Package Rates

BARIATRIC SURGERY
CARDIOLOGY
CARDIOTHORACIC SURGERIES
இருதய நோய் அறுவை சிகிச்சை 		DERMATOLOGY
E N T
காது மூக்கு தொண்டை சிகிச்சை 		EMERGENCY ROOM PROCEDURES
ENDOCRINE SURGERY
ENDOCRINOLOGY
உட்சுரப்பி சிகிச்சை 		FOLLOW-UP
GASTROENTEROLOGY
GENERAL MEDICINE
பொது மருத்துவ சிகிச்சை 		GENERAL SURGERY
பொது அறுவை சிகிச்சை 		GENITOURINARY SURGERY
இருபாலார் சிறுநீரக நோய் சிகிச்சை 		GYNAECOLOGY OBSTETRIC SURGERY
இரத்தவகை சிகிச்சை
HEMATOLOGY
இரத்தவகை சிகிச்சை 		HEPATOLOGY
கல்லீரல் நோய் சிகிச்சை 		INFECTIOUS DISEASES - GENERAL MEDICINE
INTERVENTIONAL CARDIOLOGY
இடையீடு இருதயவியல் 		INTERVENTIONAL RADIOLOGY
இடையீடு கதிர்வீச்சு இருதய சிகிச்சை 		MEDICAL GASTROENTROLOGY
MEDICAL ONCOLOGY
புற்றுநோய் மருத்துவ சிகிச்சை
NEONATOLOGY
பச்சிளம் குழந்தைகள் சிகிச்சை 		NEPHROLOGY
NEUROLOGY
நரம்பியல் சிகிச்சை 		NEUROSURGERY
நரம்பியல் அறுவை சிகிச்சை 		OFMS
வாய் வழி மற்றும் தாடை அறுவை சிகிச்சை 		OPHTHALMOLOGY SURGERIES
கண் நோய் அறுவை சிகிச்சை 		ORTHOPEDICS
எலும்பியல் காயம்
PAEDIATRIC INTENSIVE CARE
குழந்தைகளுக்கான தீவிர சிகிச்சை 		PAEDIATRIC SURGERIES
குழந்தைகளுக்கான அறுவை சிகிச்சை 		PAEDIATRICS
குழந்தை மருத்துவம் 		PAIN & PALLIATION
கடைநிலை மருத்துவம் 		PLASTIC SURGERY
ஒட்டுறுப்பு அறுவை சிகிச்சை 		PMR
POLYTRAUMA
PSYCHIATRY
மனநல மருத்துவம் 		PULMONLOGY
நுரையீரல் நோய் 		RADIATION ONCOLOGY
கதிர்வீச்சு புற்றுநோய் 		REHABILITATION
RESERVED
RHEUMATOLOGY
முடக்கு வாதம் 		SPINE
SURGICAL GASTRO ENTEROLOGY
இரையகக் குடலியவியல் 		SURGICAL ONCOLOGY
புற்றுநோய் அறுவைசிகிச்சை 		THORACIC MEDICINE
VASCULAR SURGERIES
நாளஞ்சார் அறுவை சிகிச்சைகள்

SNOPackage NameCategoryA1A2A3A4 A5A6S1S2
1 CMU0001 : CORONARY BALLOON ANGIOPLASTY (PPCI) INTERVENTIONAL CARDIOLOGY 50400 50400 50400 50400 50400 50400 50400 50400
2 CMU0002 : PTCA WITH STENT INTERVENTIONAL CARDIOLOGY 66200 66200 66200 66200 66200 66200 66200 66200
3 CMU0003 : ADDITIONAL STENT FOR PTCA INTERVENTIONAL CARDIOLOGY 18700 18700 16850 16850 16850 16850 18700 16850
4 CMU0004 : ASD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 83000 83000 74700 74700 74700 74700 83000 74700
5 CMU0005 : VSD DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 83000 83000 74700 74700 74700 74700 83000 74700
6 CMU0006 : PDA STENTING INTERVENTIONAL CARDIOLOGY 63000 63000 56700 56700 56700 56700 63000 56700
7 CMU0007 : PDA DEVICE CLOSURE INTERVENTIONAL CARDIOLOGY 53000 53000 47700 47700 47700 47700 53000 47700
8 CMU0008 : PDA MULTIPLE COILS INTERVENTIONAL CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
9 CMU0009 : BALLOON VALVOTOMY ( ANY VALVE) INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
10 CMU0009-A : BALLOON VALVOTOMY ( ANY VALVE) - PULMONARY INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
11 CMU0009-B : BALLOON VALVOTOMY ( ANY VALVE) - AORTIC INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
12 CMU0009-C : BALLOON VALVOTOMY ( ANY VALVE) - MITRAL INTERVENTIONAL CARDIOLOGY 39000 39000 35100 35100 35100 35100 39000 35100
13 CMU0010 -A : PERMANENT PACEMAKER IMPLANTATION (SINGLE CHAMBER) INTERVENTIONAL CARDIOLOGY 80000 80000 72000 72000 72000 72000 80000 72000
14 CMU0010 -B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER) INTERVENTIONAL CARDIOLOGY 105000 105000 94500 94500 94500 94500 105000 94500
15 CMU0011 : TEMPORARY PACEMAKER IMPLANTATION INTERVENTIONAL CARDIOLOGY 8400 8400 7550 7550 7550 7550 8400 7550
16 CMU0012 : COARCTATION OF AORTA - WITH STENT INTERVENTIONAL CARDIOLOGY 66200 66200 59600 59600 59600 59600 66200 59600
17 CMU0013 : COARCTATION OF AORTA - WITHOUT STENT INTERVENTIONAL CARDIOLOGY 34700 34700 31250 31250 31250 31250 34700 31250
18 CMU0014 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT INTERVENTIONAL CARDIOLOGY 66200 66200 59600 59600 59600 59600 66200 59600
19 CMU0015 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY INTERVENTIONAL CARDIOLOGY 18700 18700 16850 16850 16850 16850 18700 16850
20 CMU0016 : CORONARY BYPASS SURGERY CARDIOTHORACIC SURGERIES 116700 116700 105050 105050 105050 105050 116700 105050
21 CMU0017 : CORONARY BYPASS SURGERY OFF PUMP CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
22 CMU0018 : CORONARY BYPASS SURGERY ON PUMP WITH IABP CARDIOTHORACIC SURGERIES 134000 134000 120600 120600 120600 120600 134000 120600
23 CMU0019 : CORONARY BYPASS SURGERY OFF PUMP WITH IABP CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
24 CMU0020 : CORONARY BYPASS SURGERY-POST ANGIOPLASTY CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
25 CMU0021 : CABG WITH ANEURYSMAL REPAIR CARDIOTHORACIC SURGERIES 130200 130200 117200 117200 117200 117200 130200 117200
26 CMU0022 : CABG WITH VENTRICULAR RUPTURE REPAIR CARDIOTHORACIC SURGERIES 150000 150000 135000 135000 135000 135000 150000 135000
27 CMU0023 : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 152300 152300 137050 137050 137050 137050 152300 137050
28 CMU0024 : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 183800 183800 165400 165400 165400 165400 183800 165400
29 CMU0025 : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 136500 136500 122850 122850 122850 122850 136500 122850
30 CMU0026 : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 168000 168000 151200 151200 151200 151200 168000 151200
31 CMU0027 : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 159600 159600 143650 143650 143650 143650 159600 143650
32 CMU0028 : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
33 CMU0029 : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
34 CMU0030 : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE CARDIOTHORACIC SURGERIES 210000 210000 189000 189000 189000 189000 210000 189000
35 CMU0031 : COARCTATION-AORTA REPAIR WITH GRAFT CARDIOTHORACIC SURGERIES 64000 64000 57600 57600 57600 57600 64000 57600
36 CMU0032 : COARCTATION-AORTA REPAIR WITHOUT GRAFT CARDIOTHORACIC SURGERIES 39900 39900 35900 35900 35900 35900 39900 35900
37 CMU0033 : INTRATHORACIC ANEURYSM - NOT REQUIRING BYPASS CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
38 CMU0034 : INTRATHORACIC ANEURYSM - REQUIRING BYPASS (WITH GRAFT) CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
39 CMU0035 : DISSECTING ANEURYSMS CARDIOTHORACIC SURGERIES 83000 83000 74700 74700 74700 74700 83000 74700
40 CMU0036 : AORTO-AORTO BYPASS WITHOUT GRAFT CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
41 CMU0037 : AORTO-AORTO BYPASS WITH GRAFT CARDIOTHORACIC SURGERIES 73000 73000 65700 65700 65700 65700 73000 65700
42 CMU0038 : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS CARDIOTHORACIC SURGERIES 158000 158000 142200 142200 142200 142200 158000 142200
43 CMU0039 : ARTERIAL SWITCH CARDIOTHORACIC SURGERIES 153300 153300 137950 137950 137950 137950 153300 137950
44 CMU0040 : SENNINGS PROCEDURE CARDIOTHORACIC SURGERIES 129200 129200 116300 116300 116300 116300 129200 116300
45 CMU0041 : SURGERY FOR INTRACARDIAC TUMORS CARDIOTHORACIC SURGERIES 96600 96600 86950 86950 86950 86950 96600 86950
46 CMU0042 : RUPTURED SINUS OF VALSALVA CORRECTION CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
47 CMU0043 : CORRECTION OF TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
48 CMU0044 : SYSTEMIC PULMONARY SHUNTS OFF PUMP INCLUDING GLEN / BT SHUNT CARDIOTHORACIC SURGERIES 90000 90000 81000 81000 81000 81000 90000 81000
49 CMU0045 : SYSTEMIC PULMONARY SHUNTS ON BYPASS INCLUDING GLEN / BT SHUNT CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
50 CMU0046 : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE CARDIOTHORACIC SURGERIES 108200 108200 97400 97400 97400 97400 108200 97400
51 CMU0047 : INTRA CARDIAC REPAIR OF ASD CARDIOTHORACIC SURGERIES 86100 86100 77500 77500 77500 77500 86100 77500
52 CMU0048 : INTRA CARDIAC REPAIR OF VSD CARDIOTHORACIC SURGERIES 86100 86100 77500 77500 77500 77500 86100 77500
53 CMU0049 : SURGICAL CLOSURE OF PDA CARDIOTHORACIC SURGERIES 39900 39900 35900 35900 35900 35900 39900 35900
54 CMU0050 : COMPLEX CONGENITAL DEFECT CORRECTION WITH SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 122000 122000 109800 109800 109800 109800 122000 109800
55 CMU0051 : COMPLEX CONGENITAL DEFECT CORRECTION WITHOUT SPECIAL CONDUITS CARDIOTHORACIC SURGERIES 100000 100000 90000 90000 90000 90000 100000 90000
56 CMU0052 : VALVE REPAIR WITH PROSTHETIC RING CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
57 CMU0053 : VALVE REPAIR WITHOUT PROSTHETIC RING CARDIOTHORACIC SURGERIES 101900 101900 91700 91700 91700 91700 101900 91700
58 CMU0054 : OPEN PULMONARY VALVOTOMY CARDIOTHORACIC SURGERIES 84000 84000 75600 75600 75600 75600 84000 75600
59 CMU0055 : CLOSED MITRAL VALVOTOMY CARDIOTHORACIC SURGERIES 52500 52500 47250 47250 47250 47250 52500 47250
60 CMU0056 -A : PERICARDIECTOMY WITH BYPASS CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
61 CMU0056 -B : PERICARDIECTOMY WITHOUT BYPASS CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
62 CMU0056 -C : PERICARDIAL PATCH CLOSURE CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
63 CMU0057 -A : PERICARDIOCENTESIS CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
64 CMU0057 -B : PERICARDIOSTOMY CARDIOTHORACIC SURGERIES 16000 16000 14400 14400 14400 14400 16000 14400
65 CMU0058 : MITRAL VALVOTOMY (OPEN) CARDIOTHORACIC SURGERIES 73300 73300 65950 65950 65950 65950 73300 65950
66 CMU0059 : CORONARY ARTERY FISTULA REPAIR CARDIOTHORACIC SURGERIES 77000 77000 69300 69300 69300 69300 77000 69300
67 CMU0060 : THORACIC DUCT LIGATION FOR CHYLOTHORAX CARDIOTHORACIC SURGERIES 57000 57000 51300 51300 51300 51300 57000 51300
68 CMU0061 : HEART TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
69 CMU0061 A : HEART TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
70 CMU0062 : HEART & LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
71 CMU0062 A : HEART & LUNG TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
72 CMU0063 : LUNG CYST CARDIOTHORACIC SURGERIES 58000 58000 52200 52200 52200 52200 58000 52200
73 CMU0064 : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
74 CMU0064 A : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS - SINGLE CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
75 CMU0064 B : LUNG TRANSPLANTATION - INCLUDING COMPLICATIONS - DOUBLE CARDIOTHORACIC SURGERIES 400000 400000 400000 400000 400000 400000 400000 400000
76 CMU0064 C : LUNG TRANSPLANTATION - FIRST YEAR FOLLOW-UP (PER MONTH) CARDIOTHORACIC SURGERIES 8300 8300 8300 8300 8300 8300 8300 8300
77 CMU0065 : CARDIAC INJURIES SURGERY WITHOUT CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 54000 54000 48600 48600 48600 48600 54000 48600
78 CMU0066 : CARDIAC INJURIES SURGERY WITH CARDIO PULMONARY BYPASS CARDIOTHORACIC SURGERIES 84000 84000 75600 75600 75600 75600 84000 75600
79 CMU0067 : TRACHEAL RESECTION WITH MONTGOMERY TUBE CARDIOTHORACIC SURGERIES 65000 65000 58500 58500 58500 58500 65000 58500
80 CMU0068 : MINIMAL ACCESS SURGERY- ASD CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
81 CMU0069 : MINIMAL ACCESS SURGERY- VSD CARDIOTHORACIC SURGERIES 105000 105000 94500 94500 94500 94500 105000 94500
82 CMU0070 : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT (ADD ON) CARDIOTHORACIC SURGERIES 34700 34700 31250 31250 31250 31250 34700 31250
83 CMU0071 : MINIMAL ACCESS SURGERY- CABG (ADD ON) CARDIOTHORACIC SURGERIES 42000 42000 37800 37800 37800 37800 42000 37800
84 CMU0072 : AORTIC LESIONS - INTERPOSITION GRAFT ANY CAUSE CARDIOTHORACIC SURGERIES 120000 120000 108000 108000 108000 108000 120000 108000
85 CMU0073 : ENDARTECTOMY -PULMONARY-ANY CAUSE CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
86 CMU0074 : IABP (AS AN ADD ON PACKAGE ONLY) CARDIOTHORACIC SURGERIES 35000 35000 31500 31500 31500 31500 35000 31500
87 CMU0075 : PULMONARY ARTERY BANDING CARDIOTHORACIC SURGERIES 40000 40000 36000 36000 36000 36000 40000 36000
88 CMU0076 : PULMONARY ARTERY BANDING ON CPB WITH SEPTECTOMY CARDIOTHORACIC SURGERIES 70000 70000 63000 63000 63000 63000 70000 63000
89 CMU0077 : RIGHT VENTRICLE TO PULMORY ARTERY CONDUIT (BOVINE JUGULAR VEIN CONDUIT) CARDIOTHORACIC SURGERIES 80000 80000 72000 72000 72000 72000 80000 72000
90 CMU0078 : RING ANNULOPLASTY AS AN ADDON CARDIOTHORACIC SURGERIES 30000 30000 27000 27000 27000 27000 30000 27000
91 CMU0079 : VALVE REPAIR WITHOUT RING AS AN ADDON CARDIOTHORACIC SURGERIES 20000 20000 18000 18000 18000 18000 20000 18000
92 CMU0080 : VASCULAR RINGS / SLING - DIVISION CARDIOTHORACIC SURGERIES 60000 60000 54000 54000 54000 54000 60000 54000
93 CMU0081 : INGUINAL BLOCK DISSECTION ONE SIDE SURGICAL ONCOLOGY 15500 13950 12550 11300 10150 9150 15500 11300
94 CMU0082 : ABDOMNO PERINEAL RESECTION (APR) + SACRECTOMY SURGICAL ONCOLOGY 47900 43100 38800 34900 31450 28300 47900 34900
95 CMU0083 -A : LAPROSCOPIC APR SURGICAL ONCOLOGY 54200 48800 43900 39500 35550 32000 54200 39500
96 CMU0083 -B : EXTRALEVATOR APR SURGICAL ONCOLOGY 42500 38250 34450 31000 27900 25100 42500 31000
97 CMU0084 -A : INTERSPHINCTERIC RESECTION SURGICAL ONCOLOGY 42500 38250 34450 31000 27900 25100 42500 31000
98 CMU0084 -B : LOW ANTERIOR RESECTION SURGICAL ONCOLOGY 48000 43200 38900 35000 31500 28350 48000 35000
99 CMU0084-A-I : INTERSPHINCTERIC RESECTION - Open SURGICAL ONCOLOGY 42500 38250 34450 31000 27900 25100 42500 31000
100 CMU0084-A-II : INTERSPHINCTERIC RESECTION - Lap SURGICAL ONCOLOGY 42500 38250 34450 31000 27900 25100 42500 31000
101 CMU0085 A : ABDOMINAL WALL TUMORS RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 46700 42050 37850 34050 30650 27600 46700 34050
102 CMU0085 B : ABDOMINAL WALL TUMORS RESECTION WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 35000 31500 28350 25500 22950 20650 35000 25500
103 CMU0086 : BILATERAL PELVIC LYMPH NODE DISSECTION(BPLND) ANY SITE SURGICAL ONCOLOGY 23100 20800 18700 16850 15150 13650 23100 16850
104 CMU0087 -A : RADICAL HYSTERECOMY + BILATERAL PELVIC LYMPH NODE DISSECTION + BILATERAL SALPHINGO OOPHERECTOMY SURGICAL ONCOLOGY 39100 35200 31650 28500 25650 23100 39100 28500
105 CMU0087 -A-I : RADICAL HYSTERECOMY + BILATERAL PELVIC LYMPH NODE DISSECTION + BILATERAL SALPHINGO OOPHERECTOMY - LAP SURGICAL ONCOLOGY 39100 35200 31650 28500 25650 23100 39100 28500
106 CMU0087 -A-II : RADICAL HYSTERECOMY + BILATERAL PELVIC LYMPH NODE DISSECTION + BILATERAL SALPHINGO OOPHERECTOMY - OPEN SURGICAL ONCOLOGY 39100 35200 31650 28500 25650 23100 39100 28500
107 CMU0087 -B : RADICAL HYSTERECOMY + BILATERAL PELVIC LYMPH NODE DISSECTION + OVARIAN TRANSPOSITION SURGICAL ONCOLOGY 44300 39850 35900 32300 29050 26150 44300 32300
108 CMU0088 -A : ANTERIOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 60700 54650 49150 44250 39850 35850 60700 44250
109 CMU0088 -B : POSTERIOR EXENTRATION- ANY SITE SURGICAL ONCOLOGY 45900 41300 37200 33450 30100 27100 45900 33450
110 CMU0089 : TOTAL PELVIC EXENTRATION - ANY SITE SURGICAL ONCOLOGY 74300 66850 60200 54150 48750 43850 74300 54150
111 CMU0090 : EXTRALEVATOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 42300 38050 34250 30850 27750 25000 42300 30850
112 CMU0091 : SUPRALEVATOR EXENTRATION - ANY SITE SURGICAL ONCOLOGY 42300 38050 34250 30850 27750 25000 42300 30850
113 CMU0092 : TOTAL ABDOMINAL HYSTERECTOMY+BILATERAL SALPHINGO OOPHERECTOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+OMENTECTOMY SURGICAL ONCOLOGY 36500 32850 29550 26600 23950 21550 36500 26600
114 CMU0093 -A : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /STAGING SURGICAL ONCOLOGY 23400 21050 18950 17050 15350 13800 23400 17050
115 CMU0093 -B : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /WITH VASCULAR RECONSTRUCTION SURGICAL ONCOLOGY 34700 31250 28100 25300 22750 20500 34700 25300
116 CMU0094 -A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY SURGICAL ONCOLOGY 63300 56950 51250 46150 41550 37400 63300 46150
117 CMU0094 -B : OESOPHAGECTOMY WITH THREE FIELD LYMPADENECTOMY SURGICAL ONCOLOGY 76400 68750 61900 55700 50150 45100 76400 55700
118 CMU0095 -A : VERMILIONECTOMY WITHOUT WEDGE EXCISION SURGICAL ONCOLOGY 17600 15850 14250 12850 11550 10400 17600 12850
119 CMU0095 -B : VERMILIONECTOMY WITH WEDGE EXCISION SURGICAL ONCOLOGY 19700 17750 15950 14350 12950 11650 19700 14350
120 CMU0096 : EMASCULATION SURGICAL ONCOLOGY 26000 23400 21050 18950 17050 15350 26000 18950
121 CMU0097 : PALATECTOMY ANY TYPE SURGICAL ONCOLOGY 26500 23850 21450 19300 17400 15650 26500 19300
122 CMU0098 : RADICAL TRACHELECTOMY SURGICAL ONCOLOGY 36000 32400 29150 26250 23600 21250 36000 26250
123 CMU0099 : SUBSTERNAL BYPASS SURGICAL ONCOLOGY 28600 25750 23150 20850 18750 16900 28600 20850
124 CMU0100 : ABBE OPERATION SURGICAL ONCOLOGY 19700 17750 15950 14350 12950 11650 19700 14350
125 CMU0101 : CYTOREDUCTIVE SURGERY SURGICAL ONCOLOGY 25600 23050 20750 18650 16800 15100 25600 18650
126 CMU0102 : VULVECTOMY SURGICAL ONCOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
127 CMU0103 : BLEEDING TUMOR - CAROTID ARTERY LIGATION SURGICAL ONCOLOGY 40000 36000 32400 29150 26250 23600 40000 36000
128 CMU0104 : LIMB SALVALGE SURGERY WITH ENDO PROSTHESIS SURGICAL ONCOLOGY 100000 90000 81000 72900 65600 59050 100000 90000
129 CMU0105 : NODE DISSECTION- POPLITEAL/ INGUINOFEMORAL SURGICAL ONCOLOGY 20000 18000 16200 14600 13100 11800 20000 18000
130 CMU0106 : BREAST CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
131 CMU0106 -a : BREAST CANCER - COMBINED REGIMEN AC & T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
132 CMU0106 -a-I : BREAST CANCER - DOSE DENSE AC (ADRIAMYCIN/CYCLOPHOSPHAMIDE) ; (DAY 1 - DOXORUBICIN 60MG/M2 IV, CYCLOPHOSPHAMIDE 600MG/M2 IV) ; REPEAT CYCLE - EVERY 14 DAYS FOR 4 CYCLES; FOLLOWED BY PACLITAXEL FOR 4 CYCLES MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
133 CMU0106 -a-II : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 175MG/M2) REPEAT CYCLE - EVERY 14 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
134 CMU0106 -a-III : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 175MG/M2) REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
135 CMU0106 -a-IV : BREAST CANCER - PACLITAXEL (PRECEEDED BY DOSE DENSE AC - 4 CYCLES) ; (DAY 1 - PACLITAXEL 80MG/M2) REPEAT CYCLE - WEEKLY FOR 12 CYCLES MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
136 CMU0106 -b : BREAST CANCER - TC (DOECTAXEL & CYCLOPHOSPHAMIDE) ; DAY 1 - DOCETAXEL 75MG/M2 IV, CYCLOPHOSPHAMIDE 600MG/M2 IV ; REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
137 CMU0106 -c : BREAST CANCER - CMF (CYCLOPHOSPHAMIDE/METHOTREXATE/FLUOROURACIL) - (INCLUDES DAY 1 & DAY 8) ; DAYS 1-14 - CYCLOPHOSPHAMIDE 100MG/M2 ORALLY ; DAYS 1 AND 8 - METHOTREXATE 40MG/M2 IV ; DAYS 1 AND 8 - 5-FLUOROURACIL 600MG/M2 IV. ; REPEAT CYCLE - EVERY 28 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
138 CMU0106 -d : BREAST CANCER - EC (EPIRUBICIN/CYCLOPHOSPHAMIDE) ; DAY 1 - EPIRUBICIN 100MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 830MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 8 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
139 CMU0106 -e : BREAST CANCER - FEC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
140 CMU0106 -e-I : BREAST CANCER - FEC/CEF FOLLOWED BY T (FLUOROURACIL/EPIRUBICIN/CYCLOPHOSPHAMIDE) - FOLLOWED BY DOCETAXEL OR FOLLOWED BY WEEKLY PACLITAXEL) ; DAY 1 - 5-FLUOROURACIL 500MG/M2 IV ; DAY 1 - EPIRUBICIN 100MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
141 CMU0106 -e-II : BREAST CANCER - DOCETAXEL - (PRECEEDED BY FEC/CEF ) ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
142 CMU0106 -e-III : BREAST CANCER - PACLITAXEL - WEEKLY - (PRECEEDED BY FEC/CEF ) ; PACLITAXEL 100MG/M2 IV ; REPEAT CYCLE - ONCE WEEKLY FOR 8 WEEKS MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
143 CMU0106 -f : BREAST CANCER - FAC + T MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
144 CMU0106 -f-I : BREAST CANCER - FAC FOLLOWED BY T (FLUOROURACIL/ADRIAMYCIN/CYCLOPHOSPHAMIDE) - FOLLOWED BY WEEKLY PACLITAXEL ; 5-FLUOROURACIL 500MG/M2 IV DAYS 1 AND 8 OR 1 AND 4 - ; DAY 1 - DOXORUBICIN 50MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
145 CMU0106 -f-II : BREAST CANCER - PACLITAXEL - WEEKLY - PRECEEDED BY FAC ; PACLITAXEL 80MG/M2 IV ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
146 CMU0106 -g : BREAST CANCER - TAC (DOCETAXEL/ADRIAMYCIN/CYCLOPHOSPHAMIDE) ; DAY 1 - DOXORUBICIN 60MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
147 CMU0106 -h : BREAST CANCER - AC FOLLOWED BY T + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
148 CMU0106 -h-I : BREAST CANCER - AC - FOLLOWED BY PACLITAXEL + TRASTUZUMAB +/- PERTUZUMAB ; DAY 1 - DOXORUBICIN 60MG/M2 IV ; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE - EVERY 21 DAYS FOR 4 CYCLE MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
149 CMU0106 -h-II : BREAST CANCER - PACLITAXEL (PRECEEDED BY AC) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; PACLITAXEL 80MG/M2 IV. ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
150 CMU0106 -h-III : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; REPEAT CYCLE EVERY 21 DAYS TO COMPLETE 1 YEAR. ; (TO BE APPROVED WITH PACLITAXEL CYCLE 1, 4, 7, 10 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
151 CMU0106 -h-IV : BREAST CANCER - TRASTUZUMAB 4MG (FOLLOWED BY TRASTUZUMAB 2MG SUBSEQUENT WEEKS) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 4MG/KG IV WITH FIRST DOSE OF PACLITAXEL. ; (FIRST DOSE - ONLY TO BE APPROVED WITH PACLITAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
152 CMU0106 -h-V : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 2MG/KG IV WEEKLY TILL ONE YEAR FROM DAY 1 OF AC. ; (TO BE APPROVED WITH PACLITAXEL CYCLES 2 - 12 AND STANDALONE FOR THE UPTO 1 YEAR EVERY WEEK) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
153 CMU0106 -i : BREAST CANCER - TCH MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
154 CMU0106 -i-I : BREAST CANCER - TC (DOCETAXEL/CARBOPLATIN) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 75MG/M2 IV; CARBOPLATIN AUC 6MG PER MIN/ML IV. ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
155 CMU0106 -i-II : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH TC PACKAGE) ; TRASTUZUMAB 6MG/KG IV ; REPEAT CYCLE EVERY 21 DAYS TO COMPLETE 1 YEAR. ; (TO BE APPROVED WITH TC CYCLE 1 TO 6 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 18 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
156 CMU0106 -i-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH TC PACKAGE) ; DAY 1 - TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH TC CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
157 CMU0106 -i-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES - WEEKLY) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 17 WEEEKS MAY OVERLAP WITH TC CYCLES 2 - 6. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
158 CMU0106 -j : BREAST CANCER - AC FOLLOWED BY DOCETAXEL + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
159 CMU0106 -j-I : BREAST CANCER - AC - FOLLOWED BY DOCETAXEL + TRASTUZUMAB ; DAY 1 - DOXORUBICIN 60MG/M2 IV; DAY 1 - CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
160 CMU0106 -j-II : BREAST CANCER - DOCETAXEL (PRECEEDED BY AC) + TRASTUZUMAB ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
161 CMU0106 -j-III : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH DOCETAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; REPEAT EVERY 21 DAYS TILL 1 YEAR ; (TO BE APPROVED WITH DOCETAXEL CYCLE 1 TO 4 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) OR FROM 13 TH WEEK AFTER COMPLETION OF 12 WEEKS OF WEEKLY TRASTUZUMAB - UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
162 CMU0106 -j-IV : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH DOCETAXEL PACKAGE) ; TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH DOCETAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
163 CMU0106 -j-V : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 11 WEEEKS MAY OVERLAP WITH DOCETAXEL CYCLES 2 - 4. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
164 CMU0106 -k : BREAST CANCER - DOCETAXEL + CYCLOPHOSPHAMIDE + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
165 CMU0106 -k-I : BREAST CANCER - DOCETAXEL + CYCLOPHOSPHAMIDE - WITH TRASTUZUMAB ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; DAY 1 - DOCETAXEL 75MG/M2 IV; CYCLOPHOSPHAMIDE 600MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
166 CMU0106 -k-II : BREAST CANCER - TRASTUZUMAB (6MG) ; (TO BE CHOOSEN ALONG WITH DOCETAXEL + CYCLOPHOSPHAMIDE PACKAGE) ; DAY 1 - TRASTUZUMAB 6MG/KG IV ; (TO BE APPROVED WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLE 1 TO 4 AND STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS (OR) AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 12 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
167 CMU0106 -k-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH DOCETAXEL + CYCLOPHOSPHAMIDE PACKAGE) ; TRASTUZUMAB 4MG/KG IV ; (FIRST DOSE - ONLY TO BE APPROVED WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
168 CMU0106 -k-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; TRASTUZUMAB 2MG/KG IV ; (TO BE APPROVED WEEKLY FOR 11 WEEEKS MAY OVERLAP WITH DOCETAXEL + CYCLOPHOSPHAMIDE CYCLES 2 - 4. TO BE FOLLOWED BY TRASTUZUMAB (6MG) PACKAGE UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
169 CMU0106 -L : BREAST CANCER - PACLITAXEL + TRASTUZUMAB MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
170 CMU0106 -L-I : BREAST CANCER - PACLITAXEL - (WITH TRASTUZUMAB) ; (TO BE CHOOSEN ALONG WITH TRASTUZUMAB PACKAGE) ; PACLITAXEL 80MG/M2 IV. ; REPEAT CYCLE WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
171 CMU0106 -L-II : BREAST CANCER - TRASTUZUMAB (6MG) ; TRASTUZUMAB 6MG/KG IV ; REPEAT EVERY 21 DAYS ; (TO BE APPROVED AFTER COMPLETION OF WEEKLY TRASTUZUMAB FOR 12 WEEKS AS STANDALONE FOR THE UPTO 1 YEAR EVERY 21 DAYS) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
172 CMU0106 -L-III : BREAST CANCER - TRASTUZUMAB 4MG (FIRST DOSE - ONLY) - FOLLOWED BY 2MG ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; TRASTUZUMAB 4MG/KG IV WITH FIRST DOSE OF PACLITAXEL. ; (FIRST DOSE - ONLY TO BE APPROVED WITH PACLITAXEL CYCLE 1. SUBSEQUENT CYCLES - 2MG PACKAGE ONLY) MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
173 CMU0106 -L-IV : BREAST CANCER - TRASTUZUMAB 2MG (SUBSEQUENT DOSES) ; (TO BE CHOOSEN ALONG WITH PACLITAXEL PACKAGE) ; DAY 1 - TRASTUZUMAB 2MG/KG IV WEEKLY ; (TO BE APPROVED WITH PACLITAXEL CYCLES 2 - 12. MAY BE APPROVED AS STANDALONE FOR THE UPTO 1 YEAR EVERY WEEK OR TRASTUZUMAB 6MG PACKAGE MAY BE USED ONCE EVERY 21 DAYS UPTO 1 YEAR) MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
174 CMU0106 -N : BREAST CANCER - TAMOXIFEN MEDICAL ONCOLOGY 100 100 100 100 100 100 100 100
175 CMU0106 -O : BREAST CANCER - AROMATASE INHIBITORS MEDICAL ONCOLOGY 1100 1100 1100 1100 1100 1100 1100 1100
176 CMU0106 -P : BREAST CANCER - ZOLEDRONIC ACID FOR SKELETAL METASTASIS MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
177 CMU0107 : BLADDER CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
178 CMU0107 -a-I : BLADDER CANCER - DDMVAC ; DAY 1 - METHOTREXATE 30MG/M2 IV; DAY 2 - VINBLASTINE 3MG/M2 IV, DOXORUBICIN 30MG/M2 IV, CISPLATIN 70MG/M2 IV; ; REPEAT EVERY 2 WEEKS FOR 3-4 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
179 CMU0107 -a-II : BLADDER CANCER - GEMCITABINE + CISPLATIN ; DAYS 1, 8, AND 15 - GEMCITABINE 1, 000MG/M2 IV; DAY 2 - CISPLATIN 70MG/M2. ; REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
180 CMU0107 -a-III : BLADDER CANCER - CISPLATIN + METHOTREXATE + VINBLASTINE (CMV) ; DAY 1 - METHOTREXATE 30MG/M2 IV, VINBLASTINE 4MG/M2 IV; DAY 2 - CISPLATIN 100MG/M2 IV, LEUCOVORIN 15MG ORAL OR IV EVERY 6 HOURS FOR 4 DOSES; DAY 8 - METHOTREXATE 30MG/M2 IV, VINBLASTINE 4MG/M2 IV DAY 9 - LEUCOVORIN 15MG ORAL EVERY 6 HOURS FOR 4 DOSES ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 5100 5100 5100 5100 5100 5100 5100 5100
181 CMU0107 -a-IV : BLADDER CANCER - RADIOSENSITIZING - CISPLATINC + 5-FU ; DAYS 1, 2, 3, 15, 16, AND 17 - IV HYDRATION AT A RATE OF 500ML/HOUR; FOLLOWED BY 5-FU 400MG/M2 IV PUSH; FOLLOWED BY CISPLATIN 15MG/M2 IV OVER 1 HOUR AS INDUCTION AND CONSOLIDATION THERAPY MEDICAL ONCOLOGY 10300 10300 10300 10300 10300 10300 10300 10300
182 CMU0107 -a-V : BLADDER CANCER -RADIOSENSITIZING - CISPLATIN + PACLITAXEL ; DAYS 1, 8, AND 15 - PACLITAXEL 50MG/M2 ; DAY 1-3, 8-10, 15-17 - CISPLATIN 15MG/M2; FOLLOWED BY TWICE-DAILY RADIOTHERAPY FOR 8 DAYS MEDICAL ONCOLOGY 19300 19300 19300 19300 19300 19300 19300 19300
183 CMU0107 -a-VI : BLADDER CANCER -RADIOSENSITIZING - 5-FU + MITOMYCIN32 ; DAY 1 OF RADIOTHERAPY - MITOMYCIN 12MG/M2 IV BOLUS, PLUS ; WEEK 1 (FRACTIONS 1-5) AND WEEK 4 (FRACTIONS 16-20) OF RADIOTHERAPY - 5-FU 500MG/M2 CONTINUOUS IV INFUSION (10 DAYS TOTAL) MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
184 CMU0107 -c : BLADDER CANCER - CONCURRENT CISPLATIN; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 5 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
185 CMU0108 : LUNG CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
186 CMU0108 -i : LUNG CANCER - MESOTHELIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
187 CMU0108 -i-a : LUNG CANCER - MESOTHELIOMA - PEMETREXED + CISPLATIN ; DAY 1 - PEMETREXED 500MG/M2 IV, CISPLATIN 75MG/M2 ; REPEAT EVERY 21 DAYS UP TO 12 CYCLES. MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
188 CMU0108 -i-b : LUNG CANCER - MESOTHELIOMA - PEMETREXED + CARBOPLATIN ; DAY 1 - PEMETREXED 500MG/M2 IV, CARBOPLATIN AUC 5MG/MIN/ML IV. ; REPEAT EVERY 21 DAYS FOR A MAX OF 9 CYCLES. MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
189 CMU0108 -i-c : LUNG CANCER - MESOTHELIOMA - CISPLATIN & GEMCITABINE ; DAY 1 - CISPLATIN 80-100MG/M2 IV ; DAYS 1, 8, AND 15 - GEMCITABINE 1000-1250MG/M2 IV ; REPEAT EVERY 21 - 28 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
190 CMU0108 -i-d : LUNG CANCER - MESOTHELIOMA - VINORELBINE ; VINORELBINE 25-30MG/M2 (MAX 60MG) IV ; REPEAT EVERY WEEK FOR 12 WEEKS. MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
191 CMU0108 -i-e : LUNG CANCER - MESOTHELIOMA - PEMETREXED ; DAY 1 - PEMETREXED 500MG/M2 IV. ; REPEAT EVERY 21 DAYS FOR 4 CYCLES (IF FIRST LINE) OR REPEAT EVERY 21 DAYS FOR 8 CYCLES (IF SECOND LINE) MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
192 CMU0108 -i-f : LUNG CANCER - MESOTHELIOMA - GEMCITABINE ; DAYS 1, 8, AND 15 - GEMCITABINE 1250MG/M2 IV. ; REPEAT EVERY 28 DAYS FOR A MAX OF 10 CYCLES. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
193 CMU0108 -ii : LUNG CANCER - NSCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
194 CMU0108 -ii-a : LUNG CANCER - NSCLC - CISPLATIN & VINORELBINE - (I) ; DAYS 1 AND 8 - CISPLATIN 50MG/M2 IV AND DAYS 1, 8, 15 AND 22 - VINORELBINE 25MG/M2 IV ; (OR) ; DAY 1 - CISPLATIN 100MG/M2 IV AND DAYS 1, 8, 15 AND 22 - VINORELBINE 30MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 35300 35300 35300 35300 35300 35300 35300 35300
195 CMU0108 -ii-b : LUNG CANCER - NSCLC - CISPLATIN & VINORELBINE - (II) ; DAY 1 - CISPLATIN 75-80MG/M2 ; DAYS 1 AND 8 - VINORELBINE 25-30MG/M2. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 18800 18800 18800 18800 18800 18800 18800 18800
196 CMU0108 -ii-c : LUNG CANCER - NSCLC - CISPLATIN & ETOPOSIDE ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
197 CMU0108 -ii-d : LUNG CANCER - NSCLC - CISPLATIN & DOCETAXEL ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
198 CMU0108 -ii-e : LUNG CANCER - NSCLC - CISPLATIN & GEMCITABINE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 1 AND 8 - GEMCITABINE 1, 250MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
199 CMU0108 -ii-f : LUNG CANCER - NSCLC - PEMETREXED + CISPLATIN (FOR NON SQUAMOUS CELL CA) ; DAY 1 - CISPLATIN 75MG/M2 IV, PEMETREXED 500MG/M2 IV. ; REPEAT EVERY - 21 DAYS FOR 4 CYCLES. MEDICAL ONCOLOGY 15200 15200 15200 15200 15200 15200 15200 15200
200 CMU0108 -ii-g : LUNG CANCER - NSCLC - PACLITAXEL/CARBOPLATIN ; DAY 1 - PACLITAXEL 200MG/M2 IV, CARBOPLATIN AUC 6MG PER MIN/ML IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 8500 8500 8500 8500 8500 8500 8500 8500
201 CMU0108 -ii-h : LUNG CANCER - NSCLC - CISPLATIN & ETOPOSIDE ; DAYS 1, 8, 29 AND 36 - CISPLATIN 50MG/M2 IV ; DAYS 1-5 AND 29-33 - ETOPOSIDE 50MG/M2 IV ; CONCURRENT THORACIC RADIOTHERAPY 1.8GY/DAY FOR 5 DAYS/WEEK (TOTAL DOSE, 61GY). MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
202 CMU0108 -ii-i : LUNG CANCER - NSCLC - CISPLATIN & VINBLASTINE ; DAYS 1 AND 29 - CISPLATIN 100MG/M2 IV ; DAYS 1, 8, 15, 22 AND 29 - VINBLASTINE 5MG/M2 IV ; CONCURRENT THORACIC RADIOTHERAPY (TOTAL DOSE, 60GY). MEDICAL ONCOLOGY 8600 8600 8600 8600 8600 8600 8600 8600
203 CMU0108 -iii : LUNG CANCER - SCLC MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
204 CMU0108 -iii-a : LUNG CANCER - SCLC - CISPLATIN & ETOPOSIDE ; DAY 1 - CISPLATIN 60MG/M2 IV, DAYS 1-3 - ETOPOSIDE 120MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR AT LEAST 4 CYCLES. ;(OR) ; DAY 1 - CISPLATIN 80MG/M2 IV, DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4-6 CYCLES. MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
205 CMU0108 -iii-b : LUNG CANCER - SCLC - CARBOPLATIN & ETOPOSIDE ; DAY 1 - CARBOPLATIN AUC 5-6MG PER MIN/ML IV ; DAYS 1-3 - ETOPOSIDE 100MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS OR 28 DAYS FOR 4 - 6 CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
206 CMU0108 -iii-c : LUNG CANCER - SCLC - CISPLATIN + IRINOTECAN ; DAY 1 - CISPLATIN 60MG/M2 IV. ; DAYS 1, 8, AND 15 - IRINOTECAN 60MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
207 CMU0108 -iii-d : LUNG CANCER - SCLC - CISPLATIN + IRINOTECAN ; DAY 1 AND 8 - CISPLATIN 30MG/M2 IV, IRINOTECAN 65MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4-6 CYCLES. MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
208 CMU0108 -iii-e : LUNG CANCER - SCLC - CARBOPLATIN & IRINOTECAN ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAYS 1, 8, AND 15 - IRINOTECAN 50MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
209 CMU0108 -ii-j : LUNG CANCER - NSCLC - CARBOPLATIN + PEMETREXED ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAY 1 - PEMETREXED 500 MG/M2 IV ; WITH CONCURRENT THORACIC RADIOTHERAPY. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
210 CMU0108 -ii-k : LUNG CANCER - NSCLC - CISPLATIN + PEMETREXED ; DAY 1 - CISPLATIN 75 MG/M2 IV. ; DAY 1 - PEMETREXED 500 MG/M2 IV ; WITH CONCURRENT THORACIC RADIOTHERAPY. ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 15700 15700 15700 15700 15700 15700 15700 15700
211 CMU0108 -ii-l : LUNG CANCER - NSCLC - PACLITAXEL + CARBOPLATIN ; PACLITAXEL 45MG/M2 IV + CARBOPLATIN AUC 2MG PER MIN/ML IV ; WITH CONCURRENT THORACIC RADIOTHERAPY (TOTAL DOSE, 60GY) ; REPEAT WEEKLY FOR 6 WEEKS MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
212 CMU0109 : OESOPHAGEAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
213 CMU0109 -i : ESOPHAGEAL CANCER - NEO ADJUVANT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
214 CMU0109 -i-a : ESOPHAGEAL CANCER - NEO ADJUVANT - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV + CARBOPLATIN AUC 2MG/MIN/ML IV. ; REPEAT WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
215 CMU0109 -i-b : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & CISPLATIN ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV. MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
216 CMU0109 -i-c : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & CISPLATIN ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 AND DAYS 22-26 - 5-FU 800 MG/M2 IV ; REPEAT EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
217 CMU0109 -i-d : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL + OXALIPLATIN + LEUCOVORIN ; DAY 1 - OXALIPLATIN 85MG/M2, LEUCOVORIN 200MG/M2 AND 5-FU 400MG/M2 BOLUS, WITH 1, 600MG/M2 INFUSION; ; REPEAT EVERY 14 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
218 CMU0109 -i-e : ESOPHAGEAL CANCER - NEO ADJUVANT - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
219 CMU0109 -i-f : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & OXALIPLATIN ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY IV MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
220 CMU0109 -i-g : ESOPHAGEAL CANCER - NEO ADJUVANT - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS. MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
221 CMU0109 -i-h : ESOPHAGEAL CANCER - NEO ADJUVANT - IRINOTECAN & CISPLATIN ; DAYS 1, 8, 22, AND 29 - IRINOTECAN 65MG/M2 IV, CISPLATIN 30MG/M2 IV. MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
222 CMU0109 -i-i : ESOPHAGEAL CANCER - NEO ADJUVANT - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45MG/M2 IV ; DAYS 1-5 - 5-FU 300MG/M2/DAY IV INFUSION. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
223 CMU0109 -ii : ESOPHAGEAL CANCER - PERI-OPERATIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
224 CMU0109 -ii-a : ESOPHAGEAL CANCER - PERI-OPERATIVE - ECF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; CISPLATIN 60MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV CONTINUOUS INFUSION ONCE DAILY; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
225 CMU0109 -ii-b : ESOPHAGEAL CANCER - PERI-OPERATIVE - EOF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 19700 19700 19700 19700 19700 19700 19700 19700
226 CMU0109 -ii-c : ESOPHAGEAL CANCER - PERI-OPERATIVE - EOC (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
227 CMU0109 -ii-d : ESOPHAGEAL CANCER - PERI-OPERATIVE - FLUOROURACIL & CISPLATIN ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV ; REPEAT CYCLE EVERY 28 DAYS FOR 2-4 CYCLES MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
228 CMU0109 -ii-e : ESOPHAGEAL CANCER - PERI-OPERATIVE - FLUOROURACIL & CISPLATIN ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 - 5-FU 800 MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS. ; CYCLED EVERY 21 DAYS FOR 2 CYCLESCYCLED EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
229 CMU0109 -iii : ESOPHAGEAL CANCER - POST-OPERATIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
230 CMU0109 -iii-a : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACIL + LEUCOVORIN (I) ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV, FOLLOWED BY 4 WEEKS BREAK AND CCRT ; RT DAYS 1-4 AND 23-25 - 5-FU 400MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV FOLLOWED BY ONE MONTH BREAK AND ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV FOLLOWED BY ONE MONTH BREAK AND ; DAYS 1-5 - 5-FU 425MG/M2/DAY IV AND LEUCOVORIN 20MG/M2/DAY IV. MEDICAL ONCOLOGY 26700 26700 26700 26700 26700 26700 26700 26700
231 CMU0109 -iii-b : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACIL + LEUCOVORIN (II) ; DAYS 1, 2, 15, AND 16 - LEUCOVORIN 200MG/M2 IV, 5-FU 400MG/M2 IV PUSH AND 5-FU 600MG/M2 INFUSION MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
232 CMU0109 -iii-c : ESOPHAGEAL CANCER - POST-OPERATIVE - CAPECITABINE (I) ; DAYS 1-14 - CAPECITABINE 750-1000MG/M2 ORALLY TWICE DAILY; ; REPEAT EVERY 28 DAYS; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
233 CMU0109 -iii-d : ESOPHAGEAL CANCER - POST-OPERATIVE - CAPECITABINE (II) ; DAYS 1-5 OR DAYS 1-7 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY, ; ONCE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
234 CMU0109 -iii-e : ESOPHAGEAL CANCER - POST-OPERATIVE - FLUOROURACILDAYS 1-5 OR DAYS 1-7 - 5-FU 200-250MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS DAILY, ; ONCE WEEKLY FOR 5 WEEKS.ONCE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
235 CMU0109 -i-j : ESOPHAGEAL CANCER - NEO ADJUVANT - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
236 CMU0109 -iv : ESOPHAGEAL CANCER - DEFINITIVE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
237 CMU0109 -iv-a : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & CISPLATIN (I) ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1, 000MG/M2 IV MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
238 CMU0109 -iv-b : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & CISPLATIN (II) ; DAYS 1-5 - CISPLATIN 15MG/M2 IV DAILY ; DAYS 1-5 - 5-FU 800 MG/M2 IV CONTINUOUS INFUSION OVER 24 HOURS. ; CYCLED EVERY 21 DAYS FOR 2 CYCLES MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
239 CMU0109 -iv-c : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & OXALIPLATIN ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY CONTINUOUS IV INFUSION. MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
240 CMU0109 -iv-d : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
241 CMU0109 -iv-e : ESOPHAGEAL CANCER - DEFINITIVE - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
242 CMU0109 -iv-f : ESOPHAGEAL CANCER - DEFINITIVE - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV AND CARBOPLATIN 2MG/MIN/ML IV ; REPEAT WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
243 CMU0109 -iv-g : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH DOCETAXEL (I) ; DAYS 1 AND 22 - DOCETAXEL 60MG/M2 IV ; DAYS 1 AND 22 - CISPLATIN 60-80MG/M2 IV GIVEN FOR 1 CYCLE MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
244 CMU0109 -iv-h : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH DOCETAXEL (II) ; DAY 1 - DOCETAXEL 20-30MG/M2 IV ; DAY 1 - CISPLATIN 20-30MG/M2 IV ; REPEAT WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
245 CMU0109 -iv-i : ESOPHAGEAL CANCER - DEFINITIVE - CISPLATIN WITH PACLITAXEL ; DAYS 1, 8, 15, AND 22 - PACLITAXEL 60MG/M2 IV ; DAY 1 - CISPLATIN 75MG/M2 IV GIVEN FOR 1 CYCLE. MEDICAL ONCOLOGY 13800 13800 13800 13800 13800 13800 13800 13800
246 CMU0109 -iv-j : ESOPHAGEAL CANCER - DEFINITIVE - IRINOTECAN & CISPLATIN ; DAYS 1, 8, 22, AND 29 - IRINOTECAN 65MG/M2 IV ; DAYS 1, 8, 22, AND 29 - CISPLATIN 30MG/M2 IV. MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
247 CMU0109 -iv-k : ESOPHAGEAL CANCER - DEFINITIVE - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45MG/M2 IV ; DAYS 1-5 - 5-FU 300MG/M2/DAY IV ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
248 CMU0109 -iv-l : ESOPHAGEAL CANCER - DEFINITIVE - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 PO TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
249 CMU0109 -v : ESOPHAGEAL CANCER - CONCURRENT CISPLATIN; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 5 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
250 CMU0110 : GASTRIC CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
251 CMU0110 -i : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
252 CMU0110 -i-a : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 50MG/M2 IV, CARBOPLATIN AUC 2MG/MIN/ML IV. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
253 CMU0110 -i-b : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & CISPLATIN (I) ; DAYS 1 AND 29 - CISPLATIN 75-100MG/M2 IV ; DAYS 1-4 AND 29-32 - 5-FU 750-1000MG/M2/DAY IV MEDICAL ONCOLOGY 12600 12600 12600 12600 12600 12600 12600 12600
254 CMU0110 -i-c : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & CISPLATIN (II) ; DAYS 1-5 - CISPLATIN 15MG/M2 IV ONCE DAILY, 5-FU 800MG/M2/DAY IV ; REPEAT CYCLE EVERY 21 DAYS FOR 2 CYCLES. MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
255 CMU0110 -i-d : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & OXALIPLATIN (I)DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-33 - 5-FU 180MG/M2/DAY IV. MEDICAL ONCOLOGY 27100 27100 27100 27100 27100 27100 27100 27100
256 CMU0110 -i-e : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & OXALIPLATIN (II)DAY 1 - OXALIPLATIN 85MG/M2 AND LEUCOVORIN 400MG/M2 FOLLOWED BY 5-FU 400MG/M2 BOLUS, THEN 800MG/M2 24-HOUR CONTINUOUS INFUSION OVER DAYS 1 AND 2; THE FIRST 3 CYCLES WERE DELIVERED DURING RADIOTHERAPY (RT), THE OTHER 3 AFTER RT; 6 BIMONTHLY (14 DAYS) CYCLES. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
257 CMU0110 -i-f : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 30MG/M2 IV ; DAYS 1-5 - CAPECITABINE 800MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
258 CMU0110 -i-g : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - OXALIPLATIN + CAPECITABINE ; DAYS 1, 15, AND 29 - OXALIPLATIN 85MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY FOR 5 WEEKS MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
259 CMU0110 -i-h : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - FLUOROURACIL & PACLITAXEL ; DAY 1 - PACLITAXEL 45-50MG/M2 IV WEEKLY ; DAYS 1-5 - 5-FU 300MG/M2 IV ; REPEAT CYCLE WEEKLY FOR 5 WEEKS MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
260 CMU0110 -ii : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
261 CMU0110 -i-i : GASTRIC CANCER - PREOPERATIVE CHEMORADIATION (ESOPHAGOGASTRIC JUNCTION AND GASTRIC CARDIA) - PACLITAXEL + CAPECITABINE ; DAY 1 - PACLITAXEL 45-50MG/M2 IV ; DAYS 1-5 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
262 CMU0110 -ii-a : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - ECF (EPIRUBICIN/CISPLATIN/FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV, CISPLATIN 60MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2/DAY IV ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
263 CMU0110 -ii-b : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - EOF (EPIRUBICIN/ OXALIPLATIN /FLUOROURACIL) ; DAY 1 - EPIRUBICIN 50MG/M2 IV; OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - 5-FU 200MG/M2 IV; ; REPEAT EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 19300 19300 19300 19300 19300 19300 19300 19300
264 CMU0110 -ii-c : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - EPIRUBICIN + CISPLATIN + CAPECITABINE ; DAY 1 - EPIRUBICIN 50MG/M2 IV + CISPLATIN 60MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY. MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
265 CMU0110 -ii-d : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - ECF MODIFICATION (EPIRUBICIN + OXALIPLATIN + CAPECITABINE) ; DAY 1 - EPIRUBICIN 50MG/M2 IV + OXALIPLATIN 130MG/M2 IV ; DAYS 1-21 - CAPECITABINE 625MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELYREPEAT CYCLE EVERY 21 DAYS FOR 3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
266 CMU0110 -ii-e : GASTRIC CANCER - PERIOPERATIVE CHEMOTHERAPY (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL & CISPLATIN ; DAY 1 - CISPLATIN 75-80MG/M2 IV ; DAYS 1-5 - 5-FU 800MG/M2 IV ; REPEAT CYCLE EVERY 28 DAYS FOR 2-3 CYCLES PREOPERATIVELY AND 3-4 CYCLES POSTOPERATIVELY FOR A TOTAL OF 6 CYCLES. MEDICAL ONCOLOGY 7300 7300 7300 7300 7300 7300 7300 7300
267 CMU0110 -iii : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
268 CMU0110 -iii-a : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL + LEUCOVORIN (I) ; CYCLES 1, 3, AND 4 (BEFORE AND AFTER RADIATION) DAYS 1-5 - LEUCOVORIN 20MG/M2 IV, 5-FU 425MG/M2/DAY IV ; REPEAT CYCLE EVERY 28 DAYS. ; CYCLE 2 (WITH RADIATION) DAYS 1-4 AND 31-33 - LEUCOVORIN 20MG/M2 IVP ; DAYS 1-4 - 5-FU 400MG/M2/DAY IVP. ; REPEAT CYCLE EVERY 35 DAYS MEDICAL ONCOLOGY 26700 26700 26700 26700 26700 26700 26700 26700
269 CMU0110 -iii-b : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL + LEUCOVORIN (II) ; DAYS 1, 2, 15, AND 16 - LEUCOVORIN 400MG/M2 IV, 5-FU 400MG/M2 IV AND 5-FU 1200MG/M2 INFUSION; ; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION. ; REPEAT CYCLE EVERY 28 DAYSREPEAT CYCLE EVERY 28 DAYS MEDICAL ONCOLOGY 15700 15700 15700 15700 15700 15700 15700 15700
270 CMU0110 -iii-c : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CAPECITABINE (I) ; DAYS 1-14 - CAPECITABINE 750-1000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 28 DAYS; 1 CYCLE BEFORE AND 2 CYCLES AFTER CHEMORADIATION. MEDICAL ONCOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
271 CMU0110 -iii-d : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CAPECITABINE (II) ; DAYS 1-5 OR DAYS 1-7 - CAPECITABINE 625-825MG/M2 ORALLY TWICE DAILY; WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
272 CMU0110 -iii-e : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - FLUOROURACIL ; DAYS 1-5 OR DAYS 1-7 - 5-FU 200-250MG/M2 IV; ; WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
273 CMU0110 -iii-f : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - CISPLATIN + CAPECITABINE ; DAY 1 - CISPLATIN 60MG/M2 IV. ; DAYS 1-14 - CAPECITABINE 1000MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE EVERY 21 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 4200 4200 4200 4200 4200 4200 4200 4200
274 CMU0110 -iii-h : GASTRIC CANCER - POSTOPERATIVE CHEMORADIATION (INCLUDING ESOPHAGOGASTRIC JUNCTION) - OXALIPLATIN + CAPECITABINE ; DAY 1 - OXALIPLATIN 130MG/M2 IV. ; DAYS 1-14 - CAPECITABINE 1000MG/M2 ORALLY TWICE DAILY ; REPEAT CYCLE EVERY 21 DAYS FOR 8 CYCLES.REPEAT CYCLE EVERY 21 DAYS FOR 8 CYCLES. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
275 CMU0111 : COLORECTAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
276 CMU0111 -i : COLORECTAL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
277 CMU0111 -i-a : COLORECTAL CARCINOMA - FOLFOX (STAGE - III) - (OXALIPLATIN, LEUCOVORIN, 5-FU) ; DAY 1 - OXALIPLATIN 85MG/M2 IV, LEUCOVORIN 400MG/M2 IV, 5-FU 400MG/M2 IV, FOLLOWED BY 5-FU 1, 200MG/M2/DAY IV X 2 DAYS (TOTAL 2, 400MG/M2) OVER 46-48-HOUR CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS- UPTO 12 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
278 CMU0111 -i-b : COLORECTAL CARCINOMA - CAPEOX (STAGE - III) (OXALIPLATIN, CAPECITABINE) ; DAY 1 - OXALIPLATIN 130MG/M2 IV OVER 2 HOURS ; DAYS 1-14 - CAPECITABINE 1, 000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 MONTHS MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
279 CMU0111 -i-c : COLORECTAL CARCINOMA - FLOX (STAGE - III) (5-FU, LEUCOVORIN, OXALIPLATIN) ; 5-FU 500MG/M2 IV BOLUS WEEKLY X 6, LEUCOVORIN 500MG/M2 IV WEEKLY X 6, EACH ; OXALIPLATIN 85MG/M2 IV ON WEEKS 1, 3, AND 5 ; 8-WEEK CYCLE X 3 CYCLES ; MEDICAL ONCOLOGY 31500 31500 31500 31500 31500 31500 31500 31500
280 CMU0111 -i-d : COLORECTAL CARCINOMA - CAPECITABINE ; CAPECITABINE 1, 250MG/M2 - BD / TDS D 1-14 ; EVERY 3 WEEKS * 24 WEEKSL CARCINOMA - CAPECITABINE ; CAPECITABINE 1, 250MG/M2 - BD / TDS D 1-14 ; EVERY 3 WEEKS * 24 WEEKS MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
281 CMU0111 -i-e : COLORECTAL CARCINOMA - FLUOROURACIL + LEUCOVORIN (I) ; LEUCOVORIN 500MG/M2 WEEKLY X 6 WEEKS, ; 5-FU 500MG/M2 WEEKLY X 6 WEEKS. ; REPEAT CYCLE EVERY 8 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 24900 24900 24900 24900 24900 24900 24900 24900
282 CMU0111 -i-f : COLORECTAL CARCINOMA - FLUOROURACIL + LEUCOVORIN (II)SIMPLIFIED BIWEEKLY INFUSION. ; LEUCOVORIN 400MG/M2 IV, 5-FU BOLUS 400MG/M2 AND THEN 1, 200MG/M2/DAY X 2 DAYS (TOTAL 2, 400MG/M2 OVER 46-48 HOURS) ; REPEAT CYCLE EVERY 2 WEEKS FOR 6 CYCLES. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
283 CMU0111 -ii : COLORECTAL CARCINOMA - CONCURRENT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
284 CMU0111 -ii-a : COLORECTAL CARCINOMA - CONCURRENT - 5FU - WITH XRT ; DAYS 1-5 OR 1-7 - 5-FU 225MG/M2 IV ; WITH EXTERNAL BEAM RADIOTHERAPY MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
285 CMU0111 -ii-b : COLORECTAL CARCINOMA - CONCURRENT - FLUOROURACIL + LEUCOVORIN - WITH XRT ; DAYS 1-4 - 5-FU 400MG/M2 IV + LEUCOVORIN 20MG/M2 IV. ; REPEAT CYCLE DURING WEEKS 1 AND 5 OF XRT. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
286 CMU0111 -ii-c : COLORECTAL CARCINOMA - CONCURRENT - CAPECITABINE - WITH XRT ; CAPECITABINE TABLET 825MG / M2 TWICE DAILY ON DAYS 1-5 ; REPEAT CYCLE WEEKLY FOR 5 WEEKS. MEDICAL ONCOLOGY 1400 1400 1400 1400 1400 1400 1400 1400
287 CMU0112 : OSTEOSARCOMA/ BONE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
288 CMU0112 -i-a : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - CISPLATIN + DOXORUBICIN ; DAYS 1-3 - DOXORUBICIN 25MG/M2/DAY IV, ; DAY 1 - CISPLATIN 100MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
289 CMU0112 -i-b-1 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - PRE OPERATIVE ; DAYS 1 AND 28 - METHOTREXATE 8G/M2 IV ; DAYS 7-9 AND 34-36 - CISPLATIN 120MG/M2 BY INFUSION FOR 72 HOURS. ; DAYS 9 AND 36 - DOXORUBICIN 60MG/M2 IV MEDICAL ONCOLOGY 25500 25500 25500 25500 25500 25500 25500 25500
290 CMU0112 -i-b-2 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - POST OPERATIVE NECROSIS < 90% ; DAYS 1, 48, 96, AND 144 - DOXORUBICIN 45MG/M2/DAY FOR 2 CONSECUTIVE DAYS ; DAYS 21, 69, AND 117 - METHOTREXATE 8G/M2 IV ; DAYS 27, 75, AND 123 - CISPLATIN 120MG/M2 BY INFUSION FOR 72 HOURS. MEDICAL ONCOLOGY 42000 42000 42000 42000 42000 42000 42000 42000
291 CMU0112 -i-b-3 : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - MAP (HIGH-DOSE METHOTREXATE + CISPLATIN + DOXORUBICIN) - POST OPERATIVE NECROSIS > 90%POSTOPERATIVE CHEMOTHERAPY (NECROSIS MEDICAL ONCOLOGY 62000 62000 62000 62000 62000 62000 62000 62000
292 CMU0112 -i-c : DOXORUBICIN + CISPLATIN + IFOSFAMIDE + HIGH-DOSE METHOTREXATE (INCLUDING SURGERY COST) MEDICAL ONCOLOGY 117100 117100 117100 117100 117100 117100 117100 117100
293 CMU0112 -i-d : OSTEOSARCOMA/ BONE TUMORS / DEDIFFERENTIATED CHONDROSARCOMA - IFOSFAMIDE + CISPLATIN + EPIRUBICIN ; DAY 1 - EPIRUBICIN 90MG/M2 IV, CISPLATIN 100MG/M2 IV ; DAYS 2-4 - IFOSFAMIDE 2.0G/M2 WITH MESNA ; REPEAT CYCLE EVERY 21 DAYS. (3 CYCLES PREOPERATIVELY AND 3 CYCLES POSTOPERATIVELY). MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
294 CMU0112 -ii : OTHER BONE TUMORS - CHORDROMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
295 CMU0112 -ii-a : OTHER BONE TUMORS - CHORDROMA - IMATINIB ; IMATINIB 800 MG ONCE DAILY MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
296 CMU0112 -ii-b : OTHER BONE TUMORS - CHORDROMA - IMATINIB + CISPLATIN ; IMATINIB 400MG OD + CISPLATIN 25MG/M2 WEEKLY. MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
297 CMU0112 -ii-c : OTHER BONE TUMORS - CHORDROMA - IMATINIB + SIROLIMUS ; IMATINIB 400MG OD + SIROLIMUS 2MG OD MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
298 CMU0112 -ii-d : OTHER BONE TUMORS - CHORDROMA - ERLOTINIB ; ERLOTINIB 150MG OD MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
299 CMU0112 -ii-e : OTHER BONE TUMORS - CHORDROMA - SUNITINIB ; SUNITINIB 37.5MG OD MEDICAL ONCOLOGY 29900 29900 29900 29900 29900 29900 29900 29900
300 CMU0112 -iii : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
301 CMU0112 -iii-a : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - DENOSUMAB ; DENOSUMAB 120MG SUBCUTANEOUS ON WEEK 1, 2 AND 3 OF A 4 WEEK CYCLE MEDICAL ONCOLOGY 58800 58800 58800 58800 58800 58800 58800 58800
302 CMU0112 -iii-b : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - INTERFERON ALFA ; INTERFERON ALFA- 2A THRICE WEEKLY MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
303 CMU0112 -iii-c : OTHER BONE TUMORS - GIANT CELL TUMOR OF BONE - PEGINTERFERON ; PEGINTERFERON ALFA-2A 1.0MCG/KG SQ INJECTION WEEKLY. MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
304 CMU0112 -iv : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
305 CMU0112 -iv-a : VAC AND IE CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
306 CMU0112 -iv-b : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA VAIA ; DAY 1 - VINCRISTINE 1.5MG/M2 IV ; DAYS 1-3 - IFOSFAMIDE 2, 000MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
307 CMU0112 -vi : OTHER BONE TUMORS - MESENCHYMAL CHORDOSARCOMA VIDE (VINCRISTINE + IFOSFAMIDE + DOXORUBICIN + ETOPOSIDE) ; DAY 1 - VINCRISTINE 1.4MG/M2 (MAX 2MG), ; DAYS 1-3 - DOXORUBICIN 20MG/M2 IV + IFOSFAMIDE 3MG/M2 IV + MESNA 3G/M2 + ETOPOSIDE 150MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES. MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
308 CMU0113 : WILMS TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
309 CMU0113 -a : WILMS TUMOR - VINCRISTINE & ACTINOMYCIN D ; DACTINOMYCIN 45MCG/KG - WEEK - 0, 3, 6, 9, 12, 15, 18 ; VINCRISTINE 1.5 MG/M2 - WEEK - 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 15, 18 MEDICAL ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
310 CMU0113 -b : WILMS TUMOR - DACTINOMYCIN, VINCRISTINE & ADRIAMYCIN ; DACTINOMYCIN 1.35 MG /M2 - WEEK - 0, 6, 12, 18, 24 ; ADRIYAMYCIN 30-45 MG /M2- WEEK - 3, 9, 15, 21 ; VINCRISTINE 2MG MAX- WEEK - 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 15, 18, 21, 24 MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
311 CMU0113 -c : WILMS TUMOR - ADRIAMYCIN, CYCLOPHOSPHAMIDE, ETOPOSIDE, VINCRISTINE ; CYCLOPHOSPHAMIDE 440MG/M2/DAY - WEEK 3, 9, 15, 21 FOR 5 DAYS, WEEK - 6, 12, 18, 24 FOR 3 DAYS ; ADRIYAMYCIN 30-45MG /M2- WEEK -0, 6, 12, 18, 24 ; VINCRISTINE 2MG (MAX)- WEEK - 1, 2, 4, 5, 6, 7, 8, 10, 11, 12, 13, 18, 24 ; ETOPOSIDE 100MG /M2- WEEK - 3, 9, 15, 21 MEDICAL ONCOLOGY 56400 56400 56400 56400 56400 56400 56400 56400
312 CMU0113 -d : WILMS TUMOR - CYCLOPHOSPHAMIDE, ETOPOSIDE, CARBOPLATIN ; CYCLOPHOSPHAMIDE 440MG/M2/DAY - WEEK 6, 15, 24 *5 DAYS / WEEK ; CARBOPLATIN 500MG/M2 - WEEK - 0, 3, 9, 12, 18, 21 *2 DAYS / WEEK ; ETOPOSIDE 100MG/M2 - WEEK - 0, 3, 9, 12, 18, 21 *5 DAYS / WEEK MEDICAL ONCOLOGY 88700 88700 88700 88700 88700 88700 88700 88700
313 CMU0114 : HEPATOBLASTOMA- OPERABLEHEPATOBLASTOMA- OPERABLE MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
314 CMU0114 -a : HEPATOBLASTOMA- OPERABLE - PLADO - CISPLATIN + DOXORUBICIN ; CISPLATIN (PLA) (80MG/M2 / IV), DOXORUBICIN (DO) (30 MG/M2 IV ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
315 CMU0114 -b : HEPATOBLASTOMA- OPERABLE - CISPLATIN + VINCRISTINE +5FU ; CISPLATIN (90 MG/M2), VINCRISTINE (1.5MG/M2), 5-FU(5-FLUROURACIL- 600 MG/M2) ; EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
316 CMU0115 : HEPATOCELLULAR CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
317 CMU0115 -a : HEPATOCELLULAR CARCINOMA - SORAFENIB ; SORAFENIB 400 MG PO BID MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
318 CMU0116 : NEUROBLASTOMA ALL STAGES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
319 CMU0116 A : NEUROBLASTOMA ALL STAGES - VINCRISTINE/CISPLATIN/ETOPOSIDE/CYCLOPHOSPHAMIDE/CARBOPLATIN MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
320 CMU0116 B : NEUROBLASTOMA ALL STAGES - CYCLOPHOSPHAMIDE/ADRIAMYCIN/VINCRISTINE ; D1-D5 - CYCLOPHOSPHAMIDE 300MG/M2 ; ADRIAMYCIN 60MG/M2 ; VINCRISTINE 1.5MG/M2 MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
321 CMU0116 C : NEUROBLASTOMA ALL STAGES - CISPLATIN & ETOPOSIDE ; DAYS 1-5 - CISPLATIN - 20MG/M2 ; DAYS 1-5 - ETOPOSIDE - 70 MG/M2 MEDICAL ONCOLOGY 5200 5200 5200 5200 5200 5200 5200 5200
322 CMU0116 D : NEUROBLASTOMA ALL STAGES - CARBOPLATIN & ETOPOSIDE ; DAYS 1-2 - CARBOPLATIN - 500MG/M2 ; DAYS 1-5 - ETOPOSIDE 100MG/M2 MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
323 CMU0116 E : NEUROBLASTOMA ALL STAGES - FOR STAGE IV PALLIATIVE CHEMOTHERAPY ONLY MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
324 CMU0117 : RETINOBLASTOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
325 CMU0117 -a : RETINOBLASTOMA - MELPHALAN - INTRA-ARTERIAL ; MELPHALAN - 3-7.5MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
326 CMU0117 -b : RETINOBLASTOMA - CARBOPLATIN - INTRA-ARTERIAL ; CARBOPLATIN 15-30 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
327 CMU0117 -c : RETINOBLASTOMA - TOPOTECAN - INTRA-ARTERIAL ; TOPOTECAN 0.15-1.5 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
328 CMU0117 -d : RETINOBLASTOMA - METHOTREXATE - INTRA-ARTERIAL ; METHOTREXATE 6-12 MG - INTRA-ARTERIAL MEDICAL ONCOLOGY 9100 9100 9100 9100 9100 9100 9100 9100
329 CMU0117 -e : RETINOBLASTOMA - CARBOPLATIN - PERI OCULAR ; CARBOPLATIN 20MG/M2 - PERI OCULAR MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
330 CMU0117 -f : RETINOBLASTOMA - TOPOTECAN - PERI OCULAR ; TOPOTECAN 0.09 - 0.27 - PERI OCULAR MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
331 CMU0117 -g : RETINOBLASTOMA - MELPHALAN - INTRA-VITREAL ; MELPHALAN 20-30 MCG / 0.1CC - INTRA-VITREAL MEDICAL ONCOLOGY 300 300 300 300 300 300 300 300
332 CMU0117 -h : RETINOBLASTOMA - CARBOPLATIN - INTRA-VITREAL ; CARBOPLATIN 3-6MCG / 0.05CC - INTRA-VITREAL MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
333 CMU0117 -i : RETINOBLASTOMA - METHOTREXATE - INTRA-VITREAL ; METHOTREXATE 400MCG/0.1CC - INTRA-VITREAL MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
334 CMU0117 -j : RETINOBLASTOMA - CARBOPLATIN + ETOPOSIDE + VINCRISTINE ; CARBOPLATIN 560MG/M2 ; ETOPOSIDE 150MG/M2 ; VINCRISTINE 1.5MG/M2 MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
335 CMU0118 : HISTIOCYTOSIS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
336 CMU0118 -a : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - 1; PREDNISOLONE AND VINBLASTINE - 1 ; PREDNISOLONE - 6 WEEKS ORAL ; VINBLASTINE 1, 2, 3, 4, 5, 6 MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
337 CMU0118 -b : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - 2; PREDNISOLONE AND VINBLASTINE - 1 ; PREDNISOLONE - 6 WEEKS ORAL ; VINBLASTINE 1, 2, 3, 4, 5, 6 MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
338 CMU0118 -c : HISTIOCYTOSIS - PREDNISOLONE AND VINBLASTINE - CONTINUATION; PREDNISOLONE AND VINBLASTINE - CONTINUATION AFTER EITHER COURSE 1 OR BOTH 1 & 2 ; PREDNISOLONE - 5 DAYS A WEEK ORAL ; VINBLASTINE -IV ; REPEAT EVERY 3 WEEKS TILL 1 YEAR MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
339 CMU0119 : RHABDOMYOSARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
340 CMU0119 -a : RHABDOMYOSARCOMA - VAC (VINCRISTINE + DACTINOMYCIN + CYCLOPHOSPHAMIDE + MESNA ) ; DAY -1 - VINCRISTINE 1.5 MG /M2 IV (2 MG MAX), DOXORUBICIN 75 MG /M2 IV, CYCLOPHOSPHAMIDE 1200 MG /M2 IV + MESNA ; REPEAT AT 21 DAY INTERVALS FOR 4-6 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
341 CMU0119 -b : RHABDOMYOSARCOMA - IVA (VINCRISTINE + DACTINOMYCIN + IFOSFAMIDE + MESNA ) ; DAY 1, 2 - IFOSFAMIDE IV 3 G/M2 + MESNA ; DAY 1 - VINCRISTINE IV 1.5 MG/M2 (MAX 2 MG), ACTINOMYCIN-D IV 1.5 MG/M2 (MAX 2 MG) ; REPEAT AT 21 DAY INTERVALS FOR 6 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
342 CMU0119 -c : RHABDOMYOSARCOMA - IVAD (VINCRISTINE + DOXORUBICIN + IFOSFAMIDE + MESNA ) ; DAYS 1 AND 2 - IFOSFAMIDE 3 G/M2 + MESNA, DOXORUBICIN 30MG/M2 ; DAY 1 - VINCRISTINE 1.5 MG/M2, ACTINOMYCIN-D 1.5 MG/M2 ; REPEAT AT 21 DAY INTERVALS FOR 6 CYCLES MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
343 CMU0120 : EWINGS SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
344 CMU0120 -i : EWINGS SARCOMA - INDUCTION TREATMENT I MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
345 CMU0120 -i-a : EWINGS SARCOMA - INDUCTION TREATMENT - VIDE ; DAY 1 - VINCRISTINE 1.5MG/M2(MAX 2MG) IV ; DAYS 1-3 - DOXORUBICIN 20MG/M2 IV, IFOSFAMIDE 3G/M2IV, MESNA CONTINUOUS IV, ETOPOSIDE 150MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 8800 8800 8800 8800 8800 8800 8800 8800
346 CMU0120 -i-b : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
347 CMU0120 -i-b-1 : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE - VAC ; DAY 1 - VINCRISTINE 2MG/M2 (MAX 2MG) IV, DOXORUBICIN 75MG/M2 IV BOLUS, CYCLOPHOSPHAMIDE 1, 200MG/M2 IV, MESNA. ; DACTINOMYCIN 1.25MG/M2 IV CAN BE SUBSTITUTED FOR DOXORUBICIN WHEN A TOTAL DOXORUBICIN DOSE OF 375MG/M2 IS REACHED. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
348 CMU0120 -i-b-2 : EWINGS SARCOMA - INDUCTION TREATMENT - VAC/IE - IE ; IE CYCLES ; DAYS 1-5 - IFOSFAMIDE 1, 800MG/M2 IV + MESNA + ETOPOSIDE 100MG/M2 IV. ; REPEAT EACH CYCLE EVERY 3 WEEKS FOR 17 CYCLES. MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
349 CMU0120 -i-c : EWINGS SARCOMA - INDUCTION TREATMENT - VAIA - 4 DAY REGIMEN ; DAY 1 - VINCRISTINE 1.5MG/M2IV ; DAYS 1-3 - IFOSFAMIDE 2, 000MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 4 CYCLES, THEN LOCAL THERAPY, FOLLOWED BY 10 ADDITIONAL CYCLES OF VAIA FOR HIGH RISK AND ; 10 ADDITIONAL CYCLES OF VAIA OR 10 CYCLES OF VACA FOR STANDARD-RISK PATIENTS MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
350 CMU0120 -i-d : EWINGS SARCOMA - INDUCTION TREATMENT - VAIA - 24 DAY REGIMEN ; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.5MG/M2 IV ; DAYS 1, 2, 22, 23, 43, AND 44 - IFOSFAMIDE 3, 000MG/M2 IV + MESNA ; DAYS 1, 2, 43, AND 44 - DOXORUBICIN 30MG/M2 IV ; DAYS 22, 23, AND 24 - DACTINOMYCIN 0.5MG/M2 IV ; AFTER COMPLETION OF ONE 9-WEEK CYCLE, LOCAL THERAPY FOLLOWED BY 3 ADDITIONAL CYCLES. MEDICAL ONCOLOGY 18600 18600 18600 18600 18600 18600 18600 18600
351 CMU0120 -i-e : EWINGS SARCOMA - INDUCTION TREATMENT - VACA ; DAY 1 - VINCRISTINE 1.5MG/M2 IV + CYCLOPHOSPHAMIDE 1, 200MG/M2 IV + MESNA ; DAYS 1, 3, AND 5 - DACTINOMYCIN 0.5MG/M2 IV ; DAYS 2 AND 4 - DOXORUBICIN 30MG/M2 IV. ; REPEAT CYCLE EVERY 21 DAYS FOR 10 CYCLES. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
352 CMU0120 -ii : EWINGS SARCOMA - MAINTENANCE TREATMENT MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
353 CMU0120 -ii-a : EWINGS SARCOMA - MAINTENANCE TREATMENT - ETOPOSIDE/IFOSFAMIDE ; DAYS 1-5 - IFOSFAMIDE 1, 800MG/M2/DAY IV + MESNA ; DAYS 1-5 - ETOPOSIDE 100MG/M2/DAY IV. MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
354 CMU0121 : PALLIATIVE CHEMOTHERAPY (ANY REGIMEN)- MAXIMUM PAYABLE MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
355 CMU0122 : CERVICAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
356 CMU0122 -a : CERVICAL CANCER - CISPLATIN ; CISPLATIN 40MG/M2 IV ONCE WEEKLY FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
357 CMU0122 -b : CERVICAL CANCER - CISPLATIN & 5FU WITH RT ; DAYS 1-5 OF RADIOTHERAPY - CISPLATIN 75MG/M2 IV, 5-FU 4, 000MG/M2 IV OVER 96 HOURS ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
358 CMU0122 -c : CERVICAL CANCER - CISPLATIN & 5FU ; DAYS 1 AND 29 - CISPLATIN 50MG/M2 IV ; DAYS 2-5, AND 30-33 - 5-FU 1, 000MG/M2 IV MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
359 CMU0123 : VULVAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
360 CMU0123 -a : VULVAL CANCER - CISPLATIN ; DAY 1 - 40 MG/M 2 IV MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
361 CMU0123 -b : VULVAL CANCER - CISPLATIN + 5FU ; DAYS 1-5 OF RADIOTHERAPY - CISPLATIN 75MG/M2 IV, 5-FU 4, 000MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS - TOTAL 3 CYCLES MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
362 CMU0123 -c : VULVAL CANCER - 5-FU + MITOMYCIN ; 5-FU + MITOMYCIN ; DAYS 1-4 AND 29-32 - 5-FU 1, 000MG/M2/DAY CONTINUOUS IV INFUSION ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS (MAXIMUM 20MG PER COURSE), MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
363 CMU0123 -e : VULVAL CANCER - CISPLATIN + 5FU ; DAYS 1 AND 29 - CISPLATIN 50MG/M2 IV ; DAYS 2-5, AND 30-33 - 5-FU 1, 000MG/M2 IV MEDICAL ONCOLOGY 11700 11700 11700 11700 11700 11700 11700 11700
364 CMU0124 : VAGINAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
365 CMU0124 -a : VAGINAL CANCER - CISPLATIN ; CISPLATIN 75MG/M2 ; ONCE WEEKLY FOR UP TO 6 DOSES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
366 CMU0125 : OVARIAN CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
367 CMU0125 -a : OVARIAN CANCER - PACLITAXEL + CISPLATIN ; DAY 1 - PACLITAXEL 135MG/M2 CONTINUOUS IV ; DAY 2 - CISPLATIN 75-100MG/M2 ; DAY 8 - PACLITAXEL 60MG/M2 ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES. MEDICAL ONCOLOGY 9300 9300 9300 9300 9300 9300 9300 9300
368 CMU0125 -b : OVARIAN CANCER - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 175MG/M2 IV, CARBOPLATIN AUC 5-6 MG/MIN/ML IV ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
369 CMU0125 -c : OVARIAN CANCER - DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 60-75MG/M2 IV, CARBOPLATIN AUC 5-6 MG/MIN/ML ; REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
370 CMU0126 : ENDOMETRIAL CANCER (PALLIATIVE CHEMOTHERAPY ONLY) MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
371 CMU0127 : OVARY- GERM CELL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
372 CMU0127 -a : OVARY- GERM CELL TUMOR - BEP (BLEOMYCIN + ETOPOSIDE + CISPLATIN) ; DAYS 1, 8, 15 - BLEOMYCIN 30 UNITS/WK IV, ETOPOSIDE 100 MG/M 2/DAY IV ; DAYS 1-5 - CISPLATIN 20 MG/M 2/DAY IV ; REPEAT EVERY 21 DAYS 3-4 CYCLES MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
373 CMU0127 -b : OVARY- GERM CELL TUMOR - EP ( ETOPOSIDE + CARBOPLATIN) ; DAY 1 - CARBOPLATIN 400 MG/M 2 IV ON DAYS 1-3 ; REPEAT EVERY 28 DAYS FOR THREE CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
374 CMU0128 : GESTATIONAL TROPHOBLAST DISEASES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
375 CMU0128 -a : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE (5 DAYS REGIMEN) ; DAYS 1-5 - MTX 0.4 MG/KG/DAY IV OR IM FOR 5 DAYS, NOT TO EXCEED 25 MG/DAY ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
376 CMU0128 -b : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE (8-DAY ALTERNATING REGIMEN) ; DAYS 1, 3, 5, AND 7 - MTX 1 MG/KG IM, ; DAYS 2, 4, 6, AND 8 - FOLINIC ACID 15 MG ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
377 CMU0128 -c : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE + FOLINIC ACID ; DAY 1 - MTX 100 MG/M 2 IVP, THEN 200 MG/M 2 INFUSION ; DAY 2 - FOLINIC ACID 15 MG IM/PO Q12H FOR 4 DOSES ; REPEAT CYCLE EVERY 18 DAYS MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
378 CMU0128 -d : GESTATIONAL TROPHOBLAST DISEASES - METHOTREXATE - WEEKLY ; MTX 30-50 MG/M 2 IM WEEKLY MEDICAL ONCOLOGY 1400 1400 1400 1400 1400 1400 1400 1400
379 CMU0128 -e : GESTATIONAL TROPHOBLAST DISEASES - ACT-D ; ACT-D 10-13 MCG/KG OR 0.5-MG FLAT DOSE IV QD FOR 5D ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
380 CMU0128 -f : GESTATIONAL TROPHOBLAST DISEASES - ACTINOMYCIN ; ACTINOMYCIN 1.25 MG/M 2 IV ; REPEAT EVERY 2 WEEKS MEDICAL ONCOLOGY 2300 2300 2300 2300 2300 2300 2300 2300
381 CMU0128 -g : GESTATIONAL TROPHOBLAST DISEASES - EMA-CO (COMPLETE) ; DAY 1 - ACT-D - 0.5 MG IV, ETOPOSIDE - 100 MG/M2 IV, MTX - 300 MG/M2 IV ; DAY 2 - ACT-D - 0.5 MG IV, ETOPOSIDE - 100 MG/M2 IV, LEUCOVORIN - 15 MG PO/IM Q12H 4 DOSES ; DAY 8 - VINCRISTINE - 0.8 MG/M2 IV, CYCLOPHOSPHAMIDE - 600 MG/M2 IV ; REPEAT CYCLE EVERY 14 DAYS MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
382 CMU0129 : TESTICULAR CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
383 CMU0129 -a : TESTICULAR CANCER - EP ; DAYS 1-5 - ETOPOSIDE 100MG/M2, CISPLATIN 20MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
384 CMU0129 -b : TESTICULAR CANCER - BEP ; DAYS 1-5 - CISPLATIN 20MG/M2, ETOPOSIDE 100MG/M2 ; DAYS 1, 8, AND 15 OR DAYS 2, 9, OR 16 - BLEOMYCIN 30 UNITS IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
385 CMU0129 -c : TESTICULAR CANCER - VIP ; DAY 1 (BEFORE IFOSFAMIDE) - MESNA 120MG/M2 IV ; DAYS 1-5 - ETOPOSIDE 75MG/M2 IV, MESNA 1, 200MG/M2 IV, IFOSFAMIDE 1, 200MG/M2 IV + CISPLATIN 20MG/M2. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
386 CMU0130 : PROSTATE CANCERPROSTATE CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
387 CMU0130 -a : PROSTATE CANCER - DOCETAXEL + PREDNISONE ; DAY 1 - DOCETAXEL 75MG/M2 IV, PREDNISONE 5MG ORALLY TWICE DAILY. ; ONCE EVERY 3 WEEKS, REPEAT FOR UP TO 10 CYCLES IF TOLERATED MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
388 CMU0130 -c : PROSTATE CANCER - ZOLEDRONIC ACID FOR SKELETAL METASTASIS MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
389 CMU0131 : FEBRILE NEUTROPENIA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
390 CMU0131 -a : FEBRILE NEUTROPENIA - FIRST-LINE MONOTHERAPY ; PIPERACILLIN-TAZOBACTAM 4.5 G ; CEFEPIME 2 G ; MEROPENEM 1 G ; IMIPENEM-CILASTATIN 500 MG MEDICAL ONCOLOGY 14200 14200 14200 14200 14200 14200 14200 14200
391 CMU0131 -b : FEBRILE NEUTROPENIA - SECOND-LINE DUAL THERAPY ; PIPERACILLIN-TAZOBACTAM 4.5 G IV PLUS AN AMINOGLYCOSIDE ; MEROPENEM 1 G IV PLUS AN AMINOGLYCOSIDE ; IMIPENEM-CILASTATIN 500 MG IV PLUS AN AMINOGLYCOSIDE MEDICAL ONCOLOGY 20500 20500 20500 20500 20500 20500 20500 20500
392 CMU0132 : THYROID CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
393 CMU0132 -a : THYROID CANCER - SORAFENIB ; SORAFENIB 400 MG PO BID MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
394 CMU0132 -b : THYROID CANCER - SUNITINIB ; SUNITINIB 50 MG MEDICAL ONCOLOGY 29900 29900 29900 29900 29900 29900 29900 29900
395 CMU0132 -c : THYROID CANCER - PAZOPANIB MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
396 CMU0132 -d : THYROID CANCER - DOXORUBICIN ; DOXORUBICIN 60 MG/M2 AS MONOTHERAPY OR IN COMBINATION WITH CISPLATIN 40 MG/M2 MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
397 CMU0133 : THYMOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
398 CMU0133 -a : THYMOMA - CAP ; DAY 1 - CISPLATIN 50MG/M2 IV, DOXORUBICIN 50MG/M2 IV, CYCLOPHOSPHAMIDE 500MG/M2 IV. ; REPEAT EVERY 21 DAYS FOR A MAX OF 8 CYCLES. MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
399 CMU0133 -b : THYMOMA - CAPP ; DAY 1 - CYCLOPHOSPHAMIDE 500MG/M2 IV ; DAYS 1-3 - CISPLATIN 30MG/M2 IV ; DAYS 1-3 - DOXORUBICIN 20MG/M2 ; DAYS 1-5 - PREDNISONE 100MG. ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
400 CMU0133 -c : THYMOMA - ADOC ; DAY 1 - CISPLATIN 50MG/M2 IV, DOXORUBICIN 40MG/M2 IV ; DAY 3 - VINCRISTINE 0.6MG/M2 IV ; DAY 4 - CYCLOPHOSPHAMIDE 700MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 5 CYCLES. MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
401 CMU0133 -d : THYMOMA - PE ; DAY 1 - CISPLATIN 60MG/M2 IV ; DAYS 1-3 - ETOPOSIDE 120MG/M2 IV ; REPEAT EVERY 3 WEEKS FOR A MAX OF 8 CYCLES. MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
402 CMU0133 -e : THYMOMA - VIP ; DAYS 1-4 - ETOPOSIDE 75MG/M2 IV, IFOSFAMIDE 1.2G/M2 IV, CISPLATIN 20MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
403 CMU0133 -f : THYMOMA - CARBOPLATIN+PACLITAXEL ; DAY 1 - PACLITAXEL 225MG/M2 IV, CARBOPLATIN AUC = 6 IV ; REPEAT EVERY 3 WEEKS FOR A MAX OF 6 CYCLES. MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
404 CMU0134 : BRAIN CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
405 CMU0134 -i : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
406 CMU0134 -i-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - COMBINATION PCV (LOMUSTINE + PROCARBAZINE + VINCRISTINE) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY. ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY. ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
407 CMU0134 -i-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE (7 WEEKS) ; DAYS 1-49 - TEMOZOLOMIDE 75MG/M2 ORALLY. ; REPEAT CYCLE EVERY 11 WEEKS (7 WEEKS ON/4 WEEKS OFF) FOR 6 CYCLES. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
408 CMU0134 -i-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE MONTHLY 5-DAY COURSE ; TEMOZOLOMIDE MONTHLY 5-DAY COURSES AT DOSES OF 180 - 200MG/M2/DAY MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
409 CMU0134 -i-d : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT LOW-GRADE INFILTRATIVE SUPRATENTORIAL ASTROCYTOMA/OLIGODENDROGLIOMA - TEMOZOLOMIDE (3 WEEKS) ; DAYS 1-21 - TEMOZOLOMIDE 75MG/M2/DAY ORALLY. ; REPEAT CYCLE EVERY 28 DAYS. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
410 CMU0134 -ii : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMASSYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
411 CMU0134 -ii-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - TEMOZOLOMIDE MONTHLY 5-DAY COURSE ; DAYS 1-5 - TEMOZOLOMIDE 200MG/M2/DAY ORALLY. ; REPEAT CYCLE EVERY 4 WEEKS UNTIL DISEASE PROGRESSION OR FOR UP TO 24 CYCLES. MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
412 CMU0134 -ii-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - PCV WITH DEFERRED RT (LOMUSTINE + PROCARBAZINE + VINCRISTINE) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
413 CMU0134 -ii-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
414 CMU0134 -ii-c-1 : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; DAILY ORAL TEMOZOLOMIDE (75MG/M2/DAY, 7 DAYS PER WEEK FROM THE FIRST TO THE LAST DAY OF RADIOTHERAPY) MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
415 CMU0134 -ii-c-2 : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - ADJUVANT TEMOZOLOMIDE - PRECEEDED BY CONCURRENT TEMOZOLOMIDE (WITH RT) ; TEMOZOLOMIDE 150-200MG/M2/DAY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
416 CMU0134 -ii-d : ADJUVANT TEMOZOLOMIDE MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
417 CMU0134 -ii-e : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ANAPLASTIC GLIOMAS - PCV FOR 1P19Q CO-DELETED (WITH RADIOTHERAPY) ; DAY 1 - LOMUSTINE 110MG/M2 ORALLY ; DAYS 8-21 - PROCARBAZINE 60MG/M2 ORALLY ONCE DAILY ; DAYS 8 AND 29 - VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV. ; REPEAT EVERY 6 WEEKS. FOR 6 CYCLES MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
418 CMU0134 -iii : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
419 CMU0134 -iii-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - CONCURRENT TEMOZOLOMIDE (WITH RT) - FOLLOWED BY ADJUVANT TEMOZOLOMIDE ; DAILY ORAL TEMOZOLOMIDE (75MG/M2/DAY, 7 DAYS PER WEEK FROM THE FIRST TO THE LAST DAY OF RADIOTHERAPY) MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
420 CMU0134 -iii-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - ADJUVANT TEMOZOLOMIDE (PRECEEDED BY CONCURRENT TEMOZOLZMIDE) ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2/DAY ORALLY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES. MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
421 CMU0134 -iii-c : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - TEMOZOLOMIDE (POST RT) ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2/DAY ORALLY FOR 5 DAYS. ; REPEAT CYCLE EVERY 28 DAYS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
422 CMU0134 -iii-d : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR GLIOBLASTOMA - TEMOZOLOMIDE (200MG) WITH STANDARD RT ; DAYS 1-5 - TEMOZOLOMIDE 200MG/M2, ORALLY MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
423 CMU0134 -iv : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
424 CMU0134 -iv-a : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) - VINCRISTINE + CISPLATIN + LOMUSTINE ; DAY 1 - LOMUSTINE 75MG/M2 ORALLY ; DAY 2 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS; ; DURING CRANIO-SPINAL RT MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
425 CMU0134 -iv-b : BRAIN CARCINOMA - SYSTEMIC THERAPY FOR ADULT MEDULLOBLASTOMA AND SUPRATENTORIAL PRIMITIVE NEUROECTODERMAL TUMOR (PNET) - VINCRISTINE + CISPLATIN + CYCLOPHOSPHAMIDE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS ; DAYS 22, 23 - CYCLOPHOSPHAMIDE 1, 000MG/M2 IV. MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
426 CMU0134 -v : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMAPRIMARY CNS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
427 CMU0134 -v-a : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPYHIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
428 CMU0134 -v-a-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE + CYTARABINE ; DAY 1 - MTX 3.5G/M2 ; DAYS 2-3 - CYTARABINE 2G/M2 IV TWICE A DAY. MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
429 CMU0134 -v-a-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE + LEUCOVORIN + IFOSFAMIDE + MESNA ; DAY 1 - MTX 4GM/M2 IV, ; DAYS 2-5 - LEUCOVORIN 20-25MG IV (UPTO 40MG) ; DAYS 3-5 - IFOSFAMIDE 1.5GM/M2 IV + MESNA 400MG IV MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
430 CMU0134 -v-b : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE COMBINED WITH THE FOLLOWING PLUS RADIATION THERAPY HIGH DOSE METHOTREXATE (MTX 2.5-4.0MG/M2) + CHEMOTHERAPY MONOCLONAL ANTIBODY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
431 CMU0134 -v-b-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + MTX + VINCRISTINE +PROCARBAZINE ; DAY 1 - RITUXIMAB 500MG/M2 IV ; DAY 2 - MTX 3.5MG/M2 IV PLUS VINCRISTINE 1.4MG/M2 ; PROCARBAZINE 100MG/M2/DAY ADMINISTERED FOR 7 DAYS WITH ODD-NUMBERED CYCLES MEDICAL ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
432 CMU0134 -v-c : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE (MTX 8.0MG/M2) + CHEMOTHERAPY +/- MONOCLONAL ANTIBODY HIGH DOSE METHOTREXATE (MTX 8.0MG/M2) + CHEMOTHERAPY MONOCLONAL ANTIBODY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
433 CMU0134 -v-c-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE INDUCTION ; MTX 8G/M2 IV ; REPEAT EVERY 2 WEEKS UNTIL COMPLETE RESPONSE ACHIEVED OR MAX OF 8 CYCLES REACHED. ; MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
434 CMU0134 -v-c-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE CONSOLIDATION ; MTX 8G/M2 IV ADMINISTERED ; REPEAT EVERY 2 WEEKS FOR 2 CYCLES. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
435 CMU0134 -v-c-3-i : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE MAINTANANCE (CYCLES 1-4) ; DAY 1 - MTX 8G/M2 IV, RITUXIMAB 375MG/M2 IV. ; REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 27600 27600 27600 27600 27600 27600 27600 27600
436 CMU0134 -v-c-3-ii : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - HIGH DOSE METHOTREXATE MAINTANANCE (CYCLES 5-11) ; MTX 8G/M2 IV ADMINISTERED EVERY 4 WEEKS FOR 11 CYCLES. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
437 CMU0134 -v-d : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
438 CMU0134 -v-d-1 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN - INDUCTION ; DAY 1 - RITUXIMAB 375MG/M2 IV, FOLLOWED BY ; DAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2 ORALLY DAILY, AFTER RITUXIMAB INFUSION. ; REPEAT CYCLE EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 22700 22700 22700 22700 22700 22700 22700 22700
439 CMU0134 -v-d-2 : BRAIN CARCINOMA - PRIMARY CNS LYMPHOMA - RITUXIMAB + TEMOZOLOMIDE REGIMEN - MAINTANANCEDAYS 1-5 - TEMOZOLOMIDE 150-200MG/M2 ORALLY DAILY. ; REPEAT CYCLE EVERY 4 WEEKS FOR 8 CYCLES. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
440 CMU0134 -v-e : BRAIN CARCINOMA - MENINGIOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
441 CMU0134 -v-e-1 : BRAIN CARCINOMA - MENINGIOMA - INTERFERON-ALFAINTERFERON-ALFA ; ALPHA-IFN 106 UNITS/M2 SC EVERY OTHER DAY FOR 4 WEEKS. ; REPEAT CYCLE EVERY 4 WEEKS. ; MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
442 CMU0134 -v-e-2 : BRAIN CARCINOMA - MENINGIOMA -SOMATOSTATIN ANALOG ; SANDOSTATIN LAR DEPOT 10-30MG IM ; REPEAT EVERY 4 WEEKS. ; MEDICAL ONCOLOGY 5700 5700 5700 5700 5700 5700 5700 5700
443 CMU0134 -v-e-3 : BRAIN CARCINOMA - MENINGIOMA - SUNITINIB ; DAYS 1-28 - SUNITINIB 50MG ORALLY DAILY. ; REPEAT CYCLE EVERY 42 DAYS. MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
444 CMU0135 : HEAD AND NECK CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
445 CMU0135 -i : HEAD AND NECK CANCER - SQUAMOUS CELL CANCERS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
446 CMU0135 -i-a : HEAD AND NECK CANCER - HIGH DOSE CISPLATIN ; CISPLATIN 100MG/M2 IV + CONCURRENT RADIOTHERAPY; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
447 CMU0135 -i-b : HEAD AND NECK CANCER - CARBOPLATIN + INFUSIONAL 5-FU ; DAYS 1-4 - 5-FU 600MG/M2/DAY AS CONTINUOUS IV I, CARBOPLATIN 70MG/M2/DAY IV ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES (GIVEN CONCURRENTLY WITH RADIOTHERAPY). MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
448 CMU0135 -i-c : HEAD AND NECK CANCER - 5-FU + HYDROXYUREA ; DAY 1 - HYDROXYUREA 1, 000MG ORALLY EVERY 12 HOURS (11 DOSES/CYCLE), 5-FU 800MG/M2/DAY ; REPEAT EVERY OTHER WEEK FOR 7 CYCLES. WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
449 CMU0135 -i-d : HEAD AND NECK CANCER - CISPLATIN + PACLITAXEL ; DAY 1 - PACLITAXEL 30MG/M2 IV (EVERY MONDAY), ; DAY 2 - CISPLATIN 20MG/M2 IV (EVERY TUESDAY). ; REPEAT CYCLE EVERY WEEK FOR 7 CYCLES, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
450 CMU0135 -i-e : HEAD AND NECK CANCER - CISPLATIN + INFUSIONAL 5-FU ; DAY 1 - CISPLATIN 60MG/M2 OVER ; DAYS 1-5 - 5-FU 800MG/M2/DAY ; REPEAT EVERY OTHER WEEK FOR 7 CYCLES. WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
451 CMU0135 -i-f : HEAD AND NECK CANCER - CARBOPLATIN + PACLITAXEL ; DAY 1 - PACLITAXEL 40-45MG/M2, CARBOPLATIN 100MG/M2 ; REPEAT CYCLE EVERY WEEK FOR 8 CYCLES, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
452 CMU0135 -i-g : HEAD AND NECK CANCER - WEEKLY CISPLATIN ; CISPLATIN 40MG/M2 IV PER WEEK MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
453 CMU0135 -i-h : HEAD AND NECK CANCER - CISPLATIN (FOR HIGH RISK OROPHARYNGEAL CARCINOMA) ; DAYS 1, 22, AND 43 - CISPLATIN 100MG/M2 IV + RADIOTHERAPY. MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
454 CMU0135 -i-i : HEAD AND NECK CANCER - DOCETAXEL + CISPLATIN + 5-FU ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV, ; DAYS 1-5 - 5-FU 750MG/M2/DAY IV. ; REPEAT EVERY 3 WEEKS FOR UP TO 4 CYCLES. MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
455 CMU0135 -ii : HEAD AND NECK CANCER - NASOPHARYNX CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
456 CMU0135 -ii-a : NASOPHARYNX CANCER - CONCURRENT CISPLATIN FOLLOWED BY CONCURRENT CISPLATIN +5FUC ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
457 CMU0135 -ii-a-1 : NASOPHARYNX CANCER - CONCURRENT CISPLATIN (FOLLOWED BY CONCURRENT CISPLATIN +5FU) ; DAY 1 - CISPLATIN 100MG/M2 IV; PLUS RADIOTHERAPY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES; FOLLOWED BY CONCURRENT CISPLATIN +5FU MEDICAL ONCOLOGY 2100 2100 2100 2100 2100 2100 2100 2100
458 CMU0135 -ii-a-2 : NASOPHARYNX CANCER - CONCURRENT CISPLATIN +5FU - PRECEEDED BY (CONCURRENT CISPLATIN 3 CYCLES) ; DAYS 1-4 - CISPLATIN 80MG/M2/DAY, 5-FU 1, 000MG/M2/DAY IV ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
459 CMU0135 -ii-b : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN FOLLOWED BY CONCURRENT CARBOPLATIN +5FU MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
460 CMU0135 -ii-b-1 : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN - (FOLLOWED BY CONCURRENT CARBOPLATIN +5FU) ; DAY 1 - CARBOPLATIN AUC 6MG/MIN/ML IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES; MEDICAL ONCOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
461 CMU0135 -ii-b-2 : NASOPHARYNX CANCER - CONCURRENT CARBOPLATIN +5FU - PRECEEDED BY (CONCURRENT CARBOPLATIN ) ; DAY 1 - CARBOPLATIN AUC 5MG/MIN/ML IV ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 14200 14200 14200 14200 14200 14200 14200 14200
462 CMU0135 -ii-c : NASOPHARYNX CANCER - CONCURRENT CISPLATIN ; CISPLATIN 40MG/M2 ; REPEAT WEEKLY FOR 7 CYCLES MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
463 CMU0135 -ii-d : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN + 5-FU FOLLOWED BY CISPLATIN ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
464 CMU0135 -ii-d-1 : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN + 5-FU - FOLLOWED BY CISPLATIN AFTER 3 CYCLES ; DAY 1 - DOCETAXEL 70MG/M2 IV, CISPLATIN 75MG/M2 IV ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY IV ; REPEAT EVERY WEEK FOR 3 CYCLES MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
465 CMU0135 -ii-d-2 : NASOPHARYNX CANCER - CISPLATIN - WEEKLY - PRECEDED BY 3 CYCLES OF DOCETAXEL + 5-FU ; DAY 1 - CISPLATIN 100MG/M2; ; REPEAT EVERY 3 WEEKS, TILL RADIATION MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
466 CMU0135 -ii-e : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
467 CMU0135 -ii-e-1 : NASOPHARYNX CANCER - DOCETAXEL + CISPLATIN - FOLLOWED BY CISPLATIN AFTER 2 CYCLES ; DAY 1 - DOCETAXEL 75MG/M2 IV + CISPLATIN 75MG/M2 IV ; REPEAT EVERY 3 WEEKS FOR TWO CYCLES MEDICAL ONCOLOGY 4100 4100 4100 4100 4100 4100 4100 4100
468 CMU0135 -ii-e-2 : NASOPHARYNX CANCER - CISPLATIN - WEEKLY - PRECEDED BY 2 CYCLES OF DOCETAXEL + CISPLATIN ; CISPLATIN 40MG/M2 IV ; WEEKLY CONCURRENT WITH RADIOTHERAPY. MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
469 CMU0135 -ii-f : NASOPHARYNX CANCER - CISPLATIN + 5-FU ; DAY 1 - CISPLATIN 100MG/M2/DAY IV. ; DAYS 1-4 - 5-FU 1, 000MG/M2/DAY CONTINUOUS IV INFUSION FOR 4 DAYS. ; REPEAT CYCLE EVERY 3 WEEKS FOR A MINIMUM OF 6 CYCLES MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
470 CMU0135 -i-j : HEAD AND NECK CANCER - PACLITAXEL + CISPLATIN+ INFUSIONAL 5-FU ; DAY 1 - PACLITAXEL 175MG/M2 ; DAY 2 - CISPLATIN 100MG/M2 ; DAY 2-6 - 5-FU 500MG/M2/DAY IV ; REPEAT EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
471 CMU0136 : RENAL CELL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
472 CMU0136 -a : RENAL CELL CARCINOMA - PAZOPANIB MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
473 CMU0136 -b : RENAL CELL CARCINOMA - SUNITINIB MEDICAL ONCOLOGY 30500 30500 30500 30500 30500 30500 30500 30500
474 CMU0136 -c : RENAL CELL CARCINOMA - SORAFENIB MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
475 CMU0136 Ia : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
476 CMU0136 Ib : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
477 CMU0136 Ic : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - BEVACIZUMAB + IFN-ALPHA ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS + IFN-ALPHA. MEDICAL ONCOLOGY 70100 70100 70100 70100 70100 70100 70100 70100
478 CMU0136 Id : RENAL CELL CARCINOMA - FIRST-LINE THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL HISTOLOGY - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
479 CMU0136 IIa : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - EVEROLIMUS ; EVEROLIMUS 10MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 39100 39100 39100 39100 39100 39100 39100 39100
480 CMU0136 IIb : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
481 CMU0136 IIc : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
482 CMU0136 IId : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
483 CMU0136 IIe : RENAL CELL CARCINOMA - SUBSEQUENT THERAPY FOR PATIENTS WITH PREDOMINANTLY CLEAR CELL CARCINOMA - BEVACIZUMAB ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS. MEDICAL ONCOLOGY 69600 69600 69600 69600 69600 69600 69600 69600
484 CMU0136 IIIa : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - SUNITINIB ; SUNITINIB 50MG ORALLY DAILY FOR 4 WEEKS, FOLLOWED BY 2 WEEKS OFF. MEDICAL ONCOLOGY 30700 30700 30700 30700 30700 30700 30700 30700
485 CMU0136 IIIb : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - BEVACIZUMAB ; BEVACIZUMAB 10MG/KG IV EVERY 2 WEEKS. MEDICAL ONCOLOGY 69600 69600 69600 69600 69600 69600 69600 69600
486 CMU0136 IIIc : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - EVEROLIMUS ; EVEROLIMUS 10MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 39100 39100 39100 39100 39100 39100 39100 39100
487 CMU0136 IIId : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - ERLOTINIB ; ERLOTINIB 150MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
488 CMU0136 IIIe : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - PAZOPANIB ; PAZOPANIB 800MG ORALLY ONCE DAILY MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
489 CMU0136 IIIf : RENAL CELL CARCINOMA - SYSTEMIC THERAPY FOR PATIENTS WITH NON-CLEAR CELL HISTOLOGY - SORAFENIB ; SORAFENIB 400MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
490 CMU0137 : UNKNOWN PRIMARY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
491 CMU0137 -i : UNKNOWN PRIMARY - ADENOCARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
492 CMU0137 -i-a : UNKNOWN PRIMARY - ADENOCARCINOMA - PACLITAXEL + CARBOPLATIN + ETOPOSIDE ; DAY 1 - PACLITAXEL 200 MG/M 2 IV, CARBOPLATIN AUC 6 ; DAYS 1-10 - ETOPOSIDE 50 MG PO ALTERNATING WITH 100 MG DAILY ; REPEAT EVERY 21DAYS FOR 2-3 CYCLES; RESTAGE, CAN BE TREATED UPTO 8 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
493 CMU0137 -i-b : UNKNOWN PRIMARY - ADENOCARCINOMA - PACLITAXEL + CARBOPLATIN ; DAY 1 - PACLITAXEL 200 MG/M 2, CARBOPLATIN AUC 6 ; REPEAT CYCLE EVERY 3 WEEKS, MAXIMUM 8 CYCLES MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
494 CMU0137 -i-c : UNKNOWN PRIMARY - ADENOCARCINOMA - DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 65MG/M2 IV, CARBOPLATIN AUC 6 ; REPEAT CYCLE EVERY 3 WEEKS, MAXIMUM 8 CYCLES. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
495 CMU0137 -i-d : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + CISPLATIN ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAY 1 AND 8 - GEMCITABINE 1250MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
496 CMU0137 -i-e : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + DOCETAXEL ; DAY 1 AND 8 - GEMCITABINE 1000MG/M2 IV OVER 30 MINUTES ; DAY 8 - DOCETAXEL 75MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS FOR A MAXIMUM OF 6 CYCLES MEDICAL ONCOLOGY 6100 6100 6100 6100 6100 6100 6100 6100
497 CMU0137 -i-f : UNKNOWN PRIMARY - ADENOCARCINOMA - GEMCITABINE + IRINOTECAN ; DAYS 1 AND 8 - IRINOTECAN 100MG/M2 IV, GEMCITABINE 1000MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES.RESTAGE EVERY 2-3 CYCLES MEDICAL ONCOLOGY 5900 5900 5900 5900 5900 5900 5900 5900
498 CMU0137 -i-g : UNKNOWN PRIMARY - ADENOCARCINOMA - MFOLFOX ; DAY 1 - OXALIPLATIN 85MG/M2 IV OVER 2 HOURS + LEUCOVORIN 400MG/M2 IV OVER 2 HOURS + 5-FU 400MG/M2 IV BOLUS THEN ; DAYS 1 AND 2 - 5-FU 1200MG/M2 (TOTAL 2400MG/M2 OVER 46-48 HOURS) IV CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS FOR 24 CYCLES MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
499 CMU0137 -i-h : UNKNOWN PRIMARY - ADENOCARCINOMA - CAPEOX ; DAY 1 - OXALIPLATIN 130MG/M2 IV OVER 2 HOURS ; DAY 1-14 - CAPECITABINE 850-1000MG/M2 ORALLY TWICE DAILY. ; REPEAT CYCLE EVERY 3 WEEKS FOR 16 CYCLES. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
500 CMU0137 -i-i : UNKNOWN PRIMARY - ADENOCARCINOMA - IRINOTECAN + CARBOPLATIN ; DAY 1 - CARBOPLATIN AUC 5MG PER MIN/ML IV ; DAYS 1, 8, AND 15 - IRINOTECAN 60MG/M2 IV. ; REPEAT CYCLE EVERY 4 WEEKS FOR UP TO 6 CYCLES MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
501 CMU0137 -ii : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
502 CMU0137 -ii-a : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA - PACLITAXEL + CISPLATIN + 5-FU ; PACLITAXEL 175 MG/M 2 IV, ; DAY 2 - CISPLATIN 100 MG/M 2 IV, ; DAY 5-FU (5-FLUOROURACIL) 500 MG/M 2/DAY IV ; REPEAT EVERY 21D MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
503 CMU0137 -ii-b : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA - DOCETAXEL + CISPLATIN + 5-FU ; DAY 1 - DOCETAXEL 75MG/M2 IV, CISPLATIN 75MG/M2 IV. ; DAYS 1-5 - 5-FU 750MG/M2/DAY IV ; REPEAT CYCLE EVERY 3 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
504 CMU0137 -ii-c : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -PACLITAXEL + CARBOPLATIN ; DAY 1 - CARBOPLATIN AUC 6MG PER MIN/ML IV OVER 30 MINUTES + PACLITAXEL 200MG/M2 IV OVER 3 HOURS. ; REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES IN RESPONDING PATIENTS AND FOR 6 CYCLES MAXIMUM IN PATIENTS WITH STABLE DISEASE MEDICAL ONCOLOGY 7600 7600 7600 7600 7600 7600 7600 7600
505 CMU0137 -ii-d : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -CISPLATIN + GEMCITABINE ; DAY 1 - CISPLATIN 100MG/M2 IV ; DAY 1 AND 8 - GEMCITABINE 1250MG/M2 IV. ; REPEAT EVERY 3 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 5500 5500 5500 5500 5500 5500 5500 5500
506 CMU0137 -ii-e : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -MFOLFOX ; DAY 1 - OXALIPLATIN 85MG/M2 IV OVER 2 HOURS + LEUCOVORIN 400MG/M2 IV OVER 2 HOURS + 5-FU 400MG/M2 IV BOLUS THEN ; DAYS 1 AND 2 - 5-FU 1200MG/M2 (TOTAL 2400MG/M2 OVER 46-48 HOURS) IV CONTINUOUS INFUSION. ; REPEAT CYCLE EVERY 2 WEEKS FOR 24 CYCLES. MEDICAL ONCOLOGY 8400 8400 8400 8400 8400 8400 8400 8400
507 CMU0137 -ii-f : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -PACLITAXEL + CISPLATIN ; DAY 1 - PACLITAXEL 175MG/M2 IV + CISPLATIN 60MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
508 CMU0137 -ii-g : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CARBOPLATIN ; DAY 1 - DOCETAXEL 75MG/M2 IV OVER 30 MINUTES + CARBOPLATIN AUC 5MG PER MIN/ML IV OVER 30 MINUTES. ; REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES MEDICAL ONCOLOGY 9200 9200 9200 9200 9200 9200 9200 9200
509 CMU0137 -ii-h : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CISPLATIN ; DAY 1 - DOCETAXEL 60MG/M2 IV + CISPLATIN 80MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR 2 CYCLES AND AN ADDITIONAL 4 CYCLES UNTIL DISEASE PROGRESSION IS DEMONSTRATED MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
510 CMU0137 -iii : UNKNOWN PRIMARY - NEUROENDOCRINE TUMORS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
511 CMU0137 -ii-i : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -DOCETAXEL + CISPLATIN ; DAY 1 - DOCETAXEL 75MG/M2 IV + CISPLATIN 75MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 6 CYCLES. MEDICAL ONCOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
512 CMU0137 -iii-b : UNKNOWN PRIMARY - NEUROENDOCRINE TUMORS - ETOPOSIDE + CISPLATIN ; DAYS 1-3 - ETOPOSIDE 100 MG/M 2 ; DAYS 2-3 - CISPLATIN 45 MG/M 2 IV ; REPEAT EVERY 28 DAYS MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
513 CMU0137 -ii-j : UNKNOWN PRIMARY - SQUAMOUS CELL CARCINOMA -CISPLATIN + FLUOROURACIL ; DAYS 1-5 - CISPLATIN 20MG/M2 IV ; DAYS 1-5 - FLUOROURACIL 700MG/M2/DAY IV VIA CONTINUOUS INFUSION OVER 24 HOURS. ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 CYCLES. MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
514 CMU0138 : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMACA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
515 CMU0138 -a : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - GEMCITABINE + CISPLATIN ; DAYS 1 AND 8 - CISPLATIN 25MG/M2 IV, GEMCITABINE 1, 000MG/M2 IV ; REPEAT EVERY 21 DAYS FOR 4 CYCLES, RE-EVALUATE AND CONTINUE AN ADDITIONAL 4 CYCLES IF WARRANTED MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
516 CMU0138 -b : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - 5-FU ; 5 - FU IV MEDICAL ONCOLOGY 4300 4300 4300 4300 4300 4300 4300 4300
517 CMU0138 -c : CA HEPATO BILIARY /CA COMMON BILE DUCT/CA GALLBLADDER/ CHOLANGIOCARCINOMA - CAPECITABINE ; CAPECITABINE ORAL ; REPEAT EVERY 21 DAYS MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
518 CMU0139 : PANCREAS CARCINOMAPANCREAS CARCINOMA - MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
519 CMU0139 -i : PANCREAS CARCINOMA - PATIENTS WITH RESECTABLE PANCREATIC CANCER - LOCALLY ADVANCED ; MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
520 CMU0139 -i-a : PANCREAS CARCINOMA - PATIENTS WITH RESECTABLE PANCREATIC CANCER - LOCALLY ADVANCED GEMCITABINE ; DAYS 1, 8, AND 15 - GEMCITABINE 1, 000MG/M2 IV ; REPEAT EVERY 4 WEEKS FOR SIX CYCLES MEDICAL ONCOLOGY 6900 6900 6900 6900 6900 6900 6900 6900
521 CMU0139 -ii : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
522 CMU0139 -ii-a : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - 5-FU + LEUCOVORIN ; DAYS 1-5 - LEUCOVORIN 20MG/M2 IV, 5-FU 425MG/M2 IV ; REPEAT CYCLE EVERY 4 WEEKS MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
523 CMU0139 -ii-b : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - GEMCITABINE & 5FU ; PRIOR TO CHEMORADIATION - ; DAYS 1, 8 AND 15 - GEMCITABINE 1, 000MG/M2 IV; INITIATE 1-2 WEEKS PRIOR TO CHEMORADIATION (50.4GY + 5-FU 250MG/M2/DAY). ; AFTER CHEMORADIATION - ; DAYS 1, 8 AND 15 - GEMCITABINE 1, 000MG/M2 IV; INITIATE 3-5 WEEKS FOLLOWING CHEMORADIATION. ; REPEAT CYCLE EVERY 4 WEEKS FOR 3 MONTHS. MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
524 CMU0139 -ii-c : PANCREAS CARCINOMA - ADJUVANT CHEMOTHERAPY AND CHEMORADIATION - CONTINUOUS INFUSION 5-FU (WITH RADIATION) ; PRIOR TO CHEMORADIATION - ; DAYS 1-21 - 5-FU 250MG/M2/DAY CONTINUOUS IV INFUSION; INITIATE 1-2 WEEKS PRIOR TO CHEMORADIATION (50.4GY + 5-FU 250MG/M2/DAY). ; AFTER CHEMORADIATION - ; DAYS 1-28 - 5-FU 250MG/M2/DAY CONTINUOUS IV INFUSION; INITIATE 3-5 WEEKS FOLLOWING CHEMORADIATION. ; REPEAT CYCLE EVERY 6 WEEKS FOR 3 MONTHS. MEDICAL ONCOLOGY 21800 21800 21800 21800 21800 21800 21800 21800
525 CMU0139 -iii : PANCREAS CARCINOMA - NEOADJUVANT THERAPY - NEOADJUVANT THERAPY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
526 CMU0139 -iii-a : PANCREAS CARCINOMA - NEOADJUVANT THERAPY - CAPECITABINECAPECITABINE ; CAPECITABINE ; REPEAT CYCLE EVERY 3 WEEKS FOR UP TO 52 WEEKS. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
527 CMU0140 : PERI AMPULLARY CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
528 CMU0140 -a : PERI AMPULLARY CARCINOMA - 5-FU ; FLUOROURACIL 425 MG/M2 ADMINISTERED ON DAYS 1 TO 5 AND 29-33 MEDICAL ONCOLOGY 5600 5600 5600 5600 5600 5600 5600 5600
529 CMU0141 : NEURO ENDOCRINE CARCINOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
530 CMU0141 -a : NEURO ENDOCRINE CARCINOMA - ALL NECS ARE COVERED UNDER ORGAN CANCERS. IF UNCOVERED - UNLISTED ONLY. MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
531 CMU0142 : SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
532 CMU0142 -i : SARCOMA - GASTROINTESTINAL STROMAL TUMOR - GIST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
533 CMU0142 -i-a : SARCOMA - GASTROINTESTINAL STROMAL TUMOR - GIST - IMATINIB ; IMATINIB 400MG ORALLY ONCE DAILY TO TWICE DAILY MEDICAL ONCOLOGY 3200 3200 3200 3200 3200 3200 3200 3200
534 CMU0142 -ii : SARCOMA - SOFT TISSUE SARCOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
535 CMU0142 -ii-a : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN + DACARBAZINE (AD) ; DAYS 1-4 - DOXORUBICIN 60MG/M2 + DACARBAZINE 750MG/M2 ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 12100 12100 12100 12100 12100 12100 12100 12100
536 CMU0142 -ii-b : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN + IFOSFAMIDE + MESNA ; DAYS 1 AND 2 - DOXORUBICIN 30MG/M2/DAY IV, IFOSFAMIDE 3, 750MG/M2/DAY IV, MESNA 750MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 9700 9700 9700 9700 9700 9700 9700 9700
537 CMU0142 -ii-c : SARCOMA - SOFT TISSUE SARCOMA - MESNA + DOXORUBICIN + IFOSFAMIDE + DACARBAZINE (MAID) ; DAYS 1-3 - DOXORUBICIN 20MG/M2/DAY, IFOSFAMIDE 2, 500MG/M2/DAY, DACARBAZINE 300MG/M2/DAY IV ; DAYS 1-4 - MESNA 2, 500MG/M2/DAY IV FOR 84 TO 96 HOURS. ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 11300 11300 11300 11300 11300 11300 11300 11300
538 CMU0142 -ii-d : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE + EPIRUBICIN + MESNA ; DAYS 1 AND 2 - EPIRUBICIN 60MG/M2/DAY IV ; DAYS 1-5 - IFOSFAMIDE 1.8G/M2/DAY IV + MESNA. ; REPEAT CYCLE EVERY 3 WEEKS FOR 5 CYCLES. MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
539 CMU0142 -ii-e : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + DOCETAXEL ; DAYS 1 AND 8 - GEMCITABINE 900MG/M2 IV ; DAY 8 - DOCETAXEL 100MG/M2 IV. ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
540 CMU0142 -ii-f : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + VINORELBINE ; DAYS 1 AND 8 - VINORELBINE 25MG/M2 IV, GEMCITABINE 800MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS MEDICAL ONCOLOGY 15500 15500 15500 15500 15500 15500 15500 15500
541 CMU0142 -ii-g : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE + DACARBAZINE ; DAY 1 - GEMCITABINE 1, 800MG/M2 IV + DACARBAZINE 500MG/M2 IV. ; REPEAT CYCLE EVER 2 WEEKS FOR A TOTAL OF 12 CYCLES; MEDICAL ONCOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
542 CMU0142 -ii-h : SARCOMA - SOFT TISSUE SARCOMA - DOXORUBICIN ; DOXORUBICIN 60-75MG/M2 IV ; ONCE EVERY 3 WEEKS MEDICAL ONCOLOGY 3100 3100 3100 3100 3100 3100 3100 3100
543 CMU0142 -ii-i : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE ; DAYS 1-3 - IFOSFAMIDE 2, 000-3, 000MG/M2/DAY IV FOR 3 TO 4 DAYS + MESNA ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 10500 10500 10500 10500 10500 10500 10500 10500
544 CMU0142 -ii-j : SARCOMA - SOFT TISSUE SARCOMA - IFOSFAMIDE ; DAY 1 - IFOSFAMIDE 5, 000MG/M2 + MESNA 5, 000MG/M2 IV ; DAY 2 - MESNA 400-600MG/M2 IV ; IFOSFAMIDE, MESNA ; REPEAT EVERY 3 WEEKS MEDICAL ONCOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
545 CMU0142 -ii-k : SARCOMA - SOFT TISSUE SARCOMA - EPIRUBICIN ; EPIRUBICIN 160MG/M2 IV ; REPEAT EVERY 3 WEEKS MEDICAL ONCOLOGY 6200 6200 6200 6200 6200 6200 6200 6200
546 CMU0142 -ii-l : SARCOMA - SOFT TISSUE SARCOMA - GEMCITABINE ; DAYS 1 AND 8 - GEMCITABINE 1, 200MG/M2 IV ; REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 3800 3800 3800 3800 3800 3800 3800 3800
547 CMU0142 -ii-m : SARCOMA - SOFT TISSUE SARCOMA - DACARBAZINE (I) ; DACARBAZINE 250MG/M2/DAY IV FOR 5 DAYS ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 6500 6500 6500 6500 6500 6500 6500 6500
548 CMU0142 -ii-n : SARCOMA - SOFT TISSUE SARCOMA - DACARBAZINE (II) ; DACARBAZINE 800-1, 000MG/M2 IV ; REPEAT EVERY 3 WEEKS. MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
549 CMU0142 -ii-o : SARCOMA - SOFT TISSUE SARCOMA - LIPOSOMAL DOXORUBICIN ; LIPOSOMAL DOXORUBICIN 30-50MG/M2 IV ; REPEAT EVERY 4 WEEKS. MEDICAL ONCOLOGY 8300 8300 8300 8300 8300 8300 8300 8300
550 CMU0142 -ii-p : SARCOMA - SOFT TISSUE SARCOMA - TEMOZOLOMIDE ; TEMOZOLOMIDE 200MG/M2 ORALLY TWICE DAILY FOR 5 DAYS, FOLLOWED BY 9 DOSES OF 90MG/M2 ORALLY ; REPEAT EVERY 4 WEEKS MEDICAL ONCOLOGY 4400 4400 4400 4400 4400 4400 4400 4400
551 CMU0143 : PRIMITIVE NEURO ECTODERMAL TUMOR MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
552 CMU0143 -a : PRIMITIVE NEURO ECTODERMAL TUMOR - WEEKLY VINCRISTINE ; VINCRISTINE 1.5MG/M2 IV, MAX 2MG ; FOR 5 TO 6 WEEKS MEDICAL ONCOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
553 CMU0143 -b : PRIMITIVE NEURO ECTODERMAL TUMOR - VINCRISTINE + CISPLATIN + LOMUSTINE ; DURING CRANIOSPINAL RADIOTHERAPY (RT) ; DAY 1 - LOMUSTINE 75MG/M2 ORALLY ; DAY 2 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV BOLUS, MAX 2MG BOLUS; UP TO MAX 8 DOSES MEDICAL ONCOLOGY 4600 4600 4600 4600 4600 4600 4600 4600
554 CMU0143 -c : PRIMITIVE NEURO ECTODERMAL TUMOR - VINCRISTINE + CISPLATIN + CYCLOPHOSPHAMIDE ; DAY 1 - CISPLATIN 75MG/M2 IV ; DAYS 2, 8 AND 15 - VINCRISTINE 1.5MG/M2 IV, MAX 2MG ; DAYS 22, 23 - CYCLOPHOSPHAMIDE 1, 000MG/M2 IV MEDICAL ONCOLOGY 8000 8000 8000 8000 8000 8000 8000 8000
555 CMU0144 : ANAL CANAL CANCER MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
556 CMU0144 -a : ANAL CANAL CANCER - 5-FU + MITOMYCIN ; DAYS 1-4 AND 29-32 - 5-FU 1, 000MG/M2/DAY IV ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS (MAXIMUM 20MG PER COURSE), WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
557 CMU0144 -b : ANAL CANAL CANCER - CAPECITABINE + MITOMYCIN (I) ; DAYS 1-5 - CAPECITABINE 825MG/M2 ORALLY TWICE DAILY WEEKLY FOR 6 WEEKS, ; DAYS 1 AND 29 - MITOMYCIN 10MG/M2 IV BOLUS, WITH CONCURRENT RADIOTHERAPY. MEDICAL ONCOLOGY 8500 8500 8500 8500 8500 8500 8500 8500
558 CMU0144 -c : ANAL CANAL CANCER - CAPECITABINE + MITOMYCIN (II) ; DAYS 1-5 - CAPECITABINE 825MG/M2 ORALLY TWICE DAILY WEEKLY FOR 6 WEEKS, ; DAY 1 - MITOMYCIN 12MG/M2 IV BOLUS, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
559 CMU0144 -d : ANAL CANAL CANCER - CISPLATIN + 5-FU ; DAYS 1-5 - 5-FU 1, 000MG/M2/DAY IV ; DAY 2 - CISPLATIN 100MG/M2 IV ; REPEAT CYCLE EVERY 4 WEEKS, WITH CONCURRENT RADIOTHERAPY MEDICAL ONCOLOGY 7100 7100 7100 7100 7100 7100 7100 7100
560 CMU0145 : CA-PENIS MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
561 CMU0145-a : CA-PENIS - CISPLATIN + 5-FU ; DAY 1 - 5 FU 1000mg/m2 D1-D4 and Day 1 - Cisplatin 75mg/m2 Every 4 weeks MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
562 CMU0145-b : CA-PENIS -Paclitaxel; Paclitaxel 80 mg/m2 D1 every week MEDICAL ONCOLOGY 3700 3700 3700 3700 3700 3700 3700 3700
563 CMU0145-c : CA-PENIS - Paclitaxel; Paclitaxel 175 mg/m2 D1 every 21 days MEDICAL ONCOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
564 CMU0146 : BRACHYTHERAPY INTRACAVITARY HDR PER APPLICATION RADIATION ONCOLOGY 8200 8200 8200 8200 8200 8200 8200 8200
565 CMU0147 : PALLIATIVE TREATMENT WITH PHOTONS /ELECTRONS - LINAC RADIATION ONCOLOGY 17500 17500 17500 17500 17500 17500 17500 17500
566 CMU0148 : RADICAL TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 24800 24800 24800 24800 24800 24800 24800 24800
567 CMU0149 : RADICAL TREATMENT WITH PHOTONS / ELECTRONS RADIATION ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
568 CMU0150 : BRACHYTHERAPY -INTRACAVITARY LDR PER APPLICATION RADIATION ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
569 CMU0151 : ADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT - COBALT RADIATION ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
570 CMU0151-I : NEOADJUVANT TREATMENT - CAN BE COMBINED ANY OTHER MODALITY OF TREAMENT - COBALT RADIATION ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
571 CMU0152 : ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS RADIATION ONCOLOGY 36300 36300 36300 36300 36300 36300 36300 36300
572 CMU0152-I : NEOADJUVANT TREATMENT WITH PHOTONS/ELECTRONS RADIATION ONCOLOGY 36300 36300 36300 36300 36300 36300 36300 36300
573 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
574 CMU0153 A : SURFACE BRACHYTHERAPY 3TO 5 FRACTIONS RADIATION ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
575 CMU0153 B : INTRA LUMINAL BRACHYTHERAPY 3 FRACTIONS RADIATION ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
576 CMU0153 C : BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS RADIATION ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
577 CMU0153 D : TNMSC RT- BRACHYTHERAPY INTERSTITIAL HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS RADIATION ONCOLOGY 45000 0 0 0 0 0 0 0
578 CMU0154 : PALLIATIVE TREATMENT WITH COBALT 60 EXTERNAL BEAM RT RADIATION ONCOLOGY 11700 11700 11700 11700 11700 11700 11700 11700
579 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
580 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
581 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
582 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
583 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
584 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
585 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
586 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
587 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
588 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
589 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
590 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
591 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
592 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
593 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
594 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
595 CMU0161 : BRACHYTHERAPY INTERSTITIAL LDR PER APPLICATION RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
596 CMU0162 : TOTAL BODY RADIATION RADIATION ONCOLOGY 44000 44000 44000 44000 44000 44000 44000 44000
597 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
598 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
599 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
600 CMU0164 : CRANIOSPINAL RADIATION RADIATION ONCOLOGY 150000 150000 150000 150000 150000 150000 150000 150000
601 CMU0165 : HEMOSTATIC RT - LINAC BASED RADIATION ONCOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
602 CMU0166 : UPTO-40% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
603 CMU0166 -a : SCALDS MEDICAL MANAGEMENT ONLY (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) UPTO PLASTIC SURGERY 17300 15550 14000 12600 11350 10200 17300 12600
604 CMU0166 -b : 10 TO 20% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
605 CMU0166 -c : 20 TO 30% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
606 CMU0166 -d : 30 TO 40% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 32700 29450 26500 23850 21450 19300 32700 23850
607 CMU0166 -e : UPTO 10% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 8200 7400 6650 6000 5400 4850 8200 6000
608 CMU0167 : UPTO-40% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
609 CMU0167 -a : UPTO 20% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
610 CMU0167 -b : 20 TO 30% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG PLASTIC SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
611 CMU0167 -c : 30 TO 40% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG INCLUDING ICU STAY PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
612 CMU0168 : UPTO-50% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
613 CMU0168 A : 40 TO 50% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION PLASTIC SURGERY 53900 48500 43650 39300 35350 31850 53900 39300
614 CMU0169 : UPTO 50% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
615 CMU0169 A : 40-50% BURNS (APPROVAL WILL BE BASED ON THE AREA AS PER CLINICAL PHOTOGRAPH, DIAGRAMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) PLASTIC SURGERY 66100 59500 53550 48200 43350 39050 66100 48200
616 CMU0170 : UPTO 60% WITH SCALDS (CONSERVATIVE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
617 CMU0170 A : 50 TO 60% SCALDS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION INCLUDING ICU STAY PLASTIC SURGERY 78500 70650 63600 57250 51500 46350 78500 57250
618 CMU0171 : UPTO 60% MIXED BURNS (WITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
619 CMU0171 -a : 50- 60% BURNS (APPROVAL WILL BE BASED ON THE AREA AS PER CLINICAL PHOTOGRAPH, DIAGRAMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) PLASTIC SURGERY 87700 78950 71050 63950 57550 51800 87700 63950
620 CMU0172 : ABOVE 60% MIXED BURNS (ITH SURGERIES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
621 CMU0172 -a : ABOVE 60% BURNS (APPROVAL WILL BE BASED ON THE AREA OF BURNS AS PER CLINICAL PHOTOGRAPH, DIAGRAMMATIC REPRESENTATION MAY BE ACCEPTED FOR PRIVATE PARTS) MEDICAL MANAGEMENT + COLLAGEN APPLICATION + SURGICAL TREATMENT SSG INCLUDING ICU STAY PLASTIC SURGERY 108300 97450 87700 78950 71050 63950 108300 78950
622 CMU0173 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD PLASTIC SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
623 CMU0173 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - FINGERS PLASTIC SURGERY 4000 3600 3250 2900 2600 2350 4000 2900
624 CMU0173 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - NECK - MILD (LESS THAN 1/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 16200 14600 13100 11800 10650 9550 16200 11800
625 CMU0173 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 10800 9700 8750 7850 7100 6400 10800 7850
626 CMU0173 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
627 CMU0174 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE PLASTIC SURGERY 33600 30250 27200 24500 22050 19850 33600 24500
628 CMU0174 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - FINGERS PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
629 CMU0174 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - NECK - MODERATE (1/3RD TO 2/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 27100 24400 21950 19750 17800 16000 27100 19750
630 CMU0174 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
631 CMU0174 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6000 5400 4850 4350 3950 3550 6000 4350
632 CMU0175 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE PLASTIC SURGERY 0 0 0 0 0 0 0 0
633 CMU0175 a : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - FINGERS PLASTIC SURGERY 8000 7200 6500 5850 5250 4700 8000 5850
634 CMU0175 b : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - NECK - SEVERE (> 2/3RD) - FLEXION AND EXTENSION VIDEOS TO BE UPLOADED PLASTIC SURGERY 39000 35100 31600 28450 25600 23050 39000 28450
635 CMU0175 c : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - OTHERS (ELBOW, THIGH, ETC) PLASTIC SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
636 CMU0175 d : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE - PRESSURE GARMENTS AND PHYSIOTHERAPY (2 WEEKS) - ONLY AS AN ADDON PLASTIC SURGERY 6600 5950 5350 4800 4350 3900 6600 4800
637 CMU0176 : PTOSIS PLASTIC SURGERY 0 0 0 0 0 0 0 0
638 CMU0176 a : PTOSIS SINGLE PLASTIC SURGERY 15800 14200 12800 11500 10350 9350 15800 11500
639 CMU0176 b : PTOSIS BILATERAL PLASTIC SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
640 CMU0177 : CUP AND BAT EARS PLASTIC SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
641 CMU0178 A : FILARIAL LYMPHOEDEMA -NV SHUNT PLASTIC SURGERY 16200 14600 13100 11800 10650 9550 16200 11800
642 CMU0178 B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY PLASTIC SURGERY 28600 25750 23150 20850 18750 16900 28600 20850
643 CMU0179 : HEMIFACIAL ATROPHY PLASTIC SURGERY 40400 36350 32700 29450 26500 23850 40400 29450
644 CMU0180 : HEMIFACIAL MICROSMIA PLASTIC SURGERY 57900 52100 46900 42200 38000 34200 57900 42200
645 CMU0181 : LEPROSY RECONSTRUCTIVE SURGERY PLASTIC SURGERY 33700 30350 27300 24550 22100 19900 33700 24550
646 CMU0182 : TUMOR OF MANDIBLE AND MAXILLA PLASTIC SURGERY 42100 37900 34100 30700 27600 24850 42100 30700
647 CMU0183 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) PLASTIC SURGERY 0 0 0 0 0 0 0 0
648 CMU0183 a : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - POLYDACTYLY - SIMPLE PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
649 CMU0183 b : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - POLYDACTYLY - BONE AND NEUROVASCULAR BUNDLE PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
650 CMU0183 c : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND - SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
651 CMU0183 d : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND - COMPLEX SYNDACTYLY (PER FINGER) PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
652 CMU0183 e : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - RADIAL CLUBHAND PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
653 CMU0183 f : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - ULNAR CLUBHAND PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
654 CMU0183 g : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - MACRODACTYLY PLASTIC SURGERY 19300 17350 15650 14050 12650 11400 19300 14050
655 CMU0183 h : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - OTHERS MINOR (WILL BE PAID AS PER PROCEDURE) UPTO PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
656 CMU0183 i : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) - OTHERS MAJOR (WILL BE PAID AS PER PROCEDURE) UPTO PLASTIC SURGERY 29300 26350 23750 21350 19200 17300 29300 21350
657 CMU0184 : PRESSURE SORE RECONSTRUCTIVE SURGERY PLASTIC SURGERY 0 0 0 0 0 0 0 0
658 CMU0184 a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - PER 10 SQ CM (UPTO) PLASTIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
659 CMU0184 b : PRESSURE SORE RECONSTRUCTIVE SURGERY - SINGLE ROTATION FLAP - PER 10 SQ CM (UPTO) - PER 10 SQ CM (UPTO) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
660 CMU0184 c : PRESSURE SORE RECONSTRUCTIVE SURGERY - BILATERAL FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
661 CMU0184 d : PRESSURE SORE RECONSTRUCTIVE SURGERY - MUSCULOCUTANEOUS FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
662 CMU0184 e : PRESSURE SORE RECONSTRUCTIVE SURGERY - FASCIOCUTANEOUS FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
663 CMU0184 f : PRESSURE SORE RECONSTRUCTIVE SURGERY - TENSOR FASCIA LATA FLAP - PER 10 SQ CM (UPTO) PLASTIC SURGERY 51200 46100 41450 37300 33600 30250 51200 37300
664 CMU0184 g : PRESSURE SORE RECONSTRUCTIVE SURGERY - OTHERS (PAYABLE BASED ON THE PROCEDURE CARRIED OUT) (UPTO) PLASTIC SURGERY 46100 41500 37350 33600 30250 27200 46100 33600
665 CMU0185 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION PLASTIC SURGERY 0 0 0 0 0 0 0 0
666 CMU0185 a : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - SINGLE CLOSURE PLASTIC SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
667 CMU0185 b : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - FASCIA LATA GRAFT PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
668 CMU0185 c : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - MESH CLOSURE PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
669 CMU0185 d : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - LOCAL FLAPS PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
670 CMU0185 e : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - MYOCUTANEOUS TRANSPOSITION PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
671 CMU0185 f : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION - TRAM PLASTIC SURGERY 51200 46100 41450 37300 33600 30250 51200 37300
672 CMU0186 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/ BURNS/ CONGENITAL) PLASTIC SURGERY 0 0 0 0 0 0 0 0
673 CMU0186 a : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) - UNILATERAL PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
674 CMU0186 b : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) - BILATERAL PLASTIC SURGERY 16000 14400 12950 11650 10500 9450 16000 11650
675 CMU0187 : OPEN FRACTURE WITH EXTERNAL FIXATOR SMALL BONES PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
676 CMU0188 : SPLIT SKIN GRAFTING PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
677 CMU0189 : EXCISION ARTHROPLASTY OF VARIOUS JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0
678 CMU0189 a : EXCISION ARTHROPLASTY OF SMALL JOINTS (FINGERS AND TOES) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
679 CMU0189 b : EXCISION ARTHROPLASTY OF MEDIUM JOINTS (KNEE / SHOULDER) ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
680 CMU0189 c : EXCISION ARTHROPLASTY OF MEDIUM JOINTS (ELBOW / ANKLE / WRIST) ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
681 CMU0189 d : EXCISION ARTHROPLASTY OF LARGE JOINTS (HIP) ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350
682 CMU0190 : TOTAL ELBOW REPLACEMENT ORTHOPEDICS 51700 46550 41900 37700 33900 30550 51700 37700
683 CMU0191 : SHOULDER REPLACEMENT INCLUDING REVERSE CUP ORTHOPEDICS 52800 47500 42750 38500 34650 31200 52800 38500
684 CMU0192 : RADIAL HEAD REPLACEMENT ORTHOPEDICS 34700 31250 28100 25300 22750 20500 34700 25300
685 CMU0193 : SURGICAL CORRECTION OF LONGBONE FRACTURES INCLUDING HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0
686 CMU0193 a : SURGICAL CORRECTION OF LONGBONE FRACTURE - NECK/ SHAFT OF FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850
687 CMU0193 b : SURGICAL CORRECTION OF LONGBONE FRACTURE - IM NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
688 CMU0193 c : SURGICAL CORRECTION OF LONGBONE FRACTURE - SHAFT OF OTHER LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650
689 CMU0193 d : SURGICAL CORRECTION OF LONGBONE FRACTURE - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
690 CMU0193 e : SURGICAL CORRECTION OF LONGBONE FRACTURE - RADIUS, FIBULA, ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
691 CMU0193 f : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLAVICLE ( CRIF) (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400
692 CMU0193 g : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLAVICEL (ORIF) (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
693 CMU0193 h : SURGICAL CORRECTION OF LONGBONE FRACTURE - BOTH BONES OF FOREARM, BOTH BONES OF LEG (FIXATION OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050
694 CMU0193 i : SURGICAL CORRECTION OF LONGBONE FRACTURE - BIMALLEOLAR FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
695 CMU0193 j : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND PROXIMAL FEMORAL NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
696 CMU0193 k : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND PINNING / TENS NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
697 CMU0193 l : SURGICAL CORRECTION OF LONGBONE FRACTURE - CLOSED REDUCTION AND INTERNAL FIXATION WITH K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800
698 CMU0193 m : SURGICAL CORRECTION OF LONGBONE FRACTURE - TENSION BAND WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
699 CMU0193 n : SURGICAL CORRECTION OF LONGBONE FRACTURES - HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
700 CMU0194 : CORRECTION OF NON-UNION / MALUNION FRACTURES INCLUDING HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0
701 CMU0194 a : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - NECK/ SHAFT OF FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850
702 CMU0194 b : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - IM NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
703 CMU0194 c : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - SHAFT OF OTHER LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650
704 CMU0194 d : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
705 CMU0194 e : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - RADIUS, FIBULA, ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
706 CMU0194 f : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLAVICLE ( CRIF) (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400
707 CMU0194 g : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLAVICEL (ORIF) (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
708 CMU0194 h : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - BOTH BONES OF FOREARM, BOTH BONES OF LEG (FIXATION OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050
709 CMU0194 i : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - BIMALLEOLAR FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
710 CMU0194 j : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND PROXIMAL FEMORAL NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
711 CMU0194 k : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND PINNING / TENS NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
712 CMU0194 l : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - CLOSED REDUCTION AND INTERNAL FIXATION WITH K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800
713 CMU0194 m : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - TENSION BAND WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600
714 CMU0194 n : CORRECTION OF NON-UNION / MALUNION FRACTURES FRACTURES - HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
715 CMU0195 : SKELETAL SKULL TRACTION ORTHOPEDICS 31900 28700 25850 23250 20950 18850 31900 23250
716 CMU0196 A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS ORTHOPEDICS 0 0 0 0 0 0 0 0
717 CMU0196 A-i : IMPLANT EXIT- K-WIRES - SINGLE ORTHOPEDICS 1600 1450 1300 1150 1050 950 1600 1150
718 CMU0196 A-ii : IMPLANT EXIT- K-WIRES - MULTIPLE ORTHOPEDICS 2600 2350 2100 1900 1700 1550 2600 1900
719 CMU0196 A-iii : IMPLANT EXIT- SCREWS - SINGLE (OPEN) ORTHOPEDICS 4200 3800 3400 3050 2750 2500 4200 3050
720 CMU0196 A-iv : IMPLANT EXIT- SCREWS - MULTIPLE (OPEN) ORTHOPEDICS 7900 7100 6400 5750 5200 4650 7900 5750
721 CMU0196 A-v : IMPLANT EXIT- SCREWS - SINGLE (CLOSED) ORTHOPEDICS 2100 1900 1700 1550 1400 1250 2100 1550
722 CMU0196 A-vi : IMPLANT EXIT- SCREWS - MULTIPLE (CLOSED) ORTHOPEDICS 3300 2950 2650 2400 2150 1950 3300 2400
723 CMU0196 A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, ETC) - SOLITARY ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
724 CMU0196 A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (PINS / TENS, TBW, ETC) - MULTIPLE ORTHOPEDICS 8200 7400 6650 6000 5400 4850 8200 6000
725 CMU0196 B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) ORTHOPEDICS 0 0 0 0 0 0 0 0
726 CMU0196 B-i : IMPLANT EXIT- PLATES (OPEN) ORTHOPEDICS 13100 11800 10600 9550 8600 7750 13100 9550
727 CMU0196 B-ii : IMPLANT EXIT- FEMORAL SCREWS / IM NAILS / RUSH NAIL (OPEN) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
728 CMU0196 B-iii : IMPLANT EXIT- SPINE IMPLANTS - UPTO 2 LEVELS(COMPLETE EXIT) (EG- L2-L3, L3-L4) ORTHOPEDICS 19300 17350 15650 14050 12650 11400 19300 14050
729 CMU0196 B-iv : IMPLANT EXIT- SPINE IMPLANTS - UPTO 2 LEVELS(PARTIAL EXIT) (EG- L2-L3, L3-L4) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
730 CMU0196 B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 LEVELS(COMPLETE EXIT) (EG- L2-L3, L3-L4, L4-L5) ORTHOPEDICS 21500 19350 17400 15650 14100 12700 21500 15650
731 CMU0196 B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 LEVELS(PARTIAL EXIT) (EG- L2-L3, L3-L4, L4-L5) ORTHOPEDICS 18400 16550 14900 13400 12050 10850 18400 13400
732 CMU0196 B-vii : IMPLANT EXIT- BIPOLAR, ETC ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
733 CMU0196 B-viii : IMPLANT EXIT - OTHER MAJOR IMPLANTS ORTHOPEDICS 13800 12400 11200 10050 9050 8150 13800 10050
734 CMU0196 C-i : EXTERNAL FIXATOR REMOVAL - UNILATERAL UNIPLANAR INCLUDING LRS ORTHOPEDICS 8000 7200 6500 5850 5250 4700 8000 5850
735 CMU0196 C-ii : EXTERNAL FIXATOR REMOVAL - UNILATERAL BIIPLANAR / BILATERAL UNIPLANAR ORTHOPEDICS 10000 9000 8100 7300 6550 5900 10000 7300
736 CMU0196 C-iii : EXTERNAL FIXATOR REMOVAL - BILATERAL BIPLANAR ORTHOPEDICS 12000 10800 9700 8750 7850 7100 12000 8750
737 CMU0196 C-iv : EXTERNAL FIXATOR REMOVAL - CIRCULAR / HYBRID ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950
738 CMU0196 C-v : EXTERNAL FIXATOR REMOVAL - ILLIZAROV ORTHOPEDICS 17500 15750 14200 12750 11500 10350 17500 12750
739 CMU0197 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT ORTHOPEDICS 0 0 0 0 0 0 0 0
740 CMU0197 a : ARTHRODESIS OF JOINTS - HIP ORTHOPEDICS 28400 25550 23000 20700 18650 16750 28400 20700
741 CMU0197 b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
742 CMU0197 c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
743 CMU0197 d : ARTHRODESIS OF JOINTS - ANKLE - TRIPLE ARTHRODESIS ORTHOPEDICS 16800 15100 13600 12250 11000 9900 16800 12250
744 CMU0197 e : ARTHRODESIS OF JOINTS - HAND / FOOT ORTHOPEDICS 11000 9900 8900 8000 7200 6500 11000 8000
745 CMU0197 e-I : ARTHRODESIS OF JOINTS - HAND ORTHOPEDICS 11000 9900 8900 8000 7200 6500 11000 8000
746 CMU0197 e-II : ARTHRODESIS OF JOINTS - FOOT ORTHOPEDICS 11000 9900 8900 8000 7200 6500 11000 8000
747 CMU0198 : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR/KNEE MULTI LIGAMENT RECONSTRUCTION/TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0
748 CMU0198 a : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT-ARTHROSCOPIC MENISCAL REPAIR ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
749 CMU0198 b : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (ACL / PCL WITH OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT) ORTHOPEDICS 41000 36900 33200 29900 26900 24200 41000 29900
750 CMU0198 c : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT KNEE MULTI LIGAMENT RECONSTRUCTION (OTHER LIGAMIENTS - INVOLVING MORE THAN ONE LIGAMENT - (NO INVOLVEMENT OF ACL AND PCL) ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
751 CMU0198 d : ARTHROSCOPY PROCEDURES WITHOUT IMPLANT- TWO OR MORE LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
752 CMU0199 : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350
753 CMU0199 a : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - HERBERT SCREW / AO SCREW ORTHOPEDICS 8400 7550 6800 6100 5500 4950 8400 6100
754 CMU0199 b : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - ENDERS PLATE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
755 CMU0199 c : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - K-WIRE ORTHOPEDICS 6300 5650 5100 4600 4150 3700 6300 4600
756 CMU0199 d : EXCISION OR OTHER OPERATIONS FOR SCAPHOID FRACTURES - EXCISION ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950
757 CMU0200 : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES ORTHOPEDICS 16200 14600 13100 11800 10650 9550 16200 11800
758 CMU0200 A : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - K-WIRE / PIN ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
759 CMU0200 B : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - K-WIRES / PINS (MULTIPLE) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
760 CMU0200 C : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - MINIPLATES ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
761 CMU0200 D : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - MINIPLATES (MULTIPLE) ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 11300
762 CMU0200 E : OPEN REDUCTION & INTERNAL FIXATION OF SMALL BONES - NAIL / PLATES ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 13950
763 CMU0201 : FRACTURE REDUCTION & EXTERNAL FIXATION (INCLUDING LIMB RECONSTRUCTION SYSTEM) ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
764 CMU0201 A : FRACTURE REDUCTION & EXTERNAL FIXATION ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
765 CMU0201 B : FRACTURE REDUCTION & EXTERNAL FIXATION - LIMB RECONSTRUCTION SYSTEM ORTHOPEDICS 20000 18000 16200 14600 13100 11800 20000 14600
766 CMU0201C : FRACTURE REDUCTION & EXTERNAL FIXATION - AO FRAME - FEMUR / HUMERUS / TIBIA ORTHOPEDICS 15750 14200 12750 11500 10350 9300 15750 11500
767 CMU0201D : FRACTURE REDUCTION & EXTERNAL FIXATION - AO FRAME - SPANNING - ANKLE / KNEE ORTHOPEDICS 19000 17100 15400 13850 12450 11200 19000 13850
768 CMU0201E : FRACTURE REDUCTION & EXTERNAL FIXATION - AO FRAME - RADIUS ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
769 CMU0201F : FRACTURE REDUCTION & EXTERNAL FIXATION - HYBRID RING FIXATOR ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
770 CMU0201G : FRACTURE REDUCTION & EXTERNAL FIXATION - COMPLETE RING FIXATOR ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
771 CMU0202 : ILIZAROV RING FIXATOR APPLICATION ORTHOPEDICS 0 0 0 0 0 0 0 0
772 CMU0202 -A : ILIZAROV RING FIXATOR APPLICATION-HUMERUS / FEMUR ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
773 CMU0202 -B : ILIZAROV RING FIXATOR APPLICATION- TIBIA / RADIUS ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
774 CMU0203 : SURGERY FOR NEGLECTED CTEV / RECURRENT CTEV ORTHOPEDICS 0 0 0 0 0 0 0 0
775 CMU0203 -A : SURGERY FOR NEGLECTED CTEV / RECURRENT CTEV - JESS FIXATOR ORTHOPEDICS 19000 17100 15400 13850 12450 11200 19000 13850
776 CMU0203 -B : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - PERCUTANEOUS + POP ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
777 CMU0203 -C : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - Z - PLASTY ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
778 CMU0203 -D : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV - TA - LENGTHENING - POSTERIOMEDIAL RELEASE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
779 CMU0204 : OPEN REDUCTION OF DISLOCATIONS - DEEP/SHOULDER/ACROMIO - CLAVICULAR/HIP/ELBOW ORTHOPEDICS 25500 22950 20650 18600 16750 15050 25500 18600
780 CMU0204 -A : OPEN REDUCTION OF DISLOCATIONS - DEEP / HIP/SHOULDER/ELBOW ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
781 CMU0204 -B : ACROMIO - CLAVICULAR JOINT WITH IMPLANT ORTHOPEDICS 18000 16200 14600 13100 11800 10650 18000 13100
782 CMU0204 -C : RECURRENT SHOULDER DISLOCATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
783 CMU0205 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0
784 CMU0205 -A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
785 CMU0205 -B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
786 CMU0206 : AVASCULAR NECROSIS OF FEMORAL HEAD (CORE DECOMPRESSION) ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
787 CMU0207 : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION/HIGH TIBIAL OSTEOTOMY/TENDON TRANSFER ORTHOPEDICS 30500 27450 24700 22250 20000 18000 30500 22250
788 CMU0207 -A : SOFT TISSUE RECONSTRUCTION PROCEDURES AROUND JOINTS-PLC RECONSTRUCTION/ELBOW PLRI LIGAMENT RECONTRUCTION/ANKLE ATFL RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
789 CMU0207 -B : HIGH TIBIAL OSTEOTOMY ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050
790 CMU0207 -C : TENDON TRANSFER (UTILIZE PACKAGE CMU0832 B) ORTHOPEDICS 0 0 0 0 0 0 0 0
791 CMU0208 : ANTEROLATERAL CLEARANCE FOR TUBERCULOSIS ORTHOPEDICS 32600 29350 26400 23750 21400 19250 32600 23750
792 CMU0209 : COSTO TRANSVERSECTOMY ORTHOPEDICS 30200 27200 24450 22000 19800 17850 30200 22000
793 CMU0210 : SPINAL OSTECTOMY AND INTERNAL FIXATIONS ORTHOPEDICS 49000 44100 39700 35700 32150 28950 49000 35700
794 CMU0211 : SURGERY FOR PATELLA FRACTURE ORTHOPEDICS 0 0 0 0 0 0 0 0
795 CMU0211 -a : SURGERY FOR PATELLA FRACTURE- K-WIRE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350
796 CMU0211 -b : SURGERY FOR PATELLA FRACTURE - TBW ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
797 CMU0211 -c : SURGERY FOR PATELLA FRACTURE - ENCIRCLAGE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
798 CMU0212 : SMALL BONE FRACTURES-K-WIRING ORTHOPEDICS 0 0 0 0 0 0 0 0
799 CMU0212 -a : SMALL BONE FRACTURES-K-WIRING - SINGLE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350
800 CMU0212 -b : SMALL BONE FRACTURES-K-WIRING - MULTIPLE ORTHOPEDICS 5600 5050 4550 4100 3650 3300 5600 4100
801 CMU0213 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES ORTHOPEDICS 33900 30500 27450 24700 22250 20000 33900 24700
802 CMU0214 : CORRECTION OF SACRO ILLIAC JOINT / ACETABULAR FRACTURES ORTHOPEDICS 34400 30950 27850 25100 22550 20300 34400 25100
803 CMU0214 -a : CORRECTION OF SACRO ILLIAC JOINT ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050
804 CMU0214 -b : ACETABULAR FRACTURES ORTHOPEDICS 29500 26550 23900 21500 19350 17400 29500 21500
805 CMU0215 : TOTAL KNEE REPLACEMENT ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300
806 CMU0215 A : TOTAL KNEE REPLACEMENT 71 YEARS AND ABOVE ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300
807 CMU0216 A : TOTAL HIP REPLACEMENT- CEMENTED ORTHOPEDICS 70100 63100 63100 63100 63100 63100 70100 63100
808 CMU0216 B : TOTAL HIP REPLACEMENT-UNCEMETED ORTHOPEDICS 80600 72550 72550 72550 72550 72550 80600 72550
809 CMU0217 A : REVISION HIP REPLACEMENT SURGERY - CEMENTED (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 77400 69650 69650 69650 69650 69650 77400 69650
810 CMU0217 B : REVISION HIP REPLACEMENT SURGERY - UNCEMENTED (ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 87900 79100 79100 79100 79100 79100 87900 79100
811 CMU0218 : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL - GOVERNMENT RESERVED) ORTHOPEDICS 81900 73700 73700 73700 73700 73700 81900 73700
812 CMU0219 : ARTHROSCOPIC BANKART REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000
813 CMU0220 : ARTHROSCOPIC ROTATOR CUFF REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000
814 CMU0221 : ACQUIRED HEART DISEASE WITH CONGESTIVE CARDIAC FAILURE PAEDIATRICS 17000 15300 13750 12400 11150 10050 17000 12400
815 CMU0222 : INBORN ERROR OF METABOLISM PAEDIATRICS 40000 36000 32400 29150 26250 23600 40000 29150
816 CMU0223 : HEMOPHAGOCYTIC LYMPHO HISTIOCYTOSIS PAEDIATRICS 30000 27000 24300 21850 19700 17700 30000 21850
817 CMU0224 : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) PAEDIATRICS 0 0 0 0 0 0 0 0
818 CMU0224 -A : HYPOPLASTIC ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
819 CMU0224 -B : APLASTIC ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
820 CMU0224 -C : FANCONI ANEMIA PAEDIATRICS 3100 2800 2500 2250 2050 1850 3100 2250
821 CMU0225 : NECROTISING ENTEROCOLITIS - CLINICAL SEPSIS /HYPERBILIRUBINEMIA /NON VENTILATED PAEDIATRICS 0 0 0 0 0 0 0 0
822 CMU0225 -A : NECROTISING ENTEROCOLITIS - NON VENTILATED PAEDIATRICS 25000 22500 20250 18250 16400 14750 25000 18250
823 CMU0225 -B : CLINICAL SEPSIS /HYPERBILIRUBINEMIA - CHOOSE APPROPRIATE NEONATAL PACKAGE PAEDIATRICS 0 0 0 0 0 0 0 0
824 CMU0226 : VITAMIN D RESISTANT RICKETS PAEDIATRICS 10000 9000 8100 7300 6550 5900 10000 7300
825 CMU0227 : ADRENAL FAILURE INCLUDING PRIMARY ADRENAL FAILURE AND CAH PAEDIATRICS 25000 22500 20250 18250 16400 14750 25000 18250
826 CMU0228 : PRIMARY IMMUNO DEFICIENCY DISORDERS PAEDIATRICS 150000 135000 121500 109350 98400 88550 150000 109350
827 CMU0229 A : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
828 CMU0229 A-i : TERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 7400 6650 6000 5400 4850 4350 7400 5400
829 CMU0229 A-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 10500 9450 8500 7650 6900 6200 10500 7650
830 CMU0229 A-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
831 CMU0229 B : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
832 CMU0229 B-i : TERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
833 CMU0229 B-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
834 CMU0229 B-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
835 CMU0229 C : TERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
836 CMU0229 C-i : TERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
837 CMU0229 C-ii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
838 CMU0229 C-iii : TERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
839 CMU0230 A : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
840 CMU0230 B : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
841 CMU0230 C : TERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
842 CMU0230 D : TERM BABY HYPERBILIRUBINEMIA - PHOTOTHERAPY NEONATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
843 CMU0231 A : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
844 CMU0231 B : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
845 CMU0231 C : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
846 CMU0231 D : TERM BABY PERSISTENT PULMONARY HYPERTENSION / MECONIUM ASPIRATION SYNDROME / PERINATAL ASPHYXIA / WITH MECHANICAL VENTILATION - MECHANICAL HIGH-FREQUENCY OSCILLATORY VENTILATION (HFOV) NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
847 CMU0232 A : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
848 CMU0232 A-i : PRETERM BABY WITH CLINICAL SEPSIS NEONATOLOGY 10500 9450 8500 7650 6900 6200 10500 7650
849 CMU0232 A-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
850 CMU0232 A-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
851 CMU0232 B : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH CPAP NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
852 CMU0232 B-i : PRETERM BABY WITH CLINICAL SEPSIS WITH CPAP NEONATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
853 CMU0232 B-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
854 CMU0232 B-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH CPAP(MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
855 CMU0232 C : PRETERM BABY WITH CULTURE POSITIVE SEPSIS / CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 78800 70900 63850 57450 51700 46550 78800 57450
856 CMU0232 C-i : PRETERM BABY WITH CLINICAL SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
857 CMU0232 C-ii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
858 CMU0232 C-iii : PRETERM BABY WITH CULTURE POSITIVE SEPSIS WITH MECHANICAL VENTILATION (MULTI DRUG RESISTANT REQUIRING HIGHER ANTIBIOTICS - IMIPENEMS, VANCOMYCIN ETC) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
859 CMU0233 A : PRETERM BABY HYPERBILIRUBINEMIA / EXCHANGE TRANSFUSION WITHOUT MECHANICAL VENTILATION / CPAP NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
860 CMU0233 B : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
861 CMU0233 C : PRETERM BABY HYPERBILIRUBINEMIA - EXCHANGE TRANSFUSION WITH MECHANICAL VENTILATION NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
862 CMU0233 D : PRETERM BABY HYPERBILIRUBINEMIA - PHOTOTHERAPY NEONATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
863 CMU0234 A : TERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
864 CMU0234 B : TERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
865 CMU0235 A : PRETERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH CPAP NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
866 CMU0235 B : PRETERM BABY - PNEUMONIA /TRANSIENT TACHYPNEA OF NEW BORN WITH VENTILATOR NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
867 CMU0236 A : TERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - NON VENTILATED NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
868 CMU0236 B : TERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
869 CMU0237 : PRETERM - WITH /SEVERE PERINATAL ASPHYXIA /SEPTIC SHOCK /SEIZURES /RENAL FAILURE/ - VENTILATED NEONATOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
870 CMU0238 A : PRETERM BABY RDS WITHOUT SURFACTANT WITH CPAP NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
871 CMU0238 B : PRETERM BABY RDS WITH SURFACTANT WITH CPAP NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
872 CMU0238 C : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 84000 75600 68050 61250 55100 49600 84000 61250
873 CMU0238 D : PRETERM BABY RDS WITH SURFACTANT WITH MECHANICAL VENTILATION NEONATOLOGY 68300 61450 55300 49800 44800 40350 68300 49800
874 CMU0239 : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
875 CMU0239 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (HIGH FREQUENCY OSCILLATORY VENTILATION) NEONATOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
876 CMU0240 : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 36800 33100 29800 26850 24150 21750 36800 26850
877 CMU0241 : PRETERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
878 CMU0241 A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITH VENTILATION (HIGH FREQUENCY OSCILLATORY VENTILATION) NEONATOLOGY 63000 56700 51050 45950 41350 37200 63000 45950
879 CMU0242 : PRETERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE- WITHOUT VENTILATION NEONATOLOGY 47300 42550 38300 34500 31050 27950 47300 34500
880 CMU0243 A : TERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
881 CMU0243 B : PRETERM NEONATAL SEPTIC ARTHRITIS NEONATOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
882 CMU0244 : TERM/PRETERM NEONATAL CHOLESTASIS WITH OR WITHOUT SEPSIS NEONATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
883 CMU0245 : UMBLICAL VENOUS CATHETER PLACEMENT NEONATOLOGY 4000 4000 4000 4000 4000 4000 4000 4000
884 CMU0246 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (NON-VENTILATED) PAEDIATRIC INTENSIVE CARE 0 0 0 0 0 0 0 0
885 CMU0246 -A : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (NON ICU) PAEDIATRIC INTENSIVE CARE 7500 6750 6100 5450 4900 4450 7500 5450
886 CMU0246 -B : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA / SEVERE ASPIRATION PNEUMONIA (ICU - WITH PHOTOGRAPH) PAEDIATRIC INTENSIVE CARE 15800 14200 12800 11500 10350 9350 15800 11500
887 CMU0247 : SEVERE BRONCHIOLITIS/SEVERE BRONCHO PNEUMONIA/ SEVERE ASPIRATION PNEUMONIA (VENTILATED) PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
888 CMU0248 : INTRA CRANIAL BLEED /HEMORRHAGIC DISEASE OF NEWBORN INTRACRANIAL BLEED PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
889 CMU0249 : ACUTE GASTRO INTESTINAL BLEED PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25500 22950 20650 35000 25500
890 CMU0250 A : ACUTE PANCREATITIS PAEDIATRIC INTENSIVE CARE 35000 31500 28350 25500 22950 20650 35000 25500
891 CMU0250 B : ACUTE HEPATITIS PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
892 CMU0251 : ACUTE HEPATITIS WITH HEPATIC ENCEPHALOPATHY PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
893 CMU0252 : SNAKE BITE REQUIRING VENTILATOR PAEDIATRIC INTENSIVE CARE 50000 50000 45000 45000 45000 45000 50000 45000
894 CMU0253 : SNAKE BITE - NON VENTILATED / COAGULOPATHY PAEDIATRIC INTENSIVE CARE 30000 27000 24300 21850 19700 17700 30000 21850
895 CMU0254 : SCORPION STING WITH MYOCARDITIS AND CARDIOGENIC SHOCK REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 44000 39600 35650 32100 28850 26000 44000 32100
896 CMU0255 : POISON INGESTION (INCLUDING HYDROCARBONS) / ASPIRATION REQUIRING VENTILATORY ASSISTANCE PAEDIATRIC INTENSIVE CARE 52500 47250 42550 38250 34450 31000 52500 38250
897 CMU0256 : ACUTE BRONCHO/ LOBAR PNEUMONIA WITH EMPYEMA/ PLEURAL EFFUSION/ PYOPNEUMOTHORAX PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
898 CMU0257 : ACUTE STRIDOR/FOREIGN BODY OBSTRUCTION PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
899 CMU0258 : NEPHROTIC SYNDROME /ACUTE GLOMERULONEPHRITIS PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
900 CMU0259 : RECURRENT URINARY TRACT INFECTION WITH COMPLICATIONS LIKE PYELONEPHRITIS AND RENAL FAILURE PAEDIATRIC INTENSIVE CARE 25000 22500 20250 18250 16400 14750 25000 18250
901 CMU0260 : ADVERSE EVENTS FOLLOWING IMMUNISATION PAEDIATRIC INTENSIVE CARE 0 0 0 0 0 0 0 0
902 CMU0260 A : ADVERSE EVENTS FOLLOWING IMMUNISATION REQUIRING VENTILATOR SUPPORT PAEDIATRIC INTENSIVE CARE 40000 36000 32400 29150 26250 23600 40000 29150
903 CMU0261 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITHOUT OBSTRUCTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
904 CMU0262 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITH OBSTRUCTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
905 CMU0263 : BILIARY ATRESIA & CHOLEDOCHAL CYST (INCLUDES OPERATIVE CHOLANGIOGRAM) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
906 CMU0263 -A : BILIARY ATRESIA PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
907 CMU0263 -B : CHOLEDOCHAL CYST PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
908 CMU0264 : ANORECTAL MALFORMATIONS - STAGE 1 /COLOSTOMY PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
909 CMU0265 : ANORECTAL MALFORMATIONS - STAGE 2/PULLTHROUGH PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
910 CMU0266 : ANORECTAL MALFORMATION - STAGE 3/CLOSURE PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
911 CMU0267 A : HIRSCHPRUNGS DISEASE - STAGE 1 PAEDIATRIC SURGERIES 44100 39700 35700 32150 28950 26050 44100 32150
912 CMU0267 B : HIRSCHPRUNGS DISEASE - STAGE 2 PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
913 CMU0268 : CONGENITAL HYDRONEPHROSIS PAEDIATRIC SURGERIES 38500 34650 31200 28050 25250 22750 38500 28050
914 CMU0269 : EXSTROPHY BLADDER - STAGE 1/2 PAEDIATRIC SURGERIES 57800 52000 46800 42150 37900 34150 57800 42150
915 CMU0269 -A : EXSTROPHY BLADDER - STAGE 1 PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
916 CMU0269 -B : EXSTROPHY BLADDER - STAGE 2 PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
917 CMU0270 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
918 CMU0271 : POSTERIOR URETHRAL VALVES (CYSTOSCOPIC FULGRATION) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
919 CMU0272 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY CLOSURE) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
920 CMU0273 : HAMARTOMA EXCISION PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
921 CMU0273 A : HAMARTOMA EXCISION<5CM PAEDIATRIC SURGERIES 17500 15750 14200 12750 11500 10350 17500 12750
922 CMU0273 B : HAMARTOMA EXCISION >5CM PAEDIATRIC SURGERIES 21000 18900 17000 15300 13800 12400 21000 15300
923 CMU0274 : HEMANGIOMA EXCISION PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
924 CMU0275 : LYMPHANGIOMA EXCISION PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
925 CMU0276 : NEUROBLASTOMA PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
926 CMU0277 A : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS (INCLUDING POLYPS / TUMOR) -SURGICAL CORRECTION PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
927 CMU0277 B : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS - OESOPHAGEAL SUBSTITUTIONS PAEDIATRIC SURGERIES 63000 56700 51050 45950 41350 37200 63000 45950
928 CMU0278 : THORACOSCOPIC DECORTICATION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
929 CMU0279 : THORACOSCOPIC CYST EXCISION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
930 CMU0280 : THORACIC DUPLICATION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
931 CMU0281 : LAPAROSCOPIC PULL THROUGH FOR ANO RECTAL ANOMALIES PAEDIATRIC SURGERIES 55700 50150 45100 40600 36550 32900 55700 40600
932 CMU0282 : LAPAROSCOPIC PULL THROUGH FOR HIRSCHPRUNGS DISEASE PAEDIATRIC SURGERIES 55700 50150 45100 40600 36550 32900 55700 40600
933 CMU0283 : GASTRIC OUTLET OBSTRUCTIONS PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
934 CMU0284 : INTERSEX PAEDIATRIC SURGERIES 44100 39700 35700 32150 28950 26050 44100 32150
935 CMU0285 A : SURGICAL CORRECTION FOR URACHAL ANOMALY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
936 CMU0285 B : SURGICAL CORRECTION FOR CLOACAL ANOMALY PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
937 CMU0286 : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
938 CMU0286 A : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION STAGE 1 PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
939 CMU0286 B : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION STAGE 2 PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
940 CMU0287 : BLADDER AUGMENTATION AND SUBSTITUTION PAEDIATRIC SURGERIES 57800 52000 46800 42150 37900 34150 57800 42150
941 CMU0288 A : URETEROSTOMY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
942 CMU0288 B : URETEROSTOMY CLOSURE PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
943 CMU0289 : CONGENITAL LUNG LESIONS (CLE, CCAM) PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
944 CMU0289 A : LOBECTECTOMY PAEDIATRIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
945 CMU0289 B : CYST EXCISION PAEDIATRIC SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
946 CMU0290 : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY PAEDIATRIC SURGERIES 0 0 0 0 0 0 0 0
947 CMU0290 A : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (COMPLEX - SINGLE STAGE) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
948 CMU0290 B : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (SIMPLE - SINGLE STAGE) PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
949 CMU0290 C : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - TWO STAGE - PER STAGE - UPTO PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
950 CMU0290 D : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - THREE STAGE - PER STAGE - UPTO PAEDIATRIC SURGERIES 17900 16100 14500 13050 11750 10550 17900 13050
951 CMU0291 : PATENT VITELLO INTESTINAL DUCT PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
952 CMU0292 A : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - UNILATERAL PAEDIATRIC SURGERIES 47300 42550 38300 34500 31050 27950 47300 34500
953 CMU0292 B : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - BILATERAL PAEDIATRIC SURGERIES 84000 75600 68050 61250 55100 49600 84000 61250
954 CMU0293 : RECTAL POLYP - POLYPECTOMY PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
955 CMU0293 -A : RECTAL POLYP - POLYPECTOMY- OPEN PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
956 CMU0293 -B : RECTAL POLYP - POLYPECTOMY- LAP PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
957 CMU0294 : INTESTINAL POLYPOSIS SURGICAL CORRECTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
958 CMU0295 : ENCEPHALOCELE PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
959 CMU0296 : SCROTAL TRANSPOSITION REPAIR PAEDIATRIC SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
960 CMU0297 : OPEN CYSTECTOMY (BLADDER) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
961 CMU0298 : LAP CYSTECTOMY (BLADDER) PAEDIATRIC SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
962 CMU0299 A : NECROTISING ENTEROCOLITIS - FLANK DRAINAGE PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
963 CMU0299 B : NECROTISING ENTEROCOLITIS - /LAPAROTOMY PAEDIATRIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
964 CMU0300 : CONGENITAL HYDROCELE REPAIR PAEDIATRIC SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
965 CMU0301 : VULVAL SYNECHIAE PAEDIATRIC SURGERIES 15800 14200 12800 11500 10350 9350 15800 11500
966 CMU0302 : THORACIC/ABDOMINAL WALL DEFECTS -CORRECTION PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
967 CMU0303 : TUMOR EXCISION (NEONATES/PAEDIATRICS) PAEDIATRIC SURGERIES 52500 47250 42550 38250 34450 31000 52500 38250
968 CMU0304 : CRANIOTOMY AND EVACUATION OF HAEMATOMA NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
969 CMU0305 A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
970 CMU0305 B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
971 CMU0306 A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
972 CMU0306 B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
973 CMU0307 A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) NEUROSURGERY 84300 75850 68300 61450 55300 49800 84300 61450
974 CMU0307 B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) NEUROSURGERY 91000 81900 73700 66350 59700 53750 91000 66350
975 CMU0308 A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT NEUROSURGERY 44900 40400 36350 32750 29450 26500 44900 32750
976 CMU0308 B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL NEUROSURGERY 48300 43450 39100 35200 31700 28500 48300 35200
977 CMU0309 A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION NEUROSURGERY 44900 40400 36350 32750 29450 26500 44900 32750
978 CMU0309 B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT NEUROSURGERY 49900 44900 40400 36400 32750 29450 49900 36400
979 CMU0309 C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION NEUROSURGERY 48300 43450 39100 35200 31700 28500 48300 35200
980 CMU0309 D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT NEUROSURGERY 42600 38350 34500 31050 27950 25150 42600 31050
981 CMU0310 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT NEUROSURGERY 68300 61450 55300 49800 44800 40350 68300 49800
982 CMU0311 : TWIST DRILL CRANIOSTOMY NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
983 CMU0312 : SUBDURAL TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
984 CMU0313 : VENTRICULAR TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
985 CMU0314 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING NEUROSURGERY 26600 23950 21550 19400 17450 15700 26600 19400
986 CMU0315 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION NEUROSURGERY 45400 40850 36750 33100 29800 26800 45400 33100
987 CMU0316 : C.S.F. RHINORRHOEA & ACF REPAIR NEUROSURGERY 58600 52750 47450 42700 38450 34600 58600 42700
988 CMU0317 : CRANIOPLASTY NEUROSURGERY 67100 60400 54350 48900 44000 39600 67100 48900
989 CMU0318 : EXTERNAL VENTRICULAR DRAINAGE (EVD) NEUROSURGERY 36700 33050 29750 26750 24100 21650 36700 26750
990 CMU0319 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL, CEREBELLUM ETC) NEUROSURGERY 75000 67500 60750 54700 49200 44300 75000 54700
991 CMU0320 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) NEUROSURGERY 71000 63900 57500 51750 46600 41900 71000 51750
992 CMU0321 : BASAL LESION NEUROSURGERY 80300 72250 65050 58550 52700 47400 80300 58550
993 CMU0322 : BRAIN STEM LESION NEUROSURGERY 97700 87950 79150 71200 64100 57700 97700 71200
994 CMU0323 : C P ANGLE LESION NEUROSURGERY 97700 87950 79150 71200 64100 57700 97700 71200
995 CMU0324 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE NEUROSURGERY 82900 74600 67150 60450 54400 48950 82900 60450
996 CMU0325 : STEREOTACTIC PROCEDURES- ABLATION NEUROSURGERY 141000 126900 114200 102800 92500 83250 141000 102800
997 CMU0326 : STEREOTACTIC PROCEDURES- BIOPSY NEUROSURGERY 54700 49250 44300 39900 35900 32300 54700 39900
998 CMU0327 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
999 CMU0328 : INTRA-CEREBRAL HEMATOMA EVACUATION NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
1000 CMU0329 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
1001 CMU0330 A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 87700 78950 71050 63950 57550 51800 87700 63950
1002 CMU0330 B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) NEUROSURGERY 86300 77650 69900 62900 56600 50950 86300 62900
1003 CMU0330 C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 63400 57050 51350 46200 41600 37450 63400 46200
1004 CMU0330 D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) NEUROSURGERY 63400 57050 51350 46200 41600 37450 63400 46200
1005 CMU0331 : LESIONECTOMY FOR INTRACTABLE SEIZURES NEUROSURGERY 163000 146700 132050 118850 106950 96250 163000 118850
1006 CMU0332 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES NEUROSURGERY 65500 58950 53050 47750 42950 38700 65500 47750
1007 CMU0333 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA NEUROSURGERY 72100 64900 58400 52550 47300 42550 72100 52550
1008 CMU0334 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) NEUROSURGERY 54300 48850 44000 39600 35650 32050 54300 39600
1009 CMU0335 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM NEUROSURGERY 52600 47350 42600 38350 34500 31050 52600 38350
1010 CMU0336 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION NEUROSURGERY 82100 73900 66500 59850 53850 48500 82100 59850
1011 CMU0337 : INTRACRANIAL FOREIGN BODY REMOVAL NEUROSURGERY 77700 69950 62950 56650 51000 45900 77700 56650
1012 CMU0338 A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 31900 28700 25850 23250 20950 18850 31900 23250
1013 CMU0338 B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 44100 39700 35700 32150 28950 26050 44100 32150
1014 CMU0338 C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 55100 49600 44650 40150 36150 32550 55100 40150
1015 CMU0338 D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ NEUROSURGERY 56100 50500 45450 40900 36800 33150 56100 40900
1016 CMU0338 E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 32600 29350 26400 23750 21400 19250 32600 23750
1017 CMU0338 F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ NEUROSURGERY 38700 34850 31350 28200 25400 22850 38700 28200
1018 CMU0338 G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA NEUROSURGERY 50700 45650 41050 36950 33250 29950 50700 36950
1019 CMU0338 H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ NEUROSURGERY 50700 45650 41050 36950 33250 29950 50700 36950
1020 CMU0339 A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ NEUROSURGERY 50000 45000 40500 36450 32800 29500 50000 36450
1021 CMU0339 B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ NEUROSURGERY 52200 47000 42300 38050 34250 30800 52200 38050
1022 CMU0340 A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION NEUROSURGERY 79700 71750 64550 58100 52300 47050 79700 58100
1023 CMU0340 B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY NEUROSURGERY 70300 63250 56950 51250 46100 41500 70300 51250
1024 CMU0341 A : DEEP BRAIN STIMULATION E-COG WITH BRAIN MAPPING (MRI, FMRI WITH 3D- MAPPING) NEUROSURGERY 154600 139150 125250 112700 101450 91300 154600 112700
1025 CMU0341 B : DEEP BRAIN STIMULATION WITH E-COG, BRAIN MAPPING, INTRA-OPERATIVE NEURONAVIGATION TECHNIQUES & I-O CT/ MRI GUIDED STEREOTACTIC STIMULATION NEUROSURGERY 196300 176650 159000 143100 128800 115900 196300 143100
1026 CMU0342 : INTRATHECAL PUMP IMPLANT NEUROSURGERY 72100 64900 58400 52550 47300 42550 72100 52550
1027 CMU0343 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION NEUROSURGERY 97600 87850 79050 71150 64050 57650 97600 71150
1028 CMU0344 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION NEUROSURGERY 103400 93050 83750 75400 67850 61050 103400 75400
1029 CMU0345 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY NEUROSURGERY 44600 40150 36150 32500 29250 26350 44600 32500
1030 CMU0346 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY NEUROSURGERY 51800 46600 41950 37750 34000 30600 51800 37750
1031 CMU0347 : CERVICAL / LUMBAR SYMPATHECTOMY NEUROSURGERY 43300 38950 35050 31550 28400 25550 43300 31550
1032 CMU0348 : BRAIN - ANY BIOPSY NEUROSURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1033 CMU0349 - A : D V T - IVC FILTER VASCULAR SURGERIES 101600 91450 82300 74050 66650 60000 101600 74050
1034 CMU0349 : D V T - IVC FILTER VASCULAR SURGERIES 101600 91450 82300 74050 66650 60000 101600 74050
1035 CMU0349 -B : D V T - IVC FILTER INTERVENTIONAL RADIOLOGY 101600 91450 82300 74050 66650 60000 101600 74050
1036 CMU0350 : PERIPHERAL EMBOLECTOMY WITHOUT GRAFT VASCULAR SURGERIES 68300 61450 55300 49800 44800 40350 68300 49800
1037 CMU0351 : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL VASCULAR SURGERIES 41800 37600 33850 30450 27400 24700 41800 30450
1038 CMU0351 -A : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (LIMBS) < 3 SQ CM SURFACE AREA VASCULAR SURGERIES 17500 15750 14200 12750 11500 10350 17500 12750
1039 CMU0351 -B : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (LIMBS) 3 TO 6 CM VASCULAR SURGERIES 22000 19800 17800 16050 14450 13000 22000 16050
1040 CMU0351 -C : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (OTHERS) < 3 CM VASCULAR SURGERIES 27500 24750 22300 20050 18050 16250 27500 20050
1041 CMU0351 -D : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (OTHERS) 3 TO 6 CM VASCULAR SURGERIES 31500 28350 25500 22950 20650 18600 31500 22950
1042 CMU0352 -B : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (LIMBS) > 6 CM VASCULAR SURGERIES 27500 24750 22300 20050 18050 16250 27500 20050
1043 CMU0352 -C : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (OTHERS) > 6 CM VASCULAR SURGERIES 44000 39600 35650 32100 28850 26000 44000 32100
1044 CMU0352A : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE VASCULAR SURGERIES 74000 66600 59950 53950 48550 43700 74000 66600
1045 CMU0353 : ARTERIAL EMBOLECTOMY VASCULAR SURGERIES 68800 61900 55750 50150 45150 40650 68800 50150
1046 CMU0354 : VASCULAR TUMORS VASCULAR SURGERIES 59700 53750 48350 43500 39150 35250 59700 43500
1047 CMU0355 : SMALL ARTERIAL ANEURYSMS - REPAIR VASCULAR SURGERIES 37700 33950 30550 27500 24750 22250 37700 27500
1048 CMU0356 : MEDIUM & LARGE SIZE ARTERIAL ANEURYSMS - REPAIR VASCULAR SURGERIES 0 0 0 0 0 0 0 0
1049 CMU0356 -A : MEDIUM SIZE ARTERIAL ANEURYSMS (EG. RADIAL, CEPHALIC, BRACHIAL, ETC) - REPAIR VASCULAR SURGERIES 36800 33100 29800 26850 24150 21750 36800 26850
1050 CMU0356 -B : MEDIUM SIZE ARTERIAL ANEURYSMS (EG. CAROTID, JUGULAR, FEMORAL, ETC) - REPAIR VASCULAR SURGERIES 46500 41850 37650 33900 30500 27450 46500 33900
1051 CMU0356 -C : LARGE SIZE LARGE SIZE ARTERIAL ANEURYSMS - REPAIR VASCULAR SURGERIES 60000 54000 48600 43750 39350 35450 60000 54000
1052 CMU0357 : MEDIUM & LARGE SIZE ARTERIAL ANEURYSMS - REPAIR WITH SYNTHETIC GRAFT VASCULAR SURGERIES 0 0 0 0 0 0 0 0
1053 CMU0357 -A : MEDIUM & LARGE SIZE ARTERIAL ANEURYSMS - REPAIR WITH SYNTHETIC GRAFT (EG. RADIAL, CEPHALIC, BRACHIAL, ETC) VASCULAR SURGERIES 66000 59400 53450 48100 43300 38950 66000 48100
1054 CMU0357 -B : MEDIUM & LARGE SIZE ARTERIAL ANEURYSMS - REPAIR WITH SYNTHETIC GRAFT(EG. CAROTID, JUGULAR, FEMORAL, ETC) VASCULAR SURGERIES 80900 72800 65550 59000 53100 47750 80900 59000
1055 CMU0357 -C : LARGE SIZE LARGE SIZE ARTERIAL ANEURYSMS - REPAIR WITH SYNTHETIC GRAFT VASCULAR SURGERIES 90000 81000 72900 65600 59050 53150 90000 65600
1056 CMU0358 : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION VASCULAR SURGERIES 80800 72700 65450 58900 53000 47700 80800 58900
1057 CMU0359 : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR VASCULAR SURGERIES 80500 72450 65200 58700 52800 47550 80500 58700
1058 CMU0360 : AORTO - ILLIAC / FEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 128000 115200 103700 93300 84000 75600 128000 93300
1059 CMU0360 A-i : AORTO - ILLIAC BYPASS WITH VEIN VASCULAR SURGERIES 60200 54200 48750 43900 39500 35550 60200 43900
1060 CMU0360 A-ii : AORTO - FEMORAL BYPASS WITH VEIN VASCULAR SURGERIES 66900 60200 54200 48750 43900 39500 66900 48750
1061 CMU0360 B-i : AORTO - ILLIAC BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 84400 75950 68350 61550 55350 49850 84400 75950
1062 CMU0360 B-ii : AORTO - FEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 91000 81900 73700 66350 59700 53750 91000 81900
1063 CMU0361 : AXILLO FEMORAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 106500 95850 86250 77650 69850 62900 106500 77650
1064 CMU0362 : FEMORO DISTAL BYPASS WITH VEIN GRAFT VASCULAR SURGERIES 62500 56250 50650 45550 41000 36900 62500 45550
1065 CMU0363 : FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 85800 77200 69500 62550 56300 50650 85800 62550
1066 CMU0364 : AXILLO BRACHIAL BYPASS USING SYNTHETIC GRAFT VASCULAR SURGERIES 68200 61400 55250 49700 44750 40250 68200 49700
1067 CMU0365 : BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 56800 51100 46000 41400 37250 33550 56800 41400
1068 CMU0366 : FEMORO- POPLITEAL BYPASS WITH GRAFT VASCULAR SURGERIES 62200 56000 50400 45350 40800 36750 62200 45350
1069 CMU0367 : FEMORO- POPLITEAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 35200 31700 28500 25650 23100 20800 35200 25650
1070 CMU0368 : ILIO - FEMORAL BYPASS WITH GRAFT VASCULAR SURGERIES 55200 49700 44700 40250 36200 32600 55200 40250
1071 CMU0369 : ILIO - FEMORAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 30500 27450 24700 22250 20000 18000 30500 22250
1072 CMU0370 : FEMORO FEMORAL BYPASS WITH GRAFT VASCULAR SURGERIES 54800 49300 44400 39950 35950 32350 54800 39950
1073 CMU0371 : FEMORO FEMORAL BYPASS WITHOUT GRAFT VASCULAR SURGERIES 31200 28100 25250 22750 20450 18400 31200 22750
1074 CMU0372 : AORTO RENAL BYPASS VASCULAR SURGERIES 58200 52400 47150 42450 38200 34350 58200 42450
1075 CMU0373 : AORTO MESENTRIC BYPASS VASCULAR SURGERIES 58200 52400 47150 42450 38200 34350 58200 42450
1076 CMU0374 : CAROTID SUBCLAVIAN ARTERY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 79500 71550 64400 57950 52150 46950 79500 57950
1077 CMU0375 : AXILLO AXILLARY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 57800 52000 46800 42150 37900 34150 57800 42150
1078 CMU0376 : SUBCLAVIAN SUBCLAVIAN BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 58900 53000 47700 42950 38650 34800 58900 42950
1079 CMU0377 : CAROTID BODY TUMOR - EXCISION VASCULAR SURGERIES 54900 49400 44450 40000 36000 32400 54900 40000
1080 CMU0378 : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT VASCULAR SURGERIES 103900 93500 84150 75750 68150 61350 103900 75750
1081 CMU0379 : SURGERY WITHOUT GRAFT FOR ARTERIAL INJURIES OR VENOUS INJURIES VASCULAR SURGERIES 13600 12250 11000 9900 8900 8050 13600 9900
1082 CMU0380 : VASCULAR INJURY IN UPPER LIMBS - AXILLARY, BRANCHIAL, RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 43100 38800 34900 31400 28300 25450 43100 31400
1083 CMU0380 -A : VASCULAR INJURY IN UPPER LIMBS - AXILLARY REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 43100 38800 34900 31400 28300 25450 43100 31400
1084 CMU0380 -B : VASCULAR INJURY IN UPPER LIMBS - BRACHIAL - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 37100 33400 30050 27050 24350 21900 37100 27050
1085 CMU0380 -C : VASCULAR INJURY IN UPPER LIMBS - RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT VASCULAR SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
1086 CMU0381 : MAJOR VASCULAR INJURY -REPAIR - LOWER LIMBS(INCLUDING FOOT) VASCULAR SURGERIES 52900 47600 42850 38550 34700 31250 52900 38550
1087 CMU0381 A : MAJOR VASCULAR INJURY -REPAIR (FEMORAL) VASCULAR SURGERIES 52900 47600 42850 38550 34700 31250 52900 38550
1088 CMU0381 B : MAJOR VASCULAR INJURY -REPAIR (TIBIAL) VASCULAR SURGERIES 48400 43550 39200 35300 31750 28600 48400 35300
1089 CMU0382 : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (INCLUDING FOOT) VASCULAR SURGERIES 23100 20800 18700 16850 15150 13650 23100 16850
1090 CMU0382 A : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (FIBULAR, POPLITEAL) VASCULAR SURGERIES 23100 20800 18700 16850 15150 13650 23100 16850
1091 CMU0382 B : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (FOOT) VASCULAR SURGERIES 17000 15300 13750 12400 11150 10050 17000 12400
1092 CMU0382 C : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (DIGITS) VASCULAR SURGERIES 9300 8350 7550 6800 6100 5500 9300 6800
1093 CMU0383 : NECK VASCULAR INJURY - CAROTID VESSELS VASCULAR SURGERIES 107700 96950 87250 78500 70650 63600 107700 78500
1094 CMU0384 : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS VASCULAR SURGERIES 107700 96950 87250 78500 70650 63600 107700 78500
1095 CMU0384 A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - VEIN GRAFT VASCULAR SURGERIES 81500 73350 66000 59400 53450 48100 81500 59400
1096 CMU0384 B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - SYNTHETIC GRAFT VASCULAR SURGERIES 107700 96950 87250 78500 70650 63600 107700 78500
1097 CMU0385 : VARICOSE VEINS RFA FOR B/L VASCULAR SURGERIES 37800 34000 30600 27550 24800 22300 37800 27550
1098 CMU0385 A : VARICOSE VEINS RFA FOR U/L VASCULAR SURGERIES 18000 16200 14600 13100 11800 10650 18000 13100
1099 CMU0386 : COVERED STENT PLACEMENT FOR ANEURSYM / MURAL THROMBOSIS- AORTO-ILLIAC VASCULAR SURGERIES 182100 163900 147500 132750 119500 107550 182100 132750
1100 CMU0387 : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) VASCULAR SURGERIES 87400 78650 70800 63700 57350 51600 87400 63700
1101 CMU0387 A : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - STK VASCULAR SURGERIES 49800 44800 40350 36300 32650 29400 49800 36300
1102 CMU0387 B : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - RTPA VASCULAR SURGERIES 77600 69850 62850 56550 50900 45800 77600 56550
1103 CMU0387 C : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (SYSTEMIC) - STK VASCULAR SURGERIES 11700 10550 9500 8550 7700 6900 11700 8550
1104 CMU0387 D : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (SYSTEMIC) - RTPA VASCULAR SURGERIES 44300 39850 35900 32300 29050 26150 44300 32300
1105 CMU0388 : BRACHIO - BASILIC TRANSPOSITION FOR HEMODIALYSIS ACCESS VASCULAR SURGERIES 23500 21150 19050 17150 15400 13900 23500 17150
1106 CMU0389 : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE VASCULAR SURGERIES 48000 43200 38900 35000 31500 28350 48000 35000
1107 CMU0389 A : END ARTERECTOMY FOR PERIPHERAL ARTERIES VASCULAR SURGERIES 39300 35350 31850 28650 25800 23200 39300 28650
1108 CMU0389 B : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE VASCULAR SURGERIES 42700 38450 34600 31150 28000 25200 42700 31150
1109 CMU0390 : END ARTERECTOMY FOR LARGE ARTERIES VASCULAR SURGERIES 56100 50500 45450 40900 36800 33150 56100 40900
1110 CMU0391 : THROMBIN INJECTION UNDER DUPLEX GUIDANCE FOR PSEUDOANEURYSM VASCULAR SURGERIES 20300 18250 16450 14800 13300 12000 20300 14800
1111 CMU0392 : PSEUDOANEURYSM MANAGEMENT WITH USG COMPRESSION THERAPY VASCULAR SURGERIES 10400 9350 8400 7600 6800 6150 10400 7600
1112 CMU0393 : PSEUDOANEURYSM LIGATION VASCULAR SURGERIES 37100 33400 30050 27050 24350 21900 37100 27050
1113 CMU0393 A : PSEUDOANEURYSM LIGATION - SMALL VESSELS (EG. RADIAL, CEPHALIC, BRACHIAL, ETC) VASCULAR SURGERIES 15800 14200 12800 11500 10350 9350 15800 11500
1114 CMU0393 B : PSEUDOANEURYSM LIGATION - MEDIUM VESSELS (EG. CAROTID, JUGULAR, FEMORAL, ETC) VASCULAR SURGERIES 33900 30500 27450 24700 22250 20000 33900 24700
1115 CMU0393 C : PSEUDOANEURYSM LIGATION - LARGE VESSELS (EG. AORTA, ILIAC, IVC, ETC) VASCULAR SURGERIES 37100 33400 30050 27050 24350 21900 37100 27050
1116 CMU0393 D : PSEUDOANEURYSM LIGATION -POST AV FISTULA VASCULAR SURGERIES 11100 11100 10000 10000 10000 10000 11100 10000
1117 CMU0394 : PROFUNDA PLASTY VASCULAR SURGERIES 32300 29050 26150 23550 21200 19050 32300 23550
1118 CMU0395 : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING / ADDITIONAL LIMB VASCULAR SURGERIES 15000 13500 12150 10950 9850 8850 15000 10950
1119 CMU0395 A : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING VASCULAR SURGERIES 13300 11950 10750 9700 8750 7850 13300 9700
1120 CMU0395 B : FOAM SCLEROTHERAPY FOR VARICOSE ULCER UNDER DUPLEX USG MONITORING - ADDITIONAL LIMB VASCULAR SURGERIES 12000 10800 9700 8750 7850 7100 12000 8750
1121 CMU0396 : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING / ADDITIONAL LIMB VASCULAR SURGERIES 13300 11950 10750 9700 8750 7850 13300 9700
1122 CMU0396 A : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING VASCULAR SURGERIES 13100 11800 10600 9550 8600 7750 13100 9550
1123 CMU0396 B : SCLEROTHERAPY FOR LOW FLOW VENOUS MALFORMATION UNDER DUPLEX USG MONITORING - ADDITIONAL LIMB VASCULAR SURGERIES 13100 11800 10600 9550 8600 7750 13100 9550
1124 CMU0397 : REDO BYPASS AFTER GRAFT THROMBOSIS VASCULAR SURGERIES 78400 70550 63500 57150 51450 46300 78400 57150
1125 CMU0397 A : REDO BYPASS AFTER GRAFT THROMBOSIS - VEIN GRAFT VASCULAR SURGERIES 53100 47800 43000 38700 34850 31350 53100 38700
1126 CMU0397 B : REDO BYPASS AFTER GRAFT THROMBOSIS - SYNTHETIC GRAFT VASCULAR SURGERIES 64000 57600 51850 46650 42000 37800 64000 46650
1127 CMU0398 : ENDOVASCULAR AORTIC REPAIR VASCULAR SURGERIES 118000 106200 95600 86000 77400 69700 118000 86000
1128 CMU0398 A : ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH VASCULAR SURGERIES 74800 67300 60600 54550 49100 44150 74800 54550
1129 CMU0398 B : ENDOVASCULAR AORTIC REPAIR - WITH PATCH VASCULAR SURGERIES 104800 94300 84900 76400 68750 61900 104800 76400
1130 CMU0399 : THORACIC ENDOVASCULAR AORTIC REPAIR VASCULAR SURGERIES 143200 128900 116000 104400 93950 84550 143200 104400
1131 CMU0399 A : THORACIC ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH VASCULAR SURGERIES 100900 90800 81750 73550 66200 59600 100900 73550
1132 CMU0399 B : THORACIC ENDOVASCULAR AORTIC REPAIR - WITH PATCH VASCULAR SURGERIES 127200 114500 103050 92750 83450 75100 127200 92750
1133 CMU0400 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL VASCULAR SURGERIES 181600 163450 147100 132400 119150 107250 181600 132400
1134 CMU0401 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL VASCULAR SURGERIES 247700 222950 200650 180550 162500 146250 247700 180550
1135 CMU0402 : TUMOR RESECTION WITH VASCULAR RECONSTRUCTION VASCULAR SURGERIES 75600 68050 61250 55100 49600 44650 75600 55100
1136 CMU0403 : GRAFT THROMBECTOMY BYPASS / AV ACCESS SURGERY VASCULAR SURGERIES 25200 22700 20400 18350 16550 14900 25200 18350
1137 CMU0403 A : GRAFT THROMBECTOMY BYPASS VASCULAR SURGERIES 23400 21050 18950 17050 15350 13800 23400 17050
1138 CMU0403 B : AV ACCESS SURGERY (NOT FOR DIALYSIS) VASCULAR SURGERIES 15000 13500 12150 10950 9850 8850 15000 10950
1139 CMU0404 : SARTORIUS/ GRACILIS MUSCLE FLAP COVER FOR VASCULAR COVER VASCULAR SURGERIES 37100 33400 30050 27050 24350 21900 37100 27050
1140 CMU0405 : SYSTEMIC THROMBOLYSIS IN PERIPHERAL ARTERY DISEASE VASCULAR SURGERIES 16000 14400 12950 11650 10500 9450 16000 11650
1141 CMU0406 : THORACIC VASCULAR INJURIES VASCULAR SURGERIES 96800 87100 78400 70550 63500 57150 96800 70550
1142 CMU0407 - I A : COCHLEAR IMPLANT SURGERY > 6YEARS - FIRST YEAR FOLLOWUP - MONTHLY E N T 0 0 0 0 0 0 0 0
1143 CMU0407 : COCHLEAR IMPLANT SURGERY < 6YEARS E N T 368700 368700 368700 368700 368700 368700 368700 368700
1144 CMU0407 A : COCHLEAR IMPLANT SURGERY - FIRST YEAR FOLLOWUP - MONTHLY E N T 10900 10900 10900 10900 10900 10900 10900 10900
1145 CMU0407 B : COCHLEAR ACCESSORIES - UPTO E N T 300000 300000 300000 300000 300000 300000 300000 300000
1146 CMU0407B-I- A-xviii : MED-EL OPUS 2 MINI BATTERY PACK CABLE, 100CM E N T 8850 8850 8850 8850 8850 8850 8850 8850
1147 CMU0407B-I-A-I : MED-EL OPUS 2 BATT.PACK CONN.PC.SAFETY LOCK E N T 708 708 708 708 708 708 708 708
1148 CMU0407B-I-A-ii : MED-EL OPUS 2 BATT.PACK CONNECTING PIECE E N T 708 708 708 708 708 708 708 708
1149 CMU0407B-I-A-iii : MED-EL OPUS 2 BATTERY PACK PIN PROTECTION COVER E N T 118 118 118 118 118 118 118 118
1150 CMU0407B-I-A-iv : MED-EL OPUS 2 BTE PROCESSOR CLIP E N T 1475 1475 1475 1475 1475 1475 1475 1475
1151 CMU0407B-I-A-ix : MED-EL OPUS 2 D-COIL MAGNET 1 SOFT E N T 3717 3717 3717 3717 3717 3717 3717 3717
1152 CMU0407B-I-A-v : MED-EL OPUS 2 DACAPO CHARGER E N T 14750 14750 14750 14750 14750 14750 14750 14750
1153 CMU0407B-I-A-vi : MED-EL OPUS 2 DACAPO FRAME E N T 20720 20720 20720 20720 20720 20720 20720 20720
1154 CMU0407B-I-A-vii : MED-EL OPUS 2 DACAPO POWERPACK (RECHARGEABLE BATTERIES) E N T 12095 12095 12095 12095 12095 12095 12095 12095
1155 CMU0407B-I-A-viii : MED-EL OPUS 2 D-COIL BASE PART E N T 44800 44800 44800 44800 44800 44800 44800 44800
1156 CMU0407B-I-A-x : MED-EL OPUS 2 D-COIL MAGNET 2 STD E N T 3717 3717 3717 3717 3717 3717 3717 3717
1157 CMU0407B-I-A-xi : MED-EL OPUS 2 D-COIL MAGNET 3 STRONG E N T 3717 3717 3717 3717 3717 3717 3717 3717
1158 CMU0407B-I-A-xii : MED-EL OPUS 2 D-COIL MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1159 CMU0407B-I-A-xiii : MED-EL OPUS 2 UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
1160 CMU0407B-I-A-xiv : MED-EL OPUS 2 EA CABLE MIX E N T 5310 5310 5310 5310 5310 5310 5310 5310
1161 CMU0407B-I-A-xix : MED-EL OPUS 2 MINI BATTERY PACK CABLE, 28CM E N T 8850 8850 8850 8850 8850 8850 8850 8850
1162 CMU0407B-I-A-xv : MED-EL OPUS 2 HUGGY E N T 236 236 236 236 236 236 236 236
1163 CMU0407B-I-A-xvi : MED-EL OPUS 2 MICROPHONE COVER E N T 354 354 354 354 354 354 354 354
1164 CMU0407B-I-A-xvii : MED-EL OPUS 2 MINI BATTERY PACK (MBP) E N T 19600 19600 19600 19600 19600 19600 19600 19600
1165 CMU0407B-I-A-xx : MED-EL OPUS 2 BATTERY PACK E N T 22400 22400 22400 22400 22400 22400 22400 22400
1166 CMU0407B-I-A-xxi : MED-EL OPUS 2 CONNECTING PIECE LARGE E N T 472 472 472 472 472 472 472 472
1167 CMU0407B-I-A-xxii : MED-EL OPUS 2 CONNECTING PIECE SMALL E N T 472 472 472 472 472 472 472 472
1168 CMU0407B-I-A-xxiii : MED-EL OPUS 2 D-COIL CABLE 12 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
1169 CMU0407B-I-A-xxiv : MED-EL OPUS 2 D-COIL CABLE 28 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
1170 CMU0407B-I-A-xxix : MED-EL OPUS 2 PIN REMOVAL TOOL E N T 590 590 590 590 590 590 590 590
1171 CMU0407B-I-A-xxv : MED-EL OPUS 2 D-COIL CABLE 7.5 CM E N T 2065 2065 2065 2065 2065 2065 2065 2065
1172 CMU0407B-I-A-xxvi : MED-EL OPUS 2 EARHOOK E N T 885 885 885 885 885 885 885 885
1173 CMU0407B-I-A-xxvii : MED-EL OPUS 2 EARHOOK PIN E N T 59 59 59 59 59 59 59 59
1174 CMU0407B-I-A-xxviii : MED-EL OPUS 2 FINETUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
1175 CMU0407B-I-A-xxx : MED-EL OPUS 2 PROCESSOR UNIT(AUDIO PROCESSOR) E N T 280000 280000 280000 280000 280000 280000 280000 280000
1176 CMU0407B-I-A-xxxi : MED-EL OPUS 2 SAFETY LOCK E N T 708 708 708 708 708 708 708 708
1177 CMU0407B-I-A-xxxii : MED-EL OPUS 2 FM COVER EA ANTH. E N T 12980 12980 12980 12980 12980 12980 12980 12980
1178 CMU0407B-I-A-xxxiii : MED-EL OPUS 2 SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
1179 CMU0407B-I-A-xxxiv : MED-EL OPUS 2 WATERWEAR FOR BTE (PACK) E N T 4130 4130 4130 4130 4130 4130 4130 4130
1180 CMU0407B-I-A-xxxv : MED-EL OPUS 2 SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
1181 CMU0407B-I-B-i : MED-EL RONDO ATTACHMENT CLIP CLOTHES E N T 1534 1534 1534 1534 1534 1534 1534 1534
1182 CMU0407B-I-B-ii : MED-EL RONDO ATTACHMENT CLIP HAIR E N T 1534 1534 1534 1534 1534 1534 1534 1534
1183 CMU0407B-I-B-iii : MED-EL RONDO DACAPO CHARGER E N T 14750 14750 14750 14750 14750 14750 14750 14750
1184 CMU0407B-I-B-iv : MED-EL RONDO DACAPO POWERPACK (RECHARGEABLE BATTERIES) E N T 12095 12095 12095 12095 12095 12095 12095 12095
1185 CMU0407B-I-B-ix : MED-EL RONDO MED-EL SPORTS HEADBAND L E N T 3540 3540 3540 3540 3540 3540 3540 3540
1186 CMU0407B-I-B-v : MED-EL RONDO UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
1187 CMU0407B-I-B-vi : MED-EL RONDO FINE TUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
1188 CMU0407B-I-B-vii : MED-EL RONDO MBP RONDO CABLE 100CM E N T 14750 14750 14750 14750 14750 14750 14750 14750
1189 CMU0407B-I-B-viii : MED-EL RONDO MBP RONDO CABLE, 27CM E N T 14750 14750 14750 14750 14750 14750 14750 14750
1190 CMU0407B-I-B-x : MED-EL RONDO MED-EL SPORTS HEADBAND M E N T 3540 3540 3540 3540 3540 3540 3540 3540
1191 CMU0407B-I-B-xi : MED-EL RONDO MED-EL SPORTS HEADBAND S E N T 3540 3540 3540 3540 3540 3540 3540 3540
1192 CMU0407B-I-B-xii : MED-EL RONDO MED-EL SPORTS HEADBAND XS E N T 3540 3540 3540 3540 3540 3540 3540 3540
1193 CMU0407B-I-B-xiii : MED-EL RONDO MINI BATTERY PACK (MBP) E N T 19600 19600 19600 19600 19600 19600 19600 19600
1194 CMU0407B-I-B-xiv : MED-EL RONDO BATTERY PACK ANTHRACITE E N T 25200 25200 25200 25200 25200 25200 25200 25200
1195 CMU0407B-I-B-xix : MED-EL RONDO MAGNET 3 STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1196 CMU0407B-I-B-xv : MED-EL RONDO MAGNET 1 SOFT E N T 4130 4130 4130 4130 4130 4130 4130 4130
1197 CMU0407B-I-B-xvi : MED-EL RONDO MAGNET 1S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1198 CMU0407B-I-B-xvii : MED-EL RONDO MAGNET 2 STD. E N T 4130 4130 4130 4130 4130 4130 4130 4130
1199 CMU0407B-I-B-xviii : MED-EL RONDO MAGNET 2S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1200 CMU0407B-I-B-xx : MED-EL RONDO MAGNET 3S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1201 CMU0407B-I-B-xxi : MED-EL RONDO MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1202 CMU0407B-I-B-xxii : MED-EL RONDO MAGNET 4S E N T 5664 5664 5664 5664 5664 5664 5664 5664
1203 CMU0407B-I-B-xxiii : MED-EL RONDO MAGNET 5 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1204 CMU0407B-I-B-xxiv : MED-EL RONDO MAGNET 5S E N T 5664 5664 5664 5664 5664 5664 5664 5664
1205 CMU0407B-I-B-xxix : MED-EL RONDO WATERWEAR FOR RONDO (PACK) E N T 3776 3776 3776 3776 3776 3776 3776 3776
1206 CMU0407B-I-B-xxv : MED-EL RONDO MIC. COVER E N T 177 177 177 177 177 177 177 177
1207 CMU0407B-I-B-xxvi : MED-EL RONDO PROCESSOR UNIT(AUDIO PROCESSOR) E N T 280000 280000 280000 280000 280000 280000 280000 280000
1208 CMU0407B-I-B-xxvii : MED-EL RONDO PROTECTOR E N T 1475 1475 1475 1475 1475 1475 1475 1475
1209 CMU0407B-I-B-xxviii : MED-EL RONDO SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
1210 CMU0407B-I-B-xxx : MED-EL RONDO SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
1211 CMU0407B-I-C-i : MED-EL RONDO 2 PROCESSOR UNIT E N T 420000 420000 420000 420000 420000 420000 420000 420000
1212 CMU0407B-I-C-ii : MED-EL RONDO 2 FINE TUNER (REMOTE) E N T 24080 24080 24080 24080 24080 24080 24080 24080
1213 CMU0407B-I-C-iii : MED-EL RONDO 2 SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
1214 CMU0407B-I-C-ix : MED-EL RONDO 2 MAGNET 4 E N T 4425 4425 4425 4425 4425 4425 4425 4425
1215 CMU0407B-I-C-v : MED-EL RONDO 2 MINI BATTERY PACK CABLE E N T 7080 7080 7080 7080 7080 7080 7080 7080
1216 CMU0407B-I-C-vi : MED-EL RONDO 2 MAGNET 1 E N T 4425 4425 4425 4425 4425 4425 4425 4425
1217 CMU0407B-I-C-vii : MED-EL RONDO 2 MAGNET 2 E N T 4425 4425 4425 4425 4425 4425 4425 4425
1218 CMU0407B-I-C-viii : MED-EL RONDO 2 MAGNET 3 E N T 4425 4425 4425 4425 4425 4425 4425 4425
1219 CMU0407B-I-C-x : MED-EL RONDO 2 ARTONE 3 MAX NECKLOOP E N T 8064 8064 8064 8064 8064 8064 8064 8064
1220 CMU0407B-I-C-xi : MED-EL RONDO 2 MINI BATTERY PACK ACCESSORIES E N T 944 944 944 944 944 944 944 944
1221 CMU0407B-I-C-xii : MED-EL RONDO 2 SOCKET SEAL E N T 265 265 265 265 265 265 265 265
1222 CMU0407B-I-C-xiii : MED-EL RONDO 2 MAGNET EXCHANGE TOOL E N T 472 472 472 472 472 472 472 472
1223 CMU0407B-I-C-xiv : MED-EL RONDO 2 GRIPWEAR E N T 1416 1416 1416 1416 1416 1416 1416 1416
1224 CMU0407B-I-C-xiv : MED-EL RONDO 2 MINI BATTERY PACK ANTHRACITE E N T 19600 19600 19600 19600 19600 19600 19600 19600
1225 CMU0407B-I-C-xix : MED-EL RONDO 2 MAGNET 2S E N T 4425 4425 4425 4425 4425 4425 4425 4425
1226 CMU0407B-I-C-xv : MED-EL RONDO 2 DAILY CASE M E N T 1770 1770 1770 1770 1770 1770 1770 1770
1227 CMU0407B-I-C-xvi : MED-EL RONDO 2 WATERWEAR FOR RONDO 2 (PACKAGE) E N T 3776 3776 3776 3776 3776 3776 3776 3776
1228 CMU0407B-I-C-xvii : MED-EL RONDO 2 FINETUNER ACCESSORIES E N T 1062 1062 1062 1062 1062 1062 1062 1062
1229 CMU0407B-I-C-xviii : MED-EL RONDO 2 MAGNET 1S E N T 4425 4425 4425 4425 4425 4425 4425 4425
1230 CMU0407B-I-C-xx : MED-EL RONDO 2 MAGNET 3S E N T 4425 4425 4425 4425 4425 4425 4425 4425
1231 CMU0407B-I-C-xxi : MED-EL RONDO 2 MAGNET 4S E N T 12980 12980 12980 12980 12980 12980 12980 12980
1232 CMU0407B-I-C-xxii : MED-EL RONDO 2 CLIPS E N T 1534 1534 1534 1534 1534 1534 1534 1534
1233 CMU0407B-I-C-xxiii : MED-EL RONDO 2 DESIGN COVERS (COLOUR MIX 4) E N T 2301 2301 2301 2301 2301 2301 2301 2301
1234 CMU0407B-I-C-xxiv : MED-EL RONDO 2 COVER, BLACK GLOSSY E N T 885 885 885 885 885 885 885 885
1235 CMU0407B-I-C-xxix : MED-EL RONDO 2 SERVICE REPAIR CHARGE FOR PROCESSOR UNIT (EXCLUDING BATTERY) E N T 29500 29500 29500 29500 29500 29500 29500 29500
1236 CMU0407B-I-C-xxv : MED-EL RONDO 2 SPORTS HEADBAND S E N T 3360 3360 3360 3360 3360 3360 3360 3360
1237 CMU0407B-I-C-xxvi : MED-EL RONDO 2 SPORTS HEADBAND M E N T 3360 3360 3360 3360 3360 3360 3360 3360
1238 CMU0407B-I-C-xxvii : MED-EL RONDO 2 QI WIRELESS CHARGING PAD (BELKIN) E N T 2998 2998 2998 2998 2998 2998 2998 2998
1239 CMU0407B-I-C-xxviii : MED-EL RONDO 2 USB UNIVERSAL WALL CHARGER E N T 398 398 398 398 398 398 398 398
1240 CMU0407B-I-D-i : MED-EL SONNET D-COIL BASE PART E N T 44800 44800 44800 44800 44800 44800 44800 44800
1241 CMU0407B-I-D-ii : MED-EL SONNET D-COIL MAGNET 1 SOFT E N T 3717 3717 3717 3717 3717 3717 3717 3717
1242 CMU0407B-I-D-iii : MED-EL SONNET D-COIL MAGNET 1S E N T 3717 3717 3717 3717 3717 3717 3717 3717
1243 CMU0407B-I-D-iv : MED-EL SONNET D-COIL MAGNET 2 STD. E N T 3717 3717 3717 3717 3717 3717 3717 3717
1244 CMU0407B-I-D-ix : MED-EL SONNET D-COIL MAGNET 4S SUPER STRONG E N T 5310 5310 5310 5310 5310 5310 5310 5310
1245 CMU0407B-I-D-v : MED-EL SONNET D-COIL MAGNET 2S STD. E N T 3717 3717 3717 3717 3717 3717 3717 3717
1246 CMU0407B-I-D-vi : MED-EL SONNET D-COIL MAGNET 3 STRONG E N T 3717 3717 3717 3717 3717 3717 3717 3717
1247 CMU0407B-I-D-vii : MED-EL SONNET D-COIL MAGNET 3S E N T 3717 3717 3717 3717 3717 3717 3717 3717
1248 CMU0407B-I-D-viii : MED-EL SONNET D-COIL MAGNET 4 SUPER STRONG E N T 4130 4130 4130 4130 4130 4130 4130 4130
1249 CMU0407B-I-D-x : MED-EL SONNET DL-COIL BASE PART E N T 45920 45920 45920 45920 45920 45920 45920 45920
1250 CMU0407B-I-D-xi : MED-EL SONNET DL-COIL COVER H W/O LOCK E N T 531 531 531 531 531 531 531 531
1251 CMU0407B-I-D-xii : MED-EL SONNET DL-COIL COVER H WITH LOCK E N T 531 531 531 531 531 531 531 531
1252 CMU0407B-I-D-xiii : MED-EL SONNET DL-COIL COVER L WITH LOCK E N T 531 531 531 531 531 531 531 531
1253 CMU0407B-I-D-xiv : MED-EL SONNET DL-COIL COVER L WITHOUT LOCK E N T 531 531 531 531 531 531 531 531
1254 CMU0407B-I-D-xix : MED-EL SONNET DL-COIL MAGNET 3 E N T 4130 4130 4130 4130 4130 4130 4130 4130
1255 CMU0407B-I-D-xv : MED-EL SONNET DL-COIL MAGNET 1 E N T 4130 4130 4130 4130 4130 4130 4130 4130
1256 CMU0407B-I-D-xvi : MED-EL SONNET DL-COIL MAGNET 1S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1257 CMU0407B-I-D-xvii : MED-EL SONNET DL-COIL MAGNET 2 E N T 4130 4130 4130 4130 4130 4130 4130 4130
1258 CMU0407B-I-D-xviii : MED-EL SONNET DL-COIL MAGNET 2S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1259 CMU0407B-I-D-xx : MED-EL SONNET DL-COIL MAGNET 3S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1260 CMU0407B-I-D-xxi : MED-EL SONNET DL-COIL MAGNET 4 E N T 4130 4130 4130 4130 4130 4130 4130 4130
1261 CMU0407B-I-D-xxii : MED-EL SONNET DL-COIL MAGNET 4S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1262 CMU0407B-I-D-xxiii : MED-EL SONNET DL-COIL MAGNET 5 E N T 4130 4130 4130 4130 4130 4130 4130 4130
1263 CMU0407B-I-D-xxiv : MED-EL SONNET DL-COIL MAGNET 5S E N T 4130 4130 4130 4130 4130 4130 4130 4130
1264 CMU0407B-I-D-xxix : MED-EL SONNET BATTERY COVER E N T 3540 3540 3540 3540 3540 3540 3540 3540
1265 CMU0407B-I-D-xxv : MED-EL SONNET UV DRYING KIT (ELECTRONIC DEHUMIDIFYING KIT) E N T 5900 5900 5900 5900 5900 5900 5900 5900
1266 CMU0407B-I-D-xxvi : MED-EL SONNET EA CABLE MIX E N T 5310 5310 5310 5310 5310 5310 5310 5310
1267 CMU0407B-I-D-xxvii : MED-EL SONNET FINETUNER (REMOTE CONTROL) E N T 24080 24080 24080 24080 24080 24080 24080 24080
1268 CMU0407B-I-D-xxviii : MED-EL SONNET HUGGY E N T 236 236 236 236 236 236 236 236
1269 CMU0407B-I-D-xxx : MED-EL SONNET BATTERY PACK FRAME E N T 24080 24080 24080 24080 24080 24080 24080 24080
1270 CMU0407B-I-D-xxxi : MED-EL SONNET CHARGING UNIT E N T 5752 5752 5752 5752 5752 5752 5752 5752
1271 CMU0407B-I-D-xxxii : MED-EL SONNET D-COIL CABLE 28 CM E N T 8260 8260 8260 8260 8260 8260 8260 8260
1272 CMU0407B-I-D-xxxiii : MED-EL SONNET D-COIL CABLE 6.5CM E N T 5310 5310 5310 5310 5310 5310 5310 5310
1273 CMU0407B-I-D-xxxiv : MED-EL SONNET D-COIL CABLE 8.5CM E N T 7670 7670 7670 7670 7670 7670 7670 7670
1274 CMU0407B-I-D-xxxix : MED-EL SONNET FM BATTERY COVER E N T 10528 10528 10528 10528 10528 10528 10528 10528
1275 CMU0407B-I-D-xxxv : MED-EL SONNET DL-COIL CABLE 28CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
1276 CMU0407B-I-D-xxxvi : MED-EL SONNET DL-COIL CABLE 6.5CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
1277 CMU0407B-I-D-xxxvii : MED-EL SONNET DL-COIL CABLE 9CM E N T 10620 10620 10620 10620 10620 10620 10620 10620
1278 CMU0407B-I-D-xxxviii : MED-EL SONNET EARHOOK & PIN E N T 1416 1416 1416 1416 1416 1416 1416 1416
1279 CMU0407B-I-D-xxxx : MED-EL SONNET MIC. COVER, 4 PCS. SET E N T 3245 3245 3245 3245 3245 3245 3245 3245
1280 CMU0407B-I-D-xxxxi : MED-EL SONNET PROCESSOR UNIT(AUDIO PROCESSOR) E N T 420000 420000 420000 420000 420000 420000 420000 420000
1281 CMU0407B-I-D-xxxxii : MED-EL SONNET RCB ADAPTER E N T 10325 10325 10325 10325 10325 10325 10325 10325
1282 CMU0407B-I-D-xxxxiii : MED-EL SONNET RECHARGEABLE BATTERY (RCB) STANDARD E N T 13570 13570 13570 13570 13570 13570 13570 13570
1283 CMU0407B-I-D-xxxxiv : MED-EL SONNET SPEECH PROCESSOR TEST DEVICE E N T 12980 12980 12980 12980 12980 12980 12980 12980
1284 CMU0407B-I-D-xxxxv : MED-EL SONNET USB POWER SUPPLY E N T 1652 1652 1652 1652 1652 1652 1652 1652
1285 CMU0407B-I-D-xxxxvi : MED-EL SONNET WATERWEAR FOR BTE (PACK) E N T 4130 4130 4130 4130 4130 4130 4130 4130
1286 CMU0407B-I-D-xxxxvii : MED-EL SONNET SERVICE REPAIR CHARGE FOR PROCESSOR UNIT E N T 29500 29500 29500 29500 29500 29500 29500 29500
1287 CMU0407B-II-A-I : COCHLEAR LIMITED CP802 STANDARD RECHARGEABLE BATTERY MODULE (CARBON) E N T 9086 9086 9086 9086 9086 9086 9086 9086
1288 CMU0407B-II-A-ii : COCHLEAR LIMITED CP802 BATTERY PACK CABLE (30 CM, CARBON) E N T 6865 6865 6865 6865 6865 6865 6865 6865
1289 CMU0407B-II-A-iii : COCHLEAR LIMITED CP802 BATTERY PACK CABLE (50 CM, CARBON) E N T 6865 6865 6865 6865 6865 6865 6865 6865
1290 CMU0407B-II-A-iv : COCHLEAR LIMITED CP802 BATTERY PACK WITH CLIP E N T 6048 6048 6048 6048 6048 6048 6048 6048
1291 CMU0407B-II-A-ix : COCHLEAR LIMITED CP802 COIL CABLE (28 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
1292 CMU0407B-II-A-v : COCHLEAR LIMITED CP802 COIL (CARBON) E N T 5824 5824 5824 5824 5824 5824 5824 5824
1293 CMU0407B-II-A-vi : COCHLEAR LIMITED CP802 COIL CABLE (6 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
1294 CMU0407B-II-A-vii : COCHLEAR LIMITED CP802 COIL CABLE (8 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
1295 CMU0407B-II-A-viii : COCHLEAR LIMITED CP802 COIL CABLE (11 CM, CARBON) E N T 3080 3080 3080 3080 3080 3080 3080 3080
1296 CMU0407B-II-A-x : COCHLEAR LIMITED CP802 STANDARD TAMPER RESISTANT BATTERY COVER (CARBON) E N T 2124 2124 2124 2124 2124 2124 2124 2124
1297 CMU0407B-II-A-xi : COCHLEAR LIMITED CP802 MICROPHONE COVERS (CARBON) E N T 1416 1416 1416 1416 1416 1416 1416 1416
1298 CMU0407B-II-A-xii : COCHLEAR LIMITED CP802 MAGNET (1/2 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1299 CMU0407B-II-A-xiii : COCHLEAR LIMITED CP802 MAGNET (1 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1300 CMU0407B-II-A-xiv : COCHLEAR LIMITED CP802 MAGNET (2 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1301 CMU0407B-II-A-xix : COCHLEAR LIMITED CP802 TAMPER RESISTANT EARHOOK (SMALL) E N T 604 604 604 604 604 604 604 604
1302 CMU0407B-II-A-xv : COCHLEAR LIMITED CP802 MAGNET (3 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1303 CMU0407B-II-A-xvi : COCHLEAR LIMITED CP802 MAGNET (4 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1304 CMU0407B-II-A-xvii : COCHLEAR LIMITED CP802 MAGNET (5 M, CARBON) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1305 CMU0407B-II-A-xviii : COCHLEAR LIMITED CP802 BATTERY PACK CLIP E N T 1148 1148 1148 1148 1148 1148 1148 1148
1306 CMU0407B-II-A-xx : COCHLEAR LIMITED CP802 EARHOOK (SMALL) E N T 604 604 604 604 604 604 604 604
1307 CMU0407B-II-A-xxi : COCHLEAR LIMITED CP802 EARHOOK (MEDIUM) E N T 604 604 604 604 604 604 604 604
1308 CMU0407B-II-A-xxii : COCHLEAR LIMITED CP802 EARHOOK (LARGE) E N T 604 604 604 604 604 604 604 604
1309 CMU0407B-II-A-xxiii : COCHLEAR LIMITED CP802 MICROPHONE COVER SLEEVE (CARBON) E N T 472 472 472 472 472 472 472 472
1310 CMU0407B-II-A-xxiv : COCHLEAR LIMITED CP802 MICROPHONE COVER WITH FILTERS (CARBON) E N T 1416 1416 1416 1416 1416 1416 1416 1416
1311 CMU0407B-II-A-xxix : COCHLEAR LIMITED DRYBRIK DESSICANT (PACK OF 3) - MINIMUM 2 PACKS E N T 442 442 442 442 442 442 442 442
1312 CMU0407B-II-A-xxv : COCHLEAR LIMITED BATTERY CHARGING KIT (BLACK) E N T 1209 1209 1209 1209 1209 1209 1209 1209
1313 CMU0407B-II-A-xxvi : COCHLEAR LIMITED BATTERY CHARGER (BLACK) E N T 10938 10938 10938 10938 10938 10938 10938 10938
1314 CMU0407B-II-A-xxvii : COCHLEAR LIMITED STORAGE CASE E N T 425 425 425 425 425 425 425 425
1315 CMU0407B-II-A-xxviii : COCHLEAR LIMITED DRY&STORE UNIT - AUSTRALIAN POWER PACK E N T 5841 5841 5841 5841 5841 5841 5841 5841
1316 CMU0407B-II-A-xxx : COCHLEAR LIMITED DRYING CAPSULE, 3G, (PACK OF 4) - MINIMUM 1 PACK E N T 354 354 354 354 354 354 354 354
1317 CMU0407B-II-A-xxxi : COCHLEAR LIMITED MIC LOCK CP802 E N T 560 560 560 560 560 560 560 560
1318 CMU0407B-II-A-xxxii : COCHLEAR LIMITED MICLOCK - STIRRUP E N T 560 560 560 560 560 560 560 560
1319 CMU0407B-II-A-xxxiii : COCHLEAR LIMITED BATTERY, ZN AIR, P675 IMPLANT PLUS E N T 236 236 236 236 236 236 236 236
1320 CMU0407B-II-A-xxxiv : COCHLEAR LIMITED COCHLEAR CP802 SOUND PROCESSOR (CARBON) E N T 257250 257250 257250 257250 257250 257250 257250 257250
1321 CMU0407B-iii : B-I : ADVANCED BIONICS HARMONY REFURBISHED HARMONY SOUND PROCESSOR (WITHIN 5 YEARS FROM SWITCH ON DATE) E N T 35400 35400 35400 35400 35400 35400 35400 35400
1322 CMU0407B-III-A-i : ADVANCED BIONICS NAIDA CI Q30 UPGRADE KIT E N T 296800 296800 296800 296800 296800 296800 296800 296800
1323 CMU0407B-III-A-ii : ADVANCED BIONICS NAIDA REFURBISHED NAIDA CI Q30 SOUND PROCESSOR (WITHIN 5 YEARS FROM SWITCH ON DATE) E N T 35400 35400 35400 35400 35400 35400 35400 35400
1324 CMU0407B-III-A-iii : ADVANCED BIONICS NAIDA REFURBISHED NAIDA CI Q30 SOUND PROCESSOR (BEYOND 5 YEARS FROM SWITCH ON DATE) E N T 64900 64900 64900 64900 64900 64900 64900 64900
1325 CMU0407B-III-A-iv : ADVANCED BIONICS NAIDA UNIVERSAL HEADPIECE 2.0 (UHP 2.0) E N T 15350 15350 15350 15350 15350 15350 15350 15350
1326 CMU0407B-III-A-ix : ADVANCED BIONICS NAIDA POWERCEL 170 E N T 10200 10200 10200 10200 10200 10200 10200 10200
1327 CMU0407B-III-A-v : ADVANCED BIONICS NAIDA UHP 2.0 COLOR CAPS E N T 2450 2450 2450 2450 2450 2450 2450 2450
1328 CMU0407B-III-A-vi : ADVANCED BIONICS NAIDA CI POWERCEL CHARGER E N T 23650 23650 23650 23650 23650 23650 23650 23650
1329 CMU0407B-III-A-vii : ADVANCED BIONICS NAIDA CI POWERSUPPLY E N T 1500 1500 1500 1500 1500 1500 1500 1500
1330 CMU0407B-III-A-viii : ADVANCED BIONICS NAIDA POWERCEL 110 E N T 8900 8900 8900 8900 8900 8900 8900 8900
1331 CMU0407B-III-A-x : ADVANCED BIONICS NAIDA RF CABLE E N T 6400 6400 6400 6400 6400 6400 6400 6400
1332 CMU0407B-III-A-xi : ADVANCED BIONICS HARMONY UHP 2.0 COLOR CAPS E N T 2450 2450 2450 2450 2450 2450 2450 2450
1333 CMU0407B-III-A-xi : ADVANCED BIONICS NAIDA DRYING KIT WITH POWER SUPPLY E N T 6000 6000 6000 6000 6000 6000 6000 6000
1334 CMU0407B-III-A-xii : ADVANCED BIONICS NAIDA DRYING KIT WITHOUT POWER SUPPLY E N T 4500 4500 4500 4500 4500 4500 4500 4500
1335 CMU0407B-III-A-xiii : ADVANCED BIONICS NAIDA CI CARRYING CASE E N T 3550 3550 3550 3550 3550 3550 3550 3550
1336 CMU0407B-III-A-xiv : ADVANCED BIONICS HARMONY REFURBISHED HARMONY SOUND PROCESSOR (BEYOND 5 YEARS FROM SWITCH ON DATE) E N T 64900 64900 64900 64900 64900 64900 64900 64900
1337 CMU0407B-III-A-xix : ADVANCED BIONICS HARMONY T-MIC E N T 9100 9100 9100 9100 9100 9100 9100 9100
1338 CMU0407B-III-A-xv : ADVANCED BIONICS HARMONY UNIVERSAL HEADPIECE 2.0 (UHP 2.0) E N T 15350 15350 15350 15350 15350 15350 15350 15350
1339 CMU0407B-III-A-xvii : ADVANCED BIONICS HARMONY POWERCEL CHARGER E N T 16600 16600 16600 16600 16600 16600 16600 16600
1340 CMU0407B-III-A-xviii : ADVANCED BIONICS HARMONY POWERCEL CHARGER POWER SUPPLY E N T 5000 5000 5000 5000 5000 5000 5000 5000
1341 CMU0407B-III-A-xx : ADVANCED BIONICS HARMONY POWERCEL PLUS E N T 9050 9050 9050 9050 9050 9050 9050 9050
1342 CMU0407B-III-A-xxi : ADVANCED BIONICS HARMONY UHP CABLE E N T 5600 5600 5600 5600 5600 5600 5600 5600
1343 CMU0407B-III-A-xxii : ADVANCED BIONICS HARMONY SNUGGIES E N T 2700 2700 2700 2700 2700 2700 2700 2700
1344 CMU0407B-IV : COCHLEAR ACCESSORIES-SERVICE CHARGE FOR HOSPITALS E N T 500 500 500 500 500 500 500 500
1345 CMU0407B-V : AUDIOGRAM FOR COCHLEAR ACCESSORIES ASSESSMENT E N T 500 500 500 500 500 500 500 500
1346 CMU0407-I : COCHLEAR IMPLANT SURGERY > 6YEARS E N T 0 0 0 0 0 0 0 0
1347 CMU0408 : AUDITORY BRAIN STEM IMPLANT <6YEARS E N T 365000 365000 365000 365000 365000 365000 365000 365000
1348 CMU0408 A : AUDITORY BRAIN STEM IMPLANT - FIRST YEAR FOLLOWUP - MONTHLY E N T 11250 11250 11250 11250 11250 11250 11250 11250
1349 CMU0409 : HEARING AID - RESERVED TO GOVT E N T 8400 8400 8400 8400 8400 8400 8400 8400
1350 CMU0410 : MASTOIDECTOMY - CORTICAL E N T 15500 13950 12550 11300 10150 9150 15500 11300
1351 CMU0411 : MASTOIDECTOMY - RADICAL E N T 20800 18700 16850 15150 13650 12300 20800 15150
1352 CMU0412 : MASTOIDECTOMY - MODIFIED RADICAL E N T 20800 18700 16850 15150 13650 12300 20800 15150
1353 CMU0413 : MASTOIDECTOMY WITH TYMPANOPLASTY E N T 17600 15850 14250 12850 11550 10400 17600 12850
1354 CMU0414 : STAPEDECTOMY E N T 21300 19150 17250 15550 13950 12600 21300 15550
1355 CMU0415 : TYMPANOPLASTY-TYPE 1 E N T 12700 11450 10300 9250 8350 7500 12700 9250
1356 CMU0416 : FACIAL NERVE DECOMPRESSION E N T 20600 18550 16700 15000 13500 12150 20600 15000
1357 CMU0417 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- BENIGN E N T 15000 13500 12150 10950 9850 8850 15000 10950
1358 CMU0418 : MICROLARYNGEAL SURGERY - SOFT TISSUE SWELLINGS OF LARYNX- MALIGNANT E N T 21300 19150 17250 15550 13950 12600 21300 15550
1359 CMU0419 : EXPANSION SPHINTERO PLASTY E N T 18500 16650 15000 13500 12150 10900 18500 13500
1360 CMU0420 : ZETA PLASTY E N T 20600 18550 16700 15000 13500 12150 20600 15000
1361 CMU0421 : UPPP AND MODIFICATIONS E N T 24800 22300 20100 18100 16250 14650 24800 18100
1362 CMU0422 : EXCISION OF TUMOR IN PHARYNX / PARAPHARYNX ( MALIGNANT) E N T 26100 23500 21150 19050 17100 15400 26100 19050
1363 CMU0423 : EXCISION OF TUMOR NASAL CAVITY (BENIGN /ANGIOFIBROMA NOSE) E N T 21300 19150 17250 15550 13950 12600 21300 15550
1364 CMU0424 : EXCISION OF TUMOR NASAL CAVITY (MALIGNANT) E N T 25300 22750 20500 18450 16600 14950 25300 18450
1365 CMU0425 : ENDOSCOPIC SINUS SURGERY-CHRONIC RHINO SINUSITIS E N T 19000 17100 15400 13850 12450 11200 19000 13850
1366 CMU0426 : ENDOSCOPIC SINUS SURGERY-SINO NASAL POLYPOSIS E N T 19000 17100 15400 13850 12450 11200 19000 13850
1367 CMU0427 : ENDOSCOPIC SINUS SURGERY-ENDOSCOPIC ORBITAL DECOMPRESSION E N T 24700 22250 20000 18000 16200 14600 24700 18000
1368 CMU0428 : ENDOSCOPIC SINUS SURGERY-VIDIAN NEURECTOMY E N T 23700 21350 19200 17300 15550 14000 23700 17300
1369 CMU0429 A : ENDOSCOPIC SINUS SURGERY-INTERNAL MAXILLARY ARTERY LIGATION E N T 24200 21800 19600 17650 15900 14300 24200 17650
1370 CMU0429 B : ENDOSCOPIC SINUS SURGERYSPHENO PALATINE ARTERY LIGATION E N T 24200 21800 19600 17650 15900 14300 24200 17650
1371 CMU0430 : LABYRINTHECTOMY E N T 23400 21050 18950 17050 15350 13800 23400 17050
1372 CMU0431 : PHONO SURGERY FOR VOCAL CORD PARALYSIS E N T 22200 20000 18000 16200 14550 13100 22200 16200
1373 CMU0432 : MYRINGOTOMY WITH GROMET INSERTION E N T 4100 3700 3300 3000 2700 2400 4100 3000
1374 CMU0433 : NASAL BONE FRACTURE REDUCTION E N T 8300 7450 6700 6050 5450 4900 8300 6050
1375 CMU0434 A : MICRO DEBRIDER TURBINOPLASTY E N T 27000 24300 21850 19700 17700 15950 27000 19700
1376 CMU0434 B : CO-ABLATION TURBINOPASTY E N T 17300 15550 14000 12600 11350 10200 17300 12600
1377 CMU0435 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITHOUT VASCULAR INTERVENTION E N T 13200 11900 10700 9600 8650 7800 13200 9600
1378 CMU0436 : CUT THROAT INJURY NECK - EXPLORATION & REPAIR WITH VASCULAR INTERVENTION E N T 17100 15400 13850 12450 11200 10100 17100 12450
1379 CMU0437 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - BENIGN E N T 30500 27450 24700 22250 20000 18000 30500 22250
1380 CMU0438 : TRANS ORAL LASER EXCISION OF LARYNGEAL TUMOR (TOLMS) - MALIGNANT E N T 34200 30800 27700 24950 22450 20200 34200 24950
1381 CMU0439 : FRACTURE ZYGOMA OPEN REDUCTION E N T 15800 14200 12800 11500 10350 9350 15800 11500
1382 CMU0440 : RADIO FREQUENCY ABLATION OF TONGUE E N T 21400 19250 17350 15600 14050 12650 21400 15600
1383 CMU0441 : LARYNGEAL/LARYNGOPHARYNGEAL VIDEOSCOPIC BIOPSY E N T 2000 1800 1600 1450 1300 1200 2000 1800
1384 CMU0442 : PETROSECTOMY E N T 25000 22500 20250 18250 16400 14750 25000 22500
1385 CMU0443 : STROBOSCOPY WITH NARROW BAND IMAGING E N T 2000 1800 1600 1450 1300 1200 2000 1800
1386 CMU0444 : THERAPEUTIC PENETRATING KERATOPLASTY / OPTICAL PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
1387 CMU0444 A : THERAPEUTIC PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
1388 CMU0444 B : OPTICAL PENETRATING KERATOPLASTY OPHTHALMOLOGY SURGERIES 13700 12350 11100 10000 9000 8100 13700 10000
1389 CMU0445 : LAMELLAR KERATOPLASTY OPHTHALMOLOGY SURGERIES 16200 14600 13100 11800 10650 9550 16200 11800
1390 CMU0446 : SCLERAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 7500 6750 6100 5450 4900 4450 7500 5450
1391 CMU0447 : DOUBLE Z-PLASTY OPHTHALMOLOGY SURGERIES 5000 4500 4050 3650 3300 2950 5000 3650
1392 CMU0448 : COLLAGEN CROSS LINKING FOR KERATOCONUS OPHTHALMOLOGY SURGERIES 9600 8650 7800 7000 6300 5650 9600 7000
1393 CMU0449 : REMOVAL OF SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 6500 5850 5250 4750 4250 3850 6500 4750
1394 CMU0450 : VITRECTOMY ANTERIOR OPHTHALMOLOGY SURGERIES 8400 7550 6800 6100 5500 4950 8400 6100
1395 CMU0451 : VITRECTOMY - MEMBRANE PEELING- ENDOLASER, SILICON OIL OR GAS OPHTHALMOLOGY SURGERIES 21200 19100 17150 15450 13900 12500 21200 15450
1396 CMU0451 A : VITRECTOMY - MEMBRANE PEELING- ENDOLASER OPHTHALMOLOGY SURGERIES 15000 13500 12150 10950 9850 8850 15000 10950
1397 CMU0451 B : VITRECTOMY - SILICON OIL OPHTHALMOLOGY SURGERIES 10000 9000 8100 7300 6550 5900 10000 7300
1398 CMU0452 : MONTHLY INTRAVITREAL ANTI-VEGF FOR MACULAR DEGENERATION - PER INJECTION (MAXIMUM - 6) OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1399 CMU0453 A : DIABETIC MACULAR EDEMA-INTRA VITREAL BEVACIZUMAB OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1400 CMU0453 B : DIABETIC MACULAR EDEMA-INTRA VITREAL RANIBIZUMAB OPHTHALMOLOGY SURGERIES 20300 20300 20300 20300 20300 20300 20300 20300
1401 CMU0454 : SCLERAL BUCKLE FOR RETINAL DETACHMENT OPHTHALMOLOGY SURGERIES 13600 12250 11000 9900 8900 8050 13600 9900
1402 CMU0455 : PHOTOCOAGULATION FOR DIABETIC RETINOPATHY / INDICATIONS OTHER THAN DIABETIC RETINOPATHY - PER SITTING OPHTHALMOLOGY SURGERIES 1800 1800 1800 1800 1800 1800 1800 1800
1403 CMU0456 : DERMIS FAT GRAFT OPHTHALMOLOGY SURGERIES 8400 7550 6800 6100 5500 4950 8400 6100
1404 CMU0457 : ORBITOTOMY OPHTHALMOLOGY SURGERIES 11500 10350 9300 8400 7550 6800 11500 8400
1405 CMU0458 : ENUCLEATION WITH ORBITAL IMPLANT OPHTHALMOLOGY SURGERIES 13200 11900 10700 9600 8650 7800 13200 9600
1406 CMU0459 : RECTUS MUSCLE SURGERY (SINGLE) OPHTHALMOLOGY SURGERIES 9400 8450 7600 6850 6150 5550 9400 6850
1407 CMU0460 : RECTUS MUSCLE SURGERY (TWO/THREE) OPHTHALMOLOGY SURGERIES 11900 10700 9650 8700 7800 7050 11900 8700
1408 CMU0461 : LID RECONSTRUCTION SURGERY /BLEPHEROPLASTY OPHTHALMOLOGY SURGERIES 12400 11150 10050 9050 8150 7300 12400 9050
1409 CMU0462 : PAEDIATRIC CATARACT SURGERY (PHACO EMULSIFICATION IOL/SICS IOL/GLUED IOL) OPHTHALMOLOGY SURGERIES 17600 15850 14250 12850 11550 10400 17600 12850
1410 CMU0463 : PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY OPHTHALMOLOGY SURGERIES 7500 7500 7500 7500 7500 7500 7500 7500
1411 CMU0464 : GLAUCOMA FILTERING SURGERY FOR PAEDIATRIC GLAUCOMA OPHTHALMOLOGY SURGERIES 14900 13400 12050 10850 9800 8800 14900 10850
1412 CMU0465 : LASER NDYAG PERIPHERAL IRIDOTOMY/ CAPSULOTOMY OPHTHALMOLOGY SURGERIES 1600 1600 1600 1600 1600 1600 1600 1600
1413 CMU0466 : ADULT GLAUCOMA SURGERY/TRABECULECTOMY/ IMPLANT SURGERY OPHTHALMOLOGY SURGERIES 12700 11450 10300 9250 8350 7500 12700 9250
1414 CMU0467 : SURGICAL MANAGEMENT FOR SECONDARY GLAUCOMA OPHTHALMOLOGY SURGERIES 13400 12050 10850 9750 8800 7900 13400 9750
1415 CMU0468 : SCLERAL / CORNEAL TEAR REPAIR OPHTHALMOLOGY SURGERIES 11000 9900 8900 8000 7200 6500 11000 8000
1416 CMU0469 : REFRACTORY CORNEAL ULCER MANAGEMENT/NON HEALING CORNEAL ULCER OPHTHALMOLOGY SURGERIES 5900 5300 4800 4300 3850 3500 5900 4300
1417 CMU0470 : INTRAVITREAL TRIAMCINOLONE / ANTIBIOTICS OPHTHALMOLOGY SURGERIES 3600 3250 2900 2600 2350 2150 3600 2600
1418 CMU0471 : LATERAL TARSORRHAPHY OPHTHALMOLOGY SURGERIES 5400 4850 4350 3950 3550 3200 5400 3950
1419 CMU0472 : TRABECULECTOMY (WITH AHMED VALVE/MITOMYCIN/ EXPRESS STENT/OLOGEN) OPHTHALMOLOGY SURGERIES 16700 15050 13550 12150 10950 9850 16700 12150
1420 CMU0473 : CORNEAL PATCH GRAFT OPHTHALMOLOGY SURGERIES 5800 5200 4700 4250 3800 3400 5800 4250
1421 CMU0474 : SOCKET RECONSTRUCTION OPHTHALMOLOGY SURGERIES 10500 9450 8500 7650 6900 6200 10500 7650
1422 CMU0475 : OBLIQUE MUSCLE SURGERY OPHTHALMOLOGY SURGERIES 9400 8450 7600 6850 6150 5550 9400 6850
1423 CMU0476 : AMNIOTIC MEMBRANE GRAFT / AUTOGRAFT ( FOR PTERYGIUM) OPHTHALMOLOGY SURGERIES 7800 7000 6300 5700 5100 4600 7800 5700
1424 CMU0477 : INTRAVITREAL ANTI-VEGF FOR RETINOPATHY OF PREMATURITY - BEVACIZUMAB OPHTHALMOLOGY SURGERIES 7000 7000 7000 7000 7000 7000 7000 7000
1425 CMU0478 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT GYNAECOLOGY OBSTETRIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
1426 CMU0479 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME GYNAECOLOGY OBSTETRIC SURGERY 25600 23050 20750 18650 16800 15100 25600 18650
1427 CMU0480 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 20500 18450 16600 14950 13450 12100 20500 14950
1428 CMU0481 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) GYNAECOLOGY OBSTETRIC SURGERY 28100 25300 22750 20500 18450 16600 28100 20500
1429 CMU0482 A : VAGINAL HYSTERECTOMY WITH PELVIC FLOOR REPAIR GYNAECOLOGY OBSTETRIC SURGERY 21100 19000 17100 15400 13850 12450 21100 15400
1430 CMU0482 B : VAGINAL HYSTERECTOMY WITH MESH REPAIR GYNAECOLOGY OBSTETRIC SURGERY 22800 20500 18450 16600 14950 13450 22800 16600
1431 CMU0483 : CYSTOCELE, RECTOCELE & PERINEORRAPHY GYNAECOLOGY OBSTETRIC SURGERY 16600 14950 13450 12100 10900 9800 16600 12100
1432 CMU0484 : SLINGS WITH MESH REPAIR FOR PROLAPSE GYNAECOLOGY OBSTETRIC SURGERY 19900 17900 16100 14500 13050 11750 19900 14500
1433 CMU0485 A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH GYNAECOLOGY OBSTETRIC SURGERY 16100 14500 13050 11750 10550 9500 16100 11750
1434 CMU0485 B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 19900 17900 16100 14500 13050 11750 19900 14500
1435 CMU0486 : LAPAROSCOPIC OVARIAN DRILLING GYNAECOLOGY OBSTETRIC SURGERY 11400 10250 9250 8300 7500 6750 11400 8300
1436 CMU0487 : LAPAROSCOPIC MYOMECTOMY GYNAECOLOGY OBSTETRIC SURGERY 23200 20900 18800 16900 15200 13700 23200 16900
1437 CMU0488 A : RECANALISATION ANY TYPE- OPEN GYNAECOLOGY OBSTETRIC SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1438 CMU0488 B : RECANALISATION ANY TYPE- LAP GYNAECOLOGY OBSTETRIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
1439 CMU0489 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA GYNAECOLOGY OBSTETRIC SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
1440 CMU0490 : DIAGNOSTIC HYSTERO- LAPROSCOPY GYNAECOLOGY OBSTETRIC SURGERY 12300 11050 9950 8950 8050 7250 12300 8950
1441 CMU0491 : LAPAROSCOPIC SLING OPERATIONS GYNAECOLOGY OBSTETRIC SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1442 CMU0492 A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 22200 20000 18000 16200 14550 13100 22200 16200
1443 CMU0492 B : PPH SURGICAL MANAGEMENT - EMBOLIZATION GYNAECOLOGY OBSTETRIC SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
1444 CMU0492 C : PPH SURGICAL MANAGEMENT - LIGATION GYNAECOLOGY OBSTETRIC SURGERY 12000 10800 9700 8750 7850 7100 12000 10800
1445 CMU0493 : PURANDARES CERVICOPEXY GYNAECOLOGY OBSTETRIC SURGERY 19000 17100 15400 13850 12450 11200 19000 13850
1446 CMU0494 : FOTHERGILLS /AMPUTATION OF THE CERVIX WITH VAGINAL WALL RECONSTRUCTION GYNAECOLOGY OBSTETRIC SURGERY 30000 27000 24300 21850 19700 17700 30000 27000
1447 CMU0495 : CRYO THERAPY - THERMOCOAGULATION - PRE INVASIVE LESION GYNAECOLOGY OBSTETRIC SURGERY 7500 6750 6100 5450 4900 4450 7500 6750
1448 CMU0496 : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM) CARDIOLOGY 21000 21000 18900 18900 18900 18900 21000 18900
1449 CMU0496-A : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM) - WITH THROMBOLYSIS CARDIOLOGY 21000 21000 18900 18900 18900 18900 21000 18900
1450 CMU0496-B : ACUTE MI (CONSERVATIVE MANAGEMENT WITHOUT ANGIOGRAM) - WITHOUT THROMBOLYSIS CARDIOLOGY 21000 21000 18900 18900 18900 18900 21000 18900
1451 CMU0497 : ACUTE MI (CONSERVATIVE MANAGEMENT WITH ANGIOGRAM) CARDIOLOGY 31500 31500 28350 28350 28350 28350 31500 28350
1452 CMU0498 : ACUTE MI WITH CARDIOGENIC SHOCK CARDIOLOGY 37800 37800 34000 34000 34000 34000 37800 34000
1453 CMU0499 : ACUTE MI REQUIRING IABP PUMP CARDIOLOGY 56700 56700 51050 51050 51050 51050 56700 51050
1454 CMU0500 : CONGESTIVE CARDIAC FAILURE CARDIOLOGY 50000 50000 45000 45000 45000 45000 50000 45000
1455 CMU0501 : INFECTIVE ENDOCARDITIS CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1456 CMU0501 A : INFECTIVE ENDOCARDITIS CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1457 CMU0501 B : INFECTIVE ENDOCARDITIS CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1458 CMU0501A : INFECTIVE ENDOCARDITIS - BACTERIAL CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1459 CMU0501B : INFECTIVE ENDOCARDITIS - FUNGAL CARDIOLOGY 33000 33000 29700 29700 29700 29700 33000 29700
1460 CMU0502 : PULMONARY EMBOLISM CARDIOLOGY 40000 40000 36000 36000 36000 36000 40000 36000
1461 CMU0503 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT CARDIOLOGY 100000 100000 90000 90000 90000 90000 100000 90000
1462 CMU0503 A : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - INVASIVE MANAGEMENT (WITHOUT 3D MAPPING) CARDIOLOGY 57800 57800 52000 52000 52000 52000 57800 52000
1463 CMU0504 : ARRYTHMIAS (SUPRAVENTRICULLAR / VENTRICULAR) - CONSERVATIVE MANAGEMENT CARDIOLOGY 15000 15000 13500 13500 13500 13500 15000 13500
1464 CMU0504 A : ARRYTHMIAS (ATRIAL FIBRILLATION) - CONSERVATIVE MANAGEMENT CARDIOLOGY 15000 15000 13500 13500 13500 13500 15000 13500
1465 CMU0505 : PERICARDIAL EFFUSION/TAMPONADE CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
1466 CMU0505 B : PERICARDIAL TAMPONADE CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
1467 CMU0505A : PERICARDIAL EFFUSION CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
1468 CMU0505B : CARDIAC TAMPONADE CARDIOLOGY 30000 30000 27000 27000 27000 27000 30000 27000
1469 CMU0506 : CARDIAC CATHETERISATION AND RIGHT & LEFT HEART STUDY CARDIOLOGY 15800 15800 14200 14200 14200 14200 15800 14200
1470 CMU0506-A : CARDIAC CATHETERISATION AND RIGHT HEART STUDY CARDIOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
1471 CMU0506-B : CARDIAC CATHETERISATION AND LEFT HEART STUDY CARDIOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
1472 CMU0507 A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 24000 24000 21600 21600 21600 21600 24000 21600
1473 CMU0507 -A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR SK CARDIOLOGY 24000 24000 21600 21600 21600 21600 24000 21600
1474 CMU0507 B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 49000 49000 44100 44100 44100 44100 49000 44100
1475 CMU0507 -B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - FOR RTPAS CARDIOLOGY 49000 49000 44100 44100 44100 44100 49000 44100
1476 CMU0508 : TENECTEPLASE/TPA ADDITIONAL FOR MI MANAGEMENT CARDIOLOGY 35000 35000 31500 31500 31500 31500 35000 31500
1477 CMU0509 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS/ OTHER CAUSES - MAX 7 DAYS GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
1478 CMU0510 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE GENERAL MEDICINE 40000 36000 32400 29150 26250 23600 40000 29150
1479 CMU0511 : DIPTHERIA COMPLICATED INFECTIOUS DISEASES - GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
1480 CMU0512 : CRYPTOCOCCAL MENINGITIS INFECTIOUS DISEASES - GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
1481 CMU0513 : CEREBRAL MALARIA INFECTIOUS DISEASES - GENERAL MEDICINE 21000 18900 17000 15300 13800 12400 21000 15300
1482 CMU0514 : CORROSIVE OESOPHAGEAL INJURY GASTROENTEROLOGY 29600 26650 24000 21600 19400 17500 29600 21600
1483 CMU0515 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED) GASTROENTEROLOGY 33000 29700 26750 24050 21650 19500 33000 24050
1484 CMU0516 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE METALLIC STENT FOR BILIARY OBSTRUCTION (OBSTRUCTIVE JAUNDICE)- MALIGNANT/BENIGN GASTROENTEROLOGY 77400 69650 62700 56400 50800 45700 77400 56400
1485 CMU0517 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC SPINCTEROTOMY AND /OR PANCREATIC DUCT STENTING GASTROENTEROLOGY 19600 17650 15900 14300 12850 11550 19600 14300
1486 CMU0518 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING- PANCRETIC DUCT LEAKS, PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE, PANCREATIC STONE DISEASE GASTROENTEROLOGY 19600 17650 15900 14300 12850 11550 19600 14300
1487 CMU0519 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES GAVE, ULCER, RADIATION PROCTITIS/COLITIS, POST POLYPECTOMY BLEED, DIEULAFOYS LESION, ANGIODYSPLASIA, MALLORY WEISS TEAR. GASTROENTEROLOGY 19200 17300 15550 14000 12600 11350 19200 14000
1488 CMU0520 : DIRECT INTRA HEPATIC PORTO SYSTEMIC SHUNT MEDICAL GASTROENTROLOGY 385000 346500 311850 280650 252600 227350 385000 280650
1489 CMU0521 : ERCP & DOUBLE STENTING (METAL FOR CHOLANGIO CARCINOMA) - ADDITIONAL STENT ONLY MEDICAL GASTROENTROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1490 CMU0522 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF) NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1491 CMU0523 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE NEPHROLOGY 8800 8800 8800 8800 8800 8800 8800 8800
1492 CMU0524 : PERITONEAL DIALYSIS/CAPD INCLUDING ERYTHROPOIETIN AND IRON NEPHROLOGY 13300 13300 13300 13300 13300 13300 13300 13300
1493 CMU0524 A : CAPD INCLUDING ERYTHROPOIETIN AND IRON (1 MONTH) NEPHROLOGY 26600 26600 26600 26600 26600 26600 26600 26600
1494 CMU0524A : CAPD INCLUDING ERYTHROPOIETIN AND IRON (1 MONTH) NEPHROLOGY 26600 26600 26600 26600 26600 26600 26600 26600
1495 CMU0524B : CAPD INCLUDING ERYTHROPOIETIN AND IRON (15 DAYS) NEPHROLOGY 13300 13300 13300 13300 13300 13300 13300 13300
1496 CMU0524C : PERITONEAL DIALYSIS (NON-CAPD) NEPHROLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1497 CMU0525 : ACUTE INTERMITENT PERITONEAL DIALYSIS NEPHROLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1498 CMU0526 : CAPD CATHETER REMOVAL NEPHROLOGY 6500 6500 6500 6500 6500 6500 6500 6500
1499 CMU0527 : FEMORAL/SUBCLAVIAN HD CATHETER INSERTION WITH DIALYSIS NEPHROLOGY 13000 11700 10550 9500 8550 7700 13000 9500
1500 CMU0528 : HEMOPERFUSION FOR POISONING NEPHROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1501 CMU0529 : PERITIONITIS DUE TO PERITONEAL DIALYSIS NEPHROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1502 CMU0530 : PERITONEAL DIALYSIS CATHETER EXCHANGE NEPHROLOGY 20000 18000 16200 14600 13100 11800 20000 14600
1503 CMU0531 : PERITONEAL DIALYSIS CATHETER INSERTION-ANY TYPE NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1504 CMU0531A : PERITONEAL DIALYSIS CATHETER INSERTION-PERCUTANEOUS NEPHROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1505 CMU0531B : PERITONEAL DIALYSIS CATHETER INSERTION-LAPAROSCOPIC NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1506 CMU0531C : PERITONEAL DIALYSIS CATHETER INSERTION-OPEN NEPHROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1507 CMU0532 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY NEUROLOGY 17000 15300 13750 12400 11150 10050 17000 15300
1508 CMU0533 A : HEMORRHAGIC STROKE NEUROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1509 CMU0533 B : ISCHEMIC STROKE NEUROLOGY 19800 17800 16050 14450 13000 11700 19800 14450
1510 CMU0534 : AUTO IMMUNE ENCEPHALITIS NEUROLOGY 160000 144000 129600 116650 105000 94500 160000 116650
1511 CMU0535 : PEMPHIGUS /PEMPHIGOID DERMATOLOGY 0 0 0 0 0 0 0 0
1512 CMU0535A : PEMPHIGUS /PEMPHIGOID - INITIAL EVALUATION & MANAGEMENT INCLUDING BIOPSY - UPTO DERMATOLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1513 CMU0535B : PEMPHIGUS /PEMPHIGOID - STEROIDS OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE DERMATOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
1514 CMU0535C : PEMPHIGUS /PEMPHIGOID - MYCOPHENOLATE MOFETIL INDUUCTION upto DERMATOLOGY 8800 7900 7150 6400 5750 5200 8800 6400
1515 CMU0535D : PEMPHIGUS /PEMPHIGOID - MYCOPHENOLATE MOFETIL MAINTANANCE upto DERMATOLOGY 5500 4950 4450 4000 3600 3250 5500 4000
1516 CMU0535E : PEMPHIGUS /PEMPHIGOID - PULSE THERAPY DERMATOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
1517 CMU0536 : STEVENS- JOHNSON SYNDROME DERMATOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1518 CMU0537 : THROMBOCYTOPENIA WITH BLEEDING DIATHESIS HEMATOLOGY 20000 18000 16200 14600 13100 11800 20000 14600
1519 CMU0538 -I : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) HEMATOLOGY 250000 250000 250000 250000 250000 250000 250000 250000
1520 CMU0538 -IA : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 6600 6600 6600 6600 6600 6600 6600 6600
1521 CMU0538 -IB : BONE MARROW / STEM CELL TRANSPLANTATION (AUTOLOGOUS) - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 3300 3300 3300 3300 3300 3300 3300 3300
1522 CMU0538 -II : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED HEMATOLOGY 350000 350000 350000 350000 350000 350000 350000 350000
1523 CMU0538 -IIA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
1524 CMU0538 -IIB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - RELATED - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
1525 CMU0538 -III : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED HEMATOLOGY 350000 350000 350000 350000 350000 350000 350000 350000
1526 CMU0538 -IIIA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
1527 CMU0538 -IIIB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - UNRELATED - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
1528 CMU0538 -IV : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL HEMATOLOGY 350000 350000 350000 350000 350000 350000 350000 350000
1529 CMU0538 -IVA : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL - FOLLOW-UP FIRST 3 MONTHS - MONTHLY HEMATOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
1530 CMU0538 -IVB : BONE MARROW / STEM CELL TRANSPLANTATION (ALLOGENIC) - HAPLO-IDENTICAL - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY HEMATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
1531 CMU0539 : BRONCHIECTASIS WITH REPEATED HOSPITALISATION>6PER YEAR PULMONLOGY 19900 17900 16100 14500 13050 11750 19900 14500
1532 CMU0540 : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) PULMONLOGY 28500 25650 23100 20800 18700 16850 28500 20800
1533 CMU0541 : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) PULMONLOGY 56200 50600 45500 40950 36850 33200 56200 40950
1534 CMU0542 : LUNG ABSCESS, NON - RESOLVING PULMONLOGY 16700 15050 13550 12150 10950 9850 16700 12150
1535 CMU0543 : PNEUMOTHORAX ( LARGE / RECURRENT ) PULMONLOGY 27200 24500 22050 19850 17850 16050 27200 19850
1536 CMU0544 : HYDROPNEUMOTHORAX PULMONLOGY 27200 24500 22050 19850 17850 16050 27200 19850
1537 CMU0545 A : MALIGNANT PLEURAL EFFUSION PULMONLOGY 17300 15550 14000 12600 11350 10200 17300 12600
1538 CMU0545 B : MASSIVE HEMOPTYSIS PULMONLOGY 49200 44300 39850 35850 32300 29050 49200 35850
1539 CMU0546 : PNEUMOCONIOSIS PULMONLOGY 23700 21350 19200 17300 15550 14000 23700 17300
1540 CMU0547 A : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1541 CMU0547 B : SLE- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE/ MYCOPHENOLATE MOFETIL RHEUMATOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1542 CMU0548 : SLE -WITH INTERNAL ORGAN INVOLVEMENT ON PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 22100 19900 17900 16100 14500 13050 22100 16100
1543 CMU0549 : SLE WITH COMPLICATIONS RHEUMATOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1544 CMU0550 : SCLERODERMA RENAL CRISIS RHEUMATOLOGY 18900 17000 15300 13800 12400 11150 18900 13800
1545 CMU0551 : SJOGRENS SYNDROME- PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE OR TACROLIMUS OR HYDROXYCHLOROQUINE, PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION RHEUMATOLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1546 CMU0552 : SYSTEMIC SCLEROSIS -METHOTREXATE OR AZATHIOPRINE OR HYDROXYCHLOROQUINE/PULSE CYCLOPHOSPHAMIDE THERAPY/MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
1547 CMU0553 : ACUTE RHEUMATIC FEVER / ACUTE EXACERBATION OF CHRONIC RHEUMATIC CONDITIONS RHEUMATOLOGY 15000 13500 12150 10950 9850 8850 15000 10950
1548 CMU0554 : ANTIPHOSPHOLIPID SYNDROME (PRIMARY / SECONDARY) RHEUMATOLOGY 16500 14850 13350 12050 10850 9750 16500 12050
1549 CMU0555 : CATASTROPHIC ANTIPHOSPHOLIPID SYNDROME RHEUMATOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1550 CMU0556 : GROWTH HORMONE FOR HYPOPITUTARISM ENDOCRINOLOGY 210000 210000 210000 210000 210000 210000 210000 210000
1551 CMU0557 : PITUITARY - ACROMEGALY ENDOCRINOLOGY 26800 24100 21700 19550 17600 15850 26800 19550
1552 CMU0558 : CUSHINGS SYNDROME ENDOCRINOLOGY 77100 69400 62450 56200 50600 45550 77100 56200
1553 CMU0559 A : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - MALES ENDOCRINOLOGY 15300 13750 12400 11150 10050 9050 15300 11150
1554 CMU0559 B : DELAYED PUBERTY HYPOGONADISM (EX.TURNERS SYND, KLEINFELTER SYND) - FEMALES ENDOCRINOLOGY 22200 20000 18000 16200 14550 13100 22200 16200
1555 CMU0560 : MULTIMODAL THERAPY FOR AUTISM PSYCHIATRY 105000 105000 105000 105000 105000 105000 105000 105000
1556 CMU0560 A : MULTIMODAL THERAPY FOR AUTISM - ASSESSMENT (QUARTERLY) PSYCHIATRY 1100 1100 1100 1100 1100 1100 1100 1100
1557 CMU0560 B : MULTIMODAL THERAPY FOR AUTISM - ASSESSMENT (ANNUAL INCLUDING PSYCHIATRIC ASSESSMENT) PSYCHIATRY 2600 2600 2600 2600 2600 2600 2600 2600
1558 CMU0561 : FULMINANT HEPATIC FAILURE HEPATOLOGY 51500 46350 41700 37550 33800 30400 51500 37550
1559 CMU0562 : PRIMARY BILIARY CIRRHOSIS HEPATOLOGY 29300 26350 23750 21350 19200 17300 29300 21350
1560 CMU0563 : CHRONIC LIVER DISEASE -COMPENSATED/ DECOMPENSATED HEPATOLOGY 31600 28450 25600 23050 20750 18650 31600 23050
1561 CMU0564 : LIVER TRANSPLANTATION SURGICAL GASTRO ENTEROLOGY 350000 350000 350000 350000 350000 350000 350000 350000
1562 CMU0564 A : LIVER TRANSPLANTATION - FIRST YEAR FOLLOWUP - MONTHLY SURGICAL GASTRO ENTEROLOGY 12500 12500 12500 12500 12500 12500 12500 12500
1563 CMU0565 A : RT. HEPATECTOMY. SURGICAL GASTRO ENTEROLOGY 69900 62900 56600 50950 45850 41300 69900 50950
1564 CMU0565 B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1565 CMU0566 A : LT. HEPATECTOMY SURGICAL GASTRO ENTEROLOGY 69900 62900 56600 50950 45850 41300 69900 50950
1566 CMU0566 B : NON ANATOMICAL RESECTION OF LIVER SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1567 CMU0567 : SPLENORENAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1568 CMU0568 : SURGERY FOR BLEEDING ULCERS SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1569 CMU0569 : I STAGE-SUB TOTAL COLECTOMY + ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1570 CMU0570 : II STAGE - J-POUCH SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
1571 CMU0571 : III STAGE-ILEOSTOMY CLOSURE SURGICAL GASTRO ENTEROLOGY 24200 21800 19600 17650 15900 14300 24200 17650
1572 CMU0572 A : HEPATICO JEJUNOSTOMY - BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 78800 70900 63850 57450 51700 46550 78800 57450
1573 CMU0572 B : HEPATICO JEJUNOSTOMY - INJURY / EXTERNAL BILIARY FISTULA MANAGEMENT SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1574 CMU0573 : CBD CALCULI - STONE EXTRACTION CHOLEDOCHODUODENOSTOMY SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1575 CMU0574 : REPAIR SURGERY FOR INJURIES DUE TO FB SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1576 CMU0575 A : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (INVASIVE) SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1577 CMU0575 B : SURGICAL REMOVAL OF FOREIGN BODY FROM GIT (NON INVASIVE ) SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1578 CMU0576 : GASTRO STUDY FOLLOWED BY THORACOTOMY & SURGICAL MANAGEMENT FOR OESOPHAGEAL INJURY FOR CORROSIVE INJURIES/FB SURGICAL GASTRO ENTEROLOGY 58300 52450 47200 42500 38250 34450 58300 42500
1579 CMU0577 : HAEMANGIOMA SOL LIVER HEPATECTOMY + WEDGE RESECTION SURGICAL GASTRO ENTEROLOGY 46700 42050 37850 34050 30650 27600 46700 34050
1580 CMU0578 : LIENORENAL SHUNT SURGICAL GASTRO ENTEROLOGY 63000 56700 51050 45950 41350 37200 63000 45950
1581 CMU0579 : SLEEVE GASTRECTOMY FOR MORBID OBESITY BARIATRIC SURGERY 168000 168000 168000 168000 168000 168000 168000 168000
1582 CMU0580 : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY BARIATRIC SURGERY 190000 190000 190000 190000 190000 190000 190000 190000
1583 CMU0581 A : ANAL SPHINCTER RECONSTRUCTION SURGICAL GASTRO ENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1584 CMU0581 B : LEVATOROPLASTY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1585 CMU0582 : GRACILOPLASTY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1586 CMU0583 : BILIARY PERITONITIS -EMERGENCY LAPAROTOMY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1587 CMU0584 : SPLEEN SPARING DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
1588 CMU0585 : LIVER SEGMENTECTOMY SURGICAL GASTRO ENTEROLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1589 CMU0586 : PORTOCAVAL ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 84000 75600 68050 61250 55100 49600 84000 61250
1590 CMU0587 : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION SURGICAL GASTRO ENTEROLOGY 84000 75600 68050 61250 55100 49600 84000 61250
1591 CMU0588 : WARREN SHUNT SURGICAL GASTRO ENTEROLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1592 CMU0589 : PANCREAS DIVISUM SURGICAL GASTRO ENTEROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1593 CMU0590 : ESOPHAGEAL PERFORATION SURGERY SURGICAL GASTRO ENTEROLOGY 80000 72000 64800 58300 52500 47250 80000 58300
1594 CMU0591 : LAPAROSCOPIC VENTRAL HENIA REPAIR: MESH PLASTY WITH TACKERS SURGICAL GASTRO ENTEROLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1595 CMU0592 : LAPROSCOPIC CLOSURE OF HOLLOW VISCOUS PERFORATION SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1596 CMU0593 : LAPROSCOPIC GASTROJEJUNOSTOMY & VAGOTOMY SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1597 CMU0594 : SURGICAL DRAINAGE SURGICAL GASTRO ENTEROLOGY 25000 22500 20250 18250 16400 14750 25000 18250
1598 CMU0595 : VATS- RETROPERITONEAL DEBRIDEMENT OF PANCREATIC NECROSIS SURGICAL GASTRO ENTEROLOGY 45000 40500 36450 32800 29500 26550 45000 32800
1599 CMU0596 A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - LIVING DONOR GENITOURINARY SURGERY 230000 230000 230000 230000 230000 230000 230000 230000
1600 CMU0596 B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE THREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP OR EICHNOCANDINS) - CADAVERIC GENITOURINARY SURGERY 230000 230000 230000 230000 230000 230000 230000 230000
1601 CMU0596 C-i : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 3 MONTHS - MONTHLY GENITOURINARY SURGERY 22600 22600 22600 22600 22600 22600 22600 22600
1602 CMU0596 C-ii : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 4 TO 12 MONTHS - MONTHLY GENITOURINARY SURGERY 11300 11300 11300 11300 11300 11300 11300 11300
1603 CMU0597 A : CYSTOLITHOTRIPSY GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
1604 CMU0597 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY GENITOURINARY SURGERY 17900 16100 14500 13050 11750 10550 17900 13050
1605 CMU0597 C : RETROGRADE INTRARENAL SURGERY GENITOURINARY SURGERY 29400 26450 23800 21450 19300 17350 29400 21450
1606 CMU0598 : PERCUTANEOUS NEPHROLITHOTOMY GENITOURINARY SURGERY 32600 29350 26400 23750 21400 19250 32600 23750
1607 CMU0599 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY GENITOURINARY SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
1608 CMU0600 : URETERO RENOSCOPIC LITHOTRIPSY GENITOURINARY SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1609 CMU0600-A : URETERO RENOSCOPIC LITHOTRIPSY- UPPER URETER GENITOURINARY SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1610 CMU0600-B : URETERO RENOSCOPIC LITHOTRIPSY- LOWER URETER GENITOURINARY SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
1611 CMU0601 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA GENITOURINARY SURGERY 48300 43450 39100 35200 31700 28500 48300 35200
1612 CMU0602 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY GENITOURINARY SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
1613 CMU0603 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1614 CMU0603 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II GENITOURINARY SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
1615 CMU0604 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE GENITOURINARY SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1616 CMU0605 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS GENITOURINARY SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1617 CMU0606 A : RENAL CYST EXCISION - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1618 CMU0606 B : RENAL CYST EXCISION - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
1619 CMU0607 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1620 CMU0607 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1621 CMU0608 : ENDOSCOPE REMOVAL OF STONE IN BLADDER GENITOURINARY SURGERY 16300 14650 13200 11900 10700 9600 16300 11900
1622 CMU0609 : URETERIC INJURY REPAIR GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1623 CMU0610 : BLADDER INJURY REPAIR GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1624 CMU0611 : URETERIC REIMPLANTATION GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1625 CMU0612 : VESICO VAGINAL FISTULA GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
1626 CMU0613 : CLOSURE OF URETHRAL FISTULA GENITOURINARY SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
1627 CMU0614 : OPTICAL URETHROTOMY GENITOURINARY SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
1628 CMU0615 : PERINEAL URETHROSTOMY GENITOURINARY SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
1629 CMU0616 : ANDERSON HYNES PYELOPLASTY GENITOURINARY SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
1630 CMU0617 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY GENITOURINARY SURGERY 37300 33550 30200 27200 24450 22050 37300 27200
1631 CMU0617 B : BLADDER NECK INCISION (BNI) GENITOURINARY SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
1632 CMU0618 : SUPRA PUBIC CYSTOSTOMY GENITOURINARY SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
1633 CMU0619 - A : DIVERTICULECTOMY /PERSISTENT URACHUS - OPEN GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1634 CMU0619 - B : DIVERTICULECTOMY /PERSISTENT URACHUS - LAP GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1635 CMU0619 : DIVERTICULECTOMY /PERSISTENT URACHUS GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1636 CMU0620 : URACHAL SINUS/TUMOR / EXCISION GENITOURINARY SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
1637 CMU0621 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY) GENITOURINARY SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1638 CMU0622 - A : TRANSURETHRAL RESECTION OF PROSTATE (TURP) - MONOPOLAR GENITOURINARY SURGERY 28400 25550 23000 20700 18650 16750 28400 20700
1639 CMU0622 - B : TRANSURETHRAL RESECTION OF PROSTATE (TURP) - BIPOLAR GENITOURINARY SURGERY 28400 25550 23000 20700 18650 16750 28400 20700
1640 CMU0622 : TRANSURETHRAL RESECTION OF PROSTATE (TURP) GENITOURINARY SURGERY 28400 25550 23000 20700 18650 16750 28400 20700
1641 CMU0623 : TURP WITH CYSTOLITHOTRIPSY GENITOURINARY SURGERY 29400 26450 23800 21450 19300 17350 29400 21450
1642 CMU0624 : CHORDEE CORECTION GENITOURINARY SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
1643 CMU0625 : PROSTATIC ABSCESS -ULTRASOUND GUIDED TRANSURETHERAL DRAINAGE GENITOURINARY SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
1644 CMU0626 : INFERIOR VENA CAVA STENTING SINGLE STENT INTERVENTIONAL RADIOLOGY 250000 225000 202500 182250 164050 147600 250000 182250
1645 CMU0627 : CORTICAL VENOUS SINUS THROMBOLYSIS INTERVENTIONAL RADIOLOGY 250000 225000 202500 182250 164050 147600 250000 182250
1646 CMU0628 : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS INTERVENTIONAL RADIOLOGY 82500 74250 66850 60150 54150 48700 82500 60150
1647 CMU0629 : PERMANENT TUNNELED CATHETER PLACEMENT AS SUBSTITUTE FOR AV FISTULA IN LONG TERM DIALYSIS INTERVENTIONAL RADIOLOGY 42300 38050 34250 30850 27750 25000 42300 30850
1648 CMU0630 : STEREOTACTIC MAMMOGRAPHIC BIOPSY PROCEDURES INTERVENTIONAL RADIOLOGY 25400 22850 20550 18500 16650 15000 25400 18500
1649 CMU0631 : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA INTERVENTIONAL RADIOLOGY 109500 98550 88700 79850 71850 64650 109500 79850
1650 CMU0632 : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) INTERVENTIONAL RADIOLOGY 135000 121500 109350 98400 88550 79700 135000 98400
1651 CMU0633 : PERCUTANEOUS VERTEBRO PLASTY/ CEMENTOPLASTY (FOR EACH LEVEL) INTERVENTIONAL RADIOLOGY 78000 70200 63200 56850 51200 46050 78000 56850
1652 CMU0634 : PTBD STENTING WITH OR WITHOUT DRAINAGE INTERVENTIONAL RADIOLOGY 123000 110700 99650 89650 80700 72650 123000 89650
1653 CMU0635 : TRANS JUGULAR LIVER BIOPSY INTERVENTIONAL RADIOLOGY 61200 55100 49550 44600 40150 36150 61200 44600
1654 CMU0636 : FLOW DIVERTOR FOR WIDE NECK ANEURYSM INTERVENTIONAL RADIOLOGY 230000 207000 186300 167650 150900 135800 230000 167650
1655 CMU0637 : THOROCOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 41300 37150 33450 30100 27100 24400 41300 30100
1656 CMU0638 : MYOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS) CARDIOTHORACIC SURGERIES 36300 32650 29400 26450 23800 21450 36300 26450
1657 CMU0639 -I : TRANSPLEURAL BPF CLOSURE INTERVENTIONAL RADIOLOGY 43000 38700 34850 31350 28200 25400 43000 31350
1658 CMU0639 -II : TRANSPLEURAL BPF CLOSURE CARDIOTHORACIC SURGERIES 43000 38700 34850 31350 28200 25400 43000 31350
1659 CMU0640 -I : CAROTID EMBOLECTOMY INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1660 CMU0640 -II : CAROTID EMBOLECTOMY VASCULAR SURGERIES 75000 67500 60750 54700 49200 44300 75000 54700
1661 CMU0641 -I : PULMONARY EMBOLECTOMY WITH IVC FILTER INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1662 CMU0641 -II : PULMONARY EMBOLECTOMY WITH IVC FILTER VASCULAR SURGERIES 100000 90000 81000 72900 65600 59050 100000 72900
1663 CMU0642 -I : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT) SURGICAL ONCOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1664 CMU0642 -II : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT) E N T 22000 19800 17800 16050 14450 13000 22000 16050
1665 CMU0643 -I : ENDOSCOPIC DCR E N T 16200 14600 13100 11800 10650 9550 16200 11800
1666 CMU0643 -II : ENDOSCOPIC DCR OPHTHALMOLOGY SURGERIES 16200 14600 13100 11800 10650 9550 16200 11800
1667 CMU0644 -I : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS SURGICAL ONCOLOGY 17000 15300 13750 12400 11150 10050 17000 12400
1668 CMU0644 -II : VAGINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1669 CMU0645 -I : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS SURGICAL ONCOLOGY 17000 15300 13750 12400 11150 10050 17000 12400
1670 CMU0645 -II : ABDOMINAL HYSTERECTOMY FOR BENIGN / MALIGNANT CONDITIONS GENERAL SURGERY 17000 15300 13750 12400 11150 10050 17000 12400
1671 CMU0646 -I : WERTHEIMS / RADICAL HYSTERECTOMY SURGICAL ONCOLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1672 CMU0646 -II : WERTHEIMS / RADICAL HYSTERECTOMY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
1673 CMU0647 -I : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY SURGICAL ONCOLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1674 CMU0647 -IA : AMPUTATIONS - FORE QUARTER SURGICAL ONCOLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1675 CMU0647 -IB : AMPUTATIONS - HIND QUARTER / INTERNAL HEMIPELVECTOMY SURGICAL ONCOLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1676 CMU0647 -IC : AMPUTATIONS - HIND QUARTER / EXTERNAL HEMIPELVECTOMY SURGICAL ONCOLOGY 40000 36000 32400 29150 26250 23600 40000 29150
1677 CMU0647 -II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1678 CMU0647 -IIA : AMPUTATIONS - FORE QUARTER ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1679 CMU0647 -IIB : AMPUTATIONS - HIND QUARTER / INTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1680 CMU0647 -IIC : AMPUTATIONS - HIND QUARTER / EXTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
1681 CMU0648 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) GENERAL MEDICINE 23100 20800 18700 16850 15150 13650 23100 16850
1682 CMU0648 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) GENERAL MEDICINE 18900 17000 15300 13800 12400 11150 18900 13800
1683 CMU0649 A-I : PANCREATECTOMY DISTAL - OPEN SURGICAL ONCOLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1684 CMU0649 A-II : PANCREATECTOMY DISTAL - OPEN SURGICAL GASTRO ENTEROLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1685 CMU0649 A-III : PANCREATECTOMY DISTAL - OPEN GENERAL SURGERY 66200 59600 53600 48250 43450 39100 66200 48250
1686 CMU0649 B-I : PANCREATECTOMY DISTAL - LAP SURGICAL ONCOLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1687 CMU0649 B-II : PANCREATECTOMY DISTAL - LAP SURGICAL GASTRO ENTEROLOGY 66200 59600 53600 48250 43450 39100 66200 48250
1688 CMU0649 B-III : PANCREATECTOMY DISTAL - LAP GENERAL SURGERY 66200 59600 53600 48250 43450 39100 66200 48250
1689 CMU0649 C-I : PANCREATECTOMY CENTRAL- OPEN SURGICAL ONCOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1690 CMU0649 C-II : PANCREATECTOMY CENTRAL- OPEN SURGICAL GASTRO ENTEROLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1691 CMU0649 C-III : PANCREATECTOMY CENTRAL- OPEN GENERAL SURGERY 105000 94500 85050 76550 68900 62000 105000 76550
1692 CMU0649 D-I : PANCREATECTOMY CENTRAL- LAP SURGICAL ONCOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1693 CMU0649 D-II : PANCREATECTOMY CENTRAL- LAP SURGICAL GASTRO ENTEROLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1694 CMU0649 D-III : PANCREATECTOMY CENTRAL- LAP GENERAL SURGERY 105000 94500 85050 76550 68900 62000 105000 76550
1695 CMU0650 -I : NEPHROSTOMY GENITOURINARY SURGERY 8800 8800 8800 8800 8800 8800 8800 8800
1696 CMU0650 -II : NEPHROSTOMY GENERAL SURGERY 8800 8800 8800 8800 8800 8800 8800 8800
1697 CMU0651 -I : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
1698 CMU0651 -I-a : OBSCURE BLEED - CONSERVATIVE MANAGEMENT INCLUDING CAPSULE ENDOSCOPY SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1699 CMU0651 -I-b : OBSCURE BLEED - CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 11700 10550 9500 8550 7700 6900 11700 8550
1700 CMU0651 -I-c : NON VARICEAL BLEED - CLIPPING SURGICAL GASTRO ENTEROLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1701 CMU0651 -I-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION SURGICAL GASTRO ENTEROLOGY 48500 43650 39300 35350 31800 28650 48500 35350
1702 CMU0651 -I-e : NON VARICEAL BLEED - CONSERVATIVE SURGICAL GASTRO ENTEROLOGY 11000 9900 8900 8000 7200 6500 11000 8000
1703 CMU0651 -II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE GENERAL SURGERY 0 0 0 0 0 0 0 0
1704 CMU0651 -II-a : OBSCURE BLEED - CONSERVATIVE MANAGEMENT INCLUDING CAPSULE ENDOSCOPY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
1705 CMU0651 -II-b : OBSCURE BLEED - CONSERVATIVE GENERAL SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1706 CMU0651 -II-c : NON VARICEAL BLEED - CLIPPING GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
1707 CMU0651 -II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION GENERAL SURGERY 48500 43650 39300 35350 31800 28650 48500 35350
1708 CMU0651 -II-e : NON VARICEAL BLEED - CONSERVATIVE GENERAL SURGERY 11000 9900 8900 8000 7200 6500 11000 8000
1709 CMU0652 A-I : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1710 CMU0652 A-I-a-i : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1711 CMU0652 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1712 CMU0652 A-I-b-i : MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1713 CMU0652 A-I-b-ii : MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1714 CMU0652 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 16800 15100 13600 12250 11000 9900 16800 12250
1715 CMU0652 A-I-i : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY (INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) RHEUMATOLOGY 16800 15100 13600 12250 11000 9900 16800 12250
1716 CMU0652 B : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINATION ) RHEUMATOLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1717 CMU0652 B-I-a : MYCOPHENOLATE MOFETIL INDUCTION RHEUMATOLOGY 6300 5650 5100 4600 4150 3700 6300 4600
1718 CMU0652 B-I-b : MYCOPHENOLATE MOFETIL MAINTENANCE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1719 CMU0652 B-I-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN RHEUMATOLOGY 7400 6650 6000 5400 4850 4350 7400 5400
1720 CMU0652 B-I-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION RHEUMATOLOGY 5300 4750 4300 3850 3500 3150 5300 3850
1721 CMU0652 B-I-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCINA RHEUMATOLOGY 30000 27000 24300 21850 19700 17700 30000 21850
1722 CMU0652 B-II-a : MYCOPHENOLATE MOFETIL INDUCTION GENERAL MEDICINE 6300 5650 5100 4600 4150 3700 6300 4600
1723 CMU0652 B-II-b : MYCOPHENOLATE MOFETIL MAINTENANCE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1724 CMU0652 B-II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN GENERAL MEDICINE 7400 6650 6000 5400 4850 4350 7400 5400
1725 CMU0652 B-II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION GENERAL MEDICINE 5300 4750 4300 3850 3500 3150 5300 3850
1726 CMU0652 B-II-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCIN GENERAL MEDICINE 30000 27000 24300 21850 19700 17700 30000 21850
1727 CMU0653 A-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) RHEUMATOLOGY 13200 11900 10700 9600 8650 7800 13200 9600
1728 CMU0653 A-I-a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1729 CMU0653 A-I-b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY RHEUMATOLOGY 3200 2900 2600 2350 2100 1900 3200 2350
1730 CMU0653 A-I-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) (INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) RHEUMATOLOGY 13200 11900 10700 9600 8650 7800 13200 9600
1731 CMU0653 A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
1732 CMU0653 A-II-a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1733 CMU0653 A-II-b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY GENERAL MEDICINE 3200 2900 2600 2350 2100 1900 3200 2350
1734 CMU0653 A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(INCLUDING DIAGNOSTIC EVALUATION - 1ST TIME) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
1735 CMU0653 B-I : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) RHEUMATOLOGY 200000 180000 162000 145800 131200 118100 200000 145800
1736 CMU0653 B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) GENERAL MEDICINE 200000 180000 162000 145800 131200 118100 200000 145800
1737 CMU0654 -I : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION SURGICAL ONCOLOGY 44000 39600 35650 32100 28850 26000 44000 32100
1738 CMU0654 -II : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION OFMS 44000 39600 35650 32100 28850 26000 44000 32100
1739 CMU0655 -I : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT SURGICAL ONCOLOGY 24800 22300 20100 18100 16250 14650 24800 18100
1740 CMU0655 -Ia : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT - MUCORMYCOSIS SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
1741 CMU0655 -II : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT OPHTHALMOLOGY SURGERIES 24800 22300 20100 18100 16250 14650 24800 18100
1742 CMU0655 -IIa : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT - MUCORMYCOSIS OPHTHALMOLOGY SURGERIES 0 0 0 0 0 0 0 0
1743 CMU0656 A-I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LIVER) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1744 CMU0656 B : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LIVER) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1745 CMU0656 C : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( HEART & LUNG) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1746 CMU0656 D : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( HEART & LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1747 CMU0656 E : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1748 CMU0656 F : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( LUNG) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1749 CMU0656 G : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( COCHLEAR) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1750 CMU0656 H : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( COCHLEAR) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1751 CMU0656 I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUDITORY BRAINSTEM IMPLANTATION) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1752 CMU0656 J : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUDITORY BRAINSTEM IMPLANTATION) COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1753 CMU0656 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( KIDNEY) - PER MONTH GENERAL MEDICINE 0 0 0 0 0 0 0 0
1754 CMU0656 K-i : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 3 MONTHS AFTER TRANSPLANTATION - MONTHLY NEPHROLOGY 22600 22600 22600 22600 22600 22600 22600 22600
1755 CMU0656 K-ii : RENAL TRANSPLANTATION - FOLLOW-UP FIRST 4 TO 12 MONTHS AFTER TRANSPLANTATION - MONTHLY NEPHROLOGY 11300 11300 11300 11300 11300 11300 11300 11300
1756 CMU0656 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( KIDNEY) - PER MONTH GENERAL MEDICINE 0 0 0 0 0 0 0 0
1757 CMU0656 M : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1758 CMU0656 N : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1759 CMU0656 O : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1760 CMU0656 P : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - COVERED PRIMARY PACKAGE ALLOTED UNDER CORPUS FUND GENERAL MEDICINE 0 0 0 0 0 0 0 0
1761 CMU0657 -I : OPEN PROSTATECTOMY SURGICAL ONCOLOGY 35000 31500 28350 25500 22950 20650 35000 25500
1762 CMU0657 -II : OPEN PROSTATECTOMY GENITOURINARY SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
1763 CMU0658 -I : RADICAL PROSTATECTOMY SURGICAL ONCOLOGY 55000 49500 44550 40100 36100 32500 55000 40100
1764 CMU0658 -II - A : RADICAL PROSTATECTOMY- OPEN GENITOURINARY SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1765 CMU0658 -II - B : RADICAL PROSTATECTOMY- LAP GENITOURINARY SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1766 CMU0658 -II : RADICAL PROSTATECTOMY GENITOURINARY SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
1767 CMU0659 : CT GUIDED MAJOR PROCEDURES (DRAINAGE PIGTAIL INSERTION) INTERVENTIONAL RADIOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
1768 CMU0660 -A : CT GUIDED MAJOR PROCEDURES ( RF - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1769 CMU0660 -B : CT GUIDED MAJOR PROCEDURES ( RF - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 62500 56250 50650 45550 41000 36900 62500 45550
1770 CMU0660 -C : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - SOLID ORGANS) INTERVENTIONAL RADIOLOGY 55500 49950 44950 40450 36400 32750 55500 40450
1771 CMU0660 -D : CT GUIDED MAJOR PROCEDURES (ETHANOL ABLATION - OTHER ORGANS) INTERVENTIONAL RADIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1772 CMU0661 -A : CT GUIDED MINOR PROCEDURES (FNAC, BIPOSY) INTERVENTIONAL RADIOLOGY 12600 11350 10200 9200 8250 7450 12600 9200
1773 CMU0661 -B : CT GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 14000 12600 11350 10200 9200 8250 14000 10200
1774 CMU0661 -C : CT GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 17600 15850 14250 12850 11550 10400 17600 12850
1775 CMU0662 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS, POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION GENERAL SURGERY 9500 8550 7700 6950 6250 5600 9500 6950
1776 CMU0663 A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION SOLID ORGANS) GENERAL SURGERY 50000 45000 40500 36450 32800 29500 50000 36450
1777 CMU0663 A-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION SOLID ORGANS) INTERVENTIONAL RADIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
1778 CMU0663 B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION OTHER ORGANS ) GENERAL SURGERY 41000 36900 33200 29900 26900 24200 41000 29900
1779 CMU0663 B-II : USG GUIDED MAJOR PROCEDURES (RF ABLATION OTHER ORGANS ) INTERVENTIONAL RADIOLOGY 41000 36900 33200 29900 26900 24200 41000 29900
1780 CMU0663 C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION SOLID ORGANS) GENERAL SURGERY 25100 22600 20350 18300 16450 14800 25100 18300
1781 CMU0663 C-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION SOLID ORGANS) INTERVENTIONAL RADIOLOGY 25100 22600 20350 18300 16450 14800 25100 18300
1782 CMU0663 D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION OTHER ORGANS) GENERAL SURGERY 45500 40950 36850 33150 29850 26850 45500 33150
1783 CMU0663 D-II : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION OTHER ORGANS) INTERVENTIONAL RADIOLOGY 45500 40950 36850 33150 29850 26850 45500 33150
1784 CMU0664 : USG GUIDED MINOR PROCEDURES (FNAC, BIPOSY, SINOGRAPHY, TAPPING) GENERAL SURGERY 0 0 0 0 0 0 0 0
1785 CMU0664 A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) GENERAL SURGERY 2500 2250 2050 1800 1650 1500 2500 1800
1786 CMU0664 A-II : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) INTERVENTIONAL RADIOLOGY 2500 2250 2050 1800 1650 1500 2500 1800
1787 CMU0664 B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) GENERAL SURGERY 3300 2950 2650 2400 2150 1950 3300 2400
1788 CMU0664 B-II : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) INTERVENTIONAL RADIOLOGY 3300 2950 2650 2400 2150 1950 3300 2400
1789 CMU0664 C-I : USG GUIDED MINOR PROCEDURES (TAPPING) GENERAL SURGERY 2500 2250 2050 1800 1650 1500 2500 1800
1790 CMU0664 C-II : USG GUIDED MINOR PROCEDURES (TAPPING) INTERVENTIONAL RADIOLOGY 2500 2250 2050 1800 1650 1500 2500 1800
1791 CMU0664 D-II : USG GUIDED MINOR PROCEDURES (TAPPING) - ENDOSCOPIC ULTRASOUND GUIDED PROCEDURE INTERVENTIONAL RADIOLOGY 5000 4500 4050 3650 3300 2950 5000 3650
1792 CMU0665 -I : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 130000 117000 105300 94750 85300 76750 130000 94750
1793 CMU0665 -II : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER VASCULAR SURGERIES 130000 117000 105300 94750 85300 76750 130000 94750
1794 CMU0666 -I : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING INTERVENTIONAL RADIOLOGY 95000 85500 76950 69250 62350 56100 95000 69250
1795 CMU0666 -II : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING VASCULAR SURGERIES 95000 85500 76950 69250 62350 56100 95000 69250
1796 CMU0667 -I : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER INTERVENTIONAL RADIOLOGY 110000 99000 89100 80200 72150 64950 110000 80200
1797 CMU0667 -II : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER VASCULAR SURGERIES 110000 99000 89100 80200 72150 64950 110000 80200
1798 CMU0667 -III : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER SURGICAL GASTRO ENTEROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
1799 CMU0668 -I : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER INTERVENTIONAL RADIOLOGY 78500 70650 63600 57250 51500 46350 78500 57250
1800 CMU0668 -II : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER VASCULAR SURGERIES 78500 70650 63600 57250 51500 46350 78500 57250
1801 CMU0668 -III : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER CARDIOTHORACIC SURGERIES 78500 70650 63600 57250 51500 46350 78500 57250
1802 CMU0669 -I : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1803 CMU0669 -IA : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - LARGE VESSELS INTERVENTIONAL RADIOLOGY 135000 121500 109350 98400 88550 79700 135000 98400
1804 CMU0669 -IB : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - MEDIUM VESSELS INTERVENTIONAL RADIOLOGY 88000 79200 71300 64150 57750 51950 88000 64150
1805 CMU0669 -IC : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING - SMALL VESSELS INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1806 CMU0669 -II : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING VASCULAR SURGERIES 81800 73600 66250 59650 53650 48300 81800 59650
1807 CMU0670 -I : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM INTERVENTIONAL RADIOLOGY 61600 55450 49900 44900 40400 36350 61600 44900
1808 CMU0670 -II : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM VASCULAR SURGERIES 61600 55450 49900 44900 40400 36350 61600 44900
1809 CMU0671 -I : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS INTERVENTIONAL RADIOLOGY 117000 105300 94750 85300 76750 69100 117000 85300
1810 CMU0671 -II : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS VASCULAR SURGERIES 82000 73800 66400 59800 53800 48400 82000 59800
1811 CMU0671 -III : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS SURGICAL GASTRO ENTEROLOGY 82000 73800 66400 59800 53800 48400 82000 59800
1812 CMU0672 -I : EMBOLIZATION OF PULMONARY AV MALFORMATION INTERVENTIONAL RADIOLOGY 100000 90000 81000 72900 65600 59050 100000 72900
1813 CMU0672 -II : EMBOLIZATION OF PULMONARY AV MALFORMATION VASCULAR SURGERIES 100000 90000 81000 72900 65600 59050 100000 72900
1814 CMU0672 -III : EMBOLIZATION OF PULMONARY AV MALFORMATION CARDIOTHORACIC SURGERIES 100000 90000 81000 72900 65600 59050 100000 72900
1815 CMU0673 -I : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX INTERVENTIONAL RADIOLOGY 127100 114400 102950 92650 83400 75050 127100 92650
1816 CMU0673 -II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX NEUROSURGERY 127100 114400 102950 92650 83400 75050 127100 92650
1817 CMU0674 -I - B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - coil INTERVENTIONAL RADIOLOGY 140000 126000 113400 102050 91850 82650 140000 102050
1818 CMU0674 -I : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA INTERVENTIONAL RADIOLOGY 140000 126000 113400 102050 91850 82650 140000 102050
1819 CMU0674 -II - B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - coil VASCULAR SURGERIES 140000 126000 113400 102050 91850 82650 140000 102050
1820 CMU0674 -II : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA VASCULAR SURGERIES 140000 126000 113400 102050 91850 82650 140000 102050
1821 CMU0674 -III - B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - coil NEUROSURGERY 140000 126000 113400 102050 91850 82650 140000 102050
1822 CMU0674 -III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA NEUROSURGERY 140000 126000 113400 102050 91850 82650 140000 102050
1823 CMU0674-I-A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - BALLOON INTERVENTIONAL RADIOLOGY 140000 126000 113400 102050 91850 82650 140000 102050
1824 CMU0674-II-A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - BALLOON VASCULAR SURGERIES 140000 126000 113400 102050 91850 82650 140000 102050
1825 CMU0674-III-A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - BALLOON NEUROSURGERY 140000 126000 113400 102050 91850 82650 140000 102050
1826 CMU0675 -I : PLAIN SIMPLE COILING OF ANEURYSM INTERVENTIONAL RADIOLOGY 79600 71650 64500 58050 52250 47000 79600 58050
1827 CMU0675 -II : PLAIN SIMPLE COILING OF ANEURYSM VASCULAR SURGERIES 79600 71650 64500 58050 52250 47000 79600 58050
1828 CMU0676 -I : BRAIN AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 145000 130500 117450 105700 95150 85600 145000 105700
1829 CMU0676 -II : BRAIN AVM EMBOLIZATION VASCULAR SURGERIES 145000 130500 117450 105700 95150 85600 145000 105700
1830 CMU0676 -III : BRAIN AVM EMBOLIZATION NEUROSURGERY 145000 130500 117450 105700 95150 85600 145000 105700
1831 CMU0677 -I : TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 120000 108000 97200 87500 78750 70850 120000 87500
1832 CMU0677 -II : TUMOR EMBOLIZATION VASCULAR SURGERIES 120000 108000 97200 87500 78750 70850 120000 87500
1833 CMU0677 -III : TUMOR EMBOLIZATION NEUROSURGERY 120000 108000 97200 87500 78750 70850 120000 87500
1834 CMU0678 -I : PERIPHERAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 108000 97200 87500 78750 70850 63750 108000 78750
1835 CMU0678 -II : PERIPHERAL AVM EMBOLIZATION VASCULAR SURGERIES 108000 97200 87500 78750 70850 63750 108000 78750
1836 CMU0679 -I : TRANS ARTERIAL CHEMOEMBOLIZATION INTERVENTIONAL RADIOLOGY 130000 117000 105300 94750 85300 76750 130000 94750
1837 CMU0679 -II : TRANS ARTERIAL CHEMOEMBOLIZATION VASCULAR SURGERIES 130000 117000 105300 94750 85300 76750 130000 94750
1838 CMU0680 -I : HEAD AND NECK TUMOR EMBOLIZATION INTERVENTIONAL RADIOLOGY 120000 108000 97200 87500 78750 70850 120000 87500
1839 CMU0680 -II : HEAD AND NECK TUMOR EMBOLIZATION VASCULAR SURGERIES 120000 108000 97200 87500 78750 70850 120000 87500
1840 CMU0681 -I : PSEUDOANEURYSM EMBOLIZATION INTERVENTIONAL RADIOLOGY 65000 58500 52650 47400 42650 38400 65000 47400
1841 CMU0681 -II : PSEUDOANEURYSM EMBOLIZATION VASCULAR SURGERIES 65000 58500 52650 47400 42650 38400 65000 47400
1842 CMU0682 -I : PROSTATIC ARTERY EMBOLIZATION INTERVENTIONAL RADIOLOGY 72000 64800 58300 52500 47250 42500 72000 52500
1843 CMU0682 -II : PROSTATIC ARTERY EMBOLIZATION VASCULAR SURGERIES 72000 64800 58300 52500 47250 42500 72000 52500
1844 CMU0683 -A-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 81300 73150 65850 59250 53350 48000 81300 59250
1845 CMU0683 -A-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 81300 73150 65850 59250 53350 48000 81300 59250
1846 CMU0683 -A-III : SPINAL AVM EMBOLIZATION SPINE 81300 73150 65850 59250 53350 48000 81300 59250
1847 CMU0683 -B-I : SPINAL AVM EMBOLIZATION INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1848 CMU0683 -B-II : SPINAL AVM EMBOLIZATION NEUROSURGERY 0 0 0 0 0 0 0 0
1849 CMU0683 -B-III : SPINAL AVM EMBOLIZATION SPINE 0 0 0 0 0 0 0 0
1850 CMU0684 -I : SPINAL DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1851 CMU0684 -II : SPINAL DURAL FISTULA EMBOLIZATION NEUROSURGERY 107000 96300 86650 78000 70200 63200 107000 78000
1852 CMU0684 -III : SPINAL DURAL FISTULA EMBOLIZATION SPINE 107000 96300 86650 78000 70200 63200 107000 78000
1853 CMU0685 : BALLOON RETERO GRADE VARICEAL EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 56800 51100 46000 41400 37250 33550 56800 41400
1854 CMU0686 -I : LIVER HEMANGIOMA EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1855 CMU0686 -II : LIVER HEMANGIOMA EMBOLIZATION SURGICAL GASTRO ENTEROLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1856 CMU0687 -I : VEIN OF GALEN EMBOLIZATION INTERVENTIONAL RADIOLOGY 107000 96300 86650 78000 70200 63200 107000 78000
1857 CMU0687 -II : VEIN OF GALEN EMBOLIZATION NEUROSURGERY 107000 96300 86650 78000 70200 63200 107000 78000
1858 CMU0688 -I : DURAL FISTULA EMBOLIZATION INTERVENTIONAL RADIOLOGY 135400 121850 109650 98700 88850 79950 135400 98700
1859 CMU0688 -II : DURAL FISTULA EMBOLIZATION NEUROSURGERY 135400 121850 109650 98700 88850 79950 135400 98700
1860 CMU0689 : RF ABLATION OF OSTEOID OSTEOMA INTERVENTIONAL RADIOLOGY 90000 81000 72900 65600 59050 53150 90000 65600
1861 CMU0690 -I : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1862 CMU0690 -II : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1863 CMU0691 -I : FISTULA SALVAGE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 73300 65950 59350 53450 48100 43300 73300 53450
1864 CMU0691 -II : FISTULA SALVAGE ANGIOPLASTY VASCULAR SURGERIES 73300 65950 59350 53450 48100 43300 73300 53450
1865 CMU0692 -I : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 188000 169200 152300 137050 123350 111000 188000 137050
1866 CMU0692 -II : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE VASCULAR SURGERIES 188000 169200 152300 137050 123350 111000 188000 137050
1867 CMU0693 -I : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE INTERVENTIONAL RADIOLOGY 156000 140400 126350 113700 102350 92100 156000 113700
1868 CMU0693 -II : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE VASCULAR SURGERIES 156000 140400 126350 113700 102350 92100 156000 113700
1869 CMU0694 -I : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY INTERVENTIONAL RADIOLOGY 57300 51550 46400 41750 37600 33850 57300 41750
1870 CMU0694 -II : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY VASCULAR SURGERIES 57300 51550 46400 41750 37600 33850 57300 41750
1871 CMU0695 -I : SUBCLAVIAN / ILIAC / SUPERFICIAL FEMORAL ARTERY - STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1872 CMU0695 -II : SUBCLAVIAN / ILIAC / SUPERFICIAL FEMORAL ARTERY - STENTING VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1873 CMU0696 -I : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1874 CMU0696 -I-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - BALLOON PLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1875 CMU0696 -I-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - STENTING INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1876 CMU0696 -II : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA VASCULAR SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
1877 CMU0696 -II-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - BALLOON PLASTY VASCULAR SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
1878 CMU0696 -II-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - STENTING VASCULAR SURGERIES 0 0 0 0 0 0 0 0
1879 CMU0697 -I : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT INTERVENTIONAL RADIOLOGY 132000 118800 106900 96250 86600 77950 132000 96250
1880 CMU0697 -II : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT VASCULAR SURGERIES 132000 118800 106900 96250 86600 77950 132000 96250
1881 CMU0698 -I : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT INTERVENTIONAL RADIOLOGY 98300 88450 79600 71650 64500 58050 98300 71650
1882 CMU0698 -II : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT VASCULAR SURGERIES 98300 88450 79600 71650 64500 58050 98300 71650
1883 CMU0699 -I : INTRACRANIAL VENOUS STENTING INTERVENTIONAL RADIOLOGY 165000 148500 133650 120300 108250 97450 165000 120300
1884 CMU0699 -II : INTRACRANIAL VENOUS STENTING NEUROSURGERY 165000 148500 133650 120300 108250 97450 165000 120300
1885 CMU0700 -I : INTRACRANIAL ARTERIAL STENTING INTERVENTIONAL RADIOLOGY 165000 148500 133650 120300 108250 97450 165000 120300
1886 CMU0700 -II : INTRACRANIAL ARTERIAL STENTING NEUROSURGERY 165000 148500 133650 120300 108250 97450 165000 120300
1887 CMU0701 -I : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA INTERVENTIONAL RADIOLOGY 143800 129400 116500 104850 94350 84900 143800 104850
1888 CMU0701 -II : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA VASCULAR SURGERIES 143800 129400 116500 104850 94350 84900 143800 104850
1889 CMU0702 -I : PERIPHERAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1890 CMU0702 -II : PERIPHERAL ANGIOPLASTY VASCULAR SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
1891 CMU0703 -I : PERIPHERAL ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 90000 81000 72900 65600 59050 53150 90000 65600
1892 CMU0703 -II : PERIPHERAL ANGIOPLASTY AND STENTING VASCULAR SURGERIES 90000 81000 72900 65600 59050 53150 90000 65600
1893 CMU0704 -I : SVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1894 CMU0704 -II : SVC ANGIOPLASTY AND STENTING VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1895 CMU0705 -I : IVC ANGIOPLASTY INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1896 CMU0705 -II : IVC ANGIOPLASTY VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1897 CMU0706 -I : IVC ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1898 CMU0706 -II : IVC ANGIOPLASTY AND STENTING VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1899 CMU0707 -I : BELOW KNEE ANGIOPLASTY INTERVENTIONAL RADIOLOGY 70000 63000 56700 51050 45950 41350 70000 51050
1900 CMU0707 -II : BELOW KNEE ANGIOPLASTY VASCULAR SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
1901 CMU0708 -I : SUBCLAVIAN ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1902 CMU0708 -II : SUBCLAVIAN ANGIOPLASTY STENTING VASCULAR SURGERIES 105000 94500 85050 76550 68900 62000 105000 76550
1903 CMU0709 -I : RENAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 85000 76500 68850 61950 55750 50200 85000 61950
1904 CMU0709 -II : RENAL ANGIOPLASTY VASCULAR SURGERIES 85000 76500 68850 61950 55750 50200 85000 61950
1905 CMU0710 -I : VERTERBRAL ANGIOPLASTY INTERVENTIONAL RADIOLOGY 81500 73350 66000 59400 53450 48100 81500 59400
1906 CMU0710 -II : VERTERBRAL ANGIOPLASTY VASCULAR SURGERIES 81500 73350 66000 59400 53450 48100 81500 59400
1907 CMU0711 -I : RENAL ANGIOPLASTY STENTING INTERVENTIONAL RADIOLOGY 85000 76500 68850 61950 55750 50200 85000 61950
1908 CMU0711 -II : RENAL ANGIOPLASTY STENTING VASCULAR SURGERIES 85000 76500 68850 61950 55750 50200 85000 61950
1909 CMU0712 -I : DURAL SINUS ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 105000 94500 85050 76550 68900 62000 105000 76550
1910 CMU0712 -II : DURAL SINUS ANGIOPLASTY AND STENTING NEUROSURGERY 105000 94500 85050 76550 68900 62000 105000 76550
1911 CMU0713 -I : HEPATIC VEIN ANGIOPLASTY AND STENTING SURGICAL GASTRO ENTEROLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1912 CMU0713 -II : HEPATIC VEIN ANGIOPLASTY AND STENTING INTERVENTIONAL RADIOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
1913 CMU0713 -III : HEPATIC VEIN ANGIOPLASTY AND STENTING VASCULAR SURGERIES 75000 67500 60750 54700 49200 44300 75000 54700
1914 CMU0714 : ANEURYSM RESECTION & GRAFTING CARDIOTHORACIC SURGERIES 128000 128000 115200 115200 115200 115200 128000 115200
1915 CMU0715 -A : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1916 CMU0715 -B : RF ABLATION OF TUMOR INTERVENTIONAL RADIOLOGY 66000 59400 53450 48100 43300 38950 66000 48100
1917 CMU0716 -I : ACUTE STROKE THROMBOLYSIS (R TPA ) INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1918 CMU0716 -I-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (CATHTER DIRECTED) INTERVENTIONAL RADIOLOGY 125400 112850 101550 91400 82250 74050 125400 91400
1919 CMU0716 -I-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS) INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
1920 CMU0716 -I-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 50 MG) INTERVENTIONAL RADIOLOGY 35400 35400 35400 35400 35400 35400 35400 35400
1921 CMU0716 -I-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 70MG) INTERVENTIONAL RADIOLOGY 56400 56400 56400 56400 56400 56400 56400 56400
1922 CMU0716 -II : ACUTE STROKE THROMBOLYSIS (R TPA ) VASCULAR SURGERIES 0 0 0 0 0 0 0 0
1923 CMU0716 -II-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (CATHTER DIRECTED) VASCULAR SURGERIES 125400 112850 101550 91400 82250 74050 125400 91400
1924 CMU0716 -II-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS) VASCULAR SURGERIES 0 0 0 0 0 0 0 0
1925 CMU0716 -II-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 50 MG) VASCULAR SURGERIES 35400 35400 35400 35400 35400 35400 35400 35400
1926 CMU0716 -II-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 70MG) VASCULAR SURGERIES 56400 56400 56400 56400 56400 56400 56400 56400
1927 CMU0716 -III : ACUTE STROKE THROMBOLYSIS (R TPA ) NEUROLOGY 0 0 0 0 0 0 0 0
1928 CMU0716 -III-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS) NEUROLOGY 0 0 0 0 0 0 0 0
1929 CMU0716 -III-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 50 MG) NEUROLOGY 35400 35400 35400 35400 35400 35400 35400 35400
1930 CMU0716 -III-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - THROMBOLYSIS - 70MG) NEUROLOGY 56400 56400 56400 56400 56400 56400 56400 56400
1931 CMU0717 -I : INFERIOR VENA CAVA FILTER PLACEMENT INTERVENTIONAL RADIOLOGY 78500 70650 63600 57250 51500 46350 78500 57250
1932 CMU0717 -II : INFERIOR VENA CAVA FILTER PLACEMENT VASCULAR SURGERIES 78500 70650 63600 57250 51500 46350 78500 57250
1933 CMU0718 -I : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
1934 CMU0718 -I-a : BILIARY DRAINAGE PROCEDURES - T- TUBE SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
1935 CMU0718 -I-b : BILIARY DRAINAGE PROCEDURES - CHOLEDOCOJEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1936 CMU0718 -I-c : BILIARY DRAINAGE PROCEDURES - HEPATICOJEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1937 CMU0718 -I-d : ERCP AND STENT (PLASTIC) SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1938 CMU0718 -I-e : ERCP AND STENT (SEMS) SURGICAL GASTRO ENTEROLOGY 60500 54450 49000 44100 39700 35700 60500 44100
1939 CMU0718 -I-f : POST OP BILIARY STRICTURE SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
1940 CMU0718 -II : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES GASTROENTEROLOGY 0 0 0 0 0 0 0 0
1941 CMU0718 -II-d : ERCP AND STENT (PLASTIC) GASTROENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
1942 CMU0718 -II-e : ERCP AND STENT (SEMS) GASTROENTEROLOGY 60500 54450 49000 44100 39700 35700 60500 44100
1943 CMU0718 -II-f : POST OP BILIARY STRICTURE GASTROENTEROLOGY 36800 33100 29800 26850 24150 21750 36800 26850
1944 CMU0719 -I : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE INTERVENTIONAL RADIOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
1945 CMU0719 -II : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE VASCULAR SURGERIES 175000 157500 141750 127600 114800 103350 175000 127600
1946 CMU0720 : CT GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 25300 22750 20500 18450 16600 14950 25300 18450
1947 CMU0721 : USG GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 20300 18250 16450 14800 13300 12000 20300 14800
1948 CMU0722 : C-ARM GUIDED NERVE BLOCK (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, EPIDURAL STEROID, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE, PIRIFORMIS INJECTION) INTERVENTIONAL RADIOLOGY 22800 20500 18450 16600 14950 13450 22800 16600
1949 CMU0723 : CT GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 37300 33550 30200 27200 24450 22050 37300 27200
1950 CMU0724 : USG GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1951 CMU0725 : C-ARM GUIDED RF ABLATION (COELIAC PLEXUS, HYPOGASTRIC PLEXUS, STELLATE GANGLION, GASSERIAN GANGLION, MANDIBULAR NERVE, MAXILLARY NERVE, SELECTIVE NERVE ROOT, LUMBAR SYMPATHETIC PLEXUS, GANGLION IMPAR, SACRO ILIAC JOINT INFECTION, FACET JOINT, SPHENOPALATINE GANGLION, OCCIPITAL NERVE, GLOSSOPHARYNGEAL NERVE, THORACIC SYMPATHETIC, INTERCOSTAL NERVE, SPLANCHNIC NERVE)/ INTERVENTIONAL RADIOLOGY 27300 24550 22100 19900 17900 16100 27300 19900
1952 CMU0726 : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION INTERVENTIONAL RADIOLOGY 122000 109800 98800 88950 80050 72050 122000 88950
1953 CMU0727 : IMMUNOGLOBULIN THERAPY GENERAL MEDICINE 200000 200000 200000 200000 200000 200000 200000 200000
1954 CMU0728 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC PLASTIC SURGERY 59300 53350 48050 43250 38900 35000 59300 43250
1955 CMU0729 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER PLASTIC SURGERY 79200 71300 64150 57750 51950 46750 79200 57750
1956 CMU0730 -I : EXCISION OF LINGUAL THYROID SURGICAL ONCOLOGY 21600 19450 17500 15750 14150 12750 21600 15750
1957 CMU0730 -II : EXCISION OF LINGUAL THYROID ENDOCRINE SURGERY 21600 19450 17500 15750 14150 12750 21600 15750
1958 CMU0731 -I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GASTROENTEROLOGY 0 0 0 0 0 0 0 0
1959 CMU0731 -I-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
1960 CMU0731 -I-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
1961 CMU0731 -I-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GASTROENTEROLOGY 58800 52900 47650 42850 38600 34700 58800 42850
1962 CMU0731 -II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS GENERAL MEDICINE 0 0 0 0 0 0 0 0
1963 CMU0731 -II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
1964 CMU0731 -II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
1965 CMU0731 -II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT GENERAL MEDICINE 58800 52900 47650 42850 38600 34700 58800 42850
1966 CMU0732 A-I : SIMPLE /HEMI NEPHRECTOMY OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1967 CMU0732 A-II : SIMPLE /HEMI NEPHRECTOMY OPEN SURGICAL ONCOLOGY 44000 39600 35650 32100 28850 26000 44000 32100
1968 CMU0732 A-III : SIMPLE /HEMI NEPHRECTOMY OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
1969 CMU0732 B-I : RADICAL NEPHRECTOMY GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1970 CMU0732 B-II : RADICAL NEPHRECTOMY SURGICAL ONCOLOGY 46700 42050 37850 34050 30650 27600 46700 34050
1971 CMU0732 B-III : RADICAL NEPHRECTOMY GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1972 CMU0733 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1973 CMU0733 A-II : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. SURGICAL ONCOLOGY 49500 44550 40100 36100 32500 29250 49500 36100
1974 CMU0733 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. GENITOURINARY SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
1975 CMU0733 B-I : LAP NEPHRECTOMY-RADICAL GENERAL SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
1976 CMU0733 B-II : LAP NEPHRECTOMY-RADICAL SURGICAL ONCOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
1977 CMU0733 B-III : LAP NEPHRECTOMY-RADICAL GENITOURINARY SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
1978 CMU0734 A-I : NEPHROURETERECTOMY OPEN GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1979 CMU0734 A-II : NEPHROURETERECTOMY OPEN GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1980 CMU0734 B-I : NEPHROURETERECTOMY LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1981 CMU0734 B-II : NEPHROURETERECTOMY LAP GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
1982 CMU0735 : BRONCHOSCOPY FOREIGN BODY REMOVAL CARDIOTHORACIC SURGERIES 9900 9900 9900 9900 9900 9900 9900 9900
1983 CMU0736 -I : FB OESOPHAGUS GENERAL SURGERY 7700 7700 7700 7700 7700 7700 7700 7700
1984 CMU0736 -II : FB OESOPHAGUS E N T 7700 7700 7700 7700 7700 7700 7700 7700
1985 CMU0736 -III : FB OESOPHAGUS PAEDIATRIC SURGERIES 7700 7700 7700 7700 7700 7700 7700 7700
1986 CMU0737 -I : TRACHEOSTOMY GENERAL SURGERY 5300 5300 5300 5300 5300 5300 5300 5300
1987 CMU0737 -II : TRACHEOSTOMY CARDIOTHORACIC SURGERIES 5300 5300 5300 5300 5300 5300 5300 5300
1988 CMU0738 -I : THOROCOSTOMY GENERAL SURGERY 43400 39050 35150 31650 28450 25650 43400 31650
1989 CMU0738 -II : THOROCOSTOMY CARDIOTHORACIC SURGERIES 43400 39050 35150 31650 28450 25650 43400 31650
1990 CMU0739 : CLEFT LIP PLASTIC SURGERY 0 0 0 0 0 0 0 0
1991 CMU0739 A : CLEFT LIP - UNILATERAL PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
1992 CMU0739 B : CLEFT LIP - BILATERAL PLASTIC SURGERY 18800 16900 15250 13700 12350 11100 18800 13700
1993 CMU0740 : CLEFT PALATE PLASTIC SURGERY 0 0 0 0 0 0 0 0
1994 CMU0740 A : CLEFT PALATE - PARTIAL PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
1995 CMU0740 B : CLEFT PALATE - COMPLETE PLASTIC SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
1996 CMU0740 C : CLEFT PALATE - SUB MUCOUS (BEFORE 1.5 YEARS OF AGE) PLASTIC SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
1997 CMU0741 : SYNDACTYLY OF HAND FOR EACH HAND PLASTIC SURGERY 31000 27900 25100 22600 20350 18300 31000 22600
1998 CMU0741 A : SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
1999 CMU0741 B : COMPLEX SYNDACTYLY (PER FINGER) PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2000 CMU0741 C : SIMPLE SYNDACTYLY (PER FINGER) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2001 CMU0741 D : COMPLEX SYNDACTYLY (PER HAND) PLASTIC SURGERY 27900 25100 22600 20350 18300 16450 27900 20350
2002 CMU0742 A : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 0 0 0 0 0 0 0 0
2003 CMU0742 A-I : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 29600 26650 24000 21600 19400 17500 29600 21600
2004 CMU0742 A-II : MICROTIA/ANOTIA - STAGE 1 PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2005 CMU0742 A-III : MICROTIA/ANOTIA - STAGE 1 (WITH CARTILAGE AUTOGRAFT) PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2006 CMU0742 A-IV : MICROTIA/ANOTIA - STAGE 1 (WITH ARTIFICIAL IMPLANT) PLASTIC SURGERY 29600 26650 24000 21600 19400 17500 29600 21600
2007 CMU0742 B : MICROTIA/ANOTIA - STAGE 2 PLASTIC SURGERY 20500 18450 16600 14950 13450 12100 20500 14950
2008 CMU0743 : TM JOINT ANKYLOSIS PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2009 CMU0744 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
2010 CMU0745 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION PLASTIC SURGERY 47100 42400 38150 34350 30900 27800 47100 34350
2011 CMU0746 -I : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA OFMS 0 0 0 0 0 0 0 0
2012 CMU0746 -I-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA OFMS 11700 10550 9500 8550 7700 6900 11700 8550
2013 CMU0746 -I-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE OFMS 11700 10550 9500 8550 7700 6900 11700 8550
2014 CMU0746 -I-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING OFMS 5800 5200 4700 4250 3800 3400 5800 4250
2015 CMU0746 -II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA ORTHOPEDICS 0 0 0 0 0 0 0 0
2016 CMU0746 -II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550
2017 CMU0746 -II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550
2018 CMU0746 -II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING ORTHOPEDICS 5800 5200 4700 4250 3800 3400 5800 4250
2019 CMU0746 -III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA PLASTIC SURGERY 0 0 0 0 0 0 0 0
2020 CMU0746 -III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2021 CMU0746 -III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2022 CMU0746 -III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / ARCHBAR PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2023 CMU0747 -I : HEAD & NECK CANCER COMPOSITE RESECTION SURGICAL ONCOLOGY 41100 37000 33300 29950 26950 24250 41100 29950
2024 CMU0747 -II : HEAD & NECK CANCER COMPOSITE RESECTION OFMS 41100 37000 33300 29950 26950 24250 41100 29950
2025 CMU0748 -I : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 51600 46450 41800 37600 33850 30450 51600 37600
2026 CMU0748 -II : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION OFMS 51600 46450 41800 37600 33850 30450 51600 37600
2027 CMU0749 -I : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION GENERAL SURGERY 28800 25900 23350 21000 18900 17000 28800 21000
2028 CMU0749 -II : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION PLASTIC SURGERY 28800 25900 23350 21000 18900 17000 28800 21000
2029 CMU0749 -III : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION SURGICAL ONCOLOGY 28800 25900 23350 21000 18900 17000 28800 21000
2030 CMU0749 -IIIa : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION SURGICAL ONCOLOGY 28800 25900 23350 21000 18900 17000 28800 21000
2031 CMU0749 -IV : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION ORTHOPEDICS 28800 25900 23350 21000 18900 17000 28800 21000
2032 CMU0749 -IVa : TUMOR RESECTION - ANY TYPE WITH RECONSTRUCTION ORTHOPEDICS 28800 25900 23350 21000 18900 17000 28800 21000
2033 CMU0750 -I : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION GENERAL SURGERY 0 0 0 0 0 0 0 0
2034 CMU0750 -I-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2035 CMU0750 -I-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
2036 CMU0750 -I-c : BONE TUMOR - RESECTION - WITHOUT RECONSTRUCTION GENERAL SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
2037 CMU0750 -II : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION PLASTIC SURGERY 0 0 0 0 0 0 0 0
2038 CMU0750 -II-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
2039 CMU0750 -II-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION PLASTIC SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
2040 CMU0750 -II-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION PLASTIC SURGERY 20900 18800 16950 15250 13700 12350 20900 15250
2041 CMU0750 -III : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2042 CMU0750 -III-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 16500 14850 13350 12050 10850 9750 16500 12050
2043 CMU0750 -III-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 10500 9450 8500 7650 6900 6200 10500 7650
2044 CMU0750 -III-c : BONE TUMORS - EXCISION/AMPUTATION/RESECTION SURGICAL ONCOLOGY 20900 18800 16950 15250 13700 12350 20900 15250
2045 CMU0750 -IV : TUMOR RESECTION - ANY TYPE WITHOUT RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0
2046 CMU0750 -IV-a : SKIN TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
2047 CMU0750 -IV-b : SOFT TISSUE TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
2048 CMU0750 -IV-c : BONE TUMOR - RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 20900 18800 16950 15250 13700 12350 20900 15250
2049 CMU0751 -I : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
2050 CMU0751 -II : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION INTERVENTIONAL RADIOLOGY 41900 37700 33950 30550 27500 24750 41900 30550
2051 CMU0752 -I : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING CARDIOTHORACIC SURGERIES 75500 67950 61150 55050 49550 44600 75500 55050
2052 CMU0752 -II : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING INTERVENTIONAL RADIOLOGY 75500 67950 61150 55050 49550 44600 75500 55050
2053 CMU0752 -III : OESOPHAGEAL GROWTH STENTING SURGICAL ONCOLOGY 75500 67950 61150 55050 49550 44600 75500 55050
2054 CMU0753 -I : DIAPHRAGMATIC HERNIA CARDIOTHORACIC SURGERIES 42000 37800 34000 30600 27550 24800 42000 30600
2055 CMU0753 -II : DIAPHRAGMATIC HERNIA SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
2056 CMU0754 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2057 CMU0754 A-I-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN - DISTAL URETERECTOMY GENITOURINARY SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2058 CMU0754 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2059 CMU0754 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN PLASTIC SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2060 CMU0754 A-IV-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN - DISTAL URETERECTOMY SURGICAL ONCOLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2061 CMU0754 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2062 CMU0754 B-I-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP - DISTAL URETERECTOMY GENITOURINARY SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2063 CMU0754 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP GENERAL SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2064 CMU0754 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP PLASTIC SURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2065 CMU0754 B-IV-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP - DISTAL URETERECTOMY SURGICAL ONCOLOGY 46700 42050 37850 34050 30650 27600 46700 34050
2066 CMU0754 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN PLASTIC SURGERY 58700 52850 47550 42800 38500 34650 58700 42800
2067 CMU0754 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENERAL SURGERY 57800 52000 46800 42150 37900 34150 57800 42150
2068 CMU0754 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN GENITOURINARY SURGERY 57800 52000 46800 42150 37900 34150 57800 42150
2069 CMU0754 C-III-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN - DISTAL URETERECTOMY GENITOURINARY SURGERY 57800 52000 46800 42150 37900 34150 57800 42150
2070 CMU0754 C-IV-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN - DISTAL URETERECTOMY SURGICAL ONCOLOGY 57800 52000 46800 42150 37900 34150 57800 42150
2071 CMU0754 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP PLASTIC SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2072 CMU0754 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENERAL SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2073 CMU0754 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP GENITOURINARY SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2074 CMU0754 D-III-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP - DISTAL URETERECTOMY GENITOURINARY SURGERY 60500 54450 49000 44100 39700 35700 60500 44100
2075 CMU0754 D-IV-a : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP - DISTAL URETERECTOMY SURGICAL ONCOLOGY 60500 54450 49000 44100 39700 35700 60500 44100
2076 CMU0755 -I : HYPOSPADIAS GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2077 CMU0755 -II : HYPOSPADIAS GENITOURINARY SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2078 CMU0756 -I : EPISPADIAS GENERAL SURGERY 44100 39700 35700 32150 28950 26050 44100 32150
2079 CMU0756 -II : EPISPADIAS GENITOURINARY SURGERY 44100 39700 35700 32150 28950 26050 44100 32150
2080 CMU0757 -I : TORSION TESTIS GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2081 CMU0757 -II : TORSION TESTIS GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2082 CMU0758 -I : URETEROCELE SURGERY GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2083 CMU0758 -II : URETEROCELE SURGERY GYNAECOLOGY OBSTETRIC SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2084 CMU0758 -III : URETEROCELE SURGERY GENITOURINARY SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2085 CMU0759 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
2086 CMU0759 A-II : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 55000 49500 44550 40100 36100 32500 55000 40100
2087 CMU0759 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
2088 CMU0759 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
2089 CMU0760 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
2090 CMU0760 A-II : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 55000 49500 44550 40100 36100 32500 55000 40100
2091 CMU0760 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2092 CMU0760 B-II : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION SURGICAL GASTRO ENTEROLOGY 25700 23150 20800 18750 16850 15200 25700 18750
2093 CMU0761 -I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD GENERAL SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
2094 CMU0761 -II : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD SURGICAL GASTRO ENTEROLOGY 24200 21800 19600 17650 15900 14300 24200 17650
2095 CMU0762 -I : OPEN CHOLECYSTOSTOMY GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2096 CMU0762 -II : OPEN CHOLECYSTOSTOMY SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
2097 CMU0763 -I : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL ONCOLOGY 43900 39500 35550 32000 28800 25900 43900 32000
2098 CMU0763 -II : GASTRECTOMY ANY TYPE - ANY CAUSE GENERAL SURGERY 43900 39500 35550 32000 28800 25900 43900 32000
2099 CMU0763 -III : GASTRECTOMY ANY TYPE - ANY CAUSE SURGICAL GASTRO ENTEROLOGY 43900 39500 35550 32000 28800 25900 43900 32000
2100 CMU0764 -I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL ONCOLOGY 53800 48400 43600 39200 35300 31750 53800 39200
2101 CMU0764 -II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY GENERAL SURGERY 53800 48400 43600 39200 35300 31750 53800 39200
2102 CMU0764 -III : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY SURGICAL GASTRO ENTEROLOGY 53800 48400 43600 39200 35300 31750 53800 39200
2103 CMU0765 -A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 16400 14750 13300 11950 10750 9700 16400 11950
2104 CMU0765 -B : PENECTOMY- TOTAL WITHOUT PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 25600 23050 20750 18650 16800 15100 25600 18650
2105 CMU0766 A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 31000 27900 25100 22600 20350 18300 31000 22600
2106 CMU0766 B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA SURGICAL ONCOLOGY 41900 37700 33950 30550 27500 24750 41900 30550
2107 CMU0767 -I : ANTERIOR RESECTION SURGICAL ONCOLOGY 56000 50400 45350 40800 36750 33050 56000 40800
2108 CMU0767 -II : ANTERIOR RESECTION GENERAL SURGERY 56000 50400 45350 40800 36750 33050 56000 40800
2109 CMU0767 -III : ANTERIOR RESECTION SURGICAL GASTRO ENTEROLOGY 56000 50400 45350 40800 36750 33050 56000 40800
2110 CMU0768 -A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL ONCOLOGY 28700 25850 23250 20900 18850 16950 28700 20900
2111 CMU0768 -A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH GENERAL SURGERY 28700 25850 23250 20900 18850 16950 28700 20900
2112 CMU0768 -A-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH SURGICAL GASTRO ENTEROLOGY 28700 25850 23250 20900 18850 16950 28700 20900
2113 CMU0768 -B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL ONCOLOGY 51500 46350 41700 37550 33800 30400 51500 37550
2114 CMU0768 -B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY GENERAL SURGERY 51500 46350 41700 37550 33800 30400 51500 37550
2115 CMU0768 -B-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY SURGICAL GASTRO ENTEROLOGY 51500 46350 41700 37550 33800 30400 51500 37550
2116 CMU0768 -C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL ONCOLOGY 78300 70450 63400 57100 51350 46250 78300 57100
2117 CMU0768 -C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS GENERAL SURGERY 78300 70450 63400 57100 51350 46250 78300 57100
2118 CMU0768 -C-III : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS SURGICAL GASTRO ENTEROLOGY 78300 70450 63400 57100 51350 46250 78300 57100
2119 CMU0769 -I : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP SURGICAL ONCOLOGY 45900 41300 37200 33450 30100 27100 45900 33450
2120 CMU0769 -II : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP GENERAL SURGERY 45900 41300 37200 33450 30100 27100 45900 33450
2121 CMU0769 -III : ABDOMINOPERINIAL RESECTION WITH / WITHOUT SPHINCTER PRESERVING SURGERY WITH COLO ANAL ANASTOMOSIS - OPEN/LAP SURGICAL GASTRO ENTEROLOGY 45900 41300 37200 33450 30100 27100 45900 33450
2122 CMU0770 A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2123 CMU0770 A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
2124 CMU0770 B-I : SPLENECTOMY WITH DEVASCULARISATION- TRAUMATIC GENERAL SURGERY 41800 37600 33850 30450 27400 24700 41800 30450
2125 CMU0770 B-II : SPLENECTOMY WITH DEVASCULARISATION- TRAUMATIC SURGICAL GASTRO ENTEROLOGY 41800 37600 33850 30450 27400 24700 41800 30450
2126 CMU0771 A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2127 CMU0771 A-II : SPLENECTOMY WITHOUT DEVASCULARISATION -NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
2128 CMU0771 B-I : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC GENERAL SURGERY 41800 37600 33850 30450 27400 24700 41800 30450
2129 CMU0771 B-II : SPLENECTOMY WITH DEVASCULARISATION- NON TRAUMATIC SURGICAL GASTRO ENTEROLOGY 41800 37600 33850 30450 27400 24700 41800 30450
2130 CMU0772 A-I : LAP SPLENECTOMY WITHOUT DEVASCULARISATION GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2131 CMU0772 A-II : LAP SPLENECTOMY WITHOUT DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
2132 CMU0772 B-I : LAP SPLENECTOMY WITH DEVASCULARISATION GENERAL SURGERY 44300 39850 35900 32300 29050 26150 44300 32300
2133 CMU0772 B-II : LAP SPLENECTOMY WITH DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44300 39850 35900 32300 29050 26150 44300 32300
2134 CMU0773 A-I : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 35400 31850 28650 25800 23250 20900 35400 25800
2135 CMU0773 A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 35400 31850 28650 25800 23250 20900 35400 25800
2136 CMU0773 A-III : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 35400 31850 28650 25800 23250 20900 35400 25800
2137 CMU0773 B-I : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 23800 21400 19300 17350 15600 14050 23800 17350
2138 CMU0773 B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) PLASTIC SURGERY 23800 21400 19300 17350 15600 14050 23800 17350
2139 CMU0773 B-III : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) OFMS 23800 21400 19300 17350 15600 14050 23800 17350
2140 CMU0774 -A-I : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 30200 27200 24450 22000 19800 17850 30200 22000
2141 CMU0774 -A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 30200 27200 24450 22000 19800 17850 30200 22000
2142 CMU0774 -A-III : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 30200 27200 24450 22000 19800 17850 30200 22000
2143 CMU0774 -B-I : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) SURGICAL ONCOLOGY 40700 36650 32950 29650 26700 24050 40700 29650
2144 CMU0774 -B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) PLASTIC SURGERY 40700 36650 32950 29650 26700 24050 40700 29650
2145 CMU0774 -B-III : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) OFMS 40700 36650 32950 29650 26700 24050 40700 29650
2146 CMU0775 -I : HEMIMANDIBULECTOMY SURGICAL ONCOLOGY 26400 23750 21400 19250 17300 15600 26400 19250
2147 CMU0775 -II : HEMIMANDIBULECTOMY OFMS 26400 23750 21400 19250 17300 15600 26400 19250
2148 CMU0775 -III : HEMIMANDIBULECTOMY OFMS 26400 23750 21400 19250 17300 15600 26400 19250
2149 CMU0775 -IV : HEMIMANDIBULECTOMY GENERAL SURGERY 26400 23750 21400 19250 17300 15600 26400 19250
2150 CMU0776 -I : MARGINAL MANDIBULECTOMY SURGICAL ONCOLOGY 23600 21250 19100 17200 15500 13950 23600 17200
2151 CMU0776 -II : MARGINAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
2152 CMU0776 -III : MARGINAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
2153 CMU0776 -IV : MARGINAL MANDIBULECTOMY GENERAL SURGERY 23600 21250 19100 17200 15500 13950 23600 17200
2154 CMU0777 -I : SEGMENTAL MANDIBULECTOMY SURGICAL ONCOLOGY 23600 21250 19100 17200 15500 13950 23600 17200
2155 CMU0777 -II : SEGMENTAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
2156 CMU0777 -III : SEGMENTAL MANDIBULECTOMY OFMS 23600 21250 19100 17200 15500 13950 23600 17200
2157 CMU0777 -IV : SEGMENTAL MANDIBULECTOMY GENERAL SURGERY 23600 21250 19100 17200 15500 13950 23600 17200
2158 CMU0778 : LEIOMYOMA EXCISION GYNAECOLOGY OBSTETRIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2159 CMU0778A : LEIOMYOMA EXCISION SURGICAL ONCOLOGY 14000 12600 11350 10200 9200 8250 14000 10200
2160 CMU0779 : MULTI ORGAN RESECTION FOR ANY GI CANCERS SURGICAL ONCOLOGY 70600 63550 57200 51450 46300 41700 70600 51450
2161 CMU0780 : SURGERIES FOR ENTERO CUTANEOUS FISTULA GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
2162 CMU0781 : INCISIONAL HERNIA REPAIR WITHOUT MESH GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2163 CMU0782 : INCISIONAL HERNIA REPAIR WITH MESH GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2164 CMU0783 A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY NEUROSURGERY 33300 29950 26950 24300 21850 19650 33300 24300
2165 CMU0783 A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT NEUROSURGERY 25000 22500 20250 18250 16400 14750 25000 18250
2166 CMU0783 A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION NEUROSURGERY 25000 22500 20250 18250 16400 14750 25000 18250
2167 CMU0783 B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2168 CMU0783 B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2169 CMU0783 B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION PLASTIC SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2170 CMU0784 -I : LIVER ABSCESS - OPEN DRAINAGE GENERAL SURGERY 19800 17800 16050 14450 13000 11700 19800 14450
2171 CMU0784 -II : LIVER ABSCESS - OPEN DRAINAGE SURGICAL GASTRO ENTEROLOGY 19800 17800 16050 14450 13000 11700 19800 14450
2172 CMU0785 A-I : RECTAL PROLAPSE - THEIRSCH WIRING GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2173 CMU0785 A-II : RECTAL PROLAPSE - THEIRSCH WIRING SURGICAL GASTRO ENTEROLOGY 15000 13500 12150 10950 9850 8850 15000 10950
2174 CMU0785 B-I : RECTAL PROLAPSE - DEBULKING GENERAL SURGERY 28600 25750 23150 20850 18750 16900 28600 20850
2175 CMU0785 B-II : RECTAL PROLAPSE - DEBULKING SURGICAL GASTRO ENTEROLOGY 28600 25750 23150 20850 18750 16900 28600 20850
2176 CMU0785 C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY GENERAL SURGERY 30300 27250 24550 22100 19900 17900 30300 22100
2177 CMU0785 C-II : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY SURGICAL GASTRO ENTEROLOGY 30300 27250 24550 22100 19900 17900 30300 22100
2178 CMU0786 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) FOR CANCER SURGICAL ONCOLOGY 20500 18450 16600 14950 13450 12100 20500 14950
2179 CMU0786 B : SPLENECTOMY WITH DEVASCULARISATION -TRAUMATIC SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2180 CMU0787 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2181 CMU0787 A : GLOSSECTOMY (HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 31500 28350 25500 22950 20650 18600 31500 22950
2182 CMU0787 B : GLOSSECTOMY (TOTAL) WITH RECONSTRUCTION- FOR CANCER SURGICAL ONCOLOGY 41850 37650 33900 30500 27450 24700 41850 30500
2183 CMU0788 : MAXILLECTOMY ANY TYPE -FOR CA SURGICAL ONCOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
2184 CMU0788-A : MAXILLECTOMY (RADICAL) -FOR CA SURGICAL ONCOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
2185 CMU0788-B : MAXILLECTOMY (TOTAL) -FOR CA SURGICAL ONCOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
2186 CMU0788-C : MAXILLECTOMY (PARTIAL) -FOR CA SURGICAL ONCOLOGY 26300 23650 21300 19150 17250 15550 26300 19150
2187 CMU0789 : PAROTIDECTOMY ANY TYPE- FOR CA SURGICAL ONCOLOGY 21500 19350 17400 15650 14100 12700 21500 15650
2188 CMU0790 : LARYNGECTOMY ANY TYPE -FOR CA SURGICAL ONCOLOGY 38100 34300 30850 27750 25000 22500 38100 27750
2189 CMU0791 -I : LARYNGO PHARYNGO OESOPHAGECTOMY SURGICAL ONCOLOGY 77700 69950 62950 56650 51000 45900 77700 56650
2190 CMU0791 -II : LARYNGO PHARYNGO OESOPHAGECTOMY CARDIOTHORACIC SURGERIES 77700 69950 62950 56650 51000 45900 77700 56650
2191 CMU0792 A-I : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL ONCOLOGY 49000 44100 39700 35700 32150 28950 49000 35700
2192 CMU0792 A-II : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49000 44100 39700 35700 32150 28950 49000 35700
2193 CMU0792 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 49000 44100 39700 35700 32150 28950 49000 35700
2194 CMU0792 B-I : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL ONCOLOGY 38500 34650 31200 28050 25250 22750 38500 28050
2195 CMU0792 B-II : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE SURGICAL GASTRO ENTEROLOGY 38500 34650 31200 28050 25250 22750 38500 28050
2196 CMU0792 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2197 CMU0793 -I : WHIPPLES ANY TYPE SURGICAL ONCOLOGY 90800 81700 73550 66200 59550 53600 90800 66200
2198 CMU0793 -II : WHIPPLES ANY TYPE SURGICAL GASTRO ENTEROLOGY 90800 81700 73550 66200 59550 53600 90800 66200
2199 CMU0793 -III : WHIPPLES ANY TYPE GENERAL SURGERY 90800 81700 73550 66200 59550 53600 90800 66200
2200 CMU0794 A-I : OPEN CYSTECTOMY (BLADDER) (PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2201 CMU0794 A-II : OPEN CYSTECTOMY (BLADDER) (PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 40800 36700 33050 29750 26750 24100 40800 29750
2202 CMU0794 A-III : OPEN CYSTECTOMY (BLADDER) (PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2203 CMU0794 B-I : OPEN CYSTECTOMY (BLADDER) (RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
2204 CMU0794 B-II : OPEN CYSTECTOMY (BLADDER) (RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 52500 47250 42550 38250 34450 31000 52500 38250
2205 CMU0794 B-III : OPEN CYSTECTOMY (BLADDER) (RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENITOURINARY SURGERY 52500 47250 42550 38250 34450 31000 52500 38250
2206 CMU0795 A-I : LAPROSCOPIC CYSTECTOMY (BLADDER) [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2207 CMU0795 A-II : LAPROSCOPIC CYSTECTOMY (BLADDER) [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 38500 34650 31200 28050 25250 22750 38500 28050
2208 CMU0795 B-I : LAPROSCOPIC CYSTECTOMY (BLADDER) [RADICAL] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2209 CMU0795 B-II : LAPROSCOPIC CYSTECTOMY (BLADDER) [RADICAL] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE SURGICAL ONCOLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2210 CMU0796 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 0 0 0 0 0 0 0 0
2211 CMU0796 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GENERAL SURGERY 23400 21050 18950 17050 15350 13800 23400 17050
2212 CMU0796 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY GYNAECOLOGY OBSTETRIC SURGERY 23400 21050 18950 17050 15350 13800 23400 17050
2213 CMU0797 -I : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2214 CMU0797 -I-a : SALPINGO OOPHORECTOMY B/L- FOR CA SURGICAL ONCOLOGY 26600 23950 21550 19400 17450 15700 26600 19400
2215 CMU0797 -I-b : SALPINGO OOPHORECTOMY U/L FOR CA SURGICAL ONCOLOGY 18900 17000 15300 13800 12400 11150 18900 13800
2216 CMU0797 -II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA GENERAL SURGERY 0 0 0 0 0 0 0 0
2217 CMU0798 -I : MASTECTOMY ANY TYPE SURGICAL ONCOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2218 CMU0798 -II : MASTECTOMY ANY TYPE GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2219 CMU0799 -A-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION SURGICAL ONCOLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2220 CMU0799 -A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2221 CMU0799 -B-I : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION SURGICAL ONCOLOGY 29200 26300 23650 21300 19150 17250 29200 21300
2222 CMU0799 -B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION GENERAL SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
2223 CMU0799 -I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2224 CMU0799 -II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION GENERAL SURGERY 0 0 0 0 0 0 0 0
2225 CMU0800 -A-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN SURGICAL ONCOLOGY 7600 6850 6150 5550 5000 4500 7600 5550
2226 CMU0800 -A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN GENERAL SURGERY 7600 6850 6150 5550 5000 4500 7600 5550
2227 CMU0800 -B-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) SURGICAL ONCOLOGY 7600 6850 6150 5550 5000 4500 7600 5550
2228 CMU0800 -B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) GENERAL SURGERY 7600 6850 6150 5550 5000 4500 7600 5550
2229 CMU0800 -I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT) SURGICAL ONCOLOGY 0 0 0 0 0 0 0 0
2230 CMU0800 -II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT) GENERAL SURGERY 0 0 0 0 0 0 0 0
2231 CMU0801 : PNEUMONECTOMY- ANY CAUSE CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
2232 CMU0802 : LUNG LOBECTOMY - ANY CAUSE CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
2233 CMU0802 a : LUNG LOBECTOMY - ANY CAUSE - MUCORMYCOSIS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
2234 CMU0803 : DECORTICATION - ANY CAUSE CARDIOTHORACIC SURGERIES 42400 38150 34350 30900 27800 25050 42400 30900
2235 CMU0804 : VATS-LOBECTOMY CARDIOTHORACIC SURGERIES 65500 58950 53050 47750 42950 38700 65500 47750
2236 CMU0804 a : VATS-LOBECTOMY - MUCORMYCOSIS CARDIOTHORACIC SURGERIES 0 0 0 0 0 0 0 0
2237 CMU0805 : VATS-PNEUMONECTOMY CARDIOTHORACIC SURGERIES 65500 58950 53050 47750 42950 38700 65500 47750
2238 CMU0806 : VATS-DECORTICATION CARDIOTHORACIC SURGERIES 76500 68850 61950 55750 50200 45150 76500 55750
2239 CMU0807 -I : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE SURGICAL ONCOLOGY 39200 35300 31750 28600 25700 23150 39200 28600
2240 CMU0807 -IA : LUNG METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE - OPEN SURGICAL ONCOLOGY 39200 35300 31750 28600 25700 23150 39200 28600
2241 CMU0807 -II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE GENERAL SURGERY 39200 35300 31750 28600 25700 23150 39200 28600
2242 CMU0808 -A-I : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) SURGICAL ONCOLOGY 29100 26200 23550 21200 19100 17200 29100 21200
2243 CMU0808 -A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) GENERAL SURGERY 29100 26200 23550 21200 19100 17200 29100 21200
2244 CMU0808 -B-I : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) SURGICAL ONCOLOGY 49700 44750 40250 36250 32600 29350 49700 36250
2245 CMU0808 -B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) GENERAL SURGERY 49700 44750 40250 36250 32600 29350 49700 36250
2246 CMU0809 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE NEUROSURGERY 46700 42050 37850 34050 30650 27600 46700 34050
2247 CMU0810 -I : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE SURGICAL ONCOLOGY 21500 19350 17400 15650 14100 12700 21500 15650
2248 CMU0810 -II : SUBMANDIBULAR GLAND EXICISION- ANY CAUSE GENERAL SURGERY 21500 19350 17400 15650 14100 12700 21500 15650
2249 CMU0811 -I : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL SURGICAL ONCOLOGY 43600 39250 35300 31800 28600 25750 43600 31800
2250 CMU0811 -II : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL CARDIOTHORACIC SURGERIES 43600 39250 35300 31800 28600 25750 43600 31800
2251 CMU0812 -I : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2252 CMU0812 -II : TOTAL/SUBTOTAL/PARTIAL THYROIDECTOMY WITH OR WITHOUT EXPLORATION- ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2253 CMU0813 -I : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2254 CMU0813 -II : HEMITHYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2255 CMU0814 -I : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE GENERAL SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2256 CMU0814 -II : COMPLETION THYROIDECTOMY WITH OR WITHOUT EXPLORATION - ANY CAUSE ENDOCRINE SURGERY 25700 23150 20800 18750 16850 15200 25700 18750
2257 CMU0815 -I : RESECTION & ENUCLEATION OF THYROID NODULE GENERAL SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
2258 CMU0815 -II : RESECTION & ENUCLEATION OF THYROID NODULE ENDOCRINE SURGERY 24200 21800 19600 17650 15900 14300 24200 17650
2259 CMU0816 -I : PARATHYROIDECTOMY - ANY TYPE GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2260 CMU0816 -II : PARATHYROIDECTOMY - ANY TYPE ENDOCRINE SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2261 CMU0817 -I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2262 CMU0817 -II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE SURGICAL ONCOLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2263 CMU0817 -III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2264 CMU0818 -I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2265 CMU0818 -II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2266 CMU0818 -III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE SURGICAL ONCOLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2267 CMU0819 -I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2268 CMU0819 -I -A : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2269 CMU0819 -II : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2270 CMU0819 -II -B : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2271 CMU0819 -II -C : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY INTERVENTIONAL RADIOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2272 CMU0819 -III : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY SURGICAL ONCOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2273 CMU0820 -I : OESOPHAGOSTOMY LAP / OPEN GENERAL SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
2274 CMU0820 -II : OESOPHAGOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 26300 23650 21300 19150 17250 15550 26300 19150
2275 CMU0821 -I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY LAP / OPEN GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2276 CMU0821 -II : JEJUNOSTOMY / FEEDING JEJUNOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
2277 CMU0822 -I : GASTROJEJUNOSTOMY LAP / OPEN GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2278 CMU0822 -II : GASTROJEJUNOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2279 CMU0823 -I : ILEOSTOMY LAP / OPEN GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2280 CMU0823 -II : ILEOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 21000 18900 17000 15300 13800 12400 21000 15300
2281 CMU0824 A-I : ILEOTRANSVERSE COLOSTOMY LAP / OPEN GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2282 CMU0824 A-II : ILEOTRANSVERSE COLOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2283 CMU0824 A-III : ILEOTRANSVERSE COLOSTOMY LAP / OPEN SURGICAL ONCOLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2284 CMU0824 B-I : COLOSTOMY LAP / OPEN GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2285 CMU0824 B-II : COLOSTOMY LAP / OPEN SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2286 CMU0824 B-III : COLOSTOMY LAP / OPEN SURGICAL ONCOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2287 CMU0825 -I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2288 CMU0825 -II : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2289 CMU0826 -I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2290 CMU0826 -II : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY SURGICAL GASTRO ENTEROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2291 CMU0826 -III : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY SURGICAL ONCOLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2292 CMU0827 -I : RESECTION OF RETRO PERITONEAL TUMORS GENERAL SURGERY 49000 44100 39700 35700 32150 28950 49000 35700
2293 CMU0827 -II : RESECTION OF RETRO PERITONEAL TUMORS SURGICAL ONCOLOGY 49000 44100 39700 35700 32150 28950 49000 35700
2294 CMU0828 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
2295 CMU0828 -a : BONE RESECTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
2296 CMU0828 -a-I : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE - CEMENTING (ONLY AS ADDON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
2297 CMU0828 -b : BONE CURETTAGE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
2298 CMU0828 -b-I : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE - CEMENTING (ONLY AS ADD ON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
2299 CMU0829 A - I : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) INTERVENTIONAL RADIOLOGY 33000 29700 26750 24050 21650 19500 33000 24050
2300 CMU0829 A - II : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2301 CMU0829 A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2302 CMU0829 A -I : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) GENITOURINARY SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2303 CMU0829 A -II : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) INTERVENTIONAL RADIOLOGY 33000 29700 26750 24050 21650 19500 33000 24050
2304 CMU0829 B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY) GENITOURINARY SURGERY 8800 7900 7150 6400 5750 5200 8800 6400
2305 CMU0830 -I : INTERCOSTAL DRAINAGE CARDIOTHORACIC SURGERIES 4300 3850 3500 3150 2800 2550 4300 3150
2306 CMU0830 -II : INTERCOSTAL DRAINAGE GENERAL SURGERY 4300 3850 3500 3150 2800 2550 4300 3150
2307 CMU0831 : CRYOTHERAPY FOR ALL LESIONS GENERAL SURGERY 22800 20500 18450 16600 14950 13450 22800 16600
2308 CMU0832 A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2309 CMU0832 A-ii : NERVE REPAIR NEUROLYSIS PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2310 CMU0832 A-iii : NERVE REPAIR NERVE SUTURING PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2311 CMU0832 B-i : PERIPHERAL NERVE REPAIR PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2312 CMU0832 B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) PLASTIC SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2313 CMU0832 B-iii : TENDON REPAIR PLASTIC SURGERY 11700 10550 9500 8550 7700 6900 11700 8550
2314 CMU0832 B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2315 CMU0832 B-v : VASCULAR REPAIR (UTILISE VASCULAR PACKAGE) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2316 CMU0832 B-vi : VASCULAR RECONSTRUCTION (UTILISE VASCULAR PACKAGES) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2317 CMU0833 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) PLASTIC SURGERY 34100 30700 27600 24850 22350 20150 34100 24850
2318 CMU0834 : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2319 CMU0834 -I : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) VASCULAR SURGERIES 0 0 0 0 0 0 0 0
2320 CMU0834 -I-a : VASCULAR MALFORMATIONS- SCLEROTHERAPY VASCULAR SURGERIES 13000 11700 10550 9500 8550 7700 13000 9500
2321 CMU0834 -I-b : VASCULAR MALFORMATIONS- SCLEROTHERAPY AND EXCISION VASCULAR SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
2322 CMU0834 -II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) PLASTIC SURGERY 0 0 0 0 0 0 0 0
2323 CMU0834 -II-a : VASCULAR MALFORMATIONS- SCLEROTHERAPY PLASTIC SURGERY 13000 11700 10550 9500 8550 7700 13000 9500
2324 CMU0834 -II-b : VASCULAR MALFORMATIONS- SCLEROTHERAPY AND EXCISION PLASTIC SURGERY 26300 23650 21300 19150 17250 15550 26300 19150
2325 CMU0835 A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD PLASTIC SURGERY 30400 27350 24600 22150 19950 17950 30400 22150
2326 CMU0835 B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE PLASTIC SURGERY 40300 36250 32650 29400 26450 23800 40300 29400
2327 CMU0835 C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE PLASTIC SURGERY 45000 40500 36450 32800 29500 26550 45000 32800
2328 CMU0836 A : FLAP SURGERIES - CUTANEOUS / FASCIOCUTANEOUS / MYOCUTANEOUS / MUSCLE / BONE FLAP / MICROSURGICAL FREE FLAP / SPLIT THICKNESS GRAFT PLASTIC SURGERY 0 0 0 0 0 0 0 0
2329 CMU0836 A-i : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - UPPER LIMB PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2330 CMU0836 A-ii : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - LOWER LIMB PLASTIC SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2331 CMU0836 A-iii : FLAP SURGERIES CUTANEOUS / FASCIOCUTANEOUS - OTHER THAN LIMBS PLASTIC SURGERY 29200 26300 23650 21300 19150 17250 29200 21300
2332 CMU0836 B : MYOCUTANEOUS FLAP PLASTIC SURGERY 41400 37250 33550 30200 27150 24450 41400 30200
2333 CMU0836 C : OSTEOCUTANEOUS FLAP PLASTIC SURGERY 53100 47800 43000 38700 34850 31350 53100 38700
2334 CMU0836 D : MICROSURGICAL FREE FLAP PLASTIC SURGERY 79200 71300 64150 57750 51950 46750 79200 57750
2335 CMU0837 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY PLASTIC SURGERY 26200 23600 21200 19100 17200 15450 26200 19100
2336 CMU0838 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS/ POST CANCER EXCISION) - PER SITTING PLASTIC SURGERY 65200 58700 52800 47550 42800 38500 65200 47550
2337 CMU0839 : FLAP SURGERIES WITH BONE GRAFTING PLASTIC SURGERY 30300 27250 24550 22100 19900 17900 30300 22100
2338 CMU0840 -I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS GENERAL SURGERY 0 0 0 0 0 0 0 0
2339 CMU0840 -I-A : AMPUTATION OF AK / BK GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2340 CMU0840 -I-B : AMPUTATION OF AE / BE GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2341 CMU0840 -I-C : AMPUTATION OF FORE-FOOT GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2342 CMU0840 -I-D : SYM S AMPUTATION GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2343 CMU0840 -I-E : TRANS META-TARSAL AMPUTATION GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2344 CMU0840 -I-F : AMPUTATION OF GREAT TOE GENERAL SURGERY 7400 6650 6000 5400 4850 4350 7400 5400
2345 CMU0840 -I-G : AMPUTATION TOE - SINGLE GENERAL SURGERY 5300 4750 4300 3850 3500 3150 5300 3850
2346 CMU0840 -I-H : AMPUTATION TOE- MULTIPLE GENERAL SURGERY 7700 6950 6250 5600 5050 4550 7700 5600
2347 CMU0840 -II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS ORTHOPEDICS 0 0 0 0 0 0 0 0
2348 CMU0840 -I-I : AMPUTATION OF FINGER - SINGLE GENERAL SURGERY 7000 6300 5650 5100 4600 4150 7000 5100
2349 CMU0840 -II-A : AMPUTATION OF AK / BK ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
2350 CMU0840 -II-B : AMPUTATION OF AE / BE ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
2351 CMU0840 -II-C : AMPUTATION OF FORE-FOOT ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
2352 CMU0840 -II-D : SYM S AMPUTATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
2353 CMU0840 -II-E : TRANS META-TARSAL AMPUTATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
2354 CMU0840 -II-F : AMPUTATION OF GREAT TOE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
2355 CMU0840 -II-G : AMPUTATION TOE - SINGLE ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
2356 CMU0840 -II-H : AMPUTATION TOE- MULTIPLE ORTHOPEDICS 7700 6950 6250 5600 5050 4550 7700 5600
2357 CMU0840 -II-I : AMPUTATION OF FINGER - SINGLE ORTHOPEDICS 7000 6300 5650 5100 4600 4150 7000 5100
2358 CMU0840 -II-J : AMPUTATION OF FINGER - MULTIPLE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650
2359 CMU0840 -I-J : AMPUTATION OF FINGER - MULTIPLE GENERAL SURGERY 10500 9450 8500 7650 6900 6200 10500 7650
2360 CMU0841 -I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) GENERAL SURGERY 105000 105000 105000 105000 105000 105000 105000 105000
2361 CMU0841 -I I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 ORTHOPEDICS 105000 105000 105000 105000 105000 105000 105000 105000
2362 CMU0841 -I-A : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 26800 26800 26800 26800 26800 26800 26800 26800
2363 CMU0841 -I-B : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 65600 65600 65600 65600 65600 65600 65600 65600
2364 CMU0841 -I-C : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2365 CMU0841 -I-D : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 72500 72500 72500 72500 72500 72500 72500 72500
2366 CMU0841 -I-E : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 185300 185300 185300 185300 185300 185300 185300 185300
2367 CMU0841 -I-F : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2368 CMU0841 -I-G : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 1 PMR 41000 41000 41000 41000 41000 41000 41000 41000
2369 CMU0841 -I-H : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 2 PMR 99200 99200 99200 99200 99200 99200 99200 99200
2370 CMU0841 -I-I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 PMR 192200 192200 192200 192200 192200 192200 192200 192200
2371 CMU0841 -II I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 ORTHOPEDICS 52500 52500 52500 52500 52500 52500 52500 52500
2372 CMU0841 -II-A : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 1 PMR 26800 26800 26800 26800 26800 26800 26800 26800
2373 CMU0841 -II-B : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 2 PMR 65600 65600 65600 65600 65600 65600 65600 65600
2374 CMU0841 -II-C : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSTIBIAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2375 CMU0841 -II-D : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 1 PMR 72500 72500 72500 72500 72500 72500 72500 72500
2376 CMU0841 -II-E : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 2 PMR 185300 185300 185300 185300 185300 185300 185300 185300
2377 CMU0841 -II-F : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSFEMORAL - MOBILITY GRADE 3 PMR 185900 185900 185900 185900 185900 185900 185900 185900
2378 CMU0841 -II-G : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 1 PMR 41000 41000 41000 41000 41000 41000 41000 41000
2379 CMU0841 -II-H : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 2 PMR 99200 99200 99200 99200 99200 99200 99200 99200
2380 CMU0841 -II-I : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSRADIAL - MOBILITY GRADE 3 PMR 192200 192200 192200 192200 192200 192200 192200 192200
2381 CMU0841 -II-J : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 77700 77700 77700 77700 77700 77700 77700 77700
2382 CMU0841 -II-K : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 83000 83000 83000 83000 83000 83000 83000 83000
2383 CMU0841 -II-L : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 206900 206900 206900 206900 206900 206900 206900 206900
2384 CMU0841 -I-J : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 1 PMR 77700 77700 77700 77700 77700 77700 77700 77700
2385 CMU0841 -I-K : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 2 PMR 83000 83000 83000 83000 83000 83000 83000 83000
2386 CMU0841 -I-L : CUSTOM MADE PROSTHESIS (EXTERNAL) (EXCEPT FINGERS, TOES AND SMALL JOINTS) - TRANSHUMERAL - MOBILITY GRADE 3 PMR 206900 206900 206900 206900 206900 206900 206900 206900
2387 CMU0841 -IV : CUSTOM MADE PROSTHESIS (EXTERNAL) (FINGERS, TOES AND SMALL JOINTS) PMR 52500 52500 52500 52500 52500 52500 52500 52500
2388 CMU0842 A-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL SURGERY 700 700 700 700 700 700 700 700
2389 CMU0842 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT GENERAL MEDICINE 700 700 700 700 700 700 700 700
2390 CMU0842 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL SURGERY 5500 5500 5500 5500 5500 5500 5500 5500
2391 CMU0842 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] GENERAL MEDICINE 5500 5500 5500 5500 5500 5500 5500 5500
2392 CMU0843 : OPERATIONS FOR BRACHIAL PLEXUS (MULTIPLE SITTING - MAX 3) PLASTIC SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2393 CMU0844 : CERVICAL RIB EXCISION CARDIOTHORACIC SURGERIES 30300 27250 24550 22100 19900 17900 30300 22100
2394 CMU0845 A : POLYTRAUMA/HEAD INJURY MINOR (ONLY LACERATIONS LESS THAN 10 CM) GENERAL MEDICINE 2600 2600 2600 2600 2600 2600 2600 2600
2395 CMU0845 B : POLYTRAUMA/HEAD INJURY MINOR (DEEP / PITTED WOUND EXPOSING SCALP/ BONE REQUIRING DEBRIDEMENT AND SUTURING) GENERAL MEDICINE 7000 7000 7000 7000 7000 7000 7000 7000
2396 CMU0846 : POLYTRAUMA/HEAD INJURY MAJOR (WITH FRACTURES, INTRACRANIAL BLEEDING) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2397 CMU0847 -I : CYANOTIC CONGENTIAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
2398 CMU0847 -II : CYANOTIC CONGENTIAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED CARDIOLOGY 42000 37800 34000 30600 27550 24800 42000 30600
2399 CMU0848 -I : CYANOTIC CONGENTIAL / HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED GENERAL MEDICINE 50000 45000 40500 36450 32800 29500 50000 36450
2400 CMU0848 -II : CYANOTIC CONGENTIAL / HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED CARDIOLOGY 50000 45000 40500 36450 32800 29500 50000 36450
2401 CMU0849 -I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) GENERAL MEDICINE 44000 39600 35650 32100 28850 26000 44000 32100
2402 CMU0849 -II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) NEUROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2403 CMU0849-I-A : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION - ADULT GENERAL MEDICINE 44000 39600 35650 32100 28850 26000 44000 32100
2404 CMU0849-I-B : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION - PAEDIATRIC GENERAL MEDICINE 44000 39600 35650 32100 28850 26000 44000 32100
2405 CMU0849-II-A : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION - ADULT NEUROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2406 CMU0849-II-B : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION - PAEDIATRIC NEUROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2407 CMU0850 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2408 CMU0851 -I : CHRONIC RENAL FAILURE WITH INITIATION OF HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 18000 16200 14600 13100 11800 10650 18000 13100
2409 CMU0851 -II : CHRONIC RENAL FAILURE WITH INITIATION OF HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 18000 16200 14600 13100 11800 10650 18000 13100
2410 CMU0852 -I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 11300 10150 9150 8250 7400 6650 11300 8250
2411 CMU0852 -II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 11300 10150 9150 8250 7400 6650 11300 8250
2412 CMU0853 -I : ACUTE RENAL FAILURE WITH HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) GENERAL MEDICINE 13200 11900 10700 9600 8650 7800 13200 9600
2413 CMU0853 -II : ACUTE RENAL FAILURE WITH HEMODIALYSIS (INCLUDING ERYTHROPOIETIN / IRON INJECTION) NEPHROLOGY 13200 11900 10700 9600 8650 7800 13200 9600
2414 CMU0854 -I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE GENERAL MEDICINE 29400 26450 23800 21450 19300 17350 29400 21450
2415 CMU0854 -II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE NEPHROLOGY 29400 26450 23800 21450 19300 17350 29400 21450
2416 CMU0854-I-A : ACUTE RENAL FAILURE WITH VENTILATOR CARE GENERAL MEDICINE 29400 26450 23800 21450 19300 17350 29400 21450
2417 CMU0854-I-B : CHRONIC RENAL FAILURE WITH VENTILATOR CARE GENERAL MEDICINE 29400 26450 23800 21450 19300 17350 29400 21450
2418 CMU0854-II-A : ACUTE RENAL FAILURE WITH VENTILATOR CARE NEPHROLOGY 29400 26450 23800 21450 19300 17350 29400 21450
2419 CMU0854-II-B : CHRONIC RENAL FAILURE WITH VENTILATOR CARE NEPHROLOGY 29400 26450 23800 21450 19300 17350 29400 21450
2420 CMU0855 A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF / SLED GENERAL MEDICINE 59900 53900 48500 43650 39300 35350 59900 43650
2421 CMU0855 A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF / SLED NEPHROLOGY 59900 53900 48500 43650 39300 35350 59900 43650
2422 CMU0855 B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD GENERAL MEDICINE 80900 72800 65550 59000 53100 47750 80900 59000
2423 CMU0855 B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD NEPHROLOGY 80900 72800 65550 59000 53100 47750 80900 59000
2424 CMU0856 : RENAL BIOPSY NEPHROLOGY 15700 14150 12700 11450 10300 9250 15700 11450
2425 CMU0857 -I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2426 CMU0857 -II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED NEUROLOGY 31500 28350 25500 22950 20650 18600 31500 22950
2427 CMU0858 -I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2428 CMU0858 -II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT THORACIC MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2429 CMU0859 -I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA GENERAL MEDICINE 14000 12600 11350 10200 9200 8250 14000 10200
2430 CMU0859 -II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA NEUROLOGY 14000 12600 11350 10200 9200 8250 14000 10200
2431 CMU0860 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA GENERAL MEDICINE 42000 37800 34000 30600 27550 24800 42000 30600
2432 CMU0860 B : TTP GENERAL MEDICINE 63000 56700 51050 45950 41350 37200 63000 45950
2433 CMU0861 A : ANY COAGULATION DISORDERS GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2434 CMU0861 B : DIC GENERAL MEDICINE 27500 24750 22300 20050 18050 16250 27500 20050
2435 CMU0862 : ECMO - EXTRACORPOREAL MEMBRANE OXYGENATION GENERAL MEDICINE 210000 210000 189000 189000 189000 189000 210000 189000
2436 CMU0863 A : MULTI SYSTEM ORGAN FAILURE- WITHOUT VENTILATION GENERAL MEDICINE 77100 77100 69400 69400 69400 69400 77100 69400
2437 CMU0863 B : MULTI SYSTEM ORGAN FAILURE- WITH VENTILATION GENERAL MEDICINE 105500 105500 94950 94950 94950 94950 105500 94950
2438 CMU0864 : ENTERIC ENCEPHALOPATHY GENERAL MEDICINE 21200 19100 17150 15450 13900 12500 21200 15450
2439 CMU0865 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT GENERAL MEDICINE 20900 18800 16950 15250 13700 12350 20900 15250
2440 CMU0866 : SUBMERSION INJURY WITH VENTILATORY SUPPORT GENERAL MEDICINE 28400 25550 23000 20700 18650 16750 28400 20700
2441 CMU0867 : ARDS WITH VENTILATORY SUPPORT GENERAL MEDICINE 88300 79450 71500 64350 57950 52150 88300 64350
2442 CMU0868 -I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION GENERAL MEDICINE 59000 53100 47800 43000 38700 34850 59000 43000
2443 CMU0868 -II : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION THORACIC MEDICINE 59000 53100 47800 43000 38700 34850 59000 43000
2444 CMU0868 -III : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION PULMONLOGY 59000 53100 47800 43000 38700 34850 59000 43000
2445 CMU0869 A-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2446 CMU0869 A-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING BRANCHIAL CYST /CYSTIC HYGROMA) PLASTIC SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2447 CMU0869 B-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) GENERAL SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2448 CMU0869 B-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (INCLUDING DERMOID / SEBACEOUS CYST / LIPOMA/ NEUROFIBROMA) PLASTIC SURGERY 5800 5200 4700 4250 3800 3400 5800 4250
2449 CMU0869 C-I : EXCISION OF CYSTIC LESIONS OF THE NECK - (THYROGLOSAL CYST) GENERAL SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
2450 CMU0869 C-II : EXCISION OF CYSTIC LESIONS OF THE NECK - (THYROGLOSAL CYST) PLASTIC SURGERY 10000 9000 8100 7300 6550 5900 10000 7300
2451 CMU0870 -I : EXCISION OF SINUSES & FISTULA OF THE NECK - ( INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA (INCLUDES DEEP EXPLORATION) GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2452 CMU0870 -II : EXCISION OF SINUSES & FISTULA OF THE NECK - ( INCLUDING CONGENITAL DERMAL / BRACHAL SINUS/ PREAURICULAR SINUS /FISTULA / THYROGLOSSAL CYST FISTULA (INCLUDES DEEP EXPLORATION) PLASTIC SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2453 CMU0871 A-I : CHEST WALL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
2454 CMU0871 A-II : CHEST WALL RESECTION WITHOUT RECONSTRUCTION SURGICAL ONCOLOGY 41900 37700 33950 30550 27500 24750 41900 30550
2455 CMU0871 B-I : CHEST WALL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 55000 49500 44550 40100 36100 32500 55000 40100
2456 CMU0871 B-II : CHEST WALL RESECTION WITH RECONSTRUCTION SURGICAL ONCOLOGY 55000 49500 44550 40100 36100 32500 55000 40100
2457 CMU0872 : OPEN ORCHIDOPEXY GENERAL SURGERY 18200 16400 14750 13250 11950 10750 18200 13250
2458 CMU0873 : LAPAROSCOPIC ORCHIDOPEXY GENERAL SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2459 CMU0874 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENERAL SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2460 CMU0874 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L GENITOURINARY SURGERY 14000 12600 11350 10200 9200 8250 14000 10200
2461 CMU0874 A-III : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L SURGICAL ONCOLOGY 12600 11350 10200 9200 8250 7450 12600 9200
2462 CMU0875 B-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L PAEDIATRIC SURGERIES 16500 14850 13350 12050 10850 9750 16500 12050
2463 CMU0875 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L GENITOURINARY SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2464 CMU0875 C : LAPAROSCOPIC VARICOCELE LIGATION (PAEDIATRIC) PAEDIATRIC SURGERIES 26300 23650 21300 19150 17250 15550 26300 19150
2465 CMU0876 : VARICOCELE- OPEN PROCEDURE (PEDIATRIC) PAEDIATRIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
2466 CMU0877 : ANEURYSM CLIPPING NEUROSURGERY 162400 146150 131550 118400 106550 95900 162400 118400
2467 CMU0878 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) NEUROSURGERY 59400 53450 48100 43300 38950 35100 59400 43300
2468 CMU0879 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS SPINE 78400 70550 63500 57150 51450 46300 78400 57150
2469 CMU0880 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2470 CMU0881 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2471 CMU0882 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) SPINE 61000 54900 49400 44450 40000 36000 61000 44450
2472 CMU0883 -I : POSTERIOR DISCECTOMY SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2473 CMU0883 -II : POSTERIOR DISCECTOMY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
2474 CMU0883 -III : POSTERIOR DISCECTOMY NEUROSURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2475 CMU0884 : ANTERIOR DISCECTOMY SPINE 31500 28350 25500 22950 20650 18600 31500 22950
2476 CMU0885 : ANTERIOR CERVICAL DISCECTOMY & FUSION SPINE 0 0 0 0 0 0 0 0
2477 CMU0885 A : ANTERIOR CERVICAL DISCECTOMY & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT SPINE 57500 51750 46600 41900 37750 33950 57500 41900
2478 CMU0885 B : ANTERIOR CERVICAL DISCECTOMY & FUSION WITH BONE GRAFT SPINE 52000 46800 42100 37900 34100 30700 52000 37900
2479 CMU0886 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION SPINE 0 0 0 0 0 0 0 0
2480 CMU0886 A : ANTERIOR LATERAL DECOMPRESSION SPINE 31500 28350 25500 22950 20650 18600 31500 22950
2481 CMU0886 B : ANTERIOR LATERAL DECOMPRESSION AND STABILSIATION SPINE 57500 51750 46600 41900 37750 33950 57500 41900
2482 CMU0887 -I : LAMINECTOMY - MICROLUMBAR SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2483 CMU0887 -II : LAMINECTOMY - MICROLUMBAR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
2484 CMU0888 -I : LAMINECTOMY AT ANY LEVEL - CONVENTIONAL SPINE 28000 25200 22700 20400 18350 16550 28000 20400
2485 CMU0888 -II : LAMINECTOMY AT ANY LEVEL - CONVENTIONAL ORTHOPEDICS 28000 25200 22700 20400 18350 16550 28000 20400
2486 CMU0889 : SPINAL FUSION PROCEDURE SPINE 50000 45000 40500 36450 32800 29500 50000 36450
2487 CMU0890 - I : POSTERIOR DECOMPRESSION & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT SPINE 55000 49500 44550 40100 36100 32500 55000 40100
2488 CMU0890 - II : POSTERIOR DECOMPRESSION & STABILISATION( INSTRUMENTED) WITH SPACER / IMPLANT ORTHOPEDICS 55000 49500 44550 40100 36100 32500 55000 40100
2489 CMU0891 : CORPECTOMY AND FIXATION SPINE 55000 49500 44550 40100 36100 32500 55000 40100
2490 CMU0892 : SPINAL FIXATION WITH INTERBODY CAGE FUSION SPINE 63100 56800 51100 46000 41400 37250 63100 46000
2491 CMU0893 : SPINAL FRACTURE - CONSERVATIVE MANAGEMENT SPINE 25000 22500 20250 18250 16400 14750 25000 18250
2492 CMU0894 : C.V. JUNCTION FUSION NEUROSURGERY 65000 58500 52650 47400 42650 38400 65000 47400
2493 CMU0895 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY SPINE 79600 71650 64500 58050 52250 47000 79600 58050
2494 CMU0895 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) SPINE 120000 108000 97200 87500 78750 70850 120000 87500
2495 CMU0895 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) SPINE 80000 72000 64800 58300 52500 47250 80000 58300
2496 CMU0895 C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY (OPEN) SPINE 50000 45000 40500 36450 32800 29500 50000 36450
2497 CMU0896 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION SPINE 30000 27000 24300 21850 19700 17700 30000 21850
2498 CMU0897 : SYRINGOMYELIA SPINE 75000 67500 60750 54700 49200 44300 75000 54700
2499 CMU0898 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) NEUROSURGERY 106600 95950 86350 77700 69950 62950 106600 77700
2500 CMU0899 : TRANS ORAL SURGERY NEUROSURGERY 80000 72000 64800 58300 52500 47250 80000 58300
2501 CMU0900 : RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA INTERVENTIONAL RADIOLOGY 49600 44650 40200 36150 32550 29300 49600 36150
2502 CMU0901 : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED INTERVENTIONAL RADIOLOGY 72500 65250 58750 52850 47550 42800 72500 52850
2503 CMU0902 : EMBOLISATION OF ANEURYSM / STENT ASSISTED COILING OF INTRACRANIAL ANEURYSM INTERVENTIONAL RADIOLOGY 127000 114300 102850 92600 83300 75000 127000 92600
2504 CMU0903 : CAROTID ENDARTERECTOMY VASCULAR SURGERIES 65600 59050 53150 47800 43050 38750 65600 47800
2505 CMU0904 -I : PELVIC FLOOR RECONSTRUCTION WITH MESH GENERAL SURGERY 32300 29050 26150 23550 21200 19050 32300 23550
2506 CMU0904 -II : PELVIC FLOOR RECONSTRUCTION WITH MESH GYNAECOLOGY OBSTETRIC SURGERY 32300 29050 26150 23550 21200 19050 32300 23550
2507 CMU0905 -I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 0 0 0 0 0 0 0 0
2508 CMU0905 -I-a : LAPAROSCOPIC - ECTOPIC RESECTION GENERAL SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
2509 CMU0905 -I-b : LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 12000 10800 9700 8750 7850 7100 12000 8750
2510 CMU0905 -II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION GYNAECOLOGY OBSTETRIC SURGERY 0 0 0 0 0 0 0 0
2511 CMU0905 -II-a : LAPAROSCOPIC - ECTOPIC RESECTION GENERAL SURGERY 23500 21150 19050 17150 15400 13900 23500 17150
2512 CMU0905 -II-b : LAPROTOMY - ECTOPIC RESECTION GENERAL SURGERY 12000 10800 9700 8750 7850 7100 12000 8750
2513 CMU0906 : LAPAROSCOPIC ADHESOLYSIS GENERAL SURGERY 22100 19900 17900 16100 14500 13050 22100 16100
2514 CMU0907 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY GENERAL MEDICINE 126000 113400 102050 91850 82650 74400 126000 91850
2515 CMU0907 A-I-a : THALASSEMIA MAJOR (UPTO) GENERAL MEDICINE 7400 7400 7400 7400 7400 7400 7400 7400
2516 CMU0907 A-II : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY HEMATOLOGY 126000 113400 102050 91850 82650 74400 126000 91850
2517 CMU0907 A-II-a : THALASSEMIA MAJOR (UPTO) HEMATOLOGY 7400 7400 7400 7400 7400 7400 7400 7400
2518 CMU0907 B-I : SICKLE CELL ANAEMIA GENERAL MEDICINE 5300 5300 5300 5300 5300 5300 5300 5300
2519 CMU0907 B-II : SICKLE CELL ANAEMIA HEMATOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2520 CMU0907 C-I : OTHERS HEMATOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2521 CMU0908 -I : INTERSTITAL LUNG DISEASE GENERAL MEDICINE 29300 26350 23750 21350 19200 17300 29300 21350
2522 CMU0908 -II : INTERSTITAL LUNG DISEASE THORACIC MEDICINE 29300 26350 23750 21350 19200 17300 29300 21350
2523 CMU0909 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING GENERAL MEDICINE 10700 9650 8650 7800 7000 6300 10700 7800
2524 CMU0909 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING THORACIC MEDICINE 10700 9650 8650 7800 7000 6300 10700 7800
2525 CMU0910 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY GENERAL SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
2526 CMU0910 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY SURGICAL GASTRO ENTEROLOGY 8400 7550 6800 6100 5500 4950 8400 6100
2527 CMU0911 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2528 CMU0911 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2529 CMU0912 -I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION GENERAL SURGERY 8400 7550 6800 6100 5500 4950 8400 6100
2530 CMU0912 -II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION SURGICAL GASTRO ENTEROLOGY 8400 7550 6800 6100 5500 4950 8400 6100
2531 CMU0913 -I : END STAGE RENAL DISEASE GENERAL MEDICINE 14900 13400 12050 10850 9800 8800 14900 10850
2532 CMU0913 -II : END STAGE RENAL DISEASE NEPHROLOGY 14900 13400 12050 10850 9800 8800 14900 10850
2533 CMU0914 -I : GULLAIN BARRE SYNDROME GENERAL MEDICINE 110000 99000 89100 80200 72150 64950 110000 80200
2534 CMU0914 -II : GULLAIN BARRE SYNDROME NEUROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
2535 CMU0915 -I : OPTIC NEURITIS GENERAL MEDICINE 11000 9900 8900 8000 7200 6500 11000 8000
2536 CMU0915 -II : OPTIC NEURITIS NEUROLOGY 11000 9900 8900 8000 7200 6500 11000 8000
2537 CMU0916 -I : MYOPATHY / MUSCULAR DYSTROPHY GENERAL MEDICINE 14300 12850 11600 10400 9400 8450 14300 10400
2538 CMU0916 -II : MYOPATHY / MUSCULAR DYSTROPHY NEUROLOGY 14300 12850 11600 10400 9400 8450 14300 10400
2539 CMU0917 -I : MYASTHENIA GRAVIS GENERAL MEDICINE 17500 15750 14200 12750 11500 10350 17500 12750
2540 CMU0917 -II : MYASTHENIA GRAVIS NEUROLOGY 17500 15750 14200 12750 11500 10350 17500 12750
2541 CMU0918 : MANAGEMENT OF COMA GENERAL MEDICINE 35100 31600 28450 25600 23050 20750 35100 25600
2542 CMU0919 : CAVERNOUS SINUS THROMBOSIS NEUROLOGY 27500 24750 22300 20050 18050 16250 27500 20050
2543 CMU0920 : MUCORMYCOSIS GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2544 CMU0921 : HYPER OSMOLAR NON-KETOTIC COMA GENERAL MEDICINE 31500 28350 25500 22950 20650 18600 31500 22950
2545 CMU0922 : OPERATION FOR HYDATID CYST OF LIVER GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
2546 CMU0923 -I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION GASTROENTEROLOGY 45000 40500 36450 32800 29500 26550 45000 32800
2547 CMU0923 -II : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION HEPATOLOGY 45000 40500 36450 32800 29500 26550 45000 32800
2548 CMU0923 -III : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION INTERVENTIONAL RADIOLOGY 45000 40500 36450 32800 29500 26550 45000 32800
2549 CMU0924 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION GENERAL SURGERY 0 0 0 0 0 0 0 0
2550 CMU0924 A : COLONIC PULL THROW GENERAL SURGERY 55000 49500 44550 40100 36100 32500 55000 40100
2551 CMU0924 B : COLOPLASTY GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2552 CMU0924 C : ABDOMINAL RESECTION GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2553 CMU0925 -I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) GENERAL SURGERY 71500 64350 57900 52100 46900 42200 71500 52100
2554 CMU0925 -II : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) SURGICAL GASTRO ENTEROLOGY 71500 64350 57900 52100 46900 42200 71500 52100
2555 CMU0926 : OESOPHAGO- GASTRECTOMY GENERAL SURGERY 84000 75600 68050 61250 55100 49600 84000 61250
2556 CMU0927 : ACHALASIA CARDIA -SURGICAL CORRECTION GENERAL SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2557 CMU0928 -I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2558 CMU0928 -II : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) SURGICAL GASTRO ENTEROLOGY 35000 31500 28350 25500 22950 20650 35000 25500
2559 CMU0929 : ACHALASIA CARDIA -PNEUMATIC DILATATION GENERAL SURGERY 12200 11000 9900 8900 8000 7200 12200 8900
2560 CMU0930 : LAP FUNDOPLICATIONS GENERAL SURGERY 47300 42550 38300 34500 31050 27950 47300 34500
2561 CMU0931 -I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 0 0 0 0 0 0 0 0
2562 CMU0931 -IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2563 CMU0931 -IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE GENERAL SURGERY 40800 36700 33050 29750 26750 24100 40800 29750
2564 CMU0931 -II : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 0 0 0 0 0 0 0 0
2565 CMU0931 -IIA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 49500 44550 40100 36100 32500 29250 49500 36100
2566 CMU0931 -IIB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE SURGICAL GASTRO ENTEROLOGY 40800 36700 33050 29750 26750 24100 40800 29750
2567 CMU0932 : CHOLEDOCHODUODENOSTOMY /CHOLEDOCHO JEJUNOSTOMY GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
2568 CMU0933 : ENUCLEATION OF CYST - LAP /OPEN GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
2569 CMU0934 A-I : OTHER BYPASS PANCREAS - LAP /OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2570 CMU0934 A-II : OTHER BYPASS PANCREAS - LAP /OPEN SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2571 CMU0934 B-I : TRIPLE BYPASS - LAP /OPEN GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2572 CMU0934 B-II : TRIPLE BYPASS - LAP /OPEN SURGICAL GASTRO ENTEROLOGY 44000 39600 35650 32100 28850 26000 44000 32100
2573 CMU0935 : LATERAL PANCREATICO JEJUNOSTOMY(NON- MALIGNANT) GENERAL SURGERY 49500 44550 40100 36100 32500 29250 49500 36100
2574 CMU0936 : PANCREATIC NECROSECTOMY OPEN GENERAL SURGERY 46200 41600 37400 33700 30300 27300 46200 33700
2575 CMU0937 : PANCREATIC NECROSECTOMY LAP GENERAL SURGERY 46200 41600 37400 33700 30300 27300 46200 33700
2576 CMU0938 A-I : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS GENERAL SURGERY 36300 32650 29400 26450 23800 21450 36300 26450
2577 CMU0938 A-II : CYSTO GASTROSTOMY/ PSEUDOCYST OF PANCREAS SURGICAL GASTRO ENTEROLOGY 36300 32650 29400 26450 23800 21450 36300 26450
2578 CMU0938 B-I : CYSTO JEJUNOSTOMY GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
2579 CMU0938 B-II : CYSTO JEJUNOSTOMY SURGICAL GASTRO ENTEROLOGY 42000 37800 34000 30600 27550 24800 42000 30600
2580 CMU0939 : SCLEROSING CHOLANGITIS (MEDICAL MANAGEMENT ONLY) GASTROENTEROLOGY 11700 10550 9500 8550 7700 6900 11700 8550
2581 CMU0940 : DIAPHRAGMATIC EVENTERATION CARDIOTHORACIC SURGERIES 40000 36000 32400 29150 26250 23600 40000 29150
2582 CMU0941 : THORACOTOMY/EXPLORATIVE THOROCOTOMY/ THORACO ABDOMINAL APPROACH CARDIOTHORACIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
2583 CMU0942 : AV FISTULA CONSTRUCTION (INCLUDING PRE TRANSPLANTATION ) VASCULAR SURGERIES 10000 9000 8100 7300 6550 5900 10000 7300
2584 CMU0943 : COMPLEX AV ACCESS WITH GRAFT FOR HEMODIALYSIS VASCULAR SURGERIES 33300 29950 26950 24300 21850 19650 33300 24300
2585 CMU0944 A : URETEROSCOPY AND DJ STENTING U/L GENITOURINARY SURGERY 6600 5950 5350 4800 4350 3900 6600 4800
2586 CMU0944 B : URETEROSCOPY AND DJ STENTING B/L GENITOURINARY SURGERY 9900 8900 8000 7200 6500 5850 9900 7200
2587 CMU0945 : URETEROSCOPY AND DJ STENT REMOVAL GENITOURINARY SURGERY 3200 2900 2600 2350 2100 1900 3200 2350
2588 CMU0946 : TRANSURETHRAL RESECTION OF BLADDER TUMOR INCLUDING RE-TURBT GENITOURINARY SURGERY 31500 28350 25500 22950 20650 18600 31500 22950
2589 CMU0947 A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN GENERAL SURGERY 16500 14850 13350 12050 10850 9750 16500 12050
2590 CMU0947 B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN GENERAL SURGERY 36800 33100 29800 26850 24150 21750 36800 26850
2591 CMU0947 C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN GENERAL SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
2592 CMU0947 D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2593 CMU0947 E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN GENERAL SURGERY 42000 37800 34000 30600 27550 24800 42000 30600
2594 CMU0947 F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN GENERAL SURGERY 23300 20950 18850 17000 15300 13750 23300 17000
2595 CMU0948 A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP GENERAL SURGERY 17500 15750 14200 12750 11500 10350 17500 12750
2596 CMU0948 B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP GENERAL SURGERY 38500 34650 31200 28050 25250 22750 38500 28050
2597 CMU0948 C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP GENERAL SURGERY 18700 16850 15150 13650 12250 11050 18700 13650
2598 CMU0948 D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP GENERAL SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2599 CMU0948 E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2600 CMU0948 F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP GENERAL SURGERY 20000 18000 16200 14600 13100 11800 20000 14600
2601 CMU0949 : LAP. APPENDICECTOMY GENERAL SURGERY 19800 17800 16050 14450 13000 11700 19800 14450
2602 CMU0950 : APPENDICULAR PERFORATION GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2603 CMU0951 A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES GENERAL SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2604 CMU0951 B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2605 CMU0952 : OPERATION FOR BLEEDING PEPTIC ULCER GENERAL SURGERY 44000 39600 35650 32100 28850 26000 44000 32100
2606 CMU0953 : PYLOROMYOTOMY GENERAL SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
2607 CMU0954 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) GENERAL SURGERY 35000 31500 28350 25500 22950 20650 35000 25500
2608 CMU0955 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION GENERAL SURGERY 30000 27000 24300 21850 19700 17700 30000 21850
2609 CMU0956 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) GENERAL SURGERY 40000 36000 32400 29150 26250 23600 40000 29150
2610 CMU0957 -I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C HEPATOLOGY 0 0 0 0 0 0 0 0
2611 CMU0957 -I-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS HEPATOLOGY 1800 1800 1800 1800 1800 1800 1800 1800
2612 CMU0957 -I-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS HEPATOLOGY 3500 3500 3500 3500 3500 3500 3500 3500
2613 CMU0957 -I-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS HEPATOLOGY 2000 2000 2000 2000 2000 2000 2000 2000
2614 CMU0957 -I-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS HEPATOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
2615 CMU0957 -I-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS HEPATOLOGY 1000 1000 1000 1000 1000 1000 1000 1000
2616 CMU0957 -I-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2617 CMU0957 -I-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS HEPATOLOGY 4500 4500 4500 4500 4500 4500 4500 4500
2618 CMU0957 -I-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS HEPATOLOGY 16000 16000 16000 16000 16000 16000 16000 16000
2619 CMU0957 -II : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C GENERAL MEDICINE 0 0 0 0 0 0 0 0
2620 CMU0957 -I-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS HEPATOLOGY 11000 11000 11000 11000 11000 11000 11000 11000
2621 CMU0957 -II-A : MANAGEMENT CHRONIC HEPATITIS B / C - TENOFOVIR 300MG 30 TABS GENERAL MEDICINE 1800 1800 1800 1800 1800 1800 1800 1800
2622 CMU0957 -II-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS GENERAL MEDICINE 3500 3500 3500 3500 3500 3500 3500 3500
2623 CMU0957 -II-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS GENERAL MEDICINE 2000 2000 2000 2000 2000 2000 2000 2000
2624 CMU0957 -II-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS GENERAL MEDICINE 6000 6000 6000 6000 6000 6000 6000 6000
2625 CMU0957 -II-E : MANAGEMENT CHRONIC HEPATITIS B / C - LAMIVUDINE 100MG 28 TABS GENERAL MEDICINE 1000 1000 1000 1000 1000 1000 1000 1000
2626 CMU0957 -II-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
2627 CMU0957 -II-G : MANAGEMENT CHRONIC HEPATITIS B / C - DACLATASVIR 60 MG 28 TABS GENERAL MEDICINE 4500 4500 4500 4500 4500 4500 4500 4500
2628 CMU0957 -II-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS GENERAL MEDICINE 16000 16000 16000 16000 16000 16000 16000 16000
2629 CMU0957 -I-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) HEPATOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2630 CMU0957 -II-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS GENERAL MEDICINE 11000 11000 11000 11000 11000 11000 11000 11000
2631 CMU0957 -II-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) GENERAL MEDICINE 10000 10000 10000 10000 10000 10000 10000 10000
2632 CMU0957 -II-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) GENERAL MEDICINE 15000 15000 15000 15000 15000 15000 15000 15000
2633 CMU0957 -I-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) HEPATOLOGY 15000 15000 15000 15000 15000 15000 15000 15000
2634 CMU0958 -I : CIRRHOSIS OF LIVER WITH COMPLICATIONS GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
2635 CMU0958 -II : CIRRHOSIS OF LIVER WITH COMPLICATIONS HEPATOLOGY 33100 29800 26800 24150 21700 19550 33100 24150
2636 CMU0959 -I : TRACHEAL RESECTION WITH RECONSTRUCTION CARDIOTHORACIC SURGERIES 41900 37700 33950 30550 27500 24750 41900 30550
2637 CMU0959 -II : TRACHEAL RESECTION WITH RECONSTRUCTION E N T 41900 37700 33950 30550 27500 24750 41900 30550
2638 CMU0960 -I : TRACHEAL RESECTION WITHOUT RECONSTRUCTION CARDIOTHORACIC SURGERIES 34500 31050 27950 25150 22650 20350 34500 25150
2639 CMU0960 -II : TRACHEAL RESECTION WITHOUT RECONSTRUCTION E N T 34500 31050 27950 25150 22650 20350 34500 25150
2640 CMU0961 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY GENERAL MEDICINE 800 700 650 600 500 450 800 600
2641 CMU0962 A : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 1100 1000 900 800 700 650 1100 800
2642 CMU0962 B : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) GENERAL MEDICINE 15800 14200 12800 11500 10350 9350 15800 11500
2643 CMU0962 C : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2644 CMU0962 D : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - SEPSIS / COMA) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2645 CMU0962 E : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - SEPSIS / COMA) GENERAL MEDICINE 52500 47250 42550 38250 34450 31000 52500 38250
2646 CMU0963 A : PYELOLITHOTOMY - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2647 CMU0963 B : PYELOLITHOTOMY - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2648 CMU0964 A : NEPHROLITHOTOMY - OPEN GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2649 CMU0964 B : NEPHROLITHOTOMY - LAP GENITOURINARY SURGERY 27500 24750 22300 20050 18050 16250 27500 20050
2650 CMU0965 : OPEN CYSTOLITHOTOMY GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
2651 CMU0966 A : URETEROLITHOTOMY - OPEN GENITOURINARY SURGERY 21000 18900 17000 15300 13800 12400 21000 15300
2652 CMU0966 B : URETEROLITHOTOMY - LAP GENITOURINARY SURGERY 22000 19800 17800 16050 14450 13000 22000 16050
2653 CMU0967 A : VESICOLITHOTOMY - OPEN GENITOURINARY SURGERY 14700 13250 11900 10700 9650 8700 14700 10700
2654 CMU0967 B : VESICOLITHOTOMY - LAP GENITOURINARY SURGERY 15400 13850 12450 11250 10100 9100 15400 11250
2655 CMU0968 : POSTERIOR FOSSA ENDOSCOPIC SURGERY NEUROSURGERY 88000 79200 71300 64150 57750 51950 88000 64150
2656 CMU0969 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS NEUROSURGERY 83300 74950 67450 60750 54650 49200 83300 60750
2657 CMU0970 -I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS CARDIOTHORACIC SURGERIES 31300 28150 25350 22800 20550 18500 31300 22800
2658 CMU0970 -II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS E N T 31300 28150 25350 22800 20550 18500 31300 22800
2659 CMU0971 -I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING CARDIOTHORACIC SURGERIES 36500 32850 29550 26600 23950 21550 36500 26600
2660 CMU0971 -II : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING E N T 36500 32850 29550 26600 23950 21550 36500 26600
2661 CMU0972 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 7000 6300 5650 5100 4600 4150 7000 5100
2662 CMU0973 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC GENERAL MEDICINE 10300 9250 8350 7500 6750 6100 10300 7500
2663 CMU0974 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION NEUROLOGY 110000 99000 89100 80200 72150 64950 110000 80200
2664 CMU0974 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION NEUROLOGY 22000 19800 17800 16050 14450 13000 22000 16050
2665 CMU0975 : SURGERY/CHEMOTHERAPY/RADIOTHERAPY FOR ALL LEUKEMIAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2666 CMU0975 A : ALL LEUKEMIA( CHEMOTHERAPHY) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2667 CMU0975 A-I : CHRONIC MYELOID LEUKEMIA (CML) - CHRONIC MYELOID LEUKEMIA (CML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2668 CMU0975 A-II : ACUTE MYELOID LEUKEMIA (AML) - ACUTE MYELOID LEUKEMIA (AML) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2669 CMU0975 A-II-a : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE 1 - AGE MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
2670 CMU0975 A-I-i-a : CHRONIC MYELOID LEUKEMIA (CML) - IMATINIB - LOW TO INTERMEDIATE RISK - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
2671 CMU0975 A-II-b : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE - AGE MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
2672 CMU0975 A-I-i-b : CHRONIC MYELOID LEUKEMIA (CML) - NILOTINIB - LOW TO INTERMEDIATE RISK - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
2673 CMU0975 A-II-c : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE 2 - AGE MEDICAL ONCOLOGY 10900 10900 10900 10900 10900 10900 10900 10900
2674 CMU0975 A-II-d : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
2675 CMU0975 A-II-e : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
2676 CMU0975 A-II-f : ACUTE MYELOID LEUKEMIA (AML) - DAUNORUBICIN (90MG) + CYTARABINE - AGE 60 YEARS, DAYS 1-3; DAUNORUBICIN 45-90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
2677 CMU0975 A-II-g : ACUTE MYELOID LEUKEMIA (AML) - IDARUBICIN + CYTARABINE - AGE 60 YEARS, DAYS 1-3; IDARUBICIN 12MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
2678 CMU0975 A-II-h : ACUTE MYELOID LEUKEMIA (AML) - MITOXANTRONE + CYTARABINE - AGE 60 YEARS, DAYS 1-3; MITOXANTRONE 12MG/M2 IV), DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 10800 10800 10800 10800 10800 10800 10800 10800
2679 CMU0975 A-II-i : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE - AGE 60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-10; CYTARABINE 20MG SC TWICE DAILY MEDICAL ONCOLOGY 7200 7200 7200 7200 7200 7200 7200 7200
2680 CMU0975 A-III : CHRONICLYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2681 CMU0975 A-I-ii : CHRONICMYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2682 CMU0975 A-I-ii-a : CML - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - INDUCTION - 4 WEEKS OF STANDARD INDUCTION CHEMOTHERAPY - CYCLOPHOSPHAMIDE 1200 MG/M 2 (800 MG/M2 - OLDER THAN 60 Y) IV ON DAY 1 +DAUNORUBICIN 45 MG/M 2/DAY (30 MG/M 2/DAY - OLDER THAN 60 Y) IV ON DAYS 1-3 +VINCRISTINE 2 MG IV ON DAYS 1, 8, 15, AND 22 +PREDNISONE 60 MG/M 2/DAY PO ON DAYS 1-21 (DAYS 1-7- OLDER THAN 60 Y) + L-ASPARAGINASE 6000 U/M 2 SC ON DAYS 5, 8, 11, 15, 18, AND 22 MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
2683 CMU0975 A-III-a-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 1 - DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY MEDICAL ONCOLOGY 1200 1200 1200 1200 1200 1200 1200 1200
2684 CMU0975 A-III-a-ii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 3 - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY MEDICAL ONCOLOGY 21800 21800 21800 21800 21800 21800 21800 21800
2685 CMU0975 A-III-a-iii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB + CHLORAMBUCIL CYCLE 4-8 - DAY 1; RITUXIMAB 500MG/M2 IV, DAYS 1-7; CHLORAMBUCIL 8MG/M2/DAY ORALLY. MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2686 CMU0975 A-III-a-iv : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - MAINTANANCE - RITUXIMAB - RITUXIMAB AT DOSE OF 375MG/M2 IV EVERY 2 MONTHS FOR 2 YEARS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2687 CMU0975 A-III-b : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - RITUXIMAB DAY 1, 8, 15, AND 22 - DAY 1, 8, 15, AND 22; RITUXIMAB 375MG/M2/DAY IV. MEDICAL ONCOLOGY 85500 85500 85500 85500 85500 85500 85500 85500
2688 CMU0975 A-I-ii-b : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
2689 CMU0975 A-III-c : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - CHLORAMBUCIL - DAYS 1-28; CHLORAMBUCIL 0.4MG/KG/DAY WITH AN INCREASE TO 0.8MG/KG ORALLY DAILY. REPEAT CYCLE EVERY 28 DAYS FOR 12 CYCLES MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
2690 CMU0975 A-I-ii-c : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-LYMPHOID ALL TYPE INDUCTION + TKI - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
2691 CMU0975 A-III-d-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE + RITUXIMAB (CYCLE -1) - DAY 0; RITUXIMAB 375MG/M2 IV, DAYS 1 AND 2; BENDAMUSTINE 70MG/M2 IV. REPEAT NEXT CYCLE AFTER 28 DAYS MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
2692 CMU0975 A-III-d-ii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE + RITUXIMAB (CYCLES 2-6) - RITUXIMAB 500MG/M2 ON DAY 1 AND BENDAMUSTINE - 90MG/M2. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 32300 32300 32300 32300 32300 32300 32300 32300
2693 CMU0975 A-III-d-iii : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE (70MG) (CYCLE -1) - DAYS 1 AND 2; BENDAMUSTINE 70MG/M2 IV. REPEAT NEXT CYCLE AFTER 28 DAYS MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
2694 CMU0975 A-III-d-iv : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - BENDAMUSTINE (90 MG) (CYCLES 2-6) - DAY 1 - BENDAMUSTINE 90MG/M2. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2695 CMU0975 A-III-e : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - FLUDARABINE + CYCLOPHOSPHAMIDE + RITUXIMAB (FCR) - DAY 1; RITUXIMAB 375MG OR 500/M2 IV, DAYS 1-3; FLUDARABINE 25MG/M2/DAY IV PLUS CYCLOPHOSPHAMIDE 250MG/M2/DAY IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLE MEDICAL ONCOLOGY 27200 27200 27200 27200 27200 27200 27200 27200
2696 CMU0975 A-III-f : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - FLUDARABINE + RITUXIMAB (FR) - DAYS 1-5; FLUDARABINE 25MG/M2 IV, DAY 1; RITUXIMAB 50MG/M2 IV, DAY 3; RITUXIMAB 325MG/M2 IV, DAY 5; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES WITH RITUXIMAB GIVEN AT A DOSE OF 375MG/M2 ON DAY 1 OF SUBSEQUENT CYCLES. MEDICAL ONCOLOGY 57800 57800 57800 57800 57800 57800 57800 57800
2697 CMU0975 A-III-g : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - ALEMTUZUMAB + RITUXIMAB - DAY 1; ALEMTUZUMAB 3MG IV, DAY 2; ALEMTUZUMAB 10MG IV, DAY 3, 10, 12, 17, 19, 24, AND 26; ALEMTUZUMAB 30MG IV MEDICAL ONCOLOGY 92700 92700 92700 92700 92700 92700 92700 92700
2698 CMU0975 A-III-h : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - ALEMTUZUMAB WITHOUT RITUXIMAB - DAY 1; ALEMTUZUMAB 3MG IV, DAY 2; ALEMTUZUMAB 10MG IV, DAY 3, 10, 12, 17, 19, 24, AND 26; ALEMTUZUMAB 30MG IV MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
2699 CMU0975 A-III-i : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - HIGH-DOSE METHYLPREDNISOLONE + RITUXIMAB - DAYS 1-3; METHYLPREDNISOLONE 1G/M2 IV, DAYS 1, 8, 15, AND 22; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 88400 88400 88400 88400 88400 88400 88400 88400
2700 CMU0975 A-I-iii : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2701 CMU0975 A-I-iii-a : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN (90MG/M2)+ CYTARABINE - < 60 YEARS, DAYS 1-3; DAUNORUBICIN 90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
2702 CMU0975 A-I-iii-b : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN + CYTARABINE + CLADRIBINE - AGE MEDICAL ONCOLOGY 10900 10900 10900 10900 10900 10900 10900 10900
2703 CMU0975 A-I-iii-c : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN + CYTARABINE (HIGH DOSE) - AGE MEDICAL ONCOLOGY 17600 17600 17600 17600 17600 17600 17600 17600
2704 CMU0975 A-I-iii-d : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - DAUNORUBICIN (90MG) + CYTARABINE - AGE >60 YEARS - DAYS 1-3; DAUNORUBICIN 45-90MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 12900 12900 12900 12900 12900 12900 12900 12900
2705 CMU0975 A-I-iii-e : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IDARUBICIN + CYTARABINE (HIGH DOSE) - DAYS 1-3; IDARUBICIN 12MG/M2, DAYS 1-6; HIGH-DOSE CYTARABINE 2G/M2 IV EVERY 12 HOURS, OR DAYS 1-4; HIGH-DOSE CYTARABINE 3G/M2 IV EVERY 12 HOURS MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
2706 CMU0975 A-I-iii-f : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IDARUBICIN + CYTARABINE - AGE 60 YEARS, DAYS 1-3; IDARUBICIN 12MG/M2 IV, DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 24400 24400 24400 24400 24400 24400 24400 24400
2707 CMU0975 A-I-iii-g : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - MITOXANTRONE + CYTARABINE - AGE 60 YEARS, DAYS 1-3; MITOXANTRONE 12MG/M2 IV), DAYS 1-7; CYTARABINE 100-200MG/M2 CONTINUOUS IV. MEDICAL ONCOLOGY 11400 11400 11400 11400 11400 11400 11400 11400
2708 CMU0975 A-I-iii-h : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
2709 CMU0975 A-I-iii-i : CHRONIC MYELOID LEUKEMIA (CML) - BLAST PHASE-MYELOID AML TYPE INDUCTION + TKI - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
2710 CMU0975 A-III-j : CHRONIC LYMPHOCYTIC LEUKEMIA/SMALL LYMPHOCYTIC LYMPHOMA (CLL / SLL) - HIGH-DOSE METHYLPREDNISOLONE - DAYS 1-3; METHYLPREDNISOLONE 1G/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 3 CYCLES MEDICAL ONCOLOGY 6800 6800 6800 6800 6800 6800 6800 6800
2711 CMU0975 A-II-j : ACUTE MYELOID LEUKEMIA (AML) - DECITABINE - AGE 60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-5; DECITABINE 20MG/M2 IV FOR A 4-WEEK CYCLE. MEDICAL ONCOLOGY 26300 26300 26300 26300 26300 26300 26300 26300
2712 CMU0975 A-II-k : ACUTE MYELOID LEUKEMIA (AML) - AZACYTIDINE - AGE 60 YEARS, LOW-INTENSITY THERAPY, DAYS 1-7; 5-AZACYTIDINE 75MG/M2 IV EVERY 28 DAYS MEDICAL ONCOLOGY 81400 81400 81400 81400 81400 81400 81400 81400
2713 CMU0975 A-II-l : ACUTE MYELOID LEUKEMIA (AML) - HYDROXYUREA - AGE 60 YEARS, HYDROXYUREA 10-70MG/KG/DAY ORALLY IN DIVIDED DOSES. MEDICAL ONCOLOGY 1700 1700 1700 1700 1700 1700 1700 1700
2714 CMU0975 A-II-m : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE - HIGH DOSE - AGE MEDICAL ONCOLOGY 10200 10200 10200 10200 10200 10200 10200 10200
2715 CMU0975 A-II-n : ACUTE MYELOID LEUKEMIA (AML) - CLADRIBINE + CYTARABINE + IDARUBICIN + GCSF - DAYS 1-5; CLADRIBINE 5MG/M2 IV, DAYS 1-5; CYTARABINE 2G/M2 IV, DAYS 0-5; GRANULOCYTE-COLONY STIMULATING FACTOR (G-CSF) 300MCG SC, DAYS 1-3; IDARUBICIN 10MG/M2 IV. MEDICAL ONCOLOGY 89400 89400 89400 89400 89400 89400 89400 89400
2716 CMU0975 A-II-o : ACUTE MYELOID LEUKEMIA (AML) - CLADRIBINE + CYTARABINE + MITOXANTRONE + GCSF - DAYS 1-5; CLADRIBINE 5MG/M2 IV, DAYS 1-5; CYTARABINE 2G/M2 IV, DAYS 0-5; GRANULOCYTE-COLONY STIMULATING FACTOR (G-CSF) 300MCG SC, DAYS 1-3; MITOXANTRONE 10MG/M2 IV. MEDICAL ONCOLOGY 42700 42700 42700 42700 42700 42700 42700 42700
2717 CMU0975 A-II-p : ACUTE MYELOID LEUKEMIA (AML) - FLUDARABINE + CYTARABINE + IDARUBICIN + GCSF -DAYS 1-5; FLUDARABINE 30MG/M2 IV OVER 0.5 HOURS, DAYS 1-5; CYTARABINE 2G/M2 IV OVER 4 HOURS, DAYS 0 TO POLYMORPHONUCLEAR RECOVERY (>0.5 X 109/L); G-CSF 5MCG/KG OR 300MCG/M2. (G-CSF MAY ALSO START ON DAY +6 UNTIL ENGRAFTMENT.) + DAYS 1-3; IDARUBICIN 10MG/M2 IV. MEDICAL ONCOLOGY 70100 70100 70100 70100 70100 70100 70100 70100
2718 CMU0975 A-II-q : ACUTE MYELOID LEUKEMIA (AML) - ETOPOSIDE +CYTARABINE+MITOXANTRONE - ETOPOSIDE +CYTARABINE+MITOXANTRONE, DAYS 1-6; ETOPOSIDE 80MG/M2 IV OVER 1 HOUR, DAYS 1-6; CYTARABINE 1G/M2 IV OVER 6 HOURS + DAYS 1-6; MITOXANTRONE 6MG/M2 IV BOLUS MEDICAL ONCOLOGY 13900 13900 13900 13900 13900 13900 13900 13900
2719 CMU0975 A-II-r : ACUTE MYELOID LEUKEMIA (AML) - CYTARABINE SC - DAYS 1-10; CYTARABINE 20MG SC TWICE DAILY MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2720 CMU0975 A-II-s : ACUTE MYELOID LEUKEMIA (AML) - AZACYTIDINE - DAYS 1-7; 5-AZACYTIDINE 75MG/M2 IV EVERY 28 DAYS MEDICAL ONCOLOGY 81400 81400 81400 81400 81400 81400 81400 81400
2721 CMU0975 A-II-t : ACUTE MYELOID LEUKEMIA (AML) - DECITABINE - DAYS 1-5; DECITABINE 20MG/M2 IV EVERY 28 DAYS. MEDICAL ONCOLOGY 26800 26800 26800 26800 26800 26800 26800 26800
2722 CMU0975 A-IV : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2723 CMU0975 A-IV-i : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2724 CMU0975 A-IV-i-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 INDUCTION PHASE; INDUCTION; 4 WEEKS OF STANDARD INDUCTION CHEMOTHERAPY; CYCLOPHOSPHAMIDE 1200 MG/M 2 (800 MG/M 2 IF PATIENTS OLDER THAN 60 Y) IV ON DAY 1 +DAUNORUBICIN 45 MG/M 2/DAY (30 MG/M 2/DAY IF PATIENTS OLDER THAN 60 Y) IV ON DAYS 1 - 3 +VINCRISTINE 2 MG IV ON DAYS 1, 8, 15, AND 22 +PREDNISONE 60 MG/M 2/DAY PO ON DAYS 1 - 21 (DAYS 1 - 7 IF PATIENTS OLDER THAN 60 Y); MEDICAL ONCOLOGY 14000 14000 14000 14000 14000 14000 14000 14000
2725 CMU0975 A-IV-i-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 1 - (3 WEEKS); DAY 1 - METHOTREXATE (MTX) INTRATHECALLY (IT), ETOPOSIDE 100MG/M2/DAY INTRAVENOUSLY (IV), IFOSFAMIDE 3.4G/M2/DAY IV; DAYS 1 - 21 - IMATINIB 340MG/M2/DAY ORALLY; DAYS 6 - 15 - FILGRASTIM 5G/KG/DAY SUBCUTANEOUSLY (SC) +/- IMATINIB; DAYS 8 AND 15 - CNS LEUKEMIA ONLY - MTX IT, HYDROCORTISONE IT, CYTARABINE IT; MEDICAL ONCOLOGY 18000 18000 18000 18000 18000 18000 18000 18000
2726 CMU0975 A-IV-i-a-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CHILDRENS ONCOLOGY GROUP (COG) AALL-0031 CONSOLIDATION PHASE - BLOCK 2 (3 WEEKS); DAY 1 - AGE ADJUSTED - MTX IT, HYDROCORTISONE IT, CYTARABINE IT + MTX 5G/M2 IV OVER 24 HOURS; DAYS 1 - 21 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF PATIENT DOES NOT ACHIEVE COUNT RECOVERY WITHIN 2 WEEKS OF LAST DOSE OF PREVIOUS COURSE); DAYS 2 - 3 - LEUCOVORIN 75MG/M2 36 HOURS AFTER MTX, FOLLOWED BY 15MG/M2 IV OR ORALLY EVERY 6 HOURS FOR 6 DOSES + CYTARABINE 3G/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES; DAYS 4 - 13 - FILGRASTIM 5G/KG/DAY SC MEDICAL ONCOLOGY 20200 20200 20200 20200 20200 20200 20200 20200
2727 CMU0975 A-IV-i-a-4 : ALL - PH(+) AYA - COG AALL-0031 REINDUCTION ; DAY 1 - VINCRISTINE 1.5MG/M2 IV + AGE ADJUSTED - MTX IT, HYDROCORTISONE IT, CYTARABINE IT; DAYS 1 - 2 - DAUNORUBICIN 45MG/M2/DAY IV BOLUS; DAYS 1 - 21 - DEXAMETHASONE 6MG/M2/DAY ORALLY +/- IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAYS 3 - 4 - CYCLOPHOSPHAMIDE 250MG/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES + MESNA 125MG/M2/DOSE IV EVERY 12 HOURS FOR 4 DOSES; DAYS 4, 6, 8, 10, 12, 15, 17, 19, AND 21 - L - ASPARAGINASE 6, 000 IU/M2 INTRAMUSCULARLY (IM); DAYS 5 - 14 - FILGRASTIM 5G/KG/DAY SC; DAYS 8 AND 15 - VINCRISTINE 1.5MG/M2 IV; DAY 15 - MTX IT, HYDROCORTISONE IT, CYTARABINE IT. MEDICAL ONCOLOGY 26600 26600 26600 26600 26600 26600 26600 26600
2728 CMU0975 A-IV-i-a-5 : ALL - PH(+) AYA - COG AALL-0031 INTENSIFICATION; DAY 1 - MTX, HYDROCORTISONE, CYTARABINE - IT + MTX IV; DAYS 1-63 - IMATINIB ORAL; DAYS 2-3 - LEUCOVORIN ; DAY 8 - MTX IV; DAYS 9-10 - LEUCOVORIN; DAY 15 - MTX , HYDROCORTISONE , CYTARABINE - IT; DAYS 15-19 - ETOPOSIDE + CYCLOPHOSPHAMIDE + MESNA - IV; DAYS 20-29 - FILGRASTIM SC; DAYS 36-37 - CYTARABINE; DAY 37 - L - ASPARAGINASE IM +/- IMATINIB; DAYS 43-44 - CYTARABINE IV; DAY 44 - L - ASPARAGINASE IM +/- IMATINIB; MEDICAL ONCOLOGY 43500 43500 43500 43500 43500 43500 43500 43500
2729 CMU0975 A-IV-i-a-6 : ALL - PH(+) AYA - COG AALL-0031 MAINTENANCE CYCLES 1-4 (8 WEEKS); DAY 1 - MTX, HYDROCORTISONE, CYTARABINE - IT + VINCRISTINE + MTX IV; DAYS 1 - 5 - DEXA; DAYS 1 - 56 - IMATINIB; DAY 2 - LEUCOVORIN 36 HOURS AFTER MTX; DAYS 8, 15, AND 22 - MTX ORAL; DAYS 8 - 28 - 6-MP; DAY 29 - MTX, HYDROCORTISONE, CYTARABINE - IT + VINCRISTINE IV; DAYS 29 - 33 - DEXA; DAYS 29 - 40 - IMATINIB; DAYS 36 - 40 - ETOPOSIDE + CYCLOPHOSPHAMIDE IV; DAYS 41 - 50 - FILGRASTIM SC; MEDICAL ONCOLOGY 37400 37400 37400 37400 37400 37400 37400 37400
2730 CMU0975 A-IV-i-a-7 : ALL - PH(+) AYA -COG AALL-0031 MAINTENANCE CYCLES 5-12 (8 WEEKS); CYCLE 5 ONLY - CRANIAL IRRADIATION 12 GY; DAY 1 - VINCRISTINE 1.5MG/M2 IV; DAYS 1 - 5 - DEXAMETHASONE 6MG/M2/DAY ORALLY; DAYS 1 - 14 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAYS 8, 15, AND 22 - MTX 20MG/M2/WEEK ORALLY; DAYS 8 - 28 - 6 - MP 75MG/M2/DAY; DAY 29 - VINCRISTINE 1.5MG/M2 IV; DAYS 29 - 33 - DEXAMETHASONE 6MG/M2/DAY ORALLY; DAYS 29 - 42 - IMATINIB 340MG/M2/DAY ORALLY (HOLD IMATINIB IF NEEDED); DAY 36 - MTX 20MG/M2/WEEK ORALLY; DAYS 36 - 56 - 6 - MP 75MG/M2/DAY; DAYS 43 AND 50 - MTX 20MG/M2/WEEK ORALLY; MEDICAL ONCOLOGY 13500 13500 13500 13500 13500 13500 13500 13500
2731 CMU0975 A-IV-i-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 (CYCLES 1 AND 3 ONLY) - RITUXIMAB 375MG/M2 IV. MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
2732 CMU0975 A-IV-i-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4); HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65500 65500 65500 65500 65500 65500 65500 65500
2733 CMU0975 A-IV-i-b-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
2734 CMU0975 A-IV-i-b-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 MEDICAL ONCOLOGY 14100 14100 14100 14100 14100 14100 14100 14100
2735 CMU0975 A-IV-i-b-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION II - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 8 - 63 - IMATINIB 600MG ORALLY; DAY 29 - MTX 15MG IT, CYTARABINE 40MG IT, DEXAMETHASONE 4MG IT MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
2736 CMU0975 A-IV-i-b-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION III - PRETREATMENT FOR 7 DAYS - PREDNISONE AT INCREASING DOSES FROM 10 - 40MG/M2/DAY; DAYS 1 - 45 - IMATINIB 800MG ORALLY DAILY + PREDNISONE 40MG/M2 DAILY MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
2737 CMU0975 A-IV-i-b-7 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) MAINTENANCE - MTX WEEKLY + 6 - MP DAILY + VINCRISTINE PULSE MONTHLY + PREDNISONE PULSE MONTHLY FOR 2 TO 3 YEARS. MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
2738 CMU0975 A-IV-i-c-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS INDUCTION PHASE - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAYS 8 - 63 - IMATINIB 600MG ORALLY DAILY; DAY 29 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
2739 CMU0975 A-IV-i-c-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION I - DAY 1 - MTX 1G/M2 IV OVER 24 HOURS + MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; DAYS 1 - 3 - METHYLPREDNISOLONE 50MG IV OVER 1 HOUR × 2 DOSES; DAYS 2 AND 3 - CYTARABINE 2G/M2 IV OVER 3 HOURS; REPEAT FOR 4 CYCLES. MEDICAL ONCOLOGY 8900 8900 8900 8900 8900 8900 8900 8900
2740 CMU0975 A-IV-i-c-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION II - DAY 1 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; REPEAT FOR 4 CYCLES; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY. MEDICAL ONCOLOGY 3900 3900 3900 3900 3900 3900 3900 3900
2741 CMU0975 A-IV-i-c-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS MAINTENANCE - DAY 1 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 5 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY; REPEAT EVERY 4 WEEKS UP TO 2 YEARS FROM THE DATE OF COMPLETE REMISSION. MEDICAL ONCOLOGY 3600 3600 3600 3600 3600 3600 3600 3600
2742 CMU0975 A-IV-i-c-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
2743 CMU0975 A-IV-i-c-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
2744 CMU0975 A-IV-ii : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2745 CMU0975 A-IV-ii-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
2746 CMU0975 A-IV-ii-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65500 65500 65500 65500 65500 65500 65500 65500
2747 CMU0975 A-IV-ii-a-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 12000 12000 12000 12000 12000 12000 12000 12000
2748 CMU0975 A-IV-ii-a-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 14100 14100 14100 14100 14100 14100 14100 14100
2749 CMU0975 A-IV-ii-a-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION II - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 8 - 63 - IMATINIB 600MG ORALLY; DAY 29 - MTX 15MG IT, CYTARABINE 40MG IT, DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 15900 15900 15900 15900 15900 15900 15900 15900
2750 CMU0975 A-IV-ii-a-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) INDUCTION III - PRETREATMENT FOR 7 DAYS - PREDNISONE AT INCREASING DOSES FROM 10 - 40MG/M2/DAY; DAYS 1 - 45 - IMATINIB 800MG ORALLY DAILY + PREDNISONE 40MG/M2 DAILY MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
2751 CMU0975 A-IV-ii-a-7 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) MAINTENANCE - MTX WEEKLY + 6 - MP DAILY + VINCRISTINE PULSE MONTHLY + PREDNISONE PULSE MONTHLY FOR 2 TO 3 YEARS. MEDICAL ONCOLOGY 10400 10400 10400 10400 10400 10400 10400 10400
2752 CMU0975 A-IV-ii-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS INDUCTION PHASE - DAY 1 - CYCLOPHOSPHAMIDE 1, 200MG/M2 IV OVER 3 HOURS; DAYS 1 - 3 - DAUNORUBICIN 60MG/M2 IV OVER 1 HOUR; DAYS 1, 8, 15, AND 22 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 21 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAYS 8 - 63 - IMATINIB 600MG ORALLY DAILY; DAY 29 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT. MEDICAL ONCOLOGY 16400 16400 16400 16400 16400 16400 16400 16400
2753 CMU0975 A-IV-ii-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION I - DAY 1 - MTX 1G/M2 IV OVER 24 HOURS + MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; DAYS 1 - 3 - METHYLPREDNISOLONE 50MG IV OVER 1 HOUR × 2 DOSES; DAYS 2 AND 3 - CYTARABINE 2G/M2 IV OVER 3 HOURS; REPEAT FOR 4 CYCLES. MEDICAL ONCOLOGY 12700 12700 12700 12700 12700 12700 12700 12700
2754 CMU0975 A-IV-ii-b-3 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS CONSOLIDATION II - DAY 1 - MTX 15MG IT + CYTARABINE 40MG IT + DEXAMETHASONE 4MG IT; REPEAT FOR 4 CYCLES; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY. MEDICAL ONCOLOGY 3400 3400 3400 3400 3400 3400 3400 3400
2755 CMU0975 A-IV-ii-b-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - MULTIAGENT CHEMOTHERAPY + TKIS MAINTENANCE - DAY 1 - VINCRISTINE 1.3MG/M2 IV BOLUS; DAYS 1 - 5 - PREDNISOLONE 60MG/M2 ORALLY DAILY; DAY 1 - 28 - IMATINIB 600MG ORALLY DAILY; REPEAT EVERY 4 WEEKS UP TO 2 YEARS FROM THE DATE OF COMPLETE REMISSION. MEDICAL ONCOLOGY 6700 6700 6700 6700 6700 6700 6700 6700
2756 CMU0975 A-IV-ii-b-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - IMATINIB - IMATINIB 400MG ORALLY DAILY MEDICAL ONCOLOGY 1600 1600 1600 1600 1600 1600 1600 1600
2757 CMU0975 A-IV-ii-b-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - NILOTINIB - NILOTINIB 300MG ORALLY TWICE DAILY MEDICAL ONCOLOGY 18700 18700 18700 18700 18700 18700 18700 18700
2758 CMU0975 A-IV-ii-c : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(+) AYA - CORTICOSTEROIDS + TKIS - PRETREATMENT MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
2759 CMU0975 A-IV-iii : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2760 CMU0975 A-IV-iii-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 INDUCTION - CORTICOSTEROID PRE-PHASE - 1-7 DAYS BEFORE INDUCTION THERAPY; PREDNISONE 60MG/M2/DAY, 4-7 DAYS BEFORE INDUCTION THERAPY; MTX 15MG IT. INDUCTION I - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2/DAY + VINCRISTINE 2MG IV, DAYS 1-3; DAUNORUBICIN 50MG/M2/DAY, DAYS 1-14; PREDNISONE 60MG/M2/DAY, DAY 8; VINCRISTINE 2MG IV + L-ASPARAGINASE 6, 000IU/M2/DAY, DAYS 10 AND 12; L-ASPARAGINASE 6, 000IU/M2/DAY, DAY 15; VINCRISTINE 2MG IV, DAY 15; FOR GOOD EARLY RESPONDERS; CYCLOPHOSPHAMIDE 750MG/M2/DAY. MEDICAL ONCOLOGY 16500 16500 16500 16500 16500 16500 16500 16500
2761 CMU0975 A-IV-iii-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 SALVAGE - DAYS 1-3; IDARUBICIN 12MG/M2/DAY, DAYS 1-4; CYTARABINE 2G/M2/12 HOURS, DAY 9; FILGRASTIM TO MYELOID RECOVERY. MEDICAL ONCOLOGY 30200 30200 30200 30200 30200 30200 30200 30200
2762 CMU0975 A-IV-iii-a-3 : ALL - PH(-) AYA - GRAALL-2003 CONSOLIDATION - BLOCKS 1, 4, AND 7; - DAYS 1 AND 2; CYTARABINE 2G/M2/12 HOURS + DEXAMETHASONE 10MG/12 HOURS, DAY 3; L-ASPARAGINASE 10, 000IU/M2/DAY, DAYS 7-13; FILGRASTIM TO MYELOID RECOVERY. BLOCKS 2, 5, AND 8 - DAY 15; MTX 3G/M2 CONTINUOUS INFUSION + VINCRISTINE 2MG IV + 6-MP 60MG/M2/DAY, DAY 16; L-ASPARAGINASE 10, 000IU/M2/DAY, DAYS 16-21; 6-MP 60MG/M2/DAY, DAYS 22-27; FILGRASTIM TO MYELOID RECOVERY. BLOCKS 3, 6, AND 9 - DAY 29; MTX 25MG/M2/DAY, DAYS 29 AND 30; CYCLOPHOSPHAMIDE 500MG/M2/DAY + ETOPOSIDE 75MG/M2/DAY, DAY 31; FILGRASTIM TO MYELOID RECOVERY. TO BE APPROVED 3 TIMES (BLOCKS - 1, 2, 3; BLOCKS - 4, 5, 6; BLOCKS - 7, 8, 9 MEDICAL ONCOLOGY 32300 32300 32300 32300 32300 32300 32300 32300
2763 CMU0975 A-IV-iii-a-4 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 LATE INTENSIFICATION BETWEEN CONSOLIDATION BLOCKS 6 AND 7 (FOR PATIENTS IN COMPLETE REMISSION [CR] AFTER THE FIRST INDUCTION COURSE) - DAY 1; VINCRISTINE 2MG IV, DAYS 1-3; DAUNORUBICIN 30MG/M2/DAY, DAYS 1-14; PREDNISONE 60MG/M2/DAY MEDICAL ONCOLOGY 16300 16300 16300 16300 16300 16300 16300 16300
2764 CMU0975 A-IV-iii-a-5 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 LATE INTENSIFICATION BETWEEN CONSOLIDATION BLOCKS 6 AND 7 (FOR PATIENTS IN CR AFTER SALVAGE COURSE) - DAYS 1-3; IDARUBICIN 9MG/M2/DAY, DAYS 1-4; CYTARABINE 2G/M2/12 HOURS, DAY 9; FILGRASTIM TO MYELOID RECOVERY. MEDICAL ONCOLOGY 28600 28600 28600 28600 28600 28600 28600 28600
2765 CMU0975 A-IV-iii-a-6 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - GRAALL-2003 MAINTENANCE MEDICAL ONCOLOGY 59800 59800 59800 59800 59800 59800 59800 59800
2766 CMU0975 A-IV-iii-b : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CNS THERAPY-TREATMENT OF PATIENTS WITH INITIAL CNS INVOLVEMENT MEDICAL ONCOLOGY 22200 22200 22200 22200 22200 22200 22200 22200
2767 CMU0975 A-IV-iii-v : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CCG-1961 MEDICAL ONCOLOGY 19200 19200 19200 19200 19200 19200 19200 19200
2768 CMU0975 A-IV-iv : ACUTELYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2769 CMU0975 A-IV-iv-a-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CALGB 8811 (LARSON REGIMEN) INDUCTION MEDICAL ONCOLOGY 19000 19000 19000 19000 19000 19000 19000 19000
2770 CMU0975 A-IV-iv-a-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - CALGB 8811 (LARSON REGIMEN) CONSOLIDATION MEDICAL ONCOLOGY 17500 17500 17500 17500 17500 17500 17500 17500
2771 CMU0975 A-IV-iv-b-1 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - HYPER-CVAD WITH OR WITHOUT RITUXIMAB CYCLE 1, 3, 5, 7 - DAYS 1 - 3 - CYCLOPHOSPHAMIDE IV EVERY 12 HOURS + MESNA CONTINUOUS IV INFUSION STARTING 1 HOUR BEFORE CYCLOPHOSPHAMIDE UNTIL 12 HOURS AFTER COMPLETION OF CYCLOPHOSPHAMIDE; DAYS 1 - 4 AND 11 - 14 - DEXAMETHASONE ORALLY DAILY, +/-; DAYS 1 AND 8 - RITUXIMABIV; DAY 4 - DOXORUBICIN IV OVER 24 HOURS; DAYS 4 AND 11 - VINCRISTINE IV MEDICAL ONCOLOGY 64000 64000 64000 64000 64000 64000 64000 64000
2772 CMU0975 A-IV-iv-b-2 : ACUTE LYMPHOBLASTIC LEUKEMIA (ALL) - PH(-) AYA - HYPER-CVAD WITH OR WITHOUT RITUXIMAB CYCLE 2, 4, 6, 8 - DAY 1 - METHOTREXATE IV OVER 2 HOURS FOLLOWED BY CONTINUOUS IV INFUSION OVER 22 HOURS FOLLOWED BY LEUCOVORIN IV EVERY 6 HOURS STARTING 12 HOURS AFTER COMPLETION OF MTX; DAYS 2 - 3 - CYTARABINE (IV OVER 2 HOURS EVERY 12 HOURS, +/-; DAYS 1 AND 8 - RITUXIMAB 375MG/M2 IV; CNS PROPHYLAXIS; DAY 2 - METHOTREXATE 12MG IT; DAY 8 - CYTARABINE 100MG IT. MEDICAL ONCOLOGY 59700 59700 59700 59700 59700 59700 59700 59700
2773 CMU0976 A : ALL LYMPHOMACHEMOTHERAPHY MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2774 CMU0976 A-I : HODGKINS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2775 CMU0976 A-I-a : HODGKINSLYMPHOMA - ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES. REPEAT CYCLE EVERY 4 WEEKS FOR 2-4 CYCLES OR UPTO 6 CYCLES - MAY BE FOLLOWED BY ESCALATED BEACOPP MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
2776 CMU0976 A-I-b : HODGKINSLYMPHOMA - ESCALATED BEACOPP - DAY 1; CYCLOPHOSPHAMIDE 1, 250MG/M2 IV OVER 60 MINUTES + DOXORUBICIN 35MG/M2 IV PUSH, DAYS 1-3; ETOPOSIDE 200MG/M2 IV OVER 2 HOURS MEDICAL ONCOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
2777 CMU0976 A-I-c : HODGKINSLYMPHOMA - ABVD + RITUXIMAB (CYLED EVERY 4 WEEKS) - MEDICAL ONCOLOGY 24300 24300 24300 24300 24300 24300 24300 24300
2778 CMU0976 A-I-d-i : HODGKINS LYMPHOMA - ABVD + RITUXIMAB (1 CYCLE - WEEKLY RITUXIMAB 4 DOSES) FOLLOWED BY ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES, DAYS 1, 8, 15, AND 22; RITUXIMAB 375MG/M2 IV FOR CYCLE 1 ONLY. REPEAT ABVD CYCLE EVERY 4 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION (OR ) 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION MEDICAL ONCOLOGY 87200 87200 87200 87200 87200 87200 87200 87200
2779 CMU0976 A-I-d-ii : HODGKINS LYMPHOMA - ABVD - DAYS 1 AND 15; DOXORUBICIN 25MG/M2 IV PUSH + BLEOMYCIN 10UNITS/M2 IV PUSH + VINBLASTINE 6MG/M2 IV OVER 5-10 MINUTES + DACARBAZINE 375MG/M2 IV OVER 60 MINUTES. REPEAT CYCLE EVERY 4 WEEKS FOR 2-4 CYCLES OR UPTO 6 CYCLES - MAY BE FOLLOWED BY ESCALATED BEACOPP MEDICAL ONCOLOGY 4700 4700 4700 4700 4700 4700 4700 4700
2780 CMU0976 A-I-e-i : HODGKINS LYMPHOMA - CHOP + RITUXIMAB - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, DAY 1; RITUXIMAB 375MG/M2 IV, REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2781 CMU0976 A-I-e-ii : HODGKINS LYMPHOMA - CHOP - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2782 CMU0976 A-I-f-i : HODGKINS LYMPHOMA - CVP +/- RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22000 22000 22000 22000 22000 22000 22000 22000
2783 CMU0976 A-I-f-ii : HODGKINS LYMPHOMA - CVP - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 1900 1900 1900 1900 1900 1900 1900 1900
2784 CMU0976 A-I-g : HODGKINSLYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 7 DAYS FOR 4 WEEKS WITH OR WITHOUT MAINTENANCE RITUXIMAB (375MG/M2 IV ONCE WEEKLY FOR 4 WEEKS EVERY 6 MONTHS FOR UP TO 2 YEARS) MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2785 CMU0976 A-II : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2786 CMU0976 A-II-a : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BORTEZOMIB + DEXAMETHASONE - DAYS 1, 4, 8, AND 11; BORTEZOMIB 1.3MG/M2 IV, DAYS 1, 4, 8, AND 11; DEXAMETHASONE 40MG IV. REPEAT FOR 4 CONSECUTIVE CYCLES AS INDUCTION THERAPY AND FOLLOW WITH 4 MAINTENANCE CYCLES, EACH GIVEN 3 MONTHS APART. MEDICAL ONCOLOGY 57900 57900 57900 57900 57900 57900 57900 57900
2787 CMU0976 A-II-b : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE + RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 IV + DOXORUBICIN 50MG/M2 IV + VINCRISTINE 1.4MG/M2 (MAX 2MG) IV + RITUXIMAB 375MG/M2 IV, DAYS 1-5; PREDNISONE 100MG ORALLY. REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2788 CMU0976 A-II-c : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2789 CMU0976 A-II-d : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB + CYCLOPHOSPHAMIDE + PREDNISONE - DAY 1; RITUXIMAB 375MG/M2 IV + CYCLOPHOSPHAMIDE 1, 000MG/M2 IV, DAYS 1-5; PREDNISONE 100MG ORALLY. REPEAT EVERY 21 DAYS FOR 6 CYCLES MEDICAL ONCOLOGY 21900 21900 21900 21900 21900 21900 21900 21900
2790 CMU0976 A-II-e : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - RITUXIMAB + CYCLOPHOSPHAMIDE + DEXAMETHASONE - DAY 1; DEXAMETHASONE 20MG IV FOLLOWED BY RITUXIMAB 375MG/M2 IV, DAYS 1-5; CYCLOPHOSPHAMIDE 100MG/M2 ORALLY TWICE DAILY. REPEAT EVERY 21 DAYS FOR 6 MONTHS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2791 CMU0976 A-II-f-i : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 1 AND 2) - THALIDOMIDE 200MG ORALLY DAILY MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
2792 CMU0976 A-II-f-ii : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 3-50) - THALIDOMIDE 400MG ORALLY DAILY MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
2793 CMU0976 A-II-f-iii : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB (WEEKS 50-52) - THALIDOMIDE 400MG ORALLY DAILY MEDICAL ONCOLOGY 6300 6300 6300 6300 6300 6300 6300 6300
2794 CMU0976 A-II-f-iv : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - THALIDOMIDE WITH OR WITHOUT RITUXIMAB WEEKS 2-5 AND 13-16 - RITUXIMAB 375MG/M2 IV ONCE WEEKLY FOR A TOTAL OF 8 INFUSIONS AS ADD-ON MEDICAL ONCOLOGY 20400 20400 20400 20400 20400 20400 20400 20400
2795 CMU0976 A-II-g-i : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE WITH OR WITHOUT RITUXIMAB DAYS 1-2; BENDAMUSTINE 90MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
2796 CMU0976 A-II-g-ii : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE - RITUXIMAB - DAYS 1-2; BENDAMUSTINE 90MG/M2 IV, REPEAT EVERY 4 WEEKS FOR 4 CYCLES. MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
2797 CMU0976 A-II-h-i : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CLADRIBINE WITH OR WITHOUT RITUXIMAB - DAYS 1-5; CLADRIBINE 0.1MG/KG SUBCUTANEOUS INJECTION, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 27500 27500 27500 27500 27500 27500 27500 27500
2798 CMU0976 A-II-h-ii : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CLADRIBINE - RITUXIMAB - DAYS 1-5; CLADRIBINE 0.1MG/KG SUBCUTANEOUS INJECTION. REPEAT EVERY 4 WEEKS FOR 4 CYCLES MEDICAL ONCOLOGY 8700 8700 8700 8700 8700 8700 8700 8700
2799 CMU0976 A-III : NON HODGKINS LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2800 CMU0976 A-II-i : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - BENDAMUSTINE - DAYS 1-2; BENDAMUSTINE 90MG/M2 IV MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
2801 CMU0976 A-III-i : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2802 CMU0976 A-III-i-a-1 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLE 1 - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS, DAYS 1-5; CYCLOPHOSPHAMIDE 200MG/M2 IV, DAYS 1-7; PREDNISONE 60MG/M2 ORALLY. MEDICAL ONCOLOGY 9400 9400 9400 9400 9400 9400 9400 9400
2803 CMU0976 A-III-i-a-2 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 2 (BEGINNING DAY 8) - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS - DAYS 1-5; IFOSFAMIDE 800MG/M2 IV + DEXAMETHASONE 10MG/M2 IV MEDICAL ONCOLOGY 69400 69400 69400 69400 69400 69400 69400 69400
2804 CMU0976 A-III-i-a-3 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 3, 5, AND 7 - DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS, DAYS 1-5; CYCLOPHOSPHAMIDE 200MG/M2 IV + DEXAMETHASONE 10MG/M2 IV MEDICAL ONCOLOGY 34800 34800 34800 34800 34800 34800 34800 34800
2805 CMU0976 A-III-i-a-4 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - CALGB 10002 CYCLES 4, AND 6. DAY 1; TRIPLE INTRATHECAL THERAPY FOR CNS PROPHYLAXIS, DAYS 1-5; IFOSFAMIDE 800MG/M2 IV + DEXAMETHASONE 10MG/M2 IV, DAY 1; METHOTREXATE 1.5G/M2 IV (WITH LEUCOVORIN RESCUE) + VINCRISTINE 2MG IV, DAYS 4 AND 5; CYTARABINE 1G/M2 IV + ETOPOSIDE 80MG/M2 IV, DAY 8; 375MG/M2 IV. DELIVER CYCLES EVERY 21 DAYS. MEDICAL ONCOLOGY 38200 38200 38200 38200 38200 38200 38200 38200
2806 CMU0976 A-III-i-b : NHL - BURKITT LYMPHOMA - CODOX-M (ORIGINAL OR MODIFIED) (CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE WITH INTRATHECAL MTX + CYTARABINE, FOLLOWED BY SYSTEMIC MTX AND CYTARABINE) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE + DOXORUBICIN, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1, 3; CYTARABINE INTRATHECAL, DAYS 1, 8; VINCRISTINE IV, DAY 10; MTX IV 1 HOUR, THEN INFUSION OVER 23 HOURS, DAY 11; LEUCOVORIN IV, EVERY 6 HOURS, DAY 13; G-CSF SC DAILY, DAY 15; MTX INTRATHECAL MEDICAL ONCOLOGY 39800 39800 39800 39800 39800 39800 39800 39800
2807 CMU0976 A-III-i-c-1 : NHL - BURKITT LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1 & 2) - DAY 1; RITUXIMAB 375MG/M2 IV DAYS 1-4; ETOPOSIDE 50MG/M2 IV INFUSION + DOXORUBICIN 10MG/M2 IV INFUSION + VINCRISTINE 0.4MG/M2 IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORAL BD, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2808 CMU0976 A-III-i-c-2 : NHL - BURKITT LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + MTX - IT+ RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV DAYS 1-4; ETOPOSIDE 50MG/M2 IV INFUSION + DOXORUBICIN 10MG/M2 IV INFUSION + VINCRISTINE 0.4MG/M2 IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORAL BD. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG UNTIL ANC >5, 000/uL, DAYS 1 AND 5 ; MTX 12MG - IT REPEAT EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
2809 CMU0976 A-III-i-d-1 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
2810 CMU0976 A-III-i-d-2 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
2811 CMU0976 A-III-i-d-3 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
2812 CMU0976 A-III-i-d-4 : NON HODGKINS LYMPHOMA - BURKITT LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
2813 CMU0976 A-III-i-e-1 : NHL - BURKITT LYMPHOMA - CODOX-M ALTERNATED WITH IVAC- CODOX-M (ORIGINAL OR MODIFIED) - DAY 1- CYCLOPHOSPHAMIDE + DOXORUBICIN - IV, DAYS 2-5- CYCLOPHOSPHAMIDE IV, DAYS 1, 3- CYTARABINE IT, DAYS 1, 8; VINCRISTINE IV, DAY 10; MTX IV 1 HOUR, THEN INFUSION FOR 23 HOURS, DAY 11; LEUCOVORIN IV - 6TH HOURLY; DAY 13- G-CSF SC DAILY, DAY 15; MTX - IT DAY 16- LEUCOVORIN ORAL G, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATE BETWEEN CODOX-M AND IVAC MEDICAL ONCOLOGY 39800 39800 39800 39800 39800 39800 39800 39800
2814 CMU0976 A-III-i-e-2 : NHL - BURKITT LYMPHOMA - CODOX-M ALTERNATED WITH IVAC - IVAC (IFOSFAMIDE + CYTARABINE + ETOPOSIDE) AND IT MTX +/- RITUXIMAB - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, + MESNA 360MG/M2, DAY 5; MTX 12MG IT DAY 6; LEUCOVORIN 15MG ORAL - MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATE BETWEEN CODOX-M AND IVAC. MEDICAL ONCOLOGY 36500 36500 36500 36500 36500 36500 36500 36500
2815 CMU0976 A-III-i-f : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RICE (RITUXIMAB + IFOSFAMIDE + CARBOPLATIN + ETOPOSIDE) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 2; IFOSFAMIDE 5, 000MG/M2 AND MESNA 5, 000MG/M2 IV + CARBOPLATIN AUC 5 MG / MIN/ML (MAXIMUM 800MG) IV, DAY 1-3; ETOPOSIDE 100MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2816 CMU0976 A-III-i-g : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RIVAC (RITUXIMAB + IFOSFAMIDE + CYTARABINE + ETOPOSIDE) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES, DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY MEDICAL ONCOLOGY 37400 37400 37400 37400 37400 37400 37400 37400
2817 CMU0976 A-III-i-h : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - RGDP (RITUXIMAB + GEMCITABINE + DEXAMETHASONE + CISPLATIN) - DAY 1; RITUXIMAB 375MG/M2 IV, DAY 1 AND 8; GEMCITABINE 1, 000MG/M2 IV, DAY 1-3; CISPLATIN 25MG/M2 IV, DAY 1-4; DEXAMETHASONE 40MG IV. REPEAT CYCLE EVERY 3 WEEKS. MEDICAL ONCOLOGY 27500 27500 27500 27500 27500 27500 27500 27500
2818 CMU0976 A-III-ii : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - NON HODGKIN LYMPHOMA -- ADULT T-CELL LEUKEMIA / LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2819 CMU0976 A-III-i-i : NONHODGKINS LYMPHOMA - BURKITT LYMPHOMA - HDAC + RITUXIMAB - DAYS 1, 3, AND 5; HIGH-DOSE CYTARABINE 3G/M2 IV EVERY 12 HOURS, DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT FOR 4 CYCLES MEDICAL ONCOLOGY 23700 23700 23700 23700 23700 23700 23700 23700
2820 CMU0976 A-III-ii-a-1 : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - ZIDOVUDINE + ALPHA-INTERFERON (INDUCTION) - ZIDOVUDINE 1G ORALLY DAILY + ALPHA-INTERFERON 9 MILLION UNITS SC DAILY FOR 2 MONTHS, FOLLOWED BY MAINTENANCE THERAPY MEDICAL ONCOLOGY 4800 4800 4800 4800 4800 4800 4800 4800
2821 CMU0976 A-III-ii-a-2 : NON HODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - ZIDOVUDINE + ALPHA-INTERFERON (MAINTENANCE THERAPY) - ZIDOVUDINE 600MG ORALLY DAILY + ALPHA-INTERFERON 4.5 MILLION UNITS SC DAILY FOR 1 MONTH, REPEAT 12 MONTHS MEDICAL ONCOLOGY 2200 2200 2200 2200 2200 2200 2200 2200
2822 CMU0976 A-III-ii-b : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2823 CMU0976 A-III-ii-c : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - CHOEP - DAYS 1-4; ETOPOSIDE 50MG/M2/DAY CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2/DAY CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2/DAY CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY DAILY, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV OVER 15 MINUTES. REPEAT CYCLE EVERY 3 WEEKS FOR 6-8 CYCLES. MEDICAL ONCOLOGY 9100 9100 9100 9100 9100 9100 9100 9100
2824 CMU0976 A-III-ii-d : NONHODGKINS LYMPHOMA - ADULT T-CELL LEUKEMIA / LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) - DAYS 1-4 - ETOPOSIDE 50MG/M2/DAY CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2/DAY CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2/DAY CONTINUOUS IV INFUSION, DAYS 1-5- PREDNISONE 60MG/M2 ORAL DAILY, DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV OVER 15 MINUTES. REPEAT CYCLE EVERY 3 WEEKS FOR 6-8 CYCLES. ADJUST DOSES BASED ON ANC. MEDICAL ONCOLOGY 7300 7300 7300 7300 7300 7300 7300 7300
2825 CMU0976 A-III-iii : NONHODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2826 CMU0976 A-III-iii-a : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - DAYS 1-4; CYCLOPHOSPHAMIDE 187.5-200MG/M2 IV + DOXORUBICIN 12.5MG/M2 IV + ETOPOSIDE 60MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV JUST BEFORE CDE REGIMEN. REPEAT CYCLE EVERY 4 WEEKS FOR A MAXIMUM OF 6 CYCLES. MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
2827 CMU0976 A-III-iii-b-1 : NHL - DIFFUSE LARGE B CELL LYMPHOMA - CODOX-M ALTERNATED WITH IVAC (CODOX-M) CODOX-M (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE MTX ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYCLOPHOSPHAMIDE + DOXORUBICIN IV, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1, 3; CYTARABINE -IT, DAYS 1, 8-VINCRISTINE IV, DAY 10; MTX IV, DAY 11; LEUCOVORIN, DAY 13; G-CSF SC DAILY, DAY 15; MTX -IT, DAY 16; LEUCOVORIN ORAL, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 49100 49100 49100 49100 49100 49100 49100 49100
2828 CMU0976 A-III-iii-b-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CODOX-M ALTERNATED WITH IVAC (IVAC) CODOX-M/IVAC (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE METHOTREXATE ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY, DAY 6; LEUCOVORIN 15MG ORALLY 24 HOURS AFTER INTRATHECAL MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 45000 45000 45000 45000 45000 45000 45000 45000
2829 CMU0976 A-III-iii-c-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1&2) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2830 CMU0976 A-III-iii-c-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL, DAYS 1 AND 5; METHOTREXATE 12MG INTRATHECALLY. REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
2831 CMU0976 A-III-iii-d-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
2832 CMU0976 A-III-iii-d-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
2833 CMU0976 A-III-iii-d-3 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
2834 CMU0976 A-III-iii-d-4 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
2835 CMU0976 A-III-iii-e-1 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (R-CHOP) RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, +/- DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2836 CMU0976 A-III-iii-e-2 : NON HODGKINS LYMPHOMA - DIFFUSE LARGE B CELL LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2837 CMU0976 A-III-iv : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2838 CMU0976 A-III-iv-a : NONHODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - CDE (CYCLOPHOSPHAMIDE + DOXORUBICIN + ETOPOSIDE) + RITUXIMAB - DAYS 1-4; CYCLOPHOSPHAMIDE 187.5-200MG/M2 IV + DOXORUBICIN 12.5MG/M2 IV + ETOPOSIDE 60MG/M2 IV, DAY 1; RITUXIMAB 375MG/M2 IV JUST BEFORE CDE REGIMEN. REPEAT CYCLE EVERY 4 WEEKS FOR A MAXIMUM OF 6 CYCLES. MEDICAL ONCOLOGY 2600 2600 2600 2600 2600 2600 2600 2600
2839 CMU0976 A-III-iv-b-1 : NHL - AIDS-RELATED B-CELL LYMPHOMAS - CODOX-M ALTERNATED WITH IVAC (CODOX-M) (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE MTX ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYCLOPHOSPHAMIDE IV + DOXORUBICIN IV, DAYS 2-5; CYCLOPHOSPHAMIDE IV, DAYS 1 AND 3; CYTARABINE IT, DAYS 1 AND 8; VINCRISTINE IV, DAY 10; MTX IV OVER 1 HOUR, THEN IV INFUSION FOR 23 HOURS, DAY 11; LEUCOVORIN IV, FOLLOWED BY EVERY 6 HOURS, DAY 13; G-CSF SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, DAY 15; MTX IT, DAY 16; LEUCOVORIN 15MG ORAL, +/- DAY 1; RITUXIMAB IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 49100 49100 49100 49100 49100 49100 49100 49100
2840 CMU0976 A-III-iv-b-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CODOX-M ALTERNATED WITH IVAC (IVAC) CODOX-M/IVAC (MODIFIED) (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + HIGH-DOSE METHOTREXATE ALTERNATING WITH IFOSFAMIDE + ETOPOSIDE + HIGH-DOSE CYTARABINE) - DAY 1; CYTARABINE 2G/M2 IV EVERY 12 HOURS FOR 4 DOSES. DAYS 1-5; ETOPOSIDE 60MG/M2 IV + IFOSFAMIDE 1, 500MG/M2 IV, +MESNA 360MG/M2, DAY 5; METHOTREXATE 12MG INTRATHECALLY, DAY 6; LEUCOVORIN 15MG ORALLY 24 HOURS AFTER INTRATHECAL MTX, DAY 7; G-CSF 5uG/KG SC DAILY UNTIL ABSOLUTE GRANULOCYTE COUNT >/=1 X 109/L, +/- DAY 1; RITUXIMAB 375 MG/M2 IV. REPEAT FOR 4 CYCLES ALTERNATING BETWEEN CODOX-M AND IVAC REGIMENS. MEDICAL ONCOLOGY 45000 45000 45000 45000 45000 45000 45000 45000
2841 CMU0976 A-III-iv-c-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 1&2) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL MEDICAL ONCOLOGY 28100 28100 28100 28100 28100 28100 28100 28100
2842 CMU0976 A-III-iv-c-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - DOSE-ADJUSTED EPOCH (ETOPOSIDE + PREDNISONE + VINCRISTINE + CYCLOPHOSPHAMIDE + DOXORUBICIN) + INTRATHECAL MTX + RITUXIMAB (CYCLES 3-6) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1-4; ETOPOSIDE 50MG/M2 CONTINUOUS IV INFUSION + DOXORUBICIN 10MG/M2 CONTINUOUS IV INFUSION + VINCRISTINE 0.4MG/M2 CONTINUOUS IV INFUSION, DAYS 1-5; PREDNISONE 60MG/M2 ORALLY TWICE DAILY. DAY 5; CYCLOPHOSPHAMIDE 750MG/M2 IV, DAY 6; G-CSF 300uG ADMINISTERED UNTIL ANC >5, 000CELLS/uL DAYS 1 AND 5; METHOTREXATE 12MG INTRATHECALLY. REPEAT CYCLE EVERY 3 WEEKS FOR 6 CYCLES MEDICAL ONCOLOGY 27700 27700 27700 27700 27700 27700 27700 27700
2843 CMU0976 A-III-iv-d-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 1 AND 3) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY DAYS 1 AND 11 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 62400 62400 62400 62400 62400 62400 62400 62400
2844 CMU0976 A-III-iv-d-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 2 AND 4) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES DAYS 2 AND 8 - RITUXIMAB 375MG/M2 IV MEDICAL ONCOLOGY 65000 65000 65000 65000 65000 65000 65000 65000
2845 CMU0976 A-III-iv-d-3 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 5 & 7) - DAYS 1 - 3 - CYCLOPHOSPHAMIDE 300MG/M2 IV EVERY 12 HOURS FOR 6 DOSES + MESNA 600MG/M2 CONTINUOUS IV INFUSION DAYS 4 AND 11 - VINCRISTINE 2MG IV DAY 4 - DOXORUBICIN 50MG/M2 IV DAYS 1 - 4 AND DAYS 11 - 14 - DEXAMETHASONE 40MG IV DAILY MEDICAL ONCOLOGY 11500 11500 11500 11500 11500 11500 11500 11500
2846 CMU0976 A-III-iv-d-4 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - HYPERCVAD (CYCLOPHOSPHAMIDE + VINCRISTINE + DOXORUBICIN + DEXAMETHASONE ALTERNATING WITH HIGH-DOSE METHOTREXATE AND CYTARABINE) (CYCLES 6 & 8) - HIGH - DOSE MTX AND CYTARABINE DAY 1 - MTX 1G/M2 IV OVER 24 HOURS DAYS 2 AND 3 - CYTARABINE 3G/M2 IV EVERY 12 HOURS FOR 4 DOSES MEDICAL ONCOLOGY 13600 13600 13600 13600 13600 13600 13600 13600
2847 CMU0976 A-III-iv-e-1 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY, +/- DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2848 CMU0976 A-III-iv-e-2 : NON HODGKINS LYMPHOMA - AIDS-RELATED B-CELL LYMPHOMAS - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2849 CMU0976 A-III-v : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2850 CMU0976 A-III-v-a-1 : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2851 CMU0976 A-III-v-a-2 : NON HODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2852 CMU0976 A-III-v-b : NONHODGKINS LYMPHOMA - PRIMARY CUTANEOUS MARGINAL ZONE OR FOLLICLE CENTER LYMPHOMA - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2853 CMU0976 A-III-vi : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2854 CMU0976 A-III-vi-a-1 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - BENDAMUSTINE WITH OR WITHOUT RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 1 AND 2; BENDAMUSTINE 90MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 TO 8 CYCLES MEDICAL ONCOLOGY 31100 31100 31100 31100 31100 31100 31100 31100
2855 CMU0976 A-III-vi-a-2 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - BENDAMUSTINE (-) RITUXIMAB DAYS 1 AND 2; BENDAMUSTINE 90MG/M2 IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 TO 8 CYCLES MEDICAL ONCOLOGY 13100 13100 13100 13100 13100 13100 13100 13100
2856 CMU0976 A-III-vi-b-1 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) WITH OR WITHOUT RITUXIMAB - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 22800 22800 22800 22800 22800 22800 22800 22800
2857 CMU0976 A-III-vi-b-2 : NON HODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + DOXORUBICIN + VINCRISTINE + PREDNISONE (CHOP) - DAY 1; CYCLOPHOSPHAMIDE 750MG/M2 OVER 60 MINUTES + DOXORUBICIN 50MG/M2 IV PUSH + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES DAYS 1-5; PREDNISONE 100MG ORALLY DAILY. REPEAT CYCLE EVERY 3 WEEKS FOR 3-4 CYCLES WITH SUBSEQUENT RADIATION OR 6-8 CYCLES WITHOUT SUBSEQUENT RADIATION. MEDICAL ONCOLOGY 3000 3000 3000 3000 3000 3000 3000 3000
2858 CMU0976 A-III-vi-c : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - CYCLOPHOSPHAMIDE + VINCRISTINE + PREDNISONE + RITUXIMAB (RCVP) - DAY 1;RITUXIMAB 375MG/M2 IV, CYCLOPHOSPHAMIDE 750MG/M2 OR 1, 000MG/M2 OVER 60 MINUTES + VINCRISTINE 1.4MG/M2 (MAXIMUM 2MG) IV OVER 5-10 MINUTES, DAYS 1-5; PREDNISONE 40MG/M2 ORALLY DAILY, REPEAT CYCLE EVERY 3 WEEKS FOR 8 CYCLES MEDICAL ONCOLOGY 22000 22000 22000 22000 22000 22000 22000 22000
2859 CMU0976 A-III-vi-d : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - RITUXIMAB - DAY 1; RITUXIMAB 375MG/M2 IV. REPEAT EVERY 7 DAYS FOR 4 WEEKS MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2860 CMU0976 A-III-vi-e : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - LENALIDOMIDE + RITUXIMAB - DAYS 1-21; LENALIDOMIDE 25MG ORALLY DAILY, RITUXIMAB -APPLIED SEPARATELY ON DAYS 1, 8, 15, AND 22 AS AN ADDON MEDICAL ONCOLOGY 5800 5800 5800 5800 5800 5800 5800 5800
2861 CMU0976 A-III-vi-e1 : NONHODGKINS LYMPHOMA - FOLLICULAR LYMPHOMA (GRADE 1-2) - LENALIDOMIDE + RITUXIMAB - DAYS 1-21; LENALIDOMIDE 25MG ORALLY DAILY, RITUXIMAB -APPLIED SEPARATELY ON DAYS 1, 8, 15, AND 22 AS AN ADDON MEDICAL ONCOLOGY 21700 21700 21700 21700 21700 21700 21700 21700
2862 CMU0976 A-III-vii : NONHODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2863 CMU0976 A-III-vii-a : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - SMILE - DAY 1; METHOTREXATE 2G/M2 IV, DAYS 2-4; DEXAMETHASONE 40MG IV OR ORALLY + LEUCOVORIN 15MG × 4 DOSES/DAY IV OR ORALLY + IFOSFAMIDE 1500MG/M2 IV + ETOPOSIDE 100MG/M2 IV, DAYS 8, 10, 12, 14, 16, 18, AND 20; L-ASPARAGINASE 6000U/M2 IV. REPEAT EVERY 21 DAYS FOR 3 CYCLES. MEDICAL ONCOLOGY 28900 28900 28900 28900 28900 28900 28900 28900
2864 CMU0976 A-III-vii-b : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - DEVIC +RT - DAY 1; CARBOPLATIN 300MG/M2, DAYS 1-3; DEXAMETHASONE 40MG IV + ETOPOSIDE 100MG/M2 IV + IFOSFAMIDE 1.5MG/M2. REPEAT CHEMOTHERAPY EVERY 3 WEEKS FOR 3 CYCLES. RADIATION 50GY AND 3 COURSES OF DEVIC MEDICAL ONCOLOGY 9600 9600 9600 9600 9600 9600 9600 9600
2865 CMU0976 A-III-vii-c : NON HODGKINS LYMPHOMA - EXTRANODAL NK/T-CELL LYMPHOMA - VIPID - DAYS 1-3; ETOPOSIDE 100MG/M2 IV OVER 90 MINUTES + IFOSFAMIDE 1200MG/M2 IV OVER 1 HOUR + CISPLATIN 33MG/M2 IV OVER 1 HOUR + DEXAMETHASONE 40MG ORALLY OR IV. REPEAT CHEMOTHERAPY EVERY 3 WEEKS FOR 3 CYCLES MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
2866 CMU0976 A-II-j : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - CHLORAMBUCIL - DAYS 1-7; CHLORAMBUCIL 0.1MG/KG ORALLY DAILY OR 0.3MG/KG ORALLY DAILY. REPEAT EVERY 6 WEEKS. MEDICAL ONCOLOGY 1100 1100 1100 1100 1100 1100 1100 1100
2867 CMU0976 A-II-k : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - FLUDARABINE - DAYS 1-5; FLUDARABINE 25MG/M2 IV DAILY. REPEAT EVERY 4 WEEKS FOR 5-6 CYCLES MEDICAL ONCOLOGY 12700 12700 12700 12700 12700 12700 12700 12700
2868 CMU0976 A-II-l : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - FLUDARABINE + CYCLOPHOSPHAMIDE + RITUXIMAB (FCR) - DAY 1; RITUXIMAB 375MG/M2 IV, DAYS 2-4; FLUDARABINE 25MG/M2/DAY IV +CYCLOPHOSPHAMIDE 250MG/M2/DAY IV. REPEAT CYCLE EVERY 28 DAYS FOR 6 CYCLES WITH MEDICAL ONCOLOGY 27600 27600 27600 27600 27600 27600 27600 27600
2869 CMU0976 A-II-m : WALDENSTROM S MACROGLOBULINEMIA/ LYMPHOPLASMACYTIC LYMPHOMA - ALEMTUZUMAB - ALEMTUZUMAB DOSES GRADUALLY ESCALATED OVER 1 WEEK (3, 10, AND 30 MG), FOLLOWED BY 36 ADDITIONAL TREATMENT-PHASE INFUSIONS AT 30-MG IV 3 TIMES WEEKLY FOR 12 WEEKS. MEDICAL ONCOLOGY 2800 2800 2800 2800 2800 2800 2800 2800
2870 CMU0977 : MYELODYSPLASTIC SYNDROMES TREATMENT REGIMENS MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2871 CMU0977 -i : SYMPTOMATICANEMIA WITH DEL(5Q) WITH OR WITHOUT OTHER CYTOGENETIC ABNORMALITIES MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2872 CMU0977 -i-a : SYMPTOMATIC ANEMIA WITH DEL(5Q) WITH OR WITHOUT OTHER CYTOGENETIC ABNORMALITIES - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
2873 CMU0977 -ii : SYMPTOMATICANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2874 CMU0977 -ii-a-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - RHU-EPO WITH OR WITHOUT G-CSF MEDICAL ONCOLOGY 26300 26300 26300 26300 26300 26300 26300 26300
2875 CMU0977 -ii-a-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - RHU-EPO (-) G-CSF MEDICAL ONCOLOGY 26000 26000 26000 26000 26000 26000 26000 26000
2876 CMU0977 -ii-b-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - DARBEPOETIN ALFA WITH OR WITHOUT G-CSF MEDICAL ONCOLOGY 9800 9800 9800 9800 9800 9800 9800 9800
2877 CMU0977 -ii-b-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q) AND SERUM ERYTHROPOIETIN =500MU/ML - DARBEPOETIN ALFA (-) G-CSF MEDICAL ONCOLOGY 9500 9500 9500 9500 9500 9500 9500 9500
2878 CMU0977 -iii : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2879 CMU0977 -iii-a-1 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - DECITABINE (15MG/M2) MEDICAL ONCOLOGY 16300 16300 16300 16300 16300 16300 16300 16300
2880 CMU0977 -iii-a-2 : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - DECITABINE (20MG/M2) MEDICAL ONCOLOGY 17300 17300 17300 17300 17300 17300 17300 17300
2881 CMU0977 -iii-b : SYMPTOMATIC ANEMIA WITHOUT DEL(5Q), SERUM ERYTHROPOIETIN >500MU/ML, UNLIKELY TO RESPOND TO IST - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
2882 CMU0978 : MULTIPLE MYELOMA MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2883 CMU0978 -a : MULTIPLE MYELOMA - LENALIDOMIDE (28 DAYS) + DEXAMETHASONE MEDICAL ONCOLOGY 7000 7000 7000 7000 7000 7000 7000 7000
2884 CMU0978 -b : MULTIPLE MYELOMA - LENALIDOMIDE (21 DAYS) + DEXAMETHASONE MEDICAL ONCOLOGY 5300 5300 5300 5300 5300 5300 5300 5300
2885 CMU0978 -c : MULTIPLE MYELOMA - LENALIDOMIDE MEDICAL ONCOLOGY 2700 2700 2700 2700 2700 2700 2700 2700
2886 CMU0978 -d : MULTIPLE MYELOMA - BENDAMUSTINE + LENALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 14300 14300 14300 14300 14300 14300 14300 14300
2887 CMU0978 -e : MULTIPLE MYELOMA - BENDAMUSTINE MEDICAL ONCOLOGY 23100 23100 23100 23100 23100 23100 23100 23100
2888 CMU0978 -f : MULTIPLE MYELOMA - CYCLOPHOSPHAMIDE + LENALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
2889 CMU0978 -g : MULTIPLE MYELOMA - DEXAMETHASONE + CYCLOPHOSPHAMIDE + ETOPOSIDE + CISPLATIN (DCEP) MEDICAL ONCOLOGY 6000 6000 6000 6000 6000 6000 6000 6000
2890 CMU0978 -h : MULTIPLE MYELOMA - DEXAMETHASONE + THALIDOMIDE + CISPLATIN + DOXORUBICIN + CYCLOPHOSPHAMIDE + ETOPOSIDE (DT-PACE) MEDICAL ONCOLOGY 8100 8100 8100 8100 8100 8100 8100 8100
2891 CMU0978 -i : MULTIPLE MYELOMA - HIGH-DOSE CYCLOPHOSPHAMIDE MEDICAL ONCOLOGY 5400 5400 5400 5400 5400 5400 5400 5400
2892 CMU0978 -j : MULTIPLE MYELOMA - VAD / VAMP MEDICAL ONCOLOGY 6400 6400 6400 6400 6400 6400 6400 6400
2893 CMU0978 -k : MULTIPLE MYELOMA - MELPHALAN MEDICAL ONCOLOGY 4100 4100 4100 4100 4100 4100 4100 4100
2894 CMU0978 -l : MULTIPLE MYELOMA - MELPHALAN + PREDNISOLONE MEDICAL ONCOLOGY 1200 1200 1200 1200 1200 1200 1200 1200
2895 CMU0978 -m : MULTIPLE MYELOMA - THALIDOMIDE + DEXAMETHASONE MEDICAL ONCOLOGY 2500 2500 2500 2500 2500 2500 2500 2500
2896 CMU0978 -n : MULTIPLE MYELOMA - MELPHALAN / PREDNISOLONE/THALIDOMIDE(MPT) MEDICAL ONCOLOGY 2400 2400 2400 2400 2400 2400 2400 2400
2897 CMU0978 -O : MULTIPLE MYELOMA - ZOLEDRONIC ACID MEDICAL ONCOLOGY 2900 2900 2900 2900 2900 2900 2900 2900
2898 CMU0979 : ALL LYMPHOMA SALVAGE CHEMO (PACKAGE 953 TO BE UTILISED) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2899 CMU0980 : CHILDHOOD B CELL LYMPHOMA VARIABLE REGIMEN (PACKAGE 953 TO BE UTILISED) MEDICAL ONCOLOGY 0 0 0 0 0 0 0 0
2900 CMU0981 : BUDD CHIARI SYNDROME HEPATOLOGY 18200 16400 14750 13250 11950 10750 18200 13250
2901 CMU0982 : CYSTIC FIBROSIS GENERAL MEDICINE 38400 34550 31100 28000 25200 22650 38400 28000
2902 CMU0983 : SEPTIC SHOCK (ICU MANAGEMENT) GENERAL MEDICINE 45200 40700 36600 32950 29650 26700 45200 32950
2903 CMU0984 -I : WILSON S DISEASE GENERAL MEDICINE 18100 16300 14650 13200 11900 10700 18100 13200
2904 CMU0984 -II : WILSON S DISEASE HEPATOLOGY 18100 16300 14650 13200 11900 10700 18100 13200
2905 CMU0985 -I : NEPHROTIC SYNDROME GENERAL MEDICINE 17700 15950 14350 12900 11600 10450 17700 12900
2906 CMU0985 -II : NEPHROTIC SYNDROME NEPHROLOGY 17700 15950 14350 12900 11600 10450 17700 12900
2907 CMU0986 -I : NEPHROTIC SYNDROME WITH COMPLICATIONS GENERAL MEDICINE 27300 24550 22100 19900 17900 16100 27300 19900
2908 CMU0986 -II : NEPHROTIC SYNDROME WITH COMPLICATIONS NEPHROLOGY 27300 24550 22100 19900 17900 16100 27300 19900
2909 CMU0987 -I : ACUTE DISSEMINATED ENCEPHALOMYELITIS GENERAL MEDICINE 58300 52450 47200 42500 38250 34450 58300 42500
2910 CMU0987 -II : ACUTE DISSEMINATED ENCEPHALOMYELITIS RHEUMATOLOGY 58300 52450 47200 42500 38250 34450 58300 42500
2911 CMU0988 : MULTIPLE SCLEROSIS (INCLUDING RELAPSE) RHEUMATOLOGY 17500 15750 14200 12750 11500 10350 17500 12750
2912 CMU0989 A : PLEURAL BIOPSY OPEN CARDIOTHORACIC SURGERIES 23800 21400 19300 17350 15600 14050 23800 17350
2913 CMU0989 B : PLEURAL BIOPSY VATS CARDIOTHORACIC SURGERIES 31300 28150 25350 22800 20550 18500 31300 22800
2914 CMU0990 -I : TOXIC/DRUG INDUCED LIVER INJURY GENERAL MEDICINE 28200 25400 22850 20550 18500 16650 28200 20550
2915 CMU0990 -II : TOXIC/DRUG INCLUDED LIVER INJURY HEPATOLOGY 28200 25400 22850 20550 18500 16650 28200 20550
2916 CMU0991 : MALIGNANT ASCITES GENERAL MEDICINE 5900 5300 4800 4300 3850 3500 5900 4300
2917 CMU0992 : SACROSPINOUS FIXATION (VAGINAL ROUTE) PLASTIC SURGERY 23100 20800 18700 16850 15150 13650 23100 16850
2918 CMU0993 : SLEEVE RESECTION CA EAR SURGICAL ONCOLOGY 20500 18450 16600 14950 13450 12100 20500 14950
2919 CMU0994 : SLEEVE RESECTION CA LUNG SURGICAL ONCOLOGY 25400 22850 20550 18500 16650 15000 25400 18500
2920 CMU0995 : TOXIC EPIDERMAL NECROLYSIS DERMATOLOGY 33000 29700 26750 24050 21650 19500 33000 24050
2921 CMU0996 : ENDOSCOPIC PARATHYROIDECTOMY GENERAL SURGERY 33000 29700 26750 24050 21650 19500 33000 24050
2922 CMU0997 -I : IVC FILTER REMOVAL INTERVENTIONAL RADIOLOGY 43000 38700 34850 31350 28200 25400 43000 31350
2923 CMU0997 -II : IVC FILTER REMOVAL VASCULAR SURGERIES 43000 38700 34850 31350 28200 25400 43000 31350
2924 CMU0998 A : IJV CATHETER INSERTION WITHOUT DIALYSIS NEPHROLOGY 10000 9000 8100 7300 6550 5900 10000 7300
2925 CMU0998 B : IJV CATHETER INSERTION - INCLUDING DIALYSIS NEPHROLOGY 13000 11700 10550 9500 8550 7700 13000 9500
2926 CMU0999 A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 16600 14950 13450 12100 10900 9800 16600 12100
2927 CMU0999 B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) SPINE 10300 9250 8350 7500 6750 6100 10300 7500
2928 CMU1000 -I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS GASTROENTEROLOGY 92000 82800 74500 67050 60350 54350 92000 67050
2929 CMU1000 -II : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS INTERVENTIONAL RADIOLOGY 92000 82800 74500 67050 60350 54350 92000 67050
2930 CMU1001 -I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) GASTROENTEROLOGY 175000 157500 141750 127600 114800 103350 175000 127600
2931 CMU1001 -II : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) INTERVENTIONAL RADIOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
2932 CMU1002 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE PLASTIC SURGERY 12000 10800 9700 8750 7850 7100 12000 8750
2933 CMU1003 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT ( WITH POLICE OFFICIAL SIGNED AR COPY ) GENERAL MEDICINE 18900 17000 15300 13800 12400 11150 18900 13800
2934 CMU1004 : MAXILLECTOMY WITH ORBITAL EXENTERATION SURGICAL ONCOLOGY 36100 32500 29250 26300 23700 21300 36100 26300
2935 CMU1005 : MAXILLECTOMY WITH SKULL BASE RESECTION SURGICAL ONCOLOGY 39700 35750 32150 28950 26050 23450 39700 28950
2936 CMU1006 : CRANIOFACIAL RESECTION PLASTIC SURGERY 56400 50750 45700 41100 37000 33300 56400 41100
2937 CMU1007 : ACUTE SEVERE ASTHMA WITH VENTILATION GENERAL MEDICINE 53800 48400 43600 39200 35300 31750 53800 39200
2938 CMU1008 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION GENERAL MEDICINE 33100 29800 26800 24150 21700 19550 33100 24150
2939 CMU1009 A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (HEPARINISATION) GENERAL MEDICINE 21000 18900 17000 15300 13800 12400 21000 15300
2940 CMU1009 B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) GENERAL MEDICINE 26300 23650 21300 19150 17250 15550 26300 19150
2941 CMU1009 C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (RTPA) GENERAL MEDICINE 78800 70900 63850 57450 51700 46550 78800 57450
2942 CMU1010 : HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY MEDICAL ONCOLOGY 100000 100000 100000 100000 100000 100000 100000 100000
2943 CMU1011 : HYPERTHERMIC INTRAPERITONEAL CATHETER INSERTION MEDICAL ONCOLOGY 10000 10000 10000 10000 10000 10000 10000 10000
2944 CMU1012 : BLOOD AND BLOOD PRODUCT TRANSFUSION (RDP, SDP, PLATELET APHERESIS) GENERAL MEDICINE 13000 11700 10550 9500 8550 7700 13000 9500
2945 CMU1013 : CUSTOM MEGA PROSTHESIS FOR TUMOUR /TRAUMA SURGICAL ONCOLOGY 75000 67500 60750 54700 49200 44300 75000 54700
2946 CMU1014 : REVISION AMPUTATION ORTHOPEDICS 35000 31500 28350 25500 22950 20650 35000 25500
2947 CMU1015 : BALLOON KYPHOPLASTY SPINE 90000 81000 72900 65600 59050 53150 90000 65600
2948 CMU1016 : AUTO IMMUNE HEMOLYTIC ANEMIA-FIRST LINE TREATMENT HEMATOLOGY 30000 27000 24300 21850 19700 17700 30000 21850
2949 CMU1017 : AUTO IMMUNE HEMOLYTIC ANEMIA-SECOND LINE TREATMENT HEMATOLOGY 175000 157500 141750 127600 114800 103350 175000 127600
2950 CMU1018 : CHEMOPORT - DEVICE WITH ACESSORIES AND MAINTENCE MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
2951 CMU1019 - I : PICC LINE - DEVICE WITH ACESSORIES AND MAINTENCE INTERVENTIONAL RADIOLOGY 20000 18000 16200 14600 13100 11800 20000 14600
2952 CMU1019 : PICC LINE - DEVICE WITH ACESSORIES AND MAINTENCE GENERAL MEDICINE 20000 18000 16200 14600 13100 11800 20000 14600
2953 CMU1019 -II : PICC LINE - DEVICE WITH ACESSORIES AND MAINTENCE GENERAL MEDICINE 20000 18000 16200 14600 13100 11800 20000 14600
2954 CMU1020 : HEMATOLOGICAL AND ONCOLOGICAL EMERGENCIES ( SUPERIOR MEDIASTINAL SYNDROME, SUPERIOR VENA CAVA SYNDROME, HYPER LEUCOCYTOSIS, HYPERVISCOSITY DUE TO DYSPROTEINEMIA, VASO-OCCLUSIVE CRISIS) MEDICAL ONCOLOGY 30000 30000 30000 30000 30000 30000 30000 30000
2955 CMU1021 : TUMOURLYSIS SYNDROME ( DRUGS AND MANAGEMENT WITHOUT DIALYSIS) MEDICAL ONCOLOGY 20000 20000 20000 20000 20000 20000 20000 20000
2956 CMU1022 : RADICAL NEPHRECTOMY WITH IVC THROMBECTOMY GENITOURINARY SURGERY 60000 54000 48600 43750 39350 35450 60000 43750
2957 CMU1023 : ATTEMPTED HANGING REQUIRING VENTILATORY SUPPORT GENERAL MEDICINE 40000 36000 32400 29150 26250 23600 40000 29150
2958 CMU1024 : OSTEOGENISIS IMPERFECTA - DENOSUMAB PAEDIATRICS 30000 27000 24300 21850 19700 17700 30000 21850
2959 CMU1025 : PLASMAPHERESIS PER SESSION GENERAL MEDICINE 10000 9000 8100 7300 6550 5900 10000 7300
2960 CMU1026 : BLUNT INJURY ABDOMEN LIVER /SPLEEN INJURY-OPERATIVE GENERAL MEDICINE 50000 45000 40500 36450 32800 29500 50000 36450
2961 CMU1027 : CERVICAL/INGUINAL/AXILLARY LYMPH NODE BIOPSY GENERAL SURGERY 15000 13500 12150 10950 9850 8850 15000 10950
2962 CMU1028 : INTRATHECAL CHEMOTHERAPY MEDICAL ONCOLOGY 5000 5000 5000 5000 5000 5000 5000 5000
2963 CMU1029 : GROWTH ROD DISTRACTION PAEDIATRIC SURGERIES 25000 22500 20250 18250 16400 14750 25000 18250
2964 CMU1030 : PEDIATRIC GROWTH ROD APPLICATION PAEDIATRIC SURGERIES 70000 63000 56700 51050 45950 41350 70000 51050
2965 CMU1031 : GENDER AFFIRMATION SURGICAL PROCEDURES PLASTIC SURGERY 100000 90000 81000 72900 65600 59050 100000 72900
2966 CMU1032 : RELAPROTOMY/RE-EXPLORATION FOR COMPLICATIONS GENERAL SURGERY 60000 54000 48600 43750 39350 35450 60000 43750
2967 CMU1033 : HEARING DISABILITIES - REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2968 CMU1034 : MUSCULAR DYSTROPHY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2969 CMU1035 : INTELLECTUAL DISABILITY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2970 CMU1036 : SPECIFIC LEARNING DISABILITY- REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2971 CMU1037 : MULTIPLE DISABILITY-REHAB REHABILITATION 7000 7000 7000 7000 7000 7000 7000 7000
2972 CMU1038 : COMPREHENSIVE REHABILITATION OF STROKE CP, PARAPLEGIA, TRAUMATIC BRAIN INJURY (INCLUDING INTRAMUSCULAR BOTULINUM TOXIN INJECTION) WITH / WITHOUT ORTHOSIS FOR 3 TO 12 WEEKS REHABILITATION 71300 71300 71300 71300 71300 71300 71300 71300
2973 CMU1038Ai : COMPREHENSIVE REHABILITATION OF STROKE-3 WEEKS (FOR ACUTE STROKE) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2974 CMU1038Aii : COMPREHENSIVE REHABILITATION OF TRAUMATIC BRAIN INJURY-3 WEEKS (ACUTE) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2975 CMU1038B : COMPREHENSIVE REHABILITATION OF TRAUMATIC BRAIN INJURY-6 WEEKS (ACUTE) REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2976 CMU1038Ci : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -3 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2977 CMU1038Cii : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -6 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2978 CMU1038Ciii : COMPREHENSIVE REHABILITATION OF PARAPLEGIA / QUADRIPLEGIA -12 WEEKS (FRESH INJURIES, REPEAT EVERY 5 YEARS) REHABILITATION 21000 21000 21000 21000 21000 21000 21000 21000
2979 CMU1038Di : COMPREHENSIVE REHABILITATION OF CEREBRAL PALSY-3 WEEKS REHABILITATION 5250 5250 5250 5250 5250 5250 5250 5250
2980 CMU1038Dii : COMPREHENSIVE REHABILITATION OF CEREBRAL PALSY-6 WEEKS REHABILITATION 10500 10500 10500 10500 10500 10500 10500 10500
2981 CMU1038E : INTRAMUSCULAR INJECTION OF BOTULINUM TOXIN TO SPASTIC MUSCLES UNDER MSK ULTRASOUND GUIDANCE FOR CP, PARAPLEGIA, STROKE, TRAUMATIC BRAIN INJURY REHABILITATION 7500 7500 7500 7500 7500 7500 7500 7500
2982 CMU1038Fi : BILATERAL HKAFO WITH SPINAL SUPPORT ORTHOSIS REHABILITATION 48000 48000 48000 48000 48000 48000 48000 48000
2983 CMU1038Fii : BILATERAL HKAFO ORTHOSIS REHABILITATION 35000 35000 35000 35000 35000 35000 35000 35000
2984 CMU1038Fiii : BILATERAL KAFO ORTHOSIS REHABILITATION 25000 25000 25000 25000 25000 25000 25000 25000
2985 CMU1038Fiv : BILATERAL AFO ORTHOSIS REHABILITATION 4000 4000 4000 4000 4000 4000 4000 4000
2986 CMU1038Fv : BILATERAL POSTERIOR TUBE SPLINT WITH FOOT SUPPORT REHABILITATION 6500 6500 6500 6500 6500 6500 6500 6500
2987 CMU1038Fvi : BILATERAL FRO REHABILITATION 6500 6500 6500 6500 6500 6500 6500 6500
2988 CMU1103 : Thermal burns - % Total Body Surface Area Burns (TBSA) - less than 20% in adults and less than 10% in children younger than 12 years. Dressing without anesthesia PLASTIC SURGERY 0 0 0 0 0 0 0 0
2989 CMU1104 : Scald burns - % Total Body Surface Area Burns (TBSA) - 60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. PLASTIC SURGERY 80000 72000 64800 58320 52490 47240 80000 58320
2990 CMU1105 : Flame burns - % Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing PLASTIC SURGERY 0 0 0 0 0 0 0 0
2991 CMU1106 : Electrical contact burns - Low voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings Amputation etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. PLASTIC SURGERY 40000 36000 32400 29160 26240 23620 40000 29160
2992 CMU1107 : Electrical contact burns - High voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover,fasciotomy +/- /amputation/Central IV Line/debridement/early skin grafting pedicle or free flap coverage,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. PLASTIC SURGERY 60000 54000 48600 43740 39370 35430 60000 43740
2993 CMU1108 : Electrical contact burns - High voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, fasciotomy +/- /debridement/early skin grafting/flap cover - pedicle or free flap coverage,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. PLASTIC SURGERY 50000 45000 40500 36450 32810 29520 50000 36450
2994 CMU1109 : Chemical burns - Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.(Similar to therma burns require more grafting, debridement,(skin grafing/canthopexy) PLASTIC SURGERY 40000 36000 32400 29160 26240 23620 40000 29160
2995 CMU1110 : Chemical burns - With significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover,debridement,skin grafting,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. PLASTIC SURGERY 60000 54000 48600 43740 39370 35430 60000 43740
2996 CMU1111 : Cardiopulmonary emergency - Emergency with stable cardiopulmonary status GENERAL MEDICINE 0 0 0 0 0 0 0 0
2997 CMU1112 : Cardiopulmonary emergency - Emergency with unstable cardiopulmonary status with resuccitation GENERAL MEDICINE 0 0 0 0 0 0 0 0
2998 CMU1113 : Animal bites (Excluding Snake Bite) - Animal bites (Excluding Snake Bite) GENERAL MEDICINE 0 0 0 0 0 0 0 0
2999 CMU1114 : Diskography INTERVENTIONAL RADIOLOGY 0 0 0 0 0 0 0 0
3000 CMU1115 : Recombinant tissue plasminogen activator for Pulmonary thromboembolism and Peripheral Arterial Thrombosis GENERAL MEDICINE 42000 42000 42000 42000 42000 42000 42000 42000
3001 CMU1116 : Liposomal amphotericin GENERAL MEDICINE 0 0 0 0 0 0 0 0
3002 CMU1117 : Rituximab for Juvinile Rheumatoid Arthritis & ITP & Pemphigus Vulgaris (Rituximab - 500mg /50ml ( Price per 500mg/50ml box) 2 doses initially on Day 0 and Day 15, then every 6 months for Rheumatoid Arthritis) DERMATOLOGY 7500 7500 7500 7500 7500 7500 7500 7500
3003 CMU1118 : Human Albumin 20% GENERAL MEDICINE 0 0 0 0 0 0 0 0
3004 CMU1119 : Albumin 5% - 250-500ml GENERAL MEDICINE 0 0 0 0 0 0 0 0
3005 CMU1120 : Amphotericin deoxycholate GENERAL MEDICINE 0 0 0 0 0 0 0 0
3006 CMU1121 : USG guided percutaneous Microwave Ablation (MWA) INTERVENTIONAL RADIOLOGY 120640 120640 120640 120640 120640 120640 120640 120640
3007 CMU1122 : CT guided percutaneous Microwave Ablation (MWA) INTERVENTIONAL RADIOLOGY 123040 123040 123040 123040 123040 123040 123040 123040
3008 CMU1123 : Treatment of COVID-19 Infection INFECTIOUS DISEASES - GENERAL MEDICINE 0 0 0 0 0 0 0 0
3009 CMU1124 : Treatment of systemic fungal infections INFECTIOUS DISEASES - GENERAL MEDICINE 0 0 0 0 0 0 0 0
3010 CMU1125 : Intracranial thrombolysis / clot retrieval INTERVENTIONAL RADIOLOGY 160000 160000 160000 160000 160000 160000 160000 160000
3011 CMU1126 : Balloon test occlusion INTERVENTIONAL RADIOLOGY 70000 70000 70000 70000 70000 70000 70000 70000
3012 CMU1127 : Parent vessel occlusion - Basic INTERVENTIONAL RADIOLOGY 42600 42600 42600 42600 42600 42600 42600 42600
3013 CMU1128 : Percutaneous cholangioplasty INTERVENTIONAL RADIOLOGY 25300 25300 25300 25300 25300 25300 25300 25300
3014 CMU1129 : Hepatic venous wedge pressure measurement (HVPG) INTERVENTIONAL RADIOLOGY 17400 0 0 0 0 0 0 0
3015 CMU1130 : Tunelled longterm indwelling catheter for refractory ascites/pleural effusion INTERVENTIONAL RADIOLOGY 46700 0 0 0 0 0 0 0
3016 CMU1131 : Primary percutaneous antegrade uretric stenting (payable with stent invoice- silicon stent) INTERVENTIONAL RADIOLOGY 29100 29100 29100 29100 29100 29100 29100 29100
3017 CMU1132 : Lymphatic occlusion of chylous leak (Microcatheter, Lipodol and Coil) INTERVENTIONAL RADIOLOGY 66900 66900 66900 66900 66900 66900 66900 66900
3018 CMU1133-A : PVA particle embolization (without microcatheter - 2 PVA (payable as per utilisation and invoice)) INTERVENTIONAL RADIOLOGY 29000 29000 29000 29000 29000 29000 29000 29000
3019 CMU1133-B : PVA embolization (with microcatheter- 4 PVA (payable as per utilisation and invoice)) INTERVENTIONAL RADIOLOGY 84200 84200 84200 84200 84200 84200 84200 84200
3020 CMU1134-A : Glue embolization (without microcatheter, Lipidol+Coils(2)) INTERVENTIONAL RADIOLOGY 60500 60500 60500 60500 60500 60500 60500 60500
3021 CMU1134-B : Glue embolization (with microcatheter, Lipidol, Coils) INTERVENTIONAL RADIOLOGY 90900 90900 90900 90900 90900 90900 90900 90900
3022 CMU1135-A : Gelfoam embolization (without microcatheter) INTERVENTIONAL RADIOLOGY 14600 14600 14600 14600 14600 14600 14600 14600
3023 CMU1135-B : Gelfoam embolization (with microcatheter) INTERVENTIONAL RADIOLOGY 52400 52400 52400 52400 52400 52400 52400 52400
3024 CMU1136-A : Coil embolization (without microcatheter max 3 coils payable as per invoice) INTERVENTIONAL RADIOLOGY 41700 41700 41700 41700 41700 41700 41700 41700
3025 CMU1136-B : Coil embolization (with microcatheter max 3 coils payable as per invoice) INTERVENTIONAL RADIOLOGY 78700 78700 78700 78700 78700 78700 78700 78700
3026 CMU1137 : Alcohol embolisation INTERVENTIONAL RADIOLOGY 54300 54300 54300 54300 54300 54300 54300 54300
3027 CMU1138 : Vascular plug assisted embolization INTERVENTIONAL RADIOLOGY 106900 106900 106900 106900 106900 106900 106900 106900
3028 CMU1139-A : Angioplasty (arterial) (Balloon) INTERVENTIONAL RADIOLOGY 50600 50600 50600 50600 50600 50600 50600 50600
3029 CMU1139-B : Angioplasty (arterial) using microguidewire and guiding catheter (Balloon + Metalic Stent) INTERVENTIONAL RADIOLOGY 102500 102500 102500 102500 102500 102500 102500 102500
3030 CMU1139-C : Angioplasty and bare metal stenting (arterial) (Balloon + Metalic Stent) INTERVENTIONAL RADIOLOGY 95000 95000 95000 95000 95000 95000 95000 95000
3031 CMU1139-D : Angioplasty (arterial) - Angioplasty and bare metal stenting (arterial) CTO lesion (Balloon + Metalic Stent) INTERVENTIONAL RADIOLOGY 133300 133300 133300 133300 133300 133300 133300 133300
3032 CMU1139-E : Angioplasty (arterial) - Angioplasty and covered stent placement (arterial) (Balloon + Covered Stent) INTERVENTIONAL RADIOLOGY 176000 176000 176000 176000 176000 176000 176000 176000
3033 CMU1140 : Angioplasty (arterial) - Catheter directed thrombolysis (arterial/venous) (multiside hole thrombolysis catheter, r TPA, balloon) INTERVENTIONAL RADIOLOGY 101700 101700 101700 101700 101700 101700 101700 101700
3034 CMU1141 : Thrombectomy followed by thrombolysis (arterial/venous) (multiside hole thrombolysis catheter, r TPA, Thrombectomy Catheter) INTERVENTIONAL RADIOLOGY 190000 190000 190000 190000 190000 190000 190000 190000
3035 CMU1142-A : Angioplasty (venous) INTERVENTIONAL RADIOLOGY 38400 38400 38400 38400 38400 38400 38400 38400
3036 CMU1142-B : Angioplasty and bare metal stenting (venous) (Balloon+High Pressure large Balloon+metallic stent) INTERVENTIONAL RADIOLOGY 116000 116000 116000 116000 116000 116000 116000 116000
3037 CMU1142-C : Angioplasty (venous) - Angioplasty (IVC/central vein) with high pressure balloon INTERVENTIONAL RADIOLOGY 85000 85000 85000 85000 85000 85000 85000 85000
3038 CMU1142-D : Angioplasty and covered stent placement (venous) (High Pressure large Ballon+Covered stent) INTERVENTIONAL RADIOLOGY 170200 170200 170200 170200 170200 170200 170200 170200
3039 CMU1143 : Angioplasty (complex): cutting balloon/drug coated balloon - Angioplasty (complex): cutting balloon/drug coated balloon INTERVENTIONAL RADIOLOGY 117500 117500 117500 117500 117500 117500 117500 117500