Escolar Documentos
Profissional Documentos
Cultura Documentos
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
01 – PROCEDURES
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
001 General
01001001 Consultation by Medical
Officer (OPD) 150/-
01001002 SpecialistsConsultation(OPD)by 200/-
Visit/ Revisit/ Consultation
(Maximumby Specialiststwo visits(Indoor)per
01001003 Consultationday admissible)by Super- 200/-
01001004 Visit/SpecialistsRevisit/ Consultation(OPD) 250/-
by Super-Specialists(Indoor)
(Maximum two visits per
01001005 day admissible) 250/-
01001006 Pre-operativeConsultationAnaesthetic 200/-
01001007 ParamedicalSpecial NursingConsultationCharge 75/-
01001008 (per shift of 12 hrs.) 150/-
01001009 Aya/(perAttendantshift of 12Chargehrs.) 75/-
01001010 Delayed primary suture 1700/-
01001011 SuturingDressingswithoutLargelocal 160/-
01001012 Suturinganesthesiaof wounds with 400/-
010010130100101401001015 RemovalDebridementlocalofanesthesiaBenignof woundsTumor 1200/-1100/-500/-
01001016 AspirationTherapeuticPlural Effusion - 1000/-
Abdominal Aspiration -
01001017 Therapeutic 1300/-
Removal of F.B.
0100101801001019 Bone MarrowSuperficialAspiration 1200/-1500/-
01001020 Joints Aspiration 1500/-
01001021 Strapping 100/-
0100102201001023 RemovalVenesectionof Stitches 300/-60/-
01001024 Phimosis Under LA 1500/-
nnexure-I
-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01001025 Lumbar puncture 700/-
01001026 Sternal puncture 1500/-
01001027 Injection for Haemorrhoids 1000/-
Injection for Varicose
01001028 Veins 1300/-
01001029 Catheterisation 120/-
01001030 Dilatation of Urethra 1100/-
01001031 Incision & Drainage 600/-
01001032 Intercostal Drainage 1500/-
01001033 RemovalPeritonealof softdialysistissue or 1800/-
01001034 regionalgeneral anaesthesiablock under 2400/-
01001035 SecondaryDressingsutureSmall of 100/-
01001036002 woundsSkin 1200/-
01002001 Excision of Moles 600/-
01002002 Excision of Warts 600/-
01002003 Excisioncontagiosumof Molluscum 600/-
01002004 Excision of Veneral Warts 600/-
01002005 I/DExcisionInjectionofKeloidCornsof 550/-
01002006 ChemicalAcneCautery (per 300/-
01002007 Excisionsittings)of Sebaceous 120/-
01002008 ExcisionCystsof Superficial 1700/-
01002009 Liipoma 2400/-
01002010003 Excision ofE.N.T.Dermoid Cysts 2450/-
01003001 sessionRemovalSpeechofof30-40therapyforeignminutesperbody 200/-
From Nose/ Ear/ Throat
01003002 (Day care package) 1500/-
CODE
01003008
01003009
01003010
01003011
01003012
01003013
01003014
01003015
01003016
01003017
01003018
01003019
01003020
01003021010030220100302301003024
0100302501003026
01003027
0100302801003029
0100303001003031
01003032
01003033
01003034
01003035
01003036
01003037
01003038
01003039
01003040
01003041
01003042
01003043
01003044
01003045
01003046
Annexure-I
CODE
01004021
01004022
01004023
01004024
0100402501004026
0100402701004028
01004029
01004030
01004031
01004032
01004033
01004034
0100403501004036
01004037
01004038
01004039
0100404001004041
01004042
01004043
01004044
01004045
01004046
01004047
01004048
Annexure-I
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01008034 De Sensitising per sitting 200/-
Dento Alveolar Fracture
01008035 Reduction & Splinting/l.a. 1500/-
Denture Repair
01008036 (category1) 230/-
Dialation of Whartons
01008037 Duct under L.A. 1150/-
01008038 Direct/Cappingindirect Pulp 230/-
01008039 Drain.EnucleationAbsce.of Dento(ex.ofOral)AlveolarCyst of 950/-
01008040 Fibre PostOralBasedCavityPost & 2000/-
01008041 Core 1900/-
Floride Application (per
01008042 sitting) 400/-
Extraction of Impacted
01008043 Tooth By Operation 400/-
6
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01008057 Preformed Steel Crown 1150/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
(includingVentilatoraccessories)charge
01009002 per day 1000/-
Pneupack Ventilator in
01009003 Nursery (per day) 800/-
01009004 HighDownDefinition(includingUnit/Oxygen)Step 1500/-
01009005 ExchangeO.T. ChargesTransfusionfor 1200/-
01009006 Exchange transfusion 400/-
010 Oxygen Charges
Private/ Semi-private/
01010001 General Ward per hour 60/-
011 Burn Cases
01011001 dressingDressinguptomedicines)30%materials(excludingBurns 1stand 700/-
Subsequentupto 30% DressingBurns
(excluding dressing
01011002 materials and medicines) 700/-
30% to 50% Burns 1st
Dressing (excluding
dressing materials and
01011003 medicines) 700/-
30% to 50% Burns
Subsequent Dressing
(excluding dressing
01011004 materials and medicines) 700/-
Extensive Burn above
50% Frist Dressing
(excluding dressing
01011005 materials and medicines) 1500/-
Extensive Burn above
50% Subsequent dressing
(excluding dressing
01011006 materials and medicines) 1500/-
Burn Unit Bed (including
01011007 Oxygen) 1500/-
Obstetric &
012 Gynaecology Cases
01012001 NormalEpisiotomydelivery& P.orrepairwith 12000/-
01012002 Low Forceps 12000/-
01012003 Low midcavity forceps 14000/-
01012004 Cesarean Section 20000/-
01012005 Cesarean Hysterectomy 22000/-
7
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 200
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Rupture Uterus- closure &
01012006 repair with Tubal Ligation 22000/-
Perforation of Uterus after
D/E Laparotomy &
01012007 Closure 18000/-
Laparotomy-peritonitis
01012008 Lavage and Drainage 16000/-
Laparotomy-failed
01012009 laparoscopy to explore 6100/-
01012010 Salphingectomy 14000/-
01012011 Salphingo-Oophorectomy 18000/-
01012012 Ovarean Cystectomy 18000/-
01012013 Oopherctomy 15000/-
Broad Ligment
01012014 Haemotoma Drainage 12000/-
Exploration of perineal
Haematoma & Resuturing
01012015 of Episiotomy 12000/-
Exploration of abdominal
Haematoma (after
01012016 laparotomy + LUCS) 12000/-
Internal podalic version
01012017 and extraction 12000/-
01012018 ManualPlacentaRemoval of 3700/-
MRP3rd stagefor outsideComplicationdelivery
01012019 Examinationetc under 4900/-
010120200101 Burst-abdomenanaesthesiaRepair 2500/-3300/-
01012022 GapingSecondaryParenealSuturingWound 2500/-
01012023 GapingSecondaryabdominalSuturingwound 3700/-
01012024 Completerepairperineal tear- 2500/-
01012025 Explorationrepairof PPH-tear 4200/-
01012026 Destructive Operation 12000/-
Suction evacuation
vesicular mole, Missed
01012027 abortion D/E 5900/-
Colpotomy-drainage P/V
01012028 needling EUA 4200/-
nexure-I
ealth Scheme, 2008
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Repair of post-coital tear,
01012029 perineal injury 4200/-
Excision of urethral
01012030 caruncle 4000/-
01012031 Laparoscopy (Gynae) 6100/-
Shirodhkar, Mc. Donalds
01012032 stich 3700/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Aspiration of Liver
01013005 Abscess 3000/-
Open Drainage of Liver
01013006 DrainageAbscessof Pelvic 10000/-
01013007 DrainageAbscessof Ischiorectal 10000/-
01013008 DrainageAbscessof 8000/-
01013009 SubdiaphragmaticAbscess 14000/-
01013010 PerinephericOpen DrainageAbscessof 14000/-
01013011 DrainageAbscessof Perigastric 12000/-
Drainage of Perotid
01013012 Abscess 8000/-
Drainage of
01013013 Retropharyngeal Abscess 8000/-
Open Drainage of Psoas
01013014 Abscess 8000/-
Open Drainage of
01013015 Perivertebral Abscess 10000/-
Fissurectomy/
Haemorroidectomy/
01013016 Haemorroidectomy/CorrectionCorrection ofof PilesPiles 16000/-
01013017 (costwith ofStaplerGun extra)Gun 16000/-
01013018 ExcisionNeurofibromaof Superficial 2800/-
01013019 Varicose Veins 25000/-
01013020 Excision of Carbuncle 4000/-
014 Injury OfTissuesSuperficial Soft
015 Interestical (Implant)
01015001 Head & Neck 9700/-
01015002 Breast 9600/-
01015003 Soft Tissue Sarcome 12000/-
016 GASTROENTROLOGY
01016001 Capsule Endoscopy 30000/-
9
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees) CODE
Complete Double Baloon
01016002 Enteroscopy 18000/- 01016025
Complete Small Bowel
01016003 Evaluation 30000/- 01016026
Argan Plasma Coa
01016004 (Major) 5000/- 01016027
Argan Plasma Coa
01016005 (Major) (BS) 6500/- 01016028
Argan Plasma Coa
01016006 (Minor) 2200/- 01016029
Argan Plasma Coa
01016007 (Minor) (BS) 3000/- 01016030
01016008 Band Ligation 3500/- 01016031
01016009 Band Ligation (BS) 5500/- 01016032
01016010 Biliary Brushing 1000/- 01016033
01016011 Biliary Brushing (BS) 1600/- 01016034
01016012 Biliary Pancreatic (M) 16000/- 01016035
01016013 Biliary Pancreatic (M) (BS) 23000/- 01016036
01016014 Biliary Pancreatic (P) 13300/- 01016037
01016015 Biliary Pancreatic (P) (BS) 18000/- 01016038
01016016 Cre Ballon Dilatation (BS) 15000/- 01016039
01016017 Cre Balloon Dilatation 9000/- 01016040
01016018 Dilatation (Stricture) 3000/- 01016041
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01017006 ExcisionTotalAuditoryAmputationofMeatusExternal& 10250/-
01017007 ExcisionExcisionHygromaofofMinorCysticCystic 5500/-
01017008 Hygroma Major 8000/-
01017009 HygromaExcision Extensiveof Cystic 12300/-
01017010 ExcisionExcisionof Branchialof BranchialCyst 11000/-
01017011 ExcisionSinusof Pharyngeal 11000/-
01017012 MandibulectomyDiverticulum 12200/-
01017013 25000/-
01017014 Operation for Cervical Rib 30000/-
01017015 Pharyngectomy 35000/-
01017016 Stenosis Excision 17000/-
01017017 Commando Operation 27000/-
01017018 CervicalBlock DissectionLymph Nodesof 20300/-
01017019 PharyngectomyReconstruction& 40000/-
01017020 OperationLip - Wedgefor CarcinomaExcision 10000/-
01017021 OperationLip - Vermilionectomyfor Carcinoma 10000/-
LipOperation- WedgeforExcisionCarcinomaand
01017022 Vermilonectomy 12000/-
01017023 Estlander Operation 9700/-
01017024 Abbe Operation 12000/-
01017025 Cheek Advancement 10200/-
01017026 ExcisionExcisionofofthetheMandibleMaxilla - 23300/-
01017027 Segmental 18100/-
01017028 Hemimandibulectomy 27200/-
01017029 Partial Glossectomy 6100/-
01017030 Hemiglossectomy 13500-
01017031 TotalParotidectomyGlossectomy- 25000/-
01017032 Superficial 24000/-
11
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Parotidectomy -
01017033 Conservative 19700/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Carotid Body Excision
01018004 (cost of Graft extra) 36000/-
01018005 Total Laryngectomy 39050/-
Flap Reconstructive
01018006 Surgery 42800/-
Parapharyngeal Tumour
01018007 Excision 32000/-
CODE
01020037
01020038
01020039
01020040
01020041
021
01021001
01021002
01021003
01021004
01021005
01021006
01021007
01021008
01021009
01021010
01021011
01021012
NAME OF TREATMENT
PROCEDURE
DissectionSurgeryLung ResectionStationsforof LymphRecurrentwithNode
SurgeryPnemothoraxicfor Aspergillosis
(Lung Cavities)
Bronchotomy
Mediostonoscopy
Cardiac / Cardio
Thoracic Procedures
CoronaryCoronary(including(includingpost Profile)AngioplastyBypassBypassPre-SurgeryPre-SurgerySurgery-Surgery
CoronaryProfile)Balloon
(ExcludingAngioplastyCost of Stents)
Profile)(including(4 days’Pre-Surgerypackage)
Balloon angioplasty with
ValvotomyOpenSurgeryHeart(includingProceduresProfile) Pre-
(includingTotal CorrectionProfile)Pre-Surgeryof
Tetralogy of Fallot
(including Pre-Surgery
Profile)
RSUV Correction
(including Pre-Surgery
Profile)
(includingTAPVCProfile)CorrectionPre-Surgery
Open ASD VSD (including
Pre-SurgeryOpen PulmonaryProfile)
ValvotomyOpenSurgeryAortic(includingProfile)ValvotomyPre-
(includingProfile)Pre-Surgery
Blalock Taussig Operation
Maximum
Approved
Rate (INR)
(Rupees)
37000/-
37000/-
37000/-
37000/-
15000/-
150000/-
150000/-
66000/-
90000/-
150000/-
150000/-
150000/-
150000/-
150000/-
150000/-
150000/-
72000/-
13
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees) CODE
(including Pre-Surgery
Profile)
Mitral Valvotomy 01021031
01021013 Mitral(Excluding(includingValveProfile)CostPre-SurgeryReplacementof
72000/- 01021032 Valve)
(including Pre-Surgery 01021033
01021014 Profile) 150000/- 01021034
0102101501AorticCost(ExcludingReplacement(includingPre-SurgeryofDoubleValveValves)Profile)CostPre-SurgeryReplacementValve(Exclu
160000/-150000/- 010210350102103
Thoraco-Abdomi Aorta 01021040
Replacement (including 01021041
01021017 Pre-Surgery Profile) 150000/-
Coarctation-Arota Repair 01021042
0102101801PericardiostomyPericardiectomyP150000/-54000/-720010210430102104
01021023 ImplantationPermanentPericard3900/- 010210490102105
Cost of Pacemaker) 01021052
01021024 (4 days’ package) 19400/-
Temporary Pacing Lead 01021053
Implantation (Including 01021054
use of Temporary 01021055
01021025 Pacemaker) 12600/-
01021026 Embolectomy 19800/-
Aneurysm- Resection & 01021056
0102102701GraftingThoracocentesisextra)(cost
96000/-2000/-
of Graft likeNote:-ValveCABGReplacementif done alongetc. willwithattractother Hear
01021029 Thorachostomy 5400/- 022
01021030 Exploratory Thorocotomy 37000/-
al Health Scheme, 2008
ated 31-01-2011)
NAME OF TREATMENT
PROCEDURE
Unifocalization with Shunt
(including Pre-Surgery
Profile)
RemovalfromOesophagusofTracheaForeignorBody
Rib Resection & Drainage
Mediastinal Tumour
(Excluding(ExcludingASDPDAThymectomyEPDeviceDeviceDSACostCostSTUDYClosureClosureofof Device)Device)
3D RF Ablation
Mini EP Study
Coronary Angiography
(1 day’s package)
(Pacemaker(PacemakerPermanentPermanentIntraDirectiolImplantation(4HeartGunshot(Biventricular)days’ImplantationcoronaryFontentrans
FemoralIliacfemoraldays’Poplitialpackage)BypassBypass
Aorto Bifemoral Bypass
Carotid Subclavian
Bypass
PA Banding
BD Glen
Thoracic Aorta/ Arch
Replacement (including
Pre-Surgery Profile)
CABG.
Oesophagus
Maximum
Approved
Rate (INR)
(Rupees)
150000/-
6000/-
11500/-
35000/-
35000/-40000/-32000/-5400/-8400/-
40000/-
5000/-
11700/-
277000/-170000/-58000/-52000/-98000/-25000/-
30000/-75000/-75000/-
75000/-
75000/-
55000/-
55000/-
150000/-
14
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Atresia of Oesophagus
and Tracheo
01022001 Oesophageal Fistula 29700/-
Operations for
01022002 OesophagusReplacementby Colonof 38000/-
01022003 CarcinomaOesophagectomyEasophagusfor 38000/-
Oesophageal Intubation
01022004 (Mausseau Barbin Tube) 15500/-
Achalasia Carida
01022005 Transthoracic 29700/-
01022006 AchalasiaAbdominalCarida 14600/-
01022007 OesophagusOesophagofor mid 1/3GastrectomyDilatationlesion of 38000/-
01022008 Colon-InterStricture- positionper visitor 1500/-
Replacement of
01022009 Oesophagus 38000/-
Oesophago Gastrectomy
– Lower Corringers
01022010 procedure 38000/-
01022011 InstallationEsophagealSurgeryofPerforationRyles Tube 38000/-
01022012 Esophagealin Ca EsophagusDirecticulum 5000/-
01022013023AbdomenSurgery 38000/-
01023001 Gastroscopy 1300/-
01023002 BiopsyGastric(Endoscopic)& Duodenal 1700/-
01023003 Pyleromyotomy 10000/-
01023004 Gastrostomy 12000/-
Simple Closure of
01023005 Perforated peptic Ulcer 15000/-
01023006 VagotomyGastro JejunostomyPyleroplasty / 30000/-
01023007 Duodenojejunostomy 25000/-
01023008 GastrectomyPartial/SubtotalCarcinomafor 30000/-
Partial/Subtotal
01023009 Gastrectomy for Ulcer 30000/-
nexure-I
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Operation for Bleeding
01023010 Peptic Ulcer 25000/-
Gastrojejunostomy &
01023011 Vagotomy 27000/-
01023012 GastrojejunalOperation forUlcer 25000/-
01023013 Total GastrectomyCancer for 35000/-
Highly Selective
01023014 Vagotomy 25000/-
Selective Vagotomy &
01023015 Drainage 25000/-
01023016 CongenitalHerniaDiaphragmatic 30000/-
01023017 HiatusHiatusAbdominalHerniaHernia RepairRepair 30000/-
01023018 Transthoracic 30000/-
01023019 Exploratory Laparotomy 12900/-
01023020 Epigastric Hernia Repair 15000/-
01023021 Umbilical Hernia Repair 15000/-
Ventral and Scar Hernia
01023022 Repair 18000/-
01023023 Herniorraphy-InguinalInguinalHerniaHerniaunilateral– 15000/-
01023024 Hernioplasty-unilateralwith mesh- 22000/-
01023025 FemoralRare HerniasHernia- RepairRepair 22000/-
01023026 (Spigalion,Lumbar, Obturator,Sciatic) 25000/-
01023027 SplenectomyTrauma - For 25000/-
Splenectomy - For
01023028 Hypersplenism 25000/-
01023029 Splenorenal Anastomosis 40000/-
01023030 Portocaval Anastomosis 40000/-
OesophagusDirect Operationfor Portalon
01023031 Hypertension 30000/-
01023032 MesentericocavalAnastomosis 35000/-
01023033 Warren Shunt 35000/-
01023034 Pancerato Duodenectomy 36000/-
15
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
By Pass Procedure for
Inoperable Carcinoma of
01023035 Pancreas 30000/-
Cystojejunostomy or
01023036 Cystogastrostomy 30000/-
0102303701CholecystectomyExplorationCholecystectomyof CBD& 18000/-22000/-
0102303901OperationRepair ofofforDuctCommonLiverHydatidBileCyst 20000/-25000/-
01023041 Cholecystostomy 14200/-
Hepatic Resections
01023042 (Lobectomy Hepatectomy) 28000/-
Operation on Adrenal
01023043 Glands - Bilateral 35000/-
Operation on Adrenal
Glands - Unilateral for
01023044 Tumour 20000/-
Appendicectomy for Acute
01023045 Appendicitis 20000/-
Appendicectomy for
01023046 Chronic Appendicitis 18000/-
01023047 AppendicularDrainageAbscess – 12000/-
0102304801MesentericPeritonioscopy/LaparoscopyCyst- Excision 18000/-5100/-
01023050 Jejunostomy 18000/-
01023051 Ileostomy 18000/-
0102305201StenosisCongenitalMuconiumof SmallAtresiaileusIntestine& 20000/-25000/-
Mal-rotation & Volvulus of
01023054 the Midgut 20000/-
Resection & Anastomosis
01023055 of Small Intestine 22000/-
Excision of Meckle’s
01023056 Deverticulum 22000/-
01023057 Duodenal Diverticulum 18000/-
Operation for Intestinal
01023058 Obstruction 25000/-
Operation for Intestinal
01023059 perforation 25000/-
nexure-I
NAME OF TREATMENT
CODE PROCEDURE
Benign Tumours of Small
01023060 Intestine
Excision of Small Intestine
01023061 Fistula
Operations for
01023062 HaemorrhageOperationsIntestinesofofthetheSmall
01023063 Operations(NobleIntestinalDuplicationIntestinesPlicationObstructionfor Recurrentof&theOther
Operations for the
01023064 Adhesions)
01023065 Ilieosigmoidostomy
01023066 Ilieotransverse Colostomy
01023067 Caecostomy
Loop Colostomy
01023068 Transverse Sigmoid
01023069 Terminal Colostomy
01023070 Closure of Colostomy
01023071 Right Hemi-Colectomy
01023072 Left Hemi-Colectomy
01023073 Total Colectomy
01023074 OperationsLargeforBowelVolvulus of
01023075 OperationsDiverticulitisfor Sigmoid
01023076 FissureFissurein Anoin -AnoDilatation-
01023077 Fissurectomy
01023078 RectalHaemorrhoidsOperationPolyp-Excision-Lordsof
01023079 procedure
Fistula in Ano - High
01023080 Fistulectomy
Fistula in Ano - Low
01023081 Fistulectomy
Imperforat Anus -
01023082 Colostomy
Imperforate Anus - Pull
01023083 Through Operation
Prolapse Rectum -
01023084 Theirch Wiring
Maximum
Approved
Rate (INR)
(Rupees)
25000/-
25000/-
25000/-
32000/-
28000/-
22000/-
22000/-
10000/-
20000/-
24000/-
24000/-
24000/-
24000/-
39000/-
25200/-
22000/-
6800/-
16000/-
8000/-
10000/-
20000/-
12000/-
16000/-
22000/-
15000/-
16
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Prolapse Rectum -
01023085 Rectopexy 10000/-
Prolapse Rectum -
01023086 Grahams Operation 22000/-
Operations for
01023087 Hirschsprungs Disease 22000/-
01023088 Excision of Pilonidal Sinus 12300/-
01023089 AnteriorExcisionAbdomino-PerinealResectionof Rectumof 26700/-
01023090 rectum 26300/-
Pull Through Abdominal
01023091 Resection 22000/-
Operations for
01023092 Neuroblastoma 22000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Biopsy of Bladder
01024018 (Cystoscopic) 6000/-
Diathermy Destruction of
01024019 Bladder Neoplasm 15000/-
01024020 Litholapexy 15000/-
Operations for Injuries of
01024021 the Bladder 30000/-
01024022 SuprapubicVesicostomy)(Cystostomy/Drainage 12000/-
01024023 Total Cystectomy 35000/-
01024024 Diverticulectomy 32000/-
Open Resection of the
01024025 Bladder Neck 25000/-
Y-V Plasty of the Bladder
01024026 Neck 25000/-
01024027 Cystoplasty 28000/-
Operations for Extrophy of
01024028 the Bladder 40000/-
01024029 Repair of Ureterocoel 25000/-
01024030 Suprapubic Prostatectomy 25000/-
01024031 Retropubic Prostatectomy 25000/-
Transurethral Resection of
Prostate (TURP)/ TUR
01024032 IntravesicalBladder TumourBCG 25000/-
01024033 instillationOperationsextra)(Costfor Injuryof BCGto 500/-
01024034 Urethra 30000/-
01024035 Internal urethrotomy 15000/-
01024036 OperationUrethral Reconstructionfor Congenital 32000/-
01024037 IncontinenceValvesOperationsof Urethraof forUrine - 16000/-
01024038 Male 25000/-
Operations for
Incontinence of Urine -
01024039 Female 25000/-
01024040 CircumcisionParaphimosisReduction(underof 2450/-
01024041 General Anaesthesia) 6000/-
01024042 Meatotomy 3500/-
01024043 OperationsMeatoplastyfor 6800/-
01024044 Hypospadias - Chordee 15000/-
17
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Correction
Operations for
HypospadiasStage or One- SecondStage
01024045 Repair 24000/-
01024046 Operations for Epispadias 22000/-
01024047 Partial AmputationPenis of the 14000/-
Total amputation of the
0102404801Orchidectomy-Penis Simple 14000/-20000/-
01024050 Orchidectomy- Radical 20000/-
Adreneclectomy
Unilateral/Bilateral for
01024051 Tumour/For Carcinoma 30000/-
Operations for Hydrocele -
01024052 Unilateral 8000/-
01024053 OperationsBilateralfor Hydrocele - 12000/-
Operation for Torsion of
01024054 Testis 15000/-
01024055 Vasovasostomy 18000/-
01024056 Operations for Varicocele 15000/-
Block Dissection of
01024057 Inguinal Nodes - One Side 25000/-
Block Dissection of
Inguinal Nodes - Both
01024058 ExcisionSidesof Filarial 32000/-
01024059 Scrotum 16000/-
Emergency Dialysis
01024060 Femoral Puncture 1200/-
Emergency Dialysis
0102406101SubclavianFistula/ShuntPuncture 1800/-8000/-
Dialysis Femoral
01024063 Catheterisation Bilateral 1500/-
Haemo Dialysis (All
01024064 Inclusive) 1500/-
01024065 DoubleClavianLumenCatheterSub 3000/-
Continuous Arterio Venus
Haemofiltration (CAVH)/
01024066 CAVD 17000/-
01024067 Subclavian Access 1850/-
01024068 Femoral Access 1750/-
nexure-I
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01024069 Plasma Exchange 2500/-
01024070 Donor Nephrectomy 50000/-
01024071 Renal Transplantation 250000/-
01024072 Ureteric Reimplant 4200/-
01024073 Lymphocoel 4300/-
01024074 Transplant Nephrectomy 35000/-
01024075 Nephrouretectomy 35000/-
01024076 VascularCAPDProsthetic(insertion Graft& 35000/-
01024077 removal) 8000/-
01024078 PCNLPCNL -–UnilateralBilateral/ 30000/-
01024079 PCNL-III 46000/-
01024080 Palomo’s Unilateral 7300/-
01024081 Palomo’s Bilateral 12600/-
01024082 Endoscopic Teflon Inject 5100/-
01024083 Testicular Biopsy 4350/-
01024084 Gil-Verner’sPyelolithotomyExtended 22000/-
Radical Nephrectomy
Complicated Tumour or
01024085 Adhesions 50000/-
Anderson Hynes
01024086 Pyeloroplasty 25000/-
Vasico Vaginal Fistula
01024087 Repair 30000/-
01024088 Radical Cystectomy 44000/-
01024089 Caeco Cystoplasty 26000/-
01024090 Nephrectomy Simple 25000/-
01024091 Nephrostomy 22000/-
01024092 Ureteric Reimplant 25000/-
01024093 Partial Cystectomy 28000/-
01024094 Epididymectomy 12000/-
01024095 TURP Cystolithotripsy 30000/-
01024096 Open Prostatectomy 28000/-
01024097 Closure of Urethral Fistula 28000/-
01024098 Orchidopexy - Unilateral 15000/-
01024099 OrchidopexyCystolithotomy- Bilateral- 20000/-
01024100 Suprapubic 15000/-
Endoscopic Removal of
01024101 Stone in Bladder 18000/-
Resection Bladder Neck
01024102 Endoscopic 18000/-
18
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees) CODE
Ureteroscopic Removal-
01024103 with LASER 40000/-
Ureteroscopic Removal- 01024127
01024104 without LASER 18000/-
NAME OF TREATMENT
PROCEDURE
Hilioum Laser Prostrate
surgery/ Optical Internal
urethrotomy/ C
High Intensity Focus
Ultrasound (HIFU) Robotic
for Carcinoma
CRRT Procedure
TURP with LASER
Lithoclast (Day Care)
Plastic Surgery
Primary Suture of Wound
Injection of Keloids -
Ganglion
Injection of Keloids -
Haemangioma
Free Grafts - Wolfe Grafts
FreeFreeSmallGraftsGraftsArea-- LargeTheirech5% Area-
Free Grafts10%- Very Large
Skin FlapsArea 20%- Rotation
SkinFlapsFlaps -
Advancement Flaps
SkinLegSkinFlapsFlaps-FlapsFlap- Direct-Cross- Armcross Cross
Finger
Skin Flaps - Abdominal
Skin Flaps - Thoracic
SubcutaneousSkin Flaps - Pedicle Arm Etc.
SubcutaneousFlaps RaisingPedicle
SubcutaneousFlaps DelayPedicle
Flaps Transfer
ReductionCartilage Graftingof Facial
ReductionFractures ofof FacialNose
Fractures of Maxilla
Maximum
Approved
Rate (INR)
(Rupees)
30000/-
150000/-
11000/-
32000/-
16000/-
3200/-
2700/-
6100/-
18000/-
18500/-
30000/-
32400/-
28750/-
31650/-
35500/-
35500/-
35500/-
34400/-
35500/-
28500/-
27750/-
28500/-
29700/-
9000/-
13800/-
19
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01025021 ReductionMandibleLet &SplintingofMaxillaFractures- Eyeof 27000/-
01025022 MandibleReductionNetal&ofMaxillaSplintsFractures- Castof 27000/-
ReductionMandibleof&FracturesMaxilla - of
0102502301InternalMandibleGummingWire&FixationSplintsMaxilla of 27000/-32000/-
Orthopaedic Surgery
026 Procedure
01026001 Applicationfor Upper &ofLowerP.O.PLimbsCasts 7500/-
nexure-I
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01026002 ApplicationCast ofBraceFunctional 7500/-
01026003 ApplicationApplicationTractionofofSkeletalSkin 1650/-
01026004 BandageTractions& Strappings for 4450/-
01026005 AspirationFractures& Intra Articular 1150/-
01026006 Injections 950/-
01026007 ApplicationCloseSpicesReduction& Jacketsof P.O.Pof 6000/-
01026008 Fractures of Limb & P.O.P 7500/-
01026009 OpenReductionReductionFracturesof Compound& Internal 10000/-
01026010 FixationfractureOpenofofReductionFingursLong Bones&ofToesof 18000/-
Upper / Lower Limb -
01026011 Nailing & External Fixation 28000/-
Open Reduction of
01026012 fractureUpperProcedures/ ofLowerLongLimbBones-AOof 27000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
01026042 InternalCorrectiveFixationOstectomy- Major& 30000/-
Arthrodisis of -Minor
01026043 Joints 15000/-
Arthrodisis of -Major
01026044 Joints 30400/-
01026045 SoftSoft TissueTissueC.T.E.V.OperationsOperations forfor 25000/-
01026046 PartialPolio (instrumentationHipextra)Replacement 25000/-
01026047 (CostOperationsof Prosthesisfor Brachialextra) 40000/-
01026048 Plexus & Cervical Rib 32000/-
Amputations -Below
01026049 Knee Rs 25000/-
Amputations - Below
01026050 Elbow 25000/-
Amputations - Above
01026051 Knee 35000/-
Amputations - Above
01026052 Elbow 30000/-
Amputations -
01026053 Forequarter 40000/-
Amputations -Hind
Quarter and
01026054 Hemipelvectomy 44000/-
01026055 Disarticulations - Major 30000/-
01026056 DisarticulationsArthrography- &Minor 20000/-
01026057 SpinalOsteomedullographyOstectomy and 10450/-
01026058 Internal Fixations 40200/-
01026059 SoftArthroscopyTissue Operation- Operativeon 24250/-
01026060 MyocutaneousKnee and 24000/-
01026061 RemovalProceduresFasciocutaneousof Nails,for LimbsWiresFlat & 24000/-
01026062 Screw 10000/-
01026063 TotalRemovalHip Replacement-of Plates 15000/-
01026064 Unilateral (Excluding 60000/-
21
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Implants)
Total Finger Joint
Replacement-Unilateral
01026065 (ExcludingTotal KneeImplants)Joint 23000/-
01026066 Replacement-Unilateral(Excluding Implants) 55000/-
ReplacementAny Other(e.g.Jointelbow,
shoulder, etc.)- Unilateral
01026067 (Cost of Implants extra) 55000/-
Multiple fractures repair
(excludinginjuries)-majorperipheral(abovelimb
01026068 threeimplantsfractures)extra)(cost of 100000/-
(excludingMultiple fracturesperipheralrepairlimb
injuries)-medium (above
two fractures) (cost of
01026069 implants extra) 60000/-
01026070 SternalRepairDehisences 25000/-
01026071 SternalReconstructionDehisences 55000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Anterior Lateral
01027041 Decompression 60000/-
01027042 Brain Mapping 2400/-
Cervical or Dorsal
01027043 Laminectomy 45000/-
Combined Trans-oral
01027044 SurgeryFusion& CV Junction 110000/-
01027045 C.V. Junction Fusion 80000/-
01027046 Depressed Fracture 40000/-
01027047 Discectomy 45000/-
01027048 R.F. LesionEndarterectomyfor Trigeminal 50000/-
01027049 Neuralgia - 30000/-
01027050 Spasticity Surgery - 90000/-
01027051 SpinalSpinalFusionIntra MedullaryProcedure 65000/-
01027052 SpinalTumoursBifida Surgery 65000/-
01027053 Spina/ BifidaMajorSurgery 65000/-
01027054 StereotaxicMinorProcedures- 55000/-
01027055 biopsy/ aspiration 22000/-
01027056 Trans Sphenoidal Surgery 65000/-
01027057 Trans Oral Surgery 110000/-
Implantation of DBS- one
01027058 Electrode 100000/-
01027059 ImplantationElectrodesof DBS- two 100000/-
Endoscopic
01027060 Adueductoplasty 100000/-
Facial nerve
01027061 reconstruction 50000/-
Recanelisation of venous
01027062 sinuses 80000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
coiling
Surgery for grooving skull
fractures- aneurysm
01027090 coiling 80000/-
Carpel Tunnel
01027091 decompression 40000/-
Clipping of intracranial
01027092 aneurysm with use of clip 90000/-
01027093 StereotacticEndoscopicintracerebellarhaematomaRadiosurgeryaspiration of 60000/-
01027094 forForamenbrainknife/pathologyGamma)magnum(X 120000/-
01027095 decompressionForamendecompressionmagnumwith 60000/-
01027096 Dorsalforsyringosubarachnoidbachachecolumnshuntstimulationin failed 60000/-
01027097 Surgerybackforsyndromerecurrent disc 50000/-
01027098 prolapse/Surgery epiduralfor brainfibrosisstem 60000/-
01027099 hemishphericalDecompressivecranectomytumours foracute 100000/-
01027100 Intra arterialsubduralthrombolysis 70000/-
with RTPA for ischemic
01027101 stroket RTPA-acute 100000/-
01027102 intracerebralStereotactic aspirationhaematomaof 50000/-
24
Annexure-I
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Excision of thyroglossal
01029001 Duct/Cyst 30000/-
01029002 DiaphragmaticAbdominalRepair (ThoracicApproach)Herniaor 35000/-
TracheoFistula Oesophageal(Correction
01029003 Surgery) 40000/-
Colon Replacement of
01029004 Oesophagus 40000/-
Omphalo Mesenteric Cyst
01029005 Excision 30000/-
Omphalo Mesenteric
01029006 Duct- Excision 30000/-
Nephrectomy for -
01029031 Pyonephrosis 35000/-
Nephrectomy for -
01029032 Hydronephrosis 35000/-
Sacro- Coccygeal
01029035 Teratoma Excision 30000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Laproscopic umbilical
01030006 hernia repair 20000/-
Laproscopic ventral hernia
01030007 repair 25000/-
01030008 Lap.cystogastrostomyCholecystectomyLaproscopic & 30000/-
01030009 CBD exploration 26000/-
01030010 Lap. Hydatidsurgeryof liver 28000/-
NAME OF TREATMENT
CODE PROCEDURE
Lap. For intestinal
01030014 perforation
0103001501Lap.Lap.HemicolectomyHemicolectomyAssistedAssistedRightleft
01030017 Lap.ColectomyAssisted Total
Maximum
Approved
Rate (INR)
(Rupees) CODE
28000/- 01030038
32000/-32000/- 01030039
37000/- 01030040
32000/- 01030041
01030042
37000/-
01030043
37000/-
01030044
25000/-
01030045
21000/-
01030046
21000/-30000/- 01030047
01030048
Rs 18000/- 01030049
32000/- 01030050
32000/- 01030051
32000/- 01030052
35000/-
40000/- 01030053
22000/-30000/-22000
01030054031
25000/- 01031001
22000/- 01031002
4000/- 01031003
Maximum
Approved
NAME OF TREATMENT Rate (INR)
PROCEDURE (Rupees)
Nephrolithotomy 35000/-
Hydronephrosis-OperationsOperationsPyeloplastyforfor 35000/-
EndopyelotomyHydronephrosis-antegrade 35000/-
Operations for Cyst of the
Kidney 40000/-
URSL 25000/-
Nephroureterectomy 50000/-
Operations for Vesico-
ureteric Reflux 40000/-
Diverticulectomy 22000/-
Prostratectomy 45000/-
Maximum
Approved
NAME OF TREATMENT Rate (INR)
CODE PROCEDURE (Rupees)
Palliative Radiation
01033013 Therapy upto 25 fractions 35000/-
01033014 PalliativeConventionalfractionRadiationRadiationsingle 10000/-
01033015 ConventionalTherapy withRadiationCT 35000/-
01033016 Therapy CBCT 45000/-
interventionalSRS/ SRT Neurocharge/
01033017 ElectroncaseBeam (>10 10000/-
01033018 ElectronFractions)Beam (<10 40500/-
01033019 Fractions) 9000/-
01033020 Pre-radiation profile 2500/-
034 BrachyIntra CavitaryTherapy
Brachytherapy- 1st
01034001 insertion 5500/-
01034002 Luminal2ndIntraInterstitialandCavitary/insertionBrachytherapy-subsequentBrachyIntra 3000/-
01034003 Therapy-Interstitial1stBrachyinsertion 15000/-
01034004 Therapy- 2nd insertion 10000/-
035 Chemotherapy
01035001 Neoadjuvant 1000/-
01035002 Adjuvant 1000/-
01035003 ChemotherapyInfusional Chemotherapywafers for 1000/-
01035004 Multiplemalignantdrugbraintherapytumoursper 20000/-
01035005 day 900/-
01035006 Targeted therapy 1000/-
01035007 Chemoport facility 1000/-
28
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF TREATMENT
CODE PROCEDURE
PICC line (Peripherally
Inserted Central
01035008 Canulisation)
036 Room Rent
01036001 General Ward
01036002 Semi-Private Ward
01036003 Private Ward
Day Care/ Minor (OPD)
01036004 Surgeries (all categories)
Admissible Blood
Charges
For treatment in
037 Government Hospitals
01037001 General Beds
01037002 Paying Beds
01037003 Cabin
For treatment in
recognised Private
Hospitals/ Nursing
Homes/ Aided
038 Institurions
01038001 Whole Blood
01038002 F.F.P.
01038003 Platelet Concentrate
01038004 Platelet Rich Plasma
01038005 Packed Cell
01038006 Frozen Plasma
01038007 Crypoprecipitate
01038008 Washed RBC
Annexure-I
cheme, 2008
Maximum
Approved
Rate (INR)
(Rupees)
1000/-
(Per day)
600/-
1200/-
1800/-
600/-
50/-
100/-
140/-
500/-
400/-
400/-
400/-
400/-
350/-
300/-
400/-
29
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
RATES OF INVESTIGATIONS :
02 – INVESTIGATIONS
CODE INVESTIGATIONNAME OF
02001001001
AspirationGeneralPlural Effusion -
Diagnostic
02001002 AbdominalDiagnosticAspiration -
02001003 BonePericardialMarrowAspirationAspiration
02001004
02001005 JointsE.C.G.Aspiration
02001006
02001007 E.E.G.
02001008 StressLumbartestpuncture(TMT)
02001009
02001010002
SternalE.N.T.puncture
Maximum
Approved
NAME OF Rate (INR)
CODE INVESTIGATION (Rupees)
Maximum 02002019 Tympanometry 150/-
Approved 02002020 Voice Assest 250/-
Rate(Rupees)(INR) 02002021 Endo Laryngoscopy 850/-
02002022 ENG 1300/-
02002023 Nasal Endoscopy 600/-
750/- 02002024 Nasopharyngoscopy 600/-
900/- 02002025003 LV DyssynchronyEye Study 1400/-
1200/-800/- 02003001 Refraction/Fundoscopy 150/-
02003002 Ortho-optic check up 150/-
750/-140/- 02003003 Perimetry/field test 400/-
02003004 Clinical Photography 100/-
800/- 02003005 Electrooculogram 500/-
1000/-850/- 02003006 ERG 400/-
02003007 Flourescein Angioraphy 800/-
800/- 02003008 A-Scan 200/-
02003009 Tono Graphy 450/-
300/- 02003010 VER 300/-
300/- 02003011 Goldmen Perimetry 150/-
250/- 02003012 SpecularIndo cyaningreenmicrosopy 200/-
450/- 02003013 Angiography of Retina 1000/-
Indo cyaningreen 1000/-
100/- 02003014 Angiography - IRIS
400/- 02003015 CornealAutomatedendothelialPerimetrycell 450/-
200/- 02003016 count 200/-
200/- 02003017 Corneal topography 200/-
180/- 02003018 RetinalCornealnervepachymetryfilm analyzer 200/-
100/-
250/- 02003019 studies
650/- 02003020 Auto Refrectemetry 60/-
100/- 02003021 UltrasoundBiometrystudies - A 180/-
100/- 02003022 Scan 600/-
300/- Ultrasound studies -- B 600/-
550/- 02003023 Scan
Retinal/Meter function 150/-
200/- 02003024 studies
150/- 02003025 PAN ACUITY METER 200/-
30/-
30
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02003026 Laser interferometry
02003027 EKG, EOG
02003028 DacryocystographyOrbital Angio studies(DGC)
02003029 Digital Biometry Reading
02003030 Biometry(Single)(Both Eye)
02003031
02003032 Biometry-corp (Both)
02003033 Biometry-corp-Single
02003034 Pachymetry (Both Eye)
02003035 MultifocalPachymetryERG (Single)(One Eye)
02003036 NCT
02003037 OCT- NFL Analyser
02003038 Schiotz Tonometer
02003039
02003040 TTT
02003041 VEP
Anterior Segment (Fundus)
02003042 Photography
02003043 USG
004 Physiotheraphy
02004001 Musclediagnostictesting and
005 Dental
02005001 Intra oral X-ray (Digital)
02005002 Opg Cephalogram
02005003 Opg Standard View
02005004 Radio Visiograph (per
Image)
006 Genetics
Fragile X Decet & Karyo of
02006001 Peri Bld Cell
007 X-Ray (Digital X Ray)
02007001 Fluroscopy chest
02007002 Occlusal
Abdomen AP or Erect (one
02007003 Abdomen Lateralfilm) view (one
02007004 film)
02007005 Abdomen for Pregnancy
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
1000/- 02007006 Chest PA view (one film) 130/-
500/- 02007007 Chest Oblique(One film)or Lateral 130/-
500/-500/- 02007008 Mastoids (one film) 150/-
180/- 02007009 Extremities,(onebonesfilm) & Joints 140/-
350/- 02007010 Pelvis (One film) 140/-
Paranasal sinuses (One 140/-
400/- 02007011 film)
300/- 02007012 T.M. Joints (One film) 140/-
400/- 02007013 AbdomenK.U.B.& pelvis for 250/-
800/-200/- 02007014 Skull A.P. & Lateral 250/-
160/- 02007015 Spine A.P. & Lateral 250/-
1600/- 02007016 Barium Swallow 700/-
250/- 02007017 Sinography/ Sialography 750/-
Cystography/ 1120/-
2500/- 02007018 Urethrography
600/- 02007019 Hystero-Salpaingography 1110/-
300/- 02007020 Arthrography 840/-
02007021 Retrograde Pyelography 1080/-
550/- Oral or I.V. 720/-
02007022 Cholecystography
100/- 02007023 BariumBariumMealEnemaUpper or 1160/-
960/-
02007024 Lower
80/- 02007025 Bronchography 1260/-
210/- 02007026 I.V. Urography/ I.V.P. 1350/-
210/- 02007027 Myelography 1500/-
110/- 02007028 Pneumo Encephalography 1120/-
02007029 Barium meal Complete 1230/-
Cerebral/Femoral 2000/-
02007030 Angiography
3500/- 02007031 Periapical X-Ray 100/-
Barium Enema (Double 1300/-
120/- 02007032 Cont.)
130/- 02007033 Barium IC Junction 750/-
130/- 02007034 Gastro Conray Meal 750/-
02007035 Intravenous Pyelogram 1400/-
130/- 02007036 T-Tube Cholangiogram 700/-
130/- 02007037 PTBD Gram 700/-
02007038 Micturating 750/-
31
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
Cystourethrogram (MCU)
02007039 VUR/ Cystourethrography
02007040 Small Bowel Enema
Anymachine-addlXRAY usinghandlingportable
02007041 charge
Any other XRAY- single
02007042 Film (Small)
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
02008023 Barium Enema 810/-
2600/- 02008024 Barium MealLowerUpper or 670/-
1150/- 02008025 Bronchography 880/-
300/- 02008026 I.V. Urography/ I.V.P. Rs 950/-
02008027 Myelography Rs 1050/-
02008028 Pneumo Encephalography 780/-
130/- 02008029 Barium meal Complete 860/-
Cerebral/Femoral
160/- 02008030 Angiography 1180/-
02008031 Periapical X-Ray 70/-
Barium Enema (Double
02008032 Cont.) 910/-
90/- 02008033 Barium IC Junction 530/-
90/- 02008034 Gastro Conray Meal 530/-
90/- 02008035 Intravenous Pyelogram 980/-
90/- 02008036 T-Tube Cholangiogram 490/-
02008037 PTBD Gram 490/-
90/- Micturating
02008038 Cystourethrogram (MCU) 530/-
90/-
90/- 02008039 VUR/ Cystourethrography 1820/-
02008040 Small Bowel Enema 810/-
100/- Any XRAY using portable
90/- 02008041 machine-addlchargehandling 300/-
Any other XRAY- single
90/-90/- 02008042 Film (Small) 90/-
Any other XRAY- single
90/- Film (Large) 110/-
170/- 02008043009 InvestigationsUltrasound
160/- Obstetric First Scan/
170/- 02009001 Follow up 500/-
490/- USG: Lower Abdomen/ 800/-
520/- 02009002 Pelvis
Upper abdomen First
780/- 02009003 Scan/Ultrasound-Follow up 600/-
Rs 780/- 02009004 Neurosonogram 900/-
590/- USG- Neurosonogram- 350/-
760/- 02009005 Screening
510/-
32
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02009006 TotalMultipleAbdominalorgansurveystudy or
02009007 SpecialAspirationproceduresetc. &
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
950/- 02010004 Urine UrobilinogenSalt 50/-
1230/- 02010005 Urine Ketones 50/-
02010006 Urine Occult Blood 50/-
700/-
02010007 Urine total proteins 100/-
850/-
02010008 Urine Sodium 100/-
800/-
02010009 Urine Chloride 100/-
950/-
1500/- 02010010 Bence Jones protein 90/-
02010011 Stool routine 60/-
900/- 02010012 Stool occult blood 60/-
600/- Post coital smear 100/-
600/- 02010013 examination
02010014 Smear analysis 100/-
600/- Body fluid (CSF/Ascitic
2200/- Fluid etc.) Chemistry, 240/-
900/- 02010015 Sugar, Protein etc.
Body fluid for Malignant
1800/- 02010016 cells 200/-
800/- 02010017 Urinary Porphobilinogen 110/-
800/- 02010018 Urinary Myoglobin 400/-
700/- Urine for 3500/-
1050/- 02010019 ImmunoelectrophoresisUrine for Protein
800/- 02010020 Electrophoresis 2800/-
700/- CRK ISO Enzyme 5000/-
550/- 02010021 Electrophoresis
550/- 02010022 Hb Electrophoresis 600/-
1250/- 02010023 Chyle Test 100/-
600/- 02010024 Semen Analysis 280/-
900/- 02010025 IVF Semen Analysis 250/-
600/- 02010026 Stool Reducing Substance 60/-
1800/- 02010027 Stool for OVA, Parasite 70/-
02010028 Stool for Parasite 60/-
800/- 02010029 Stool Culture & Sensitivity 200/-
800/- Urine for Culture & 250/-
200/- 02010030 Sensitivity
02010031 KaryotypeAnalysisChromosome 2400/-
60/- 02010032 Genotyping 5000/-
50/- 02010033 Glucotyping 5000/-
50/- 02010034 Urine for Electrolytes 200/-
33
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02010035 Urine Amino-aciduria
02010036 Urine for Phosphorus
02010037 UrineUrineProtein/Creatininefor Z-N Stain
02010038 Ratio
02010039 Opiates SerumUrine Random
02010040 OpiatesUrine AmminoRandomAcid,Urine
02010041 Qualitative, 2 Dimensional
02010042 Pre/Post-DialysisCreatinine
02010043 Pre/Post-DialysisPotassium
02010044 Pre/Post-Dialysis Sodium
02010045 Pre/Post-Dialysis Urea
011 Haematology
02011001 Haemoglobin (Hb)
Total Leucocytic Count
02011002 Differential(TLC)Leucocytic
02011003 Count (DLC)
02011004 E.S.R.
02011005 Total Red Cell count
02011006 Platelet count
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
150/- Glucose 6 Phosphate 220/-
220/- 02011021 Dehydrogenase (G, 6PD)
250/-60/- 02011022 P.C.V. Haematocrit 50/-
NAME OF
CODE INVESTIGATION
TC, DC, ESR
02011039
02011040 AbsoluteCountLymphocytes
02011041 HB, TC, DC
02011042 Bone Marrow [Perls Stain]
02011043 Cell Type & Cell Count
02011044 NasalEosinophilsSmear for
Blood Parasites
02011050
Lap Score
02011054
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
120/- AT III 650/-
02011057
80/- 02011058 AT III Anti Thrombin 650/-
120/- 02011059 Absolute Neutrophil Count 50/-
750/- 02011060 Osmotic Fragility 120/-
320/- 02011061 HLA Typing 10000/-
90/- 02011062 T-Cell Cross Matching 5000/-
Karyotyping for Bone 6000/-
170/- 02011063 Marrow Cancer (REL
180/- 02011064 Sucrose Lysis Test 120/-
02011065 APTT (50:50) 200/-
180/- Immunofixation 7200/-
02011066 Electroporesis
360/- 012 Blood Bank
02012001 Blood Group & RHO Type 140/-
400/- 02012002 Cross match 50/-
Packed Cells- Proc. 450/-
70/- 02012003 Charges
Saline Washed Packed 450/-
02012004 Cells: Proc. Charges
70/- Coomb’s Test Direct/ 200/-
02012005 Indirect
320/- 02012006 Australia Antigen 200/-
02012007 RHO, Antibody titer 250/-
560/- 02012008 Platelet richChargesPlasma-Proc. 450/-
Whole Human Blood-I.P.- 450/-
400/- 02012009 Proc. Charges
Fresh frozen Plasma: Proc. 450/-
02012010 Charges
100/- Cryoprecipitate: Proc. 450/-
02012011 Charges
Platelet Concent- Proc. 450/-
150/- 02012012 Charges
Therapeutic Phlebotomy: 450/-
02012013 Proc. Charges
35
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02012014 GranulocyteChargesConc.: Proc.
013 Bio-Chemistry
Glucose blood- Fasting/
02013001 PP/ Random
02013002 Blood UreaUreaNitrogen/ Blood
02013019 C.P.K.
L.D.H.
02013020
02013021 L.D.-1
LDH & LD-1
02013022
02013023 T3
02013024 T4
TSH
02013025
02013026 T3, T4, TSH
FSH
02013027
02013028 LH
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
450/- 02013033 Cortisol 650/-
02013034 HDL Cholestrol 200/-
NAME OF
CODE INVESTIGATION
02013069 Serum Potassium
02013070 SerumSerumParathormoneTIBC
02013071 Serum Homocystine/Level
Homocystine/ Homocystine
02013072 SerumLevelIndividual
02013073 Phospolipids-TLC
02013074 Serum/PlasmaSerum HaptoglobinBicarbonate
02013075 Serum Testosterone
02013076 Serum Thyroglobulin
02013077
02013078 Lactate Plasma
02013079 CA-19-9CA 125
02013080 CA 15.3
02013081 CA 72.4 Gastric Cancer
02013082 Marker
02013083 CSF Sugar
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
150/- 02013100 Glycosylated[HBA1C]Haemoglobin 520/-
900/-280/- 02013101 Alpha I Anti Trypsin Assay 1200/-
02013102 Insulin-P.P./RandomFasting/ 650/-
750/- 02013103 Lactose Tolerance Test 550/-
02013104 SerumDHEA-SDigoxin/(Sulphate)Serum 800/-
450/- 02013105 Digoxin Level 700/-
850/-350/- 02013106 Serum Gastrin 900/-
500/- 02013107 Progesterone 450/-
1360/- 02013108 Beta HCG (B-HCG) 650/-
Beta HCG Quantitative
550/- 02013109 TrophoblasticMarkerCancer 600/-
1000/-800/- 02013110 Cardiac Enzymes 450/-
160/- 02013111 LDH Heat Stable Fraction 640/-
1050/- 02013112 LDH Isoenzymes 1430/-
02013113 AntiphospolipidIGG & IGMAntibody 1050/-
100/-
Antiphospolipid Antibody
100/- 02013114 IGM 750/-
800/-400/- 02013115 Anti-Sperm Antibody/ ABS 550/-
02013116 Alpha-FetoCancerProteinMarker(AFP) 650/-
2000/- 02013117 Carcino Embryonic[CEA] Antigen 600/-
280/- 02013118 Anti-Thyroid Antibodies 950/-
150/- 02013119 Anti-ThyroidAbAntibodies-TG 900/-
3200/-100/- 02013120 Bicarbonate 150/-
500/- 02013121 Anti CardiolipinIgG/ IgMAntibody- 650/-
4000/- 02013122 Anti CardiolipinProfile Antibody 1700/-
400/- 02013123 C_Peptide Assay 350/-
200/- 02013124 Cyst Fluid for Analysis 350/-
320/- 02013125 Trop-T 820/-
02013126 Troponin T-Qualitative 400/-
120/- 02013127 Intracellular Calcium 120/-
520/- 02013128 Pleural/ PeritonealSugar Fluid for 80/-
420/- Peritoneal Dialysis Fluid for 220/-
02013129 Sugar & Urea
37
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02013130 Apolipo Proteins
02013131 BloodFreeAcetone/KetoneTestosterone
02013132
02013133 Pleural Fluid for Protein
02013134 Pleural Fluid for LDH
02013135 Pleural Fluid for Amylase
02013136 Fluid for LDH
02013137 Fluid for Amylase
02013138 Fluid for Creatinine
02013139 Fluid for Lipase
02013140 Fluid for Cholesterol
02013141 Phenytoin Level
02013142 24KetogenicH KetosteroidSteroid&
Angio Tension Converting
02013143 Enzyme (ACE)
02013144 Phenobarbitone
02013145 Anti ThyroidTPO AntibodiesAb
02013146 AntiACTHTG
02013147
02013148 ACTH Plasma
02013149 Intact PTH
02013150 IGFI
02013151 IGF-IB-2(Somatomedin-C)Microglobulin
02013152
02013153 Valproic Acid
02013154 Valproate
02013155 Sex Hormone Binding
02013156 Vitamine B-12 Level
02013157 Vitamin D 25 Hydroxy
02013158 17 HydroxyLipoproteinCorticostiroids(a)
02013159 Synovial Fluid for
02013160 Biochemistry
02013161 Plasma Catecholamines
02013162 Serum IgA
02013163 Serum IgG
02013164 Serum IgM
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
500/- 02013165 PericardialBiochemistryFluid for 360/-
240/-600/- 02013166 Pericardial Fluid Test 100/-
Peritoneal Fluid- 450/-
80/- 02013167 Biochemistry
200/- 02013168 Aldosterone 1150/-
180/- 02013169 Galactosemia Profile 1800/-
160/- 02013170 FISH (NH) 2800/-
130/- 02013171 FISH for BCR/ ABL 3200/-
110/- 02013172 Fluid for TVPCR 1400/-
130/- 02013173 Serum Cortisone 380/-
150/- 02013174 Transferrin 780/-
720/- 02013175 Chromogranin A 5000/-
1700/- 02013176 Cryo Globulin Screening 780/-
780/- 02013177 Cocaine Metabolite Screen 500/-
02013178 Cyclosporine CO 1600/-
720/- 02013179 Cytokeratin/ Erythropoietin 1200/-
900/- 02013180014 ProteinHistopathologyC/ S, Functional 2800/-
550/-960/- 02014001 Pap Smear 240/-
Histopathology exam per
960/- 02014002 tissue type 250/-
700/- 015 Bactriology & Serology
350/- 02015001 Smearexaminationgram-strain 100/-
2800/-960/- 02015002 Sputum smear A.F.B. stain 100/-
Vaginal Smear 100/-
520/- 02015003 Examination
520/- 02015004 V.D.R.L. 120/-
1200/- 02015005 Widal test 180/-
800/- 02015006 Rheumatoid Factor test 300/-
1400/- 02015007 Culture specimens)& Sensitivity (other 250/-
400/-580/- 02015008 Urine pregnancy test 200/-
02015009 C.R.P. 220/-
480/- 02015010 ASO Titer 250/-
5500/- 02015011 Quantitative H.C.G. 400/-
220/- 02015012 Blood culture & sensitivity 250/-
220/- 02015013 Vibro cholera culture 250/-
400/- 02015014 CAPD Fluid for Culture & 350/-
38
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
Sensitivity
CAPD Fluid for Fungal
02015015 Stain/ Gram Stain
02015016 CAPD Fluid-Cytology
02015017 Rapid Urease Test
02015018 ASO (Antistreptoysin “O”)
02015019 High Sensitivity-CRP
02015020 PUS for Fungal Culture
02015021 PUS for Fungal Stain
02015022 PUS for Gram Stain
02015023 PUS for Z-N Stain
02015024 Culture & Sensitivity [PUS]
02015025 CultureCulture& Sensitivity& Sensitivity[CSF]
02015026 [Semen]
02015027 CultureCulture& Sensitivity& Sensitivity[Fluid]
02015028 Culture[Sputum]& Sensitivity
02015029 [Throat Swab]
02015030 CultureVaginal& SensitivitySwab for
Culture & Sensitivity for
02015031 CultureAspirated& SensitivityFluid
02015032 Wound[WoundSwabSwab]for Fungal
02015033 Wound SwabStainfor Gram
02015034 Stain
02015035 WoundCultureSwab& Sensitivityfor Z-N Stain
02015036 [Rectal Swab]
02015037 NailNailforClippingFungalforCultureKOH
02015038 preparation
02015039 Blood CultureAnaerobic& Sensitivity-
02015040 SensitivityBlood for(Paediatric)Culture &
Tissue for Culture &
02015041 Mitral SensitivityValve Tissue for
02015042 AorticCultureValve& SensitivityTissue for
02015043
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
NAME OF
CODE INVESTIGATION
02015073 Anti-HBC CoreIgM Antibody
02015074 Serum Immunoglobulin
02015075 Immunoglobulin IGE
02015076 IGE Allergy Individual
02015077 Immunoglobulin-IGA
02015078 Immunoglobulin IGM
02015079 Anti-HAV-IGM-AntibodyImmunoglobulin IGG
02015080
02015081 Compliment C3
02015082 Compliment C4
02015083 Toxoplasma- IgG
02015084 Toxoplasma- IgG
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
550/- Elisa for[RUT]Tuberculosis
600/- 02015106 [IGG/IGM/IGA] 350/-
500/- 02015107 Febrile[Widal.Weli-FElAgglutinins 400/-
600/- HBe Antigen Detection 550/-
600/- 02015108 (HBe Ag)
600/- 02015109 CMV)Antibody(Cytomegalo[IGM]Virus 350/-
1000/-600/- 02015110 Brucella Antibody 420/-
Breast Cancer ERPR and 2400/-
350/- 02015111 HER2/NEU
Anti HCV IIIrd Generation
350/- 02015112 Elisa 350/-
370/- Epstein Bar Virus IGM 600/-
370/- 02015113 [VCA Elisa]
02015114 HEV IgM Elisa 700/-
700/- Legionella Pneumophila-
600/- 02015115 Elisa 600/-
02015116 Elisa for Pregnancy 630/-
2000/- Elisa for Mumps (IgG
1350/- 02015117 Antibody) 450/-
300/- Elisa for Measles (IgG 450/-
300/- 02015118 Antibody)
Mumps Elisa (IgM
300/- 02015119 Antibody) 520/-
300/- 02015120 HIV P24 Antigen 600/-
02015121 Vivax Antigen 350/-
300/- Anti Smooth Muscle 500/-
300/- 02015122 Antibody (ASMA)
Anti-Mitochondrial 750/-
340/- 02015123 Antibody-M2 (AMA-M2)
Anti-Nuclear Antibody/ 450/-
02015124 ANF/ ANA
420/-600/- 02015125 ANA IFA (HEP-2) Method 960/-
Anti-Native
1000/- 02015126 DeoxyribonucleicDNA) Acid (Ds- 700/-
820/- 02015127 Antismith Antibody 650/-
840/- 02015128 Rubella IgG/IgM Antibody 360/-
1200/- 02015129 Rubella IgG & IgM 650/-
1000/- 02015130 RubeolaRubeola IgG/IgMAntibodiesAntibodyIgG & 1000/-
600/- 02015131 IgM 1400/-
600/- Leptospira Antibody 840/-
200/- 02015132 IGM/IGG
40
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02015133 Leptospira AntibodyIGM IGG &
02015134 CryptococcusLatex DetectionAntigen-(CSF)
02015135 FalciparumADA (AdenosineAntigen
02015136 Deaminase- Body Fluid)
02015137 Anti MantouxHAV-TotalTest(IGG &
02015138 CytomegaloIGM)Virus (CMV
02015139 )Antibody [IGG]
02015140 CMV IgM + IgG
02015141 Chopra Aldehyde Test
02015142 AmnioticSpingomylFluid-Lecithin
02015143 AmoebiaisScreeningAntibodies [IHA]
Amoebic Serology
02015144 KOH Mount for Fungal
02015145 CampylobacterElements DetectionJejieni
02015146 Antigen Detection I
02015147 HIV Test (1 & 2)
02015148 Typhi DOT-M
02015149 (HBCHepatitistotal,B-Core,IGG + IGM)total
02015150 Anti HBC Antibody (IgM)
02015151 Anti HBC Antibody (Total)
02015152 Anti HBE
02015153 Hepatitis Be Antibody
02015154 Hepatitis D Virus Antibody
02015155 HLA-B27,HLA B27DiseaseCHN
Association, Flow
02015156 HLA-ABCCytometry& DR Tissue
02015157 Crossmatch
02015158 HCV RNA PCR Qualitative
02015159 HepatitisGenotype,C ViralLIPARNA
Varicella- Zoster Virus IGG
02015160 VarcillaTitresZoster IgM
02015161 Varcilla Zoster IgG & IgM
02015162
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
1650/- 02015163 AntiMicrosomal-1)LKM-1 (LiverAntiboKidney 820/-
1300/- 02015164 Viable MTBPCRDetection- 1500/-
360/- 02015165 HIVPeriodQualitativeDetection)(Window 1200/-
450/- 02015166 Anti Sclero 70/ SCL 70 1300/-
150/- 02015167 Panel-Comprehensive(MolecularCNSDia 6800/-
720/- 02015168 HIV ProviralQualitativeDNA Detector 1100/-
320/- 02015169 HepatitisQuantitativeB PCR 1900/-
600/- Hepatitis B Virus PCR 3000/-
100/- 02015170 Qualitative
400/- 02015171 Anti GBM Antibody+ 900/-
280/- 02015172 HSV DNA PCR 1500/-
800/- 02015173 Anti RNP-Sm Antibody 1000/-
100/- 02015174 AntibodyProteinto RibonucleoIgG 1100/-
360/- 02015175 NBT Reduction Test 720/-
02015176 Anti Jo Antibody 520/-
450/- 02015177 Anti Jo-1 Antibodies 840/-
160/- 02015178 Antibody to SSA/SSB 2000/-
720/- 02015179 JapaneseAntibody Encepahilitsto SSB/LA 720/-
720/ 02015180 Virus PCR (JE Virus P 1500/-
720/ RT-PCRHIV-1 RNSwithQuantitativeCD-3, CD-4, 3800/-
550/- 02015181 CD
550/- 02015182 RNS Study/ Decrement 350/-
1450/- 02015183 HIV Viral Load CD4 & CD8 3200/-
920/- 02015184 AntiAntiEndomysialRNP- SmAntibodyIgG 1100/-
1500/- 02015185 IgA 720/-
2000/- 02015186 CD-4, CD-8 700/-
02015187 CD 10 1200/-
2500/- 02015188 CD 20 920/-
9500/- 02015189 CD 3 920/-
520/- 02015190 CD 30 920/-
720/- 02015191 HCV RNAViralQuantitative/Load 6000/-
1400/- 02015192 HBV Quantitative 5500/-
41
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02015193 HBV DNA Qualitative
02015194 MycobacteriumIgA/IgG/IgM
02015195 MycobacteriumIgG/IgMSerology
02015196 TuberculosisTB PCRMycobacterium(MycobacteriumSerology EL
02015197 TreponematuberculosisPallidumPCR)
02015198 TreponemalAntibody DetectionPallisum,
02015199 AutoimmuneFTPA-ABFHepatitis
02015200 AntinuclearPanelantibody Panel
02015201 (14 antibody panel)
02015202 Anti CCP Antibody
02015203 Anti Centromere Antibody
02015204 Serum Procalcitonin
02015205 HSVSerum(1+2)PrealbuminIgG/IgM
02015206 Antibodies
02015207 HSV (1+2)(1+2)IgGIgMand HSV
02015208 Chikungunya Test
02015209 ANA/ ANF in Dilution
02015210 BronchialCulture &AspirationSensitivityfor
02015211 BronchialBronchialAFBAspirationAspirationCulture forfor
02015212 BronchialFungalAspirationStain for
02015213 BronchialGramAspirationStain for
02015214 CVP TipTBPCRfor Culture &
02015215 DialysisSensitivityCatheter Tip for
02015216 Ear/ Eye/ Nasal/C/S Tongue
02015217 SwabSensitivityfor Culture &
02015218 ProstrateProstaticMicroscopySpecificSecretionAntigenfor
02015219 (PSA)
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
1900/- 016 Obstetric Cases
600/- 02016001 Examinationanaesthesiaunder 2430/-
500/- 02016002 Lap.LaparoscopyDye Test with(Gynae)removal 6060/-
1900/- 02016003017 processingBiopsiesof adhesionsper(Specimentissue type) 8000/-
850/-300/- 02017001 Biopsy [Large] 600/-
2000/- 02017002 Biopsy [Medium] 500/-
900/- 02017003 Biopsy [Small] 350/-
1100/- 02017004 Biopsy [Extra Large] 800/-
018 Head & Neck Cancer
450/-
800/- 019 Cardio Respiratory
2000/- Procedures
550/- 02019001 Direct Laryngoscopy 4380/-
280/- 02019002 Bronchoscopy 2400/-
550/- 02019003 Mediastinoscopy 2880/-
500/- 02019004 Pleural Biopsy 3630/-
1000/- 02019005 Thoracoscopy 6600/-
300/- 02019006 PulmonaryBMRfunction test 700/-
500/- 02019007 SpirometrySpirometrywith Helium 700/-
100/- 02019008 SpirometryDilutionwith Helium 1620/-
100/- 02019009 Dilutioncapacitywithstudiesdiffusion 1620/-
1400/-300/- 02019010 Pulmonery exercise testing 940/-
300/- 02019011 Punctal Cautery 100/-
02019012 NT Pro BNP 1000/-
300/- 02019013 Cardioversion 1400/-
150/- 02019014 Cardiac Troponin I 400/-
500/-
42
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
02019015 TEE with Anesthesia
02019016 Testicular
02019017 FlexibleFlexibleDiagnostic-Bronchoscopy-Bronchoscopy-TBNA
02019018 FlexibleTherapeuticBronchoscopy-
02019019 Glue
Flexible Bronchoscopy-
02019020 Baloon Tampete
Flexible Bronchoscopy-
02019021 Toileting
Rigid Bronchoscopy-
02019022 Diagnostic
Rigid Bronchoscopy-
02019023 Massive Haemoplysis
02019024 Fibroptic bronchoscopy
Fibroptic Bronchoscopy
02019025 Cardiacwith Washing/Biopsy/ Cardio Thoracic
020
Procedures
02020001 Test of Pacemaker
Stress Myocardial Study
02020002 (MBI/ TR)
02020003 Echo Screening
02020004 Stress Echo/EchoDobutamine
02020005 Foetal Echocardiography
02020006 2CardioD EchoTocographywith colour
02020007 Doppler/Cardiography2D Echo
02020008 TransHolterOesophaedralAnalysis(TEE) & HolterEcho
Report (with Prd.
02020009 Specification)
Cardiac Cath Angiography
02020010 (Without Coronary
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
2500/- Angioplasty)
800/- 02020011 Aortogram 3900/-
10000/-2500/- 02020012 PackageCardiovascularinvestigationcharges for 410/-
4000/- 02020013 Stress Thallium 3600/-
7200/-
720/- 02021004 ERCP Fluroscopy 2200/-
1950/- Upper G.I. Endoscopy 1100/-
1320/- 02021005
360/- 02021006 Upper G.I.BiopsyEndoscopy with 1300/-
1320/- 02021007 Sigmoidoscopy (rigid) 1400/-
840/- 02021008 Sigmoidoscopy (flexible) 1200/-
NAME OF
CODE INVESTIGATION
02021010 Colonoscopy
Colonoscopy-FullPKG) (GAS-
02021011
24 H PH Metry
02021012
24 H PH Metry (BS)
02021013
Nephrology /
022
Genitourinary
02022001 Biopsy(Cystoscopic)of Bladder
02022002 Urethroscopy
02022003 Glomerular Filtration Rate
Urethral dialatation-
02022004 Diagnostics
02022005 VisuallyUroflowEvokedStudyPotential
02022006 (Micturometry)
Urodynamic Study
02022007 Cystoscopy(Cystometry)with
Retrograde Catheter
02022008 CystoscopyUnilateralwith
Retrograde Catheter
02022009 Bilateral
02022010 Cystoscopy Diagnostic
02022011 Cortisol-blood
02022012 Voiding-cysto-urethrogram
02022013 RenalEvaluationTransplant
Orthopaedic Surgery
023
ArthrographyProcedure &
02023001 Osteomedullography
02023002 Arthroscopy - Diagnostic
024 Neurology
02024001 PlacementLumberofPressureICP Monitor -
02024002 Monitoring
Annexure-I
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
02024003 Nerve Biopsy 8500/-
1800/- 02024004 Brain Biopsy 8500/-
02024005 Brain Mapping 3000/-
2000/- 02024006 Ambulatory Electro Ence 5000/-
02024007 Blink Reflex 500/-
02024008 Decrement Test 650/-
4000/- 02024009 EMG Four Limbs 900/-
02024010 EMG Two Limbs 480/-
5500/- 02024011 NCV Four Limbs 900/-
02024012 NCV Two Limbs 500/-
02024013 EMG-Facial 500/-
NAME OF
CODE INVESTIGATION
026 Gynae,ChargesOperation
02026003 LaproscopicHysteroscopyOperationsDiagnostic
027 GastrohepaticIn Gen. Surgery/ Nephro-/
02027001 Diagnostic Laproscopy
028 SpecialisedInvestigations/ProceduresC.T. Scan/
02028001 C.T.Cat ScanHead (C.T.)Scan Involv.Head
02028002 Spl. Investigation
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
02028020 CT Sacrum & Coccyx 3500/-
02028021 C.T. Scan Upper Abdomen 3000/-
3000/-
02028022 C.T. Scan Lower Abdomen 3000/-
3400/-
02028023 C.T. Scan Whole Abdomen 5000/-
7500/- C.T. Shoulder Joint/ Knee
02028024 Joint/OtherElbowJointJoint/(Plain)Any 3500/-
7000/- 02028025 CT Base of Neck 2000/-
02028026 C.T. ScanSoft NeckTissue)(Thyroid 3000/-
1600/- 02028027 CT Ankle with Foot 2000/-
2300/- 02028028 C.T. Scan Orbits/Eye 3000/-
CT Arm/ Humerus/
1600/- Leg/Forearm/Tibia-Fibula/Radius-Ulna/Thigh/
6000/- 02028029 Femur (Single) Plain 4500/-
02028030 C.T. Scan Limbs 2500/-
4000/-
02028031 CT Both Thigh 2000/-
3500/-
02028032 C.T. Scan Whole Body 10000/-
02028033 CT Extremities 2000/-
3500/- C.T. Scan of Para Nasal
02028034 Sinus 3000/-
7200/-
1200/- 02028035 CT AngiographyCT guided FNACof Brain/ 2500/-
2000/- 02028036 Carotid/ Thorax/ Neck 5400/-
2500/- 02028037 CTAngiography64 Coronary 10000/-
CT Angiography of Brain/
3500/- Carotid/ Thorax/ Neck/
3500/- area/Abdomen/RenalPulmonaryarea/Extremities/Peripheralarea with
3000/- 02028038 Visipaque 6500/-
3500/- 02028039 CTCTRenalAngioAngiographyBoth Lower 5000/-
2500/- 02028040 Limbs 10000/-
2500/- CT Angiography of Neck
1600/- 02028041 CT AngiographyVessels of 5000/-
3000/- Abdomen/ Extremities/
02028042 Renal area/ Peripheral 6000/-
45
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
area/ Pulmonary area
PET CT Scan
(Whole Body)
02028043 (includingGlucose)Flurodeoxy
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
NAME OF
CODE INVESTIGATION
02029042 MRISpectroscopyBrain with
02029043 MRI Brain with Perfusion
MRI Brain with Orbit/ PNS/
02029044 Angio/ Neck Angio
(DiffusionMRI BrainTensorwithImaging)/DTI
WeightedSWI (SusceptibilityImage)/ Cranial
02029045 MRINervePerfusionEvaluationStudy
02029046
02029047 MRI Screening
Screening Single Area with
02029048 Films
Screening Double Area
02029049 with Films
02029050 MRI Small Part
02029051 MRI Other Region
02029052 Contrast (Ionic/ Non-ionic)
030 Other Investigations
02030001 Fluoroscopic Screening
02030002 BoneOxygenDensitometrySaturationSingle
02030003 site
Bone Densitometry Two
02030004 Bone Densitometrysites Three
sites ( Spine , Hip & one
02030005 Bone Densitometryextremity) Whole
02030006 body
02030007 A.V. Fistula
031 Immunology
Maximum Maximum
Approved Approved
Rate (INR) NAME OF Rate (INR)
(Rupees) CODE INVESTIGATION (Rupees)
6000/- 02032007 Spect MyocardialThallium ScanPerfusion 9000/-
7300/- 02032008 Scan (Thalium/ Tetro) 11000/-
Spect Myo Perfusion Rest
6500/- 02032009 Scan (Thalium/ Tero/ Mie 5500/-
02032010 NuclearRadio-IsotopeBlood PoolUretericScan 2000/-
02032011 WholeRefluxBody(Indirect)Tc-V-DMSA 3000/-
6000/- 02032012 Scan 3500/-
3500/- Brain Spect (Tumour
5400/- 02032013 TumourImaging)Immagery 2500/-
02032014 5000/-
1500/- Bone Scan Spect (Single
02032015 Region) 1800/-
3000/- Bone Scan- three phase
4000/- 02032016 Bone(SingleScan SpectRegion)(whole 2700/-
5400/- 02032017 body) 3000/-
2500/- 02032018 Tc 99m DMSA Renal Scan 2000/-
033 Profiles
120/- 02033001 Lipid Profile 700/-
120/- 02033002 TotalThyroidDiabeticProfileProfile 1200/-
800/- 02033003 Pre Cath Profile 1000/-
02033004 850/-
1200/- 02033005 Coagulation Profile 550/-
02033006 LFT [Liver Function Test] 750/-
1600/- 02033007 PreDialysisDialysisProfileSerology 600/-
2200/- 02033008 Hepatitis B Profile 500/-
3000/- 02033009 Hepatitis Panel 3000/-
02033010 1800/-
Neuro Profile
5200/- 02033011 Septic Profile 2000/-
02033012 900/-
6000/- 02033013 Paediatric Septic Profile 1800/-
Basic Metabolic Panel
3500/- 02033014 Comprehensive(BMP)Metabolic 320/-
8500/- 02033015 AnaemiaPanelScreen(CMP)(HAEM1) 500/-
1800/- 02033016 Thrombocytopenia Screen 2800/-
2500/- 02033017 (HAEM2) 3400/-
1800/- 02033018 Mycloma Screen (HAEM3) 2700/-
6000/- 02033019 Lymphoma Screen 2000/-
47
Revised Rate List under the West Bengal Health Scheme, 2008
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF
CODE INVESTIGATION
(HAEM4)
02033020 Polycythaemia (HAEM5)
Thallasaemia Patient
02033021 Screen (HAEM6)
Thallasaemia Counselling
02033022 Serum (HAEM7)
02033023 CRBSI
02033024 ACTH Stim
02033025 Growth Hormone Stim
02033026 Male GnRH Stim
02033027 Female GnRH Stim
02033028 Bone Marrow Profile
02033029 EP Screening Profile
02033030 Torch Profile
02033031 Renal Profile
Annexure-I
Maximum
Approved
Rate (INR)
(Rupees)
1800/-
3000/-
1200/-
550/-
1900/-
2000/-
3500/-
3300/-
550/-
1100/-
1500/-
330/-
48
Revised Rate List under the West Bengal Health Scheme, 2008
03001008
03001009
03001010
03001011
03001012
03001013
03001014
03001015
03001016
03001017
03001018
002
03002001
03002002
Annexure-I
5,000/-
4,000 /-
49
Revised Rate List under the West Bengal Health Scheme, 2008
CODE
03002003
03002004
003
03003001
03003002
03003003
004
03004001
03004002
03004003
03004004
03004005
005
03005001
03005002
03005003
03005004
03005005
03005006
03005007
03005008
03005009
03005010
03005011
03005012
03005013
03005014
03005015
03005016
03005017
(Notification No. 796-F (MED) dated 31-01-2011)
NAME OF THE ITEM
Hydrophilic Acrylic Lens
PMMA IOL
ENT
One-sided Hearingin theAidcanal(Bodytypeworn/Pocket/Behind(conventional) the ear type or
Bilateral Hearing Aid
Digital HearingWestAidBengal(to beHealthpurchasedSchemewith Authority)the permission of the
Neuro Implants
Type of Neuro-implant
DBS Implants
Intra-thecal Pumps
CPAP Machine
BIPAP Machine
Orthopaedic implants
Depuy (TKR) Knee
Zimmer (USA) Knee
Cemented Bipolar Hip (Zimmer)
Uncemented Total Hip (Zimmer)
Cemented Bipolar Hip (Depuy)
Uncemented Total Hip (Depuy)
Cemented Total Hip (Depuy)
DHS Plate Screw
Proximal Femur Nail
Locking Plate & Screw- for Humerous
Locking Plate & Screw- for Distal Tibia
Locking Plate & Screw- for Proximal Tibia
Locking Plate & Screw- for Proximal Femur
Locking Plate & Screw- for Shaft Femur
Locking Plate & Screw- for Radius Ulna
Locking Plate & Screw- forJointDistal Humerous & Elbow
Locking Plate & Screw- for Shaft Humerous
Annexure-I
10,000/-
20,000/-
30,000/-
2,00,000/-
50
Revised Rate List under the West Bengal Health Scheme, 2008
CODE
03005018
03005019
03005020
03005021
03005022
03005023
03005024
03005025
03005026
03005027
03005028
03005029
03005030
03005031
03005032
03005033
Annexure-I