Medical Procedure Costs

27390

Incision of thigh tendon

Surgery - Musculoskeletal

$421

—

27391

Incision of thigh tendons

Surgery - Musculoskeletal

$552

—

27392

Incision of thigh tendons

Surgery - Musculoskeletal

$674

—

27393

Lengthening of thigh tendon

Surgery - Musculoskeletal

$477

—

27394

Lengthening of thigh tendons

Surgery - Musculoskeletal

$619

—

27395

Lengthening of thigh tendons

Surgery - Musculoskeletal

$822

—

27396

Transplant of thigh tendon

Surgery - Musculoskeletal

$589

—

27397

Transplants of thigh tendons

Surgery - Musculoskeletal

$856

—

27400

Revise thigh muscles/tendons

Surgery - Musculoskeletal

$659

—

27403

Repair of knee cartilage

Surgery - Musculoskeletal

$611

—

27405

Repair of knee ligament

Surgery - Musculoskeletal

$637

—

27407

Repair of knee ligament

Surgery - Musculoskeletal

$748

—

27409

Repair of knee ligaments

Surgery - Musculoskeletal

$896

—

27412

Autochondrocyte implant knee

Surgery - Musculoskeletal

$1,495

—

27415

Osteochondral knee allograft

Surgery - Musculoskeletal

$1,259

—

27416

Osteochondral knee autograft

Surgery - Musculoskeletal

$902

—

27418

Repair degenerated kneecap

Surgery - Musculoskeletal

$763

—

27420

Revision of unstable kneecap

Surgery - Musculoskeletal

$705

—

27422

Revision of unstable kneecap

Surgery - Musculoskeletal

$699

—

27424

Revision/removal of kneecap

Surgery - Musculoskeletal

$704

—

27425

Lat retinacular release open

Surgery - Musculoskeletal

$443

—

27427

Reconstruction knee

Surgery - Musculoskeletal

$663

—

27428

Reconstruction knee

Surgery - Musculoskeletal

$1,040

—

27429

Reconstruction knee

Surgery - Musculoskeletal

$1,172

—

27430

Revision of thigh muscles

Surgery - Musculoskeletal

$699

—

27435

Incision of knee joint

Surgery - Musculoskeletal

$761

—

27437

Revise kneecap

Surgery - Musculoskeletal

$625

—

27437005057

METHERGINE 0.2 MG TABLET

Prescription Drug - Brand

$60

—

27437005601

XOPENEX HFA 45 MCG INHALER

Prescription Drug - Brand

$5

—

27437006060

BROVANA 15 MCG/2 ML SOLUTION

Prescription Drug - Brand

$10

—

27437010601

ALINIA 100 MG/5 ML SUSPENSION

Prescription Drug - Brand

$8

—

27437010806

ANTARA 90 MG CAPSULE

Prescription Drug - Brand

$16

—

27437011006

ANTARA 130 MG CAPSULE

Prescription Drug - Brand

$6

—

27437020108

SUPRAX 400 MG TABLET

Prescription Drug - Brand

$17

—

27437020511

SUPRAX 200 MG TABLET CHEWABLE

Prescription Drug - Brand

$37

—

27437020603

SUPRAX 200 MG/5 ML SUSPENSION

Prescription Drug - Brand

$9

—

27437020808

SUPRAX 400 MG CAPSULE

Prescription Drug - Brand

$22

—

27438

Revise kneecap with implant

Surgery - Musculoskeletal

$782

—

27440

Revision of knee joint

Surgery - Musculoskeletal

$746

—

27441

Revision of knee joint

Surgery - Musculoskeletal

$769

—

27442

Revision of knee joint

Surgery - Musculoskeletal

$805

—

27443

Revision of knee joint

Surgery - Musculoskeletal

$762

—

27446

Revision of knee joint

Surgery - Musculoskeletal

$1,047

—

27447

Total knee arthroplasty

Surgery - Musculoskeletal

$1,159

—

27448

Incision of thigh

Surgery - Musculoskeletal

$763

—

27450

Incision of thigh

Surgery - Musculoskeletal

$929

—

27454

Realignment of thigh bone

Surgery - Musculoskeletal

$1,181

—

27455

Realignment of knee

Surgery - Musculoskeletal

$893

—

27457

Realignment of knee

Surgery - Musculoskeletal

$880

—

27458

Osteot femur imed lngth dev

Surgery - Musculoskeletal

$1,732

—

My Cost List