Medical Procedure Costs

64635

Destroy lumb/sac facet jnt

Surgery - Nervous

$173

—

64636

Destroy l/s facet jnt addl

Surgery - Nervous

$51

—

64640

Injection treatment of nerve

Surgery - Nervous

$112

—

64642

Chemodenerv 1 extremity 1-4

Surgery - Nervous

$96

—

64643

Chemodenerv 1 extrem 1-4 ea

Surgery - Nervous

$60

—

64644

Chemodenerv 1 extrem 5/> mus

Surgery - Nervous

$104

—

64645

Chemodenerv 1 extrem 5/> ea

Surgery - Nervous

$70

—

64646

Chemodenerv trunk musc 1-5

Surgery - Nervous

$104

—

64647

Chemodenerv trunk musc 6/>

Surgery - Nervous

$116

—

64650

Chemodenerv eccrine glands

Surgery - Nervous

$33

—

64653

Chemodenerv eccrine glands

Surgery - Nervous

$43

—

64654

1st opn implt bat modulj sys

Surgery - Nervous

$559

—

64655

Revj/rplcmt bat mod sys lead

Surgery - Nervous

$644

—

64656

Revj/rplcmt bat mod sys pg

Surgery - Nervous

$427

—

64657

Rmvl bat modulj sys tot sys

Surgery - Nervous

$632

—

64658

Rmvl bat modul sys lead only

Surgery - Nervous

$476

—

64659

Rmvl bat modulj sys pg only

Surgery - Nervous

$442

—

64661001116

J-MAX SYRUP

Prescription Drug - Generic

$0

—

64661003130

J-TAN PD DROPS

Prescription Drug - Generic

$2

—

64661003230

J-TAN D PD DROPS

Prescription Drug - Generic

$2

—

64661008030

VIVA DHA PRENATAL SOFTGEL

Prescription Drug - Brand

$3

—

64661065030

ENBRACE HR SOFTGEL

Prescription Drug - Brand

$4

—

64661071130

ENLYTE SOFTGEL

Prescription Drug - Generic

$5

—

64679005002

REACT 1.5 MG TABLET

Prescription Drug - Generic

$20

—

64679063401

OCTREOTIDE ACET 200 MCG/ML VL

Prescription Drug - Generic

$9

—

64679078204

CARBIDOPA-LEVODOPA-ENTA 50 MG

Prescription Drug - Generic

$2

—

64679078304

CARBIDOPA-LEVODOPA-ENTA 75 MG

Prescription Drug - Generic

$2

—

64679078404

CARBIDOPA-LEVODOPA-ENTA 100 MG

Prescription Drug - Generic

$1

—

64679078504

CARBIDOPA-LEVODOPA-ENTA 125 MG

Prescription Drug - Generic

$2

—

64680

Injection treatment of nerve

Surgery - Nervous

$147

—

64681

Injection treatment of nerve

Surgery - Nervous

$193

—

64702

Revise finger/toe nerve

Surgery - Nervous

$489

—

64704

Revise hand/foot nerve

Surgery - Nervous

$308

—

64708

Revise arm/leg nerve

Surgery - Nervous

$464

—

64712

Revision of sciatic nerve

Surgery - Nervous

$557

—

64713

Revision of arm nerve(s)

Surgery - Nervous

$745

—

64714

Revise low back nerve(s)

Surgery - Nervous

$716

—

64716

Revision of cranial nerve

Surgery - Nervous

$470

—

64718

Revise ulnar nerve at elbow

Surgery - Nervous

$575

—

64719

Revise ulnar nerve at wrist

Surgery - Nervous

$388

—

64720013010

AMPHETAMINE SALTS 5 MG TABLET

Prescription Drug - Generic

$1

—

64720013110

AMPHETAMINE SALTS 7.5 MG TAB

Prescription Drug - Generic

$1

—

64720013210

AMPHETAMINE SALTS 10 MG TAB

Prescription Drug - Generic

$1

—

64720013310

AMPHETAMINE SALTS 12.5 MG TAB

Prescription Drug - Generic

$1

—

64720013410

AMPHETAMINE SALTS 15 MG TABLET

Prescription Drug - Generic

$1

—

64720013510

AMPHETAMINE SALTS 20 MG TABLET

Prescription Drug - Generic

$1

—

64720013610

AMPHETAMINE SALTS 30 MG TABLET

Prescription Drug - Generic

$1

—

64721

Carpal tunnel surgery

Surgery - Nervous

$423

—

64722

Decompression unspec nerve

Surgery - Nervous

$373

—

64726

Dcmprn plantar digital nerve

Surgery - Nervous

$258

—

My Cost List