|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$167.01 |
$167.01 |
$167.01 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$314.13 |
$314.13 |
$314.13 |
$162.07
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$697.53 |
$697.53 |
$697.53 |
$310.70
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$124.04 |
$124.04 |
$124.04 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,387.24 |
$1,387.24 |
$1,387.24 |
$521.70
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$361.15 |
$361.15 |
$361.15 |
$130.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$83.40 |
$83.40 |
$83.40 |
$47.38
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,058.62 |
$1,058.62 |
$1,058.62 |
$400.03
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$745.11 |
$745.11 |
$745.11 |
$156.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$743.42 |
$743.42 |
$743.42 |
$321.80
|
|
Vaccine mmr live subcutaneous
|
$404.50 |
$404.50 |
$404.50 |
$222.36
|
|
Vaccine mmrv live subcutaneous
|
$1,209.06 |
$1,209.06 |
$1,209.06 |
$604.50
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$494.67 |
$494.67 |
$494.67 |
$195.69
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,261.16 |
$1,261.16 |
$1,261.16 |
$579.50
|
|
Vaccine polio (ipv) subcutaneous/im
|
$198.83 |
$198.83 |
$198.83 |
$100.00
|
|
Vaccine rabies im
|
$986.92 |
$986.92 |
$986.92 |
$800.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,514.14 |
$2,514.14 |
$2,514.14 |
$1,159.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,514.14 |
$2,514.14 |
$2,514.14 |
$997.44
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$430.92 |
$430.92 |
$430.92 |
$108.00
|
|
Vaccine tdap >=7 years im
|
$202.34 |
$202.34 |
$202.34 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$187.65 |
$187.65 |
$187.65 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$808.52 |
$808.52 |
$808.52 |
$434.73
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$28.31 |
$28.31 |
$28.31 |
$22.29
|
|
Valproic acid total therapeutic drug level
|
$82.55 |
$82.55 |
$82.55 |
$100.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$67.77 |
$67.77 |
$67.77 |
$112.14
|
|
Vancomycin 750 mg intravenous solution
|
$180.84 |
$180.84 |
$180.84 |
$187.24
|
|
Vancomycin peak therapeutic drug level
|
$222.95 |
$222.95 |
$222.95 |
$116.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$144.07 |
$144.07 |
$144.07 |
$330.41
|
|
Vedolizumab 300 mg intravenous solution
|
$18,077.10 |
$18,077.10 |
$18,077.10 |
$22,019.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$2,540.20 |
$2,540.20 |
$2,540.20 |
$123.00
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,389.05 |
$1,389.05 |
$1,389.05 |
$1,270.23
|
|
Ventilator each subsequent day
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$1,138.50
|
|
Ventilator initial day
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$1,331.00
|
|
Version cephalic external
|
$3,008.88 |
$3,008.88 |
$3,008.88 |
$2,361.75
|
|
Very long chain fatty acids
|
$323.05 |
$323.05 |
$323.05 |
$157.30
|
|
Vincristine 1 mg/ml intravenous solution
|
$74.44 |
$74.44 |
$74.44 |
$52.02
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$168.67 |
$168.67 |
$168.67 |
$177.04
|
|
Vital capacity test
|
$119.60 |
$119.60 |
$119.60 |
$170.00
|
|
Vitamin b-12
|
$107.90 |
$107.90 |
$107.90 |
$89.70
|
|
Vitamin D Test
|
$295.10 |
$295.10 |
$295.10 |
$132.60
|
|
Voiding pressure study/intra-abd 51797
|
$533.65 |
$533.65 |
$533.65 |
$510.25
|
|
Volume measurement urine timed
|
$28.60 |
$28.60 |
$28.60 |
$17.40
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$309.44 |
$309.44 |
$309.44 |
$59.11
|
|
Vulvectomy simple partial
|
$11,208.68 |
$11,208.68 |
$11,208.68 |
$3,615.39
|
|
Warde 1003990 aldosterone
|
$244.40 |
$244.40 |
$244.40 |
$182.65
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$139.75 |
$139.75 |
$139.75 |
$72.50
|
|
Warde 1015200 kappa light chain free
|
$114.40 |
$114.40 |
$114.40 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$94.90 |
$94.90 |
$94.90 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$125.45 |
$125.45 |
$125.45 |
$117.13
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$46.15 |
$46.15 |
$46.15 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$96.85 |
$96.85 |
$96.85 |
$79.30
|
|
Warde 3400852 arsenic
|
$124.80 |
$124.80 |
$124.80 |
$107.38
|
|
Warde 3708165 mercury urine
|
$109.85 |
$109.85 |
$109.85 |
$82.20
|
|
Warde acetylcholine receptor blocking antibody
|
$191.10 |
$191.10 |
$191.10 |
$82.55
|
|
Warde adrenocorticotropic hormone (acth)
|
$336.05 |
$336.05 |
$336.05 |
$147.55
|
|
Warde amiodarone therapeutic drug level
|
$165.10 |
$165.10 |
$165.10 |
$83.85
|
|
Warde analysis gene hfe common variants
|
$637.65 |
$637.65 |
$637.65 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$432.25 |
$432.25 |
$432.25 |
$403.20
|
|
Warde anti-mullerian hormone
|
$150.15 |
$150.15 |
$150.15 |
$94.40
|
|
Warde apolipoprotein b
|
$186.55 |
$186.55 |
$186.55 |
$80.60
|
|
Warde calculus (stone) infrared
|
$156.65 |
$156.65 |
$156.65 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$104.00 |
$104.00 |
$104.00 |
$71.20
|
|
Warde complement total hemolytic
|
$126.10 |
$126.10 |
$126.10 |
$108.55
|
|
Warde copper
|
$104.65 |
$104.65 |
$104.65 |
$88.20
|
|
Warde erythropoietin
|
$137.15 |
$137.15 |
$137.15 |
$92.50
|
|
Warde estrogen fractionated
|
$160.55 |
$160.55 |
$160.55 |
$125.35
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$185.90 |
$185.90 |
$185.90 |
$78.80
|
|
Warde hepatitis a antibody
|
$98.80 |
$98.80 |
$98.80 |
$85.15
|
|
Warde hepatitis be antibody
|
$83.20 |
$83.20 |
$83.20 |
$64.80
|
|
Warde immunofixation electrophoresis urine
|
$198.25 |
$198.25 |
$198.25 |
$151.71
|
|
Warde islet cell antibody zinc transporter 8
|
$347.75 |
$347.75 |
$347.75 |
$137.55
|
|
Warde lipoprotein (a)
|
$99.45 |
$99.45 |
$99.45 |
$72.90
|
|
Warde lipoprotein-associated phospholipase a2
|
$146.90 |
$146.90 |
$146.90 |
$136.50
|
|
Warde mitochondrial antibody each
|
$107.25 |
$107.25 |
$107.25 |
$62.40
|
|
Warde neutralization rabies
|
$142.35 |
$142.35 |
$142.35 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$71.20
|
|
Warde t3 (triiodothyronine) reverse
|
$159.25 |
$159.25 |
$159.25 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$309.40 |
$309.40 |
$309.40 |
$217.62
|
|
Warde vitamin a
|
$112.45 |
$112.45 |
$112.45 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$127.40 |
$127.40 |
$127.40 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$187.85 |
$187.85 |
$187.85 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$55.90 |
$55.90 |
$55.90 |
$50.00
|
|
Warde vitamin e (alpha-tocopherol)
|
$108.55 |
$108.55 |
$108.55 |
$64.28
|
|
Warde zinc
|
$97.50 |
$97.50 |
$97.50 |
$67.20
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$325.00 |
$325.00 |
$325.00 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$325.00 |
$325.00 |
$325.00 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$162.50 |
$162.50 |
$162.50 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$343.85 |
$343.85 |
$343.85 |
$370.00
|
|
Wrist endoscopy/surgery
|
$12,156.18 |
$12,156.18 |
$12,156.18 |
$2,512.00
|
|
Wrist X-ray
|
$386.10 |
$386.10 |
$386.10 |
$311.20
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$7,217.83 |
$7,217.83 |
$7,217.83 |
$3,724.80
|
|
X-ray abdomen 1 view
|
$328.90 |
$328.90 |
$328.90 |
$243.00
|
|
X-ray abdomen 2 views
|
$440.05 |
$440.05 |
$440.05 |
$281.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$548.60 |
$548.60 |
$548.60 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$329.55 |
$329.55 |
$329.55 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$414.05 |
$414.05 |
$414.05 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$734.43
|
|
X-ray bone age studies
|
$248.95 |
$248.95 |
$248.95 |
$227.08
|
|
X-ray bone survey complete
|
$900.25 |
$900.25 |
$900.25 |
$569.03
|
|
X-ray bone survey infant
|
$413.40 |
$413.40 |
$413.40 |
$362.40
|
