|
Vaccine dtap-ipv 4-6 years im
|
$90.70 |
$90.70 |
$143.68 |
|
|
Vaccine dtap-ipv-hib-hepb im
|
$173.35 |
$173.35 |
$480.00 |
|
|
Vaccine dtap-ipv/hib im
|
$123.43 |
$123.43 |
$248.80 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$56.28 |
$56.28 |
$56.28 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$31.15 |
$31.15 |
$44.00 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$101.10 |
$101.10 |
$101.10 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$173.97 |
$173.97 |
$173.97 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$59.24 |
$59.24 |
$88.80 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$97.64 |
$97.64 |
$186.40 |
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$61.60 |
$222.02 |
$321.04 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$35.20 |
$37.12 |
$60.25 |
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$386.21 |
$386.21 |
$386.21 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$98.40 |
$98.40 |
$130.67 |
|
|
Vaccine influenza inactivated adjuvant im
|
$45.84 |
$49.84 |
$221.20 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$41.28 |
$41.28 |
$41.28 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$25.60 |
$25.60 |
$25.60 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$26.40 |
$26.40 |
$26.40 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$23.31 |
$27.31 |
$66.56 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$287.21 |
$287.21 |
$442.48 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$271.32 |
$271.32 |
$315.07 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$260.33 |
$260.33 |
$349.15 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$181.64 |
$181.64 |
$181.64 |
|
|
Vaccine mmr live subcutaneous
|
$100.84 |
$105.32 |
$220.29 |
|
|
Vaccine mmrv live subcutaneous
|
$384.39 |
$384.39 |
$384.39 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$174.22 |
$181.98 |
$292.43 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$284.48 |
$366.13 |
$620.80 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$350.76 |
$350.76 |
$704.80 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$38.76 |
$38.76 |
$734.64 |
|
|
Vaccine rabies im
|
$430.84 |
$700.61 |
$890.76 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$403.55 |
$403.55 |
$847.53 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$579.20 |
$579.20 |
$1,226.48 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$579.20 |
$579.20 |
$1,226.48 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$104.63 |
$104.63 |
$173.60 |
|
|
Vaccine tdap >=7 years im
|
$68.67 |
$69.72 |
$115.36 |
|
|
Vaccine td preservative free >= 7 years im
|
$39.97 |
$41.24 |
$97.37 |
|
|
Vaccine typhoid vicps im
|
$135.72 |
$135.72 |
$135.72 |
|
|
Vaccine varicella live subcutaneous
|
$167.58 |
$167.58 |
$404.00 |
|
|
Vaginal bx
|
$2,480.00 |
$2,480.00 |
$3,948.80 |
|
|
Valproic acid total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
|
|
Valrubicin injection
|
$6,277.95 |
$6,277.95 |
$6,277.95 |
|
|
Valvuloplasty aortic
|
$10,592.80 |
$10,592.80 |
$11,906.40 |
|
|
Valvuloplasty mitral
|
$16,380.00 |
$16,380.00 |
$19,281.60 |
|
|
Valvuloplasty pulmonary
|
$13,767.20 |
$13,767.20 |
$18,084.80 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$35.89 |
$36.01 |
$691.48 |
|
|
Vancomycin 750 mg intravenous solution
|
$58.02 |
$74.62 |
$74.62 |
|
|
Vancomycin peak therapeutic drug level
|
$111.20 |
$111.20 |
$111.20 |
|
|
Varicella zoster antibody igg
|
$54.40 |
$54.40 |
$54.40 |
|
|
Varicella-zoster immue globin im
|
$3,128.01 |
$3,128.01 |
$3,128.01 |
|
|
Varus/valgus strap padded/li
|
$52.88 |
$52.88 |
$52.88 |
|
|
Vasc emb/occ w/prs cath
|
$27,533.60 |
$27,533.60 |
$27,533.60 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$6.28 |
$76.96 |
$342.98 |
|
|
Vedolizumab 300 mg intravenous solution
|
$5,554.56 |
$8,276.51 |
$14,973.97 |
|
|
Veeg cont 2-12 hrs
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
|
|
Veeg ea 12-26hr cont mntr
|
$4,029.60 |
$4,029.60 |
$4,259.20 |
|
|
Veeg intrmnt 2-12 hrs
|
$3,331.20 |
$3,331.20 |
$3,331.20 |
|
|
Veeg unmon 12-26 hrs
|
$2,948.00 |
$2,948.00 |
$3,384.00 |
|
|
Veeg unmon 2-12 hrs
|
$2,544.00 |
$2,544.00 |
$3,028.00 |
|
|
Vein byp fem-tibial peroneal 35585
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
|
|
Vein x-ray adrenal gland
|
$1,641.60 |
$1,641.60 |
$4,324.80 |
|
|
Vein x-ray kidney
|
$3,418.40 |
$3,418.40 |
$4,469.60 |
|
|
Vein x-ray liver
|
$3,126.40 |
$3,126.40 |
$3,320.80 |
|
|
Vein x-ray liver w/hemodynam
|
$2,788.00 |
$2,788.00 |
$3,320.80 |
|
|
Vein x-ray liver w/hemodynam
|
$759.20 |
$759.20 |
$2,756.00 |
|
|
Vein x-ray liver without hemodyn
|
$358.40 |
$358.40 |
$1,030.40 |
|
|
Vein x-ray skull
|
$506.40 |
$506.40 |
$1,228.80 |
|
|
Vein x-ray spleen/liver
|
$2,447.20 |
$2,447.20 |
$2,490.40 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$64.80 |
$64.80 |
$179.20 |
|
|
Venipuncture <3 yrs other vein
|
$124.00 |
$124.00 |
$128.00 |
|
|
Venogram ext bil s&i
|
$1,860.80 |
$1,860.80 |
$2,173.60 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,472.00 |
$1,472.00 |
$1,798.40 |
|
|
Venous mech thrombectomy
|
$7,480.00 |
$7,480.00 |
$9,405.60 |
|
|
Venous m-thrombectomy add-on
|
$4,940.80 |
$4,940.80 |
$5,789.60 |
|
|
Venous sampling s&i
|
$2,037.60 |
$2,037.60 |
$4,756.00 |
|
|
Ventilator each subsequent day
|
$1,107.20 |
$1,107.20 |
$1,164.00 |
|
|
Ventilator Management (first day)
|
$1,366.40 |
$1,433.60 |
$1,478.40 |
|
|
Version cephalic external
|
$3,372.00 |
$3,372.00 |
$3,419.20 |
|
|
Video Swallow Study (Modified Barium Swallow)
|
$502.40 |
$502.40 |
$734.40 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$78.24 |
$78.24 |
$177.85 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$43.54 |
$43.54 |
$171.35 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$188.44 |
$188.44 |
$193.44 |
|
|
Viper venom prothrombin time
|
$55.20 |
$55.20 |
$55.20 |
|
|
Visc & infraren abd 1 prosth
|
$5,717.60 |
$5,717.60 |
$12,215.20 |
|
|
Visc & infraren abd 2 prosth
|
$6,208.80 |
$6,208.80 |
$14,013.60 |
|
|
Visc & infraren abd 3 prosth
|
$6,098.40 |
$6,098.40 |
$15,920.80 |
|
|
Visc & infraren abd 4+ prost
|
$6,289.60 |
$6,289.60 |
$17,936.80 |
|
|
Visual audiometry (vra)
|
$167.20 |
$167.20 |
$167.20 |
|
|
Vital capacity test
|
$101.60 |
$101.60 |
$142.40 |
|
|
Vitamin b-12
|
$80.80 |
$80.80 |
$80.80 |
|
|
Vitamin D Test
|
$132.00 |
$132.00 |
$132.00 |
|
|
Vngrph chd anom/persist svc
|
$11,257.60 |
$11,257.60 |
$11,257.60 |
|
|
Vngrph chd azygs/hemiazygs
|
$11,257.60 |
$11,257.60 |
$11,257.60 |
|
|
Vngrph chd coronary sinus
|
$11,257.60 |
$11,257.60 |
$11,257.60 |
|
|
Vngrph chd vnvn cltrl at/abv
|
$11,257.60 |
$11,257.60 |
$11,257.60 |
|
|
Vngrph chd vnvn cltrl below
|
$11,257.60 |
$11,257.60 |
$11,257.60 |
|
|
Volume deplete of harvest
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
|
|
Volume measurement urine timed
|
$19.20 |
$19.20 |
$19.20 |
|
|
Vonvendi inj 1 iu vwf:rco
|
$16.80 |
$16.80 |
$16.80 |
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$172.61 |
$172.61 |
$261.05 |
|
|
Walking (Gait) Training (each 15 minutes)
|
$104.00 |
$107.20 |
$117.60 |
|
|
Warde 1003990 aldosterone
|
$261.60 |
$261.60 |
$261.60 |
|
