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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PENTACAM TOPOGRAPHY | 420280 | 92025 | 150 | |||
0 | PERIBULBAR INJECTION | 42824-001 | 420281 | 130 | |||
0 | PERIMETRY | 42503-001 | 420282 | 320 | |||
0 | PERITOMY | 42503-001 | 420283 | 1,400.00 | |||
0 | PHACO-EMULSIFICATION-CATAR+IOL | 42702-04 | 420284 | 7,100.00 | |||
1 | PILES WITH LASER - FIRST CLASS - | 32138-01[941] | 420285 | 3213801 | Y | 8,250.00 | |
1 | POSTERIOR VITRECTOMY | 42722-01[207] | 420286 | 4272201 | Y | 13,500.00 | |
0 | POTENTIAL ACUITY METER (PAM) | 420287 | 9603800 | 75 | |||
0 | PROBING - W OR WO IRRIGATION NASOLACREMAL | 42615-01[241] | 420288 | 4261501 | 4,000.00 | ||
DUCT/LACRIMAL CANALCULI + INSERTION OFTUBE OR STENT (SHORT STAY PACKAGE | |||||||
0 | PROBING - W OR WO IRRIGATION NASOLACRIMAL | 42615-01[241] | 420289 | 4261501 | 2,000.00 | ||
DUCT |
PENTACAM TOPOGRAPHY
150
PERIBULBAR INJECTION
130
PERIMETRY
320
PERITOMY
1,400.00
PHACO-EMULSIFICATION-CATAR+IOL
7,100.00
PILES WITH LASER - FIRST CLASS -
8,250.00
POSTERIOR VITRECTOMY
13,500.00
POTENTIAL ACUITY METER (PAM)
75
PROBING - W OR WO IRRIGATION NASOLACREMAL
4,000.00
DUCT/LACRIMAL CANALCULI + INSERTION OFTUBE OR STENT (SHORT STAY PACKAGE
PROBING - W OR WO IRRIGATION NASOLACRIMAL
2,000.00
DUCT
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