RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW S.No. NAME OF INVESTIGATION For NABLAccredited Labs /Imaging Centres Non NABL DENTAL...

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S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

DENTAL 1 Dental IOPA X-ray 2 Occlusal X-ray 3 OPG X-ray PULMONARY 4 Lung Ventilation & Perfusion Scan (V/Q Scan) 5 Lung Perfusion Scan OSTEOLOGY 6 Whole Body Bone Scan with SPECT. 7 Three phase whole body Bone Scan NEUROSCIENCES 8 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals. 9 Radionuclide Cisternography for CSF leak GASTRO AND HEPATOBILIARY 10 Gastro esophageal Reflux Study (G.E.R. Study) 11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs. 12 Hepatobiliary Scintigraphy. 13 Meckel's Scan 14 Hepatosplenic scintigraphy with Technetium99m radiopharmaceuticals 15 Gastric emptying GENITOURINARY 16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A. 17 Dynamic Renography. 18 Dynamic Renography with Diuretic. 19 Dynamic Renography with Captopril 20 Testicular Scan ENDOCRINOLOGY 21 Thyroid Uptake measurements with 131-Iodine. 22 Thyroid Scan with Technetium 99m Pertechnetate. 23 lodine-131 Whole Body Scan. 24 Whole Body Scan with M.I.B.G. 25 Parathyroid Scan RADIO-ISOTOPE THERAPY 26 131-lodine Therapy

For NABLAccredited Labs /Imaging Centres

Non NABL

50 50 200 250

43 43 170 213

225 3,500 3,500 10,000

191 2,975 2,975 8,500

5,000 2,000

4,250 1,700

3,500

2,975

2,500 2,000 2,500

2,125 1,700 2,125

1,500 3,500

1,275 2,975

3,500 3,500 4,500 1,500 1,600

2,975 2,975 3,825 1,275 1,360

1,500

1,275

3,000 18,000 5,000 -

2,550 15,300 4,250 -

Listed Under Treatment

Listed Under Treatment

Procedures

Procedures

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

27 131-lodine Therapy <15mCi

For NABLAccredited Non NABL Labs /Imaging Centres Listed Under Treatment Listed Under Treatment

28 131-lodine Therapy 15-50mCi

Procedures Listed Under Treatment

Procedures Listed Under Treatment

29 131-lodine Therapy 51-100mCi

Procedures Listed Under Treatment

Procedures Listed Under Treatment

30 131-lodine Therapy >100mCi

Procedures Listed Under Treatment

Procedures Listed Under Treatment

31 Phosphorus-32 therapy for metastatic bone

Procedures Listed Under Treatment

Procedures Listed Under Treatment

pain palliation Procedures 32 Samarium-153 therapy for metastatic bone pain Listed Under Treatment

Procedures Listed Under Treatment

palliation 33 Radiosynovectomy with Yttrium

Procedures Listed Under Treatment

Procedures Listed Under Treatment

34 35 36 37

CARDIOLOGY Stress thallium / Myocardial Perfusion Scintigraphy Rest thallium / Myocardial Perfusion Scintigraphy Venography ECG

Procedures

Procedures

9,900

8,415

9,900

8,415

3,500 50

2,975 43

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

38 STRESS ECHO- DOBUTAMINE

For NABLAccredited Non NABL Labs /Imaging Centres Listed Under Treatment Listed Under Treatment

39 40 41 42 43 44 45 46 47 48

49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71

72 73

STRESS ECHO- EXERCISE TMT TEE Lymph angiography TUMOUR IMAGING Scintimammography. Indium lableled octeriotide Scan. PET SCAN FDG Whole body PET / CT Scan Brain I Heart FDG PET / CTScan, Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor Non-FDG PET / CT Scan Laboratory Medicine Clinical Pathology Urine routine- pH,Specific gravity,sugar,protein and microscopy 24 hrs urine for Proteins,Sodium,creatinine Urine-Microalbumin Quantitative Albumin/Sugar Urine Bile Pigment and Salt Urine Urobilinogen Urine Ketones Urine Occult Blood Urine total proteins Bence Jones protein Stool routine Stool occult blood Post coital smear examination semen analysis Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc. Albumin. Creatinine clearance. Haematology Haemoglobin (Hb) Total Leucocytic Count (TLC) Differential Leucocytic Count (DLC) E.S.R. Total Red Cell count with MCV,MCH,MCHC,DRW Complete Haemogram -Hb,RBC count and indices, TLC, DLC, Platelet, ESR, Peripheral smear examination Platelet count Reticulocyte count

Procedures

Procedures

1,650 500 500 1,650 5,000 75,000 21,000 15,000 17,000

1,403 425 425 1,403 4,250 63,750 17,850 12,750 14,450

25

21

100 25 15 20 20 20 20 21 40 25 20 30 50 60

85 21 13 17 17 17 17 18 34 21 17 26 43 51

21 30 19 20 20 20 20

18 26 16 17 17 17 17

50

43

30 30

26 26

S.No.

74 75 76 77 78 79 80 81 82 83 84 85

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

Absolute Eosinophil count Packed Cell Volume (PCV) Peripheral Smear Examination Smear for Malaria parasite Bleeding & Clotting Time Clot Retraction Time R.B.C. Fragility Test L.E. Cell Foetal Haemoglobin (Hb-F) Prothrombin Time (P.T.) Bone Marrow Smear Exmination Bone Marrow Smear Exmination with iron stain

86 Bone Marrow Smear Exmination and cytochemistry where required. 87 Partial Thromboplastin 88 Glucose Phosphate Dehydrogenase (G, 6PD) 89 Rapid test for malaria(card test) 90 WBC cytochemistry for leukemia -Conmplete panel 91 Bleeding Disorder panel-BT,CT,Platetlet count,APTT,extended & Dic studies(FDP). 92 Factro Assays-Factor VIII 93 Factor Assays-Factor IX 94 Factro Assays-other Factors Anti Cardiolipin Antibodies. 95 IgG. 96 IgM. 97 IgA. Anti Phospholipid Antibodies. 98 IgG. 99 IgM. 100 IgA. 101 Thalessemia studies 102 Hb Electrophoresis 103 Sickling studies Nutritional Markers 104 Serum Iron 105 Total Iron Binding Capacity 106 Vitamin B.12. 107 Folic Acid. 108 HDL Cholestrol Blood Bank 109 Blood Group & RHO Type 110 Cross match 111 Packed cell preparation 112 Coomb’s Test Direct 113 Coomb’s Test Indirect 114 Australia Antigen 115 RHO, Antibody titer

For NABLAccredited Labs /Imaging Centres

Non NABL

20 20 30 20 20 24 30 50 50 60 75 256

17 17 26 17 17 20 26 43 43 51 64 218

400

340

100 110

85 94

44 400

37 340

250

213

400 400 400 150 150 150 150 150 150 400 455 77 80 80 256 350 60 30 50 40 60 60 60 60

340 340 340 128 128 128 128 128 128 340 387 65 68 68 218 298 51 26 43 34 51 51 51 51

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

116 Blood Components-PRO 117 Blood Components -Fresh Frozen Plasma 118 Blood Components-Cryoprecipitate Histopathology 119 Routine-H & E 120 special stain 121 Immunohistochemistry(IHC) 122 Frozen section 123 Paraffin section Cytology 124 Pap Smear 125 Vaginal Cytology for Hormonal evaluation 126 Body fluid for Malignant cells 127 FNAC 128 special stain on cytology Flow cytometry 129 Leukemia panel /Lymphoma panel 130 CD Count: CD3,CD4,CD8 131 PNH Panel-CD55,CD59 Cytogenetics 132 karyotyping Tumour markers. 133 PSA- Total. 134 PSA- Free. 135 AFP. 136 HCG. 137 CA. 125. 138 CA 19,9. 139 CA 5,3. 140 Carcioembryonic antigen(CEA) Bio-Chemistry 141 Blood Glucose Random 142 Blood Urea Nitrogen 143 Serum Creatinine 144 Serum Uric Acid 145 Serum Bilirubin total & direct 146 Serum Iron 147 148 149 150 151 152 153 154 155 156 157 158 159

Serum Cholesterol Total Iron Binding Capacity Glucose (Fasting & PP) Serum Calcium -Total Serum Calcium -Ionic Serum Phosphorus Total Protein Alb/Glo Ratio S.G.P.T. S.G.O.T. Serum amylase Serum Electrolyte Triglyceride Glucose Tolerance Test (GTT)

For NABLAccredited Labs /Imaging Centres

Non NABL

2,800 3,800 488 100 100 350 200 100 100 80 80 90 2,500 800 1,000 2,200 180 200 200 200 250 250 250 250 20 20 30 30 -

2,380 3,230 414 85 85 298 170 85 85 68 68 77 2,125 680 850 1,870 153 170 170 170 213 213 213 213 17 17 26 26 -

at S.No. 104

at S.No. 104

25 65 20 50 45 35 35 25 25 95 64 60 80

21 55 17 43 38 30 30 21 21 81 54 51 68

S.No.

160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177

178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

C.P.K. L.D.H. Alkaline Phosphatase Acid Phosphatase CK MB Lithium. Dilantin (phenytoin). Carbamazepine. Valproic acid. Feritin. Blood gas analysis Blood gas analysis with electrolytes Urine pregnancy test Hb A1 C Kidney Function Test. Liver Function Test. Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides) Extended Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) ) Apo A1. Apo B. Lp (a). LDL. Homocysteine. HB Electrophoresis. Serum Electrophoresis. Fibrinogen. Chloride. Magnesium. GGTP. Lipase. Fructosamine. β2 microglobulin Albumin. Catecholamines. Creatinine clearance. Harmones T3, T4, TSH T3 T4 TSH LH FSH Prolactin Cortisol Enteropoetin PTH(Paratharmone) Calcitonin C-Peptide.

For NABLAccredited Labs /Imaging Centres

Non NABL

100 90 30 65 100 120 300 300 300 150 205 150 69 165 125 140 215

85 77 26 55 85 102 255 255 255 128 174 128 58 140 106 119 182

300

255

120 120 150 63 300 450 300 200 60 100 50 100 100 21 1,400 30 200 75 75 100 150 150 180 250 500 250 840 300

102 102 128 54 255 383 255 170 51 85 43 85 85 18 1,190 26 170 64 64 85 128 128 153 213 425 213 714 255

S.No.

207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

Insulin. Progesterone. 17-DH Progesterone. DHEAS. Androstendione. Growth Hormone. TPO. Throglobulin. Microbiology & Serology Smear gram-strain examination Sputum smear A.F.B. stain Vaginal Smear Examination Direct smear and stain examination for cryptosporidium Direct smear and stain examination for P.Carcinei LCB Count for mycology LCB Count for others V.D.R.L. TPHA test Widal test Rheumatoid Factor test Culture & Sensitivity -bacterial Culture & Sensitivity -Mycobacterial Culture & Sensitivity -mycology C.R.P. C.R.P Quantative ASO Titer Quantitative H.C.G. Blood culture & sensitivity- manual Blood culture & sensitivity-automated Vibro cholera culture Rapid Blood Culture. Rapid AFB Culture. C.3. C.4. IgG. IgM. IgA. ANA. Ds DNA. P ANCA. C ANCA. Infectuous disease serology HAV. HbSAg – Elisa. Anti HBS. Anti HBC Total. Anti HBC IgM. HbeAg. Anti Hbe.

For NABLAccredited Labs /Imaging Centres

Non NABL

325 200 300 250 400 350 385 350 20 20 20 100

276 170 255 213 340 298 327 298 17 17 17 85

100

85

100 100 50 80 50 50 50 50 50 100 100 120 80 100 100 100 100 400 200 200 200 200 200 250 250 250 250 300 60 300 350 350 300 300

85 85 42 68 43 43 43 43 43 85 85 102 68 85 85 85 85 340 170 170 170 170 170 213 213 213 213 255 51 255 298 298 255 255

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

254 Anti- HCV. 255 Anti- HEV. 256 Triple Marker. TORCH. 257 IgG. 258 IgM. Toxoplasmosis. 259 IgG. 260 IgM. CMV(Cytomegalo virus). 261 IgG. 262 IgM. HSV. 263 IgG. 264 IgM. 265 IgE. Tuberculosis 266 TB IgG. 267 TB IgM. 268 TB IgA. Rubella 269 Ig G 270 Ig M 271 Ig A 272 Dengue Serology. 273 Cysticercosis. 274 Hydatic Serology. 275 Anti Sperm Antibodies. HBV DNA. 276 Qualitative. 277 Quantitative. HCV RNA. 278 Qualitative. 279 HPV serology 280 Rota Virus serology 281 PCR for TB 282 PCR for HIV 283 Chlamydae antigen 284 chlamydae antibody 285 Brucella serology 286 Influenza A serology USG, X-ray , CT, MRI, Bone Densitometry 287 USG for Obstetrics - Anomalies scan 288 Abdomen USG 289 Pelvic USG ( prostate, gynae, infertility etc) 290 Small parts USG ( scrotum, thyroid , parathyroid etc) 291 Neonatal head (Tranfontanellar) 292 Neonatal spine 293 Contrast enhanced USG 294 USG Breast

For NABLAccredited Labs /Imaging Centres

Non NABL

300 350 700 260 260 250 250 250 250 250 250 300 200 200 200 200 200 250 350 350 350 350 1,000 1,600 1,000 2,000 163 800 630 350 280 200 943 300 300 300 410

255 298 595 221 221 213 213 213 213 213 213 255 170 170 170 170 170 213 298 298 298 298 850 1,360 850 1,700 138 680 536 298 238 170 801 255 255 255 349

450 500 1,000 410

383 425 850 349

S.No.

295 296 297 298

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

USG Hystero-Salpaingography (HSG) Colour Doppler , Carotid artery Colour Doppler, Peripheral Artery/Veins Colour doppler, renal arteries/any other organ

299 USG guided intervention-aspiration 300 USG guided intervention- FNAC 301 USG guided intervention - biopsy

For NABLAccredited Labs /Imaging Centres

Non NABL

300 1,000 830 1,000

255 850 706 850

500 700

425 595

Listed Under Treatment

Listed Under Treatment

Procedures

Procedures

302 USG guided intervention - nephrostomy X-Ray 303 Abdomen AP Supine or Erect (One film) 304 Abdomen Lateral view (one film) 305 Pelvimetry 306 Chest PA view (one film) 307 Chest Lateral (one film) 308 Mastoids: Towne view, oblique views (3 films)

875 100 100 70 70 300

744 85 85 60 60 255

309 Extremities, bones & Joints AP & Lateral views (Two films) 310 Pelvis A.P (one film) 311 T. M. Joints (one film) 312 Abdomen & Pelvis for K. U. B. 313 Skull A. P. & Lateral (2 films) 314 Spine A. P. & Lateral (2 films) 315 PNS view (1 film) X ray Contrast studies 316 Barium Swallow 317 Barium Upper GI study 318 Barium Upper GI study (Double contrast) 319 Barium Meal follow through 320 Barium Enema (Single contrast/double contrast) 321 Small bowel enteroclysis 322 ERCP (Endoscopic Retrograde Cholangio – Pancreatography) 323 General :Fistulography /Sinography/Sialography/Dacrocystography/ TTube cholangiogram/Nephrostogram 324 Percutaneous transhepatic cholangiography (PTC) 325 Intravenous Pyelography (IVP) 326 Micturating Cystourethrography (MCU) 327 Retrograde Urethrography (RGU) 328 Contrast Hystero-Salpingography (HSG) 329 X ray - Arthrography 330 Cephalography 331 Myelography

200

170

100 110 110 200 200 100 50 600 350 350 550 600

85 94 94 170 170 85 43 510 298 298 468 510

550 6,010

468 5,109

750

638

500

425

1,400 800 500 500 800 150 1,500

1,190 680 425 425 680 128 1,275

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

For NABLAccredited Labs /Imaging Centres

Non NABL

332 Digital Subtraction Angiography (DSA) – Cerebral arteries 333 Digital Subtraction Angiography (DSA) – Peripheral Artery/arteries 334 Digital Subtraction Angiography (DSA) abdomen 335 Digital Subtraction Angiography (DSA) - chest

22,000

18,700

9,000

7,650

-

-

-

-

Mammography 336 X-ray Mammography 337 Ultrasound Mammography 338 MRI Mammography CT 339 CT Head-Without Contrast 340 CT Head- with Contrast (+/- CT angiography)

400 500 1,000 900 1,350

340 425 850 765 1,148

341 C. T. Chest - without contrast (for lungs) 342 C. T. Chest - with contrast (+/- CT angiography)

1,700 2,140

1,445 1,819

343 C. T. Scan Upper Abdomen Without Contrast

1,300

1,105

344 C. T. Scan Upper Abdomen With Contrast 345 C. T. Scan Lower Abdomen Without Contrast

2,092 1,500

1,778 1,275

346 C. T. Scan lower Abdomen With Contrast 347 C. T. Scan Whole Abdomen Without Contrast

2,092 2,092

1,778 1,778

348 349 350 351

3,400 5,000 7,500 1,560

2,890 4,250 6,375 1,326

1,940 1,200 1,750 1,250

1,649 1,020 1,488 1,063

1,860

1,581

1,440

1,224

1,050 1,700 2,300

893 1,445 1,955

1,000 1,200

850 1,020

2,350

1,998

352 353 354 355 356 357 358 359 360 361 362 363

364

C. T. Scan Whole Abdomen With Contrast CT angiography abdomen CT enteroclysis C. T. Scan Neck (Thyroid, parathyroid, Soft Tissues) – Without Contrast C. T. Scan Neck – With Contrast C. T. Scan Orbits - Without Contrast C. T. Scan Orbits - With Contrast C. T. Scan of Para Nasal Sinuses- Without Contrast C. T. Scan of Para Nasal Sinuses - With Contrast C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without contrast CT Temporal bone – without contrast CT - Dental C. T. Scan Limbs -Without Contrast C. T. Scan Limbs -With Contrast including CT angiography C.T. Guided intervention – Biopsy /FNAC C. T. Guided intervention -percutaneous catheter drainage / tube placement MRI MRI Head – Without Contrast

S.No.

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

For NABLAccredited Labs /Imaging Centres

Non NABL

365 366 367 368

MRI Head – With Contrast MRI Orbits – Without Contrast MRI Orbits – With Contrast MRI Nasopharynx and PNS – Without Contrast

3,350 1,700 5,000 2,500

2,848 1,445 4,250 2,125

369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394

MRI Nasopharynx and PNS – With Contrast MRI Neck - Without Contrast MRI Neck- with contrast MRI Shoulder – With contrast MRI Shoulder – Without contrast MRI shoulder both Joints - Without contrast MRI Shoulder both joints – With contrast MRI Wrist Single joint - Without contrast MRI Wrist Single joint - With contrast MRI Wrist both joints - Without contrast MRI Wrist Both joints - With contrast MRI knee Single joint - Without contrast MRI knee Single joint - With contrast MRI knee both joints - Without contrast MRI knee both joints - With contrast MRI Ankle Single joint - Without contrast MRI Ankle single joint - With contrast MRI Ankle both joints - With contrast MRI Ankle both joints - Without contrast MRI Hip - With contrast MRI Hip – without contrast MRI Pelvis – Without Contrast MRI Pelvis – with contrast MRI Extremities - With contrast MRI Extremities - Without contrast MRI Temporomandibular - Single Joint - With contrast MRI Temporomandibular - Single Joint Without contrast MRI Temporomandibular Double Joint - With contrast MRI Temporomandibular Double Joint Without contrast MRI Abdomen – Without Contrast MRI Abdomen – With Contrast MRI Breast - With Contrast MRI Breast - Without Contrast MRI Spine Screening - Without Contrast MRI Chest – Without Contrast MRI Chest – With Contrast MRI Cervical Spine – Without Contrast MRI Cervical Spine – With Contrast MRI Dorsal Spine - Without Contrast MRI Dorsal Spine – With Contrast MRI Lumbar Spine – Without Contrast MRI Lumbar Spine – With Contrast

5,000 2,400 5,000 5,000 2,500 2,500 5,000 2,500 5,000 2,500 5,000 2,500 5,000 2,500 5,000 2,500 5,000 5,000 2,500 5,000 2,500 2,500 5,000 5,000 2,500 5,000

4,250 2,040 4,250 4,250 2,125 2,125 4,250 2,125 4,250 2,125 4,250 2,125 4,250 2,125 4,250 2,125 4,250 4,250 2,125 4,250 2,125 2,125 4,250 4,250 2,125 4,250

2,500

2,125

5,000

4,250

2,500

2,125

2,500 5,000 5,000 2,500 1,000 2,500 5,000 1,000 5,000 2,500 5,000 2,500 5,000

2,125 4,250 4,250 2,125 850 2,125 4,250 850 4,250 2,125 4,250 2,125 4,250

395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410

S.No.

411 412 413 414 415 416 417 418 419

420 421 422 423 424 425

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

Whole body MRI (For oncological workup) MRI Angiography – Without Contrast MRI Angiography – With Contrast MR cholecysto-pancreatography. MR Enteroclysis Bone Densitometry Bone Densitometry - Single Site Bone Densitometry - Two sites Bone Densitometry - Three sites (Spine, Hip & extremity) Bone Densitometry Whole body NEUROLOGICAL INVESTIGATIONS AND PROCEDURES EEG/Video EEG EMG (Electro myography) Nerve condition velocity (at least 2 limbs) Decremental response (before and after neo stigmine) Incremental response SSEP (Somato sensory evoked potentials)

426 Poly somnography 427 Brachial plexus study 428 Muscle biopsy 429 ACHR anti body titre 430 Anti MUSK body titre 431 Serum COPPER 432 Serum ceruloplasmin 433 Urinary copper 434 Serum homocystine 435 Serum valproate level 436 Serum phenol barbitone level 437 Coagulation profile 438 Protein C, S anti thrombine – III 439 Serum lactate level CSF 440 a. Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFP 441 b. Special studies 442 PCR for tuberculosis/ Herpes simplex 443 Bacterial culture and sensitivity 444 Mycobacterial culture and sensitivity 445 Fungal culture 446 Malignant cells 447 Anti measles antibody titre (with serum antibody titre) 448 Viral culture 449 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella virus)

For NABLAccredited Labs /Imaging Centres

Non NABL

6,000 1,200 5,000 2,500 2,500 450 540 900

5,100 1,020 4,250 2,125 2,125 383 459 765

1,500 -

1,275 -

350 750 750 700

298 638 638 595

700 750

595 638

750 750 450 8,500 9,500 150 200 150 200 350 350 230 800 150 150 200

638 638 383 7,225 8,075 128 170 128 170 298 298 196 680 128 128 170

1,200 800 150 200 120 75 350

1,020 680 128 170 102 64 298

350

298

S.No.

450 451 452 453 454 455 456 457 458 459

460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490

RATES FOR DIAGNOSTIC LABS & IMAGING CENTRES CGHS LUCKNOW NAME OF INVESTIGATION

Oligoclonal band Myelin Basic protein Lactate Crypto coccal antigen TESTS IN GASTRO-ENTEROLOGY a. D-xylase test b. Fecal fat test/ fecal chymotrypsin/ fecal elastase c. Breath tests d. H pylori serology for ciliac disease e. HBV genotyping f. HCV genotyping Tests in Endocrinology ( in addition to those included under Harmones) Urinary VMA Urinary metanephrine/Normetanephrine Urinary free catecholamine Serum catecholamine Serum aldosterone 24 Hr urinary aldosterone Plasma renin activity Serum aldosterone/renin ratio Osmolality urine Osmolality serum Urinary sodium Urinary Chloride Urinary potassium Urinary calcium Anti TPO ante body Thyroid binding globulin Serum cotisole 24 hr urinary free cotisole Islet cell antebody GAD antibody Insulin associated antibody IGF-1 IGF-BP3 Sex hormone binding globulin USG guided FNAC thyroid gland FT3 FT4 FT4/TSH FT3/FT4/TSH E2 Thyro globulin antibody

For NABLAccredited Labs /Imaging Centres

Non NABL

800 150 400 800 800

680 128 340 680 680

1,500 550 2,730 3,500 -

1,275 468 2,321 2,975 -

400 400 1,690 3,500 1,200 920 800 1,050 150 150 30 30 80 80 300 350 250 300 500 800 449 1,000 1,788 400 455 120 120 100 120 200 250

340 340 1,437 2,975 1,020 782 680 893 128 128 26 26 68 68 255 298 213 255 425 680 381 850 1,519 340 387 102 102 85 102 170 213