|
Vaccine influenza (iiv) preservative free antigen content im
|
$101.25 |
$277.81 |
$361.15 |
|
|
Vaccine influenza inactivated adjuvant im
|
$110.25 |
$110.25 |
$110.25 |
|
|
Vaccine influenza nos 0.5ml dose im
|
$29.25 |
$29.25 |
$29.25 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$30.00 |
$59.66 |
$83.40 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$24.00 |
$24.00 |
$24.00 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$55.50 |
$55.50 |
$55.50 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$28.50 |
$28.50 |
$28.50 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$466.50 |
$757.31 |
$814.32 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$497.25 |
$497.25 |
$497.25 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$180.00 |
$180.00 |
$533.05 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$417.00 |
$417.00 |
$571.86 |
|
|
Vaccine mmr live subcutaneous
|
$46.50 |
$289.38 |
$404.50 |
|
|
Vaccine mmrv live subcutaneous
|
$604.50 |
$604.50 |
$604.50 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$29.25 |
$380.52 |
$494.67 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$159.75 |
$159.75 |
$159.75 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$708.75 |
$930.57 |
$1,261.16 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$21.00 |
$21.00 |
$142.25 |
|
|
Vaccine rabies im
|
$447.00 |
$914.96 |
$1,143.70 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,481.29 |
$1,798.57 |
$1,933.94 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,481.29 |
$1,481.29 |
$1,933.94 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$110.25 |
$110.25 |
$503.90 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$78.75 |
$78.75 |
$308.28 |
|
|
Vaccine tdap >=7 years im
|
$52.50 |
$147.59 |
$206.30 |
|
|
Vaccine td preservative free >= 7 years im
|
$50.25 |
$134.24 |
$187.65 |
|
|
Vaccine typhoid vicps im
|
$306.75 |
$306.75 |
$336.85 |
|
|
Vaccine varicella live subcutaneous
|
$194.25 |
$578.40 |
$808.52 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
|
|
Vad cable power module dc input
|
$391.95 |
$391.95 |
$391.95 |
|
|
Vad univ batt charger hm 1440
|
$12,542.40 |
$12,542.40 |
$12,542.40 |
|
|
Vag hyst including t/o
|
$18,318.06 |
$18,318.06 |
$18,318.06 |
|
|
Vag hyst w/enterocele repair
|
$25,249.11 |
$25,249.11 |
$25,249.11 |
|
|
Vaginal bx
|
$9,239.76 |
$9,239.76 |
$9,239.76 |
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,982.50 |
$1,982.50 |
$1,982.50 |
|
|
Vaginal hysterectomy
|
$20,880.68 |
$20,880.68 |
$20,880.68 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$20.25 |
$20.25 |
$22.75 |
|
|
Valproic acid total therapeutic drug level
|
$39.00 |
$140.40 |
$189.15 |
|
|
Valvuloplasty aortic
|
$6,874.40 |
$6,874.40 |
$6,874.40 |
|
|
Valvuloplasty mitral
|
$24,540.75 |
$24,540.75 |
$24,540.75 |
|
|
Valvuloplasty pulmonary
|
$31,383.30 |
$31,383.30 |
$31,383.30 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$52.13 |
$101.91 |
$646.85 |
|
|
Vancomycin 750 mg intravenous solution
|
$78.39 |
$139.11 |
$180.84 |
|
|
Vancomycin peak therapeutic drug level
|
$102.70 |
$156.65 |
$252.20 |
|
|
Varicella zoster antibody igg
|
$28.50 |
$126.10 |
$199.55 |
|
|
Vasectomy
|
$811.50 |
$811.50 |
$811.50 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$317.68 |
$341.59 |
$444.07 |
|
|
Vedolizumab 300 mg intravenous solution
|
$16,434.44 |
$20,836.78 |
$26,421.19 |
|
|
Veeg intrmnt 2-12 hrs
|
$1,841.45 |
$1,841.45 |
$2,197.65 |
|
|
Veeg unmon 12-26 hrs
|
$982.80 |
$982.80 |
$1,426.75 |
|
|
Veeg unmon 2-12 hrs
|
$512.20 |
$865.80 |
$1,092.00 |
|
|
Vein x-ray eye socket
|
$1,580.80 |
$1,580.80 |
$1,580.80 |
|
|
Vein x-ray kidney
|
$2,106.00 |
$2,106.00 |
$2,424.50 |
|
|
Vein x-ray liver
|
$2,684.50 |
$2,684.50 |
$3,409.25 |
|
|
Vein x-ray liver w/hemodynam
|
$2,210.65 |
$2,210.65 |
$3,930.55 |
|
|
Vein x-ray liver without hemodyn
|
$2,483.00 |
$2,483.00 |
$2,483.00 |
|
|
Vein x-ray skull
|
$2,284.75 |
$2,284.75 |
$2,284.75 |
|
|
Vein x-ray skull epidural
|
$1,465.75 |
$1,465.75 |
$1,465.75 |
|
|
Vemp test i&r cervical
|
$287.95 |
$287.95 |
$287.95 |
|
|
Vemp test i&r ocular
|
$241.80 |
$241.80 |
$241.80 |
|
|
Vemp tst i&r cervical&ocular
|
$437.45 |
$437.45 |
$437.45 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$39.65 |
$47.45 |
$1,031.55 |
|
|
Venogram ext bil s&i
|
$1,502.80 |
$1,502.80 |
$1,672.45 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,275.30 |
$1,275.30 |
$4,737.85 |
|
|
Venous mech thrombectomy
|
$36,786.33 |
$36,786.33 |
$101,048.09 |
|
|
Venous m-thrombectomy add-on
|
$5,318.95 |
$5,318.95 |
$5,318.95 |
|
|
Venous sampling s&i
|
$3,000.40 |
$3,000.40 |
$3,000.40 |
|
|
Venous thrombosis imaging
|
$1,143.35 |
$1,143.35 |
$1,143.35 |
|
|
Ven thrombosis images bilat
|
$1,441.05 |
$1,441.05 |
$1,441.05 |
|
|
Ventilator each subsequent day
|
$566.15 |
$906.75 |
$1,435.20 |
|
|
Ventilator initial day
|
$724.75 |
$1,234.35 |
$2,470.65 |
|
|
Ventricular puncture prev burr hole without inj 61020
|
$510.90 |
$510.90 |
$510.90 |
|
|
Version cephalic external
|
$3,146.65 |
$3,146.65 |
$4,104.10 |
|
|
Very long chain fatty acids
|
$122.85 |
$141.05 |
$251.55 |
|
|
Vest large holster
|
$688.35 |
$688.35 |
$688.35 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$107.38 |
$141.24 |
$167.28 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$38.58 |
$85.81 |
$88.98 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$154.05 |
$154.05 |
$242.32 |
|
|
Virus isolation addl studies ea
|
$55.25 |
$97.50 |
$111.15 |
|
|
Visit established high 40-54 minutes/level 5
|
$295.10 |
$295.10 |
$295.10 |
|
|
Vital capacity test
|
$41.60 |
$130.65 |
$144.30 |
|
|
Vitamin b-12
|
$45.00 |
$131.30 |
$180.05 |
|
|
Vitamin D Test
|
$101.25 |
$163.80 |
$401.05 |
|
|
Vit for macular hole
|
$12,148.72 |
$12,148.72 |
$12,148.72 |
|
|
Vit for macular pucker
|
$10,324.40 |
$10,324.40 |
$10,324.40 |
|
|
Voiding pressure study/intra-abd 51797
|
$363.35 |
$476.45 |
$2,373.37 |
|
|
Volume measurement urine timed
|
$8.45 |
$19.50 |
$31.85 |
|
|
Vonvendi inj 1 iu vwf:rco
|
$5,855.85 |
$5,855.85 |
$5,855.85 |
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$195.97 |
$221.37 |
$309.44 |
|
|
Vulvectomy simple partial
|
$635.25 |
$635.25 |
$13,044.20 |
|
|
Warde 1003990 aldosterone
|
$108.75 |
$251.55 |
$337.35 |
|
|
Warde 1005020 citrate 24 hour urine
|
$113.75 |
$139.10 |
$223.60 |
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$60.00 |
$111.80 |
$141.70 |
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$162.00 |
$216.45 |
$302.90 |
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$43.50 |
$108.55 |
$156.65 |
|
|
Warde 1015200 kappa light chain free
|
$57.85 |
$102.70 |
$141.05 |
|
|
Warde 3004000 immunoglobulin subclass 1
|
$22.10 |
$60.45 |
$70.20 |
|
|
Warde 3008005 oligoclonal bands
|
$97.50 |
$133.90 |
$159.90 |
|
|
Warde 3016000 west nile virus antibody
|
$50.70 |
$78.65 |
$92.30 |
|
|
Warde 3016000 west nile virus antibody igg
|
$58.50 |
$78.65 |
$105.30 |
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$85.15 |
$104.00 |
$233.25 |
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$25.50 |
$83.20 |
$120.90 |
|
