths/Ulcers
Trucut Needle Biopsy
Non- NABH/Non-
NABH/NABL
NABL Rates
13225
21275
17825
30000
10350
12000
5175
13800
1725
10350
17250
19780
Rates
15209
24466
20499
34500
11903
13800
5951
15870
1984
11903
19838
22747
5750
9500
20700
25300
26000
39192
41400
39330
21250
5000
6613
10925
23805
29095
29900
45071
47610
45230
25000
5750
6000
6969
12650
28750
15525
16100
25000
5000
6900
8014
14548
33063
17854
18515
28750
5750
425
269
3400
450
300
500
309
4000
518
345
1725
2277
2277
1470
3220
1470
1550
1984
2619
2619
1691
3703
1691
1783
Non- NABH/Non-
NABH/NABL

Percutaneous Kidney Biopsy
Marrow Biopsy (Open)
Muscle Biopsy
Scalene Node Biopsy
Excision of Sebaceous Cysts
Excision of Superficial Lipoma
Excision of Superficial Neurofibroma
Excision of Dermoid Cysts
Haemorrhoidectomy
Stappler haemorrhoidectomy
keloid excision
Vericose vein surgery;Tendelenburg operation with suturing
or ligation.
TREATMENT PROCEDURE OESOPHAGUS
Atresia of Oesophagus and Tracheo Oesophageal Fistula
NABL Rates
1470
1060
1470
1350
1242
1932
2500
2277
20720
38000
1150
10000
Rates
1691
1219
1691
1553
1428
2222
2875
2619
24375
43700
1323
11500
28750
33063
395
396
397
398
399
400
401
402
403
404
405
Operations for Replacement of Oesophagus by Colon

Oesophagectomy for Carcinoma Easophagus
Oesophageal Intubation (Mausseau Barbin Tube)
Achalasia Cardia Transthoracic
Achalasia Cardia Abdominal
Oesophago Gastrectomy for mid 1/3 lesion
Hellers Operation
Colon-Inter position or Replacement of Oesophagus
Oesophago Gastrectomy Lower Corringers procedure
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE ABDOMEN / GI SURGERY
25000
25000
11500
14950
12650
24495
19750
22540
21390
27625
5000
28750
28750
13225
17193
14548
28169
22713
25921
24599
32500
5750
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
Gastroscopy
Gastric & Duodenal Biopsy (Endoscopic)
Pyloromyotomy
Gastrostomy
Simple Closure of Perforated peptic Ulcer
Vagotomy Pyleroplasty / Gastro Jejunostomy
Duodenojejunostomy
Partial/Subtotal Gastrectomy for Carcinoma
Partial/Subtotal Gastrectomy for Ulcer
Operation for Bleeding Peptic Ulcer
Operation for Gastrojejunal Ulcer
Total Gastrectomy for Cancer
Highly Selective Vagotomy
Selective Vagotomy & Drainage
Congenital Diaphragmatic Hernia
Hiatus Hernia Repair- Abdominal
Hiatus Hernia Repair- Transthoracic
Exploratory Laparotomy
1725
1950
2800
8625
9775
13800
18950
23000
22425
20976
19780
22368
18630
18630
18975
14490
16100
12650
1984
2243
3220
9919
11241
15870
21793
26450
25789
24122
22747
25723
21425
21425
21821
16664
18515
14548
382
383
384
385
386
387
388
389
390
391
392
393
394
Non- NABH/Non-
NABH/NABL
424
425
426
427
428
429
430

Epigastric Hernia Repair
Umbilical Hernia Repair
Ventral /incisional Hernia Repair
Inguinal Hernia Herniorraphy
Inguinal Hernia - Hernioplasty
Femoral Hernia Repair
Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic)
NABL Rates
11385
11385
10293
14835
16500
18285
18975
Rates
13093
13093
11837
17060
18975
21028
21821
431
432
433
434
435
Splenectomy - For Trauma

Splenectomy - For Hypersplenism
Splenorenal Anastomosis
Portocaval Anastomosis
Direct Operation on Oesophagus for Portal Hypertension
18975
14490
23000
28750
22885
21821
16664
26450
33063
26318
436
437
438
439
Mesentericocaval Anastomosis
Warren Shunt
Pancerato Duodenectomy
By Pass Procedure for Inoperable Carcinoma of Pancreas
25450
28750
21735
23000
29268
33063
24995
26450
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
Cystojejunostomy or Cystogastrostomy
Cholecystectomy
Cholecystectomy & Exploration of CBD
Repair of CBD
Operation for Hydatid Cyst of Liver
Cholecystostomy
Hepatic Resections (Lobectomy /Hepatectomy)
Operation on Adrenal Glands - Bilateral
Operation on Adrenal Glands - Unilateral
Appendicectomy
Appendicular Abscess Drainage
Mesenteric Cyst- Excision
Peritonioscopy/Laparoscopy
Jejunostomy
Ileostomy
Resection & Anastomosis of Small Intestine
Duodenal Diverticulum
Operation for Intestinal Obstruction
Operation for Intestinal perforation
Benign Tumours of Small Intestine
Excision of Small Intestine Fistula
Operations for GI Bleed
Operations for Haemorrhage of Small Intestines
Operations of the Duplication of the Intestines
Operations for Recurrent Intestinal Obstruction (Noble
Plication & Other Operations for Adhesions)
Ilieosigmoidostomy and related resection
Ilieotransverse Colostomy and related resection
14490
10292
14375
13600
11902
10292
14375
26105
13800
8108
9775
11040
4600
5750
15410
20700
18400
10350
38000
19550
19550
16000
19550
17825
23000
16664
11836
16531
16000
13687
11836
16531
30021
15870
9324
11241
12696
5290
6613
17722
23805
21160
11903
43700
22483
22483
18400
22483
20499
26450
16790
16790
19309
19309
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510

Caecostomy
Loop Colostomy Transverse Sigmoid
Terminal Colostomy
Closure of Colostomy
Right Hemi-Colectomy
Left Hemi-Colectomy
Total Colectomy
Operations for Volvulus of Large Bowel
Operations for Sigmoid Diverticulitis
Fissure in Ano with Internal sphinctrectomy with
fissurectomy.
Fissure in Ano - Fissurectomy
Rectal Polyp-Excision
Fistula in Ano - High Fistulectomy
Fistula in Ano - Low Fistulectomy
Prolapse Rectum - Theirch Wiring
Prolapse Rectum - Rectopexy
Prolapse Rectum - Grahams Operation
Operations for Hirschsprungs Disease
Excision of Pilonidal Sinus (open)
Excision of Pilonidal Sinus with closure
Abdomino-Perineal Excision of Rectum
Anterior Resection of rectum
Pull Through Abdominal Resection
Retro Peritoneal Tumor Removal
Radio ablation of varicose veins
Laser ablation of varicose veins
Laproscopic Fundoplication
Laproscopic Spleenectomy
Laproscopic Removal of hydatid cyst
Laproscopic treatment of Pseudo Pancreatic cyst
Laproscopic whipples operation
Laproscopic GI bypass operation
Laproscopic Total Colectomy
Laproscopic Hemi Colectomy
Laproscopic Anterior Resection
Laproscopic Cholecystetomy
Laproscopic Appedicectomy
Laproscopic Hernia inguinal repair
Laproscopic ventral Hernia Repair
Laproscopic Paraumblical Hernia Repair
Laproscopic Adrenelectomy
Laproscopic Nephrectomy
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE ICU/CCU PROCEDURES
(SPECIAL CARE CASES)
Non- NABH/Non-
NABH/NABL
NABL Rates
3903
13110
17250
17480
13800
13800
17250
24920
18630
13800
Rates
4488
15077
19838
20102
15870
15870
19838
28658
21425
15870
13800
5658
16780
9867
10350
5750
18400
14260
11500
11500
18300
21850
17170
18000
1800
17250
19300
25000
18000
18000
20000
22000
25000
23000
23000
18975
18000
18000
17500
17500
12000
22000
38000
6000
15870
6507
19297
11347
11903
6613
21160
16399
13225
13225
21045
25128
19746
20700
2070
19838
22195
28750
20700
20700
23000
25300
28750
26450
26450
21821
20700
20700
20125
20125
13800
25300
43700
6900
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
Non- NABH/Non-
NABH/NABL

Coronary Care with Cardiac Monitoring (Room Rent extra)
NABL Rates
750
Rates
863
Compressed air / piped oxygen /per hour

Ventilator charges (Per day)
Paediatric care for New born (Per day)
Incubator charges (Per day)
Neonatal ICU charges (Per day)
Resuscitation
Exchange Transfusion
Pneupack ventilator in Nursery (Per day)
TREATMENT PROCEDURE CARDIOVASCULAR AND
50
531
186
345
391
184
265
575
58
611
214
397
450
212
305
661
51808
51808
127075
80750
122188
103615
161000
169000
169000
127075
169000
169000
140000
130000
155422
103615
103615
52000
51980
51980
42320
51980
51980
276000
80600
80000
48875
10264
10000
10350
12650
15000
21000
36000
59579
59579
146136
95000
140516
119157
185150
194350
194350
146136
194350
194350
161000
149500
178735
119157
119157
59800
59777
59777
48668
59777
59777
317400
92690
92000
56206
11804
11500
11903
14548
17250
24150
41400
CARDIAC SURGERY & INVESTIGATIONS

ASD Closure
VSD with graft
TOF/TAPVC/TCPC/REV/RSOV repair
B.D.Glenn/Left atrium myxoma
Senning/ASO with graft
DSO
AV Canal repair
Fonten
Conduit repair
CABG
CABG + IABP
CABG + Valve.
CABG without bypass.
Ascending aorta replacement
DVR
MVR/AVR
MV repair + AV repair
Aorta femoral bypass
B.T Shunt/Coaractation
P.A.Banding septostomy
Pericardectomy
CMV/PDA
Gunshot injury
Heart transplant
Balloon coronary angioplasty/PTCA with VCD
Balloon coronary angioplasty/PTCA without VCD
Rotablation
balloon valvotomy/PTMC
CATH
Arch Replacement
Aortic Dissection
Thoraco Abdominal Aneurism Repair
Embolectomy
Vascular Repair
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600

Bentall Repair with Prosthetic Valve
Bentall Repair with Biologic Valve
Coaractation dilatation
Coaractation dilatation with Stenting
TPI Single Chamber
TPI Dual Chamber
Permanent pacemaker implantation- Single Chamber
Permanent pacemaker implantation- Dual Chamber
Permanent pacemaker implantation Biventricular
AICD implantation Single Chamber
AICD implantation Dual Chamber
Combo device implantation
Diagnostic Electrophysiological studies conventional
Ambulatory BP monitoring
External Loop/event recording
RF Ablation conventional
RF Ablation Atrial Tachycardia/Carto
Endomyocardial biopsy
IABP
Intra vascular coils
Septostomy- Balloon
Septostomy- Blade
AVBD/PVBD
Digital subtraction angiography-Peripheral artery
Digital subtraction angiography- venogram
C.T Guided biopsy
Sinogram
Peripheral Angioplasty with VCD
Peripheral Angioplasty without VCD
Renal Angioplasty
IVUS
FFR
Holter analysis
Aortic stent grafting for aortic aneurysm
IVC Filter implantation
ASD/VSD/PDA device closure
ECG
HUTT
2 D echocardiography
3 D echocardiography
Fetal Echo
2 D TEE
3 D TEE(Transoesophageal echo )
Stress Echo- exercise
Stress Echo- pharmacological
Stress MPI- exercise
Stress MPI - pharmacological
Non- NABH/Non-
NABH/NABL
NABL Rates
30000
127500
14500
18500
7500
8160
13800
19320
34500
28750
40000
40000
4550
587
2848
35000
45000
10000
7820
46000
16150
19550
48300
11500
11500
1265
863
11500
11500
60350
25000
12750
850
78500
16129
36225
50
2200
1200
1403
1400
1403
1403
1500
2500
1955
2500
Rates
34500
150000
16675
21275
8625
9600
15870
22218
39675
33063
46000
46000
5233
690
3350
40250
51750
11500
8993
52900
19000
22483
55545
13225
13225
1455
992
13225
13225
71000
28750
15000
1000
90275
18548
41659
58
2530
1380
1650
1610
1650
1650
1725
2875
2300
2875
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641

Coronary angiography
CT coronary angiography
Cardiac CT scan
Cardiac MRI
Stress Cardiac MRI
MR angiography.
Cardiac PET
Pericardiocentesis
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE OBSTETRICS AND
GYNAECOLOGY
Normal delivery with or without Episiotomy & P. repair
vacuum delivery
Forceps Delivery
Cesarean Section
Cesarean Hysterectomy
Rupture Uterus closure & repair with Tubal Ligation
Perforation of Uterus after D/E Laparotomy & Closure
Laparotomy for Ectopic pregnancy
Laparotomy-peritonitis Lavage and Drainage
Salphingo-Oophorectomy/ Oophorectomy Laproscopic
Ovarian Cystectomy-laparoscopic.
Ovarian Cystectomy -laparotomy.
Salpingo-Oophorectomy-laparotomy
Laproscopic Broad Ligament Hematoma Drainage with
repair
Exploration of perineal Haematoma & Repair
Exploration of abdominal Haematoma (after laparotomy +
LSCS)
Manual Removal of Placenta
Examination under anesthesia (EUA)
Burst-abdomen Repair
Gaping Perineal Wound Secondary Suturing
Gaping abdominal wound Secondary Suturing
Complete perineal tear-repair
Exploration of PPH-tear repair
Suction evacuation vesicular mole
Suction evacuation Missed abortion/ incomplete abortion
Colpotomy
Repair of post-coital tear/ perineal injury
Excision of urethral caruncle
Shirodhkar/ Mc. Donalds stitch
Abdominal Hysterectomy with or without salpingooophorectomy
Vaginal Hysterectomy (NDVH)
Non- NABH/Non-
NABH/NABL
NABL Rates
11500
6030
2272
2444
3000
5635
1500
3500
20000
4250
Rates
13225
6935
2613
2811
3450
6480
1725
4025
23000
5000
8000
8625
9200
14050
18975
17250
13800
13800
11500
10000
10350
13800
11520
6900
9200
9919
10580
16158
21821
19838
15870
15870
13225
11500
11903
15870
13248
7935
8000
8050
9200
9258
3450
1000
10000
1656
3450
2128
3500
5000
5175
3968
1150
11500
1904
3968
2447
4025
5750
5951
3450
3508
3450
3220
17250
3968
4034
3968
3703
19838
17250
19838
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683

Vaginal Hysterectomy with repairs (UV Prolapse)
Myomectomy -laparotomy
Myomectomy -laparoscopic
Vaginoplasty
Vulvectomy -Simple
Vulvectomy-Radical
RVF Repair
Manchester Operation
Shirodkars sling Operation or other sling operations for
prolapse uterus
Laparoscopic sling operations for prolapse uterus
Diagnostic Curettage
Cervical Biopsy
Polypectomy
Other-Minor Operation Endometrial
Excision Vaginal Cyst/Bartholin Cyst
Excision Vaginal Septum
Laparoscopy -Diagnostic with chromopertubation and or
adhesiolysis and drilling
Laparoscopy Sterilization
LAVH
Balloon Temponade for PPH
Total laparoscopic hysterectomy
Laparoscopic treatment of Ectopic pregnancysalpingectomy/salpinostomy conservative
Conisation of cervix
Trachhelectomy of cervix for early CA cervix
Hysteroscopic cannulation
Laparotomy recannalization of Fallopian tubes(Tubuloplasty)
Laparoscopic recannalization of Fallopian tubes(Tubuloplasty)
Colposcopy
Inversion of Uterus Vaginal Reposition
Inversion of Uterus Abdominal Reposition
Laparoscopic VVF Repair
Abdominal VVF Repair
Vaginal VVF Repair
Interventional Ultrasonography (CVS)
Amniocentesis
Karyotyping
Thermal balloon ablation.
Ultrasonographic myolysis
Vaginal Myomectomy
Intra Uterine Inseminition
ICSI
Laparotomy abdominal sacro-colpopexy
Non- NABH/Non-
NABH/NABL
NABL Rates
17250
14000
6325
14950
9200
9200
18975
15000
3450
Rates
19838
16100
7274
17193
10580
10580
21821
17250
3968
28000
2484
1800
1518
2300
3450
4600
4025
32200
2857
2070
1746
2645
3968
5290
4629
3450
25243
2800
25243
9775
3968
29029
3220
29029
11241
4025
5500
2875
22425
4629
6325
3306
25789
19500
22425
958
2500
2500
28000
28000
28000
880
880
800
11500
10293
10000
920
11500
15000
1102
2875
2875
32200
32200
32200
1012
1012
920
13225
11837
11500
1058
13225
17250
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723

Vaginal Colpopexy
Laparoscopic abdominal sacro-colpopexy
Laparotomy pelvic Lymphadenectomy
Laparoscopic pelvic Lymphadenectomy
Endometrial aspiration cytology/biopsy
Transvaginal sonography (TVS for Follicular monitioring
/aspiration)
laparoscopic treatment for stress incontinence
Transvaginal tapes for Stress incontinence
trans-obturator tapes for Stress incontinence
Interventional radiographic arterial embolization
Diagnostic cystoscopy
Staging laparotomy surgery for CA Ovary
Internal Iliac ligation
stepwise devascularisation
Assisted breech delivery
Intra-uterine fetal blood transfusion
Hysteroscopy TCRE
Hysteroscopy Removal of IUCD
Hysteroscopy Removal of Septum
Hysteroscopy Diagnostic
Radical Hysterectomy for Cancer cervix with pelvic
lymphadenectomy
Radical Hysterectomy for Cancer endometrium extending
to cervix with pelvic and para aortic lymphadenectomy
Sterilization Post partum (minilap)
Sterilization interval (minilap)
Ultrasonography Level II scan/Anomaly Scan
Fetal nuchal Translucency
Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler
MTP- 1st Trimester
MTP - 2nd Trimester
Quadruple test
Biophysical score
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE NEPHROLOGY AND
UROLOGY
Partial Nephrectomy -open
Partial Nephrectomy-laproscopic/endoscopic
Nephrolithomy -open
Nephrolithomy -laproscopic/endoscopic
Pyelolithotomy-open
Pyelolithotomy -laproscopic/endoscopic
Operations for Hydronephrosis -pyeloplasty open
Non- NABH/Non-
NABH/NABL
NABL Rates
22000
20000
1200
3500
570
460
Rates
25300
23000
1380
4025
656
529
15000
15000
12000
18000
2875
6325
3393
9200
10925
21275
8500
7500
11000
7500
8500
17250
17250
13800
20700
3306
7274
3902
10580
12564
24466
9775
8625
12650
8625
9775
8500
9775
3750
3750
500
300
850
3000
4370
2000
600
28000
5000
4313
4313
575
345
978
3450
5026
2300
690
32200
5750
16215
14490
12000
14000
13000
10580
18400
18647
16664
13800
16100
14950
12167
21160
Non- NABH/Non-
NABH/NABL
724
PROCEDURE/INVESTIGATION LIST (DELHI/NCR) NABL Rates

Operations for Hydronephrosis -pyeloplasty Lap/endoscopic 19000
Rates
21850
725
Operations for Hydronephrosis Endoplyelotomy antegrade
20000
23000
726
Operations for Hydronephrosis Endoplyelotomy retrograde
20000
23000
727
728
729
730
18000
18000
8000
5750
20700
20700
9200
9775
11960
14030
13248
10000
16100
16100
19000
18000
18000
18000
20700
11500
13754
16135
15235
11500
18515
18515
21850
20700
20700
20700
23805
743
744
745
746
747
748
749
750
751
752
753
754
755
756
Operations for Hydronephrosis -ureterocalicostomy

Operations for Hydronephrosis-Ileal ureter
Open Drainage of Perinephric Abscess
Percutaneous Drainage of Perinephric Abscess -Ultrasound
guided
Cavernostomy
Operations for Cyst of the Kidney -open
Operations for Cyst of the Kidney -Lap/endoscopic
Ureterolithotomy -open
Ureterolithotomy-Lap/Endoscopic
Nephroureterectomy open
Nephroureterectomy -Lap/Endoscopic
Operations for Ureter for -Double Ureters
Operations for Ureter -for Ectopia of Single Ureter
Operations for Vesico- ureteric Reflux -Open
Operations for Vesico- ureteric Reflux-Lap/Endoscopic
Operations for Vesico- ureteric Reflux/ Urinary incontinence
with bulking agents
Ureterostomy - Cutaneous
Uretero-Colic anastomosis
Formation of an Ileal Conduit
Ureteric Catheterisation
Biopsy of Bladder (Cystoscopic)
Cysto-Litholapaxy
Operations for Injuries of the Bladder
Suprapubic Drainage (Cystostomy/vesicostomy)
Simple Cystectomy
Diverticulectomy -open
Diverticulectomy- Lap/Endoscopic
Diverticulectomy -Endoscopic incision of neck
Augmentation Cystoplasty
Operations for Extrophy of the Bladder- Single stage repair
12000
16000
17250
8278
2300
10925
10000
6000
17250
16000
18400
1725
6670
22300
13800
18400
19838
10950
2645
12564
11500
6900
19838
18400
21160
1984
7671
25645
757
Operations for Extrophy of the Bladder- Multistage repair
20815
23937
758
Operations for Extrophy of the Bladder- simple cystectomy

with urinary diversion
Repair of Ureterocoel -Open
Repair of Ureterocoel -Lap/Endoscopic
Repair of Ureterocoel -Endoscopic incision
Open Suprapubic Prostatectomy
22500
25875
13800
14375
13000
20700
15870
16531
14950
23805
731
732
733
734
735
736
737
738
739
740
741
742
759
760
761
762
Non- NABH/Non-
NABH/NABL
NABL Rates
20125
18630
4600
5750
11040
3450
19550
Rates
23144
21425
5290
6613
12696
3968
22483
770
771
772
773
774

Open Retropubic Prostatectomy
Transurethral Resection of Prostate (TURP)
Urethroscopy/ Cystopanendoscopy
Internal urethrotomy -optical
Internal urethrotomy -Core through urethroplasty
Urethral Reconstruction -End to end ansatamosis
Urethral Reconstruction - substitution urethroplasty
(Transpubic urethroplasty
Abdomino Perineal urethroplasty
Posterior Urethral Valve fulguration.
Operations for Incontinence of Urine - Male -Open
Operations for Incontinence of Urine - Male -Sling
Operations for Incontinence of Urine - Male-Bulking agent
14000
11270
17250
18400
19435
16100
12961
19838
21160
22350
775
776
777
Operations for Incontinence of Urine - Female -Open

17250
Operations for Incontinence of Urine - Female-Sling
18400
Operations for Incontinence of Urine - Female-Bulking agent 19435
19838
21160
22350
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
Reduction of Paraphimosis
Circumcision
Meatotomy
Meatoplasty
Operations for Hypospadias + Chordee Correction
Operations for Hypospadias - Second Stage
Operations for Hypospadias - One Stage Repair
Operations for Crippled Hypospadias
Operations for Epispadias _primary repair
Operations for Epispadias-crippled epispadias
Partial Amputation of the Penis
Total amputation of the Penis
Orchidectomy-Simple
Orchidectomy -Radical
Post Radical Orchidectomy retroperitoneal lymph node
dissection.
Epididymectomy
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma- Open
Adreneclectomy Unilateral/Bilateral for Tumour/For
Carcinoma -Lap/Endoscopic
Operations for Hydrocele - Unilateral
Operations for Hydrocele - Bilateral
Operation for Torsion of Testis
Micro-surgical Vasovasostomy /Vaso epidedymal
ansatamosis.
Operations for Varicocele Unilateral-Microsurgical
Operations for Varicocele Palomos Unilateral - Lap
Operations for Varicocele Bilateral --Microsurgical
1725
3000
2346
3220
9200
15000
9200
11500
12593
11385
10764
12000
9775
12075
14000
1984
3450
2698
3703
10580
17250
10580
13225
14482
13093
12379
13800
11241
13886
16100
15938
25300
18750
29095
14375
16531
5865
8556
11500
11040
6745
9839
13225
12696
7705
9200
12650
8861
10580
14548
763
764
765
766
767
768
769
793
794
795
796
797
798
799
800
801
802
Non- NABH/Non-
NABH/NABL
PROCEDURE/INVESTIGATION LIST (DELHI/NCR) NABL Rates

Operations for Varicocele Bilateral Lap/ Palomo
14950
Block Dissection of ilio-inguinal Nodes - One Side (For Ca- 6325
Penis)
Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca- 23000
Penis)
Excision of Filarial Scrotum
11500
Kidney Transplantation (related)
200000
Kidney Transplantation (Spousal/ unrelated) Including
300000
immunosuppressant therapy
ABO incompatible Transplantation
490000
Swap Transplantation
388000
Kidney Transplant Graft Nephrectomy
59500
Donor Nephrectomy (open)
28750
Donor Nephrectomy (Laproscopic)
46000
Cadaver Transplantation
83300
Kidney Transplant with Native Kidney Nephrectomy
28000
(Related)/ Unilateral
85000
(Related)/ Bilateral
85000
(Spousal/ Unrelated) Unilateral
85000
(Spousal/ Unrelated) Bilateral
Post-Transplant Collection drainage for Lymphocele (open) 6800
Rates
17193
7274
6800
8000
7650
9000
2300
3500
1500
2250
1000
2645
4025
1725
2588
1150
1500
1725
828
Post-Transplant Collection drainage for Lymphocele

(percutaneous)
Post-Transplant Collection drainage for Lymphocele
(Laproscopic)
Arteriovenous Fistula for Haemodialysis
Arteriovenous Shunt for Haemodialysis
Jugular Catheterization for Haemodialysis
Subclavian Catheterization for Haemodialysis
One sided (single Lumen) Femoral Catheterization for
Haemodialysis
Bilateral (single Lumen) Femoral Catheterization for
Haemodialysis
Double Lumen Femoral Catheterization for Haemodialysis
1850
2128
829
830
831
832
833
834
835
836
Permcath Insertion
Arterio venous Prosthetic Graft
Single lumen Jugular Catheterization
Single lumen Subclavian Catheterization
Plasma Exchange/ Plasma phresis
Open method CAPD catheter insertion
Schlendinger method CAPD catheter insertion
Sustained low efficiency hemodialysis
2800
1850
1500
1700
1725
3500
3500
1250
3220
2128
1725
2000
1984
4025
4025
1438
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
26450
13225
230000
345000
563500
446200
70000
33063
52900
95795
32200
97750
97750
97750
8000
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
Non- NABH/Non-
NABH/NABL

Continuous Veno venous/Arteriovenous Hemofilteration
Hemodialysis for Sero negative cases
Hemodialysis for Sero Positive cases
Acute Peritoneal Dialysis
Fistologram for Arteriovenous Fistula
Ultrasound guided kidney Biopsy
Fistula stenosis dilation
Slow continuous Ultrafilteration
PCNL - Unilateral
PCNL - Bilateral
Endoscopic Bulking agent Inject
Testicular Biopsy
Radical Nephrectomy -Open
Radical Nephrectomy -Lap/Endoscopic
Radical Nephrectomy plus IV thrombus
Radical Nephrectomy plus IV thrombus plus cardiac bypass.
NABL Rates
2250
1400
1650
1450
2500
850
3000
2500
20000
25000
4500
1955
17250
20700
23000
23000
Rates
2588
1610
1898
1668
2875
978
3450
2875
23000
28750
5175
2248
19838
23805
26450
26450
Vesico Vaginal Fistula Repair (Open)

Vesico Vaginal Fistula Repair (Laproscopic)
Radical Cystectomy -Ileal conduit
Radical Cystectomy - continent diversion.
Radical Cystectomy Neo bladder
Nephrectomy Simple -Open
Nephrectomy Simple-lap/Endoscopic
Nephrostomy -Open
Nephrostomy -Lap/Endoscopic
Ureteric Re- implant for Megaureter/Vesicoureteric reflex/
uterocele (open)
Ureteric Re -implant for Megaureter/Vesicoureteric reflex/
uterocele (Laproscopic)
Partial Cystectomy
TURP & TUR Bladder Tumour
TURP with Cystolithotripsy
Closure of Urethral Fistula
Orchidopexy - Unilateral -Open
Orchidopexy - Unilateral- Lap/Endoscopic
Orchidopexy - Bilateral -Open
Orchidopexy - Bilateral -Lap/Endoscopic
Cystolithotomy -Suprapubic
Endoscopic Removal of Stone in Bladder
Resection Bladder Neck Endoscopic /Bladder neck
incision/transurethral incision on prostrate
Ureteroscopic Surgery
Urethroplasty 1st Stage
Scrotal Exploration
Perineal Urethrostomy
Dilatation of Stricture Urethra under G.A.
16000
22000
17000
15000
18500
10074
12593
10000
10704
10494
18400
25300
20000
17250
21275
11585
14482
11500
12593
12068
10494
12068
13800
17250
17000
11000
9867
12334
12282
14500
9775
3450
10925
15870
19838
19550
12650
11347
14184
14124
16675
11241
3968
12564
10350
10925
8556
4715
2000
11903
12564
9839
5422
2300
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921

Dilatation of Stricture Urethra under LA
Laproscopic Nephrectomy
Laproscopic partial Nephrectomy
Laproscopic pyelolithotomy
Laproscopic Pyeloplasty
Laproscopic surgery for Renal cyst
Laproscopic ureterolithotomy
Laproscopic Nephro ureterotectomy
Lithotripsy Extra corporeal shock wave.
Uroflow Study (Uroflometry)
Urodynamic Study (Cystometry)
Cystoscopy with Retrograde Catheter -Unilateral /RGP
Cystoscopy with Retrograde Catheter - Bilateral /RGP
Cystoscopy with Bladder Biopsy (Cold Cup Biopsy)
Voiding-cysto-urethrogram and retrograde urethrogram
(Nephrostogram)
Radical prostatectomy-Open
Radical prostatectomy-Laproscopic
Radical prostatectomy- Robotic (Robotic Partial
Nephrectomy)
Hollmium YAG Prostate Surgery
Hollmium YAG OIU
Hollmium YAG Core Through
Hollmium YAG Stone Lithotripsy
Green Light laser for prostate
RIRS/ Flexible Ureteroscopy
Microscopic VEA/ Vaso-Vasostomy (for Infertility)
Cystoscopic Botulinum Toxin Injection ( Over active
bladder/ Neurogenic bladder)
Peyronies disease Plaque excision with grafting
High Intensity Focus Ultrasound (HIFU) (Robotic) for
Carcinoma prostrate and renal cell carcinoma
Prosthetic surgery for urinary incontinence
TRUS guided prostate biopsy
Ultra sound guided PCN
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE NEURO-SURGERY
Craniotomy and Evacuation of Haematoma -Subdural
Craniotomy and Evacuation of Haematoma -Extradural
Evacuation /Excision of Brain Abscess by craniotomy
Excision of Lobe (Frontal Temporal Cerebellum etc.)
Excision of Brain Tumours -Supratentorial
Excision of Brain Tumours -Infratentorial
Surgery of spinal Cord Tumours
Ventriculoatrial /Ventriculoperitoneal Shunt
Twist Drill Craniostomy
Non- NABH/Non-
NABH/NABL
NABL Rates
1725
33350
10000
12650
9775
9775
11500
13225
19550
450
480
2803
4675
3381
414
Rates
1984
38353
11500
14548
11241
11241
13225
15209
22483
518
552
3223
5500
3888
476
17825
20125
20125
20499
23144
23144
15000
4600
17250
10200
17250
6800
13500
6800
17250
5290
19838
12000
19838
7820
15525
7820
3400
4600
4000
5290
2300
575
720
15000
6800
2645
661
828
17250
7820
50715
50000
40000
41000
39123
45000
45000
25000
4250
58322
57500
46000
47150
44991
51750
51750
28750
5000
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968

Subdural Tapping
Ventricular Tapping
Abscess Tapping
Placement of ICP Monitor Skull Traction Application
Lumber Pressure Monitoring
Vascular Malformations
Meningo Encephalocoele excision and repair
Meningomyelocoel Repair
C.S.F. Rhinorrhaea Repair
Cranioplasty
Anterior Cervical Dissectomy
Brachial Plexus Exploration and neurotization
Median Nerve Decompression
Peripheral Nerve Surgery Major
Peripheral Nerve Surgery Minor
Ventriculo-Atrial Shunt
Nerve Biopsy
Brain Biopsy
Anterior Cervical Spine Surgery with fusion
Anterio Lateral Decompression of spine
Brain Mapping
Cervical or Dorsal or Lumbar Laminectomy
Combined Trans-oral Surgery & CV Junction Fusion
C.V. Junction Fusion procedures
Depressed Fracture Elevation
Lumbar Discectomy
Endarterectomy (Carotid)
R.F. Lesion for Trigeminal Neuralgia
Spasticity Surgery Spinal Fusion Procedure
Spinal Intra Medullary Tumours
Spinal Bifida Surgery Major
Spinal Bifida Surgery Minor
Stereotaxic Procedures- biopsy/aspiration of cyst
Trans Sphenoidal Surgery
Trans Oral Surgery
Implantation of DBS -One electrode
Implantation of DBS -two electrodes
Endoscopic aqueductoplasty
Facial nerve reconstruction
Carotid stenting
Cervical disc arthroplasty
Lumbar disc arthroplasty
Corpus callostomy for Epilepsy
Hemishpherotomy for Epilepsy
Endoscopic CSF rhinorrhea repair
Non- NABH/Non-
NABH/NABL
NABL Rates
2456
2967
2875
2875
2300
4250
22000
15000
24995
28750
24150
16600
15525
14000
17250
8280
11615
6900
5808
32200
28750
837
23000
34500
30000
25000
27600
20000
11500
39675
30000
34500
18975
15000
23000
30000
30000
34500
40250
15000
30000
42263
27600
13800
35000
32200
30000
Rates
2824
3412
3306
3306
2645
5000
25300
17250
28744
33063
27773
19090
17854
16100
19838
9522
13357
7935
6679
37030
33063
963
26450
39675
34500
28750
31740
23000
13225
45626
34500
39675
21821
17250
26450
34500
34500
39675
46288
17250
34500
48602
31740
15870
40250
37030
34500
Non- NABH/Non-
NABH/NABL
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990

Burr hole evacuation of chronic subdural haematoma
Epilepsy surgery
RF lesion for facet joint pain syndrome
Cervical laminoplasty
Lateral mass C1-C2 screw fixation
Microsurgical decompression for Trigeminal nerve
Microsurgical decompression for hemifacial spasm
IC EC bypass procedures
Image guided craniotomy
Baclofen pump implantation
Programmable VP shunt
Endoscopic sympathectomy
Lumber puncture
External ventricular drainage (EVD)
Endoscopic 3rd ventriculostomy
Endoscopic cranial surgery/Biopsy/aspiration
Endoscopic discectomy (Lumbar, Cervical)
Aneurysm coiling (Endovascular)
Surgery for skull fractures
Carpel Tunnel decompression
Clipping of intracranial aneurysm
Surgery for intracranial Arteriovenous malformarions(AVM)
NABL Rates
24150
36225
17250
32000
23000
38000
4646
32000
28980
39000
25000
17107
207
4600
40000
31536
35621
34400
40000
15000
24150
40000
Rates
27773
41659
19838
36800
26450
43700
5343
36800
33327
44850
28750
19673
238
5290
46000
36266
40964
39560
46000
17250
27773
46000
991
Foramen magnum decompression for Chari Malformation
93750
107813
992
Dorsal column stimulation for backache in failed back

syndrome
Surgery for recurrent disc prolapse/epidural fibrosis
Surgery for brain stem tumours
Decompressive craniotomy for hemishpherical acute
subdural haematoma/brain swelling/large infarct
Intra-arterial thrombolysis with TPA (for ischemic stroke )
28750
33063
32200
43988
40000
37030
50586
46000
4600
5290
32545
40000
27560
37427
46000
31694
57500
66125
14450
22000
17330
24000
20000
35000
45000
40000
16618
25300
19930
27600
23000
40250
51750
46000
993
994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
Steriotactic aspiration of intracerebral haematoma

Endoscopic aspiration of intracerebellar haematoma
Steriotactic Radiosurgery for brain pathology(X
knife/Gamma ) - ONE session
Steriotactic Radiosurgery for brain pathology(X knife /
Gamma knife -Two or more sessions
Chemotheraphy wafers for malignant brain tumors
Battery Placement for DBS
Baclofen pump implantation for spasticity
Peripheral Nerve tumor surgery
Surgery Intra Cranial Meningioma
Surgery for Intracranial Schwannoma
Surgery for Gliomas
Surgery for Orbital tumors
Non- NABH/Non-
NABH/NABL

Surgery for Cranial (Skull) tumors
Surgery for Scalp AVMs
Kyphoplasty
Balloon Kyphoplasty
Lesioning procedures for Parkinsons disease, Dystonia etc.
NABL Rates
38500
25000
40000
40000
35000
Rates
44275
28750
46000
46000
40250
1014
1015
Other Major Surgery

Other Minor Surgery
TREATMENT PROCEDURE PAEDIATRIC SURGERY
42500
17000
50000
20000
1016
1017
Excision of thyroglossal Duct/Cyst

Diaphragmatic Hernia Repair (Thoracic or Abdominal
Approach)
Tracheo Oesophageal Fistula (Correction Surgery)
Colon Replacement of Oesophagus
Omphalo Mesenteric Cyst Excision
Omphalo Mesenteric Duct- Excision
Meckels Diverticulectomy
Omphalocele 1st Stage (Hernia Repair)
Omphalocele 2nd Stge (Hernia Repair)
Gastrochisis Repair
Inguinal Herniotomy
Congenital Hydrocele
Hydrocele of Cord
Torsion Testis Operation
Congenital Pyloric Stenosis- operation
Duodenal- Atresia Operation
Pancreatic Ring Operation
Meconium Ileus Operation
Malrotation of Intestines Operation
Rectal Biopsy (Megacolon)
Colostomy Transverse
Colostomy Left Iliac
Abdominal Perineal Pull Through (Hirschaprugis Disease)
16000
17250
18400
19838
23000
23000
17250
15525
3347
15525
17250
16100
12558
12000
12000
15000
13938
14000
22425
14500
13000
9736
15000
15000
19000
26450
26450
19838
17854
3849
17854
19838
18515
14442
13800
13800
17250
16029
16100
25789
16675
14950
11196
17250
17250
21850
10235
12000
12500
11770
13800
14375
8625
9919
20700
15000
23805
17250
16000
17000
15000
18400
19550
17250
1009
1010
1011
1012
1013
1018
1019
1020
1021
1022
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
Imperforate Anus Low Anomaly -Cut Back Operation

Imperforate Anus Low Anomaly - Perineal Anoplasty
Imperforate Anus High Anomaly -Sacroabdomino Perineal
Pull Through
Imperforate Anus High Anomaly - Closure of Colostomy
Intususception Operation
Choledochoduodenostomy for Atresia of Extra Hepatic
Billiary Duct
Operation of Choledochal Cyst
Nephrectomy for -Pyonephrosis
Nephrectomy for - Hydronephrosis
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088

Nephrectomy for -Wilms Tumour
Paraortic Lymphadenoctomy with Nephrectomy for Wilms
Tumour
Sacro-Coccygeal Teratoma Excision
Neuroblastoma Debulking
Neuroblastoma Total Excision
Rhabdomyosarcoma wide Excision
Congenital Atresia & Stenosis of Small Intestine
Muconium ileus
Mal-rotation & Volvulus of the Midgut
Excision of Meckles Deverticulum
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE BURNS AND PLASTIC
SURGERY
Primary Suturing of Wound
Injection of Keloids - Ganglion
Injection of Keloids - Haemangioma
Free Grafts - Wolfe Grafts
Free Grafts - Theirech- Small Area 5%
Free Grafts - Large Area 10%
Free Grafts - Very Large Area 20% and above.
Skin Flaps - Rotation Flaps
Skin Flaps - Advancement Flaps
Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap
Skin Flaps - Cross Finger
Skin Flaps - Abdominal
Skin Flaps - Thoracic
Skin Flaps - Arm Etc.
Subcutaneous Pedicle Flaps Raising
Subcutaneous Pedicle Flaps Delay
Subcutaneous Pedicle Flaps Transfer
Cartilage Grafting
Reduction of Facial Fractures of Nose
Reduction of Facial Fractures of Maxilla
Reduction of Fractures of Mandible & Maxilla - Eye Let
Splinting
Reduction of Fractures of Mandible & Maxilla - Cast Netal
Splints
Reduction of Fractures of Mandible & Maxilla - Gumming
Splints
Internal Wire Fixation of Mandible & Maxilla
Cleft Lip - repair.
Cleft Palate Repair
Primary Bone Grafting for alveolar cleft in Cleft Lip
Secondary Surgery for Cleft Lip Deformity
Secondary Surgery for Cleft Palate
Non- NABH/Non-
NABH/NABL
NABL Rates
15000
20000
Rates
17250
23000
14000
16000
20700
15000
19000
16000
15000
12000
27000
11050
16100
18400
23805
17250
21850
18400
17250
13800
31050
13000
300
1099
1150
1725
7475
8000
10350
8970
12500
12500
12500
9350
9350
11000
6900
5950
5950
8625
1380
8000
7475
345
1264
1323
1984
8596
9200
11903
10316
14375
14375
14375
11000
11000
12650
7935
7000
7000
9919
1587
9200
8596
6900
7935
7500
8625
11500
11500
12650
11500
10000
12650
13225
13225
14548
13225
11500
14548
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133

Reconstruction of Eyelid Defects - Minor
Reconstruction of Eyelid Defects - Major
Plastic Surgery of Different Regions of the Ear - Minor
Plastic Surgery of Different Regions of the Ear - Major
Plastic Surgery of the Nose - Minor
Plastic Surgery of the Nose - Major
Plastic Surgery for Facial Paralysis (Support with
Reanimation)
Pendulous Breast - Mammoplasty
Underdeveloped Breast Mammoplasty
After Mastectomy (Reconstruction)Mammoplasty
Syndactyly Repair
Dermabrasion Face
upto 30% Burns 1st Dressing
upto 30% Burns Subsequent Dressing
30% to 50% Burns 1st Dressing
30% to 50% Burns Subsequent Dressing
Extensive Burn -above 50% Frist Dressing
Extensive Burn -above 50% Subsequent dressing
TREATMENT PROCEDURE ORTHOPEDICS
Plaster Work
Fingers (post slab)
Fingers full plaster
Colles Fracture - Below elbow
Colles Fracture - Full plaster
Colles fracture Ant. Or post. slab
Above elbow full plaster
Above Knee post-slab
Below Knee full plaster
Below Knee post-slab
Tube Plaster (or plaster cylinder)
Above knee full plaster
Above knee full slab
Minerva Jacket
Plaster Jacket
Shoulder spica
Single Hip spica
Double Hip spica
Strapping of Finger
Strapping of Toes
Strapping of Wrist
Strapping of Elbow
Strapping of Knee
Strapping of Ankle
Strapping of Chest
Strapping of Shoulder
Figure of 8 bandage
Non- NABH/Non-
NABH/NABL
NABL Rates
6325
8500
8050
10350
8050
9500
16100
Rates
7274
9775
9258
11903
9258
10925
18515
13000
12000
12000
12750
13225
152
124
193
152
276
193
14950
13800
13800
15000
15209
175
143
222
175
317
222
255
259
259
978
994
400
173
575
173
718
800
1265
1158
2415
2185
1955
2243
2760
179
180
230
262
345
345
460
518
518
300
298
298
1125
1143
460
199
288
199
826
920
1455
1332
2777
2513
2248
2579
3174
206
207
265
301
397
397
529
596
596
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
Non- NABH/Non-
NABH/NABL

Collar and cuff sling
Ball bandage
Application of P.O.P Casts for Upper & Lower Limbs
Application of Functiol Cast Brace
Application of Skin Traction
Application of Skeletal Tractions
Bandage & Strappings for Fractures
Aspiration & Intra Articular Injections
Application of P.O.P Spices & Jackets
Close Reduction of Fractures of Limb & P.O.P
Reduction of Compound Fractures
Open Reduction & Internal Fixation of Fingurs & Toes
Open Reduction offracture of Long Bones of Upper / Lower
Limb -iling & Exterl Fixation
Open Reduction of fracture of Long Bones of Upper / Lower
Limb -AO Procedures
Tension Band Wirings
Bone Grafting
Excision of Bone Tumours
Excision or other Operations for Scaphoid Fractures
Sequestrectomy & Saucerisation
Sequestrectomy & Saucerizations -Arthrotomy
Multiple Pinning Fracture Neck Femur
Plate Fixations for Fracture Neck Femur
A.O.Compression Procedures for Fracture Neck Femur
Open Reduction of Fracture Neck Femur Muscle Pedicle
Graft and Internal Fixations
Close Reduction of Dislocations
Open Reduction of Dislocations
Open Reduction of Fracture Dislocation & Internal Fixation
NABL Rates
255
400
633
1350
690
949
552
575
2473
2600
2760
5175
8050
Rates
300
460
728
1553
794
1091
635
661
2844
2990
3174
5951
9258
9660
11109
5658
6601
6900
7188
6900
9971
11500
13500
16560
19500
6507
7591
7935
8266
7935
11467
13225
15525
19044
22425
3174
3439
13500
3650
3955
15525
Neurolysis/Nerve repair
Nerve Repair with Grafting
Tendon with Transplant or Graft
Tendon Lengthening/Tendon repair
Tendon Transfer
Laminectomy Excision Disc and Tumours
Spil Ostectomy and Internal Fixations
Anterolateral decompression for tuberculosis/ CostoTransversectomy
Antereolateral Decompression and Spil Fusion
Corrective Ostectomy & Internal Fixation - short bones
Corrective Ostectomy & Internal Fixation - long bones
Arthrodesis of - Minor Joints
Arthrodesis of - Major Joints
Soft Tissue Operations for C.T.E.V.
Soft Tissue Operations for Polio
13800
16675
10350
8050
3105
4830
24150
3450
15870
19176
11903
9258
3571
5555
27773
3968
19350
13800
11040
10350
10000
8050
6900
22253
15870
12696
11903
11500
9258
7935
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221

Hemiarthroplasty- Hip
Hemiarthroplasty- Shoulder
Operations for Brachial Plexus & Cervical Rib
Amputations - Below Knee
Amputations - Below Elbow
Amputations - Above Knee
Amputations - Above Elbow
Amputations - Forequarter
Amputations -Hind Quarter and Hemipelvectomy
Disarticulations - Major joint
Disarticulations - Minor joint
Arthrography
Arthroscopy - Diagnostic
Arthroscopy-therapeutic: without implant
Arthroscopy-therapeutic: with implant
Soft Tissue Operation on JOINTS -SMALL
Soft Tissue Operation on JOINTS -LARGE
Myocutaneous and Fasciocutaneous Flap Procedures for
Limbs
Removal of Wires & Screw
Removal of Plates
Total Hip Replacement
Total Ankle Joint Replacement
Total Knee Joint Replacement
Total Shoulder Joint Replacement
Total Elbow Joint Replacement
Total Wrist Joint Replacement
Total finger joint replacement
Tubular external fixator
Ilizarov's external fixator
Pelvi-acetebular fracture -Internal fixation
Meniscectomy
Meniscus Repair
ACL Reconstruction
PCL Reconstruction
Knee Collateral Ligament Reconstruction
Bencarf Repair Shoulder
RC Repair
Biceps tenodesis
Distal biceps tendon repair
Arthrolysis of knee
Capsulotomy of Shoulder
Conservative Pop
Application for CTEV per sitting
Total Hip Replacement Revision
Stage-I
Total Hip Replacement Revision
Stage-II
Total Knee Replacement Revision Stage-I
Non- NABH/Non-
NABH/NABL
NABL Rates
20000
20000
24150
6900
6843
8050
6843
13225
18400
20700
12650
9200
8568
10000
17250
6900
13500
18630
Rates
23000
23000
27773
7935
7869
9258
7869
15209
21160
23805
14548
10580
9853
11500
19838
7935
15525
21425
1760
4140
79000
95400
110000
79000
79000
100000
20000
4600
7763
8625
12000
10000
8500
13500
12500
13200
1500
14000
10380
12500
15800
1200
1200
17000
50000
35000
2024
4761
90850
109710
126500
90850
90850
115000
23000
5290
8927
9919
13800
11500
9775
15525
14375
15180
1725
16100
11937
14375
18170
1380
1380
19550
57500
40250
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264

Total Knee Replacement Revision Stage-II
Illizarov/ external fixation for limb lengthening/ deformity
correction
Discectomy/ Micro Discectomy
Laminectomy
Spinal Fixation Cervical/dorsolumbar/ lumbosacral
Fusion Surgery Cervical/ Lumbar Spine upto 2 Level
More than 2 Level
Scoliosis Surgery/ Deformity Correction of Spine
Vertebroplasty
Spinal Injections
DHS for Fracture Neck Femur
Proximal Femoral Nail (PFN for IT Fracture)
Spinal Osteotomy
Illizarovs / External Fixation for Trauma
Soft Tissue Operations for Polio/ Cerebral Palsy
Mini Fixator for Hand/Foot
Other Major Surgery
Other Minor Surgery
TREATMENT PROCEDURE PHYSIOTHERAPY
Ultrasonic therapy
S.W. Diathermy
Electrical stimulation (therapeutic)
Muscle testing and diagnostic
Infra red
U.V. Therapeutic dose
Intermittent Lumbar Traction
Intermittent Cervical traction
Wax bath
Hot pack
Breathing Exercises & Postural Drainage
Cerebral Palsy exercise
Post polio exercise
NUCLEAR MEDICINE / RADIOTHERAPY AND
CHEMOTHERAPY
Cobalt 60 therapy
Radical therapy
Palliative therapy
Linear accelerator
Radical therapy
Palliative therapy
3 D Planning
2 D Planing
IMRT(Intensity Modulated radiotherapy)
SRT (Stereotactic radiotherapy)
SRS(Stereotactic radio surgery)
IGRT(Image guided radiotherapy)
Non- NABH/Non-
NABH/NABL
NABL Rates
35000
12500
Rates
40250
14375
12500
4646
16000
22000
12000
25000
12000
450
15000
14000
1434
13000
10557
9000
38250
11883
14375
5343
18400
25300
13800
28750
13800
518
17250
16100
1649
14950
12420
10350
45000
13980
78
78
78
71
78
58
78
75
75
78
50
50
50
90
90
90
82
90
67
90
86
86
90
58
58
58
68425
24438
78689
28104
58650
34213
4888
4888
100878
60996
80546
147016
67448
39345
5621
5621
116010
70145
92628
169068
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
Non- NABH/Non-
NABH/NABL

Respiratory Gating-alongwith Linear accelerator planning
NABL Rates
110000
Rates
126500
Electron beam with Linear accelerator

Tomotherapy
NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH
DOSE RADIATION
Intracavitory
Interstitial
Intraluminal
Surface mould
GLIADAL WAFER
NUCLEAR MEDICINE / CHEMOTHARAPY
Neoadjuvant
Adjuvant
Concurrent-chemoadiation
Single drug
Multiple drugs
Targeted therapy
Chemoport facility
PICC line (peripherally inserted Central canulisation)
LIST OF PROCEDURES/ TESTS IN
67473
79400
79380
91310
11730
58650
9775
4644
93900
13490
67448
11241
5341
107985
863
863
920
552
897
920
920
920
992
992
1058
635
1032
1058
1058
1058
1725
250
345
1543
1725
2875
1725
3000
2500
2500
2500
4025
2415
3680
990
4000
3500
4950
1099
2737
3000
2737
2000
4000
1984
288
397
1815
1984
3306
1984
3450
2875
2875
2875
4629
2777
4232
1139
4600
4025
5693
1264
3148
3450
3148
2300
4600
GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES

Upper G.I. Endoscopy + Lower G.I. Endoscopy
Diagnostic endoscopy
Endoscopic biopsy
Endoscopic mucosal resection
Oesophageal stricture dilatation
Balloon dilatation of achalasia cardia
Foreign body removal
Oesophageal stenting
Band ligation of oesophageal varices
Sclerotherapy of oesophageal varices
Glue injection of varices
Argon plasma coagulation
Pyloric balloon dilatation
Enteranal stenting
Duodenal stricture dilation
Single balloon enterocopy
Double balloon enteroscopy
Capsule endoscopy
Piles banding
Colonic stricture dilatation
Hot biopsy forceps procedures
Colonic stenting
Junction biopsy
Conjugal microscopy
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345
1346

Endoscopic sphincterotomy
CBD stone extraction
CBD stricture dilatation
Biliary stenting (plastic and metallic)
Mechanical lithotripsy of CBD stones
Pancreatic sphincterotomy
Pancreatic stricture dilatation
Pancreatic stone extraction
Mechanical lithotripsy of pancreatic stones
Endoscopic cysto gastrostomy
Balloon dilatation of papilla
Ultrasound guided FNAC
Ultrasound guided abscess Drainage
PTBD
Diagnostic angiography
Vascular embolization
TIPS
IVC graphy + hepatic veinography
Muscular stenting
BRTO
Portal haemodymic studies
Manometry and PH metry
Oesophageal PH metry
Oesophageal manometry
Small bowel manometry
Anorectal manometry
Colonic manometry
Biliary manometry
Sengstaken blackenesse tube tempode
Lintas machles tube tempode
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
Extra corporeal shortwave lithotripsy
Liver biopsy
NAME OF INVESTIGATION / DENTAL
Dental IOPA X-ray
Occlusal X-ray
OPG X-ray
NAME OF INVESTIGATION / PULMONARY
Lung Ventilation & Perfusion Scan (V/Q Scan)
Lung Perfusion Scan
NAME OF INVESTIGATION / OSTEOLOGY
Whole Body Bone Scan with SPECT.
Three phase whole body Bone Scan
NAME OF INVESTIGATION / NEUROSCIENCES
Brain Perfusion SPECT Scan with Technetium 99m
radiopharmaceuticals.
Non- NABH/Non-
NABH/NABL
NABL Rates
2415
2415
6500
4830
8000
6375
5750
10098
11385
8050
6900
575
720
1150
2000
15100
5400
34212
97750
57500
1913
1612
5000
5000
6800
6800
7650
7650
2875
2875
350
300
41400
1380
Rates
2777
2777
7475
5555
9200
7500
6613
11613
13093
9258
7935
661
828
1323
2300
17365
6210
39344
112413
66125
2250
1897
5750
5750
8000
8000
9000
9000
3306
3306
403
345
47610
1587
50
78
196
58
90
225
3600
2000
4140
2300
3421
3421
3934
3934
9775
11241
1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358

Radionuclide Cisternography for CSF leak
NAME OF INVESTIGATION / GASTRO AND
HEPATOBILIARY
Gastro esophageal Reflux Study (G.E.R. Study)
Gastro intestinal Bleed (GloB.) Study with Technetium 99m
labeled RBCs.
Hepatobiliary Scintigraphy.
Meckel's Scan
Hepatosplenic scintigraphy with Technetium-99m
radiopharmaceuticals
Gastric emptying
NAME OF INVESTIGATION / GENITOURINARY
Renal Cortical Scintigraphy with Technetium 99m D.M.S.A.
Non- NABH/Non-
NABH/NABL
NABL Rates
3740
Rates
4400
1955
3421
2248
3934
2444
1955
1870
2811
2248
2200
1275
1466
3421
3934
3421
3421
1960
1466
3934
3934
2254
1686
1564
1466
2933
17595
4888
1799
1686
3373
20234
5621
1364
1365
1366
1367
1368
1369
Dynamic Renography.
Dynamic Renography with Diuretic.
Dynamic Renography with Captopril
Testicular Scan
NAME OF INVESTIGATION / ENDOCRINOLOGY
Thyroid Uptake measurements with 131-Iodine.
Thyroid Scan with Technetium 99m Pertechnetate.
Lodine-131 Whole Body Scan.
Whole Body Scan with M.I.B.G.
Parathyroid Scan
NAME OF INVESTIGATION / RADIO-ISOTOPE
THERAPY
131-lodine Therapy
131-lodine Therapy <15mCi
131-lodine Therapy 15-50mCi
131-lodine Therapy 51-100mCi
131-lodine Therapy >100mCi
Phosphorus-32 therapy for metastatic bone pain palliation
1530
3854
4956
12000
15000
5000
1800
4432
5699
13800
17250
5750
1370
Samarium-153 therapy for metastatic bone pain palliation
10450
12018
1371
Radiosynovectomy with Yttrium

NAME OF INVESTIGATION / CARDIOLOGY
Stress thallium / Myocardial Perfusion Scintigraphy
Rest thallium / Myocardial Perfusion Scintigraphy
Venography
TMT
TEE
Lymph angiography
NAME OF INVESTIGATION / TUMOUR IMAGING
21250
25000
9450
8000
3300
489
489
1613
10868
9200
3795
562
562
1855
4800
73313
5520
84310
1359
1360
1361
1362
1363
1372
1373
1374
1375
1376
1377
1378
1379
Scintimammography.
Indium lableled octeriotide Scan.
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1414
1415

NAME OF INVESTIGATION / PET SCAN
FDG Whole body PET / CT Scan
Brain I Heart FDG PET / CTScan,
Gallium-68 Peptide PET / CT imaging for Neuroendocrine
Tumor
LABORATORY MEDICINE / CLINICAL PATHOLOGY
Urine routine- pH, Specific gravity, sugar, protein and
microscopy
Urine-Microalbumin
Stool routine
Stool occult blood
Post coital smear examination
Semen analysis
LABORATORY MEDICINE / HAEMATOLOGY
Haemoglobin (Hb)
Total Leucocytic Count (TLC)
Differential Leucocytic Count (DLC)
E.S.R.
Total Red Cell count with MCV,MCH,MCHC,DRW
Complete Haemogram/CBC, Hb,RBC count and indices,
TLC, DLC, Platelet, ESR, Peripheral smear examination
Platelet count
Reticulocyte count
Absolute Eosinophil count
Packed Cell Volume (PCV)
Peripheral Smear Examination
Smear for Malaria parasite
Bleeding Time
Osmotic fragility Test
Bone Marrow Smear Examination
Bone Marrow Smear Examination with iron stain
Bone Marrow Smear Examination and cytochemistry
Activated partial ThromboplastinTime (APTT)
Rapid test for malaria(card test)
WBC cytochemistry for leukemia -Complete panel
Bleeding Disorder panel- PT, APTT, Thrombin Time
Fibrinogen, D-Dimer/ FDP
Factor Assays-Factor VIII
Factor Assays-Factor IX
Platelet Function test
Tests for hypercoagulable states- Protein C, Protein S,
Antithrombin
Tests for lupus anticoagulant
Tests for Antiphospholipid antibody IgG, IgM ( for
cardiolipin and B2 Glycoprotein 1)
Non- NABH/Non-
NABH/NABL
NABL Rates
Rates
20528
14663
15000
23607
16862
17250
35
40
70
35
24
30
35
81
40
28
35
40
18
31
31
25
32
135
21
36
36
29
37
155
48
48
48
13
43
41
35
50
70
250
440
102
44
110
400
55
55
55
15
49
47
40
58
81
288
506
117
51
127
460
720
680
50
400
828
782
58
460
150
500
173
575
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439

Thalassemia studies (Red Cell indices and Hb HPLC)
Tests for Sickling / Hb HPLC)
LABORATORY MEDICINE / BLOOD BANK
Blood Group & RH Type
Cross match
Coombs Test Direct
Coombs Test Indirect
3 cell panel- antibody screening for pregnant female
11 cells panel for antibody identification
HBs Ag
HCV
HIV I and II
VDRL
RH Antibody titer
Platelet Concentrate
Random Donor Platelet(RDP)
Single Donor Platelet (SDP- Aphresis)
LABORATORY MEDICINE / HISTOPATHOLOGY
Routine-H & E
special stain
Immunohistochemistry(IHC)
Frozen section
Paraffin section
LABORATORY MEDICINE / CYTOLOGY
Pap Smear
Body fluid for Malignant cells
FNAC
NAME OF INVESTIGATION / FLOW CYTOMETRY
Non- NABH/Non-
NABH/NABL
NABL Rates
560
77
Rates
644
89
30
50
90
100
170
170
102
128
150
43
80
56
128
150
35
58
104
115
200
200
120
150
173
50
92
64
150
173
90
65
750
780
343
104
75
863
897
394
150
150
200
173
173
230
1440
1441
Leukemia panel /Lymphoma panel

1536
PNH Panel-CD55,CD59
1000
LABORATORY MEDICINE / CYTOGENETIC STUDIES
1766
1150
1442
1443
Karyotyping
FISH
LABORATORY MEDICINE / BIO-CHEMISTRY
Blood Glucose Random
24 hrs urine for Proteins,Sodium, creatinine
Blood Urea Nitrogen
Serum Creatinine
Urine Bile Pigment and Salt
Urine Urobilinogen
Urine Ketones
Urine Occult Blood
Urine total proteins
Rheumatoid Factor test
Bence Jones protein
1539
500
1770
575
24
50
54
55
25
20
30
35
18
100
47
28
58
62
63
29
23
35
40
21
115
54
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1500
1501

Serum Uric Acid
Serum Bilirubin total & direct
Serum Iron
C.R.P.
C.R.P Quantitative
Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.
Albumin.
Creatinine clearance.
Serum Cholesterol
Total Iron Binding Capacity
Glucose (Fasting & PP)
Serum Calcium Total
Serum Calcium Ionic
Serum Phosphorus
Total Protein Alb/Glo Ratio
IgG.
IgM.
IgA.
ANA.
Ds DNA.
S.G.P.T.
S.G.O.T.
Serum amylase
Serum Lipase
Serum Lactate
Serum Magnesium
Serum Sodium
Serum Potassium
Serum Ammonia
Anemia Profile
Serum Testosterone
Imprint Smear From Endoscopy
Triglyceride
Glucose Tolerance Test (GTT)
Triple Marker.
C.P.K.
Foetal Haemoglobin (HbF)
Prothrombin Time (P.T.)
L.D.H.
Alkaline Phosphatase
Acid Phosphatase
CK MB
CK MB Mass
Troponin I
Troponin T
Glucose Phosphate Dehydrogenase (G, 6PD)
Lithium.
Non- NABH/Non-
NABH/NABL
NABL Rates
55
80
90
100
160
90
18
80
62
80
47
60
44
60
50
250
250
250
200
350
55
55
117
130
72
100
50
50
100
204
150
240
75
90
800
100
85
110
100
60
78
190
140
100
600
100
130
Rates
63
92
104
115
184
104
21
92
71
92
54
69
51
69
58
288
288
288
230
403
63
63
135
150
83
115
58
58
115
240
173
276
86
104
920
115
100
127
115
69
90
219
161
115
690
115
150
Non- NABH/Non-
NABH/NABL
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514

Dilantin (phenytoin).
Carbamazepine.
Valproic acid.
Feritin.
Blood gas analysis
Blood gas analysis with electrolytes
Urine pregnancy test
Tests for Antiphospholipid antibodies syndrome.
Hb A1 C
Hb Electrophoresis/ Hb HPLC
Kidney Function Test.
Liver Function Test.
Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)
NABL Rates
400
400
300
250
120
460
65
280
130
100
225
225
200
Rates
460
460
345
288
138
529
75
322
150
115
259
259
230
1515
1516
1517
1518
1519
1520
Nutritional Markers
Serum Iron
Total Iron Binding Capacity
Serum Ferritin
Vitamin B12 assay.
Folic Acid assay.
Extended Lipid Profile.( Total
90
90
100
250
300
595
104
104
115
288
345
684
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )

Apo A1.
Apo B.
Lp (a).
CD 3,4 and 8 counts
CD 3,4 and 8 percentage
LDL.
Homocysteine.
HB Electrophoresis.
Serum Electrophoresis.
Fibrinogen.
Chloride.
Magnesium.
GGTP.
Lipase.
Fructosamine.
2 microglobulin
Catecholamines.
Creatinine clearance.
NAME OF INVESTIGATION / TUMOUR MARKERS
200
199
445
170
170
62
400
440
220
165
60
150
90
239
200
90
1050
120
230
229
512
200
200
71
460
506
253
190
69
173
104
275
230
104
1208
138
1539
1540
1541
1542
PSA- Total.
PSA- Free.
AFP.
HCG.
312
375
300
289
359
431
345
332
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1586

CA. 125.
CA 19,9.
CA 15.3.
Vinyl Mandelic Acid
Calcitonin
Carcioembryonic antigen(CEA)
OTHERS
Immunofluorescence
Direct(Skin and kidney Disease)
Indirect (antids DNA Anti Smith ANCA)
VitD3 assay
Serum Protein electrophoresis with
immunofixationelectrophoresis (IFE)
BETA-2 Microglobulin assay
Anti cycliocitrullinated peptide (Anti CCP)
Anti tissuetransglutaminase antibody
Serum Erythropoetin
ACTH
HARMONES
T3, T4, TSH
T3
T4
TSH
LH
FSH
Prolactin
Cortisol
PTH(Paratharmone)
C-Peptide.
Insulin.
Progesterone.
17-DH Progesterone.
DHEAS.
Androstendione.
Growth Hormone.
TPO.
Throglobulin.
Hydatic Serology.
Anti Sperm Antibodies.
HBV DNA Qualitative
HBV DNA Quantitative.
HCV RNA Qualitative.
HPV serology
Rota Virus serology
PCR for TB
PCR for HIV
Chlamydae antigen
Non- NABH/Non-
NABH/NABL
NABL Rates
391
616
560
350
500
340
Rates
450
708
644
403
575
391
150
425
425
550
300
173
500
500
633
345
100
450
425
425
500
115
518
500
500
575
200
64
64
90
150
150
150
250
500
330
150
225
440
440
600
340
300
300
318
380
2000
1500
1691
218
130
900
600
850
230
75
75
104
173
173
173
288
575
380
173
259
506
506
690
391
345
345
374
437
2300
1725
1945
251
150
1035
690
978
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626

chlamydae antibody
Brucella serology
Influenza A serology
USG, X-RAY , CT, MRI, BONE DENSITOMETRY
USG for Obstetrics - Anomalies scan
Abdomen USG
Pelvic USG ( prostate, gynae, infertility etc)
Small parts USG ( scrotum, thyroid , parathyroid etc)
Neonatal head (Tranfontanellar)
Neonatal spine
Contrast enhanced USG
USG Breast
USG Hystero-Salpaingography (HSG)
Carotid Doppler
Arterial Colour Doppler
Venous Colour Doppler
Colour Doppler, renal arteries/any other organ
USG guided intervention- FNAC
USG guided intervention - biopsy
USG guided intervention - nephrostomy
X-Ray
Abdomen AP Supine or Erect (One film)
Abdomen Lateral view (one film)
Chest PA view (one film)
Chest Lateral (one film)
Mastoids: Towne view, oblique views (3 films)
Extremities, bones & Joints AP & Lateral views (Two films)
Pelvis A.P (one film)
T. M. Joints (one film)
Abdomen & Pelvis for K. U. B.
Skull A. P. & Lateral (2 films)
Spine A. P. & Lateral (2 films)
PNS view (1 film)
X RAY CONTRAST STUDIES
Barium Swallow
Barium Upper GI study
Barium Upper GI study (Double contrast)
Barium Meal follow through
Barium Enema (Single contrast/double contrast)
Small bowel enteroclysis
ERCP (Endoscopic Retrograde Cholangio
Pancreatography)
General :Fistulography
/Sinography/Sialography/Dacrocystography/ T-Tube
cholangiogram/Nephrostogram
Percutaneous transhepatic cholangiography (PTC)
Non- NABH/Non-
NABH/NABL
NABL Rates
238
230
943
Rates
280
265
1084
770
323
255
349
425
500
900
349
255
850
706
706
800
490
720
800
886
380
300
410
489
575
1035
410
300
1000
830
830
920
564
828
920
128
128
60
60
250
255
150
150
70
70
288
300
110
110
128
255
250
110
127
127
150
300
288
127
510
800
935
935
850
1020
2500
600
920
1100
1100
1000
1200
2875
638
750
1440
1656
1627
1628
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650
1651
1652
1653
1654
1655
1656
1657
1658
1659
1660
1661
1662
1663
1664
1665
1666
Non- NABH/Non-
NABH/NABL
NABL Rates
1190
680
680
1020
700
150
2750
1749
Rates
1400
800
800
1200
805
173
3163
2011
315
2550
370
3000
900
1350
1700
1700
1500
1035
1553
2000
1955
1725
C. T. Scan Whole Abdomen Without Contrast

C. T. Scan Whole Abdomen With Contrast
Triple Phase CT abdomen
CT angiography abdomen/ Chest
CT Enteroclysis
C. T. Scan Neck Without Contrast
C. T. Scan Neck With Contrast
C. T. Scan Orbits - Without Contrast
C. T. Scan Orbits - With Contrast
C. T. Scan of Para Nasal Sinuses- Without Contrast
C. T. Scan of Para Nasal Sinuses - With Contrast
C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)without
contrast
CT Temporal bone without contrast
CT - Dental
C. T. Scan Limbs -Without Contrast
C. T. Scan Limbs -With Contrast including CT angiography
3000
4500
4500
4500
6000
1500
1870
1190
1615
900
1600
1500
3450
5175
5175
5175
6900
1725
2200
1400
1900
1035
1840
1725
893
1275
1700
2253
1050
1500
2000
2650
C.T. Guided intervention FNAC

C.T. Guided Trucut Biopsy
C. T. Guided intervention -percutaneous catheter drainage /
tube placement
MRI
MRI Head Without Contrast
MRI Head With Contrast
MRI Orbits Without Contrast
MRI Orbits With Contrast
MRI Nasopharynx and PNS Without Contrast
MRI Nasopharynx and PNS With Contrast
1200
1200
1305
1380
1380
1535
1998
2848
1445
2000
2450
3500
2350
3350
1700
2300
2818
4025

Intravenous Pyelography (IVP)
Micturating Cystourethrography (MCU)
Retrograde Urethrography (RGU)
Contrast Hystero-Salpingography (HSG)
X ray - Arthrography
Cephalography
Myelography
Diagnostic Digital Subtraction Angiography (DSA)
MAMMOGRAPHY
X-ray Mammography
MRI Mammography
CT
CT Head-Without Contrast
CT Head- with Contrast (+/- CT angiography)
C. T. Chest - without contrast (for lungs)
C. T. Scan Lower Abdomen(incl. Pelvis) With Contrast
C. T. Scan Lower Abdomen( Incl. Pelvis) Without Contrast
1667
1668
1669
1670
1671
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
1703
1704
1705
1706
1707
1708
1709
1710
1711
1712

MR for Salivary Glands with Sialography
MRI Neck - Without Contrast
MRI Neck- with contrast
MRI Shoulder Without contrast
MRI Shoulder With conntrast
MRI shoulder both Joints - Without contrast
MRI Shoulder both joints With contrast
MRI Wrist Single joint - Without contrast
MRI Wrist Single joint - With contrast
MRI Wrist both joints - Without contrast
MRI Wrist Both joints - With contrast
MRI knee Single joint - Without contrast
MRI knee Single joint - With contrast
MRI knee both joints - Without contrast
MRI knee both joints - With contrast
MRI Ankle Single joint - Without contrast
MRI Ankle single joint - With contrast
MRI Ankle both joints - With contrast
MRI Ankle both joints - Without contrast
MRI Hip - With contrast
MRI Hip without contrast
MRI Pelvis Without Contrast
MRI Pelvis with contrast
MRI Extremities - With contrast
MRI Extremities - Without contrast
MRI Temporomandibular B/L - With contrast
MRI Temporomandibular B/L - Without contrast
MR Temporal Bone/ Inner ear with contrast
MR Temporal Bone/ Inner ear without contrast
MRI Abdomen Without Contrast
MRI Abdomen With Contrast
MRI Breast - With Contrast
MRI Breast - Without Contrast
MRI Spine Screening - Without Contrast
MRI Chest Without Contrast
MRI Chest With Contrast
MRI Cervical/Cervico Dorsal Spine Without Contrast
MRI Cervical/ Cervico Dorsal Spine With Contrast
MRI Dorsal/ Dorso Lumbar Spine - Without Contrast
MRI Dorsal/ Dorso Lumbar Spine With Contrast
MRI Lumbar/ Lumbo-Sacral Spine Without Contrast
MRI Lumbar/ Lumbo-Sacral Spine With Contrast
Whole body MRI (For oncological workup)
MR cholecysto-pancreatography.
MRI Angiography - with contrast
MR Enteroclysis
BONE DENSITOMETRY (DEXA SCAN)
Non- NABH/Non-
NABH/NABL
NABL Rates
3000
3000
5000
2000
2600
3000
4000
2125
4000
2125
5000
2125
5000
2125
5000
2125
5000
5000
2500
2500
2125
2125
5000
5000
2125
4000
2125
4000
2500
2125
5000
4250
2125
1000
2125
4000
2125
4000
2125
4000
2125
5000
5100
5500
5000
2125
Rates
3450
3450
5750
2300
3000
3450
4600
2500
4600
2500
5750
2500
5750
2500
5750
2500
5750
5750
2875
2875
2500
2500
5750
5750
2500
4600
2500
4600
2875
2500
5750
5000
2500
1150
2500
4600
2500
4600
2500
4600
2500
5750
6000
6325
5750
2500
1713
1714
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
1743
1744
1745
1746
1747
1748
1749
1750
1751
1752

Dexa Scan Bone Densitometry - Two sites
Dexa Scan Bone Densitometry - Three sites (Spine, Hip &
extremity)
Dexa Scan Bone Densitometry Whole body
NEUROLOGICAL INVESTIGATIONS AND
PROCEDURES
EEG/Video EEG
EMG (Electro myography)
Nerve condition velocity (at least 2 limbs)
Decremental response (before and after neo stigmine)
Incremental response
SSEP (Somato sensory evoked potentials)
Poly somnography
Brachial plexus study
Muscle biopsy
ACHR anti body titre
Anti MUSK body titre
Serum COPPER
Serum ceruloplasmin
Urinary copper
Serum homocystine
Serum valproate level
Serum phenol barbitone level
Coagulation profile
Protein C, S anti thrombine III
Serum lactate level
CSF
Basic studies including cell count, protein, sugar, gram stain,
India Ink preparation and smear for AFP
Special studies
PCR for tuberculosis/ Herpes simplex
Bacterial culture and sensitivity
Mycobacterial culture and sensitivity
Fungal culture
Malignant cells
Anti measles antibody titre (with serum antibody titre)
Viral culture
Antibody titre (Herpes simplex, cytomegalo virus, flavivirus,
zoster varicella virus)
Oligoclonal band
Myelin Basic protein
Lactate
Crypto coccal antigen
TESTS IN GASTRO-ENTEROLOGY
D-xylase test
Fecal fat test/ fecal chymotrypsin/ fecal elastase
Breath tests
Non- NABH/Non-
NABH/NABL
NABL Rates
1500
2000
Rates
1725
2300
2450
2818
298
638
638
595
595
638
638
638
383
1848
2340
500
450
500
450
315
350
553
2400
450
350
750
750
700
700
750
750
750
450
2125
2691
575
518
575
518
362
403
636
2760
518
240
276
1000
1200
200
200
128
64
890
255
760
1150
1380
230
230
150
75
1024
300
874
1200
1871
298
1138
1380
2152
350
1309
850
850
1300
1000
1000
1495
1753
1754
1755
1756
1757
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780

H pylori serology for ciliac disease
HBV genotyping
HCV genotyping
TESTS IN ENDOCRINOLOGY ( IN ADDITION TO
THOSE INCLUDED UNDER HARMONES)
Urinary VMA
Urinary metanephrine/Normetanephrine
Urinary free catecholamine
Serum catecholamine
Serum aldosterone
24 Hr urinary aldosterone
Plasma renin activity
Serum aldosterone/renin ratio
Osmolality urine
Osmolality serum
Urinary sodium
Urinary Chloride
Urinary potassium
Urinary calcium
Thyroid binding globulin
24 hr. urinary free cotisole
Islet cell antebody
GAD antibody
Insulin associated antibody
IGF-1
IGF-BP3
Sex hormone binding globulin
USG guided FNAC thyroid gland
E2
Thyro globulin antibody
Non- NABH/Non-
NABH/NABL
NABL Rates
500
2500
4875
Rates
725
2875
5606
1500
1138
1690
3400
1125
920
1000
1200
128
128
80
43
80
80
510
200
750
1330
449
1500
1650
1333
387
208
587
1725
1309
1944
3910
1294
1058
1150
1380
150
150
94
50
94
94
600
230
863
1530
516
1725
1898
1533
455
245
675

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Sr. No.

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Cauterization of ulcer/subconjunctival injection in both eyes 138

Corneal graftingPenetrating keratoplasty

Bandage contact lenses for corneal perforation

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Keratoconus correction with therapeutic contact lenses

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Pars plana lensectomy with/without IOL

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Reduction & immobilization of fracture-Mandible Under LA 3500

splints/Cirucum mandibular wiring under LA

Internal wire fixation/plate fixation of Mandible under GA

Extraction per tooth under LA

excision/ marsupalisation size more than 4 cms under LA

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Removable partial denture-Acrylic based-upto 3 teeth

Amalgum restoration-per tooth

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Ear Lobe Repair one side

Excision of Cystic Hygroma

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Operations for Replacement of Oesophagus by Colon

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Splenectomy - For Trauma

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Compressed air / piped oxygen /per hour

CARDIAC SURGERY & INVESTIGATIONS

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR)

Sr. No. CGHS TREATMENT

PROCEDURE/INVESTIGATION LIST (DELHI/NCR) NABL Rates

Operations for Hydronephrosis Endoplyelotomy antegrade

Operations for Hydronephrosis Endoplyelotomy retrograde

Operations for Hydronephrosis -ureterocalicostomy

Operations for Extrophy of the Bladder- Multistage repair

Operations for Extrophy of the Bladder- simple cystectomy

Sr. No. CGHS TREATMENT