|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,703.57 |
$1,703.58 |
$1,703.58 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$327.41 |
$327.41 |
$327.41 |
$119.17
|
|
Vaccine rabies im
|
$2,251.07 |
$2,251.07 |
$2,251.07 |
$945.46
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$2,043.51 |
$2,043.51 |
$2,043.51 |
$624.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$3,686.45 |
$3,686.45 |
$3,686.45 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$321.30 |
$321.30 |
$321.30 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$310.84 |
$310.84 |
$310.84 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$1,083.24 |
$1,083.24 |
$1,083.24 |
$447.80
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,683.99 |
$1,683.99 |
$1,683.99 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$14,827.28 |
$14,827.28 |
$14,827.28 |
$14,893.34
|
|
Vaginal bx
|
$4,206.30 |
$4,206.30 |
$4,206.30 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$4,096.68 |
$4,096.68 |
$4,096.68 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$770.28 |
$770.28 |
$770.28 |
$115.00
|
|
Valvuloplasty aortic
|
$11,714.64 |
$11,714.64 |
$11,714.64 |
$7,324.85
|
|
Vancomycin 1,000 mg intravenous injection
|
$259.95 |
$1,593.24 |
$1,593.24 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$79.03 |
$79.03 |
$178.88 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$647.64 |
$647.64 |
$647.64 |
$126.79
|
|
Vasc emb/occ w/prs cath
|
$24,208.80 |
$24,208.80 |
$24,208.80 |
$21,249.26
|
|
Vasopressin 20 unit/ml intravenous solution
|
$147.84 |
$147.84 |
$306.44 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$52,218.60 |
$52,218.60 |
$52,218.60 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$1,641.36 |
$1,641.36 |
$1,641.36 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$2,612.82 |
$2,612.82 |
$2,612.82 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$1,094.10 |
$1,094.10 |
$1,094.10 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$1,094.10 |
$1,094.10 |
$1,094.10 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$547.26 |
$547.26 |
$547.26 |
$704.79
|
|
Vein x-ray kidney
|
$5,254.20 |
$5,254.20 |
$5,254.20 |
$2,716.20
|
|
Vein x-ray liver
|
$2,917.74 |
$6,538.14 |
$6,538.14 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$9,080.40 |
$9,080.40 |
$9,080.40 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$6,538.14 |
$6,538.14 |
$6,538.14 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$2,833.32 |
$2,917.74 |
$2,917.74 |
$2,489.25
|
|
Vein x-ray skull
|
$3,894.66 |
$3,894.66 |
$3,894.66 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$4,522.14 |
$4,522.14 |
$4,522.14 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$587.16 |
$587.16 |
$587.16 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$117.60 |
$117.60 |
$117.60 |
$82.11
|
|
Venogram ext bil s&i
|
$2,512.86 |
$2,512.86 |
$2,512.86 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,019.36 |
$2,019.36 |
$2,019.36 |
$1,326.00
|
|
Venous mech thrombectomy
|
$9,554.16 |
$9,554.16 |
$9,554.16 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$6,526.38 |
$6,526.38 |
$6,526.38 |
$5,352.00
|
|
Venous sampling s&i
|
$6,538.14 |
$6,538.14 |
$6,538.14 |
$4,416.78
|
|
Ventilator each subsequent day
|
$3,837.12 |
$3,837.12 |
$3,837.12 |
$1,305.92
|
|
Ventilator initial day
|
$4,016.88 |
$4,016.88 |
$4,016.88 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,094.10 |
$1,094.10 |
$1,094.10 |
$1,081.00
|
|
Version cephalic external
|
$4,587.66 |
$4,587.66 |
$4,587.66 |
$2,598.57
|
|
Vest large holster
|
$1,390.37 |
$1,390.37 |
$1,390.37 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$465.99 |
$465.99 |
$465.99 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$101.01 |
$101.01 |
$101.01 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$249.67 |
$249.67 |
$249.67 |
$226.75
|
|
Visit established high 40-54 minutes/level 5
|
$1,011.36 |
$1,011.36 |
$1,011.36 |
$287.73
|
|
Visual audiometry (vra)
|
$191.10 |
$191.10 |
$191.10 |
$202.50
|
|
Vital capacity test
|
$600.18 |
$600.18 |
$600.18 |
$173.33
|
|
Vitamin b-12
|
$205.38 |
$205.38 |
$205.38 |
$94.90
|
|
Vitamin D Test
|
$173.04 |
$173.04 |
$173.04 |
$132.00
|
|
Volume deplete of harvest
|
$2,820.72 |
$2,820.72 |
$2,820.72 |
$1,443.33
|
|
Volume measurement urine timed
|
$53.34 |
$53.34 |
$53.34 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$293.32 |
$293.32 |
$440.06 |
$215.60
|
|
Warde apolipoprotein b
|
$29.82 |
$29.82 |
$29.82 |
$64.28
|
|
Warde hepatitis a antibody
|
$892.50 |
$892.50 |
$892.50 |
$83.70
|
|
Warde immunofixation electrophoresis urine
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$155.20
|
|
Wbc automated
|
$149.10 |
$149.10 |
$149.10 |
$32.80
|
|
Wedge biopsy of liver 47100
|
$1,872.78 |
$1,872.78 |
$1,872.78 |
$2,076.80
|
|
Wedging of cast
|
$338.10 |
$338.10 |
$338.10 |
$309.54
|
|
Whole blood for transfusion
|
$252.00 |
$252.00 |
$252.00 |
$479.50
|
|
Wnd prep f/n/hf/g addl cm
|
$420.84 |
$420.84 |
$420.84 |
$865.80
|
|
Wound closure by adhesive
|
$117.60 |
$117.60 |
$117.60 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$443.10 |
$478.70 |
$478.70 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$443.10 |
$503.58 |
$503.58 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$284.34 |
$284.34 |
$284.34 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$514.50 |
$514.50 |
$514.50 |
$436.15
|
|
Wrist X-ray
|
$605.22 |
$605.22 |
$605.22 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,501.10 |
$2,501.10 |
$2,501.10 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,431.38 |
$2,431.38 |
$2,431.38 |
$2,623.24
|
|
X-ray abdomen 1 view
|
$338.52 |
$338.52 |
$338.52 |
$255.00
|
|
X-ray abdomen 2 views
|
$478.80 |
$478.80 |
$478.80 |
$312.36
|
|
X-ray abdomen >=3 views
|
$717.78 |
$717.78 |
$717.78 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$717.78 |
$717.78 |
$717.78 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$655.62 |
$655.62 |
$655.62 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$340.20 |
$340.20 |
$340.20 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$2,117.64 |
$2,117.64 |
$2,117.64 |
$768.30
|
|
X-ray bone age studies
|
$505.68 |
$505.68 |
$505.68 |
$246.75
|
|
X-ray bone length studies
|
$750.54 |
$750.54 |
$750.54 |
$287.25
|
|
X-ray bone survey complete
|
$1,109.64 |
$1,109.64 |
$1,109.64 |
$666.60
|
|
X-ray bone survey infant
|
$1,057.56 |
$1,057.56 |
$1,057.56 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$850.92 |
$850.92 |
$850.92 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$1,101.24 |
$1,101.24 |
$1,101.24 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$1,101.24 |
$1,101.24 |
$1,101.24 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$495.18 |
$495.18 |
$495.18 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,099.56 |
$1,099.56 |
$1,099.56 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,819.86 |
$1,819.86 |
$1,819.86 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$284.34 |
$284.34 |
$284.34 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$537.60 |
$537.60 |
$537.60 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$966.42 |
$966.42 |
$966.42 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$969.78 |
$969.78 |
$969.78 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$1,292.76 |
$1,292.76 |
$1,292.76 |
$575.76
|
|
X-ray exam of arm infant
|
$871.92 |
$871.92 |
$871.92 |
$248.82
|
|
X-ray exam of eye sockets
|
$852.18 |
$852.18 |
$852.18 |
$349.05
|
|
X-ray exam of femur 1
|
$442.26 |
$442.26 |
$442.26 |
$232.36
|
|
X-ray exam of jaw joint
|
$219.24 |
$284.76 |
$284.76 |
$192.39
|
|
X-ray exam of sinuses
|
$728.28 |
$728.28 |
$728.28 |
$211.00
|
|
X-ray exam si joints
|
$715.68 |
$715.68 |
$715.68 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$1,170.54 |
$1,170.54 |
$1,170.54 |
$395.59
|