Medical Procedure Costs

61692

Intracranial vessel surgery

Surgery - Nervous

$3,467

—

61697

Brain aneurysm repr complx

Surgery - Nervous

$4,004

—

61698

Brain aneurysm repr complx

Surgery - Nervous

$4,372

—

61700

Brain aneurysm repr simple

Surgery - Nervous

$3,211

—

61702

Inner skull vessel surgery

Surgery - Nervous

$3,818

—

61703

Clamp neck artery

Surgery - Nervous

$1,351

—

61703035038

METHOTREXATE 50 MG/2 ML VIAL

Prescription Drug - Generic

$3

—

61705

Revise circulation to head

Surgery - Nervous

$2,501

—

61708

Revise circulation to head

Surgery - Nervous

$2,450

—

61710

Revise circulation to head

Surgery - Nervous

$2,073

—

61711

Fusion of skull arteries

Surgery - Nervous

$2,495

—

61720

Incise skull/brain surgery

Surgery - Nervous

$1,263

—

61735

Incise skull/brain surgery

Surgery - Nervous

$1,571

—

61736

Litt icr 1 traj 1 smpl les

Surgery - Nervous

$1,142

—

61737

Litt icr mlt trj mlt/cplx ls

Surgery - Nervous

$1,350

—

61748009530

PYRIDOXINE 50 MG TABLET

Prescription Drug - Generic

$0

—

61748020260

ERYTHROMYCIN 2% PLEDGETS

Prescription Drug - Generic

$1

—

61748030113

MYORISAN 10 MG CAPSULE

Prescription Drug - Generic

$2

—

61748030213

MYORISAN 20 MG CAPSULE

Prescription Drug - Generic

$3

—

61748030313

MYORISAN 30 MG CAPSULE

Prescription Drug - Generic

$3

—

61748030413

MYORISAN 40 MG CAPSULE

Prescription Drug - Generic

$3

—

61748040102

LINDANE 1% LOTION

Prescription Drug - Generic

$2

—

61750

Incise skull/brain biopsy

Surgery - Nervous

$1,385

—

61751

Brain biopsy w/ct/mr guide

Surgery - Nervous

$1,386

—

61755002002

PRALUENT 75 MG/ML PEN

Prescription Drug - Brand

$258

—

61755002102

PRALUENT 150 MG/ML PEN

Prescription Drug - Brand

$258

—

61760

Implant brain electrodes

Surgery - Nervous

$1,554

—

61770

Incise skull for treatment

Surgery - Nervous

$1,585

—

61781

Scan proc cranial intra

Surgery - Nervous

$215

—

61782

Scan proc cranial extra

Surgery - Nervous

$144

—

61783

Scan proc spinal

Surgery - Nervous

$207

—

61790

Treat trigeminal nerve

Surgery - Nervous

$898

—

61791

Treat trigeminal tract

Surgery - Nervous

$1,127

—

61796

Srs cranial lesion simple

Surgery - Nervous

$1,013

—

61797

Srs cran les simple addl

Surgery - Nervous

$200

—

61798

Srs cranial lesion complex

Surgery - Nervous

$1,338

—

61799

Srs cran les complex addl

Surgery - Nervous

$276

—

61800

Apply srs headframe add-on

Surgery - Nervous

$146

—

61850

Implant neuroelectrodes

Surgery - Nervous

$990

—

61860

Implant neuroelectrodes

Surgery - Nervous

$1,531

—

61863

Implant neuroelectrode

Surgery - Nervous

$1,496

—

61864

Implant neuroelectrde addl

Surgery - Nervous

$259

—

61867

Implant neuroelectrode

Surgery - Nervous

$2,206

—

61868

Implant neuroelectrde addl

Surgery - Nervous

$456

—

61874007560

VIBERZI 75 MG TABLET

Prescription Drug - Brand

$28

—

61874010060

VIBERZI 100 MG TABLET

Prescription Drug - Brand

$28

—

61874011530

VRAYLAR 1.5 MG CAPSULE

Prescription Drug - Brand

$51

—

61874013030

VRAYLAR 3 MG CAPSULE

Prescription Drug - Brand

$51

—

61874014530

VRAYLAR 4.5 MG CAPSULE

Prescription Drug - Brand

$51

—

61874016030

VRAYLAR 6 MG CAPSULE

Prescription Drug - Brand

$51

—

My Cost List