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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | BIOPSY- LACRIMAL GLANDS | 30075-35[264] | 420028 | 3007535 | 2,000.00 | ||
1 | BIOPSY OF ORBITAL TUMOURS | 42533-01[224] | 420029 | 4253301 | Y | 5,250.00 | |
0 | BIOPSY- ORBITAL TUMOURS | 42533-01[224] | 420030 | 4253301 | 2,000.00 | ||
0 | BLEPHAROPLASTY (UNILATERAL) | 45625-001 | 420031 | 3,900.00 | |||
0 | BOTOX INJECTION FOR FACIAL BLEPHAROSPASM | 18360-00[1552] | 420032 | 1836000 | 2,800.00 | ||
EXCLUDING MATERIAL COST | |||||||
0 | BOTOX INJECTION FOR FACIAL WRINKLES EXCLUDING | 18360-00[1552] | 420033 | 1836000 | 3,200.00 | ||
MATERIAL COST | |||||||
0 | BOTOX INJECTION TO CORRECT SQUINT EXCLUDING MATERIAL COST | 18360-00[1552] | 420034 | 1836000 | 2,800.00 | ||
0 | CANALICULOPLASTY | 42605-001 | 420035 | 5,200.00 | |||
0 | CANTHOCYSTOSTOMY | 420036 | 9009100 | 2,800.00 | |||
0 | CANTHOPLASTY | 42590-011 | 420037 | 2,800.00 |
BIOPSY- LACRIMAL GLANDS
2,000.00
BIOPSY OF ORBITAL TUMOURS
5,250.00
BIOPSY- ORBITAL TUMOURS
2,000.00
BLEPHAROPLASTY (UNILATERAL)
3,900.00
BOTOX INJECTION FOR FACIAL BLEPHAROSPASM
2,800.00
EXCLUDING MATERIAL COST
BOTOX INJECTION FOR FACIAL WRINKLES EXCLUDING
3,200.00
MATERIAL COST
BOTOX INJECTION TO CORRECT SQUINT EXCLUDING MATERIAL COST
2,800.00
CANALICULOPLASTY
5,200.00
CANTHOCYSTOSTOMY
2,800.00
CANTHOPLASTY
2,800.00
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