I've been told that some derms don't perform this procedure. The one I go to does and she automatically injects cortisone so it's never something that I have to ask for. If it would make you feel better, I would agree that you should call ahead of time to make sure they'll do this. As for how much it costs, I think it might all be different but for me, I just pay my $5 insurance co-pay and that's it. Good luck! I hope everything works out well for you!
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Be careful of cortisone...it may leave indentations in your skin that may be permanent.
I would NOT recommend cortisone after what I went through. I had 3 deep pits where the doctor had injected me with cortisone. Two pits filled in, but it took 6 months. The other one is permanent, and it's right by my mouth. I look awful.