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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ENTROPION CORRECTION | 45626-001 | 420104 | 2,000.00 | |||
3 | ENUCLEATION | 42506-00[161] | 420105 | 4250600 | Y | 3,000.00 | |
0 | ENUCLEATION - EYE BALL | 42506-00[161] | 420106 | 4250600 | 2,400.00 | ||
0 | ENUCLEATION - EYE BALL W/ PROSTHESIS | 42506-01[161] | 420107 | 4250601 | 3,200.00 | ||
0 | ENUCLEATION - EYE BASE BALL W/O SCLERA | 42509-00[161] | 420108 | 4250900 | 3,600.00 | ||
0 | ENUCLEATION + OPTIC NERVE SHEATH FENESTRATION | 42545-00[227] | 420109 | 4254500 | 4,000.00 | ||
3 | ENUCLEATION OF EYEBALL1 | 42506-00[161] | 420110 | 4250600 | Y | 3,960.00 | |
0 | EPI. BUTTON REMOVAL | 42650-001 | 420111 | 750 | |||
0 | EPICANTHUS CORRECTION | 42590-011 | 420112 | 4,300.00 | |||
0 | EPIKERATOPHAKIA | 42671-001 | 420113 | 7,100.00 | |||
0 | EPIKERATOPLASTY | 90064-01[173] | 420114 | 9006401 | 4,000.00 | ||
3 | EPIKERATOPLASTY.K | 90064-00[173] | 420115 | 9006400 | Y | 22,500.00 |
ENTROPION CORRECTION
2,000.00
ENUCLEATION
3,000.00
ENUCLEATION - EYE BALL
2,400.00
ENUCLEATION - EYE BALL W/ PROSTHESIS
3,200.00
ENUCLEATION - EYE BASE BALL W/O SCLERA
3,600.00
ENUCLEATION + OPTIC NERVE SHEATH FENESTRATION
4,000.00
ENUCLEATION OF EYEBALL1
3,960.00
EPI. BUTTON REMOVAL
750
EPICANTHUS CORRECTION
4,300.00
EPIKERATOPHAKIA
7,100.00
EPIKERATOPLASTY
4,000.00
EPIKERATOPLASTY.K
22,500.00
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