Medical Procedure Costs

54838013940

DIABETIC SILTUSSIN-DM LIQUID

Prescription Drug - Generic

$0

—

54838014040

DIABETIC SILTUSSIN-DM MAX-STR

Prescription Drug - Generic

$0

—

54838014480

CHILDREN'S SILAPAP ELIXIR

Prescription Drug - Generic

$0

—

54838014515

SILAPAP INFANT'S DROPS

Prescription Drug - Generic

$0

—

54838020980

SILTUSSIN DM COUGH SYRUP

Prescription Drug - Generic

$0

—

54838050615

HYOSYNE 0.125 MG/ML DROP

Prescription Drug - Generic

$1

—

54838051080

OXYBUTYNIN 5 MG/5 ML SYRUP

Prescription Drug - Generic

$0

—

54838051180

HYOSYNE 125 MCG/5 ML ELIXIR

Prescription Drug - Generic

$0

—

54838051240

DOXEPIN 10 MG/ML ORAL CONC

Prescription Drug - Generic

$1

—

54838055440

LORATADINE HIVES 5 MG/5 ML

Prescription Drug - Generic

$0

—

54838055840

LORATADINE ALLERGY 5 MG/5 ML

Prescription Drug - Generic

$0

—

54840

Remove epididymis lesion

Surgery - Male Genital

$299

—

54859050504

TUSNEL DIABETIC LIQUID

Prescription Drug - Generic

$0

—

54859050704

TUSNEL-EX 100 MG/5 ML LIQUID

Prescription Drug - Generic

$0

—

54859052016

TUSNEL C SYRUP

Prescription Drug - Generic

$0

—

54859081116

ALLERGY RELIEF 12.5 MG/5 ML

Prescription Drug - Generic

$0

—

54859081316

DOCUSATE SODIUM 50 MG/5 ML LIQ

Prescription Drug - Generic

$0

—

54860

Removal of epididymis

Surgery - Male Genital

$388

—

54861

Removal of epididymis

Surgery - Male Genital

$520

—

54865

Explore epididymis

Surgery - Male Genital

$336

—

54900

Fusion of spermatic ducts

Surgery - Male Genital

$725

—

54901

Fusion of spermatic ducts

Surgery - Male Genital

$951

—

55000

Drainage of hydrocele

Surgery - Male Genital

$77

—

55040

Removal of hydrocele

Surgery - Male Genital

$315

—

55041

Removal of hydroceles

Surgery - Male Genital

$471

—

55060

Repair of hydrocele

Surgery - Male Genital

$354

—

55100

Drainage of scrotum abscess

Surgery - Male Genital

$164

—

55110

Explore scrotum

Surgery - Male Genital

$363

—

55111012960

RANITIDINE 150 MG CAPSULE

Prescription Drug - Generic

$0

—

55111013001

RANITIDINE 300 MG CAPSULE

Prescription Drug - Generic

$1

—

55111028448

FLUOXETINE DR 90 MG CAPSULE

Prescription Drug - Generic

$30

—

55111028960

NAPROXEN-ESOMEPRAZ DR 375-20 MG

Prescription Drug - Generic

$3

—

55111036031

DESLORATADINE 5 MG ODT

Prescription Drug - Generic

$5

—

55111039752

OMEPRAZOLE MAG DR 20.6 MG CAP

Prescription Drug - Generic

$0

—

55111044714

FEXOFENADINE-PSE ER 60-120 TAB

Prescription Drug - Generic

$0

—

55111055735

FEXOFENADINE-PSE ER 180-240 TB

Prescription Drug - Generic

$1

—

55111068205

IBU 400 MG TABLET

Prescription Drug - Generic

$0

—

55111068305

IBU 600 MG TABLET

Prescription Drug - Generic

$0

—

55111068405

IBU 800 MG TABLET

Prescription Drug - Generic

$0

—

55111070160

NAPROXEN-ESOMEPRAZ DR 500-20 MG

Prescription Drug - Generic

$2

—

55111079841

GUAIFENESIN-PSE ER 600-60 MG

Prescription Drug - Generic

$0

—

55111079924

GUAIFENESIN-PSE ER 1200-120 MG

Prescription Drug - Generic

$0

—

55120

Removal of scrotum lesion

Surgery - Male Genital

$331

—

55150

Removal of scrotum

Surgery - Male Genital

$456

—

55150016205

LIDOCAINE HCL 1% 50 MG/5 ML VIAL

Prescription Drug - Generic

$1

—

55150016330

LIDOCAINE HCL 1% 300 MG/30 ML

Prescription Drug - Generic

$0

—

55150025124

LIDOCAINE HCL 1% 100 MG/10 ML

Prescription Drug - Generic

$0

—

55175

Revision of scrotum

Surgery - Male Genital

$340

—

55180

Revision of scrotum

Surgery - Male Genital

$624

—

55200

Incision of sperm duct

Surgery - Male Genital

$258

—

My Cost List