|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$71.00 |
$71.00 |
$71.00 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$127.00 |
$127.00 |
$127.00 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$22.00 |
$22.00 |
$22.00 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$290.50 |
$290.50 |
$290.50 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$269.50 |
$269.50 |
$269.50 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$79.50 |
$79.50 |
$79.50 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$73.00 |
$73.00 |
$73.00 |
$109.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$16.00 |
$16.00 |
$16.00 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$19.50 |
$19.50 |
$19.50 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$66.00 |
$66.00 |
$66.00 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$9.50 |
$9.50 |
$9.50 |
$20.80
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$62.50 |
$62.50 |
$62.50 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$32.50 |
$32.50 |
$32.50 |
$76.50
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$10.00 |
$10.00 |
$10.00 |
$31.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$154.50 |
$154.50 |
$154.50 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$170.00 |
$170.00 |
$170.00 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$147.00 |
$147.00 |
$147.00 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$150.50 |
$150.50 |
$150.50 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$86.00 |
$86.00 |
$86.00 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$269.50 |
$269.50 |
$269.50 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$105.50 |
$105.50 |
$105.50 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$197.00 |
$197.00 |
$197.00 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$196.00 |
$196.00 |
$196.00 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$242.50 |
$242.50 |
$242.50 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$41.00 |
$41.00 |
$41.00 |
$90.70
|
|
Vaccine rabies im
|
$406.00 |
$406.00 |
$406.00 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$271.00 |
$271.00 |
$271.00 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,183.50 |
$1,183.50 |
$1,183.50 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,183.50 |
$1,183.50 |
$1,183.50 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$228.00 |
$228.00 |
$228.00 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$103.00 |
$103.00 |
$103.00 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$84.50 |
$84.50 |
$84.50 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$56.50 |
$56.50 |
$56.50 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$46.50 |
$46.50 |
$46.50 |
$112.10
|
|
Vaccine typhoid vicps im
|
$141.50 |
$141.50 |
$141.50 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$183.00 |
$183.00 |
$183.00 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$205.50 |
$205.50 |
$205.50 |
$418.46
|
|
Vaginal bx
|
$6,442.00 |
$6,442.00 |
$6,442.00 |
$455.94
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$20.15 |
$20.15 |
$20.15 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$114.72
|
|
Valrubicin injection
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$2,813.49
|
|
Valvuloplasty aortic
|
$6,513.50 |
$6,513.50 |
$6,513.50 |
$7,830.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$106.58 |
$106.58 |
$106.58 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$21.18 |
$21.18 |
$21.18 |
$90.33
|
|
Vancomycin hcl injection
|
$121.50 |
$121.50 |
$121.50 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$107.00 |
$107.00 |
$107.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$94.00 |
$94.00 |
$94.00 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$9,903.00 |
$9,903.00 |
$9,903.00 |
$21,009.00
|
|
Vasectomy
|
$5,791.50 |
$5,791.50 |
$5,791.50 |
$2,424.12
|
|
Vedolizumab 300 mg intravenous solution
|
$17,333.16 |
$17,333.16 |
$17,333.16 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,285.50 |
$1,285.50 |
$1,285.50 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$2,331.00 |
$2,331.00 |
$2,331.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$2,344.50 |
$2,344.50 |
$2,344.50 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$826.15
|
|
Vein x-ray kidney
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$2,766.73
|
|
Vein x-ray spleen/liver
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$37.00 |
$37.00 |
$37.00 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$11.00 |
$11.00 |
$11.00 |
$67.00
|
|
Venogram ext bil s&i
|
$2,840.50 |
$2,840.50 |
$2,840.50 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,469.50 |
$2,469.50 |
$2,469.50 |
$1,366.20
|
|
Venous mech thrombectomy
|
$21,031.00 |
$21,031.00 |
$21,031.00 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$5,094.75
|
|
Ventilator each subsequent day
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$1,204.00
|
|
Ventilator initial day
|
$2,457.50 |
$2,457.50 |
$2,457.50 |
$1,431.43
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,314.30
|
|
Version cephalic external
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$2,361.75
|
|
Verteporfin injection
|
$19.00 |
$19.00 |
$19.00 |
$3,077.48
|
|
Very long chain fatty acids
|
$137.50 |
$137.50 |
$137.50 |
$139.88
|
|
V-exc/lip/w/pri linear closure 40520
|
$14,666.00 |
$14,666.00 |
$14,666.00 |
$3,837.72
|
|
Vinblastine 1 mg/ml intravenous solution
|
$181.81 |
$181.81 |
$181.81 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$24.80 |
$24.80 |
$24.80 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$117.76 |
$117.76 |
$117.76 |
$223.55
|
|
Visc & infraren abd 1 prosth
|
$9,257.50 |
$9,257.50 |
$9,257.50 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$20,761.50 |
$20,761.50 |
$20,761.50 |
$10,796.94
|
|
Visit established high 40-54 minutes/level 5
|
$177.00 |
$177.00 |
$177.00 |
$227.50
|
|
Vital capacity test
|
$313.00 |
$313.00 |
$313.00 |
$170.00
|
|
Vitamin b-12
|
$99.50 |
$99.50 |
$99.50 |
$100.00
|
|
Vitamin D Test
|
$188.50 |
$188.50 |
$188.50 |
$132.00
|
|
Vit for macular hole
|
$9,128.00 |
$9,128.00 |
$9,128.00 |
$5,815.63
|
|
Vit for macular pucker
|
$6,475.50 |
$6,475.50 |
$6,475.50 |
$6,039.58
|
|
Voice amplifier
|
$153.50 |
$153.50 |
$153.50 |
$280.00
|
|
Voiding pressure study/intra-abd 51797
|
$268.50 |
$268.50 |
$268.50 |
$433.20
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$2.00 |
$2.00 |
$2.00 |
$165.81
|
|
Vulvectomy simple partial
|
$7,598.50 |
$7,598.50 |
$7,598.50 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$234.50 |
$234.50 |
$234.50 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$56.50 |
$56.50 |
$56.50 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$82.00 |
$82.00 |
$82.00 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$148.50 |
$148.50 |
$148.50 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$99.00 |
$99.00 |
$99.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$735.50 |
$735.50 |
$735.50 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$47.00 |
$47.00 |
$47.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$118.00 |
$118.00 |
$118.00 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$107.00 |
$107.00 |
$107.00 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$92.00 |
$92.00 |
$92.00 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$72.00 |
$72.00 |
$72.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$53.00 |
$53.00 |
$53.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$76.00 |
$76.00 |
$76.00 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$187.50 |
$187.50 |
$187.50 |
$218.40
|
|
Warde 3400852 arsenic
|
$99.00 |
$99.00 |
$99.00 |
$100.88
|
