|
Injection torsemide 10 mg/ml
|
$4.00 |
$4.00 |
$26.06 |
|
|
Injection treatment of eye
|
$955.20 |
$955.20 |
$955.20 |
|
|
Injection treatment of eye
|
$852.80 |
$852.80 |
$852.80 |
|
|
Injection treatment of nerve
|
$3,219.20 |
$3,219.20 |
$3,219.20 |
|
|
Injection treatment of nerve
|
$3,731.20 |
$3,731.20 |
$3,731.20 |
|
|
Injection treatment of nerve
|
$669.48 |
$1,368.00 |
$1,368.00 |
|
|
Injection treatment of nose
|
$273.60 |
$273.60 |
$329.55 |
|
|
Inject sacroiliac joint
|
$248.64 |
$801.60 |
$2,956.90 |
|
|
Inject/treat eye socket
|
$366.40 |
$366.40 |
$366.40 |
|
|
Inject/treat eye socket
|
$414.40 |
$414.40 |
$414.40 |
|
|
Inject/treat eye socket
|
$342.40 |
$342.40 |
$342.40 |
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$51.22 |
$28,508.30 |
$49,230.70 |
|
|
Inj epidural sgl cerv-thor without img
|
$181.80 |
$657.60 |
$3,104.41 |
|
|
Inj epidural sgl lumb-sacral without img
|
$156.60 |
$850.20 |
$2,834.29 |
|
|
Inj, epinephrine (belcher)
|
$6.24 |
$12.90 |
$71.76 |
|
|
Inj., eravacycline, 1 mg
|
$364.60 |
$364.60 |
$364.60 |
|
|
Inj, etelcalcetide, 0.1 mg
|
$343.35 |
$392.40 |
$1,083.90 |
|
|
Inj. fe derisomaltose 10 mg
|
$3,221.52 |
$6,330.79 |
$7,385.92 |
|
|
Inj fluphenazine hcl 1.25 mg
|
$21.95 |
$50.39 |
$245.81 |
|
|
Inj follitropin beta 75 iu
|
$307.20 |
$307.20 |
$307.20 |
|
|
Inj for ext venography
|
$126.24 |
$1,444.80 |
$24,416.36 |
|
|
Inj for mammo ductogram
|
$206.64 |
$833.60 |
$833.60 |
|
|
Inj., fremanezumab-vfrm 1 mg
|
$3.20 |
$3.20 |
$3,825.85 |
|
|
Inj, fulvestrant (fresenius)
|
$172.87 |
$197.56 |
$201.68 |
|
|
Inj, gadopiclenol, 1 ml
|
$4.57 |
$26.00 |
$161.55 |
|
|
Inj gemcitabine hcl (accord)
|
$44.86 |
$200.93 |
$485.70 |
|
|
Inj glofitamab gxbm, 2.5 mg
|
$21,459.86 |
$24,525.56 |
$25,036.51 |
|
|
Inj glycopyrrolate fres kabi
|
$18.30 |
$36.80 |
$36.80 |
|
|
Inj glycopyrrolate, glyrx-pf
|
$41.79 |
$47.76 |
$48.76 |
|
|
Inj, granisetron, xr, 0.1 mg
|
$1,397.18 |
$1,596.77 |
$1,630.04 |
|
|
Inj., guselkumab, 1 mg
|
$111.34 |
$29,518.89 |
$34,438.70 |
|
|
Inj heparin, pfizer, 1000u
|
$7.55 |
$35.44 |
$79.60 |
|
|
Inj. herceptin hylecta, 10mg
|
$125.84 |
$8,322.19 |
$8,322.19 |
|
|
Inj herzuma 10 mg
|
$148.96 |
$148.96 |
$148.96 |
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$271.20 |
$1,893.23 |
$5,070.86 |
|
|
Inj hrt cath w/s&i sel hrt ang
|
$127.20 |
$127.20 |
$1,929.42 |
|
|
Inj hrt cath w/s&i sel hrt art
|
$132.00 |
$132.00 |
$1,929.42 |
|
|
Inj hrt cath w/s&i sel left vent
|
$98.40 |
$98.40 |
$1,625.64 |
|
|
Inj hrt cath w/s&i sel right vent
|
$146.40 |
$313.60 |
$1,625.64 |
|
|
Inj hydroxocobalamin IV 25mg
|
$8.34 |
$1,797.27 |
$4,819.80 |
|
|
Inj hydroxyprogst capoat nos
|
$17.60 |
$17.60 |
$1,271.73 |
|
|
Inj imip 4 cilas 4 releb 2mg
|
$607.01 |
$693.72 |
$708.17 |
|
|
Inj. inebilizumab-cdon, 1 mg
|
$91,699.86 |
$104,799.84 |
$106,983.17 |
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$534.60 |
$757.60 |
$3,211.17 |
|
|
Inj intralesional <= 7 lsn(s)
|
$64.32 |
$136.50 |
$438.62 |
|
|
Inj intralesional > 7 lsns
|
$63.36 |
$171.20 |
$409.00 |
|
|
Inj ivig privigen 500 mg
|
$69.60 |
$156.80 |
$13,368.87 |
|
|
Inj labetalol hcl hikma, 5mg
|
$4.07 |
$35.56 |
$70.56 |
|
|
Inj, lanreotide, (cipla) 1mg
|
$89.84 |
$14,308.92 |
$16,693.74 |
|
|
Inj, lecanemab-irmb, 1 mg
|
$2.16 |
$1,337.75 |
$13,650.95 |
|
|
Inj levocarnitine per 1 gm
|
$30.55 |
$87.12 |
$178.80 |
|
|
Inj, levothyroxine, freskabi
|
$18.30 |
$25.23 |
$386.42 |
|
|
Inj, levothyroxine, hikma
|
$108.51 |
$124.01 |
$126.60 |
|
|
Inj, lidocaine w epinephrine
|
$0.62 |
$7.03 |
$48.76 |
|
|
Inj. lumasiran, 0.5 mg
|
$508.36 |
$508.36 |
$508.36 |
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$326.00 |
$422.40 |
$43,706.59 |
|
|
Inj melpha hydroch nos 50 mg
|
$393.92 |
$459.58 |
$2,951.66 |
|
|
Inj mepivacaine hcl/10 ml
|
$30.04 |
$48.76 |
$72.12 |
|
|
Inj, meropenem (b. braun)
|
$86.84 |
$99.24 |
$125.58 |
|
|
Inj., meropenem, vaborbactam
|
$373.55 |
$435.81 |
$935.25 |
|
|
Inj meropenem (wg crit care)
|
$6.14 |
$6.14 |
$83.19 |
|
|
Inj, micafungin (par pharm)
|
$3.10 |
$3.10 |
$53.78 |
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$51.24 |
$20,145.77 |
$23,503.39 |
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$370.45 |
$370.45 |
$370.45 |
|
|
Inj, moxifloxacin 100 mg
|
$86.84 |
$101.31 |
$120.04 |
|
|
Inj multihance
|
$5.52 |
$64.31 |
$391.45 |
|
|
Inj. mycophenolate mofetil
|
$78.20 |
$160.06 |
$220.86 |
|
|
Inj naloxone hydrochloride
|
$70.87 |
$95.08 |
$107.20 |
|
|
Inj. naxitamab-gqgk, 1 mg
|
$1,043.08 |
$1,043.08 |
$1,043.08 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$622.44 |
$1,267.20 |
$2,681.25 |
|
|
Inj, nithiodote, 3mg / 125mg
|
$413.66 |
$984.90 |
$984.90 |
|
|
Inj nivolumab 2 mg hyaluron
|
$14,110.18 |
$14,110.18 |
$48,611.65 |
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$233.40 |
$8,129.60 |
$8,129.60 |
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$180.00 |
$7,323.20 |
$7,323.20 |
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$73,159.94 |
$99,076.61 |
$130,285.75 |
|
|
Inj octafluoropropane mic,ml
|
$60.00 |
$60.00 |
$229.60 |
|
|
Inj ogivri 10 mg
|
$100.16 |
$3,581.43 |
$6,589.99 |
|
|
Inj, olaratumab, 10 mg
|
$3,688.21 |
$3,688.21 |
$3,688.21 |
|
|
Inj., omadacycline, 1 mg
|
$2,262.70 |
$2,262.70 |
$2,262.70 |
|
|
Inj ontruzant 10 mg
|
$147.67 |
$147.67 |
$147.67 |
|
|
Inj pantoprazole(hikma) 40mg
|
$16.80 |
$41.79 |
$80.40 |
|
|
Inj., patisiran, 0.1 mg
|
$19,950.00 |
$22,800.00 |
$23,275.00 |
|
|
Inj, pedmark, 100 mg
|
$41.79 |
$47.76 |
$48.76 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$529.24 |
$6,965.32 |
$7,314.63 |
|
|
Inj. pemetrexed, 10 mg
|
$7,696.59 |
$8,796.10 |
$8,979.35 |
|
|
Inj pemetrexed (sandoz) 10mg
|
$95.26 |
$108.87 |
$111.14 |
|
|
Inj, pemivibart, 4500 mg
|
$1,347.51 |
$1,540.01 |
$10,230.04 |
|
|
Inj peritoneal venous shunt
|
$100.80 |
$100.80 |
$586.20 |
|
|
Inj., perseris, 0.5 mg
|
$4,902.35 |
$5,146.85 |
$5,146.85 |
|
|
Inj proc ankle arthr
|
$100.38 |
$982.40 |
$982.40 |
|
|
Inj proc elbow arthro
|
$176.82 |
$883.20 |
$965.25 |
|
|
Inj proc for lymphang
|
$129.36 |
$767.40 |
$1,202.27 |
|
|
Inj proc lumbr disk ea lvl
|
$485.10 |
$872.80 |
$2,404.65 |
|
|
Inj proc myelogram lumbar
|
$364.20 |
$721.56 |
$1,280.61 |
|
|
Inj proc sialogram
|
$181.20 |
$380.80 |
$1,064.46 |
|
|
Inj progesterone per 50 mg
|
$3.00 |
$3.20 |
$75.48 |
|
|
Inj prohance multipack
|
$1.71 |
$1.71 |
$1.71 |
|
|
Inj protirelin per 250 mcg
|
$24.00 |
$24.00 |
$24.00 |
|
|
Inj, releuko 1 mcg
|
$1.00 |
$2.02 |
$349.67 |
|
|
Inj retacrit esrd on dialysi
|
$738.09 |
$861.11 |
$33,902.60 |
|