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Integrated MJPJAY and AB-PMJAY Scheme
SHAS
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List of 119 Govt Procedures
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262 Follow up Procedures
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Patient District
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Procedure Wise Statistsics
Preauth Approved
Surgery Done
Claim Paid
Category Name
Category Code
Surgery Name
Surgery Code
Count
Amount
Count
Amount
Count
Amount
Burns
S13
10-30% Mixed Burns( With Surgeries)
S13N1.4
373
2,49,13,500
367
2,44,93,500
272
1,43,69,355
Burns
S13
30 - 40% Mixed Burns( With Surgeries)
S13N1.2
1001
4,89,91,500
997
4,87,29,000
853
3,66,89,305
Burns
S13
30 to 45% (Conservative) 7 days
S13N1.3
971
5,38,19,500
963
5,33,45,500
817
3,20,05,825
Burns
S13
40- 60% Mixed Burns( With Surgeries)
S13N1.6
268
2,46,33,750
264
2,42,43,750
212
1,42,78,672
Burns
S13
45 to 60% ( Conservative) 7 days
S13N1.5
1061
7,69,76,000
1050
7,61,16,000
918
3,17,92,212
Burns
S13
Above 60% MixedBurns( With Surgeries)10 days
S13N1.7
450
4,86,97,500
449
4,85,77,500
400
2,33,67,731
Burns
S13
Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Physiotherapy)
S13N2.1
763
1,46,23,700
759
1,45,43,700
686
1,29,22,366
Burns
S13
Moderate Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.2
1336
3,77,15,000
1332
3,75,95,000
1229
3,38,32,066
Burns
S13
Severe Contracture Surgeries For FunctionalImprovement (including splints, pressure garments And Physiotherapy)
S13N2.3
1861
6,71,77,000
1857
6,70,17,000
1754
6,20,61,688
Burns
S13
Up To - 30% ( Conservative) -5 days15 to 30% in Adults5 to 30% in below 12 years patients
S13N1.1
3826
12,58,61,250
3817
12,55,28,750
3351
8,88,62,683
Cardiac And Cardiothoracic Surgery
S7
A V Fistula At Elbow
S7F9.21
7869
15,31,21,250
7869
15,31,21,250
7661
14,75,53,774
Cardiac And Cardiothoracic Surgery
S7
A V Fistula At Wrist
S7F9.20
5846
5,68,96,750
5846
5,68,96,750
5655
5,39,78,716
Cardiac And Cardiothoracic Surgery
S7
Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins without graft- Payable maximum upto
S7F24.9
10
9,37,000
10
9,37,000
7
4,85,833
Cardiac And Cardiothoracic Surgery
S7
Aneurysm Resection & Grafting
S7F11.3
42
41,25,000
42
41,25,000
40
36,66,120
Cardiac And Cardiothoracic Surgery
S7
Annulus Aortic Ectasia With Valved Conduits
S7F17.5
190
2,77,65,500
189
2,76,15,500
133
1,86,30,500
Cardiac And Cardiothoracic Surgery
S7
Annulus Aortic Ectasia With Valved Conduits
S7F11.7
181
2,62,24,500
181
2,62,24,500
173
2,43,69,895
Cardiac And Cardiothoracic Surgery
S7
Aortic debranching surgery with prosthetic graft
S7PM1.17
11
13,75,000
10
12,50,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Biprosthetic Valve)
S7F9.27
86
1,35,71,000
84
1,32,67,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Aortic Valve Replacement (With Mechanical valve)
S7F9.1
8279
94,14,58,263
8248
93,70,12,263
7406
81,35,02,312
Cardiac And Cardiothoracic Surgery
S7
Aorto Billac - Bifemoral Bypass With Synthetic Graft
S7F5.5
9
13,50,000
9
13,50,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Aorto Billac - Bifemoral Bypass With Synthetic Graft
S7F9.10
168
2,02,29,584
168
2,02,29,584
160
1,89,30,084
Cardiac And Cardiothoracic Surgery
S7
Aorto-Aorto Bypass With Graft
S7F13.1
48
39,17,167
48
39,17,167
28
14,30,750
Cardiac And Cardiothoracic Surgery
S7
Aorto-Aorto Bypass Without Graft
S7F13.2
1
45,000
1
45,000
1
22,500
Cardiac And Cardiothoracic Surgery
S7
Arterial Embolectomy
S7F13.27
304
62,08,000
303
61,88,000
276
52,53,500
Cardiac And Cardiothoracic Surgery
S7
Arterial Embolectomy
S7F9.19
345
66,10,750
345
66,10,750
313
56,17,500
Cardiac And Cardiothoracic Surgery
S7
Arterial Embolectomy
S7F5.7
143
72,74,167
137
69,74,167
0
0
Cardiac And Cardiothoracic Surgery
S7
ASD Device Closure
S7F1.3
4275
33,14,39,771
4275
33,14,39,771
4148
31,94,02,737
Cardiac And Cardiothoracic Surgery
S7
Axillo Bifemoral Bypass With Synthetic Graft
S7F5.3
68
51,27,750
68
51,27,750
64
43,47,000
Cardiac And Cardiothoracic Surgery
S7
Axillo Bifemoral Bypass With Synthetic Graft
S7F9.11
59
54,87,125
59
54,87,125
55
50,23,563
Cardiac And Cardiothoracic Surgery
S7
Axillo Brachial Bypass Using With Synthetic Graft
S7F25.12
7
4,55,000
7
4,55,000
5
3,25,000
Cardiac And Cardiothoracic Surgery
S7
Axillo Brachial Bypass Using With Synthetic Graft
S7F9.14
26
16,50,750
26
16,50,750
22
13,72,000
Cardiac And Cardiothoracic Surgery
S7
Balloon Atrial Septostomy
S7F2.2
64
19,64,250
64
19,64,250
39
10,90,250
Cardiac And Cardiothoracic Surgery
S7
Balloon Valvotomy
S7F2.1
10918
21,65,27,250
10917
21,65,07,250
10527
20,57,09,679
Cardiac And Cardiothoracic Surgery
S7
Brachioradial Bypass With Synthetic Graft
S7F25.13
2
1,00,000
2
1,00,000
1
50,000
Cardiac And Cardiothoracic Surgery
S7
Brachioradial Bypass With Synthetic Graft
S7F9.15
12
4,47,000
12
4,47,000
11
3,38,250
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump With IABP
S7F6.6
3809
53,15,89,344
3806
53,11,10,844
3495
42,44,56,750
Cardiac And Cardiothoracic Surgery
S7
CABG Off Pump Without IABP
S7F6.2
30979
337,70,59,238
30804
335,57,94,238
25848
275,36,61,873
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump With IABP
S7F6.5
20934
301,09,10,372
20868
299,87,23,372
19333
243,07,50,989
Cardiac And Cardiothoracic Surgery
S7
CABG On Pump Without IABP
S7F6.1
52222
640,39,67,786
52036
637,61,99,786
45978
534,24,49,073
Cardiac And Cardiothoracic Surgery
S7
CABG With Aneurysmal Repair
S7F6.3
9
9,07,000
8
7,97,000
5
4,95,000
Cardiac And Cardiothoracic Surgery
S7
Carotid Artery Bypass With Synthetic Graft
S7F9.17
28
23,60,000
28
23,60,000
27
21,85,000
Cardiac And Cardiothoracic Surgery
S7
Carotid Artery Bypass With Synthetic Graft
S7F25.14
13
11,35,000
13
11,35,000
12
10,38,125
Cardiac And Cardiothoracic Surgery
S7
Carotid Artery Bypass With Synthetic Graft
S7F5.15
2
2,90,000
2
2,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Carotid Body Tumour Excision
S7F13.26
30
13,45,500
30
13,45,500
20
8,50,500
Cardiac And Cardiothoracic Surgery
S7
Carotid Body Tumour Excision
S7F9.16
34
18,53,750
34
18,53,750
34
17,92,500
Cardiac And Cardiothoracic Surgery
S7
Carotid Embolectomy
S7F13.11
43
19,98,250
42
19,48,250
35
15,68,500
Cardiac And Cardiothoracic Surgery
S7
Carotid End arterectomy
S7PM1.21
10
8,70,000
10
8,70,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Closed Mitral Valvotomy
S7F17.3
23
4,50,000
23
4,50,000
16
3,10,000
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair With Graft
S7F11.1
74
30,69,700
74
30,69,700
63
21,36,925
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair Without Graft
S7F11.2
96
33,87,083
96
33,87,083
74
17,95,250
Cardiac And Cardiothoracic Surgery
S7
Coarctation Of Aorta Repair Without Stent
S7F4.2
162
49,24,500
162
49,24,500
157
45,19,500
Cardiac And Cardiothoracic Surgery
S7
Coil Closure Multiple Coils
S7F1.8
19
6,60,000
19
6,60,000
16
4,95,000
Cardiac And Cardiothoracic Surgery
S7
Coil Closure Single Coil
S7F1.7
10
3,04,000
10
3,04,000
9
2,45,875
Cardiac And Cardiothoracic Surgery
S7
D V T - IVC Filter
S7F5.4
75
74,50,000
75
74,50,000
0
0
Cardiac And Cardiothoracic Surgery
S7
D V T - IVC Filter
S7F9.5
779
7,57,73,625
779
7,57,73,625
739
7,19,23,375
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Eventeration
S7F20.1
63
31,00,000
63
31,00,000
45
17,62,500
Cardiac And Cardiothoracic Surgery
S7
Diaphragmatic Hernia
S7F20.2
107
54,35,000
106
53,35,000
77
29,73,062
Cardiac And Cardiothoracic Surgery
S7
Dissecting Aneurysms
S7F11.6
3
2,25,000
3
2,25,000
3
2,25,000
Cardiac And Cardiothoracic Surgery
S7
Double Valve Replacement (With Biprosthatic Valve)
S7F9.6
30
25,47,000
30
25,47,000
19
7,17,750
Cardiac And Cardiothoracic Surgery
S7
Double Valve Replacement (With mechnical Valve)
S7F9.3
5424
79,48,26,640
5403
79,12,24,640
4915
69,70,64,476
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - with ring
S7PM1.11
6
9,00,000
6
9,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Double valve replacement with tricuspid valve repair - without ring
S7PM1.12
3
4,20,000
2
2,80,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Emergency IABP insertion
S7PM1.15
60
29,70,000
56
27,70,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Encysted Empyema/Pleural Effusion - Tubercular
S7PM1.10
10
99,000
9
89,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Small
S7F25.1
59
23,48,000
59
23,48,000
52
20,68,000
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Large
S7F25.2
173
1,26,60,000
173
1,26,60,000
160
1,16,50,500
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Large - with graft
S7F9.22
122
86,40,000
122
86,40,000
114
80,17,786
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation Large - with graft
S7F5.9
13
12,90,000
13
12,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation without graft
S7F9.18
50
20,29,000
50
20,29,000
46
17,82,214
Cardiac And Cardiothoracic Surgery
S7
Excision Of AV Malformation without graft
S7F5.8
45
22,30,000
44
21,80,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Failed device closure for ASD and/or VSD. Emergency retrieval of device with defect closure under cardiopulmonary bypass
S7F13.18
70
79,71,000
69
78,46,000
50
54,01,000
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass With Graft
S7F25.8
48
21,38,500
48
21,38,500
44
18,51,250
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass With Graft
S7F13.3
146
70,59,875
139
65,34,875
110
43,34,146
Cardiac And Cardiothoracic Surgery
S7
Femoro Popliteal Bypass Without Graft
S7F13.4
26
7,56,500
26
7,56,500
26
6,96,500
Cardiac And Cardiothoracic Surgery
S7
Femoro-Femoral Bypass With Graft
S7F25.15
30
13,48,500
30
13,48,500
24
9,80,500
Cardiac And Cardiothoracic Surgery
S7
Femoro-Femoral Bypass With Graft
S7F13.7
94
46,17,042
93
45,27,042
75
28,05,375
Cardiac And Cardiothoracic Surgery
S7
Femoro-Femoral Bypass Without Graft
S7F13.8
7
1,71,250
7
1,71,250
6
1,40,938
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F5.13
11
10,75,000
11
10,75,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F9.13
117
89,39,375
117
89,39,375
106
79,20,035
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Synthetic Graft
S7F25.4
59
45,05,000
59
45,05,000
55
41,44,250
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F5.14
13
7,80,000
11
6,60,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F9.12
114
63,81,250
114
63,81,250
106
56,60,063
Cardiac And Cardiothoracic Surgery
S7
Femorodistal Bypass With Vein Graft
S7F25.5
77
45,01,500
77
45,01,500
69
39,02,500
Cardiac And Cardiothoracic Surgery
S7
Femoroileal Bypass With Graft
S7F25.7
8
3,77,500
8
3,77,500
8
3,53,750
Cardiac And Cardiothoracic Surgery
S7
Femoroileal Bypass Without Graft
S7F13.6
1
60,000
1
60,000
1
53,750
Cardiac And Cardiothoracic Surgery
S7
Fontan Procedure
S7PM1.18
11
18,36,000
11
18,36,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB
S7F23.1
1
50,000
1
50,000
1
50,000
Cardiac And Cardiothoracic Surgery
S7
Glenn Shunt (without cardiopulmonary bypass)
S7PM1.2
9
3,60,833
9
3,60,833
0
0
Cardiac And Cardiothoracic Surgery
S7
ICU Management of Acute Limb Ischaemia 4 days
S7F8.1
9
2,25,000
9
2,25,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Ileofemoral Bypass With Graft
S7F13.5
33
14,38,583
33
14,38,583
27
10,16,208
Cardiac And Cardiothoracic Surgery
S7
Intracardiac repair - TOF with RVPA Conduit
S7PM1.22
9
17,60,000
8
15,60,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Intracardiac repair - TOF with RVPA Conduit
S7PM1.1
1
27,000
1
27,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of ASD
S7F26.1
2957
21,80,05,167
2956
21,79,30,167
2840
19,90,38,437
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of ASD
S7F22.1
536
6,34,10,417
515
6,08,76,917
2
40,000
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of ASD
S7F19.1
7385
53,92,56,212
7384
53,91,81,212
7312
50,96,60,678
Cardiac And Cardiothoracic Surgery
S7
Intracardiac Repair Of VSD
S7F13.15
6423
48,52,55,191
6414
48,42,12,025
5913
40,06,43,877
Cardiac And Cardiothoracic Surgery
S7
Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft)
S7F11.4
20
13,35,000
20
13,35,000
19
12,05,000
Cardiac And Cardiothoracic Surgery
S7
Intrathoracic Aneurysm-Aneurysm Not Requiring Bypass (With Graft)
S7F21.1
37
24,19,000
35
21,81,500
26
9,10,000
Cardiac And Cardiothoracic Surgery
S7
Intrathoracic Aneurysm-Aneurysm Requiring Bypass (With Graft)
S7F11.5
35
37,71,250
35
37,71,250
32
31,93,250
Cardiac And Cardiothoracic Surgery
S7
Lobectomy
S7F18.2
454
2,35,90,000
452
2,34,40,000
373
1,76,88,486
Cardiac And Cardiothoracic Surgery
S7
Lung Cyst
S7F18.4
160
81,60,000
160
81,60,000
140
68,47,162
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair with graft - Payable maximum upto
S7F3.2
3
3,00,000
3
3,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Major Vascular Injury -In Lower Limbs-Repair without graft- Payable maximum upto
S7F24.3
88
53,53,500
88
53,53,500
75
40,73,250
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms - Repair
S7F25.17
214
1,03,44,480
214
1,03,44,480
192
90,49,980
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms - Repair
S7F9.8
100
48,96,250
100
48,96,250
95
45,88,750
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms - Repair
S7F5.12
79
70,20,000
77
68,40,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F9.9
24
16,86,250
24
16,86,250
16
10,66,250
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F5.11
4
3,65,000
3
2,75,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Medium Size Arterial Aneurysms With Synthetic Graft
S7F25.16
22
14,99,000
22
14,99,000
18
11,36,250
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with bioprosthetic valve
S7F7.5
12
29,00,000
12
29,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal Invasive Aortic/Mitral valve replacement with mechanical valve
S7F7.4
156
3,08,85,000
148
2,93,25,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive atrial/ventricular septal defect closure
S7F7.3
7
6,90,000
6
5,90,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minimal invasive valve repair with ring
S7F7.7
2
3,80,000
2
3,80,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minor Vascular Injury Repair - Vessels In Foot - Payable maximum upto
S7F24.5
1
17,000
1
17,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto
S7F24.4
2
40,000
2
40,000
2
40,000
Cardiac And Cardiothoracic Surgery
S7
Mitral Valve Replacement (With biprosthatic Valve)
S7F9.26
278
3,91,72,250
273
3,83,87,250
160
2,07,13,250
Cardiac And Cardiothoracic Surgery
S7
Mitral Valve Replacement (With mechanical Valve)
S7F6.4
22284
251,06,49,261
22225
250,18,99,261
20471
224,23,77,652
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair with ring
S7PM1.13
30
44,55,000
26
38,55,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Mitral valve replacement with tricuspid valve repair without ring
S7PM1.14
9
12,60,000
8
11,20,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Neck Vascular Injury - Carotid Vessels without graft - Payable maximum upto
S7F24.8
6
5,10,000
6
5,10,000
4
3,15,000
Cardiac And Cardiothoracic Surgery
S7
Oesophageal Diverticula /Achlasia Cardia
S7F20.3
21
8,24,000
21
8,24,000
19
7,44,000
Cardiac And Cardiothoracic Surgery
S7
On pump multivessel minimal - invasive coronary artery bypass grafting
S7F7.2
87
1,89,57,500
80
1,74,39,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Open aortic Valvotomy/ Supra / Subvalvular Aortic stenosis
S7PM1.19
3
2,80,000
3
2,80,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Open Mitral Valvotomy
S7F17.4
156
1,12,17,875
157
1,12,17,875
140
86,40,792
Cardiac And Cardiothoracic Surgery
S7
Open Pulmonary Valvotomy
S7F17.2
1254
9,07,65,167
1253
9,06,75,167
1206
6,85,30,979
Cardiac And Cardiothoracic Surgery
S7
Partial Anomalous - pulmonary venous connection/return
S7F7.6
7
6,87,000
7
6,87,000
0
0
Cardiac And Cardiothoracic Surgery
S7
PDA Device Closure
S7F1.6
3945
23,14,51,250
3945
23,14,51,250
3860
22,47,60,463
Cardiac And Cardiothoracic Surgery
S7
PDA Stenting
S7F1.5
17
10,57,250
17
10,57,250
15
7,10,375
Cardiac And Cardiothoracic Surgery
S7
Percardiostomy
S7F9.4
11
1,10,000
11
1,10,000
10
71,000
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy with CPB
S7F10.2
46
8,28,900
46
8,28,900
34
71,400
Cardiac And Cardiothoracic Surgery
S7
Pericardiectomy without CPB
S7F10.1
198
62,98,000
196
61,93,000
186
53,13,351
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F9.23
325
83,15,375
325
83,15,375
295
69,20,172
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F5.16
58
17,25,000
58
17,25,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Peripheral Embolectomy Without Graft
S7F13.28
291
73,22,000
291
73,22,000
255
59,08,250
Cardiac And Cardiothoracic Surgery
S7
Pleurectomy Decortication
S7F18.3
1060
5,45,07,400
1047
5,35,97,400
876
4,22,53,525
Cardiac And Cardiothoracic Surgery
S7
Pneumonectomy
S7F18.1
128
72,10,500
127
70,90,500
104
49,90,000
Cardiac And Cardiothoracic Surgery
S7
Pulmonary arterio venous malformation
S7F13.21
1
57,500
1
57,500
1
47,500
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with biprosthatic valve
S7F7.1
2
2,82,500
1
1,42,500
0
0
Cardiac And Cardiothoracic Surgery
S7
Pulmonary Valve Replacement - with mechanical valve
S7F13.22
15
14,30,000
15
14,30,000
14
11,82,500
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits
S7F16.2
579
4,28,11,942
579
4,28,11,942
574
3,96,91,379
Cardiac And Cardiothoracic Surgery
S7
Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits
S7F16.1
370
3,31,05,829
370
3,31,05,829
363
3,13,40,833
Cardiac And Cardiothoracic Surgery
S7
Ruptured Sinus Of Valsalva Correction
S7F13.13
88
78,37,125
88
78,37,125
82
69,41,750
Cardiac And Cardiothoracic Surgery
S7
SOL Mediastinum
S7F18.5
317
1,65,11,000
316
1,64,01,000
280
1,34,48,975
Cardiac And Cardiothoracic Surgery
S7
Surgery for Arterial Aneurysm Renal Artery with graft / patch
S7F13.23
2
76,000
2
76,000
1
40,000
Cardiac And Cardiothoracic Surgery
S7
Surgery for HOCM (Hypertrophic obstructive cardiomyopathy)
S7F13.20
57
53,34,500
57
53,34,500
39
29,59,500
Cardiac And Cardiothoracic Surgery
S7
Surgery For Intracardiac Tumours
S7F13.12
561
4,45,82,692
557
4,39,82,692
499
3,50,93,187
Cardiac And Cardiothoracic Surgery
S7
Surgery With CPB
S7F12.2
514
4,14,05,333
506
4,02,80,333
422
2,90,24,543
Cardiac And Cardiothoracic Surgery
S7
Surgery With Vein Graft
S7F24.6
20
3,70,000
20
3,70,000
17
2,63,750
Cardiac And Cardiothoracic Surgery
S7
Surgery Without CPB
S7F12.1
32
12,71,000
32
12,71,000
28
10,66,000
Cardiac And Cardiothoracic Surgery
S7
Surgery Without Graft For Arterial Injuries, Venous Injuries
S7F24.1
27
2,61,500
27
2,61,500
22
1,72,500
Cardiac And Cardiothoracic Surgery
S7
Surgery-PDA
S7F13.16
979
3,00,02,233
976
2,98,40,233
908
2,39,17,083
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts With Graft with CPB
S7F5.1
2075
11,59,55,875
2075
11,59,55,875
2000
9,76,83,824
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts With Graft with CPB
S7F14.4
5
6,00,000
5
6,00,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts With Graft without CPB
S7F14.1
226
57,56,833
226
57,56,833
208
46,82,042
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts Without Graft
S7F25.6
18
7,87,500
18
7,87,500
16
6,74,375
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts Without Graft with CPB
S7F5.2
343
1,94,10,009
342
1,93,50,009
299
1,45,87,289
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts Without Graft with CPB
S7F14.3
2151
20,01,57,958
2148
19,98,41,292
2098
19,15,50,348
Cardiac And Cardiothoracic Surgery
S7
Systemic Pulmonary Shunts Without Graft without CPB
S7F14.2
55
16,69,500
55
16,69,500
53
14,15,250
Cardiac And Cardiothoracic Surgery
S7
TAPVC Correction
S7F13.14
628
5,88,35,250
626
5,85,35,250
553
4,80,66,792
Cardiac And Cardiothoracic Surgery
S7
TGA (Transposition of greater arteries) Arterial switch / Senning procedure / Mustard Procedure
S7PM1.20
15
22,29,000
13
19,34,500
0
0
Cardiac And Cardiothoracic Surgery
S7
TGA Arterial Switch
S7F13.9
71
1,03,66,000
71
1,03,66,000
70
93,83,500
Cardiac And Cardiothoracic Surgery
S7
TGA Sennings Procedure
S7F13.10
11
13,20,000
11
13,20,000
11
12,90,000
Cardiac And Cardiothoracic Surgery
S7
Thoracic Vascular Injuries - Payable maximum upto
S7F24.10
11
15,20,000
11
15,20,000
7
7,72,500
Cardiac And Cardiothoracic Surgery
S7
Thoracoplasty
S7F4.1
133
1,03,38,000
133
1,03,38,000
118
87,72,500
Cardiac And Cardiothoracic Surgery
S7
Thoracotomy, Thoraco Abdominal Approach
S7F13.25
88
34,70,500
87
34,30,500
56
20,91,500
Cardiac And Cardiothoracic Surgery
S7
Thorocoplasty
S7F19.2
4
2,00,000
4
2,00,000
4
2,00,000
Cardiac And Cardiothoracic Surgery
S7
Thromboembolectomy usually done as emergency by ETI)
S7PM1.5
13
2,60,000
12
2,40,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Thyomectomy
S7F13.24
57
23,24,500
55
22,24,500
35
12,41,625
Cardiac And Cardiothoracic Surgery
S7
Total Correction Of Tetralogy Of Fallots
S7F26.2
985
9,15,34,500
985
9,15,34,500
902
8,29,15,375
Cardiac And Cardiothoracic Surgery
S7
Total correction of tetralogy of fallots (TOF)
S7F22.2
134
1,96,80,000
131
1,92,60,000
0
0
Cardiac And Cardiothoracic Surgery
S7
Transpleural BPF Closure
S7F19.4
6
3,00,000
6
3,00,000
6
2,75,000
Cardiac And Cardiothoracic Surgery
S7
Transpleural BPF Closure/Myoplasty/Thoracoplasty
S7F19.5
16
8,25,000
16
8,25,000
13
5,67,500
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with biprosthatic valve
S7F9.7
35
15,97,500
35
15,97,500
25
3,63,000
Cardiac And Cardiothoracic Surgery
S7
Tricuspid Valve Replacement with mechanical valve
S7F9.2
229
1,97,01,125
227
1,94,01,125
208
1,67,55,375
Cardiac And Cardiothoracic Surgery
S7
Truncus Arteriosus surgery
S7F13.19
4
4,60,000
4
4,60,000
4
4,60,000
Cardiac And Cardiothoracic Surgery
S7
Valve Repair With Prosthetic Ring
S7F17.6
1047
9,54,83,086
1037
9,41,50,586
722
5,13,66,211
Cardiac And Cardiothoracic Surgery
S7
Valve Repair With Prosthetic Ring
S7F13.17
449
3,72,90,878
449
3,72,90,878
434
3,35,21,003
Cardiac And Cardiothoracic Surgery
S7
Valve Repair Without Prosthetic Ring / Supramitral membrane
S7F17.1
3440
25,30,00,588
3435
25,22,81,422
3240
21,12,59,344
Cardiac And Cardiothoracic Surgery
S7
Vascular Injuries Repair With Prosthetic Graft
S7F24.7
21
9,15,000
21
9,15,000
15
5,15,000
Cardiac And Cardiothoracic Surgery
S7
Vascular Injury In Upper Limbs - Axillary,Branchial,Radial And Ulnar - Repair With Vein Graft - Payable maximum upto
S7F24.2
91
40,94,500
89
39,44,500
65
24,30,000
Cardiac And Cardiothoracic Surgery
S7
VSD Device Closure
S7F1.4
2382
18,87,46,126
2377
18,83,28,126
2087
16,13,56,717
Cardiology
M7
Acute MI Requiring IABP Pump - 7 Days
M7T1.4
316
1,51,28,750
314
1,50,14,750
237
52,97,787
Cardiology
M7
Acute MI With Cardiogenic Shock - 7 Days
M7T1.3
12951
36,30,66,333
12873
36,08,97,333
10711
18,26,18,238
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7T1.20
4
3,70,000
3
2,80,000
0
0
Cardiology
M7
Alcohol septal ablation for hypertrophic Obstructive Cardiomyopathy
M7PM1.1
2
50,000
2
50,000
0
0
Cardiology
M7
Angioplasty with Stent(PTCA with Stent)
M7F1.3
947
3,47,00,333
946
3,47,00,333
860
2,77,44,399
Cardiology
M7
ASD Device Closure
M7T1.14
3351
27,54,98,500
3341
27,44,78,000
2532
20,01,67,000
Cardiology
M7
Baloon dilatation of Coarctation of Aorta Without Stent
M7F2.1
13
3,87,000
13
3,87,000
0
0
Cardiology
M7
Coarctation Of Aorta Repair With Stent
M7F4.1
73
57,76,000
73
57,76,000
68
53,51,000
Cardiology
M7
Coarctation Of Aorta Repair With Stent
M7F2.2
19
18,80,000
18
17,80,000
0
0
Cardiology
M7
Coarctation Of Aorta Repair Without Stent
M7F4.2
62
12,85,000
62
12,85,000
57
10,65,000
Cardiology
M7
Coil Closure Multiple Coils (MAPCA - Major Aortopulmonary Collaterals)
M7T1.15
17
5,37,000
17
5,37,000
14
3,37,000
Cardiology
M7
Coil Closure Single Coil (PDA etc)
M7T1.16
8
1,78,000
8
1,78,000
6
1,18,000
Cardiology
M7
Complex Arrhythmias - 2 Days
M7T1.8
1212
8,81,09,250
1211
8,80,49,250
951
6,03,02,852
Cardiology
M7
Coronary - Cameral Fistula closure / Pulmonary AV fistula Closure /PDA Device Closure
M7T1.17
2054
12,61,46,500
2047
12,56,66,500
1686
9,95,34,000
Cardiology
M7
Coronary Balloon Angioplasty
M7F1.1
472558
2340,72,04,683
471716
2336,81,64,683
402319
1930,21,73,746
Cardiology
M7
Device closure of RSOV (Rupture of Sinus of Valsalva Aneurysm)
M7T1.19
6
6,00,000
6
6,00,000
0
0
Cardiology
M7
PDA Stenting
M7T1.18
38
25,30,000
38
25,30,000
22
13,47,500
Cardiology
M7
Percutaneous Balloon Dilatation procedures in Cardiology
M7F5.1
662
3,29,60,000
642
3,19,70,000
0
0
Cardiology
M7
Percutaneous Transluminal Tricuspid Commissurotomy (PTTC)
M7T1.13
1
25,000
1
25,000
1
25,000
Cardiology
M7
Pericardial Effusion / Tamponade - 4 days
M7T1.10
1181
2,84,01,950
1175
2,82,55,700
893
1,84,97,010
Cardiology
M7
Peripheral Angioplasty
M7F1.6
505
2,72,81,267
503
2,71,61,267
303
1,28,69,667
Cardiology
M7
Post MI Ventricular septal Rupture - Device closure
M7T1.6
542
1,24,17,250
541
1,23,27,250
506
1,06,14,216
Cardiology
M7
PTCA Additional Stent
M7F1.2
342431
1082,01,98,661
341586
1079,32,79,661
281359
853,26,81,703
Cardiology
M7
PTSMA (Percutaneous Transluminal Septal Myocardial Ablation)
M7PM1.2
1
25,000
1
25,000
0
0
Cardiology
M7
Pulmonary artery stenting
M7T1.1
441
76,68,500
441
76,68,500
411
64,10,239
Cardiology
M7
Pulmonary artery stenting (double)
M7T1.2
3943
10,45,08,000
3942
10,44,78,000
3747
8,65,28,057
Cardiology
M7
Pulmonary Embolism - 5 Days
M7T1.7
1349
3,94,52,000
1347
3,93,92,000
998
2,59,28,330
Cardiology
M7
Refractory Cardiac Failure - 5 Days
M7T1.5
11114
38,23,74,865
11072
38,13,72,365
9048
24,47,03,242
Cardiology
M7
Renal Angioplasty
M7F1.4
1265
7,42,36,700
1261
7,39,96,700
977
5,28,56,533
Cardiology
M7
Right ventricular outflow tract (RVOT) stenting
M7T1.12
7
2,76,000
7
2,76,000
3
1,16,000
Cardiology
M7
Simple Arrhythmias - 2 Days
M7T1.9
7020
40,87,83,333
7001
40,78,98,333
5681
29,96,61,670
Cardiology
M7
Single chamber Permanent Pacemaker Implantation - 5 Days
M7F3.1
14606
99,42,17,674
14548
99,03,14,674
12515
84,00,84,160
Cardiology
M7
Temporary Pacemaker Implantation - 2 Days
M7F3.2
9256
16,78,42,500
9216
16,70,38,000
7494
11,00,82,869
Cardiology
M7
Thrombolytic Therapy for Acute MI - 5 Days
M7T1.11
34068
58,60,97,583
33983
58,35,92,583
25619
26,70,52,429
Cardiology
M7
Vertebral Angioplasty
M7F1.5
45
33,67,500
44
32,92,500
24
17,40,000
Critical Care
M3
Acute Bronchitis And Pneumonia With Respiratory Failure, Ventilator 8 Days Stay - Rs 6000 per day. Rs 50000 if completed LOS
M3Q1.3
13924
67,15,04,868
13904
67,05,24,868
11578
47,56,61,765
Critical Care
M3
Acute liver failure with Coagulopathy - 5 days
M3Q2.3
699
2,65,86,500
678
2,57,90,500
30
12,90,995
Critical Care
M3
Acute Severe Asthma With Acute Respiratory Failure 10 Days ICU Stay. Rs 45000 if complete stay of 10 days.
M3Q1.1
3843
15,94,98,800
3840
15,93,77,300
3352
12,42,43,169
Critical Care
M3
ARDS Plus DIC (Blood & Blood Products) With Ventilatory Care - 14 Days
M3Q1.6
507
4,55,81,817
506
4,54,91,817
428
2,64,04,679
Critical Care
M3
ARDS With Multi Organ Failure With Ventilatory Care 14 Days Stay
M3Q1.5
5449
46,34,65,096
5428
46,14,70,096
4579
25,72,91,586
Critical Care
M3
ARDS With Ventilatory Care 10 Days Stay. Rs 65000 if LOS complete.
M3Q1.4
8998
56,57,39,318
8984
56,48,61,818
7496
35,03,49,116
Critical Care
M3
Cerebral Malaria (Falciparum)
M3Q2.5
85
12,87,000
85
12,87,000
81
11,47,684
Critical Care
M3
Chelation Therapy For Thalassemia
M3Q2.4
27
5,39,000
27
5,39,000
24
4,41,000
Critical Care
M3
COPD Respiratory Failure (Infective Exacerbation) 11 Days Stay with ventilator support. Rs 70000 will be approved if LOS 11 days
M3Q1.2
8852
54,63,22,845
8834
54,51,04,845
7778
36,78,25,748
Critical Care
M3
Metabolic Coma Requiring Ventilatory Support
M3Q2.9
69
18,02,417
69
18,02,417
61
11,79,074
Critical Care
M3
OP or other Poisoning without Ventilatory Assistance Clinical Photo 7 days ICU Stay
M3Q1.9
3559
4,69,18,800
3529
4,61,10,800
2562
2,02,08,475
Critical Care
M3
OP Poisoning / Other Poisoning Requiring Ventilatory Assistance Clinical Photo - 5 days Stay
M3Q1.7
8129
22,75,69,000
8102
22,67,62,000
6718
15,63,44,042
Critical Care
M3
Scorpion Sting Requiring Ventilator Support
M3Q2.8
1
25,000
1
25,000
1
25,000
Critical Care
M3
Septic Shock(ICU Management) With Ventilatory Assistance - 7 Days
M3Q1.8
5680
26,23,08,975
5654
26,10,38,975
4641
14,22,69,386
Critical Care
M3
Snake Bite Requiring Ventilator Support
M3Q2.7
98
42,17,500
98
42,17,500
84
25,26,075
Critical Care
M3
Snake bite with Coagulopathy with Dialysis 7 days
M3Q2.2
75
34,86,500
75
34,86,500
47
19,69,927
Critical Care
M3
Snake bite with Coagulopathy without Dialysis 7 days
M3Q2.1
648
1,31,12,975
647
1,30,82,975
432
63,99,276
Critical Care
M3
Tb Meningitis
M3Q2.6
150
42,51,000
150
42,51,000
133
31,85,986
Dermatology
M11
Hidradenitis suppurativa 5 days stay
M11T5.6
1
15,000
1
15,000
0
0
Dermatology
M11
Leprosy and recurrent lepra reactions 10 days stay
M11T5.7
65
6,43,000
62
6,13,000
0
0
Dermatology
M11
Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay
M11T5.3
5723
13,12,96,317
5692
13,05,21,317
4806
7,20,91,388
Dermatology
M11
Psoriatic erythroderma/ Arthropathy 3 days stay
M11T5.4
54
10,78,000
48
9,60,000
0
0
Dermatology
M11
Stevens- Johnson Syndrome 5 Days ICU Stay
M11T5.2
323
62,55,000
321
62,15,000
258
40,50,550
Dermatology
M11
Toxic Epidermal Necrolysis 7 Days ICU Stay. Rs 30000 if LOS 7 days complete
M11T5.1
88
25,91,000
86
25,31,000
73
17,80,275
Dermatology
M11
Urticaria and Atopic dermatitis 5days stay
M11T5.5
2
22,800
2
22,800
0
0
Endocrinology
M13
Adrenal Insufficiency - (medicines should be given for 6 months duration)(3 day indoor stay)
M13U3.1
7
41,400
7
41,400
5
29,400
Endocrinology
M13
Cavernous / Saggital Sinus Thrombosis 10 Days Stay
M13U1.4
145
55,56,000
145
55,56,000
114
40,06,375
Endocrinology
M13
Cholecystitis - Abd 10 Days Stay
M13U1.3
1834
4,20,34,492
1834
4,20,34,492
1732
3,79,44,435
Endocrinology
M13
Endogenous Cushings Syndrome (minimum three day stay)(Injections/tablets to be given of 6 months duration)
M13U2.2
23
7,58,000
23
7,58,000
22
5,80,000
Endocrinology
M13
Endogenous Hyperthyroidism with or without Graves opthalmopathy (3 day indoor stay)medicines to given for 6 months
M13U3.2
15
4,47,000
15
4,47,000
2
57,000
Endocrinology
M13
Fungal Sinusitis Pns 10 Days Stay
M13U1.2
2166
8,48,46,000
2166
8,48,46,000
1809
5,61,47,563
Endocrinology
M13
Fungal Sinusitis Pns 10 Days Stay
M13U5.1
71
26,84,000
69
26,08,000
0
0
Endocrinology
M13
Gonadotropin releasing hormone excess state, 3 day indoor stay(medicines to be given for 6 months duration)
M13U3.3
63
45,36,000
62
44,64,000
36
25,71,075
Endocrinology
M13
Hypopitutarism (Injections/tablets to be given of 6 months duration) (three day indoor stay)
M13U1.6
3210
31,25,06,111
3196
31,04,36,111
2646
22,59,96,822
Endocrinology
M13
Lower Respiratory Tract Infection 13 Days General ward Stay. Rs 20000 if complete 13 days stay.
M13U1.1
11677
21,39,83,692
11628
21,30,17,692
9661
15,71,08,189
Endocrinology
M13
Osteoporosis medicines (denosumab/ PTH) to be given for 6 months duration)(2 day indoor stay)
M13U4.3
16
4,80,000
14
4,20,000
0
0
Endocrinology
M13
Pituitary - Acromegaly (Injections/tablets to be given of 6 months) (three day indoor stay) - Cost of 6 months Medicines
M13U2.1
178
34,47,500
177
33,27,500
150
14,20,996
Endocrinology
M13
Prolactin Excess (Prolactinoma) medicines to be given for 6 months duration) (3 day indoor stay)
M13U3.4
19
7,22,000
19
7,22,000
15
5,03,303
Endocrinology
M13
PTH deficiency/ PTH resistance/ Vit D resistance states/Renal rickets (medicines to be given for 6 months duration)(3 day indoor stay)
M13U3.5
72
21,60,000
72
21,60,000
46
13,71,969
Endocrinology
M13
Pyelonephritis 10 Days Stay
M13U2.4
2553
4,62,67,167
2553
4,62,67,167
2300
3,79,28,850
Endocrinology
M13
Rhinocerebral Mucormycosis 10 Days Stay
M13U1.5
5709
22,56,69,500
5710
22,56,69,500
4604
14,37,72,669
Endocrinology
M13
Somatostatin expressing neuroendocrine lesions (hyperinsulinemic hypoglycemia, tumor induced osteomalacia, thymic, pancreatic, GI-NET)(medicines to be given for 6 months duration)(3 day indoor stay)
M13U4.2
2
2,40,000
2
2,40,000
0
0
Endocrinology
M13
Thyrotoxic crisis - Routine Ward - 1500 ICU (without Ventilator) - 4000 ICU (with Ventilator) - 6000 - 5 Days
M13U4.1
5
1,35,000
5
1,35,000
0
0
Endocrinology
M13
Turner syndrome/ Prader willi syndrome , three Days indoor Stay (Injections/tablets to be given of 6 months duration)
M13U2.3
227
39,19,200
227
39,19,200
209
22,59,750
ENT
S2
Abbe Operation
S2B5.1
2
30,000
2
30,000
2
30,000
ENT
S2
Adenoidectomy
S2B2.6
1079
1,15,31,750
1075
1,14,71,750
879
85,36,625
ENT
S2
Angiofibroma Nose
S2B3.6
179
71,37,000
175
69,77,000
148
50,92,000
ENT
S2
Antrostomy - Bilateral
S2PM1.14
4
16,000
4
16,000
0
0
ENT
S2
Antrostomy - Unilateral
S2PM1.15
3
22,000
3
22,000
0
0
ENT
S2
Arytenoidectomy
S2PM1.28
4
68,000
4
68,000
0
0
ENT
S2
Behind The Ear Analogue Hearing Aid
S2P1.1
127341
56,74,88,750
127340
56,74,84,500
123369
54,98,91,765
ENT
S2
Behind The Ear Analogue Hearing Aid
S2B7.1
4549
1,13,72,500
4546
1,13,65,000
3423
85,51,250
ENT
S2
Brachial Cyst / Sinus Excision
S2B5.2
41
8,16,000
40
7,96,000
24
4,71,000
ENT
S2
Branchial Sinus Excision
S2B5.18
21
4,16,000
21
4,16,000
19
3,76,000
ENT
S2
Bronchial Injuries Due To Foreign Body Repair Surgery
S2B5.3
2
80,000
2
80,000
1
40,000
ENT
S2
Bronchoscopic Foreign Body Removal
S2B4.1
256
50,09,500
256
50,09,500
233
44,95,518
ENT
S2
CGHS - Removal of foreign body From Nose
S2B3.8
2
794
2
794
0
0
ENT
S2
Choanal atresia
S2PM1.29
1
25,000
1
25,000
0
0
ENT
S2
Cochlear Implant surgery for Children below 2 Years
S2B8.3
17
84,80,000
14
69,80,000
0
0
ENT
S2
Cystic Hygroma Excision
S2B5.4
18
3,83,000
18
3,83,000
11
2,18,000
ENT
S2
Cystic Hygroma Excision-Minor
S2B5.6
5
50,000
5
50,000
5
50,000
ENT
S2
Drainage of Peritonsillor abscess
S2B4.6
98
4,76,500
97
4,66,500
61
1,50,250
ENT
S2
Endoscopic DCR
S2B3.7
3507
7,05,12,250
3487
7,00,19,750
2724
5,18,84,250
ENT
S2
Endoscopic Hypophysectomy
S2PM1.24
1
59,700
1
59,700
0
0
ENT
S2
Endoscopic Sinus Surgery
S2B3.1
8053
12,53,72,708
8038
12,49,76,042
6540
8,88,74,404
ENT
S2
Excision Of Benign Tumour Nose
S2B3.5
110
17,11,875
110
17,11,875
91
13,00,313
ENT
S2
Excision of CA cheek/ oral cavity + radial forearm flap
S2PM1.39
8
2,70,000
5
1,65,000
0
0
ENT
S2
Excision of growth Jaw + free fibular flap reconstruction
S2PM1.40
1
30,000
1
30,000
0
0
ENT
S2
Excision of Pinna for Growths (Squamous/Basal) / Injuries - Total amputation
S2PM1.2
5
35,000
5
35,000
0
0
ENT
S2
Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage
S2PM1.1
1
4,000
1
4,000
0
0
ENT
S2
Excision Of Thyroglossal Cyst Fistula
S2B5.7
122
19,61,000
121
19,43,000
89
13,32,000
ENT
S2
Excision Of Tumours In Pharynx
S2B2.4
28
5,60,000
28
5,60,000
20
3,75,000
ENT
S2
Facial Nerve Decompression
S2B1.2
38
7,37,000
38
7,37,000
33
6,31,250
ENT
S2
Facial Nerve Decompression
S2B4.7
28
5,59,600
27
5,39,600
23
4,28,750
ENT
S2
FESS
S2B8.5
113
22,90,000
101
20,50,000
0
0
ENT
S2
Fracture - setting nasal bone
S2PM1.18
15
1,16,500
15
1,16,500
0
0
ENT
S2
Fracture setting nasal bone with surgical intervention
S2B4.3
211
20,52,925
210
20,37,925
141
10,71,925
ENT
S2
Hemi/Subtotal/ Total thyroidectomy for Benign Thyroid lesion
S2B5.9
1794
4,42,31,000
1763
4,30,11,000
1194
2,36,76,000
ENT
S2
Hemimandibulectomy
S2B5.8
46
10,95,500
45
10,70,500
32
6,57,750
ENT
S2
Intra Nasal Ethmoidectomy
S2PM1.41
7
83,750
7
83,750
0
0
ENT
S2
Intranasal Diathermy
S2PM1.25
21
1,73,667
20
1,57,000
0
0
ENT
S2
Isthmectomy
S2B5.10
2
40,000
2
40,000
2
35,000
ENT
S2
Labyrinthectomy
S2B1.1
13
2,40,000
13
2,40,000
11
2,02,000
ENT
S2
Laryngo Fissure
S2B2.3
89
17,54,000
89
17,54,000
74
14,23,035
ENT
S2
Laryngophayryngectomy
S2PM1.31
1
20,000
1
20,000
0
0
ENT
S2
Microlaryngeal Surgery
S2B2.1
1156
1,43,50,200
1150
1,42,41,800
950
1,10,06,200
ENT
S2
Modified radical Mastoidectomy / Radical mastoidectomy
S2B3.2
5416
8,72,80,700
5380
8,64,20,700
4339
6,16,35,118
ENT
S2
Myringoplasty
S2B4.4
2965
2,17,19,250
2965
2,17,19,250
2712
1,97,69,500
ENT
S2
Myringoplasty with Ossiculoplasty
S2B8.2
739
1,24,51,400
726
1,22,33,800
0
0
ENT
S2
Myringotomy with Grommet - One ear
S2PM1.7
3
45,000
3
45,000
0
0
ENT
S2
Myringotomy without grommet insertion
S2B4.2
15
52,500
15
52,500
12
28,750
ENT
S2
Nasal polypectomy - Unilateral single or multiple
S2PM1.43
8
66,000
6
46,000
0
0
ENT
S2
Oro Antral fistula
S2PM1.32
4
45,750
4
45,750
0
0
ENT
S2
Ossiculoplasty
S2PM1.9
38
5,84,000
38
5,84,000
0
0
ENT
S2
Parapharyngeal / Retropharyngeal Abscess - Drainage
S2PM1.34
5
75,000
5
75,000
0
0
ENT
S2
Parapharyngeal ? Exploration
S2PM1.33
1
12,500
1
12,500
0
0
ENT
S2
Parapharyngeal Tumour Excision
S2B2.5
47
9,71,000
47
9,71,000
39
7,08,775
ENT
S2
Parathyroidectomy
S2B5.11
22
6,55,000
22
6,55,000
17
5,00,000
ENT
S2
Parotid Duct Repair
S2B5.12
2
50,000
2
50,000
0
0
ENT
S2
Partial Glossectomy
S2B5.13
98
15,61,000
95
15,01,000
77
7,87,500
ENT
S2
Phono Surgery For Vocal Cord Paralysis
S2B2.2
33
8,12,500
32
7,87,500
27
6,65,000
ENT
S2
Radical fronto ethmo sphenodectomy
S2PM1.22
18
4,32,750
18
4,32,750
0
0
ENT
S2
Ranula excision
S2PM1.37
9
45,000
8
40,000
0
0
ENT
S2
Removal Of Submandibular Salivary Gland
S2B5.14
107
11,05,400
105
10,83,400
71
6,93,500
ENT
S2
Rhinocerebral Mucormycosis 10 Days Stay
S2B4.8
72
28,02,198
68
26,42,198
0
0
ENT
S2
Rhinotomy - Lateral
S2PM1.19
3
42,750
3
42,750
0
0
ENT
S2
Segmental Mandible Excision
S2B5.15
27
6,41,000
25
5,93,500
21
4,51,750
ENT
S2
Septo-rhinoplasty
S2PM1.27
1
12,500
1
12,500
0
0
ENT
S2
Septo-rhinoplasty
S2B4.5
2836
3,60,81,725
2827
3,59,01,725
2501
3,01,29,623
ENT
S2
Septoplasty
S2PM1.16
245
47,94,583
236
46,10,417
0
0
ENT
S2
Skull base surgery
S2PM1.12
13
4,73,600
13
4,73,600
0
0
ENT
S2
Stapedectomy + Veingraft
S2B3.4
112
15,54,750
112
15,54,750
96
13,26,250
ENT
S2
Stapedectomy + Veingraft
S2B1.5
136
21,11,900
134
20,75,900
93
13,83,000
ENT
S2
Temporal Bone Excision
S2B1.3
7
3,35,000
7
3,35,000
5
2,22,500
ENT
S2
Tonsillectomy
S2B8.1
181
27,37,500
177
26,77,500
0
0
ENT
S2
Total Thyroidectomy
S2B5.16
352
69,96,000
352
69,96,000
308
60,58,000
ENT
S2
Turbinectomy Partial - Bilateral
S2PM1.20
23
3,71,800
23
3,71,800
0
0
ENT
S2
Turbinectomy Partial - unilateral
S2PM1.21
3
39,167
3
39,167
0
0
ENT
S2
Tympanoplasty
S2B3.3
5331
7,41,30,000
5326
7,40,55,000
5020
6,89,17,833
ENT
S2
Tympanoplasty
S2B1.4
5098
8,97,67,250
5042
8,81,62,250
3732
5,40,47,575
ENT
S2
Tympanotomy
S2PM1.13
22
2,48,000
20
2,28,000
0
0
ENT
S2
Uvulo-Palato Pharyngoplasty
S2B2.7
13
3,18,750
13
3,18,750
6
1,46,250
ENT
S2
Wedge Excision
S2B5.17
53
10,09,000
51
9,49,000
36
5,18,750
General Medicine
M16
Acute inflammatory demyelinatingpolyneuropathy
M16PM1.1
7
13,800
6
11,800
0
0
General Medicine
M16
Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days
M16Q1.4
771
1,35,19,103
771
1,35,19,103
698
1,03,45,291
General Medicine
M16
Acute LVF (Known IHD / Valvular Heart Disease. - 5 Days
M16Q2.1
658
1,27,13,500
640
1,23,69,500
0
0
General Medicine
M16
Acute transverse myelitis
M16PM1.5
11
44,000
11
44,000
0
0
General Medicine
M16
Cerebral Malaria management with or without Ventilatory support and treatment - 10 Days
M16Q1.5
368
79,42,000
368
79,42,000
297
46,55,350
General Medicine
M16
Cerebral sino-venous thrombosis(any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as independent procedure
M16PM1.6
78
30,36,000
78
30,36,000
0
0
General Medicine
M16
Cholecystitis - Abd 10 Days Stay
M16Q4.2
358
84,55,000
340
80,25,000
0
0
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q3.1
678
1,87,26,000
647
1,78,65,000
0
0
General Medicine
M16
Diabetic Ketoacidosis - per day ICU Stay - 10 Days
M16Q1.11
10899
4,25,97,100
10899
4,25,97,100
9009
3,23,90,691
General Medicine
M16
Hyperosmolar Non-Ketotic coma
M16PM1.4
4
7,800
4
7,800
0
0
General Medicine
M16
Metabolic Coma with or without Ventilatory Support per day - 7 days stay - 6000 per day
M16Q1.9
576
1,67,18,100
575
1,66,84,500
455
86,12,849
General Medicine
M16
Metabolic encephalopathy/encephalitis due to any cause
M16PM1.2
54
5,43,100
50
4,91,100
0
0
General Medicine
M16
NSTEMI / Evolved MI - 5 Days stay
M16Q2.2
1001
1,46,20,000
982
1,43,41,000
0
0
General Medicine
M16
NSTEMI / Evolved MI - 5 Days stay
M16Q1.3
81
32,09,500
81
32,09,500
71
25,77,750
General Medicine
M16
Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days
M16Q1.12
134
79,44,000
122
72,30,000
0
0
General Medicine
M16
Rituximab Treatment for Neurological, Rheumatological, Nephrological Haematological and dermatological problems 15 days
M16Q1.2
537
2,32,05,000
537
2,32,05,000
494
1,91,09,405
General Medicine
M16
Scorpion Sting Requiring Ventilator Support per day - 6000 per day - 5 Days
M16Q1.8
36
9,00,000
36
9,00,000
33
6,01,635
General Medicine
M16
Severe anemia
M16PM1.7
140
3,72,400
140
3,72,400
0
0
General Medicine
M16
Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia)
M16PM1.3
4
7,100
4
7,100
0
0
General Medicine
M16
Sickle cell Crisis presenting with Fever, Joint pains, Tachycardia) per day including PCV administration. General ward1500ICU - 4000ICU with NIV - 5000ICU with invasive ventilator 6000 - 5 days stay
M16Q1.10
383
37,38,400
378
35,88,400
242
4,35,280
General Medicine
M16
Snake Bite Requiring Ventilator Support - 10 Days stay
M16Q1.7
1688
7,74,58,000
1688
7,74,58,000
1445
4,84,12,741
General Medicine
M16
TB Meningitis or Tuberculoma 10 days - ICU Stay
M16Q1.6
2269
6,64,27,000
2261
6,61,07,000
1898
4,17,32,607
General Medicine
M16
Thrombocytopenia With Bleeding Diathesis 7 days
M16Q1.1
11942
23,10,77,720
11911
23,02,25,720
9162
14,53,65,934
General Surgery
S1
Abbe Operation
S1A1.11
3
45,000
3
45,000
3
45,000
General Surgery
S1
Anal fissures with or without Sphincterotomy with anal dilatation
S1A15.6
1453
1,29,23,550
1449
1,28,83,550
1226
99,43,904
General Surgery
S1
Anterior Resection
S1A9.2
139
58,88,000
139
58,88,000
118
47,90,416
General Surgery
S1
AppendIcular Perforation
S1A5.2
8228
8,68,28,775
8197
8,61,97,775
5680
4,68,62,461
General Surgery
S1
Bakers Cyst - Excision
S1PM1.5
16
96,000
16
96,000
0
0
General Surgery
S1
Benign Retroperitoneal Tumor - Excision
S1A15.13
33
3,85,000
32
3,65,000
27
2,41,000
General Surgery
S1
Benign Soft Tissue Tumor (small) ? Excision
S1PM1.68
3
15,000
3
15,000
0
0
General Surgery
S1
Benign Soft Tissue Tumor - Excision
S1PM1.73
387
38,64,000
361
36,04,000
0
0
General Surgery
S1
Benign Submandibular Lymph node - Excision
S1A15.15
24
1,16,500
24
1,16,500
17
81,500
General Surgery
S1
Benign Submandibular Mass Excision + Reconstruction
S1A15.16
44
8,62,000
43
8,42,000
32
6,18,000
General Surgery
S1
Brachial Cyst Excision
S1A1.1
27
5,18,000
27
5,18,000
22
4,29,000
General Surgery
S1
Branchial Sinus Excision
S1A1.5
24
4,65,000
24
4,65,000
17
3,25,000
General Surgery
S1
Burst abdomen (Complete Dehiscence) closure
S1A17.1
23
6,78,000
21
6,18,000
0
0
General Surgery
S1
Carotid Body-Tumours Excision
S1A1.8
31
8,47,500
31
8,47,500
26
6,96,000
General Surgery
S1
Cervial Lymphnodes / Cervical swelling
S1PM1.51
12
24,000
12
24,000
0
0
General Surgery
S1
Cervical Rib Excision
S1A1.2
85
12,60,750
85
12,60,750
72
9,25,500
General Surgery
S1
CGHS - Excision of lumps
S1A15.28
37
74,000
37
74,000
0
0
General Surgery
S1
CGHS - Foreign body removal
S1A15.33
4
7,936
4
7,936
0
0
General Surgery
S1
CGHS - Phimosis Under LA
S1A15.23
56
84,448
56
84,448
0
0
General Surgery
S1
CGHS - Primary Suturing of Wound
S1A15.32
3
1,035
3
1,035
0
0
General Surgery
S1
CGHS - Removal of Foreign Bodies
S1A15.30
1
345
1
345
0
0
General Surgery
S1
Cholecystectomy & Exploration CBD
S1A11.3
166
40,43,750
166
40,43,750
130
31,13,750
General Surgery
S1
Colostomy Closure for Malignant and Non malignant conditions
S1A14.8
1820
3,50,93,000
1810
3,48,95,000
1554
2,93,87,751
General Surgery
S1
Colostomy for Malignant and Non Malignant conditions
S1A14.7
914
1,80,08,750
903
1,77,94,750
663
1,11,06,939
General Surgery
S1
Cyst over Scrotum - Excision
S1PM1.61
8
16,000
8
16,000
0
0
General Surgery
S1
Cystic Hygroma Excision-Extensive
S1A1.10
10
1,94,000
10
1,94,000
9
1,74,000
General Surgery
S1
Cystic Hygroma Excision-Major
S1A1.15
15
2,89,000
15
2,89,000
12
2,29,000
General Surgery
S1
Cystic Hygroma Excision-Minor
S1A1.16
6
56,500
6
56,500
4
36,500
General Surgery
S1
Cystic mass - Excision
S1PM1.52
243
4,83,500
240
4,77,500
0
0
General Surgery
S1
Cystogastrostomy / Cystojejunostomy
S1A11.6
786
3,05,89,667
777
3,02,29,667
578
2,21,22,249
General Surgery
S1
Cystojejunostomy
S1A11.5
100
37,68,000
99
37,28,000
81
29,25,000
General Surgery
S1
Debridement of Ulcer-Leprosy And 3 follow up dressing
S1PM1.45
36
1,74,000
33
1,59,500
0
0
General Surgery
S1
Dermoid Cyst - Excision
S1PM1.1
84
2,50,800
82
2,44,800
0
0
General Surgery
S1
Drainage of Intra abdominal abscess Fr ex - Psoas Abscess, Pelvic abscess, Appendicular abscess etc with minimum 2 followup dressings
S1A15.20
182
24,28,350
178
23,50,350
62
3,03,450
General Surgery
S1
Drainage of intraperitoneal Abscess
S1PM1.39
9
56,500
9
56,500
0
0
General Surgery
S1
Drainage of Ischio Rectal Abscess with minimum 2 followup dressings
S1A15.19
255
19,11,750
251
18,51,750
141
4,17,400
General Surgery
S1
Drainage of liver Abscess
S1A15.1
320
19,04,400
314
18,68,400
219
12,35,800
General Surgery
S1
Drainage of liver Abscess
S1PM1.16
1
6,000
1
6,000
0
0
General Surgery
S1
Drainage of perivertebral abscess
S1A15.11
27
2,61,750
27
2,61,750
20
1,91,750
General Surgery
S1
Duodenal Perforation
S1A7.2
1984
3,58,94,500
1984
3,58,94,500
1816
3,23,95,214
General Surgery
S1
Epididymal Swelling / Cyst ? Excision
S1PM1.8
5
25,000
5
25,000
0
0
General Surgery
S1
Epidymal Cyst
S1PM1.62
24
72,000
22
66,000
0
0
General Surgery
S1
Epigastric Hernia With Mesh
S1A4.2
1000
2,84,80,775
996
2,83,60,775
852
2,36,96,263
General Surgery
S1
Epigastric Hernia Without Mesh
S1A4.1
493
71,22,500
488
70,47,500
429
60,89,188
General Surgery
S1
Evacuation of Scrotal Hematoma
S1PM1.14
6
29,500
5
25,000
0
0
General Surgery
S1
Eversion of Hydrocele Sac- Bilateral
S1PM1.13
36
2,78,400
36
2,78,400
0
0
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1PM1.21
145
6,94,450
145
6,94,450
1
15,000
General Surgery
S1
Eversion of Hydrocele Sac- unilateral
S1A15.3
7401
3,71,63,683
7355
3,69,32,183
5401
2,61,37,283
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral, multiple
S1PM1.29
68
7,75,400
64
7,27,400
0
0
General Surgery
S1
Excision and Skin Graft of Venous or non healing Ulcer Unilateral,single
S1PM1.28
106
10,21,200
102
9,81,200
0
0
General Surgery
S1
Excision Benign Tumor -Small intestine
S1PM1.15
3
43,500
3
43,500
0
0
General Surgery
S1
Excision Mammary Fistula
S1PM1.18
2
10,000
2
10,000
0
0
General Surgery
S1
Excision Meckels Diverticulum Isolated
S1PM1.57
6
59,000
4
39,000
0
0
General Surgery
S1
Excision of Growth from Tongue
S1PM1.9
29
6,79,500
27
6,29,500
0
0
General Surgery
S1
Excision of Growth from Tongue with neck node dissection
S1PM1.22
2
30,000
2
30,000
0
0
General Surgery
S1
Excision of Neurofibroma
S1PM1.23
15
44,700
14
41,700
0
0
General Surgery
S1
Excision of salivary glands
S1A15.22
248
60,77,500
248
60,77,500
193
47,03,750
General Surgery
S1
Excision of Swelling in Right Cervical Region
S1PM1.56
3
6,000
3
6,000
0
0
General Surgery
S1
Excision Of Thyroglossal Cyst Fistula
S1A1.19
72
10,17,000
72
10,17,000
68
9,57,000
General Surgery
S1
Excision Pilonidal Sinus
S1PM1.19
2
16,000
2
16,000
0
0
General Surgery
S1
Excision Pilonidal Sinus
S1A15.2
334
26,52,200
329
26,12,200
234
18,49,500
General Surgery
S1
Excision Small Intestinal Fistula
S1PM1.20
3
45,000
3
45,000
0
0
General Surgery
S1
Exicision of Sinus and Curettage
S1PM1.24
26
1,30,000
25
1,25,000
0
0
General Surgery
S1
Femoral Hernia
S1A4.3
29
3,66,000
29
3,66,000
25
3,19,500
General Surgery
S1
Fibroadenoma - Bilateral
S1PM1.10
16
80,000
16
80,000
0
0
General Surgery
S1
Fibroadenoma - unilateral
S1PM1.12
459
19,40,800
439
18,40,800
0
0
General Surgery
S1
Fissurectomy
S1A15.5
332
24,76,650
332
24,76,650
298
20,18,313
General Surgery
S1
Fissurectomy
S1PM1.27
3
22,500
3
22,500
0
0
General Surgery
S1
Fissurectomy with Sphincterotomy
S1PM1.30
2
17,500
2
17,500
0
0
General Surgery
S1
Free Grafts - Wolfe Grafts
S1PM1.48
83
8,25,000
81
8,05,000
0
0
General Surgery
S1
Ganglion - Excision
S1PM1.53
37
74,000
35
70,000
0
0
General Surgery
S1
Gastric Perforation Isolated
S1PM1.60
78
13,61,000
77
13,41,000
0
0
General Surgery
S1
Gastrojejunostomy & Vagotomy
S1A7.5
148
42,16,500
148
42,16,500
131
36,63,000
General Surgery
S1
Gastrostomy
S1A7.9
183
35,37,000
179
34,57,000
147
26,11,335
General Surgery
S1
Gastrostomy Closure
S1A7.10
13
2,56,000
13
2,56,000
9
1,78,000
General Surgery
S1
Granuloma - Excision
S1PM1.54
17
34,000
15
30,000
0
0
General Surgery
S1
Haemorroidectomy
S1A15.9
1283
74,21,150
1274
73,76,150
990
51,59,067
General Surgery
S1
Haemorroidectomy+ Fistulectomy with or without sphinctor repair
S1A15.4
1282
1,25,98,333
1278
1,25,58,333
911
79,94,450
General Surgery
S1
Haemorroidectomy+ Fistulectomy with or without sphinctor repair
S1PM1.25
7
68,000
7
68,000
0
0
General Surgery
S1
Hemimandibulectomy
S1A1.6
85
19,10,000
85
19,10,000
75
16,32,750
General Surgery
S1
Hemithyroidectomy
S1A2.1
1206
2,32,59,000
1206
2,32,59,000
1125
2,16,57,100
General Surgery
S1
Hiatus Hernia Repair Abdominal
S1A4.4
139
47,71,500
136
46,70,000
103
35,35,000
General Surgery
S1
Highly Selective Vagotomy
S1A7.1
2
50,000
2
50,000
2
43,750
General Surgery
S1
Hydrocele + Orchidectomy / Epidydectomy
S1PM1.7
107
8,54,400
103
8,22,400
0
0
General Surgery
S1
I and D cold Abscess minimum 2 follow up dressing
S1PM1.47
15
73,000
13
63,000
0
0
General Surgery
S1
Ileostomy
S1A8.7
654
1,31,26,375
651
1,30,61,375
486
72,13,126
General Surgery
S1
Ileostomy Closure
S1A8.8
1182
2,31,36,750
1169
2,28,76,750
936
1,77,98,625
General Surgery
S1
Incision and Drainage of large Abscess with minimum 2 followup dressings
S1PM1.3
268
10,71,700
265
10,59,700
0
0
General Surgery
S1
Inguinal Hernia Repair
S1PM1.34
317
23,43,400
317
23,43,400
0
0
General Surgery
S1
Inguinal Hernia Repair
S1A15.7
23770
18,89,32,600
23582
18,74,21,600
17148
13,10,46,613
General Surgery
S1
Intussusception
S1A8.1
424
1,17,83,975
423
1,17,53,975
330
89,12,000
General Surgery
S1
Isthmectomy
S1A2.2
6
1,17,000
6
1,17,000
4
80,000
General Surgery
S1
Lap Cholecystostomy With Exploration CBD
S1A11.4
99
29,25,000
99
29,25,000
74
21,11,605
General Surgery
S1
Lap. Appendectomy
S1A5.1
17060
36,67,67,067
17003
36,53,48,067
13515
28,36,38,981
General Surgery
S1
Lap.Cholecystectomy
S1A11.2
11784
30,45,58,675
11644
30,04,18,175
6795
16,34,11,242
General Surgery
S1
Left Hemi Colectomy
S1A14.4
174
48,91,417
174
48,91,417
138
35,66,619
General Surgery
S1
Ligation of Ankle Perforators
S1A15.12
62
6,15,000
62
6,15,000
38
3,56,750
General Surgery
S1
Lipoma in lower limb
S1PM1.55
64
1,28,000
61
1,22,000
0
0
General Surgery
S1
Mal-Rotation & Volvulus Of The Midgut
S1A14.1
119
38,68,917
119
38,68,917
103
32,79,625
General Surgery
S1
Malignant Soft Tissue Tumor - Excision
S1A15.14
875
1,01,57,200
866
96,32,500
572
28,25,500
General Surgery
S1
Mesenteric Cyst Excision
S1PM1.31
15
2,40,000
15
2,40,000
0
0
General Surgery
S1
Mesentric cyst excision
S1A12.1
12
4,64,000
12
4,64,000
10
3,84,000
General Surgery
S1
Open Cholecystectomy
S1A11.1
1604
3,14,71,750
1596
3,13,11,750
1277
2,46,16,458
General Surgery
S1
Operation For Acute Intestinal Obstruction
S1A8.2
8203
23,31,34,767
8157
23,17,69,767
6455
17,66,90,591
General Surgery
S1
Operation For Bleeding Peptic Ulcer
S1A7.6
40
14,90,500
40
14,90,500
28
10,57,989
General Surgery
S1
Operation For Duodinal / Jejunal / Ileal Perforation
S1A8.3
8077
23,09,24,253
8051
23,00,89,253
6379
17,67,49,709
General Surgery
S1
Operation For Haemorrhage Of The Small Intestine
S1A8.4
30
11,40,000
30
11,40,000
23
8,51,500
General Surgery
S1
Operation For Hydatid Cyst Liver
S1A10.1
372
1,09,01,000
372
1,09,01,000
310
89,87,125
General Surgery
S1
Operation For Volvulus Of Large Bowel
S1A14.2
315
1,05,76,750
313
1,05,06,750
262
85,54,321
General Surgery
S1
Operation Of The Duplication Of The Intestines
S1A14.3
24
9,18,167
23
8,78,167
17
6,50,750
General Surgery
S1
Operation On Adrenal Glands Unilateral For Tumour
S1A12.2
172
42,28,750
172
42,28,750
152
36,10,000
General Surgery
S1
Operations For Recurrent Intestinal Obstruction (Noble Plication Other)
S1A8.5
135
43,54,417
135
43,54,417
86
25,43,882
General Surgery
S1
Parathyroidectomy
S1A1.18
27
7,99,500
27
7,99,500
25
7,32,640
General Surgery
S1
Parotid Duct Repair
S1A1.4
7
1,40,000
7
1,40,000
7
1,35,000
General Surgery
S1
Partial Glossectomy
S1A1.9
13
1,95,000
13
1,95,000
12
1,72,500
General Surgery
S1
Partial Thyroidectomy
S1A2.3
70
12,19,000
70
12,19,000
60
10,43,000
General Surgery
S1
Partial/Subtotal Gastrectomy For Ulcer
S1A7.7
170
62,85,500
169
62,45,500
147
52,86,000
General Surgery
S1
Pharyngectomy & Reconstruction for Benign Tumours
S1A15.17
1
18,000
1
18,000
0
0
General Surgery
S1
Portocaval Anastomosis
S1A10.2
9
6,80,000
9
6,80,000
8
5,34,000
General Surgery
S1
Pull Through Abdominal Resection
S1A9.1
49
14,12,500
49
14,12,500
40
11,45,393
General Surgery
S1
Pyloromyotomy
S1A7.8
25
4,95,000
25
4,95,000
23
4,47,500
General Surgery
S1
Rare Hernias (Spigalion,Obuturator,Sciatic)
S1A4.5
74
14,27,500
74
14,27,500
62
11,71,500
General Surgery
S1
Rectal Dilation
S1PM1.66
2
4,500
2
4,500
0
0
General Surgery
S1
Rectopexy
S1PM1.37
26
2,59,000
25
2,49,000
0
0
General Surgery
S1
Removal Of Submandibular Salivary Gland
S1A1.3
102
9,79,000
102
9,79,000
93
8,87,000
General Surgery
S1
Repair Of CBD
S1A11.7
40
9,85,000
40
9,85,000
27
6,46,250
General Surgery
S1
Resection & Anastomosis Of Small Intestine
S1A8.6
2068
6,80,84,542
2057
6,77,06,542
1645
5,12,26,592
General Surgery
S1
Resection Anastomosis (Large Intestine)
S1PM1.38
22
5,47,500
21
5,22,500
0
0
General Surgery
S1
Resection Enucleation
S1A2.4
5375
9,84,59,500
5360
9,81,67,500
4556
8,28,04,647
General Surgery
S1
Rib Resection & Drainage for empyema in adults
S1A15.18
8
80,000
8
80,000
6
50,000
General Surgery
S1
Right Hemi Colectomy
S1A14.5
451
1,29,08,750
449
1,28,48,750
367
99,94,114
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1A15.36
6
3,18,360
4
2,08,260
0
0
General Surgery
S1
Scalp tumour Excision with skull bone excision
S1PM1.35
7
27,200
7
27,200
0
0
General Surgery
S1
Scrotal Swelling (Multiple) - Excision
S1A15.10
82
4,09,850
81
4,04,850
59
2,65,225
General Surgery
S1
Scrotal Swelling (Multiple) ? Excision
S1PM1.40
1
5,000
1
5,000
0
0
General Surgery
S1
Segmental Mandible Excision
S1A1.7
72
16,18,750
72
16,18,750
65
14,23,125
General Surgery
S1
Selective Vagotomy Drainage
S1A7.3
2
80,000
2
80,000
1
40,000
General Surgery
S1
Simple Mastectomy(NM)
S1A3.1
1059
1,93,75,000
1055
1,92,95,000
918
1,65,09,899
General Surgery
S1
Splenectomy For Hypersplenism
S1A13.1
241
82,93,000
237
81,53,000
175
58,66,625
General Surgery
S1
Splenorenal Anastomosis
S1A13.2
76
44,99,500
76
44,99,500
58
33,77,750
General Surgery
S1
Subtotal Thyroidectomy
S1A2.5
580
1,11,93,000
580
1,11,93,000
499
95,62,750
General Surgery
S1
Suprapubic Cystostomy
S1A16.1
130
12,76,000
130
12,76,000
96
8,86,000
General Surgery
S1
Surgery of high fistula in ano
S1A6.2
211
39,47,750
195
36,49,750
0
0
General Surgery
S1
Surgery of low fistula in ano
S1A6.1
34
3,40,000
32
3,20,000
0
0
General Surgery
S1
Surgery on Rectal prolapse
S1A15.8
72
8,29,000
72
8,29,000
52
5,05,500
General Surgery
S1
Total Colectomy
S1A14.6
83
32,10,500
82
31,70,500
65
23,57,080
General Surgery
S1
Total Thyroidectomy
S1A2.6
365
71,22,000
364
71,02,000
326
63,33,221
General Surgery
S1
Tracheoplasty (Throat)
S1PM1.42
2
20,000
2
20,000
0
0
General Surgery
S1
Umbilical Hernia With Mesh
S1A4.7
6152
14,83,19,133
6115
14,74,02,633
4795
11,29,25,033
General Surgery
S1
Umbilical Hernia Without Mesh
S1A4.6
2555
3,74,53,217
2543
3,72,65,717
2032
2,90,68,612
General Surgery
S1
Umbilical Sinus - Excision
S1PM1.43
25
1,25,000
25
1,25,000
0
0
General Surgery
S1
Vagotomy Pyloroplasty
S1A7.4
8
2,13,000
8
2,13,000
7
1,83,000
General Surgery
S1
Varicose Veins - Excision and Ligation
S1PM1.44
4
37,500
4
37,500
0
0
General Surgery
S1
Varicose Veins - Radiofrequency Ablation / Excision and Ligation
S1A15.21
1049
1,03,95,000
1040
1,03,05,000
768
74,73,250
General Surgery
S1
Varicose Veins - Radiofrequency Ablation/Intervention
S1PM1.26
1
10,000
1
10,000
0
0
General Surgery
S1
Ventral And Scar Hernia With Mesh
S1A4.9
4447
12,99,60,675
4418
12,90,90,675
3624
10,42,90,436
General Surgery
S1
Ventral and Scar Hernia Without Mesh
S1A4.8
591
1,15,09,500
590
1,14,89,500
467
89,61,250
General Surgery
S1
Warren Shunt
S1A13.3
22
12,93,000
22
12,93,000
15
8,83,500
General Surgery
S1
Wedge Excision
S1A1.14
16
2,35,500
16
2,35,500
14
2,10,000
General Surgery
S1
Wedge Excision& Vermilionectomy Inv
S1A1.13
1
14,000
1
14,000
0
0
Gynaecology And Obstetrics Surgery
S4
Abdominal Hysterectomy
S4C4.1
1157
1,15,75,000
1060
1,06,02,500
0
0
Gynaecology And Obstetrics Surgery
S4
Abruptio Placenta With Coagulation Defect - DIC
S4C1.4
1010
1,85,87,000
1008
1,85,47,000
724
1,31,40,160
Gynaecology And Obstetrics Surgery
S4
Bartholins Cyst Enucleation
S4PM1.12
2
6,000
2
6,000
0
0
Gynaecology And Obstetrics Surgery
S4
Bartholins Cyst Incision drainage / Enucleation
S4PM1.13
11
33,000
11
33,000
0
0
Gynaecology And Obstetrics Surgery
S4
Cervical Polypectomy
S4PM1.11
28
83,100
27
80,100
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Cesarean Section
S4C3.7
48505
78,35,60,563
48506
78,35,60,563
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Complete perineal tear-repair
S4C3.9
9
25,759
9
25,759
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Exploration of PPH-tear repair
S4C3.10
66
2,70,825
66
2,70,825
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Manual Removal of Placenta
S4C3.8
130
6,84,487
130
6,84,487
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Normal delivery with or without Episiotomy & P. repair
S4C3.5
24204
22,24,93,205
24205
22,24,93,205
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Repair of post-coital tear/ perineal injury
S4C3.11
1
4,034
1
4,034
0
0
Gynaecology And Obstetrics Surgery
S4
CGHS - Vacuum delivery
S4C3.6
2808
2,78,40,521
2808
2,78,40,521
0
0
Gynaecology And Obstetrics Surgery
S4
Cyst -Vaginal Enucleation / Removal of Labial cyst
S4PM1.4
2
6,000
2
6,000
0
0
Gynaecology And Obstetrics Surgery
S4
Cyst-Labial / Bartholin cyst enucleation
S4PM1.9
8
24,000
8
24,000
0
0
Gynaecology And Obstetrics Surgery
S4
Cystocele,Rectocele & Perineorraphy
S4C2.4
7604
10,75,79,125
7597
10,74,81,125
6748
9,01,45,205
Gynaecology And Obstetrics Surgery
S4
Eclampsia With Complication Requiring Ventilatory Support
S4C1.3
234
44,93,000
233
44,75,000
149
27,47,850
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4C3.4
57
3,73,933
55
3,61,933
35
2,03,650
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic adhesiolysis
S4PM1.16
1
6,000
1
6,000
0
0
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic myomectomies
S4PM1.5
5
30,000
4
24,000
0
0
Gynaecology And Obstetrics Surgery
S4
Hysteroscopic polypectomy
S4PM1.6
40
1,20,000
37
1,11,000
0
0
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Adhesolysis (G)
S4C2.16
4551
9,89,32,333
4542
9,86,82,333
4058
8,01,86,121
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Cystectomy
S4C2.10
2911
5,65,97,300
2886
5,61,13,050
1744
3,10,99,775
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Myomectomy
S4C2.13
3603
8,11,24,150
3592
8,08,61,400
2675
5,63,38,895
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Ovarian Drilling
S4C2.12
3915
5,59,95,233
3914
5,59,80,233
3549
4,70,78,165
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Recanalisation
S4C2.14
432
75,95,500
432
75,95,500
320
48,02,417
Gynaecology And Obstetrics Surgery
S4
Laparoscopic Sling Operations
S4C2.15
211
47,67,167
211
47,67,167
123
25,90,808
Gynaecology And Obstetrics Surgery
S4
LAVH
S4C2.1
15771
44,97,73,942
15691
44,73,73,942
12840
36,18,22,363
Gynaecology And Obstetrics Surgery
S4
LLETZ (Large Loop Excision of the transformation zone )
S4C3.2
365
34,83,750
365
34,83,750
330
31,09,750
Gynaecology And Obstetrics Surgery
S4
Mc Indo-S Repair For Vaginal Atresia
S4C2.6
78
22,64,500
75
21,74,500
59
16,98,998
Gynaecology And Obstetrics Surgery
S4
Obstetric Hysterectomy /Internal iliac ligation With or without Bladder Repair
S4C1.1
320
90,24,000
317
89,34,000
157
43,80,933
Gynaecology And Obstetrics Surgery
S4
Pelvic Floor Reconstruction With Mesh
S4C2.5
150
22,44,467
150
22,44,467
119
16,92,692
Gynaecology And Obstetrics Surgery
S4
Perineal/ Vesico-vaginal/ Recto-vaginal tear repair
S4C2.22
975
1,36,87,150
971
1,36,29,150
611
84,96,100
Gynaecology And Obstetrics Surgery
S4
Repair for rectovaginal fistulas / Vsicovaginal fistula
S4PM1.1
53
9,65,000
50
9,05,000
0
0
Gynaecology And Obstetrics Surgery
S4
Rupture Uterus
S4C1.2
547
1,30,80,000
544
1,30,05,000
304
72,36,342
Gynaecology And Obstetrics Surgery
S4
Slings With Mesh Repair For Prolapse
S4C2.7
2297
7,96,86,875
2297
7,96,86,875
2001
6,82,10,977
Gynaecology And Obstetrics Surgery
S4
Surgical management of ruptured ectopic pregnancy
S4C2.11
878
1,63,17,750
875
1,62,57,750
616
1,11,17,739
Gynaecology And Obstetrics Surgery
S4
Tuboplasty
S4PM1.7
2
20,000
2
20,000
0
0
Gynaecology And Obstetrics Surgery
S4
Tuboplasty (G)
S4C3.3
22
2,17,000
22
2,17,000
18
1,78,000
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy
S4C2.17
16610
26,51,98,125
16564
26,44,98,125
14492
23,09,53,822
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy With Mesh Repair
S4C2.3
545
1,05,48,500
545
1,05,48,500
466
89,11,625
Gynaecology And Obstetrics Surgery
S4
Vaginal Hysterectomy With Pelvic Floor Repair
S4C2.2
7323
11,61,14,750
7303
11,58,09,750
6334
10,06,71,095
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal / Vaginal Repair With or without Mesh
S4C2.9
834
1,84,51,000
832
1,84,01,000
769
1,67,78,917
Gynaecology And Obstetrics Surgery
S4
Vault Prolapse Abdominal Repair
S4C2.8
211
39,34,750
211
39,34,750
186
33,16,374
Haemato Oncology
M19
Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly
M19U6.1
1211
72,42,600
1178
70,44,600
0
0
Haemato Oncology
M19
AEVD Lymphoma and others Adriamycin 25mg/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Etoposide 65mg/m2 Day 1-3, 15-17 Every 28 days for 6 cycles
M19U.1
14
1,76,640
12
1,51,040
0
0
Haemato Oncology
M19
Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol - AML M3/APML/Promyelocytic
M19U.17
24
29,56,300
22
27,04,700
0
0
Haemato Oncology
M19
Arsenic trioxide ATRA - Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol - AML M3/APML/Promyelocytic
M19U.16
8
7,39,440
7
6,45,840
0
0
Haemato Oncology
M19
ATO 0.15 mg / kg day 1- 45 or 60 ATRA 45 mg / M2 - day 1-45 or 60 - AML M3/APML/Promyelocytic
M19U.19
17
17,90,100
17
17,90,100
0
0
Haemato Oncology
M19
ATO 0.15 mg / kg day 1- Day 5, day 8-12, day 15- 19, day 22-26 every 56 days for 4 cycles ATRA 45 mg / M2 day 1- Day 14 and Day 29-43 every 56 days for 4 cycles - AML M3/APML/Promyelocytic
M19U.18
39
26,67,500
36
24,68,125
0
0
Haemato Oncology
M19
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M19U5.4
1200
2,31,98,500
1122
2,16,54,150
0
0
Haemato Oncology
M19
Bosutinib (Per Month)
M19U.34
4
24,000
3
18,000
0
0
Haemato Oncology
M19
Burkitt Lumphoma and others - Codox - M - IVAC / Acute Lymphoblastic Leukemia - GMALL or BFM or Hyper CVAD
M19U.5
41
18,40,900
36
16,16,400
0
0
Haemato Oncology
M19
Carfinzomib +Pomalidomide+Dexamethasone / Carfinzomib +Thalidomide+Dexamethasone/Carfinzomib +Lenalidomide+Dexamethasone
M19U.31
272
1,35,31,500
265
1,31,81,500
0
0
Haemato Oncology
M19
CGHS - 2 D echocardiography
M19A1.2
3947
46,30,424
3947
46,30,424
0
0
Haemato Oncology
M19
CGHS - 2 D TEE
M19A1.4
19
30,945
19
30,945
0
0
Haemato Oncology
M19
CGHS - Abdomen AP Supine or Erect (One film)
M19A1.7
1
150
1
150
0
0
Haemato Oncology
M19
CGHS - Abdomen Lateral view (one film)
M19A1.8
4
445
4
445
0
0
Haemato Oncology
M19
CGHS - ANC Sonography - Anomaly scan
M19A1.11
191
28,650
191
28,650
0
0
Haemato Oncology
M19
CGHS - Aspiration Plural Effusion - Diagnostic
M19A1.12
2
276
2
276
0
0
Haemato Oncology
M19
CGHS - Biopsy
M19A1.13
363
1,82,957
363
1,82,957
0
0
Haemato Oncology
M19
CGHS - Chest Lateral (one film)
M19A1.10
12
1,910
12
1,910
0
0
Haemato Oncology
M19
CGHS - Chest PA view (one film)
M19A1.9
1031
2,63,351
1031
2,63,351
0
0
Haemato Oncology
M19
CGHS - Colposcopy
M19A1.16
82
90,364
82
90,364
0
0
Haemato Oncology
M19
CGHS - Diagnostic Curettage
M19A1.15
141
4,00,509
141
4,00,509
0
0
Haemato Oncology
M19
CGHS - ECG
M19A1.1
1638
7,46,855
1638
7,46,855
0
0
Haemato Oncology
M19
CGHS - Endoscopic biopsy
M19A1.18
3
1,191
3
1,191
0
0
Haemato Oncology
M19
CGHS - Fetal Echo
M19A1.3
131
2,10,450
131
2,10,450
0
0
Haemato Oncology
M19
CGHS - Gastroscopy
M19A1.14
514
10,15,497
514
10,15,497
0
0
Haemato Oncology
M19
CGHS - Occlusal X-ray
M19A1.6
28
6,875
28
6,875
0
0
Haemato Oncology
M19
CGHS - Stress Echo- exercise
M19A1.5
63
96,745
63
96,745
0
0
Haemato Oncology
M19
CGHS - Upper G.I. Endoscopy + Lower G.I. Endoscopy
M19A1.17
258
5,08,339
258
5,08,339
0
0
Haemato Oncology
M19
CLL and other lymphomas- Acalbrutinib - per month
M19U.35
227
45,10,000
218
43,30,000
0
0
Haemato Oncology
M19
Consolidation Chemotherapy / Intensive Chemotherapy upto 4 Cycles - Payable maximum upto for each cycle
M19U2.3
199
39,38,000
187
37,02,000
0
0
Haemato Oncology
M19
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M19U3.2
370
2,19,72,000
350
2,07,84,000
0
0
Haemato Oncology
M19
Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib
M19U7.1
3710
11,10,87,000
3613
10,81,83,000
0
0
Haemato Oncology
M19
Cytrabine 100- 200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 - AML Induction
M19U.25
43
58,37,920
38
51,55,920
0
0
Haemato Oncology
M19
Cytrabine 200mg/m2/day days 1- 10 and Daunorubicin 50 mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5 AML
M19U.24
5
6,84,500
5
6,84,500
0
0
Haemato Oncology
M19
Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 - AML Consolidation phase
M19U.23
30
22,47,000
27
20,22,300
0
0
Haemato Oncology
M19
Dasatinib + chemo (to be used only with ALL therapy)To be used with Philadelphia Chromosome/PH Positive ALL
M19U.21
33
2,06,250
33
2,06,250
0
0
Haemato Oncology
M19
Dasatinib per month
M19U.32
1181
58,76,000
1153
57,37,000
0
0
Haemato Oncology
M19
De-Angelis/MTR (methotrexate, dexamethasone, procarbazine, vincristine, intrathecal MTX, CYTARABINE) - NHL /Primary CNS Lymphoma
M19U.30
31
14,50,800
30
14,04,000
0
0
Haemato Oncology
M19
DHAP - NHL and others Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days
M19U.15
22
3,58,600
20
3,26,000
0
0
Haemato Oncology
M19
Follicular Lymphoma/CLL/NHL and others - Rituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles
M19U.9
57
30,21,000
56
29,68,000
0
0
Haemato Oncology
M19
Follicular Lymphoma/Non Hodgkins Lumphoma/CLL/SLL and others - Lenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1- 28, for 8 cycles
M19U.6
50
13,95,900
48
13,39,500
0
0
Haemato Oncology
M19
GELOX NHL and others Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days
M19U.11
2
50,200
1
25,100
0
0
Haemato Oncology
M19
ICE - NHL and others Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks
M19U.12
50
6,76,780
48
6,49,380
0
0
Haemato Oncology
M19
ICICLE BFM KLALL MCP:841 - ALL
M19U.20
45
50,89,500
38
42,97,800
0
0
Haemato Oncology
M19
Imatinib + chemo ((to be used only with ALL therapy) - To be used with Philadelphia Chromosome/PH Positive ALL
M19U.22
9
56,250
6
37,500
0
0
Haemato Oncology
M19
Imatinib(Per month)
M19U.41
2781
1,10,84,400
2717
1,08,28,400
0
0
Haemato Oncology
M19
Induction 1st And 2 nd Months - Payable maximum upto
M19U2.2
363
1,80,70,000
340
1,69,25,000
0
0
Haemato Oncology
M19
Induction Phase - Payable maximum upto
M19U3.1
267
1,59,48,000
247
1,47,48,000
0
0
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)
M19U.3
2
65,800
2
65,800
0
0
Haemato Oncology
M19
Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)
M19U.4
3
1,12,800
3
1,12,800
0
0
Haemato Oncology
M19
LMB 89 - 96 - Consolidation (second month) - ALL/NHL and others
M19U.26
7
3,87,800
5
2,77,000
0
0
Haemato Oncology
M19
LMB 89 - 96 - Induction - COPADAM ( first month) - ALL/NHL and others
M19U.27
9
4,96,800
9
4,96,800
0
0
Haemato Oncology
M19
Low grade lymphomas /NHL (Low grades) and others - RituximabRituximab 375mg/m2 per week for 6
M19U.7
83
16,54,000
81
16,14,000
0
0
Haemato Oncology
M19
Maintenance Phase - Per month
M19U2.1
300
9,00,000
288
8,64,000
0
0
Haemato Oncology
M19
MCP - 842 - ALL and others
M19U.29
2
2,56,800
1
1,28,400
0
0
Haemato Oncology
M19
Melphalan+Thalidomide+Prednisone Oral
M19U5.2
8
47,500
8
47,500
0
0
Haemato Oncology
M19
MINE - NHL and others Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1- 3 Every 3 weeks
M19U.13
5
68,500
4
54,800
0
0
Haemato Oncology
M19
Multiple Myeloma / Plasma Cytoma Pomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days
M19U.2
141
12,51,950
135
11,98,550
0
0
Haemato Oncology
M19
Nilotinib(Per month)
M19U.33
188
15,03,200
175
13,99,200
0
0
Haemato Oncology
M19
NK/T Cell Lymphoma/NHL and others - SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days
M19U.10
2
51,200
2
51,200
0
0
Haemato Oncology
M19
Non Hodgkins Lymphoma and others -CHOEP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Etoposide 100mg/m2 D1-3 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles
M19U.38
54
3,72,600
53
3,65,700
0
0
Haemato Oncology
M19
Primary Myelofibrosis and Other MPN - Ruxolitinib - per month
M19U.37
103
41,08,000
101
40,28,000
0
0
Haemato Oncology
M19
PTCL - GDP, NHL and others Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks
M19U.14
84
16,05,120
80
15,30,240
0
0
Haemato Oncology
M19
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M19U5.1
250
7,52,400
245
7,37,400
0
0
Haemato Oncology
M19
Variable Regimen
M19U4.1
41
8,14,000
39
7,74,000
0
0
Haemato Oncology
M19
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M19U5.3
407
19,33,950
400
19,05,900
0
0
Haematology
M18
Anaemia treated with Haematinics, Blood Transfusion etc for per day - Rs 2000 per day - Length of stay 2 Days
M18Q1.1
4487
3,14,99,400
4406
3,11,76,600
2046
1,88,13,750
Haematology
M18
Aplastic Anaemia with ATG+Cyclosporin+Eltrombopeg / Danazol+Cyclosporin+Eltrombopeg - 7 Days
M18Q1.6
38
1,50,80,000
32
1,26,80,000
0
0
Haematology
M18
Autoimmune hemolytic Anaemia with Rituximab Rs 20000 per week- 4 weeks
M18Q1.13
24
18,72,000
22
17,12,000
0
0
Haematology
M18
Haemophilia A treatment with , Recombinant or Plasma derived Factor VIII Day Care procedure
M18Q1.2
1504
6,63,30,000
1490
6,59,80,000
1031
5,01,59,740
Haematology
M18
Haemophilia A with VWF deficiency - Treatment with factor VIII with VWF - Day care procedure
M18Q1.8
41
10,25,000
37
9,25,000
0
0
Haematology
M18
Haemophilia with Inhibitors treatment by Factor VII or FEIBA or Emicizumab (Hemlibra) for Haemophilia A with inhibitor - Day Care procedure
M18Q1.5
132
79,20,000
126
75,60,000
0
0
Haematology
M18
Hemophilia B with Plasma derived / Recombinant Factor IXDay care
M18Q1.9
70
28,00,000
69
27,60,000
0
0
Haematology
M18
Immune Thrombocytopenia per month
M18Q1.7
7
82,800
6
70,800
0
0
Haematology
M18
Immune Thrombocytopenia per month with immunosupressants
M18Q1.10
61
11,92,000
61
11,92,000
0
0
Haematology
M18
Immune Thrombocytopenia per month with Injectable TPO agonist
M18Q1.12
26
5,06,000
24
4,66,000
0
0
Haematology
M18
Immune Thrombocytopenia per month with Oral TPO agonist
M18Q1.11
73
8,76,000
69
8,28,000
0
0
Haematology
M18
Oral Chelation Therapy for Thalassemia or Thalassemia and Sickle cell combination - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter.
M18Q1.4
8463
13,29,91,658
8409
13,24,57,658
4745
3,70,97,204
Haematology
M18
Thalassemia trasfusion dependant or Thalassemia and Sickle cell combination requiring parental Chelation therapy - Day care blood transfusion (PCV or Whole blood) Leucodepleted or NAT tested or Leucodepletion filter.
M18Q1.3
19799
37,61,92,959
19791
37,60,34,959
17883
21,18,80,203
Infectious diseases
M5
Cryptococcal Meningitis 21 days
M5R1.3
156
31,17,000
155
30,75,000
133
21,10,700
Infectious diseases
M5
Diphtheria Complicated 10 days
M5R1.2
24
5,58,750
24
5,58,750
21
3,16,055
Infectious diseases
M5
Tetanus Severe 21 days
M5R1.1
137
29,48,800
137
29,48,800
95
14,91,807
Interventional Radiology
M15
Acute Stroke Thrombolysis With rTPA
M15W1.3
1549
14,87,46,005
1545
14,83,56,005
1059
9,86,76,505
Interventional Radiology
M15
Arterial Chemoinfusion in malignant tumours
M15W1.41
5
5,00,000
5
5,00,000
0
0
Interventional Radiology
M15
Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO)
M15W1.22
174
1,73,10,000
172
1,71,10,000
127
1,24,30,000
Interventional Radiology
M15
Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent
M15W1.15
2940
28,70,63,863
2902
28,31,63,863
2184
20,86,52,513
Interventional Radiology
M15
Bronchial Artery Embolization In Hemoptysis Using PVA And Micro Catheter
M15W1.11
846
4,99,92,000
843
4,98,12,000
674
3,95,39,132
Interventional Radiology
M15
Carotid Stenting Single Stent With Protection Device
M15W1.30
1840
27,04,81,650
1834
26,96,21,650
1425
20,81,98,050
Interventional Radiology
M15
Catheter directed thrombolysis in acute Mesenteric arterial or venous Ischemia
M15W1.37
17
16,81,250
16
15,81,250
0
0
Interventional Radiology
M15
Central Venous Balloon plasty For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent
M15W1.36
84
58,03,500
82
56,63,500
0
0
Interventional Radiology
M15
Central Venous Stenting For Central Venous Occlusion ( Brachiocephalic or Subclavian Vein or Sup Vena Cava or Common Iliac Vein ) Single Metallic Stent
M15W1.20
557
6,48,87,063
554
6,45,12,063
353
3,36,33,331
Interventional Radiology
M15
Chemo Embolization For Liver Tumors or metastases Using Drug And PVA Or DC Beads
M15W1.24
1092
10,34,40,500
1081
10,21,40,500
875
8,16,63,957
Interventional Radiology
M15
Chemoport or Implantable lines
M15W1.44
221
61,57,200
214
59,61,200
0
0
Interventional Radiology
M15
Cortical Venous Sinus Thrombolysis
M15W1.5
84
81,15,000
83
80,15,000
52
47,18,500
Interventional Radiology
M15
Deep Venous Thrombolysis For DVT With IVC Filter
M15W1.6
3419
41,64,97,757
3408
41,51,85,257
2562
30,85,16,086
Interventional Radiology
M15
Embolization Of AV Malformation Of Brain Per Sitting With Onyx
M15W1.29
696
10,31,49,875
693
10,26,99,875
554
8,10,41,564
Interventional Radiology
M15
Embolization of AV Malformation Of Peripheral Extremity or Craniofascial or Visceral Per Sitting
M15W1.34
1138
9,93,18,500
1137
9,92,28,500
927
7,90,28,836
Interventional Radiology
M15
Embolization Of Caratico-Cavernous Fistula
M15W1.33
108
1,60,37,250
107
1,58,87,250
89
1,31,25,000
Interventional Radiology
M15
Embolization Of Postoperative or Post Traumatic Bleeding
M15W1.13
313
3,02,55,575
309
2,98,30,575
231
2,14,59,125
Interventional Radiology
M15
Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.27
90
87,97,500
90
87,97,500
69
66,10,000
Interventional Radiology
M15
Endovascular Intervention For Salvaging Hemodialysis AV Fistula
M15W1.21
1541
17,63,36,728
1534
17,54,96,728
995
11,01,05,087
Interventional Radiology
M15
Endovenous thermal ablation for one limb in Vericose veins
M15W1.47
1961
8,77,59,000
1939
8,67,73,500
0
0
Interventional Radiology
M15
Gastrointestinal Visceral Arterial Embolization In Upper or Lower Gastrointestinal Bleeding With Microcatheter
M15W1.10
1043
10,22,51,350
1037
10,16,51,350
809
7,81,09,395
Interventional Radiology
M15
Hepatic Vein Stenting In Budd - Chiari Syndrome Single Stent
M15W1.2
145
1,75,53,750
145
1,75,53,750
124
1,46,94,000
Interventional Radiology
M15
HIFU (High intensity focus ultrasound) or Cryoablation or IRE (Irreversible Eletroporration) for tumor
M15W1.43
4
6,00,000
2
3,00,000
0
0
Interventional Radiology
M15
Iliac Artery Stenting with stent
M15W1.38
184
2,28,12,250
176
2,18,24,750
0
0
Interventional Radiology
M15
Inferior Vena Cava Filter Placement
M15W1.14
729
7,11,68,184
727
7,09,68,184
601
5,79,83,864
Interventional Radiology
M15
Inferior Vena Cava Stenting Single Stent
M15W1.1
343
4,15,63,500
343
4,15,63,500
283
3,32,48,916
Interventional Radiology
M15
Intra-Arterial Thrombolysis For Acute Ischemic Limbs
M15W1.18
4266
41,57,87,720
4250
41,41,97,720
3272
31,34,76,055
Interventional Radiology
M15
Intracranial Arterial And Venous Stenting
M15W1.31
734
10,86,02,000
722
10,68,02,000
477
6,90,06,750
Interventional Radiology
M15
Intracranial clot retrieval
M15W1.35
199
2,95,13,000
197
2,92,13,000
96
1,36,28,500
Interventional Radiology
M15
Intracranial clot retrieval
M15PM1.2
1
1,50,000
1
1,50,000
0
0
Interventional Radiology
M15
Mesenteric Artery Angioplasty & Stenting In Chronic Mesenteric Ischemia - Single Stent
M15W1.9
342
3,64,59,688
339
3,61,29,688
267
2,74,68,000
Interventional Radiology
M15
Microwave ablation for tumor
M15W1.42
53
63,24,000
51
60,84,000
0
0
Interventional Radiology
M15
Nephrostomy Tube And Nephroureteral Stent Placement
M15W1.16
1491
8,81,56,000
1490
8,80,36,000
1167
6,17,19,419
Interventional Radiology
M15
Percutaneous Vertebro Plasty/Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image
M15W1.25
1557
7,64,79,250
1556
7,64,29,250
1298
5,53,12,125
Interventional Radiology
M15
Peripheral Stent Graft For aorta or Peripheral Aneurysms And AV Fistulae
M15W1.32
256
3,60,47,158
253
3,55,97,158
166
2,19,20,158
Interventional Radiology
M15
Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis / CAPD
M15W1.19
21830
86,41,30,455
21655
85,71,46,455
15889
62,36,83,511
Interventional Radiology
M15
PICC line insertion for Chemotherapy or longterm antibiotic infusion
M15W1.45
84
10,08,000
84
10,08,000
0
0
Interventional Radiology
M15
Preoperative Portal Vein Embolization For Liver Tumors
M15W1.23
30
28,50,000
30
28,50,000
25
24,10,000
Interventional Radiology
M15
Preoperative Prophylactic Tumor Embolization
M15W1.28
1492
14,54,85,500
1481
14,43,85,500
1173
11,32,25,500
Interventional Radiology
M15
Prostate artery embolisation in BPH or Haematuria
M15W1.40
55
52,40,000
54
51,40,000
0
0
Interventional Radiology
M15
Radiofrequency Tumor Ablation Therapy
M15W1.12
939
10,74,61,000
937
10,72,21,000
658
7,38,32,000
Interventional Radiology
M15
Renal Artery Embolization With Multiple Coils And Microcatheter
M15W1.4
176
1,72,08,250
176
1,72,08,250
141
1,37,26,250
Interventional Radiology
M15
Retrieval of foreign body for example IVC Filter or device or IV line
M15W1.48
189
56,25,000
187
55,65,000
0
0
Interventional Radiology
M15
Subclavian Artery Stenting with stent
M15W1.7
2188
24,36,11,775
2186
24,32,69,275
1849
13,92,32,062
Interventional Radiology
M15
Superficial Femoral Artery Stenting With Stent.
M15W1.39
211
2,59,78,250
203
2,49,90,750
0
0
Interventional Radiology
M15
Tibial Angioplasty In Critical Limb Ischemia
M15W1.8
2539
28,07,23,935
2533
28,03,31,435
2221
21,80,77,438
Interventional Radiology
M15
Trans Jugular Intrahepatic Portosystemic Shunt (TIPSS)
M15W1.26
381
5,56,87,000
379
5,53,87,000
302
4,34,24,500
Interventional Radiology
M15
USG or Fluoroscopy or CT guided percutaneous Neoronolysis for reducing pain in Cancer or Non malignant conditions
M15W1.46
3
30,000
2
20,000
0
0
Interventional Radiology
M15
Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH or Uterine Fibroids or AVM
M15W1.17
739
5,82,49,000
737
5,80,89,000
542
4,26,40,126
Maxillofacial Surgery
S20
Benign Mandible Tumour Resection and reconstruction
S20A1.4
9
54,000
9
54,000
7
42,000
Maxillofacial Surgery
S20
Benign tumour of Mandible And Maxilla - Excision
S20D2.4
49
19,36,000
49
19,36,000
0
0
Maxillofacial Surgery
S20
Benign tumour of Mandible And Maxilla - Excision with reconstruction
S20D2.5
20
9,85,000
17
8,35,000
0
0
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Multiple (Faciomaxillary Injuries)
S20D1.7
939
3,67,40,000
888
3,47,16,000
0
0
Maxillofacial Surgery
S20
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S20D1.6
784
1,54,90,000
769
1,51,92,000
0
0
Maxillofacial Surgery
S20
Release of fibrous bands & grafting -in (OSMF) treatment under GARelease of fibrous bands & grafting -in (OSMF) treatment under GA
S20PM1.3
2
6,000
2
6,000
0
0
Medical Gastroenterology
M14
Achalasia Cardia - 7 Days Stay for POEM ( Peroral Endoscopic Myotomy)
M14V1.3
133
34,68,650
131
33,48,650
79
5,49,150
Medical Gastroenterology
M14
Achalasia Cardia Balloon Dilatation - Day Care
M14V2.9
9
2,70,000
9
2,70,000
0
0
Medical Gastroenterology
M14
Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto
M14V1.9
13554
58,31,32,875
13507
58,17,58,875
10787
45,62,46,524
Medical Gastroenterology
M14
Acute Pancreatitis (Severe) -2 Weeks Stay - Payable maximum upto
M14V1.10
1543
13,98,32,467
1529
13,90,42,467
1102
7,93,39,940
Medical Gastroenterology
M14
Albumin Therapy for Liver Cirrhosis, Nephrotic or Nephritic Syndrome, Sepsis etc per day - 6000 per day - Length of stay 5 days
M14V2.1
659
1,94,49,250
608
1,79,52,250
0
0
Medical Gastroenterology
M14
Biliary Stricture 2) Post Op Leaks 7 Days Stay
M14V1.17
35
25,51,250
34
24,76,250
30
18,59,875
Medical Gastroenterology
M14
Biliary Stricture 3) Sclerosing Cholangitis 7 Days Stay
M14V1.18
881
6,51,42,250
881
6,51,42,250
821
5,39,95,895
Medical Gastroenterology
M14
Chronic Pancreatitis With Severe Pain - 7 Days Stay - Payable maximum upto
M14V1.12
1585
3,04,24,500
1570
3,01,28,500
1188
2,00,37,560
Medical Gastroenterology
M14
Cirrhosis With Hepatic Encephalopathy -11 Days Stay
M14V1.14
10469
30,49,87,100
10365
30,19,09,100
8081
17,81,52,258
Medical Gastroenterology
M14
Cirrhosis With Hepato Renal Syndrome - 14 days Stay
M14V1.15
12392
45,99,56,000
12350
45,83,68,000
10582
32,86,64,354
Medical Gastroenterology
M14
Corrosive Oesophageal Injury 7 Days Stay
M14V1.20
211
41,00,000
211
41,00,000
177
31,99,250
Medical Gastroenterology
M14
Endoscopic bilary drainage in recurrent / refractory benign biliary obstruction - 3 days
M14V2.20
16
9,30,000
16
9,30,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Benign Oesphagial Strictures 3 days
M14V2.2
16
7,20,000
16
7,20,000
0
0
Medical Gastroenterology
M14
Endoscopic management of GI Fistule / Perforation / Leak 10 stays stay
M14V2.3
10
9,00,000
9
8,10,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Malignant biliary obstruction
M14V2.6
44
21,85,000
42
20,85,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Malignant enteral or luminal obstruction
M14V2.7
34
20,40,000
31
18,60,000
0
0
Medical Gastroenterology
M14
Endoscopic management of Non variceal GI bleeding - 5 Days
M14V2.5
13
3,81,000
11
3,21,000
0
0
Medical Gastroenterology
M14
Endoscopic management of refractoty Non variceal GI bleeding with OTSC Placement- 5 Days
M14V2.19
1
60,000
1
60,000
0
0
Medical Gastroenterology
M14
Endoscopic resection of Early GI Luminal Malignant/ Premalignant lesions - 5 days
M14V2.17
18
13,84,000
15
11,44,000
0
0
Medical Gastroenterology
M14
Endoscopic stenting for Benign Biliary Stricture - 3 Days
M14V1.16
643
3,16,42,250
637
3,13,42,250
314
1,40,70,563
Medical Gastroenterology
M14
Endoscopic Ultrasound guided coiling of Gastric Varices - 3 days
M14V2.18
68
44,31,000
67
43,68,000
0
0
Medical Gastroenterology
M14
ERCP For CBD /PD Stones - Day Care
M14V2.10
527
2,07,75,000
515
2,02,99,000
0
0
Medical Gastroenterology
M14
ESWL For CBD /PD Stones - Day Care
M14V2.11
3
1,20,000
3
1,20,000
0
0
Medical Gastroenterology
M14
Fistulising Crohns disease - 5 Days
M14V2.22
11
8,80,000
11
8,80,000
0
0
Medical Gastroenterology
M14
Gastric / Colonic Polypectomy- Day Care
M14V2.12
23
6,72,000
22
6,42,000
0
0
Medical Gastroenterology
M14
Gastric Varices / Ectopic varices 3 Days Stay
M14V1.8
258
37,64,500
258
37,64,500
234
31,10,250
Medical Gastroenterology
M14
Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB
M14V1.21
6
2,90,000
6
2,90,000
6
2,90,000
Medical Gastroenterology
M14
GAVE (Gastric Antral Vascular Ectasia) - 2 Days Stay
M14V1.7
102
18,87,250
102
18,87,250
83
14,97,250
Medical Gastroenterology
M14
Glue Insertion For Fundal Varices- Day Care
M14V2.13
21
4,05,250
20
3,85,250
0
0
Medical Gastroenterology
M14
Immunomodulatory refractory IBD (Inflammatory Bowel Disease) requiring Biologic Drug Therapy (14 days stay)
M14V2.15
13
10,32,000
10
8,00,000
0
0
Medical Gastroenterology
M14
Management of acute pancreatitis with Acute Pancreatitis With Pseudocyst / Walled off Necrosis 3 Weeks Stay - Payable maximum upto
M14V1.11
746
4,11,75,750
731
3,91,05,750
490
1,01,85,358
Medical Gastroenterology
M14
Obscure GI Bleed - 1 Week Stay
M14V1.13
828
3,92,35,030
823
3,89,85,030
654
2,81,50,423
Medical Gastroenterology
M14
Oesophageal Fistula -3 Days Stay
M14V1.6
55
16,36,500
55
16,36,500
44
12,90,672
Medical Gastroenterology
M14
Oesophageal Foreign Body One Day Stay
M14V1.1
26
1,34,250
26
1,34,250
20
1,05,745
Medical Gastroenterology
M14
Oesophageal Perforation- 7 Days Stay
M14V1.2
24
5,81,250
24
5,81,250
18
4,01,937
Medical Gastroenterology
M14
Oesophageal Varices, Sclerotherapy- One Day Stay
M14V1.5
148
7,09,875
148
7,09,875
117
5,07,163
Medical Gastroenterology
M14
Oesophageal Varices, Variceal Banding One Day Stay
M14V1.4
5963
6,34,68,875
5946
6,32,20,375
4830
4,57,83,902
Medical Gastroenterology
M14
Percutaneous endoscopic Gastrostomy - Day Care
M14V2.4
17
1,69,000
15
1,49,000
0
0
Medical Gastroenterology
M14
Steroid refarctory acute severe ulcerative colitis 3 weeks stay
M14V2.8
8
6,40,000
8
6,40,000
0
0
Medical Gastroenterology
M14
Stricturising Crohns Disease - 7 days
M14V2.21
5
4,00,000
5
4,00,000
0
0
Medical Oncology
M1
1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)- 5 days stay
M1K27.1
8089
7,09,49,925
8065
7,07,24,925
7022
5,97,14,097
Medical Oncology
M1
2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)
M1K27.2
3583
10,57,40,988
3567
10,52,60,988
2914
7,88,70,653
Medical Oncology
M1
5- Flurouracil A-C (FAC)
M1K1.2
38217
11,76,64,027
38211
11,76,34,027
37250
11,32,60,708
Medical Oncology
M1
5- Flurouracil-Oxaliplastin Leucovorin (Folfox) - 2 weeks cycle
M1K6.2
59583
60,43,10,461
59495
60,33,89,336
52310
51,78,77,539
Medical Oncology
M1
5-FU 2 weekly/Capacitabine 3 weekly
M1K4.12
1076
59,67,900
1055
58,45,150
0
0
Medical Oncology
M1
5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days
M1K12.14
696
70,05,500
679
68,36,500
0
0
Medical Oncology
M1
5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days
M1K12.1
674
99,30,025
674
99,30,025
658
77,56,522
Medical Oncology
M1
Abiraterone 30 days
M1K33.3
1735
2,07,58,133
1695
2,02,79,700
0
0
Medical Oncology
M1
AC (AC Then T)
M1K1.3
32008
9,81,56,934
32008
9,81,56,934
31271
9,53,29,085
Medical Oncology
M1
Actinomycin (Unlisted)
M1K31.2
16
47,400
16
47,400
16
46,875
Medical Oncology
M1
Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) 2 weekly
M1K8.1
12879
5,24,82,017
12877
5,24,74,017
12538
5,03,85,867
Medical Oncology
M1
Adriamycin/Cyclophosphamide (Ac) protocol 2 weekly or 3 weekly
M1K1.1
70876
25,08,31,122
70716
24,97,09,722
57839
17,71,96,620
Medical Oncology
M1
Bevacizumab 2weekly or 3weekly protocol
M1K34.2
4203
8,24,55,950
4102
8,04,51,450
0
0
Medical Oncology
M1
Bleomycin-Etoposide-Cisplastin (BEP) / VIP Protocol - 3 weekly
M1K30.1
2545
2,05,81,367
2523
2,04,06,167
1950
1,51,71,117
Medical Oncology
M1
Bortezomib+Lenoladomide+Dexamethasone/Cyclophosphamide+Bortezomib+Dexamethasone
M1K10.5
5931
12,12,41,605
5931
12,12,41,605
5101
8,21,84,913
Medical Oncology
M1
Brain GBM(Temozolomide) (per month)
M1K49.3
3998
2,46,85,428
3998
2,46,85,428
3728
2,23,13,144
Medical Oncology
M1
Cabozantinib 60 mg od x 1 month every 4 weeks
M1K12.7
237
40,16,000
225
38,13,700
0
0
Medical Oncology
M1
Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days
M1K12.3
142
28,32,017
137
27,32,017
0
0
Medical Oncology
M1
Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1
M1K7.7
28
4,20,000
28
4,20,000
0
0
Medical Oncology
M1
CAPOX
M1K4.13
3112
2,17,34,000
3048
2,12,86,000
0
0
Medical Oncology
M1
Carboplastin/ Paclitaxel 3weekly
M1K29.1
80345
86,54,25,306
80258
86,42,20,956
73331
70,45,12,009
Medical Oncology
M1
Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle
M1K22.1
1080129
563,54,53,754
1078410
562,61,77,129
922999
419,55,22,895
Medical Oncology
M1
Cisplastin and Etoposide or Carboplatin and etoposide
M1K3.1
6884
4,71,97,983
6871
4,70,79,683
6279
4,19,60,374
Medical Oncology
M1
Cisplastin- 5FU
M1K24.1
238
13,03,475
236
12,89,475
139
5,92,296
Medical Oncology
M1
Cisplastin/5-FU
M1K28.1
222
10,88,775
222
10,88,775
217
8,53,216
Medical Oncology
M1
Cisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days
M1K12.5
58
5,14,800
56
4,96,800
0
0
Medical Oncology
M1
Cisplatin + Cyclophosphamide + Vincristine Cyclophosphamide 1000mg/m2 (2 days every cycles) Vincristine 1.5mg/m2 (days 1 and 8) Cisplatin 100mg/m2 (1 day per cycle) Cycles given every 3 weekly
M1K13.3
21
2,10,000
20
2,00,000
0
0
Medical Oncology
M1
Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days
M1K5.3
42
4,19,000
41
4,09,000
0
0
Medical Oncology
M1
Cisplatin Cisplatin 100mg/m2 every 21 days
M1K12.6
193
11,72,000
185
11,24,000
0
0
Medical Oncology
M1
Cisplatin plus Adriamycin/Cisplatin plus Ifosfamide/Ifosmide plus Adriamycin
M1K4.14
878
1,74,71,600
846
1,68,31,600
0
0
Medical Oncology
M1
Consolidation Phase up to 4 Cycles - Payable maximum upto for each cycle
M1K20.2
1726
6,66,63,579
1725
6,66,23,579
1467
5,43,75,203
Medical Oncology
M1
Cyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide EtoposideWeekly chemotherapy - varying hybrid regimen
M1K16.5
118
17,70,000
111
16,65,000
0
0
Medical Oncology
M1
Cyclophosphamide / Methotraxate / 5flurouracil (CMF)
M1K1.5
1439
23,12,984
1438
23,11,484
1380
21,51,000
Medical Oncology
M1
Cyclophosphamide Adriamycin Vincristin Prednisolone (CHOP)+Rituximab/Bendamustine+Rituximab/R-CVP/Chlorambicil+Rituximab/Fludarabine+Rituximab/R-GDP/Ibrutinib/Ibrutinib+rituximab/Acalabrutinib
M1K9.1
24134
36,68,00,092
24133
36,67,96,592
22682
31,24,76,824
Medical Oncology
M1
Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days
M1K7.6
21
1,95,300
20
1,86,000
0
0
Medical Oncology
M1
DCF protocol (Docetaxel + Cisplatin/Carboplatin + 5 Flurouracil) 2 or 3 weekly cycle
M1K26.1
2283
2,27,38,000
2213
2,20,40,000
0
0
Medical Oncology
M1
Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days
M1K16.4
410
90,47,423
374
82,43,198
0
0
Medical Oncology
M1
Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days
M1K4.4
552
55,93,000
544
55,13,000
0
0
Medical Oncology
M1
Etoposide + Methotrexate + Dactinomycin + Cisplatin Etoposide 100mg/m2 IV D1 D2 D8 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cisplatin 75mg/m2 D8 every 2 weeks
M1K7.3
25
2,00,000
23
1,84,000
0
0
Medical Oncology
M1
Etoposide - Methotrexate - Actinomycin / Cyclophosphamide vincristine (EMA-CO)
M1K32.1
607
36,33,925
606
36,27,925
554
32,14,778
Medical Oncology
M1
FLOT protocol (Docetaxel + Oxaliplatin + 5 Flurouracil) 2 weekly cycle
M1K33.6
996
98,93,000
973
96,65,000
0
0
Medical Oncology
M1
FOLFIRINOX protocol (5 Flurouracil + Leucovorin + Irinotecan + Oxaliplatin) 2weekly cycle
M1K26.2
658
53,98,100
631
51,82,100
0
0
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.8
511
75,92,300
484
71,87,300
0
0
Medical Oncology
M1
Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days
M1K5.1
1708
84,49,933
1708
84,49,933
1627
78,87,242
Medical Oncology
M1
Gemcitabine + cisplatin 21 days or Gemcitabin + Carboplatin 21 days
M1K49.2
19816
20,79,00,825
19741
20,69,77,825
15819
12,02,26,106
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.1
1245
39,27,983
1245
39,27,983
1147
33,76,802
Medical Oncology
M1
Gemcitabine + Docetaxel (3 weekly protocol)
M1K34.4
253
22,93,200
243
22,04,100
0
0
Medical Oncology
M1
Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 Albumin bound Paclitaxel 125mg/m2 D1 D8 every 21 days
M1K12.2
937
1,85,24,800
898
1,77,66,900
0
0
Medical Oncology
M1
Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days
M1K7.1
4978
9,96,16,909
4978
9,96,16,909
4809
7,47,71,610
Medical Oncology
M1
Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days
M1K7.10
50
4,92,000
47
4,62,000
0
0
Medical Oncology
M1
Hormonal Treatment - Per month (Letrozole/Tamoxifen)
M1K1.7
18684
2,41,20,611
18612
2,39,01,076
14121
1,23,53,971
Medical Oncology
M1
Ibrutinib 30 days
M1K33.4
20
3,40,000
18
3,06,000
0
0
Medical Oncology
M1
Induction 1st And 2 nd Months - Payable maximum upto
M1K21.1
4292
20,98,99,706
4289
20,97,49,706
3581
15,52,74,310
Medical Oncology
M1
Induction 3rd, 4th, 5th months - Payable maximum upto
M1K21.2
1769
3,49,25,667
1769
3,49,25,667
1491
2,66,29,717
Medical Oncology
M1
Induction Phase - Payable maximum upto
M1K20.1
2511
14,68,68,460
2509
14,67,48,460
2158
11,48,14,029
Medical Oncology
M1
Lapatinib plus Capecitabine
M1K5.2
753
1,46,75,512
723
1,40,88,970
0
0
Medical Oncology
M1
Lenvatinib 30 days
M1K26.3
740
1,25,69,525
709
1,20,40,417
0
0
Medical Oncology
M1
LHRH Agonist Leuprolide 22.5 ug every 3 months
M1K12.8
496
92,98,628
479
89,72,228
0
0
Medical Oncology
M1
Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days
M1K5.4
592
1,18,12,633
584
1,16,52,633
0
0
Medical Oncology
M1
Lipodox Lipodox 40 mg/m2 IV every 28 days
M1K5.5
471
70,92,100
455
68,52,100
0
0
Medical Oncology
M1
Maintenance Phase - Per month
M1K21.3
4156
1,34,15,376
4154
1,34,09,376
3965
1,06,60,157
Medical Oncology
M1
Maintenance Phase - Per month
M1K20.3
390
18,66,850
390
18,66,850
359
16,91,823
Medical Oncology
M1
Melphalan+Thalidomide+Prednisone Oral
M1K10.3
30
59,067
30
59,067
27
53,792
Medical Oncology
M1
Methotraxate Vinblastin Adriamycin Cyclophosphamide (MVAC)
M1K2.2
440
22,39,417
439
22,33,417
397
19,42,248
Medical Oncology
M1
Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks
M1K7.5
16
2,40,000
15
2,25,000
0
0
Medical Oncology
M1
Mitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily
M1K12.9
1
5,500
1
5,500
0
0
Medical Oncology
M1
Monthly 5-FU/Capacitabine
M1K6.1
2373
95,81,204
2374
95,81,204
2247
70,46,212
Medical Oncology
M1
Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days
M1K12.4
276
27,47,000
271
26,97,000
0
0
Medical Oncology
M1
PACKER
M1K13.2
20
1,66,000
20
1,66,000
0
0
Medical Oncology
M1
Paclitaxel + Ifosfamide + Cisplatin Paclitaxel 240 mg/m2 D1 Ifosfamide 1500mg/m2 D2-D5 Mesna 300 mg/m2 0h 4h 8h D2-D5 Cisplatin 25mg/m2 D2- D5 every 21 days
M1K7.2
224
44,44,000
213
42,26,000
0
0
Medical Oncology
M1
Paclitaxel + Trastuzumab weekly protocol
M1K26.4
10514
11,51,57,250
10399
11,38,93,483
0
0
Medical Oncology
M1
Paclitaxel/Docitaxel two or Three weekly
M1K1.4
188170
186,83,37,001
188073
186,73,61,751
176265
131,10,47,148
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.15
2138
1,66,40,637
2088
1,62,42,137
0
0
Medical Oncology
M1
Palbociclib 21 days out of 28 day cycle
M1K4.1
3053
1,48,99,369
3053
1,48,99,369
2928
1,31,52,272
Medical Oncology
M1
Palliative And Supportive Therapy - Per month (Analgesics, Antibiotices, Nutrional supplements, vitamins etc)
M1K23.1
7070
3,48,44,583
7061
3,47,90,583
6715
3,17,99,152
Medical Oncology
M1
Pazopanib 30 days cycle
M1K4.2
372
44,62,350
364
43,66,350
0
0
Medical Oncology
M1
Pediatric - Germ Cell Tumor / JEB
M1K13.4
12
1,19,000
12
1,19,000
0
0
Medical Oncology
M1
Radioiodine ablation therapy for cancer thyroid
M1K49.1
970
4,84,75,000
965
4,82,25,000
672
3,34,95,000
Medical Oncology
M1
Regorafenib 21 days out of 28 day cycle
M1K4.3
156
31,16,000
150
29,96,000
0
0
Medical Oncology
M1
SIOP/NWTS Regimen (Stages I III) - Per month
M1K11.1
873
61,79,583
872
61,72,583
817
54,16,695
Medical Oncology
M1
Sorafenib 30 days
M1K33.2
74
5,96,500
72
5,80,500
0
0
Medical Oncology
M1
Tamoxifen Tabs - Per month
M1K1.6
215
1,10,703
215
1,10,703
204
1,09,031
Medical Oncology
M1
Temozolamide 28 days cycle
M1K4.10
1533
91,99,000
1510
90,61,000
0
0
Medical Oncology
M1
Temozolomide Plus Capcitabine 28 Cycles or Temozolomide plus Cisplatin 21 cycle)
M1K33.5
78
6,95,700
76
6,78,600
0
0
Medical Oncology
M1
Thalidomide+Dexamethasone(Oral) /Lenalidomide
M1K10.2
857
26,34,883
857
26,34,883
837
25,21,718
Medical Oncology
M1
Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days
M1K16.7
95
19,00,000
92
18,40,000
0
0
Medical Oncology
M1
Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days
M1K16.1
773
31,04,600
773
31,04,600
719
28,39,283
Medical Oncology
M1
Trastuzumab 3 weekly protocol
M1K33.1
4850
3,93,56,200
4850
3,93,56,200
4647
3,59,31,069
Medical Oncology
M1
Trastuzumab 3 weekly protocol
M1K33.9
9536
18,93,02,835
9309
18,47,89,810
0
0
Medical Oncology
M1
Variable Regimen
M1K14.1
1684
2,03,67,233
1684
2,03,67,233
1631
1,79,81,505
Medical Oncology
M1
Variable Regimen
M1K17.1
281
25,73,484
280
25,65,484
268
22,34,700
Medical Oncology
M1
Variable Regimen Inv - Hematology, Biopsy - Payable maximum upto
M1K19.1
6971
5,81,37,217
6972
5,81,37,217
6657
5,25,50,294
Medical Oncology
M1
Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month
M1K15.1
636
58,35,800
634
58,17,800
583
50,91,743
Medical Oncology
M1
VIE (Vincristin, Ifosphamide,Etoposide) Inv - Hematology, Biopsy - Payable maximum upto
M1K4.11
261
26,01,000
254
25,32,000
0
0
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.6
26
1,14,400
25
1,10,000
0
0
Medical Oncology
M1
Vinblastin Vinblastine 6 mg/m2 every week
M1K13.1
47609
9,90,98,696
47608
9,90,94,696
46429
9,54,23,792
Medical Oncology
M1
Vincristin, Adriamycin,Dexamethasone (VAD)
M1K10.1
328
13,21,467
328
13,21,467
301
11,67,048
Medical Oncology
M1
Vincristin-Actinomycin- Cyclophosphamide (VAC) Based Chemo - Per Cycle
M1K18.1
1711
1,52,74,717
1706
1,52,29,717
1373
1,14,92,795
Medical Oncology
M1
Vincristine + Carboplatin Vincristine 1.5mg/m2 (day 1, 8 and 15 for first 4 cycles and then only day 1 from cycle 5 to 17) Carboplatin 550mg/m2 every 3 weeks (all cycles)
M1K12.10
12
92,400
11
84,700
0
0
Medical Oncology
M1
Vincristine + Topotecan + Cyclophosphamide + Irinotecan + Temozolamide Vincristine 1.5mg/m2( day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) Given every 3 weeks Irinotecan 10-50 mg/sqM days 1-5 and days 8-12 Temozolamide 100mg/m2 days 1-5 of each cycle every 3 weeks
M1K7.4
65
13,00,000
59
11,80,000
0
0
Medical Oncology
M1
Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days
M1K16.2
18
2,70,000
15
2,25,000
0
0
Medical Oncology
M1
Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days
M1K16.3
5
72,000
5
72,000
0
0
Medical Oncology
M1
Weekly Cisplastin
M1K2.1
437
10,56,800
434
10,47,800
265
5,48,750
Medical Oncology
M1
Weekly Methotrexate
M1K31.1
38
25,320
38
25,320
34
21,870
Medical Oncology
M1
Xelox Along With Adjuvant Chemotherapy Of AS-I
M1K25.1
3409
1,40,53,850
3409
1,40,53,850
3209
1,23,51,650
Medical Oncology
M1
Zoledronic Acid/Pamindronic acid Along With any chemotherapy regime
M1K10.4
1457
54,62,792
1457
54,62,792
1427
50,85,992
Mental Health Packages
M17
Electro Convulsive Therapy (ECT)
M17PM1.4
6
23,333
6
23,333
0
0
Mental Health Packages
M17
Electro Convulsive Therapy (ECT) per setting
M17A1.4
1689
85,55,875
1658
83,72,475
435
15,42,408
Mental Health Packages
M17
F20-F29 Schizophrenia, schizotypal and delusional disorders
M17PM1.1
19
77,183
19
77,183
0
0
Mental Health Packages
M17
F20-F29Schizophrenia, schizotypal and delusional disorders - Rs. 2000 per day - Length of stay 10 days
M17A1.1
4341
4,77,00,742
4244
4,57,94,775
2592
1,83,89,839
Mental Health Packages
M17
F30-F39 Mood (affective) disorders
M17PM1.2
6
35,050
6
35,050
0
0
Mental Health Packages
M17
F30-F39Mood (affective) disorders - Rs. 2000 per day - Length of stay 10 days
M17A1.2
1020
1,16,85,517
1001
1,13,20,417
610
42,06,083
Mental Health Packages
M17
Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package *
M17PM1.3
7
36,733
7
36,733
0
0
Mental Health Packages
M17
Pre- Electro Convulsive Therapy - Rs 3000 per sitting(ECT)Transcranial MagneticStimulation (TMS)Package. Three sittings. Rs 10000 if three sittings
M17A1.3
762
75,55,750
720
71,28,183
191
15,76,167
Mental Health Packages
M17
Psychotherapy / Counseling session (Per session)
M17A2.2
84
6,59,767
77
6,00,600
0
0
Mental Health Packages
M17
Substance use disorder - 30 days stay - Rs 1000 per day
M17A2.1
240
68,34,500
208
59,19,300
0
0
Mental Health Packages
M17
Transcranial Magnetic Stimulation (TMS)
M17PM1.5
2
1,800
2
1,800
0
0
Neonatal and Pediatric Medical Management
M6
"Idiopathic Thrombocytopenic Purpura (Stay in general ward @Rs.1000/day/Stay in NICU @Rs.2000/day) + Anti-D injection @Rs.4500 per vial (dose as per weight)"
M6S1.20
31
24,62,000
31
24,62,000
24
7,39,004
Neonatal and Pediatric Medical Management
M6
32 To 36 Weeks Preterm Baby Hyaline Membrane Disease Clinical / Culture Positive Sepsis Bubble CPAP per day - Rs 5000 - 2 Weeks
M6S1.11
4386
21,16,65,250
4320
20,71,99,250
2671
8,63,43,620
Neonatal and Pediatric Medical Management
M6
32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation - Rs 6000 per day - 2 Weeks
M6S1.16
6836
53,27,79,795
6786
52,84,61,795
5653
31,62,06,042
Neonatal and Pediatric Medical Management
M6
32 To 36 Weeks Preterm Hyaline Membrane Disease Clinical/ Culture Positive Sepsis without Mechanical Ventilation or CPAP per day - Rs 4000 - 10 Days
M6S13.2
450
1,45,16,000
437
1,40,08,000
122
19,87,049
Neonatal and Pediatric Medical Management
M6
32-36 Weeks Preterm Hyaline Membrane Disease Clinical Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000- 14 Days
M6S1.2
498
3,92,43,100
497
3,91,59,100
424
2,21,83,615
Neonatal and Pediatric Medical Management
M6
33 To 34 Weeks Preterm Baby Severe Hyaline Membrane Disease With Clinical Sepsis, Mechanical Ventilation Hyperbilirubinemia
M6S1.12
1840
9,67,08,000
1840
9,67,08,000
1783
7,56,90,755
Neonatal and Pediatric Medical Management
M6
33 To 34 Weeks Preterm Mild Hyaline Membrane Disease Culture Positive Sepsis - Nonventilated Hyperbilirubinemia - Rs 4000 per day 14 days
M6S1.14
9834
42,29,55,025
9799
42,10,34,225
8209
27,11,39,103
Neonatal and Pediatric Medical Management
M6
33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus- Medical Management Mechanical Ventilation Hyperbilirubinemia 15 days
M6S1.18
446
2,77,28,000
445
2,76,38,000
399
1,92,85,983
Neonatal and Pediatric Medical Management
M6
33 To 34 Weeks Preterm Severe Hyaline Membrane Disease Culture Positive Sepsis Mechanical Ventilation/ Bubble CPAP Hyperbilirubinemia.- 6 weeks stay
M6S1.15
2503
14,08,09,500
2503
14,08,09,500
2341
10,19,20,993
Neonatal and Pediatric Medical Management
M6
35 To 36 Weeks Preterm Hyaline Membrane Disease Culture Positive Sepsis Nonventilated Hyperbilirubinemia 10 days
M6S1.13
9012
29,44,60,750
8993
29,38,02,750
7683
21,41,18,988
Neonatal and Pediatric Medical Management
M6
<32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management Mechanical Ventilation per day - Rs 6000 - 15 Days
M6S1.3
571
4,59,30,500
565
4,54,00,500
473
2,64,97,010
Neonatal and Pediatric Medical Management
M6
<32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days
M6S13.7
28
11,63,400
25
10,37,400
0
0
Neonatal and Pediatric Medical Management
M6
<32 Weeks Preterm Hyaline Membrane Disease Clinical/Culture Positive Sepsis Patent Ductus Arteriosus - Medical Management without Mechanical Ventilation / Bubble CPAP per day - Rs 6000 - 7 Days
M6S13.1
13621
25,07,68,077
13619
25,07,29,077
13326
22,13,90,508
Neonatal and Pediatric Medical Management
M6
<32 Weeks Preterm Severe Hyaline Membrane Disease Clinical/ Culture Positive Sepsis Mechanical Ventilation per day - Rs 6000 - 3 Weeks
M6S1.17
4091
37,47,31,300
4007
36,43,36,300
2737
13,51,38,056
Neonatal and Pediatric Medical Management
M6
Acquired Heart Disease With Congestive Cardiac Failure- 7 Days Stay
M6S11.3
144
20,31,000
143
20,16,000
115
14,83,526
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Empyema/ Pleural Effusion per day - Rs 4000 per day - 10 Days
M6S10.1
1707
3,69,96,500
1675
3,57,72,500
1347
2,17,42,006
Neonatal and Pediatric Medical Management
M6
Acute Broncho/ Lobarpneumonia With Pyo Pneumothorax 14 Days
M6S11.1
112
21,55,000
110
21,15,000
90
14,75,650
Neonatal and Pediatric Medical Management
M6
Acute Gastro Intestinal Bleed Inv - ABG/Upper GI Endoscopy, USG Abdomen PICU Stay With Post Treatment Evidence For Clinical Improvement With Lab Investigations per day - Rs 4000 per day - 7 Days
M6S5.1
50
14,43,000
50
14,43,000
44
10,38,725
Neonatal and Pediatric Medical Management
M6
Acute glomerulonephritis - 2000 per day - 5 days
M6PM1.4
10
79,800
10
79,800
0
0
Neonatal and Pediatric Medical Management
M6
Acute Hepatitis With Hepatic Encephalopathy - Rs 4000 per day - 14 Days
M6S5.3
1493
7,24,13,700
1475
7,14,28,100
1066
4,45,42,143
Neonatal and Pediatric Medical Management
M6
Acute neuroregression
M6PM1.11
1
2,000
1
2,000
0
0
Neonatal and Pediatric Medical Management
M6
Acute Pancreatitis - Rs 4000 per day PICU Stay - 12 Days. Rs 50000 for complete LOS of 12 days
M6S5.2
616
2,85,30,250
609
2,81,90,250
416
1,79,96,875
Neonatal and Pediatric Medical Management
M6
Acute Renal Failure With Dialysis - 10 Days Stay.
M6S12.4
217
42,97,000
217
42,97,000
191
32,03,300
Neonatal and Pediatric Medical Management
M6
Acute Renal Failure With Dialysis Haemodialysis or Peritoneal Dialysis - Rs 4000 per Day PICU Stay - 14 Days
M6S6.1
265
1,09,48,400
257
1,05,06,000
189
57,93,400
Neonatal and Pediatric Medical Management
M6
Acute Renal Failure without dialysis Rs 1500 per day - Length of stay 10 days
M6S12.3
214
21,91,000
212
21,61,000
178
14,39,625
Neonatal and Pediatric Medical Management
M6
Acute Severe Asthma with CPAP or high flow canula per day - Rs 4000 - 10 Days
M6S2.5
90
29,85,750
89
29,45,750
67
17,21,793
Neonatal and Pediatric Medical Management
M6
ARDS Plus DIC (Blood & Blood Products) per day with invasive ventilator or BIPAP - Rs 6000 - 14 days stay
M6S2.9
233
2,29,82,063
232
2,28,97,063
209
1,46,82,796
Neonatal and Pediatric Medical Management
M6
ARDS With Multi- Organ Failure per day with invasive ventilator or BIPAP - Rs 6000 per day -15 Days
M6S2.8
518
4,36,97,250
517
4,36,16,250
468
2,99,02,015
Neonatal and Pediatric Medical Management
M6
Cardiogenic Shock or severe myocarditis per day PICU stay - Rs 5000 - 10 Days
M6S3.4
167
81,35,000
164
79,85,000
122
48,01,000
Neonatal and Pediatric Medical Management
M6
Cerebral Malaria (Falciparum) 7 Days Stay
M6S14.5
100
8,21,000
100
8,21,000
97
7,60,612
Neonatal and Pediatric Medical Management
M6
CGHS - Exchange Transfusion
M6S1.21
1
305
1
305
0
0
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Congestive Cardiac Failure - 7 Days
M6S11.2
518
74,52,250
517
74,37,250
462
56,88,399
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection (Non Ventilated) ICU Stay 7 days
M6S3.2
3614
9,98,25,200
3609
9,96,81,200
3222
8,09,77,400
Neonatal and Pediatric Medical Management
M6
Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) per day - Rs 6000 - 10 Days
M6S3.3
593
2,86,14,500
593
2,86,14,500
520
1,84,49,907
Neonatal and Pediatric Medical Management
M6
Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay
M6S15.1
1029
92,44,500
1029
92,44,500
940
76,24,125
Neonatal and Pediatric Medical Management
M6
Diabetic Ketoacidosis - per day PICU Stay - 7 Days
M6S7.1
1447
4,12,00,500
1443
4,10,80,500
1198
3,13,92,175
Neonatal and Pediatric Medical Management
M6
Encephalitis / Encephalopathy - per Day Stay - Rs 1500 - 14 Days
M6S15.3
588
85,58,800
585
84,95,800
499
60,19,621
Neonatal and Pediatric Medical Management
M6
Febrile Seizures (Atypical- Mechanical Ventilated) per day - Rs 6000 - 7 Days
M6S4.4
99
22,66,250
97
21,82,250
90
18,36,063
Neonatal and Pediatric Medical Management
M6
Guillian-Barre Syndrome- 15 Days Stay
M6S15.4
531
2,95,96,000
531
2,95,96,000
491
2,20,94,603
Neonatal and Pediatric Medical Management
M6
Idiopathic Thrombocytopenic Purpura per day - Rs 4000 per day ICU stay - 7 Days. (IVIG and other Injections). Cost up to Rs 80000
M6PM1.1
17
12,88,000
16
12,16,000
0
0
Neonatal and Pediatric Medical Management
M6
Immune haemolytic anemia per day
M6PM1.7
6
11,400
4
7,800
0
0
Neonatal and Pediatric Medical Management
M6
Infantile cholestasis - per day
M6PM1.5
11
22,000
9
18,000
0
0
Neonatal and Pediatric Medical Management
M6
Infective Endocarditis per day - Rs 4000 - 15 Days
M6S3.5
191
90,40,250
189
89,20,250
156
63,10,875
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed with ventilator per day - Rs 4000 - 14 Days
M6S16.1
5
2,80,000
4
2,24,000
0
0
Neonatal and Pediatric Medical Management
M6
Intra Cranial Bleed without ventilator per day - Rs 4000 - 10 Days
M6S4.5
347
1,31,88,000
346
1,31,48,000
290
93,83,808
Neonatal and Pediatric Medical Management
M6
Meningo- Encephalitis (Ventilated) per day - Rs 6000 - 15 Days
M6S4.2
633
3,67,17,500
630
3,64,47,500
529
2,35,17,323
Neonatal and Pediatric Medical Management
M6
Meningo-Encephalitis (Non Ventilated) - Rs 4000 - 14 Days
M6S4.1
1229
4,57,35,950
1228
4,56,79,950
1082
3,31,06,010
Neonatal and Pediatric Medical Management
M6
Necrotising Enterocolitis, Clinical Sepsis Non Ventilated per day - Rs 4000 - 14 Days
M6S1.9
308
80,84,550
306
79,83,750
244
42,95,504
Neonatal and Pediatric Medical Management
M6
Neuro Tuberculosis With Ventilation- per day Stay - DOTS Rx Free - Rs 6000 - 10 Days
M6S14.3
58
12,29,000
58
12,29,000
50
8,19,000
Neonatal and Pediatric Medical Management
M6
Neuro Tuberculosis- 10 Days Stay - DOTS Rx Free without ventilator - Rs 1500 per day
M6S14.2
220
21,38,000
220
21,38,000
199
16,53,491
Neonatal and Pediatric Medical Management
M6
Poison Ingestion/ Aspiration Requiring Ventilatory Assistance per day PICU Stay - Rs 6000 - 10 Days
M6S9.3
71
26,65,500
71
26,65,500
55
18,07,860
Neonatal and Pediatric Medical Management
M6
Pre term - Necrotising Enterocolitis, Clinical Sepsis Ventilated - Rs 6000 - 14 Days
M6S1.19
27
14,63,400
26
13,79,400
13
3,11,550
Neonatal and Pediatric Medical Management
M6
Pyogenic Meningitis per Day ICU Stay - 10 Days Rs 4000 per day
M6S14.1
6696
21,85,18,375
6678
21,78,28,125
6072
18,42,43,633
Neonatal and Pediatric Medical Management
M6
Refractory seizures - Rs 2000 per day
M6PM1.10
7
14,000
6
12,000
0
0
Neonatal and Pediatric Medical Management
M6
Rheumatoid arthritis - Rs 2000 per day - 5 days
M6PM1.9
2
20,000
2
20,000
0
0
Neonatal and Pediatric Medical Management
M6
Rickettsial fever 7 days stay
M6S16.2
556
1,05,84,000
546
1,04,00,000
0
0
Neonatal and Pediatric Medical Management
M6
Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance 10 Days ICU Stay
M6S9.2
7
1,72,500
7
1,72,500
7
1,02,750
Neonatal and Pediatric Medical Management
M6
Septic Shock- per Day PICU ventilated - Rs 6000 - 10 Days
M6S8.1
2891
11,76,58,470
2883
11,73,38,470
2670
9,63,23,560
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Non Ventilated) ICU Stay per day - Rs 4000 - 7 Days
M6S2.6
5734
10,80,52,050
5726
10,78,42,050
4858
8,49,39,605
Neonatal and Pediatric Medical Management
M6
Severe Aspiration Pneumonia (Ventilated) per day - Rs 6000 - 10 Days
M6S2.7
445
1,30,66,000
437
1,25,92,000
343
67,77,479
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Non Ventilated) per day High Flow Nasal Canula - Rs 4000 - 7 Days
M6S2.2
18964
30,40,75,950
18894
30,21,45,750
15628
21,12,64,944
Neonatal and Pediatric Medical Management
M6
Severe Bronchiolitis (Ventilated) per day - Rs 6000 - 10 Days
M6S2.1
347
79,73,000
346
79,13,000
252
37,36,772
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Non Ventilated) per day - Rs 4000 - 7 Days
M6S2.3
55347
95,65,05,625
55084
94,94,71,025
39586
52,34,18,542
Neonatal and Pediatric Medical Management
M6
Severe Bronchopneumonia (Ventilated) per day - Rs 6000 - Length of stay 10 days
M6S2.4
3350
11,03,23,000
3314
10,81,99,000
2707
6,24,74,154
Neonatal and Pediatric Medical Management
M6
Severe Myocarditis - 10 Days
M6S3.1
105
40,12,000
105
40,12,000
82
26,01,000
Neonatal and Pediatric Medical Management
M6
short stature with growth hormone deficiency - 14 Days
M6S17.2
4
1,60,000
4
1,60,000
0
0
Neonatal and Pediatric Medical Management
M6
Snake Bite Requiring Ventilatory Assistance With 10 Days PICU Stay
M6S9.1
201
95,75,000
200
95,25,000
162
61,95,077
Neonatal and Pediatric Medical Management
M6
Status Epilepticus per day PICU stay - Rs 4000 - 7 Days. Rs 30000 if complete 7 days stay
M6S4.3
1730
5,29,67,750
1725
5,28,20,750
1376
3,34,13,373
Neonatal and Pediatric Medical Management
M6
Steroid Resistant Nephrotic Syndrome Complicated - per day - Rs 2500 - 14 Days
M6S12.1
623
1,55,70,500
615
1,52,90,500
514
1,03,71,159
Neonatal and Pediatric Medical Management
M6
Stroke Syndrome-per day - Rs 2000 - 10 Days
M6S15.2
248
47,44,000
246
47,04,000
220
34,22,434
Neonatal and Pediatric Medical Management
M6
Suspected Dengue Shock Syndrome With Thrombocytopenia - 7 Days
M6S14.4
28686
54,00,99,125
28658
53,95,53,125
24139
43,83,40,654
Neonatal and Pediatric Medical Management
M6
Term baby hyperbilirubinemia non septic more than 15 mg% per day - Rs 1500 - 5 Days
M6S13.3
1266
1,10,95,500
1257
1,10,28,000
951
78,12,901
Neonatal and Pediatric Medical Management
M6
Term baby Meconium Aspiration Syndrome bubble CPAP/ Mechanical Ventilation - Rs 6000 - 10 Days
M6S13.4
630
3,60,48,000
613
3,50,76,000
0
0
Neonatal and Pediatric Medical Management
M6
Term Baby Severe Hyperbilirubinemia Clinical or Culture positive Sepsis per day - Rs 4000 - 7 Days
M6S1.7
81121
195,20,60,875
80875
194,51,89,675
65445
142,17,29,296
Neonatal and Pediatric Medical Management
M6
Term Baby With clinical/ Culture Positive Sepsis- Non Ventilated per day - Rs 4000 - 7 Days
M6S1.22
496
1,32,04,800
471
1,25,21,600
0
0
Neonatal and Pediatric Medical Management
M6
Term Baby With Culture Positive Sepsis- Non Ventilated Hyperbilirubinemia
M6S1.1
4043
9,15,18,500
4043
9,15,18,500
3814
7,41,68,700
Neonatal and Pediatric Medical Management
M6
Term Baby With Persistent Pulmonary Hypertension Ventilation- HFO Clinical Sepsis - Rs 6000 per day - 14 Days
M6S1.4
1120
7,95,07,900
1114
7,90,03,900
1006
5,37,76,653
Neonatal and Pediatric Medical Management
M6
Term Baby With Seizures per day - Rs 2500 - 21 Days
M6S1.23
19
9,76,500
17
8,76,750
0
0
Neonatal and Pediatric Medical Management
M6
Term Baby With Seizures Ventilated Inv - Neurosonogram, CT-Scan Brain, Ultrasound Abdomen, CSF Analysis , Blood Ammonia , Lactate, Metabolilc Screening-Blood And Urine ABG , Blood Culture, 10 Days Stay With Post Treatment Evidence Of Clinical Improvement And Lab Investigations
M6S1.8
93
22,08,750
93
22,08,750
84
18,35,437
Neonatal and Pediatric Medical Management
M6
Term Baby With Severe Perinatal Asphyxia - Non Ventilated Clinical Sepsis Hyperbilirubinemia 7 days - Rs 4000 per day
M6S1.5
8690
20,79,18,150
8674
20,74,58,950
7187
15,57,10,721
Neonatal and Pediatric Medical Management
M6
Term Baby With Severe Perinatal Asphyxia - Ventilated Clinical Sepsis per day - Rs 6000 - 10 Days
M6S1.6
6264
25,11,26,000
6236
24,95,00,000
5071
15,10,97,994
Neonatal and Pediatric Medical Management
M6
Term Baby, Fulminant Culture Positive Sepsis, Septic Shock, Ventilated, Rs 6000 per day - 14 Days
M6S1.10
551
2,65,08,000
547
2,61,80,400
386
1,07,13,325
Neonatal and Pediatric Medical Management
M6
Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure - 10 Days Stay
M6S12.2
892
1,24,74,750
891
1,24,59,750
777
97,03,799
Neonatal and Pediatric Medical Management
M6
Viral Myocarditis 7 Days Stay
M6S11.4
65
9,55,000
65
9,55,000
55
7,08,000
Nephrology
M8
A V Fistula At Elbow or Wrist - Day Care
M8S1.1
13712
22,17,23,480
13629
22,00,89,480
9211
13,40,20,860
Nephrology
M8
Acute Renal Failure-(ARF) -10 Days Stay in ICU or General ward
M8T2.2
23825
55,84,13,075
23528
54,67,33,075
17198
26,67,97,363
Nephrology
M8
CAPD (Contineous Ambulatory Peritoneal Dialysis) One preauth of 30 days
M8S1.4
289
1,01,15,000
255
89,25,000
0
0
Nephrology
M8
Chronic Renal Failure (CRF) - 10 Days Stay for Initial treatment and Dialysis and supportive therapy
M8T2.5
48501
71,77,28,905
48295
71,36,26,905
41003
52,62,94,127
Nephrology
M8
CRRT (Contineous Renal Replacement Therapy) 3days stay for ALF and others
M8S1.5
37
36,50,000
32
31,50,000
0
0
Nephrology
M8
Maintenance Haemodialysis For CRF- Dialysis and supportive therapy (12 dialysis per 28 days or as per advice of Nephrologist)- Package includes per dialysis cost including return fare, which includes administartion of ESA and iron. One Preauth of 42 days - Rs 1300 Per Dialysis
M8T2.6
830231
1172,82,62,893
826643
1164,85,81,873
708233
823,36,97,766
Nephrology
M8
Nephrotic Syndrome - 4 Days Stay (Except Diabetic Nephropathy)
M8T2.3
3032
4,64,40,325
2984
4,54,82,325
2284
3,17,87,206
Nephrology
M8
Plasmapheresis - 7 Days
M8S1.3
143
56,98,200
129
51,60,000
0
0
Nephrology
M8
Post-Transplant Immunosuppression Treatment After Transplantation for first 6 months of a year.To be continued as per advice of Nephrologist for further period
M8T2.1
2145
10,67,33,195
2129
10,59,43,195
942
4,52,00,120
Nephrology
M8
Post-Transplant Immunosuppression Treatment After Transplantation for second 6 months of a year.To be continued as per advice of Nephrologist for further period
M8T2.7
1148
5,71,58,500
1136
5,65,58,500
658
3,20,40,017
Nephrology
M8
Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation
M8T2.8
567
2,80,70,900
567
2,80,70,900
498
2,41,50,126
Nephrology
M8
Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation
M8T2.9
431
2,14,90,000
431
2,14,90,000
378
1,83,51,782
Nephrology
M8
Pyelonephritis 10 Days Stay
M8S1.8
331
64,25,000
320
62,09,000
0
0
Nephrology
M8
Rapidly Progressive Renal Failure (RPRF)10 Days
M8T2.4
1431
4,46,30,725
1424
4,43,85,725
1165
3,18,32,060
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.6
11
2,20,000
4
80,000
0
0
Nephrology
M8
Resistant Nephritic Syndrome - 5 days stay
M8S1.2
7016
6,88,54,100
7014
6,88,36,100
6525
6,19,62,330
Neurology
M9
ADEM or NMO Spectrum disorders or Transverse Myelitis or relapse in Multiple Sclerosis 10 Days Stay
M9T3.12
461
91,33,000
458
90,73,000
375
58,96,724
Neurology
M9
CIDP -10 Days Stay
M9T3.1
126
10,62,700
125
10,54,700
102
7,34,775
Neurology
M9
Convulsive Disorders/Status EpileptICUs (Fits) - 7 Days Stay
M9T4.1
2420
2,40,20,500
2394
2,37,61,500
1764
1,45,68,155
Neurology
M9
Haemorrhagic Stroke/Strokes Management with all necessary investigations 15 days stay without surgery
M9T3.2
11555
28,08,17,165
11484
27,87,04,415
9449
14,79,76,203
Neurology
M9
Immunoglobulin Therapy -5 Days Stay as per indications of Concerned specialist
M9T3.11
6531
72,17,02,000
6453
70,59,62,000
4749
40,79,44,986
Neurology
M9
Ischemic Strokes presenting in Window period - Management with all necessary investigations and Thrombolysis (With Tenecteplase or Alteplase) 7 days stay
M9T2.1
264
2,01,76,000
256
1,95,52,000
0
0
Neurology
M9
Ischemic Strokes-Management with all necessary investigations without Thrombolysis 7 days stay
M9T3.3
27868
52,68,06,125
27753
52,45,34,125
22607
28,36,95,303
Neurology
M9
Management of Guillian-Barre Syndrome 15 Days Stay
M9T3.13
1581
8,97,57,000
1558
8,83,17,000
1050
4,01,18,179
Neurology
M9
Management of optic Neuritis - 5 Days Stay
M9T3.10
211
21,77,000
208
21,17,000
189
18,04,000
Neurology
M9
Myopathies - Acquired NCS, 15 Days Stay
M9T3.4
171
25,34,250
171
25,34,250
147
18,81,000
Neurology
M9
Neuroinfections - Fungal Meningitis- 10 Days - ICU stay
M9T3.5
89
35,14,000
89
35,14,000
71
16,90,367
Neurology
M9
Neuroinfections - Pyogenic Meningitis - 7 Days - ICU
M9T3.6
1200
2,90,91,500
1197
2,90,16,500
981
1,78,86,370
Neurology
M9
Neuroinfections - Viral Meningoencephalitis (Including Herpes Encephalitis) - 7 Days - ICU
M9T3.7
1035
2,41,78,250
1026
2,39,53,250
850
1,52,05,358
Neurology
M9
Neuromuscular (Myasthenia Gravis or LEMS) -10 Days Stay
M9T3.8
265
41,29,000
263
40,99,000
216
25,61,725
Neurology
M9
Neuropathies (GBS) - 10 Days ? ICU 20 Days - Ward Stay
M9T3.9
1116
3,86,39,875
1116
3,86,39,875
954
2,05,21,143
Neurology
M9
Plasma Exchange for GBS/Myesthenic Crisis/NMOSD/MS Relapse/Refractory Optic Neuritis/HUSTTP/RPRF/ Tranverse Myelitis/ Autoimmune Encephelitis / ALF /ACLF 14 days
M9T1.1
127
1,01,28,000
119
94,88,000
0
0
Neurosurgery
S10
Abscess Tapping (Twist drill)
S10I3.7
34
6,78,000
34
6,78,000
30
5,78,000
Neurosurgery
S10
Aneurysm Clipping
S10I2.12
1519
14,65,26,750
1519
14,65,26,750
1366
12,91,34,175
Neurosurgery
S10
Anterior Cervical Discectomy
S10I5.7
194
38,51,500
193
38,36,500
171
31,28,448
Neurosurgery
S10
Anterior Cervical Spine Surgery With Fusion - Cost per level per fusion
S10I5.8
2826
12,15,00,625
2814
12,09,60,625
2350
9,82,73,041
Neurosurgery
S10
Anterior Discectomy & Bone Grafting
S10I8.1
184
1,00,83,000
179
97,83,000
37
14,50,000
Neurosurgery
S10
Anterolateral Clearance For Tuberculosis
S10D4.1
3
1,20,000
3
1,20,000
3
1,11,250
Neurosurgery
S10
Anterolateral Decompression
S10I5.9
942
2,99,29,583
942
2,99,29,583
873
2,40,29,964
Neurosurgery
S10
Atrial Shunt
S10I3.10
4
80,000
4
80,000
4
70,000
Neurosurgery
S10
Basal Brain Tumour
S10I2.2
2743
15,61,13,250
2741
15,60,13,250
2583
14,23,81,042
Neurosurgery
S10
Brain abscess aspiration under GA
S10I7.1
13
3,90,000
11
3,30,000
0
0
Neurosurgery
S10
Brain Stem Tumour
S10I2.3
671
4,35,41,375
669
4,34,01,375
580
3,63,84,958
Neurosurgery
S10
C P Angle Tumour
S10I2.4
2547
16,89,21,875
2534
16,80,11,875
2222
14,34,21,011
Neurosurgery
S10
C.S.F. Rhinorrhoea
S10I2.7
134
26,66,500
134
26,66,500
119
23,31,500
Neurosurgery
S10
C.V. Junction Fusion
S10I6.5
134
28,90,000
134
28,90,000
115
23,07,000
Neurosurgery
S10
Carpal Tunnel Release including pre and post Op. MRI
S10PM1.13
20
1,99,000
19
1,89,000
0
0
Neurosurgery
S10
cerebellar tumours
S10I3.2
649
2,83,14,375
646
2,81,79,375
540
2,27,63,597
Neurosurgery
S10
Cervical Sympathectomy
S10I9.2
4
2,00,000
4
2,00,000
4
1,75,000
Neurosurgery
S10
Corpectomy For Spinal Fixation per level
S10I8.3
4932
32,92,66,152
4908
32,76,49,152
4297
28,27,66,158
Neurosurgery
S10
Cost Of Each Coil Coil Embolization
S10I12.2
4163
12,49,22,400
4130
12,39,32,400
3296
9,65,25,637
Neurosurgery
S10
Cranioplasty
S10I2.8
4925
14,16,54,570
4925
14,16,54,570
4752
13,38,23,718
Neurosurgery
S10
Cranioplasty using artificial implant
S10I7.4
635
4,62,08,333
599
4,35,65,000
0
0
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Extradural
S10I1.2
2526
10,00,69,000
2515
9,95,24,000
2106
7,81,97,696
Neurosurgery
S10
Craniotomy And Evacuation Of Hematoma Subdural
S10I1.1
5473
22,45,03,684
5446
22,29,13,684
4452
16,41,83,989
Neurosurgery
S10
CV Junction Fusion
S10I6.4
82
49,08,833
80
47,48,833
27
7,52,083
Neurosurgery
S10
De-Compressive Craniotomy(Non Traumatic)
S10I1.6
3904
20,97,84,765
3870
20,71,61,265
2997
13,94,72,387
Neurosurgery
S10
Decompression or fixation for CV Junction anomalies
S10I4.4
30
23,38,500
29
22,58,500
0
0
Neurosurgery
S10
Decompression/Excision Of Optic Nerve Lesions
S10I9.4
94
58,20,833
93
57,55,833
68
40,73,000
Neurosurgery
S10
Depressed Fracture of Skull
S10I13.4
663
2,62,80,333
656
2,60,04,333
423
1,59,67,200
Neurosurgery
S10
Discectomy
S10I5.11
1551
2,80,38,917
1548
2,79,73,917
1422
2,35,68,296
Neurosurgery
S10
Discectomy With Implants Lumbar / Thoracic per level
S10I8.2
3559
24,65,09,700
3505
24,25,44,700
1409
8,75,20,272
Neurosurgery
S10
Duroplasty
S10PM1.1
65
11,91,083
61
10,78,625
0
0
Neurosurgery
S10
EATV (Extra Axial Third Ventriculostomy)
S10I14.1
19
14,00,000
18
13,25,000
0
0
Neurosurgery
S10
Embolization (Non coil)
S10I12.1
290
1,38,22,000
286
1,36,22,000
189
77,92,250
Neurosurgery
S10
Encephaloduroangiomyo synangiosis (EDAMS)
S10I14.2
2
1,00,000
2
1,00,000
0
0
Neurosurgery
S10
Endoscopic Discectomy
S10I4.5
520
2,52,31,000
504
2,44,55,000
0
0
Neurosurgery
S10
Endoscopic Third Ventriculostomy
S10I1.8
228
69,09,250
228
69,09,250
190
52,28,250
Neurosurgery
S10
Endoscopy Procedures Brain / Spine
S10I1.5
1344
8,42,54,417
1330
8,33,50,917
856
5,28,21,783
Neurosurgery
S10
Evacuation Of Brain Abscess - Burr Hole
S10I1.3
231
55,64,125
231
55,64,125
203
45,59,500
Neurosurgery
S10
Excision of Benign Orbital Tumour
S10I5.17
18
7,14,500
18
7,14,500
13
5,20,000
Neurosurgery
S10
Excision Of Brain Abscess
S10I2.11
661
3,83,94,000
660
3,83,34,000
538
3,04,16,875
Neurosurgery
S10
Excision Of Cervical Intervertebral Discs
S10I5.5
64
16,29,083
64
16,29,083
54
12,70,033
Neurosurgery
S10
Excision Of Lobe (Frontal, Temporal, Cerebellum Etc.)
S10I1.4
133
50,54,375
133
50,54,375
103
36,15,250
Neurosurgery
S10
External Ventricular Drainage (EVD)
S10I2.13
3445
14,16,72,963
3427
14,09,48,963
2694
8,83,76,887
Neurosurgery
S10
Foramen Magnum Decompression
S10PM1.12
48
22,20,000
44
20,40,000
0
0
Neurosurgery
S10
Intra-Cerebral Hematoma Evacuation
S10I1.7
3414
19,37,19,717
3398
19,27,05,717
2876
15,50,04,273
Neurosurgery
S10
Intracerebral Hematoma
S10PM1.2
85
41,10,000
85
41,10,000
0
0
Neurosurgery
S10
Laminectomy
S10I5.10
2089
3,96,74,292
2089
3,96,74,292
1939
3,46,10,699
Neurosurgery
S10
Laminectomy (Cervical / Thoracic / Lumbar)
S10I4.6
1753
7,03,07,000
1701
6,81,53,750
0
0
Neurosurgery
S10
Lesionectomy Type 1
S10I10.2
116
1,69,90,000
116
1,69,90,000
94
1,35,60,000
Neurosurgery
S10
Lesionectomy Type 2
S10I10.3
185
2,72,38,700
182
2,68,18,700
148
2,11,88,700
Neurosurgery
S10
Lumbar Sympathectomy
S10I9.3
2
1,00,000
2
1,00,000
2
1,00,000
Neurosurgery
S10
Meningocele / Meningomyelocele Excision
S10I2.9
149
35,84,375
149
35,84,375
136
31,46,000
Neurosurgery
S10
Meningoencephalocele
S10I2.5
81
20,01,250
81
20,01,250
74
17,57,250
Neurosurgery
S10
Meningomylocele
S10I2.6
488
1,19,01,500
488
1,19,01,500
454
1,05,73,480
Neurosurgery
S10
Micro Vascular Decompression
S10I11.2
963
5,58,18,500
958
5,55,18,500
842
4,85,62,729
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay General Ward @Rs.1500/ Day - 7 days
S10I13.1
2543
1,74,94,350
2524
1,72,84,350
1891
51,57,200
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay ICU with ventilator -6000 per day - 7 days stay
S10I13.5
377
1,56,40,800
359
1,48,84,800
0
0
Neurosurgery
S10
Neurosurgical Trauma Conservative Management Stay In Neuro ICU without ventilator@Rs.4000/Day - 7 days
S10I13.2
10162
27,67,78,380
10100
27,50,89,980
7650
16,09,83,225
Neurosurgery
S10
Neurosurgical Trauma Surgical Treatment (Up To)
S10I13.3
634
9,12,85,300
626
9,01,00,300
440
3,79,30,250
Neurosurgery
S10
Neurovascular Bypass Surgeries
S10I14.3
11
8,80,000
10
8,00,000
0
0
Neurosurgery
S10
Other Procedures
S10I3.1
4729
18,78,09,242
4687
18,60,81,242
3890
15,14,69,813
Neurosurgery
S10
Parasagittal Tumour
S10I2.1
3092
15,02,29,354
3071
14,91,83,521
2623
12,48,32,738
Neurosurgery
S10
Peripheral Nerve Injury Repair
S10I9.5
480
1,92,51,500
478
1,91,71,500
404
1,58,13,125
Neurosurgery
S10
Peripheral Neurectomy/R.F. or surgery
S10PM1.4
2
20,000
2
20,000
0
0
Neurosurgery
S10
Posterior Cervical Discectomy
S10I5.6
195
33,94,875
195
33,94,875
179
29,04,375
Neurosurgery
S10
Proptosis
S10I9.6
47
27,58,000
47
27,58,000
41
22,79,000
Neurosurgery
S10
Radiofrequency Ablation
S10I11.1
45
13,20,000
45
13,20,000
34
9,99,000
Neurosurgery
S10
Repair Of Brachial Plexus Injury
S10I9.1
347
2,05,10,750
341
2,01,50,750
269
1,58,70,500
Neurosurgery
S10
Skull base tumors excision
S10I7.6
247
2,39,18,750
230
2,22,48,750
0
0
Neurosurgery
S10
Spina Bifida Surgery Major
S10I5.3
332
67,16,500
332
67,16,500
277
52,54,563
Neurosurgery
S10
Spina Bifida Surgery Minor
S10I5.4
8
1,17,750
8
1,17,750
7
1,02,750
Neurosurgery
S10
Spinal Fixation Rods /Plates
S10I8.4
6068
50,68,17,833
5909
49,35,83,083
2869
22,73,39,098
Neurosurgery
S10
Spinal Fusion Procedure
S10I5.12
37316
179,21,63,069
37286
179,06,63,069
35620
169,54,68,937
Neurosurgery
S10
Spinal Intramedullary Tumours
S10I5.2
1218
5,84,92,125
1218
5,84,92,125
1157
5,40,78,792
Neurosurgery
S10
Spinal Ostectomy And Internal Fixations
S10D4.3
31
11,85,000
31
11,85,000
28
10,54,500
Neurosurgery
S10
Spine - Extradural Haematoma
S10I5.14
25
7,41,000
25
7,41,000
19
5,34,000
Neurosurgery
S10
Spine - Extradural Haematoma with Implant
S10PM1.6
1
35,000
1
35,000
0
0
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I5.13
3
1,40,000
2
1,00,000
0
0
Neurosurgery
S10
Spine - Extradural Tumour with fixation
S10I15.13
47
18,47,750
47
18,47,750
39
14,27,875
Neurosurgery
S10
Spine - Intradural Haematoma with fixation
S10I5.16
6
2,32,000
6
2,32,000
5
1,96,000
Neurosurgery
S10
Spine - Intradural Haematoma
S10I5.15
5
1,75,000
5
1,75,000
4
1,40,000
Neurosurgery
S10
Stereotactic assisted brain tumor surgeries -
S10I15.2
31
23,17,500
25
18,67,500
0
0
Neurosurgery
S10
Stereotactic Procedures - Post Procedure Evidence Of Clinical Photograph
S10I6.1
69
13,75,500
69
13,75,500
62
11,73,125
Neurosurgery
S10
Subdural Tapping
S10I3.5
238
35,36,667
237
35,21,667
202
27,30,542
Neurosurgery
S10
Surgery for CSF Rhinorroea / Otorrhoea - Open / Endoscopic
S10I7.7
46
18,36,000
42
16,80,000
0
0
Neurosurgery
S10
Surgery for Spinal Tumours Intramedullary / Extramedullary / Bone
S10I4.7
335
2,64,92,625
312
2,46,91,000
0
0
Neurosurgery
S10
Surgery On Cord Tumours
S10I5.1
1397
3,48,96,417
1397
3,48,96,417
1294
3,12,76,386
Neurosurgery
S10
Surgical procedure of Aneurysm clipping
S10I7.3
241
3,59,60,000
230
3,43,10,000
0
0
Neurosurgery
S10
Surgical repair of Meningoencephalocele
S10I7.5
8
3,20,000
8
3,20,000
0
0
Neurosurgery
S10
Syringomyelia
S10I8.5
706
4,42,37,208
703
4,40,42,208
642
3,97,78,784
Neurosurgery
S10
Temporal Lobectomy
S10I10.1
39
32,87,000
39
32,87,000
35
28,30,500
Neurosurgery
S10
Temporal Lobectomy Plus Depth Electrodes
S10I10.4
10
13,16,000
10
13,16,000
5
5,49,500
Neurosurgery
S10
Tethered cord syndrome with anomalies of bone, dura and spinal cord
S10I4.3
53
41,96,000
49
38,76,000
0
0
Neurosurgery
S10
Thecoperitoneal Shunt
S10I3.9
147
31,42,125
145
30,82,125
124
23,26,375
Neurosurgery
S10
Trans Oral Surgery
S10I6.3
24
6,07,500
24
6,07,500
19
4,16,250
Neurosurgery
S10
Trans Sphenoidal Surgery
S10I6.2
236
50,08,000
232
49,13,000
188
37,59,975
Neurosurgery
S10
Transtoracic Anterolateral decompression with fusion
S10I4.8
13
12,55,000
12
11,55,000
0
0
Neurosurgery
S10
Twist Drill Craniotomy
S10I3.4
135
21,04,292
135
21,04,292
93
13,79,542
Neurosurgery
S10
Vascular Malformations
S10I3.8
260
1,03,72,500
257
1,02,52,500
218
84,54,530
Neurosurgery
S10
Ventricular Tapping
S10I3.6
23
4,69,125
23
4,69,125
14
2,75,750
Neurosurgery
S10
Ventriculoatrial Shunt
S10I2.10
257
51,15,375
257
51,15,375
206
35,79,250
Neurosurgery
S10
Ventriculoperitoneal / Ventriculo pleural Shunt
S10I3.3
3756
7,64,04,875
3737
7,59,84,875
3193
5,69,99,637
Ophthalmology Surgery
S3
Amniotic Membrane Graft - Grade 3 Pterigium
S3B5.7
38414
25,05,11,833
38403
25,04,17,533
36518
23,72,21,351
Ophthalmology Surgery
S3
Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL
S3B4.4
115
15,14,017
114
14,99,017
86
10,17,921
Ophthalmology Surgery
S3
Buckle Removal
S3PM1.1
2
9,500
2
9,500
0
0
Ophthalmology Surgery
S3
Canaliculo Dacryocysto Rhinostomy
S3PM1.2
97
9,57,500
97
9,57,500
0
0
Ophthalmology Surgery
S3
CGHS - Conjunctival wound repair or exploration following blunt trauma
S3B4.6
2
7,590
2
7,590
0
0
Ophthalmology Surgery
S3
CGHS - Indirect Ophthalmoscopy
S3B4.13
8
632
8
632
0
0
Ophthalmology Surgery
S3
CGHS - Non Contact tonometry
S3B4.14
2
170
2
170
0
0
Ophthalmology Surgery
S3
CGHS - Probing and Syringing of lacrimal sac- in both eye
S3B4.11
2
170
2
170
0
0
Ophthalmology Surgery
S3
CGHS - Probing and Syringing of lacrimal sac- in one eye
S3B4.10
1
79
1
79
0
0
Ophthalmology Surgery
S3
CGHS - Re-suturing (Primary suturing) of corneal wound
S3B4.9
2
2,646
2
2,646
0
0
Ophthalmology Surgery
S3
CGHS - Refraction
S3B4.12
13
676
13
676
0
0
Ophthalmology Surgery
S3
CGHS - Removal of corneal foreign body
S3B4.7
1
132
1
132
0
0
Ophthalmology Surgery
S3
Conjunctival tumour excision + AMG
S3PM1.15
10
73,200
10
73,200
0
0
Ophthalmology Surgery
S3
Corneal Patch Graft
S3B5.3
105
4,93,750
105
4,93,750
93
4,15,983
Ophthalmology Surgery
S3
Cyclocryotherapy
S3PM1.4
71
2,68,575
70
2,57,475
0
0
Ophthalmology Surgery
S3
Cyclophotocoagulation
S3PM1.5
3
8,700
3
8,700
0
0
Ophthalmology Surgery
S3
Dacrocystectomy
S3PM1.7
1
10,000
1
10,000
0
0
Ophthalmology Surgery
S3
Dacryocystectomy
S3B4.2
4191
4,13,54,650
4174
4,11,84,650
3811
3,71,40,375
Ophthalmology Surgery
S3
DCR (Dacryocysto Rhinostomy) with implant
S3B3.1
1169
1,73,42,000
1148
1,70,33,000
0
0
Ophthalmology Surgery
S3
Dermis Fat Graft
S3B7.2
137
9,84,300
136
9,75,300
131
7,67,363
Ophthalmology Surgery
S3
Ectropion correction
S3PM1.17
11
80,000
11
80,000
0
0
Ophthalmology Surgery
S3
Entropion correction
S3PM1.16
19
1,15,000
17
95,000
0
0
Ophthalmology Surgery
S3
Enucleation With Orbital Implant
S3B7.4
382
76,24,500
381
76,04,500
256
50,66,000
Ophthalmology Surgery
S3
Evisceration
S3PM1.18
98
8,41,150
96
8,21,150
0
0
Ophthalmology Surgery
S3
Glaucoma Filtering Surgery For Paediatric Glaucoma
S3B10.3
158
21,73,717
157
21,51,217
142
17,52,750
Ophthalmology Surgery
S3
Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance)
S3PM1.8
861
85,52,408
854
84,83,408
0
0
Ophthalmology Surgery
S3
Intravitreal Anti-VEGF For ROP
S3B3.3
224
22,36,000
220
21,96,000
0
0
Ophthalmology Surgery
S3
Iridectomy- laser
S3PM1.12
412
16,09,200
412
16,09,200
0
0
Ophthalmology Surgery
S3
Iridectomy- surgical
S3PM1.13
85
4,29,075
84
4,17,975
0
0
Ophthalmology Surgery
S3
IRIS Prolapse - Repair
S3PM1.11
28
1,98,233
28
1,98,233
0
0
Ophthalmology Surgery
S3
Lamellar Keratoplasty
S3B5.2
58
2,47,600
56
2,27,600
43
1,26,350
Ophthalmology Surgery
S3
Lid Reconstruction Surgery
S3B9.1
3478
4,85,69,983
3473
4,84,81,483
3050
4,12,28,003
Ophthalmology Surgery
S3
Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6)
S3B6.3
59486
43,72,45,889
59318
43,56,09,889
46799
30,89,47,966
Ophthalmology Surgery
S3
Oblique Muscle
S3B8.3
5100
4,07,02,217
5099
4,06,93,217
4941
3,11,82,333
Ophthalmology Surgery
S3
Orbitotomy
S3B7.3
242
24,09,450
241
23,99,450
199
18,38,075
Ophthalmology Surgery
S3
Pediatric Cataract Surgery - Phacoemulsification - IOL
S3B10.2
4541
6,67,69,383
4531
6,66,06,883
4071
5,65,47,891
Ophthalmology Surgery
S3
Penetrating Keratoplasty
S3B5.5
2112
3,07,90,550
2112
3,07,90,550
2039
2,89,77,233
Ophthalmology Surgery
S3
Perforating Corneo - Scleral Injury
S3B4.3
1940
2,10,43,533
1937
2,10,03,533
1603
1,65,64,073
Ophthalmology Surgery
S3
Perforating Corneo - Scleral Injury
S3PM1.10
1
10,000
1
10,000
0
0
Ophthalmology Surgery
S3
Photocoagulation For Diabetic Retinopathy Per Sitting
S3B11.2
8841
1,41,80,258
8835
1,41,71,258
7195
1,03,78,267
Ophthalmology Surgery
S3
Photocoagulation For Retinopathy Of Prematurity
S3B10.1
129
8,15,750
129
8,15,750
127
7,54,312
Ophthalmology Surgery
S3
Photocoagulation for Retinopathy ofPrematurity
S3B4.5
1021
1,52,69,000
1021
1,52,69,000
645
78,79,250
Ophthalmology Surgery
S3
Prophylactic Cryoretinopexy- Closed
S3PM1.3
1
2,250
1
2,250
0
0
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3B4.1
9455
8,45,20,700
9381
8,38,54,700
7333
6,53,10,325
Ophthalmology Surgery
S3
Pterygium + Conjunctival Autograft
S3PM1.6
10
87,750
10
87,750
0
0
Ophthalmology Surgery
S3
Rectus Muscle Surgery Single.
S3B8.1
1606
1,13,58,625
1603
1,13,29,300
1283
62,88,900
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three
S3B8.2
9865
9,73,74,617
9853
9,72,11,042
9077
7,86,13,033
Ophthalmology Surgery
S3
Rectus Muscle Surgery Two/Three Plus Oblique
S3B1.1
725
1,13,68,075
718
1,12,53,325
0
0
Ophthalmology Surgery
S3
Removal Of Silicon Oil Or Gas
S3B6.5
8690
7,74,38,510
8677
7,72,77,010
7140
5,76,63,168
Ophthalmology Surgery
S3
Scleral Buckle For Retinal Detachment
S3B11.1
8267
15,97,43,900
8254
15,94,66,400
7059
11,24,28,886
Ophthalmology Surgery
S3
Scleral Patch Graft
S3B5.4
189
11,95,433
189
11,95,433
162
8,78,910
Ophthalmology Surgery
S3
Socket Reconstruction
S3B7.1
214
14,91,250
214
14,91,250
193
11,21,763
Ophthalmology Surgery
S3
Surgical Excision of Chalazion - Per Chalazion
S3B3.2
86
3,35,200
84
3,27,200
0
0
Ophthalmology Surgery
S3
Therapeutic / Optical Penetrating Keratoplasty
S3B5.1
2427
3,77,90,267
2416
3,75,70,267
1850
2,60,60,850
Ophthalmology Surgery
S3
Vitrectomy
S3B6.1
2695
1,78,87,867
2681
1,77,51,367
2289
1,36,26,425
Ophthalmology Surgery
S3
Vitrectomy + Membrane Peeling+ Endolaser
S3B6.2
6332
13,79,86,650
6319
13,77,21,150
5172
10,83,13,196
Ophthalmology Surgery
S3
Vitrectomy - Endolaser , Silicon Oil Or Gas
S3B2.1
187
44,33,117
186
44,08,117
0
0
Ophthalmology Surgery
S3
Vitrectomy - Membrane Peeling Endolaser , Silicon Oil Or Gas
S3B6.4
34340
90,80,07,918
34259
90,57,06,318
28507
71,97,16,508
Ophthalmology Surgery
S3
Vitrectomy Plus Silicon Oil Or Gas.
S3B6.6
2808
5,19,61,075
2804
5,18,80,575
2486
4,34,22,721
Orthopedic Surgery And Procedures
S5
AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth)
S5PM1.5
13
3,17,500
13
3,17,500
0
0
Orthopedic Surgery And Procedures
S5
AC joint reconstruction/ Stabilization/ AcromionplastyNonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis (pre-auth)
S5E11.1
75
18,22,000
73
17,72,500
0
0
Orthopedic Surgery And Procedures
S5
Accessory bone - Excision (limbs) - congenitalAccessory digits sometime can be removed (pre-auth)
S5D2.5
5543
11,23,21,908
5542
11,23,01,908
4901
8,20,99,686
Orthopedic Surgery And Procedures
S5
Accessory bone ? Excision (limbs) ? congenital Accessory digits sometime can be removed (pre-auth)
S5D2.54
32
1,90,800
32
1,90,800
31
1,59,600
Orthopedic Surgery And Procedures
S5
Amputation - Above Knee
S5D2.49
777
1,37,76,000
767
1,35,97,800
535
88,49,300
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.18
201
34,29,425
201
34,29,425
131
22,22,220
Orthopedic Surgery And Procedures
S5
Amputation - Above/Below Elbow
S5D2.39
195
28,83,000
195
28,83,000
176
23,38,500
Orthopedic Surgery And Procedures
S5
Amputation - Below Knee
S5D2.26
2631
1,34,16,227
2609
1,30,90,727
2046
57,84,470
Orthopedic Surgery And Procedures
S5
Amputation - Wrist
S5D2.25
35
2,79,000
35
2,79,000
26
1,38,675
Orthopedic Surgery And Procedures
S5
Amputation - Wrist
S5D2.52
19
2,73,000
19
2,73,000
16
2,07,375
Orthopedic Surgery And Procedures
S5
Amputation ? Below Knee
S5D2.50
1367
2,00,89,000
1367
2,00,89,000
1190
1,61,73,563
Orthopedic Surgery And Procedures
S5
Amputations - Forequarter
S5D2.2
88
24,06,000
88
24,06,000
71
18,91,500
Orthopedic Surgery And Procedures
S5
Amputations - Hind Quarter And Hemipelvectomy
S5D2.3
25
10,00,000
25
10,00,000
16
5,95,000
Orthopedic Surgery And Procedures
S5
Anterolateral Clearance For Tuberculosis
S5D2.10
401
1,84,93,833
401
1,84,93,833
350
1,38,24,415
Orthopedic Surgery And Procedures
S5
Application of P.O.P. casts for Upper & Lower Limbs
S5PM1.61
236
7,75,168
232
7,63,768
0
0
Orthopedic Surgery And Procedures
S5
Application of P.O.P. Spikas & Jackets
S5PM1.64
3
10,150
3
10,150
0
0
Orthopedic Surgery And Procedures
S5
Arthorotomy of any joint
S5PM1.17
110
16,70,583
110
16,70,583
0
0
Orthopedic Surgery And Procedures
S5
Arthoscopy - 2 ligaments repair or reconstruction of knee joint
S5D7.11
1310
8,81,43,500
1273
8,56,75,750
0
0
Orthopedic Surgery And Procedures
S5
Arthrodesis Of - Major Joints
S5D2.4
1451
4,07,09,000
1442
4,04,42,000
1245
3,36,04,776
Orthopedic Surgery And Procedures
S5
Arthroscopy - ACL / PCL Repair
S5D2.7
27754
75,66,63,833
27717
75,55,48,833
25056
59,14,15,659
Orthopedic Surgery And Procedures
S5
Arthroscopy. Operative Meniscectomy
S5D2.6
27259
67,88,35,875
27237
67,82,60,875
24564
48,46,14,504
Orthopedic Surgery And Procedures
S5
Avascular Necrosis Of Femoral Head (Core Decompression)
S5D2.8
1589
2,31,56,417
1586
2,31,11,417
1361
1,79,03,913
Orthopedic Surgery And Procedures
S5
Bone Grafting As Exclusive Procedure
S5D1.1
18058
34,05,21,975
18030
33,99,41,475
15880
19,43,37,648
Orthopedic Surgery And Procedures
S5
Bone Tumour Excision (malignant/ benign) + Joint replacement(depending upon type of joint and implant)
S5PM1.20
26
37,05,000
23
32,70,000
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Application of P.O.P Casts for Upper & Lower Limbs
S5D2.63
27
23,383
27
23,383
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Close Reduction of Fractures of Limb & P.O.P without internal fixation
S5D2.64
201
6,00,392
201
6,00,392
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Figure of 8 bandage
S5D2.61
1
662
1
662
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Removal of Plates
S5D2.66
287
12,67,231
287
12,67,231
0
0
Orthopedic Surgery And Procedures
S5
CGHS - Removal of Wires & Screw
S5D2.65
1538
32,07,617
1538
32,07,617
0
0
Orthopedic Surgery And Procedures
S5
Clavicle fracture management - conservative (daycare)
S5PM1.75
44
1,64,200
44
1,64,200
0
0
Orthopedic Surgery And Procedures
S5
Close Fixation - Hand Bones
S5D2.51
167
6,77,700
167
6,77,700
132
5,04,500
Orthopedic Surgery And Procedures
S5
Close Fixation -Foot bones
S5D2.57
167
7,01,750
167
7,01,750
117
4,35,342
Orthopedic Surgery And Procedures
S5
Close Fixation -Foot bones
S5PM1.8
3
11,400
3
11,400
0
0
Orthopedic Surgery And Procedures
S5
Close Reduction of fractures under Anaesthesia - long bones
S5D7.7
976
1,13,03,950
972
1,12,57,150
0
0
Orthopedic Surgery And Procedures
S5
Close Reduction of fractures under Anaesthesia - Short bones
S5D2.12
3154
11,25,81,033
3149
11,24,47,033
2734
10,05,63,883
Orthopedic Surgery And Procedures
S5
Close Reduction- small joints
S5D2.53
355
14,53,683
355
14,53,683
306
10,37,958
Orthopedic Surgery And Procedures
S5
Close Reduction- small joints
S5PM1.13
3
9,400
3
9,400
0
0
Orthopedic Surgery And Procedures
S5
Closed Interlock Nailing + Bone Grafting ? femur
S5PM1.26
1
17,600
1
17,600
0
0
Orthopedic Surgery And Procedures
S5
Closed Interlocking Intermedullary
S5PM1.27
11
1,50,500
11
1,50,500
0
0
Orthopedic Surgery And Procedures
S5
Closed Interlocking Intramedullary (Matches with Close reduction and percuteneous nailing)
S5D2.19
10287
27,16,93,986
10080
26,57,10,786
1718
2,72,67,180
Orthopedic Surgery And Procedures
S5
Closed Interlocking Tibia + Orif of Fracture Fixation
S5PM1.28
3
63,850
3
63,850
0
0
Orthopedic Surgery And Procedures
S5
Closed Reduction and Internal Fixation with K wire
S5PM1.29
11
57,000
11
57,000
0
0
Orthopedic Surgery And Procedures
S5
Closed Reduction and Internal Fixation with Kwire
S5D2.21
10348
6,68,80,758
10282
6,64,26,808
6433
3,21,51,753
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Nailing
S5D2.24
25086
55,63,84,383
24962
55,34,22,633
18112
33,73,19,026
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Nailing
S5PM1.32
21
4,12,000
21
4,12,000
0
0
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Pinning
S5PM1.31
4
51,000
4
51,000
0
0
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Pinning / Screw fixation
S5D2.23
18592
26,43,40,342
18536
26,34,55,592
13482
14,21,84,810
Orthopedic Surgery And Procedures
S5
Closed Reduction and Percutaneous Screw Fixation (neck Femur)
S5D2.22
284
41,37,917
284
41,37,917
267
36,22,508
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (elbow)
S5PM1.23
1
2,800
1
2,800
0
0
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (elbow)
S5D2.58
280
12,21,350
280
12,21,350
245
8,10,475
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (hip)
S5PM1.22
1
2,800
1
2,800
0
0
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (hip/elbow/knee/Shoulder)
S5D2.16
382
26,04,900
379
25,84,600
60
1,76,200
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (Knee)
S5D2.27
11
42,800
11
42,800
10
26,700
Orthopedic Surgery And Procedures
S5
Closed reduction of dislocation (Shoulder)
S5D2.29
356
14,25,800
356
14,25,800
319
11,17,200
Orthopedic Surgery And Procedures
S5
Correction of club foot per cast
S5D2.28
29
15,000
28
14,000
23
10,700
Orthopedic Surgery And Procedures
S5
CTEV Neglected. JESS Fixator
S5D1.6
271
71,33,750
270
71,03,750
237
54,89,405
Orthopedic Surgery And Procedures
S5
Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions
S5PM1.34
2
5,100
2
5,100
0
0
Orthopedic Surgery And Procedures
S5
Degloving injuries of extremities
S5D7.2
37
7,29,200
34
6,69,200
0
0
Orthopedic Surgery And Procedures
S5
Disarticulation (hind & for quarter)
S5D2.55
3
75,000
3
75,000
2
50,000
Orthopedic Surgery And Procedures
S5
Duputryens Contracture release + rehabilitation
S5PM1.39
21
2,06,000
21
2,06,000
0
0
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty
S5PM1.16
3
39,000
3
39,000
0
0
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5D2.15
160
35,74,875
157
35,07,375
14
4,05,000
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5PM1.18
3
57,375
3
57,375
0
0
Orthopedic Surgery And Procedures
S5
Excision Arthoplasty of Femur head
S5D2.48
3567
7,63,73,192
3566
7,63,55,192
3377
7,15,31,662
Orthopedic Surgery And Procedures
S5
Excision Of Bone Tumours. Deep With Re-Construction With Conventional Prosthesis
S5D6.1
537
1,95,64,125
536
1,95,19,125
391
1,31,13,039
Orthopedic Surgery And Procedures
S5
Excision of Bursa
S5PM1.55
5
15,000
5
15,000
0
0
Orthopedic Surgery And Procedures
S5
Excision Or Other Operations For Scaphoid Fractures
S5D1.2
1026
1,54,96,658
1022
1,54,18,658
839
92,45,133
Orthopedic Surgery And Procedures
S5
External fixation - both bones of forearms
S5PM1.66
17
3,08,000
17
3,08,000
1
18,000
Orthopedic Surgery And Procedures
S5
External fixation - Long bone/pelvis
S5D2.31
4515
7,10,59,925
4470
7,01,60,925
2815
3,42,72,375
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5D2.32
2568
2,67,22,917
2564
2,66,57,917
1898
1,51,01,287
Orthopedic Surgery And Procedures
S5
External fixation - Small bone
S5PM1.41
1
10,000
1
10,000
0
0
Orthopedic Surgery And Procedures
S5
Fasciotomy
S5PM1.42
82
5,67,000
74
5,11,700
0
0
Orthopedic Surgery And Procedures
S5
Foot Amputation (partial)
S5PM1.3
69
6,70,500
65
6,30,500
0
0
Orthopedic Surgery And Procedures
S5
Fracture intercondylarHumerus + olecranon osteotomy
S5PM1.67
4
74,000
4
74,000
0
0
Orthopedic Surgery And Procedures
S5
Hand Amputation ( partial)
S5D2.56
76
7,24,300
76
7,24,300
70
5,86,650
Orthopedic Surgery And Procedures
S5
Hand/Foot Amputation ( partial)
S5D2.20
2858
6,50,84,567
2853
6,50,37,567
2611
5,59,04,378
Orthopedic Surgery And Procedures
S5
Hand/Foot Amputation (whole)
S5D2.11
145
21,74,000
145
21,74,000
100
13,60,400
Orthopedic Surgery And Procedures
S5
Hemiarthroplasty (Bipolar)
S5D7.8
4153
14,08,45,317
4036
13,68,31,567
0
0
Orthopedic Surgery And Procedures
S5
High Tibial Osteotomy with miniscus and root repair
S5D7.12
130
88,45,000
121
82,36,000
0
0
Orthopedic Surgery And Procedures
S5
Ilizarov Ring Fixator Application.
S5D1.5
2744
10,18,49,042
2722
10,07,99,042
2345
8,17,87,356
Orthopedic Surgery And Procedures
S5
Latarjet procedure for recurrent dislocation of shoulder
S5D7.13
84
32,85,250
81
31,65,250
0
0
Orthopedic Surgery And Procedures
S5
Limb Lengthening
S5D2.33
45
9,21,333
44
9,01,333
26
4,71,500
Orthopedic Surgery And Procedures
S5
Multiple Tendon Repair
S5PM1.44
1
20,000
1
20,000
0
0
Orthopedic Surgery And Procedures
S5
Nerve Repair Surgery
S5PM1.46
2
27,000
2
27,000
0
0
Orthopedic Surgery And Procedures
S5
Nerve Repair With Grafting
S5D2.13
47
11,31,875
47
11,31,875
42
8,89,821
Orthopedic Surgery And Procedures
S5
Neurolysis/Nerve Suture
S5D2.14
958
2,24,31,979
957
2,24,10,979
833
1,81,58,732
Orthopedic Surgery And Procedures
S5
Open Reduction & Internal Fixation of Fingers & Toes @Rs 6000 Each Up To Maximum Of Rs 15000
S5D1.3
14270
19,79,56,848
14241
19,73,94,948
11905
8,44,27,576
Orthopedic Surgery And Procedures
S5
Open Reduction And Internal Fixation Of Long Bone Fractures
S5D8.1
45510
126,64,76,585
44164
122,60,12,585
0
0
Orthopedic Surgery And Procedures
S5
Open Reduction Internal Fixation (2 Small Bones)
S5PM1.47
3
27,000
3
27,000
0
0
Orthopedic Surgery And Procedures
S5
Open Reduction Internal Fixation (Small Bones) - Calcaneum / Talus and others
S5D2.35
2119
3,56,24,308
2085
3,47,91,808
975
76,49,113
Orthopedic Surgery And Procedures
S5
Open Reduction of CDH
S5D2.36
11
2,88,000
10
2,56,500
5
1,00,000
Orthopedic Surgery And Procedures
S5
Open Reduction of Dislocations - Shoulder/Elbow/Hip/Knee/Ankle
S5D2.1
3420
9,04,22,317
3413
9,02,17,817
2773
6,67,95,667
Orthopedic Surgery And Procedures
S5
Open Reduction of Small Joint
S5D2.37
1237
1,73,80,067
1232
1,73,06,717
964
1,02,49,309
Orthopedic Surgery And Procedures
S5
Open Reduction with bone grafting of nonunion
S5PM1.50
25
4,80,000
25
4,80,000
0
0
Orthopedic Surgery And Procedures
S5
Osteochondroma excision/ Excision of Exostosis
S5PM1.15
80
10,29,000
78
9,99,000
0
0
Orthopedic Surgery And Procedures
S5
Pelvic Osteotomy with fixation with plaster.
S5PM1.53
4
78,000
4
78,000
0
0
Orthopedic Surgery And Procedures
S5
Percutaneous - Fixation of Fracture
S5PM1.54
4
25,200
4
25,200
0
0
Orthopedic Surgery And Procedures
S5
POP cast immobilization of undisplaced fracture without Anaesthesia
S5D7.5
142
5,28,500
140
5,22,800
0
0
Orthopedic Surgery And Procedures
S5
Post Management of traumatically amputed limb
S5D7.1
2
36,000
2
36,000
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5D2.30
28
16,80,000
28
16,80,000
21
12,60,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Imported implant)
S5PM1.38
4
2,40,000
4
2,40,000
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Indian implant)
S5PM1.69
1
45,000
1
45,000
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) cemented THR (Indian implant)
S5D2.42
22
9,90,000
22
9,90,000
12
5,40,000
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5D2.38
6107
48,47,07,890
5978
47,43,97,890
4172
32,74,80,140
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Imported implant)
S5PM1.58
155
1,23,64,000
155
1,23,64,000
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Indian implant)
S5PM1.71
2
1,10,500
2
1,10,500
0
0
Orthopedic Surgery And Procedures
S5
Primary Hip Replacement (with implant) uncemented THR (Indian implant)
S5D2.44
989
6,40,43,417
979
6,33,93,417
751
4,84,39,250
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (imported implant)
S5D2.45
30
15,00,000
30
15,00,000
12
5,75,000
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (indian implant)
S5PM1.70
1
45,000
1
45,000
0
0
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) All poly (indian implant)
S5D2.43
16
7,20,000
15
6,75,000
9
3,82,500
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (imported implant)
S5PM1.68
30
18,00,000
30
18,00,000
0
0
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (imported implant)
S5D2.41
5468
32,78,61,900
5342
32,02,41,900
3410
20,03,03,925
Orthopedic Surgery And Procedures
S5
Primary knee replacement (with implant) metal back (indian implant)
S5D2.47
23
10,35,000
22
9,90,000
16
6,75,000
Orthopedic Surgery And Procedures
S5
Reduction Of Compound Fractures & External Fixation
S5D1.4
6306
9,30,93,496
6286
9,26,99,996
5399
6,87,51,540
Orthopedic Surgery And Procedures
S5
Removal of implants with screws
S5D7.10
3822
3,86,61,267
3727
3,76,77,517
0
0
Orthopedic Surgery And Procedures
S5
Scoliosis (Rs. 90000) + special spinal brace (Rs. 10000)
S5D2.17
298
2,95,54,500
294
2,91,54,500
213
2,05,32,053
Orthopedic Surgery And Procedures
S5
Sequestrectomy of Long Bones + anti-biotics + dressing
S5PM1.56
144
27,18,167
141
26,58,167
0
0
Orthopedic Surgery And Procedures
S5
Skeletal tractions with pins Isolated
S5PM1.62
10
20,000
9
18,000
0
0
Orthopedic Surgery And Procedures
S5
skin traction isolated
S5PM1.63
73
3,28,433
72
3,27,433
0
0
Orthopedic Surgery And Procedures
S5
Soft Tissue Reconstruction Procedures For Joints or osteotomy
S5D2.9
25908
70,71,83,971
25830
70,48,38,721
22159
40,48,19,108
Orthopedic Surgery And Procedures
S5
Spinal Ostectomy And Internal Fixations
S5D4.1
1563
6,58,91,750
1554
6,54,76,750
1077
4,18,56,821
Orthopedic Surgery And Procedures
S5
Surgical management of simple or comminuted fracture of patella (isolated)
S5PM1.76
55
2,74,000
55
2,74,000
0
0
Orthopedic Surgery And Procedures
S5
Tendon Grafting (isolated grafting)
S5PM1.45
10
1,08,000
9
99,000
0
0
Orthopedic Surgery And Procedures
S5
Tendon Repair (Multiple)
S5D2.34
1960
3,96,33,425
1951
3,93,63,425
1502
2,45,22,975
Orthopedic Surgery And Procedures
S5
Tendon Repair (Single)
S5D7.9
542
1,03,68,117
532
1,01,67,417
0
0
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5D2.40
269
2,01,44,125
268
2,00,69,125
185
1,38,11,625
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Imported implant)
S5PM1.60
11
8,02,500
11
8,02,500
0
0
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Indian implant)
S5PM1.73
3
1,71,000
3
1,71,000
0
0
Orthopedic Surgery And Procedures
S5
Total Hip Replacement hybrid (procedure cost + Indian implant)
S5D2.46
109
65,40,000
105
63,00,000
48
28,40,000
Orthopedic Surgery And Procedures
S5
Whole blood or PCV in trauma
S5D7.3
58
2,83,059
57
2,81,609
0
0
Pediatric Cancer
S21
Chronic Myeloid Leukemia Dasatinib(Per month)
S21A1.3
1031
1,72,98,300
1031
1,72,98,300
977
1,61,13,200
Pediatric Cancer
S21
Chronic Myeloid Leukemia Imatinib(Per month)
S21A1.1
2370
94,69,600
2369
94,65,600
2194
87,56,800
Pediatric Cancer
S21
Chronic Myeloid Leukemia Nilotinib(Per month)
S21A1.2
79
5,53,000
79
5,53,000
53
3,68,000
Pediatric Surgery
S8
Ankyloglossia Minor
S8PM1.3
3
15,000
3
15,000
0
0
Pediatric Surgery
S8
Anorectal Malformations Stage 1
S8G1.5
2365
9,72,36,708
2363
9,71,01,708
2176
8,70,17,805
Pediatric Surgery
S8
Anorectal Malformations Stage 2 Open or Laparosopic
S8G1.6
3232
17,58,80,458
3224
17,54,12,458
2970
16,01,95,360
Pediatric Surgery
S8
Benign Abdominal Cysts In Paediatric Patient
S8H1.4
17
7,51,500
17
7,51,500
0
0
Pediatric Surgery
S8
Biliary Atresia & Choledocal Cyst
S8G1.4
794
4,13,90,250
791
4,12,10,250
676
3,43,17,623
Pediatric Surgery
S8
Bladder Augmentation
S8H2.7
3
1,20,000
3
1,20,000
0
0
Pediatric Surgery
S8
Bronchoscopy Foreign Body Removal
S8G4.1
419
75,97,500
418
75,72,500
358
61,67,450
Pediatric Surgery
S8
Caecocystoplasty
S8G7.5
2
60,000
2
60,000
1
30,000
Pediatric Surgery
S8
Cleft Lip
S8G2.9
42
4,10,500
42
4,10,500
40
3,79,500
Pediatric Surgery
S8
Cleft Palate
S8G2.10
30
4,43,000
30
4,43,000
27
3,90,500
Pediatric Surgery
S8
Colostomy closure for ARM or Hirsphsprungs disease / Stage 3
S8G1.9
98
55,20,000
93
52,26,000
0
0
Pediatric Surgery
S8
Congenital Dermal Sinus
S8G3.2
13
3,90,000
13
3,90,000
12
3,60,000
Pediatric Surgery
S8
Congenital Hydronephrosis
S8G2.1
3287
15,10,85,625
3279
15,06,85,625
2955
13,43,95,105
Pediatric Surgery
S8
Cystic Lesions Of The Neck
S8G3.3
51
10,69,000
51
10,69,000
34
6,69,000
Pediatric Surgery
S8
Decortication Open or Thoracoscopic
S8G4.5
774
2,96,96,000
762
2,91,21,000
600
2,16,15,300
Pediatric Surgery
S8
Diaphragmatic Hernia
S8G1.2
824
4,59,72,000
823
4,59,12,000
726
3,93,04,080
Pediatric Surgery
S8
Encephalocele
S8G3.4
54
9,66,000
54
9,66,000
49
8,56,000
Pediatric Surgery
S8
Epispadiasis - Correction
S8G6.2
10
3,94,000
10
3,94,000
7
2,74,000
Pediatric Surgery
S8
Exomphalos/gastroschisis
S8H2.6
5
1,64,500
5
1,64,500
0
0
Pediatric Surgery
S8
Exomphalos/gastroschisis
S8PM1.10
2
50,000
2
50,000
0
0
Pediatric Surgery
S8
Extrophy Bladder Stage 1
S8G2.3
160
98,10,250
159
97,45,250
138
83,42,000
Pediatric Surgery
S8
Extrophy Bladder Stage 2
S8G2.4
80
44,04,000
80
44,04,000
72
38,82,000
Pediatric Surgery
S8
Gastric Outlet Obstructions
S8G5.1
1038
2,84,82,500
1037
2,84,47,500
964
2,59,54,990
Pediatric Surgery
S8
Gastro Esophageal Reflux Correction
S8G5.5
6
1,75,500
6
1,75,500
6
1,75,500
Pediatric Surgery
S8
Hamartoma Excision
S8G2.16
30
5,56,000
30
5,56,000
27
4,96,000
Pediatric Surgery
S8
Hemangioma Excision
S8G2.17
291
65,24,500
291
65,24,500
276
61,14,688
Pediatric Surgery
S8
Hirschsprung Disease Stage 1
S8G1.7
784
3,22,77,000
781
3,21,42,000
704
2,85,91,224
Pediatric Surgery
S8
Hirschsprung Disease Stage 2 Open or Lap
S8G1.8
1153
6,33,60,500
1151
6,32,40,500
1042
5,65,28,336
Pediatric Surgery
S8
Hirschsprungs Disease -Biopsy
S8G7.1
13
2,60,000
13
2,60,000
9
1,70,000
Pediatric Surgery
S8
Hydatid Cysts In Paediatric Patient
S8G5.6
34
12,74,000
34
12,74,000
28
10,44,000
Pediatric Surgery
S8
Hypospadias Single Stage
S8G2.6
5645
20,61,72,625
5634
20,57,48,625
5257
19,09,61,201
Pediatric Surgery
S8
Hypospadius Fistula
S8G9.3
15
3,65,000
15
3,65,000
0
0
Pediatric Surgery
S8
Hypospadius Stage 1
S8G2.15
5956
19,05,40,875
5946
19,02,04,875
5347
17,00,75,587
Pediatric Surgery
S8
Hypospadius Stage 2
S8G2.7
3564
11,39,49,000
3556
11,36,69,000
3196
10,13,85,600
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8G7.2
2213
2,20,25,250
2192
2,18,15,250
1732
1,57,08,700
Pediatric Surgery
S8
Inguinal Hernia & Hydrocele
S8PM1.1
1
10,000
1
10,000
0
0
Pediatric Surgery
S8
Intestinal Atresias & Obstructions
S8G1.3
1892
8,74,34,417
1884
8,69,94,417
1640
7,21,54,015
Pediatric Surgery
S8
Intestinal Polyposis Surgical Correction
S8G5.7
1
50,000
1
50,000
1
50,000
Pediatric Surgery
S8
Intussusception
S8G5.8
1252
4,41,80,000
1251
4,41,40,000
1115
3,88,91,780
Pediatric Surgery
S8
Laparoscopic Appendectomy
S8G5.10
219
62,92,500
218
62,62,500
203
57,62,500
Pediatric Surgery
S8
Laparoscopic Choleycystectomy
S8G5.11
68
26,85,500
68
26,85,500
48
18,30,625
Pediatric Surgery
S8
Laparoscopic Orchidopexy Bilateral
S8G6.6
2349
5,34,88,500
2349
5,34,88,500
2127
4,56,36,232
Pediatric Surgery
S8
Laparoscopic Pull Through Surgeries For HD
S8G5.2
22
12,66,000
22
12,66,000
20
10,59,945
Pediatric Surgery
S8
Laparoscopic Varicocele Ligation
S8G6.7
13
2,73,000
13
2,73,000
13
2,62,375
Pediatric Surgery
S8
Lymphangioma Excision
S8G2.18
419
1,52,82,000
419
1,52,82,000
369
1,33,22,000
Pediatric Surgery
S8
Meningocele / Meningomyelocele Excision
S8H3.1
29
10,04,500
28
9,69,500
0
0
Pediatric Surgery
S8
Mesenteric Cyst Excision
S8H4.1
3
48,000
3
48,000
0
0
Pediatric Surgery
S8
Microtia/ Anotia
S8G2.13
2
60,000
2
60,000
1
30,000
Pediatric Surgery
S8
Nephrectomy
S8G6.1
457
1,68,69,375
457
1,68,69,375
411
1,49,52,748
Pediatric Surgery
S8
Neuroblastoma
S8G3.1
24
6,13,750
24
6,13,750
20
4,75,000
Pediatric Surgery
S8
Oesophageal Atresia
S8G1.1
1623
8,96,37,917
1618
8,93,37,917
1424
7,52,20,620
Pediatric Surgery
S8
Orchidopexy - Stage 1 - Open / Lap
S8G8.4
428
1,22,54,000
415
1,18,73,000
0
0
Pediatric Surgery
S8
Orchidopexy - Stage 2 - Open / Lap
S8G8.5
35
10,26,000
35
10,26,000
0
0
Pediatric Surgery
S8
Paediatric Acute Intestinal Obstruction
S8G5.9
1985
7,34,97,000
1977
7,31,41,500
1716
6,12,41,075
Pediatric Surgery
S8
Paediatric Esophageal Obstructions- Surgical Correction
S8G4.2
51
13,87,500
51
13,87,500
46
12,40,490
Pediatric Surgery
S8
Paediatric Esophageal Substitutions
S8G4.3
83
46,70,000
83
46,70,000
69
37,36,250
Pediatric Surgery
S8
Paediatric Splenectomy (Non Traumatic)
S8G5.3
350
1,14,64,250
349
1,14,24,250
300
95,38,437
Pediatric Surgery
S8
Pediatric Tumours
S8G2.8
695
3,19,70,000
695
3,19,70,000
627
2,85,61,255
Pediatric Surgery
S8
Posterior Urethral Valves
S8G2.5
1493
4,20,78,250
1492
4,20,48,250
1331
3,69,65,875
Pediatric Surgery
S8
Sacrococcygeal Teratoma
S8G7.3
13
2,60,000
13
2,60,000
13
2,50,000
Pediatric Surgery
S8
Scrotal Transposition Repair
S8G6.3
13
3,60,000
13
3,60,000
3
60,000
Pediatric Surgery
S8
Sinuses & Fistula Of The Neck
S8G3.5
34
6,51,000
33
6,31,000
24
4,65,000
Pediatric Surgery
S8
Surgeries On Adrenal Gland In Children
S8G5.4
17
4,06,250
17
4,06,250
15
3,26,875
Pediatric Surgery
S8
Surgery for Peritonitis in Children
S8G5.12
63
32,03,625
63
32,03,625
48
24,60,375
Pediatric Surgery
S8
Surgery on Thoracic cyst - Open or Thoracoscopic
S8G4.6
29
11,08,000
29
11,08,000
24
9,14,000
Pediatric Surgery
S8
Syndactyly Of Hand For Each Hand
S8G2.12
18
2,51,250
18
2,51,250
16
2,24,250
Pediatric Surgery
S8
Thoracic Wall Defects- Correction
S8G4.7
1
50,000
1
50,000
1
50,000
Pediatric Surgery
S8
Thoracoscopic Cysts Excision
S8G4.4
47
16,98,000
47
16,98,000
46
16,52,750
Pediatric Surgery
S8
TM Joint Ankylosis
S8G2.14
2
80,000
2
80,000
2
80,000
Pediatric Surgery
S8
Torsion Testis
S8G6.5
452
1,04,26,500
452
1,04,26,500
384
86,25,000
Pediatric Surgery
S8
Undescended Testis
S8G6.4
887
2,14,94,500
887
2,14,94,500
825
1,97,20,625
Pediatric Surgery
S8
Ureteric Reimplantations
S8G2.2
1761
10,34,74,125
1758
10,32,79,125
1571
8,38,96,314
Pediatric Surgery
S8
Urinary Diversion (Vasicostomy / Ureterostomy)
S8G9.6
21
5,12,500
21
5,12,500
0
0
Pediatric Surgery
S8
Urinary Undiversion
S8G8.7
3
86,000
3
86,000
0
0
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.19
1
15,000
1
15,000
1
15,000
Pediatric Surgery
S8
Velo-Pharyngial Incompetence
S8G2.11
1
10,500
1
10,500
1
10,500
Physiotherapy
M20
CGHS - Electrical stimulation (therapeutic)
M20B1.3
3
270
3
270
0
0
Physiotherapy
M20
CGHS - Hot pack
M20B1.8
1
90
1
90
0
0
Physiotherapy
M20
CGHS - Infra red
M20B1.5
1
90
1
90
0
0
Physiotherapy
M20
CGHS - Muscle testing and diagnostic
M20B1.4
3
246
3
246
0
0
Physiotherapy
M20
CGHS - S.W. Diathermy
M20B1.2
1
90
1
90
0
0
Physiotherapy
M20
CGHS - Ultrasonic therapy
M20B1.1
2
180
2
180
0
0
Plastic Surgery
S12
Benign tumour of Mandible And Maxilla - Excision
S12M1.11
528
1,98,51,000
528
1,98,51,000
489
1,79,84,375
Plastic Surgery
S12
Cleft Lip
S12M1.1
83
8,82,750
83
8,82,750
71
6,94,500
Plastic Surgery
S12
Cleft Palate
S12M1.2
162
24,63,000
161
24,43,000
135
19,80,063
Plastic Surgery
S12
Corrective Surgery For Congenital Deformity of Hand and foot (Per Hand)
S12M1.14
279
39,46,000
279
39,46,000
234
30,06,186
Plastic Surgery
S12
Corrective surgery for craniosynostosis
S12M1.15
30
14,95,000
30
14,95,000
20
9,95,000
Plastic Surgery
S12
Cup And Bat Ears
S12M1.16
10
2,00,000
10
2,00,000
7
1,40,000
Plastic Surgery
S12
Diabetic Foot - Surgery
S12M1.20
2374
5,75,46,400
2350
5,69,61,400
1492
3,03,37,062
Plastic Surgery
S12
Ear Pinna Reconstruction with costal cartilage/ Prosthesis(including the cost of prosthesis /implants)
S12PM1.1
14
2,80,000
11
2,20,000
0
0
Plastic Surgery
S12
Flap Cover For Electrical Burns With Vitals Exposed for each flap
S12M1.17
609
2,80,27,500
607
2,79,27,500
529
2,35,73,086
Plastic Surgery
S12
Hemangioma - Sclerotherapy (under GA)
S12PM1.3
8
1,20,000
6
90,000
0
0
Plastic Surgery
S12
Hemifacial Atrophy
S12M1.19
9
2,70,000
9
2,70,000
7
2,10,000
Plastic Surgery
S12
Hemifacial Microsmia
S12M1.7
62
28,55,000
62
28,55,000
59
27,06,000
Plastic Surgery
S12
Leprosy Reconstructive Surgery for each procedure
S12M1.8
57
11,40,000
57
11,40,000
50
10,00,000
Plastic Surgery
S12
Microtia/Anotia for each stage
S12M1.5
56
17,80,000
55
17,40,000
42
12,60,000
Plastic Surgery
S12
Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto
S12M2.2
7
1,30,000
7
1,30,000
5
85,000
Plastic Surgery
S12
Nerve And Tendon Repair + Vascular Repair for each limb
S12M1.9
1284
3,53,38,500
1280
3,52,18,500
1084
2,74,06,625
Plastic Surgery
S12
Non healing wound - Diabetic foot dail dressing with skin grafting including antidiabetics
S12M3.2
129
37,08,000
118
33,87,000
0
0
Plastic Surgery
S12
Pressure Sore - Surgery for Malignant and Non malignant conditions
S12PM1.4
54
15,07,000
47
12,97,000
0
0
Plastic Surgery
S12
Ptosis
S12M1.10
8
2,00,000
8
2,00,000
8
2,00,000
Plastic Surgery
S12
Reduction Surgery For Filarial Lymphedema
S12M1.18
22
4,32,000
22
4,32,000
19
3,67,000
Plastic Surgery
S12
Syndactyly Of Hand For Each finger
S12M1.4
508
70,63,500
508
70,63,500
451
60,34,688
Plastic Surgery
S12
Tendon/Vascular/ nerve Injury Repair - In forearm/leg/foot or hand - Payable maximum upto for each procedure
S12M2.1
46
10,71,000
45
10,46,000
6
88,000
Plastic Surgery
S12
Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant)
S12PM1.2
39
19,20,000
38
18,70,000
0
0
Plastic Surgery
S12
TM Joint Ankylosis
S12M1.6
65
25,88,000
64
25,48,000
54
21,08,000
Plastic Surgery
S12
Vaginal Atresia
S12M1.12
33
8,20,000
32
7,95,000
27
6,70,000
Plastic Surgery
S12
Vascular Malformations - Major more than 5 Cms
S12M3.1
16
3,95,000
16
3,95,000
0
0
Plastic Surgery
S12
Vascular Malformations - Minor up to 5 Cms
S12M1.13
374
89,46,250
373
89,21,250
316
73,07,188
Plastic Surgery
S12
Velo-Pharyngial Incompetence
S12M1.3
4
60,000
4
60,000
4
60,000
Polytrauma
S14
Abdominal Injuries Conservative Stay In General Ward @Rs.1500 - 2 Day stay
S14O6.1
238
6,72,675
238
6,72,675
191
3,84,050
Polytrauma
S14
Abdominal Injuries Stay In Surgical ICU@Rs.4000/Day- 5 days stay
S14O6.2
534
40,40,525
529
39,58,525
426
21,84,048
Polytrauma
S14
Abdominal Injuries Surgical Treatment
S14O7.1
2229
15,76,75,275
2211
15,63,32,775
1762
11,36,16,848
Polytrauma
S14
Amputation Surgery finger and toes(Per finger per toe)
S14O1.2
1362
66,67,958
1357
66,43,958
1015
43,90,116
Polytrauma
S14
Black eye with haemorrhage (day care basis)
S14O3.1
669
8,20,63,300
669
8,20,63,300
607
4,81,02,234
Polytrauma
S14
Black eye with haemorrhage (day care basis)
S14O3.7
6
28,000
6
28,000
0
0
Polytrauma
S14
Chest Injuries Conservative Stay In General Ward @Rs.1500/Day - 5 days stay
S14O4.1
800
27,79,327
797
27,56,827
645
14,62,844
Polytrauma
S14
Chest Injuries Stay In Respiratory ICU/ICCU@Rs.4000/Day - 5 days stay
S14O4.2
1885
3,23,68,525
1873
3,22,02,125
1427
1,99,12,817
Polytrauma
S14
Corneal Foreign Body
S14O11.26
3
14,000
3
14,000
0
0
Polytrauma
S14
Corneal Foreign Body
S14O10.1
2823
3,54,55,739
2823
3,54,55,739
2631
2,20,99,902
Polytrauma
S14
Corneal tear operative management
S14O11.23
3
45,000
3
45,000
0
0
Polytrauma
S14
Corneal tear operative management
S14O11.1
1061
1,95,98,029
1061
1,95,98,029
954
1,36,10,091
Polytrauma
S14
Corneoscleral tear
S14O11.13
6
1,50,000
6
1,50,000
0
0
Polytrauma
S14
Corneoscleral tear with Intraoccular foreign body
S14O11.4
1464
1,03,04,739
1463
1,02,99,739
1321
71,89,013
Polytrauma
S14
Facial Bone Fractures (Closed or Compound) - Single (Faciomaxillary Injuries)
S14O11.5
13725
19,80,86,221
13724
19,80,72,721
12763
17,02,82,353
Polytrauma
S14
Flap Cover Surgery For Wound In Compound Fracture
S14O10.13
157
46,29,000
143
42,12,000
0
0
Polytrauma
S14
Flap Cover Surgery For Wound In Compound Fracture
S14O11.2
1451
2,78,86,075
1450
2,78,66,075
1305
2,26,28,889
Polytrauma
S14
Lid tear
S14O11.15
1
6,300
1
6,300
0
0
Polytrauma
S14
Multiple CLWs or incised wounds or crush injuries or Soft Tissue Injury for Debridement & Closure - 3 days stay
S14O1.3
9588
6,00,32,329
9539
5,95,57,329
7623
3,30,96,972
Polytrauma
S14
Open Reduction And Internal Fixation Of Long Bone Fractures
S14O1.1
374115
776,39,81,762
374056
776,26,90,512
357085
643,04,99,575
Polytrauma
S14
Plexus injury along with Vascular injury repair with Graft
S14PM1.1
1
30,000
1
30,000
0
0
Polytrauma
S14
Polytrauma Chest Surgical Treatment
S14O5.1
888
4,16,47,333
882
4,13,52,333
650
1,24,25,618
Polytrauma
S14
Stabilization of patient with Long Bone Fractures before internal fixation
S14O12.1
158
10,29,225
154
10,04,025
0
0
Polytrauma
S14
Surgery For Patella Fracture (Fixation / Excision)
S14O10.12
876
1,28,56,650
847
1,24,19,650
0
0
Polytrauma
S14
Surgery For Patella Fracture (Fixation / Excision)
S14O11.3
1320
1,08,43,677
1320
1,08,43,677
1170
73,78,320
Polytrauma
S14
Surgical Correction Of Pelvic Bone Fractures.
S14O10.11
206
51,60,000
195
48,90,000
0
0
Polytrauma
S14
Surgical Correction Of Pelvic Bone Fractures.
S14O11.6
1441
2,76,83,212
1441
2,76,83,212
1327
2,26,15,985
Polytrauma
S14
Thoracostomy
S14O8.2
84
3,10,467
84
3,10,467
64
2,10,488
Polytrauma
S14
Tracheostomy for polytrauma and non polytrauma other causes.
S14O8.1
1577
52,76,500
1552
51,54,750
1177
20,59,785
Polytrauma
S14
Trauma associated with less than 10 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.2
7333
17,29,07,522
7331
17,28,51,523
6990
12,74,06,624
Polytrauma
S14
Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.1
1324
65,65,050
1322
65,47,050
1258
31,20,111
Polytrauma
S14
Trauma associated with less than 10-15 % BURNS (CONSERVATIVE MANAGEMENT)
S14O2.5
1
8,000
1
8,000
0
0
Polytrauma
S14
Traumatic glaucoma without angle recession
S14O9.3
1
20,000
1
20,000
0
0
Prosthesis and Orthosis
S15
Above Elbow Prosthesis Fibre
S15P7.5
8
55,250
8
55,250
7
46,875
Prosthesis and Orthosis
S15
Above Elbow Prosthesis Modular
S15P7.6
18
78,450
18
78,450
16
68,450
Prosthesis and Orthosis
S15
Above Knee(AK) Prostheses Fibre
S15P5.2
16
1,06,800
16
1,06,800
11
71,800
Prosthesis and Orthosis
S15
Above Knee(AK) Prostheses HDP/PP
S15P5.1
2
6,050
2
6,050
2
6,050
Prosthesis and Orthosis
S15
Above Knee(AK) Prostheses Modular
S15P5.3
89
3,34,700
89
3,34,700
76
2,87,450
Prosthesis and Orthosis
S15
Below Elbow Prosthesis Fibre
S15P7.2
11
61,250
11
61,250
11
59,875
Prosthesis and Orthosis
S15
Below Elbow Prosthesis HDP/PP
S15P7.1
2
10,000
2
10,000
2
10,000
Prosthesis and Orthosis
S15
Below Elbow Prosthesis Modular
S15P7.3
9
38,200
9
38,200
9
38,200
Prosthesis and Orthosis
S15
Below Knee(BK/PTB) Prostheses Fibre
S15P3.2
65
2,62,433
65
2,62,433
56
2,19,750
Prosthesis and Orthosis
S15
Below Knee(BK/PTB) Prostheses HDP/PP
S15P3.1
7
22,833
7
22,833
4
13,200
Prosthesis and Orthosis
S15
Below Knee(BK/PTB) Prostheses Modular
S15P3.3
167
5,21,958
166
5,18,958
130
4,06,325
Prosthesis and Orthosis
S15
Hip Disarticulation Partial Foot Prostheses
S15P6.4
1
1,500
1
1,500
0
0
Prosthesis and Orthosis
S15
Hip Disarticulation Prosthesis Fibre
S15P6.2
1
9,000
1
9,000
1
9,000
Prosthesis and Orthosis
S15
Hip Disarticulation Prosthesis Modular
S15P6.3
7
38,300
7
38,300
5
17,400
Prosthesis and Orthosis
S15
Lower Limb Symes Prostheses Modular
S15P2.3
6
16,260
6
16,260
6
16,260
Prosthesis and Orthosis
S15
Through Knee Prostheses Fibre
S15P4.2
2
7,300
2
7,300
2
7,300
Prosthesis and Orthosis
S15
Through Knee Prostheses HDP/PP
S15P4.1
3
4,500
3
4,500
3
4,500
Prosthesis and Orthosis
S15
Through Knee Prostheses Modular
S15P4.3
106
3,71,000
106
3,71,000
91
3,15,000
Prosthesis and Orthosis
S15
Whole Upper Limb Prosthesis Fibre
S15P8.2
1
1,200
1
1,200
1
1,200
Prosthesis and Orthosis
S15
Whole Upper Limb Prosthesis Modular
S15P8.3
3
4,500
3
4,500
2
3,000
Pulmonology
M10
Acute Respiratory Failure (ICU stay With Invasive Ventilator) per day - Rs 6000 - 7 Days stay
M10T4.7
3265
13,49,37,600
3095
12,78,48,000
0
0
Pulmonology
M10
Acute Respiratory Failure (With NIV Ventilator) per day - Rs 5000 - 7 Days
M10T4.6
44243
176,14,23,765
44076
175,57,34,765
32269
103,12,81,944
Pulmonology
M10
Acute Respiratory Failure (Without Ventilator) 4000 per day ICU stay - 5 Days
M10T4.5
191733
382,32,26,655
191394
381,65,83,655
145285
250,65,45,926
Pulmonology
M10
Bronchiectasis Requiring Hospitalisation - 7 Days Stay
M10T4.8
1200
2,27,28,000
1190
2,25,38,000
928
1,50,00,495
Pulmonology
M10
Interstitial Lung Diseases - 7 Days Stay
M10T4.3
1836
5,21,34,710
1826
5,18,52,710
1340
3,41,22,300
Pulmonology
M10
Lung Abscess, Non Resolving - Ct Scan Chest, per day - Rs 2500 - 10 Days stay
M10T4.1
409
65,50,250
407
65,00,250
317
42,06,437
Pulmonology
M10
Pneumoconiosis - per day Stay - Rs 2500 - 10 Days stay
M10T4.4
227
61,12,000
226
60,80,500
136
31,08,750
Pulmonology
M10
Pneumothorax (Large/Recurrent) HRCT-10 Days Stay
M10T4.2
2766
9,29,30,400
2748
9,23,17,900
2132
6,30,49,130
Pulmonology
M10
Treatment of mediastinal/lymphadenopathy requiring EBUS(Endobronchial ultrasound)with 3 days stay
M10T4.10
18
5,37,000
15
4,47,000
0
0
Pulmonology
M10
Treatment of Pleural diseases requiring Thoracoscopy 3 days stay
M10T4.9
51
12,67,500
51
12,67,500
0
0
Radiation Oncology
M2
3DCRT-Up upto 30 Fractions In 6 Weeks (Preferably Right breast Cancer Cervix, Endometrium, Rectum, Whole Brain Radiotherapy (WBRT), Stomach, Gastrointestinal Tract (GIT), Early stage glottic (Stage I, II), Testis, Lymphoma, Retroperitonium, Ovarian ablation, Benign Tumors, Palliative treatment, Extremity tumors)
M2L6.1
84313
622,97,30,359
84001
620,63,75,359
73736
456,92,70,483
Radiation Oncology
M2
A) Intracavitary I. LDR Per Application
M2L3.1
1423
63,63,025
1423
63,63,025
1343
54,78,316
Radiation Oncology
M2
A) Intracavitary II. HDR Per Application
M2L3.2
24692
7,93,45,413
24667
7,90,95,413
21729
5,44,51,551
Radiation Oncology
M2
Adjuvant Treatment with Cobalt 60
M2L1.3
6039
8,83,70,750
6031
8,82,22,250
5689
7,81,15,232
Radiation Oncology
M2
B) Interstitial I. LDR Per Application
M2L4.1
10
1,50,000
10
1,50,000
8
1,20,000
Radiation Oncology
M2
B) Interstitial II. HDR One Application And Multiple Dose Fractions. Non OBGY Malignancie
M2L4.2
2539
5,95,86,812
2533
5,93,46,812
2431
5,56,47,812
Radiation Oncology
M2
IMRT-Up To 35 Fractions In 8 Weeks - Preferably Pre/Post op head and neck cancer, Cancer Esophagus, Anaplastic Thyroid, Brain, Pituatary, Left Breast, Anal Canal, Lung, Pleura, Urinary bladder.
M2L5.1
62451
610,67,04,232
61942
605,57,49,232
48939
368,23,10,282
Radiation Oncology
M2
Interstitial plus Intracavitory per fraction - For OBGY Malignancies
M2L9.3
45
6,75,000
42
6,30,000
0
0
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.5
21
2,10,000
20
2,00,000
0
0
Radiation Oncology
M2
Intraluminal Brachytherapy per fraction
M2L9.1
5206
75,05,97,576
5207
75,05,97,576
5030
55,33,31,130
Radiation Oncology
M2
Palliative Treatment with Cobalt 60
M2L1.2
6145
6,15,38,313
6127
6,12,73,313
5539
4,97,98,705
Radiation Oncology
M2
Palliative Treatment With Photons
M2L2.2
17741
36,05,02,737
17683
35,90,42,737
15270
26,55,89,387
Radiation Oncology
M2
Radical Treatment with Cobalt 60
M2L1.1
15226
29,55,01,500
15134
29,32,28,500
13158
22,66,89,737
Radiation Oncology
M2
Radical Treatment With Photons
M2L2.1
26453
125,33,85,725
26447
125,30,95,725
24903
107,10,30,401
Radiation Oncology
M2
Radical Treatment With Photons and Electrons
M2L2.3
10045
36,75,09,551
9958
36,31,59,551
8050
24,44,71,612
Radiation Oncology
M2
RapidArc/ VMAT/ ART/ Tomotherapy with IGRT Up To 30 Fractions in 6 Weeks - Preferably Radical head and neck cancer, Cancer of liver, Hepatobiliary tract, Pancreas, Prostate, Heart, Pericardium, Great vessels
M2L8.1
5398
76,81,84,353
5275
75,00,64,353
3838
41,80,02,920
Radiation Oncology
M2
SRS / SRT upto 5fractions
M2L7.1
626
5,02,35,077
616
4,92,35,077
435
2,43,07,259
Radiation Oncology
M2
Surface mould Brachytherapy for skin tumors and vaginal tumors
M2L9.2
27
1,35,000
25
1,25,000
0
0
Radiation Oncology
M2
Tomotherapy(Radical/Adjuvant/Neoadjuvant)
M2PM1.1
1
75,000
1
75,000
0
0
Rheumatology
M12
MCTD Mixed Connective Tissue Disorder 7 Days Stay
M12T6.3
152
24,35,500
149
23,75,500
109
13,63,758
Rheumatology
M12
Osteoporosis - Zoledronic acid injection - One day stay
M12T6.12
378
17,01,500
378
17,01,500
0
0
Rheumatology
M12
Polymyocitis / Dermatomyocitis 7 days stay
M12T6.7
2
20,000
2
20,000
0
0
Rheumatology
M12
Rheumatoid arthritis - Rs 2000 per day - 5 days
M12T6.14
15
1,44,000
12
1,16,000
0
0
Rheumatology
M12
Rheumatoid Arthritis with ILD/ Vasculitis 7 days stay
M12T6.4
9
1,61,000
9
1,61,000
2
22,500
Rheumatology
M12
Scleroderma 7 Days Stay
M12T6.2
500
74,41,750
497
73,81,750
435
58,06,304
Rheumatology
M12
SLE (Systemic Lupus Erythematosis) 10 Days Stay
M12T6.6
1519
2,19,38,500
1507
2,17,00,500
1248
1,26,44,805
Rheumatology
M12
SLE AIHA / SLE Thrombocytopenia - 10 days stay
M12T6.11
7
7,00,000
6
6,00,000
0
0
Rheumatology
M12
SLE With Sepsis 4 Weeks Stay
M12T6.1
120
59,15,000
119
58,65,000
94
30,40,875
Rheumatology
M12
Spondyloarthropathy with Biologic therapy - One day
M12T6.10
12
2,75,000
11
2,50,000
0
0
Rheumatology
M12
Vasculitis 6 Days Stay. Rs 10000 if LOS 6 Days.
M12T6.5
111
11,09,500
111
11,09,500
86
7,02,500
Surgical Gastroenterology
S6
Abdomino Perineal Resection(Non- Malignant)
S6E7.6
55
26,65,000
54
26,15,000
48
22,95,000
Surgical Gastroenterology
S6
Anterior Resection - Rectum and Anus/Large Intestine Open / Laparoscopic
S6E7.4
189
1,06,16,375
182
1,00,98,875
83
31,34,500
Surgical Gastroenterology
S6
Anterior Resection With Ileostomy Open / Laparoscopic
S6E7.5
166
87,94,667
164
86,44,667
118
56,14,042
Surgical Gastroenterology
S6
Bariatric Procedures
S6E1.3
17
10,16,000
16
9,76,000
10
3,96,000
Surgical Gastroenterology
S6
Central Pancreatectomy
S6E3.10
5
5,00,000
5
5,00,000
4
3,10,000
Surgical Gastroenterology
S6
Cholecystectomy & Exploration CBD
S6E11.4
210
64,04,000
202
60,91,500
105
25,15,125
Surgical Gastroenterology
S6
Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy
S6E11.3
274
1,05,67,000
270
1,03,76,500
169
57,05,625
Surgical Gastroenterology
S6
Colonic Pull Up / Gastric Pull Up
S6E4.1
75
24,98,000
74
24,48,000
54
14,56,375
Surgical Gastroenterology
S6
Cyst Excision + Hepatic Jejunostomy
S6E2.7
38
16,92,000
37
16,47,000
26
10,90,875
Surgical Gastroenterology
S6
Cysto Gastrostomy
S6E14.2
264
99,00,000
264
99,00,000
235
86,67,248
Surgical Gastroenterology
S6
Distal Gastrectomy or Gastrojejunostomy For Gastric Outlet Obstruction
S6E5.4
190
75,07,000
188
74,27,000
82
31,54,000
Surgical Gastroenterology
S6
Distal Pancreatectomy
S6E3.1
160
1,55,34,000
158
1,53,34,000
128
1,19,13,750
Surgical Gastroenterology
S6
Distal Pancreatectomy + Splenectomy
S6E3.9
200
1,96,17,000
199
1,95,07,000
160
1,48,35,375
Surgical Gastroenterology
S6
Enucleation Of Cyst
S6E3.2
4
2,85,000
4
2,85,000
2
1,35,000
Surgical Gastroenterology
S6
Extended Right Hemicolectomy
S6E7.3
214
80,98,000
209
78,48,000
158
53,05,901
Surgical Gastroenterology
S6
Gastro Study Followed By Thoracotomy And Repairs For Oesophageal Injury For Corrosive Injuries/FB
S6E14.1
30
11,23,000
30
11,23,000
27
9,58,000
Surgical Gastroenterology
S6
GB+ Calculi CBD Stones Or Dilated CBD
S6E11.1
1330
3,11,51,875
1329
3,11,26,875
1043
2,36,93,008
Surgical Gastroenterology
S6
Haemangioma SOL Liver Hepatectomy + Wedge Resection
S6E2.5
23
16,45,000
23
16,45,000
22
15,18,750
Surgical Gastroenterology
S6
Hartman.S Procedure With Colostomy (for Obstruction)
S6E7.7
112
48,98,625
110
48,08,625
83
35,71,375
Surgical Gastroenterology
S6
Hepatico Jejunostomy
S6E11.2
202
89,48,000
202
89,48,000
189
79,32,070
Surgical Gastroenterology
S6
Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation
S6E2.4
2
1,20,000
2
1,20,000
2
1,05,000
Surgical Gastroenterology
S6
Hydatid Cyst- Excision or Pericystectomy Open / Laparoscopic
S6E2.6
608
1,67,74,000
600
1,65,37,000
490
1,31,58,390
Surgical Gastroenterology
S6
I Stage- Sub Total Colectomy + Ileostomy + J - Pouch
S6E9.1
39
29,77,500
37
28,25,500
30
22,62,250
Surgical Gastroenterology
S6
I Stage-Sub Total Colectomy + Ileostomy
S6E8.1
57
27,97,500
57
27,97,500
45
21,47,500
Surgical Gastroenterology
S6
II Stage- Ileostomy
S6E9.2
10
2,06,500
10
2,06,500
7
1,28,000
Surgical Gastroenterology
S6
II Stage-J - IPAA with Ileostomy
S6E8.2
36
10,51,000
36
10,51,000
29
8,07,500
Surgical Gastroenterology
S6
Ileostomy Closure
S6E8.3
76
14,84,000
74
14,44,000
60
11,59,000
Surgical Gastroenterology
S6
Lap Adhesiolysis
S6E6.3
348
1,26,91,000
347
1,26,51,000
303
1,08,37,300
Surgical Gastroenterology
S6
Lap Fundoplications
S6E4.5
766
3,32,17,500
763
3,30,87,000
559
2,36,78,250
Surgical Gastroenterology
S6
Lap Hellers Myotomy
S6E4.4
337
1,00,86,000
334
99,96,000
247
70,32,750
Surgical Gastroenterology
S6
Lap- Pancreatic Necrosectomy
S6E3.6
48
46,67,500
46
44,67,500
21
19,99,500
Surgical Gastroenterology
S6
Lateral Pancreaticojejunostomy(Non- Malignant)/FREYS PROCEDURE
S6E3.7
1018
9,72,58,875
1010
9,64,78,875
808
7,60,84,532
Surgical Gastroenterology
S6
Left Hemicolectomy Laparoscopic
S6E15.2
5
2,50,000
5
2,50,000
0
0
Surgical Gastroenterology
S6
Left Hemicolectomy Laparoscopic
S6E1.1
10
3,96,000
10
3,96,000
7
2,38,000
Surgical Gastroenterology
S6
Left Hemicolectomy Open
S6E7.2
259
76,47,167
257
75,87,167
207
58,82,744
Surgical Gastroenterology
S6
Lt Hepatectomy
S6E2.2
86
62,88,750
86
62,88,750
77
55,17,500
Surgical Gastroenterology
S6
Malrotation
S6E6.2
28
9,51,250
28
9,51,250
25
7,95,125
Surgical Gastroenterology
S6
Oesophageal Diverticula /Achlasia Cardia
S6E13.1
64
25,40,000
63
25,00,000
57
21,94,000
Surgical Gastroenterology
S6
Oesophagectomy
S6E4.2
150
87,35,875
150
86,75,875
115
65,01,000
Surgical Gastroenterology
S6
Oesophago-Gastrectomy
S6E4.3
92
66,78,750
91
66,03,750
72
49,40,741
Surgical Gastroenterology
S6
Other Bypasses
S6E3.5
43
10,61,250
43
10,61,250
40
9,31,250
Surgical Gastroenterology
S6
Pancreatic Necrosectomy (Open)
S6E3.8
255
2,37,90,150
255
2,37,90,150
170
1,55,32,765
Surgical Gastroenterology
S6
Partial Gastrectomy
S6E5.1
85
33,73,000
79
31,33,000
64
24,49,500
Surgical Gastroenterology
S6
Right Hemicolectomy
S6E7.1
578
1,71,06,142
570
1,68,66,142
470
1,34,21,983
Surgical Gastroenterology
S6
Rt/Lt Hepatectomy
S6E2.1
305
2,21,33,995
298
2,16,08,995
231
1,59,23,895
Surgical Gastroenterology
S6
Segmentectomy
S6E2.3
25
12,12,500
25
12,12,500
20
8,95,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E1.2
14
7,59,000
14
7,59,000
4
2,22,000
Surgical Gastroenterology
S6
Shunt/Devascularization Surgery for PHT
S6E16.3
6
3,60,000
6
3,60,000
0
0
Surgical Gastroenterology
S6
Spleenectomy For Space Occupying Lesion/Portal Hypertension/ Hypersplenism etc
S6E12.3
68
23,73,000
65
22,68,000
18
6,12,500
Surgical Gastroenterology
S6
Splenectomy
S6E12.1
299
1,04,03,000
299
1,04,03,000
244
82,62,250
Surgical Gastroenterology
S6
Splenectomy + Devascularisation + Spleno Renal Shunt
S6E12.2
153
86,07,250
153
86,07,250
138
75,15,000
Surgical Gastroenterology
S6
Surgery For Corrosive Injury Stomach/Esophagus
S6E5.5
92
46,35,500
91
45,75,500
65
31,57,500
Surgical Gastroenterology
S6
Total Gastrectomy
S6E5.2
71
29,20,000
70
28,70,000
48
18,55,000
Surgical Gastroenterology
S6
Triple Bypass
S6E3.4
79
19,35,000
79
19,35,000
71
17,05,000
Surgical Gastroenterology
S6
Truncal Vagotomy + Gastro Jejunostomy
S6E5.3
18
6,98,000
18
6,98,000
14
5,54,000
Surgical Gastroenterology
S6
Volvulus
S6E6.1
54
18,02,750
54
18,02,750
45
14,62,750
Surgical Gastroenterology
S6
Whipples Any Type
S6E3.3
906
7,29,89,500
889
7,06,65,500
698
4,97,61,777
Surgical Oncology
S11
Abdominal Wall Tumour Resection
S11J16.1
82
27,39,790
82
27,39,790
62
18,95,790
Surgical Oncology
S11
Abdomino Perineal Resection (Apr) + Sacrectomy
S11J10.4
193
90,38,417
192
89,88,417
162
72,52,242
Surgical Oncology
S11
Abdominoperineal Resection
S11J12.5
1718
6,55,33,810
1709
6,51,77,810
1507
5,55,80,758
Surgical Oncology
S11
Adrenalectomy
S11J24.2
136
59,92,958
136
59,92,958
119
50,57,375
Surgical Oncology
S11
Adrenalectomy
S11J52.2
19
9,10,000
18
8,60,000
0
0
Surgical Oncology
S11
Amputation for soft tissue/Bone Tumours
S11J34.3
554
1,28,31,875
551
1,26,91,875
476
90,62,458
Surgical Oncology
S11
Anterior Exenteration
S11J18.2
45
23,49,958
45
23,49,958
43
21,03,792
Surgical Oncology
S11
Anterior Resection
S11J12.4
2114
8,13,05,153
2109
8,10,95,153
1853
6,65,15,931
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J53.1
15
8,85,000
14
8,25,000
0
0
Surgical Oncology
S11
Anterior/Posterior Exenteration
S11J25.1
77
40,31,625
76
39,71,625
73
35,87,292
Surgical Oncology
S11
Axillary Dissection
S11J32.2
29913
54,79,00,748
29833
54,64,67,248
25924
38,28,96,494
Surgical Oncology
S11
Bilateral Orchidectomy
S11J23.12
2491
2,77,95,750
2488
2,77,45,750
2066
1,88,62,712
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND)
S11J17.1
511
1,63,79,280
505
1,60,66,030
326
71,42,375
Surgical Oncology
S11
Bilateral Pelvic Lymph Node Dissection(BPLND) for CA Urinary Bladder
S11J25.3
255
83,68,897
251
81,98,897
216
56,51,500
Surgical Oncology
S11
Bone Resection
S11J22.8
58
15,99,500
56
15,39,500
50
13,30,500
Surgical Oncology
S11
Breast Reconstruction
S11J32.5
412
89,45,175
403
87,38,508
295
49,42,880
Surgical Oncology
S11
Chest Wall Resection
S11J32.6
61
11,12,458
61
11,12,458
54
8,54,125
Surgical Oncology
S11
Chest Wall Resection
S11J20.1
62
12,76,500
62
12,76,500
51
9,83,067
Surgical Oncology
S11
Chest Wall Resection + Reconstruction
S11J20.2
96
28,32,333
95
28,02,333
84
23,57,667
Surgical Oncology
S11
Closure Of Colostomy
S11J10.3
770
1,51,34,277
770
1,51,34,277
714
1,37,34,714
Surgical Oncology
S11
Closure Of Ileostomy
S11J10.2
527
1,05,38,292
525
1,04,98,292
395
76,63,175
Surgical Oncology
S11
Colectomy Any Type
S11J12.3
2448
9,38,13,217
2439
9,34,53,217
2114
7,72,95,910
Surgical Oncology
S11
Colostomy
S11J29.6
2227
4,97,65,443
2227
4,97,65,443
2110
4,13,48,206
Surgical Oncology
S11
Composite Resection & Reconstruction
S11J1.1
32642
189,54,86,276
32531
188,89,76,776
28266
162,49,36,800
Surgical Oncology
S11
Cranio Facial Resection
S11J2.4
314
2,09,42,867
314
2,09,42,867
284
1,85,85,042
Surgical Oncology
S11
Curettage & Bone Cement
S11J22.7
171
49,43,500
170
49,16,000
134
37,76,500
Surgical Oncology
S11
Emasculation
S11J23.4
8
2,22,000
8
2,22,000
8
2,03,250
Surgical Oncology
S11
Enucleation of pancreatic neoplasm(Other than Neck of Pancreas)
S11J6.3
9
2,30,000
9
2,30,000
4
1,05,000
Surgical Oncology
S11
Excision of rectal polyp
S11J21.1
1
11,250
1
11,250
0
0
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx with reconstruction
S11J44.2
23
10,25,000
22
9,75,000
0
0
Surgical Oncology
S11
Excision of tumor of oral cavity or paranasal sinus or Laryngopharynx without reconstruction
S11J44.3
3
45,000
3
45,000
0
0
Surgical Oncology
S11
External Hemipelvectomy
S11J22.5
21
11,49,500
21
11,49,500
20
10,94,500
Surgical Oncology
S11
Fasciocutaneous flap
S11J48.1
82
51,64,050
80
50,15,090
0
0
Surgical Oncology
S11
Forequarter Amputation
S11J22.4
63
22,74,000
63
22,74,000
60
20,67,250
Surgical Oncology
S11
Full Thickness Buccal Mucosal Resection & Reconstruction
S11J37.4
2005
8,65,12,958
1992
8,59,12,958
1748
7,03,74,809
Surgical Oncology
S11
Gastrectomy Any Type
S11J12.2
1934
7,32,58,792
1922
7,28,01,792
1621
5,63,08,654
Surgical Oncology
S11
Gastro Jejunostomy
S11J29.9
915
3,12,43,542
914
3,12,06,042
769
2,44,65,214
Surgical Oncology
S11
Gastrostomy
S11J29.3
893
1,74,15,504
891
1,73,75,504
795
1,50,60,379
Surgical Oncology
S11
Germ cell tumor excision
S11J46.1
4
2,16,900
4
2,16,900
0
0
Surgical Oncology
S11
Haemangioma SOL Liver Hepatectomy + Wedge Resection
S11J38.1
87
63,51,583
87
63,51,583
57
40,66,792
Surgical Oncology
S11
Haemostatic surgery in advanced cancer patient or Haemostatic Radiotherapy
S11J42.1
3
1,50,000
3
1,50,000
0
0
Surgical Oncology
S11
Hemiglossectomy
S11J1.4
6577
12,90,08,633
6556
12,85,94,467
5701
8,93,11,234
Surgical Oncology
S11
Hemimandibulectomy
S11J1.10
941
2,50,65,450
939
2,49,95,783
828
1,70,32,604
Surgical Oncology
S11
Hepatoblastoma - Excision
S11J43.1
4
4,09,600
4
4,09,600
0
0
Surgical Oncology
S11
High Orchidectomy
S11J23.11
769
1,17,64,375
764
1,16,44,375
645
95,52,000
Surgical Oncology
S11
Hysterectomy for Tumour
S11J31.1
235
53,32,125
235
53,32,125
197
40,21,595
Surgical Oncology
S11
Ileostomy
S11J29.5
750
1,85,65,951
747
1,85,07,951
583
1,11,37,083
Surgical Oncology
S11
Ileotransverse Colostomy
S11J29.10
176
83,88,375
174
82,88,375
112
50,06,400
Surgical Oncology
S11
Inguinal Block Dissection One Side
S11J23.9
1829
3,28,48,817
1820
3,25,56,167
1539
1,85,24,517
Surgical Oncology
S11
Intercostal Drainage(ICD)
S11J29.8
286
9,05,533
283
8,96,833
212
5,82,508
Surgical Oncology
S11
Internal Hemipelvectomy
S11J22.6
37
23,36,167
35
22,46,167
31
19,20,708
Surgical Oncology
S11
Intersphinctoric Resection Open/ Laparoscopic
S11J40.1
35
33,70,155
34
32,75,385
0
0
Surgical Oncology
S11
Jejunostomy
S11J29.4
3175
8,51,66,210
3165
8,48,44,210
2688
6,22,60,504
Surgical Oncology
S11
Laryngectomy Any Type
S11J1.8
829
2,87,82,322
826
2,86,77,322
750
2,29,96,004
Surgical Oncology
S11
Laryngo Pharyngo Oesophagectomy
S11J1.9
116
74,91,167
115
74,23,667
101
59,88,317
Surgical Oncology
S11
Lateral Temporal Bone Resection
S11J5.2
32
8,73,500
32
8,73,500
25
6,26,250
Surgical Oncology
S11
Leiomyoma Excision
S11J45.1
7
6,34,200
6
5,34,200
0
0
Surgical Oncology
S11
Limb Salvage Surgery With Custom Made Prosthesis
S11J22.2
17
8,45,000
16
7,95,000
14
6,82,500
Surgical Oncology
S11
Limb Salvage Surgery With Modular Prosthesis
S11J22.3
193
1,39,92,125
192
1,39,17,125
160
1,14,92,375
Surgical Oncology
S11
Limb Salvage Surgery Without Prosthesis
S11J22.1
339
1,29,28,708
339
1,29,28,708
301
1,10,50,617
Surgical Oncology
S11
Lumpectomy Breast
S11J32.4
1213
71,72,117
1199
71,00,117
950
56,61,325
Surgical Oncology
S11
Lung Cancer Decortication
S11J27.6
5
2,50,000
5
2,50,000
5
2,50,000
Surgical Oncology
S11
Lung Cancer Lobectomy
S11J27.5
276
1,36,70,000
273
1,35,20,000
243
1,17,75,833
Surgical Oncology
S11
Lung Cancer Pnumenectomy
S11J27.4
30
14,92,500
28
13,92,500
27
13,29,998
Surgical Oncology
S11
Lung Metastatectomy. Multiple
S11J27.2
95
56,16,500
92
53,52,500
76
40,05,000
Surgical Oncology
S11
Lung Metastatectomy. Solitary
S11J27.1
84
41,77,000
83
41,17,000
65
30,88,250
Surgical Oncology
S11
Marginal Mandibulectomy
S11J37.1
380
97,94,308
377
96,70,975
316
60,13,129
Surgical Oncology
S11
Mastectomy Any Type
S11J32.1
34786
72,83,14,386
34677
72,58,68,386
30353
55,59,21,831
Surgical Oncology
S11
Maxillectomy + Infratemporal Fossa Clearance
S11J2.3
337
1,30,18,192
336
1,29,85,692
287
89,59,243
Surgical Oncology
S11
Maxillectomy + Orbital Exenteration
S11J2.2
55
18,51,750
54
18,16,750
43
11,79,125
Surgical Oncology
S11
Maxillectomy Any Type
S11J1.5
1680
4,21,88,242
1676
4,20,47,408
1405
2,62,62,792
Surgical Oncology
S11
Mediastinal tumour or Lymphadenectomy
S11J36.2
12
12,64,000
10
10,28,000
1
25,000
Surgical Oncology
S11
Mediastinal Tumour Resection
S11J26.1
136
66,48,042
135
65,98,042
114
52,96,230
Surgical Oncology
S11
Micro Vascular Reconstruction (Free flap)
S11J30.2
1945
7,21,10,608
1918
7,09,42,608
1595
4,45,22,792
Surgical Oncology
S11
Myocutaneous / Cutaneous Flap
S11J30.1
3665
8,85,87,431
3636
8,78,84,264
3061
5,45,20,498
Surgical Oncology
S11
Neck Dissection Any Type
S11J1.3
19429
47,98,98,245
19344
47,75,13,078
16963
33,11,13,954
Surgical Oncology
S11
Nephroureterectomy For Transitional Cell Carcinima Of Renal Pelvis Open / Lap
S11J23.2
161
76,67,100
161
76,67,100
129
57,57,419
Surgical Oncology
S11
Oesophageal stenting including stent cost
S11J6.2
115
45,88,000
114
45,48,000
79
31,56,000
Surgical Oncology
S11
Oesophagectomy Any Type
S11J12.1
612
3,56,20,679
605
3,52,20,679
520
2,87,82,921
Surgical Oncology
S11
Oesophagectomy With Three Field Lymphadenectomy
S11J28.2
1304
11,13,18,361
1295
11,04,18,361
1150
9,19,74,186
Surgical Oncology
S11
Oesophagectomy With Two Field Lymphadenectomy
S11J28.1
365
2,95,53,439
362
2,93,18,439
312
2,40,35,334
Surgical Oncology
S11
Open laryngeal framework surgery or Thyroplasty
S11J36.3
2
1,00,000
2
1,00,000
2
75,000
Surgical Oncology
S11
Orbital decompression
S11J39.13
2
76,600
1
38,300
0
0
Surgical Oncology
S11
Orbital Exenteration
S11J2.1
205
52,05,867
205
52,05,867
149
29,03,708
Surgical Oncology
S11
Other Bypasses-Pancreas and others
S11J12.8
42
11,62,625
42
11,62,625
36
7,67,871
Surgical Oncology
S11
Other Cystectomies
S11J23.6
95
34,42,500
95
34,42,500
88
27,94,162
Surgical Oncology
S11
Palatectomy Any Type
S11J4.1
72
20,23,958
72
20,23,958
61
14,82,229
Surgical Oncology
S11
Parathyroidectomy
S11J9.2
37
10,73,500
36
10,43,500
25
7,01,750
Surgical Oncology
S11
Parotidectomy Any Type
S11J1.7
972
2,03,02,917
962
2,00,23,750
781
1,40,86,104
Surgical Oncology
S11
Partial Cystectomy
S11J46.2
10
3,81,108
10
3,81,108
0
0
Surgical Oncology
S11
Partial Nephrectomy
S11J23.1
297
1,59,95,750
293
1,57,81,250
238
1,26,59,250
Surgical Oncology
S11
Partial Penectomy
S11J23.8
928
1,36,28,917
928
1,36,28,917
898
1,19,21,854
Surgical Oncology
S11
Penile preserving Surgery (WLE, Glansectomy, Laser)
S11K13.13
40
16,22,167
40
16,22,167
0
0
Surgical Oncology
S11
Posterior Exenteration
S11J18.3
11
5,32,875
11
5,32,875
11
4,86,625
Surgical Oncology
S11
Posterior Exenteration
S11J11.1
85
39,26,938
85
39,26,938
77
33,64,188
Surgical Oncology
S11
Radical / Revision Cholecystectomy
S11J13.1
465
2,80,79,500
461
2,77,79,500
395
2,15,83,017
Surgical Oncology
S11
Radical Cystectomy
S11J23.5
1241
7,32,74,277
1227
7,18,99,277
1063
5,55,52,388
Surgical Oncology
S11
Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) / Ovarian Transposition
S11J18.1
1842
7,76,62,000
1842
7,76,62,000
1793
7,38,92,923
Surgical Oncology
S11
Radical Hysterectomy for Tumour
S11J31.2
691
1,89,17,500
691
1,89,17,500
666
1,77,53,978
Surgical Oncology
S11
Radical Nephrectomy
S11J23.3
2016
7,90,68,600
2009
7,87,88,600
1740
6,65,43,959
Surgical Oncology
S11
Radical Prostatectomy
S11J23.10
217
1,19,09,417
216
1,18,49,417
177
94,05,208
Surgical Oncology
S11
Radical Trachelectomy
S11J17.2
1
32,500
1
32,500
1
26,250
Surgical Oncology
S11
Radical Vaginectomy
S11J17.3
29
10,52,250
29
10,52,250
28
9,52,125
Surgical Oncology
S11
Radical Vaginectomy and /or Reconstruction
S11J17.4
40
17,24,483
40
17,24,483
32
12,90,625
Surgical Oncology
S11
Resection Of Nasopharyngeal Tumour
S11J3.1
43
19,03,625
43
19,03,625
34
14,12,438
Surgical Oncology
S11
Resection Of Retroperitoneal Tumours
S11J15.1
590
2,57,06,313
589
2,56,61,313
488
2,03,40,051
Surgical Oncology
S11
Resection With Reconstruction of Abdominal Wall Tumour
S11J16.2
95
40,71,250
95
40,71,250
78
32,31,000
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection Rplnd As Part Of Staging
S11J24.4
114
28,25,017
114
28,25,017
92
18,25,813
Surgical Oncology
S11
Retro Peritoneal Lymph Node Dissection(RPLND) (For Residual Disease)
S11J24.1
356
1,97,98,200
350
1,94,58,200
288
1,52,60,710
Surgical Oncology
S11
Sacral Resection
S11J22.10
7
4,07,667
7
4,07,667
5
2,55,458
Surgical Oncology
S11
Salpino Oophorectomy
S11J31.6
483
1,15,69,554
479
1,14,69,554
366
78,96,063
Surgical Oncology
S11
Segmental Mandibulectomy
S11J37.2
822
2,21,01,770
809
2,16,83,437
682
1,35,26,813
Surgical Oncology
S11
Segmentectomy
S11J38.2
35
16,54,000
35
16,54,000
31
12,58,625
Surgical Oncology
S11
Segmentectomy
S11J38.3
5
2,42,500
5
2,42,500
0
0
Surgical Oncology
S11
Shoulder Girdle Resection
S11J22.9
21
8,17,500
21
8,17,500
18
6,93,750
Surgical Oncology
S11
Skin Tumours Amputation
S11J33.3
116
21,93,000
115
21,75,500
101
17,83,117
Surgical Oncology
S11
Skin Tumours Wide Excision
S11J33.1
407
47,48,030
404
47,10,530
361
37,94,333
Surgical Oncology
S11
Skin Tumours Wide Excision + Reconstruction
S11J33.2
1172
2,27,23,083
1169
2,26,65,583
987
1,81,56,628
Surgical Oncology
S11
Sleeve Resection
S11J5.1
3
73,333
3
73,333
3
65,833
Surgical Oncology
S11
Sleeve Resection Of Lung Cancer
S11J27.3
18
16,11,000
18
16,11,000
15
13,41,000
Surgical Oncology
S11
Small Bowel Resection
S11J10.1
277
1,07,10,375
276
1,06,70,375
234
81,13,104
Surgical Oncology
S11
Splenectomy
S11J14.1
109
37,77,083
109
37,42,083
93
24,17,583
Surgical Oncology
S11
Sternotomy + Superior Mediastinal Dissection
S11J8.1
8
3,44,167
8
3,44,167
7
2,38,750
Surgical Oncology
S11
Submandibular Gland Excision
S11J6.1
129
26,13,000
129
26,13,000
96
17,04,854
Surgical Oncology
S11
Substernal Bypass
S11J29.2
6
2,68,667
6
2,68,667
6
2,18,917
Surgical Oncology
S11
Subtotal petrosectomy
S11J39.15
1
37,100
1
37,100
0
0
Surgical Oncology
S11
Subtotal Temporal Bone Resection
S11J5.3
26
11,45,000
26
11,45,000
22
8,72,083
Surgical Oncology
S11
Supra Levator Exenteration
S11J18.5
3
2,03,000
3
2,03,000
3
2,03,000
Surgical Oncology
S11
Suprapubic Cystostomy
S11J29.7
32
3,07,500
32
3,07,500
26
1,97,997
Surgical Oncology
S11
Surgery For Ca Ovary - Omentectomy, Bilateral Salping oophorectomy
S11J31.4
8190
32,91,96,683
8155
32,74,81,683
6892
26,41,15,987
Surgical Oncology
S11
Surgery For Ca Ovary Early Stage
S11J31.3
677
1,62,35,500
677
1,62,35,500
603
1,43,20,827
Surgical Oncology
S11
Thyroidectomy Any Type
S11J1.6
3375
8,40,49,032
3355
8,30,82,032
2750
4,78,79,982
Surgical Oncology
S11
Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy
S11J19.1
3600
12,34,29,125
3575
12,25,61,125
3033
10,27,66,279
Surgical Oncology
S11
Total Exenteration
S11J25.2
21
15,52,500
21
15,52,500
18
13,11,563
Surgical Oncology
S11
Total Exenteration
S11J11.2
107
76,40,750
104
74,15,750
83
54,38,407
Surgical Oncology
S11
Total Glossectomy + Reconstruction
S11J37.3
730
2,42,24,171
728
2,41,68,337
612
1,76,72,817
Surgical Oncology
S11
Total Pelvic Exenteration
S11J18.4
228
1,61,45,875
226
1,60,18,375
166
1,12,03,200
Surgical Oncology
S11
Total Penectomy
S11J23.7
558
1,28,25,417
555
1,27,47,917
445
91,09,000
Surgical Oncology
S11
Total Temporal Bone Resection
S11J5.4
7
3,58,500
7
3,58,500
5
2,05,250
Surgical Oncology
S11
Tracheal Resection
S11J7.1
30
13,22,533
30
13,22,533
23
9,74,633
Surgical Oncology
S11
Tracheal Resection with or without carinal resection
S11J8.2
9
4,47,390
9
4,47,390
5
2,00,000
Surgical Oncology
S11
Tracheal stenosis (End to end anastamosis)
S11J36.6
3
1,80,000
2
1,20,000
0
0
Surgical Oncology
S11
Tracheal stenting
S11J47.1
1
89,280
1
89,280
0
0
Surgical Oncology
S11
Tracheostomy for all malignancies
S11J29.1
2405
3,44,20,037
2390
3,42,41,704
2072
2,72,24,358
Surgical Oncology
S11
Triple Bypass
S11J12.7
172
48,09,250
170
47,09,250
138
33,08,820
Surgical Oncology
S11
Ureteric End to end anastamosis
S11J46.4
4
1,74,275
4
1,74,275
0
0
Surgical Oncology
S11
Urinary Diversion
S11J24.3
194
90,30,000
193
89,62,500
177
62,69,083
Surgical Oncology
S11
Vulvectomy with reconstruction
S11J31.5
230
51,51,350
229
50,98,700
192
25,00,000
Surgical Oncology
S11
Wedge excision and Vermilionectomy
S11J44.4
6
2,40,000
6
2,40,000
0
0
Surgical Oncology
S11
Wertheims Hysterectomy
S11J41.1
194
77,40,250
182
72,59,500
0
0
Surgical Oncology
S11
Whipples Any Type
S11J12.6
1291
9,94,94,250
1281
9,82,59,250
1066
7,35,27,630
Surgical Oncology
S11
Wide Excision + Reconstruction soft tissue/Bone Tumours
S11J34.2
1194
2,89,14,238
1184
2,86,46,738
1013
2,30,06,873
Surgical Oncology
S11
Wide Excision for tumour
S11J34.4
1514
3,92,35,518
1499
3,88,33,018
1229
2,55,45,287
Surgical Oncology
S11
Wide Excision of Breast for Tumour
S11J32.3
2335
2,22,21,717
2325
2,21,21,717
1870
1,54,90,199
Surgical Oncology
S11
Wide Excision of Tumor
S11J1.2
3749
9,15,01,649
3734
9,12,13,316
3487
6,84,94,165
Surgical Oncology
S11
Wide Excision soft tissue/Bone Tumours
S11J34.1
874
1,43,57,250
867
1,42,52,250
745
1,12,62,703
Surgical Oncology
S11
Wilms tumour surgery
S11J50.1
5
3,42,000
4
2,73,600
0
0
Urology
S9
A.V. Fistula (Pretransplant Procedure Only)
S9H1.1
720
67,78,250
720
67,78,250
705
65,23,855
Urology
S9
Anatrophic Pyelolithotomy For Staghorn Calculus
S9H10.1
3633
15,42,70,208
3633
15,42,70,208
3461
14,46,89,422
Urology
S9
Augmentation cystoplasty
S9PM1.2
5
1,72,000
5
1,72,000
0
0
Urology
S9
Bilateral Nephroureterectomy
S9H7.7
9
2,16,250
9
2,16,250
7
1,58,750
Urology
S9
Bladder Neck incision-endoscopic
S9PM1.15
64
10,43,917
64
10,43,917
0
0
Urology
S9
Bladder Neck Reconstruction
S9PM1.19
2
40,000
2
40,000
0
0
Urology
S9
Caecocystoplasty
S9H9.3
38
10,64,500
38
10,64,500
32
7,95,750
Urology
S9
CGHS - Dilatation of Stricture Urethra under G.A.
S9H5.9
3
6,900
3
6,900
0
0
Urology
S9
CGHS - Dilatation of Stricture Urethra under LA
S9H5.10
2
3,968
2
3,968
0
0
Urology
S9
Chordee Correction (Patch)
S9H2.4
18
5,50,875
18
5,50,875
8
1,14,000
Urology
S9
Chordee Correction (Plication)
S9H2.3
91
13,33,500
91
13,33,500
84
11,37,749
Urology
S9
Closure Of Urethral Fistula
S9H8.3
310
73,91,500
310
73,91,500
271
62,70,000
Urology
S9
Cystolithotripsy
S9H4.1
18988
22,08,89,876
18987
22,08,82,876
18253
18,98,75,907
Urology
S9
Distal ureterectomy with Reimplantation
S9H8.6
636
1,52,87,393
636
1,52,87,393
588
1,28,24,938
Urology
S9
Diverticulectomy
S9H9.5
5
50,000
5
50,000
4
35,000
Urology
S9
DJ Stent (One Side)
S9H4.6
118479
149,90,60,622
118167
149,46,35,606
99333
113,86,62,675
Urology
S9
DJ Stent removal Unilateral / Bilateral
S9H6.5
5790
1,58,99,608
5773
1,57,95,608
0
0
Urology
S9
Emergency management of Acute retention of Urine
S9PM1.27
20
89,300
18
76,500
0
0
Urology
S9
Endopyelotomy (anterograde with laser/bugbee)
S9PM1.5
14
3,20,167
14
3,20,167
0
0
Urology
S9
Endoscope Removal Of Stone In Bladder
S9H7.9
4656
8,05,35,258
4602
7,94,01,925
1638
1,60,37,469
Urology
S9
Endoscopic Ureterocele incision
S9H8.8
84
14,32,083
84
14,32,083
38
5,44,333
Urology
S9
Endoureterotomy (laser/bugbee)
S9PM1.10
1
25,000
1
25,000
0
0
Urology
S9
Epispadiasis - Correction - Stage 1
S9H8.2
21
8,70,000
20
8,30,000
14
5,60,000
Urology
S9
ESWL
S9H4.3
31062
52,77,94,168
31031
52,72,03,334
27779
41,92,10,996
Urology
S9
Excision of Urethral Caruncle
S9PM1.26
3
11,250
3
11,250
0
0
Urology
S9
Hypospadius Adult Double Stage - TURBT
S9H5.8
3599
10,32,24,125
3583
10,27,55,125
2907
8,18,71,280
Urology
S9
Hypospadius Double Stage - Stage-1
S9H5.6
244
79,46,250
243
79,11,250
212
68,24,000
Urology
S9
Hypospadius Double Stage - Stage-2
S9H5.7
218
71,63,250
218
71,63,250
196
63,69,125
Urology
S9
Hypospadius Single Stage
S9H5.5
388
1,40,40,000
387
1,40,04,000
335
1,20,35,631
Urology
S9
Ileal Conduit formation
S9H8.7
394
82,75,250
389
81,25,250
322
38,39,750
Urology
S9
Incontinence Urine (Female)
S9H9.6
204
35,33,000
204
35,33,000
173
27,72,240
Urology
S9
Incontinence Urine (Male)
S9H9.7
50
7,93,167
50
7,93,167
40
5,76,708
Urology
S9
Internal Ureterotomy including cystoscopy as an independent procedure
S9PM1.24
261
27,01,625
256
26,51,625
0
0
Urology
S9
Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles)
S9PM1.13
17
2,52,000
14
2,08,500
0
0
Urology
S9
Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses)
S9PM1.14
3
72,000
3
72,000
0
0
Urology
S9
Lap. Nephrectomy Radical
S9H7.5
331
1,31,01,000
325
1,28,36,000
215
81,46,900
Urology
S9
Lap. Nephrectomy Simple
S9H7.4
799
2,28,51,875
799
2,28,51,875
663
1,88,17,813
Urology
S9
Lap. Partial Nephrectomy
S9H7.6
115
41,05,833
115
41,05,833
81
27,08,583
Urology
S9
Laparaoscopic Anderson Hynes Pyeloplasty
S9H6.1
1967
9,83,43,500
1962
9,80,49,500
1727
8,31,74,585
Urology
S9
Laparoscopic Orchidopexy Bilateral
S9H11.1
55
31,02,000
55
31,02,000
0
0
Urology
S9
Laparoscopic Pyelolithotomy
S9H3.4
315
85,81,958
313
85,01,958
226
55,15,297
Urology
S9
Laparoscopic Renal Cyst Excision
S9H7.8
43
7,00,250
41
6,60,250
21
2,99,250
Urology
S9
Laparoscopic simple Nephrectomy
S9H6.10
190
93,82,500
178
87,82,500
0
0
Urology
S9
Laparoscopic Ureterolithotomy
S9H6.3
29
12,00,000
29
12,00,000
0
0
Urology
S9
Meatoplasty
S9PM1.3
7
29,000
7
29,000
0
0
Urology
S9
Meatotomy
S9PM1.4
3
9,975
3
9,975
0
0
Urology
S9
Nephrectomy Pyonephrosis/XGP
S9H7.2
3002
11,05,79,792
3002
11,05,79,792
2848
10,41,29,848
Urology
S9
Nephrostomy
S9H7.1
3850
3,73,19,371
3840
3,72,20,371
3195
2,57,11,037
Urology
S9
Nephrostomy
S9H4.5
161
6,71,783
161
6,71,783
141
5,74,092
Urology
S9
Open Adrenalectomy
S9H8.10
17
7,42,500
16
6,97,500
0
0
Urology
S9
Open Anderson Hynes Pyeloplasty
S9H10.2
4712
17,19,89,842
4707
17,16,94,842
4268
15,10,55,993
Urology
S9
Open Cystolithotomy
S9H3.3
1438
1,50,70,542
1426
1,48,95,542
1178
1,14,85,198
Urology
S9
Open Nephrectomy Radical
S9H6.7
40
15,52,000
37
14,32,000
0
0
Urology
S9
Open Nephrolithotomy
S9H3.2
343
35,28,917
343
35,28,917
299
28,89,417
Urology
S9
Open Partial Nephrectomy
S9H6.8
19
8,12,500
17
7,22,500
0
0
Urology
S9
Open Prostatectomy (Freyers )
S9H9.2
314
91,89,500
312
91,19,500
252
72,80,750
Urology
S9
Open Prostatectomy (Millins )
S9H6.2
18
7,00,000
17
6,64,000
0
0
Urology
S9
Open Pyelolithotomy
S9H3.1
592
71,93,250
588
70,33,250
505
48,85,125
Urology
S9
Open simple Nephrectomy
S9H7.3
3305
13,18,15,848
3282
13,07,64,348
2600
10,12,28,773
Urology
S9
Open Ureterolithotomy
S9H6.11
60
19,63,333
55
18,18,333
0
0
Urology
S9
Optical Urethrotomy
S9H8.4
15144
28,17,95,946
15139
28,16,83,446
14433
25,40,17,326
Urology
S9
Orchidopexy Bilateral
S9H2.1
131
19,55,000
128
19,13,000
87
12,63,500
Urology
S9
Partial Cysteectomy / Urachal Cyst excision -open
S9PM1.28
11
2,42,500
11
2,42,500
0
0
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus less than 1 cm
S9H4.2
86425
235,59,94,935
86393
235,50,46,935
81749
218,02,01,864
Urology
S9
PCNL or RIRS or Push back PCNL for upper ureretic calculus more than 1 cm
S9H4.7
10776
40,65,06,875
10560
39,85,19,675
0
0
Urology
S9
Perineal Urethrostomy
S9H8.5
172
35,02,750
171
34,77,750
137
24,49,500
Urology
S9
Post Urethral Valve fulguration
S9PM1.23
1
10,000
1
10,000
0
0
Urology
S9
Post-Transplant Immunosuppression Treatment From 1st To 6th Month After Transplantation
S9H1.3
2626
12,94,22,270
2626
12,94,22,270
2392
11,46,55,299
Urology
S9
Reduction of Paraphimosis
S9PM1.25
18
35,200
18
35,200
0
0
Urology
S9
Renal Transplantation Surgery Including cost of Renal transpalntation, AV fistula, Doners Nephrectomy, Recipient & Donors Investigations.Initially preauth of Rs 310000 aprroved.Preauths of AV Fistula, Dialysis and Immunosupression therapy will be approved separately
S9H1.2
1759
25,06,62,848
1743
24,59,21,348
1524
19,16,09,411
Urology
S9
Suprapubic Drainage - Closed/Trocar
S9PM1.17
12
42,700
11
39,700
0
0
Urology
S9
Surgery for Bladder injury repair with or without urethral injury (as an independent procedure)
S9PM1.16
2
50,000
2
50,000
0
0
Urology
S9
Surgery for correction of ureteric stricture (Ureteric Reimplantation) Unilateral
S9H7.10
126
56,78,000
123
54,98,000
48
13,11,910
Urology
S9
Torsion Testis
S9H2.2
479
56,09,700
477
55,79,700
381
42,42,500
Urology
S9
Total Amputation Of Penis(Non- Malignant) Inv - Clinical Photograph Post Procedure Evidence Of Clinical Photograph,Biopsy
S9H2.5
3
72,500
3
72,500
2
50,000
Urology
S9
Total Cystectomy / Radical cystectomy
S9H9.4
75
25,44,750
72
24,39,750
57
18,33,250
Urology
S9
Transurethral Resection Of Prostate (TURP) / Bladder neck incision
S9H8.9
77201
217,84,32,248
76952
216,94,03,248
65210
174,01,23,780
Urology
S9
TURP Cyst Lithotripsy
S9H9.1
3312
8,55,67,292
3312
8,55,67,292
3168
8,10,83,446
Urology
S9
Ultrasound guided Perinephric Abscess drainage
S9H7.11
91
14,12,000
91
14,12,000
64
8,96,625
Urology
S9
Uretero-ureterostomy Open
S9PM1.7
7
1,72,500
5
1,22,500
0
0
Urology
S9
Uretero-vaginal/uterine fistula repair Open
S9PM1.11
11
3,32,500
10
3,10,000
0
0
Urology
S9
Ureterotomy (Cutaneous)
S9PM1.9
3
56,000
2
36,000
0
0
Urology
S9
Urethral Dilatation- as an independent procedure
S9PM1.12
16
69,500
16
69,500
0
0
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Reconstruction Procedure
S9H5.4
123
53,93,485
123
53,93,485
114
49,49,735
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Stage-1
S9H5.2
748
2,12,43,250
744
2,11,23,250
640
1,80,62,894
Urology
S9
Urethroplasty For Stricture Urethra Double Stage Stage-2
S9H5.3
228
64,67,500
227
64,37,500
210
59,03,250
Urology
S9
Urethroplasty For Stricture Urethra Single Stage
S9H5.1
5254
24,32,06,269
5222
24,16,60,769
4356
19,95,42,465
Urology
S9
Urethrovaginal fistula repair (independent procedure)
S9PM1.18
2
45,000
1
15,000
0
0
Urology
S9
Urinary tract trauma Repair Open/Laparoscopy
S9PM1.22
2
31,000
1
20,000
0
0
Urology
S9
URSL
S9H4.4
129220
220,13,05,877
128904
219,48,75,260
110700
173,37,78,033
Urology
S9
Varicocele-bilateral
S9H7.12
36
4,07,000
36
4,07,000
28
2,75,000
Urology
S9
Varicocele-unilateral
S9PM1.20
1
6,800
1
6,800
0
0
Urology
S9
Varicocele-unilateral
S9H7.13
87
8,25,600
86
8,10,600
63
4,63,200
Urology
S9
Vasico Vaginal Fistula
S9H8.1
229
89,13,583
226
87,93,583
183
71,42,128
Total
7467796
18326,63,29,579
7442758
18238,61,77,789
6147359
13451,83,79,939