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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PTOSIS CORREC FASENAL OPERA GA | 45623-011 | 420304 | 1,800.00 | |||
0 | PTOSIS CORREC FASENAL OPERA LA | 45623-011 | 420305 | 910 | |||
0 | PTOSIS CORREC SLING OPERATION | 45623-01 | 420306 | 2,800.00 | |||
0 | PUNCTUM OBLITERATION | 42620-001 | 420308 | 430 | |||
0 | PUNCTURE OF ANTERIOR CORNEA FOR CORNEAL EROSION, TATTOO | 420309 | 4263200 | 2,000.00 | |||
0 | PUPIL SPHINCTEROTOMY | 42764-021 | 420310 | 2,200.00 | |||
0 | PUPIL SPHINCTEROTOMY (LASER) | 42764-02[187] | 420311 | 4276402 | 1,200.00 | ||
0 | PUPILOPLASTY | 42785-01[190] | 420312 | 4278501 | 2,800.00 | ||
1 | PUPILOPLASTY (DAY CASE) | 42785-01[190] | 420313 | 4278501 | Y | 4,400.00 | |
0 | RADIAL KERATOTOMY | 90062-00[167] | 420314 | 9006200 | 2,000.00 | ||
2 | REC. TRABECULECTOMY | 42746-04[191] | 420315 | 4274604 | Y | 9,750.00 | |
RECONSTRUCTION - LACRIMAL CANALICULUM | 42605-00[247] | 420316 | 4260500 | 3,200.00 |
PTOSIS CORREC FASENAL OPERA GA
1,800.00
PTOSIS CORREC FASENAL OPERA LA
910
PTOSIS CORREC SLING OPERATION
2,800.00
PUNCTUM OBLITERATION
430
PUNCTURE OF ANTERIOR CORNEA FOR CORNEAL EROSION, TATTOO
2,000.00
PUPIL SPHINCTEROTOMY
2,200.00
PUPIL SPHINCTEROTOMY (LASER)
1,200.00
PUPILOPLASTY
2,800.00
PUPILOPLASTY (DAY CASE)
4,400.00
RADIAL KERATOTOMY
2,000.00
REC. TRABECULECTOMY
9,750.00
RECONSTRUCTION - LACRIMAL CANALICULUM
3,200.00
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