Medical Lab Test Costs in Shalby Page 2
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C22S209 | HEAVY METALS URINE (LEAD,ARSENIC,MERCURY) | $ 217 | $ 238 | $ 260 | $ 282 | $ 325 | $ 282 |
| C22S249 | HEAVY METALS URINE COMPREHENSIVE PANEL | $ 300 | $ 331 | $ 361 | $ 391 | $ 451 | $ 391 |
| C23S172 | HEINZ BODY TEST | $ 9 | $ 10 | $ 11 | $ 11 | $ 13 | $ 11 |
| C26S392 | Helicobacter Pylori (H Pylori) IgA Antibodies | $ 66 | $ 66 | $ 66 | $ 68 | $ 71 | $ 68 |
| C24S70 | Helicobacter Pylori (H Pylori) IgG Antibodies | $ 66 | $ 66 | $ 66 | $ 68 | $ 71 | $ 68 |
| C26S54 | Hepatitis A Virus (Anti HAv) IgM | $ 31 | $ 35 | $ 38 | $ 41 | $ 47 | $ 41 |
| C26S453 | HEPATITIS A VIRUS (HAV) IgG ANTIBODY | $ 24 | $ 24 | $ 24 | $ 38 | $ 39 | $ 38 |
| C24S71 | HEPATITIS C VIRAL RNA GENOTYPING | $ 433 | $ 477 | $ 520 | $ 563 | $ 650 | $ 563 |
| C24S72 | HEPATITIS C VIRUS ANTIBODIES | $ 25 | $ 28 | $ 31 | $ 33 | $ 38 | $ 33 |
| C24S73 | HEPATITIS C VIRUS RNA QUALITATIVE | $ 102 | $ 112 | $ 122 | $ 132 | $ 153 | $ 132 |
| C24S74 | HEPATITIS D VIRUS | $ 47 | $ 51 | $ 56 | $ 61 | $ 70 | $ 61 |
| C24S75 | Hepatitis E IgG | $ 33 | $ 36 | $ 40 | $ 43 | $ 50 | $ 43 |
| C26S454 | HEPATITIS E VIRUS (HEV) IgG ANTIBODY | $ 30 | $ 30 | $ 30 | $ 39 | $ 42 | $ 39 |
| C24S36 | HEPATITS C VIRUS RNA QUANTITATIVE | $ 261 | $ 287 | $ 313 | $ 339 | $ 392 | $ 339 |
| C23S63 | Heptoglobins | $ 18 | $ 20 | $ 21 | $ 23 | $ 27 | $ 23 |
| C28S208 | Her-2 / New | $ 35 | $ 35 | $ 35 | $ 36 | $ 38 | $ 36 |
| C28S13 | Her-2 /New | $ 18 | $ 20 | $ 21 | $ 22 | $ 24 | $ 22 |
| C28S649 | Her-2 Neu Gene Amplification FISH | $ 226 | $ 226 | $ 226 | $ 248 | $ 260 | $ 248 |
| C26S304 | HER-2-NEU BY FISH | $ 586 | $ 645 | $ 704 | $ 762 | $ 880 | $ 762 |
| C28S341 | Herni/Total Colectomy-(LS) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C26S55 | HEV IgM | $ 35 | $ 35 | $ 35 | $ 36 | $ 38 | $ 36 |
| C26S802 | HFE Genotyping | $ 173 | $ 191 | $ 208 | $ 225 | $ 260 | $ 225 |
| C22S333 | High Dilution CRP | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C28S70 | Histopathology of Amputation (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S103 | Histopathology of Appendix | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S81 | Histopathology of Bone Biopsy | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C28S71 | Histopathology of Bowel Resection (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S72 | Histopathology of Breast (Mastectomy) (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S336 | Histopathology of Breast MRM (Modified Radical Mastectomy) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S353 | Histopathology of Commando Operation (LCS) | $ 60 | $ 66 | $ 69 | $ 72 | $ 78 | $ 72 |
| C28S105 | Histopathology of Endometrium (D & C) (SS) | $ 18 | $ 20 | $ 20 | $ 21 | $ 23 | $ 21 |
| C28S73 | Histopathology of Foetus | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S83 | Histopathology of Gall Bladder | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S74 | Histopathology of Head and Neck Malignancy (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S107 | Histopathology of Heart Valve (SS) | $ 20 | $ 22 | $ 23 | $ 24 | $ 26 | $ 24 |
| C28S352 | Histopathology of Hemimendibulectomy With RND-(LCS) | $ 60 | $ 66 | $ 69 | $ 72 | $ 78 | $ 72 |
| C28S311 | Histopathology of Hemithyoidectomy | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C28S75 | Histopathology of Hysterectomy (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S76 | Histopathology of Modified Radical Neck Dissection (MND) (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S108 | Histopathology of Mucosal Biopsy (SS) | $ 20 | $ 22 | $ 23 | $ 24 | $ 26 | $ 24 |
| C28S109 | Histopathology of Nasal Biopsy (SS) | $ 20 | $ 22 | $ 23 | $ 24 | $ 26 | $ 24 |
| C28S361 | Histopathology of Nasal Polyp | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S77 | Histopathology of Nephrectomy (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S326 | Histopathology of Nephrectomy Non Tumorous | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C28S85 | Histopathology of Neurosurgical Tissue (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C28S78 | Histopathology of Other Large Biopsy (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S87 | Histopathology of Other Medium Biopsy (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| C28S110 | Histopathology of Other Small Biopsy (SS) | $ 20 | $ 22 | $ 23 | $ 24 | $ 26 | $ 24 |
| C28S88 | Histopathology of Ovaries (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| C28S89 | Histopathology of Parathyroid (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| C28S80 | Histopathology of Pneumonectomy (LS) | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S91 | Histopathology of Prostate TURP (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| C28S339 | Histopathology of Radical Cystectomy | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S343 | Histopathology of Radical Nephrectomy | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S338 | Histopathology of Radical Prostectomy | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S304 | Histopathology of Testicular Biopsy | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S90 | Histopathology of Thyroid (MS) | $ 26 | $ 28 | $ 30 | $ 31 | $ 34 | $ 31 |
| C28S104 | Histopathology of Tonsillectomy (SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S112 | Histopathology of Vasectomy | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C23S245 | HIT Antibody(Heparin- Induced Thrombocytopenia) | $ 91 | $ 100 | $ 109 | $ 118 | $ 137 | $ 118 |
| C26S132 | HIV -1 -RNA (quantitative) | $ 69 | $ 76 | $ 83 | $ 90 | $ 104 | $ 90 |
| C24S24 | HIV 1&2 Antibody Rapid Spot Test Serum | $ 12 | $ 18 | $ 18 | $ 22 | $ 22 | $ 22 |
| C26S150 | HIV Antibody (ELISA) | $ 15 | $ 15 | $ 15 | $ 15 | $ 16 | $ 15 |
| C26S52 | HIV Antibody Rapid Spot Test | $ 7 | $ 7 | $ 8 | $ 9 | $ 10 | $ 9 |
| C24S77 | HIV DNA QUALITATIVE | $ 78 | $ 86 | $ 94 | $ 102 | $ 117 | $ 102 |
| C24S78 | HIV GEROTYPING AND DRUG RESISTANCE TEST | $ 589 | $ 648 | $ 707 | $ 766 | $ 884 | $ 766 |
| C26S131 | HIV P24 Antigen Screening | $ 192 | $ 192 | $ 192 | $ 212 | $ 222 | $ 212 |
| C29S246 | HIV RNA QUANTITATIVE | $ 143 | $ 157 | $ 172 | $ 186 | $ 215 | $ 186 |
| C26S390 | HIV Viral Load | $ 182 | $ 182 | $ 182 | $ 188 | $ 195 | $ 188 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C26S56 | HIV Western Blot | $ 74 | $ 74 | $ 74 | $ 76 | $ 79 | $ 76 |
| C26S413 | HIV-1 Drug Resistance By PCR Sequencing | $ 405 | $ 446 | $ 486 | $ 527 | $ 608 | $ 527 |
| C26S183 | HIV-1 RNA Detection, Plasma (Qualitative) | $ 69 | $ 76 | $ 83 | $ 90 | $ 104 | $ 90 |
| C26S197 | HIV-RNA PCR | $ 115 | $ 126 | $ 138 | $ 149 | $ 172 | $ 149 |
| C26S305 | HLA – A, B, DR (DNA – PCR) | $ 436 | $ 480 | $ 524 | $ 567 | $ 654 | $ 567 |
| C26S188 | HLA – A,B,DRB & DQB Loues | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C26S337 | HLA – ABDR by DNA – Extra Donor (SGRH) | $ 246 | $ 271 | $ 295 | $ 320 | $ 369 | $ 320 |
| C26S334 | HLA – ABDR by DNA (SGRH) | $ 349 | $ 384 | $ 419 | $ 454 | $ 524 | $ 454 |
| C26S335 | HLA – ABDR Package (SGRH) | $ 632 | $ 696 | $ 759 | $ 822 | $ 948 | $ 822 |
| C23S118 | HLA – B 27 Whole Blood | $ 58 | $ 58 | $ 58 | $ 66 | $ 68 | $ 66 |
| C26S189 | HLA – B27/B7, Blood | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C23S219 | HLA – B5 | $ 200 | $ 220 | $ 240 | $ 260 | $ 300 | $ 260 |
| C26S190 | HLA – C Loues | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C26S191 | HLA – DQB Loues | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C26S192 | HLA – DRB Loues | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C23S227 | HLA – LCM | $ 756 | $ 756 | $ 756 | $ 784 | $ 814 | $ 784 |
| C26S133 | HLA B 27 | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C26S187 | HLA B 7 | $ 17 | $ 19 | $ 20 | $ 22 | $ 25 | $ 22 |
| C23S221 | HLA B27 (PCR) | $ 79 | $ 79 | $ 79 | $ 83 | $ 86 | $ 83 |
| C26S429 | HLA B5701A Serum | $ 195 | $ 215 | $ 234 | $ 254 | $ 293 | $ 254 |
| C26S306 | HLA -CLASS I (A,B,C) TISSUE TYPING | $ 157 | $ 173 | $ 189 | $ 205 | $ 236 | $ 205 |
| C26S307 | HLA- CLASS II(DR,DQ) TISSUE TYPING | $ 202 | $ 222 | $ 242 | $ 262 | $ 303 | $ 262 |
| C26S336 | HLA -Do by DNA (SGRH) | $ 175 | $ 192 | $ 210 | $ 227 | $ 262 | $ 227 |
| C26S164 | HLA-ABC tissue type | $ 17 | $ 19 | $ 21 | $ 22 | $ 26 | $ 22 |
| C22S56 | HLA-B27 | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C22S228 | Homocysteine | $ 29 | $ 32 | $ 35 | $ 38 | $ 44 | $ 38 |
| C22S196 | Homocysteine – Urine – Qualitative | $ 55 | $ 60 | $ 66 | $ 71 | $ 82 | $ 71 |
| C26S92 | Homocysteine Serum[c] | $ 36 | $ 36 | $ 39 | $ 42 | $ 43 | $ 42 |
| C26S403 | HPV DNA PCR Quantitative | $ 100 | $ 100 | $ 100 | $ 104 | $ 108 | $ 104 |
| C22S389 | HSCRP | $ 14 | $ 16 | $ 17 | $ 19 | $ 21 | $ 19 |
| C29S247 | HSV – I & II PCR Quantitative | $ 118 | $ 118 | $ 120 | $ 124 | $ 130 | $ 124 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C29S248 | HSV 1 (Herpes Simplex Virus 1) DNA Detection by Real Time PCR | $ 74 | $ 81 | $ 89 | $ 96 | $ 111 | $ 96 |
| C26S254 | HSV 1 (Herpes Simplex Virus 1) IgG & IgM Antibodies | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C26S251 | HSV 1 (Herpes Simplex Virus 1) IgG & IgM Antibodies CSF | $ 22 | $ 22 | $ 22 | $ 23 | $ 23 | $ 23 |
| C26S256 | HSV 1 (Herpes Simplex Virus 1) IgG Antibody | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S250 | HSV 1 (Herpes Simplex Virus 1) IgG Antibody CSF | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S255 | HSV 1 (Herpes Simplex Virus 1) IgM Antibody | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S252 | HSV 1 (Herpes Simplex Virus 1) IgM Antibody CSF | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S196 | HSV 1&2 (Herpes Simplex Virus 1&2) DNA Detection by Real Time PCR CSF | $ 75 | $ 75 | $ 75 | $ 78 | $ 82 | $ 78 |
| C26S79 | HSV 1&2 IgM&IgG | $ 27 | $ 29 | $ 32 | $ 35 | $ 40 | $ 35 |
| C29S249 | HSV 2 (Herpes Simplex Virus 2) DNA Detection by Real Time PCR | $ 74 | $ 81 | $ 89 | $ 96 | $ 111 | $ 96 |
| C26S253 | HSV 2 (Herpes Simplex Virus 2) IgG & IgM Antibodies | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C26S257 | HSV 2 (Herpes Simplex Virus 2) IgG & IgM Antibodies CSF | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C26S48 | HSV 2 (Herpes Simplex Virus 2) IgG Antibody | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C26S77 | HSV 2 (Herpes Simplex Virus 2) IgG Antibody CSF | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C26S47 | HSV 2 (Herpes Simplex Virus 2) IgM Antibody | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C26S78 | HSV 2 (Herpes Simplex Virus 2) IgM Antibody CSF | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C23S173 | HSV ANTIBODY [IGM] | $ 9 | $ 10 | $ 10 | $ 11 | $ 13 | $ 11 |
| C26S146 | HSV IgG (1+2) | $ 40 | $ 45 | $ 49 | $ 53 | $ 61 | $ 53 |
| C26S145 | HSV IgM (1+2) | $ 40 | $ 45 | $ 49 | $ 53 | $ 61 | $ 53 |
| C29S150 | Ident/diff. MTB/MOTT by Bactak | $ 23 | $ 25 | $ 28 | $ 30 | $ 35 | $ 30 |
| C22S139 | IgA CSF | $ 11 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C22S63 | IgA Serum | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C26S800 | IGA TTG | $ 32 | $ 32 | $ 32 | $ 35 | $ 36 | $ 35 |
| C26S308 | IGE [TOTAL] | $ 12 | $ 13 | $ 14 | $ 16 | $ 18 | $ 16 |
| C26S444 | IgE Phadiatop Level | $ 35 | $ 35 | $ 35 | $ 36 | $ 38 | $ 36 |
| C22S67 | IgE Serum | $ 20 | $ 20 | $ 20 | $ 23 | $ 24 | $ 23 |
| C23S54 | IgE Total Antibody Serum | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S229 | IGF – BINDING PROTIEN 3 | $ 98 | $ 107 | $ 117 | $ 127 | $ 146 | $ 127 |
| C22S230 | IGF -1(INSULIN GROWTH FACTOR -1) | $ 98 | $ 107 | $ 117 | $ 127 | $ 146 | $ 127 |
| C26S168 | IGF BP-3, serum | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S169 | IGF-1 (Somatomedin C), serum | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S385 | IgG Index (Paired) CSF & Serum | $ 51 | $ 51 | $ 51 | $ 52 | $ 55 | $ 52 |
| C22S61 | IgG Serum | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C22S137 | IgG Total Antibody CSF | $ 16 | $ 16 | $ 16 | $ 18 | $ 19 | $ 18 |
| C24S6 | IgG Total Antibody Serum | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C26S309 | IgG1 | $ 239 | $ 263 | $ 287 | $ 311 | $ 358 | $ 311 |
| C26S310 | IgG2 | $ 239 | $ 263 | $ 287 | $ 311 | $ 358 | $ 311 |
| C26S311 | IgG3 | $ 239 | $ 263 | $ 287 | $ 311 | $ 358 | $ 311 |
| C26S312 | IgG4 | $ 199 | $ 199 | $ 199 | $ 207 | $ 215 | $ 207 |
| C26S144 | IgM CSF | $ 16 | $ 16 | $ 16 | $ 18 | $ 19 | $ 18 |
| C22S62 | IgM Serum | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C28S20 | IH Profile(upto 4 antibodies) | $ 76 | $ 84 | $ 87 | $ 91 | $ 99 | $ 91 |
| C28S61 | IHC (Immuno Histochemistry) (4 Marker) | $ 145 | $ 159 | $ 166 | $ 174 | $ 188 | $ 174 |
| C23S843 | Immature Platelet Fraction | $ 7 | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 |
| C28S21 | Immuno Flourescence Of Kidney Biopsy | $ 65 | $ 72 | $ 75 | $ 78 | $ 85 | $ 78 |
| C28S17 | Immuno Histo Chemistry Profile(single antibody) | $ 18 | $ 20 | $ 21 | $ 22 | $ 24 | $ 22 |
| C26S209 | Immuno Pheno Typing | $ 200 | $ 221 | $ 241 | $ 261 | $ 301 | $ 261 |
| C26S105 | Immunofixation Electrophoresis | $ 166 | $ 166 | $ 166 | $ 172 | $ 179 | $ 172 |
| C22S284 | IMMUNOFIXATION ELECTROPHORESIS – URINE | $ 170 | $ 170 | $ 170 | $ 194 | $ 202 | $ 194 |
| C22S231 | IMMUNOFIXATION ELECTROPHORESIS(IFE)SERUM | $ 145 | $ 160 | $ 174 | $ 189 | $ 218 | $ 189 |
| C26S195 | Immunofixation Quantitative | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C26S313 | IMMUNOFLUORESCENCE ON BIOPSIES-RENAL | $ 47 | $ 51 | $ 56 | $ 61 | $ 70 | $ 61 |
| C28S50 | IMMUNOFLURORENCENCE ON SKIN BIOPSIES | $ 42 | $ 47 | $ 49 | $ 51 | $ 55 | $ 51 |
| C28S51 | IMMUNOFLURORESCENCE (SINGLE ANTIBODY) | $ 18 | $ 20 | $ 20 | $ 21 | $ 23 | $ 21 |
| C26S226 | Immunoglobulin Profile Serum (IgG,IgA,IgM) | $ 31 | $ 31 | $ 31 | $ 32 | $ 34 | $ 32 |
| C28S16 | Immunohisto Chemistry Profile (upto 4 Ab) | $ 91 | $ 100 | $ 105 | $ 109 | $ 118 | $ 109 |
| C28S55 | IMMUNOHISTOCHEMISTRY – HER 2 NEU | $ 46 | $ 50 | $ 52 | $ 55 | $ 59 | $ 55 |
| C28S52 | IMMUNOHISTOCHEMISTRY (8 MARKER) | $ 211 | $ 232 | $ 243 | $ 254 | $ 275 | $ 254 |
| C28S53 | IMMUNOHISTOCHEMISTRY (ANTIGEN) | $ 33 | $ 37 | $ 38 | $ 40 | $ 43 | $ 40 |
| C28S54 | IMMUNOHISTOCHEMISTRY (LYMPHOMA) | $ 169 | $ 186 | $ 195 | $ 203 | $ 220 | $ 203 |
| C28S56 | IMMUNOHISTOCHEMISTRY ER/PR | $ 79 | $ 87 | $ 91 | $ 95 | $ 103 | $ 95 |
| C28S57 | IMMUNOHISTOCHEMISTRY- ER/PR/Her 2 neu | $ 105 | $ 116 | $ 121 | $ 127 | $ 137 | $ 127 |
| C28S207 | Immunohistochemistry Profile | $ 170 | $ 170 | $ 170 | $ 176 | $ 183 | $ 176 |
| C28S58 | IMMUNOHISTOCHEMISTY (1 MARKER) | $ 37 | $ 41 | $ 43 | $ 45 | $ 48 | $ 45 |
| C28S59 | IMMUNOHISTOCHEMISTY (2 MARKER) | $ 72 | $ 80 | $ 83 | $ 87 | $ 94 | $ 87 |
| C28S60 | IMMUNOHISTOCHEMISTY (3 MARKER) | $ 109 | $ 120 | $ 125 | $ 131 | $ 141 | $ 131 |
| C28S62 | IMMUNOHISTOCHEMISTY (5 MARKER) | $ 182 | $ 200 | $ 209 | $ 219 | $ 237 | $ 219 |
| C23S174 | IMMUNOPHENOTYPING BY FLOW CYTOMETRY [SANKET] | $ 260 | $ 286 | $ 312 | $ 338 | $ 390 | $ 338 |
| C23S175 | IMMUNOPHENOTYPING BY FLOW CYTOMETRY [SUPRATECH] | $ 260 | $ 286 | $ 312 | $ 338 | $ 390 | $ 338 |
| C23S176 | IMMUNOPHENOTYPING BY FLOWCYTOMETRY | $ 276 | $ 304 | $ 332 | $ 359 | $ 415 | $ 359 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S177 | IMMUNOPHENOTYPING BY FLOWCYTOMETRY-CD34 | $ 100 | $ 110 | $ 120 | $ 130 | $ 150 | $ 130 |
| C23S178 | IMMUNOPHENOTYPING FOR PNH WORKUP | $ 228 | $ 250 | $ 273 | $ 296 | $ 341 | $ 296 |
| C29S72 | India Ink Preparation (CSF) | $ 6 | $ 6 | $ 6 | $ 6 | $ 7 | $ 6 |
| C26S182 | Indirect Haemaggulation for Amebiasis (lgG) | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C24S17 | Infectious Mononucleosis Serum | $ 13 | $ 15 | $ 16 | $ 17 | $ 20 | $ 17 |
| C26S277 | Influenza A + B Screening Test | $ 40 | $ 44 | $ 48 | $ 52 | $ 60 | $ 52 |
| C22S111 5 | Inhibin – B | $ 42 | $ 46 | $ 51 | $ 55 | $ 63 | $ 55 |
| C22S232 | Inhibin-A | $ 39 | $ 39 | $ 39 | $ 39 | $ 44 | $ 39 |
| C23S24 | Inhibitor Screen | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C26S66 | Insulin | $ 23 | $ 24 | $ 27 | $ 28 | $ 30 | $ 28 |
| C26S67 | Insulin Antibody | $ 58 | $ 63 | $ 68 | $ 71 | $ 74 | $ 71 |
| C26S261 | Insulin Glucose Ratio Fasting | $ 15 | $ 15 | $ 15 | $ 15 | $ 16 | $ 15 |
| C26S262 | Insulin Glucose Ratio Post Prondial | $ 13 | $ 15 | $ 16 | $ 17 | $ 20 | $ 17 |
| C26S278 | Insuline Like Growth Factor – 1 | $ 116 | $ 116 | $ 116 | $ 120 | $ 124 | $ 120 |
| C26S813 | Interleukin 6 (IL 6) | $ 58 | $ 58 | $ 58 | $ 63 | $ 66 | $ 63 |
| C26S221 | Intrinsic Factor Antibody, Serum | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| C26S314 | INTRINSIC FACTOR BLOCKING ANTIBODY | $ 189 | $ 208 | $ 227 | $ 246 | $ 283 | $ 246 |
| C22S99 | Ionized Calcium | $ 15 | $ 16 | $ 18 | $ 18 | $ 19 | $ 18 |
| C22S285 | Iron & Iron Binding Capacity Serum | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C22S160 | Iron Binding Capacity Unsaturated (UIBC) | $ 15 | $ 15 | $ 15 | $ 16 | $ 18 | $ 16 |
| C28S366 | Iron Laden microphages in sputum | $ 17 | $ 19 | $ 20 | $ 21 | $ 23 | $ 21 |
| C22S124 | Iron Profile | $ 14 | $ 43 | $ 43 | $ 50 | $ 50 | $ 50 |
| C23S41 | Iron Serum | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| C23S25 | Iron Stain | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S161 | Iron Studies | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S286 | Iron Urine 24Hrs | $ 72 | $ 79 | $ 86 | $ 93 | $ 107 | $ 93 |
| C26S227 | Islet Cell Antibody (Sr) | $ 46 | $ 50 | $ 55 | $ 59 | $ 68 | $ 59 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S179 | ISO PROPANOL PRECIPITATION TEST | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| C23S180 | ISSUE OF BLOOD/BONE MARROW SLIDES | $ 5 | $ 5 | $ 6 | $ 6 | $ 7 | $ 6 |
| C28S69 | ISSUE OF SLIDES – 1ST SLIDE(DR. PARTHIV SHAH) | $ 4 | $ 4 | $ 5 | $ 5 | $ 5 | $ 5 |
| C28S63 | ISSUE OF SLIDES (1ST SLIDE) | $ 8 | $ 9 | $ 10 | $ 10 | $ 11 | $ 10 |
| C28S64 | ISSUE OF SLIDES (SUB 1 SLIDE) | $ 3 | $ 3 | $ 3 | $ 3 | $ 4 | $ 3 |
| C28S65 | ISSUE OF SLIDES (SUB 2 SLIDES) | $ 5 | $ 5 | $ 6 | $ 6 | $ 6 | $ 6 |
| C28S66 | ISSUE OF SLIDES (SUB 3 SLIDES) | $ 8 | $ 8 | $ 9 | $ 9 | $ 10 | $ 9 |
| C28S67 | ISSUE OF SLIDES (SUB 4 SLIDES) | $ 10 | $ 11 | $ 11 | $ 12 | $ 13 | $ 12 |
| C28S68 | ISSUE OF SLIDES (SUB 5 SLIDES) | $ 12 | $ 13 | $ 14 | $ 14 | $ 16 | $ 14 |
| C29S277 | JAE PCR | $ 57 | $ 63 | $ 69 | $ 75 | $ 86 | $ 75 |
| C26S315 | JAK 2 Mutation | $ 188 | $ 188 | $ 188 | $ 195 | $ 203 | $ 195 |
| C24S79 | JAPANESE ENCEPHALITIS VIRUS RNA PCR | $ 68 | $ 75 | $ 82 | $ 89 | $ 102 | $ 89 |
| C26S357 | KAPPA – LIGHT CHAINS – FREE – SERUM | $ 156 | $ 172 | $ 187 | $ 203 | $ 234 | $ 203 |
| C26S363 | Kappa / Lambda – Light Chains – Free-Serum | $ 146 | $ 161 | $ 175 | $ 190 | $ 219 | $ 190 |
| C26S316 | KAPPA LIGHT CHAIN | $ 33 | $ 36 | $ 40 | $ 43 | $ 50 | $ 43 |
| C22S162 | Kappa Light Chain Serum | $ 163 | $ 163 | $ 163 | $ 170 | $ 176 | $ 170 |
| C26S174 | Karyotyping (G banding) (Ch. Ab) Amniotic Fluid | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S171 | Karyotyping (G banding) (Ch. Ab) Blood | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S173 | Karyotyping (G banding) (Ch. Ab) Bone Marrow | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S176 | Karyotyping (G banding) (Ch. Ab) Chorionic Villi | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S172 | Karyotyping (G banding) (Ch. Ab) Cord Blood | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S177 | Karyotyping (G banding) (Ch. Ab) Placental Biopsy | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C26S178 | Karyotyping (G banding) (Ch. Ab) Soft tissue | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C26S175 | Karyotyping (G banding) Products of conception | $ 130 | $ 143 | $ 156 | $ 169 | $ 195 | $ 169 |
| C26S215 | Karyotyping- high resolution- Bone Marrow | $ 76 | $ 84 | $ 92 | $ 99 | $ 115 | $ 99 |
| C26S179 | Karyotyping-High resolution banding Blood | $ 119 | $ 131 | $ 143 | $ 155 | $ 179 | $ 155 |
| C23S211 | KCT | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C26S825 | KOH Calcofluor White Stain | $ 8 | $ 8 | $ 9 | $ 10 | $ 11 | $ 10 |
| C29S73 | Koh Preparation | $ 5 | $ 5 | $ 6 | $ 6 | $ 7 | $ 6 |
| C29S89 | KOH Smear For Fungs | $ 6 | $ 6 | $ 6 | $ 6 | $ 7 | $ 6 |
| C29S264 | KOH Smear for Fungus | $ 4 | $ 5 | $ 5 | $ 6 | $ 7 | $ 6 |
| C23S829 | KRAS – BRAF, PIK 3 CA NGS | $ 459 | $ 459 | $ 459 | $ 504 | $ 528 | $ 504 |
| C23S831 | KRAS- NRAS | $ 312 | $ 312 | $ 312 | $ 344 | $ 3,602 | $ 344 |
| C23S840 | KRAS,NRAS,BRAF V,MSI BY NGs/PCR | $ 312 | $ 312 | $ 312 | $ 344 | $ 360 | $ 344 |
| C22S126 | Lactate (CSF) | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C23S59 | Lactate Plasma | $ 17 | $ 19 | $ 21 | $ 23 | $ 26 | $ 23 |
| C26S358 | Lambda – Light Chain – Free – Serum | $ 156 | $ 172 | $ 187 | $ 203 | $ 234 | $ 203 |
| C26S317 | LAMBDA LIGHT CHAIN | $ 40 | $ 45 | $ 49 | $ 53 | $ 61 | $ 53 |
| C22S163 | Lambda Light Chain Serum | $ 54 | $ 60 | $ 65 | $ 71 | $ 81 | $ 71 |
| C23S181 | Lap Score | $ 39 | $ 43 | $ 47 | $ 48 | $ 51 | $ 48 |
| C28S213 | Large & Complex Specimens | $ 98 | $ 107 | $ 112 | $ 117 | $ 127 | $ 117 |
| C28S5 | Large Biopsy | $ 39 | $ 43 | $ 45 | $ 47 | $ 51 | $ 47 |
| C28S212 | Large Specimens | $ 75 | $ 75 | $ 75 | $ 78 | $ 82 | $ 78 |
| C28S306 | Laryngeal Nodules-(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C22S342 | Lavage for Toxicology | $ 75 | $ 75 | $ 75 | $ 78 | $ 82 | $ 78 |
| C23S836 | LBC | $ 18 | $ 19 | $ 21 | $ 23 | $ 26 | $ 23 |
| C29S667 | LBC PAP Test | $ 33 | $ 36 | $ 39 | $ 42 | $ 49 | $ 42 |
| C22S29 | LDH | $ 12 | $ 15 | $ 15 | $ 18 | $ 18 | $ 18 |
| C23S60 | LDH Electrophoresis | $ 17 | $ 19 | $ 21 | $ 23 | $ 26 | $ 23 |
| C26S109 | LDH Electrophoressis | $ 23 | $ 25 | $ 27 | $ 30 | $ 34 | $ 30 |
| C22S164 | LDH Fluid | $ 16 | $ 18 | $ 19 | $ 21 | $ 24 | $ 21 |
| C22S233 | LDH ISOENZYMES | $ 39 | $ 43 | $ 47 | $ 51 | $ 59 | $ 51 |
| C25S31 | LDH Peritoneal Fluid | $ 6 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C23S75 | LDL Cholestrol (Direct Estimat | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S97 | LDL Cholestrol (Direct Estimation) Serum | $ 14 | $ 15 | $ 15 | $ 16 | $ 16 | $ 16 |
| C22S111 1 | LDL Subfractions (SDLDL) | $ 100 | $ 110 | $ 120 | $ 130 | $ 150 | $ 130 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C22S288 | LDL/HDL RATIO | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| C22S110 | LDS Cholestrol (Direct Estimat | $ 4 | $ 5 | $ 5 | $ 6 | $ 7 | $ 6 |
| C23S182 | LE CELL TEST | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C22S58 | LE Cells | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| C22S133 | Lead Serum | $ 48 | $ 48 | $ 48 | $ 55 | $ 58 | $ 55 |
| C22S197 | Lead Urine Spot | $ 46 | $ 50 | $ 55 | $ 59 | $ 68 | $ 59 |
| C29S194 | Legionella Antigen Urine | $ 75 | $ 75 | $ 75 | $ 78 | $ 82 | $ 78 |
| C29S250 | LEGIONELLA SPP. CULTURE | $ 18 | $ 20 | $ 22 | $ 23 | $ 27 | $ 23 |
| C26S198 | Leishmania Antibody 1gG (for Kala Azar) | $ 115 | $ 126 | $ 138 | $ 149 | $ 172 | $ 149 |
| C24S80 | LEISHMANIA ANTIBODY IgG | $ 42 | $ 47 | $ 51 | $ 55 | $ 64 | $ 55 |
| C23S119 | Leishmans Stain And Perls Stain | $ 5 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C23S120 | Leishmans Stain Sudan, PAS | $ 5 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C24S111 | Lengionella Pneumophilia IgG Antibody | $ 58 | $ 58 | $ 58 | $ 59 | $ 62 | $ 59 |
| C24S112 | Lengionella Pneumophilia IgM Antibody | $ 58 | $ 58 | $ 58 | $ 59 | $ 62 | $ 59 |
| C26S491 | Leptin-Level | $ 131 | $ 144 | $ 156 | $ 163 | $ 170 | $ 163 |
| C29S196 | Leptosipira (IgG) | $ 43 | $ 48 | $ 52 | $ 56 | $ 65 | $ 56 |
| C29S197 | Leptospira (IgM) | $ 46 | $ 51 | $ 55 | $ 58 | $ 59 | $ 58 |
| C29S195 | Leptospira Culture | $ 19 | $ 21 | $ 23 | $ 24 | $ 28 | $ 24 |
| C26S87 | Leptospira Rapid IgG Antibody | $ 46 | $ 51 | $ 55 | $ 58 | $ 59 | $ 58 |
| C26S88 | Leptospira Rapid Test (IgM & IgG) | $ 19 | $ 21 | $ 23 | $ 24 | $ 28 | $ 24 |
| C26S219 | Leptospira RT PCR | $ 18 | $ 20 | $ 22 | $ 24 | $ 27 | $ 24 |
| C24S81 | Leptospira Serology | $ 37 | $ 40 | $ 44 | $ 48 | $ 55 | $ 48 |
| C26S202 | Leptospira-Urine | $ 12 | $ 13 | $ 15 | $ 16 | $ 18 | $ 16 |
| C23S121 | Leucocyte Alkaline Phosphatase Score | $ 13 | $ 14 | $ 16 | $ 17 | $ 20 | $ 17 |
| C26S820 | Levetiracetam | $ 104 | $ 104 | $ 104 | $ 104 | $ 104 | $ 104 |
| C26S258 | lGG CSF | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| C26S259 | lgG Index CSF | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| C26S20 | LH | $ 14 | $ 15 | $ 16 | $ 18 | $ 18 | $ 18 |
| C29S282 | Line Probe Assay(1st Line) | $ 100 | $ 100 | $ 100 | $ 104 | $ 108 | $ 104 |
| C29S653 | Line Probeassay(2nd line) | $ 132 | $ 132 | $ 132 | $ 136 | $ 142 | $ 136 |
| C22S256 | Lipase Fluid | $ 13 | $ 15 | $ 16 | $ 17 | $ 20 | $ 17 |
| C22S44 | Lipase Serum | $ 18 | $ 19 | $ 20 | $ 22 | $ 23 | $ 22 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C22S165 | Lipid Index (Profile)[c] | $ 55 | $ 60 | $ 66 | $ 71 | $ 82 | $ 71 |
| C22S30 | Lipid Profile Serum | $ 16 | $ 18 | $ 19 | $ 20 | $ 20 | $ 20 |
| C22S188 | Lipid Screening | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S98 | Lipids Total | $ 5 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C22S57 | Lipoprotein (a) LP(a) | $ 33 | $ 36 | $ 39 | $ 42 | $ 49 | $ 42 |
| C26S134 | Lipoprotein Electrophoresis | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C26S108 | Lipoprotein Electrophoresis Serum | $ 23 | $ 25 | $ 27 | $ 30 | $ 34 | $ 30 |
| C23S838 | LIQUID BIOPSY BY NGs | $ 624 | $ 624 | $ 624 | $ 687 | $ 719 | $ 687 |
| C23S78 | Lithium Serum | $ 18 | $ 20 | $ 22 | $ 24 | $ 28 | $ 24 |
| C22S51 | Liver Function Test (LFT) | $ 28 | $ 31 | $ 34 | $ 37 | $ 43 | $ 37 |
| C26S170 | LKM1 (Ab to Liver Kidney Microsomes, serum) | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C28S344 | Lobectomy Lung/Pneumonectomy-(LS) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C23S77 | Lonized Calcium (Serum) | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C22S114 | LP(a) Serum | $ 31 | $ 31 | $ 31 | $ 35 | $ 36 | $ 35 |
| C30S50 | LUNG CANCER PROFILE | $ 1,318 | $ 1,450 | $ 1,582 | $ 1,648 | $ 1,714 | $ 1,648 |
| C28S305 | Lung/Brochial Biopsy(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C23S52 | Lupus Anticoagulant | $ 51 | $ 51 | $ 51 | $ 52 | $ 55 | $ 52 |
| C23S183 | LUPUS ANTICOAGULANT LA STUDY | $ 30 | $ 30 | $ 30 | $ 31 | $ 32 | $ 31 |
| C28S84 | LYMPHNODE(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C26S402 | Lymphocyte cross match(LCM) | $ 199 | $ 219 | $ 238 | $ 248 | $ 258 | $ 248 |
| C26S318 | LYMPHOCYTE CULTURE FOR KARYOTYPING (COUPLE) | $ 129 | $ 142 | $ 155 | $ 168 | $ 193 | $ 168 |
| C22S45 | Magnesium Serum | $ 10 | $ 15 | $ 15 | $ 16 | $ 18 | $ 16 |
| C22S166 | Magnesium Urine | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C23S130 | Malaria Rapid Antigen Test | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| C24S18 | Malaria Rapid P. Falciperum Antigen | $ 13 | $ 15 | $ 16 | $ 17 | $ 20 | $ 17 |
| C24S19 | Malaria Rapid Plasmodium Species Antigen | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C23S123 | Malarial Parasites | $ 4 | $ 4 | $ 4 | $ 6 | $ 6 | $ 6 |
| C23S122 | Malarian Antigen ( Viva + Falcip ) | $ 14 | $ 15 | $ 15 | $ 16 | $ 16 | $ 16 |
| C24S3 | Mantoux Test | $ 6 | $ 7 | $ 7 | $ 7 | $ 8 | $ 7 |
| C22S167 | Marijuana (THC)[c] | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C25S51 | MATERIAL OCCULT BLOOD[c] | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| C23S184 | MCH | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C23S185 | MCHC | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C23S186 | MCV | $ 4 | $ 4 | $ 6 | $ 6 | $ 6 | $ 6 |
| C26S442 | MDS Panel (myelodysplastic syndrome) | $ 238 | $ 262 | $ 286 | $ 310 | $ 358 | $ 310 |
| C26S135 | Measles IgG | $ 43 | $ 43 | $ 44 | $ 47 | $ 48 | $ 47 |
| C26S136 | Measles IgM | $ 46 | $ 51 | $ 55 | $ 58 | $ 59 | $ 58 |
| C26S263 | Measles lGG & lGM CSF | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C26S264 | Measles lgG CSF | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S265 | Measles lgG lgM CSF | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C26S266 | Measles lgM CSF | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S400 | MECP 2 NUTATION BY PCR | $ 536 | $ 590 | $ 644 | $ 697 | $ 805 | $ 697 |
| C28S322 | Mediastinal Mass-(MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C28S211 | Medium Biopsy (MS) | $ 50 | $ 55 | $ 57 | $ 60 | $ 65 | $ 60 |
| C28S29 | Medium Specimen | $ 52 | $ 52 | $ 52 | $ 60 | $ 63 | $ 60 |
| C22S134 | Mercury Serum | $ 95 | $ 105 | $ 114 | $ 124 | $ 143 | $ 124 |
| C23S827 | MET | $ 258 | $ 284 | $ 310 | $ 336 | $ 387 | $ 336 |
| C22S142 | Metabolic Screen Total [IEM] | $ 14 | $ 16 | $ 17 | $ 19 | $ 22 | $ 19 |
| C26S137 | Metanephrine (Urine) | $ 55 | $ 55 | $ 55 | $ 58 | $ 59 | $ 58 |
| C26S428 | Metanephrine Plasma | $ 55 | $ 55 | $ 55 | $ 58 | $ 59 | $ 58 |
| C26S389 | Methelen Tetrahydrofolate Reductase[c] | $ 131 | $ 144 | $ 158 | $ 171 | $ 197 | $ 171 |
| C23S26 | Meth-Haemoglobin | $ 31 | $ 35 | $ 38 | $ 39 | $ 40 | $ 39 |
| C26S509 | Methotrexate | $ 78 | $ 86 | $ 94 | $ 102 | $ 117 | $ 102 |
| C26S274 | Methotrexate Level | $ 29 | $ 32 | $ 35 | $ 37 | $ 43 | $ 37 |
| C22S289 | METHOTREXATE LEVEL – BLOOD | $ 43 | $ 48 | $ 52 | $ 56 | $ 65 | $ 56 |
| C22S290 | METHOTREXATE LEVEL GCRI | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C22S168 | Methotrexate Serum | $ 43 | $ 48 | $ 52 | $ 56 | $ 65 | $ 56 |
| C29S251 | MIC (Minimum inhibitory concentration) | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C23S66 | Microablumins Urine | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C22S291 | MICROALBUMIN- URINE[c] | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C22S292 | Microalbumin/Creatinine Ratio Urine | $ 17 | $ 18 | $ 20 | $ 22 | $ 25 | $ 22 |
| C22S89 | Microalbuminurea Urine | $ 12 | $ 12 | $ 14 | $ 14 | $ 15 | $ 14 |
| C24S94 | Microfilaria Antibody Detection | $ 23 | $ 26 | $ 28 | $ 30 | $ 35 | $ 30 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S247 | Microfilaria Antigen Detection | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C23S124 | Microfilaria By Smear Examination | $ 14 | $ 14 | $ 14 | $ 15 | $ 16 | $ 15 |
| C23S187 | MIXING STUDY I | $ 28 | $ 31 | $ 34 | $ 37 | $ 42 | $ 37 |
| C23S188 | MIXING STUDY II | $ 48 | $ 53 | $ 57 | $ 62 | $ 72 | $ 62 |
| C22S355 | MNTP – MT Level | $ 119 | $ 131 | $ 143 | $ 155 | $ 179 | $ 155 |
| C28S379 | Molecular genetic | $ 167 | $ 183 | $ 192 | $ 200 | $ 217 | $ 200 |
| C29S286 | Mott Culture | $ 28 | $ 28 | $ 28 | $ 34 | $ 35 | $ 34 |
| C29S287 | Mott Sensitivity | $ 91 | $ 91 | $ 91 | $ 104 | $ 108 | $ 104 |
| C23S189 | MPO(Myeloperoxidase) | $ 22 | $ 24 | $ 26 | $ 28 | $ 33 | $ 28 |
| C23S833 | MSI by PCR | $ 147 | $ 147 | $ 147 | $ 162 | $ 170 | $ 162 |
| C29S149 | MTB DNA detection by Real Time PCR | $ 33 | $ 36 | $ 39 | $ 42 | $ 49 | $ 42 |
| C22S169 | Muco Poly Saccharides ( Urine ) Qualitative | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C24S29 | Muco Poly Saccharides(Urine) Qualitative | $ 11 | $ 12 | $ 13 | $ 14 | $ 16 | $ 14 |
| C26S445 | Multiple Myeloma FISH Panel | $ 407 | $ 407 | $ 407 | $ 422 | $ 438 | $ 422 |
| C26S138 | Mumps IgG | $ 50 | $ 50 | $ 50 | $ 51 | $ 54 | $ 51 |
| C26S139 | Mumps IgM | $ 50 | $ 50 | $ 50 | $ 51 | $ 54 | $ 51 |
| C26S267 | Mumps lgG lgM Serum | $ 22 | $ 24 | $ 26 | $ 28 | $ 32 | $ 28 |
| C24S49 | Mumps Virus IgG Antibody | $ 21 | $ 24 | $ 26 | $ 28 | $ 32 | $ 28 |
| C24S50 | Mumps Virus IgM Antibody | $ 24 | $ 27 | $ 29 | $ 32 | $ 36 | $ 32 |
| C28S362 | Muscle Biopsy-(MS) | $ 31 | $ 31 | $ 31 | $ 32 | $ 34 | $ 32 |
| C26S418 | Myco Plasma-IgM | $ 58 | $ 58 | $ 58 | $ 60 | $ 63 | $ 60 |
| C29S252 | MYCOBACTERIA SPECIATION RANBANY | $ 81 | $ 89 | $ 97 | $ 105 | $ 121 | $ 105 |
| C26S424 | Mycoplasma Pneumonia IgG | $ 60 | $ 66 | $ 72 | $ 78 | $ 90 | $ 78 |
| C26S425 | Mycoplasma Pneumonia IgM | $ 60 | $ 66 | $ 72 | $ 78 | $ 90 | $ 78 |
| C26S419 | Mycoplasma Pneumoniae IgG-IgM Antibodies | $ 108 | $ 119 | $ 130 | $ 141 | $ 163 | $ 141 |
| C22S135 | Myoglobin-Serum | $ 23 | $ 24 | $ 27 | $ 28 | $ 30 | $ 28 |
| C22S136 | Myoglobin-Spot Urine | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C29S254 | NAP TEST | $ 24 | $ 26 | $ 28 | $ 31 | $ 35 | $ 31 |
| C28S93 | NEEDLE BIOPSY BONE MARROW | $ 23 | $ 26 | $ 27 | $ 28 | $ 30 | $ 28 |
| C28S360 | NEEDLE BIOPSY Breast-(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S94 | NEEDLE BIOPSY KIDNEY | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C28S95 | NEEDLE BIOPSY KIDNEY WITH I/F | $ 96 | $ 105 | $ 110 | $ 115 | $ 125 | $ 115 |
| C28S96 | Needle biopsy Liver (SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S97 | NEEDLE BIOPSY OTHER | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S98 | NEEDLE BIOPSY PROSTATE | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S99 | NEEDLE BIOPSY STEREOTACTIC BRAIN | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C28S100 | NEEDLE BIOPSY TESTES | $ 52 | $ 57 | $ 60 | $ 63 | $ 68 | $ 63 |
| C22S293 | NEONATAL BILIRUBIN | $ 9 | $ 10 | $ 11 | $ 11 | $ 13 | $ 11 |
| C26S417 | Neonatal Karyotyping | $ 91 | $ 91 | $ 91 | $ 95 | $ 98 | $ 95 |
| C28S119 | Nerve & Muscle Biopsy | $ 141 | $ 155 | $ 162 | $ 169 | $ 183 | $ 169 |
| C23S27 | Neutrophil Alkaline Phosphatase | $ 11 | $ 12 | $ 13 | $ 14 | $ 16 | $ 14 |
| C22S350 | Nicotine Urine | $ 41 | $ 45 | $ 50 | $ 54 | $ 62 | $ 54 |
| C29S255 | NON FERMENTER IDENTIFICATION | $ 13 | $ 14 | $ 16 | $ 17 | $ 20 | $ 17 |
| C23S226 | NPM1 Mutation AML Blood | $ 98 | $ 107 | $ 117 | $ 127 | $ 146 | $ 127 |
| C23S823 | NSE | $ 72 | $ 79 | $ 86 | $ 93 | $ 108 | $ 93 |
| C29S256 | OESOPHAGEAL SMEAR FOR CANDIDA | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C28S342 | Oesphago–Gastrectomy-(LS) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C23S190 | OFT – OSMOTIC FRAGILITY TEST | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C26S214 | Oligoclonal Band (Paired) CSF & Serum | $ 80 | $ 80 | $ 80 | $ 92 | $ 95 | $ 92 |
| C29S257 | OPERATION THEATRE CHECKING (PER SWAB) | $ 11 | $ 12 | $ 13 | $ 14 | $ 16 | $ 14 |
| C22S170 | Opiates Morphine Urine | $ 9 | $ 10 | $ 11 | $ 12 | $ 14 | $ 12 |
| C22S246 | OPIATES- QUALITATIVE URINE-SCREENING | $ 16 | $ 17 | $ 19 | $ 21 | $ 24 | $ 21 |
| C30S59 | ORAL CANCER Profile | $ 104 | $ 115 | $ 120 | $ 125 | $ 136 | $ 125 |
| C28S301 | Oral-Buccal Mucosal biopsy(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C28S86 | ORCHIDECTOMY(MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C22S172 | Osmolality Urine Calculated | $ 16 | $ 16 | $ 16 | $ 18 | $ 19 | $ 18 |
| C22S173 | Osmolality Urine Measured | $ 16 | $ 16 | $ 16 | $ 18 | $ 19 | $ 18 |
| C22S294 | Osmolarity Urine / Fluid | $ 14 | $ 16 | $ 17 | $ 19 | $ 21 | $ 19 |
| C22S171 | Osmolatity Serum Calculated | $ 16 | $ 16 | $ 16 | $ 18 | $ 19 | $ 18 |
| C23S28 | Osmotic Fragility | $ 15 | $ 16 | $ 18 | $ 18 | $ 19 | $ 18 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C22S174 | Osmotic Gap Serum (Anionic Gap) | $ 15 | $ 16 | $ 18 | $ 19 | $ 22 | $ 19 |
| C22S234 | OSTEOCALCEIN-SERUM | $ 65 | $ 72 | $ 78 | $ 85 | $ 98 | $ 85 |
| C26S399 | Osteocalcin | $ 39 | $ 43 | $ 47 | $ 51 | $ 59 | $ 51 |
| C30S607 | OSTEOPOROTIC PROF/FRACTURE RISK SCRNING/BONE QUALI | $ 106 | $ 106 | $ 106 | $ 110 | $ 114 | $ 110 |
| C30S58 | Ovarian Cancer Profile | $ 495 | $ 545 | $ 569 | $ 594 | $ 644 | $ 594 |
| C28S335 | Ovarian Tumor–(LS) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C22S198 | d | $ 54 | $ 60 | $ 65 | $ 71 | $ 81 | $ 71 |
| C22S84 | Oxalate Serum | $ 72 | $ 79 | $ 86 | $ 93 | $ 108 | $ 93 |
| C22S83 | Oxalate Urine | $ 43 | $ 48 | $ 52 | $ 56 | $ 65 | $ 56 |
| C26S328 | P ANCA (By ELISA Method) Serum | $ 20 | $ 20 | $ 20 | $ 22 | $ 22 | $ 22 |
| C26S319 | P ANCA by IF | $ 24 | $ 27 | $ 29 | $ 32 | $ 36 | $ 32 |
| C26S348 | P1NP Serum | $ 38 | $ 42 | $ 46 | $ 50 | $ 57 | $ 50 |
| C24S95 | P24 ANTIGEN | $ 37 | $ 41 | $ 45 | $ 49 | $ 56 | $ 49 |
| C28S117 | PAP SMEAR /CERVICAL SMEAR | $ 9 | $ 10 | $ 11 | $ 11 | $ 12 | $ 11 |
| C28S126 | Pap Smear Liquid Based cytology(LBC) | $ 43 | $ 48 | $ 50 | $ 52 | $ 56 | $ 52 |
| C28S205 | PaP Smear[c] | $ 11 | $ 11 | $ 11 | $ 11 | $ 12 | $ 11 |
| C22S295 | PAPER CHROMATOGRAPHY I.E.METABOLISM QUALITATIVE | $ 98 | $ 107 | $ 117 | $ 127 | $ 146 | $ 127 |
| C26S320 | PAPPA-PREGNANCY ASSOCIATED PLASMA PROTEIN A | $ 50 | $ 55 | $ 60 | $ 65 | $ 75 | $ 65 |
| C28S10 | Papsmear | $ 11 | $ 11 | $ 11 | $ 12 | $ 12 | $ 12 |
| C26S271 | Paraneoplastic Panel | $ 163 | $ 163 | $ 163 | $ 170 | $ 176 | $ 170 |
| C23S191 | PARASITIC – INDEX | $ 6 | $ 7 | $ 7 | $ 8 | $ 9 | $ 8 |
| C26S21 | Parathyroid Hormone Intact | $ 31 | $ 31 | $ 31 | $ 35 | $ 35 | $ 35 |
| C23S248 | Parvo Virus By PCR | $ 72 | $ 79 | $ 86 | $ 93 | $ 107 | $ 93 |
| C24S96 | PARVOVIRUS B – 19 IgM ANTIBODY | $ 102 | $ 111 | $ 122 | $ 127 | $ 132 | $ 127 |
| C24S89 | PARVOVIRUS B 19 DNA PCR | $ 102 | $ 111 | $ 122 | $ 127 | $ 132 | $ 127 |
| C23S192 | PAS [PERIODIC ACID SCHIFF] | $ 22 | $ 24 | $ 26 | $ 28 | $ 33 | $ 28 |
| C26S321 | PATERNITY TESTING BY DNA | $ 153 | $ 169 | $ 184 | $ 199 | $ 230 | $ 199 |
| C24S4 | Paul Bunnel Test | $ 3 | $ 3 | $ 4 | $ 4 | $ 5 | $ 4 |
| C23S193 | PCR [POLYMERASE CHAIN REACTION] FOR INV – 16 | $ 113 | $ 124 | $ 135 | $ 147 | $ 169 | $ 147
|
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S194 | PCR [POLYMERASE CHAIN REACTION] FOR t(8,21) | $ 113 | $ 124 | $ 135 | $ 147 | $ 169 | $ 147 |
| C23S195 | PCR For BCR – ABL Gene | $ 206 | $ 227 | $ 247 | $ 268 | $ 309 | $ 268 |
| C23S206 | PCR FOR CHRONIC MYELOID LEUKEMIA – QUALITATIVE | $ 87 | $ 95 | $ 104 | $ 113 | $ 130 | $ 113 |
| C23S207 | PCR FOR CHRONIC MYELOID LEUKEMIA – QUANTITATIVE | $ 130 | $ 143 | $ 156 | $ 169 | $ 195 | $ 169 |
| C29S258 | PCR for M.Leprae | $ 73 | $ 80 | $ 88 | $ 95 | $ 110 | $ 95 |
| C26S810 | PCR MTHFR MUTATION | $ 110 | $ 110 | $ 110 | $ 114 | $ 118 | $ 114 |
| C28S317 | Penile Amputation-(MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C23S113 | Pericardial Fluid Routine | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C23S31 | Periodic Acid Schiff (PAS Stain) | $ 7 | $ 7 | $ 8 | $ 9 | $ 10 | $ 9 |
| C23S125 | Peripheral Smear For Malaria | $ 4 | $ 4 | $ 5 | $ 5 | $ 6 | $ 5 |
| C23S95 | Peripheral Smear for Microfilaria | $ 8 | $ 8 | $ 8 | $ 8 | $ 10 | $ 8 |
| C23S196 | Peripheral Smear for Opinion (PBF) | $ 10 | $ 10 | $ 10 | $ 11 | $ 11 | $ 11 |
| C23S126 | Peripheral Smear for RBC Morphology | $ 4 | $ 4 | $ 5 | $ 5 | $ 6 | $ 5 |
| C23S127 | Peripheral Smear for WBC Morphology | $ 5 | $ 5 | $ 6 | $ 6 | $ 7 | $ 6 |
| C23S128 | Peripheral Smear Study | $ 8 | $ 9 | $ 10 | $ 11 | $ 13 | $ 11 |
| C25S15 | Peritoneal Fluid Routine | $ 6 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C23S32 | Peroxidase | $ 5 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C25S44 | PH Urine | $ 3 | $ 3 | $ 3 | $ 3 | $ 4 | $ 3 |
| C23S197 | PHASE CONTRAST MICROSCOPY FOR URINE EXAMINATION | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C26S40 | Phenobarbitone | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C22S301 | Phenylketones Qualitative Screening Urine Random | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C26S39 | Phenytoin (Dilantin) | $ 23 | $ 24 | $ 27 | $ 28 | $ 30 | $ 28 |
| C22S302 | Phosphorous – (Random Urine) | $ 11 | $ 12 | $ 14 | $ 14 | $ 15 | $ 14 |
| C22S32 | Phosphorus Serum | $ 11 | $ 14 | $ 14 | $ 16 | $ 16 | $ 16 |
| C22S74 | Phosphorus Urine 24 hrs | $ 13 | $ 14 | $ 16 | $ 17 | $ 20 | $ 17 |
| C23S841 | PIK 3 CA BY NGs | $ 147 | $ 147 | $ 147 | $ 162 | $ 170 | $ 162 |
| C28S79 | PLACENTA(MS) | $ 43 | $ 47 | $ 50 | $ 52 | $ 56 | $ 52 |
| C23S99 | Platelet Aggregation test | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S34 | Platelet Count | $ 7 | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 |
| C23S35 | Platelet on Peripheral Smear | $ 4 | $ 5 | $ 5 | $ 5 | $ 6 | $ 5 |
| C22S305 | Pleural Fluid for LDH | $ 18 | $ 18 | $ 18 | $ 20 | $ 22 | $ 20 |
| C22S306 | Pleural Fluid for Sugar | $ 4 | $ 4 | $ 4 | $ 4 | $ 4 | $ 4 |
| C25S16 | Pleural Fluid Routine | $ 13 | $ 14 | $ 15 | $ 16 | $ 19 | $ 16 |
| C26S325 | PML/RARA [AML-M3 (APML)] FISH | $ 129 | $ 142 | $ 155 | $ 168 | $ 193 | $ 168 |
| C26S323 | PML/RARA Qualitative [BCR 1 & 3] RT PCR | $ 129 | $ 142 | $ 155 | $ 168 | $ 193 | $ 168 |
| C26S324 | PML/RARA Quantitative [Single Form] RT PCR | $ 239 | $ 263 | $ 287 | $ 311 | $ 358 | $ 311 |
| C26S272 | Pneumo Panel | $ 110 | $ 110 | $ 110 | $ 114 | $ 118 | $ 114 |
| C29S198 | PNEUMO SLIDE TEST | $ 63 | $ 69 | $ 75 | $ 81 | $ 94 | $ 81 |
| C29S77 | Pneumocystis Carini | $ 10 | $ 10 | $ 10 | $ 10 | $ 11 | $ 10 |
| C24S82 | PNEUMOCYSTIS CARINI ANTIGEN – IIF | $ 37 | $ 40 | $ 44 | $ 48 | $ 55 | $ 48 |
| C26S811 | Pneumonia Panel Plus Biofire FilmArray | $ 339 | $ 339 | $ 339 | $ 352 | $ 364 | $ 352 |
| C26S430 | PNH by Flow Cytometry | $ 159 | $ 159 | $ 159 | $ 164 | $ 171 | $ 164 |
| C25S47 | Porphobilinogen Urine | $ 8 | $ 8 | $ 8 | $ 8 | $ 10 | $ 8 |
| C25S46 | Post Coital Test | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 | $ 4 |
| C22S33 | Post Glucose Blood Sugar Plasma | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| C22S34 | Post Prondial Blood Sugar Plasma | $ 2 | $ 4 | $ 4 | $ 4 | $ 4 | $ 4 |
| C30S47 | Post-Op Bariatric (Domestic) | $ 175 | $ 193 | $ 210 | $ 219 | $ 228 | $ 219 |
| C22S308 | Potassium – (Random Urine) | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 |
| C22S46 | Potassium Serum | $ 6 | $ 8 | $ 8 | $ 11 | $ 11 | $ 11 |
| C22S71 | Potassium Urine 24 hrs | $ 6 | $ 7 | $ 7 | $ 8 | $ 9 | $ 8 |
| C28S12 | PR Progesteron Receptor | $ 26 | $ 29 | $ 30 | $ 31 | $ 34 | $ 31 |
| C26S232 | PR3 by EIA c-ANCA | $ 42 | $ 47 | $ 51 | $ 55 | $ 64 | $ 55 |
| C22S761 | Pre Albumin | $ 72 | $ 79 | $ 86 | $ 93 | $ 107 | $ 93 |
| C30S2 | Pre Cardiac Proc Test | $ 42 | $ 42 | $ 42 | $ 44 | $ 44 | $ 44 |
| C30S1 | Pre OP Major Profile | $ 68 | $ 68 | $ 68 | $ 78 | $ 82 | $ 78 |
| C30S6 | Pre OP Minor Profile | $ 28 | $ 28 | $ 28 | $ 30 | $ 31 | $ 30 |
| C30S4 | Pre OP Profile | $ 43 | $ 43 | $ 43 | $ 47 | $ 49 | $ 47 |
| C24S22 | Pregnancy Test Urine | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C30S45 | Pre-Op Bariatric (Domestic) | $ 350 | $ 385 | $ 420 | $ 438 | $ 455 | $ 438 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C30S46 | Pre-Op Major- GI -Bariatric (Domestic) | $ 150 | $ 165 | $ 180 | $ 188 | $ 195 | $ 188 |
| C23S242 | PRF Procedure | $ 46 | $ 46 | $ 46 | $ 48 | $ 50 | $ 48 |
| C22S119 | Pro BNP NT | $ 46 | $ 58 | $ 58 | $ 66 | $ 68 | $ 66 |
| C23S129 | PRO C GLOB | $ 76 | $ 84 | $ 91 | $ 99 | $ 114 | $ 99 |
| C26S217 | Procalcitonin | $ 54 | $ 63 | $ 64 | $ 71 | $ 71 | $ 71 |
| C26S326 | PRODUCTS OF CONCEPTION – CYTOGENETIC ANALYSIS | $ 120 | $ 133 | $ 145 | $ 157 | $ 181 | $ 157 |
| C30S44 | Profile-1 Post-Op Bariatric (Domestic) | $ 117 | $ 117 | $ 117 | $ 125 | $ 133 | $ 125 |
| C30S42 | Profile-1 Pre-Op Bariatric (Domestic) | $ 167 | $ 167 | $ 167 | $ 175 | $ 200 | $ 175 |
| C30S43 | Profile-1 Pre-Op Major- GI Bariatric (Domestic) | $ 100 | $ 100 | $ 100 | $ 117 | $ 125 | $ 117 |
| C26S32 | Progestrone | $ 30 | $ 31 | $ 34 | $ 35 | $ 36 | $ 35 |
| C26S22 | Prolactine | $ 14 | $ 14 | $ 14 | $ 16 | $ 16 | $ 16 |
| C26S365 | Protein – C | $ 78 | $ 78 | $ 78 | $ 90 | $ 92 | $ 90 |
| C26S366 | Protein – S | $ 78 | $ 78 | $ 78 | $ 90 | $ 92 | $ 90 |
| C23S90 | Protein C Activity | $ 76 | $ 84 | $ 91 | $ 99 | $ 114 | $ 99 |
| C23S89 | Protein C Antigen | $ 14 | $ 16 | $ 17 | $ 19 | $ 21 | $ 19 |
| C23S198 | PROTEIN C FUNCTIONAL [DR. LAL LAB] | $ 93 | $ 103 | $ 112 | $ 121 | $ 140 | $ 121 |
| C23S199 | PROTEIN C, PROTEIN S & ANTITHROMBIN III [SUPRATECH | $ 128 | $ 140 | $ 153 | $ 166 | $ 191 | $ 166 |
| C22S91 | Protein Electrophoresis – Urine | $ 23 | $ 23 | $ 23 | $ 27 | $ 28 | $ 27 |
| C22S92 | Protein Electrophoresis CSF | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C22S48 | Protein Electrophoresis Serum | $ 23 | $ 25 | $ 27 | $ 30 | $ 34 | $ 30 |
| C22S235 | Protein Electrophoresis Urine | $ 22 | $ 24 | $ 26 | $ 28 | $ 33 | $ 28 |
| C26S111 | Protein Electrophoressis CSF | $ 23 | $ 25 | $ 27 | $ 29 | $ 34 | $ 29 |
| C22S175 | Protein Fluid | $ 7 | $ 7 | $ 7 | $ 8 | $ 8 | $ 8 |
| C22S303 | Protein Pleural Fluid | $ 8 | $ 8 | $ 8 | $ 10 | $ 10 | $ 10 |
| C23S92 | Protein S Activity | $ 72 | $ 79 | $ 86 | $ 93 | $ 107 | $ 93 |
| C23S91 | Protein S Antigen | $ 76 | $ 84 | $ 91 | $ 99 | $ 114 | $ 99 |
| C23S200 | PROTEIN S FUNCTIONAL [DR. LAL LAB] | $ 87 | $ 95 | $ 104 | $ 113 | $ 130 | $ 113 |
| C22S47 | Protein Serum | $ 11 | $ 12 | $ 14 | $ 14 | $ 15 | $ 14 |
| C25S32 | Protein Synovial Fluid | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C23S70 | Protein Total (With Albumin) | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C25S56 | Protein Urine | $ 7 | $ 8 | $ 8 | $ 9 | $ 10 | $ 9 |
| C22S309 | Protein Urine Random | $ 7 | $ 8 | $ 8 | $ 9 | $ 10 | $ 9 |
| C22S328 | Protein/Creatinine Ratio Urine | $ 20 | $ 22 | $ 24 | $ 24 | $ 26 | $ 24 |
| C26S388 | Prothombin Time Mutation[c] | $ 131 | $ 144 | $ 158 | $ 171 | $ 197 | $ 171 |
| C23S36 | Prothrombin Time (PT) | $ 8 | $ 11 | $ 11 | $ 12 | $ 12 | $ 12 |
| C23S241 | PRP Procedure | $ 58 | $ 58 | $ 58 | $ 59 | $ 62 | $ 59 |
| C26S23 | PSA | $ 23 | $ 23 | $ 23 | $ 26 | $ 27 | $ 26 |
| C22S313 | PSA Total (Prostate Specific Antigen) | $ 14 | $ 15 | $ 17 | $ 18 | $ 21 | $ 18 |
| C29S18 | Pus Culture | $ 33 | $ 36 | $ 39 | $ 42 | $ 49 | $ 42 |
| C22S85 | pyruvate (Plasma / CSF) | $ 43 | $ 48 | $ 52 | $ 56 | $ 65 | $ 56 |
| C23S62 | Pyruvate (serum & CSF) | $ 17 | $ 19 | $ 21 | $ 23 | $ 26 | $ 23 |
| C22S236 | PYRUVATE (VENOUS/ARTERIAL) | $ 24 | $ 26 | $ 29 | $ 31 | $ 36 | $ 31 |
| C22S237 | PYRUVATE(CSF) | $ 16 | $ 18 | $ 20 | $ 21 | $ 25 | $ 21 |
| C23S131 | QBC For Malaria | $ 8 | $ 12 | $ 12 | $ 14 | $ 15 | $ 14 |
| C26S426 | Quadraple Markle | $ 71 | $ 78 | $ 85 | $ 92 | $ 106 | $ 92 |
| C24S27 | RA Test (Qualitative) | $ 7 | $ 7 | $ 8 | $ 9 | $ 10 | $ 9 |
| C24S13 | RA Test (Quantitative) | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 |
| C22S131 | RA Test (Quantitative) Serum | $ 15 | $ 15 | $ 15 | $ 16 | $ 18 | $ 16 |
| C22S339 | RA Test-Fluid | $ 13 | $ 14 | $ 16 | $ 17 | $ 20 | $ 17 |
| C24S37 | RABIES ANTIBODIES | $ 68 | $ 75 | $ 82 | $ 89 | $ 103 | $ 89 |
| C28S325 | Radical Neck Dissection-L (MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C22S36 | Random Blood Sugar | $ 4 | $ 4 | $ 6 | $ 6 | $ 6 | $ 6 |
| C23S201 | RBC Count | $ 4 | $ 4 | $ 6 | $ 6 | $ 6 | $ 6 |
| C23S132 | RBC Indices (MCV, MCH, MCHC) | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| C23S39 | RBC Morphology (PS for Anamia) | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C23S38 | Red Cell Enzyme Spot Test | $ 2 | $ 3 | $ 3 | $ 3 | $ 3 | $ 3 |
| C22S37 | Renal Function Test (RFT) | $ 20 | $ 22 | $ 24 | $ 26 | $ 29 | $ 26 |
| C28S313 | Renel Biopsy-(MS) | $ 38 | $ 38 | $ 38 | $ 39 | $ 42 | $ 39 |
| C23S702 | Renin Activity | $ 90 | $ 99 | $ 108 | $ 117 | $ 135 | $ 117 |
| C22S334 | Renin Plasma Activity | $ 86 | $ 94 | $ 102 | $ 106 | $ 111 | $ 106 |
| C23S828 | RET gene | $ 200 | $ 220 | $ 240 | $ 260 | $ 300 | $ 260 |
| C23S40 | Reticulocyte Count | $ 8 | $ 8 | $ 10 | $ 10 | $ 10 | $ 10 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C28S101 | Review of Slide ( Second Opinion More Than 4 Slides) | $ 32 | $ 36 | $ 37 | $ 39 | $ 42 | $ 39 |
| C28S102 | REVIEW OF SLIDE (SECOND OPINION UP TO 4 SLIDES) | $ 24 | $ 26 | $ 28 | $ 29 | $ 31 | $ 29 |
| C22S347 | RFT (Renal Function Test) | $ 22 | $ 31 | $ 31 | $ 34 | $ 35 | $ 34 |
| SHLC23S7 01 | RICKETSSIA PCR | $ 80 | $ 88 | $ 96 | $ 104 | $ 120 | $ 104 |
| C23S826 | ROS 1 | $ 200 | $ 220 | $ 240 | $ 260 | $ 300 | $ 260 |
| C24S20 | Rose Waller Test | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C23S249 | Rotational Thrombo Elastometry | $ 33 | $ 37 | $ 40 | $ 43 | $ 50 | $ 43 |
| C29S260 | Rubella (German measles) Virus RNA Detection by PCR | $ 47 | $ 47 | $ 47 | $ 48 | $ 50 | $ 48 |
| C26S80 | Rubella IgG | $ 24 | $ 24 | $ 24 | $ 24 | $ 26 | $ 24 |
| C26S81 | Rubella IgM | $ 23 | $ 23 | $ 24 | $ 24 | $ 26 | $ 24 |
| C22S38 | S.G.O.T. Serum | $ 7 | $ 7 | $ 7 | $ 7 | $ 8 | $ 7 |
| C22S39 | S.G.P.T. Serum | $ 8 | $ 8 | $ 8 | $ 10 | $ 10 | $ 10 |
| C24S33 | S.typhi IgG,IgM | $ 18 | $ 20 | $ 22 | $ 23 | $ 23 | $ 23 |
| C22S177 | SAIDH Profile | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| C22S239 | SALICYLATE-SERUM | $ 32 | $ 35 | $ 38 | $ 41 | $ 47 | $ 41 |
| C22S176 | Screening For Toxic Usage Of Drug | $ 47 | $ 52 | $ 56 | $ 61 | $ 70 | $ 61 |
| C24S106 | SCRUB TYPHUS Igm | $ 32 | $ 32 | $ 32 | $ 34 | $ 35 | $ 34 |
| C29S288 | SCRUB TYPUS PROFILE | $ 18 | $ 18 | $ 18 | $ 27 | $ 28 | $ 27 |
| C30S108 | SDP Screening | $ 83 | $ 83 | $ 83 | $ 83 | $ 83 | $ 83 |
| C23S133 | Semen Analaysis & Morphology | $ 9 | $ 10 | $ 11 | $ 11 | $ 13 | $ 11 |
| C25S17 | Semen Analysis | $ 18 | $ 20 | $ 22 | $ 23 | $ 23 | $ 23 |
| C25S49 | Semen Analysis Morphology Study | $ 8 | $ 9 | $ 9 | $ 10 | $ 12 | $ 10 |
| C29S295 | Semen Culture And Sensitivity | $ 38 | $ 38 | $ 38 | $ 40 | $ 43 | $ 40 |
| C25S38 | Semen Fluid Routine | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C25S64 | Semen Wash | $ 30 | $ 30 | $ 30 | $ 35 | $ 36 | $ 35 |
| C29S39 | SENSITIVITY AFB (Individual Drug ) | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S58 | SENSITIVITY AFB All Drugs (Panel 13 Drugs) | $ 149 | $ 164 | $ 179 | $ 194 | $ 223 | $ 194 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C29S40 | SENSITIVITY AFB ONE DRUG Amikacin | $ 11 | $ 12 | $ 13 | $ 14 | $ 16 | $ 14 |
| C29S41 | SENSITIVITY AFB ONE DRUG Capreomycin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S52 | SENSITIVITY AFB ONE DRUG Ciprofloxacin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S42 | SENSITIVITY AFB ONE DRUG Cycloserine | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S43 | SENSITIVITY AFB ONE DRUG Ethambutol | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S44 | SENSITIVITY AFB ONE DRUG Ethionamide | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S45 | SENSITIVITY AFB ONE DRUG Isoniazide | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S46 | SENSITIVITY AFB ONE DRUG Kanamycin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S47 | SENSITIVITY AFB ONE DRUG Ofloxacin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S51 | SENSITIVITY AFB ONE DRUG PAS | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S48 | SENSITIVITY AFB ONE DRUG Pyrazinamide | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S49 | SENSITIVITY AFB ONE DRUG Rifampycin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S50 | SENSITIVITY AFB ONE DRUG Streptomycin | $ 12 | $ 13 | $ 14 | $ 15 | $ 17 | $ 15 |
| C29S147 | Sensitivity FUNGAL | $ 34 | $ 37 | $ 40 | $ 44 | $ 50 | $ 44 |
| C29S61 | SENSITIVITY Fungal Mic Panel (Mini API) | $ 78 | $ 86 | $ 94 | $ 102 | $ 117 | $ 102 |
| C24S97 | SEROLOGY FOR EBV VIRUS | $ 23 | $ 25 | $ 28 | $ 30 | $ 35 | $ 30 |
| C24S83 | SEROLOGY FOR RICKETTSIA | $ 27 | $ 30 | $ 33 | $ 36 | $ 41 | $ 36 |
| C24S31 | Serum Lead | $ 54 | $ 60 | $ 65 | $ 71 | $ 81 | $ 71 |
| C22S116 | Serum Osmalality | $ 15 | $ 15 | $ 15 | $ 16 | $ 18 | $ 16 |
| C26S107 | Serum Protein Electrophoresis | $ 24 | $ 24 | $ 24 | $ 28 | $ 28 | $ 28 |
| C22S240 | SEX HORMONE BINDING GLOBULIN | $ 59 | $ 65 | $ 70 | $ 76 | $ 88 | $ 76 |
| C26S223 | SHBG -Sex Hormone Binding Globulin | $ 24 | $ 26 | $ 29 | $ 31 | $ 36 | $ 31 |
| C23S42 | Sickle Cell Test | $ 20 | $ 20 | $ 20 | $ 20 | $ 22 | $ 20 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C30S107 | Single Donor Platlate | $ 183 | $ 183 | $ 183 | $ 183 | $ 183 | $ 183 |
| C29S261 | SINGLE DRUG SENSITIVITY | $ 31 | $ 34 | $ 37 | $ 40 | $ 46 | $ 40 |
| C22S310 | Sinovial Fluid for Biochemical Analysis | $ 13 | $ 14 | $ 16 | $ 17 | $ 20 | $ 17 |
| C28S6 | Skin Biopsy | $ 107 | $ 117 | $ 123 | $ 128 | $ 139 | $ 128 |
| C28S111 | SKIN BIOPSY(SS) | $ 19 | $ 21 | $ 22 | $ 23 | $ 25 | $ 23 |
| C29S262 | SKIN SCRAPING [FUNGUS] | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C29S263 | SKIN SLIT SMEAR | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C28S323 | Sleeve Gastrectomy-(MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C28S7 | Slide Review | $ 11 | $ 12 | $ 12 | $ 13 | $ 14 | $ 13 |
| C28S204 | Slide Review (Single) | $ 11 | $ 12 | $ 12 | $ 13 | $ 14 | $ 13 |
| C22S60 | SMA 12+2 | $ 15 | $ 17 | $ 18 | $ 20 | $ 23 | $ 20 |
| C28S8 | Small Biopsy | $ 20 | $ 23 | $ 24 | $ 25 | $ 27 | $ 25 |
| C28S210 | Small Specimens | $ 40 | $ 40 | $ 40 | $ 44 | $ 46 | $ 44 |
| C29S24 | Smear For Leprabacilli | $ 6 | $ 7 | $ 7 | $ 8 | $ 9 | $ 8 |
| C29S90 | Smear For-C Diphtheriae | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C22S311 | Sodium ( Random Urine) / 24 Hrs Urine | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 | $ 8 |
| C22S64 | Sodium Serum | $ 6 | $ 8 | $ 8 | $ 11 | $ 11 | $ 11 |
| C22S72 | Sodium, urine 24H | $ 8 | $ 8 | $ 10 | $ 10 | $ 11 | $ 10 |
| C26S330 | SOLID TUMOR CHROMOSOME ANALYSIS | $ 155 | $ 170 | $ 186 | $ 201 | $ 232 | $ 201 |
| C26S275 | Soluble Transferin Receptor Level (Serum) | $ 34 | $ 38 | $ 41 | $ 45 | $ 52 | $ 45 |
| C28S9 | Special Stains Histopathology | $ 7 | $ 7 | $ 8 | $ 8 | $ 9 | $ 8 |
| C26S213 | Special Viral Marker PCR Method (Chickengunya) | $ 40 | $ 44 | $ 48 | $ 52 | $ 60 | $ 52 |
| C25S1 | Specific Gravity Urine | $ 3 | $ 3 | $ 3 | $ 4 | $ 4 | $ 4 |
| C26S407 | Spinal Cerebral Ataxia Type – 1 | $ 43 | $ 47 | $ 52 | $ 56 | $ 65 | $ 56 |
| C26S408 | Spinal Cerebral Ataxia Type – 2 | $ 43 | $ 47 | $ 52 | $ 56 | $ 65 | $ 56 |
| C26S409 | Spinal Cerebral Ataxia Type – 3 | $ 46 | $ 46 | $ 46 | $ 47 | $ 50 | $ 47 |
| C26S443 | Spinal Cerebral Ataxia Typing | $ 260 | $ 286 | $ 312 | $ 338 | $ 390 | $ 338 |
| C26S416 | Spinal Cerebral Ataxiatype -6 By PCR – Test | $ 43 | $ 47 | $ 52 | $ 56 | $ 65 | $ 56 |
| C30S3 | Spine Profile | $ 43 | $ 43 | $ 43 | $ 44 | $ 46 | $ 44 |
| C23S845 | Spinocerebellar Aratia Type-3 gene Study | $ 70 | $ 79 | $ 79 | $ 87 | $ 104 | $ 87 |
| Service_ Code | Service Name | OP/ Daycare/ Economy | Twin Sharing | Single | Deluxe | Suite Room | ICU |
| C28S320 | Spleen-(MS) | $ 29 | $ 32 | $ 33 | $ 35 | $ 37 | $ 35 |
| C25S18 | Sputum AFB | $ 7 | $ 7 | $ 8 | $ 9 | $ 10 | $ 9 |
| C29S152 | Sputum Analysis 3 Sample | $ 11 | $ 12 | $ 13 | $ 14 | $ 16 | $ 14 |
| C25S40 | Sputum Analysis 3 Samples | $ 9 | $ 10 | $ 11 | $ 11 | $ 13 | $ 11 |
| C29S153 | Sputum Analysis Routine | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C29S265 | SPUTUM AND FLUIDS AFB SMEAR – FLOURESCENCE | $ 7 | $ 8 | $ 9 | $ 9 | $ 11 | $ 9 |
| C29S235 | Sputum Culture & Sensitivity | $ 20 | $ 40 | $ 40 | $ 42 | $ 44 | $ 42 |
| C29S289 | Sputum Examination | $ 11 | $ 11 | $ 11 | $ 12 | $ 14 | $ 12 |
| C25S19 | Sputum Routine | $ 10 | $ 11 | $ 12 | $ 13 | $ 15 | $ 13 |
| C26S151 | Sr. Acetyl Choline Recetor Antibody Test | $ 69 | $ 76 | $ 83 | $ 90 | $ 104 | $ 90 |
| C29S266 | STAINING FOR PNEUMOCYSTIS CARINII | $ 21 | $ 23 | $ 25 | $ 27 | $ 31 | $ 27 |
| C25S41 | Stone Analysis | $ 26 | $ 29 | $ 31 | $ 34 | $ 39 | $ 34 |
| C29S27 | Stool : Vibrio Cholera (Hanging drop) | $ 7 | $ 7 | $ 7 | $ 7 | $ 8 | $ 7 |
| C29S236 | Stool Culture & Sensitivity | $ 40 | $ 40 | $ 40 | $ 42 | $ 44 | $ 42 |
| C29S213 | Stool for C.Difficile GDH, Toxin A+B Combo | $ 48 | $ 48 | $ 48 | $ 50 | $ 52 | $ 50 |
| C25S75 | Stool for Calprotectin | $ 62 | $ 62 | $ 68 | $ 68 | $ 68 | $ 68 |
| C29S166 | Stool for Clostridium Difficile Toxin CLIA | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C29S301 | Stool for Clostridium DifficilePCR | $ 136 | $ 136 | $ 136 | $ 142 | $ 147 | $ 142 |
| C25S58 | Stool for Fat | $ 4 | $ 5 | $ 5 | $ 5 | $ 6 | $ 5 |
| C25S65 | Stool for H. Pylori Antigen | $ 39 | $ 43 | $ 47 | $ 51 | $ 59 | $ 51 |
| C25S52 | Stool for Reducing Substance | $ 3 | $ 4 | $ 4 | $ 4 | $ 5 | $ 4 |
| C25S34 | Stool Occult Blood | $ 4 | $ 4 | $ 4 | $ 4 | $ 4 | $ 4 |
| C25S21 | Stool Routine | $ 6 | $ 6 | $ 6 | $ 7 | $ 7 | $ 7 |
| C24S38 | STREPTOCOCCUS PNEUMONIAE ANTIBODY | $ 20 | $ 22 | $ 24 | $ 26 | $ 30 | $ 26 |
| C23S43 | Sucrose Lysis Test | $ 18 | $ 20 | $ 22 | $ 24 | $ 28 | $ 24 |
| C23S202 | SUDAN BLACK “B” | $ 22 | $ 25 | $ 27 | $ 29 | $ 33 | $ 29 |
| C23S44 | Sudan Black Stain | $ 5 | $ 6 | $ 7 | $ 7 | $ 8 | $ 7 |
| C29S292 | Surveillance Autoclave indicator culture | $ 1 | $ 1 | $ 1 | $ 1 | $ 1 | $ 1 |
| C29S291 | Surveillance for culture (Swab) | $ 1 | $ 1 | $ 1 | $ 1 | $ 1 | $ 1 |
