Medical Procedure Costs

83003

Human growth hormone level

Pathology/Laboratory

$17

—

83006

Test for detecting genes associated with growth stimulation

Pathology/Laboratory

$76

—

83009

Blood test analysis for helicobacter pylori

Pathology/Laboratory

$67

—

83010

Haptoglobin (serum protein) level

Pathology/Laboratory

$13

—

83012

Haptoglobin (serum protein) measurement

Pathology/Laboratory

$27

—

83013

Breath test analysis for helicobacter pylori

Pathology/Laboratory

$67

—

83014

Administration of drug for helicobacter pylori

Pathology/Laboratory

$8

—

83015

Heavy metal screening test

Pathology/Laboratory

$21

—

83018

Heavy metal level

Pathology/Laboratory

$22

—

83020

Hemoglobin analysis and measurement, electrophoresis

Pathology/Laboratory

$13

—

83021

Hemoglobin analysis and measurement, chromatography

Pathology/Laboratory

$18

—

83026

Hemoglobin level

Pathology/Laboratory

$4

—

83030

Fetal hemoglobin level

Pathology/Laboratory

$11

—

83033

Fetal hemoglobin analysis

Pathology/Laboratory

$8

—

83035106203

TM-CLOTRIMAZOLE 1% TOP CREAM

Prescription Drug - Generic

$0

—

83035106402

TRUE LAXATIVE PEG 3350 POWDER

Prescription Drug - Generic

$0

—

83035113701

ULTRA LIDO GEL 4% PATCH

Prescription Drug - Generic

$1

—

83036

Hemoglobin A1C level

Pathology/Laboratory

$10

—

83037

Hemoglobin A1C level, by device for home use

Pathology/Laboratory

$10

—

83045

Methemoglobin (hemoglobin) analysis, qualitative

Pathology/Laboratory

$6

—

83050

Methemoglobin (hemoglobin) analysis, quantitative

Pathology/Laboratory

$8

—

83051

Plasma hemoglobin level

Pathology/Laboratory

$7

—

83060

Sulfhemoglobin (hemoglobin) level

Pathology/Laboratory

$9

—

83065

Thermolabile (heat sensitive) hemoglobin level

Pathology/Laboratory

$9

—

83068

Screening test for unstable hemoglobin

Pathology/Laboratory

$9

—

83069

Urine hemoglobin level

Pathology/Laboratory

$4

—

83070

Hemosiderin (hemoglobin breakdown product) analysis

Pathology/Laboratory

$5

—

83080

b-Hexosaminidase (enzyme) level

Pathology/Laboratory

$17

—

83088

Histamine (immune system substance) level

Pathology/Laboratory

$30

—

83090

Homocysteine (amino acid) level

Pathology/Laboratory

$18

—

83148002160

DESOXIMETASONE 0.05% OINTMENT

Prescription Drug - Generic

$2

—

83148004350

LIDOCAINE HCL 4% SOLUTION

Prescription Drug - Generic

$0

—

83148006460

CLOBETASOL EMOLLIENT 0.05% CRM

Prescription Drug - Generic

$1

—

83150

Homovanillic acid (organic acid) level

Pathology/Laboratory

$22

—

83257000541

FULPHILA 6 MG/0.6 ML SYRINGE

Prescription Drug - Brand

$3,186

—

83257001111

SEMGLEE (YFGN) 100 UNIT/ML VL

Prescription Drug - Brand

$26

—

83257001233

SEMGLEE (YFGN) 100 UNIT/ML PEN

Prescription Drug - Brand

$26

—

83257001411

INSULIN GLARGINE-YFGN U100 VL

Prescription Drug - Generic

$6

—

83257001532

INSULIN GLARGINE-YFGN U100 PEN

Prescription Drug - Generic

$6

—

83301000102

GABAPENTIN 600 MG TABLET

Prescription Drug - Generic

$0

—

83301000202

GABAPENTIN 800 MG TABLET

Prescription Drug - Generic

$0

—

83301000303

GABAPENTIN 100 MG CAPSULE

Prescription Drug - Generic

$0

—

83301000403

GABAPENTIN 300 MG CAPSULE

Prescription Drug - Generic

$0

—

83301000503

GABAPENTIN 400 MG CAPSULE

Prescription Drug - Generic

$0

—

83301000803

METFORMIN HCL 500 MG TABLET

Prescription Drug - Generic

$0

—

83301000903

METFORMIN HCL 850 MG TABLET

Prescription Drug - Generic

$0

—

83301001003

METFORMIN HCL 1,000 MG TABLET

Prescription Drug - Generic

$0

—

83301001102

CELECOXIB 100 MG CAPSULE

Prescription Drug - Generic

$0

—

83301001202

CELECOXIB 200 MG CAPSULE

Prescription Drug - Generic

$0

—

83301002404

BUPROPION HCL XL 150 MG TABLET

Prescription Drug - Generic

$0

—

My Cost List