|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$1.07 |
$1.07 |
$1.07 |
$79.15
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$134.70 |
$134.70 |
$134.70 |
$155.16
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$8.85 |
$8.85 |
$8.85 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$24.40 |
$24.40 |
$24.40 |
$143.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$26.70 |
$26.70 |
$26.70 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$48.80 |
$48.80 |
$48.80 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$18.40 |
$18.40 |
$18.40 |
$33.60
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$89.18 |
$89.18 |
$89.18 |
$400.03
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$1.07 |
$1.07 |
$1.07 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$142.40 |
$142.40 |
$142.40 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$13.80 |
$13.80 |
$13.80 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$1.07 |
$1.07 |
$1.07 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$74.40 |
$74.40 |
$74.40 |
$251.64
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$567.20 |
$567.20 |
$567.20 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$653.20 |
$653.20 |
$653.20 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1.07 |
$1.07 |
$1.07 |
$90.70
|
|
Vaccine rabies im
|
$750.94 |
$750.94 |
$750.94 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$828.00 |
$828.00 |
$828.00 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$828.00 |
$828.00 |
$828.00 |
$997.44
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$1.07 |
$1.07 |
$1.07 |
$200.70
|
|
Vaccine tdap >=7 years im
|
$18.23 |
$18.23 |
$18.23 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$9.58 |
$9.58 |
$9.58 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$1.07 |
$1.07 |
$1.07 |
$365.17
|
|
Vacuum drain bottle/tube kit
|
$349.20 |
$349.20 |
$349.20 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,285.60 |
$3,285.60 |
$3,285.60 |
$2,002.00
|
|
Vad cable power module dc input
|
$638.00 |
$638.00 |
$638.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$13,299.60 |
$13,299.60 |
$13,299.60 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$1.96 |
$1.96 |
$1.96 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$59.60 |
$59.60 |
$59.60 |
$114.72
|
|
Valvuloplasty aortic
|
$10,473.20 |
$10,473.20 |
$10,473.20 |
$7,830.80
|
|
Valvuloplasty mitral
|
$16,235.60 |
$16,235.60 |
$16,235.60 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$16,235.60 |
$16,235.60 |
$16,235.60 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$1.07 |
$1.07 |
$1.07 |
$251.86
|
|
Vancomycin hcl injection
|
$53.16 |
$53.16 |
$53.16 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$59.60 |
$59.60 |
$59.60 |
$136.13
|
|
Varicella zoster antibody igg
|
$56.80 |
$56.80 |
$56.80 |
$86.80
|
|
Varus/valgus strap padded/li
|
$40.80 |
$40.80 |
$40.80 |
$115.53
|
|
Vasc emb/occ w/prs cath
|
$24,472.00 |
$24,472.00 |
$24,472.00 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$25.10 |
$25.10 |
$25.10 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,130.80 |
$1,130.80 |
$1,130.80 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$1,292.80 |
$1,292.80 |
$1,292.80 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$905.20 |
$905.20 |
$905.20 |
$826.15
|
|
Vein x-ray kidney
|
$7,136.00 |
$7,136.00 |
$7,136.00 |
$2,766.73
|
|
Vein x-ray liver
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$42.00 |
$42.00 |
$42.00 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$18.00 |
$18.00 |
$18.00 |
$67.00
|
|
Venogram ext bil s&i
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$1,366.20
|
|
Venous mech thrombectomy
|
$9,492.40 |
$9,492.40 |
$9,492.40 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$3,551.20 |
$3,551.20 |
$3,551.20 |
$5,094.75
|
|
Venous sampling s&i
|
$8,375.20 |
$8,375.20 |
$8,375.20 |
$4,193.20
|
|
Ventilator each subsequent day
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$1,204.00
|
|
Ventilator initial day
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$1,431.43
|
|
Version cephalic external
|
$3,561.20 |
$3,561.20 |
$3,561.20 |
$2,361.75
|
|
Very long chain fatty acids
|
$80.00 |
$80.00 |
$80.00 |
$139.88
|
|
Vest large holster
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$88.80 |
$88.80 |
$88.80 |
$77.50
|
|
Visc & infraren abd 1 prosth
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$1,994.40 |
$1,994.40 |
$1,994.40 |
$10,796.94
|
|
Visc & infraren abd 3 prosth
|
$2,090.00 |
$2,090.00 |
$2,090.00 |
$11,878.86
|
|
Visc & infraren abd 4+ prost
|
$2,184.80 |
$2,184.80 |
$2,184.80 |
$10,660.00
|
|
Vital capacity test
|
$293.20 |
$293.20 |
$293.20 |
$170.00
|
|
Vitamin b-12
|
$67.20 |
$67.20 |
$67.20 |
$100.00
|
|
Vitamin D Test
|
$130.40 |
$130.40 |
$130.40 |
$132.00
|
|
Volume measurement urine timed
|
$13.20 |
$13.20 |
$13.20 |
$21.45
|
|
Waist belt
|
$50.00 |
$50.00 |
$50.00 |
$92.40
|
|
Warde 1003990 aldosterone
|
$180.40 |
$180.40 |
$180.40 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$123.20 |
$123.20 |
$123.20 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$56.80 |
$56.80 |
$56.80 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$111.60 |
$111.60 |
$111.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$68.00 |
$68.00 |
$68.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$11.20 |
$11.20 |
$11.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$35.60 |
$35.60 |
$35.60 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$98.00 |
$98.00 |
$98.00 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$74.40 |
$74.40 |
$74.40 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$64.00 |
$64.00 |
$64.00 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$13.20 |
$13.20 |
$13.20 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$39.20 |
$39.20 |
$39.20 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$79.60 |
$79.60 |
$79.60 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$86.00 |
$86.00 |
$86.00 |
$218.40
|
|
Warde 3400852 arsenic
|
$84.00 |
$84.00 |
$84.00 |
$100.88
|
|
Warde 3708165 mercury urine
|
$71.60 |
$71.60 |
$71.60 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$10.80 |
$10.80 |
$10.80 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$35.60 |
$35.60 |
$35.60 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$30.40 |
$30.40 |
$30.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$170.40 |
$170.40 |
$170.40 |
$151.20
|
|
Warde aldolase
|
$43.20 |
$43.20 |
$43.20 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$74.40 |
$74.40 |
$74.40 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$288.80 |
$288.80 |
$288.80 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$724.40 |
$724.40 |
$724.40 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$102.00 |
$102.00 |
$102.00 |
$126.43
|
|
Warde anti-mullerian hormone
|
$61.60 |
$61.60 |
$61.60 |
$80.08
|
|
Warde apolipoprotein b
|
$75.60 |
$75.60 |
$75.60 |
$61.75
|
|
Warde bile acids
|
$75.60 |
$75.60 |
$75.60 |
$63.70
|