Medical Procedure Costs

15733

Musc myoq/fscq flp h&n pedcl

Surgery - Integumentary

$908

—

15734

Muscle-skin graft trunk

Surgery - Integumentary

$1,387

—

15736

Muscle-skin graft arm

Surgery - Integumentary

$1,111

—

15738

Muscle-skin graft leg

Surgery - Integumentary

$1,148

—

15740

Island pedicle flap graft

Surgery - Integumentary

$751

—

15750

Neurovascular pedicle flap

Surgery - Integumentary

$840

—

15756

Free myo/skin flap microvasc

Surgery - Integumentary

$1,962

—

15757

Free skin flap microvasc

Surgery - Integumentary

$1,946

—

15758

Free fascial flap microvasc

Surgery - Integumentary

$1,941

—

15760

Composite skin graft

Surgery - Integumentary

$611

—

15769

Grfg autol soft tiss dir exc

Surgery - Integumentary

$455

—

15770

Derma-fat-fascia graft

Surgery - Integumentary

$606

—

15771

Grfg autol fat lipo 50 cc/<

Surgery - Integumentary

$474

—

15772

Grfg autol fat lipo ea addl

Surgery - Integumentary

$126

—

15773

Grfg autol fat lipo 25 cc/<

Surgery - Integumentary

$454

—

15774

Gfrg autol fat lipo ea addl

Surgery - Integumentary

$122

—

15775

Hair trnspl 1-15 punch grfts

Surgery - Integumentary

$223

—

15776

Hair trnspl >15 punch grafts

Surgery - Integumentary

$304

—

15777

Acellular derm matrix implt

Surgery - Integumentary

$182

—

15778

Impl absrb msh/prsth dly cls

Surgery - Integumentary

$353

—

15780

Dermabrasion total face

Surgery - Integumentary

$564

—

15781

Dermabrasion segmental face

Surgery - Integumentary

$368

—

15782

Dermabrasion other than face

Surgery - Integumentary

$320

—

15783

Dermabrasion suprfl any site

Surgery - Integumentary

$307

—

15786

Abrasion lesion single

Surgery - Integumentary

$119

—

15787

Abrasion lesions add-on

Surgery - Integumentary

$14

—

15788

Chemical peel facial epidrm

Surgery - Integumentary

$196

—

15789

Chemical peel facial dermal

Surgery - Integumentary

$358

—

15792

Chem peel nonfacial epidrm

Surgery - Integumentary

$192

—

15793

Chemical peel nonfacial drm

Surgery - Integumentary

$318

—

15820

Blepharoplasty lower eyelid

Surgery - Integumentary

$451

—

15821

Blepharp lwr eyelid fat pad

Surgery - Integumentary

$484

—

15821010115

FRESHKOTE EYE DROPS

Prescription Drug - Brand

$2

—

15821050190

TOZAL SOFTGEL

Prescription Drug - Brand

$0

—

15822

Blepharoplasty upper eyelid

Surgery - Integumentary

$356

—

15823

Blepharp upr eyelid xcsv skn

Surgery - Integumentary

$482

—

15830

Exc excessive skin abdomen

Surgery - Integumentary

$1,067

—

15832

Exc excessive skin thigh

Surgery - Integumentary

$842

—

15833

Exc excessive skin leg

Surgery - Integumentary

$798

—

15834

Exc excessive skin hip

Surgery - Integumentary

$812

—

15835

Exc excessive skin buttock

Surgery - Integumentary

$845

—

15836

Exc excessive skin arm

Surgery - Integumentary

$729

—

15837

Exc excsv skin forearm/hand

Surgery - Integumentary

$658

—

15838

Exc excsv submental fat pad

Surgery - Integumentary

$600

—

15839

Exc excessive skn other area

Surgery - Integumentary

$682

—

15840

Nerve palsy fascial graft

Surgery - Integumentary

$886

—

15841

Nerve palsy muscle graft

Surgery - Integumentary

$1,581

—

15842

Nerve palsy microsurg graft

Surgery - Integumentary

$2,364

—

15845

Skin and muscle repair face

Surgery - Integumentary

$968

—

15851

Removal sutr/staple req anes

Surgery - Integumentary

$58

—

My Cost List