|
Vaccine Administration (one shot)
|
$59.08 |
$59.08 |
$59.08 |
$67.74
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$98.00 |
$98.00 |
$98.00 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$44.45 |
$44.45 |
$44.45 |
$209.40
|
|
Vaccine dtap < 7 years im
|
$81.65 |
$81.65 |
$81.65 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$157.75 |
$157.75 |
$157.75 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$138.80 |
$138.80 |
$138.80 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$158.30 |
$158.30 |
$158.30 |
$174.72
|
|
Vaccine dtap-ipv/hib im
|
$266.03 |
$266.03 |
$266.03 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$85.00 |
$85.00 |
$85.00 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$36.70 |
$36.70 |
$36.70 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$163.15 |
$163.15 |
$163.15 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$239.20 |
$239.20 |
$239.20 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$84.38 |
$84.38 |
$84.38 |
$78.25
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$55.20 |
$55.20 |
$55.20 |
$90.35
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$131.15 |
$131.15 |
$131.15 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$318.68 |
$318.68 |
$318.68 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$22.08 |
$22.08 |
$22.08 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$711.10 |
$711.10 |
$711.10 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$149.43 |
$149.43 |
$149.43 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$37.50 |
$37.50 |
$37.50 |
$149.21
|
|
Vaccine influenza nos 0.5ml dose im
|
$45.70 |
$45.70 |
$45.70 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$49.60 |
$49.60 |
$49.60 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$16.33 |
$16.33 |
$16.33 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$37.50 |
$37.50 |
$37.50 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$16.33 |
$16.33 |
$16.33 |
$33.60
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$28.83 |
$28.83 |
$28.83 |
$37.05
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$400.03 |
$400.03 |
$400.03 |
$394.26
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$426.80 |
$426.80 |
$426.80 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$66.63 |
$66.63 |
$66.63 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$264.20 |
$264.20 |
$264.20 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$205.43 |
$205.43 |
$205.43 |
$213.00
|
|
Vaccine mmrv live subcutaneous
|
$647.28 |
$647.28 |
$647.28 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$270.60 |
$270.60 |
$270.60 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$397.18 |
$397.18 |
$397.18 |
$393.25
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$262.88 |
$262.88 |
$262.88 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$547.00 |
$547.00 |
$547.00 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$983.15 |
$983.15 |
$983.15 |
$90.70
|
|
Vaccine rabies im
|
$1,020.98 |
$1,020.98 |
$1,020.98 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$624.00 |
$624.00 |
$624.00 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,177.25 |
$1,177.25 |
$1,177.25 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,628.38 |
$1,628.38 |
$1,628.38 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$572.98 |
$572.98 |
$572.98 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$200.70 |
$200.70 |
$200.70 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$77.23 |
$77.23 |
$77.23 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$136.80 |
$136.80 |
$136.80 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$112.10 |
$112.10 |
$112.10 |
$112.10
|
|
Vaccine typhoid vicps im
|
$338.73 |
$338.73 |
$338.73 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$434.73 |
$434.73 |
$434.73 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$427.50 |
$427.50 |
$427.50 |
$418.46
|
|
Vacuum drain bottle/tube kit
|
$367.20 |
$367.20 |
$367.20 |
$325.20
|
|
Vaginal bx
|
$366.65 |
$366.65 |
$366.65 |
$459.42
|
|
Valproic acid total therapeutic drug level
|
$114.48 |
$114.48 |
$114.48 |
$115.00
|
|
Valrubicin injection
|
$4,136.68 |
$4,136.68 |
$4,136.68 |
$2,813.49
|
|
Valvuloplasty aortic
|
$8,135.13 |
$8,135.13 |
$8,135.13 |
$7,944.16
|
|
Valvuloplasty mitral
|
$8,135.13 |
$8,135.13 |
$8,135.13 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$11,945.20 |
$11,945.20 |
$11,945.20 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$543.75 |
$543.75 |
$543.75 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$313.43 |
$313.43 |
$313.43 |
$90.33
|
|
Vancomycin hcl injection
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$136.13 |
$136.13 |
$136.13 |
$135.60
|
|
Varicella zoster antibody igg
|
$97.05 |
$97.05 |
$97.05 |
$86.80
|
|
Varicella-zoster immue globin im
|
$4,561.53 |
$4,561.53 |
$4,561.53 |
$3,816.19
|
|
Vasc emb/occ w/prs cath
|
$8,076.63 |
$8,076.63 |
$8,076.63 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$704.50 |
$704.50 |
$704.50 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$18,732.33 |
$18,732.33 |
$18,732.33 |
$18,732.33
|
|
Veeg ea 12-26hr cont mntr
|
$3,623.15 |
$3,623.15 |
$3,623.15 |
$3,225.60
|
|
Veeg unmon 12-26 hrs
|
$3,623.15 |
$3,623.15 |
$3,623.15 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$3,623.15 |
$3,623.15 |
$3,623.15 |
$826.15
|
|
Vein x-ray kidney
|
$1,807.68 |
$1,807.68 |
$1,807.68 |
$2,870.00
|
|
Vein x-ray liver
|
$2,316.33 |
$2,316.33 |
$2,316.33 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$2,268.18 |
$2,268.18 |
$2,268.18 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$2,322.85 |
$2,322.85 |
$2,322.85 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$1,010.68 |
$1,010.68 |
$1,010.68 |
$2,452.80
|
|
Vein x-ray skull
|
$1,376.08 |
$1,376.08 |
$1,376.08 |
$2,236.50
|
|
Vein x-ray spleen/liver
|
$3,216.18 |
$3,216.18 |
$3,216.18 |
$3,434.00
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$2,978.05 |
$2,978.05 |
$2,978.05 |
$2,632.35
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$266.73 |
$266.73 |
$266.73 |
$197.04
|
|
Venipuncture <3 yrs other vein
|
$354.80 |
$354.80 |
$354.80 |
$62.40
|
|
Venogram ext bil s&i
|
$2,310.90 |
$2,310.90 |
$2,310.90 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,155.45 |
$1,155.45 |
$1,155.45 |
$1,382.58
|
|
Venous mech thrombectomy
|
$4,690.45 |
$4,690.45 |
$4,690.45 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$4,690.45 |
$4,690.45 |
$4,690.45 |
$5,110.00
|
|
Venous sampling s&i
|
$1,841.18 |
$1,841.18 |
$1,841.18 |
$4,200.00
|
|
Ventilator each subsequent day
|
$685.48 |
$685.48 |
$685.48 |
$1,178.74
|
|
Ventilator Management (first day)
|
$775.10 |
$775.10 |
$775.10 |
$1,434.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,018.50 |
$1,018.50 |
$1,018.50 |
$1,257.55
|
|
Version cephalic external
|
$615.45 |
$615.45 |
$615.45 |
$2,361.75
|
|
Verteporfin injection
|
$3,244.43 |
$3,244.43 |
$3,244.43 |
$3,077.48
|
|
Very long chain fatty acids
|
$253.75 |
$253.75 |
$253.75 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$363.98 |
$363.98 |
$363.98 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$225.00 |
$225.00 |
$225.00 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$225.00 |
$225.00 |
$225.00 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$227.50 |
$227.50 |
$227.50 |
$223.55
|
|
Virus isolation addl studies ea
|
$947.83 |
$947.83 |
$947.83 |
$77.60
|
|
Visc & infraren abd 1 prosth
|
$23,709.68 |
$23,709.68 |
$23,709.68 |
$7,571.20
|
|
Visc & infraren abd 2 prosth
|
$23,709.68 |
$23,709.68 |
$23,709.68 |
$8,957.30
|
|
Visit established high 40-54 minutes/level 5
|
$534.68 |
$534.68 |
$534.68 |
$240.50
|
|
Visual audiometry (vra)
|
$275.30 |
$275.30 |
$275.30 |
$220.60
|
|
Vital capacity test
|
$70.80 |
$70.80 |
$70.80 |
$173.18
|
|
Vitamin b-12
|
$158.85 |
$158.85 |
$158.85 |
$100.20
|
