|
Daunorubicin citrate inj
|
HCPCS J9151 |
$58.54 |
$585.31
|
$2,631.22 |
15 |
|
Decitabine 50 mg intravenous solution
|
HCPCS J0894 |
$51.53 |
$1,073.52
|
$9,763.66 |
436 |
|
Deferoxamine 500 mg solution for injection
|
HCPCS J0895 |
$6.14 |
$95.85
|
$827.21 |
581 |
|
Degarelix 120 mg subcutaneous solution
|
HCPCS J9155 |
$78.60 |
$1,856.85
|
$12,899.35 |
371 |
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
HCPCS J0897 |
$309.95 |
$6,324.98
|
$55,523.68 |
541 |
|
Depo-estradiol cypionate inj
|
HCPCS J1000 |
$8.40 |
$71.51
|
$867.13 |
243 |
|
Desmopressin 4 mcg/ml injection solution
|
HCPCS J2597 |
$7.50 |
$91.84
|
$1,117.71 |
577 |
|
Device intraute mirena
|
HCPCS J7298 |
$268.22 |
$2,125.00
|
$10,984.51 |
478 |
|
Dexametha opth insert 0.1 mg
|
HCPCS J1096 |
$110.92 |
$888.47
|
$7,603.20 |
91 |
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
HCPCS J1095 |
$21.00 |
$21.00
|
$21.00 |
9 |
|
Dexamethasone 4 mg tablet
|
HCPCS J8540 |
$0.46 |
$5.85
|
$88.19 |
464 |
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
HCPCS J1100 |
$1.12 |
$20.76
|
$194.88 |
662 |
|
Dexamethasone intra implant
|
HCPCS J7312 |
$205.28 |
$2,356.90
|
$8,732.28 |
140 |
|
Dexmedetomidine film, 1 mcg
|
HCPCS J1105 |
$56.70 |
$171.39
|
$422.40 |
63 |
|
Dexrazoxane hcl 250 mg intravenous solution
|
HCPCS J1190 |
$62.35 |
$884.80
|
$7,544.70 |
460 |
|
Dextran 40 infusion
|
HCPCS J7100 |
$17.76 |
$151.20
|
$1,456.00 |
293 |
|
Dextran 75 infusion
|
HCPCS J7110 |
$1.15 |
$1.15
|
$41.22 |
4 |
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
HCPCS J7042 |
$1.81 |
$36.05
|
$354.79 |
593 |
|
Dextrose 5 % and lactated ringers intravenous solution
|
HCPCS J7121 |
$2.34 |
$42.25
|
$405.00 |
530 |
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
HCPCS J7060 |
$2.41 |
$46.35
|
$435.67 |
612 |
|
Dextrose 5 % IV bolus
|
HCPCS J7070 |
$2.81 |
$48.00
|
$462.24 |
588 |
|
Diazepam 5 mg/ml injection solution (wrapper)
|
HCPCS J3360 |
$4.50 |
$79.71
|
$750.22 |
757 |
|
Dicyclomine injection
|
HCPCS J0500 |
$11.03 |
$154.33
|
$1,276.80 |
677 |
|
Difelikefalin, esrd on dialy
|
HCPCS J0879 |
$161.50 |
$264.88
|
$540.00 |
39 |
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
HCPCS J1160 |
$3.60 |
$65.84
|
$674.96 |
699 |
|
Digoxin immune fab 40 mg intravenous solution
|
HCPCS J1162 |
$590.92 |
$10,279.62
|
$79,981.92 |
605 |
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
HCPCS J1110 |
$20.57 |
$297.86
|
$3,026.04 |
583 |
|
Diltiazem 5 mg/ml intravenous solution
|
HCPCS J1163 |
$2.20 |
$45.60
|
$410.96 |
327 |
|
Dimecaprol injection
|
HCPCS J0470 |
$22.46 |
$314.63
|
$1,405.68 |
133 |
|
Dimenhydrinate injection
|
HCPCS J1240 |
$6.05 |
$30.48
|
$219.00 |
182 |
|
Dimethyl sulfoxide 50% 50 ml
|
HCPCS J1212 |
$98.40 |
$1,258.20
|
$8,538.12 |
365 |
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
HCPCS J1200 |
$0.96 |
$18.32
|
$178.00 |
797 |
|
Dipyridamole injection
|
HCPCS J1245 |
$3.60 |
$48.04
|
$441.84 |
245 |
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
HCPCS J1250 |
$5.84 |
$95.06
|
$863.10 |
654 |
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
HCPCS J9171 |
$39.06 |
$949.39
|
$7,768.98 |
484 |
|
Docetaxel (docivyx), 1 mg
|
HCPCS J9172 |
$49.08 |
$108.86
|
$285.35 |
49 |
|
Dolasetron mesylate
|
HCPCS J1260 |
$3.43 |
$44.65
|
$138.60 |
38 |
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
HCPCS J1265 |
$3.22 |
$65.40
|
$597.83 |
624 |
|
Doripenem 50 mg/ml inj 10 ml
|
HCPCS J1267 |
$8.40 |
$73.80
|
$564.00 |
47 |
|
Dornase alfa non-comp unit
|
HCPCS J7639 |
$22.08 |
$356.00
|
$2,431.98 |
268 |
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
HCPCS J9272 |
$1,162.20 |
$23,613.78
|
$114,615.40 |
297 |
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
HCPCS J9000 |
$20.58 |
$450.14
|
$3,317.00 |
537 |
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
HCPCS J1271 |
$15.60 |
$89.34
|
$814.10 |
443 |
|
Droperidol 2.5 mg/ml injection solution
|
HCPCS J1790 |
$1.84 |
$31.25
|
$298.93 |
635 |
|
Durvalumab 50 mg/ml intravenous solution
|
HCPCS J9173 |
$345.80 |
$8,445.90
|
$63,181.52 |
351 |
|
Ecallantide injection
|
HCPCS J1290 |
$800.05 |
$13,357.14
|
$93,115.92 |
163 |
|
Eculizumab 300 mg/30 ml intravenous solution
|
HCPCS J1299 |
$2,356.97 |
$19,540.29
|
$104,498.34 |
245 |
|
Eculizumab injection
|
HCPCS J1300 |
$706.93 |
$16,330.48
|
$126,329.50 |
80 |
|
Edetate calcium disodium inj
|
HCPCS J0600 |
$458.38 |
$8,739.98
|
$38,968.00 |
150 |
|
Edetate disodium per 150 mg
|
HCPCS J3520 |
$28.80 |
$221.20
|
$296.25 |
37 |
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
HCPCS J9332 |
$738.76 |
$13,130.61
|
$59,468.32 |
180 |
|
Elliotts b solution per ml
|
HCPCS J9175 |
$24.57 |
$24.57
|
$24.57 |
15 |
|
Elosulfase alfa, injection
|
HCPCS J1322 |
$293.92 |
$2,635.83
|
$5,199.10 |
115 |
|
Elotuzumab 300 mg intravenous solution
|
HCPCS J9176 |
$1,341.53 |
$5,761.81
|
$26,368.26 |
277 |
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
HCPCS J1323 |
$267.62 |
$14,606.11
|
$42,858.30 |
154 |
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
HCPCS J9177 |
$364.47 |
$8,222.82
|
$35,899.02 |
305 |
|
Enfuvirtide injection
|
HCPCS J1324 |
$416.37 |
$6,267.48
|
$9,670.80 |
36 |
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
HCPCS J1650 |
$5.83 |
$112.79
|
$1,053.48 |
683 |
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
HCPCS J9321 |
$4,962.13 |
$30,598.85
|
$120,949.89 |
185 |
|
Epinephrine 0.1 mg/ml injection syringe
|
HCPCS J0168 |
$2.14 |
$37.86
|
$311.91 |
226 |
|
Epinephrine 1 mg/ml im kit - adult
|
HCPCS J0169 |
$2.39 |
$31.76
|
$388.00 |
253 |
|
Epinephrine 1 mg/ml im kit - pediatric
|
HCPCS J0165 |
$16.40 |
$507.10
|
$2,848.30 |
274 |
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
HCPCS J0166 |
$1.80 |
$33.60
|
$266.65 |
303 |
|
Epirubicin 200 mg/100 ml intravenous solution
|
HCPCS J9178 |
$12.33 |
$256.27
|
$2,135.26 |
296 |
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
HCPCS J0885 |
$54.50 |
$1,329.09
|
$9,428.58 |
529 |
|
Epoetin beta esrd use
|
HCPCS J0887 |
$580.00 |
$983.20
|
$1,520.00 |
6 |
|
Epoetin beta non esrd
|
HCPCS J0888 |
$214.83 |
$1,010.84
|
$1,599.67 |
46 |
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
HCPCS J1325 |
$9.80 |
$129.30
|
$1,242.00 |
439 |
|
Eptifibatide 0.75 mg/ml intravenous solution
|
HCPCS J1327 |
$20.70 |
$427.26
|
$3,141.77 |
461 |
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
HCPCS J3032 |
$190.33 |
$3,838.45
|
$31,252.24 |
359 |
|
Ergonovine 0.2 mg/ml inj
|
HCPCS J1330 |
$19.71 |
$19.71
|
$166.70 |
6 |
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
HCPCS J9179 |
$134.38 |
$2,488.75
|
$18,266.45 |
464 |
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
HCPCS J1335 |
$12.64 |
$232.12
|
$2,170.07 |
763 |
|
Erwinaze injection
|
HCPCS J9019 |
$643.80 |
$6,423.46
|
$45,227.58 |
51 |
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
HCPCS J1364 |
$12.16 |
$223.99
|
$1,995.12 |
596 |
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
HCPCS J1806 |
$16.60 |
$279.72
|
$2,441.58 |
216 |
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
HCPCS J1805 |
$22.57 |
$516.71
|
$4,186.01 |
472 |
|
Estradiol valerate 10 mg inj
|
HCPCS J1380 |
$5.32 |
$57.35
|
$577.58 |
278 |
|
Etanercept injection
|
HCPCS J1438 |
$172.62 |
$3,172.86
|
$12,414.32 |
238 |
|
Ethanolamine oleate 100 mg
|
HCPCS J1430 |
$71.17 |
$824.88
|
$5,669.03 |
284 |
|
Eth estr and eton monthly
|
HCPCS J7295 |
$24.37 |
$266.45
|
$537.72 |
77 |
|
Etonogestrel implant system
|
HCPCS J7307 |
$163.66 |
$2,081.30
|
$13,482.42 |
340 |
|
Etoposide 20 mg/ml intravenous solution
|
HCPCS J9181 |
$12.00 |
$235.20
|
$1,867.20 |
524 |
|
Etoposide 50 mg cap
|
HCPCS J8560 |
$12.55 |
$135.02
|
$1,422.92 |
257 |
|
Euflexxa inj per dose
|
HCPCS J7323 |
$26.32 |
$510.68
|
$4,043.01 |
316 |
|
Factor ix alprolix recomb
|
HCPCS J7201 |
$1.44 |
$9.46
|
$47.19 |
115 |
|
Factor ix complex
|
HCPCS J7194 |
$0.42 |
$4.68
|
$48.76 |
200 |
|
Factor ix idelvion inj
|
HCPCS J7202 |
$2.07 |
$14.35
|
$26.35 |
88 |
|
Factor ix non-recombinant
|
HCPCS J7193 |
$0.42 |
$4.63
|
$26.92 |
118 |
|
Factor ix recomb gly rebinyn
|
HCPCS J7203 |
$1.89 |
$13.36
|
$26.05 |
80 |
|
Factor ix recombinan rixubis
|
HCPCS J7200 |
$2.40 |
$7.03
|
$22.50 |
57 |
|
Factor ix recombinant nos
|
HCPCS J7195 |
$1.20 |
$4.65
|
$178.50 |
222 |
|
Factor viia recomb sevenfact
|
HCPCS J7212 |
$3.24 |
$8.43
|
$12.72 |
43 |
|
Factor viii
|
HCPCS J7190 |
$0.36 |
$4.85
|
$48.76 |
169 |
|
Factor viii fc fusion recomb
|
HCPCS J7205 |
$2.34 |
$8.28
|
$26.65 |
108 |
|
Factor viii nuwiq recomb 1iu
|
HCPCS J7209 |
$0.81 |
$5.20
|
$14.95 |
102 |
|
Factor viii pegylated recomb
|
HCPCS J7207 |
$0.99 |
$8.05
|
$22.50 |
102 |
|
Factor viii recombinant nos
|
HCPCS J7192 |
$0.50 |
$5.20
|
$60.93 |
314 |
|
Factor viii recomb novoeight
|
HCPCS J7182 |
$0.90 |
$7.21
|
$24.58 |
151 |
|
Factor viii recomb obizur
|
HCPCS J7188 |
$1.14 |
$7.29
|
$30.03 |
105 |