Megan M Agnew
Megan M Agnew
2022-11-09T16:46:27Z
2022-11-09T17:10:25Z
16.00
13140
24240
32767
32767
False
False
Updated 10/01/2022 |
|
|
<100% |
101-150% |
151-200% |
201-250% |
> 250% |
Description |
NDC number |
CPT CODE |
Gross Charge |
1 |
0.75 |
0.5 |
0.25 |
0 |
6 Degree |
Aetna Medicare |
Aetna First Health Network |
Aetna |
Amerigroup (Medicaid MCO) |
Amerivantage Medicare HMO (through Amerigroup) |
Blue Cross of Iowa PPO |
Blue Cross of Iowa HMO |
BCBS of Iowa Medicare (Wellmark Medicare Advantage) |
Brighton Amish Church |
Care For Yourself |
EBS |
EBS Network |
First Agency |
Health Professionals LTD Inc. (Lee County Jail) |
Henderson County |
Humana Commercial |
Humana Medicare |
Immergrun |
Iowa Medicaid |
Iowa Total Care (Medicaid MCO) |
Midands Choice |
Multi Plan (Repricer PPO) |
Plain Church |
United Healthcare Commercial PPO |
United Healthcare Medicare HMO |
VA CCN |
Deidentified Minimum Negotiated Charge |
Deidentified Maximum Negotiated Charge |
NEW PATIENT-LIMITED EXAM |
|
99202 |
172 |
0 |
43 |
86 |
129 |
172 |
137.6 |
68.66 |
73.91 |
73.91 |
60.86 |
68.66 |
101 |
101 |
69.689899999999994 |
111.8 |
68.66 |
61.793999999999997 |
101 |
154.80000000000001 |
163.4 |
163.4 |
82.32 |
68.66 |
96.123999999999995 |
60.86 |
62.077199999999998 |
108.87 |
154.80000000000001 |
94.600000000000009 |
94.600000000000009 |
68.66 |
68.66 |
60.86 |
163.4 |
NEW PATIENT-INTERMEDIATE EXAM |
|
99203 |
206 |
0 |
51.5 |
103 |
154.5 |
206 |
164.8 |
105.58 |
106.88 |
106.88 |
58.03 |
105.58 |
156 |
156 |
107.16369999999999 |
133.9 |
105.58 |
95.022000000000006 |
154 |
185.4 |
195.7 |
195.7 |
127.01 |
105.58 |
147.81199999999998 |
58.03 |
59.190600000000003 |
167.36 |
185.4 |
113.30000000000001 |
113.30000000000001 |
105.58 |
105.58 |
58.03 |
195.7 |
NEW PATIENT-COMPREHENSIVE |
|
99204 |
258 |
0 |
64.5 |
129 |
193.5 |
258 |
206.4 |
158.16 |
163.78 |
163.78 |
124.02 |
158.16 |
232 |
232 |
160.53239999999997 |
167.70000000000002 |
158.16 |
142.34399999999999 |
231 |
232.20000000000002 |
245.1 |
245.1 |
190.43 |
158.16 |
221.42399999999998 |
124.02 |
126.5004 |
249.27 |
232.20000000000002 |
141.9 |
141.9 |
158.16 |
158.16 |
124.02 |
249.27 |
NEW PATIENT-COMPLETE |
|
99205 |
340 |
0 |
85 |
170 |
255 |
340 |
272 |
209.32 |
206.04 |
206.04 |
120.31 |
209.32 |
306 |
306 |
212.45979999999997 |
221 |
209.32 |
188.38800000000001 |
307 |
306 |
323 |
323 |
251.57 |
209.32 |
293.04799999999994 |
120.31 |
122.7162 |
329.65 |
306 |
187.00000000000003 |
187.00000000000003 |
209.32 |
209.32 |
120.31 |
329.65 |
CONTINUING PATIENT-BRIEF |
|
99211 |
132 |
0 |
33 |
66 |
99 |
132 |
105.60000000000001 |
21.76 |
19.57 |
19.57 |
19.05 |
21.76 |
32 |
32 |
22.086400000000001 |
85.8 |
21.76 |
19.584000000000003 |
31 |
118.8 |
125.39999999999999 |
125.39999999999999 |
25.56 |
21.76 |
30.463999999999999 |
19.05 |
19.431000000000001 |
34.590000000000003 |
118.8 |
72.600000000000009 |
72.600000000000009 |
21.76 |
21.76 |
19.05 |
125.39999999999999 |
CONTINUING PATIENT-LIMITED |
|
99212 |
158 |
0 |
39.5 |
79 |
118.5 |
158 |
126.4 |
53.19 |
43.05 |
43.05 |
18.329999999999998 |
53.19 |
78 |
78 |
53.987849999999995 |
102.7 |
53.19 |
47.871000000000002 |
76 |
142.20000000000002 |
150.1 |
150.1 |
63.62 |
53.19 |
74.465999999999994 |
18.329999999999998 |
18.6966 |
84.45 |
142.20000000000002 |
86.9 |
86.9 |
53.19 |
53.19 |
18.329999999999998 |
150.1 |
CONTINUING PATIENT-INTERMEDIATE |
|
99213 |
190 |
0 |
47.5 |
95 |
142.5 |
190 |
152 |
86.01 |
72.180000000000007 |
72.180000000000007 |
45.51 |
86.01 |
126 |
126 |
87.300150000000002 |
123.5 |
86.01 |
77.409000000000006 |
0 |
171 |
180.5 |
180.5 |
103.68 |
86.01 |
120.414 |
45.51 |
46.420200000000001 |
135.31 |
171 |
104.50000000000001 |
104.50000000000001 |
86.01 |
86.01 |
0 |
180.5 |
CONTINUING PATIENT-COMPREHENSIVE |
|
99214 |
221 |
0 |
55.25 |
110.5 |
165.75 |
221 |
176.8 |
121.88 |
107.28 |
107.28 |
49.07 |
121.88 |
177 |
177 |
123.70819999999998 |
143.65 |
121.88 |
109.69199999999999 |
173 |
198.9 |
209.95 |
209.95 |
147.44 |
121.88 |
170.63199999999998 |
49.07 |
50.051400000000001 |
190.76 |
198.9 |
121.55000000000001 |
121.55000000000001 |
121.88 |
121.88 |
49.07 |
209.95 |
CONTINUING PATIENT-COMPLETE |
|
99215 |
268 |
0 |
67 |
134 |
201 |
268 |
214.4 |
171.55 |
144.76 |
144.76 |
105.22 |
171.55 |
250 |
250 |
174.12324999999998 |
174.20000000000002 |
171.55 |
154.39500000000001 |
N/A |
241.20000000000002 |
254.6 |
254.6 |
206.05 |
171.55 |
240.17 |
105.22 |
107.3244 |
269.11 |
241.20000000000002 |
147.4 |
147.4 |
171.55 |
171.55 |
105.22 |
269.11 |
Brief Communication tech based |
|
G2012 |
25 |
0 |
6.25 |
12.5 |
18.75 |
25 |
20 |
13.65 |
13.89 |
13.89 |
N/A |
13.65 |
24 |
24 |
13.854749999999999 |
16.25 |
13.65 |
12.285 |
N/A |
22.5 |
23.75 |
23.75 |
13.77 |
13.65 |
19.11 |
N/A |
N/A |
21.81 |
22.5 |
13.750000000000002 |
13.750000000000002 |
13.65 |
13.65 |
12.285 |
24 |
Telephone E/M 5 - 10 minutes |
|
99441 |
60 |
0 |
15 |
30 |
45 |
60 |
48 |
52.89 |
14.26 |
14.26 |
N/A |
52.89 |
92 |
92 |
53.683349999999997 |
39 |
52.89 |
47.600999999999999 |
N/A |
54 |
57 |
57 |
63.62 |
52.89 |
74.045999999999992 |
N/A |
N/A |
83.42 |
54 |
33 |
33 |
52.89 |
52.89 |
14.26 |
92 |
Telephone E/M 11 -20 minutes |
|
99442 |
96 |
0 |
24 |
48 |
72 |
96 |
76.800000000000011 |
85.86 |
27.32 |
27.32 |
N/A |
85.86 |
149 |
149 |
87.147899999999993 |
62.400000000000006 |
85.86 |
77.274000000000001 |
N/A |
86.4 |
91.199999999999989 |
91.199999999999989 |
103.86 |
85.86 |
120.20399999999999 |
N/A |
N/A |
134.81 |
86.4 |
52.800000000000004 |
52.800000000000004 |
85.86 |
85.86 |
27.32 |
149 |
Telephone E/M 21 - 30 minutes |
|
99443 |
133 |
0 |
33.25 |
66.5 |
99.75 |
133 |
106.4 |
121.88 |
40.57 |
40.57 |
N/A |
121.88 |
211 |
211 |
123.70819999999998 |
86.45 |
121.88 |
109.69199999999999 |
N/A |
119.7 |
126.35 |
126.35 |
147.62 |
121.88 |
170.63199999999998 |
N/A |
N/A |
190.76 |
119.7 |
73.150000000000006 |
73.150000000000006 |
121.88 |
121.88 |
40.57 |
211 |
Preventive visit, new, 12-17 |
|
99384 |
235 |
0 |
58.75 |
117.5 |
176.25 |
235 |
188 |
141 |
136.15 |
136.15 |
110.79 |
N/A |
212 |
212 |
N/A |
152.75 |
N/A |
N/A |
N/A |
211.5 |
223.25 |
223.25 |
153.43 |
127.73 |
129.25 |
110.79 |
113.00580000000001 |
171.3 |
211.5 |
129.25 |
129.25 |
N/A |
N/A |
110.79 |
223.25 |
Preventive visit, new, 18-39 |
|
99385 |
227 |
0 |
56.75 |
113.5 |
170.25 |
227 |
181.60000000000002 |
136.19999999999999 |
132.09 |
132.09 |
106.35 |
N/A |
206 |
206 |
N/A |
147.55000000000001 |
N/A |
N/A |
N/A |
204.3 |
215.64999999999998 |
215.64999999999998 |
149.15 |
123.87 |
124.85000000000001 |
106.35 |
108.47699999999999 |
166.11 |
204.3 |
124.85000000000001 |
124.85000000000001 |
N/A |
N/A |
106.35 |
215.64999999999998 |
Preventive visit, new, 40-64 |
|
99386 |
263 |
0 |
65.75 |
131.5 |
197.25 |
263 |
210.4 |
157.79999999999998 |
153.1 |
153.1 |
129.36000000000001 |
N/A |
238 |
238 |
N/A |
170.95000000000002 |
N/A |
N/A |
N/A |
236.70000000000002 |
249.85 |
249.85 |
172.72 |
143.52000000000001 |
144.65 |
129.36000000000001 |
131.94720000000001 |
192.06 |
236.70000000000002 |
144.65 |
144.65 |
N/A |
N/A |
129.36000000000001 |
249.85 |
Preventive visit, est, 12-17 |
|
99394 |
201 |
0 |
50.25 |
100.5 |
150.75 |
201 |
160.80000000000001 |
120.6 |
116.06 |
116.06 |
93.87 |
N/A |
180 |
180 |
N/A |
130.65 |
N/A |
N/A |
N/A |
180.9 |
190.95 |
190.95 |
131.78 |
108.93 |
110.55000000000001 |
93.87 |
95.747400000000013 |
145.35 |
180.9 |
110.55000000000001 |
110.55000000000001 |
N/A |
N/A |
93.87 |
190.95 |
Preventive visit, est, 18-39 |
|
99395 |
205 |
0 |
51.25 |
102.5 |
153.75 |
205 |
164 |
123 |
118.83 |
118.83 |
92.43 |
N/A |
184 |
184 |
N/A |
133.25 |
N/A |
N/A |
N/A |
184.5 |
194.75 |
194.75 |
134.63 |
111.29 |
112.75000000000001 |
92.43 |
94.278600000000012 |
148.38 |
184.5 |
112.75000000000001 |
112.75000000000001 |
N/A |
N/A |
92.43 |
194.75 |
Preventive visit, est, 40-64 |
|
99396 |
218 |
0 |
54.5 |
109 |
163.5 |
218 |
174.4 |
130.79999999999998 |
126.92 |
126.92 |
103.02 |
N/A |
198 |
198 |
N/A |
141.70000000000002 |
N/A |
N/A |
N/A |
196.20000000000002 |
207.1 |
207.1 |
143.36000000000001 |
119.1 |
119.9 |
103.02 |
105.0804 |
159.63 |
196.20000000000002 |
119.9 |
119.9 |
N/A |
N/A |
103.02 |
207.1 |
IUD INSERTION |
|
58300 |
225 |
0 |
56.25 |
112.5 |
168.75 |
225 |
180 |
135 |
110.1 |
110.1 |
76.12 |
N/A |
251 |
213 |
N/A |
146.25 |
N/A |
N/A |
N/A |
202.5 |
213.75 |
213.75 |
137.61000000000001 |
106.9 |
123.75000000000001 |
76.12 |
77.642400000000009 |
202.88 |
202.5 |
123.75000000000001 |
123.75000000000001 |
N/A |
N/A |
76.12 |
251 |
IUD REMOVAL |
|
58301 |
232 |
0 |
58 |
116 |
174 |
232 |
185.60000000000002 |
104.96 |
147.07 |
147.07 |
81.459999999999994 |
104.96 |
249 |
211 |
106.53439999999998 |
150.80000000000001 |
104.96 |
94.463999999999999 |
N/A |
208.8 |
220.39999999999998 |
220.39999999999998 |
142.38999999999999 |
104.96 |
146.94399999999999 |
81.459999999999994 |
83.089199999999991 |
207.91 |
208.8 |
127.60000000000001 |
127.60000000000001 |
104.96 |
104.96 |
81.459999999999994 |
249 |
Nexplanon insertion |
|
11981 |
334 |
0 |
83.5 |
167 |
250.5 |
334 |
267.2 |
94.48 |
215.93 |
215.93 |
113.09 |
94.48 |
226 |
192 |
95.897199999999998 |
217.1 |
94.48 |
85.032000000000011 |
227 |
300.60000000000002 |
317.3 |
317.3 |
111.19 |
94.48 |
132.27199999999999 |
113.09 |
115.35180000000001 |
218.76 |
300.60000000000002 |
183.70000000000002 |
183.70000000000002 |
94.48 |
94.48 |
85.032000000000011 |
317.3 |
Nexplanon removal |
|
11982 |
355 |
0 |
88.75 |
177.5 |
266.25 |
355 |
284 |
105.92 |
245.01 |
245.01 |
77.42 |
105.92 |
253 |
215 |
107.50879999999999 |
230.75 |
105.92 |
95.328000000000003 |
257 |
319.5 |
337.25 |
337.25 |
125.36 |
105.92 |
148.28799999999998 |
77.42 |
78.968400000000003 |
244.9 |
319.5 |
195.25000000000003 |
195.25000000000003 |
105.92 |
105.92 |
77.42 |
337.25 |
Nexplanon removal with reinsertion |
|
11983 |
546 |
0 |
136.5 |
273 |
409.5 |
546 |
436.8 |
133.41 |
345.94 |
345.94 |
210.49 |
133.41 |
317 |
269 |
135.41114999999999 |
354.90000000000003 |
133.41 |
120.069 |
318 |
491.40000000000003 |
518.69999999999993 |
518.69999999999993 |
155.99 |
133.41 |
186.77399999999997 |
210.49 |
214.69980000000001 |
307.39999999999998 |
491.40000000000003 |
300.3 |
300.3 |
133.41 |
133.41 |
120.069 |
518.69999999999993 |
INJECTION (sc/im) 90 |
|
96372 |
59 |
0 |
14.75 |
29.5 |
44.25 |
59 |
47.2 |
13.56 |
34.15 |
34.15 |
3.97 |
13.56 |
29 |
25 |
13.763399999999999 |
38.35 |
13.56 |
12.204000000000001 |
29 |
53.1 |
56.05 |
56.05 |
16.03 |
13.56 |
18.983999999999998 |
3.97 |
4.0494000000000003 |
29.76 |
53.1 |
32.450000000000003 |
32.450000000000003 |
13.56 |
13.56 |
3.97 |
56.05 |
Condyloma Treatment(Destruction, vulva lesion(s)) |
|
56501 |
303 |
0 |
75.75 |
151.5 |
227.25 |
303 |
242.4 |
184.07 |
202.56 |
202.56 |
87.41 |
184.07 |
437 |
371 |
186.83104999999998 |
196.95000000000002 |
184.07 |
165.66300000000001 |
N/A |
272.7 |
287.84999999999997 |
287.84999999999997 |
241.02 |
184.07 |
257.69799999999998 |
87.41 |
89.158199999999994 |
353.06 |
272.7 |
166.65 |
166.65 |
184.07 |
184.07 |
87.41 |
437 |
Condyloma Treatment(Destruction, penis lesion(s)) |
|
54050 |
305 |
0 |
76.25 |
152.5 |
228.75 |
305 |
244 |
133.66999999999999 |
204.09 |
204.09 |
N/A |
133.66999999999999 |
314 |
267 |
135.67504999999997 |
198.25 |
133.66999999999999 |
120.303 |
N/A |
274.5 |
289.75 |
289.75 |
145.44 |
133.66999999999999 |
187.13799999999998 |
N/A |
N/A |
280.85000000000002 |
274.5 |
167.75 |
167.75 |
133.66999999999999 |
133.66999999999999 |
120.303 |
314 |
Pregnancy Test-Urine |
|
81025 |
22 |
0 |
5.5 |
11 |
16.5 |
22 |
17.600000000000001 |
13.2 |
6.03 |
6.03 |
9.4499999999999993 |
N/A |
8.61 |
8.61 |
N/A |
14.3 |
N/A |
N/A |
N/A |
19.8 |
20.9 |
20.9 |
8.61 |
8.61 |
12.100000000000001 |
9.4499999999999993 |
9.6389999999999993 |
10.33 |
19.8 |
12.100000000000001 |
12.100000000000001 |
N/A |
N/A |
6.03 |
20.9 |
Urinalysis-dip stick |
|
81003 |
8 |
0 |
2 |
4 |
6 |
8 |
6.4 |
4.8 |
2.14 |
2.14 |
3.35 |
N/A |
2.25 |
2.25 |
N/A |
5.2 |
N/A |
N/A |
N/A |
7.2 |
7.6 |
7.6 |
2.25 |
2.25 |
4.4000000000000004 |
3.35 |
3.4170000000000003 |
2.7 |
7.2 |
4.4000000000000004 |
4.4000000000000004 |
N/A |
N/A |
2.14 |
7.6 |
Wet Mount |
|
87210 |
18 |
0 |
4.5 |
9 |
13.5 |
18 |
14.4 |
10.799999999999999 |
4.07 |
4.07 |
6.38 |
N/A |
5.82 |
5.82 |
N/A |
11.700000000000001 |
N/A |
N/A |
N/A |
16.2 |
17.099999999999998 |
17.099999999999998 |
5.82 |
5.82 |
9.9 |
6.38 |
6.5076000000000001 |
6.98 |
16.2 |
9.9 |
9.9 |
N/A |
N/A |
4.07 |
17.099999999999998 |
Liletta |
00023585801 |
J7397 |
950 |
0 |
237.5 |
475 |
712.5 |
950 |
760 |
570 |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
617.5 |
N/A |
N/A |
N/A |
855 |
902.5 |
902.5 |
N/A |
N/A |
522.5 |
N/A |
N/A |
N/A |
855 |
522.5 |
522.5 |
N/A |
N/A |
522.5 |
902.5 |
Kyleena |
50419042401 |
J7296 |
1100 |
0 |
275 |
550 |
825 |
1100 |
880 |
660 |
999.28 |
999.28 |
1012.07 |
N/A |
1112.19 |
1112.19 |
N/A |
715 |
N/A |
N/A |
N/A |
990 |
1045 |
1045 |
972.58 |
1019.27 |
605 |
1012.07 |
1032.3114 |
N/A |
990 |
605 |
605 |
N/A |
N/A |
605 |
1112.19 |
Paragard |
51285020401 |
J7300 |
950 |
0 |
237.5 |
475 |
712.5 |
950 |
760 |
570 |
937 |
937 |
895.82 |
N/A |
993.22 |
993.22 |
N/A |
617.5 |
N/A |
N/A |
N/A |
855 |
902.5 |
902.5 |
906.61 |
906.61 |
522.5 |
895.82 |
913.73640000000012 |
N/A |
855 |
522.5 |
522.5 |
N/A |
N/A |
522.5 |
993.22 |
Nexplanon |
00052433001 |
J7307 |
870 |
0 |
217.5 |
435 |
652.5 |
870 |
696 |
522 |
1030.6400000000001 |
1030.6400000000001 |
1043.83 |
N/A |
1092.48 |
1092.48 |
N/A |
565.5 |
N/A |
N/A |
N/A |
783 |
826.5 |
826.5 |
958.19 |
1006.1 |
478.50000000000006 |
1043.83 |
1064.7066 |
N/A |
783 |
478.50000000000006 |
478.50000000000006 |
N/A |
N/A |
478.50000000000006 |
1092.48 |
Aubra EQ |
50102022023 |
S4993 |
30 |
0 |
7.5 |
15 |
22.5 |
30 |
24 |
18 |
1.1200000000000001 |
1.1200000000000001 |
0.92 |
N/A |
0.87 |
0.87 |
N/A |
19.5 |
N/A |
N/A |
N/A |
27 |
28.5 |
28.5 |
N/A |
N/A |
16.5 |
0.92 |
0.93840000000000001 |
N/A |
27 |
16.5 |
16.5 |
N/A |
N/A |
0.87 |
28.5 |
Chateal EQ |
50102023023 |
S4993 |
30 |
0 |
7.5 |
15 |
22.5 |
30 |
24 |
18 |
1.1200000000000001 |
1.1200000000000001 |
0.92 |
N/A |
0.87 |
0.87 |
N/A |
19.5 |
N/A |
N/A |
N/A |
27 |
28.5 |
28.5 |
N/A |
N/A |
16.5 |
0.92 |
0.93840000000000001 |
N/A |
27 |
16.5 |
16.5 |
N/A |
N/A |
0.87 |
28.5 |
Lyleq |
50102020013 |
S4993 |
30 |
0 |
7.5 |
15 |
22.5 |
30 |
24 |
18 |
1.1200000000000001 |
1.1200000000000001 |
0.92 |
N/A |
0.87 |
0.87 |
N/A |
19.5 |
N/A |
N/A |
N/A |
27 |
28.5 |
28.5 |
N/A |
N/A |
16.5 |
0.92 |
0.93840000000000001 |
N/A |
27 |
16.5 |
16.5 |
N/A |
N/A |
0.87 |
28.5 |
Tri-VyLibra |
50102023311 |
S4993 |
30 |
0 |
7.5 |
15 |
22.5 |
30 |
24 |
18 |
1.1200000000000001 |
1.1200000000000001 |
0.92 |
N/A |
0.87 |
0.87 |
N/A |
19.5 |
N/A |
N/A |
N/A |
27 |
28.5 |
28.5 |
N/A |
N/A |
16.5 |
0.92 |
0.93840000000000001 |
N/A |
27 |
16.5 |
16.5 |
N/A |
N/A |
0.87 |
28.5 |
Seasonique |
51285008782 |
S4993 |
30 |
0 |
7.5 |
15 |
22.5 |
30 |
24 |
18 |
1.1200000000000001 |
1.1200000000000001 |
0.92 |
N/A |
0.87 |
0.87 |
N/A |
19.5 |
N/A |
N/A |
N/A |
27 |
28.5 |
28.5 |
N/A |
N/A |
16.5 |
0.92 |
0.93840000000000001 |
N/A |
27 |
16.5 |
16.5 |
N/A |
N/A |
0.87 |
28.5 |
Medroxyprogesterone acetate |
00009074630 |
J1050 |
150 |
0 |
37.5 |
75 |
112.5 |
150 |
120 |
90 |
0.56999999999999995 |
0.56999999999999995 |
0.55000000000000004 |
N/A |
0.14000000000000001 |
0.14000000000000001 |
N/A |
97.5 |
N/A |
N/A |
N/A |
135 |
142.5 |
142.5 |
0.56999999999999995 |
0.14000000000000001 |
82.5 |
0.55000000000000004 |
0.56100000000000005 |
0.69 |
135 |
82.5 |
82.5 |
N/A |
N/A |
0.14000000000000001 |
142.5 |
Nuva Ring |
00052027303 |
J7303 |
150 |
0 |
37.5 |
75 |
112.5 |
150 |
120 |
90 |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
97.5 |
N/A |
N/A |
N/A |
135 |
142.5 |
142.5 |
166.7 |
166.7 |
82.5 |
N/A |
N/A |
N/A |
135 |
82.5 |
82.5 |
N/A |
N/A |
82.5 |
166.7 |
Gardasil 9 |
|
90651 |
356 |
0 |
89 |
178 |
267 |
356 |
284.8 |
213.6 |
258.54000000000002 |
258.54000000000002 |
242.23 |
N/A |
268.82 |
268.82 |
N/A |
231.4 |
N/A |
N/A |
N/A |
320.40000000000003 |
338.2 |
338.2 |
311.64 |
272.64999999999998 |
195.8 |
242.23 |
247.0746 |
N/A |
320.40000000000003 |
195.8 |
195.8 |
N/A |
N/A |
195.8 |
338.2 |
Mirena |
J7298 |
1577 |
0 |
394.25 |
788.5 |
1182.75 |
1577 |
1261.6000000000001 |
946.19999999999993 |
999.28 |
999.28 |
1012.07 |
N/A |
1112.19 |
1112.19 |
N/A |
1025.05 |
N/A |
N/A |
N/A |
1419.3 |
1498.1499999999999 |
1498.1499999999999 |
977.35 |
1024.26 |
867.35 |
1012.07 |
1032.3114 |
N/A |
1419.3 |
867.35 |
867.35 |
N/A |
N/A |
867.35 |
1498.1499999999999 |
|
600
600
3
1
False
False