|
Inj, alfentanil hcl, 500mcg
|
$41.79 |
$47.76 |
$48.76 |
|
|
Inj alymsys 10 mg
|
$112.55 |
$1,199.10 |
$3,555.60 |
|
|
Inj andexxa, 10 mg
|
$201.60 |
$201.76 |
$201.76 |
|
|
Inj anifrolumab-fnia 1mg
|
$10.11 |
$9,648.88 |
$12,811.96 |
|
|
Inj., aristada initio, 1 mg
|
$4,078.06 |
$4,325.66 |
$11,871.55 |
|
|
Inj, artesunate, 1mg
|
$22,589.70 |
$25,816.80 |
$26,354.65 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$79.98 |
$10,458.00 |
$12,201.00 |
|
|
Inj aval alfa-nqpt 4mg
|
$118.88 |
$3,478.84 |
$4,771.13 |
|
|
Inj., benralizumab, 1 mg
|
$199.20 |
$314.18 |
$18,067.45 |
|
|
Inj, bezlotoxumab, 10 mg
|
$61.88 |
$6,760.17 |
$9,310.00 |
|
|
Inj, biorphen, 20 micrograms
|
$7.32 |
$14.32 |
$14.32 |
|
|
Inj, bortezomib, dr. reddy's
|
$18.86 |
$57.96 |
$67.62 |
|
|
Inj, bortezomib freseniuskab
|
$53.04 |
$2,464.14 |
$2,874.83 |
|
|
Inj, bupivacaine liposome
|
$3.44 |
$3.44 |
$60.00 |
|
|
Inj calcitriol per 0.1 mcg
|
$22.69 |
$41.79 |
$48.76 |
|
|
Inj cefazolin sodium, baxter
|
$21.23 |
$39.20 |
$101.31 |
|
|
Inj cefazolin sodium, hikma
|
$12.77 |
$25.60 |
$73.24 |
|
|
Inj cefazolin (wg crit care)
|
$31.32 |
$86.84 |
$101.31 |
|
|
Inj. cefepime hcl (baxter)
|
$34.55 |
$86.84 |
$101.31 |
|
|
Inj, cefepime hcl (b braun)
|
$64.46 |
$86.84 |
$124.31 |
|
|
Inj, cefiderocol, 10 mg
|
$3.87 |
$447.21 |
$1,135.10 |
|
|
Inj ceftolozane tazobactam
|
$14.44 |
$382.72 |
$881.35 |
|
|
Inj., cerliponase alfa 1 mg
|
$60.52 |
$60.52 |
$60.52 |
|
|
Inj, cipaglucosidase, 5 mg
|
$141.24 |
$141.24 |
$141.24 |
|
|
Inj, clevidipine butyrate
|
$8.44 |
$165.90 |
$193.55 |
|
|
Inj, clindamycin (baxter)
|
$43.56 |
$43.56 |
$101.31 |
|
|
Inj cntr knee arthro incl ct/mri
|
$139.44 |
$769.60 |
$769.60 |
|
|
Inj crotalidae im f(ab')2 eq
|
$2,069.55 |
$2,437.92 |
$2,844.23 |
|
|
Inj cyclophosphamd auromedic
|
$3.85 |
$461.16 |
$538.02 |
|
|
Inj cyclophosphamd (ingenus)
|
$6.70 |
$524.35 |
$1,338.80 |
|
|
Inj, cyclophosphamd, sandoz
|
$6.42 |
$250.23 |
$1,937.10 |
|
|
Inj, daptomycin (hospira)
|
$0.40 |
$152.35 |
$152.35 |
|
|
Inj daptomycin (xellia)
|
$0.20 |
$0.35 |
$48.76 |
|
|
Inj, decitabine (sun pharma)
|
$734.90 |
$839.88 |
$857.38 |
|
|
Inj. denosumab-bbdz, 1 mg
|
$1,920.00 |
$5,694.89 |
$14,754.85 |
|
|
Inj disk cerv-thor ea lev
|
$343.20 |
$828.00 |
$828.00 |
|
|
Inj, donanemab-azbt, 2 mg
|
$6.56 |
$1,277.15 |
$14,983.80 |
|
|
Inj dupuytren cord w/enzyme
|
$190.56 |
$416.00 |
$768.58 |
|
|
Inj, durolane 1 mg
|
$16.00 |
$16.00 |
$1,987.31 |
|
|
Inj dx for sinogram
|
$196.98 |
$409.20 |
$914.08 |
|
|
Inject for sacroiliac joint
|
$223.80 |
$1,323.20 |
$1,897.52 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$394.20 |
$1,299.88 |
$4,404.00 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$216.00 |
$1,072.00 |
$13,468.60 |
|
|
Injection, burosumab-twza 1m
|
$26,708.64 |
$30,524.16 |
$31,160.08 |
|
|
Injection, cangrelor
|
$1,356.24 |
$1,919.12 |
$4,830.15 |
|
|
Injection, caplacizumab-yhdp
|
$16,642.50 |
$19,020.00 |
$19,416.25 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$142.80 |
$541.96 |
$17,393.20 |
|
|
Injection, daratumumab 10 mg
|
$113.28 |
$5,239.24 |
$9,893.85 |
|
|
Injection, doxercalciferol
|
$41.79 |
$58.44 |
$33,309.61 |
|
|
Injection during cath supravalvular aortography
|
$135.60 |
$551.05 |
$19,372.76 |
|
|
Injection, edaravone, 1 mg
|
$968.02 |
$1,106.31 |
$1,129.36 |
|
|
Injection epidural blood patch or clot
|
$383.52 |
$1,587.11 |
$9,638.25 |
|
|
Injection estrone per 1 mg
|
$0.80 |
$0.80 |
$0.80 |
|
|
Injection eye drug
|
$246.19 |
$504.00 |
$616.09 |
|
|
Injection, famotidine, 20 mg
|
$71.40 |
$71.44 |
$71.63 |
|
|
Injection for arthrography wrist (both sides)
|
$128.94 |
$910.40 |
$1,098.00 |
|
|
Injection for bladder x-ray
|
$179.04 |
$586.36 |
$2,167.00 |
|
|
Injection for hip x-ray
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$283.92 |
$752.00 |
$7,275.90 |
|
|
Injection for spleen x-ray
|
$341.60 |
$341.60 |
$388.92 |
|
|
Injection for tear sac x-ray
|
$392.00 |
$392.00 |
$392.00 |
|
|
Injection for ureter x-ray
|
$183.12 |
$576.00 |
$1,035.20 |
|
|
Injection for ureter x-ray
|
$268.80 |
$268.80 |
$1,464.28 |
|
|
Injection, fosphenytoin sodi
|
$106.92 |
$146.00 |
$326.12 |
|
|
Injection, fulvestrant
|
$119.20 |
$236.95 |
$3,446.87 |
|
|
Injection glatiramer acetate
|
$684.93 |
$3,493.72 |
$3,493.72 |
|
|
Injection, glucarpidase
|
$86,465.40 |
$98,817.60 |
$100,876.30 |
|
|
Injection, inclisiran, 1 mg
|
$19.49 |
$5,260.16 |
$18,656.20 |
|
|
Injection into brain canal
|
$187.74 |
$261.60 |
$1,071.00 |
|
|
Injection into brain canal
|
$304.00 |
$304.00 |
$2,295.00 |
|
|
Injection into hemorrhoid(s)
|
$432.96 |
$731.20 |
$731.20 |
|
|
Injection into spinal artery
|
$2,231.20 |
$2,231.20 |
$2,231.20 |
|
|
Injection into vocal cord
|
$323.20 |
$323.20 |
$323.20 |
|
|
Injection, isavuconazonium
|
$0.59 |
$674.71 |
$1,868.20 |
|
|
Injection jaw joint x-ray
|
$964.80 |
$964.80 |
$964.80 |
|
|
Injection jugular
|
$141.60 |
$144.55 |
$205.38 |
|
|
Injection, necitumumab, 1 mg
|
$9,092.48 |
$10,391.40 |
$10,607.89 |
|
|
Injection of HIV prep drug
|
$33.60 |
$33.60 |
$33.60 |
|
|
Injection of sinus tract
|
$282.40 |
$486.08 |
$2,778.10 |
|
|
Injection,onabotulinumtoxina
|
$9.60 |
$1,872.18 |
$6,021.75 |
|
|
Injection, pentamidine iseth
|
$212.44 |
$212.44 |
$226.32 |
|
|
Injection, peramivir
|
$2.89 |
$664.99 |
$775.82 |
|
|
Injection px peyronie ds
|
$275.20 |
$275.20 |
$678.00 |
|
|
Injection radioactive tracer sentinel node (both sides)
|
$75.00 |
$408.00 |
$74,932.85 |
|
|
Injection, renflexis
|
$121.55 |
$901.81 |
$1,933.40 |
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$228.00 |
$2,713.48 |
$4,303.30 |
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$238.00 |
$1,210.09 |
$78,555.38 |
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$190.00 |
$994.40 |
$27,915.58 |
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$792.96 |
$3,099.16 |
$9,846.00 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$120.60 |
$1,199.46 |
$15,040.65 |
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$468.00 |
$2,142.26 |
$6,594.25 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$117.60 |
$1,199.46 |
$23,498.50 |
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$827.04 |
$2,366.58 |
$14,192.20 |
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$528.60 |
$1,510.00 |
$3,570.36 |
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$553.80 |
$1,510.00 |
$3,725.90 |
|
|
Injection, siltuximab
|
$9,427.67 |
$9,427.67 |
$9,427.67 |
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$136.00 |
$473.60 |
$2,391.00 |
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$136.80 |
$513.56 |
$2,212.04 |
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$158.40 |
$457.40 |
$10,225.80 |
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$61.65 |
$120.12 |
$37,307.73 |
|
