S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  PHYSIOTH001

  Hi-Frequency Radiation-Cum-Computerized

  General

  45.00 / No.

  2.

  PHYSIOTH002

  Charges for Existing Facilities

  General

  30.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  2.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  3.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  4.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  5.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  6.

  ACMB

  Aiims Comp. Neurological Battery

  General

  100.00 / No.

  7.

  ECT

  Electroconvulsive Therapy (Ect)

  General

  200.00 / No.

  8.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  9.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  10.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  11.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  12.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  13.

  MCMIIV

  Psychological Test For Mcmi -Iv

  General

  100.00 / No.

  14.

  PSY0001

  Psychological Test Single Test

  General

  100.00 / No.

  15.

  PSY0002

  Psychological Test Maximum from One Patient

  General

  150.00 / No.

  16.

  PSY0003

  Psychological Test Block Of Tests

  General

  100.00 / No.

  17.

  PSY0004

  Psychological Test Iq Test Bkt

  General

  60.00 / No.

  18.

  PSY0006

  Psychological Test Iq Test Dst

  General

  60.00 / No.

  19.

  PSY0007

  Psychological Test Iq Test Misic

  General

  60.00 / No.

  20.

  PSY0008

  Psychological Test Iq Test Wisc Iv

  General

  60.00 / No.

  21.

  PSY0009

  Rorschach Inkblot Test

  General

  100.00 / No.

  22.

  PSY0010

  Thematic Apperception Test

  General

  100.00 / No.

  23.

  PSY0011

  Minnesota Multiphasic Personality Inventory

  General

  100.00 / No.

  24.

  PSY0012

  Draw A Person Test

  General

  100.00 / No.

  25.

  PSY0013

  Developmental Screening Test

  General

  60.00 / No.

  26.

  PSY005

  Psychological Test Iq Test Vsms

  General

  60.00 / No.

  27.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

  28.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

  29.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

  30.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

  31.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

  32.

  WAIS

  Weschler Adult Intelligence Scale Iv

  General

  100.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

PULM001

  Bronchoscopy.

  General

  250.00 / No.

  2.

PULM002

  Special Pulmonary Function Tests (Pft) (Lung Volumes Airway Resistance Compliance Etc)

  General

  200.00 / No.

  3.

PULM003

  Complete Lung Function Assessment Including Body Plethysmography

  General

  150.00 / No.

  4.

PULM004

  Bronchial Challenge Studies

  General

  100.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  R1

 External Beam Radiation (Ebrt)-Palliative Intent (2d/3dcrt)

  General

 1500.00 / No.

  2.

  R2

  External Radiation (Radical/Adjuvant/Neoadjuvant) (2d/3dcrt)

  General

  2500.00 / No.

  3.

  R3

 I.M.R.T

  General

  5000.00 / No.

  4.

  R4

  I.G.R.T

  General

  7500.00 / No.

  5.

  R5

  V.M.A.T

  General

  10000.00 / No.

  6.

  R6

 S.R.S

  General

  15000.00 / No.

  7.

  R7

  S.B.R.T/Srt

  General

  15000.00 / No.

  8.

  R8

  Brachytherapy Intracavity/Intravaginal (Hdr) Per Fraction

  General

  5500.00 / No.

  9.

  R9

  Brachytherapy Interstitial Radical

  General

  12000.00 / No.

  10.

  R10

 Brachytherapy Interstitial Boost

  General

  5500.00 / No.

  11.

  R11

  Brachytherapy Intraluminal

  General

  1000.00 / No.

  12.

  R12

  Surface Mould Brachytherapy

  General

  7000.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  RTS0001

  Av Fistula For Hd.

  General

  500.00 / No.

  2.

  RTS0002

  Synthetic Graft For Dialysis Access.

  General

  1000.00 / No.

  3.

  RTS0003

  Ultrasound To Evaluate Fore Arm Vessels For Creation Of Vascular Access

  General

  100.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  TS0001

  A.S.D.

  General

  3500.00 / No.

  2.

  TS0002

  Abdominal/Thoracic Aortic Aneurysm

  General

  5000.00 / No.

  3.

  TS0003

  Angioplasty

  General

  3500.00 / No.

  4.

  TS0004

  Ascending Aorta Replacement

  General

  10000.00 / No.

  5.

  TS0005

  Atrial Septostomy

  General

  4000.00 / No.

  6.

  TS0006

  B.T. Shunt

  General

  4500.00 / No.

  7.

  TS0007

  C.A.B.G.- Hc

  General

  7000.00 / No.

  8.

  TS0008

  C.A.B.G. + Double Valve Replacement

  General

  9000.00 / No.

  9.

  TS0009

  C.A.B.G. + Iabp

  General

  20000.00 / No.

  10.

  TS0010

  C.A.B.G. + Single Valve Replacement

  General

  9000.00 / No.

  11.

  TS0011

  C.M.V.

  General

  2000.00 / No.

  12.

  TS0012

  Coaractation Of Aorta

  General

  4500.00 / No.

  13.

  TS0013

  Coil Embolisation

  General

  1000.00 / No.

  14.

  TS0014

  Conduit Repair

  General

  7000.00 / No.

  15.

  TS0015

  D.S.A.

  General

  300.00 / No.

  16.

  TS0016

  Double Valve Replacement

  General

  6000.00 / No.

  17.

  TS0017

  Embolectomy

  General

  2500.00 / No.

  18.

  TS0018

  Oesophagectomy/Colon Bypass

  General

  1750.00 / No.

  19.

  TS0019

  Fontan Procedure

  General

  9000.00 / No.

  20.

  TS0020

  I/C Drainage

  General

  100.00 / No.

  21.

  TS0021

  Implant

  General

  1000.00 / No.

  22.

  TS0022

  Lobectomy/Pheumonectomy/Decortication Excision Of Hydatid Or Mediastinal Cyst

  General

  2000.00 / No.

  23.

  TS0023

  Mitral Balloon Valvoplasty

  General

  4500.00 / No.

  24.

  TS0024

  P.D.A.

  General

  2000.00 / No.

  25.

  TS0025

  Pericardiectomy

  General

  2000.00 / No.

  26.

  TS0026

  Peripheral Angioplasty

  General

  2500.00 / No.

  27.

  TS0027

  Peripheral Vascular Surgery

  General

  1000.00 / No.

  28.

  TS0028

  Pulmonary Aortic Valvoplasty

  General

  1000.00 / No.

  29.

  TS0029

  Replant

  General

  100.00 / No.

  30.

  TS0030

  Single Valve Replacement/Mvr

  General

  4500.00 / No.

  31.

  TS0031

  T.O.F.

  General

  6000.00 / No.

  32.

  TS0032

  V.S.D.

  General

  4500.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  TM001

  Blood Grouping

  General

  50.00 / No.

  2.

  TM002

  Direct Coombs Test

  General

  100.00 / No.

  3.

  TM003

  Indirect Coombs Test

  General

  150.00 / No.

  4.

  TM004

  Antibody Identification

  General

  150.00 / No.

  5.

  TM005

  Antenatal Package (Grouping And Screening By Panel Cells)

  General

  200.00 / No.

  6.

  TM006

  Crossmatching Of Blood Bag

  General

  150.00 / No.

  7.

  TM007

  Antibody Titres

  General

  150.00 / No.

  8.

  TM008

  Human Whole Blood Ip

  General

  1050.00 / No.

  9.

  TM009

  Whole Blood

  General

  75.00 / No.

  10.

  TM010

  Packed Red Blood Cell

  General

  75.00 / No.

  11.

  TM011

  Fresh Frozen Plasma

  General

  60.00 / No.

  12.

  TM012

  Platelet Concentrate

  General

  60.00 / No.

  13.

  TM013

  Cryoprecipitate

  General

  60.00 / No.

  14.

  TM014

  Single Doner Platelet Apheresis

  General

  11000.00 / No.

  15.

  TM015

  Leuco Filtration Platelet

  General

  1500.00 / No.

  16.

  TM016

  Leuco Filtration Red Cells

  General

  1000.00 / No.

  17.

  TM017

  Groping And Crossmatching By Automation

  General

  280.00 / No.

  18.

  TM018

  Groping And Crossmatching By Semi Automation

  General

  120.00 / No.

  19.

  TM019

  Phenotyping For Extended Serology

  General

  500.00 / No.

  20.

  TM020

  Irradiation

  General

  1000.00 / No.

  21.

  TM021

  Bacterial Detection(Platelets)

  General

  1000.00 / No.

S.No.

Tariff Code

Tariff Name

Patient Category Name

Rate / Unit

  1.

  UR0001

  Change Of Urethral Catheter/ Nephrostomy Tube/

  General

  50.00 / No.

  2.

  UR0003

  Cavernosometry And Cavernosography

  General

  100.00 / No.

  3.

  UR0004

  Cystogram

  General

  100.00 / No.

  4.

  UR0005

  Intravesical Instillation Of Chemotherapy/ Bcg

  General

  100.00 / No.

  5.

  UR0008

  Pipe Test

  General

  100.00 / No.

  6.

  UR0009

  Retrograde/Antegrade Contrast Study

  General

  100.00 / No.

  7.

  UR0010

  Rgp (Retrograde Ureteropyelogram)

  General

  100.00 / No.

  8.

  UR0011

  Rgu/ Mcu

  General

  100.00 / No.

  9.

  UR0012

  Sinogram/Fistulogram

  General

  100.00 / No.

  10.

  UR0013

  Urodynamic Study

  General

  135.00 / No.

  11.

  UR0014

  Vas Seminal Vesiculogram

  General

  100.00 / No.

  12.

  UR0015

  Bilateral Scrotal Orchiectomy Under La

  General

  100.00 / No.

  13.

  UR0016

  Circumcision/Meatoplasty Under La

  General

  100.00 / No.

  14.

  UR0017

  Clot Evacuation/Bladder Irrigation-La Un

  General

  100.00 / No.

  15.

  UR0018

  Cystoscopy/Check Cystoscopy Under La

  General

  100.00 / No.

  16.

  UR0019

  Endoscopic Removal Of Ureteric Stent/Bladder    Stone / Foreign Body

  General

  100.00 / No.

  17.

  UR0020

  Incision And Drainage Of Abscess Under La

  General

  100.00 / No.

  18.

  UR0021

  Open Surgical Biopsy Of Penile Lesion Under La

  General

  100.00 / No.

  19.

  UR0022

  Operations For Hydrocele Under La

  General

  100.00 / No.

  20.

  UR0023

  Reducation Of Paraphomosis Under La

  General

  100.00 / No.

  21.

  UR0024

  Retrograde Ureteric Catheterisation Under La

  General

  100.00 / No.

  22.

  UR0025

  Secondary Suturing Of Wounds Under La

  General

  100.00 / No.

  23.

  UR0026

  Testicular Biopsy Under La

  General

  100.00 / No.

  24.

  UR0027

  Trocar Cystostomy Under La

  General

  100.00 / No.

  25.

  UR0028

  True Cut Biopsy Of Prostate Under La

  General

  100.00 / No.

  26.

  UR0029

  Uretheral Dilatation Under La

  General

  100.00 / No.

  27.

  UR0030

  Check Cystoscopy/ Fulguration Of Bladder Tumour

  General

  300.00 / No.

  28.

  UR0031

  Cystoscopy And Bladder Biopsy

  General

  300.00 / No.

  29.

  UR0032

  Deroofing Of Ejaculatory Duct-Ga

  General

  300.00 / No.

  30.

  UR0033

  Deroofing / Incision Of Ureterocele-Ga

  General

  300.00 / No.

  31.

  UR0034

  Detors.&Orchiopexy For Torsiontesties-Ga

  General

  300.00 / No.

  32.

  UR0035

  Endoscopic Incision Of Bladder Neck-Ga

  General

  300.00 / No.

  33.

  UR0036

  Endoscopic Retrieval Of Bladder Stone-Ga

  General

  300.00 / No.

  34.

  UR0037

  Examinat.Under Anaesth.(Eua)For Complex Genito-Urinary Fistula/ Genital

  General

  300.00 / No.

  35.

  UR0038

  Genito-Urinary Fistula/ Genital.Anomalies-Ga

  General

  300.00 / No.

  36.

  UR0039

  Excision Of Vesico-Cutaneous Fistula-Ga

  General

  300.00 / No.

  37.

  UR0040

  Meatoplasty-Ga

  General

  300.00 / No.

  38.

  UR0041

  Operation For Priapism-Ga

  General

  300.00 / No.

  39.

  UR0042

  Optical Internal Urethrotomy (Oiu)/ Core Through Oic-Ga

  General

  300.00 / No.

  40.

  UR0043

  Palomos Operation-Ga

  General

  300.00 / No.

  41.

  UR0044

  Relook Pcnl-Ga

  General

  300.00 / No.

  42.

  UR0045

  Relook Tur-P-Ga

  General

  300.00 / No.

  43.

  UR0046

  Removal Of Foreign Bodies Around Penis (Constricing Metal Rings Etc)-Ga

  General

  300.00 / No.

  44.

  UR0047

  Repair Of Urethral Fistula-Ga

  General

  300.00 / No.

  45.

  UR0048

  Suprapublic Cystostomy/ Cystolithotomy-Ga

  General

  300.00 / No.

  46.

  UR0049

  Ureteric Stenting-Ga

  General

  300.00 / No.

  47.

  UR0050

  Vea-(Vaso-Epididymal Anastomosis)/ Vva- (Vasovasal Anastomosis) -Ga

  General

  300.00 / No.

  48.

  UR0051

  Bilater.Intern. Iliac Artery Ligation

  General

  1000.00 / No.

  49.

  UR0052

  Chordee Correction For Penile Chordee With Hypospadias

  General

  1000.00 / No.

  50.

  UR0053

  Drainage Of Perinephric Abscess

  General

  1000.00 / No.

  51.

  UR0054

  End To End Trano-Uretero Ureterostomy/ Trans-Uretero-Ureterostomy

  General

  1000.00 / No.

  52.

  UR0055

  Endoscopic Retrieval/Basketing Of Ureteral Stone

  General

  1000.00 / No.

  53.

  UR0056

  Excision And/Deroofing Of Renal Cyst

  General

  1000.00 / No.

  54.

  UR0057

  Excision Of Adrenal Cyst

  General

  1000.00 / No.

  55.

  UR0058

  Excision Of Sinus/Fistula In Flank Region

  General

  1000.00 / No.

  56.

  UR0059

  Cystolithotripsy

  General

  1000.00 / No.

  57.

  UR0060

  High Inguinal Orchiectomy

  General

  1000.00 / No.

  58.

  UR0061

  Ileal Conduit Urinary Diversion For Benign Disease

  General

  1000.00 / No.

  59.

  UR0062

  Implantation Of Penile Prosthesis

  General

  1000.00 / No.

  60.

  UR0063

  Lymphatic Disconnection Of Kidney For Chyluria

  General

  1000.00 / No.

  61.

  UR0064

  Nephrectomy For Pyonephrosis/ Non-Functioning Kidney

  General

  1000.00 / No.

  62.

  UR0065

  Nephropexy For Mobile Kidney

  General

  1000.00 / No.

  63.

  UR0066

  Open Kidney Biopsy

  General

  1000.00 / No.

  64.

  UR0067

  Open Nephrostomy

  General

  1000.00 / No.

  65.

  UR0068

  Open Prostatectomy (Retropubic/ Transvesical)

  General

  1000.00 / No.

  66.

  UR0069

  Operative Repair Of Bladder Injury

  General

  1000.00 / No.

  67.

  UR0070

  Orchiopexy For Undescended Testis

  General

  1000.00 / No.

  68.

  UR0071

  Partial Cystectomy/Enblock Cytotectomy For Urechal Lesion

  General

  1000.00 / No.

  69.

  UR0072

  Partial Nephrectomy

  General

  1000.00 / No.

  70.

  UR0074

  Pcnl (Percutaneous Nephrolithotripsy)

  General

  1000.00 / No.

  71.

  UR0075

  Perineal Anastomotic Urethroplasty

  General

  1000.00 / No.

  72.

  UR0076

  Pyelolithotomy/ Extended Pyelolithotomy/Nephrolithotomy

  General

  1000.00 / No.

  73.

  UR0077

  Pyeloplasty For Upj Obstruction

  General

  1000.00 / No.

  74.

  UR0078

  Repair Of Hypospadias

  General

  1000.00 / No.

  75.

  UR0079

  Repair Of Uncomplicated Vvt/ Uvf(Utero-Vesical Fistula)

  General

  1000.00 / No.

  76.

  UR0080

  Stage-I Urethroplasty/ Iind Stage Urethroplasty/Perineal Urethrostomy

  General

  1000.00 / No.

  77.

  UR0081

  Surgery For Male Urinary Incontinence

  General

  1000.00 / No.

  78.

  UR0082

  Surgery For Stress Urinary Incontinence In Female

  General

  1000.00 / No.

  79.

  UR0083

  Tur Bladder Tumour

  General

  1000.00 / No.

  80.

  UR0084

  Tur Prostate/ Bladder Neck

  General

  1000.00 / No.

  81.

  UR0085

  Uretero-Sigmoidostomy

  General

  1000.00 / No.

  82.

  UR0086

  Ureterolithotomy/ Ureterolysis/ Davis Intubatedureterotomy

  General

  1000.00 / No.

  83.

  UR0087

  Urethrectomy

  General

  1000.00 / No.

  84.

  UR0088

  Urs And Intracorporeal Lithotripsy Of Ureteric Stone

  General

  1000.00 / No.

  85.

  UR0089

  Vaginoplasty/Genital Reconstruction

  General

  1000.00 / No.

  86.

  UR0090

  Anatrophic Nephrolithotomy

  General

  2500.00 / No.

  87.

  UR0091

  Augmentation Cystoplasty

  General

  2500.00 / No.

  88.

  UR0092

  Boari Flap Ureteroplasty/ Vesico-Calicostomy/Vesico-Pyelostomy

  General

  2500.00 / No.

  89.

  UR0093

  Continent Urinary Diversion

  General

  2500.00 / No.

  90.

  UR0094

  Excision Of Large Retroperitoneal Tumour

  General

  2500.00 / No.

  91.

  UR0095

  Excision Of Pheochromocytoma/ Adrenal Tumour

  General

  2500.00 / No.

  92.

  UR0096

  Ileal Loop Replacement Of Ureter

  General

  2500.00 / No.

  93.

  UR0097

  Inguinal Block Dissection

  General

  2500.00 / No.

  94.

  UR0098

  Microsurgical Vaso-Epididymal Anastomosis (Vea)Vaso-Vasal Anastomosis (Vva)

  General

  2500.00 / No.

  95.

  UR0100

  Radical Cystectomy With Urinary Diversion

  General

  2500.00 / No.

  96.

  UR0101

  Radical Nephrectomy/ Renal Parenchyma Preservation Procedure For Kidney Tumour/Nephro-Ureterectomy F

  General

  2500.00 / No.

  97.

  UR0102

  Radical Prostatectomy

  General

  2500.00 / No.

  98.

  UR0103

  Repair Of Complicated Vesicovaginal Fistula (Vvf)I.E. Vvf With Uvf And Loss Of Bladder Neck And Uret

  General

  2500.00 / No.

  99.

  UR0104

  Repair Of Extrophy Of Bladder /Bladder Neck Reconstruction

  General

  2500.00 / No.

  100.

  UR0105

  Repair Of Rectourethral Fistula

  General

  2500.00 / No.

  101.

  UR0106

  Retroperitoneal Lymph Node Dissection (Rplnd)

  General

  2500.00 / No.

  102.

  UR0107

  Transpublic Urethroplasty

  General

  2500.00 / No.

  103.

  UR0108

  Uretero-Calicostomy/ Uretero-Pyelostomy For Upj Stricture

  General

  2500.00 / No.

  104.

  UR0109

  Ureterolysis & Omental Wraping/ Inraperitonealization Of Ureters For Retroperitoneal Fibrosis

  General

  2500.00 / No.

  105.

  UR0110

  Ureterocystostomy/ Repair Of Uretero-Vaginal Fistula (Uvf)

  General

  2500.00 / No.

  106.

  UR0112

  Abscess Incision And Drainage Under G.A.

  General

  100.00 / No.

  107.

  UR0113

  Biopsy Under G.A.

  General

  100.00 / No.

  108.

  UR0115

  Endoscopy Under G.A.

  General

  150.00 / No.

  109.

  UR0116

  Endo.(Broncho./ Upper Gi/ Colono/ Laryngoscopy/Cystoscopy/ Nasopharyngoscopy

  General

  100.00 / No.

  110.

  UR0118

  Pulmonary Function Tests

  General

  100.00 / No.

  111.

  UR0119

  Stitch Removal Under G.A.

  General

  100.00 / No.

  112.

  UR0120

  Treatment In Intensive Care Areas(Per Day Over And Above Per Day Charges)

  General

  300.00 / No.

  113.

  UR0121

  Lithotripsy

  General

  7000.00 / No.

  114.

  UR0122

  Bilateral Scrotal Orchiectomy Under Ga

  General

  300.00 / No.

  115.

  UR0123

  Circumcision/ Meatoplasty Under Ga

  General

  300.00 / No.

  116.

  UR0124

  Clot Evacuation/ Bladder Irrigation Ga

  General

  300.00 / No.

  117.

  UR0125

  Cystescopy/ Check Cystoscopy Under Ga

  General

  300.00 / No.

  118.

  UR0126

  Incision & Drainage Of Abscess Under Ga

  General

  300.00 / No.

  119.

  UR0127

  Open Surgical Biopsy Of Penile Lesion Ga

  General

  300.00 / No.

  120.

  UR0128

  Operations For Hydrocele Under Ga

  General

  300.00 / No.

  121.

  UR0129

  Reduction Of Paraphimosis Under Ga

  General

  300.00 / No.

  122.

  UR0130

  Retrograde Ureteric Catheterisation Ga

  General

  300.00 / No.

  123.

  UR0131

  Secondary Sutruing Of Wounds Under Ga

  General

  300.00 / No.

  124.

  UR0132

  Testicular Biopsy Under Ga

  General

  300.00 / No.

  125.

  UR0133

  Trocar Cystostomy Under Ga

  General

  300.00 / No.

  126.

  UR0134

  True Cut Biopsy Of Prostate Under Ga

  General

  300.00 / No.

  127.

  UR0135

  Urethral Dilatation Under Ga

  General

  250.00 / No.

  128.

  UR0137

  Uroflowmetry

  General

  150.00 / No.

  129.

  UR0137

  Uroflowmetry

  General

  100.00 / No.

  130.

  UR0137

  Uroflowmetry

  General

  100.00 / No.

  131.

  UR0137

  Uroflowmetry

  General

  150.00 / No.

  132.

  UR0137

  Uroflowmetry

  General

  100.00 / No.

  133.

  UR0137

  Uroflowmetry

  General

  100.00 / No.

  134.

  UR0138

  Capd Catheter Insertion

  General

  150.00 / No.

  135.

  UR0139

  Urodynamic Study Including Pressure Flow Analysis

  General

  100.00 / No.

  136.

  UR0140

  Robotic Assisted Surgical Procedure (Pyeloplasty/ Pyelolithotomy/ Ureteroloyhoyomy/ Vvf Repair Etc/

  General

  30000.00 / No.