|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$327.83 |
$327.83 |
$327.83 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$185.00 |
$185.00 |
$185.00 |
$80.28
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$57.20 |
$57.20 |
$57.20 |
$57.20
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$90.35 |
$90.35 |
$90.35 |
$90.35
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$173.98 |
$173.98 |
$647.84 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$728.91 |
$728.91 |
$728.91 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$137.40 |
$137.40 |
$809.00 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,536.64 |
$1,536.64 |
$1,536.64 |
$562.20
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$287.30 |
$287.30 |
$287.30 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$264.24 |
$264.24 |
$264.24 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$158.60 |
$158.60 |
$158.60 |
$96.84
|
|
Vaccine influenza nos 0.5ml dose im
|
$45.31 |
$45.31 |
$45.31 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$97.11 |
$97.11 |
$195.71 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$43.55 |
$43.55 |
$43.55 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$22.10 |
$22.10 |
$22.10 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$45.50 |
$45.50 |
$45.50 |
$33.21
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$21.45 |
$21.45 |
$21.45 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$37.05 |
$37.05 |
$37.05 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$151.45 |
$151.45 |
$151.45 |
$72.00
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$15.60 |
$15.60 |
$15.60 |
$23.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,172.61 |
$1,172.61 |
$1,800.00 |
$387.95
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,053.74 |
$1,053.74 |
$1,584.00 |
$406.05
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$825.36 |
$825.36 |
$1,401.00 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$411.74 |
$411.74 |
$411.74 |
$323.39
|
|
Vaccine mmr live subcutaneous
|
$224.04 |
$224.04 |
$224.04 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$669.63 |
$669.63 |
$669.63 |
$466.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$547.93 |
$547.93 |
$687.00 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,089.31 |
$1,089.31 |
$1,089.31 |
$393.25
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$2,037.00 |
$2,037.00 |
$2,037.00 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,440.87 |
$1,440.87 |
$1,440.87 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$220.25 |
$220.25 |
$220.25 |
$90.70
|
|
Vaccine rabies im
|
$1,016.98 |
$1,016.98 |
$3,554.00 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$746.62 |
$746.62 |
$746.62 |
$521.74
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,784.89 |
$2,784.89 |
$4,902.28 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$980.10
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$261.30 |
$261.30 |
$261.30 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$200.85 |
$200.85 |
$200.85 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$228.52 |
$228.52 |
$552.00 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$207.85 |
$207.85 |
$495.00 |
$110.19
|
|
Vaccine typhoid vicps im
|
$756.29 |
$756.29 |
$756.29 |
$253.50
|
|
Vaccine varicella live subcutaneous
|
$447.80 |
$447.80 |
$447.80 |
$364.16
|
|
Vaccine yellow fever live subcutaneous
|
$421.20 |
$421.20 |
$421.20 |
$418.46
|
|
Vacuum drain bottle/tube kit
|
$101.40 |
$101.40 |
$101.40 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$858.00 |
$858.00 |
$858.00 |
$1,932.00
|
|
Vad univ batt charger hm 1440
|
$6,949.80 |
$6,949.80 |
$6,949.80 |
$14,814.14
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$4,479.80 |
$4,479.80 |
$4,479.80 |
$5,345.59
|
|
Vag hyst including t/o
|
$4,144.40 |
$4,144.40 |
$4,144.40 |
$5,110.00
|
|
Vaginal bx
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$471.12
|
|
Vaginal delivery after cesarean delivery 59612
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$9,620.00 |
$9,620.00 |
$9,620.00 |
$4,184.00
|
|
Vaginal hysterectomy
|
$3,679.00 |
$3,679.00 |
$3,679.00 |
$5,766.00
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$535.60 |
$535.60 |
$535.60 |
$535.60
|
|
Vagotomy & pylorus repair
|
$2,646.80 |
$2,646.80 |
$2,646.80 |
$2,948.00
|
|
Vagotomy & pylorus repair 43640
|
$5,085.60 |
$5,085.60 |
$5,085.60 |
$2,215.20
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$3.28 |
$3.28 |
$880.00 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$118.30 |
$118.30 |
$118.30 |
$114.48
|
|
Valrubicin injection
|
$1,154.56 |
$1,154.56 |
$1,154.56 |
$2,813.49
|
|
Valvuloplasty aortic
|
$17,029.35 |
$17,029.35 |
$17,029.35 |
$7,830.80
|
|
Valvuloplasty aortic valve
|
$9,100.00 |
$9,100.00 |
$9,100.00 |
$5,068.00
|
|
Valvuloplasty aortic valve
|
$10,790.00 |
$10,790.00 |
$10,790.00 |
$6,624.80
|
|
Valvuloplasty mitral
|
$29,262.35 |
$29,262.35 |
$29,262.35 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$14,840.80 |
$14,840.80 |
$14,840.80 |
$7,556.80
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$11,601.20 |
$11,601.20 |
$11,601.20 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$936.00 |
$936.00 |
$936.00 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$63.43 |
$63.43 |
$100.15 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$178.75 |
$178.75 |
$178.75 |
$129.14
|
|
Vantas implant
|
$13,843.70 |
$13,843.70 |
$13,843.70 |
$12,207.65
|
|
Varicella zoster antibody igg
|
$115.05 |
$115.05 |
$115.05 |
$86.80
|
|
Vasc graft into carpal bone
|
$2,524.60 |
$2,524.60 |
$2,524.60 |
$4,350.00
|
|
Vasectomy
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$30.19 |
$30.19 |
$30.19 |
$325.80
|
|
Vbac delivery 59610
|
$10,064.60 |
$10,064.60 |
$10,064.60 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$5,324.80 |
$5,324.80 |
$5,324.80 |
$2,285.60
|
|
Vedolizumab 300 mg intravenous solution
|
$23,654.36 |
$23,654.36 |
$23,654.36 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,699.10 |
$1,699.10 |
$1,699.10 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$5,703.75 |
$5,703.75 |
$5,703.75 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$983.38
|
|
Veeg unmon 12-26 hrs
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$826.15
|
|
Vein bypass grft fem-popliteal 35583
|
$7,215.00 |
$7,215.00 |
$7,215.00 |
$2,888.40
|
|
Vein byp fem-tibial peroneal 35585
|
$8,411.00 |
$8,411.00 |
$8,411.00 |
$2,388.00
|
|
Vein byp pop-tibl peroneal
|
$6,814.60 |
$6,814.60 |
$6,814.60 |
$6,646.40
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$8,411.00 |
$8,411.00 |
$8,411.00 |
$8,152.00
|
|
Vein x-ray adrenal gland
|
$296.40 |
$296.40 |
$296.40 |
$2,870.00
|
|
Vein x-ray eye socket
|
$200.20 |
$200.20 |
$200.20 |
$1,438.32
|
|
Vein x-ray kidney
|
$17,942.60 |
$17,942.60 |
$17,942.60 |
$2,990.58
|
|
Vein x-ray liver
|
$6,704.00 |
$6,704.00 |
$17,646.20 |
$3,328.80
|
|
Vein x-ray liver w/hemodynam
|
$6,704.00 |
$6,704.00 |
$17,646.20 |
$3,635.28
|
|
Vein x-ray liver w/hemodynam
|
$6,704.00 |
$6,704.00 |
$17,646.20 |
$3,694.50
|
|
Vein x-ray liver without hemodyn
|
$11,933.00 |
$11,933.00 |
$17,646.20 |
$2,452.80
|
|
Vein x-ray skull
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$326.30 |
$326.30 |
$326.30 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$15,330.00 |
$15,330.00 |
$17,646.20 |
$3,434.00
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,521.72 |
$3,521.72 |
$3,521.72 |
$2,632.35
|
|
Ven-artl shunt det mbubb njx
|
$605.15 |
$605.15 |
$605.15 |
$484.25
|
|
Vendaje, per square centimet
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$180.70 |
$180.70 |
$180.70 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$104.65 |
$104.65 |
$104.65 |
$67.00
|
|
Venogram ext bil s&i
|
$9,094.15 |
$9,094.15 |
$9,094.15 |
$1,838.28
|
