Medical Procedure Costs

11383016008

ULTRA A-D 2 MG CAPLET

Prescription Drug - Generic

$0

—

11383016406

THROAT 1.4% SPRAY

Prescription Drug - Generic

$0

—

11383016560

PAIN & SLEEP 25-500 MG CAPLET

Prescription Drug - Generic

$0

—

11383016808

EXPECTORANT 100 MG/5 ML SYRUP

Prescription Drug - Generic

$0

—

11383023460

LAX STOOL SOFTENER-SENNA TAB

Prescription Drug - Generic

$0

—

11383023550

G-FENESIN 400 MG CAPLET

Prescription Drug - Generic

$0

—

11383023750

SINUTROL PE 2-5-325 MG TABLET

Prescription Drug - Generic

$0

—

11383023850

G-FENESIN DM 20-400 MG CAPLET

Prescription Drug - Generic

$0

—

11383023950

CONGEST-EZE PE 10-400 MG CPLT

Prescription Drug - Generic

$0

—

11383024723

L-A NASAL DECONGEST 120 MG TAB

Prescription Drug - Generic

$0

—

11383025408

EXPECTORANT DM COUGH SYRUP

Prescription Drug - Generic

$0

—

11400

Exc tr-ext b9+marg 0.5 cm<

Surgery - Integumentary

$76

—

11401

Exc tr-ext b9+marg 0.6-1 cm

Surgery - Integumentary

$95

—

11402

Exc tr-ext b9+marg 1.1-2 cm

Surgery - Integumentary

$103

—

11403

Exc tr-ext b9+marg 2.1-3cm

Surgery - Integumentary

$136

—

11404

Exc tr-ext b9+marg 3.1-4 cm

Surgery - Integumentary

$152

—

11406

Exc tr-ext b9+marg >4.0 cm

Surgery - Integumentary

$228

—

11420

Exc h-f-nk-sp b9+marg 0.5/<

Surgery - Integumentary

$76

—

11421

Exc h-f-nk-sp b9+marg 0.6-1

Surgery - Integumentary

$99

—

11422

Exc h-f-nk-sp b9+marg 1.1-2

Surgery - Integumentary

$124

—

11423

Exc h-f-nk-sp b9+marg 2.1-3

Surgery - Integumentary

$144

—

11424

Exc h-f-nk-sp b9+marg 3.1-4

Surgery - Integumentary

$165

—

11426

Exc h-f-nk-sp b9+marg >4 cm

Surgery - Integumentary

$245

—

11440

Exc face-mm b9+marg 0.5 cm/<

Surgery - Integumentary

$98

—

11441

Exc face-mm b9+marg 0.6-1 cm

Surgery - Integumentary

$120

—

11442

Exc face-mm b9+marg 1.1-2 cm

Surgery - Integumentary

$132

—

11443

Exc face-mm b9+marg 2.1-3 cm

Surgery - Integumentary

$159

—

11444

Exc face-mm b9+marg 3.1-4 cm

Surgery - Integumentary

$200

—

11446

Exc face-mm b9+marg >4 cm

Surgery - Integumentary

$283

—

11450

Exc skn hdrdnt ax smpl/ntrm

Surgery - Integumentary

$255

—

11451

Exc skn hdrdnt ax complex

Surgery - Integumentary

$320

—

11462

Exc skn hdrdnt ing smpl/ntrm

Surgery - Integumentary

$243

—

11463

Exc skn hdrdnt ing complex

Surgery - Integumentary

$316

—

11470

Exc skn h/p/p/u smpl/ntrm

Surgery - Integumentary

$281

—

11471

Exc skn h/p/p/u complex

Surgery - Integumentary

$332

—

11523009601

A + D OINTMENT

Prescription Drug - Brand

$0

—

11523016503

TINACTIN 1% LIQUID SPRAY

Prescription Drug - Brand

$0

—

11523052208

CORICIDIN HBP TABLET

Prescription Drug - Brand

$0

—

11523077702

TINACTIN 1% AEROSOL POWDER

Prescription Drug - Brand

$0

—

11523088709

GYNE-LOTRIMIN-7 1% CREAM

Prescription Drug - Brand

$0

—

11523091901

LOTRIMIN AF 2% POWDER

Prescription Drug - Brand

$0

—

11523096307

LOTRIMIN AF 1% CREAM

Prescription Drug - Brand

$0

—

11523119002

TINACTIN 1% CREAM

Prescription Drug - Brand

$0

—

11523131402

A+D ZINC OXIDE CREAM

Prescription Drug - Brand

$0

—

11523170201

AFRIN NO DRIP SINUS PUMP MIST

Prescription Drug - Brand

$0

—

11523178301

AFRIN NO DRIP PUMP MIST

Prescription Drug - Brand

$0

—

11523314201

AFRIN NO DRIP ORIG PUMP MIST

Prescription Drug - Brand

$0

—

11523411201

AFRIN 0.05% NASAL SPRAY

Prescription Drug - Brand

$0

—

11523414002

LOTRIMIN AF 2% SPRAY POWDER

Prescription Drug - Brand

$0

—

11523416102

TINACTIN 1% DEODORANT SPRY PWD

Prescription Drug - Brand

$0

—

My Cost List