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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | UNILATERAL EXCISION OF CHALAZION1 | 42575-00[233] | 420437 | 4257500 | Y | 2,673.00 | |
2 | UNILATERAL EXTRA CAPSULAR CATARACT | 42698-04[199] | 420438 | 4269804 | Y | 4,950.00 | |
EXTRACTION | |||||||
2 | UNILATERAL GLUCOMA PROCEDURE (AHMED VALVE | 90075-00[191] | 420439 | 9007500 | Y | 4,395.00 | |
2 | UNILATERAL INSERTION OF STENT INTO NASOLACRIMAL | 42608-00[242] | 420440 | 4260800 | Y | 3,465.00 | |
2 | UNILATERAL INTRA CAPSULAR CATARACT EXTRACTION (ICCE) W/O IOL | 42698-00[195] | 420441 | 4269800 | Y | 6,534.00 | |
2 | UNILATERAL LAMELLAR KERATOPLASTY WITH | 42659-00[173] | 420442 | 4265900 | Y | 10,098.00 | |
AUTOGRAFT1 | |||||||
2 | UNILATERAL PENETRATING KERATOPLASTY WITH | 42653-00[173] | 420443 | 4265300 | Y | 8,910.00 | |
2 | UNILATERAL PHACO + IOL + TRABECULECTOMY1 | 02-05[197]42746-04[ | 420444 | 4270205 | Y | 9,405.00 | |
2 | UNILATERAL PHACOEMULSIFICATION and ASPIRATION | 42698-02[197] | 420445 | 4269802 | Y | 6,534.00 | |
OF CATARACT W/O IOL1 |
UNILATERAL EXCISION OF CHALAZION1
2,673.00
UNILATERAL EXTRA CAPSULAR CATARACT
4,950.00
EXTRACTION
UNILATERAL GLUCOMA PROCEDURE (AHMED VALVE
4,395.00
UNILATERAL INSERTION OF STENT INTO NASOLACRIMAL
3,465.00
UNILATERAL INTRA CAPSULAR CATARACT EXTRACTION (ICCE) W/O IOL
6,534.00
UNILATERAL LAMELLAR KERATOPLASTY WITH
10,098.00
AUTOGRAFT1
UNILATERAL PENETRATING KERATOPLASTY WITH
8,910.00
UNILATERAL PHACO + IOL + TRABECULECTOMY1
9,405.00
UNILATERAL PHACOEMULSIFICATION and ASPIRATION
6,534.00
OF CATARACT W/O IOL1
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