Medical Procedure Costs

64727

Internal neurolysis

Surgery - Nervous

$145

—

64728

Dcmprn median nrv carpl tunl

Surgery - Nervous

$123

—

64732

Incision of brow nerve

Surgery - Nervous

$494

—

64734

Incision of cheek nerve

Surgery - Nervous

$557

—

64736

Incision of chin nerve

Surgery - Nervous

$305

—

64738

Incision of jaw nerve

Surgery - Nervous

$416

—

64740

Incision of tongue nerve

Surgery - Nervous

$431

—

64742

Incision of facial nerve

Surgery - Nervous

$426

—

64744

Incise nerve back of head

Surgery - Nervous

$542

—

64746

Incise diaphragm nerve

Surgery - Nervous

$434

—

64755

Incision of stomach nerves

Surgery - Nervous

$870

—

64760

Incision of vagus nerve

Surgery - Nervous

$511

—

64763

Incise hip/thigh nerve

Surgery - Nervous

$504

—

64764004613

PREVACID DR 30 MG CAPSULE

Prescription Drug - Brand

$13

—

64764010560

EOHILIA 2 MG/10 ML PACKET

Prescription Drug - Brand

$3

—

64764011907

COLCRYS 0.6 MG TABLET

Prescription Drug - Brand

$7

—

64764012530

NESINA 12.5 MG TABLET

Prescription Drug - Brand

$13

—

64764015104

ACTOS 15 MG TABLET

Prescription Drug - Brand

$12

—

64764015560

ACTOPLUS MET 15 MG-500 MG TAB

Prescription Drug - Brand

$10

—

64764015860

ACTOPLUS MET 15 MG-850 MG TAB

Prescription Drug - Brand

$10

—

64764017130

DEXILANT DR 30 MG CAPSULE

Prescription Drug - Brand

$10

—

64764017590

DEXILANT DR 60 MG CAPSULE

Prescription Drug - Brand

$10

—

64764024060

AMITIZA 24 MCG CAPSULES

Prescription Drug - Brand

$6

—

64764025030

NESINA 25 MG TABLET

Prescription Drug - Brand

$13

—

64764025103

OSENI 25-15 MG TABLET

Prescription Drug - Brand

$12

—

64764025303

OSENI 25-30 MG TABLET

Prescription Drug - Brand

$12

—

64764025403

OSENI 25-45 MG TABLET

Prescription Drug - Brand

$12

—

64764030114

ACTOS 30 MG TABLET

Prescription Drug - Brand

$19

—

64764030230

DUETACT 30-2 MG TABLET

Prescription Drug - Brand

$19

—

64764030430

DUETACT 30-4 MG TABLET

Prescription Drug - Brand

$20

—

64764031030

ACTOPLUS MET XR 30-1,000 MG TB

Prescription Drug - Brand

$20

—

64764033560

KAZANO 12.5-500 MG TABLET

Prescription Drug - Brand

$7

—

64764033760

KAZANO 12.5-1,000 MG TABLET

Prescription Drug - Brand

$7

—

64764045124

ACTOS 45 MG TABLET

Prescription Drug - Brand

$21

—

64764051030

ACTOPLUS MET XR 15-1,000 MG TB

Prescription Drug - Brand

$10

—

64764054130

PREVACID DR 15 MG CAPSULE

Prescription Drug - Brand

$14

—

64764054311

PREVACID 15 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054330

PREVACID DR 15 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054411

PREVACID 30 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764054430

PREVACID DR 30 MG SOLUTAB

Prescription Drug - Brand

$13

—

64764055030

BRINTELLIX 5 MG TABLET

Prescription Drug - Brand

$12

—

64764056030

BRINTELLIX 10 MG TABLET

Prescription Drug - Brand

$12

—

64764058030

BRINTELLIX 20 MG TABLET

Prescription Drug - Brand

$12

—

64764067730

ULORIC 80 MG TABLET

Prescription Drug - Brand

$10

—

64764070201

PREVPAC PATIENT PACK

Prescription Drug - Brand

$8

—

64764072030

TRINTELLIX 5 MG TABLET

Prescription Drug - Brand

$17

—

64764073030

TRINTELLIX 10 MG TABLET

Prescription Drug - Brand

$17

—

64764075030

TRINTELLIX 20 MG TABLET

Prescription Drug - Brand

$17

—

64764080530

ROZEREM 8 MG TABLET

Prescription Drug - Brand

$12

—

64764091830

ULORIC 40 MG TABLET

Prescription Drug - Brand

$11

—

My Cost List