|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$592.00 |
$592.00 |
$592.00 |
$980.10
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$358.40 |
$358.40 |
$358.40 |
$407.74
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$129.60 |
$129.60 |
$129.60 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$108.00 |
$108.00 |
$108.00 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$146.02 |
$146.02 |
$146.02 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$134.52 |
$134.52 |
$134.52 |
$110.19
|
|
Vaccine typhoid vicps im
|
$126.40 |
$126.40 |
$126.40 |
$253.50
|
|
Vaccine varicella live subcutaneous
|
$165.60 |
$165.60 |
$165.60 |
$364.16
|
|
Vaccine yellow fever live subcutaneous
|
$186.40 |
$186.40 |
$186.40 |
$418.46
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$5,813.46
|
|
Vag hyst including t/o
|
$2,317.60 |
$2,317.60 |
$2,317.60 |
$5,110.00
|
|
Vag hyst t/o & repair compl
|
$3,294.40 |
$3,294.40 |
$3,294.40 |
$8,081.64
|
|
Vag hyst w/enterocele compl 58294
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$5,468.70
|
|
Vag hyst w/enterocele repair
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$5,463.96
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,839.20 |
$1,839.20 |
$1,839.20 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$4,552.00 |
$4,552.00 |
$4,552.00 |
$4,184.00
|
|
Vaginal hysterectomy
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$5,766.00
|
|
Vaginectomy partial w/nodes
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
$4,252.00
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$616.00 |
$616.00 |
$616.00 |
$535.60
|
|
Vagotomy & pylorus repair
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$2,948.00
|
|
Vagotomy & pylorus repair 43640
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$2,215.20
|
|
Valproic acid total therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$114.48
|
|
Valvuloplasty aortic
|
$2,842.40 |
$2,842.40 |
$2,842.40 |
$7,830.80
|
|
Valvuloplasty aortic valve
|
$4,712.00 |
$4,712.00 |
$4,712.00 |
$5,068.00
|
|
Valvuloplasty mitral
|
$2,933.60 |
$2,933.60 |
$2,933.60 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$2,338.40 |
$2,338.40 |
$2,338.40 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$7,556.80 |
$7,556.80 |
$7,556.80 |
$7,556.80
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$5,965.60 |
$5,965.60 |
$5,965.60 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.98 |
$0.98 |
$0.98 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$1.66 |
$1.66 |
$1.66 |
$90.33
|
|
Vancomycin hcl injection
|
$82.88 |
$82.88 |
$82.88 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$129.14
|
|
Vanomycin dna amp probe
|
$87.20 |
$87.20 |
$87.20 |
$78.40
|
|
Varicella zoster antibody igg
|
$48.57 |
$48.57 |
$48.57 |
$86.80
|
|
Varicella-zoster immue globin im
|
$2,097.60 |
$2,097.60 |
$2,097.60 |
$3,816.19
|
|
Vasc graft into carpal bone
|
$3,588.80 |
$3,588.80 |
$3,588.80 |
$4,350.00
|
|
Vasectomy
|
$892.00 |
$892.00 |
$892.00 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$8.76 |
$8.76 |
$8.76 |
$325.80
|
|
Vbac delivery 59610
|
$4,492.00 |
$4,492.00 |
$4,492.00 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$2,285.60 |
$2,285.60 |
$2,285.60 |
$2,285.60
|
|
Vedolizumab 300 mg intravenous solution
|
$45.47 |
$45.47 |
$45.47 |
$18,732.33
|
|
Veeg unmon 2-12 hrs
|
$585.78 |
$585.78 |
$585.78 |
$826.15
|
|
Vein bypass grft fem-popliteal 35583
|
$7,043.20 |
$7,043.20 |
$7,043.20 |
$2,888.40
|
|
Vein byp fem-tibial peroneal 35585
|
$8,161.60 |
$8,161.60 |
$8,161.60 |
$2,388.00
|
|
Vein byp pop-tibl peroneal
|
$6,646.40 |
$6,646.40 |
$6,646.40 |
$6,646.40
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$8,152.00 |
$8,152.00 |
$8,152.00 |
$8,152.00
|
|
Vein x-ray adrenal gland
|
$476.80 |
$476.80 |
$476.80 |
$2,870.00
|
|
Vein x-ray adrenal glands
|
$518.40 |
$518.40 |
$518.40 |
$3,480.10
|
|
Vein x-ray eye socket
|
$270.40 |
$270.40 |
$270.40 |
$1,438.32
|
|
Vein x-ray kidney
|
$468.80 |
$468.80 |
$468.80 |
$2,990.58
|
|
Vein x-ray liver
|
$470.40 |
$470.40 |
$470.40 |
$3,328.80
|
|
Vein x-ray liver w/hemodynam
|
$502.40 |
$502.40 |
$502.40 |
$3,635.28
|
|
Vein x-ray liver w/hemodynam
|
$468.80 |
$468.80 |
$468.80 |
$3,694.50
|
|
Vein x-ray liver without hemodyn
|
$504.00 |
$504.00 |
$504.00 |
$2,452.80
|
|
Vein x-ray skull
|
$480.80 |
$480.80 |
$480.80 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$476.80 |
$476.80 |
$476.80 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$4,700.80 |
$4,700.80 |
$4,700.80 |
$3,434.00
|
|
Ven-artl shunt det mbubb njx
|
$420.00 |
$420.00 |
$420.00 |
$484.25
|
|
Ven blood coll snf/hha
|
$22.40 |
$22.40 |
$22.40 |
$15.65
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$52.64 |
$52.64 |
$52.64 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$73.53 |
$73.53 |
$73.53 |
$67.00
|
|
Venogram ext bil s&i
|
$1,077.72 |
$1,077.72 |
$1,077.72 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,077.72 |
$1,077.72 |
$1,077.72 |
$1,388.00
|
|
Venous mech thrombectomy
|
$9,419.20 |
$9,419.20 |
$9,419.20 |
$8,212.75
|
|
Venous m-thrombectomy add-on
|
$7,915.20 |
$7,915.20 |
$7,915.20 |
$5,288.32
|
|
Venous sampling s&i
|
$404.80 |
$404.80 |
$404.80 |
$4,270.50
|
|
Venous thrombosis imaging
|
$384.00 |
$384.00 |
$384.00 |
$697.20
|
|
Ven thrombosis images bilat
|
$447.20 |
$447.20 |
$447.20 |
$796.50
|
|
Ventilator each subsequent day
|
$2,136.12 |
$2,136.12 |
$2,136.12 |
$1,168.86
|
|
Ventilator Management (first day)
|
$2,217.03 |
$2,217.03 |
$2,217.03 |
$1,433.60
|
|
Vent mgmt nf per day
|
$110.40 |
$110.40 |
$110.40 |
$110.40
|
|
Ventricular puncture prev burr hole without inj 61020
|
$249.60 |
$249.60 |
$249.60 |
$1,257.55
|
|
Ventriculomyotomy/ihss 33416
|
$4,936.00 |
$4,936.00 |
$4,936.00 |
$4,936.00
|
|
Verify external neurostimulato
|
$150.40 |
$150.40 |
$150.40 |
$176.40
|
|
Version cephalic external
|
$5,598.74 |
$5,598.74 |
$5,598.74 |
$2,372.65
|
|
Vertebral corpectomy partial/complete 63082
|
$638.40 |
$638.40 |
$638.40 |
$379.20
|
|
Very long chain fatty acids
|
$64.28 |
$64.28 |
$64.28 |
$139.00
|
|
Vesiculotomy complicated
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$2,632.00
|
|
V-exc/lip/w/pri linear closure 40520
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$3,837.72
|
|
Video Swallow Study (Modified Barium Swallow)
|
$377.24 |
$377.24 |
$377.24 |
$523.38
|
|
Vinblastine 1 mg/ml intravenous solution
|
$4.80 |
$4.80 |
$4.80 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$151.72 |
$151.72 |
$151.72 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$17.60 |
$17.60 |
$17.60 |
$223.55
|
|
Viper venom prothrombin time
|
$35.20 |
$35.20 |
$35.20 |
$78.40
|
|
Virus isolation addl studies ea
|
$40.80 |
$40.80 |
$40.80 |
$77.60
|
|
Visit established high 40-54 minutes/level 5
|
$369.63 |
$369.63 |
$369.63 |
$245.52
|
|
Visual audiometry (vra)
|
$104.00 |
$104.00 |
$104.00 |
$223.00
|
|
Vital capacity test
|
$192.51 |
$192.51 |
$192.51 |
$170.99
|
|
Vitamin b-12
|
$55.00 |
$55.00 |
$55.00 |
$100.28
|
|
Vitamin D Test
|
$86.42 |
$86.42 |
$86.42 |
$132.00
|
|
Vit for macular hole
|
$5,721.60 |
$5,721.60 |
$5,721.60 |
$5,855.00
|
|
Vit for macular pucker
|
$5,723.20 |
$5,723.20 |
$5,723.20 |
$6,039.58
|
|
Vit for membrane dissect
|
$6,041.60 |
$6,041.60 |
$6,041.60 |
$5,954.00
|
|
Vkorc1 gene
|
$176.80 |
$176.80 |
$176.80 |
$176.80
|
|
Vlvctmy rad prtl uni lymphad
|
$2,914.40 |
$2,914.40 |
$2,914.40 |
$2,914.40
|
|
Vngrph chd anom/persist svc
|
$135.20 |
$135.20 |
$135.20 |
$1,444.76
|
|
Vngrph chd azygs/hemiazygs
|
$127.20 |
$127.20 |
$127.20 |
$201.50
|
|
Vngrph chd coronary sinus
|
$161.60 |
$161.60 |
$161.60 |
$161.60
|
|
Vngrph chd vnvn cltrl at/abv
|
$237.60 |
$237.60 |
$237.60 |
$1,118.00
|
