Medical Procedure Costs

25010081156

TIMOPTIC-XE 0.5% EYE SOLN

Prescription Drug - Brand

$40

—

25010081356

TIMOPTIC 0.5% EYE DROPS

Prescription Drug - Brand

$29

—

25020

Decompress forearm 1 space

Surgery - Musculoskeletal

$722

—

25021011487

CIPROFLOXACN-D5W 400 MG/200 ML

Prescription Drug - Generic

$0

—

25021040201

HEPARIN SODIUM 5,000 UNITS/ML VIAL

Prescription Drug - Generic

$1

—

25021046301

OCTREOTIDE ACET 50 MCG/ML VIAL

Prescription Drug - Generic

$3

—

25021065102

ORPHENADRINE 60 MG/2 ML VIAL

Prescription Drug - Generic

$6

—

25021067377

GLYDO 2% JELLY SYRINGE

Prescription Drug - Generic

$1

—

25023

Decompress forearm 1 space

Surgery - Musculoskeletal

$1,264

—

25024

Decompress forearm 2 spaces

Surgery - Musculoskeletal

$727

—

25025

Decompress forearm 2 spaces

Surgery - Musculoskeletal

$1,124

—

25028

I&d f/arm&/wrst dp absc/hmtm

Surgery - Musculoskeletal

$688

—

25031

I&d forearm&/wrist bursa

Surgery - Musculoskeletal

$364

—

25035

Inc dp bone crtx f/arm&/wrst

Surgery - Musculoskeletal

$563

—

25040

Arthrt rdcrpl/midcarpl jt

Surgery - Musculoskeletal

$525

—

25065

Biopsy forearm soft tissues

Surgery - Musculoskeletal

$146

—

25066

Biopsy forearm soft tissues

Surgery - Musculoskeletal

$358

—

25071

Exc forearm les sc 3 cm/>

Surgery - Musculoskeletal

$404

—

25073

Exc forearm tum deep 3 cm/>

Surgery - Musculoskeletal

$508

—

25075

Exc forearm les sc < 3 cm

Surgery - Musculoskeletal

$307

—

25076

Exc forearm tum deep < 3 cm

Surgery - Musculoskeletal

$491

—

25077

Resect forearm/wrist tum<3cm

Surgery - Musculoskeletal

$831

—

25078

Resect forarm/wrist tum 3cm>

Surgery - Musculoskeletal

$1,082

—

25085

Incision of wrist capsule

Surgery - Musculoskeletal

$426

—

25100

Biopsy of wrist joint

Surgery - Musculoskeletal

$347

—

25101

Explore/treat wrist joint

Surgery - Musculoskeletal

$392

—

25105

Remove wrist joint lining

Surgery - Musculoskeletal

$464

—

25107

Remove wrist joint cartilage

Surgery - Musculoskeletal

$588

—

25109

Excise tendon forearm/wrist

Surgery - Musculoskeletal

$506

—

25110

Remove wrist tendon lesion

Surgery - Musculoskeletal

$338

—

25111

Remove wrist tendon lesion

Surgery - Musculoskeletal

$321

—

25112

Reremove wrist tendon lesion

Surgery - Musculoskeletal

$377

—

25115

Remove wrist/forearm lesion

Surgery - Musculoskeletal

$703

—

25116

Remove wrist/forearm lesion

Surgery - Musculoskeletal

$571

—

25118

Excise wrist tendon sheath

Surgery - Musculoskeletal

$370

—

25119

Partial removal of ulna

Surgery - Musculoskeletal

$487

—

25120

Removal of forearm lesion

Surgery - Musculoskeletal

$475

—

25125

Remove/graft forearm lesion

Surgery - Musculoskeletal

$571

—

25126

Remove/graft forearm lesion

Surgery - Musculoskeletal

$575

—

25130

Removal of wrist lesion

Surgery - Musculoskeletal

$431

—

25135

Remove & graft wrist lesion

Surgery - Musculoskeletal

$541

—

25136

Remove & graft wrist lesion

Surgery - Musculoskeletal

$483

—

25145

Remove forearm bone lesion

Surgery - Musculoskeletal

$502

—

25150

Partial removal of ulna

Surgery - Musculoskeletal

$535

—

25151

Partial removal of radius

Surgery - Musculoskeletal

$546

—

25170

Resect radius/ulnar tumor

Surgery - Musculoskeletal

$1,330

—

25208020115

ZYPITAMAG 2 MG TABLET

Prescription Drug - Brand

$7

—

25208020215

ZYPITAMAG 4 MG TABLET

Prescription Drug - Brand

$7

—

25210

Removal of wrist bone

Surgery - Musculoskeletal

$467

—

25215

Removal of wrist bones

Surgery - Musculoskeletal

$578

—

My Cost List