Medical Procedure Costs

60258016001

RENA-VITE TABLET

Prescription Drug - Generic

$0

—

60258016101

RENA-VITE RX TABLET

Prescription Drug - Generic

$0

—

60258016201

RENAL CAPS SOFTGEL

Prescription Drug - Generic

$0

—

60258017201

MAG-G 500 MG TABLET

Prescription Drug - Generic

$0

—

60258018301

PRENAPLUS TABLET

Prescription Drug - Generic

$0

—

60258018501

POLY-IRON 150 MG CAPSULE

Prescription Drug - Generic

$0

—

60258018601

POLY-IRON 150 FORTE CAPSULE

Prescription Drug - Generic

$0

—

60258018901

FERROGELS FORTE SOFTGEL

Prescription Drug - Generic

$0

—

60258019309

PRENATABS RX TABLET

Prescription Drug - Generic

$0

—

60258020130

HIST-PSE SOLUTION

Prescription Drug - Generic

$1

—

60258052016

CORFEN-DM LIQUID

Prescription Drug - Generic

$0

—

60258080116

HYOSCYAMINE 125 MCG/5 ML ELIX

Prescription Drug - Generic

$0

—

60258095001

SENNA LAXATIVE 8.6 MG TAB

Prescription Drug - Generic

$0

—

60258095106

SENNA-S TABLET

Prescription Drug - Generic

$0

—

60260

Repeat thyroid surgery

Surgery - Endocrine

$970

—

60270

Removal of thyroid

Surgery - Endocrine

$1,229

—

60271

Removal of thyroid

Surgery - Endocrine

$946

—

60280

Remove thyroid duct lesion

Surgery - Endocrine

$410

—

60281

Remove thyroid duct lesion

Surgery - Endocrine

$525

—

60300

Aspir/inj thyroid cyst

Surgery - Endocrine

$42

—

60432006575

AMOX TR-K CLV 250-62.5/5 SUSP

Prescription Drug - Generic

$1

—

60432009316

AMANTADINE 50 MG/5 ML SYRUP

Prescription Drug - Generic

$0

—

60432024516

ACETAMINOPHEN-CODEINE SOLUTION

Prescription Drug - Generic

$0

—

60432060416

PROMETHAZINE-DM SYRUP

Prescription Drug - Generic

$0

—

60432060616

PROMETHAZINE-CODEINE SYRUP

Prescription Drug - Generic

$0

—

60432062216

METOCLOPRAMIDE 5 MG/5 ML SYRUP

Prescription Drug - Generic

$0

—

60432083460

LINDANE 1% SHAMPOO

Prescription Drug - Generic

$2

—

60432083704

BROMFED DM 2-30-10 MG/5 ML SYR

Prescription Drug - Generic

$0

—

60500

Explore parathyroid glands

Surgery - Endocrine

$891

—

60502

Re-explore parathyroids

Surgery - Endocrine

$1,203

—

60505

Explore parathyroid glands

Surgery - Endocrine

$1,200

—

60505000704

DILT-CD 120 MG CAPSULE

Prescription Drug - Generic

$0

—

60505000808

DILT-CD 180 MG CAPSULE

Prescription Drug - Generic

$0

—

60505000904

DILT-CD 240 MG CAPSULE

Prescription Drug - Generic

$0

—

60505001008

DILT-CD ER 300 MG CAPSULE

Prescription Drug - Generic

$1

—

60505001408

DILT XR 120 MG CAPSULE

Prescription Drug - Generic

$0

—

60505001508

DILT XR 180 MG CAPSULE

Prescription Drug - Generic

$0

—

60505001608

DILT XR 240 MG CAPSULE

Prescription Drug - Generic

$1

—

60505002707

TICLOPIDINE 250 MG TABLET

Prescription Drug - Generic

$1

—

60505021009

DILTZAC ER 120 MG CAPSULE

Prescription Drug - Generic

$0

—

60505021103

DILTZAC ER 180 MG CAPSULE

Prescription Drug - Generic

$0

—

60505021209

DILTZAC ER 240 MG CAPSULE

Prescription Drug - Generic

$1

—

60505021303

DILTZAC ER 300 MG CAPSULE

Prescription Drug - Generic

$1

—

60505021403

DILTZAC ER 360 MG CAPSULE

Prescription Drug - Generic

$1

—

60505035401

CYCLOSPORINE 100 MG/ML SOLN

Prescription Drug - Generic

$3

—

60505039905

DICLOFENAC SODIUM 1.5% SOLN

Prescription Drug - Generic

$1

—

60505040205

PAXIL 10 MG/5 ML SUSPENSION

Prescription Drug - Brand

$2

—

60505056000

OFLOXACIN 0.3% EYE DROP

Prescription Drug - Generic

$2

—

60505081301

BUTORPHANOL 10 MG/ML SPRAY

Prescription Drug - Generic

$15

—

60505081500

DESMOPRESSIN 0.1 MG/ML SPRAY

Prescription Drug - Generic

$18

—

My Cost List