|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$19.50 |
$26.40 |
$32.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$17.64 |
$21.60 |
$73.00 |
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$16.00 |
$20.80 |
$34.00 |
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$17.64 |
$28.00 |
$87.00 |
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$57.43 |
$142.35 |
$230.00 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$18.90 |
$30.40 |
$807.00 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$31.20 |
$33.60 |
$50.00 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$180.70 |
$409.12 |
$1,156.10 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$161.20 |
$177.60 |
$354.77 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$142.35 |
$156.00 |
$317.02 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$235.20 |
$382.20 |
$813.00 |
|
|
Vaccine mmr live subcutaneous
|
$79.30 |
$222.36 |
$638.30 |
|
|
Vaccine mmrv live subcutaneous
|
$288.00 |
$403.65 |
$1,445.85 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$108.56 |
$237.26 |
$556.15 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$248.00 |
$424.69 |
$807.00 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$236.80 |
$477.10 |
$771.00 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$316.00 |
$512.71 |
$1,649.00 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$36.40 |
$40.00 |
$1,004.87 |
|
|
Vaccine rabies im
|
$518.56 |
$787.90 |
$6,138.08 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$251.55 |
$403.20 |
$1,467.45 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$421.85 |
$901.60 |
$2,736.70 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$421.85 |
$592.00 |
$2,736.70 |
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$239.20 |
$358.40 |
$1,081.00 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$115.05 |
$129.60 |
$716.85 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$87.62 |
$108.00 |
$220.00 |
|
|
Vaccine tdap >=7 years im
|
$86.52 |
$146.28 |
$1,054.00 |
|
|
Vaccine td preservative free >= 7 years im
|
$35.20 |
$95.40 |
$391.00 |
|
|
Vaccine typhoid vicps im
|
$113.75 |
$126.40 |
$312.00 |
|
|
Vaccine varicella live subcutaneous
|
$148.85 |
$336.55 |
$960.60 |
|
|
Vaccine yellow fever live subcutaneous
|
$130.65 |
$186.40 |
$458.00 |
|
|
Vacuum drain bottle/tube kit
|
$39.54 |
$182.54 |
$705.60 |
|
|
Vad univ batt charger hm 1440
|
$6,069.41 |
$6,388.06 |
$9,827.78 |
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$1,898.40 |
$2,488.80 |
$33,279.68 |
|
|
Vag hyst incl t/o complex
|
$2,314.80 |
$3,129.60 |
$3,129.60 |
|
|
Vag hyst including t/o
|
$1,711.80 |
$2,317.60 |
$56,556.83 |
|
|
Vag hyst t/o & repair compl
|
$2,444.40 |
$3,294.40 |
$3,294.40 |
|
|
Vag hyst w/enterocele compl 58294
|
$2,265.00 |
$3,056.00 |
$3,056.00 |
|
|
Vag hyst w/enterocele repair
|
$1,636.20 |
$2,227.20 |
$2,227.20 |
|
|
Vag hyst w/uro repair compl 58293
|
$2,540.40 |
$2,667.60 |
$2,667.60 |
|
|
Vaginal bx
|
$13.02 |
$392.54 |
$1,067.48 |
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,791.60 |
$1,839.20 |
$5,688.17 |
|
|
Vaginal Delivery (full care)
|
$4,060.80 |
$4,552.00 |
$7,499.00 |
|
|
Vaginal hysterectomy
|
$1,533.60 |
$2,087.20 |
$33,067.29 |
|
|
Vaginectomy partial w/nodes
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$202.20 |
$616.00 |
$616.00 |
|
|
Vagotomy & pylorus repair
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
|
|
Vagotomy & pylorus repair 43640
|
$2,109.60 |
$2,892.00 |
$2,892.00 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$3.60 |
$18.05 |
$32.20 |
|
|
Valproic acid total therapeutic drug level
|
$66.43 |
$86.40 |
$336.00 |
|
|
Valrubicin injection
|
$3,508.68 |
$4,009.92 |
$6,812.75 |
|
|
Valvuloplasty aortic
|
$2,791.20 |
$5,762.40 |
$10,992.66 |
|
|
Valvuloplasty aortic valve
|
$3,378.48 |
$4,712.00 |
$4,712.00 |
|
|
Valvuloplasty mitral
|
$2,892.00 |
$2,933.60 |
$13,580.78 |
|
|
Valvuloplasty pulmonary
|
$2,338.40 |
$2,338.40 |
$16,770.60 |
|
|
Valvuloplasty/tv without ring insert 33463
|
$5,724.00 |
$7,556.80 |
$7,556.80 |
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$4,527.00 |
$5,965.60 |
$5,965.60 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.76 |
$70.52 |
$47,350.07 |
|
|
Vancomycin 750 mg intravenous solution
|
$0.82 |
$21.30 |
$151.40 |
|
|
Vancomycin hcl injection
|
$34.50 |
$82.24 |
$186.80 |
|
|
Vancomycin peak therapeutic drug level
|
$66.43 |
$135.60 |
$11,826.25 |
|
|
Vanomycin dna amp probe
|
$87.20 |
$87.20 |
$87.20 |
|
|
Variable concentration mask
|
$3.00 |
$3.00 |
$3.00 |
|
|
Varicella zoster antibody igg
|
$48.57 |
$90.35 |
$163.00 |
|
|
Varicella-zoster immue globin im
|
$133.90 |
$2,097.60 |
$4,636.73 |
|
|
Vasc emb/occ w/prs cath
|
$36,940.14 |
$36,940.14 |
$36,940.14 |
|
|
Vasc graft into carpal bone
|
$3,588.80 |
$3,588.80 |
$3,588.80 |
|
|
Vasectomy
|
$444.48 |
$892.00 |
$4,225.00 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$6.84 |
$105.80 |
$726.75 |
|
|
Vbac delivery 59610
|
$4,257.60 |
$4,492.00 |
$7,792.00 |
|
|
Vbac/include postpartum care 59614
|
$2,217.00 |
$2,285.60 |
$3,668.00 |
|
|
Vedolizumab 300 mg intravenous solution
|
$44.85 |
$22,463.79 |
$30,326.10 |
|
|
Veeg cont 2-12 hrs
|
$352.80 |
$1,581.00 |
$2,156.63 |
|
|
Veeg ea 12-26hr cont mntr
|
$660.24 |
$1,985.10 |
$2,777.08 |
|
|
Veeg intrmnt 2-12 hrs
|
$183.84 |
$1,092.48 |
$2,052.05 |
|
|
Veeg unmon 12-26 hrs
|
$990.36 |
$1,182.00 |
$2,156.63 |
|
|
Veeg unmon 2-12 hrs
|
$516.80 |
$867.00 |
$2,597.40 |
|
|
Vein bypass grft fem-popliteal 35583
|
$2,751.00 |
$7,043.20 |
$7,043.20 |
|
|
Vein byp fem-tibial peroneal 35585
|
$2,274.00 |
$8,161.60 |
$8,161.60 |
|
|
Vein byp pop-tibl peroneal
|
$6,646.40 |
$6,646.40 |
$6,646.40 |
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$3,190.80 |
$8,152.00 |
$8,152.00 |
|
|
Vein x-ray adrenal gland
|
$476.80 |
$476.80 |
$2,901.30 |
|
|
Vein x-ray adrenal glands
|
$518.40 |
$518.40 |
$3,800.23 |
|
|
Vein x-ray eye socket
|
$270.40 |
$270.40 |
$270.40 |
|
|
Vein x-ray kidney
|
$468.80 |
$2,573.60 |
$4,750.74 |
|
|
Vein x-ray liver
|
$470.40 |
$470.40 |
$6,419.72 |
|
|
Vein x-ray liver w/hemodynam
|
$502.40 |
$502.40 |
$3,712.56 |
|
|
Vein x-ray liver w/hemodynam
|
$468.80 |
$468.80 |
$7,050.36 |
|
|
Vein x-ray liver without hemodyn
|
$504.00 |
$504.00 |
$3,564.64 |
|
|
Vein x-ray skull
|
$480.80 |
$480.80 |
$2,040.78 |
|
|
Vein x-ray skull epidural
|
$476.80 |
$476.80 |
$1,108.20 |
|
|
Vein x-ray spleen/liver
|
$970.20 |
$4,700.80 |
$4,700.80 |
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$7,637.95 |
$7,637.95 |
$7,637.95 |
|
|
Ven-artl shunt det mbubb njx
|
$420.00 |
$420.00 |
$420.00 |
|
|
Ven blood coll snf/hha
|
$22.40 |
$22.40 |
$22.40 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$24.05 |
$118.86 |
$8,560.13 |
|
|
Venipuncture <3 yrs other vein
|
$15.60 |
$41.60 |
$73.53 |
|
|
Venogram ext bil s&i
|
$319.20 |
$1,220.40 |
$2,883.90 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$73.80 |
$1,077.72 |
$4,547.49 |
|
|
Venous mech thrombectomy
|
$4,262.40 |
$9,419.20 |
$25,823.00 |
|
|
Venous m-thrombectomy add-on
|
$2,369.40 |
$7,915.20 |
$9,025.76 |
|
