|
Inj., aristada initio, 1 mg
|
$4.48 |
$4.48 |
$4.48 |
|
|
Inj, artesunate, 1mg
|
$71.52 |
$71.52 |
$71.52 |
|
|
Inj. asceniv
|
$676.83 |
$676.83 |
$676.83 |
|
|
Inj, aspara, rylaze, 0.1 mg
|
$77.52 |
$77.52 |
$77.52 |
|
|
Inj atezolizumb 5mg hya-tqjs
|
$44.30 |
$44.30 |
$44.30 |
|
|
Inj avacincaptad pegol 0.1mg
|
$142.03 |
$142.03 |
$142.03 |
|
|
Inj aval alfa-nqpt 4mg
|
$112.19 |
$112.19 |
$112.19 |
|
|
Inj., benralizumab, 1 mg
|
$226.27 |
$226.27 |
$226.27 |
|
|
Inj, betibeglogene autotemce
|
$4,057,157.07 |
$4,057,157.07 |
$4,057,157.07 |
|
|
Inj, bezlotoxumab, 10 mg
|
$54.96 |
$54.96 |
$54.96 |
|
|
Inj bimatoprost itc imp1mcg
|
$295.17 |
$295.17 |
$295.17 |
|
|
Inj, biorphen, 20 micrograms
|
$0.22 |
$0.22 |
$0.22 |
|
|
Inj bortezomib boruzu 0.1 mg
|
$35.37 |
$35.37 |
$35.37 |
|
|
Inj, bortezomib, dr. reddy's
|
$4.77 |
$4.77 |
$4.77 |
|
|
Inj, bortezomib freseniuskab
|
$9.62 |
$9.62 |
$9.62 |
|
|
Inj, bortezomib, hospira
|
$2.01 |
$2.01 |
$2.01 |
|
|
Inj, brixadi, 7 days or less
|
$579.67 |
$579.67 |
$579.67 |
|
|
Inj brixadi, more than 7 day
|
$2,318.69 |
$2,318.69 |
$2,318.69 |
|
|
Inj, brolucizumab-dbll, 1 mg
|
$486.88 |
$486.88 |
$486.88 |
|
|
Inj bulking agent anal canal
|
$1,217.08 |
$1,217.08 |
$1,217.08 |
|
|
Inj, bupivacaine liposome
|
$1.98 |
$1.98 |
$3.24 |
|
|
Inj. byooviz, 0.1 mg
|
$83.10 |
$83.10 |
$83.10 |
|
|
Inj calcitriol per 0.1 mcg
|
$1.52 |
$1.52 |
$9.79 |
|
|
Inj cefazolin sodium, baxter
|
$1.76 |
$1.76 |
$1.76 |
|
|
Inj cefazolin sodium, hikma
|
$1.21 |
$1.21 |
$1.21 |
|
|
Inj cefazolin (wg crit care)
|
$1.21 |
$1.21 |
$1.21 |
|
|
Inj. cefepime hcl (baxter)
|
$8.24 |
$8.24 |
$8.24 |
|
|
Inj, cefepime hcl (b braun)
|
$6.84 |
$6.84 |
$6.84 |
|
|
Inj, cefiderocol, 10 mg
|
$3.34 |
$3.34 |
$3.34 |
|
|
Inj ceftolozane tazobactam
|
$0.17 |
$10.51 |
$12.35 |
|
|
Inj., cerliponase alfa 1 mg
|
$167.25 |
$167.25 |
$167.25 |
|
|
Inj. cetirizine hcl 0.5mg
|
$23.59 |
$23.59 |
$23.59 |
|
|
Inj, cimerli, 0.1 mg
|
$115.01 |
$115.01 |
$115.01 |
|
|
Inj, cipaglucosidase, 5 mg
|
$125.86 |
$125.86 |
$125.86 |
|
|
Inj, clevidipine butyrate
|
$2.21 |
$2.58 |
$3.39 |
|
|
Inj, clindamycin (baxter)
|
$3.24 |
$3.24 |
$3.24 |
|
|
Inj cntr knee arthro incl ct/mri
|
$49.24 |
$642.00 |
$2,408.00 |
|
|
Inj crotalidae im f(ab')2 eq
|
$6,796.72 |
$6,796.72 |
$6,796.72 |
|
|
Inj, crovalimab-akkz, 10 mg
|
$761.09 |
$761.09 |
$761.09 |
|
|
Inj cutaquig 100 mg
|
$20.46 |
$20.46 |
$20.46 |
|
|
Inj cuvitru, 100 mg
|
$23.82 |
$23.82 |
$23.82 |
|
|
Inj, cyclophos (baxter) 5mg
|
$6.79 |
$6.79 |
$6.79 |
|
|
Inj cyclophos dr.reddy's 5mg
|
$12.41 |
$12.41 |
$12.41 |
|
|
Inj cyclophosphamd auromedic
|
$0.84 |
$0.84 |
$0.84 |
|
|
Inj cyclophosphamd (ingenus)
|
$0.96 |
$0.96 |
$0.96 |
|
|
Inj, cyclophosphamd, sandoz
|
$5.30 |
$5.30 |
$5.30 |
|
|
Inj, daptomycin (baxter)
|
$0.08 |
$0.08 |
$0.08 |
|
|
Inj, daptomycin (hospira)
|
$0.08 |
$0.08 |
$0.08 |
|
|
Inj daptomycin (xellia)
|
$0.04 |
$0.04 |
$0.57 |
|
|
Inj daxibotulinumtoxina-lanm
|
$4.30 |
$4.30 |
$4.30 |
|
|
Inj, decitabine (sun pharma)
|
$1.07 |
$1.07 |
$1.07 |
|
|
Inj delandistrogene mox rokl
|
$4,592,446.42 |
$4,592,446.42 |
$4,592,446.42 |
|
|
Inj. denosumab-bbdz, 1 mg
|
$38.96 |
$38.96 |
$38.96 |
|
|
Inj disk cerv-thor ea lev
|
$190.48 |
$190.48 |
$190.48 |
|
|
Inj, docetaxel (beizray) 1mg
|
$65.46 |
$65.46 |
$65.46 |
|
|
Inj, donanemab-azbt, 2 mg
|
$5.75 |
$5.75 |
$5.75 |
|
|
Inj dupuytren cord w/enzyme
|
$422.07 |
$422.07 |
$422.07 |
|
|
Inj, durolane 1 mg
|
$9.00 |
$9.00 |
$678.16 |
|
|
Inj dx for sinogram
|
$44.89 |
$484.00 |
$2,489.00 |
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$885.00 |
$983.00 |
$2,703.00 |
|
|
Injection arthrography hip without anesthesia (both sides)
|
$83.99 |
$1,221.36 |
$3,146.00 |
|
|
Injection, belinostat, 10mg
|
$73.29 |
$73.29 |
$73.29 |
|
|
Injection, burosumab-twza 1m
|
$687.26 |
$687.26 |
$687.26 |
|
|
Injection, cangrelor
|
$10.61 |
$27.52 |
$454.15 |
|
|
Injection, caplacizumab-yhdp
|
$1,107.11 |
$1,107.11 |
$1,107.11 |
|
|
Injection carpal tunnel therapeutic (both sides)
|
$367.00 |
$422.07 |
$1,084.00 |
|
|
Injection, casimersen, 10 mg
|
$229.34 |
$229.34 |
$229.34 |
|
|
Injection, daratumumab 10 mg
|
$25.49 |
$97.69 |
$97.69 |
|
|
Injection, doxercalciferol
|
$0.43 |
$0.43 |
$0.43 |
|
|
Injection during cath supravalvular aortography
|
$49.56 |
$442.00 |
$3,022.88 |
|
|
Injection, edaravone, 1 mg
|
$24.11 |
$24.11 |
$24.11 |
|
|
Injection epidural blood patch or clot
|
$732.26 |
$1,759.00 |
$2,585.00 |
|
|
Injection eye drug
|
$454.19 |
$1,479.00 |
$1,479.00 |
|
|
Injection for arthrography wrist (both sides)
|
$88.78 |
$2,434.00 |
$3,088.00 |
|
|
Injection for bladder x-ray
|
$54.19 |
$1,194.00 |
$3,175.00 |
|
|
Injection for hip x-ray
|
$102.63 |
$102.63 |
$2,536.80 |
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$60.62 |
$1,235.00 |
$2,208.00 |
|
|
Injection for spleen x-ray
|
$157.57 |
$157.57 |
$745.36 |
|
|
Injection for tear sac x-ray
|
$64.53 |
$386.00 |
$386.00 |
|
|
Injection for ureter x-ray
|
$66.13 |
$646.00 |
$743.00 |
|
|
Injection for ureter x-ray
|
$88.54 |
$483.00 |
$1,109.00 |
|
|
Injection, fulvestrant
|
$7.89 |
$7.89 |
$91.72 |
|
|
Injection glatiramer acetate
|
$171.93 |
$171.93 |
$172.26 |
|
|
Injection, glucarpidase
|
$619.19 |
$619.19 |
$619.19 |
|
|
Injection, inclisiran, 1 mg
|
$17.51 |
$17.51 |
$17.51 |
|
|
Injection into brain canal
|
$970.61 |
$970.61 |
$970.61 |
|
|
Injection into brain canal
|
$422.07 |
$422.07 |
$1,571.20 |
|
|
Injection into hemorrhoid(s)
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Injection into spinal artery
|
$1,468.18 |
$1,468.18 |
$1,468.18 |
|
|
Injection into vocal cord
|
$537.80 |
$537.80 |
$537.80 |
|
|
Injection intraop add-on
|
$146.11 |
$146.11 |
$146.11 |
|
|
Injection, isavuconazonium
|
$1.39 |
$1.39 |
$1.39 |
|
|
Injection jaw joint x-ray
|
$56.86 |
$56.86 |
$56.86 |
|
|
Injection jugular
|
$260.00 |
$289.00 |
$9,134.00 |
|
|
Injection, khapzory, 0.5 mg
|
$1.95 |
$1.95 |
$1.95 |
|
|
Injection, necitumumab, 1 mg
|
$7.91 |
$7.91 |
$7.91 |
|
|
Injection of HIV prep drug
|
$99.00 |
$99.00 |
$99.00 |
|
|
Injection of sinus tract
|
$1,708.80 |
$2,103.00 |
$4,746.00 |
|
|
Injection,onabotulinumtoxina
|
$4.11 |
$8.98 |
$415.49 |
|
|
Injection, peramivir
|
$2.32 |
$2.32 |
$2.32 |
|
