|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$47.97 |
$47.97 |
$47.97 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$14.04 |
$14.04 |
$14.04 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$52.11 |
$52.11 |
$52.11 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$15.66 |
$15.66 |
$15.66 |
$31.03
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$20.79 |
$20.79 |
$20.79 |
$33.60
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$14.04 |
$14.04 |
$14.04 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$15.93 |
$15.93 |
$15.93 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$49.68 |
$49.68 |
$49.68 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$24.84 |
$24.84 |
$24.84 |
$76.50
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$7.29 |
$7.29 |
$7.29 |
$31.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$106.92 |
$106.92 |
$106.92 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$82.89 |
$82.89 |
$82.89 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$282.15 |
$282.15 |
$282.15 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$97.20 |
$97.20 |
$97.20 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$100.44 |
$100.44 |
$100.44 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$218.16 |
$218.16 |
$218.16 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$101.79 |
$101.79 |
$101.79 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$257.58 |
$257.58 |
$257.58 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$171.18 |
$171.18 |
$171.18 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$279.72 |
$279.72 |
$279.72 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$47.25 |
$47.25 |
$47.25 |
$90.70
|
|
Vaccine rabies im
|
$668.86 |
$668.86 |
$668.86 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$392.31 |
$392.31 |
$392.31 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$617.49 |
$617.49 |
$617.49 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$617.49 |
$617.49 |
$617.49 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$168.75 |
$168.75 |
$168.75 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$78.57 |
$78.57 |
$78.57 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$76.14 |
$76.14 |
$76.14 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$118.45 |
$118.45 |
$118.45 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$102.05 |
$102.05 |
$102.05 |
$112.10
|
|
Vaccine typhoid vicps im
|
$61.02 |
$61.02 |
$61.02 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$205.74 |
$205.74 |
$205.74 |
$365.17
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$912.33 |
$912.33 |
$912.33 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$1,134.27 |
$1,134.27 |
$1,134.27 |
$5,735.60
|
|
Vag hyst including t/o
|
$851.58 |
$851.58 |
$851.58 |
$4,827.18
|
|
Vaginal bx
|
$140.67 |
$140.67 |
$140.67 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$790.02 |
$790.02 |
$790.02 |
$3,843.60
|
|
Vaginal Delivery (full care)
|
$2,179.71 |
$2,179.71 |
$2,179.71 |
$4,263.60
|
|
Vaginal hysterectomy
|
$771.66 |
$771.66 |
$771.66 |
$5,766.00
|
|
Vagotomy & pylorus repair 43640
|
$1,075.14 |
$1,075.14 |
$1,075.14 |
$2,628.12
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$31.05 |
$31.05 |
$31.05 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$56.97 |
$56.97 |
$56.97 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$68.65 |
$68.65 |
$68.65 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$56.73 |
$56.73 |
$56.73 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$116.91 |
$116.91 |
$116.91 |
$136.13
|
|
Varicella zoster antibody igg
|
$10.80 |
$10.80 |
$10.80 |
$86.80
|
|
Vasc graft into carpal bone
|
$697.14 |
$697.14 |
$697.14 |
$3,839.54
|
|
Vasectomy
|
$319.68 |
$319.68 |
$319.68 |
$2,424.12
|
|
Vbac delivery 59610
|
$2,263.68 |
$2,263.68 |
$2,263.68 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$1,023.03 |
$1,023.03 |
$1,023.03 |
$2,285.60
|
|
Vedolizumab 300 mg intravenous solution
|
$14,040.00 |
$14,040.00 |
$14,040.00 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$429.84 |
$429.84 |
$429.84 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$824.31 |
$824.31 |
$824.31 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$252.45 |
$252.45 |
$252.45 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$429.84 |
$429.84 |
$429.84 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$252.45 |
$252.45 |
$252.45 |
$826.15
|
|
Vein bypass grft fem-popliteal 35583
|
$1,232.82 |
$1,232.82 |
$1,232.82 |
$3,013.56
|
|
Vein byp fem-tibial peroneal 35585
|
$1,425.33 |
$1,425.33 |
$1,425.33 |
$2,931.20
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$1,416.69 |
$1,416.69 |
$1,416.69 |
$8,152.00
|
|
Vein x-ray kidney
|
$53.46 |
$53.46 |
$53.46 |
$2,766.73
|
|
Vein x-ray liver
|
$54.54 |
$54.54 |
$54.54 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$54.00 |
$54.00 |
$54.00 |
$3,483.84
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$205.47 |
$205.47 |
$205.47 |
$202.80
|
|
Venogram ext bil s&i
|
$71.28 |
$71.28 |
$71.28 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$50.76 |
$50.76 |
$50.76 |
$1,366.20
|
|
Venous mech thrombectomy
|
$345.87 |
$345.87 |
$345.87 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$247.59 |
$247.59 |
$247.59 |
$5,094.75
|
|
Venous sampling s&i
|
$26.46 |
$26.46 |
$26.46 |
$4,193.20
|
|
Ven thrombosis images bilat
|
$45.36 |
$45.36 |
$45.36 |
$796.50
|
|
Ventilator each subsequent day
|
$852.12 |
$852.12 |
$852.12 |
$1,204.00
|
|
Ventilator initial day
|
$1,120.77 |
$1,120.77 |
$1,120.77 |
$1,431.43
|
|
Version cephalic external
|
$90.72 |
$90.72 |
$90.72 |
$2,361.75
|
|
Vertebral corpectomy partial/complete 63082
|
$233.01 |
$233.01 |
$233.01 |
$405.88
|
|
Very long chain fatty acids
|
$4.33 |
$4.33 |
$4.33 |
$139.88
|
|
V-exc/lip/w/pri linear closure 40520
|
$341.82 |
$341.82 |
$341.82 |
$3,837.72
|
|
Vincristine 1 mg/ml intravenous solution
|
$10.80 |
$10.80 |
$10.80 |
$87.15
|
|
Virus isolation addl studies ea
|
$4.32 |
$4.32 |
$4.32 |
$77.50
|
|
Vital capacity test
|
$15.93 |
$15.93 |
$15.93 |
$170.00
|
|
Vitamin b-12
|
$81.81 |
$81.81 |
$81.81 |
$100.00
|
|
Vitamin D Test
|
$48.60 |
$48.60 |
$48.60 |
$132.00
|
|
Vkorc1 gene
|
$13.50 |
$13.50 |
$13.50 |
$176.80
|
|
Voiding pressure study/intra-abd 51797
|
$163.35 |
$163.35 |
$163.35 |
$433.20
|
|
Volume measurement urine timed
|
$8.91 |
$8.91 |
$8.91 |
$21.45
|
|
Vulvectomy simple partial
|
$553.77 |
$553.77 |
$553.77 |
$3,986.00
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$106,341.74 |
$106,341.74 |
$106,341.74 |
$179,026.50
|
|
Warde 1003990 aldosterone
|
$9.78 |
$9.78 |
$9.78 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$38.61 |
$38.61 |
$38.61 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$57.46 |
$57.46 |
$57.46 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$6.06 |
$6.06 |
$6.06 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$3.72 |
$3.72 |
$3.72 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$4.66 |
$4.66 |
$4.66 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$1.93 |
$1.93 |
$1.93 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$5.91 |
$5.91 |
$5.91 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$4.04 |
$4.04 |
$4.04 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$3.45 |
$3.45 |
$3.45 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$44.28 |
$44.28 |
$44.28 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$3.51 |
$3.51 |
$3.51 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$4.31 |
$4.31 |
$4.31 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$38.51 |
$38.51 |
$38.51 |
$218.40
|
|
Warde 3400852 arsenic
|
$56.70 |
$56.70 |
$56.70 |
$100.88
|