|
User adjustable heel height
|
$3,082.74 |
$3,082.74 |
$3,082.74 |
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$9.48 |
$17.24 |
$17.24 |
|
|
U/s trtmt, not leiomyomata
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Vaccine Administration (one shot)
|
$29.00 |
$131.00 |
$148.00 |
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$223.08 |
$270.00 |
$292.00 |
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$131.00 |
$292.00 |
$301.00 |
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$151.00 |
$151.00 |
$151.00 |
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$85.00 |
$85.00 |
$85.00 |
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$63.00 |
$63.00 |
$63.00 |
|
|
Vaccine dtap < 7 years im
|
$22.00 |
$65.00 |
$65.00 |
|
|
Vaccine dtap-hep b-ipv im
|
$67.00 |
$213.00 |
$213.00 |
|
|
Vaccine dtap-ipv 4-6 years im
|
$49.00 |
$111.00 |
$111.00 |
|
|
Vaccine dtap-ipv/hib im
|
$43.00 |
$160.00 |
$160.00 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$40.00 |
$72.00 |
$72.00 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$17.00 |
$62.00 |
$62.00 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$109.00 |
$170.00 |
$276.00 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$166.00 |
$250.00 |
$250.00 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$29.00 |
$88.00 |
$88.00 |
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$103.70 |
$103.70 |
$103.70 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$131.00 |
$182.00 |
$182.00 |
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$82.20 |
$128.00 |
$174.00 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$32.41 |
$32.41 |
$32.41 |
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$287.00 |
$361.00 |
$446.00 |
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$310.00 |
$310.00 |
$378.17 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$79.60 |
$84.77 |
$100.00 |
|
|
Vaccine influenza inactivated adjuvant im
|
$89.00 |
$89.00 |
$135.46 |
|
|
Vaccine influenza nos 0.5ml dose im
|
$30.46 |
$30.46 |
$30.46 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$38.00 |
$38.00 |
$66.00 |
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$27.00 |
$27.00 |
$27.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$32.00 |
$32.00 |
$32.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$24.00 |
$33.21 |
$35.37 |
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$17.00 |
$17.00 |
$17.00 |
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$25.00 |
$25.00 |
$25.00 |
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$62.00 |
$79.60 |
$84.77 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$68.30 |
$68.30 |
$68.30 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$15.23 |
$15.23 |
$15.23 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$166.80 |
$460.00 |
$460.00 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$99.99 |
$99.99 |
$99.99 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$112.00 |
$274.89 |
$287.00 |
|
|
Vaccine mmr live subcutaneous
|
$125.00 |
$135.00 |
$160.00 |
|
|
Vaccine mmrv live subcutaneous
|
$153.60 |
$471.00 |
$471.00 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$154.00 |
$221.00 |
$221.00 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$115.00 |
$115.00 |
$115.00 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$371.64 |
$975.00 |
$975.00 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$385.00 |
$385.00 |
$385.00 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$56.00 |
$65.00 |
$66.25 |
|
|
Vaccine rabies im
|
$183.96 |
$309.00 |
$566.40 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$300.00 |
$381.00 |
$381.00 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$325.00 |
$640.00 |
$742.50 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$525.00 |
$640.00 |
$742.50 |
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$355.49 |
$362.00 |
$362.00 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$90.00 |
$90.00 |
$90.00 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$87.00 |
$233.00 |
$251.34 |
|
|
Vaccine tdap >=7 years im
|
$62.00 |
$87.00 |
$135.00 |
|
|
Vaccine td preservative free >= 7 years im
|
$36.00 |
$56.51 |
$85.00 |
|
|
Vaccine typhoid vicps im
|
$99.99 |
$99.99 |
$184.00 |
|
|
Vaccine varicella live subcutaneous
|
$216.73 |
$303.00 |
$303.00 |
|
|
Vaccine yellow fever live subcutaneous
|
$211.00 |
$211.00 |
$244.60 |
|
|
Vaccinia vrs vac 0.3 ml perq
|
$0.01 |
$0.01 |
$0.01 |
|
|
Vacuum drain bottle/tube kit
|
$83.26 |
$83.26 |
$112.33 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$795.49 |
$795.49 |
$4,955.74 |
|
|
Vad cable power module dc input
|
$312.27 |
$312.27 |
$5,005.80 |
|
|
Vad univ batt charger hm 1440
|
$7,097.99 |
$7,097.99 |
$25,295.98 |
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vag hyst incl t/o complex
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vag hyst including t/o
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vag hyst t/o & repair compl
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
|
|
Vag hyst w/enterocele compl 58294
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vag hyst w/enterocele repair
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vaginal bx
|
$220.64 |
$6,797.00 |
$22,420.00 |
|
|
Vaginal delivery after cesarean delivery 59612
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Vaginal Delivery (full care)
|
$3,358.99 |
$3,358.99 |
$3,358.99 |
|
|
Vaginal hysterectomy
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Vaginectomy partial w/nodes
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Vag inser rectal control sys
|
$2,319.20 |
$2,319.20 |
$2,319.20 |
|
|
Vagnc compl rmvl paravag tis
|
$2,421.98 |
$2,421.98 |
$2,421.98 |
|
|
Vagnc compl rmvl vag wall
|
$1,171.72 |
$1,171.72 |
$1,171.72 |
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$155.18 |
$155.18 |
$155.18 |
|
|
Vagotomy & pylorus repair
|
$1,711.96 |
$1,711.96 |
$1,711.96 |
|
|
Vagotomy & pylorus repair 43640
|
$1,693.56 |
$1,693.56 |
$1,693.56 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$0.06 |
$0.06 |
$0.06 |
|
|
Valproic acid total therapeutic drug level
|
$18.69 |
$104.00 |
$257.60 |
|
|
Valrubicin injection
|
$1,798.61 |
$1,798.61 |
$1,798.61 |
|
|
Valvuloplasty aortic
|
$5,434.24 |
$10,914.00 |
$18,549.00 |
|
|
Valvuloplasty aortic valve
|
$2,691.33 |
$2,691.33 |
$2,691.33 |
|
|
Valvuloplasty aortic valve
|
$3,210.23 |
$3,210.23 |
$3,210.23 |
|
|
Valvuloplasty mitral
|
$10,165.68 |
$15,873.70 |
$35,038.00 |
|
|
Valvuloplasty pulmonary
|
$8,087.00 |
$8,986.00 |
$15,873.70 |
|
|
Valvuloplasty/tv without ring insert 33463
|
$4,356.36 |
$4,356.36 |
$4,356.36 |
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$3,444.00 |
$3,444.00 |
$3,444.00 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.04 |
$0.04 |
$0.04 |
|
|
Vancomycin 750 mg intravenous solution
|
$0.14 |
$0.14 |
$0.14 |
|
|
Vancomycin peak therapeutic drug level
|
$18.33 |
$115.00 |
$318.40 |
|
|
Vanomycin dna amp probe
|
$48.42 |
$48.42 |
$48.42 |
|
|
Vantas implant
|
$17,084.76 |
$17,084.76 |
$17,084.76 |
|
|
Variable concentration mask
|
$1.26 |
$1.26 |
$1.26 |
|
|
Varicella zoster antibody igg
|
$13.63 |
$124.00 |
$194.40 |
|
|
Varicella-zoster immue globin im
|
$3,261.48 |
$3,261.48 |
$3,261.48 |
|
|
Varus/valgus strap padded/li
|
$36.54 |
$104.55 |
$104.55 |
|
|
Vasc emb/occ w/prs cath
|
$25,206.69 |
$25,206.69 |
$25,206.69 |
|
