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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | KERATOSCOPY | 90067-001 | 420204 | 60 | |||
3 | LACRIMAL CANALICULUM RECONSTRUCTION - | 420205 | 4261400 | Y | 7,500.00 | ||
0 | LACRIMAL GLAND CYST REMOVAL | 42575-001 | 420206 | 5,700.00 | |||
0 | LAMELLAR KERATOPLASTY | 42671-001 | 420207 | 5,100.00 | |||
3 | LAMELLAR KERATOPLASTY | 42659-00[173] | 420208 | 4265900 | Y | 12,000.00 | |
0 | LANSECTOMY | 90077-001 | 420209 | 2,600.00 | |||
0 | LAS THERMO-ABLAT.TRICH EYE/SES | 42677-011 | 420210 | 650 | |||
0 | LASER CAPSULOTOMY (YAG) | 42788-001 | 420211 | 1,300.00 | |||
0 | LASER FOCAL RETINAL | 42809-011 | 420212 | 1,300.00 | |||
0 | LASER IRIDOPLASTY | 42785-011 | 420213 | 1,300.00 | |||
0 | LASER IRIDOTOMY | 42785-001 | 420214 | 1,300.00 | |||
0 | LASER PAN RET COAG SGL EYE/SES | 42809-01 | 420215 | 970 |
KERATOSCOPY
60
LACRIMAL CANALICULUM RECONSTRUCTION -
7,500.00
LACRIMAL GLAND CYST REMOVAL
5,700.00
LAMELLAR KERATOPLASTY
5,100.00
LAMELLAR KERATOPLASTY
12,000.00
LANSECTOMY
2,600.00
LAS THERMO-ABLAT.TRICH EYE/SES
650
LASER CAPSULOTOMY (YAG)
1,300.00
LASER FOCAL RETINAL
1,300.00
LASER IRIDOPLASTY
1,300.00
LASER IRIDOTOMY
1,300.00
LASER PAN RET COAG SGL EYE/SES
970
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