Service Code
Test Name
Price
1256
T TUBE CHOLINGIOGRAM
2500/-
1254
X RAY BOTH FEET (AP)
300/-
1221
X RAY BOTH FEET AP/LAT
900/-
147
X RAY BOTH FOOT (AP+LAT)
900/-
1255
X RAY BOTH HAND (AP)
300/-
1205
X RAY LUMBER SPINE AP
300/-
144
X-RAY ABDOMEN (AP/LAT)
600/-
145
X-RAY ABDOMEN ERECT VIEW
300/-
146
X-RAY ABDOMEN SUPINE VIEW
300/-
148
X-RAY BARIUM ENEMA
3000/-
149
X-RAY BARIUM ENEMA (DOUBLE CONTRAST)
4500/-
150
X-RAY BARIUM SWALLOW
4000/-
152
X-RAY BILATERAL ANKLE (AP + LAT)
900/-
153
X-RAY BILATERAL ELBOW AP AND LATERAL
1200/-
151
X-RAY BILATERAL FOREARM AP AND LATERAL
1200/-
154
X-RAY BILATERAL HAND (AP)
300/-
155
X-RAY BILATERAL SHOULDER- (AP+AXIAL)
1200/-
158
X-RAY BMFT
4000/-
159
X-RAY BONE AGE
300/-
161
X-RAY BOTH HAND (AP + LAT)
900/-
163
X-RAY BOTH KNEE AP AND LATERAL
900/-
164
X-RAY BOTH KNEE AP VIEW
300/-
165
X-RAY BOTH KNEE LAT VIEW
600/-
166
X-RAY BOTH KNEE SKYLINE
300/-
1315
X-RAY BOTH LEG (AP+LAT)
900/-
168
X-RAY BOTH NASAL BONE (LAT)
300/-
1201
X-RAY BOTH SHOULDER AP/LAT
1200/-
169
X-RAY BOTH SI JOINT OBLIQUE
600/-
171
X-RAY C V JUNCTION (LAT- EXTENTION)
300/-
172
X-RAY C V JUNCTION (LATERAL)
300/-
173
X-RAY CERVICAL NEUTRAL
300/-
174
X-RAY CERVICAL SPINE (AP+LATERAL)
600/-
175
X-RAY CERVICAL SPINE AP
300/-
176
X-RAY CERVICAL SPINE LATERAL
300/-
13
X-RAY CHEST (AP)
300/-
12
X-RAY CHEST (PA)
300/-
177
X-RAY CHEST-LAT
300/-
178
X-RAY COCCYX (LAT)
300/-
179
X-RAY D-L SPINE (AP)
300/-
180
X-RAY D-L SPINE (AP+LATERAL)
600/-
181
X-RAY D-L SPINE (LATERAL)
300/-
182
X-RAY DORSAL SPINE (AP)
300/-
183
X-RAY DORSAL SPINE (AP+LATERAL)
600/-
184
X-RAY DORSAL SPINE (LATERAL)
300/-
185
X-RAY GASTROGRAPHIN
3500/-
186
X-RAY HSG
3800/-
187
X-RAY IVP
3000/-
188
X-RAY KUB
300/-
191
X-RAY L S SPINE LATERAL EXTENSION
300/-
192
X-RAY L S SPINE LATERAL FLEXION
300/-
193
X-RAY L S SPINE LATERAL NEUTRAL
300/-
194
X-RAY LEFT FOOT (AP)
300/-
195
X-RAY LEFT FOOT OBLIQUE
300/-
196
X-RAY LEFT ANKLE (AP)
300/-
197
X-RAY LEFT ANKLE (AP+LAT)
600/-
198
X-RAY LEFT ANKLE (LAT)
300/-
199
X-RAY LEFT ELBOW (AP+LAT)
600/-
200
X-RAY LEFT ELBOW(AP VIEW)
300/-
201
X-RAY LEFT FEET (AP+LAT)
600/-
202
X-RAY LEFT FOOT (AP+LAT
600/-
203
X-RAY LEFT FOOT (LAT)
300/-
204
X-RAY LEFT FOREARM (AP
300/-
205
X-RAY LEFT FOREARM (AP+LAT)
600/-
206
X-RAY LEFT FOREARM (LAT)
300/-
207
X-RAY LEFT FOREARM OBLIQUE (LEFT)
300/-
208
X-RAY LEFT HAND (AP)
300/-
209
X-RAY LEFT HAND (AP+LAT)
600/-
210
X-RAY LEFT HAND (LAT)
300/-
211
X-RAY LEFT HAND OBLIQUE
300/-
212
X-RAY LEFT HEEL AP
300/-
213
X-RAY LEFT HEEL LAT
300/-
214
X-RAY LEFT HIP JOINT (AP)
300/-
215
X-RAY LEFT HIP JOINT (AP+LAT)
600/-
216
X-RAY LEFT HIP JOINT (LAT)
300/-
217
X-RAY LEFT KNEE (AP +LAT)
600/-
218
X-RAY LEFT KNEE (AP)
300/-
219
X-RAY LEFT KNEE (LAT)
300/-
220
X-RAY LEFT KNEE OBLIQUE
300/-
221
X-RAY LEFT KNEE SKYLINE
300/-
222
X-RAY LEFT LEG (AP)
300/-
223
X-RAY LEFT LEG (AP+LAT)
600/-
224
X-RAY LEFT LEG (LAT)
300/-
225
X-RAY LEFT LEG LEFT OBLIQUE
300/-
226
X-RAY LEFT LEG RIGHT OBLIQUE
300/-
227
X-RAY LEFT MANDIBLE OBLIQUE
300/-
228
X-RAY LEFT SCAPULA (AP+LAT)
600/-
229
X-RAY LEFT SHOULDER (AP)
300/-
230
X-RAY LEFT SHOULDER (AP+LAT)
600/-
231
X-RAY LEFT SHOULDER (AXILARY)
300/-
232
X-RAY LEFT SHOULDER (LAT)
300/-
233
X-RAY LEFT SI JOINT AP
300/-
234
X-RAY LEFT SI JOINT LAT
300/-
235
X-RAY LEFT T M JOINT
300/-
236
X-RAY LEFT TEMPORAL BONE
300/-
237
X-RAY LEFT THIGH (AP)
300/-
238
X-RAY LEFT THIGH (AP+LAT)
600/-
239
X-RAY LEFT THIGH (LAT)
300/-
240
X-RAY LEFT THIGH OBLIQUE
300/-
242
X-RAY LEFT TOE (AP+LAT)
600/-
243
X-RAY LEFT WRIST (AP)
300/-
244
X-RAY LEFT WRIST (AP+LAT)
600/-
245
X-RAY LEFT WRIST (LAT)
300/-
246
X-RAY LOOPOGRAM
2500/-
247
X-RAY LUMBAR SPINE (AP+LAT)
600/-
249
X-RAY MANDIBLE (AP)
300/-
250
X-RAY MANDIBLE (AP+LAT)
600/-
251
X-RAY MANDIBLE (LAT)
300/-
252
X-RAY MASTOID (AP+LAT)
600/-
253
X-RAY MASTOID LEFT OBLIQUE
300/-
Service Code
Test Name
Price
254
X-RAY MASTOID RIGHT OBLIQUE
300/-
248
X-RAY MCU
2500/-
255
X-RAY MIDDLE FINGER (AP+LAT)
600/-
256
X-RAY NASAL BONE (LAT)
300/-
257
X-RAY NEPHROSTOMOGRAM
2500/-
258
X-RAY ORBIT (AP)
300/-
259
X-RAY ORBIT (LAT)
300/-
260
X-RAY PARA NASAL SINUSES (PNS) LAT
300/-
261
X-RAY PELVIS (AP)
300/-
262
X-RAY PELVIS WITH BOTH HIP (AP)
300/-
263
X-RAY PELVIS WITH BOTH HIPS (AP+LAT
600/-
264
X-RAY PHALLUS (AP+LAT)
600/-
256
X-RAY PNS
300/-
266
X-RAY PNS WATER VIEW
300/-
267
X-RAY RGU
3000/-
268
X-RAY RGU + MCU
4500/-
270
X-RAY RIGHT ANKLE (AP)
300/-
269
X-RAY RIGHT ANKLE (AP+LAT)
600/-
271
X-RAY RIGHT ANKLE (LAT)
300/-
272
X-RAY RIGHT ANKLE OBLIQUE
300/-
273
X-RAY RIGHT CALCANEUM (AXIAL/LAT)
600/-
275
X-RAY RIGHT ELBOW (AP)
300/-
274
X-RAY RIGHT ELBOW (AP+LAT)
600/-
276
X-RAY RIGHT ELBOW (LAT)
300/-
277
X-RAY RIGHT ELBOW OBLIQUE
300/-
278
X-RAY RIGHT FINGER (AP+LAT)
600/-
280
X-RAY RIGHT FOOT (AP)
300/-
278
X-RAY RIGHT FOOT (AP+LAT)
600/-
281
X-RAY RIGHT FOOT (LAT)
300/-
282
X-RAY RIGHT FOOT OBLIQUE
300/-
284
X-RAY RIGHT FOREARM (AP)
300/-
283
X-RAY RIGHT FOREARM (AP+LAT)
600/-
285
X-RAY RIGHT FOREARM (LAT)
300/-
286
X-RAY RIGHT FOREARM OBLIQUE (RIGHT
300/-
288
X-RAY RIGHT HAND (AP)
300/-
287
X-RAY RIGHT HAND (AP+LAT)
600/-
289
X-RAY RIGHT HAND (LAT)
300/-
290
X-RAY RIGHT HAND (OBLIQUE)
300/-
291
X-RAY RIGHT HEEL AP
300/-
292
X-RAY RIGHT HEEL AXIAL
300/-
293
X-RAY RIGHT HEEL LAT
300/-
295
X-RAY RIGHT HIP JOINT (AP)
300/-
294
X-RAY RIGHT HIP JOINT (AP+LAT)
600/-
296
X-RAY RIGHT HIP JOINT (LAT)
300/-
297
X-RAY RIGHT IAM OBLIQUE VIEW
300/-
299
X-RAY RIGHT KNEE (AP)
300/-
298
X-RAY RIGHT KNEE (AP+LAT)
600/-
300
X-RAY RIGHT KNEE (LAT)
300/-
1198
X-RAY RIGHT KNEE -AP
300/-
301
X-RAY RIGHT KNEE SKYLINE
300/-
303
X-RAY RIGHT LEG (AP)
300/-
302
X-RAY RIGHT LEG (AP+LAT)
600/-
304
X-RAY RIGHT LEG (LAT)
300/-
306
X-RAY RIGHT SHOULDER (AP)
300/-
305
X-RAY RIGHT SHOULDER (AP+LAT)
600/-
308
X-RAY RIGHT SHOULDER (AXILARY)
300/-
307
X-RAY RIGHT SHOULDER (LAT)
300/-
309
X-RAY RIGHT SI JOINT (AP)
300/-
310
X-RAY RIGHT SI JOINT (LAT)
300/-
311
X-RAY RIGHT SI JOINT (OBL)
300/-
312
X-RAY RIGHT T M JOINT
300/-
313
X-RAY RIGHT TEMPORAL BONE
300/-
315
X-RAY RIGHT THIGH (AP)
300/-
314
X-RAY RIGHT THIGH (AP+LAT)
600/-
316
X-RAY RIGHT THIGH (LAT)
300/-
317
X-RAY RIGHT THIGH OBLIQUE
300/-
318
X-RAY RIGHT THUMB (AP+LAT)
600/-
320
X-RAY RIGHT WRIST (AP)
300/-
319
X-RAY RIGHT WRIST (AP+LAT)
600/-
321
X-RAY RIGHT WRIST (LAT)
300/-
322
X-RAY S I JOINT OBLIQUE
300/-
323
X-RAY SACROCOCCYX (AP+LAT)
600/-
325
X-RAY SACRUM (AP)
300/-
324
X-RAY SACRUM (AP+LAT)
600/-
326
X-RAY SACRUM (LAT)
300/-
327
X-RAY SHOULDER (ADDUCTION/ABDUCTION/NEUTRAL)
300/-
328
X-RAY SIALOGRAM
2500/-
329
X-RAY SINOGRAM
2500/-
330
X-RAY SKELETON SURVEY (SKULL AP/LAT, WHOLE SPINE AP/LAT, PELVIS AP)
3000/-
331
X-RAY SKIO VIEW BOTH LOWER LIMB
2500/-
333
X-RAY SKULL (AP)
300/-
332
X-RAY SKULL (AP+LAT)
600/-
334
X-RAY SKULL (LAT)
300/-
335
X-RAY SKULL WATER VIEW
300/-
336
X-RAY SMV
300/-
338
X-RAY SOFT TISSUE NECK (AP)
300/-
337
X-RAY SOFT TISSUE NECK (AP+LAT)
600/-
339
X-RAY SOFT TISSUE NECK (LAT)
300/-
340
X-RAY STERNUM AP
300/-
341
X-RAY STERNUM OBLIQUE
600/-
342
X-RAY STYLOID PROCESS
900/-
343
X-RAY SUBMANDIBULAR OBLIQUE
600/-
344
X-RAY T M JOINT CLOSED
600/-
345
X-RAY T M JOINT OPEN
600/-
346
X-RAY THIGH LEFT AND RIGHT OBLIQUE
600/-
347
X-RAY THUMB (AP+LAT)
600/-
349
X-RAY WHOLE LEG SCANOGRAM (AP)
600/-
351
X-RAY WHOLE SPINE (AP)
600/-
350
X-RAY WHOLE SPINE (AP+LAT)
1200/-
352
X-RAY WHOLE SPINE (LAT)
600/-
553
X-RAY WHOLE SPINE (SCOUT)
600/-
355
X-RAY WHOLE SPINE LAT FLEXION/EXTENSION
1200/-
354
X-RAY WHOLE SPINE LEFT BANDING
600/-
1197
X-RAY WHOLE SPINE RIGHT BANDING
600/-
356
X-RAY WHOLE SPINE WITH BRACES
1200/-
357
X-RAY WRIST OBLIQUE
300/-
X RAYS