|
Initial care training 30 m
|
$54.88 |
$54.88 |
$54.88 |
$49.89
|
|
Initial custom socket insert
|
$2,235.24 |
$2,235.24 |
$2,235.24 |
$1,453.20
|
|
Initial foot exam pt lops
|
$183.07 |
$183.07 |
$183.07 |
$152.50
|
|
Initial hosp neonate 28 d/less than not critically ill 99477
|
$418.79 |
$418.79 |
$418.79 |
$540.80
|
|
Initial nursing facility care/day 35 minutes
|
$169.70 |
$169.70 |
$169.70 |
$184.80
|
|
Initial nursing facility care/day 45 minutes
|
$230.79 |
$230.79 |
$230.79 |
$231.84
|
|
Initial nursing facility care/day low severity 99304
|
$100.15 |
$100.15 |
$100.15 |
$127.63
|
|
Init nb em per day non-fac
|
$75.09 |
$75.09 |
$75.09 |
$97.68
|
|
Init pm e/m new pat 65+ yrs
|
$182.00 |
$182.00 |
$182.00 |
$189.15
|
|
Init/sub psych care m 1st 30
|
$139.68 |
$139.68 |
$139.68 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$8.31 |
$8.31 |
$8.31 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$10.04 |
$10.04 |
$10.04 |
$5,355.30
|
|
Inj acetaminoph 10mg/ibu 3mg
|
$0.13 |
$0.13 |
$0.13 |
$0.22
|
|
Inj, acetaminophen (b braun)
|
$0.07 |
$0.07 |
$0.07 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$0.08 |
$0.08 |
$0.08 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$0.07 |
$0.07 |
$0.07 |
$56.70
|
|
Inj. acthar gel to 40 units
|
$5,758.09 |
$5,758.09 |
$5,758.09 |
$7,918.32
|
|
Inj, adstiladrin, per tx dos
|
$88,699.21 |
$88,699.21 |
$88,699.21 |
$63,354.77
|
|
Inj, adzynma, 10 iu
|
$48.96 |
$48.96 |
$48.96 |
$34.60
|
|
Inj, aflibercept-ayyh, 1 mg
|
$1,195.36 |
$1,195.36 |
$1,195.36 |
$2,771.44
|
|
Inj, aflibercept hd, 1 mg
|
$423.64 |
$423.64 |
$423.64 |
$2,794.18
|
|
Inj, afstyla, 1 i.u
|
$2.18 |
$2.18 |
$2.18 |
$6.76
|
|
Inj allopurinol sodium 1 mg
|
$6.08 |
$6.08 |
$6.08 |
$6,968.99
|
|
Inj, alyglo, 500 mg
|
$170.90 |
$170.90 |
$170.90 |
$169.86
|
|
Inj alymsys 10 mg
|
$45.56 |
$45.56 |
$45.56 |
$1,280.74
|
|
Inj, amisulpride, 1 mg
|
$13.22 |
$13.22 |
$13.22 |
$91.89
|
|
Inj andexxa, 10 mg
|
$181.29 |
$181.29 |
$181.29 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$25.31 |
$25.31 |
$25.31 |
$10,052.58
|
|
Inj. (ani), up to 40 units
|
$4,901.40 |
$4,901.40 |
$4,901.40 |
$4,901.40
|
|
Inj, aponvie, 1 mg
|
$2.70 |
$2.70 |
$2.70 |
$3.36
|
|
Inj., aristada initio, 1 mg
|
$4.48 |
$4.48 |
$4.48 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$71.52 |
$71.52 |
$71.52 |
$14,460.21
|
|
Inj. asceniv
|
$676.83 |
$676.83 |
$676.83 |
$7,833.92
|
|
Inj, aspara, rylaze, 0.1 mg
|
$77.52 |
$77.52 |
$77.52 |
$10,458.00
|
|
Inj atezolizumb 5mg hya-tqjs
|
$44.30 |
$44.30 |
$44.30 |
$18,716.52
|
|
Inj avacincaptad pegol 0.1mg
|
$142.03 |
$142.03 |
$142.03 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$112.19 |
$112.19 |
$112.19 |
$3,907.30
|
|
Inj., benralizumab, 1 mg
|
$226.27 |
$226.27 |
$226.27 |
$11,310.00
|
|
Inj, betibeglogene autotemce
|
$4,057,157.07 |
$4,057,157.07 |
$4,057,157.07 |
$4,057,157.07
|
|
Inj, bezlotoxumab, 10 mg
|
$54.96 |
$54.96 |
$54.96 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$295.17 |
$295.17 |
$295.17 |
$3,287.96
|
|
Inj, biorphen, 20 micrograms
|
$0.22 |
$0.22 |
$0.22 |
$17.12
|
|
Inj bortezomib boruzu 0.1 mg
|
$35.37 |
$35.37 |
$35.37 |
$26.21
|
|
Inj, bortezomib, dr. reddy's
|
$4.77 |
$4.77 |
$4.77 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$9.62 |
$9.62 |
$9.62 |
$2,624.08
|
|
Inj, bortezomib, hospira
|
$2.01 |
$2.01 |
$2.01 |
$175.35
|
|
Inj, brixadi, 7 days or less
|
$579.67 |
$579.67 |
$579.67 |
$748.85
|
|
Inj brixadi, more than 7 day
|
$2,318.69 |
$2,318.69 |
$2,318.69 |
$2,858.76
|
|
Inj, brolucizumab-dbll, 1 mg
|
$486.88 |
$486.88 |
$486.88 |
$3,382.69
|
|
Inj bulking agent anal canal
|
$1,217.08 |
$1,217.08 |
$1,217.08 |
$9,525.70
|
|
Inj, bupivacaine liposome
|
$1.98 |
$1.98 |
$1.98 |
$699.38
|
|
Inj. byooviz, 0.1 mg
|
$83.10 |
$83.10 |
$83.10 |
$1,135.59
|
|
Inj cefazolin sodium, baxter
|
$1.76 |
$1.76 |
$1.76 |
$27.38
|
|
Inj cefazolin sodium, hikma
|
$1.21 |
$1.21 |
$1.21 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$1.21 |
$1.21 |
$1.21 |
$18.43
|
|
Inj. cefepime hcl (baxter)
|
$8.24 |
$8.24 |
$8.24 |
$86.84
|
|
Inj, cefepime hcl (b braun)
|
$6.84 |
$6.84 |
$6.84 |
$69.85
|
|
Inj, cefiderocol, 10 mg
|
$3.34 |
$3.34 |
$3.34 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$12.35 |
$12.35 |
$12.35 |
$358.56
|
|
Inj., cerliponase alfa 1 mg
|
$167.25 |
$167.25 |
$167.25 |
$167.25
|
|
Inj. cetirizine hcl 0.5mg
|
$23.59 |
$23.59 |
$23.59 |
$159.98
|
|
Inj, cimerli, 0.1 mg
|
$115.01 |
$115.01 |
$115.01 |
$201.01
|
|
Inj, cipaglucosidase, 5 mg
|
$125.86 |
$125.86 |
$125.86 |
$3,278.80
|
|
Inj, clindamycin (baxter)
|
$3.24 |
$3.24 |
$3.24 |
$48.30
|
|
Inj cntr knee arthro incl ct/mri
|
$49.24 |
$49.24 |
$49.24 |
$441.88
|
|
Inj crotalidae im f(ab')2 eq
|
$6,796.72 |
$6,796.72 |
$6,796.72 |
$2,613.60
|
|
Inj, crovalimab-akkz, 10 mg
|
$761.09 |
$761.09 |
$761.09 |
$535.90
|
|
Inj cutaquig 100 mg
|
$20.46 |
$20.46 |
$20.46 |
$348.81
|
|
Inj cuvitru, 100 mg
|
$23.82 |
$23.82 |
$23.82 |
$4,163.61
|
|
Inj, cyclophos (baxter) 5mg
|
$6.79 |
$6.79 |
$6.79 |
$2,584.85
|
|
Inj cyclophos dr.reddy's 5mg
|
$12.41 |
$12.41 |
$12.41 |
$5,460.00
|
|
Inj cyclophosphamd auromedic
|
$0.84 |
$0.84 |
$0.84 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$0.96 |
$0.96 |
$0.96 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$5.30 |
$5.30 |
$5.30 |
$735.20
|
|
Inj, daptomycin (baxter)
|
$0.08 |
$0.08 |
$0.08 |
$1.83
|
|
Inj, daptomycin (hospira)
|
$0.08 |
$0.08 |
$0.08 |
$128.08
|
|
Inj daptomycin (xellia)
|
$0.04 |
$0.04 |
$0.04 |
$56.04
|
|
Inj daxibotulinumtoxina-lanm
|
$4.30 |
$4.30 |
$4.30 |
$736.62
|
|
Inj, decitabine (sun pharma)
|
$1.07 |
$1.07 |
$1.07 |
$310.09
|
|
Inj delandistrogene mox rokl
|
$4,592,446.42 |
$4,592,446.42 |
$4,592,446.42 |
$3,325,454.76
|
|
Inj. denosumab-bbdz, 1 mg
|
$38.96 |
$38.96 |
$38.96 |
$4,615.43
|
|
Inj disk cerv-thor ea lev
|
$190.48 |
$190.48 |
$190.48 |
$875.28
|
|
Inj, docetaxel (beizray) 1mg
|
$65.46 |
$65.46 |
$65.46 |
$52.47
|
|
Inj, donanemab-azbt, 2 mg
|
$5.75 |
$5.75 |
$5.75 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$422.07 |
$422.07 |
$422.07 |
$416.00
|
|
Inj, durolane 1 mg
|
$9.00 |
$9.00 |
$9.00 |
$1,950.93
|
|
Inj dx for sinogram
|
$44.89 |
$44.89 |
$44.89 |
$447.50
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$970.61 |
$970.61 |
$970.61 |
$1,231.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$83.99 |
$83.99 |
$83.99 |
$504.00
|
|
Injection, belinostat, 10mg
|
$73.29 |
$73.29 |
$73.29 |
$4,446.10
|
|
Injection, burosumab-twza 1m
|
$687.26 |
$687.26 |
$687.26 |
$20,002.09
|
|
Injection, cangrelor
|
$27.52 |
$27.52 |
$27.52 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$1,107.11 |
$1,107.11 |
$1,107.11 |
$16,319.16
|
|
Injection carpal tunnel therapeutic (both sides)
|
$422.07 |
$422.07 |
$422.07 |
$463.20
|
|
Injection, casimersen, 10 mg
|
$229.34 |
$229.34 |
$229.34 |
$2,598.44
|
|
Injection, daratumumab 10 mg
|
$97.69 |
$97.69 |
$97.69 |
$5,324.34
|
|
Injection, doxercalciferol
|
$0.43 |
$0.43 |
$0.43 |
$23.86
|
|
Injection during cath supravalvular aortography
|
$49.56 |
$49.56 |
$49.56 |
$1,030.00
|
|
Injection, edaravone, 1 mg
|
$24.11 |
$24.11 |
$24.11 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$970.61 |
$970.61 |
$970.61 |
$1,192.80
|