Revised Rate List Under The West Bengal Health Scheme, 2008 (Notification No. 796-F (MED) Dated 31-01-2011)

Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)

As on:19-09-2013
NAME OF TREATMENT Maximum Approved

CODE PACKAGE
PROCEDURE Rate (INR)
01001001 CONSULTATION BY MEDICAL 150 NON-
OFFICER (OPD) PACKAGE
01001002 CONSULTATION BY SPECIALIST 200 NON-
(OPD) PACKAGE
01001003 VISIT/REVISIT/CONSULTATION 200 NON-
BY SPECIALISTS(INDOOR) PACKAGE
(MAXIMUM TWO VISITS PER DAY
ADMISSIBLE)
01001004 CONSULTATION BY 250 NON-
SUPERSPECIALISTS (OPD) PACKAGE
01001005 VISIT/ REVISIT/ 250 NON-
CONSULTATIONBY PACKAGE
SUPERSPECIALISTS(INDOOR)
(MAXIMUM TWO VISITS PERDAY
ADMISSIBLE)
01001006 PREOPERATIVE 200 NON-
ANAESTHETICCONSULTATION PACKAGE
01001007 PARAMEDICAL CONSULTATION 75 NON-
PACKAGE
01001008 SPECIAL NURSING CHARGE(PER 150 NON-
SHIFT OF 12 HRS.) PACKAGE
01001009 AYA/ ATTENDANT CHARGE(PER 75 NON-
SHIFT OF 12 HRS.) PACKAGE
01001010 DELAYED PRIMARY SUTURE 1700 PACKAGE
01001011 DRESSINGS LARGE 160 NON-

PACKAGE
01001012 SUTURING WITHOUT 400 NON-
LOCALANESTHESIA PACKAGE
01001013 SUTURING OF WOUNDS 500 NON-
WITHLOCAL ANESTHESIA PACKAGE
01001014 DEBRIDEMENT OF WOUNDS 1200 PACKAGE
01001015 REMOVAL OF BENIGN TUMOR 1100 PACKAGE
01001016 ASPIRATION PLURAL EFFUSION 1000 PACKAGE

THERAPEUTIC
01001017 ABDOMINAL ASPIRATION 1300 PACKAGE
THERAPEUTIC
01001018 REMOVAL OF F.B.SUPERFICIAL 1200 PACKAGE
01001019 BONE MARROW ASPIRATION 1500 PACKAGE
01001020 JOINTS ASPIRATION 1500 PACKAGE
01001021 STRAPPING 100 NON-

PACKAGE
01001022 REMOVAL OF STITCHES 60 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC
This Is a System generated Doccument.It Does Not Require

Official Signature.-Thank You-
As on:19-09-2013

CODE PACKAGE
01001023 VENESECTION 300 NON-
PACKAGE
01001024 PHIMOSIS UNDER LA 1500 PACKAGE
01001025 LUMBAR PUNCTURE 700 NON-
PACKAGE
01001026 STERNAL PUNCTURE 1500 PACKAGE
01001027 INJECTION FOR HAEMORRHOIDS 1000 PACKAGE
01001028 INJECTION FOR VARICOSEVEINS 1300 PACKAGE

01001029 CATHETERISATION 120 NON-
PACKAGE
01001030 DILATATION OF URETHRA 1100 PACKAGE
01001031 INCISION DRAINAGE 600 PACKAGE

01001032 INTERCOSTAL DRAINAGE 1500 NON-
PACKAGE
01001033 PERITONEAL DIALYSIS 1800 PACKAGE
01001034 REMOVAL OF SOFT TISSUE 2400 PACKAGE
ORREGIONAL BLOCK
UNDERGENERAL ANAESTHESIA
01001035 DRESSING SMALL 100 NON-
PACKAGE
01001036 SECONDARY SUTURE OFWOUNDS 1200 PACKAGE
01001037 BONE 1000000 NON-
MARROWTRANSPLANTATION PACKAGE
(INCLUSIVE OF ALL)
01001038 CENTRAL LINE 800 NON-
PACKAGE
01001039 INTUBATION CHARGE 400 NON-
PACKAGE
01002001 EXCISION OF MOLES 600 PACKAGE
01002002 EXCISION OF WARTS 600 PACKAGE

01002003 EXCISION OF 600 PACKAGE
MOLLUSCUMCONTAGIOSUM
01002004 EXCISION OF VENERAL WARTS 600 PACKAGE
01002005 EXCISION OF CORNS 550 PACKAGE
01002006 I/D INJECTION KELOID OFACNE 300 PACKAGE

01002007 CHEMICAL CAUTERY 120 NON-
(PERSITTINGS) PACKAGE
01002008 EXCISION OF SEBACEOUSCYSTS 1700 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
SUPERFICIALLIIPOMA
01002010 EXCISION OF DERMOID CYSTS 2450 PACKAGE
01002011 SURGERY OF INFECTED CORN 2800 PACKAGE

(DAY CARE)
01003001 SPEECH THERAPY PER SESSION 200 NON-
OF 3040 MINUTES PACKAGE
01003002 REMOVAL OF FOREIGN 1500 PACKAGE
BODYFROM NOSE/ EAR/ THROAT
(DAY CARE PACKAGE)
01003003 SWALLOWING THERAPY 250 NON-
PACKAGE
01003004 SYRINGING 300 NON-
PACKAGE
01003005 POLYP REMOVAL UNDER LA 800 PACKAGE
01003006 PERITONSILLAR 1600 PACKAGE

ABSCESSDRAINAGE UNDER LA
01003007 TINNITUS RETRAININGTHERAPY 250 NON-
PACKAGE
01003008 MYRINGOPLASTY 10700 PACKAGE
01003009 STAEPEDECTOMY 12000 PACKAGE
01003010 MYRINGOTOMY WITHGROMMET 6000 PACKAGE

INSERTION
01003011 ENDOSCOPIC REMOVAL OFFISH 1000 PACKAGE
BONE
01003012 TYMPANOTOMY 8000 PACKAGE
01003013 PARACENTESIS 4300 PACKAGE
01003014 TYMPANOPLASTY 14000 PACKAGE
01003015 MASTOIDECTOMY 15600 PACKAGE
01003016 OTOPLASTY 16500 PACKAGE
01003017 LABYRINTHECTOMY 15600 PACKAGE
01003018 SKULL BASE SURGERY 50000 PACKAGE
01003019 FACIAL NERVEDECOMPRESSION 20000 PACKAGE
01003020 SEPTOPLASTY 10200 PACKAGE
01003021 SUBMUCOUS RESECTION 10800 PACKAGE
01003022 SEPTORHINOPLASTY 15000 PACKAGE
01003023 RHINOPLASTY (NONCOSMETIC) 12000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01003024 FRACTURE REDUCTION 9000 PACKAGE
01003025 INTRA NASAL DIATHERMY 6000 PACKAGE
01003026 TURBINECTOMY 9600 PACKAGE
01003027 ENDOSCOPIC DCR 13000 PACKAGE
01003028 ENDOSCOPIC SURGERY 15000 PACKAGE
01003029 SEPTAL PERF. REPAIR 15000 PACKAGE
01003030 ANTRUM PUNCTURE 13000 PACKAGE
01003031 LATERAL RHINOTOMY 1350 PACKAGE
01003032 CRANIOFACIAL RESECTION 28000 PACKAGE
01003033 ETHAMOIDECTOMY 17600 PACKAGE
01003034 CALDWELL LUC SURGERY 12000 PACKAGE
01003035 ANGIOFIBROMA EXCISION 18000 PACKAGE
01003036 ENDOSCOPICHYPOPHYSECTOMY 25000 PACKAGE
01003037 ENDOSCOPIC OPTIC 32000 PACKAGE

NERVEDECOMPRESSION
01003038 DECOMPRESSION OF ORBIT 30000 PACKAGE
01003039 RANULA EXCISION 9600 PACKAGE
01003040 TONGUE TIE EXCISION 8100 PACKAGE
01003041 SUB MANDIBULAR 9700 PACKAGE

DUCTLITHOTOMY
01003042 ADENOIDECTOMY 8000 PACKAGE
01003043 PALATOPHARYNGOPLASTY 15100 PACKAGE
01003044 CLEFT PALATE REPAIR 16000 PACKAGE
01003045 PHARYNGOPLASTY 18000 PACKAGE
01003046 STYLOIDECTOMY 11500 PACKAGE
01003047 UVULOPALATOPLASTY 20000 PACKAGE
01003048 TYMPANOMASTOIDECTOMY 15600 PACKAGE
01003049 DACUNISATION 7000 PACKAGE
01003050 TONSILLECTOMY 11200 PACKAGE
01003051 ADENOTONSILLECTOMY 13500 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01003052 SYNICHIOLYSIS 4200 PACKAGE
01003053 SUBMUCOSAL DIATHERMY 4000 PACKAGE
01003054 NASAL MASS EXCISIONSIMPLE 11200 PACKAGE

01003055 NASAL MASS 13500 PACKAGE
EXCISIONENDOSCOPIC REMOVAL
01003056 FESS 11200 PACKAGE
01003057 ANTERIOR NASAL PACKING 4000 PACKAGE
01003058 POST NASAL PACKING 5000 PACKAGE
01003059 NASAL BONE REDUCTION 6000 PACKAGE

01003060 EXCISION OF LESIONBASE OF 6400 PACKAGE
TONGUEPERORAL APPROACH
01003061 UNILATERAL 23400 PACKAGE
PREAURICULARSINUS
OPERATION
01003062 COCHLEAR 670000 NON-
IMPLANTATIONINCLUDING PACKAGE
PREOPERATIVEINVESTIGATION
EVALUATIONCOST OF IMPLANT
COST OFSURGICAL PROCEDURE
POSTOPFOLLOWUP (ONE
YEARMAPPING SPEECH
THERAPYON DIFFERENT SITTING)
01004001 CAUTERISATION OF 200 NON-
UCLER/SUBCONJUCTIVAL PACKAGE
INJECTIONONE EYE
01004002 CAUTERISATION OF 300 NON-
UCLER/SUBCONJUCTIVAL PACKAGE
INJECTION BOTH EYES
01004003 RETROBULAR INJECTION 200 NON-
ONEEYE PACKAGE
01004004 RETROBULAR INJECTION 300 NON-
BOTHEYES PACKAGE
01004005 SYRINGING OF LACRIMAL 200 NON-
SACFOR ONE EYE PACKAGE
01004006 SYRINGING OF LACRIMAL SAC 300 NON-
FOR BOTH EYES PACKAGE
01004007 PARACENTESIS 800 NON-
PACKAGE
01004008 FOREIGN BODY REMOVAL 300 NON-
PACKAGE
01004009 REFRACTION/FUNDOSCOPY 90 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01004010 ORTHOOPTIC EXERCISES 100 NON-
PACKAGE
01004011 PLEPOPTIC EXERCISES 100 NON-
PACKAGE
01004012 CHALAZION OPERATION ONEEYE 800 PACKAGE
01004013 CHALAZION OPERATION BOTH 1000 PACKAGE

EYES
01004014 DRESSING (EYE) 100 NON-
PACKAGE
01004015 CLINICAL PHOTOGRAPHY 100 NON-
PACKAGE
01004016 PTERYGIUM 2200 PACKAGE
01004017 ORBITOTOMY 9000 PACKAGE
01004018 PTOSIS CORRECTION. 6500 PACKAGE
01004019 ECTROPION CORRECTION 3600 PACKAGE
01004020 XENON ARC LASER 700 NON-

PACKAGE
01004021 D C R (DACRYO 5700 PACKAGE
CUSTORHINOSTOMY)
01004022 ECCE/ICCE 6000 PACKAGE
01004023 EPICANTHUS CORRECTION. 2100 PACKAGE
01004024 SQUINT CORRECTION (ONEEYE) 4000 PACKAGE
01004025 SQUINT CORRECTION 6000 PACKAGE

(BOTHEYES)
01004026 KERATOPLASTY 14000 PACKAGE
01004027 TRABECULOTOMY 5700 PACKAGE
01004028 IRIDECTOMY 2400 PACKAGE
01004029 GONIOTOMY 2400 PACKAGE
01004030 SCLERAL BUKLING 14000 PACKAGE

(RETINALDETACHMENT
SURGERY)
01004031 SYRINGING AND PROBING 1100 PACKAGE
01004032 VITRECTOMY 11000 PACKAGE
01004033 ENUCLEATION 4000 PACKAGE
01004034 EVISERATION 3800 PACKAGE
01004035 ENTROPION CORRECTION 3000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01004036 CATARACT WITH IOL(COST 7500 PACKAGE
OFLENS EXTRA)
01004037 FISTULECTOMY 5700 PACKAGE
01004038 GLUCOMA SURGERY 5000 PACKAGE

WITHGLUCOMA VALVES
01004039 CALICULOPLASTY 3000 PACKAGE
01004040 DACRYOCYSTECTOMY 3000 PACKAGE
01004041 PTOSIS SURGERY WITH 7000 PACKAGE

LPSRESECTION
01004042 PTOSIS SURGERY WITH 7000 PACKAGE
SLINGSURGERY
01004043 ECTROPION SURGERY ONE LID 3000 PACKAGE
01004044 ECTROPION SURGERY BOTHLIDS 4000 PACKAGE
01004045 CHEEK ROTATION FLAP FOR 8000 PACKAGE

LIDTUMORS
01004046 TELECANTHUS CORRECTION 4000 PACKAGE
01004047 FRACTURE ORBITAL REPAIR 9000 PACKAGE
01004048 LASIK 18000 PACKAGE
01004049 TTT TRANSPUPILLARYTHERMAL 4000 PACKAGE

THERAPY
01004050 PTK 9000 PACKAGE
PHOTOTHERAPEUTICKERATECTO
MY
01004051 IRIS CYST REMOVAL 1000 PACKAGE
01004052 LID ABSCESS INCISION 3000 PACKAGE

ANDDRAINAGE
01004053 ORBITAL ABSCESS INCISIONAND 4000 PACKAGE
DRAINAGE
01004054 CYCLODIATHERMY 2000 PACKAGE
01004055 PERFORATING INJURY REPAIR 4000 PACKAGE
01004056 PHACO PLUS IOL (INCLUSIVE 14500 PACKAGE

OFFOLDABLE
NONFOLDABLELENS) PACKAGE
01004057 YAG LASER CAPSULOTOMYPER 600 NON-
SITTING PACKAGE
01004058 YAG LASER IRIDECTOMY 600 NON-
PERSITTING PACKAGE
01004059 ARGON LASERTRABECULOPLASTY 1000 NON-
(ALT)/DIOD LASER (PER PACKAGE
SITTING)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01004060 HVF 500 NON-
PACKAGE
01004061 CRYOPEXY 1200 NON-
PACKAGE
01004062 ICG INCLUDING MEDICINE 2000 NON-
PACKAGE
01004063 ICG DOUBLE 3600 NON-
INCLUDINGMEDICINE PACKAGE
01004064 ELECTROLYSIS (PER SITTING) 150 NON-
PACKAGE
01004065 CYCLOCRYO/CYCLODIATHERMY 500 NON-
PACKAGE
01004066 D.C.T. (OPD) 800 NON-
PACKAGE
01004067 SILICONE OIL (1000) 4000 PACKAGE
01004068 SILICONE OIL (C5) 4000 PACKAGE
01004069 SILICONE OIL REMOVAL 3500 PACKAGE
01004070 PNEUMO RETINOPEXY 2400 PACKAGE
01004071 FGE/ FAE 1500 PACKAGE

01004072 INDIRECT LASER 1000 NON-
PACKAGE
01004073 ENDO LASER 2400 NON-
PACKAGE
01004074 SF6 GAS 2400 NON-
PACKAGE
01004075 C3F8 GAS 2400 NON-
PACKAGE
01004076 PFCL 2400 NON-
PACKAGE
01004077 PHOTODYNAMIC 15000 PACKAGE
THERAPYPROCEDURE CHARGES
SINGLEEYE
01004078 PHOTODYNAMIC 25000 PACKAGE
THERAPYPROCEDURE CHARGES
BOTHEYES
01004079 PHOTODYNAMIC THERAPY 85000 PACKAGE
(SINGLE EYE)
01004080 PHOTODYNAMIC THERAPY(BOTH 1000000 PACKAGE
EYES)
01004081 INTRAVITREAL AVASTIN 6000 PACKAGE
(INCLUDING COST OF
INJECTIONSINGLE)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01004082 INTRAVITREAL LUCENTIS 4000 PACKAGE
(EXCLUDING COST
OFINJECTIONSINGLE)
01004083 INTRAVITREAL MACUGEN 4000 PACKAGE
(EXCLUDING COST
OFINJECTIONSINGLE)
01004084 INTRAVITREAL INJECTIONS 2000 PACKAGE
OFANTIBIOTICS (COST
OFMEDICINES EXTRA)
01004085 RETINAL FOREIGN 4000 PACKAGE
BODYREMOVAL
01004086 PPV/ VICTERECTOMY 6500 PACKAGE
01004087 ENDO DIATHERMY 1600 PACKAGE
01004088 BELT BUCKLE 3200 PACKAGE
01004089 IVTCA 800 NON-

PACKAGE
01004090 MEMBRANE PEELING 2400 NON-
PACKAGE
01004091 ANTERIOR VITRECTOMY 5000 PACKAGE
01004092 LENSECTOMY 7500 PACKAGE
01004093 ORBITOTOMY (MULTIPLE WALL) 16000 PACKAGE
01004094 ERM (EPI RETINALMEMBRANE) 3600 PACKAGE
01004095 RETI BLUE 2400 PACKAGE
01004096 CORNEAL COLLAGEN 15000 PACKAGE

CROSSLINKING
01005001 BIOPSY PROCEDURE UNDER 4000 PACKAGE
LOCAL ANAESTHESIA
01005002 BIOPSY PROCEDURE 6000 PACKAGE
UNDERGENERAL ANAESTHESIA
01005003 BIOPSY PROCEDURE 8000 PACKAGE
UNDERENDOSCOPY
01005004 FNAC 3500 PACKAGE
01005005 VISCERAL BIOPSY 5000 PACKAGE
01005006 ASPIRATION BIOPSY 1500 PACKAGE
01006001 STRAPPING OF FINGER 200 NON-

PACKAGE
01006002 STRAPPING OF TOES 200 NON-
PACKAGE
01006003 STRAPPING OF WRIST 360 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01006004 STRAPPING OF ELBOW 400 NON-
PACKAGE
01006005 STRAPPING OF KNEE 400 NON-
PACKAGE
01006006 STRAPPING OF ANKLE 400 NON-
PACKAGE
01006007 STRAPPING OF CHEST 500 NON-
PACKAGE
01006008 STRAPPING OF SHOULDER 450 NON-
PACKAGE
01006009 NASAL BONE FRACTURE 450 NON-
PACKAGE
01006010 FIGURE OF 8 BANDAGE 450 NON-
PACKAGE
01006011 COLAR AND CUFF SLING 450 NON-
PACKAGE
01006012 BALL BANDAGE 450 NON-
PACKAGE
01007001 ULTRASONIC THERAPY 70 NON-
(PERSITTING) PACKAGE
01007002 S.W. DIATHERMY (PERSITTING) 90 NON-
PACKAGE
01007003 ELECTRICAL STIMULATION 70 NON-
(THERAPEUTIC) (PER SITTING) PACKAGE
01007004 INFRA RED (PER SITTING) 90 NON-
PACKAGE
01007005 U.V. THERAPEUTIC DOSE(PER 90 NON-
SITTING) PACKAGE
01007006 ELECTRIC VIBRATOR 90 NON-
01007007 VIBRATOR BELT MASSAGE(PER 90 NON-
SITTING) PACKAGE
01007008 INTRA LUMBAR TRACTION(PER 90 NON-
SITTING) PACKAGE
01007009 INTERMITTENT 70 NON-
CERVICALTRACTION (PER PACKAGE
SITTING)
01007010 COMBINED LUMBAR CERVICAL 70 NON-
TRACTION (PERSITTING) PACKAGE
01007011 WAX BATH (PER SITTING) 50 NON-
PACKAGE
01007012 HOT PACK (PER SITTING) 70 NON-
PACKAGE
01007013 WHIRL POOL BATH (PERSITTING) 90 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01007014 OBESITY EXERCISES 60 NON-
01007015 BREATHING EXERCISES 70 NON-
POSTURAL DRAINAGE PACKAGE
(PERSITTING)
01007016 CEREBRAL PALSY MASSAGE(PER 90 NON-
SITTING) PACKAGE
01007017 POST POLIO EXERCISE 60 NON-
01007018 BASIC GAIT TRAINING 80 NON-
(PERSESSION) PACKAGE
01007019 TRACTION PLUS IFT 150 NON-
PACKAGE
01007020 TRACTION PLUS STIMULATION 100 NON-
PACKAGE
01007021 TRACTION PLUS SWD 100 NON-
PACKAGE
01007022 TRACTION PLUS SWD PLUS IFT 200 NON-
PACKAGE
01007023 TRACTION PLUS US 140 NON-
PACKAGE
01007024 TRACTION PLUS US PLUS IFT 200 NON-
PACKAGE
PLUSEXERCISES PACKAGE
PLUSSWD PACKAGE
01007027 IFT PLUS PWB 150 NON-
PACKAGE
01007028 EXERCISE PER SITTING 60 NON-
PACKAGE
01007029 PWB PLUS KNEE JOINT 100 NON-
SPADFRACTION PACKAGE
01007030 SWD PLUS IFT 100 NON-
PACKAGE
01007031 US PLUS IFT 100 NON-
PACKAGE
01007032 US PLUS IFT PLUS STIMULATION 200 NON-
PACKAGE
01007033 US PLUS KNEE JOINT PLUS 100 NON-
SPADFRACTION PACKAGE
01007034 US PLUS PWB 100 NON-
PACKAGE
01007035 US PLUS SW PLUS TRACTION 200 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01007036 US PLUS TENS 100 NON-
PACKAGE
01007037 US PLUS STIMULATION 100 NON-
PACKAGE
01007038 KNEE JOINTS SPAD FRACTION 100 NON-
PACKAGE
01007039 ELECTRONIC TILT TRAININGPER 100 NON-
SESSION PACKAGE
01007040 INTERFERENTIAL THERAPY 100 NON-
PACKAGE
01007041 LASER TREATMENT PERSESSION 150 NON-
PACKAGE
01007042 MICROWAVE DIATHERMY 150 NON-
PERSESSION PACKAGE
01007043 QUADRICEPS CHAIR TRAINING 100 NON-
(PER SESSION PACKAGE
01007044 TENS 80 NON-
PACKAGE
01008001 EXTRACTION OF 120 NON-
TOOTHINCLUDING LA PACKAGE
01008002 COMPLICATED EXT. PERTOOTH 250 NON-
INCLUDING LA PACKAGE
01008003 FLAP OPERATION PER TOOTH 500 NON-
PACKAGE
01008004 GINGIVECTOMY PER TOOTH 300 NON-
PACKAGE
01008005 CYST UNDER LA (SMALL) 300 NON-
PACKAGE
01008006 CYST UNDER LA (LARGE) 500 NON-
PACKAGE
01008007 IMPACTED MOLAR INCLUDINGLA 800 PACKAGE
01008008 APISECTOMY INCLUDING LA 1000 PACKAGE
01008009 FRACTURE WIRING INCLUDINGLA 80 NON-

PACKAGE
01008010 REDUCTION 1400 PACKAGE
ANDIMMOBILISATION OF
FRACTUREMAXILLA UNDER LA
01008011 REDUCTION 3000 PACKAGE
ANDIMMOBILISATION OF
FRACTUREMANDIBLE UNDER LA
01008012 SPLINTS/ CIRCUMMANDIBULAR 2000 PACKAGE
WIRING UNDERGA
01008013 INTERNAL WIRE FIXATION/ 4000 PACKAGE
PLATEFIXATION OF MAXILLA
UNDERLA
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
PLATEFIXATION OF MAXILLA
UNDERGA
PLATEFIXATION OF MANDIBLE
UNDERLA/GA
01008016 CYST TUMOUR OF 2000 PACKAGE
MAXILLA/MANDIBLE BY
ENUCLEATION/EXCISION
(PACKAGE)
01008017 TM JOINT ANKYLOSIS UNDERGA 11000 PACKAGE
(PACKAGE)
01008018 HEMIMANDIBULECTOMYWITH 7000 PACKAGE
GRAFT (PACKAGE)
01008019 HEMIMANDIBULECTOMYWITHOUT 4000 PACKAGE
GRAFT (PACKAGE)
01008020 SEGMENTALMANDIBULECTOMYWI 6000 PACKAGE
TH GRAFT(PACKAGE)
01008021 SEGMENTALMANDIBULECTOMYWI 2000 PACKAGE
THOUTGRAFT (PACKAGE)
01008022 MAXILLECTOMY PARTIAL 5000 PACKAGE
WITHGRAFT (PACKAGE)
01008023 MAXILLECTOMY 4000 PACKAGE
PARTIALWITHOUT GRAFT
(PACKAGE)
01008024 MAXILLOFACIAL PROSTHESIS 5000 PACKAGE
01008025 ALVELOLECTOMYFRENECTOMY 1150 PACKAGE

PER QUADRANT
01008026 ALVELOLECTOMY (MINOR) 380 NON-
PACKAGE
01008027 AMALGAM FILLING/TOOTH 450 NON-
(COMPOUND) PACKAGE
01008028 AMALGAM FILLING/TOOTH 380 NON-
(REGULAR) PACKAGE
01008029 APICOECTOMY MOLAR TOOTH 2250 PACKAGE
01008030 ARCH BAR REMOVAL 380 NON-

PACKAGE
01008031 BITE PLATE/ RETAINERS 1150 NON-
PACKAGE
01008032 CAST RPD (PER TOOTH) 380 NON-
PACKAGE
01008033 DAVIS CROWN/ 1900 PACKAGE
RADICULARSCREW SUPPORTED
01008034 DE SENSITISING PER SITTING 200 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01008035 DENTO ALVEOLAR 1500 PACKAGE
FRACTUREREDUCTION AND
SPLINTING/L.A.
01008036 DENTURE REPAIR(CATEGORY1) 230 NON-
PACKAGE
01008037 DIALATION OF WHARTONSDUCT 1150 PACKAGE
UNDER L.A.
01008038 DIRECT/ INDIRECT PULPCAPPING 230 NON-
PACKAGE
01008039 DRAIN. OF DENTO 950 PACKAGE
ALVEOLARABSCE. (EX. ORAL)
01008040 ENUCLEATION OF CYST OFORAL 2000 PACKAGE
CAVITY
01008041 FIBRE POST BASED POST 1900 PACKAGE
ANDCORE
01008042 FLORIDE APPLICATION 400 NON-
01008043 EXTRACTION OF 400 NON-
IMPACTEDTOOTH BY OPERATION PACKAGE
01008044 EXTRACTION OF MISP TOOTHBY 1150 PACKAGE
OPERATION (OPEN METH)
01008045 GTR (GUIDED 1900 PACKAGE
TISSUEREGENERATION)
01008046 GINGIVECTOMY PERQUADRANT 750 NON-
PACKAGE
01008047 GLASS IONOMER FILLING 400 NON-
PACKAGE
01008048 GLASS IONOMES FILLING 450 NON-
PACKAGE
01008049 INTERDENTAL WIRING 1150 PACKAGE
01008050 INTRA ARTICULAR INJ. 900 PACKAGE

OFSTEROIDS IN TMJ
01008051 JACKET CROWN ACRYLIC 1500 PACKAGE
01008052 MINOR 950 PACKAGE

DENTOALVEOLARTRACTURE
REDUCTION SPLINTING/LA
01008053 POST CORE/ TOOTH (CASTPOST) 1150 PACKAGE
LAB METAL CHGS.EXTRA
01008054 POST CORE/ TOOTH 750 NON-
(PINRETAINED.COMP.CORE) PACKAGE
01008055 POST CORE/ TOOTHSCREW/PIN 550 NON-
RETAIN.AMALGM. PACKAGE
01008056 PREFORMED CARBONATEJACKET 750 NON-
CROWN PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01008057 PREFORMED STEEL CROWN 1150 PACKAGE
01008058 PULPOTOMY 750 NON-

PACKAGE
01008059 REDUCTION OF DISLOCATIONOF 1400 PACKAGE
TMJ (UNDER LA.)
01008060 REIMPLANTATION (PERTOOTH) 3400 PACKAGE
01008061 REMOVAL PARTIAL DENTURE(1ST 400 NON-

TOOTH) PACKAGE
01008062 REMOVABLE PARTIALDENTURE 230 NON-
(ADDITIONAL TOOTH) PACKAGE
01008063 REMOVABLE PARTIALDENTURE 750 NON-
PER TOOTH (PALATALBAR) PACKAGE
01008064 REPAIR OF FACIAL SOFTTISSUE 1150 PACKAGE
LACERATION
01008065 REPAIR OF FACIAL SOFTTISSUE 750 NON-
LACERATION (MINOR) PACKAGE
01008068 ROOT CANAL TREATMENT WITH 3600 PACKAGE
FILLING INCLUDING DOCTOR
FEES MEDICINE X RAY AND
PATHOLOGICAL TEST PER TOOTH
01008069 SCALING PER SITTING 400 NON-
PACKAGE
01008070 SIALOLITHOTOMY FOR 115 NON-
SMALLSTONES PACKAGE
01008071 SURGICAL EXTRACTION 1150 NON-
ORSURGICAL REMOVAL PACKAGE
OFIMPACT (PACKAGE)
01008072 SURGICAL REMOVAL OF 1500 PACKAGE
BENINREOPLASM OF ORAL
(PACKAGE)
01008073 SURGICAL REMOVAL OF 1150 PACKAGE
SOFTTISSUE LESION (PACKAGE)
01008074 SURGICAL REMOVAL OFIMPACT 1150 PACKAGE
MESIOD.TUBER(PACKAGE)
01008075 DISTOIMPACTED TEETH 30000 PACKAGE
(TWO)UNDER GA
01009001 ICU/ITU/CCU/NICU/PICU 2400 NON-
(INCLUDING PACKAGE
OXYGENECG/SPO2/NIBP/IBPMON
ITORING 12 NURSING GNM
NURSING ROUND THECLOCK
DOCTOR (RESIDENT ONSPOT)
DIET SYRINGE PUMP)
01009002 VENTILATOR CHARGE 1000 NON-
(INCLUDING ACCESSORIES)PER PACKAGE
DAY
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01009003 PNEUPACK VENTILATOR 800 NON-
INNURSERY (PER DAY) PACKAGE
01009004 HIGH DEFINITION UNIT/ 1500 NON-
STEPDOWN (INCLUDING PACKAGE
OXYGEN)
01009005 EXCHANGE TRANSFUSION 1200 NON-
PACKAGE
01009006 O.T. CHARGES FOREXCHANGE 400 NON-
TRANSFUSION PACKAGE
01009007 CRIB (CRITICAL WARD BED) 800 NON-
PACKAGE
01010001 OXYGEN CHARGES/PRIVATE/ 60 NON-
SEMIPRIVATE/GENERAL WARD PACKAGE
PER HOUR
01011001 UPTO 30 BURNS 1STDRESSING 700 NON-
(EXCLUDINGDRESSING PACKAGE
MATERIALS ANDMEDICINES)
01011002 UPTO 30 BURNSSUBSEQUENT 700 NON-
DRESSING(EXCLUDING PACKAGE
DRESSINGMATERIALS AND
MEDICINES)
01011003 30 TO 50 BURNS 1STDRESSING 700 NON-
(EXCLUDINGDRESSING PACKAGE
MATERIALS ANDMEDICINES)
01011004 30 TO 50 BURNSSUBSEQUENT 700 NON-
DRESSING(EXCLUDING PACKAGE
MEDICINES)
01011005 EXTENSIVE BURN ABOVE50 1500 NON-
PERCENT FIRST DRESSING PACKAGE
(EXCLUDING
MEDICINES)
01011006 EXTENSIVE BURN ABOVE50 1500 NON-
PERCENT SUBSEQUENT PACKAGE
DRESSING(EXCLUDING
MEDICINES)
01011007 BURN UNIT BED 1500 NON-
(INCLUDINGOXYGEN) PACKAGE
01012001 NORMAL DELIVERY OR 12000 PACKAGE
WITHEPISIOTOMY P. REPAIR
01012002 LOW FORCEPS 12000 PACKAGE
01012003 LOW MIDCAVITY FORCEPS 14000 PACKAGE
01012004 CESAREAN SECTION 20000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01012005 CESAREAN HYSTERECTOMY 22000 PACKAGE
01012006 RUPTURE UTERUS CLOSURE 22000 PACKAGE

ANDREPAIR WITH TUBAL
LIGATION
01012007 PERFORATION OF UTERUS 18000 PACKAGE
AFTERD/E LAPAROTOMY
ANDCLOSURE
01012008 LAPAROTOMYPERITONITISLAVAG 16000 PACKAGE
E AND DRAINAGE
01012009 LAPAROTOMYFAILEDLAPAROSCOP 6100 PACKAGE
Y TO EXPLORE
01012010 SALPHINGECTOMY 14000 PACKAGE
01012011 SALPHINGOOOPHORECTOMY 18000 PACKAGE
01012012 OVAREAN CYSTECTOMY 18000 PACKAGE
01012013 OOPHORECTOMY 15000 PACKAGE
01012014 BROAD LIGMENTHAEMOTOMA 12000 PACKAGE

DRAINAGE
01012015 EXPLORATION OF 12000 PACKAGE
PERINEALHAEMATOMA AND
RESUTURINGOF EPISIOTOMY
ABDOMINALHAEMATOMA
(AFTERLAPAROTOMY PLUS LUCS)
01012017 INTERNAL PODALIC VERSIONAND 12000 PACKAGE
EXTRACTION
01012018 MANUAL REMOVAL OFPLACENTA 3700 PACKAGE
01012019 3RD STAGE COMPLICATIONMRP 4900 PACKAGE

FOR OUTSIDE DELIVERYETC
01012020 EXAMINATION 2500 PACKAGE
UNDERANAESTHESIA
01012021 BURSTABDOMEN REPAIR 3300 PACKAGE
01012022 GAPING PARENEAL 2500 PACKAGE

WOUNDSECONDARY SUTURING
01012023 GAPING ABDOMINAL 3700 PACKAGE
WOUNDSECONDARY SUTURING
01012024 COMPLETE PERINEAL 2500 PACKAGE
TEARREPAIR
PPHTEARREPAIR
01012026 DESTRUCTIVE OPERATION 12000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01012027 SUCTION 5900 PACKAGE
EVACUATIONVESICULAR MOLE
MISSEDABORTION D/E
01012028 COLPOTOMYDRAINAGE 4200 PACKAGE
P/VNEEDLING EUA
01012029 REPAIR OF POSTCOITAL 4200 PACKAGE
TEARPERINEAL INJURY
URETHRALCARBUNCLE
01012031 LAPAROSCOPY (GYNAE) 6100 PACKAGE
01012032 SHIRODKAR MC. DONALDSSTICH 3700 PACKAGE
01012033 LAPAROTOMY 20000 PACKAGE
01012034 ABDOMINAL HYSTERECTOMY 22000 PACKAGE
01012035 VAGINAL HYSTERECTOMY 22000 PACKAGE
01012036 MYOMECTOMY 22000 PACKAGE
01012037 VAGINOPLASTY 22000 PACKAGE
01012038 VULVECTOMY(SIMPLE/RADICAL) 25000 PACKAGE
01012039 RVF REPAIR 25000 PACKAGE
01012040 OTHER MAJOR OPERATIONS 25000 PACKAGE
01012041 MANCHESTER OPERATIONS 20000 PACKAGE
01012042 PERINEORRHAPHY 14700 PACKAGE
01012043 COLPORRAPHY 14400 PACKAGE
01012044 MODIFIED GILLIAM 16900 PACKAGE
01012045 SHIRODKARS OPERATION 10200 PACKAGE
01012046 DIAGNOSTIC CURETTAGE 2700 PACKAGE
01012047 FRACTIONAL CURETTAGE 3400 PACKAGE
01012048 D AND C AND CERVICAL BIOPSY 3400 PACKAGE
01012049 POLYPECTOMY 3600 PACKAGE
01012050 OTHERMINOR OPERATION 3600 PACKAGE
01012051 EXCISION 3900 PACKAGE

VAGINALCYST/BURTHOLIN CYST
01012052 EXCISION VAGINAL SEPTUM 5900 PACKAGE
01012053 LAPAROSCOPY DIAGNOSTIC 6000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01012054 LAPAROSCOPY STERILISATION 7300 PACKAGE
01012055 LAPAROSCOPY OPERATIVE 12000 PACKAGE
01012056 LAPAROSCOPY LAVH 25000 PACKAGE
01012057 DRILLING OF OVARY 10800 PACKAGE
01012058 ADHESIOLYSIS 17400 PACKAGE
01012059 MANAGEMENT OF 20000 PACKAGE

ECTOPICPREGNANCY
01012060 HYSTEROSCOPY TCRE 11500 PACKAGE
01012061 HYSTEROSCOPY REMOVAL 5500 PACKAGE

OFIUCD
01012062 HYSTEROSCOPY REMOVAL 11500 PACKAGE
OFSEPTUM
01012063 HYSTEROSCOPY DIAGNOSTIC 7300 PACKAGE
01012064 WERTHIMAS HYSTRECTOMYFOR 30000 PACKAGE

CANCER CERVIX
01012065 STERILISATION POST PERTUM 4700 PACKAGE
01012066 STERILISATION INTRAVAGINAL 6000 PACKAGE
01012067 ABORTION D AND C 3900 PACKAGE
01012068 ABORTION EVACUATION 4200 PACKAGE
01012069 MTP 1ST TRIMESTER 3200 PACKAGE
01012070 MTP 2ND TRIMESTER 4800 PACKAGE
01012071 EXTENDED HYSTERECTOMY 28000 PACKAGE
01012072 HYDROTUBATION 1000 PACKAGE
01013001 DRAINAGE OF ABSCESS 2000 PACKAGE
01013002 DRESSING UNDER G.A. 2400 PACKAGE
01013003 ASPIRATION OF COLD 3100 PACKAGE

ABSCESSOF LYMPHNODE
01013004 ASPIRATION OF EMPYEMA 2400 PACKAGE
01013005 ASPIRATION OF LIVERABSCESS 3000 PACKAGE
01013006 OPEN DRAINAGE OF 10000 PACKAGE

LIVERABSCESS
01013007 DRAINAGE OF PELVICABSCESS 10000 PACKAGE
01013008 DRAINAGE OF 8000 PACKAGE

ISCHIORECTALABSCESS
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01013009 DRAINAGE 14000 PACKAGE
OFSUBDIAPHRAGMATICABSCESS
01013010 OPEN DRAINAGE 14000 PACKAGE
OFPERINEPHERIC ABSCESS
01013011 DRAINAGE OF 12000 PACKAGE
PERIGASTRICABSCESS
01013012 DRAINAGE OF PEROTIDABSCESS 8000 PACKAGE
01013013 DRAINAGE 8000 PACKAGE

OFRETROPHARYNGEAL ABSCESS
01013014 OPEN DRAINAGE OF 8000 PACKAGE
PSORASABSCESS
01013015 OPEN DRAINAGE 10000 PACKAGE
OFPERIVERTEBRAL ABSCESS
01013016 FISSURECTOMY/HAEMORROIDEC 16000 PACKAGE
TOMY/CORRECTION OF PILES
01013017 HAEMORROIDECTOMY/CORRECTI 16000 PACKAGE
ON OF PILESWITH STAPLER GUN
(COST OF GUN EXTRA)
SUPERFICIALNEUROFIBROMA
01013019 VARICOSE VEINS 25000 PACKAGE
01013020 EXCISION OF CARBUNCLE 4000 PACKAGE
01015001 HEAD AND NECK 9700 PACKAGE
01015002 BREAST 9600 PACKAGE
01015003 SOFT TISSUE SARCOME 12000 PACKAGE
01016001 CAPSULE ENDOSCOPY 30000 PACKAGE
01016002 COMPLETE DOUBLE 18000 PACKAGE

BALOONENTEROSCOPY
01016003 COMPLETE SMALL 30000 PACKAGE
BOWELEVALUATION
01016004 ARGAN PLASMA COA(MAJOR) 5000 PACKAGE
01016005 ARGAN PLASMA COA(MAJOR) 6500 PACKAGE

(BS)
01016006 ARGAN PLASMA COA(MINOR) 2200 PACKAGE
01016007 ARGAN PLASMA COA(MINOR) 3000 PACKAGE

(BS)
01016008 BAND LIGATION 3500 PACKAGE
01016009 BAND LIGATION (BS) 5500 PACKAGE
01016010 BILIARY BRUSHING 1000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01016011 BILIARY BRUSHING (BS) 1600 PACKAGE
01016012 BILIARY PANCREATIC (M) 16000 PACKAGE
01016013 BILIARY PANCREATIC (M) (BS) 23000 PACKAGE
01016014 BILIARY PANCREATIC (P) 13300 PACKAGE
01016015 BILIARY PANCREATIC (P) (BS) 18000 PACKAGE
01016016 CRE BALLON DILATATION (BS) 15000 PACKAGE
01016017 CRE BALLOON DILATATION 9000 PACKAGE
01016018 DILATATION (STRICTURE) 3000 PACKAGE
01016019 DILATATION (STRICTURE) (BS) 4200 PACKAGE
01016020 EMG CHARGE (LARGE) 3500 PACKAGE
01016021 EMG CHARGE (SMALL) 1500 PACKAGE
01016022 ENDOSCOPIC TUBE PLACE 3000 PACKAGE
01016023 ENDOSCOPIC TUBE PLACE(BS) 4200 PACKAGE
01016024 OESOPHAGEAL TRANSIT 1200 PACKAGE
01016025 GASTROSTOMY (PEG) 7000 PACKAGE
01016026 GASTROSTOMY (PEG) (BS) 11000 PACKAGE
01016027 GLUE INJECTION 4500 PACKAGE
01016028 GLUE INJECTION (BS) 7000 PACKAGE
01016029 HEMOSTA BY GLOD PROBE 7000 PACKAGE
01016030 HEMOSTATIC CLIP 7000 PACKAGE
01016031 HEMOSTATIC CLIP (BS) 10000 PACKAGE
01016032 HEPATONORM 700 PACKAGE
01016033 INJECTION HEMOSTASIS 4000 PACKAGE
01016034 INJECTION HEMOSTASIS (BS) 6000 PACKAGE
01016035 LGI MANOMETRY 4000 PACKAGE
01016036 LGI MANOMETRY (BS) 6000 PACKAGE
01016037 UGI MANOMETRY 3200 PACKAGE
01016038 UGI MANOMETRY (BS) 4500 PACKAGE
01016039 NASOBILIARY DRAINAGE 12000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01016040 NASOBILIARY DRAINAGE (BS) 18000 PACKAGE
01016041 NASOJEJUNAL TUBE PLAC 3000 PACKAGE
01016042 NASOJEJUNAL TUBE PLAC(BS) 4200 PACKAGE
01016043 PAPILLA CANNU MINOR 6500 PACKAGE
01016044 PAPILLA CANNU MINOR (BS) 8200 PACKAGE
01016045 PAPPU STNT SPINGT (M) 12000 PACKAGE
01016046 PAPPU STNT SPINGT (M)(BS) 17500 PACKAGE
01016047 POLYPECTOMY (COLONIC) 3200 PACKAGE
01016048 POLYPECTOMY (COLONIC)(BS) 4800 PACKAGE
01016049 POLYPECTOMY (UPPER GI) 3000 PACKAGE
01016050 POLYPECTOMY (UPPER GI)(BS) 4500 PACKAGE
01016051 PRE CUTTING 4500 PACKAGE
01016052 PRE CUTTING (BS) 7500 PACKAGE
01016053 PSEUDOCYST DRAINAGE 9000 PACKAGE
01016054 PSEUDOCYST DRAINAGE (BS) 16000 PACKAGE
01016055 SCLEROTHERAPY 3000 PACKAGE
01016056 SCLEROTHERAPY (BS) 3800 PACKAGE
01016057 SMALL BOWEL ENTEROSCP 14000 PACKAGE
01016058 SPHINCTEROTOMY 10500 PACKAGE
01016059 SPHINCTEROTOMY (BS) 16000 PACKAGE
01016060 STONE EXTRACTION 12000 PACKAGE
01016061 STONE EXTRACTION (BS) 17000 PACKAGE
01016062 GASTRIC EMPTYING 2500 PACKAGE
01016063 MECHANICAL LITHOTRIPSY 25000 PACKAGE
01016064 ERCP (STENTING) 10000 PACKAGE
01017001 EAR LOBE REPAIR ONE SIDE 600 PACKAGE
01017002 EXCISION OF PINNA 4500 PACKAGE

FORGROWTH
(SQUAMOUS/BASAL/INJURIES)
SKIN ONLY
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01017003 EXCISION OF PINNA 6000 PACKAGE
FORGROWTH
(SQUAMOUS/BASAL/INJURIES)
SKIN ANDCARTILAGE
01017004 PARTIAL AMPUTATION OFPINNA 6000 PACKAGE
01017005 TOTAL AMPUTATION OF PINNA 7500 PACKAGE
01017006 TOTAL AMPUTATION 10250 PACKAGE

ANDEXCISION OF
EXTERNALAUDITORY MEATUS
01017007 EXCISION OF CYSTICHYGROMA 5500 PACKAGE
MINOR
MAJOR
EXTENSIVE
01017010 EXCISION OF BRANCHIAL CYST 11000 PACKAGE
01017011 EXCISION OF BRANCHIALSINUS 11000 PACKAGE

PHARYNGEALDIVERTICULUM
01017013 MANDIBULECTOMY 25000 PACKAGE
01017014 OPERATION FOR CERVICAL RIB 30000 PACKAGE
01017015 PHARYNGECTOMY 35000 PACKAGE
01017016 STENOSIS EXCISION 17000 PACKAGE
01017017 COMMANDO OPERATION 27000 PACKAGE
01017018 BLOCK DISSECTION OFCERVICAL 20300 PACKAGE

LYMPH NODES
01017019 PHARYNGECTOMY 40000 PACKAGE
RECONSTRUCTION
01017020 OPERATION FOR CARCINOMALIP 10000 PACKAGE
WEDGE EXCISION
VERMILIONECTOMY
WEDGE EXCISION
ANDVERMILONECTOMY
01017023 ESTLANDER OPERATION 9700 PACKAGE
01017024 ABBE OPERATION 12000 PACKAGE
01017025 CHEEK ADVANCEMENT 10200 PACKAGE
01017026 EXCISION OF THE MAXILLA 23300 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01017027 EXCISION OF THE MANDIBLE 18100 PACKAGE
SEGMENTAL
01017028 HEMIMANDIBULECTOMY 27200 PACKAGE
01017029 PARTIAL GLOSSECTOMY 6100 PACKAGE
01017030 HEMIGLOSSECTOMY 13500 PACKAGE
01017031 TOTAL GLOSSECTOMY 25000 PACKAGE
01017032 PAROTIDECTOMY SUPERFICIAL 24000 PACKAGE
01017033 PAROTIDECTOMY CONSERVATIVE 19700 PACKAGE
01017034 PAROTIDECTOMY RADICAL 22000 PACKAGE
01017035 PAROTIDECTOMY TOTAL 15000 PACKAGE
01017036 REPAIR OF PAROTID DUCT 20400 PACKAGE
01017037 REMOVAL OFSUBMANDIBULAR 10000 PACKAGE

SALIVARYGLAND
01017038 HEMITHYROIDECTOMY 15000 PACKAGE
01017039 PARTIAL THYROIDECTOMY 16000 PACKAGE
01017040 SUBTOTAL THYROIDECTOMY 22000 PACKAGE

(TOXIC GOITRE)
01017041 TOTAL THYROIDECTOMY 23000 PACKAGE
01017042 RESECTION ENUCLEATION 12500 PACKAGE

OFADENOMA
01017043 ISTHMECTOMY 12600 PACKAGE

ANDBLOCK DISSECTION
01017045 EXCISION OF LINGUALTHYROID 25650 PACKAGE

THYROGLOSSALCYST/FISTULA
PARATHYROIDADENOMA/CARCIN
OMA
01017048 LARYNGECTOMY 37150 PACKAGE
01017049 LARYNGO PHARYNGECTOMY 43500 PACKAGE
01017050 SINUS AND FISTULA REPAIR 14000 PACKAGE
01017051 LYMPH NODE EXCISION 8000 PACKAGE
01017052 HYOID SUSPENSION 12000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01017053 GENIOPLASTY 12000 PACKAGE
01017054 DIRECT LARYNGOSCOPY 5400 PACKAGE
01017055 PHONOSURGERY 15400 PACKAGE
01017056 FIBROPTIC LARYNGOSCOPY 3000 PACKAGE
01017057 MICROLARYNGEAL SURGERY 11000 PACKAGE
01017058 LARYNGOFISSURE 17500 PACKAGE
01018001 BENIGN TUMOUR EXCISIONS 11000 PACKAGE
01018002 TEMPORAL BONE RESECTION 27600 PACKAGE
01018003 RADICAL NECK DISSECTION 28500 PACKAGE
01018004 CAROTID BODY EXCISION(COST 36000 PACKAGE

OF GRAFT EXTRA)
01018005 TOTAL LARYNGECTOMY 39050 PACKAGE
01018006 FLAP RECONSTRUCTIVESURGERY 42800 PACKAGE
01018007 PARAPHARYNGEAL 32000 PACKAGE

TUMOUREXCISION
01019001 DRAINAGE OF ABSCESS 7000 PACKAGE
01019002 EXCISION OF LUMPS 10000 PACKAGE
01019003 LOCAL MASTECTOMY(SIMPLE) 13500 PACKAGE
01019004 RADICAL MASTECTOMY(FORMAL 28000 PACKAGE

OR MODIFIED)
01019005 EXCISION OF MAMMARYFISTULA 16000 PACKAGE
01019006 SEGMENTAL RESECTION 18300 PACKAGE

OFBREAST
01019007 BREAST CANCER 30000 PACKAGE
(TUMOUREXCISION)
01020001 TRACHEOSTOMY 3700 PACKAGE
01020002 THORACOTOMY 17500 PACKAGE

(PENETRATINGWOUNDS)
01020003 INTERCOSTAL DRAINAGE 5400 PACKAGE
OFEMPYEMA
01020004 DECORTICATION(PLEURECTOMY) 37000 PACKAGE
01020005 THORACOPLASTY 37000 PACKAGE
01020006 PNEUMONECTOMY 37000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01020007 LOBECTOMY 37000 PACKAGE
01020008 SEGMENTAL RESECTION 37000 PACKAGE
01020009 HYDATID CYST REMOVAL 37000 PACKAGE
01020010 VIDEOASSISTEDTHORACOSCOPI 37000 PACKAGE

C LUNGSURGERIES
01020011 LUNG VOLUME 37000 PACKAGE
REDUCTIONSURGERY
(UNILATERAL/BILATERAL)
01020012 THORACOSCOPICDECORTICATIO 37000 PACKAGE
N
01020013 THORACOSCOPICPNEUMONECTO 37000 PACKAGE
MY
01020014 THORACOSCOPIC LOBECTOMY 37000 PACKAGE
01020015 THORACOSCOPIC 37000 PACKAGE

SEGMENTALRESECTION
01020016 THORACOSCOPICCYST EXCISION 37000 PACKAGE
01020017 THORACOSCOPICSYMPATHECTOM 37000 PACKAGE

Y
01020018 CHEST WALL TUMOREXCISION 37000 PACKAGE
WITHRECONSTRUCTION
01020019 REPAIR OF CONGENITALCHEST 37000 PACKAGE
WALL DEFORMITIES
01020020 MULTIPLE LOBECTOMY 37000 PACKAGE
01020021 DECORTICATION 37000 PACKAGE

PLUSTHORACOPLASTY
01020022 DECORTICATION PLUS 37000 PACKAGE
LUNGRESECTION
PLUSTHORACOPLASTY
01020023 OPEN LUNG BIOPSY 18000 PACKAGE
01020024 MEDICISTINOSCOPY(CERVICAL) 15000 PACKAGE
01020025 VIDEOASSISTEDTHORACOSCOPY 36960 PACKAGE

(VATS)
01020026 THORACOTOMY FOR BPF 37000 PACKAGE
01020027 SURGERY FOR DESTROYEDLUNG 37000 PACKAGE
01020028 SLEEVE RESECTION 37000 PACKAGE

WITHLOBECTOMY
01020029 EXTRAPLEURALPNEUMONECTOMY 37000 PACKAGE
01020030 TRACHEAL STENOSIS SURGERY 37000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01020031 REPAIR OF TRACHEOINNUMINETE 37000 PACKAGE
FISTULA
01020032 TRACHEAL RESECTION 37000 PACKAGE
FORTRACHEAL TUMOUR
01020033 SEGMENTECTOMY 37000 PACKAGE
01020034 WEDGE RESECTION 37000 PACKAGE

01020035 LUNG RESECTION 37000 PACKAGE
WITHPARATRACHEAL L.
NODERESECTION
01020036 LUNG RESECTION WITHCHEST 37000 PACKAGE
WALL INVASION
01020037 LUNG RESECTION 37000 PACKAGE
WITHDISSECTION OF LYMPH
NODESTATIONS
01020038 SURGERY FOR 37000 PACKAGE
RECURRENTPNEMOTHORAXIC
01020039 SURGERY FOR ASPERGILLOSIS 37000 PACKAGE
(LUNG CAVITIES)
01020040 BRONCHOTOMY 37000 PACKAGE
01020041 MEDIOSTONOSCOPY 15000 PACKAGE

01021001 CORONARY BYPASS SURGERY 150000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021002 CORONARY BYPASS 150000 NON-
SURGERYPOSTANGIOPLASTY PACKAGE
(INCLUDING
PRESURGERYPROFILE)
01021003 CORONARY 66000 NON-
BALLOONANGIOPLASTY PACKAGE
(EXCLUDING COST OF STENTS)
(INCLUDING
PRESURGERYPROFILE) (4 DAYS
PACKAGE)
01021004 BALLOON ANGIOPLASTY 90000 NON-
WITHVALVOTOMY (INCLUDING PACKAGE
PRESURGERY PROFILE)
01021005 OPEN HEART PROCEDURES 150000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021006 TOTAL CORRECTION 150000 NON-
OFTETRALOGY OF FALLOT PACKAGE
(INCLUDING
PRESURGERYPROFILE)
01021007 RSUV CORRECTION(INCLUDING 150000 NON-
PRESURGERY PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01021008 TAPVC CORRECTION(INCLUDING 150000 NON-
PRESURGERYPROFILE) PACKAGE
01021009 OPEN ASD VSD 150000 NON-
(INCLUDINGPRESURGERY PACKAGE
PROFILE)
01021010 OPEN PULMONARYVALVOTOMY 150000 NON-
(INCLUDING PRESURGERY PACKAGE
PROFILE)
01021011 OPEN AORTIC VALVOTOMY 150000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021012 BLALOCK TAUSSIG OPERATION 72000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021013 MITRAL VALVOTOMY(INCLUDING 72000 NON-
PRESURGERYPROFILE) PACKAGE
01021014 MITRAL VALVE REPLACEMENT 150000 NON-
(EXCLUDING COST OF VALVE) PACKAGE
(INCLUDING
PRESURGERYPROFILE)
01021015 AORTIC VALVE REPLACEMENT 150000 NON-
(EXCLUDING COST OF VALVE) PACKAGE
(INCLUDING
PRESURGERYPROFILE)
01021016 DOUBLE VALVEREPLACEMENT 160000 NON-
(EXCLUDINGCOST OF VALVES) PACKAGE
(INCLUDINGPRESURGERY
PROFILE)
01021017 THORACOABDOMI 150000 NON-
AORTAREPLACEMENT PACKAGE
PROFILE)
01021018 COARCTATIONAORTA REPAIROF 96000 NON-
BLOCK TAUSSING SHUNT PACKAGE
(INCLUDING
PRESURGERYPROFILE)
01021019 PATENT DUCTUS ARTERIOUSUS 72000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021020 MITRAL VALVOTOMY (OPEN) 150000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021021 PERICARDIOSTOMY 54000 NON-
PROFILE)
01021022 PERICARDIECTOMY 72000 NON-
PROFILE)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01021023 PERICARDIO CENTESIS 3900 NON-
PACKAGE
01021024 PERMANENT 19400 NON-
PACEMAKERIMPLANTATION PACKAGE
(EXCLUDINGCOST OF
PACEMAKER)
01021025 TEMPORARY PACING 12600 NON-
LEADIMPLANTATION PACKAGE
(INCLUDINGUSE OF
TEMPORARYPACEMAKER)
01021026 EMBOLECTOMY 19800 NON-
PACKAGE
01021027 ANEURYSM RESECTION 96000 NON-
GRAFTING (COST OF PACKAGE
GRAFTEXTRA)
01021028 THORACOCENTESIS 2000 NON-
PACKAGE
01021029 THORACHOSTOMY 5400 NON-
PACKAGE
01021030 EXPLORATORY THOROCOTOMY 37000 NON-
PACKAGE
01021031 UNIFOCALIZATION WITH SHUNT 150000 NON-
(INCLUDING PACKAGE
PRESURGERYPROFILE)
01021032 REMOVAL OF FOREIGN 6000 NON-
BODYFROM TRACHEA PACKAGE
OROESOPHAGUS
01021033 RIB RESECTION DRAINAGE 11500 NON-
PACKAGE
01021034 MEDIASTINAL TUMOUR 35000 NON-
PACKAGE
01021035 THYMECTOMY 35000 NON-
PACKAGE
01021036 ASD DEVICE CLOSURE 40000 NON-
(EXCLUDING COST OF DEVICE) PACKAGE
01021037 PDA DEVICE CLOSURE 32000 NON-
(EXCLUDING COST OF DEVICE) PACKAGE
01021038 DSA 5400 NON-
PACKAGE
01021039 EP STUDY 8400 NON-
PACKAGE
01021040 3D RF ABLATION 40000 NON-
PACKAGE
01021041 MINI EP STUDY 5000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01021042 CORONARY ANGIOGRAPHY(1 11700 NON-
DAYS PACKAGE) PACKAGE
01021043 FONTEN 170000 NON-
PACKAGE
01021044 GUNSHOT INJURY 52000 NON-
PACKAGE
01021045 HEART TRANSPLANT 277000 NON-
PACKAGE
01021046 INTRA CORONARY STENTING 58000 NON-
PACKAGE
01021047 DIRECTIOL ATHERECTOMY 98000 NON-
PACKAGE
(DDD)(PACEMAKER COST EXTRA)
(4 DAYS PACKAGE)
(BIVENTRICULAR)(PACEMAKER
COST EXTRA) (4DAYS PACKAGE)
01021050 FEMORAL POPLITIAL BYPASS 75000 NON-
PACKAGE
01021051 ILIACFEMORAL BYPASS 75000 NON-
PACKAGE
01021052 AORTO BIFEMORAL BYPASS 75000 NON-
PACKAGE
01021053 CAROTID SUBCLAVIANBYPASS 75000 NON-
PACKAGE
01021054 PA BANDING 55000 NON-
PACKAGE
01021055 BD GLEN 55000 NON-
PACKAGE
01021056 THORACIC AORTA/ 150000 NON-
ARCHREPLACEMENT PACKAGE
PROFILE)
01021057 AICD/ICD 60000 NON-
IMPLANTATIONPROCEDURE PACKAGE
CHARGES (COSTOF IMPLANTS
EXTRA)
01021058 CPAP/ BIPAP 500 NON-
PACKAGE
01022001 ATRESIA OF OESOPHAGUSAND 29700 PACKAGE
TRACHEOOESOPHAGEAL FISTULA
01022002 OPERATIONS FORREPLACEMENT 38000 PACKAGE
OFOESOPHAGUS BY COLON
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01022003 OESOPHAGECTOMY 38000 PACKAGE
FORCARCINOMA ESOPHAGUS
01022004 OESOPHAGEAL INTUBATION 15500 PACKAGE
(MAUSSEAU BARBIN TUBE)
01022005 ACHALASIA 29700 PACKAGE
CARIDATRANSTHORACIC
01022006 ACHALASIA CARIDAABDOMINAL 14600 PACKAGE
01022007 OESOPHAGO GASTRECTOMYFOR 38000 PACKAGE

MID 1/3 LESION
01022008 OESOPHAGUS DILATATION 1500 PACKAGE
OFSTRICTURE PER VISIT
01022009 COLONINTER POSITION 38000 PACKAGE
ORREPLACEMENT
OFOESOPHAGUS
01022010 OESOPHAGO GASTRECTOMY 38000 PACKAGE
LOWER CORRINGERSPROCEDURE
01022011 ESOPHAGEAL 38000 PACKAGE
PERFORATIONSURGERY
01022012 INSTALLATION OF RYLES TUBEIN 5000 PACKAGE
CA ESOPHAGUS
01022013 ESOPHAGEAL 38000 PACKAGE
DIRECTICULUMSURGERY
01023001 GASTROSCOPY 1300 PACKAGE
01023002 GASTRIC DUODENALBIOPSY 1700 PACKAGE

(ENDOSCOPIC)
01023003 PYLEROMYOTOMY 10000 PACKAGE
01023004 GASTROSTOMY 12000 PACKAGE
01023005 SIMPLE CLOSURE 15000 PACKAGE

OFPERFORATED PEPTIC ULCER
01023006 VAGOTOMY PYLEROPLASTY 30000 PACKAGE
/GASTRO JEJUNOSTOMY
01023007 DUODENOJEJUNOSTOMY 25000 PACKAGE
01023008 PARTIAL/SUBTOTALGASTRECTOM 30000 PACKAGE

Y FORCARCINOMA
01023009 PARTIAL/SUBTOTALGASTRECTOM 30000 PACKAGE
Y FOR ULCER
01023010 OPERATION FOR 25000 PACKAGE
BLEEDINGPEPTIC ULCER
01023011 GASTROJEJUNOSTOMY 27000 PACKAGE
VAGOTOMY
01023012 OPERATION FORGASTROJEJUNAL 25000 PACKAGE
ULCER
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01023013 TOTAL GASTRECTOMY 35000 PACKAGE
FORCANCER
01023014 HIGHLY SELECTIVEVAGOTOMY 25000 PACKAGE
01023015 SELECTIVE VAGOTOMY 25000 PACKAGE

DRAINAGE
01023016 CONGENITAL 30000 PACKAGE
DIAPHRAGMATICHERNIA
01023017 HIATUS HERNIA 30000 PACKAGE
REPAIRABDOMINAL
01023018 HIATUS HERNIA 30000 PACKAGE
REPAIRTRANSTHORACIC
01023019 EXPLORATORY LAPAROTOMY 12900 PACKAGE
01023020 EPIGASTRIC HERNIA REPAIR 15000 PACKAGE
01023021 UMBILICAL HERNIA REPAIR 15000 PACKAGE
01023022 VENTRAL AND SCAR 18000 PACKAGE

HERNIAREPAIR
01023023 INGUINAL 15000 PACKAGE
HERNIAHERNIORRAPHY
UNILATERAL
01023024 INGUINAL HERNIA 22000 PACKAGE
HERNIOPLASTY WITH
MESHUNILATERAL
01023025 FEMORAL HERNIA REPAIR 22000 PACKAGE
01023026 RARE HERNIAS REPAIR 25000 PACKAGE

(SPIGALION OBTURATORLUMBAR
SCIATIC)
01023027 SPLENECTOMY FORTRAUMA 25000 PACKAGE
01023028 SPLENECTOMY 25000 PACKAGE

FORHYPERSPLENISM
01023029 SPLENORENAL ANASTOMOSIS 40000 PACKAGE
01023030 PORTOCAVAL ANASTOMOSIS 40000 PACKAGE
01023031 DIRECT OPERATION 30000 PACKAGE

ONOESOPHAGUS FOR
PORTALHYPERTENSION
01023032 MESENTERICOCAVALANASTOMOS 35000 PACKAGE
IS
01023033 WARREN SHUNT 35000 PACKAGE
01023034 PANCERATO DUODENECTOMY 36000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01023035 BY PASS PROCEDURE 30000 PACKAGE
FORINOPERABLE CARCINOMA
OFPANCREAS
01023036 CYSTOJEJUNOSTOMY 30000 PACKAGE
ORCYSTOGASTROSTOMY
01023037 CHOLECYSTECTOMY 18000 PACKAGE
01023038 CHOLECYSTECTOMY 22000 PACKAGE

EXPLORATION OF CBD
01023039 REPAIR OF COMMON BILEDUCT 20000 PACKAGE
01023040 OPERATION FOR HYDATID 25000 PACKAGE

CYSTOF LIVER
01023041 CHOLECYSTOSTOMY 14200 PACKAGE
01023042 HEPATIC RESECTIONS 28000 PACKAGE

(LOBECTOMY HEPATECTOMY)
01023043 OPERATION ON ADRENALGLANDS 35000 PACKAGE
BILATERAL
01023044 OPERATION ON ADRENALGLANDS 20000 PACKAGE
UNILATERAL FORTUMOUR
01023045 APPENDICECTOMY FOR 20000 PACKAGE
ACUTEAPPENDICITIS
01023046 APPENDICECTOMY FORCHRONIC 18000 PACKAGE
APPENDICITIS
01023047 APPENDICULAR ABSCESS 12000 PACKAGE
DRAINAGE
01023048 MESENTERIC CYST EXCISION 18000 PACKAGE
01023049 PERITONIOSCOPY/LAPAROSCOPY 5100 PACKAGE
01023050 JEJUNOSTOMY 18000 PACKAGE
01023051 ILEOSTOMY 18000 PACKAGE
01023052 CONGENITAL ATRESIA 25000 PACKAGE

ANDSTENOSIS OF SMALL
INTESTINE
01023053 MUCONIUM ILEUS 20000 PACKAGE
01023054 MALROTATION AND VOLVULUS 20000 PACKAGE

OFTHE MIDGUT
01023055 RESECTION AND 22000 PACKAGE
ANASTOMOSISOF SMALL
INTESTINE
MECKLESDIVERTICULUM
01023057 DUODENAL DIVERTICULUM 18000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
INTESTINALOBSTRUCTION
INTESTINALPERFORATION
01023060 BENIGN TUMOURS OF 25000 PACKAGE
SMALLINTESTINE
01023061 EXCISION OF SMALL 25000 PACKAGE
INTESTINEFISTULA
01023062 OPERATIONS FORHAEMORRHAGE 25000 PACKAGE
OF THE SMALLINTESTINES
01023063 OPERATIONS OF 32000 PACKAGE
THEDUPLICATION OF
THEINTESTINES
01023064 OPERATIONS FOR 28000 PACKAGE
RECURRENTINTESTINAL
OBSTRUCTION(NOBLE PLICATION
AND OTHEROPERATIONS FOR
THEADHESIONS)
01023065 ILIEOSIGMOIDOSTOMY 22000 PACKAGE
01023066 ILIEOTRANSVERSE COLOSTOMY 22000 PACKAGE
01023067 CAECOSTOMY 10000 PACKAGE
01023068 LOOP COLOSTOMYTRANSVERSE 20000 PACKAGE

SIGMOID
01023069 TERMINAL COLOSTOMY 24000 PACKAGE
01023070 CLOSURE OF COLOSTOMY 24000 PACKAGE
01023071 RIGHT HEMICOLECTOMY 24000 PACKAGE
01023072 LEFT HEMICOLECTOMY 24000 PACKAGE
01023073 TOTAL COLECTOMY 39000 PACKAGE
01023074 OPERATIONS FOR VOLVULUS 25200 PACKAGE

OFLARGE BOWEL
SIGMOIDDIVERTICULITIS
01023076 FISSURE IN ANO DILATATION 6800 PACKAGE
01023077 FISSURE IN ANO FISSURECTOMY 16000 PACKAGE
01023078 RECTAL POLYPEXCISION 8000 PACKAGE
01023079 OPERATION OFHAEMORRHOIDS 10000 PACKAGE

LORDSPROCEDURE
01023080 FISTULA IN ANO 20000 PACKAGE
HIGHFISTULECTOMY
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01023081 FISTULA IN ANO 12000 PACKAGE
LOWFISTULECTOMY
01023082 IMPERFORAT ANUS COLOSTOMY 16000 PACKAGE
01023083 IMPERFORATE ANUS 22000 PACKAGE

PULLTHROUGH OPERATION
01023084 PROLAPSE RECTUM THEIRCH 15000 PACKAGE
WIRING
01023085 PROLAPSE RECTUM RECTOPEXY 10000 PACKAGE
01023086 PROLAPSE RECTUM GRAHAMS 22000 PACKAGE

OPERATION
01023087 OPERATIONS 22000 PACKAGE
FORHIRSCHSPRUNGS DISEASE
01023088 EXCISION OF PILONIDAL SINUS 12300 PACKAGE
01023089 ABDOMINOPERINEALEXCISION 26700 PACKAGE

OF RECTUM
01023090 ANTERIOR RESECTION 26300 PACKAGE
OFRECTUM
01023091 PULL THROUGH 22000 PACKAGE
ABDOMINALRESECTION
FORNEUROBLASTOMA
01023093 FISTULA/ FISTULOTOMY 12000 PACKAGE
01023094 HERNIOCTOMY 21000 PACKAGE
01024001 PARTIAL NEPHRECTOMY 25000 PACKAGE
01024002 NEPHROLITHOTOMY 25000 PACKAGE
01024003 PYELOLITHOTOMY 25000 PACKAGE

FORHYDRONEPHROSIS
01024005 OPEN DRAINAGE OFPERINEPHRIC 15000 PACKAGE
ABSCESS
01024006 CAVERNOSTOMY 20400 PACKAGE
01024007 OPERATIONS FOR CYST OF 25000 PACKAGE

THEKIDNEY
01024008 URETEROLITHOTOMY 20000 PACKAGE
01024009 NEPHROURETERECTOMY 20000 PACKAGE
01024010 OPERATIONS FOR URETER FOR 30000 PACKAGE

DOUBLE URETERS
01024011 OPERATIONS FOR URETER 27000 PACKAGE
FORECTOPIA OF SINGLE URETER
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
VESICOURETERICREFLUX
01024013 URETEROSTOMY CUTANEOUS 20000 PACKAGE
01024014 URETEROCOLIC ANASTOMOSIS 20000 PACKAGE
01024015 FORMATION OF AN 22000 PACKAGE

ILEALCONDUIT
01024016 URETERIC CATHETERISATION 5000 PACKAGE
01024017 DORMIA EXTRACTION 6000 PACKAGE

OFCALCULUS
01024018 BIOPSY OF BLADDER 8000 PACKAGE
(CYSTOSCOPIC)
01024019 DIATHERMY DESTRUCTION 15000 PACKAGE
OFBLADDER NEOPLASM
01024020 LITHOLAPEXY 15000 PACKAGE
01024021 OPERATIONS FOR INJURIES 30000 PACKAGE

OFTHE BLADDER
01024022 SUPRAPUBIC DRAINAGE 12000 PACKAGE
(CYSTOSTOMY/VESICOSTOMY)
01024023 TOTAL CYSTECTOMY 35000 PACKAGE
01024024 DIVERTICULECTOMY 32000 PACKAGE
01024025 OPEN RESECTION OF 25000 PACKAGE

THEBLADDER NECK
01024026 YV PLASTY OF THE 25000 PACKAGE
BLADDERNECK
01024027 CYSTOPLASTY 28000 PACKAGE
01024028 OPERATIONS FOR EXTROPHY 40000 PACKAGE

OFTHE BLADDER
01024029 REPAIR OF URETEROCOEL 25000 PACKAGE
01024030 SUPRAPUBIC PROSTATECTOMY 25000 PACKAGE
01024031 RETROPUBIC PROSTATECTOMY 25000 PACKAGE
01024032 TRANSURETHRAL RESECTION 25000 PACKAGE

OFPROSTATE (TURP)/
TURBLADDER TUMOUR
01024033 INTRAVESICAL BCGINSTILLATION 500 PACKAGE
(COST OF BCGEXTRA)
01024034 OPERATIONS FOR INJURY 30000 PACKAGE
TOURETHRA
01024035 INTERNAL URETHROTOMY 15000 PACKAGE
01024036 URETHRAL RECONSTRUCTION 32000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
CONGENITALVALVES OF
URETHRA
01024038 OPERATIONS FORINCONTINENCE 25000 PACKAGE
OF URINE MALE
01024039 OPERATIONS FORINCONTINENCE 25000 PACKAGE
OF URINE FEMALE
01024040 REDUCTION OFPARAPHIMOSIS 2450 PACKAGE
01024041 CIRCUMCISION (UNDERGENERAL 6000 PACKAGE

ANAESTHESIA)
01024042 MEATOTOMY 3500 PACKAGE
01024043 MEATOPLASTY 6800 PACKAGE
01024044 OPERATIONS FORHYPOSPADIAS 15000 PACKAGE

CHORDEECORRECTION
01024045 OPERATIONS FORHYPOSPADIAS 24000 PACKAGE
SECONDSTAGE OR ONE
STAGEREPAIR
01024046 OPERATIONS FOR EPISPADIAS 22000 PACKAGE
01024047 PARTIAL AMPUTATION OF 14000 PACKAGE

THEPENIS
01024048 TOTAL AMPUTATION OF 20000 PACKAGE
THEPENIS
01024049 ORCHIDECTOMY SIMPLE 14000 PACKAGE
01024050 ORCHIDECTOMY RADICAL 20000 PACKAGE
01024051 ADRENECLECTOMYUNILATERAL/B 30000 PACKAGE

ILATERAL FORTUMOUR/FOR
CARCINOMA
01024052 OPERATIONS FOR HYDROCELE 8000 PACKAGE
UNILATERAL
01024053 OPERATIONS FOR HYDROCELE 12000 PACKAGE
BILATERAL
01024054 OPERATION FOR TORSION 15000 PACKAGE
OFTESTIS
01024055 VASOVASOSTOMY 18000 PACKAGE
01024056 OPERATIONS FOR VARICOCELE 15000 PACKAGE
01024057 BLOCK DISSECTION OFINGUINAL 25000 PACKAGE

NODES ONE SIDE
01024058 BLOCK DISSECTION OFINGUINAL 32000 PACKAGE
NODES BOTHSIDES
01024059 EXCISION OF FILARIALSCROTUM 16000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01024060 EMERGENCY DIALYSISFEMORAL 1200 PACKAGE
PUNCTURE
01024061 EMERGENCY 1800 PACKAGE
DIALYSISSUBCLAVIAN PUNCTURE
01024062 FISTULA/SHUNT 8000 PACKAGE
01024063 DIALYSIS 1500 PACKAGE
FEMORALCATHETERISATION
BILATERAL
01024064 HAEMO DIALYSIS 1500 PACKAGE
(ALLINCLUSIVE)
01024065 DOUBLE LUMEN SUBCLAVIAN 3000 PACKAGE
CATHETER
01024066 CONTINUOUS ARTERIO 17000 PACKAGE
VENUSHAEMOFILTRATION
(CAVH)/CAVD
01024067 SUBCLAVIAN ACCESS 1850 PACKAGE
01024068 FEMORAL ACCESS 1750 PACKAGE
01024069 PLASMA EXCHANGE 2500 PACKAGE

01024070 DONOR NEPHRECTOMY 50000 NON-
PACKAGE
01024071 RENAL TRANSPLANTATION 250000 NON-
PACKAGE
01024072 URETERIC REIMPLANT 4200 PACKAGE
01024073 LYMPHOCOEL 4300 PACKAGE

01024074 TRANSPLANT NEPHRECTOMY 35000 NON-
PACKAGE
01024075 NEPHROURETECTOMY 35000 PACKAGE
01024076 VASCULAR PROSTHETIC GRAFT 35000 PACKAGE
01024077 CAPD (INSERTION REMOVAL) 8000 PACKAGE
01024078 PCNL UNILATERAL 30000 PACKAGE
01024079 PCNL BILATERAL/PCNLIII 46000 PACKAGE
01024080 PALOMOS UNILATERAL 7300 PACKAGE
01024081 PALOMOS BILATERAL 12600 PACKAGE
01024082 ENDOSCOPIC TEFLON INJECT 5100 PACKAGE
01024083 TESTICULAR BIOPSY 4350 PACKAGE

01024084 GILVERNERS 22000 PACKAGE
EXTENDEDPYELOLITHOTOMY
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01024085 RADICAL 50000 PACKAGE
NEPHRECTOMYCOMPLICATED
TUMOUR ORADHESIONS
01024086 ANDERSON 25000 PACKAGE
HYNESPYELOROPLASTY
01024087 VASICO VAGINAL FISTULAREPAIR 30000 PACKAGE
01024088 RADICAL CYSTECTOMY 44000 PACKAGE
01024089 CAECO CYSTOPLASTY 26000 PACKAGE
01024090 NEPHRECTOMY SIMPLE 25000 PACKAGE
01024091 NEPHROSTOMY 22000 PACKAGE
01024092 URETERIC REIMPLANT 25000 PACKAGE
01024093 PARTIAL CYSTECTOMY 28000 PACKAGE
01024094 EPIDIDYMECTOMY 12000 PACKAGE
01024095 TURP CYSTOLITHOTRIPSY 30000 PACKAGE
01024096 OPEN PROSTATECTOMY 28000 PACKAGE
01024097 CLOSURE OF URETHRAL FISTULA 28000 PACKAGE
01024098 ORCHIDOPEXY UNILATERAL 15000 PACKAGE
01024099 ORCHIDOPEXY BILATERAL 20000 PACKAGE
01024100 CYSTOLITHOTOMY SUPRAPUBIC 15000 PACKAGE
01024101 ENDOSCOPIC REMOVAL OFSTONE 18000 PACKAGE

IN BLADDER
01024102 RESECTION BLADDER 18000 PACKAGE
NECKENDOSCOPIC
01024103 URETEROSCOPIC 40000 PACKAGE
REMOVALWITHLASER
01024104 URETEROSCOPIC 18000 PACKAGE
REMOVALWITHOUTLASER
01024105 URETHROPLASTY 1ST STAGE 14000 PACKAGE
01024106 OPTICAL URETHROTOMY 18000 PACKAGE
01024107 EXPLORATORY SCROTOTOMY 10000 PACKAGE
01024108 PERINEAL URETHROSTOMY 15000 PACKAGE
01024109 DILATATION OF 4000 PACKAGE

STRICTUREURETHRA UNDER G.A.
01024110 DILATATION OF 2200 PACKAGE
STRICTUREURETHRA
WITHOUTANESTHESIA
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01024111 RETROPERITONEOSCOPYNEPHRE 40000 PACKAGE
CTOMY
01024112 RETROPERITONEOSCOPYPARTIAL 35000 PACKAGE
NEPHRECTOMY
01024113 RETROPERITONEOSCOPICNEPHR 35000 PACKAGE
OLITHOTOMY
01024114 RETROPERITONEOSCOPICPYELOL 35000 PACKAGE
ITHOTOMY
01024115 RETROPERITONEOSCOPICOPERAT 35000 PACKAGE
ION FORHYDERONEPHROSIS
01024116 RETROPERITONEOSCOPICSURGE 35000 PACKAGE
RY FOR RENAL CYST
01024117 RETROPERITONEOSCOPICURETE 35000 PACKAGE
ROLITHOTOMY
01024118 RETROPERITONEOSCOPICNEPHR 35000 PACKAGE
OURETEROECTOMY
01024119 LAPROSCOPY 22000 PACKAGE
ASSISTEDORCHIDOPEXY
01024120 LAPROSCOPIC OPERATION 20000 PACKAGE
FORVARICOCELE
01024121 CYSTOSCOPIC BASKETING 12000 PACKAGE
OFURETHRA
01024122 LITHOTRIPSY/ ESWL(COMPLETE) 30000 PACKAGE
01024123 LITHOTRIPSY1/ SMSL (DAYCARE) 18000 PACKAGE

01024124 LITHOTRIPSY2/3/ SMSL(DAY 23000 PACKAGE
CARE)
01024125 SLOW EFFICIENCY DIALYSIS 4000 PACKAGE
(SLED)
01024126 PROSTHETIC SURGERY 40000 PACKAGE
FORURINARY INCONTINENCE
01024127 HELIUM LASER 30000 PACKAGE
PROSTRATESURGERY/ OPTICAL
INTERNALURETHROTOMY
01024128 HIGH INTENSITY 150000 NON-
FOCUSULTRASOUND (HIFU) PACKAGE
ROBOTICFOR CARCINOMA
01024129 CRRT PROCEDURE 11000 PACKAGE
01024130 TURP WITH LASER 32000 PACKAGE
01024131 LITHOCLAST (DAY CARE) 16000 PACKAGE
01024132 VASECTOMY 2500 PACKAGE
01025001 PRIMARY SUTURE OF WOUND 3200 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01025002 INJECTION OF KELOIDS 2700 PACKAGE
GANGLION
01025003 INJECTION OF KELOIDS 6100 PACKAGE
HAEMANGIOMA
01025004 FREE GRAFTS WOLFE GRAFTS 18000 PACKAGE
01025005 FREE GRAFTS THEIRECH SMALL 18500 PACKAGE

AREA 5 PERCENT
01025006 FREE GRAFTS LARGE AREA10 30000 PACKAGE
PERCENT
01025007 FREE GRAFTS VERY LARGEAREA 32400 PACKAGE
20 PERCENT
01025008 SKIN FLAPS ROTATIONFLAPS 28750 PACKAGE
01025009 SKIN FLAPS ADVANCEMENT 31650 PACKAGE

FLAPS
01025010 SKIN FLAPS DIRECT CROSSLEG 35500 PACKAGE
FLAPS CROSS ARMFLAP
01025011 SKIN FLAPS CROSSFINGER 35500 PACKAGE
01025012 SKIN FLAPS ABDOMINAL 35500 PACKAGE
01025013 SKIN FLAPS THORACIC 34400 PACKAGE
01025014 SKIN FLAPS ARM ETC. 35500 PACKAGE
01025015 SUBCUTANEOUS PEDICLEFLAPS 28500 PACKAGE

RAISING
DELAY
TRANSFER
01025018 CARTILAGE GRAFTING 29700 PACKAGE
01025019 REDUCTION OF 9000 PACKAGE

FACIALFRACTURES OF NOSE
FACIALFRACTURES OF MAXILLA
01025021 REDUCTION OF FRACTURES 27000 PACKAGE
OFMANDIBLE AND MAXILLA
EYELET SPLINTING
CASTNETAL SPLINTS
GUMMING SPLINTS
01025024 INTERNAL WIRE FIXATION 32000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01025025 CLEFT LIP REPAIR. 32400 PACKAGE
01025026 CLEFT PALATE REPAIRSEVERE 33800 PACKAGE

DEGREE
01025027 PRIMARY BONE GRAFTING 34550 PACKAGE
OFCLEFT LIP PALATE
01025028 SECONDARY SURGERY FORCLEFT 32600 PACKAGE
LIP DEFORMITY
01025029 SECONDARY SURGERY FORCLEFT 31350 PACKAGE
PALATE
01025030 RECONSTRUCTION OF 17550 PACKAGE
EYELIDDEFECTS MINOR
01025031 RECONSTRUCTION OF 30000 PACKAGE
EYELIDDEFECTS MAJOR
01025032 PLASTIC SURGERY OFDIFFERENT 10000 PACKAGE
REGIONS OF THEEAR MINOR
01025033 PLASTIC SURGERY OFDIFFERENT 20000 PACKAGE
REGIONS OF THEEAR MAJOR
01025034 PLASTIC SURGERY OF THENOSE 10000 PACKAGE
MINOR
01025035 PLASTIC SURGERY OF THENOSE 20000 PACKAGE
MAJOR
01025036 PLASTIC SURGERY FOR 32000 PACKAGE
FACIALPARALYSIS (SUPPORT
WITH REANIMATION)
01025037 PENDULOUS BREAST 22550 PACKAGE
MAMMOPLASTY
01026001 APPLICATION OF P.O.P CASTSFOR 7500 PACKAGE
UPPER AND LOWER LIMBS
01026002 APPLICATION OF 7500 PACKAGE
FUNCTIONALCAST BRACE
01026003 APPLICATION OF SKINTRACTION 1650 PACKAGE
01026004 APPLICATION OF 4450 PACKAGE

SKELETALTRACTIONS
01026005 BANDAGE STRAPPINGS 1150 PACKAGE
FORFRACTURES
01026006 ASPIRATION AND INTRA 950 PACKAGE
ARTICULARINJECTIONS
01026007 APPLICATION OF P.O.PSPICES 6000 PACKAGE
AND JACKETS
01026008 CLOSE REDUCTION 7500 PACKAGE
OFFRACTURES OF LIMB AND
P.O.P
COMPOUNDFRACTURES
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01026010 OPEN REDUCTION AND 18000 PACKAGE
INTERNALFIXATION OF FINGERS
AND TOES
01026011 OPEN REDUCTION OFFRACTURE 28000 PACKAGE
OF LONG BONES OFUPPER /
LOWER LIMB NAILING AND
EXTERNAL FIXATION
OF LONG BONES OFUPPER /
LOWER LIMB AOPROCEDURES
01026013 TENSION BAND WIRINGS 6000 PACKAGE
01026014 BONE GRAFTING 18000 PACKAGE
01026015 EXCISION OF BONE 28000 PACKAGE

TUMOURSSUPERFICIAL
01026016 EXCISION OF BONE 40000 PACKAGE
TUMOURSDEEP
01026017 EXCISION OF GANGLION 10000 PACKAGE
01026018 EXCISION OR 25000 PACKAGE

OTHEROPERATIONS FOR
SCAPHOIDFRACTURES
01026019 SEQUESTRECTOMY 20000 PACKAGE
ANDSAUCERIZATIONS
SUPERFICIAL
ANDSAUCERIZATIONS DEEP
ANDSAUCERIZATIONS
ARTHROTOMY
01026022 S.P.NAILING FOR FRACTURENECK 35000 PACKAGE
FEMUR
01026023 MULTIPLE PINNING 35000 PACKAGE
FRACTURENECK FEMUR
01026024 NAIL PLATE FIXATIONS 35000 PACKAGE
FORFRACTURE NECK FEMUR
01026025 A.O.COMPRESSIONPROCEDURES 35000 PACKAGE
FOR FRACTURENECK FEMUR
NECK FEMURMUSCLE PEDICLE
GRAFT ANDINTERNAL FIXATIONS
01026027 CLOSED REDUCTION 10000 PACKAGE
OFDISLOCATIONS
01026028 OPEN REDUCTION 20000 PACKAGE
OFDISLOCATIONS SUPERFICIAL
01026029 OPEN REDUCTION 30000 PACKAGE
OFDISLOCATIONS DEEP
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
DISLOCATION ANDINTERNAL
FIXATION
01026031 NEUROLYSIS/NERVE SUTURE 25000 PACKAGE
01026032 NERVE REPAIR WITH GRAFTING 32000 PACKAGE
01026033 TENDON WITH TRANSPLANT 35000 PACKAGE

ORGRAFT
01026034 TENDONLENGTHENING/TENDONS 25000 PACKAGE
UTURES
01026035 TENDON TRANSFER 35000 PACKAGE
01026036 LAMINECTOMY EXCISIONDISC 40000 PACKAGE

(PROSTHESIS EXTRA)
01026037 LAMINECTOMY EXCISIONDISC 60000 NON-
AND TUMOURS(PROSTHESIS PACKAGE
EXTRA)
01026038 ANTEROLATERAL CLEARANCEFOR 32000 PACKAGE
TUBERCULOSIS
01026039 ANTEREOLATERALDECOMPRESSI 45000 PACKAGE
ON ANDSPINAL FUSION
01026040 COSTO TRANSVERSECTOMY 30000 PACKAGE
01026041 CORRECTIVE OSTECTOMY 15000 PACKAGE

ANDINTERNAL FIXATION MINOR
01026042 CORRECTIVE OSTECTOMY 30000 PACKAGE
ANDINTERNAL FIXATION MAJOR
01026043 ARTHRODISIS OF MINORJOINTS 15000 PACKAGE
01026044 ARTHRODISIS OF MAJORJOINTS 30400 PACKAGE
01026045 SOFT TISSUE OPERATIONS 25000 PACKAGE

FORC.T.E.V.
01026046 SOFT TISSUE OPERATIONS 25000 PACKAGE
FORPOLIO
(INSTRUMENTATIONEXTRA)
01026047 PARTIAL HIP REPLACEMENT 40000 NON-
(COST OF PROSTHESIS EXTRA) PACKAGE
BRACHIALPLEXUS AND CERVICAL
RIB
01026049 AMPUTATIONS BELOWKNEE 25000 PACKAGE
01026050 AMPUTATIONS BELOWELBOW 25000 PACKAGE
01026051 AMPUTATIONS ABOVEKNEE 35000 PACKAGE
01026052 AMPUTATIONS ABOVEELBOW 30000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01026053 AMPUTATIONS FOREQUARTER 40000 PACKAGE
01026054 AMPUTATIONS HINDQUARTER 44000 PACKAGE
ANDHEMIPELVECTOMY
01026055 DISARTICULATIONS MAJOR 30000 PACKAGE
01026056 DISARTICULATIONS MINOR 20000 PACKAGE

01026057 ARTHROGRAPHY 10450 PACKAGE
ANDOSTEOMEDULLOGRAPHY
01026058 SPINAL OSTECTOMY 40200 PACKAGE
ANDINTERNAL FIXATIONS
01026059 ARTHROSCOPY OPERATIVE 24250 PACKAGE
01026060 SOFT TISSUE OPERATION 24000 PACKAGE
ONKNEE
01026061 MYOCUTANEOUS 24000 PACKAGE
ANDFASCIOCUTANEOUS
FLATPROCEDURES FOR LIMBS
01026062 REMOVAL OF NAILS WIRES 10000 PACKAGE
ANDSCREW
01026063 REMOVAL OF PLATES 15000 PACKAGE
01026064 TOTAL HIP 60000 NON-
REPLACEMENTUNILATERAL PACKAGE
(EXCLUDINGIMPLANTS)
01026065 TOTAL FINGER 23000 PACKAGE
JOINTREPLACEMENTUNILATERAL
(EXCLUDING IMPLANTS)
01026066 TOTAL KNEE 55000 NON-
JOINTREPLACEMENTUNILATERAL PACKAGE
(EXCLUDING IMPLANTS)
01026067 ANY OTHER JOINTREPLACEMENT 55000 NON-
(E.G. ELBOWSHOULDER ETC.) PACKAGE
UNILATERAL(COST OF IMPLANTS
EXTRA)
01026068 MULTIPLE FRACTURES REPAIR 100000 NON-
(EXCLUDING PERIPHERAL PACKAGE
LIMBINJURIES)MAJOR
(ABOVETHREE FRACTURES)
(COST OFIMPLANTS EXTRA)
01026069 MULTIPLE FRACTURES REPAIR 60000 NON-
(EXCLUDING PERIPHERAL PACKAGE
LIMBINJURIES)MEDIUM
(ABOVETWO FRACTURES) (COST
OFIMPLANTS EXTRA)
01026070 STERNAL DEHISENCESREPAIR 25000 PACKAGE
01026071 STERNAL 55000 PACKAGE
DEHISENCESRECONSTRUCTION
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01026072 FINGERS (POST SLAB) 300 NON-
PACKAGE
01026073 FINGERS FULL PLASTER 300 NON-
PACKAGE
01026074 COLLES FRACTURE 1200 NON-
BELOWELBOW PACKAGE
01026075 COLLES FRACTURE FULLPLASTER 2000 NON-
PACKAGE
01026076 COLLES FRACTURE ANT. ORPOST. 1000 NON-
SLAB PACKAGE
01026077 ABOVE ELBOW FULL PLASTER 1000 NON-
PACKAGE
01026078 ABOVE KNEE POSTSLAB 700 NON-
PACKAGE
01026079 BELOW KNEE FULL PLASTER 1000 NON-
PACKAGE
01026080 BELOW KNEE POSTSLAB 750 NON-
PACKAGE
01026081 TUBE PLASTER (OR 1450 NON-
PLASTERCYLINDER) PACKAGE
01026082 ABOVE KNEE FULL PLASTER 2400 PACKAGE
01026083 ABOVE KNEE FULL SLAB 2200 PACKAGE
01026084 MINERVA JACKET 4000 PACKAGE
01026085 PLASTER JACKET 3050 PACKAGE
01026086 SHOULDER SPICA 3350 PACKAGE
01026087 SINGLE HIP SPICA 3100 PACKAGE
01026088 DOUBLE HIP SPICA 3800 PACKAGE
01026089 RESECTION OF FIRST RIB 45000 PACKAGE
01026090 RESECTION OF CERICAL RIB 35000 PACKAGE
01026091 RIB RESECTION 12500 PACKAGE
01026092 LIGAMENT RECONSTRUCTION 22000 PACKAGE
01027001 CRANIOTOMY ANDEVACUATION 70000 PACKAGE

OF HAEMATOMASUBDURALL
01027002 CRANIOTOMY ANDEVACUATION 70000 PACKAGE
OF HAEMATOMAEXTRADURAL
01027003 EVACUATION OF BRAINABSCESS 80000 PACKAGE
01027004 EXCISION OF LOBE 80000 PACKAGE

(FRONTALTEMPORAL
CEREBELIUMETC.)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01027005 EXCISION OF BRAIN 80000 PACKAGE
TUMOURSSUPRATENTOTIAL
01027006 EXCISION OF BRAIN 80000 PACKAGE
TUMOURSSUBTENTORIAL
01027007 SURGERY OF CORD TUMOURS 60000 PACKAGE
01027008 VENTRICULOATRIAL/VENTRICULO 40000 PACKAGE
PERITONEALSHUNT
01027009 EXCISION OF CERVICAL 50000 PACKAGE
INTERVERTEBRAL DISCS
01027010 SYMPATHETECTOMY LUMBAR 18000 PACKAGE
01027011 SYMPATHETECTOMY CERVICAL 18000 PACKAGE
01027012 TWIST DRILL CRANIOSTOMY 30000 PACKAGE
01027013 SUBDURAL TAPPING 15000 PACKAGE
01027014 VENTRICULAR TAPPING 12000 PACKAGE
01027015 ABSCESS TAPPING 15000 PACKAGE
01027016 PLACEMENT OF ICP MONITOR 15000 PACKAGE
01027017 UROKINASE THEREPY FORICH 15000 PACKAGE
01027018 SKULL TRACTION APPLICATION 3400 PACKAGE
01027019 LUMBER PRESSUREMONITORING 10000 PACKAGE
01027020 VASCULAR MALFORMATIONS 100000 PACKAGE
01027021 PERITONEAL SHUNT 15000 PACKAGE
01027022 ATRIAL SHUNT 15000 PACKAGE
01027023 MENINGO ENCEPHALOCOEL 52000 PACKAGE
01027024 MENINGOMYELOCOEL 42000 PACKAGE
01027025 C.S.F. RHINORRHAEA 55000 PACKAGE
01027026 CRANIOPLASTY 55000 PACKAGE

01027027 POSTERIOR 50000 PACKAGE
CERVICALDISSECTOMY
01027028 ANTERIOR 50000 PACKAGE
CERVICALDISSECTOMY
01027029 BRACHIAL PLEXUSEXPLORATION 50000 PACKAGE
MICROSUTURING
01027030 MEDIAN NERVEDECOMPRESSION 40000 PACKAGE
01027031 PERIPHERAL NEURECTOMY 45000 PACKAGE
(TRIGEMINAL)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01027032 TRIGEMINAL RHIOTOMY 35000 PACKAGE
01027033 CRANIAL NERVE ASTOMOSIS 60000 PACKAGE
01027034 MENINGOCOELE EXCISION 45000 PACKAGE

01027035 PERIPHERAL NERVE SURGERY 50000 PACKAGE
MAJOR
01027036 PERIPHERAL NERVE 40000 PACKAGE
SURGERYMINOR
01027037 VENTRICULOATRIAL SHUNT 100000 NON-
(EXCLUD. COST OF VALVE) PACKAGE
01027038 NERVE BIOPSY (PROCEDURE 15000 PACKAGE
PLUS INVESTIGATION)
01027039 BRAIN BIOPSY (PROCEDURE 18000 PACKAGE
PLUSINVESTIGATION)
01027040 ANTERIOR CERVICAL 60000 PACKAGE
SPINESURGERY WITH FUSION
01027041 ANTERIOR 60000 PACKAGE
LATERALDECOMPRESSION
01027042 BRAIN MAPPING 2400 PACKAGE
01027043 CERVICAL OR 45000 PACKAGE
DORSALLAMINECTOMY
01027044 COMBINED TRANSORALSURGERY 110000 PACKAGE
AND CV JUNCTIONFUSION
01027045 C.V. JUNCTION FUSION 80000 PACKAGE
01027046 DEPRESSED FRACTURE 40000 PACKAGE
01027047 DISCECTOMY 45000 PACKAGE
01027048 ENDARTERECTOMY 50000 PACKAGE

01027049 R.F. LESION FOR 30000 PACKAGE
TRIGEMINALNEURALGIA
01027050 SPASTICITY SURGERY 90000 PACKAGE
01027051 SPINAL FUSION PROCEDURE 65000 PACKAGE

01027052 SPINAL INTRA 65000 PACKAGE
MEDULLARYTUMOURS
01027053 SPINAL BIFIDA SURGERYMAJOR 65000 PACKAGE
01027054 SPINA/ BIFIDA SURGERYMINOR 55000 PACKAGE

01027055 STEREOTAXIC 22000 PACKAGE
PROCEDURESBIOPSY/ASPIRATIO
N
01027056 TRANS SPHENOIDAL SURGERY 65000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01027057 TRANS ORAL SURGERY 110000 NON-
PACKAGE
01027058 IMPLANTATION OF DBS 100000 NON-
ONEELECTRODE PACKAGE
01027059 IMPLANTATION OF DBS 100000 NON-
TWOELECTRODES PACKAGE
01027060 ENDOSCOPICADUEDUCTOPLASTY 100000 NON-
PACKAGE
01027061 FACIAL NERVERECONSTRUCTION 50000 PACKAGE
01027062 RECANELISATION OF 80000 PACKAGE
VENOUSSINUSES
01027063 CAROTID STENTING 75000 NON-
PACKAGE
01027064 CERVICAL DISC ARTHROPLASTY 35000 PACKAGE
01027065 LUMBAR DISC ARTHROPLASTY 30000 PACKAGE
01027066 CORPUS CALLOSECTOMY 60000 PACKAGE
01027067 HEMISHPHERECTOMY 80000 PACKAGE

01027068 ENDOSCOPIC CSFRHINORRHEA 50000 PACKAGE
REPAIR
01027069 MICROSURGICAL EXCISION 60000 PACKAGE
OFACOUSTIC TUMOUR
01027070 MICROSURGICAL EXCISION 60000 PACKAGE
OFMENINGOMAS
01027071 EPILEPSY SURGERY 80000 PACKAGE
01027072 RF LESION FOR FACET 40000 PACKAGE
PAINSYNDROME
01027073 CERVICAL LAMINOPLASTY 40000 PACKAGE
01027074 LATERAL MASS C1C2 60000 PACKAGE
SCREWFIXATION
01027075 MICROSURGICALDECOMPRESSIO 60000 PACKAGE
N FORTRIGEMIL NERVE
01027076 CEREBELLAR STIMULATION 80000 PACKAGE
FORHEMIFACIAL SPASM
01027077 CEREBELLAR STIMULATION 80000 PACKAGE
FOROTHER CRANIAL
NERVENEURALGIA
01027078 IC EC BYPASS PROCEDURES 70000 PACKAGE
01027079 STEREOTACTIC 70000 PACKAGE
GUIDEDCRANIOTOMY
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01027080 BACLOFEN PUMPIMPLANTATION 60000 PACKAGE
LESIONING FORMOVEMENT
DISORDERINCLUDING
PARKINSONISM
01027081 PROGRAMMABLE SHUNT 40000 PACKAGE
01027082 ENDOSCOPICSYMPATHECTOMY 18000 PACKAGE

01027083 EXTERNAL 12000 PACKAGE
VENTRICULARDRAINAGE
01027084 IMAGE GUIDED 60000 PACKAGE
SURGERYEXCISION OF
TETHORED
01027085 ENDOSCOPIC 60000 PACKAGE
3RDVENTRICULOSTOMY
01027086 ENDOSCOPIC 60000 PACKAGE
CRANIALSURGERY/BIOPSY/ASPIR
ATION/ANEURYSM COILING
01027087 ENDOSCOPIC DISCECTOMY 60000 PACKAGE
01027088 ANEURYSM COILING 80000 NON-
PACKAGE
01027089 ENDOSCOPIC SPILPROCEDURE 80000 NON-
ANEURYSMCOILING PACKAGE
01027090 SURGERY FOR GROOVING 80000 NON-
SKULLFRACTURES PACKAGE
ANEURYSMCOILING
01027091 CARPEL 40000 PACKAGE
TUNNELDECOMPRESSION
01027092 CLIPPING OF 90000 NON-
INTRACRANIALANEURYSM WITH PACKAGE
USE OF CLIP
01027093 ENDOSCOPIC ASPIRATION 60000 PACKAGE
OFINTRACEREBELLARHAEMATOM
A
01027094 STEREOTACTIC 120000 NON-
RADIOSURGERYFOR BRAIN PACKAGE
PATHOLOGY (XKNIFE/ GAMMA)
01027095 FORAMEN 60000 PACKAGE
MAGNUMDECOMPRESSION
01027096 FORAMEN 60000 PACKAGE
MAGNUMDECOMPRESSION
WITHSYRINGOSUBARACHNOIDS
HUNT
01027097 DORSAL COLUMN 50000 PACKAGE
STIMULATIONFOR BACKACHE IN
FAILEDBACK SYNDROME
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01027098 SURGERY FOR RECURRENT 60000 PACKAGE
DISCPROLAPSE/ EPIDURAL
FIBROSIS
01027099 SURGERY FOR BRAIN 100000 NON-
STEMTUMOURS PACKAGE
01027100 DECOMPRESSIVECRANECTOMY 70000 PACKAGE
FORHEMISHPHERICAL
ACUTESUBDURAL
01027101 INTRA ARTERIAL 100000 NON-
THROMBOLYSISWITH RTPA FOR PACKAGE
ISCHEMICSTROKET RTPAACUTE
01027102 STEREOTACTIC ASPIRATION 50000 PACKAGE
OFINTRACEREBRAL HAEMATOMA
01027103 COMPLEX BRAIN SURGERY 130000 NON-
PACKAGE
01027104 COMPLEX SPINE SURGERY 110000 NON-
PACKAGE
01027105 DORSAL SYMPATHECTOMY 50000 PACKAGE
01027106 NEURO 15000 PACKAGE
REHABILITISATIONPACKAGEFOR
25 SITTINGS
01028001 PATCH GRAFT ANGIOPLASTY 50000 PACKAGE
01028002 OPERATIONS FOR STENOSIS 50000 PACKAGE
OFRENAL ARTERIES
01028003 THROMBENDARTERECTOMY 50000 PACKAGE
ACQUIREDARTERIOVENOUS
FISTULA
01028005 CONGENITAL ARTERIO 277000 PACKAGE
VENOUSFISTULA
ARTERIALANEURYSM VERTEBRAL
ARTERIALANEURYSM CAROTID
ARTERIALANEURYSM MAIN
ARTERIES OFTHE LIMB
01028009 DISSECTING ANEURYSMS 150000 NON-
PLUSIMPLANT PACKAGE
01028010 STRIPPING OF SHORT OR 30000 PACKAGE
LONGSEPHENOUS VEINS
01028011 LIGATION OF 17400 PACKAGE
ANKLEPERFORATORS
01028012 EXCISION AND SKIN GRAFT 15500 PACKAGE
OFVENOUS ULCER
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01028013 VENOUS THROMOECTOMY 22100 PACKAGE
01028014 LYMPHATICS EXCISION 30000 PACKAGE

OFSUBCUTANEOUS TISSUES
INLYMPHOEDEMA
01028015 TRENDELENBURG OPERATIONS 30000 PACKAGE
01028016 VASCULAR PROCEDURE MINOR 16800 PACKAGE

ARTERIALANEURYSM SPLEEN
ARTERY
ARTERIALANEURYSM RENAL
ARTERY
THYROGLOSSALDUCT/CYST
01029002 DIAPHRAGMATIC HERNIAREPAIR 35000 PACKAGE
(THORACIC ORABDOMINAL
APPROACH)
01029003 TRACHEO OESOPHAGEALFISTULA 40000 PACKAGE
(CORRECTIONSURGERY)
01029004 COLON REPLACEMENT 40000 PACKAGE
OFOESOPHAGUS
01029005 OMPHALO MESENTERIC 30000 PACKAGE
CYSTEXCISION
01029006 OMPHALO MESENTERICDUCT 30000 PACKAGE
EXCISION
01029007 MECKELS DIVERTICULECTOMY 30000 PACKAGE
01029008 OMPHALOCELE 1ST STAGE 28000 PACKAGE

(HERNIA REPAIR)
01029009 OMPHALOCELE 2ND STGE 30000 PACKAGE
(HERNIA REPAIR)
01029010 GASTROCHISIS REPAIR 24000 PACKAGE
01029011 INGUINAL HERNIOTOMY 24000 PACKAGE
01029012 CONGENITAL HYDROCELE 24000 PACKAGE
01029013 HYDROCELE OF CORD 22000 PACKAGE
01029014 TORSION TESTIS OPERATION 25000 PACKAGE
01029015 CONGENITAL PYLORICSTENOSIS 27000 PACKAGE

OPERATION
01029016 DUODENAL ATRESIAOPERATION 35000 PACKAGE
01029017 PANCREATIC RING OPERATION 45000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01029018 MECONIUM ILEUS OPERATION 30000 PACKAGE
01029019 MALROTATION OF 32000 PACKAGE

INTESTINESOPERATION
01029020 RECTAL BIOPSY(MEGACOLON) 25000 PACKAGE
01029021 COLOSTOMY TRANSVERSE 28000 PACKAGE
01029022 COLOSTOMY LEFT ILIAC 28000 PACKAGE
01029023 ABDOMINAL PERINEAL PULL 35000 PACKAGE

LOWANOMALY CUT
BACKOPERATION
LOWANOMALY
PERINEALANOPLASTY
01029026 INPERFORATE ANUS 25000 PACKAGE
HIGHANOMALY
SACROABDOMINOPERINEAL PULL
THROUGH
01029027 INPERFORATE ANUS 21000 PACKAGE
HIGHANOMALY CLOSURE
OFCOLOSTOMY
01029028 INTUSUSCEPTION OPERATION 35000 PACKAGE
01029029 CHOLEDOCHODUODENOSTOMY 35000 PACKAGE

FOR ATRESIA OF EXTRAHEPATIC
BILLIARY DUCT
01029030 OPERATION OF 35000 PACKAGE
CHOLEDOCHALCYST
01029031 NEPHRECTOMY FOR 35000 PACKAGE
PYONEPHROSIS
HYDRONEPHROSIS
WILMSTUMOUR
01029034 PARAORTICLYMPHADENOCTOMY 40000 PACKAGE
WITHNEPHRECTOMY FOR
WILMSTUMOUR
01029035 SACRO COCCYGEALTERATOMA 30000 PACKAGE
EXCISION
01029036 NEUROBLASTOMA DEBULKING 32000 PACKAGE
01029037 NEUROBLASTOMA 36000 PACKAGE

TOTALEXCISION
01029038 RHABDOMYOSARCOMA 40000 PACKAGE
WIDEEXCISION
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01029039 COLON TRANSPLANT/ 65000 PACKAGE
CONDUITMANAGEMENT
FOLLOWINGACID
STRUCTUREOESOPHAGUS
01029040 UMBILICAL LINE 500 NON-
PACKAGE
01029041 PERIPHERAL LONG LINE 800 NON-
PACKAGE
01029042 LP 300 NON-
PACKAGE
01029043 PERITONEAL TAPPING 500 NON-
PACKAGE
01029044 CHEST DRAINAGE 800 NON-
PACKAGE
01029045 GENERAL NURSERY CARE 600 NON-
(INCLUDING NURSING PACKAGE
CAREETC.)
01029046 PHOTOTHERAPY PER DAY 400 NON-
PACKAGE
01029047 NEONATE ROOMING IN 600 NON-
WITHMOTHER PER DAY PACKAGE
(INCLUSIVEOF NURSING CARE)
01029048 SNCU (SICK NEW BORNCARE 1600 NON-
UNIT) PACKAGE
01029049 OPERATION OF TRIGGERFINGER 10000 PACKAGE
OF CHILDREN UNDERG.A.
01030001 DIAGNOSTIC LAPROSCOPY 6600 PACKAGE
01030002 LAPROSCOPICPYLOROMYOTOMY 18000 PACKAGE
01030003 LAPROSCOPIC GASTROSTOMY 21000 PACKAGE
01030004 LAPROSCOPIC CLOSURE 25000 PACKAGE

OFPERFORATED PEPTIC ULCER
01030005 LAPROSCOPIC 24000 PACKAGE
VAGOTOMYPYLEROPLASTY/
GASTROJEJUNOSTOMY
01030006 LAPROSCOPIC UMBILICALHERNIA 20000 PACKAGE
REPAIR
01030007 LAPROSCOPIC VENTRAL 25000 PACKAGE
HERNIAREPAIR
01030008 LAPROSCOPICCYSTOGASTROSTO 30000 PACKAGE
MY
01030009 LAP. CHOLECYSTECTOMY 26000 PACKAGE
ANDCBD EXPLORATION
01030010 LAP. HYDATID OF LIVERSURGERY 28000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01030011 LAP. HEPATIC RESECTION 28000 PACKAGE
01030012 LAP. ASSISTED SMALL 30000 PACKAGE

BOWELRESECTION
01030013 LAP. FOR 30000 PACKAGE
INTESTINALOBSTRUCTION
01030014 LAP. FOR 28000 PACKAGE
INTESTINALPERFORATION
01030015 LAP. ASSISTED 32000 PACKAGE
RIGHTHEMICOLECTOMY
LEFTHEMICOLECTOMY
TOTALCOLECTOMY
01030018 LAPROSCOPIC RECTOPEXY 32000 PACKAGE
01030019 LAP. 37000 PACKAGE

ASSISTEDABDOMINOPERINEALRE
SECTION OF RECTUM
ANTERIORRESECTION
01030021 LAPROSCOPICCHOLECYSTECTOM 25000 PACKAGE
Y
01030022 LAPROSCOPICAPPENDICECTOMY 21000 PACKAGE
01030023 LAPROSCOPIC HERNIAREPAIR 21000 PACKAGE
01030024 LAPROSCOPIC HIATUS 30000 PACKAGE

HERNIAREPAIR
01030025 LAPROSCOPIC ADHESIOLYSIS 18000 PACKAGE
01030026 LAPROSCOPICADRENALECTOMY 32000 PACKAGE
01030027 LAPROSCOPICTHYROIDECTOMY 32000 PACKAGE
01030028 LAPROSCOPICSPLEENECTOMY 32000 PACKAGE
01030029 LAPROSCOPIC COLECTOMY 35000 PACKAGE
01030030 LAPROSCOPIC NEPHRECTOMY 40000 PACKAGE
01030031 INGUINAL HERNIA 20000 PACKAGE

(LAPROSCOPIC)
01030032 LAPROSCOPICPYELOLITHOTOMY 30000 PACKAGE
01030033 URETEROLITHOTOMY 22000 PACKAGE
01030034 LAP OVARIAN CYSTECTOMY 22000 PACKAGE
01030035 LAPAROSCOPICHYSTERECTOMY 25000 PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01030036 LAPAROSCOPIC ECTOPIC 22000 PACKAGE
01030037 FOREIGN BODY REMOVAL 4000 PACKAGE
01030038 NEPHROLITHOTOMY 35000 PACKAGE

FORHYDRONEPHROSISPYELOPLA
STY
FORHYDRONEPHROSISENDOPYEL
OTOMY ANTEGRADE
01030041 OPERATIONS FOR CYST OF 40000 PACKAGE
THEKIDNEY
01030042 URSL 25000 PACKAGE
01030043 NEPHROURETERECTOMY 50000 PACKAGE

VESICOURETERICREFLUX
01030045 DIVERTICULECTOMY 22000 PACKAGE
01030046 REPAIR OF URETEROCOEL 35000 PACKAGE

VARICOCELEPALOMOS
UNILATERAL
VARICOCELEPALOMOS BILATERAL
01030049 NEPHROSTOMY 16000 PACKAGE
01030050 ORCHIDOPEXY UNILATERAL 25000 PACKAGE
01030051 ORCHIDOPEXY BILATERAL 30000 PACKAGE
01030052 PROSTRATECTOMY 45000 PACKAGE
01030053 LAPAROSCOPIC URO STONE 30000 PACKAGE
01030054 INCISIONAL HERNIOPLASTY 35000 PACKAGE
01031001 131 IODINE THERAPY LESS 5200 NON-

THAN15MCI PACKAGE
01031002 131 IODINE THERAPY 1550MCI 16900 NON-
PACKAGE
01031003 131 IODINE THERAPY 51100 MCI 16900 NON-
PACKAGE
01031004 131 IODINE THERAPY GREATER 19500 NON-
THAN100MCI PACKAGE
01031005 STRONTIUM THERAPY 7200 NON-
FORMETASTATIC BONE PACKAGE
PAINPALLIATION
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01031006 SAMARIUM153 THERAPY 10700 NON-
FORMETASTATIC BONE PACKAGE
PAINPALLIATION
01032001 RADICAL THERAPY 70000 NON-
PACKAGE
01032002 ADJUSTMENT 16000 NON-
THERAPYIMMOBILISATION PACKAGE
TECHNIQUE
01032003 PALLIATIVE THERAPY (LESSTHAN 15000 NON-
10 FRACTIONS) PACKAGE
01032004 PALLIATIVE THERAPY 25000 NON-
(1025FRACTIONS) PACKAGE
01032005 PALLIATIVE THERAPY 5000 NON-
(SINGLEFRACTION) PACKAGE
01033001 3D PLANNING (L. ACC. 6000 NON-
ORCOBALT60) PACKAGE
01033002 2D PLANNING (L. ACC. 5000 NON-
ORCOBALT60) PACKAGE
01033003 INTENSITY MODULATED 105000 NON-
RADIOTHERAPY (IMRT) PACKAGE
01033004 IMAGE GUIDED RADIOTHERAPY 150000 NON-
(IGRT) PACKAGE
01033005 IGRT SINGLE FRACTION 7000 NON-
PACKAGE
01033006 3DCRT (CONFIRMAL 65000 NON-
RADIOTHERAPY) PACKAGE
01033007 3DCRT WITH IGRT 75000 NON-
PACKAGE
01033008 4DCRT WITH IGRT 90000 NON-
PACKAGE
01033009 STEREOTACTIC RADIOSURGERY 85000 NON-
(SRS) PACKAGE
01033010 STEREOTACTIC RADIOTHERAPY 70000 NON-
(SRT) PACKAGE
01033011 RAPID ARC WITH IMRT RATE 100000 NON-
PACKAGE
01033012 PALLIATIVE RADIATIONTHERAPY 25000 NON-
UPTO 15 FRACTIONS PACKAGE
01033013 PALLIATIVE RADIATIONTHERAPY 35000 NON-
UPTO 25 FRACTIONS PACKAGE
01033014 PALLIATIVE RADIATION 10000 NON-
SINGLEFRACTION PACKAGE
01033015 CONVENTIONAL 35000 NON-
RADIATIONTHERAPY WITH CT PACKAGE
01033016 CONVENTIONAL 45000 NON-
RADIATIONTHERAPY CBCT PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01033017 SRS/ SRT 10000 NON-
NEUROINTERVENTIONAL PACKAGE
CHARGE/CASE
01033018 ELECTRON BEAM (GREATER THAN 40500 NON-
10FRACTIONS) PACKAGE
01033019 ELECTRON BEAM (LESS THAN 9000 NON-
10FRACTIONS) PACKAGE
01033020 PRERADIATION PROFILE 2500 NON-
PACKAGE
01034001 INTRA 5500 NON-
CAVITARYBRACHYTHERAPY PACKAGE
1STINSERTION
01034002 INTRA CAVITARY/ INTRALUMINAL 3000 NON-
BRACHYTHERAPY2ND AND PACKAGE
SUBSEQUENTINSERTION
01034003 INTERSTITIAL BRACHYTHERAPY 15000 NON-
1ST INSERTION PACKAGE
01034004 INTERSTITIAL BRACHYTHERAPY 10000 NON-
2ND INSERTION PACKAGE
01035001 NEOADJUVANT 1000 NON-
PACKAGE
01035002 ADJUVANT 1000 NON-
PACKAGE
01035003 INFUSIONAL CHEMOTHERAPY 1000 NON-
PACKAGE
01035004 CHEMOTHERAPY WAFERS 20000 NON-
FORMALIGNANT BRAIN TUMOURS PACKAGE
01035005 MULTIPLE DRUG THERAPY 900 NON-
PERDAY PACKAGE
01035006 TARGETED THERAPY 1000 NON-
PACKAGE
01035007 CHEMOPORT FACILITY 1500 NON-
PACKAGE
01035008 PICC LINE 1000 NON-
(PERIPHERALLYINSERTED PACKAGE
CENTRALCANULISATION)
01035009 RCHOP CHEMOTHERAPYPER 45000 NON-
PULSE PACKAGE
01035010 COST OF PREPARATIONPUSHING 12000 NON-
AND SUPPORTIVETREATMENT PACKAGE
PER PULSE OF
RCHOPCHEMOTHERAPY
01036001 GENERAL WARD 600 NON-
PACKAGE
01036002 SEMIPRIVATE WARD 1200 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
01036003 PRIVATE WARD 1800 NON-
PACKAGE
01036004 DAY CARE/ MINOR 600 NON-
(OPD)SURGERIES (ALL PACKAGE
CATEGORIES)
01037001 GENERAL BEDS 50 NON-
PACKAGE
01037002 PAYING BEDS 100 NON-
PACKAGE
01037003 CABIN 140 NON-
PACKAGE
01038001 WHOLE BLOOD 500 NON-
PACKAGE
01038002 F.F.P. 400 NON-
PACKAGE
01038003 PLATELET CONCENTRATE 400 NON-
PACKAGE
01038004 PLATELET RICH PLASMA 400 NON-
PACKAGE
01038005 PACKED CELL 400 NON-
PACKAGE
01038006 FROZEN PLASMA 350 NON-
PACKAGE
01038007 CRYPOPRECIPITATE 300 NON-
PACKAGE
01038008 WASHED RBC 400 NON-
PACKAGE
01038009 HUMAN ALBUMIN(20 PERCENT 3000 NON-
100 ML) PACKAGE
02001001 ASPIRATION PLURAL 750 NON-
EFFUSIONDIAGNOSTIC PACKAGE
02001002 ABDOMINAL ASPIRATION 900 NON-
DIAGNOSTIC PACKAGE
02001003 PERICARDIAL ASPIRATION 1200 NON-
PACKAGE
02001004 BONE MARROW ASPIRATION 800 NON-
PACKAGE
02001005 JOINTS ASPIRATION 750 NON-
PACKAGE
02001006 E.C.G. 140 NON-
PACKAGE
02001007 E.E.G. 800 NON-
PACKAGE
02001008 STRESS TEST (TMT) 850 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02001009 LUMBAR PUNCTURE 1000 NON-
PACKAGE
02001010 STERNAL PUNCTURE 800 NON-
PACKAGE
02002001 PURE TONE AUDIOGRAM 300 NON-
PACKAGE
02002002 IMPEDENCE OTHER TESTS 300 NON-
PACKAGE
02002003 SISI TONE DECAY 250 NON-
ANDDIFFERENCE TIMES PACKAGE
02002004 MULTIPLE HEARINGASSESSMENT 450 NON-
TEST TO ADULTS PACKAGE
02002005 HEARING AID SELECTION 100 NON-
PACKAGE
02002006 HEARING AID ANALYSIS 400 NON-
PACKAGE
02002007 SPEECH DISCRIMINATIONSCORE 200 NON-
PACKAGE
02002008 SPEECH ASSESSMENT 200 NON-
PACKAGE
02002009 COLD CALORIE TEST 180 NON-
FORVESTIBULAR FUNCTION PACKAGE
02002010 AUDIOMETRY (MHC) 250 NON-
PACKAGE
02002011 ABR (THRESHOLD EST.) 650 NON-
PACKAGE
02002012 ACOUSTIC REFLEX DECAY 100 NON-
PACKAGE
02002013 EUSTACHIAN TUBE FUNC 100 NON-
PACKAGE
02002014 IMP AUDIOMETRY 300 NON-
PACKAGE
02002015 OTOACOUSTIC EST. (OAE) 550 NON-
PACKAGE
02002016 PEAD AUDIO ASSESSMENT 200 NON-
PACKAGE
02002017 SRT AND SDS 150 NON-
PACKAGE
02002018 SWALLOWING ASSEST 30 NON-
PACKAGE
02002019 TYMPANOMETRY 150 NON-
PACKAGE
02002020 VOICE ASSEST 250 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02002021 ENDO LARYNGOSCOPY 850 NON-
PACKAGE
02002022 ENG 1300 NON-
PACKAGE
02002023 NASAL ENDOSCOPY 600 NON-
PACKAGE
02002024 NASOPHARYNGOSCOPY 600 NON-
PACKAGE
02002025 LV DYSSYNCHRONY STUDY 1400 NON-
PACKAGE
02002026 STROBOSCOPY 700 NON-
PACKAGE
02003001 REFRACTION/ FUNDOSCOPY 150 NON-
PACKAGE
02003002 ORTHOOPTIC CHECK UP 150 NON-
PACKAGE
02003003 PERIMETRY/FIELD TEST 400 NON-
PACKAGE
02003004 CLINICAL PHOTOGRAPHY 100 NON-
PACKAGE
02003005 ELECTROOCULOGRAM 500 NON-
PACKAGE
02003006 ERG 400 NON-
PACKAGE
02003007 FLOURESCEIN ANGIOGRAPHY 800 NON-
PACKAGE
02003008 ASCAN 200 NON-
PACKAGE
02003009 TONO GRAPHY 450 NON-
PACKAGE
02003010 VER 300 NON-
PACKAGE
02003011 GOLDMEN PERIMETRY 150 NON-
PACKAGE
02003012 SPECULAR MICROSCOPY 200 NON-
PACKAGE
02003013 INDO CYANINGREEN 1000 NON-
ANGIOGRAPHY OF RETINA PACKAGE
02003014 INDO CYANINGREEN 1000 NON-
ANGIOGRAPHY IRIS PACKAGE
02003015 AUTOMATED PERIMETRY 450 NON-
PACKAGE
02003016 CORNEAL ENDOTHELIAL 200 NON-
CELLCOUNT PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02003017 CORNEAL TOPOGRAPHY 200 NON-
PACKAGE
02003018 CORNEAL PACHYMETRY 200 NON-
PACKAGE
02003019 RETINAL NERVE FILM 100 NON-
ANALYZERSTUDIES PACKAGE
02003020 AUTO REFRECTEMETRY 60 NON-
PACKAGE
02003021 BIOMETRY 180 NON-
PACKAGE
02003022 ULTRASOUND STUDIES A SCAN 600 NON-
PACKAGE
02003023 ULTRASOUND STUDIES B SCAN 600 NON-
PACKAGE
02003024 RETINAL/METER FUNCTION 150 NON-
STUDIES PACKAGE
02003025 PAN ACUITY METER 200 NON-
PACKAGE
02003026 LASER INTERFEROMETRY 1000 NON-
PACKAGE
02003027 EKG EOG 500 NON-
PACKAGE
02003028 DACRYOCYSTOGRAPHY (DGC) 500 NON-
PACKAGE
02003029 ORBITAL ANGIO STUDIES 500 NON-
PACKAGE
02003030 DIGITAL BIOMETRY READING 180 NON-
(SINGLE) PACKAGE
02003031 BIOMETRY (BOTH EYES) 350 NON-
PACKAGE
02003032 BIOMETRYCORP (BOTH) 400 NON-
PACKAGE
02003033 BIOMETRY CORP SINGLE 300 NON-
PACKAGE
02003034 PACHYMETRY (BOTH EYES) 400 NON-
PACKAGE
02003035 PACHYMETRY (SINGLE) 200 NON-
PACKAGE
02003036 MULTIFOCAL ERG (ONE EYE) 800 NON-
PACKAGE
02003037 NCT 160 NON-
PACKAGE
02003038 OCT NFL ANALYSER 1600 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02003039 SCHIOTZ TONOMETER 250 NON-
PACKAGE
02003040 TTT 2500 NON-
PACKAGE
02003041 VEP 600 NON-
PACKAGE
02003042 ANTERIOR SEGMENT (FUNDUS) 300 NON-
PHOTOGRAPHY PACKAGE
02003043 USG 550 NON-
PACKAGE
02004001 MUSCLE TESTING AND 100 NON-
DIAGNOSTIC PACKAGE
02005001 INTRA ORAL X RAY (DIGITAL) 80 NON-
PACKAGE
02005002 OPG CEPHALOGRAM 210 NON-
PACKAGE
02005003 OPG STANDARD VIEW 210 NON-
PACKAGE
02005004 RADIO VISIOGRAPH (PERIMAGE) 210 NON-
PACKAGE
02006001 FRAGILE X DECET AND KARYO OF 3500 NON-
PERI BLD CELL PACKAGE
02007001 FLUROSCOPY CHEST 120 NON-
PACKAGE
02007002 OCCLUSAL 130 NON-
PACKAGE
02007003 ABDOMEN AP OR ERECT 130 NON-
(ONEFILM) PACKAGE
02007004 ABDOMEN LATERAL VIEW 130 NON-
(ONEFILM) PACKAGE
02007005 ABDOMEN FOR PREGNANCY 130 NON-
PACKAGE
02007006 CHEST PA VIEW (ONE FILM) 130 NON-
PACKAGE
02007007 CHEST OBLIQUE OR LATERAL 130 NON-
(ONE FILM) PACKAGE
02007008 MASTOIDS (ONE FILM) 150 NON-
PACKAGE
02007009 EXTREMITIES BONES AND 140 NON-
JOINTS (ONE FILM) PACKAGE
02007010 PELVIS (ONE FILM) 140 NON-
PACKAGE
02007011 PARANASAL SINUSES (ONE FILM) 140 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02007012 T.M. JOINTS (ONE FILM) 140 NON-
PACKAGE
02007013 ABDOMEN AND PELVIS FOR 250 NON-
K.U.B. PACKAGE
02007014 SKULL A.P. AND LATERAL 250 NON-
PACKAGE
02007015 SPINE A.P. AND LATERAL 250 NON-
PACKAGE
02007016 BARIUM SWALLOW 700 NON-
PACKAGE
02007017 SINOGRAPHY/ SIALOGRAPHY 750 NON-
PACKAGE
02007018 CYSTOGRAPHY / 1120 NON-
URETHROGRAPHY PACKAGE
02007019 HYSTERO SALPAINGOGRAPHY 1110 NON-
PACKAGE
02007020 ARTHROGRAPHY 840 NON-
PACKAGE
02007021 RETROGRADE PYELOGRAPHY 1080 NON-
PACKAGE
02007022 ORAL OR I.V. 720 NON-
CHOLECYSTOGRAPHY PACKAGE
02007023 BARIUM ENEMA 1160 NON-
PACKAGE
02007024 BARIUM MEAL UPPER OR LOWER 960 NON-
PACKAGE
02007025 BRONCHOGRAPHY 1260 NON-
PACKAGE
02007026 I.V. UROGRAPHY/ I.V.P. 1350 NON-
PACKAGE
02007027 MYELOGRAPHY 1500 NON-
PACKAGE
02007028 PNEUMO ENCEPHALOGRAPHY 1120 NON-
PACKAGE
02007029 BARIUM MEAL COMPLETE 1230 NON-
PACKAGE
02007030 CEREBRAL/FEMORAL 2000 NON-
ANGIOGRAPHY PACKAGE
02007031 PERIAPICAL X RAY 100 NON-
PACKAGE
02007032 BARIUM ENEMA (DOUBLE CONT.) 1300 NON-
PACKAGE
02007033 BARIUM IC JUNCTION 750 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02007034 GASTRO CONRAY MEAL 750 NON-
PACKAGE
02007035 INTRAVENOUS PYELOGRAM 1400 NON-
PACKAGE
02007036 TTUBE CHOLANGIOGRAM 700 NON-
PACKAGE
02007037 PTBD GRAM 700 NON-
PACKAGE
02007038 MICTURATING 750 NON-
CYSTOURETHROGRAM (MCU) PACKAGE
02007039 VUR/ CYSTOURETHROGRAPHY 2600 NON-
PACKAGE
02007040 SMALL BOWEL ENEMA 1150 NON-
PACKAGE
02007041 ANY XRAY USING PORTABLE 300 NON-
MACHINE ADDL HANDLING PACKAGE
CHARGE
02007042 ANY OTHER XRAY SINGLE FILM 130 NON-
(SMALL) PACKAGE
(LARGE) PACKAGE
02008001 FLUROSCOPY CHEST 90 NON-
PACKAGE
02008002 OCCLUSAL 90 NON-
PACKAGE
02008003 ABDOMEN AP OR ERECT 90 NON-
(ONEFILM) PACKAGE
02008004 ABDOMEN LATERAL VIEW 90 NON-
(ONEFILM) PACKAGE
02008005 ABDOMEN FOR PREGNANCY 90 NON-
PACKAGE
02008006 CHEST PA VIEW (ONE FILM) 90 NON-
PACKAGE
02008007 CHEST OBLIQUE OR LATERAL 90 NON-
(ONE FILM) PACKAGE
02008008 MASTOIDS (ONE FILM) 100 NON-
PACKAGE
02008009 EXTREMITIES BONES JOINTS 90 NON-
(ONE FILM) PACKAGE
02008010 PELVIS (ONE FILM) 90 NON-
PACKAGE
02008011 PARANASAL SINUSES (ONEFILM) 90 NON-
PACKAGE
02008012 T.M. JOINTS (ONE FILM) 90 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02008013 ABDOMEN PELVIS FOR KUB 170 NON-
PACKAGE
02008014 SKULL A.P. AND LATERAL 160 NON-
PACKAGE
02008015 SPINE A.P. AND LATERAL 170 NON-
PACKAGE
02008016 BARIUM SWALLOW 490 NON-
PACKAGE
02008017 SINOGRAPHY/ SIALOGRAPHY 520 NON-
PACKAGE
02008018 CYSTOGRAPHY/URETHROGRAPHY 780 NON-
PACKAGE
02008019 HYSTEROSALPAINGOGRAPHY 780 NON-
PACKAGE
PACKAGE
02008021 RETROGRADE PYELOGRAPHY 760 NON-
PACKAGE
02008022 ORAL OR I.V. 510 NON-
CHOLECYSTOGRAPHY PACKAGE
02008023 BARIUM ENEMA 810 NON-
PACKAGE
02008024 BARIUM MEAL UPPER ORLOWER 670 NON-
PACKAGE
02008025 BRONCHOGRAPHY 880 NON-
PACKAGE
02008026 I.V. UROGRAPHY/ I.V.P. 950 NON-
PACKAGE
02008027 MYELOGRAPHY 1050 NON-
PACKAGE
02008028 PNEUMO ENCEPHALOGRAPHY 780 NON-
PACKAGE
02008029 BARIUM MEAL COMPLETE 860 NON-
PACKAGE
02008030 CEREBRAL/FEMORALANGIOGRAP 1180 NON-
HY PACKAGE
02008031 PERIAPICAL XRAY 70 NON-
PACKAGE
02008032 BARIUM ENEMA (DOUBLECONT.) 910 NON-
PACKAGE
02008033 BARIUM IC JUNCTION 530 NON-
PACKAGE
02008034 GASTRO CONRAY MEAL 530 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02008035 INTRAVENOUS PYELOGRAM 980 NON-
PACKAGE
02008036 T TUBE CHOLANGIOGRAM 490 NON-
PACKAGE
02008037 PTBD GRAM 490 NON-
PACKAGE
02008038 MICTURATING 530 NON-
CYSTOURETHROGRAM (MCU PACKAGE
02008039 VUR/ CYSTOURETHROGRAPHY 1820 NON-
PACKAGE
02008040 SMALL BOWEL ENEMA 810 NON-
PACKAGE
02008041 ANY XRAY USING PORTABLE 300 NON-
MACHINE ADDL HANDLING PACKAGE
CHARGE
(SMALL) PACKAGE
(LARGE) PACKAGE
02009001 OBSTETRIC FIRST SCAN/FOLLOW 500 NON-
UP PACKAGE
02009002 USG LOWER ABDOMEN/PELVIS 800 NON-
PACKAGE
02009003 UPPER ABDOMEN FIRST SCAN/ 600 NON-
FOLLOW UP PACKAGE
02009004 ULTRASOUND NEUROSONOGRAM 900 NON-
PACKAGE
02009005 USG NEUROSONOGRAM 350 NON-
SCREENING PACKAGE
02009006 TOTAL ABDOMINAL SURVEY OR 950 NON-
MULTIPLE ORGAN STUDY PACKAGE
02009007 SPECIAL PROCEDURES AND 1230 NON-
ASPIRATION ETC. PACKAGE
02009008 IMAGE INTENSIFIERS 700 NON-
PACKAGE
02009009 USG NECK 850 NON-
PACKAGE
02009010 USG KUB 800 NON-
PACKAGE
02009011 USG WHOLE ABDOMEN 950 NON-
PACKAGE
02009012 USG WHOLE ABDOMEN PLUS 1500 NON-
TRANSRECTAL PACKAGE
02009013 USG SCROTUM 900 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02009014 USG TESTIS 600 NON-
PACKAGE
02009015 ULTRASOUND BLADDER 600 NON-
PACKAGE
02009016 ULTRASOUND KIDNEY/ RENAL 600 NON-
PACKAGE
02009017 USG PREGNANCY DOPPLER 2200 NON-
PACKAGE
02009018 USG JOINT (UNILATERAL) 900 NON-
PACKAGE
02009019 USG JOINT (BILATERAL) 1800 NON-
PACKAGE
02009020 USG MUSCULOSKELETAL 800 NON-
PACKAGE
02009021 USG TRANSRECTAL 800 NON-
PACKAGE
02009022 USG BREAST UNILATERAL 700 NON-
PACKAGE
02009023 USG BREAST BILATERAL 1050 NON-
PACKAGE
02009024 USG THYROID 800 NON-
PACKAGE
02009025 USG CHEST 700 NON-
PACKAGE
02009026 USG PROSTATE 550 NON-
PACKAGE
02009027 USG SINGLE ORGAN 550 NON-
PACKAGE
02009028 USG FOLLICULAR STUDY 1250 NON-
PACKAGE
02009029 USG GUIDED PROCEDURE 600 NON-
PACKAGE
02009030 USG FNAC 900 NON-
PACKAGE
02009031 USG FOLLOW UP OVULATION 600 NON-
PACKAGE
02009032 USG FOR CONGENITAL ANOMALY 1800 NON-
PACKAGE
02009033 ULTRASOUND PAROTID 800 NON-
PACKAGE
02009034 ULTRASOUND THIGH 800 NON-
PACKAGE
02009035 ANY USG USING PORTABLE 200 NON-
MACHINE HANDLING CHARGE PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02009036 TRANSVAGINAL SONOGRAPHY 800 NON-
PACKAGE
02010001 URINE ROUTINE 60 NON-
PACKAGE
02010002 QUANTITATIVE ALBUMIN/SUGAR 50 NON-
PACKAGE
02010003 URINE BILE PIGMENT ANDSALT 50 NON-
PACKAGE
02010004 URINE UROBILINOGEN 50 NON-
PACKAGE
02010005 URINE KETONES 50 NON-
PACKAGE
02010006 URINE OCCULT BLOOD 50 NON-
PACKAGE
02010007 URINE TOTAL PROTEINS 100 NON-
PACKAGE
02010008 URINE SODIUM 100 NON-
PACKAGE
02010009 URINE CHLORIDE 100 NON-
PACKAGE
02010010 BENCE JONES PROTEIN 90 NON-
PACKAGE
02010011 STOOL ROUTINE 60 NON-
PACKAGE
02010012 STOOL OCCULT BLOOD 60 NON-
PACKAGE
02010013 POST COITAL SMEAR 100 NON-
EXAMINATION PACKAGE
02010014 SMEAR ANALYSIS 100 NON-
PACKAGE
02010015 BODY FLUID (CSF/ASCITICFLUID 240 NON-
ETC.) CHEMISTRY SUGAR PACKAGE
PROTEIN ETC.
02010016 BODY FLUID FOR MALIGNANT 200 NON-
CELLS PACKAGE
02010017 URINARY PORPHOBILINOGEN 110 NON-
PACKAGE
02010018 URINARY MYOGLOBIN 400 NON-
PACKAGE
02010019 URINE 3500 NON-
FORIMMUNOELECTROPHORESIS PACKAGE
02010020 URINE FOR 2800 NON-
PROTEINELECTROPHORESIS PACKAGE
02010021 CRK ISO ENZYME 5000 NON-
ELECTROPHORESIS PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02010022 HB ELECTROPHORESIS 600 NON-
PACKAGE
02010023 CHYLE TEST 100 NON-
PACKAGE
02010024 SEMEN ANALYSIS 280 NON-
PACKAGE
02010025 IVF SEMEN ANALYSIS 250 NON-
PACKAGE
02010026 STOOL REDUCING SUBSTANCE 60 NON-
PACKAGE
02010027 STOOL FOR OVA PARASITE 70 NON-
PACKAGE
02010028 STOOL FOR PARASITE 60 NON-
PACKAGE
02010029 STOOL CULTURE AND 200 NON-
SENSITIVITY PACKAGE
02010030 URINE FOR CULTURE AND 250 NON-
SENSITIVITY PACKAGE
02010031 KARYOTYPE CHROMOSOME 2400 NON-
ANALYSIS PACKAGE
02010032 GENOTYPING 5000 NON-
PACKAGE
02010033 GLUCOTYPING 5000 NON-
PACKAGE
02010034 URINE FOR ELECTROLYTES 200 NON-
PACKAGE
02010035 URINE AMINO ACIDURIA 150 NON-
PACKAGE
02010036 URINE FOR PHOSPHORUS 220 NON-
PACKAGE
02010037 URINE FOR Z N STAIN 60 NON-
PACKAGE
02010038 URINE 250 NON-
PROTEIN/CREATININERATIO PACKAGE
02010039 OPIATES SERUM RANDOM URINE 450 NON-
PACKAGE
02010040 OPIATES RANDOM URINE 450 NON-
PACKAGE
02010041 URINE AMMINO ACID 700 NON-
QUALITATIVE 2 DIMENSIONAL PACKAGE
02010042 PRE/POST DIALYSIS CREATININE 100 NON-
PACKAGE
02010043 PRE/POST DIALYSIS POTASSIUM 100 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02010044 PRE/POST DIALYSIS SODIUM 100 NON-
PACKAGE
02010045 PRE/POST DIALYSIS UREA 80 NON-
PACKAGE
02010046 URINE FOR MICROALBUMIN 520 NON-
CREATININE PACKAGE
02011001 HAEMOGLOBIN (HB) 50 NON-
PACKAGE
02011002 TOTAL LEUCOCYTIC COUNT(TLC) 50 NON-
PACKAGE
02011003 DIFFERENTIAL LEUCOCYTIC 50 NON-
COUNT (DLC) PACKAGE
02011004 E.S.R. 50 NON-
PACKAGE
02011005 TOTAL RED CELL COUNT 60 NON-
PACKAGE
02011006 PLATELET COUNT 80 NON-
PACKAGE
02011007 RETICULOCYTE COUNT 70 NON-
PACKAGE
02011008 ABSOLUTE EOSINOPHIL COUNT 60 NON-
PACKAGE
02011009 PACKED CELL VOLUME (PCV) 50 NON-
PACKAGE
02011010 PERIPHERAL SMEAR 70 NON-
EXAMINATION PACKAGE
02011011 SMEAR FOR MALARIA PARASITE 70 NON-
PACKAGE
02011012 BLEEDING AND CLOTTING TIME 60 NON-
PACKAGE
02011013 CLOT RETRACTION TIME 50 NON-
PACKAGE
02011014 R.B.C. FRAGILITY TEST 100 NON-
PACKAGE
02011015 L.E. CELL 120 NON-
PACKAGE
02011016 FOETAL HAEMOGLOBIN (HB F) 250 NON-
PACKAGE
02011017 PROTHROMBIN TIME (P.T.) 150 NON-
PACKAGE
02011018 COMPLETE HAEMOGRAM 180 NON-
PACKAGE
02011019 BONE MARROW SMEAR 400 NON-
EXAMINATION PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02011020 PARTIAL THROMBOPLASTIN 200 NON-
PACKAGE
02011021 GLUCOSE 6 PHOSPHATE 220 NON-
DEHYDROGENASE (G 6PD) PACKAGE
02011022 P.C.V. HAEMATOCRIT 50 NON-
PACKAGE
02011023 RBC FOLATE 1350 NON-
PACKAGE
02011024 WHOLE BLOOD FOLATE 1350 NON-
PACKAGE
02011025 SICKLING TEST 120 NON-
PACKAGE
02011026 BLEEDING TIME 40 NON-
PACKAGE
02011027 CLOTTING TIME 40 NON-
PACKAGE
02011028 D DIMER SEMI QUANTITATIVE 900 NON-
PACKAGE
02011029 SUCROSE LYSIS TEST 280 NON-
PACKAGE
02011030 RED CELL OSMOTIC FRAG.WITH 280 NON-
INCUBATO PACKAGE
02011031 HEINZ BODY TEST 120 NON-
PACKAGE
02011032 FIBRINOGEN 400 NON-
PACKAGE
02011033 FDP 150 NON-
PACKAGE
02011034 PLASMA HAEMOGLOBIN 190 NON-
PACKAGE
02011035 FACTOR VIII STUDIES 1000 NON-
PACKAGE
02011036 FACTOR IX FUNCTIONAL 1200 NON-
PACKAGE
02011037 FACTOR V FUNCTIONAL 2500 NON-
PACKAGE
02011038 FACTOR V LIEDEN MUTATION 4000 NON-
ANALYSIS PACKAGE
02011039 TC DC ESR 120 NON-
PACKAGE
02011040 ABSOLUTE LYMPHOCYTES COUNT 80 NON-
PACKAGE
02011041 HB TC DC 120 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02011042 BONE MARROW (PERLS STAIN) 750 NON-
PACKAGE
02011043 CELL TYPE AND CELL COUNT 320 NON-
PACKAGE
02011044 NASAL SMEAR FOR EOSINOPHILS 90 NON-
PACKAGE
02011045 CSF CELL COUNTS (TC/DC) 170 NON-
PACKAGE
02011046 COMPLETE BLOOD PICTURE(CBP) 180 NON-
PACKAGE
02011047 MCV MCH MCHC 180 NON-
PACKAGE
02011048 INVESTIGATION OF ABO/RH 360 NON-
PACKAGE
02011049 SINOVIAL FLUID FOR ANALYSIS 400 NON-
PACKAGE
02011050 BLOOD PARASITES 70 NON-
PACKAGE
02011051 MALARIA PARASITE 70 NON-
PACKAGE
02011052 MALARIAL ANTIGEN DETECTION 320 NON-
PACKAGE
02011053 FILARIA ANTIGEN W. BANCROFTI 560 NON-
PACKAGE
02011054 LAP SCORE 400 NON-
PACKAGE
02011055 BAL CELL COUNT 100 NON-
PACKAGE
02011056 COLD AGGLUTINATION 150 NON-
PACKAGE
02011057 AT III 650 NON-
PACKAGE
02011058 AT III ANTI THROMBIN 650 NON-
PACKAGE
02011059 ABSOLUTE NEUTROPHIL COUNT 50 NON-
PACKAGE
02011060 OSMOTIC FRAGILITY 120 NON-
PACKAGE
02011061 HLA TYPING 10000 NON-
PACKAGE
02011062 T CELL CROSS MATCHING 5000 NON-
PACKAGE
02011063 KARYOTYPING FOR 6000 NON-
BONEMARROW CANCER (REL PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02011064 SUCROSE LYSIS TEST 280 NON-
PACKAGE
02011065 APTT (5050) 200 NON-
PACKAGE
02011066 IMMUNOFIXATIONELECTROPORE 7200 NON-
SIS PACKAGE
02011067 MALARIAL ANTIGEN DETECTION 450 NON-
PACKAGE
02012001 BLOOD GROUP AND RHO TYPE 140 NON-
PACKAGE
02012002 CROSS MATCH 50 NON-
PACKAGE
02012003 PACKED CELLS PROC.CHARGES 450 NON-
PACKAGE
02012004 SALINE WASHED PACKED CELLS 450 NON-
PROC. CHARGES PACKAGE
02012005 COOMBS TEST DIRECT/INDIRECT 200 NON-
PACKAGE
02012006 AUSTRALIA ANTIGEN 200 NON-
PACKAGE
02012007 RHO ANTIBODY TITER 250 NON-
PACKAGE
02012008 PLATELET RICH 450 NON-
PLASMAPROC.CHARGES PACKAGE
02012009 WHOLE HUMAN BLOODI.P.PROC. 450 NON-
CHARGES PACKAGE
02012010 FRESH FROZEN PLASMA 450 NON-
PROC.CHARGES PACKAGE
02012011 CRYOPRECIPITATE 450 NON-
02012012 PLATELET CONCENT 450 NON-
02012013 THERAPEUTIC 450 NON-
PHLEBOTOMYPROC. CHARGES PACKAGE
02012014 GRANULOCYTE CONC. 450 NON-
02013001 GLUCOSE BLOOD FASTING/PP/ 70 NON-
RANDOM PACKAGE
02013002 BLOOD UREA NITROGEN/ 80 NON-
BLOODUREA PACKAGE
02013003 SERUM CREATININE 100 NON-
PACKAGE
02013004 SERUM URIC ACID 110 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013005 SERUM BILIRUBIN TOTAL/DIRECT 130 NON-
PACKAGE
02013006 SERUM IRON 220 NON-
PACKAGE
02013007 SERUM CHOLESTEROL 120 NON-
PACKAGE
02013008 TOTAL IRON BINDING CAPACITY 300 NON-
PACKAGE
02013009 CK MB 390 NON-
PACKAGE
02013010 SERUM CALCIUM 120 NON-
PACKAGE
02013011 SERUM PHOSPHORUS 120 NON-
PACKAGE
02013012 TOTAL PROTEIN ALB/GLO RATIO 140 NON-
PACKAGE
02013013 S.G.P.T. 120 NON-
PACKAGE
02013014 S.G.O.T. 120 NON-
PACKAGE
02013015 SERUM AMYLASE 250 NON-
PACKAGE
02013016 SERUM ELECTROLYTE 250 NON-
PACKAGE
02013017 TRIGLYCERIDE 220 NON-
PACKAGE
02013018 GLUCOSE TOLERANCE TEST(GTT) 300 NON-
PACKAGE
02013019 C.P.K. 270 NON-
PACKAGE
02013020 L.D.H. 210 NON-
PACKAGE
02013021 L.D. 1 320 NON-
PACKAGE
02013022 LDH AND LD 1 470 NON-
PACKAGE
02013023 T3 300 NON-
PACKAGE
02013024 T4 300 NON-
PACKAGE
02013025 TSH 300 NON-
PACKAGE
02013026 T3 T4 TSH 700 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013027 FSH 420 NON-
PACKAGE
02013028 LH 410 NON-
PACKAGE
02013029 FSH AND LH 670 NON-
PACKAGE
02013030 PROLACTIN 470 NON-
PACKAGE
02013031 BLOOD GAS ANALYSIS 400 NON-
PACKAGE
02013032 BLOOD GAS ANALYSIS WITH 500 NON-
ELECTROLYTES PACKAGE
02013033 CORTISOL 650 NON-
PACKAGE
02013034 HDL CHOLESTEROL 200 NON-
PACKAGE
02013035 VLDL CHOLESTEROL 170 NON-
PACKAGE
02013036 ALDL/ LDL CHOLESTEROL 480 NON-
PACKAGE
02013037 LIPID PROFILE 700 NON-
PACKAGE
02013038 LFT (LIVER FUNCTION TEST) 750 NON-
PACKAGE
02013039 ALKALINE PHOSPHATASE 150 NON-
PACKAGE
02013040 ACID PHOSPHATASE 300 NON-
PACKAGE
02013041 LEUCOCYTE ALKALINE 600 NON-
PHOSPHATASE SCORE PACKAGE
02013042 SERUM MAGNESIUM 170 NON-
PACKAGE
02013043 SERUM COPPER 500 NON-
PACKAGE
02013044 SERUM LITHIUM 250 NON-
PACKAGE
02013045 SERUM LIPASE 250 NON-
PACKAGE
02013046 SERUM CHLORIDE 150 NON-
PACKAGE
02013047 SERUM INORGANIC 160 NON-
PHOSPHOROUS PACKAGE
02013048 SERUM CERULOPLASMIN 750 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013049 SERUM 1400 NON-
CARBAMAZEPINE/TEGRETOL PACKAGE
02013050 CARBAMAZEPINE 600 NON-
PACKAGE
02013051 SERUM CALCITONIN 1400 NON-
PACKAGE
02013052 CALCITONIN 1200 NON-
PACKAGE
02013053 MYOGLOBIN SERUM 2400 NON-
PACKAGE
02013054 SERUM C PEPTIDE 800 NON-
PACKAGE
02013055 SERUM C PEPTIDE (PP) 500 NON-
PACKAGE
02013056 NA na NON-
PACKAGE
02013057 SERUM EPTION/PHENYTOIN 700 NON-
PACKAGE
02013058 ALBUMIN (SERUM) 120 NON-
PACKAGE
02013059 SERUM FERRITIN 720 NON-
PACKAGE
02013060 SERUM B12 LEVEL 600 NON-
PACKAGE
02013061 SERUM SODIUM 240 NON-
PACKAGE
02013062 SERUM FOLATE 720 NON-
PACKAGE
02013063 FOLATE AND VITAMIN 12 SERUM 1100 NON-
PACKAGE
02013064 SERUM ALDOLASE 400 NON-
PACKAGE
02013065 SERUM ACETAMINOPHEN 650 NON-
PACKAGE
02013066 SERUM GROWTH HORMONE 550 NON-
PACKAGE
02013067 PARATHYROID HORMONE (PTH) 1200 NON-
INTACT PACKAGE
02013068 SERUM OSMOLALITY 250 NON-
PACKAGE
02013069 SERUM POTASSIUM 150 NON-
PACKAGE
02013070 SERUM TIBC 280 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013071 SERUM PARATHORMONE LEVEL 900 NON-
PACKAGE
02013072 SERUM 750 NON-
HOMOCYSTINE/HOMOCYSTINE/ PACKAGE
HOMOCYSTINE LEVEL
02013073 SERUM INDIVIDUAL 450 NON-
PHOSPOLIPIDS TLC PACKAGE
02013074 SERUM/PLASMA BICARBONATE 350 NON-
PACKAGE
02013075 SERUM HAPTOGLOBIN 850 NON-
PACKAGE
02013076 SERUM TESTOSTERONE 500 NON-
PACKAGE
02013077 SERUM THYROGLOBULIN 1360 NON-
PACKAGE
02013078 LACTATE PLASMA 550 NON-
PACKAGE
02013079 CA 19 9 1000 NON-
PACKAGE
02013080 CA 125 800 NON-
PACKAGE
02013081 CA 15.3 160 NON-
PACKAGE
02013082 CA 72.4 GASTRIC CANCER 1050 NON-
MARKER PACKAGE
02013083 CSF SUGAR 100 NON-
PACKAGE
02013084 CSF PROTEIN 100 NON-
PACKAGE
02013085 LACTATE (CSF) 400 NON-
PACKAGE
02013086 CSF PROTEIN ELECTROPHERISIS 800 NON-
PACKAGE
02013087 CSF OLIGOCLINAL BAND 2000 NON-
ANALYSIS PACKAGE
02013088 CSF FOR BIOCHEMICAL 280 NON-
ANALYSIS PACKAGE
02013089 CSF CHLORIDE 150 NON-
PACKAGE
02013090 CSF PROFILE 3200 NON-
PACKAGE
02013091 SODIUM BICARBONATE 100 NON-
PACKAGE
02013092 MUCOPOLYSACCHARIDOSES 500 NON-
(MPS) SCREENING U PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013093 RENIN ACTIVITY PLASMA PRA 4000 NON-
PACKAGE
02013094 PLASMA AMMONIA 400 NON-
PACKAGE
02013095 FRUCTOSAMINE 200 NON-
PACKAGE
02013096 GGT GAMMA GLUTAMYL 320 NON-
TRANSAMINASE PACKAGE
02013097 GLOBULIN 120 NON-
PACKAGE
02013098 ESTRADIOL 520 NON-
PACKAGE
02013099 ESTRADIOL (E2) 420 NON-
PACKAGE
02013100 GLYCOSYLATED HAEMOGLOBIN 520 NON-
(HBA1C) PACKAGE
02013101 ALPHA I ANTI TRYPSIN ASSAY 1200 NON-
PACKAGE
02013102 INSULIN P.P./ FASTING/RANDOM 650 NON-
PACKAGE
02013103 LACTOSE TOLERANCE TEST 550 NON-
PACKAGE
02013104 DHEA S (SULPHATE) 800 NON-
PACKAGE
02013105 SERUM DIGOXIN/ 700 NON-
SERUMDIGOXIN LEVEL PACKAGE
02013106 SERUM GASTRIN 900 NON-
PACKAGE
02013107 PROGESTERONE 450 NON-
PACKAGE
02013108 BETA HCG (BHCG) 650 NON-
PACKAGE
02013109 BETA HCG QUANTITATIVE 600 NON-
TROPHOBLASTIC CANCER PACKAGE
MARKER
02013110 CARDIAC ENZYMES 450 NON-
PACKAGE
02013111 LDH HEAT STABLE FRACTION 640 NON-
PACKAGE
02013112 LDH ISOENZYMES 1430 NON-
PACKAGE
02013113 ANTIPHOSPOLIPID ANTIBODY 1050 NON-
IGG IGM PACKAGE
02013114 ANTIPHOSPOLIPID ANTIBODY 750 NON-
IGM PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013115 ANTI SPERM ANTIBODY/ ABS 550 NON-
PACKAGE
02013116 ALPHA FETO PROTEIN 650 NON-
(AFP)CANCER MARKER PACKAGE
02013117 CARCINO EMBRYONIC ANTIGEN 600 NON-
(CEA) PACKAGE
02013118 ANTITHYROID ANTIBODIES 950 NON-
PACKAGE
02013119 ANTI THYROID ANTIBODIES TG 900 NON-
AB PACKAGE
02013120 BICARBONATE 150 NON-
PACKAGE
02013121 ANTI CARDIOLIPIN ANTIBODY 650 NON-
IGG/ IGM PACKAGE
02013122 ANTI CARDIOLIPIN ANTIBODY 1700 NON-
PROFILE PACKAGE
02013123 C PEPTIDE ASSAY 350 NON-
PACKAGE
02013124 CYST FLUID FOR ANALYSIS 350 NON-
PACKAGE
02013125 TROP T 820 NON-
PACKAGE
02013126 TROPONIN T QUALITATIVE 400 NON-
PACKAGE
02013127 INTRACELLULAR CALCIUM 120 NON-
PACKAGE
02013128 PLEURAL/ PERITONEAL FLUID 80 NON-
FOR SUGAR PACKAGE
02013129 PERITONEAL DIALYSIS FLUID 220 NON-
FOR SUGAR AND UREA PACKAGE
02013130 APOLIPO PROTEINS 500 NON-
PACKAGE
02013131 FREE TESTOSTERONE 600 NON-
PACKAGE
02013132 BLOOD ACETONE/KETONE 240 NON-
PACKAGE
02013133 PLEURAL FLUID FOR PROTEIN 80 NON-
PACKAGE
02013134 PLEURAL FLUID FOR LDH 200 NON-
PACKAGE
02013135 PLEURAL FLUID FOR AMYLASE 180 NON-
PACKAGE
02013136 FLUID FOR LDH 160 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013137 FLUID FOR AMYLASE 130 NON-
PACKAGE
02013138 FLUID FOR CREATININE 110 NON-
PACKAGE
02013139 FLUID FOR LIPASE 130 NON-
PACKAGE
02013140 FLUID FOR CHOLESTEROL 150 NON-
PACKAGE
02013141 PHENYTOIN LEVEL 720 NON-
PACKAGE
02013142 24 H KETOSTEROID AND 1700 NON-
KETOGENIC STEROID PACKAGE
02013143 ANGIO TENSION CONVERTING 780 NON-
ENZYME (ACE) PACKAGE
02013144 PHENOBARBITONE 720 NON-
PACKAGE
02013145 ANTI THYROID ANTIBODIESTPO 900 NON-
AB PACKAGE
02013146 ANTI TG 550 NON-
PACKAGE
02013147 ACTH 960 NON-
PACKAGE
02013148 ACTH PLASMA 960 NON-
PACKAGE
02013149 INTACT PTH 700 NON-
PACKAGE
02013150 IGFI 350 NON-
PACKAGE
02013151 IGF I (SOMATOMEDIN C) 2800 NON-
PACKAGE
02013152 B 2 MICROGLOBULIN 960 NON-
PACKAGE
02013153 VALPROIC ACID 520 NON-
PACKAGE
02013154 VALPROATE 520 NON-
PACKAGE
02013155 SEX HORMONE BINDING 1200 NON-
PACKAGE
02013156 VITAMIN B 12 LEVEL 800 NON-
PACKAGE
02013157 VITAMIN D 25 HYDROXY 1400 NON-
PACKAGE
02013158 17 HYDROXY CORTICOSTIROIDS 580 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013159 LIPOPROTEIN (A) 400 NON-
PACKAGE
02013160 SYNOVIAL FLUID 480 NON-
FORBIOCHEMISTRY PACKAGE
02013161 PLASMA CATECHOLAMINES 5500 NON-
PACKAGE
02013162 SERUM IGA 220 NON-
PACKAGE
02013163 SERUM IGG 220 NON-
PACKAGE
02013164 SERUM IGM 400 NON-
PACKAGE
02013165 PERICARDIAL FLUID FOR 360 NON-
BIOCHEMISTRY PACKAGE
02013166 PERICARDIAL FLUID TEST 100 NON-
PACKAGE
02013167 PERITONEAL FLUID 450 NON-
BIOCHEMISTRY PACKAGE
02013168 ALDOSTERONE 1150 NON-
PACKAGE
02013169 GALACTOSEMIA PROFILE 1800 NON-
PACKAGE
02013170 FISH (NH) 2800 NON-
PACKAGE
02013171 FISH FOR BCR/ ABL 3200 NON-
PACKAGE
02013172 FLUID FOR TVPCR 1400 NON-
PACKAGE
02013173 SERUM CORTISONE 380 NON-
PACKAGE
02013174 TRANSFERRIN 780 NON-
PACKAGE
02013175 CHROMOGRANIN A 5000 NON-
PACKAGE
02013176 CRYO GLOBULIN SCREENING 780 NON-
PACKAGE
02013177 COCAINE METABOLITE SCREEN 500 NON-
PACKAGE
02013178 CYCLOSPORINE CO 1600 NON-
PACKAGE
02013179 CYTOKERATIN/ ERYTHROPOIETIN 1200 NON-
PACKAGE
02013180 PROTEIN C/ S FUNCTIONAL 2800 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02013181 FREE T3 350 NON-
PACKAGE
02013182 FREE T4 500 NON-
PACKAGE
02014001 PAP SMEAR 240 NON-
PACKAGE
02014002 HISTOPATHOLOGY EXAM 250 NON-
PERTISSUE TYPE PACKAGE
02015001 SMEAR GRAMSTAINEXAMINATION 100 NON-
PACKAGE
02015002 SPUTUM SMEAR A.F.B. STAIN 100 NON-
PACKAGE
02015003 VAGINAL SMEAREXAMINATION 100 NON-
PACKAGE
02015004 V.D.R.L. 120 NON-
PACKAGE
02015005 WIDAL TEST 180 NON-
PACKAGE
02015006 RHEUMATOID FACTOR TEST 300 NON-
PACKAGE
02015007 CULTURE AND SENSITIVITY 250 NON-
(OTHERSPECIMENS) PACKAGE
02015008 URINE PREGNANCY TEST 200 NON-
PACKAGE
02015009 C.R.P. 220 NON-
PACKAGE
02015010 ASO TITER 250 NON-
PACKAGE
02015011 QUANTITATIVE H.C.G. 400 NON-
PACKAGE
02015012 BLOOD CULTURE AND 250 NON-
SENSITIVITY PACKAGE
02015013 VIBRO CHOLERA CULTURE 250 NON-
PACKAGE
02015014 CAPD FLUID FOR CULTURE 300 NON-
ANDSENSITIVITY PACKAGE
02015015 CAPD FLUID FOR FUNGAL 100 NON-
PACKAGE
02015016 CAPD FLUIDCYTOLOGY 200 NON-
PACKAGE
02015017 RAPID UREASE TEST 250 NON-
PACKAGE
02015018 ASO (ANTISTREPTOYSIN O) 360 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015019 HIGH SENSITIVITYCRP 400 NON-
PACKAGE
02015020 PUS FOR FUNGAL CULTURE 250 NON-
PACKAGE
02015021 PUS FOR FUNGAL STAIN 100 NON-
PACKAGE
02015022 PUS FOR GRAM STAIN 100 NON-
PACKAGE
02015023 PUS FOR ZN STAIN 100 NON-
PACKAGE
02015024 CULTURE AND SENSITIVITY PUS 250 NON-
PACKAGE
(CSF) PACKAGE
(SEMEN) PACKAGE
(FLUID) PACKAGE
(SPUTUM) PACKAGE
(THROAT SWAB) PACKAGE
FORVAGINAL SWAB PACKAGE
FORASPIRATED FLUID PACKAGE
(WOUND SWAB) PACKAGE
02015033 WOUND SWAB FOR 100 NON-
FUNGALSTAIN PACKAGE
02015034 WOUND SWAB FOR GRAMSTAIN 100 NON-
PACKAGE
02015035 WOUND SWAB FOR ZN STAIN 100 NON-
PACKAGE
(RECTAL SWAB) PACKAGE
02015037 NAIL FOR FUNGAL CULTURE 200 NON-
PACKAGE
02015038 NAIL CLIPPING FOR 100 NON-
KOHPREPARATION PACKAGE
02015039 BLOOD CULTURE AND 600 NON-
SENSITIVITYANAEROBIC PACKAGE
02015040 BLOOD FOR CULTURE 600 NON-
ANDSENSITIVITY (PAEDIATRIC) PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015041 TISSUE FOR CULTURE 250 NON-
02015042 MITRAL VALVE TISSUE 250 NON-
FORCULTURE AND SENSITIVITY PACKAGE
02015043 AORTIC VALVE TISSUE 250 NON-
FORCULTURE SENSITIVITY PACKAGE
02015044 ARTERIAL LINE TIP FOR 250 NON-
CULTUREAND SENSITIVITY PACKAGE
02015045 ASCITIC FLUID FOR CULTURE 600 NON-
02015046 AC TAP FOR CULTURE 250 NON-
02015047 SPUTUM FOR AFB CULTURE 500 NON-
PACKAGE
02015048 SPUTUM FOR FUNGAL CULTURE 150 NON-
PACKAGE
02015049 SPUTUM FOR FUNGAL STAIN 100 NON-
PACKAGE
02015050 SPUTUM FOR ZN STAIN 100 NON-
PACKAGE
02015051 SPUTUM FOR GRAMS STAIN 100 NON-
PACKAGE
02015052 ESOPHAGEAL SMEAR 150 NON-
FORCANDIDA PACKAGE
02015053 URINE FOR AFB CULTURE 500 NON-
PACKAGE
02015054 PLEURAL FLUID FOR AFBCULTURE 500 NON-
PACKAGE
02015055 PLEURAL FLUID TBPCR 1200 NON-
PACKAGE
02015056 CULTURE AFB 3000 NON-
ANTIBIOTICSENSITIVITY 5 DRUG PACKAGE
PANEL
02015057 URINE FOR GRAM STAIN 100 NON-
PACKAGE
02015058 THROAT SWAB FOR KLB 100 NON-
PACKAGE
02015059 FUNGUS CULTURE 150 NON-
PACKAGE
02015060 CLOSTRIDIUM DIFFICILE TOXIN 1200 NON-
AAND B PACKAGE
02015061 YEAST IDENTIFICATION 350 NON-
ANDSUSCEPTIBILITY PACKAGE
02015062 NON FERMENTERIDENTIFICATION 300 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015063 SEROLOGY FOR MUMPSIGM/IGG 1000 NON-
PACKAGE
02015064 TORCH PROFILE 1500 NON-
PACKAGE
02015065 SERUM ANTIGENS CONV.ENZY. 400 NON-
ASSAY PACKAGE
02015066 P-ANCA 800 NON-
PACKAGE
02015067 CANCA 800 NON-
PACKAGE
02015068 ALDEHYDE SERUM TEST 80 NON-
PACKAGE
02015069 ELISA TEST FOR 600 NON-
ECINOCOCCUSANTIBODY DETEC PACKAGE
02015070 ASCITIC FLUID CELL COUNT 200 NON-
PACKAGE
02015071 ANTI HBS (ANTIBODY 400 NON-
TOAUSTRALIAANTIGEN) PACKAGE
02015072 HEPATITIS B SURFACEANTIBODY 400 NON-
PACKAGE
02015073 ANTIHBC CORE ANTIBODYIGM 550 NON-
PACKAGE
02015074 SERUM IMMUNOGLOBULIN 600 NON-
PACKAGE
02015075 IMMUNOGLOBULIN IGE 500 NON-
PACKAGE
02015076 IGE ALLERGY INDIVIDUAL 600 NON-
PACKAGE
02015077 IMMUNOGLOBULINIGA 600 NON-
PACKAGE
02015078 IMMUNOGLOBULIN IGM 600 NON-
PACKAGE
02015079 IMMUNOGLOBULIN IGG 600 NON-
PACKAGE
02015080 ANTIHAVIGMANTIBODY 1000 NON-
PACKAGE
02015081 COMPLIMENT C3 350 NON-
PACKAGE
02015082 COMPLIMENT C4 350 NON-
PACKAGE
02015083 TOXOPLASMA IGG 370 NON-
PACKAGE
02015084 TOXOPLASMA IGM 370 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015085 TOXOPLASMA IGG PLUS IGM 700 NON-
PACKAGE
02015086 CYSTICERCOSIS 600 NON-
ANTIBODY/ANTIBODY IGG PACKAGE
02015087 CYTOMEGALOVIRUS PCR 2000 NON-
PACKAGE
02015088 PCR FOR AFB 1350 NON-
PACKAGE
02015089 HERPES I(IGG)(HSV TYPE I) 300 NON-
PACKAGE
02015090 HERPES I(IGM)(HSV TYPE I) 300 NON-
PACKAGE
02015091 HERPES II (IGG)(HSV TYPEII) 300 NON-
PACKAGE
02015092 HERPES II (IGM)(HSV TYPEII) 300 NON-
PACKAGE
02015093 HERPES I PLUS II (IGG) 300 NON-
PACKAGE
02015094 HERPES I PLUS II (IGM) 300 NON-
PACKAGE
02015095 TPHA (TREPONEMAPALLIDUM 340 NON-
HAEMAGGLUTINAT PACKAGE
02015096 HBSAG 420 NON-
PACKAGE
02015097 HYDATID CYST FOR IGG ELISA 600 NON-
PACKAGE
02015098 ASPERGILLUS ANTIBODY 1000 NON-
(IGG/IGM) PACKAGE
02015099 ANTI HCV IGG/IGM 820 NON-
PACKAGE
02015100 ANTI HEV IGG/IGM 840 NON-
PACKAGE
02015101 ALLERGY SCREENING ADULT 1200 NON-
PACKAGE
02015102 DENGUE ELISA 1000 NON-
PACKAGE
02015103 DENGUE ANTIBODIES IGG 600 NON-
PLUSIGM PACKAGE
02015104 DENGUE NS1 AG TEST 600 NON-
PACKAGE
02015105 SCREENING FOR CPYLORI(RUT) 200 NON-
PACKAGE
02015106 ELISA FOR TUBERCULOSIS 350 NON-
(IGG/IGM/IGA) PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015107 FEBRILE AGGLUTININS 400 NON-
(WIDAL.WELIFEL) PACKAGE
02015108 HBE ANTIGEN DETECTION(HBE 550 NON-
AG) PACKAGE
02015109 CMV (CYTOMEGALO 350 NON-
VIRUS)ANTIBODY (IGM) PACKAGE
02015110 BRUCELLA ANTIBODY 420 NON-
PACKAGE
02015111 BREAST CANCER ERPR 2400 NON-
ANDHER2/NEU PACKAGE
02015112 ANTI HCV IIIRD 350 NON-
GENERATIONELISA PACKAGE
02015113 EPSTEIN BAR VIRUS IGM(VCA 600 NON-
ELISA) PACKAGE
02015114 HEV IGM ELISA 700 NON-
PACKAGE
02015115 LEGIONELLA PNEUMOPHILAELISA 600 NON-
PACKAGE
02015116 ELISA FOR PREGNANCY 630 NON-
PACKAGE
02015117 ELISA FOR MUMPS 450 NON-
(IGGANTIBODY) PACKAGE
02015118 ELISA FOR MEASLES 450 NON-
(IGGANTIBODY) PACKAGE
02015119 MUMPS ELISA (IGMANTIBODY) 520 NON-
PACKAGE
02015120 HIV P24 ANTIGEN 600 NON-
PACKAGE
02015121 VIVAX ANTIGEN 350 NON-
PACKAGE
02015122 ANTI SMOOTH MUSCLEANTIBODY 500 NON-
(ASMA) PACKAGE
02015123 ANTIMITOCHONDRIALANTIBODY 750 NON-
M2 (AMAM2) PACKAGE
02015124 ANTINUCLEAR ANTIBODY/ANF/ 450 NON-
ANA PACKAGE
02015125 ANA IFA (HEP2) METHOD 960 NON-
PACKAGE
02015126 ANTINATIVEDEOXYRIBONUCLEIC 700 NON-
ACID (DSDNA) PACKAGE
02015127 ANTISMITH ANTIBODY 650 NON-
PACKAGE
02015128 RUBELLA IGG/IGM ANTIBODY 360 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015129 RUBELLA IGG AND IGM 650 NON-
PACKAGE
02015130 RUBEOLA IGG/IGM ANTIBODY 1000 NON-
PACKAGE
02015131 RUBEOLA ANTIBODIES IGG IGM 1400 NON-
PACKAGE
02015132 LEPTOSPIRA ANTIBODYIGM/IGG 840 NON-
PACKAGE
02015133 LEPTOSPIRA ANTIBODY IGG 1650 NON-
ANDIGM PACKAGE
02015134 CRYPTOCOCCUS ANTIGENLATEX 1300 NON-
DETECTION (CSF) PACKAGE
02015135 FALCIPARUM ANTIGEN 360 NON-
PACKAGE
02015136 ADA (ADENOSINE DEAMINASE 450 NON-
BODY FLUID) PACKAGE
02015137 MANTOUX TEST 150 NON-
PACKAGE
02015138 ANTI HAVTOTAL (IGG ANDIGM) 720 NON-
PACKAGE
02015139 CYTOMEGALO VIRUS 320 NON-
(CMV)ANTIBODY (IGG) PACKAGE
02015140 CMV IGM PLUS IGG 600 NON-
PACKAGE
02015141 CHOPRA ALDEHYDE TEST 100 NON-
PACKAGE
02015142 AMNIOTIC 400 NON-
FLUIDLECITHINSPINGOMYL PACKAGE
02015143 AMOEBIAIS ANTIBODIES 280 NON-
(IHA)SCREENING PACKAGE
02015144 AMOEBIC SEROLOGY 800 NON-
PACKAGE
02015145 KOH MOUNT FOR 100 NON-
FUNGALELEMENTS DETECTION PACKAGE
02015146 CAMPYLOBACTER 360 NON-
JEJIENIANTIGEN DETECTION I PACKAGE
02015147 HIV TEST (1 AND 2) 450 NON-
PACKAGE
02015148 TYPHI DOTM 160 NON-
PACKAGE
02015149 HEPATITIS BCORE TOTAL(HBC 720 NON-
TOTAL IGG PLUS IGM) PACKAGE
02015150 ANTI HBC ANTIBODY (IGM) 720 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015151 ANTI HBC ANTIBODY (TOTAL) 720 NON-
PACKAGE
02015152 ANTI HBE 550 NON-
PACKAGE
02015153 HEPATITIS BE ANTIBODY 550 NON-
PACKAGE
02015154 HEPATITIS D VIRUS ANTIBODY 1450 NON-
PACKAGE
02015155 HLA B27 CHN 920 NON-
PACKAGE
02015156 HLAB27 DISEASEASSOCIATION 1500 NON-
FLOWCYTOMETRY PACKAGE
02015157 HLAABC AND DR 2000 NON-
TISSUECROSSMATCH PACKAGE
02015158 HCV RNA PCR QUALITATIVE 2500 NON-
PACKAGE
02015159 HEPATITIS C VIRAL 9500 NON-
RNAGENOTYPE LIPA PACKAGE
02015160 VARICELLA ZOSTER VIRUS 520 NON-
IGGTITRES PACKAGE
02015161 VARCILLA ZOSTER IGM 720 NON-
PACKAGE
02015162 VARCILLA ZOSTER IGG AND IGM 1400 NON-
PACKAGE
02015163 ANTI LKM1 (LIVER 820 NON-
KIDNEYMICROSOMAL1) PACKAGE
ANTIBODY
02015164 VIABLE MTB DETECTIONPCR 1500 NON-
PACKAGE
02015165 HIV QUALITATIVE 1200 NON-
(WINDOWPERIOD DETECTION) PACKAGE
02015166 ANTI SCLERO 70/ SCL 70 1300 NON-
PACKAGE
02015167 COMPREHENSIVE CNSPANEL 6800 NON-
(MOLECULAR DIA) PACKAGE
02015168 HIV PROVIRAL DNA 1100 NON-
DETECTORQUALITATIVE PACKAGE
02015169 HEPATITIS B PCRQUANTITATIVE 1900 NON-
PACKAGE
02015170 HEPATITIS B VIRUS 3000 NON-
PCRQUALITATIVE PACKAGE
02015171 ANTI GBM ANTIBODY PLUS 900 NON-
PACKAGE
02015172 HSV DNA PCR 1500 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015173 ANTI RNPSM ANTIBODY 1000 NON-
PACKAGE
02015174 ANTIBODY TO 1100 NON-
RIBONUCLEOPROTEIN IGG PACKAGE
02015175 NBT REDUCTION TEST 720 NON-
PACKAGE
02015176 ANTI JO ANTIBODY 520 NON-
PACKAGE
02015177 ANTI JO1 ANTIBODIES 840 NON-
PACKAGE
02015178 ANTIBODY TO SSA/SSB 2000 NON-
PACKAGE
02015179 ANTIBODY TO SSB/LA 720 NON-
PACKAGE
02015180 JAPANESE ENCEPHALITISVIRUS 1500 NON-
PCR (JE VIRUS P PACKAGE
02015181 HIV1 RNS QUANTITATIVERTPCR 3800 NON-
WITH CD3 CD4CD PACKAGE
02015182 RNS STUDY/ DECREMENT 350 NON-
PACKAGE
02015183 HIV VIRAL LOAD CD4 AND CD8 3200 NON-
PACKAGE
02015184 ANTI RNP SM IGG 1100 NON-
PACKAGE
02015185 ANTI ENDOMYSIAL ANTIBODYIGA 720 NON-
PACKAGE
02015186 CD4 CD8 700 NON-
PACKAGE
02015187 CD 10 1200 NON-
PACKAGE
02015188 CD 20 920 NON-
PACKAGE
02015189 CD 3 920 NON-
PACKAGE
02015190 CD 30 920 NON-
PACKAGE
02015191 HCV RNA QUANTITATIVE/VIRAL 6000 NON-
LOAD PACKAGE
02015192 HBV QUANTITATIVE 5500 NON-
PACKAGE
02015193 HBV DNA QUALITATIVE 1900 NON-
PACKAGE
02015194 MYCOBACTERIUMIGA/IGG/IGM 600 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015195 MYCOBACTERIUM 500 NON-
SEROLOGYIGG/IGM PACKAGE
02015196 MYCOBACTERIUMTUBERCULOSIS 1900 NON-
SEROLOGY EL PACKAGE
02015197 TB PCR 850 NON-
(MYCOBACTERIUMTUBERCULOSI PACKAGE
S PCR)
02015198 TREPONEMA PALLIDUMANTIBODY 300 NON-
DETECTION PACKAGE
02015199 TREPONEMAL PALLISUMFTPAABF 2000 NON-
PACKAGE
02015200 AUTOIMMUNE HEPATITISPANEL 900 NON-
PACKAGE
02015201 ANTINUCLEAR ANTIBODY PANEL 1100 NON-
(14 ANTIBODY PANEL) PACKAGE
02015202 ANTI CCP ANTIBODY 450 NON-
PACKAGE
02015203 ANTI CENTROMERE ANTIBODY 800 NON-
PACKAGE
02015204 SERUM PROCALCITONIN 2000 NON-
PACKAGE
02015205 SERUM PREALBUMIN 550 NON-
PACKAGE
02015206 HSV (1 PLUS 2) 280 NON-
IGG/IGMANTIBODIES PACKAGE
02015207 HSV (1 PLUS 2) IGG AND HSV(1 550 NON-
PLUS 2) IGM PACKAGE
02015208 CHIKUNGUNYA TEST 500 NON-
PACKAGE
02015209 ANA/ ANF IN DILUTION 1000 NON-
PACKAGE
02015210 BRONCHIAL ASPIRATION 300 NON-
FORCULTURE AND SENSITIVITY PACKAGE
02015211 BRONCHIAL ASPIRATION FORAFB 500 NON-
CULTURE PACKAGE
FORFUNGAL STAIN PACKAGE
FORGRAM STAIN PACKAGE
FORTBPCR PACKAGE
02015215 CVP TIP FOR CULTURE 300 NON-
02015216 DIALYSIS CATHETER TIP FORC/S 300 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02015217 EAR/ EYE/ NASAL/ TONGUESWAB 300 NON-
FOR CULTURE ANDSENSITIVITY PACKAGE
02015218 PROSTATIC SECRETION 150 NON-
FORMICROSCOPY PACKAGE
02015219 PROSTRATE SPECIFIC ANTIGEN 500 NON-
(PSA) PACKAGE
02015220 BCR ABL 4000 NON-
TRANSCRIPTQUANTIFICATION PACKAGE
02015221 AEROBIC BY BACTEC 900 NON-
PACKAGE
02015222 DENGUE SEROLOGY IGG IGM 1200 NON-
PACKAGE
02015223 RAPID BLOOD/BODY 930 NON-
FLUIDCULTURE (BACTALERT/ PACKAGE
BACTEC)
02016001 EXAMINATION 2430 NON-
UNDERANAESTHESIA PACKAGE
02016002 LAPAROSCOPY (GYNAE) 6060 NON-
PACKAGE
02016003 LAP. DYE TEST WITH REMOVALOF 8000 NON-
ADHESIONS PACKAGE
02017001 BIOPSY (LARGE) 600 NON-
PACKAGE
02017002 BIOPSY (MEDIUM) 500 NON-
PACKAGE
02017003 BIOPSY (SMALL) 350 NON-
PACKAGE
02017004 BIOPSY (EXTRA LARGE) 800 NON-
PACKAGE
02019001 DIRECT LARYNGOSCOPY 4380 NON-
PACKAGE
02019002 BRONCHOSCOPY 2400 NON-
PACKAGE
02019003 MEDIASTINOSCOPY 2880 NON-
PACKAGE
02019004 PLEURAL BIOPSY 2630 NON-
PACKAGE
02019005 THORACOSCOPY 6600 NON-
PACKAGE
02019006 PULMONARY FUNCTION TESTBMR 700 NON-
PACKAGE
02019007 SPIROMETRY 700 NON-
PACKAGE
02019008 SPIROMETRY WITH 1620 NON-
HELIUMDILUTION PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02019009 SPIROMETRY WITH 1620 NON-
HELIUMDILUTION WITH PACKAGE
DIFFUSIONCAPACITY STUDIES
02019010 PULMONERY EXERCISE TESTING 940 NON-
PACKAGE
02019011 PUNCTAL CAUTERY 100 NON-
PACKAGE
02019012 NT PRO BNP 1000 NON-
PACKAGE
02019013 CARDIOVERSION 1400 NON-
PACKAGE
02019014 CARDIAC TROPONIN I 400 NON-
PACKAGE
02019015 TEE WITH ANESTHESIA 2500 NON-
PACKAGE
02019016 TESTICULAR 800 NON-
PACKAGE
02019017 FLEXIBLE 10000 NON-
BRONCHOSCOPYDIAGNOSTIC PACKAGE
TBNA
02019018 FLEXIBLE 2500 NON-
BRONCHOSCOPYTHERAPEUTIC PACKAGE
02019019 FLEXIBLE BRONCHOSCOPYGLUE 4000 NON-
PACKAGE
BRONCHOSCOPYBALOON PACKAGE
TAMPETE
BRONCHOSCOPYTOILETING PACKAGE
02019022 RIGID 5000 NON-
BRONCHOSCOPYDIAGNOSTIC PACKAGE
02019023 RIGID BRONCHOSCOPYMASSIVE 6200 NON-
HAEMOPLYSIS PACKAGE
02019024 FIBROPTIC BRONCHOSCOPY 2100 NON-
PACKAGE
02019025 FIBROPTIC BRONCHOSCOPYWITH 2500 NON-
WASHING/BIOPSY PACKAGE
02020001 TEST OF PACEMAKER 580 NON-
PACKAGE
02020002 STRESS MYOCARDIAL STUDY 7200 NON-
(MBI/ TR) PACKAGE
02020003 ECHO SCREENING 720 NON-
PACKAGE
02020004 STRESS ECHO/ 1950 NON-
DOBUTAMINEECHO PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02020005 FOETAL ECHOCARDIOGRAPHY 1320 NON-
PACKAGE
02020006 CARDIO TOCOGRAPHY 360 NON-
PACKAGE
02020007 2 D ECHO WITH 1320 NON-
COLOURDOPPLER/ 2D PACKAGE
ECHOCARDIOGRAPHY
02020008 TRANS OESOPHAEDRAL ECHO 840 NON-
(TEE) PACKAGE
02020009 HOLTER ANALYSIS AND 1470 NON-
HOLTERREPORT (WITH PACKAGE
PRD.SPECIFICATION)/ TILT
TABLETEST
02020010 CARDIAC CATH ANGIOGRAPHY 13200 NON-
(WITHOUT PACKAGE
CORONARYANGIOPLASTY)
02020011 AORTOGRAM 3900 NON-
PACKAGE
02020012 PACKAGE CHARGES 410 NON-
FORCARDIOVASCULARINVESTIGA PACKAGE
TION
02020013 STRESS THALLIUM 3600 NON-
PACKAGE
02020014 MUGA (RESTING) 1440 NON-
PACKAGE
02020015 MUGA (STRESS) 1800 NON-
PACKAGE
02020016 ECHO COLOUR DOPPLER 1440 NON-
PACKAGE
02020017 CHECK ANGIO 7000 NON-
PACKAGE
02020018 DOPPLER CAROTID ARTERY 1700 NON-
PACKAGE
02020019 FLOWTRON EXCEL (DVT) 500 NON-
PACKAGE
02021001 GASTROSCOPY 1170 NON-
PACKAGE
02021002 GASTRIC AND DUODENAL 1560 NON-
BIOPSY(ENDOSCOPIC) PACKAGE
02021003 ERCP 4000 NON-
PACKAGE
02021004 ERCP FLUROSCOPY 2200 NON-
PACKAGE
02021005 UPPER G.I. ENDOSCOPY 1100 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02021006 UPPER G.I. ENDOSCOPY 1300 NON-
WITHBIOPSY PACKAGE
02021007 SIGMOIDOSCOPY (RIGID) 1400 NON-
PACKAGE
02021008 SIGMOIDOSCOPY (FLEXIBLE) 1200 NON-
PACKAGE
02021009 OESOPHAGOSCOPY 1100 NON-
PACKAGE
02021010 COLONOSCOPY 1800 NON-
PACKAGE
02021011 COLONOSCOPYFULL (GASPKG) 2000 NON-
PACKAGE
02021012 24 H PH METRY 4000 NON-
PACKAGE
02021013 24 H PH METRY (BS) 5500 NON-
PACKAGE
02022001 BIOPSY OF BLADDER 8000 NON-
(CYSTOSCOPIC) PACKAGE
02022002 URETHROSCOPY 6000 NON-
PACKAGE
02022003 GLOMERULAR FILTRATION RATE 500 NON-
PACKAGE
02022004 URETHRAL 1000 NON-
DIALATATIONDIAGNOSTICS PACKAGE
02022005 VISUALLY EVOKED POTENTIAL 500 NON-
PACKAGE
02022006 UROFLOW STUDY 600 NON-
(MICTUROMETRY) PACKAGE
02022007 URODYNAMIC STUDY 1200 NON-
(CYSTOMETRY) PACKAGE
02022008 CYSTOSCOPY WITHRETROGRADE 4000 NON-
CATHETERUNILATERAL PACKAGE
02022009 CYSTOSCOPY WITHRETROGRADE 6000 NON-
CATHETERBILATERAL PACKAGE
02022010 CYSTOSCOPY DIAGNOSTIC 5000 NON-
PACKAGE
02022011 CORTISOLBLOOD 240 NON-
PACKAGE
02022012 VOIDINGCYSTOURETHROGRAM 360 NON-
PACKAGE
02022013 RENAL TRANSPLANTEVALUATION 1500 NON-
PACKAGE
02022014 CYSTOSCOPY AND 5000 NON-
STENTREMOVAL(OUTDOOR PACKAGE
PROCEDURE)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
ANDOSTEOMEDULLOGRAPHY PACKAGE
02023002 ARTHROSCOPY DIAGNOSTIC 11000 NON-
PACKAGE
02024001 PLACEMENT OF ICP MONITOR 6000 NON-
PACKAGE
02024002 LUMBER PRESSUREMONITORING 6100 NON-
PACKAGE
02024003 NERVE BIOPSY 8500 NON-
PACKAGE
02024004 BRAIN BIOPSY 8500 NON-
PACKAGE
02024005 BRAIN MAPPING 3000 NON-
PACKAGE
02024006 AMBULATORY ELECTRO ENCE 5000 NON-
PACKAGE
02024007 BLINK REFLEX 500 NON-
PACKAGE
02024008 DECREMENT TEST 650 NON-
PACKAGE
02024009 EMG FOUR LIMBS 900 NON-
PACKAGE
02024010 EMG TWO LIMBS 480 NON-
PACKAGE
02024011 NCV FOUR LIMBS 900 NON-
PACKAGE
02024012 NCV TWO LIMBS 500 NON-
PACKAGE
02024013 EMGFACIAL 500 NON-
PACKAGE
02024014 NCVFACIAL 500 NON-
PACKAGE
02024015 NCV PLUS EMGFACIAL 950 NON-
PACKAGE
02024016 SPINCTEREMG 550 NON-
PACKAGE
02024017 H REFLEX 500 NON-
PACKAGE
02024018 SSEP (LOWER LIMBS) 550 NON-
PACKAGE
02024019 SSEP (UPPER LIMBS) 550 NON-
PACKAGE
02024020 SSEPUL/LL 1000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02024021 VEP (FLASH) 550 NON-
PACKAGE
02024022 VEP (PR) 550 NON-
PACKAGE
02024023 COUNSL OF INH PATIENT 200 NON-
PACKAGE
02024024 SPL EDU ASSESSMENT 250 NON-
PACKAGE
02024025 BAER STUDY 550 NON-
PACKAGE
02024026 BAER/ THRESHOLD 1000 NON-
PACKAGE
02024027 COUNCELLING AND THERAPY 200 NON-
PACKAGE
02024028 IQ ASSESSMENT 300 NON-
PACKAGE
02024029 NEURO PSYCHOLOGICAL T 850 NON-
PACKAGE
02024030 PERSONALITY AND IQ CHILD 450 NON-
PACKAGE
02024031 PERSONALITY DEVELOPMENT T 650 NON-
PACKAGE
02024032 SSR 700 NON-
PACKAGE
02024033 LUMBAR PUNCTURE WITH 1500 NON-
CSFMONITORING PACKAGE
02024034 HER2/ NEU 1200 NON-
PACKAGE
02025001 MAMMOGRAPHY (SINGLESIDE) 800 NON-
PACKAGE
02025002 MAMMOGRAPHY (BOTHSIDES) 1500 NON-
PACKAGE
02026001 DIAGNOSTIC CURETTAGE 3000 NON-
PACKAGE
02026002 FRACTIONAL CURETTAGE 3400 NON-
PACKAGE
02026003 HYSTEROSCOPY DIAGNOSTIC 7500 NON-
PACKAGE
02027001 DIAGNOSTIC LAPROSCOPY 7000 NON-
PACKAGE
02028001 CAT SCAN (C.T.) HEAD 1600 NON-
PACKAGE
02028002 C.T. HEAD SCAN INVOLV.SPL. 2300 NON-
INVESTIGATION PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02028003 C.T. SCAN BRAIN 1600 NON-
PACKAGE
02028004 HRCT CHEST THORAX 6000 NON-
PACKAGE
02028005 C.T. CHEST (HRCT) 4000 NON-
PACKAGE
02028006 C.T. SCAN CHEST 3500 NON-
PACKAGE
02028007 C.T. SPINE 3500 NON-
(CERVICALDORSALLUMBARSACR PACKAGE
AL)
02028008 CT ANGIOGRAM OF 7200 NON-
CERVICALAND INTRA PACKAGE
02028009 C.T. CERVICAL C.T. 1200 NON-
3DRECONSTRUCTION ONLY PACKAGE
02028010 C.T. GUIDED BIOPSY 2000 NON-
PACKAGE
02028011 C.T. GUIDED 2500 NON-
PERCUTANEOUSCATH DRAINAGE PACKAGE
02028012 C.T. MYELOGRAM(CERVICAL 3500 NON-
SPINE) PACKAGE
02028013 C.T. MYELOGRAM(LUMBAR SPINE 3500 NON-
OR D/S) PACKAGE
02028014 CT PELVIS WITH HIP JOINTS 3000 NON-
PACKAGE
02028015 CT KUB (PLAIN) 3500 NON-
PACKAGE
02028016 CT SACRO ILIAC JOINT 2500 NON-
PACKAGE
02028017 CT PITUITARY/ SELLA 2500 NON-
PACKAGE
02028018 CT CISTERNOGRAPHY 1600 NON-
PACKAGE
02028019 CT PETROUS TEMPORAL BONE 3000 NON-
PACKAGE
02028020 CT SACRUM AND COCCYX 3500 NON-
PACKAGE
02028021 C.T. SCAN UPPER ABDOMEN 3000 NON-
PACKAGE
02028022 C.T. SCAN LOWER ABDOMEN 3000 NON-
PACKAGE
02028023 C.T. SCAN WHOLE ABDOMEN 5000 NON-
PACKAGE
02028024 C.T. SHOULDER JOINT/ 3500 NON-
KNEEJOINT/ ELBOW JOINT/ PACKAGE
ANYOTHER JOINT (PLAIN)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02028025 CT BASE OF NECK 2000 NON-
PACKAGE
02028026 C.T. SCAN NECK (THYROIDSOFT 3000 NON-
TISSUE) PACKAGE
02028027 CT ANKLE WITH FOOT 2000 NON-
PACKAGE
02028028 C.T. SCAN ORBITS/EYE 3000 NON-
PACKAGE
02028029 CT ARM/ HUMERUS/FOREARM/ 4500 NON-
RADIUSULNA/LEG/ TIBIAFIBULA/ PACKAGE
THIGH/FEMUR (SINGLE) PLAIN
02028030 C.T. SCAN LIMBS 2500 NON-
PACKAGE
02028031 CT BOTH THIGH 2000 NON-
PACKAGE
02028032 C.T. SCAN WHOLE BODY 10000 NON-
PACKAGE
02028033 CT EXTREMITIES 2000 NON-
PACKAGE
02028034 C.T. SCAN OF PARA NASALSINUS 3000 NON-
PACKAGE
02028035 CT GUIDED FNAC 2500 NON-
PACKAGE
02028036 CT ANGIOGRAPHY OF 5400 NON-
BRAIN/CAROTID/ THORAX/ NECK PACKAGE
02028037 CT 64 CORONARYANGIOGRAPHY 10000 NON-
PACKAGE
BRAIN/CAROTID/ THORAX/ PACKAGE
NECK/ABDOMEN/
EXTREMITIES/RENAL AREA/
PERIPHERALAREA/ PULMONARY
AREA WITHVISIPAQUE
02028039 CT RENAL ANGIOGRAPHY 5000 NON-
PACKAGE
02028040 CT ANGIO BOTH LOWERLIMBS 10000 NON-
PACKAGE
NECKVESSELS PACKAGE
02028042 CT ANGIOGRAPHY OFABDOMEN/ 6000 NON-
EXTREMITIES/RENAL AREA/ PACKAGE
PERIPHERALAREA/ PULMONARY
AREA
02028043 PET CT SCAN(WHOLE BODY) 20000 NON-
(INCLUDING PACKAGE
FLURODEOXYGLUCOSE)
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02028044 THERAPEUTIC ASPIRATION CT 3000 NON-
PACKAGE
02028045 DIAGNOSTIC ASPIRATION CT 1600 NON-
PACKAGE
02028046 IONIC CONTRAST (20 C.C.) 270 NON-
PACKAGE
02028047 IONIC CONTRAST (50 C.C.) 675 NON-
PACKAGE
02028048 NONIONIC CONTRAST (10C.C.) 500 NON-
PACKAGE
PACKAGE
PACKAGE
PACKAGE
02028052 3D RECONSTRUCTION CHARGE 1200 NON-
PACKAGE
02028053 CT DUAL PHASE STUDYLIVER 5000 NON-
PACKAGE
02028054 FIBROSCAN 3500 NON-
PACKAGE
02029001 MRI BRAIN/ BRAIN 6000 NON-
WITHPROTOCOL/ CSF PACKAGE
STUDY/INTERNAL EAR
02029002 MRI BASE OF SKULL 5400 NON-
PACKAGE
02029003 MRI ORBITS 6000 NON-
PACKAGE
02029004 MRI FACE 5400 NON-
PACKAGE
02029005 MRI NASOPHARYNX ANDPNS 6000 NON-
PACKAGE
02029006 MRI PHARYNX 5400 NON-
PACKAGE
02029007 MRI NECK 6000 NON-
PACKAGE
02029008 MRI PITUITARY 5400 NON-
PACKAGE
02029009 MRI THYROID/ 5000 NON-
CRANIOVERTEBRAL (C.V.) PACKAGE
JUNCTION/
02029010 MRI TEMPORAL BONES 6000 NON-
(UNILATERAL) PACKAGE
02029011 MRI 5400 NON-
VENOGRAPHY/ANGIOGRAPHY PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02029012 MRI ARM/ FORE ARM/ 5400 NON-
THIGH/FEMUR/ LEG/ FOOT PACKAGE
02029013 MRI ARM (HUMERUS) 5400 NON-
(LEFT/RIGHT) PACKAGE
02029014 MRI SINGLE JOINT 5400 NON-
PACKAGE
02029015 MRI BOTH JOINTS 9000 NON-
PACKAGE
02029016 MRI SACRO ILIAC JOINTS 5400 NON-
PACKAGE
02029017 MRI SPINE (CERVICAL/DORSAL/ 5400 NON-
LUMBAR/ CERVICODORSAL/ PACKAGE
DORSOLUMBAR/LUMBOSACRAL)
02029018 MRI LUMBAR SPINE 6000 NON-
ANDSACROILIAC JOINT PACKAGE
02029019 DOUBLE REGION PLAIN 9000 NON-
(BRAINAND SPINE) PACKAGE
02029020 TRIPPLE REGION PLAIN 13000 NON-
(BRAINAND SPINE) PACKAGE
02029021 MRI CSF FLOW STUDY 1500 NON-
PACKAGE
02029022 MRI SPECTROSCOPY 1500 NON-
PACKAGE
02029023 MRI DIFFUSION TENSORIMAGING 1500 NON-
(DTI) PACKAGE
02029024 MRI SWI 1500 NON-
(SUSCEPTIBILITYWEIGHTED PACKAGE
IMAGE)
02029025 MRI HIP 6000 NON-
PACKAGE
02029026 MRI UROGRAM 5400 NON-
PACKAGE
02029027 MRI PELVIS 6000 NON-
PACKAGE
02029028 MRCP 5000 NON-
PACKAGE
02029029 MRI EXTREMITIES 6000 NON-
PACKAGE
02029030 MRI UPPER ABDOMEN WITHMRCP 6000 NON-
PACKAGE
02029031 MRI 5000 NON-
TEMPOROMANDIBULARSINGLE PACKAGE
JOINT
02029032 MRI 6000 NON-
TEMPOROMANDIBULARDOUBLE PACKAGE
JOINTS
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02029033 MRI UPPER ABDOMEN 5400 NON-
PACKAGE
02029034 MRI UPPER THIGH AND 7000 NON-
LOWERABDOMEN PACKAGE
02029035 MRI WHOLE ABDOMEN 9000 NON-
PACKAGE
02029036 MRI LOWER ABDOMEN/PELVIS 5400 NON-
PACKAGE
02029037 MRI BREAST 6000 NON-
PACKAGE
02029038 MRI THORACIC OUTLET 5400 NON-
PACKAGE
02029039 MRI SPINE SCREENING 5400 NON-
PACKAGE
02029040 MRI BRACHIAL PLEXUS 5400 NON-
PACKAGE
02029041 MRI CHEST 5400 NON-
PACKAGE
02029042 MRI BRAIN WITHSPECTROSCOPY 6000 NON-
PACKAGE
02029043 MRI BRAIN WITH PERFUSION 7300 NON-
PACKAGE
02029044 MRI BRAIN WITH ORBIT/ 6500 NON-
PNS/ANGIO/ NECK ANGIO PACKAGE
02029045 MRI BRAIN WITH DTI(DIFFUSION 6000 NON-
TENSOR IMAGING)/SWI PACKAGE
(SUSCEPTIBILITYWEIGHTED
IMAGE)/ CRANIALNERVE
EVALUATION
02029046 MRI PERFUSION STUDY 3500 NON-
PACKAGE
02029047 MRI SCREENING 5400 NON-
PACKAGE
02029048 SCREENING SINGLE AREA 1500 NON-
WITHFILMS PACKAGE
02029049 SCREENING DOUBLE AREAWITH 3000 NON-
FILMS PACKAGE
02029050 MRI SMALL PART 4000 NON-
PACKAGE
02029051 MRI OTHER REGION 5400 NON-
PACKAGE
02029052 CONTRAST (IONIC/ NONIONIC) 2500 NON-
PACKAGE
02030001 FLUOROSCOPIC SCREENING 120 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02030002 OXYGEN SATURATION 120 NON-
PACKAGE
02030003 BONE DENSITOMETRY 800 NON-
SINGLESITE PACKAGE
02030004 BONE DENSITOMETRY TWOSITES 1200 NON-
PACKAGE
THREESITES ( SPINE HIP AND PACKAGE
ONEEXTREMITY)
WHOLEBODY PACKAGE
02030007 A.V. FISTULA 3000 NON-
PACKAGE
02031001 HEPATITIS B DNA 5200 NON-
PACKAGE
02031002 HBV DNA QUANTITATIVE/VIRAL 6000 NON-
LOAD PACKAGE
02032001 ISOTOPE VENOGRAPHY 3500 NON-
PACKAGE
02032002 GALLIUM67 SCAN/GALLIUMSCAN 8500 NON-
PACKAGE
02032003 THYROID SCAN 1800 NON-
PACKAGE
02032004 IODINE131 THYROID SCAN 2500 NON-
PACKAGE
02032005 THYROID (TC99M) SCAN 1800 NON-
PACKAGE
02032006 PARA THYROID SCAN 6000 NON-
PACKAGE
02032007 THALLIUM SCAN 9000 NON-
PACKAGE
02032008 SPECT MYOCARDIAL 11000 NON-
PERFUSIONSCAN (THALIUM/ PACKAGE
TETRO)
02032009 SPECT MYO PERFUSION 5500 NON-
RESTSCAN (THALIUM/ TERO/ MIE PACKAGE
02032010 NUCLEAR BLOOD POOL SCAN 2000 NON-
PACKAGE
02032011 RADIOISOTOPE URETERICREFLUX 3000 NON-
(INDIRECT) PACKAGE
02032012 WHOLE BODY TCVDMSASCAN 3500 NON-
PACKAGE
02032013 BRAIN SPECT (TUMOURIMAGING) 2500 NON-
PACKAGE
02032014 TUMOUR IMMAGERY 5000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02032015 BONE SCAN SPECT 1800 NON-
(SINGLEREGION) PACKAGE
02032016 BONE SCAN THREE PHASE 2700 NON-
(SINGLE REGION) PACKAGE
02032017 BONE SCAN SPECT 3000 NON-
(WHOLEBODY) PACKAGE
02032018 TC 99M DMSA RENAL SCAN 2000 NON-
PACKAGE
02032019 MYOCARDIAL PERFUSION SCAN 7800 NON-
PACKAGE
02032020 HIDA SCAN 1750 NON-
PACKAGE
02033001 LIPID PROFILE 700 NON-
PACKAGE
02033002 THYROID PROFILE 1200 NON-
PACKAGE
02033003 TOTAL DIABETIC PROFILE 1000 NON-
PACKAGE
02033004 PRE CATH PROFILE 850 NON-
PACKAGE
02033005 COAGULATION PROFILE 550 NON-
PACKAGE
02033006 LFT (LIVER FUNCTION TEST) 750 NON-
PACKAGE
02033007 PRE DIALYSIS SEROLOGY 600 NON-
PACKAGE
02033008 DIALYSIS PROFILE 500 NON-
PACKAGE
02033009 HEPATITIS B PROFILE 3000 NON-
PACKAGE
02033010 HEPATITIS PANEL 1800 NON-
PACKAGE
02033011 NEURO PROFILE 2000 NON-
PACKAGE
02033012 SEPTIC PROFILE 900 NON-
PACKAGE
02033013 PAEDIATRIC SEPTIC PROFILE 1800 NON-
PACKAGE
02033014 BASIC METABOLIC PANEL(BMP) 320 NON-
PACKAGE
02033015 COMPREHENSIVE 500 NON-
METABOLICPANEL (CMP) PACKAGE
02033016 ANAEMIA SCREEN (HAEM1) 2800 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
02033017 THROMBOCYTOPENIA SCREEN 3400 NON-
(HAEM2) PACKAGE
02033018 MYCLOMA SCREEN (HAEM3) 2700 NON-
PACKAGE
02033019 LYMPHOMA SCREEN(HAEM4) 2000 NON-
PACKAGE
02033020 POLYCYTHAEMIA (HAEM5) 1800 NON-
PACKAGE
02033021 THALLASAEMIA PATIENTSCREEN 3000 NON-
(HAEM6) PACKAGE
02033022 THALLASAEMIA 1200 NON-
COUNSELLINGSERUM (HAEM7) PACKAGE
02033023 CRBSI 550 NON-
PACKAGE
02033024 ACTH STIM 1900 NON-
PACKAGE
02033025 GROWTH HORMONE STIM 2000 NON-
PACKAGE
02033026 MALE GNRH STIM 3500 NON-
PACKAGE
02033027 FEMALE GNRH STIM 3300 NON-
PACKAGE
02033028 BONE MARROW PROFILE 550 NON-
PACKAGE
02033029 EP SCREENING PROFILE 1100 NON-
PACKAGE
02033030 TORCH PROFILE 1500 NON-
PACKAGE
02033031 RENAL PROFILE 330 NON-
PACKAGE
02033032 SEPTIC PROFILE (HB TC 780 NON-
DCPLATELETS ESR P. PACKAGE
SMEARTOXIC GRANULES BAND
CELLCRP)
03001001 PACEMAKER (SINGLE CHAMBER)- 45000 or the actual cost, NON-
ORDINARY (SSI AUTOCAPTURE) whichever is less PACKAGE
03001002 PACEMAKER (SINGLE CHAMBER)- 68,000/- + VAT or the NON-
WITH RATE MODULATION (SSIR) actual cost, whichever is PACKAGE
less
03001003 PACEMAKER (DUAL CHAMBER) 1,20,000/- + VAT or the NON-
(DDD/DDDR/VDDR) actual cost, whichever is PACKAGE
less
03001004 CRT (CARDIAC 2,50,000/- or the actual NON-
RESYNCHRONIZATION THERAPY) cost, whichever is less PACKAGE
03001005 AICD (AUTOMATIC IMPLANTABLE 3,50,000/- or the actual NON-
CARDIOVERTER DEFIBRILLATER) cost, whichever is less PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
03001006 CRT PLUS AICD COMBINATION 5,00,000/- or the actual NON-
cost, whichever is less PACKAGE
03001007 BMS (BARE METAL STENT)(MADE 30,000/- + VAT or the NON-
OF STEEL) actual cost, whichever is PACKAGE
less
03001008 BMS (BARE METAL STENT)(MADE 40,000/- + VAT or the NON-
OF ALLOY E.G. COBALT, actual cost, whichever is PACKAGE
CHROMIUM, less
ETC.)
03001009 DES (DRUG ELUTING STENT)- 95,000/- + VAT or the NON-
SIROLIMUS-ELUTING E.G. actual cost, whichever is PACKAGE
CYPHER, ETC. less
03001010 DES (DRUG ELUTING STENT)- 1,05,000/- + VAT or the NON-
HIGHER SIROLIMUS actual cost, whichever is PACKAGE
DERIVATIVES E.G. less
ENDEAVOUR, PROMUS, XCIENCE,
ETC.
03001011 DES (DRUG ELUTING STENT)- 80,000/- + VAT or the NON-
PACLITAXEL-ELUTING E.G. actual cost, whichever is PACKAGE
TAXUS, ETC. less
03001012 PDA- CLOSURE DEVICE 50,000/- + VAT or the NON-
actual cost, whichever is PACKAGE
less
03001013 ASD/ VSD- CLOSURE DEVICE 80,000/- + VAT or the NON-
less
03001014 MITRAL BALOON, E.G. INOUE 40,000/- + VAT or the NON-
BALOON actual cost, whichever is PACKAGE
less
03001015 PULMONARY VALVOPLASTY 20,000/- + VAT or the NON-
BALOON actual cost, whichever is PACKAGE
less
03001016 MITRAL/ AORTIC HEART VALVE 50,000 + VAT or the NON-
less
03001017 TTK CHITRA (MITRAL/ AORTIC 30,000 + VAT or the NON-
HEART VALVE) actual cost, whichever is PACKAGE
less
03001018 HEART VALVES- ANNULOPLASTY 24,000/- + VAT or the NON-
RING actual cost, whichever is PACKAGE
less
03002001 HYDROPHOBIC FOLDABLE IOL 5000 NON-
PACKAGE
03002002 SILICON FOLDABLE IOL 4000 NON-
PACKAGE
03002003 HYDROPHILIC ACRYLIC LENS 6000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
03002004 PMMA IOL 500 NON-
PACKAGE
03002005 COST OF INJECTION LUCENTIS 45000 NON-
PACKAGE
03003001 ONE-SIDED HEARING AID (BODY 10000 NON-
WORN/POCKET/BEHIND THE EAR PACKAGE
TYPE OR
IN THE CANAL TYPE
(CONVENTIONAL)
03003002 BILATERAL HEARING AID 20000 NON-
PACKAGE
03003003 DIGITAL HEARING AID (TO BE 30000 NON-
PURCHASED WITH THE PACKAGE
PERMISSION OF THE
WEST BENGAL HEALTH SCHEME
AUTHORITY)
03004001 TYPE OF NEURO-IMPLANT-DBS Ceiling Rate-360000, Life NON-
IMPLANTS, PRESCRIBING of Battery-3-5 years, Cost PACKAGE
AUTHORITY-NEUROLOGIST OF A of Battery-250000
RECOGNISED
HOSPITAL,
03004002 TYPE OF NEURO-IMPLANT-INTRA- Ceiling Rate-262000, Life NON-

THECAL PUMPS, of Battery-7 years, Cost PACKAGE
PRESCRIBING AUTHORITY-ANY of Battery-225000
TWO SPECIALISTS OF
CONCERNED SPECIALITY/ HOD
OF
NEUROLOGY/ NEUROSURGERY/
ANAESTHESIOLOGY OF
RECOGNIZED
HOSPITAL
03004003 TYPE OF NEURO-IMPLANT-SPINAL Ceiling Rate-262000, Life NON-
CORD STIMULATORS, of Battery-3-5 years, Cost PACKAGE
of Battery-200000
PRESCRIBING AUTHORITY-ANY
TWO SPECIALISTS OF
CONCERNED SPECIALITY/ HOD
OF
NEUROLOGY/ NEUROSURGERY/
ANAESTHESIOLOGY OF
RECOGNIZED
HOSPITAL
03004004 CPAP MACHINE 50000 NON-
PACKAGE
03004005 BIPAP MACHINE 100000 NON-
PACKAGE
03005001 DEPUY (TKR) KNEE 75000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
03005002 ZIMMER (USA) KNEE 74880 NON-
PACKAGE
03005003 CEMENTED BIPOLAR HIP 41080 NON-
(ZIMMER) PACKAGE
03005004 UNCEMENTED TOTAL HIP 69992 NON-
(ZIMMER) PACKAGE
03005005 CEMENTED BIPOLAR HIP (DEPUY) 38500 NON-
PACKAGE
03005006 UNCEMENTED TOTAL HIP 77000 NON-
(DEPUY) PACKAGE
03005007 CEMENTED TOTAL HIP (DEPUY) 46500 NON-
PACKAGE
03005008 DHS PLATE SCREW 3500 NON-
PACKAGE
03005009 PROXIMAL FEMUR NAIL 5720 NON-
PACKAGE
03005010 LOCKING PLATE AND SCREW- 5500 NON-
FOR HUMEROUS PACKAGE
FOR DISTAL TIBIA PACKAGE
FOR PROXIMAL TIBIA PACKAGE
FOR PROXIMAL FEMUR PACKAGE
FOR SHAFT FEMUR PACKAGE
FOR RADIUS ULNA PACKAGE
FOR DISTAL HUMEROUS ELBOW PACKAGE
JOINT
FOR SHAFT HUMEROUS PACKAGE
FOR BUTTRESS PLATE SCREW PACKAGE
03005019 ISO-ELASTIC NAIL (PER PIECE) 2500 NON-
PACKAGE
03005020 INTERLOCKING NAIL FOR TIBIA 3500 NON-
AND FEMUR PACKAGE
03005021 PFN NAIL FOR PROXIMAL FEMUR 8000 NON-
PACKAGE
03005022 DHS PLATE SCREW FOR 3500 NON-
TROCHANTERIC FRACTURE PACKAGE
03005023 HUMEROUS PLATE 3500 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC

As on:19-09-2013

CODE PACKAGE
03005024 HUMEROUS LOCKING PLATE AND 5500 NON-
SCREW PACKAGE
03005025 HUMEROUS LOCKING T- 4500 NON-
BUTTRESS PLATES AND SCREW PACKAGE
03005026 ELBOW JOINT- FIXATION BY 3500 NON-
LOCKING PLATE AND SCREW PACKAGE
03005027 REPLACEMENT OF ELBOW JOINT 20000 NON-
PACKAGE
03005028 RADIUS ULNA- LOCKING PLATES 4500 NON-
AND SCREW PACKAGE
03005029 WRIST JOINT WITH LOCKING 2500 NON-
PLATE AND SCREW PACKAGE
03005030 SOLDIER JOINT- WITH JESS 6500 NON-
FIXATOR PACKAGE
03005031 EXTERNAL AND ILLIZAROV- 7000 NON-
FEMUR PACKAGE
TIBIA PACKAGE
PELVIS PACKAGE
03005034 TA-ALP-6-40 ALPHA LOCK POLY 5750 NON-
AXIAL PEDICLE SCREW WITH PACKAGE
INNY 6î
40 MM TITANIUM LIGHT BLUE
03005035 TA-TR-5-5-50 ALPHA LOCK 2250 NON-
CONNECTING ROD 5.5î50 MM PACKAGE
LENGTH
TITANIUM LIGHT BLUE
03005036 DFN 451.823 12 CANN L240 13780 NON-
PACKAGE
03005037 DFN 450.864 6 LOCKING SC L60 1200 NON-
PACKAGE
03005038 DFN 451.895 E/CAP S/B PINK 1520 NON-
PACKAGE
03005039 DFN 450.886 S/BLADE L70 5850 NON-
PACKAGE
03005040 4.9 LOCKING BOLT 459.340 LB 800 NON-
4.9X3.4 PACKAGE
03005041 4.9 LOCKING BOLT 459.360 LB 800 NON-
4.9X3.6 PACKAGE
03006001 352/(1(0(6+6,=((î 3,145/- 1,650/- 5,341/- NON-
î î PACKAGE
&0î&0
03007001 CROWN WITH LAB CHARGES 6000 NON-
PACKAGE
2/22/2019 1:06:20 PM NIC-WBSC


Revised Rate List Under The West Bengal Health Scheme, 2008 (Notification No. 796-F (MED) Dated 31-01-2011)

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Revised Rate List Under The West Bengal Health Scheme, 2008 (Notification No. 796-F (MED) Dated 31-01-2011)

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Revised Rate List under the West Bengal Health Scheme, 2008

(Notification No. 796-F (MED) dated 31-01-2011)

NAME OF TREATMENT Maximum Approved

01001011 DRESSINGS LARGE 160 NON-

01001015 REMOVAL OF BENIGN TUMOR 1100 PACKAGE

01001016 ASPIRATION PLURAL EFFUSION 1000 PACKAGE

01001019 BONE MARROW ASPIRATION 1500 PACKAGE

01001020 JOINTS ASPIRATION 1500 PACKAGE

01001021 STRAPPING 100 NON-

This Is a System generated Doccument.It Does Not Require

NAME OF TREATMENT Maximum Approved

01001027 INJECTION FOR HAEMORRHOIDS 1000 PACKAGE

01001028 INJECTION FOR VARICOSEVEINS 1300 PACKAGE

01001031 INCISION DRAINAGE 600 PACKAGE

01002002 EXCISION OF WARTS 600 PACKAGE

01002005 EXCISION OF CORNS 550 PACKAGE

01002006 I/D INJECTION KELOID OFACNE 300 PACKAGE

2/22/2019 1:06:20 PM NIC-WBSC

This Is a System generated Doccument.It Does Not Require

NAME OF TREATMENT Maximum Approved

01002011 SURGERY OF INFECTED CORN 2800 PACKAGE

01003006 PERITONSILLAR 1600 PACKAGE

01003009 STAEPEDECTOMY 12000 PACKAGE

01003010 MYRINGOTOMY WITHGROMMET 6000 PACKAGE

01003013 PARACENTESIS 4300 PACKAGE

01003014 TYMPANOPLASTY 14000 PACKAGE

01003015 MASTOIDECTOMY 15600 PACKAGE

01003016 OTOPLASTY 16500 PACKAGE

01003017 LABYRINTHECTOMY 15600 PACKAGE

01003018 SKULL BASE SURGERY 50000 PACKAGE

01003019 FACIAL NERVEDECOMPRESSION 20000 PACKAGE

01003020 SEPTOPLASTY 10200 PACKAGE

01003021 SUBMUCOUS RESECTION 10800 PACKAGE

01003022 SEPTORHINOPLASTY 15000 PACKAGE

01003023 RHINOPLASTY (NONCOSMETIC) 12000 PACKAGE

2/22/2019 1:06:20 PM NIC-WBSC

This Is a System generated Doccument.It Does Not Require

NAME OF TREATMENT Maximum Approved

01003025 INTRA NASAL DIATHERMY 6000 PACKAGE

01003026 TURBINECTOMY 9600 PACKAGE

01003027 ENDOSCOPIC DCR 13000 PACKAGE

01003028 ENDOSCOPIC SURGERY 15000 PACKAGE

01003029 SEPTAL PERF. REPAIR 15000 PACKAGE

01003030 ANTRUM PUNCTURE 13000 PACKAGE

01003031 LATERAL RHINOTOMY 1350 PACKAGE

01003032 CRANIOFACIAL RESECTION 28000 PACKAGE

01003033 ETHAMOIDECTOMY 17600 PACKAGE

01003034 CALDWELL LUC SURGERY 12000 PACKAGE

01003035 ANGIOFIBROMA EXCISION 18000 PACKAGE

01003036 ENDOSCOPICHYPOPHYSECTOMY 25000 PACKAGE

01003037 ENDOSCOPIC OPTIC 32000 PACKAGE

01003039 RANULA EXCISION 9600 PACKAGE

01003040 TONGUE TIE EXCISION 8100 PACKAGE

01003041 SUB MANDIBULAR 9700 PACKAGE

01003043 PALATOPHARYNGOPLASTY 15100 PACKAGE

01003044 CLEFT PALATE REPAIR 16000 PACKAGE

01003045 PHARYNGOPLASTY 18000 PACKAGE

01003046 STYLOIDECTOMY 11500 PACKAGE

01003047 UVULOPALATOPLASTY 20000 PACKAGE