|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$20.98 |
$20.98 |
$20.98 |
$40.01
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$11.08 |
$11.08 |
$11.08 |
$20.80
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$66.66 |
$66.66 |
$66.66 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$179.50 |
$179.50 |
$179.50 |
$499.00
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$131.47 |
$131.47 |
$131.47 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$58.62 |
$58.62 |
$58.62 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$44.83 |
$44.83 |
$44.83 |
$224.04
|
|
Vaccine mmrv live subcutaneous
|
$305.02 |
$305.02 |
$305.02 |
$474.24
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$122.16 |
$122.16 |
$122.16 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$232.00 |
$232.00 |
$232.00 |
$397.18
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$246.81 |
$246.81 |
$246.81 |
$385.45
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$263.93 |
$263.93 |
$263.93 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$27.77 |
$27.77 |
$27.77 |
$119.17
|
|
Vaccine rabies im
|
$387.91 |
$387.91 |
$387.91 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$579.80 |
$579.80 |
$579.80 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$579.80 |
$579.80 |
$579.80 |
$1,159.00
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$114.51 |
$114.51 |
$114.51 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$103.58 |
$103.58 |
$103.58 |
$108.00
|
|
Vaccine tdap >=7 years im
|
$41.38 |
$41.38 |
$41.38 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$36.88 |
$36.88 |
$36.88 |
$131.77
|
|
Vaccine typhoid vicps im
|
$110.14 |
$110.14 |
$110.14 |
$205.22
|
|
Vaccine varicella live subcutaneous
|
$165.18 |
$165.18 |
$165.18 |
$447.80
|
|
Vaccine yellow fever live subcutaneous
|
$144.27 |
$144.27 |
$144.27 |
$421.20
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,735.60
|
|
Vag hyst including t/o
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Vag hyst t/o & repair compl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,037.58
|
|
Vag hyst w/enterocele compl 58294
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,232.57
|
|
Vag hyst w/enterocele repair
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,355.90
|
|
Vaginal bx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,109.28
|
|
Vaginal hysterectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,463.96
|
|
Vaginectomy partial w/nodes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,252.00
|
|
Valproic acid total therapeutic drug level
|
$14.89 |
$14.89 |
$14.89 |
$115.00
|
|
Valvuloplasty pulmonary
|
$2,322.41 |
$2,322.41 |
$2,322.41 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$14.89 |
$14.89 |
$14.89 |
$126.79
|
|
Vanomycin dna amp probe
|
$38.60 |
$38.60 |
$38.60 |
$87.20
|
|
Varicella zoster antibody igg
|
$14.17 |
$14.17 |
$14.17 |
$82.55
|
|
Vasc graft into carpal bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Vasectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,424.12
|
|
Vein x-ray adrenal gland
|
$1,072.70 |
$1,072.70 |
$1,072.70 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$1,777.14 |
$1,777.14 |
$1,777.14 |
$3,999.60
|
|
Vein x-ray eye socket
|
$233.87 |
$233.87 |
$233.87 |
$1,128.41
|
|
Vein x-ray kidney
|
$1,072.70 |
$1,072.70 |
$1,072.70 |
$2,716.20
|
|
Vein x-ray liver
|
$1,347.49 |
$1,347.49 |
$1,347.49 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$1,072.70 |
$1,072.70 |
$1,072.70 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$1,692.30 |
$1,692.30 |
$1,692.30 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$900.96 |
$900.96 |
$900.96 |
$2,489.25
|
|
Vein x-ray skull
|
$883.69 |
$883.69 |
$883.69 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$238.37 |
$238.37 |
$238.37 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$1,544.77 |
$1,544.77 |
$1,544.77 |
$3,450.30
|
|
Ven blood coll snf/hha
|
$11.91 |
$11.91 |
$11.91 |
$11.91
|
|
Venogram ext bil s&i
|
$756.24 |
$756.24 |
$756.24 |
$1,838.28
|
|
Venous mech thrombectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,352.00
|
|
Venous sampling s&i
|
$2,221.42 |
$2,221.42 |
$2,221.42 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$294.87 |
$294.87 |
$294.87 |
$779.56
|
|
Ventilator each subsequent day
|
$443.34 |
$443.34 |
$443.34 |
$1,305.92
|
|
Ventilator initial day
|
$598.38 |
$598.38 |
$598.38 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,081.00
|
|
Version cephalic external
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,598.57
|
|
Very long chain fatty acids
|
$21.73 |
$21.73 |
$21.73 |
$140.40
|
|
V-exc/lip/w/pri linear closure 40520
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,819.23
|
|
Viper venom prothrombin time
|
$19.24 |
$19.24 |
$19.24 |
$35.20
|
|
Virus isolation addl studies ea
|
$22.22 |
$22.22 |
$22.22 |
$90.35
|
|
Vital capacity test
|
$76.20 |
$76.20 |
$76.20 |
$173.33
|
|
Vitamin b-12
|
$16.59 |
$16.59 |
$16.59 |
$94.90
|
|
Vitamin D Test
|
$32.56 |
$32.56 |
$32.56 |
$132.00
|
|
Vit for macular hole
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,683.61
|
|
Vit for macular pucker
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,683.61
|
|
Vit for membrane dissect
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Vkorc1 gene
|
$97.02 |
$97.02 |
$97.02 |
$176.80
|
|
Volume deplete of harvest
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,443.33
|
|
Volume measurement urine timed
|
$4.00 |
$4.00 |
$4.00 |
$21.45
|
|
Vulvectomy simple partial
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Warde 1003990 aldosterone
|
$44.83 |
$44.83 |
$44.83 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$30.58 |
$30.58 |
$30.58 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$14.19 |
$14.19 |
$14.19 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$27.78 |
$27.78 |
$27.78 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$17.05 |
$17.05 |
$17.05 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$19.00 |
$19.00 |
$19.00 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$8.82 |
$8.82 |
$8.82 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$30.13 |
$30.13 |
$30.13 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$18.54 |
$18.54 |
$18.54 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$15.83 |
$15.83 |
$15.83 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$13.48 |
$13.48 |
$13.48 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$9.79 |
$9.79 |
$9.79 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$19.78 |
$19.78 |
$19.78 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$156.89 |
$156.89 |
$156.89 |
$219.13
|
|
Warde 3400852 arsenic
|
$20.87 |
$20.87 |
$20.87 |
$105.12
|
|
Warde 3708165 mercury urine
|
$17.89 |
$17.89 |
$17.89 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$20.24 |
$20.24 |
$20.24 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$13.26 |
$13.26 |
$13.26 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$8.91 |
$8.91 |
$8.91 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$42.48 |
$42.48 |
$42.48 |
$129.75
|
|
Warde aldolase
|
$10.68 |
$10.68 |
$10.68 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$18.56 |
$18.56 |
$18.56 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$20.50 |
$20.50 |
$20.50 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$71.90 |
$71.90 |
$71.90 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$180.36 |
$180.36 |
$180.36 |
$381.50
|
