| DESCRIPTION | NET | SENIOR/PWD |
| BIO/SM/CTOPO - BOTH EYES | 2,727.00 | 2,181.60 |
| BIO/SM/CTOPO - ONE EYE | 1,488.00 | 1,190.40 |
| BIOMETRY BOTH EYES | 1,240.00 | 992.00 |
| BIOMETRY PER EYE | 868.00 | 694.40 |
| CONTRAST SENSITIVITY TEST / EYE | 371.00 | 296.80 |
| CORNEAL CROSS LINKING - FACILITY FEE PER EYE | 35,135.00 | 28,103.00 |
| CORNEAL CROSS LINKING PER EYE | 70,271.00 | 56,216.80 |
| CORNEAL CROSS LINKING PER EYE | 70,271.00 | 56,216.80 |
| CORNEAL TOPOGRAPHY BOTH EYES | 932.00 | 745.60 |
| CORNEAL TOPOGRAPHY PER EYE | 497.00 | 397.00 |
| DRY EYE SCREENING (BASIC) | 1,892.00 | 1,513.60 |
| DRY EYE SCREENING (PACKAGE) | 3,785.00 | 3,028.00 |
| FEMTOSECOND KERATOPLASTY SINGLE | 29,514.00 | 23,611.20 |
| FLEX (FEMTOSECOND LENTICULE EXTRACTION) BOTH EYES | 105,404.00 | 84,323.20 |
| FLEX (FEMTOSECOND LENTICULE EXTRACTION) SINGLE EYE | 55,513.00 | 44,410.40 |
| FLEX FACILITY FEE BOTH EYES | 70,271.00 | 56,216.80 |
| FLEX FACILITY FEE PER EYE | 37,996.00 | 30,356.80 |
| IPLFORDRYEYE(MGD) | 12,617.00 | 10,093.60 |
| IPL FOR DRY EYE (MGD) PROCEDURE ONLY | 6,990.00 | 5,592.00 |
| LASIK - FEMTOSECOND BOTH EYES (HE) | 59,676.00 | 47,740.80 |
| LASIK “ FEMTOSECOND PER EYE (HE) | 29,838.00 | 23,870.40 |
| LASIK-FEMTOSECOND BOTH EYES | 75,000.00 | 60,000.00 |
| LASIK-FEMTOSECOND FACILITY FEE BOTH EYES | 52,000.00 | 41,600.00 |
| LASIK-FEMTOSECOND FACILITY FEE PER EYE | 36,400.00 | 29,120.00 |
| LASIK-FEMTOSECOND PER EYE | 47,900.00 | 38,320.00 |
| MINOR PROCEDURE USING SLITLAMP | 2,108.00 | 1,686.40 |
| PENTACAM BOTH EYES | 1,488.00 | 1,190.40 |
| PENTACAM PER EYE | 742.00 | 593.60 |
| PHOTO REFRACTIVE KERATECTOMY (PRK) BOTH EYE | 75,630.00 | 60,504.00 |
| PHOTO REFRACTIVE KERATECTOMY {PRK} PER EYE | 39,119.00 | 31,295.20 |
| PRK - BOTH EYES (SOLDIERS) | 32,425.00 | 25,940.00 |
| PRK FACILITY FEE / EYE | 22,168.00 | 17,734.40 |
| PRK FACILITY. FEE BOTH EYES | 41,727.00 | 33,381.60 |
| REFRACTIVE COMPLICATION | 10,412.00 | 8,329.60 |
| REFRACTIVE SCREENING | 5,206.00 | 4,164.80 |
| SMILE (SMALL INCISION LENTICULE EXTRACTION) BOTH EYES | 143,437.00 | 114,749.60 |
| SMILE {SMALL INCISION LENTICULE EXTRACTION) SINGLE EYE | 84,759.00 | 67,807.20 |
| SMILE FACILITY FEE BOTH EYES | 110,838.00 | 88,670.40 |
| SMILE FACILITY FEE PER EYE | 68,459.00 | 54,767.20 |
| SPECULAR MICROSCOPY BOTH EYES | 1,610.00 | 1,288.00 |
| SPECULAR MICROSCOPY PER EYE | 742.00 | 593.60 |
