Package Name | Category | A1 | A2 | A3 | A4 | A5 | A6 | S1 | S2 |
---|---|---|---|---|---|---|---|---|---|
CMU0146 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION | RADIATION ONCOLOGY | 8200 | 8200 | 8200 | 8200 | 8200 | 8200 | 8200 | 8200 |
CMU0147 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS - LINAC | RADIATION ONCOLOGY | 17500 | 17500 | 17500 | 17500 | 17500 | 17500 | 17500 | 17500 |
CMU0148 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT | RADIATION ONCOLOGY | 24800 | 24800 | 24800 | 24800 | 24800 | 24800 | 24800 | 24800 |
CMU0149 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS | RADIATION ONCOLOGY | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 |
CMU0150 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION | RADIATION ONCOLOGY | 5000 | 5000 | 5000 | 5000 | 5000 | 5000 | 5000 | 5000 |
CMU0151 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT - COBALT | RADIATION ONCOLOGY | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 |
CMU0151-I : NEOADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT - COBALT | RADIATION ONCOLOGY | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 | 20400 |
CMU0152 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS | RADIATION ONCOLOGY | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 |
CMU0152-I : NEOADJUVANT TREATMENT WITH PHOTONS/ELECTRONS | RADIATION ONCOLOGY | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 | 36300 |
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 |
CMU0153 A : SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS | RADIATION ONCOLOGY | 12000 | 12000 | 12000 | 12000 | 12000 | 12000 | 12000 | 12000 |
CMU0153 B : INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS | RADIATION ONCOLOGY | 7000 | 7000 | 7000 | 7000 | 7000 | 7000 | 7000 | 7000 |
CMU0153 C : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS | RADIATION ONCOLOGY | 20000 | 20000 | 20000 | 20000 | 20000 | 20000 | 20000 | 20000 |
CMU0153 D : TNMSC RT- BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS | RADIATION ONCOLOGY | 45000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU0154 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT | RADIATION ONCOLOGY | 11700 | 11700 | 11700 | 11700 | 11700 | 11700 | 11700 | 11700 |
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 |
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 |
CMU0155 A-I : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE NEOADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - TNMSC /GH ONLY | RADIATION ONCOLOGY | 55000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU0155-I : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE NEOADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) | RADIATION ONCOLOGY | 71400 | 71400 | 71400 | 71400 | 71400 | 71400 | 71400 | 71400 |
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 |
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 |
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 |
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 |
CMU0157 A-I : SPECIALIZED RADIATION THERAPY - IMRT NEOADJUVANT (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 |
CMU0157-I : SPECIALIZED RADIATION THERAPY - IMRT NEOADJUVANT (INCLUDES AQUAPLAST MOULD, PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) | RADIATION ONCOLOGY | 93500 | 93500 | 93500 | 93500 | 93500 | 93500 | 93500 | 93500 |
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 |
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 |
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 |
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 |
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 |
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 |
CMU0161 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION | RADIATION ONCOLOGY | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 |
CMU0162 : TOTAL BODY RADIATION | RADIATION ONCOLOGY | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 | 44000 |
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 |
CMU0163A : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) | RADIATION ONCOLOGY | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 |
CMU0163B : SPECIALIZED RADIATION THERAPY - SRS/SRT/SBRT (INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) | RADIATION ONCOLOGY | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 | 87500 |
CMU0164 : CRANIOSPINAL RADIATION | RADIATION ONCOLOGY | 150000 | 150000 | 150000 | 150000 | 150000 | 150000 | 150000 | 150000 |
CMU0165 : HEMOSTATIC RT - LINAC BASED | RADIATION ONCOLOGY | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 |
CMU1395A : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT) - 35 Fractions | RADIATION ONCOLOGY | 146000 | 146000 | 146000 | 146000 | 146000 | 146000 | 146000 | 146000 |
CMU1395B : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT (20 Fractions) (Inclusive of Simulation & Planning Cost) - Adjuvant | RADIATION ONCOLOGY | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 |
CMU1395C : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT (20 Fractions) (Inclusive of Simulation & Planning Cost) - Neoadjuvant | RADIATION ONCOLOGY | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 | 134000 |
CMU1396A : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT) (Inclusive of Simulation & Planning Cost) | RADIATION ONCOLOGY | 97000 | 97000 | 97000 | 97000 | 97000 | 97000 | 97000 | 97000 |
CMU1396B : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT (Inclusive of Simulation & Planning Cost) - Adjuvant | RADIATION ONCOLOGY | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 |
CMU1396C : Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT (Inclusive of Simulation & Planning Cost) - Neoadjuvant | RADIATION ONCOLOGY | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 | 84500 |
CMU1397A : SRT / SBRT with IGRT (Stereotacatic radiotherapy) (8 Fractions) (Inclusive of Simulation & Planning Cost) | RADIATION ONCOLOGY | 106600 | 106600 | 106600 | 106600 | 106600 | 106600 | 106600 | 106600 |
CMU1398A : SRS with IGRT (Stereotacatic radiotherapy) (Inclusive of Simulation & Planning Cost) | RADIATION ONCOLOGY | 91000 | 91000 | 91000 | 91000 | 91000 | 91000 | 91000 | 91000 |
CMU1399A : Respiratory Gating as addon | RADIATION ONCOLOGY | 81300 | 81300 | 81300 | 81300 | 81300 | 81300 | 81300 | 81300 |
CMU1400C : Brachytherapy High Dose Radiation (2D/X-ray) (Maximum of 4 session) - Endobiliary | RADIATION ONCOLOGY | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 |
CMU1400D : Brachytherapy High Dose Radiation (2D/X-ray) (Maximum of 4 session) - Endobronchial | RADIATION ONCOLOGY | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 |
CMU1400E : Brachytherapy High Dose Radiation (2D/X-ray) (Maximum of 4 session) - CVS | RADIATION ONCOLOGY | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 | 3900 |
CMU1401A : iodine treatment 3 mCi - large Dose scan/ Pre Ablation - calculation of treatment | RADIATION ONCOLOGY | 11400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1401B : iodine treatment 30 mCi - Ablation of residual disease - any risk | RADIATION ONCOLOGY | 16900 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1402A : Iodine treatment 50 mCi - Ablation of residual neck disease - low / intermediate risk | RADIATION ONCOLOGY | 18000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1403A : Iodine treatment 100 mCi - Ablation for metastatic disease - High risk | RADIATION ONCOLOGY | 22400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1404A : Iodine treatment 150 mCi - Ablation for metastatic disease - High risk | RADIATION ONCOLOGY | 30100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1405A : Iodine treatment 200 mCi - Ablation for metastatic disease - High risk | RADIATION ONCOLOGY | 34500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMU1406A : Iodine treatment 250 mCi - Ablation for metastatic disease - High risk | RADIATION ONCOLOGY | 40000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |