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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXCISION OF PTERYGIUM W/ GRAFT | 42686-00[172] | 420139 | 4268600 | 2,800.00 | ||
3 | EXCISION OF PTERYGIUM WITH AUTOGRAFT1 | 42641-00[255] | 420140 | 4264100 | Y | 6,534.00 | |
3 | EXCISION OF PTERYGIUM WITH CORNEAL GRAFT1 | 86-00[172]90064-00[ | 420141 | 4268600 | Y | 6,534.00 | |
0 | EXCISION- TUMOR/ LESION- EYE ORBIT/ ADNEXA | 42574-00[226] | 420142 | 4257400 | 2,800.00 | ||
3 | EXENTERATIONORBITAL CONTENTS | 42536-00[225] | 420143 | 4253600 | Y | 12,000.00 | |
0 | EXOPHTHALMOMETRY | 420144 | 40 | ||||
3 | EXPLO/EXCISION ORBITAL TUMOUR | 42574-00[226] | 420145 | 4257400 | Y | 7,500.00 | |
3 | EXPLO/REPAIR ORBITAL FLOOR FRACTURE | 45590-00[1716] | 420146 | 4559000 | Y | 7,500.00 | |
0 | EXPLORATION OF EYE CONTENTS,GA | 42533-00[222] | 420147 | 4253300 | 1,600.00 | ||
0 | EYE BIOMETRY | 90076-021 | 420148 | 390 | |||
CATARACT MEMBRANOUS- REMOVAL MEMBRANECTOMY OR CAPSULOTOMY OR BY LASER (YAG) | 42788-00[201] | 420051 | 4278800 | 1,200.00 | |||
CATARACT- REMOVAL, EXTRACAPSULAR BY | 42698-02[197] | 420052 | 4269802 | 4,400.00 |
EXCISION OF PTERYGIUM W/ GRAFT
2,800.00
EXCISION OF PTERYGIUM WITH AUTOGRAFT1
6,534.00
EXCISION OF PTERYGIUM WITH CORNEAL GRAFT1
6,534.00
EXCISION- TUMOR/ LESION- EYE ORBIT/ ADNEXA
2,800.00
EXENTERATIONORBITAL CONTENTS
12,000.00
EXOPHTHALMOMETRY
40
EXPLO/EXCISION ORBITAL TUMOUR
7,500.00
EXPLO/REPAIR ORBITAL FLOOR FRACTURE
7,500.00
EXPLORATION OF EYE CONTENTS,GA
1,600.00
EYE BIOMETRY
390
CATARACT MEMBRANOUS- REMOVAL MEMBRANECTOMY OR CAPSULOTOMY OR BY LASER (YAG)
1,200.00
CATARACT- REMOVAL, EXTRACAPSULAR BY
4,400.00
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