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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SUBCONJ. FB REMOVAL (L.A.) | 30061-04 | 420409 | 520 | |||
0 | SUBCONJUNCTIVAL INJECTION | 42824-011 | 420410 | 130 | |||
0 | SUTURE OF EYE LID (TARSORRAPHY) (DAY CASE) | 42584-00[236] | 420411 | 2,400.00 | |||
0 | SUTURE OF EYELID (TARSORRHAPHY) | 42584-00[236] | 420412 | 4258400 | 1,200.00 | ||
0 | SYMBLEPHERON REPAIR | 45614-00 | 420413 | 3,200.00 | |||
0 | SYNECHIOTOMY | 42761-001 | 420414 | 2,200.00 | |||
0 | TARSECTOMY | 45624-041 | 420415 | 2,200.00 | |||
2 | TATTOOINGCORNEA | 90067-00[176] | 420416 | 9006700 | Y | 18,000.00 | |
2 | THERMOKERATOPLASTY | 90064-01[173] | 420417 | 9006401 | Y | 16,500.00 | |
0 | TONOGRAPHY | 11203-00[1835] | 420418 | 1120300 | 440 | ||
0 | TONOMETRY | 42503-001 | 420419 | 80 | |||
0 | TONOMETRY- SERIAL | 92016-00[1835] | 420420 | 9201600 | 80 |
SUBCONJ. FB REMOVAL (L.A.)
520
SUBCONJUNCTIVAL INJECTION
130
SUTURE OF EYE LID (TARSORRAPHY) (DAY CASE)
2,400.00
SUTURE OF EYELID (TARSORRHAPHY)
1,200.00
SYMBLEPHERON REPAIR
3,200.00
SYNECHIOTOMY
2,200.00
TARSECTOMY
2,200.00
TATTOOINGCORNEA
18,000.00
THERMOKERATOPLASTY
16,500.00
TONOGRAPHY
440
TONOMETRY
80
TONOMETRY- SERIAL
80
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