| 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 |
