|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,224.38 |
$5,224.38 |
$5,224.38 |
$5,521.54
|
|
Vaccine dtap < 7 years im
|
$121.89 |
$123.61 |
$282.00 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$1,971.19 |
$1,971.19 |
$2,087.01 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$398.06 |
$398.06 |
$398.06 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$35.32 |
$63.29 |
$188.92 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$116.21 |
$116.21 |
$116.21 |
$178.07
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$114.00 |
$155.16 |
$194.35 |
$173.98
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$195.39 |
$195.39 |
$195.39 |
$306.24
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$60.81 |
$60.81 |
$66.00 |
$79.04
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$391.42 |
$873.00 |
$1,430.00 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$339.00 |
$339.00 |
$339.00 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$56.80 |
$56.80 |
$56.80 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$40.93 |
$40.93 |
$156.00 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$91.88 |
$91.88 |
$91.88 |
$104.63
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$37.52 |
$37.52 |
$37.52 |
$40.01
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$34.70 |
$34.70 |
$34.70 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$248.38 |
$248.38 |
$248.38 |
$499.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$227.19 |
$227.19 |
$1,085.03 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$589.64 |
$591.95 |
$646.00 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$170.53 |
$170.53 |
$659.11 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$135.59 |
$702.71 |
$1,158.00 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$161.19 |
$161.19 |
$1,182.00 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$303.17 |
$303.17 |
$2,719.72 |
$397.18
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$385.45
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$350.27 |
$350.27 |
$350.27 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$249.00 |
$249.00 |
$249.00 |
$119.17
|
|
Vaccine rabies im
|
$580.99 |
$580.99 |
$3,593.00 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$712.46 |
$712.46 |
$2,263.40 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,908.00 |
$1,908.00 |
$2,263.40 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$80.78 |
$1,001.00 |
$1,138.57 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$67.30 |
$251.00 |
$1,161.17 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$45.80 |
$45.80 |
$937.66 |
$447.80
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,072.35 |
$2,072.35 |
$33,556.50 |
$1,683.99
|
|
Vad cable power module dc input
|
$915.95 |
$915.95 |
$915.95 |
$915.95
|
|
Vad univ batt charger hm 1440
|
$24,020.50 |
$24,020.50 |
$24,020.50 |
$14,893.34
|
|
Valproic acid total therapeutic drug level
|
$129.85 |
$129.85 |
$129.85 |
$115.00
|
|
Valvuloplasty aortic
|
$2,723.35 |
$2,723.35 |
$27,697.41 |
$7,324.85
|
|
Valvuloplasty mitral
|
$9,070.95 |
$9,070.95 |
$57,241.58 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$9,070.95 |
$9,070.95 |
$57,241.58 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$138.69 |
$138.69 |
$138.69 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$32.19 |
$32.19 |
$121.52 |
$100.15
|
|
Vancomycin hcl injection
|
$49.78 |
$49.78 |
$49.78 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$169.75 |
$169.75 |
$169.75 |
$126.79
|
|
Vanomycin dna amp probe
|
$78.40 |
$78.40 |
$78.40 |
$87.20
|
|
Varicella zoster antibody igg
|
$87.85 |
$87.85 |
$87.85 |
$82.55
|
|
Vasc emb/occ w/prs cath
|
$14,458.50 |
$14,458.50 |
$14,458.50 |
$21,249.26
|
|
Vasopressin 20 unit/ml intravenous solution
|
$127.47 |
$309.00 |
$309.00 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$21,970.87 |
$21,970.87 |
$21,970.87 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$4,089.40 |
$4,089.40 |
$6,176.73 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$945.35 |
$945.35 |
$945.35 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$945.35 |
$945.35 |
$3,751.14 |
$704.79
|
|
Vein x-ray eye socket
|
$6,030.10 |
$6,030.10 |
$6,030.10 |
$1,128.41
|
|
Vein x-ray kidney
|
$3,288.25 |
$3,288.25 |
$3,288.25 |
$2,716.20
|
|
Vein x-ray liver
|
$3,148.25 |
$3,148.25 |
$3,148.25 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$2,454.89 |
$3,288.25 |
$11,780.00 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$2,454.89 |
$3,116.75 |
$3,116.75 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$1,067.50 |
$1,067.50 |
$1,286.20 |
$2,489.25
|
|
Vein x-ray skull
|
$3,573.15 |
$3,573.15 |
$3,573.15 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$6,889.57 |
$6,889.57 |
$6,889.57 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$7,317.03 |
$7,317.03 |
$7,317.03 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$62.30 |
$62.30 |
$62.30 |
$188.65
|
|
Venogram ext bil s&i
|
$1,512.70 |
$1,512.70 |
$1,512.70 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$957.60 |
$957.60 |
$957.60 |
$1,326.00
|
|
Venous mech thrombectomy
|
$4,499.95 |
$4,499.95 |
$4,499.95 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$2,070.25 |
$2,070.25 |
$7,508.26 |
$5,352.00
|
|
Venous sampling s&i
|
$5,580.40 |
$5,580.40 |
$6,560.02 |
$4,416.78
|
|
Venous thrombosis imaging
|
$697.20 |
$697.20 |
$7,751.38 |
$636.97
|
|
Ven thrombosis images bilat
|
$1,361.85 |
$1,361.85 |
$4,090.72 |
$779.56
|
|
Ventilator each subsequent day
|
$1,529.85 |
$1,670.63 |
$3,975.00 |
$1,305.92
|
|
Ventilator initial day
|
$1,962.17 |
$2,172.45 |
$4,604.00 |
$1,540.80
|
|
Version cephalic external
|
$1,331.75 |
$1,331.75 |
$1,331.75 |
$2,598.57
|
|
Vest large holster
|
$14,412.30 |
$14,412.30 |
$14,412.30 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$254.89 |
$254.89 |
$254.89 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$210.58 |
$210.58 |
$229.62 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$254.66 |
$254.66 |
$254.66 |
$226.75
|
|
Virus isolation addl studies ea
|
$1,052.78 |
$1,052.78 |
$1,218.00 |
$90.35
|
|
Visc & infraren abd 1 prosth
|
$10,008.95 |
$10,008.95 |
$10,008.95 |
$11,467.68
|
|
Visc & infraren abd 2 prosth
|
$11,094.30 |
$11,094.30 |
$11,094.30 |
$14,123.24
|
|
Vital capacity test
|
$156.45 |
$331.26 |
$503.84 |
$173.33
|
|
Vitamin b-12
|
$71.40 |
$71.40 |
$71.40 |
$94.90
|
|
Vitamin D Test
|
$128.80 |
$128.80 |
$128.80 |
$132.00
|
|
Vkorc1 gene
|
$275.10 |
$275.10 |
$275.10 |
$176.80
|
|
Vngrph chd anom/persist svc
|
$1,492.75 |
$1,492.75 |
$1,492.75 |
$294.13
|
|
Vngrph chd azygs/hemiazygs
|
$2,292.15 |
$2,292.15 |
$2,292.15 |
$205.60
|
|
Vngrph chd coronary sinus
|
$2,292.15 |
$2,292.15 |
$2,292.15 |
$201.50
|
|
Vngrph chd vnvn cltrl at/abv
|
$2,292.15 |
$2,292.15 |
$2,292.15 |
$384.00
|
|
Vngrph chd vnvn cltrl below
|
$1,492.75 |
$1,492.75 |
$1,492.75 |
$388.80
|
|
Voiding pressure study/intra-abd 51797
|
$284.55 |
$284.55 |
$284.55 |
$463.40
|
|
Volume measurement urine timed
|
$22.40 |
$22.40 |
$125.00 |
$21.45
|
|
Vonvendi inj 1 iu vwf:rco
|
$6,312.65 |
$6,312.65 |
$6,312.65 |
$4.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$198.99 |
$198.99 |
$198.99 |
$215.60
|
|
Vulvectomy simple partial
|
$2,561.30 |
$2,561.30 |
$2,561.30 |
$3,762.53
|
|
Warde 1003990 aldosterone
|
$147.35 |
$147.35 |
$147.35 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$46.90 |
$46.90 |
$2,733.85 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$25.20 |
$25.20 |
$651.03 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$87.15 |
$87.15 |
$414.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$40.95 |
$40.95 |
$1,089.57 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$22.40 |
$22.40 |
$22.40 |
$64.28
|