Medical Procedure Costs

45402

Lap proctopexy w/sig resect

Surgery - Digestive

$1,393

—

45500

Repair of rectum

Surgery - Digestive

$570

—

45505

Repair of rectum

Surgery - Digestive

$594

—

45520

Treatment of rectal prolapse

Surgery - Digestive

$38

—

45540

Correct rectal prolapse

Surgery - Digestive

$974

—

45541

Correct rectal prolapse

Surgery - Digestive

$891

—

45550

Repair rectum/remove sigmoid

Surgery - Digestive

$1,352

—

45560

Repair of rectocele

Surgery - Digestive

$634

—

45562

Exploration/repair of rectum

Surgery - Digestive

$1,123

—

45563

Exploration/repair of rectum

Surgery - Digestive

$1,570

—

45800

Repair rect/bladder fistula

Surgery - Digestive

$1,209

—

45802001405

HYDROCORTISONE 2.5% OINTMENT

Prescription Drug - Generic

$0

—

45802002146

BETAMETHASONE DP 0.05% LOT

Prescription Drug - Generic

$0

—

45802004064

SELENIUM SULFIDE 2.5% LOTION

Prescription Drug - Generic

$0

—

45802004201

CLINDESSE 2% VAGINAL CREAM

Prescription Drug - Brand

$27

—

45802004502

TRIAMCINOLONE 0.147 MG/G SPRAY

Prescription Drug - Generic

$3

—

45802004635

GENTAMICIN 0.1% OINTMENT

Prescription Drug - Generic

$1

—

45802004935

TRIAMCINOLONE 0.5% OINTMENT

Prescription Drug - Generic

$0

—

45802005436

TRIAMCINOLONE 0.025% OINT

Prescription Drug - Generic

$0

—

45802005635

GENTAMICIN 0.1% CREAM

Prescription Drug - Generic

$1

—

45802007830

BRIMONIDINE 0.33% GEL PUMP

Prescription Drug - Generic

$14

—

45802008765

ALOGLIPTIN 6.25 MG TABLET

Prescription Drug - Generic

$5

—

45802010196

BENZOYL PEROXIDE 2.5% GEL

Prescription Drug - Generic

$0

—

45802010365

ALOGLIPTIN 12.5 MG TABLET

Prescription Drug - Generic

$5

—

45802011859

MOMETASONE FUROATE 0.1% SOLN

Prescription Drug - Generic

$1

—

45802011942

MOMETASONE FUROATE 0.1% OINT

Prescription Drug - Generic

$0

—

45802012265

LORATADINE-D 12 HOUR TABLET

Prescription Drug - Generic

$1

—

45802012935

HALOBETASOL PROP 0.05% CREAM

Prescription Drug - Generic

$1

—

45802014167

CICLOPIROX 8% SOLUTION

Prescription Drug - Generic

$1

—

45802014370

TRIPLE ANTIBIOTIC OINTMENT PKT

Prescription Drug - Generic

$0

—

45802014464

HYDROCORT-PRAMOXINE 1%-1% CRM

Prescription Drug - Generic

$3

—

45802014762

CETIRIZINE-PSE ER 5-120 MG TAB

Prescription Drug - Generic

$1

—

45802015065

ALOGLIPTIN 25 MG TABLET

Prescription Drug - Generic

$5

—

45802016972

ALOGLIPTIN-METFORMIN 12.5-500

Prescription Drug - Generic

$2

—

45802017156

UREA 40% GEL

Prescription Drug - Generic

$1

—

45802017453

MUSCLE RUB CREAM

Prescription Drug - Generic

$0

—

45802021172

ALOGLIPTIN-METFORMIN 12.5-1000

Prescription Drug - Generic

$2

—

45802021696

BENZOYL PEROXIDE 5% GEL

Prescription Drug - Generic

$0

—

45802022137

FLUTICASONE PROP 0.005% OINT

Prescription Drug - Generic

$0

—

45802022237

FLUTICASONE PROP 0.05% CREAM

Prescription Drug - Generic

$0

—

45802023701

SALICYLIC ACID 6% SHAMPOO

Prescription Drug - Generic

$0

—

45802025742

MOMETASONE FUROATE 0.1% CREAM

Prescription Drug - Generic

$0

—

45802026937

PERMETHRIN 5% CREAM

Prescription Drug - Generic

$0

—

45802027603

ANTI-ITCH 1% OINTMENT

Prescription Drug - Generic

$0

—

45802028139

TESTOSTERONE 1.62%(1.25 G) PKT

Prescription Drug - Generic

$3

—

45802030896

BENZOYL PEROXIDE 10% GEL

Prescription Drug - Generic

$0

—

45802033894

HYDROQUINONE TR 4% CREAM

Prescription Drug - Generic

$2

—

45802035165

ALOGLIPTIN-PIOGLIT 25-15 MG TB

Prescription Drug - Generic

$6

—

45802035653

TROLAMINE SALICYLATE 10% CREAM

Prescription Drug - Generic

$0

—

45802035803

ITCH RELIEF 2%-0.1% CREAM

Prescription Drug - Generic

$0

—

My Cost List