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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | INJECTION OF INTRA-VITREAL (WITHOUT MEDICATION) | 420176 | 9007800 | 2,000.00 | |||
0 | INJECTION- PERIBULBAR | 420177 | 1824000 | 80 | |||
0 | INJECTION- RETROBULBAR | 42824-00[221] | 420178 | 4282400 | 80 | ||
0 | INJECTION- SUBCONJUNCTIVAL | 42824-01[251] | 420179 | 4282401 | 80 | ||
0 | INSERTION- INTRA OCULAR LENS (IOL) (INCLUDING | 42701-00[193] | 420180 | 4270101 | 2,800.00 | ||
MATERIAL COST 500/-) | |||||||
0 | INSERTION OF INTRACORNEAL RING (W/O MATERIAL) | 90120-00[174] | 420181 | 9012000 | 2,800.00 | ||
0 | INTACS, CORNEAL IMPLANTS | 420182 | 6,000.00 | ||||
0 | INTRAOCULAR AVASTIN INJECTION | 42740-03[209] | 420183 | 4274003 | 2,500.00 | ||
3 | INTRAOCULAR F. B. REMOVAL | 42563-00[187] | 420184 | 4256300 | Y | 10,500.00 | |
0 | INTRA-OCULAR FB REMOVAL | 42542-01 | 420185 | 5,700.00 | |||
3 | INTRAOCULAR LENS | 42701-01[193] | 420186 | 4270101 | Y | 1,500.00 |
INJECTION OF INTRA-VITREAL (WITHOUT MEDICATION)
2,000.00
INJECTION- PERIBULBAR
80
INJECTION- RETROBULBAR
80
INJECTION- SUBCONJUNCTIVAL
80
INSERTION- INTRA OCULAR LENS (IOL) (INCLUDING
2,800.00
MATERIAL COST 500/-)
INSERTION OF INTRACORNEAL RING (W/O MATERIAL)
2,800.00
INTACS, CORNEAL IMPLANTS
6,000.00
INTRAOCULAR AVASTIN INJECTION
2,500.00
INTRAOCULAR F. B. REMOVAL
10,500.00
INTRA-OCULAR FB REMOVAL
5,700.00
INTRAOCULAR LENS
1,500.00
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