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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DACRYOCYSTORHINOSTOMY | 42623-001 | 420089 | 4,500.00 | |||
0 | DACRYOCYSTORHINOSTOMY (DCR) | 42623-00[247] | 420090 | 4262300 | 3,600.00 | ||
0 | DACRYOCYSTOSTOMY | 42623-001 | 420091 | 2,400.00 | |||
0 | DESTRUCTION- EXTENSIVE RETINOPATHY (DIABETIC | 42809-00[211] | 420092 | 4280900 | 1,200.00 | ||
RETINOPATHY) BY LASER/ CRYOTHERAPY/ DIATHERMY | |||||||
0 | DESTRUCTION- LESION OF RETINA (TUMOR) | 42809-00[211] | 420093 | 4280900 | 1,200.00 | ||
0 | DESTRUCTION OF CILIARY BODY/ CYST OR LESION IN IRIS OR CILIARY BODY BY CYCLODIALYSIS AND OTHER DIATHERMY, CRYOTHERAPY, CYCLO/ OLIOTO COAGULATION | 42770-00[191] | 420094 | 4277000 | 2,800.00 | ||
0 | DILATATION OF LACRIMAL PUNCTUM | 42615-01[241] | 420095 | 4261501 | 120 | ||
3 | E.C.C.E. WITH CORNEAL GRAFT1 | 98-04[199]90064-00[ | 420096 | 4269804 | Y | 8,514.00 | |
0 | ECCE | 42698-011 | 420097 | 2,800.00 | |||
0 | ECCE + IOL EXCLUDING IMPLANT | 42698-011 | 420098 | 4,500.00 | |||
0 | ECTROPION CORRECTION | 45626-001 | 420099 | 2,000.00 |
DACRYOCYSTORHINOSTOMY
4,500.00
DACRYOCYSTORHINOSTOMY (DCR)
3,600.00
DACRYOCYSTOSTOMY
2,400.00
DESTRUCTION- EXTENSIVE RETINOPATHY (DIABETIC
1,200.00
RETINOPATHY) BY LASER/ CRYOTHERAPY/ DIATHERMY
DESTRUCTION- LESION OF RETINA (TUMOR)
1,200.00
DESTRUCTION OF CILIARY BODY/ CYST OR LESION IN IRIS OR CILIARY BODY BY CYCLODIALYSIS AND OTHER DIATHERMY, CRYOTHERAPY, CYCLO/ OLIOTO COAGULATION
2,800.00
DILATATION OF LACRIMAL PUNCTUM
120
E.C.C.E. WITH CORNEAL GRAFT1
8,514.00
ECCE
2,800.00
ECCE + IOL EXCLUDING IMPLANT
4,500.00
ECTROPION CORRECTION
2,000.00
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