Description - DE Medical Assistance Program

65130 INSERT OCULAR IMPLANT 3 $655.82
65135 INSERT OCULAR IMPLANT 3 $667.17
65140 ATTACH OCULAR IMPLANT 3 $716.26
65150 REVISE OCULAR IMPLANT 3 $507.75
65155 REINSERT OCULAR IMPLANT 3 $764.53
65175 REMOVAL OF OCULAR IMPLANT 3 $580.88
65205 REMOVE FOREIGN BODY FROM EYE 3 $50.36
65210 REMOVE FOREIGN BODY FROM EYE 3 $61.77
65220 REMOVE FOREIGN BODY FROM EYE 3 $51.34
65222 REMOVE FOREIGN BODY FROM EYE 3 $68.19
65230 REMOVAL OF FOREIGN BODY, INTRAOCULA O $0.00
65235 REMOVE FOREIGN BODY FROM EYE 3 $626.45
65240 REMOVAL OF FOREIGN BODY, INTRAOCULA O $0.00
65245 REMOVAL OF FOREIGN BODY, INTRAOCULA O $0.00
65260 REMOVE FOREIGN BODY FROM EYE 3 $838.12
65265 REMOVE FOREIGN BODY FROM EYE 3 $980.64
65270 REPAIR OF EYE WOUND 3 $234.64
65272 REPAIR OF EYE WOUND 3 $305.90
65273 REPAIR OF EYE WOUND 3 $334.43
65275 REPAIR OF EYE WOUND 3 $498.47
65280 REPAIR OF EYE WOUND 3 $607.69
65285 REPAIR OF EYE WOUND 3 $938.50
65286 REPAIR OF EYE WOUND 3 $620.81
65290 REPAIR OF EYE SOCKET WOUND 3 $444.95
65300 DELIMITING KERATOTOMY O $0.00
65400 REMOVAL OF EYE LESION 3 $596.99
65410 BIOPSY OF CORNEA 3 $128.70
65420 REMOVAL OF EYE LESION 3 $453.04
65426 REMOVAL OF EYE LESION 3 $573.36
65430 CORNEAL SMEAR 3 $102.98
65435 CURETTE/TREAT CORNEA 3 $71.64
65436 CURETTE/TREAT CORNEA 3 $346.19
65450 TREATMENT OF CORNEAL LESION 3 $284.81
65600 REVISION OF CORNEA 3 $345.61
65710 CORNEAL TRANSPLANT 3 $985.86
65730 CORNEAL TRANSPLANT 3 $1,094.94
65750 CORNEAL TRANSPLANT 3 $1,103.42
65755 CORNEAL TRANSPLANT 3 $1,099.80
65756 CORNEAL TRNSPL, ENDOTHELIAL 3 $1,039.51
65757 PREP CORNEAL ENDO ALLOGRAFT 6 $0.00
65760 REVISION OF CORNEA 5 $0.00
65765 REVISION OF CORNEA 5 $0.00
65767 CORNEAL TISSUE TRANSPLANT 5 $0.00
65770 REVISE CORNEA WITH IMPLANT 3 $1,340.30
65771 RADIAL KERATOTOMY 5 $0.00
65772 CORRECTION OF ASTIGMATISM 3 $397.23
65775 CORRECTION OF ASTIGMATISM 3 $481.98
65780 OCULAR RECONST, TRANSPLANT 3 $787.10
65781 OCULAR RECONST, TRANSPLANT 3 $1,178.03