Medical Procedure Costs

43653

Laparoscopy gastrostomy

Surgery - Digestive

$565

—

43752

Nasal/orogastric w/tube plmt

Surgery - Digestive

$34

—

43753

Tx gastro intub w/asp

Surgery - Digestive

$20

—

43754

Dx gastr intub w/asp spec

Surgery - Digestive

$48

—

43755

Dx gastr intub w/asp specs

Surgery - Digestive

$55

—

43756

Dx duod intub w/asp spec

Surgery - Digestive

$47

—

43757

Dx duod intub w/asp specs

Surgery - Digestive

$70

—

43761

Reposition gastrostomy tube

Surgery - Digestive

$89

—

43762

Rplc gtube no revj trc

Surgery - Digestive

$34

—

43763

Rplc gtube revj gstrst trc

Surgery - Digestive

$83

—

43770

Lap place gastr adj device

Surgery - Digestive

$1,069

—

43771

Lap revise gastr adj device

Surgery - Digestive

$1,206

—

43772

Lap rmvl gastr adj device

Surgery - Digestive

$895

—

43773

Lap replace gastr adj device

Surgery - Digestive

$1,206

—

43774

Lap rmvl gastr adj all parts

Surgery - Digestive

$908

—

43775

Lap sleeve gastrectomy

Surgery - Digestive

$1,000

—

43800

Pyloroplasty

Surgery - Digestive

$871

—

43810

Gastroduodenostomy

Surgery - Digestive

$956

—

43820

Gastrojejunostomy wo vagotmy

Surgery - Digestive

$1,257

—

43825

Gastrojejunostomy w/vagotomy

Surgery - Digestive

$1,230

—

43830

Gstrst open wo constj tube

Surgery - Digestive

$676

—

43831

Gastrostomy open neonatal

Surgery - Digestive

$599

—

43832

Gstrst open w/constj tube

Surgery - Digestive

$986

—

43840

Gstrrphy sutr duol/gstr ulcr

Surgery - Digestive

$1,273

—

43843

Gstr rstcv oth/thn v-band

Surgery - Digestive

$1,206

—

43845

Gastroplasty duodenal switch

Surgery - Digestive

$1,827

—

43846

Gstr rstcv px shrt roux-en-y

Surgery - Digestive

$1,547

—

43847

Gstr rstcv px sm int rcnstj

Surgery - Digestive

$1,688

—

43848

Revj open gstr rstcv px

Surgery - Digestive

$1,792

—

43860

Revj gstr/jj anast w/o vgtmy

Surgery - Digestive

$1,516

—

43865

Revj gstr/jj anast w/vgtmy

Surgery - Digestive

$1,588

—

43870

Closure gastrostomy surgical

Surgery - Digestive

$674

—

43880

Closure gastrocolic fistula

Surgery - Digestive

$1,497

—

43886

Gstr rstcv px opn revj port

Surgery - Digestive

$373

—

43887

Gstr rstcv px opn rmvl port

Surgery - Digestive

$335

—

43888

Gstr rstcv px opn rmvl&rplc

Surgery - Digestive

$461

—

43889

Gstr rstcv px trnsorl esg

Surgery - Digestive

$720

—

44005

Freeing of bowel adhesion

Surgery - Digestive

$1,020

—

44010

Incision of small bowel

Surgery - Digestive

$783

—

44015

Insert needle cath bowel

Surgery - Digestive

$127

—

44020

Explore small intestine

Surgery - Digestive

$915

—

44021

Decompress small bowel

Surgery - Digestive

$909

—

44025

Incision of large bowel

Surgery - Digestive

$920

—

44050

Reduce bowel obstruction

Surgery - Digestive

$881

—

44055

Correct malrotation of bowel

Surgery - Digestive

$1,378

—

44087002203

REBIF 22 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,401

—

44087004403

REBIF 44 MCG/0.5 ML SYRINGE

Prescription Drug - Brand

$1,850

—

44087100502

SAIZEN 5 MG VIAL

Prescription Drug - Brand

$281

—

44087111501

GONAL-F RFF REDI-JECT 300 UNITS PEN

Prescription Drug - Brand

$1,867

—

44087111601

GONAL-F RFF REDI-JECT 450 UNIT PEN

Prescription Drug - Brand

$1,847

—

My Cost List