Medical Procedure Costs

0030U

Gene analysis of targeted sequences for warfarin drug response

Pathology/Laboratory

$134

—

00310008839

DALIRESP 250 MCG TABLET

Prescription Drug - Brand

$15

—

00310009590

DALIRESP 500 MCG TABLET

Prescription Drug - Brand

$15

—

00310013211

ZESTRIL 20 MG TABLET

Prescription Drug - Brand

$4

—

00310027110

SEROQUEL 100 MG TABLET

Prescription Drug - Brand

$6

—

00310027210

SEROQUEL 200 MG TABLET

Prescription Drug - Brand

$12

—

00310027460

SEROQUEL 300 MG TABLET

Prescription Drug - Brand

$16

—

00310027510

SEROQUEL 25 MG TABLET

Prescription Drug - Brand

$4

—

00310027810

SEROQUEL 50 MG TABLET

Prescription Drug - Brand

$6

—

00310027910

SEROQUEL 400 MG TABLET

Prescription Drug - Brand

$19

—

00310028060

SEROQUEL XR 50 MG TABLET

Prescription Drug - Brand

$8

—

00310028160

SEROQUEL XR 150 MG TABLET

Prescription Drug - Brand

$14

—

00310028260

SEROQUEL XR 200 MG TABLET

Prescription Drug - Brand

$16

—

00310028360

SEROQUEL XR 300 MG TABLET

Prescription Drug - Brand

$20

—

00310028460

SEROQUEL XR 400 MG TABLET

Prescription Drug - Brand

$24

—

00310040260

ACCOLATE 20 MG TABLET

Prescription Drug - Brand

$2

—

00310110539

LOKELMA 5 GRAM POWDER PACKET

Prescription Drug - Brand

$28

—

00310111039

LOKELMA 10 GRAM POWDER PACKET

Prescription Drug - Brand

$28

—

00310460012

BEVESPI AEROSPHERE INHALER

Prescription Drug - Brand

$41

—

00310461639

BREZTRI AEROSPHERE INHALER

Prescription Drug - Brand

$61

—

00310610090

ONGLYZA 2.5 MG TABLET

Prescription Drug - Brand

$16

—

00310610590

ONGLYZA 5 MG TABLET

Prescription Drug - Brand

$16

—

00310612560

KOMBIGLYZE XR 2.5-1,000 MG TAB

Prescription Drug - Brand

$8

—

00310613530

KOMBIGLYZE XR 5-500 MG TABLET

Prescription Drug - Brand

$15

—

00310614530

KOMBIGLYZE XR 5-1,000 MG TAB

Prescription Drug - Brand

$16

—

00310620590

FARXIGA 5 MG TABLET

Prescription Drug - Brand

$12

—

00310621090

FARXIGA 10 MG TABLET

Prescription Drug - Brand

$12

—

00310622560

XIGDUO XR 2.5 MG-1,000 MG TAB

Prescription Drug - Brand

$10

—

00310625030

XIGDUO XR 5 MG-500 MG TABLET

Prescription Drug - Brand

$19

—

00310626060

XIGDUO XR 5 MG-1,000 MG TABLET

Prescription Drug - Brand

$10

—

00310627030

XIGDUO XR 10 MG-500 MG TABLET

Prescription Drug - Brand

$19

—

00310628030

XIGDUO XR 10 MG-1,000 MG TAB

Prescription Drug - Brand

$19

—

00310651201

BYETTA 5 MCG DOSE PEN INJ

Prescription Drug - Brand

$681

—

00310652004

BYDUREON 2 MG VIAL

Prescription Drug - Brand

$158

—

00310652401

BYETTA 10 MCG DOSE PEN INJ

Prescription Drug - Brand

$340

—

00310653004

BYDUREON 2 MG PEN INJECT

Prescription Drug - Brand

$182

—

00310654004

BYDUREON BCISE 2 MG AUTOINJECT

Prescription Drug - Brand

$234

—

00310661502

SYMLINPEN 60 PEN INJECTOR

Prescription Drug - Brand

$331

—

00310662702

SYMLINPEN 120 PEN INJECTOR

Prescription Drug - Brand

$218

—

00310678030

QTERN 10 MG-5 MG TABLET

Prescription Drug - Brand

$18

—

00310737020

BUDESONIDE-FORMOTEROL 160-4.5

Prescription Drug - Generic

$20

—

00310737220

BUDESONIDE-FORMOTEROL 80-4.5

Prescription Drug - Generic

$18

—

00310756090

CRESTOR 5 MG TABLET

Prescription Drug - Brand

$9

—

00310757090

CRESTOR 10 MG TABLET

Prescription Drug - Brand

$9

—

00310758090

CRESTOR 20 MG TABLET

Prescription Drug - Brand

$9

—

00310759030

CRESTOR 40 MG TABLET

Prescription Drug - Brand

$9

—

00310908012

AIRSUPRA 90-80 MCG INHALER

Prescription Drug - Brand

$45

—

00316022608

THERAPEUTIC MINERAL ICE 2% GEL

Prescription Drug - Generic

$0

—

00316023075

SARNA SENSITIVE 1% LOTION

Prescription Drug - Brand

$0

—

00316023225

ZEASORB AF 2% POWDER

Prescription Drug - Generic

$0

—

My Cost List