Medical Procedure Costs

37205075021

ARTHRITIS 10% CREAM

Prescription Drug - Generic

$0

—

37205075971

PAIN RELIEVER PM CAPLET

Prescription Drug - Generic

$0

—

37205082762

ALLERGY D-12 TABLET

Prescription Drug - Generic

$1

—

37205082862

PAIN RELIEF COLD CAPLET

Prescription Drug - Generic

$0

—

37205087471

CHEST CONGESTION RELIEF PE

Prescription Drug - Generic

$0

—

37205094199

ATHLETE'S FOOT AF 1% CREAM

Prescription Drug - Generic

$0

—

37205096926

CHILDREN COLD & COUGH DM ELIXI

Prescription Drug - Generic

$0

—

37205098071

PAIN RELIEVER 500 MG GELCAP

Prescription Drug - Generic

$0

—

37205099866

MICONAZOLE 2% SPRAY POWDER

Prescription Drug - Generic

$0

—

37211

Thrombolytic art therapy

Surgery - Cardiovascular

$338

—

37212

Thrombolytic venous therapy

Surgery - Cardiovascular

$295

—

37213

Thromblytic art/ven therapy

Surgery - Cardiovascular

$202

—

37214

Cessj therapy cath removal

Surgery - Cardiovascular

$107

—

37215

Transcath stent cca w/eps

Surgery - Cardiovascular

$889

—

37217

Stent placemt retro carotid

Surgery - Cardiovascular

$979

—

37218

Stent placemt ante carotid

Surgery - Cardiovascular

$742

—

37236

Open/perq place stent 1st

Surgery - Cardiovascular

$390

—

37237

Open/perq place stent ea add

Surgery - Cardiovascular

$188

—

37238

Open/perq place stent same

Surgery - Cardiovascular

$271

—

37239

Open/perq place stent ea add

Surgery - Cardiovascular

$132

—

37241

Vasc embolize/occlude venous

Surgery - Cardiovascular

$371

—

37242

Vasc embolize/occlude artery

Surgery - Cardiovascular

$414

—

37243

Vasc embolize/occlude organ

Surgery - Cardiovascular

$482

—

37244

Vasc embolize/occlude bleed

Surgery - Cardiovascular

$566

—

37246

Trluml balo angiop 1st art

Surgery - Cardiovascular

$308

—

37247

Trluml balo angiop addl art

Surgery - Cardiovascular

$152

—

37248

Trluml balo angiop 1st vein

Surgery - Cardiovascular

$260

—

37249

Trluml balo angiop addl vein

Surgery - Cardiovascular

$128

—

37252

Intrvasc us noncoronary 1st

Surgery - Cardiovascular

$79

—

37253

Intrvasc us noncoronary addl

Surgery - Cardiovascular

$62

—

37254

Revsc evasc ivt angio sf 1st

Surgery - Cardiovascular

$336

—

37255

Revsc evasc ivt angio sf ea

Surgery - Cardiovascular

$136

—

37256

Revsc evasc ivt angio cplx 1

Surgery - Cardiovascular

$492

—

37257

Revsc evsc ivt angio cplx ea

Surgery - Cardiovascular

$176

—

37258

Revsc evasc ivt stent sf 1st

Surgery - Cardiovascular

$401

—

37259

Revsc evasc ivt stent sf ea

Surgery - Cardiovascular

$181

—

37260

Revsc evasc ivt st cplx 1st

Surgery - Cardiovascular

$580

—

37261

Revsc evasc ivt st cplx ea

Surgery - Cardiovascular

$193

—

37262

Iv lithotrp ivt w/in sm art

Surgery - Cardiovascular

$136

—

37263

Revsc evasc fpvt angio sf 1

Surgery - Cardiovascular

$356

—

37264

Revsc evasc fpvt angio sf ea

Surgery - Cardiovascular

$136

—

37265

Revsc evsc fpvt angio cplx 1

Surgery - Cardiovascular

$482

—

37266

Rvsc evsc fpvt angio cplx ea

Surgery - Cardiovascular

$181

—

37267

Revsc evsc fpvt stent sf 1st

Surgery - Cardiovascular

$401

—

37268

Revsc evasc fpvt stent sf ea

Surgery - Cardiovascular

$170

—

37269

Revsc evasc fpvt st cplx 1st

Surgery - Cardiovascular

$675

—

37270

Revsc evasc fpvt st cplx ea

Surgery - Cardiovascular

$228

—

37271

Revsc evsc fpvt athrc sf 1st

Surgery - Cardiovascular

$412

—

37272

Revsc evsc fpvt athrc sf ea

Surgery - Cardiovascular

$181

—

37273

Revsc evsc fpvt athrc cplx 1

Surgery - Cardiovascular

$576

—

My Cost List