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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LID CYST REMOVAL (G.A.) | 90086-001 | 420227 | 1,400.00 | |||
0 | LID CYST REMOVAL (L.A.) | 90086-001 | 420228 | 590 | |||
0 | LID RECONSTRUCTION G.A. | 45614-001 | 420229 | 9,000.00 | |||
0 | LID SUTURE REMOVAL | 90086-001 | 420230 | 220 | |||
0 | LID WARTS SURGERY | 90086-001 | 420231 | 480 | |||
0 | LID WOUND W/ TARSAL PLATE L.A. | 30052-011 | 420232 | 1,400.00 | |||
0 | LID WOUND W/O TARSAL PLATE G.A | 30052-011 | 420233 | 1,400.00 | |||
0 | LID WOUND W/O TARSAL PLATE L.A | 30052-011 | 420234 | 710 | |||
0 | LID WOUND W/TARSAL PLATE G.A. | 30052-011 | 420235 | 2,800.00 | |||
0 | LIMBAL FB DEEP | 42563-001 | 420236 | 2,800.00 | |||
0 | LIMBAL FB SUPERFICIAL LA. | 30061-021 | 420237 | 320 | |||
0 | LIMBAL STEMCELL GRAFT | 42641-001 | 420238 | 2,600.00 |
LID CYST REMOVAL (G.A.)
1,400.00
LID CYST REMOVAL (L.A.)
590
LID RECONSTRUCTION G.A.
9,000.00
LID SUTURE REMOVAL
220
LID WARTS SURGERY
480
LID WOUND W/ TARSAL PLATE L.A.
1,400.00
LID WOUND W/O TARSAL PLATE G.A
1,400.00
LID WOUND W/O TARSAL PLATE L.A
710
LID WOUND W/TARSAL PLATE G.A.
2,800.00
LIMBAL FB DEEP
2,800.00
LIMBAL FB SUPERFICIAL LA.
320
LIMBAL STEMCELL GRAFT
2,600.00
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