1
ESIC-35 Laparoscopic Recanalisation 14000.00
ESIC-36 Laparoscopic Adhesolysis 17500.00
ORTHOPEDIC SURGERY AND PROCEDURES
Fracture Correction Surgeries/Procedures
ESIC-37 Ilizarov Ring Fixator Application 28000.00
ESIC-38 Ctev Neglected . Jess Fixator 21000.00
Bone and Joint Surgery/Procedures
ESIC-39 Arthroscopy . Operative Meniscectomy 17500.00
ESIC-40 Arthroscopy - Acl Repair 21000.00
Avascular Necrosis Of Femoral Head (Core
ESIC-41 Decompression) 10500.00
Soft Tissue Reconstruction Procedures For
ESIC-42 Joints/Osteotomy 21000.00
Spine Surgery
ESIC-43 Costo Transversectomy 21000.00
ESIC-44 Spinal Ostectomy And Internal Fixations 28000.00
ESIC-45 Neurolysis/Nerve Suture 17500.00
TUMOR SURGERY
Excision Of Bone Tumours . Deep With Re-
ESIC-46 Construction With Conventional Prosthesis 28000.00
SURGICAL GASTRO ENTEROLOGY
Emergency
ESIC-47 Surgery For Bleeding Ulcers 28000.00
ESIC-48 Surgery For Obscure Gi Bleed 42000.00
Hernia
ESIC-49 Diaphragmatic Hernia (Gortex Mesh Repair) 28000.00
PANCREATIC SURGERIES
ESIC-50 Distal Pancreatectomy 70000.00
ESIC-51 Enucleation Of Cyst 52500.00
ESIC-52 Whipples Any Type 52500.00
ESIC-53 Triple Bypass 17500.00
ESIC-54 Other Bypasses 17500.00
Oesophagus
ESIC-55 Colonic Pull Up 21000.00
ESIC-56 Lap Heller.S Myotomy 21000.00
ESIC-57 Lap Fundoplications 31500.00
Stomach
ESIC-58 Distal Gastrectomy For Gastric Outlet Obstruction 28000.00
ESIC-59 Surgery For Corrosive Injury Stomach 35000.00
Small Intestine
ESIC-60 Lap Adhesiolysis 28000.00
Large Intestine
ESIC-61 Extended Right Hemicolectomy 24500.00
ESIC-62 Anterior Resection With Ileostomy 35000.00
ESIC-63 Hartman.S Procedure With Colostomy 31500.00
ESIC-64 II Stage-J - Pouch 21000.00
ESIC-65 III Stage-Ileostomy Closure 14000.00
2
ESIC-72 Hepatico Jejunostomy 31500.00
Spleen
Splenectomy + Devascularisation + Spleno Renal
ESIC-73 Shunt 42000.00
ESIC-74 Spleenectomy For Space Occupying Lesion 24500.00
Pancreas
ESIC-75 Lap- Pancreatic Necrosectomy 70000.00
ESIC-76 Lateral Pancreaticojejunostomy(Non- Malignant) 70000.00
ESIC-77 Pancreatic Necrosectomy (Open) 70000.00
ESIC-78 Distal Pancreatectomy + Splenectomy 70000.00
ESIC-79 Central Pancreatectomy 70000.00
ESIC-80 Cysto Jejunostomy 28000.00
CARDIAC AND CARDIOTHORACIC SURGERY
CARDIAC INTERVENTIONS / PROCEDURES
ESIC-81 Device Closure 42000.00
ESIC-82 Single Coil 14000.00
ESIC-83 Multiple Coils 21000.00
ESIC-84 Temporary Pacemaker Implantation 7000.00
CARDIAC INJURES
ESIC-85 Surgery Without CPB 28000.00
ESIC-86 Surgery With CPB 52500.00
VASCULAR SURGERIES
ESIC-87 Peripheral Embolectomy Without Graft 17500.00
ESIC-88 Excision Of Arterio Venous Malformation - Large 52500.00
ESIC-89 Excision Of Arterio Venous Malformation - Small 28000.00
ESIC-90 Arterial Embolectomy 14000.00
ESIC-91 A V Fistula At Wrist 7000.00
ESIC-92 A. V Fistula At Elbow 14000.00
ESIC-93 D V T - IVC Filter 70000.00
ESIC-94 Vascular Tumors 28000.00
ESIC-95 Small Arterial Aneurysms - Repair 10500.00
ESIC-96 Medium Size Arterial Aneurysms - Repair 35000.00
ESIC-97 Aorto Billiac - Bifemoral Bypass With Synthetic Graft 87500.00
ESIC-98 Axillo Bifemoral Bypass With Synthetic Graft 70000.00
ESIC-99 Femoro Distal Bypass With Vein Graft 42000.00
ESIC-100 Femoro Distal Bypass With Synthetic Graft 56000.00
ESIC-101 Axillo Brachial Bypass Using With Synthetic Graft 45500.00
ESIC-102 Brachio - Radial Bypass With Synthetic Graft 35000.00
ESIC-103 Carotid Artery Bypass With Synthetic Graft 70000.00
CARDIOTHORACIC AND VASCULAR SURGERIES
ESIC-104 Aneurysm Resection & Grafting 87500.00
Intrathoracic Aneurysm -Aneurysm Not Requiring
ESIC-105 Bypass (With Graft) 45500.00
ESIC-106 Dissecting Aneurysms 52500.00
ESIC-107 Annulus Aortic Ectasia With Valved Conduits 105000.00
ESIC-108 Arterial Switch 105000.00
ESIC-109 Carotid Embolectomy 35000.00
ESIC-110 Surgery For Intracardiac Tumors 52500.00
ESIC-111 Ruptured Sinus Of Valsulva Correction 66500.00
ESIC-112 Systemic Pulmonary Shunts With Graft 14000.00
ESIC-113 Systemic Pulmonary Shunts Without Graft 14000.00
LUNGS
ESIC-114 Pneumonectomy 35000.00
ESIC-115 Lobectomy 35000.00
ESIC-116 Decortication 35000.00
ESIC-117 Lung Cyst 35000.00
ESIC-118 Sol Mediastinum 35000.00
3
ESIC-119 Thorocoplasty 35000.00
ESIC-120 Myoplasty 35000.00
ESIC-121 Transpleural Bpf Closure 35000.00
CHEST SURGERY
DIAPHRAGMATIC INJURIES
ESIC-122 Thoracotomy, Thoraco Abdominal Approach 28000.00
BRONCHIAL INJURIES/FB
ESIC-123 Repair Surgery For Injuries Due To Fb 28000.00
OESOPHAGEAL INJURY/FB
Gastro Study Followed By Thoracotomy & Repairs For
ESIC-124 Oesophageal Injury For Corrosive Injuries/Fb 35000.00
VASCULAR INJURY
Surgery Without Graft For Arterial Injuries Venous
ESIC-125 Injuries 7000.00
Vascular Injury In Upper Limbs -
Axillary,Branchial,Radial And Ulnar - Repair With Vein
ESIC-126 Graft 28000.00
ESIC-127 Major Vascular Injury -In Lower Limbs-Repair 42000.00
ESIC-128 Minor Vascular Injury Repair- Tibial Vessels In Leg 14000.00
ESIC-129 Minor Vascular Injury Repair -Vessels In Foot 14000.00
ESIC-130 Surgery With Vein Graft 10500.00
ESIC-131 With Prosthetic Graft 28000.00
ESIC-132 Neck Vascular Injury - Carotid Vessels 70000.00
Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc,
ESIC-133 Iliac Veins 70000.00
ESIC-134 Thoracic Vascular Injuries 105000.00
PEDIATRIC SURGERIES
PAEDIATRIC CONGENITAL MALFORMATIONS
ESIC-135 Hypospadias Single Stage 28000.00
ESIC-136 Velo-Pharyngeal Incompetence 10500.00
ESIC-137 Microtia/Anotia 21000.00
CONGENITAL MALFORMATIONS
ESIC-138 Hamartoma Excision 14000.00
ESIC-139 Hemangioma Excision 17500.00
ESIC-140 Lymphangioma Excision 28000.00
HEAD AND NECK
ESIC-141 Congenital Dermal Sinus 21000.00
CHEST
ESIC-142 Thoracoscopic Cysts Excision 28000.00
ESIC-143 Thoracoscopic Decortication 28000.00
ESIC-144 Thoracic Duplications 28000.00
ESIC-145 Thoracic Wall Defects- Correction 35000.00
ABDOMEN
ESIC-146 Paediatric Splenectomy (Non Traumatic) 24500.00
ESIC-147 Surgeries On Adrenal Gland In Children 17500.00
ESIC-148 Gastro Esophageal Reflux Correction 21000.00
ESIC-149 Hydatid Cysts In Paediatric Patient 28000.00
ESIC-150 Intestinal Polyposis Surgical Correction 35000.00
ESIC-151 Paediatric Acute Intestinal Obstruction 28000.00
GENITOURINARY SYSTEM
ESIC-152 Undescended Testis 17500.00
ESIC-153 Nephrectomy 28000.00
ESIC-154 Scrotal Transposition Repair 14000.00
ESIC-155 Laparoscopic Orchidopexy 17500.00
GENITO URINARY SURGERIES
RENAL TRANSPLANTATION
4
Post Transplant Immunosuppressive Treatment From
ESIC-156 1st To 6th Month After Transplantation 35000.00
LITHOTRIPSY PROCEDURES
ESIC-157 Cystolithotripsy 7000.00
ESIC-158 ESWL 14000.00
ESIC-159 URSL 17500.00
ESIC-160 DJ SHUNT 3500.00
Other Corrective Surgeries/Procedures
ESIC-161 Reconstruction Procedure 35000.00
ESIC-162 Turbt 21000.00
ESIC-163 Renal Cyst Excision 10500.00
RENAL STONE SURGERY/THERAPIES
CORRECTIVE SURGERIES
ESIC-164 Anderson Hynes Pyeloplasty 28000.00
ESIC-165 Closure Of Urethral Fistula 17500.00
SPINE
ESIC-166 Anterior Discectomy & Bone Grafting 28000.00
ESIC-167 Discectomy With Implants 45500.00
ESIC-168 Corpectomy For Spinal Fixation 49000.00
ESIC-169 Spinal Fixation Rods And Plates, Artificial Discs 59500.00
ESIC-170 Syringomyelia 45500.00
SOFT TISSUE and VASCULAR SURGERIES
ESIC-171 Temporal Lobectomy Plus Depth Electrodes 98000.00
SURGICAL ONCOLOGY
HEAD & NECK
ESIC-172 Composite Resection & Reconstruction 42000.00
ESIC-173 Wide Excision 17500.00
ESIC-174 Orbital Exenteration 17500.00
ESIC-175 Cranio Facial Resection 49000.00
Ca. Nasopharynx
ESIC-176 Resection Of Nasopharyngeal Tumor 35000.00
Ca.Soft Palate
ESIC-177 Palatectomy Any Type 21000.00
ESIC-178 Tracheal Resection 36400.00
Ca. Trachea
ESIC-179 Sternotomy + Superior Mediastinal Dissection 31500.00
ESIC-180 Tracheal Resection 28000.00
Ca. Parathyroid
ESIC-181 Parathyroidectomy 21000.00
ESIC-182 Closure Of Ileostomy 14000.00
Ca.Rectum
ESIC-183 Posterior Exenteration 35000.00
ESIC-184 Total Exenteration 52500.00
GASTROINTESTINAL TRACT
ESIC-185 Whipples Any Type 52500.00
ESIC-186 Triple Bypass 17500.00
ESIC-187 Other Bypasses-Pancreas 17500.00
Ca. Gall Bladder
Retroperitoneal Tumor
ESIC-188 Resection Of Retroperitoneal Tumors 31500.00
Abdominal wall tumor
ESIC-189 Abdominal Wall Tumor Resection 24500.00
ESIC-190 Resection With Reconstruction 31500.00
Gynaec Cancers
ESIC-191 Radical Trachelectomy 28000.00
ESIC-192 Radical Vaginectomy 28000.00
ESIC-193 Radical Vaginectomy + Reconstruction 31500.00
5
Ca. Cervix
Radical Hysterectomy +Bilateral Pelvic Lymph Node
Dissection (Bplnd) + Bilateral Salpingo Ophorectomy
ESIC-194 (Bso) / Ovarian Transposition 31500.00
ESIC-195 Anterior Exenteration 42000.00
ESIC-196 Posterior Exenteration 35000.00
ESIC-197 Total Pelvic Exenteration 52500.00
ESIC-198 Supra Levator Exenteration 49000.00
Ca. Endometrium
Total Abdominal Hysterectomy(Tah) + Bilateral
Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph
ESIC-199 Node Dissection (Bplnd) + Omentectomy 24500.00
Soft tissue /Bone tumors . Chest wall
ESIC-200 Chest Wall Resection 14000.00
ESIC-201 Chest Wall Resection + Reconstruction 21000.00
Bone / Soft tissue tumors
ESIC-202 -Without Prosthesis 28000.00
ESIC-203 -With Custom Made Prosthesis 35000.00
ESIC-204 -With Modular Prosthesis 52500.00
Nephroureterectomy For Transitional Cell Carcinima
ESIC-205 Of Renal Pelvis 35000.00
GENITO URINARY SYSTEM
ESIC-206 Total Penectomy 17500.00
ESIC-207 Partial Penectomy 10500.00
ESIC-208 Inguinal Block Dissection One Side 10500.00
Testes cancer
Retro Peritoneal Lymph Node Dissection Rplnd As
ESIC-209 Part Of Staging 14000.00
ESIC-210 Mediastinal Tumor Resection 35000.00
Lung
ESIC-211 Lung Metastatectomy . Solitary 35000.00
ESIC-212 Lung Metastatectomy . Multiple 42000.00
ESIC-213 Sleeve Resection Of Lung Cancer. 63000.00
Esophagus
6
Surgical Correction Of Bronchopleural Fistula.
ESIC-229 Transpleural Bpf Closure 35000.00
Full Thickness Buccal Mucosal Resection &
ESIC-230 Reconstruction 35000.00
MEDICAL ONCOLOGY
Methotrexate Vinblastine Adriamycin
ESIC-231 Cyclophosphamide (Mvac) 3500.00
5-Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage Iii
ESIC-232 Only) 7000.00
OSTEOSARCOMA/ BONE TUMORS
7
1st Line Iv Antibiotics And Other Supportive Therapy (
Third Generation Cephalosporin, Aminoglycoside
ESIC-256 Etc.,) 6300.00
2nd Line Iv Antibiotics And Other Supportive
Therapy(Carbapenems, Fourth Generation
Cephalosporins, Piperacillin, Anti-Fungal . Azoles
ESIC-257 Etc.,) 21000.00
VAGINAL CANCER
ESIC-258 Vaginal Cancer Cisplatin/5-Fu 3500.00
OVARIAN CANCER
ESIC-259 Carboplatin/ Paclitaxel 7350.00
OVARY- GERM CELL TUMOR
Ovary- Germ Cell Tumor Bleomycin-Etoposide-
ESIC-260 Cisplatin (Bep) 5600.00
Gestational Trophoblast Ds.
ESIC-261 Weekly Methotrexate 420.00
ESIC-262 Actinomycin 2100.00
High risk
Etoposide-Methotrexate-Actinomycin /
ESIC-263 Cyclophosphamide Âvincristine (Ema-Co) 4200.00
TESTICULAR CANCER
Testicular Cancer Bleomycin-Etoposide-Cisplatin
ESIC-264 (Bep) 5600.00
PROSTATE CANCER
ESIC-265 Hormonal Therapy 2100.00
RADIATION ONCOLOGY
ESIC-266 Adjuvant Treatment 10500.00
ESIC-267 Microtia/Anotia 21000.00
ESIC-268 TM Joint Ankylosis 28000.00
POST BURN CONTRACTURE SURGERIES FOR FUNCTIONAL
IMPROVEMENT(PACKAGE INCLUDING SPLINTS, PRESSURE GARMENTS
AND PHYSIOTHERAPY)
ESIC-269 Mild 14000.00
ESIC-270 Moderate 21000.00
ESIC-271 Severe 28000.00
PLASTIC SURGERY
ESIC-272 Hemifacial Microsmia 35000.00
ESIC-273 Leprosy Reconstructive Surgeroy 14000.00
ESIC-274 Nerve And Tendon Repair + Vascular Repair 21000.00
Corrective Surgery For Congenital Deformity Of Hand
ESIC-275 (Per Hand) 10500.00
ESIC-276 Corrective Surgery For Craniosynostosis 35000.00
ESIC-277 Cup And Bat Ears 14000.00
8
ESIC-283 Surgical Correction Of Pelvic Bone Fractures. 14000.00
ESIC-284 Cochlear Implant Surgery 364000.00
AUDITORY-VERBAL THERAPY
ESIC-285 Initial Mapping/Switch On 35000.00
Post Switch On Mapping/Initiation Of Avp And Training
ESIC-286 Of Child And Mother - First Installment 14000.00
Post Switch On Mapping/Initiation Of Avp And Training
ESIC-287 Of Child And Mother - Second Installment 14000.00
Post Switch On Mapping/Initiation Of Avp And Training
ESIC-288 Of Child And Mother - Third Installment 14000.00
Post Switch On Mapping/Initiation Of Avp And Training
ESIC-289 Of Child And Mother - Fourth Installment 14000.00
HEARING IMPAIRED
ESIC-290 Behind Ear Analogue Hearing Aid 7000.00
CRITICAL CARE
9
Term Baby With Severe Perinatal Asphyxia -
ESIC-316 Ventilated Clinical Sepsis Hyperbilirubinemia 28000.00
10
ESIC-348 Acute Gastro Intestinal Bleed 21000.00
ESIC-349 Acute Pancreatitis 35000.00
ESIC-350 Acute Hepatitis With Hepatic Encephalopathy 35000.00
ESIC-351 Acute Renal Failure 28000.00
ESIC-352 Diabetic Ketoacidosis 21000.00
ESIC-353 Septic Shock 35000.00
ESIC-354 Snake Bite Requiring Ventilatory Assistance 35000.00
Scorpion Sting With Myocarditis And Cardiogenic
ESIC-355 Shock Requiring Ventilatory Assistance 17500.00
Poison Ingestion/ Aspiration Requiring Ventilatory
ESIC-356 Assistance 28000.00
GENERAL PEDIATRICS
Acute Broncho/ Lobarpneumonia With Empyema/
ESIC-357 Pleural Effusion 14000.00
Acute Broncho/Lobarpneumonia With Pyo
ESIC-358 Pneumothorax 14000.00
Urinary Tract Infection With Complications Like
ESIC-359 Pyelonephritis And Renal Failure 10500.00
Congenital Heart Disease With Congestive Cardiac
ESIC-360 Failure 10500.00
Acquired Heart Disease With Congestive Cardiac
ESIC-361 Failure 10500.00
ESIC-362 Viral Myocarditis 10500.00
Steroid Resistant Nephrotic Syndrome Complicated Or
ESIC-363 Resistant 17500.00
ESIC-364 Acute Renal Failure 7000.00
ESIC-365 Acute Renal Failure With Dialysis 14000.00
ESIC-366 Thalassemia Major Requiring Chelation Therapy 14000.00
ESIC-367 Haemophillia Including Von Willibrands 14000.00
ESIC-368 Anemia Of Unknown Cause 7000.00
ESIC-369 Pyogenic Meningitis 24500.00
ESIC-370 Neuro Tuberculosis 7000.00
ESIC-371 Neuro Tuberculosis With Ventilation 14000.00
ESIC-372 Enteric Fever Complicated 7000.00
ESIC-373 Cerebral Malaria (Falciparum) 7000.00
ESIC-374 Convulsive Disorders/Status Epilepticus (Fits) 7000.00
ESIC-375 Stroke Syndrome 14000.00
ESIC-376 Encephalitis / Encephalopathy 10500.00
ESIC-377 Guillian-Barre Syndrome 42000.00
CARDIOLOGY
Acute MI (Conservative Management Without
ESIC-378 Angiogram) 14000.00
Acute MI (Conservative Management With
ESIC-379 Angiogram) 21000.00
ESIC-380 Acute Mi With Cardiogenic Shock 21000.00
ESIC-381 Acute Mi Requiring Iabp Pump 35000.00
ESIC-382 Refractory Cardiac Failure 21000.00
ESIC-383 Infective Endocarditis 17500.00
ESIC-384 Pulmonary, Embolism 21000.00
ESIC-385 Complex Arrhythmias 66500.00
ESIC-386 Simple Arrythmias 49000.00
ESIC-387 Pericardial Effusion, Tamponade 17500.00
NEPHROLOGY
ESIC-388 Acute Renal Failure-(ARF) 14000.00
ESIC-389 Nephrotic Syndrome 10500.00
ESIC-390 Rapidly Progressive Renal Failure (RPRF) 24500.00
ESIC-391 Chronic Renal Failure 1 (CRF) 10500.00
ESIC-392 Maintenance Hemodialysis For CRF 7000.00
11
NEUROLOGY
ESIC-393 ADEM Or Relapse In Multiple Sclerosis 14000.00
ESIC-394 Neuropathies (GBS) 24500.00
ESIC-395 Optic Neuritis 7000.00
ESIC-396 Immunoglobulin Therapy - LV 70000.00
ESIC-397 CIDP 5600.00
ESIC-398 Hemorrhagic Stroke/Strokes 17500.00
ESIC-399 Ischemic Strokes 14000.00
ESIC-400 Myopathies - Acquired 10500.00
ESIC-401 Neuroinfections -Fungal Meningitis 28000.00
ESIC-402 Neuroinfections -Pyogenic Meningitis 17500.00
Neuroinfections -Viral Meningoencephalitis ( Including
ESIC-403 Herpes Encephalitis) 17500.00
ESIC-404 Neuromuscular (Myasthenia Gravis) 10500.00
PULMONOLOGY
Bronchiectasis With Repeated Hospitalisation>6per
ESIC-405 Year 14000.00
ESIC-406 Lung Abscess ,Non Resolving 10500.00
ESIC-407 Pneumothorax ( Large/Recurrent) 24500.00
ESIC-408 Interstitial Lung Diseases 21000.00
ESIC-409 Pneumoconiosis 17500.00
ESIC-410 Acute Respiratory Failure ( Without Ventilator) 17500.00
ESIC-411 Acute Respiratory Failure ( With Ventilator) 35000.00
DERMATOLOGY
ESIC-412 Pemphigus /Pemphigoid 17500.00
ESIC-413 Toxic Epidermal Necrolysis 21000.00
ESIC-414 Stevens- Johnson Syndrome 14000.00
RHEUMATOLOGY
ESIC-415 SLE (Systemic Lupus Erythematosis) 10500.00
ESIC-416 SLE With Sepsis 35000.00
ESIC-417 Scleroderma 10500.00
ESIC-418 Mctd Mixed Connective Tissue Disorder 10500.00
ESIC-419 Primary Sjogren'S Syndrome 10500.00
ESIC-420 Vasculitis 7000.00
ENDOCRINOLOGY
ESIC-421 Pyelonephritis 14000.00
ESIC-422 Lower Respiratoy Tract Infection 14000.00
ESIC-423 Fungal Sinusitis 28000.00
ESIC-424 Cholecystitis 17500.00
ESIC-425 Cavernous Sinus Thrombosis 28000.00
ESIC-426 Rhinocerebral Mucormycosis 28000.00
OTHER ENDOCRINAL DISORDERS
ESIC-427 Hypopitutarism 70000.00
ESIC-428 Pituitary - Acromegaly 10500.00
ESIC-429 Cushings Syndrome 21000.00
Delayed Puberty Hypogonadism(Ex.Turners Synd,
ESIC-430 Kleinfelter Synd) 8400.00
GASTROENTEROLOGY
ESIC-431 Corrosive Oesophageal Injury 14000.00
ESIC-432 Acute Pancreatitis (Mild) 52500.00
ESIC-433 Acute Pancreatitis (Severe) 105000.00
ESIC-434 Acute Pancreatitis With Pseudocyst (Infected) 21000.00
ESIC-435 Chronic Pancreatitis With Severe Pain 14000.00
ESIC-436 Obscure Gi Bleed 35000.00
ESIC-437 Cirrhosis With Hepatic Encephalopathy 21000.00
ESIC-438 Cirrhosis With Hepato Renal Syndrome 28000.00
ESIC-439 1)Post Op Stent 35000.00
12
ESIC-440 2)Post Op Leaks 52500.00
ESIC-441 3)Sclerosing Cholangitis 52500.00
ESIC-442 Oesophageal Foreign Body 3500.00
ESIC-443 Oesophageal Perforation 17500.00
ESIC-444 Achalasia Cardia 4900.00
ESIC-445 Oesophageal Varices,Variceal Banding 7000.00
ESIC-446 Oesophageal Varices, Sclerotherapy 3500.00
ESIC-447 Oesophageal Fistula 21000.00
ESIC-448 Gave (Gastric Antral Vascular Ectasia) 14000.00
ESIC-449 Gastric Varices 10500.00
Care has been taken to finalize the list(Annexure II). If any package
treatment is also available in CGHS rates (Annexure I) the same
and the T&C of CGHS shall be applicable and not in the nnexure II.
The package rates given in Annexure II are applicapable for non
NABH accredited hospitals. 10% charges shall be paid extra to
NABH acredited and super speciality hospital if treatment is availed
at these hospitals after proper referral/permission
13