Hospital

KULA HOSPITAL

Kula, HI · CCN 121308 · Rates published

9,112 distinct procedures filed

11 distinct payers

253,615 rate rows

2026-07-31 last MRF observed

Data quality

253,403 of 253,615 rate rows are consumer-grade (99.9%)

212 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
per-diem day rate — not a per-procedure price	93
percent-of-charges filed in the dollar field — excluded from medians	61
template filing: same amount across many unrelated codes — excluded	31
placeholder amount (≤ $0.02) — excluded from medians	14
exceeds 10× this hospital's gross charge — excluded from medians	12
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	1

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://res.cloudinary.com/dpmykpsih/raw/upload/maui-health-site-309/media/r/0baf0545cbc949bbb068fdca815b804a/811559375-kulahospital-standardcharges-08062025.csv
Found on page	https://www.mauihealth.org/patients-and-visitors/billing-information/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-14
Content fingerprint	d202d16360329cf4… · 14,678,628 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J1411 HCPCS	Etranacogene Dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each Kit	8	$60.00	$4,704,002.80	$4,704,002.80	nat. median $3,710,000 1.3× median
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Soln 5 Ml Vial	11	$7.43	$346,861.00	$209,991.53	nat. median $2,353 outlier · 89.2×
J0225 HCPCS	Vutrisiran 25 Mg/0.5 Ml Syringe 0.5 Ml Syringe	10	$60.00	$291,459.77	$176,451.32	nat. median $8,133 outlier · 21.7×
J1412 HCPCS	Valoctocogene Roxaparvovec-rvox 2 X 10exp13 vg/mL Susp 1 Each Vial	10	$60.00	$221,310.88	$133,982.80	nat. median $13,208 outlier · 10.1×
Q9982 HCPCS	Flutemetamol F-18 5 mCi (185 MBq) Soln 1 Each Vial	10	$60.00	$211,030.42	$127,758.96	nat. median $3,080 outlier · 41.5×
Q2043 HCPCS	Sipuleucel-t In Lr 50 Million Cell/250 Ml Susp 250 Ml Bag	11	$7.43	$167,716.39	$100,990.51	nat. median $65,655 1.5× median
J0224 HCPCS	Lumasiran 94.5 Mg/0.5 Ml Soln 0.5 Ml Vial	11	$7.43	$158,405.00	$94,108.07	nat. median $362 outlier · 260.0×
J9029 HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 vp/mL Susp 1 Each Vial	10	$60.00	$149,854.63	$90,722.80	nat. median $69,291 1.3× median
A9513 HCPCS	Lutetium Lu 177 Dotatate 10 mCi/mL (370 mBq/mL) Soln 1 Each Vial	11	$7.43	$149,113.80	$90,174.27	nat. median $470 outlier · 191.9×
J1747 HCPCS	Spesolimab-sbzo 60 mg/mL Soln 7.5 Ml Vial	10	$60.00	$138,947.31	$84,119.45	nat. median $92 outlier · 917.1×
J7352 HCPCS	Afamelanotide 16 Mg Implant 1 Each Vial	10	$60.00	$134,294.64	$81,302.70	nat. median $3,403 outlier · 23.9×
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit	11	$7.43	$129,920.90	$78,654.82	nat. median $55,200 1.4× median
90288 CPT	Botulism Immune Globulin Human 100 Mg Recon Soln 1 Each Vial	11	$7.43	$137,525.00	$77,014.00	nat. median $52,716 1.5× median
187001050 NDC	Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial	10	$60.00	$121,644.75	$73,644.39	nat. median $55,630 1.3× median
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial	10	$60.00	$121,300.24	$73,435.82	nat. median $421 outlier · 174.6×
68875010201 NDC	Teduglutide 5 Mg Kit 1 Each Kit	10	$60.00	$121,288.23	$73,428.55	nat. median $100,000 0.7× median
J1823 HCPCS	Inebilizumab-cdon 10 mg/mL Soln 10 Ml Vial	11	$7.43	$125,765.00	$70,428.40	nat. median $818 outlier · 86.1×
J0223 HCPCS	Givosiran 189 mg/mL Soln 1 Ml Vial	11	$7.43	$113,533.65	$68,733.88	nat. median $152 outlier · 451.2×
C9293 HCPCS	Glucarpidase 1,000 Unit Recon Soln 1 Each Vial	11	$7.43	$109,692.16	$66,408.23	nat. median $24,377 outlier · 2.7×
J9347 HCPCS	Tremelimumab-actl 20 mg/mL Soln 15 Ml Vial	10	$60.00	$106,015.54	$64,182.38	nat. median $974 outlier · 65.9×
J9269 HCPCS	Tagraxofusp-erzs 1,000 mcg/mL Soln 1 Ml Vial	10	$60.00	$85,687.07	$51,875.42	nat. median $498 outlier · 104.2×
J2507 HCPCS	Pegloticase 8 mg/mL Soln 1 Ml Vial	11	$7.43	$78,109.90	$47,288.16	nat. median $8,784 outlier · 5.4×
A9606 HCPCS	Radium Ra 223 Dichloride 1,100 kBq/mL(30 microcurie/mL) Soln 1 Each Vial	11	$7.43	$77,819.53	$47,112.36	nat. median $266 outlier · 177.2×
187552560 NDC	Bexarotene 1 % Gel 60 G Tube	10	$60.00	$77,684.33	$47,030.51	nat. median $17,468 outlier · 2.7×
J0202 HCPCS	Alemtuzumab 12 Mg/1.2 Ml Soln 1.2 Ml Vial	11	$7.43	$77,681.96	$47,029.08	nat. median $3,876 outlier · 12.1×
J9118 HCPCS	Calaspargase Pegol-mknl 750 unit/mL Soln 5 Ml Vial	11	$7.43	$77,393.91	$46,854.69	nat. median $190 outlier · 246.4×
C9084 HCPCS	Loncastuximab Tesirine-lpyl Recon Soln 1 Each Vial	1	$7.43	$67,725.00	$46,730.25	nat. median $519 outlier · 90.1×
J9359 HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Recon Soln 1 Each Vial	10	$60.00	$72,031.59	$43,608.31	nat. median $701 outlier · 62.2×
J9266 HCPCS	PEGaspargase In Sterile Diluent 750 Unit/ml Inj 5 Ml Vial	11	$7.43	$71,477.18	$42,893.58	nat. median $32,688 1.3× median
J1951 HCPCS	Leuprolide (Pediatric 6 Month) 45 Mg Syringe 1 Each Syringe	10	$60.00	$69,631.62	$42,155.36	nat. median $173 outlier · 243.2×
J9348 HCPCS	Naxitamab-gqgk 4 mg/mL Soln 10 Ml Vial	11	$7.43	$69,481.18	$42,064.28	nat. median $829 outlier · 50.7×
187000714 NDC	Ribavirin 6 Gram Recon Soln 4 Each Vial	10	$60.00	$66,501.39	$40,260.30	nat. median $4,073 outlier · 9.9×
J3401 HCPCS	Beremagene Geperpavec-svdt 5 X 10exp9 Pfu/2.5 Ml Gel 2.5 Ml Vial	10	$60.00	$65,898.66	$39,895.41	nat. median $1,186 outlier · 33.6×
J9281 HCPCS	mitoMYcin 40 Mg X 2 Kit 1 Each Vial	11	$7.43	$65,219.35	$39,484.14	nat. median $532 outlier · 74.2×
J9600 HCPCS	Porfimer 75 Mg Recon Soln 1 Each Vial	11	$7.43	$62,137.10	$37,618.13	nat. median $29,477 1.3× median
J1303 HCPCS	Ravulizumab-cwvz 100 mg/mL Soln 11 Ml Vial	11	$7.43	$67,631.24	$36,859.02	nat. median $5,613 outlier · 6.6×
J9229 HCPCS	Inotuzumab Ozogamicin 0.9 Mg (0.25 mg/mL Initial) Recon Soln 1 Each Vial	11	$7.43	$60,165.50	$36,424.52	nat. median $5,934 outlier · 6.1×
J0593 HCPCS	Lanadelumab-flyo 300 Mg/2 Ml (150 mg/mL) Soln 2 Ml Vial	11	$7.43	$68,163.52	$33,718.75	nat. median $97 outlier · 348.0×
J9274 HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Soln 0.5 Ml Vial	10	$60.00	$54,600.35	$33,055.34	nat. median $410 outlier · 80.5×
J3316 HCPCS	Triptorelin 22.5 Mg Recon Susp 1 Each Vial	11	$7.43	$54,537.95	$33,017.57	nat. median $4,390 outlier · 7.5×
81521 CPT	Onc Breast Mrna Microra Gene Xprsn Prfl 70 Genes	10	$2,323.80	$53,391.93	$32,323.76	nat. median $4,067 outlier · 7.9×
81541 CPT	Onc Prst8 Mrna Gene Xprsn Prfl Rt-pcr 46 Genes	10	$2,323.80	$53,391.93	$32,323.76	nat. median $4,067 outlier · 7.9×
74204202 NDC	Risankizumab-rzaa 150mg/1.66mL(75 Mg/0.83 Ml X2) Syringe Kit 1 Each Box	10	$60.00	$52,577.63	$31,830.78	nat. median $31,831 1.0× median
J2350 HCPCS	Ocrelizumab 30 mg/mL Soln 10 Ml Vial	11	$7.43	$52,523.74	$31,798.16	nat. median $331 outlier · 96.1×
J1961 HCPCS	Lenacapavir 309 mg/mL Soln 1.5 Ml Vial	10	$21.99	$51,952.63	$31,452.40	nat. median $26 outlier · 1191.8×
J0638 HCPCS	Canakinumab (pf) 150 mg/mL Soln 1 Ml Vial	11	$7.43	$51,803.07	$31,361.86	nat. median $250 outlier · 125.3×
J9298 HCPCS	Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial	10	$60.00	$73,004.68	$31,183.97	nat. median $550 outlier · 56.7×
J2502 HCPCS	Pasireotide 20 Mg Recon Susp 1 Each Vial	11	$7.43	$50,800.95	$30,755.17	nat. median $650 outlier · 47.3×
J7311 HCPCS	Fluocinolone 0.59 Mg Implant 1 Each Packet	11	$7.43	$50,961.21	$30,686.32	nat. median $440 outlier · 69.7×
J3357 HCPCS	Ustekinumab 90 mg/mL Syringe 1 Ml Syringe	11	$7.43	$74,177.98	$29,573.43	nat. median $12,959 outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 9,112 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J1411	HCPCS	Etranacogene Dezaparvovec-drlb 1x10exp13 gc/mL Susp 1 Each Kit	14	8	—	$3,276,002.00	$60.00	$4,704,002.80	$4,704,002.80	2026-07-15
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Soln 5 Ml Vial	29	11	$374,984.87	$146,244.00 61% off	$7.43	$346,861.00	$209,991.53	2026-07-31
J0225	HCPCS	Vutrisiran 25 Mg/0.5 Ml Syringe 0.5 Ml Syringe	19	10	$315,091.64	$122,886.00 61% off	$60.00	$291,459.77	$176,451.32	2026-07-15
J1412	HCPCS	Valoctocogene Roxaparvovec-rvox 2 X 10exp13 vg/mL Susp 1 Each Vial	19	10	$239,255.00	$93,309.00 61% off	$60.00	$221,310.88	$133,982.80	2026-07-15
Q9982	HCPCS	Flutemetamol F-18 5 mCi (185 MBq) Soln 1 Each Vial	19	10	$228,141.00	$88,975.00 61% off	$60.00	$211,030.42	$127,758.96	2026-07-15
Q2043	HCPCS	Sipuleucel-t In Lr 50 Million Cell/250 Ml Susp 250 Ml Bag	29	11	$180,340.20	$70,333.00 61% off	$7.43	$167,716.39	$100,990.51	2026-07-31
J0224	HCPCS	Lumasiran 94.5 Mg/0.5 Ml Soln 0.5 Ml Vial	29	11	$168,050.12	$65,540.00 61% off	$7.43	$158,405.00	$94,108.07	2026-07-31
J9029	HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 vp/mL Susp 1 Each Vial	19	10	$162,005.00	$63,182.00 61% off	$60.00	$149,854.63	$90,722.80	2026-07-15
A9513	HCPCS	Lutetium Lu 177 Dotatate 10 mCi/mL (370 mBq/mL) Soln 1 Each Vial	29	11	$161,025.48	$62,800.00 61% off	$7.43	$149,113.80	$90,174.27	2026-07-31
J1747	HCPCS	Spesolimab-sbzo 60 mg/mL Soln 7.5 Ml Vial	19	10	$150,213.31	$58,583.00 61% off	$60.00	$138,947.31	$84,119.45	2026-07-15
J7352	HCPCS	Afamelanotide 16 Mg Implant 1 Each Vial	19	10	$145,183.40	$56,622.00 61% off	$60.00	$134,294.64	$81,302.70	2026-07-15
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Kit 1 Each Kit	29	11	$140,455.03	$54,777.00 61% off	$7.43	$129,920.90	$78,654.82	2026-07-31
90288	CPT	Botulism Immune Globulin Human 100 Mg Recon Soln 1 Each Vial	28	11	$137,525.00	$53,635.00 61% off	$7.43	$137,525.00	$77,014.00	2026-07-31
187001050	NDC	Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial	19	10	$131,507.84	$51,288.00 61% off	$60.00	$121,644.75	$73,644.39	2026-07-15
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial	19	10	$131,135.40	$51,143.00 61% off	$60.00	$121,300.24	$73,435.82	2026-07-15
68875010201	NDC	Teduglutide 5 Mg Kit 1 Each Kit	19	10	$131,122.41	$51,138.00 61% off	$60.00	$121,288.23	$73,428.55	2026-07-15
J1823	HCPCS	Inebilizumab-cdon 10 mg/mL Soln 10 Ml Vial	29	11	$125,765.00	$49,048.00 61% off	$7.43	$125,765.00	$70,428.40	2026-07-31
J0223	HCPCS	Givosiran 189 mg/mL Soln 1 Ml Vial	29	11	$122,739.08	$47,868.00 61% off	$7.43	$113,533.65	$68,733.88	2026-07-31
C9293	HCPCS	Glucarpidase 1,000 Unit Recon Soln 1 Each Vial	29	11	$118,586.12	$46,249.00 61% off	$7.43	$109,692.16	$66,408.23	2026-07-31
J9347	HCPCS	Tremelimumab-actl 20 mg/mL Soln 15 Ml Vial	19	10	$114,611.40	$44,698.00 61% off	$60.00	$106,015.54	$64,182.38	2026-07-15
J9269	HCPCS	Tagraxofusp-erzs 1,000 mcg/mL Soln 1 Ml Vial	19	10	$92,634.67	$36,128.00 61% off	$60.00	$85,687.07	$51,875.42	2026-07-15
J2507	HCPCS	Pegloticase 8 mg/mL Soln 1 Ml Vial	29	11	$84,443.14	$32,933.00 61% off	$7.43	$78,109.90	$47,288.16	2026-07-31
A9606	HCPCS	Radium Ra 223 Dichloride 1,100 kBq/mL(30 microcurie/mL) Soln 1 Each Vial	29	11	$84,129.22	$32,810.00 61% off	$7.43	$77,819.53	$47,112.36	2026-07-31
187552560	NDC	Bexarotene 1 % Gel 60 G Tube	19	10	$83,983.06	$32,753.00 61% off	$60.00	$77,684.33	$47,030.51	2026-07-15
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml Soln 1.2 Ml Vial	29	11	$83,980.50	$32,752.00 61% off	$7.43	$77,681.96	$47,029.08	2026-07-31
J9118	HCPCS	Calaspargase Pegol-mknl 750 unit/mL Soln 5 Ml Vial	29	11	$83,669.09	$32,631.00 61% off	$7.43	$77,393.91	$46,854.69	2026-07-31
C9084	HCPCS	Loncastuximab Tesirine-lpyl Recon Soln 1 Each Vial	10	1	$67,725.00	$26,412.75 61% off	$7.43	$67,725.00	$46,730.25	2026-07-31
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Recon Soln 1 Each Vial	19	10	$77,871.99	$30,370.00 61% off	$60.00	$72,031.59	$43,608.31	2026-07-15
J9266	HCPCS	PEGaspargase In Sterile Diluent 750 Unit/ml Inj 5 Ml Vial	29	11	$77,272.63	$30,136.00 61% off	$7.43	$71,477.18	$42,893.58	2026-07-31
J1951	HCPCS	Leuprolide (Pediatric 6 Month) 45 Mg Syringe 1 Each Syringe	19	10	$75,277.43	$29,358.00 61% off	$60.00	$69,631.62	$42,155.36	2026-07-15
J9348	HCPCS	Naxitamab-gqgk 4 mg/mL Soln 10 Ml Vial	29	11	$75,114.79	$29,295.00 61% off	$7.43	$69,481.18	$42,064.28	2026-07-31
187000714	NDC	Ribavirin 6 Gram Recon Soln 4 Each Vial	19	10	$71,893.39	$28,038.00 61% off	$60.00	$66,501.39	$40,260.30	2026-07-15
J3401	HCPCS	Beremagene Geperpavec-svdt 5 X 10exp9 Pfu/2.5 Ml Gel 2.5 Ml Vial	19	10	$71,241.80	$27,784.00 61% off	$60.00	$65,898.66	$39,895.41	2026-07-15
J9281	HCPCS	mitoMYcin 40 Mg X 2 Kit 1 Each Vial	29	11	$70,507.40	$27,498.00 61% off	$7.43	$65,219.35	$39,484.14	2026-07-31
J9600	HCPCS	Porfimer 75 Mg Recon Soln 1 Each Vial	29	11	$67,175.24	$26,198.00 61% off	$7.43	$62,137.10	$37,618.13	2026-07-31
J1303	HCPCS	Ravulizumab-cwvz 100 mg/mL Soln 11 Ml Vial	38	11	$67,631.24	$26,376.00 61% off	$7.43	$67,631.24	$36,859.02	2026-07-31
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg (0.25 mg/mL Initial) Recon Soln 1 Each Vial	29	11	$65,043.78	$25,367.00 61% off	$7.43	$60,165.50	$36,424.52	2026-07-31
J0593	HCPCS	Lanadelumab-flyo 300 Mg/2 Ml (150 mg/mL) Soln 2 Ml Vial	47	11	$67,437.49	$26,300.62 61% off	$7.43	$68,163.52	$33,718.75	2026-07-31
J9274	HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Soln 0.5 Ml Vial	19	10	$59,027.40	$23,021.00 61% off	$60.00	$54,600.35	$33,055.34	2026-07-15
J3316	HCPCS	Triptorelin 22.5 Mg Recon Susp 1 Each Vial	29	11	$58,959.95	$22,994.00 61% off	$7.43	$54,537.95	$33,017.57	2026-07-31
81541	CPT	Onc Prst8 Mrna Gene Xprsn Prfl Rt-pcr 46 Genes	19	10	$57,721.00	$22,511.00 61% off	$2,323.80	$53,391.93	$32,323.76	2026-07-15
81521	CPT	Onc Breast Mrna Microra Gene Xprsn Prfl 70 Genes	19	10	$57,721.00	$22,511.00 61% off	$2,323.80	$53,391.93	$32,323.76	2026-07-15
74204202	NDC	Risankizumab-rzaa 150mg/1.66mL(75 Mg/0.83 Ml X2) Syringe Kit 1 Each Box	19	10	$56,840.68	$22,168.00 61% off	$60.00	$52,577.63	$31,830.78	2026-07-15
J2350	HCPCS	Ocrelizumab 30 mg/mL Soln 10 Ml Vial	29	11	$56,782.42	$22,145.00 61% off	$7.43	$52,523.74	$31,798.16	2026-07-31
J1961	HCPCS	Lenacapavir 309 mg/mL Soln 1.5 Ml Vial	19	10	$56,165.00	$21,904.00 61% off	$21.99	$51,952.63	$31,452.40	2026-07-15
J0638	HCPCS	Canakinumab (pf) 150 mg/mL Soln 1 Ml Vial	29	11	$56,003.32	$21,841.00 61% off	$7.43	$51,803.07	$31,361.86	2026-07-31
J9298	HCPCS	Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Soln 20 Ml Vial	34	10	$39,484.49	$15,399.00 61% off	$60.00	$73,004.68	$31,183.97	2026-07-15
J2502	HCPCS	Pasireotide 20 Mg Recon Susp 1 Each Vial	37	11	$54,919.95	$21,419.00 61% off	$7.43	$50,800.95	$30,755.17	2026-07-31
J7311	HCPCS	Fluocinolone 0.59 Mg Implant 1 Each Packet	29	11	$54,797.00	$21,371.00 61% off	$7.43	$50,961.21	$30,686.32	2026-07-31
J3357	HCPCS	Ustekinumab 90 mg/mL Syringe 1 Ml Syringe	50	11	$40,098.72	$15,639.00 61% off	$7.43	$74,177.98	$29,573.43	2026-07-31
72893000803	NDC	vinCRIStine Liposomal 5 Mg/31 Ml(0.16 mg/mL) Final Kit 1 Each Vial	19	10	$49,571.47	$19,333.00 61% off	$60.00	$45,853.61	$27,760.02	2026-07-15
J3241	HCPCS	Teprotumumab-trbw 500 Mg Recon Soln 1 Each Vial	29	11	$49,015.75	$19,116.00 61% off	$7.43	$45,339.57	$27,448.82	2026-07-31
A9604	HCPCS	Samarium Sm 153-lexidronam 5,550 MBq/3 Ml Soln 1 Each Vial	29	11	$46,899.69	$18,291.00 61% off	$7.43	$46,899.69	$26,263.83	2026-07-31
J9334	HCPCS	Efgartigimod-hyaluronidase-qvfc 1,008 Mg-11,200 Unit/5.6 Ml Soln 5.6 Ml Vial	19	10	$46,339.76	$18,073.00 61% off	$33.13	$42,864.28	$25,950.27	2026-07-15
81520	CPT	Onc Breast Mrna Gene Xprsn Prfl Hybrd 58 Genes	19	10	$46,186.00	$18,013.00 61% off	$1,859.41	$42,722.05	$25,864.16	2026-07-15
J2327	HCPCS	Risankizumab-rzaa 150 mg/mL Pen Injector 1 Ml Syringe	34	10	$60,535.00	$23,609.00 61% off	$14.63	$55,994.88	$23,464.23	2026-07-15
J9345	HCPCS	Retifanlimab-dlwr 500 Mg/20 Ml Soln 20 Ml Vial	19	10	$41,632.52	$16,237.00 61% off	$29.20	$38,510.08	$23,314.21	2026-07-15
J9371	HCPCS	vinCRIStine Liposomal 5 Mg/31 Ml(0.16 mg/mL) Final Kit 1 Each Kit	10	1	$45,152.60	$17,609.51 61% off	$7.43	$41,991.92	$23,253.59	2026-07-31
J1628	HCPCS	Guselkumab 100 mg/mL Syringe 1 Ml Syringe	29	11	$39,958.66	$15,584.00 61% off	$7.43	$36,961.76	$22,376.85	2026-07-31
J9381	HCPCS	Teplizumab-mzwv 1 mg/mL Soln 1 Each Vial	19	10	$39,893.00	$15,558.00 61% off	$36.90	$36,901.03	$22,340.08	2026-07-15
A9590	HCPCS	Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial	37	10	$27,686.70	$10,798.00 61% off	$60.00	$264,062.06	$22,149.36	2026-07-15
J1300	HCPCS	Eculizumab 300 Mg/30 Ml Soln 30 Ml Vial	29	11	$37,577.48	$14,655.00 61% off	$7.43	$34,947.06	$21,043.39	2026-07-31
J9228	HCPCS	Ipilimumab 50 Mg/10 Ml (5 mg/mL) Soln 10 Ml Vial	50	11	$25,110.05	$9,793.00 61% off	$7.43	$92,782.03	$20,914.58	2026-07-31
50242017505	NDC	Risdiplam 0.75 mg/mL Recon Soln 80 Ml Bottle	19	10	$37,279.18	$14,539.00 61% off	$60.00	$34,483.24	$20,876.34	2026-07-15
10122050201	NDC	Elapegademase-lvlr 2.4 Mg/1.5 Ml (1.6 mg/mL) Soln 1.5 Ml Vial	19	10	$36,732.20	$14,326.00 61% off	$60.00	$33,977.29	$20,570.03	2026-07-15
J1305	HCPCS	Evinacumab-dgnb 150 mg/mL Soln 2.3 Ml Vial	29	11	$34,932.03	$13,623.00 61% off	$7.43	$32,312.13	$19,561.94	2026-07-31
J9316	HCPCS	Pertuzumab-trastuzumab-hyaluronidase-zzxf 1,200 Mg-600mg- 30000 unit/15mL Soln 1…	53	11	$36,641.16	$14,290.05 61% off	$7.43	$36,641.16	$19,419.81	2026-07-31
J9042	HCPCS	Brentuximab Vedotin 50 Mg Recon Soln 1 Each Vial	29	11	$33,861.96	$13,206.00 61% off	$7.43	$31,322.31	$18,962.70	2026-07-31
J9247	HCPCS	Melphalan Flufenamide Recon Soln 1 Each Vial	10	1	$27,405.00	$10,687.95 61% off	$7.43	$27,405.00	$18,909.45	2026-07-31
J9272	HCPCS	Dostarlimab-gxly 50 mg/mL Soln 10 Ml Vial	19	10	$33,346.78	$13,005.00 61% off	$60.00	$30,845.77	$18,674.20	2026-07-15
J0208	HCPCS	Sodium Thiosulfate 12.5 gram/100mL (125 mg/mL) Soln 100 Ml Vial	19	10	$32,886.20	$12,826.00 61% off	$60.00	$30,419.74	$18,416.27	2026-07-15
J1744	HCPCS	Icatibant 30 Mg/3 Ml Syringe 3 Ml Syringe	29	11	$32,109.77	$12,523.00 61% off	$7.43	$32,109.77	$17,981.47	2026-07-31
J1640	HCPCS	Hemin 350 Mg Recon Soln 1 Each Vial	29	11	$30,805.22	$12,014.00 61% off	$7.43	$28,494.83	$17,250.92	2026-07-31
66658020490	NDC	Nitisinone 4 mg/mL Susp 90 Ml Bottle	19	10	$30,793.02	$12,009.00 61% off	$60.00	$28,483.54	$17,244.09	2026-07-15
J9119	HCPCS	Cemiplimab-rwlc 50 mg/mL Soln 7 Ml Vial	29	11	$30,592.47	$11,931.00 61% off	$7.43	$28,298.03	$17,131.78	2026-07-31
J2329	HCPCS	Ublituximab-xiiy 25 mg/mL Soln 6 Ml Vial	19	10	$30,165.80	$11,765.00 61% off	$60.00	$27,903.37	$16,892.85	2026-07-15
J9153	HCPCS	Daunorubicin-cytarabine Liposome 44-100 Mg Recon Soln 1 Each Vial	29	11	$30,155.40	$11,761.00 61% off	$7.43	$27,893.74	$16,887.02	2026-07-31
J9144	HCPCS	Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Soln 15 Ml Vial	29	11	$28,910.16	$11,275.00 61% off	$7.43	$26,741.90	$16,189.69	2026-07-31
J2267	HCPCS	Mirikizumab-mrkz 100 mg/mL Pen Injector 1 Ml Syringe	36	10	$29,843.73	$11,639.00 61% off	$39.54	$27,605.45	$16,093.62	2026-07-15
J2562	HCPCS	Plerixafor 24 Mg/1.2 Ml (20 mg/mL) Soln 1.2 Ml Vial	29	11	$28,713.04	$11,198.00 61% off	$7.43	$26,559.56	$16,079.30	2026-07-31
J9203	HCPCS	Gemtuzumab Ozogamicin 4.5 Mg (1 mg/mL Initial Conc) Recon Soln 1 Each Vial	29	11	$28,547.09	$11,133.00 61% off	$7.43	$26,406.06	$15,986.37	2026-07-31
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 mg/mL) Soln 20 Ml Vial	52	11	$27,318.17	$10,654.09 61% off	$7.43	$29,143.38	$15,960.18	2026-07-31
J0222	HCPCS	Patisiran Lipid Complex 2 mg/mL Soln 5 Ml Vial	29	11	$28,185.80	$10,992.00 61% off	$7.43	$27,365.00	$15,784.05	2026-07-31
J9307	HCPCS	PRALAtrexate 20 mg/mL (1 Ml) Soln 1 Ml Vial	50	11	$21,222.06	$8,277.00 61% off	$7.43	$36,205.54	$15,324.64	2026-07-31
72126000701	NDC	Inotersen 284 Mg/1.5 Ml Syringe 1.5 Ml Syringe	19	10	$26,962.72	$10,515.00 61% off	$60.00	$24,940.52	$15,099.12	2026-07-15
J2427	HCPCS	Paliperidone Palmitate 273 Mg/0.88 Ml Syringe 0.88 Ml Syringe	94	10	$21,712.62	$8,468.00 61% off	$12.66	$55,608.17	$15,047.12	2026-07-15
J1440	HCPCS	Fecal Microbiota, Live-jslm 150 Ml Enema 150 Ml Bag	19	10	$26,313.80	$10,262.00 61% off	$60.00	$24,340.26	$14,735.73	2026-07-15
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 mg/mL) Soln 6 Ml Vial	19	10	$26,166.23	$10,205.00 61% off	$38.87	$24,203.76	$14,653.09	2026-07-15
J9333	HCPCS	Rozanolixizumab-noli 140 mg/mL Soln 2 Ml Vial	19	10	$26,141.00	$10,195.00 61% off	$22.80	$24,180.42	$14,638.96	2026-07-15
J7314	HCPCS	Fluocinolone 0.18 Mg Implant 1 Each Pf Appli	29	11	$25,913.48	$10,106.00 61% off	$7.43	$23,969.97	$14,511.55	2026-07-31
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Soln 40 Ml Vial	29	11	$25,759.52	$10,046.00 61% off	$7.43	$23,827.56	$14,425.33	2026-07-31
C9047	HCPCS	Caplacizumab-yhdp 11 Mg Recon Soln 1 Each Vial	29	11	$25,720.04	$10,031.00 61% off	$7.43	$23,791.04	$14,403.22	2026-07-31
J0584	HCPCS	Burosumab-twza 10 mg/mL Soln 1 Ml Vial	77	11	$25,645.38	$10,002.00 61% off	$7.43	$35,580.64	$14,361.41	2026-07-31
J7313	HCPCS	Fluocinolone 0.19 Mg Implant 1 Each Pf Appli	29	11	$25,637.00	$9,998.00 61% off	$7.43	$23,714.22	$14,356.72	2026-07-31
J9037	HCPCS	Belantamab Mafodotin-blmf 100 Mg Recon Soln 1 Each Vial	29	11	$25,465.23	$9,931.00 61% off	$7.43	$24,240.34	$14,260.53	2026-07-31
J9043	HCPCS	Cabazitaxel 10 mg/mL (first Dilution) Soln 6 Ml Vial	29	11	$25,391.25	$9,903.00 61% off	$7.43	$23,486.91	$14,219.10	2026-07-31
J1930	HCPCS	Lanreotide 60 Mg/0.2 Ml Syringe 0.2 Ml Syringe	71	11	$23,171.00	$9,036.69 61% off	$7.43	$25,477.79	$14,169.10	2026-07-31
10122010150	NDC	Deferiprone 100 mg/mL Soln 500 Ml Bottle	19	10	$25,222.40	$9,837.00 61% off	$60.00	$23,330.72	$14,124.54	2026-07-15
J9223	HCPCS	Lurbinectedin 4 Mg Recon Soln 1 Each Vial	29	11	$25,098.60	$9,788.00 61% off	$7.43	$23,216.21	$14,055.22	2026-07-31
J3380	HCPCS	Vedolizumab 300 Mg Recon Soln 1 Each Vial	29	11	$24,964.75	$9,736.00 61% off	$7.43	$23,092.39	$13,980.26	2026-07-31
J7170	HCPCS	Emicizumab-kxwh 30 mg/mL Soln 1 Ml Vial	146	11	$20,961.76	$8,175.00 61% off	$7.43	$89,473.89	$13,965.81	2026-07-31
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Soln 15 Ml Vial	29	11	$24,593.65	$9,592.00 61% off	$7.43	$22,749.13	$13,772.44	2026-07-31
J3101	HCPCS	Tenecteplase 50 Mg Recon Soln 1 Each Vial	29	11	$24,427.11	$9,527.00 61% off	$7.43	$22,595.08	$13,679.18	2026-07-31
A9600	HCPCS	Strontium-89 Chloride 1 mCi/mL Soln 4 Ml Vial	10	1	$24,090.25	$9,395.20 61% off	$7.43	$24,090.25	$13,610.99	2026-07-31
J9318	HCPCS	romiDEPsin 5 mg/mL Soln 5.5 Ml Vial	19	10	$24,111.65	$9,404.00 61% off	$60.00	$22,303.28	$13,502.52	2026-07-15
J9331	HCPCS	Sirolimus-protein Bound 100 Mg Recon Susp 1 Each Vial	19	10	$23,826.08	$9,292.00 61% off	$60.00	$22,039.12	$13,342.60	2026-07-15
8042301	NDC	Antivenin Micrurus Fulvius Recon Soln 1 Each Vial	19	10	$23,787.70	$9,277.00 61% off	$60.00	$22,003.62	$13,321.11	2026-07-15
J9311	HCPCS	Rituximab-hyaluronidase Human 1400 Mg/11.7 Ml (120 mg/mL) Soln 11.7 Ml Vial	53	11	$20,563.93	$8,020.00 61% off	$7.43	$23,495.21	$13,157.32	2026-07-31
J1632	HCPCS	Brexanolone 5 mg/mL Soln 20 Ml Vial	29	11	$23,249.00	$9,067.00 61% off	$7.43	$23,249.00	$13,019.44	2026-07-31
38779001909	NDC	Clotrimazole Powd 1,000 G Jar	19	10	$22,827.80	$8,903.00 61% off	$60.00	$21,115.72	$12,783.57	2026-07-15
J9308	HCPCS	Ramucirumab 10 mg/mL Soln 50 Ml Vial	29	11	$22,770.95	$8,881.00 61% off	$7.43	$21,063.13	$12,751.73	2026-07-31
J0218	HCPCS	Olipudase Alfa-rpcp 20 Mg Recon Soln 1 Each Vial	19	10	$22,733.70	$8,866.00 61% off	$60.00	$21,028.67	$12,730.87	2026-07-15
75893	CPT	Venous Sampling Thru Cath W/wo Angiography Rs&	19	10	$22,377.00	$8,727.00 61% off	$425.32	$20,698.72	$12,531.12	2026-07-15
75842	CPT	Venography Adrenal Bilateral Selective Rs&i	19	10	$22,377.00	$8,727.00 61% off	$435.57	$20,698.72	$12,531.12	2026-07-15
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg Recon Soln 1 Each Vial	19	10	$22,268.76	$8,685.00 61% off	$60.00	$20,598.60	$12,470.51	2026-07-15
J0596	HCPCS	C1 Esterase Inhibitor, Recombinant 2,100 Unit Recon Soln 1 Each Vial	29	11	$21,408.20	$8,349.00 61% off	$7.43	$19,802.58	$11,988.59	2026-07-31
J9210	HCPCS	Emapalumab-lzsg 5 mg/mL Soln 2 Ml Vial	29	11	$20,845.98	$8,130.00 61% off	$7.43	$20,845.98	$11,673.75	2026-07-31
68727010001	NDC	Sodium Oxybate 500 mg/mL Soln 180 Ml Bottle	19	10	$20,721.96	$8,082.00 61% off	$60.00	$19,167.81	$11,604.30	2026-07-15
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 mg/mL) Soln 14 Ml Vial	29	11	$20,408.54	$7,959.00 61% off	$7.43	$18,877.90	$11,428.78	2026-07-31
J9063	HCPCS	Mirvetuximab Soravtansine-gynx 5 mg/mL Soln 20 Ml Vial	19	10	$20,284.91	$7,911.00 61% off	$60.00	$18,763.54	$11,359.55	2026-07-15
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Injectr Syrg 0.6 Ml Syringe	19	10	$20,029.13	$7,811.00 61% off	$31.14	$18,526.95	$11,216.31	2026-07-15
J9332	HCPCS	Efgartigimod Alfa-fcab 20 mg/mL Soln 20 Ml Vial	19	10	$19,319.00	$7,534.00 61% off	$32.57	$17,870.08	$10,818.64	2026-07-15
44778062101	NDC	Balance Salt Soln-epinephrine 500-0.3 Ml Soln 500.3 Ml Vial	19	10	$19,152.48	$7,469.00 61% off	$60.00	$17,716.04	$10,725.39	2026-07-15
44778061201	NDC	Balance Salt Soln Plus-epinephrine 500-0.3 Ml Soln 500.3 Ml Vial	19	10	$19,152.48	$7,469.00 61% off	$60.00	$17,716.04	$10,725.39	2026-07-15
69639012001	NDC	Mechlorethamine 0.016 % Gel 60 G Tube	19	10	$18,410.50	$7,180.00 61% off	$60.00	$17,029.71	$10,309.88	2026-07-15
J2170	HCPCS	Mecasermin 10 mg/mL Soln 4 Ml Vial	28	11	$18,356.84	$7,159.00 61% off	$7.43	$16,980.08	$10,279.83	2026-07-31
L8605	HCPCS	Dextranomer-hyaluronate-nacl 50-15 mg/mL (4) Syringe Gel 1 Ml Syringe	19	10	$18,318.65	$7,144.00 61% off	$9.65	$16,944.75	$10,258.44	2026-07-15
J0598	HCPCS	C1 Esterase Inhibitor 500 Unit (5 Ml) Recon Soln 1 Each Vial	29	11	$18,268.23	$7,125.00 61% off	$7.43	$16,898.11	$10,230.21	2026-07-31
68040075240	NDC	Emollient ER Emulsion 225 G Bottle	19	10	$18,154.04	$7,080.00 61% off	$60.00	$16,792.49	$10,166.26	2026-07-15
J9271	HCPCS	Pembrolizumab 25 mg/mL Soln 4 Ml Vial	29	11	$18,085.09	$7,053.00 61% off	$7.43	$16,728.71	$10,127.65	2026-07-31
J0896	HCPCS	Luspatercept-aamt 25 Mg Recon Soln 1 Each Vial	52	11	$12,339.67	$4,812.00 61% off	$7.43	$31,600.25	$10,125.38	2026-07-31
J9309	HCPCS	Polatuzumab Vedotin-piiq 140 Mg Recon Soln 1 Each Vial	53	11	$43,245.00	$16,865.55 61% off	$7.43	$48,178.32	$10,073.58	2026-07-31
J9302	HCPCS	Ofatumumab 100 Mg/5 Ml Soln 5 Ml Vial	71	11	$18,870.17	$7,359.00 61% off	$7.43	$23,313.21	$10,001.19	2026-07-31
J0717	HCPCS	Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Kit 1 Each Kit	29	11	$17,848.87	$6,961.00 61% off	$4.65	$16,510.20	$9,995.37	2026-07-31
75987005006	NDC	Glycerol Phenylbutyrate 1.1 gram/mL Liqd 25 Ml Bottle	19	10	$17,761.04	$6,927.00 61% off	$60.00	$16,428.96	$9,946.18	2026-07-15
J0741	HCPCS	Cabotegravir-rilpivirine 400 Mg/2 Ml- 600 Mg/2 Ml Sr Susp 4 Ml Vial	34	10	$13,782.23	$5,375.00 61% off	$22.90	$19,120.51	$9,922.58	2026-07-15
76310002201	NDC	Aldesleukin 22 Million Unit/1.22 Ml Recon Soln 1 Each Vial	19	10	$17,365.59	$6,773.00 61% off	$60.00	$16,063.17	$9,724.73	2026-07-15
J9015	HCPCS	Aldesleukin 22 Million Unit Recon Soln 1 Each Vial	29	11	$17,365.59	$6,773.00 61% off	$7.43	$16,063.17	$9,724.73	2026-07-31
J2278	HCPCS	Ziconotide 100 mcg/mL Soln 5 Ml Vial	43	11	$17,296.46	$6,746.00 61% off	$7.43	$15,999.24	$9,686.02	2026-07-31
J1290	HCPCS	Ecallantide 10 mg/mL (1 Ml) Soln 3 Ml Vial	29	11	$17,290.94	$6,743.00 61% off	$7.43	$15,994.12	$9,682.93	2026-07-31
J9216	HCPCS	Interferon Gamma-1b 100 Mcg/0.5 Ml Soln 0.5 Ml Vial	29	11	$16,980.58	$6,622.00 61% off	$7.43	$15,733.05	$9,509.12	2026-07-31
J1602	HCPCS	Golimumab 50 Mg/0.5 Ml Pen Injector 0.5 Ml Syringe	71	11	$18,901.78	$7,371.69 61% off	$7.43	$20,257.05	$9,450.89	2026-07-31
J2406	HCPCS	Oritavancin 1,200 Mg Recon Soln 1 Each Vial	19	10	$16,653.07	$6,495.00 61% off	$42.50	$15,404.09	$9,325.72	2026-07-15
J9057	HCPCS	Copanlisib 60 Mg Recon Soln 1 Each Vial	29	11	$16,436.23	$6,410.00 61% off	$7.43	$15,203.51	$9,204.29	2026-07-31
42546015590	NDC	Emollient Emulsion 90 G Tube	19	10	$16,320.88	$6,365.00 61% off	$60.00	$15,096.81	$9,139.69	2026-07-15
J0491	HCPCS	Anifrolumab-fnia 300 Mg/2 Ml (150 mg/mL) Soln 2 Ml Vial	19	10	$16,320.63	$6,365.00 61% off	$17.29	$15,096.58	$9,139.55	2026-07-15
A9588	HCPCS	Fluciclovine F-18 10 mCi (370 MBq) Soln 1 Each Vial	29	11	$16,164.42	$6,304.00 61% off	$7.43	$15,021.00	$9,052.08	2026-07-31
J9039	HCPCS	Blinatumomab 35 Mcg Kit 1 Each Vial	29	11	$16,097.90	$6,278.00 61% off	$7.43	$14,890.56	$9,014.82	2026-07-31
J9021	HCPCS	asparaGINase (erwinia-rywn) 10 Mg/0.5 Ml Soln 0.5 Ml Vial	19	10	$16,050.60	$6,260.00 61% off	$52.79	$14,846.81	$8,988.34	2026-07-15
J0402	HCPCS	ARIPiprazole 720 Mg/2.4 Ml ER Syrg Susp 2.4 Ml Syringe	34	10	$13,201.85	$5,149.00 61% off	$5.95	$16,280.74	$8,954.84	2026-07-15
A9608	HCPCS	Flotufolastat F-18 296 MBq/mL To 5,846 MBq/mL Soln 1 Each Vial	19	10	$15,850.30	$6,182.00 61% off	$60.00	$14,661.53	$8,876.17	2026-07-15
25010021027	NDC	Ethacrynate Sodium 50 Mg Recon Soln 1 Each Vial	19	10	$15,650.74	$6,104.00 61% off	$60.00	$14,476.93	$8,764.41	2026-07-15
J9225	HCPCS	Histrelin 50 Mg (50 Mcg/day) Kit 1 Each Kit	29	11	$15,211.44	$5,932.00 61% off	$7.43	$14,146.64	$8,518.41	2026-07-31
J0840	HCPCS	Crotalidae Polyvalent Immune Fab (ovine) Recon Soln 1 Each Vial	50	11	$9,982.76	$3,893.28 61% off	$7.43	$34,266.74	$8,485.34	2026-07-31
75733	CPT	Angiography Adrenal Bilateral Slctv Rs&i	19	10	$14,957.00	$5,833.00 61% off	$435.57	$13,835.23	$8,375.92	2026-07-15
J2504	HCPCS	Pegademase Bovine 250 unit/mL Soln 1.5 Ml Vial	10	1	$16,250.84	$6,337.83 61% off	$7.43	$15,113.28	$8,369.19	2026-07-31
J1162	HCPCS	Digoxin Immune Fab 40 Mg/4 Ml Recon Soln 1 Each Vial	29	11	$14,927.96	$5,822.00 61% off	$7.43	$13,808.36	$8,359.66	2026-07-31
75705	CPT	Angiography Spinal Selective Rs&i	19	10	$14,918.00	$5,818.00 61% off	$435.57	$13,799.15	$8,354.08	2026-07-15
J0600	HCPCS	Edetate Calcium Disodium 200 mg/mL Soln 5 Ml Ampul	42	10	$16,807.66	$6,554.99 61% off	$7.43	$15,631.12	$8,306.00	2026-07-31
A9595	HCPCS	Piflufolastat F-18 37 MBq/mL To 2,960 MBq/mL Soln 1 Each Vial	19	10	$14,827.56	$5,783.00 61% off	$60.00	$13,715.49	$8,303.43	2026-07-15
J9354	HCPCS	Ado-trastuzumab Emtansine 100 Mg Recon Soln 1 Each Vial	50	11	$12,308.69	$4,800.00 61% off	$7.43	$18,191.85	$8,257.16	2026-07-31
A9594	HCPCS	Gallium Ga-68 Gozetotide 18.5 MBq To 185 MBq/mL Soln 1 Each Vial	19	10	$14,709.00	$5,737.00 61% off	$60.00	$13,605.83	$8,237.04	2026-07-15
73606001001	NDC	Pegcetacoplan 1,080 Mg/20 Ml Soln 20 Ml Vial	19	10	$14,652.52	$5,714.00 61% off	$60.00	$13,553.58	$8,205.41	2026-07-15
J1554	HCPCS	Immune Globulin (IgG) Human-slra 10 % Soln 50 Ml Vial	29	11	$14,635.33	$5,708.00 61% off	$7.43	$14,185.40	$8,195.78	2026-07-31
J9356	HCPCS	Trastuzumab-hyaluronidase-oysk 600 Mg-10,000 Unit/5 Ml Soln 5 Ml Vial	19	10	$14,631.75	$5,706.00 61% off	$60.00	$13,534.37	$8,193.78	2026-07-15
42794008614	NDC	Sodium Phenylbutyrate 0.94 Gram/gram Powd 266 G Bottle	19	10	$14,591.99	$5,691.00 61% off	$60.00	$13,497.59	$8,171.51	2026-07-15
A9591	HCPCS	Fluoroestradiol F-18 148 MBq/mL To 3,700 MBq/mL Soln 1 Each Vial	29	11	$14,443.80	$5,633.00 61% off	$7.43	$13,360.51	$8,088.53	2026-07-31
J2353	HCPCS	Octreotide, Microspheres 20 Mg Serr Susp 1 Each Vial	71	11	$14,407.86	$5,619.00 61% off	$7.43	$19,954.28	$8,068.40	2026-07-31
J1576	HCPCS	Immune Globulin Human (IgG) 10 % Soln 200 Ml Vial	19	10	$14,359.60	$5,600.00 61% off	$60.00	$13,282.63	$8,041.38	2026-07-15
J9204	HCPCS	Mogamulizumab-kpkc 4 mg/mL Soln 5 Ml Vial	29	11	$14,346.68	$5,595.00 61% off	$7.43	$13,270.68	$8,034.14	2026-07-31
J0135	HCPCS	Adalimumab 10 Mg/0.1 Ml Syringe Kit 2 Each Kit	26	1	$9,315.40	$3,633.01 61% off	$7.43	$18,625.80	$7,918.07	2026-07-31
J3285	HCPCS	Treprostinil Sodium 1 mg/mL Soln 20 Ml Vial	92	11	$9,936.90	$3,875.39 61% off	$7.43	$34,109.26	$7,849.18	2026-07-31
J9304	HCPCS	PEMEtrexed 25 mg/mL Soln 20 Ml Vial	19	10	$13,936.85	$5,435.00 61% off	$50.83	$12,891.59	$7,804.64	2026-07-15
J2356	HCPCS	Tezepelumab-ekko 210 Mg/1.91 Ml (110 mg/mL) Syringe 1.91 Ml Syringe	34	10	$12,987.04	$5,065.00 61% off	$18.11	$12,854.65	$7,782.28	2026-07-15
J0775	HCPCS	Collagenase Clostridium Hist. 0.9 Mg Recon Soln 1 Each Vial	29	11	$13,760.39	$5,367.00 61% off	$7.43	$12,728.36	$7,705.82	2026-07-31
J0801	HCPCS	Corticotropin 80 unit/mL Gel 5 Ml Vial	19	10	$13,728.01	$5,354.00 61% off	$60.00	$12,698.41	$7,687.69	2026-07-15
J9295	HCPCS	Necitumumab 800 Mg/50 Ml (16 mg/mL) Soln 50 Ml Vial	29	11	$13,553.82	$5,286.00 61% off	$5.73	$12,605.05	$7,590.14	2026-07-31
J2508	HCPCS	Pegunigalsidase Alfa-iwxj 2 mg/mL Soln 10 Ml Vial	19	10	$13,551.62	$5,285.00 61% off	$60.00	$12,535.25	$7,588.91	2026-07-15
J2793	HCPCS	Rilonacept 220 Mg Recon Soln 1 Each Vial	29	11	$13,532.19	$5,278.00 61% off	$7.43	$12,517.28	$7,578.03	2026-07-31
75891	CPT	Hepatc Vngrph Wdg/fr Without Hemodyn Eval Rs&i	19	10	$13,461.00	$5,250.00 61% off	$425.32	$12,451.42	$7,538.16	2026-07-15
75889	CPT	Hepatc Vngrph Wdg/fr Hemodyn Eval Rs&i	19	10	$13,461.00	$5,250.00 61% off	$425.32	$12,451.42	$7,538.16	2026-07-15
75885	CPT	Prq Transhepatc Portograpy Hemodyn Eval Rs&i	19	10	$13,461.00	$5,250.00 61% off	$425.32	$12,451.42	$7,538.16	2026-07-15
75860	CPT	Venography Venous Sinus/jugular Cath Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75840	CPT	Venography Adrenal Unilateral Selective Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75833	CPT	Venography Renal Bilateral Selective Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75831	CPT	Venography Renal Unilateral Selective Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75825	CPT	Venography Caval Inferior Serialography Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75756	CPT	Angiography Internal Mammary Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.57	$12,451.42	$7,538.16	2026-07-15
75600	CPT	Aortography Thoracic Without Serialography Rs&i	19	10	$13,461.00	$5,250.00 61% off	$435.08	$12,451.42	$7,538.16	2026-07-15
J0517	HCPCS	Benralizumab 30 mg/mL Syringe 1 Ml Syringe	44	11	$16,213.49	$6,323.26 61% off	$7.43	$16,387.73	$7,508.08	2026-07-31
69468015110	NDC	Uridine Triacetate 10 Gram Granules Pkt 1 Each Packet	19	10	$13,149.68	$5,128.00 61% off	$60.00	$12,163.45	$7,363.82	2026-07-15
J0217	HCPCS	Velmanase Alfa-tycv 10 Mg Recon Soln 1 Each Vial	19	10	$13,109.00	$5,113.00 61% off	$60.00	$12,125.83	$7,341.04	2026-07-15
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Syringe 0.6 Ml Syringe	19	10	$13,031.00	$5,082.00 61% off	$60.00	$12,053.67	$7,297.36	2026-07-15
J0391	HCPCS	Artesunate 110 Mg Recon Soln 2 Each Vial	19	10	$12,953.00	$5,052.00 61% off	$60.00	$11,981.52	$7,253.68	2026-07-15
J1950	HCPCS	Leuprolide (3 Month) 11.25 Mg Syringe Kit 1 Each Kit	155	11	$11,733.64	$4,576.00 61% off	$7.43	$32,981.67	$7,234.57	2026-07-31
J1746	HCPCS	Ibalizumab-uiyk 200 Mg/1.33 Ml (150 mg/mL) Soln 1.33 Ml Vial	29	11	$18,475.40	$7,205.00 61% off	$7.43	$17,089.74	$7,205.41	2026-07-31
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit (10 Ml) Kit 1 Each Kit	29	11	$12,697.78	$4,952.00 61% off	$7.43	$11,745.45	$7,110.76	2026-07-31
J9019	HCPCS	asparaGINase (Erwinia Chrysan) 10,000 Unit Recon Soln 5 Each Vial	29	11	$12,621.22	$4,922.00 61% off	$7.43	$11,737.73	$7,067.88	2026-07-31
J0206	HCPCS	Allopurinol 500 Mg/25 Ml Recon Soln 1 Each Vial	19	10	$12,444.62	$4,853.00 61% off	$5.00	$11,511.27	$6,968.99	2026-07-15
J9227	HCPCS	Isatuximab-irfc 20 mg/mL Soln 25 Ml Vial	29	11	$12,392.34	$4,833.00 61% off	$7.43	$11,462.91	$6,939.71	2026-07-31
J0739	HCPCS	Cabotegravir 600 Mg/3 Ml (200 mg/mL) Sr Susp 3 Ml Kit	19	10	$12,257.40	$4,780.00 61% off	$60.00	$11,338.09	$6,864.14	2026-07-15
Q5120	HCPCS	Pegfilgrastim-bmez 6 Mg/0.6 Ml Syringe 0.6 Ml Syringe	29	11	$12,252.65	$4,779.00 61% off	$7.43	$11,394.96	$6,861.48	2026-07-31
Q5122	HCPCS	Pegfilgrastim-apgf 6 Mg/0.6 Ml Syringe 0.6 Ml Syringe	19	10	$12,251.00	$4,778.00 61% off	$60.00	$11,332.17	$6,860.56	2026-07-15
72835090202	NDC	Calcipotriene-dressing 0.005 % Kit 1 Each Kit	19	10	$12,095.00	$4,717.00 61% off	$60.00	$11,187.88	$6,773.20	2026-07-15
A9592	HCPCS	Copper Cu-64 Dotatate 148 MBq/4 Ml (4 mCi/4 Ml) Soln 1 Each Vial	19	10	$12,057.00	$4,702.00 61% off	$60.00	$11,152.73	$6,751.92	2026-07-15
J0480	HCPCS	Basiliximab 20 Mg/5 Ml Recon Soln 1 Each Vial	50	11	$12,275.15	$4,787.31 61% off	$7.43	$12,904.38	$6,740.59	2026-07-31
J0565	HCPCS	Bezlotoxumab 25 mg/mL Soln 40 Ml Vial	29	11	$11,861.00	$4,626.00 61% off	$7.43	$11,861.00	$6,642.16	2026-07-31
80418	CPT	Combined Rapid Ant Pituitary Evaluation Panel	19	10	$11,848.00	$4,621.00 61% off	$485.86	$10,663.20	$6,634.88	2026-07-15
J0800	HCPCS	Corticotropin 80 unit/mL Gel 5 Ml Vial	10	1	$12,442.57	$4,852.60 61% off	$7.43	$11,571.59	$6,497.10	2026-07-31
A9582	HCPCS	Iobenguane I-123 2 mCi/mL Soln 1 Each	54	11	$12,285.39	$4,791.30 61% off	$7.43	$14,747.50	$6,486.42	2026-07-31
J7504	HCPCS	Lymphocyte,anti-thymocyte Immunoglobulin (equine) 50 mg/mL Soln 5 Ml Ampul	29	11	$13,082.68	$5,102.00 61% off	$7.43	$12,101.48	$6,435.70	2026-07-31
74485	CPT	Dilation Ureters/urethra Rs&i	19	10	$11,462.00	$4,470.00 61% off	$112.58	$10,602.35	$6,418.72	2026-07-15
J9061	HCPCS	Amivantamab-vmjw 50 mg/mL Soln 7 Ml Vial	19	10	$11,421.62	$4,454.00 61% off	$20.67	$10,565.00	$6,396.11	2026-07-15
75743	CPT	Angiography Pulmonary Bilateral Slctv Rs&i	19	10	$11,177.00	$4,359.00 61% off	$435.57	$10,338.73	$6,259.12	2026-07-15
75736	CPT	Angiography Pelvic Slctv/supraslctv Rs&i	19	10	$11,177.00	$4,359.00 61% off	$435.57	$10,338.73	$6,259.12	2026-07-15
75716	CPT	Angiography Extremity Bilateral Rs&i	19	10	$11,177.00	$4,359.00 61% off	$435.57	$10,338.73	$6,259.12	2026-07-15
75605	CPT	Aortography Thoracic Serialography Rs&i	19	10	$11,177.00	$4,359.00 61% off	$460.17	$10,394.00	$6,259.12	2026-07-15
J0870	HCPCS	Imetelstat 47 Mg Recon Soln 1 Each Vial	37	10	$7,754.52	$3,024.00 61% off	$60.00	$26,372.60	$6,203.62	2026-07-15
J9297	HCPCS	PEMEtrexed Disodium 25 mg/mL Soln 20 Ml Vial	19	10	$10,994.80	$4,288.00 61% off	$1.28	$10,170.19	$6,157.09	2026-07-15
72295	CPT	Diskograpy Lumbar Rs&i	19	10	$10,895.00	$4,249.00 61% off	$271.59	$10,077.88	$6,101.20	2026-07-15
A9572	HCPCS	Indium 111-pentetreotide 3-10 Mci/ml-mcg Kit 1 Each Kit	54	11	$12,025.80	$4,690.00 61% off	$7.43	$12,025.80	$6,073.03	2026-07-31
J2182	HCPCS	Mepolizumab 100 Mg Recon Soln 1 Each Vial	59	11	$10,809.31	$4,216.00 61% off	$7.43	$10,650.59	$6,053.21	2026-07-31
J0139	HCPCS	Adalimumab 10 Mg/0.1 Ml Syringe Kit 2 Each Kit	54	10	$10,804.33	$4,214.00 61% off	$60.00	$19,983.39	$6,050.42	2026-07-15
J9352	HCPCS	Trabectedin 1 Mg Recon Soln 1 Each Vial	29	11	$10,802.70	$4,213.00 61% off	$7.43	$9,992.50	$6,049.51	2026-07-31
81448	CPT	Hereditary Peripheral Neuropathy Gen Seq Pnl	19	10	$10,764.00	$4,198.00 61% off	$433.26	$9,956.70	$6,027.84	2026-07-15
J1306	HCPCS	Inclisiran 284 Mg/1.5 Ml Syringe 1.5 Ml Syringe	19	10	$10,661.61	$4,158.00 61% off	$12.19	$9,861.99	$5,970.50	2026-07-15
J9177	HCPCS	Enfortumab Vedotin-ejfv 20 Mg Recon Soln 1 Each Vial	52	11	$8,809.08	$3,436.00 61% off	$7.43	$12,201.79	$5,914.52	2026-07-31
44087907001	NDC	Follitropin Alfa 1,050 Unit Recon Soln 1 Each Vial	19	10	$10,554.16	$4,116.00 61% off	$60.00	$9,762.60	$5,910.33	2026-07-15
81175	CPT	Asxl1 Gene Analysis Full Gene Sequence	19	10	$10,536.00	$4,109.00 61% off	$424.21	$9,745.80	$5,900.16	2026-07-15
A9543	HCPCS	Yttrium Y 90-ibritumomab Tiuxetan Soln 1 Each	54	11	$160,102.84	$62,440.11 61% off	$7.43	$172,825.68	$5,856.78	2026-07-31
C9482	HCPCS	Sotalol 150 Mg/10 Ml (15 mg/mL) Soln 10 Ml Vial	19	10	$10,288.52	$4,013.00 61% off	$60.00	$9,516.88	$5,761.57	2026-07-15
J2787	HCPCS	Riboflavin-riboflavin In 20% Dextran 0.146 % -0.146 % Drp-visc Drp 6 Ml Syringe	44	11	$10,722.20	$4,181.66 61% off	$7.43	$11,981.52	$5,756.94	2026-07-31
J2993	HCPCS	Reteplase 10 X 2 Unit (20 Unit) Recon Soln 2 Each Kit	44	11	$9,430.62	$3,678.00 61% off	$7.43	$10,800.28	$5,738.84	2026-07-31
J2799	HCPCS	risperiDONE 125 Mg/0.35 Ml ER Syrg Susp 0.35 Ml Syringe	109	10	$9,998.98	$3,900.00 61% off	$24.77	$18,493.50	$5,599.43	2026-07-15
87903	CPT	Nfct Phexyp Resist Tiss Cul HIV First 1-10 Drugs	19	10	$9,990.00	$3,896.00 61% off	$486.21	$8,991.00	$5,594.40	2026-07-15
J9299	HCPCS	Nivolumab 40 Mg/4 Ml Soln 4 Ml Vial	78	11	$9,970.01	$3,888.00 61% off	$7.43	$22,075.20	$5,583.21	2026-07-31
J9319	HCPCS	romiDEPsin 10 Mg/2 Ml Recon Soln 1 Each Vial	29	11	$9,931.19	$3,873.00 61% off	$7.43	$10,962.88	$5,561.47	2026-07-31
J1743	HCPCS	Idursulfase 6 Mg/3 Ml Soln 3 Ml Vial	29	11	$9,788.79	$3,818.00 61% off	$7.43	$9,103.57	$5,481.72	2026-07-31
J2425	HCPCS	Palifermin 6.25 Mg Recon Soln 1 Each Vial	29	11	$9,758.27	$3,806.00 61% off	$7.43	$9,026.40	$5,464.63	2026-07-31
81450	CPT	Hematolymphoid Neo/do Gsap 5-50dna/dna&rna Alys	19	10	$9,731.00	$3,795.00 61% off	$30.00	$8,757.90	$5,449.36	2026-07-15
C9067	HCPCS	Gallium Ga-68 Dotatoc 18.5 MBq To 148 MBq/mL Soln 1 Each Vial	19	10	$9,561.00	$3,729.00 61% off	$60.00	$8,843.92	$5,354.16	2026-07-15
25016608	NDC	Nafarelin 2 mg/mL Spray 8 Ml Squeez Btl	19	10	$9,440.92	$3,682.00 61% off	$60.00	$8,732.85	$5,286.92	2026-07-15
87507	CPT	Iadna-dna/rna Gi Pthgn Multiplex Probe Tq 12-25	19	10	$9,374.00	$3,656.00 61% off	$30.00	$8,436.60	$5,249.44	2026-07-15
87633	CPT	Iadna Respiratry Probe & Rev Trnscr 12-25 Target	19	10	$9,374.00	$3,656.00 61% off	$343.75	$8,436.60	$5,249.44	2026-07-15
A9587	HCPCS	Gallium Ga-68-dotatate 40 Mcg Recon Soln 1 Each Vial	29	11	$9,365.00	$3,652.00 61% off	$7.43	$10,925.00	$5,244.40	2026-07-31
66302020603	NDC	Treprostinil 1.74 Mg/2.9 Ml (0.6 mg/mL) Neb Soln 11.6 Ml Ampul	19	10	$9,323.14	$3,636.00 61% off	$60.00	$8,623.90	$5,220.96	2026-07-15
J9268	HCPCS	Pentostatin 10 Mg/5 Ml Recon Soln 1 Each Vial	29	11	$9,252.99	$3,609.00 61% off	$7.43	$8,559.02	$5,181.67	2026-07-31
J9027	HCPCS	Clofarabine 1 mg/mL Soln 20 Ml Vial	29	11	$9,201.37	$3,589.00 61% off	$7.43	$8,557.27	$5,152.77	2026-07-31
J9205	HCPCS	Irinotecan Liposomal 4.3 mg/mL Dispersion 10 Ml Vial	29	11	$9,111.72	$3,554.00 61% off	$7.43	$8,428.34	$5,102.56	2026-07-31
J9380	HCPCS	Teclistamab-cqyv 90 mg/mL Soln 1.7 Ml Vial	34	10	$28,025.09	$10,930.00 61% off	$31.98	$25,923.21	$5,090.20	2026-07-15
J7169	HCPCS	Factor Xa,inactivated-zhzo 200 Mg Recon Soln 1 Each Vial	38	11	$8,195.00	$3,196.07 61% off	$7.43	$17,165.00	$5,083.00	2026-07-31
44087111701	NDC	Follitropin Alfa 900/1.5 unit/mL Pen Injector 1.5 Ml Cartridge	19	10	$9,047.13	$3,528.00 61% off	$60.00	$8,368.60	$5,066.39	2026-07-15
81321	CPT	Pten Gene Analysis Full Sequence Analysis	19	10	$9,001.00	$3,510.00 61% off	$360.42	$8,100.90	$5,040.56	2026-07-15
A9586	HCPCS	Florbetapir F-18 10 mCi (370 MBq) Soln 1 Each Vial	29	11	$8,960.09	$3,494.00 61% off	$7.43	$8,960.09	$5,017.65	2026-07-31
J2997	HCPCS	Alteplase 50 Mg Recon Soln 1 Each Vial	92	11	$13,733.56	$5,356.00 61% off	$7.43	$23,575.54	$5,009.12	2026-07-31
81259	CPT	Hba1/hba2 Gene Analysis Full Gene Sequence	19	10	$8,942.00	$3,487.00 61% off	$360.00	$8,271.35	$5,007.52	2026-07-15
81249	CPT	G6pd Gene Analysis Full Gene Sequence	19	10	$8,942.00	$3,487.00 61% off	$360.00	$8,271.35	$5,007.52	2026-07-15
81238	CPT	F9 Full Gene Sequence	19	10	$8,942.00	$3,487.00 61% off	$360.00	$8,271.35	$5,007.52	2026-07-15
48102005305	NDC	Echothiophate Iodide 0.125 % Drop 5 Ml Drop Btl	19	10	$8,931.88	$3,483.00 61% off	$60.00	$8,261.99	$5,001.85	2026-07-15
J0599	HCPCS	C1 Esterase Inhibitor 2,000 Unit Recon Soln 1 Each Vial	56	11	$7,266.43	$2,834.00 61% off	$7.43	$10,079.85	$4,998.05	2026-07-31
72285	CPT	Diskograpy Cervical/thoracic Rs&i	19	10	$8,917.00	$3,478.00 61% off	$289.75	$8,248.23	$4,993.52	2026-07-15
J9358	HCPCS	Fam-trastuzumab Deruxtecan-nxki 100 Mg Recon Soln 1 Each Vial	29	11	$8,807.11	$3,435.00 61% off	$7.43	$8,146.58	$4,931.98	2026-07-31
81317	CPT	Pms2 Gene Analysis Full Sequence	19	10	$8,781.00	$3,425.00 61% off	$468.77	$7,902.90	$4,917.36	2026-07-15
Q9983	HCPCS	Florbetaben F-18 8.1 mCi (300 MBq) Soln 1 Each Vial	19	10	$8,781.00	$3,425.00 61% off	$60.00	$8,122.43	$4,917.36	2026-07-15
49411005208	NDC	Aminocaproic Acid 250 mg/mL (25 %) Soln 236.5 Ml Bottle	19	10	$8,722.51	$3,402.00 61% off	$60.00	$8,068.32	$4,884.61	2026-07-15
71469023101	NDC	Aminolevulinic Acid 30 mg/mL Recon Soln 1 Each Vial	19	10	$8,703.68	$3,394.00 61% off	$60.00	$8,050.90	$4,874.06	2026-07-15
42367054032	NDC	Dantrolene 250 Mg Recon Susp 1 Each Vial	19	10	$8,622.34	$3,363.00 61% off	$60.00	$7,975.66	$4,828.51	2026-07-15
J1944	HCPCS	ARIPiprazole Lauroxil 662 Mg/2.4 Ml ER Syrg Susp 2.4 Ml Syringe	101	11	$7,239.50	$2,823.00 61% off	$3.23	$10,760.20	$4,821.82	2026-07-31
J9207	HCPCS	Ixabepilone 15 Mg Recon Soln 1 Each Vial	50	11	$6,207.19	$2,421.00 61% off	$7.43	$17,141.69	$4,773.01	2026-07-31
J9120	HCPCS	DACTINomycin 0.5 Mg/1 Ml Recon Soln 1 Each Vial	29	11	$8,495.64	$3,313.00 61% off	$7.43	$7,858.47	$4,757.56	2026-07-31
J9176	HCPCS	Elotuzumab 300 Mg Recon Soln 1 Each Vial	52	11	$7,005.84	$2,732.00 61% off	$7.43	$8,626.58	$4,748.52	2026-07-31
J1575	HCPCS	Igg-hyaluronidase (recombinant) 20 Gram /200 Ml (10 %) Soln 210 Ml Vial	92	11	$7,648.73	$2,983.00 61% off	$7.43	$21,215.97	$4,741.02	2026-07-31
J2798	HCPCS	risperiDONE 90 Mg ER Syrg Susp 1 Each Kit	53	11	$6,788.22	$2,647.00 61% off	$7.43	$8,370.68	$4,683.87	2026-07-31
38779000805	NDC	Hydrocortisone Acetate Powd 100 G Jar	19	10	$8,341.38	$3,253.00 61% off	$60.00	$7,715.78	$4,671.17	2026-07-15
44778017503	NDC	Gentamicin In Ns 80 Mg/1000 Ml Soln 1,000 Ml Bottle	19	10	$8,325.00	$3,247.00 61% off	$60.00	$7,700.63	$4,662.00	2026-07-15
J9217	HCPCS	Leuprolide (6 Month) 45 Mg Syringe Kit 1 Each Kit	176	11	$8,500.61	$3,315.00 61% off	$7.43	$32,714.92	$4,655.50	2026-07-31
75726	CPT	Angiography Visceral Slctv/supraslctv Rs&i	19	10	$8,280.00	$3,229.00 61% off	$459.48	$8,507.00	$4,636.80	2026-07-15
J9286	HCPCS	Glofitamab-gxbm 1 mg/mL Soln 2.5 Ml Vial	19	10	$8,254.90	$3,219.00 61% off	$60.00	$7,635.78	$4,622.74	2026-07-15
J0177	HCPCS	Aflibercept 8 Mg/0.07 Ml Soln 0.07 Ml Vial	19	10	$8,195.00	$3,196.00 61% off	$60.00	$7,580.38	$4,589.20	2026-07-15
J2802	HCPCS	romiPLOStim 500 Mcg Recon Soln 1 Each Vial	55	10	$8,185.39	$3,192.00 61% off	$60.00	$15,138.32	$4,583.82	2026-07-15
52032601	NDC	Follitropin Beta 900 Unit/1.08 Ml Crtg 1.08 Ml Cartridge	19	10	$8,148.20	$3,178.00 61% off	$60.00	$7,537.09	$4,562.99	2026-07-15
J9200	HCPCS	Floxuridine 0.5 G/5 Ml Recon Soln 1 Each Vial	29	11	$11,403.70	$4,447.00 61% off	$7.43	$10,548.42	$4,559.50	2026-07-31
J3315	HCPCS	Triptorelin 22.5 Mg Recon Susp 1 Each Vial	71	11	$8,113.63	$3,164.00 61% off	$7.43	$14,968.63	$4,543.63	2026-07-31
Q0247	HCPCS	Sotrovimab 500 Mg/8 Ml (62.5 mg/mL) Soln 8 Ml Vial	10	1	$6,557.00	$2,557.23 61% off	$7.43	$6,557.00	$4,524.33	2026-07-31
Q2017	HCPCS	Teniposide 50 Mg/5 Ml Soln 5 Ml Ampul	10	1	$7,832.36	$3,054.62 61% off	$7.43	$7,832.36	$4,489.62	2026-07-31
99291	CPT	Critical Care Ill/injured Patient Init 30-74 Min	19	10	$8,000.00	$3,120.00 61% off	$75.00	$7,400.00	$4,480.00	2026-07-15
J9245	HCPCS	Melphalan 50 Mg Recon Soln 1 Each Vial	29	11	$7,864.89	$3,067.00 61% off	$7.43	$7,314.35	$4,404.34	2026-07-31
A9602	HCPCS	Fluorodopa F-18 0.42 mCi/mL To 8.33 mCi/mL Soln 1 Each Vial	36	10	$7,827.32	$3,053.00 61% off	$60.00	$7,240.27	$4,383.01	2026-07-15
J3111	HCPCS	Romosozumab-aqqg 210mg/2.34mL ( 105mg/1.17mLx2) Syringe 1.17 Ml Syringe	29	11	$7,816.67	$3,049.00 61% off	$7.43	$7,230.42	$4,377.34	2026-07-31
187520030	NDC	Fluorouracil 0.5 % Crea 30 G Tube	19	10	$7,797.67	$3,041.00 61% off	$60.00	$7,212.84	$4,366.70	2026-07-15
P9052	HCPCS	Platlts Hla-matchd Leukocytes Rduc Apheres/phere	19	10	$7,794.00	$3,040.00 61% off	$467.64	$7,209.45	$4,364.64	2026-07-15
J9285	HCPCS	Olaratumab 10 mg/mL Soln 50 Ml Vial	10	1	$7,707.72	$3,006.01 61% off	$7.43	$7,168.18	$4,354.86	2026-07-31
J9034	HCPCS	Bendamustine 25 mg/mL Soln 4 Ml Vial	29	11	$7,763.26	$3,028.00 61% off	$7.43	$7,219.83	$4,347.43	2026-07-31
A9584	HCPCS	Ioflupane I-123 5 mCi/2.5 Ml (185 MBq/2.5mL) Soln 1 Each Vial	28	11	$7,745.16	$3,021.00 61% off	$7.43	$7,745.16	$4,337.29	2026-07-31
J9317	HCPCS	Sacituzumab Govitecan-hziy 180 Mg Recon Soln 1 Each Vial	29	11	$7,732.56	$3,016.00 61% off	$7.43	$7,152.62	$4,330.23	2026-07-31
J9032	HCPCS	Belinostat 500 Mg Recon Soln 1 Each Vial	29	11	$7,707.31	$3,006.00 61% off	$7.43	$7,129.26	$4,316.09	2026-07-31
86891	CPT	Autol Bld/component Collj Storage Salvage	19	10	$7,674.00	$2,993.00 61% off	$460.44	$7,098.45	$4,297.44	2026-07-15
597019705	NDC	idaruCIZUmab 2.5 Gram/50 Ml Soln 50 Ml Vial	19	10	$7,658.62	$2,987.00 61% off	$60.00	$7,084.22	$4,288.83	2026-07-15
J0791	HCPCS	Crizanlizumab-tmca 10 mg/mL Soln 10 Ml Vial	29	11	$7,658.18	$2,987.00 61% off	$7.43	$7,083.82	$4,288.58	2026-07-31
A9502	HCPCS	Technetium Tc-99m-tetrofosmin 1.38 Mg Recon Soln 1 Each Vial	19	10	$7,646.88	$2,982.00 61% off	$60.00	$7,073.36	$4,282.25	2026-07-15

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