Medical Procedure Costs

44605

Repair of bowel lesion

Surgery - Digestive

$1,218

—

44615

Intestinal stricturoplasty

Surgery - Digestive

$995

—

44620

Repair bowel opening

Surgery - Digestive

$804

—

44625

Repair bowel opening

Surgery - Digestive

$934

—

44626

Repair bowel opening

Surgery - Digestive

$1,456

—

44640

Repair bowel-skin fistula

Surgery - Digestive

$1,284

—

44650

Repair bowel fistula

Surgery - Digestive

$1,323

—

44660

Repair bowel-bladder fistula

Surgery - Digestive

$1,216

—

44661

Repair bowel-bladder fistula

Surgery - Digestive

$1,414

—

44680

Surgical revision intestine

Surgery - Digestive

$1,009

—

44700

Suspend bowel w/prosthesis

Surgery - Digestive

$917

—

44701

Intraop colon lavage add-on

Surgery - Digestive

$152

—

44720

Prep donor intestine/venous

Surgery - Digestive

$246

—

44721

Prep donor intestine/artery

Surgery - Digestive

$344

—

44800

Excision of bowel pouch

Surgery - Digestive

$740

—

44820

Excision of mesentery lesion

Surgery - Digestive

$808

—

44850

Repair of mesentery

Surgery - Digestive

$709

—

44900

I&d appendix abscess open

Surgery - Digestive

$744

—

44946100803

LUDENT FLUORIDE 0.25 MG TB CHW

Prescription Drug - Generic

$0

—

44946100909

LUDENT FLUORIDE 0.5 MG TB CHEW

Prescription Drug - Generic

$0

—

44946101003

LUDENT FLUORIDE 1 MG TAB CHEW

Prescription Drug - Generic

$0

—

44946102005

MVC-FLUORIDE 0.25 MG TAB CHEW

Prescription Drug - Generic

$0

—

44946102105

MVC-FLUORIDE 0.5 MG TAB CHEW

Prescription Drug - Generic

$0

—

44946102205

MVC-FLUORIDE 1 MG TAB CHEW

Prescription Drug - Generic

$0

—

44946103608

TRI-VIT-FLUOR 0.5 MG/ML DROP

Prescription Drug - Generic

$0

—

44946104105

PRENATA CHEWABLE TABLET

Prescription Drug - Generic

$0

—

44946104501

PNV PRENATAL PLUS MULTIVIT TAB

Prescription Drug - Generic

$0

—

44946105008

NEUTRAL SODIUM FLUORIDE

Prescription Drug - Generic

$0

—

44950

Appendectomy

Surgery - Digestive

$606

—

44955

Appendectomy add-on

Surgery - Digestive

$75

—

44960

Appendectomy

Surgery - Digestive

$825

—

44970

Laparoscopy appendectomy

Surgery - Digestive

$578

—

45000

Drainage of pelvic abscess

Surgery - Digestive

$413

—

45005

Drainage of rectal abscess

Surgery - Digestive

$174

—

45020

Drainage of rectal abscess

Surgery - Digestive

$552

—

45100

Biopsy of rectum

Surgery - Digestive

$302

—

45108

Anorectal myomectomy

Surgery - Digestive

$373

—

45110

Removal of rectum

Surgery - Digestive

$1,672

—

45111

Partial removal of rectum

Surgery - Digestive

$1,011

—

45112

Removal of rectum

Surgery - Digestive

$1,641

—

45113

Partial proctectomy

Surgery - Digestive

$1,695

—

45114

Partial removal of rectum

Surgery - Digestive

$1,688

—

45116

Partial removal of rectum

Surgery - Digestive

$1,407

—

45119

Remove rectum w/reservoir

Surgery - Digestive

$1,707

—

45120

Removal of rectum

Surgery - Digestive

$1,498

—

45121

Removal of rectum and colon

Surgery - Digestive

$1,630

—

45123

Partial proctectomy

Surgery - Digestive

$1,033

—

45126

Pelvic exenteration

Surgery - Digestive

$2,483

—

45130

Excision of rectal prolapse

Surgery - Digestive

$1,005

—

45135

Excision of rectal prolapse

Surgery - Digestive

$1,196

—

My Cost List