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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
ECG CHARGES
Electrocardiogram ( ECG )
14 150 120
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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B'lore
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Carotid doppler
15 2,030 1,624
Stress Echo
20 2,793 2,234
EEG
27 1,120 896
Electroretinography
28 1,407 1,126
EMG
29 1,680 1,344
EMG / NCV
30 3,171 2,537
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Electrocorticography -
41 7,700 6,160
PET CT SCAN
F-18 PET Bone scan with whole body contrast enhanced CT (F-18 isotope charges extra)
50 9,100 7,280
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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FDG PET CT Brain plain with Contrast (FDG isotope charges extra)
55 3,500 2,800
FDG PET CT Myocardial Viability and Perfusion study plain (FDG isotope charges extra)
57 6,300 5,040
Spirometery
62 945 756
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Uroflowmetery ( UFM )
72 476 381
Voiding cystometery
73 938 750
Anaesthetists charges for Argon laser photocoagulation ( single sitting ) for diabetic
77 maculopathy - 364 291
Anaesthetists charges for Retinal digital indocyanine green ( ICG ) imaging angiography
80 371 297
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Diagnostic laryngoscopy
99 504 403
Electronystagmography ( ENG )
100 1,001 801
Impedance Audiometry
101 308 246
Nasal Endoscopy
102 924 739
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Dressing in casualty
106 150 120
PHYSIOTHERAPY
Physiotherapy - laser
116 150 120
NST CHARGES
NEBULISATION CHARGES
Nebulisation charges
120 150 120
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Navigation image guide system
121 (NIGS) Usage Charges 2,100 1,680
PHOTOTHERAPY CHARGES
Thromboelastography ( TEG ) +
125 Heparinase test charges 1,274 1,019
Thromboelastography ( TEG )
126 test charges 847 678
VENTILATOR CHARGES
Bronchoscopy -
133 3,052 2,442
Fibreoptic laryngoscopy
134 1,449 1,159
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Debridement ( large )
147 5,096 4,077
Debridement ( medium )
148 3,395 2,716
Debridement ( small )
149 1,680 1,344
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Intra articular injections of steroids /
157 hyaluronidase into large joint 1,050 840
IV / Peripheral cannulation
161 700 560
Kidney biopsy -
164 2,450 1,960
Liver biopsy -
165 2,450 1,960
Nasal packing
169 2,023 1,618
Ventricular Tapping
172 3,381 2,705
Pericardial aspiration -
174 2,023 1,618
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Pocket for endocardial pacemaker under GA
177 in Cath lab - Surgeon fee 11,550 9,240
Phlebotomy -
178 1,400 1,120
IVIG therapy -
179 1,540 1,232
Pleurodesis -
180 1,155 924
Pamidronate infusion -
182 1,540 1,232
Tracheostomy
188 6,776 5,421
Pacemaker Programming
193 5,565 4,452
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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GYNAECOLOGY CHARGES
Colposcopy/Cautery
198 2,520 2,016
Colposcopy/LEEP
199 3,920 3,136
Diagnostic Hyster/D&C
200 6,300 5,040
Colpo/Hystero/D&C
201 6,860 5,488
Colpo/Hystero/LEEP
202 8,050 6,440
BIPAP Initiation -
203 700 560
Ventilator Initiation -
205 700 560
Ventilator Monitoring -
206 700 560
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Description
Portable Echocardiography
219 ( Paediatric) 910 728
ENT PROCEDURES
GASTROENTEROLOGY PROCEDURES
Anorectal manometery -
226 427 342
Bedside bronchoscopy -
228 3,052 2,442
Colonoscopy ( whole ) -
231 2,772 2,218
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Double Balloon Enteroscopy Both side -
232 8,386 6,709
Endoscopic ultrasound -
238 3,500 2,800
Enteroscopy -
244 4,515 3,612
Endoscopic polypectomy -
247 7,693 6,154
ERCP -
251 4,179 3,343
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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ERCP Cystogastromy -
252 9,534 7,627
Endoscopic sclerotherapy -
255 3,850 3,080
Flexible sigmoidoscopy
258 1,736 1,389
Liver biopsy
261 2,450 1,960
Oesophageal pH monitoring -
265 2,450 1,960
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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LITHOTRIPSY CHARGES
NEPHROLOGY PROCEDURES
Haemodialysis charges
282 1,225 980
ONCOLOGY PROCEDURES
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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OPHTHALMOLOGY PROCEDURES
Argon laser photocoagulation ( single sitting) for diabetic maculopathy - hospital charges
287 847 678
Argon laser photocoagulation ( single sitting) for diabetic maculopathy - Doctor fees
288 1,463 1,170
Laser photocoagulation for vasculitis ( more than one quadrant ) - doctor fee
296 2,793 2,234
Laser photocoagulation for vasculitis ( more than one quadrant ) - hospital charges
297 1,694 1,355
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Automated Perimetery
306 1,022 818
Orthoptic exercise
312 50 40
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
OTHER PROCEDURES
CPAP titration -
352 5,390 4,312
PAEDIATRIC PROCEDURES
Exchange transfusion -
358 2,772 2,218
Paediatric bronchoscopy -
362 3,045 2,436
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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ULTRASOUND PROCEDURES
Salpingo sonography
375 1,540 1,232
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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388 Ultrasound needle aspiration for Pleural effusion ( diagnostic ) 560 448
Catheterization
391 952 762
Cyst Excision
392 1,911 1,529
Dressing Major
393 637 510
Dressing Minor
394 315 252
Frenuloplasty
395 1,652 1,322
Prostatic Biopsy
397 1,876 1,501
Superficial Biopsy
398 1,274 1,019
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Urethral Dilatation
400 1,701 1,361
VASCULAR PROCEDURES
AV Access
405 8,400 6,720
415 Venography guided laser assisted saphenous vein closure (B/L) 25,270 20,216
MRI
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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441 MRI Brain With MRA Head & Neck 10,780 8,624
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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B'lore
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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CT SCAN
528 CT Scan Neck, Abdomen & Pelvis with Contrast 7,700 6,160
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
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596 CT scan of the Face & Neck with contrast 5,040 4,032
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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ULTRASOUND
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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X-RAYS
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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NUCLEAR MEDICINE
832 NM Scan DTPA Renal Transplant Scan with GFR Evalua 3,150 2,520
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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MAMMOGRAPHY
DEXA
Other Procedures
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PATHOLOGICAL TESTS
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890 ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY; ACHR MODUL ATING Ab 8400 6,720
892 ACID PHOSPHATASE, PROSTATIC Includes Total Acid Phosphatase 182 146
899 AFB STAIN, MISCELL ANEOUSIncludes Auramine & Z.N staining 147 118
904 ALBUMIN & IgG, CSF Includes CSF IgG/ Albumin Ratio 1421 1,137
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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1022 AMENORRHOEA PROFILE *Estradiol *FSH *LH *Prolactin * Progesterone *TSH 1575 1,260
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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B'lore
Rates in ₹.
1031 AMINO ACID, QUANTITATIVE, CSF (2-5) Physician to specify 2-5 amino acids to be tested. 5985 4,788
1034 AML ETO t( 8;21) GENE REARRANGEMENT, PCR QUALITATIVE 602 482
1042 ANCA (ANTINEUTROPHIL CYTOPL ASMIC ANTIBODIES), IFA IN DILUTIONS 2037 1,630
1043 ANCA-MPO; ANTI MYELOPEROXIDASE ANTIBODIES, EIA. Corresponds with p-ANCA 945 756
1044 ANCA-PR3; SERIN PROTEINASE 3 ANTIBODIES, EIA. Corresponds with c-ANCA 945 756
1045 ANDROLOGY PANEL *FSH *LH *Testosterone, Total & Free 1575 1,260
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Sl. No Item Description Places
B'lore
Rates in ₹.
1049 ANEMIA PANEL 1 * Complete Blood Count * Serum Iron Studies *Ferritin *CRP 791 633
ANEMIA PANEL 2 *Complete Blood Count* Serum Iron Studies* Ferritin* Protein Total*
1050 1750 1,400
Albumin* A:G Ratio* Transferrin * CRP * Hb Electrophoresis
ANEMIA PANEL 3 *Complete Blood Count* Serum Iron Studies* Ferritin* Protein Total*
1051 2373 1,898
Albumin* A:G Ratio* Transferrin * CRP * Lead Blood
ANTENATAL PANEL 1 *Complete Blood Count * Blood Group + Rh Factor * Urine R/E* HIV -
1054 714 571
1 & 2 * HBsAg * VDRL * Glucose F / PP / R
1059 ANTI ds DNA ANTIBODY, CRITHIDIA IFA (Double Stranded, Native) 945 756
1065 ANTI NUCLEAR ANTIBODY / FACTOR (ANA / ANF),IFA (HEP-2) 910 728
1066 ANTI NUCLEAR ANTIBODY / FACTOR (ANA / ANF),IFA (HEP-2) IN DILUTIONS 1729 1,383
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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1077 ARGININE VASOPRESSIN & OSMOL ALITY, BLOOD Arginine Vasopressin is performed on 714 571
1078 ARGININE VASOPRESSIN / ANTI DIURETIC HORMONE (ADH) PL ASMA 7322 5,858
1082 ARTHRITIS PANEL BASIC *Hemogram *CRP *RA Factor *ASO *Uric Acid 945 756
1087 ASPERGILLUS ANTIBODIES PANEL, IgG & IgM, SERUM 1960 1,568
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
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Sl. No Item Description Places
B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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B'lore
Rates in ₹.
1113 BLOOD GROUP, ABO & Rh FACTOR Forward & Reverse Grouping 84 67
1120 BONE MARROW, TREPHINE BIOPSY PANEL * Histopathology * Reticulin stain * Iron stain 637 510
BREAST CANCER PANEL 3 *ER*PR*c-erb B2 (HER-2 neu). Includes Pathologist review for
1124 2240 1,792
presence of malignant cells
1128 BUCCAL SMEAR FOR BARR BODIES ( SEX CHROMATIN) 203 162
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Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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1151 CA 27.29 & CA 15.3 BREAST CANCER MARKERS PANEL 868 694
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Rates in ₹.
1174 CATECHOL AMINES, PL ASMA Includes Epinephrine, Norepinephrine and Dopamine 4501 3,601
1184 CHL AMYDIA PNEUMONIAE ANTIBODIES PANEL, IgM, IgG & IgA 4039 3,231
1185 CHL AMYDIA & CHL AMYDOPHIL A ANTIBODY PANEL 3, IgM, IgG and IgA 11214 8,971
1186 CHL AMYDIA PSITTACI ANTIBODIES PANEL, IgM, IgG and IgA 3934 3,147
1187 CHL AMYDIA TRACHOMATIS ANTIBODIES PANEL, IgM, IgG & IgA 3934 3,147
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
COAGUL ATION PROFILE 1 *CBC *BT *CT *Prothrombin studies *APTT*Thrombin TimeDoes
1212 1176 941
not include Factor VIII assay
1213 COAGUL ATION PROFILE 2 *Coagulation Profile 1 *Factor VIII assay 1806 1,445
COLL AGEN DISEASES ANTIBODY PANEL * ANA *Anti-ds-DNA * Sm *SS-A/Ro* SS-B/La* Scl-
1220 5425 4,340
70 * Jo-1 * Centromere *RNP-Sm Complex
COMPLETE BLOOD COUNT;CBC * Hemoglobin *PCV *TLC *RBC Count *MCV * MCH*MCHC
1223 *Platelet Count * Automated DLC * Absolute Differential Counts * RDW Does not include 210 168
ESR
COMPLETE BODY PANEL *SMA 32 *Hemogram *Urine, R/E * Stool,R/E *Lipid
1224 2730 2,184
Profile,Extended
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
1260 CULTURE ACTINOMYCES Does not include ANTIBIOTIC SENSITIVITY 637 510
1264 CULTURE, AEROBIC, BLOOD, RAPID Includes ANTIBIOTIC SENSITIVITY if indicated 637 510
1265 CULTURE, AEROBIC, BODY FLUIDS, RAPID Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1266 CULTURE, AEROBIC, CSF Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1267 CULTURE, AEROBIC, EAR SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1268 CULTURE, AEROBIC, EYE SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Other
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B'lore
Rates in ₹.
1271 CULTURE, AEROBIC, NASAL SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1272 CULTURE, AEROBIC, PUS Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1273 CULTURE, AEROBIC, SEMEN Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1274 CULTURE, AEROBIC, SPUTUM Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1275 CULTURE, AEROBIC, THROAT SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 322 258
1276 CULTURE, AEROBIC, VAGINAL SWAB Includes ANTIBIOTIC SENSITIVITY if indicated 1960 1,568
1285 CULTURE, GONOCOCCUS Does not include ANTIBIOTIC SENSITIVITY 399 319
1286 CULTURE, HAEMOPHILUS Does not include ANTIBIOTIC SENSITIVITY 483 386
1287 CULTURE, NOCARDIA Does not include ANTIBIOTIC SENSITIVITY 287 230
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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B'lore
Rates in ₹.
CYCLOSPORINE, CMIA
1291 1750 1,400
Measured as the metabolite Cyclosporin A
CYCLOSPORINE, LC-MS/MS
1292 693 554
Measured as the metabolite Cyclosporin A
1302 CYTOMEGALOVIRUS (CMV) ANTIBODIES PANEL, IgG & IgM 322 258
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Other
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Rates in ₹.
1309 DENGUE FEVER COMBINED PANEL *Dengue fever antibodies IgG & IgM 1176 941
1318 DIABETES PANEL 1 *Glucose F + PP *Cholesterol *Triglycerides *Hb A1c *Urea *Creatinine 679 543
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Other
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B'lore
Rates in ₹.
1331 DPYD (DEOXYPYRIDINOLINE) , URINE Does not include Pyridinoline (Pyd) 1421 1,137
1333 ECHINOCOCCUS DETECTION FOR SCOLICES IN HYDATID CYST FLUID 287 230
1343 ENTEROVIRUS ANTIBODIES PANEL *Coxsackie IgG & IgM *Echovirus IgG & IgM 4270 3,416
1346 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN (VCA), IgG 945 756
1347 EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN (VCA) , IgM 945 756
1348 EPSTEIN BARR VIRUS ANTIBODIES TO VIRAL CAPSID ANTIGEN (VCA), IgG & IgM 1806 1,445
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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B'lore
Rates in ₹.
1349 EPSTEIN-BARR VIRUS, ANTIBODY TO EARLY ANTIGEN (D), IgG 3423 2,738
1350 EPSTEIN-BARR VIRUS, ANTIBODY TO NUCLEAR ANTIGEN (EBNA), IgG 2982 2,386
EXECUTIVE OFFICERS PANEL *Glucose (F & PP) *Creatinine *Uric Acid *Cholesterol*
1358 Triglycerides * SGOT * GGTP *Bilirubin, Total, Direct & Indirect* Protein, Total *Albumin*A:G 945 756
Ratio *Alkaline Phosphatase *Amylase *CBC *Blood Group & Rh factor * Urine R/E* Stool
EXTRACTABLE NUCLEAR ANTIGENS (ENA), QUALITATIVE PROFILE. Combined
1359 2695 2,156
groupscreening test for 15 antigens
1366 FACTOR VIII STUDIES *Factor VIII Assay *APTT 833 666
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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B'lore
Rates in ₹.
1376 FEVER PANEL 1 *Hemogram *MP *Widal *Urine R/E 364 291
1377 FEVER PANEL 2 *Fever Panel 1 *SGPT *Aerobic Blood Culture 1022 818
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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B'lore
Rates in ₹.
1394 MDS Panel - Chromosomes 5q, 7q, 8q & 20q 4963 3,970
1395 CLL Panel - DLEU (13q 14), p53(17p13), ATM (11q22), GLI (12q13), 6q21 and C-myc(8q24) 5425 4,340
1404 Bladder cancer recurrence : Chromosomes 3,7, 17 and p16 gene on chromosomes 9 5425 4,340
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
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Sl. No Item Description Places
B'lore
Rates in ₹.
1441 IgA Heavy Chain Cytoplasmic (Clonal restriction/B cell maturity marker) 1190 952
1442 IgA Heavy Chain Surface (Clonal restriction/B cell maturity marker) 1190 952
1443 IgD Heavy Chain Cytoplasmic (Clonal restriction / B cell maturity marker) 1190 952
1444 IgD Heavy Chain Surface (Clonal restriction / B cell maturity marker) 1190 952
1445 IgG Heavy Chain Cytoplasmic (Clonal restriction / B cell maturity marker) 1190 952
1446 IgG Heavy Chain Surface (Clonal restriction/B cell maturity marker) 1190 952
1447 IgM Heavy Chain Cytoplasmic (Pre B cell ALL prognostic / Clonal restriction marker) 1190 952
1448 IgM Heavy Chain Surface (Clonal restriction / B cell maturity marker) 1190 952
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
1449 Kappa & Lambda Light chains (Clonal restriction / B cell maturity marker) 2345 1,876
FLUID EXAMINATION, ROUTINE, CSF/NASAL FLUID Does not include Papanicoloau stain or
1452 245 196
KOH preparation
1457 FOL ATE (FOLIC ACID), RBC Includes Serum Folate 1267 1,014
1462 FSH AND LH STIMUL ATION BY GONADOTROPHIN RELEASING HORMONE (GnRH) 560 448
FUNGUS PANEL, CSF *Aspergillus Antibodies IgG & IgM *Blastomyces Antibody (Code:
1463 RW023) 1960 1,568
*Coccidioides Antibodies (Code: RW048) *Cryptococcus Antigen *Histoplasma Antibody
1467 GAD-65 (GLUTAMIC ACID DECARBOXYL ASE- 65), IgG 3850 3,080
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
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Rates in ₹.
1473 GAL ACTOSEMIA PANEL 1 *Galactosemia Screening *Galactosemia Classical (Transferase) 1421 1,137
1474 GAL ACTOSEMIA PANEL 2 *Galactosemia Panel 1* Galactose Plasma 2345 1,876
1487 GGTP; GGT; GAMMA GT; GAMMA GLUTAMYL TRANSPEPTIDASE 203 162
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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1493 GLUCAGON 56 45
1496 GLUCOSE TOLERANCE TEST (GTT), 2.5 HOURS, 75 g GLUCOSE 560 448
1502 GLUCOSE, FASTING (F) AND POST PRANDIAL (PP- MEAL), 2 HOURS 56 45
1507 GM2 GANGLIOSIDOSIS, QUANTITATIVE, BLOOD; TAY SACHS AND SANDHOFF DISEASE 1806 1,445
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
1510 H1N1( SWINE FLU) QUALITATIVE, REAL TIME PCR 4207 3,366
1512 HAM TEST; PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH), SCREENING TEST 1099 879
1526 HELICOBACTER PYLORI ANTIBODIES PANEL IgA & IgG 574 459
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
Rates in ₹.
HEMOGRAM *Hemoglobin *PCV *TLC *RBC Count *MCV *MCH *MCHC *Platelet Count
1530 *Automated DLC * Absolute Differential counts * RDW *Automated ESR 1575 1,260
Does not include peripheral blood film
1535 HEPATITIS A DIAGNOSTIC PANEL * Anti - HAV, IgG * Anti - HAV, IgM 714 571
1537 HEPATITIS ACUTE DIAGNOSTIC PANEL * Anti - HAV IgM * HBsAg * Anti - HB Core IgM 3115 2,492
HEPATITIS ACUTE VIRUS SCREEN * Anti-HAV IgM * HBsAg * Anti-HBc IgM * Anti-HCV IgM
1538 3885 3,108
* Anti-HEV IgM
HEPATITIS ATYPICAL VIRUS CONFIRMATION *CMV IgM *HSV IgM *Varicella Zoster IgM
1540 3885 3,108
*EBV (VCA), IgM
HEPATITIS A & B VIRUS EVALUATION *Anti-HAV IgG *Anti-HAV IgM *Anti-HBc Total
1541 1099 879
*Anti-HBc IgM *Anti-HBs *HBsAg *Anti-HBe *HBeAg
1545 HEPATITIS B IMMUNITY SCREEN *Anti-HBc TOTAL *Anti-HBs *HBsAg 560 448
1547 HEPATITIS B PROFILE *HBsAg *Anti-HBs *HBeAg *Anti-HBe *Anti-HBc IgM *Anti-HBc Total 399 319
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
1549 HEPATITIS B SURFACE ANTIGEN; HBsAg; AUSTRALIA ANTIGEN Screening only 385 308
1550 HEPATITIS B SURFACE ANTIGEN (HBsAg) CONFIRMATION Neutralization procedure 4774 3,819
1551 HEPATITIS B VIRAL DNA (HBV DNA) QUANTITATIVE, REAL TIME PCR 2576 2,061
1552 HEPATITIS B VIRUS, PCR, QUALITATIVE; HBV DNA PCR, QUALITATIVE 483 386
1559 * HCV GENOTYPE Detects HCV Genotypes 1,2, 3 & 4 9583 7,666
1560 HEPATITIS C VIRAL, PCR, QUALITATIVE; HCV RNA, PCR, QUALITATIVE 2576 2,061
1561 HEPATITIS C VIRAL RNA (HCV RNA) QUANTITATIVE, REAL TIME PCR 5425 4,340
1562 HEPATITIS C VIRAL RNA, GENOTYPE Detects HCV Genotypes 1,2, 3 & 4 4193 3,354
1567 HERPES SIMPLEX 1+2 VIRUS (HSV), IgG, SERUM 364 291
1568 HERPES SIMPLEX 1+2 VIRUS (HSV), IgM, SERUM 364 291
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
1569 HERPES SIMPLEX 1+2 VIRUS ( HSV), ANTIBODIES PANEL, IgG & IgM, SERUM 637 510
1570 HERPES SIMPLEX VIRUS (HSV) TYPE 1, PCR, QUALITATIVE 2345 1,876
1571 HERPES SIMPLEX VIRUS (HSV) TYPE 2, PCR, QUALITATIVE 2345 1,876
1572 HERPES SIMPLEX VIRUS (HSV) TYPE 1 & 2, PCR, QUALITATIVE 3885 3,108
1573 HERPES VIRUS 6 (HHV-6) ANTIBODY PANEL, IgG & IgM 3703 2,962
1576 HIRSUTISM PANEL 1 *Androstenedione *DHEA Sulphate *Free Testosterone 2730 2,184
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
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B'lore
Rates in ₹.
1590 HISTOPATHOLOGY, DIF, CONJUNCTIVAL BIOPSY PANEL *C3 *C1q *IgA * IgG *IgM 1176 941
1601 HISTOPATHOLOGY, DIF, SKIN BIOPSY PANEL, * C3 *C1q *IgA *IgG * IgM 287 230
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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B'lore
Rates in ₹.
1627 HIV 1 & 2 ANTIBODIES SCREENING TEST Includes p 24 Antigen 294 235
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Other
Hyd. &
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Rates in ₹.
HIV 1 RNA QUANTITATIVE, REAL TIME PCR WITH CD3, CD4/ CD8 (IMMUNE DEFICIENCY
1631 4270 3,416
PANEL 2) MARKERS
HIV 1 RNA QUANTITATIVE, REAL TIME PCR WITH CD3 / CD4 (IMMUNE DEFICIENCY PANEL
1632 3731 2,985
4) MARKERS
1635 HL A - T & B CELL LYMPHOCYTE, CROSS MATCH (1 Donor & 1 Recipent ) 2100 1,680
1648 HL A DNA TYPING FOR BONE MARROW TRANSPL ANT, PCR *A, B, C, DR & DQ Typing 13300 10,640
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
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Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
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Other
Hyd. &
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Rates in ₹.
1649 HL A DNA TYPING FOR KIDNEY TRANSPL ANT, PCR *A, B & DR Typing 9100 7,280
1655 HPV (HUMAN PAPILLOMA VIRUS) HIGH RISK DETECTION, REAL TIME PCR 1050 840
1665 HYPERCALCEMIA PANEL 2 *PTH (Intact) *Calcium, Serum *1, 25 Dihydroxy Vitamin D 3115 2,492
1667 HYPERCALCEMIA PANEL 1 *PTH (Intact) *Calcium, Serum * Calcium 24-hour Urine 1099 879
Schedule of rates at registered Nursing Homes, Hospitals/CGHS recognised Private Hospitals and Nursing
Homes/Diagnostic centres, Other than Company approved hospitals for ICU/CCU/NNU charges etc., bed side procedures,
Day care procedures, diagnostic tests, Pathalogical tests at Metro, Bangalore, Hyderabad & Other places
Metros,
Other
Hyd. &
Sl. No Item Description Places
B'lore
Rates in ₹.
1677 IMD PANEL, QUANTITATIVE, BLOOD *Amino Acids *Organic Acids *Fatty Acids 2345 1,876
IMMUNE DEFICIENCY PANEL 1 * CD3 * CD4 * CD8 * CD19 * CD16+/CD56. Includes% and
1679 3696 2,957
Absolute Counts
IMMUNE DEFICIENCY PANEL 2; CD4/CD8 COUNTS * CD3 * CD4 * CD8. Includes %and
1680 1421 1,137
Absolute Counts
1681 IMMUNE DEFICIENCY PANEL 3; ABSOLUTE CD 3 COUNT. Includes % and Absolute Counts 1176 941
1682 IMMUNE DEFICIENCY PANEL 4; CD 4 COUNTS *CD3 * CD4. Includes % and AbsoluteCounts 959 767
1685 IMMUNE DEFICIENCY PANEL 5 *CD3 * CD19. Includes % and Absolute Counts 1575 1,260
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1772 INSULIN, FASTING (F) & POST PRANDIAL (PP) PANEL 910 728
1778 INV 16 ( p13q22) / t( 16;16)(p13;q22) GENE REARRANGEMENT, PCR QUALITATIVE 2450 1,960
IRON STUDIES ( SERUM IRON, TOTAL IRON BINDING CAPACITY & TRANSFERRIN
1779 245 196
SATURATION)
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LEUKEMIA MONITORING PANEL: HAIRY CELL *CD5 *CD11c* CD19 *CD20 *CD25* CD 45 *
1824 5425 4,340
CD 103 *Kappa/ Lambda* FMC-7 *Heavy chains if required
1827 LIPASE RW122 LIPID - ASSOCIATED SIALIC ACID; L ASA 364 291
1828 LIPID PROFILE WITH LDL SUBFRACTIONS *Lipid Profile, Extended *LDL Subfractions 3731 2,985
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LIPID PROFILE, BASIC *Cholesterol *Triglycerides *HDL, Direct *LDL, Direct *VLDL,
1829 574 459
Calculated
1835 LIVER KIDNEY MICROSOMAL (LKM) ANTIBODY IN DILUTIONS, IFA 1806 1,445
1836 LIVER PANEL 1; LFT *SGOT *SGPT *GGTP *Bilirubin *Protein, Total *Alkaline Phosphatase 455 364
1837 LIVER PANEL 2 *Liver Panel 1 *Prothrombin Time Studies *HBsAg 791 633
1839 LUPUS ANTICOAGUL ANT PANEL; L AC PANEL *APTT *PTT - L A *dRVVT 1575 1,260
LUPUS ERYTHEMATOSUS PANEL; SLE PANEL *ANA *ds DNA *ss DNA *Sm *RNP-
1840 4809 3,847
SmComplex *CRP *Histone Antibody
1841 LYME DISEASE (BORRELIA BURGDORFERI) ANTIBODIES, IgG & IgM 2037 1,630
1842 LYME DISEASE (BORRELIA BURGDORFERI), IgG & IgM, WESTERN BLOT 7182 5,746
1843 LYME DISEASE (BORRELIA BURGDORFERI), IgG, WESTERN BLOT 3766 3,013
LYMPHOMA DIAGNOSTIC PANEL *CD2 *CD 3 *CD4 *CD5 *CD8 *CD10* CD11* CD19*CD20 *
1844 10045 8,036
CD22 *CD23 *CD33 * CD45* CD79a* Surface IgM* Kappa and Lambda LightChains * FMC 7
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1858 MATERNAL SERUM SCREEN 2; DUAL TEST *PAPP-A * Free BETA HCG *Risk Evaluation 1267 1,014
MATERNAL SERUM SCREEN 3; TRIPLE TEST *AFP *BETA HCG *Free Estriol *Risk
1859 1680 1,344
Evaluation
MATERNAL SERUM SCREEN 4; QUADRUPLE TEST *AFP *BETA HCG *Free Estriol * Inhibin
1860 2002 1,602
A*Risk Evaluation
1865 MEASLES (RUBEOL A) ANTIBODIES PANEL, IgG & IgM 1806 1,445
MENINGITIS (ASEPTIC) PANEL, COMPREHENSIVE *Coxsackie IgG & IgM *Echovirus IgG&
1868 6195 4,956
IgM *Herpes Simplex 1 + 2 IgG & IgM *Mumps IgG & IgM
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MENINGITIS (ASEPTIC) PANEL, IgM *Coxsackie IgM *Echovirus IgM *Herpes Simplex1 + 2
1869 3115 2,492
IgM *Mumps IgM
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1894 MULTIPLE SCLEROSIS PANEL 1 *IgG Synthesis Index & Rate *Oligoclonal Bands, CSF 3500 2,800
1895 MUMPS VIRUS ANTIBODIES PANEL, IgG & IgM 1806 1,445
1901 MYCOBACTERIUM COMBO TEST PANEL, IgG, IgA & IgM, SERUM 574 459
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1910 MYOCARDITIS VIRAL PANEL, IgG *Coxsackie IgG *Echovirus IgG 2345 1,876
1911 MYOCARDITIS VIRAL PANEL, IgM *Coxsackie IgM *Echovirus IgM 2345 1,876
NEUROBL ASTOMA PROFILE, 24-HOUR URINE *Vanil Mandelic Acid (VMA) *Homovanilic
1916 1883 1,506
Acid (HVA)
1926 NONESTERIFIED FATTY ACIDS (NEFA); FREE FATTY ACIDS 3941 3,153
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1929 OBESITY PANEL *Leptin *Sugar F *TSH *Lipid Profile, Basic 2849 2,279
1930 OBSTETRIC FLOW PANEL * Natural Killer (NK) cells * CD 19 3115 2,492
1932 ORGANIC ACIDS, QUANTITATIVE, RANDOM URINE, FULL PANEL 2100 1,680
1941 P1NP (PROCOLL AGEN TYPE -1 AMINO TERMINAL PROPEPTIDE), TOTAL 924 739
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1950 PARTIAL THROMBOPL ASTIN TIME - LUPUS ANTICOAGUL ANT SPECIFIC; PTT - L A 399 319
1951 PARTIAL THROMBOPL ASTIN TIME, ACTIVATED; PTT; APTT 287 230
1955 PAS ( PERIODIC ACID SCHIFF) STAIN, BLOOD / BONE MARROW 287 230
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PRENATAL DIAGNOSIS PANEL 1, CHORIONIC VILLUS BIOPSY This Panel tests the
1995 followingdiseases: *Metachromatic Leucodystrophy *GM 1 Gangliosidosis *GM 2 3500 2,800
Gangliosidosis*Gaucher Disease *Niemann Pick Disease *Fabry Disease *Pompe Disease
2001 PRENATAL DIAGNOSIS PANEL 2,AMNIOTIC FLUID *Mucopolysaccharidoses (MPS) 3500 2,800
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2013 PROTEIN ELECTROPHORESIS, 24-HOUR URINE. Does not include IFE 2345 1,876
2015 PROTEIN S, FUNCTIONAL PROTEIN S, TOTAL ANTIGEN PROTEIN, TOTAL, 24-HOUR URINE 1960 1,568
2023 PSA ( PROSTATE - SPECIFIC ANTIGEN), FREE Prostatic Cancer Marker. 483 386
2024 PSA ( PROSTATE - SPECIFIC ANTIGEN), TOTAL Prostatic Cancer Marker. 455 364
2025 PSA PROFILE *PSA, Total *PSA, Free *Free/Total PercentProstatic Cancer Markers 868 694
2028 PTH PANEL* Intact PTH * Calcium, Serum * PTH-related Protein (PTH-rP) (Code RW160) 7000 5,600
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2030 PURKINJE CELL (Yo) ANTIBODY, WITH REFLEX TO TITER, CSF 5110 4,088
2031 PURKINJE CELL (Yo) ANTIBODY, WITH REFLEX TO TITER, SERUM 4900 3,920
2032 PYRIDINIUM COLL AGEN CROSS-LINKS (PYD), 2-HOUR URINE 5579 4,463
2033 PYRIDINIUM COLL AGEN CROSS- LINKS (PYD), 24-HOUR URINE 5579 4,463
2035 Q FEVER (COXIELL A BURNETTI) ANTIBODIES, IgG & IgM 3570 2,856
2042 RHEUMATOID ARTHRITIS PANEL *ANA *Rheumatoid Factor *CRP 791 633
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RICKETTSIAL DISEASE PANEL *Q Fever IgG & IgM *Rocky Mountain Spotted Fever IgG&
2049 10360 8,288
IgM *Typhus Fever, IgG & IgM
ROCKY MOUNTAIN SPOTTED FEVER ANTIBODIES *Rickettsia rickettsii IgG & IgM
2051 3773 3,018
(BothScreen and Titer)
2052 RUBELL A (GERMAN MEASLES) ANTIBODIES PANEL, IgG & IgM 560 448
2056 SACCHAROMYCES CEREVISIAE ANTIBODY, IgA (CROHN'S DISEASE ); ASCA IgA 4445 3,556
2057 SACCHAROMYCES CEREVISIAE ANTI BODY, IgG (CROHN'S DISEASE ); ASCA IgG 4445 3,556
2068 SGOT 98 78
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2069 SGPT 98 78
2086 SPHINGOLIPIDOSIS PANEL 2 *Gaucher Disease *Niemann Pick Disease 2345 1,876
2088 SPUTUM EXAMINATION, AFB Includes Auramine and Ziehl Neelsen stain 168 134
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STD PANEL *VDRL *HIV 1 & 2, Antibodies Screening Test *HSV 1 & 2, IgG & IgM*Chlamydia
2094 3150 2,520
Bivalent Antibody *TPHA *FTA-ABS
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2111 T4, FREE & T3, FREE; FT4 & FT3 448 358
2112 T4, FREE & TSH; FT4 & TSH 448 358
2122 TESTOSTERONE, FREE & SEX HORMONE BINDING GLOBULIN 2345 1,876
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2136 THYROID PROFILE, FREE *Free T3 *Free T4 *TSH, Ultrasensitive 574 459
2138 THYROID, COMPREHENSIVE PANEL *Throid profile, Free *Antithyroid antibodies 1883 1,506
2144 TORCH PANEL, IgG & IgM *Toxoplasma *Rubella *Cytomegalovirus *Herpes Simplex 1+2 1540 1,232
2145 TORCH PANEL, IgG *Toxoplasma *Rubella *Cytomegalovirus *Herpes Simplex 1+2 791 633
2146 TORCH PANEL, IgM *Toxoplasma * Rubella * Cytomegalovirus *Herpes Simplex 1+2 791 633
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2149 TOXOPL ASMA ANTIBODIES PANEL, IgG & IgM 560 448
2166 TSI & TBII; THYROID STIMUL ATING IMMUNOGLOBULIN & THYROTROPIN - BINDING 16219 12,975
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2170 UREA 70 56
VARICELL A ZOSTER VIRUS (VZV) ANTIBODIES PANEL, IgG & IgM (Chicken Pox; Herpes
2182 1344 1,075
zoster; Shingles)
2183 VARICELL A ZOSTER VIRUS (VZV) ANTIBODY, IgG (Chicken Pox; Herpes zoster; Shingles) 714 571
2184 VARICELL A ZOSTER VIRUS (VZV) ANTIBODY, IgM (Chicken Pox; Herpes zoster; Shingles) 714 571
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2190 VITAMIN B12 BINDING CAPACITY, UNSATURATED; TRANSCOBAL AMIN 5593 4,474
2203 WEIL FELIX TEST *Proteus Antigen OX19, OX 2 & OX K 364 291
2206 YEAST (CANDIDA SPECIES) IDENTIFICATION AND SUSCEPTIBILITY TESTING 714 571
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RPR
2,216 210 168
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