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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CORNEAL SUTURE REMOVAL | 42668-001 | 420078 | 260 | |||
4 | CORNEAL TELESCOPE | 420079 | 92025 | Y | 3,000.00 | ||
0 | CORNEAL ULCER BIOPSY | 42692-011 | 420080 | 390 | |||
0 | CORNEAL WOUND REPAIR-GA | 42632-001 | 420081 | 2,200.00 | |||
0 | CORRECTION - SQUINT EYE- STRABISMUS SURGERY | 42848-00[216] | 420082 | 4284800 | 2,000.00 | ||
(RECESSION OR RESECTION) | |||||||
0 | CROSS LINKING | 420083 | 86077 | 5,000.00 | |||
0 | CYCLOCRYOPEXY | 90067-001 | 420084 | 2,400.00 | |||
0 | CYCLODIALYSIS | 42770-00[191] | 420085 | 4277000 | 2,800.00 | ||
3 | CYSTORRAPHY | 37004-02[1108] | 420086 | 3680302 | Y | 18,000.00 | |
0 | DACRYOADENECTOMY | 42623-001 | 420087 | 5,700.00 | |||
0 | DACRYOCYSTECTOMY | 42623-001 | 420088 | 3,200.00 |
CORNEAL SUTURE REMOVAL
260
CORNEAL TELESCOPE
3,000.00
CORNEAL ULCER BIOPSY
390
CORNEAL WOUND REPAIR-GA
2,200.00
CORRECTION - SQUINT EYE- STRABISMUS SURGERY
2,000.00
(RECESSION OR RESECTION)
CROSS LINKING
5,000.00
CYCLOCRYOPEXY
2,400.00
CYCLODIALYSIS
2,800.00
CYSTORRAPHY
18,000.00
DACRYOADENECTOMY
5,700.00
DACRYOCYSTECTOMY
3,200.00
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