Package Rates

BARIATRIC SURGERY
எடை குறைப்பு அறுவை சிகிச்சை
CARDIOLOGY
இருதய நோய் சிகிச்சை
CARDIOTHORACIC SURGERIES
இருதய நோய் அறுவை சிகிச்சை
DERMATOLOGY
தோல் நோய் சிகிச்சை
E N T
காது மூக்கு தொண்டை சிகிச்சை
Emergency Room Packages (Care requiring less than 12 hrs stay)
#N/A
ENDOCRINE SURGERY
நாளமில்லா சுரப்பி அறுவை சிகிச்சை
ENDOCRINOLOGY
உட்சுரப்பி சிகிச்சை
FOLLOW-UP
பின் தொடர் செயல்முறை
GASTROENTEROLOGY
இரைப்பை குடல் சிகிச்சை
GENERAL MEDICINE
பொது மருத்துவ சிகிச்சை
GENERAL SURGERY
பொது அறுவை சிகிச்சை
GENITOURINARY SURGERY
இருபாலார் சிறுநீரக நோய் சிகிச்சை
GYNAECOLOGY OBSTETRIC SURGERY
இரத்தவகை சிகிச்சை
HEMATOLOGY
இரத்தவகை சிகிச்சை
HEPATOLOGY
கல்லீரல் நோய் சிகிச்சை
INFECTIOUS DISEASES - GENERAL MEDICINE
தொற்று நோய் சிகிச்சை
INTERVENTIONAL CARDIOLOGY
இடையீடு இருதயவியல்
INTERVENTIONAL RADIOLOGY
இடையீடு கதிர்வீச்சு இருதய சிகிச்சை
MEDICAL GASTROENTROLOGY
இரைப்பை குடல் சிகிச்சை
MEDICAL ONCOLOGY
புற்றுநோய் மருத்துவ சிகிச்சை
NEONATOLOGY
பச்சிளம் குழந்தைகள் சிகிச்சை
NEPHROLOGY
சிறுநீரக சிகிச்சை
NEUROLOGY
நரம்பியல் சிகிச்சை
NEUROSURGERY
நரம்பியல் அறுவை சிகிச்சை
OFMS
வாய் வழி மற்றும் தாடை அறுவை சிகிச்சை
OPHTHALMOLOGY SURGERIES
கண் நோய் அறுவை சிகிச்சை
ORTHOPEDIC TRAUMA
#N/A
ORTHOPEDICS
எலும்பியல் காயம்
PAEDIATRIC INTENSIVE CARE
இளம் குழந்தைகள் தீவிர சிகிச்சை
PAEDIATRIC SURGERIES
குழந்தை அறுவை சிகிச்சை
PAEDIATRICS
குழந்தைகள் சிகிச்சை
PLASTIC SURGERY
ஒட்டுறுப்பு அறுவை சிகிச்சை
PMR
PSYCHIATRY
மனநல மருத்துவ சிகிச்சை
PULMONLOGY
நுரையீரல் சிகிச்சை
RADIATION ONCOLOGY
கதிர்வீச்சு புற்றுநோய் சிகிச்சை
REHABILITATION
மறுவாழ்வு
RHEUMATOLOGY
முடக்கு வாதம் சிகிச்சை
SPINE
தண்டுவடம் சிகிச்சை
SURGICAL GASTRO ENTEROLOGY
இரைப்பை குடல் அறுவை சிகிச்சை
SURGICAL ONCOLOGY
புற்றுநோய் அறுவை சிகிச்சை
THORACIC MEDICINE
நெஞ்சக நோய் சிகிச்சை
VASCULAR SURGERIES
இரத்தநாள அறுவை சிகிச்சை

SNOPackage NameCategoryA1A2A3A4 A5A6S1S2
1329 CMU0579 : SLEEVE GASTRECTOMY FOR MORBID OBESITY BARIATRIC SURGERY 168000 168000 168000 168000 168000 168000 168000 168000
1330 CMU0580 : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY BARIATRIC SURGERY 190000 190000 190000 190000 190000 190000 190000 190000
2104 CMU0847 -II : CYANOTIC CONGENTIAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED CARDIOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
2106 CMU0848 -II : CYANOTIC CONGENTIAL / HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED CARDIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1219 CMU0496 : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM) CARDIOLOGY 21000 21000 18900 18900 18900 18900 21000 18900
1220 CMU0497 : ACUTE MI (CONSERVATIVE MANAGEMENT WITH ANGIOGRAM) CARDIOLOGY 31500 31500 28350 28350 28350 28350 31500 28350
1221 CMU0498 : ACUTE MI WITH CARDIOGENIC SHOCK CARDIOLOGY 37800 37800 34000 34000 34000 34000 37800 34000
1222 CMU0499 : ACUTE MI REQUIRING IABP PUMP CARDIOLOGY 56700 56700 51050 51050 51050 51050 56700 51050
1223 CMU0500 : CONGESTIVE CARDIAC FAILURE CARDIOLOGY 50000 50000 45000 45000 45000 45000 50000 45000
1224 CMU0501 : INFECTIVE ENDOCARDITIS CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1225 CMU0502 : PULMONARY EMBOLISM CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
1226 CMU0503 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT CARDIOLOGY 100000 100000 90000 90000 90000 90000 100000 90000
1227 CMU0503 A : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT (WITHOUT 3D MAPPING) CARDIOLOGY 57800 57800 52000 52000 52000 52000 57800 52000
1228 CMU0504 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - CONSERVATIVE MANAGEMENT CARDIOLOGY 15000 15000 13500 13500 13500 13500 15000 13500
1229 CMU0505 : PERICARDIAL EFFUSION/TAMPONADE CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
1230 CMU0506 : CARDIAC CATHETERISATION AND RIGHT & LEFT HEART STUDY CARDIOLOGY 15800 15800 14200 14200 14200 14200 15800 14200
1231 CMU0507 A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 24000 24000 21600 21600 21600 21600 24000 21600
1232 CMU0507 -A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 24000 24000 21600 21600 21600 21600 24000 21600
1233 CMU0507 B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 49000 49000 44100 44100 44100 44100 49000 44100
1234 CMU0507 -B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 49000 49000 44100 44100 44100 44100 49000 44100
1235 CMU0508 : TENECTEPLASE/TPA ADDITIONAL FOR MI MANAGEMENT CARDIOLOGY 35000 35000 31500 31500 31500 31500 35000 31500
1539 CMU0668 -III : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER CARDIOTHORACIC SURGERIES 78500 70650 63600 57250 51500 46350 78500 57250
1552 CMU0672 -III : EMBOLIZATION OF PULMONARY AV MALFORMATION CARDIOTHORACIC SURGERIES 100000 90000 81000 72900 65600 59050 100000 72900
17 CMU0016 : CORONARY BYPASS SURGERY CARDIOTHORACIC SURGERIES 116700 116700 105050 105050 105050 105050 116700 105050
18 CMU0017 : CORONARY BYPASS SURGERY OFF PUMP CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
19 CMU0018 : CORONARY BYPASS SURGERY ON PUMP WITH IABP CARDIOTHORACIC SURGERIES 134000 134000 120600 120600 120600 120600 134000 120600
20 CMU0019 : CORONARY BYPASS SURGERY OFF PUMP WITH IABP CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
21 CMU0020 : CORONARY BYPASS SURGERY-POST ANGIOPLASTY CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
22 CMU0021 : CABG WITH ANEURYSMAL REPAIR CARDIOTHORACIC SURGERIES 130200 130200 117200 117200 117200 117200 130200 117200
23 CMU0022 : CABG WITH VENTRICULAR RUPTURE REPAIR CARDIOTHORACIC SURGERIES 150000 150000 135000 135000 135000 135000 150000 135000
24 CMU0023 : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 152300 152300 137050 137050 137050 137050 152300 137050
25 CMU0024 : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 183800 183800 165400 165400 165400 165400 183800 165400
26 CMU0025 : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 136500 136500 122850 122850 122850 122850 136500 122850
27 CMU0026 : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 168000 168000 151200 151200 151200 151200 168000 151200
28 CMU0027 : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 159600 159600 143650 143650 143650 143650 159600 143650
2332 CMU0959 -I : TRACHEAL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
29 CMU0028 : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
30 CMU0029 : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
2334 CMU0960 -I : TRACHEAL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 34500 31050 27950 25150 22650 20350 34500 25150
31 CMU0030 : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
32 CMU0031 : COARCTATION-AORTA REPAIR WITH GRAFT CARDIOTHORACIC SURGERIES 64000 64000 57600 57600 57600 57600 64000 57600
33 CMU0032 : COARCTATION-AORTA REPAIR WITHOUT GRAFT CARDIOTHORACIC SURGERIES 39900 39900 35900 35900 35900 35900 39900 35900
34 CMU0033 : INTRATHORACIC ANEURYSM - NOT REQUIRING BYPASS CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
35 CMU0034 : INTRATHORACIC ANEURYSM - REQUIRING BYPASS (WITH GRAFT) CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
36 CMU0035 : DISSECTING ANEURYSMS CARDIOTHORACIC SURGERIES 83000 83000 74700 74700 74700 74700 83000 74700
37 CMU0036 : AORTO-AORTO BYPASS WITHOUT GRAFT CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
38 CMU0037 : AORTO-AORTO BYPASS WITH GRAFT CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
39 CMU0038 : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS CARDIOTHORACIC SURGERIES 158000 158000 142200 142200 142200 142200 158000 142200
40 CMU0039 : ARTERIAL SWITCH CARDIOTHORACIC SURGERIES 153300 153300 137950 137950 137950 137950 153300 137950
41 CMU0040 : SENNINGS PROCEDURE CARDIOTHORACIC SURGERIES 129200 129200 116300 116300 116300 116300 129200 116300
42 CMU0041 : SURGERY FOR INTRACARDIAC TUMORS CARDIOTHORACIC SURGERIES 96600 96600 86950 86950 86950 86950 96600 86950
43 CMU0042 : RUPTURED SINUS OF VALSALVA CORRECTION CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
44 CMU0043 : CORRECTION OF TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
45 CMU0044 : SYSTEMIC PULMONARY SHUNTS OFF PUMP INCLUDING GLEN / BT SHUNT CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
46 CMU0045 : SYSTEMIC PULMONARY SHUNTS ON BYPASS INCLUDING GLEN / BT SHUNT CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
47 CMU0046 : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE CARDIOTHORACIC SURGERIES 108200 108200 97400 97400 97400 97400 108200 97400
2607 CMU0989 A : PLEURAL BIOPSY OPEN CARDIOTHORACIC SURGERIES 23800 21400 19300 17350 15600 14050 23800 17350
48 CMU0047 : INTRA CARDIAC REPAIR OF ASD CARDIOTHORACIC SURGERIES 86100 86100 77500 77500 77500 77500 86100 77500
2608 CMU0989 B : PLEURAL BIOPSY VATS CARDIOTHORACIC SURGERIES 31300 28150 25350 22800 20550 18500 31300 22800
49 CMU0048 : INTRA CARDIAC REPAIR OF VSD CARDIOTHORACIC SURGERIES 86100 86100 77500 77500 77500 77500 86100 77500
2353 CMU0970 -I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS CARDIOTHORACIC SURGERIES 31300 28150 25350 22800 20550 18500 31300 22800
50 CMU0049 : SURGICAL CLOSURE OF PDA CARDIOTHORACIC SURGERIES 39900 39900 35900 35900 35900 35900 39900 35900
51 CMU0050 : COMPLEX CONGENITAL DEFECT CORRECTION WITH SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 122000 122000 109800 109800 109800 109800 122000 109800
2099 CMU0844 : CERVICAL RIB EXCISION CARDIOTHORACIC SURGERIES 30300 27250 24550 22100 19900 17900 30300 22100
2355 CMU0971 -I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING CARDIOTHORACIC SURGERIES 36500 32850 29550 26600 23950 21550 36500 26600
52 CMU0051 : COMPLEX CONGENITAL DEFECT CORRECTION WITHOUT SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
53 CMU0052 : VALVE REPAIR WITH PROSTHETIC RING CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
54 CMU0053 : VALVE REPAIR WITHOUT PROSTHETIC RING CARDIOTHORACIC SURGERIES 101900 101900 91700 91700 91700 91700 101900 91700
55 CMU0054 : OPEN PULMONARY VALVOTOMY CARDIOTHORACIC SURGERIES 84000 84000 75600 75600 75600 75600 84000 75600
56 CMU0055 : CLOSED MITRAL VALVOTOMY CARDIOTHORACIC SURGERIES 52500 52500 47250 47250 47250 47250 52500 47250
57 CMU0056 -A : PERICARDIECTOMY WITH BYPASS CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
58 CMU0056 -B : PERICARDIECTOMY WITHOUT BYPASS CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
59 CMU0056 -C : PERICARDIAL PATCH CLOSURE CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
60 CMU0057 -A : PERICARDIOCENTESIS CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
61 CMU0057 -B : PERICARDIOSTOMY CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
62 CMU0058 : MITRAL VALVOTOMY (OPEN) CARDIOTHORACIC SURGERIES 73300 73300 65950 65950 65950 65950 73300 65950
63 CMU0059 : CORONARY ARTERY FISTULA REPAIR CARDIOTHORACIC SURGERIES 77000 77000 69300 69300 69300 69300 77000 69300
64 CMU0060 : THORACIC DUCT LIGATION FOR CHYLOTHORAX CARDIOTHORACIC SURGERIES 57000 57000 51300 51300 51300 51300 57000 51300
65 CMU0061 : HEART TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
66 CMU0061 A : HEART TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
67 CMU0062 : HEART & LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
68 CMU0062 A : HEART & LUNG TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
69 CMU0063 : LUNG CYST CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
70 CMU0064 : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
71 CMU0064 A : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS - SINGLE CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
72 CMU0064 B : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS - DOUBLE CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
73 CMU0064 C : LUNG TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
74 CMU0065 : CARDIAC INJURIES SURGERY WITHOUT CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 54000 54000 48600 48600 48600 48600 54000 48600
75 CMU0066 : CARDIAC INJURIES SURGERY WITH CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 84000 84000 75600 75600 75600 75600 84000 75600
76 CMU0067 : TRACHEAL RESECTION WITH MONTGOMERY TUBE CARDIOTHORACIC SURGERIES 65000 65000 58500 58500 58500 58500 65000 58500
77 CMU0068 : MINIMAL ACCESS SURGERY- ASD CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
78 CMU0069 : MINIMAL ACCESS SURGERY- VSD CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
79 CMU0070 : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT (ADD ON) CARDIOTHORACIC SURGERIES 34700 34700 31250 31250 31250 31250 34700 31250
80 CMU0071 : MINIMAL ACCESS SURGERY- CABG (ADD ON) CARDIOTHORACIC SURGERIES 42000 42000 37800 37800 37800 37800 42000 37800
81 CMU0072 : AORTIC LESIONS - INTERPOSITION GRAFT ANY CAUSE CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
82 CMU0073 : ENDARTECTOMY -PULMONARY-ANY CAUSE CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
83 CMU0074 : IABP (AS AN ADD ON PACKAGE ONLY) CARDIOTHORACIC SURGERIES 35000 35000 31500 31500 31500 31500 35000 31500
84 CMU0075 : PULMONARY ARTERY BANDING CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
85 CMU0076 : PULMONARY ARTERY BANDING ON CPB WITH SEPTECTOMY CARDIOTHORACIC SURGERIES 70000 70000 63000 63000 63000 63000 70000 63000
86 CMU0077 : RIGHT VENTRICLE TO PULMORY ARTERY CONDUIT (BOVINE JUGULAR VEIN CONDUIT) CARDIOTHORACIC SURGERIES 80000 80000 72000 72000 72000 72000 80000 72000
87 CMU0078 : RING ANNULOPLASTY AS AN ADDON CARDIOTHORACIC SURGERIES 30000 30000 27000 27000 27000 27000 30000 27000
88 CMU0079 : VALVE REPAIR WITHOUT RING AS AN ADDON CARDIOTHORACIC SURGERIES 20000 20000 18000 18000 18000 18000 20000 18000
89 CMU0080 : VASCULAR RINGS / SLING - DIVISION CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
2151 CMU0871 A-I : CHEST WALL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
2153 CMU0871 B-I : CHEST WALL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
3178 CM1302 : Atrioventricular septal defect/ Atrioventricular (AV) Canal Defect CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
3179 CM1303 : Aortopulmonary Window (AP Window) CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
3180 CM1304 : Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
3181 CM1305 : Double Switch Operation CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
1646 CMU0714 : ANEURYSM RESECTION & GRAFTING CARDIOTHORACIC SURGERIES 128000 128000 115200 115200 115200 115200 128000 115200
3182 CM1306 : Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure CARDIOTHORACIC SURGERIES 145000 145000 130500 130500 130500 130500 145000 130500
3183 CM1307 : Aortic Arch Replacement CARDIOTHORACIC SURGERIES 160000 160000 144000 144000 144000 144000 160000 144000
1904 CMU0791 -II : LARYNGO PHARYNGO OESOPHAGECTOMY CARDIOTHORACIC SURGERIES 77700 69950 62950 56650 51000 45900 77700 56650
3184 CM1308 : Central Shunt CARDIOTHORACIC SURGERIES 50000 50000 45000 45000 45000 45000 50000 45000
3185 CM1309 : Pulmonary AV Fistula surgery CARDIOTHORACIC SURGERIES 45000 45000 40500 40500 40500 40500 45000 40500
3186 CM1310 : Thyomectomy CARDIOTHORACIC SURGERIES 35000 35000 31500 31500 31500 31500 35000 31500
3187 CM1311 : Encysted Empyema/Pleural Effusion - Tubercular CARDIOTHORACIC SURGERIES 10000 10000 9000 9000 9000 9000 10000 9000
3188 CM1312 : Pulmonary Sequestration Resection CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
1397 CMU0637 : THOROCOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 41300 37150 33450 30100 27100 24400 41300 30100
1398 CMU0638 : MYOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 36300 32650 29400 26450 23800 21450 36300 26450
1400 CMU0639 -II : TRANSPLEURAL BPF CLOSURE CARDIOTHORACIC SURGERIES 43000 38700 34850 31350 28200 25400 43000 31350
1945 CMU0801 : PNEUMONECTOMY- ANY CAUSE CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
1946 CMU0802 : LUNG LOBECTOMY - ANY CAUSE CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
1947 CMU0802 a : LUNG LOBECTOMY - ANY CAUSE - MUCORMYCOSIS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
1948 CMU0803 : DECORTICATION - ANY CAUSE CARDIOTHORACIC SURGERIES 42400 38150 34350 30900 27800 25050 42400 30900
1949 CMU0804 : VATS-LOBECTOMY CARDIOTHORACIC SURGERIES 65500 58950 53050 47750 42950 38700 65500 47750
1950 CMU0804 a : VATS-LOBECTOMY - MUCORMYCOSIS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
1951 CMU0805 : VATS-PNEUMONECTOMY CARDIOTHORACIC SURGERIES 65500 58950 53050 47750 42950 38700 65500 47750
1952 CMU0806 : VATS-DECORTICATION CARDIOTHORACIC SURGERIES 76500 68850 61950 55750 50200 45150 76500 55750
1963 CMU0811 -II : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL CARDIOTHORACIC SURGERIES 43600 39250 35300 31800 28600 25750 43600 31800
1714 CMU0735 : BRONCHOSCOPY FOREIGN BODY REMOVAL CARDIOTHORACIC SURGERIES 9900 9900 9900 9900 9900 9900 9900 9900
1719 CMU0737 -II : TRACHEOSTOMY CARDIOTHORACIC SURGERIES 5300 5300 5300 5300 5300 5300 5300 5300
1721 CMU0738 -II : THOROCOSTOMY CARDIOTHORACIC SURGERIES 43400 39050 35150 31650 28450 25650 43400 31650
2011 CMU0830 -I : INTERCOSTAL DRAINAGE CARDIOTHORACIC SURGERIES 4300 3850 3500 3150 2800 2550 4300 3150
2277 CMU0940 : DIAPHRAGMATIC EVENTERATION CARDIOTHORACIC SURGERIES 40000 36000 32400 29150 26250 23600 40000 29150
2278 CMU0941 : THORACOTOMY/EXPLORATIVE THOROCOTOMY/ THORACO ABDOMINAL APPROACH CARDIOTHORACIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
1779 CMU0751 -I : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
1781 CMU0752 -I : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING CARDIOTHORACIC SURGERIES 75500 67950 61150 55050 49550 44600 75500 55050
1783 CMU0753 -I : DIAPHRAGMATIC HERNIA CARDIOTHORACIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
2615 CMU0995 : TOXIC EPIDERMAL NECROLYSIS DERMATOLOGY 33000 29700 26750 24050 21650 19500 33000 24050
2666 CMU0535A : PEMPHIGUS /PEMPHIGOID - INITIAL EVALUATION & MANAGEMENT INCLUDING BIOPSY - UPTO DERMATOLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2667 CMU0535B : PEMPHIGUS /PEMPHIGOID - STEROIDS OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE DERMATOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
2668 CMU0535C : PEMPHIGUS /PEMPHIGOID - MYCOPHENOLATE MOFETIL INDUUCTION upto DERMATOLOGY 8800 7900 7150 6400 5750 5200 8800 6400
2669 CMU0535D : PEMPHIGUS /PEMPHIGOID - MYCOPHENOLATE MOFETIL MAINTANANCE upto DERMATOLOGY 5500 4950 4450 4000 3600 3250 5500 4000
2670 CMU0535E : PEMPHIGUS /PEMPHIGOID - PULSE THERAPY DERMATOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
1264 CMU0535 : PEMPHIGUS /PEMPHIGOID DERMATOLOGY 0 0 0 0 0 0 0 0
1265 CMU0536 : STEVENS- JOHNSON SYNDROME DERMATOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2816 CMU0407B-II-A-iii : COCHLEAR LIMITED CP802 BATTERY PACK CABLE (50 CM, CARBON) E N T 6865 6865 6865 6865 6865 6865 6865 6865
2817 CMU0407B-II-A-iv : COCHLEAR LIMITED CP802 BATTERY PACK WITH CLIP E N T 6048 6048 6048 6048 6048 6048 6048 6048
2818 CMU0407B-II-A-v : COCHLEAR LIMITED CP802 COIL (CARBON) E N T 5824 5824 5824 5824 5824 5824 5824 5824
2819 CMU0407B-II-A-vi : COCHLEAR LIMITED CP802 COIL CABLE (6 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
2820 CMU0407B-II-A-vii : COCHLEAR LIMITED CP802 COIL CABLE (8 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
2821 CMU0407B-II-A-viii : COCHLEAR LIMITED CP802 COIL CABLE (11 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
2822 CMU0407B-II-A-ix : COCHLEAR LIMITED CP802 COIL CABLE (28 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
2823 CMU0407B-II-A-x : COCHLEAR LIMITED CP802 STANDARD TAMPER RESISTANT BATTERY COVER (CARBON) E N T 2124 2124 2124 2124 2124 2124 2124 2124
2824 CMU0407B-II-A-xi : COCHLEAR LIMITED CP802 MICROPHONE COVERS (CARBON) E N T 1416 1416 1416 1416 1416 1416 1416 1416
2825 CMU0407B-II-A-xii : COCHLEAR LIMITED CP802 MAGNET (1/2 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2826 CMU0407B-II-A-xiii : COCHLEAR LIMITED CP802 MAGNET (1 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2827 CMU0407B-II-A-xiv : COCHLEAR LIMITED CP802 MAGNET (2 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2828 CMU0407B-II-A-xv : COCHLEAR LIMITED CP802 MAGNET (3 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2829 CMU0407B-II-A-xvi : COCHLEAR LIMITED CP802 MAGNET (4 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2830 CMU0407B-II-A-xvii : COCHLEAR LIMITED CP802 MAGNET (5 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2831 CMU0407B-II-A-xviii : COCHLEAR LIMITED CP802 BATTERY PACK CLIP E N T 1148 1148 1148 1148 1148 1148 1148 1148
2832 CMU0407B-II-A-xix : COCHLEAR LIMITED CP802 TAMPER RESISTANT EARHOOK (SMALL) E N T 604 604 604 604 604 604 604 604
2833 CMU0407B-II-A-xx : COCHLEAR LIMITED CP802 EARHOOK (SMALL) E N T 604 604 604 604 604 604 604 604
2834 CMU0407B-II-A-xxi : COCHLEAR LIMITED CP802 EARHOOK (MEDIUM) E N T 604 604 604 604 604 604 604 604
2835 CMU0407B-II-A-xxii : COCHLEAR LIMITED CP802 EARHOOK (LARGE) E N T 604 604 604 604 604 604 604 604
2836 CMU0407B-II-A-xxiii : COCHLEAR LIMITED CP802 MICROPHONE COVER SLEEVE (CARBON) E N T 472 472 472 472 472 472 472 472
2837 CMU0407B-II-A-xxiv : COCHLEAR LIMITED CP802 MICROPHONE COVER WITH FILTERS (CARBON) E N T 1416 1416 1416 1416 1416 1416 1416 1416
2838 CMU0407B-II-A-xxv : COCHLEAR LIMITED BATTERY CHARGING KIT (BLACK) E N T 1209 1209 1209 1209 1209 1209 1209 1209
2839 CMU0407B-II-A-xxvi : COCHLEAR LIMITED BATTERY CHARGER (BLACK) E N T 10938 10938 10938 10938 10938 10938 10938 10938
2840 CMU0407B-II-A-xxvii : COCHLEAR LIMITED STORAGE CASE E N T 425 425 425 425 425 425 425 425
2841 CMU0407B-II-A-xxviii : COCHLEAR LIMITED DRY&STORE UNIT - AUSTRALIAN POWER PACK E N T 5841 5841 5841 5841 5841 5841 5841 5841
2842 CMU0407B-II-A-xxix : COCHLEAR LIMITED DRYBRIK DESSICANT (PACK OF 3) - MINIMUM 2 PACKS E N T 442 442 442 442 442 442 442 442
2843 CMU0407B-II-A-xxx : COCHLEAR LIMITED DRYING CAPSULE, 3G, (PACK OF 4) - MINIMUM 1 PACK E N T 354 354 354 354 354 354 354 354
2844 CMU0407B-II-A-xxxi : COCHLEAR LIMITED MIC LOCK CP802 E N T 560 560 560 560 560 560 560 560
2333 CMU0959 -II : TRACHEAL RESECTION WITH RECONSTRUCTION E N T 41900 37700 33950 30550 27500 24750 41900 30550
2845 CMU0407B-II-A-xxxii : COCHLEAR LIMITED MICLOCK - STIRRUP E N T 560 560 560 560 560 560 560 560
2846 CMU0407B-II-A-xxxiii : COCHLEAR LIMITED BATTERY, ZN AIR, P675 IMPLANT PLUS E N T 236 236 236 236 236 236 236 236
2335 CMU0960 -II : TRACHEAL RESECTION WITHOUT RECONSTRUCTION E N T 34500 31050 27950 25150 22650 20350 34500 25150
2847 CMU0407B-II-A-xxxiv : COCHLEAR LIMITED COCHLEAR CP802 SOUND PROCESSOR (CARBON) E N T 257250 257250 257250 257250 257250 257250 257250 257250
2848 CMU0407B-III-A-i : ADVANCED BIONICS NAIDA CI Q30 UPGRADE KIT E N T 296800 296800 296800 296800 296800 296800 296800 296800
2849 CMU0407B-III-A-ii : ADVANCED BIONICS NAIDA REFURBISHED NAIDA CI Q30 SOUND PROCESSOR (WITHIN 5 YEARS FROM SWITCH ON DATE) E N T 35400 35400 35400 35400 35400 35400 35400 35400
2850 CMU0407B-III-A-iii : ADVANCED BIONICS NAIDA REFURBISHED NAIDA CI Q30 SOUND PROCESSOR (BEYOND 5 YEARS FROM SWITCH ON DATE) E N T 64900 64900 64900 64900 64900 64900 64900 64900
2851 CMU0407B-III-A-iv : ADVANCED BIONICS NAIDA UNIVERSAL HEADPIECE 2.0 (UHP 2.0) E N T 15350 15350 15350 15350 15350 15350 15350 15350
2852 CMU0407B-III-A-v : ADVANCED BIONICS NAIDA UHP 2.0 COLOR CAPS E N T 2450 2450 2450 2450 2450 2450 2450 2450
2853 CMU0407B-III-A-vi : ADVANCED BIONICS NAIDA CI POWERCEL CHARGER E N T 23650 23650 23650 23650 23650 23650 23650 23650
2854 CMU0407B-III-A-vii : ADVANCED BIONICS NAIDA CI POWERSUPPLY E N T 1500 1500 1500 1500 1500 1500 1500 1500
2855 CMU0407B-III-A-viii : ADVANCED BIONICS NAIDA POWERCEL 110 E N T 8900 8900 8900 8900 8900 8900 8900 8900
2856 CMU0407B-III-A-ix : ADVANCED BIONICS NAIDA POWERCEL 170 E N T 10200 10200 10200 10200 10200 10200 10200 10200
2857 CMU0407B-III-A-x : ADVANCED BIONICS NAIDA RF CABLE E N T 6400 6400 6400 6400 6400 6400 6400 6400
2858 CMU0407B-III-A-xi : ADVANCED BIONICS NAIDA DRYING KIT WITH POWER SUPPLY E N T 6000 6000 6000 6000 6000 6000 6000 6000
2859 CMU0407B-III-A-xii : ADVANCED BIONICS NAIDA DRYING KIT WITHOUT POWER SUPPLY E N T 4500 4500 4500 4500 4500 4500 4500 4500
2860 CMU0407B-III-A-xiii : ADVANCED BIONICS NAIDA CI CARRYING CASE E N T 3550 3550 3550 3550 3550 3550 3550 3550
2861 CMU0407B-iii : B-I : ADVANCED BIONICS HARMONY REFURBISHED HARMONY SOUND PROCESSOR (WITHIN 5 YEARS FROM SWITCH ON DATE) E N T 35400 35400 35400 35400 35400 35400 35400 35400
2862 CMU0407B-III-A-xiv : ADVANCED BIONICS HARMONY REFURBISHED HARMONY SOUND PROCESSOR (BEYOND 5 YEARS FROM SWITCH ON DATE) E N T 64900 64900 64900 64900 64900 64900 64900 64900
2863 CMU0407B-III-A-xv : ADVANCED BIONICS HARMONY UNIVERSAL HEADPIECE 2.0 (UHP 2.0) E N T 15350 15350 15350 15350 15350 15350 15350 15350
2864 CMU0407B-III-A-xi : ADVANCED BIONICS HARMONY UHP 2.0 COLOR CAPS E N T 2450 2450 2450 2450 2450 2450 2450 2450
2865 CMU0407B-III-A-xvii : ADVANCED BIONICS HARMONY POWERCEL CHARGER E N T 16600 16600 16600 16600 16600 16600 16600 16600
2354 CMU0970 -II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS E N T 31300 28150 25350 22800 20550 18500 31300 22800
2866 CMU0407B-III-A-xviii : ADVANCED BIONICS HARMONY POWERCEL CHARGER POWER SUPPLY E N T 5000 5000 5000 5000 5000 5000 5000 5000
2867 CMU0407B-III-A-xix : ADVANCED BIONICS HARMONY T-MIC E N T 9100 9100 9100 9100 9100 9100 9100 9100
2356 CMU0971 -II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING E N T 36500 32850 29550 26600 23950 21550 36500 26600
2868 CMU0407B-III-A-xx : ADVANCED BIONICS HARMONY POWERCEL PLUS E N T 9050 9050 9050 9050 9050 9050 9050 9050
2869 CMU0407B-III-A-xxi : ADVANCED BIONICS HARMONY UHP CABLE E N T 5600 5600 5600 5600 5600 5600 5600 5600
2870 CMU0407B-III-A-xxii : ADVANCED BIONICS HARMONY SNUGGIES E N T 2700 2700 2700 2700 2700 2700 2700 2700
2871 CMU0407B-IV : COCHLEAR ACCESSORIES-SERVICE CHARGE FOR HOSPITALS E N T 500 500 500 500 500 500 500 500
2872 CMU0407B-V : AUDIOGRAM FOR COCHLEAR ACCESSORIES ASSESSMENT E N T 500 500 500 500 500 500 500 500
1115 CMU0407 : COCHLEAR IMPLANT SURGERY < 6YEARS E N T 368700 368700 368700 368700 368700 368700 368700 368700
1116 CMU0407 A : COCHLEAR IMPLANT SURGERY - FIRST YEAR FOLLOWUP - MONTHLY E N T 10900 10900 10900 10900 10900 10900 10900 10900
1117 CMU0407 B : COCHLEAR ACCESSORIES - UPTO E N T 300000 300000 300000 300000 300000 300000 300000 300000
1118 CMU0408 : AUDITORY BRAIN STEM IMPLANT <6YEARS E N T 365000 365000 365000 365000 365000 365000 365000 365000
1119 CMU0408 A : AUDITORY BRAIN STEM IMPLANT - FIRST YEAR FOLLOWUP - MONTHLY E N T 11250 11250 11250 11250 11250 11250 11250 11250
1120 CMU0409 : HEARING AID - RESERVED TO GOVT E N T 8400 8400 8400 8400 8400 8400 8400 8400
1121 CMU0410 : MASTOIDECTOMY - CORTICAL E N T 15500 13950 12550 11300 10150 9150 15500 11300
1122 CMU0411 : MASTOIDECTOMY - RADICAL E N T 20800 18700 16850 15150 13650 12300 20800 15150
1123 CMU0412 : MASTOIDECTOMY - MODIFIED RADICAL E N T 20800 18700 16850 15150 13650 12300 20800 15150
1124 CMU0413 : MASTOIDECTOMY WITH TYMPANOPLASTY E N T 17600 15850 14250 12850 11550 10400 17600 12850
1125 CMU0414 : STAPEDECTOMY E N T 21300 19150 17250 15550 13950 12600 21300 15550
1126 CMU0415 : TYMPANOPLASTY-TYPE 1 E N T 12700 11450 10300 9250 8350 7500 12700 9250
1127 CMU0416 : FACIAL NERVE DECOMPRESSION E N T 20600 18550 16700 15000 13500 12150 20600 15000
1128 CMU0417 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- BENIGN E N T 15000 13500 12150 10950 9850 8850 15000 10950
1129 CMU0418 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- MALIGNANT E N T 21300 19150 17250 15550 13950 12600 21300 15550
1130 CMU0419 : EXPANSION SPHINTERO PLASTY E N T 18500 16650 15000 13500 12150 10900 18500 13500
1131 CMU0420 : ZETA PLASTY E N T 20600 18550 16700 15000 13500 12150 20600 15000
1132 CMU0421 : UPPP AND MODIFICATIONS E N T 24800 22300 20100 18100 16250 14650 24800 18100
1133 CMU0422 : EXCISION OF TUMOR IN PHARYNX / PARAPHARYNX ( MALIGNANT) E N T 26100 23500 21150 19050 17100 15400 26100 19050
1134 CMU0423 : EXCISION OF TUMOR NASAL CAVITY (BENIGN /ANGIOFIBROMA NOSE) E N T 21300 19150 17250 15550 13950 12600 21300 15550
1135 CMU0424 : EXCISION OF TUMOR NASAL CAVITY (MALIGNANT) E N T 25300 22750 20500 18450 16600 14950 25300 18450
1136 CMU0425 : ENDOSCOPIC SINUS SURGERY-CHRONIC RHINO SINUSITIS E N T 19000 17100 15400 13850 12450 11200 19000 13850
1137 CMU0426 : ENDOSCOPIC SINUS SURGERY-SINO NASAL POLYPOSIS E N T 19000 17100 15400 13850 12450 11200 19000 13850
2673 CMU0407B-I-A-I : MED-EL OPUS 2 BATT.PACK CONN.PC.SAFETY LOCK E N T 708 708 708 708 708 708 708 708
1138 CMU0427 : ENDOSCOPIC SINUS SURGERY-ENDOSCOPIC ORBITAL DECOMPRESSION E N T 24700 22250 20000 18000 16200 14600 24700 18000
2674 CMU0407B-I-A-ii : MED-EL OPUS 2 BATT.PACK CONNECTING PIECE E N T 708 708 708 708 708 708 708 708
1139 CMU0428 : ENDOSCOPIC SINUS SURGERY-VIDIAN NEURECTOMY E N T 23700 21350 19200 17300 15550 14000 23700 17300
2675 CMU0407B-I-A-iii : MED-EL OPUS 2 BATTERY PACK PIN PROTECTION COVER E N T 118 118 118 118 118 118 118 118
1140 CMU0429 A : ENDOSCOPIC SINUS SURGERY-INTERNAL MAXILLARY ARTERY LIGATION E N T 24200 21800 19600 17650 15900 14300 24200 17650
2676 CMU0407B-I-A-iv : MED-EL OPUS 2 BTE PROCESSOR CLIP E N T 1475 1475 1475 1475 1475 1475 1475 1475
1141 CMU0429 B : ENDOSCOPIC SINUS SURGERYSPHENO PALATINE ARTERY LIGATION E N T 24200 21800 19600 17650 15900 14300 24200 17650
2677 CMU0407B-I-A-v : MED-EL OPUS 2 DACAPO CHARGER E N T 14750 14750 14750 14750 14750 14750 14750 14750
1142 CMU0430 : LABYRINTHECTOMY E N T 23400 21050 18950 17050 15350 13800 23400 17050
2678 CMU0407B-I-A-vi : MED-EL OPUS 2 DACAPO FRAME E N T 20720 20720 20720 20720 20720 20720 20720 20720
1143 CMU0431 : PHONO SURGERY FOR VOCAL CORD PARALYSIS E N T 22200 20000 18000 16200 14550 13100 22200 16200
2679 CMU0407B-I-A-vii : MED-EL OPUS 2 DACAPO POWERPACK (RECHARGEABLE BATTERIES) E N T 12095 12095 12095 12095 12095 12095 12095 12095
1144 CMU0432 : MYRINGOTOMY WITH GROMET INSERTION E N T 4100 3700 3300 3000 2700 2400 4100 3000
2680 CMU0407B-I-A-viii : MED-EL OPUS 2 D-COIL BASE PART E N T 44800 44800 44800 44800 44800 44800 44800 44800
1145 CMU0433 : NASAL BONE FRACTURE REDUCTION E N T 8300 7450 6700 6050 5450 4900 8300 6050
2681 CMU0407B-I-A-ix : MED-EL OPUS 2 D-COIL MAGNET 1 SOFT E N T 3717 3717 3717 3717 3717 3717 3717 3717
1146 CMU0434 A : MICRO DEBRIDER E N T 27000 24300 21850 19700 17700 15950 27000 19700
2682 CMU0407B-I-A-x : MED-EL OPUS 2 D-COIL MAGNET 2 STD E N T 3717 3717 3717 3717 3717 3717 3717 3717
1147 CMU0434 B : CO-ABLATION TURBINOPASTY E N T 17300 15550 14000 12600 11350 10200 17300 12600
2683 CMU0407B-I-A-xi : MED-EL OPUS 2 D-COIL MAGNET 3 STRONG E N T 3717 3717 3717 3717 3717 3717 3717 3717
1148 CMU0435 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITHOUT VASCULAR INTERVENTION E N T 13200 11900 10700 9600 8650 7800 13200 9600
2684 CMU0407B-I-A-xii : MED-EL OPUS 2 D-COIL MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1149 CMU0436 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITH VASCULAR INTERVENTION E N T 17100 15400 13850 12450 11200 10100 17100 12450
2685 CMU0407B-I-A-xiii : MED-EL OPUS 2 UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
1150 CMU0437 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - BENIGN E N T 30500 27450 24700 22250 20000 18000 30500 22250
1406 CMU0642 -II : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT) E N T 22000 19800 17800 16050 14450 13000 22000 16050
2686 CMU0407B-I-A-xiv : MED-EL OPUS 2 EA CABLE MIX E N T 5310 5310 5310 5310 5310 5310 5310 5310
1151 CMU0438 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - MALIGNANT E N T 34200 30800 27700 24950 22450 20200 34200 24950
1407 CMU0643 -I : ENDOSCOPIC DCR E N T 16200 14600 13100 11800 10650 9550 16200 11800
2687 CMU0407B-I-A-xv : MED-EL OPUS 2 HUGGY E N T 236 236 236 236 236 236 236 236
1152 CMU0439 : FRACTURE ZYGOMA OPEN REDUCTION E N T 15800 14200 12800 11500 10350 9350 15800 11500
2688 CMU0407B-I-A-xvi : MED-EL OPUS 2 MICROPHONE COVER E N T 354 354 354 354 354 354 354 354
1153 CMU0440 : RADIO FREQUENCY ABLATION OF TONGUE E N T 21400 19250 17350 15600 14050 12650 21400 15600
2689 CMU0407B-I-A-xvii : MED-EL OPUS 2 MINI BATTERY PACK (MBP) E N T 19600 19600 19600 19600 19600 19600 19600 19600
1154 CMU0441 : LARYNGEAL/LARYNGOPHARYNGEAL VIDEOSCOPIC BIOPSY E N T 2000 1800 1600 1450 1300 1200 2000 1800
2690 CMU0407B-I- A-xviii : MED-EL OPUS 2 MINI BATTERY PACK CABLE, 100CM E N T 8850 8850 8850 8850 8850 8850 8850 8850
1155 CMU0442 : PETROSECTOMY E N T 25000 22500 20250 18250 16400 14750 25000 22500
2691 CMU0407B-I-A-xix : MED-EL OPUS 2 MINI BATTERY PACK CABLE, 28CM E N T 8850 8850 8850 8850 8850 8850 8850 8850
1156 CMU0443 : STROBOSCOPY WITH NARROW BAND IMAGING E N T 2000 1800 1600 1450 1300 1200 2000 1800
2692 CMU0407B-I-A-xx : MED-EL OPUS 2 BATTERY PACK E N T 22400 22400 22400 22400 22400 22400 22400 22400
2693 CMU0407B-I-A-xxi : MED-EL OPUS 2 CONNECTING PIECE LARGE E N T 472 472 472 472 472 472 472 472
2694 CMU0407B-I-A-xxii : MED-EL OPUS 2 CONNECTING PIECE SMALL E N T 472 472 472 472 472 472 472 472
2695 CMU0407B-I-A-xxiii : MED-EL OPUS 2 D-COIL CABLE 12 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
2696 CMU0407B-I-A-xxiv : MED-EL OPUS 2 D-COIL CABLE 28 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
2697 CMU0407B-I-A-xxv : MED-EL OPUS 2 D-COIL CABLE 7.5 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
2698 CMU0407B-I-A-xxvi : MED-EL OPUS 2 EARHOOK E N T 885 885 885 885 885 885 885 885
2699 CMU0407B-I-A-xxvii : MED-EL OPUS 2 EARHOOK PIN E N T 59 59 59 59 59 59 59 59
2700 CMU0407B-I-A-xxviii : MED-EL OPUS 2 FINETUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
2701 CMU0407B-I-A-xxix : MED-EL OPUS 2 PIN REMOVAL TOOL E N T 590 590 590 590 590 590 590 590
2702 CMU0407B-I-A-xxx : MED-EL OPUS 2 PROCESSOR UNIT(AUDIO PROCESSOR) E N T 280000 280000 280000 280000 280000 280000 280000 280000
2703 CMU0407B-I-A-xxxi : MED-EL OPUS 2 SAFETY LOCK E N T 708 708 708 708 708 708 708 708
2704 CMU0407B-I-A-xxxii : MED-EL OPUS 2 FM COVER EA ANTH. E N T 12980 12980 12980 12980 12980 12980 12980 12980
2705 CMU0407B-I-A-xxxiii : MED-EL OPUS 2 SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
2706 CMU0407B-I-A-xxxiv : MED-EL OPUS 2 WATERWEAR FOR BTE (PACK) E N T 4130 4130 4130 4130 4130 4130 4130 4130
2707 CMU0407B-I-A-xxxv : MED-EL OPUS 2 SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
2708 CMU0407B-I-B-i : MED-EL RONDO ATTACHMENT CLIP CLOTHES E N T 1534 1534 1534 1534 1534 1534 1534 1534
2709 CMU0407B-I-B-ii : MED-EL RONDO ATTACHMENT CLIP HAIR E N T 1534 1534 1534 1534 1534 1534 1534 1534
2710 CMU0407B-I-B-iii : MED-EL RONDO DACAPO CHARGER E N T 14750 14750 14750 14750 14750 14750 14750 14750
2711 CMU0407B-I-B-iv : MED-EL RONDO DACAPO POWERPACK (RECHARGEABLE BATTERIES) E N T 12095 12095 12095 12095 12095 12095 12095 12095
2712 CMU0407B-I-B-v : MED-EL RONDO UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
2713 CMU0407B-I-B-vi : MED-EL RONDO FINE TUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
2714 CMU0407B-I-B-vii : MED-EL RONDO MBP RONDO CABLE 100CM E N T 14750 14750 14750 14750 14750 14750 14750 14750
2715 CMU0407B-I-B-viii : MED-EL RONDO MBP RONDO CABLE, 27CM E N T 14750 14750 14750 14750 14750 14750 14750 14750
2716 CMU0407B-I-B-ix : MED-EL RONDO MED-EL SPORTS HEADBAND L E N T 3540 3540 3540 3540 3540 3540 3540 3540
2717 CMU0407B-I-B-x : MED-EL RONDO MED-EL SPORTS HEADBAND M E N T 3540 3540 3540 3540 3540 3540 3540 3540
2718 CMU0407B-I-B-xi : MED-EL RONDO MED-EL SPORTS HEADBAND S E N T 3540 3540 3540 3540 3540 3540 3540 3540
2719 CMU0407B-I-B-xii : MED-EL RONDO MED-EL SPORTS HEADBAND XS E N T 3540 3540 3540 3540 3540 3540 3540 3540
2720 CMU0407B-I-B-xiii : MED-EL RONDO MINI BATTERY PACK (MBP) E N T 19600 19600 19600 19600 19600 19600 19600 19600
2721 CMU0407B-I-B-xiv : MED-EL RONDO BATTERY PACK ANTHRACITE E N T 25200 25200 25200 25200 25200 25200 25200 25200
2722 CMU0407B-I-B-xv : MED-EL RONDO MAGNET 1 SOFT E N T 4130 4130 4130 4130 4130 4130 4130 4130
2723 CMU0407B-I-B-xvi : MED-EL RONDO MAGNET 1S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2724 CMU0407B-I-B-xvii : MED-EL RONDO MAGNET 2 STD. E N T 4130 4130 4130 4130 4130 4130 4130 4130
2725 CMU0407B-I-B-xviii : MED-EL RONDO MAGNET 2S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2726 CMU0407B-I-B-xix : MED-EL RONDO MAGNET 3 STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
2727 CMU0407B-I-B-xx : MED-EL RONDO MAGNET 3S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2983 CM1107 : Aural polypectomy E N T 4000 0 0 0 0 0 0 0
2728 CMU0407B-I-B-xxi : MED-EL RONDO MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
2984 CM1108 : Myringoplasty E N T 7500 0 0 0 0 0 0 0
2729 CMU0407B-I-B-xxii : MED-EL RONDO MAGNET 4S E N T 5664 5664 5664 5664 5664 5664 5664 5664
2985 CM1109 : Myringoplasty with Ossiculoplasty E N T 13500 0 0 0 0 0 0 0
2730 CMU0407B-I-B-xxiii : MED-EL RONDO MAGNET 5 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
2986 CM1110 : Ossiculoplasty E N T 9500 0 0 0 0 0 0 0
2731 CMU0407B-I-B-xxiv : MED-EL RONDO MAGNET 5S E N T 5664 5664 5664 5664 5664 5664 5664 5664
2987 CM1111 : Pharyngectomy and reconstruction E N T 15000 0 0 0 0 0 0 0
2732 CMU0407B-I-B-xxv : MED-EL RONDO MIC. COVER E N T 177 177 177 177 177 177 177 177
2988 CM1112 : Total Amputation & Excision of External Auditory Meatus E N T 7500 0 0 0 0 0 0 0
2733 CMU0407B-I-B-xxvi : MED-EL RONDO PROCESSOR UNIT(AUDIO PROCESSOR) E N T 280000 280000 280000 280000 280000 280000 280000 280000
2989 CM1113 : Tympanotomy E N T 0 0 0 0 0 0 0 0
2734 CMU0407B-I-B-xxvii : MED-EL RONDO PROTECTOR E N T 1475 1475 1475 1475 1475 1475 1475 1475
2990 CM1114 : Removal of foreign body from ear E N T 0 0 0 0 0 0 0 0
2735 CMU0407B-I-B-xxviii : MED-EL RONDO SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
2991 CM1115 : Ant. Ethmoidal artery ligation - open/ endoscopic E N T 11000 0 0 0 0 0 0 0
2736 CMU0407B-I-B-xxix : MED-EL RONDO WATERWEAR FOR RONDO (PACK) E N T 3776 3776 3776 3776 3776 3776 3776 3776
2992 CM1116 : Antrostomy - Bilateral E N T 0 0 0 0 0 0 0 0
2737 CMU0407B-I-B-xxx : MED-EL RONDO SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
2993 CM1117 : Antrostomy - Unilateral E N T 0 0 0 0 0 0 0 0
2738 CMU0407B-I-C-i : MED-EL RONDO 2 PROCESSOR UNIT E N T 420000 420000 420000 420000 420000 420000 420000 420000
2994 CM1118 : Cryosurgery E N T 3000 0 0 0 0 0 0 0
2739 CMU0407B-I-C-ii : MED-EL RONDO 2 FINE TUNER (REMOTE) E N T 24080 24080 24080 24080 24080 24080 24080 24080
2995 CM1119 : Intra Nasal Ethmoidectomy E N T 0 0 0 0 0 0 0 0
1716 CMU0736 -II : FB OESOPHAGUS E N T 7700 7700 7700 7700 7700 7700 7700 7700
2740 CMU0407B-I-C-iii : MED-EL RONDO 2 SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
2996 CM1120 : Rhinotomy - Lateral E N T 0 0 0 0 0 0 0 0
2741 CMU0407B-I-C-xiv : MED-EL RONDO 2 MINI BATTERY PACK ANTHRACITE E N T 19600 19600 19600 19600 19600 19600 19600 19600
2997 CM1121 : Turbinectomy Partial - Bilateral E N T 0 0 0 0 0 0 0 0
2742 CMU0407B-I-C-v : MED-EL RONDO 2 MINI BATTERY PACK CABLE E N T 7080 7080 7080 7080 7080 7080 7080 7080
2998 CM1122 : Turbinectomy Partial - Unilateral E N T 0 0 0 0 0 0 0 0
2743 CMU0407B-I-C-vi : MED-EL RONDO 2 MAGNET 1 E N T 4425 4425 4425 4425 4425 4425 4425 4425
2999 CM1123 : Radical fronto ethmo sphenodectomy E N T 18000 0 0 0 0 0 0 0
2744 CMU0407B-I-C-vii : MED-EL RONDO 2 MAGNET 2 E N T 4425 4425 4425 4425 4425 4425 4425 4425
3000 CM1124 : Rhinoplasty E N T 15000 0 0 0 0 0 0 0
2745 CMU0407B-I-C-viii : MED-EL RONDO 2 MAGNET 3 E N T 4425 4425 4425 4425 4425 4425 4425 4425
3001 CM1125 : Septoplasty E N T 0 0 0 0 0 0 0 0
2746 CMU0407B-I-C-ix : MED-EL RONDO 2 MAGNET 4 E N T 4425 4425 4425 4425 4425 4425 4425 4425
3002 CM1126 : Youngs operation E N T 3000 0 0 0 0 0 0 0
2747 CMU0407B-I-C-x : MED-EL RONDO 2 ARTONE 3 MAX NECKLOOP E N T 8064 8064 8064 8064 8064 8064 8064 8064
3003 CM1127 : Cranio-facial resection E N T 22500 0 0 0 0 0 0 0
2748 CMU0407B-I-C-xi : MED-EL RONDO 2 MINI BATTERY PACK ACCESSORIES E N T 944 944 944 944 944 944 944 944
3004 CM1128 : Endoscopic Hypophysectomy E N T 21000 0 0 0 0 0 0 0
2749 CMU0407B-I-C-xii : MED-EL RONDO 2 SOCKET SEAL E N T 265 265 265 265 265 265 265 265
3005 CM1129 : Intranasal Diathermy E N T 0 0 0 0 0 0 0 0
2750 CMU0407B-I-C-xiii : MED-EL RONDO 2 MAGNET EXCHANGE TOOL E N T 472 472 472 472 472 472 472 472
3006 CM1130 : Rhinosporidiosis E N T 0 0 0 0 0 0 0 0
2751 CMU0407B-I-C-xiv : MED-EL RONDO 2 GRIPWEAR E N T 1416 1416 1416 1416 1416 1416 1416 1416
3007 CM1131 : Septo-rhinoplasty E N T 12500 0 0 0 0 0 0 0
2752 CMU0407B-I-C-xv : MED-EL RONDO 2 DAILY CASE M E N T 1770 1770 1770 1770 1770 1770 1770 1770
3008 CM1132 : Arytenoidectomy E N T 10000 0 0 0 0 0 0 0
2753 CMU0407B-I-C-xvi : MED-EL RONDO 2 WATERWEAR FOR RONDO 2 (PACKAGE) E N T 3776 3776 3776 3776 3776 3776 3776 3776
3009 CM1133 : Choanal atresia E N T 12500 0 0 0 0 0 0 0
2754 CMU0407B-I-C-xvii : MED-EL RONDO 2 FINETUNER ACCESSORIES E N T 1062 1062 1062 1062 1062 1062 1062 1062
3010 CM1134 : Tonsillectomy + Myrinogotomy E N T 0 0 0 0 0 0 0 0
2755 CMU0407B-I-C-xviii : MED-EL RONDO 2 MAGNET 1S E N T 4425 4425 4425 4425 4425 4425 4425 4425
3011 CM1135 : Pharyngeal diverticulums - Excision E N T 10000 0 0 0 0 0 0 0
2756 CMU0407B-I-C-xix : MED-EL RONDO 2 MAGNET 2S E N T 4425 4425 4425 4425 4425 4425 4425 4425
3012 CM1136 : Laryngophayryngectomy E N T 20000 0 0 0 0 0 0 0
2757 CMU0407B-I-C-xx : MED-EL RONDO 2 MAGNET 3S E N T 4425 4425 4425 4425 4425 4425 4425 4425
3013 CM1137 : Oro Antral fistula E N T 7500 0 0 0 0 0 0 0
2758 CMU0407B-I-C-xxi : MED-EL RONDO 2 MAGNET 4S E N T 12980 12980 12980 12980 12980 12980 12980 12980
3014 CM1138 : Parapharyngeal - Exploration E N T 0 0 0 0 0 0 0 0
2759 CMU0407B-I-C-xxii : MED-EL RONDO 2 CLIPS E N T 1534 1534 1534 1534 1534 1534 1534 1534
3015 CM1139 : Peritonsillor abscess under LA E N T 0 0 0 0 0 0 0 0
2760 CMU0407B-I-C-xxiii : MED-EL RONDO 2 DESIGN COVERS (COLOUR MIX 4) E N T 2301 2301 2301 2301 2301 2301 2301 2301
3016 CM1140 : Pharyngoplasty E N T 10000 0 0 0 0 0 0 0
2761 CMU0407B-I-C-xxiv : MED-EL RONDO 2 COVER, BLACK GLOSSY E N T 885 885 885 885 885 885 885 885
3017 CM1141 : Retro pharyngeal abscess - Drainage E N T 5000 0 0 0 0 0 0 0
2762 CMU0407B-I-C-xxv : MED-EL RONDO 2 SPORTS HEADBAND S E N T 3360 3360 3360 3360 3360 3360 3360 3360
3018 CM1142 : Tonsillectomy + Styloidectomy E N T 0 0 0 0 0 0 0 0
2763 CMU0407B-I-C-xxvi : MED-EL RONDO 2 SPORTS HEADBAND M E N T 3360 3360 3360 3360 3360 3360 3360 3360
3019 CM1143 : Tonsillectomy - (Uni/ Bilateral) E N T 0 0 0 0 0 0 0 0
2764 CMU0407B-I-C-xxvii : MED-EL RONDO 2 QI WIRELESS CHARGING PAD (BELKIN) E N T 2998 2998 2998 2998 2998 2998 2998 2998
3020 CM1144 : Laryngopharyngectomy with Gastric pull-up/ jejunal graft E N T 30000 0 0 0 0 0 0 0
2765 CMU0407B-I-C-xxviii : MED-EL RONDO 2 USB UNIVERSAL WALL CHARGER E N T 398 398 398 398 398 398 398 398
2766 CMU0407B-I-C-xxix : MED-EL RONDO 2 SERVICE REPAIR CHARGE FOR PROCESSOR UNIT (EXCLUDING BATTERY) E N T 29500 29500 29500 29500 29500 29500 29500 29500
2767 CMU0407B-I-D-i : MED-EL SONNET D-COIL BASE PART E N T 44800 44800 44800 44800 44800 44800 44800 44800
2768 CMU0407B-I-D-ii : MED-EL SONNET D-COIL MAGNET 1 SOFT E N T 3717 3717 3717 3717 3717 3717 3717 3717
2769 CMU0407B-I-D-iii : MED-EL SONNET D-COIL MAGNET 1S E N T 3717 3717 3717 3717 3717 3717 3717 3717
2770 CMU0407B-I-D-iv : MED-EL SONNET D-COIL MAGNET 2 STD. E N T 3717 3717 3717 3717 3717 3717 3717 3717
2771 CMU0407B-I-D-v : MED-EL SONNET D-COIL MAGNET 2S STD. E N T 3717 3717 3717 3717 3717 3717 3717 3717
2772 CMU0407B-I-D-vi : MED-EL SONNET D-COIL MAGNET 3 STRONG E N T 3717 3717 3717 3717 3717 3717 3717 3717
2773 CMU0407B-I-D-vii : MED-EL SONNET D-COIL MAGNET 3S E N T 3717 3717 3717 3717 3717 3717 3717 3717
2774 CMU0407B-I-D-viii : MED-EL SONNET D-COIL MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
2775 CMU0407B-I-D-ix : MED-EL SONNET D-COIL MAGNET 4S SUPER STRONG E N T 5310 5310 5310 5310 5310 5310 5310 5310
2776 CMU0407B-I-D-x : MED-EL SONNET DL-COIL BASE PART E N T 45920 45920 45920 45920 45920 45920 45920 45920
2777 CMU0407B-I-D-xi : MED-EL SONNET DL-COIL COVER H W/O LOCK E N T 531 531 531 531 531 531 531 531
2778 CMU0407B-I-D-xii : MED-EL SONNET DL-COIL COVER H WITH LOCK E N T 531 531 531 531 531 531 531 531
2779 CMU0407B-I-D-xiii : MED-EL SONNET DL-COIL COVER L WITH LOCK E N T 531 531 531 531 531 531 531 531
2780 CMU0407B-I-D-xiv : MED-EL SONNET DL-COIL COVER L WITHOUT LOCK E N T 531 531 531 531 531 531 531 531
2781 CMU0407B-I-D-xv : MED-EL SONNET DL-COIL MAGNET 1 E N T 4130 4130 4130 4130 4130 4130 4130 4130
2782 CMU0407B-I-D-xvi : MED-EL SONNET DL-COIL MAGNET 1S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2783 CMU0407B-I-D-xvii : MED-EL SONNET DL-COIL MAGNET 2 E N T 4130 4130 4130 4130 4130 4130 4130 4130
2784 CMU0407B-I-D-xviii : MED-EL SONNET DL-COIL MAGNET 2S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2785 CMU0407B-I-D-xix : MED-EL SONNET DL-COIL MAGNET 3 E N T 4130 4130 4130 4130 4130 4130 4130 4130
2786 CMU0407B-I-D-xx : MED-EL SONNET DL-COIL MAGNET 3S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2787 CMU0407B-I-D-xxi : MED-EL SONNET DL-COIL MAGNET 4 E N T 4130 4130 4130 4130 4130 4130 4130 4130
2788 CMU0407B-I-D-xxii : MED-EL SONNET DL-COIL MAGNET 4S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2789 CMU0407B-I-D-xxiii : MED-EL SONNET DL-COIL MAGNET 5 E N T 4130 4130 4130 4130 4130 4130 4130 4130
2790 CMU0407B-I-D-xxiv : MED-EL SONNET DL-COIL MAGNET 5S E N T 4130 4130 4130 4130 4130 4130 4130 4130
2791 CMU0407B-I-D-xxv : MED-EL SONNET UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
2792 CMU0407B-I-D-xxvi : MED-EL SONNET EA CABLE MIX E N T 5310 5310 5310 5310 5310 5310 5310 5310
2793 CMU0407B-I-D-xxvii : MED-EL SONNET FINETUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
2794 CMU0407B-I-D-xxviii : MED-EL SONNET HUGGY E N T 236 236 236 236 236 236 236 236
2795 CMU0407B-I-D-xxix : MED-EL SONNET BATTERY COVER E N T 3540 3540 3540 3540 3540 3540 3540 3540
2796 CMU0407B-I-D-xxx : MED-EL SONNET BATTERY PACK FRAME E N T 24080 24080 24080 24080 24080 24080 24080 24080
2797 CMU0407B-I-D-xxxi : MED-EL SONNET CHARGING UNIT E N T 5752 5752 5752 5752 5752 5752 5752 5752
2798 CMU0407B-I-D-xxxii : MED-EL SONNET D-COIL CABLE 28 CM E N T 8260 8260 8260 8260 8260 8260 8260 8260
2799 CMU0407B-I-D-xxxiii : MED-EL SONNET D-COIL CABLE 6.5CM E N T 5310 5310 5310 5310 5310 5310 5310 5310
2800 CMU0407B-I-D-xxxiv : MED-EL SONNET D-COIL CABLE 8.5CM E N T 7670 7670 7670 7670 7670 7670 7670 7670
2801 CMU0407B-I-D-xxxv : MED-EL SONNET DL-COIL CABLE 28CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
2802 CMU0407B-I-D-xxxvi : MED-EL SONNET DL-COIL CABLE 6.5CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
2803 CMU0407B-I-D-xxxvii : MED-EL SONNET DL-COIL CABLE 9CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
2804 CMU0407B-I-D-xxxviii : MED-EL SONNET EARHOOK & PIN E N T 1416 1416 1416 1416 1416 1416 1416 1416
2805 CMU0407B-I-D-xxxix : MED-EL SONNET FM BATTERY COVER E N T 10528 10528 10528 10528 10528 10528 10528 10528
2806 CMU0407B-I-D-xxxx : MED-EL SONNET MIC. COVER, 4 PCS. SET E N T 3245 3245 3245 3245 3245 3245 3245 3245
2807 CMU0407B-I-D-xxxxi : MED-EL SONNET PROCESSOR UNIT(AUDIO PROCESSOR) E N T 420000 420000 420000 420000 420000 420000 420000 420000
2808 CMU0407B-I-D-xxxxii : MED-EL SONNET RCB ADAPTER E N T 10325 10325 10325 10325 10325 10325 10325 10325
2809 CMU0407B-I-D-xxxxiii : MED-EL SONNET RECHARGEABLE BATTERY (RCB) STANDARD E N T 13570 13570 13570 13570 13570 13570 13570 13570
2810 CMU0407B-I-D-xxxxiv : MED-EL SONNET SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
2811 CMU0407B-I-D-xxxxv : MED-EL SONNET USB POWER SUPPLY E N T 1652 1652 1652 1652 1652 1652 1652 1652
2812 CMU0407B-I-D-xxxxvi : MED-EL SONNET WATERWEAR FOR BTE (PACK) E N T 4130 4130 4130 4130 4130 4130 4130 4130
2813 CMU0407B-I-D-xxxxvii : MED-EL SONNET SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
2814 CMU0407B-II-A-I : COCHLEAR LIMITED CP802 STANDARD RECHARGEABLE BATTERY MODULE (CARBON) E N T 9086 9086 9086 9086 9086 9086 9086 9086
2815 CMU0407B-II-A-ii : COCHLEAR LIMITED CP802 BATTERY PACK CABLE (30 CM, CARBON) E N T 6865 6865 6865 6865 6865 6865 6865 6865
3327 CM1130 A : Rhinosporidiosis - Surgical correction E N T 5000 0 0 0 0 0 0 0
3307 CM1431 : Emergency with stable cardiopulmonary status Emergency Room Packages (Care requiring less than 12 hrs stay) 0 0 0 0 0 0 0 0
3308 CM1432 : Single bone fracture plaster, nebulization for asthmatic attack, moderate dehydration, hypoglycaemia in a diabetic, Dengue without complication, Syncope, Food poisoning etc Emergency Room Packages (Care requiring less than 12 hrs stay) 0 0 0 0 0 0 0 0
1689 CMU0730 -II : EXCISION OF LINGUAL THYROID ENDOCRINE SURGERY 21600 19450 17500 15750 14150 12750 21600 15750
1965 CMU0812 -II : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1967 CMU0813 -II : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1969 CMU0814 -II : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1971 CMU0815 -II : RESECTION & ENUCLEATION OF THYROID NODULE ENDOCRINE SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
1973 CMU0816 -II : PARATHYROIDECTOMY - ANY TYPE ENDOCRINE SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1298 CMU0556 : GROWTH HORMONE FOR HYPOPITUTARISM ENDOCRINOLOGY 210000 210000 210000 210000 210000 210000 210000 210000
1299 CMU0557 : PITUITARY - ACROMEGALY ENDOCRINOLOGY 26800 24100 21700 19550 17600 15850 26800 19550
1300 CMU0558 : CUSHINGS SYNDROME ENDOCRINOLOGY 77100 69400 62450 56200 50600 45550 77100 56200
1301 CMU0559 A : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - MALES ENDOCRINOLOGY 15300 13750 12400 11150 10050 9050 15300 11150
1302 CMU0559 B : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - FEMALES ENDOCRINOLOGY 22200 20000 18000 16200 14550 13100 22200 16200
2891 FUU0001 : PTCA 1st QUARTER FOLLOW-UP 1500 1500 1500 1500 1500 1500 1500 1500
2892 FUU0001A : PTCA 2nd, 3rd AND 4th QUARTERS FOLLOW-UP 1000 1000 1000 1000 1000 1000 1000 1000
2893 FUU0002 : COCHLEAR IMPLANT SURGERY (AVT FOR 2ND YEAR)- MONTHLY FOLLOW-UP 10900 10900 10900 10900 10900 10900 10900 10900
2894 FUU0003 : RENAL TRANSPLANTATION SURGERY - FROM 2ND YEAR - MONTHLY FOLLOW-UP 11300 11300 11300 11300 11300 11300 11300 11300
2895 FUU0004 : BONE MARROW TRANSPLANTATION/STEM CELL TRANSPLANTATION - AUTOLOGOUS - MONTHLY FOLLOW-UP 3300 3300 3300 3300 3300 3300 3300 3300
2896 FUU0005 : BONE MARROW TRANSPLANTATION/STEM CELL TRANSPLANTATION - (ALLOGENIC) - MONTHLY FOLLOW-UP 14300 14300 14300 14300 14300 14300 14300 14300
2897 FUU0006 : BONE MARROW TRANSPLANTATION/STEM CELL TRANSPLANTATION - (ALLOGENIC) - MONTHLY FOLLOW-UP 19400 19400 19400 19400 19400 19400 19400 19400
2898 FUU0007 : BONE MARROW TRANSPLANTATION/STEM CELL TRANSPLANTATION -HAPLOIDENTICAL - MONTHLY FOLLOW-UP 19400 19400 19400 19400 19400 19400 19400 19400
2899 FUU0008 : LIVER TRANSPLANTATION - FROM 2ND YEAR - MONTHLY FOLLOW-UP 50000 50000 50000 50000 50000 50000 50000 50000
2900 FUU0009 : AUDITORY BRAIN STEM IMPLANT - FOR 2ND YEAR - MONTHLY FOLLOW-UP 11250 11250 11250 11250 11250 11250 11250 11250
2901 FUU0010 : HEART TRANSPLANTATION -FROM 2ND YEAR - MONTHLY FOLLOW-UP 8300 8300 8300 8300 8300 8300 8300 8300
2902 FUU0011 : HEART & LUNG TRANSPLANTATION / DOUBLE LUNG TRANSPLANTATION - FROM 2ND YEAR - MONTHLY FOLLOW-UP 8300 8300 8300 8300 8300 8300 8300 8300
2623 CMU1000 -I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS GASTROENTEROLOGY 92000 82800 74500 67050 60350 54350 92000 67050
2625 CMU1001 -I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) GASTROENTEROLOGY 175000 157500 141750 127600 114800 103350 175000 127600
1672 CMU0718 -II : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES GASTROENTEROLOGY 0 0 0 0 0 0 0 0
1673 CMU0718 -II-d : ERCP AND STENT (PLASTIC) GASTROENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1674 CMU0718 -II-e : ERCP AND STENT (SEMS) GASTROENTEROLOGY 60500 54450 49000 44100 39700 35700 60500 44100
1675 CMU0718 -II-f : POST OP BILIARY STRICTURE GASTROENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1690 CMU0731 -I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GASTROENTEROLOGY 0 0 0 0 0 0 0 0
1691 CMU0731 -I-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1692 CMU0731 -I-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1693 CMU0731 -I-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 58800 52900 47650 42850 38600 34700 58800 42850
2242 CMU0923 -I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION GASTROENTEROLOGY 45000 40500 36450 32800 29500 26550 45000 32800
1241 CMU0514 : CORROSIVE OESOPHAGEAL INJURY GASTROENTEROLOGY 29600 26650 24000 21600 19400 17500 29600 21600
1242 CMU0515 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED) GASTROENTEROLOGY 33000 29700 26750 24050 21650 19500 33000 24050
1243 CMU0516 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE METALLIC STENT FOR BILIARY OBSTRUCTION (OBSTRUCTIVE JAUNDICE)- MALIGNANT/BENIGN GASTROENTEROLOGY 77400 69650 62700 56400 50800 45700 77400 56400
1244 CMU0517 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC SPINCTEROTOMY AND /OR PANCREATIC DUCT STENTING GASTROENTEROLOGY 19600 17650 15900 14300 12850 11550 19600 14300
1245 CMU0518 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING- PANCRETIC DUCT LEAKS, PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE, PANCREATIC STONE DISEASE GASTROENTEROLOGY 19600 17650 15900 14300 12850 11550 19600 14300
1246 CMU0519 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES GAVE, ULCER, RADIATION PROCTITIS/COLITIS, POST POLYPECTOMY BLEED, DIEULAFOYS LESION, ANGIODYSPLASIA, MALLORY WEISS TEAR. GASTROENTEROLOGY 19200 17300 15550 14000 12600 11350 19200 14000
2276 CMU0939 : SCLEROSING CHOLANGITIS (MEDICAL MANAGEMENT ONLY) GASTROENTEROLOGY 11700 10550 9500 8550 7700 6900 11700 8550
3329 CM1338 A : Acutre excaberation of COPD - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
3330 CM1338 B : Acutre excaberation of COPD - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
3331 CM1338 C : Acutre excaberation of COPD - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
3332 CM1338 D : Acutre excaberation of COPD - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
3333 CM1347 A : Snake bite (with ASV) - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
3334 CM1347 B : Snake bite (with ASV) - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
3335 CM1347 C : Snake bite (with ASV) - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
3336 CM1352 A : Acute inflammatory demyelinating polyneuropathy - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
3337 CM1352 B : Acute inflammatory demyelinating polyneuropathy - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
3338 CM1352 C : Acute inflammatory demyelinating polyneuropathy - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
3339 CM1352 D : Acute inflammatory demyelinating polyneuropathy - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
2316 CMU0957 -II : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C GENERAL MEDICINE 0 0 0 0 0 0 0 0
3340 CM1355 A : HIV with complications - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
2317 CMU0957 -II-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS GENERAL MEDICINE 1800 1800 1800 1800 1800 1800 1800 1800
3341 CM1355 B : HIV with complications - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
2318 CMU0957 -II-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS GENERAL MEDICINE 3500 3500 3500 3500 3500 3500 3500 3500
3342 CM1355 C : HIV with complications - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
2319 CMU0957 -II-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS GENERAL MEDICINE 2000 2000 2000 2000 2000 2000 2000 2000
3343 CM1355 D : HIV with complications - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
2320 CMU0957 -II-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS GENERAL MEDICINE 6000 6000 6000 6000 6000 6000 6000 6000
3344 CM1357 A : Metabolic encephalopathy - management in ward GENERAL MEDICINE 5400 0 0 0 0 0 0 0
2321 CMU0957 -II-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS GENERAL MEDICINE 1000 1000 1000 1000 1000 1000 1000 1000
3345 CM1357 B : Metabolic encephalopathy - management in HDU GENERAL MEDICINE 8100 0 0 0 0 0 0 0
2322 CMU0957 -II-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
3346 CM1357 C : Metabolic encephalopathy - management in ICU GENERAL MEDICINE 10800 0 0 0 0 0 0 0
2323 CMU0957 -II-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS GENERAL MEDICINE 4500 4500 4500 4500 4500 4500 4500 4500
3347 CM1357 D : Metabolic encephalopathy - management in ICU - ventilated GENERAL MEDICINE 13500 0 0 0 0 0 0 0
2324 CMU0957 -II-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS GENERAL MEDICINE 16000 16000 16000 16000 16000 16000 16000 16000
2325 CMU0957 -II-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS GENERAL MEDICINE 11000 11000 11000 11000 11000 11000 11000 11000
2327 CMU0957 -II-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
2328 CMU0957 -II-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) GENERAL MEDICINE 15000 15000 15000 15000 15000 15000 15000 15000
2330 CMU0958 -I : CIRRHOSIS OF LIVER WITH COMPLICATIONS GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
2336 CMU0961 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY GENERAL MEDICINE 800 700 650 600 500 450 800 600
2337 CMU0962 A : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 1100 1000 900 800 700 650 1100 800
2338 CMU0962 B : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 15800 14200 12800 11500 10350 9350 15800 11500
2339 CMU0962 C : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2340 CMU0962 D : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - SEPSIS / COMA) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2596 CMU0982 : CYSTIC FIBROSIS GENERAL MEDICINE 38400 34550 31100 28000 25200 22650 38400 28000
2341 CMU0962 E : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - SEPSIS / COMA) GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2597 CMU0983 : SEPTIC SHOCK (ICU MANAGEMENT) GENERAL MEDICINE 45200 40700 36600 32950 29650 26700 45200 32950
2598 CMU0984 -I : WILSON'S DISEASE GENERAL MEDICINE 18100 16300 14650 13200 11900 10700 18100 13200
2600 CMU0985 -I : NEPHROTIC SYNDROME GENERAL MEDICINE 17700 15950 14350 12900 11600 10450 17700 12900
2602 CMU0986 -I : NEPHROTIC SYNDROME WITH COMPLICATIONS GENERAL MEDICINE 27300 24550 22100 19900 17900 16100 27300 19900
2604 CMU0987 -I : ACUTE DISSEMINATED ENCEPHALOMYELITIS GENERAL MEDICINE 58300 52450 47200 42500 38250 34450 58300 42500
2095 CMU0842 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL MEDICINE 700 700 700 700 700 700 700 700
2097 CMU0842 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL MEDICINE 5500 5500 5500 5500 5500 5500 5500 5500
2609 CMU0990 -I : TOXIC/DRUG INDUCED LIVER INJURY GENERAL MEDICINE 28200 25400 22850 20550 18500 16650 28200 20550
2611 CMU0991 : MALIGNANT ASCITES GENERAL MEDICINE 5900 5300 4800 4300 3850 3500 5900 4300
2100 CMU0845 A : POLYTRAUMA/HEAD INJURY MINOR (ONLY LACERATIONS LESS THAN 10 CM) GENERAL MEDICINE 2600 2600 2600 2600 2600 2600 2600 2600
2101 CMU0845 B : POLYTRAUMA/HEAD INJURY MINOR (DEEP / PITTED WOUND EXPOSING SCALP/ BONE REQUIRING DEBRIDEMENT AND SUTURING) GENERAL MEDICINE 7000 7000 7000 7000 7000 7000 7000 7000
2357 CMU0972 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 7000 6300 5650 5100 4600 4150 7000 5100
2102 CMU0846 : POLYTRAUMA/HEAD INJURY MAJOR (WITH FRACTURES, INTRACRANIAL BLEEDING) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2358 CMU0973 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 10300 9250 8350 7500 6750 6100 10300 7500
2103 CMU0847 -I : CYANOTIC CONGENTIAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
2105 CMU0848 -I : CYANOTIC CONGENTIAL / HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED GENERAL MEDICINE 50000 45000 40500 36450 32800 29500 50000 36450
2107 CMU0849 -I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) GENERAL MEDICINE 44000 39600 35650 32100 28850 26000 44000 32100
2109 CMU0850 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2110 CMU0851 -I : CHRONIC RENAL FAILURE WITH INITIATION OF HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 18000 16200 14600 13100 11800 10650 18000 13100
2112 CMU0852 -I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 11300 10150 9150 8250 7400 6650 11300 8250
2114 CMU0853 -I : ACUTE RENAL FAILURE WITH HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
2116 CMU0854 -I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE GENERAL MEDICINE 29400 26450 23800 21450 19300 17350 29400 21450
2628 CMU1003 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT ( WITH POLICE OFFICIAL SIGNED AR COPY ) GENERAL MEDICINE 18900 17000 15300 13800 12400 11150 18900 13800
2118 CMU0855 A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF / SLED GENERAL MEDICINE 59900 53900 48500 43650 39300 35350 59900 43650
2120 CMU0855 B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD GENERAL MEDICINE 80900 72800 65550 59000 53100 47750 80900 59000
2632 CMU1007 : ACUTE SEVERE ASTHMA WITH VENTILATION GENERAL MEDICINE 53800 48400 43600 39200 35300 31750 53800 39200
2633 CMU1008 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
2634 CMU1009 A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (HEPARINISATION) GENERAL MEDICINE 21000 18900 17000 15300 13800 12400 21000 15300
2123 CMU0857 -I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2635 CMU1009 B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2636 CMU1009 C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (RTPA) GENERAL MEDICINE 78800 70900 63850 57450 51700 46550 78800 57450
2125 CMU0858 -I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2127 CMU0859 -I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA GENERAL MEDICINE 14000 12600 11350 10200 9200 8250 14000 10200
2639 CMU1012 : BLOOD AND BLOOD PRODUCT TRANSFUSION (RDP, SDP, PLATELET APHERESIS) GENERAL MEDICINE 13000 11700 10550 9500 8550 7700 13000 9500
2129 CMU0860 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
2130 CMU0860 B : TTP GENERAL MEDICINE 63000 56700 51050 45950 41350 37200 63000 45950
2131 CMU0861 A : ANY COAGULATION DISORDERS GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2132 CMU0861 B : DIC GENERAL MEDICINE 27500 24750 22300 20050 18050 16250 27500 20050
2133 CMU0862 : ECMO - EXTRACORPOREAL MEMBRANE OXYGENATION GENERAL MEDICINE 210000 210000 189000 189000 189000 189000 210000 189000
2134 CMU0863 A : MULTI SYSTEM ORGAN FAILURE- WITHOUT VENTILATION GENERAL MEDICINE 77100 77100 69400 69400 69400 69400 77100 69400
2646 CMU1019 : PICC LINE - DEVICE WITH ACESSORIES AND MAINTENCE GENERAL MEDICINE 20000 18000 16200 14600 13100 11800 20000 14600
2135 CMU0863 B : MULTI SYSTEM ORGAN FAILURE- WITH VENTILATION GENERAL MEDICINE 105500 105500 94950 94950 94950 94950 105500 94950
2136 CMU0864 : ENTERIC ENCEPHALOPATHY GENERAL MEDICINE 21200 19100 17150 15450 13900 12500 21200 15450
2137 CMU0865 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT GENERAL MEDICINE 20900 18800 16950 15250 13700 12350 20900 15250
2138 CMU0866 : SUBMERSION INJURY WITH VENTILATORY SUPPORT GENERAL MEDICINE 28400 25550 23000 20700 18650 16750 28400 20700
2650 CMU1023 : ATTEMPTED HANGING REQUIRING VENTILATORY SUPPORT GENERAL MEDICINE 40000 36000 32400 29150 26250 23600 40000 29150
2139 CMU0867 : ARDS WITH VENTILATORY SUPPORT GENERAL MEDICINE 88300 79450 71500 64350 57950 52150 88300 64350
2140 CMU0868 -I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION GENERAL MEDICINE 59000 53100 47800 43000 38700 34850 59000 43000
2652 CMU1025 : PLASMAPHERESIS PER SESSION GENERAL MEDICINE 10000 9000 8100 7300 6550 5900 10000 7300
2653 CMU1026 : BLUNT INJURY ABDOMEN LIVER /SPLEEN INJURY-OPERATIVE GENERAL MEDICINE 50000 45000 40500 36450 32800 29500 50000 36450
3206 CM1330 : Acute gastroenteritis with moderate dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
3207 CM1331 : Recurrent vomiting with dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
3208 CM1332 : Dysentery GENERAL MEDICINE 0 0 0 0 0 0 0 0
3209 CM1333 : Renal colic GENERAL MEDICINE 0 0 0 0 0 0 0 0
3210 CM1334 : Acute bronchitis GENERAL MEDICINE 0 0 0 0 0 0 0 0
3211 CM1335 : Pneumothroax GENERAL MEDICINE 0 0 0 0 0 0 0 0
3212 CM1336 : Accelerated hypertension GENERAL MEDICINE 0 0 0 0 0 0 0 0
3213 CM1337 : Acute febrile illness GENERAL MEDICINE 0 0 0 0 0 0 0 0
3214 CM1338 : Acutre excaberation of COPD GENERAL MEDICINE 0 0 0 0 0 0 0 0
1423 CMU0648 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) GENERAL MEDICINE 23100 20800 18700 16850 15150 13650 23100 16850
3215 CM1339 : UTI GENERAL MEDICINE 0 0 0 0 0 0 0 0
1424 CMU0648 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) GENERAL MEDICINE 18900 17000 15300 13800 12400 11150 18900 13800
3216 CM1340 : Malaria GENERAL MEDICINE 0 0 0 0 0 0 0 0
3217 CM1341 : Dengue fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
3218 CM1342 : Chikungunya fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
3219 CM1343 : Leptospirosis GENERAL MEDICINE 0 0 0 0 0 0 0 0
3220 CM1344 : Enteric fever GENERAL MEDICINE 0 0 0 0 0 0 0 0
1685 CMU0727 : IMMUNOGLOBULIN THERAPY GENERAL MEDICINE 200000 200000 200000 200000 200000 200000 200000 200000
3221 CM1345 : Pneumonia GENERAL MEDICINE 0 0 0 0 0 0 0 0
3222 CM1346 : Liver abscess GENERAL MEDICINE 0 0 0 0 0 0 0 0
3223 CM1347 : Snake bite GENERAL MEDICINE 0 0 0 0 0 0 0 0
3224 CM1348 : Pyrexia of unknown origin GENERAL MEDICINE 0 0 0 0 0 0 0 0
3225 CM1349 : Pericardial/ Pleural tuberculosis GENERAL MEDICINE 0 0 0 0 0 0 0 0
3226 CM1350 : Seizures GENERAL MEDICINE 0 0 0 0 0 0 0 0
3227 CM1351 : Bacterial/ fungal endocarditis GENERAL MEDICINE 0 0 0 0 0 0 0 0
3228 CM1352 : Acute inflammatory demyelinating polyneuropathy GENERAL MEDICINE 0 0 0 0 0 0 0 0
3229 CM1353 : Persistent/ Chronic diarrohea GENERAL MEDICINE 0 0 0 0 0 0 0 0
1694 CMU0731 -II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GENERAL MEDICINE 0 0 0 0 0 0 0 0
3230 CM1354 : Visceral leishmaniasis GENERAL MEDICINE 0 0 0 0 0 0 0 0
1695 CMU0731 -II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
3231 CM1355 : HIV with complications GENERAL MEDICINE 0 0 0 0 0 0 0 0
1696 CMU0731 -II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
3232 CM1356 : Neuromuscular disorders GENERAL MEDICINE 0 0 0 0 0 0 0 0
1697 CMU0731 -II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 58800 52900 47650 42850 38600 34700 58800 42850
3233 CM1357 : Metabolic encephalopathy GENERAL MEDICINE 0 0 0 0 0 0 0 0
2210 CMU0907 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY GENERAL MEDICINE 126000 113400 102050 91850 82650 74400 126000 91850
3234 CM1358 : Acute gastroenteritis with severe dehydration GENERAL MEDICINE 0 0 0 0 0 0 0 0
2211 CMU0907 A-I-a : THALASSEMIA MAJOR (UPTO) GENERAL MEDICINE 7400 7400 7400 7400 7400 7400 7400 7400
3235 CM1359 : Hypertensive emergencies GENERAL MEDICINE 0 0 0 0 0 0 0 0
3236 CM1360 : Heat stroke GENERAL MEDICINE 0 0 0 0 0 0 0 0
3237 CM1361 : Hydrocephalus GENERAL MEDICINE 0 0 0 0 0 0 0 0
2214 CMU0907 B-I : SICKLE CELL ANAEMIA GENERAL MEDICINE 5300 5300 5300 5300 5300 5300 5300 5300
3238 CM1362 : Blood and blood component transfusion (admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar punctu GENERAL MEDICINE 0 0 0 0 0 0 0 0
3239 CM1363 : Plasmapheresis - per session GENERAL MEDICINE 2000 0 0 0 0 0 0 0
3240 CM1364 : High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. Rs 5000 per annum limit to a family GENERAL MEDICINE 0 0 0 0 0 0 0 0
2217 CMU0908 -I : INTERSTITAL LUNG DISEASE GENERAL MEDICINE 29300 26350 23750 21350 19200 17300 29300 21350
3241 CM1365 : High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. Rs 5000 per annum limit to a family GENERAL MEDICINE 0 0 0 0 0 0 0 0
2219 CMU0909 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING GENERAL MEDICINE 10700 9650 8650 7800 7000 6300 10700 7800
1453 CMU0652 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1455 CMU0652 A-I-b-ii : MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1456 CMU0652 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 16800 15100 13600 12250 11000 9900 16800 12250
2227 CMU0913 -I : END STAGE RENAL DISEASE GENERAL MEDICINE 14900 13400 12050 10850 9800 8800 14900 10850
2229 CMU0914 -I : GULLAIN BARRE SYNDROME GENERAL MEDICINE 110000 99000 89100 80200 72150 64950 110000 80200
2231 CMU0915 -I : OPTIC NEURITIS GENERAL MEDICINE 11000 9900 8900 8000 7200 6500 11000 8000
1464 CMU0652 B-II-a : MYCOPHENOLATE MOFETIL INDUCTION GENERAL MEDICINE 6300 5650 5100 4600 4150 3700 6300 4600
1465 CMU0652 B-II-b : MYCOPHENOLATE MOFETIL MAINTENANCE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
2233 CMU0916 -I : MYOPATHY / MUSCULAR DYSTROPHY GENERAL MEDICINE 14300 12850 11600 10400 9400 8450 14300 10400
1466 CMU0652 B-II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN GENERAL MEDICINE 7400 6650 6000 5400 4850 4350 7400 5400
1467 CMU0652 B-II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION GENERAL MEDICINE 5300 4750 4300 3850 3500 3150 5300 3850
2235 CMU0917 -I : MYASTHENIA GRAVIS GENERAL MEDICINE 17500 15750 14200 12750 11500 10350 17500 12750
1468 CMU0652 B-II-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 VACCIN GENERAL MEDICINE 30000 27000 24300 21850 19700 17700 30000 21850
2237 CMU0918 : MANAGEMENT OF COMA GENERAL MEDICINE 35100 31600 28450 25600 23050 20750 35100 25600
2239 CMU0920 : MUCORMYCOSIS GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2240 CMU0921 : HYPER OSMOLAR NON-KETOTIC COMA GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
1473 CMU0653 A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
1474 CMU0653 A-II-a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1475 CMU0653 A-II-b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1476 CMU0653 A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
1478 CMU0653 B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) GENERAL MEDICINE 200000 180000 162000 145800 131200 118100 200000 145800
1485 CMU0656 A-I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LIVER) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1486 CMU0656 B : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LIVER) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1487 CMU0656 C : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( HEART & LUNG) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1488 CMU0656 D : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( HEART & LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1489 CMU0656 E : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1490 CMU0656 F : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1491 CMU0656 G : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( COCHLEAR) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1236 CMU0509 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS/ OTHER CAUSES - MAX 7 DAYS GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
1492 CMU0656 H : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( COCHLEAR) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1237 CMU0510 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE GENERAL MEDICINE 40000 36000 32400 29150 26250 23600 40000 29150
1493 CMU0656 I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUDITORY BRAINSTEM IMPLANTATION) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1494 CMU0656 J : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUDITORY BRAINSTEM IMPLANTATION) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1495 CMU0656 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( KIDNEY) - PER MONTH GENERAL MEDICINE 0 0 0 0 0 0 0 0
1496 CMU0656 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( KIDNEY) - PER MONTH GENERAL MEDICINE 0 0 0 0 0 0 0 0
1497 CMU0656 M : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1498 CMU0656 N : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1499 CMU0656 O : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1500 CMU0656 P : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1792 CMU0754 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENERAL SURGERY 57800 52000 46800 42150 37900 34150 57800 42150
2048 CMU0840 -I-D : SYM'S AMPUTATION GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2304 CMU0955 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2049 CMU0840 -I-E : TRANS META-TARSAL AMPUTATION GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2305 CMU0956 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2050 CMU0840 -I-F : AMPUTATION OF GREAT TOE GENERAL SURGERY 7400 6650 6000 5400 4850 4350 7400 5400
1795 CMU0754 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENERAL SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2051 CMU0840 -I-G : AMPUTATION TOE - SINGLE GENERAL SURGERY 5300 4750 4300 3850 3500 3150 5300 3850
2052 CMU0840 -I-H : AMPUTATION TOE- MULTIPLE GENERAL SURGERY 7700 6950 6250 5600 5050 4550 7700 5600
1797 CMU0755 -I : HYPOSPADIAS GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2053 CMU0840 -I-I : AMPUTATION OF FINGER - SINGLE GENERAL SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
2054 CMU0840 -I-J : AMPUTATION OF FINGER - MULTIPLE GENERAL SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
1799 CMU0756 -I : EPISPADIAS GENERAL SURGERY 44100 39700 35700 32150 28950 26050 44100 32150
1801 CMU0757 -I : TORSION TESTIS GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1803 CMU0758 -I : URETEROCELE SURGERY GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
1805 CMU0759 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1807 CMU0759 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1808 CMU0759 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1809 CMU0760 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
2066 CMU0841 -I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) GENERAL SURGERY 105000 105000 105000 105000 105000 105000 105000 105000
1811 CMU0760 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1813 CMU0761 -I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD GENERAL SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
1815 CMU0762 -I : OPEN CHOLECYSTOSTOMY GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
1818 CMU0763 -II : GASTRECTOMY ANY TYPE - ANY CAUSE GENERAL SURGERY 43900 39500 35550 32000 28800 25900 43900 32000
1821 CMU0764 -II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY GENERAL SURGERY 53800 48400 43600 39200 35300 31750 53800 39200
1828 CMU0767 -II : ANTERIOR RESECTION GENERAL SURGERY 56000 50400 45350 40800 36750 33050 56000 40800
1831 CMU0768 -A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH GENERAL SURGERY 28700 25850 23250 20900 18850 16950 28700 20900
1834 CMU0768 -B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY GENERAL SURGERY 51500 46350 41700 37550 33800 30400 51500 37550
1837 CMU0768 -C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS GENERAL SURGERY 78300 70450 63400 57100 51350 46250 78300 57100
2094 CMU0842 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL SURGERY 700 700 700 700 700 700 700 700
1840 CMU0769 -II : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP GENERAL SURGERY 45900 41300 37200 33450 30100 27100 45900 33450
2096 CMU0842 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL SURGERY 5500 5500 5500 5500 5500 5500 5500 5500
1842 CMU0770 A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1844 CMU0771 A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1846 CMU0771 B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC GENERAL SURGERY 41800 37600 33850 30450 27400 24700 41800 30450
1848 CMU0772 A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2616 CMU0996 : ENDOSCOPIC PARATHYROIDECTOMY GENERAL SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1850 CMU0772 B-I : LAP SPLENECTOMY WITH DEVASCULARISATION GENERAL SURGERY 44300 39850 35900 32300 29050 26150 44300 32300
1867 CMU0775 -IV : HEMIMANDIBULECTOMY GENERAL SURGERY 26400 23750 21400 19250 17300 15600 26400 19250
1871 CMU0776 -IV : MARGINAL MANDIBULECTOMY GENERAL SURGERY 23600 21250 19100 17200 15500 13950 23600 17200
1875 CMU0777 -IV : SEGMENTAL MANDIBULECTOMY GENERAL SURGERY 23600 21250 19100 17200 15500 13950 23600 17200
1878 CMU0780 : SURGERIES FOR ENTERO CUTANEOUS FISTULA GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
1879 CMU0781 : INCISIONAL HERNIA REPAIR WITHOUT MESH GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2903 CM1103 a : Debridement of Ulcer - Mucormycosis GENERAL SURGERY 11400 11400 11400 11400 11400 11400 11400 11400
1880 CMU0782 : INCISIONAL HERNIA REPAIR WITH MESH GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2904 CM1028 : Adventious Burse - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2905 CM1029 : Appendicectomy GENERAL SURGERY 10000 0 0 0 0 0 0 0
2906 CM1030 : Appendicular Abscess - Drainage GENERAL SURGERY 12000 0 0 0 0 0 0 0
2907 CM1031 : Bakers Cyst - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2908 CM1032 : Bursa - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2909 CM1033 : Cyst over Scrotum - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2654 CMU1027 : CERVICAL/INGUINAL/AXILLARY LYMPH NODE BIOPSY GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2910 CM1034 : Cystic Mass - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
1887 CMU0784 -I : LIVER ABSCESS - OPEN DRAINAGE GENERAL SURGERY 19800 17800 16050 14450 13000 11700 19800 14450
2143 CMU0869 A-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2911 CM1035 : Drainage of Ischio Rectal Abscess GENERAL SURGERY 0 0 0 0 0 0 0 0
2912 CM1036 : Incision and Drainage of large Abscess GENERAL SURGERY 0 0 0 0 0 0 0 0
1889 CMU0785 A-I : RECTAL PROLAPSE - THEIRSCH WIRING GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2145 CMU0869 B-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) GENERAL SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2913 CM1037 : Drainage of Psoas Abscess GENERAL SURGERY 7500 0 0 0 0 0 0 0
2914 CM1038 : Drainage of Subdiaphramatic Abscess GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
1891 CMU0785 B-I : RECTAL PROLAPSE - DEBULKING GENERAL SURGERY 28600 25750 23150 20850 18750 16900 28600 20850
2147 CMU0869 C-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (THYROGLOSAL CYST) GENERAL SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
2659 CMU1032 : RELAPROTOMY/RE-EXPLORATION FOR COMPLICATIONS GENERAL SURGERY 60000 54000 48600 43750 39350 35450 60000 43750
2915 CM1039 : Duodenal Diverticulum GENERAL SURGERY 20000 0 0 0 0 0 0 0
2916 CM1040 : Duodenal Jejunostomy GENERAL SURGERY 20000 0 0 0 0 0 0 0
1893 CMU0785 C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY GENERAL SURGERY 30300 27250 24550 22100 19900 17900 30300 22100
2149 CMU0870 -I : EXCISION OF SINUSES & FISTULA OF THE NECK - ( INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA (INCLUDES DEEP EXPLORATION) GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2917 CM1041 : Duplication of Intestine GENERAL SURGERY 18000 0 0 0 0 0 0 0
2918 CM1042 : Epidedectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
2919 CM1043 : Epididymal Swelling -Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2920 CM1044 : Epidymal Cyst GENERAL SURGERY 0 0 0 0 0 0 0 0
2921 CM1045 : Evacuation of Scrotal Hematoma GENERAL SURGERY 0 0 0 0 0 0 0 0
2922 CM1046 : Excision Benign Tumor -Small intestine GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
2155 CMU0872 : OPEN ORCHIDOPEXY GENERAL SURGERY 18200 16400 14750 13250 11950 10750 18200 13250
2923 CM1047 : Excision Bronchial Sinus GENERAL SURGERY 8000 0 0 0 0 0 0 0
2156 CMU0873 : LAPAROSCOPIC ORCHIDOPEXY GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2924 CM1048 : Excision Filarial Scrotum GENERAL SURGERY 5000 0 0 0 0 0 0 0
2157 CMU0874 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENERAL SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2925 CM1049 : Excision Mammary Fistula GENERAL SURGERY 5000 0 0 0 0 0 0 0
2926 CM1050 : Excision Meckels Diverticulum GENERAL SURGERY 15000 0 0 0 0 0 0 0
2671 CMU0770 B-I : SPLENECTOMY WITH DEVASCULARISATION- TRAUMATIC GENERAL SURGERY 41800 37600 33850 30450 27400 24700 41800 30450
2927 CM1051 : Excision Pilonidal Sinus GENERAL SURGERY 8000 0 0 0 0 0 0 0
2928 CM1052 : Excision Small Intestinal Fistula GENERAL SURGERY 15000 0 0 0 0 0 0 0
2929 CM1053 : Excision of Large Swelling in Hand GENERAL SURGERY 0 0 0 0 0 0 0 0
2930 CM1054 : Excision of Small Swelling in Hand GENERAL SURGERY 0 0 0 0 0 0 0 0
1907 CMU0792 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 49000 44100 39700 35700 32150 28950 49000 35700
2931 CM1055 : Exicision of Sinus and Curettage GENERAL SURGERY 0 0 0 0 0 0 0 0
2932 CM1056 : Fissurectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
2933 CM1057 : Fissurectomy and Haemorrhoidectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
1910 CMU0792 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2934 CM1058 : Eversion of Hydrocele Sac - Bilateral GENERAL SURGERY 0 0 0 0 0 0 0 0
2935 CM1059 : Eversion of Hydrocele Sac - Unilateral GENERAL SURGERY 0 0 0 0 0 0 0 0
2936 CM1060 : Fissurectomy with Sphincterotomy GENERAL SURGERY 0 0 0 0 0 0 0 0
1913 CMU0793 -III : WHIPPLES ANY TYPE GENERAL SURGERY 90800 81700 73550 66200 59550 53600 90800 66200
2937 CM1061 : Ganglion - large - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
1914 CMU0794 A-I : OPEN CYSTECTOMY (BLADDER) (PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2938 CM1062 : Ganglion - Small - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2939 CM1063 : Granuloma - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2940 CM1064 : Haemorrhage of Small Intestine GENERAL SURGERY 15000 0 0 0 0 0 0 0
1917 CMU0794 B-I : OPEN CYSTECTOMY (BLADDER) (RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
2941 CM1065 : Hernioplasty - Inguinal GENERAL SURGERY 10000 0 0 0 0 0 0 0
2942 CM1066 : Herniorraphy GENERAL SURGERY 0 0 0 0 0 0 0 0
2943 CM1067 : IlieoSigmoidostomy GENERAL SURGERY 17000 15300 13770 12393 11154 10038 17000 12393
1920 CMU0795 A-I : LAPROSCOPIC CYSTECTOMY (BLADDER) [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2944 CM1068 : Infected Bunion Foot - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2945 CM1069 : Mesenteric Cyst - Excision GENERAL SURGERY 16000 0 0 0 0 0 0 0
1410 CMU0644 -II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1922 CMU0795 B-I : LAPROSCOPIC CYSTECTOMY (BLADDER) [RADICAL] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2946 CM1070 : Pelvic Abscess - Open Drainage GENERAL SURGERY 10000 0 0 0 0 0 0 0
2947 CM1071 : Papilloma Rectum - Excision GENERAL SURGERY 4000 0 0 0 0 0 0 0
1412 CMU0645 -II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1924 CMU0796 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 0 0 0 0 0 0 0 0
2948 CM1072 : Haemorroidectomy+ Fistulectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
1925 CMU0796 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 23400 21050 18950 17050 15350 13800 23400 17050
2949 CM1073 : Pyeloroplasty GENERAL SURGERY 10000 0 0 0 0 0 0 0
1414 CMU0646 -II : WERTHEIMS / RADICAL HYSTERECTOMY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2950 CM1074 : Rectal Dilation GENERAL SURGERY 0 0 0 0 0 0 0 0
2951 CM1075 : Prolapse of Rectal Mass - Excision GENERAL SURGERY 10000 0 0 0 0 0 0 0
2952 CM1076 : Repair of Common Bile Duct GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
2953 CM1077 : Haemorroidectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
1930 CMU0797 -II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA GENERAL SURGERY 0 0 0 0 0 0 0 0
2954 CM1078 : Scrotal Swelling (Multiple) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2955 CM1079 : Sigmoid Diverticulum GENERAL SURGERY 15000 0 0 0 0 0 0 0
1932 CMU0798 -II : MASTECTOMY ANY TYPE GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2956 CM1080 : Sinus - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2957 CM1081 : Swelling in foot (small) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
1934 CMU0799 -A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2958 CM1082 : Swelling in foot (large) - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
2959 CM1083 : Pharyngectomy& Reconstruction - Total GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
1936 CMU0799 -B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION GENERAL SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
2960 CM1084 : Tracheoplasty (Throat) GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
2961 CM1085 : Umbilical Sinus - Excision GENERAL SURGERY 0 0 0 0 0 0 0 0
1938 CMU0799 -II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION GENERAL SURGERY 0 0 0 0 0 0 0 0
2962 CM1086 : Varicose Veins - Excision and Ligation GENERAL SURGERY 10000 0 0 0 0 0 0 0
1427 CMU0649 A-III : PANCREATECTOMY DISTAL - OPEN GENERAL SURGERY 66200 59600 53600 48250 43450 39100 66200 48250
2963 CM1087 : Vasovasostomy GENERAL SURGERY 12000 0 0 0 0 0 0 0
1940 CMU0800 -A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN GENERAL SURGERY 7600 6850 6150 5550 5000 4500 7600 5550
2964 CM1088 : Estlander Operation (lip) GENERAL SURGERY 7000 6300 5670 5103 4593 4133 7000 5103
2965 CM1089 : Ligation of Ankle Perforators GENERAL SURGERY 5000 0 0 0 0 0 0 0
1430 CMU0649 B-III : PANCREATECTOMY DISTAL - LAP GENERAL SURGERY 66200 59600 53600 48250 43450 39100 66200 48250
1942 CMU0800 -B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) GENERAL SURGERY 7600 6850 6150 5550 5000 4500 7600 5550
2966 CM1090 : Appendicectomy - Appendicular Abscess - Drainage GENERAL SURGERY 12000 0 0 0 0 0 0 0
2967 CM1091 : Caecostomy GENERAL SURGERY 10000 0 0 0 0 0 0 0
1944 CMU0800 -II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT) GENERAL SURGERY 0 0 0 0 0 0 0 0
2968 CM1092 : Drainage of perivertebral abscess GENERAL SURGERY 10000 0 0 0 0 0 0 0
1433 CMU0649 C-III : PANCREATECTOMY CENTRAL- OPEN GENERAL SURGERY 105000 94500 85050 76550 68900 62000 105000 76550
2969 CM1093 : Operation for carcinoma lip- cheek advancement GENERAL SURGERY 12000 10800 9720 8748 7873 7086 12000 8748
2970 CM1094 : Operations for Acquired Arteriovenous Fistula GENERAL SURGERY 15000 0 0 0 0 0 0 0
2203 CMU0904 -I : PELVIC FLOOR RECONSTRUCTION WITH MESH GENERAL SURGERY 32300 29050 26150 23550 21200 19050 32300 23550
2971 CM1095 : Patch Graft Angioplasty GENERAL SURGERY 20000 0 0 0 0 0 0 0
1436 CMU0649 D-III : PANCREATECTOMY CENTRAL- LAP GENERAL SURGERY 105000 94500 85050 76550 68900 62000 105000 76550
2972 CM1096 : Resection Enucleation of Adenoma (lung) GENERAL SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
2205 CMU0905 -I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 0 0 0 0 0 0 0 0
2973 CM1097 : Sympathetectomy - Cervical GENERAL SURGERY 5000 0 0 0 0 0 0 0
1438 CMU0650 -II : NEPHROSTOMY GENERAL SURGERY 8800 8800 8800 8800 8800 8800 8800 8800
2206 CMU0905 -I-a : LAPAROSCOPIC - ECTOPIC RESECTION GENERAL SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
2974 CM1098 : Thoracocentesis GENERAL SURGERY 1500 0 0 0 0 0 0 0
2207 CMU0905 -I-b : LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 12000 10800 9700 8750 7850 7100 12000 8750
2975 CM1099 : Thoracoplasty GENERAL SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
2976 CM1100 : Thoracoscopic Segmental Resection GENERAL SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
2209 CMU0906 : LAPAROSCOPIC ADHESOLYSIS GENERAL SURGERY 22100 19900 17900 16100 14500 13050 22100 16100
2977 CM1101 : Thoracoscopic Sympathectomy GENERAL SURGERY 15000 13500 12150 10935 9842 8857 15000 10935
1698 CMU0732 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1954 CMU0807 -II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE GENERAL SURGERY 39200 35300 31750 28600 25700 23150 39200 28600
2978 CM1102 : Trendelenburg Operation GENERAL SURGERY 10000 0 0 0 0 0 0 0
2979 CM1103 : Debridement of Ulcer-Leprosy GENERAL SURGERY 0 0 0 0 0 0 0 0
1956 CMU0808 -A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) GENERAL SURGERY 29100 26200 23550 21200 19100 17200 29100 21200
2980 CM1104 : Aspiration of cold Abscess of Lymphnode GENERAL SURGERY 0 0 0 0 0 0 0 0
1445 CMU0651 -II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE GENERAL SURGERY 0 0 0 0 0 0 0 0
1701 CMU0732 B-I : RADICAL NEPHRECTOMY GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2981 CM1105 : Aspiration of Empyema GENERAL SURGERY 2000 0 0 0 0 0 0 0
1446 CMU0651 -II-a : OBSCURE BLEED - CONSERVATIVE MANAGEMENT INCLUDING CAPSULE ENDOSCOPY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
1958 CMU0808 -B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) GENERAL SURGERY 49700 44750 40250 36250 32600 29350 49700 36250
2982 CM1106 : Vasectomy GENERAL SURGERY 0 0 0 0 0 0 0 0
1447 CMU0651 -II-b : OBSCURE BLEED - CONSERVATIVE GENERAL SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1448 CMU0651 -II-c : NON VARICEAL BLEED - CLIPPING GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
1704 CMU0733 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1449 CMU0651 -II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION GENERAL SURGERY 48500 43650 39300 35350 31800 28650 48500 35350
1961 CMU0810 -II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE GENERAL SURGERY 21500 19350 17400 15650 14100 12700 21500 15650
1450 CMU0651 -II-e : NON VARICEAL BLEED - CONSERVATIVE GENERAL SURGERY 11000 9900 8900 8000 7200 6500 11000 8000
1707 CMU0733 B-I : LAP NEPHRECTOMY-RADICAL GENERAL SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
1964 CMU0812 -I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2221 CMU0910 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY GENERAL SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
1966 CMU0813 -I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1711 CMU0734 A-II : NEPHROURETERECTOMY OPEN GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2223 CMU0911 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1968 CMU0814 -I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
1713 CMU0734 B-II : NEPHROURETERECTOMY LAP GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2225 CMU0912 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION GENERAL SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
1970 CMU0815 -I : RESECTION & ENUCLEATION OF THYROID NODULE GENERAL SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
1715 CMU0736 -I : FB OESOPHAGUS GENERAL SURGERY 7700 7700 7700 7700 7700 7700 7700 7700
1972 CMU0816 -I : PARATHYROIDECTOMY - ANY TYPE GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1718 CMU0737 -I : TRACHEOSTOMY GENERAL SURGERY 5300 5300 5300 5300 5300 5300 5300 5300
1974 CMU0817 -I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1720 CMU0738 -I : THOROCOSTOMY GENERAL SURGERY 43400 39050 35150 31650 28450 25650 43400 31650
1977 CMU0818 -I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1980 CMU0819 -I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
1983 CMU0820 -I : OESOPHAGOSTOMY LAP / OPEN GENERAL SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
1985 CMU0821 -I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY LAP / OPEN GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2241 CMU0922 : OPERATION FOR HYDATID CYST OF LIVER GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
1987 CMU0822 -I : GASTROJEJUNOSTOMY LAP / OPEN GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1989 CMU0823 -I : ILEOSTOMY LAP / OPEN GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2245 CMU0924 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION GENERAL SURGERY 0 0 0 0 0 0 0 0
2246 CMU0924 A : COLONIC PULL THROW GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1991 CMU0824 A-I : ILEOTRANSVERSE COLOSTOMY LAP / OPEN GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2247 CMU0924 B : COLOPLASTY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2248 CMU0924 C : ABDOMINAL RESECTION GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2249 CMU0925 -I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) GENERAL SURGERY 71500 64350 57900 52100 46900 42200 71500 52100
1994 CMU0824 B-I : COLOSTOMY LAP / OPEN GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2251 CMU0926 : OESOPHAGO- GASTRECTOMY GENERAL SURGERY 84000 75600 68050 61250 55100 49600 84000 61250
2252 CMU0927 : ACHALASIA CARDIA -SURGICAL CORRECTION GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
1997 CMU0825 -I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2253 CMU0928 -I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
1999 CMU0826 -I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2255 CMU0929 : ACHALASIA CARDIA -PNEUMATIC DILATATION GENERAL SURGERY 12200 11000 9900 8900 8000 7200 12200 8900
2256 CMU0930 : LAP FUNDOPLICATIONS GENERAL SURGERY 47300 42550 38300 34500 31050 27950 47300 34500
2257 CMU0931 -I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 0 0 0 0 0 0 0 0
2002 CMU0827 -I : RESECTION OF RETRO PERITONEAL TUMORS GENERAL SURGERY 49000 44100 39700 35700 32150 28950 49000 35700
2258 CMU0931 -IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2259 CMU0931 -IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2263 CMU0932 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
2264 CMU0933 : ENUCLEATION OF CYST - LAP /OPEN GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
2265 CMU0934 A-I : OTHER BYPASS PANCREAS - LAP /OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2267 CMU0934 B-I : TRIPLE BYPASS - LAP /OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2012 CMU0830 -II : INTERCOSTAL DRAINAGE GENERAL SURGERY 4300 3850 3500 3150 2800 2550 4300 3150
2013 CMU0831 : CRYOTHERAPY FOR ALL LESIONS GENERAL SURGERY 22800 20500 18450 16600 14950 13450 22800 16600
2269 CMU0935 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT) GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2270 CMU0936 : PANCREATIC NECROSECTOMY OPEN GENERAL SURGERY 46200 41600 37400 33700 30300 27300 46200 33700
1759 CMU0749 -I : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION GENERAL SURGERY 28800 25900 23350 21000 18900 17000 28800 21000
2271 CMU0937 : PANCREATIC NECROSECTOMY LAP GENERAL SURGERY 46200 41600 37400 33700 30300 27300 46200 33700
2272 CMU0938 A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS GENERAL SURGERY 36300 32650 29400 26450 23800 21450 36300 26450
2274 CMU0938 B-I : CYSTO JEJUNOSTOMY GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
1763 CMU0750 -I : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION GENERAL SURGERY 0 0 0 0 0 0 0 0
1764 CMU0750 -I-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
1765 CMU0750 -I-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
1766 CMU0750 -I-c : BONE TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
1513 CMU0662 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS, POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION GENERAL SURGERY 9500 8550 7700 6950 6250 5600 9500 6950
1514 CMU0663 A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION SOLID ORGANS) GENERAL SURGERY 50000 45000 40500 36450 32800 29500 50000 36450
1516 CMU0663 B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION OTHER ORGANS ) GENERAL SURGERY 41000 36900 33200 29900 26900 24200 41000 29900
2285 CMU0947 A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
1518 CMU0663 C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION SOLID ORGANS) GENERAL SURGERY 25100 22600 20350 18300 16450 14800 25100 18300
2286 CMU0947 B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
2287 CMU0947 C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN GENERAL SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
1520 CMU0663 D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION OTHER ORGANS) GENERAL SURGERY 45500 40950 36850 33150 29850 26850 45500 33150
2288 CMU0947 D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2289 CMU0947 E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
1522 CMU0664 : USG GUIDED MINOR PROCEDURES (FNAC, BIPOSY, SINOGRAPHY, TAPPING) GENERAL SURGERY 0 0 0 0 0 0 0 0
2290 CMU0947 F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1523 CMU0664 A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) GENERAL SURGERY 2500 2250 2050 1800 1650 1500 2500 1800
2291 CMU0948 A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP GENERAL SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2292 CMU0948 B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1525 CMU0664 B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) GENERAL SURGERY 3300 2950 2650 2400 2150 1950 3300 2400
2293 CMU0948 C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP GENERAL SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
2294 CMU0948 D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
1527 CMU0664 C-I : USG GUIDED MINOR PROCEDURES (TAPPING) GENERAL SURGERY 2500 2250 2050 1800 1650 1500 2500 1800
2295 CMU0948 E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2296 CMU0948 F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP GENERAL SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
2297 CMU0949 : LAP. APPENDICECTOMY GENERAL SURGERY 19800 17800 16050 14450 13000 11700 19800 14450
1786 CMU0754 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2298 CMU0950 : APPENDICULAR PERFORATION GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2299 CMU0951 A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2044 CMU0840 -I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS GENERAL SURGERY 0 0 0 0 0 0 0 0
2300 CMU0951 B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
1789 CMU0754 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2045 CMU0840 -I-A : AMPUTATION OF AK / BK GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2301 CMU0952 : OPERATION FOR BLEEDING PEPTIC ULCER GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2046 CMU0840 -I-B : AMPUTATION OF AE / BE GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2302 CMU0953 : PYLOROMYOTOMY GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
2047 CMU0840 -I-C : AMPUTATION OF FORE-FOOT GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2303 CMU0954 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
3328 CM1266 A : Penile prosthesis insertion, Malleable (Indian implant) - Post Trauma / CA GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
1793 CMU0754 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENITOURINARY SURGERY 57800 52000 46800 42150 37900 34150 57800 42150
1796 CMU0754 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENITOURINARY SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
1798 CMU0755 -II : HYPOSPADIAS GENITOURINARY SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
1800 CMU0756 -II : EPISPADIAS GENITOURINARY SURGERY 44100 39700 35700 32150 28950 26050 44100 32150
1802 CMU0757 -II : TORSION TESTIS GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3107 CM1231 : Endopyelotomy (retrograde with laser/bugbee) GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
3108 CM1232 : Endopyelotomy (antegrade with laser/bugbee) GENITOURINARY SURGERY 28000 25200 22680 20412 18371 16534 28000 20412
3109 CM1233 : Ureterocalycostomy Open GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
2342 CMU0963 A : PYELOLITHOTOMY - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3110 CM1234 : Ureterocalycostomy Laparoscopic GENITOURINARY SURGERY 30000 27000 24300 21870 19683 17715 30000 21870
2343 CMU0963 B : PYELOLITHOTOMY - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3111 CM1235 : Uretero-ureterostomy Open GENITOURINARY SURGERY 25000 22500 20250 18225 16403 14762 25000 18225
2344 CMU0964 A : NEPHROLITHOTOMY - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3112 CM1236 : Uretero-ureterostomy Laparoscopic GENITOURINARY SURGERY 35000 31500 28350 25515 22964 20667 35000 25515
2345 CMU0964 B : NEPHROLITHOTOMY - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3113 CM1237 : Perinephric Abscess drainage (Open) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
2346 CMU0965 : OPEN CYSTOLITHOTOMY GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
3114 CM1238 : Ureterotomy (Cutaneous) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
2347 CMU0966 A : URETEROLITHOTOMY - OPEN GENITOURINARY SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
3115 CM1239 : Endoureterotomy (laser/bugbee) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
2348 CMU0966 B : URETEROLITHOTOMY - LAP GENITOURINARY SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
3116 CM1240 : Ureteric reimplantation-unilateral-open GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
2349 CMU0967 A : VESICOLITHOTOMY - OPEN GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
3117 CM1241 : Uretero-vaginal/uterine fistula repair open GENITOURINARY SURGERY 27000 0 0 0 0 0 0 0
2350 CMU0967 B : VESICOLITHOTOMY - LAP GENITOURINARY SURGERY 15400 13850 12450 11250 10100 9100 15400 11250
3118 CM1242 : Uretero-vaginal/uterine fistula repair Laparoscopic GENITOURINARY SURGERY 37000 0 0 0 0 0 0 0
3119 CM1243 : Ureterolysis-open, for retroperitoneal fibrosis (with or without omental wrapping) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
3120 CM1244 : Ureterolysis-Laparoscopic, for retroperitoneal fibrosis (with or without omental wrapping) GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
3121 CM1245 : Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram GENITOURINARY SURGERY 10000 0 0 0 0 0 0 0
3122 CM1246 : Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram GENITOURINARY SURGERY 15000 0 0 0 0 0 0 0
3123 CM1247 : Post TURBT - Check Cystoscopy (Per sitting) with or without cold-cup biopsy GENITOURINARY SURGERY 10000 0 0 0 0 0 0 0
3124 CM1248 : Diagnostic Cystoscopy GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3125 CM1249 : Other Cystectomies GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
3126 CM1250 : Urethrovaginal fistula repair GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
3127 CM1251 : Y V Plasty of Bladder Neck/Bladder Neck Reconstruction GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
3128 CM1252 : Holmium Laser Prostatectomy GENITOURINARY SURGERY 40000 36000 32400 29160 26244 23620 40000 29160
3129 CM1253 : Reduction of Paraphimosis GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3130 CM1254 : Excision of Urethral Caruncle GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3131 CM1255 : Meatoplasty GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3132 CM1256 : Meatotomy GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3133 CM1257 : Urethrorectal fistula repair GENITOURINARY SURGERY 40000 0 0 0 0 0 0 0
3134 CM1258 : Urethral Dilatation-non endocopic as an independent procedure GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3135 CM1259 : Urethral Dilatation-endocopic as an independent procedure GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3136 CM1260 : Infertility-Scrotal exploration unilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3137 CM1261 : Infertility-Scrotal exploration bilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3138 CM1262 : Infertility-Vasoepididymostomy, microsurgical, unilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1347 CMU0596 A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - LIVING DONOR GENITOURINARY SURGERY 230000 230000 230000 230000 230000 230000 230000 230000
3139 CM1263 : Infertility-Vasoepididymostomy, microsurgical, bilateral GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1348 CMU0596 B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE THREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - CADAVERIC GENITOURINARY SURGERY 230000 230000 230000 230000 230000 230000 230000 230000
3140 CM1264 : Varicocele-unilateral-microsurgical GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1349 CMU0596 C-i : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 3 MONTHS - MONTHLY GENITOURINARY SURGERY 22600 22600 22600 22600 22600 22600 22600 22600
3141 CM1265 : Varicocele-bilateral-microsurgical GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1350 CMU0596 C-ii : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY GENITOURINARY SURGERY 11300 11300 11300 11300 11300 11300 11300 11300
3142 CM1266 : Penile prosthesis insertion, Malleable (Indian implant) GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1351 CMU0597 A : CYSTOLITHOTRIPSY GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
3143 CM1267 : Priapism-aspiration/shunt GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1352 CMU0597 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY GENITOURINARY SURGERY 17900 16100 14500 13050 11750 10550 17900 13050
3144 CM1268 : Neurogenic bladder-Package for evaluation/investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics). Follow up visit once in 3 months GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1353 CMU0597 C : RETROGRADE INTRARENAL SURGERY GENITOURINARY SURGERY 29400 26450 23800 21450 19300 17350 29400 21450
3145 CM1269 : Chronic prostatitis-Package for evaluation/investigation (ultrasound + culture + prostate massage) for 1 month (medicines). Follow up visit once in 3 months GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1354 CMU0598 : PERCUTANEOUS NEPHROLITHOTOMY GENITOURINARY SURGERY 32600 29350 26400 23750 21400 19250 32600 23750
3146 CM1270 : Emergency management of Ureteric stone - Package for evaluation/investigation (ultrasound + culture) for 3 weeks (medicines). GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1355 CMU0599 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY GENITOURINARY SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
3147 CM1271 : Emergency management of Hematuria GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1356 CMU0600 : URETERO RENOSCOPIC LITHOTRIPSY GENITOURINARY SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
3148 CM1272 : Emergency management of Acute retention of Urine GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1357 CMU0601 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA GENITOURINARY SURGERY 48300 43450 39100 35200 31700 28500 48300 35200
3149 CM1273 : Acute management of upper urinary tract trauma - conservative GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
1358 CMU0602 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY GENITOURINARY SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
3150 CM1274 : Urinary tract trauma - open surgery (exploratory) GENITOURINARY SURGERY 20000 0 0 0 0 0 0 0
1359 CMU0603 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
3151 CM1275 : Urinary tract trauma - Laparoscopy surgery GENITOURINARY SURGERY 30000 0 0 0 0 0 0 0
1360 CMU0603 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II GENITOURINARY SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
1361 CMU0604 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE GENITOURINARY SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1362 CMU0605 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS GENITOURINARY SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1363 CMU0606 A : RENAL CYST EXCISION - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1364 CMU0606 B : RENAL CYST EXCISION - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1365 CMU0607 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1366 CMU0607 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1367 CMU0608 : ENDOSCOPE REMOVAL OF STONE IN BLADDER GENITOURINARY SURGERY 16300 14650 13200 11900 10700 9600 16300 11900
1368 CMU0609 : URETERIC INJURY REPAIR GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1369 CMU0610 : BLADDER INJURY REPAIR GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2649 CMU1022 : RADICAL NEPHRECTOMY WITH IVC THROMBECTOMY GENITOURINARY SURGERY 60000 54000 48600 43750 39350 35450 60000 43750
1370 CMU0611 : URETERIC REIMPLANTATION GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1371 CMU0612 : VESICO VAGINAL FISTULA GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1372 CMU0613 : CLOSURE OF URETHRAL FISTULA GENITOURINARY SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
1373 CMU0614 : OPTICAL URETHROTOMY GENITOURINARY SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
1374 CMU0615 : PERINEAL URETHROSTOMY GENITOURINARY SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
1375 CMU0616 : ANDERSON HYNES PYELOPLASTY GENITOURINARY SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1376 CMU0617 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY GENITOURINARY SURGERY 37300 33550 30200 27200 24450 22050 37300 27200
1377 CMU0617 B : BLADDER NECK INCISION (BNI) GENITOURINARY SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
1378 CMU0618 : SUPRA PUBIC CYSTOSTOMY GENITOURINARY SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
1379 CMU0619 : DIVERTICULECTOMY /PERSISTENT URACHUS GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1380 CMU0620 : URACHAL SINUS/TUMOR / EXCISION GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1381 CMU0621 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY) GENITOURINARY SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1382 CMU0622 : TRANSURETHRAL RESECTION OF PROSTATE (TURP) GENITOURINARY SURGERY 28400 25550 23000 20700 18650 16750 28400 20700
1383 CMU0623 : TURP WITH CYSTOLITHOTRIPSY GENITOURINARY SURGERY 29400 26450 23800 21450 19300 17350 29400 21450
1384 CMU0624 : CHORDEE CORECTION GENITOURINARY SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
1385 CMU0625 : PROSTATIC ABSCESS -ULTRASOUND GUIDED TRANSURETHERAL DRAINAGE GENITOURINARY SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2158 CMU0874 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENITOURINARY SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2161 CMU0875 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L GENITOURINARY SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
1916 CMU0794 A-III : OPEN CYSTECTOMY (BLADDER) (PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
1919 CMU0794 B-III : OPEN CYSTECTOMY (BLADDER) (RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
1437 CMU0650 -I : NEPHROSTOMY GENITOURINARY SURGERY 8800 8800 8800 8800 8800 8800 8800 8800
1700 CMU0732 A-III : SIMPLE /HEMI NEPHRECTOMY OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1703 CMU0732 B-III : RADICAL NEPHRECTOMY GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1706 CMU0733 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENITOURINARY SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1709 CMU0733 B-III : LAP NEPHRECTOMY-RADICAL GENITOURINARY SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
1710 CMU0734 A-I : NEPHROURETERECTOMY OPEN GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1712 CMU0734 B-I : NEPHROURETERECTOMY LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2009 CMU0829 A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2010 CMU0829 B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY) GENITOURINARY SURGERY 8800 7900 7150 6400 5750 5200 8800 6400
1502 CMU0657 -II : OPEN PROSTATECTOMY GENITOURINARY SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
1504 CMU0658 -II : RADICAL PROSTATECTOMY GENITOURINARY SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
2281 CMU0944 A : URETEROSCOPY AND DJ STENTING U/L GENITOURINARY SURGERY 6600 5950 5350 4800 4350 3900 6600 4800
2282 CMU0944 B : URETEROSCOPY AND DJ STENTING B/L GENITOURINARY SURGERY 9900 8900 8000 7200 6500 5850 9900 7200
2283 CMU0945 : URETEROSCOPY AND DJ STENT REMOVAL GENITOURINARY SURGERY 3200 2900 2600 2350 2100 1900 3200 2350
2284 CMU0946 : TRANSURETHRAL RESECTION OF BLADDER TUMOR INCLUDING RE-TURBT GENITOURINARY SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
1785 CMU0754 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1788 CMU0754 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
3326 CM1450 : Unspecified Surgical Package GENITOURINARY SURGERY 0 0 0 0 0 0 0 0
3072 CM1196 : Adhenolysis+ Salpingostomy GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
3073 CM1197 : Broad Ligment Haemotoma drainage GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
3074 CM1198 : Brust abdomen repair GYNAECOLOGY OBSTETRIC SURGERY 14000 12600 11340 10206 9185 8267 14000 10206
3075 CM1199 : Cone Biopsy Cervix GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3076 CM1200 : Conventional Tubectomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3077 CM1201 : Cyst -Vaginal Enucleation GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3078 CM1202 : Cyst-Labial GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3079 CM1203 : D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3080 CM1204 : D&C (Dilatation&curretage) GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3081 CM1205 : Exploration of abdominal haematoma (after laparotomy + LSCS) GYNAECOLOGY OBSTETRIC SURGERY 14000 0 0 0 0 0 0 0
3082 CM1206 : Fractional Curretage GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3083 CM1207 : Gaping Perineal wound secondary suturing/ episiotomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
1804 CMU0758 -II : URETEROCELE SURGERY GYNAECOLOGY OBSTETRIC SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
3084 CM1208 : HaematoColpo/Excision - Vaginal Septum GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3085 CM1209 : Hymenectomy& Repair of Hymen GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3086 CM1210 : Amniocentesis GYNAECOLOGY OBSTETRIC SURGERY 5000 0 0 0 0 0 0 0
3087 CM1211 : Cordocentesis GYNAECOLOGY OBSTETRIC SURGERY 5000 0 0 0 0 0 0 0
3088 CM1212 : Intrauterine transfusions GYNAECOLOGY OBSTETRIC SURGERY 10000 9000 8100 7290 6561 5905 10000 7290
1876 CMU0778 : LEIOMYOMA EXCISION GYNAECOLOGY OBSTETRIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
1926 CMU0796 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 23400 21050 18950 17050 15350 13800 23400 17050
2204 CMU0904 -II : PELVIC FLOOR RECONSTRUCTION WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 32300 29050 26150 23550 21200 19050 32300 23550
2208 CMU0905 -II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
1196 CMU0478 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT GYNAECOLOGY OBSTETRIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
1197 CMU0479 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME GYNAECOLOGY OBSTETRIC SURGERY 25600 23050 20750 18650 16800 15100 25600 18650
1198 CMU0480 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 20500 18450 16600 14950 13450 12100 20500 14950
1199 CMU0481 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 28100 25300 22750 20500 18450 16600 28100 20500
1200 CMU0482 A : VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR GYNAECOLOGY OBSTETRIC SURGERY 21100 19000 17100 15400 13850 12450 21100 15400
1201 CMU0482 B : VAGINAL HYSTERECTOMY WITH MESH REPAIR GYNAECOLOGY OBSTETRIC SURGERY 22800 20500 18450 16600 14950 13450 22800 16600
1202 CMU0483 : CYSTOCELE, RECTOCELE & PERINEORRAPHY GYNAECOLOGY OBSTETRIC SURGERY 16600 14950 13450 12100 10900 9800 16600 12100
1203 CMU0484 : SLINGS WITH MESH REPAIR FOR PROLAPSE GYNAECOLOGY OBSTETRIC SURGERY 19900 17900 16100 14500 13050 11750 19900 14500
1204 CMU0485 A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH GYNAECOLOGY OBSTETRIC SURGERY 16100 14500 13050 11750 10550 9500 16100 11750
1205 CMU0485 B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 19900 17900 16100 14500 13050 11750 19900 14500
1206 CMU0486 : LAPAROSCOPIC OVARIAN DRILLING GYNAECOLOGY OBSTETRIC SURGERY 11400 10250 9250 8300 7500 6750 11400 8300
1207 CMU0487 : LAPAROSCOPIC MYOMECTOMY GYNAECOLOGY OBSTETRIC SURGERY 23200 20900 18800 16900 15200 13700 23200 16900
1208 CMU0488 A : RECANALISATION ANY TYPE- OPEN GYNAECOLOGY OBSTETRIC SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1209 CMU0488 B : RECANALISATION ANY TYPE- LAP GYNAECOLOGY OBSTETRIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
1210 CMU0489 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA GYNAECOLOGY OBSTETRIC SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
1211 CMU0490 : DIAGNOSTIC HYSTERO- LAPROSCOPY GYNAECOLOGY OBSTETRIC SURGERY 12300 11050 9950 8950 8050 7250 12300 8950
1212 CMU0491 : LAPAROSCOPIC SLING OPERATIONS GYNAECOLOGY OBSTETRIC SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1213 CMU0492 A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
1214 CMU0492 B : PPH SURGICAL MANAGEMENT - EMBOLIZATION GYNAECOLOGY OBSTETRIC SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
1215 CMU0492 C : PPH SURGICAL MANAGEMENT - LIGATION GYNAECOLOGY OBSTETRIC SURGERY 12000 10800 9700 8750 7850 7100 12000 10800
1216 CMU0493 : PURANDARE'S CERVICOPEXY GYNAECOLOGY OBSTETRIC SURGERY 19000 17100 15400 13850 12450 11200 19000 13850
1217 CMU0494 : FOTHERGILLS /AMPUTATION OF THE CERVIX WITH VAGINAL WALL RECONSTRUCTION GYNAECOLOGY OBSTETRIC SURGERY 30000 27000 24300 21850 19700 17700 30000 27000
1218 CMU0495 : CRYO THERAPY - THERMOCOAGULATION - PRE INVASIVE LESION GYNAECOLOGY OBSTETRIC SURGERY 7500 6750 6100 5450 4900 4450 7500 6750
3038 CM1162 : Hysterotomes - 2nd Trimester abortions GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3039 CM1163 : Repair for rectovaginal fitulas GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
3040 CM1164 : LLETZ GYNAECOLOGY OBSTETRIC SURGERY 15000 0 0 0 0 0 0 0
3041 CM1165 : Colpotomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3042 CM1166 : Dilation and Evacuation (D&E) GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3043 CM1167 : Cervical biopsy and Polypectomy GYNAECOLOGY OBSTETRIC SURGERY 3000 0 0 0 0 0 0 0
3044 CM1168 : Bartholins Cyst Enucleation/ Incision drainage GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3045 CM1169 : Laparoscopic cystectomy GYNAECOLOGY OBSTETRIC SURGERY 15000 0 0 0 0 0 0 0
3046 CM1170 : Drag hysteroscopy GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
3047 CM1171 : Hysteroscopic myomectomies GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
3048 CM1172 : Hysteroscopic adhesiolysis GYNAECOLOGY OBSTETRIC SURGERY 6000 0 0 0 0 0 0 0
3049 CM1173 : Hysteroscopic polypectomy GYNAECOLOGY OBSTETRIC SURGERY 3000 0 0 0 0 0 0 0
3050 CM1174 : Hysteroscopic IUCD removal GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3051 CM1175 : Caesarian Delivery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3052 CM1176 : Caesarian hysterectomy GYNAECOLOGY OBSTETRIC SURGERY 16000 0 0 0 0 0 0 0
3053 CM1177 : High risk delivery: Pre-mature delivery GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3054 CM1178 : High risk delivery: Expected Gestation at delivery less than 35 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3055 CM1179 : High risk delivery: Mothers with eclampsia or imminent eclampsia GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3056 CM1180 : High risk delivery: Obstructed labour GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3057 CM1181 : High risk delivery: Major Fetal malformation requiring intervention immediately after birth GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3058 CM1182 : High risk delivery: Mothers with severe anaemia ( GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3059 CM1183 : High risk delivery: Other maternal and fetal conditions as per guidelines-Such as Rh haemolytic disease, uncontrolled diabetes, severe growth retardation etc that qualify for high risk delivery etc. GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3060 CM1184 : Manual removal of placenta GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3061 CM1185 : MTP > 12 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3062 CM1186 : MTP upto 12 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3063 CM1187 : MTP upto 8 weeks GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3064 CM1188 : McDonalds stitch GYNAECOLOGY OBSTETRIC SURGERY 4000 0 0 0 0 0 0 0
3065 CM1189 : Shirodkars stitch GYNAECOLOGY OBSTETRIC SURGERY 4000 0 0 0 0 0 0 0
3066 CM1190 : Laparotomy for broad ligament haematoma GYNAECOLOGY OBSTETRIC SURGERY 16000 0 0 0 0 0 0 0
3067 CM1191 : Abdominal Perineal neo construction Cx + Uteria + Vagina GYNAECOLOGY OBSTETRIC SURGERY 20000 18000 16200 14580 13122 11810 20000 14580
3068 CM1192 : Ablation of Endometriotic Spot + Adhenolysis GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3069 CM1193 : Ablation of Endometriotic Spot +Salpingostomy GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3070 CM1194 : Adhenolysis + Hernia - Ventral - Lipectomy/Incision GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
3071 CM1195 : Adhenolysis+ Ovarian Cystectomy GYNAECOLOGY OBSTETRIC SURGERY 10000 0 0 0 0 0 0 0
2643 CMU1016 : AUTO IMMUNE HEMOLYTIC ANEMIA-FIRST LINE TREATMENT HEMATOLOGY 30000 27000 24300 21850 19700 17700 30000 21850
2644 CMU1017 : AUTO IMMUNE HEMOLYTIC ANEMIA-SECOND LINE TREATMENT HEMATOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
2212 CMU0907 A-II : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY HEMATOLOGY 126000 113400 102050 91850 82650 74400 126000 91850
2213 CMU0907 A-II-a : THALASSEMIA MAJOR (UPTO) HEMATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
2215 CMU0907 B-II : SICKLE CELL ANAEMIA HEMATOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2216 CMU0907 C-I : OTHERS HEMATOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
1266 CMU0537 : THROMBOCYTOPENIA WITH BLEEDING DIATHESIS HEMATOLOGY 20000 18000 16200 14600 13100 11800 20000 14600
1267 CMU0538 -I : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) HEMATOLOGY 250000 250000 250000 250000 250000 250000 250000 250000
1268 CMU0538 -IA : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
1269 CMU0538 -IB : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
1270 CMU0538 -II : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED HEMATOLOGY 304900 304900 304900 304900 304900 304900 304900 304900
1271 CMU0538 -IIA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 22100 22100 22100 22100 22100 22100 22100 22100
1272 CMU0538 -IIB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 14300 14300 14300 14300 14300 14300 14300 14300
1273 CMU0538 -III : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED HEMATOLOGY 234900 234900 234900 234900 234900 234900 234900 234900
1274 CMU0538 -IIIA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
1275 CMU0538 -IIIB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 19400 19400 19400 19400 19400 19400 19400 19400
1276 CMU0538 -IV : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL HEMATOLOGY 234900 234900 234900 234900 234900 234900 234900 234900
1277 CMU0538 -IVA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
1278 CMU0538 -IVB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 19400 19400 19400 19400 19400 19400 19400 19400
2306 CMU0957 -I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C HEPATOLOGY 0 0 0 0 0 0 0 0
2307 CMU0957 -I-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS HEPATOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
2308 CMU0957 -I-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS HEPATOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
2309 CMU0957 -I-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS HEPATOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
2310 CMU0957 -I-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS HEPATOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
2311 CMU0957 -I-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS HEPATOLOGY 1000 1000 1000 1000 1000 1000 1000 1000
2312 CMU0957 -I-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2313 CMU0957 -I-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS HEPATOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
2314 CMU0957 -I-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS HEPATOLOGY 16000 16000 16000 16000 16000 16000 16000 16000
2315 CMU0957 -I-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS HEPATOLOGY 11000 11000 11000 11000 11000 11000 11000 11000
2326 CMU0957 -I-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2329 CMU0957 -I-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) HEPATOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
1306 CMU0561 : FULMINANT HEPATIC FAILURE HEPATOLOGY 51500 46350 41700 37550 33800 30400 51500 37550
1307 CMU0562 : PRIMARY BILIARY CIRRHOSIS HEPATOLOGY 29300 26350 23750 21350 19200 17300 29300 21350
2331 CMU0958 -II : CIRRHOSIS OF LIVER WITH COMPLICATIONS HEPATOLOGY 33100 29800 26800 24150 21700 19550 33100 24150
1308 CMU0563 : CHRONIC LIVER DISEASE -COMPENSATED/ DECOMPENSATED HEPATOLOGY 31600 28450 25600 23050 20750 18650 31600 23050
2595 CMU0981 : BUDD CHIARI SYNDROME HEPATOLOGY 18200 16400 14750 13250 11950 10750 18200 13250
2599 CMU0984 -II : WILSON'S DISEASE HEPATOLOGY 18100 16300 14650 13200 11900 10700 18100 13200
2610 CMU0990 -II : TOXIC/DRUG INCLUDED LIVER INJURY HEPATOLOGY 28200 25400 22850 20550 18500 16650 28200 20550
2243 CMU0923 -II : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION HEPATOLOGY 45000 40500 36450 32800 29500 26550 45000 32800
1238 CMU0511 : DIPTHERIA COMPLICATED INFECTIOUS DISEASES - GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
1239 CMU0512 : CRYPTOCOCCAL MENINGITIS INFECTIOUS DISEASES - GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
1240 CMU0513 : CEREBRAL MALARIA INFECTIOUS DISEASES - GENERAL MEDICINE 21000 18900 17000 15300 13800 12400 21000 15300
1 CMU0001 : CORONARY BALLOON ANGIOPLASTY (PPCI) INTERVENTIONAL CARDIOLOGY 50400 50400 50400 50400 50400 50400 50400 50400
2 CMU0002 : PTCA WITH STENT INTERVENTIONAL CARDIOLOGY 66200 66200 66200 66200 66200 66200 66200 66200
3 CMU0003 : ADDITIONAL STENT FOR PTCA INTERVENTIONAL CARDIOLOGY 18700 18700 16850 16850 16850 16850 18700 16850
4 CMU0004 : ASD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 83000 83000 74700 74700 74700 74700 83000 74700
5 CMU0005 : VSD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 83000 83000 74700 74700 74700 74700 83000 74700
6 CMU0006 : PDA STENTING INTERVENTIONAL CARDIOLOGY 63000 63000 56700 56700 56700 56700 63000 56700
7 CMU0007 : PDA DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 53000 53000 47700 47700 47700 47700 53000 47700
8 CMU0008 : PDA MULTIPLE COILS INTERVENTIONAL CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
9 CMU0009 : BALLOON VALVOTOMY ( ANY VALVE) INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
10 CMU0010 -A : PERMANENT PACEMAKER IMPLANTATION (SINGLE CHAMBER) INTERVENTIONAL CARDIOLOGY 80000 80000 72000 72000 72000 72000 80000 72000
11 CMU0010 -B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER) INTERVENTIONAL CARDIOLOGY 105000 105000 94500 94500 94500 94500 105000 94500
12 CMU0011 : TEMPORARY PACEMAKER IMPLANTATION INTERVENTIONAL CARDIOLOGY 8400 8400 7550 7550 7550 7550 8400 7550
13 CMU0012 : COARCTATION OF AORTA - WITH STENT INTERVENTIONAL CARDIOLOGY 66200 66200 59600 59600 59600 59600 66200 59600
14 CMU0013 : COARCTATION OF AORTA - WITHOUT STENT INTERVENTIONAL CARDIOLOGY 34700 34700 31250 31250 31250 31250 34700 31250
15 CMU0014 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT INTERVENTIONAL CARDIOLOGY 66200 66200 59600 59600 59600 59600 66200 59600
16 CMU0015 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY INTERVENTIONAL CARDIOLOGY 18700 18700 16850 16850 16850 16850 18700 16850
3172 CM1296 : Balloon Atrial Septostomy INTERVENTIONAL CARDIOLOGY 18000 18000 18000 18000 18000 18000 18000 18000
3173 CM1297 : PTSMA INTERVENTIONAL CARDIOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
3174 CM1298 : Pulmonary artery stenting INTERVENTIONAL CARDIOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
3175 CM1299 : Pulmonary artery stenting (double) INTERVENTIONAL CARDIOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
3176 CM1300 : Right ventricular outflow tract (RVOT) stenting INTERVENTIONAL CARDIOLOGY 40000 40000 40000 40000 40000 40000 40000 40000
3177 CM1301 : Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) INTERVENTIONAL CARDIOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
1537 CMU0668 -I : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 78500 70650 63600 57250 51500 46350 78500 57250
1540 CMU0669 -I : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1541 CMU0669 -IA : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - LARGE VESSELS INTERVENTIONAL RADIOLOGY 135000 121500 109350 98400 88550 79700 135000 98400
1542 CMU0669 -IB : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - MEDIUM VESSELS INTERVENTIONAL RADIOLOGY 88000 79200 71300 64150 57750 51950 88000 64150
1543 CMU0669 -IC : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - SMALL VESSELS INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1545 CMU0670 -I : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM INTERVENTIONAL RADIOLOGY 61600 55450 49900 44900 40400 36350 61600 44900
1547 CMU0671 -I : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS INTERVENTIONAL RADIOLOGY 117000 105300 94750 85300 76750 69100 117000 85300
1550 CMU0672 -I : EMBOLIZATION OF PULMONARY AV MALFORMATION INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1553 CMU0673 -I : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX INTERVENTIONAL RADIOLOGY 127100 114400 102950 92650 83400 75050 127100 92650
1555 CMU0674 -I : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA INTERVENTIONAL RADIOLOGY 140000 126000 113400 102050 91850 82650 140000 102050
1558 CMU0675 -I : PLAIN SIMPLE COILING OF ANEURYSM INTERVENTIONAL RADIOLOGY 79600 71650 64500 58050 52250 47000 79600 58050
1560 CMU0676 -I : BRAIN AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 145000 130500 117450 105700 95150 85600 145000 105700
1563 CMU0677 -I : TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 120000 108000 97200 87500 78750 70850 120000 87500
1566 CMU0678 -I : PERIPHERAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 108000 97200 87500 78750 70850 63750 108000 78750
1568 CMU0679 -I : TRANS ARTERIAL CHEMOEMBOLIZATION INTERVENTIONAL RADIOLOGY 130000 117000 105300 94750 85300 76750 130000 94750
1570 CMU0680 -I : HEAD AND NECK TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 120000 108000 97200 87500 78750 70850 120000 87500
1572 CMU0681 -I : PSEUDOANEURYSM EMBOLIZATION INTERVENTIONAL RADIOLOGY 65000 58500 52650 47400 42650 38400 65000 47400
1574 CMU0682 -I : PROSTATIC ARTERY EMBOLIZATION INTERVENTIONAL RADIOLOGY 72000 64800 58300 52500 47250 42500 72000 52500
1576 CMU0683 -A-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 81300 73150 65850 59250 53350 48000 81300 59250
1579 CMU0683 -B-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1582 CMU0684 -I : SPINAL DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1586 CMU0686 -I : LIVER HEMANGIOMA EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1588 CMU0687 -I : VEIN OF GALEN EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1590 CMU0688 -I : DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 135400 121850 109650 98700 88850 79950 135400 98700
1592 CMU0689 : RF ABLATION OF OSTEOID OSTEOMA INTERVENTIONAL RADIOLOGY 90000 81000 72900 65600 59050 53150 90000 65600
1593 CMU0690 -I : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
2617 CMU0997 -I : IVC FILTER REMOVAL INTERVENTIONAL RADIOLOGY 43000 38700 34850 31350 28200 25400 43000 31350
1595 CMU0691 -I : FISTULA SALVAGE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 73300 65950 59350 53450 48100 43300 73300 53450
1597 CMU0692 -I : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 188000 169200 152300 137050 123350 111000 188000 137050
1599 CMU0693 -I : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE INTERVENTIONAL RADIOLOGY 156000 140400 126350 113700 102350 92100 156000 113700
2624 CMU1000 -II : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS INTERVENTIONAL RADIOLOGY 92000 82800 74500 67050 60350 54350 92000 67050
1601 CMU0694 -I : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY INTERVENTIONAL RADIOLOGY 57300 51550 46400 41750 37600 33850 57300 41750
2626 CMU1001 -II : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) INTERVENTIONAL RADIOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
1603 CMU0695 -I : SUBCLAVIAN / ILIAC / SUPERFICIAL FEMORAL ARTERY - STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1605 CMU0696 -I : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1606 CMU0696 -I-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - BALLOON PLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1607 CMU0696 -I-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - STENTING INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1611 CMU0697 -I : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT INTERVENTIONAL RADIOLOGY 132000 118800 106900 96250 86600 77950 132000 96250
1613 CMU0698 -I : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT INTERVENTIONAL RADIOLOGY 98300 88450 79600 71650 64500 58050 98300 71650
1615 CMU0699 -I : INTRACRANIAL VENOUS STENTING INTERVENTIONAL RADIOLOGY 165000 148500 133650 120300 108250 97450 165000 120300
1617 CMU0700 -I : INTRACRANIAL ARTERIAL STENTING INTERVENTIONAL RADIOLOGY 165000 148500 133650 120300 108250 97450 165000 120300
1619 CMU0701 -I : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA INTERVENTIONAL RADIOLOGY 143800 129400 116500 104850 94350 84900 143800 104850
1621 CMU0702 -I : PERIPHERAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1623 CMU0703 -I : PERIPHERAL ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 90000 81000 72900 65600 59050 53150 90000 65600
1625 CMU0704 -I : SVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1627 CMU0705 -I : IVC ANGIOPLASTY INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1629 CMU0706 -I : IVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
3165 CM1289 : Additional coil for coil embolization for aneurysms INTERVENTIONAL RADIOLOGY 24000 24000 24000 24000 24000 24000 24000 24000
3166 CM1290 : Parent vessel occlusion - Basic INTERVENTIONAL RADIOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
1631 CMU0707 -I : BELOW KNEE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
3167 CM1291 : Additonal coil for Parent Vessel Occlusion INTERVENTIONAL RADIOLOGY 24000 24000 24000 24000 24000 24000 24000 24000
3168 CM1292 : Additonal balloon for Parent Vessel Occlusion INTERVENTIONAL RADIOLOGY 11000 11000 11000 11000 11000 11000 11000 11000
1633 CMU0708 -I : SUBCLAVIAN ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
3169 CM1293 : Balloon test occlusion INTERVENTIONAL RADIOLOGY 70000 70000 70000 70000 70000 70000 70000 70000
1635 CMU0709 -I : RENAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 85000 76500 68850 61950 55750 50200 85000 61950
1637 CMU0710 -I : VERTERBRAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 81500 73350 66000 59400 53450 48100 81500 59400
1639 CMU0711 -I : RENAL ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 85000 76500 68850 61950 55750 50200 85000 61950
1641 CMU0712 -I : DURAL SINUS ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1386 CMU0626 : INFERIOR VENA CAVA STENTING SINGLE STENT INTERVENTIONAL RADIOLOGY 250000 225000 202500 182250 164050 147600 250000 182250
1387 CMU0627 : CORTICAL VENOUS SINUS THROMBOLYSIS INTERVENTIONAL RADIOLOGY 250000 225000 202500 182250 164050 147600 250000 182250
1388 CMU0628 : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS INTERVENTIONAL RADIOLOGY 82500 74250 66850 60150 54150 48700 82500 60150
1644 CMU0713 -II : HEPATIC VEIN ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1389 CMU0629 : PERMANENT TUNNELED CATHETER PLACEMENT AS SUBSTITUTE FOR AV FISTULA IN LONG TERM DIALYSIS INTERVENTIONAL RADIOLOGY 42300 38050 34250 30850 27750 25000 42300 30850
1390 CMU0630 : STEREOTACTIC MAMMOGRAPHIC BIOPSY PROCEDURES INTERVENTIONAL RADIOLOGY 25400 22850 20550 18500 16650 15000 25400 18500
1391 CMU0631 : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA INTERVENTIONAL RADIOLOGY 109500 98550 88700 79850 71850 64650 109500 79850
1647 CMU0715 -A : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1392 CMU0632 : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) INTERVENTIONAL RADIOLOGY 135000 121500 109350 98400 88550 79700 135000 98400
1648 CMU0715 -B : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1393 CMU0633 : PERCUTANEOUS VERTEBRO PLASTY/ CEMENTOPLASTY (FOR EACH LEVEL) INTERVENTIONAL RADIOLOGY 78000 70200 63200 56850 51200 46050 78000 56850
1649 CMU0716 -I : ACUTE STROKE THROMBOLYSIS (R TPA ) INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1394 CMU0634 : PTBD STENTING WITH OR WITHOUT DRAINAGE INTERVENTIONAL RADIOLOGY 123000 110700 99650 89650 80700 72650 123000 89650
1650 CMU0716 -I-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (CATHTER DIRECTED) INTERVENTIONAL RADIOLOGY 125400 112850 101550 91400 82250 74050 125400 91400
1395 CMU0635 : TRANS JUGULAR LIVER BIOPSY INTERVENTIONAL RADIOLOGY 61200 55100 49550 44600 40150 36150 61200 44600
1651 CMU0716 -I-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS) INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1396 CMU0636 : FLOW DIVERTOR FOR WIDE NECK ANEURYSM INTERVENTIONAL RADIOLOGY 230000 207000 186300 167650 150900 135800 230000 167650
1652 CMU0716 -I-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 50 MG) INTERVENTIONAL RADIOLOGY 35400 35400 35400 35400 35400 35400 35400 35400
1653 CMU0716 -I-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 70MG) INTERVENTIONAL RADIOLOGY 56400 56400 56400 56400 56400 56400 56400 56400
1399 CMU0639 -I : TRANSPLEURAL BPF CLOSURE INTERVENTIONAL RADIOLOGY 43000 38700 34850 31350 28200 25400 43000 31350
1401 CMU0640 -I : CAROTID EMBOLECTOMY INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1403 CMU0641 -I : PULMONARY EMBOLECTOMY WITH IVC FILTER INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1663 CMU0717 -I : INFERIOR VENA CAVA FILTER PLACEMENT INTERVENTIONAL RADIOLOGY 78500 70650 63600 57250 51500 46350 78500 57250
1676 CMU0719 -I : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
1678 CMU0720 : CT GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 25300 22750 20500 18450 16600 14950 25300 18450
1679 CMU0721 : USG GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 20300 18250 16450 14800 13300 12000 20300 14800
1680 CMU0722 : C-ARM GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 22800 20500 18450 16600 14950 13450 22800 16600
1681 CMU0723 : CT GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 37300 33550 30200 27200 24450 22050 37300 27200
1682 CMU0724 : USG GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1683 CMU0725 : C-ARM GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1684 CMU0726 : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION INTERVENTIONAL RADIOLOGY 122000 109800 98800 88950 80050 72050 122000 88950
2199 CMU0900 : RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA INTERVENTIONAL RADIOLOGY 49600 44650 40200 36150 32550 29300 49600 36150
2200 CMU0901 : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED INTERVENTIONAL RADIOLOGY 72500 65250 58750 52850 47550 42800 72500 52850
2201 CMU0902 : EMBOLISATION OF ANEURYSM / STENT ASSISTED COILING OF INTRACRANIAL ANEURYSM INTERVENTIONAL RADIOLOGY 127000 114300 102850 92600 83300 75000 127000 92600
2244 CMU0923 -III : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION INTERVENTIONAL RADIOLOGY 45000 40500 36450 32800 29500 26550 45000 32800
1505 CMU0659 : CT GUIDED MAJOR PROCEDURES (DRAINAGE PIGTAIL INSERTION) INTERVENTIONAL RADIOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1506 CMU0660 -A : CT GUIDED MAJOR PROCEDURES ( RF - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1507 CMU0660 -B : CT GUIDED MAJOR PROCEDURES ( RF - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 62500 56250 50650 45550 41000 36900 62500 45550
1508 CMU0660 -C : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 55500 49950 44950 40450 36400 32750 55500 40450
1509 CMU0660 -D : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1510 CMU0661 -A : CT GUIDED MINOR PROCEDURES (FNAC, BIPOSY) INTERVENTIONAL RADIOLOGY 12600 11350 10200 9200 8250 7450 12600 9200
1511 CMU0661 -B : CT GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 14000 12600 11350 10200 9200 8250 14000 10200
1512 CMU0661 -C : CT GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 17600 15850 14250 12850 11550 10400 17600 12850
1515 CMU0663 A-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION SOLID ORGANS) INTERVENTIONAL RADIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1517 CMU0663 B-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION OTHER ORGANS ) INTERVENTIONAL RADIOLOGY 41000 36900 33200 29900 26900 24200 41000 29900
1519 CMU0663 C-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION SOLID ORGANS) INTERVENTIONAL RADIOLOGY 25100 22600 20350 18300 16450 14800 25100 18300
1521 CMU0663 D-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION OTHER ORGANS) INTERVENTIONAL RADIOLOGY 45500 40950 36850 33150 29850 26850 45500 33150
1524 CMU0664 A-II : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) INTERVENTIONAL RADIOLOGY 2500 2250 2050 1800 1650 1500 2500 1800
1780 CMU0751 -II : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION INTERVENTIONAL RADIOLOGY 41900 37700 33950 30550 27500 24750 41900 30550
1526 CMU0664 B-II : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
1782 CMU0752 -II : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING INTERVENTIONAL RADIOLOGY 75500 67950 61150 55050 49550 44600 75500 55050
1528 CMU0664 C-II : USG GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 2500 2250 2050 1800 1650 1500 2500 1800
1529 CMU0664 D-II : USG GUIDED MINOR PROCEDURES (TAPPING) - ENDOSCOPIC ULTRASOUND GUIDED PROCEDURE INTERVENTIONAL RADIOLOGY 5000 4500 4050 3650 3300 2950 5000 3650
1530 CMU0665 -I : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 130000 117000 105300 94750 85300 76750 130000 94750
1532 CMU0666 -I : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING INTERVENTIONAL RADIOLOGY 95000 85500 76950 69250 62350 56100 95000 69250
1534 CMU0667 -I : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER INTERVENTIONAL RADIOLOGY 110000 99000 89100 80200 72150 64950 110000 80200
1247 CMU0520 : DIRECT INTRA HEPATIC PORTO SYSTEMIC SHUNT MEDICAL GASTROENTROLOGY 385000 346500 311850 280650 252600 227350 385000 280650
1248 CMU0521 : ERCP & DOUBLE STENTING (METAL FOR CHOLANGIO CARCINOMA) - ADDITIONAL STENT ONLY MEDICAL GASTROENTROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
256 CMU0110 -ii-b : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - EOF (EPIRUBICIN/ OXALIPLATIN /FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 19300 19300 19300 19300 19300 19300 19300 19300
512 CMU0139 -i : PANCREAS CARCINOMA - PATIENTS WITH RESECTABLE PANCREATIC CANCER - LOCALLY ADVANCED ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2560 CMU0976 A-III-vii-c : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - VIPID - DAYS 1-3; ETOPOSIDE 100MG/M2 IV OVER 90 MINUTES + IFOSFAMIDE 1200MG/M2 IV OVER 1 HOUR + CISPLATIN 33MG/M2 IV OVER 1 HOUR + DEXAMETHASONE 40MG ORALLY OR IV. REPEAT CHEMOTHERAPY EVERY 3 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
257 CMU0110 -ii-c : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - EPIRUBICIN + CISPLATIN + CAPECITABINE ; DAY 1 - EPIRUBICIN 50MG/M2 IV + CISPLATIN 60MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
513 CMU0139 -i-a : PANCREAS CARCINOMA - PATIENTS WITH RESECTABLE PANCREATIC CANCER - LOCALLY ADVANCED GEMCITABINE ; DAYS 1, 8, AND 15 - GEMCITABINE 1, 000MG/M2 IV ; REPEAT EVERY 4 WEEKS FOR SIX CYCLES MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
2561 CMU0976 A-II-j : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CHLORAMBUCIL - DAYS 1-7; CHLORAMBUCIL 0.1MG/KG ORALLY DAILY OR 0.3MG/KG ORALLY DAILY. REPEAT EVERY 6 WEEKS. MEDICAL ONCOLOGY 1100 1100 1100 1100 1100 1100 1100 1100
258 CMU0110 -ii-d : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - ECF MODIFICATION (EPIRUBICIN + OXALIPLATIN + CAPECITABINE) ; DAY 1 - EPIRUBICIN 50MG/M2 IV + OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELYREPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
514 CMU0139 -ii : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2562 CMU0976 A-II-k : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - FLUDARABINE - DAYS 1-5; FLUDARABINE 25MG/M2 IV DAILY. REPEAT EVERY 4 WEEKS FOR 5-6 CYCLES MEDICAL ONCOLOGY 12700 12700 12700 12700 12700 12700 12700 12700
259 CMU0110 -ii-e : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL & CISPLATIN ; DAY 1 - CISPLATIN 75-80MG/M2 IV ; DAYS 1-5 - 5-FU 800MG/M2 IV ; REPEAT CYCLE EVERY 28 DAYS FOR 2-3 CYCLES PREOPERATIVELY AND 3-4 CYCLES POSTOPERATIVELY FOR A TOTAL OF 6 CYCLES. MEDICAL ONCOLOGY 7300 7300 7300 7300 7300 7300 7300 7300
515 CMU0139 -ii-a : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - 5-FU + LEUCOVORIN ; DAYS 1-5 - LEUCOVORIN 20MG/M2 IV, 5-FU 425MG/M2 IV ; REPEAT CYCLE EVERY 4 WEEKS MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2563 CMU0976 A-II-l : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - FLUDARABINE + CYCLOPHOSPHAMIDE + RITUXIMAB (FCR) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 2-4; FLUDARABINE 25MG/M2/DAY IV +CYCLOPHOSPHAMIDE 250MG/M2/DAY IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES WITH MEDICAL ONCOLOGY 27600 27600 27600 27600 27600 27600 27600 27600
260 CMU0110 -iii : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
516 CMU0139 -ii-b : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - GEMCITABINE & 5FU ; PRIOR TO CHEMORADIATION - ; DAYS 1, 8 AND 15 - GEMCITABINE 1, 000MG/M2 IV; INITIATE 1-2 WEEKS PRIOR TO CHEMORADIATION (50.4GY + 5-FU 250MG/M2/DAY). ; AFTER CHEMORADIATION - ; DAYS 1, 8 AND 15 - GEMCITABINE 1, 000MG/M2 IV; INITIATE 3-5 WEEKS FOLLOWING CHEMORADIATION. ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 MONTHS. MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
2564 CMU0976 A-II-m : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - ALEMTUZUMAB - ALEMTUZUMAB DOSES GRADUALLY ESCALATED OVER 1 WEEK (3, 10, AND 30 MG), FOLLOWED BY 36 ADDITIONAL TREATMENT-PHASE INFUSIONS AT 30-MG IV 3 TIMES WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 2800 2800 2800 2800 2800 2800 2800 2800
261 CMU0110 -iii-a : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL + LEUCOVORIN (I) ; CYCLES 1, 3, AND 4 (BEFORE AND AFTER RADIATION) DAYS 1-5 - LEUCOVORIN 20MG/M2 IV, 5-FU 425MG/M2/DAY IV ; REPEAT CYCLE EVERY 28 DAYS. ; CYCLE 2 (WITH RADIATION) DAYS 1-4 AND 31-33 - LEUCOVORIN 20MG/M2 IVP ; DAYS 1-4 - 5-FU 400MG/M2/DAY IVP. ; REPEAT CYCLE EVERY 35 DAYS MEDICAL ONCOLOGY 26700 26700 26700 26700 26700 26700 26700 26700
517 CMU0139 -ii-c : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - CONTINUOUS INFUSION 5-FU (WITH RADIATION) ; PRIOR TO CHEMORADIATION - ; DAYS 1-21 - 5-FU 250MG/M2/DAY CONTINUOUS IV INFUSION; INITIATE 1-2 WEEKS PRIOR TO CHEMORADIATION (50.4GY + 5-FU 250MG/M2/DAY). ; AFTER CHEMORADIATION - ; DAYS 1-28 - 5-FU 250MG/M2/DAY CONTINUOUS IV INFUSION; INITIATE 3-5 WEEKS FOLLOWING CHEMORADIATION. ; REPEAT CYCLE EVERY 6 WEEKS FOR 3 MONTHS. MEDICAL ONCOLOGY 21800 21800 21800 21800 21800 21800 21800 21800
2565 CMU0977 : MYELODYSPLASTIC SYNDROMES TREATMENT REGIMENS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
262 CMU0110 -iii-b : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL + LEUCOVORIN (II) ; DAYS 1, 2, 15, AND 16 - LEUCOVORIN 400MG/M2 IV, 5-FU 400MG/M2 IV AND 5-FU 1200MG/M2 INFUSION; ; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION. ; REPEAT CYCLE EVERY 28 DAYSREPEAT CYCLE EVERY 28 DAYS MEDICAL ONCOLOGY 15700 15700 15700 15700 15700 15700 15700 15700
518 CMU0139 -iii : PANCREAS CARCINOMA - NEOADJUVANT THERAPY - NEOADJUVANT THERAPY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2566 CMU0977 -i : SYMPTOMATICANEMIA WITH DEL(5Q) WITH OR WITHOUT OTHER CYTOGENETIC ABNORMALITIES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
263 CMU0110 -iii-c : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CAPECITABINE (I) ; DAYS 1-14 - CAPECITABINE 750-1000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 28 DAYS; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
519 CMU0139 -iii-a : PANCREAS CARCINOMA - NEOADJUVANT THERAPY - CAPECITABINECAPECITABINE ; CAPECITABINE ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 52 WEEKS. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2567 CMU0977 -i-a : SYMPTOMATIC ANEMIA WITH DEL(5Q) WITH OR WITHOUT OTHER CYTOGENETIC ABNORMALITIES - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
264 CMU0110 -iii-d : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CAPECITABINE (II) ; DAYS 1-5 OR DAYS 1-7 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY; WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
520 CMU0140 : PERI AMPULLARY CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2568 CMU0977 -ii : SYMPTOMATICANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
265 CMU0110 -iii-e : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL ; DAYS 1-5 OR DAYS 1-7 - 5-FU 200-250MG/M2 IV; ; WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
521 CMU0140 -a : PERI AMPULLARY CARCINOMA - 5-FU ; FLUOROURACIL 425 MG/M2 ADMINISTERED ON DAYS 1 TO 5 AND 29-33 MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
2569 CMU0977 -ii-a-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - RHU-EPO WITH OR WITHOUT G-CSF MEDICAL ONCOLOGY 26300 26300 26300 26300 26300 26300 26300 26300
266 CMU0110 -iii-f : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 60MG/M2 IV. ; DAYS 1-14 - CAPECITABINE 1000MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE EVERY 21 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 4200 4200 4200 4200 4200 4200 4200 4200
522 CMU0141 : NEURO ENDOCRINE CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2570 CMU0977 -ii-a-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - RHU-EPO (-) G-CSF MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
267 CMU0110 -iii-h : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - OXALIPLATIN + CAPECITABINE ; DAY 1 - OXALIPLATIN 130MG/M2 IV. ; DAYS 1-14 - CAPECITABINE 1000MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE EVERY 21 DAYS FOR 8 CYCLES.REPEAT CYCLE EVERY 21 DAYS FOR 8 CYCLES. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
523 CMU0141 -a : NEURO ENDOCRINE CARCINOMA - ALL NECS ARE COVERED UNDER ORGAN CANCERS. IF UNCOVERED - UNLISTED ONLY. MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2571 CMU0977 -ii-b-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - DARBEPOETIN ALFA WITH OR WITHOUT G-CSF MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
268 CMU0111 : COLORECTAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
524 CMU0142 : SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2572 CMU0977 -ii-b-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - DARBEPOETIN ALFA (-) G-CSF MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
269 CMU0111 -i : COLORECTAL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
525 CMU0142 -i : SARCOMA - GASTROINTESTINAL STROMAL TUMOR - GIST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2573 CMU0977 -iii : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
270 CMU0111 -i-a : COLORECTAL CARCINOMA - FOLFOX (STAGE - III) - (OXALIPLATIN, LEUCOVORIN, 5-FU) ; DAY 1 - OXALIPLATIN 85MG/M2 IV, LEUCOVORIN 400MG/M2 IV, 5-FU 400MG/M2 IV, FOLLOWED BY 5-FU 1, 200MG/M2/DAY IV X 2 DAYS (TOTAL 2, 400MG/M2) OVER 46-48-HOUR CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS- UPTO 12 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
526 CMU0142 -i-a : SARCOMA - GASTROINTESTINAL STROMAL TUMOR - GIST - IMATINIB ; IMATINIB 400MG ORALLY ONCE DAILY TO TWICE DAILY MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
2574 CMU0977 -iii-a-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - DECITABINE (15MG/M2) MEDICAL ONCOLOGY 16300 16300 16300 16300 16300 16300 16300 16300
271 CMU0111 -i-b : COLORECTAL CARCINOMA - CAPEOX (STAGE - III) (OXALIPLATIN, CAPECITABINE) ; DAY 1 - OXALIPLATIN 130MG/M2 IV OVER 2 HOURS ; DAYS 1-14 - CAPECITABINE 1, 000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 MONTHS MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
527 CMU0142 -ii : SARCOMA - SOFT TISSUE SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2575 CMU0977 -iii-a-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - DECITABINE (20MG/M2) MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
272 CMU0111 -i-c : COLORECTAL CARCINOMA - FLOX (STAGE - III) (5-FU, LEUCOVORIN, OXALIPLATIN) ; 5-FU 500MG/M2 IV BOLUS WEEKLY X 6, LEUCOVORIN 500MG/M2 IV WEEKLY X 6, EACH ; OXALIPLATIN 85MG/M2 IV ON WEEKS 1, 3, AND 5 ; 8-WEEK CYCLE X 3 CYCLES ; MEDICAL ONCOLOGY 31500 31500 31500 31500 31500 31500 31500 31500
528 CMU0142 -ii-a : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN + DACARBAZINE (AD) ; DAYS 1-4 - DOXORUBICIN 60MG/M2 + DACARBAZINE 750MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 12100 12100 12100 12100 12100 12100 12100 12100
2576 CMU0977 -iii-b : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
273 CMU0111 -i-d : COLORECTAL CARCINOMA - CAPECITABINE ; CAPECITABINE 1, 250MG/M2 - BD / TDS D 1-14 ; EVERY 3 WEEKS * 24 WEEKSL CARCINOMA - CAPECITABINE ; CAPECITABINE 1, 250MG/M2 - BD / TDS D 1-14 ; EVERY 3 WEEKS * 24 WEEKS MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
529 CMU0142 -ii-b : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN + IFOSFAMIDE + MESNA ; DAYS 1 AND 2 - DOXORUBICIN 30MG/M2/DAY IV, IFOSFAMIDE 3, 750MG/M2/DAY IV, MESNA 750MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
2577 CMU0978 : MULTIPLE MYELOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
274 CMU0111 -i-e : COLORECTAL CARCINOMA - FLUOROURACIL + LEUCOVORIN (I) ; LEUCOVORIN 500MG/M2 WEEKLY X 6 WEEKS, ; 5-FU 500MG/M2 WEEKLY X 6 WEEKS. ; REPEAT CYCLE EVERY 8 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 24900 24900 24900 24900 24900 24900 24900 24900
530 CMU0142 -ii-c : SARCOMA - SOFT TISSUE SARCOMA - MESNA + DOXORUBICIN + IFOSFAMIDE + DACARBAZINE (MAID) ; DAYS 1-3 - DOXORUBICIN 20MG/M2/DAY, IFOSFAMIDE 2, 500MG/M2/DAY, DACARBAZINE 300MG/M2/DAY IV ; DAYS 1-4 - MESNA 2, 500MG/M2/DAY IV FOR 84 TO 96 HOURS. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 11300 11300 11300 11300 11300 11300 11300 11300
2578 CMU0978 -a : MULTIPLE MYELOMA - LENALIDOMIDE (28 DAYS) + DEXAMETHASONE MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
275 CMU0111 -i-f : COLORECTAL CARCINOMA - FLUOROURACIL + LEUCOVORIN (II)SIMPLIFIED BIWEEKLY INFUSION. ; LEUCOVORIN 400MG/M2 IV, 5-FU BOLUS 400MG/M2 AND THEN 1, 200MG/M2/DAY X 2 DAYS (TOTAL 2, 400MG/M2 OVER 46-48 HOURS) ; REPEAT CYCLE EVERY 2 WEEKS FOR 6 CYCLES. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
531 CMU0142 -ii-d : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE + EPIRUBICIN + MESNA ; DAYS 1 AND 2 - EPIRUBICIN 60MG/M2/DAY IV ; DAYS 1-5 - IFOSFAMIDE 1.8G/M2/DAY IV + MESNA. ; REPEAT CYCLE EVERY 3 WEEKS FOR 5 CYCLES. MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
2579 CMU0978 -b : MULTIPLE MYELOMA - LENALIDOMIDE (21 DAYS) + DEXAMETHASONE MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
276 CMU0111 -ii : COLORECTAL CARCINOMA - CONCURRENT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
532 CMU0142 -ii-e : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + DOCETAXEL ; DAYS 1 AND 8 - GEMCITABINE 900MG/M2 IV ; DAY 8 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
2580 CMU0978 -c : MULTIPLE MYELOMA - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
277 CMU0111 -ii-a : COLORECTAL CARCINOMA - CONCURRENT - 5FU - WITH XRT ; DAYS 1-5 OR 1-7 - 5-FU 225MG/M2 IV ; WITH EXTERNAL BEAM RADIOTHERAPY MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
533 CMU0142 -ii-f : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + VINORELBINE ; DAYS 1 AND 8 - VINORELBINE 25MG/M2 IV, GEMCITABINE 800MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 15500 15500 15500 15500 15500 15500 15500 15500
2581 CMU0978 -d : MULTIPLE MYELOMA - BENDAMUSTINE + LENALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 14300 14300 14300 14300 14300 14300 14300 14300
278 CMU0111 -ii-b : COLORECTAL CARCINOMA - CONCURRENT - FLUOROURACIL + LEUCOVORIN - WITH XRT ; DAYS 1-4 - 5-FU 400MG/M2 IV + LEUCOVORIN 20MG/M2 IV. ; REPEAT CYCLE DURING WEEKS 1 AND 5 OF XRT. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
534 CMU0142 -ii-g : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + DACARBAZINE ; DAY 1 - GEMCITABINE 1, 800MG/M2 IV + DACARBAZINE 500MG/M2 IV. ; REPEAT CYCLE EVER 2 WEEKS FOR A TOTAL OF 12 CYCLES; MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
2582 CMU0978 -e : MULTIPLE MYELOMA - BENDAMUSTINE MEDICAL ONCOLOGY 23100 23100 23100 23100 23100 23100 23100 23100
279 CMU0111 -ii-c : COLORECTAL CARCINOMA - CONCURRENT - CAPECITABINE - WITH XRT ; CAPECITABINE TABLET 825MG / M2 TWICE DAILY ON DAYS 1-5 ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1400 1400 1400 1400 1400 1400 1400 1400
535 CMU0142 -ii-h : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN ; DOXORUBICIN 60-75MG/M2 IV ; ONCE EVERY 3 WEEKS MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
2583 CMU0978 -f : MULTIPLE MYELOMA - CYCLOPHOSPHAMIDE + LENALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
280 CMU0112 : OSTEOSARCOMA/ BONE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
536 CMU0142 -ii-i : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE ; DAYS 1-3 - IFOSFAMIDE 2, 000-3, 000MG/M2/DAY IV FOR 3 TO 4 DAYS + MESNA ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
2584 CMU0978 -g : MULTIPLE MYELOMA - DEXAMETHASONE + CYCLOPHOSPHAMIDE + ETOPOSIDE + CISPLATIN (DCEP) MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
281 CMU0112 -i-a : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - CISPLATIN + DOXORUBICIN ; DAYS 1-3 - DOXORUBICIN 25MG/M2/DAY IV, ; DAY 1 - CISPLATIN 100MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
537 CMU0142 -ii-j : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE ; DAY 1 - IFOSFAMIDE 5, 000MG/M2 + MESNA 5, 000MG/M2 IV ; DAY 2 - MESNA 400-600MG/M2 IV ; IFOSFAMIDE, MESNA ; REPEAT EVERY 3 WEEKS MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
2585 CMU0978 -h : MULTIPLE MYELOMA - DEXAMETHASONE + THALIDOMIDE + CISPLATIN + DOXORUBICIN + CYCLOPHOSPHAMIDE + ETOPOSIDE (DT-PACE) MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
282 CMU0112 -i-b-1 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - PRE OPERATIVE ; DAYS 1 AND 28 - METHOTREXATE 8G/M2 IV ; DAYS 7-9 AND 34-36 - CISPLATIN 120MG/M2 BY INFUSION FOR 72 HOURS. ; DAYS 9 AND 36 - DOXORUBICIN 60MG/M2 IV MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
538 CMU0142 -ii-k : SARCOMA - SOFT TISSUE SARCOMA - EPIRUBICIN ; EPIRUBICIN 160MG/M2 IV ; REPEAT EVERY 3 WEEKS MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
2586 CMU0978 -i : MULTIPLE MYELOMA - HIGH-DOSE CYCLOPHOSPHAMIDE MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
283 CMU0112 -i-b-2 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - POST OPERATIVE NECROSIS < 90% ; DAYS 1, 48, 96, AND 144 - DOXORUBICIN 45MG/M2/DAY FOR 2 CONSECUTIVE DAYS ; DAYS 21, 69, AND 117 - METHOTREXATE 8G/M2 IV ; DAYS 27, 75, AND 123 - CISPLATIN 120MG/M2 BY INFUSION FOR 72 HOURS. MEDICAL ONCOLOGY 42000 42000 42000 42000 42000 42000 42000 42000
539 CMU0142 -ii-l : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE ; DAYS 1 AND 8 - GEMCITABINE 1, 200MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2587 CMU0978 -j : MULTIPLE MYELOMA - VAD / VAMP MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
284 CMU0112 -i-b-3 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - POST OPERATIVE NECROSIS > 90%POSTOPERATIVE CHEMOTHERAPY (NECROSIS MEDICAL ONCOLOGY 62000 62000 62000 62000 62000 62000 62000 62000
540 CMU0142 -ii-m : SARCOMA - SOFT TISSUE SARCOMA - DACARBAZINE (I) ; DACARBAZINE 250MG/M2/DAY IV FOR 5 DAYS ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
2588 CMU0978 -k : MULTIPLE MYELOMA - MELPHALAN MEDICAL ONCOLOGY 4100 4100 4100 4100 4100 4100 4100 4100
285 CMU0112 -i-c : DOXORUBICIN + CISPLATIN + IFOSFAMIDE + HIGH-DOSE METHOTREXATE (INCLUDING SURGERY COST) MEDICAL ONCOLOGY 117100 117100 117100 117100 117100 117100 117100 117100
541 CMU0142 -ii-n : SARCOMA - SOFT TISSUE SARCOMA - DACARBAZINE (II) ; DACARBAZINE 800-1, 000MG/M2 IV ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
2589 CMU0978 -l : MULTIPLE MYELOMA - MELPHALAN + PREDNISOLONE MEDICAL ONCOLOGY 1200 1200 1200 1200 1200 1200 1200 1200
286 CMU0112 -i-d : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - IFOSFAMIDE + CISPLATIN + EPIRUBICIN ; DAY 1 - EPIRUBICIN 90MG/M2 IV, CISPLATIN 100MG/M2 IV ; DAYS 2-4 - IFOSFAMIDE 2.0G/M2 WITH MESNA ; REPEAT CYCLE EVERY 21 DAYS. (3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY). MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
542 CMU0142 -ii-o : SARCOMA - SOFT TISSUE SARCOMA - LIPOSOMAL DOXORUBICIN ; LIPOSOMAL DOXORUBICIN 30-50MG/M2 IV ; REPEAT EVERY 4 WEEKS. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
2590 CMU0978 -m : MULTIPLE MYELOMA - THALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
287 CMU0112 -ii : OTHER BONE TUMORS - CHORDROMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
543 CMU0142 -ii-p : SARCOMA - SOFT TISSUE SARCOMA - TEMOZOLOMIDE ; TEMOZOLOMIDE 200MG/M2 ORALLY TWICE DAILY FOR 5 DAYS, FOLLOWED BY 9 DOSES OF 90MG/M2 ORALLY ; REPEAT EVERY 4 WEEKS MEDICAL ONCOLOGY 4400 4400 4400 4400 4400 4400 4400 4400
2591 CMU0978 -n : MULTIPLE MYELOMA - MELPHALAN / PREDNISOLONE/THALIDOMIDE(MPT) MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
288 CMU0112 -ii-a : OTHER BONE TUMORS - CHORDROMA - IMATINIB ; IMATINIB 800 MG ONCE DAILY MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
544 CMU0143 : PRIMITIVE NEURO ECTODERMAL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2592 CMU0978 -O : MULTIPLE MYELOMA - ZOLEDRONIC ACID MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
289 CMU0112 -ii-b : OTHER BONE TUMORS - CHORDROMA - IMATINIB + CISPLATIN ; IMATINIB 400MG OD + CISPLATIN 25MG/M2 WEEKLY. MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
545 CMU0143 -a : PRIMITIVE NEURO ECTODERMAL TUMOR - WEEKLY VINCRISTINE ; VINCRISTINE 1.5MG/M2 IV, MAX 2MG ; FOR 5 TO 6 WEEKS MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
2593 CMU0979 : ALL LYMPHOMA SALVAGE CHEMO (PACKAGE 953 TO BE UTILISED) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
290 CMU0112 -ii-c : OTHER BONE TUMORS - CHORDROMA - IMATINIB + SIROLIMUS ; IMATINIB 400MG OD + SIROLIMUS 2MG OD MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
546 CMU0143 -b : PRIMITIVE NEURO ECTODERMAL TUMOR - VINCRISTINE + CISPLATIN + LOMUSTINE ; DURING CRANIOSPINAL RADIOTHERAPY (RT) ; DAY 1 - LOMUSTINE 75MG/M2 ORALLY ; DAY 2 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS; UP TO MAX 8 DOSES MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
2594 CMU0980 : CHILDHOOD B CELL LYMPHOMA VARIABLE REGIMEN (PACKAGE 953 TO BE UTILISED) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
291 CMU0112 -ii-d : OTHER BONE TUMORS - CHORDROMA - ERLOTINIB ; ERLOTINIB 150MG OD MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
547 CMU0143 -c : PRIMITIVE NEURO ECTODERMAL TUMOR - VINCRISTINE + CISPLATIN + CYCLOPHOSPHAMIDE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV, MAX 2MG ; DAYS 22, 23 - CYCLOPHOSPHAMIDE 1, 000MG/M2 IV MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
292 CMU0112 -ii-e : OTHER BONE TUMORS - CHORDROMA - SUNITINIB ; SUNITINIB 37.5MG OD MEDICAL ONCOLOGY 29900 29900 29900 29900 29900 29900 29900 29900
548 CMU0144 : ANAL CANAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
293 CMU0112 -iii : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
549 CMU0144 -a : ANAL CANAL CANCER - 5-FU + MITOMYCIN ; DAYS 1-4 AND 29-32 - 5-FU 1, 000MG/M2/DAY IV ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS (MAXIMUM 20MG PER COURSE), WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
294 CMU0112 -iii-a : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - DENOSUMAB ; DENOSUMAB 120MG SUBCUTANEOUS ON WEEK 1, 2 AND 3 OF A 4 WEEK CYCLE MEDICAL ONCOLOGY 58800 58800 58800 58800 58800 58800 58800 58800
550 CMU0144 -b : ANAL CANAL CANCER - CAPECITABINE + MITOMYCIN (I) ; DAYS 1-5 - CAPECITABINE 825MG/M2 ORALLY TWICE DAILY WEEKLY FOR 6 WEEKS, ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS, WITH CONCURRENT RADIOTHERAPY. MEDICAL ONCOLOGY 8500 8500 8500 8500 8500 8500 8500 8500
295 CMU0112 -iii-b : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - INTERFERON ALFA ; INTERFERON ALFA- 2A THRICE WEEKLY MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
551 CMU0144 -c : ANAL CANAL CANCER - CAPECITABINE + MITOMYCIN (II) ; DAYS 1-5 - CAPECITABINE 825MG/M2 ORALLY TWICE DAILY WEEKLY FOR 6 WEEKS, ; DAY 1 - MITOMYCIN 12MG/M2 IV BOLUS, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
296 CMU0112 -iii-c : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - PEGINTERFERON ; PEGINTERFERON ALFA-2A 1.0MCG/KG SQ INJECTION WEEKLY. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
552 CMU0144 -d : ANAL CANAL CANCER - CISPLATIN + 5-FU ; DAYS 1-5 - 5-FU 1, 000MG/M2/DAY IV ; DAY 2 - CISPLATIN 100MG/M2 IV ; REPEAT CYCLE EVERY 4 WEEKS, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
297 CMU0112 -iv : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
553 CMU0145 : CA-PENIS MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
298 CMU0112 -iv-a : VAC AND IE CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
299 CMU0112 -iv-b : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA VAIA ; DAY 1 - VINCRISTINE 1.5MG/M2 IV ; DAYS 1-3 - IFOSFAMIDE 2, 000MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
300 CMU0112 -vi : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA VIDE (VINCRISTINE + IFOSFAMIDE + DOXORUBICIN + ETOPOSIDE) ; DAY 1 - VINCRISTINE 1.4MG/M2 (MAX 2MG), ; DAYS 1-3 - DOXORUBICIN 20MG/M2 IV + IFOSFAMIDE 3MG/M2 IV + MESNA 3G/M2 + ETOPOSIDE 150MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES. MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
301 CMU0113 : WILMS TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
302 CMU0113 -a : WILMS TUMOR - VINCRISTINE & ACTINOMYCIN D ; DACTINOMYCIN 45MCG/KG - WEEK - 0, 3, 6, 9, 12, 15, 18 ; VINCRISTINE 1.5 MG/M2 - WEEK - 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 15, 18 MEDICAL ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
303 CMU0113 -b : WILMS TUMOR - DACTINOMYCIN, VINCRISTINE & ADRIAMYCIN ; DACTINOMYCIN 1.35 MG /M2 - WEEK - 0, 6, 12, 18, 24 ; ADRIYAMYCIN 30-45 MG /M2- WEEK - 3, 9, 15, 21 ; VINCRISTINE 2MG MAX- WEEK - 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 15, 18, 21, 24 MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
304 CMU0113 -c : WILMS TUMOR - ADRIAMYCIN, CYCLOPHOSPHAMIDE, ETOPOSIDE, VINCRISTINE ; CYCLOPHOSPHAMIDE 440MG/M2/DAY - WEEK 3, 9, 15, 21 FOR 5 DAYS, WEEK - 6, 12, 18, 24 FOR 3 DAYS ; ADRIYAMYCIN 30-45MG /M2- WEEK -0, 6, 12, 18, 24 ; VINCRISTINE 2MG (MAX)- WEEK - 1, 2, 4, 5, 6, 7, 8, 10, 11, 12, 13, 18, 24 ; ETOPOSIDE 100MG /M2- WEEK - 3, 9, 15, 21 MEDICAL ONCOLOGY 56400 56400 56400 56400 56400 56400 56400 56400
3376 CM1419 A : Acute lymphoblastic leukemia: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
305 CMU0113 -d : WILMS TUMOR - CYCLOPHOSPHAMIDE, ETOPOSIDE, CARBOPLATIN ; CYCLOPHOSPHAMIDE 440MG/M2/DAY - WEEK 6, 15, 24 *5 DAYS / WEEK ; CARBOPLATIN 500MG/M2 - WEEK - 0, 3, 9, 12, 18, 21 *2 DAYS / WEEK ; ETOPOSIDE 100MG/M2 - WEEK - 0, 3, 9, 12, 18, 21 *5 DAYS / WEEK MEDICAL ONCOLOGY 88700 88700 88700 88700 88700 88700 88700 88700
3377 CM1420 A : Acute myeloid leukemia: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
306 CMU0114 : HEPATOBLASTOMA- OPERABLEHEPATOBLASTOMA- OPERABLE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
3378 CM1421 A : Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
307 CMU0114 -a : HEPATOBLASTOMA- OPERABLE - PLADO - CISPLATIN + DOXORUBICIN ; CISPLATIN (PLA) (80MG/M2 / IV), DOXORUBICIN (DO) (30 MG/M2 IV ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
3379 CM1422 A : Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 25000 25000 25000 25000 25000 25000 25000 25000
308 CMU0114 -b : HEPATOBLASTOMA- OPERABLE - CISPLATIN + VINCRISTINE +5FU ; CISPLATIN (90 MG/M2), VINCRISTINE (1.5MG/M2), 5-FU(5-FLUROURACIL- 600 MG/M2) ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
3380 CM1423 A : Non-Hodgkin Lymphoma: Supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 50000 50000 50000 50000 50000 50000 50000 50000
309 CMU0115 : HEPATOCELLULAR CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
3381 CM1429 A : Chronic Myeloid Leukemia : supportive care/ rehabilitation - Blood & Blood Product transfusions / granulocyte colony-stimulating factor (G-CSF) / Granulocyte-macrophage colony-stimulating factor (GM-CSF) / TPN MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
310 CMU0115 -a : HEPATOCELLULAR CARCINOMA - SORAFENIB ; SORAFENIB 400 MG PO BID MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
3382 CM1430 A : Terminally Ill - Pain management (Opioid therapy / Neural Blocks / epidural or Intrathecal infusions / Antero-lateral spinal cordotomy (tractotomy) by RFA) / TPN - Per month MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
311 CMU0116 : NEUROBLASTOMA ALL STAGES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
312 CMU0116 A : NEUROBLASTOMA ALL STAGES - VINCRISTINE/CISPLATIN/ETOPOSIDE/CYCLOPHOSPHAMIDE/CARBOPLATIN MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
313 CMU0116 B : NEUROBLASTOMA ALL STAGES - CYCLOPHOSPHAMIDE/ADRIAMYCIN/VINCRISTINE ; D1-D5 - CYCLOPHOSPHAMIDE 300MG/M2 ; ADRIAMYCIN 60MG/M2 ; VINCRISTINE 1.5MG/M2 MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
2361 CMU0975 : SURGERY/CHEMOTHERAPY/RADIOTHERAPY FOR ALL LEUKEMIAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
314 CMU0116 C : NEUROBLASTOMA ALL STAGES - CISPLATIN & ETOPOSIDE ; DAYS 1-5 - CISPLATIN - 20MG/M2 ; DAYS 1-5 - ETOPOSIDE - 70 MG/M2 MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
2362 CMU0975 A : ALL LEUKEMIA( CHEMOTHERAPHY) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
315 CMU0116 D : NEUROBLASTOMA ALL STAGES - CARBOPLATIN & ETOPOSIDE ; DAYS 1-2 - CARBOPLATIN - 500MG/M2 ; DAYS 1-5 - ETOPOSIDE 100MG/M2 MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
2363 CMU0975 A-I : CHRONIC MYELOID LEUKEMIA (CML) - CHRONIC MYELOID LEUKEMIA (CML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
316 CMU0116 E : NEUROBLASTOMA ALL STAGES - FOR STAGE IV PALLIATIVE CHEMOTHERAPY ONLY MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
2364 CMU0975 A-II : ACUTE MYELOID LEUKEMIA (AML) - ACUTE MYELOID LEUKEMIA (AML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
317 CMU0117 : RETINOBLASTOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2365 CMU0975 A-II-a : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE 1 - AGE MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
318 CMU0117 -a : RETINOBLASTOMA - MELPHALAN - INTRA-ARTERIAL ; MELPHALAN - 3-7.5MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
2366 CMU0975 A-I-i-a : CHRONIC MYELOID LEUKEMIA (CML) - IMATINIB - LOW TO INTERMEDIATE RISK - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
319 CMU0117 -b : RETINOBLASTOMA - CARBOPLATIN - INTRA-ARTERIAL ; CARBOPLATIN 15-30 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
2367 CMU0975 A-II-b : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE - AGE MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
320 CMU0117 -c : RETINOBLASTOMA - TOPOTECAN - INTRA-ARTERIAL ; TOPOTECAN 0.15-1.5 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
2368 CMU0975 A-I-i-b : CHRONIC MYELOID LEUKEMIA (CML) - NILOTINIB - LOW TO INTERMEDIATE RISK - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
321 CMU0117 -d : RETINOBLASTOMA - METHOTREXATE - INTRA-ARTERIAL ; METHOTREXATE 6-12 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 9100 9100 9100 9100 9100 9100 9100 9100
2369 CMU0975 A-II-c : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE 2 - AGE MEDICAL ONCOLOGY 10900 10900 10900 10900 10900 10900 10900 10900
322 CMU0117 -e : RETINOBLASTOMA - CARBOPLATIN - PERI OCULAR ; CARBOPLATIN 20MG/M2 - PERI OCULAR MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
2370 CMU0975 A-II-d : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
323 CMU0117 -f : RETINOBLASTOMA - TOPOTECAN - PERI OCULAR ; TOPOTECAN 0.09 - 0.27 - PERI OCULAR MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
2371 CMU0975 A-II-e : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
324 CMU0117 -g : RETINOBLASTOMA - MELPHALAN - INTRA-VITREAL ; MELPHALAN 20-30 MCG / 0.1CC - INTRA-VITREAL MEDICAL ONCOLOGY 300 300 300 300 300 300 300 300
2372 CMU0975 A-II-f : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN (90MG) + CYTARABINE - AGE ?60 YEARS, DAYS 1-3; DAUNORUBICIN 45-90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
325 CMU0117 -h : RETINOBLASTOMA - CARBOPLATIN - INTRA-VITREAL ; CARBOPLATIN 3-6MCG / 0.05CC - INTRA-VITREAL MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
2373 CMU0975 A-II-g : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE - AGE ?60 YEARS, DAYS 1-3; IDARUBICIN 12MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
326 CMU0117 -i : RETINOBLASTOMA - METHOTREXATE - INTRA-VITREAL ; METHOTREXATE 400MCG/0.1CC - INTRA-VITREAL MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
2374 CMU0975 A-II-h : ACUTE MYELOID LEUKEMIA (AML) - MITOXANTRONE + CYTARABINE - AGE ?60 YEARS, DAYS 1-3; MITOXANTRONE 12MG/M2 IV), DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 10800 10800 10800 10800 10800 10800 10800 10800
327 CMU0117 -j : RETINOBLASTOMA - CARBOPLATIN + ETOPOSIDE + VINCRISTINE ; CARBOPLATIN 560MG/M2 ; ETOPOSIDE 150MG/M2 ; VINCRISTINE 1.5MG/M2 MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
2375 CMU0975 A-III : CHRONICLYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
328 CMU0118 : HISTIOCYTOSIS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2376 CMU0975 A-II-i : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE - AGE ?60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-10; CYTARABINE 20MG SC TWICE DAILY MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
329 CMU0118 -a : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - 1; PREDNISOLONE AND VINBLASTINE - 1 ; PREDNISOLONE - 6 WEEKS ORAL ; VINBLASTINE 1, 2, 3, 4, 5, 6 MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
2377 CMU0975 A-I-ii : CHRONICMYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
330 CMU0118 -b : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - 2; PREDNISOLONE AND VINBLASTINE - 1 ; PREDNISOLONE - 6 WEEKS ORAL ; VINBLASTINE 1, 2, 3, 4, 5, 6 MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
2378 CMU0975 A-I-ii-a : CML - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - INDUCTION - 4 WEEKS OF STANDARD INDUCTION CHEMOTHERAPY - CYCLOPHOSPHAMIDE 1200 MG/M 2 (800 MG/M2 - OLDER THAN 60 Y) IV ON DAY 1 +DAUNORUBICIN 45 MG/M 2/DAY (30 MG/M 2/DAY - OLDER THAN 60 Y) IV ON DAYS 1-3 +VINCRISTINE 2 MG IV ON DAYS 1, 8, 15, AND 22 +PREDNISONE 60 MG/M 2/DAY PO ON DAYS 1-21 (DAYS 1-7- OLDER THAN 60 Y) + L-ASPARAGINASE 6000 U/M 2 SC ON DAYS 5, 8, 11, 15, 18, AND 22 MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
331 CMU0118 -c : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - CONTINUATION; PREDNISOLONE AND VINBLASTINE - CONTINUATION AFTER EITHER COURSE 1 OR BOTH 1 & 2 ; PREDNISOLONE - 5 DAYS A WEEK ORAL ; VINBLASTINE -IV ; REPEAT EVERY 3 WEEKS TILL 1 YEAR MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2379 CMU0975 A-III-a-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 1 - DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY MEDICAL ONCOLOGY 1200 1200 1200 1200 1200 1200 1200 1200
332 CMU0119 : RHABDOMYOSARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2380 CMU0975 A-III-a-ii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 3 - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY MEDICAL ONCOLOGY 21800 21800 21800 21800 21800 21800 21800 21800
333 CMU0119 -a : RHABDOMYOSARCOMA - VAC (VINCRISTINE + DACTINOMYCIN + CYCLOPHOSPHAMIDE + MESNA ) ; DAY -1 - VINCRISTINE 1.5 MG /M2 IV (2 MG MAX), DOXORUBICIN 75 MG /M2 IV, CYCLOPHOSPHAMIDE 1200 MG /M2 IV + MESNA ; REPEAT AT 21 DAY INTERVALS FOR 4-6 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2381 CMU0975 A-III-a-iii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 4-8 - DAY 1; RITUXIMAB 500MG/M2 IV, DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY. MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2637 CMU1010 : HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY MEDICAL ONCOLOGY 100000 100000 100000 100000 100000 100000 100000 100000
334 CMU0119 -b : RHABDOMYOSARCOMA - IVA (VINCRISTINE + DACTINOMYCIN + IFOSFAMIDE + MESNA ) ; DAY 1, 2 - IFOSFAMIDE IV 3 G/M2 + MESNA ; DAY 1 - VINCRISTINE IV 1.5 MG/M2 (MAX 2 MG), ACTINOMYCIN-D IV 1.5 MG/M2 (MAX 2 MG) ; REPEAT AT 21 DAY INTERVALS FOR 6 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
2382 CMU0975 A-III-a-iv : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - MAINTANANCE - RITUXIMAB - RITUXIMAB AT DOSE OF 375MG/M2 IV EVERY 2 MONTHS FOR 2 YEARS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2638 CMU1011 : HYPERTHERMIC INTRAPERITONEAL CATHETER INSERTION MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
335 CMU0119 -c : RHABDOMYOSARCOMA - IVAD (VINCRISTINE + DOXORUBICIN + IFOSFAMIDE + MESNA ) ; DAYS 1 AND 2 - IFOSFAMIDE 3 G/M2 + MESNA, DOXORUBICIN 30MG/M2 ; DAY 1 - VINCRISTINE 1.5 MG/M2, ACTINOMYCIN-D 1.5 MG/M2 ; REPEAT AT 21 DAY INTERVALS FOR 6 CYCLES MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
2383 CMU0975 A-III-b : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB DAY 1, 8, 15, AND 22 - DAY 1, 8, 15, AND 22; RITUXIMAB 375MG/M2/DAY IV. MEDICAL ONCOLOGY 85500 85500 85500 85500 85500 85500 85500 85500
336 CMU0120 : EWINGS SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2384 CMU0975 A-I-ii-b : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
337 CMU0120 -i : EWINGS SARCOMA - INDUCTION TREATMENT I MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2385 CMU0975 A-III-c : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - CHLORAMBUCIL - DAYS 1-28; CHLORAMBUCIL 0.4MG/KG/DAY WITH AN INCREASE TO 0.8MG/KG ORALLY DAILY. REPEAT CYCLE EVERY 28 DAYS FOR 12 CYCLES MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
338 CMU0120 -i-a : EWINGS SARCOMA - INDUCTION TREATMENT - VIDE ; DAY 1 - VINCRISTINE 1.5MG/M2(MAX 2MG) IV ; DAYS 1-3 - DOXORUBICIN 20MG/M2 IV, IFOSFAMIDE 3G/M2IV, MESNA CONTINUOUS IV, ETOPOSIDE 150MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 8800 8800 8800 8800 8800 8800 8800 8800
2386 CMU0975 A-I-ii-c : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
339 CMU0120 -i-b : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2387 CMU0975 A-III-d-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE + RITUXIMAB (CYCLE -1) - DAY 0; RITUXIMAB 375MG/M2 IV, DAYS 1 AND 2; BENDAMUSTINE 70MG/M2 IV. REPEAT NEXT CYCLE AFTER 28 DAYS MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
340 CMU0120 -i-b-1 : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE - VAC ; DAY 1 - VINCRISTINE 2MG/M2 (MAX 2MG) IV, DOXORUBICIN 75MG/M2 IV BOLUS, CYCLOPHOSPHAMIDE 1, 200MG/M2 IV, MESNA. ; DACTINOMYCIN 1.25MG/M2 IV CAN BE SUBSTITUTED FOR DOXORUBICIN WHEN A TOTAL DOXORUBICIN DOSE OF 375MG/M2 IS REACHED. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
2388 CMU0975 A-III-d-ii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE + RITUXIMAB (CYCLES 2-6) - RITUXIMAB 500MG/M2 ON DAY 1 AND BENDAMUSTINE - 90MG/M2. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 32300 32300 32300 32300 32300 32300 32300 32300
341 CMU0120 -i-b-2 : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE - IE ; IE CYCLES ; DAYS 1-5 - IFOSFAMIDE 1, 800MG/M2 IV + MESNA + ETOPOSIDE 100MG/M2 IV. ; REPEAT EACH CYCLE EVERY 3 WEEKS FOR 17 CYCLES. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
2389 CMU0975 A-III-d-iii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE (70MG) (CYCLE -1) - DAYS 1 AND 2; BENDAMUSTINE 70MG/M2 IV. REPEAT NEXT CYCLE AFTER 28 DAYS MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
2645 CMU1018 : CHEMOPORT - DEVICE WITH ACESSORIES AND MAINTENCE MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
342 CMU0120 -i-c : EWINGS SARCOMA - INDUCTION TREATMENT - VAIA - 4 DAY REGIMEN ; DAY 1 - VINCRISTINE 1.5MG/M2IV ; DAYS 1-3 - IFOSFAMIDE 2, 000MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, THEN LOCAL THERAPY, FOLLOWED BY 10 ADDITIONAL CYCLES OF VAIA FOR HIGH RISK AND ; 10 ADDITIONAL CYCLES OF VAIA OR 10 CYCLES OF VACA FOR STANDARD-RISK PATIENTS MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
2390 CMU0975 A-III-d-iv : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE (90 MG) (CYCLES 2-6) - DAY 1 - BENDAMUSTINE 90MG/M2. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
343 CMU0120 -i-d : EWINGS SARCOMA - INDUCTION TREATMENT - VAIA - 24 DAY REGIMEN ; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.5MG/M2 IV ; DAYS 1, 2, 22, 23, 43, AND 44 - IFOSFAMIDE 3, 000MG/M2 IV + MESNA ; DAYS 1, 2, 43, AND 44 - DOXORUBICIN 30MG/M2 IV ; DAYS 22, 23, AND 24 - DACTINOMYCIN 0.5MG/M2 IV ; AFTER COMPLETION OF ONE 9-WEEK CYCLE, LOCAL THERAPY FOLLOWED BY 3 ADDITIONAL CYCLES. MEDICAL ONCOLOGY 18600 18600 18600 18600 18600 18600 18600 18600
2391 CMU0975 A-III-e : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - FLUDARABINE + CYCLOPHOSPHAMIDE + RITUXIMAB (FCR) - DAY 1; RITUXIMAB 375MG OR 500/M2 IV, DAYS 1-3; FLUDARABINE 25MG/M2/DAY IV PLUS CYCLOPHOSPHAMIDE 250MG/M2/DAY IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 27200 27200 27200 27200 27200 27200 27200 27200
2647 CMU1020 : HEMATOLOGICAL AND ONCOLOGICAL EMERGENCIES ( SUPERIOR MEDIASTINAL SYNDROME, SUPERIOR VENA CAVA SYNDROME, HYPER LEUCOCYTOSIS, HYPERVISCOSITY DUE TO DYSPROTEINEMIA, VASO-OCCLUSIVE CRISIS) MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
344 CMU0120 -i-e : EWINGS SARCOMA - INDUCTION TREATMENT - VACA ; DAY 1 - VINCRISTINE 1.5MG/M2 IV + CYCLOPHOSPHAMIDE 1, 200MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 10 CYCLES. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
2392 CMU0975 A-III-f : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - FLUDARABINE + RITUXIMAB (FR) - DAYS 1-5; FLUDARABINE 25MG/M2 IV, DAY 1; RITUXIMAB 50MG/M2 IV, DAY 3; RITUXIMAB 325MG/M2 IV, DAY 5; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES WITH RITUXIMAB GIVEN AT A DOSE OF 375MG/M2 ON DAY 1 OF SUBSEQUENT CYCLES. MEDICAL ONCOLOGY 57800 57800 57800 57800 57800 57800 57800 57800
2648 CMU1021 : TUMOURLYSIS SYNDROME ( DRUGS AND MANAGEMENT WITHOUT DIALYSIS) MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
345 CMU0120 -ii : EWINGS SARCOMA - MAINTENANCE TREATMENT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2393 CMU0975 A-III-g : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - ALEMTUZUMAB + RITUXIMAB - DAY 1; ALEMTUZUMAB 3MG IV, DAY 2; ALEMTUZUMAB 10MG IV, DAY 3, 10, 12, 17, 19, 24, AND 26; ALEMTUZUMAB 30MG IV MEDICAL ONCOLOGY 92700 92700 92700 92700 92700 92700 92700 92700
346 CMU0120 -ii-a : EWINGS SARCOMA - MAINTENANCE TREATMENT - ETOPOSIDE/IFOSFAMIDE ; DAYS 1-5 - IFOSFAMIDE 1, 800MG/M2/DAY IV + MESNA ; DAYS 1-5 - ETOPOSIDE 100MG/M2/DAY IV. MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
2394 CMU0975 A-III-h : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - ALEMTUZUMAB WITHOUT RITUXIMAB - DAY 1; ALEMTUZUMAB 3MG IV, DAY 2; ALEMTUZUMAB 10MG IV, DAY 3, 10, 12, 17, 19, 24, AND 26; ALEMTUZUMAB 30MG IV MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
347 CMU0121 : PALLIATIVE CHEMOTHERAPY (ANY REGIMEN)- MAXIMUM PAYABLE MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
2395 CMU0975 A-III-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - HIGH-DOSE METHYLPREDNISOLONE + RITUXIMAB - DAYS 1-3; METHYLPREDNISOLONE 1G/M2 IV, DAYS 1, 8, 15, AND 22; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 88400 88400 88400 88400 88400 88400 88400 88400
348 CMU0122 : CERVICAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2396 CMU0975 A-I-iii : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
349 CMU0122 -a : CERVICAL CANCER - CISPLATIN ; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2397 CMU0975 A-I-iii-a : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN (90MG/M2)+ CYTARABINE - < 60 YEARS, DAYS 1-3; DAUNORUBICIN 90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
350 CMU0122 -b : CERVICAL CANCER - CISPLATIN & 5FU WITH RT ; DAYS 1-5 OF RADIOTHERAPY - CISPLATIN 75MG/M2 IV, 5-FU 4, 000MG/M2 IV OVER 96 HOURS ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
2398 CMU0975 A-I-iii-b : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN + CYTARABINE + CLADRIBINE - AGE MEDICAL ONCOLOGY 10900 10900 10900 10900 10900 10900 10900 10900
351 CMU0122 -c : CERVICAL CANCER - CISPLATIN & 5FU ; DAYS 1 AND 29 - CISPLATIN 50MG/M2 IV ; DAYS 2-5, AND 30-33 - 5-FU 1, 000MG/M2 IV MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
2399 CMU0975 A-I-iii-c : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
2655 CMU1028 : INTRATHECAL CHEMOTHERAPY MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
352 CMU0123 : VULVAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2400 CMU0975 A-I-iii-d : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN (90MG) + CYTARABINE - AGE >60 YEARS - DAYS 1-3; DAUNORUBICIN 45-90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
353 CMU0123 -a : VULVAL CANCER - CISPLATIN ; DAY 1 - 40 MG/M 2 IV MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2401 CMU0975 A-I-iii-e : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IDARUBICIN + CYTARABINE (HIGH DOSE) - DAYS 1-3; IDARUBICIN 12MG/M2, DAYS 1-6; HIGH-DOSE CYTARABINE 2G/M2 IV EVERY 12 HOURS, OR DAYS 1-4; HIGH-DOSE CYTARABINE 3G/M2 IV EVERY 12 HOURS MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
354 CMU0123 -b : VULVAL CANCER - CISPLATIN + 5FU ; DAYS 1-5 OF RADIOTHERAPY - CISPLATIN 75MG/M2 IV, 5-FU 4, 000MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS - TOTAL 3 CYCLES MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
2402 CMU0975 A-I-iii-f : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IDARUBICIN + CYTARABINE - AGE ?60 YEARS, DAYS 1-3; IDARUBICIN 12MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
355 CMU0123 -c : VULVAL CANCER - 5-FU + MITOMYCIN ; 5-FU + MITOMYCIN ; DAYS 1-4 AND 29-32 - 5-FU 1, 000MG/M2/DAY CONTINUOUS IV INFUSION ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS (MAXIMUM 20MG PER COURSE), MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
2403 CMU0975 A-I-iii-g : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - MITOXANTRONE + CYTARABINE - AGE ?60 YEARS, DAYS 1-3; MITOXANTRONE 12MG/M2 IV), DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
356 CMU0123 -e : VULVAL CANCER - CISPLATIN + 5FU ; DAYS 1 AND 29 - CISPLATIN 50MG/M2 IV ; DAYS 2-5, AND 30-33 - 5-FU 1, 000MG/M2 IV MEDICAL ONCOLOGY 11700 11700 11700 11700 11700 11700 11700 11700
2404 CMU0975 A-I-iii-h : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
357 CMU0124 : VAGINAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2405 CMU0975 A-I-iii-i : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
358 CMU0124 -a : VAGINAL CANCER - CISPLATIN ; CISPLATIN 75MG/M2 ; ONCE WEEKLY FOR UP TO 6 DOSES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2406 CMU0975 A-III-j : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - HIGH-DOSE METHYLPREDNISOLONE - DAYS 1-3; METHYLPREDNISOLONE 1G/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
359 CMU0125 : OVARIAN CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2407 CMU0975 A-II-j : ACUTE MYELOID LEUKEMIA (AML) - DECITABINE - AGE ?60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-5; DECITABINE 20MG/M2 IV FOR A 4-WEEK CYCLE. MEDICAL ONCOLOGY 26300 26300 26300 26300 26300 26300 26300 26300
360 CMU0125 -a : OVARIAN CANCER - PACLITAXEL + CISPLATIN ; DAY 1 - PACLITAXEL 135MG/M2 CONTINUOUS IV ; DAY 2 - CISPLATIN 75-100MG/M2 ; DAY 8 - PACLITAXEL 60MG/M2 ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES. MEDICAL ONCOLOGY 9300 9300 9300 9300 9300 9300 9300 9300
2408 CMU0975 A-II-k : ACUTE MYELOID LEUKEMIA (AML) - AZACYTIDINE - AGE ?60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-7; 5-AZACYTIDINE 75MG/M2 IV EVERY 28 DAYS MEDICAL ONCOLOGY 81400 81400 81400 81400 81400 81400 81400 81400
361 CMU0125 -b : OVARIAN CANCER - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 175MG/M2 IV, CARBOPLATIN AUC 5-6 MG/MIN/ML IV ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
2409 CMU0975 A-II-l : ACUTE MYELOID LEUKEMIA (AML) - HYDROXYUREA - AGE ?60 YEARS, HYDROXYUREA 10-70MG/KG/DAY ORALLY IN DIVIDED DOSES. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
362 CMU0125 -c : OVARIAN CANCER - DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 60-75MG/M2 IV, CARBOPLATIN AUC 5-6 MG/MIN/ML ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
2410 CMU0975 A-II-m : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE - HIGH DOSE - AGE MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
363 CMU0126 : ENDOMETRIAL CANCER (PALLIATIVE CHEMOTHERAPY ONLY) MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
2411 CMU0975 A-II-n : ACUTE MYELOID LEUKEMIA (AML) - CLADRIBINE + CYTARABINE + IDARUBICIN + GCSF - DAYS 1-5; CLADRIBINE 5MG/M2 IV, DAYS 1-5; CYTARABINE 2G/M2 IV, DAYS 0-5; GRANULOCYTE-COLONY STIMULATING FACTOR (G-CSF) 300MCG SC, DAYS 1-3; IDARUBICIN 10MG/M2 IV. MEDICAL ONCOLOGY 89400 89400 89400 89400 89400 89400 89400 89400
364 CMU0127 : OVARY- GERM CELL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2412 CMU0975 A-II-o : ACUTE MYELOID LEUKEMIA (AML) - CLADRIBINE + CYTARABINE + MITOXANTRONE + GCSF - DAYS 1-5; CLADRIBINE 5MG/M2 IV, DAYS 1-5; CYTARABINE 2G/M2 IV, DAYS 0-5; GRANULOCYTE-COLONY STIMULATING FACTOR (G-CSF) 300MCG SC, DAYS 1-3; MITOXANTRONE 10MG/M2 IV. MEDICAL ONCOLOGY 42700 42700 42700 42700 42700 42700 42700 42700
365 CMU0127 -a : OVARY- GERM CELL TUMOR - BEP (BLEOMYCIN + ETOPOSIDE + CISPLATIN) ; DAYS 1, 8, 15 - BLEOMYCIN 30 UNITS/WK IV, ETOPOSIDE 100 MG/M 2/DAY IV ; DAYS 1-5 - CISPLATIN 20 MG/M 2/DAY IV ; REPEAT EVERY 21 DAYS 3-4 CYCLES MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
2413 CMU0975 A-II-p : ACUTE MYELOID LEUKEMIA (AML) - FLUDARABINE + CYTARABINE + IDARUBICIN + GCSF -DAYS 1-5; FLUDARABINE 30MG/M2 IV OVER 0.5 HOURS, DAYS 1-5; CYTARABINE 2G/M2 IV OVER 4 HOURS, DAYS 0 TO POLYMORPHONUCLEAR RECOVERY (>0.5 X 109/L); G-CSF 5MCG/KG OR 300MCG/M2. (G-CSF MAY ALSO START ON DAY +6 UNTIL ENGRAFTMENT.) + DAYS 1-3; IDARUBICIN 10MG/M2 IV. MEDICAL ONCOLOGY 70100 70100 70100 70100 70100 70100 70100 70100
366 CMU0127 -b : OVARY- GERM CELL TUMOR - EP ( ETOPOSIDE + CARBOPLATIN) ; DAY 1 - CARBOPLATIN 400 MG/M 2 IV ON DAYS 1-3 ; REPEAT EVERY 28 DAYS FOR THREE CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2414 CMU0975 A-II-q : ACUTE MYELOID LEUKEMIA (AML) - ETOPOSIDE +CYTARABINE+MITOXANTRONE - ETOPOSIDE +CYTARABINE+MITOXANTRONE, DAYS 1-6; ETOPOSIDE 80MG/M2 IV OVER 1 HOUR, DAYS 1-6; CYTARABINE 1G/M2 IV OVER 6 HOURS + DAYS 1-6; MITOXANTRONE 6MG/M2 IV BOLUS MEDICAL ONCOLOGY 13900 13900 13900 13900 13900 13900 13900 13900
367 CMU0128 : GESTATIONAL TROPHOBLAST DISEASES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2415 CMU0975 A-II-r : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE SC - DAYS 1-10; CYTARABINE 20MG SC TWICE DAILY MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
368 CMU0128 -a : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE (5 DAYS REGIMEN) ; DAYS 1-5 - MTX 0.4 MG/KG/DAY IV OR IM FOR 5 DAYS, NOT TO EXCEED 25 MG/DAY ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2416 CMU0975 A-II-s : ACUTE MYELOID LEUKEMIA (AML) - AZACYTIDINE - DAYS 1-7; 5-AZACYTIDINE 75MG/M2 IV EVERY 28 DAYS MEDICAL ONCOLOGY 81400 81400 81400 81400 81400 81400 81400 81400
369 CMU0128 -b : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE (8-DAY ALTERNATING REGIMEN) ; DAYS 1, 3, 5, AND 7 - MTX 1 MG/KG IM, ; DAYS 2, 4, 6, AND 8 - FOLINIC ACID 15 MG ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
2417 CMU0975 A-II-t : ACUTE MYELOID LEUKEMIA (AML) - DECITABINE - DAYS 1-5; DECITABINE 20MG/M2 IV EVERY 28 DAYS. MEDICAL ONCOLOGY 26800 26800 26800 26800 26800 26800 26800 26800
370 CMU0128 -c : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE + FOLINIC ACID ; DAY 1 - MTX 100 MG/M 2 IVP, THEN 200 MG/M 2 INFUSION ; DAY 2 - FOLINIC ACID 15 MG IM/PO Q12H FOR 4 DOSES ; REPEAT CYCLE EVERY 18 DAYS MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
2418 CMU0975 A-IV : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
371 CMU0128 -d : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE - WEEKLY ; MTX 30-50 MG/M 2 IM WEEKLY MEDICAL ONCOLOGY 1400 1400 1400 1400 1400 1400 1400 1400
2419 CMU0975 A-IV-i : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
372 CMU0128 -e : GESTATIONAL TROPHOBLAST DISEASES - ACT-D ; ACT-D 10-13 MCG/KG OR 0.5-MG FLAT DOSE IV QD FOR 5D ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
2420 CMU0975 A-IV-i-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 INDUCTION PHASE; INDUCTION; 4 WEEKS OF STANDARD INDUCTION CHEMOTHERAPY; CYCLOPHOSPHAMIDE 1200 MG/M 2 (800 MG/M 2 IF PATIENTS OLDER THAN 60 Y) IV ON DAY 1 +DAUNORUBICIN 45 MG/M 2/DAY (30 MG/M 2/DAY IF PATIENTS OLDER THAN 60 Y) IV ON DAYS 1 - 3 +VINCRISTINE 2 MG IV ON DAYS 1, 8, 15, AND 22 +PREDNISONE 60 MG/M 2/DAY PO ON DAYS 1 - 21 (DAYS 1 - 7 IF PATIENTS OLDER THAN 60 Y); MEDICAL ONCOLOGY 14000 14000 14000 14000 14000 14000 14000 14000
373 CMU0128 -f : GESTATIONAL TROPHOBLAST DISEASES - ACTINOMYCIN ; ACTINOMYCIN 1.25 MG/M 2 IV ; REPEAT EVERY 2 WEEKS MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
2421 CMU0975 A-IV-i-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 1 - (3 WEEKS); DAY 1 - METHOTREXATE (MTX) INTRATHECALLY (IT), ETOPOSIDE 100MG/M2/DAY INTRAVENOUSLY (IV), IFOSFAMIDE 3.4G/M2/DAY IV; DAYS 1 - 21 - IMATINIB 340MG/M2/DAY ORALLY; DAYS 6 - 15 - FILGRASTIM 5G/KG/DAY SUBCUTANEOUSLY (SC) +/- IMATINIB; DAYS 8 AND 15 - CNS LEUKEMIA ONLY - MTX IT, HYDROCORTISONE IT, CYTARABINE IT; MEDICAL ONCOLOGY 18000 18000 18000 18000 18000 18000 18000 18000
374 CMU0128 -g : GESTATIONAL TROPHOBLAST DISEASES - EMA-CO (COMPLETE) ; DAY 1 - ACT-D - 0.5 MG IV, ETOPOSIDE - 100 MG/M2 IV, MTX - 300 MG/M2 IV ; DAY 2 - ACT-D - 0.5 MG IV, ETOPOSIDE - 100 MG/M2 IV, LEUCOVORIN - 15 MG PO/IM Q12H 4 DOSES ; DAY 8 - VINCRISTINE - 0.8 MG/M2 IV, CYCLOPHOSPHAMIDE - 600 MG/M2 IV ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
2422 CMU0975 A-IV-i-a-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 2 (3 WEEKS); DAY 1 - AGE ADJUSTED - MTX IT, HYDROCORTISONE IT, CYTARABINE IT + MTX 5G/M2 IV OVER 24 HOURS; DAYS 1 - 21 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF PATIENT DOES NOT ACHIEVE COUNT RECOVERY WITHIN 2 WEEKS OF LAST DOSE OF PREVIOUS COURSE); DAYS 2 - 3 - LEUCOVORIN 75MG/M2 36 HOURS AFTER MTX, FOLLOWED BY 15MG/M2 IV OR ORALLY EVERY 6 HOURS FOR 6 DOSES + CYTARABINE 3G/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES; DAYS 4 - 13 - FILGRASTIM 5G/KG/DAY SC MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
375 CMU0129 : TESTICULAR CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2423 CMU0975 A-IV-i-a-4 : ALL - PH(+) AYA - COG AALL-0031 REINDUCTION ; DAY 1 - VINCRISTINE 1.5MG/M2 IV + AGE ADJUSTED - MTX IT, HYDROCORTISONE IT, CYTARABINE IT; DAYS 1 - 2 - DAUNORUBICIN 45MG/M2/DAY IV BOLUS; DAYS 1 - 21 - DEXAMETHASONE 6MG/M2/DAY ORALLY +/- IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAYS 3 - 4 - CYCLOPHOSPHAMIDE 250MG/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES + MESNA 125MG/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES; DAYS 4, 6, 8, 10, 12, 15, 17, 19, AND 21 - L - ASPARAGINASE 6, 000 IU/M2 INTRAMUSCULARLY (IM); DAYS 5 - 14 - FILGRASTIM 5G/KG/DAY SC; DAYS 8 AND 15 - VINCRISTINE 1.5MG/M2 IV; DAY 15 - MTX IT, HYDROCORTISONE IT, CYTARABINE IT. MEDICAL ONCOLOGY 26600 26600 26600 26600 26600 26600 26600 26600
376 CMU0129 -a : TESTICULAR CANCER - EP ; DAYS 1-5 - ETOPOSIDE 100MG/M2, CISPLATIN 20MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
2424 CMU0975 A-IV-i-a-5 : ALL - PH(+) AYA - COG AALL-0031 INTENSIFICATION; DAY 1 - MTX, HYDROCORTISONE, CYTARABINE - IT + MTX IV; DAYS 1-63 - IMATINIB ORAL; DAYS 2-3 - LEUCOVORIN ; DAY 8 - MTX IV; DAYS 9-10 - LEUCOVORIN; DAY 15 - MTX , HYDROCORTISONE , CYTARABINE - IT; DAYS 15-19 - ETOPOSIDE + CYCLOPHOSPHAMIDE + MESNA - IV; DAYS 20-29 - FILGRASTIM SC; DAYS 36-37 - CYTARABINE; DAY 37 - L - ASPARAGINASE IM +/- IMATINIB; DAYS 43-44 - CYTARABINE IV; DAY 44 - L - ASPARAGINASE IM +/- IMATINIB; MEDICAL ONCOLOGY 43500 43500 43500 43500 43500 43500 43500 43500
377 CMU0129 -b : TESTICULAR CANCER - BEP ; DAYS 1-5 - CISPLATIN 20MG/M2, ETOPOSIDE 100MG/M2 ; DAYS 1, 8, AND 15 OR DAYS 2, 9, OR 16 - BLEOMYCIN 30 UNITS IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
2425 CMU0975 A-IV-i-a-6 : ALL - PH(+) AYA - COG AALL-0031 MAINTENANCE CYCLES 1-4 (8 WEEKS); DAY 1 - MTX, HYDROCORTISONE, CYTARABINE - IT + VINCRISTINE + MTX IV; DAYS 1 - 5 - DEXA; DAYS 1 - 56 - IMATINIB; DAY 2 - LEUCOVORIN 36 HOURS AFTER MTX; DAYS 8, 15, AND 22 - MTX ORAL; DAYS 8 - 28 - 6-MP; DAY 29 - MTX, HYDROCORTISONE, CYTARABINE - IT + VINCRISTINE IV; DAYS 29 - 33 - DEXA; DAYS 29 - 40 - IMATINIB; DAYS 36 - 40 - ETOPOSIDE + CYCLOPHOSPHAMIDE IV; DAYS 41 - 50 - FILGRASTIM SC; MEDICAL ONCOLOGY 37400 37400 37400 37400 37400 37400 37400 37400
378 CMU0129 -c : TESTICULAR CANCER - VIP ; DAY 1 (BEFORE IFOSFAMIDE) - MESNA 120MG/M2 IV ; DAYS 1-5 - ETOPOSIDE 75MG/M2 IV, MESNA 1, 200MG/M2 IV, IFOSFAMIDE 1, 200MG/M2 IV + CISPLATIN 20MG/M2. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
2426 CMU0975 A-IV-i-a-7 : ALL - PH(+) AYA -COG AALL-0031 MAINTENANCE CYCLES 5-12 (8 WEEKS); CYCLE 5 ONLY - CRANIAL IRRADIATION 12 GY; DAY 1 - VINCRISTINE 1.5MG/M2 IV; DAYS 1 - 5 - DEXAMETHASONE 6MG/M2/DAY ORALLY; DAYS 1 - 14 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAYS 8, 15, AND 22 - MTX 20MG/M2/WEEK ORALLY; DAYS 8 - 28 - 6 - MP 75MG/M2/DAY; DAY 29 - VINCRISTINE 1.5MG/M2 IV; DAYS 29 - 33 - DEXAMETHASONE 6MG/M2/DAY ORALLY; DAYS 29 - 42 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAY 36 - MTX 20MG/M2/WEEK ORALLY; DAYS 36 - 56 - 6 - MP 75MG/M2/DAY; DAYS 43 AND 50 - MTX 20MG/M2/WEEK ORALLY; MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
123 CMU0106 : BREAST CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
379 CMU0130 : PROSTATE CANCERPROSTATE CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2427 CMU0975 A-IV-i-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 (CYCLES 1 AND 3 ONLY) - RITUXIMAB 375MG/M2 IV. MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
124 CMU0106 -a : BREAST CANCER - COMBINED REGIMEN AC & T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
380 CMU0130 -a : PROSTATE CANCER - DOCETAXEL + PREDNISONE ; DAY 1 - DOCETAXEL 75MG/M2 IV, PREDNISONE 5MG ORALLY TWICE DAILY. ; ONCE EVERY 3 WEEKS, REPEAT FOR UP TO 10 CYCLES IF TOLERATED MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2428 CMU0975 A-IV-i-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4); HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65500 65500 65500 65500 65500 65500 65500 65500
125 CMU0106 -a-I : BREAST CANCER - DOSE DENSE AC (ADRIAMYCIN/CYCLOPHOSPHAMIDE) ; (DAY 1 - DOXORUBICIN 60MG/M2 IV, CYCLOPHOSPHAMIDE 600MG/M2 IV) ; REPEAT CYCLE - EVERY 14 DAYS FOR 4 CYCLES; FOLLOWED BY PACLITAXEL FOR 4 CYCLES MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
381 CMU0130 -c : PROSTATE CANCER - ZOLEDRONIC ACID FOR SKELETAL METASTASIS MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
2429 CMU0975 A-IV-i-b-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
126 CMU0106 -a-II : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 175MG/M2) REPEAT CYCLE - EVERY 14 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
382 CMU0131 : FEBRILE NEUTROPENIA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2430 CMU0975 A-IV-i-b-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 MEDICAL ONCOLOGY 14100 14100 14100 14100 14100 14100 14100 14100
127 CMU0106 -a-III : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 175MG/M2) REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
383 CMU0131 -a : FEBRILE NEUTROPENIA - FIRST-LINE MONOTHERAPY ; PIPERACILLIN-TAZOBACTAM 4.5 G ; CEFEPIME 2 G ; MEROPENEM 1 G ; IMIPENEM-CILASTATIN 500 MG MEDICAL ONCOLOGY 14200 14200 14200 14200 14200 14200 14200 14200
2431 CMU0975 A-IV-i-b-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION II - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 8 - 63 - IMATINIB 600MG ORALLY; DAY 29 - MTX 15MG IT, CYTARABINE 40MG IT, DEXAMETHASONE 4MG IT MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
128 CMU0106 -a-IV : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 80MG/M2) REPEAT CYCLE - WEEKLY FOR 12 CYCLES MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
384 CMU0131 -b : FEBRILE NEUTROPENIA - SECOND-LINE DUAL THERAPY ; PIPERACILLIN-TAZOBACTAM 4.5 G IV PLUS AN AMINOGLYCOSIDE ; MEROPENEM 1 G IV PLUS AN AMINOGLYCOSIDE ; IMIPENEM-CILASTATIN 500 MG IV PLUS AN AMINOGLYCOSIDE MEDICAL ONCOLOGY 20500 20500 20500 20500 20500 20500 20500 20500
2432 CMU0975 A-IV-i-b-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION III - PRETREATMENT FOR 7 DAYS - PREDNISONE AT INCREASING DOSES FROM 10 - 40MG/M2/DAY; DAYS 1 - 45 - IMATINIB 800MG ORALLY DAILY + PREDNISONE 40MG/M2 DAILY MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
129 CMU0106 -b : BREAST CANCER - TC (DOECTAXEL & CYCLOPHOSPHAMIDE) ; DAY 1 - DOCETAXEL 75MG/M2 IV, CYCLOPHOSPHAMIDE 600MG/M2 IV ; REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
385 CMU0132 : THYROID CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2433 CMU0975 A-IV-i-b-7 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) MAINTENANCE - MTX WEEKLY + 6 - MP DAILY + VINCRISTINE PULSE MONTHLY + PREDNISONE PULSE MONTHLY FOR 2 TO 3 YEARS. MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
130 CMU0106 -c : BREAST CANCER - CMF (CYCLOPHOSPHAMIDE/METHOTREXATE/FLUOROURACIL) - (INCLUDES DAY 1 & DAY 8) ; DAYS 1-14 - CYCLOPHOSPHAMIDE 100MG/M2 ORALLY ; DAYS 1 AND 8 - METHOTREXATE 40MG/M2 IV ; DAYS 1 AND 8 - 5-FLUOROURACIL 600MG/M2 IV. ; REPEAT CYCLE - EVERY 28 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
386 CMU0132 -a : THYROID CANCER - SORAFENIB ; SORAFENIB 400 MG PO BID MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
2434 CMU0975 A-IV-i-c-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS INDUCTION PHASE - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAYS 8 - 63 - IMATINIB 600MG ORALLY DAILY; DAY 29 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
131 CMU0106 -d : BREAST CANCER - EC (EPIRUBICIN/CYCLOPHOSPHAMIDE) ; DAY 1 - EPIRUBICIN 100MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 830MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 8 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
387 CMU0132 -b : THYROID CANCER - SUNITINIB ; SUNITINIB 50 MG MEDICAL ONCOLOGY 29900 29900 29900 29900 29900 29900 29900 29900
2435 CMU0975 A-IV-i-c-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION I - DAY 1 - MTX 1G/M2 IV OVER 24 HOURS + MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; DAYS 1 - 3 - METHYLPREDNISOLONE 50MG IV OVER 1 HOUR × 2 DOSES; DAYS 2 AND 3 - CYTARABINE 2G/M2 IV OVER 3 HOURS; REPEAT FOR 4 CYCLES. MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
132 CMU0106 -e : BREAST CANCER - FEC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
388 CMU0132 -c : THYROID CANCER - PAZOPANIB MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2436 CMU0975 A-IV-i-c-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION II - DAY 1 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; REPEAT FOR 4 CYCLES; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY. MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
133 CMU0106 -e-I : BREAST CANCER - FEC/CEF FOLLOWED BY T (FLUOROURACIL/EPIRUBICIN/CYCLOPHOSPHAMIDE) - FOLLOWED BY DOCETAXEL OR FOLLOWED BY WEEKLY PACLITAXEL) ; DAY 1 - 5-FLUOROURACIL 500MG/M2 IV ; DAY 1 - EPIRUBICIN 100MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
389 CMU0132 -d : THYROID CANCER - DOXORUBICIN ; DOXORUBICIN 60 MG/M2 AS MONOTHERAPY OR IN COMBINATION WITH CISPLATIN 40 MG/M2 MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
2437 CMU0975 A-IV-i-c-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS MAINTENANCE - DAY 1 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 5 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY; REPEAT EVERY 4 WEEKS UP TO 2 YEARS FROM THE DATE OF COMPLETE REMISSION. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
134 CMU0106 -e-II : BREAST CANCER - DOCETAXEL - (PRECEEDED BY FEC/CEF ) ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
390 CMU0133 : THYMOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2438 CMU0975 A-IV-i-c-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
135 CMU0106 -e-III : BREAST CANCER - PACLITAXEL - WEEKLY - (PRECEEDED BY FEC/CEF ) ; PACLITAXEL 100MG/M2 IV ; REPEAT CYCLE - ONCE WEEKLY FOR 8 WEEKS MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
391 CMU0133 -a : THYMOMA - CAP ; DAY 1 - CISPLATIN 50MG/M2 IV, DOXORUBICIN 50MG/M2 IV, CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT EVERY 21 DAYS FOR A MAX OF 8 CYCLES. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
2439 CMU0975 A-IV-i-c-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
136 CMU0106 -f : BREAST CANCER - FAC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
392 CMU0133 -b : THYMOMA - CAPP ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV ; DAYS 1-3 - CISPLATIN 30MG/M2 IV ; DAYS 1-3 - DOXORUBICIN 20MG/M2 ; DAYS 1-5 - PREDNISONE 100MG. ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
2440 CMU0975 A-IV-ii : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
137 CMU0106 -f-I : BREAST CANCER - FAC FOLLOWED BY T (FLUOROURACIL/ADRIAMYCIN/CYCLOPHOSPHAMIDE) - FOLLOWED BY WEEKLY PACLITAXEL ; 5-FLUOROURACIL 500MG/M2 IV DAYS 1 AND 8 OR 1 AND 4 - ; DAY 1 - DOXORUBICIN 50MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
393 CMU0133 -c : THYMOMA - ADOC ; DAY 1 - CISPLATIN 50MG/M2 IV, DOXORUBICIN 40MG/M2 IV ; DAY 3 - VINCRISTINE 0.6MG/M2 IV ; DAY 4 - CYCLOPHOSPHAMIDE 700MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 5 CYCLES. MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
2441 CMU0975 A-IV-ii-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
138 CMU0106 -f-II : BREAST CANCER - PACLITAXEL - WEEKLY - PRECEEDED BY FAC ; PACLITAXEL 80MG/M2 IV ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
394 CMU0133 -d : THYMOMA - PE ; DAY 1 - CISPLATIN 60MG/M2 IV ; DAYS 1-3 - ETOPOSIDE 120MG/M2 IV ; REPEAT EVERY 3 WEEKS FOR A MAX OF 8 CYCLES. MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
2442 CMU0975 A-IV-ii-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65500 65500 65500 65500 65500 65500 65500 65500
139 CMU0106 -g : BREAST CANCER - TAC (DOCETAXEL/ADRIAMYCIN/CYCLOPHOSPHAMIDE) ; DAY 1 - DOXORUBICIN 60MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
395 CMU0133 -e : THYMOMA - VIP ; DAYS 1-4 - ETOPOSIDE 75MG/M2 IV, IFOSFAMIDE 1.2G/M2 IV, CISPLATIN 20MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
2443 CMU0975 A-IV-ii-a-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
140 CMU0106 -h : BREAST CANCER - AC FOLLOWED BY T + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
396 CMU0133 -f : THYMOMA - CARBOPLATIN+PACLITAXEL ; DAY 1 - PACLITAXEL 225MG/M2 IV, CARBOPLATIN AUC = 6 IV ; REPEAT EVERY 3 WEEKS FOR A MAX OF 6 CYCLES. MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
2444 CMU0975 A-IV-ii-a-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 14100 14100 14100 14100 14100 14100 14100 14100
141 CMU0106 -h-I : BREAST CANCER - AC - FOLLOWED BY PACLITAXEL + TRASTUZUMAB +/- PERTUZUMAB ; DAY 1 - DOXORUBICIN 60MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLE MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
397 CMU0134 : BRAIN CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2445 CMU0975 A-IV-ii-a-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION II - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 8 - 63 - IMATINIB 600MG ORALLY; DAY 29 - MTX 15MG IT, CYTARABINE 40MG IT, DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
142 CMU0106 -h-II : BREAST CANCER - PACLITAXEL (PRECEEDED BY AC) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; PACLITAXEL 80MG/M2 IV. ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
398 CMU0134 -i : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2446 CMU0975 A-IV-ii-a-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION III - PRETREATMENT FOR 7 DAYS - PREDNISONE AT INCREASING DOSES FROM 10 - 40MG/M2/DAY; DAYS 1 - 45 - IMATINIB 800MG ORALLY DAILY + PREDNISONE 40MG/M2 DAILY MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
143 CMU0106 -h-III : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; REPEAT CYCLE EVERY 21 DAYS TO COMPLETE 1 YEAR. ; (TO BE APPROVED WITH PACLITAXEL CYCLE 1, 4, 7, 10 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
399 CMU0134 -i-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - COMBINATION PCV (LOMUSTINE + PROCARBAZINE + VINCRISTINE) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY. ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY. ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2447 CMU0975 A-IV-ii-a-7 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) MAINTENANCE - MTX WEEKLY + 6 - MP DAILY + VINCRISTINE PULSE MONTHLY + PREDNISONE PULSE MONTHLY FOR 2 TO 3 YEARS. MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
144 CMU0106 -h-IV : BREAST CANCER - TRASTUZUMAB 4MG (FOLLOWED BY TRASTUZUMAB 2MG SUBSEQUENT WEEKS) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 4MG/KG IV WITH FIRST DOSE OF PACLITAXEL. ; (FIRST DOSE - ONLY TO BE APPROVED WITH PACLITAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
400 CMU0134 -i-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE (7 WEEKS) ; DAYS 1-49 - TEMOZOLOMIDE 75MG/M2 ORALLY. ; REPEAT CYCLE EVERY 11 WEEKS (7 WEEKS ON/4 WEEKS OFF) FOR 6 CYCLES. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2448 CMU0975 A-IV-ii-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS INDUCTION PHASE - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAYS 8 - 63 - IMATINIB 600MG ORALLY DAILY; DAY 29 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 16400 16400 16400 16400 16400 16400 16400 16400
145 CMU0106 -h-V : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 2MG/KG IV WEEKLY TILL ONE YEAR FROM DAY 1 OF AC. ; (TO BE APPROVED WITH PACLITAXEL CYCLES 2 - 12 AND STANDALONE FOR THE UPTO 1 YEAR EVERY WEEK) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
401 CMU0134 -i-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE MONTHLY 5-DAY COURSE ; TEMOZOLOMIDE MONTHLY 5-DAY COURSES AT DOSES OF 180 - 200MG/M2/DAY MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2449 CMU0975 A-IV-ii-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION I - DAY 1 - MTX 1G/M2 IV OVER 24 HOURS + MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; DAYS 1 - 3 - METHYLPREDNISOLONE 50MG IV OVER 1 HOUR × 2 DOSES; DAYS 2 AND 3 - CYTARABINE 2G/M2 IV OVER 3 HOURS; REPEAT FOR 4 CYCLES. MEDICAL ONCOLOGY 12700 12700 12700 12700 12700 12700 12700 12700
146 CMU0106 -i : BREAST CANCER - TCH MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
402 CMU0134 -i-d : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE (3 WEEKS) ; DAYS 1-21 - TEMOZOLOMIDE 75MG/M2/DAY ORALLY. ; REPEAT CYCLE EVERY 28 DAYS. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
2450 CMU0975 A-IV-ii-b-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION II - DAY 1 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; REPEAT FOR 4 CYCLES; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY. MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
147 CMU0106 -i-I : BREAST CANCER - TC (DOCETAXEL/CARBOPLATIN) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 75MG/M2 IV; CARBOPLATIN AUC 6MG PER MIN/ML IV. ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
403 CMU0134 -ii : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMASSYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2451 CMU0975 A-IV-ii-b-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS MAINTENANCE - DAY 1 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 5 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY; REPEAT EVERY 4 WEEKS UP TO 2 YEARS FROM THE DATE OF COMPLETE REMISSION. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
148 CMU0106 -i-II : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH TC PACKAGE) ; TRASTUZUMAB 6MG/KG IV ; REPEAT CYCLE EVERY 21 DAYS TO COMPLETE 1 YEAR. ; (TO BE APPROVED WITH TC CYCLE 1 TO 6 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 18 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
404 CMU0134 -ii-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - TEMOZOLOMIDE MONTHLY 5-DAY COURSE ; DAYS 1-5 - TEMOZOLOMIDE 200MG/M2/DAY ORALLY. ; REPEAT CYCLE EVERY 4 WEEKS UNTIL DISEASE PROGRESSION OR FOR UP TO 24 CYCLES. MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2452 CMU0975 A-IV-ii-b-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
149 CMU0106 -i-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH TC PACKAGE) ; DAY 1 - TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH TC CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
405 CMU0134 -ii-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - PCV WITH DEFERRED RT (LOMUSTINE + PROCARBAZINE + VINCRISTINE) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2453 CMU0975 A-IV-ii-b-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
150 CMU0106 -i-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES - WEEKLY) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 17 WEEEKS MAY OVERLAP WITH TC CYCLES 2 - 6. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
406 CMU0134 -ii-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2454 CMU0975 A-IV-ii-c : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CORTICOSTEROIDS + TKIS - PRETREATMENT MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
151 CMU0106 -j : BREAST CANCER - AC FOLLOWED BY DOCETAXEL + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
407 CMU0134 -ii-c-1 : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; DAILY ORAL TEMOZOLOMIDE (75MG/M2/DAY, 7 DAYS PER WEEK FROM THE FIRST TO THE LAST DAY OF RADIOTHERAPY) MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
2455 CMU0975 A-IV-iii : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
152 CMU0106 -j-I : BREAST CANCER - AC - FOLLOWED BY DOCETAXEL + TRASTUZUMAB ; DAY 1 - DOXORUBICIN 60MG/M2 IV; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
408 CMU0134 -ii-c-2 : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - ADJUVANT TEMOZOLOMIDE - PRECEEDED BY CONCURRENT TEMOZOLOMIDE (WITH RT) ; TEMOZOLOMIDE 150-200MG/M2/DAY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2456 CMU0975 A-IV-iii-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 INDUCTION - CORTICOSTEROID PRE-PHASE - 1-7 DAYS BEFORE INDUCTION THERAPY; PREDNISONE 60MG/M2/DAY, 4-7 DAYS BEFORE INDUCTION THERAPY; MTX 15MG IT. INDUCTION I - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2/DAY + VINCRISTINE 2MG IV, DAYS 1-3; DAUNORUBICIN 50MG/M2/DAY, DAYS 1-14; PREDNISONE 60MG/M2/DAY, DAY 8; VINCRISTINE 2MG IV + L-ASPARAGINASE 6, 000IU/M2/DAY, DAYS 10 AND 12; L-ASPARAGINASE 6, 000IU/M2/DAY, DAY 15; VINCRISTINE 2MG IV, DAY 15; FOR GOOD EARLY RESPONDERS; CYCLOPHOSPHAMIDE 750MG/M2/DAY. MEDICAL ONCOLOGY 16500 16500 16500 16500 16500 16500 16500 16500
153 CMU0106 -j-II : BREAST CANCER - DOCETAXEL (PRECEEDED BY AC) + TRASTUZUMAB ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
409 CMU0134 -ii-d : ADJUVANT TEMOZOLOMIDE MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2457 CMU0975 A-IV-iii-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 SALVAGE - DAYS 1-3; IDARUBICIN 12MG/M2/DAY, DAYS 1-4; CYTARABINE 2G/M2/12 HOURS, DAY 9; FILGRASTIM TO MYELOID RECOVERY. MEDICAL ONCOLOGY 30200 30200 30200 30200 30200 30200 30200 30200
154 CMU0106 -j-III : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH DOCETAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; REPEAT EVERY 21 DAYS TILL 1 YEAR ; (TO BE APPROVED WITH DOCETAXEL CYCLE 1 TO 4 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) OR FROM 13 TH WEEK AFTER COMPLETION OF 12 WEEKS OF WEEKLY TRASTUZUMAB - UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
410 CMU0134 -ii-e : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - PCV FOR 1P19Q CO-DELETED (WITH RADIOTHERAPY) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS. FOR 6 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2458 CMU0975 A-IV-iii-a-3 : ALL - PH(-) AYA - GRAALL-2003 CONSOLIDATION - BLOCKS 1, 4, AND 7; - DAYS 1 AND 2; CYTARABINE 2G/M2/12 HOURS + DEXAMETHASONE 10MG/12 HOURS, DAY 3; L-ASPARAGINASE 10, 000IU/M2/DAY, DAYS 7-13; FILGRASTIM TO MYELOID RECOVERY. BLOCKS 2, 5, AND 8 - DAY 15; MTX 3G/M2 CONTINUOUS INFUSION + VINCRISTINE 2MG IV + 6-MP 60MG/M2/DAY, DAY 16; L-ASPARAGINASE 10, 000IU/M2/DAY, DAYS 16-21; 6-MP 60MG/M2/DAY, DAYS 22-27; FILGRASTIM TO MYELOID RECOVERY. BLOCKS 3, 6, AND 9 - DAY 29; MTX 25MG/M2/DAY, DAYS 29 AND 30; CYCLOPHOSPHAMIDE 500MG/M2/DAY + ETOPOSIDE 75MG/M2/DAY, DAY 31; FILGRASTIM TO MYELOID RECOVERY. TO BE APPROVED 3 TIMES (BLOCKS - 1, 2, 3; BLOCKS - 4, 5, 6; BLOCKS - 7, 8, 9 MEDICAL ONCOLOGY 32300 32300 32300 32300 32300 32300 32300 32300
155 CMU0106 -j-IV : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH DOCETAXEL PACKAGE) ; TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH DOCETAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
411 CMU0134 -iii : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2459 CMU0975 A-IV-iii-a-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 LATE INTENSIFICATION BETWEEN CONSOLIDATION BLOCKS 6 AND 7 (FOR PATIENTS IN COMPLETE REMISSION [CR] AFTER THE FIRST INDUCTION COURSE) - DAY 1; VINCRISTINE 2MG IV, DAYS 1-3; DAUNORUBICIN 30MG/M2/DAY, DAYS 1-14; PREDNISONE 60MG/M2/DAY MEDICAL ONCOLOGY 16300 16300 16300 16300 16300 16300 16300 16300
156 CMU0106 -j-V : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 11 WEEEKS MAY OVERLAP WITH DOCETAXEL CYCLES 2 - 4. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
412 CMU0134 -iii-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; DAILY ORAL TEMOZOLOMIDE (75MG/M2/DAY, 7 DAYS PER WEEK FROM THE FIRST TO THE LAST DAY OF RADIOTHERAPY) MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
2460 CMU0975 A-IV-iii-a-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 LATE INTENSIFICATION BETWEEN CONSOLIDATION BLOCKS 6 AND 7 (FOR PATIENTS IN CR AFTER SALVAGE COURSE) - DAYS 1-3; IDARUBICIN 9MG/M2/DAY, DAYS 1-4; CYTARABINE 2G/M2/12 HOURS, DAY 9; FILGRASTIM TO MYELOID RECOVERY. MEDICAL ONCOLOGY 28600 28600 28600 28600 28600 28600 28600 28600
157 CMU0106 -k : BREAST CANCER - DOCETAXEL + CYCLOPHOSPHAMIDE + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
413 CMU0134 -iii-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - ADJUVANT TEMOZOLOMIDE (PRECEEDED BY CONCURRENT TEMOZOLZMIDE) ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2/DAY ORALLY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2461 CMU0975 A-IV-iii-a-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 MAINTENANCE MEDICAL ONCOLOGY 59800 59800 59800 59800 59800 59800 59800 59800
158 CMU0106 -k-I : BREAST CANCER - DOCETAXEL + CYCLOPHOSPHAMIDE - WITH TRASTUZUMAB ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 75MG/M2 IV; CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
414 CMU0134 -iii-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - TEMOZOLOMIDE (POST RT) ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2/DAY ORALLY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2462 CMU0975 A-IV-iii-b : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CNS THERAPY-TREATMENT OF PATIENTS WITH INITIAL CNS INVOLVEMENT MEDICAL ONCOLOGY 22200 22200 22200 22200 22200 22200 22200 22200
159 CMU0106 -k-II : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH DOCETAXEL + CYCLOPHOSPHAMIDE PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; (TO BE APPROVED WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLE 1 TO 4 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 12 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
415 CMU0134 -iii-d : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - TEMOZOLOMIDE (200MG) WITH STANDARD RT ; DAYS 1-5 - TEMOZOLOMIDE 200MG/M2, ORALLY MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2463 CMU0975 A-IV-iii-v : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CCG-1961 MEDICAL ONCOLOGY 19200 19200 19200 19200 19200 19200 19200 19200
160 CMU0106 -k-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH DOCETAXEL + CYCLOPHOSPHAMIDE PACKAGE) ; TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
416 CMU0134 -iv : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2464 CMU0975 A-IV-iv : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
161 CMU0106 -k-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 11 WEEEKS MAY OVERLAP WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLES 2 - 4. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
417 CMU0134 -iv-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) - VINCRISTINE + CISPLATIN + LOMUSTINE ; DAY 1 - LOMUSTINE 75MG/M2 ORALLY ; DAY 2 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS; ; DURING CRANIO-SPINAL RT MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
2465 CMU0975 A-IV-iv-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CALGB 8811 (LARSON REGIMEN) INDUCTION MEDICAL ONCOLOGY 19000 19000 19000 19000 19000 19000 19000 19000
162 CMU0106 -L : BREAST CANCER - PACLITAXEL + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
418 CMU0134 -iv-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) - VINCRISTINE + CISPLATIN + CYCLOPHOSPHAMIDE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS ; DAYS 22, 23 - CYCLOPHOSPHAMIDE 1, 000MG/M2 IV. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
2466 CMU0975 A-IV-iv-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CALGB 8811 (LARSON REGIMEN) CONSOLIDATION MEDICAL ONCOLOGY 17500 17500 17500 17500 17500 17500 17500 17500
163 CMU0106 -L-I : BREAST CANCER - PACLITAXEL - (WITH TRASTUZUMAB) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; PACLITAXEL 80MG/M2 IV. ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
419 CMU0134 -v : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMAPRIMARY CNS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2467 CMU0975 A-IV-iv-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - HYPER-CVAD WITH OR WITHOUT RITUXIMAB CYCLE 1, 3, 5, 7 - DAYS 1 - 3 - CYCLOPHOSPHAMIDE IV EVERY 12 HOURS + MESNA CONTINUOUS IV INFUSION STARTING 1 HOUR BEFORE CYCLOPHOSPHAMIDE UNTIL 12 HOURS AFTER COMPLETION OF CYCLOPHOSPHAMIDE; DAYS 1 - 4 AND 11 - 14 - DEXAMETHASONE ORALLY DAILY, +/-; DAYS 1 AND 8 - RITUXIMABIV; DAY 4 - DOXORUBICIN IV OVER 24 HOURS; DAYS 4 AND 11 - VINCRISTINE IV MEDICAL ONCOLOGY 64000 64000 64000 64000 64000 64000 64000 64000
164 CMU0106 -L-II : BREAST CANCER - TRASTUZUMAB (6MG) ; TRASTUZUMAB 6MG/KG IV ; REPEAT EVERY 21 DAYS ; (TO BE APPROVED AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 12 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
420 CMU0134 -v-a : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPYHIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2468 CMU0975 A-IV-iv-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - HYPER-CVAD WITH OR WITHOUT RITUXIMAB CYCLE 2, 4, 6, 8 - DAY 1 - METHOTREXATE IV OVER 2 HOURS FOLLOWED BY CONTINUOUS IV INFUSION OVER 22 HOURS FOLLOWED BY LEUCOVORIN IV EVERY 6 HOURS STARTING 12 HOURS AFTER COMPLETION OF MTX; DAYS 2 - 3 - CYTARABINE (IV OVER 2 HOURS EVERY 12 HOURS, +/-; DAYS 1 AND 8 - RITUXIMAB 375MG/M2 IV; CNS PROPHYLAXIS; DAY 2 - METHOTREXATE 12MG IT; DAY 8 - CYTARABINE 100MG IT. MEDICAL ONCOLOGY 59700 59700 59700 59700 59700 59700 59700 59700
165 CMU0106 -L-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; TRASTUZUMAB 4MG/KG IV WITH FIRST DOSE OF PACLITAXEL. ; (FIRST DOSE - ONLY TO BE APPROVED WITH PACLITAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
421 CMU0134 -v-a-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE + CYTARABINE ; DAY 1 - MTX 3.5G/M2 ; DAYS 2-3 - CYTARABINE 2G/M2 IV TWICE A DAY. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
2469 CMU0976 A : ALL LYMPHOMACHEMOTHERAPHY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
166 CMU0106 -L-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 2MG/KG IV WEEKLY ; (TO BE APPROVED WITH PACLITAXEL CYCLES 2 - 12. MAY BE APPROVED AS STANDALONE FOR THE UPTO 1 YEAR EVERY WEEK OR TRASTUZUMAB 6MG PACKAGE MAY BE USED ONCE EVERY 21 DAYS UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
422 CMU0134 -v-a-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE + LEUCOVORIN + IFOSFAMIDE + MESNA ; DAY 1 - MTX 4GM/M2 IV, ; DAYS 2-5 - LEUCOVORIN 20-25MG IV (UPTO 40MG) ; DAYS 3-5 - IFOSFAMIDE 1.5GM/M2 IV + MESNA 400MG IV MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2470 CMU0976 A-I : HODGKINS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
167 CMU0106 -N : BREAST CANCER - TAMOXIFEN MEDICAL ONCOLOGY 100 100 100 100 100 100 100 100
423 CMU0134 -v-b : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPY HIGH DOSE METHOTREXATE (MTX 2.5-4.0MG/M2) + CHEMOTHERAPY MONOCLONAL ANTIBODY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2471 CMU0976 A-I-a : HODGKINSLYMPHOMA - ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES. REPEAT CYCLE EVERY 4 WEEKS FOR 2-4 CYCLES OR UPTO 6 CYCLES - MAY BE FOLLOWED BY ESCALATED BEACOPP MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
168 CMU0106 -O : BREAST CANCER - AROMATASE INHIBITORS MEDICAL ONCOLOGY 1100 1100 1100 1100 1100 1100 1100 1100
424 CMU0134 -v-b-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + MTX + VINCRISTINE +PROCARBAZINE ; DAY 1 - RITUXIMAB 500MG/M2 IV ; DAY 2 - MTX 3.5MG/M2 IV PLUS VINCRISTINE 1.4MG/M2 ; PROCARBAZINE 100MG/M2/DAY ADMINISTERED FOR 7 DAYS WITH ODD-NUMBERED CYCLES MEDICAL ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
2472 CMU0976 A-I-b : HODGKINSLYMPHOMA - ESCALATED BEACOPP - DAY 1; CYCLOPHOSPHAMIDE 1, 250MG/M2 IV OVER 60 MINUTES + DOXORUBICIN 35MG/M2 IV PUSH, DAYS 1-3; ETOPOSIDE 200MG/M2 IV OVER 2 HOURS MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
169 CMU0106 -P : BREAST CANCER - ZOLEDRONIC ACID FOR SKELETAL METASTASIS MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
425 CMU0134 -v-c : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE (MTX 8.0MG/M2) + CHEMOTHERAPY +/- MONOCLONAL ANTIBODY HIGH DOSE METHOTREXATE (MTX 8.0MG/M2) + CHEMOTHERAPY MONOCLONAL ANTIBODY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2473 CMU0976 A-I-c : HODGKINSLYMPHOMA - ABVD + RITUXIMAB (CYLED EVERY 4 WEEKS) - MEDICAL ONCOLOGY 24300 24300 24300 24300 24300 24300 24300 24300
170 CMU0107 : BLADDER CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
426 CMU0134 -v-c-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE INDUCTION ; MTX 8G/M2 IV ; REPEAT EVERY 2 WEEKS UNTIL COMPLETE RESPONSE ACHIEVED OR MAX OF 8 CYCLES REACHED. ; MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
2474 CMU0976 A-I-d-i : HODGKINS LYMPHOMA - ABVD + RITUXIMAB (1 CYCLE - WEEKLY RITUXIMAB 4 DOSES) FOLLOWED BY ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES, DAYS 1, 8, 15, AND 22; RITUXIMAB 375MG/M2 IV FOR CYCLE 1 ONLY. REPEAT ABVD CYCLE EVERY 4 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION (OR ) 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION MEDICAL ONCOLOGY 87200 87200 87200 87200 87200 87200 87200 87200
171 CMU0107 -a-I : BLADDER CANCER - DDMVAC ; DAY 1 - METHOTREXATE 30MG/M2 IV; DAY 2 - VINBLASTINE 3MG/M2 IV, DOXORUBICIN 30MG/M2 IV, CISPLATIN 70MG/M2 IV; ; REPEAT EVERY 2 WEEKS FOR 3-4 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
427 CMU0134 -v-c-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE CONSOLIDATION ; MTX 8G/M2 IV ADMINISTERED ; REPEAT EVERY 2 WEEKS FOR 2 CYCLES. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
2475 CMU0976 A-I-d-ii : HODGKINS LYMPHOMA - ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES. REPEAT CYCLE EVERY 4 WEEKS FOR 2-4 CYCLES OR UPTO 6 CYCLES - MAY BE FOLLOWED BY ESCALATED BEACOPP MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
172 CMU0107 -a-II : BLADDER CANCER - GEMCITABINE + CISPLATIN ; DAYS 1, 8, AND 15 - GEMCITABINE 1, 000MG/M2 IV; DAY 2 - CISPLATIN 70MG/M2. ; REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
428 CMU0134 -v-c-3-i : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE MAINTANANCE (CYCLES 1-4) ; DAY 1 - MTX 8G/M2 IV, RITUXIMAB 375MG/M2 IV. ; REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 27600 27600 27600 27600 27600 27600 27600 27600
2476 CMU0976 A-I-e-i : HODGKINS LYMPHOMA - CHOP + RITUXIMAB - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, DAY 1; RITUXIMAB 375MG/M2 IV, REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
173 CMU0107 -a-III : BLADDER CANCER - CISPLATIN + METHOTREXATE + VINBLASTINE (CMV) ; DAY 1 - METHOTREXATE 30MG/M2 IV, VINBLASTINE 4MG/M2 IV; DAY 2 - CISPLATIN 100MG/M2 IV, LEUCOVORIN 15MG ORAL OR IV EVERY 6 HOURS FOR 4 DOSES; DAY 8 - METHOTREXATE 30MG/M2 IV, VINBLASTINE 4MG/M2 IV DAY 9 - LEUCOVORIN 15MG ORAL EVERY 6 HOURS FOR 4 DOSES ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
429 CMU0134 -v-c-3-ii : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE MAINTANANCE (CYCLES 5-11) ; MTX 8G/M2 IV ADMINISTERED EVERY 4 WEEKS FOR 11 CYCLES. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
2477 CMU0976 A-I-e-ii : HODGKINS LYMPHOMA - CHOP - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
174 CMU0107 -a-IV : BLADDER CANCER - RADIOSENSITIZING - CISPLATINC + 5-FU ; DAYS 1, 2, 3, 15, 16, AND 17 - IV HYDRATION AT A RATE OF 500ML/HOUR; FOLLOWED BY 5-FU 400MG/M2 IV PUSH; FOLLOWED BY CISPLATIN 15MG/M2 IV OVER 1 HOUR AS INDUCTION AND CONSOLIDATION THERAPY MEDICAL ONCOLOGY 10300 10300 10300 10300 10300 10300 10300 10300
430 CMU0134 -v-d : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2478 CMU0976 A-I-f-i : HODGKINS LYMPHOMA - CVP +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22000 22000 22000 22000 22000 22000 22000 22000
175 CMU0107 -a-V : BLADDER CANCER -RADIOSENSITIZING - CISPLATIN + PACLITAXEL ; DAYS 1, 8, AND 15 - PACLITAXEL 50MG/M2 ; DAY 1-3, 8-10, 15-17 - CISPLATIN 15MG/M2; FOLLOWED BY TWICE-DAILY RADIOTHERAPY FOR 8 DAYS MEDICAL ONCOLOGY 19300 19300 19300 19300 19300 19300 19300 19300
431 CMU0134 -v-d-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN - INDUCTION ; DAY 1 - RITUXIMAB 375MG/M2 IV, FOLLOWED BY ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2 ORALLY DAILY, AFTER RITUXIMAB INFUSION. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 22700 22700 22700 22700 22700 22700 22700 22700
2479 CMU0976 A-I-f-ii : HODGKINS LYMPHOMA - CVP - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
176 CMU0107 -a-VI : BLADDER CANCER -RADIOSENSITIZING - 5-FU + MITOMYCIN32 ; DAY 1 OF RADIOTHERAPY - MITOMYCIN 12MG/M2 IV BOLUS, PLUS ; WEEK 1 (FRACTIONS 1-5) AND WEEK 4 (FRACTIONS 16-20) OF RADIOTHERAPY - 5-FU 500MG/M2 CONTINUOUS IV INFUSION (10 DAYS TOTAL) MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
432 CMU0134 -v-d-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN - MAINTANANCEDAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2 ORALLY DAILY. ; REPEAT CYCLE EVERY 4 WEEKS FOR 8 CYCLES. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
2480 CMU0976 A-I-g : HODGKINSLYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 7 DAYS FOR 4 WEEKS WITH OR WITHOUT MAINTENANCE RITUXIMAB (375MG/M2 IV ONCE WEEKLY FOR 4 WEEKS EVERY 6 MONTHS FOR UP TO 2 YEARS) MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
177 CMU0107 -c : BLADDER CANCER - CONCURRENT CISPLATIN; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 5 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
433 CMU0134 -v-e : BRAIN CARCINOMA - MENINGIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2481 CMU0976 A-II : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
178 CMU0108 : LUNG CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
434 CMU0134 -v-e-1 : BRAIN CARCINOMA - MENINGIOMA - INTERFERON-ALFAINTERFERON-ALFA ; ALPHA-IFN 106 UNITS/M2 SC EVERY OTHER DAY FOR 4 WEEKS. ; REPEAT CYCLE EVERY 4 WEEKS. ; MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
2482 CMU0976 A-II-a : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BORTEZOMIB + DEXAMETHASONE - DAYS 1, 4, 8, AND 11; BORTEZOMIB 1.3MG/M2 IV, DAYS 1, 4, 8, AND 11; DEXAMETHASONE 40MG IV. REPEAT FOR 4 CONSECUTIVE CYCLES AS INDUCTION THERAPY AND FOLLOW WITH 4 MAINTENANCE CYCLES, EACH GIVEN 3 MONTHS APART. MEDICAL ONCOLOGY 57900 57900 57900 57900 57900 57900 57900 57900
179 CMU0108 -i : LUNG CANCER - MESOTHELIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
435 CMU0134 -v-e-2 : BRAIN CARCINOMA - MENINGIOMA -SOMATOSTATIN ANALOG ; SANDOSTATIN LAR DEPOT 10-30MG IM ; REPEAT EVERY 4 WEEKS. ; MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
2483 CMU0976 A-II-b : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE + RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 IV + DOXORUBICIN 50MG/M2 IV + VINCRISTINE 1.4MG/M2 (MAX 2MG) IV + RITUXIMAB 375MG/M2 IV, DAYS 1-5; PREDNISONE 100MG ORALLY. REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
180 CMU0108 -i-a : LUNG CANCER - MESOTHELIOMA - PEMETREXED + CISPLATIN ; DAY 1 - PEMETREXED 500MG/M2 IV, CISPLATIN 75MG/M2 ; REPEAT EVERY 21 DAYS UP TO 12 CYCLES. MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
436 CMU0134 -v-e-3 : BRAIN CARCINOMA - MENINGIOMA - SUNITINIB ; DAYS 1-28 - SUNITINIB 50MG ORALLY DAILY. ; REPEAT CYCLE EVERY 42 DAYS. MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
2484 CMU0976 A-II-c : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
181 CMU0108 -i-b : LUNG CANCER - MESOTHELIOMA - PEMETREXED + CARBOPLATIN ; DAY 1 - PEMETREXED 500MG/M2 IV, CARBOPLATIN AUC 5MG/MIN/ML IV. ; REPEAT EVERY 21 DAYS FOR A MAX OF 9 CYCLES. MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
437 CMU0135 : HEAD AND NECK CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2485 CMU0976 A-II-d : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB + CYCLOPHOSPHAMIDE + PREDNISONE - DAY 1; RITUXIMAB 375MG/M2 IV + CYCLOPHOSPHAMIDE 1, 000MG/M2 IV, DAYS 1-5; PREDNISONE 100MG ORALLY. REPEAT EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 21900 21900 21900 21900 21900 21900 21900 21900
182 CMU0108 -i-c : LUNG CANCER - MESOTHELIOMA - CISPLATIN & GEMCITABINE ; DAY 1 - CISPLATIN 80-100MG/M2 IV ; DAYS 1, 8, AND 15 - GEMCITABINE 1000-1250MG/M2 IV ; REPEAT EVERY 21 - 28 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
438 CMU0135 -i : HEAD AND NECK CANCER - SQUAMOUS CELL CANCERS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2486 CMU0976 A-II-e : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB + CYCLOPHOSPHAMIDE + DEXAMETHASONE - DAY 1; DEXAMETHASONE 20MG IV FOLLOWED BY RITUXIMAB 375MG/M2 IV, DAYS 1-5; CYCLOPHOSPHAMIDE 100MG/M2 ORALLY TWICE DAILY. REPEAT EVERY 21 DAYS FOR 6 MONTHS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
183 CMU0108 -i-d : LUNG CANCER - MESOTHELIOMA - VINORELBINE ; VINORELBINE 25-30MG/M2 (MAX 60MG) IV ; REPEAT EVERY WEEK FOR 12 WEEKS. MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
439 CMU0135 -i-a : HEAD AND NECK CANCER - HIGH DOSE CISPLATIN ; CISPLATIN 100MG/M2 IV + CONCURRENT RADIOTHERAPY; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
2487 CMU0976 A-II-f-i : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 1 AND 2) - THALIDOMIDE 200MG ORALLY DAILY MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
184 CMU0108 -i-e : LUNG CANCER - MESOTHELIOMA - PEMETREXED ; DAY 1 - PEMETREXED 500MG/M2 IV. ; REPEAT EVERY 21 DAYS FOR 4 CYCLES (IF FIRST LINE) OR REPEAT EVERY 21 DAYS FOR 8 CYCLES (IF SECOND LINE) MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
440 CMU0135 -i-b : HEAD AND NECK CANCER - CARBOPLATIN + INFUSIONAL 5-FU ; DAYS 1-4 - 5-FU 600MG/M2/DAY AS CONTINUOUS IV I, CARBOPLATIN 70MG/M2/DAY IV ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES (GIVEN CONCURRENTLY WITH RADIOTHERAPY). MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
2488 CMU0976 A-II-f-ii : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 3-50) - THALIDOMIDE 400MG ORALLY DAILY MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
185 CMU0108 -i-f : LUNG CANCER - MESOTHELIOMA - GEMCITABINE ; DAYS 1, 8, AND 15 - GEMCITABINE 1250MG/M2 IV. ; REPEAT EVERY 28 DAYS FOR A MAX OF 10 CYCLES. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
441 CMU0135 -i-c : HEAD AND NECK CANCER - 5-FU + HYDROXYUREA ; DAY 1 - HYDROXYUREA 1, 000MG ORALLY EVERY 12 HOURS (11 DOSES/CYCLE), 5-FU 800MG/M2/DAY ; REPEAT EVERY OTHER WEEK FOR 7 CYCLES. WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
2489 CMU0976 A-II-f-iii : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 50-52) - THALIDOMIDE 400MG ORALLY DAILY MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
186 CMU0108 -ii : LUNG CANCER - NSCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
442 CMU0135 -i-d : HEAD AND NECK CANCER - CISPLATIN + PACLITAXEL ; DAY 1 - PACLITAXEL 30MG/M2 IV (EVERY MONDAY), ; DAY 2 - CISPLATIN 20MG/M2 IV (EVERY TUESDAY). ; REPEAT CYCLE EVERY WEEK FOR 7 CYCLES, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
2490 CMU0976 A-II-f-iv : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB WEEKS 2-5 AND 13-16 - RITUXIMAB 375MG/M2 IV ONCE WEEKLY FOR A TOTAL OF 8 INFUSIONS AS ADD-ON MEDICAL ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
187 CMU0108 -ii-a : LUNG CANCER - NSCLC - CISPLATIN & VINORELBINE - (I) ; DAYS 1 AND 8 - CISPLATIN 50MG/M2 IV AND DAYS 1, 8, 15 AND 22 - VINORELBINE 25MG/M2 IV ; (OR) ; DAY 1 - CISPLATIN 100MG/M2 IV AND DAYS 1, 8, 15 AND 22 - VINORELBINE 30MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 35300 35300 35300 35300 35300 35300 35300 35300
443 CMU0135 -i-e : HEAD AND NECK CANCER - CISPLATIN + INFUSIONAL 5-FU ; DAY 1 - CISPLATIN 60MG/M2 OVER ; DAYS 1-5 - 5-FU 800MG/M2/DAY ; REPEAT EVERY OTHER WEEK FOR 7 CYCLES. WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
2491 CMU0976 A-II-g-i : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE WITH OR WITHOUT RITUXIMAB DAYS 1-2; BENDAMUSTINE 90MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
188 CMU0108 -ii-b : LUNG CANCER - NSCLC - CISPLATIN & VINORELBINE - (II) ; DAY 1 - CISPLATIN 75-80MG/M2 ; DAYS 1 AND 8 - VINORELBINE 25-30MG/M2. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 18800 18800 18800 18800 18800 18800 18800 18800
444 CMU0135 -i-f : HEAD AND NECK CANCER - CARBOPLATIN + PACLITAXEL ; DAY 1 - PACLITAXEL 40-45MG/M2, CARBOPLATIN 100MG/M2 ; REPEAT CYCLE EVERY WEEK FOR 8 CYCLES, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
2492 CMU0976 A-II-g-ii : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE - RITUXIMAB - DAYS 1-2; BENDAMUSTINE 90MG/M2 IV, REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
189 CMU0108 -ii-c : LUNG CANCER - NSCLC - CISPLATIN & ETOPOSIDE ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
445 CMU0135 -i-g : HEAD AND NECK CANCER - WEEKLY CISPLATIN ; CISPLATIN 40MG/M2 IV PER WEEK MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2493 CMU0976 A-II-h-i : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CLADRIBINE WITH OR WITHOUT RITUXIMAB - DAYS 1-5; CLADRIBINE 0.1MG/KG SUBCUTANEOUS INJECTION, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 27500 27500 27500 27500 27500 27500 27500 27500
190 CMU0108 -ii-d : LUNG CANCER - NSCLC - CISPLATIN & DOCETAXEL ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
446 CMU0135 -i-h : HEAD AND NECK CANCER - CISPLATIN (FOR HIGH RISK OROPHARYNGEAL CARCINOMA) ; DAYS 1, 22, AND 43 - CISPLATIN 100MG/M2 IV + RADIOTHERAPY. MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
2494 CMU0976 A-II-h-ii : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CLADRIBINE - RITUXIMAB - DAYS 1-5; CLADRIBINE 0.1MG/KG SUBCUTANEOUS INJECTION. REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
191 CMU0108 -ii-e : LUNG CANCER - NSCLC - CISPLATIN & GEMCITABINE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 1 AND 8 - GEMCITABINE 1, 250MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
447 CMU0135 -ii : HEAD AND NECK CANCER - NASOPHARYNX CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2495 CMU0976 A-III : NON HODGKINS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
192 CMU0108 -ii-f : LUNG CANCER - NSCLC - PEMETREXED + CISPLATIN (FOR NON SQUAMOUS CELL CA) ; DAY 1 - CISPLATIN 75MG/M2 IV, PEMETREXED 500MG/M2 IV. ; REPEAT EVERY - 21 DAYS FOR 4 CYCLES. MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
448 CMU0135 -i-i : HEAD AND NECK CANCER - DOCETAXEL + CISPLATIN + 5-FU ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV, ; DAYS 1-5 - 5-FU 750MG/M2/DAY IV. ; REPEAT EVERY 3 WEEKS FOR UP TO 4 CYCLES. MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
2496 CMU0976 A-II-i : WALDENSTROM'S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE - DAYS 1-2; BENDAMUSTINE 90MG/M2 IV MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
193 CMU0108 -ii-g : LUNG CANCER - NSCLC - PACLITAXEL/CARBOPLATIN ; DAY 1 - PACLITAXEL 200MG/M2 IV, CARBOPLATIN AUC 6MG PER MIN/ML IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 8500 8500 8500 8500 8500 8500 8500 8500
449 CMU0135 -ii-a : NASOPHARYNX CANCER - CONCURRENT CISPLATIN FOLLOWED BY CONCURRENT CISPLATIN +5FUC ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2497 CMU0976 A-III-i : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
194 CMU0108 -ii-h : LUNG CANCER - NSCLC - CISPLATIN & ETOPOSIDE ; DAYS 1, 8, 29 AND 36 - CISPLATIN 50MG/M2 IV ; DAYS 1-5 AND 29-33 - ETOPOSIDE 50MG/M2 IV ; CONCURRENT THORACIC RADIOTHERAPY 1.8GY/DAY FOR 5 DAYS/WEEK (TOTAL DOSE, 61GY). MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
450 CMU0135 -ii-a-1 : NASOPHARYNX CANCER - CONCURRENT CISPLATIN (FOLLOWED BY CONCURRENT CISPLATIN +5FU) ; DAY 1 - CISPLATIN 100MG/M2 IV; PLUS RADIOTHERAPY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES; FOLLOWED BY CONCURRENT CISPLATIN +5FU MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
2498 CMU0976 A-III-i-a-1 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLE 1 - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS, DAYS 1-5; CYCLOPHOSPHAMIDE 200MG/M2 IV, DAYS 1-7; PREDNISONE 60MG/M2 ORALLY. MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
195 CMU0108 -iii : LUNG CANCER - SCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
451 CMU0135 -ii-a-2 : NASOPHARYNX CANCER - CONCURRENT CISPLATIN +5FU - PRECEEDED BY (CONCURRENT CISPLATIN 3 CYCLES) ; DAYS 1-4 - CISPLATIN 80MG/M2/DAY, 5-FU 1, 000MG/M2/DAY IV ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
2499 CMU0976 A-III-i-a-2 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 2 (BEGINNING DAY 8) - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS - DAYS 1-5; IFOSFAMIDE 800MG/M2 IV + DEXAMETHASONE 10MG/M2 IV MEDICAL ONCOLOGY 69400 69400 69400 69400 69400 69400 69400 69400
196 CMU0108 -ii-i : LUNG CANCER - NSCLC - CISPLATIN & VINBLASTINE ; DAYS 1 AND 29 - CISPLATIN 100MG/M2 IV ; DAYS 1, 8, 15, 22 AND 29 - VINBLASTINE 5MG/M2 IV ; CONCURRENT THORACIC RADIOTHERAPY (TOTAL DOSE, 60GY). MEDICAL ONCOLOGY 8600 8600 8600 8600 8600 8600 8600 8600
452 CMU0135 -ii-b : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN FOLLOWED BY CONCURRENT CARBOPLATIN +5FU MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2500 CMU0976 A-III-i-a-3 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 3, 5, AND 7 - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS, DAYS 1-5; CYCLOPHOSPHAMIDE 200MG/M2 IV + DEXAMETHASONE 10MG/M2 IV MEDICAL ONCOLOGY 34800 34800 34800 34800 34800 34800 34800 34800
197 CMU0108 -iii-a : LUNG CANCER - SCLC - CISPLATIN & ETOPOSIDE ; DAY 1 - CISPLATIN 60MG/M2 IV, DAYS 1-3 - ETOPOSIDE 120MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR AT LEAST 4 CYCLES. ;(OR) ; DAY 1 - CISPLATIN 80MG/M2 IV, DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4-6 CYCLES. MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
453 CMU0135 -ii-b-1 : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN - (FOLLOWED BY CONCURRENT CARBOPLATIN +5FU) ; DAY 1 - CARBOPLATIN AUC 6MG/MIN/ML IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES; MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
2501 CMU0976 A-III-i-a-4 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 4, AND 6. DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS, DAYS 1-5; IFOSFAMIDE 800MG/M2 IV + DEXAMETHASONE 10MG/M2 IV, DAY 1; METHOTREXATE 1.5G/M2 IV (WITH LEUCOVORIN RESCUE) + VINCRISTINE 2MG IV, DAYS 4 AND 5; CYTARABINE 1G/M2 IV + ETOPOSIDE 80MG/M2 IV, DAY 8; 375MG/M2 IV. DELIVER CYCLES EVERY 21 DAYS. MEDICAL ONCOLOGY 38200 38200 38200 38200 38200 38200 38200 38200
198 CMU0108 -iii-b : LUNG CANCER - SCLC - CARBOPLATIN & ETOPOSIDE ; DAY 1 - CARBOPLATIN AUC 5-6MG PER MIN/ML IV ; DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS OR 28 DAYS FOR 4 - 6 CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
454 CMU0135 -ii-b-2 : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN +5FU - PRECEEDED BY (CONCURRENT CARBOPLATIN ) ; DAY 1 - CARBOPLATIN AUC 5MG/MIN/ML IV ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 14200 14200 14200 14200 14200 14200 14200 14200
2502 CMU0976 A-III-i-b : NHL - BURKITT LYMPHOMA - CODOX-M (ORIGINAL OR MODIFIED) (CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE WITH INTRATHECAL MTX + CYTARABINE, FOLLOWED BY SYSTEMIC MTX AND CYTARABINE) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE + DOXORUBICIN, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1, 3; CYTARABINE INTRATHECAL, DAYS 1, 8; VINCRISTINE IV, DAY 10; MTX IV 1 HOUR, THEN INFUSION OVER 23 HOURS, DAY 11; LEUCOVORIN IV, EVERY 6 HOURS, DAY 13; G-CSF SC DAILY, DAY 15; MTX INTRATHECAL MEDICAL ONCOLOGY 39800 39800 39800 39800 39800 39800 39800 39800
199 CMU0108 -iii-c : LUNG CANCER - SCLC - CISPLATIN + IRINOTECAN ; DAY 1 - CISPLATIN 60MG/M2 IV. ; DAYS 1, 8, AND 15 - IRINOTECAN 60MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
455 CMU0135 -ii-c : NASOPHARYNX CANCER - CONCURRENT CISPLATIN ; CISPLATIN 40MG/M2 ; REPEAT WEEKLY FOR 7 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2503 CMU0976 A-III-i-c-1 : NHL - BURKITT LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1 & 2) - DAY 1; RITUXIMAB 375MG/M2 IV DAYS 1-4; ETOPOSIDE 50MG/M2 IV INFUSION + DOXORUBICIN 10MG/M2 IV INFUSION + VINCRISTINE 0.4MG/M2 IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORAL BD, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
200 CMU0108 -iii-d : LUNG CANCER - SCLC - CISPLATIN + IRINOTECAN ; DAY 1 AND 8 - CISPLATIN 30MG/M2 IV, IRINOTECAN 65MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4-6 CYCLES. MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
456 CMU0135 -ii-d : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN + 5-FU FOLLOWED BY CISPLATIN ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2504 CMU0976 A-III-i-c-2 : NHL - BURKITT LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + MTX - IT+ RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV DAYS 1-4; ETOPOSIDE 50MG/M2 IV INFUSION + DOXORUBICIN 10MG/M2 IV INFUSION + VINCRISTINE 0.4MG/M2 IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORAL BD. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG UNTIL ANC >5, 000/uL, DAYS 1 AND 5 ; MTX 12MG - IT REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
201 CMU0108 -iii-e : LUNG CANCER - SCLC - CARBOPLATIN & IRINOTECAN ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAYS 1, 8, AND 15 - IRINOTECAN 50MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
457 CMU0135 -ii-d-1 : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN + 5-FU - FOLLOWED BY CISPLATIN AFTER 3 CYCLES ; DAY 1 - DOCETAXEL 70MG/M2 IV, CISPLATIN 75MG/M2 IV ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY IV ; REPEAT EVERY WEEK FOR 3 CYCLES MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
2505 CMU0976 A-III-i-d-1 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
202 CMU0108 -ii-j : LUNG CANCER - NSCLC - CARBOPLATIN + PEMETREXED ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAY 1 - PEMETREXED 500 MG/M2 IV ; WITH CONCURRENT THORACIC RADIOTHERAPY. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
458 CMU0135 -ii-d-2 : NASOPHARYNX CANCER - CISPLATIN - WEEKLY - PRECEDED BY 3 CYCLES OF DOCETAXEL + 5-FU ; DAY 1 - CISPLATIN 100MG/M2; ; REPEAT EVERY 3 WEEKS, TILL RADIATION MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2506 CMU0976 A-III-i-d-2 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
203 CMU0108 -ii-k : LUNG CANCER - NSCLC - CISPLATIN + PEMETREXED ; DAY 1 - CISPLATIN 75 MG/M2 IV. ; DAY 1 - PEMETREXED 500 MG/M2 IV ; WITH CONCURRENT THORACIC RADIOTHERAPY. ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 15700 15700 15700 15700 15700 15700 15700 15700
459 CMU0135 -ii-e : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2507 CMU0976 A-III-i-d-3 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
204 CMU0108 -ii-l : LUNG CANCER - NSCLC - PACLITAXEL + CARBOPLATIN ; PACLITAXEL 45MG/M2 IV + CARBOPLATIN AUC 2MG PER MIN/ML IV ; WITH CONCURRENT THORACIC RADIOTHERAPY (TOTAL DOSE, 60GY) ; REPEAT WEEKLY FOR 6 WEEKS MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
460 CMU0135 -ii-e-1 : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN - FOLLOWED BY CISPLATIN AFTER 2 CYCLES ; DAY 1 - DOCETAXEL 75MG/M2 IV + CISPLATIN 75MG/M2 IV ; REPEAT EVERY 3 WEEKS FOR TWO CYCLES MEDICAL ONCOLOGY 4100 4100 4100 4100 4100 4100 4100 4100
2508 CMU0976 A-III-i-d-4 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
205 CMU0109 : OESOPHAGEAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
461 CMU0135 -ii-e-2 : NASOPHARYNX CANCER - CISPLATIN - WEEKLY - PRECEDED BY 2 CYCLES OF DOCETAXEL + CISPLATIN ; CISPLATIN 40MG/M2 IV ; WEEKLY CONCURRENT WITH RADIOTHERAPY. MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
2509 CMU0976 A-III-i-e-1 : NHL - BURKITT LYMPHOMA - CODOX-M ALTERNATED WITH IVAC- CODOX-M (ORIGINAL OR MODIFIED) - DAY 1- CYCLOPHOSPHAMIDE + DOXORUBICIN - IV, DAYS 2-5- CYCLOPHOSPHAMIDE IV, DAYS 1, 3- CYTARABINE IT, DAYS 1, 8; VINCRISTINE IV, DAY 10; MTX IV 1 HOUR, THEN INFUSION FOR 23 HOURS, DAY 11; LEUCOVORIN IV - 6TH HOURLY; DAY 13- G-CSF SC DAILY, DAY 15; MTX - IT DAY 16- LEUCOVORIN ORAL G, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATE BETWEEN CODOX-M AND IVAC MEDICAL ONCOLOGY 39800 39800 39800 39800 39800 39800 39800 39800
206 CMU0109 -i : ESOPHAGEAL CANCER - NEO ADJUVANT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
462 CMU0135 -ii-f : NASOPHARYNX CANCER - CISPLATIN + 5-FU ; DAY 1 - CISPLATIN 100MG/M2/DAY IV. ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY CONTINUOUS IV INFUSION FOR 4 DAYS. ; REPEAT CYCLE EVERY 3 WEEKS FOR A MINIMUM OF 6 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
2510 CMU0976 A-III-i-e-2 : NHL - BURKITT LYMPHOMA - CODOX-M ALTERNATED WITH IVAC - IVAC (IFOSFAMIDE + CYTARABINE + ETOPOSIDE) AND IT MTX +/- RITUXIMAB - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, + MESNA 360MG/M2, DAY 5; MTX 12MG IT DAY 6; LEUCOVORIN 15MG ORAL - MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATE BETWEEN CODOX-M AND IVAC. MEDICAL ONCOLOGY 36500 36500 36500 36500 36500 36500 36500 36500
207 CMU0109 -i-a : ESOPHAGEAL CANCER - NEO ADJUVANT - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV + CARBOPLATIN AUC 2MG/MIN/ML IV. ; REPEAT WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
463 CMU0135 -i-j : HEAD AND NECK CANCER - PACLITAXEL + CISPLATIN+ INFUSIONAL 5-FU ; DAY 1 - PACLITAXEL 175MG/M2 ; DAY 2 - CISPLATIN 100MG/M2 ; DAY 2-6 - 5-FU 500MG/M2/DAY IV ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
2511 CMU0976 A-III-i-f : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RICE (RITUXIMAB + IFOSFAMIDE + CARBOPLATIN + ETOPOSIDE) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 2; IFOSFAMIDE 5, 000MG/M2 AND MESNA 5, 000MG/M2 IV + CARBOPLATIN AUC 5 MG / MIN/ML (MAXIMUM 800MG) IV, DAY 1-3; ETOPOSIDE 100MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
208 CMU0109 -i-b : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & CISPLATIN ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV. MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
464 CMU0136 : RENAL CELL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2512 CMU0976 A-III-i-g : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RIVAC (RITUXIMAB + IFOSFAMIDE + CYTARABINE + ETOPOSIDE) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES, DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY MEDICAL ONCOLOGY 37400 37400 37400 37400 37400 37400 37400 37400
209 CMU0109 -i-c : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & CISPLATIN ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 AND DAYS 22-26 - 5-FU 800 MG/M2 IV ; REPEAT EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
465 CMU0136 -a : RENAL CELL CARCINOMA - PAZOPANIB MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
2513 CMU0976 A-III-i-h : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RGDP (RITUXIMAB + GEMCITABINE + DEXAMETHASONE + CISPLATIN) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 1 AND 8; GEMCITABINE 1, 000MG/M2 IV, DAY 1-3; CISPLATIN 25MG/M2 IV, DAY 1-4; DEXAMETHASONE 40MG IV. REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 27500 27500 27500 27500 27500 27500 27500 27500
210 CMU0109 -i-d : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL + OXALIPLATIN + LEUCOVORIN ; DAY 1 - OXALIPLATIN 85MG/M2, LEUCOVORIN 200MG/M2 AND 5-FU 400MG/M2 BOLUS, WITH 1, 600MG/M2 INFUSION; ; REPEAT EVERY 14 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
466 CMU0136 -b : RENAL CELL CARCINOMA - SUNITINIB MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
2514 CMU0976 A-III-ii : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - NON HODGKIN LYMPHOMA -- ADULT T-CELL LEUKEMIA / LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
211 CMU0109 -i-e : ESOPHAGEAL CANCER - NEO ADJUVANT - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
467 CMU0136 -c : RENAL CELL CARCINOMA - SORAFENIB MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
2515 CMU0976 A-III-i-i : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - HDAC + RITUXIMAB - DAYS 1, 3, AND 5; HIGH-DOSE CYTARABINE 3G/M2 IV EVERY 12 HOURS, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT FOR 4 CYCLES MEDICAL ONCOLOGY 23700 23700 23700 23700 23700 23700 23700 23700
212 CMU0109 -i-f : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & OXALIPLATIN ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY IV MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
468 CMU0136 Ia : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
2516 CMU0976 A-III-ii-a-1 : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - ZIDOVUDINE + ALPHA-INTERFERON (INDUCTION) - ZIDOVUDINE 1G ORALLY DAILY + ALPHA-INTERFERON 9 MILLION UNITS SC DAILY FOR 2 MONTHS, FOLLOWED BY MAINTENANCE THERAPY MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
213 CMU0109 -i-g : ESOPHAGEAL CANCER - NEO ADJUVANT - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS. MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
469 CMU0136 Ib : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
2517 CMU0976 A-III-ii-a-2 : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - ZIDOVUDINE + ALPHA-INTERFERON (MAINTENANCE THERAPY) - ZIDOVUDINE 600MG ORALLY DAILY + ALPHA-INTERFERON 4.5 MILLION UNITS SC DAILY FOR 1 MONTH, REPEAT 12 MONTHS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
214 CMU0109 -i-h : ESOPHAGEAL CANCER - NEO ADJUVANT - IRINOTECAN & CISPLATIN ; DAYS 1, 8, 22, AND 29 - IRINOTECAN 65MG/M2 IV, CISPLATIN 30MG/M2 IV. MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
470 CMU0136 Ic : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - BEVACIZUMAB + IFN-ALPHA ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS + IFN-ALPHA. MEDICAL ONCOLOGY 70100 70100 70100 70100 70100 70100 70100 70100
2518 CMU0976 A-III-ii-b : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
215 CMU0109 -ii : ESOPHAGEAL CANCER - PERI-OPERATIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
471 CMU0136 Id : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2519 CMU0976 A-III-ii-c : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - CHOEP - DAYS 1-4; ETOPOSIDE 50MG/M2/DAY CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2/DAY CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2/DAY CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY DAILY, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV OVER 15 MINUTES. REPEAT CYCLE EVERY 3 WEEKS FOR 6-8 CYCLES. MEDICAL ONCOLOGY 9100 9100 9100 9100 9100 9100 9100 9100
216 CMU0109 -i-i : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45MG/M2 IV ; DAYS 1-5 - 5-FU 300MG/M2/DAY IV INFUSION. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
472 CMU0136 IIa : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - EVEROLIMUS ; EVEROLIMUS 10MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 39100 39100 39100 39100 39100 39100 39100 39100
2520 CMU0976 A-III-ii-d : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) - DAYS 1-4 - ETOPOSIDE 50MG/M2/DAY CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2/DAY CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2/DAY CONTINUOUS IV INFUSION, DAYS 1-5- PREDNISONE 60MG/M2 ORAL DAILY, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV OVER 15 MINUTES. REPEAT CYCLE EVERY 3 WEEKS FOR 6-8 CYCLES. ADJUST DOSES BASED ON ANC. MEDICAL ONCOLOGY 7300 7300 7300 7300 7300 7300 7300 7300
217 CMU0109 -ii-a : ESOPHAGEAL CANCER - PERI-OPERATIVE - ECF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; CISPLATIN 60MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV CONTINUOUS INFUSION ONCE DAILY; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
473 CMU0136 IIb : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
2521 CMU0976 A-III-iii : NONHODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
218 CMU0109 -ii-b : ESOPHAGEAL CANCER - PERI-OPERATIVE - EOF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 19700 19700 19700 19700 19700 19700 19700 19700
474 CMU0136 IIc : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2522 CMU0976 A-III-iii-a : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - DAYS 1-4; CYCLOPHOSPHAMIDE 187.5-200MG/M2 IV + DOXORUBICIN 12.5MG/M2 IV + ETOPOSIDE 60MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV JUST BEFORE CDE REGIMEN. REPEAT CYCLE EVERY 4 WEEKS FOR A MAXIMUM OF 6 CYCLES. MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
219 CMU0109 -ii-c : ESOPHAGEAL CANCER - PERI-OPERATIVE - EOC (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
475 CMU0136 IId : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
2523 CMU0976 A-III-iii-b-1 : NHL - DIFFUSE LARGE B CELL LYMPHOMA - CODOX-M ALTERNATED WITH IVAC (CODOX-M) CODOX-M (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE MTX ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYCLOPHOSPHAMIDE + DOXORUBICIN IV, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1, 3; CYTARABINE -IT, DAYS 1, 8-VINCRISTINE IV, DAY 10; MTX IV, DAY 11; LEUCOVORIN, DAY 13; G-CSF SC DAILY, DAY 15; MTX -IT, DAY 16; LEUCOVORIN ORAL, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 49100 49100 49100 49100 49100 49100 49100 49100
220 CMU0109 -ii-d : ESOPHAGEAL CANCER - PERI-OPERATIVE - FLUOROURACIL & CISPLATIN ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV ; REPEAT CYCLE EVERY 28 DAYS FOR 2-4 CYCLES MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
476 CMU0136 IIe : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - BEVACIZUMAB ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS. MEDICAL ONCOLOGY 69600 69600 69600 69600 69600 69600 69600 69600
2524 CMU0976 A-III-iii-b-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CODOX-M ALTERNATED WITH IVAC (IVAC) CODOX-M/IVAC (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE METHOTREXATE ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY, DAY 6; LEUCOVORIN 15MG ORALLY 24 HOURS AFTER INTRATHECAL MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 45000 45000 45000 45000 45000 45000 45000 45000
221 CMU0109 -ii-e : ESOPHAGEAL CANCER - PERI-OPERATIVE - FLUOROURACIL & CISPLATIN ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 - 5-FU 800 MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS. ; CYCLED EVERY 21 DAYS FOR 2 CYCLESCYCLED EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
477 CMU0136 IIIa : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
2525 CMU0976 A-III-iii-c-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1&2) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
222 CMU0109 -iii : ESOPHAGEAL CANCER - POST-OPERATIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
478 CMU0136 IIIb : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - BEVACIZUMAB ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS. MEDICAL ONCOLOGY 69600 69600 69600 69600 69600 69600 69600 69600
2526 CMU0976 A-III-iii-c-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL, DAYS 1 AND 5; METHOTREXATE 12MG INTRATHECALLY. REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
223 CMU0109 -iii-a : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACIL + LEUCOVORIN (I) ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV, FOLLOWED BY 4 WEEKS BREAK AND CCRT ; RT DAYS 1-4 AND 23-25 - 5-FU 400MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV FOLLOWED BY ONE MONTH BREAK AND ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV FOLLOWED BY ONE MONTH BREAK AND ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV. MEDICAL ONCOLOGY 26700 26700 26700 26700 26700 26700 26700 26700
479 CMU0136 IIIc : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - EVEROLIMUS ; EVEROLIMUS 10MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 39100 39100 39100 39100 39100 39100 39100 39100
2527 CMU0976 A-III-iii-d-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
3295 CM1419 : Acute lymphoblastic leukemia: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
224 CMU0109 -iii-b : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACIL + LEUCOVORIN (II) ; DAYS 1, 2, 15, AND 16 - LEUCOVORIN 200MG/M2 IV, 5-FU 400MG/M2 IV PUSH AND 5-FU 600MG/M2 INFUSION MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
480 CMU0136 IIId : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - ERLOTINIB ; ERLOTINIB 150MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
2528 CMU0976 A-III-iii-d-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
3296 CM1420 : Acute myeloid leukemia: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
225 CMU0109 -iii-c : ESOPHAGEAL CANCER - POST-OPERATIVE - CAPECITABINE (I) ; DAYS 1-14 - CAPECITABINE 750-1000MG/M2 ORALLY TWICE DAILY; ; REPEAT EVERY 28 DAYS; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
481 CMU0136 IIIe : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
2529 CMU0976 A-III-iii-d-3 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
3297 CM1421 : Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
226 CMU0109 -iii-d : ESOPHAGEAL CANCER - POST-OPERATIVE - CAPECITABINE (II) ; DAYS 1-5 OR DAYS 1-7 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY, ; ONCE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
482 CMU0136 IIIf : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2530 CMU0976 A-III-iii-d-4 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
3298 CM1422 : Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
227 CMU0109 -iii-e : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACILDAYS 1-5 OR DAYS 1-7 - 5-FU 200-250MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS DAILY, ; ONCE WEEKLY FOR 5 WEEKS.ONCE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
483 CMU0137 : UNKNOWN PRIMARY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2531 CMU0976 A-III-iii-e-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (R-CHOP) RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, +/- DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
3299 CM1423 : Non-Hodgkin Lymphoma: Supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
228 CMU0109 -i-j : ESOPHAGEAL CANCER - NEO ADJUVANT - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
484 CMU0137 -i : UNKNOWN PRIMARY - ADENOCARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2532 CMU0976 A-III-iii-e-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
3300 CM1424 : Retinoblastoma (Intraocular): supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
229 CMU0109 -iv : ESOPHAGEAL CANCER - DEFINITIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
485 CMU0137 -i-a : UNKNOWN PRIMARY - ADENOCARCINOMA - PACLITAXEL + CARBOPLATIN + ETOPOSIDE ; DAY 1 - PACLITAXEL 200 MG/M 2 IV, CARBOPLATIN AUC 6 ; DAYS 1-10 - ETOPOSIDE 50 MG PO ALTERNATING WITH 100 MG DAILY ; REPEAT EVERY 21DAYS FOR 2-3 CYCLES; RESTAGE, CAN BE TREATED UPTO 8 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
2533 CMU0976 A-III-iv : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
3301 CM1425 : Retinoblastoma (extraocular): supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
230 CMU0109 -iv-a : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & CISPLATIN (I) ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
486 CMU0137 -i-b : UNKNOWN PRIMARY - ADENOCARCINOMA - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 200 MG/M 2, CARBOPLATIN AUC 6 ; REPEAT CYCLE EVERY 3 WEEKS, MAXIMUM 8 CYCLES MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
2534 CMU0976 A-III-iv-a : NONHODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - DAYS 1-4; CYCLOPHOSPHAMIDE 187.5-200MG/M2 IV + DOXORUBICIN 12.5MG/M2 IV + ETOPOSIDE 60MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV JUST BEFORE CDE REGIMEN. REPEAT CYCLE EVERY 4 WEEKS FOR A MAXIMUM OF 6 CYCLES. MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
3302 CM1426 : Brain tumors: supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
231 CMU0109 -iv-b : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & CISPLATIN (II) ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 - 5-FU 800 MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS. ; CYCLED EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
487 CMU0137 -i-c : UNKNOWN PRIMARY - ADENOCARCINOMA - DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 65MG/M2 IV, CARBOPLATIN AUC 6 ; REPEAT CYCLE EVERY 3 WEEKS, MAXIMUM 8 CYCLES. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2535 CMU0976 A-III-iv-b-1 : NHL - AIDS-RELATED B-CELL LYMPHOMAS - CODOX-M ALTERNATED WITH IVAC (CODOX-M) (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE MTX ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYCLOPHOSPHAMIDE IV + DOXORUBICIN IV, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1 AND 3; CYTARABINE IT, DAYS 1 AND 8; VINCRISTINE IV, DAY 10; MTX IV OVER 1 HOUR, THEN IV INFUSION FOR 23 HOURS, DAY 11; LEUCOVORIN IV, FOLLOWED BY EVERY 6 HOURS, DAY 13; G-CSF SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, DAY 15; MTX IT, DAY 16; LEUCOVORIN 15MG ORAL, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 49100 49100 49100 49100 49100 49100 49100 49100
3303 CM1427 : Histiocytosis: supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
232 CMU0109 -iv-c : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & OXALIPLATIN ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY CONTINUOUS IV INFUSION. MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
488 CMU0137 -i-d : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + CISPLATIN ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAY 1 AND 8 - GEMCITABINE 1250MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
2536 CMU0976 A-III-iv-b-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CODOX-M ALTERNATED WITH IVAC (IVAC) CODOX-M/IVAC (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE METHOTREXATE ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY, DAY 6; LEUCOVORIN 15MG ORALLY 24 HOURS AFTER INTRATHECAL MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 45000 45000 45000 45000 45000 45000 45000 45000
3304 CM1428 : Bone tumors/soft tissue sarcomas : supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
233 CMU0109 -iv-d : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
489 CMU0137 -i-e : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + DOCETAXEL ; DAY 1 AND 8 - GEMCITABINE 1000MG/M2 IV OVER 30 MINUTES ; DAY 8 - DOCETAXEL 75MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR A MAXIMUM OF 6 CYCLES MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
2537 CMU0976 A-III-iv-c-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1&2) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
3305 CM1429 : Chronic Myeloid Leukemia : supportive care/ rehabilitation MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
234 CMU0109 -iv-e : ESOPHAGEAL CANCER - DEFINITIVE - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
490 CMU0137 -i-f : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + IRINOTECAN ; DAYS 1 AND 8 - IRINOTECAN 100MG/M2 IV, GEMCITABINE 1000MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES.RESTAGE EVERY 2-3 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
2538 CMU0976 A-III-iv-c-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL DAYS 1 AND 5; METHOTREXATE 12MG INTRATHECALLY. REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
3306 CM1430 : Terminally IllPalliative And Supportive Therapy - Per month MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
235 CMU0109 -iv-f : ESOPHAGEAL CANCER - DEFINITIVE - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV AND CARBOPLATIN 2MG/MIN/ML IV ; REPEAT WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
491 CMU0137 -i-g : UNKNOWN PRIMARY - ADENOCARCINOMA - MFOLFOX ; DAY 1 - OXALIPLATIN 85MG/M2 IV OVER 2 HOURS + LEUCOVORIN 400MG/M2 IV OVER 2 HOURS + 5-FU 400MG/M2 IV BOLUS THEN ; DAYS 1 AND 2 - 5-FU 1200MG/M2 (TOTAL 2400MG/M2 OVER 46-48 HOURS) IV CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS FOR 24 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
2539 CMU0976 A-III-iv-d-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
236 CMU0109 -iv-g : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH DOCETAXEL (I) ; DAYS 1 AND 22 - DOCETAXEL 60MG/M2 IV ; DAYS 1 AND 22 - CISPLATIN 60-80MG/M2 IV GIVEN FOR 1 CYCLE MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
492 CMU0137 -i-h : UNKNOWN PRIMARY - ADENOCARCINOMA - CAPEOX ; DAY 1 - OXALIPLATIN 130MG/M2 IV OVER 2 HOURS ; DAY 1-14 - CAPECITABINE 850-1000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 16 CYCLES. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2540 CMU0976 A-III-iv-d-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
237 CMU0109 -iv-h : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH DOCETAXEL (II) ; DAY 1 - DOCETAXEL 20-30MG/M2 IV ; DAY 1 - CISPLATIN 20-30MG/M2 IV ; REPEAT WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
493 CMU0137 -ii : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2541 CMU0976 A-III-iv-d-3 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
238 CMU0109 -iv-i : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH PACLITAXEL ; DAYS 1, 8, 15, AND 22 - PACLITAXEL 60MG/M2 IV ; DAY 1 - CISPLATIN 75MG/M2 IV GIVEN FOR 1 CYCLE. MEDICAL ONCOLOGY 13800 13800 13800 13800 13800 13800 13800 13800
494 CMU0137 -i-i : UNKNOWN PRIMARY - ADENOCARCINOMA - IRINOTECAN + CARBOPLATIN ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAYS 1, 8, AND 15 - IRINOTECAN 60MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
2542 CMU0976 A-III-iv-d-4 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
239 CMU0109 -iv-j : ESOPHAGEAL CANCER - DEFINITIVE - IRINOTECAN & CISPLATIN ; DAYS 1, 8, 22, AND 29 - IRINOTECAN 65MG/M2 IV ; DAYS 1, 8, 22, AND 29 - CISPLATIN 30MG/M2 IV. MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
495 CMU0137 -ii-a : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA - PACLITAXEL + CISPLATIN + 5-FU ; PACLITAXEL 175 MG/M 2 IV, ; DAY 2 - CISPLATIN 100 MG/M 2 IV, ; DAY 5-FU (5-FLUOROURACIL) 500 MG/M 2/DAY IV ; REPEAT EVERY 21D MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
2543 CMU0976 A-III-iv-e-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, +/- DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
240 CMU0109 -iv-k : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45MG/M2 IV ; DAYS 1-5 - 5-FU 300MG/M2/DAY IV ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
496 CMU0137 -ii-b : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA - DOCETAXEL + CISPLATIN + 5-FU ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV. ; DAYS 1-5 - 5-FU 750MG/M2/DAY IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
2544 CMU0976 A-III-iv-e-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
241 CMU0109 -iv-l : ESOPHAGEAL CANCER - DEFINITIVE - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 PO TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
497 CMU0137 -ii-c : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -PACLITAXEL + CARBOPLATIN ; DAY 1 - CARBOPLATIN AUC 6MG PER MIN/ML IV OVER 30 MINUTES + PACLITAXEL 200MG/M2 IV OVER 3 HOURS. ; REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES IN RESPONDING PATIENTS AND FOR 6 CYCLES MAXIMUM IN PATIENTS WITH STABLE DISEASE MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
2545 CMU0976 A-III-v : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
242 CMU0109 -v : ESOPHAGEAL CANCER - CONCURRENT CISPLATIN; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 5 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
498 CMU0137 -ii-d : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -CISPLATIN + GEMCITABINE ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAY 1 AND 8 - GEMCITABINE 1250MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
2546 CMU0976 A-III-v-a-1 : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
243 CMU0110 : GASTRIC CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
499 CMU0137 -ii-e : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -MFOLFOX ; DAY 1 - OXALIPLATIN 85MG/M2 IV OVER 2 HOURS + LEUCOVORIN 400MG/M2 IV OVER 2 HOURS + 5-FU 400MG/M2 IV BOLUS THEN ; DAYS 1 AND 2 - 5-FU 1200MG/M2 (TOTAL 2400MG/M2 OVER 46-48 HOURS) IV CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS FOR 24 CYCLES. MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
2547 CMU0976 A-III-v-a-2 : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
244 CMU0110 -i : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
500 CMU0137 -ii-f : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -PACLITAXEL + CISPLATIN ; DAY 1 - PACLITAXEL 175MG/M2 IV + CISPLATIN 60MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2548 CMU0976 A-III-v-b : NONHODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
245 CMU0110 -i-a : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV, CARBOPLATIN AUC 2MG/MIN/ML IV. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
501 CMU0137 -ii-g : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 75MG/M2 IV OVER 30 MINUTES + CARBOPLATIN AUC 5MG PER MIN/ML IV OVER 30 MINUTES. ; REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
2549 CMU0976 A-III-vi : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
246 CMU0110 -i-b : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & CISPLATIN (I) ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1000MG/M2/DAY IV MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
502 CMU0137 -ii-h : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CISPLATIN ; DAY 1 - DOCETAXEL 60MG/M2 IV + CISPLATIN 80MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 2 CYCLES AND AN ADDITIONAL 4 CYCLES UNTIL DISEASE PROGRESSION IS DEMONSTRATED MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2550 CMU0976 A-III-vi-a-1 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - BENDAMUSTINE WITH OR WITHOUT RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1 AND 2; BENDAMUSTINE 90MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 TO 8 CYCLES MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
247 CMU0110 -i-c : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & CISPLATIN (II) ; DAYS 1-5 - CISPLATIN 15MG/M2 IV ONCE DAILY, 5-FU 800MG/M2/DAY IV ; REPEAT CYCLE EVERY 21 DAYS FOR 2 CYCLES. MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
503 CMU0137 -iii : UNKNOWN PRIMARY - NEUROENDOCRINE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2551 CMU0976 A-III-vi-a-2 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - BENDAMUSTINE (-) RITUXIMAB DAYS 1 AND 2; BENDAMUSTINE 90MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 TO 8 CYCLES MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
248 CMU0110 -i-d : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & OXALIPLATIN (I)DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY IV. MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
504 CMU0137 -ii-i : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CISPLATIN ; DAY 1 - DOCETAXEL 75MG/M2 IV + CISPLATIN 75MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
2552 CMU0976 A-III-vi-b-1 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
249 CMU0110 -i-e : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & OXALIPLATIN (II)DAY 1 - OXALIPLATIN 85MG/M2 AND LEUCOVORIN 400MG/M2 FOLLOWED BY 5-FU 400MG/M2 BOLUS, THEN 800MG/M2 24-HOUR CONTINUOUS INFUSION OVER DAYS 1 AND 2; THE FIRST 3 CYCLES WERE DELIVERED DURING RADIOTHERAPY (RT), THE OTHER 3 AFTER RT; 6 BIMONTHLY (14 DAYS) CYCLES. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
505 CMU0137 -iii-b : UNKNOWN PRIMARY - NEUROENDOCRINE TUMORS - ETOPOSIDE + CISPLATIN ; DAYS 1-3 - ETOPOSIDE 100 MG/M 2 ; DAYS 2-3 - CISPLATIN 45 MG/M 2 IV ; REPEAT EVERY 28 DAYS MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2553 CMU0976 A-III-vi-b-2 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
250 CMU0110 -i-f : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
506 CMU0137 -ii-j : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -CISPLATIN + FLUOROURACIL ; DAYS 1-5 - CISPLATIN 20MG/M2 IV ; DAYS 1-5 - FLUOROURACIL 700MG/M2/DAY IV VIA CONTINUOUS INFUSION OVER 24 HOURS. ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
2554 CMU0976 A-III-vi-c : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + VINCRISTINE + PREDNISONE + RITUXIMAB (RCVP) - DAY 1;RITUXIMAB 375MG/M2 IV, CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 40MG/M2 ORALLY DAILY, REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES MEDICAL ONCOLOGY 22000 22000 22000 22000 22000 22000 22000 22000
251 CMU0110 -i-g : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
507 CMU0138 : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMACA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2555 CMU0976 A-III-vi-d : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
252 CMU0110 -i-h : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45-50MG/M2 IV WEEKLY ; DAYS 1-5 - 5-FU 300MG/M2 IV ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
508 CMU0138 -a : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - GEMCITABINE + CISPLATIN ; DAYS 1 AND 8 - CISPLATIN 25MG/M2 IV, GEMCITABINE 1, 000MG/M2 IV ; REPEAT EVERY 21 DAYS FOR 4 CYCLES, RE-EVALUATE AND CONTINUE AN ADDITIONAL 4 CYCLES IF WARRANTED MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
2556 CMU0976 A-III-vi-e : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - LENALIDOMIDE + RITUXIMAB - DAYS 1-21; LENALIDOMIDE 25MG ORALLY DAILY, RITUXIMAB -APPLIED SEPARATELY ON DAYS 1, 8, 15, AND 22 AS AN ADDON MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
253 CMU0110 -ii : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
509 CMU0138 -b : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - 5-FU ; 5 - FU IV MEDICAL ONCOLOGY 4300 4300 4300 4300 4300 4300 4300 4300
2557 CMU0976 A-III-vii : NONHODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
254 CMU0110 -i-i : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
510 CMU0138 -c : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - CAPECITABINE ; CAPECITABINE ORAL ; REPEAT EVERY 21 DAYS MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
2558 CMU0976 A-III-vii-a : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - SMILE - DAY 1; METHOTREXATE 2G/M2 IV, DAYS 2-4; DEXAMETHASONE 40MG IV OR ORALLY + LEUCOVORIN 15MG × 4 DOSES/DAY IV OR ORALLY + IFOSFAMIDE 1500MG/M2 IV + ETOPOSIDE 100MG/M2 IV, DAYS 8, 10, 12, 14, 16, 18, AND 20; L-ASPARAGINASE 6000U/M2 IV. REPEAT EVERY 21 DAYS FOR 3 CYCLES. MEDICAL ONCOLOGY 28900 28900 28900 28900 28900 28900 28900 28900
255 CMU0110 -ii-a : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - ECF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV, CISPLATIN 60MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2/DAY IV ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
511 CMU0139 : PANCREAS CARCINOMAPANCREAS CARCINOMA - MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2559 CMU0976 A-III-vii-b : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - DEVIC +RT - DAY 1; CARBOPLATIN 300MG/M2, DAYS 1-3; DEXAMETHASONE 40MG IV + ETOPOSIDE 100MG/M2 IV + IFOSFAMIDE 1.5MG/M2. REPEAT CHEMOTHERAPY EVERY 3 WEEKS FOR 3 CYCLES. RADIATION 50GY AND 3 COURSES OF DEVIC MEDICAL ONCOLOGY 9600 9600 9600 9600 9600 9600 9600 9600
802 CMU0229 A : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
803 CMU0229 A-i : TERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 7400 6650 6000 5400 4850 4350 7400 5400
804 CMU0229 A-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 10500 9450 8500 7650 6900 6200 10500 7650
805 CMU0229 A-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
806 CMU0229 B : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
807 CMU0229 B-i : TERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
808 CMU0229 B-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
809 CMU0229 B-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
810 CMU0229 C : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
811 CMU0229 C-i : TERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
812 CMU0229 C-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
813 CMU0229 C-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
814 CMU0230 A : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
815 CMU0230 B : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
816 CMU0230 C : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
817 CMU0230 D : TERM BABY HYPERBILIRUBINEMIA - PHOTOTHERAPY NEONATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
818 CMU0231 A : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
819 CMU0231 B : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
820 CMU0231 C : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
821 CMU0231 D : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION - MECHANICAL HIGH-FREQUENCY OSCILLATORY VENTILATION (HFOV) NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
822 CMU0232 A : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
823 CMU0232 A-i : PRETERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 10500 9450 8500 7650 6900 6200 10500 7650
824 CMU0232 A-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
825 CMU0232 A-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
826 CMU0232 B : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
827 CMU0232 B-i : PRETERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
828 CMU0232 B-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
829 CMU0232 B-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
830 CMU0232 C : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 78800 70900 63850 57450 51700 46550 78800 57450
831 CMU0232 C-i : PRETERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
832 CMU0232 C-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
833 CMU0232 C-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
834 CMU0233 A : PRETERM BABY HYPERBILIRUBINEMIA / EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
835 CMU0233 B : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
836 CMU0233 C : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
837 CMU0233 D : PRETERM BABY HYPERBILIRUBINEMIA - PHOTOTHERAPY NEONATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
838 CMU0234 A : TERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
839 CMU0234 B : TERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
840 CMU0235 A : PRETERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
841 CMU0235 B : PRETERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
842 CMU0236 A : TERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - NON VENTILATED NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
843 CMU0236 B : TERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
844 CMU0237 : PRETERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
845 CMU0238 A : PRETERM BABY RDS WITHOUT SURFACTANT WITH CPAP NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
846 CMU0238 B : PRETERM BABY RDS WITH SURFACTANT WITH CPAP NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
847 CMU0238 C : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 84000 75600 68050 61250 55100 49600 84000 61250
848 CMU0238 D : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
849 CMU0239 : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
850 CMU0239 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (HIGH FREQUENCY OSCILLATORY VENTILATION) NEONATOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
851 CMU0240 : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
852 CMU0241 : PRETERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
853 CMU0241 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (HIGH FREQUENCY OSCILLATORY VENTILATION) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
854 CMU0242 : PRETERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
855 CMU0243 A : TERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
856 CMU0243 B : PRETERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
857 CMU0244 : TERM/PRETERM NEONATAL CHOLESTASIS WITH OR WITHOUT SEPSIS NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
858 CMU0245 : UMBLICAL VENOUS CATHETER PLACEMENT NEONATOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
3292 CM1416 : Chronic Care Package (Rs. 3000 per day, maximum of Rs. 30,000): If the baby requires stay beyond the upper limit of usual stay in Package no 0004 or 0005 for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged NEONATOLOGY 0 0 0 0 0 0 0 0
3293 CM1417 : High Risk Newborn Post Discharge Care Package (Protocol Driven) NEONATOLOGY 0 0 0 0 0 0 0 0
3294 CM1418 : Advanced Surgery for Retinopathy of Prematurity NEONATOLOGY 0 0 0 0 0 0 0 0
2601 CMU0985 -II : NEPHROTIC SYNDROME NEPHROLOGY 17700 15950 14350 12900 11600 10450 17700 12900
2603 CMU0986 -II : NEPHROTIC SYNDROME WITH COMPLICATIONS NEPHROLOGY 27300 24550 22100 19900 17900 16100 27300 19900
2619 CMU0998 A : IJV CATHETER INSERTION WITHOUT DIALYSIS NEPHROLOGY 10000 9000 8100 7300 6550 5900 10000 7300
2620 CMU0998 B : IJV CATHETER INSERTION - INCLUDING DIALYSIS NEPHROLOGY 13000 11700 10550 9500 8550 7700 13000 9500
2111 CMU0851 -II : CHRONIC RENAL FAILURE WITH INITIATION OF HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 18000 16200 14600 13100 11800 10650 18000 13100
2113 CMU0852 -II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 11300 10150 9150 8250 7400 6650 11300 8250
2115 CMU0853 -II : ACUTE RENAL FAILURE WITH HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 13200 11900 10700 9600 8650 7800 13200 9600
2117 CMU0854 -II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE NEPHROLOGY 29400 26450 23800 21450 19300 17350 29400 21450
2119 CMU0855 A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF / SLED NEPHROLOGY 59900 53900 48500 43650 39300 35350 59900 43650
2888 CMU0531A : PERITONEAL DIALYSIS CATHETER INSERTION-PERCUTANEOUS NEPHROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
2121 CMU0855 B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD NEPHROLOGY 80900 72800 65550 59000 53100 47750 80900 59000
2889 CMU0531B : PERITONEAL DIALYSIS CATHETER INSERTION-LAPAROSCOPIC NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
2122 CMU0856 : RENAL BIOPSY NEPHROLOGY 15700 14150 12700 11450 10300 9250 15700 11450
2890 CMU0531C : PERITONEAL DIALYSIS CATHETER INSERTION-OPEN NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
2228 CMU0913 -II : END STAGE RENAL DISEASE NEPHROLOGY 14900 13400 12050 10850 9800 8800 14900 10850
1249 CMU0522 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF) NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1250 CMU0523 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE NEPHROLOGY 8800 8800 8800 8800 8800 8800 8800 8800
1251 CMU0524 : PERITONEAL DIALYSIS/CAPD INCLUDING ERYTHROPOIETIN AND IRON NEPHROLOGY 13300 13300 13300 13300 13300 13300 13300 13300
1252 CMU0524 A : CAPD INCLUDING ERYTHROPOIETIN AND IRON (1 MONTH) NEPHROLOGY 26600 26600 26600 26600 26600 26600 26600 26600
1253 CMU0525 : ACUTE INTERMITENT PERITONEAL DIALYSIS NEPHROLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1254 CMU0526 : CAPD CATHETER REMOVAL NEPHROLOGY 6500 6500 6500 6500 6500 6500 6500 6500
1255 CMU0527 : FEMORAL/SUBCLAVIAN HD CATHETER INSERTION WITH DIALYSIS NEPHROLOGY 13000 11700 10550 9500 8550 7700 13000 9500
1256 CMU0528 : HEMOPERFUSION FOR POISONING NEPHROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1257 CMU0529 : PERITIONITIS DUE TO PERITONEAL DIALYSIS NEPHROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1258 CMU0530 : PERITONEAL DIALYSIS CATHETER EXCHANGE NEPHROLOGY 20000 18000 16200 14600 13100 11800 20000 14600
1259 CMU0531 : PERITONEAL DIALYSIS CATHETER INSERTION-ANY TYPE NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
2359 CMU0974 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION NEUROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
2360 CMU0974 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION NEUROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2108 CMU0849 -II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) NEUROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2124 CMU0857 -II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED NEUROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
2128 CMU0859 -II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA NEUROLOGY 14000 12600 11350 10200 9200 8250 14000 10200
1659 CMU0716 -III : ACUTE STROKE THROMBOLYSIS (R TPA ) NEUROLOGY 0 0 0 0 0 0 0 0
1660 CMU0716 -III-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS) NEUROLOGY 0 0 0 0 0 0 0 0
1661 CMU0716 -III-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 50 MG) NEUROLOGY 35400 35400 35400 35400 35400 35400 35400 35400
1662 CMU0716 -III-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 70MG) NEUROLOGY 56400 56400 56400 56400 56400 56400 56400 56400
2230 CMU0914 -II : GULLAIN BARRE SYNDROME NEUROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
2232 CMU0915 -II : OPTIC NEURITIS NEUROLOGY 11000 9900 8900 8000 7200 6500 11000 8000
2234 CMU0916 -II : MYOPATHY / MUSCULAR DYSTROPHY NEUROLOGY 14300 12850 11600 10400 9400 8450 14300 10400
2236 CMU0917 -II : MYASTHENIA GRAVIS NEUROLOGY 17500 15750 14200 12750 11500 10350 17500 12750
2238 CMU0919 : CAVERNOUS SINUS THROMBOSIS NEUROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1260 CMU0532 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY NEUROLOGY 17000 15300 13750 12400 11150 10050 17000 15300
1261 CMU0533 A : HEMORRHAGIC STROKE NEUROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1262 CMU0533 B : ISCHEMIC STROKE NEUROLOGY 19800 17800 16050 14450 13000 11700 19800 14450
1263 CMU0534 : AUTO IMMUNE ENCEPHALITIS NEUROLOGY 160000 144000 129600 116650 105000 94500 160000 116650
1554 CMU0673 -II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX NEUROSURGERY 127100 114400 102950 92650 83400 75050 127100 92650
1557 CMU0674 -III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA NEUROSURGERY 140000 126000 113400 102050 91850 82650 140000 102050
1562 CMU0676 -III : BRAIN AVM EMBOLIZATION NEUROSURGERY 145000 130500 117450 105700 95150 85600 145000 105700
1565 CMU0677 -III : TUMOR EMBOLIZATION NEUROSURGERY 120000 108000 97200 87500 78750 70850 120000 87500
1577 CMU0683 -A-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 81300 73150 65850 59250 53350 48000 81300 59250
1580 CMU0683 -B-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 0 0 0 0 0 0 0 0
1583 CMU0684 -II : SPINAL DURAL FISTULA EMBOLIZATION NEUROSURGERY 107000 96300 86650 78000 70200 63200 107000 78000
2351 CMU0968 : POSTERIOR FOSSA ENDOSCOPIC SURGERY NEUROSURGERY 88000 79200 71300 64150 57750 51950 88000 64150
2352 CMU0969 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS NEUROSURGERY 83300 74950 67450 60750 54650 49200 83300 60750
1589 CMU0687 -II : VEIN OF GALEN EMBOLIZATION NEUROSURGERY 107000 96300 86650 78000 70200 63200 107000 78000
1591 CMU0688 -II : DURAL FISTULA EMBOLIZATION NEUROSURGERY 135400 121850 109650 98700 88850 79950 135400 98700
1616 CMU0699 -II : INTRACRANIAL VENOUS STENTING NEUROSURGERY 165000 148500 133650 120300 108250 97450 165000 120300
3152 CM1276 : Duroplasty - Endogenous NEUROSURGERY 12500 11250 10125 9113 8201 7381 12500 9113
3153 CM1277 : Duroplasty - Exogenous NEUROSURGERY 40250 36225 32603 29342 26408 23767 40250 29342
1618 CMU0700 -II : INTRACRANIAL ARTERIAL STENTING NEUROSURGERY 165000 148500 133650 120300 108250 97450 165000 120300
3154 CM1278 : Local Neurectomy NEUROSURGERY 0 0 0 0 0 0 0 0
3155 CM1279 : Micro discectomy - Cervical NEUROSURGERY 40000 36000 32400 29160 26244 23620 40000 29160
3156 CM1280 : Spine - Extradural Haematoma NEUROSURGERY 30000 0 0 0 0 0 0 0
3157 CM1281 : Spine - Extradural Haematoma with fixation NEUROSURGERY 40000 0 0 0 0 0 0 0
3158 CM1282 : Spine - Intradural Haematoma NEUROSURGERY 40000 0 0 0 0 0 0 0
3159 CM1283 : Cranial Nerve Anastomosis NEUROSURGERY 32000 28800 25920 23328 20995 18896 32000 23328
3160 CM1284 : Nerve Biopsy excluding Hensens NEUROSURGERY 0 0 0 0 0 0 0 0
1881 CMU0783 A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY NEUROSURGERY 33300 29950 26950 24300 21850 19650 33300 24300
3161 CM1285 : Peripheral Neurectomy (Trigeminal) NEUROSURGERY 16500 0 0 0 0 0 0 0
1882 CMU0783 A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT NEUROSURGERY 25000 22500 20250 18250 16400 14750 25000 18250
3162 CM1286 : Additonal clip for Aneurysm Clipping NEUROSURGERY 15000 13500 12150 10935 9842 8857 15000 10935
1883 CMU0783 A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION NEUROSURGERY 25000 22500 20250 18250 16400 14750 25000 18250
3163 CM1287 : Muscle Biopsy with report NEUROSURGERY 0 0 0 0 0 0 0 0
3164 CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure NEUROSURGERY 60000 54000 48600 43740 39366 35429 60000 43740
1642 CMU0712 -II : DURAL SINUS ANGIOPLASTY AND STENTING NEUROSURGERY 105000 94500 85050 76550 68900 62000 105000 76550
2164 CMU0877 : ANEURYSM CLIPPING NEUROSURGERY 162400 146150 131550 118400 106550 95900 162400 118400
2165 CMU0878 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) NEUROSURGERY 59400 53450 48100 43300 38950 35100 59400 43300
2172 CMU0883 -III : POSTERIOR DISCECTOMY NEUROSURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2190 CMU0894 : C.V. JUNCTION FUSION NEUROSURGERY 65000 58500 52650 47400 42650 38400 65000 47400
2197 CMU0898 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) NEUROSURGERY 106600 95950 86350 77700 69950 62950 106600 77700
2198 CMU0899 : TRANS ORAL SURGERY NEUROSURGERY 80000 72000 64800 58300 52500 47250 80000 58300
1959 CMU0809 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE NEUROSURGERY 46700 42050 37850 34050 30650 27600 46700 34050
943 CMU0304 : CRANIOTOMY AND EVACUATION OF HAEMATOMA NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
944 CMU0305 A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
945 CMU0305 B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
946 CMU0306 A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
947 CMU0306 B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
948 CMU0307 A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
949 CMU0307 B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
950 CMU0308 A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT NEUROSURGERY 44900 40400 36350 32750 29450 26500 44900 32750
951 CMU0308 B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL NEUROSURGERY 48300 43450 39100 35200 31700 28500 48300 35200
952 CMU0309 A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION NEUROSURGERY 44900 40400 36350 32750 29450 26500 44900 32750
953 CMU0309 B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT NEUROSURGERY 49900 44900 40400 36400 32750 29450 49900 36400
954 CMU0309 C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION NEUROSURGERY 48300 43450 39100 35200 31700 28500 48300 35200
955 CMU0309 D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT NEUROSURGERY 42600 38350 34500 31050 27950 25150 42600 31050
956 CMU0310 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT NEUROSURGERY 68300 61450 55300 49800 44800 40350 68300 49800
957 CMU0311 : TWIST DRILL CRANIOSTOMY NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
958 CMU0312 : SUBDURAL TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
959 CMU0313 : VENTRICULAR TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
960 CMU0314 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
961 CMU0315 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION NEUROSURGERY 45400 40850 36750 33100 29800 26800 45400 33100
962 CMU0316 : C.S.F. RHINORRHOEA & ACF REPAIR NEUROSURGERY 58600 52750 47450 42700 38450 34600 58600 42700
963 CMU0317 : CRANIOPLASTY NEUROSURGERY 67100 60400 54350 48900 44000 39600 67100 48900
964 CMU0318 : EXTERNAL VENTRICULAR DRAINAGE (EVD) NEUROSURGERY 36700 33050 29750 26750 24100 21650 36700 26750
965 CMU0319 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL, CEREBELLUM ETC) NEUROSURGERY 75000 67500 60750 54700 49200 44300 75000 54700
966 CMU0320 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) NEUROSURGERY 71000 63900 57500 51750 46600 41900 71000 51750
967 CMU0321 : BASAL LESION NEUROSURGERY 80300 72250 65050 58550 52700 47400 80300 58550
968 CMU0322 : BRAIN STEM LESION NEUROSURGERY 97700 87950 79150 71200 64100 57700 97700 71200
969 CMU0323 : C P ANGLE LESION NEUROSURGERY 97700 87950 79150 71200 64100 57700 97700 71200
970 CMU0324 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE NEUROSURGERY 82900 74600 67150 60450 54400 48950 82900 60450
971 CMU0325 : STEREOTACTIC PROCEDURES- ABLATION NEUROSURGERY 141000 126900 114200 102800 92500 83250 141000 102800
972 CMU0326 : STEREOTACTIC PROCEDURES- BIOPSY NEUROSURGERY 54700 49250 44300 39900 35900 32300 54700 39900
973 CMU0327 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
974 CMU0328 : INTRA-CEREBRAL HEMATOMA EVACUATION NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
975 CMU0329 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
976 CMU0330 A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 87700 78950 71050 63950 57550 51800 87700 63950
977 CMU0330 B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 86300 77650 69900 62900 56600 50950 86300 62900
978 CMU0330 C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 63400 57050 51350 46200 41600 37450 63400 46200
979 CMU0330 D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 63400 57050 51350 46200 41600 37450 63400 46200
980 CMU0331 : LESIONECTOMY FOR INTRACTABLE SEIZURES NEUROSURGERY 163000 146700 132050 118850 106950 96250 163000 118850
981 CMU0332 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES NEUROSURGERY 65500 58950 53050 47750 42950 38700 65500 47750
982 CMU0333 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA NEUROSURGERY 72100 64900 58400 52550 47300 42550 72100 52550
983 CMU0334 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) NEUROSURGERY 54300 48850 44000 39600 35650 32050 54300 39600
984 CMU0335 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM NEUROSURGERY 52600 47350 42600 38350 34500 31050 52600 38350
985 CMU0336 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION NEUROSURGERY 82100 73900 66500 59850 53850 48500 82100 59850
986 CMU0337 : INTRACRANIAL FOREIGN BODY REMOVAL NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
987 CMU0338 A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 31900 28700 25850 23250 20950 18850 31900 23250
988 CMU0338 B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 44100 39700 35700 32150 28950 26050 44100 32150
989 CMU0338 C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 55100 49600 44650 40150 36150 32550 55100 40150
990 CMU0338 D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ NEUROSURGERY 56100 50500 45450 40900 36800 33150 56100 40900
991 CMU0338 E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 32600 29350 26400 23750 21400 19250 32600 23750
992 CMU0338 F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 38700 34850 31350 28200 25400 22850 38700 28200
993 CMU0338 G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 50700 45650 41050 36950 33250 29950 50700 36950
994 CMU0338 H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ NEUROSURGERY 50700 45650 41050 36950 33250 29950 50700 36950
995 CMU0339 A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ NEUROSURGERY 50000 45000 40500 36450 32800 29500 50000 36450
996 CMU0339 B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ NEUROSURGERY 52200 47000 42300 38050 34250 30800 52200 38050
997 CMU0340 A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION NEUROSURGERY 79700 71750 64550 58100 52300 47050 79700 58100
998 CMU0340 B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY NEUROSURGERY 70300 63250 56950 51250 46100 41500 70300 51250
999 CMU0341 A : DEEP BRAIN STIMULATION E-COG WITH BRAIN MAPPING (MRI, FMRI WITH 3D- MAPPING) NEUROSURGERY 154600 139150 125250 112700 101450 91300 154600 112700
1000 CMU0341 B : DEEP BRAIN STIMULATION WITH E-COG, BRAIN MAPPING, INTRA-OPERATIVE NEURONAVIGATION TECHNIQUES & I-O CT/ MRI GUIDED STEREOTACTIC STIMULATION NEUROSURGERY 196300 176650 159000 143100 128800 115900 196300 143100
1001 CMU0342 : INTRATHECAL PUMP IMPLANT NEUROSURGERY 72100 64900 58400 52550 47300 42550 72100 52550
1002 CMU0343 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION NEUROSURGERY 97600 87850 79050 71150 64050 57650 97600 71150
1003 CMU0344 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION NEUROSURGERY 103400 93050 83750 75400 67850 61050 103400 75400
1004 CMU0345 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY NEUROSURGERY 44600 40150 36150 32500 29250 26350 44600 32500
1005 CMU0346 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY NEUROSURGERY 51800 46600 41950 37750 34000 30600 51800 37750
1006 CMU0347 : CERVICAL / LUMBAR SYMPATHECTOMY NEUROSURGERY 43300 38950 35050 31550 28400 25550 43300 31550
1007 CMU0348 : BRAIN - ANY BIOPSY NEUROSURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1854 CMU0773 A-III : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 35400 31850 28650 25800 23250 20900 35400 25800
1857 CMU0773 B-III : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 23800 21400 19300 17350 15600 14050 23800 17350
1860 CMU0774 -A-III : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 30200 27200 24450 22000 19800 17850 30200 22000
1863 CMU0774 -B-III : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 40700 36650 32950 29650 26700 24050 40700 29650
1865 CMU0775 -II : HEMIMANDIBULECTOMY OFMS 26400 23750 21400 19250 17300 15600 26400 19250
1866 CMU0775 -III : HEMIMANDIBULECTOMY OFMS 26400 23750 21400 19250 17300 15600 26400 19250
1869 CMU0776 -II : MARGINAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
1870 CMU0776 -III : MARGINAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
1873 CMU0777 -II : SEGMENTAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
1874 CMU0777 -III : SEGMENTAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
3203 CM1327 : Sequestrectomy OFMS 0 0 0 0 0 0 0 0
3204 CM1328 : Release of fibrous bands & grafting -in (OSMF) treatment under GA OFMS 0 0 0 0 0 0 0 0
3205 CM1329 : Extraction of impacted tooth under LA OFMS 0 0 0 0 0 0 0 0
1480 CMU0654 -II : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION OFMS 44000 39600 35650 32100 28850 26000 44000 32100
1743 CMU0746 -I : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA OFMS 0 0 0 0 0 0 0 0
1744 CMU0746 -I-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA OFMS 11700 10550 9500 8550 7700 6900 11700 8550
1745 CMU0746 -I-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE OFMS 11700 10550 9500 8550 7700 6900 11700 8550
1746 CMU0746 -I-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING OFMS 5800 5200 4700 4250 3800 3400 5800 4250
1756 CMU0747 -II : HEAD & NECK CANCER COMPOSITE RESECTION OFMS 41100 37000 33300 29950 26950 24250 41100 29950
1758 CMU0748 -II : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION OFMS 51600 46450 41800 37600 33850 30450 51600 37600
1408 CMU0643 -II : ENDOSCOPIC DCR OPHTHALMOLOGY SURGERIES 16200 14600 13100 11800 10650 9550 16200 11800
1157 CMU0444 : THERAPEUTIC PENETRATING KERATOPLASTY / OPTICAL PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
1158 CMU0444 A : THERAPEUTIC PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
1159 CMU0444 B : OPTICAL PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 13700 12350 11100 10000 9000 8100 13700 10000
1160 CMU0445 : LAMELLAR KERATOPLASTY OPHTHALMOLOGY SURGERIES 16200 14600 13100 11800 10650 9550 16200 11800
1161 CMU0446 : SCLERAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 7500 6750 6100 5450 4900 4450 7500 5450
1162 CMU0447 : DOUBLE Z-PLASTY OPHTHALMOLOGY SURGERIES 5000 4500 4050 3650 3300 2950 5000 3650
1163 CMU0448 : COLLAGEN CROSS LINKING FOR KERATOCONUS OPHTHALMOLOGY SURGERIES 9600 8650 7800 7000 6300 5650 9600 7000
1164 CMU0449 : REMOVAL OF SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 6500 5850 5250 4750 4250 3850 6500 4750
1165 CMU0450 : VITRECTOMY ANTERIOR OPHTHALMOLOGY SURGERIES 8400 7550 6800 6100 5500 4950 8400 6100
1166 CMU0451 : VITRECTOMY - MEMBRANE PEELING- ENDOLASER, SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 21200 19100 17150 15450 13900 12500 21200 15450
1167 CMU0451 A : VITRECTOMY - MEMBRANE PEELING- ENDOLASER OPHTHALMOLOGY SURGERIES 15000 13500 12150 10950 9850 8850 15000 10950
1168 CMU0451 B : VITRECTOMY - SILICON OIL OPHTHALMOLOGY SURGERIES 10000 9000 8100 7300 6550 5900 10000 7300
1169 CMU0452 : MONTHLY INTRAVITREAL ANTI-VEGF FOR MACULAR DEGENERATION - PER INJECTION (MAXIMUM - 6) OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1170 CMU0453 A : DIABETIC MACULAR EDEMA-INTRA VITREAL BEVACIZUMAB OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1171 CMU0453 B : DIABETIC MACULAR EDEMA-INTRA VITREAL RANIBIZUMAB OPHTHALMOLOGY SURGERIES 20300 20300 20300 20300 20300 20300 20300 20300
1172 CMU0454 : SCLERAL BUCKLE FOR RETINAL DETACHMENT OPHTHALMOLOGY SURGERIES 13600 12250 11000 9900 8900 8050 13600 9900
1173 CMU0455 : PHOTOCOAGULATION FOR DIABETIC RETINOPATHY / INDICATIONS OTHER THAN DIABETIC RETINOPATHY - PER SITTING OPHTHALMOLOGY SURGERIES 1800 1800 1800 1800 1800 1800 1800 1800
1174 CMU0456 : DERMIS FAT GRAFT OPHTHALMOLOGY SURGERIES 8400 7550 6800 6100 5500 4950 8400 6100
1175 CMU0457 : ORBITOTOMY OPHTHALMOLOGY SURGERIES 11500 10350 9300 8400 7550 6800 11500 8400
1176 CMU0458 : ENUCLEATION WITH ORBITAL IMPLANT OPHTHALMOLOGY SURGERIES 13200 11900 10700 9600 8650 7800 13200 9600
1177 CMU0459 : RECTUS MUSCLE SURGERY (SINGLE) OPHTHALMOLOGY SURGERIES 9400 8450 7600 6850 6150 5550 9400 6850
1178 CMU0460 : RECTUS MUSCLE SURGERY (TWO/THREE) OPHTHALMOLOGY SURGERIES 11900 10700 9650 8700 7800 7050 11900 8700
1179 CMU0461 : LID RECONSTRUCTION SURGERY /BLEPHEROPLASTY OPHTHALMOLOGY SURGERIES 12400 11150 10050 9050 8150 7300 12400 9050
1180 CMU0462 : PAEDIATRIC CATARACT SURGERY (PHACO EMULSIFICATION IOL/SICS IOL/GLUED IOL) OPHTHALMOLOGY SURGERIES 17600 15850 14250 12850 11550 10400 17600 12850
1181 CMU0463 : PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY OPHTHALMOLOGY SURGERIES 7500 7500 7500 7500 7500 7500 7500 7500
1182 CMU0464 : GLAUCOMA FILTERING SURGERY FOR PAEDIATRIC GLAUCOMA OPHTHALMOLOGY SURGERIES 14900 13400 12050 10850 9800 8800 14900 10850
1183 CMU0465 : LASER NDYAG PERIPHERAL IRIDOTOMY/ CAPSULOTOMY OPHTHALMOLOGY SURGERIES 1600 1600 1600 1600 1600 1600 1600 1600
1184 CMU0466 : ADULT GLAUCOMA SURGERY/TRABECULECTOMY/ IMPLANT SURGERY OPHTHALMOLOGY SURGERIES 12700 11450 10300 9250 8350 7500 12700 9250
1185 CMU0467 : SURGICAL MANAGEMENT FOR SECONDARY GLAUCOMA OPHTHALMOLOGY SURGERIES 13400 12050 10850 9750 8800 7900 13400 9750
1186 CMU0468 : SCLERAL / CORNEAL TEAR REPAIR OPHTHALMOLOGY SURGERIES 11000 9900 8900 8000 7200 6500 11000 8000
1187 CMU0469 : REFRACTORY CORNEAL ULCER MANAGEMENT/NON HEALING CORNEAL ULCER OPHTHALMOLOGY SURGERIES 5900 5300 4800 4300 3850 3500 5900 4300
1188 CMU0470 : INTRAVITREAL TRIAMCINOLONE / ANTIBIOTICS OPHTHALMOLOGY SURGERIES 3600 3250 2900 2600 2350 2150 3600 2600
1189 CMU0471 : LATERAL TARSORRHAPHY OPHTHALMOLOGY SURGERIES 5400 4850 4350 3950 3550 3200 5400 3950
1190 CMU0472 : TRABECULECTOMY (WITH AHMED VALVE/MITOMYCIN/ EXPRESS STENT/OLOGEN) OPHTHALMOLOGY SURGERIES 16700 15050 13550 12150 10950 9850 16700 12150
1191 CMU0473 : CORNEAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 5800 5200 4700 4250 3800 3400 5800 4250
1192 CMU0474 : SOCKET RECONSTRUCTION OPHTHALMOLOGY SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
1193 CMU0475 : OBLIQUE MUSCLE SURGERY OPHTHALMOLOGY SURGERIES 9400 8450 7600 6850 6150 5550 9400 6850
1194 CMU0476 : AMNIOTIC MEMBRANE GRAFT / AUTOGRAFT ( FOR PTERYGIUM) OPHTHALMOLOGY SURGERIES 7800 7000 6300 5700 5100 4600 7800 5700
1195 CMU0477 : INTRAVITREAL ANTI-VEGF FOR RETINOPATHY OF PREMATURITY - BEVACIZUMAB OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1483 CMU0655 -II : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT OPHTHALMOLOGY SURGERIES 24800 22300 20100 18100 16250 14650 24800 18100
1484 CMU0655 -IIa : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT - MUCORMYCOSIS OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
3021 CM1145 : Buckle Removal OPHTHALMOLOGY SURGERIES 5000 0 0 0 0 0 0 0
3022 CM1146 : Prophylactic Cryoretinopexy- Closed OPHTHALMOLOGY SURGERIES 2500 0 0 0 0 0 0 0
3023 CM1147 : Cyclocryotherapy/Cyclophotocoagulation OPHTHALMOLOGY SURGERIES 3000 0 0 0 0 0 0 0
3024 CM1148 : Dacryocystectomy with implants OPHTHALMOLOGY SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
3025 CM1149 : Intraocular Foreign Body Removal from Anterior Segment OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
3026 CM1150 : Intraocular Foreign Body Removal from Posterior Segment OPHTHALMOLOGY SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
3027 CM1151 : Lensectomy /pediatric lens aspiration OPHTHALMOLOGY SURGERIES 9000 0 0 0 0 0 0 0
3028 CM1152 : Limbal Dermoid Removal OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
3029 CM1153 : Surgical Membranectomy OPHTHALMOLOGY SURGERIES 8000 0 0 0 0 0 0 0
3030 CM1154 : IRIS Prolapse - Repair OPHTHALMOLOGY SURGERIES 4000 0 0 0 0 0 0 0
3031 CM1155 : Small Tumour of Lid - Excision + Lid Reconstruction OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
3032 CM1156 : Socket Reconstruction with amniotic membrane OPHTHALMOLOGY SURGERIES 8000 0 0 0 0 0 0 0
3033 CM1157 : Iridectomy - Laser OPHTHALMOLOGY SURGERIES 2000 0 0 0 0 0 0 0
3034 CM1158 : Iridectomy - Surgical OPHTHALMOLOGY SURGERIES 3000 0 0 0 0 0 0 0
3035 CM1159 : Iris cyst removal OPHTHALMOLOGY SURGERIES 2500 0 0 0 0 0 0 0
3036 CM1160 : Conjunctival tumour excision + AMG OPHTHALMOLOGY SURGERIES 5000 0 0 0 0 0 0 0
3037 CM1161 : Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL OPHTHALMOLOGY SURGERIES 11500 10350 9315 8384 7545 6791 11500 8384
3089 CM1213 : Arthorotomy of any joint ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
3090 CM1214 : Clavicle fracture management - conservative (daycare) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3091 CM1215 : Closed Reduction of the Hip (including hip Spika) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3092 CM1216 : Closed reduction of dislocation (Knee/ Hip) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3093 CM1217 : Closed reduction of dislocation (Shoulder/ Elbow) ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3094 CM1218 : External fixation - Pelvis ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
3095 CM1219 : Fasciotomy ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3096 CM1220 : Fixator with Joint Arthrolysis ORTHOPEDIC TRAUMA 20000 18000 16200 14580 13122 11810 20000 14580
3097 CM1221 : Closed reduction + Hip Spica ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3098 CM1222 : Open Reduction of CDH ORTHOPEDIC TRAUMA 30000 0 0 0 0 0 0 0
3099 CM1223 : Pelvic Osteotomy with fixation with plaster ORTHOPEDIC TRAUMA 30000 27000 24300 21870 19683 17715 30000 21870
3100 CM1224 : Percutaneous - Fixation of Fracture ORTHOPEDIC TRAUMA 7000 0 0 0 0 0 0 0
3101 CM1225 : Excision of Bursa ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3102 CM1226 : Application of P.O.P. casts for Upper & Lower Limbs ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3103 CM1227 : Application of P.O.P. Spikas& Jackets ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3104 CM1228 : Application of Skeletal Tractions with pin ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3105 CM1229 : Application of Skin Traction ORTHOPEDIC TRAUMA 0 0 0 0 0 0 0 0
3106 CM1230 : Correction of club foot per cast ORTHOPEDIC TRAUMA 15000 0 0 0 0 0 0 0
768 CMU0210 : SPINAL OSTECTOMY AND INTERNAL FIXATIONS ORTHOPEDICS 49000 44100 39700 35700 32150 28950 49000 35700
769 CMU0211 : SURGERY FOR PATELLA FRACTURE ORTHOPEDICS 0 0 0 0 0 0 0 0
770 CMU0211 -a : SURGERY FOR PATELLA FRACTURE- K-WIRE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350
771 CMU0211 -b : SURGERY FOR PATELLA FRACTURE - TBW ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
772 CMU0211 -c : SURGERY FOR PATELLA FRACTURE - ENCIRCLAGE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
773 CMU0212 : SMALL BONE FRACTURES-K-WIRING ORTHOPEDICS 0 0 0 0 0 0 0 0
774 CMU0212 -a : SMALL BONE FRACTURES-K-WIRING - SINGLE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350
775 CMU0212 -b : SMALL BONE FRACTURES-K-WIRING - MULTIPLE ORTHOPEDICS 5600 5050 4550 4100 3650 3300 5600 4100
2055 CMU0840 -II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS ORTHOPEDICS 0 0 0 0 0 0 0 0
776 CMU0213 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES ORTHOPEDICS 33900 30500 27450 24700 22250 20000 33900 24700
2056 CMU0840 -II-A : AMPUTATION OF AK / BK ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
777 CMU0214 : CORRECTION OF SACRO ILLIAC JOINT / ACETABULAR FRACTURES ORTHOPEDICS 34400 30950 27850 25100 22550 20300 34400 25100
2057 CMU0840 -II-B : AMPUTATION OF AE / BE ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
778 CMU0214 -a : CORRECTION OF SACRO ILLIAC JOINT ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050
2058 CMU0840 -II-C : AMPUTATION OF FORE-FOOT ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
779 CMU0214 -b : ACETABULAR FRACTURES ORTHOPEDICS 29500 26550 23900 21500 19350 17400 29500 21500
2059 CMU0840 -II-D : SYM'S AMPUTATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
780 CMU0215 : TOTAL KNEE REPLACEMENT ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300
2060 CMU0840 -II-E : TRANS META-TARSAL AMPUTATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
781 CMU0215 A : TOTAL KNEE REPLACEMENT 71 YEARS AND ABOVE ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300
2061 CMU0840 -II-F : AMPUTATION OF GREAT TOE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
782 CMU0216 A : TOTAL HIP REPLACEMENT- CEMENTED ORTHOPEDICS 70100 63100 63100 63100 63100 63100 70100 63100
2062 CMU0840 -II-G : AMPUTATION TOE - SINGLE ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
783 CMU0216 B : TOTAL HIP REPLACEMENT-UNCEMETED ORTHOPEDICS 80600 72550 72550 72550 72550 72550 80600 72550
2063 CMU0840 -II-H : AMPUTATION TOE- MULTIPLE ORTHOPEDICS 7700 6950 6250 5600 5050 4550 7700 5600
784 CMU0217 A : REVISION HIP REPLACEMENT SURGERY - CEMENTED (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 77400 69650 69650 69650 69650 69650 77400 69650
2064 CMU0840 -II-I : AMPUTATION OF FINGER - SINGLE ORTHOPEDICS 7000 6300 5650 5100 4600 4150 7000 5100
785 CMU0217 B : REVISION HIP REPLACEMENT SURGERY - UNCEMENTED (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 87900 79100 79100 79100 79100 79100 87900 79100
2065 CMU0840 -II-J : AMPUTATION OF FINGER - MULTIPLE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
786 CMU0218 : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 81900 73700 73700 73700 73700 73700 81900 73700
787 CMU0219 : ARTHROSCOPIC BANKART REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000
788 CMU0220 : ARTHROSCOPIC ROTATOR CUFF REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000
2079 CMU0841 -I I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 ORTHOPEDICS 105000 105000 105000 105000 105000 105000 105000 105000
2092 CMU0841 -II I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 ORTHOPEDICS 52500 52500 52500 52500 52500 52500 52500 52500
2641 CMU1014 : REVISION AMPUTATION ORTHOPEDICS 35000 31500 28350 25500 22950 20650 35000 25500
2171 CMU0883 -II : POSTERIOR DISCECTOMY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
2181 CMU0887 -II : LAMINECTOMY - MICROLUMBAR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
2183 CMU0888 -II : LAMINECTOMY AT ANY LEVEL - CONVENTIONAL ORTHOPEDICS 28000 25200 22700 20400 18350 16550 28000 20400
2186 CMU0890 - II : POSTERIOR DECOMPRESSION & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT ORTHOPEDICS 55000 49500 44550 40100 36100 32500 55000 40100
1419 CMU0647 -II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1420 CMU0647 -IIA : AMPUTATIONS - FORE QUARTER ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1421 CMU0647 -IIB : AMPUTATIONS - HIND QUARTER / INTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1422 CMU0647 -IIC : AMPUTATIONS - HIND QUARTER / EXTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
659 CMU0189 : EXCISION ARTHROPLASTY OF VARIOUS JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0
660 CMU0189 a : EXCISION ARTHROPLASTY OF SMALL JOINTS (FINGERS AND TOES) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
661 CMU0189 b : EXCISION ARTHROPLASTY OF MEDIUM JOINTS (KNEE / SHOULDER) ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
662 CMU0189 c : EXCISION ARTHROPLASTY OF MEDIUM JOINTS (ELBOW / ANKLE / WRIST) ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
663 CMU0189 d : EXCISION ARTHROPLASTY OF LARGE JOINTS (HIP) ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350
664 CMU0190 : TOTAL ELBOW REPLACEMENT ORTHOPEDICS 51700 46550 41900 37700 33900 30550 51700 37700
665 CMU0191 : SHOULDER REPLACEMENT INCLUDING REVERSE CUP ORTHOPEDICS 52800 47500 42750 38500 34650 31200 52800 38500
666 CMU0192 : RADIAL HEAD REPLACEMENT ORTHOPEDICS 34700 31250 28100 25300 22750 20500 34700 25300
667 CMU0193 : SURGICAL CORRECTION OF LONGBONE FRACTURES INCLUDING HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0
668 CMU0193 a : SURGICAL CORRECTION OF LONGBONE FRACTURE - NECK/ SHAFT OF FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850
669 CMU0193 b : SURGICAL CORRECTION OF LONGBONE FRACTURE - IM NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
670 CMU0193 c : SURGICAL CORRECTION OF LONGBONE FRACTURE - SHAFT OF OTHER LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650
671 CMU0193 d : SURGICAL CORRECTION OF LONGBONE FRACTURE - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
672 CMU0193 e : SURGICAL CORRECTION OF LONGBONE FRACTURE - RADIUS, FIBULA, ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
673 CMU0193 f : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLAVICLE ( CRIF) (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400
674 CMU0193 g : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLAVICEL (ORIF) (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
675 CMU0193 h : SURGICAL CORRECTION OF LONGBONE FRACTURE - BOTH BONES OF FOREARM, BOTH BONES OF LEG (FIXATION OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050
676 CMU0193 i : SURGICAL CORRECTION OF LONGBONE FRACTURE - BIMALLEOLAR FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
677 CMU0193 j : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND PROXIMAL FEMORAL NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
678 CMU0193 k : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND PINNING / TENS NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
679 CMU0193 l : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND INTERNAL FIXATION WITH K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800
680 CMU0193 m : SURGICAL CORRECTION OF LONGBONE FRACTURE - TENSION BAND WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
681 CMU0193 n : SURGICAL CORRECTION OF LONGBONE FRACTURES - HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
682 CMU0194 : CORRECTION OF NON-UNION / MALUNION FRACTURES INCLUDING HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0
683 CMU0194 a : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - NECK/ SHAFT OF FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850
684 CMU0194 b : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - IM NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
685 CMU0194 c : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - SHAFT OF OTHER LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650
686 CMU0194 d : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
687 CMU0194 e : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - RADIUS, FIBULA, ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
688 CMU0194 f : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLAVICLE ( CRIF) (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400
689 CMU0194 g : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLAVICEL (ORIF) (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
690 CMU0194 h : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - BOTH BONES OF FOREARM, BOTH BONES OF LEG (FIXATION OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050
691 CMU0194 i : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - BIMALLEOLAR FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
692 CMU0194 j : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND PROXIMAL FEMORAL NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
693 CMU0194 k : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND PINNING / TENS NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
694 CMU0194 l : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND INTERNAL FIXATION WITH K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800
695 CMU0194 m : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - TENSION BAND WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
696 CMU0194 n : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
697 CMU0195 : SKELETAL SKULL TRACTION ORTHOPEDICS 31900 28700 25850 23250 20950 18850 31900 23250
698 CMU0196 A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS ORTHOPEDICS 0 0 0 0 0 0 0 0
699 CMU0196 A-i : IMPLANT EXIT- K-WIRES - SINGLE ORTHOPEDICS 1600 1450 1300 1150 1050 950 1600 1150
700 CMU0196 A-ii : IMPLANT EXIT- K-WIRES - MULTIPLE ORTHOPEDICS 2600 2350 2100 1900 1700 1550 2600 1900
701 CMU0196 A-iii : IMPLANT EXIT- SCREWS - SINGLE (OPEN) ORTHOPEDICS 4200 3800 3400 3050 2750 2500 4200 3050
702 CMU0196 A-iv : IMPLANT EXIT- SCREWS - MULTIPLE (OPEN) ORTHOPEDICS 7900 7100 6400 5750 5200 4650 7900 5750
703 CMU0196 A-v : IMPLANT EXIT- SCREWS - SINGLE (CLOSED) ORTHOPEDICS 2100 1900 1700 1550 1400 1250 2100 1550
704 CMU0196 A-vi : IMPLANT EXIT- SCREWS - MULTIPLE (CLOSED) ORTHOPEDICS 3300 2950 2650 2400 2150 1950 3300 2400
705 CMU0196 A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, ETC) - SOLITARY ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
706 CMU0196 A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (PINS / TENS, TBW, ETC) - MULTIPLE ORTHOPEDICS 8200 7400 6650 6000 5400 4850 8200 6000
707 CMU0196 B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) ORTHOPEDICS 0 0 0 0 0 0 0 0
708 CMU0196 B-i : IMPLANT EXIT- PLATES (OPEN) ORTHOPEDICS 13100 11800 10600 9550 8600 7750 13100 9550
709 CMU0196 B-ii : IMPLANT EXIT- FEMORAL SCREWS / IM NAILS / RUSH NAIL (OPEN) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
710 CMU0196 B-iii : IMPLANT EXIT- SPINE IMPLANTS - UPTO 2 LEVELS(COMPLETE EXIT) (EG- L2-L3, L3-L4) ORTHOPEDICS 19300 17350 15650 14050 12650 11400 19300 14050
711 CMU0196 B-iv : IMPLANT EXIT- SPINE IMPLANTS - UPTO 2 LEVELS(PARTIAL EXIT) (EG- L2-L3, L3-L4) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
712 CMU0196 B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 LEVELS(COMPLETE EXIT) (EG- L2-L3, L3-L4, L4-L5) ORTHOPEDICS 21500 19350 17400 15650 14100 12700 21500 15650
713 CMU0196 B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 LEVELS(PARTIAL EXIT) (EG- L2-L3, L3-L4, L4-L5) ORTHOPEDICS 18400 16550 14900 13400 12050 10850 18400 13400
714 CMU0196 B-vii : IMPLANT EXIT- BIPOLAR, ETC ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
715 CMU0196 B-viii : IMPLANT EXIT - OTHER MAJOR IMPLANTS ORTHOPEDICS 13800 12400 11200 10050 9050 8150 13800 10050
716 CMU0196 C-i : EXTERNAL FIXATOR REMOVAL - UNILATERAL UNIPLANAR INCLUDING LRS ORTHOPEDICS 8000 7200 6500 5850 5250 4700 8000 5850
717 CMU0196 C-ii : EXTERNAL FIXATOR REMOVAL - UNILATERAL BIIPLANAR / BILATERAL UNIPLANAR ORTHOPEDICS 10000 9000 8100 7300 6550 5900 10000 7300
718 CMU0196 C-iii : EXTERNAL FIXATOR REMOVAL - BILATERAL BIPLANAR ORTHOPEDICS 12000 10800 9700 8750 7850 7100 12000 8750
719 CMU0196 C-iv : EXTERNAL FIXATOR REMOVAL - CIRCULAR / HYBRID ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950
720 CMU0196 C-v : EXTERNAL FIXATOR REMOVAL - ILLIZAROV ORTHOPEDICS 17500 15750 14200 12750 11500 10350 17500 12750
721 CMU0197 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT ORTHOPEDICS 0 0 0 0 0 0 0 0
722 CMU0197 a : ARTHRODESIS OF JOINTS - HIP ORTHOPEDICS 28400 25550 23000 20700 18650 16750 28400 20700
723 CMU0197 b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
1747 CMU0746 -II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA ORTHOPEDICS 0 0 0 0 0 0 0 0
724 CMU0197 c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
1748 CMU0746 -II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550
2004 CMU0828 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
725 CMU0197 d : ARTHRODESIS OF JOINTS - ANKLE - TRIPLE ARTHRODESIS ORTHOPEDICS 16800 15100 13600 12250 11000 9900 16800 12250
1749 CMU0746 -II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550
2005 CMU0828 -a : BONE RESECTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
726 CMU0197 e : ARTHRODESIS OF JOINTS - HAND / FOOT ORTHOPEDICS 11000 9900 8900 8000 7200 6500 11000 8000
1750 CMU0746 -II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING ORTHOPEDICS 5800 5200 4700 4250 3800 3400 5800 4250
2006 CMU0828 -a-I : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE - CEMENTING (ONLY AS ADDON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
727 CMU0198 : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR/KNEE MULTI LIGAMENT RECONSTRUCTION/TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0
2007 CMU0828 -b : BONE CURETTAGE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
728 CMU0198 a : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
2008 CMU0828 -b-I : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE - CEMENTING (ONLY AS ADD ON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
729 CMU0198 b : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (ACL / PCL WITH OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT) ORTHOPEDICS 41000 36900 33200 29900 26900 24200 41000 29900
730 CMU0198 c : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT - (NO INVOLVEMENT OF ACL AND PCL) ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
731 CMU0198 d : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT- TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
732 CMU0199 : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350
733 CMU0199 a : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - HERBERT SCREW / AO SCREW ORTHOPEDICS 8400 7550 6800 6100 5500 4950 8400 6100
734 CMU0199 b : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - ENDERS PLATE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
735 CMU0199 c : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - K-WIRE ORTHOPEDICS 6300 5650 5100 4600 4150 3700 6300 4600
736 CMU0199 d : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - EXCISION ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950
737 CMU0200 : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES ORTHOPEDICS 16200 14600 13100 11800 10650 9550 16200 11800
738 CMU0200 A : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - K-WIRE / PIN ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
1762 CMU0749 -IV : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION ORTHOPEDICS 28800 25900 23350 21000 18900 17000 28800 21000
739 CMU0200 B : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - K-WIRES / PINS (MULTIPLE) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
740 CMU0200 C : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - MINIPLATES ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
741 CMU0200 D : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - MINIPLATES (MULTIPLE) ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 11300
742 CMU0200 E : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - NAIL / PLATES ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 13950
743 CMU0201 : FRACTURE REDUCTION & EXTERNAL FIXATION (INCLUDING LIMB RECONSTRUCTION SYSTEM) ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
744 CMU0201 A : FRACTURE REDUCTION & EXTERNAL FIXATION ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
745 CMU0201 B : FRACTURE REDUCTION & EXTERNAL FIXATION - LIMB RECONSTRUCTION SYSTEM ORTHOPEDICS 20000 18000 16200 14600 13100 11800 20000 14600
746 CMU0202 : ILIZAROV RING FIXATOR APPLICATION ORTHOPEDICS 0 0 0 0 0 0 0 0
747 CMU0202 -A : ILIZAROV RING FIXATOR APPLICATION-HUMERUS / FEMUR ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
748 CMU0202 -B : ILIZAROV RING FIXATOR APPLICATION- TIBIA / RADIUS ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
749 CMU0203 : SURGERY FOR NEGLECTED CTEV / RECURRENT CTEV ORTHOPEDICS 0 0 0 0 0 0 0 0
750 CMU0203 -A : SURGERY FOR NEGLECTED CTEV / RECURRENT CTEV - JESS FIXATOR ORTHOPEDICS 19000 17100 15400 13850 12450 11200 19000 13850
751 CMU0203 -B : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - PERCUTANEOUS + POP ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
1775 CMU0750 -IV : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0
752 CMU0203 -C : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - 'Z' - PLASTY ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
1776 CMU0750 -IV-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
753 CMU0203 -D : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - POSTERIOMEDIAL RELEASE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
1777 CMU0750 -IV-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
754 CMU0204 : OPEN REDUCTION OF DISLOCATIONS - DEEP/SHOULDER/ACROMIO - CLAVICULAR/HIP/ELBOW ORTHOPEDICS 25500 22950 20650 18600 16750 15050 25500 18600
1778 CMU0750 -IV-c : BONE TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 20900 18800 16950 15250 13700 12350 20900 15250
755 CMU0204 -A : OPEN REDUCTION OF DISLOCATIONS - DEEP / HIP/SHOULDER/ELBOW ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
756 CMU0204 -B : ACROMIO - CLAVICULAR JOINT WITH IMPLANT ORTHOPEDICS 18000 16200 14600 13100 11800 10650 18000 13100
757 CMU0204 -C : RECURRENT SHOULDER DISLOCATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
758 CMU0205 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0
759 CMU0205 -A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
760 CMU0205 -B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
761 CMU0206 : AVASCULAR NECROSIS OF FEMORAL HEAD (CORE DECOMPRESSION) ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
762 CMU0207 : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION/HIGH TIBIAL OSTEOTOMY/TENDON TRANSFER ORTHOPEDICS 30500 27450 24700 22250 20000 18000 30500 22250
763 CMU0207 -A : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
764 CMU0207 -B : HIGH TIBIAL OSTEOTOMY ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050
765 CMU0207 -C : TENDON TRANSFER (UTILIZE PACKAGE CMU0832 B) ORTHOPEDICS 0 0 0 0 0 0 0 0
766 CMU0208 : ANTEROLATERAL CLEARANCE FOR TUBERCULOSIS ORTHOPEDICS 32600 29350 26400 23750 21400 19250 32600 23750
767 CMU0209 : COSTO TRANSVERSECTOMY ORTHOPEDICS 30200 27200 24450 22000 19800 17850 30200 22000
859 CMU0246 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (NON-VENTILATED) PAEDIATRIC INTENSIVE CARE 0 0 0 0 0 0 0 0
860 CMU0246 -A : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (NON ICU) PAEDIATRIC INTENSIVE CARE 7500 6750 6100 5450 4900 4450 7500 5450
861 CMU0246 -B : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (ICU - WITH PHOTOGRAPH) PAEDIATRIC INTENSIVE CARE 15800 14200 12800 11500 10350 9350 15800 11500
862 CMU0247 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA/ SEVERE ASPIRATION PNEUMONIA (VENTILATED) PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
863 CMU0248 : INTRA CRANIAL BLEED /HEMORRHAGIC DISEASE OF NEWBORN INTRACRANIAL BLEED PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
864 CMU0249 : ACUTE GASTRO INTESTINAL BLEED PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25500 22950 20650 35000 25500
865 CMU0250 A : ACUTE PANCREATITIS PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25500 22950 20650 35000 25500
866 CMU0250 B : ACUTE HEPATITIS PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
867 CMU0251 : ACUTE HEPATITIS WITH HEPATIC ENCEPHALOPATHY PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
868 CMU0252 : SNAKE BITE REQUIRING VENTILATOR PAEDIATRIC INTENSIVE CARE 50000 50000 45000 45000 45000 45000 50000 45000
869 CMU0253 : SNAKE BITE - NON VENTILATED / COAGULOPATHY PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
870 CMU0254 : SCORPION STING WITH MYOCARDITIS AND CARDIOGENIC SHOCK REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 44000 39600 35650 32100 28850 26000 44000 32100
871 CMU0255 : POISON INGESTION (INCLUDING HYDROCARBONS) / ASPIRATION REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 52500 47250 42550 38250 34450 31000 52500 38250
872 CMU0256 : ACUTE BRONCHO/ LOBAR PNEUMONIA WITH EMPYEMA/ PLEURAL EFFUSION/ PYOPNEUMOTHORAX PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
873 CMU0257 : ACUTE STRIDOR/FOREIGN BODY OBSTRUCTION PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
874 CMU0258 : NEPHROTIC SYNDROME /ACUTE GLOMERULONEPHRITIS PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
875 CMU0259 : RECURRENT URINARY TRACT INFECTION WITH COMPLICATIONS LIKE PYELONEPHRITIS AND RENAL FAILURE PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
876 CMU0260 : ADVERSE EVENTS FOLLOWING IMMUNISATION PAEDIATRIC INTENSIVE CARE 0 0 0 0 0 0 0 0
877 CMU0260 A : ADVERSE EVENTS FOLLOWING IMMUNISATION REQUIRING VENTILATOR SUPPORT PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
2656 CMU1029 : GROWTH ROD DISTRACTION PAEDIATRIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
2657 CMU1030 : PEDIATRIC GROWTH ROD APPLICATION PAEDIATRIC SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
878 CMU0261 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITHOUT OBSTRUCTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
879 CMU0262 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITH OBSTRUCTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
880 CMU0263 : BILIARY ATRESIA & CHOLEDOCHAL CYST (INCLUDES OPERATIVE CHOLANGIOGRAM) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
2160 CMU0875 B-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L PAEDIATRIC SURGERIES 16500 14850 13350 12050 10850 9750 16500 12050
881 CMU0263 -A : BILIARY ATRESIA PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
882 CMU0263 -B : CHOLEDOCHAL CYST PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
2162 CMU0875 C : LAPAROSCOPIC VARICOCELE LIGATION (PAEDIATRIC) PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
883 CMU0264 : ANORECTAL MALFORMATIONS - STAGE 1 /COLOSTOMY PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
2163 CMU0876 : VARICOCELE- OPEN PROCEDURE (PEDIATRIC) PAEDIATRIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
884 CMU0265 : ANORECTAL MALFORMATIONS - STAGE 2/PULLTHROUGH PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
885 CMU0266 : ANORECTAL MALFORMATION - STAGE 3/CLOSURE PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
886 CMU0267 A : HIRSCHPRUNGS DISEASE - STAGE 1 PAEDIATRIC SURGERIES 44100 39700 35700 32150 28950 26050 44100 32150
3190 CM1314 : Ankyloglossia Major PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
887 CMU0267 B : HIRSCHPRUNGS DISEASE - STAGE 2 PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
3191 CM1315 : Ankyloglossia Minor PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
888 CMU0268 : CONGENITAL HYDRONEPHROSIS PAEDIATRIC SURGERIES 38500 34650 31200 28050 25250 22750 38500 28050
3192 CM1316 : Fecal Fistula Closure PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
889 CMU0269 : EXSTROPHY BLADDER - STAGE 1/2 PAEDIATRIC SURGERIES 57800 52000 46800 42150 37900 34150 57800 42150
3193 CM1317 : GI Tumor Excision PAEDIATRIC SURGERIES 30000 27000 24300 21870 19683 17715 30000 21870
890 CMU0269 -A : EXSTROPHY BLADDER - STAGE 1 PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
3194 CM1318 : Hirschsprungs Disease - Retal Biopsy-Punch PAEDIATRIC SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
891 CMU0269 -B : EXSTROPHY BLADDER - STAGE 2 PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
3195 CM1319 : Hirschsprungs Disease - Retal Biopsy -Open PAEDIATRIC SURGERIES 10000 9000 8100 7290 6561 5905 10000 7290
892 CMU0270 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
3196 CM1320 : Intussusception - Non -Operative Reduction in infants PAEDIATRIC SURGERIES 20000 18000 16200 14580 13122 11810 20000 14580
893 CMU0271 : POSTERIOR URETHRAL VALVES (CYSTOSCOPIC FULGRATION) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
3197 CM1321 : Congenital Lobar Emphysema PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
894 CMU0272 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY CLOSURE) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
3198 CM1322 : Exomphalos/gastroschisis PAEDIATRIC SURGERIES 25000 22500 20250 18225 16403 14762 25000 18225
895 CMU0273 : HAMARTOMA EXCISION PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
896 CMU0273 A : HAMARTOMA EXCISION<5CM PAEDIATRIC SURGERIES 17500 15750 14200 12750 11500 10350 17500 12750
897 CMU0273 B : HAMARTOMA EXCISION >5CM PAEDIATRIC SURGERIES 21000 18900 17000 15300 13800 12400 21000 15300
898 CMU0274 : HEMANGIOMA EXCISION PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
899 CMU0275 : LYMPHANGIOMA EXCISION PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
900 CMU0276 : NEUROBLASTOMA PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
901 CMU0277 A : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS (INCLUDING POLYPS / TUMOR) -SURGICAL CORRECTION PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
902 CMU0277 B : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS - OESOPHAGEAL SUBSTITUTIONS PAEDIATRIC SURGERIES 63000 56700 51050 45950 41350 37200 63000 45950
903 CMU0278 : THORACOSCOPIC DECORTICATION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
904 CMU0279 : THORACOSCOPIC CYST EXCISION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
905 CMU0280 : THORACIC DUPLICATION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
906 CMU0281 : LAPAROSCOPIC PULL THROUGH FOR ANO RECTAL ANOMALIES PAEDIATRIC SURGERIES 55700 50150 45100 40600 36550 32900 55700 40600
907 CMU0282 : LAPAROSCOPIC PULL THROUGH FOR HIRSCHPRUNGS DISEASE PAEDIATRIC SURGERIES 55700 50150 45100 40600 36550 32900 55700 40600
908 CMU0283 : GASTRIC OUTLET OBSTRUCTIONS PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
909 CMU0284 : INTERSEX PAEDIATRIC SURGERIES 44100 39700 35700 32150 28950 26050 44100 32150
910 CMU0285 A : SURGICAL CORRECTION FOR URACHAL ANOMALY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
911 CMU0285 B : SURGICAL CORRECTION FOR CLOACAL ANOMALY PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
912 CMU0286 : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
913 CMU0286 A : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION STAGE 1 PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
914 CMU0286 B : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION STAGE 2 PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
915 CMU0287 : BLADDER AUGMENTATION AND SUBSTITUTION PAEDIATRIC SURGERIES 57800 52000 46800 42150 37900 34150 57800 42150
916 CMU0288 A : URETEROSTOMY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
917 CMU0288 B : URETEROSTOMY CLOSURE PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
918 CMU0289 : CONGENITAL LUNG LESIONS (CLE, CCAM) PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
919 CMU0289 A : LOBECTECTOMY PAEDIATRIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
920 CMU0289 B : CYST EXCISION PAEDIATRIC SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
921 CMU0290 : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
922 CMU0290 A : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (COMPLEX - SINGLE STAGE) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
923 CMU0290 B : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (SIMPLE - SINGLE STAGE) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
924 CMU0290 C : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - TWO STAGE - PER STAGE - UPTO PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
925 CMU0290 D : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - THREE STAGE - PER STAGE - UPTO PAEDIATRIC SURGERIES 17900 16100 14500 13050 11750 10550 17900 13050
926 CMU0291 : PATENT VITELLO INTESTINAL DUCT PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
927 CMU0292 A : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - UNILATERAL PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
928 CMU0292 B : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - BILATERAL PAEDIATRIC SURGERIES 84000 75600 68050 61250 55100 49600 84000 61250
929 CMU0293 : RECTAL POLYP - POLYPECTOMY PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
930 CMU0293 -A : RECTAL POLYP - POLYPECTOMY- OPEN PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
931 CMU0293 -B : RECTAL POLYP - POLYPECTOMY- LAP PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
932 CMU0294 : INTESTINAL POLYPOSIS SURGICAL CORRECTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
933 CMU0295 : ENCEPHALOCELE PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
934 CMU0296 : SCROTAL TRANSPOSITION REPAIR PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
935 CMU0297 : OPEN CYSTECTOMY (BLADDER) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
936 CMU0298 : LAP CYSTECTOMY (BLADDER) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
937 CMU0299 A : NECROTISING ENTEROCOLITIS - FLANK DRAINAGE PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
938 CMU0299 B : NECROTISING ENTEROCOLITIS - /LAPAROTOMY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
939 CMU0300 : CONGENITAL HYDROCELE REPAIR PAEDIATRIC SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
940 CMU0301 : VULVAL SYNECHIAE PAEDIATRIC SURGERIES 15800 14200 12800 11500 10350 9350 15800 11500
941 CMU0302 : THORACIC/ABDOMINAL WALL DEFECTS -CORRECTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
942 CMU0303 : TUMOR EXCISION (NEONATES/PAEDIATRICS) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
1717 CMU0736 -III : FB OESOPHAGUS PAEDIATRIC SURGERIES 7700 7700 7700 7700 7700 7700 7700 7700
3348 CM1371 A : Acute glomerulonephritis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
789 CMU0221 : ACQUIRED HEART DISEASE WITH CONGESTIVE CARDIAC FAILURE PAEDIATRICS 17000 15300 13750 12400 11150 10050 17000 12400
3349 CM1371 B : Acute glomerulonephritis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
790 CMU0222 : INBORN ERROR OF METABOLISM PAEDIATRICS 40000 36000 32400 29150 26250 23600 40000 29150
3350 CM1371 C : Acute glomerulonephritis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
791 CMU0223 : HEMOPHAGOCYTIC LYMPHO HISTIOCYTOSIS PAEDIATRICS 30000 27000 24300 21850 19700 17700 30000 21850
3351 CM1371 D : Acute glomerulonephritis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
792 CMU0224 : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) PAEDIATRICS 0 0 0 0 0 0 0 0
3352 CM1375 A : Epileptic encephalopathy - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
793 CMU0224 -A : HYPOPLASTIC ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
3353 CM1375 B : Epileptic encephalopathy - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
794 CMU0224 -B : APLASTIC ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
3354 CM1375 C : Epileptic encephalopathy - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
795 CMU0224 -C : FANCONI ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
3355 CM1375 D : Epileptic encephalopathy - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
796 CMU0225 : NECROTISING ENTEROCOLITIS - CLINICAL SEPSIS /HYPERBILIRUBINEMIA /NON VENTILATED PAEDIATRICS 0 0 0 0 0 0 0 0
3356 CM1376 A : Aseptic meningitis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
797 CMU0225 -A : NECROTISING ENTEROCOLITIS - NON VENTILATED PAEDIATRICS 25000 22500 20250 18250 16400 14750 25000 18250
3357 CM1376 B : Aseptic meningitis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
798 CMU0225 -B : CLINICAL SEPSIS /HYPERBILIRUBINEMIA - CHOOSE APPROPRIATE NEONATAL PACKAGE PAEDIATRICS 0 0 0 0 0 0 0 0
3358 CM1376 C : Aseptic meningitis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
799 CMU0226 : VITAMIN D RESISTANT RICKETS PAEDIATRICS 10000 9000 8100 7300 6550 5900 10000 7300
3359 CM1376 D : Aseptic meningitis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
800 CMU0227 : ADRENAL FAILURE INCLUDING PRIMARY ADRENAL FAILURE AND CAH PAEDIATRICS 25000 22500 20250 18250 16400 14750 25000 18250
3360 CM1393 A : Haemolytic uremic syndrome - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
801 CMU0228 : PRIMARY IMMUNO DEFICIENCY DISORDERS PAEDIATRICS 150000 135000 121500 109350 98400 88550 150000 109350
3361 CM1393 B : Haemolytic uremic syndrome - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3362 CM1393 C : Haemolytic uremic syndrome - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3363 CM1393 D : Haemolytic uremic syndrome - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
3364 CM1404 A : Celiac disease - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
3365 CM1404 B : Celiac disease - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3366 CM1404 C : Celiac disease - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3367 CM1404 D : Celiac disease - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
3368 CM1409 A : Acute demyelinating myelopathy, - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
3369 CM1409 B : Acute demyelinating myelopathy, - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3370 CM1409 C : Acute demyelinating myelopathy, - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3371 CM1409 D : Acute demyelinating myelopathy, - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
3372 CM1410 A : Immune mediated CNS disorders such as autoimmune encephalitis - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
3373 CM1410 B : Immune mediated CNS disorders such as autoimmune encephalitis - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3374 CM1410 C : Immune mediated CNS disorders such as autoimmune encephalitis - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3375 CM1410 D : Immune mediated CNS disorders such as autoimmune encephalitis - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
3383 CM1394 A : Kawasaki Disease - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
3384 CM1394 B : Kawasaki Disease - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3385 CM1394 C : Kawasaki Disease - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3386 CM1394 D : Kawasaki Disease - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
3387 CM1395 A : Immune haemolytic anemia - management in ward PAEDIATRICS 5400 0 0 0 0 0 0 0
3388 CM1395 B : Immune haemolytic anemia - management in HDU PAEDIATRICS 8100 0 0 0 0 0 0 0
3389 CM1395 C : Immune haemolytic anemia - management in ICU PAEDIATRICS 10800 0 0 0 0 0 0 0
3390 CM1395 D : Immune haemolytic anemia - management in ICU - ventilated PAEDIATRICS 13500 0 0 0 0 0 0 0
2651 CMU1024 : OSTEOGENISIS IMPERFECTA - DENOSUMAB PAEDIATRICS 30000 27000 24300 21850 19700 17700 30000 21850
3242 CM1366 : Diarrhoea PAEDIATRICS 0 0 0 0 0 0 0 0
3243 CM1367 : Acute dysentery PAEDIATRICS 0 0 0 0 0 0 0 0
3244 CM1368 : Pneumonia PAEDIATRICS 0 0 0 0 0 0 0 0
3245 CM1369 : Urinary tract infection PAEDIATRICS 0 0 0 0 0 0 0 0
3246 CM1370 : Acute Exacerbation of asthma PAEDIATRICS 0 0 0 0 0 0 0 0
3247 CM1371 : Acute glomerulonephritis PAEDIATRICS 0 0 0 0 0 0 0 0
3248 CM1372 : Acute urticaria/ Anaphylaxis acute asthma PAEDIATRICS 0 0 0 0 0 0 0 0
3249 CM1373 : Poisonings with normal vital signs PAEDIATRICS 0 0 0 0 0 0 0 0
3250 CM1374 : Febrile seizures/other seizures PAEDIATRICS 0 0 0 0 0 0 0 0
3251 CM1375 : Epileptic encephalopathy PAEDIATRICS 0 0 0 0 0 0 0 0
3252 CM1376 : Aseptic meningitis PAEDIATRICS 0 0 0 0 0 0 0 0
3253 CM1377 : Pyrexia of unexplained origin PAEDIATRICS 0 0 0 0 0 0 0 0
3254 CM1378 : Chronic cough PAEDIATRICS 0 0 0 0 0 0 0 0
3255 CM1379 : Wheezing PAEDIATRICS 0 0 0 0 0 0 0 0
3256 CM1380 : Unexplained seizures PAEDIATRICS 0 0 0 0 0 0 0 0
3257 CM1381 : Dysmorphic children PAEDIATRICS 0 0 0 0 0 0 0 0
3258 CM1382 : Unexplained severe anemia PAEDIATRICS 0 0 0 0 0 0 0 0
3259 CM1383 : Short stature PAEDIATRICS 0 0 0 0 0 0 0 0
3260 CM1384 : Musculoskeletal problems PAEDIATRICS 0 0 0 0 0 0 0 0
3261 CM1385 : Persistent/ Chronic diarrhea PAEDIATRICS 0 0 0 0 0 0 0 0
3262 CM1386 : Acute severe malnutrition PAEDIATRICS 0 0 0 0 0 0 0 0
3263 CM1387 : Dengue PAEDIATRICS 0 0 0 0 0 0 0 0
3264 CM1388 : Enteric fever PAEDIATRICS 0 0 0 0 0 0 0 0
3265 CM1389 : Chikungunya PAEDIATRICS 0 0 0 0 0 0 0 0
3266 CM1390 : Kala azar PAEDIATRICS 0 0 0 0 0 0 0 0
3267 CM1391 : Tuberculosis PAEDIATRICS 0 0 0 0 0 0 0 0
3268 CM1392 : HIV with complications PAEDIATRICS 0 0 0 0 0 0 0 0
3269 CM1393 : Haemolytic uremic syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
3270 CM1394 : Kawasaki Disease PAEDIATRICS 0 0 0 0 0 0 0 0
3271 CM1395 : Immune haemolytic anemia PAEDIATRICS 0 0 0 0 0 0 0 0
3272 CM1396 : Cyanotic spells PAEDIATRICS 0 0 0 0 0 0 0 0
3273 CM1397 : Refractory seizures PAEDIATRICS 0 0 0 0 0 0 0 0
3274 CM1398 : Floppy infant PAEDIATRICS 0 0 0 0 0 0 0 0
3275 CM1399 : Acute neuroregression PAEDIATRICS 0 0 0 0 0 0 0 0
3276 CM1400 : Neuromuscular disorders PAEDIATRICS 0 0 0 0 0 0 0 0
3277 CM1401 : Opsoclonus myoclonus syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
3278 CM1402 : Acute ataxia PAEDIATRICS 0 0 0 0 0 0 0 0
3279 CM1403 : Ketogenic diet initiation in refractory epilepsy PAEDIATRICS 0 0 0 0 0 0 0 0
3280 CM1404 : Celiac disease PAEDIATRICS 0 0 0 0 0 0 0 0
3281 CM1405 : Unexplained jaundice PAEDIATRICS 0 0 0 0 0 0 0 0
3282 CM1406 : Unexplained hepatosplenomegaly PAEDIATRICS 0 0 0 0 0 0 0 0
3283 CM1407 : Liver abscess PAEDIATRICS 0 0 0 0 0 0 0 0
3284 CM1408 : Acute encephalitic syndrome PAEDIATRICS 0 0 0 0 0 0 0 0
3285 CM1409 : Acute demyelinating myelopathy, PAEDIATRICS 0 0 0 0 0 0 0 0
3286 CM1410 : Immune mediated CNS disorders such as autoimmune encephalitis PAEDIATRICS 0 0 0 0 0 0 0 0
3287 CM1411 : Hydrocephalus PAEDIATRICS 0 0 0 0 0 0 0 0
3288 CM1412 : Intracranial space occupying lesion PAEDIATRICS 0 0 0 0 0 0 0 0
3289 CM1413 : Blood and blood component transfusion up to a limit of 2 days(admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveola PAEDIATRICS 0 0 0 0 0 0 0 0
3290 CM1414 : High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. PAEDIATRICS 0 0 0 0 0 0 0 0
3291 CM1415 : High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. PAEDIATRICS 0 0 0 0 0 0 0 0
1794 CMU0754 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP PLASTIC SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2098 CMU0843 : OPERATIONS FOR BRACHIAL PLEXUS (MULTIPLE SITTING - MAX 3) PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2612 CMU0992 : SACROSPINOUS FIXATION (VAGINAL ROUTE) PLASTIC SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1853 CMU0773 A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 35400 31850 28650 25800 23250 20900 35400 25800
1856 CMU0773 B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 23800 21400 19300 17350 15600 14050 23800 17350
1859 CMU0774 -A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 30200 27200 24450 22000 19800 17850 30200 22000
2627 CMU1002 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE PLASTIC SURGERY 12000 10800 9700 8750 7850 7100 12000 8750
1862 CMU0774 -B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 40700 36650 32950 29650 26700 24050 40700 29650
2631 CMU1006 : CRANIOFACIAL RESECTION PLASTIC SURGERY 56400 50750 45700 41100 37000 33300 56400 41100
584 CMU0166 : UPTO-40% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
585 CMU0166 -a : SCALDS MEDICAL MANAGEMENT ONLY (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) UPTO PLASTIC SURGERY 17300 15550 14000 12600 11350 10200 17300 12600
586 CMU0166 -b : 10 TO 20% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
587 CMU0166 -c : 20 TO 30% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
588 CMU0166 -d : 30 TO 40% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 32700 29450 26500 23850 21450 19300 32700 23850
589 CMU0166 -e : UPTO 10% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 8200 7400 6650 6000 5400 4850 8200 6000
590 CMU0167 : UPTO-40% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
591 CMU0167 -a : UPTO 20% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
592 CMU0167 -b : 20 TO 30% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG PLASTIC SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
593 CMU0167 -c : 30 TO 40% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG INCLUDING ICU STAY PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
594 CMU0168 : UPTO-50% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
595 CMU0168 A : 40 TO 50% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 53900 48500 43650 39300 35350 31850 53900 39300
596 CMU0169 : UPTO 50% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
597 CMU0169 A : 40-50% BURNS (APPROVAL WILL BE BASED ON THE AREA AS PER CLINICAL PHOTOGRAPH, DIAGRAMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) PLASTIC SURGERY 66100 59500 53550 48200 43350 39050 66100 48200
598 CMU0170 : UPTO 60% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
599 CMU0170 A : 50 TO 60% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 78500 70650 63600 57250 51500 46350 78500 57250
600 CMU0171 : UPTO 60% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
601 CMU0171 -a : 50- 60% BURNS (APPROVAL WILL BE BASED ON THE AREA AS PER CLINICAL PHOTOGRAPH, DIAGRAMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) PLASTIC SURGERY 87700 78950 71050 63950 57550 51800 87700 63950
602 CMU0172 : ABOVE 60% MIXED BURNS (ITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
603 CMU0172 -a : ABOVE 60% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG INCLUDING ICU STAY PLASTIC SURGERY 108300 97450 87700 78950 71050 63950 108300 78950
604 CMU0173 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD PLASTIC SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
1884 CMU0783 B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
605 CMU0173 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - FINGERS PLASTIC SURGERY 4000 3600 3250 2900 2600 2350 4000 2900
1885 CMU0783 B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
606 CMU0173 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - NECK - MILD (LESS THAN 1/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 16200 14600 13100 11800 10650 9550 16200 11800
1886 CMU0783 B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
607 CMU0173 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 10800 9700 8750 7850 7100 6400 10800 7850
608 CMU0173 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
2144 CMU0869 A-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) PLASTIC SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
609 CMU0174 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE PLASTIC SURGERY 33600 30250 27200 24500 22050 19850 33600 24500
610 CMU0174 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - FINGERS PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
2146 CMU0869 B-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2658 CMU1031 : GENDER AFFIRMATION SURGICAL PROCEDURES PLASTIC SURGERY 100000 90000 81000 72900 65600 59050 100000 72900
3170 CM1294 : NPWT (Inpatient only) PLASTIC SURGERY 0 0 0 0 0 0 0 0
611 CMU0174 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - NECK - MODERATE (1/3RD TO 2/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 27100 24400 21950 19750 17800 16000 27100 19750
3171 CM1295 : Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns) - any % (not requiring admission). Needs at least 5-6 dressing PLASTIC SURGERY 0 0 0 0 0 0 0 0
612 CMU0174 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2148 CMU0869 C-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (THYROGLOSAL CYST) PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
613 CMU0174 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
614 CMU0175 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE PLASTIC SURGERY 0 0 0 0 0 0 0 0
2150 CMU0870 -II : EXCISION OF SINUSES & FISTULA OF THE NECK - ( INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA (INCLUDES DEEP EXPLORATION) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
615 CMU0175 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - FINGERS PLASTIC SURGERY 8000 7200 6500 5850 5250 4700 8000 5850
616 CMU0175 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - NECK - SEVERE (> 2/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 39000 35100 31600 28450 25600 23050 39000 28450
617 CMU0175 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
618 CMU0175 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6600 5950 5350 4800 4350 3900 6600 4800
619 CMU0176 : PTOSIS PLASTIC SURGERY 0 0 0 0 0 0 0 0
620 CMU0176 a : PTOSIS SINGLE PLASTIC SURGERY 15800 14200 12800 11500 10350 9350 15800 11500
621 CMU0176 b : PTOSIS BILATERAL PLASTIC SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
622 CMU0177 : CUP AND BAT EARS PLASTIC SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
623 CMU0178 A : FILARIAL LYMPHOEDEMA -NV SHUNT PLASTIC SURGERY 16200 14600 13100 11800 10650 9550 16200 11800
624 CMU0178 B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY PLASTIC SURGERY 28600 25750 23150 20850 18750 16900 28600 20850
625 CMU0179 : HEMIFACIAL ATROPHY PLASTIC SURGERY 40400 36350 32700 29450 26500 23850 40400 29450
626 CMU0180 : HEMIFACIAL MICROSMIA PLASTIC SURGERY 57900 52100 46900 42200 38000 34200 57900 42200
627 CMU0181 : LEPROSY RECONSTRUCTIVE SURGERY PLASTIC SURGERY 33700 30350 27300 24550 22100 19900 33700 24550
628 CMU0182 : TUMOR OF MANDIBLE AND MAXILLA PLASTIC SURGERY 42100 37900 34100 30700 27600 24850 42100 30700
629 CMU0183 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) PLASTIC SURGERY 0 0 0 0 0 0 0 0
630 CMU0183 a : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - POLYDACTYLY - SIMPLE PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
631 CMU0183 b : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - POLYDACTYLY - BONE AND NEUROVASCULAR BUNDLE PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
632 CMU0183 c : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND - SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
633 CMU0183 d : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND - COMPLEX SYNDACTYLY (PER FINGER) PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
634 CMU0183 e : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - RADIAL CLUBHAND PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
635 CMU0183 f : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - ULNAR CLUBHAND PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
636 CMU0183 g : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - MACRODACTYLY PLASTIC SURGERY 19300 17350 15650 14050 12650 11400 19300 14050
637 CMU0183 h : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - OTHERS MINOR (WILL BE PAID AS PER PROCEDURE) UPTO PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
638 CMU0183 i : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - OTHERS MAJOR (WILL BE PAID AS PER PROCEDURE) UPTO PLASTIC SURGERY 29300 26350 23750 21350 19200 17300 29300 21350
639 CMU0184 : PRESSURE SORE RECONSTRUCTIVE SURGERY PLASTIC SURGERY 0 0 0 0 0 0 0 0
640 CMU0184 a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - PER 10 SQ CM (UPTO) PLASTIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
641 CMU0184 b : PRESSURE SORE RECONSTRUCTIVE SURGERY - SINGLE ROTATION FLAP - PER 10 SQ CM (UPTO) - PER 10 SQ CM (UPTO) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
642 CMU0184 c : PRESSURE SORE RECONSTRUCTIVE SURGERY - BILATERAL FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
643 CMU0184 d : PRESSURE SORE RECONSTRUCTIVE SURGERY - MUSCULOCUTANEOUS FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
644 CMU0184 e : PRESSURE SORE RECONSTRUCTIVE SURGERY - FASCIOCUTANEOUS FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
645 CMU0184 f : PRESSURE SORE RECONSTRUCTIVE SURGERY - TENSOR FASCIA LATA FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 51200 46100 41450 37300 33600 30250 51200 37300
646 CMU0184 g : PRESSURE SORE RECONSTRUCTIVE SURGERY - OTHERS (PAYABLE BASED ON THE PROCEDURE CARRIED OUT) (UPTO) PLASTIC SURGERY 46100 41500 37350 33600 30250 27200 46100 33600
647 CMU0185 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION PLASTIC SURGERY 0 0 0 0 0 0 0 0
648 CMU0185 a : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - SINGLE CLOSURE PLASTIC SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
649 CMU0185 b : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - FASCIA LATA GRAFT PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
650 CMU0185 c : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - MESH CLOSURE PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
651 CMU0185 d : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - LOCAL FLAPS PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
652 CMU0185 e : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - MYOCUTANEOUS TRANSPOSITION PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
653 CMU0185 f : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - TRAM PLASTIC SURGERY 51200 46100 41450 37300 33600 30250 51200 37300
654 CMU0186 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/ BURNS/ CONGENITAL) PLASTIC SURGERY 0 0 0 0 0 0 0 0
655 CMU0186 a : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) - UNILATERAL PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
656 CMU0186 b : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) - BILATERAL PLASTIC SURGERY 16000 14400 12950 11650 10500 9450 16000 11650
657 CMU0187 : OPEN FRACTURE WITH EXTERNAL FIXATOR SMALL BONES PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
658 CMU0188 : SPLIT SKIN GRAFTING PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
1686 CMU0728 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC PLASTIC SURGERY 59300 53350 48050 43250 38900 35000 59300 43250
1687 CMU0729 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER PLASTIC SURGERY 79200 71300 64150 57750 51950 46750 79200 57750
1722 CMU0739 : CLEFT LIP PLASTIC SURGERY 0 0 0 0 0 0 0 0
1723 CMU0739 A : CLEFT LIP - UNILATERAL PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1724 CMU0739 B : CLEFT LIP - BILATERAL PLASTIC SURGERY 18800 16900 15250 13700 12350 11100 18800 13700
1725 CMU0740 : CLEFT PALATE PLASTIC SURGERY 0 0 0 0 0 0 0 0
1726 CMU0740 A : CLEFT PALATE - PARTIAL PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1727 CMU0740 B : CLEFT PALATE - COMPLETE PLASTIC SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
1728 CMU0740 C : CLEFT PALATE - SUB MUCOUS (BEFORE 1.5 YEARS OF AGE) PLASTIC SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
1729 CMU0741 : SYNDACTYLY OF HAND FOR EACH HAND PLASTIC SURGERY 31000 27900 25100 22600 20350 18300 31000 22600
1730 CMU0741 A : SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
1731 CMU0741 B : COMPLEX SYNDACTYLY (PER FINGER) PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1732 CMU0741 C : SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1733 CMU0741 D : COMPLEX SYNDACTYLY (PER HAND) PLASTIC SURGERY 27900 25100 22600 20350 18300 16450 27900 20350
1734 CMU0742 A : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 0 0 0 0 0 0 0 0
1735 CMU0742 A-I : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 29600 26650 24000 21600 19400 17500 29600 21600
1736 CMU0742 A-II : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1737 CMU0742 A-III : MICROTIA/ANOTIA - STAGE 1 (WITH CARTILAGE AUTOGRAFT) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1738 CMU0742 A-IV : MICROTIA/ANOTIA - STAGE 1 (WITH ARTIFICIAL IMPLANT) PLASTIC SURGERY 29600 26650 24000 21600 19400 17500 29600 21600
1739 CMU0742 B : MICROTIA/ANOTIA - STAGE 2 PLASTIC SURGERY 20500 18450 16600 14950 13450 12100 20500 14950
1740 CMU0743 : TM JOINT ANKYLOSIS PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1741 CMU0744 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
1742 CMU0745 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION PLASTIC SURGERY 47100 42400 38150 34350 30900 27800 47100 34350
1751 CMU0746 -III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA PLASTIC SURGERY 0 0 0 0 0 0 0 0
1752 CMU0746 -III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1753 CMU0746 -III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1754 CMU0746 -III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / ARCHBAR PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2014 CMU0832 A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2015 CMU0832 A-ii : NERVE REPAIR NEUROLYSIS PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1760 CMU0749 -II : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION PLASTIC SURGERY 28800 25900 23350 21000 18900 17000 28800 21000
2016 CMU0832 A-iii : NERVE REPAIR NERVE SUTURING PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2017 CMU0832 B-i : PERIPHERAL NERVE REPAIR PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2018 CMU0832 B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2019 CMU0832 B-iii : TENDON REPAIR PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2020 CMU0832 B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2021 CMU0832 B-v : VASCULAR REPAIR (UTILISE VASCULAR PACKAGE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2022 CMU0832 B-vi : VASCULAR RECONSTRUCTION (UTILISE VASCULAR PACKAGES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
1767 CMU0750 -II : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION PLASTIC SURGERY 0 0 0 0 0 0 0 0
2023 CMU0833 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) PLASTIC SURGERY 34100 30700 27600 24850 22350 20150 34100 24850
1768 CMU0750 -II-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
2024 CMU0834 : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 0 0 0 0 0 0 0 0
1769 CMU0750 -II-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
1770 CMU0750 -II-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION PLASTIC SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
2028 CMU0834 -II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2029 CMU0834 -II-a : VASCULAR MALFORMATIONS- SCLEROTHERAPY PLASTIC SURGERY 13000 11700 10550 9500 8550 7700 13000 9500
2030 CMU0834 -II-b : VASCULAR MALFORMATIONS- SCLEROTHERAPY AND EXCISION PLASTIC SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
2031 CMU0835 A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD PLASTIC SURGERY 30400 27350 24600 22150 19950 17950 30400 22150
2032 CMU0835 B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE PLASTIC SURGERY 40300 36250 32650 29400 26450 23800 40300 29400
2033 CMU0835 C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE PLASTIC SURGERY 45000 40500 36450 32800 29500 26550 45000 32800
2034 CMU0836 A : FLAP SURGERIES - CUTANEOUS / FASCIOCUTANEOUS / MYOCUTANEOUS / MUSCLE / BONE FLAP / MICROSURGICAL FREE FLAP / SPLIT THICKNESS GRAFT PLASTIC SURGERY 0 0 0 0 0 0 0 0
2035 CMU0836 A-i : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - UPPER LIMB PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2036 CMU0836 A-ii : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - LOWER LIMB PLASTIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2037 CMU0836 A-iii : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - OTHER THAN LIMBS PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
2038 CMU0836 B : MYOCUTANEOUS FLAP PLASTIC SURGERY 41400 37250 33550 30200 27150 24450 41400 30200
2039 CMU0836 C : OSTEOCUTANEOUS FLAP PLASTIC SURGERY 53100 47800 43000 38700 34850 31350 53100 38700
2040 CMU0836 D : MICROSURGICAL FREE FLAP PLASTIC SURGERY 79200 71300 64150 57750 51950 46750 79200 57750
2041 CMU0837 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY PLASTIC SURGERY 26200 23600 21200 19100 17200 15450 26200 19100
2042 CMU0838 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS/ POST CANCER EXCISION) - PER SITTING PLASTIC SURGERY 65200 58700 52800 47550 42800 38500 65200 47550
1787 CMU0754 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN PLASTIC SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2043 CMU0839 : FLAP SURGERIES WITH BONE GRAFTING PLASTIC SURGERY 30300 27250 24550 22100 19900 17900 30300 22100
1790 CMU0754 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1791 CMU0754 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN PLASTIC SURGERY 58700 52850 47550 42800 38500 34650 58700 42800
2067 CMU0841 -I-A : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 26800 26800 26800 26800 26800 26800 26800 26800
2068 CMU0841 -I-B : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 65600 65600 65600 65600 65600 65600 65600 65600
2069 CMU0841 -I-C : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2070 CMU0841 -I-D : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 72500 72500 72500 72500 72500 72500 72500 72500
2071 CMU0841 -I-E : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 185300 185300 185300 185300 185300 185300 185300 185300
2072 CMU0841 -I-F : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2073 CMU0841 -I-G : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 1 PMR 41000 41000 41000 41000 41000 41000 41000 41000
2074 CMU0841 -I-H : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 2 PMR 99200 99200 99200 99200 99200 99200 99200 99200
2075 CMU0841 -I-I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 PMR 192200 192200 192200 192200 192200 192200 192200 192200
2076 CMU0841 -I-J : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 77700 77700 77700 77700 77700 77700 77700 77700
2077 CMU0841 -I-K : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 83000 83000 83000 83000 83000 83000 83000 83000
2078 CMU0841 -I-L : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 206900 206900 206900 206900 206900 206900 206900 206900
2080 CMU0841 -II-A : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 26800 26800 26800 26800 26800 26800 26800 26800
2081 CMU0841 -II-B : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 65600 65600 65600 65600 65600 65600 65600 65600
2082 CMU0841 -II-C : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2083 CMU0841 -II-D : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 72500 72500 72500 72500 72500 72500 72500 72500
2084 CMU0841 -II-E : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 185300 185300 185300 185300 185300 185300 185300 185300
2085 CMU0841 -II-F : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2086 CMU0841 -II-G : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 1 PMR 41000 41000 41000 41000 41000 41000 41000 41000
2087 CMU0841 -II-H : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 2 PMR 99200 99200 99200 99200 99200 99200 99200 99200
2088 CMU0841 -II-I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 PMR 192200 192200 192200 192200 192200 192200 192200 192200
2089 CMU0841 -II-J : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 77700 77700 77700 77700 77700 77700 77700 77700
2090 CMU0841 -II-K : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 83000 83000 83000 83000 83000 83000 83000 83000
2091 CMU0841 -II-L : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 206900 206900 206900 206900 206900 206900 206900 206900
2093 CMU0841 -IV : CUSTOM MADE PROSTHESIS (EXTERNAL) (FINGERS, TOES AND SMALL JOINTS) PMR 52500 52500 52500 52500 52500 52500 52500 52500
1303 CMU0560 : MULTIMODAL THERAPY FOR AUTISM PSYCHIATRY 105000 105000 105000 105000 105000 105000 105000 105000
1304 CMU0560 A : MULTIMODAL THERAPY FOR AUTISM - ASSESSMENT (QUARTERLY) PSYCHIATRY 1100 1100 1100 1100 1100 1100 1100 1100
1305 CMU0560 B : MULTIMODAL THERAPY FOR AUTISM - ASSESSMENT (ANNUAL INCLUDING PSYCHIATRIC ASSESSMENT) PSYCHIATRY 2600 2600 2600 2600 2600 2600 2600 2600
3309 CM1433 : Organic, including symptomatic, mental disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3310 CM1434 : Mental and Behavioural disorders due to psychoactive substance use (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3311 CM1435 : Schizophrenia, schizotypal and delusional disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3312 CM1436 : Mood (affective) disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3313 CM1437 : Neurotic, stress-related and somatoform disorders (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3314 CM1438 : Behavioural syndromes associated with physiological disturbances and physical factors (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3315 CM1439 : Mental retardation (routine ward) PSYCHIATRY 0 0 0 0 0 0 0 0
3316 CM1440 : Organic, including symptomatic, mental disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3317 CM1441 : Mental and Behavioural disorders due to psychoactive substance use (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3318 CM1442 : Schizophrenia, schizotypal and delusional disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3319 CM1443 : Mood (affective) disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3320 CM1444 : Neurotic, stress-related and somatoform disorders (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3321 CM1445 : Behavioural syndromes associated with physiological disturbances and physical factors (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3322 CM1446 : Mental Retardation (HDU) PSYCHIATRY 8100 0 0 0 0 0 0 0
3323 CM1447 : Pre- Electro Convulsive Therapy (ECT) and Pre- Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT/MRI Brain, Electroence PSYCHIATRY 10000 9000 8100 7290 6561 5905 10000 7290
3324 CM1448 : Electro Convulsive Therapy (ECT) - per session PSYCHIATRY 3000 0 0 0 0 0 0 0
3325 CM1449 : Transcranial Magnetic Stimulation (TMS) - per session PSYCHIATRY 1000 0 0 0 0 0 0 0
1280 CMU0540 : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) PULMONLOGY 28500 25650 23100 20800 18700 16850 28500 20800
1281 CMU0541 : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) PULMONLOGY 56200 50600 45500 40950 36850 33200 56200 40950
1282 CMU0542 : LUNG ABSCESS, NON - RESOLVING PULMONLOGY 16700 15050 13550 12150 10950 9850 16700 12150
1283 CMU0543 : PNEUMOTHORAX ( LARGE / RECURRENT ) PULMONLOGY 27200 24500 22050 19850 17850 16050 27200 19850
1284 CMU0544 : HYDROPNEUMOTHORAX PULMONLOGY 27200 24500 22050 19850 17850 16050 27200 19850
1285 CMU0545 A : MALIGNANT PLEURAL EFFUSION PULMONLOGY 17300 15550 14000 12600 11350 10200 17300 12600
1286 CMU0545 B : MASSIVE HEMOPTYSIS PULMONLOGY 49200 44300 39850 35850 32300 29050 49200 35850
1287 CMU0546 : PNEUMOCONIOSIS PULMONLOGY 23700 21350 19200 17300 15550 14000 23700 17300
2142 CMU0868 -III : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION PULMONLOGY 59000 53100 47800 43000 38700 34850 59000 43000
1279 CMU0539 : BRONCHIECTASIS WITH REPEATED HOSPITALISATION>6PER YEAR PULMONLOGY 19900 17900 16100 14500 13050 11750 19900 14500
554 CMU0146 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION RADIATION ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
555 CMU0147 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS - LINAC RADIATION ONCOLOGY 17500 17500 17500 17500 17500 17500 17500 17500
556 CMU0148 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 24800 24800 24800 24800 24800 24800 24800 24800
557 CMU0149 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS RADIATION ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
558 CMU0150 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION RADIATION ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
559 CMU0151 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT - COBALT RADIATION ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
560 CMU0152 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS RADIATION ONCOLOGY 36300 36300 36300 36300 36300 36300 36300 36300
561 CMU0153 : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE / SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS / INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS RADIATION ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
562 CMU0153 A : SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS RADIATION ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
563 CMU0153 B : INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS RADIATION ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
564 CMU0153 C : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS RADIATION ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
565 CMU0153 D : TNMSC RT- BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS RADIATION ONCOLOGY 45000 0 0 0 0 0 0 0
566 CMU0154 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 11700 11700 11700 11700 11700 11700 11700 11700
567 CMU0155 : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 71400 71400 71400 71400 71400 71400 71400 71400
568 CMU0155 A : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - TNMSC /GH ONLY RADIATION ONCOLOGY 55000 0 0 0 0 0 0 0
569 CMU0156 : SSPECIALIZED RADIATION THERAPY 3D CRT- RADICAL (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 78800 78800 78800 78800 78800 78800 78800 78800
570 CMU0156 A : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION)- TNMSC/GH ONLY RADIATION ONCOLOGY 65000 0 0 0 0 0 0 0
571 CMU0157 : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) RADIATION ONCOLOGY 93500 93500 93500 93500 93500 93500 93500 93500
572 CMU0157 A : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - TNMSC/GH ONLY RADIATION ONCOLOGY 75000 0 0 0 0 0 0 0
573 CMU0158 : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) 34-40 FRACTIONS RADIATION ONCOLOGY 105000 105000 105000 105000 105000 105000 105000 105000
574 CMU0158 A : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - TNMSC /GH ONLY RADIATION ONCOLOGY 90000 0 0 0 0 0 0 0
575 CMU0159 : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 157500 157500 157500 157500 157500 157500 157500 157500
576 CMU0159 A : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - TNMSC /GH ONLY RADIATION ONCOLOGY 110000 0 0 0 0 0 0 0
577 CMU0160 : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 157500 157500 157500 157500 157500 157500 157500 157500
578 CMU0160 A : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - TNMSC /GH ONLY RADIATION ONCOLOGY 110000 0 0 0 0 0 0 0
579 CMU0161 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
580 CMU0162 : TOTAL BODY RADIATION RADIATION ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
581 CMU0163 : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) RADIATION ONCOLOGY 87500 87500 87500 87500 87500 87500 87500 87500
582 CMU0164 : CRANIOSPINAL RADIATION RADIATION ONCOLOGY 150000 150000 150000 150000 150000 150000 150000 150000
583 CMU0165 : HEMOSTATIC RT - LINAC BASED RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
2873 CMU1038Ai : COMPREHENSIVE REHABILITATION OF STROKE-3 WEEKS (FOR ACUTE STROKE) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2874 CMU1038Aii : COMPREHENSIVE REHABILITATION OF TRAUMATIC BRAIN INJURY-3 WEEKS (ACUTE) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2875 CMU1038B : COMPREHENSIVE REHABILITATION OF TRAUMATIC BRAIN INJURY-6 WEEKS (ACUTE) REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2876 CMU1038Ci : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -3 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2877 CMU1038Cii : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -6 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2878 CMU1038Ciii : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -12 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 21000 21000 21000 21000 21000 21000 21000 21000
2879 CMU1038Di : COMPREHENSIVE REHABILITATION OF CEREBRAL PALSY-3 WEEKS REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2880 CMU1038Dii : COMPREHENSIVE REHABILITATION OF CEREBRAL PALSY-6 WEEKS REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2881 CMU1038E : INTRAMUSCULAR INJECTION OF BOTULINUM TOXIN TO SPASTIC MUSCLES UNDER MSK ULTRASOUND GUIDANCE FOR CP, PARAPLEGIA, STROKE, TRAUMATIC BRAIN INJURY REHABILITATION 7500 7500 7500 7500 7500 7500 7500 7500
2882 CMU1038Fi : BILATERAL HKAFO WITH SPINAL SUPPORT ORTHOSIS REHABILITATION 48000 48000 48000 48000 48000 48000 48000 48000
2883 CMU1038Fii : BILATERAL HKAFO ORTHOSIS REHABILITATION 35000 35000 35000 35000 35000 35000 35000 35000
2884 CMU1038Fiii : BILATERAL KAFO ORTHOSIS REHABILITATION 25000 25000 25000 25000 25000 25000 25000 25000
2885 CMU1038Fiv : BILATERAL AFO ORTHOSIS REHABILITATION 4000 4000 4000 4000 4000 4000 4000 4000
2886 CMU1038Fv : BILATERAL POSTERIOR TUBE SPLINT WITH FOOT SUPPORT REHABILITATION 6500 6500 6500 6500 6500 6500 6500 6500
2887 CMU1038Fvi : BILATERAL FRO REHABILITATION 6500 6500 6500 6500 6500 6500 6500 6500
2660 CMU1033 : HEARING DISABILITIES - REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2661 CMU1034 : MUSCULAR DYSTROPHY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2662 CMU1035 : INTELLECTUAL DISABILITY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2663 CMU1036 : SPECIFIC LEARNING DISABILITY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2664 CMU1037 : MULTIPLE DISABILITY-REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2665 CMU1038 : COMPREHENSIVE REHABILITATION OF STROKE CP, PARAPLEGIA, TRAUMATIC BRAIN INJURY (INCLUDING INTRAMUSCULAR BOTULINUM TOXIN INJECTION) WITH / WITHOUT ORTHOSIS FOR 3 TO 12 WEEKS REHABILITATION 71300 71300 71300 71300 71300 71300 71300 71300
1288 CMU0547 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1289 CMU0547 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL RHEUMATOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1290 CMU0548 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 22100 19900 17900 16100 14500 13050 22100 16100
1291 CMU0549 : SLE WITH COMPLICATIONS RHEUMATOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1292 CMU0550 : SCLERODERMA RENAL CRISIS RHEUMATOLOGY 18900 17000 15300 13800 12400 11150 18900 13800
1293 CMU0551 : 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 21000 18900 17000 15300 13800 12400 21000 15300
1294 CMU0552 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR HYDROXYCHLOROQUINE/PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
1295 CMU0553 : ACUTE RHEUMATIC FEVER / ACUTE EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS RHEUMATOLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1296 CMU0554 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY) RHEUMATOLOGY 16500 14850 13350 12050 10850 9750 16500 12050
1297 CMU0555 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME RHEUMATOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
2605 CMU0987 -II : ACUTE DISSEMINATED ENCEPHALOMYELITIS RHEUMATOLOGY 58300 52450 47200 42500 38250 34450 58300 42500
2606 CMU0988 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE) RHEUMATOLOGY 17500 15750 14200 12750 11500 10350 17500 12750
1451 CMU0652 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1452 CMU0652 A-I-a-i : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1454 CMU0652 A-I-b-i : MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1457 CMU0652 A-I-i : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY (INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1458 CMU0652 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 21850 19700 17700 30000 21850
1459 CMU0652 B-I-a : MYCOPHENOLATE MOFETIL INDUCTION RHEUMATOLOGY 6300 5650 5100 4600 4150 3700 6300 4600
1460 CMU0652 B-I-b : MYCOPHENOLATE MOFETIL MAINTENANCE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1461 CMU0652 B-I-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 7400 6650 6000 5400 4850 4350 7400 5400
1462 CMU0652 B-I-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION RHEUMATOLOGY 5300 4750 4300 3850 3500 3150 5300 3850
1463 CMU0652 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 21850 19700 17700 30000 21850
1469 CMU0653 A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) RHEUMATOLOGY 13200 11900 10700 9600 8650 7800 13200 9600
1470 CMU0653 A-I-a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1471 CMU0653 A-I-b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1472 CMU0653 A-I-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) (INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) RHEUMATOLOGY 13200 11900 10700 9600 8650 7800 13200 9600
1477 CMU0653 B-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 131200 118100 200000 145800
1578 CMU0683 -A-III : SPINAL AVM EMBOLIZATION SPINE 81300 73150 65850 59250 53350 48000 81300 59250
1581 CMU0683 -B-III : SPINAL AVM EMBOLIZATION SPINE 0 0 0 0 0 0 0 0
1584 CMU0684 -III : SPINAL DURAL FISTULA EMBOLIZATION SPINE 107000 96300 86650 78000 70200 63200 107000 78000
2621 CMU0999 A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 16600 14950 13450 12100 10900 9800 16600 12100
2622 CMU0999 B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 10300 9250 8350 7500 6750 6100 10300 7500
2642 CMU1015 : BALLOON KYPHOPLASTY SPINE 90000 81000 72900 65600 59050 53150 90000 65600
2166 CMU0879 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS SPINE 78400 70550 63500 57150 51450 46300 78400 57150
2167 CMU0880 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2168 CMU0881 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2169 CMU0882 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2170 CMU0883 -I : POSTERIOR DISCECTOMY SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2173 CMU0884 : ANTERIOR DISCECTOMY SPINE 31500 28350 25500 22950 20650 18600 31500 22950
2174 CMU0885 : ANTERIOR CERVICAL DISCECTOMY & FUSION SPINE 0 0 0 0 0 0 0 0
2175 CMU0885 A : ANTERIOR CERVICAL DISCECTOMY & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT SPINE 57500 51750 46600 41900 37750 33950 57500 41900
2176 CMU0885 B : ANTERIOR CERVICAL DISCECTOMY & FUSION WITH BONE GRAFT SPINE 52000 46800 42100 37900 34100 30700 52000 37900
2177 CMU0886 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION SPINE 0 0 0 0 0 0 0 0
2178 CMU0886 A : ANTERIOR LATERAL DECOMPRESSION SPINE 31500 28350 25500 22950 20650 18600 31500 22950
2179 CMU0886 B : ANTERIOR LATERAL DECOMPRESSION AND STABILSIATION SPINE 57500 51750 46600 41900 37750 33950 57500 41900
2180 CMU0887 -I : LAMINECTOMY - MICROLUMBAR SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2182 CMU0888 -I : LAMINECTOMY AT ANY LEVEL - CONVENTIONAL SPINE 28000 25200 22700 20400 18350 16550 28000 20400
2184 CMU0889 : SPINAL FUSION PROCEDURE SPINE 50000 45000 40500 36450 32800 29500 50000 36450
2185 CMU0890 - I : POSTERIOR DECOMPRESSION & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT SPINE 55000 49500 44550 40100 36100 32500 55000 40100
2187 CMU0891 : CORPECTOMY AND FIXATION SPINE 55000 49500 44550 40100 36100 32500 55000 40100
2188 CMU0892 : SPINAL FIXATION WITH INTERBODY CAGE FUSION SPINE 63100 56800 51100 46000 41400 37250 63100 46000
2189 CMU0893 : SPINAL FRACTURE - CONSERVATIVE MANAGEMENT SPINE 25000 22500 20250 18250 16400 14750 25000 18250
2191 CMU0895 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY SPINE 79600 71650 64500 58050 52250 47000 79600 58050
2192 CMU0895 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) SPINE 120000 108000 97200 87500 78750 70850 120000 87500
2193 CMU0895 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) SPINE 80000 72000 64800 58300 52500 47250 80000 58300
2194 CMU0895 C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY (OPEN) SPINE 50000 45000 40500 36450 32800 29500 50000 36450
2195 CMU0896 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2196 CMU0897 : SYRINGOMYELIA SPINE 75000 67500 60750 54700 49200 44300 75000 54700
1536 CMU0667 -III : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER SURGICAL GASTRO ENTEROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
1549 CMU0671 -III : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS SURGICAL GASTRO ENTEROLOGY 82000 73800 66400 59800 53800 48400 82000 59800
1806 CMU0759 A-II : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 55000 49500 44550 40100 36100 32500 55000 40100
1810 CMU0760 A-II : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 55000 49500 44550 40100 36100 32500 55000 40100
1812 CMU0760 B-II : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 25700 23150 20800 18750 16850 15200 25700 18750
1814 CMU0761 -II : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD SURGICAL GASTRO ENTEROLOGY 24200 21800 19600 17650 15900 14300 24200 17650
1816 CMU0762 -II : OPEN CHOLECYSTOSTOMY SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1819 CMU0763 -III : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL GASTRO ENTEROLOGY 43900 39500 35550 32000 28800 25900 43900 32000
1309 CMU0564 : LIVER TRANSPLANTATION SURGICAL GASTRO ENTEROLOGY 200000 200000 200000 200000 200000 200000 200000 200000
1310 CMU0564 A : LIVER TRANSPLANTATION - FIRST YEAR FOLLOWUP - MONTHLY SURGICAL GASTRO ENTEROLOGY 50000 50000 50000 50000 50000 50000 50000 50000
1822 CMU0764 -III : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL GASTRO ENTEROLOGY 53800 48400 43600 39200 35300 31750 53800 39200
1311 CMU0565 A : RT. HEPATECTOMY. SURGICAL GASTRO ENTEROLOGY 69900 62900 56600 50950 45850 41300 69900 50950
1312 CMU0565 B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1313 CMU0566 A : LT. HEPATECTOMY SURGICAL GASTRO ENTEROLOGY 69900 62900 56600 50950 45850 41300 69900 50950
1314 CMU0566 B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1315 CMU0567 : SPLENORENAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1316 CMU0568 : SURGERY FOR BLEEDING ULCERS SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1317 CMU0569 : I STAGE-SUB TOTAL COLECTOMY + ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1829 CMU0767 -III : ANTERIOR RESECTION SURGICAL GASTRO ENTEROLOGY 56000 50400 45350 40800 36750 33050 56000 40800
1318 CMU0570 : II STAGE - J-POUCH SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
1319 CMU0571 : III STAGE-ILEOSTOMY CLOSURE SURGICAL GASTRO ENTEROLOGY 24200 21800 19600 17650 15900 14300 24200 17650
1320 CMU0572 A : HEPATICO JEJUNOSTOMY - BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 78800 70900 63850 57450 51700 46550 78800 57450
1832 CMU0768 -A-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL GASTRO ENTEROLOGY 28700 25850 23250 20900 18850 16950 28700 20900
1321 CMU0572 B : HEPATICO JEJUNOSTOMY - INJURY / EXTERNAL BILIARY FISTULA MANAGEMENT SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1322 CMU0573 : CBD CALCULI - STONE EXTRACTION CHOLEDOCHODUODENOSTOMY SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1323 CMU0574 : REPAIR SURGERY FOR INJURIES DUE TO FB SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1835 CMU0768 -B-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 51500 46350 41700 37550 33800 30400 51500 37550
1324 CMU0575 A : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (INVASIVE) SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1325 CMU0575 B : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (NON INVASIVE ) SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1326 CMU0576 : GASTRO STUDY FOLLOWED BY THORACOTOMY & SURGICAL MANAGEMENT FOR OESOPHAGEAL INJURY FOR CORROSIVE INJURIES/FB SURGICAL GASTRO ENTEROLOGY 58300 52450 47200 42500 38250 34450 58300 42500
1838 CMU0768 -C-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 78300 70450 63400 57100 51350 46250 78300 57100
1327 CMU0577 : HAEMANGIOMA SOL LIVER HEPATECTOMY + WEDGE RESECTION SURGICAL GASTRO ENTEROLOGY 46700 42050 37850 34050 30650 27600 46700 34050
1328 CMU0578 : LIENORENAL SHUNT SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1585 CMU0685 : BALLOON RETERO GRADE VARICEAL EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 56800 51100 46000 41400 37250 33550 56800 41400
1841 CMU0769 -III : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP SURGICAL GASTRO ENTEROLOGY 45900 41300 37200 33450 30100 27100 45900 33450
1331 CMU0581 A : ANAL SPHINCTER RECONSTRUCTION SURGICAL GASTRO ENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1587 CMU0686 -II : LIVER HEMANGIOMA EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1843 CMU0770 A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
1332 CMU0581 B : LEVATOROPLASTY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1333 CMU0582 : GRACILOPLASTY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1845 CMU0771 A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
1334 CMU0583 : BILIARY PERITONITIS -EMERGENCY LAPAROTOMY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1335 CMU0584 : SPLEEN SPARING DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
1847 CMU0771 B-II : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 41800 37600 33850 30450 27400 24700 41800 30450
1336 CMU0585 : LIVER SEGMENTECTOMY SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1337 CMU0586 : PORTOCAVAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 84000 75600 68050 61250 55100 49600 84000 61250
1849 CMU0772 A-II : LAP SPLENECTOMY WITHOUT DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
1338 CMU0587 : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION SURGICAL GASTRO ENTEROLOGY 84000 75600 68050 61250 55100 49600 84000 61250
1339 CMU0588 : WARREN SHUNT SURGICAL GASTRO ENTEROLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1851 CMU0772 B-II : LAP SPLENECTOMY WITH DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44300 39850 35900 32300 29050 26150 44300 32300
1340 CMU0589 : PANCREAS DIVISUM SURGICAL GASTRO ENTEROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1341 CMU0590 : ESOPHAGEAL PERFORATION SURGERY SURGICAL GASTRO ENTEROLOGY 80000 72000 64800 58300 52500 47250 80000 58300
1342 CMU0591 : MESH PLASTY WITH TACKERS SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1343 CMU0592 : LAPROSCOPIC CLOSURE OF HOLLOW VISCOUS PERFORATION SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1344 CMU0593 : LAPROSCOPIC GASTROJEJUNOSTOMY & VAGOTOMY SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1345 CMU0594 : SURGICAL DRAINAGE SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18250 16400 14750 25000 18250
1346 CMU0595 : VATS- RETROPERITONEAL DEBRIDEMENT OF PANCREATIC NECROSIS SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32800 29500 26550 45000 32800
1888 CMU0784 -II : LIVER ABSCESS - OPEN DRAINAGE SURGICAL GASTRO ENTEROLOGY 19800 17800 16050 14450 13000 11700 19800 14450
1890 CMU0785 A-II : RECTAL PROLAPSE - THEIRSCH WIRING SURGICAL GASTRO ENTEROLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1892 CMU0785 B-II : RECTAL PROLAPSE - DEBULKING SURGICAL GASTRO ENTEROLOGY 28600 25750 23150 20850 18750 16900 28600 20850
1894 CMU0785 C-II : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY SURGICAL GASTRO ENTEROLOGY 30300 27250 24550 22100 19900 17900 30300 22100
1643 CMU0713 -I : HEPATIC VEIN ANGIOPLASTY AND STENTING SURGICAL GASTRO ENTEROLOGY 75000 67500 60750 54700 49200 44300 75000 54700
2672 CMU0770 B-II : SPLENECTOMY WITH DEVASCULARISATION- TRAUMATIC SURGICAL GASTRO ENTEROLOGY 41800 37600 33850 30450 27400 24700 41800 30450
1906 CMU0792 A-II : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49000 44100 39700 35700 32150 28950 49000 35700
1909 CMU0792 B-II : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
1912 CMU0793 -II : WHIPPLES ANY TYPE SURGICAL GASTRO ENTEROLOGY 90800 81700 73550 66200 59550 53600 90800 66200
1665 CMU0718 -I : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
1666 CMU0718 -I-a : BILIARY DRAINAGE PROCEDURES - T- TUBE SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1667 CMU0718 -I-b : BILIARY DRAINAGE PROCEDURES - CHOLEDOCOJEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1668 CMU0718 -I-c : BILIARY DRAINAGE PROCEDURES - HEPATICOJEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1669 CMU0718 -I-d : ERCP AND STENT (PLASTIC) SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1670 CMU0718 -I-e : ERCP AND STENT (SEMS) SURGICAL GASTRO ENTEROLOGY 60500 54450 49000 44100 39700 35700 60500 44100
1671 CMU0718 -I-f : POST OP BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
1426 CMU0649 A-II : PANCREATECTOMY DISTAL - OPEN SURGICAL GASTRO ENTEROLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1429 CMU0649 B-II : PANCREATECTOMY DISTAL - LAP SURGICAL GASTRO ENTEROLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1432 CMU0649 C-II : PANCREATECTOMY CENTRAL- OPEN SURGICAL GASTRO ENTEROLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1435 CMU0649 D-II : PANCREATECTOMY CENTRAL- LAP SURGICAL GASTRO ENTEROLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1439 CMU0651 -I : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
1440 CMU0651 -I-a : OBSCURE BLEED - CONSERVATIVE MANAGEMENT INCLUDING CAPSULE ENDOSCOPY SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1441 CMU0651 -I-b : OBSCURE BLEED - CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 11700 10550 9500 8550 7700 6900 11700 8550
1442 CMU0651 -I-c : NON VARICEAL BLEED - CLIPPING SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1443 CMU0651 -I-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION SURGICAL GASTRO ENTEROLOGY 48500 43650 39300 35350 31800 28650 48500 35350
1444 CMU0651 -I-e : NON VARICEAL BLEED - CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 11000 9900 8900 8000 7200 6500 11000 8000
2222 CMU0910 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY SURGICAL GASTRO ENTEROLOGY 8400 7550 6800 6100 5500 4950 8400 6100
2224 CMU0911 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2226 CMU0912 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION SURGICAL GASTRO ENTEROLOGY 8400 7550 6800 6100 5500 4950 8400 6100
1976 CMU0817 -III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
1978 CMU0818 -II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1981 CMU0819 -II : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1984 CMU0820 -II : OESOPHAGOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 26300 23650 21300 19150 17250 15550 26300 19150
1986 CMU0821 -II : JEJUNOSTOMY / FEEDING JEJUNOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1988 CMU0822 -II : GASTROJEJUNOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1990 CMU0823 -II : ILEOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1992 CMU0824 A-II : ILEOTRANSVERSE COLOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2250 CMU0925 -II : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) SURGICAL GASTRO ENTEROLOGY 71500 64350 57900 52100 46900 42200 71500 52100
1995 CMU0824 B-II : COLOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1998 CMU0825 -II : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2254 CMU0928 -II : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
2000 CMU0826 -II : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2260 CMU0931 -IIB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
2261 CMU0931 -II : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
2262 CMU0931 -IIA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2266 CMU0934 A-II : OTHER BYPASS PANCREAS - LAP /OPEN SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2268 CMU0934 B-II : TRIPLE BYPASS - LAP /OPEN SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2273 CMU0938 A-II : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS SURGICAL GASTRO ENTEROLOGY 36300 32650 29400 26450 23800 21450 36300 26450
2275 CMU0938 B-II : CYSTO JEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1784 CMU0753 -II : DIAPHRAGMATIC HERNIA SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1817 CMU0763 -I : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL ONCOLOGY 43900 39500 35550 32000 28800 25900 43900 32000
1820 CMU0764 -I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL ONCOLOGY 53800 48400 43600 39200 35300 31750 53800 39200
1823 CMU0765 -A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 16400 14750 13300 11950 10750 9700 16400 11950
1824 CMU0765 -B : PENECTOMY- TOTAL WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 25600 23050 20750 18650 16800 15100 25600 18650
1825 CMU0766 A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 31000 27900 25100 22600 20350 18300 31000 22600
1826 CMU0766 B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 41900 37700 33950 30550 27500 24750 41900 30550
1827 CMU0767 -I : ANTERIOR RESECTION SURGICAL ONCOLOGY 56000 50400 45350 40800 36750 33050 56000 40800
1830 CMU0768 -A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL ONCOLOGY 28700 25850 23250 20900 18850 16950 28700 20900
1833 CMU0768 -B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL ONCOLOGY 51500 46350 41700 37550 33800 30400 51500 37550
1836 CMU0768 -C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL ONCOLOGY 78300 70450 63400 57100 51350 46250 78300 57100
1839 CMU0769 -I : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP SURGICAL ONCOLOGY 45900 41300 37200 33450 30100 27100 45900 33450
2613 CMU0993 : SLEEVE RESECTION CA EAR SURGICAL ONCOLOGY 20500 18450 16600 14950 13450 12100 20500 14950
2614 CMU0994 : SLEEVE RESECTION CA LUNG SURGICAL ONCOLOGY 25400 22850 20550 18500 16650 15000 25400 18500
1852 CMU0773 A-I : NECK