|
Infliximab-axxq 100 mg intravenous solution
|
$21.29 |
$21.29 |
$21.29 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$13.62 |
$13.62 |
$13.62 |
$1,537.84
|
|
Influenza dna amp prob addl
|
$29.22 |
$29.22 |
$29.22 |
$64.26
|
|
Infuse radioactive materials
|
$311.20 |
$394.05 |
$394.05 |
$672.42
|
|
Ingest challenge ini 120 min
|
$627.89 |
$627.89 |
$627.89 |
$764.78
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$240.68 |
$240.68 |
$240.68 |
$299.65
|
|
Initial care training 30 m
|
$49.89 |
$49.89 |
$49.89 |
$49.89
|
|
Initial foot exam pt lops
|
$152.50 |
$152.50 |
$152.50 |
$152.50
|
|
Init/sub psych care m 1st 30
|
$109.46 |
$109.46 |
$109.46 |
$94.34
|
|
Inj, abilify asimtufii, 1 mg
|
$5.95 |
$5.95 |
$5.95 |
$9,426.91
|
|
Inj, abilify maintena, 1 mg
|
$7.07 |
$7.07 |
$7.07 |
$5,355.30
|
|
Inj, adalimumab, 1 mg
|
$91.73 |
$91.73 |
$91.73 |
$12,098.05
|
|
Inj adalimumab-ryvk, 1 mg
|
$13.36 |
$13.36 |
$13.36 |
$13.36
|
|
Inj, adstiladrin, per tx dos
|
$63,354.77 |
$63,354.77 |
$63,354.77 |
$63,354.77
|
|
Inj, aducanumab-avwa, 2 mg
|
$5.98 |
$5.98 |
$5.98 |
$5.98
|
|
Inj, adzynma, 10 iu
|
$34.60 |
$34.60 |
$34.60 |
$34.60
|
|
Inj, aflibercept hd, 1 mg
|
$333.70 |
$333.70 |
$333.70 |
$2,794.18
|
|
Inj, afstyla, 1 i.u
|
$1.46 |
$1.46 |
$1.46 |
$6.76
|
|
Inj allopurinol sodium 1 mg
|
$5.00 |
$5.00 |
$5.00 |
$6,968.99
|
|
Inj, alyglo, 500 mg
|
$169.86 |
$169.86 |
$169.86 |
$169.86
|
|
Inj alymsys 10 mg
|
$56.86 |
$56.86 |
$56.86 |
$1,280.74
|
|
Inj, amisulpride, 1 mg
|
$9.06 |
$9.06 |
$9.06 |
$91.89
|
|
Inj andexxa, 10 mg
|
$131.99 |
$131.99 |
$131.99 |
$4,370.80
|
|
Inj anifrolumab-fnia 1mg
|
$17.29 |
$17.29 |
$17.29 |
$10,052.58
|
|
Inj, aponvie, 1 mg
|
$1.86 |
$1.86 |
$1.86 |
$3.36
|
|
Inj., aristada initio, 1 mg
|
$3.19 |
$3.19 |
$3.19 |
$4,052.45
|
|
Inj, artesunate, 1mg
|
$51.83 |
$51.83 |
$51.83 |
$14,460.21
|
|
Inj. asceniv
|
$491.40 |
$491.40 |
$491.40 |
$7,833.92
|
|
Inj, aspara, rylaze, 0.1 mg
|
$52.79 |
$52.79 |
$52.79 |
$10,458.00
|
|
Inj avacincaptad pegol 0.1mg
|
$109.53 |
$109.53 |
$109.53 |
$3,409.64
|
|
Inj aval alfa-nqpt 4mg
|
$77.75 |
$77.75 |
$77.75 |
$3,907.30
|
|
Inj belantamab mafodot blmf
|
$46.78 |
$46.78 |
$46.78 |
$21,726.12
|
|
Inj., benralizumab, 1 mg
|
$167.30 |
$167.30 |
$167.30 |
$11,310.00
|
|
Inj, betibeglogene autotemce
|
$2,968,000.00 |
$2,968,000.00 |
$2,968,000.00 |
$4,057,157.07
|
|
Inj, bezlotoxumab, 10 mg
|
$39.86 |
$39.86 |
$39.86 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$209.86 |
$209.86 |
$209.86 |
$3,287.96
|
|
Inj, bortezomib, dr. reddy's
|
$48.55 |
$48.55 |
$48.55 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$16.50 |
$16.50 |
$16.50 |
$2,624.08
|
|
Inj, brixadi, 7 days or less
|
$429.16 |
$429.16 |
$429.16 |
$748.85
|
|
Inj brixadi, more than 7 day
|
$1,716.62 |
$1,716.62 |
$1,716.62 |
$2,858.76
|
|
Inj, brolucizumab-dbll, 1 mg
|
$332.57 |
$332.57 |
$332.57 |
$3,382.69
|
|
Inj, bupivacaine liposome
|
$1.72 |
$1.72 |
$1.72 |
$699.38
|
|
Inj, bupivacaine (posimir)
|
$0.50 |
$0.50 |
$0.50 |
$0.50
|
|
Inj. byooviz, 0.1 mg
|
$170.80 |
$170.80 |
$170.80 |
$1,135.59
|
|
Inj, carmustine (accord)
|
$259.70 |
$259.70 |
$259.70 |
$9,875.08
|
|
Inj cefazolin sodium, hikma
|
$0.98 |
$0.98 |
$0.98 |
$27.38
|
|
Inj cefazolin (wg crit care)
|
$1.04 |
$1.04 |
$1.04 |
$18.43
|
|
Inj, cefiderocol, 10 mg
|
$2.28 |
$2.28 |
$2.28 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$8.23 |
$8.23 |
$8.23 |
$358.56
|
|
Inj. cetirizine hcl 0.5mg
|
$14.87 |
$14.87 |
$14.87 |
$159.98
|
|
Inj, cimerli, 0.1 mg
|
$201.01 |
$201.01 |
$201.01 |
$201.01
|
|
Inj, cipaglucosidase, 5 mg
|
$88.06 |
$88.06 |
$88.06 |
$3,278.80
|
|
Inj, clevidipine butyrate
|
$2.83 |
$2.83 |
$2.83 |
$4.86
|
|
Inj., copanlisib, 1 mg
|
$92.81 |
$92.81 |
$92.81 |
$9,204.29
|
|
Inj crotalidae im f(ab')2 eq
|
$1,040.11 |
$1,040.11 |
$1,040.11 |
$2,613.60
|
|
Inj, crovalimab-akkz, 10 mg
|
$535.90 |
$535.90 |
$535.90 |
$535.90
|
|
Inj cuvitru, 100 mg
|
$16.82 |
$16.82 |
$16.82 |
$4,163.61
|
|
Inj cyclophosphamd auromedic
|
$1.16 |
$1.16 |
$1.16 |
$249.68
|
|
Inj cyclophosphamd (ingenus)
|
$0.93 |
$0.93 |
$0.93 |
$742.72
|
|
Inj, cyclophosphamd, sandoz
|
$4.34 |
$4.34 |
$4.34 |
$735.20
|
|
Inj daptomycin (xellia)
|
$0.04 |
$0.04 |
$0.04 |
$56.04
|
|
Inj daxibotulinumtoxina-lanm
|
$3.12 |
$3.12 |
$3.12 |
$736.62
|
|
Inj delandistrogene mox rokl
|
$3,325,454.76 |
$3,325,454.76 |
$3,325,454.76 |
$3,325,454.76
|
|
Inj, donanemab-azbt, 2 mg
|
$4.09 |
$4.09 |
$4.09 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$349.32 |
$349.32 |
$349.32 |
$416.00
|
|
Inj, durolane 1 mg
|
$7.00 |
$7.00 |
$7.00 |
$1,950.93
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$819.50 |
$819.50 |
$819.50 |
$1,214.78
|
|
Injection, belinostat, 10mg
|
$50.09 |
$50.09 |
$50.09 |
$4,446.10
|
|
Injection, burosumab-twza 1m
|
$469.58 |
$469.58 |
$469.58 |
$20,002.09
|
|
Injection, cangrelor
|
$18.82 |
$18.82 |
$18.82 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$349.32 |
$349.32 |
$349.32 |
$458.15
|
|
Injection, daratumumab 10 mg
|
$65.12 |
$65.12 |
$65.12 |
$5,324.34
|
|
Injection, edaravone, 1 mg
|
$22.14 |
$22.14 |
$22.14 |
$1,136.59
|
|
Injection epidural blood patch or clot
|
$819.50 |
$819.50 |
$819.50 |
$1,192.80
|
|
Injection eye drug
|
$392.51 |
$392.51 |
$392.51 |
$648.96
|
|
Injection, fulvestrant
|
$7.51 |
$7.51 |
$7.51 |
$1,719.16
|
|
Injection glatiramer acetate
|
$172.88 |
$172.88 |
$172.88 |
$830.51
|
|
Injection, inclisiran, 1 mg
|
$12.19 |
$12.19 |
$12.19 |
$6,679.35
|
|
Injection into brain canal
|
$819.50 |
$819.50 |
$819.50 |
$1,261.40
|
|
Injection into brain canal
|
$349.32 |
$349.32 |
$349.32 |
$844.50
|
|
Injection into hemorrhoid(s)
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,433.00
|
|
Injection into spinal artery
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,710.80
|
|
Injection into vocal cord
|
$459.51 |
$459.51 |
$459.51 |
$459.51
|
|
Injection, isavuconazonium
|
$0.98 |
$0.98 |
$0.98 |
$787.67
|
|
Injection, necitumumab, 1 mg
|
$5.73 |
$5.73 |
$5.73 |
$8,572.91
|
|
Injection of HIV prep drug
|
$84.22 |
$84.22 |
$84.22 |
$78.84
|
|
Injection of sinus tract
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$6.41 |
$6.41 |
$6.41 |
$2,277.65
|
|
Injection, peramivir
|
$1.68 |
$1.68 |
$1.68 |
$744.75
|
|
Injection px peyronie ds
|
$287.81 |
$287.81 |
$287.81 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$475.51 |
$475.51 |
$475.51 |
$694.20
|
|
Injection, renflexis
|
$27.18 |
$27.18 |
$27.18 |
$1,341.52
|
|
Injection, ruconest
|
$34.72 |
$34.72 |
$34.72 |
$14,111.44
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$819.50 |
$819.50 |
$819.50 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$819.50 |
$819.50 |
$819.50 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$819.50 |
$819.50 |
$819.50 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$819.50 |
$819.50 |
$819.50 |
$1,826.80
|
