|
Vaccine influenza nos 0.5ml dose im
|
$15.00 |
$39.70 |
$39.94 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$29.05 |
$47.88 |
$155.18 |
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$634.66 |
$634.66 |
$634.66 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$47.65 |
$47.65 |
$47.65 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$48.47 |
$49.02 |
$205.07 |
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$53.06 |
$53.06 |
$53.06 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$118.61 |
$118.61 |
$118.61 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$322.90 |
$387.95 |
$1,694.69 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$1,508.46 |
$1,508.46 |
$1,508.46 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$228.96 |
$544.94 |
$1,139.54 |
|
|
Vaccine mmr live subcutaneous
|
$213.00 |
$417.25 |
$417.25 |
|
|
Vaccine mmrv live subcutaneous
|
$424.32 |
$424.32 |
$424.32 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$166.40 |
$166.40 |
$1,109.05 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$429.30 |
$429.30 |
$466.48 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$532.20 |
$532.20 |
$2,631.03 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$119.17 |
$907.72 |
$907.72 |
|
|
Vaccine rabies im
|
$659.39 |
$659.39 |
$4,287.26 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$588.40 |
$588.40 |
$659.71 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,105.21 |
$1,135.24 |
$2,156.09 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,105.21 |
$1,135.24 |
$1,135.24 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$191.74 |
$191.74 |
$191.74 |
|
|
Vaccine tdap >=7 years im
|
$122.69 |
$131.34 |
$492.05 |
|
|
Vaccine td preservative free >= 7 years im
|
$46.48 |
$120.13 |
$426.72 |
|
|
Vaccine typhoid vicps im
|
$202.54 |
$325.62 |
$325.62 |
|
|
Vaccine varicella live subcutaneous
|
$313.70 |
$361.57 |
$409.26 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
|
|
Vad cable power module dc input
|
$4,133.40 |
$4,133.40 |
$4,133.40 |
|
|
Vad univ batt charger hm 1440
|
$18,673.20 |
$18,673.20 |
$18,673.20 |
|
|
Vaginal bx
|
$63.18 |
$63.18 |
$904.22 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$48.27 |
$48.27 |
$48.27 |
|
|
Valproic acid total therapeutic drug level
|
$39.60 |
$205.20 |
$324.60 |
|
|
Valrubicin injection
|
$2,929.63 |
$2,929.63 |
$57,090.00 |
|
|
Valvuloplasty aortic
|
$10,047.60 |
$19,238.40 |
$41,237.97 |
|
|
Valvuloplasty mitral
|
$19,238.40 |
$19,238.40 |
$41,237.97 |
|
|
Valvuloplasty pulmonary
|
$19,238.40 |
$19,238.40 |
$35,549.19 |
|
|
Valvuloplasty/tv without ring insert 33463
|
$1,514.40 |
$1,514.40 |
$20,557.80 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$2,698.80 |
$2,698.80 |
$2,698.80 |
|
|
Vancomycin 750 mg intravenous solution
|
$2.06 |
$2.06 |
$2.06 |
|
|
Vancomycin hcl injection
|
$154.40 |
$154.40 |
$154.40 |
|
|
Vancomycin peak therapeutic drug level
|
$85.50 |
$240.00 |
$351.00 |
|
|
Vanomycin dna amp probe
|
$48.50 |
$49.50 |
$51.00 |
|
|
Vantas implant
|
$12,207.65 |
$12,207.65 |
$12,207.65 |
|
|
Varicella zoster antibody igg
|
$61.80 |
$163.16 |
$308.40 |
|
|
Varicella-zoster immue globin im
|
$4,062.76 |
$4,062.76 |
$22,655.07 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$80.23 |
$330.41 |
$543.52 |
|
|
Vedolizumab 300 mg intravenous solution
|
$46.29 |
$46.29 |
$21,692.45 |
|
|
Veeg cont 2-12 hrs
|
$928.20 |
$1,191.00 |
$5,908.59 |
|
|
Veeg ea 12-26hr cont mntr
|
$1,737.60 |
$2,229.60 |
$5,908.59 |
|
|
Veeg intrmnt 2-12 hrs
|
$480.60 |
$616.80 |
$5,908.59 |
|
|
Veeg unmon 12-26 hrs
|
$971.40 |
$2,082.00 |
$5,908.59 |
|
|
Veeg unmon 2-12 hrs
|
$507.00 |
$1,542.00 |
$5,908.59 |
|
|
Vein x-ray adrenal gland
|
$1,372.80 |
$1,372.80 |
$7,906.71 |
|
|
Vein x-ray adrenal glands
|
$3,456.00 |
$5,493.00 |
$5,493.00 |
|
|
Vein x-ray eye socket
|
$4,417.56 |
$4,417.56 |
$4,417.56 |
|
|
Vein x-ray kidney
|
$1,419.60 |
$1,419.60 |
$11,062.28 |
|
|
Vein x-ray liver
|
$2,266.80 |
$2,266.80 |
$15,813.32 |
|
|
Vein x-ray liver w/hemodynam
|
$1,792.80 |
$1,792.80 |
$15,813.32 |
|
|
Vein x-ray liver w/hemodynam
|
$1,184.00 |
$2,266.80 |
$15,826.55 |
|
|
Vein x-ray liver without hemodyn
|
$3,511.20 |
$3,511.20 |
$5,351.96 |
|
|
Vein x-ray skull
|
$1,500.00 |
$1,656.00 |
$5,657.24 |
|
|
Vein x-ray skull epidural
|
$5,352.04 |
$5,352.04 |
$5,352.04 |
|
|
Vein x-ray spleen/liver
|
$2,056.80 |
$2,056.80 |
$15,813.32 |
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$2,518.80 |
$3,678.15 |
$3,678.15 |
|
|
Ven-artl shunt det mbubb njx
|
$883.31 |
$883.31 |
$883.31 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$129.50 |
$267.00 |
$292.80 |
|
|
Venipuncture <3 yrs other vein
|
$129.60 |
$129.60 |
$129.60 |
|
|
Venogram ext bil s&i
|
$1,146.60 |
$1,224.50 |
$6,899.24 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$529.20 |
$959.00 |
$3,449.61 |
|
|
Venous mech thrombectomy
|
$2,068.50 |
$6,385.20 |
$6,385.20 |
|
|
Venous m-thrombectomy add-on
|
$2,115.00 |
$5,649.82 |
$6,385.20 |
|
|
Venous sampling s&i
|
$1,651.20 |
$1,651.20 |
$10,823.85 |
|
|
Ventilator each subsequent day
|
$443.00 |
$973.20 |
$1,689.00 |
|
|
Ventilator Management (first day)
|
$472.50 |
$1,161.00 |
$1,819.80 |
|
|
Ventricular puncture prev burr hole without inj 61020
|
$4,134.11 |
$4,134.11 |
$4,134.11 |
|
|
Version cephalic external
|
$1,043.40 |
$1,186.20 |
$9,740.43 |
|
|
Verteporfin injection
|
$2,439.18 |
$2,439.18 |
$2,439.18 |
|
|
Very long chain fatty acids
|
$223.50 |
$365.40 |
$505.20 |
|
|
Vest large holster
|
$620.40 |
$620.40 |
$620.40 |
|
|
Video Swallow Study (Modified Barium Swallow)
|
$258.00 |
$439.00 |
$1,252.79 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$49.67 |
$202.14 |
$298.22 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$81.36 |
$179.66 |
$392.99 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$105.20 |
$182.39 |
$432.33 |
|
|
Virus isolation addl studies ea
|
$60.60 |
$98.40 |
$442.82 |
|
|
Visit esketamine, > 56m
|
$3,554.57 |
$3,554.57 |
$3,554.57 |
|
|
Visit esketamine 56m or less
|
$2,432.66 |
$2,432.66 |
$2,432.66 |
|
|
Visit established high 40-54 minutes/level 5
|
$154.80 |
$186.60 |
$593.21 |
|
|
Visual audiometry (vra)
|
$145.20 |
$224.40 |
$288.00 |
|
|
Vital capacity test
|
$96.00 |
$118.20 |
$142.20 |
|
|
Vitamin b-12
|
$46.12 |
$182.40 |
$280.80 |
|
|
Vitamin D Test
|
$82.00 |
$237.60 |
$418.80 |
|
|
Vkorc1 gene
|
$698.03 |
$698.03 |
$698.03 |
|
|
Vngrph chd anom/persist svc
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
|
|
Vngrph chd azygs/hemiazygs
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
|
|
Vngrph chd coronary sinus
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
|
|
Vngrph chd vnvn cltrl at/abv
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
|
|
Vngrph chd vnvn cltrl below
|
$5,955.00 |
$5,955.00 |
$5,955.00 |
|
|
Voiding pressure study/intra-abd 51797
|
$415.57 |
$415.57 |
$512.40 |
|
|
Vol reduction of blood/prod
|
$467.31 |
$467.31 |
$467.31 |
|
|
Volume deplete of harvest
|
$5,718.00 |
$5,718.00 |
$5,718.00 |
|
|
Volume measurement urine timed
|
$8.00 |
$14.40 |
$35.00 |
|
