|
Inj cefazolin sodium, hikma
|
$0.91 |
$0.91 |
$0.91 |
$66.38
|
|
Inj cefazolin (wg crit care)
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Inj, cefiderocol, 10 mg
|
$2.40 |
$2.40 |
$2.40 |
$79.20
|
|
Inj ceftolozane tazobactam
|
$9.13 |
$9.13 |
$9.13 |
$248.93
|
|
Inj. cetirizine hcl 0.5mg
|
$16.40 |
$16.40 |
$16.40 |
$16.40
|
|
Inj, cimerli, 0.1 mg
|
$86.51 |
$86.51 |
$86.51 |
$86.51
|
|
Inj, cipaglucosidase, 5 mg
|
$89.80 |
$89.80 |
$89.80 |
$89.80
|
|
Inj, clevidipine butyrate
|
$2.88 |
$2.88 |
$2.88 |
$4.86
|
|
Inj crotalidae im f(ab')2 eq
|
$1,044.14 |
$1,044.14 |
$1,044.14 |
$2,388.06
|
|
Inj, crovalimab-akkz, 10 mg
|
$551.51 |
$551.51 |
$551.51 |
$551.51
|
|
Inj cuvitru, 100 mg
|
$17.59 |
$17.59 |
$17.59 |
$17.59
|
|
Inj cyclophos dr.reddy's 5mg
|
$9.00 |
$9.00 |
$9.00 |
$9.00
|
|
Inj cyclophosphamd auromedic
|
$0.78 |
$0.78 |
$0.78 |
$0.78
|
|
Inj cyclophosphamd (ingenus)
|
$1.16 |
$1.16 |
$1.16 |
$1.16
|
|
Inj, cyclophosphamd, sandoz
|
$4.21 |
$4.21 |
$4.21 |
$4.21
|
|
Inj daptomycin (xellia)
|
$0.04 |
$0.04 |
$0.04 |
$0.04
|
|
Inj daxibotulinumtoxina-lanm
|
$3.11 |
$3.11 |
$3.11 |
$3.11
|
|
Inj delandistrogene mox rokl
|
$3,324,571.90 |
$3,324,571.90 |
$3,324,571.90 |
$3,324,571.90
|
|
Inj. denosumab-bbdz, 1 mg
|
$27.54 |
$27.54 |
$27.54 |
$6,618.42
|
|
Inj, donanemab-azbt, 2 mg
|
$4.14 |
$4.14 |
$4.14 |
$6.20
|
|
Inj dupuytren cord w/enzyme
|
$326.73 |
$326.73 |
$326.73 |
$416.00
|
|
Inj, durolane 1 mg
|
$6.68 |
$6.68 |
$6.68 |
$12.72
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$766.52 |
$766.52 |
$766.52 |
$1,165.32
|
|
Injection, belinostat, 10mg
|
$52.04 |
$52.04 |
$52.04 |
$9,355.72
|
|
Injection, burosumab-twza 1m
|
$481.57 |
$481.57 |
$481.57 |
$481.57
|
|
Injection, cangrelor
|
$19.81 |
$19.81 |
$19.81 |
$1,305.72
|
|
Injection carpal tunnel therapeutic (both sides)
|
$326.73 |
$326.73 |
$326.73 |
$441.60
|
|
Injection, daratumumab 10 mg
|
$69.84 |
$69.84 |
$69.84 |
$85.20
|
|
Injection, edaravone, 1 mg
|
$18.84 |
$18.84 |
$18.84 |
$1,721.40
|
|
Injection epidural blood patch or clot
|
$766.52 |
$766.52 |
$766.52 |
$1,470.60
|
|
Injection eye drug
|
$367.13 |
$367.13 |
$367.13 |
$709.80
|
|
Injection, fulvestrant
|
$6.98 |
$6.98 |
$6.98 |
$166.25
|
|
Injection glatiramer acetate
|
$160.39 |
$160.39 |
$160.39 |
$458.43
|
|
Injection, inclisiran, 1 mg
|
$12.35 |
$12.35 |
$12.35 |
$12.72
|
|
Injection into brain canal
|
$766.52 |
$766.52 |
$766.52 |
$791.62
|
|
Injection into brain canal
|
$326.73 |
$326.73 |
$326.73 |
$961.20
|
|
Injection into hemorrhoid(s)
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,133.20
|
|
Injection into spinal artery
|
$985.43 |
$985.43 |
$985.43 |
$1,468.18
|
|
Injection into vocal cord
|
$429.80 |
$429.80 |
$429.80 |
$429.80
|
|
Injection, isavuconazonium
|
$1.01 |
$1.01 |
$1.01 |
$634.28
|
|
Injection, necitumumab, 1 mg
|
$5.73 |
$5.73 |
$5.73 |
$5.73
|
|
Injection of HIV prep drug
|
$78.78 |
$78.78 |
$78.78 |
$78.78
|
|
Injection of sinus tract
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$1,639.57
|
|
Injection,onabotulinumtoxina
|
$6.50 |
$6.50 |
$6.50 |
$12.88
|
|
Injection, peramivir
|
$1.68 |
$1.68 |
$1.68 |
$857.20
|
|
Injection px peyronie ds
|
$269.20 |
$269.20 |
$269.20 |
$343.55
|
|
Injection radioactive tracer sentinel node (both sides)
|
$444.77 |
$444.77 |
$444.77 |
$787.50
|
|
Injection, renflexis
|
$25.05 |
$25.05 |
$25.05 |
$632.98
|
|
Injection, ruconest
|
$36.74 |
$36.74 |
$36.74 |
$36.74
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$766.52 |
$766.52 |
$766.52 |
$1,066.24
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$766.52 |
$766.52 |
$766.52 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$766.52 |
$766.52 |
$766.52 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$985.43 |
$985.43 |
$985.43 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$985.43 |
$985.43 |
$985.43 |
$1,985.61
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$985.43 |
$985.43 |
$985.43 |
$1,961.05
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$766.52 |
$766.52 |
$766.52 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$766.52 |
$766.52 |
$766.52 |
$1,758.12
|
|
Injection, siltuximab
|
$161.96 |
$161.96 |
$161.96 |
$23,535.37
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$326.73 |
$326.73 |
$326.73 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$326.73 |
$326.73 |
$326.73 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$326.73 |
$326.73 |
$326.73 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$51.07 |
$51.07 |
$51.07 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$233.20 |
$233.20 |
$233.20 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$78.78 |
$78.78 |
$78.78 |
$130.19
|
|
Injection treatment of eye
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$2,601.69
|
|
Injection treatment of eye
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$2,370.28
|
|
Injection treatment of nerve
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$2,792.73
|
|
Injection treatment of nerve
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$4,446.30
|
|
Injection treatment of nerve
|
$985.43 |
$985.43 |
$985.43 |
$1,636.00
|
|
Injection treatment of nose
|
$563.67 |
$563.67 |
$563.67 |
$599.72
|
|
Inject/treat eye socket
|
$330.87 |
$330.87 |
$330.87 |
$366.40
|
|
Inject/treat eye socket
|
$330.87 |
$330.87 |
$330.87 |
$414.40
|
|
Inject/treat eye socket
|
$330.87 |
$330.87 |
$330.87 |
$436.44
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$33.74 |
$33.74 |
$33.74 |
$33.74
|
|
Inj eflapegrastim-xnst 0.1mg
|
$21.12 |
$21.12 |
$21.12 |
$21.12
|
|
Inj., emapalumab-lzsg, 1 mg
|
$381.64 |
$381.64 |
$381.64 |
$607.86
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$57.43 |
$57.43 |
$57.43 |
$39,043.20
|
|
Inj epidural sgl cerv-thor without img
|
$766.52 |
$766.52 |
$766.52 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$985.43 |
$985.43 |
$985.43 |
$1,260.60
|
|
Inj, evinacumab-dgnb, 5mg
|
$189.75 |
$189.75 |
$189.75 |
$189.75
|
|
Inj., evomela, 1 mg
|
$17.37 |
$17.37 |
$17.37 |
$17.37
|
|
Inj, factor x, (human), 1iu
|
$9.91 |
$9.91 |
$9.91 |
$12.54
|
|
Inj, faricimab-svoa, 0.1mg
|
$34.48 |
$34.48 |
$34.48 |
$34.48
|
|
Inj. fe derisomaltose 10 mg
|
$18.95 |
$18.95 |
$18.95 |
$21.05
|
|
Inj fensolvi 0.25 mg
|
$140.43 |
$140.43 |
$140.43 |
$140.43
|
|
Inj., fibryga, 1 mg
|
$1.21 |
$1.21 |
$1.21 |
$1.21
|
|
Inj fluphenazine hcl 1.25 mg
|
$7.43 |
$7.43 |
$7.43 |
$29.65
|
|
Inj, focinvez, 1mg
|
$2.87 |
$2.87 |
$2.87 |
$2.87
|
|
Inj, fosaprepitant (teva)
|
$1.13 |
$1.13 |
$1.13 |
$1.13
|
|
Inj fosnetupitant, palonoset
|
$606.35 |
$606.35 |
$606.35 |
$606.35
|
|
Inj, fulvestrant (fresenius)
|
$3.32 |
$3.32 |
$3.32 |
$1,713.99
|
|
Inj, fulvestrant (teva)
|
$46.21 |
$46.21 |
$46.21 |
$46.21
|
|
Inj givosiran 0.5 mg
|
$117.19 |
$117.19 |
$117.19 |
$162,298.07
|
|
Inj glofitamab gxbm, 2.5 mg
|
$2,770.57 |
$2,770.57 |
$2,770.57 |
$2,770.57
|
|
Inj glycopyrrolate fres kabi
|
$1.85 |
$1.85 |
$1.85 |
$1.85
|
|
Inj, granisetron, xr, 0.1 mg
|
$4.96 |
$4.96 |
$4.96 |
$83.97
|
|
Inj., guselkumab, 1 mg
|
$74.86 |
$74.86 |
$74.86 |
$74.86
|
|
Inj, hemgenix, per tx dose
|
$3,685,266.67 |
$3,685,266.67 |
$3,685,266.67 |
$3,685,266.67
|
|
Inj. herceptin hylecta, 10mg
|
$62.97 |
$62.97 |
$62.97 |
$63.79
|
|
Inj herzuma 10 mg
|
$77.49 |
$77.49 |
$77.49 |
$77.49
|
