|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$43.75 |
$43.75 |
$43.75 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$57.43 |
$57.43 |
$57.43 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$385.39 |
$385.39 |
$432.42 |
$387.95
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$335.00 |
$335.00 |
$354.77 |
$406.05
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$288.70 |
$288.70 |
$317.02 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$513.94 |
$513.94 |
$513.94 |
$323.39
|
|
Vaccine mmr live subcutaneous
|
$176.24 |
$176.24 |
$181.04 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$490.91 |
$490.91 |
$505.10 |
$466.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$219.79 |
$219.79 |
$219.79 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$424.69 |
$424.69 |
$424.69 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$475.00 |
$475.00 |
$512.71 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$84.19 |
$84.19 |
$91.64 |
$90.70
|
|
Vaccine rabies im
|
$683.78 |
$683.78 |
$782.20 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$534.92 |
$534.92 |
$555.82 |
$521.74
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$889.16 |
$889.16 |
$997.44 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$889.16 |
$889.16 |
$997.44 |
$980.10
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$508.36 |
$508.36 |
$555.02 |
$407.74
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$241.04 |
$241.04 |
$263.04 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$87.62 |
$87.62 |
$90.16 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$96.27 |
$96.27 |
$99.56 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$74.69 |
$74.69 |
$83.36 |
$110.19
|
|
Vaccine varicella live subcutaneous
|
$321.18 |
$321.18 |
$336.55 |
$364.16
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$1,898.40 |
$1,898.40 |
$1,993.20 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$2,314.80 |
$2,314.80 |
$2,430.60 |
$5,813.46
|
|
Vag hyst including t/o
|
$1,711.80 |
$1,711.80 |
$1,797.60 |
$5,110.00
|
|
Vag hyst t/o & repair compl
|
$2,444.40 |
$2,444.40 |
$2,566.80 |
$8,081.64
|
|
Vag hyst w/enterocele compl 58294
|
$2,265.00 |
$2,265.00 |
$2,378.40 |
$5,468.70
|
|
Vag hyst w/enterocele repair
|
$1,636.20 |
$1,636.20 |
$1,717.80 |
$5,463.96
|
|
Vag hyst w/uro repair compl 58293
|
$2,540.40 |
$2,540.40 |
$2,667.60 |
$2,667.60
|
|
Vaginal bx
|
$123.60 |
$123.60 |
$504.00 |
$471.12
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,791.60 |
$1,791.60 |
$1,881.00 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$4,060.80 |
$4,060.80 |
$4,263.60 |
$4,184.00
|
|
Vaginal hysterectomy
|
$1,533.60 |
$1,533.60 |
$1,610.40 |
$5,766.00
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$202.20 |
$202.20 |
$212.40 |
$535.60
|
|
Vagotomy & pylorus repair 43640
|
$2,109.60 |
$2,109.60 |
$2,215.20 |
$2,215.20
|
|
Valproic acid total therapeutic drug level
|
$82.20 |
$82.20 |
$86.40 |
$114.48
|
|
Valvuloplasty aortic
|
$5,762.40 |
$5,762.40 |
$6,413.40 |
$7,830.80
|
|
Valvuloplasty mitral
|
$3,232.80 |
$3,232.80 |
$3,598.20 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$15,067.80 |
$15,067.80 |
$16,770.60 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$5,724.00 |
$5,724.00 |
$6,010.20 |
$7,556.80
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$4,527.00 |
$4,527.00 |
$4,753.20 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$70.52 |
$70.52 |
$70.52 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$105.42 |
$105.42 |
$105.42 |
$90.33
|
|
Vancomycin hcl injection
|
$91.73 |
$91.73 |
$109.31 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$135.60 |
$135.60 |
$142.80 |
$129.14
|
|
Variable concentration mask
|
$3.00 |
$3.00 |
$3.00 |
$1.26
|
|
Varicella zoster antibody igg
|
$111.60 |
$111.60 |
$117.60 |
$86.80
|
|
Varicella-zoster immue globin im
|
$1,029.38 |
$1,029.38 |
$1,029.38 |
$3,816.19
|
|
Vasectomy
|
$735.00 |
$735.00 |
$771.60 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$116.31 |
$116.31 |
$388.58 |
$325.80
|
|
Vbac delivery 59610
|
$4,257.60 |
$4,257.60 |
$4,470.60 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$2,217.00 |
$2,217.00 |
$2,328.00 |
$2,285.60
|
|
Vedolizumab 300 mg intravenous solution
|
$14,510.98 |
$14,510.98 |
$16,607.88 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,581.00 |
$1,581.00 |
$1,759.80 |
$1,540.00
|
|
Veeg intrmnt 2-12 hrs
|
$1,297.80 |
$1,297.80 |
$1,444.80 |
$983.38
|
|
Veeg unmon 12-26 hrs
|
$1,062.00 |
$1,062.00 |
$1,182.00 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$778.80 |
$778.80 |
$867.00 |
$833.90
|
|
Vein bypass grft fem-popliteal 35583
|
$2,751.00 |
$2,751.00 |
$2,888.40 |
$2,888.40
|
|
Vein byp fem-tibial peroneal 35585
|
$2,274.00 |
$2,274.00 |
$2,388.00 |
$2,388.00
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$3,190.80 |
$3,190.80 |
$3,350.40 |
$8,152.00
|
|
Vein x-ray kidney
|
$2,586.60 |
$2,586.60 |
$2,716.20 |
$2,990.58
|
|
Vein x-ray skull epidural
|
$1,014.60 |
$1,014.60 |
$1,108.20 |
$1,596.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$894.60 |
$894.60 |
$1,080.60 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$54.00 |
$54.00 |
$57.00 |
$67.00
|
|
Venogram ext bil s&i
|
$1,220.40 |
$1,220.40 |
$1,332.60 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,251.00 |
$1,251.00 |
$1,326.00 |
$1,388.00
|
|
Venous mech thrombectomy
|
$7,085.40 |
$7,085.40 |
$8,184.00 |
$8,212.75
|
|
Venous m-thrombectomy add-on
|
$4,791.00 |
$4,791.00 |
$5,534.40 |
$5,288.32
|
|
Venous sampling s&i
|
$2,719.80 |
$2,719.80 |
$2,970.00 |
$4,270.50
|
|
Ventilator each subsequent day
|
$649.80 |
$649.80 |
$723.60 |
$1,168.86
|
|
Ventilator Management (first day)
|
$1,117.80 |
$1,117.80 |
$1,238.40 |
$1,433.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$242.40 |
$242.40 |
$254.40 |
$1,257.55
|
|
Ventriculomyotomy/ihss 33416
|
$3,767.40 |
$3,767.40 |
$3,955.80 |
$4,936.00
|
|
Version cephalic external
|
$674.40 |
$674.40 |
$778.80 |
$2,361.75
|
|
Vertebral corpectomy partial/complete 63082
|
$361.20 |
$361.20 |
$379.20 |
$379.20
|
|
Very long chain fatty acids
|
$248.40 |
$248.40 |
$276.60 |
$139.00
|
|
V-exc/lip/w/pri linear closure 40520
|
$908.40 |
$908.40 |
$954.00 |
$3,837.72
|
|
Video Swallow Study (Modified Barium Swallow)
|
$270.00 |
$270.00 |
$295.20 |
$523.38
|
|
Vinblastine 1 mg/ml intravenous solution
|
$136.62 |
$136.62 |
$136.62 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$69.99 |
$69.99 |
$72.84 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$923.51 |
$923.51 |
$923.51 |
$223.55
|
|
Viper venom prothrombin time
|
$147.60 |
$147.60 |
$165.00 |
$78.40
|
|
Virus isolation addl studies ea
|
$325.20 |
$325.20 |
$342.00 |
$77.60
|
|
Visit esketamine, > 56m
|
$840.00 |
$840.00 |
$882.00 |
$2,221.39
|
|
Visit esketamine 56m or less
|
$840.00 |
$840.00 |
$882.00 |
$1,413.85
|
|
Visit established high 40-54 minutes/level 5
|
$175.20 |
$175.20 |
$195.60 |
$245.52
|
|
Visual audiometry (vra)
|
$80.40 |
$80.40 |
$90.00 |
$223.00
|
|
Vital capacity test
|
$41.40 |
$41.40 |
$43.20 |
$170.99
|
|
Vitamin b-12
|
$100.80 |
$100.80 |
$106.20 |
$100.28
|
|
Vitamin D Test
|
$99.00 |
$99.00 |
$105.60 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$334.80 |
$334.80 |
$351.60 |
$425.77
|
|
Volume measurement urine timed
|
$15.00 |
$15.00 |
$17.40 |
$21.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$119.23 |
$119.23 |
$119.23 |
$165.81
|
|
Vulvectomy radical 56640
|
$2,931.00 |
$2,931.00 |
$3,077.40 |
$2,132.04
|
|
Vulvectomy simple partial
|
$932.40 |
$932.40 |
$979.20 |
$4,070.65
|
|
Walking (Gait) Training (each 15 minutes)
|
$66.60 |
$66.60 |
$71.40 |
$87.50
|
|
Warde 1003990 aldosterone
|
$272.40 |
$272.40 |
$286.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$265.80 |
$265.80 |
$279.60 |
$99.60
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$126.60 |
$126.60 |
$133.20 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$244.80 |
$244.80 |
$257.40 |
$113.10
|
