Medical Procedure Costs

82009017810

ATORVASTATIN 40 MG TABLET

Prescription Drug - Generic

$0

—

82009017910

ATORVASTATIN 80 MG TABLET

Prescription Drug - Generic

$0

—

82009018205

CLOPIDOGREL 75 MG TABLET

Prescription Drug - Generic

$0

—

82009018310

OMEPRAZOLE DR 20 MG CAPSULE

Prescription Drug - Generic

$0

—

82010

Ketone bodies analysis, quantitative

Pathology/Laboratory

$8

—

82013

Acetylcholinesterase (enzyme) level

Pathology/Laboratory

$12

—

82016

Chemical analysis for genetic disorder

Pathology/Laboratory

$16

—

82017

Chemical test for genetic disorder

Pathology/Laboratory

$17

—

82024

Adrenocorticotropic hormone (ACTH) level

Pathology/Laboratory

$39

—

82030

Adenosine, 5-monophosphate, cyclic (cyclic AMP) level

Pathology/Laboratory

$26

—

82040

Albumin (protein) level

Pathology/Laboratory

$5

—

82042

Cerebrospinal fluid, or amniotic fluid albumin (protein) level

Pathology/Laboratory

$8

—

82043

Urine microalbumin (protein) level

Pathology/Laboratory

$6

—

82044

Urine microalbumin (protein) analysis

Pathology/Laboratory

$6

—

82045

Albumin (protein) level related to restricted heart blood flow

Pathology/Laboratory

$34

—

82075

Measurement of alcohol level in breath specimen

Pathology/Laboratory

$30

—

82077

Measurement of alcohol level in specimen other than breath or urine

Pathology/Laboratory

$17

—

82085

Aldolase (enzyme) level

Pathology/Laboratory

$10

—

82088

Aldosterone hormone level

Pathology/Laboratory

$41

—

82098081410

ALCOHOL 70% PREP PADS

Prescription Drug - Generic

$0

—

82103

Alpha-1-antitrypsin (protein) blood test, total

Pathology/Laboratory

$13

—

82104

Alpha-1-antitrypsin (protein) blood test, phenotype

Pathology/Laboratory

$14

—

82105

Alpha-fetoprotein (AFP) level, serum

Pathology/Laboratory

$17

—

82106

Alpha-fetoprotein (AFP) level, amniotic fluid

Pathology/Laboratory

$17

—

82107

Alpha-fetoprotein (AFP) analysis

Pathology/Laboratory

$64

—

82108

Aluminum level

Pathology/Laboratory

$25

—

82120

Vaginal fluid chemical analysis for bacteria

Pathology/Laboratory

$6

—

82127

Amino acid analysis, qualitative, each specimen

Pathology/Laboratory

$14

—

82128

Amino acid analysis, multiple amino acids, qualitative, each specimen

Pathology/Laboratory

$14

—

82131

Amino acid analysis, quantitative, each specimen

Pathology/Laboratory

$23

—

82135

Aminolevulinic acid (protein) level

Pathology/Laboratory

$16

—

82136

Amino acid level, 2 to 5 amino acids, quantitative, each specimen

Pathology/Laboratory

$20

—

82139

Amino acid level, 6 or more amino acids, quantitative, each specimen

Pathology/Laboratory

$17

—

82140

Ammonia level

Pathology/Laboratory

$15

—

82143

Amniotic fluid scan

Pathology/Laboratory

$9

—

82150

Amylase (enzyme) level

Pathology/Laboratory

$6

—

82154

Androstanediol glucuronide (hormone) level

Pathology/Laboratory

$29

—

82157

Androstenedione (hormone) level

Pathology/Laboratory

$29

—

82160

Androsterone (hormone) level

Pathology/Laboratory

$26

—

82163

Angiotensin ll (protein) level

Pathology/Laboratory

$21

—

82164

Angiotensin l - converting enzyme (ACE) level

Pathology/Laboratory

$15

—

82166

Test for anti-mullerian hormone

Pathology/Laboratory

$39

—

82172

Apolipoprotein level

Pathology/Laboratory

$21

—

82175

Arsenic level

Pathology/Laboratory

$19

—

82180

Ascorbic acid (Vitamin C) level, blood

Pathology/Laboratory

$10

—

82182010614

SUCRALFATE 1 GM/10 ML SUSP

Prescription Drug - Generic

$0

—

82182032115

BRIMONIDINE TARTRATE 0.1% DROP

Prescription Drug - Generic

$11

—

82182045515

BRIMONIDINE-TIMOLOL 0.2%-0.5%

Prescription Drug - Generic

$2

—

82182077315

BRIMONIDINE TARTRATE 0.15% DRP

Prescription Drug - Generic

$11

—

82190

Measurement of substance using spectroscopy (light)

Pathology/Laboratory

$16

—

My Cost List