|
Oxytocin 10 unit/ml injection solution
|
HCPCS J2590 |
$2.74 |
$50.40
|
$489.30 |
696 |
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
HCPCS J9267 |
$8.54 |
$216.00
|
$1,569.57 |
423 |
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
HCPCS J9264 |
$268.22 |
$3,435.42
|
$22,195.60 |
415 |
|
Palifermin injection
|
HCPCS J2425 |
$2,281.59 |
$5,464.63
|
$14,119.96 |
79 |
|
Paliperidone 117 mg/0.75 ml inj
|
HCPCS J2426 |
$610.91 |
$6,238.82
|
$21,140.75 |
281 |
|
Palonosetron hcl
|
HCPCS J2469 |
$9.32 |
$163.00
|
$1,831.14 |
483 |
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
HCPCS J2430 |
$7.84 |
$123.55
|
$1,290.56 |
590 |
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
HCPCS J9303 |
$652.80 |
$13,051.61
|
$66,898.30 |
392 |
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
HCPCS J2470 |
$2.14 |
$28.90
|
$300.97 |
642 |
|
Papaverin hcl injection
|
HCPCS J2440 |
$5.00 |
$78.75
|
$728.75 |
518 |
|
Paricalcitol
|
HCPCS J2501 |
$2.45 |
$47.15
|
$438.00 |
380 |
|
Pegademase bovine, 25 iu
|
HCPCS J2504 |
$4,286.60 |
$4,411.62
|
$8,578.15 |
6 |
|
Pegaptanib sodium injection
|
HCPCS J2503 |
— |
—
|
— |
0 |
|
Pegaspargase injection
|
HCPCS J9266 |
$3,604.91 |
$41,065.49
|
$179,776.00 |
263 |
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
HCPCS J2506 |
$553.27 |
$11,216.31
|
$102,816.24 |
551 |
|
Peginesatide injection
|
HCPCS J0890 |
$14.91 |
$14.91
|
$14.91 |
1 |
|
Pegloticase 8 mg/ml intravenous solution
|
HCPCS J2507 |
$3,482.15 |
$49,135.11
|
$192,496.16 |
277 |
|
Pegunigalsidase alfa-iwxj
|
HCPCS J2508 |
$223.55 |
$2,146.13
|
$18,069.10 |
112 |
|
Pembrolizumab 25 mg/ml intravenous solution
|
HCPCS J9271 |
$613.74 |
$12,385.22
|
$102,918.06 |
459 |
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
HCPCS J9305 |
$209.59 |
$7,089.13
|
$40,026.00 |
405 |
|
Peng benzathine/procaine inj
|
HCPCS J0558 |
$17.10 |
$375.32
|
$2,359.27 |
348 |
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
HCPCS J0561 |
$40.79 |
$824.70
|
$7,714.55 |
662 |
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
HCPCS J2540 |
$5.01 |
$97.85
|
$927.38 |
589 |
|
Penicillin g procaine inj
|
HCPCS J2510 |
$16.56 |
$149.20
|
$1,366.05 |
203 |
|
Pentamidine 300 mg solution for injection
|
HCPCS J2516 |
$32.34 |
$572.10
|
$4,490.75 |
148 |
|
Pentamidine non-comp unit
|
HCPCS J2545 |
$28.19 |
$294.39
|
$2,642.00 |
236 |
|
Pentastarch 10% solution
|
HCPCS J2513 |
— |
—
|
— |
0 |
|
Pentazocine injection
|
HCPCS J3070 |
$13.14 |
$128.80
|
$298.50 |
33 |
|
Pentobarbital sodium inj
|
HCPCS J2515 |
$105.70 |
$2,205.38
|
$18,150.00 |
309 |
|
Pentostatin 10 mg intravenous solution
|
HCPCS J9268 |
$703.42 |
$5,181.67
|
$48,518.63 |
291 |
|
Perphenazine injeciton
|
HCPCS J3310 |
$8.82 |
$8.82
|
$8.82 |
1 |
|
Pertuzumab 30 mg/ml desensitization
|
HCPCS J9306 |
$756.68 |
$14,272.91
|
$67,972.55 |
443 |
|
Pertuzu, trastuzu, 10 mg
|
HCPCS J9316 |
$2,894.63 |
$27,858.08
|
$202,023.35 |
227 |
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
HCPCS J2560 |
$13.60 |
$114.56
|
$1,157.48 |
653 |
|
Phentolaine mesylate inj
|
HCPCS J2760 |
$68.17 |
$1,028.40
|
$8,907.48 |
668 |
|
Phenylephrine 10 mg/ml injection solution
|
HCPCS J2371 |
$3.00 |
$62.98
|
$522.37 |
542 |
|
Phenylep ketorolac opth soln
|
HCPCS J1097 |
$106.47 |
$934.56
|
$5,522.40 |
82 |
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
HCPCS J1165 |
$0.66 |
$10.80
|
$108.12 |
490 |
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
HCPCS J3430 |
$4.88 |
$90.25
|
$589.55 |
712 |
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
HCPCS J2543 |
$4.62 |
$81.36
|
$809.64 |
680 |
|
Plerixafor injection
|
HCPCS J2562 |
$699.38 |
$16,079.30
|
$56,818.00 |
167 |
|
Polatuzumab vedotin-piiq 140 mg intravenous solution
|
HCPCS J9309 |
$3,167.11 |
$35,781.91
|
$121,245.20 |
292 |
|
Porfimer sodium injection
|
HCPCS J9600 |
$8,346.57 |
$37,618.13
|
$212,032.26 |
163 |
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
HCPCS J3480 |
$3.30 |
$62.79
|
$576.27 |
637 |
|
Pralatrexate injection
|
HCPCS J9307 |
$786.00 |
$20,353.38
|
$123,910.73 |
230 |
|
Pralidoxime 1 gram solution for injection
|
HCPCS J2730 |
$14.88 |
$292.00
|
$2,824.12 |
417 |
|
Prednisolone acetate inj
|
HCPCS J2650 |
$0.53 |
$1.20
|
$1.20 |
13 |
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
HCPCS J7510 |
$0.95 |
$13.87
|
$174.42 |
576 |
|
Prednisone 1 mg tablet
|
HCPCS J7512 |
$0.25 |
$2.88
|
$48.30 |
429 |
|
Procainamide 100 mg/ml injection (wrapper)
|
HCPCS J2690 |
$36.00 |
$674.78
|
$6,562.96 |
604 |
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
HCPCS J0780 |
$2.93 |
$38.48
|
$387.14 |
782 |
|
Promethazine hcl injection
|
HCPCS J2550 |
$0.69 |
$12.37
|
$127.11 |
563 |
|
Propofol infusion 10 mg/ml
|
HCPCS J2704 |
$3.51 |
$73.36
|
$664.17 |
590 |
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
HCPCS J1800 |
$3.49 |
$33.31
|
$328.17 |
596 |
|
Protamine 10 mg/ml intravenous solution
|
HCPCS J2720 |
$3.64 |
$56.70
|
$514.50 |
653 |
|
Protein c concentrate
|
HCPCS J2724 |
$1.50 |
$5.78
|
$20.72 |
76 |
|
Prothrombin complex kcentra
|
HCPCS J7168 |
$1.13 |
$6.98
|
$162.33 |
331 |
|
Pyridoxine hcl 100 mg
|
HCPCS J3415 |
$3.00 |
$49.08
|
$462.68 |
563 |
|
Quinupristin/dalfopristin
|
HCPCS J2770 |
$139.68 |
$922.70
|
$8,125.36 |
142 |
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
HCPCS J7699 |
$0.76 |
$6.48
|
$15.84 |
69 |
|
Ramucirumab 10 mg/ml intravenous solution
|
HCPCS J9308 |
$468.26 |
$13,136.04
|
$73,314.07 |
376 |
|
Ranibizumab injection
|
HCPCS J2778 |
$441.18 |
$3,409.84
|
$7,597.63 |
120 |
|
Rasburicase 1.5 mg intravenous solution
|
HCPCS J2783 |
$274.58 |
$4,331.80
|
$34,657.00 |
537 |
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
HCPCS J1303 |
$1,807.21 |
$41,926.70
|
$211,591.87 |
293 |
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
HCPCS J2785 |
$18.58 |
$357.91
|
$3,521.17 |
738 |
|
Remdesivir 100 mg intravenous powder for solution
|
HCPCS J0248 |
$70.66 |
$1,555.39
|
$9,188.07 |
539 |
|
Reslizumab 10 mg/ml intravenous solution
|
HCPCS J2786 |
$117.38 |
$2,079.00
|
$11,085.98 |
182 |
|
Reteplase injection
|
HCPCS J2993 |
$790.48 |
$6,071.51
|
$35,711.77 |
133 |
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
HCPCS J9345 |
$903.77 |
$23,780.31
|
$92,312.85 |
100 |
|
Revefenacin inh non-com 1mcg
|
HCPCS J7677 |
$3.25 |
$15.56
|
$145.64 |
91 |
|
Rezafungin 200 mg intravenous solution
|
HCPCS J0349 |
$942.39 |
$4,987.55
|
$14,418.52 |
126 |
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
HCPCS J2791 |
$12.50 |
$234.12
|
$2,244.31 |
563 |
|
Rho d immune globulin 50 mcg
|
HCPCS J2788 |
$17.84 |
$106.14
|
$743.96 |
172 |
|
Rho(d) immune globulin h, sd
|
HCPCS J2792 |
$99.45 |
$3,228.05
|
$14,064.47 |
215 |
|
Rho d immune globulin inj
|
HCPCS J2790 |
$16.90 |
$217.71
|
$2,046.36 |
576 |
|
Riboflavin 5'phos opth<=3ml
|
HCPCS J2787 |
$2,034.50 |
$7,970.03
|
$21,000.00 |
84 |
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
HCPCS J2804 |
$31.76 |
$455.01
|
$3,853.00 |
330 |
|
Rilonacept injection
|
HCPCS J2793 |
$6,089.23 |
$10,418.73
|
$13,953.66 |
34 |
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
HCPCS J2327 |
$1,612.94 |
$30,071.50
|
$146,721.90 |
248 |
|
Risperidone microspheres 12.5 mg/2 ml inj
|
HCPCS J2794 |
$148.62 |
$2,429.37
|
$12,644.09 |
326 |
|
Rituximab 10 mg/ml concentrate,intravenous
|
HCPCS J9312 |
$392.69 |
$9,301.22
|
$51,096.37 |
438 |
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
HCPCS J9311 |
$750.06 |
$15,057.18
|
$78,016.98 |
265 |
|
Rolapitant, oral, 1mg
|
HCPCS J8670 |
$346.52 |
$580.13
|
$2,224.40 |
38 |
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
HCPCS J9319 |
$501.76 |
$6,333.33
|
$33,201.99 |
272 |
|
Romiplostim 125 mcg subcutaneous solution
|
HCPCS J2802 |
$924.14 |
$8,935.57
|
$34,475.87 |
326 |
|
Romiplostim injection
|
HCPCS J2796 |
$243.00 |
$1,740.51
|
$16,781.12 |
53 |
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
HCPCS J3111 |
$455.40 |
$4,820.04
|
$42,273.06 |
404 |
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
HCPCS J2795 |
$8.12 |
$188.16
|
$1,510.58 |
512 |
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
HCPCS J9333 |
$1,391.50 |
$15,007.16
|
$98,258.22 |
134 |
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
HCPCS J9317 |
$372.97 |
$5,174.32
|
$32,113.63 |
304 |
|
Sargramostim injection
|
HCPCS J2820 |
$30.30 |
$552.52
|
$4,589.00 |
235 |
|
Seg acet and eth estr yearly
|
HCPCS J7294 |
— |
—
|
— |
0 |
|
Sevelamer carbonate 800 mg tablet
|
HCPCS J0601 |
$0.36 |
$7.14
|
$66.45 |
137 |
|
Sevelamer carbonate pdr 20mg
|
HCPCS J0602 |
$1.75 |
$21.42
|
$199.11 |
126 |
|
Sincalide 5 mcg solution for injection
|
HCPCS J2805 |
$33.60 |
$309.14
|
$2,630.00 |
626 |
|
Sirolimus, oral
|
HCPCS J7520 |
$3.30 |
$41.70
|
$555.07 |
321 |
|
Sirolimus-protein bound 100 mg intravenous suspension
|
HCPCS J9331 |
$679.90 |
$14,361.10
|
$42,938.50 |
94 |
|
Skyla, 13.5 mg
|
HCPCS J7301 |
$127.89 |
$1,643.47
|
$7,190.75 |
247 |
|
Sodium chloride 0.9 % intravenous solution
|
HCPCS J7030 |
$2.65 |
$49.07
|
$475.00 |
683 |
|
Sodium chloride 0.9 % IV bolus
|
HCPCS J7040 |
$3.06 |
$45.62
|
$448.00 |
602 |