|
Vaccine dtap < 7 years im
|
$223.47 |
$223.47 |
$223.47 |
$68.19
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$207.72 |
$207.72 |
$207.72 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$107.10 |
$107.10 |
$107.10 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$326.90 |
$326.90 |
$326.90 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$522.55 |
$522.55 |
$522.55 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$708.75 |
$708.75 |
$708.75 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$213.85 |
$213.85 |
$213.85 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,675.10 |
$1,675.10 |
$1,675.10 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$347.20 |
$347.20 |
$347.20 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$81.20 |
$81.20 |
$81.20 |
$143.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$33.60 |
$33.60 |
$33.60 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$33.60 |
$33.60 |
$33.60 |
$33.60
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$400.03
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$983.50 |
$983.50 |
$983.50 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$848.92 |
$848.92 |
$848.92 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$1,440.07 |
$1,440.07 |
$1,440.07 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$164.50 |
$164.50 |
$164.50 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$275.80 |
$275.80 |
$275.80 |
$397.11
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,193.67 |
$1,193.67 |
$1,193.67 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$230.30 |
$230.30 |
$230.30 |
$90.70
|
|
Vaccine rabies im
|
$2,116.97 |
$2,116.97 |
$2,116.97 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$997.44
|
|
Vaccine tdap >=7 years im
|
$775.42 |
$775.42 |
$775.42 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$665.17 |
$665.17 |
$665.17 |
$112.10
|
|
Vag hyst including t/o
|
$34,232.03 |
$34,232.03 |
$34,232.03 |
$4,827.18
|
|
Vaginal bx
|
$132.30 |
$132.30 |
$132.30 |
$455.94
|
|
Vaginal hysterectomy
|
$33,398.55 |
$33,398.55 |
$33,398.55 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$39.37 |
$39.37 |
$39.37 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$390.60 |
$390.60 |
$390.60 |
$114.72
|
|
Valvuloplasty aortic
|
$8,516.90 |
$8,516.90 |
$8,516.90 |
$7,830.80
|
|
Valvuloplasty mitral
|
$9,664.90 |
$9,664.90 |
$9,664.90 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$6,469.40 |
$6,469.40 |
$6,469.40 |
$11,945.20
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$21,092.40 |
$21,092.40 |
$21,092.40 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$1,372.87 |
$1,372.87 |
$1,372.87 |
$251.86
|
|
Vancomycin peak therapeutic drug level
|
$347.90 |
$347.90 |
$347.90 |
$136.13
|
|
Varicella zoster antibody igg
|
$231.70 |
$231.70 |
$231.70 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$31,976.00 |
$31,976.00 |
$31,976.00 |
$21,009.00
|
|
Vasectomy
|
$13,405.68 |
$13,405.68 |
$13,405.68 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$170.10 |
$170.10 |
$170.10 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$32,533.37 |
$32,533.37 |
$32,533.37 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$4,044.60 |
$4,044.60 |
$4,044.60 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$4,044.60 |
$4,044.60 |
$4,044.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$3,707.20 |
$3,707.20 |
$3,707.20 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$5,595.80 |
$5,595.80 |
$5,595.80 |
$1,671.09
|
|
Vein x-ray eye socket
|
$1,353.10 |
$1,353.10 |
$1,353.10 |
$1,438.32
|
|
Vein x-ray kidney
|
$3,749.20 |
$3,749.20 |
$3,749.20 |
$2,766.73
|
|
Vein x-ray liver
|
$3,462.20 |
$3,462.20 |
$3,462.20 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$3,871.00 |
$3,871.00 |
$3,871.00 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$3,899.00 |
$3,899.00 |
$3,899.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$2,452.80
|
|
Vein x-ray skull
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$2,141.00
|
|
Vein x-ray spleen/liver
|
$1,512.70 |
$1,512.70 |
$1,512.70 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$8,875.82 |
$8,875.82 |
$8,875.82 |
$202.80
|
|
Venogram ext bil s&i
|
$2,265.20 |
$2,265.20 |
$2,265.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,366.20
|
|
Venous mech thrombectomy
|
$117,616.72 |
$117,616.72 |
$117,616.72 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$6,379.10 |
$6,379.10 |
$6,379.10 |
$5,094.75
|
|
Venous sampling s&i
|
$2,668.40 |
$2,668.40 |
$2,668.40 |
$4,193.20
|
|
Ventilator each subsequent day
|
$1,296.40 |
$1,296.40 |
$1,296.40 |
$1,204.00
|
|
Ventilator initial day
|
$1,561.70 |
$1,561.70 |
$1,561.70 |
$1,431.43
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,391.60 |
$1,391.60 |
$1,391.60 |
$1,314.30
|
|
Version cephalic external
|
$7,623.52 |
$7,623.52 |
$7,623.52 |
$2,361.75
|
|
Vertebral corpectomy partial/complete 63082
|
$83,428.94 |
$83,428.94 |
$83,428.94 |
$405.88
|
|
Very long chain fatty acids
|
$285.60 |
$285.60 |
$285.60 |
$139.88
|
|
Vinblastine 1 mg/ml intravenous solution
|
$377.65 |
$377.65 |
$377.65 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$246.75 |
$246.75 |
$246.75 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$525.52 |
$525.52 |
$525.52 |
$223.55
|
|
Virus isolation addl studies ea
|
$290.50 |
$290.50 |
$290.50 |
$77.50
|
|
Visc & infraren abd 2 prosth
|
$12,983.60 |
$12,983.60 |
$12,983.60 |
$10,796.94
|
|
Visc & infraren abd 3 prosth
|
$17,873.10 |
$17,873.10 |
$17,873.10 |
$11,878.86
|
|
Visit established high 40-54 minutes/level 5
|
$201.60 |
$201.60 |
$201.60 |
$227.50
|
|
Vital capacity test
|
$77.70 |
$77.70 |
$77.70 |
$170.00
|
|
Vitamin b-12
|
$135.10 |
$135.10 |
$135.10 |
$100.00
|
|
Vitamin D Test
|
$191.10 |
$191.10 |
$191.10 |
$132.00
|
|
Vkorc1 gene
|
$185.50 |
$185.50 |
$185.50 |
$176.80
|
|
Volume measurement urine timed
|
$30.80 |
$30.80 |
$30.80 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$438.02 |
$438.02 |
$438.02 |
$165.81
|
|
Vsrctv std tcd icr art compl
|
$315.00 |
$315.00 |
$315.00 |
$409.37
|
|
Vulvectomy simple partial
|
$20,664.87 |
$20,664.87 |
$20,664.87 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$191.10 |
$191.10 |
$191.10 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$192.50 |
$192.50 |
$192.50 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$573.30 |
$573.30 |
$573.30 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$288.40 |
$288.40 |
$288.40 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$190.40 |
$190.40 |
$190.40 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$312.90 |
$312.90 |
$312.90 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$179.20 |
$179.20 |
$179.20 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$229.60 |
$229.60 |
$229.60 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$91.70 |
$91.70 |
$91.70 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$100.10 |
$100.10 |
$100.10 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$270.20 |
$270.20 |
$270.20 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$120.40 |
$120.40 |
$120.40 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$109.20 |
$109.20 |
$109.20 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$361.20 |
$361.20 |
$361.20 |
$218.40
|
|
Warde 3400852 arsenic
|
$252.70 |
$252.70 |
$252.70 |
$100.88
|
|
Warde 3708165 mercury urine
|
$154.00 |
$154.00 |
$154.00 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$418.60 |
$418.60 |
$418.60 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$133.70 |
$133.70 |
$133.70 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$224.00 |
$224.00 |
$224.00 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$438.90 |
$438.90 |
$438.90 |
$151.20
|
