|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$0.01 |
$0.01 |
$0.01 |
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$181.05 |
$181.05 |
$181.05 |
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$120.95 |
$120.95 |
$120.95 |
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$90.53 |
$90.53 |
$90.53 |
|
|
Vaccine dtap < 7 years im
|
$1.97 |
$66.92 |
$169.18 |
|
|
Vaccine dtap-hep b-ipv im
|
$143.95 |
$448.95 |
$489.10 |
|
|
Vaccine dtap-ipv 4-6 years im
|
$97.21 |
$97.21 |
$97.21 |
|
|
Vaccine dtap-ipv-hib-hepb im
|
$198.12 |
$198.12 |
$198.12 |
|
|
Vaccine dtap-ipv/hib im
|
$6.65 |
$51.94 |
$220.42 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$5.86 |
$41.56 |
$74.78 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$31.33 |
$31.36 |
$42.81 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$7.34 |
$94.24 |
$184.75 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$189.21 |
$189.21 |
$189.21 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$3.53 |
$3.53 |
$127.63 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$127.63 |
$127.63 |
$127.63 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$102.40 |
$102.40 |
$113.46 |
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$221.18 |
$221.18 |
$221.18 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$46.61 |
$63.47 |
$223.35 |
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$520.15 |
$520.15 |
$520.15 |
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$201.83 |
$201.83 |
$201.83 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$235.22 |
$235.22 |
$235.22 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$36.29 |
$49.20 |
$103.14 |
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$104.63 |
$104.63 |
$104.63 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$31.91 |
$46.26 |
$49.90 |
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$42.30 |
$42.30 |
$42.30 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$351.44 |
$523.94 |
$1,149.36 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$344.29 |
$344.29 |
$344.29 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$27.32 |
$27.32 |
$178.08 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$157.31 |
$351.05 |
$382.44 |
|
|
Vaccine mmr live subcutaneous
|
$150.89 |
$206.15 |
$528.31 |
|
|
Vaccine mmrv live subcutaneous
|
$256.74 |
$256.74 |
$256.74 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$179.57 |
$214.69 |
$295.17 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$322.77 |
$322.77 |
$322.77 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$179.57 |
$179.57 |
$179.57 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$456.49 |
$460.04 |
$680.46 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$40.81 |
$40.81 |
$64.56 |
|
|
Vaccine rabies im
|
$82.99 |
$951.29 |
$2,352.89 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$69.60 |
$69.60 |
$69.60 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$778.36 |
$778.36 |
$778.36 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,557.46 |
$1,557.46 |
$1,557.46 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$126.14 |
$126.14 |
$126.14 |
|
|
Vaccine tdap >=7 years im
|
$6.19 |
$103.97 |
$121.68 |
|
|
Vaccine td preservative free >= 7 years im
|
$6.89 |
$88.17 |
$171.41 |
|
|
Vaccine varicella live subcutaneous
|
$242.64 |
$242.64 |
$242.64 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,811.88 |
$1,811.88 |
$1,877.15 |
|
|
Vad cable power module dc input
|
$453.94 |
$453.94 |
$453.94 |
|
|
Vad univ batt charger hm 1440
|
$8,517.84 |
$8,517.84 |
$9,487.88 |
|
|
Vag hyst including t/o
|
$1,142.17 |
$1,142.17 |
$1,142.17 |
|
|
Vaginal bx
|
$790.82 |
$790.82 |
$3,313.83 |
|
|
Vaginal hysterectomy
|
$1,028.66 |
$1,028.66 |
$1,028.66 |
|
|
Valproic acid total therapeutic drug level
|
$4.45 |
$10.30 |
$225.57 |
|
|
Valvuloplasty aortic
|
$3,046.21 |
$4,066.14 |
$11,220.53 |
|
|
Valvuloplasty aortic valve
|
$5,772.76 |
$5,772.76 |
$5,772.76 |
|
|
Valvuloplasty mitral
|
$3,073.10 |
$3,844.09 |
$12,437.92 |
|
|
Valvuloplasty pulmonary
|
$3,096.87 |
$3,873.82 |
$12,437.92 |
|
|
Valvuloplasty/tv without ring insert 33463
|
$4,773.29 |
$4,773.29 |
$4,773.29 |
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$3,692.94 |
$3,692.94 |
$3,692.94 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$86.82 |
$86.82 |
$86.82 |
|
|
Vancomycin 750 mg intravenous solution
|
$310.16 |
$310.16 |
$310.16 |
|
|
Vancomycin hcl injection
|
$0.03 |
$48.14 |
$93.80 |
|
|
Vancomycin peak therapeutic drug level
|
$9.39 |
$31.11 |
$205.54 |
|
|
Vanomycin dna amp probe
|
$143.21 |
$143.21 |
$143.21 |
|
|
Varicella zoster antibody igg
|
$6.94 |
$12.98 |
$93.50 |
|
|
Vasc emb/occ w/prs cath
|
$4,701.74 |
$5,824.30 |
$13,446.64 |
|
|
Vasectomy
|
$357.68 |
$357.68 |
$518.66 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$100.17 |
$533.09 |
$2,538.01 |
|
|
Vedolizumab 300 mg intravenous solution
|
$7,069.58 |
$11,516.16 |
$32,023.98 |
|
|
Veeg cont 2-12 hrs
|
$74.82 |
$446.00 |
$1,437.85 |
|
|
Veeg ea 12-26hr cont mntr
|
$104.77 |
$495.19 |
$1,579.96 |
|
|
Veeg intrmnt 2-12 hrs
|
$68.93 |
$286.48 |
$1,437.85 |
|
|
Veeg unmon 12-26 hrs
|
$89.79 |
$446.00 |
$1,579.96 |
|
|
Veeg unmon 2-12 hrs
|
$59.84 |
$273.02 |
$1,437.85 |
|
|
Vein bypass grft fem-popliteal 35583
|
$2,177.03 |
$2,177.03 |
$2,177.03 |
|
|
Vein byp fem-tibial peroneal 35585
|
$20,776.00 |
$20,776.00 |
$20,776.00 |
|
|
Vein byp pop-tibl peroneal
|
$20,902.14 |
$20,902.14 |
$20,902.14 |
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$2,506.48 |
$2,506.48 |
$2,506.48 |
|
|
Vein x-ray adrenal gland
|
$765.40 |
$1,025.28 |
$4,075.18 |
|
|
Vein x-ray adrenal glands
|
$933.74 |
$1,250.78 |
$6,112.77 |
|
|
Vein x-ray eye socket
|
$386.40 |
$602.91 |
$686.07 |
|
|
Vein x-ray kidney
|
$786.90 |
$1,032.12 |
$5,286.75 |
|
|
Vein x-ray liver
|
$1,068.12 |
$1,391.04 |
$2,539.57 |
|
|
Vein x-ray liver w/hemodynam
|
$1,058.44 |
$1,388.29 |
$6,279.55 |
|
|
Vein x-ray liver w/hemodynam
|
$1,058.44 |
$1,378.44 |
$3,728.32 |
|
|
Vein x-ray liver without hemodyn
|
$629.30 |
$825.41 |
$3,619.84 |
|
|
Vein x-ray skull
|
$840.09 |
$1,239.21 |
$1,462.13 |
|
|
Vein x-ray skull epidural
|
$579.60 |
$734.56 |
$1,143.74 |
|
|
Vein x-ray spleen/liver
|
$580.07 |
$801.31 |
$3,011.79 |
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,690.36 |
$3,690.36 |
$6,167.51 |
|
|
Vemp test i&r cervical
|
$112.70 |
$112.70 |
$112.70 |
|
|
Vemp test i&r ocular
|
$119.00 |
$119.00 |
$119.00 |
|
|
Vemp tst i&r cervical&ocular
|
$209.30 |
$209.30 |
$209.30 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$16.88 |
$96.46 |
$893.88 |
|
|
Venipuncture <3 yrs other vein
|
$15.35 |
$15.53 |
$19.35 |
|
|
Venogram ext bil s&i
|
$202.46 |
$638.96 |
$3,182.83 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$173.31 |
$546.00 |
$2,499.80 |
|
|
Venous mech thrombectomy
|
$3,348.65 |
$4,134.44 |
$9,416.73 |
|
|
Venous m-thrombectomy add-on
|
$2,428.99 |
$3,038.38 |
$5,650.33 |
|
|
Venous sampling s&i
|
$1,001.47 |
$1,341.50 |
$5,748.72 |
|
|
Venous thrombosis imaging
|
$230.61 |
$481.88 |
$683.24 |
|
|
Ven thrombosis images bilat
|
$269.74 |
$563.64 |
$799.16 |
|
