Medical Procedure Costs

67850

Dstrj lesion lid margin <1cm

Surgery - Eye

$113

—

67857080445

CLODERM 0.1% CREAM

Prescription Drug - Brand

$7

—

67857080619

TRIANEX 0.05% OINTMENT

Prescription Drug - Brand

$2

—

67857080804

SERNIVO 0.05% SPRAY

Prescription Drug - Brand

$7

—

67875

Closure of eyelid by suture

Surgery - Eye

$81

—

67877011601

METHADONE HCL 10 MG TABLET

Prescription Drug - Generic

$0

—

67877012485

SILVER SULFADIAZINE 1% CREAM

Prescription Drug - Generic

$0

—

67877014605

TEMAZEPAM 15 MG CAPSULE

Prescription Drug - Generic

$0

—

67877014705

TEMAZEPAM 30 MG CAPSULE

Prescription Drug - Generic

$0

—

67877014930

TEMAZEPAM 22.5 MG CAPSULE

Prescription Drug - Generic

$2

—

67877021560

CEFUROXIME AXETIL 250 MG TAB

Prescription Drug - Generic

$0

—

67877021660

CEFUROXIME AXETIL 500 MG TAB

Prescription Drug - Generic

$0

—

67877025523

CEPHALEXIN 750 MG CAPSULE

Prescription Drug - Generic

$6

—

67877025930

RASAGILINE MESYLATE 0.5 MG TAB

Prescription Drug - Generic

$1

—

67877026030

RASAGILINE MESYLATE 1 MG TAB

Prescription Drug - Generic

$1

—

67877031780

TRIAMCINOLONE 0.025% CREAM

Prescription Drug - Generic

$0

—

67877031815

TRIAMCINOLONE 0.5% CREAM

Prescription Drug - Generic

$0

—

67877041984

LINEZOLID 600 MG TABLET

Prescription Drug - Generic

$1

—

67877043405

ARIPIPRAZOLE 20 MG TABLET

Prescription Drug - Generic

$0

—

67877043505

ARIPIPRAZOLE 30 MG TABLET

Prescription Drug - Generic

$0

—

67877043630

MINOCYCLINE ER 55 MG TABLET

Prescription Drug - Generic

$3

—

67877043730

MINOCYCLINE ER 80 MG TABLET

Prescription Drug - Generic

$3

—

67877043830

MINOCYCLINE ER 105 MG TABLET

Prescription Drug - Generic

$2

—

67877045430

ITRACONAZOLE 100 MG CAPSULE

Prescription Drug - Generic

$1

—

67877045590

FINASTERIDE 1 MG TABLET

Prescription Drug - Generic

$0

—

67877045747

PREGABALIN 20 MG/ML SOLUTION

Prescription Drug - Generic

$0

—

67877047460

DABIGATRAN ETEXILATE 75 CAP

Prescription Drug - Generic

$6

—

67877054014

TEMOZOLOMIDE 140 MG CAPSULE

Prescription Drug - Generic

$11

—

67877057630

MINOCYCLINE ER 90 MG TABLET

Prescription Drug - Generic

$3

—

67877065501

DEXMETHYLPHENIDATE 2.5 MG TAB

Prescription Drug - Generic

$0

—

67877065901

METHADONE HCL 5 MG TABLET

Prescription Drug - Generic

$0

—

67877067001

MORPHINE SULFATE IR 15 MG TAB

Prescription Drug - Generic

$0

—

67877067101

MORPHINE SULFATE IR 30 MG TAB

Prescription Drug - Generic

$0

—

67877075081

VANCOMYCIN 25 MG/ML ORAL SOLN

Prescription Drug - Generic

$1

—

67877075181

VANCOMYCIN 50 MG/ML ORAL SOLN

Prescription Drug - Generic

$1

—

67877075360

DRONABINOL 2.5 MG CAPSULE

Prescription Drug - Generic

$2

—

67877075460

DRONABINOL 5 MG CAPSULE

Prescription Drug - Generic

$3

—

67877075560

DRONABINOL 10 MG CAPSULE

Prescription Drug - Generic

$5

—

67877083361

TOPIRAMATE 25 MG/ML SOLUTION

Prescription Drug - Generic

$2

—

67877089101

CEPHALEXIN 250 MG TABLET

Prescription Drug - Generic

$1

—

67877089201

CEPHALEXIN 500 MG TABLET

Prescription Drug - Generic

$1

—

67880

Revision of eyelid

Surgery - Eye

$320

—

67882

Revision of eyelid

Surgery - Eye

$406

—

67900

Repair brow defect

Surgery - Eye

$433

—

67901

Repair eyelid defect

Surgery - Eye

$502

—

67902

Repair eyelid defect

Surgery - Eye

$615

—

67903

Repair eyelid defect

Surgery - Eye

$408

—

67904

Repair eyelid defect

Surgery - Eye

$508

—

67906

Repair eyelid defect

Surgery - Eye

$428

—

67908

Repair eyelid defect

Surgery - Eye

$375

—

My Cost List