Medical Procedure Costs

46930

Destroy internal hemorrhoids

Surgery - Digestive

$158

—

46940

Treatment of anal fissure

Surgery - Digestive

$137

—

46942

Treatment of anal fissure

Surgery - Digestive

$124

—

46945

Int hrhc lig 1 hroid w/o img

Surgery - Digestive

$350

—

46946

Int hrhc lig 2+hroid w/o img

Surgery - Digestive

$384

—

46947

Hemorrhoidopexy by stapling

Surgery - Digestive

$379

—

46948

Int hrhc tranal dartlzj 2+

Surgery - Digestive

$446

—

47000

Needle biopsy of liver perq

Surgery - Digestive

$76

—

47001

Ndl biopsy lvr tm oth maj px

Surgery - Digestive

$93

—

47010

Hepatot opn drg absc/cst 1/2

Surgery - Digestive

$1,143

—

47015

Lapt aspir&/njx hep prst cst

Surgery - Digestive

$1,104

—

47100

Wedge biopsy of liver

Surgery - Digestive

$815

—

47120

Partial removal of liver

Surgery - Digestive

$2,167

—

47122

Extensive removal of liver

Surgery - Digestive

$3,147

—

47125

Partial removal of liver

Surgery - Digestive

$2,826

—

47130

Partial removal of liver

Surgery - Digestive

$3,023

—

47135

Transplantation of liver

Surgery - Digestive

$5,039

—

47140

Partial removal donor liver

Surgery - Digestive

$3,345

—

47141

Partial removal donor liver

Surgery - Digestive

$3,985

—

47142

Partial removal donor liver

Surgery - Digestive

$4,376

—

47146

Prep donor liver/venous

Surgery - Digestive

$295

—

47147

Prep donor liver/arterial

Surgery - Digestive

$344

—

47300

Surgery for liver lesion

Surgery - Digestive

$1,073

—

47335000588

CARBIDOPA-LEVODOPA-ENTA 150 MG

Prescription Drug - Generic

$1

—

47335018788

CARBIDOPA-LEVO 25-100 MG ODT

Prescription Drug - Generic

$1

—

47335030688

METFORMIN HCL ER 1,000 MG TAB

Prescription Drug - Generic

$21

—

47335034383

CHILD CETIRIZINE 5 MG CHEW TAB

Prescription Drug - Generic

$2

—

47335034483

CHILD CETIRIZINE 10 MG CHEW TB

Prescription Drug - Generic

$2

—

47335048588

BICALUTAMIDE 50 MG TABLET

Prescription Drug - Generic

$0

—

47335050696

CEQUA 0.09% SOLUTION

Prescription Drug - Brand

$10

—

47335053188

TRAMADOL ER 100 MG TABLET

Prescription Drug - Generic

$2

—

47335053388

TRAMADOL ER 200 MG TABLET

Prescription Drug - Generic

$3

—

47335053783

TRAMADOL ER 300 MG TABLET

Prescription Drug - Generic

$4

—

47335061630

DRIZALMA SPRINKLE DR 20 MG CAP

Prescription Drug - Brand

$7

—

47335061730

DRIZALMA SPRINKLE DR 30 MG CAP

Prescription Drug - Brand

$7

—

47335061830

DRIZALMA SPRINKLE DR 40 MG CAP

Prescription Drug - Brand

$7

—

47335061930

DRIZALMA SPRINKLE DR 60 MG CAP

Prescription Drug - Brand

$7

—

47335066868

RISEDRONATE SODIUM 35 MG TAB

Prescription Drug - Generic

$2

—

47335066981

DILTIAZEM 24HR ER 120 MG CAP

Prescription Drug - Generic

$0

—

47335067081

DILTIAZEM 24HR ER 180 MG CAP

Prescription Drug - Generic

$0

—

47335067181

DILTIAZEM 24HR ER 240 MG CAP

Prescription Drug - Generic

$0

—

47335067281

DILTIAZEM 24HR ER 300 MG CAP

Prescription Drug - Generic

$0

—

47335067381

DILTIAZEM 24HR ER 360 MG CAP

Prescription Drug - Generic

$0

—

47335077991

AZELASTINE HCL 0.1% NASAL SPRY

Prescription Drug - Generic

$1

—

47335089080

TEMOZOLOMIDE 5 MG CAPSULE

Prescription Drug - Generic

$7

—

47335099002

GLATIRAMER 20 MG/ML SYRINGE

Prescription Drug - Generic

$44

—

47335099102

GLATIRAMER 40 MG/ML SYRINGE

Prescription Drug - Generic

$104

—

47335099436

WINLEVI 1% CREAM

Prescription Drug - Brand

$10

—

47350

Repair liver wound

Surgery - Digestive

$1,286

—

47360

Repair liver wound

Surgery - Digestive

$1,745

—

My Cost List