Package Rates

Package Rates OPD

Package Rates IPD

Diagnostic Master - OPD

Specialty:

Package Name:

Sl No.	Specialty	Medical or Surgical	Package Name	Procedure Name	Procedure Price	ALoS	Stratification Options	Stratification Rate	Implants/Diagnostics	Procedure Code	Minimum Documents Required - Pre Authorization	Minimum Documents Required - Claim Processing
1	Diagnostic Laboratory	Medical	High-end Diagnostics Public Hospital	High-end Diagnostics Public Hospital	-	NA	No	0	Yes	DL555MLA	Clinical Notes/ Doctors Prescription	Doctors Prescription and Investigation Report
2	Diagnostic Laboratory	Medical	High-end Diagnostics Private Hospital	High-end Diagnostics Private Hospital	-	NA	No	0	Yes	DL666MLA	Clinical Notes/ Doctors Prescription	Doctors Prescription and Investigation Report
3	Medical Follow-up	Medical	Follow-up - Acquired heart disease with congestive cardiac failure	Follow-up - Acquired heart disease with congestive cardiac failure	-	D	Yes	1	No	MF001MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
4	Medical Follow-up	Medical	Follow-up - Acute MI (conservative management without angiogram)	Follow-up - Acute MI (conservative management without angiogram)	-	D	Yes	1	No	MF002MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
5	Medical Follow-up	Medical	Follow-up - Acute MI requiring IABP	Follow-up - Acute MI requiring IABP	-	D	Yes	1	No	MF003MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
6	Medical Follow-up	Medical	Follow-up - Acute MI with cardiogenic shock	Follow-up - Acute MI with cardiogenic shock	-	D	Yes	1	No	MF004MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
7	Medical Follow-up	Medical	Follow-up - Acute severe asthma	Follow-up - Acute severe asthma	-	D	Yes	1	No	MF005MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
8	Medical Follow-up	Medical	Follow-up - Acute severe asthma with acute respiratory failure	Follow-up - Acute severe asthma with acute respiratory failure	-	D	Yes	1	No	MF007MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
9	Medical Follow-up	Medical	Follow-up - Acute severe asthma with ventilation	Follow-up - Acute severe asthma with ventilation	-	D	Yes	1	No	MF008MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
10	Medical Follow-up	Medical	Follow-up - ADEM or relapse in multiple sclerosis	Follow-up - ADEM or relapse in multiple sclerosis	-	D	Yes	1	No	MF009MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
11	Medical Follow-up	Medical	Follow-up - Anaemia of unknown cause	Follow-up - Anaemia of unknown cause	-	D	Yes	1	No	MF010MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
12	Medical Follow-up	Medical	Follow-up - Chronic pancreatitis with severe pain	Follow-up - Chronic pancreatitis with severe pain	-	D	Yes	1	No	MF011MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
13	Medical Follow-up	Medical	Follow-up - Cirrhosis with hepatic encephalopathy	Follow-up - Cirrhosis with hepatic encephalopathy	-	D	Yes	1	No	MF012MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
14	Medical Follow-up	Medical	Follow-up - Cirrhosis with hepato renal syndrome	Follow-up - Cirrhosis with hepato renal syndrome	-	D	Yes	1	No	MF013MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
15	Medical Follow-up	Medical	Follow-up - Complex arrhythmias	Follow-up - Complex arrhythmias	-	D	Yes	1	No	MF014MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
16	Medical Follow-up	Medical	Follow-up - Congenital heart disease with congestive cardiac failure	Follow-up - Congenital heart disease with congestive cardiac failure	-	D	Yes	1	No	MF015MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
17	Medical Follow-up	Medical	Follow-up - Convulsive disorders/ status epilepticus (fits)	Follow-up - Convulsive disorders/ status epilepticus (fits)	-	D	Yes	1	No	MF016MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
18	Medical Follow-up	Medical	Follow-up - COPD respiratory failure (infective exacerbation)	Follow-up - COPD respiratory failure (infective exacerbation)	-	D	Yes	1	No	MF017MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
19	Medical Follow-up	Medical	Follow-up - Delayed puberty hypogonadism	Follow-up - Delayed puberty hypogonadism	-	D	Yes	1	No	MF018MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
20	Medical Follow-up	Medical	Follow-up - Delayed puberty hypogonadism (ex. Turners syndrome, Kleinfelter Syndrome)	Follow-up - Delayed puberty hypogonadism (ex. Turners syndrome, Kleinfelter Syndrome)	-	D	Yes	1	No	MF019MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
21	Medical Follow-up	Medical	Follow-up - Encephalitis/ Encephalopathy	Follow-up - Encephalitis/ Encephalopathy	-	D	Yes	1	No	MF020MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
22	Medical Follow-up	Medical	Follow-up - Gastric varices	Follow-up - Gastric varices	-	D	Yes	1	No	MF021MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
23	Medical Follow-up	Medical	Follow-up - Hemorrhagic stroke/ Strokes	Follow-up - Hemorrhagic stroke/ Strokes	-	D	Yes	1	No	MF022MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
24	Medical Follow-up	Medical	Follow-up - Hypopitutarism	Follow-up - Hypopitutarism	-	D	Yes	1	No	MF023MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
25	Medical Follow-up	Medical	Follow-up - Infective endocarditis	Follow-up - Infective endocarditis	-	D	Yes	1	No	MF024MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
26	Medical Follow-up	Medical	Follow-up - Interstitial lung diseases	Follow-up - Interstitial lung diseases	-	D	Yes	1	No	MF025MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
27	Medical Follow-up	Medical	Follow-up - Intracranial bleed	Follow-up - Intracranial bleed	-	D	Yes	1	No	MF026MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
28	Medical Follow-up	Medical	Follow-up - Ischemic strokes	Follow-up - Ischemic strokes	-	D	Yes	1	No	MF027MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
29	Medical Follow-up	Medical	Follow-up - Meningo-encephalitis	Follow-up - Meningo-encephalitis	-	D	Yes	1	No	MF028MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
30	Medical Follow-up	Medical	Follow-up - Meningo-encephalitis with ventilation	Follow-up - Meningo-encephalitis with ventilation	-	D	Yes	1	No	MF029MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
31	Medical Follow-up	Medical	Follow-up - Mixed connective tissue disorder	Follow-up - Mixed connective tissue disorder	-	D	Yes	1	No	MF030MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
32	Medical Follow-up	Medical	Follow-up - Nephrotic syndrome	Follow-up - Nephrotic syndrome	-	D	Yes	1	No	MF031MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
33	Medical Follow-up	Medical	Follow-up - Neuro tuberculosis	Follow-up - Neuro tuberculosis	-	D	Yes	1	No	MF032MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
34	Medical Follow-up	Medical	Follow-up - Neuro tuberculosis with ventilation	Follow-up - Neuro tuberculosis with ventilation	-	D	Yes	1	No	MF033MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
35	Medical Follow-up	Medical	Follow-up - Neuroinfections - Fungal meningitis	Follow-up - Neuroinfections - Fungal meningitis	-	D	Yes	1	No	MF034MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
36	Medical Follow-up	Medical	Follow-up - Neuroinfections - Pyogenic meningitis	Follow-up - Neuroinfections - Pyogenic meningitis	-	D	Yes	1	No	MF035MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
37	Medical Follow-up	Medical	Follow-up - Neuroinfections - Viral Meningoencephalitis (including herpes encephalitis)	Follow-up - Neuroinfections - Viral Meningoencephalitis (including herpes encephalitis)	-	D	Yes	1	No	MF036MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
38	Medical Follow-up	Medical	Follow-up - Neuromuscular (myasthenia gravis)	Follow-up - Neuromuscular (myasthenia gravis)	-	D	Yes	1	No	MF037MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
39	Medical Follow-up	Medical	Follow-up - Pemphigus/ Pemphigoid	Follow-up - Pemphigus/ Pemphigoid	-	D	Yes	1	No	MF038MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
40	Medical Follow-up	Medical	Follow-up - Pituitary – acromegaly	Follow-up - Pituitary – acromegaly	-	D	Yes	1	No	MF039MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
41	Medical Follow-up	Medical	Follow-up - Refractory cardiac failure	Follow-up - Refractory cardiac failure	-	D	Yes	1	No	MF040MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
42	Medical Follow-up	Medical	Follow-up - Scleroderma	Follow-up - Scleroderma	-	D	Yes	1	No	MF041MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
43	Medical Follow-up	Medical	Follow-up - Status epilepticus	Follow-up - Status epilepticus	-	D	Yes	1	No	MF042MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
44	Medical Follow-up	Medical	Follow-up - Steroid resistant nephritic syndrome	Follow-up - Steroid resistant nephritic syndrome	-	D	Yes	1	No	MF043MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
45	Medical Follow-up	Medical	Follow-up - Steroid resistant nephritic syndrome with complicated or resistant	Follow-up - Steroid resistant nephritic syndrome with complicated or resistant	-	D	Yes	1	No	MF044MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
46	Medical Follow-up	Medical	Follow-up - Systemic lupus erythmatous (SLE)	Follow-up - Systemic lupus erythmatous (SLE)	-	D	Yes	1	No	MF045MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
47	Medical Follow-up	Medical	Follow-up - Term baby with persistent pulmonary hypertension ventilation-hfo hyperbilirubinemia clinical sepsis	Follow-up - Term baby with persistent pulmonary hypertension ventilation-hfo hyperbilirubinemia clinical sepsis	-	D	Yes	1	No	MF046MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
48	Medical Follow-up	Medical	Follow-up - Term baby with seizures ventilated	Follow-up - Term baby with seizures ventilated	-	D	Yes	1	No	MF047MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
49	Medical Follow-up	Medical	Follow-up - Vasculitis	Follow-up - Vasculitis	-	D	Yes	1	No	MF048MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
50	Medical Follow-up	Medical	Follow-up - Cirrhosis with portal hypertension	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF049MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
51	Medical Follow-up	Medical	Follow-up - Chronic kidney disease not requring dialysis	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF050MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
52	Medical Follow-up	Medical	Follow-up - Acute exacerbation of Inflammatory bowel disease	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF051MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
53	Medical Follow-up	Medical	Follow-up - Peripheral neuropathy	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF052MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
54	OPD Benefits	Medical	Cardiac and diabetes preventive care	Cardiac and diabetes preventive care	-	D	Yes	1	No	OD001MLA	Clinical Notes with vitals	Clinical notes with Treatment details/ BP/ Blood sugar level/CBC/ HbA1c
55	OPD Benefits	Medical	ANC Check-up	ANC Check-up	-	D	Yes	1	No	OD002MLA	Clinical note	Clinical notes with Treatment details/ Screening / Blood test
56	OPD Benefits	Medical	Postnatal OPD Package within 30 days of delivery	Postnatal OPD Package within 30 days of delivery	-	D	Yes	1	No	OD003MLA	Earlier discharged Summary / Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
57	OPD Benefits	Medical	Infant Package	Infant Package - 1 (0 - 6 months)	-	D	Yes	1	No	OD004MLA	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
58	OPD Benefits	Medical	Infant Package	Infant Package - 2 (6 - 12 months)	1,700	D	No	0	No	OD004MLB	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
59	OPD Benefits	Medical	Toddler Package	Toddler Package	-	D	Yes	1	No	OD005MLA	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
60	Surgical Follow-up	Medical	Follow-up - Abscess Tapping	Follow-up - Abscess Tapping	-	D	Yes	1	No	SF001MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
61	Surgical Follow-up	Medical	Follow-up - Aneurysm Clipping	Follow-up - Aneurysm Clipping	-	D	Yes	1	No	SF002MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
62	Surgical Follow-up	Medical	Follow-up - Aortic Valve Replacement (With Valve)	Follow-up - Aortic Valve Replacement (With Valve)	-	D	Yes	1	No	SF003MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
63	Surgical Follow-up	Medical	Follow-up - Atrial Shunt	Follow-up - Atrial Shunt	-	D	Yes	1	No	SF004MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
64	Surgical Follow-up	Medical	Follow-up - CABG With Aneurismal Repair	Follow-up - CABG With Aneurismal Repair	-	D	Yes	1	No	SF005MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
65	Surgical Follow-up	Medical	Follow-up - CABG With IABP	Follow-up - CABG With IABP	-	D	Yes	1	No	SF006MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
66	Surgical Follow-up	Medical	Follow-up - With Prosthetic Ring	Follow-up - With Prosthetic Ring	-	D	Yes	1	No	SF007MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
67	Surgical Follow-up	Medical	Follow-up - Carotid Embolectomy	Follow-up - Carotid Embolectomy	-	D	Yes	1	No	SF008MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
68	Surgical Follow-up	Medical	Follow-up - Closed Mitral Valvotomy	Follow-up - Closed Mitral Valvotomy	-	D	Yes	1	No	SF009MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
69	Surgical Follow-up	Medical	Follow-up - Coronary Balloon Angioplasty	Follow-up - Coronary Balloon Angioplasty	-	D	Yes	1	No	SF010MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
70	Surgical Follow-up	Medical	Follow-up - Coronary Bypass Surgery	Follow-up - Coronary Bypass Surgery	-	D	Yes	1	No	SF011MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
71	Surgical Follow-up	Medical	Follow-up - Coronary Bypass Surgery-Post Angioplasty	Follow-up - Coronary Bypass Surgery-Post Angioplasty	-	D	Yes	1	No	SF012MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
72	Surgical Follow-up	Medical	Follow-up - Craniotomy and Evacuation of Haematoma (Extra Dural)	Follow-up - Craniotomy and Evacuation of Haematoma (Extra Dural)	-	D	Yes	1	No	SF013MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
73	Surgical Follow-up	Medical	Follow-up - Craniotomy and Evacuation of Haematoma (Subdural)	Follow-up - Craniotomy and Evacuation of Haematoma (Subdural)	-	D	Yes	1	No	SF014MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
74	Surgical Follow-up	Medical	Follow-up - Cystolithotripsy	Follow-up - Cystolithotripsy	-	D	Yes	1	No	SF015MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
75	Surgical Follow-up	Medical	Follow-up - Double Valve Replacement (With Valve)	Follow-up - Double Valve Replacement (With Valve)	-	D	Yes	1	No	SF016MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
76	Surgical Follow-up	Medical	Follow-up - Encephalocele	Follow-up - Encephalocele	-	D	Yes	1	No	SF017MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
77	Surgical Follow-up	Medical	Follow-up - Endoscope Removal of Stone in Bladder	Follow-up - Endoscope Removal of Stone in Bladder	-	D	Yes	1	No	SF018MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
78	Surgical Follow-up	Medical	Follow-up - Endoscopy Procedures	Follow-up - Endoscopy Procedures	-	D	Yes	1	No	SF019MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
79	Surgical Follow-up	Medical	Follow-up - ESWL	Follow-up - ESWL	-	D	Yes	1	No	SF020MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
80	Surgical Follow-up	Medical	Follow-up - Evacuation of Brain Abscess - Burr Hole	Follow-up - Evacuation of Brain Abscess - Burr Hole	-	D	Yes	1	No	SF021MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
81	Surgical Follow-up	Medical	Follow-up - Excision of Brain Abcess	Follow-up - Excision of Brain Abcess	-	D	Yes	1	No	SF022MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
82	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Basal	Follow-up - Excision of Brain Tumor - Basal	-	D	Yes	1	No	SF023MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
83	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Brain Stem	Follow-up - Excision of Brain Tumor - Brain Stem	-	D	Yes	1	No	SF024MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
84	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - C.P. Angle Tumor	Follow-up - Excision of Brain Tumor - C.P. Angle Tumor	-	D	Yes	1	No	SF025MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
85	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Other Tumors	Follow-up - Excision of Brain Tumor - Other Tumors	-	D	Yes	1	No	SF026MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
86	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Parasagital	Follow-up - Excision of Brain Tumor - Parasagital	-	D	Yes	1	No	SF027MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
87	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Subtentorial	Follow-up - Excision of Brain Tumor - Subtentorial	-	D	Yes	1	No	SF028MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
88	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Supratentorial	Follow-up - Excision of Brain Tumor - Supratentorial	-	D	Yes	1	No	SF029MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
89	Surgical Follow-up	Medical	Follow-up - Excision of Lobe (Frontal,Temporal,Cerebellum etc)	Follow-up - Excision of Lobe (Frontal,Temporal,Cerebellum etc)	-	D	Yes	1	No	SF030MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
90	Surgical Follow-up	Medical	Follow-up - External Ventricular Drainage (EVD)	Follow-up - External Ventricular Drainage (EVD)	-	D	Yes	1	No	SF031MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
91	Surgical Follow-up	Medical	Follow-up - Intra-Cerebral Hematoma Evacuation	Follow-up - Intra-Cerebral Hematoma Evacuation	-	D	Yes	1	No	SF032MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
92	Surgical Follow-up	Medical	Follow-up - Laparoscopic Pyelolithotomy	Follow-up - Laparoscopic Pyelolithotomy	-	D	Yes	1	No	SF033MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
93	Surgical Follow-up	Medical	Follow-up - Lesionectomy Type 1	Follow-up - Lesionectomy Type 1	-	D	Yes	1	No	SF034MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
94	Surgical Follow-up	Medical	Follow-up - Lesionectomy Type 2	Follow-up - Lesionectomy Type 2	-	D	Yes	1	No	SF035MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
95	Surgical Follow-up	Medical	Follow-up - Meningo Encephalocele	Follow-up - Meningo Encephalocele	-	D	Yes	1	No	SF036MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
96	Surgical Follow-up	Medical	Follow-up - Meningomyelocele	Follow-up - Meningomyelocele	-	D	Yes	1	No	SF037MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
97	Surgical Follow-up	Medical	Follow-up - Mitral Valve Replacement (With Valve)	Follow-up - Mitral Valve Replacement (With Valve)	-	D	Yes	1	No	SF038MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
98	Surgical Follow-up	Medical	Follow-up - Mitral Valvotomy (Open)	Follow-up - Mitral Valvotomy (Open)	-	D	Yes	1	No	SF039MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
99	Surgical Follow-up	Medical	Follow-up - Open Cystolithotomy	Follow-up - Open Cystolithotomy	-	D	Yes	1	No	SF040MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
100	Surgical Follow-up	Medical	Follow-up - Open Nephrolithotomy	Follow-up - Open Nephrolithotomy	-	D	Yes	1	No	SF041MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
101	Surgical Follow-up	Medical	Follow-up - Open Prostatectomy	Follow-up - Open Prostatectomy	-	D	Yes	1	No	SF042MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
102	Surgical Follow-up	Medical	Follow-up - Open Pulmonary Valvotomy	Follow-up - Open Pulmonary Valvotomy	-	D	Yes	1	No	SF043MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
103	Surgical Follow-up	Medical	Follow-up - Open Pyelolithotomy	Follow-up - Open Pyelolithotomy	-	D	Yes	1	No	SF044MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
104	Surgical Follow-up	Medical	Follow-up - Operation of adernal glands	Follow-up - Operation of adernal glands	-	D	Yes	1	No	SF045MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
105	Surgical Follow-up	Medical	Follow-up - Pancreatic Necrosectomy (Lap)	Follow-up - Pancreatic Necrosectomy (Lap)	-	D	Yes	1	No	SF046MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
106	Surgical Follow-up	Medical	Follow-up - Pancreatic Necrosectomy (Open)	Follow-up - Pancreatic Necrosectomy (Open)	-	D	Yes	1	No	SF047MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
107	Surgical Follow-up	Medical	Follow-up - PCNL	Follow-up - PCNL	-	D	Yes	1	No	SF048MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
108	Surgical Follow-up	Medical	Follow-up - Peripheral Angioplasty	Follow-up - Peripheral Angioplasty	-	D	Yes	1	No	SF049MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
109	Surgical Follow-up	Medical	Follow-up - Peritoneal Shunt	Follow-up - Peritoneal Shunt	-	D	Yes	1	No	SF050MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
110	Surgical Follow-up	Medical	Follow-up - Portocaval Anastomosis	Follow-up - Portocaval Anastomosis	-	D	Yes	1	No	SF051MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
111	Surgical Follow-up	Medical	Follow-up - Renal Angioplasty	Follow-up - Renal Angioplasty	-	D	Yes	1	No	SF052MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
112	Surgical Follow-up	Medical	Follow-up - Spleenectomy with Devascularisation with Spleno Renal Shunt	Follow-up - Spleenectomy with Devascularisation with Spleno Renal Shunt	-	D	Yes	1	No	SF053MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
113	Surgical Follow-up	Medical	Follow-up - Splenorenal Anastomosis	Follow-up - Splenorenal Anastomosis	-	D	Yes	1	No	SF054MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
114	Surgical Follow-up	Medical	Follow-up - Subdural Tapping	Follow-up - Subdural Tapping	-	D	Yes	1	No	SF055MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
115	Surgical Follow-up	Medical	Follow-up - Surgeries on adrenal gland in children	Follow-up - Surgeries on adrenal gland in children	-	D	Yes	1	No	SF056MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
116	Surgical Follow-up	Medical	Follow-up - Temporal Lobectomy	Follow-up - Temporal Lobectomy	-	D	Yes	1	No	SF057MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
117	Surgical Follow-up	Medical	Follow-up - Temporal Lobectomy Plus Depth Electrodes	Follow-up - Temporal Lobectomy Plus Depth Electrodes	-	D	Yes	1	No	SF058MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
118	Surgical Follow-up	Medical	Follow-up - Total Thyroidectomy	Follow-up - Total Thyroidectomy	-	D	Yes	1	No	SF059MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
119	Surgical Follow-up	Medical	Follow-up - Trans-oral Surgery	Follow-up - Trans-oral Surgery	-	D	Yes	1	No	SF060MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
120	Surgical Follow-up	Medical	Follow-up - Trans-sphenoidal Surgery	Follow-up - Trans-sphenoidal Surgery	-	D	Yes	1	No	SF061MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
121	Surgical Follow-up	Medical	Follow-up - Transurethral Resection of Prostate (TURP)	Follow-up - Transurethral Resection of Prostate (TURP)	-	D	Yes	1	No	SF062MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
122	Surgical Follow-up	Medical	Follow-up - Tricuspid Valve Replacement	Follow-up - Tricuspid Valve Replacement	-	D	Yes	1	No	SF063MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
123	Surgical Follow-up	Medical	Follow-up - TURP Cyst Lithotripsy	Follow-up - TURP Cyst Lithotripsy	-	D	Yes	1	No	SF064MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
124	Surgical Follow-up	Medical	Follow-up - URSL	Follow-up - URSL	-	D	Yes	1	No	SF065MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
125	Surgical Follow-up	Medical	Follow-up - Vascular Malformations	Follow-up - Vascular Malformations	-	D	Yes	1	No	SF066MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
126	Surgical Follow-up	Medical	Follow-up - Ventricular Tapping	Follow-up - Ventricular Tapping	-	D	Yes	1	No	SF067MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
127	Surgical Follow-up	Medical	Follow-up - Ventriculo-Atrial Shunt	Follow-up - Ventriculo-Atrial Shunt	-	D	Yes	1	No	SF068MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
128	Surgical Follow-up	Medical	Follow-up - Ventriculoatrial/ Ventriculoperitoneal Shunt	Follow-up - Ventriculoatrial/ Ventriculoperitoneal Shunt	-	D	Yes	1	No	SF069MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
129	Surgical Follow-up	Medical	Follow-up - Vertebral Angioplasty	Follow-up - Vertebral Angioplasty	-	D	Yes	1	No	SF070MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
130	Surgical Follow-up	Medical	Follow-up - Warren's Shunt	Follow-up - Warren's Shunt	-	D	Yes	1	No	SF071MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
	Specialty		Package Name

Package Master MHIS VI - IPD 26-7-2024

wdt_ID	wdt_created_by	wdt_created_at	wdt_last_edited_by	wdt_last_edited_at	SL.No	Specialty	Medical or Surgical	Package Name	Procedure Name	Procedure Price	ALoS	Stratification Options	Stratification Rate	Implants	Procedure Code
1	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	372	General Medicine	Medical	Lumbar puncture	Lumbar puncture	200	4	Not applicable	Not applicable	Not applicable	MG083A
2	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	374	General Medicine	Medical	Joint Aspiration	Joint Aspiration	200	4	Not applicable	Not applicable	Not applicable	MG084A
3	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,200	Otorhinolaryngology	Surgical	Packing/ Dressing of Ear	Packing/ Dressing of Ear	300	D	Not applicable	Not applicable	Not applicable	SL055MLA
4	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,213	Otorhinolaryngology	Surgical	Syringing of Ear	Syringing of Ear	400	D	Not applicable	Not applicable	Not applicable	SL067MLA
5	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	213	Emergency Room Packages	Medical	Animal bites	Dog/ Cat/ Rat Bites	500	D	Not applicable	Not applicable	Not applicable	ER003A
6	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,672	Obstetrics & Gynecology	Surgical	Transvaginal sonography (TVS for follicular monitioring/ aspiration)	Transvaginal sonography (TVS for follicular monitioring/ aspiration)	500	D	Not applicable	Not applicable	Not applicable	SO094MLA
7	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,811	Oral & Maxillofacial Surgery	Surgical	Gingivectomy	Per Tooth	500	D	Not applicable	Not applicable	Not applicable	SM022MLA
8	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,816	Oral & Maxillofacial Surgery	Surgical	Root canal treatment	Anterior	500	D	Not applicable	Not applicable	Not applicable	SM025MLA
9	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,341	Neo-natal Care	Medical	ROP screening	ROP screening	600	4	Not applicable	Not applicable	Not applicable	MN012A
10	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,762	Ophthalmology	Surgical	Epiliation	Epiliation	600	D	Not applicable	Not applicable	Not applicable	SE051MLA
11	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,978	Orthopedics	Surgical	Aspiration intra articular injections	Aspiration intra articular injections	700	D	Not applicable	Not applicable	Not applicable	SB078MLA
12	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	796	General Surgery	Surgical	Nasal Packing	Nasal Packing	800	D	Not applicable	Not applicable	Not applicable	SL053MLB
13	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,809	Oral & Maxillofacial Surgery	Surgical	Flap Operation	Per Tooth	800	D	Not applicable	Not applicable	Not applicable	SM020MLA
14	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,198	Otorhinolaryngology	Surgical	Nasal Packing	Nasal Packing	800	D	Not applicable	Not applicable	Not applicable	SL053MLB
15	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,340	Neo-natal Care	Medical	Basic neonatal care (Level IA)	Neonates > 2.5 kg nursed with mother : Includes clinical monitoring, breastfeeding support, birth vaccination, thyroid screening, universal hearing screening and pre-discharge counselling	900	4	Not applicable	Not applicable	Not applicable	MN011A
16	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,750	Ophthalmology	Surgical	Glaucoma Screening	Vision Refraction-IOP & Fundus	900	NA	Not applicable	Not applicable	Not applicable	SE043A
17	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,817	Oral & Maxillofacial Surgery	Surgical	Root canal treatment	Posterior	900	D	Not applicable	Not applicable	Not applicable	SM025MLB
18	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,818	Oral & Maxillofacial Surgery	Surgical	Splinting of tooth	Splinting of tooth	900	D	Not applicable	Not applicable	Not applicable	SM026MLA
19	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	376	General Medicine	Medical	DVT Pneumatic Compression Stockings (Add on package in ICU)	DVT Pneumatic Compression Stockings (Add on package in ICU)	1,000	4	Not applicable	Not applicable	Not applicable	MG085A
20	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,808	Oral & Maxillofacial Surgery	Surgical	Dental apical abcess	Dental apical abcess	1,000	D	Not applicable	Not applicable	Not applicable	SM018MLA
21	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,676	Pediatric Surgery	Medical	Ureterolithotomy	Lap Ureterolithotomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU018C
22	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,677	Pediatric Surgery	Medical	Ureterolithotomy	Open Ureterolithotomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU018D
23	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,685	Pediatric Surgery	Medical	Partial Cystectomy - Follow Up	Partial Cystectomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU043C
24	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,692	Pediatric Surgery	Medical	Urethroplasty Follow Up	Urethroplasty Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU066E
25	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,695	Pediatric Surgery	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU071E
26	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,756	Plastic & Reconstructive surgery	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU071E
27	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,176	Urology	Medical	Ureterolithotomy	Lap Ureterolithotomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU018C
28	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,177	Urology	Medical	Ureterolithotomy	Open Ureterolithotomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU018D
29	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,216	Urology	Medical	Partial Cystectomy - Follow Up	Partial Cystectomy - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU043C
30	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,239	Urology	Medical	Repair of stress incontinence - Follow Up	Repair of stress incontinence - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU063A
31	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,247	Urology	Medical	Urethroplasty Follow Up	Urethroplasty Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU066E
32	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,256	Urology	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU071E
33	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,288	Urology	Medical	Surgery for Priaprism - Follow Up	Surgery for Priaprism - Follow Up	1,000	D	Not applicable	Not applicable	Not applicable	SU083C
34	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,327	Mental Disorders	Medical	Transcranial Magnetic Stimulation (TMS)	Transcranial Magnetic Stimulation (TMS)	1,100	1	Not applicable	Not applicable	Not applicable	MM010A
35	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,754	Ophthalmology	Surgical	Diabetic Retinopathy Screening	Vision refraction,fundus photo and OCT	1,100	NA	Not applicable	Not applicable	Not applicable	SE044A
36	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,834	Orthopedics	Surgical	Application of Traction	Skin Traction	1,100	D	Not applicable	Not applicable	Not applicable	SB002B
37	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,220	Urology	Medical	Bladder Diverticulectomy	Bladder Diverticulectomy - Follow Up	1,100	D	Not applicable	Not applicable	Not applicable	SU047A
38	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	210	Emergency Room Packages	Surgical	Laceration	Dressing Under LA	1,200	D	Not applicable	Not applicable	Not applicable	ER001B
39	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	475	General Surgery	Surgical	Laceration	Dressing Under LA	1,200	D	Not applicable	Not applicable	Not applicable	ER001B
40	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	874	Interventional Neuroradiology	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200	D	Not applicable	Not applicable	Not applicable	SU008B
41	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,675	Pediatric Surgery	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200	D	Not applicable	Not applicable	Not applicable	SU008B
42	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,159	Urology	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200	D	Not applicable	Not applicable	Not applicable	SU008B
43	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	371	General Medicine	Medical	Bone marrow aspiration of biopsy	Bone marrow aspiration of biopsy	1,300	4	Not applicable	Not applicable	Not applicable	MG082A
44	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,174	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Turbinate reduction	1,300	D	Not applicable	Not applicable	Not applicable	SL035A
45	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,175	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Biopsy	1,300	D	Not applicable	Not applicable	Not applicable	SL035B
46	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,176	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Intratympanic injections	1,300	D	Not applicable	Not applicable	Not applicable	SL035C
47	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,177	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Wide bore aspiration	1,300	D	Not applicable	Not applicable	Not applicable	SL035D
48	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,352	Urology	Surgical	Vesico Uretero Reflux	Vesico Uretero Reflux	1,300	D	Not applicable	Not applicable	Not applicable	SU136MLA
49	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	795	General Surgery	Surgical	Nasal Packing	Nasal Packing with Catheter/ sponge	1,400	D	Not applicable	Not applicable	Not applicable	SL053MLA
50	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,197	Otorhinolaryngology	Surgical	Nasal Packing	Nasal Packing with Catheter/ sponge	1,400	D	Not applicable	Not applicable	Not applicable	SL053MLA
51	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	708	General Surgery	Surgical	Endoscopic Esophageal Sclerotheraphy Varies	Subseqent Sitting	1,500	D	Not applicable	Not applicable	Not applicable	SG140MLA
52	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,052	Medical Oncology	Medical	CT for CA Ovary	Tamoxifen Tamoxifem 20 mg orally daily (3 months)	1,500	D	Not applicable	Not applicable	Not applicable	MO003I
53	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,815	Oral & Maxillofacial Surgery	Surgical	Metal Capping	Subsequent to posterior root canal	1,500	D	Not applicable	Not applicable	Not applicable	SM024MLC
54	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,234	Urology	Medical	VVF Repair - Follow Up	VVF Repair - Follow Up	1,500	D	Not applicable	Not applicable	Not applicable	SU059A
55	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,760	Ophthalmology	Surgical	EOG (Electrooculogram) & ECG/EKG (Electrocardiogram)	EOG (Electrooculogram) & ECG/EKG (Electrocardiogram)	1,600	D	Not applicable	Not applicable	Not applicable	SE049MLA
56	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,973	Orthopedics	Surgical	Application of Functional Cast Brace	Application of Functional Cast Brace	1,600	D	Not applicable	Not applicable	Not applicable	SB076MLA
57	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	650	General Surgery	Surgical	Biopsy	Cervical	1,700	D	Not applicable	Not applicable	Not applicable	SG096D
58	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	709	General Surgery	Surgical	Endoscopic Esophageal Sclerotheraphy Varies	First Sitting	1,700	D	Not applicable	Not applicable	Not applicable	SG140MLB
59	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	764	General Surgery	Surgical	Upper GI endoscopy	Upper GI endoscopy	1,700	D	Not applicable	Not applicable	Not applicable	SG191MLA
60	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,527	Obstetrics & Gynecology	Surgical	Biopsy	Cervical	1,700	D	Not applicable	Not applicable	Not applicable	SG096D
61	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,537	Obstetrics & Gynecology	Surgical	Polypectomy	Polypectomy	1,700	D	Not applicable	Not applicable	Not applicable	SO008A
62	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,690	OPD Benefits	Medical	Infant Package	Infant Package - 2 (6 - 12 months)	1,700	D	Not applicable	Not applicable	Not applicable	OD004MLB
63	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,733	Ophthalmology	Surgical	Retinal Laser Photocoagulation	For retinal tear repair Per Eye Per Sitting	1,700	1	Not applicable	Not applicable	Not applicable	SE029A
64	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,751	Ophthalmology	Surgical	Glaucoma Screening	Vision Refraction-IOP & Fundus OCT & Visual Fields	1,700	NA	Not applicable	Not applicable	Not applicable	SE043B
65	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,794	Oral & Maxillofacial Surgery	Surgical	Apicoectomy (A) Tooth	Apicoectomy (A) Tooth	1,700	D	Not applicable	Not applicable	Not applicable	SM008A
66	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,802	Oral & Maxillofacial Surgery	Surgical	Re-implantation of avulsed tooth with wiring	Re-implantation of avulsed tooth with wiring	1,700	D	Not applicable	Not applicable	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SM013A
67	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,507	Pediatric Surgery	Surgical	Biopsy	Cervical	1,700	D	Not applicable	Not applicable	Not applicable	SG096D
68	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	713	General Surgery	Surgical	Excision of Molluscumcontagiosum	Excision of Molluscumcontagiosum	1,800	D	Not applicable	Not applicable	Not applicable	SG144MLA
69	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,342	Neo-natal Care	Medical	BERA	BERA	1,800	4	Not applicable	Not applicable	Not applicable	MN013A
70	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,806	Oral & Maxillofacial Surgery	Surgical	Complicated extraction - Under LA	Complicated extraction - Under LA	1,800	D	Not applicable	Not applicable	Not applicable	SM016MLA
71	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,805	Oral & Maxillofacial Surgery	Surgical	Apisectomy - Under LA	Apisectomy - Under LA	2,000	D	Not applicable	Not applicable	Not applicable	SM015MLA
72	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,813	Oral & Maxillofacial Surgery	Surgical	Metal Capping	Subsequent to acrylic facing for anterior root canal	2,000	D	Not applicable	Not applicable	Not applicable	SM024MLA
73	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,350	Neo-natal Care	Medical	Laser Therapy for Retinopathy of Prematurity	Laser Therapy for Retinopathy of Prematurity	2,100	D	Not applicable	Not applicable	Not applicable	MN008A
74	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	3,161	Urology	Surgical	Follow up for urological procedures	Follow up for urological procedures	2,100	4	Not applicable	Not applicable	Not applicable	SU0101A
75	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	209	Emergency Room Packages	Surgical	Laceration	Suturing/ Dressing	2,200	D	Not applicable	Not applicable	Not applicable	ER001A
76	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	211	Emergency Room Packages	Medical	Cardiopulmonary emergency	with stable cardiopulmonary status	2,200	D	Not applicable	Not applicable	Not applicable	ER002A
77	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	359	General Medicine	Medical	Plasmapheresis	Plasmapheresis	2,200	NA	Not applicable	Not applicable	Not applicable	MG073A
78	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	508	General Surgery	Surgical	Neurofibroma Excision under LA	Neurofibroma Excision under LA	2,200	D	Not applicable	Not applicable	Not applicable	SG0114A
79	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	509	General Surgery	Surgical	Ingrowing Toe Nail	Ingrowing Toe Nail	2,200	D	Not applicable	Not applicable	Not applicable	SG0115A
80	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,699	Ophthalmology	Surgical	Chalazion removal	One eye	2,200	NA	Not applicable	Not applicable	Not applicable	SE007A
81	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,708	Ophthalmology	Surgical	Corneal Grafting	Corneal Graft - Follow Up	2,200	1	Not applicable	Not applicable	Not applicable	SE012B
82	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,783	Oral & Maxillofacial Surgery	Surgical	Sequestrectomy	Sequestrectomy	2,200	D	Not applicable	Not applicable	Not applicable	SM002A
83	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,971	Orthopedics	Surgical	Application of Traction	POP slab	2,200	D	Not applicable	Not applicable	Not applicable	SB076A
84	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,178	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Biopsy	2,200	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL035E
85	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,340	Pediatric Medical Management	Medical	Plasmapheresis	Plasmapheresis	2,200	NA	Not applicable	Not applicable	Not applicable	MG073A
86	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	215	Emergency Room Packages	Medical	Animal bites	Other bites	2,300	D	Not applicable	Not applicable	Not applicable	ER003MLB
87	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	257	General Medicine	Medical	Inflammatory Myopathy/ Myaesthenic Crisis	Inflammatory Myopathy/ Myaesthenic Crisis	2,300	4	Not applicable	Not applicable	Not applicable	MG0115A
88	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	258	General Medicine	Medical	Guillain Barre syndrome	Guillain Barre syndrome (Plasmapheresis)	2,300	4	Not applicable	Not applicable	Not applicable	MG0116A
89	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	259	General Medicine	Medical	Myasthenic crisis (Plasmapheresis)	Myasthenic crisis (Plasmapheresis)	2,300	4	Not applicable	Not applicable	Not applicable	MG0116B
90	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	260	General Medicine	Medical	Moyamoya revascularization	Moyamoya revascularization	2,300	4	Not applicable	Not applicable	Not applicable	MG0117A
91	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	261	General Medicine	Medical	Evaluation of drug resistant epilepsy-Phase-1	Evaluation of drug resistant epilepsy-Phase-1	2,300	4	Not applicable	Not applicable	Not applicable	MG0118A
92	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	262	General Medicine	Medical	Drug resistant epilepsy	Drug resistant epilepsy	2,300	4	Not applicable	Not applicable	Not applicable	MG0119A
93	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,627	Obstetrics & Gynecology	Surgical	Colpotomy	Colpotomy	2,300	D	Not applicable	Not applicable	Not applicable	SO066MLA
94	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	1,748	Ophthalmology	Surgical	Optic neuritis	Optic neuritis	2,300	NA	Not applicable	Not applicable	Not applicable	SE042A
95	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,269	Pediatric Medical Management	Medical	Inflammatory Myopathy/ Myaesthenic Crisis	Inflammatory Myopathy/ Myaesthenic Crisis	2,300	4	Not applicable	Not applicable	Not applicable	MG0115A
96	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,270	Pediatric Medical Management	Medical	Guillain Barre syndrome	Guillain Barre syndrome (Plasmapheresis)	2,300	4	Not applicable	Not applicable	Not applicable	MG0116A
97	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,271	Pediatric Medical Management	Medical	Myasthenic crisis (Plasmapheresis)	Myasthenic crisis (Plasmapheresis)	2,300	4	Not applicable	Not applicable	Not applicable	MG0116B
98	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,272	Pediatric Medical Management	Medical	Moyamoya revascularization	Moyamoya revascularization	2,300	4	Not applicable	Not applicable	Not applicable	MG0117A
99	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,273	Pediatric Medical Management	Medical	Evaluation of drug resistant epilepsy-Phase-1	Evaluation of drug resistant epilepsy-Phase-1	2,300	4	Not applicable	Not applicable	Not applicable	MG0118A
100	support@intownsolutions.com	26/07/2024 12:46 PM	support@intownsolutions.com	26/07/2024 12:46 PM	2,274	Pediatric Medical Management	Medical	Drug resistant epilepsy	Drug resistant epilepsy	2,300	4	Not applicable	Not applicable	Not applicable	MG0119A
					SL.No	Specialty	Medical or Surgical	Package Name	Procedure Name	Procedure Price	ALoS	Stratification Options	Stratification Rate	Implants	Procedure Code

Diagnostic Master - OPD

Diagnostic Code	Diagnostic	Maximum permissible multiplier per hospitalization/ regime	Price
DL551ML	C.T. guided percutaneous biopsy	1	4,100
DL552ML	C.T. guided percutaneous FNAC	1	3,400
DL553ML	C.T. guided percutaneous needle aspiration	1	3,400
DL020ML	C.T. Scan - Angiography - Abdomen/ Chest	1	4,500
DL021ML	C.T. Scan - Angiography - Coronary	1	6,000
DL022ML	C.T. Scan - Angiography - Neck vessels	1	5,100
DL023ML	C.T. Scan - Cardiac	1	2,300
DL024ML	C.T. Scan - CECT Chest (Including CD)	1	2,500
DL025ML	C.T. Scan - Cervical C.T. 3D reconstruction only	1	3,700
DL026ML	C.T. Scan - Chest - with contrast	1	3,700
DL027ML	C.T. Scan - Chest - without contrast	1	3,100
DL028ML	C.T. Scan - Chest HRCT - with contrast	1	2,400
DL029ML	C.T. Scan - Chest HRCT - without contrast	1	2,400
DL030ML	C.T. Scan - Dental	1	1,300
DL031ML	C.T. Scan - Enteroclysis	1	6,000
DL032ML	C.T. Scan - Guided biopsy	1	1,000
DL033ML	C.T. Scan - Guided intervention - FNAC	1	1,200
DL034ML	C.T. Scan - Guided percutaneous catheter drainage	1	1,000
DL035ML	C.T. Scan - Head - Brain - with contrast	1	2,400
DL036ML	C.T. Scan - Head - Brain - without contrast	1	1,500
DL037ML	C.T. Scan - Head scan involving special investigation - with contrast	1	2,400
DL038ML	C.T. Scan - Head scan involving special investigation - without contrast	1	2,400
DL039ML	C.T. Scan - Limbs - with contrast	1	4,700
DL040ML	C.T. Scan - Limbs - without contrast	1	3,500
DL041ML	C.T. Scan - Lower abdomen - with contrast	1	4,000
DL042ML	C.T. Scan - Lower abdomen - without contrast	1	3,100
DL043ML	C.T. Scan - Myelogram (Cervical spine) - with contrast	1	1,000
DL044ML	C.T. Scan - Myelogram (Cervical spine) - without contrast	1	1,000
DL045ML	C.T. Scan - Myelogram (Lumbar spine or D/S) - with contrast	1	1,000
DL046ML	C.T. Scan - Myelogram (Lumbar spine or D/S) - without contrast	1	1,000
DL047ML	C.T. Scan - Neck - Thyroid soft tissue - with contrast	1	4,300
DL048ML	C.T. Scan - Neck - Thyroid soft tissue - without contrast	1	2,800
DL049ML	C.T. Scan - Orbits - with contrast	1	3,100
DL050ML	C.T. Scan - Orbits - without contrast	1	3,100
DL051ML	C.T. Scan - Paranasal sinus - with contrast	1	4,300
DL052ML	C.T. Scan - Paranasal sinus - without contrast	1	3,100
DL053ML	C.T. Scan - Spine (Cervical, dorsal, lumbar, sacral) - with contrast	1	4,000
DL054ML	C.T. Scan - Spine (Cervical, dorsal, lumbar, sacral) - without contrast	1	3,900
DL055ML	C.T. Scan - Temporal Bone - without contrast	1	900
DL056ML	C.T. Scan - Trucut biopsy	1	1,200
DL057ML	C.T. Scan - Upper abdomen - with contrast	1	4,300
DL058ML	C.T. Scan - Upper abdomen - without contrast	1	3,100
DL059ML	C.T. Scan - Urography	1	3,800
DL060ML	C.T. Scan - Whole abdomen - with contrast	1	6,700
DL061ML	C.T. Scan - Whole abdomen - without contrast	1	4,300
DL062ML	C.T. Scan - Whole body - with contrast	1	4,300
DL063ML	C.T. Scan - Whole body - without contrast	1	4,400
DL004MGA	COVID-19 testing - CB - NAT	1	3,000
DL001MGA	COVID-19 testing - Rapid Antigen Test	1	250
DL002MGA	COVID-19 testing - RT - PCR	1	500
DL003MGA	COVID-19 testing - TRU - NAT	1	1,500
DL548ML	Diskography	1	6,000
DL065ML	Endoscopic biopsy	1	300
DL069ML	MRI - Abdomen - with contrast	1	5,600
DL070ML	MRI - Abdomen - without contrast	1	4,000
DL071ML	MRI - Angiography - with contrast	1	5,900
DL072ML	MRI - Angiography - without contrast	1	4,300
DL073ML	MRI - Ankle (both) - with contrast	1	5,800
DL074ML	MRI - Ankle (both) - without contrast	1	4,300
DL075ML	MRI - Ankle (single) - with contrast	1	6,100
DL076ML	MRI - Ankle (single) - without contrast	1	4,300
DL077ML	MRI - Breast - with contrast	1	5,500
DL078ML	MRI - Breast - without contrast	1	4,100
DL079ML	MRI - Cardiac	1	2,400
DL080ML	MRI - Cervical spine - with contrast	1	5,600
DL081ML	MRI - Cervical spine - without contrast	1	3,900
DL082ML	MRI - Chest - with contrast	1	4,700
DL083ML	MRI - Chest - without contrast	1	3,700
DL084ML	MRI - Extremities - with contrast	1	5,900
DL085ML	MRI - Extremities - without contrast	1	3,900
DL086ML	MRI - Head - with contrast	1	5,900
DL087ML	MRI - Head - without contrast	1	4,700
DL088ML	MRI - Hip - with contrast	1	6,400
DL089ML	MRI - Hip - without contrast	1	4,000
DL090ML	MRI - Knee (both joints) - with contrast	1	6,000
DL091ML	MRI - Knee (both joints) - without contrast	1	4,400
DL092ML	MRI - Knee (single joint) - with contrast	1	6,100
DL093ML	MRI - Knee (single joint) - without contrast	1	4,700
DL094ML	MRI - Lumber spine - with contrast	1	6,100
DL095ML	MRI - Lumber spine - without contrast	1	4,300
DL096ML	MRI - Mammography	1	2,600
DL097ML	MRI - MR angiography	1	5,600
DL098ML	MRI - MR cholecysto-pancreatography (MRCP)	1	5,500
DL099ML	MRI - MR Enteroclysis	1	2,100
DL100ML	MRI - MR for Salivary Glands with Sialography	1	3,000
DL101ML	MRI - MR Temporal Bone/ Inner ear with contrast	1	4,000
DL102ML	MRI - MR Temporal Bone/ Inner ear without contrast	1	2,500
DL103ML	MRI - Nasopharynx and PNS - with contrast	1	5,900
DL104ML	MRI - Nasopharynx and PNS - without contrast	1	4,300
DL105ML	MRI - Neck - with contrast	1	5,100
DL106ML	MRI - Neck - without contrast	1	4,000
DL107ML	MRI - Orbits - with contrast	1	5,200
DL108ML	MRI - Orbits - without contrast	1	5,500
DL109ML	MRI - Pelvis - with contrast	1	5,500
DL110ML	MRI - Pelvis - without contrast	1	4,300
DL111ML	MRI - Prostate (Multi-parametric) including CD	1	6,000
DL112ML	MRI - Screening - with contrast	1	5,900
DL113ML	MRI - Screening - without contrast	1	4,000
DL114ML	MRI - Shoulder - with contrast	1	5,900
DL115ML	MRI - Shoulder - without contrast	1	4,300
DL116ML	MRI - Shoulder (both joints) - with contrast	1	5,500
DL117ML	MRI - Shoulder (both joints) - without contrast	1	4,400
DL118ML	MRI - Spine screening - with contrast	1	5,200
DL119ML	MRI - Spine screening - without contrast	1	3,700
DL120ML	MRI - Stress Cardiac	1	3,000
DL121ML	MRI - Temporomadibular (double joints) - with contrast	1	6,100
DL122ML	MRI - Temporomadibular (double joints) - without contrast	1	4,400
DL123ML	MRI - Temporomadibular (single joint) - with contrast	1	5,900
DL124ML	MRI - Temporomadibular (single joint) - without contrast	1	4,300
DL125ML	MRI - Wrist (both joints) - with contrast	1	6,200
DL126ML	MRI - Wrist (both joints) - without contrast	1	4,300
DL127ML	MRI - Wrist (single joint) - with contrast	1	6,100
DL128ML	MRI - Wrist (single joint) - without contrast	1	4,900
DL541ML	PET scan - Brain	1	14,663
DL543ML	PET scan - Cardiac	1	1,500
DL542ML	PET scan - Gallium peptide	1	15,000
DL540ML	PET scan - Whole body	1	20,528
DL549ML	USG guided percutaneous biopsy	1	2,800
DL130ML	Whole body MRI (For oncological workup) - Whole body (For oncological workup)	1	5,100
DL503ML	Electrocardiogram (ECG)	1	100
DL505ML	Sleep deprived EEG	1	300
DL506ML	Ultra Sonography test - Breast	1	300
DL507ML	Ultra Sonography test - Guided FNAC thyroid gland	1	400
DL508ML	Ultra Sonography test - Guided intervention - biopsy	1	700
DL510ML	Ultra Sonography test - Hysterosalpingography (HSG)	1	300
DL511ML	Ultra Sonography test - KUB abdomen	1	800
DL512ML	Ultra Sonography test - Lower abdomen	1	800
DL513ML	Ultra Sonography test - Obstetrics	1	800
DL514ML	Ultra Sonography test - Pelvic	1	300
DL515ML	Ultra Sonography test - Small Parts	1	300
DL516ML	Ultra Sonography test - Upper abdomen	1	800
DL517ML	Ultra Sonography test - Whole abdomen	1	1,100
DL518ML	Ultrasonography Level II scan/Anomaly Scan	1	500
DL519ML	Ultrasound - A- Scan	1	900
DL520ML	Ultrasound - B- Scan	1	200
DL521ML	Ultrasound - Guided FNAC	1	600
DL522ML	Urodynamic Study (Cystometry)	1	1,000
DL523ML	Uroflow Study (Micrometry)	1	1,200
DL525ML	X-ray - 90 D lens examination	1	200
DL526ML	X-ray - Abdomen AP Supine or Erect (One film)	1	200
DL527ML	X-ray - Abdomen Lateral view (one film)	1	200
DL528ML	X-ray - Arthrography	1	700
DL529ML	X-ray - Chest lateral (one film)	1	200
DL530ML	X-ray - Chest PA view (one film)	1	200
DL531ML	X-ray - Mammography	1	300
DL532ML	X-ray - Occlusal	1	200
DL533ML	X-ray - OPG	1	200
DL534ML	X-ray - Orbits	1	200
DL535ML	X-ray - Pelvis AP (one film)	1	200
DL536ML	X-ray - PNS view (1 film)	1	200
DL537ML	X-ray - Skull AP & Lateral (2 films)	1	300
DL538ML	X-ray - Spine AP & Lateral (2 films)	1	300
DL539ML	X-ray - Temporomandibular (TM) Joints (one film)	1	200
DL131ML	11 cells panel for antibody identification	1	200
DL137ML	17 Hydroxyprogesterone (17 OH Progesterone)	1	400
DL138ML	24 hour urinary - Aldostrone	1	900
DL139ML	24 hour urinary - Free cortisol	1	200
DL140ML	24 hour urinary - Proteins, sodium, creatinine	1	100
DL141ML	3 cell panel - antibody screening for pregnant female	1	200
DL142ML	Abdominal Aspiration - Diagnostic	1	300
DL143ML	Acetylcholine receptor (AChR) antibody titre	1	1,800
DL144ML	Acid Phosphatase	1	100
DL146ML	Adrenocorticotropic Hormone (ACTH)	1	500
DL147ML	Alkaline Phosphatase	1	100
DL148ML	Alpha Fetoprotein (AFP)	1	300
DL149ML	Androstenedione	1	600
DL150ML	Angiotensin converting enzyme (ACE)	1	900
DL152ML	Anti HAV IgM	1	600
DL153ML	Anti Hbs	1	600
DL154ML	Anti HEV IgM	1	900
DL155ML	Anti-Cyclic Citrullinated Peptide (Anti CCP)	1	500
DL156ML	Anti-double stranded DNA (anti-dsDNA)	1	400
DL157ML	Antinuclear antibody (ANA)	1	200
DL158ML	Anti-tissue Transglutaminase antibody (Anti TTG Antibody)	1	400
DL159ML	Apolipoprotein - A1 (ApoA1)	1	200
DL160ML	Apolipoprotein - B (Apo B)	1	200
DL162ML	Aspiration Pleural Effusion - Diagnostic	1	100
DL163ML	Bacterial culture and sensitivity	1	200
DL168ML	Basic studies including cell count, protein, sugar, gram stain,India Ink preparation and smear for AFP	1	200
DL169ML	Beta 2 microglobulin (B2M) /β2 microglobulin	1	100
DL170ML	Biophysical score	1	600
DL173ML	Bleeding Disorder panel- PT, APTT, Thrombin Time, Fibrinogen, D-Dimer/ Fibrinogen Degradation Products (FDP)	1	400
DL175ML	Blood gas analysis - Arterial Blood Gas (ABG) with electrolytes	1	500
DL176ML	Body fluid (CSF/Ascitic Fluid etc) Sugar, Protein etc.	1	100
DL177ML	Body fluid for Malignant cells	1	200
DL178ML	Bone Marrow Smear Examination - Smear Examinantion	1	100
DL180ML	Bone Marrow Smear Examination - Smear Examinantion with iron stain	1	300
DL181ML	Brachial plexus study	1	600
DL182ML	Breath tests	1	300
DL183ML	Brucella serology	1	200
DL184ML	C ANCA-IFA	1	1,300
DL185ML	C3-Complement	1	600
DL186ML	C4-Complement	1	600
DL187ML	Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 assay (Vit D3)	1	600
DL188ML	Calcitonin	1	500
DL189ML	Cancer Antigen - 125 (CA 125)	1	400
DL190ML	Cancer Antigen - 15.3 (CA 15.3)	1	600
DL191ML	Cancer Antigen - 19.9 (CA 19.9)	1	600
DL192ML	Carbamazepine	1	400
DL193ML	Carcinoembryonic Antigen (CEA)	1	300
DL195ML	Catecholamines - Catecholamines.	1	1,100
DL197ML	Chlamydae - Antibody	1	200
DL198ML	Chlamydae - Antigen	1	900
DL199ML	Chloride	1	100
DL200ML	Chromogranin A	1	4,300
DL201ML	CK MB Mass/CPK MB Mass	1	100
DL202ML	Coagulation profile	1	600
DL203ML	Cold Calorie Test for Vestibular function	1	200
DL206ML	Coomb’s Test - Direct	1	100
DL207ML	Coomb’s Test - Indirect	1	100
DL208ML	Corneal endothelial cell count with specular microscopy	1	200
DL211ML	Cortisol	1	300
DL212ML	C-Peptide (C Peptide / Connecting Peptide)	1	300
DL213ML	CPK MB/CK MB	1	200
DL214ML	C-reactive Protein (CRP)	1	100
DL215ML	C-reactive Protein (CRP) Quantitative	1	200
DL216ML	Creatinine clearance	1	100
DL217ML	Cross match	1	100
DL218ML	Cryptococcal antigen	1	1,100
DL220ML	Dehydroepiandrosterone sulfate (DHEAS)	1	400
DL221ML	Dengue Serology	1	500
DL227ML	Dilantin (phenytoin).	1	400
DL228ML	Double balloon enteroscopy	1	3,500
DL229ML	D-xylase test	1	900
DL240ML	Erythropoietin Level	1	400
DL241ML	Estradiol (E2)	1	200
DL242ML	Extended Lipid Profile. (Total cholesterol, LDL, HDL, Triglycerides Apo A1,Apo B,Lp (a) )	1	600
DL243ML	External Loop/event recording	1	2,800
DL244ML	Extractable Nuclear Antigens (ENA) - Quantitative	1	3,900
DL246ML	Factor Assays - Factor IX	1	700
DL247ML	Factor Assays - Factor VII	1	700
DL248ML	Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase	1	400
DL249ML	Faecal calprotectin (fecal calprotectin)	1	2,300
DL253ML	Fibrinogen.	1	200
DL255ML	Fine Needle Aspiration Cytology (FNAC)	1	200
DL257ML	Fluorescent in situ hybridization (FISH)	1	500
DL258ML	Foetal Haemoglobin (HbF)	1	100
DL259ML	Folic Acid assay.	1	300
DL260ML	Follicle stimulating hormone (FSH)	1	200
DL261ML	Free Thyroxine (FT4)	1	100
DL262ML	Free Triiodothyronine (FT3)	1	100
DL263ML	Frozen section	1	800
DL264ML	Fructosamine.	1	200
DL265ML	Fundus Photo Test	1	200
DL266ML	Fungal culture	1	100
DL267ML	Gamma-Glutamyl Transpeptidase (GGTP)	1	100
DL269ML	Gastric emptying	1	1,300
DL273ML	GDx Nerve fibre layer analysis	1	100
DL554ML	Genetic workup	1	22,000
DL274ML	Genexpert Test	1	900
DL275ML	Glucose Tolerance Test (GTT)	1	100
DL276ML	Glucose-6-Phosphate Dehydrogenase (G6PD)	1	100
DL277ML	Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies)	1	1,300
DL278ML	Glycosylated Haemoglobin (HbA1c)	1	100
DL280ML	Growth Hormone	1	300
DL281ML	H pylori serology for Coeliac disease /Celiac disease	1	500
DL282ML	H1N1 (RT-PCR)	1	900
DL283ML	Haemoglobin Electrophoresis/ Hb HPLC	1	100
DL284ML	HBV genotyping	1	2,500
DL285ML	HCV genotyping	1	4,900
DL286ML	HCV RNA Quantitative	1	1,500
DL287ML	Head -up tilt test (HUTT)	1	2,200
DL288ML	Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM Antibody)	1	400
DL289ML	Hepatitis B Virus (HBV) DNA Quantitative.	1	1,500
DL290ML	Hepatitis C virus (HCV)	1	100
DL291ML	Hepatitis C Virus (HCV) RNA Qualitative.	1	1,700
DL294ML	HLA B27 (PCR)	1	500
DL297ML	Human chorionic gonadotropin (HCG)	1	300
DL298ML	Human papillomaviruse (HPV) Serology	1	200
DL299ML	Hydatic Serology	1	300
DL300ML	Immunofluorescence	1	200
DL301ML	Immunoglobulin A (IgA)	1	300
DL302ML	Immunoglobulin G (IgG)	1	300
DL303ML	Immunoglobulin M (IgM)	1	300
DL304ML	Immunohistochemistry (IHC)	1	800
DL305ML	Impedence with stepedeal reflex	1	200
DL306ML	Imprint Smear From Endoscopy	1	200
DL307ML	Indirect (antids DNA Anti Smith ANCA)	1	400
DL311ML	Influenza A serology	1	900
DL312ML	Insulin	1	200
DL313ML	Insulin associated antibody	1	400
DL314ML	Insulin-like growth factor binding protein 3 (IGF-BP3)	1	1,700
DL315ML	Insulin-like growth factor-1 (IGF-1)	1	1,500
DL316ML	Interleukin 6 (IL 6)	1	1,400
DL320ML	Islet cell antibody	1	800
DL321ML	Joints Aspiration	1	300
DL323ML	Kappa Lambda Light Chains, Free, Serum/ Serum free light chains (SFLC)	1	3,500
DL324ML	Karyotyping	1	800
DL325ML	Kidney Function Test (KFT)	1	200
DL326ML	Lactate	1	100
DL327ML	Lactate dehydrogenase (LDH)	1	100
DL330ML	Leukemia panel /Lymphoma panel	1	1,500
DL331ML	Lipoprotein A / Lp A	1	400
DL332ML	Lithium	1	100
DL334ML	Low density lipoprotein (LDL)	1	100
DL335ML	Lumbar puncture	1	200
DL338ML	Luteinizing hormone (LH)	1	200
DL340ML	Malignant cells	1	100
DL341ML	Manometry and PH metry	1	1,600
DL342ML	Mantoux Test	1	200
DL348ML	Mycobacterial culture and sensitivity	1	200
DL349ML	Myelin Basic protein	1	1,900
DL351ML	Neonatal head (Tranfontanellar)	1	400
DL355ML	NT-Pro BNP	1	1,800
DL358ML	Oesophageal PH metry	1	5,000
DL359ML	Oligoclonal band	1	1,200
DL361ML	Osmolality serum	1	100
DL362ML	Osmolality urine	1	100
DL363ML	Osmotic fragility Test	1	100
DL364ML	P ANCA-IFA	1	1,300
DL365ML	Paraffin section	1	300
DL367ML	Paroxysmal Nocturnal Hemoglobinuria (PNH) Panel-CD55,CD59	1	1,000
DL368ML	PCR - for Herpes simplex	1	1,200
DL369ML	PCR - for Human immunodeficiency virus (HIV)	1	600
DL370ML	PCR - for Tuberculosis (TB)	1	900
DL372ML	Pericardial Aspiration	1	400
DL375ML	Phosphorus-32 therapy for metastatic bone pain palliation	1	5,000
DL376ML	Plasma renin activity	1	1,000
DL377ML	Platelet Concentrate	1	100
DL378ML	Platelet Function test	1	100
DL380ML	Portal haemodymic studies	1	1,900
DL382ML	Procalcitonin	1	1,800
DL383ML	Progesterone	1	200
DL384ML	Prolactin	1	200
DL385ML	Prostate Specific antigen (PSA) - Free	1	400
DL386ML	Prostate Specific antigen (PSA) - Total	1	300
DL387ML	Protein Creatinine Ratio (PCR), Urine / Albumen Creatinine Ratio (ACR), Urine	1	100
DL389ML	PTH(Parathormone)	1	500
DL390ML	Pulmonary Function Test	1	300
DL392ML	Quadruple test	1	2,000
DL395ML	Random Donor Platelet(RDP)	1	400
DL401ML	RH Antibody titer	1	100
DL402ML	Rheumatoid Factor / Rh Factor test	1	100
DL403ML	Rota Virus serology	1	100
DL404ML	Routine - H&E	1	100
DL407ML	Serum - Aldostrone	1	1,100
DL408ML	Serum - Aldostrone/ Renin ratio	1	1,200
DL409ML	Serum - Ammonia	1	100
DL410ML	Serum - amylase	1	100
DL411ML	Serum - Calcium –Total	1	100
DL412ML	Serum - Ceruloplasmin	1	500
DL413ML	Serum - Cholesterol	1	100
DL414ML	Serum - Copper	1	500
DL415ML	Serum - Electrophoresis	1	200
DL416ML	Serum - Ferritin	1	100
DL417ML	Serum - Glutamic oxaloacetic transaminase (SGOT) / Aspartate Aminotransferase (AST)	1	100
DL418ML	Serum - Iron	1	100
DL419ML	Serum - Lactate	1	100
DL420ML	Serum - Lipase	1	100
DL421ML	Serum - Magnesium	1	100
DL422ML	Serum - Phenobrbito Serum phenobarbitone level	1	400
DL423ML	Serum - Phosphorus	1	100
DL424ML	Serum - Potassium	1	100
DL425ML	Serum - Sodium	1	100
DL426ML	Serum - Testosterone	1	200
DL427ML	Serum - Uric Acid	1	100
DL428ML	Serum - Valprote level	1	300
DL429ML	Sex hormone binding globulin	1	1,300
DL430ML	Short Increment Sensitivity Index (SISI) Tone Decay	1	100
DL431ML	Single balloon enteroscopy	1	4,000
DL432ML	Single Donor Platelet (SDP- Apheresis)	1	11,000
DL434ML	special stain	1	100
DL438ML	Stress Echo - Pharmacological	1	2,500
DL442ML	Tacrolimus	1	2,300
DL444ML	Tests for Antiphospholipid antibodies syndrome.	1	300
DL445ML	Tests for Antiphospholipid antibody IgG, IgM (for cardiolipin and B2 Glycoprotein 1)	1	500
DL446ML	Tests for hypercoagulable states- Protein C, Protein S, Antithrombin	1	400
DL447ML	Tests for lupus anticoagulant	1	200
DL448ML	Tests for Sickling / Hb HPLC)	1	100
DL450ML	Thalassemia studies (Red Cell indices and Hb HPLC)	1	600
DL453ML	Thyroglobulin antibody	1	600
DL454ML	Thyroid binding globulin	1	500
DL455ML	Thyroid peroxidase antibody (TPO)	1	300
DL457ML	Thyroid stimulating hormone (TSH)	1	100
DL459ML	TORCH Test	1	1,100
DL460ML	Total Iron Binding Capacity (TIBC)	1	100
DL461ML	Total Protein Alb/Glo Ratio	1	100
DL465ML	Triglycerides	1	100
DL467ML	Triple Marker.	1	800
DL468ML	Troponin I	1	100
DL469ML	Troponin T	1	600
DL470ML	Typhidot IgM	1	300
DL472ML	Urinary calcium	1	100
DL473ML	Urinary copper	1	500
DL474ML	Urinary free catecholamine	1	1,700
DL475ML	Urinary metanephrine/Normetanephrine	1	1,100
DL476ML	Urinary potassium	1	100
DL477ML	Urinary sodium	1	100
DL478ML	Urinary vanillylmandelic acid (VMA)	1	1,500
DL479ML	Urine Microalbumin	1	100
DL480ML	Valproic acid	1	300
DL484ML	Video Laryngoscopy	1	5,100
DL485ML	Viral culture	1	300
DL486ML	Vitamin B12 assay	1	300
DL487ML	WBC cytochemistry for leukemia -Complete panel	1	100
DL496ML	Hepatitis B surface antigen (HBsAg)	1	100
DL546ML	Anti HCV IgG	1	350
DL493ML	Blood Urea Nitrogen	1	100
DL491ML	CD4 (T-Cell Lymphocyte) count	1	500
DL494ML	Complete Haemogram/CBC, Hb,RBC count and indices,TLC, DLC, Platelet, ESR, Peripheral smear examination	1	100
DL064ML	Cystoscopy Diagnostic	1	5,500
DL066ML	ERCP (Endoscopic Retrograde Cholangio – Pancreatography)	1	2,500
DL545ML	Fasting Blood Sugar	1	70
DL068ML	Fiberoptic Bronchoscopy with Washing biopsy	1	2,700
DL495ML	HBsAg Quantitative	1	600
DL497ML	Human immunodeficiency virus- HIV I and II	1	200
DL544ML	IgG/ IgM test (After scrub typhus recovery)	1	500
DL129ML	Pap Smear	1	200
DL492ML	rk39 strip test	1	700
DL500ML	Serum - Bilirubin total & direct	1	100
DL502ML	Serum - glutamic pyruvic transaminase (SGPT) / Alanine Aminotransferase (ALT)	1	100
DL550ML	USG guided percutaneous needle aspiration	1	800
DL490ML	VRDL (Venereal Disease Research Laboratory) Test	1	400
DL504ML	Electroencephalogram (EEG)/ Video EEG	1	3,600
DL524ML	Widal Test	1	100
Diagnostic Code	Diagnostic	Maximum permissible multiplier per hospitalization/ regime	Price