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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | INTRAOCULAR SILICON OIL INJECTION | 42740-03[209] | 420187 | 4274003 | 8,000.00 | ||
0 | INTRAVITREAL GAZ INJECTION | 420188 | 4274003 | 6,000.00 | |||
0 | INTUBATION OF NLD | 42608-011 | 420189 | 3,400.00 | |||
0 | IOL IMPLANTATION (EXC IMPLANT) | 42701-011 | 420190 | 2,200.00 | |||
3 | IREDECTOMY | 42764-04[189] | 420191 | 4276404 | Y | 6,000.00 | |
3 | IREDECTOMY-LASER | 42785-00[188] | 420192 | 4278500 | Y | 6,000.00 | |
0 | IRRIGATION OF LACRIMAL SYSTEM ( 1SIDE ) | 42614-01[241] | 420194 | 4261401 | 200 | ||
0 | KERARING, CORNEAL IMPLANTS | 420195 | 9012000 | 10,000.00 | |||
0 | ECZ. LASER REFRACT.SURG/EYE | 42671-011 | 420100 | 5,200.00 | |||
0 | ELECTRORETINOGRAM (ERG) | 11204-00[1835] | 420101 | 1120400 | 300 | ||
0 | ENDOLASER | 420102 | 4278800 | 9,000.00 | |||
0 | ENDONASAL DACRYOCYSTORHINOSTOMY(UNILATERAL) | 42623-00[247] | 420103 | 4262300 | 3,600.00 |
INTRAOCULAR SILICON OIL INJECTION
8,000.00
INTRAVITREAL GAZ INJECTION
6,000.00
INTUBATION OF NLD
3,400.00
IOL IMPLANTATION (EXC IMPLANT)
2,200.00
IREDECTOMY
6,000.00
IREDECTOMY-LASER
6,000.00
IRRIGATION OF LACRIMAL SYSTEM ( 1SIDE )
200
KERARING, CORNEAL IMPLANTS
10,000.00
ECZ. LASER REFRACT.SURG/EYE
5,200.00
ELECTRORETINOGRAM (ERG)
300
ENDOLASER
9,000.00
ENDONASAL DACRYOCYSTORHINOSTOMY(UNILATERAL)
3,600.00
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