|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$73.00 |
$73.00 |
$73.00 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$11.59 |
$11.59 |
$43.12 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$170.09 |
$170.09 |
$170.09 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$71.85 |
$71.85 |
$231.56 |
$218.40
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$73.92 |
$73.92 |
$73.92 |
$79.15
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$145.60 |
$145.60 |
$145.60 |
$57.20
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$146.87 |
$146.87 |
$146.87 |
$84.75
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$127.68 |
$127.68 |
$127.68 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$274.93 |
$274.93 |
$274.93 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$57.68 |
$57.68 |
$57.68 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$576.48 |
$576.48 |
$576.48 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$291.20 |
$291.20 |
$291.20 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$152.15 |
$152.15 |
$152.15 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$68.30 |
$68.30 |
$152.15 |
$109.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$24.20 |
$24.20 |
$24.20 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$17.06 |
$17.06 |
$52.33 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$31.36 |
$31.36 |
$31.36 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$16.80 |
$16.80 |
$16.80 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$39.20 |
$39.20 |
$39.20 |
$31.03
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$20.72 |
$20.72 |
$20.72 |
$33.60
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$31.36 |
$31.36 |
$31.36 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$50.96 |
$50.96 |
$50.96 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$44.80 |
$44.80 |
$44.80 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$89.07 |
$89.07 |
$89.07 |
$76.50
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$31.36 |
$31.36 |
$31.36 |
$31.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$108.84 |
$108.84 |
$239.12 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$201.60 |
$201.60 |
$201.60 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$310.93 |
$310.93 |
$310.93 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$76.54 |
$76.54 |
$495.60 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$170.08 |
$170.08 |
$170.08 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$502.80 |
$502.80 |
$502.80 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$72.00 |
$72.00 |
$207.36 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$87.45 |
$87.45 |
$397.11 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$414.46 |
$414.46 |
$414.46 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$540.73 |
$540.73 |
$540.73 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$97.68 |
$97.68 |
$97.68 |
$90.70
|
|
Vaccine rabies im
|
$207.08 |
$207.08 |
$762.15 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$538.84 |
$538.84 |
$538.84 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,042.49 |
$1,042.49 |
$1,042.49 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,042.49 |
$1,042.49 |
$1,042.49 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$538.05 |
$538.05 |
$538.05 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$256.68 |
$256.68 |
$256.68 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$225.12 |
$225.12 |
$225.12 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$59.92 |
$59.92 |
$72.00 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$17.55 |
$17.55 |
$40.32 |
$112.10
|
|
Vaccine typhoid vicps im
|
$285.15 |
$285.15 |
$285.15 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$337.15 |
$337.15 |
$337.15 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$450.65 |
$450.65 |
$450.65 |
$418.46
|
|
Vaccinia vrs vac 0.3 ml perq
|
$44.80 |
$44.80 |
$44.80 |
$0.01
|
|
Vacuum drain bottle/tube kit
|
$43.68 |
$43.68 |
$43.68 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$2,002.00
|
|
Vad cable power module dc input
|
$218.96 |
$218.96 |
$218.96 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$4,971.12 |
$4,971.12 |
$4,971.12 |
$14,827.28
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$13,311.20 |
$13,311.20 |
$13,311.20 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$12,527.20 |
$12,527.20 |
$12,527.20 |
$5,735.60
|
|
Vag hyst including t/o
|
$3,589.60 |
$3,589.60 |
$3,589.60 |
$4,827.18
|
|
Vag hyst t/o & repair compl
|
$16,374.40 |
$16,374.40 |
$16,374.40 |
$8,185.02
|
|
Vag hyst w/enterocele compl 58294
|
$11,183.20 |
$11,183.20 |
$11,183.20 |
$5,603.00
|
|
Vag hyst w/enterocele repair
|
$13,311.20 |
$13,311.20 |
$13,311.20 |
$5,468.70
|
|
Vaginal bx
|
$498.40 |
$498.40 |
$498.40 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$8,002.40 |
$8,002.40 |
$8,002.40 |
$3,843.60
|
|
Vaginal Delivery (full care)
|
$1,326.90 |
$1,326.90 |
$1,326.90 |
$4,263.60
|
|
Vaginal hysterectomy
|
$14,952.00 |
$14,952.00 |
$14,952.00 |
$5,766.00
|
|
Vaginectomy partial w/nodes
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,252.00
|
|
Vag inser rectal control sys
|
$16.80 |
$16.80 |
$16.80 |
$16.80
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$12.77 |
$12.77 |
$12.77 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$88.95 |
$88.95 |
$194.88 |
$114.72
|
|
Valvuloplasty aortic
|
$5,012.10 |
$5,012.10 |
$14,980.00 |
$7,830.80
|
|
Valvuloplasty aortic valve
|
$5,068.00 |
$5,068.00 |
$5,068.00 |
$5,068.00
|
|
Valvuloplasty aortic valve
|
$6,624.80 |
$6,624.80 |
$6,624.80 |
$6,624.80
|
|
Valvuloplasty mitral
|
$16,335.20 |
$16,335.20 |
$16,335.20 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$6,581.70 |
$6,581.70 |
$16,335.20 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$1,594.50 |
$1,594.50 |
$1,594.50 |
$7,556.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$37.13 |
$37.13 |
$374.08 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$30.98 |
$30.98 |
$89.09 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$93.45 |
$93.45 |
$260.96 |
$136.13
|
|
Vanomycin dna amp probe
|
$352.80 |
$352.80 |
$352.80 |
$78.40
|
|
Varicella zoster antibody igg
|
$21.00 |
$21.00 |
$86.80 |
$86.80
|
|
Varicella-zoster immue globin im
|
$3,816.19 |
$3,816.19 |
$3,816.19 |
$3,816.19
|
|
Varus/valgus strap padded/li
|
$75.60 |
$75.60 |
$75.60 |
$115.53
|
|
Vasc emb/occ w/prs cath
|
$11,569.60 |
$11,569.60 |
$11,569.60 |
$21,009.00
|
|
Vasc graft into carpal bone
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Vasectomy
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$58.40 |
$58.40 |
$682.24 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$4,950.00 |
$4,950.00 |
$15,098.46 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,225.60 |
$3,225.60 |
$3,225.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$3,018.40 |
$3,018.40 |
$3,018.40 |
$826.15
|
|
Vein x-ray adrenal gland
|
$12,796.00 |
$12,796.00 |
$12,796.00 |
$2,845.80
|
|
Vein x-ray eye socket
|
$5,829.60 |
$5,829.60 |
$5,829.60 |
$1,438.32
|
|
Vein x-ray kidney
|
$1,933.05 |
$1,933.05 |
$8,853.60 |
$2,766.73
|
|
Vein x-ray liver
|
$10,326.40 |
$10,326.40 |
$10,326.40 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$2,082.15 |
$2,082.15 |
$8,198.40 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$2,452.80
|
|
Vein x-ray skull
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$2,141.00
|
|
Vein x-ray skull epidural
|
$5,829.60 |
$5,829.60 |
$5,829.60 |
$1,746.50
|
|
Vein x-ray spleen/liver
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,427.50
|
