Medical Procedure Costs

81535

Culture of live tumor cells and chemotherapy drug response by staining, first

Pathology/Laboratory

$579

—

81536

Culture of live tumor cells and chemotherapy drug response by staining, each

Pathology/Laboratory

$178

—

81538

Testing of lung tumor cells for prediction of survival

Pathology/Laboratory

$2,871

—

81539

Measurement of proteins associated with prostate cancer

Pathology/Laboratory

$760

—

81540

Gene analysis (cancer)

Pathology/Laboratory

$3,750

—

81541

Gene analysis of prostate tumor tissue, profiling by real-time RT-PCR of 46

Pathology/Laboratory

$3,873

—

81542

mRNA gene expression analysis of 22 genes in prostate tumor tissue

Pathology/Laboratory

$3,873

—

81546

mRNA gene analysis of 10,196 genes in fine needle aspiration thyroid specimen,

Pathology/Laboratory

$3,600

—

81551

Gene analysis of prostate tumor tissue, profiling by real-time PCR of 3 genes

Pathology/Laboratory

$2,030

—

81552

mRNA gene expression analysis of 15 genes in eye melanoma o tissue or fine

Pathology/Laboratory

$7,776

—

81554

mRNA gene analysis of 190 genes associated with lung disease (idiopathic

Pathology/Laboratory

$5,410

—

81558

Test for detecting 139 genes associated with kidney transplant rejection

Pathology/Laboratory

$3,240

—

81560

Measurement of donor and third-party memory cells for transplantation medicine

Pathology/Laboratory

$641

—

81565020202

DEXAMETHASONE 4 MG/ML VIAL

Prescription Drug - Generic

$1

—

81565020402

ROCURONIUM 50 MG/5 ML VIAL

Prescription Drug - Generic

$1

—

81565020502

FENTANYL 100 MCG/2 ML VIAL

Prescription Drug - Generic

$1

—

81595

Test for detecting genes associated with heart diseases

Pathology/Laboratory

$3,240

—

81596

Biochemical assays for evaluation of chronic Hepatitis C virus infection

Pathology/Laboratory

$72

—

81665010210

ISOSORBIDE MONONIT 10 MG TAB

Prescription Drug - Generic

$3

—

81665010310

ISOSORBIDE MONONIT 20 MG TAB

Prescription Drug - Generic

$3

—

81665010496

CROMOLYN 100 MG/5 ML ORAL CONC

Prescription Drug - Generic

$0

—

81665010710

ISONIAZID 100 MG TABLET

Prescription Drug - Generic

$2

—

81665010830

ISONIAZID 300 MG TABLET

Prescription Drug - Generic

$3

—

81665020025

SODIUM BICARBONATE 8.4% VIAL

Prescription Drug - Generic

$0

—

81672505101

VTAMA 1% CREAM

Prescription Drug - Brand

$25

—

81952011106

HEPARIN SODIUM 5,000 UNIT/ML VIAL

Prescription Drug - Generic

$1

—

81952011306

HEPARIN SODIUM 10,000 UNIT/ML VIAL

Prescription Drug - Generic

$2

—

81952011606

HEPARIN SODIUM 20,000 UNIT/ML VIAL

Prescription Drug - Generic

$8

—

81952012323

ENOXAPARIN 30 MG/0.3 ML SYR

Prescription Drug - Generic

$9

—

81952012424

ENOXAPARIN 40 MG/0.4 ML SYR

Prescription Drug - Generic

$8

—

81952012626

ENOXAPARIN 60 MG/0.6 ML SYR

Prescription Drug - Generic

$8

—

81952012828

ENOXAPARIN 80 MG/0.8 ML SYR

Prescription Drug - Generic

$8

—

81952013006

ENOXAPARIN 100 MG/ML SYRINGE

Prescription Drug - Generic

$9

—

81952013228

ENOXAPARIN 120 MG/0.8 ML SYR

Prescription Drug - Generic

$13

—

81952013506

ENOXAPARIN 150 MG/ML SYRINGE

Prescription Drug - Generic

$12

—

81964020369

AMOX-CLAV 600-42.9 MG/5 ML SUS

Prescription Drug - Generic

$0

—

81964020415

AMOX-CLAV 250-62.5 MG/5 ML SUS

Prescription Drug - Generic

$0

—

81964020505

AMOXICILLIN 500 MG CAPSULE

Prescription Drug - Generic

$0

—

81964020752

AMOXICILLIN 400 MG/5 ML SUSP

Prescription Drug - Generic

$0

—

81964022114

AMOX-CLAV 875-125 MG TABLET

Prescription Drug - Generic

$0

—

81968002009

SYMBRAVO 20-10 MG TABLET

Prescription Drug - Brand

$123

—

81968004560

AUVELITY ER 45-105 MG TABLET

Prescription Drug - Brand

$20

—

81968035001

SUNOSI 75 MG TABLET

Prescription Drug - Brand

$31

—

81968035101

SUNOSI 150 MG TABLET

Prescription Drug - Brand

$31

—

82009

Ketone bodies analysis, qualitative

Pathology/Laboratory

$5

—

82009000910

MONTELUKAST SOD 10 MG TABLET

Prescription Drug - Generic

$0

—

82009001090

PANTOPRAZOLE SOD DR 20 MG TAB

Prescription Drug - Generic

$0

—

82009001190

PANTOPRAZOLE SOD DR 40 MG TAB

Prescription Drug - Generic

$0

—

82009001210

SIMVASTATIN 5 MG TABLET

Prescription Drug - Generic

$0

—

82009001310

SIMVASTATIN 10 MG TABLET

Prescription Drug - Generic

$0

—

My Cost List