|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$31.20 |
$31.20 |
$31.20 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$296.40 |
$296.40 |
$296.40 |
$394.26
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$134.40 |
$134.40 |
$134.40 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$70.20 |
$70.20 |
$70.20 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$97.80 |
$97.80 |
$97.80 |
$252.87
|
|
Vaccine rabies im
|
$319.20 |
$319.20 |
$319.20 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$76.80 |
$76.80 |
$76.80 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$51.00 |
$51.00 |
$51.00 |
$112.10
|
|
Vaccine typhoid vicps im
|
$192.60 |
$192.60 |
$192.60 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$228.60 |
$228.60 |
$228.60 |
$365.17
|
|
Vag hyst including t/o
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$5,110.00
|
|
Vaginal hysterectomy
|
$1,529.40 |
$1,529.40 |
$1,529.40 |
$5,766.00
|
|
Valproic acid total therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$115.00
|
|
Vancomycin hcl injection
|
$88.80 |
$88.80 |
$88.80 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$135.60
|
|
Varicella zoster antibody igg
|
$91.80 |
$91.80 |
$91.80 |
$86.80
|
|
Vasectomy
|
$1,078.20 |
$1,078.20 |
$1,078.20 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$62.40 |
$62.40 |
$62.40 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$23,305.80 |
$23,305.80 |
$23,305.80 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$63.00 |
$63.00 |
$63.00 |
$197.04
|
|
Venogram extremity supervision & interpretation unilateral
|
$314.40 |
$314.40 |
$314.40 |
$1,382.58
|
|
Ventilator each subsequent day
|
$288.00 |
$288.00 |
$288.00 |
$1,178.74
|
|
Ventilator Management (first day)
|
$293.40 |
$293.40 |
$293.40 |
$1,434.60
|
|
Video Swallow Study (Modified Barium Swallow)
|
$385.80 |
$385.80 |
$385.80 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$12.60 |
$12.60 |
$12.60 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$74.40 |
$74.40 |
$74.40 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$522.60 |
$522.60 |
$522.60 |
$223.55
|
|
Vital capacity test
|
$64.80 |
$64.80 |
$64.80 |
$173.18
|
|
Vitamin b-12
|
$105.00 |
$105.00 |
$105.00 |
$100.20
|
|
Vitamin D Test
|
$147.00 |
$147.00 |
$147.00 |
$132.60
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$18.60 |
$18.60 |
$18.60 |
$165.81
|
|
Vulvectomy simple partial
|
$977.40 |
$977.40 |
$977.40 |
$4,070.65
|
|
Walking (Gait) Training (each 15 minutes)
|
$65.40 |
$65.40 |
$65.40 |
$87.50
|
|
Warde 1003990 aldosterone
|
$280.20 |
$280.20 |
$280.20 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$82.20 |
$82.20 |
$82.20 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$171.00 |
$171.00 |
$171.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$107.40 |
$107.40 |
$107.40 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$69.00 |
$69.00 |
$69.00 |
$62.50
|
|
Warde 3400852 arsenic
|
$129.60 |
$129.60 |
$129.60 |
$101.00
|
|
Warde 3708165 mercury urine
|
$111.00 |
$111.00 |
$111.00 |
$71.76
|
|
Warde adenosine deaminase pleural fluid
|
$30.60 |
$30.60 |
$30.60 |
$88.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$258.60 |
$258.60 |
$258.60 |
$160.59
|
|
Warde aldolase
|
$73.80 |
$73.80 |
$73.80 |
$54.12
|
|
Warde analysis gene hfe common variants
|
$474.60 |
$474.60 |
$474.60 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$752.40 |
$752.40 |
$752.40 |
$368.00
|
|
Warde bile acids
|
$80.40 |
$80.40 |
$80.40 |
$64.28
|
|
Warde calcitonin
|
$181.20 |
$181.20 |
$181.20 |
$101.40
|
|
Warde calculus (stone) infrared
|
$61.20 |
$61.20 |
$61.20 |
$60.00
|
|
Warde complement total hemolytic
|
$142.80 |
$142.80 |
$142.80 |
$105.00
|
|
Warde copper
|
$86.40 |
$86.40 |
$86.40 |
$80.00
|
|
Warde cryoglobulin
|
$46.80 |
$46.80 |
$46.80 |
$50.70
|
|
Warde erythropoietin
|
$111.00 |
$111.00 |
$111.00 |
$91.80
|
|
Warde folic acid rbc
|
$110.40 |
$110.40 |
$110.40 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$70.20 |
$70.20 |
$70.20 |
$44.64
|
|
Warde gastrin
|
$120.60 |
$120.60 |
$120.60 |
$75.25
|
|
Warde growth hormone (hgh)
|
$115.20 |
$115.20 |
$115.20 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$82.20 |
$82.20 |
$82.20 |
$83.34
|
|
Warde hepatitis a antibody
|
$117.00 |
$117.00 |
$117.00 |
$83.85
|
|
Warde immunofixation electrophoresis urine
|
$134.40 |
$134.40 |
$134.40 |
$161.28
|
|
Warde islet cell antibody zinc transporter 8
|
$93.00 |
$93.00 |
$93.00 |
$143.52
|
|
Warde sex hormone binding globulin
|
$93.00 |
$93.00 |
$93.00 |
$84.50
|
|
Warde somatomedin
|
$124.20 |
$124.20 |
$124.20 |
$115.82
|
|
Warde sugars single qualitative each specimen stool
|
$30.60 |
$30.60 |
$30.60 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$184.20 |
$184.20 |
$184.20 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$233.40 |
$233.40 |
$233.40 |
$183.60
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$175.80 |
$175.80 |
$175.80 |
$129.80
|
|
Warde viscosity
|
$112.20 |
$112.20 |
$112.20 |
$50.16
|
|
Warde vitamin a
|
$81.60 |
$81.60 |
$81.60 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$200.40 |
$200.40 |
$200.40 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$264.60 |
$264.60 |
$264.60 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$97.20 |
$97.20 |
$97.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$264.60 |
$264.60 |
$264.60 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$107.40 |
$107.40 |
$107.40 |
$61.15
|
|
Warde zinc
|
$54.60 |
$54.60 |
$54.60 |
$62.70
|
|
Wbc automated
|
$20.40 |
$20.40 |
$20.40 |
$32.74
|
|
Wedging of cast
|
$319.80 |
$319.80 |
$319.80 |
$314.28
|
|
Whfo nontorsion joint prefab
|
$670.80 |
$670.80 |
$670.80 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$270.00 |
$270.00 |
$270.00 |
$452.38
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$829.80 |
$829.80 |
$829.80 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$301.20 |
$301.20 |
$301.20 |
$636.46
|
|
Wnd prep f/n/hf/g addl cm
|
$134.40 |
$134.40 |
$134.40 |
$811.00
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$235.20 |
$235.20 |
$235.20 |
$353.40
|
|
Wound closure by adhesive
|
$85.20 |
$85.20 |
$85.20 |
$138.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$129.00 |
$129.00 |
$129.00 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$150.60 |
$150.60 |
$150.60 |
$442.22
|
|
Wrist X-ray
|
$140.40 |
$140.40 |
$140.40 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$125.40 |
$125.40 |
$125.40 |
$291.20
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$2,707.20
|
|
Xfer tis s/a/l 10 sq cm/<
|
$987.00 |
$987.00 |
$987.00 |
$2,838.00
|
|
X-ray abdomen >=3 views
|
$118.80 |
$118.80 |
$118.80 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$291.60 |
$291.60 |
$291.60 |
$794.00
|
|
X-ray bone survey infant
|
$254.40 |
$254.40 |
$254.40 |
$394.80
|
|
X-ray exam of arm infant
|
$129.60 |
$129.60 |
$129.60 |
$248.82
|
|
X-ray exam of salivary gland
|
$142.80 |
$142.80 |
$142.80 |
$162.60
|
|
X-ray eye detection foreign body (both sides)
|
$124.20 |
$124.20 |
$124.20 |
$238.29
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$148.80 |
$148.80 |
$148.80 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$197.40 |
$197.40 |
$197.40 |
$513.56
|
|
X-ray joint survey 1 view
|
$160.80 |
$160.80 |
$160.80 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$144.60 |
$144.60 |
$144.60 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$370.20 |
$370.20 |
$370.20 |
$364.75
|
