Medical Procedure Costs

24358

Repair elbow w/deb open

Surgery - Musculoskeletal

$500

—

24359

Repair elbow deb/attch open

Surgery - Musculoskeletal

$617

—

24360

Reconstruct elbow joint

Surgery - Musculoskeletal

$838

—

24361

Reconstruct elbow joint

Surgery - Musculoskeletal

$931

—

24362

Reconstruct elbow joint

Surgery - Musculoskeletal

$976

—

24363

Replace elbow joint

Surgery - Musculoskeletal

$1,301

—

24365

Reconstruct head of radius

Surgery - Musculoskeletal

$606

—

24366

Reconstruct head of radius

Surgery - Musculoskeletal

$635

—

24370

Revise reconst elbow joint

Surgery - Musculoskeletal

$1,377

—

24371

Revise reconst elbow joint

Surgery - Musculoskeletal

$1,572

—

24385000346

GENTIAN VIOLET 1% SOLUTION

Prescription Drug - Generic

$0

—

24385000534

GNP DAY TIME COLD-FLU LIQUID

Prescription Drug - Generic

$0

—

24385001758

PINK BISMUTH CAPLET

Prescription Drug - Generic

$0

—

24385002465

PINK BISMUTH 262 MG TAB CHEW

Prescription Drug - Generic

$0

—

24385002671

CHEST CONGST-COUGH RELIEF TAB

Prescription Drug - Generic

$0

—

24385003330

GLYCERIN 99.5% LIQUID

Prescription Drug - Generic

$0

—

24385003553

NIGHT TIME LIQUID CAPSULE

Prescription Drug - Generic

$0

—

24385003562

NIGHT TIME SOFTGEL

Prescription Drug - Generic

$0

—

24385003653

DAY TIME LIQUID CAPSULE

Prescription Drug - Generic

$0

—

24385003662

DAY TIME COLD-FLU SOFTGEL

Prescription Drug - Generic

$0

—

24385003936

ENEMA TWIN PACK

Prescription Drug - Generic

$0

—

24385005355

GNP POVIDONE-IODINE 10% SOLN

Prescription Drug - Generic

$0

—

24385005452

SUPHEDRIN 12HR 120 MG CAPLET

Prescription Drug - Generic

$0

—

24385005461

GNP NASAL DECONGEST ER 120 MG

Prescription Drug - Generic

$0

—

24385007282

CALDYPHEN LOTION

Prescription Drug - Generic

$0

—

24385007705

EYE DROPS

Prescription Drug - Generic

$0

—

24385008334

ALOE VERA-LIDOCAINE GEL

Prescription Drug - Generic

$0

—

24385010680

ANTACID XTRA STRENGTH CHEW TAB

Prescription Drug - Generic

$0

—

24385010753

LAXATIVE 10 MG SUPPOSITORY

Prescription Drug - Generic

$0

—

24385011009

CLOTRIMAZOLE-3 CREAM

Prescription Drug - Generic

$0

—

24385011603

LICE TREATMENT SHAMPOO

Prescription Drug - Generic

$0

—

24385011878

GAS RELIEF 80 TABLET CHEW

Prescription Drug - Generic

$0

—

24385012372

GAS RELIEF 125 TABLET CHEW

Prescription Drug - Generic

$0

—

24385012576

FIBER TABS

Prescription Drug - Generic

$0

—

24385013026

CHILD'S PAIN RELIEVER SUSP

Prescription Drug - Generic

$0

—

24385014303

TRIPLE ANTIBIOTIC PLUS OINT

Prescription Drug - Generic

$0

—

24385014571

PAIN RELIEVER 500 MG TABLET

Prescription Drug - Generic

$0

—

24385014762

PAIN RELIEF ALLERGY CAPLET

Prescription Drug - Generic

$0

—

24385014976

DAIRY RELIEF 3,000 UNIT CAPLET

Prescription Drug - Generic

$0

—

24385016553

ARTHRICREAM 10% RUB

Prescription Drug - Generic

$0

—

24385017562

GNP ALL DAY ALLERGY-D TABLET

Prescription Drug - Generic

$1

—

24385018351

DAYHIST ALLERGY 1.34 MG TABLET

Prescription Drug - Generic

$0

—

24385020503

GNP ATHLETE'S FOOT 1% CREAM

Prescription Drug - Generic

$0

—

24385021003

ANTI-ITCH 2% CREAM

Prescription Drug - Generic

$0

—

24385023663

WART REMOVER SOLUTION

Prescription Drug - Generic

$0

—

24385026226

COUGH RELIEF LIQUID

Prescription Drug - Generic

$0

—

24385027868

ASPIRIN 81 MG CHEW TABLET

Prescription Drug - Generic

$0

—

24385028306

HYDROCORTISONE 1% LOTION

Prescription Drug - Generic

$0

—

24385030127

NATURAL FIBER POWDER

Prescription Drug - Generic

$0

—

24385030226

STOMACH RELIEF 262 MG/15 ML

Prescription Drug - Generic

$0

—

My Cost List