Sl No	Service Category/Procedure Type	Service  Code	Service name	Hospital Cost(Basic Rate)
2	ADMISSION	122700002	CASUALTY ADMISSION	0
1	ADMISSION	122700001	ADMISSION	250
54	AMA	187600163	EXTRA FILM	100
50	AMA	187600162	10 ML CONTRAST	130
49	AMA	187600105	XRAY ABDOMEN DECUBITUS	150
56	AMA	187600129	XRAY DORSAL SPINE LATERAL	150
58	AMA	187600145	XRAY PELVIS AP	150
59	AMA	187600118	XRAY CERVICAL SPINE LATERAL FLEXION	150
60	AMA	187600115	XRAY CERVICAL SPINE AP	150
61	AMA	187600139	XRAY LUMBAR SPINE AP	150
63	AMA	187600108	XRAY ABDOMEN STANDING (ERECT)	150
64	AMA	187600150	XRAY SI JOINT BOTH AP	150
66	AMA	187600142	XRAY LUMBAR SPINE LATERAL	150
67	AMA	187600106	XRAY ABDOMEN KUB	150
69	AMA	187600154	XRAY SKULL AP	150
74	AMA	187600158	XRAY SKULL LATERAL	150
80	AMA	187600124	XRAY CHEST BED SIDE	150
85	AMA	187600127	XRAY DORSAL SPINE AP	150
88	AMA	187600125	XRAY CHEST LATERAL	150
89	AMA	187600123	XRAY CHEST AP PENETRATED	150
90	AMA	187600121	XRAY CHEST AP	150
92	AMA	187600120	XRAY CERVICAL SPINE TRANSLATERAL	150
101	AMA	187600107	XRAY ABDOMEN LATERAL	150
105	AMA	187600117	XRAY CERVICAL SPINE LATERAL EXT.	150
108	AMA	187600119	XRAY CERVICAL SPINE LATERAL NEUTRAL	150
109	AMA	187600146	XRAY PELVIS LATERAL	150
128	AMA	187600147	XRAY PELVIS OBLIQUE	150
3	AMA	187600137	XRAY LOOPOGRAM	240
71	AMA	187600103	USG SCLEROTHERAPY	250
68	AMA	187600133	XRAY HANDS AP BOTH WITH WRIST	270
72	AMA	187600136	XRAY LEG AP AND LATERAL	270
73	AMA	187600160	XRAY THIGH AP AND LATERAL	270
75	AMA	187600156	XRAY SKULL BOTH MASTOIDS LATERAL OBLIQUE	270
76	AMA	187600140	XRAY LUMBAR SPINE AP AND LATERAL	270
83	AMA	187600132	XRAY HAND AP AND LATERAL	270
84	AMA	187600128	XRAY DORSAL SPINE AP AND LATERAL	270
104	AMA	187600131	XRAY FOOT AP AND LATERAL	270
106	AMA	187600126	XRAY CHEST PA AND LATERAL	270
116	AMA	187600155	XRAY SKULL AP AND LATERAL	270
123	AMA	187600149	XRAY SI JOINT (BOTH OBLIQUE)	270
124	AMA	187600116	XRAY CERVICAL SPINE BOTH OBLIQUE	270
126	AMA	187600157	XRAY SKULL BOTH OPTIC FORAMINA	270
127	AMA	187600122	XRAY CHEST AP AND LATERAL	270
134	AMA	187600141	XRAY LUMBAR SPINE BOTH OBLIQUE	270
55	AMA	187600077	MAMMOGRAPHY (ONE SIDE)	300
125	AMA	187600099	USG	300
82	AMA	187600134	XRAY HSG / GENITOGRAM	350
119	AMA	187600130	XRAY FISTULOGRAPHY/SINOGRAPHY	350
65	AMA	187600161	XRAY T-TUBE CHOLANIOGRAPHY	400
62	AMA	187600109	XRAY ANTE GRADE PYELOGRAPHY / NEPHROSTOGRAM	450
93	AMA	187600113	XRAY BARIUM MEAL SWALLOW	450
70	AMA	187600148	XRAY RGU	480
87	AMA	187600143	XRAY MCU	480
8	AMA	187600074	MAMMOGRAPHY - PROCEDURE (DUCTOGRAPHY)	500
86	AMA	187600101	USG DRAINAGE	500
99	AMA	187600095	MRI VENOGRAPHY	500
103	AMA	187600100	USG BIOPSY	500
110	AMA	187600102	USG GUIDED FNAC / BIOPSY	500
114	AMA	187600080	MRI ANGIO (ADDITIONAL SEQUENCE)	500
130	AMA	187600091	MRI SPECTROSCOPY	500
135	AMA	187600005	COLOUR DOPPLER EACH PART	500
152	AMA	187600037	CT HEAD	500
9	AMA	187600076	MAMMOGRAPHY (BOTH SIDE)	600
38	AMA	187600098	PTC	600
77	AMA	187600151	XRAY SIALOGRAPHY	600
139	AMA	187600001	BMD SINGLE SITE STUDY	600
129	AMA	187600153	XRAY SKELETAL SURVEY WITHOUT LONG BONES	650
81	AMA	187600135	XRAY IVP/ UROGRAPHY	700
122	AMA	187600159	XRAY SMALL BOWEL ENEMA	700
131	AMA	187600114	XRAY BARIUM MEAL UGI	700
78	AMA	187600144	XRAY MYELOGRAPHY CERVICAL	720
79	AMA	187600138	XRAY LUMBAR MYELOGRAPHY	720
51	AMA	187600097	PTBD	800
57	AMA	187600075	MAMMOGRAPHY - PROCEDURE (WITH BIOPSY) STEREO BIOPSY	800
95	AMA	187600112	XRAY BARIUM MEAL FT	800
98	AMA	187600110	XRAY BARIUM ENEMA DOUBLE CONTRAST	800
132	AMA	187600111	XRAY BARIUM ENEMA SINGLE CONTRAST	800
137	AMA	187600003	BMD TWO SITES STUDY	800
16	AMA	187600008	CT ABDOMEN UPPER	1000
30	AMA	187600036	CT GUIDED DRAINAGE (SINGLE)	1000
91	AMA	187600152	XRAY SKELETAL SURVEY WITH LONG BONES	1000
96	AMA	187600104	USG TIFFA	1000
138	AMA	187600002	BMD THREE SITES STUDY	1000
143	AMA	187600040	CT LOWER ABDOMEN	1000
151	AMA	187600035	CT GUIDED BIOPSY /FNAC	1000
154	AMA	187600041	CT LUMBAR SPINE	1000
158	AMA	187600048	CT RADIOTHERAPY PLANNING	1000
136	AMA	187600004	BMD WHOLE BODY STUDY	1200
156	AMA	187600045	CT NECK	1200
157	AMA	187600047	CT PELVIS	1200
133	AMA	187600078	MRI  CONTRAST	1300
20	AMA	187600069	DSA GUIDED PAIN INJECTION	1500
21	AMA	187600052	CT SPINE  D/L	1500
24	AMA	187600055	CT TEMPORAL BONE	1500
25	AMA	187600054	CT SPINE DORSAL	1500
26	AMA	187600051	CT SPINE  C/S	1500
27	AMA	187600043	CT MAXILLA	1500
40	AMA	187600026	CT CERVICAL SPINE	1500
42	AMA	187600057	CT THORAX HIGH RESOLUTION (HRCT)	1500
45	AMA	187600044	CT MYELOGRAPHY	1500
146	AMA	187600028	CT CV JUNCTION	1500
147	AMA	187600029	CT DENTAL SCAN MANDIBLE OR MAXILLA	1500
150	AMA	187600031	CT FACE	1500
155	AMA	187600046	CT ORBITS	1500
160	AMA	187600050	CT SELLA	1500
161	AMA	187600053	CT SPINE  L/S	1500
10	AMA	187600032	CT FOOT	2000
19	AMA	187600056	CT THORAX	2000
29	AMA	187600033	CT FOREARM	2000
33	AMA	187600042	CT LUMBO-SACRAL SPINE	2000
47	AMA	187600060	CT WRIST	2000
141	AMA	187600039	CT KNEE	2000
145	AMA	187600025	CT ANKLE	2000
148	AMA	187600030	CT ELBOW	2000
153	AMA	187600038	CT JOINT	2000
159	AMA	187600049	CT SACROILIAC JOINTS	2000
15	AMA	187600009	CT ABDOMEN WHOLE	2400
18	AMA	187600006	CT  KUB	2400
12	AMA	187600012	CT ANGIO (NEURO) / ONE PART	3000
13	AMA	187600010	CT ANGIO (CALCIUM SCORING)	3000
17	AMA	187600007	CT 3D RECONSTRUCTION EACH PART	3000
31	AMA	187600018	CT ANGIO HEAD	3000
32	AMA	187600014	CT ANGIO ABDOMINAL	3000
37	AMA	187600059	CT VIRTUAL ENDOSCOPY	3000
39	AMA	187600022	CT ANGIO NOSE	3000
41	AMA	187600027	CT COLONOSCOPY	3000
43	AMA	187600024	CT ANGIO VERTEBRAL	3000
46	AMA	187600015	CT ANGIO AORTA	3000
52	AMA	187600019	CT ANGIO LIMB  LOWER (SINGLE LIMB)	3000
53	AMA	187600017	CT ANGIO FACE	3000
140	AMA	187600020	CT ANGIO LIMB UPPER (SINGLE LIMB)	3000
142	AMA	187600016	CT ANGIO BRAIN	3000
144	AMA	187600021	CT ANGIO NECK	3000
162	AMA	187600058	CT VENOGRAM	3000
4	AMA	187600066	DSA DONOR RENAL	3500
5	AMA	187600068	DSA EMBOLIZATION	3500
6	AMA	187600070	DSA TRANSJUGULAR INTERVENTION	3500
7	AMA	187600073	DSA VERTEBROPLASTY	3500
23	AMA	187600071	DSA TRANSJUGULAR LIVER BIOPSY	3500
28	AMA	187600063	DSA ANGIOPLASTY	3500
34	AMA	187600072	DSA VASCULAR STENT	3500
35	AMA	187600067	DSA EACH PROCEDURE	3500
36	AMA	187600061	DSA ABD / PERIPHERAL	3500
100	AMA	187600086	MRI HEAD	3500
111	AMA	187600081	MRI BONES AND JOINTS	3500
115	AMA	187600090	MRI PELVIS	3500
117	AMA	187600089	MRI ORBIT	3500
121	AMA	187600092	MRI SPINE PER REGION (C/S, D/L, L/S)	3500
163	AMA	187600062	DSA ANGIO VENOUS SAMPLING	3500
164	AMA	187600064	DSA CNS VENOGRAPHY	3500
165	AMA	187600065	DSA CRANIAL /SPINAL	3500
22	AMA	187600082	MRI CARDIAC	4000
94	AMA	187600079	MRI ABDOMEN (UPPER OR LOWER)	4000
97	AMA	187600087	MRI LYMPHANOGRAPHY	4000
102	AMA	187600085	MRI DEFECOGRAPHY	4000
107	AMA	187600083	MRI CHEST	4000
112	AMA	187600094	MRI THORAX	4000
113	AMA	187600093	MRI TEMPOROMANDIBULAR	4000
118	AMA	187600088	MRI NECK	4000
120	AMA	187600084	MRI CHOLANGIO PANCREATOGRAPHY	4000
149	AMA	187600034	CT GUIDED (VERTEBROPLASTY)	4000
11	AMA	187600013	CT ANGIO (NON-CORONARY CARDIAC)	5500
14	AMA	187600011	CT ANGIO (CORONARY)	5500
44	AMA	187600023	CT ANGIO PULMONARY	5500
172	ANAESTHESIA	172002185	ORAL/NASOTRACHEAL TUBE INSERTION	50
187	ANAESTHESIA	172000009	SHORT WAVE DIATHERMY	50
169	ANAESTHESIA	172002179	ECG	80
167	ANAESTHESIA	172000004	MINOR SURGICAL PROCEDURE	100
170	ANAESTHESIA	172002184	LUMBAR PUNCTURE	100
176	ANAESTHESIA	172002181	FLUID ASPIRATION PLEURAL / ASCITIC	100
184	ANAESTHESIA	172000001	FOR SPINAL TAP	100
188	ANAESTHESIA	172000007	TENS/TPI/DIATHERMY ETC	100
183	ANAESTHESIA	172002189	USG ABDOMEN SCREENING	150
174	ANAESTHESIA	172000002	INTRA ARTICULAR JOINT BLOCK/EPIDURAL	200
180	ANAESTHESIA	172000003	MAJOR SURGICAL PROCEDURE	200
181	ANAESTHESIA	172002183	ICD INSERTION / PIGTAIL INSERTION	200
177	ANAESTHESIA	172002178	DOPPLER SCREENING ARTERIAL/ VENOUS	250
186	ANAESTHESIA	172002190	USG LUNG	250
189	ANAESTHESIA	172002177	CENTRAL LINE ACCESS	300
173	ANAESTHESIA	172000005	NUCLEOTOMY R.F/DISECTOMY(LUMBAE	500
175	ANAESTHESIA	172000006	PAIN RELIEF PROCEDURE	500
179	ANAESTHESIA	172002180	ECHOCARDIOGRAPHY	500
182	ANAESTHESIA	172002176	BRONCHOSCOPY	500
178	ANAESTHESIA	172002188	TRACHEOSTOMY	750
166	ANAESTHESIA	172002187	SLEDD PER SESSION	1000
168	ANAESTHESIA	172002186	PLASMAPHERESIS (PER SESSION)	1000
171	ANAESTHESIA	172000008	VENTILATOR	1000
185	ANAESTHESIA	172002182	HEMO DIALYSIS	1000
195	BIOCHEMISTRY	161700004	IGE	250
191	BIOCHEMISTRY	161700003	CK-MB	300
192	BIOCHEMISTRY	161700001	HS TROPONIN I	400
194	BIOCHEMISTRY	161700005	TROP T (TRAUMA)	500
193	BIOCHEMISTRY	161700002	BNP	1000
197	CARDIOLOGY	172100006	ECG	80
205	CARDIOLOGY	172100011	OXYGEN CHARGES	200
214	CARDIOLOGY	172100013	PACEMAKER (TEMPORARY)	200
216	CARDIOLOGY	172100020	PACEMAKER CHECKING	200
198	CARDIOLOGY	172102967	SCREENING OF 2D ECHO	350
202	CARDIOLOGY	172100007	ECHOCARDIOGRAPHY	500
212	CARDIOLOGY	172100016	TREADMILL STRESS TEST (TMT)	500
206	CARDIOLOGY	172100008	HOLTER MONITORING	600
208	CARDIOLOGY	172100009	ICCU BED	1000
209	CARDIOLOGY	172100017	VENTILATOR	1000
215	CARDIOLOGY	172100010	NEW BLOCK ICCU BED	1000
211	CARDIOLOGY	172100019	PRIVATE ROOM(CABIN)	1500
204	CARDIOLOGY	172100012	PACEMAKER (TEMPORARY)	1540
201	CARDIOLOGY	172100001	ANGIOGRAPHY	1600
203	CARDIOLOGY	172100018	NEW PRIVATE ROOM	1800
199	CARDIOLOGY	172100005	DEVICE CLOSURES PDA	3300
207	CARDIOLOGY	172100002	ANGIOPLASTY	3300
210	CARDIOLOGY	172100015	RFA	3300
213	CARDIOLOGY	172100014	PACEMAKER IMPLANTATION (PERMANENT)	3300
217	CARDIOLOGY	172100003	BMV	3300
200	CARDIOLOGY	172100004	DEVICE CLOSURES ASD	3600
218	CLINICAL HEMATOLOGY	172200008	D.L.C	20
223	CLINICAL HEMATOLOGY	172200014	RETICULOCYTE COUNT (MANUAL)	20
234	CLINICAL HEMATOLOGY	172200012	PERIPHERAL BLOOD SMEAR	20
221	CLINICAL HEMATOLOGY	172200013	PLATELET COUNT	25
225	CLINICAL HEMATOLOGY	172200016	SICKLING TEST	50
219	CLINICAL HEMATOLOGY	172200006	BONE MARROW ASPIRATE AND SMEAR EXAM	100
224	CLINICAL HEMATOLOGY	172200007	C.S.F / FLUIDS CYTOLOGY (MALIGNANT)	100
228	CLINICAL HEMATOLOGY	172200018	PT(PROTHROMBIN TIME / I.N.R) (AUTOMATIC)	100
230	CLINICAL HEMATOLOGY	172200003	LUMBAR PUNCTURE	100
231	CLINICAL HEMATOLOGY	172200017	PT(PROTHOMBIN TIME / I.N.R) (AUTOMATIC)	100
232	CLINICAL HEMATOLOGY	172200002	FLUID ASPIRATION PLEURAL / ASCITIC	100
233	CLINICAL HEMATOLOGY	172200005	AUTOMATED COUNT (3 PART)	100
220	CLINICAL HEMATOLOGY	172200004	APTT(AUTOMATIC)	125
235	CLINICAL HEMATOLOGY	172200009	F.N.A.C.	150
222	CLINICAL HEMATOLOGY	172200011	MIXING STUDY FOR COAGULATION DISORDER	200
226	CLINICAL HEMATOLOGY	172200015	REVIEW OF CYTOLOGY (PER CASE)	200
229	CLINICAL HEMATOLOGY	172200001	CENTRAL LINE ACCESS	300
227	CLINICAL HEMATOLOGY	172200010	FACTOR ASSAYS	1200
237	CONSERVATIVE DENTISTRY	172300023	XRAY IOPA DENTAL	50
247	CONSERVATIVE DENTISTRY	172300021	TEMPORARY RESTORATION (POLY CARB DYCAL)	50
259	CONSERVATIVE DENTISTRY	172300001	ALGINATE IMPRESSION	50
242	CONSERVATIVE DENTISTRY	172300008	FILLING (SILVER AMALGRAM ALLOY)	100
255	CONSERVATIVE DENTISTRY	172300007	FILLING (GLASS LONOMER CEMENT )	100
243	CONSERVATIVE DENTISTRY	172300020	RUBBER BASE IMPRESSION	150
245	CONSERVATIVE DENTISTRY	172300022	VITAPEX RC DRESSING	150
250	CONSERVATIVE DENTISTRY	172300012	LIGHT CURE FILLING PER TEETH	250
241	CONSERVATIVE DENTISTRY	172300005	CROWN J C ACRYLIC	300
244	CONSERVATIVE DENTISTRY	172300018	REIMPLATATION ENDODONTIC SURGERY	300
248	CONSERVATIVE DENTISTRY	172300019	ROOT CANAL TREATMENT WITH RESTORATION	300
253	CONSERVATIVE DENTISTRY	172300014	NIGHT GUARD / SURGICAL PLATE	300
260	CONSERVATIVE DENTISTRY	172300011	LASER TREATMENT PER SITTING	300
239	CONSERVATIVE DENTISTRY	172300010	INLAY/ONLAY (EXCLUDING METAL CHARGES )	400
246	CONSERVATIVE DENTISTRY	172300017	RADISECTOMY / HEMISECTION	400
251	CONSERVATIVE DENTISTRY	172300002	BLEACHING	500
252	CONSERVATIVE DENTISTRY	172300015	PERIAPICAL SURGERY	500
254	CONSERVATIVE DENTISTRY	172300013	MATERIALS LIKE HYDROXYAPATITE BONE GRAFT	500
256	CONSERVATIVE DENTISTRY	172300006	DIRECT COMPOSITE VENEER	500
257	CONSERVATIVE DENTISTRY	172300025	MTA APPLICATION PER TOOTH	500
258	CONSERVATIVE DENTISTRY	172300004	CAST POST / AESTHETIC POST	500
240	CONSERVATIVE DENTISTRY	172300009	FULL CAST CROWN (INCLUSIVE OF NP METAL)	600
236	CONSERVATIVE DENTISTRY	172300024	PORCELAIN FUSED TO METAL (PFM) CROWN	1000
249	CONSERVATIVE DENTISTRY	172300016	PERIAPICAL SURGERY WITH MTA	1500
278	CRITICAL CARE MEDICINE	172400010	ORAL/NASOTRACHEAL TUBE INSERTION	50
262	CRITICAL CARE MEDICINE	172400005	ECG	80
267	CRITICAL CARE MEDICINE	172400009	LUMBAR PUNCTURE	100
273	CRITICAL CARE MEDICINE	172402747	ABG WITH LAC GLU CO-OXIMETRY	100
276	CRITICAL CARE MEDICINE	172400007	FLUID ASPIRATION PLEURAL / ASCITIC	100
266	CRITICAL CARE MEDICINE	172400014	USG ABDOMEN SCREENING	150
263	CRITICAL CARE MEDICINE	172400008	ICD INSERTION / PIGTAIL INSERTION	200
265	CRITICAL CARE MEDICINE	172400015	USG LUNG	250
275	CRITICAL CARE MEDICINE	172400004	DOPPLER SCREENING ARTERIAL/ VENOUS	250
271	CRITICAL CARE MEDICINE	172400003	CENTRAL LINE ACCESS	300
264	CRITICAL CARE MEDICINE	172400006	ECHOCARDIOGRAPHY	500
272	CRITICAL CARE MEDICINE	172400001	BRONCHOSCOPY	500
268	CRITICAL CARE MEDICINE	172400013	TRACHEOSTOMY	750
270	CRITICAL CARE MEDICINE	172400002	CCU BED CHARGE / VENTILATOR	1000
274	CRITICAL CARE MEDICINE	172400016	HEMO DIALYSIS	1000
277	CRITICAL CARE MEDICINE	172400011	PLASMAPHERESIS (PER SESSION)	1000
279	CRITICAL CARE MEDICINE	172400012	SLEDD PER SESSION	1000
261	CRITICAL CARE MEDICINE	172402971	ECMO PACKAGE PART-2	150000
269	CRITICAL CARE MEDICINE	172402970	ECMO PACKAGE PART-1	150000
287	CTVS	172500016	BLOOD GROUP	40
295	CTVS	172500017	X-RAY CONVENTIONAL	41
285	CTVS	172500006	ECG	80
293	CTVS	172500010	PT/PC/INR	100
296	CTVS	172500012	SURGERY FOR VARICOSEVEIN / AV FISTULA /EMBOLECTOMY /PSEUDOANEURYSM	3000
280	CTVS	172500013	THORACOTOMY (FOR ALL LUNG PROCEDURE)	4000
289	CTVS	172500008	PDA LIGATION	4000
294	CTVS	172500009	PERICARDIECTOMY/PERICARDIAL WINDOW	4000
292	CTVS	172500003	CMV	4500
283	CTVS	172500014	VASCULAR PROCEDURE/FEM POP BYPASS/FEM-FEM BYPASS/AORTO BY FEMORAL	6000
284	CTVS	172500002	CERVICAL RIB/CAROTID BODY TUMOR/CAROTID ENDARTERECTOMY	6000
282	CTVS	172500004	CORONARY ARTERY BYPASS GRAFTING (CABG)	8000
286	CTVS	172500015	SINGLE VALVE REPLACEMENT (MVR) / (AVR)	8000
288	CTVS	172500011	SINGLE VALVE REPLACEMENT (MVR)	8000
290	CTVS	172500007	OPEN HEART SURGERY ASD/VSD/RSOV/LA MYXOMA/POST MI VSR/TOF/OTHER	8000
281	CTVS	172500005	DOUBLE VALVE REPLACEMENT	8500
291	CTVS	172500001	BENTAL PROCEDURE / AORTIC ANEURYSM	8500
300	CULTURE AND SENSITIVITY TESTING	220700860	RESPIRATORY-BRONCHIAL WASH FUNGAL C/S	200
311	CULTURE AND SENSITIVITY TESTING	220700870	RESPIRATORY-ET ASPIRATE FUNGAL C/S	200
312	CULTURE AND SENSITIVITY TESTING	220700889	RESPIRATORY-THROAT SWAB FUNGAL C/S	200
320	CULTURE AND SENSITIVITY TESTING	220700878	RESPIRATORY-SPUTUM FUNGAL C/S	200
321	CULTURE AND SENSITIVITY TESTING	220700884	TISSUE-HAIR FUNGAL C/S	200
323	CULTURE AND SENSITIVITY TESTING	220700877	TISSUE-ENDOMETRIAL BIOPSY FUNGAL C/S	200
332	CULTURE AND SENSITIVITY TESTING	220700894	TISSUE-LYMPH NODE FUNGAL C/S	200
333	CULTURE AND SENSITIVITY TESTING	220700902	TISSUE-NAIL/SKIN SCRAPING FUNGAL C/S	200
343	CULTURE AND SENSITIVITY TESTING	220700898	RESPIRATORY-TT ASPIRATE FUNGAL C/S	200
347	CULTURE AND SENSITIVITY TESTING	220700907	TISSUE-VALVE(MITRAL/AORTIC) FUNGAL C/S	200
358	CULTURE AND SENSITIVITY TESTING	220700851	RESPIRATORY-BAL FUNGAL C/S	200
359	CULTURE AND SENSITIVITY TESTING	220702423	PUS-NASAL SWAB FUNGAL C/S	200
360	CULTURE AND SENSITIVITY TESTING	220700854	TISSUE-BIOPSY FUNGAL C/S	200
378	CULTURE AND SENSITIVITY TESTING	220700754	BODY FLUID-ASCITIC FLUID FUNGAL C/S	200
379	CULTURE AND SENSITIVITY TESTING	220700748	PUS-BRAIN ABSCESS FUNGAL C/S	200
384	CULTURE AND SENSITIVITY TESTING	220700755	PUS-CERVICAL SWAB FUNGAL C/S	200
397	CULTURE AND SENSITIVITY TESTING	220700764	PUS-DRAIN FLUID LEFT FUNGAL C/S	200
443	CULTURE AND SENSITIVITY TESTING	220700768	BODY FLUID-JOINT FLUID FUNGAL C/S	200
534	CULTURE AND SENSITIVITY TESTING	220700779	PUS-EAR SWAB FUNGAL C/S	200
562	CULTURE AND SENSITIVITY TESTING	220700786	BODY FLUID-PERICARDIAL FLUID FUNGAL C/S	200
656	CULTURE AND SENSITIVITY TESTING	220700865	TISSUE-BONE FUNGAL C/S	200
714	CULTURE AND SENSITIVITY TESTING	220700812	PUS-PUS ASPIREATE FUNGAL C/S	200
716	CULTURE AND SENSITIVITY TESTING	220700826	PUS-VASCULAR CATHETER TIP FUNGAL C/S	200
717	CULTURE AND SENSITIVITY TESTING	220700802	PUS-INTRAOP BILE FUNGAL C/S	200
719	CULTURE AND SENSITIVITY TESTING	220700818	PUS-VAGINAL SWAB FUNGAL C/S	200
749	CULTURE AND SENSITIVITY TESTING	220700817	BODY FLUID-PERITONEAL FLUID FUNGAL C/S	200
780	CULTURE AND SENSITIVITY TESTING	220700831	BODY FLUID-PLEURAL FLUID FUNGAL C/S	200
873	CULTURE AND SENSITIVITY TESTING	220700842	URINE-URINE AEROBIC BACT C/S	200
876	CULTURE AND SENSITIVITY TESTING	220700772	PUS-DRAIN FLUID RIGHT FUNGAL C/S	200
877	CULTURE AND SENSITIVITY TESTING	220700807	PUS-NEEDLE ASPIRATE FUNGAL C/S	200
896	CULTURE AND SENSITIVITY TESTING	220700796	PUS-ICTUBE FLUID FUNGAL C/S	200
899	CULTURE AND SENSITIVITY TESTING	220700787	PUS-ICTD FLUID FUNGAL C/S	200
900	CULTURE AND SENSITIVITY TESTING	220700835	PUS-WOUND SWAB FUNGAL C/S	200
901	CULTURE AND SENSITIVITY TESTING	220700844	URINE-URINE FUNGAL C/S	200
298	CULTURE AND SENSITIVITY TESTING	220700741	PUS-BRAIN ABSCESS AEROBIC BACT C/S	300
299	CULTURE AND SENSITIVITY TESTING	220700858	TISSUE-BONE AEROBIC BACT C/S	300
303	CULTURE AND SENSITIVITY TESTING	220700869	TISSUE-ENDOMETRIAL BIOPSY AEROBIC BACT C/S	300
305	CULTURE AND SENSITIVITY TESTING	220700888	RESPIRATORY-THROAT SWAB ANAEROBIC BACT C/S	300
306	CULTURE AND SENSITIVITY TESTING	220700893	RESPIRATORY-TT ASPIRATE AEROBIC BACT C/S	300
307	CULTURE AND SENSITIVITY TESTING	220700873	RESPIRATORY-SPUTUM AEROBIC BACT C/S	300
308	CULTURE AND SENSITIVITY TESTING	220700868	RESPIRATORY-ET ASPIRATE ANAEROBIC BACT C/S	300
309	CULTURE AND SENSITIVITY TESTING	220700883	RESPIRATORY-THROAT SWAB AEROBIC BACT C/S	300
315	CULTURE AND SENSITIVITY TESTING	220700880	TISSUE-HAIR AEROBIC BACT C/S	300
316	CULTURE AND SENSITIVITY TESTING	220700887	TISSUE-LYMPH NODE AEROBIC BACT C/S	300
318	CULTURE AND SENSITIVITY TESTING	220700744	BODY FLUID-ASCITIC FLUID AEROBIC BACT C/S	300
324	CULTURE AND SENSITIVITY TESTING	220700874	TISSUE-ENDOMETRIAL BIOPSY ANAEROBIC BACT C/S	300
327	CULTURE AND SENSITIVITY TESTING	220700899	TISSUE-NAIL/SKIN SCRAPING AEROBIC BACT C/S	300
329	CULTURE AND SENSITIVITY TESTING	220700892	TISSUE-LYMPH NODE ANAEROBIC BACT C/S	300
330	CULTURE AND SENSITIVITY TESTING	220700896	RESPIRATORY-TT ASPIRATE ANAEROBIC BACT C/S	300
335	CULTURE AND SENSITIVITY TESTING	220700904	TISSUE-VALVE(MITRAL/AORTIC) AEROBIC BACT C/S	300
337	CULTURE AND SENSITIVITY TESTING	220700906	TISSUE-VALVE(MITRAL/AORTIC) ANAEROBIC BACT C/S	300
338	CULTURE AND SENSITIVITY TESTING	220700852	TISSUE-BIOPSY ANAEROBIC BACT C/S	300
339	CULTURE AND SENSITIVITY TESTING	220700876	RESPIRATORY-SPUTUM ANAEROBIC BACT C/S	300
340	CULTURE AND SENSITIVITY TESTING	220700855	RESPIRATORY-BRONCHIAL WASH AEROBIC BACT C/S	300
350	CULTURE AND SENSITIVITY TESTING	220700847	TISSUE-BIOPSY AEROBIC BACT C/S	300
351	CULTURE AND SENSITIVITY TESTING	220700846	RESPIRATORY-BAL AEROBIC BACT C/S	300
355	CULTURE AND SENSITIVITY TESTING	220702422	PUS-NASAL SWAB AEROBIC BACT C/S	300
356	CULTURE AND SENSITIVITY TESTING	220701436	TISSUE-VALVE (MITRAL) ANAEROBIC BACT C/S	300
357	CULTURE AND SENSITIVITY TESTING	220701437	TISSUE- VALVE (AORTIC) ANAEROBIC BACT C/S	300
361	CULTURE AND SENSITIVITY TESTING	220702381	BACTERIAL CULTURE AND SENSITIVITY OF DRAIN FLUID (LEFT SIDE)	300
362	CULTURE AND SENSITIVITY TESTING	220702382	BACTERIAL CULTURE AND SENSITIVITY OF DRAIN FLUID (RIGHT SIDE)	300
363	CULTURE AND SENSITIVITY TESTING	220702383	BACTERIAL CULTURE AND SENSITIVITY OF DRAIN FLUID	300
370	CULTURE AND SENSITIVITY TESTING	220701327	PUS-SEMEN AEROBIC BACT C/S	300
375	CULTURE AND SENSITIVITY TESTING	220700747	BODY FLUID-ASCITIC FLUID ANAEROBIC BACT C/S	300
376	CULTURE AND SENSITIVITY TESTING	220700759	BODY FLUID-JOINT FLUID AEROBIC BACT C/S	300
383	CULTURE AND SENSITIVITY TESTING	220700863	TISSUE-BONE ANAEROBIC BACT C/S	300
395	CULTURE AND SENSITIVITY TESTING	220700762	PUS-DRAIN FLUID LEFT ANAEROBIC BACT C/S	300
403	CULTURE AND SENSITIVITY TESTING	220700767	PUS-DRAIN FLUID RIGHT AEROBIC BACT C/S	300
406	CULTURE AND SENSITIVITY TESTING	220700771	PUS-DRAIN FLUID RIGHT ANAEROBIC BACT C/S	300
466	CULTURE AND SENSITIVITY TESTING	220700778	PUS-EAR SWAB ANAEROBIC BACT C/S	300
491	CULTURE AND SENSITIVITY TESTING	220700776	PUS-EAR SWAB AEROBIC BACT C/S	300
519	CULTURE AND SENSITIVITY TESTING	220700782	PUS-ICTD FLUID AEROBIC BACT C/S	300
541	CULTURE AND SENSITIVITY TESTING	220700746	PUS-BRAIN ABSCESS ANAEROBIC BACT C/S	300
542	CULTURE AND SENSITIVITY TESTING	220700785	PUS-ICTD FLUID ANAEROBIC BACT C/S	300
559	CULTURE AND SENSITIVITY TESTING	220700750	PUS-CERVICAL SWAB AEROBIC BACT C/S	300
561	CULTURE AND SENSITIVITY TESTING	220700739	BLOOD-BLOOD ANAEROBIC BACT C/S	300
589	CULTURE AND SENSITIVITY TESTING	220700753	PUS-CERVICAL SWAB ANAEROBIC BACT C/S	300
590	CULTURE AND SENSITIVITY TESTING	220700790	PUS-ICTUBE FLUID AEROBIC BACT C/S	300
600	CULTURE AND SENSITIVITY TESTING	220700758	PUS-DRAIN FLUID LEFT AEROBIC BACT C/S	300
618	CULTURE AND SENSITIVITY TESTING	220700794	PUS-ICTUBE FLUID ANAEROBIC BACT C/S	300
625	CULTURE AND SENSITIVITY TESTING	220700795	BODY FLUID-PERITONEAL FLUID ANAEROBIC BACT C/S	300
650	CULTURE AND SENSITIVITY TESTING	220700799	PUS-INTRAOP BILE AEROBIC BACT C/S	300
654	CULTURE AND SENSITIVITY TESTING	220700798	BODY FLUID-PERITONEAL FLUID AUTOMATED AEROBIC BACT C/S	300
665	CULTURE AND SENSITIVITY TESTING	220700801	PUS-INTRAOP BILE ANAEROBIC BACT C/S	300
666	CULTURE AND SENSITIVITY TESTING	220700804	PUS-NEEDLE ASPIRATE AEROBIC BACT C/S	300
668	CULTURE AND SENSITIVITY TESTING	220700806	PUS-NEEDLE ASPIRATE ANAEROBIC BACT C/S	300
695	CULTURE AND SENSITIVITY TESTING	220700811	PUS-PUS ASPIREATE ANAEROBIC BACT C/S	300
697	CULTURE AND SENSITIVITY TESTING	220700814	PUS-VAGINAL SWAB AEROBIC BACT C/S	300
699	CULTURE AND SENSITIVITY TESTING	220700816	PUS-VAGINAL SWAB ANAEROBIC BACT C/S	300
701	CULTURE AND SENSITIVITY TESTING	220700824	PUS-VASCULAR CATHETER TIP ANAEROBIC BACT C/S	300
707	CULTURE AND SENSITIVITY TESTING	220700821	PUS-VASCULAR CATHETER TIP AEROBIC BACT C/S	300
727	CULTURE AND SENSITIVITY TESTING	220700827	BODY FLUID-PLEURAL FLUID ANAEROBIC BACT C/S	300
763	CULTURE AND SENSITIVITY TESTING	220700830	PUS-WOUND SWAB AEROBIC BACT C/S	300
798	CULTURE AND SENSITIVITY TESTING	220700833	PUS-WOUND SWAB ANAEROBIC BACT C/S	300
812	CULTURE AND SENSITIVITY TESTING	220700839	CSF-CSF AUTOMATED AEROBIC BACT C/S	300
863	CULTURE AND SENSITIVITY TESTING	220702395	PUS- PUS MISC. AEROBIC BACT C/S	300
864	CULTURE AND SENSITIVITY TESTING	220700763	BODY FLUID-JOINT FLUID ANAEROBIC BACT C/S	300
865	CULTURE AND SENSITIVITY TESTING	220700809	PUS-PUS ASPIREATE AEROBIC BACT C/S	300
866	CULTURE AND SENSITIVITY TESTING	220700859	RESPIRATORY-BRONCHIAL WASH ANAEROBIC BACT C/S	300
867	CULTURE AND SENSITIVITY TESTING	220700752	BODY FLUID-ASCITIC FLUID AUTOMATED AEROBIC BACT C/S	300
869	CULTURE AND SENSITIVITY TESTING	220700781	BODY FLUID-PERICARDIAL FLUID ANAEROBIC BACT C/S	300
870	CULTURE AND SENSITIVITY TESTING	220700829	BODY FLUID-PLEURAL FLUID AUTOMATED AEROBIC BACT C/S	300
879	CULTURE AND SENSITIVITY TESTING	220702410	PUS BACTERIAL C/S	300
882	CULTURE AND SENSITIVITY TESTING	220700850	RESPIRATORY-BAL ANAEROBIC BACT C/S	300
885	CULTURE AND SENSITIVITY TESTING	220700864	RESPIRATORY-ET ASPIRATE AEROBIC BACT C/S	300
886	CULTURE AND SENSITIVITY TESTING	220702394	BODY FLUID- FLUID MISC. AEROBIC BACT C/S	300
887	CULTURE AND SENSITIVITY TESTING	220700773	BODY FLUID-PERICARDIAL FLUID AEROBIC BACT C/S	300
889	CULTURE AND SENSITIVITY TESTING	220700791	BODY FLUID-PERITONEAL FLUID AEROBIC BACT C/S	300
890	CULTURE AND SENSITIVITY TESTING	220700783	BODY FLUID-PERICARDIAL FLUID AUTOMATED AEROBIC BACT C/S	300
891	CULTURE AND SENSITIVITY TESTING	220700822	BODY FLUID-PLEURAL FLUID AEROBIC BACT C/S	300
892	CULTURE AND SENSITIVITY TESTING	220702387	BODY FLUID-SYNOVIAL FLUID - C/S AND GRAM STAIN	300
893	CULTURE AND SENSITIVITY TESTING	220702388	BODY FLUID-SYNOVIAL FLUID GRAM STAIN	300
894	CULTURE AND SENSITIVITY TESTING	220700766	BODY FLUID-JOINT FLUID AUTOMATED AEROBIC BACT C/S	300
895	CULTURE AND SENSITIVITY TESTING	220702393	BODY FLUID - BILE AEROBIC BACT C/S	300
532	CULTURE AND SENSITIVITY TESTING	220700737	BLOOD-BLOOD AEROBIC BACT C/S	400
564	CULTURE AND SENSITIVITY TESTING	220700740	BLOOD-BLOOD FUNGAL C/S	400
781	CULTURE AND SENSITIVITY TESTING	220700836	CSF-CSF AEROBIC BACT C/S	400
872	CULTURE AND SENSITIVITY TESTING	220700840	CSF-CSF FUNGAL C/S	400
301	CULTURE AND SENSITIVITY TESTING	220700861	TISSUE-BONE AEROBIC BACT C/S MIC	1000
304	CULTURE AND SENSITIVITY TESTING	220700866	RESPIRATORY-ET ASPIRATE AEROBIC BACT C/S MIC	1000
310	CULTURE AND SENSITIVITY TESTING	220700871	RESPIRATORY-ET ASPIRATE FUNGAL C/S MIC	1000
313	CULTURE AND SENSITIVITY TESTING	220700872	TISSUE-ENDOMETRIAL BIOPSY AEROBIC BACT C/S MIC	1000
314	CULTURE AND SENSITIVITY TESTING	220700879	TISSUE-ENDOMETRIAL BIOPSY FUNGAL C/S MIC	1000
317	CULTURE AND SENSITIVITY TESTING	220700882	TISSUE-HAIR AEROBIC BACT C/S MIC	1000
319	CULTURE AND SENSITIVITY TESTING	220700881	RESPIRATORY-SPUTUM FUNGAL C/S MIC	1000
322	CULTURE AND SENSITIVITY TESTING	220700886	TISSUE-HAIR FUNGAL C/S MIC	1000
326	CULTURE AND SENSITIVITY TESTING	220700890	TISSUE-LYMPH NODE AEROBIC BACT C/S MIC	1000
328	CULTURE AND SENSITIVITY TESTING	220700900	TISSUE-NAIL/SKIN SCRAPING AEROBIC BACT C/S MIC	1000
331	CULTURE AND SENSITIVITY TESTING	220700897	TISSUE-LYMPH NODE FUNGAL C/S MIC	1000
334	CULTURE AND SENSITIVITY TESTING	220700903	TISSUE-NAIL/SKIN SCRAPING FUNGAL C/S MIC	1000
336	CULTURE AND SENSITIVITY TESTING	220700905	TISSUE-VALVE(MITRAL/AORTIC) AEROBIC BACT C/S MIC	1000
341	CULTURE AND SENSITIVITY TESTING	220700745	BODY FLUID-ASCITIC FLUID AEROBIC BACT C/S MIC	1000
342	CULTURE AND SENSITIVITY TESTING	220700853	RESPIRATORY-BAL FUNGAL C/S MIC	1000
344	CULTURE AND SENSITIVITY TESTING	220700901	RESPIRATORY-TT ASPIRATE FUNGAL C/S MIC	1000
345	CULTURE AND SENSITIVITY TESTING	220700862	RESPIRATORY-BRONCHIAL WASH FUNGAL C/S MIC	1000
346	CULTURE AND SENSITIVITY TESTING	220700908	TISSUE-VALVE(MITRAL/AORTIC) FUNGAL C/S MIC	1000
348	CULTURE AND SENSITIVITY TESTING	220700856	TISSUE-BIOPSY FUNGAL C/S MIC	1000
352	CULTURE AND SENSITIVITY TESTING	220700848	RESPIRATORY-BAL AEROBIC BACT C/S MIC	1000
353	CULTURE AND SENSITIVITY TESTING	220700867	TISSUE-BONE FUNGAL C/S MIC	1000
354	CULTURE AND SENSITIVITY TESTING	220700849	TISSUE-BIOPSY AEROBIC BACT C/S MIC	1000
377	CULTURE AND SENSITIVITY TESTING	220700761	BODY FLUID-JOINT FLUID AEROBIC BACT C/S MIC	1000
396	CULTURE AND SENSITIVITY TESTING	220700760	PUS-DRAIN FLUID LEFT AEROBIC BACT C/S MIC	1000
413	CULTURE AND SENSITIVITY TESTING	220700765	PUS-DRAIN FLUID LEFT FUNGAL C/S MIC	1000
432	CULTURE AND SENSITIVITY TESTING	220700769	PUS-DRAIN FLUID RIGHT AEROBIC BACT C/S MIC	1000
444	CULTURE AND SENSITIVITY TESTING	220700770	BODY FLUID-JOINT FLUID FUNGAL C/S MIC	1000
492	CULTURE AND SENSITIVITY TESTING	220700777	PUS-EAR SWAB AEROBIC BACT C/S MIC	1000
520	CULTURE AND SENSITIVITY TESTING	220700784	PUS-ICTD FLUID AEROBIC BACT C/S MIC	1000
531	CULTURE AND SENSITIVITY TESTING	220700743	PUS-BRAIN ABSCESS AEROBIC BACT C/S MIC	1000
533	CULTURE AND SENSITIVITY TESTING	220700891	RESPIRATORY-THROAT SWAB FUNGAL C/S MIC	1000
563	CULTURE AND SENSITIVITY TESTING	220700749	PUS-BRAIN ABSCESS FUNGAL C/S MIC	1000
579	CULTURE AND SENSITIVITY TESTING	220700751	PUS-CERVICAL SWAB AEROBIC BACT C/S MIC	1000
595	CULTURE AND SENSITIVITY TESTING	220700789	PUS-ICTD FLUID FUNGAL C/S MIC	1000
617	CULTURE AND SENSITIVITY TESTING	220700792	PUS-ICTUBE FLUID AEROBIC BACT C/S MIC	1000
626	CULTURE AND SENSITIVITY TESTING	220700774	PUS-DRAIN FLUID RIGHT FUNGAL C/S MIC	1000
636	CULTURE AND SENSITIVITY TESTING	220700800	PUS-INTRAOP BILE AEROBIC BACT C/S MIC	1000
655	CULTURE AND SENSITIVITY TESTING	220700797	PUS-ICTUBE FLUID FUNGAL C/S MIC	1000
667	CULTURE AND SENSITIVITY TESTING	220700805	PUS-NEEDLE ASPIRATE AEROBIC BACT C/S MIC	1000
688	CULTURE AND SENSITIVITY TESTING	220700803	PUS-INTRAOP BILE FUNGAL C/S MIC	1000
696	CULTURE AND SENSITIVITY TESTING	220700810	PUS-PUS ASPIREATE AEROBIC BACT C/S MIC	1000
698	CULTURE AND SENSITIVITY TESTING	220700815	PUS-VAGINAL SWAB AEROBIC BACT C/S MIC	1000
700	CULTURE AND SENSITIVITY TESTING	220700823	PUS-VASCULAR CATHETER TIP AEROBIC BACT C/S MIC	1000
715	CULTURE AND SENSITIVITY TESTING	220700808	PUS-NEEDLE ASPIRATE FUNGAL C/S MIC	1000
718	CULTURE AND SENSITIVITY TESTING	220700819	PUS-VAGINAL SWAB FUNGAL C/S MIC	1000
726	CULTURE AND SENSITIVITY TESTING	220700820	BODY FLUID-PERITONEAL FLUID FUNGAL C/S MIC	1000
747	CULTURE AND SENSITIVITY TESTING	220700825	BODY FLUID-PLEURAL FLUID AEROBIC BACT C/S MIC	1000
748	CULTURE AND SENSITIVITY TESTING	220700828	PUS-VASCULAR CATHETER TIP FUNGAL C/S MIC	1000
779	CULTURE AND SENSITIVITY TESTING	220700834	BODY FLUID-PLEURAL FLUID FUNGAL C/S MIC	1000
792	CULTURE AND SENSITIVITY TESTING	220700832	PUS-WOUND SWAB AEROBIC BACT C/S MIC	1000
809	CULTURE AND SENSITIVITY TESTING	220700756	BODY FLUID-ASCITIC FLUID FUNGAL C/S MIC	1000
810	CULTURE AND SENSITIVITY TESTING	220700837	PUS-WOUND SWAB FUNGAL C/S MIC	1000
868	CULTURE AND SENSITIVITY TESTING	220700793	BODY FLUID-PERITONEAL FLUID AEROBIC BACT C/S MIC	1000
874	CULTURE AND SENSITIVITY TESTING	220700843	URINE-URINE AEROBIC BACT C/S MIC	1000
875	CULTURE AND SENSITIVITY TESTING	220700788	BODY FLUID-PERICARDIAL FLUID FUNGAL C/S MIC	1000
878	CULTURE AND SENSITIVITY TESTING	220700813	PUS-PUS ASPIREATE FUNGAL C/S MIC	1000
880	CULTURE AND SENSITIVITY TESTING	220700895	RESPIRATORY-TT ASPIRATE AEROBIC BACT C/S MIC	1000
881	CULTURE AND SENSITIVITY TESTING	220700885	RESPIRATORY-THROAT SWAB AEROBIC BACT C/S MIC	1000
883	CULTURE AND SENSITIVITY TESTING	220700875	RESPIRATORY-SPUTUM AEROBIC BACT C/S MIC	1000
884	CULTURE AND SENSITIVITY TESTING	220700857	RESPIRATORY-BRONCHIAL WASH AEROBIC BACT C/S MIC	1000
888	CULTURE AND SENSITIVITY TESTING	220700775	BODY FLUID-PERICARDIAL FLUID AEROBIC BACT C/S MIC	1000
897	CULTURE AND SENSITIVITY TESTING	220700780	PUS-EAR SWAB FUNGAL C/S MIC	1000
898	CULTURE AND SENSITIVITY TESTING	220700757	PUS-CERVICAL SWAB FUNGAL C/S MIC	1000
902	CULTURE AND SENSITIVITY TESTING	220700845	URINE-URINE FUNGAL C/S MIC	1000
560	CULTURE AND SENSITIVITY TESTING	220700738	BLOOD-BLOOD AEROBIC BACT C/S MIC	1200
565	CULTURE AND SENSITIVITY TESTING	220700742	BLOOD-BLOOD FUNGAL C/S MIC	1200
811	CULTURE AND SENSITIVITY TESTING	220700838	CSF-CSF AEROBIC BACT C/S MIC	1200
871	CULTURE AND SENSITIVITY TESTING	220700841	CSF-CSF FUNGAL C/S MIC	1200
905	CYTOLOGY LAB	226602111	CYTOCHEMISTRY PER MARKER	100
907	CYTOLOGY LAB	226602135	VAGINAL CYTOLOGY (PAP SMEAR)	100
908	CYTOLOGY LAB	226602123	ISSUE OF CYTOLOGY (PER SLIDE)	100
909	CYTOLOGY LAB	226602126	LBC (LIQUID BASED CYTOLOGY)	100
911	CYTOLOGY LAB	226602110	C.S.F / FLUIDS CYTOLOGY	100
910	CYTOLOGY LAB	226602119	F.N.A.C.	150
912	CYTOLOGY LAB	226602129	REVIEW OF CYTOLOGY (PER CASE)	200
906	CYTOLOGY LAB	226602130	REVIEW OF HISTOLOGY (PER CASE)	400
919	DPMR	172700135	MEDICAL CERTIFICATE	16
977	DPMR	172700025	TRACTION	20
913	DPMR	172700017	MS/TENS	50
915	DPMR	172700027	ULTRASONIC THERAPY	50
922	DPMR	172700013	INFRARED THERAPY	50
964	DPMR	172700030	WAX BATH	50
970	DPMR	172700014	LASER THERAPY (NEW)	50
983	DPMR	172700023	SHORT WAVE DIATHERMY	50
1020	DPMR	172700011	HOT PACK	50
1039	DPMR	172700012	I.F.T (INTERFERENCIAL)(NEW)	50
1042	DPMR	172700003	COLD THERAPY	50
916	DPMR	172700020	POP SMALL	68
944	DPMR	172700015	MINOR OT	68
924	DPMR	172700026	TREADMILL EXERCISE	100
929	DPMR	172700001	BALANCE EVALUATION	100
933	DPMR	172700004	CPM FOR LOWER LIMB	100
1021	DPMR	172700018	MWD	100
1024	DPMR	172700005	CPM FOR UPPER LIMB	100
1038	DPMR	172700006	EMG BIOFEEDBACK (NEW)	100
1041	DPMR	172700010	GAIT TRAINING WITH UNWEIGHING SYSTEM	100
1043	DPMR	172700002	BALANCE TRAINING	100
1004	DPMR	172700021	POP SMALL B/L	136
1045	DPMR	172700016	MINOR OT B/L	136
918	DPMR	172700035	XRAY ARM LATERAL	150
920	DPMR	172700054	XRAY FOREARM LATERAL	150
926	DPMR	172700051	XRAY FOOT LATERAL	150
927	DPMR	172700036	XRAY CERVICAL SPINE (OPEN MOUTH)	150
930	DPMR	172700022	PULMONARY FUNCTION TEST (PFT)	150
931	DPMR	172700076	XRAY SKULL AP	150
932	DPMR	172700083	XRAY THIGH LATERAL	150
934	DPMR	172700115	XRAY HIP WITH THIGH LAT SINGLE	150
935	DPMR	172700113	XRAY ANKLE WITH FOOT OBLIQUEL	150
936	DPMR	172700095	XRAY WRIST WITH HAND LAT SINGLE	150
937	DPMR	172700107	XRAY KNEE WITH LEGT AP SINGLE	150
939	DPMR	172700094	XRAY WRIST WITH HAND AP SINGLE	150
940	DPMR	172700081	XRAY THIGH AP	150
945	DPMR	172700091	XRAY KNEE LAT SINGLE	150
946	DPMR	172700108	XRAY KNEE WITH LEGT LAT SINGLE	150
947	DPMR	172700112	XRAY ANKLE WITH FOOT LAT SINGLE	150
948	DPMR	172700114	XRAY HIP WITH THIGH AP SINGLE	150
950	DPMR	172700031	XRAY ABDOMEN DECUBITUS	150
951	DPMR	172700043	XRAY DORSAL SPINE AP	150
952	DPMR	172700096	XRAY ELBOW WITH FOREARM AP SINGLE	150
954	DPMR	172700097	XRAY ELBOW WITH FOREARM LAT SINGLE	150
956	DPMR	172700106	XRAY KNEE WITH THIGH LAT SINGLE	150
957	DPMR	172700048	XRAY FOOT AP	150
958	DPMR	172700121	XRAY ELBOW AP	150
959	DPMR	172700090	XRAY HIP JOINT AP SINGLE	150
961	DPMR	172700099	XRAY ELBOW WITH ARM AP SINGLE	150
962	DPMR	172700109	XRAY ANKLE WITH LEG AP SINGLE	150
963	DPMR	172700111	XRAY ANKLE WITH FOOT AP SINGLE	150
967	DPMR	172700057	XRAY HAND AP (BILATERAL)	150
968	DPMR	172700058	XRAY HAND LATERAL	150
969	DPMR	172700130	XRAY SINGLE EXPOSURE (ANY PART)	150
974	DPMR	172700064	XRAY LEG AP	150
976	DPMR	172700110	XRAY ANKLE WITH LEG LAT SINGLE	150
978	DPMR	172700074	XRAY SHOULDER LATERAL	150
980	DPMR	172700070	XRAY PELVIS PA	150
981	DPMR	172700045	XRAY DORSAL SPINE LATERAL	150
982	DPMR	172700102	XRAY ELBOW WITH ARM LAT SINGLE	150
984	DPMR	172700038	XRAY CERVICAL SPINE LATERAL	150
986	DPMR	172700066	XRAY LUMBAR SPINE AP	150
987	DPMR	172700072	XRAY SHOULDER AP	150
989	DPMR	172700089	XRAY FOREARM AP SINGLE	150
990	DPMR	172700063	XRAY KNEE AP SINGLE	150
991	DPMR	172700068	XRAY LUMBAR SPINE LATERAL	150
995	DPMR	172700037	XRAY CERVICAL SPINE AP	150
996	DPMR	172700093	XRAY WRIST WITH FOREARM LAT SINGLE	150
997	DPMR	172700040	XRAY CHEST BED SIDE	150
1000	DPMR	172700105	XRAY KNEE WITH THIGH AP SINGLE	150
1001	DPMR	172700039	XRAY CHEST AP	150
1005	DPMR	172700103	XRAY SHOULDER WITH ARM AP SINGLE	150
1006	DPMR	172700069	XRAY PELVIS AP	150
1008	DPMR	172700104	XRAY SHOULDER WITH ARM LAT SINGLE	150
1010	DPMR	172700126	SINGLE EXPOSURE (ANY PART)	150
1012	DPMR	172700034	XRAY ABDOMEN SUPINE	150
1013	DPMR	172700080	XRAY STANDING ABDOMEN	150
1014	DPMR	172700084	XRAY WRIST AP	150
1015	DPMR	172700086	XRAY WRIST LATERAL	150
1016	DPMR	172700041	XRAY CHEST LATERAL	150
1022	DPMR	172700128	SINGLE EXPOSURE (ANY PART)	150
1026	DPMR	172700061	XRAY HIP JOINT LATERAL	150
1027	DPMR	172700032	XRAY ABDOMEN KUB	150
1029	DPMR	172700053	XRAY FOREARM AP	150
1031	DPMR	172700047	XRAY ELBOW LATERAL	150
1035	DPMR	172700033	XRAY ABDOMEN LATERAL	150
1040	DPMR	172700092	XRAY WRIST WITH FOREARM AP SINGLE	150
1019	DPMR	172700007	GAIT ANALYSIS FOR ORTHOTIC	200
975	DPMR	172700019	POP MEDIUM	267
917	DPMR	172700122	XRAY FOOT AP AND LATERAL	270
921	DPMR	172700073	XRAY SHOULDER AP AND LATERAL	270
923	DPMR	172700131	XRAY DOUBLE EXPOSURE (ANY PART)	270
925	DPMR	172700075	XRAY SI JOINT AP/LAT	270
928	DPMR	172700087	XRAY ELBOW AP AND LAT SINGLE	270
943	DPMR	172700088	XRAY CERVICAL SPINE AP AND LAT SINGLE	270
949	DPMR	172700127	DOUBLE EXPOSURE (ANY PART)	270
953	DPMR	172700078	XRAY SKULL BOTH MASTOIDS	270
960	DPMR	172700055	XRAY HAND AP AND LATERAL	270
966	DPMR	172700056	XRAY HAND AP AND OBLIQUE	270
971	DPMR	172700059	XRAY HANDS AP BOTH WITH WRIST	270
972	DPMR	172700060	XRAY HIP JOINT AP AND LATERAL	270
988	DPMR	172700062	XRAY KNEE AP AND LATERAL	270
992	DPMR	172700077	XRAY SKULL AP AND LATERAL	270
993	DPMR	172700085	XRAY WRIST AP AND LATERAL	270
994	DPMR	172700124	XRAY FOREARM AP AND LATERAL	270
998	DPMR	172700123	XRAY FOOT AP AND OBLIQUE	270
999	DPMR	172700098	XRAY ELBOW WITH FOREARM AP AND LAT SINGLE	270
1002	DPMR	172700042	XRAY CHEST PA	270
1003	DPMR	172700120	XRAY CHEST AP AND LATERAL	270
1009	DPMR	172700071	XRAY PLAIN AP AND OBLIQUE	270
1011	DPMR	172700079	XRAY SPINE AP AND LATERAL	270
1017	DPMR	172700125	XRAY CHEST PA AND LATERAL	270
1023	DPMR	172700067	XRAY LUMBAR SPINE AP AND LATERAL	270
1025	DPMR	172700065	XRAY LEG AP AND LATERAL	270
1028	DPMR	172700116	XRAY DORSAL SPINE AP AND LATERAL	270
1030	DPMR	172700052	XRAY FOOT LATERAL OBLIQUE	270
1037	DPMR	172700082	XRAY THIGH AP AND LATERAL	270
1044	DPMR	172700129	DOUBLE EXPOSURE (ANY PART)	270
965	DPMR	172700009	GAIT ANALYSIS WITHOUT EMG	500
1036	DPMR	172700029	USG GUIDE INTERVENTION	500
938	DPMR	172700117	BOTH KNEE AP/LAT	540
942	DPMR	172700119	BOTH THIGH AP/LAT	540
985	DPMR	172700118	BOTH ANKLE AP/LAT	540
941	DPMR	172700132	B/L PLASTER MEDIUM	600
973	DPMR	172700133	OPERATION	600
1007	DPMR	172700028	URODYNAMIC STUDY	700
914	DPMR	172700134	B/L OPERATION	1000
979	DPMR	172700024	SSG	1000
1018	DPMR	172700008	GAIT ANALYSIS WITH EMG	1000
1124	E.N.T.	172800049	THERAPEUTIC SYRINGING	20
1092	E.N.T.	172800030	PURE TONE AUDIOMETERY	25
1100	E.N.T.	172800003	AUDIOMETRY AC AND BC (PTA)	50
1133	E.N.T.	172800047	CHEMICAL CAUTERY	50
1104	E.N.T.	172800006	BIOPSY	80
1105	E.N.T.	172800011	CUT OPEN FOR DRIP	100
1125	E.N.T.	172800048	INTRALESIONAL STEROID	100
1129	E.N.T.	172800004	AUDIOMETRY SPECIAL TEST (SPEECH, SISI)	100
1131	E.N.T.	172800043	TYMPANOMETRY, REFLEXOMETERY	100
1132	E.N.T.	172800022	MINOR SURGICAL PROCEDURE	100
1134	E.N.T.	172800005	BEHIND EAR ANALOGUE HEARING AID -NCH	100
1136	E.N.T.	172800008	CALORIC TEST, POSITIONAL TEST	100
1089	E.N.T.	172800037	SPLIT EAR REPAIR	200
1091	E.N.T.	172800035	SEBACEOUS CYST	200
1127	E.N.T.	172800050	D/L BIOPSY	250
1102	E.N.T.	172800013	EAR AND NOSE PRICK	300
1126	E.N.T.	172800051	NASAL PACKING	300
1087	E.N.T.	172800015	ENDOSCOPY DIAGNOSTIC	500
1088	E.N.T.	172800032	RANULA	500
1090	E.N.T.	172800034	SALIVARY GLAND SURGERY (PAROTID/ SUBMANDIB)	500
1093	E.N.T.	172800033	REMOVAL OF NASAL POLYP/ FESS	500
1094	E.N.T.	172800021	MICRO LARYNGEAL SURGERY	500
1095	E.N.T.	172800001	ABSCESS ASPIRATION	500
1096	E.N.T.	172800016	FACIAL NERVE DECOMPRESSION	500
1097	E.N.T.	172800017	FRACTURE NASAL BONE	500
1098	E.N.T.	172800014	ENDONASAL DCR	500
1101	E.N.T.	172800009	COCHLEAR IMPLANT	500
1106	E.N.T.	172800019	MASTOIDECTOMY	500
1108	E.N.T.	172800029	ORBITAL DECOMPRESSION, REPAIR OF CSF LEAKS	500
1109	E.N.T.	172800038	STAPEDOTOMY	500
1111	E.N.T.	172800010	COMMANDO PROCEDURE	500
1115	E.N.T.	172800026	MYRINGOTOMY WITH GROMMET FOR ONE EAR	500
1117	E.N.T.	172800041	TONSILLECTOMY	500
1118	E.N.T.	172800039	THYROID SURGERY	500
1119	E.N.T.	172800012	CUT THROAT REPAIR	500
1121	E.N.T.	172800031	RADICAL / MODIFIED RADICAL MASTOIDECTOMY	500
1122	E.N.T.	172800040	THYROPLASTY	500
1123	E.N.T.	172800036	SEPTOPLASTY SMR	500
1128	E.N.T.	172800002	ADENOIDECTOMY	500
1130	E.N.T.	172800027	NASOPHARYNGEAL ANGIOFIBROMA EXCISION	500
1135	E.N.T.	172800007	BRONCHOSCOPY	500
1110	E.N.T.	172800042	TRACHEOSTOMY	750
1120	E.N.T.	172800046	ENDOSCOPY THERAPEUTIC	750
1114	E.N.T.	172800025	MYRINGOTOMY WITH GROMMET FOR BOTH EARS	800
1099	E.N.T.	172800023	MYRINGOPLASTY WITH OSSICULOPLASTY- NCH SCHEME	1000
1103	E.N.T.	172800044	TYMPANOPLASTY	1000
1107	E.N.T.	172800024	MYRINGOPLASTY-NCH SCHEME	1000
1137	E.N.T.	172800045	TYMPANOPLASTY / CORTICAL MASTOIDECTOMY	1000
1116	E.N.T.	172800028	NECK DISSECTION	1200
1113	E.N.T.	172800020	MAXILLECTOMY	1500
1112	E.N.T.	172800018	LARYNGECTOMY	2500
1046	EMERGENCY MEDICINE	201700001	VENTILATOR CHARGES	1000
1085	ENDOCRINE SURGERY	172900006	BIOPSY LYMPH NODE	300
1075	ENDOCRINE SURGERY	172900007	BIOPSY UNDER GA	500
1078	ENDOCRINE SURGERY	172900011	DEBRIDEMENT	500
1081	ENDOCRINE SURGERY	172900001	ABSCESS / INCISION AND DRAINAGE	500
1086	ENDOCRINE SURGERY	172900009	BREAST LUMP EXCISION	500
1055	ENDOCRINE SURGERY	172900036	TRACHEOSTOMY	750
1047	ENDOCRINE SURGERY	172900026	PAROTIDECTOMY	1000
1048	ENDOCRINE SURGERY	172900013	EXCISION OF BREAST LUMP	1000
1052	ENDOCRINE SURGERY	172900035	THYROIDECTOMY HEMI	1000
1053	ENDOCRINE SURGERY	172900004	AMPUTATION OF TOE/FINGER OR TRANS	1000
1059	ENDOCRINE SURGERY	172900003	AMPUTATION (ANY TYPE)	1000
1061	ENDOCRINE SURGERY	172900031	SKIN GRAFTING	1000
1063	ENDOCRINE SURGERY	172900019	MICRODODECTOMY	1000
1070	ENDOCRINE SURGERY	172900040	PRIVATE ROOM CHARGES	1000
1077	ENDOCRINE SURGERY	172900018	MANDIBULECTOMY	1000
1082	ENDOCRINE SURGERY	172900030	SISTRUNK OPERATION	1000
1049	ENDOCRINE SURGERY	172900008	BREAST CONSERVING SURGERY (BCS)	1500
1051	ENDOCRINE SURGERY	172900032	SUB MANDIBULAR GLAND EXCISION	1500
1056	ENDOCRINE SURGERY	172900034	THYROIDECTOMY COMPLETE	1500
1060	ENDOCRINE SURGERY	172900024	PARATHYROIDECTOMY	1500
1062	ENDOCRINE SURGERY	172900027	QUADRANCTECTOMY	1500
1065	ENDOCRINE SURGERY	172900010	CORRECTION OF B/L OR U/L NIPPLE	1500
1066	ENDOCRINE SURGERY	172900039	QUADRANCTECTOMY AND AXILLARY DISSECTION	1500
1067	ENDOCRINE SURGERY	172900029	RT AXILLARY DISSECTION	1500
1069	ENDOCRINE SURGERY	172900005	AXILLARY DISSECTION	1500
1071	ENDOCRINE SURGERY	172900022	OOPHORECTOMY	1500
1072	ENDOCRINE SURGERY	172900033	THYMECTOMY	1500
1079	ENDOCRINE SURGERY	172900020	MODIFIED RADICAL MASTECTOMY MRM	1500
1080	ENDOCRINE SURGERY	172900017	EXCISION OF SUPRACLAVICULAR	1500
1083	ENDOCRINE SURGERY	172900028	RADICAL NECK DISSECTION	1500
1084	ENDOCRINE SURGERY	172900014	EXCISION OF NECROTIC PART AND SSG	1500
1073	ENDOCRINE SURGERY	172900021	MODIFIED RADICAL MASTECTOMY WITH RECONSTRUCTION	2000
1050	ENDOCRINE SURGERY	172900025	PARATHYROIDECTOMY TOTAL  WITH AUT	2500
1076	ENDOCRINE SURGERY	172900037	VARICOCELE LIGATION LAPROSCOPIC	2500
1054	ENDOCRINE SURGERY	172900012	ENUCLEATION OF PANCREATIC TUMOR	4000
1057	ENDOCRINE SURGERY	172900023	PANCREATECTOMY	4000
1058	ENDOCRINE SURGERY	172900016	EXCISION OF PARAGANGLION	4000
1064	ENDOCRINE SURGERY	172900002	ADRENALECTOMY	4000
1068	ENDOCRINE SURGERY	172900038	VATS (VIDEO ASSISTED THYMIC SURGERY )	4000
1074	ENDOCRINE SURGERY	172900015	EXCISION OF NEUROBLASTOMA	4000
1236	GENERAL SURGERY	173000009	BIOPSY (INCISION/TRU CUT )	80
1156	GENERAL SURGERY	173000063	MINOR SURGICAL PROCEDURE	100
1158	GENERAL SURGERY	173000072	PARONYCHIA INGROWING TOE NAIL	200
1165	GENERAL SURGERY	173000081	SEBACEOUS CYST REMOVAL	200
1203	GENERAL SURGERY	173000106	VENOUS CUT OPEN	200
1219	GENERAL SURGERY	173000022	CIRCUMCISION	200
1172	GENERAL SURGERY	173000010	BIOPSY LYMPH NODE	300
1138	GENERAL SURGERY	173000002	ABSCESS / INCISION AND DRAINAGE	500
1139	GENERAL SURGERY	173000103	VAS REUNION	500
1143	GENERAL SURGERY	173000099	VARICOSE VEINS SURGERY (FOAM SCLEROTHERAPY)	500
1149	GENERAL SURGERY	173000049	HYDROCELE SURGERY (LORDS PLICATION/JABAOULAYS)	500
1159	GENERAL SURGERY	173000030	DEBRIDEMENT	500
1160	GENERAL SURGERY	173000013	BREAST LUMP EXCISION	500
1164	GENERAL SURGERY	173000029	CYSTOSCOPY	500
1167	GENERAL SURGERY	173000040	FISTULECTOMY SINUS EXPLORATION	500
1179	GENERAL SURGERY	173000062	MINOR SURGERY ANY OTHER	500
1183	GENERAL SURGERY	173000014	BRONCHOSCOPY	500
1189	GENERAL SURGERY	173000098	VARICOCELE EXCISION	500
1191	GENERAL SURGERY	173000038	FISSURE IN ANO	500
1207	GENERAL SURGERY	173000091	THORACOSCOPY DIAGNOSTIC	500
1216	GENERAL SURGERY	173000042	FOREIGN BODY ANAL REGION	500
1221	GENERAL SURGERY	173000033	ENDOSCOPY DIAGNOSTIC	500
1238	GENERAL SURGERY	173000090	TESTICULAR BIOPSY	500
1147	GENERAL SURGERY	173000007	APPENDICECTOMY	750
1170	GENERAL SURGERY	173000095	TRACHEOSTOMY	750
1208	GENERAL SURGERY	173000034	ENDOSCOPY THERAPEUTIC	750
1214	GENERAL SURGERY	173000044	GASTROSTOMY/ JEJUNOSTOMY FEEDING	750
1180	GENERAL SURGERY	173000097	USG GUIDED BREAST ABSCESS ASPIRATION	800
1223	GENERAL SURGERY	173000024	COLONOSCOPY DIAGNOSTIC	800
1140	GENERAL SURGERY	173000032	ENDOSCOPIC INGUINAL HERNIA REPAIR (TEP/TAPP)	1000
1141	GENERAL SURGERY	173000089	SURGERY FOR PEPTIC ULCER DISEASE	1000
1144	GENERAL SURGERY	173000056	LIPOMA REMOVAL	1000
1145	GENERAL SURGERY	173000073	PAROTIDECTOMY	1000
1146	GENERAL SURGERY	173000048	HYDATID CYST LIVER EXCISION	1000
1151	GENERAL SURGERY	173000011	BOWEL ANASTOMOSES	1000
1152	GENERAL SURGERY	173000039	FISTULECTOMY	1000
1153	GENERAL SURGERY	173000104	VASTECTOMY	1000
1154	GENERAL SURGERY	173000079	REPAIR OF BURST ABDOMEN	1000
1155	GENERAL SURGERY	173000074	PILONIDAL SINUS EXCISION   FLAP REPAIR	1000
1157	GENERAL SURGERY	173000065	MODIFIED RADICAL NECK DISSECTION	1000
1161	GENERAL SURGERY	173000051	LAP BARIATRIC SURGERY (SLEEVE GASTRECTOMY/ROUX-EN-Y BYPASS)	1000
1162	GENERAL SURGERY	173000017	CERVICAL ESOPHAGECTOMY	1000
1163	GENERAL SURGERY	173000004	AMPUTATION (ANY TYPE)	1000
1168	GENERAL SURGERY	173000067	ORCHIDECTOMY (U/I OR B/I)	1000
1169	GENERAL SURGERY	173000047	HERNIA (ANY TYPE)	1000
1174	GENERAL SURGERY	173000094	THYROIDECTOMY HEMI	1000
1175	GENERAL SURGERY	173000016	CBD EXPLORATION LAP	1000
1176	GENERAL SURGERY	173000018	CHOLECYSTECTOMY LAP	1000
1177	GENERAL SURGERY	173000045	HEMORRHOIDS	1000
1181	GENERAL SURGERY	173000071	PARATHYROIDECTOMY (FOCUSED/MULTI GLAND)	1000
1184	GENERAL SURGERY	173000015	CBD EXPLORATION	1000
1186	GENERAL SURGERY	173000021	CHOLEDOCHOJEJUNOSTOMY	1000
1187	GENERAL SURGERY	173000023	COLON RESECTION	1000
1188	GENERAL SURGERY	173000019	CHOLECYSTECTOMY OPEN	1000
1192	GENERAL SURGERY	173000086	SPLENECTOMY LAP	1000
1193	GENERAL SURGERY	173000085	SPLENECTOMY	1000
1194	GENERAL SURGERY	173000084	SKIN GRAFTING	1000
1195	GENERAL SURGERY	173000083	SISTRUNK OPERATION	1000
1196	GENERAL SURGERY	173000052	LAPAROSCOPY DIAGNOSTIC	1000
1198	GENERAL SURGERY	173000055	LIFT (LIGATION OF INTERSPHINCTERIC FISTULA TRACT)	1000
1200	GENERAL SURGERY	173000060	MANDIBULECTOMY	1000
1201	GENERAL SURGERY	173000061	MICRODODECTOMY	1000
1204	GENERAL SURGERY	173000054	LAPAROTOMY EXPLORATIVE	1000
1205	GENERAL SURGERY	173000059	MAJOR SURGERY ANY OTHER	1000
1206	GENERAL SURGERY	173000070	PANCREATIC NECROSECTOMY	1000
1210	GENERAL SURGERY	173000105	VATS (VIDEO ASSISTED THORACIC SURGERY)	1000
1211	GENERAL SURGERY	173000102	VARICOSE VEINS SURGERY (SEPS)	1000
1212	GENERAL SURGERY	173000031	DECORTICATION	1000
1218	GENERAL SURGERY	173000100	VARICOSE VEINS SURGERY (LASER ABLATION WITH FOAM SCLEROTHERAPY)	1000
1222	GENERAL SURGERY	173000027	CYSTOGASTROSTOMY	1000
1224	GENERAL SURGERY	173000078	REDUCTION MAMMOPLASTY	1000
1225	GENERAL SURGERY	173000082	SELECTIVE NECK DISSECTION	1000
1226	GENERAL SURGERY	173000041	FISTULOTOMY	1000
1227	GENERAL SURGERY	173000068	ORCHIDOPEXY	1000
1228	GENERAL SURGERY	173000028	CYSTOJEJUNOSTOMY	1000
1232	GENERAL SURGERY	173000088	SUPERFICIAL INGUINAL LYMPH NODE DISSECTION	1000
1233	GENERAL SURGERY	173000005	ANAL POLYP EXCISION	1000
1235	GENERAL SURGERY	173000025	COLOSTOMY / ILEOSTOMY	1000
1237	GENERAL SURGERY	173000026	COLOSTOMY / ILEOSTOMY CLOSURE	1000
1240	GENERAL SURGERY	173000101	VARICOSE VEINS SURGERY (MODIFIED TRENDELENBERGS’ OPERATION)	1000
1243	GENERAL SURGERY	173000050	HYSTERECTOMY	1000
1244	GENERAL SURGERY	173000087	SUBMANDIBULAR GLAND SURGERY	1000
1148	GENERAL SURGERY	173000037	EXCISION OF NECROTIC PART AND SSG	1500
1173	GENERAL SURGERY	173000012	BREAST CONSERVING SURGERY (BCS)	1500
1190	GENERAL SURGERY	173000093	THYROIDECTOMY COMPLETE	1500
1229	GENERAL SURGERY	173000008	AXILLARY DISSECTION	1500
1230	GENERAL SURGERY	173000092	THYMECTOMY	1500
1231	GENERAL SURGERY	173000066	OOPHORECTOMY	1500
1234	GENERAL SURGERY	173000077	RADICAL NECK DISSECTION	1500
1245	GENERAL SURGERY	173000064	MODIFIED RADICAL MASTECTOMY MRM	1500
1166	GENERAL SURGERY	173000080	RESECTION AND ANASTOMOSES	2000
1178	GENERAL SURGERY	173000046	HEPATICOJEJUNOSTOMY	2000
1182	GENERAL SURGERY	173000036	ESOPHAGECTOMY	2000
1197	GENERAL SURGERY	173000053	LAPAROSCOPY SURGERY (OTHER)	2000
1215	GENERAL SURGERY	173000076	RADICAL CHOLECYSTECTOMY	2000
1239	GENERAL SURGERY	173000096	URETHEROPLASTY	2000
1242	GENERAL SURGERY	173000006	ANTERIOR RESECTION	2000
1150	GENERAL SURGERY	173000058	LOBECTOMY (PULMONARY)	2200
1171	GENERAL SURGERY	173000001	ABDOMINO PERINEAL RESECTION	2500
1185	GENERAL SURGERY	173000020	CHOLEDOCHAL CYST	2500
1199	GENERAL SURGERY	173000057	LIVER RESECTION	2500
1209	GENERAL SURGERY	173000107	WHIPPLE PROCEDURE	3000
1213	GENERAL SURGERY	173000043	GASTRECTOMY TOTAL / PARTIAL	3000
1241	GENERAL SURGERY	173000075	PNEUMONECTOMY	3000
1202	GENERAL SURGERY	173000035	ENUCLEATION OF PANCREATIC TUMOR	4000
1217	GENERAL SURGERY	173000003	ADRENALECTOMY	4000
1220	GENERAL SURGERY	173000069	PANCREATECTOMY	4000
1247	GERIATRIC MENTAL HEALTH	173100004