Package Name | Category | A1 | A2 | A3 | A4 | A5 | A6 | S1 | S2 |
---|---|---|---|---|---|---|---|---|---|
CM0529 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE | RHEUMATOLOGY | 16000 | 14400 | 12960 | 11664 | 10498 | 9448 | 16000 | 11664 |
CM0529 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL | RHEUMATOLOGY | 26000 | 23400 | 21060 | 18954 | 17059 | 15353 | 26000 | 18954 |
CM0530 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE THERAPY | RHEUMATOLOGY | 21000 | 18900 | 17010 | 15309 | 13778 | 12400 | 21000 | 15309 |
CM0531 : SLE WITH COMPLICATIONS | RHEUMATOLOGY | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0532 : SCLERODERMA RENAL CRISIS | RHEUMATOLOGY | 18000 | 16200 | 14580 | 13122 | 11810 | 10629 | 18000 | 13122 |
CM0533 : PRIMARY SJOGRENS SYNDROME- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE,PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION | RHEUMATOLOGY | 20000 | 18000 | 16200 | 14580 | 13122 | 11810 | 20000 | 14580 |
CM0534 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR HYDROXYCHLOROQUINE/PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN | RHEUMATOLOGY | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0535 : INTERVENTIONS LIMITED TO ACUTE RHEUMATIC FEVER AND RELATED CONDITIONS / ACUTE EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS | RHEUMATOLOGY | 15000 | 13500 | 12150 | 10935 | 9842 | 8857 | 15000 | 10935 |
CM0536 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY) | RHEUMATOLOGY | 15000 | 13500 | 12150 | 10935 | 9842 | 8857 | 15000 | 10935 |
CM0537 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME | RHEUMATOLOGY | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0630 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY | RHEUMATOLOGY | 16000 | 14400 | 12960 | 11664 | 10498 | 9448 | 16000 | 11664 |
CM0630 B : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION ) | RHEUMATOLOGY | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0631A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) | RHEUMATOLOGY | 12000 | 10800 | 9720 | 8748 | 7873 | 7086 | 12000 | 8748 |
CM0631B-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) | RHEUMATOLOGY | 200000 | 180000 | 162000 | 145800 | 131220 | 118098 | 200000 | 145800 |
CM0964-II : ACUTE DISSEMINATED ENCEPHALOMYELITIS | RHEUMATOLOGY | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0965 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE) | RHEUMATOLOGY | 15000 | 13500 | 12150 | 10935 | 9842 | 8857 | 15000 | 10935 |
CM0630 B -I-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN | RHEUMATOLOGY | 7000 | 6300 | 5670 | 5103 | 4593 | 4134 | 7000 | 5103 |
CM0630 B -I-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION | RHEUMATOLOGY | 5000 | 4500 | 4050 | 3645 | 3281 | 2953 | 5000 | 3645 |
CM0631A-I -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE | RHEUMATOLOGY | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0631A-I -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY | RHEUMATOLOGY | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0631A-I -c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) (including Diagnostic evaluation - 1st time) | RHEUMATOLOGY | 12000 | 10800 | 9720 | 8748 | 7874 | 7086 | 12000 | 8748 |
CM0630 A-I-a-i : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY | RHEUMATOLOGY | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 A-I-b-i :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE | RHEUMATOLOGY | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 A-I-i : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY (including Diagnostic evaluation - 1st time) | RHEUMATOLOGY | 16000 | 14400 | 12960 | 11664 | 10498 | 9448 | 16000 | 11664 |
CM0630 B -I-a : MYCOPHENOLATE MOFETIL INDUCTION | RHEUMATOLOGY | 6000 | 5400 | 4860 | 4374 | 3937 | 3543 | 6000 | 4374 |
CM0630 B -I-b : MYCOPHENOLATE MOFETIL MAINTENANCE | RHEUMATOLOGY | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 B -I-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINA | RHEUMATOLOGY | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |