Medical Procedure Costs

46287000601

SPS 15 GM/60 ML SUSPENSION

Prescription Drug - Generic

$0

—

46287000901

ISONIAZID 50 MG/5 ML SOLUTION

Prescription Drug - Generic

$0

—

46287001216

SODIUM POLYSTYRENE SULFONATE POWDER

Prescription Drug - Generic

$0

—

46287001401

ORACIT ORAL SOLUTION

Prescription Drug - Generic

$0

—

46287002004

CAROSPIR 25 MG/5 ML SUSPENSION

Prescription Drug - Brand

$4

—

46287003001

ATORVALIQ 20 MG/5 ML SUSP

Prescription Drug - Brand

$1

—

46287003515

NORLIQVA 1 MG/ML SOLUTION

Prescription Drug - Brand

$3

—

46287004515

TADLIQ 20 MG/5 ML SUSPENSION

Prescription Drug - Brand

$13

—

46288

Repair anal fistula

Surgery - Digestive

$552

—

46320

Removal of hemorrhoid clot

Surgery - Digestive

$108

—

46500

Injection into hemorrhoid(s)

Surgery - Digestive

$194

—

46505

Chemodenervation anal musc

Surgery - Digestive

$247

—

46600

Diagnostic anoscopy spx

Surgery - Digestive

$40

—

46601

Diagnostic anoscopy

Surgery - Digestive

$86

—

46604

Anoscopy and dilation

Surgery - Digestive

$62

—

46606

Anoscopy and biopsy

Surgery - Digestive

$71

—

46607

Diagnostic anoscopy & biopsy

Surgery - Digestive

$113

—

46608

Anoscopy remove for body

Surgery - Digestive

$82

—

46610

Anoscopy remove lesion

Surgery - Digestive

$76

—

46611

Anoscopy

Surgery - Digestive

$75

—

46612

Anoscopy remove lesions

Surgery - Digestive

$91

—

46614

Anoscopy control bleeding

Surgery - Digestive

$61

—

46615

Anoscopy

Surgery - Digestive

$84

—

46700

Repair of anal stricture

Surgery - Digestive

$640

—

46705

Repair of anal stricture

Surgery - Digestive

$577

—

46706

Repr of anal fistula w/glue

Surgery - Digestive

$178

—

46707

Repair anorectal fist w/plug

Surgery - Digestive

$513

—

46710

Repr per/vag pouch sngl proc

Surgery - Digestive

$1,068

—

46712

Repr per/vag pouch dbl proc

Surgery - Digestive

$2,077

—

46715

Rep perf anoper fistu

Surgery - Digestive

$554

—

46716

Rep perf anoper/vestib fistu

Surgery - Digestive

$1,215

—

46730

Construction of absent anus

Surgery - Digestive

$1,908

—

46735

Construction of absent anus

Surgery - Digestive

$2,177

—

46740

Construction of absent anus

Surgery - Digestive

$2,072

—

46742

Repair of imperforated anus

Surgery - Digestive

$2,375

—

46744

Repair of cloacal anomaly

Surgery - Digestive

$3,304

—

46746

Repair of cloacal anomaly

Surgery - Digestive

$3,629

—

46748

Repair of cloacal anomaly

Surgery - Digestive

$3,923

—

46750

Repair of anal sphincter

Surgery - Digestive

$687

—

46751

Repair of anal sphincter

Surgery - Digestive

$664

—

46753

Reconstruction of anus

Surgery - Digestive

$615

—

46754

Removal of suture from anus

Surgery - Digestive

$240

—

46760

Repair of anal sphincter

Surgery - Digestive

$1,049

—

46761

Repair of anal sphincter

Surgery - Digestive

$830

—

46900

Destruction anal lesion(s)

Surgery - Digestive

$132

—

46910

Destruction anal lesion(s)

Surgery - Digestive

$130

—

46916

Cryosurgery anal lesion(s)

Surgery - Digestive

$122

—

46917

Laser surgery anal lesions

Surgery - Digestive

$121

—

46922

Excision of anal lesion(s)

Surgery - Digestive

$134

—

46924

Destruction anal lesion(s)

Surgery - Digestive

$172

—

My Cost List