Medical Procedure Costs

23359010530

C-NATE DHA SOFTGEL

Prescription Drug - Generic

$1

—

23395

Muscle transfer shoulder/arm

Surgery - Musculoskeletal

$1,178

—

23397

Muscle transfers

Surgery - Musculoskeletal

$1,043

—

23400

Fixation of shoulder blade

Surgery - Musculoskeletal

$899

—

23405

Incision of tendon & muscle

Surgery - Musculoskeletal

$575

—

23406

Incise tendon(s) & muscle(s)

Surgery - Musculoskeletal

$674

—

23410

Repair rotator cuff acute

Surgery - Musculoskeletal

$765

—

23412

Repair rotator cuff chronic

Surgery - Musculoskeletal

$792

—

23415

Release of shoulder ligament

Surgery - Musculoskeletal

$658

—

23420

Repair of shoulder

Surgery - Musculoskeletal

$907

—

23430

Repair biceps tendon

Surgery - Musculoskeletal

$696

—

23440

Remove/transplant tendon

Surgery - Musculoskeletal

$701

—

23450

Repair shoulder capsule

Surgery - Musculoskeletal

$872

—

23455

Repair shoulder capsule

Surgery - Musculoskeletal

$880

—

23460

Repair shoulder capsule

Surgery - Musculoskeletal

$1,001

—

23462

Repair shoulder capsule

Surgery - Musculoskeletal

$977

—

23465

Repair shoulder capsule

Surgery - Musculoskeletal

$1,025

—

23466

Repair shoulder capsule

Surgery - Musculoskeletal

$1,035

—

23470

Reconstruct shoulder joint

Surgery - Musculoskeletal

$1,088

—

23472

Reconstruct shoulder joint

Surgery - Musculoskeletal

$1,300

—

23473

Revis reconst shoulder joint

Surgery - Musculoskeletal

$1,440

—

23474

Revis reconst shoulder joint

Surgery - Musculoskeletal

$1,552

—

23480

Revision of collar bone

Surgery - Musculoskeletal

$764

—

23485

Revision of collar bone

Surgery - Musculoskeletal

$871

—

23490

Reinforce clavicle

Surgery - Musculoskeletal

$801

—

23491

Reinforce shoulder bones

Surgery - Musculoskeletal

$938

—

23500

Cltx clavicular fx w/o mnpj

Surgery - Musculoskeletal

$245

—

23505

Cltx clavicular fx w/mnpj

Surgery - Musculoskeletal

$345

—

23515

Optx clavicular fx w/int fix

Surgery - Musculoskeletal

$679

—

23520

Cltx strnclav dislc w/o mnpj

Surgery - Musculoskeletal

$247

—

23525

Cltx strnclav dislc w/mnpj

Surgery - Musculoskeletal

$367

—

23530

Optx strnclav dislc aqt/chrn

Surgery - Musculoskeletal

$549

—

23532

Optx strclv dslc aq/chrn grf

Surgery - Musculoskeletal

$597

—

23540

Cltx acromclav dislc wo mnpj

Surgery - Musculoskeletal

$257

—

23545

Cltx acromclav dislc w/mnpj

Surgery - Musculoskeletal

$426

—

23550

Optx acromclv dislc aqt/chrn

Surgery - Musculoskeletal

$541

—

23552

Optx acrclv dslc aq/chrn grf

Surgery - Musculoskeletal

$612

—

23570

Cltx scapular fx w/o mnpj

Surgery - Musculoskeletal

$253

—

23575

Cltx scap fx w/mnpj +-tractj

Surgery - Musculoskeletal

$379

—

23585

Optx scapular fx w/int fixj

Surgery - Musculoskeletal

$895

—

23594010105

KARBINAL ER 4 MG/5 ML SUSP

Prescription Drug - Brand

$1

—

23594050050

POLY-VI-FLOR 0.25 MG DROPS

Prescription Drug - Brand

$6

—

23594051008

MILLIPRED 10 MG/5 ML SOLUTION

Prescription Drug - Brand

$3

—

23594078088

ULESFIA 5% LOTION

Prescription Drug - Brand

$1

—

23600

Cltx prox humrl fx w/o mnpj

Surgery - Musculoskeletal

$332

—

23605

Cltx prx hmrl fx mnpj+-tract

Surgery - Musculoskeletal

$441

—

23615

Optx prox humrl fx w/int fix

Surgery - Musculoskeletal

$824

—

23616

Optx prx hmrl fx fix rpr rpl

Surgery - Musculoskeletal

$1,122

—

23620

Cltx gr hmrl tbrs fx wo mnpj

Surgery - Musculoskeletal

$272

—

23625

Cltx gr hmrl tbrs fx w/mnpj

Surgery - Musculoskeletal

$377

—

My Cost List