|
Inj, exagamglogene autotem
|
$11,764,953.00 |
$11,764,953.00 |
$11,764,953.00 |
$3,218,160.00
|
|
Inj. fe derisomaltose 10 mg
|
$3,752.90 |
$3,752.90 |
$15,473.15 |
$3,221.52
|
|
Inj., fibryga, 1 mg
|
$3,872.40 |
$3,872.40 |
$3,872.40 |
$4.93
|
|
Inj fluphenazine hcl 1.25 mg
|
$370.47 |
$370.47 |
$370.47 |
$40.33
|
|
Inj for ext venography
|
$530.00 |
$540.00 |
$17,685.83 |
$628.80
|
|
Inj for mammo ductogram
|
$167.50 |
$167.50 |
$347.50 |
$397.80
|
|
Inj, fulvestrant (fresenius)
|
$3,882.55 |
$3,882.55 |
$3,882.55 |
$905.30
|
|
Inj., guselkumab, 1 mg
|
$20,910.14 |
$20,910.14 |
$80,557.05 |
$29,130.83
|
|
Inj. herceptin hylecta, 10mg
|
$190.91 |
$190.91 |
$190.91 |
$8,193.78
|
|
Inj herzuma 10 mg
|
$3,234.87 |
$3,234.87 |
$3,234.87 |
$7,775.46
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$555.00 |
$555.00 |
$3,875.20 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$3,314.50 |
$3,314.50 |
$3,314.50 |
$1,818.15
|
|
Inj hrt cath w/s&i sel left vent
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$745.00 |
$745.00 |
$1,657.60 |
$999.96
|
|
Inj human fibrinogen con nos
|
$5.07 |
$5.07 |
$5.07 |
$3.95
|
|
Inj hydroxocobalamin IV 25mg
|
$6,418.30 |
$6,418.30 |
$6,418.30 |
$2,452.32
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,936.20 |
$1,936.20 |
$1,936.20 |
$739.77
|
|
Inj. inebilizumab-cdon, 1 mg
|
$765.45 |
$765.45 |
$189,257.42 |
$70,014.65
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$780.00 |
$780.00 |
$7,857.09 |
$1,938.00
|
|
Inj intralesional <= 7 lsn(s)
|
$371.00 |
$371.00 |
$371.00 |
$235.13
|
|
Inj ivig privigen 500 mg
|
$134.15 |
$134.15 |
$134.15 |
$6,967.29
|
|
Inj labetalol hcl hikma, 5mg
|
$26.77 |
$26.77 |
$26.77 |
$41.79
|
|
Inj, lanreotide, (cipla) 1mg
|
$12,765.41 |
$12,765.41 |
$12,765.41 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$3.89 |
$3.89 |
$3.89 |
$1,174.88
|
|
Inj, lenacapavir, 1 mg
|
$81,706.80 |
$81,706.80 |
$81,706.80 |
$24,398.00
|
|
Inj levocarnitine per 1 gm
|
$101.67 |
$101.67 |
$101.67 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$72.80 |
$72.80 |
$72.80 |
$308.21
|
|
Inj, lidocaine w epinephrine
|
$53.04 |
$53.04 |
$239.05 |
$45.60
|
|
Inj, lovotibeglogene autotem
|
$16,577,889.00 |
$16,577,889.00 |
$16,577,889.00 |
$4,488,461.15
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$625.00 |
$625.00 |
$625.00 |
$794.70
|
|
Inj melpha hydroch nos 50 mg
|
$2,737.17 |
$2,737.17 |
$2,737.17 |
$1,713.99
|
|
Inj melphalan (hepzato) 1 mg
|
$158,876.02 |
$158,876.02 |
$158,876.02 |
$787.79
|
|
Inj mepivacaine hcl/10 ml
|
$30.83 |
$30.83 |
$392.52 |
$34.34
|
|
Inj., meropenem, vaborbactam
|
$2,064.82 |
$2,064.82 |
$2,064.82 |
$556.87
|
|
Inj meropenem (wg crit care)
|
$447.12 |
$447.12 |
$447.12 |
$82.42
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$89,356.75 |
$89,356.75 |
$89,356.75 |
$1,496.55
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$26,231.10 |
$26,231.10 |
$26,231.10 |
$8,304.04
|
|
Inj, motixafortide, 0.25 mg
|
$25,957.75 |
$25,957.75 |
$25,957.75 |
$25.22
|
|
Inj, moxifloxacin 100 mg
|
$75.42 |
$75.42 |
$75.42 |
$101.31
|
|
Inj. mycophenolate mofetil
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$252.66
|
|
Inj naloxone hydrochloride
|
$57.75 |
$57.75 |
$57.75 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$875.00 |
$1,300.00 |
$8,842.46 |
$1,413.35
|
|
Inj nivolumab 2 mg hyaluron
|
$27,776.17 |
$27,776.17 |
$27,776.17 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$19,011.94 |
$19,011.94 |
$19,011.94 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$3,793.89 |
$3,793.89 |
$3,793.89 |
$2,726.90
|
|
Inj octafluoropropane mic,ml
|
$595.00 |
$595.00 |
$595.00 |
$211.40
|
|
Inj ogivri 10 mg
|
$189.10 |
$3,768.27 |
$10,838.45 |
$4,492.28
|
|
Inj pemetrexed (bluepoint)
|
$5,803.73 |
$5,803.73 |
$5,803.73 |
$14.63
|
|
Inj pemetrexed, hospira 10mg
|
$14.15 |
$14.15 |
$14.15 |
$64.35
|
|
Inj pemetrexed (teva) 10mg
|
$9,245.57 |
$9,245.57 |
$9,245.57 |
$200.85
|
|
Inj peritoneal venous shunt
|
$1,262.80 |
$1,262.80 |
$1,262.80 |
$406.80
|
|
Inj proc ankle arthr
|
$128.80 |
$128.80 |
$332.50 |
$405.31
|
|
Inj proc elbow arthro
|
$128.80 |
$128.80 |
$332.50 |
$432.00
|
|
Inj proc for lymphang
|
$58,323.52 |
$58,323.52 |
$58,323.52 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$525.00 |
$565.00 |
$23,646.15 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$447.50 |
$535.00 |
$5,741.93 |
$838.30
|
|
Inj proc sialogram
|
$175.00 |
$265.00 |
$1,684.48 |
$373.00
|
|
Inj progesterone per 50 mg
|
$0.70 |
$0.70 |
$0.70 |
$13.76
|
|
Inj retro urethrocysto
|
$360.00 |
$500.00 |
$11,918.77 |
$447.74
|
|
Inj scleros sol mult veins
|
$580.00 |
$580.00 |
$11,349.58 |
$692.90
|
|
Inj scleros sol sgl vein
|
$392.50 |
$427.50 |
$4,717.12 |
$561.88
|
|
Inj secretin synthetic human
|
$5,722.50 |
$5,722.50 |
$5,722.50 |
$1,253.09
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$302.50 |
$302.50 |
$302.50 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$1,335.42 |
$1,335.42 |
$1,335.42 |
$256.14
|
|
Inj, susvimo 0.1 mg
|
$1,694.70 |
$1,694.70 |
$1,694.70 |
$2,598.44
|
|
Inj, sutimlimab-jome, 10 mg
|
$38.81 |
$38.81 |
$38.81 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$142,730.70 |
$142,730.70 |
$142,730.70 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$77.55 |
$77.55 |
$65,417.10 |
$17,517.56
|
|
Inj. teprotumumab-trbw 10 mg
|
$586.63 |
$586.63 |
$62,630.57 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$11.90 |
$11.90 |
$11.90 |
$123.09
|
|
Inj testosterone cypionate
|
$14.17 |
$14.17 |
$209.45 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$2,489.55 |
$2,489.55 |
$2,489.55 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$740.00 |
$740.00 |
$3,438.40 |
$1,049.50
|
|
Inj thrc fascial pln blk uni w/wo image
|
$625.00 |
$625.00 |
$68,911.68 |
$818.00
|
|
Inj tofersen intrathec 1 mg
|
$83,975.67 |
$83,975.67 |
$83,975.67 |
$293.34
|
|
Inj triamcinolone ace X-ray 1mg
|
$2,880.67 |
$2,880.67 |
$2,880.67 |
$1,090.75
|
|
Inj, tyenne, 1 mg
|
$10,929.62 |
$10,929.62 |
$10,929.62 |
$3,525.12
|
|
Inj, vegzelma, 10 mg
|
$3,889.63 |
$3,889.63 |
$3,889.63 |
$1,186.35
|
|
Inj w/fluor eval cv device
|
$287.50 |
$317.50 |
$3,191.17 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$14,895.82 |
$14,895.82 |
$14,895.82 |
$8,532.00
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$149,748.90 |
$149,748.90 |
$149,748.90 |
$41,083.73
|
|
Ins cath ren art 1st bi
|
$4,735.00 |
$4,790.00 |
$23,957.00 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,790.00 |
$3,830.00 |
$29,604.64 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$4,790.00 |
$6,309.80 |
$6,890.00 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$3,830.00 |
$5,510.00 |
$51,838.04 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$1,843.10 |
$490.73
|
|
Insert abdomen-venous drain
|
$770.00 |
$770.00 |
$770.00 |
$4,039.47
|
|
Insert and remove bone pin
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,433.36
|
|
Insert ant drainage device
|
$31,651.93 |
$31,651.93 |
$31,651.93 |
$5,108.80
|
|
Insert cath pleura with image
|
$1,765.00 |
$1,860.00 |
$8,529.95 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,415.00 |
$2,845.00 |
$5,579.70 |
$2,099.70
|
|
Insert drug delivery implant
|
$177.50 |
$177.50 |
$3,361.40 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$4,340.00 |
$9,360.00 |
$82,144.64 |
$7,571.20
|
|
Insert intrauterine device iud
|
$212.50 |
$212.50 |
$27,174.10 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$220.00 |
$220.00 |
$3,264.62 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,830.00 |
$3,900.00 |
$11,191.33 |
$4,897.20
|
|
Insertion intra aortic balloon assist device percutaneous
|
$960.00 |
$1,900.00 |
$86,645.21 |
$2,447.63
|
|
Insertion intra-aortic circulation dev 33970
|
$2,826.60 |
$2,826.60 |
$2,826.60 |
$1,752.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$4,620.00 |
$4,870.00 |
$14,757.07 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,590.00 |
$1,745.00 |
$43,264.54 |
$2,585.25
|
