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Bartlett Surgery And Specialty Clinic

Alaska · 785 published self-pay prices, from $3.19 to $24,713.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 785 published items.

ItemCash priceSetting
2D ultrasound scan of eye tissue and structures$624Outpatient
Acupuncture, each additional 15 minutes$158Outpatient
Acupuncture, initial 15 minutes$207Outpatient
ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION OF SALINE$168Outpatient
Adjustment of stomach reduction device using an endoscope$10,430Outpatient
Amputation of finger or thumb with direct closure$3,513Outpatient
Amputation of finger or thumb with tissue flap$4,326Outpatient
Amputation of toe and midfoot bone$2,489Outpatient
Application of chemical to stop tissue regrowth in wound$438Outpatient
Application of elbow to finger cast$474Outpatient
Application of nonmoveable forearm to hand splint$356Outpatient
Application of short leg splint from calf to foot$393Outpatient
Application of stress by physician for joint imaging$262Outpatient
Aspiration and/or injection of cyst of tendon$448Outpatient
Aspiration and/or injection of fluid from large joint$438Outpatient
Aspiration and/or injection of fluid from medium joint$340Outpatient
Aspiration and/or injection of fluid from small joint$301Outpatient
Aspiration of abdominal cavity or cyst using an endoscope$10,389Outpatient
Aspiration of abscess, blood, or cyst$706Outpatient
Aspiration of bladder with insertion of bladder tube to skin$1,309Outpatient
Aspiration of bone marrow sample for diagnosis$957Outpatient
Aspiration of cyst of breast, each additional cyst$241Outpatient
Aspiration of cyst of breast, first cyst$832Outpatient
Aspiration of fluid collection in testicle and sperm reservoir$672Outpatient
Aspiration of fluid from chest cavity$1,108Outpatient
Aspiration of fluid from chest cavity using imaging guidance$1,571Outpatient
Aspiration of initial secretion of lung airway using an endoscope$1,938Outpatient
Aspiration of lens material by aspiration$5,599Outpatient
Aspiration of lens material by fragmenting and aspiration$6,348Outpatient
ASTIGMATISM CORRECTING FUNCTION OF INTRAOCULAR LENS$1,326Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$2,217Outpatient
Balloon dilation of large bowel using a flexible endoscope$3,256Outpatient
Banding of hemorrhoids using a flexible endoscope (colonoscope)$5,718Outpatient
Biopsies of rectum and/or lower large bowel using a rigid endoscope$1,159Outpatient
Biopsy of abdomen using an endoscope$4,310Outpatient
Biopsy of anal and/or rectal wall through anus$2,447Outpatient
Biopsy of anus using an endoscope$1,914Outpatient
Biopsy of bone marrow$1,210Outpatient
Biopsy of breast through incision$2,204Outpatient
Biopsy of ear$722Outpatient
Biopsy of esophagus using a flexible endoscope through mouth$2,649Outpatient
Biopsy of esophagus using a rigid endoscope$1,481Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,952Outpatient
Biopsy of eyelid$1,434Outpatient
Biopsy of large bowel using a flexible endoscope$2,716Outpatient
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$2,953Outpatient
Biopsy of lower large bowel using a flexible endoscope$1,254Outpatient
Biopsy of related skin growth, each additional growth$434Outpatient
Biopsy of related skin growth, first growth$563Outpatient
Biopsy of small bowel pouch using an endoscope$2,392Outpatient
Biopsy of stomach$6,837Outpatient
Biopsy of surface soft tissue to back or lower sides$1,954Outpatient
Biopsy of surface tissue of forearm or wrist$1,459Outpatient
Biopsy of surface tissue of pelvis and hip$1,983Outpatient
Biopsy of surface tissue of upper arm or elbow$1,811Outpatient
Biopsy or removal of deep lymph nodes of neck$5,335Outpatient
Biopsy or removal of deep lymph nodes of underarm$6,152Outpatient
Biopsy or removal of foreign body in large bowel$8,370Outpatient
Biopsy or removal of lymph nodes$2,001Outpatient
Biopsy or removal of lymph nodes of breast$4,552Outpatient
Biopsy or removal of lymph nodes of groin$2,532Outpatient
Change of breathing tube in windpipe$201Outpatient
Closed treatment of 2 broken lower leg bones at ankle with manipulation$3,502Outpatient
Closed treatment of 3 broken lower leg bones at ankle with manipulation$3,808Outpatient
Closed treatment of broken base of forearm bone on small finger side at wrist$2,470Outpatient
Closed treatment of broken bone in forefoot or midfoot$1,384Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$2,394Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$1,792Outpatient
Closed treatment of broken hand bone$1,601Outpatient
Closed treatment of broken middle part of shin bone$2,105Outpatient
Closed treatment of broken midpart of forearm bone on small finger side with manipulation$3,818Outpatient
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$3,913Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$3,188Outpatient
Closed treatment of broken spine bone with cast or brace$2,479Outpatient
Closed treatment of dislocated hip prosthesis under anesthesia$3,652Outpatient
Closed treatment of dislocated hip under anesthesia$5,633Outpatient
Closed treatment of dislocated knee joint under anesthesia$2,189Outpatient
Closed treatment of dislocated shoulder with manipulation under anesthesia$2,934Outpatient
Closed treatment of inside portion of shin bone at ankle$2,456Outpatient
Closure of abnormal drainage tract from small bowel to urinary bladder with resection of bladder and/or small bowel$15,611Outpatient
Closure of opening from large or small bowel to skin using an endoscope$13,626Outpatient
Closure of surgically created large or small bowel opening with bowel removal and reattachment$5,919Outpatient
Closure of surgically created large or small bowel opening with bowel removal and reattachment of large bowel and rectum$13,109Outpatient
COLONOSCOPY CONSULTATION PERFORMED PRIOR TO A SCREENING COLONOSCOPY PROCEDURE$438Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$2,462Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$2,462Outpatient
Complex drainage of wound infection after surgery$1,343Outpatient
Complex removal of cataract with insertion of prosthetic lens$6,361Outpatient
Complicated insertion of bladder tube$703Outpatient
Complicated or multiple drainage of skin abscess$1,117Outpatient
Complicated reconstruction of opening from large bowel to skin$9,091Outpatient
Complicated removal of cyst of tailbone$5,065Outpatient
Complicated removal of foreign body in deep muscle or tendon$2,750Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm$2,437Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm$2,785Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm$2,089Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$3,509Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less$972Outpatient
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm$2,533Outpatient
Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less$722Outpatient
Complicated repair of wound of trunk, 2.6-7.5 cm$2,142Outpatient
Complicated repair of wound of trunk, each additional 5.0 cm or less$660Outpatient
COMPOUNDED DRUG, NOT OTHERWISE CLASSIFIED$110Outpatient
Contrast injection for imaging to evaluate central venous access device$898Outpatient
Control of bleeding of anus using an endoscope$935Outpatient
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope$2,587Outpatient
Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$5,802Outpatient
Control of bleeding of liver with exploration, removal of tissue, suture or cautery$24,713Outpatient
Control of bleeding of lower large bowel using a flexible endoscope$1,096Outpatient
Control of bleeding of lower large bowel using an endoscope$1,708Outpatient
Control of bleeding of upper large bowel using a flexible endoscope$2,748Outpatient
Conversion of stomach tube to tube in middle small bowel using an endoscope$1,595Outpatient
Creation of connection between 2 segments of small bowel$10,737Outpatient
Creation of eye fluid drainage tract for treatment of glaucoma$8,774Outpatient
Creation of eye fluid drainage tracts in iris using a laser, per session$2,396Outpatient
Creation of large bowel opening using an endoscope$10,032Outpatient
Creation of opening from large bowel to skin$9,830Outpatient
Creation of opening from small bowel to skin$8,531Outpatient
Creation of opening from small bowel to skin using an endoscope$9,325Outpatient
Creation of opening from small bowel to skin with insertion of a tube for decompression or feeding using an endoscope$5,313Outpatient
Creation of opening of iris for eye fluid drainage using a laser$3,981Outpatient
Creation of permanent eyelid margin scarring$3,698Outpatient
Critical care, each additional 30 minutes$499Outpatient
Critical care, first 30-74 minutes$1,013Outpatient
Declotting of central venous tube$255Outpatient
Decompression of large bowel using an endoscope inserted through surgically created opening in large bowel to skin$1,926Outpatient
Decompression of twisted or abnormally dilated large bowel using a flexible endoscope$2,902Outpatient
Decompression of twisted or abnormally dilated lower large bowel using a flexible endoscope$1,452Outpatient
Destruction of anal polyp or growth using an endoscope$783Outpatient
Destruction of birthmark, less than 10.0 sq cm$1,970Outpatient
Destruction of growth of cornea$2,622Outpatient
Destruction of growth or polyp of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$3,881Outpatient
Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope$5,149Outpatient
Destruction of polyp or growth of large bowel using a flexible endoscope$3,657Outpatient
Destruction of precancer skin growth, 1 growth$551Outpatient
Destruction of skin growth, 1-14 growths$638Outpatient
Destruction or removal of ovary or growth of pelvis using an endoscope$6,844Outpatient
Diagnostic exam of abdomen using an endoscope$4,151Outpatient
Diagnostic exam of anus and rectum under anesthesia$876Outpatient
Diagnostic exam of anus using an endoscope$339Outpatient
Diagnostic exam of bladder and urethra using an endoscope$950Outpatient
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,454Outpatient
Diagnostic exam of knee using an endoscope$3,154Outpatient
Diagnostic exam of large bowel using a flexible endoscope$2,462Outpatient
Diagnostic exam of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$3,936Outpatient
Diagnostic exam of lower portion of large bowel using a flexible endoscope$637Outpatient
Diagnostic exam of lung airway using an endoscope$2,277Outpatient
Diagnostic exam of lungs, heart sac, chest cavity, or lung lining using an endoscope$2,388Outpatient
Diagnostic exam of rectum and lower large bowel using an endoscope$830Outpatient
Diagnostic exam of small bowel using an endoscope inserted through surgically created opening from small bowel to skin$2,179Outpatient
Dilation of anus using an endoscope$4,469Outpatient
Dilation of narrowing of rectum under anesthesia$1,640Outpatient
Dilation of sphincter of anus under anesthesia$1,380Outpatient
Dilation of stomach outlet using a flexible endoscope$2,117Outpatient
Dilation of tear drainage opening$740Outpatient
Drainage of abdominal abscess or infection$12,996Outpatient
Drainage of abscess behind abdominal cavity$9,329Outpatient
Drainage of abscess of breast$2,578Outpatient
Drainage of abscess of scrotum$1,252Outpatient
Drainage of blood or fluid accumulation$892Outpatient
Drainage of deep abscess in rectum$3,385Outpatient
Drainage of deep abscess or blood accumulation in soft tissue of neck or chest$2,627Outpatient
Drainage of deep abscess or blood accumulation of forearm or wrist$3,179Outpatient
Drainage of deep abscess or blood accumulation of leg or ankle$3,735Outpatient
Drainage of deep abscess or blood accumulation of thigh or knee$3,676Outpatient
Drainage of deep abscess or blood accumulation of upper arm or elbow$2,481Outpatient
Drainage of fluid from abdominal cavity$981Outpatient
Drainage of fluid from abdominal cavity using imaging guidance$1,721Outpatient
Drainage of fluid from chest cavity with insertion of indwelling tube$3,023Outpatient
Drainage of lymph fluid to abdominal cavity using an endoscope$5,398Outpatient
Drainage of superficial rectal abscess$1,335Outpatient
Drainage of superficial rectal abscess surrounding anus$973Outpatient
Emergency department visit with high level of medical decision making$693Outpatient
Emergency department visit with low level of medical decision making$331Outpatient
Emergency department visit with moderate level of medical decision making$434Outpatient
Emergency department visit with straightforward medical decision making$251Outpatient
Emergent incision of windpipe through neck for insertion of breathing tube$2,716Outpatient
Emergent insertion of breathing tube into windpipe using an endoscope$816Outpatient
Established patient brief communication technology-based service with 5-10 minutes of medical discussion$97.75Outpatient
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$535Outpatient
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more$268Outpatient
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$396Outpatient
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$177Outpatient
Established patient synchronous audio-only visit with high medical decision making and 10 minutes or more of medical discussion, if using time 40 minutes or more$812Outpatient
Established patient synchronous audio-only visit with low medical decision making and 10 minutes or more of medical discussion, if using time 20 minutes or more$382Outpatient
Established patient synchronous audio-only visit with moderate medical decision making and 10 minutes or more of medical discussion, if using time 30 minutes or more$558Outpatient
Established patient synchronous audio-only visit with straightforward medical decision making and 10 minutes or more of medical discussion, if using time 10 minutes or more$219Outpatient
Established patient synchronous audio-video visit with high medical decision making, if using time 40 minutes or more$818Outpatient
Established patient synchronous audio-video visit with low medical decision making, if using time 20 minutes or more$418Outpatient
Established patient synchronous audio-video visit with moderate medical decision making, if using time 30 minutes or more$617Outpatient
Established patient synchronous audio-video visit with straightforward medical decision making, if using time 10 minutes or more$239Outpatient
Exam of lung airways using an endoscope$1,599Outpatient
Exam of spleen using an endoscope$8,480Outpatient
Exam of the internal drainage system of eye$115Outpatient
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope$956Outpatient
Exchange of prosthetic lens$7,283Outpatient
Exercise or drug-induced heart stress test with electrocardiogram (ECG) with review by physician$183Outpatient
Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician$386Outpatient
Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision by physician$212Outpatient
Exploration of abdomen for bleeding, blood clot, or infection after surgery$9,800Outpatient
Exploration of abdominal cavity$6,289Outpatient
Exploration of arm or leg for bleeding, blood clot, or infection after surgery$6,882Outpatient
Exploration of breast nipple$2,678Outpatient
Exploration of chest for bleeding, blood clot, or infection after surgery$12,349Outpatient
Exploration of wound of abdomen, back, or flank$4,266Outpatient
Exploration of wound of arm or leg$5,120Outpatient
Exploration of wound of chest$3,075Outpatient
Exploration of wound of neck$3,805Outpatient
Extended patient service without direct patient contact, each additional 30 minutes$284Outpatient
Extended patient service without direct patient contact, first hour$645Outpatient
Extended physician standby service, each 30 minutes$349Outpatient
Extensive or complicated repair of surface wound reopening$6,737Outpatient
Extensive removal of breast, chest muscle, and underarm lymph nodes$6,932Outpatient
Extensive removal of cyst of tailbone$4,059Outpatient
Extensive removal of growth of face or scalp, 2.0 cm or more$5,857Outpatient
Extensive removal of growth of shoulder, 5.0 cm or more$10,687Outpatient
Extensive removal of growth of upper arm or elbow, 5.0 cm or more$7,683Outpatient
Extensive repair of turning-outward eyelid defect$4,849Outpatient
External shock to heart to regulate heart beat$1,182Outpatient
Fine needle aspiration biopsy of growth using CT guidance, first growth$2,658Outpatient
Fine needle aspiration biopsy, first growth$660Outpatient
Fluoroscopic guidance for insertion or removal of central vein access device$175Outpatient
Fluoroscopic guidance for needle placement$175Outpatient
Follow-up hospital care of newborn per day$154Outpatient
FOLLOW-UP INPATIENT CONSULTATION, COMPLEX, PHYSICIANS TYPICALLY SPEND 35 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH$590Outpatient
FOLLOW-UP INPATIENT CONSULTATION, INTERMEDIATE, PHYSICIANS TYPICALLY SPEND 25 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH$411Outpatient
FOLLOW-UP INPATIENT CONSULTATION, LIMITED, PHYSICIANS TYPICALLY SPEND 15 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH$219Outpatient
Follow-up inpatient hospital critical care of newborn per day (28 days or younger)$1,591Outpatient
Follow-up intensive care of recovering low birth weight infant per day$496Outpatient
Follow-up intensive care of recovering medium birth weight infant per day$477Outpatient
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less$5,786Outpatient
GASTROSTOMY/JEJUNOSTOMY TUBE, LOW-PROFILE, ANY MATERIAL, ANY TYPE, EACH$150Outpatient
GASTROSTOMY/JEJUNOSTOMY TUBE, STANDARD, ANY MATERIAL, ANY TYPE, EACH$413Outpatient
Hospital inpatient or observation care with admission and discharge on the same date with high level of medical decision making, if using time, 85 minutes or more$972Outpatient
Hospital inpatient or observation care with admission and discharge on the same date with moderate level of medical decision making, if using time, 70 minutes or more$703Outpatient
Hospital inpatient or observation care with admission and discharge on the same date with straightforward or low level of medical decision making, if using time, 45 minutes or more$554Outpatient
Hospital inpatient or observation discharge day management, 30 minutes or less$441Outpatient
Hospital inpatient or observation discharge day management, more than 30 minutes$579Outpatient
Imaging guidance for procedure, 60 minutes or less$51.85Outpatient
Imaging of digestive tract done from the inside of the digestive tract$4,929Outpatient
Imaging of lymph nodes during surgery$1,974Outpatient
Imaging of optic nerve$203Outpatient
Imaging of retina$224Outpatient
Incision and drainage of abscess above pelvic floor or behind rectum$4,697Outpatient
Incision and drainage of abscess in wall of rectum or between rectum and muscle with incision or removal of abnormal drainage tract$4,034Outpatient
Incision and drainage of abscess of external female genitals$862Outpatient
Incision and drainage of abscess of eyelid$2,252Outpatient
Incision and drainage of abscess of pelvis$3,360Outpatient
Incision and drainage of abscess within wall of rectum under anesthesia$3,533Outpatient
Incision and drainage of sperm reservoir, testis, and/or scrotal area$1,244Outpatient
Incision biopsy, first skin growth$856Outpatient
Incision of bladder with drainage$3,997Outpatient
Incision of connective tissue of front and/or side and back of lower leg to relieve pressure$3,847Outpatient
Incision of connective tissue on side of pelvis or buttock$5,090Outpatient
Incision of cyst or growth of thyroid$4,571Outpatient
Incision of external hemorrhoid with blood clot$1,200Outpatient
Incision of small bowel for exploration, biopsy, or removal of foreign body$7,953Outpatient
Incision of sphincter of anus$1,917Outpatient
Incision of tissue connecting tongue and floor of mouth$1,692Outpatient
Incision to improve eye fluid flow$6,073Outpatient
Initial control of nose bleed and insertion of packing$1,849Outpatient
Initial evaluation and management of newborn per day$354Outpatient
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes$506Outpatient
Initial hospital inpatient or observation care with high level of medical decision making, if using time, 75 minutes or more$904Outpatient
Initial hospital inpatient or observation care with moderate level of medical decision making. If using time, 55 minutes or more$638Outpatient
Initial inpatient hospital critical care of newborn per day (28 days or younger)$3,395Outpatient
Initial inpatient hospital or birthing center same date care and discharge of newborn$443Outpatient
Initial instillation of agent onto lung lining using chest tube$535Outpatient
Initial intensive care of newborn per day (28 days or younger)$1,288Outpatient
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes$638Outpatient
Initial removal of wedge of lung tissue using an endoscope$6,972Outpatient
Initial repair of anal tear with dilation of anal muscle$1,619Outpatient
Initial repair of entrapped hernia of abdomen, 3-10 cm in length$5,799Outpatient
Initial repair of entrapped hernia of abdomen, less than 3 cm in length$3,556Outpatient
Initial repair of entrapped hernia of abdomen, more than 10 cm in length$7,949Outpatient
Initial repair of sliding hernia of abdomen, 3-10 cm in length$4,455Outpatient
Initial repair of sliding hernia of abdomen, less than 3 cm in length$2,990Outpatient
Initial repair of sliding hernia of abdomen, more than 10 cm in length$5,987Outpatient
Injection beneath lining of large bowel using a flexible endoscope$2,497Outpatient
Injection beneath lining of lower large bowel using a flexible endoscope$549Outpatient
Injection of agent to destroy nerve to internal sphincter of anus$2,410Outpatient
Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve$768Outpatient
Injection of anesthetic agent and/or steroid into other nerve or branch$440Outpatient
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face$815Outpatient
Injection of drug into erectile tissue at sides and back of penis$1,192Outpatient
Injection of drug into eye$815Outpatient
Injection of drug or substance under skin or into muscle$85.85Outpatient
Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,323Outpatient
Injection of radioactive material for X-ray identification of lymph node$1,153Outpatient
Injection procedure for imaging of lymphatic system$1,450Outpatient
INJECTION, AFLIBERCEPT HD, 1 MG$362Outpatient
INJECTION, AFLIBERCEPT, 1 MG$1,062Outpatient
INJECTION, ALTEPLASE RECOMBINANT, 1 MG$190Outpatient
INJECTION, CEFTRIAXONE SODIUM, PER 250 MG$41.65Outpatient
INJECTION, DEXAMETHASONE, INTRAVITREAL IMPLANT, 0.1 MG$218Outpatient
INJECTION, FARICIMAB-SVOA, 0.1 MG$40.33Outpatient
INJECTION, NON-RADIOACTIVE, NON-CONTRAST, VISUALIZATION ADJUNCT (E.G., METHYLENE BLUE, ISOSULFAN BLUE), 1 MG$17.85Outpatient
INJECTION, ONABOTULINUMTOXINA, 1 UNIT$5.10Outpatient
INJECTION, PEGCETACOPLAN, INTRAVITREAL, 1 MG$161Outpatient
INJECTION, RANIBIZUMAB, 0.1 MG$390Outpatient

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