Medical Procedure Costs

35573032260

RELHIST DMX 15-380-10 MG TAB

Prescription Drug - Generic

$1

—

35573032460

RELHIST BP 4-10 MG TABLET

Prescription Drug - Generic

$1

—

35573043451

SODIUM FLUORIDE 5000 PPM CREAM

Prescription Drug - Generic

$0

—

35573045391

BENZOYL PEROXIDE 5% WASH

Prescription Drug - Generic

$0

—

35573045491

BENZOYL PEROXIDE 10% WASH

Prescription Drug - Generic

$0

—

35573047030

MILOPHENE 50 MG TAB

Prescription Drug - Generic

$7

—

35583

Vein byp grft fem-popliteal

Surgery - Cardiovascular

$1,302

—

35585

Vein byp fem-tibial peroneal

Surgery - Cardiovascular

$1,508

—

35587

Vein byp pop-tibl peroneal

Surgery - Cardiovascular

$1,212

—

35600

Open hrv uxtr art 1 sgm cab

Surgery - Cardiovascular

$169

—

35601

Bpg com crtd-ipsi int crtd

Surgery - Cardiovascular

$1,269

—

35602

Bpg crtd-clat crtd

Surgery - Cardiovascular

$1,156

—

35606

Bpg carotid-subclavian

Surgery - Cardiovascular

$1,065

—

35612

Bpg subclavian-subclavian

Surgery - Cardiovascular

$953

—

35616

Bpg subclavian-axillary

Surgery - Cardiovascular

$1,003

—

35621

Bpg axillary-femoral

Surgery - Cardiovascular

$990

—

35623

Bpg axillary-pop/-tibial

Surgery - Cardiovascular

$1,196

—

35626

Bpg aor-subcla/innom/carotid

Surgery - Cardiovascular

$1,481

—

35631

Bpg aor-celiac-msn-renal

Surgery - Cardiovascular

$1,674

—

35632

Bpg ilio-celiac

Surgery - Cardiovascular

$1,641

—

35633

Bpg ilio-mesenteric

Surgery - Cardiovascular

$1,802

—

35634

Bpg iliorenal

Surgery - Cardiovascular

$1,606

—

35636

Bpg splenorenal

Surgery - Cardiovascular

$1,450

—

35637

Bpg aortoiliac

Surgery - Cardiovascular

$1,508

—

35638

Bpg aortobi-iliac

Surgery - Cardiovascular

$1,581

—

35642

Bpg carotid-vertebral

Surgery - Cardiovascular

$905

—

35645

Bpg subclavian-vertebral

Surgery - Cardiovascular

$864

—

35646

Bpg aortobifemoral

Surgery - Cardiovascular

$1,543

—

35647

Bpg aortofemoral

Surgery - Cardiovascular

$1,359

—

35650

Bpg axillary-axillary

Surgery - Cardiovascular

$931

—

35654

Bpg axillary-femoral-femoral

Surgery - Cardiovascular

$1,237

—

35656

Bpg femoral-popliteal

Surgery - Cardiovascular

$972

—

35661

Bpg femoral-femoral

Surgery - Cardiovascular

$982

—

35663

Bpg ilioiliac

Surgery - Cardiovascular

$1,110

—

35665

Bpg iliofemoral

Surgery - Cardiovascular

$1,066

—

35666

Bpg fem-ant tib pst tib/prnl

Surgery - Cardiovascular

$1,168

—

35671

Bpg pop-tibl/-prnl artery

Surgery - Cardiovascular

$1,029

—

35681

Composite byp grft pros&vein

Surgery - Cardiovascular

$72

—

35682

Composite byp grft 2 veins

Surgery - Cardiovascular

$315

—

35683

Composite byp grft 3/> segmt

Surgery - Cardiovascular

$369

—

35685

Bypass graft patency/patch

Surgery - Cardiovascular

$179

—

35686

Bypass graft/av fist patency

Surgery - Cardiovascular

$145

—

35691

Art trnsposj vertbrl carotid

Surgery - Cardiovascular

$863

—

35693

Art trnsposj subclavian

Surgery - Cardiovascular

$768

—

35694

Art trnsposj subclav carotid

Surgery - Cardiovascular

$901

—

35695

Art trnsposj carotid subclav

Surgery - Cardiovascular

$935

—

35697

Reimplant artery each

Surgery - Cardiovascular

$132

—

35700

Reoperation bypass graft

Surgery - Cardiovascular

$137

—

35701

Expl n/flwd surg neck art

Surgery - Cardiovascular

$383

—

35702

Expl n/flwd surg uxtr art

Surgery - Cardiovascular

$372

—

My Cost List