Medical Procedure Costs

89055

White blood cell measure, stool specimen

Pathology/Laboratory

$4

—

89060

Crystal identification from tissue or body fluid

Pathology/Laboratory

$7

—

89125

Fat stain of stool, urine, or respiratory secretions

Pathology/Laboratory

$6

—

89160

Examination of stool for meat fibers

Pathology/Laboratory

$5

—

89190

Nasal smear for eosinophils (allergy related white blood cells)

Pathology/Laboratory

$6

—

89220

Sputum specimen collection

Pathology/Laboratory

$21

—

89230

Collect sweat for test

Pathology/Laboratory

$3

—

89300

Semen analysis presence and/or motility of sperm

Pathology/Laboratory

$10

—

89310

Semen analysis motility and count

Pathology/Laboratory

$9

—

89320

Semen evaluation volume, sperm count, motility and analysis

Pathology/Laboratory

$12

—

89321

Semen analysis for sperm presence

Pathology/Laboratory

$12

—

89322

Semen evaluation, volume, sperm count, motility, and analysis

Pathology/Laboratory

$16

—

89325

Sperm antibody measurement

Pathology/Laboratory

$11

—

89329

Sperm evaluation, hamster penetration test

Pathology/Laboratory

$20

—

89330

Sperm evaluation, cervical mucus penetration test

Pathology/Laboratory

$10

—

89331

Sperm evaluation, for reverse ejaculation, urine specimen

Pathology/Laboratory

$20

—

90096014160

TROSPIUM CHLORIDE 20 MG TABLET

Prescription Drug - Generic

$0

—

90096016101

NAPROXEN DR 500 MG TABLET

Prescription Drug - Generic

$2

—

904198860

MAPAP 500 MG TABLET

Prescription Drug - Generic

$0

—

90460

Im admin 1st/only component

Immunization/Injection

$23

—

90461

Im admin each addl component

Immunization/Injection

$9

—

904676024

ACETAMINOPHEN CONGST-PAIN CPLT

Prescription Drug - Generic

$0

—

904701320

ROBAFEN DM PEAK COLD LIQUID

Prescription Drug - Generic

$0

—

90471

Immunization admin

Immunization/Injection

$22

—

90472

Immunization admin each add

Immunization/Injection

$16

—

90473

Immune admin oral/nasal

Immunization/Injection

$17

—

90474

Immune admin oral/nasal addl

Immunization/Injection

$12

—

90785

Psytx complex interactive

Other

$12

—

90791

Psych diagnostic evaluation

Other

$137

—

90792

Psych diag eval w/med srvcs

Other

$159

—

90832

Psytx w pt 30 minutes

Psychiatry

$69

—

90833

Psytx w pt w e/m 30 min

Psychiatry

$66

—

90834

Psytx w pt 45 minutes

Psychiatry

$92

—

90836

Psytx w pt w e/m 45 min

Psychiatry

$83

—

90837

Psytx w pt 60 minutes

Psychiatry

$135

—

90838

Psytx w pt w e/m 60 min

Psychiatry

$110

—

90839

Psytx crisis initial 60 min

Psychiatry

$130

—

90840

Psytx crisis ea addl 30 min

Psychiatry

$62

—

90845

Psychoanalysis

Psychiatry

$88

—

90846

Family psytx w/o pt 50 min

Psychiatry

$99

—

90847

Family psytx w/pt 50 min

Psychiatry

$103

—

90849

Multiple family group psytx

Psychiatry

$30

—

90853

Group psychotherapy

Psychiatry

$24

—

90865

Narcosynthesis

Psychiatry

$115

—

90870

Electroconvulsive therapy

Psychiatry

$99

—

90880

Hypnotherapy

Psychiatry

$79

—

90901

Biofeedback train any meth

Biofeedback

$16

—

90912

Bfb training 1st 15 min

Other

$37

—

90913

Bfb training ea addl 15 min

Other

$21

—

90935

Hemodialysis one evaluation

Other

$61

—

My Cost List