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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LASER REFRACTIVE KERATECTOMY | 42647-00 | 420216 | 5,200.00 | |||
0 | LASER SUTURE LYSIS | 42794-00[191] | 420217 | 300 | |||
0 | LASER TRABECULOPLASTY (L.T.P.) | 42782-001 | 420218 | 1,500.00 | |||
0 | LASIK (BOTH EYES) | 42671-01 | 420219 | 11,600.00 | |||
0 | LASIK PER EYE | 42671-01 | 420220 | 6,200.00 | |||
0 | LASIK WORK UP | 42671-01 | 420221 | 260 | |||
1 | LENGHTENING PROCEDURE ON ONE EXTRAOCULAR | 42833-01[216] | 420222 | 4283301 | Y | 4,950.00 | |
MUSCLE (S | |||||||
0 | LID ABSCESS INCISION (G.A.) | 90084-001 | 420223 | 1,300.00 | |||
0 | LID ABSCESS INCISION (L.A.) | 90084-001 | 420224 | 390 | |||
0 | LID COLOBOMA REPAIR | 30052-011 | 420225 | 2,600.00 | |||
0 | LID CRYOPEXY | 90086-001 | 420226 | 2,400.00 |
LASER REFRACTIVE KERATECTOMY
5,200.00
LASER SUTURE LYSIS
300
LASER TRABECULOPLASTY (L.T.P.)
1,500.00
LASIK (BOTH EYES)
11,600.00
LASIK PER EYE
6,200.00
LASIK WORK UP
260
LENGHTENING PROCEDURE ON ONE EXTRAOCULAR
4,950.00
MUSCLE (S
LID ABSCESS INCISION (G.A.)
1,300.00
LID ABSCESS INCISION (L.A.)
390
LID COLOBOMA REPAIR
2,600.00
LID CRYOPEXY
2,400.00
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