|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$222.00 |
$497.44 |
$518.71 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$525.00 |
$910.22 |
$1,569.74 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$701.75 |
$2,628.56 |
$2,628.56 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$241.50 |
$324.00 |
$747.33 |
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$707.69 |
$707.69 |
$707.69 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$125.79 |
$707.69 |
$2,156.00 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$90.75 |
$218.00 |
$499.00 |
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,206.70 |
$1,206.70 |
$2,338.41 |
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$146.25 |
$1,522.00 |
$2,704.61 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$194.99 |
$1,825.49 |
$1,825.49 |
|
|
Vaccine influenza inactivated adjuvant im
|
$806.14 |
$806.14 |
$806.14 |
|
|
Vaccine influenza nos 0.5ml dose im
|
$193.76 |
$223.95 |
$530.86 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$64.25 |
$529.15 |
$529.15 |
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$445.92 |
$445.92 |
$445.92 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$310.61 |
$889.06 |
$889.06 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$385.04 |
$385.04 |
$517.44 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$691.84 |
$691.84 |
$1,158.19 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$682.00 |
$1,070.09 |
$7,925.00 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$393.50 |
$493.75 |
$2,412.64 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$668.26 |
$704.00 |
$4,777.36 |
|
|
Vaccine mmr live subcutaneous
|
$338.21 |
$958.75 |
$2,558.64 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$474.76 |
$474.76 |
$910.75 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$67.25 |
$1,419.00 |
$2,161.00 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$861.84 |
$1,258.00 |
$2,160.64 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$971.18 |
$971.18 |
$1,014.25 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$299.73 |
$717.00 |
$2,253.00 |
|
|
Vaccine rabies im
|
$1,184.14 |
$2,316.06 |
$10,641.68 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$628.66 |
$986.78 |
$1,254.75 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$44.18 |
$1,796.50 |
$4,669.00 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,763.84 |
$1,772.40 |
$4,223.34 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$630.00 |
$2,755.20 |
$2,755.20 |
|
|
Vaccine tdap >=7 years im
|
$17.55 |
$1,264.23 |
$1,354.64 |
|
|
Vaccine td preservative free >= 7 years im
|
$178.28 |
$1,029.84 |
$1,039.70 |
|
|
Vaccine varicella live subcutaneous
|
$45.30 |
$1,251.50 |
$2,134.83 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$318.95 |
$347.35 |
$409.00 |
|
|
Valproic acid total therapeutic drug level
|
$12.03 |
$229.59 |
$1,945.31 |
|
|
Valvuloplasty aortic
|
$5,383.22 |
$8,546.68 |
$8,546.68 |
|
|
Valvuloplasty mitral
|
$7,834.57 |
$17,274.10 |
$17,274.10 |
|
|
Valvuloplasty pulmonary
|
$17,824.09 |
$17,824.09 |
$17,824.09 |
|
|
Vancomycin 750 mg intravenous solution
|
$22.40 |
$22.40 |
$238.55 |
|
|
Vancomycin hcl injection
|
$1,221.32 |
$1,221.32 |
$1,221.32 |
|
|
Vancomycin peak therapeutic drug level
|
$9.31 |
$315.66 |
$1,103.38 |
|
|
Vanomycin dna amp probe
|
$288.58 |
$288.58 |
$561.25 |
|
|
Varicella zoster antibody igg
|
$7.22 |
$216.22 |
$216.22 |
|
|
Varicella-zoster immue globin im
|
$3,594.75 |
$10,872.75 |
$12,259.52 |
|
|
Vasc emb/occ w/prs cath
|
$28,913.36 |
$28,913.36 |
$28,913.36 |
|
|
Vasectomy
|
$5,406.23 |
$5,406.23 |
$5,406.23 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$451.92 |
$1,088.00 |
$1,566.46 |
|
|
Vedolizumab 300 mg intravenous solution
|
$25,816.70 |
$44,596.16 |
$70,952.00 |
|
|
Veeg cont 2-12 hrs
|
$864.56 |
$2,476.45 |
$14,512.97 |
|
|
Veeg ea 12-26hr cont mntr
|
$1,459.89 |
$4,635.34 |
$14,512.97 |
|
|
Veeg intrmnt 2-12 hrs
|
$653.94 |
$1,290.72 |
$14,512.97 |
|
|
Veeg unmon 12-26 hrs
|
$1,114.08 |
$2,476.45 |
$13,759.35 |
|
|
Veeg unmon 2-12 hrs
|
$759.21 |
$1,042.84 |
$13,759.35 |
|
|
Vein x-ray adrenal gland
|
$10,370.63 |
$10,370.63 |
$10,370.63 |
|
|
Vein x-ray adrenal glands
|
$6,991.13 |
$8,071.80 |
$21,776.46 |
|
|
Vein x-ray eye socket
|
$2,849.52 |
$2,849.52 |
$2,849.52 |
|
|
Vein x-ray kidney
|
$1,817.38 |
$8,013.49 |
$8,013.49 |
|
|
Vein x-ray liver
|
$1,432.99 |
$6,721.53 |
$21,907.00 |
|
|
Vein x-ray liver w/hemodynam
|
$4,140.76 |
$8,148.25 |
$20,698.00 |
|
|
Vein x-ray liver w/hemodynam
|
$1,576.61 |
$8,065.83 |
$24,999.00 |
|
|
Vein x-ray liver without hemodyn
|
$1,434.75 |
$3,255.37 |
$9,860.09 |
|
|
Vein x-ray skull
|
$1,320.70 |
$4,488.22 |
$17,416.30 |
|
|
Vein x-ray skull epidural
|
$2,849.52 |
$2,849.52 |
$2,849.52 |
|
|
Vein x-ray spleen/liver
|
$3,243.57 |
$10,391.70 |
$21,488.00 |
|
|
Vendaje, per square centimet
|
$1.00 |
$1.00 |
$1.00 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$20.25 |
$2,769.34 |
$11,302.68 |
|
|
Venipuncture <3 yrs other vein
|
$19.31 |
$19.31 |
$21.90 |
|
|
Venogram ext bil s&i
|
$523.90 |
$6,153.68 |
$6,153.68 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$303.75 |
$3,055.72 |
$4,374.50 |
|
|
Venous mech thrombectomy
|
$4,267.81 |
$7,743.15 |
$7,743.15 |
|
|
Venous m-thrombectomy add-on
|
$2,891.57 |
$6,991.29 |
$6,991.29 |
|
|
Venous sampling s&i
|
$2,405.22 |
$7,462.18 |
$24,026.20 |
|
|
Ven thrombosis images bilat
|
$653.07 |
$1,325.77 |
$5,098.00 |
|
|
Ventilator each subsequent day
|
$499.84 |
$5,017.98 |
$20,439.65 |
|
|
Ventilator Management (first day)
|
$619.45 |
$5,113.11 |
$32,133.00 |
|
|
Version cephalic external
|
$285.75 |
$4,067.11 |
$4,067.11 |
|
|
Verteporfin injection
|
$27,653.75 |
$27,653.75 |
$27,653.75 |
|
|
Very long chain fatty acids
|
$46.54 |
$287.19 |
$3,944.28 |
|
|
Video Swallow Study (Modified Barium Swallow)
|
$127.42 |
$2,014.84 |
$5,525.85 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$12.63 |
$629.44 |
$1,337.59 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$189.00 |
$370.99 |
$1,277.40 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$103.75 |
$605.93 |
$12,986.00 |
|
|
Viper venom prothrombin time
|
$463.29 |
$463.29 |
$996.00 |
|
|
Virus isolation addl studies ea
|
$9.42 |
$777.10 |
$2,415.00 |
|
|
Visual audiometry (vra)
|
$423.87 |
$423.87 |
$484.75 |
|
|
Vital capacity test
|
$54.81 |
$415.70 |
$712.00 |
|
|
Vitamin b-12
|
$12.26 |
$241.43 |
$1,308.50 |
|
|
Vitamin D Test
|
$20.20 |
$438.77 |
$2,271.00 |
|
|
Vkorc1 gene
|
$36.84 |
$167.48 |
$3,549.75 |
|
|
Volume measurement urine timed
|
$1.41 |
$170.51 |
$355.15 |
|
|
Vonvendi inj 1 iu vwf:rco
|
$13.75 |
$13.75 |
$13.75 |
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$0.22 |
$536.13 |
$2,655.82 |
|
|
Walking (Gait) Training (each 15 minutes)
|
$15.18 |
$284.51 |
$410.67 |
|
|
Warde 1003990 aldosterone
|
$4.23 |
$781.87 |
$2,488.84 |
|
|
Warde 1005020 citrate 24 hour urine
|
$39.50 |
$442.32 |
$2,805.00 |
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$13.85 |
$206.56 |
$1,657.82 |
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$17.25 |
$453.54 |
$1,309.37 |
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$18.61 |
$239.47 |
$2,364.21 |
|
|
Warde 1015200 kappa light chain free
|
$15.66 |
$133.50 |
$133.50 |
|
