Medical Procedure Costs

82232

Beta-2 microglobulin (protein) level

Pathology/Laboratory

$16

—

82233

Test for beta-amyloid 1-40

Pathology/Laboratory

$129

—

82234

Test for beta-amyloid 1-42

Pathology/Laboratory

$129

—

82239

Bile acids level, total

Pathology/Laboratory

$17

—

82240

Bile acids level, cholylglycine

Pathology/Laboratory

$27

—

82247

Bilirubin level, total

Pathology/Laboratory

$5

—

82248

Bilirubin level, direct

Pathology/Laboratory

$5

—

82249001112

ABIRTEGA 250 MG TABLET

Prescription Drug - Generic

$1

—

82249020760

CAPECITABINE 150 MG TABLET

Prescription Drug - Generic

$0

—

82249021012

CAPECITABINE 500 MG TABLET

Prescription Drug - Generic

$1

—

82249055190

DROXIDOPA 100 MG CAPSULE

Prescription Drug - Generic

$1

—

82249055290

DROXIDOPA 200 MG CAPSULE

Prescription Drug - Generic

$2

—

82249055490

DROXIDOPA 300 MG CAPSULE

Prescription Drug - Generic

$3

—

82249070260

DALFAMPRIDINE ER 10 MG TABLET

Prescription Drug - Generic

$0

—

82249074514

DIMETHYL FUMARATE DR 120 MG CP

Prescription Drug - Generic

$1

—

82249074760

DIMETHYL FUMARATE DR 240 MG CP

Prescription Drug - Generic

$1

—

82252

Stool analysis for bilirubin

Pathology/Laboratory

$5

—

82260004525

TIMOLOL 0.5% EYE DROP

Prescription Drug - Generic

$10

—

82260029915

LOTEPREDNOL ETABONATE 0.5% DRP

Prescription Drug - Generic

$20

—

82260036105

LOTEPREDNOL ETABONATE 0.2% DRP

Prescription Drug - Generic

$31

—

82260049605

TIMOLOL MALEATE 0.5% EYE DROP

Prescription Drug - Generic

$2

—

82260050801

LOTEPREDNOL 0.5% OPHTHALMC GEL

Prescription Drug - Generic

$15

—

82260060203

BROMFENAC SODIUM 0.07% EYE DRP

Prescription Drug - Generic

$12

—

82260063010

BEPOTASTINE 1.5% EYE DROP

Prescription Drug - Generic

$13

—

82260081305

TIMOLOL MALEATE 0.5% EYE DROPS

Prescription Drug - Generic

$1

—

82260081825

TIMOLOL 0.25% GEL-SOLUTION

Prescription Drug - Generic

$16

—

82260081905

TIMOLOL 0.5% GEL-SOLUTION

Prescription Drug - Generic

$13

—

82260092005

TETRACAINE 0.5% EYE DROP

Prescription Drug - Generic

$4

—

82261

Biotinidase (enzyme) level

Pathology/Laboratory

$17

—

82270

Stool analysis for blood to screen for colon tumors

Pathology/Laboratory

$4

—

82271

Specimen analysis for blood

Pathology/Laboratory

$5

—

82272

Stool analysis for blood, by peroxidase activity

Pathology/Laboratory

$4

—

82274

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

Pathology/Laboratory

$16

—

82286

Bradykinin (protein) level

Pathology/Laboratory

$5

—

82293000110

ABIRATERONE ACETATE 250 MG TAB

Prescription Drug - Generic

$1

—

82293000210

ABIRATERONE ACETATE 500 MG TAB

Prescription Drug - Generic

$4

—

82293000310

MIDODRINE HCL 2.5 MG TABLET

Prescription Drug - Generic

$0

—

82293000410

MIDODRINE HCL 5 MG TABLET

Prescription Drug - Generic

$0

—

82293000510

MIDODRINE HCL 10 MG TABLET

Prescription Drug - Generic

$0

—

82293002720

SACUBITRIL-VALSARTAN 24-26 MG

Prescription Drug - Generic

$1

—

82293002820

SACUBITRIL-VALSARTAN 49-51 MG

Prescription Drug - Generic

$1

—

82293002920

SACUBITRIL-VALSARTAN 97-103 MG

Prescription Drug - Generic

$1

—

82300

Cadmium level

Pathology/Laboratory

$24

—

82306

Vitamin D-3 level

Pathology/Laboratory

$30

—

82308

Calcitonin (hormone) level

Pathology/Laboratory

$27

—

82310

Calcium level, total

Pathology/Laboratory

$5

—

82330

Calcium level, ionized

Pathology/Laboratory

$14

—

82331

Calcium level, after calcium infusion test

Pathology/Laboratory

$13

—

82340

Urine calcium level

Pathology/Laboratory

$6

—

82355

Analysis of stone

Pathology/Laboratory

$12

—

My Cost List