|
Inj andexxa, 10 mg
|
$8,706.25 |
$8,706.25 |
$8,706.25 |
$536.90
|
|
Inj anifrolumab-fnia 1mg
|
$9,151.40 |
$9,151.40 |
$9,151.40 |
$9,648.88
|
|
Inj, aponvie, 1 mg
|
$39.79 |
$39.79 |
$39.79 |
$1.92
|
|
Inj., aristada initio, 1 mg
|
$3,223.79 |
$3,223.79 |
$3,223.79 |
$3,854.61
|
|
Inj, artesunate, 1mg
|
$18,824.75 |
$18,824.75 |
$18,824.75 |
$18,824.75
|
|
Inj, aspara, rylaze, 0.1 mg
|
$35,910.00 |
$35,910.00 |
$35,910.00 |
$81.97
|
|
Inj avacincaptad pegol 0.1mg
|
$73,500.00 |
$73,500.00 |
$73,500.00 |
$109.53
|
|
Inj aval alfa-nqpt 4mg
|
$6,491.35 |
$6,491.35 |
$6,491.35 |
$4,741.91
|
|
Inj belantamab mafodot blmf
|
$28,969.50 |
$28,969.50 |
$28,969.50 |
$21,726.12
|
|
Inj., benralizumab, 1 mg
|
$19,868.63 |
$19,868.63 |
$19,868.63 |
$13,682.10
|
|
Inj, bezlotoxumab, 10 mg
|
$332.50 |
$332.50 |
$332.50 |
$8,698.20
|
|
Inj bimatoprost itc imp1mcg
|
$6,954.50 |
$6,954.50 |
$6,954.50 |
$4,738.50
|
|
Inj, bortezomib, dr. reddy's
|
$62.02 |
$62.02 |
$62.02 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$114.56 |
$114.56 |
$114.56 |
$16.50
|
|
Inj., brexanolone, 1 mg
|
$1,303.75 |
$1,303.75 |
$1,303.75 |
$287.76
|
|
Inj, brolucizumab-dbll, 1 mg
|
$129,500.00 |
$129,500.00 |
$129,500.00 |
$346.19
|
|
Inj, bupivacaine liposome
|
$58.79 |
$58.79 |
$58.79 |
$638.07
|
|
Inj. byooviz, 0.1 mg
|
$81,473.00 |
$81,473.00 |
$81,473.00 |
$83.10
|
|
Inj calcitriol per 0.1 mcg
|
$21.27 |
$21.27 |
$21.27 |
$31.69
|
|
Inj cefazolin sodium, baxter
|
$0.39 |
$0.39 |
$0.39 |
$39.99
|
|
Inj cefazolin sodium, hikma
|
$1.96 |
$1.96 |
$1.96 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$4.09 |
$4.09 |
$4.09 |
$25.00
|
|
Inj. cefepime hcl (baxter)
|
$1.49 |
$1.49 |
$1.49 |
$54.36
|
|
Inj, cefepime hcl (b braun)
|
$68.97 |
$68.97 |
$68.97 |
$81.41
|
|
Inj, cefiderocol, 10 mg
|
$718.84 |
$718.84 |
$718.84 |
$596.08
|
|
Inj ceftolozane tazobactam
|
$519.17 |
$519.17 |
$519.17 |
$431.36
|
|
Inj. cetirizine hcl 0.5mg
|
$1,078.95 |
$1,078.95 |
$1,078.95 |
$14.87
|
|
Inj, cimerli, 0.1 mg
|
$93,296.00 |
$93,296.00 |
$93,296.00 |
$201.01
|
|
Inj, clindamycin (baxter)
|
$0.34 |
$0.34 |
$0.34 |
$57.48
|
|
Inj, cyclophos (baxter) 5mg
|
$321.02 |
$321.02 |
$321.02 |
$4,570.80
|
|
Inj cyclophosphamd auromedic
|
$170.63 |
$170.63 |
$170.63 |
$231.57
|
|
Inj cyclophosphamd (ingenus)
|
$479.42 |
$479.42 |
$479.42 |
$493.23
|
|
Inj, cyclophosphamd, sandoz
|
$828.66 |
$828.66 |
$828.66 |
$5.30
|
|
Inj daptomycin (xellia)
|
$42.56 |
$42.56 |
$42.56 |
$0.42
|
|
Inj, decitabine (sun pharma)
|
$183.54 |
$183.54 |
$183.54 |
$312.00
|
|
Inj delandistrogene mox rokl
|
$3,200,000.00 |
$3,200,000.00 |
$3,200,000.00 |
$3,325,454.76
|
|
Inj, donanemab-azbt, 2 mg
|
$121.74 |
$121.74 |
$121.74 |
$24.05
|
|
Inj dupuytren cord w/enzyme
|
$967.00 |
$967.00 |
$967.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$1,172.65 |
$1,172.65 |
$1,172.65 |
$2,181.77
|
|
Injection, belinostat, 10mg
|
$8,595.55 |
$8,595.55 |
$8,595.55 |
$4,985.88
|
|
Injection, cangrelor
|
$2,811.04 |
$2,811.04 |
$2,811.04 |
$1,943.40
|
|
Injection, caplacizumab-yhdp
|
$2,097.96 |
$2,097.96 |
$2,097.96 |
$18,673.20
|
|
Injection, daratumumab 10 mg
|
$512.16 |
$512.16 |
$512.16 |
$5,324.34
|
|
Injection, doxercalciferol
|
$11.38 |
$11.38 |
$11.38 |
$31.83
|
|
Injection for bladder x-ray
|
$635.00 |
$635.00 |
$635.00 |
$585.00
|
|
Injection, fulvestrant
|
$39.22 |
$39.22 |
$39.22 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$7,889.98 |
$7,889.98 |
$7,889.98 |
$6,830.50
|
|
Injection into brain canal
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$933.60
|
|
Injection, isavuconazonium
|
$1,002.40 |
$1,002.40 |
$1,002.40 |
$863.93
|
|
Injection, necitumumab, 1 mg
|
$303.08 |
$303.08 |
$303.08 |
$5.73
|
|
Injection,onabotulinumtoxina
|
$4,522.00 |
$4,522.00 |
$4,522.00 |
$2,154.07
|
|
Injection, renflexis
|
$2,054.68 |
$2,054.68 |
$2,054.68 |
$1,356.10
|
|
Injection, ruconest
|
$26,687.50 |
$26,687.50 |
$26,687.50 |
$36.74
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$438.00 |
$438.00 |
$438.00 |
$1,496.00
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,471.50
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,250.59 |
$4,250.59 |
$4,250.59 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$4,245.76 |
$4,245.76 |
$4,245.76 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$4,245.76 |
$4,245.76 |
$4,245.76 |
$1,758.12
|
|
Injection, siltuximab
|
$21,587.44 |
$21,587.44 |
$21,587.44 |
$9,427.67
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$334.00 |
$334.00 |
$334.00 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$315.00 |
$315.00 |
$315.00 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$334.00 |
$334.00 |
$334.00 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$254.00 |
$254.00 |
$254.00 |
$141.60
|
|
Inject sacroiliac joint
|
$482.00 |
$482.00 |
$482.00 |
$1,090.00
|
|
Inj eflapegrastim-xnst 0.1mg
|
$25,593.75 |
$25,593.75 |
$25,593.75 |
$22.75
|
|
Inj., emapalumab-lzsg, 1 mg
|
$11,689.65 |
$11,689.65 |
$11,689.65 |
$1,771.28
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$11,457.18 |
$11,457.18 |
$11,457.18 |
$42,437.44
|
|
Inj epidural sgl lumb-sacral without img
|
$2,905.00 |
$2,905.00 |
$2,905.00 |
$1,450.84
|
|
Inj., eravacycline, 1 mg
|
$215.24 |
$215.24 |
$215.24 |
$205.80
|
|
Inj., evomela, 1 mg
|
$3,924.38 |
$3,924.38 |
$3,924.38 |
$17.37
|
|
Inj, factor x, (human), 1iu
|
$25.03 |
$25.03 |
$25.03 |
$26.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$154,802.20 |
$154,802.20 |
$154,802.20 |
$4,591.80
|
|
Inj. fe derisomaltose 10 mg
|
$695.13 |
$695.13 |
$695.13 |
$854.61
|
|
Inj fensolvi 0.25 mg
|
$91,476.91 |
$91,476.91 |
$91,476.91 |
$140.62
|
|
Inj., fibryga, 1 mg
|
$3,831.80 |
$3,831.80 |
$3,831.80 |
$1.21
|
|
Inj fluphenazine hcl 1.25 mg
|
$35.90 |
$35.90 |
$35.90 |
$44.95
|
|
Inj, fosaprepitant (teva)
|
$171.12 |
$171.12 |
$171.12 |
$152.10
|
|
Inj, fulvestrant (fresenius)
|
$341.25 |
$341.25 |
$341.25 |
$1,242.20
|
|
Inj, fulvestrant (teva)
|
$136.50 |
$136.50 |
$136.50 |
$57.40
|
|
Inj, gadopiclenol, 1 ml
|
$11.96 |
$11.96 |
$11.96 |
$70.20
|
|
Inj gemcitabine hcl (accord)
|
$347.20 |
$347.20 |
$347.20 |
$374.24
|
|
Inj glofitamab gxbm, 2.5 mg
|
$3,683.93 |
$3,683.93 |
$3,683.93 |
$3,683.93
|
|
Inj glycopyrrolate, glyrx-pf
|
$7.51 |
$7.51 |
$7.51 |
$11.23
|
|
Inj heparin, pfizer, 1000u
|
$7.91 |
$7.91 |
$7.91 |
$26.85
|
|
Inj. herceptin hylecta, 10mg
|
$3,272.67 |
$3,272.67 |
$3,272.67 |
$3,272.67
|
|
Inj hydroxocobalamin IV 25mg
|
$3,265.96 |
$3,265.96 |
$3,265.96 |
$2,452.32
|
|
Inj hydroxyprogst capoat nos
|
$1,121.12 |
$1,121.12 |
$1,121.12 |
$1,228.59
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,004.42 |
$1,004.42 |
$1,004.42 |
$743.18
|
|
Inj. inebilizumab-cdon, 1 mg
|
$15,994.45 |
$15,994.45 |
$15,994.45 |
$871.80
|
|
Inj. insulin (fiasp)
|
$94.69 |
$94.69 |
$94.69 |
$16.80
|
|
Inj ivig privigen 500 mg
|
$38.94 |
$38.94 |
$38.94 |
$7,173.90
|
|
Inj, ixinity, 1 i.u
|
$5.60 |
$5.60 |
$5.60 |
$1.91
|
|
Inj, kovaltry, 1 i.u
|
$5.12 |
$5.12 |
$5.12 |
$5.12
|
|
Inj, lanreotide, (cipla) 1mg
|
$34,534.64 |
$34,534.64 |
$34,534.64 |
$12,160.05
|
|
Inj, lecanemab-irmb, 1 mg
|
$445.92 |
$445.92 |
$445.92 |
$1,174.88
|
|
Inj, lenacapavir, 1 mg
|
$22,750.00 |
$22,750.00 |
$22,750.00 |
$19,512.50
|
|
Inj levocarnitine per 1 gm
|
$15.84 |
$15.84 |
$15.84 |
$136.62
|
