Medical Procedure Costs

69210

Remove impacted ear wax uni

Surgery - Auditory

$27

—

69220

Clean out mastoid cavity

Surgery - Auditory

$44

—

69222

Clean out mastoid cavity

Surgery - Auditory

$126

—

69230014680

IBUPROFEN 200 MG CAPSULE

Prescription Drug - Generic

$0

—

69230020105

FEXOFENADINE HCL 60 MG TABLET

Prescription Drug - Generic

$0

—

69230030430

ALLERGY RLF (CETRZN) 10 MG TAB

Prescription Drug - Generic

$0

—

69230031611

CHILD ALLERGY RELIEF 1 MG/ML

Prescription Drug - Generic

$0

—

69230032212

CHILD LORATADINE 5 MG/5 ML SOL

Prescription Drug - Generic

$0

—

69230032532

LOPERAMIDE-SIMETH 2-125 MG TAB

Prescription Drug - Generic

$0

—

69230032660

FAMOTIDINE 10 MG TABLET

Prescription Drug - Generic

$0

—

69230032803

ALLERGY (LORATADINE) 10 MG TAB

Prescription Drug - Generic

$0

—

69230032950

NAPROXEN SODIUM 220 MG TABLET

Prescription Drug - Generic

$0

—

69238103106

MELODETTA 24 FE CHEWABLE TAB

Prescription Drug - Generic

$0

—

69238105301

DESIPRAMINE 10 MG TABLET

Prescription Drug - Generic

$0

—

69238105501

DESIPRAMINE 25 MG TABLET

Prescription Drug - Generic

$0

—

69238105701

DESIPRAMINE 50 MG TABLET

Prescription Drug - Generic

$0

—

69238105901

DESIPRAMINE 75 MG TABLET

Prescription Drug - Generic

$0

—

69238106101

DESIPRAMINE 100 MG TABLET

Prescription Drug - Generic

$0

—

69238106302

DESIPRAMINE 150 MG TABLET

Prescription Drug - Generic

$1

—

69238112001

OXAPROZIN 600 MG TABLET

Prescription Drug - Generic

$1

—

69238112601

ETHACRYNIC ACID 25 MG TABLET

Prescription Drug - Generic

$1

—

69238113706

ATAZANAVIR SULFATE 200 MG CAP

Prescription Drug - Generic

$1

—

69238113803

ATAZANAVIR SULFATE 300 MG CAP

Prescription Drug - Generic

$3

—

69238120202

BUPRENORPHINE 5 MCG/HR PATCH

Prescription Drug - Generic

$21

—

69238120302

BUPRENORPHINE 10 MCG/HR PATCH

Prescription Drug - Generic

$30

—

69238120402

BUPRENORPHINE 15 MCG/HR PATCH

Prescription Drug - Generic

$48

—

69238120502

BUPRENORPHINE 20 MCG/HR PATCH

Prescription Drug - Generic

$53

—

69238125206

LOPREEZA 0.5 MG-0.1 MG TABLET

Prescription Drug - Generic

$2

—

69238142301

METHOTREXATE 2.5 MG TABLET

Prescription Drug - Generic

$0

—

69238145902

POTASSIUM CL 10% (20 MEQ/15 ML) LIQUID

Prescription Drug - Generic

$0

—

69238147103

ERYTHROMYCIN DR 250 MG TABLET

Prescription Drug - Generic

$2

—

69238147203

ERYTHROMYCIN DR 333 MG TABLET

Prescription Drug - Generic

$3

—

69238147303

ERYTHROMYCIN DR 500 MG TABLET

Prescription Drug - Generic

$3

—

69238148503

ERYTHROMYCIN 500 MG FILMTAB

Prescription Drug - Generic

$10

—

69238150502

BUPRENORPHINE 7.5 MCG/HR PATCH

Prescription Drug - Generic

$30

—

69238152201

TETRACYCLINE 250 MG CAPSULE

Prescription Drug - Generic

$0

—

69238152301

TETRACYCLINE 500 MG CAPSULE

Prescription Drug - Generic

$1

—

69238152408

YUVAFEM 10 MCG VAGINAL TABLET

Prescription Drug - Generic

$8

—

69238153106

LARISSIA-28 TABLET

Prescription Drug - Generic

$0

—

69238153406

FLUOCINONIDE 0.05% CREAM

Prescription Drug - Generic

$0

—

69238153909

FROVATRIPTAN SUCC 2.5 MG TAB

Prescription Drug - Generic

$3

—

69238155106

FEMYNOR 28 TABLET

Prescription Drug - Generic

$0

—

69238155406

LILLOW-28 TABLET

Prescription Drug - Generic

$0

—

69238158306

NORLYDA 0.35 MG TABLET

Prescription Drug - Generic

$0

—

69238159502

MYCOPHENOLATE 200 MG/ML SUSP

Prescription Drug - Generic

$1

—

69238160706

TRI FEMYNOR 28 TABLET

Prescription Drug - Generic

$0

—

69238161006

LOPREEZA 1 MG-0.5 MG TABLET

Prescription Drug - Generic

$1

—

69238173208

CLOBETASOL 0.05% SHAMPOO

Prescription Drug - Generic

$0

—

69238173306

DOXEPIN 5% CREAM

Prescription Drug - Generic

$7

—

69238184101

LEVOTHYROXINE 300 MCG TABLET

Prescription Drug - Generic

$0

—

My Cost List