Medical Procedure Costs

82568004204

ANLIDO 4% PATCH

Prescription Drug - Generic

$1

—

82568005101

MAGNESIUM CITRATE SOLUTION

Prescription Drug - Generic

$0

—

82570

Creatinine level to test for kidney function or muscle injury

Pathology/Laboratory

$5

—

82575

Creatinine clearance measurement to test for kidney function

Pathology/Laboratory

$9

—

82580001002

NEFFY 1 MG/0.1 ML NASAL SPRAY

Prescription Drug - Brand

$359

—

82580002002

NEFFY 2 MG/0.1 ML NASAL SPRAY

Prescription Drug - Brand

$360

—

82584000105

BETIMOL 0.25% EYE DROPS

Prescription Drug - Brand

$28

—

82584000205

BETIMOL 0.5% EYE DROPS

Prescription Drug - Brand

$31

—

82584000330

IYUZEH 0.005% EYE DROP

Prescription Drug - Brand

$10

—

82584030703

AZASITE 1% EYE DROPS

Prescription Drug - Brand

$98

—

82584060430

COSOPT PF EYE DROPS

Prescription Drug - Brand

$3

—

82584060510

COSOPT EYE DROPS

Prescription Drug - Brand

$23

—

82584060930

ZIOPTAN 0.0015% EYE DROP

Prescription Drug - Brand

$8

—

82585

Cryofibrinogen (protein) level

Pathology/Laboratory

$14

—

82595

Cryoglobulin (protein) measurement

Pathology/Laboratory

$6

—

82600

Cyanide measurement

Pathology/Laboratory

$19

—

82607

Cyanocobalamin (vitamin B-12) level

Pathology/Laboratory

$15

—

82608

Cyanocobalamin (vitamin B-12) level, unsaturated binding capacity

Pathology/Laboratory

$14

—

82610

Cystatin C (enzyme inhibitor) level

Pathology/Laboratory

$19

—

82615

Cystine and homocystine (amino acids) analysis

Pathology/Laboratory

$10

—

82625880101

MOVANTIK 12.5 MG TABLET

Prescription Drug - Brand

$15

—

82625880203

MOVANTIK 25 MG TABLET

Prescription Drug - Brand

$15

—

82626

Dehydroepiandrosterone (DHEA) hormone level

Pathology/Laboratory

$25

—

82627

Dehydroepiandrosterone (DHEA-S) hormone level

Pathology/Laboratory

$22

—

82633

Desoxycorticosterone, 11 (hormone) level

Pathology/Laboratory

$31

—

82634

Deoxycortisol, 11 (hormone) level

Pathology/Laboratory

$29

—

82638

Dibucaine number (enzyme) measurement

Pathology/Laboratory

$12

—

82642

Measurement of dihydrotestosterone

Pathology/Laboratory

$29

—

82652

Dihydroxyvitamin D, 1, 25 level

Pathology/Laboratory

$39

—

82653

Measurement of pancreatic elastase (enzyme) in stool

Pathology/Laboratory

$23

—

82656

Detection of pancreatic elastase (enzyme) in stool

Pathology/Laboratory

$12

—

82657

Enzyme activity measurement, nonradioactive substrate

Pathology/Laboratory

$22

—

82658

Enzyme activity measurement, radioactive substrate

Pathology/Laboratory

$44

—

82664

Electrophoresis, laboratory testing technique

Pathology/Laboratory

$62

—

82667001105

TOBRADEX ST 0.3-0.05% EYE DROP

Prescription Drug - Brand

$47

—

82667001524

ZERVIATE 0.24% EYE DROP

Prescription Drug - Brand

$7

—

82667040003

ILEVRO 0.3% OPHTH DROPS

Prescription Drug - Brand

$121

—

82667050003

NEVANAC 0.1% EYE DROP

Prescription Drug - Brand

$105

—

82667060005

MAXIDEX 0.1% EYE DROPS

Prescription Drug - Brand

$13

—

82667070003

VIGAMOX 0.5% EYE DROPS

Prescription Drug - Brand

$32

—

82667090002

VEVYE 0.1% EYE DROP

Prescription Drug - Brand

$369

—

82668

Erythropoietin (protein) level

Pathology/Laboratory

$19

—

82670

Measurement of total estradiol (hormone)

Pathology/Laboratory

$28

—

82671

Estrogen analysis, fractionated

Pathology/Laboratory

$32

—

82672

Estrogen analysis, total

Pathology/Laboratory

$22

—

82677

Estriol (hormone) level

Pathology/Laboratory

$24

—

82679

Estrone (hormone) level

Pathology/Laboratory

$25

—

82681

Direct measurement of free estradiol (hormone)

Pathology/Laboratory

$28

—

82685020110

DIGOXIN 125 MCG TABLET

Prescription Drug - Generic

$0

—

82685020210

DIGOXIN 250 MCG TABLET

Prescription Drug - Generic

$0

—

My Cost List