Medical Procedure Costs

37000041001

VICKS QLEARQUIL 0.05% MIST

Prescription Drug - Brand

$0

—

37000045904

PRILOSEC OTC 20.6 MG TABLET

Prescription Drug - Brand

$1

—

37000047603

PEPTO-BISMOL CAPLET

Prescription Drug - Brand

$0

—

37000049024

CHILDREN PEPTO 400 MG TAB CHEW

Prescription Drug - Generic

$0

—

37000049640

VICKS NATURE FUSION CAPLETS

Prescription Drug - Brand

$0

—

37000049908

VICKS NATURE FUSION LIQUID

Prescription Drug - Brand

$0

—

37000050012

ZZZQUIL 50 MG/30 ML LIQUID

Prescription Drug - Brand

$0

—

37000050148

ZZZQUIL 25 MG LIQUICAP

Prescription Drug - Brand

$0

—

37000052208

VICKS VAPOSTEAM LIQUID

Prescription Drug - Brand

$0

—

37000054406

VICKS VAPORUB OINTMENT

Prescription Drug - Brand

$0

—

37000055008

VICKS NYQUIL COUGH LIQUID

Prescription Drug - Brand

$0

—

37000055512

VICKS DAYQUIL LIQUID

Prescription Drug - Brand

$0

—

37000055608

VICKS CHILDREN'S NYQUIL LIQUID

Prescription Drug - Brand

$0

—

37000055716

VICKS NYQUIL LIQUICAPS

Prescription Drug - Brand

$0

—

37000055808

VICKS DAYQUIL LIQUICAPS

Prescription Drug - Brand

$0

—

37000056512

VICKS DAYQUIL COUGH LIQUID

Prescription Drug - Brand

$0

—

37000058723

METAMUCIL MULTIHEALTH POWDER

Prescription Drug - Brand

$0

—

37000065308

PEPTO-BISMOL MAX STR SUSP

Prescription Drug - Brand

$0

—

37000067920

VICKS VAPODROPS 1.7 MG LOZENGE

Prescription Drug - Brand

$1

—

37000068020

VICKS VAPODROPS 3.3 MG LOZENGE

Prescription Drug - Brand

$1

—

37000069012

VICKS DAYQUIL MUCUS CONTROL LQ

Prescription Drug - Brand

$0

—

37000080101

VICKS SINEX 12 HOUR MIST

Prescription Drug - Brand

$0

—

37000080301

VICKS SINEX 12 HOUR SPRAY

Prescription Drug - Brand

$0

—

37000080524

VICKS DAYQUIL SINEX LIQUICAPS

Prescription Drug - Brand

$0

—

37000080624

VICKS NYQUIL SINEX LIQUICAPS

Prescription Drug - Brand

$0

—

37000080708

VICKS NYQUIL COLD & FLU LIQUID

Prescription Drug - Brand

$0

—

37000081008

VICKS DAYQUIL SEVERE COLD-FLU

Prescription Drug - Brand

$0

—

37000081212

VICKS NYQUIL SEVERE COLD-FLU

Prescription Drug - Brand

$0

—

37140

Revision of circulation

Surgery - Cardiovascular

$2,138

—

37145

Revision of circulation

Surgery - Cardiovascular

$1,986

—

37160

Revision of circulation

Surgery - Cardiovascular

$2,039

—

37180

Revision of circulation

Surgery - Cardiovascular

$1,961

—

37181

Splice spleen/kidney veins

Surgery - Cardiovascular

$2,138

—

37182

Insert hepatic shunt (tips)

Surgery - Cardiovascular

$701

—

37183

Revision tips

Surgery - Cardiovascular

$322

—

37184

Prim art m-thrmbc 1st vsl

Surgery - Cardiovascular

$376

—

37185

Prim art m-thrmbc sbsq vsl

Surgery - Cardiovascular

$141

—

37186

Sec art thrombectomy add-on

Surgery - Cardiovascular

$218

—

37187

Venous mech thrombectomy

Surgery - Cardiovascular

$346

—

37188

Ven mechnl thrmbc repeat tx

Surgery - Cardiovascular

$251

—

37191

Ins endovas vena cava filtr

Surgery - Cardiovascular

$191

—

37192

Redo endovas vena cava filtr

Surgery - Cardiovascular

$311

—

37193

Rem endovas vena cava filter

Surgery - Cardiovascular

$302

—

37197

Remove intrvas foreign body

Surgery - Cardiovascular

$265

—

37200

Transcatheter biopsy

Surgery - Cardiovascular

$185

—

37205006710

NASAL SPRAY X-MOIST

Prescription Drug - Generic

$0

—

37205011762

ALLERGY RELIEF ER 12 MG TABLET

Prescription Drug - Generic

$0

—

37205011910

SIMETHICONE 40 MG/0.6 ML DROP

Prescription Drug - Generic

$0

—

37205012064

SLEEP-AID 50 MG SOFTGEL

Prescription Drug - Generic

$0

—

37205019462

RESTFULLY SLEEP 25 MG CAPLET

Prescription Drug - Generic

$0

—

My Cost List