|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$16.70 |
$24.51 |
$85.67 |
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$71.20 |
$71.20 |
$71.20 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$21.20 |
$27.36 |
$36.80 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$15.84 |
$19.61 |
$97.93 |
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$17.10 |
$17.10 |
$36.80 |
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$31.80 |
$41.61 |
$44.00 |
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$44.52 |
$46.64 |
$54.15 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$39.33 |
$39.33 |
$158.83 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$11.40 |
$11.40 |
$36.80 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$196.65 |
$367.76 |
$585.29 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$159.53 |
$159.53 |
$252.80 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$121.37 |
$121.37 |
$121.37 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$133.38 |
$304.41 |
$752.19 |
|
|
Vaccine mmr live subcutaneous
|
$108.87 |
$222.36 |
$320.86 |
|
|
Vaccine mmrv live subcutaneous
|
$195.04 |
$320.00 |
$885.82 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$59.40 |
$132.74 |
$232.77 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$192.00 |
$258.21 |
$445.09 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$255.00 |
$470.44 |
$706.27 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$41.34 |
$44.92 |
$52.80 |
|
|
Vaccine rabies im
|
$695.08 |
$799.08 |
$1,185.17 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$290.00 |
$305.10 |
$542.00 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$208.41 |
$899.36 |
$1,387.45 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$235.12 |
$235.12 |
$824.00 |
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$456.80 |
$456.80 |
$456.80 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$129.85 |
$170.43 |
$180.80 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$101.60 |
$117.42 |
$276.39 |
|
|
Vaccine tdap >=7 years im
|
$34.76 |
$133.93 |
$220.77 |
|
|
Vaccine td preservative free >= 7 years im
|
$36.57 |
$91.34 |
$183.70 |
|
|
Vaccine typhoid vicps im
|
$113.95 |
$125.40 |
$209.60 |
|
|
Vaccine varicella live subcutaneous
|
$200.64 |
$314.05 |
$639.70 |
|
|
Vaccine yellow fever live subcutaneous
|
$184.80 |
$184.80 |
$478.80 |
|
|
Vacuum drain bottle/tube kit
|
$487.50 |
$487.50 |
$1,245.00 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,022.75 |
$3,022.75 |
$3,022.75 |
|
|
Vad univ batt charger hm 1440
|
$17,418.80 |
$17,418.80 |
$17,418.80 |
|
|
Vaginal bx
|
$777.24 |
$777.24 |
$1,000.00 |
|
|
Vaginal delivery after cesarean delivery 59612
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
|
|
Vaginal Delivery (full care)
|
$5,561.60 |
$5,561.60 |
$5,561.60 |
|
|
Vaginal hysterectomy
|
$2,939.20 |
$2,939.20 |
$2,939.20 |
|
|
Vagotomy & pylorus repair
|
$5,631.20 |
$5,631.20 |
$5,631.20 |
|
|
Vagotomy & pylorus repair 43640
|
$5,521.60 |
$5,521.60 |
$5,521.60 |
|
|
Valproic acid total therapeutic drug level
|
$51.87 |
$122.50 |
$245.81 |
|
|
Valrubicin injection
|
$1,908.36 |
$2,027.20 |
$2,550.44 |
|
|
Valvuloplasty aortic
|
$6,168.25 |
$6,585.48 |
$12,848.79 |
|
|
Valvuloplasty mitral
|
$9,916.83 |
$10,877.90 |
$22,207.32 |
|
|
Valvuloplasty pulmonary
|
$15,338.24 |
$32,118.00 |
$32,118.00 |
|
|
Valvuloplasty/tv without ring insert 33463
|
$18,506.40 |
$18,506.40 |
$18,506.40 |
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$18,991.20 |
$18,991.20 |
$18,991.20 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.79 |
$1.09 |
$38.60 |
|
|
Vancomycin 750 mg intravenous solution
|
$0.63 |
$0.79 |
$1.66 |
|
|
Vancomycin hcl injection
|
$11.09 |
$39.20 |
$1,889.77 |
|
|
Vancomycin peak therapeutic drug level
|
$56.43 |
$142.50 |
$266.48 |
|
|
Vantas implant
|
$5,225.80 |
$5,225.80 |
$5,225.80 |
|
|
Variable concentration mask
|
$1.06 |
$1.06 |
$1.06 |
|
|
Varicella zoster antibody igg
|
$14.30 |
$85.00 |
$269.87 |
|
|
Varicella-zoster immue globin im
|
$2,072.30 |
$2,072.30 |
$2,072.30 |
|
|
Vasc emb/occ w/prs cath
|
$20,240.00 |
$20,240.00 |
$26,695.00 |
|
|
Vasc graft into carpal bone
|
$8,170.40 |
$8,170.40 |
$8,170.40 |
|
|
Vasectomy
|
$411.28 |
$411.28 |
$1,625.60 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$17.27 |
$165.56 |
$2,433.67 |
|
|
Vbac delivery 59610
|
$5,845.60 |
$5,845.60 |
$5,845.60 |
|
|
Vbac/include postpartum care 59614
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
|
|
Vedolizumab 300 mg intravenous solution
|
$44.32 |
$81.50 |
$107.66 |
|
|
Veeg cont 2-12 hrs
|
$1,070.00 |
$1,500.00 |
$3,153.48 |
|
|
Veeg ea 12-26hr cont mntr
|
$1,883.09 |
$2,995.00 |
$4,224.00 |
|
|
Veeg intrmnt 2-12 hrs
|
$505.59 |
$1,330.00 |
$2,702.70 |
|
|
Veeg unmon 12-26 hrs
|
$1,033.50 |
$2,995.00 |
$4,505.16 |
|
|
Veeg unmon 2-12 hrs
|
$539.01 |
$1,180.00 |
$2,432.76 |
|
|
Vein bypass grft fem-popliteal 35583
|
$10,672.00 |
$10,672.00 |
$10,672.00 |
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$12,057.10 |
$12,057.10 |
$12,318.40 |
|
|
Vein x-ray adrenal gland
|
$1,674.80 |
$1,691.23 |
$3,635.28 |
|
|
Vein x-ray adrenal glands
|
$2,885.85 |
$3,935.00 |
$6,243.60 |
|
|
Vein x-ray eye socket
|
$662.40 |
$1,346.40 |
$1,346.40 |
|
|
Vein x-ray kidney
|
$1,671.45 |
$2,095.00 |
$5,209.75 |
|
|
Vein x-ray liver
|
$1,483.35 |
$2,095.00 |
$5,139.42 |
|
|
Vein x-ray liver w/hemodynam
|
$1,674.80 |
$2,365.00 |
$7,461.85 |
|
|
Vein x-ray liver w/hemodynam
|
$1,674.80 |
$2,515.00 |
$6,076.62 |
|
|
Vein x-ray liver without hemodyn
|
$1,575.00 |
$1,575.00 |
$3,963.30 |
|
|
Vein x-ray skull
|
$1,315.00 |
$2,301.09 |
$3,635.28 |
|
|
Vein x-ray skull epidural
|
$2,176.02 |
$2,176.02 |
$2,176.02 |
|
|
Vein x-ray spleen/liver
|
$1,570.00 |
$3,635.28 |
$4,866.40 |
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$590.09 |
$590.09 |
$590.09 |
|
|
Ven-artl shunt det mbubb njx
|
$630.00 |
$630.00 |
$834.40 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$59.28 |
$114.84 |
$3,216.40 |
|
|
Venipuncture <3 yrs other vein
|
$27.72 |
$70.00 |
$4,602.95 |
|
|
Venogram ext bil s&i
|
$838.99 |
$1,575.00 |
$4,786.00 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$633.05 |
$1,050.00 |
$4,786.00 |
|
|
Venous mech thrombectomy
|
$2,605.35 |
$4,870.00 |
$12,444.24 |
|
|
Venous m-thrombectomy add-on
|
$2,620.20 |
$4,870.00 |
$10,204.14 |
|
|
Venous sampling s&i
|
$2,043.15 |
$3,085.00 |
$6,243.60 |
|
|
Ventilator each subsequent day
|
$403.33 |
$849.75 |
$1,898.80 |
|
|
Ventilator Management (first day)
|
$403.33 |
$985.00 |
$4,594.20 |
|
|
Ventricular puncture prev burr hole without inj 61020
|
$605.00 |
$605.00 |
$605.00 |
|
|
Version cephalic external
|
$442.75 |
$770.00 |
$3,474.24 |
|
|
Very long chain fatty acids
|
$177.50 |
$177.50 |
$510.16 |
|
|
Vest large holster
|
$547.20 |
$547.20 |
$547.20 |
|
|
V-exc/lip/w/pri linear closure 40520
|
$334.43 |
$334.43 |
$1,527.20 |
|
|
Video Swallow Study (Modified Barium Swallow)
|
$166.42 |
$437.50 |
$1,079.10 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$8.58 |
$9.38 |
$474.85 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$12.68 |
$20.21 |
$163.60 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$24.34 |
$31.26 |
$244.18 |
|
