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استنادا إلى المرسوم السلطاني رقم ٣٦ / ٢٠١٤ بتحديد اختصاصات وزارة الصحة واعتماد هيكلها التنظيمي،

وإلى لائحة رسوم الخدمات العلاجية الصادرة بالقرار الوزاري رقم ٥٥ / ٢٠٠٩،

وإلى موافقة مجلس الوزراء،

وإلى موافقة وزارة المالية،

وبناء على ما تقتضيه المصلحة العامة.

تقرر

المادة الأولى

يعمل بأحكام لائحة رسوم الخدمات العلاجية، المرفقة.

المادة الثانية

يلغى القرار الوزاري رقم ٥٥ / ٢٠٠٩ المشار إليه، كما يلغى كل ما يخالف اللائحة المرفقة أو يتعارض مع أحكامها.

المادة الثالثة

ينشر هذا القرار في الجريدة الرسمية، ويعمل به اعتبارا من ٣ من سبتمبر ٢٠٢٣م.

صدر في: ١٨ من ذي القعدة ١٤٤٤هـ
الموافق: ٧ من يونيو ٢٠٢٣م

د. هلال بن علي بن هلال السبتي
وزير الصحة 

نشر في عدد الجريدة الرسمية رقم (١٤٩٧) الصادر في ١١ من يونيو ٢٠٢٣م.

لائحة رسوم الخدمات العلاجية

الفصل الأول
تعريفات وأحكام عامة

المادة (١)

في تطبيق أحكام هذه اللائحة يكون للكلمات والعبارات الآتية المعنى المبين قرين كل منها، ما لم يقتض سياق النص معنى آخر:

الوزارة:

وزارة الصحة.

الوزير:

وزير الصحة.

المؤسسات الصحية:

المراكز والمجمعات الصحية والمستشفيات التابعة للوزارة.

الخدمات العلاجية:

كافة الخدمات التي تقدمها المؤسسات الصحية.

الرسوم:

جميع الرسوم الواردة في هذه اللائحة.

المادة (٢)

تلتزم المؤسسات الصحية بتقديم الخدمات العلاجية لكافة المواطنين والمقيمين في سلطنة عمان، وتسهيل إجراءات حصولهم على هذه الخدمات وفقا لأحكام هذه اللائحة.

المادة (٣)

يجب على جميع المؤسسات الصحية اتخاذ كافة الإجراءات اللازمة لضمان تحصيل الرسوم المقررة في هذه اللائحة على نحو لا يحول دون علاج الحالات الطارئة.

المادة (٤)

فيما عدا الإصابات الناتجة عن الحوادث المرورية والحالات التي تشملها تغطية تأمينية، تتمتع الفئات الآتية بالخدمات العلاجية مجانا:

أ – العمانيون.

ب – مواطنو دول مجلس التعاون لدول الخليج العربية المقيمون في سلطنة عمان مدة لا تقل عن (٣) ثلاثة أشهر.

 ج – الأجانب المتزوجون من عمانيات ويشمل ذلك: الزوج، الأبناء المولودين للزوجة العمانية من هذا الزواج.

 د – الأجنبيات المتزوجات من عمانيين.

 هـ – الوالدان الأجنبيان للعماني المقيمان معه في سلطنة عمان.

 و – الوالدان والأبناء الأجانب للزوج أو الزوجة الأجانب ذوي الأصول العمانية المقيمين معه في سلطنة عمان.

 ز – الأجانب العاملون في الحكومة وأسرهم وفقا لعقود خدمتهم.

ح – أعضاء السلك الدبلوماسي الأجانب وأفراد أسرهم وفقا للجداول السنوية الصادرة عن وزارة الخارجية.

المادة (٥)

استثناء من حكم المادة (٤) من هذه اللائحة تقدم مجانا خدمات الرعاية الصحية الأولية، وخدمات الطوارئ والإسعاف، وعلاج الحالات الطارئة الحرجة التي تحتاج إلى الإقامة في المؤسسة الصحية، للفئات الآتية:

أ – مواطني دول مجلس التعاون لدول الخليج العربية المقيمين في سلطنة عمان مدة تقل عن (٣) ثلاثة أشهر.

ب – أعضاء الوفود الزائرة لسلطنة عمان بما في ذلك وفود الأندية الرياضية والثقافية المدعوة عن طريق الجهات الرسمية.

المادة (٦)

يجب على الفئات المنصوص عليها في المادة (٤) من هذه اللائحة تقديم المستندات الآتية عند تلقي الخدمة العلاجية:

 أ – العمانيين: البطاقة الشخصية، أو جواز السفر.

ب – مواطني دول مجلس التعاون لدول الخليج العربية: البطاقة الشخصية أو جواز السفر.

ج – الزوج الأجنبي: محرر مثبت للزواج، ومصادق عليه، أو موثق قانونا.

د – الأجانب الموظفين في الحكومة وأسرهم: بطاقة العلاج المجاني.

هـ – الدبلوماسيين: البطاقة الدبلوماسية.

و – ذوي الأصول العمانية: شهادة إثبات صادرة من وزارة الداخلية.

ز – الوالدين الأجنبيين للعمانيين: بطاقة إقامة.

ح – أعضاء الوفود الزائرة لسلطنة عمان: خطاب من الجهة المستضيفة.

المادة (٧)

تعفى الفئات الآتية من سداد كافة الرسوم:

أ – المرضى المصابون بأحد الأمراض الوبائية أو المعدية التي تهدد الصحة العامة والتي يصدر بها قرار من الوزير، ومخالطوهم، والمشتبه في إصابتهم.

ب – المتبرعون بالدم عند تبرعهم.

ج – المتبرعون بالأعضاء لإحدى الفئات الواردة في المادة (٤) من هذه اللائحة عدا البند (ز).

د – الأشخاص المستفيدون من الضمان الاجتماعي وأسرهم، ويشمل المدرجين على قائمة الانتظار لدى وزارة التنمية الاجتماعية، على أن يتم تقديم بطاقة الضمان الاجتماعي أو رسالة رسمية تفيد أن الحالة مدرجة على قوائم الانتظار للتمتع بميزات الضمان الاجتماعي.

هـ – المحولون من وزارة التنمية الاجتماعية لاستكمال إجراءات الحصول على خدمات الضمان الاجتماعي.

و – اليتامى المسجلون في المؤسسات التابعة لوزارة التنمية الاجتماعية.

ز – الأشخاص العمانيون ذوو الإعاقة المسجلون لدى وزارة التنمية الاجتماعية.

ح – الأطفال العمانيون دون سن الثانية.

ط – الأطفال المستفيدون من برنامج التحصين الموسع.

ي – جميع المستفيدين من حملات التطعيم الوطنية.

ك – العمانيون المستفيدون من برامج الفحص المبكر.

ل – الحوامل العمانيات.

م – العمانيات المستفيدات من خدمات رعاية الأمومة والطفولة، بما فيها برنامج المباعدة بين الولادات.

ن – العمانيون مرضى الغسيل الكلوي المزمن ومرضى السرطان.

س – نزلاء السجون، والمحبوسون احتياطيا.

ع – الفحص الطبي للكشافة والمرشدات.

ف – عمليات الختان للمعتنقين للدين الإسلامي في سلطنة عمان.

المادة (٨)

تعفى الحالات الآتية من سداد رسوم التسجيل والمقابلة:

أ – الطلاب المحولون من المدارس أثناء ساعات الدوام الرسمي للمدرسة.

ب – المرضى العمانيون غير المقتدرين ماديا على سداد الرسوم في الأحوال التي تقدرها المؤسسة الصحية.

ج – المرضى الذين يراجعون المؤسسة الصحية ذاتها في اليوم ذاته بناء على توصية الطبيب المعالج لإعادة المقابلة أو لعلاج المرض ذاته.

المادة (٩)

تعفى الحالات الآتية من سداد رسوم الترقيد:

أ – المصابون أو المشتبه في إصابتهم بأحد الأمراض المعدية أو الوبائية المرقدون في غرف أو أسرة العزل، إلى أن يتم شفاؤهم أو يثبت عدم إصابتهم بأي من هذه الأمراض.

ب – المرقدون في غرف أو أسرة العزل بناء على توصية من الطبيب المعالج واعتماد مدير المؤسسة الصحية.

ج – المرقدون بغرض إجراء عملية جراحية أو تدخل جراحي أو إجراء طبي إذا غادر المريض المؤسسة الصحية دون إجرائها بسبب نقص في الأدوية أو الأجهزة أو الأطباء أو أي سبب آخر يعود للمؤسسة ذاتها.

ولا يشمل ذلك حالة تأجيل العملية أو الإجراء العلاجي بسبب المضاعفات الطبية غير المتوقعة أو التي لا يمكن تفاديها، أو بسبب رفض المريض أو من يرافقه إجراء العملية الجراحية أو التدخل الجراحي أو الإجراء الطبي.

د – المرقدون بطريق الخطأ وفقا لما يقرره رئيس القسم الإكلينيكي في المؤسسة الصحية، وبموافقة مدير المؤسسة الصحية.

المادة (١٠)

استثناء من الرسوم المقررة بموجب هذه اللائحة، يتم تحصيل رسوم الخدمات العلاجية عن الحالات التي تشملها تغطية تأمينية ومنها الحالات المحولة من المؤسسات الصحية الخاصة لإجراء أي من الفحوصات الطبية الإكلينيكية أو المخبرية أو الإشعاعية الموجودة في المؤسسات الصحية، وفقا للأسعار المعتمدة.

المادة (١١)

لا تصرف للمرضى غير المرقدين من الفئات غير المستحقة للخدمات العلاجية المجانية أدوية من صيدليات المؤسسات الصحية إلا بعد تقديم ما يثبت عدم توفر الأدوية الموصوفة لهم في الصيدليات الخاصة.

وفي هذه الحالة، يلتزم هؤلاء المرضى بسداد قيمة الدواء وفقا للقوائم المعتمدة من الوزارة، مضافا إليها (٢٠٪) عشرون بالمائة من قيمة الدواء كرسوم خدمة.

المادة (١٢)

يجوز للمؤسسات الصحية إعارة المرضى المستلزمات الطبية الواردة في القوائم المعتمدة لدى الوزارة مع تحصيل الضمان المالي الذي تحدده الوزارة، على أن يتم رد هذا الضمان عند إعادة الجهاز بحالة سليمة في التاريخ المحدد من الطبيب المعالج بعد خصم قيمة الاستهلاك، شريطة تقديم إيصال الإيداع.

وفي حالة فقدان أو تلف أو تعذر إعادة تلك المستلزمات في الموعد المحدد لذلك، لا يتم رد الضمان المالي.  وتستثنى من تقديم هذا الضمان الفئات الآتية:

أ – الحالات المستفيدة من الضمان الاجتماعي وأسرهم، شريطة تقديم بطاقة الضمان الاجتماعي.

ب – المدرجون في قائمة الانتظار لدى وزارة التنمية الاجتماعية، شريطة تقديم رسالة رسمية تفيد أن الحالة مدرجة على قوائم الانتظار للتمتع بميزات الضمان الاجتماعي.

ج – المحولون من وزارة التنمية الاجتماعية لاستكمال إجراءات الحصول على خدمات الضمان الاجتماعي.

د – اليتامى المسجلون في المؤسسات التابعة لوزارة التنمية الاجتماعية.

هـ – نزلاء السجون والمحبوسون احتياطيا.

الفصل الثاني
الرسوم

أولا: رسوم التسجيل والمقابلة

المادة (١٣)

يجب تسجيل جميع الحالات التي يتم استقبالها في المؤسسات الصحية وإصدار بطاقة صحية لها، وتجدد سنويا عند أول زيارة من كل عام ميلادي.

المادة (١٤)

يتم تحصيل رسوم التسجيل والتجديد والمقابلة وفقا للملحق رقم (١) المرفق بهذه اللائحة.

المادة (١٥)

يجب على جميع الحالات المحولة من مؤسسة صحية إلى مؤسسة صحية أخرى أو من تخصص أو قسم إلى آخر في المؤسسة الصحية ذاتها سداد رسوم المقابلة للتخصص المحول إليه المريض، ويشمل ذلك التحويلات من أقسام الطوارئ.

المادة (١٦)

يلتزم المرضى المرقدون غير المستحقين للخدمات العلاجية المجانية بسداد رسم مقابلة الطبيب للمقابلة الأولى فقط دون المقابلات التالية في حال التحويل إلى تخصص آخر، سواء كان التحويل داخل المؤسسة الصحية المرقد فيها المريض أو في مؤسسة صحية أخرى.

المادة (١٧)

يجب على جميع الحالات المحولة من المؤسسات الصحية الخاصة سداد رسمي التسجيل والمقابلة.

ثانيا: رسوم الترقيد

المادة (١٨)

يتم تحصيل رسوم الترقيد وفقا للملاحق أرقام (٢ ،٣، ٤) المرفقة بهذه اللائحة.

المادة (١٩)

تحسب رسوم الترقيد من تاريخ الترقيد إلى تاريخ الخروج من المؤسسة الصحية، مع عدم حساب يوم الخروج إذا تم قبل الساعة الثانية ظهرا.

ويحسب الترقيد يوما واحدا إذا تم الترقيد والخروج في ذات اليوم.

المادة (٢٠)

استثناء من حكم المادة (١٨) من هذه اللائحة، إذا تم نقل المريض من الجناح العام إلى أجنحة أو غرفة خاصة بناء على توصية إكلينيكية يحصل الرسم في هذه الحالة وفقا لرسم الترقيد في الجناح العام.

المادة (٢١)

يتم تحصيل رسم الترقيد للمريض الذي تقرر المؤسسة الصحية نقله من الغرفة الخاصة إلى الجناح العام وفقا للملاحق أرقام (٢، ٣، ٤) من هذه اللائحة على النحو الآتي:

أ – يتم تحصيل رسم الترقيد للغرفة الخاصة إذا مضى على ترقيد المريض فيها (١٢) اثنتا عشرة ساعة أو أكثر، سواء كان المريض مستحقا أم غير مستحق للخدمات العلاجية المجانية.

ب – يتم تحصيل رسم الترقيد للجناح العام إذا لم يمض على ترقيد المريض في الغرفة الخاصة (١٢) اثنتا عشرة ساعة وذلك للمرضى غير المستحقين للخدمات العلاجية المجانية، ولا يتم تحصيل رسم عن الترقيد في الجناح العام إذا انتهى الترقيد قبل الساعة (١٢) الثانية عشرة ظهرا من اليوم التالي.

وفي جميع الأحوال، يجوز للمؤسسة الصحية نقل المريض المرقد في غرفة خاصة إلى الجناح العام في حالة إذا ما احتاجت المؤسسة إلى استخدام الغرفة الخاصة لأغراض العزل أو أي أسباب أخرى تراها ضرورية.

المادة (٢٢)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسم ترقيد لحالات العناية النهارية وحالات الملاحظة في أقسام الطوارئ إذا تجاوزت مدة الإقامة (٦) ست ساعات، ويكون الرسم على النحو الآتي:

أ – مساويا لرسوم الترقيد في المؤسسة الصحية ذاتها (الجناح العام، غرفة خاصة، جناح خاص) لحالات العناية النهارية.

ب – مساويا لرسم الترقيد في الجناح العام في المؤسسة الصحية ذاتها وحالات الملاحظة في أقسام الطوارئ.

المادة (٢٣)

يلتزم المرضى بسداد دفعة مقدمة من قيمة رسم الترقيد وفقا للملحق رقم (٥) المرفق بهذه اللائحة، وفي حالة استنفاد (٥٠٪) خمسين بالمائة من المبلغ، يلتزم المريض بإيداع مبلغ إضافي يعادل المبلغ المستنفد.

المادة (٢٤)

يلتزم المرضى المرقدون غير المستحقين للخدمات العلاجية المجانية، بالإضافة إلى الدفعة المقدمة من رسوم الترقيد وفقا للملحق رقم (٥) المرفق بهذه اللائحة، بسداد الآتي:

أ – دفعة مقدمة تعادل قيمة تكاليف العملية الجراحية أو التدخل الجراحي أو الإجراء الطبي.

ب – دفعة مقدمة لا تقل عن مبلغ (٢٥٠) مائتين وخمسين ريالا عمانيا للمرقدين لأسباب علاجية أخرى.

وفي جميع الأحوال، تضاف إلى الدفعات المقدمة لرسوم الترقيد وفقا للملحق رقم (٥) المرفق بهذه اللائحة جميع الرسوم الخاصة بالخدمات العلاجية الأخرى التي يحصل عليها المريض خلال فترة ترقيده.

ثالثا: رسوم العمليات والتدخلات الجراحية وجراحة الأسنان والإجراءات الطبية

المادة (٢٥)

تحصل رسوم العمليات والتدخلات الجراحية وجراحة الأسنان والإجراءات الطبية وفقا للملحق رقم (٦) المرفق بهذه اللائحة، مضافا إليها رسوم التخدير الآتية في حال أجريت العملية أو التدخل الجراحي داخل غرفة العمليات:

أ – التخدير العام (General anesthesia): (١٥٪) من قيمة مجموع رسوم العمليات.

ب – التخدير الجزئي (Regional anesthesia): (١٠٪) من قيمة مجموع رسوم العمليات.

ج – التخدير الموضعي (Local anesthesia): (٥٪) من قيمة مجموع رسوم العمليات.

وفي جميع الأحوال، يجب ألا تقل رسوم التخدير عن مبلغ (١٠٠) مائة ريال عماني.

المادة (٢٦)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية الذين تجرى لهم عدة عمليات أو تدخلات جراحية أو إجراء طبي في وقت واحد أو تحت ذات التخدير، بسداد قيمة العملية أو التدخل أو الإجراء ذي السعر الأعلى، و(٥٠٪) خمسين بالمائة من قيمة أي عملية أخرى سواء أكانت العملية في التخصص ذاته أم في تخصص آخر.

المادة (٢٧)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد قيمة جميع الزرعات والأجهزة التي يتم زراعتها لهم أثناء العملية أو التدخلات الجراحية الأخرى، وذلك وفقا لقيمتها المعتمدة من الوزارة مضافا إليها (٢٠٪) عشرون بالمائة كرسوم خدمة.

رابعا: رسوم تقويم الأسنان

المادة (٢٨)

تحصل رسوم عمليات تقويم الأسنان (Orthodontics) بنظام الحزمة الواحدة وفقا للملحق رقم (٧) المرفق بهذه اللائحة، بالإضافة إلى أي عملية أو إجراء إضافي آخر خارج محتوى الحزمة، وفقا لقيمتها في الملحق رقم (٦) المرفق بهذه اللائحة.

المادة (٢٩)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية الذين تجرى لهم عمليات تقويم الأسنان بسداد دفعة مقدمة تعادل (٥٠٪) خمسين بالمائة من قيمة العملية، و(٥٠٪) خمسين بالمائة عند استكمال نصف العلاج.

خامسا: رسوم الفحوصات المخبرية

المادة (٣٠)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسوم الفحوصات المخبرية، وفقا للملحق رقم (٨) المرفق بهذه اللائحة.

كما يتم تحصيل الرسم في كل مرة يجرى فيها الفحص المخبري في وحدات العناية المركزة أو أقسام الطوارئ أو الأقسام الأخرى.

المادة (٣١)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسوم الفحوصات المخبرية التي ترسل إلى الخارج، وفقا للرسوم المتعاقد عليها لكل فحص مطلوب إجراؤه، مضافا إليها (٢٠٪) عشرون بالمائة رسوم خدمة.

المادة (٣٢)

تلتزم المؤسسات الصحية الخاصة بسداد رسوم الفحوصات المخبرية التي يتطلب إجراؤها في المؤسسات الصحية، وفقا للملحق رقم (٨) المرفق بهذه اللائحة، كما تلتزم بسداد الرسوم لتلك الفحوصات إذا أرسلت للخارج وفقا للرسوم المتعاقد عليها لكل فحص مضافا إليها (٢٠٪) عشرون بالمائة رسوم خدمة.

سادسا: رسوم الفحوصات والتدخلات الإشعاعية

المادة (٣٣)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسوم الفحوصات والتدخلات الإشعاعية، حسب الملحق رقم (٩) المرفق بهذه اللائحة.

سابعا: رسوم خدمات بنك الدم

المادة (٣٤)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسوم خدمات بنوك الدم وفقا للملحق رقم (١٠) المرفق بهذه اللائحة.

وللمرضى غير المستحقين للخدمات العلاجية المجانية الذين يحملون بطاقة متبرع بالدم سارية المفعول الحصول على وحدات الدم ومشتقاته مجانا.

ثامنا: رسوم التأهيل الطبي

المادة (٣٥)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية بسداد رسوم التأهيل الطبي (العلاج الطبيعي، العلاج المهني، علاج اللغة والنطق، الأطراف الصناعية) وفقا للملحق رقم (١١) المرفق بهذه اللائحة.

وفي جميع الأحوال، يتم تحصيل رسم لكل علاج على حدة في حالة إجراء عدة علاجات خلال الجلسة الواحدة.

تاسعا: رسوم الخدمات الإضافية

المادة (٣٦)

يلتزم الحجاج والمعتمرون بسداد رسوم الفحوصات والتطعيم بنظام الحزمة الواحدة، ويتم تحصيل رسوم الحجاج والمعتمرين وفقا للملحق رقم (١٢) المرفق بهذه اللائحة.

وتستثنى الحالات المستفيدة من الضمان الاجتماعي وأسرهم بمن في ذلك المدرجون على قائمة الانتظار لدى وزارة التنمية الاجتماعية من سداد هذه الرسوم، على أن يتم تقديم بطاقة الضمان الاجتماعي أو رسالة رسمية تفيد بأن الحالة مدرجة على قوائم الانتظار.

المادة (٣٧)

يتم تحصيل رسم استخدام سيارة الإسعاف، ورسم مقابل تحنيط جثث الموتى، ورسم مقابل حفظ جثث الموتى من الفئات غير المستحقة للخدمات العلاجية المجانية وفقا للملحق رقم (١٢) المرفق بهذه اللائحة.

المادة (٣٨)

يتم تحصيل رسوم عن التقارير الطبية التي يتم إصدارها بناء على طلب من المرضى والمرتبطة بالخدمات العلاجية والتشخيصية المقدمة لهم وفقا للملحق رقم (١٢) المرفق بهذه اللائحة، وتستثنى من سداد هذه الرسوم الحالات المستفيدة من الضمان الاجتماعي وأسرهم، والمدرجون على قائمة الانتظار لدى وزارة التنمية الاجتماعية.

المادة (٣٩)

يلتزم المرضى غير المستحقين للخدمات العلاجية المجانية عند طلب نتائج الفحوصات الطبية على قرص مدمج بسداد رسوم وفقا للملحق رقم (١٢) المرفق بهذه اللائحة.

الملحق رقم (١)
رسوم التسجيل والتجديد والمقابلة

الخدمة	مستحق للعلاج مجانا (ر.ع)	غير مستحق للعلاج مجانا (ر.ع)
التسجيل / التجديد سنويا	١	٥
المقابلة للمرة الواحدة	٢٠٠ بيسة	أ. مركز صحي أو مجمع صحي أو مستشفى محلي
		العيادة العامة	٥
		العيادات التخصصية	١٠
		قسم الطوارئ	١٠
		ب. مستشفيات الرعاية الصحية الثانوية
		العيادات العامة	١٠
		العيادات التخصصية	١٥
		قسم الطوارئ	٢٠
		ج. مستشفيات الرعاية الصحية
		العيادات التخصصية	٢٥
		قسم الطوارئ	٣٠

الملحق رقم (٢)
رسوم الترقيد في مستشفيات الرعاية الصحية الثالثية

الفئة	مستحق للعلاج مجانا (ر.ع) / يوم)	غير مستحق للعلاج مجانا (ر.ع / يوم)
جناح كبار الشخصيات / الجناح الذهبي	٣٥	–
جناح التمريض الخاص / الجناح الفضي / أجنحة خاصة	٣٠	١٠٠
غرفة خاصة في الجناح العام	٢٠	٧٠
الجناح العام	–	٣٠
عناية الاعتماد العالي (High Dependency)	–	٥٠
وحدة العناية المركزة للكبار والأطفال (ICU/PICU)	–	٨٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية عالية)	–	٨٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية متوسطة)	–	٥٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية منخفضة)	–	٣٠
وحدة العناية القلبية (CCU) Cardiac Care Unit	–	٦٠
وحدة العناية القلبية المنخفضة (PCCU) Post Cardiac Care Unit	–	٤٠
وحدة عناية ما بعد جراحة القلب (PSCC) Post-Surgical Cardiac Care	–	٨٠
وحدة الحروق (Burn Unit)	–	٦٠

الملحق رقم (٣)
رسوم الترقيد في مستشفيات الرعاية الصحية الثانوية

الفئة	مستحق للعلاج مجانا (ر.ع) / يوم)	غير مستحق للعلاج مجانا (ر.ع / يوم)
الجناح الخاص	١٥	٧٥
غرفة خاصة في الجناح العام	١٥	٧٠
الجناح العام	–	٢٠
عناية الاعتماد العالي (High Dependency)	–	٤٠
وحدة العناية المركزة للكبار والأطفال (ICU/PICU)	–	٧٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية عالية)	–	٧٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية متوسطة)	–	٤٥
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية منخفضة)	–	٣٠
وحدة العناية القلبية (CCU) Cardiac Care Unit	–	٥٠
وحدة العناية القلبية المنخفضة (PCCU) Post Cardiac Care Unit	–	٣٠
وحدة عناية ما بعد جراحة القلب (PSCC) Post-Surgical Cardiac Care	–	٧٠
وحدة الحروق (Burn Unit)	–	٥٠

الملحق رقم (٤)
رسوم الترقيد في مستشفيات الرعاية الصحية الأولية

الفئة	مستحق للعلاج مجانا (ر.ع) / يوم)	غير مستحق للعلاج مجانا (ر.ع / يوم)
غرفة خاصة	١٠	٢٠
الجناح العام	–	١٠
عناية (الاعتماد العالي -High Dependency)	–	٢٠
وحدة العناية المركزة للكبار والأطفال (ICU/PICU)	–	٣٥
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية عالية)	–	٤٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية متوسطة)	–	٣٠
وحدة العناية المركزة بالأطفال الخدج (SCBU) (اعتمادية منخفضة)	–	٢٠

الملحق رقم (٥)
الدفعات المقدمة من رسوم الترقيد

نوع المستشفى	السرير العادي		غرفة خاصة		جناح تمريض خاص / جناح فضي / جناح خاص		جناح كبار الشخصيات / جناح ذهبي
	مستحق للعلاج مجانا	غير مستحق للعلاج مجانا	مستحق للعلاج مجانا	غير مستحق للعلاج مجانا	مستحق للعلاج مجانا	غير مستحق للعلاج مجانا	مستحق للعلاج مجانا	غير مستحق للعلاج مجانا
مستشفيات الرعاية الصحية الثالثية	–	٨٠	١٠٠	٢٠٠	١٠٠	٢٠٠	١٧٥	غير مستحق
مستشفيات الرعاية الصحية الثانوية	–	٨٠	١٠٠	٢٠٠	–	–	١٧٥	غير مستحق
مستشفيات الرعاية الصحية الأولية	–	٨٠	٥٠	١٠٠	–	–	–	–

الملحق رقم (٦)
رسوم العمليات والتدخلات الجراحية وجراحة الأسنان والإجراءات الطبية

Specialty التخصص	Procedure Name اسم الإجراء	Price (R.O) القيمة بالريال العماني
General Surgery	Breast Biopsy – Percutaneous (e.g. FNA)	50
General Surgery	Breast Biopsy – Open	150
General Surgery	Breast Abscess Incision & Drainage	200
General Surgery	Breast Cyst Aspiration	60
General Surgery	Breast Cyst Excision	300
General Surgery	Breast Fibroadenoma Excision	300
General Surgery	Breast Fat Necrosis Excision	300
General Surgery	Breast Fibroadenosis Excision	300
General Surgery	Breast Mass Excision	300
General Surgery	Breast Lumpectomy/Wide Local Excision	350
General Surgery	Breast Lumpectomy Margin Re-excision	200
General Surgery	Breast Lumpectomy/Wide Local Excision (with axillary clearance)	550
General Surgery	Accessory Nipple Excision	250
General Surgery	Breast/Duct/Nipple/ or Areola Lesion Excision (not specified elsewhere)	300
General Surgery	Breast Microdochectomy	300
General Surgery	Breast Duct Excision – Total	400
General Surgery	Accessory Breast Tissue Excision	800
General Surgery	Mastectomy – Subcutaneous	500
General Surgery	Mastectomy – Total	600
General Surgery	Mastectomy – Total (with axillary clearance)	800
General Surgery	Mastectomy (skin-sparing)	1000
General Surgery	Mastectomy (nipple-sparing)	1000
General Surgery	Mastectomy – Radical	1000
General Surgery	Breast Reconstruction – TRAM Flap	1800
General Surgery	Breast Reconstruction – Latissimus Dorsi Flap	1800
General Surgery	Breast Reconstruction – Free Flap	2800
General Surgery	Augmentation Mammoplasty (with prosthetic implant)	800
General Surgery	Augmentation Mammoplasty (without prosthetic implant)	600
General Surgery	Reduction Mammoplasty	2000
General Surgery	Mastopexy	1800
General Surgery	Breast Implant Removal	200
General Surgery	Nipple-Areola Complex Reconstruction	600
General Surgery	Correction of Inverted Nipple	400
General Surgery	Thyroid Lobectomy	600
General Surgery	Hemithyroidectomy	600
General Surgery	Hemithyroidectomy – Endoscopic	800
General Surgery	Total Thyroidectomy	800
General Surgery	Total Thyroidectomy – Endoscopic	1000
General Surgery	Total Thyroidectomy with Central Neck Dissection	1200
General Surgery	Total Thyroidectomy with Berry Picking of Nodes	1100
General Surgery	Redo Thyroidectomy	800
General Surgery	Redo Thyroidectomy with Central Neck Dissection	1200
General Surgery	Completion Thyroidectomy	600
General Surgery	NOTES Thyroidectomy (natural orifice transluminal endoscopic surgery)	1000
General Surgery	MIVAT Thyroidectomy (minimally invasive video- assisted thyroidectomy)	800
General Surgery	Excision of Neck Swelling/Lesion – Anterior/Posterior Triangle	300
General Surgery	Thyroid Wound Re-exploration	300
General Surgery	Parathyroidectomy for Parathyroid Adenoma	600
General Surgery	Minimally Invasive Radio-Guided Parathyroidectomy (MIRGP)	800
General Surgery	Parathyroidectomy – Endoscopic	900
General Surgery	Total Parathyroidectomy	900
General Surgery	Total Parathyroidectomy (with autotransplantation)	1200
General Surgery	Parathyroidectomy with Ipsilateral Hemithyroidectomy and Central Neck Node Dissection (CNND)	1200
General Surgery	Parathyroidectomy with Frozen Section and IOPTH Assay	1000
General Surgery	Bilateral Neck Exploration (BNE) for Hyperparathyroidism	800
General Surgery	Thymectomy with Mediastinal Dissection	1200
General Surgery	Thymectomy (cervical approach)	1000
General Surgery	Cervical Neurogenic Tumor Excision (e.g. schwannoma, paraganglioma, pheochromocytoma, neurofibroma)	1500
General Surgery	Intra-abdominal Neurogenic Tumor Excision (e.g. schwannoma, paraganglioma, pheochromocytoma, neurofibroma)	1500
General Surgery	Excision of Branchial Cyst	350
General Surgery	Excision of Branchial Sinus	350
General Surgery	Excision of Branchial Fistula	350
General Surgery	Sistrunk Operation – Thyroglossal Cyst	350
General Surgery	Sistrunk Operation – Thyroglossal Sinus	350
General Surgery	Sistrunk Operation – Thyroglossal Fistula	350
General Surgery	Neck Dissection – Radical	900
General Surgery	Neck Dissection – Modified Radical	800
General Surgery	Neck Dissection – Selective	600
General Surgery	Axillary Lymph Node Dissection	700
General Surgery	Lymph Node Biopsy (axillary) – Open	200
General Surgery	Lymph Node Biopsy (cervical) – Open	250
General Surgery	Lymph Node Biopsy (inguinal) – Open	200
General Surgery	Lymph Node Biopsy – Needle	50
General Surgery	Retroperitoneal Lymph Node Dissection – Laparoscopic	2000
General Surgery	Retroperitoneal Lymph Node Dissection – Open	1600
General Surgery	Para-aortic Lymph Node Dissection	1500
General Surgery	Pelvic Lymph Node Dissection	1500
General Surgery	Inguinal Lymph Node Dissection	1000
General Surgery	Staging Laparotomy	1500
General Surgery	Staging Laparoscopy	1700
General Surgery	Adrenalectomy – Open	1200
General Surgery	Adrenalectomy – Laparoscopic	1500
General Surgery	Adrenalectomy (laparoscopic converted to open surgery)	1500
General Surgery	Adrenalectomy – Retroperitoneoscopic	1300
General Surgery	Adrenalectomy – Radical with Nephrectomy	2200
General Surgery	Inguinal Herniotomy – Unilateral	350
General Surgery	Inguinal Herniotomy – Bilateral	550
General Surgery	Repair of Uncomplicated Inguinal Hernia – Infant	400
General Surgery	Repair of Complicated Inguinal Hernia – Infant	550
General Surgery	Repair of Uncomplicated Inguinal Hernia – Other than Infant	450
General Surgery	Repair of Complicated Inguinal Hernia – Other than Infant	600
General Surgery	Repair of Uncomplicated Inguinal Hernia – Laparoscopic	550
General Surgery	Repair of Complicated Inguinal Hernia – Laparoscopic	750
General Surgery	Repair of Uncomplicated Incisional/Ventral Hernia (small)	450
General Surgery	Repair of Uncomplicated Incisional/Ventral Hernia (large)	650
General Surgery	Repair of Uncomplicated Incisional/Ventral Hernia – Laparoscopic	600
General Surgery	Repair of Complicated Incisional/Ventral Hernia	700
General Surgery	Repair of Complicated Incisional/Ventral Hernia – Laparoscopic	800
General Surgery	Repair of Uncomplicated Umbilical Hernia (younger than 5 years)	350
General Surgery	Repair of Uncomplicated Umbilical Hernia (5 years or older)	450
General Surgery	Repair of Complicated Umbilical Hernia (younger than 5 years)	500
General Surgery	Repair of Complicated Umbilical Hernia (5 years or older)	600
General Surgery	Repair of Uncomplicated Umbilical Hernia – Laparoscopic	550
General Surgery	Repair of Complicated Umbilical Hernia – Laparoscopic	700
General Surgery	Repair of Uncomplicated Femoral Hernia	350
General Surgery	Repair of Uncomplicated Femoral Hernia – Laparoscopic	450
General Surgery	Repair of Complicated Femoral Hernia	500
General Surgery	Repair of Complicated Femoral Hernia – Laparoscopic	600
General Surgery	Repair of Uncomplicated Lumbar Hernia	550
General Surgery	Repair of Complicated Lumbar Hernia	700
General Surgery	Repair of Diaphragmatic Hernia (other than hiatal hernia)	2000
General Surgery	Repair of Hiatal Hernia	1500
General Surgery	Exploratory Laparotomy (without repair)	550
General Surgery	Exploratory Laparoscopy (without repair)	700
General Surgery	Intra-abdominal Organ/Mass/Lesion Biopsy (not specified elsewhere) – Open	450
General Surgery	Intra-abdominal Organ/Mass/Lesion Biopsy (not specified elsewhere) – Laparoscopic	600
General Surgery	Peritoneal Lavage (continuous irrigation)	400
General Surgery	Peritoneal Lavage (operative)	700
General Surgery	Intra-abdominal Foreign Body Removal – Open	700
General Surgery	Intra-abdominal Foreign Body Removal – Laparoscopic	800
General Surgery	Intra-abdominal Bleeding Control – Open	800
General Surgery	Intra-abdominal Bleeding Control – Laparoscopic	1000
General Surgery	Surgical Drainage of Intra-abdominal Abscess	700
General Surgery	Surgical Drainage of Visceral Abscess (not specified elsewhere)	600
General Surgery	Surgical Drainage of Intra-abdominal Haematoma	600
General Surgery	Intra-abdominal Adhesions Lysis (Adhesiolysis) – Open	600
General Surgery	Intra-abdominal Adhesions Lysis (Adhesiolysis) – Laparoscopic	800
General Surgery	Intra-abdominal Tumor Cytoreduction/Debulking – Open	1200
General Surgery	Intra-abdominal Tumor Cytoreduction/Debulking – Laparoscopic	1400
General Surgery	Intra-abdominal Tumor Cytoreduction/Debulking with Intraperitoneal Hyperthermic Chemotherapy – Open	1300
General Surgery	Intra-abdominal Tumor Cytoreduction/Debulking with Intraperitoneal Hyperthermic Chemotherapy – Laparoscopic	1500
General Surgery	Intra-abdominal Non-Neurogenic Tumor or Lesion Excision (not elsewhere specified)	1000
General Surgery	Omentum Resection (Omentectomy)	900
General Surgery	Mesentery Repair (not elsewhere specified)	1000
General Surgery	Mesenteric Cyst/Tumor Resection – Simple or Small Lesion	900
General Surgery	Mesenteric Cyst/Tumor Resection – Complex or Large Lesion	1500
General Surgery	Celiac Artery Decompression (Resection of Median Arcuate Ligament)	800
General Surgery	Partial Colectomy – Open	1200
General Surgery	Right Hemicolectomy – Open	1500
General Surgery	Left Hemicolectomy – Open	1500
General Surgery	Extended Right Hemicolectomy – Open	1800
General Surgery	Extended Left Hemicolectomy – Open	1800
General Surgery	Transverse Colectomy – Open	1500
General Surgery	Segmoidectomy – Open	1500
General Surgery	Anterior Resection of the Rectum – Open	1500
General Surgery	Low Anterior Resection of the Rectum – Open	1500
General Surgery	Ultra-low Rectal Resection – Open	1600
General Surgery	Completion Proctectomy – Open	1500
General Surgery	Total Colectomy – Open	2500
General Surgery	Pan-proctocolectomy – Open	3000
General Surgery	Intersphincteric Abdominoperineal Resection with Pull-Through Coloanal Anastomosis – Open	1800
General Surgery	Partial Colectomy – Laparoscopic	1500
General Surgery	Right Hemicolectomy – Laparoscopic	1800
General Surgery	Left Hemicolectomy – Laparoscopic	1800
General Surgery	Extended Right Hemicolectomy – Laparoscopic	2100
General Surgery	Extended Left Hemicolectomy – Laparoscopic	2100
General Surgery	Transverse Colectomy – Laparoscopic	1800
General Surgery	Segmoidectomy – Laparoscopic	1800
General Surgery	Anterior Resection of the Rectum – Laparoscopic	1800
General Surgery	Lower Anterior Resection of the Rectum – Laparoscopic	1800
General Surgery	Ultra-low Rectal Resection – Laparoscopic	1900
General Surgery	Completion Proctectomy – Laparoscopic	1800
General Surgery	Total Colectomy – Laparoscopic	2800
General Surgery	Pan-proctocolectomy – Laparoscopic	3300
General Surgery	Intersphincteric Abdominoperineal Resection with Pull-Through Coloanal Anastomosis – Laparoscopic	2100
General Surgery	Ripstein Rectopexy – Open	600
General Surgery	Posterior Rectopexy – Open	600
General Surgery	Anterior Rectopexy – Open	600
General Surgery	Ripstein Rectopexy – Laparoscopic	800
General Surgery	Posterior Rectopexy – Laparoscopic	800
General Surgery	Anterior Rectopexy – Laparoscopic	800
General Surgery	Ileorectal Anastomosis – Open	2500
General Surgery	Ileorectal Anastomosis – Laparoscopic	2800
General Surgery	Ileocolic Anastomosis – Open	1200
General Surgery	Ileocolic Anastomosis – Laparoscopic	1500
General Surgery	Ileal Pouch-Anal Anastomosis (single stage operation) – Open	3200
General Surgery	Ileal Pouch-Anal Anastomosis (single stage operation) – Laparoscopic	3500
General Surgery	Ileal Pouch-Rectal Anastomosis (single stage operation) – Open	2700
General Surgery	Ileal Pouch-Rectal Anastomosis (single stage operation) – Laparoscopic	3000
General Surgery	Ileal Pouch Repair – Minor	900
General Surgery	Ileal Pouch Repair – Major	1500
General Surgery	Ileostomy Creation – Open	600
General Surgery	Ileostomy Creation – Laparoscopic	800
General Surgery	Ileostomy Closure – Open	1000
General Surgery	Ileostomy Closure – Laparoscopic	1200
General Surgery	Colostomy Creation – Open	600
General Surgery	Colostomy Creation – Laparoscopic	800
General Surgery	Colostomy Closure – Open	1000
General Surgery	Colostomy Closure – Laparoscopic	1200
General Surgery	Coloplasty (open)	1000 (not including rectal resection)
General Surgery	Coloplasty-Rectal Anastomosis (open)	2000
General Surgery	Coloplasty-Anal Anastomosis (open)	2000
General Surgery	Coloplasty (laparoscopic)	1200 (not including rectal resection)
General Surgery	Coloplasty-Rectal Anastomosis (laparoscopic)	2300
General Surgery	Coloplasty-Anal Anastomosis (laparoscopic)	2300
General Surgery	Recto-Vaginal Fistula Repair (trans-rectal approach)	800
General Surgery	Recto-Vaginal Fistula Repair (trans-vaginal approach)	700
General Surgery	Recto-Vaginal Fistula Repair (combined approach)	1000
General Surgery	Colocutaneous Fistula Repair – Open	1200
General Surgery	Colocutaneous Fistula Repair – Laparoscopic	1500
General Surgery	Enterocutaneous Fistula Repair – Open	1200
General Surgery	Enterocutaneous Fistula Repair – Laparoscopic	1500
General Surgery	Enteroenteric or Enterocolic Fistula Repair – Open	1400
General Surgery	Enteroenteric or Enterocolic Fistula Repair – Laparoscopic	1700
General Surgery	Repair of Large Intestine Perforation/Injury – Primary Closure	800
General Surgery	Repair of Large Intestine Perforation/Injury – Resection	1200
General Surgery	Repair of Small Intestine Perforation/Injury – Primary Closure	1000
General Surgery	Repair of Small Intestine Perforation/Injury – Resection	1400
General Surgery	Fistula in Ano – Fistulotomy	250
General Surgery	Fistula in Ano – Seton Insertion (Loose)	250
General Surgery	Fistula in Ano – Seton Insertion (Tight)	250
General Surgery	Fistula in Ano – Fistulectomy	300
General Surgery	Fistula in Ano – Ligation of Fistula Tract	400
General Surgery	Fistula in Ano – Fat Plug Repair of Fistula	400
General Surgery	Fistula in Ano – Coring out with Tranrectal Ligation of Internal Opening	400
General Surgery	Wide Excision of Pilonidal Sinus	350
General Surgery	Wide Excision of Pilonidal Sinus (with Z Plasty)	400
General Surgery	Wide Excision of Pilonidal Sinus (with Lateralization)	400
General Surgery	Wide Excision of Pilonidal Sinus (with Rotational Flap)	500
General Surgery	Wide Excision of Pilonidal Sinus (with Gluteal Flap)	700
General Surgery	Pilonidal Secondary Suturing	200
General Surgery	Haemorrhoidectomy (Modified Morgan)	300
General Surgery	Haemorrhoidectomy (Ligasure)	350
General Surgery	Haemorrhoidectomy (Stapled)	400
General Surgery	Haemorrhoid Sclerotherapy	100
General Surgery	Haemorrhoid Banding	180
General Surgery	Haemorrhoid Banding & Sclerotherapy	220
General Surgery	Anal Fissure Repair (Lateral Internal Sphincterotomy)	250
General Surgery	Anal Fissure Repair (Fissurectomy)	300
General Surgery	Anal Fissure Repair (V-Y Advancement Flap)	350
General Surgery	Anoplasty (V-Y Flap)	350
General Surgery	Anoplasty (Mucosal Advancement)	350
General Surgery	Anoplasty (Skin Advancement)	350
General Surgery	Anoplasty (Diamond Flap)	350
General Surgery	Anal Cutback	400
General Surgery	Anal Transposition	1000
General Surgery	Endo-anal Pull-through	1500
General Surgery	Anterior Perineal Anorectoplasty	2000
General Surgery	Pull-through & Anastomosis – Duhamel procedures	1500
General Surgery	Pull-through & Anastomosis – Modified Duhamel procedures	1500
General Surgery	Pull-through & Anastomosis – Swenson procedures	1500
General Surgery	Pull-through & Anastomosis – Soave procedures	1500
General Surgery	Pull-through & Anastomosis – Others	1500
General Surgery	Posterior Sagittal Anorectoplasty (PSARP)	2000
General Surgery	Repair of Persistent Cloaca	3000
General Surgery	Repair of Urogenital Sinus	2000
General Surgery	Total Urogenital Mobilization	2000
General Surgery	Rectal Prolapse Reduction	50
General Surgery	Rectal Prolapse Sclerotherapy	120
General Surgery	Rectal Prolapse Repair – Rectopexy	600
General Surgery	Rectal Prolapse Repair – Rectopexy & Sigmoid Resection	2100
General Surgery	Rectal Prolapse Repair – Sigmoid Resection	1800
General Surgery	Rectal Prolapse Repair – Thiersch Operation	300
General Surgery	Rectal Prolapse Repair – Delorme Operation	450
General Surgery	Rectal Prolapse Repair – Perineal Proctosigmoidectomy	2000
General Surgery	Incision & Drainage of Pilonidal Abscess/Cyst	100
General Surgery	Incision & Drainage of Anorectal Abscess – Perianal	150
General Surgery	Incision & Drainage of Anorectal Abscess – Ischiorectal	250
General Surgery	Incision & Drainage of Anorectal Abscess – Intersphincteric	150
General Surgery	Incision & Drainage of Anorectal Abscess – Others (deep)	300
General Surgery	Incision & Drainage of Anorectal Abscess – Others (superficial)	150
General Surgery	Rectal Biopsy (suction)	100
General Surgery	Rectal Biopsy	50
General Surgery	Anorectal Myomectomy	400
General Surgery	Anal Polyp or Benign Tumor Removal	100
General Surgery	Anal Injury/Tear Repair – Simple	100
General Surgery	Anal Injury/Tear Repair – Complex	300
General Surgery	Anal/Rectal Foreign Body Removal – Simple	50
General Surgery	Anal/Rectal Foreign Body Removal – Complex	100
General Surgery	Fecal Impaction Removal	20
General Surgery	Anal Cancer Local Resection	400
General Surgery	Transanal Endoscopic Microsurgery for Rectal Polyps	300
General Surgery	Transanal Endoscopic Microsurgery for Rectal Adenomas	400
General Surgery	Transanal Endoscopic Microsurgery for Rectal Malignancy	600
General Surgery	Anal Dilatation (Lord’s Operation)	100
General Surgery	Anorectal Examination (under general anesthesia)	100
General Surgery	Anal Benign Lesion Removal (not specified elsewhere)	120
General Surgery	Anal Sphincteroplasty – Simple	200
General Surgery	Anal Sphincteroplasty – Complex	350
General Surgery	Sigmoidoscopy – Diagnostic	100
General Surgery	Sigmoidoscopy with Biopsy	110
General Surgery	Sigmoidoscopy and Foreign Body Removal	150
General Surgery	Sigmoidoscopy and Dilatation and/or Intraluminal Stent Insertion	150
General Surgery	Sigmoidoscopy and Polyp/Benign Tumor Excision	150
General Surgery	Sigmoidoscopy and Control of Bleeding	180
General Surgery	Sigmoidoscopy and Lesion Ablation	150
General Surgery	Sigmoidoscopy and Submucosal Injection	130
General Surgery	Surgical Gastrostomy (e.g. Stamm procedure)	350
General Surgery	Gastrostomy Tube Replacement	10
General Surgery	Surgical Jejunostomy (e.g. for feeding or decompression)	400
General Surgery	Jejunostomy Tube Replacement	15
General Surgery	Surgical Closure of Gastrostomy	300
General Surgery	Surgical Closure of Jejunostomy	400
General Surgery	Liver Resection – Left Hepatectomy	2000
General Surgery	Liver Resection – Right Hepatectomy	2200
General Surgery	Liver Resection – Extended Right Hepatectomy	2200
General Surgery	Liver Resection – Extended Left Hepatectomy	2200
General Surgery	Liver Resection – Hepatic Segmentectomy	1800
General Surgery	Liver Resection – Sectionectomy	2000
General Surgery	Liver Resection – Wedge Hepatectomy	1500
General Surgery	Liver Wound Repair – Simple	1000
General Surgery	Liver Wound Repair – Complex	1500
General Surgery	Liver Wound Re-exploration or Packing Removal	700
General Surgery	Liver Biopsy (surgical)	400
General Surgery	Liver Cyst/Abscess Marsupialization	500
General Surgery	Liver Cyst/Abscess Drainage (surgical)	600
General Surgery	Liver Benign Tumor Excision (surgical)	700
General Surgery	Cholecystectomy – Laparoscopic	750
General Surgery	Cholecystectomy (with bile duct exploration) – Laparoscopic	850
General Surgery	Cholecystectomy – Open	900
General Surgery	Cholecystectomy (with bile duct exploration) – Open	1000
General Surgery	Cholecystectomy (laparoscopic converted to open surgery)	1000
General Surgery	Cholecystostomy (surgical)	600
General Surgery	Cholecystoenterostomy	900
General Surgery	Cholecystoenterostomy (Roux-en-Y)	1000
General Surgery	Cholecystoenterostomy – Laparoscopic	1000
General Surgery	Choledochojejunostomy	1000
General Surgery	Choledochoduodenostomy	1000
General Surgery	Cholecystocolostomy (jejunal interposition)	1200
General Surgery	Pancreatectomy – Total	4000
General Surgery	Pancreatectomy (with islet cell autotransplantation)	3000
General Surgery	Pancreatectomy – Distal (without splenectomy)	1500
General Surgery	Pancreatectomy – Distal (with splenectomy)	2000
General Surgery	Pancreatectomy – Partial	1500
General Surgery	Pancreaticoduodenectomy (Whipple procedure) – Conventional	3000
General Surgery	Pancreaticoduodenectomy (Whipple procedure) – Pylorus-sparing	2500
General Surgery	Pancreatic Cyst-Duodenostomy (Roux-en-Y)	1000
General Surgery	Pancreatic Cyst-Gastrostomy (Roux-en-Y)	1000
General Surgery	Pancreatic Cyst-Jejunostomy (Roux-en-Y)	1000
General Surgery	Pancreatic Cyst-Duodenostomy	900
General Surgery	Pancreatic Cyst-Gastrostomy	900
General Surgery	Pancreatic Cyst-Jejunostomy	900
General Surgery	Pancreaticojejunostomy (Puestow operation)	1500
General Surgery	Duodenal Exclusion (Pyloric exclusion)	1000
General Surgery	Kasai Portoenterostomy	2000
General Surgery	Cholecystoportostomy	1500
General Surgery	Cholangiojejunostomy (e.g. Longmire procedure)	2000
General Surgery	Hepaticoenterostomy	2000
General Surgery	Transduodenal Sphincterotomy	700
General Surgery	Transduodenal Sphincteroplasty	700
General Surgery	Bile Duct Exploration (surgical)	600
General Surgery	Bile Duct/Gall Bladder Biopsy (surgical)	400
General Surgery	Bile Duct Tumor Local Excision	800
General Surgery	Choledochal Cyst Excision	700
General Surgery	Choledochal Cyst Excision (with hepaticoenterostomy)	1500
General Surgery	Pancreatic Biopsy (surgical)	400
General Surgery	Pancreatic Cyst/Tumor Excision	700
General Surgery	Pancreatic Cyst Marsupialization	500
General Surgery	Pancreatic Cyst/Pseudocyst Drainage (surgical)	550
General Surgery	Pancreatic Abscess Drainage (surgical)	600
General Surgery	Pancreatic/Peripancreatic Debridement	1000
General Surgery	Spleen Biopsy (surgical)	400
General Surgery	Splenectomy – Total	1000
General Surgery	Splenectomy – Partial	1000
General Surgery	Splenectomy – Laparoscopic	1200
General Surgery	Spleen Rupture Repair/Splenorrhaphy – Simple	700
General Surgery	Spleen Rupture Repair/Splenorrhaphy – Complex	1200
General Surgery	Splenic Cyst/Lesion Excision	700
General Surgery	Splenic Haematoma Evacuation (surgical)	700
General Surgery	Splenunculus Excision	800
General Surgery	Splenic Tissue Re-implantation	2000
General Surgery	Esophagostomy – Cervical Approach	300
General Surgery	Esophagostomy – Thoracic or Abdominal Approach	400
General Surgery	Esophagogastrostomy	700
General Surgery	Esophagojejunostomy	800
General Surgery	Esophagostomy Closure – Cervical Approach	200
General Surgery	Esophagostomy Closure – Thoracic or Abdominal Approach	300
General Surgery	Esophagotomy (e.g. for foreign body removal) – Cervical Approach	300
General Surgery	Esophagotomy (e.g. for foreign body removal) – Thoracic Approach	400
General Surgery	Esophageal Lesion Excision – Cervical Approach	600
General Surgery	Esophageal Lesion Excision – Thoracic or Abdominal Approach	700
General Surgery	Esophageal Diverticulum Resection – Cervical Approach	700
General Surgery	Esophageal Diverticulum Resection – Thoracic Approach	800
General Surgery	Esophageal Fistula Repair – Cervical Approach	1200
General Surgery	Esophageal Fistula Repair – Thoracic or Abdominal Approach	1500
General Surgery	Esophageal Perforation/Rupture Repair – Cervical Approach	1000
General Surgery	Esophageal Perforation/Rupture Repair – Thoracic or Abdominal Approach	1300
General Surgery	Esophagogastric Laceration Repair (e.g. Mallory-Weiss tear)	1000
General Surgery	Esophagogastric Devascularization	1000
General Surgery	Esophagogastric Devascularization – Sugiura Operation	2500
General Surgery	Esophagogastrectomy (not including esophageal reconstruction)	1500 (type of reconstruction, if any, to be identified separately)
General Surgery	Total Esophagectomy (not including esophageal reconstruction)	1500 (type of reconstruction, if any, to be identified separately)
General Surgery	Partial Esophagectomy (not including esophageal reconstruction)	1200 (type of reconstruction, if any, to be identified separately)
General Surgery	Esophageal Reconstruction (gastric interposition/gastric pull-up)	1000
General Surgery	Esophageal Reconstruction (colonic or jejunal interposition)	2500
General Surgery	Esophageal Reconstruction (musculocutaneous flap)	1500
General Surgery	Esophageal Reconstruction (free tissue flap)	2500
General Surgery	Esophageal Atresia Repair (without tracheoesophageal fistula)	1000
General Surgery	Esophageal Atresia Repair (with tracheoesophageal fistula)	1500
General Surgery	Esophageal Atresia Repair (long gap) – Foker Procedure	1000
General Surgery	Esophageal Atresia Repair (long gap) – Gastric Pull-up	1500
General Surgery	Esophageal Atresia Repair (long gap) – Colon Interposition	3000
General Surgery	Tracheoesophageal Fistula Repair – Cervical Approach	1200
General Surgery	Tracheoesophageal Fistula Repair – Thoracic Approach	1500
General Surgery	Esophageal Defect Repair (not specified elsewhere) – Cervical Approach	1200
General Surgery	Esophageal Defect Repair (not specified elsewhere) – Thoracic Approach	1500
General Surgery	Pyloromyotomy (Ramstedt’s operation)	800
General Surgery	Pyloroplasty	1000
General Surgery	Pyloroplasty (with vagotomy)	1200
General Surgery	Fundoplication (e.g. Nissen fundoplication)	900
General Surgery	Heller’s Cardiomyotomy	700
General Surgery	Truncal Vagotomy	500
General Surgery	Selective Vagotomy	450
General Surgery	Highly Selective Vagotomy (proximal gastric vagotomy)	450
General Surgery	Posterior Truncal Vagotomy & Anterior Seromyotomy	700
General Surgery	Gastrojejunostomy (with vagotomy)	1000
General Surgery	Gastrojejunostomy	800
General Surgery	Gastroduodenostomy	800
General Surgery	Gastrojejunostomy or Gastroduodenostomy Revision (including reconstruction)	1200
General Surgery	Total Gastrectomy (with esophagoenterostomy)	1400
General Surgery	Total Gastrectomy (with Roux-en-Y reconstruction)	1500
General Surgery	Total Gastrectomy (with intestinal pouch formation)	1600
General Surgery	Partial Gastrectomy (with esophagogastrostomy)	1400
General Surgery	Partial Gastrectomy (with gastroduodenostomy)	1400
General Surgery	Partial Gastrectomy (with gastrojejunostomy)	1400
General Surgery	Partial Gastrectomy (with Roux-en-Y reconstruction)	1500
General Surgery	Partial Gastrectomy (with intestinal pouch formation)	1600
General Surgery	Bariatric Surgery – Vertical-banded Gastroplasty	900
General Surgery	Bariatric Surgery – Adjustable Gastric Banding	700
General Surgery	Bariatric Surgery – Intra-gastric Balloon	400
General Surgery	Bariatric Surgery – Intra-gastric Balloon Removal	200
General Surgery	Bariatric Surgery – Vertical Sleeve Gastrectomy (non-obese)	1500
General Surgery	Bariatric Surgery – Vertical Sleeve Gastrectomy (obese)	1800
General Surgery	Bariatric Surgery – Mini Gastric Bypass	1600
General Surgery	Bariatric Surgery – Roux-en-Y Gastric Bypass	1600
General Surgery	Bariatric Surgery – Single Anastomosis Duodeno-Ileostomy (SADI)	1600
General Surgery	Bariatric Surgery – Biliopancreatic Diversion Gastric Bypass	2000
General Surgery	Gastrocolic Fistula Closure – Open	1200
General Surgery	Gastrocolic Fistula Closure – Laparoscopic	1500
General Surgery	Repair of Perforated Gastric Ulcer	1000
General Surgery	Repair of Perforated Duodenal Ulcer	1000
General Surgery	Local Excision of Benign Gastric Tumor (operative)	900
General Surgery	Local Excision of Malignant Gastric Tumor (operative)	1200
General Surgery	Excision of Gastric Ulcer (operative)	900
General Surgery	Excision of Duodenal Ulcer (operative)	900
General Surgery	Repair of Bleeding Gastric Ulcer (operative)	1000
General Surgery	Repair of Bleeding Duodenal Ulcer (operative)	1000
General Surgery	Gastric Devascularization	1000
General Surgery	Gastric Transection	1200
General Surgery	Duodenoduodenostomy	800
General Surgery	Duodenojejunostomy	800
General Surgery	Jejunojejunostomy	800
General Surgery	Small Intestine Resection – Open	1200
General Surgery	Small Intestine Resection – Laparoscopic	1500
General Surgery	Small Intestine Resection (for congenital malformation) – Open	1400
General Surgery	Small Intestine Resection (for congenital malformation) – Laparoscopic	1700
General Surgery	Intestinal Malrotation Correction e.g. Ladd procedure (without midgut volvulus)	800
General Surgery	Intestinal Strictureplasty	700
General Surgery	Intestinal Strictureplasty (for long or multiple strictures)	1000
General Surgery	Excision of Vitello-intestinal (omphalomesenteric duct) Remnant	400
General Surgery	Excision of Meckel’s Diverticulum	400
General Surgery	Excision of Other Umbilical Lesions (e.g. granuloma, polyp) – Minor	150
General Surgery	Excision of Other Umbilical Lesions (e.g. granuloma, polyp) – Major	400
General Surgery	Umbilical Lesion Cauterization	20
General Surgery	Reduction of Intussusception – Manual Reduction	900
General Surgery	Reduction of Intussusception – Resection & Anastomosis	1200
General Surgery	Reduction of Volvulus (operative)	1500
General Surgery	Reduction of Midgut Volvulus (operative)	1800
General Surgery	Reduction of Volvulus (endoscopic)	400
General Surgery	Reduction of Intussusception (endoscopic)	300
General Surgery	Small Intestine Exclusion from the Pelvis	500
General Surgery	Excision of Intestinal Benign Tumor (without intestinal resection) – Open	800
General Surgery	Excision of Intestinal Benign Tumor (without intestinal resection) – Laparoscopic	1200
General Surgery	Repair of Exomphalos (omphalocele) – Primary Closure	600
General Surgery	Repair of Exomphalos (omphalocele) – Staged Repair	400 (per stage)
General Surgery	Gastroschisis Repair – Primary Closure	1000
General Surgery	Gastroschisis Repair – Staged Repair	600
General Surgery	Gastroschisis Silo Application	150
General Surgery	Sacrococcygeal Teratoma Resection – Sacral Approach	1500
General Surgery	Sacrococcygeal Teratoma Resection – Abdominal Approach	2000
General Surgery	Sacrococcygeal Teratoma Resection – Combined Approach	2500
General Surgery	Appendicectomy – Open	500
General Surgery	Appendicectomy – Laparoscopic	600
General Surgery	Appendicectomy (with peritoneal lavage)	900
General Surgery	Appendicectomy (laparoscopic converted open surgery)	800
General Surgery	Appendicostomy (Malone Procedure)	400
General Surgery	Salivary Gland Needle Biopsy	50
General Surgery	Salivary Gland Incisional Biopsy	100
General Surgery	Incision & Drainage of Parotid Abscess	250
General Surgery	Incision & Drainage of Submandibular Abscess/Cyst/Hematoma	200
General Surgery	Incision & Drainage of Submental Abscess/Cyst/Hematoma	200
General Surgery	Salivary Gland/Duct Stone Removal – Intraoral (simple)	50
General Surgery	Salivary Gland/Duct Stone Removal – Intraoral (complex)	150
General Surgery	Salivary Gland/Duct Stone Removal – Extraoral	300
General Surgery	Submandibular Gland Excision	400
General Surgery	Sublingual Gland Excision	400
General Surgery	Parotid Tumor/Lesion Excision (without nerve dissection)	600
General Surgery	Parotid Tumor/Lesion Excision (with nerve dissection)	1000
General Surgery	Salivary Duct Repair	800
General Surgery	Salivary Duct Dilatation/Stenting	50
General Surgery	Salivary Duct Diversion	400
General Surgery	Salivary Fistula Repair	600
General Surgery	Salivary Duct Ligation	250
General Surgery	Salivary Gland/Duct Exploration (without intervention)	200
General Surgery	Sympathectomy – Cervical	800
General Surgery	Sympathectomy – Thoracic	900
General Surgery	Sympathectomy – Lumbar	700
General Surgery	Sympathectomy – Others	500
General Surgery	Marginal Excision of Soft Tissue Tumor – Face/Scalp	700
General Surgery	Wide Excision of Soft Tissue Tumor (without graft) – Face/Scalp	900
General Surgery	Wide Excision of Soft Tissue Tumor (with graft) – Face/Scalp	1200
General Surgery	Radical Excision of Soft Tissue Tumor – Face/Scalp	1800
General Surgery	Marginal Excision of Soft Tissue Tumor – Abdominal Wall/Back/Chest Walls	700
General Surgery	Wide Excision of Soft Tissue Tumor (without graft) – Abdominal Wall/Back/Chest Walls	900
General Surgery	Wide Excision of Soft Tissue Tumor (with graft) – Abdominal Wall/Back/Chest Walls	1200
General Surgery	Radical Excision of Soft Tissue Tumor – Abdominal Wall/Back/Chest Walls	1800
General Surgery	Excision of Sebaceous Cyst – Single/Small	100
General Surgery	Excision of Sebaceous Cyst – Large or Multiple	200
General Surgery	Excision of Lipoma – Single/Small	100
General Surgery	Excision of Lipoma – Large or Multiple	200
General Surgery	Excision of Dermoid Cyst (skin or subcutaneous tissue) – Single/Small	150
General Surgery	Excision of Dermoid Cyst (skin or subcutaneous tissue) – Large or Multiple	250
General Surgery	Excision of Benign Skin Lesion (not specified elsewhere) – Single/Small	100
General Surgery	Excision of Benign Skin Lesion (not specified elsewhere) – Large or Multiple	200
General Surgery	Excision of Premalignant/Malignant Skin Lesion (not specified elsewhere) – Single	150
General Surgery	Excision of Premalignant/Malignant Skin Lesion (not specified elsewhere) – Large or Multiple	300
General Surgery	Wart Excision – Single	80
General Surgery	Wart Excision – Multiple	100
General Surgery	Tangential Excision – Small	200
General Surgery	Tangential Excision – Large	400
General Surgery	Scar Excision – Keloid	150
General Surgery	Scar Excision – Hypertrophic Scar	150
General Surgery	Scar Excision – Tattoo Scar	150
General Surgery	Scar Excision – Others	150
General Surgery	Escharotomy	150
General Surgery	W-Plasty	150
General Surgery	Z-Plasty	150
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (<7 cm) – Scalp, Neck, Trunk, Extremities	20
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (7-15 cm) – Scalp, Neck, Trunk, Extremities	25
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (>15 cm) – Scalp, Neck, Trunk, Extremities	30
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (<7 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	25
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (7-15 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	30
General Surgery	Primary Closure/Suturing of Superficial Skin Wound (>15 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	35
General Surgery	Primary Closure/Suturing of Deep Skin Wound (<7 cm) – Scalp, Neck, Trunk, Extremities	50
General Surgery	Primary Closure/Suturing of Deep Skin Wound (7-15 cm) – Scalp, Neck, Trunk, Extremities	60
General Surgery	Primary Closure/Suturing of Deep Skin Wound (>15 cm) – Scalp, Neck, Trunk, Extremities	70
General Surgery	Primary Closure/Suturing of Deep Skin Wound (<7 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	60
General Surgery	Primary Closure/Suturing of Deep Skin Wound (7-15 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	70
General Surgery	Primary Closure/Suturing of Deep Skin Wound (>15 cm) – Face, Ears, Eyelids, Nose, Lips, External Genitalia	80
General Surgery	Repair of Wound Dehiscence – Complex	400
General Surgery	Repair of Wound Dehiscence – Simple	200
General Surgery	Wound Sutures Removal (under general anesthesia)	50
General Surgery	Wound Dressing (under general anesthesia)	50
General Surgery	Wound Suturing (under general anesthesia)	100
General Surgery	Debridement with Skin Graft	400
General Surgery	Debridement with Flap Cover	400
General Surgery	Debridement – Bone (simple)	50
General Surgery	Debridement – Bone (complex or extensive)	150
General Surgery	Debridement – Burn (limited)	50
General Surgery	Debridement – Burn (extensive)	150
General Surgery	Debridement – Subcutaneous Tissue (simple)	30
General Surgery	Debridement – Subcutaneous Tissue (complex or extensive)	120
General Surgery	Excision of Coccygeal Pressure Ulcer	200
General Surgery	Excision of Coccygeal Pressure Ulcer (with flap closure)	500
General Surgery	Excision of Sacral Pressure Ulcer	200
General Surgery	Excision of Sacral Pressure Ulcer (with flap closure)	500
General Surgery	Excision of Ischial Pressure Ulcer	200
General Surgery	Excision of Ischial Pressure Ulcer (with flap closure)	500
General Surgery	Excision of Trochanteric Pressure Ulcer	200
General Surgery	Excision of Trochanteric Pressure Ulcer (with flap closure)	500
General Surgery	Delayed Primary Closure/Suturing of Skin Wound (<10 cm)	80
General Surgery	Delayed Primary Closure/Suturing of Skin Wound (10-20 cm)	100
General Surgery	Delayed Primary Closure/Suturing of Skin Wound (>20 cm)	150
General Surgery	Secondary Closure/Suturing of Skin Wound (<10 cm)	120
General Surgery	Secondary Closure/Suturing of Skin Wound (10-20 cm)	150
General Surgery	Secondary Closure/Suturing of Skin Wound (>20 cm)	200
General Surgery	Needle/Punch Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	60
General Surgery	Incisional/Wedge Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	80
General Surgery	Excisional Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	70
General Surgery	Other Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	60
General Surgery	Incision & Drainage of Hand Abscess/Haematoma – Simple	150
General Surgery	Incision & Drainage of Hand Abscess/Haematoma – Complex	300
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma (simple) – Upper Limb (other than hand)	60
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma (deep or complex) – Upper Limb (other than hand)	200
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma – Lower Limb (superficial or simple)	60
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma – Lower Limb (deep or complicated)	300
General Surgery	Incision & Drainage of Wound Hematoma – Small	30
General Surgery	Incision & Drainage of Wound Hematoma – Large	50
General Surgery	Incision & Drainage of Wound Abscess – Small	40
General Surgery	Incision & Drainage of Wound Abscess – Large	70
General Surgery	Penetrating Wound Exploration (without repair) – Neck	300
General Surgery	Penetrating Wound Exploration (without repair) – Back	300
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma – Abdominal Wall/Chest Wall (superficial or simple)	150
General Surgery	Incision & Drainage of Soft Tissue Abscess/Haematoma – Abdominal Wall/Chest Wall (deep or complex)	300
General Surgery	Incision & Drainage of Neck Abscess	200
General Surgery	Aspiration of Soft Tissue Abscess/Hematoma/Cyst	20
General Surgery	Subungual Hematoma Evacuation	25
General Surgery	Subungual Hematoma Pressure Relief (nail trephination)	15
General Surgery	Nail Removal – Wedge Resection	50
General Surgery	Nail Removal – Avulsion	60
General Surgery	Nail Removal – Vandenbos Procedure	80
General Surgery	Nail Removal – with Matrixectomy	100
General Surgery	Nail Removal – with Distal Phalanx Amputation (Syme’s procedure)	400
General Surgery	Nail Bed Repair/Suturing	100
General Surgery	Lymph Node Abscess Drainage – Simple	150
General Surgery	Lymph Node Abscess Drainage – Complex	300
General Surgery	Sclerotherapy for Lymphatic Malformation/Lymphangioma/Cystic Hygroma	150
General Surgery	Anorectal Manometry	50
General Surgery	Myelomeningocele Repair	1200
General Surgery	Meningocele Repair	1200
Vascular Surgery	Ankle-brachial Index (resting)	20
Vascular Surgery	Ankle-brachial Index (resting & post-exercise)	35
Vascular Surgery	Exploration of Artery (without repair) – Aorta	1000
Vascular Surgery	Exploration of Great Vessel (other than aorta)	1000
Vascular Surgery	Exploration of Artery (without repair) – Carotid Artery	800
Vascular Surgery	Exploration of Artery (without repair) – Subclavian Artery	800
Vascular Surgery	Exploration of Artery (without repair) – Axillary Artery	650
Vascular Surgery	Exploration of Artery (without repair) – Brachial Artery	650
Vascular Surgery	Exploration of Artery (without repair) – Radial Artery	500
Vascular Surgery	Exploration of Artery (without repair) – Ulnar Artery	500
Vascular Surgery	Exploration of Artery (without repair) – Abdominal Artery other than Aorta (e.g. renal, celiac, mesenteric)	900
Vascular Surgery	Exploration of Artery (without repair) – Iliac Artery	900
Vascular Surgery	Exploration of Artery (without repair) – Femoral Artery	600
Vascular Surgery	Exploration of Artery (without repair) – Popliteal Artery	500
Vascular Surgery	Exploration of Artery/Vein (not specified elsewhere) – Neck	700
Vascular Surgery	Exploration of Artery/Vein (not specified elsewhere) – Chest	1000
Vascular Surgery	Exploration of Artery/Vein (not specified elsewhere) – Abdomen	800
Vascular Surgery	Exploration of Artery/Vein (not specified elsewhere) – Limb	400
Vascular Surgery	Ligation of Neck Vein	400
Vascular Surgery	Ligation of Neck Artery	500
Vascular Surgery	Ligation of Chest Artery	1200
Vascular Surgery	Ligation of Chest Vein	1000
Vascular Surgery	Ligation of Abdominal/Pelvic Artery	700
Vascular Surgery	Ligation of Abdominal/Pelvic Vein	650
Vascular Surgery	Ligation/Plication of Inferior Vena Cava (other than post- traumatic)	800
Vascular Surgery	Ligation of Upper Limb Artery or Vein	400
Vascular Surgery	Ligation of Lower Limb Artery or Vein	400
Vascular Surgery	Embolectomy – Pulmonary Artery	1200
Vascular Surgery	Embolectomy – Innominate Artery	1100
Vascular Surgery	Embolectomy – Carotid Artery	1000
Vascular Surgery	Embolectomy – Subclavian Artery	1000
Vascular Surgery	Embolectomy – Axillary Artery	800
Vascular Surgery	Embolectomy – Brachial Artery	700
Vascular Surgery	Embolectomy – Radial Artery	550
Vascular Surgery	Embolectomy – Ulnar Artery	550
Vascular Surgery	Embolectomy – Abdominal Artery other than Aorta (e.g. renal, celiac, mesenteric)	1100
Vascular Surgery	Embolectomy – Aorta	1300
Vascular Surgery	Embolectomy – Iliac Artery	1100
Vascular Surgery	Embolectomy – Femoral Artery	800
Vascular Surgery	Embolectomy – Popliteal Artery	700
Vascular Surgery	Embolectomy – Other Lower Limb Artery	500
Vascular Surgery	Thrombectomy – Aorta	1300
Vascular Surgery	Thrombectomy – Carotid Artery	1000
Vascular Surgery	Thrombectomy – Innominate Artery	1100
Vascular Surgery	Thrombectomy – Subclavian Artery	1000
Vascular Surgery	Thrombectomy – Axillary Artery	800
Vascular Surgery	Thrombectomy – Brachial Artery	700
Vascular Surgery	Thrombectomy – Radial Artery	550
Vascular Surgery	Thrombectomy – Ulnar Artery	550
Vascular Surgery	Thrombectomy – Abdominal Artery other than Aorta (e.g. renal, celiac, mesenteric)	1100
Vascular Surgery	Thrombectomy – Iliac Artery	1100
Vascular Surgery	Thrombectomy – Femoral Artery	800
Vascular Surgery	Thrombectomy – Popliteal Artery	700
Vascular Surgery	Thrombectomy – Other Lower Limb Artery	500
Vascular Surgery	Thrombectomy – Arterial or Venous Graft (without graft revision)	700
Vascular Surgery	Thrombectomy – Arterial or Venous Graft (with graft revision)	850
Vascular Surgery	Thrombectomy – AV Fistula	700
Vascular Surgery	Endarterectomy – Pulmonary Artery	1300
Vascular Surgery	Endarterectomy – Carotid Artery	1100
Vascular Surgery	Endarterectomy – Vertebral Artery	1100
Vascular Surgery	Endarterectomy – Innominate Artery	1200
Vascular Surgery	Endarterectomy – Subclavian Artery	1100
Vascular Surgery	Endarterectomy – Axillary Artery	900
Vascular Surgery	Endarterectomy – Brachial Artery	800
Vascular Surgery	Endarterectomy – Radial Artery	650
Vascular Surgery	Endarterectomy – Ulnar Artery	650
Vascular Surgery	Endarterectomy – Aorta	1400
Vascular Surgery	Endarterectomy – Abdominal Artery (other than aorta)	1200
Vascular Surgery	Endarterectomy – Iliac Artery	1200
Vascular Surgery	Endarterectomy – Femoral Artery	900
Vascular Surgery	Endarterectomy – Popliteal Artery	800
Vascular Surgery	Endarterectomy – Other Lower Limb Artery	600
Vascular Surgery	Subclavian-Carotid Transposition	1000
Vascular Surgery	Carotid-Subclavian Transposition	1000
Vascular Surgery	Vertebral-Carotid Transposition	1100
Vascular Surgery	Vertebral-Subclavian Transposition	1100
Vascular Surgery	Bypass Grafting (vein graft) – Carotid-subclavian or Subclavian- carotid	1200
Vascular Surgery	Bypass Grafting (vein graft) – Others (involving the carotid artery)	1200
Vascular Surgery	Bypass Grafting (vein graft) – Subclavian-subclavian, -brachial, – vertebral, -axillary	1200
Vascular Surgery	Bypass Grafting (vein graft) – Axillary-axillary, -brachial	1200
Vascular Surgery	Bypass Grafting (vein graft) – Axillary-femoral	1200
Vascular Surgery	Bypass Grafting (vein graft) – Brachial-brachial, -ulnar, -radial	1200
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-subclavian, -innominate, – carotid	1500
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-celiac, -mesenteric	1300
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-renal	1300
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-iliac, -femoral	1300
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-bifemoral or Aorto bi-iliac	1500
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-iliofemoral	1500
Vascular Surgery	Bypass Grafting (vein graft) – Aorto-iliofemoral (bilateral)	1600
Vascular Surgery	Bypass Grafting (vein graft) – Aortofemoral-popliteal	1500
Vascular Surgery	Bypass Grafting (vein graft) – Hepato-renal or Spleno-renal	1300
Vascular Surgery	Bypass Grafting (vein graft) – Ilio-iliac or Ilio-femoral	1300
Vascular Surgery	Bypass Grafting (vein graft) – Femoral-femoral, -popliteal, -tibial, -distal	1200
Vascular Surgery	Bypass Grafting (vein graft) – Other distal bypass	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Carotid-subclavian or Subclavian-carotid	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Others (involving the carotid artery)	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Subclavian-subclavian, – brachial, -vertebral, -axillary	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Axillary-axillary, -femoral	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Axillary-popliteal, -tibial or Axillary-femoral-femoral	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Aorto-subclavian, -innominate, -carotid	1300
Vascular Surgery	Bypass Grafting (synthetic graft) – Aorto-celiac, -mesenteric, – renal	1100
Vascular Surgery	Bypass Grafting (synthetic graft) – Aorto-iliac or Aortobi-iliac	1300
Vascular Surgery	Bypass Grafting (synthetic graft) – Aorto-femoral or Aorto- bifemoral	1300
Vascular Surgery	Bypass Grafting (synthetic graft) – Aorto-femoral-popliteal	1300
Vascular Surgery	Bypass Grafting (synthetic graft) – Spleno-renal	1100
Vascular Surgery	Bypass Grafting (synthetic graft) – Ilio-celiac, -mesenteric, -renal	1100
Vascular Surgery	Bypass Grafting (synthetic graft) – Ilio-iliac or Ilio-femoral	1100
Vascular Surgery	Bypass Grafting (synthetic graft) – Femoral-femoral, -popliteal, – tibial, -distal	1000
Vascular Surgery	Bypass Grafting (synthetic graft) – Other distal bypass	800
Vascular Surgery	Bypass Graft Revision – Lower Limb	1000
Vascular Surgery	Injection for Pseudoaneurysm	300
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Ascending Aorta	2000
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Transverse Aortic Arch	2000
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Descending Aorta	2000
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Thoracoabdominal Aorta	2200
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Abdominal Aorta	1500
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Abdominal/Pelvic Artery (other than aorta)	1300
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Iliac Artery	1300
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Innominate Artery	1300
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Carotid Artery	1200
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Subclavian Artery	1200
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Vertebral Artery	1200
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Axillary Artery	1000
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Brachial Artery	900
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Radial Artery	750
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Ulnar Artery	750
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Femoral Artery	1000
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Popliteal Artery	900
Vascular Surgery	Repair of Aneurysm/Pseudoaneurysm – Other Lower Limb Artery	700
Vascular Surgery	Portacaval Shunt	1200
Vascular Surgery	Renoportal Shunt	1200
Vascular Surgery	Mesocaval Shunt	1200
Vascular Surgery	Splenorenal Shunt	1200
Vascular Surgery	Vein Valvuloplasty	500
Vascular Surgery	Vein Valve Transposition	1000
Vascular Surgery	Crossover Vein Graft to the Venous System	1000
Vascular Surgery	Saphenofemoral Vein Crossover Bypass Grafting	1000
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Radiocephalic	500
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Radiobasilic	500
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Brachiocephalic	500
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Brachiobasilic	500
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Other Forearm Vein Transposition	500
Vascular Surgery	Arteriovenous Fistula (AVF) Creation – Other Sites	500
Vascular Surgery	Redo Arteriovenous Fistula (AVF) Creation	650
Vascular Surgery	Arteriovenous Graft (AVG) e.g. PTFE graft	400
Vascular Surgery	Arteriovenous Fistula (AVF) Closure	400
Vascular Surgery	Arteriovenous Fistula (AVF) Thrombectomy	500
Vascular Surgery	Arteriovenous Fistula (AVF) Ligation/Banding	400
Vascular Surgery	Arteriovenous Fistula (AVF) Complications Repair (e.g. stenosis, aneurysm)	700
Vascular Surgery	Steal Syndrome Repair – Ligation/Banding	400
Vascular Surgery	Steal Syndrome Repair – Revascularization	1000
Vascular Surgery	Repair of AV Fistula (acquired) – Neck	900
Vascular Surgery	Repair of AV Fistula (acquired) – Abdomen/Pelvis	1000
Vascular Surgery	Repair of AV Fistula (acquired) – Upper Limb	700
Vascular Surgery	Repair of AV Fistula (acquired) – Lower Limb	700
Vascular Surgery	Repair of AV Fistula (congenital) – Neck	1200
Vascular Surgery	Repair of AV Fistula (congenital) – Abdomen/Pelvis	1300
Vascular Surgery	Repair of AV Fistula (congenital) – Upper Limb	1000
Vascular Surgery	Repair of AV Fistula (congenital) – Lower Limb	1000
Vascular Surgery	Repair of Blood Vessel (without graft) – Carotid Artery	1000
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Carotid Artery	1000
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Carotid Artery	1200
Vascular Surgery	Repair of Blood Vessel (without graft) – Subclavian Artery	1000
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Subclavian Artery	1000
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Subclavian Artery	1200
Vascular Surgery	Repair of Blood Vessel (without graft) – Axillary Artery	800
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Axillary Artery	800
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Axillary Artery	1000
Vascular Surgery	Repair of Blood Vessel (without graft) – Brachial Artery	700
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Brachial Artery	700
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Brachial Artery	900
Vascular Surgery	Repair of Blood Vessel (without graft) – Radial Artery	550
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Radial Artery	550
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Radial Artery	750
Vascular Surgery	Repair of Blood Vessel (without graft) – Ulnar Artery	550
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Ulnar Artery	550
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Ulnar Artery	750
Vascular Surgery	Repair of Blood Vessel (without graft) – Femoral Artery	800
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Femoral Artery	800
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Femoral Artery	1000
Vascular Surgery	Repair of Blood Vessel (without graft) – Popliteal Artery	700
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Popliteal Artery	700
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Popliteal Artery	900
Vascular Surgery	Repair of Abdominal Aorta (without graft)	1200
Vascular Surgery	Repair of Abdominal Aorta (with synthetic graft)	1200
Vascular Surgery	Repair of Abdominal Aorta (with vein graft)	1500
Vascular Surgery	Repair of Blood Vessel (without graft) – Abdominal/Pelvic Artery (other than aorta)	1100
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Abdominal/Pelvic Artery (other than aorta)	1100
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Abdominal/Pelvic Artery (other than aorta)	1300
Vascular Surgery	Repair of Inferior Vena Cava (without graft)	1200
Vascular Surgery	Repair of Inferior Vena Cava (with synthetic graft)	1200
Vascular Surgery	Repair of Inferior Vena Cava (with vein graft)	1500
Vascular Surgery	Repair of Blood Vessel (without graft) – Abdominal/Pelvic Vein (other than inferior vena cava)	1000
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Abdominal/Pelvic Vein (other than inferior vena cava)	1000
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Abdominal/Pelvic Vein (other than inferior vena cava)	1200
Vascular Surgery	Repair of Blood Vessel (without graft) – Neck Vein	800
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Neck Vein	800
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Neck Vein	900
Vascular Surgery	Repair of Blood Vessel (without graft) – Limb Vein	500
Vascular Surgery	Repair of Blood Vessel (with synthetic graft) – Limb Vein	500
Vascular Surgery	Repair of Blood Vessel (with vein graft) – Limb Vein	600
Vascular Surgery	Repair of Blood Vessel (not specified elsewhere) – Limb	500
Vascular Surgery	Repair of Blood Vessel (not specified elsewhere) – Neck	800
Vascular Surgery	Repair of Blood Vessel – Abdominal or Chest Walls	650
Vascular Surgery	Repair of Thoracic Aorta (without graft)	2000
Vascular Surgery	Repair of Thoracic Aorta (with synthetic graft)	2000
Vascular Surgery	Repair of Thoracic Aorta (with vein graft)	2200
Vascular Surgery	Repair of Superior Vena Cava (without graft)	1800
Vascular Surgery	Repair of Superior Vena Cava (with synthetic graft)	1800
Vascular Surgery	Repair of Superior Vena Cava (with vein graft)	2000
Vascular Surgery	Repair of Pulmonary Artery/Vein (without graft)	1800
Vascular Surgery	Repair of Pulmonary Artery/Vein (with synthetic graft)	1800
Vascular Surgery	Repair of Pulmonary Artery/Vein (with vein graft)	2000
Vascular Surgery	Sclerotherapy for Varicose Veins	150
Vascular Surgery	Endovenous Ablation of Varicose Veins (e.g. laser therapy, radiofrequency ablation)	250
Vascular Surgery	Ligation & Division of Long Saphenous Vein	300
Vascular Surgery	Ligation & Division of Short Saphenous Vein	300
Vascular Surgery	Ligation of Perforator Veins	250
Vascular Surgery	Ligation & Excision of Cluster of Varicose Veins	300
Vascular Surgery	Ligation & Stripping of Long Saphenous Vein	400
Vascular Surgery	Ligation & Stripping of Short Saphenous Vein	400
Vascular Surgery	Ligation & Stripping of Long and Short Saphenous Veins	500
Vascular Surgery	Ligation & Stripping of Long OR Short Saphenous Vein (with ulcer excision, skin graft, or communicating veins interruption)	500
Vascular Surgery	Phlebectomy of Varicose Veins	300
Vascular Surgery	Ligation of Venous Tributaries	250
Vascular Surgery	Ligation of Feeder Vessels	250
Vascular Surgery	Carotid Body Tumor Excision (without carotid artery excision)	800
Vascular Surgery	Carotid Body Tumor Excision (with carotid artery excision)	1200
Medicine & A/E	Lumbar Puncture	50
Medicine & A/E	Peripheral Nerve Biopsy	200
Medicine & A/E	Tensilon Test	35
Medicine & A/E	Electroencephalography (EEG)	60
Medicine & A/E	Long Term Electroencephalography (EEG)	250
Medicine & A/E	Needle Electromyography (Needle EMG)	100
Medicine & A/E	Nerve Conduction Studies (NCS)	60
Medicine & A/E	NCS + EMG	150
Medicine & A/E	Visual Evoked Potential (VEP)	40
Medicine & A/E	Somato-Sensory Evoked Potential (SSEP)	40
Medicine & A/E	Brainstem Auditory Evoked Potential (BAEP)	40
Medicine & A/E	Transcranial Magnetic Stimulation (TMS)	40
Medicine & A/E	Electro-convulsive Therapy (ECT)	50
Medicine & A/E	Single Fibre EMG	200
Medicine & A/E	Intracranial Ultrasound	60
Medicine & A/E	Muscle Biopsy – Needle	70
Medicine & A/E	Muscle Biopsy – Open	150
Medicine & A/E	Botox Injection	100
Medicine & A/E	Implantation of Neurostimulator – Cranial	600
Medicine & A/E	Implantation of Neurostimulator – Spinal	450
Medicine & A/E	Removal of Neurostimulator – Cranial	500
Medicine & A/E	Removal of Neurostimulator – Spinal	300
Medicine & A/E	Implantation of Neurostimulator – Others	400
Medicine & A/E	Removal of Neurostimulator – Others	250
Medicine & A/E	IQ Test	15
Medicine & A/E	Electrocardiography (ECG)	10
Medicine & A/E	24-hour BP Monitoring	60
Medicine & A/E	24-hour Holter Monitoring	60
Medicine & A/E	Transthoracic Echocardiography (TTE) – Adult	70
Medicine & A/E	Transthoracic Echocardiography (TTE) – Paediatric	90
Medicine & A/E	Transesophageal Echocardiography (TEE)	130
Medicine & A/E	Dobutamine Stress Echocardiography (DSE)	120
Medicine & A/E	Exercise Stress Echocardiography	100
Medicine & A/E	Treadmill Exercise Test	50
Medicine & A/E	Tilt-table Test	100
Medicine & A/E	Bronchoscopy and Bronchial Washing	100
Medicine & A/E	Bronchoscopy and Endobronchial Brushing	110
Medicine & A/E	Bronchoscopy and Endobronchial Biopsy	130
Medicine & A/E	Bronchoscopy – Diagnostic	100
Medicine & A/E	Bronchoscopy for Difficult Intubation	110
Medicine & A/E	Bronchoscopy and Foreign Body Removal	120
Medicine & A/E	Bronchoscopy and Broncho-Alveolar Lavage	110
Medicine & A/E	Bronchoscopy and Transbronchial Lung Biopsy	140
Medicine & A/E	Bronchoscopy for Tracheostomy Tube Placement	110
Medicine & A/E	Endo-Bronchial Ultrasound (EBUS)	100
Medicine & A/E	Endo-Bronchial Ultrasound and Fine Needle Aspiration Cytology (FNAC)	170
Medicine & A/E	Intercostal Tube Insertion	70
Medicine & A/E	Pleural Biopsy – Closed	75
Medicine & A/E	Pleural Aspiration/Tap – Diagnostic	50
Medicine & A/E	Pleural Aspiration/Tap – Therapeutic	60
Medicine & A/E	Medical Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion	200
Medicine & A/E	Medical Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion and Pleurodesis	270
Medicine & A/E	Medical Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion and Pleural Biopsy	270
Medicine & A/E	Medical Pleurodesis	100
Medicine & A/E	Video Assisted Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion	350
Medicine & A/E	Video Assisted Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion and Pleurodesis	400
Medicine & A/E	Video Assisted Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion and Pleural Biopsy	450
Medicine & A/E	Video Assisted Thoracoscopy (Pleuroscopy) with Intercostal Tube Insertion, Pleural Biopsy, and Lung Biopsy	600
Medicine & A/E	6 Minute Walk Test	15
Medicine & A/E	Spirometry	25
Medicine & A/E	Spirometry with Reversibility	40
Medicine & A/E	Full Pulmonary Function Test	50
Medicine & A/E	Methacholine Challenge Test	110
Medicine & A/E	Overnight Pulse Oximetry	30
Medicine & A/E	Cardiopulmonary Exercise Test	60
Medicine & A/E	Level 1 Diagnostic Sleep Study [Polysomnography (PSG)]	270
Medicine & A/E	Level 2 Diagnostic Sleep Study [Polysomnography (PSG)]	220
Medicine & A/E	Level 3 Sleep Screening (Polygraphy)	120
Medicine & A/E	Level 1 Split Night Sleep Study [Polysomnography (PSG)]	300
Medicine & A/E	CPAP Titration Study	300
Medicine & A/E	BiPAP Titration Study	300
Medicine & A/E	CPAP/BiPAP Education	20
Medicine & A/E	Mantoux Test	5
Medicine & A/E	Reading Mantoux Test	2
Medicine & A/E	Nebulized Medication Delivery	5
Medicine & A/E	Inhaler Technique	5
Medicine & A/E	Esophageal Manometry	50
Medicine & A/E	Capsule Endoscopy	350
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) – Diagnostic	100
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Biopsy	110
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Foreign Body Removal	150
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Band Ligation of Oesophageal and/or Gastric Varices	170
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Sclerotherapy for Oesophageal and/or Gastric Varices	160
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Dilatation of Stricture/Obstruction	150
Medicine & A/E	Oesophagoscopy with Dilatation of Achalasia	180
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Intraluminal Tube/Stent Insertion	150
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Injecting Submucosal Substance	150
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Lesion Removal (any method)	180
Medicine & A/E	Oesophagogastroduodenoscopy (OGD) with Control of Bleeding (any method)	180
Medicine & A/E	Gastroesophageal Tube/Stent Removal (endoscopic)	120
Medicine & A/E	Percutaneous Endoscopic Gastrostomy (PEG)	170
Medicine & A/E	Colonoscopy – Diagnostic	130
Medicine & A/E	Colonoscopy with Biopsy	140
Medicine & A/E	Colonoscopy with Foreign Body or Lesion Removal (any method)	180
Medicine & A/E	Colonoscopy with Injecting Submucosal Substance	150
Medicine & A/E	Colonoscopy with Dilatation and/or Intraluminal Tube/Stent Insertion	170
Medicine & A/E	Colonoscopy with Control of Bleeding (any method)	200
Medicine & A/E	Endoscopic Ultrasound (EUS) – Diagnostic (Upper GI Tract)	400
Medicine & A/E	Endoscopic Ultrasound (EUS) – Diagnostic (Lower GI Tract)	300
Medicine & A/E	Endoscopic Ultrasound (EUS) – Interventional	800
Medicine & A/E	Endoscopic Ultrasound-Guided Fine Needle Aspiration Biopsy (EUS-FNA)	600
Medicine & A/E	Paracentesis	50
Medicine & A/E	24-hour Oesophageal pH Monitoring	200
Medicine & A/E	Nasogastric Tube (NGT) Insertion	5
Medicine & A/E	Nasogastric Tube (NGT) Removal	2
Medicine & A/E	Gastric Lavage	15
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) – Diagnostic	800
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) with Biopsy	850
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Foreign Body Removal	850
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Tube/Stent Placement (any site)	900
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Removal/Destruction of Calculi	1000
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) with Sphincterotomy/Papillotomy	1000
Medicine & A/E	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Balloon Dilatation (any site)	1000
Medicine & A/E	Sweat Test	50
Medicine & A/E	Skin Prick Test	40
Medicine & A/E	Patch Test	50
Medicine & A/E	Intradermal Skin Test	10
Medicine & A/E	Drug Provocative Challenge Test	100
Medicine & A/E	Food Provocative Challenge Test	100
Medicine & A/E	Immunotherapy/Desensitization (inpatient)	150
Medicine & A/E	Immunotherapy/Desensitization (outpatient)	10 (per session)
Medicine & A/E	Tracheostomy – Planned	300
Medicine & A/E	Tracheostomy – Emergency	150
Medicine & A/E	Tracheostomy – Redo	250
Medicine & A/E	Changing Tracheostomy Tube	10
Medicine & A/E	Tracheostomy Closure (without plastic repair)	150
Medicine & A/E	Tracheostomy Closure (with plastic repair)	300
Medicine & A/E	Endotracheal Intubation	50
Medicine & A/E	Endotracheal Extubation	10
Medicine & A/E	Subcutaneous Injection	2
Medicine & A/E	Intramuscular Injection	2
Medicine & A/E	Intravenous Injection	3
Medicine & A/E	Parenteral Nutrition (PN) Administration – Peripheral Line	20
Medicine & A/E	Parenteral Nutrition (PN) Administration – Central Line	20
Medicine & A/E	Enteral Nutrition (EN) Administration	15
Medicine & A/E	Urinary Catheter Insertion (Foley’s catheter) – Male	10
Medicine & A/E	Urinary Catheter Insertion (Foley’s catheter) – Female	7
Medicine & A/E	Joint Aspiration and/or Injection	25
Medicine & A/E	Ganglion/Bursa Aspiration and/or Injection	25
Medicine & A/E	Temporal Artery Biopsy	100
Medicine & A/E	Epidural Injection/Analgesia	100
Medicine & A/E	Intrathecal Injection	100
Medicine & A/E	Venipuncture – Percutaneous	2
Medicine & A/E	Venipuncture – Cutdown	25
Medicine & A/E	Arterial Line Insertion – Percutaneous	25
Medicine & A/E	Arterial Line Insertion – Cutdown	60
Medicine & A/E	Arterial Puncture (for arterial blood gas analysis)	10
Medicine & A/E	Therapeutic Phlebotomy/Venesection	25
Medicine & A/E	Umbilical Vein Catheterization	50
Medicine & A/E	Insertion of Non-tunneled Central Venous Line	150
Medicine & A/E	Insertion of Peripherally-inserted Central Catheter (PICC)	150
Medicine & A/E	Insertion of Tunneled Central Venous Line (e.g. Hickman line, Permcath, Tesio catheter)	250
Medicine & A/E	Insertion of Implantable Port (e.g. Porta Cath)	300
Medicine & A/E	Removal of Non-tunneled Central Venous Line	30
Medicine & A/E	Removal of Peripherally-inserted Central Catheter (PICC)	30
Medicine & A/E	Removal of Tunneled Central Venous Line	80
Medicine & A/E	Removal of Implantable Port	100
Medicine & A/E	Insertion of Peritoneal Dialysis Catheter (e.g. Tenckhoff cathter)	250
Medicine & A/E	Re-insertion of Peritoneal Dialysis Catheter	250
Medicine & A/E	Removal of Peritoneal Dialysis Catheter – Pulling out	20
Medicine & A/E	Removal of Peritoneal Dialysis Catheter – Surgical	150
Medicine & A/E	Peritoneal Dialysis	35
Medicine & A/E	Haemodialysis	95
Medicine & A/E	Urodynamic Study	50
Medicine & A/E	Thyroid FNAC	50
Medicine & A/E	Parathyroid FNAC	50
Medicine & A/E	Saline Suppression Test	20
Medicine & A/E	Oral Glucose Tolerance Test (OGTT)	5
Medicine & A/E	Low Dose Dexamethasone Suppression Testing (LDDST)	10
Medicine & A/E	Continuous Glucose Monitoring System (CGMS)	15 (not including device cost)
Medicine & A/E	Continuous Subcutaneous Insulin Infusion (insulin pump therapy)	15 (not including device cost)
Medicine & A/E	Foreign Body Removal from Soft Tissue – Superficial	80
Medicine & A/E	Foreign Body Removal from Soft Tissue – Deep (simple)	150
Medicine & A/E	Foreign Body Removal from Soft Tissue – Deep (complex)	300
Medicine & A/E	Removal of Stuck Finger Ring	45
Medicine & A/E	Hyperbaric Oxygen Therapy (for mild diving injury)	150
Medicine & A/E	Hyperbaric Oxygen Therapy (for severe diving injury)	220
Medicine & A/E	Hyperbaric Oxygen Therapy (for routine case)	110
Medicine & A/E	Hyperbaric Oxygen Therapy (for emergency case)	120
Medicine & A/E	Bone Marrow Aspiration/Biopsy	80
Medicine & A/E	Allogeneic Bone Marrow – Fresh	1114
Medicine & A/E	Allogeneic Bone Marrow – Frozen	1114
Medicine & A/E	Plasmapheresis	116
Medicine & A/E	Blood Transfusion Service (≤ 2 years old)	30
Medicine & A/E	Blood Transfusion Service (>2 years old)	15
Medicine & A/E	Blood Exchange – Newborn	57
Medicine & A/E	Blood Exchange (other than newborn)	57
Medicine & A/E	Harvest Allogenic Stem Cells	39
Medicine & A/E	Harvest Autologous Stem Cells	40
Medicine & A/E	Croypreserve Stem Cells	22
Medicine & A/E	Thaw Preserved Stem Cells	14
Medicine & A/E	Wash Harvest Stem Cells	6
Medicine & A/E	T-cell Depletion of Harvest	39
Medicine & A/E	Tumor Cell Deplete of Harvest	36
Medicine & A/E	RBC Depletion of Harvest	23
Medicine & A/E	Platelets Deplete of Harvest	6
Medicine & A/E	Volume Deplete of Harvest	20
Medicine & A/E	Bone Marrow Harvest Allogeneic	170
Medicine & A/E	Bone Marrow/Stem Cell Transplant Autologous	62
Medicine & A/E	Bone Marrow/Stem Cell Transplant Allogeneic	61
Medicine & A/E	Lymphocyte Infuse Transplant	47
Nursing	Newborn Hearing Screening	25
Nursing	Tympanometry	10
Nursing	Audiometry	15
Nursing	24 Hours Urine Collection	2
Nursing	Cervical Collar	2 (not including collar price)
Nursing	Cold Compress/Pack	4
Nursing	Collar & Cuff Sling	3
Nursing	Colostomy/Ileostomy Bag	5
Nursing	Crepe Bandage	2
Nursing	Hot Compress/Pack	4
Nursing	Tubular Bandage (Tubigrip)	2
Nursing	Eye Pad	0
Nursing	Assisting the Mother for Breast Feeding	0
Nursing	Bed Bath	4
Nursing	Blood Collection	2
Nursing	Cardiotocography (CTG)	10
Nursing	Care of Infested Head	3
Nursing	Catheter Removal (other than urinary catheter)	5
Nursing	Change of Compress/Pack	0
Nursing	Changing Napkin	0
Nursing	Changing Position	0
Nursing	Changing Tracheostomy Tube	10
Nursing	Cup Feeding	0
Nursing	Cytotoxic Drug/Chemotherapy Administration – Adult	40
Nursing	Cytotoxic Drug/Chemotherapy Administration – Paediatric	40
Nursing	Drainage Tube Changing	3
Nursing	Drainage Tube Removal	4
Nursing	Enema Administration	5
Nursing	Enteral Nutrition (EN) Administration	15
Nursing	Eye Care	3
Nursing	Gastric Lavage	15
Nursing	Heparin Lock	3
Nursing	Home Care Aerosol Therapy	10
Nursing	Home Care of Patients on Invasive Ventilation	15
Nursing	Home Care of Patients on Non-invasive Ventilation	15
Nursing	Home Care Oxygen Therapy	10
Nursing	Home Care SpO2 Monitoring	10
Nursing	Instilling Eye Drops	0
Nursing	Intramuscular Injection	2
Nursing	Intravenous Infusion Therapy (other than chemotherapy)	10
Nursing	Intravenous Cannulation	3
Nursing	Intravenous Injection	3
Nursing	Last Offices (Body Shrouding)	120
Nursing	Metal Clips Removal	3
Nursing	Milk Preparation	0
Nursing	Mouth Care	3
Nursing	Nasogastric Tube (NGT) Insertion	5
Nursing	Nasogastric Tube (NGT) Removal	2
Nursing	Nebulized Medication Delivery	5
Nursing	NGT Feeding	0
Nursing	Oxygen Therapy Via Mask	3
Nursing	Oxygen Therapy Via Nasal Catheter	3
Nursing	Parenteral Nutrition (PN) Administration – Central Line	20
Nursing	Parenteral Nutrition (PN) Administration – Peripheral Line	20
Nursing	Perineal Care	3
Nursing	Pre-operative Procedures	0
Nursing	Pulse Oxymetry	0
Nursing	Random Blood Sugar (RBS) Test	1
Nursing	Sitze Bath	3
Nursing	Splinter Removal	3
Nursing	Steam Inhalation	3
Nursing	Sterilizing Feeding Utilities	0
Nursing	Stoma Care	3
Nursing	Subcutaneous Injection	2
Nursing	Suctioning	0
Nursing	Suppository Administration	1
Nursing	Temporary Mobilization	10
Nursing	Tepid Sponge	0
Nursing	Tetanus Toxoid (TT) Injection	2
Nursing	Tracheostomy Nursing Care	3
Nursing	Urinary Catheter Insertion (Urethral Catheterization) – Female	7
Nursing	Urinary Catheter Insertion (Urethral Catheterization) – Male	10
Nursing	Urinary Catheter Removal	2
Nursing	Urinary Condom Application	3
Nursing	Urine Collection – Single Sample	1
Nursing	Urine Dipstick	1
Nursing	Vaccine Administration (other than TT)	2
Nursing	Wound Dressing	3
Nursing	Wound Sutures Removal	3
Orthopedics	Muscle Biopsy – Needle	70
Orthopedics	Muscle Biopsy – Open	150
Orthopedics	Bone Biopsy (needle) – Superficial Bone	80
Orthopedics	Bone Biopsy (needle) – Deep Bone	100
Orthopedics	Bone Biopsy (surgical)	250
Orthopedics	Foreign Body Removal from Soft Tissue – Superficial	80
Orthopedics	Foreign Body Removal from Soft Tissue – Deep (simple)	150
Orthopedics	Foreign Body Removal from Soft Tissue – Deep (complex)	300
Orthopedics	Penetrating Wound Exploration (without repair) – Extremities	200
Orthopedics	Incision & Drainage of Wound Hematoma – Small	30
Orthopedics	Incision & Drainage of Wound Hematoma – Large	50
Orthopedics	Incision & Drainage of Wound Abscess – Small	40
Orthopedics	Incision & Drainage of Wound Abscess – Large	70
Orthopedics	Joint Aspiration and/or Injection	25
Orthopedics	Ganglion/Bursa Aspiration and/or Injection	25
Orthopedics	Incision & Drainage of Bursa	150
Orthopedics	Incision of Bone Cortex (e.g. osteomyelitis, bone abscess) – Upper Limb	350
Orthopedics	Incision of Bone Cortex (e.g. osteomyelitis, bone abscess) – Lower Limb (other than hip)	450
Orthopedics	Incision of Bone Cortex (e.g. osteomyelitis, bone abscess) – Hip/Pelvis	700
Orthopedics	Partial Excision of Bone (e.g. sequestrectomy, saucerization, diaphysectomy) – Upper Limb	450
Orthopedics	Partial Excision of Bone (e.g. sequestrectomy, saucerization, diaphysectomy) – Lower Limb	450
Orthopedics	Partial Excision of Bone (e.g. sequestrectomy, saucerization, diaphysectomy) – Pelvis	700
Orthopedics	Partial Excision of Bone (e.g. sequestrectomy, saucerization, diaphysectomy) – Scapula	600
Orthopedics	Partial Excision of Bone (e.g. sequestrectomy, saucerization, diaphysectomy) – Clavicle	450
Orthopedics	Marginal Excision of Soft Tissue Tumor – Upper Limb	700
Orthopedics	Wide Excision of Soft Tissue Tumor (without graft) – Upper Limb	900
Orthopedics	Wide Excision of Soft Tissue Tumor (with graft) – Upper Limb	1200
Orthopedics	Radical Excision of Soft Tissue Tumor – Upper Limb	1800
Orthopedics	Marginal Excision of Soft Tissue Tumor – Lower Limb	700
Orthopedics	Wide Excision of Soft Tissue Tumor (without graft) – Lower Limb	900
Orthopedics	Wide Excision of Soft Tissue Tumor (with graft) – Lower Limb	1200
Orthopedics	Radical Excision of Soft Tissue Tumor – Lower Limb	1800
Orthopedics	Marginal Excision of Soft Tissue Tumor – Pelvis	700
Orthopedics	Wide Excision of Soft Tissue Tumor (without graft) – Pelvis	900
Orthopedics	Wide Excision of Soft Tissue Tumor (with graft) – Pelvis	1200
Orthopedics	Radical Excision of Soft Tissue Tumor – Pelvis	1800
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (without graft) – Upper Limb	900
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (with graft) – Upper Limb	1200
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (without graft) – Pelvis	1100
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (with graft) – Pelvis	1500
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (without graft) – Lower Limb	900
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (with graft) – Lower Limb	1200
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (without graft) – Clavicle	900
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (with graft) – Clavicle	1200
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (without graft) – Scapula	900
Orthopedics	Excision/Curettage of Bone Cyst or Benign Tumor (with graft) – Scapula	1200
Orthopedics	Radical Excision of Bone Tumor – Upper Limb	1800
Orthopedics	Radical Excision of Bone Tumor – Pelvis	1800
Orthopedics	Radical Excision of Bone Tumor – Lower Limb	1800
Orthopedics	Radical Excision of Bone Tumor – Scapula	1800
Orthopedics	Radical Excision of Bone Tumor – Clavicle	1800
Orthopedics	Arthrotomy (for exploration, drainage, or removal of loose or foreign body)	900
Orthopedics	Arthrotomy and Repair	900
Orthopedics	Arthrotomy and Biopsy – Small Joint	500
Orthopedics	Arthrotomy and Biopsy – Large Joint	700
Orthopedics	Joint Resection (arthrectomy)	900
Orthopedics	Capsulotomy – Large Joint or Complex	1000
Orthopedics	Capsulotomy – Small Joint or Simple	700
Orthopedics	Capsulorrhaphy – Large Joint or Complex	700
Orthopedics	Capsulorrhaphy – Small Joint or Simple	500
Orthopedics	Bankart Procedure	1400
Orthopedics	Bristow Procedure	1100
Orthopedics	Boytchev Procedure	1400
Orthopedics	Capsulectomy – Large Joint or Complex	1100
Orthopedics	Capsulectomy – Small Joint or Simple	700
Orthopedics	Capsulodesis	700
Orthopedics	Acromioclavicular Joint Repair/Reconstruction	1400
Orthopedics	Prophylactic Fixation of Bone	900
Orthopedics	Fasciotomy – Upper Limb	500
Orthopedics	Fasciotomy – Pelvic Compartment	900
Orthopedics	Fasciotomy –Thigh/Knee	700
Orthopedics	Iliotibial Fasciotomy (Yount Release)	700
Orthopedics	Fasciotomy – Leg	600
Orthopedics	Fasciotomy – Foot/Toe	500
Orthopedics	Fasciotomy – Endoscopic	700
Orthopedics	Fasciectomy – Upper Limb	500
Orthopedics	Fasciectomy – Lower Limb	500
Orthopedics	Plantar Fascia Release (e.g. Steindler stripping)	500
Orthopedics	Fascial Defect Repair	400
Orthopedics	Excision of Bursa	500
Orthopedics	Excision of Popliteal Cyst (Baker Cyst)	1100
Orthopedics	Excision of Ganglion – Knee	1100
Orthopedics	Excision of Ganglion (other than knee)	500
Orthopedics	Excision of other lesions of Joint Capsule or Tendon Sheath – Knee	700
Orthopedics	Excision of other lesions of Joint Capsule or Tendon Sheath (other than knee)	500
Orthopedics	Excision of other lesions of Joint Capsule or Tendon Sheath (other than knee) – Radical	700
Orthopedics	Bone Cyst Aspiration and/or Injection	120
Orthopedics	Muscle Transfer	1000
Orthopedics	Muscle Repair (other than rotator cuff)	700
Orthopedics	Rotator Cuff Repair	1400
Orthopedics	Acromioplasty	1100
Orthopedics	Scapulopexy	800
Orthopedics	Bone Resection – Coccyx (coccygectomy)	2000
Orthopedics	Bone Resection – Humeral Head	700
Orthopedics	Bone Resection – Distal Ulna (e.g. Darrach procedure)	500
Orthopedics	Bone Resection – Carpal Bone (Carpectomy)	1100
Orthopedics	Bone Resection – Radial Head	500
Orthopedics	Bone Resection (not specified elsewhere) – Minor	500
Orthopedics	Bone Resection (not specified elsewhere) – Major	900
Orthopedics	Bone Resection – Calcaneus/Tarsal Bone (e.g. Kidner procedure)	700
Orthopedics	Bone Resection – Metatarsal	500
Orthopedics	Bone Resection – Phalanx	500
Orthopedics	Bone Resection – Sesamoid Bone	500
Orthopedics	Bone Resection – Clavicle (partial)	900
Orthopedics	Bone Resection – Clavicle (total)	1400
Orthopedics	Excision of Osteochondritis Dissecans	900
Orthopedics	Drilling of Osteochondritis Dissecans	900
Orthopedics	Excision of Myositis Ossificans	1400
Orthopedics	Osteochondral Graft (as sole procedure)	1400
Orthopedics	Tendon Lengthening	900
Orthopedics	Tendon Shortening	900
Orthopedics	Tenotomy – Percutaneous	200
Orthopedics	Tenotomy – Open	300
Orthopedics	Tenodesis	300
Orthopedics	DeQuervain Tendon Release	500
Orthopedics	Trigger Finger Release	350
Orthopedics	Tendon Sheath Incision (not specified elsewhere)	200
Orthopedics	Tendon Sheath Repair (not specified elsewhere)	900
Orthopedics	Tendon Pulley Reconstruction	900
Orthopedics	Tenoplasty	900
Orthopedics	Tendon Excision	300
Orthopedics	Tendon Excision (with synthetic rod implantation)	900
Orthopedics	Flexor Tendon Repair	900
Orthopedics	Extensor Tendon Repair	900
Orthopedics	Tendon Repair (not specified elsewhere)	900
Orthopedics	Boutonniere Deformity Correction	900
Orthopedics	Mallet Deformity Correction	900
Orthopedics	Tendon Transfer – Single	900
Orthopedics	Tendon Transfer – Multiple	1200
Orthopedics	Ligament Repair (not specified elsewher)	1800
Orthopedics	Collateral Ligament Repair	1800
Orthopedics	Cruciate Ligament Repair	1800
Orthopedics	Collateral AND Cruciate Ligaments Repair	2800
Orthopedics	Arthroscopic Repair of Anterior Cruciate Ligament	1800
Orthopedics	Arthroscopic Repair of Posterior Cruciate Ligament	1800
Orthopedics	Arthroscopic Repair of Anterior AND Posterior Cruciate Ligaments	2800
Orthopedics	Hemiarthroplasty – Shoulder	1800
Orthopedics	Hemiarthroplasty – Hip	1800
Orthopedics	Arthroplasty – Shoulder (total)	2800
Orthopedics	Revision Arthroplasty – Shoulder	4800
Orthopedics	Arthroplasty – Elbow	2800
Orthopedics	Revision Arthroplasty – Elbow	4800
Orthopedics	Acetabuloplasty	1800
Orthopedics	Arthroplasty – Hip (total)	2800
Orthopedics	Revision Arthroplasty – Hip	4800
Orthopedics	Arthroplasty – Knee (total)	2800
Orthopedics	Arthroplasty – Knee (hinge prosthesis)	3800
Orthopedics	Arthroplasty – Knee (unicompartmental)	2800
Orthopedics	Arthroplasty – Knee (others)	2800
Orthopedics	Arthroplasty – Patella	1800
Orthopedics	Revision Arthroplasty – Knee	4800
Orthopedics	Arthroplasty – Ankle	2800
Orthopedics	Revision Arthroplasty – Ankle	4800
Orthopedics	Arthroplasty – Foot	2800
Orthopedics	Sternocleidomastoid Muscle Release	300
Orthopedics	Patellar Retinacular Release and Medial Plication	300
Orthopedics	Reconstruction of Dislocating Patella	900
Orthopedics	Arthrodesis – Shoulder	900
Orthopedics	Arthrodesis – Scapulothoracic	1000
Orthopedics	Arthrodesis – Elbow	900
Orthopedics	Arthrodesis – Sacroiliac Joint	900
Orthopedics	Arthrodesis – Symphysis Pubis	900
Orthopedics	Arthrodesis – Hip	1800
Orthopedics	Arthrodesis – Knee	1800
Orthopedics	Arthrodesis – Ankle	1800
Orthopedics	Arthrodesis – Tibiofibular Joint	900
Orthopedics	Arthrodesis – Pantalar	1800
Orthopedics	Arthrodesis – Triple	2800
Orthopedics	Arthrodesis – Subtalar	1800
Orthopedics	Arthrodesis – Foot (not specified elsewhere)	900
Orthopedics	Arthrodesis – Toe	900
Orthopedics	Arthrodesis – Others	900
Orthopedics	Closed Reduction of Spontaneous Hip Dislocation (e.g. congenital hip dislocation)	400
Orthopedics	Open Reduction of Spontaneous Hip Dislocation (e.g. congenital hip dislocation)	900
Orthopedics	Open Reduction of Spontaneous Hip Dislocation (e.g. congenital hip dislocation) – with femoral shaft shortening	1800
Orthopedics	Closed Reduction of Dislocation – Sternoclavicular Joint	300
Orthopedics	Closed Reduction of Dislocation – Acromioclavicular Joint	300
Orthopedics	Closed Reduction of Dislocation – Shoulder	300
Orthopedics	Closed Reduction of Dislocation – Elbow	300
Orthopedics	Closed Reduction of Dislocation – Wrist	300
Orthopedics	Closed Reduction of Dislocation – Metacarpophalangeal Joint	300
Orthopedics	Closed Reduction of Dislocation – Interphalangeal Joint (finger)	300
Orthopedics	Closed Reduction of Dislocation – Hip	300
Orthopedics	Closed Reduction of Dislocation – Knee	300
Orthopedics	Closed Reduction of Dislocation – Patella	300
Orthopedics	Closed Reduction of Dislocation – Ankle/Foot	300
Orthopedics	Closed Reduction of Dislocation – Metatarsophalangeal Joint	200
Orthopedics	Closed Reduction of Dislocation – Interphalangeal Joint (toe)	200
Orthopedics	Open Reduction of Dislocation – Sternoclavicular Joint	900
Orthopedics	Open Reduction of Dislocation – Acromioclavicular Joint	900
Orthopedics	Open Reduction of Dislocation – Shoulder	900
Orthopedics	Open Reduction of Dislocation – Elbow	900
Orthopedics	Open Reduction of Dislocation – Wrist	900
Orthopedics	Open Reduction of Dislocation – Metacarpophalangeal Joint	900
Orthopedics	Open Reduction of Dislocation – Interphalangeal Joint (finger)	900
Orthopedics	Open Reduction of Dislocation – Hip	900
Orthopedics	Open Reduction of Dislocation – Knee	900
Orthopedics	Open Reduction of Dislocation – Knee (with ligamentous repair)	2800
Orthopedics	Open Reduction of Dislocation – Patella	1800
Orthopedics	Open Reduction of Dislocation – Ankle/Foot	900
Orthopedics	Open Reduction of Dislocation – Metatarsophalangeal Joint	450
Orthopedics	Open Reduction of Dislocation – Interphalangeal Joint (toe)	450
Orthopedics	Bunion (hallux valgus) Correction	900
Orthopedics	Centralization of Carpus	900
Orthopedics	Radioulnar Synostosis Resection	900
Orthopedics	Club Foot (congenital talipes equinovarus) Correction – Ponseti Method	180
Orthopedics	Club Foot (congenital talipes equinovarus) Correction – External Fixator	700
Orthopedics	Club Foot (congenital talipes equinovarus) Correction – Soft Tissue Release	450
Orthopedics	Joint Manipulation (other than dislocation)	180
Orthopedics	Amputation Stump Secondary Closure or Scar Revision	400
Orthopedics	Re-amputation/Revision Amputation	900
Orthopedics	Amputation Stump Elongation	900
Orthopedics	Cineplasty (connecting prosthesis to amputation stump)	900
Orthopedics	Krukenberg Procedure (converting amputation stump to pincer)	900
Orthopedics	Forequarter Amputation (interthoracoscapular amputation)	1400
Orthopedics	Above Elbow Amputation	900
Orthopedics	Below Elbow Amputation	900
Orthopedics	Hand Amputation (transmetacarpal amputation)	900
Orthopedics	Thumb/Finger Amputation (e.g. ray amputation)	900
Orthopedics	Hindquarter Amputation (interpelviabdominal amputation)	1800
Orthopedics	Above Knee Amputation	900
Orthopedics	Below Knee Amputation	900
Orthopedics	Foot Amputation (midtarsal)	900
Orthopedics	Foot Amputation (transmetatarsal)	900
Orthopedics	Toe Amputation (e.g. ray amputation)	450
Orthopedics	Shoulder Disarticulation	900
Orthopedics	Wrist Disarticulation	900
Orthopedics	Hip Disarticulation	900
Orthopedics	Knee Disarticulation	900
Orthopedics	Ankle Disarticulation (Syme’s amputation)	900
Orthopedics	Arthroscopy – Diagnostic	600
Orthopedics	Arthroscopic Capsulorrhaphy	800
Orthopedics	Arthroscopic Removal of Loose or Foreign Body	600
Orthopedics	Arthroscopic Synovectomy	600
Orthopedics	Arthroscopic Drainage & Lavage	600
Orthopedics	Arthroscopic Debridement	600
Orthopedics	Arthroscopic Lysis of Adhesions	600
Orthopedics	Arthroscopic Rotator Cuff Repair	2000
Orthopedics	Arthroscopic Repair/Fixation of Fracture or Instability	2000
Orthopedics	Arthroscopic Cartilage Repair	1000
Orthopedics	Arthroscopic Labral Repair	2000
Orthopedics	Arthroscopic Abrasion Arthroplasty	1000
Orthopedics	Arthroscopic Restoration of Articular Cartilage (e.g. drilling, microfracture)	1000
Orthopedics	Arthroscopic Osteochondral Allograft (e.g. mosaicplasty)	1500
Orthopedics	Arthroscopy Meniscal Transplantation	3000
Orthopedics	Arthroscopic Meniscectomy	800
Orthopedics	Arthroscopic Meniscus Repair	800
Orthopedics	Arthroscopic Ligament Release	600
Orthopedics	Arthroscopic Tenodesis	600
Orthopedics	Arthroscopic Acetabuloplasty	1000
Orthopedics	Arthroscopic Femoroplasty	1000
Orthopedics	Osteotomy – Clavicle	1000
Orthopedics	Osteotomy – Humerus	1000
Orthopedics	Osteotomy – Radius/Ulna	1000
Orthopedics	Osteotomy – Radius & Ulna	1000
Orthopedics	Osteotomy – Metacarpal/Phalanx	1000
Orthopedics	Osteotomy – Pelvic Bone	2000
Orthopedics	Osteotomy – Femur (neck)	2000
Orthopedics	Osteotomy – Femur (intertrochanteric or subtrochanteric)	2000
Orthopedics	Osteotomy – Femur (others)	2000
Orthopedics	Osteotomy – for Genu Varus/Valgus	1500
Orthopedics	Osteotomy – Tibia	1500
Orthopedics	Osteotomy – Fibula	1000
Orthopedics	Osteotomy – Tibia & Fibula	2000
Orthopedics	Osteotomy – Calcaneus/ Tarsal Bones	1500
Orthopedics	Osteotomy – Metatarsal	1500
Orthopedics	Osteotomy – Phalanx (toe)	1000
Orthopedics	Osteotomy (Multiple) – Humerus	2000
Orthopedics	Osteotomy (Multiple) – Radius/Ulna	1500
Orthopedics	Osteotomy (Multiple) – Radius & Ulna	1500
Orthopedics	Osteotomy (Multiple) – Femur	2000
Orthopedics	Osteotomy (Multiple) – Leg	2000
Orthopedics	Osteotomy (Multiple) – Metatarsal	1500
Orthopedics	Nonunion/Malunion Repair – Clavicle	2000
Orthopedics	Nonunion/Malunion Repair – Humerus	2000
Orthopedics	Nonunion/Malunion Repair – Radius	2000
Orthopedics	Nonunion/Malunion Repair – Ulna	2000
Orthopedics	Nonunion/Malunion Repair – Radius & Ulna	2000
Orthopedics	Nonunion/Malunion Repair – Carpal Bone	2000
Orthopedics	Nonunion/Malunion Repair – Metacarpal/Phalanx	1500
Orthopedics	Nonunion/Malunion Repair – Femur	2000
Orthopedics	Nonunion/Malunion Repair – Tibia	2000
Orthopedics	Nonunion/Malunion Repair – Fibula	1500
Orthopedics	Nonunion/Malunion Repair – Tarsal Bone	1500
Orthopedics	Nonunion/Malunion Repair – Metatarsal Bone	1500
Orthopedics	Epiphyseal/Hemiepiphyseal Arrest	1000
Orthopedics	Slipped Femoral Epiphysis – In Situ Fixation	1000
Orthopedics	Slipped Femoral Epiphysis – Open Reduction	1000
Orthopedics	Femoral Bone Grafting	1000
Orthopedics	Skeletal Traction (e.g. Steinmann pin insertion)	180
Orthopedics	Skull Tong Application	180
Orthopedics	Halo Traction Application	450
Orthopedics	Halo/Tong Removal	80
Orthopedics	External Fixation System Application (uniplane)	900
Orthopedics	External Fixation System Application (multiplane)	1800
Orthopedics	External Fixation System Replacement (uniplane)	900
Orthopedics	External Fixation System Replacement (multiplane)	1800
Orthopedics	External Fixation System Adjustment/Revision	400
Orthopedics	External Fixation System Removal	280
Orthopedics	Implant Removal – Upper Limb Joint	900
Orthopedics	Implant Removal – Hip	900
Orthopedics	Implant Removal – Hip (complicated)	1800
Orthopedics	Implant Removal – Knee	1400
Orthopedics	Implant Removal – Ankle	900
Orthopedics	Implant Removal (e.g. fixation wires, plates, screws) – Superficial	280
Orthopedics	Implant Removal (e.g. fixation wires, plates, screws) – Deep	450
Orthopedics	Cast Application – Body Cast	180
Orthopedics	Cast Application – Upper Limb	80
Orthopedics	Cast Application – Lower Limb (long leg cast)	120
Orthopedics	Cast Application – Lower Limb (short leg cast)	80
Orthopedics	Cast Application – Hip Spica	120
Orthopedics	Cast Modification/Repair	40
Orthopedics	Cast Removal	30
Orthopedics	Splint Application – Upper Limb (except fingers)	40
Orthopedics	Splint Application – Fingers	25
Orthopedics	Splint Application – Lower Limb	40
Orthopedics	Splint Removal	8
Orthopedics	Strapping/Taping	25
Orthopedics	Bone Lengthening – Humerus	1500
Orthopedics	Bone Lengthening – Radius/Ulna	1500
Orthopedics	Bone Lengthening – Radius & Ulna	1500
Orthopedics	Bone Lengthening – Metacarpal/Phalanx	1000
Orthopedics	Bone Lengthening – Femur	2000
Orthopedics	Bone Lengthening – Tibia/Fibula	2000
Orthopedics	Bone Shortening – Humerus	1500
Orthopedics	Bone Shortening – Radius/Ulna	1000
Orthopedics	Bone Shortening – Radius & Ulna	1500
Orthopedics	Bone Shortening – Carpal Bone	1000
Orthopedics	Bone Shortening – Femur	1500
Orthopedics	Bone Shortening – Tibia/Fibula	1500
Orthopedics	Closed Reduction of Fracture – Rib	100
Orthopedics	Closed Reduction of Fracture – Sternum	100
Orthopedics	Closed Reduction of Fracture – Clavicle	200
Orthopedics	Closed Reduction of Fracture – Scapula	200
Orthopedics	Closed Reduction of Fracture – Humerus	200
Orthopedics	Closed Reduction of Fracture – Humerus (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Ulna	300
Orthopedics	Closed Reduction of Fracture – Ulna (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Radius	300
Orthopedics	Closed Reduction of Fracture – Radius (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Radius & Ulna	600
Orthopedics	Closed Reduction of Fracture – Radius & Ulna (with percutaneous fixation)	800
Orthopedics	Closed Reduction of Fracture – Carpal Bone	300
Orthopedics	Closed Reduction of Fracture – Carpal Bone (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Metacarpal Bone	300
Orthopedics	Closed Reduction of Fracture – Metacarpal Bone (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Phalanx	200
Orthopedics	Closed Reduction of Fracture – Phalanx (with percutaneous fixation)	300
Orthopedics	Closed Reduction of Fracture – Pelvic Ring	300
Orthopedics	Closed Reduction of Fracture – Pelvic Ring (with percutaneous fixation)	600
Orthopedics	Closed Reduction of Fracture – Coccyx	200
Orthopedics	Closed Reduction of Fracture – Acetabulum	300
Orthopedics	Closed Reduction of Fracture – Acetabulum (with percutaneous fixation)	600
Orthopedics	Closed Reduction of Fracture – Femur	300
Orthopedics	Closed Reduction of Fracture – Femur (with percutaneous fixation)	600
Orthopedics	Closed Reduction of Fracture – Patella	300
Orthopedics	Closed Reduction of Fracture – Patella (with percutaneous fixation)	600
Orthopedics	Closed Reduction of Fracture – Tibia	300
Orthopedics	Closed Reduction of Fracture – Tibia (with percutaneous fixation)	600
Orthopedics	Closed Reduction of Fracture – Fibula	300
Orthopedics	Closed Reduction of Fracture – Tibia & Fibula	600
Orthopedics	Closed Reduction of Fracture – Calcaneus/Tarsal Bone	300
Orthopedics	Closed Reduction of Fracture – Calcaneus/Tarsal Bone (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Metatarsal Bone	300
Orthopedics	Closed Reduction of Fracture – Metatarsal Bone (with percutaneous fixation)	500
Orthopedics	Closed Reduction of Fracture – Phalanx (toe)	200
Orthopedics	Closed Reduction of Fracture – Phalanx (toe) (with percutaneous fixation)	300
Orthopedics	Open Reduction of Fracture (without fixation) – Rib	200
Orthopedics	Open Reduction of Fracture (with fixation) – Rib	800
Orthopedics	Open Reduction of Fracture – Sternum	800
Orthopedics	Open Reduction of Fracture – Clavicle	800
Orthopedics	Open Reduction of Fracture – Scapula	1500
Orthopedics	Open Reduction of Fracture – Humerus	1500
Orthopedics	Open Reduction of Fracture – Ulna	800
Orthopedics	Open Reduction of Fracture – Radius	800
Orthopedics	Open Reduction of Fracture – Radius & Ulna	1500
Orthopedics	Open Reduction of Fracture – Carpal Bone	800
Orthopedics	Open Reduction of Fracture – Metacarpal Bone	800
Orthopedics	Open Reduction of Fracture – Phalanx (finger)	600
Orthopedics	Open Reduction of Fracture – Pelvic Bone	1500
Orthopedics	Open Reduction of Fracture – Coccyx	800
Orthopedics	Open Reduction of Fracture – Acetabulum	1500
Orthopedics	Open Reduction of Fracture – Femur	1500
Orthopedics	Open Reduction of Fracture – Patella	1000
Orthopedics	Open Reduction of Fracture – Tibia	1500
Orthopedics	Open Reduction of Fracture – Fibula	1000
Orthopedics	Open Reduction of Fracture – Tibia & Fibula	1500
Orthopedics	Open Reduction of Fracture – Calcaneus/Tarsal Bone	1000
Orthopedics	Open Reduction of Fracture – Calcaneus/Tarsal Bone (with graft)	1500
Orthopedics	Open Reduction of Fracture – Metatarsal Bone	1000
Orthopedics	Open Reduction of Fracture – Phalanx (toe)	800
Orthopedics	Spine: Posterior Lumbar Interbody Fusion – Single Level	2000
Orthopedics	Spine: Posterior Lumbar Interbody Fusion – Double Level	3000
Orthopedics	Spine: Posterior Lumbar Interbody Fusion – Multiple Level	4000
Orthopedics	Spine: Posterolateral Fusion – Single Level	1500
Orthopedics	Spine: Posterolateral Fusion – Double Level	2500
Orthopedics	Spine: Posterolateral Fusion – Multiple Level	3500
Orthopedics	Spine: Transforaminal Lumbar Interbody Fusion – Single Level	1500
Orthopedics	Spine: Transforaminal Lumbar Interbody Fusion – Double Level	2500
Orthopedics	Spine: Transforaminal Lumbar Interbody Fusion – Multiple Level	3000
Orthopedics	Spine: Anterior Cervical Discectomy and Fusion – Single Level	1500
Orthopedics	Spine: Anterior Cervical Discectomy and Fusion – Double Level	2500
Orthopedics	Spine: Anterior Cervical Discectomy and Fusion – Multiple Level	3000
Orthopedics	Spine: Minimally Invasive Lumbar Discectomy – Single Level	1000
Orthopedics	Spine: Minimally Invasive Lumbar Discectomy – Double Level	1500
Orthopedics	Spine: Anterior Cervical Corpectomy and Fusion – Single Level	2000
Orthopedics	Spine: Anterior Cervical Corpectomy and Fusion – Double Level	3000
Orthopedics	Spine: Anterior Thoraco-lumbar Corpectomy and Fusion	3000
Orthopedics	Spine: Enbloc Spondylectomy	2500
Orthopedics	Spine: Posterior Lumbar Corpectomy and Fusion	2500
Orthopedics	Spine: Foraminotomy Discectomy – Single Level	1000
Orthopedics	Spine: Foraminotomy Discectomy – Double Level	1500
Orthopedics	Spine: Foraminotomy Discectomy – Multiple Level	2500
Orthopedics	Spine: Anterior Scoliosis Correction	3000
Orthopedics	Spine: Revision of Scoliosis Correction	4000
Orthopedics	Spine: Posterior Scoliosis Correction	3000
Orthopedics	Spine: Posterior Kyphosis Correction	3000
Orthopedics	Spine: Posterior Vertebral Column Resection	3000
Orthopedics	Spine: Posterior Ponte Osteotomy	2000
Orthopedics	Spine: Posterior Smith-Petersen Osteotomy	2000
Orthopedics	Spine: Posterior Pedicle Subtraction Osteotomy	2000
Orthopedics	Spine: Posterior Hemivertebrectomy	1500
Orthopedics	Spine: Anterior Hemivertebrectomy	1500
Orthopedics	Spine: Posterior Cervical Laminectomy/Laminoplasty – Single Level	2000
Orthopedics	Spine: Posterior Cervical Laminectomy/Laminoplasty – Double Level	3000
Orthopedics	Spine: Posterior Cervical Laminectomy/Laminoplasty – Multiple Level	4000
Orthopedics	Spine: Laminectomy/Laminoplasty – Single Level	2000
Orthopedics	Spine: Laminectomy/Laminoplasty – Double Level	3000
Orthopedics	Spine: Laminectomy/Laminoplasty – Multiple Level	4000
Orthopedics	Spine: Posterior Short Segment Fixation for Fracture	1000
Orthopedics	Spine: Posterior Long Segment Fixation for Fracture	1500
Orthopedics	Spine: Removal of Cervical Spine Implant	1000
Orthopedics	Spine: Removal of Thoraco-lumbar Spine Implant	1500
Orthopedics	Spine: Revision for Lumbar Failure	3000
Orthopedics	Spine: Exploration or Re-exploration of Spinal Surgery	1500
Orthopedics	Spine: Manipulation of Spine	200
Orthopedics	Spine: Insertion of Spinal Fixation Device	1500
Orthopedics	Spine: Closed Reduction of Fracture – Vertebral Process	300
Orthopedics	Spine: Closed Reduction of Fracture/Dislocation – Vertebral Body	600
Orthopedics	Spine: Open Reduction of Fracture/Dislocation – Vertebral Body	1500
Orthopedics	Spine: Incision & Drainage of Abscess/Haematoma	1000
Plastic Surgery	Cranioplasty – Simple	1200
Plastic Surgery	Cranioplasty – Major	1800
Plastic Surgery	Cranioplasty – Complex	2000
Plastic Surgery	Cranioplasty – Patient-Specific Implant (PSI)	2500
Plastic Surgery	Transcranial Monobloc Advancement	4000
Plastic Surgery	Transcranial Fronto-orbital Advancement	3000
Plastic Surgery	Other Major Craniofacial Procedures	2000
Plastic Surgery	Orbital Fracture Repair – Open	1200
Plastic Surgery	Orbital Fracture Repair – Closed	800
Plastic Surgery	Orbital Box Osteotomy	2000
Plastic Surgery	Orbital Dystopia Correction	2000
Plastic Surgery	Orbital Reconstruction	1800
Plastic Surgery	Orbital Reconstruction – Titanium Mesh	1200
Plastic Surgery	Cranial Vault Reconstruction – Simple	1800
Plastic Surgery	Cranial Vault Reconstruction – Complex	2500
Plastic Surgery	Cranial Vault Reconstruction – Total	3000
Plastic Surgery	Cranial Vault Expansion and Reshaping	3000
Plastic Surgery	Cranial Vault Remodeling	2500
Plastic Surgery	Cranial Reconstruction – Titanium Mesh	1200
Plastic Surgery	Cranial Reconstruction with Autologous Bone – Rib	1800
Plastic Surgery	Cranial Reconstruction with Autologous Bone – Iliac	1800
Plastic Surgery	Transcranial Craniectomy (e.g. for osteomyelitis)	1200
Plastic Surgery	Elevation of Depressed Skull Fracture (without cranioplasty)	800
Plastic Surgery	Posterior Cranial Decompression	1500
Plastic Surgery	Bitemporal Cranial Decompression	1500
Plastic Surgery	Facial Nerve Reconstruction	1000
Plastic Surgery	Facial Nerve Repair	800
Plastic Surgery	Orbital Decompression – Transcranial	850
Plastic Surgery	Open Reduction Internal Fixation (ORIF) – Cranial Bones	1200
Plastic Surgery	LeFort I Osteotomy	1800
Plastic Surgery	LeFort II Osteotomy	1800
Plastic Surgery	LeFort III Osteotomy and Advancement – Transcranial	2500
Plastic Surgery	LeFort III Osteotomy and Advancement – Extracranial	2000
Plastic Surgery	Other Maxillary Osteotomy	800
Plastic Surgery	Sagittal Split Osteotomy	1500
Plastic Surgery	Subsigmoid Osteotomy	1000
Plastic Surgery	Other Mandibular Osteotomy	700
Plastic Surgery	Open Reduction Internal Fixation (ORIF) of Maxilla/Zygoma – Simple	800
Plastic Surgery	Open Reduction Internal Fixation (ORIF) of Maxilla/Zygoma – Complex	1000
Plastic Surgery	Open Reduction Internal Fixation (ORIF) of Mandible – Simple	800
Plastic Surgery	Open Reduction Internal Fixation (ORIF) of Mandible – Complex	1000
Plastic Surgery	Closed Reduction of Maxilla/Zygoma Fracture	400
Plastic Surgery	Closed Reduction of Mandibular Fracture	400
Plastic Surgery	Eyebrow Reconstruction	500
Plastic Surgery	Eyelid Reconstruction – Upper Eyelid	500
Plastic Surgery	Eyelid Reconstruction – Lower Eyelid	500
Plastic Surgery	Ptosis Correction	700
Plastic Surgery	Canthopexy	400
Plastic Surgery	Canthoplasty	400
Plastic Surgery	Canthal Reinsertion	300
Plastic Surgery	Correction of Oriental Eye	500
Plastic Surgery	Ectropion Correction	400
Plastic Surgery	Entropion Correction	400
Plastic Surgery	Bat Ear Correction – Modified Converse Technique	600
Plastic Surgery	Bat Ear Correction – Chonget Technique	600
Plastic Surgery	Ear Lobe Reconstruction	450
Plastic Surgery	Ear Reconstruction – Costochondral Graft (Stage I)	2000
Plastic Surgery	Ear Reconstruction – Costochondral Graft (Stage II)	800
Plastic Surgery	Ear Reconstruction – Costochondral Graft (Stage III)	500
Plastic Surgery	Ear Reconstruction – Silastic Implant	800
Plastic Surgery	Ear Reconstruction – Release and Skin Graft	600
Plastic Surgery	Ear Reconstruction – Dieffenbach Technique	600
Plastic Surgery	Closure of Conchal Perforation	250
Plastic Surgery	Closure of Ear Lobe Perforation	250
Plastic Surgery	Otoplasty	450
Plastic Surgery	Septorhinoplasty (plastic surgery)	1200
Plastic Surgery	Excision of Rhinophyma	600
Plastic Surgery	Redo Rhinoplasty	1800
Plastic Surgery	Corrective Rhinoplasty	1200
Plastic Surgery	Reduction Rhinoplasty	800
Plastic Surgery	Augmentation Rhinoplasty	1200
Plastic Surgery	Cleft Rhinoplasty	1200
Plastic Surgery	Cleft Nose – Secondary Correction	800
Plastic Surgery	Nasal Tip Correction	600
Plastic Surgery	Alar Correction	550
Plastic Surgery	Nasal Dorsal Augmentation	800
Plastic Surgery	Nose Reconstruction – Total	2000
Plastic Surgery	Nose Reconstruction – Others	800
Plastic Surgery	Cheek Reconstruction	700
Plastic Surgery	Genioplasty	800
Plastic Surgery	Facial Reconstructive Surgery (not specified elsewhere)	600
Plastic Surgery	Facial Cosmetic Surgery (not specified elsewhere)	600
Plastic Surgery	Implant – Nasal Bridge	500
Plastic Surgery	Implant – Malar	600
Plastic Surgery	Implant – Chin Prosthesis	500
Plastic Surgery	Lip Reconstruction – Upper Lip	500
Plastic Surgery	Lip Reconstruction – Lower Lip	500
Plastic Surgery	Revision Lip	500
Plastic Surgery	Lip Adhesion	400
Plastic Surgery	Cleft Lip Repair – Millard I Operation	1200
Plastic Surgery	Cleft Lip Repair – Millard II Operation	1200
Plastic Surgery	Cleft Lip Repair – Bilateral Millard Operation (Single Stage)	1500
Plastic Surgery	Cleft Lip Repair – Bilateral Millard Operation (Staged Operation)	1200
Plastic Surgery	Cleft Lip Repair – Straight Line Repair	1000
Plastic Surgery	Cleft Lip Repair – Modified Manchester Technique	1200
Plastic Surgery	Cleft Lip Repair – Deepening of Sulcus	500
Plastic Surgery	Cleft Lip Repair – Skoog Technique	1200
Plastic Surgery	Cleft Lip Repair – Tennison Technique	1200
Plastic Surgery	Cleft Lip Repair with Closed Rhinoplasty	1500
Plastic Surgery	Columella Lengthening	500
Plastic Surgery	Correction of Whistle Tip Deformity (Central Vermilion Defect)	600
Plastic Surgery	Correction of Vermilion Notching	400
Plastic Surgery	Palatoplasty	600
Plastic Surgery	Palatal Fistula Closure – Local Flap	800
Plastic Surgery	Palatal Fistula Closure – Tongue Flap	1200
Plastic Surgery	Palate Repair – Dorrance (V-Y Pushback) Operation	1200
Plastic Surgery	Palate Repair – Veau-Wardill-Kilner Technique	1200
Plastic Surgery	Palate Repair – Langenbeck Technique	1000
Plastic Surgery	Palate Repair – Bardach Technique	1200
Plastic Surgery	Cleft Palate Repair – Secondary Procedure	500
Plastic Surgery	Pharyngoplasty – Inferiorly Based Posterior Pharyngeal Flap	800
Plastic Surgery	Pharyngoplasty – Superiorly Based Posterior Pharyngeal Flap	800
Plastic Surgery	Pharyngoplasty – Orticochea Technique	800
Plastic Surgery	Trachea Reconstruction	1800
Plastic Surgery	Chest Wall Reconstruction	800
Plastic Surgery	Abdominal Wall Reconstruction	800
Plastic Surgery	Abdominoplasty	2000
Plastic Surgery	Apronectomy	2200
Plastic Surgery	Lipectomy – Abdomen	600
Plastic Surgery	Lipectomy – Other than Abdomen	600
Plastic Surgery	Liposuction – Small Area	500
Plastic Surgery	Liposuction – Large Area	800
Plastic Surgery	Breast Reconstruction – TRAM Flap	1800
Plastic Surgery	Breast Reconstruction – Latissimus Dorsi Flap	1800
Plastic Surgery	Breast Reconstruction – Free Flap	2800
Plastic Surgery	Augmentation Mammoplasty (with prosthetic implant)	800
Plastic Surgery	Augmentation Mammoplasty (without prosthetic implant)	600
Plastic Surgery	Reduction Mammoplasty	2000
Plastic Surgery	Mastopexy	1800
Plastic Surgery	Nipple-Areola Complex Reconstruction	600
Plastic Surgery	Correction of Inverted Nipple	400
Plastic Surgery	Breast Implant Removal	200
Plastic Surgery	Vaginoplasty	1000
Plastic Surgery	Vaginal Reconstruction – Plastic Repair	800
Plastic Surgery	Clitoral Reduction	600
Plastic Surgery	Clitoral Reduction and Vaginoplasty	1000
Plastic Surgery	Hypospadias Repair – Flip Flap Technique	600
Plastic Surgery	Hypospadias Repair – Ombredanne Technique	500
Plastic Surgery	Hypospadias Repair – Duplay Technique	500
Plastic Surgery	Hypospadias Repair – Snodgrass Technique	800
Plastic Surgery	Meatal Advancement and Glanduloplasty (MAGPI)	400
Plastic Surgery	Urethral Advancement and Glanuloplasty (UAGPI)	400
Plastic Surgery	Hypospadias Repair – Single Stage	600
Plastic Surgery	Hypospadias Repair – Two Stage	400
Plastic Surgery	Closure of Urethro-cutaneous Fistula	400
Plastic Surgery	Epispadias Repair	500
Plastic Surgery	Meatoplasty – Penile	300
Plastic Surgery	Phalloplasty	250
Plastic Surgery	Penis Reconstruction	1200
Plastic Surgery	Revision Circumcision	200
Plastic Surgery	Implant – Testis	300
Plastic Surgery	Nail Bed Reconstruction	250
Plastic Surgery	Supernumerary Digit Excision	200
Plastic Surgery	Syndactyly Release – Unilateral	500
Plastic Surgery	Syndactyly Release – Bilateral	850
Plastic Surgery	Digit Replantation	1800
Plastic Surgery	Major Limb Replantation – Lower Limb	2500
Plastic Surgery	Major Limb Replantation – Upper Limb (hand)	2500
Plastic Surgery	Major Limb Replantation – Upper Limb (other than hand)	2500
Plastic Surgery	Terminalisation of Digit	300
Plastic Surgery	Re-amputation/Revision Amputation	500
Plastic Surgery	Finger Reconstruction – Simple	400
Plastic Surgery	Finger Reconstruction – Complex	800
Plastic Surgery	Toe Reconstruction – Simple	300
Plastic Surgery	Toe Reconstruction – Complex	800
Plastic Surgery	Repair of Congenital Constricting Ring	800
Plastic Surgery	Digit Pollicization	1200
Plastic Surgery	Toe-to-Hand Transfer (with microvascular anastomosis) – Great Toe	2000
Plastic Surgery	Toe-to-Hand Transfer (with microvascular anastomosis) – other than Great Toe	2000
Plastic Surgery	Cleft Hand Reconstruction	800
Plastic Surgery	Cleft Foot Reconstruction	800
Plastic Surgery	Tissue Expander Insertion	600
Plastic Surgery	Tissue Expander Removal (due to infection)	200
Plastic Surgery	Tissue Expander Removal and Reconstruction	1100
Plastic Surgery	Contracture Release – Simple	250
Plastic Surgery	Contracture Release – Complex	600
Plastic Surgery	Excision of Haemangioma	300
Plastic Surgery	Excision of Mole – Single	150
Plastic Surgery	Excision of Mole – Multiple	300
Plastic Surgery	Excision of Naevus – Single	150
Plastic Surgery	Excision of Naevus – Multiple	300
Plastic Surgery	Serial Excision of Naevus – First Stage	150
Plastic Surgery	Serial Excision of Naevus – Second Stage	150
Plastic Surgery	Serial Excision of Naevus – Third Stage	150
Plastic Surgery	Excision of Basal Cell Carcinoma – Single	400
Plastic Surgery	Excision of Basal Cell Carcinoma – Multiple	550
Plastic Surgery	Excision of Basal Cell Carcinoma – Large	500
Plastic Surgery	Excision of Squamous Cell Carcinoma – Single	500
Plastic Surgery	Excision of Squamous Cell Carcinoma – Multiple	700
Plastic Surgery	Excision of Melanoma	400
Plastic Surgery	Excision of Melanoma with Skin Graft	550
Plastic Surgery	Excision of Melanoma with Flap Cover	700
Plastic Surgery	Tangential Excision – Small	200
Plastic Surgery	Tangential Excision – Large	400
Plastic Surgery	Scar Excision – Keloid	150
Plastic Surgery	Scar Excision – Hypertrophic Scar	150
Plastic Surgery	Scar Excision – Tattoo Scar	150
Plastic Surgery	Scar Excision – Others	150
Plastic Surgery	Escharotomy	150
Plastic Surgery	W-Plasty	150
Plastic Surgery	Z-Plasty	150
Plastic Surgery	Scar Revision – Small	100
Plastic Surgery	Scar Revision – Large	200
Plastic Surgery	Injection of Hypertrophic Scar	25
Plastic Surgery	Dermabrasion – Post-traumatic Scar	250
Plastic Surgery	Dermabrasion – Others	200
Plastic Surgery	Dermabrasion – Post-acne Scar	400
Plastic Surgery	Skin Lesion Cauterization (up to 10 lesions)	50
Plastic Surgery	Skin Lesion Cauterization (>10 lesions)	80
Plastic Surgery	Skin Scarping/Curettage	50
Plastic Surgery	Saucerisation of Bone	200
Plastic Surgery	Rhytidectomy (Face-Lift)	1200
Plastic Surgery	Mucosal Flap	250
Plastic Surgery	Mucosal Advancement	250
Plastic Surgery	Flap – Tongue	1200
Plastic Surgery	Local Flap	300
Plastic Surgery	Abbe Flap	450
Plastic Surgery	Estlander Flap	450
Plastic Surgery	Gillies Fan Flap	450
Plastic Surgery	Flap – Naso-labial	300
Plastic Surgery	Kutler Flap	250
Plastic Surgery	V-Y Advancement Flap	250
Plastic Surgery	V-Y Plasty	250
Plastic Surgery	Flap Advancement	250
Plastic Surgery	Flap Advancement and Closure	250
Plastic Surgery	Transposition Flap	300
Plastic Surgery	Limberg Flap	300
Plastic Surgery	Z Plasty and Closure – Skin Grafting	300
Plastic Surgery	Bilobed Flap	400
Plastic Surgery	Rotation Flap	300
Plastic Surgery	Glabellar Flap	300
Plastic Surgery	Pedicle Flap – Staged Transfer	300
Plastic Surgery	Mustard Flap	400
Plastic Surgery	Millard Island Flap	400
Plastic Surgery	Axial Flap	400
Plastic Surgery	Switch Flap	400
Plastic Surgery	Flap – Forehead	600
Plastic Surgery	Interpolation Flap	500
Plastic Surgery	Instep Flap	500
Plastic Surgery	Fasciocutaneous Flap	500
Plastic Surgery	Flap – Tensor Fascia Lata	500
Plastic Surgery	Muscle Flap	500
Plastic Surgery	Myocutaneous Flap	800
Plastic Surgery	Flap – Gastrocnemius Muscle	800
Plastic Surgery	Flap – Gluteus Maximus Muscle	700
Plastic Surgery	Flap – Gracilis Muscle	800
Plastic Surgery	Flap – Latissimus Dorsi Muscle	1000
Plastic Surgery	Flap – Pectoralis Major Muscle	800
Plastic Surgery	Flap – Rectus Femoris Muscle	800
Plastic Surgery	Flap – Rectus Abdominis Muscle	800
Plastic Surgery	Flap – Soleus Muscle	600
Plastic Surgery	Flap – Trapezius Muscle	600
Plastic Surgery	Flap – Deltopectoral Muscle	800
Plastic Surgery	Flap – Acromio-thoracic	800
Plastic Surgery	Flap – Flexor Digitorum Brevis	500
Plastic Surgery	Flap – Temporalis Muscle	600
Plastic Surgery	Flap – Lower Limb (others)	500
Plastic Surgery	Flap – Upper limb (others)	500
Plastic Surgery	Flap – Trunk (others)	500
Plastic Surgery	Flap – Abdominal (others)	500
Plastic Surgery	Flap – Abdominal Tube	600
Plastic Surgery	Flap – Medial Planter	600
Plastic Surgery	Flap – Dorsalis Pedis	600
Plastic Surgery	Flap – Dorsalis Pedis (Big Toe Transfer)	650
Plastic Surgery	Flap – Dorsalis Pedis (Second Toe Transfer)	650
Plastic Surgery	Flap – Dorsalis Pedis (Wrap-Around Toe Transfer)	700
Plastic Surgery	Flap – Ulnar Forearm	800
Plastic Surgery	Flap – Radial Forearm	800
Plastic Surgery	Flap – Radial Forearm (Reversed)	800
Plastic Surgery	Flap – Lateral Arm	800
Plastic Surgery	Flap – Scapular	800
Plastic Surgery	Flap – Deep Circumflex Iliac Artery	800
Plastic Surgery	Osteocutaneous Flap	1000
Plastic Surgery	Osteomyocutaneous Flap	1000
Plastic Surgery	Distant Flap	800
Plastic Surgery	Cross Thigh Flap	800
Plastic Surgery	Cross Leg Flap	800
Plastic Surgery	Cross Finger Flap	600
Plastic Surgery	Flap – Groin	800
Plastic Surgery	Free Transfer Flap – Fibular	2000
Plastic Surgery	Free Transfer Flap	2000
Plastic Surgery	Free Transfer Flap – Cutaneous	2000
Plastic Surgery	Free Transfer Flap – Myocutaneous	2000
Plastic Surgery	Free Transfer Flap – Osteocutaneous	2500
Plastic Surgery	Free Transfer Flap – Osteomyocutaneous	2500
Plastic Surgery	Flap – Inset	300
Plastic Surgery	Flap – Division	150
Plastic Surgery	Flap – Partial Division	100
Plastic Surgery	Flap – Thinning	250
Plastic Surgery	Graft – Punch	150
Plastic Surgery	Graft – Thiersch	200
Plastic Surgery	Graft – Nerve	800
Plastic Surgery	Graft – Nerve (Cable)	800
Plastic Surgery	Graft – Bone	800
Plastic Surgery	Graft – Bone Vascularized	2000
Plastic Surgery	Graft – Cartilage	400
Plastic Surgery	Graft – Tendon	400
Plastic Surgery	Graft – Vein	600
Plastic Surgery	Skin Grafting – Simple	350
Plastic Surgery	Skin Grafting – Complex	600
Plastic Surgery	Skin Graft – Full-thickness (FTSG)	400
Plastic Surgery	Skin Graft – Split-thickness (STSG)	350
Plastic Surgery	Graft – Scalp	500
Plastic Surgery	Graft – Hair Bearing	400
Plastic Surgery	Hair Transplant – Punch	250
Plastic Surgery	Hair Transplant	400
Plastic Surgery	Microsclerotherapy for Spider Veins (Telangiectasia)	200
Plastic Surgery	Botox Injection	100
Plastic Surgery	Nerve Repair (with nerve graft) – Single Strand	600
Plastic Surgery	Nerve Repair (with nerve graft) – Multiple Strands (cable)	800
Plastic Surgery	Nerve Repair (with graft other than nerve)	500
Plastic Surgery	Nerve Repair – Sciatic Nerve	700
Plastic Surgery	Nerve Repair – Other Peripheral Nerve	500
Plastic Surgery	Nerve Repair – Digital Nerve	400
Plastic Surgery	Nerve Repair – Nerve Plexus	800
Plastic Surgery	Neuroplasty (exploration/neurolysis/decompression) – Nerve Plexus	500
Plastic Surgery	Neuroplasty (microscopic) – Peripheral Nerve	500
Plastic Surgery	Nerve Transection/Neurectomy – Small Nerve	300
Plastic Surgery	Nerve Transection/Neurectomy – Major Nerve	400
Plastic Surgery	Sympathectomy – Others	500
Plastic Surgery	Excision of Neuroma – Small Peripheral Nerve	300
Plastic Surgery	Excision of Neuroma – Major Peripheral Nerve (other than sciatic nerve)	500
Plastic Surgery	Excision of Neuroma – Sciatic Nerve	600
Plastic Surgery	Excision of Other Peripheral Nerve Lesions – Simple	250
Plastic Surgery	Excision of Other Peripheral Nerve Lesions – Complex or Extensive	600
Plastic Surgery	Percutaneous Rhizolysis/Rhyzotomy (radiofrequency ablation)	200
Plastic Surgery	Facial Laceration Repair – Simple	200
Plastic Surgery	Facial Laceration Repair – Complex	400
Plastic Surgery	Hand Injury Debridement & Repair (human bite)	400
Plastic Surgery	Craniofacial Foreign Body Removal – Simple	400
Plastic Surgery	Craniofacial Foreign Body Removal – Complex	1800
Plastic Surgery	Incision & Drainage of Facial Abscess – Simple	250
Plastic Surgery	Incision & Drainage of Facial Abscess – Complex	400
Plastic Surgery	Trigger Finger Release	350
Plastic Surgery	Median Nerve Decompression (e.g. carpal tunnel release)	300
Plastic Surgery	Ulnar Nerve Decompression	300
Plastic Surgery	Tibial Nerve Decompression (e.g. tarsal tunnel release)	300
Plastic Surgery	Nerve Decompression (not specified elsewhere)	300
Plastic Surgery	Nerve Transposition	350
Plastic Surgery	Carpal Tunnel Injection	25
Plastic Surgery	Injection of Therapeutic/Diagnostic Substance into Muscle/Tendon	20
Plastic Surgery	Foreign Body Removal from Soft Tissue – Superficial	80
Plastic Surgery	Foreign Body Removal from Soft Tissue – Deep (simple)	150
Plastic Surgery	Foreign Body Removal from Soft Tissue – Deep (complex)	300
Plastic Surgery	Excision of Ganglion – Knee	1200
Plastic Surgery	Excision of Ganglion (other than knee)	600
Plastic Surgery	Nerve Destruction – Chemical	200
Plastic Surgery	Nerve Destruction – Chemical (under radiological monitoring)	250
Plastic Surgery	Lymphedema Surgery (resection of subcutaneous tissue)	1200
Plastic Surgery	Lymphovenous Anastomosis	2000
Plastic Surgery	Lymph Node Transfer Surgery	2500
Plastic Surgery	Excision of Lymphatic Malformation/Lymphangioma/Cystic Hygroma	1200
Plastic Surgery	Excision of Lymphatic Malformation/Lymphangioma/Cystic Hygroma (with neurovascular dissection)	1800
Plastic Surgery	Venous Anastomosis	1500
Urology	Kidney Biopsy – Open	360
Urology	Kidney Biopsy – Laparoscopic	480
Urology	Biopsy of Perinephric Lesion	360
Urology	Renal Cyst Marsupialization – Open	520
Urology	Renal Cyst Marsupialization – Laparoscopic	640
Urology	Incision & Drainage of Perinephric Abcess	640
Urology	Drainage of Perinephric Collection	320
Urology	Suture Kidney Laceration	800
Urology	Closure of Renal Fistula	800
Urology	Nephropexy – Open	800
Urology	Nephropexy – Laparoscopic	960
Urology	Nephrostomy	360
Urology	Nephrolithotomy – Open	960
Urology	Anatrophic Nephrolithotomy	960
Urology	Partial Nephrectomy – Open	1200
Urology	Partial Nephrectomy – Laparoscopic	1600
Urology	Simple Nephrectomy	1100
Urology	Laparoscopic Nephrectomy	1600
Urology	Radical Nephrectomy – Open	1300
Urology	Radical Nephrectomy – Laparoscopic	1800
Urology	Hand Assisted Laparoscopic Nephrectomy	1600
Urology	Nephroureterectomy	1200
Urology	Nephroureterectomy with Bladder Cuff Excision – Open	1200
Urology	Nephroureterectomy with Bladder Cuff Excision – Laparoscopic	2000
Urology	Transplant Nephrectomy	1200
Urology	Donor Nephrectomy – Open	1120
Urology	Donor Nephrectomy – Laparoscopic	1600
Urology	Orthotopic Kidney Transplantation	2400
Urology	Kidney Transplantation	2400
Urology	Extended Pyelolithotomy	1200
Urology	Pyelolithotomy – Open	1200
Urology	Pyelolithotomy – Laparoscopic	2000
Urology	Pyelonephrolithotomy	1200
Urology	Pyeloplasty (Anderson-Hynes)	960
Urology	Pyeloplasty (Foley’s Y-V)	960
Urology	Pyeloplasty (Culp)	960
Urology	Pyeloplasty – Laparoscopic	1600
Urology	Horseshoe Kidney Isthmus Incision	1200
Urology	Pyelostomy	600
Urology	Pyeloureterostomy	600
Urology	Retroperitoneal Lymph Node Dissection – Laparoscopic	2000
Urology	Retroperitoneal Lymph Node Dissection – Open	1600
Urology	Nephroscopy	800
Urology	Percutaneous Nephrolithotomy (PCNL) – Supine	1200
Urology	Percutaneous Nephrolithotomy (PCNL) – Prone	1200
Urology	Mini-percutaneous Nephrolithotomy (mini-perc)	1200
Urology	Micro-percutaneous Nephrolithotomy (micro-perc)	1200
Urology	Retrograde Endopyelotomy	720
Urology	Antegrade Endopyelotomy	720
Urology	Retrograde Balloon Dilatation of Pelvi-Ureteric Junction (PUJ) Obstruction	560
Urology	Antegrade Balloon Dilatation of Pelvi-Ureteric Junction (PUJ) Obstruction	560
Urology	Renal Tumor Ablation – Percutaneous	640
Urology	Renal Tumor Ablation – Laparoscopic	1120
Urology	Ureterolithotomy – Open	800
Urology	Ureterolithotomy – Laparoscopic	1200
Urology	Repair of Ureteric Injury	800
Urology	Excision of Ureteral Diverticulum	800
Urology	Removal of Ligature around Ureter	800
Urology	Ureterolysis	1200
Urology	Ureterostomy	600
Urology	Transuretero-ureterostomy	1200
Urology	Uretero-Ureterostomy – Open	1200
Urology	Uretero-Ureterostomy – Laparoscopic	1600
Urology	Closure of Ureterostomy	560
Urology	Repair of Ureteric Fistula	560
Urology	Ureterectomy	960
Urology	Partial Ureterectomy with End-to-End Anastomosis	960
Urology	Ureter Reimplantation	960
Urology	Ileal Ureter	1600
Urology	Uretero-vesical Reimplantation (Leich-Grigoir)	960
Urology	Uretero-vesical Reimplantation (Lead Better-Politano)	960
Urology	Uretero-vesical Reimplantation (Cohen’s)	960
Urology	Uretero-vesical Reimplantation (Nipple Technique)	960
Urology	Uretero-vesical Reimplantation (Boari Flap)	1200
Urology	Uretro-vesical Reimplantation with Psoas Hitch	960
Urology	Ureterocoele Repair	960
Urology	Rigid Ureteroscopy	320
Urology	Rigid Ureteroscopy with Biopsy	400
Urology	Rigid Ureteroscopy with Foreign Body Removal	400
Urology	Rigid Ureteroscopy with Removal of Broken/Migrated Double J- Stent	400
Urology	Rigid Ureteroscopy with Stone Removal by Dormia Basket/Grasping Forceps	600
Urology	Rigid Ureteroscopy with Fulguration	400
Urology	Flexible Uretero-renoscopy (RIRS)	1440
Urology	Flexible Ureteroscopy with Biopsy	800
Urology	Flexible Ureteroscopy with Foreign Body Removal	960
Urology	Flexible Uretero-renoscopy (RIRS) with Laser Stone Fragmentation	1600
Urology	Flexible Ureteroscopy with Dormia Basketing	960
Urology	Flexible Ureteroscopy with Fulguration	960
Urology	Ureteric Catheterization	240
Urology	Ureteral Dilatation	240
Urology	Balloon Dilatation of Ureteric Stricture	240
Urology	Dilatation of Uretero-vesical Orifice	240
Urology	Dilatation of Uretero-cutaneous Fistula	160
Urology	Ureteric Meatotomy	240
Urology	Ureteric Meatotomy with Stone Retrieval	320
Urology	Intubated Ureterotomy (Davies)	560
Urology	Incision of Ureterocele	400
Urology	Macroplastique/Collagen Injection around Ureteric Orifice	240
Urology	DJ-Stent Insertion – Bilateral	320
Urology	DJ-Stent Insertion – Unilateral	240
Urology	DJ-Stent Removal – Bilateral	240
Urology	DJ-Stent Removal – Unilateral	160
Urology	Endoscopy via Ileal Conduit	160
Urology	Bladder Biopsy – Open	400
Urology	Suprapubic Cystostomy – Open	240
Urology	Cystolithotomy	560
Urology	Excision of Bladder Lesion	560
Urology	Detrusor Myomectomy	800
Urology	Bladder Diverticulum Excision	1200
Urology	Repair of Bladder Injury	800
Urology	Excision of Urachus	800
Urology	Repair of Cystocele	560
Urology	Partial Cystectomy – Open	800
Urology	Partial Cystectomy – Laparoscopic	1200
Urology	Laparoscopic Cystectomy	2000
Urology	Radical Cystectomy – Open	1600
Urology	Radical Cystectomy – Laparoscopic	2400
Urology	Robotic Radical Cystectomy	4000
Urology	Salvage (Palliative) Cystectomy	1440
Urology	Repair of Recto-Vesical Fistula	1440
Urology	Repair of Colo-Vesical Fistula	1440
Urology	Repair of Ileo-Vesical Fistula	1440
Urology	Bladder Neck Repair (Young-Dees)	1440
Urology	Bladder Neck Repair (V-Y plasty)	1440
Urology	Bladder Neck Reconstruction	1440
Urology	Bladder Neck Reconstruction – Kropp Procedure	1440
Urology	Bladder Neck Suspension – Open	800
Urology	Bladder Neck Suspension – Stamey Procedure	480
Urology	Bladder Neck Suspension – Laparoscopic	1200
Urology	Repair of Bladder Exstrophy	1440
Urology	Calm’s Cystoplasty	1200
Urology	Enterocystoplasty	1200
Urology	Bladder Augmentation	1200
Urology	Augmentation Ileocystoplasty	1200
Urology	Augmentation Caecocystoplasty	1200
Urology	Augmentation Sigmoidocystoplasty	1200
Urology	Mitrofanoff Bladder Augmentation	1200
Urology	Laparoscopic Neobladder Construction	1600
Urology	Continent Urinary Diversion	1200
Urology	Uretero-sigmoidostomy Urinary Diversion	1200
Urology	Uretero-cutaneous Urinary Diversion	800
Urology	Ileal Conduit Urinary Diversion	1200
Urology	Revision of Ileal Conduit	800
Urology	Robotic Colposuspension	3200
Urology	Colposuspension	560
Urology	Burch’s Colposuspension	480
Urology	Sling Operation	360
Urology	Bladder Neck Incision (BNI)	480
Urology	Dilatation of Bladder Neck	200
Urology	Vesicostomy	320
Urology	Refashioning of Vesicostomy	480
Urology	Cystoscopy	160
Urology	Check Cystoscopy	160
Urology	Flexible Cystoscopy	200
Urology	Cystourethroscopy	160
Urology	Cystourethroscopy – Examination under Anesthesia (EUA)	160
Urology	Suprapubic Cystoscopy	240
Urology	Cystoscopy with Bladder Biopsy	240
Urology	Cystoscopy with Foreign Body Removal	320
Urology	Flexible Cystoscopy with DJ-Stent Removal	200
Urology	Cystoscopy with Cauterization of Bladder	240
Urology	Cystoscopy with Evacuation of Blood Clot	240
Urology	Suprapubic Catheterization	160
Urology	Instillation of Alum into Bladder	160
Urology	Cystoscopic Botulinum Toxin Injections	240
Urology	Endoscopic Bladder Distension	160
Urology	Suprapubic Cystostomy – Percutaneous	120
Urology	Trans-Urethral Resection (TUR) of Bladder Papilloma	720
Urology	Trans-Urethral Resection of Bladder Tumor (TURBT)	960
Urology	Endoscopic Fulguration of Bladder Lesion/Bleeder	720
Urology	Laser Coagulation of Bladder Tumor/Lesion	960
Urology	Macroplastique/Collagen Injection around Bladder Neck	200
Urology	Cystolitholapexy	560
Urology	Trans-Urethral Resection of Bladder Tumor (TURBT) – Bipolar	960
Urology	Urethral Biopsy – Open	160
Urology	Excision of Urethral Septum/Valve	160
Urology	Fulguration of Urethral Lesion	120
Urology	Excision of Urethral Lesion	120
Urology	Excision of Urethral Caruncle	120
Urology	Excision of Urethral Diverticulum	240
Urology	Incision & Drainage of Bulbourethral Gland Abscess	120
Urology	Repair of Urethro-Cutaneous Fistula	400
Urology	Repair of Ruptured Urethra (with prostate-membranous anastomosis)	1440
Urology	Repair of Ruptured Anterior Urethra	800
Urology	Realignment of Ruptured Urethra	560
Urology	Suturing of Periurethral Laceration	320
Urology	Urethroscopy	120
Urology	Urethroscopy with Urethral Biopsy	160
Urology	Urethral Dilatation	120
Urology	Transurethral Balloon Dilatation of Prostatic Urethra	200
Urology	Meatal Dilatation	80
Urology	Perineal Urethrostomy	200
Urology	Perineal Urethrotomy	200
Urology	Urethrotomy	160
Urology	Urethral Meatotomy	120
Urology	Direct Vision Internal Urethrotomy	320
Urology	Otis Urethrotomy	120
Urology	Closure of Urethrotomy	160
Urology	Urethrotomy and Stone Removal	200
Urology	Urethroscopy and Removal of Urethral Stone	240
Urology	Removal of Urethral Foreign Body	240
Urology	Removal of Retained Urethral Catheter	160
Urology	Removal of Urethral Stent	160
Urology	Insertion of Urethral Stent	240
Urology	Urethroscopy and Fulguration of Urethral Lesion	240
Urology	Endoscopic Removal of Urethral Polyp	240
Urology	Laser Incision of Urethral Stricture	320
Urology	Cauterization of Posterior Urethral Mucosal Fold	320
Urology	Fulguration of Posterior Urethral Valve	320
Urology	Urethral Sphincterotomy	240
Urology	Periurethral Injection for Incontinence	240
Urology	Implantation of Artificial Urinary Sphincter (AUS)	1600
Urology	Repair of Artificial Urinary Sphincter (AUS)	480
Urology	Removal of Artificial Urinary Sphincter (AUS)	320
Urology	Urethrectomy	320
Urology	Urethral Meatopalsty	240
Urology	Glandoplasty	320
Urology	Urethroplasty	960
Urology	Urethroplasty of Stricture with end-to-end Anastomosis	960
Urology	Urethroplasty – Snodgrass Technique	960
Urology	Urethroplasty – Modified Snodgrass Technique	960
Urology	Urethroplasty – Duckett’s Onlay Technique	960
Urology	Urethroplasty – Duckett’s Tube Technique	960
Urology	Urethroplasty – Buccal Mucosal Graft	960
Urology	Urethroplasty – Mathieu’s Technique	960
Urology	Urethroplasty – Thiersch-Duplay Technique	960
Urology	Distal Urethral Mobilization (DUM)	640
Urology	Prostatic Massage	64
Urology	Radical Prostatectomy – Open	1360
Urology	Radical Prostatectomy – Laparoscopic	2000
Urology	Robotic Radical Prostatectomy	3200
Urology	Retropubic (Millin’s) Prostatectomy	960
Urology	Perineal Prostatectomy	960
Urology	Transvesical Prostatectomy	960
Urology	Perineal Radical Prostatectomy	1360
Urology	Prostate Biopsy – Fine Needle Aspiration (FNA)	80
Urology	Prostate Biopsy – Tru Cut	120
Urology	Prostate Biopsy – Trans rectal Ultrasound (TRUS) Guided	160
Urology	Prostate Biopsy – Trans urethral	160
Urology	Trans-Urethral Incision of the Prostate (TUIP)	320
Urology	Transurethral Incision & Drainage of Prostatic Abscess	320
Urology	Transurethral De-roofing of Prostatic Abscess	560
Urology	Insertion of Prostatic Stent	240
Urology	Trans-Urethral Resection of Prostate (TURP)	800
Urology	Visual Laser Ablation of the Prostate (VLAP)	800
Urology	Contact Laser Ablation of the Prostate (CLAP)	800
Urology	Laser Enucleation of the Prostate	1200
Urology	Bipolar Trans-Urethral Resection of the Prostate (TURIS)	800
Urology	Transurethral Needle Ablation of the Prostate (TUNA)	800
Urology	Transurethral Microwave Thermotherapy (TUMT) – Prostate	560
Urology	Secondary Look Cystoscopy for Postoperative Bleeding	400
Urology	Interstitial Laser Coagulation (ILC) – Prostate	400
Urology	Transurethral Cannulation of Ejaculatory Ducts	320
Urology	Endoscopic Local Ablation of Prostatic Tumor	400
Urology	Cryotherapy for Prostatic Tumor	560
Urology	Vasectomy	240
Urology	Vaso-Vasostomy	400
Urology	Excision of Epididymal Lesion	240
Urology	Excision of Epididymal Cyst	240
Urology	Epididymectomy	240
Urology	Seminal Vesicles Biopsy	240
Urology	Incision & Drainage of Seminal Vesicles Abscess	240
Urology	Seminal Vesicles Excision	320
Urology	Spermatic Cord Cyst Excision	240
Urology	High Ligation of Varicocele	280
Urology	Inguinal Varicocelectomy	280
Urology	Laparoscopic Varicocelectomy	400
Urology	Excision of Hydrocele/Hematocele – Tunica Vaginalis	240
Urology	Aspiration of Hydrocele	65
Urology	Patent Processus Vaginalis (PPV) Ligation	200
Urology	Epididymovasostomy	400
Urology	Implantation of Testicular Prosthesis	320
Urology	Incision & Drainage of Testicular/Scrotal Abscess	120
Urology	Incision & Drainage of Scrotal Skin Abscess	80
Urology	Scrotal Exploration	120
Urology	Scrotal Biopsy	80
Urology	Excision of Scrotal Lesion	80
Urology	Excision of Scrotal Sinus	120
Urology	Debridement of Scrotal Skin	120
Urology	Scrotal Skin Grafting	200
Urology	Suturing of Scrotal Laceration	80
Urology	Evacuation of Scrotal Haematoma	80
Urology	Removal of Scrotal Foreign Body	120
Urology	Fulguration of Scrotal Lesion	80
Urology	Scrotal Reconstruction with Rotational Flap	320
Urology	Testicular Biopsy – Open	120
Urology	Testicular Biopsy – Fine Needle Aspiration (FNA)	65
Urology	Suturing of Testicular Laceration	120
Urology	Excision of Testicular Appendix	120
Urology	Excision of Hydatid Cyst of Morgagni	120
Urology	Hydrocelectomy	200
Urology	Orchidopexy – Unilateral	200
Urology	Orchidopexy – Bilateral	250
Urology	Orchidopexy – First Stage	250
Urology	Orchidopexy – First Stage (laparoscopic)	500
Urology	Orchidopexy – Second Stage	250
Urology	Orchidectomy	200
Urology	Subcapsular Orchidectomy	200
Urology	Inguinal Orchidectomy	300
Urology	Radical Orchidectomy	300
Urology	Laparoscopic Orchidectomy	800
Urology	Exploration for Testicular Torsion	240
Urology	Testicular Detorsion	240
Urology	Penile Biopsy	80
Urology	Excision of Penile Lesion	80
Urology	Fulguration of Penile Lesion	64
Urology	Removal of Penile Foreign Body (other than prosthesis) – Superficial	80
Urology	Removal of Penile Foreign Body (other than prosthesis) – Deep	120
Urology	Excision of Penile Skin Adhesions	80
Urology	Repair of Penile Soft Tissue Injury – Simple	120
Urology	Repair of Penile Soft Tissue Injury – Complex	200
Urology	Phalloplasty	250
Urology	Circumcision	120
Urology	Redo Circumcision	80
Urology	Penile Skin Grafting	100
Urology	Dorsal Slit for Paraphimosis	64
Urology	Dorsal Plication of Tunica Albuginea	80
Urology	Correction of Penile Chordee	80
Urology	Repair of Penile Fracture	200
Urology	Correction of Penile Torsion	160
Urology	Implantation of Penile Prosthesis	2400
Urology	Revision of Penile Prosthesis	650
Urology	Removal of Penile Prosthesis	250
Urology	Cavernoso-Spongiosal Shunt	250
Urology	Cavernoso-Saphenous Shunt	250
Urology	Winter’s Shunt (cavernosa-glans penis fistulization)	250
Urology	Cavernosal Washout with Intra-cavernosal Injection of Vasoactive Drug	100
Urology	Amputation of Penis – Partial	320
Urology	Amputation of Penis – Complete	440
Urology	Marsupialization of Lymphocele – Laparotomy	480
Urology	Marsupialization of Lymphocele – Laparoscopic	800
Urology	Internal Iliac Artery (hypogastric artery) Ligation	640
Cardiology	Diagnostic Cardiac Catheterization – Adult	600
Cardiology	Diagnostic Cardiac Catheterization – Paediatric	1000
Cardiology	Percutaneous Transluminal Coronary Angioplasty (PTCA) – One Artery	1000
Cardiology	Percutaneous Transluminal Coronary Angioplasty (PTCA) – Two Arteries	1200
Cardiology	Percutaneous Transluminal Coronary Angioplasty (PTCA) – Three Arteries	1400
Cardiology	Interventional Paediatric Cardiac Catheterization – Simple	1400
Cardiology	Interventional Paediatric Cardiac Catheterization – Intermediate	1900
Cardiology	Interventional Paediatric Cardiac Catheterization – Complex	2500
Cardiology	Intra-aortic Balloon Pump Insertion	150
Cardiology	Temporary Pacemaker Insertion	150
Cardiology	Permanent Pacemaker Implantation – Single Chamber	500
Cardiology	Permanent Pacemaker Implantation – Dual Chamber	750
Cardiology	Implantation of Implantable Cardioverter Defibrillator (ICD) – Single Chamber	500
Cardiology	Implantation of Implantable Cardioverter Defibrillator (ICD) – Dual Chamber	750
Cardiology	Implantation of Cardiac Resynchronization Therapy Defibrillator Device	1500
Cardiology	Implantation of Cardiac Resynchronization Therapy Pacemaker Device	1500
Cardiology	Implantation of Loop Recorder	250
Cardiology	Pulse Generator Replacement	300
Cardiology	Implantable Cardiac Device – Follow Up	50
Cardiology	Removal of Implantable Cardiac Device	1500
Cardiology	Diagnostic Electrophysiology Study (EPS) – Conventional	500
Cardiology	Diagnostic Electrophysiology Study (EPS) – Electroanatomic Mapping	700
Cardiology	Cardiac Ablation – Conventional (simple)	1000
Cardiology	Cardiac Ablation – Conventional (complex)	1500
Cardiology	Cardiac Ablation – Electroanatomic Mapping (simple)	2000
Cardiology	Cardiac Ablation – Electroanatomic Mapping (complex)	3000
Cardiology	Atrial Septostomy	700
Cardiology	Left Atrial Appendage Occlusion	1500
Cardiology	Epicardial Ablation	3500
Cardiology	Percutaneous Balloon Valvuloplasty – Aortic	1500
Cardiology	Percutaneous Balloon Valvuloplasty – Mitral	2000
Cardiology	Percutaneous Balloon Valvuloplasty – Pulmonary	1500
Cardiology	Percutaneous Balloon Valvuloplasty – Tricuspid	1500
Cardiology	Percutaneous Valve Replacement – Aortic	2500
Cardiology	Percutaneous Valve Replacement – Mitral	3500
Cardiology	Percutaneous Valve Replacement – Pulmonary	2500
Cardiology	Percutaneous Valve Replacement – Tricuspid	2500
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – One Graft	3300
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Two Grafts	3600
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Three Grafts	3900
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Four Grafts	4200
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Five Grafts	4500
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Six or more grafts	4500
Cardiothoracic	Redo Coronary Artery Bypass Grafting (CABG) – One Graft	4500
Cardiothoracic	Redo Coronary Artery Bypass Grafting (CABG) – Two Grafts	4800
Cardiothoracic	Redo Coronary Artery Bypass Grafting (CABG) – Three Grafts	5100
Cardiothoracic	Coronary Artery Bypass Grafting (CABG) – Off-pump	1300
Cardiothoracic	Ligation of Coronary Artery Fistula	1600
Cardiothoracic	Atrial Septectomy	2200
Cardiothoracic	Percutaneous Repair of Atrial Septal Defect (ASD)	1500
Cardiothoracic	Surgical Repair of Atrial Septal Defect (ASD) – Ostium Pimum	2700
Cardiothoracic	Surgical Repair of Atrial Septal Defect (ASD) – Ostium Secundum	2700
Cardiothoracic	Surgical Repair of Atrial Septal Defect (ASD) – Sinus Venosus	2700
Cardiothoracic	Atrio-ventricular Canal Repair – Single Patch	4200
Cardiothoracic	Atrio-ventricular Canal Repair – Double Patch	4000
Cardiothoracic	Repair of Ventricular Aneurysm	3500
Cardiothoracic	Percutaneous Repair of Ventricular Septal Defect (VSD)	2500
Cardiothoracic	Surgical Repair of Ventricular Septal Defect (VSD) – Single	3500
Cardiothoracic	Surgical Repair of Ventricular Septal Defect (VSD) – Multiple	4100
Cardiothoracic	Repair of Ventricular Septal Defect (VSD) – Post Myocardial Infarction	4100
Cardiothoracic	Enlargement of Ventricular Septal Defect (VSD)	3500
Cardiothoracic	Percutaneous Closure of Patent Ductus Arteriosus (PDA) – any method	1000
Cardiothoracic	Surgical Closure of Patent Ductus Arteriosus (PDA) – by ligation	1500
Cardiothoracic	Surgical Closure of Patent Ductus Arteriosus (PDA) – by division	1500
Cardiothoracic	Pericardial Tapping (Pericardiocentesis)	100
Cardiothoracic	Pericardiostomy	600
Cardiothoracic	Pericardial Window/Pericardiotomy	600
Cardiothoracic	Pericardiectomy	2500
Cardiothoracic	Excision of Cardiac Tumor	3500
Cardiothoracic	Excision of Pericardial Tumor/Cyst	1500
Cardiothoracic	Percutaneous Occlusion of Major Aorto-pulmonary Collateral Arteries (MAPCAs)	1500
Cardiothoracic	Endomyocardial Biopsy	1000
Cardiothoracic	Mitral Valve Repair	4200
Cardiothoracic	Mitral Valve Replacement – Bioprosthesis	4750
Cardiothoracic	Mitral Valve Replacement – Mechanical Prosthesis	4350
Cardiothoracic	Redo Mitral Valve Repair	5700
Cardiothoracic	Redo Mitral Valve Replacement – Bioprosthesis	6000
Cardiothoracic	Redo Mitral Valve Replacement – Mechanical Prosthesis	5600
Cardiothoracic	Tricuspid Valve Repair	4200
Cardiothoracic	Tricuspid Valve Replacement – Bioprosthesis	4750
Cardiothoracic	Tricuspid Valve Replacement – Mechanical Prosthesis	4350
Cardiothoracic	Redo Tricuspid Valve Repair	5700
Cardiothoracic	Redo Tricuspid Valve Replacement – Bioprosthesis	6000
Cardiothoracic	Redo Tricuspid Valve Replacement – Mechanical Prosthesis	5600
Cardiothoracic	Aortic Valve Replacement – Bioprosthesis	4750
Cardiothoracic	Aortic Valve Replacement – Mechanical Prosthesis	4350
Cardiothoracic	Redo Aortic Valve Replacement – Bioprosthesis	6000
Cardiothoracic	Redo Aortic Valve Replacement – Mechanical Prosthesis	5600
Cardiothoracic	Pulmonary Valve Repair	3600
Cardiothoracic	Pulmonary Valve Replacement	4800
Cardiothoracic	Redo Pulmonary Valve Repair	4800
Cardiothoracic	Redo Pulmonary Valve Replacement	6000
Cardiothoracic	Infundibulectomy	2600
Cardiothoracic	Aortic Root Replacement	8500
Cardiothoracic	Valve-sparing Aortic Root Replacement	7000
Cardiothoracic	Repair of Single Atrium	4000
Cardiothoracic	Repair of Sinus of Valsalva Aneurysm – Single Patch	3500
Cardiothoracic	Repair of Sinus of Valsalva Aneurysm – Double Patch	3500
Cardiothoracic	Repair of Anomalous Left Coronary Artery from Pulmonary Artery Origin (ALCAPA repair) – by Grafting	4700
Cardiothoracic	Repair of Anomalous Left Coronary Artery from Pulmonary Artery Origin (ALCAPA repair) – by Coronary Artery Translocation	4700
Cardiothoracic	Repair of Anomalous Left Coronary Artery from Pulmonary Artery Origin (ALCAPA repair) – Other Techniques	4700
Cardiothoracic	Repair of Transposition of the Great Arteries (Arterial Switch Operation)	6000
Cardiothoracic	Repair of Transposition of the Great Arteries – Senning Operation	6000
Cardiothoracic	Repair of Transposition of the Great Arteries – Mustard Operation	6000
Cardiothoracic	Réparation à l’Etage Ventriculaire Procedure (REV procedure)	6000
Cardiothoracic	Repair of Corrected Transposition of the Great Arteries (CTGA)	6000
Cardiothoracic	Total Repair of Tetralogy of Fallot	4700
Cardiothoracic	Blalock-Taussig Shunt (pump)	2700
Cardiothoracic	Blalock-Taussig Shunt (off pump)	2200
Cardiothoracic	Norwood Procedure	6300
Cardiothoracic	Damus-Kaye-Stansel Procedure	5000
Cardiothoracic	Bidirectional Glenn Shunt – Unilateral	3400
Cardiothoracic	Bidirectional Glenn Shunt – Bilateral	4000
Cardiothoracic	Hemi-Fontan Procedure	3500
Cardiothoracic	Fontan Atriopulmonary Connection	5000
Cardiothoracic	Fontan Total Cavopulmonary Connection (TCPC) – Lateral Tunnel (fenestrated)	5000
Cardiothoracic	Fontan Total Cavopulmonary Connection (TCPC) – Lateral Tunnel (non-fenestrated)	5000
Cardiothoracic	Fontan Total Cavopulmonary Connection (TCPC) – External Conduit (fenestrated)	5000
Cardiothoracic	Fontan Total Cavopulmonary Connection (TCPC) – External Conduit (non-fenestrated)	5000
Cardiothoracic	Biventricular Repair of Hypoplastic Left Heart Syndrome (HLHS)	6100
Cardiothoracic	Repair of Truncus Arteriosus	5900
Cardiothoracic	Repair of Hemitruncus Arteriosus	5900
Cardiothoracic	Rastelli Procedure	8000
Cardiothoracic	Intracardiac Repair of Double Outlet Right Ventricle (DORV)	4800
Cardiothoracic	Repair of Ebstein Anomaly	4700
Cardiothoracic	Repair of Aortic Coarctation	1900
Cardiothoracic	Repair of Aortopulmonary Window (AP window)	4700
Cardiothoracic	Right Ventricle to Pulmonary Artery Conduit (RV-PA conduit) Placement	5900
Cardiothoracic	Left Ventricle to Pulmonary Artery Conduit (LV-PA conduit) Placement	5900
Cardiothoracic	Redo Ventricle to Pulmonary Artery Conduit Placement	7100
Cardiothoracic	Atrial Baffle Procedure	4500
Cardiothoracic	Right Ventricular Outflow Tract (RVOT) Reconstruction	4700
Cardiothoracic	Repair of Total Anomalous Pulmonary Venous Connection (TAPVC)	5300
Cardiothoracic	Resection of Subaortic Stenosis	3400
Cardiothoracic	Pulmonary Artery Banding	2000
Cardiothoracic	Repair of Interrupted Aortic Arch	4000
Cardiothoracic	Creation of Central Shunt (aortopulmonary shunt) – Pump	2700
Cardiothoracic	Creation of Central Shunt (aortopulmonary shunt) – Off Pump	2200
Cardiothoracic	Repair of Vascular Ring	2300
Cardiothoracic	Aortic Valve Replacement – Ross Procedure	8100
Cardiothoracic	Aortic Valve Replacement – Konno Procedure	5000
Cardiothoracic	Supravalvar Aortic Stenosis Repair	3400
Cardiothoracic	Supravalvar Mitral Ring Repair	3400
Cardiothoracic	Atrial Fenestration	2900
Cardiothoracic	Closure of Atrial Fenestration	2900
Cardiothoracic	Truncal Valve Repair	4500
Cardiothoracic	Truncal Valve Replacement	5000
Cardiothoracic	Repair of Partial Anomalous Pulmonary Venous Connection (PAPVC)	3500
Cardiothoracic	Cor Triatriatum Repair	3400
Cardiothoracic	Repair of Pulmonary Venous Stenosis	3500
Cardiothoracic	Repair of Anomalous Systemic Venous Connections	5300
Cardiothoracic	Repair of Systemic Venous Stenosis	3500
Cardiothoracic	Repair of Pulmonary Atresia with Ventricular Septal Defect (VSD)	5800
Cardiothoracic	Repair of Pulmonary Atresia with Ventricular Septal Defect (VSD) and Major Aorto-pulmonary Collateral Arteries (MAPCAs)	5250
Cardiothoracic	Unifocalization of Major Aorto-pulmonary Collateral Arteries (MAPCAs)	3000
Cardiothoracic	One and One Half Ventricle Repair	5000
Cardiothoracic	Repair of Double-Chambered Right Ventricle (DCRV)	3500
Cardiothoracic	Simple Pneumonectomy	2800
Cardiothoracic	Extrapleural Pneumonectomy	2800
Cardiothoracic	Carinal Pneumonectomy	2800
Cardiothoracic	Completion Pneumonectomy	2800
Cardiothoracic	Lung Lobectomy – Single Lobe	2800
Cardiothoracic	Lung Lobectomy – Two Lobes	2800
Cardiothoracic	Lung Lobectomy – Sleeve	2800
Cardiothoracic	Lung Segmentectomy	2800
Cardiothoracic	Lingulectomy	2800
Cardiothoracic	Lung Volume Reduction Surgery	2800
Cardiothoracic	Bullectomy – Open	2600
Cardiothoracic	Bullectomy – Thoracoscopic	2800
Cardiothoracic	Lung Wedge Resection – Single	2500
Cardiothoracic	Lung Wedge Resection – Multiple	2500
Cardiothoracic	Resection of Apical Lung Tumor	2600
Cardiothoracic	Lung Biopsy – Thoracoscopic	800
Cardiothoracic	Lung Biopsy – Open	1300
Cardiothoracic	Pleural Biopsy – Open	1300
Cardiothoracic	Drainage of Lung Abscess – Open	1200
Cardiothoracic	Drainage of Lung Abscess – Percutaneous	200
Cardiothoracic	Excision of Lung Cyst/Lesion	1300
Cardiothoracic	Thoracotomy and Chest Exploration	1300
Cardiothoracic	Chest Re-exploration	0
Cardiothoracic	Thoracotomy and Tumor Biopsy	1300
Cardiothoracic	Thoracotomy and Foreign Body Removal	1500
Cardiothoracic	Thoracotomy and Control of Haemorrhage	1500
Cardiothoracic	Repair of Lung Laceration	1350
Cardiothoracic	Thoracotomy with Pleurodesis	1350
Cardiothoracic	Pleurectomy (via thoracotomy)	1350
Cardiothoracic	Pleurectomy (via thoracoscopy)	2800
Cardiothoracic	Pulmonary Decortication (via thoracotomy) – Partial	2500
Cardiothoracic	Pulmonary Decortication (via thoracotomy) – Total	2500
Cardiothoracic	Pulmonary Decortication (via thoracoscopy) – Partial	3500
Cardiothoracic	Pulmonary Decortication (via thoracoscopy) – Total	3500
Cardiothoracic	Decortication and Pleurectomy	2500
Cardiothoracic	Diagnostic Thoracoscopy	700
Cardiothoracic	Diagnostic Thoracoscopy with Biopsy	800
Cardiothoracic	Tube Thoracostomy	50
Cardiothoracic	Mediastinotomy with Exploration	1200
Cardiothoracic	Mediastinotomy and Foreign Body Removal	1200
Cardiothoracic	Excision of Mediastinal Cyst/Tumor	2000
Cardiothoracic	Mediastinoscopy	750
Cardiothoracic	Mediastinoscopy with Biopsy	750
Cardiothoracic	Mediastinotomy with Biopsy	1250
Cardiothoracic	Drainage of Mediastinal Abscess	1250
Cardiothoracic	Bronchial Repair	1550
Cardiothoracic	Thoracic Duct Ligation	1300
Cardiothoracic	Thymectomy (thoracic approach)	1200
Cardiothoracic	Thymectomy with Mediastinal Dissection	1200
Cardiothoracic	Thymectomy (cervical approach)	1000
Cardiothoracic	Thoracoplasty	2800
Cardiothoracic	Diaphragm Plication (diaphragmatic eventration repair)	1300
Cardiothoracic	Rib Resection	1250
Cardiothoracic	Incision of Bone Cortex (e.g. osteomyelitis, bone abscess) – Thorax	900
Cardiothoracic	Repair of Diaphragmatic Rupture/Tear	1800
Cardiothoracic	Repair of Pectus Carinatum	2500
Cardiothoracic	Repair of Pectus Excavatum	2500
Cardiothoracic	Sternal Wound Debridement	200 (only if originally operated outside government hospitals)
Cardiothoracic	Sternal Resection – Partial	1200
Cardiothoracic	Sternal Resection – Radical	1200
Cardiothoracic	Sternal Wire/Rod Removal	1200
Cardiothoracic	Extracorporeal Membrane Oxygenation (ECMO) – Day 1	1600
Cardiothoracic	Extracorporeal Membrane Oxygenation (ECMO) – Subsequent Days	250 per day
Dermatology	Patch Test	35
Dermatology	Needle/Punch Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane (without immunofluorescence examination)	60
Dermatology	Needle/Punch Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane (with immunofluorescence examination)	80
Dermatology	Incisional/Wedge Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	80
Dermatology	Excisional Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	70
Dermatology	Other Biopsy – Skin/Subcutaneous Tissue/Mucous Membrane	60
Dermatology	Skin Scarping/Curettage	30
Dermatology	Nail Biopsy	60
Dermatology	Expression of Comedone	25
Dermatology	Skin Tag/Papilloma Excision (<10 lesions)	30
Dermatology	Skin Tag/Papilloma Excision (10-20 lesions)	50
Dermatology	Skin Tag/Papilloma Excision (>20 lesions)	80
Dermatology	Intralesional Steroid Administration	15 (per lesion)
Dermatology	Dermojet	25
Dermatology	Bath PUVA	35
Dermatology	Full Body PUVA	30
Dermatology	Hand Foot PUVA	20
Dermatology	Skin Lesion Cauterization (<5 lesions)	20
Dermatology	Skin Lesion Cauterization (5-10 lesions)	30
Dermatology	Skin Lesion Cauterization (>10 lesions)	50
Dermatology	Perineal Warts Diathermy	30
Dermatology	Vulval Wart Removal – Silver Nitrate Stick	30
Dermatology	Vulval Wart Removal – Podophyllin Solution	30
Dermatology	Cryotherapy with Liquid Nitrogen (up to 5 lesions)	25
Dermatology	Cryotherapy with Liquid Nitrogen (>5 lesions)	50
Dermatology	Cryotherapy with Nitrous Oxide (up to 5 lesions)	25
Dermatology	Cryotherapy with Nitrous Oxide (>5 lesions)	50
Dermatology	Laser Procedures with Excimer (up to 3 areas)	10
Dermatology	Laser Procedures with Excimer (>3 areas)	20
Dermatology	Radiofrequency Ablation for Skin Lesions (up to 5 lesions)	60
Dermatology	Radiofrequency Ablation for Skin Lesions (>5 lesions)	80
Dermatology	Chemical Peeling (<15cm)	60
Dermatology	Chemical Peeling (15-40cm)	80
Dermatology	Chemical Peeling (>40cm)	100
Dermatology	Non-fractional CO2 Laser Therapy (<15cm)	60
Dermatology	Non-fractional CO2 Laser Therapy (15-40cm)	80
Dermatology	Non-fractional CO2 Laser Therapy (>40cm)	100
Dermatology	Fractional CO2 Laser Therapy (<15cm)	60
Dermatology	Fractional CO2 Laser Therapy (15-40cm)	80
Dermatology	Fractional CO2 Laser Therapy (>40cm)	100
Dermatology	Pulsed Dye Laser (PDL) Therapy (<15cm)	100
Dermatology	Pulsed Dye Laser (PDL) Therapy (15-40cm)	150
Dermatology	Pulsed Dye Laser (PDL) Therapy (>40cm)	200
Dermatology	Wood Lamp Examination	5
Dermatology	Slit Smear Examination in Leprosy	20
Dermatology	Tzanck Smear	20
Dermatology	Smear for Scabies	20
Dermatology	Smear for Leishmania Donovani Bodies	20
Dermatology	Fungal KOH Examination	20
Dermatology	Fungal Culture	20
Dermatology	Mixing Drug for Topical Application	5
Obst & Gyne	Biopsy of Vulva	50
Obst & Gyne	Evacuation of Vulval Haematoma	100
Obst & Gyne	Vulval Drain Removal	30
Obst & Gyne	Suture of Vulva	150
Obst & Gyne	Marsupialization of Bartholin Cyst	100
Obst & Gyne	Incision and Drainage of Bartholin’s Abscess	100
Obst & Gyne	Partial Vulvectomy	350
Obst & Gyne	Simple Vulvectomy	350
Obst & Gyne	Radical Vulvectomy	850
Obst & Gyne	Excision of Vulval Cyst	100
Obst & Gyne	Lysis of Vulval Adhesions	150
Obst & Gyne	Enlargement of Introitus	150
Obst & Gyne	Amputation of Clitoris	100
Obst & Gyne	Vaginoscopy	100
Obst & Gyne	Exploration of Vagina (without repair)	50
Obst & Gyne	Colposcopy	150
Obst & Gyne	Colposcopy with Biopsy	200
Obst & Gyne	Vaginal Biopsy	50
Obst & Gyne	Examination Under Anaesthesia (EUA) – Female Reproductive Tract	100
Obst & Gyne	Vaginal Pack Insertion	50
Obst & Gyne	Vaginal Pack Removal	10
Obst & Gyne	Evacuation of Vaginal Haematoma	100
Obst & Gyne	Removal of Vaginal Drain	10
Obst & Gyne	Excision of Vaginal Cyst/Lesion	150
Obst & Gyne	Lysis of Vaginal Adhesions	100
Obst & Gyne	Division of Vaginal Septum	300
Obst & Gyne	Vaginectomy	850
Obst & Gyne	Suture of Vagina	100
Obst & Gyne	Vaginal Reconstruction (obstetric)	250
Obst & Gyne	Vaginal Reconstruction (non-obstetric)	350
Obst & Gyne	Hymenectomy	100
Obst & Gyne	Hymenorrhaphy	200
Obst & Gyne	Biopsy of Endocervix	50
Obst & Gyne	Punch Biopsy of Cervix	50
Obst & Gyne	Cervical Biopsy & Cautery	100
Obst & Gyne	Conization of Cervix	300
Obst & Gyne	Large Loop Excision of the Transformation Zone (LLETZ)	200
Obst & Gyne	Cervical Smear	15
Obst & Gyne	Exploration of Cervix (without repair)	25
Obst & Gyne	Cervical Polypectomy	35
Obst & Gyne	Cervical Polypectomy – Hysteroscopic	80
Obst & Gyne	Cervical Cautery	25
Obst & Gyne	Cryosurgery of Cervix	35
Obst & Gyne	Colposcopy Cervical Biopsy & Cold Coagulation	150
Obst & Gyne	Dilatation of Cervical Canal	50
Obst & Gyne	Amputation of Cervix	150
Obst & Gyne	Repair of Cervical Tear	100
Obst & Gyne	Cervical Suture Removal	25
Obst & Gyne	McDonald’s Cervical Cerclage	150
Obst & Gyne	Shirodkar Cervical Cerclage	200
Obst & Gyne	Removal of Cervical Cerclage	25
Obst & Gyne	Vaginal Pessary Insertion	25
Obst & Gyne	Vaginal Pessary Removal	10
Obst & Gyne	Diagnostic Hysteroscopy	100
Obst & Gyne	Operative Hysteroscopy	200
Obst & Gyne	Exploration of Uterus & Vagina (without repair)	100
Obst & Gyne	Hysteroscopy with Dilatation and Curettage (D&C)	120
Obst & Gyne	Dilatation and Curettage (D&C) – Diagnostic	120
Obst & Gyne	Dilatation and Curettage (D&C) – Termination of Pregnancy (TOP)	120
Obst & Gyne	Dilatation and Curettage (D&C) – Miscarriage	120
Obst & Gyne	Suction Evacuation of Uterus	160
Obst & Gyne	IUCD Insertion	50
Obst & Gyne	IUCD Removal	30
Obst & Gyne	IUCD Removal – Hysteroscopic	130
Obst & Gyne	Removal of Contraceptive Implant	50
Obst & Gyne	Laparotomy Excision of Uterine Horn	300
Obst & Gyne	Laparoscopic Excision of Uterine Horn	500
Obst & Gyne	Hysteroscopic Resection of Uterine Septum	350
Obst & Gyne	Hysteroscopic Myomectomy	500
Obst & Gyne	Laparotomy Myomectomy	350
Obst & Gyne	Laparoscopic Myomectomy	550
Obst & Gyne	Hysteroscopic Division of Intrauterine Adhesions	300
Obst & Gyne	Laparoscopic Lysis of Abdominal & Pelvic Adhesions	500
Obst & Gyne	Endometrial Polypectomy	150
Obst & Gyne	Endometrial Polypectomy – Hysteroscopic	300
Obst & Gyne	Hysteroscopic Transcervical Resection of Endometrium (TCRE)	350
Obst & Gyne	Laparoscopic Cautery of Endometriotic Spots	250
Obst & Gyne	Laparoscopic Uterosacral Nerve Ablation (LUNA)	300
Obst & Gyne	Endometrial Biopsy	60
Obst & Gyne	Laparoscopic Biopsy of Endometriotic Lesion	120
Obst & Gyne	Intrauterine Packing	100
Obst & Gyne	Suture of Uterine Laceration	250
Obst & Gyne	Repair of Ruptured Uterus	300
Obst & Gyne	B-Lynch Suture of Uterus	250
Obst & Gyne	Hysteroscopic Metroplasty	300
Obst & Gyne	Hysterotomy (obstetric)	350
Obst & Gyne	Hysterotomy (non-obstetric)	350
Obst & Gyne	Vaginal Hysterectomy	450
Obst & Gyne	Non Descent Vaginal Hysterectomy	550
Obst & Gyne	Vaginal Hysterectomy & Pelvic Floor Repair	650
Obst & Gyne	Laparoscopic Assisted Vaginal Hysterectomy	550
Obst & Gyne	Subtotal Laparoscopic Hysterectomy	550
Obst & Gyne	Total Laparoscopic Hysterectomy (TLH)	650
Obst & Gyne	Total Laparoscopic Hysterectomy (TLH) with Bilateral Salpingo- Oophorectomy (BSO), Omentectomy & Nodal Dissection	1400
Obst & Gyne	Subtotal Abdominal Hysterectomy	450
Obst & Gyne	Total Abdominal Hysterectomy	450
Obst & Gyne	Caesarean Hysterectomy (including the caesarean delivery)	850
Obst & Gyne	Obstetric Hysterectomy	850
Obst & Gyne	Laparoscopic Radical Hysterectomy	1200
Obst & Gyne	Radical Abdominal Hysterectomy	1200
Obst & Gyne	Laparotomy Radical Hysterectomy with Bilateral Pelvic Node Dissection	1400
Obst & Gyne	Laparotomy Abdominal Hysterectomy with Unilateral Salpingo- Oopherectomy	550
Obst & Gyne	Laparoscopic Hysterectomy with Unilateral Salpingo- Oopherectomy	700
Obst & Gyne	Laparotomy Abdominal Hysterectomy with Bilateral Salpingo- Oopherectomy	550
Obst & Gyne	Laparoscopic Hysterectomy with Bilateral Salpingo- Oopherectomy	700
Obst & Gyne	Laparotomy Abdominal Hysterectomy with Bilateral Salpingectomy	550
Obst & Gyne	Laparoscopic Hysterectomy with Bilateral Salpingectomy	700
Obst & Gyne	Laparotomy Ovarian Biopsy	350
Obst & Gyne	Laparoscopic Ovarian Biopsy	450
Obst & Gyne	Laparoscopic Ovarian Cyst Aspiration	350
Obst & Gyne	Laparoscopic Para Ovarian Cyst Aspiration	350
Obst & Gyne	Laparotomy Excision of Ovarian Cyst in Pregnancy	550
Obst & Gyne	Laparotomy Ovarian Cystectomy in Pregnancy	550
Obst & Gyne	Laparoscopic Ovarian Cystectomy in Pregnancy	650
Obst & Gyne	Laparoscopic Release of Ovarian Torsion	450
Obst & Gyne	Laparotomy Release of Ovarian Torsion	450
Obst & Gyne	Laparoscopic Ovarian Cauterization	350
Obst & Gyne	Laparotomy Unilateral Salpingo-Oopherectomy	350
Obst & Gyne	Laparotomy Bilateral Salpingo-Oopherectomy	350
Obst & Gyne	Laparoscopic Unilateral Salpingo-Oopherectomy	450
Obst & Gyne	Laparoscopic Bilateral Salpingo-Oopherectomy	450
Obst & Gyne	Laparoscopic Ovarian Drilling	350
Obst & Gyne	Laparoscopic Excision of Bleeding Corpus Luteal Cyst	350
Obst & Gyne	Reconstruction of Ovary	350
Obst & Gyne	Repositioning of Ovaries	550
Obst & Gyne	Laparoscopic Cytoreduction of Ovarian Tumor	1400
Obst & Gyne	Laparotomy Cytoreduction of Ovarian Tumor	1200
Obst & Gyne	Laparotomy Excision of Bleeding Corpus Luteal Cyst	400
Obst & Gyne	Laparotomy Ovarian Cystectomy	400
Obst & Gyne	Laparoscopic Ovarian Cystectomy	450
Obst & Gyne	Laparoscopic Ovarian Wedge Resection	400
Obst & Gyne	Laparoscopic Salpingo-Oophorectomy (Remaining Tube/Ovary)	400
Obst & Gyne	Laparotomy Salpingo-Oophorectomy (Remaining Tube/Ovary)	350
Obst & Gyne	Laparotomy Excision of Tubo-Ovarian Mass	450
Obst & Gyne	Laparoscopic Excision of Tubo-Ovarian Mass	650
Obst & Gyne	Chromo Pertubation Test	120
Obst & Gyne	Dilatation of Fallopian Tube	350
Obst & Gyne	Removal of Prosthesis from Fallopian Tube	250
Obst & Gyne	Fimbrioplasty	500
Obst & Gyne	Laparotomy Tubal ligation – Sterilization	300
Obst & Gyne	Laparoscopic Tubal Ligation – Sterilization	350
Obst & Gyne	Postpartum Tubal Ligation	300
Obst & Gyne	Laparotomy Salpingostomy	350
Obst & Gyne	Laparoscopic Salpingostomy	450
Obst & Gyne	Laparoscopic Haematosalpinx Aspiration	450
Obst & Gyne	Laparotomy Salpingectomy – Bilateral	450
Obst & Gyne	Laparotomy Salpingectomy – Right Side	450
Obst & Gyne	Laparotomy Salpingectomy – Left Side	450
Obst & Gyne	Laparoscopic Salpingectomy – Bilateral	650
Obst & Gyne	Laparoscopic Salpingectomy – Left Side	650
Obst & Gyne	Laparoscopic Salpingectomy – Right Side	650
Obst & Gyne	Suturing of Perineal Tear – First Degree	100
Obst & Gyne	Suturing of Perineal Tear – Second Degree	150
Obst & Gyne	Suturing of Perineal Tear – Third Degree	200
Obst & Gyne	Suturing of Perineal Tear – Fourth Degree	360
Obst & Gyne	Suturing of Perineal Laceration	100
Obst & Gyne	Repair of Obstetrics Laceration of Urethra	200
Obst & Gyne	Excision of Urethro-Vaginal Diverticulum	250
Obst & Gyne	Repair of Urethro-Vaginal Fistula	450
Obst & Gyne	Repair of Uretero-Vaginal Fistula	550
Obst & Gyne	Repair of Vesico-Vaginal Fistula – Vaginal Approach	450
Obst & Gyne	Repair of Vesico-Vaginal Fistula – Abdominal Approach	500
Obst & Gyne	Repair of Vesico-Vaginal Fistula (with omentoplasty) – Transvesical Approach	600
Obst & Gyne	Repair of Vesico-Uterine Fistula	550
Obst & Gyne	Repair of Uterine Wound/Scar Dehiscence	400
Obst & Gyne	Colposuspension	560
Obst & Gyne	Burch’s Colposuspension	480
Obst & Gyne	Sling Operation	360
Obst & Gyne	Tension-free Vaginal Tape (TVT)	400
Obst & Gyne	Tension-free Obturator Tape (TOT)	400
Obst & Gyne	Suprapubic Colpo Urethropexy	400
Obst & Gyne	Vault Suspension	450
Obst & Gyne	Sacral Colpopexy – Vaginal	450
Obst & Gyne	Sacral Colpopexy – Abdominal	500
Obst & Gyne	Sacrospinous Colpopexy	500
Obst & Gyne	Plication of Utero Sacral Ligaments	400
Obst & Gyne	Anterior Colporrhaphy	300
Obst & Gyne	Repair of Rectocoele	300
Obst & Gyne	Repair of Enterocoele	300
Obst & Gyne	Posterior Colpoperineorrhaphy	350
Obst & Gyne	Repair of Cystocoele and Rectocoele	600
Obst & Gyne	Manchester/Fothergill Operation	500
Obst & Gyne	Manual Replacement of Uterus	300
Obst & Gyne	Hysterosacropexy – Vaginal	400
Obst & Gyne	Hysterosacropexy – Abdominal	450
Obst & Gyne	Laparotomy Ventrosuspension	400
Obst & Gyne	Laparoscopic Ventrosuspension	400
Obst & Gyne	Sacral Cervicopexy	400
Obst & Gyne	Excision of Uterine Scar Ectopic Pregnancy	650
Obst & Gyne	Evacuation of Broad Ligament Haematoma	450
Obst & Gyne	Staging Laparotomy for Uterine Cancer	1500
Obst & Gyne	Staging Laparoscopy for Uterine Cancer	1500
Obst & Gyne	Pelvic Exenteration – Anterior	1800
Obst & Gyne	Pelvic Exenteration – Posterior	1800
Obst & Gyne	Pelvic Exenteration – Complete	2500
Obst & Gyne	Classical Caesarean Section	650
Obst & Gyne	Classical Caesarean Section with Bilateral Tubal Ligation (BTL)	700
Obst & Gyne	Lower Segment Caesarean Section (LSCS) – Primary	450
Obst & Gyne	Lower Segment Caesarean Section (LSCS) – Primary, with Bilateral Tubal Ligation (BTL)	500
Obst & Gyne	Lower Segment Caesarean Section (LSCS) – Repeat	550
Obst & Gyne	Lower Segment Caesarean Section (LSCS) – Repeat, with Bilateral Tubal Ligation (BTL)	600
Obst & Gyne	Vaginal Delivery – Birth Before Arrival (BBA) to Hospital	100
Obst & Gyne	Spontaneous Vaginal Delivery – Single	400
Obst & Gyne	Spontaneous Vaginal Delivery – Twin	550
Obst & Gyne	Spontaneous Vaginal Delivery – Preterm	450
Obst & Gyne	Spontaneous Vaginal Delivery – Breech	500
Obst & Gyne	Assisted Vaginal Delivery with Episiotomy – Vacuum Extraction	550
Obst & Gyne	Assisted Vaginal Delivery with Episiotomy – Low Forceps	550
Obst & Gyne	Assisted Vaginal Delivery with Episiotomy – Mid Forceps	600
Obst & Gyne	Assisted Vaginal Delivery with Episiotomy – Breech	600
Obst & Gyne	Assisted Vaginal Delivery without Episiotomy – Low Forceps	450
Obst & Gyne	Forceps for After-coming Head	50
Obst & Gyne	Internal Podalic Version	50
Obst & Gyne	Incision of Cervix to Assist Delivery	150
Obst & Gyne	Operation on Fetus to Assist Delivery	150
Obst & Gyne	Resuturing of Gaped Episiotomy	100
Obst & Gyne	Manual Removal of Placenta (M.R.P)	100
Obst & Gyne	Evacuation of Retained Placental Tissue	200
Obst & Gyne	Application of Scalp Electrode	50
Obst & Gyne	External Cephalic Version	50
Obst & Gyne	Amnioreduction	150
Obst & Gyne	Amniocentesis	150
Obst & Gyne	Cordocentesis	250
Obst & Gyne	Chorionic Villus Sampling	250
Obst & Gyne	Intrauterine Blood Transfusion – Intraperitoneal	250
Obst & Gyne	Intrauterine Blood Transfusion – Intracardiac	300
Obst & Gyne	Intrauterine Blood Transfusion – Umbilical Cord	300
Obst & Gyne	Fetal Shunt Placement – Ultrasound Guided	300
Obst & Gyne	Fetal Paracentesis – Ultrasound Guided	250
Obst & Gyne	Fetal Thoracocentesis – Ultrasound Guided	250
Obst & Gyne	Fetal Cephalocentesis – Ultrasound Guided	250
Obst & Gyne	Fetal Ovarian Cyst Aspiration – Ultrasound Guided	250
Obst & Gyne	Fetal Bladder Aspiration – Ultrasound Guided	250
Obst & Gyne	Ultrasound Guided Intra-gestational Injection (e.g. methotrexate, kcl)	300
Obst & Gyne	Endoscopic Laser Ablation of Communicating Placental Vessels (twin-to-twin transfusion syndrome)	400
Obst & Gyne	Antenatal Scan – Early Pregnancy Scan	25
Obst & Gyne	Antenatal Scan – First Trimester Scan	100
Obst & Gyne	Antenatal Scan – Growth Scan	30
Obst & Gyne	Antenatal Scan – Anomaly Scan	100
Obst & Gyne	Antenatal Scan – Fetal Echocardiography	100
Obst & Gyne	Follicular Scan	30
Obst & Gyne	Gynecological Scan	35
Obst & Gyne	Labor Induction – Prostaglandin Tablet	25
Obst & Gyne	Labor Induction – Prostaglandin Gel	25
Obst & Gyne	Labor Induction – Cervidil (Dinoprostone)	25
Obst & Gyne	Labor Induction – Cervical Catheter	40
Obst & Gyne	Labor Induction – Artificial Rupture of Membranes (Amniotomy)	25
Obst & Gyne	Fetal Contraction Stress Test	50
Obst & Gyne	Fetal Non-stress Test	25
Obst & Gyne	Fetal Scalp Blood Sampling	50
Obst & Gyne	Fetal Umbilical Cord Occlusion	200
ENT	Newborn Hearing Screening	25
ENT	Tympanometry	10
ENT	Audiometry	15
ENT	PTA with Speech Audiometry	20
ENT	BERA (including ECoG)	50
ENT	Tonsillectomy	150
ENT	Adenoidectomy	120
ENT	Control of Post-tonsillectomy Bleeding	200
ENT	Control of Post-adenoidectomy Bleeding	200
ENT	Examination under Anesthesia (EUA) – Nasopharynx	50
ENT	Examination under Anesthesia (EUA) – Ear	50
ENT	Examination under Anesthesia (EUA) – Nose	50
ENT	Examination under Microscope (EUM) – Ear Suction Cleaning & Dewaxing	25
ENT	Biopsy – Nasopharynx	100
ENT	Biopsy (under anesthesia) – Oral cavity	100
ENT	Biopsy – Oral cavity	25
ENT	Biopsy – Hypopharynx	150
ENT	Biopsy – Larynx	150
ENT	Biopsy – Ear	50
ENT	Biopsy – Neck	250
ENT	Incision & Drainage of Retropharyngeal Abscess – Transoral Approach	200
ENT	Incision & Drainage of Retropharyngeal Abscess – External Approach	400
ENT	Incision & Drainage of Parapharyngeal Abscess – Transoral Approach	200
ENT	Incision & Drainage of Parapharyngeal Abscess – External Approach	400
ENT	Incision & Drainage of Nasal Abscess (under anesthesia)	60
ENT	Incision & Drainage of Nasal Abscess	30
ENT	Incision & Drainage of Septal Abscess (under anesthesia)	60
ENT	Incision & Drainage of Septal Abscess	30
ENT	Incision & Drainage of Septal Haematoma (under anesthesia)	60
ENT	Incision & Drainage of Septal Haematoma	30
ENT	Incision & Drainage of Post-aural Abscess (under anesthesia)	100
ENT	Incision & Drainage of Post-aural Abscess	50
ENT	Incision & Drainage of Pre-auricular Abscess (under anesthesia)	100
ENT	Incision & Drainage of Pre-auricular Abscess	50
ENT	Incision & Drainage of Pinna Abscess	150
ENT	Incision & Drainage of Pinna Haematoma (without quilting) – Under Anesthesia	100
ENT	Incision & Drainage of Pinna Haematoma (without quilting)	50
ENT	Incision & Drainage of Pinna Haematoma (with quilting) – Under Anesthesia	150
ENT	Incision & Drainage of Pinna Haematoma (with quilting)	75
ENT	Incision & Drainage of Submandibular Abscess/Cyst/Hematoma	200
ENT	Incision & Drainage of Parotid Abscess	250
ENT	Incision & Drainage of Neck Abscess	200
ENT	Excision of Sinus/Fistula – Pre auricular	250
ENT	Excision of Sinus/Fistula – Post auricular	400
ENT	Excision of Accessory Auricle	100
ENT	Excision of Sinus/Fistula – Neck	400
ENT	Excision of Neck Swelling/Lesion – Anterior/Posterior Triangle	300
ENT	Nasal Polypectomy	150
ENT	Excision of Antrochoanal Polyp	300
ENT	Submandibular Gland Excision	400
ENT	Closure of Oroantral Fistula	300
ENT	Foreign Body Removal (under anesthesia) – Nose	100
ENT	Foreign Body Removal (under anesthesia) – Oropharynx	100
ENT	Foreign Body Removal (under anesthesia) – Oral Cavity	100
ENT	Foreign Body Removal – Nose	50
ENT	Foreign Body Removal – Oropharynx	50
ENT	Foreign Body Removal – Oral Cavity	50
ENT	Hypopharyngoscopy	100
ENT	Hypopharyngoscopy & Foreign Body Removal	150
ENT	Micro Laryngoscopy (suspension laryngoscopy)	200
ENT	Micro Laryngoscopy (suspension laryngoscopy) with Biopsy	300
ENT	Direct Laryngoscopy and Foreign Body Removal	250
ENT	Direct Laryngoscopy	100
ENT	Airway Assessment (Nasopharyngolaryngobronchoscopy)	300
ENT	Rigid Bronchoscopy and Foreign Body Removal	300
ENT	Rigid Bronchoscopy	200
ENT	Fiberoptic Laryngoscopy (under anesthesia)	100
ENT	Fiberoptic Laryngoscopy	25
ENT	Pan-Endoscopy	400
ENT	Hemilaryngectomy	750
ENT	Total Laryngectomy	1040
ENT	Neck Dissection – Radical	900
ENT	Neck Dissection – Modified Radical	800
ENT	Neck Dissection – Selective	600
ENT	Repair of Trachea	700
ENT	Uvulopalatopharyngoplasty (UPPP)	750
ENT	Ear Piercing	15 (per ear)
ENT	Dewaxing of Ear	15 (per ear)
ENT	Dewaxing of Ear (under anesthesia)	50
ENT	Foreign Body Removal – Ear	15 (per ear)
ENT	Foreign Body Removal – Ear (under anesthesia)	50
ENT	Aural Polypectomy	100
ENT	Surgery for External Auditory Canal Atresia	1000
ENT	Myringotomy	75 (per ear)
ENT	Myringotomy and Grommet Insertion	100
ENT	Grommet Removal (under anesthesia)	50
ENT	Grommet Removal	25
ENT	Exploratory Tympanotomy	150
ENT	Tympanoplasty	300
ENT	Tympanoplasty with Ossiculoplasty	450
ENT	Cortical Mastoidectomy	350
ENT	Radical Mastoidectomy	500
ENT	Modified Radical Mastoidectomy	600
ENT	Retromastoid Approach and Excision of Acoustic Schwannoma	1500
ENT	Mastoid Exploration	550
ENT	Suction Clearance of Mastoid Cavity	40
ENT	Stapedectomy	500
ENT	Cochlear Implantation	750
ENT	Nasal Endoscopy (under anesthesia)	50
ENT	Nasal Endoscopy	25
ENT	Repair of Nasal Laceration	100
ENT	Septoplasty	250
ENT	Submucus Diathermy (SMD) of Turbinates	100
ENT	Rhinolith Removal	150
ENT	Surgical Closure of Anterior Nares (Young’s operation)	250
ENT	Post Nasal Packing	100
ENT	Post Nasal Pack Removal (under anesthesia)	50
ENT	Post Nasal Pack Removal	25
ENT	Nasal Fracture Reduction – Open	300
ENT	Nasal Fracture Reduction – Closed (under anesthesia)	100
ENT	Nasal Fracture Reduction – Closed	50
ENT	Functional Endoscopic Sinus Surgery (FESS) – Simple	350
ENT	Functional Endoscopic Sinus Surgery (FESS) – Complex	600
ENT	Maxillectomy – Partial	500
ENT	Maxillectomy – Infrastructure	500
ENT	Maxillectomy – Total without Orbital Exenteration	750
ENT	Maxillectomy – Total with Orbital Exenteration	1000
ENT	Medial Maxillectomy – Open	750
ENT	Medial Maxillectomy – Endoscopic	600
ENT	Tracheostomy – Planned	300
ENT	Parotidectomy – Partial	600
ENT	Parotidectomy – Superficial	600
ENT	Parotidectomy – Total	700
ENT	Parotidectomy – Extended	1000
ENT	Partial Glossectomy	500
ENT	Partial Glossectomy with Neck Dissection	1000
ENT	Total Glossectomy	600
ENT	Total Glossectomy with Neck Dissection	1200
ENT	Tracheal Dilatation	300
ENT	Otoplasty	450
ENT	Septorhinoplasty	750
ENT	Mandibulectomy – Marginal	400
ENT	Mandibulectomy – Segmental	400
ENT	Ear Repair – Ear lobe	50
ENT	Ear Repair – Pinna	100
ENT	Reopening of Choanal Atresia	500
ENT	Debridement of Maxillary & Ethmoid Sinuses	400
ENT	Debridement of All Sinuses	600
ENT	Extensive Debridement of Paranasal Sinuses & Skull Base	600
ENT	Endoscopic Repair of CSF Leak	650
ENT	Sistrunk Operation – Thyroglossal Cyst	350
ENT	Sistrunk Operation – Thyroglossal Sinus	350
ENT	Sistrunk Operation – Thyroglossal Fistula	350
ENT	Biopsy – Nasopharynx	100
ENT	Biopsy (under anesthesia) – Oral cavity	100
ENT	Biopsy – Oral cavity	25
ENT	Biopsy – Hypopharynx	150
ENT	Biopsy – Larynx	150
ENT	Biopsy – Ear	50
ENT	Biopsy – Neck	250
ENT	Closure of Tracheocutaneous Fistula	300
ENT	Neck Trauma Exploration	500
ENT	Neck Wound Re-exploration	300
ENT	Post Aural Wound Re-exploration	100
ENT	Excision of Hypopharyngeal Lesion – Open	500
ENT	Excision of Hypopharyngeal Lesion – Endoscopic	300
ENT	Excision of Oropharyngeal Lesion – Open	500
ENT	Excision of Oropharyngeal Lesion – Endoscopic	200
ENT	Excision of Laryngeal Lesion – Open	500
ENT	Excision of Laryngeal Lesion – Endoscopic	300
ENT	Excision of Nasopharyngeal Lesion – Open	500
ENT	Excision of Nasopharyngeal Lesion – Endoscopic	300
ENT	Excision of Tracheal Lesion – Open	550
ENT	Excision of Tracheal Lesion – Endoscopic	500
ENT	Excision of Oral Cavity Lesion – Open	500
ENT	Excision of Oral Cavity Lesion – Endoscopic	300
ENT	Pharyngotomy	500
ENT	Pharyngectomy	500
ENT	Debridement of Neck	300
ENT	Debridement of Ear	75
ENT	Radiofrequency (RF) – Palate	100
ENT	Radiofrequency (RF) – Base of Tongue	150
ENT	Radiofrequency (RF) – Turbinates	100
ENT	Endoscopic Control for Epistaxis (under anesthesia)	200
ENT	Endoscopic Control for Epistaxis	10
ENT	Sialoendoscopy	500
ENT	Sialoendoscopy (combined approach)	600
ENT	Tracheal Resection and Anastomosis	1000
ENT	Laryngeal Expansion	1000
ENT	Total Laryngopharyngectomy with Esophageal Repair	2000
ENT	Cricotracheal Resection	1000
ENT	Hyoid Suspension	500
ENT	Posterior Cricoid Split with Cartilage Interpositioning	700
ENT	Anterior Cricoid Split with Cartilage Expansion	700
ENT	OSA Surgery (multilevel)	1000
ENT	Sphenopalatine Artery Ligation	300
ENT	Maxillary Artery Ligation	400
ENT	Anterior Ethmoidal Artery Ligation – Endoscopic	300
ENT	Anterior Ethmoidal Artery Ligation – External	400
ENT	Nasopharyngeal Angiofibroma Excision	1000
ENT	Optic Nerve Decompression	750
ENT	Orbital Decompression – Transantral	500
ENT	Facial Nerve Decompression	750
ENT	Endoscopic Dacryocystorhinostomy (DCR)	500
ENT	External Carotid Artery Ligation	500
ENT	Reconstruction with Split Thickness Skin Graft – Head & Neck	150
ENT	Reconstruction with Local Flap – Head & Neck	250
ENT	Reconstruction with Regional Flap – Head & Neck	450
ENT	Marginal Excision of Soft Tissue Tumor – Neck	700
ENT	Wide Excision of Soft Tissue Tumor (without graft) – Neck	900
ENT	Wide Excision of Soft Tissue Tumor (with graft) – Neck	1200
ENT	Radical Excision of Soft Tissue Tumor – Neck	1800
Ophthalmology	Applanation Tonometry	10
Ophthalmology	Non-contact Tonometry	10
Ophthalmology	Schiotz Tonometry	10
Ophthalmology	A-scan Ultrasound	25
Ophthalmology	B-scan Ultrasound	25
Ophthalmology	Ophthalmic Ultrasound	25
Ophthalmology	Diplopia Charting	10
Ophthalmology	Exophthalmometry (e.g. Hertel)	10
Ophthalmology	Hess Screening	10
Ophthalmology	Humphrey Visual Field Analysis	20
Ophthalmology	Intraocular Lens (IOL) Power Calculation	20
Ophthalmology	Keratometry	10
Ophthalmology	Gonioscopy	20
Ophthalmology	Lensometry	20
Ophthalmology	Eye Examination Under General Anesthesia	150
Ophthalmology	Eye Care	5
Ophthalmology	Eye Washing	5
Ophthalmology	Biopsy – Eyelid	70
Ophthalmology	Biopsy – Conjunctiva	60
Ophthalmology	Biopsy – Lacrimal Sac/Gland	150
Ophthalmology	Biopsy – Other Orbital Content	150
Ophthalmology	Biopsy – Cornea	50
Ophthalmology	Biopsy – Orbital Tumor	150
Ophthalmology	Orbital Contents Fine Needle Aspiration	50
Ophthalmology	Ectropion Correction	400
Ophthalmology	Entropion Correction	400
Ophthalmology	Ptosis Correction	700
Ophthalmology	Chalazion Incision & Curettage	50
Ophthalmology	Chalazion Incision & Curettage with Granuloma Excision	75
Ophthalmology	Eyelid Abscess Drainage	75
Ophthalmology	Repair of Partial Thickness Eyelid Tear	100
Ophthalmology	Repair of Full Thickness Eyelid Tear	250
Ophthalmology	Canthopexy	400
Ophthalmology	Canthoplasty	400
Ophthalmology	Tarsorrhaphy	120
Ophthalmology	Release of Tarsorrhaphy	25
Ophthalmology	Trichiasis Epilation	20
Ophthalmology	Trichiasis Laser Ablation	50
Ophthalmology	Trichiasis Electrolysis	50
Ophthalmology	Stye (Hordeolum) Incision & Drainage	50
Ophthalmology	Eyelid Growth Excision – Minor	150
Ophthalmology	Eyelid Growth Excision – Major	350
Ophthalmology	Eyelid Foreign Body Removal	50
Ophthalmology	Nasolacrimal Duct Probing & Syringing	100
Ophthalmology	Nasolacrimal Duct Dilatation	75
Ophthalmology	Lacrimal Punctum Dilatation	25
Ophthalmology	Lacrimal Punctum Operation (others)	150
Ophthalmology	Lacrimal Canaliculi Probing & Syringing	75
Ophthalmology	Lacrimal Sac/Gland Incision & Drainage	80
Ophthalmology	Dacryocystectomy (DCT)	400
Ophthalmology	Dacryoadenectomy	450
Ophthalmology	Excision of Lacrimal Gland Tumor/Lesion	850
Ophthalmology	Lacrimal Duct/Canaliculi Repair	250
Ophthalmology	Removal of Lacrimal Passages Foreign Body or Dacryolith	150
Ophthalmology	Dacryocystorhinostomy (DCR)	450
Ophthalmology	Conjunctivorhinostomy	500
Ophthalmology	Evisceration of Ocular Contents (with implant)	350
Ophthalmology	Evisceration of Ocular Contents (without implant)	300
Ophthalmology	Enucleation of Eye (without implant)	400
Ophthalmology	Enucleation of Eye (with implant)	450
Ophthalmology	Exenteration of Orbit	650
Ophthalmology	Exenteration of Orbit (with flap)	800
Ophthalmology	Orbital Implant Insertion	350
Ophthalmology	Orbital Implant Modification	150
Ophthalmology	Orbital Implant Removal	250
Ophthalmology	Ocular Prosthesis (artificial eye) Impression & Custom Preparation	550
Ophthalmology	Ocular Prosthesis (artificial eye) Placement/Fitting	20
Ophthalmology	Ocular Prosthesis (artificial eye) Review/Care	20
Ophthalmology	Orbital Abscess Drainage	300
Ophthalmology	Orbital Decompression – Transcranial	850
Ophthalmology	Orbital Decompression – Orbitotomy	750
Ophthalmology	Orbit Exploration – Transcranial	950
Ophthalmology	Orbit Exploration – Orbitotomy	650
Ophthalmology	Orbital Tumor Excision – Transcranial	1000
Ophthalmology	Orbital Tumor Excision – Orbitotomy	800
Ophthalmology	Orbital Foreign Body Removal – Transcranial	800
Ophthalmology	Orbital Foreign Body Removal – Orbitotomy	550
Ophthalmology	Squint Surgery for Esotropia	400
Ophthalmology	Squint Surgery for Esotropia + Oblique Muscle	500
Ophthalmology	Squint Surgery for Exotropia	400
Ophthalmology	Squint Surgery for Exotropia + Oblique Muscle	500
Ophthalmology	Squint Surgery for Vertical Deviation	450
Ophthalmology	Squint Surgery – Others	400
Ophthalmology	Other Surgery on Extraocular Muscle – Simple	350
Ophthalmology	Other Surgery on Extraocular Muscle – Complex	450
Ophthalmology	Chemodenervation of Extraocular Muscle (e.g. botulinum toxin)	100
Ophthalmology	Conjunctival Concretion Removal	25
Ophthalmology	Conjunctival Granuloma Excision	100
Ophthalmology	Conjunctival Growth Excision – Minor	100
Ophthalmology	Conjunctival Growth Excision – Major	250
Ophthalmology	Conjunctival Naevus Excision	100
Ophthalmology	Incision/Destruction of Other Conjunctival Lesion	50
Ophthalmology	Pterygium Excision	150
Ophthalmology	Pterygium Excision with Rotational Autograft	250
Ophthalmology	Pterygium Excision with Free Autograft	350
Ophthalmology	Amniotic Membrane Graft for Conjunctiva	350
Ophthalmology	Patch Graft (eye)	550
Ophthalmology	Conjunctival Tear Repair	150
Ophthalmology	Conjunctival Resuturing	100
Ophthalmology	Conjunctival Suture Removal	25
Ophthalmology	Conjunctival Foreign Body Removal	25
Ophthalmology	Subconjunctival Injection	20
Ophthalmology	Excision of Scleral Lesion	250
Ophthalmology	Release of Synechiae – Incisional	250
Ophthalmology	Release of Synechiae – Laser	200
Ophthalmology	Scleral Flap Resuturing	200
Ophthalmology	Scleral Suture Removal	25
Ophthalmology	Scleral Tear Repair	300
Ophthalmology	Subtenon Injection	30
Ophthalmology	Retrobulbar Injection	50
Ophthalmology	Corneal Lesion Excision/Destruction	250
Ophthalmology	Corneal Scrapping	50
Ophthalmology	Corneal Tear Repair	300
Ophthalmology	Corneal Suturing	300
Ophthalmology	Corneal and Scleral Tear Repair	450
Ophthalmology	Corneal Foreign Body Removal	35
Ophthalmology	Penetrating Keratoplasty Suture Removal	50
Ophthalmology	Corneal/Corneoscleral Suture Removal	25
Ophthalmology	Corneal Collagen Cross Linking	300
Ophthalmology	Therapeutic Keratoplasty	550
Ophthalmology	Penetrating Keratoplasty	650
Ophthalmology	Deep Lamellar Endothelial Keratoplasty (DLEK)	650
Ophthalmology	Deep Lamellar Keratoplasty	650
Ophthalmology	Descemet Membrane Endothelial Keratoplasty (DMEK)	650
Ophthalmology	Descemet Stripping Automated Endothelial Keratoplasty(DSAEK)	650
Ophthalmology	Non-penetrating Deep Sclerectomy	450
Ophthalmology	Non-penetrating Deep Sclerectomy with Collagen Implantation	500
Ophthalmology	Non-penetrating Deep Sclerectomy with Mitomycin-C	500
Ophthalmology	Excimer Laser (eye)	600
Ophthalmology	Phackic Intraocular Lens (IOL)	450
Ophthalmology	Intra-corneal Ring Segments Insertion	400
Ophthalmology	Peripheral Iridotomy (PI) – Incisional	250
Ophthalmology	Peripheral Iridotomy (PI) – Laser	200
Ophthalmology	Iridectomy – Incisional	250
Ophthalmology	Iridectomy – Laser	200
Ophthalmology	Argon Laser Trabeculoplasty (ALT)	200
Ophthalmology	Trabeculectomy	550
Ophthalmology	Trabeculotomy/Goniotomy	450
Ophthalmology	Trabeculotomy + Trabeculectomy	650
Ophthalmology	Bleb Revision	300
Ophthalmology	Aqueous Shunt Revision	300
Ophthalmology	Cyclocryopexy	300
Ophthalmology	Cyclophotocoagulation	300
Ophthalmology	Trans-scleral Cyclophotocoagulation	350
Ophthalmology	Other Operation of Iris/Ciliary Body (e.g. foreign body removal, lesion excision, repair)	350
Ophthalmology	Glaucoma Valve Implant Surgery	650
Ophthalmology	Glaucoma Valve Implant Surgery with Vitrectomy	750
Ophthalmology	Removal of Implanted Material (other than IOL) – Anterior Segment	350
Ophthalmology	Removal of Implanted Material (other than IOL) – Posterior Segment	350
Ophthalmology	Argon Laser – Suture Lysis	75
Ophthalmology	Anterior Vitrectomy	350
Ophthalmology	Vitrectomy	850
Ophthalmology	Vitrectomy – Retained Lens Matter	950
Ophthalmology	Vitrectomy – Retained Intraocular Foreign Body	950
Ophthalmology	Vitrectomy + AC IOL	1000
Ophthalmology	Vitrectomy + PC IOL	1000
Ophthalmology	Vitrectomy + Scleral Fixation IOL	1250
Ophthalmology	Vitrectomy – Diabetic	1250
Ophthalmology	Vitrectomy – Endophthalmitis	750
Ophthalmology	Vitrectomy – Trauma	1100
Ophthalmology	Vitrectomy – Vitreous Hemorrhage	1100
Ophthalmology	YAG Laser – Posterior Capsulotomy	200
Ophthalmology	YAG Laser – Anterior Capsulotomy	200
Ophthalmology	YAG Laser – Membranotomy	200
Ophthalmology	YAG Laser – Vitreolysis	200
Ophthalmology	Intravitreal Injection	150
Ophthalmology	Silicon Oil removal	300
Ophthalmology	Anterior Chamber Reformation	100
Ophthalmology	Anterior Chamber Paracentesis – Diagnostic	75
Ophthalmology	Anterior Chamber Paracentesis – Therapeutic	75
Ophthalmology	Anterior Chamber Foreign Body Removal	350
Ophthalmology	Intracapsular Cataract Extraction (ICCE)	400
Ophthalmology	Extracapsular Cataract Extraction (ECCE)	400
Ophthalmology	ICCE + AC IOL	450
Ophthalmology	ICCE + Scleral Fixation	500
Ophthalmology	ECCE + AC IOL	450
Ophthalmology	ECCE + PC IOL	450
Ophthalmology	ECCE + PC IOL + Peripheral Iridotomy (PI)	500
Ophthalmology	ECCE + PC IOL + Pterygium Excision	550
Ophthalmology	ECCE + PC IOL + Trabeculectomy	700
Ophthalmology	ECCE + Scleral Fixation IOL	500
Ophthalmology	ECCE + Trabeculectomy	750
Ophthalmology	ECCE + Vitrectomy + Scleral Fixation PC IOL	750
Ophthalmology	ECCE + Vitrectomy + PC IOL	550
Ophthalmology	ECCE + Vitrectomy + PC IOL + PI	550
Ophthalmology	ECCE + Vitrectomy + AC IOL + PI	550
Ophthalmology	Penetrating Keratoplasty (PKP) + ECCE + PC IOL	1000
Ophthalmology	Penetrating Keratoplasty (PKP) + ECCE + Vitrectomy + PC IOL	1200
Ophthalmology	Penetrating Keratoplasty (PKP) + ECCE + Vitrectomy + PC IOL + PI	1200
Ophthalmology	Penetrating Keratoplasty (PKP) + ECCE + Vitrectomy + AC IOL + PI	1200
Ophthalmology	Penetrating Keratoplasty (PKP) + Secondary AC IOL	1000
Ophthalmology	Secondary AC IOL	300
Ophthalmology	Secondary PC IOL	300
Ophthalmology	Secondary Scleral Fixation PC IOL	350
Ophthalmology	Small Incision Cataract Surgery (SICS)	400
Ophthalmology	SICS + AC IOL	450
Ophthalmology	SICS + PC IOL	450
Ophthalmology	SICS + AC IOL + PI	500
Ophthalmology	SICS + PC IOL + Trabeculectomy	750
Ophthalmology	SICS + Trabeculectomy	650
Ophthalmology	Lens Matter Aspiration	300
Ophthalmology	Phacoaspiration	400
Ophthalmology	Phacoaspiration + AC IOL	500
Ophthalmology	Phacoaspiration + PC IOL	500
Ophthalmology	Phacoaspiration + AC IOL + PI	500
Ophthalmology	Phacoaspiration + Scleral Fixation	600
Ophthalmology	Phacoaspiration + Vitrectomy + PC IOL	550
Ophthalmology	Phacoaspiration + Vitrectomy + AC IOL + PI	600
Ophthalmology	Phacoaspiration + Vitrectomy + PC IOL + PI	600
Ophthalmology	Phacoemulsification	450
Ophthalmology	Phacoemulsification + AC IOL	500
Ophthalmology	Phacoemulsification + PC IOL	500
Ophthalmology	Phacoemulsification + PC IOL + Trabeculectomy	800
Ophthalmology	Phacoemulsification + Scleral Fixation IOL	650
Ophthalmology	Phacoemulsification + Vitrectomy + PC IOL	700
Ophthalmology	Phacoemulsification + Vitrectomy + AC IOL + PI	650
Ophthalmology	Phacoemulsification + Vitrectomy + PC IOL + PI	650
Ophthalmology	Phacoemulsification + PC IOL + Pterygium Excision	600
Ophthalmology	Argon Laser – Fill-in PRP	250
Ophthalmology	Argon Laser – Macular Grid	250
Ophthalmology	Argon Laser – PRP	200
Ophthalmology	Argon Laser – Focal	200
Ophthalmology	Barricade Laser (eye)	200
Ophthalmology	Focal Macular Grid	250
Ophthalmology	Modified Macular Grid	250
Ophthalmology	Focal Retinal Photocoagulation	200
Ophthalmology	Laser with Indirect Ophthalmoscope (LIO)	250
Ophthalmology	Laser with Indirect Ophthalmoscope (LIO)/Cryopexy for Retinal Breaks	250
Ophthalmology	Membranectomy – Anterior	300
Ophthalmology	Membranectomy – Posterior	400
Ophthalmology	Pneumoretinopexy	400
Ophthalmology	Fundus Fluorescein Angiography (FFA)	150
Ophthalmology	Retinal Detachment Repair (e.g. cryotherapy, photocoagulation, pneumatic retinopexy)	900
Ophthalmology	Retinal Detachment Repair (by scleral buckling or vitrectomy)	1000
Ophthalmology	Retinal Detachment Repair – Complicated	700
Ophthalmology	Retinopathy of Prematurity (ROP) Surgery	700
Neurosurgery	Twist Drill for Placement of External Ventricular Drain (EVD) or Intracerebral Pressure (ICP) Monitoring Device	300
Neurosurgery	Burr Hole for Placement of External Ventricular Drain (EVD) or Intracerebral Pressure (ICP) Monitoring Device	300
Neurosurgery	Burr Hole for Change of External Ventricular Drain (EVD) or Intracerebral Pressure (ICP) Monitoring Device	200
Neurosurgery	Burr Hole for Drainage of Chronic Subdural Hematoma (SDH)	650
Neurosurgery	Navigation Guided Aspiration of Intracranial Abscess	800
Neurosurgery	Craniotomy/Craniectomy for Subdural Hematoma	800
Neurosurgery	Craniotomy/Craniectomy for Intracerebral Hematoma	850
Neurosurgery	Craniotomy/Craniectomy for Cerebral Contusion	800
Neurosurgery	Craniotomy/Craniectomy for Intracranial Abscess	950
Neurosurgery	Craniotomy/Craniectomy for Arachnoid Cyst/Epidermal Cyst	1000
Neurosurgery	Craniotomy/Craniectomy for Navigation Guided Biopsy or Tumor Excision	1100
Neurosurgery	Endoscopy for Cranial/Spinal Diagnostic Purposes (Exploratory Neuroendoscopy)	700
Neurosurgery	Endoscopy for Intracranial Biopsy	720
Neurosurgery	Endoscopy for Evacuation of Intracranial Hematoma	750
Neurosurgery	Endoscopy for Other Intracranial Therapeutic Purposes (e.g. ETV, Evacuation)	750
Neurosurgery	Shunt – Cysto-subarachnoid	600
Neurosurgery	Shunt – Bilateral Ventriculo-peritoneal (VP)	700
Neurosurgery	Shunt – Ventriculo-atrial (VA)	600
Neurosurgery	Shunt – Ventriculo- jugular (VJ)	600
Neurosurgery	Shunt – Cysto- peritoneal	520
Neurosurgery	Shunt – Combined Cerebral Shunts	700
Neurosurgery	Shunt – Unilateral Revision/Conversion/Change of Ventriculo- peritoneal (VP)	520
Neurosurgery	Shunt – CSF Shunt Removal (without replacement)	250
Neurosurgery	Shunt – Placement of Cerebral Shunt Reservoir	400
Neurosurgery	Shunt – Shunt Removal and Placement of External Ventricular Drain (EVD)	355
Neurosurgery	Craniotomy/Craniectomy for Skull Vault Tumors (without Cranioplasty)	1200
Neurosurgery	Craniotomy/Craniectomy for Skull Vault Tumors (with Cranioplasty)	1400
Neurosurgery	Craniotomy/Craniectomy for Skull Base Tumors	2000
Neurosurgery	Craniotomy/Craniectomy for Extended Skull Base Tumors/Lesions	2000
Neurosurgery	Craniotomy/Craniectomy for Posterior Fossa Tumors	1500
Neurosurgery	Craniotomy/Craniectomy for Meningiomas (including duroplasty)	1400
Neurosurgery	Craniotomy/Craniectomy for Gliomas	1200
Neurosurgery	Craniotomy/Craniectomy for Cerebellopontine Angle Lesions	2000
Neurosurgery	Craniotomy/Craniectomy for Intraventricular Tumors	1700
Neurosurgery	Craniotomy/Craniectomy: Epilepsy – Lesionectomy (without electrocorticography)	1500
Neurosurgery	Craniotomy/Craniectomy: Epilepsy – Lesionectomy (with electrocorticography)	1700
Neurosurgery	Craniotomy/Craniectomy: Epilepsy – Temporal Lobectomy with Amygdalo-Hippocampectomy	1800
Neurosurgery	Craniotomy/Craniectomy: Epilepsy – Corpus Callosotomy	1500
Neurosurgery	Craniotomy/Craniectomy: Epilepsy – Functional Hemispherotomy	2000
Neurosurgery	Repair of CSF Dural Fistula – Spinal	900
Neurosurgery	Endoscopic Repair of CSF Dural Fistula	800
Neurosurgery	Transoral/Transnasal/Transethmoidal Excision of Tumors (microscope-assisted)	1600
Neurosurgery	Craniotomy/Craniectomy for Dural Arteriovenous Fistula/ Cavernomas/Haemangioblastoma/Other Vascular Lesions	1500
Neurosurgery	Craniotomy/Craniectomy for Arteriovenous Malformations	1500
Neurosurgery	Craniotomy/Craniectomy for Extracranial-Intracranial (EC-IC) Bypass	1600
Neurosurgery	Decompression for Trauma/Tumor/Stroke	1000
Neurosurgery	Foramen Magnum Decompression	1000
Neurosurgery	Craniotomy/Craniectomy for Microvascular Decompression	1500
Neurosurgery	Occpitocervical Decompression and Fixation	1500
Neurosurgery	Spine: Laminectomy/Laminoplasty for Extradural Tumors/Lesions – Cervical or Thoracic	1200
Neurosurgery	Spine: Laminectomy/Laminoplasty for Extradural Tumors/Lesions – Lumbar or Sacral	1100
Neurosurgery	Spine: Laminectomy/Laminoplasty for Spinal Intradural (extramedullary) Tumors/Lesions – Cervical or Thoracic	1300
Neurosurgery	Spine: Laminectomy/Laminoplasty for Spinal Intradural (extramedullary) Tumors/Lesions – Lumbar or Sacral	1200
Neurosurgery	Spine: Laminectomy/Laminoplasty for Spinal Intradural (intramedullary) Tumors/Lesions	1500
Neurosurgery	Posterior Spinal Decompression	1200
Neurosurgery	Anterior Spinal Decompression	1500
Neurosurgery	Combined Anterior/Posterior Spinal Decompression	1800
Neurosurgery	Minimally Invasive Spinal Decompression	1000
Neurosurgery	Disc Arthroplasty/Disc Replacement	1800
Neurosurgery	Percutaneous Rhizolysis/Rhyzotomy (radiofrequency ablation)	200
OMF & Dentistry	LeFort I Osteotomy	1800
OMF & Dentistry	LeFort II Osteotomy	1800
OMF & Dentistry	Other Maxillary Osteotomy	800
OMF & Dentistry	Sagittal Split Osteotomy	1500
OMF & Dentistry	Subsigmoid Osteotomy	1000
OMF & Dentistry	Other Mandibular Osteotomy	700
OMF & Dentistry	Open Reduction Internal Fixation (ORIF) of Maxilla/Zygoma – Simple	800
OMF & Dentistry	Open Reduction Internal Fixation (ORIF) of Maxilla/Zygoma – Complex	1000
OMF & Dentistry	Open Reduction Internal Fixation (ORIF) of Mandible – Simple	800
OMF & Dentistry	Open Reduction Internal Fixation (ORIF) of Mandible – Complex	1000
OMF & Dentistry	Closed Reduction of Maxilla/Zygoma Fracture	400
OMF & Dentistry	Closed Reduction of Mandibular Fracture	400
OMF & Dentistry	Reconstruction of Mandible	1000
OMF & Dentistry	Reconstruction of Maxilla/Zygoma	1000
OMF & Dentistry	Reduction of Temporomandibular Joint (TMJ) Dislocation – Closed	45
OMF & Dentistry	Reduction of Temporomandibular Joint (TMJ) Dislocation – Closed (with fixation)	300
OMF & Dentistry	Reduction of Temporomandibular Joint (TMJ) Dislocation – Open	800
OMF & Dentistry	Temporomandibular Joint (TMJ) Arthrocentesis – Unilateral	30
OMF & Dentistry	Temporomandibular Joint (TMJ) Arthrocentesis – Bilateral	50
OMF & Dentistry	Injection of Therapeutic Substance into Temporomandibular Joint (TMJ)	30
OMF & Dentistry	Temporomandibular Joint (TMJ) Arthroscopy – Diagnostic	600
OMF & Dentistry	Temporomandibular Joint (TMJ) Repair – Arthroscopic	900
OMF & Dentistry	Temporomandibular Joint (TMJ) Repair – Open	800
OMF & Dentistry	Temporomandibular Joint (TMJ) Replacement	1800
OMF & Dentistry	Excision of Maxillary or Mandibular Cyst	300
OMF & Dentistry	Excision of Maxillary or Mandibular Tumor (benign)	400
OMF & Dentistry	Excision of Maxillary or Mandibular Tumor (malignant)	800
OMF & Dentistry	Biopsy – Lip	40
OMF & Dentistry	Closure of Oroantral Fistula	300
OMF & Dentistry	Closure of Oronasal Fistula	300
OMF & Dentistry	Closure of Orocutaneous Fistula	300
OMF & Dentistry	Palatal Obturator	200
OMF & Dentistry	Removal of Dentoalveolar Foreign Body	100
OMF & Dentistry	Incision & Drainage of Masticator Space Abscess/Hematoma – Transoral Approach	200
OMF & Dentistry	Incision & Drainage of Masticator Space Abscess/Hematoma – Extraoral Approach	400
OMF & Dentistry	Incision & Drainage of Oral Cavity Abscess/Hematoma – Simple	50
OMF & Dentistry	Incision & Drainage of Oral Cavity Abscess/Hematoma – Complex	100
OMF & Dentistry	Incision & Drainage of Palate/Uvula Abscess/Hematoma	50
OMF & Dentistry	Incision & Drainage of Dentoalveolar Abscess/Hematoma	50
OMF & Dentistry	Incision & Drainage of Sublingual Abscess/Hematoma	200
OMF & Dentistry	Incision & Drainage of Submandibular Abscess/Cyst/Hematoma	200
OMF & Dentistry	Suturing/Closure of Tongue Laceration – Simple	30
OMF & Dentistry	Suturing/Closure of Tongue Laceration – Complex	100
OMF & Dentistry	Suturing/Closure of Mouth Laceration – Simple	30
OMF & Dentistry	Suturing/Closure of Mouth Laceration – Complex	100
OMF & Dentistry	Excision of Tongue Lesion – Simple	50
OMF & Dentistry	Excision of Tongue Lesion – Complex	400
OMF & Dentistry	Excision of Mouth Lesion (except tongue) – Simple	50
OMF & Dentistry	Excision of Mouth Lesion (except tongue) – Complex	400
OMF & Dentistry	Excision of Mouth Floor Lesions (e.g. ranula/mucocele/sublingual cyst)	450
OMF & Dentistry	Marsupialization of Mouth Floor Lesions (e.g. ranula/mucocele/sublingual cyst)	450
OMF & Dentistry	Excision of Lingual Tonsil	200
OMF & Dentistry	Frenectomy/Frenotomy	50
OMF & Dentistry	Glossoplasty (e.g. tongue flap, fascial sling, fusion to lip, etc.)	300
OMF & Dentistry	Excision of Palate/Uvula Lesion – Simple	50
OMF & Dentistry	Excision of Palate/Uvula Lesion – Complex	400
OMF & Dentistry	Excision of Uvula (Uvulectomy)	250
OMF & Dentistry	Palate Resection	400
OMF & Dentistry	Radiofrequency (RF) Ablation of Oral Cavity Lesion	100
OMF & Dentistry	Excision of Palate/Uvula Lesion – Simple	50
OMF & Dentistry	Excision of Palate/Uvula Lesion – Complex	400
OMF & Dentistry	Vestibuloplasty	250
OMF & Dentistry	Alveoloplasty/Alveolectomy (without tooth extraction)	50 per quadrant
OMF & Dentistry	Alveoloplasty/Alveolectomy (in conjunction with tooth extraction)	150 per quadrant
OMF & Dentistry	Alveolar Bone Graft	150 per quadrant
OMF & Dentistry	Excision of Dentoalveolar Lesion – Minor	100 per quadrant
OMF & Dentistry	Excision of Dentoalveolar Lesion – Major	250 per quadrant
OMF & Dentistry	Gingival Graft	150 per quadrant
OMF & Dentistry	Periodontal Flap Surgery	150 per quadrant
OMF & Dentistry	Gingivectomy	50 per quadrant
OMF & Dentistry	Gingivoplasty	70 per quadrant
OMF & Dentistry	Periodontal Guided Bone/Tissue Regeneration	150 per site
OMF & Dentistry	Dental Examination (without treatment)	15
OMF & Dentistry	Dental DMF Charting (oral epidemiology assessment)	15
OMF & Dentistry	Collection of Oral Sample (e.g. pus swab, saliva) for Lab Testing	20
OMF & Dentistry	Other Special Dental Diagnostic Test (e.g. pulp vitality test)	25
OMF & Dentistry	Oral Tissue Exploration (without treatment)	30
OMF & Dentistry	Wound Cleaning & Dressing – Intraoral	10
OMF & Dentistry	Surgical Dressing – Intraoral	35
OMF & Dentistry	Removal of Intraoral Sutures	15
OMF & Dentistry	Control of Oral Bleeding (any method)	90
OMF & Dentistry	Control of Postoperative Oral Bleeding (any method)	103
OMF & Dentistry	Dental Crown Lengthening	50 per tooth
OMF & Dentistry	Interdental Wiring (other than fracture fixation)	280
OMF & Dentistry	Placement of Intermaxillary Fixation (IMF)	280
OMF & Dentistry	Removal of Intermaxillary Fixation (IMF)	100
OMF & Dentistry	Removal of External Maxillofacial Fixation	100
OMF & Dentistry	Removal of Internal Maxillofacial Fixation	210
OMF & Dentistry	Removal of Interdental Fixation (any type)	100
OMF & Dentistry	Removal of Dental/Maxillary Prosthesis (not specified elsewhere)	25
OMF & Dentistry	Repair/Adjustment of Dental/Maxillary Prosthesis (not specified elsewhere)	35
OMF & Dentistry	Dental Splintting – Extracoronal	170 per arch
OMF & Dentistry	Dental Splintting – Intracoronal	170 per arch
OMF & Dentistry	Dental Scaling – Ultrasonic Instrument	20 per arch
OMF & Dentistry	Dental Scaling – Hand-held Instrument	25 per arch
OMF & Dentistry	Dental Scaling & Polishing	30 full mouth
OMF & Dentistry	Dental Root Planing	40 full mouth
OMF & Dentistry	Dental Scaling & Root Planing	50 per quadrant
OMF & Dentistry	Dental Bleaching – External	70 per tooth
OMF & Dentistry	Dental Bleaching – Internal	50 per tooth
OMF & Dentistry	Dental Extraction	20 per tooth
OMF & Dentistry	Dental Extraction (under general anesthesia)	25 per tooth
OMF & Dentistry	Surgical Dental Extraction	80 per tooth
OMF & Dentistry	Removal of Impacted Tooth (extraction)	120 per tooth
OMF & Dentistry	Removal of Impacted Tooth (surgical removal)	130 per tooth
OMF & Dentistry	Surgical Exposure of Tooth	110 per tooth
OMF & Dentistry	Tooth Re-implantation	230 per tooth
OMF & Dentistry	Temporary Dental Filling	20 per tooth
OMF & Dentistry	Dental Filling – Amalgam (one surface)	25 per tooth
OMF & Dentistry	Dental Filling – Amalgam (two surfaces)	40 per tooth
OMF & Dentistry	Dental Filling – Amalgam (three or more surfaces)	45 per tooth
OMF & Dentistry	Dental Filling – Composite Resin (one surface)	40 per tooth
OMF & Dentistry	Dental Filling – Composite Resin (two surfaces)	45 per tooth
OMF & Dentistry	Dental Filling – Composite Resin (three or more surfaces)	50 per tooth
OMF & Dentistry	Dental Filling – Glass Ionomer	15 per tooth
OMF & Dentistry	Dental Filling (under general anesthesia)	35 per tooth
OMF & Dentistry	Tooth Restoration by Inlay/Onlay – Porcelain/Ceramic	235 per tooth
OMF & Dentistry	Tooth Restoration by Inlay/Onlay – Gold	315 per tooth
OMF & Dentistry	Atraumatic Restorative Treatment (ART)	35 per tooth
OMF & Dentistry	Placement of Dental Implant (single or two-stage procedure)	630 per unit
OMF & Dentistry	Placement of Dental Implant Abutment	170 per unit
OMF & Dentistry	Placement of Cement Retained Implant Crown	315 per unit
OMF & Dentistry	Placement of Screw Retained Implant Crown	315 per unit
OMF & Dentistry	Placement of Pin Retained Dental Restoration	315 per unit
OMF & Dentistry	Post and Core Retained Crown Fitted	125 per tooth
OMF & Dentistry	Placement of Temporary Dental Crown	45 per tooth
OMF & Dentistry	Dental Crown Preparation (include impression taking and temporary crown)	260 per tooth
OMF & Dentistry	Dental Crown Cementation	315 per tooth (including crown cost)
OMF & Dentistry	Dental Bridge Preparation (include impression taking and temporary crown)	280 per unit
OMF & Dentistry	Dental Bridge Cementation	390 per unit (including bridge cost)
OMF & Dentistry	Dental Maryland Bridge Cementation	340 per unit (including bridge cost)
OMF & Dentistry	Dental Crown Repair	240 per unit (include crown removal)
OMF & Dentistry	Dental Bridge Repair	240 per unit (include bridge removal)
OMF & Dentistry	Dental Restoration Repair (others)	90 per unit
OMF & Dentistry	Dental Crown/Bridge Re-cementation	45 per unit
OMF & Dentistry	Dental Crown Adjustment	50 per unit
OMF & Dentistry	Dental Bridge Adjustment	50 per unit
OMF & Dentistry	Dental Implant Removal	70 per unit
OMF & Dentistry	Dental Filling Removal	65 per tooth
OMF & Dentistry	Dental Crown Removal	40 per unit
OMF & Dentistry	Dental Bridge Removal	40 per unit
OMF & Dentistry	Dental Veneer Preparation (include trimming, impression taking, and temporary veneer if needed)	165 per tooth
OMF & Dentistry	Dental Veneer Cementation (porcelain)	270 per tooth (including veneer cost)
OMF & Dentistry	Dental Veneer Cementation (other than porcelain)	155 per tooth (including veneer cost)
OMF & Dentistry	Impression Taking – Restorative	65 per arch
OMF & Dentistry	Complete Denture – Conventional (upper)	330 per arch (including denture cost)
OMF & Dentistry	Complete Denture – Conventional (lower)	330 per arch (including denture cost)
OMF & Dentistry	Complete Denture – Immediate (upper)	365 per arch (including denture cost)
OMF & Dentistry	Complete Denture – Immediate (lower)	365 per arch (including denture cost)
OMF & Dentistry	Partial Denture – Upper	75 per arch (including denture cost)
OMF & Dentistry	Partial Denture – Lower	75 per arch (including denture cost)
OMF & Dentistry	Replacing Denture Missing/Broken Tooth	40 per tooth
OMF & Dentistry	Adding Tooth to Denture	40 per tooth
OMF & Dentistry	Reline of Denture	90 per arch
OMF & Dentistry	Repair of Denture	125 per arch
OMF & Dentistry	Rebase of Denture	350 per arch
OMF & Dentistry	Apicoectomy	90 per tooth
OMF & Dentistry	Pulpotomy	25 per tooth
OMF & Dentistry	Pulp Capping (direct or indirect)	25 per tooth
OMF & Dentistry	Dental Irrigation (with or without dressing)	50 per tooth
OMF & Dentistry	Root Canal Treatment (RCT) – Complete One Canal	150 per tooth
OMF & Dentistry	Root Canal Treatment (RCT) – Complete Two Canals	200 per tooth
OMF & Dentistry	Root Canal Treatment (RCT) – Complete Three Canals	250 per tooth
OMF & Dentistry	Dental Prophylaxis – Fissure Sealant Placement	5 per tooth
OMF & Dentistry	Dental Prophylaxis – Topical Fluoride Application	10 per arch
OMF & Dentistry	Dental Prophylaxis – Others	10 per quadrant
OMF & Dentistry	Oral Health Education	0
OMF & Dentistry	Dental X-ray (upper occlusal)	10 per image (5 for each additional image)
OMF & Dentistry	Dental X-ray (lower occlusal)	10 per image (5 for each additional image)
OMF & Dentistry	Dental X-ray (right bite-wing)	10 per image (5 for each additional image)
OMF & Dentistry	Dental X-ray (left bite-wing)	10 per image (5 for each additional image)
OMF & Dentistry	Dental X-ray (periapical )	5 per image
Anaesthesia	General Anaesthesia	15% of total cost of performed operations
Anaesthesia	General Anaesthesia with Regional Block	15% of total cost of performed operations
Anaesthesia	General Anaesthesia with Local Infiltration	15% of total cost of performed operations
Anaesthesia	Total Intravenous Anaesthesia (TIVA)	15% of total cost of performed operations
Anaesthesia	Regional Block	10% of total cost of performed operations
Anaesthesia	Monitored Anaesthesia Care (MAC)	5% of total cost of performed operations
Anaesthesia	Sedation	5% of total cost of performed operations
Anaesthesia	Spinal Anaesthesia	Subcategory of Regional Block
Anaesthesia	Epidural Anaesthesia – Lumbar	Subcategory of Regional Block
Anaesthesia	Epidural Anaesthesia – Thoracic	Subcategory of Regional Block
Anaesthesia	Epidural Anaesthesia – Cervical	Subcategory of Regional Block
Anaesthesia	Epidural Anaesthesia – Continuous	Subcategory of Regional Block
Anaesthesia	Combined Spinal/Epidural (CSE)	Subcategory of Regional Block
Anaesthesia	Bier’s Block (I.V Regional)	Subcategory of Regional Block
Anaesthesia	Brachial Plexus Block – Infraclavicular	Subcategory of Regional Block
Anaesthesia	Brachial Plexus Block – Supraclavicular	Subcategory of Regional Block
Anaesthesia	Brachial Plexus Block – Interscalene	Subcategory of Regional Block
Anaesthesia	Brachial Plexus Block – Continuous	Subcategory of Regional Block
Anaesthesia	Brachial Plexus Block – Axillary	Subcategory of Regional Block
Anaesthesia	Wrist Block	Subcategory of Regional Block
Anaesthesia	Cervical Plexus Block	Subcategory of Regional Block
Anaesthesia	Paravertebral Block	Subcategory of Regional Block
Anaesthesia	Intercostal Block	Subcategory of Regional Block
Anaesthesia	Interpleural Block	Subcategory of Regional Block
Anaesthesia	Transversus Abdominis Plane (TAP) Block	Subcategory of Regional Block
Anaesthesia	Iliohypogastric Block	Subcategory of Regional Block
Anaesthesia	Ilioinguinal Block	Subcategory of Regional Block
Anaesthesia	Caudal Block	Subcategory of Regional Block
Anaesthesia	Saddle Block	Subcategory of Regional Block
Anaesthesia	Sciatic Block	Subcategory of Regional Block
Anaesthesia	Femoral Block	Subcategory of Regional Block
Anaesthesia	Popliteal Block	Subcategory of Regional Block
Anaesthesia	Ankle Block	Subcategory of Regional Block
Anaesthesia	Penile Block	Subcategory of Regional Block
Anaesthesia	Peribulbar Block	Subcategory of Regional Block
Anaesthesia	Retrobulbar Block	Subcategory of Regional Block
Anaesthesia	Subtenon Block	Subcategory of Regional Block
Anaesthesia	Retrobulbar + Facial Block	Subcategory of Regional Block
Pain Management	Minor (I) Intervention – e.g. lumbar epidural steroid injections, nerve blocks/infiltrations, ozone therapy	100
Pain Management	Minor (II) Intervention – e.g. trans-foraminal epidural steroid injections, CT guided injections, PRP injections	150
Pain Management	Minor (III) Intervention – e.g. cervical epidural injections, multiple sites trans-foraminal epidural injections, facet joint diagnostic blocks, laser discectomy, CT guided radiofrequency ablation	200
Pain Management	Major (I) Intervention – e.g. dorsal root ganglion radiofrequency ablation, facet joint radiofrequency ablation of medial branch, sacroiliac joint interventions, ozone discectomy	250
Pain Management	Major (II) Intervention – e.g. radiofrequency ablation of trigeminal neuralgia/stellate ganglion/lumbar plexus, multiple sites radiofrequency ablation of dorsal root ganglion or facet joint of medial branch, radiofrequency ablation/chemolysis of lumbar sympathetic ganglion	450
Pain Management	Major (III-A) Intervention – e.g. kyphoplasty/vertebroplasty, laser ablation of osteoma	2000
Pain Management	Major (III-B) Intervention – e.g. spinal cord stimulator implantation, intrathecal pump implantation	1000

الملحق رقم (٧)
رسوم عمليات تقويم الأسنان

No. مسلسل	Procedure Name اسم الإجراء	Price (R.O) القيمة بالريال العماني
A	Orthodontics – Extraction/Non-extraction Orthodontics with a Fixed Appliance	2500 (full package including materials and devices)
1	Orthodontics – Consultation	Subcategory
2	Orthodontics – Impression Taking	Subcategory
3	Orthodontics – Face Bow Registration	Subcategory
4	Orthodontics – Intra-oral Radiographs	Subcategory
5	Orthodontics – Extra-oral Radiographs	Subcategory
6	Orthodontics – Photos Taking	Subcategory
7	Orthodontics – Treatment Plan/Discussion	Subcategory
8	Orthodontics – Oral Hygiene Instructions	Subcategory
9	Orthodontics – Prophylactic Treatment	Subcategory
10	Orthodontics – Review of Development of Teeth Occlusion/Eruption	Subcategory
11	Orthodontics – Review of Skeletal Growth	Subcategory
12	Orthodontics – Referral to Health Centre	Subcategory
13	Orthodontics – Referral to Specialist Clinic	Subcategory
14	Orthodontics – Separators Placement	Subcategory
15	Orthodontics – Band Selection/Cementation	Subcategory
16	Orthodontics – Fixed Appliance Bond-up (upper arch)	Subcategory
17	Orthodontics – Fixed Appliance Bond-up (lower arch)	Subcategory
18	Orthodontics – Fixed Appliance Bond-up (upper & lower arches)	Subcategory
19	Orthodontics – Fixed Appliance Review	Subcategory
20	Orthodontics – TAD Insertion	Subcategory
21	Orthodontics – TAD Review	Subcategory
22	Orthodontics – TAD Removal	Subcategory
23	Orthodontics – Fixed Appliance Reposition of Brackets/Bands	Subcategory
24	Orthodontics – Tooth Recontouring/Interproximal Reduction	Subcategory
25	Orthodontics – Fixed Appliance De-bond (upper arch)	Subcategory
26	Orthodontics – Fixed Appliance De-bond (lower arch)	Subcategory
27	Orthodontics – Fixed Appliance De-bond (upper & lower arches)	Subcategory
28	Orthodontics – Fixed Appliance Complete	Subcategory
29	Orthodontics – Holding Arch Cementation	Subcategory
30	Orthodontics – Holding Arch Review	Subcategory
31	Orthodontics – Holding Arch Repair	Subcategory
32	Orthodontics – Holding Arch Removal	Subcategory
33	Orthodontics – Headgear Fitting	Subcategory
34	Orthodontics – Headgear Review	Subcategory
35	Orthodontics – Headgear Completed	Subcategory
36	Orthodontics – Reverse Headgear Fitting	Subcategory
37	Orthodontics – Reverse Headgear Review	Subcategory
38	Orthodontics – Reverse Headgear Completed	Subcategory
39	Orthodontics – Removable Appliance Delivery	Subcategory
40	Orthodontics – Removable Appliance Review	Subcategory
41	Orthodontics – Removable Appliance Repair	Subcategory
42	Orthodontics – Removable Appliance Completed	Subcategory
43	Orthodontics – Exposure of Impacted Tooth	Subcategory
44	Orthodontics – Bonding of Attachment/Chain	Subcategory
45	Orthodontics – Suture Removal	Subcategory
46	Orthodontics – Retainers (removable) Delivery	Subcategory
47	Orthodontics – Retainers (removable) Review	Subcategory
48	Orthodontics – Retainers (removable) Repair	Subcategory
49	Orthodontics – Retainers (fixed) Fitting	Subcategory
50	Orthodontics – Retainers (fixed) Review	Subcategory
51	Orthodontics – Retainers (fixed) Repair	Subcategory
52	Orthodontics – Post-operative Instructions	Subcategory
53	Orthodontics – Pre-surgical Examination/Assessment	Subcategory
54	Orthodontics – Post-surgical Review	Subcategory
55	Orthodontics – Treatment Complete/Patient Discharge	Subcategory
56	Orthodontics – Treatment Discontinue due to Non-compliance	Subcategory
57	Orthodontics – Treatment Discontinue on Patient Request	Subcategory
58	Orthodontics – Others	Subcategory
B	Orthodontics – Orthognathic Line of Treatment	3500 (full package including materials and devices)
1	Orthodontics – Consultation	Subcategory
2	Orthodontics – Impression Taking	Subcategory
3	Orthodontics – Face Bow Registration	Subcategory
4	Orthodontics – Intra-oral Radiographs	Subcategory
5	Orthodontics – Extra-oral Radiographs	Subcategory
6	Orthodontics – Photos Taking	Subcategory
7	Orthodontics – Treatment Plan/Discussion	Subcategory
8	Orthodontics – Oral Hygiene Instructions	Subcategory
9	Orthodontics – Prophylactic Treatment	Subcategory
10	Orthodontics – Review of Development of Teeth Occlusion/Eruption	Subcategory
11	Orthodontics – Review of Skeletal Growth	Subcategory
12	Orthodontics – Referral to Health Centre	Subcategory
13	Orthodontics – Referral to Specialist Clinic	Subcategory
14	Orthodontics – Separators Placement	Subcategory
15	Orthodontics – Band Selection/Cementation	Subcategory
16	Orthodontics – Fixed Appliance Bond-up (upper arch)	Subcategory
17	Orthodontics – Fixed Appliance Bond-up (lower arch)	Subcategory
18	Orthodontics – Fixed Appliance Bond-up (upper & lower arches)	Subcategory
19	Orthodontics – Fixed Appliance Review	Subcategory
20	Orthodontics – TAD Insertion	Subcategory
21	Orthodontics – TAD Review	Subcategory
22	Orthodontics – TAD Removal	Subcategory
23	Orthodontics – Fixed Appliance Reposition of Brackets/Bands	Subcategory
24	Orthodontics – Tooth Recontouring/Interproximal Reduction	Subcategory
25	Orthodontics – Fixed Appliance De-bond (upper arch)	Subcategory
26	Orthodontics – Fixed Appliance De-bond (lower arch)	Subcategory
27	Orthodontics – Fixed Appliance De-bond (upper & lower arches)	Subcategory
28	Orthodontics – Fixed Appliance Complete	Subcategory
29	Orthodontics – Holding Arch Cementation	Subcategory
30	Orthodontics – Holding Arch Review	Subcategory
31	Orthodontics – Holding Arch Repair	Subcategory
32	Orthodontics – Holding Arch Removal	Subcategory
33	Orthodontics – Headgear Fitting	Subcategory
34	Orthodontics – Headgear Review	Subcategory
35	Orthodontics – Headgear Completed	Subcategory
36	Orthodontics – Reverse Headgear Fitting	Subcategory
37	Orthodontics – Reverse Headgear Review	Subcategory
38	Orthodontics – Reverse Headgear Completed	Subcategory
39	Orthodontics – Removable Appliance Delivery	Subcategory
40	Orthodontics – Removable Appliance Review	Subcategory
41	Orthodontics – Removable Appliance Repair	Subcategory
42	Orthodontics – Removable Appliance Completed	Subcategory
43	Orthodontics – Exposure of Impacted Tooth	Subcategory
44	Orthodontics – Bonding of Attachment/Chain	Subcategory
45	Orthodontics – Suture Removal	Subcategory
46	Orthodontics – Retainers (removable) Delivery	Subcategory
47	Orthodontics – Retainers (removable) Review	Subcategory
48	Orthodontics – Retainers (removable) Repair	Subcategory
49	Orthodontics – Retainers (fixed) Fitting	Subcategory
50	Orthodontics – Retainers (fixed) Review	Subcategory
51	Orthodontics – Retainers (fixed) Repair	Subcategory
52	Orthodontics – Post-operative Instructions	Subcategory
53	Orthodontics – Pre-surgical Examination/Assessment	Subcategory
54	Orthodontics – Post-surgical Review	Subcategory
55	Orthodontics – Treatment Complete/Patient Discharge	Subcategory
56	Orthodontics – Treatment Discontinue due to Non-compliance	Subcategory
57	Orthodontics – Treatment Discontinue on Patient Request	Subcategory
58	Orthodontics – Others	Subcategory
C	Orthodontics – Expansion	800 (full package including materials and devices)
1	Orthodontics – Fixed Expansion Devise Cementation	Subcategory
2	Orthodontics – Fixed Expansion Devise Review	Subcategory
3	Orthodontics – Fixed Expansion Devise Repair	Subcategory
4	Orthodontics – Fixed Expansion Devise Removal	Subcategory
D	Orthodontics – Functional Appliance Therapy	700 (full package including materials and devices)
1	Orthodontics – Functional Appliance (fixed) Delivery	Subcategory
2	Orthodontics – Functional Appliance (fixed) Review	Subcategory
3	Orthodontics – Functional Appliance (fixed) Repair	Subcategory
4	Orthodontics – Functional Appliance (fixed) Completed	Subcategory
5	Orthodontics – Functional Appliance (removable) Delivery	Subcategory
6	Orthodontics – Functional Appliance (removable) Review	Subcategory
7	Orthodontics – Functional Appliance (removable) Repair	Subcategory
8	Orthodontics – Functional Appliance (removable) Completed	Subcategory
E	Orthodontics – Removable Appliance	500 (full package including materials and devices)
1	Orthodontics – Removable Appliance Delivery	Subcategory
2	Orthodontics – Removable Appliance Review	Subcategory
3	Orthodontics – Removable Appliance Repair	Subcategory
4	Orthodontics – Removable Appliance Completed	Subcategory
F	Orthodontics – Habit Breaking Appliance	600 (full package including materials and devices)
1	Orthodontics – Habit Deterrent Cementation	Subcategory
2	Orthodontics – Habit Deterrent Review	Subcategory
3	Orthodontics – Habit Deterrent Repair	Subcategory
4	Orthodontics – Habit Deterrent Removal	Subcategory
G	Orthodontics – Clear Retainer (U/L)	100 (full package including materials and devices)
H	Orthodontics – Bonded Retainer (U/L)	200 (full package including materials and devices)
I	Orthodontics – Hawley Retainer (U/L)	160 (full package including materials and devices)
J	Orthodontics – Naso-alveolar Moulding	500 (full package including materials and devices)
1	Orthodontics – Nasal Hook Construction	Subcategory
2	Orthodontics – Nasal Hook Delivery	Subcategory
3	Orthodontics – Nasal Hook Review	Subcategory
4	Orthodontics – Nasal Hook Repair	Subcategory
5	Orthodontics – Nasal Hook Retention	Subcategory
6	Orthodontics – Nasal Hook Completed	Subcategory
7	Orthodontics – Lip Strapping Fitting	Subcategory
8	Orthodontics – Lip Strapping Review	Subcategory
9	Orthodontics – Lip Strapping Retention	Subcategory
10	Orthodontics – Lip Strapping Completed	Subcategory
11	Orthodontics – PNAM Plate Construction	Subcategory
12	Orthodontics – PNAM Plate Delivery	Subcategory
13	Orthodontics – PNAM Plate Review	Subcategory
14	Orthodontics – PNAM Plate Retention	Subcategory
15	Orthodontics – PNAM Plate Completed	Subcategory
16	Orthodontics – Pre Lip Repair Review	Subcategory
17	Orthodontics – Post Lip Repair Review	Subcategory
18	Orthodontics – Pre Palate Repair Review	Subcategory
19	Orthodontics – Post Palate Repair Review	Subcategory
20	Orthodontics – Pre Alveolar Bone Graft Review	Subcategory
21	Orthodontics – Post Alveolar Bone Graft Review	Subcategory

الملحق رقم (٨)
رسوم الفحوصات المختبرية

NO. مسلسل	Test Name اسم الفحص	Price القيمة بالريال العماني	Cost for Private Institutions القيمة بالريال العماني للمؤسسات الصحية الخاصة
SECTION I: Biochemistry
A. Core Biochemistry Tests
1	Ammonia	5	8
2	Amylase	2	3
3	AST	2	3
4	ALT	2	3
5	Alkaline phosphatase	2	3
6	Alpha.1.antitrypsin (A1AT)	10	16
7	Albumin	2	3
8	Bicarbonate	2	3
9	Bilirubin (total)	2	3
10	Bilirubin (direct)	2	3
11	Calcium	2	3
12	C-reactive protein	6	10
13	Cholesterol, total	2	3
14	Cholesterol, HDL	2	3
15	Chloride	2	3
16	Creatinine	2	3
17	Caeruloplasmin	5	8
18	Complement 3 (C3)	5	8
19	Complement 4 (C4)	5	8
20	Glucose	2	3
21	Gamma glutamyltransferase (GGT)	2	3
22	Gases in Arterial (Venous or Capillary) Blood	5	8
23	Glycatedhaemoglobin (HBA1c)	5	8
24	Haptoglobin	5	8
25	Immunoglobulin A (IGA)	5	8
26	Immunoglobulin E (IGE)	5	8
27	Immunoglobulin G (IGG)	5	8
28	Immunoglobulin M (IGM)	5	8
29	Iron	2	3
30	Lactate	5	8
31	Lactate dehydrogenase (LDH)	5	8
32	Magnesium	2	3
33	Microalbumin	5	8
34	Myoglobin	5	8
35	Osmolality	5	8
36	Potassium	2	3
37	Phosphate	2	3
38	Protein, urine CSF	3	4
39	Sodium	2	3
40	Transferrin	8	13
41	Troponin	5	8
42	Total protein	2	3
43	Triglycerides	2	3
44	Urea	2	3
45	Uric Acid	2	3
B. Immunoassay Tests
1	17.alphahydroxy progesterone	5	8
2	Adrenocorticotrophic hormone (ACTH)	10	16
3	Alphafeto protein (AFP)	5	8
4	Aldosterone	5	8
5	Antiglutamate D carboxylase	6	10
6	Anti islet cell antibodies	7	11
7	Ant tissue transglutaminase IgA	5	8
8	Anti-thyroglobulin	9	14
9	Anti thyroid peroxidase	5	8
10	Anti-mullerian hormone (AMH)	15	24
11	BNP,NTpro (NT.pro.B.type.natriuretic peptide)	7	11
12	Beta.2.microglobulin (B2M)	4	6
13	Beta. Human Chorionic Gonadotrophin (B.HCG)	5	8
14	Cancer antigen 125 (CA125)	6	10
15	Cancer antigen 15.3 (CA15.3)	6	10
16	Cancer antigen (CA19.9)	6	10
17	Carcinoembryonic antigen (CEA)	6	10
18	Chromogranin	8	13
19	C-peptide	6	10
20	Cortisol	7	11
21	Dehydroepiandrosterone (DHEA)	5	8
22	Estradiol	5	8
23	Ferritin	3	5
24	Folate	6	10
25	Follicle Stimulating Hormone (FSH)	6	10
26	Free triiodothyronine (FT3)	6	10
27	Free tetraiodothyronine (FT4)	6	10
28	Growth hormone (GH(	6	10
29	Insulin	5	8
30	Insulin-like growth factor-1 (IGF1)	6	10
31	Luteinizing Hormone (LH)	5	8
32	Progesterone	5	8
33	Prolactin	5	8
34	Prostate-specific antigen, total (PSA, total)	5	8
35	Parathyroid hormone (PTH)	4	6
36	Renin	6	10
37	Testosterone	5	8
38	Thyroid stimulating hormone (TSH)	5	8
39	Thyroid stimulating hormone, cord blood (TSH cord blood)	5	8
40	TSH Receptor Antibody	15	24
41	Thyroglobulin	8	13
42	Metanephrine and normetanephrine	8	13
43	Vitamin B12	6	10
44	Vitamin D.25 hydroxy (D3)	10	16
C. Drugs
1	Amikacin	8	13
2	Carbamazipine	7	11
3	Cyclosporin	10	16
4	Digoxin	9	14
5	Gentamicin	8	13
6	Lithium	9	14
7	Methotrexate	7	11
8	Paracetamol	6	10
9	Phenobarbital	10	16
10	Phenytoin	8	13
11	Salicylate	5	8
12	Sirolimus	15	24
13	Tacrolimus	8	13
14	Theophyline	15	24
15	Valproate	7	11
16	Vancomycin	8	13
D. Others
1	Cryoglobulin	6	10
2	Chromatography, serum or urine	10	16
3	Immunofixation, serum or urine	14	22
4	Protein electrophoresis, serum or urine	6	10
5	Porphyrin screen	32	51
6	Reducing substance, urine or stool	3	5
7	Stone analysis	5	8
8	Conductivity (Macroduct & Sweat chloride)	20	32
9	Conductivity (Nanoduct & Sweat chloride)	25	40
10	Urea breath test	12	19
E. Profile/Panel/Dynamic Tests
1	Aldosterone & Renin Ratio in Serum/Plasma, Panel	10	16
2	Amylase/Creatinine Clearance Ratio in Urine & Serum, Panel	6	10
3	Anti Tissue transglutaminase Ab panel in Serum	7	11
4	Bone Profile	8	13
5	C- Peptide & Glucose in Serum/Plasma, Panel	7	11.2
6	CSF Chemistry Group Panel	4	6
7	Calcium Creatinine Ratio in Urine, Panel	4	6
8	Calcium Panel, adjusted for albumin	4	6
9	Complement C3 & C4 in Serum/Plasma, Panel	10	16
10	Creatinine Clearance corrected Panel (Paediatric)	4	6
11	Creatinine Clearance, Panel	4	6
12	Dynamic: OGTT (100 g) Panel for Acromegaly	15	24
13	Dynamic: OGTT (75 g) Panel for Acromegaly	15	24
14	Dynamic: OGTT (75 g) Panel for DM (glucose at 0 & 120 min) and glucose powder	5	8
15	Dynamic: OGTT (75 g) Panel for DM; paediatric (glucose at 0 & 120 min) and glucose powder	5	8
16	Dynamic: GnRH Stimulation Test (for adults) Tests 30 (FSH & LH 4 times at 0, 30, 60, 90 & 120 min; & basal levels of prolactin & testosterone); GnRh injection: RO 36.500	65	91
17	Dynamic: GnRH Stimulation Test (for paediatric) Tests cost: RO 30.0 (FSH & LH 4 times at 0, 30, 60, 90 & 120 min; & basal levels of prolactin & testosterone); GnRh injection: RO 36.500	65	91
18	Dynamic: GH Stimulation Glucagon Test Tests 65 (GH & glucose 7 times at 0, 30, 60, 90, 120, 150 & 180 min; & cortisol 3 times at 0, 30 & 60 min); Glucagon injection: RO 5.000	68	95
19	Dynamic: Insulin tolerance Test Tests 57,000 (GH & glucose 6 times at 0, 30, 60, 90, 120, and at hypoglycaemia & cortisol 5 times at 0, 30, 60 & 90 min & and at hypoglycaemia); Insulin injection: RO 1.100	55	77
20	Dynamic: Synacthen (1 mg) stimulation test for cortisol state (Cortisol at 0, 30, & 60 following synacthen injection), Synacthen injection: RO 12.000	25	40
21	Dynamic: Synacthen (250 µg) stimulation test for cortisol state Tests 18.000(Cortisol at 0, 30, & 60 following synacthen injection); Synacthen injection: RO 3.000	25	40
22	Dynamic: Synacthen (250 µg) stimulation test for CAH Tests 9.0 (17.hydroxyprogesterone at 0, 30, & 60 following synacthen injection); Synacthen injection: RO 3.000	17	27
23	Dynamic: Dexamethasone suppression test (overnight; 1 mg) (One cortisol test following mid night dexamethasone tablet 1 mg)	7	11
24	Dynamic: Dexamethasone suppression test (low dose; 2 mg/day) (one cortisol test following 2 days dexamethasone tablet 2 mg/day)	7	11
25	Dynamic: Dexamethasone suppression test (high dose; 8 mg/day) (one cortisol test following 2 days dexamethasone tablet 8 mg/day)	7	11
26	Electrolytes in 24 Hour Urine, Panel (Sodium & potassium in 24hr urine specimen)	6	10
27	Electrolytes in Urine, Panel (Sodium & potassium in 24hr urine specimen)	6	10
28	Folate& Vitamin B12 Panel (Folate & vitamin B12)	10	16
29	Infertility Screen, Panel (FSH, LH & prolactin panel)	15	24
30	Insulin Panel (Insulin & glucose)	8	13
31	Iron Profile, Panel (iron, transferrin)	8	13
32	Immunoglobulins (Immunoglobulin A, Immunoglobulin G, Immunoglobulin M)	10	16
33	Lipid Profile, Panel (total cholesterol, HDL cholesterol, LDL cholesterol, non-HDL cholesterol, triglycerides)	8	13
34	Liver Function Test (Bilirubin, ALT, alkaline phosphatase, albumin, total protein)	8	13
35	Liver Function Tests (G), Extended Panel (Bilirubin, ALT, alkaline phosphatase, albumin, total protein, AST,GGT)	8	13
36	Magnesium Fractional Excretion in Urine, Panel (Magnesium & creatinine, both in urine and serum)	6	10
37	Metanephrine and Normetanephrine Panel in Plasma (Metanephrine & normetanephrine)	8	13
38	Microalbumin/Creatinine panel in random Urine (Microalbumin and creatinine in urine)	6	10
39	Phosphate Study in Random Urine, Panel (Phosphate & creatinine, both in urine and serum)	6	10
40	Porphyrin Screen Panel (PBG &Uroporphyrin) in Random Urine (PBG & Uroporphyrin, both in urine)	32	51
41	Protein Creatinine ratio in Urine, Panel (Microalbumin and creatinine in urine)	5	8
42	Protein electrophoresis in Serum, Panel (albumin, total protein and electrophoresis in serum)	8	13
43	Protein electrophoresis in Urine, Panel (total protein and electrophoresis in urine)	8	13
44	Sodium fractional excretion in Urine & Serum, Panel (Sodium &creatinine, both in urine and serum)	5	8
45	Sweat Test Group, Panel (Macroduct)	20	32
46	Sweat Test Group, Panel (Nanoduct)	25	40
47	Thyroid Cancer Profile in Serum/Plasma, Panel (Thyroglobulin, anti thyroglobulin antibodies & TSH)	20	32
48	Thyroid Function Test in Serum/Plasma, Panel (FT4 & TSH)	8	13
49	Urea & Electrolytes in 24h Urine, Panel (Sodium, potassium & urea in 24 hr urine specimen)	5	8
50	Urea and Electrolytes and GFR, Panel (Sodium, potassium, bicarbonate, chloride, creatinine, urea, eGFR)	8	13
51	Urea and Electrolytes, Panel (Sodium, potassium, bicarbonate, chloride, creatinine, urea)	8	13
SECTION II: HAEMATOLOGY & BLOOD TRANSFUSION
A. Blood Transfusion Tests
1	Blood group	4	6
2	ICT antibody screen	4	6
3	ICT antibody screen additional IV & V	7	11
4	Cross match (without blood Unit Cost)	9	14
5	Antibody identification	36	58
6	Direct Coombs Test (DCT), polyvalent	4	6
7	Transfusion reaction (Pre/Post test)	20	32
8	Mono specific test / DCPV	7	11
9	Antigen typing	21	34
10	Antibody titre (ID Gel)	12	19
11	Acid elution (ID Gel)	47	75
12	Indirect Coombs test (ICT) antibody screen (Immuco)	4	6
13	Donor Regrouping (Immuco)	3	5
14	Cross match (Immuco)	8	13
15	Antibody identification (Imucore)	37	59
16	DCT, polyvalent (Imucore)	4	6
17	Transfusion reaction (Pre/Post test)	12	19
18	Antigen typing	20	32
19	Antibody titre	20	32
B. Haematology
1	Complete blood count (CBC)	4	6
2	Blood Film	4	6
3	Bone marrow film	20	32
4	Erythrocyte sedimentation rate (ESR)	3	5
5	Reticulocyte count	3	5
6	Iron stain	3	5
7	CD61 immune platelet	24	38
8	Malaria screen	4	6
9	Parasite density count	3	5
10	PNH (Paroxysmal nocturnal haemoglobinuria) Serological screen	5	8
11	Microfilariasis	4	6
12	Glucose-6-phosphate dehydrogenase (G6PD)	5	8
13	Haemoglobinopathy, HPLC	5	8
14	Haemoglobinopathy Electrophopresis (Acid & Alkaline)	5	8
15	Haemoglobin S	5	8
16	Hemoglobin H inclusion	5	8
17	Sickling	2	3
C. Immunophenotyping
1	Immunophenotyping-Acute Leukemic Panel	75	105
2	Immunophenotyping – Lymphoproliferative Disorder	65	91
3	Lymphocytes Subset Analysis, Panel	21	34
4	T-Lymphocytes Subset Analysis, Panel	12	19
5	Platelet Disorder, Panel	17	27
6	Neutrophil Function Test (DHR)	21	34
7	PNH Panel	45	72
8	Leucocytes Adhesion Deficiency (LAD)	30	48
D. Coagulation
1	Prothrombin Time (PT)	3	5
2	Activated Partial Thromboplastin Time (APTT)	3	5
3	Fibrinogen	3	5
4	Thrombin time	3	5
5	International Normalized Ratio (INR)	3	5
6	D-Dimer	7	11
7	Correction studies PT (Innovin)	3	5
8	Correction studies PTT (Pathromtin)	3	5
9	Lupus screen (screening)	12	19
10	Lupus screen (Confirmatory)	6	10
11	Factor VIII Bethesada assay	6	10
12	Factor IX Bethesada assay	8	13
13	Collagen binding	17	27
14	Heparin-induced thrombocytopenia screen (HIT screen)	29	46
15	Factor II	6	10
16	Factor V	6	10
17	Factor VII	6	10
18	Factor VIII	6	10
19	Factor IX	6	10
20	Factor X	6	10
21	Factor, XI	6	10
22	Factor XII	6	10
23	Factor XIII	8	13
24	Von Willibald Antigen VWAg	10	16
25	Ristocetin co-factor	5	8
26	Beta 2 glycoprotein 1 (B2 GP1)	3	5
27	Anticardiolipin	3	5
28	LMW (low molecular weight) Heparin assay	14	22
29	PFA 100 (platelet Function Assay) screen	30	48
30	Platelet aggregation study	65	91
31	Protein C	15	24
32	Protein S	10	16
33	APCR (Protein C Global)	5	8
34	A2III (Anti thrombin IIIA)	5	8
35	A2 Anti Plasmin	11	15
E. Profile Tests
1	Coagulation Profile	12	19
2	Antiphospholipid Antibody Screen in Serum, Panel	6	10
3	Lupus Anticoagulant Screen, Panel	18	29
4	Extrinsic Pathway Screen, Panel	24	38
5	Intrinsic Pathway Screen, Panel	24	38
6	Thrombophilia Screening, Panel	35	56
7	Von Willebrand Screen, Panel	32	51
SECTION III. MICROBIOLOGY
A. Culture
1	Culture: Stool	8	13
2	Culture: Urine	7	11
3	Culture: Genitourinary	8	13
4	Culture: Respiratory	7	11
5	Culture: Fluid	8	13
6	Culture: CSF	8	13
7	Culture: Blood	12	19
8	Culture: Wound & miscellaneous	8	13
B. Infection Control
1	Infection control; ICACIN	8	13
2	Infection control; MRSAC	8	13
3	Infection control; ICCRESP	8	13
4	Infection control; ICCREU	8	13
5	Infection control; ICCREW	8	13
6	Infection control; ICVRE	8	13
C. Microscopy Tests
1	Direct smear (Gram Smear)	2	3
2	AFB stain	4	6
3	CSF microscopy	4	6
4	Stool microscopy	3	5
5	Urine microscopy	3	5
D. Molecular Bacteriology
1	MTB; Molecular TB	40	64
2	MRSA PCR	30	48
E. Miscellaneous Bacteriology
1	Clostridium difficile Antigen test in stool	5	8
2	Rota virus Antigen in stool	5	8
3	Bacterial antigen screen in CSF	12	19
4	Urine analysis (dipstick test)	2	3
5	Stool occult blood	2	3
6	Legionella Pneumophila Antigen in Urine	7	11
7	Pregnancy test	3	5
8	Semen analysis	8	13
F. Serology
1	Anti HAV IgM antibody	5	8
2	Anti HAV IgG antibody	5	8
3	Anti HCV antibody	5	8
4	Anti HB core total	5	8
5	Anti HB core IgM	5	8
6	Anti HB surface antibody	5	8
7	Anti HBe antibody	5	8
8	HB Surface Ag	5	8
9	HBe Ag	5	8
10	HBs Ag Neutralisation test	9	14
11	Hepatitis B Profile	30	48
12	Hepatitis B screening panel	15	24
13	HSV 1 & 2 IgG	5	8
14	HSV 1 & 2 IgM	5	8
15	Rubella IgG	5	8
16	Rubella IgM	5	8
17	Toxoplasma IgG	5	8
18	Toxoplasma IgM	5	8
19	CMV IgG	5	8
20	CMV IgM	5	8
21	EBNA IgG	5	8
22	EBV IgG	5	8
23	EBV IgM	5	8
24	HIV screening serology	6	10
25	Measles IgG	5	8
26	PVB19 IgG	5	8
27	PVB19 IgM	5	8
28	Varicella zoster IgG	5	8
29	Chlamydia pneumophiIa IgA	5	8
30	Chlamydia pneumophila IgG	5	8
31	Chlamydia pneumophila IgM	5	8
32	Mycoplasma pneumoniae IgA	5	8
33	Mycoplasma pneumoniae IgG	5	8
34	Mycoplasma pneumoniae IgM	5	8
35	Brucella serology (Br. Mellitensis & Br. Abortus)	6	10
36	Antistreptolysin O	3	5
37	Syphilis screening (SEIA) test	5	8
38	VDRL (RPR)	5	8
39	TPHA	5	8
40	“Syphilis profile” VDRL& TPHA (Both tests); ELISA	10	16
41	Amoebiasis antibody	5	8
42	Echinococcus antibody	5	8
43	Leishmaniasis antibody	5	8
44	Schistosomiasis antibody	5	8
45	Cryptococcus Antigen test	5	8
G. Immunology Tests
1	Antinuclear antibody (ANA)	5	8
2	Anti dsDNA Antibody	8	13
3	Auto antibody profile	5	8
4	Extractable nuclear antigen (screening & confirmatory)	10	16
5	LKM/SM/Mitochondrial antibodies	8	13
6	Rheumatoid Factor	3	4
7	Anti CCP Antibody	8	13
8	ANCA 1.pANCA and 2. Canca	10	16
H. Referral Tests
1. Tests currently referred to SQUH:
1.1	Adenovirus	40	64
1.2	Anti Bacterial	10	16
1.3	Aspergillus Antibody	5	8
1.4	CSF Multiplex	40	64
1.5	Enterovirus PCR	35	56
1.6	Parvovirus19 PCR	40	64
1.7	Pneumocystis jervocii (PCJ) or PCP PCR	40	64
1.8	Pneumococcal Antigen	12	19
1.9	Varicella Zoster Virus (VZV) PCR	40	64
2. Serology Tests (Referral)
2.1	Anti Liver Antibody Profile	11	18
2.2	Borrelia Burgdorferi Antibody	5	8
2.3	Crimean Congo Haemorrhagic Fever (CCHF) IgM	5	8
2.4	Coxiella (phase 1 & phase 2)	5	8
2.5	Dengue Antibody	8	13
2.6	Galactomanan test (Aspergillus Antigen)	12	19
2.7	Hepatitis D	5	8
2.8	Hepatitis E	5	8
2.9	Mumps IgM	5	8
2.10	Measles IgM	5	8
2.11	Parvo B19 IgM	5	8
2.12	Varicella Zoster Virus (VZV) IgM	5	8
2.13	West Nile Virus IgM	5	8
2.14	West Nile Virus IgM	5	8
2.15	West Nile Virus IgM	20	32
SECTION IV: HISTOPATHOLOGY/ CYTOPATHOLOGY
A. Histopathology
Note: 15 R.O will be added for each immunohistochemistry marker applied for a case. The markers are mentioned in abbreviations or words under immunohistochemistry title of each report e.g. CK= 15 RO, LCA= 15 RO, Vimentin= 15 RO.
1. Very small specimen/biopsy (HISTVS)
Lab	Products of conception	15	24
Lab	Appendix	15	24
Lab	Gall Bladder	15	24
Lab	Oral/Mouth biopsy	15	24
Lab	Nasal polyps	15	24
Lab	Anal fistula	15	24
Lab	Anal fissure	15	24
Lab	Pilonidal sinus	15	24
Lab	Endometrial curettage	15	24
Lab	Fallopian tubes	15	24
Lab	Fibroepithelial polyp	15	24
Lab	Other specimens up to 1 cm in size (check gross description)	15	24
Lab	Any other tissue with upto 3 HE slides	15	24
2. Small specimen/biopsy (HISTS)
Lab	Laryngeal biopsy	20	32
Lab	Lung biopsy	20	32
Lab	Pleural biopsy	20	32
Lab	Oesophageal biopsy	20	32
Lab	Gastric biopsy	20	32
Lab	Duodenal/jejunal/ileal biopsy	20	32
Lab	Colonic/rectal/ anorectal biopsy	20	32
Lab	ERCP / ampullary biopsy	20	32
Lab	Peritoneal biopsy	20	32
Lab	Skin biopsy	20	32
Lab	Nail	20	32
Lab	Soft tissue biopsy	20	32
Lab	Bone biopsy	20	32
Lab	Bone Marrow trephine biopsy (benign)	20	32
Lab	Stereotactic brain biopsy	20	32
Lab	Conjunctival/ corneal biopsy	20	32
Lab	Pelvi-ureteric junction	20	32
Lab	Other tissues up to 3 cm	20	32
Lab	Any other tissue with upto 6 HE slides	20	32
3. Medium specimen/biopsy (HISTM)
Lab	Kidney biopsy	25	40
Lab	Liver biopsy	20	32
Lab	Small Uterus	20	32
Lab	Breast lumps	20	32
Lab	Breast cores biopsy	20	32
Lab	Lymph nodes benign	20	32
Lab	Thyroid gland	20	32
Lab	Kidney	20	32
Lab	Ovarian cyst	20	32
Lab	Adrenalectomy	20	32
Lab	Prostatic trucut biopsy, TURP biopsy	20	32
Lab	Urinary bladder TURBT	20	32
Lab	Partial hepatectomy	20	32
Lab	Spleen	20	32
Lab	Partial gastrectomy e.g. Sleeve	20	32
Lab	Other tissues up to 10 cm in size (check gross description)	20	32
Lab	Any other tissue with upto 10 HE slides	20	32
Lab	Slides for review	20	32
4. Large specimen/biopsy (HISTL)
Lab	Large uterus (total hysterectomy)	30	48
Lab	Lung (lobectomy)	30	48
Lab	Muscle biopsy	30	48
Lab	Liver resections / partial hepatectomy	30	48
Lab	Urinary bladder (cystectomy)	30	48
Lab	Total nephrectomy (tumour)	30	48
Lab	Segmentectomy of breast	30	48
Lab	Oesophagus (oesophagectomy)	30	48
Lab	Stomach (gastrectomy)	30	48
Lab	Colon (colectomy for Hirschsprung’s or diverticular disease)	30	48
Lab	Other tissues up to 15 cm in size (check gross descript.)	30	48
Lab	Any other tissue with 20 HE slides	30	48
5. Very Large specimen/biopsy (HISTV)
Lab	Breast (mastectomy)	34	54
Lab	Pancreas/duodenum (Whipple surgery)	34	54
Lab	Colon (A-P resection or resection for malignancy)	34	54
Lab	Lung (plumonectomy)	34	54
Lab	Lymph node(s) for malignancy	34	54
Lab	Other tissues >15 cm in size (check gross description)	34	54
Lab	Any other tissue with > 20 HE slides	34	54
6. Immunohistochemistry
Immunohistochemistry staining using antibodies are of key value in histopathology particularly in oncology. There are nearly 120 IHC available currently in practice. These tests are usually added according to the initial result of the biopsy that involve all organs and all types of specimens mentioned before (1-5). For pricing purposes, it is recommended to add a cost of 15 R.O. for each immunohistochemistry marker applied for a case. The markers are mentioned in abbreviations or words under immunohistochemistry title of each report e.g. CK= 15 RO, LCA= 15 RO, Vimentin= 15 RO, ….,and so on.
B. CYTOPATHOLOGY
I. Gynae Cytology
Lab	Thin-prep	18	29
Lab	Conventional	15	24
Lab	Conventional – Two slides	18	29
II. Non-Gynae Cytology
Lab	Pre-made slides (1-4 slides)	15	24
Lab	Pre-made slides (>4 slides)	18	29
Lab	Slides prepared at Royal Hospital Lab (1-4 slides)	13	21
Lab	Slides prepared at Royal Hospital Lab (>4 slides)	18	29
SECTION V: CYTOGENETIC & GENETICS
Genetic (cytogenetic & molecular) Tests
Lab	NGC ALL Panel (Molecular Genetics)	117	164
Lab	NGC AML Panel (Molecular Genetics)	117	164
Lab	NGC Aneuploidy testing by QF-PCR in AF– Pre-natal	38	53
Lab	NGC Beckwith Weidemann Syndrome MS-MLPA	68	95
Lab	NGC CGH Microarray	240	336
Lab	NGC Chromosomal Analysis (PBL)	35	49
Lab	NGC Chromosome Analysis (OncoHaem)	40	56
Lab	NGC FISH for Cri du Chat Syndrome	59.7	84
Lab	NGC FISH for Di George Syndrome	59	83
Lab	NGC FISH for Kallman Syndrome	59	83
Lab	NGC FISH for Prader Willi/Angelman Syndrome	59	83
Lab	NGC FISH for SRY gene	59	83
Lab	NGC FISH for Steroid Sulphatase Deficiency	59	83
Lab	NGC ABL1 Kinase Domain Mutation Status	59	83
Lab	NGC BCR-ABL1 (Molecular Genetics)	55	77
Lab	NGC FISH for Williams Beuren Syndrome	59	83
Lab	NGC FISH for Wolf Hirschhorn Syndrome (4p-)	59	83
Lab	NGC Fanconi Anaemia – Mitomycin Breakage studies	40	56
Lab	NGC Genetic markers for Breast Cancer– BRCA1&2; NGS	114	160
Lab	NGC Genetic markers for Breast Cancer – BRCA1 ;MLPA	72	101
Lab	NGC Genetic markers for Breast Cancer – BRCA2 ;MLPA	75	105
Lab	NGC Genetic markers for Breast Cancer – BRCA1 or BRCA2 ; Known mutation screening	30	48
Lab	NGC DNA Extraction & Storage	20	32
Lab	NGC Genetic Testing for Haemoglobinopathies	70	98
Lab	NGC Genetic Testing for Huntington Disease	30	48
Lab	NGC MEN 1 Mutation Screening	30	48
Lab	NGC MEN 1 Full gene Sanger Sequencing	80	112
Lab	NGC MEN 1 known mutation screening	30	48
Lab	NGC MEN 1 + MEN 2 NGS	228	319
Lab	NGC MEN 2 Mutation Screening	30	42
Lab	NGC MEN 2 Full gene Sanger Sequencing	71	99
Lab	NGC MEN 2 known mutation screening	30	48
Lab	NGC Pheochromocytoma and paraganglioma. NGS	228	319
Lab	NGC Pheochromocytoma and paraganglioma. Known mutation screening	30	48
Lab	NGC Hereditary Cancer Syndrome. NGS	228	319
Lab	NGC Hereditary Cancer Syndrome. Known mutation screening	30	48
Lab	NGC Colorectal cancer. NGS	228	365
Lab	NGC Colorectal cancer. Known mutation screening	30	48
Lab	NGC Postnatal Aneuploidy testing by QF- PCR	50	80
Lab	NGC RAG1 Gene Testing; Full gene sequencing	50	80
Lab	NGC RAG2 Gene Testing; Full gene sequencing	50	80
Lab	NGC RAG 1 or RAG2 Gene Testing; Known mutation screening	30	48
Lab	NGC SRY by PCR	30	48
Lab	NGC BCR-ABL1 (major) quantification (Molecular Genetics)	152	243
Lab	NGC BCR-ABL1(Qualitative) (Molecular Genetics)	40	64
Lab	NGC CALR exon 9 (Molecular Genetics)	51	81.6
Lab	NGC CBFB-MYH11 (Molecular Genetics)	40	64
Lab	NGC Full Gene Sequencing-CFTR test for cystic fibrosis- Full gene	76	106
Lab	NGC CFTR Exon11, Exon12 – “Hot spot mutations” test for cystic fibrosis- Known gene for carriers	30	48
Lab	NGC ETV6-RUNX1(TEL-AML) (Molecular Genetics)	40	64
Lab	NGC FLT3-ITD (Molecular Genetics)	54	76
Lab	NGC Factor II-Prothrombin (G20210A) (Molecular Gen.)	20	32
Lab	NGC Factor V Leiden (G1691A) (Molecular Genetics)	20	32
Lab	NGC FISH AML (20q)D205108	105	147
Lab	NGC FISH AML BCR/ABL1 t(9;22)	105	147
Lab	NGC FISH AML CBFB inv(16)/t(16;16)	94	132
Lab	NGC FISH AML CSF1R (5q)	94	132
Lab	NGC FISH AML D7S522/CEP (7q)	94	132
Lab	NGC FISH AML EGR1 (5q)	94	132
Lab	NGC FISH AML MLL (11q23)	94	132
Lab	NGC FISH AML PML/RARA t(15;17)	94	132
Lab	NGC FISH AML RPN1/MECOM inv(3)/t(3;3)	94	132
Lab	NGC FISH AML RUNX1/RUNX1T1 t(8;21)	94	132
Lab	NGC FISH All BCR/ABL1 t(9;22)	94	132
Lab	NGC FISH All CDKN2A (9p21)	94	132
Lab	NGC FISH All ETV6/RUNX1 t12;21)	94	132
Lab	NGC FISH All IGH/MYC/CEP8 t(8;14) +8	94	132
Lab	NGC FISH All MLL (11q23)	94	132
Lab	NGC FISH All MYB (6Q23)	94	132
Lab	NGC FISH All TCF3/PBX1 t(1;19)	94	132
Lab	NGC FISH All TRA/D (14q11)	94	132
Lab	NGC FISH CLL (13q34)D135319	94	132
Lab	NGC FISH CLL ATM(11q22.3)	94	132
Lab	NGC FISH CLL CCND1/IGH t(11;14)	94	132
Lab	NGC FISH CLL MYB(6q23)	94	132
Lab	NGC FISH CLL TP53(17p13.1)	94	132
Lab	NGC FISH CML 4q12	94	132
Lab	NGC FISH CML BCR-ABL1 t(9;22)	94	132
Lab	NGC FISH LYMPHOMA BCL6(3q27)	94	132
Lab	NGC FISH LYMPHOMA IGH/BCL2 t(14;18)	94	132
Lab	NGC FISH LYMPHOMA ALK(2p23)	94	132
Lab	NGC FISH LYMPHOMA CCND1/IGH t(11;14)	94	132
Lab	NGC FISH LYMPHOMA MYC/IGH t(8;14)	94	132
Lab	NGC FISH MDS (20q)D205108	94	132
Lab	NGC FISH MDS (3q)RPN1/MECOM	94	132
Lab	NGC FISH MDS del(5q)/-5	94	132
Lab	NGC FISH MM (13q)D135319	94	132
Lab	NGC FISH MM IGH/CCND1	94	132
Lab	NGC FISH MM IGH/FGFR3 t(4;14)	94	132
Lab	NGC FISH MM IGH/MAF t(14;16)	94	132
Lab	NGC FISH MM TP53/CEP17	94	132
Lab	NGC Jak2 exon 12 (Molecular Genetics)	54	76
Lab	NGC Jak2(V617F) (Molecular Genetics)	50	70
Lab	NGC MLL-AF4 (Molecular Genetics)	54	76
Lab	NGC MPL (Molecular Genetics)	54	76
Lab	NGC MPN Panel (Molecular Genetic)	162	227
Lab	NGC NPM1 (Molecular Genetics)	54	76
Lab	NGC PML-RARA (Molecular Genetics)	40	56
Lab	NGC RUNX1-RNX1T1(AML-ETO) (Molecular Genetics)	54	76
Lab	NGC TCF3-PBX1(E2A-PBX1) (Molecular Genetics)	54	76
Lab	NGC Thrombophilia (Molecular Genetics)	50	70
Lab	NGC Genetic testing of Nephrotic syndrome (NPHS1 and NPHS2 genes)	127	178
Lab	NGC Genetic markers for cardio genetics – For 5 cardio genes using 16 capillary analysis	255	357
Lab	NGC Genetic Markers for Hereditary Cancer Syndrome	226	316
Note: There are other genetic tests that are under final development or validation, the prices of which will be added when finally approved and become available for service.
1. Virology
CPHL	Chikungunya virus Real Time PCR	85	119
CPHL	CCHFV IgM antibodies by ELISA	10	11
CPHL	CCHFV detection by real time PCR	85	119
CPHL	CMV IgM antibodies by ELISA	5	8
CPHL	CMV IgG antibodies by ELISA	5	8
CPHL	CMV viral load by real time RT-PCR	80	112
CPHL	DV nonstructural protein 1 (NS1) by ELISA	10	16
CPHL	DVf IgM antibodies by ELISA	10	16
CPHL	DVf IgG antibodies by ELISA	10	16
CPHL	Dengue Virus rRT-PCR	85	119
CPHL	Epstein Barr Virus (EBV)	5	8
CPHL	EBV IgG by ELISA	5	8
CPHL	EBV Viral Capsid Antigen(VCA) by ELISA	5	8
CPHL	Epstein Barr virus qPCR	80	112
CPHL	Viral Gastroenteritis rPCR	100	140
CPHL	Rotavirus Antigen detection by ELISA	5	8
CPHL	Rotavirus genotyping by RT-PCR	80	112
CPHL	HSV 1 IgM antibodies by ELISA	5	8
CPHL	HSV 1 IgG antibodies by ELISA	5	8
CPHL	HSV 2 IgM antibodies by ELISA	5	8
CPHL	HSV 2 IgG antibodies by ELISA	5	8
CPHL	Herpes Simplex virus 1/2 qPCR	80	112
CPHL	HAV IgM	5	8
CPHL	HAV total Antibodies	5	8
CPHL	HBV surface antigen (HBsAg) by ELISA	5	8
CPHL	HBV viral load by real time RT-PCR	80	112
CPHL	HBV core total Antibodies by ELISA	5	8
CPHL	HBV core IgM Antibodies by ELISA	5	8
CPHL	HBV core Antigen	5	8
CPHL	HBV envelope Antigen by ELISA	5	8
CPHL	HBV envelope Antibody by ELISA	5	8
CPHL	HBV surface antibodies (anti-HBs) by ELISA	5	8
CPHL	HCV Abs by ELISA	5	8
CPHL	HCV viral load by real time RT-PCR	80	112
CPHL	HCV genotyping	50	70
CPHL	HDV Antibodies by ELISA	5	8
CPHL	HEV Antigen/Antibodies by ELISA	5	8
CPHL	HIV screening by ELISA	5	8
CPHL	HIV confirmation by Western Blot	20	32
CPHL	HIV-1 viral load by real time RT-PCR	80	112
CPHL	HIV Resistance Testing	275	385
CPHL	Screening of MERs-CoV by real time PCR	85	119
CPHL	Screening of Influenza by real time PCR	80	112
CPHL	Screening of Respiratory Viral Panel by Real Time PCR	100	140
CPHL	MV IgM antibodies by ELISA	5	8
CPHL	MV IgG antibodies by ELISA	5	8
CPHL	IgG antibodies Avidity by ELISA	5	8
CPHL	Measles virus rRT-PCR	80	112
CPHL	Measles genotyping	120	168
CPHL	Measles virus isolation	100	140
CPHL	Mumps IgM antibodies by ELISA	5	8
CPHL	Mumps IgG antibodies by ELISA	5	8
CPHL	Mumps virus PCR	80	112
CPHL	Rubella IgM antibodies by ELISA	5	8
CPHL	RV IgG antibodies by ELISA	5	8
CPHL	Rubella virus rRT-PCR	80	112
CPHL	RV genotyping	120	168
CPHL	RV Isolation	100	140
CPHL	Acute flaccid paralysis (AFP) isolation	100	140
CPHL	Enterovirus typing	100	140
CPHL	Polio virus ITD rPCR	100	140
CPHL	Vaccine-derived polioviruses (VDPV) screen by real time PCR	80	112
CPHL	VZV IgM antibodies by ELISA	5	8
CPHL	VZV IgG antibodies by ELISA	5	8
CPHL	Hanta Pulmonary virus Real Time PCR	85	119
CPHL	Japanese Encephalitis Real Time PCR	85	119
CPHL	Nipah Virus rRT PCR	85	119
CPHL	Real Time PCR to detect highly pathogenic micro organisms	85	119
CPHL	Real Time PCR to detect newly introduced/emerging micro organisms	80	112
CPHL	ELISA to detect antibodies against highly pathogenic micro organisms	15	24
CPHL	ELISA to detect newly introduced/emerging micro organisms	10	16
CPHL	Parvo B19 IgM and IgG antibodies by ELISA	5	8
CPHL	RVF IgM antibodies by ELISA	10	16
CPHL	RVF detection by real time PCR	85	119
CPHL	WNV IgM antibodies by ELISA	10	14
CPHL	West Nile virus Real Time PCR	85	119
CPHL	Mycoplasma Real Time PCR	80	112
2. Tuberculosis
CPHL	AFB Microscopy by ZN stain	4	6
CPHL	AFB Microscopy by Auramine stain	4	6
CPHL	Direct detection of DNA MTBC (GeneXpert MTB/RIF Assay)	45	72
CPHL	Mycobacteria Culture	15	24
CPHL	Identification and confirmation of MTB by conventional methods	15	24
CPHL	Identification and confirmation of MTB by line probe assay	50	80
CPHL	Identification of Non-Tuberculosis Mycobacteria (NTM) by line probe assay	75	105
CPHL	Susceptibility testing of MTBC	100	140
CPHL	Susceptibility testing of MTBC by MGIT only	50	80
CPHL	Susceptibility testing of MTBC by line probe assay only	50	80
CPHL	Susceptibility testing of MTBC for second line drugs	100	140
CPHL	Quantiferon test (IGRA)	20	32
3. Bacteriology
CPHL	Acinetobacter spp. identification & AMST	10	16
CPHL	Bacteroides identification	10	16
CPHL	Body Fluids Culture for bacteria	10	16
CPHL	Bordetella pertussis culture & identification	10	16
CPHL	Brucella spp. ID by serotyping	15	24
CPHL	Campylobacter spp. identification	10	16
CPHL	Clostridium spp. culture & identification	10	16
CPHL	Corynebacterium spp. identification	10	16
CPHL	CRE confirmation by Modified Hodge Test & Metallo Beta-Lactamase E-Test	20	32
CPHL	CSF Culture for bacteria	10	16
CPHL	E. coli serotyping	15	24
CPHL	E. coli 0157 serotyping	10	16
CPHL	Enterococcus identification & AMST	10	16
CPHL	EPEC Screening	10	16
CPHL	ESBL screening & AMST	10	16
CPHL	Fungal identification	10	16
CPHL	H. Influenzae ID, AMST & Serotyping	15	24
CPHL	Legionella spp. culture & identification & serotyping	20	32
CPHL	MRSA screening & AMST	10	16
CPHL	Neisseria gonorrhae Identification & AMST	10	16
CPHL	Neisseria meningitidis ID & AMST	15	24
CPHL	Neisseria meningitidis Serotyping	10	16
CPHL	Parasite identification by microscopy	2	3.2
CPHL	Pseudomonas Identification & AMST	10	16
CPHL	Salmonella spp. ID, AMST & Serotyping	15	24
CPHL	Shigella Isolate ID, AMST & Serotyping	15	24
CPHL	Stool Culture for Bacteria	10	16
CPHL	Strep. pneumoniae ID & AMST	15	24
CPHL	Strep. pneumoniae Latex serotyping	10	16
CPHL	V. cholera ID, serotyping & AMST	20	32
CPHL	General Bacterial culture, ID & AMST	15	24
CPHL	Culture, ID & AMST of Highly pathogenic bacteria	20	32
CPHL	Identification of unknown bacteria	5	8
CPHL	AMST of unknown bacteria	5	8
CPHL	Identificationof micro-organisms by MALDI-TOF	5	8
CPHL	Yeast identification and AMST	10	16
CPHL	MDRO confirmation	10	16
4. Molecular (PCR & Genotyping)
CPHL	16S rRNA gene Sequencing (Bacterial)	100	140
CPHL	Atypical pneumonia bacterial panel DNA	100	140
CPHL	Bacterial Genotyping by PFGE	50	80
CPHL	Bordetella DNA panel	100	160
CPHL	Brucella spp. DNA	80	128
CPHL	Chlamydia pneumoniae DNA	80	128
CPHL	Coxiella burnettii DNA	80	128
CPHL	Legionella sp. DNA	80	128
CPHL	Legionella sp. DNA in Environment Water	80	128
CPHL	Leptospira spp. DNA	80	128
CPHL	Mycoplasma pneumoniae DNA	80	128
CPHL	Neisseria meningitidis DNA	80	128
CPHL	Neisseria meningitidis serotype DNA	80	128
CPHL	Plasmodium spp. DNA panel	100	160
CPHL	Salmonella spp. DNA	80	128
CPHL	Streptococcus pneumoniae DNA	80	128
CPHL	Streptococcus pneumoniae molecular serotyping	100	160
CPHL	Molecular serogrouping of bactrial pathogen	100	160
CPHL	Rickettsia DNA	80	128
CPHL	CRE molecular typing	75	120
CPHL	SHIGA toxin PCR	50	80
CPHL	H. influenzae DNA	80	128
CPHL	Dermatophyte DNA	80	128
CPHL	Tropical pathogen molecular panel	100	160
CPHL	Direct detection of bacterial pathogens by (GeneXpert)	45	72
CPHL	Bacterial DNA detection by multiplex PCR	100	140
CPHL	Yersinia pestis DNA	80	112
5. Serology
CPHL	Bordetella pertussis Ab (IgG)	5	8
CPHL	Brucella Ab (IgG)	10	16
CPHL	Brucella Ab (IgM)	10	16
CPHL	Chlamydia pneumoniae (IgM)	5	8
CPHL	Cl. difficile Toxin A/B detection	5	8
CPHL	Coxella burnetii phase I IgG Ab	5	8
CPHL	Coxella burnetii phase II IgM Ab	5	8
CPHL	Echinococcosis IHA	5	8
CPHL	H. pylori Ab (IgG)	5	8
CPHL	H. pylori Antigen	5	8
CPHL	Total bacterial Ab (IgG + IgM) by ELISA	5	8
CPHL	Bacterial Ab (IgG ) by ELISA	5	8
CPHL	Bacterial Ab (IgM ) by ELISA	5	8
CPHL	Legionella pneumophila Ab (IgM)	5	8
CPHL	Legionella pneumophila Ab (IgG)	5	8
CPHL	Leishmania total Ab (IgG+IgM)	5	8
CPHL	Leptospira Ab (IgM)	5	8
CPHL	Mycoplasma pneumoniae Ab (IgM)	5	8
CPHL	RPR (VDRL)	3	5
CPHL	Schistosomiasis IHA	5	8
CPHL	Schistosomiasis ELISA	5	8
CPHL	Toxoplasma Ab (IgG)	5	8
CPHL	Toxoplasma Ab (IgM)	5	8
CPHL	Listeria monocytogenes serotyping	5	8
CPHL	Yersenia entercolitica serotyping	5	8
CPHL	Lyme disease Ab (IgM)	5	8
CPHL	Cryptococcus Ag detection	5	8
CPHL	CNS pathogen Ag detection	5	8
CPHL	TPHA	5	8
6. Food & Water
CPHL	Food poisoning microbial testing	10	16
CPHL	Water microbial testing	10	16
CPHL	Water coliform testing	10	16
CPHL	Total colony count	15	24
CPHL	Detection of bacterial toxins	5	8
7. Chemistry/Biochemistry
CPHL	Vitamin A (Serum Retinol) and Vitamin E (a-Tocopherol)	50	80
CPHL	Vitamin D (25-hydroxyvitamin D2 and D3)	40	64
CPHL	Iodine	2	3
CPHL	Na/K	4	6
CPHL	Iodine in salt	2	3
CPHL	Iron in flour	2	3
CPHL	Melamine	5	8
CPHL	Mycotoxins	30	48
CPHL	Drinking Water routine Chemical Tests	10	16
CPHL	Water Alkalinity	2	3
CPHL	Ammonia in water	2	3
CPHL	Calcium in water	2	3
CPHL	Chloride in water	2	3
CPHL	Conductivity in water	2	3
CPHL	Copper in water by atomic absorption	3	5
CPHL	Fluoride in water	2	3
CPHL	Iron in water by atomic absorption	3	5
CPHL	Lead in water by atomic absorption	3	5
CPHL	Magnesium in water	2	3
CPHL	Nitrate in water	2	3
CPHL	Nitrite in water	2	3
CPHL	pH in water	2	3
CPHL	Residual chlorine in water	2	3
CPHL	Total dissolved solids in water	2	3
CPHL	Total hardness in water	2	3
CPHL	Zinc in water by atomic absorption	3	5
CPHL	Swimming pool water Tests	10	16
8. Environmental/Toxicology/Malaria
CPHL	Dailysis Water routine Chemical Tests	30	48
CPHL	Aluminum (Al) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Arsenic (As) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Barium (Ba) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Bismuth (Bi) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Boron (B) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Bromine (Br) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Beryllium (Be) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Copper (Cu) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Cadmium (Cd) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Chromium (Cr) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Cobalt (Co) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Calcium (Ca) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Gold (Au) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Iodine (I) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Indium (In) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Iron (Fe) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Lithium (Li) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Lead (Pb) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Mercury (Mg) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Manganese (Mn) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Magnesium (Mg) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Nickel (Ni) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Phosphorus (P) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Palladium (Pd) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Potassium (K) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Platinum (Pt) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Rubidium (Rb) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Strontium (Sr) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Selenium (Se) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Silicon (Si) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Silver (Ag) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Sodium (Na) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Sulfur (S) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Thallium (Ti) by Inductively coupled plasma mass spectrometry	4
CPHL	Tin (Sn) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Uranium (U) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Vanadium (V) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Zinc (Zn) by Inductively coupled plasma mass spectrometry	4	6
CPHL	Malarial Parasite	5	8

الملحق رقم (٩)
رسوم الفحوصات والتدخلات الإشعاعية

No. مسلسل	Procedure Name اسم الإجراء	Price (R.O) القيمة بالريال العماني
1	Abdomen X-Ray	10
2	Abdomen & Pelvis X-Ray	10
3	Acetabulum X-Ray	10
4	Acromio-Clavicular Joint X-Ray	10
5	Ankle Joint X-Ray	10
6	Arm (Humerus) X-Ray	10
7	Arm with Shoulder X-Ray	10
8	Calcaneum (Heel) X-Ray	10
9	Cervical Spine X-Ray	12
10	Cervico-Dorsal Spine X-Ray	12
11	Chest & Abdomen X-Ray (for infants)	10
12	Chest X-Ray	10
13	Chest X-Ray (lateral view only)	10
14	Chest & Abdomen X-Ray	14
15	Clavicle X-Ray	10
16	Coccyx X-Ray	10
17	Cranium (Skull) X-ray	10
18	Dorsal Spine X-Ray	12
19	Dorso-Lumbar Spine X-Ray	12
20	Elbow Joint X-Ray	10
21	Facial X-Ray	10
22	Femur with Hip X-Ray	10
23	Femur with Knee X-Ray	10
24	Femur X-Ray	10
25	Fingers X-Ray	10
26	Foot X-Ray	10
27	Forearm (Radius & Ulna) X-Ray	10
28	Forearm with Elbow X-Ray	10
29	Forearm with Wrist X-Ray	10
30	Full Lower Limb X-Ray (for child)	10
31	Full Upper Limb X-Ray (for child)	10
32	Hand X-Ray	10
33	Hip Joint X-Ray	10
34	Humerus X-Ray	10
35	Infantogram X-Ray	10
36	Internal Auditory Meati X-Ray	10
37	Knee Joint X-Ray	10
38	Leg (Tibia & Fibula) X-Ray	10
39	Lumbar Spine X-Ray	12
40	Lumbo-Sacral Spine X-Ray	12
41	Mandible X-RAY	10
42	Mastoids X-Ray	10
43	Mobile X-Ray	10
44	Orbits X-Ray	10
45	Os calcis X-Ray	10
46	Patella X-Ray	10
47	Pelvis & Hips X-Ray	10
48	Pelvis X-Ray	10
49	Ribs X-Ray	10
50	Sacro-iliac Joints X-Ray	10
51	Sacrum & Coccyx X-Ray	10
52	Sacrum X-Ray	10
53	Scapula X-Ray	10
54	Shoulder Joint X-Ray	10
55	Skeletal Survey X-Ray	50
56	Skull (other areas) X-Ray	10
57	Soft Tissue Neck X-Ray	10
58	Sterno-Clavicular Joints X-Ray	10
59	Sternum X-Ray	10
60	Styloid Process X-Ray	10
61	Temporo-Mandibular Joints X-Ray	10
62	Thoracic Inlet X-Ray	10
63	Thoracic Outlet X-Ray	10
64	Thumb X-Ray	10
65	Tibia & Fibula X-Ray	10
66	Tibia with Ankle X-Ray	10
67	Tibia with Knee X-Ray	10
68	Toes X-Ray	10
69	Whole Spine X-Ray	25
70	Wrist Joint X-Ray	10
71	Nasal Bone X-Ray	10
72	TMJ X-Ray – Lateral View (open and closed mouth)	14
73	TMJ X-Ray – PA View (open and closed mouth)	14
74	Post-Nasal Space X-Ray	10
75	Paranasal Sinuses X-Ray	14
76	PNS Tomogram View	50
77	Orthopantomogram (OPG)	15
78	Cephalogram (AP view)	15
79	Cephalogram (Lateral view)	15
80	Cephalogram (PA view)	15
81	Dacryocystogram	50
82	Mammogram	60
83	Ductogram (Galactogram)	60
84	Hysterosalpingogram (HSG)	60
85	Arthrogram Knee SP	60
86	Arthrogram Shoulder SP	60
87	Arthrogram Wrist SP	60
88	Arthrogram Ankle SP	60
89	Arthrogram Elbow SP	60
90	Myelogram – Cervical	100
91	Myelogram – Dorsal	100
92	Myelogram – Lumbar	100
93	Myelogram – Whole Spine	150
94	Parotid Sialogram	50
95	Submandibular Sialogram	50
96	Sialography	50
97	Nephrostogram	40
98	Micturating Cystourethrogram (MCUG)	50
99	Antegrade Pyelogram	50
100	Retrograde Pyelogram	60
101	Intravenous Urogram	50
102	Cystogram	50
103	Retrograde Urethrogram	60
104	Vasogram	60
105	Loopogram	50
106	Herniogram	60
107	Defecogram (proctogram )	60
108	Fistulogram	50
109	Sinogram	50
110	Venogram – Left Upper Limb	100
111	Venogram – Right Lower Limb	100
112	Venogram – Right Upper Limb	100
113	Venogram – Left Lower Limb	100
114	AVG Graftogram	60
115	AVF Fistulogram	60
116	Lymphangiogram	80
117	Aortic Angiogram	250
118	Aortic Arch Angiogram	250
119	Pulmonary Angiogram	250
120	Carotid Angiogram	200
121	Upper Limb Angiogram	180
122	Lower Limb Angiogram	180
123	Portal Venogram	180
124	Hepatic Angiogram	180
125	Abdominal Angiogram	180
126	Cholangiogram	80
127	Postoperative (T-tube) Cholangiogram	80
128	Percutaneous Transhepatic Cholangiogram	160
129	Mesenteric Angiogram	180
130	Renal Angiogram	180
131	Spinal Angiogram	500
132	Cerebral Angiogram	500
133	Aortic Doppler	65
134	Carotid Doppler US	40
135	Arterial Doppler – Lower Limb	45
136	Arterial Doppler – Upper Limb	45
137	Peripheral Doppler (both limbs) US	65
138	Testicular Doppler	40
139	Portal Vein Doppler	65
140	Renal Artery Doppler	65
141	Venous Doppler – Lower Limb	45
142	Venous Doppler – Upper Limb	45
143	OT Check X-ray	10
144	OT Contrast Studies	50
145	OT C-arm Fluoroscopy	50
146	Fluoroscopy General (Screening)	50
147	Barium Enema	60
148	Barium Enema Double Contrast	60
149	Barium Meal – UGI	50
150	Barium Meal Double Contrast	50
151	Barium Meal Follow Through	50
152	Barium Meal Follow Through (excluding esophagus and stomach)	50
153	Barium Meal for Esophagus, Stomach & Duodenum	50
154	Barium Swallow	50
155	Modified Barium Study	40
156	Water Soluble Contrast Enema	60
157	Water Soluble Contrast Meal	50
158	Small Bowel Enema	100
159	Air-Enema	80
160	Air-Enema (intussusception)	120
161	Head US	25
162	Orbits US	25
163	Eye U/S	25
164	Neck US	25
165	Parathyroid US	25
166	Thyroid US	25
167	Chest US	25
168	Breast US	25
169	Abdomen US	25
170	Upper Abdomen US	25
171	Kidneys U/S	25
172	K.U.B and Prostate US	30
173	K.U.B US	25
174	Pelvis – General US	25
175	Pelvis – Obstetric US	30
176	Anomaly Scan Confirmation by Radiology	60
177	Scrotum US	25
178	Testes (undescended) US	25
179	Urethra US	25
180	Shoulder US	25
181	Hip Joint US	25
182	Knee US	25
183	Limbs US	30
184	Soft Tissue US	25
185	Foreign Body Localization US	20
186	General Brain (Head) CT	100
187	Head CT	100
188	Pituitary CT	100
189	Pituitary Fossa CT	100
190	Maxillo-Facial CT	100
191	Mandible CT	100
192	Internal Auditory Meati (IAM) CT	100
193	Orbits CT	100
194	Petrous Bone (IAM) CT	100
195	Nasopharynx CT	100
196	Paranasal Sinuses CT	100
197	Sinuses/Oropharynx/Soft Tissue CT	100
198	Parotid Glands CT	100
199	Larynx CT	100
200	Neck CT	100
201	Neck + Chest + Abdomen CT	140
202	Neck + Chest + Abdomen + Pelvis CT	170
203	Chest CT	100
204	Chest (High Resolution) CT	110
205	Chest + Abdomen CT	120
206	Chest + Abdomen + Pelvis CT	150
207	Abdomen CT	100
208	Liver CT	100
209	Renal CT	100
210	Abdomen + Pelvis CT	120
211	Adrenal Glands CT	100
212	Kidneys + Ureters + Bladder (KUB) CT	100
213	Pelvis CT	100
214	Cervical Spine CT	100
215	Cervico-Dorsal Spine CT	100
262	TMJ MRI	120
263	Paranasal Sinuses (PNS) MRI	120
264	Neck Soft Tissue MRI	120
265	Chest MRI	120
266	Lungs MRI	120
267	Mediastinum MRI	120
268	Cardiac MRI	120
269	Breast MRI	120
270	Abdomen MRI	120
271	Abdomen + Pelvis MRI	150
272	Abdomen + Pelvis MRI (angiography/venography)	150
273	Liver MRI	120
274	Pancreas MRI	120
275	Magnetic Resonance CholangioPancreatography (MRCP) MRI	120
276	Renal MRI	120
277	Adrenals MRI	120
278	Pelvis MRI	120
279	Scrotum MRI	120
280	Cervical Spine MRI	120
281	Cervico-Thoracic MRI	120
282	Thoracic Spine MRI	120
283	Thoraco-Lumbar Spine MRI	120
284	Lumbar Spine MRI	120
285	Lumbo-Sacral Spine MRI	120
286	Sacrum MRI	120
287	Sacro-iliac Joint MRI	120
288	Total Spine MRI	150
289	Brachial Plexus MRI	120
290	Shoulder MRI	120
291	Arthrogram Shoulder MRI	150
292	Humerus MRI	120
293	Elbow Joint MRI	120
294	Arthrogram Elbow MRI	150
295	Forearm MRI	120
296	Wrist Joint MRI	120
297	Arthrogram Wrist MRI	150
298	Wrist and Hand MRI	120
299	Hand MRI	120
300	Hip MRI	120
301	Arthrogram Hip MRI	150
302	Femur MRI	120
303	Thigh MRI	120
304	Knee Joint MRI	120
305	Arthrogram Knee MRI	150
306	Leg MRI	120
307	Ankle Joint MRI	120
308	Arthrogram Ankle MRI	150
309	Ankle & Foot MRI	120
310	Calcaneus MRI	120
311	Foot MRI	120
312	Angiography/Venography MRI (lower limbs)	150
313	Angiography/Venography MRI (others)	120
314	Magnetic Resonance Arteriogram (MRA)	250
315	Whole Body (Mets) MRI	300
316	Myelogram MRI	150
317	Ultrasound Guided FNA	50
318	Ultrasound Guided Aspiration	70
319	Ultrasound Guided Biopsy	80
320	Ultrasound Guided Drainage	100
321	Fluoroscopy Guided Drainage	100
322	CT Guided Aspiration	120
323	CT Guided Biopsy	130
324	CT Guided Drainage	180
325	Embolization – Uterine Artery	400
326	Embolization – Bronchial Artery	400
327	Embolization – Varicocele	400
328	Embolization – Upper GI Bleeding	400
329	Embolization – Lower GI Bleeding	400
330	Embolization – Blood Vessel (not specified elsewhere)	400
331	Embolization – Head & Neck (not specified elsewhere)	500
332	Embolization – Intracranial Tumor	800
333	Embolization – Spinal Tumor	800
334	Embolization – Intracranial AVM	1500
335	Embolization – Spinal AVM	1500
336	Intracranial Aneurysm Coiling (conventional)	1000
337	Intracranial Aneurysm Coiling (balloon-assisted)	1200
338	Intracranial Aneurysm Coiling (stent-assisted)	1300
339	Intracranial Aneurysm Coiling (flow-diverter placement)	1500
340	Mechanical Thrombectomy	1000
341	Catheter Directed Thrombolysis	400
342	Trans-arterial Chemoembolization	400
343	Percutaneous Ethanol Injection	400
344	Intra-arterial Vasospasm Treatment	800
345	Balloon Occlusion Test	800
346	Sclerotherapy of Craniofacial Venolymphatic Malformation (fruoroscpy- guided)	800
347	Percutaneous Placement of Intravascular Filter/Device	500
348	Percutaneous Repositioning of Intravascular Filter/Device	400
349	Percutaneous Removal of Intravascular Filter/Device or Foreign Body	400
350	Percutaneous Transluminal Angioplasty (PTA) – Thoracic Aorta	1200
351	Percutaneous Transluminal Angioplasty (PTA) – Abdominal Aorta	1200
352	Percutaneous Transluminal Angioplasty (PTA) – Pulmonary Artery	1200
353	Percutaneous Transluminal Angioplasty (PTA) – Innominate Artery	1000
354	Percutaneous Transluminal Angioplasty (PTA) – Carotid Artery	1000
355	Percutaneous Transluminal Angioplasty (PTA) – Vertebral Artery	1000
356	Percutaneous Transluminal Angioplasty (PTA) – Subclavian Artery	800
357	Percutaneous Transluminal Angioplasty (PTA) – Axillary Artery	600
358	Percutaneous Transluminal Angioplasty (PTA) – Brachial Artery	600
359	Percutaneous Transluminal Angioplasty (PTA) – Radial/Ulnar Artery	500
360	Percutaneous Transluminal Angioplasty (PTA) – Renal Artery	800
361	Percutaneous Transluminal Angioplasty (PTA) – Iliac Artery	800
362	Percutaneous Transluminal Angioplasty (PTA) – Abdominal or Pelvic Artery (not specified elsewhere)	800
363	Percutaneous Transluminal Angioplasty (PTA) – Femoral Artery	800
364	Percutaneous Transluminal Angioplasty (PTA) – Popliteal Artery	600
365	Percutaneous Transluminal Angioplasty (PTA) – Upper or Lower Limb Artery (not specified elsewhere)	600
366	Percutaneous Transluminal Angioplasty (PTA) – Central Vein	1000
367	Percutaneous Transluminal Angioplasty (PTA) – Vein (other than central vein)	600
368	Endovascular Repair of Thoracic Aorta (e.g. aneurysm, pseudoaneurysm, dissection)	1500
369	Endovascular Repair of Abdominal Aorta (e.g. aneurysm, pseudoaneurysm, dissection)	1500
370	Endovascular Repair of Superior or Inferior Vena Cava	1500
371	Endovascular Repair of Central Blood Vessel (not specified elsewhere)	1500
372	Endovascular Repair of Peripheral Artery (not specified elsewhere)	1000
373	Endovascular Repair of Peripheral Vein (not specified elsewhere)	800
374	Endoscopic Retrograde Cholangiopancreatography (ERCP) – Diagnostic	800
375	Endoscopic Retrograde Cholangiopancreatography (ERCP) with Biopsy	850
376	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Foreign Body Removal	850
377	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Tube/Stent Placement (any site)	900
378	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Balloon Dilatation (any site)	1000
379	Endoscopic Retrograde Cholangiopancreatography (ERCP) and Removal/Destruction of Calculi	1000
380	Endoscopic Retrograde Cholangiopancreatography (ERCP) with Sphincterotomy/Papillotomy	1000
381	Percutaneous Trans-hepatic Cholangiography (PTC) and Biliary Drainage	700
382	Percutaneous Trans-hepatic Cholangiography (PTC) and Biliary Stenting	700
383	Percutaneous Trans-hepatic Cholangiography (PTC) and Calculus Extraction	750
384	Percutaneous Cholecystostomy	600
385	Percutaneous Biliary Drainage Catheter Exchange	750
386	Peritoneovenous Shunt Placement (e.g. LeVeen shunt, Denver shunt)	750
387	Peritoneovenous Shunt Removal	400
388	Transjugular Intrahepatic Portosystemic Shunt (TIPS)	800
389	Percutaneous Catheterization of Portal Venous System	750
390	Percutaneous Radiological Gastrostomy (PRG)	250
391	Percutaneous Gastrojejunostomy	250
392	Percutaneous Nephrostomy	350
393	Percutaneous Nephrostomy Tube Exchange	400
394	Percutaneous Ureteric Stent Placement	300
395	Percutaneous Ureteric Stricture Dilatation	260
396	Insertion of Non-tunneled Central Venous Line	150
397	Insertion of Peripherally-inserted Central Catheter (PICC)	150
398	Insertion of Tunneled Central Venous Line (e.g. Hickman line, Permcath, Tesio catheter)	250
399	Insertion of Implantable Port (e.g. Porta Cath)	300
400	Insertion of Peritoneal Dialysis Catheter (e.g. Tenckhoff cathter)	250
401	Re-insertion of Peritoneal Dialysis Catheter	250
402	Adrenal Venous Sampling (radiologically-guided)	150
403	Bone Densitometry	50
404	Bone Scan	90
405	Bone Marrow Scintigram	100
406	Brain PET Scan	600
407	Parathyroid Scan	200
408	Thyroid Scan	100
409	MUGA Scan	150
410	Cardiac Perfusion Scan	200
411	Thallium Viability Scan	800
412	LymphoScintigraphy	100
413	Octreotide Scan	800
414	Gallium-67 Scan	500
415	Renal Scan (DMSA)	100
416	Captopril Renogram	200
417	Diuretic Renogram	200
418	Iodine 131 (MIBG)	220
419	Iodine 131 Ablation & Therapeutic	300
420	Iodine 131 Diagnostic CA Thyroid	200
421	Iodine 131 Therapy for Hyperthyroidism	200
422	Leukoscan	450
423	Whole Body FDG PET/CT Scan	850
424	Lung V/Q Scan	200
425	Lung Perfusion Scan	100
426	Lung Ventilation Scan	100
427	Gastric Emptying Scan (DTPA-Tc99m)	100
428	Milk Scan	65
429	Hepatobiliary Scan (HIDA scan)	150
430	Meckel’s Diverticulum Scan	100
431	GI Bleeding Scan (RBC scan)	150
432	Testicular Scan	100
433	Simple Conventional Fraction /3D	40
434	IMRT	65
435	VMAT	60
436	SRT	80
437	SRS	300
438	Portal Imaging	20
439	CBCT	40
440	Exact Tract	20
441	Physics Simple Planning	100
442	IMRT, VMAT, SRS Planning	200
443	Simulation Immobilization Orfit	100
444	CT-Simulation	100
445	2D Radiation Therapy	20

الملحق رقم (١٠)
رسوم خدمات بنك الدم

No. مسلسل	Procedure Name اسم الإجراء	Price (R.O) القيمة بالريال العماني
1	Apheresis Platelets Irradiated – 5 Day Expiry	118
2	Platelet Apheresis – 5 Day Expiry	116
3	Platelet – Buffy Coat	18
4	Platelet Plasma Reduced	18
5	Platelet Rich Plasma	18
6	Platelets 5 Day Storage Irradiated	20
7	Apheresis Red Blood Cells AS-1 (unit 1)	116
8	Apheresis Red Blood Cells SAGM	116
9	Red Blood Cells CPD	64
10	Red Blood Cells CPDA-1	64
11	Plasma Reduced Red Cells in CPDA1	64
12	Red Cells in SAGM Solution	65
13	Red Blood Cells CPDA-1 Irradiated	67
14	Red Blood Cells SAGM Irradiated	65
15	Red Blood Cells CPDA-1 Leukocytes Reduced	65
16	Red Blood Cells SAGM Leucocytes Reduced	65
17	Red Blood Cells CPDA-1 Irradiated Leukocytes Reduced	68
18	Red Blood Cells SAGM Irradiated Leucocytes Reduced	68
19	Autologous Packed Red Cells	100
20	Cryoprecipitated AHF	18
21	Cryosupernatant Plasma	18
22	Fresh Frozen Plasma	18
23	Fresh Frozen Plasma – Apheresis	116
24	Buffy Coat (WBC Concentrate)	30
25	Frozen Blood Preparation	37
26	Frozen Blood Thaw	28
27	Frozen Blood Freeze/Thaw	37
28	Blood Product Irradiation	4
29	Volume Reduction of Blood Product	11
30	Pooling Blood Platelets	10
31	Split Blood Product	8
32	Rh/Kell phenotyping	4
33	Antigen Typing – K	10
34	Antigen Typing – Fy	10
35	Antigen Typing – Jk	10
36	Antigen Typing – Kp	10
37	Antigen Typing – S	10
38	Antigen Typing – MN	10
39	Antigen Typing – Lu	10
40	Antigen Typing – Le	10
41	Antigen Typing – P1	10
42	Adsorption Study	20

الملحق رقم (١١)
رسوم العلاج التأهيلي

No. مسلسل	Procedure Name اسم الإجراء	Price (R.O) القيمة بالريال العماني
1	Active Exercises	10
2	Aids for Severely Handicapped	0
3	Initial Physiotherapy Assessment & Diagnosis	10
4	Attending Round/Meetings	5
5	Breathing Re-training	10
6	Cardiac-Rehabilitation	10
7	Combined Physiotherapy (e.g. Electrotherapy, Wax, etc.)	12
8	Activities of Daily Living (ADL) Training	10
9	Dry Needling Technique	10
10	Endurance Exercises	10
11	Strengthening Exercises	10
12	Exercises for Neurological Disabilities (e.g. rigidity, spasticity, paralysis)	10
13	Family Education and Home Program	10
14	Faradic Stimulation	10
15	Fitting or Adjustment of Walking Aids	5
16	Follow Up – Rehabilitation	8
17	Gait Re-education/Training	10
18	Group Exercises	10
19	Contrast Bath	10
20	Interferential Therapy (IFT)	10
21	Infrared Therapy	10
22	Laser Therapy	10
23	Soft Tissue Mobilisation (Massage)	10
24	Pre/Post Mastectomy Exercises	10
25	Peripheral Mobilization	10
26	Spinal Mobilization	10
27	Modification (other than environmental)	0
28	Neuromuscular Re-education	10
29	Unspecified Physiotherapy	5
30	Passive Exercises	10
31	Patient Education	10
32	Play Therapy	10
33	Reassessment – Rehabilitation	8
34	Relaxation Exercises	10
35	Resistive Exercises	10
36	Postnatal Exercises	10
37	Sensory Motor Exercises	10
38	Short wave Diathermy (SWD)	10
39	Taping Technique	10
40	Transcutaneous Electrical Nerve Stimulation (TENS)	10
41	Traction – Rehabilitation	10
42	Antenatal Exercises	10
43	Training in Joint Movement	10
44	Training with Walking Aids	10
45	Coordination Exercises	10
46	Ultrasound (US)	10
47	Wax Therapy	10
48	Active Assisted Exercises	10
49	Active Cycle of Breathing (thoracic expansion, breathing control, forced expiratory technique)	5
50	Activities of Daily Living Assessment	8
51	Acupressure/Trigger Point Release	10
52	Airway Suctioning (open-closed )	8
53	Assessment of Walking Aids	5
54	Autogenic Drainage	10
55	Back & Other Joint Supports	8
56	Balance Exercises	8
57	Bandaging – Rehabilitation	5
58	Bed Mobility Activities	5
59	Bobath Technique	10
60	Chiropractic Technique	10
61	Circulatory Exercises	5
62	Combined Electrotherapy	10
63	Compression Pump Machine	10
64	Cough Assist Device	10
65	Coughing	5
66	Cryotherapy (Ice)	10
67	Discharge Planning	5
68	Early Intervention Postnatal Exercises	8
69	EMG Bio-feedback	10
70	Environmental Modification	10
71	Facial Muscles Exercises	10
72	Functional Electrical Stimulation	10
73	Falls Prevention Education	5
74	Gait Analysis	8
75	High Frequency Chest Wall Oscillation / Vest Machine	10
76	Hot Packs – Rehabilitation	10
77	Huffing	5
78	Hydrotherapy	10
79	Maitland Technique	10
80	Manual Assistive Cough	8
81	Manual Handling	10
82	Manual Hyperinflation / Bagging	5
83	Manual Traction	10
84	Medicine Balls	5
85	Mirror Therapy	10
86	Mulligan Technique	10
87	Myofascial release	10
88	Neurodevelopment Exercises	10
89	Neurodynamics	10
90	Orthosis/Prosthesis Orientation	10
91	Oscillating Positive Expiratory Pressure Mask	8
92	Osteopath Technique	10
93	Pelvic Floor Exercises	8
94	Phonophoresis	10
95	Positioning	5
96	Post-Operative Chest Physiotherapy	10
97	Postural Assessment	8
98	Postural Education/Advice	5
99	Postural Correction	5
100	Postural Drainage (gravity-assisted technique)	10
101	Proprioception Training	8
102	Proprioceptive Neuromuscular Facilitation(PNF)	10
103	Shockwave Therapy	10
104	Stairs Exercises	8
105	Static/Wheel chair activities	8
106	Static Quads Exercises	10
107	Stretching Exercises	10
108	Thoracic Mobility e.g. AROM,PROM	8
109	Vacuum Machine	10
110	Vestibular Exercises	8
111	Pre-Operative Chest Physiotherapy	10
112	Provide Limb Supports	5
113	Pulleys	8
114	Quadriceps Bench	8
115	Robotic Assisted Therapy/Lokomat Therapy	10
116	Social Counseling of Patient/Family	5
117	Spider Cage	10
118	Static Cycle Machines	10
119	Swiss Balls	5
120	Therasuit	10
121	Tracheal Stimulation	5
122	Training of Caregivers	8
123	Treadmill	10
124	Use of Assistive Devices (crutches, frames, Rolletors, etc.)	8
125	Training in Device Use (e.g. PEP, acapella, flutter, incentive spirometer, etc.)	8
126	Use of Theraband, Putty, etc.	8
127	Vibration/Percussion/Shaking	5
128	Wobble Boards	8
129	Above Elbow Prosthesis (A.E.P )	300
130	Ankle Foot Orthosis Night Splint	25
131	Ankle Foot Orthosis Poly P	60
132	Ankle Foot Orthosis	50
133	Ankle Foot Orthosis – outside iron inside T strap	50
134	Ankle Foot Orthosis – steel	50
135	Above Knee Prosthesis (AK)	600
136	Below Elbow Prosthesis	150
137	Below Knee Prosthesis (BK)	300
138	Back Splints	25
139	Bilateral Twisters	4
140	Congenital Talipes Equinovarus Splint	8
141	Cervical Collar	10
142	Cock-up Splint	8
143	Corrective Knee Splint	20
144	Corrective Night Splint (loyds)	20
145	Corrective Night Splint (mermaid)	20
146	Corrective Brace – Upper Limb	20
147	Corrective Walking Brace for Genu Valgum	30
148	Corrective Walking Brace for Genu Varum	30
149	Custom Sandals	50
150	Dynamic Wrist Hand Orthosis (all 5 fingers)	10
151	Dynamic Wrist Hand Orthosis (without thumb spring)	8
152	Dynamic Knuckle Bender Splint	8
153	Dynamic Splint (capners splint)	8
154	Dynamic Splint (toe raising strap)	4
155	Extension Prosthesis	300
156	Femoral Fracture Brace	30
157	Forearm Fracture Brace	30
158	Hip Knee Ankle Foot Orthosis	350
159	Hip Spica / Hip Abduction Splint	30
160	Humerus Fracture Brace	30
161	Hyper Extension Brace	50
162	Knee Ankle Foot Orthosis	300
163	Knee Brace	50
164	Mallet Splint	4
165	Night Splint for Ankle	25
166	Night Splint for Elbow (elbow gutter)	20
167	Night Splint for Hand	6
212	Knee Ankle Foot Orthoses (K.A.F.O) Night Splint	25
213	Supra Malleolar Orthosis (U.C.A.L.)	10
214	Dynamic Ankle Foot Orthosis Poly P	80
215	Elbow Fracture Brace	25
216	Shoulder Fracture Brace	30
217	Shoulder Abduction Brace	60
218	Prosthetic Knee Joint	100
219	Prosthetic SACH Foot	20
220	Change Socket	30
221	Prosthetic Cosmetic Foam	25
222	Upper Limb Cosmetic Glove	40
223	Congenital Dislocation of the Hip (CDH) Orthosis (ready made)	15
224	Esophageal Speech Training	10
225	Expressive Language Development Skills (Semantics)	10
226	Expressive Language Development Skills Morphology/Syntax	10
227	Other Training for Deaf Person	10
228	Reading Activities	10
229	Receptive Language Development Skills (Semantics)	10
230	Receptive Language Development Skills Morphology/Syntax	10
231	Speech and Language Evaluation	10
232	Speech Therapy	10
233	Speech Defect Training	10
234	Speech Therapy – Unspecified	10
235	Speech Training	10
236	Stuttering Therapy – Awareness of Speech Production	10
237	Stuttering Therapy – Relax Body and Speech Musculature	10
238	Traditional Articulation Therapy	10
239	Vocalization Exercise	10
240	Vocalization Counselling	10
241	Vocalization Re-education	10
242	Vocalization Training and Rehabilitation	10
243	Voice Therapy – Awareness of Voice and Abusive Vocal Behaviors	10
244	Voice Therapy – Use Appropriate Volume, Nasa Resonance and/or Optimum Pitch	10
245	Voice Therapy – Use Relaxation Techniques	10
246	Dysphagia Diagnosis – Fiberoptic Endoscopic Evaluation of Swallowing (FEES)	35
247	Dysphagia Diagnosis – Modified Barium Swallow (MBS)	30
248	Dysphagia Diagnosis – Pharyngeal Manometry	30
249	Dysphagia Diagnosis – Surface EMG	30
250	Dysphagia Diagnosis – Breathing-Swallowing Discoordination Test	30
251	Dysphagia Diagnosis – Ultrasound	30
252	Dysphagia Diagnosis – Others	10
253	Dysphagia Treatment – Neuromuscular Training	10
254	Dysphagia Treatment – Sensory-motor Training	10
255	Dysphagia Treatment – Electromagnetic Intervention	10
256	Dysphagia Treatment – Others	10
168	Pelvis Sling	25
169	Repair (orthosis brace)	10
170	SOMI Brace	50
171	Shoe Modification (Meta Tarsal Pad)	4
172	Shoe Modification (soft pads)	5
173	Shoe modification (lateral wedges)	4
174	Shoe Modification (heel rise)	4
175	Shoe Modification (longitudinal arch support)	4
176	Shoe Modification (Meta Tarsal bar, heel raise)	6
177	Shoe Modification (M.T. bar)	4
178	Shoe Modification (medial wedges)	4
179	Shoe Modification (anterior elongation)	5
180	Shoe Modification (arch support + medial wedges)	5
181	Shoe Modification (shoe raise)	5
182	Shoe Modification (soft heel and sole pad)	6
183	Shoe Modification (toe filler)	6
184	Shoulder Prosthesis	350
185	Spinal Brace for Scoliosis	50
186	Static Wrist Hand Orthosis	6
187	Symes Prosthesis (through ankle prosthesis)	200
188	Thoracic Lumbar Sacral Orthosis (TLSO)	30
189	Taylor Brace	35
190	Through Knee Prosthesis	500
191	Tibial Fracture Brace	50
192	Weight Relieving Ankle Foot Orthosis	50
193	Weight Relieving Knee Ankle Foot Orthosis	200
194	Shoe Modification (lateral sole patch)	4
195	Shoe Modification (medial sole patch)	4
196	Shoe Modification (lateral sole patch + medial border)	5
197	Soft Insole	8
198	Hard Insole	6
199	Congenital Talipes Equinovarus (C.T.E.V) Shoes	40
200	Ankle Foot Orthosis (ready made)	20
201	Hallux Valgus Splint	5
202	Air Cast Walker	40
203	Cervical Orthosis	6
204	Partial Foot Prosthesis	15
205	Stump Shrinker (Above Knee)	8
206	Stump Shrinker (Below Knee)	5
207	Prosthetic Knee Sleeve	15
208	Perlon Cosmetic Stockinette	2
209	Stump Socks Wool	5
210	Stump Socks Terry	2
211	Shoe Modification	5
257	Tracheostomy Care – Rehabilitation	10
258	Speech Valve Fitting	10
259	Gross Motor Training	10
260	Preparatory Exercise for Occupational Therapy	10
261	Hand Writing Evaluation	10
262	Sensory Integration	10
263	Ergonomics	15
264	Fine Motor Exercises	10
265	Splinting (occupational therapy)	15
266	Oral- Motor Rehabilitation	15
267	Cognitive Rehabilitation (e.g. memory, attention, perception activities)	15
268	Sensory Reeducation/ Desensitization Technique	15
269	Functional Mobility Training	10
270	Reevaluation (occupational therapy)	10
271	Pre-Vocational/Vocational Training	15
272	Fall Prevention Training	10
273	Pre-School & School Activity Training	10
274	Individual Counseling (occupational therapy)	10
275	Patient/Family Education (occupational therapy)	10
276	Therapeutic Arts & Crafts	15
277	Functional Performance Maintenance	10
278	Occupational Discharge Planning	10
279	Other Occupational Therapy Interventions	10
280	Energy Conservation Techniques	10
281	Home Program (occupational therapy)	10
282	Optimizing Leisure Pursuit	10
283	Proprioceptive Neuromuscular Facilitation (PNF)/Neuro-Developmental Treatment (NDT)	10
284	Visual Perceptual Therapy	10
285	Return-to-Work Evaluation	15
286	Edema Control	10
287	Assessment (occupational therapy)	10
288	Developmental Therapy	10
289	Home Visit (occupational therapy)	15
290	Group Therapy (occupational therapy)	10
291	Therapeutic Horticulture	10
292	Sleep Management	10
293	Scar Management	10
294	Positioning/Transferring Techniques	10
295	Wheelchair/Seating Training	10
296	Pressure Garment	15
297	Sensory Modulation	15
298	Assistive Devices/Adaptation (occupational therapy)	15
299	Masticatory Exercises	10
300	Breathing/Respiration Exercises	10
301	Chest Physiotherapy	10
302	Communication Training for Deaf Person (e.g. lip reading, finger reading)	10

الملحق رقم (١٢)
رسوم الخدمات الإضافية

الخدمة	مستحق للعلاج مجانا (ر.ع)	غير مستحق للعلاج مجانا (ر.ع)
رسوم للحجاج والمعتمرين	٢	١٠
توفير قرص مدمج لنتائج الفحوصات الطبية	–	٥ لكل قرص مدمج لنتائج الفحوصات في وحدات العناية المركزية وأقسام الطوارئ
	–
	–
التقارير الطبية	٣ للتقارير الورقية للعمانيين ومواطني دول مجلس التعاون الخليجي	١٥ للتقارير الورقية	١٨ للتقارير على قرص مدمج
	٥ للتقارير الورقية لبقية الفئات المستحقة للعلاج المجاني
	١٠٠ بيسة عند طلب إضافة ورقة من أوراق التقرير الطبي
استخدام سيارة إسعاف بدون تغطية طبية	–	٥٠ إذا كانت المسافة لا تتجاوز بين نقطة انطلاق السيارة ونقطة الوصول (٢٠٠) كيلومتر
		١٠٠ إذا كانت المسافة بين نقطة انطلاق السيارة ونقطة الوصول تزيد على (٢٠٠) كيلومتر
استخدام سيارة إسعاف مع تغطية طبية	–	١٠٠ إذا كانت المسافة لا تتجاوز بين نقطة انطلاق السيارة ونقطة الوصول (٢٠٠) كيلومتر
		١٥٠ إذا كانت المسافة بين نقطة انطلاق السيارة ونقطة الوصول تزيد على (٢٠٠) كيلومتر
تحنيط جثة	–	١٢٠
حفظ جثة	–	١٠ عن كل يوم من اليوم السادس إلى اليوم العاشر
		٢٠ عن كل يوم ما بعد اليوم العاشر