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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PED-LONG LEG SLAB (SYNTHETIC) | 440042 | 370 | ||||
0 | PED-REINF.OF PLASTER CAST(SYNT) | 440043 | 29720 | 100 | |||
0 | PED-SHORT ARM CAST (PLASTER) | 96092-00[1870] | 440044 | 9609200 | 250 | ||
0 | PED-SHORT ARM CAST (SYNTHETIC) | 440045 | 29075 | 270 | |||
0 | PED-SHORT ARM SLAB (PLASTER) | 96092-00[1870] | 440046 | 9609200 | 250 | ||
0 | PED-SHORT ARM SLAB (SYNTHETIC) | 440047 | 29075 | 270 | |||
0 | TRICHIASIS- EPILATION PER LID | 42587-02[238] | 420432 | 4258702 | 80 | ||
0 | TRICHIASIS- SURGERY PER LID | 42587-04[238] | 420433 | 4258704 | 2,000.00 | ||
0 | ULTRASONOGRAPHY A SCAN | 42503-001 | 420434 | 710 | |||
0 | ULTRASONOGRAPHY B SCAN | 42503-001 | 420435 | 840 | |||
1 | UNI PHACO CATARACT W/O IOL + ANTER. | 42698-02[197] | 420436 | 4269802 | Y | 7,425.00 | |
VITRECTOMY1 |
PED-LONG LEG SLAB (SYNTHETIC)
370
PED-REINF.OF PLASTER CAST(SYNT)
100
PED-SHORT ARM CAST (PLASTER)
250
PED-SHORT ARM CAST (SYNTHETIC)
270
PED-SHORT ARM SLAB (PLASTER)
250
PED-SHORT ARM SLAB (SYNTHETIC)
270
TRICHIASIS- EPILATION PER LID
80
TRICHIASIS- SURGERY PER LID
2,000.00
ULTRASONOGRAPHY A SCAN
710
ULTRASONOGRAPHY B SCAN
840
UNI PHACO CATARACT W/O IOL + ANTER.
7,425.00
VITRECTOMY1
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