Medical Procedure Costs

60505082306

CALCITONIN-SALMON 200 UNIT SPR

Prescription Drug - Generic

$13

—

60505083305

AZELASTINE 137 MCG NASAL SPRAY

Prescription Drug - Generic

$1

—

60505095303

AZELASTIN-FLUTIC 137-50 MCG SPR

Prescription Drug - Generic

$2

—

60505131603

PAROXETINE CR 12.5 MG TABLET

Prescription Drug - Generic

$0

—

60505131703

PAROXETINE CR 25 MG TABLET

Prescription Drug - Generic

$0

—

60505131803

PAROXETINE CR 37.5 MG TABLET

Prescription Drug - Generic

$0

—

60505280507

CARBAMAZEPINE ER 100 MG CAP

Prescription Drug - Generic

$1

—

60505280607

CARBAMAZEPINE ER 200 MG CAP

Prescription Drug - Generic

$1

—

60505280707

CARBAMAZEPINE ER 300 MG CAP

Prescription Drug - Generic

$1

—

60505316500

RISEDRONATE SODIUM 35 MG TABLET

Prescription Drug - Generic

$2

—

60505325006

LAMIVUDINE HBV 100 MG TABLET

Prescription Drug - Generic

$9

—

60505394703

ADEFOVIR DIPIVOXIL 10 MG TAB

Prescription Drug - Generic

$22

—

60505412807

OXCARBAZEPINE ER 150 MG TABLET

Prescription Drug - Generic

$5

—

60505412907

OXCARBAZEPINE ER 300 MG TABLET

Prescription Drug - Generic

$7

—

60505413007

OXCARBAZEPINE ER 600 MG TABLET

Prescription Drug - Generic

$12

—

60505437703

PAXIL CR 12.5 MG TABLET

Prescription Drug - Brand

$10

—

60505437803

PAXIL CR 25 MG TABLET

Prescription Drug - Brand

$10

—

60505437903

PAXIL CR 37.5 MG TABLET

Prescription Drug - Brand

$10

—

60505451703

PAXIL 10 MG TABLET

Prescription Drug - Brand

$9

—

60505451803

PAXIL 20 MG TABLET

Prescription Drug - Brand

$10

—

60505451903

PAXIL 30 MG TABLET

Prescription Drug - Brand

$10

—

60505452003

PAXIL 40 MG TABLET

Prescription Drug - Brand

$10

—

60505463003

CYCLOSPORINE MODIFIED 25 MG

Prescription Drug - Generic

$0

—

60505463103

CYCLOSPORINE MODIFIED 50 MG

Prescription Drug - Generic

$1

—

60505471503

CARVEDILOL ER 40 MG CAPSULE

Prescription Drug - Generic

$6

—

60505483302

FIDAXOMICIN 200 MG TABLET

Prescription Drug - Generic

$194

—

60505612902

BUDESONIDE 32 MCG NASAL SPRAY

Prescription Drug - Generic

$1

—

60505614904

CEFTRIAXONE 2 GM VIAL

Prescription Drug - Generic

$3

—

60505615101

CEFTRIAXONE 250 MG VIAL

Prescription Drug - Generic

$1

—

60505615204

CEFTRIAXONE 500 MG VIAL

Prescription Drug - Generic

$2

—

60512

Autotransplant parathyroid

Surgery - Endocrine

$211

—

60520

Removal of thymus gland

Surgery - Endocrine

$983

—

60521

Removal of thymus gland

Surgery - Endocrine

$1,081

—

60522

Removal of thymus gland

Surgery - Endocrine

$1,300

—

60540

Explore adrenal gland

Surgery - Endocrine

$1,011

—

60545

Explore adrenal gland

Surgery - Endocrine

$1,174

—

60600

Remove carotid body lesion

Surgery - Endocrine

$1,224

—

60605

Remove carotid body lesion

Surgery - Endocrine

$1,500

—

60631004030

EDARBI 40 MG TABLET

Prescription Drug - Brand

$8

—

60631008030

EDARBI 80 MG TABLET

Prescription Drug - Brand

$9

—

60631041230

EDARBYCLOR 40-12.5 MG TABLET

Prescription Drug - Brand

$9

—

60631042530

EDARBYCLOR 40-25 MG TABLET

Prescription Drug - Brand

$8

—

60650

Laparoscopy adrenalectomy

Surgery - Endocrine

$1,104

—

60660

Abltj 1/+thyr ndul 1lobe prq

Surgery - Endocrine

$279

—

60661

Abltj 1/+thyr ndul addl prq

Surgery - Endocrine

$190

—

60687010521

MEDROXYPROGESTERONE 10 MG TAB

Prescription Drug - Generic

$0

—

60687012911

DOCUSATE SODIUM 100 MG SOFTGEL

Prescription Drug - Generic

$0

—

60687017695

ORGAN-I NR 200 MG TABLET

Prescription Drug - Generic

$0

—

60687021511

PROPRANOLOL ER 60 MG CAPSULE

Prescription Drug - Generic

$0

—

60687022611

PROPRANOLOL ER 80 MG CAPSULE

Prescription Drug - Generic

$0

—

My Cost List