Medical Procedure Costs

11523432502

CORICIDIN HBP COLD & FLU TAB

Prescription Drug - Brand

$0

—

11523432601

CORICIDIN HBP COUGH & COLD TAB

Prescription Drug - Brand

$0

—

11523432701

LOTRIMIN AF 2% LIQUID SPRAY

Prescription Drug - Brand

$0

—

11523715403

LOTRIMIN ULTRA 1% CREAM

Prescription Drug - Brand

$0

—

11523715708

CLARITIN 10 MG REDITABS

Prescription Drug - Brand

$1

—

11523715802

CORICIDIN HBP SOFTGEL

Prescription Drug - Brand

$0

—

11523716103

CLARITIN-D 24 HOUR TABLET

Prescription Drug - Brand

$1

—

11523716203

CLARITIN-D 12 HOUR TABLET

Prescription Drug - Brand

$1

—

11523716301

CLARITIN 5 MG/5 ML SYRUP

Prescription Drug - Brand

$0

—

11523719704

CHILD CLARITIN 5 MG/5 ML SOLN

Prescription Drug - Brand

$0

—

11523719806

CHILD'S CLARITIN 5 MG TAB CHEW

Prescription Drug - Brand

$1

—

11523720008

CLARITIN 10 MG LIQUI-GEL CAP

Prescription Drug - Brand

$1

—

11523720203

CLARITIN 5 MG REDITABS

Prescription Drug - Brand

$1

—

11523720401

A + D FIRST AID OINTMENT

Prescription Drug - Brand

$0

—

11523721402

CORICIDIN HBP COLD-MULTI SYMPT

Prescription Drug - Brand

$0

—

11523723403

MIRALAX POWDER

Prescription Drug - Brand

$0

—

11523723708

CLARITIN 10 MG TABLET

Prescription Drug - Brand

$1

—

11523726503

ZEGERID OTC 20-1,100 MG CAP

Prescription Drug - Brand

$1

—

11523726808

MIRALAX POWDER PACKET

Prescription Drug - Brand

$1

—

11527070442

SODIUM FLUORIDE SENSTV 5000PPM

Prescription Drug - Generic

$0

—

11527073516

SODIUM FLUORIDE 0.2% RINSE

Prescription Drug - Generic

$0

—

11527074534

SOD FLUORIDE ENAM PROT 5000PPM

Prescription Drug - Generic

$0

—

11527075534

SODIUM FLUORIDE 5000 DRY MOUTH

Prescription Drug - Generic

$0

—

11534015903

PHENTERMINE 37.5 MG CAPSULE

Prescription Drug - Generic

$0

—

11600

Exc tr-ext mal+marg 0.5 cm/<

Surgery - Integumentary

$109

—

11601

Exc tr-ext mal+marg 0.6-1 cm

Surgery - Integumentary

$128

—

11602

Exc tr-ext mal+marg 1.1-2 cm

Surgery - Integumentary

$137

—

11603

Exc tr-ext mal+marg 2.1-3 cm

Surgery - Integumentary

$163

—

11604

Exc tr-ext mal+marg 3.1-4 cm

Surgery - Integumentary

$181

—

11606

Exc tr-ext mal+marg >4 cm

Surgery - Integumentary

$275

—

11620

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

Surgery - Integumentary

$109

—

11621

Exc s/n/h/f/g mal+mrg 0.6-1

Surgery - Integumentary

$129

—

11622

Exc s/n/h/f/g mal+mrg 1.1-2

Surgery - Integumentary

$144

—

11623

Exc s/n/h/f/g mal+mrg 2.1-3

Surgery - Integumentary

$178

—

11624

Exc s/n/h/f/g mal+mrg 3.1-4

Surgery - Integumentary

$203

—

11626

Exc s/n/h/f/g mal+mrg >4 cm

Surgery - Integumentary

$254

—

11640

Exc f/e/e/n/l mal+mrg 0.5cm<

Surgery - Integumentary

$111

—

11641

Exc f/e/e/n/l mal+mrg 0.6-1

Surgery - Integumentary

$135

—

11642

Exc f/e/e/n/l mal+mrg 1.1-2

Surgery - Integumentary

$155

—

11643

Exc f/e/e/n/l mal+mrg 2.1-3

Surgery - Integumentary

$193

—

11644

Exc f/e/e/n/l mal+mrg 3.1-4

Surgery - Integumentary

$240

—

11646

Exc f/e/e/n/l mal+mrg >4 cm

Surgery - Integumentary

$333

—

11701002214

ATRAC-TAIN CREAM

Prescription Drug - Generic

$0

—

11701003816

MICRO-GUARD 2% POWDER

Prescription Drug - Brand

$0

—

11701004514

BAZA ANTIFUNGAL 2% CREAM

Prescription Drug - Generic

$0

—

11701004614

BAZA PROTECT CREAM

Prescription Drug - Generic

$0

—

11701005032

CRITIC-AID SKIN PASTE

Prescription Drug - Generic

$0

—

11719

Trim nail(s) any number

Surgery - Integumentary

$7

—

11720

Debride nail 1-5

Surgery - Integumentary

$13

—

11721

Debride nail 6 or more

Surgery - Integumentary

$21

—

My Cost List