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Cost Estimator
St. Vincent General Hospital
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Medication
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Select a service.
You may need to get a specific service code from your provider.
Code
Description
64A
RX ADM SARSCOV2 50MCG/0.25MLBST, BOOSTER DOSE
64A
RX ADM SARSCOV2 50MCG/0.25MLBST, BOOSTER DOSE
64A
RX ADM SARSCOV2 50MCG/0.25MLBST, BOOSTER DOSE
90384
RHOGAM ULTRA-FILTERED PLUS SYR 300 mcg, 1 each
90633
RX HEPATITIS A (HAVRIX) VACCINE 0.5 ML SYRINGE
90633
RX HEPATITIS A (VAQTA) VACCINE 0.5 ML SYRINGE
90686
RX INFLUENZA VIRUS VACCINE, 2023-2024, QUADRIVALENT (IIV4), SPLIT VIRUS, 0.5 ML DOSAGE, FOR IM USE
90700
RX DTAP DIPTH/TETANUS/PERTUSS (INFANRIX) 0.5 ML SYRINGE
90707
RX MEASLES MUMPS RUBELLA (M-M-R II) VACCINE W/DILUENT VIAL
90713
RX POLIO (IPOL) VACCINE 0.5 ML DOSE MULTI-DOSE VIAL
90715
TDAP
90715
TDAP
90716
RX VARICELLA (VARIVAX) VACCINE 0.5 ML VIAL
90744
RX HEPATITIS-B VACCINE (RECOMBIVAX) 10 MCG 0.5 ML PEDIATRIC SYRINGE
90746
RX HEPATITIS-B VACCINE (ENGERIX-B) 20 MCG 1 ML ADULT SYRINGE
A4216
RX DEXTROSE IN WATER 50% 50 ML SYRINGE
A6010
STIMULEN COLLAGEN BASED, POWDER, STERILE, PER GRAM
A6250
RX, TRIPLE ANTIBIOTIC, 28G, SINGLE USE, 1 UNIT
A9150
RX ACETAMINOPHEN ES (TYLENOL ES) 500 MG TABLET
A9150
RX ACETAMINOPHEN ES (TYLENOL ES) 500 MG TABLET
A9150
RX ASPIRIN EC (ASPIRIN) 81 MG TABLET
A9150
RX ASPIRIN EC (ASPIRIN) 81 MG TABLET, PER TABLET
A9150
RX IBUPROFEN (MOTRIN) 200 MG TABLET
A9150
RX IBUPROFEN (MOTRIN) 200 MG TABLET
A9150
RX MULTI-VITAMIN-MINERALS UNIT DOSED TABLET
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