Covered Laboratory and Diagnostic Procedures for Prima cardholders

Ultrasound procedures with preparation:

1. Whole Abdomen – 8-10hrs fasting, full bladder
2. Upper Abdomen – 8-10 hrs fasting
3. Hepatobiliary tree – 6-8 fasting
4. Hepatobiliary tree, pancreas (HBT-P) – fasting 6-8 hrs
5. Lower Abdomen – full bladder
6. Kidneys, Ureters, Bladder (KUB) – full bladder

Ultrasound procedures without preparation:

1. Thyroid
2. Liver
3. Kidneys
4. Breasts
5. Appendix
6. Prostate
7. Uterus

Special Ultrasound procedures:

1. Neck
2. Inguinal/Scrotal
3. Prostate (Transrectal)
4. Soft Tissue/Mass
5. Chest (fluid)
6. Shoulder (mass)

OB-Sonology Related Ultrasound procedures: 

1. Transvaginal
2. Biophysical Scoring
3. Pelvic
4. Transrectal
5. Congenital Anomaly Scan

X-ray procedures available:

1. Skull
2. Paranasal sinuses
3. Mandible
4. Cervical spine
5. Thoracic spine
6. Lumbar spine
7. Sacrum
8. Coccyx
9. Chest
10. Shoulder
11. Scapula
12. Clavicle
13. Humerus/ upper arm
14. Elbow
15. Forearm (Radius & Ulna)
16. Wrist
17. Hand
18. Fingers
19. Abdomen
20. Pelvis
21. Hip joint
22. Thigh (Femur/upper leg)
23. Knee joint
24. Tibia & fibula/lower leg
25. Ankle
26. Foot
27. Skeletal Survey

Others:

1. 2D Echo
2. Treadmill Stress Test
3. ECG
4. Holter monitoring
5. Ambulatory BP Monitoring

Laboratory Tests:

1. ABO and Rh (Blood Typing with RH)
2. Abscess C/S
3. ACTH
4. AFB stain / AFB sputum smear, Direct Sputum Smear Microscopy (DSSM)
5. AFP / AFP (Liver CA)
6. Albumin
7. Alkaline Phosphatase (ALP)
8. Alpha -1 Antitrypsin (A1AT)
9. ALT (SGPT)
10. Amylase
11. ANA (IF)
12. ANA (Qualitative)
13. ANA (Quantitative) / ANA (w/ Dilution)
14. Anti – TPO
15. Anti CCP (CYCLIC CITRULLINE PEPTIDE)
16. Anti streptolyssin O Titer / ASO (w/ Dilution)
17. Anti-Mullerian Hormone
18. Anti-Thyroglobulin
19. Apoliprotein A
20. Apoliprotein B
21. AST (SGOT)
22. B-HCG (H MOLE)
23. Bicarbonate (CO2) / Carbon Dioxide (CO2)
24. Bilirubin – Direct
25. Bilirubin – Group / Bilirubin (B1B2)
26. Bilirubin – Total
27. Blood C/S w/ ARD
28. Blood Culture (C/S Blood)
29. BNP
30. Body Fluid Culture (C/S Body Fluids)
31. CA 125 (Ovarian CA) w/ Dilution
32. CA 15-3 (Breast CA) w/ Dilution
33. CA 72-4
34. CA19-9 (Pancreatic CA) w/ Dilution
35. Calcium / Total Calcium (TCa)
36. CD4 Count
37. CEA (Colorectal CA)
38. Chloride / Cl
39. Cholesterol
40. CK / CPK
41. CKMB / CPK MB
42. CMV IgG
43. CMV IgM
44. COMPLEMENT 3 (C3)
45. COMPLEMENT 4 (C4)
46. Complete Blood Count / CBC
47. Copper Level
48. Cortisol
49. C-Peptide
50. Creatinine (with EGFR)
51. CRP (high sensitive)
52. Cyfra 21-1
53. Cystatin C
54. D-Dimer
55. Dengue Ab (IgG/IgM) / Dengue Test IgM/IgG
56. Dengue NS1 Ag / Dengue NS1 (Quali)
57. DHEAS
58. ESR
59. Estradiol / Estrogen
60. Fecalysis / Routine Fecalysis
61. Ferritin
62. Fluid Cytology / Histopath / Cytology a. Small (<5cm)
63. FNAB (pap smear) / FNAB (1-4 Slides)
64. Folate / Folic Acid
65. Free Beta HCG
66. FSH
67. FT3 / FT3 (ECLA) / FT3 (CMIA)
68. FT4 / FT4 (ECLA) / FT4 (CMIA)
69. Fungal Culture
70. GGT / GGTP
71. Glucose / FBS
72. Gram Stain
73. H. Pylori Ag (stool) / H. Pylori Stool Antigen
74. H. Pylori Gastric Bx / Gastric Biopsy for H. Pylori
75. H. PyloriAb (Qualitative) / H. Pylori (Quali)
76. HbA1c (with eAG) / HBA1-C
77. HCG (Qualitative) / Pregnancy Test Serum (Blood Test)
78. HCG (Quantitative) / B-HCG (H Mole)
79. HDL Cholesterol / Cholesterol HDL 2 and HDL 3
80. HE4 / HE-4 (Ovarian CA)
81. Hepatitis A IgG / Anti-HAV IgG
82. Hepatitis A IgM / Anti-HAV IgM
83. Hepatitis B Core IgM / Anti-HBC IgG
84. Hepatitis B Core IgM (Total) / Anti-HBC (Total)
85. Hepatitis B Envelope Ab / Anti-HBE
86. Hepatitis B Envelope Ag / HBeAg
87. Hepatitis B Surface Ab / Anti-HBs
88. Hepatitis B Surface Ag / HBsAg w/ Titer
89. Hepatitis C Ab / Anti-HCV
90. Histology extralarge / Histopath / Cytology d. Extra Large (16.1cm and above)
91. Histology large / Histopath / Cytology c. Large (7.1cm to 16.0cm)
92. Histology medium / Histopath / Cytology b. Medium (5cm-7cm)
93. Histology small / Histopath / Cytology a. Small (<5cm)
94. HIV Ag/Ab 1&2 / HIV (1 & 2) (Quali)
95. Homocysteine
96. hsCRP / High Sensitive CRP
97. hsTroponin / Troponin I (Quali)
98. HSV 1 IgG
99. HSV 2 IgG
100. IFOBT (FIT) / IFOBT
101. IgA
102. IgE / TOTAL IgE
103. IgM
104. India Ink (Cryptococcus)
105. Insulin / Insulin (ECLA)
106. Intact PTH / Parathyroid Hormone (PTH)
107. Ionized Calcium
108. Iron (Fe)
109. KOH Mount
110. LDH
111. LDL Cholesterol / HDL, LDL-VLDL
112. LH
113. Lipase
114. Lipid Studies / Lipid Profile
115. Lipoprotein a-Lp(a)
116. Magnesium
117. Micral Test
118. Non-Fasting Lipid Profile
119. Non-HDL Cholesterol
120. OGCT / OGCT (Flavored) 50 GMS
121. OGTT (3 point) / OGTT 3 Hrs (Hexokinase)
122. Pap smear (Collection/Conventional)
123. Peripheral Blood Smear
124. Phosphorus / Inorganic Phosphorus
125. Potassium (K)
126. Pro BNP
127. Procalcitonin
128. Progesterone
129. Prolactin
130. PSA – Free / part of PSA Profile
131. PSA – Total / PSA (w/ Dilution)
132. PT (INR) / Prothrombin Time
133. PTT (APTT)
134. Reticulocyte Count
135. Rheumatoid Factor / RA/RF (w/ Dilution)
136. RPR (Qualitative) / VDRL
137. RPR (Quantitative) / VDRL / RPR (w/ Dilution)
138. Rubella IgG
139. Rubella IgM
140. SCC Ag
141. Serum Osmolality
142. SHBG / Sex Hormone Binding Globulin (SHBG)
143. Sodium (Na)
144. Sputum Culture / Culture & Sensitivity c. Sputum
145. Stool Conc. Technique / Amoeba Conc. Technique
146. Swab Culture (Genital) / Culture & Sensitivity d. Genital
147. Swab Culture (Tissue) / Culture & Sensitivity e. Tissue
148. Swab Culture (Vaginal) / Culture & Sensitivity g. Vaginal
149. Swab Culture ( Eye) / Culture & Sensitivity b. Nasal, Ear, Eye
150. Swab Culture (Ear) / Culture & Sensitivity b. Nasal, Ear, Eye
151. Swab Culture (Nasal) / Culture & Sensitivity b. Nasal, Ear, Eye
152. Syphilis Ab / VDRL (Qualitative)
153. T3 / T3 (ECLA)/ T3 (CMIA)
154. T4 / T4 (ECLA)/ T4 (CMIA)
155. Testosterone (Free & Total)
156. Testosterone (Total)
157. Thyroglobulin
158. TIBC (UIBC + Iron) / TIBC+IRON
159. Total Protein
160. Toxoplasma IgG
161. Toxoplasma IgM
162. TPA/G / Total Protein A/G Ratio
163. TPHA (Quantitative) / TP-PA (w/ Dilution)
164. Transferrin
165. Triglycerides
166. TSH / TSH
167. T-Uptake / T3 Uptake
168. Typhidot (Salmonella)
169. Urea / BUN
170. Uric Acid / BUA
171. Urinalysis / MUR
172. Urine albumin/creatinine ratio / Microalbumin Creatinine Ratio
173. Urine Amylase
174. Urine Calcium
175. Urine Chloride (Cl)
176. Urine Creatinine / Creatinine
177. Urine Creatinine Clearance / Creatinine Clearance
178. Urine Culture / Culture & Sensitivity a. URINE
179. Urine Cytology
180. Urine Glucose / Glucose
181. Urine hCG (strip) / Stat Pack (Monoclonal)
182. Urine Magnesium / Magnesium (Mg)
183. Urine Micral Test / Micral Test
184. Urine Microalbumin
185. Urine Osmolality / 24 Hour Urine Osmolality
186. Urine Phosphorus
187. Urine Potassium (K)
188. Urine Protein
189. Urine Sodium (Na)
190. Urine Uric Acid
191. Vitamin B12 / Vitamin B12
192. Vitamin D / Vitamin D25 Hydroxy Calceferol
193. Widal Test