Medical Procedure Costs

63252

Revise spine cord vsl thrlmb

Surgery - Nervous

$2,904

—

63265

Excise intraspinl lesion crv

Surgery - Nervous

$1,614

—

63266

Excise intrspinl lesion thrc

Surgery - Nervous

$1,658

—

63267

Excise intrspinl lesion lmbr

Surgery - Nervous

$1,323

—

63268

Excise intrspinl lesion scrl

Surgery - Nervous

$1,458

—

63270

Excise intrspinl lesion crvl

Surgery - Nervous

$2,023

—

63271

Excise intrspinl lesion thrc

Surgery - Nervous

$2,012

—

63272

Excise intrspinl lesion lmbr

Surgery - Nervous

$1,829

—

63273

Excise intrspinl lesion scrl

Surgery - Nervous

$1,830

—

63275

Bx/exc xdrl spine lesn crvl

Surgery - Nervous

$1,732

—

63276

Bx/exc xdrl spine lesn thrc

Surgery - Nervous

$1,727

—

63277

Bx/exc xdrl spine lesn lmbr

Surgery - Nervous

$1,502

—

63278

Bx/exc xdrl spine lesn scrl

Surgery - Nervous

$1,580

—

63280

Bx/exc idrl spine lesn crvl

Surgery - Nervous

$2,063

—

63281

Bx/exc idrl spine lesn thrc

Surgery - Nervous

$2,046

—

63282

Bx/exc idrl spine lesn lmbr

Surgery - Nervous

$1,938

—

63283

Bx/exc idrl spine lesn scrl

Surgery - Nervous

$1,872

—

63285

Bx/exc idrl imed lesn cervl

Surgery - Nervous

$2,524

—

63286

Bx/exc idrl imed lesn thrc

Surgery - Nervous

$2,494

—

63287

Bx/exc idrl imed lesn thrlmb

Surgery - Nervous

$2,641

—

63290

Bx/exc xdrl/idrl lsn any lvl

Surgery - Nervous

$2,684

—

63295

Repair laminectomy defect

Surgery - Nervous

$303

—

63300

Remove vert xdrl body crvcl

Surgery - Nervous

$1,741

—

63301

Remove vert xdrl body thrc

Surgery - Nervous

$2,150

—

63302

Remove vert xdrl body thrlmb

Surgery - Nervous

$2,126

—

63303

Remov vert xdrl bdy lmbr/sac

Surgery - Nervous

$2,239

—

63304

Remove vert idrl body crvcl

Surgery - Nervous

$2,281

—

63304008913

MESALAMINE ER 500 MG CAPSULE

Prescription Drug - Generic

$3

—

63304019130

DESVENLAFAXINE ER 50 MG TAB

Prescription Drug - Generic

$4

—

63304019230

DESVENLAFAXINE ER 100 MG TAB

Prescription Drug - Generic

$4

—

63304045201

MORPHINE SULF ER 100 MG TABLET

Prescription Drug - Generic

$1

—

63304045301

MORPHINE SULF ER 200 MG TABLET

Prescription Drug - Generic

$2

—

63304068301

OXYCODONE HCL ER 40 MG TABLET

Prescription Drug - Generic

$6

—

63304068401

OXYCODONE HCL ER 80 MG TABLET

Prescription Drug - Generic

$11

—

63304075801

MORPHINE SULF ER 60 MG TABLET

Prescription Drug - Generic

$1

—

63305

Remove vert idrl body thrc

Surgery - Nervous

$2,420

—

63306

Remov vert idrl bdy thrclmbr

Surgery - Nervous

$2,380

—

63307

Remov vert idrl bdy lmbr/sac

Surgery - Nervous

$2,325

—

63308

Remove vertebral body add-on

Surgery - Nervous

$289

—

63323001002

GENTAMICIN 40 MG/ML VIAL

Prescription Drug - Generic

$1

—

63323001094

GENTAMICIN 80 MG/2 ML VIAL

Prescription Drug - Generic

$2

—

63323003011

CHORIONIC GONAD 10,000 UNIT VL

Prescription Drug - Brand

$286

—

63323012102

METHOTREXATE 25 MG/ML VIAL

Prescription Drug - Generic

$2

—

63323012310

METHOTREXATE 250 MG/10 ML VIAL

Prescription Drug - Generic

$3

—

63323018510

WATER FOR INJECTION VIAL

Prescription Drug - Generic

$0

—

63323018610

SODIUM CHLORIDE 0.9% VIAL

Prescription Drug - Generic

$0

—

63323025803

METHYLPREDNISOLONE SS 125 MG

Prescription Drug - Generic

$4

—

63323027205

FLUPHENAZINE DEC 25 MG/ML VIAL

Prescription Drug - Generic

$25

—

63323030751

TOBRAMYCIN 40 MG/ML VIAL

Prescription Drug - Generic

$1

—

63323032620

CEFEPIME HCL 1 GM VIAL

Prescription Drug - Generic

$4

—

My Cost List