Skip to main content
Login
Cost Estimator
St. Vincent Family Health Center
|
Cash Pricing
|
Medication
|
Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
80305
LAB, LAKE CO HHS, DRUG SCREEN
90633
RX HEPATITIS A (HAVRIX) VACCINE 0.5 ML SYRINGE
90633
RX HEPATITIS A (VAQTA) VACCINE 0.5 ML SYRINGE
90662
2019 -2020 FLUZONE HIGH DOSE (IIV), SPLIT, IM
90662
RX FLUZONE QUAD 0.7ML, PER SYRINGE
90686
RX FLUZONE QUAD 0.5ML, SYRINGE
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
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
96401
IF ADMIN CHEMO AGENT, IM/ SUB Q, NON HORMONAL, ANTI NEOPLASTIC
J0171
EPINEPHrine 0.1 MG/ML SYRINGE 1 mg, 10 mL
J0171
RX EPINEPHRINE (ADRENALIN) 1 MG 1 ML AMPULE
J0171
RX EPINEPHRINE (ADRENALIN) 1:10000 1 MG 10 ML
J0561
RX PENICILLIN G (BICILLIN LA) 1200 MU PER ML SYRINGE
J0561
RX PENICILLIN G (BICILLIN LA) 600 MU PER ML SYRINGE
J0696
RX CEFTRIAXONE SOD. (ROCEPHIN) 1 GM VIAL
J0696
RX CEFTRIAXONE SOD. (ROCEPHIN) 2 GM VIAL
J0696
RX CEFTRIAXONE SOD. (ROCEPHIN) 250 MG VIAL
J0702
RX BETAMETHISONE (CELESTONE) 30 MG 5 ML -MDV
J0885
RX EPOETIN ALFA (PROCRIT) 20000 UNIT 1 ML -MDV
J0885
RX EPOETIN ALFA (PROCRIT) 40000 UNIT 1 ML VIAL
Page 1 of 4