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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SOFT ( CONTACT) LENS FITTING | 96092-00[1870] | 420396 | 9609200 | 280 | ||
0 | SOFT LENS FITTING | 42701-011 | 420397 | 260 | |||
0 | SPECTACLES PRESCRIPTION | 420398 | 9604300 | 100 | |||
2 | SQUINT | 420400 | 4283300 | Y | 7,500.00 | ||
0 | SQUINT CORRECTION - SINGLE EYE | 42833-001 | 420401 | 3,900.00 | |||
0 | STRABISMUS REPAIR ( 1 MUSCLE ) ( RECESSION / RESECTION ) | 42833-00[216] | 420402 | 4283300 | 3,600.00 | ||
0 | STRABISMUS REPAIR ( 2 MUSCLES ) ( RECESSION / RESECTION ) | 42833-00[216] | 420403 | 67312 | 4,400.00 | ||
0 | STRABISMUS REPAIR ( BOTH EYES ) INFERIOR OBLIQUE MYECTOMY | 42833-01[216] | 420404 | 4283301 | 4,400.00 | ||
0 | STRABISMUS REPAIR SUPERIOR OBLIQUE TENOTOMY | 42848-00[216] | 420405 | 4283301 | 4,400.00 | ||
0 | STYE INCISION (G.A.) | 42683-001 | 420406 | 1,300.00 | |||
0 | STYE INCISION L.A. | 42683-001 | 420407 | 430 | |||
0 | SUBCONJ. FB REMOVAL (G.A.) | 30061-04 | 420408 | 1,300.00 |
SOFT ( CONTACT) LENS FITTING
280
SOFT LENS FITTING
260
SPECTACLES PRESCRIPTION
100
SQUINT
7,500.00
SQUINT CORRECTION - SINGLE EYE
3,900.00
STRABISMUS REPAIR ( 1 MUSCLE ) ( RECESSION / RESECTION )
3,600.00
STRABISMUS REPAIR ( 2 MUSCLES ) ( RECESSION / RESECTION )
4,400.00
STRABISMUS REPAIR ( BOTH EYES ) INFERIOR OBLIQUE MYECTOMY
4,400.00
STRABISMUS REPAIR SUPERIOR OBLIQUE TENOTOMY
4,400.00
STYE INCISION (G.A.)
1,300.00
STYE INCISION L.A.
430
SUBCONJ. FB REMOVAL (G.A.)
1,300.00
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