Medical Procedure Costs

00187079742

CARDIZEM CD 240 MG CAPSULE

Prescription Drug - Brand

$47

—

00187079842

CARDIZEM CD 300 MG CAPSULE

Prescription Drug - Brand

$56

—

00187079942

CARDIZEM CD 360 MG CAPSULE

Prescription Drug - Brand

$79

—

00187093801

TASMAR 100 MG TABLET

Prescription Drug - Brand

$106

—

00187099395

ZOVIRAX 5% OINTMENT

Prescription Drug - Brand

$5

—

00187099445

ZOVIRAX 5% CREAM

Prescription Drug - Brand

$38

—

00187170405

MEPHYTON 5 MG TABLET

Prescription Drug - Brand

$56

—

00187204590

CARDIZEM LA 120 MG TABLET

Prescription Drug - Brand

$4

—

00187204690

CARDIZEM LA 180 MG TABLET

Prescription Drug - Brand

$4

—

00187204790

CARDIZEM LA 240 MG TABLET

Prescription Drug - Brand

$4

—

00187204930

CARDIZEM LA 360 MG TABLET

Prescription Drug - Brand

$6

—

00187209845

ARAZLO 0.045% LOTION

Prescription Drug - Brand

$11

—

00187301030

MESTINON 60 MG TABLET

Prescription Drug - Brand

$21

—

00187301220

MESTINON 60 MG/5 ML SYRUP

Prescription Drug - Brand

$2

—

00187301330

MESTINON 180 MG TIMESPAN

Prescription Drug - Brand

$39

—

00187305050

ONEXTON GEL PUMP

Prescription Drug - Brand

$14

—

00187320447

EFUDEX 5% CREAM

Prescription Drug - Brand

$1

—

00187442030

PEPCID 20 MG TABLET

Prescription Drug - Generic

$0

—

00187444030

PEPCID 40 MG TABLET

Prescription Drug - Generic

$0

—

00187510001

ELIDEL 1% CREAM

Prescription Drug - Brand

$10

—

00187510401

XERESE 5%-1% CREAM

Prescription Drug - Brand

$259

—

00187511560

ERTACZO 2% CREAM

Prescription Drug - Brand

$12

—

00187514650

RETIN-A MICRO PUMP 0.06% GEL

Prescription Drug - Brand

$17

—

00187514850

RETIN-A MICRO PUMP 0.08% GEL

Prescription Drug - Brand

$17

—

00187515040

RENOVA 0.02% CREAM

Prescription Drug - Brand

$6

—

00187516045

RETIN-A 0.025% CREAM

Prescription Drug - Brand

$1

—

00187516245

RETIN-A 0.05% CREAM

Prescription Drug - Brand

$1

—

00187516445

RETIN-A 0.1% CREAM

Prescription Drug - Brand

$1

—

00187517045

RETIN-A 0.025% GEL

Prescription Drug - Brand

$1

—

00187517245

RETIN-A 0.01% GEL

Prescription Drug - Brand

$1

—

00187519025

BENZACLIN GEL

Prescription Drug - Brand

$10

—

00187519035

BENZACLIN GEL 35G PUMP

Prescription Drug - Brand

$10

—

00187519050

BENZACLIN GEL 50G PUMP

Prescription Drug - Brand

$8

—

00187520030

CARAC 0.5% CREAM

Prescription Drug - Brand

$80

—

00187520260

NORITATE 1% CREAM

Prescription Drug - Brand

$34

—

00187520546

BENZAMYCIN GEL

Prescription Drug - Brand

$1

—

00187526002

OCEAN 0.65% NASAL SPRAY

Prescription Drug - Brand

$0

—

00187526701

MAGONATE 54 MG/5 ML LIQUID

Prescription Drug - Generic

$0

—

00187540008

JUBLIA 10% TOPICAL SOLUTION

Prescription Drug - Brand

$185

—

00187581030

APLENZIN ER 174 MG TABLET

Prescription Drug - Brand

$71

—

00187581130

APLENZIN ER 348 MG TABLET

Prescription Drug - Brand

$94

—

00187581230

APLENZIN ER 522 MG TABLET

Prescription Drug - Brand

$212

—

0018M

Measurement of kidney donor and third-party-induced CD154+T-cytotoxic memory

Pathology/Laboratory

$641

—

0018U

MicroRNA gene analysis of thyroid nodule tissue

Pathology/Laboratory

$3,002

—

0019M

Analysis of protein biomarkers in plasma with results reported as likelihood

Pathology/Laboratory

$712

—

0019U

RNA gene analysis of tumor tissue

Pathology/Laboratory

$3,675

—

0020M

Analysis of DNA from tumor tissue with results reported as probability of

Pathology/Laboratory

$2,500

—

0021U

Detection of 8 autoantibodies in prostate tissue

Pathology/Laboratory

$760

—

00224050090

KONSYL FIBER 625 MG CAPLET

Prescription Drug - Generic

$0

—

00224180107

KONSYL ORIGINAL FIBER POWDER

Prescription Drug - Generic

$0

—

My Cost List