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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EPIRETINAL MEMBRANE PEELING | 42725-00[207] | 420116 | 4272500 | 9,000.00 | ||
0 | EPISCLERAL FB | 30061-031 | 420117 | 320 | |||
0 | EPITHELIAL PEALING BY EPITOME ( ONE EYE ) | 420118 | 4265000 | 1,600.00 | |||
0 | EVERTED PUNCTUM CAUTERY | 42622-001 | 420119 | 430 | |||
0 | EVISCERATION - OCULAR CONTENTS W/IMPLANT | 42515-00[161] | 420120 | 4251500 | 3,200.00 | ||
0 | EVISCERATION- OCULAR CONTENTS | 42515-00[161] | 420121 | 4251200 | 2,400.00 | ||
3 | EVISCERATION OF EYEBALL1 | 42512-00[161] | 420122 | 4251200 | Y | 4,500.00 | |
0 | EXAMINATION- EYE | 42503-00[160] | 420123 | 4250300 | 150 | ||
0 | EXAMINATION- EYE (GA) | 42503-00[160] | 420124 | 4250300 | 1,200.00 | ||
0 | EXAMINATION UNDER SEDATION | 42503-00[160] | 420125 | 4250300 | 300 | ||
EXCISION- CHALAZION (GA) DAY CASE | 42575-00[233] | 420127 | 4257500 | Y | 2,800.00 | ||
EXCISION- CHALAZION (LA) OUTPATIENT | 42575-00[233] | 420128 | 4257500 | 280 |
EPIRETINAL MEMBRANE PEELING
9,000.00
EPISCLERAL FB
320
EPITHELIAL PEALING BY EPITOME ( ONE EYE )
1,600.00
EVERTED PUNCTUM CAUTERY
430
EVISCERATION - OCULAR CONTENTS W/IMPLANT
3,200.00
EVISCERATION- OCULAR CONTENTS
2,400.00
EVISCERATION OF EYEBALL1
4,500.00
EXAMINATION- EYE
150
EXAMINATION- EYE (GA)
1,200.00
EXAMINATION UNDER SEDATION
300
EXCISION- CHALAZION (GA) DAY CASE
2,800.00
EXCISION- CHALAZION (LA) OUTPATIENT
280
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