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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PROBING & SYRINGING NLD (GA) | 42614-011 | 420292 | 1,900.00 | |||
1 | PROBING & SYRINGING-BOTH EYES | 42615-01[241] | 420293 | 4261501 | Y | 2,250.00 | |
1 | PROBING & SYRINGING-ONE EYE(L.A.) | 42614-01[241] | 420294 | 4261401 | Y | 1,500.00 | |
0 | PROBING AND SYRINGING NLD LA | 42614-011 | 420295 | 390 | |||
0 | PROBING- NASOLACRIMAL DUCT/ LACRIMAL CANALICULI W/WO/ IRRIGATION (LA) | 42615-01[241] | 420296 | 4261501 | 280 | ||
1 | PROBING OF NASOLACRIMAL DUCT1 | 42614-01[241] | 420297 | 4261401 | Y | 2,475.00 | |
0 | PTDS REMOVAL | 42683-001 | 420298 | 270 | |||
1 | PTERYGIUM EXCISION | 42686-00[172] | 420299 | 4268600 | Y | 3,000.00 | |
0 | PTERYGIUM EXCISION - GA | 42686-001 | 420300 | 1,900.00 | |||
0 | PTERYGIUM EXCISION-LA | 42686-001 | 420301 | 1,100.00 | |||
0 | PTOSIS COR RESEC LEVATOR SIMPL | 45623-021 | 420302 | 2,800.00 | |||
0 | PTOSIS CORR RESEC LEV M COMPLE | 45623-021 | 420303 | 5,800.00 |
PROBING & SYRINGING NLD (GA)
1,900.00
PROBING & SYRINGING-BOTH EYES
2,250.00
PROBING & SYRINGING-ONE EYE(L.A.)
1,500.00
PROBING AND SYRINGING NLD LA
390
PROBING- NASOLACRIMAL DUCT/ LACRIMAL CANALICULI W/WO/ IRRIGATION (LA)
280
PROBING OF NASOLACRIMAL DUCT1
2,475.00
PTDS REMOVAL
270
PTERYGIUM EXCISION
3,000.00
PTERYGIUM EXCISION - GA
1,900.00
PTERYGIUM EXCISION-LA
1,100.00
PTOSIS COR RESEC LEVATOR SIMPL
2,800.00
PTOSIS CORR RESEC LEV M COMPLE
5,800.00
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