|
Vaccine influenza nos 0.5ml dose im
|
$32.42 |
$32.42 |
$32.42 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$28.04 |
$28.04 |
$70.09 |
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$16.00 |
$16.00 |
$16.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$10.24 |
$10.24 |
$10.24 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$12.16 |
$12.16 |
$23.25 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$119.29 |
$119.29 |
$119.29 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$416.43 |
$416.43 |
$416.43 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$67.84 |
$67.84 |
$392.19 |
|
|
Vaccine mmr live subcutaneous
|
$66.75 |
$66.75 |
$227.79 |
|
|
Vaccine mmrv live subcutaneous
|
$673.39 |
$673.39 |
$673.39 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$95.36 |
$95.36 |
$277.72 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$212.80 |
$212.80 |
$531.84 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$555.08 |
$555.08 |
$555.08 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$724.20 |
$724.20 |
$724.20 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$15.36 |
$15.36 |
$130.82 |
|
|
Vaccine rabies im
|
$1,020.74 |
$1,020.74 |
$1,020.74 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$721.67 |
$721.67 |
$721.67 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$720.61 |
$720.61 |
$720.61 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$343.77 |
$343.77 |
$343.77 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$54.40 |
$54.40 |
$240.16 |
|
|
Vaccine tdap >=7 years im
|
$69.00 |
$69.00 |
$69.28 |
|
|
Vaccine td preservative free >= 7 years im
|
$32.25 |
$32.25 |
$32.25 |
|
|
Vaccine typhoid vicps im
|
$381.90 |
$381.90 |
$381.90 |
|
|
Vaccine varicella live subcutaneous
|
$78.80 |
$78.80 |
$451.55 |
|
|
Vaccine yellow fever live subcutaneous
|
$603.56 |
$603.56 |
$603.56 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$0.75 |
$0.75 |
$0.75 |
|
|
Vag hyst including t/o
|
$738.56 |
$738.56 |
$738.56 |
|
|
Vaginal Delivery (full care)
|
$1,895.68 |
$1,895.68 |
$6,060.00 |
|
|
Vaginal hysterectomy
|
$670.08 |
$670.08 |
$3,303.00 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$12.58 |
$12.58 |
$12.58 |
|
|
Valproic acid total therapeutic drug level
|
$76.48 |
$76.48 |
$106.50 |
|
|
Valvuloplasty aortic
|
$5,378.88 |
$5,378.88 |
$9,663.75 |
|
|
Valvuloplasty mitral
|
$12,105.75 |
$12,105.75 |
$12,105.75 |
|
|
Valvuloplasty pulmonary
|
$12,105.75 |
$12,105.75 |
$12,105.75 |
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$863.04 |
$863.04 |
$863.04 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$42.63 |
$42.63 |
$501.00 |
|
|
Vancomycin 750 mg intravenous solution
|
$28.56 |
$28.56 |
$119.32 |
|
|
Vancomycin peak therapeutic drug level
|
$64.32 |
$64.32 |
$117.00 |
|
|
Vanomycin dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
|
|
Varicella zoster antibody igg
|
$71.36 |
$71.36 |
$93.75 |
|
|
Varicella-zoster immue globin im
|
$5,110.97 |
$5,110.97 |
$5,110.97 |
|
|
Vasectomy
|
$189.12 |
$189.12 |
$189.12 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$913.71 |
$913.71 |
$913.71 |
|
|
Vbac delivery 59610
|
$1,968.96 |
$1,968.96 |
$1,968.96 |
|
|
Vedolizumab 300 mg intravenous solution
|
$6,720.00 |
$6,720.00 |
$20,221.16 |
|
|
Veeg unmon 12-26 hrs
|
$813.76 |
$813.76 |
$813.76 |
|
|
Veeg unmon 2-12 hrs
|
$208.32 |
$208.32 |
$208.32 |
|
|
Vein bypass grft fem-popliteal 35583
|
$1,054.72 |
$1,054.72 |
$1,054.72 |
|
|
Vein x-ray adrenal gland
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
|
|
Vein x-ray eye socket
|
$1,612.50 |
$1,612.50 |
$1,612.50 |
|
|
Vein x-ray kidney
|
$1,227.84 |
$1,227.84 |
$8,295.00 |
|
|
Vein x-ray liver
|
$1,227.84 |
$1,227.84 |
$8,295.00 |
|
|
Vein x-ray liver w/hemodynam
|
$1,227.84 |
$1,227.84 |
$8,295.00 |
|
|
Vein x-ray liver w/hemodynam
|
$1,377.60 |
$1,377.60 |
$8,295.00 |
|
|
Vein x-ray liver without hemodyn
|
$1,791.04 |
$1,791.04 |
$8,295.00 |
|
|
Vein x-ray skull
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
|
|
Vein x-ray skull epidural
|
$1,612.50 |
$1,612.50 |
$1,612.50 |
|
|
Vein x-ray spleen/liver
|
$1,791.04 |
$1,791.04 |
$8,295.00 |
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,525.48 |
$3,525.48 |
$3,525.48 |
|
|
Vemp test i&r cervical
|
$417.00 |
$417.00 |
$417.00 |
|
|
Vemp test i&r ocular
|
$417.00 |
$417.00 |
$417.00 |
|
|
Vemp tst i&r cervical&ocular
|
$830.25 |
$830.25 |
$830.25 |
|
|
Ven blood coll snf/hha
|
$30.00 |
$30.00 |
$30.00 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$8.64 |
$8.64 |
$45.75 |
|
|
Venogram ext bil s&i
|
$593.60 |
$593.60 |
$4,141.50 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,437.12 |
$1,437.12 |
$4,146.75 |
|
|
Venous mech thrombectomy
|
$6,452.80 |
$6,452.80 |
$11,343.75 |
|
|
Venous m-thrombectomy add-on
|
$1,899.52 |
$1,899.52 |
$5,975.25 |
|
|
Venous sampling s&i
|
$2,117.12 |
$2,117.12 |
$14,313.00 |
|
|
Venous thrombosis imaging
|
$1,600.50 |
$1,600.50 |
$1,600.50 |
|
|
Ven thrombosis images bilat
|
$412.16 |
$412.16 |
$1,893.75 |
|
|
Ventilator each subsequent day
|
$1,210.88 |
$1,210.88 |
$1,710.00 |
|
|
Ventilator initial day
|
$1,424.64 |
$1,424.64 |
$1,710.00 |
|
|
Version cephalic external
|
$384.00 |
$384.00 |
$6,080.25 |
|
|
Verteporfin injection
|
$4,004.48 |
$4,004.48 |
$4,004.48 |
|
|
Very long chain fatty acids
|
$5.14 |
$5.14 |
$113.25 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$178.90 |
$178.90 |
$178.90 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$25.92 |
$25.92 |
$88.07 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$244.35 |
$244.35 |
$244.35 |
|
|
Viper venom prothrombin time
|
$86.25 |
$86.25 |
$86.25 |
|
|
Virus isolation addl studies ea
|
$87.68 |
$87.68 |
$123.00 |
|
|
Visc & infraren abd 1 prosth
|
$573.76 |
$573.76 |
$573.76 |
|
|
Visit established high 40-54 minutes/level 5
|
$163.50 |
$163.50 |
$163.50 |
|
|
Visual audiometry (vra)
|
$312.75 |
$312.75 |
$312.75 |
|
|
Vital capacity test
|
$102.72 |
$102.72 |
$450.00 |
|
|
Vitamin b-12
|
$45.12 |
$45.12 |
$102.75 |
|
|
Vitamin D Test
|
$65.28 |
$65.28 |
$231.00 |
|
|
Vkorc1 gene
|
$32.00 |
$32.00 |
$32.00 |
|
|
Voiding pressure study/intra-abd 51797
|
$480.75 |
$480.75 |
$480.75 |
|
|
Vol reduction of blood/prod
|
$142.50 |
$142.50 |
$142.50 |
|
|
Volume measurement urine timed
|
$11.52 |
$11.52 |
$20.25 |
|
|
Vonvendi inj 1 iu vwf:rco
|
$9.81 |
$9.81 |
$9.81 |
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$49.73 |
$49.73 |
$166.56 |
|
|
Vulvectomy simple partial
|
$487.04 |
$487.04 |
$487.04 |
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$236,318.73 |
$236,318.73 |
$236,318.73 |
|
|
Vyjuvek 5x10^9pfu/ml, 0.1 ml
|
$54,500.55 |
$54,500.55 |
$54,500.55 |
|
|
Warde 1003990 aldosterone
|
$168.75 |
$168.75 |
$191.04 |
|
|
Warde 1005020 citrate 24 hour urine
|
$46.40 |
$46.40 |
$183.75 |
|
