Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CITIZENS MEDICAL CENTER

Colby, KS · CCN 171362 · Rates published

3,673 distinct procedures filed
17 distinct payers
61,436 rate rows
2026-08-01 last MRF observed
Data quality

41,398 of 61,436 rate rows are consumer-grade (67.4%)

20,038 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,792
placeholder amount (≤ $0.02) — excluded from medians 211
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/a32c8afa973a70a6aeeae3e176f9f387/charges/mrf
Found on page https://www.cdmpricing.com/a32c8afa973a70a6aeeae3e176f9f387
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint e904261849cf2294… · 17,675,673 bytes · first seen 2026-08-01

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
J9350
HCPCS 		6 $10,906.93 $30,475.25 $27,171.09 nat. median
$1,511
outlier · 18.0×
49255
CPT 		Removal Of Omentum 8 $468.00 $19,901.55 $14,538.61 nat. median
$3,769
outlier · 3.9×
44140
CPT 		Partial Removal Of Colon 6 $5,698.06 $15,921.05 $14,194.88 nat. median
$2,613
outlier · 5.4×
J9228
HCPCS 		Yervoy 8 $167.93 $50,551.45 $11,972.74 nat. median
$8,184
1.5× median
38120
CPT 		8 $1,040.00 $16,048.35 $11,723.74 nat. median
$9,999
1.2× median
J2327
HCPCS 		Skyrizi 600mg/10ml 8 $15.52 $15,621.80 $11,412.14 nat. median
$961
outlier · 11.9×
J2505
HCPCS 		5 $3,813.41 $18,374.90 $10,308.18 nat. median
$6,405
1.6× median
C1764
HCPCS 		6 $3,366.00 $12,177.30 $8,632.80 nat. median
$7,735
1.1× median
J9010
HCPCS 		5 $3,433.92 $9,594.76 $8,524.19 nat. median
$4,908
1.7× median
J9042
HCPCS 		8 $221.96 $17,903.70 $8,329.93 nat. median
$885
outlier · 9.4×
J9301
HCPCS 		Gazyva 6 $88.66 $11,370.25 $8,306.26 nat. median
$272
outlier · 30.5×
49652
CPT 		Lap Vent/abd Hernia Repair 6 $3,191.24 $8,916.70 $7,949.94 nat. median
$5,168
1.5× median
49653
CPT 		Lap Vent/abd Hern Proc Comp 6 $3,090.60 $8,635.50 $7,699.23 nat. median
$5,374
1.4× median
C9086
HCPCS 		5 $2,857.36 $7,983.80 $7,092.98 nat. median
$1,117
outlier · 6.4×
J9203
HCPCS 		8 $221.84 $14,875.95 $6,921.23 nat. median
$653
outlier · 10.6×
J9050
HCPCS 		8 $410.96 $14,644.25 $6,813.43 nat. median
$605
outlier · 11.3×
C1763
HCPCS 		5 $2,683.28 $7,497.40 $6,660.85 nat. median
$2,304
outlier · 2.9×
81519
CPT 		6 $2,633.64 $7,358.70 $6,560.86 nat. median
$4,067
1.6× median
J9223
HCPCS 		8 $197.18 $13,064.40 $6,078.39 nat. median
$605
outlier · 10.1×
J0350
HCPCS 		7 $2,385.00 $10,433.85 $5,974.75 nat. median
$4,157
1.4× median
49560
CPT 		Rpr Ventral Hern Init Reduc 6 $2,187.22 $6,111.35 $5,448.75 nat. median
$3,056
1.8× median
49561
CPT 		Rpr Ventral Hern Init Block 6 $2,187.22 $6,111.35 $5,448.75 nat. median
$3,190
1.7× median
J3380
HCPCS 		Entyvio 8 $22.68 $11,504.28 $5,352.51 nat. median
$150
outlier · 35.7×
38100
CPT 		Removal Of Spleen 6 $2,142.00 $5,985.00 $5,336.10 nat. median
$2,530
outlier · 2.1×
J9299
HCPCS 		Opdivo 8 $30.46 $10,761.06 $5,252.58 nat. median
$2,649
2.0× median
26121
CPT 		Release Palm Contracture 16 $364.00 $5,269.00 $5,137.27 nat. median
$3,710
1.4× median
J3590
HCPCS 		5 $1,822.09 $10,377.99 $5,091.15 nat. median
$759
outlier · 6.7×
J2323
HCPCS 		8 $24.86 $10,567.80 $4,916.81 nat. median
$136
outlier · 36.2×
J9354
HCPCS 		Kadcyla 8 $38.33 $8,630.68 $4,792.31 nat. median
$4,097
1.2× median
J2993
HCPCS 		8 $2,603.84 $9,058.96 $4,443.82 nat. median
$3,425
1.3× median
41899
CPT 		6 $2,170.22 $6,063.85 $4,429.80 nat. median
$453
outlier · 9.8×
J2406
HCPCS 		8 $41.73 $8,602.18 $4,002.28 nat. median
$59
outlier · 68.3×
J0517
HCPCS 		8 $170.93 $8,497.30 $3,953.48 nat. median
$801
outlier · 4.9×
49585
CPT 		Rpr Umbil Hern Reduc > 5 Yr 6 $1,565.36 $4,373.80 $3,899.59 nat. median
$3,157
1.2× median
55700
CPT 		Biopsy Of Prostate Gland 8 $408.00 $3,897.94 $3,897.94 nat. median
$2,096
1.9× median
J2353
HCPCS 		8 $208.12 $7,404.54 $3,832.44 nat. median
$5,513
0.7× median
J0491
HCPCS 		8 $16.66 $8,224.49 $3,826.55 nat. median
$60
outlier · 63.3×
49650
CPT 		Lap Ing Hernia Repair Init 16 $452.40 $9,098.15 $3,709.50 nat. median
$5,834
0.6× median
57511
CPT 		8 $260.00 $5,392.20 $3,628.19 nat. median
$385
outlier · 9.4×
Q4196
HCPCS 		Puraply Am 1 Sq Cm 5 $459.00 $14,620.50 $3,583.43 nat. median
$307
outlier · 11.7×
32550
CPT 		Insert Pleural Cath 8 $1,322.27 $4,675.90 $3,415.87 nat. median
$4,071
0.8× median
58210
CPT 		Extensive Hysterectomy 8 $3,404.43 $3,404.43 $3,404.43 nat. median
$4,160
0.8× median
49570
CPT 		Rpr Epigastric Hern Reduce 6 $1,360.00 $3,800.00 $3,388.00 nat. median
$3,379
1.0× median
J3110
HCPCS 		6 $89.27 $4,473.36 $3,267.91 nat. median
$189
outlier · 17.3×
J3240
HCPCS 		8 $2,001.49 $6,680.40 $3,247.04 nat. median
$2,938
1.1× median
60500
CPT 		Explore Parathyroid Glands 16 $728.00 $10,392.05 $3,246.00 nat. median
$6,125
0.5× median
26160
CPT 		Removal Of Growth Of Tendon Finger Or Hand 16 $208.00 $3,532.00 $3,178.80 nat. median
$1,913
1.7× median
78990
CPT 		6 $1,259.02 $3,517.85 $3,136.44 nat. median
$1,595
2.0× median
25607
CPT 		Treatment Of Broken Forearm Bone On Thumb Side Of Wrist; Above Wrist; With Place… 1 $3,125.35 $3,125.35 $3,125.35 nat. median
$7,029
outlier · 0.4×
60240
CPT 		Removal Of Thyroid 16 $728.00 $12,709.10 $3,109.00 nat. median
$6,065
0.5× median

Other procedures at this hospital

Browse this hospital's 3,673 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0002-1506-01 NDC Mounjaro 10 8 $630.88 $410.07 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0002-2236-80 NDC Trulicity Pen 10 8 $708.01 $460.21 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0002-7589-01 NDC Bebtelovimab 10 8 $1,514.20 $984.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0024-5918-01 NDC Dupixent Pfs 10 8 $1,992.50 $1,295.13 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0024-5919-02 NDC Dupixent Pen 10 8 $1,921.39 $1,248.90 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0054-3500-49 NDC Lidocaine HCl Viscous 10 8 $15.12 $9.83 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0054-4146-22 NDC Clotrimazole 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0065-0023-15 NDC Miostat 10 8 $26.16 $17.00 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0065-0795-15 NDC Bss 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0065-0795-50 NDC Bss 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0065-0800-50 NDC Bss Plus 10 8 $15.22 $9.89 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0069-5471-01 NDC Cerebyx Novaplus 10 8 $16.67 $10.84 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0069-5471-02 NDC Cerebyx Novaplus 10 8 $16.79 $10.91 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0069-5810-60 NDC Tikosyn 10 8 $13.95 $9.07 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0069-6001-10 NDC Cerebyx 10 8 $28.22 $18.34 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0069-6001-21 NDC Cerebyx 10 8 $28.22 $18.34 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0078-0799-75 NDC Ciprodex 10 8 $53.86 $35.01 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0110 RC — 10 8 $1,415.00 $919.75 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0112 RC — 10 8 $1,415.00 $919.75 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0116-2001-16 NDC Chlorhexidine Gluconate 10 8 $15.00 $9.75 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0121-0903-15 NDC Lidocaine Viscous 10 8 $15.36 $9.98 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0121-4675-05 NDC Valproic Acid 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0171 RC — 10 8 $1,415.00 $919.75 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0172 RC — 10 8 $1,500.00 $975.00 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0173 RC — 10 8 $1,800.00 $1,170.00 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0174 RC — 10 8 $2,400.00 $1,560.00 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0200 RC — 10 8 $3,481.00 $2,262.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0250 RC — 10 8 $20.15 $13.10 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0258 RC — 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0410 RC — 10 8 $75.00 $48.75 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
0721 RC — 10 8 $1,500.00 $975.00 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
25607 CPT Treatment Of Broken Forearm Bone On Thumb Side Of Wrist; Above Wrist; With Place… 1 1 $7,874.50 $5,118.43 35% off $3,125.35 $3,125.35 $3,125.35 2026-08-01
26121 CPT Release Palm Contracture 16 16 $5,269.00 $3,424.85 35% off $364.00 $5,269.00 $5,137.27 2026-08-01
26160 CPT Removal Of Growth Of Tendon Finger Or Hand 19 16 $3,532.00 $2,925.00 $208.00 $3,532.00 $3,178.80 2026-08-01
31720 CPT Insertion Of Tube Into Airway For Aspiration Of Secretions 13 9 $965.00 $627.25 35% off $12.84 $2,892.00 $2,892.00 2026-08-01
32550 CPT Insert Pleural Cath 8 8 $3,209.00 $972.40 70% off $1,322.27 $4,675.90 $3,415.87 2026-08-01
36475 CPT — 8 8 $4,393.00 — $1,493.62 $5,546.21 $3,048.74 2026-05-28
38100 CPT Removal Of Spleen 6 6 $15,749.00 $10,236.85 35% off $2,142.00 $5,985.00 $5,336.10 2026-08-01
38120 CPT — 8 8 $16,893.00 — $1,040.00 $16,048.35 $11,723.74 2026-05-28
41899 CPT — 6 6 $6,383.00 — $2,170.22 $6,063.85 $4,429.80 2026-05-28
43501 CPT Surgical Repair Of Stomach 6 6 $3,439.00 $2,235.35 35% off $1,169.26 $3,267.05 $2,912.84 2026-08-01
44140 CPT Partial Removal Of Colon 6 6 $3,528.00 $2,293.20 35% off $5,698.06 $15,921.05 $14,194.88 2026-08-01
46999 CPT Unlisted Procedure Anus 8 8 $2,267.50 $233.35 90% off $299.14 $3,967.20 $2,898.14 2026-08-01
49255 CPT Removal Of Omentum 8 8 $11,548.00 $1,395.55 88% off $468.00 $19,901.55 $14,538.61 2026-08-01
49560 CPT Rpr Ventral Hern Init Reduc 6 6 $6,433.00 $4,181.45 35% off $2,187.22 $6,111.35 $5,448.75 2026-08-01
49561 CPT Rpr Ventral Hern Init Block 6 6 $6,433.00 $4,181.45 35% off $2,187.22 $6,111.35 $5,448.75 2026-08-01
49568 CPT Hernia Repair W/mesh 6 6 $3,606.00 $2,343.90 35% off $1,226.04 $3,425.70 $3,054.28 2026-08-01
49570 CPT Rpr Epigastric Hern Reduce 6 6 $4,000.00 $2,600.00 35% off $1,360.00 $3,800.00 $3,388.00 2026-08-01
49585 CPT Rpr Umbil Hern Reduc > 5 Yr 6 6 $1,297.00 $843.05 35% off $1,565.36 $4,373.80 $3,899.59 2026-08-01
49650 CPT Lap Ing Hernia Repair Init 16 16 $9,577.00 $6,225.05 35% off $452.40 $9,098.15 $3,709.50 2026-08-01
49652 CPT Lap Vent/abd Hernia Repair 6 6 $2,142.00 $1,392.30 35% off $3,191.24 $8,916.70 $7,949.94 2026-08-01
49653 CPT Lap Vent/abd Hern Proc Comp 6 6 $2,564.00 $1,666.60 35% off $3,090.60 $8,635.50 $7,699.23 2026-08-01
55700 CPT Biopsy Of Prostate Gland 9 8 $4,500.00 $2,925.00 35% off $408.00 $3,897.94 $3,897.94 2026-08-01
57511 CPT — 8 8 $5,676.00 — $260.00 $5,392.20 $3,628.19 2026-05-28
58210 CPT Extensive Hysterectomy 8 8 $5,646.00 $3,669.90 35% off $3,404.43 $3,404.43 $3,404.43 2026-08-01
58565 CPT — 8 8 $4,454.00 — $1,514.36 $5,622.62 $3,091.08 2026-05-28
60225 CPT Partial Removal Of Thyroid 8 8 $3,079.00 $2,001.35 35% off $3,079.00 $3,079.00 $3,079.00 2026-08-01
60240 CPT Removal Of Thyroid 17 16 $13,378.00 $2,020.85 85% off $728.00 $12,709.10 $3,109.00 2026-08-01
60500 CPT Explore Parathyroid Glands 16 16 $7,092.50 $2,109.90 70% off $728.00 $10,392.05 $3,246.00 2026-08-01
78459 CPT — 6 6 $4,341.00 — $1,179.81 $4,123.95 $3,012.65 2026-05-28
78990 CPT — 6 6 $3,703.00 — $1,259.02 $3,517.85 $3,136.44 2026-05-28
81519 CPT — 6 6 $7,746.00 — $2,633.64 $7,358.70 $6,560.86 2026-05-28
90371 CPT Hep B Ig IM 10 8 $239.01 $155.36 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90375 CPT Rabies Ig Im/sc 23 16 $4,348.00 $2,826.20 35% off $284.68 $5,542.42 $2,892.00 2026-08-01
90377 CPT Rabies Ig Ht&sol Human Im/sc 18 16 $271.67 $176.59 35% off $234.09 $6,882.75 $2,892.00 2026-08-01
90380 CPT Rsv Monoc Antb Seasn .5ml IM 10 8 $0.01 — $2,892.00 $2,892.00 $2,892.00 2026-08-01
90381 CPT Rsv Monoc Antb Seasn 1 Ml IM 10 8 $545.00 $354.25 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90656 CPT Iiv3 Vacc No Prsv 0.5 Ml IM 4 3 $0.01 $39.68 $2,892.00 $2,892.00 $2,892.00 2026-08-01
90662 CPT Iiv No Prsv Increased Ag IM 4 3 $90.00 $58.50 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90679 CPT Rsv Vacc Pref Recomb Adjt IM 10 8 $325.00 $211.25 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90702 CPT Dt Vaccine Under 7 Yrs IM 10 8 $36.00 $23.40 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90735 CPT Sq Je-vax 10 8 $479.00 $311.35 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
90738 CPT Inactivated Je Vacc IM 10 8 $479.00 $311.35 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
94002 CPT Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 38 16 $2,090.00 $1,358.50 35% off $108.51 $2,892.00 $2,892.00 2026-08-01
94003 CPT Vent Mgmt Inpat Subq Day 18 16 $1,777.00 $1,155.05 35% off $108.51 $2,892.00 $2,892.00 2026-08-01
94610 CPT Surfactant Admin Thru Tube 10 8 $132.00 $85.80 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
94640 CPT Inhalation Treatment For Airway Obstruction Or Sputum Production 118 17 $188.00 $122.20 35% off $10.24 $2,892.00 $2,892.00 2026-08-01
94642 CPT Inhalation Treatment For Pneumonia 28 16 $450.00 $292.50 35% off $37.44 $2,892.00 $2,892.00 2026-08-01
94644 CPT Inhalation Treatment For Acute Airway Obstruction; First Hour 28 16 $441.00 $286.65 35% off $46.56 $2,892.00 $2,892.00 2026-08-01
94645 CPT Cbt Each Addl Hour 28 16 $441.00 $286.65 35% off $46.56 $2,892.00 $2,892.00 2026-08-01
94660 CPT Therapy Procedure Using A Positive Pressure Ventilator 31 14 $1,231.00 $800.15 35% off $299.88 $2,892.00 $2,892.00 2026-08-01
94667 CPT Initial Therapy Service To Facilitate Lung Function 32 14 $110.00 $71.50 35% off $37.40 $2,892.00 $2,892.00 2026-08-01
94668 CPT Follow-up Therapy Service To Facilitate Lung Function 34 15 $95.00 $61.75 35% off $29.58 $2,892.00 $2,892.00 2026-08-01
94770 CPT Co Expired Gas By Ir 10 8 $271.00 $176.15 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
A4216 HCPCS Sodium Chloride 10 8 $15.13 $9.83 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
A9500 HCPCS Kit For Preparation Of Technetium Tc 99m Sestamibi 27 14 $404.00 $197.60 51% off $137.36 $2,892.00 $2,892.00 2026-08-01
A9537 HCPCS Choletec 21 14 $53.00 $34.45 35% off $44.73 $2,892.00 $2,892.00 2026-08-01
A9562 HCPCS Technetium Tc99m Mertiatide 10 8 $525.00 $341.25 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
A9573 HCPCS Inj, Gadopiclenol, 1 Ml 10 8 $30.50 $19.83 35% off $208.24 $2,892.00 $2,892.00 2026-08-01
A9577 HCPCS Multihance 10 8 $18.18 $11.82 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
C1763 HCPCS — 5 5 $7,892.00 — $2,683.28 $7,497.40 $6,660.85 2026-05-28
C1764 HCPCS — 6 6 $9,900.00 — $3,366.00 $12,177.30 $8,632.80 2026-05-28
C9086 HCPCS — 5 5 $8,404.00 — $2,857.36 $7,983.80 $7,092.98 2026-05-28
J0129 HCPCS Orencia 18 16 $2,191.20 $1,424.28 35% off $43.27 $2,892.00 $2,892.00 2026-08-01
J0132 HCPCS Acetylcysteine Injection 10 8 $15.47 $10.06 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0135 HCPCS — 13 8 $3,864.00 — $1,313.76 $5,102.79 $2,922.02 2026-05-28
J0136 HCPCS Acetaminophen 15 8 $36.05 $23.43 35% off $3.55 $2,892.00 $2,892.00 2026-08-01
J0165 HCPCS Inj Epinephrine Nos 0.1 Mg 10 8 $56.53 $36.74 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0167 HCPCS EPINEPHrine 10 8 $15.47 $10.06 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0168 HCPCS Epinephrine (intl Med Sys) 10 8 $16.38 $10.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0248 HCPCS Veklury 18 16 $1,312.50 $889.90 32% off $6.06 $2,892.00 $2,892.00 2026-08-01
J0280 HCPCS Aminophylline 18 16 $15.75 $10.24 35% off $4.51 $2,892.00 $2,892.00 2026-08-01
J0281 HCPCS Aminocaproic Acid 10 8 $15.16 $9.85 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0283 HCPCS Inj, Amiodarone (nexterone) 10 8 $15.41 $10.02 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0289 HCPCS Ambisome 18 16 $361.46 $234.95 35% off $27.87 $2,892.00 $2,892.00 2026-08-01
J0350 HCPCS — 7 7 $10,983.00 — $2,385.00 $10,433.85 $5,974.75 2026-05-28
J0360 HCPCS hydrALAZINE HCl 18 16 $55.69 $36.20 35% off $5.71 $2,892.00 $2,892.00 2026-08-01
J0462 HCPCS Atropine Sulfate 10 8 $30.16 $19.60 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0491 HCPCS — 8 8 $8,657.36 — $16.66 $8,224.49 $3,826.55 2026-05-28
J0517 HCPCS — 8 8 $8,944.53 — $170.93 $8,497.30 $3,953.48 2026-05-28
J0561 HCPCS Penicillin G Benzathine Inj 18 16 $246.92 $160.50 35% off $20.17 $2,892.00 $2,892.00 2026-08-01
J0565 HCPCS — 8 8 $6,840.00 — $39.85 $6,498.00 $3,023.28 2026-05-28
J0597 HCPCS C-1 Esterase, Berinert 18 16 $1,338.31 $869.90 35% off $64.45 $5,557.50 $2,892.00 2026-08-01
J0612 HCPCS Inj, Calcium Gluconate, Nos 15 13 $44.00 $9.85 78% off $14.96 $2,892.00 $2,892.00 2026-08-01
J0616 HCPCS Inj Metoprolol Tartrate 1 Mg 10 8 $15.27 $9.93 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0630 HCPCS Calcitonin Salmon Injection 23 16 $2,288.00 $182.21 92% off $777.92 $3,904.78 $2,892.00 2026-08-01
J0651 HCPCS Inj, Levothyroxine, Freskabi 10 8 $32.53 $21.14 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0665 HCPCS BUPivacaine HCl 11 8 $24.22 $15.74 35% off $22.81 $2,892.00 $2,892.00 2026-08-01
J0666 HCPCS Exparel 10 8 $990.89 $644.08 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0670 HCPCS Inj Mepivacaine Hcl/10 Ml 10 8 $15.22 $9.89 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0701 HCPCS Cefepime 10 8 $15.63 $10.16 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0702 HCPCS Betamethasone Sodium Phosphate-betamethasone Ace 18 16 $37.00 $15.16 59% off $6.96 $2,892.00 $2,892.00 2026-08-01
J0703 HCPCS Cefepime 10 8 $63.96 $41.57 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0712 HCPCS Teflaro 10 8 $287.15 $186.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0717 HCPCS Cimzia Pfs 23 16 $7,461.39 $4,849.90 35% off $5.07 $4,617.47 $2,892.00 2026-08-01
J0735 HCPCS Clonidine Hydrochloride 10 8 $16.31 $10.60 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0736 HCPCS Clindamycin Phosphate-dextrose 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0744 HCPCS Ciprofloxacin IV 18 16 $24.55 $9.76 60% off $1.59 $2,892.00 $2,892.00 2026-08-01
J0780 HCPCS Prochlorperazine Edisylate 18 16 $27.04 $17.58 35% off $3.01 $2,892.00 $2,892.00 2026-08-01
J0834 HCPCS Cortrosyn 18 16 $292.54 $23.90 92% off $46.10 $2,892.00 $2,892.00 2026-08-01
J0875 HCPCS Injection, Dalbavancin 18 16 $2,762.48 $1,362.78 51% off $14.70 $2,892.00 $2,892.00 2026-08-01
J0882 HCPCS Darbepoetin Alfa, Esrd Use 10 8 $1,708.58 $1,110.58 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J0894 HCPCS Decitabine Injection 18 16 $1,733.07 $70.56 96% off $2.00 $2,892.00 $2,892.00 2026-08-01
J0897 HCPCS Denosumab Injection 28 16 $2,673.11 $1,737.52 35% off $24.19 $4,920.46 $2,892.00 2026-08-01
J0975 HCPCS Hemabate 10 8 $15.01 $9.76 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1000 HCPCS Depo-estradiol 10 8 $105.74 $68.73 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1010 HCPCS Inj, Methylpred Acetate 1 Mg 10 8 $21.82 $14.18 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1050 HCPCS Medroxyprogesterone Acetate 18 16 $77.07 $50.10 35% off $0.26 $2,892.00 $2,892.00 2026-08-01
J1071 HCPCS Depo-testosterone 18 16 $16.56 $10.76 35% off $0.03 $2,892.00 $2,892.00 2026-08-01
J1097 HCPCS Phenylep Ketorolac Opth Soln 10 8 $153.06 $99.49 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1160 HCPCS Digoxin Novaplus 18 16 $31.22 $10.86 65% off $10.81 $2,892.00 $2,892.00 2026-08-01
J1162 HCPCS Digoxin Immune Fab (ovine) 16 14 $5,428.95 $3,528.82 35% off $1,110.78 $6,171.03 $2,892.00 2026-08-01
J1165 HCPCS Phenytoin Sodium Novaplus 18 16 $15.63 $10.16 35% off $0.62 $2,892.00 $2,892.00 2026-08-01
J1171 HCPCS HYDROmorphone HCl 10 8 $17.03 $11.07 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1200 HCPCS Diphenhydramine Hcl Injectio 18 16 $22.84 $12.06 47% off $1.06 $2,892.00 $2,892.00 2026-08-01
J1245 HCPCS Dipyridamole 18 16 $15.34 $9.97 35% off $3.78 $2,892.00 $2,892.00 2026-08-01
J1271 HCPCS Inj Doxycycline Hyclate 1 Mg 10 8 $39.32 $25.56 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1306 HCPCS Leqvio 18 16 $5,850.00 $1,844.98 68% off $12.06 $5,557.50 $2,892.00 2026-08-01
J1308 HCPCS Inj, Famotidine, 0.25 Mg 12 8 $15.50 $10.08 35% off $5.90 $2,892.00 $2,892.00 2026-08-01
J1410 HCPCS Premarin Intravenous 18 16 $15.01 $9.76 35% off $230.35 $2,892.00 $2,892.00 2026-08-01
J1439 HCPCS Injectafer 18 16 $1,991.67 $78.49 96% off $1.13 $2,892.00 $2,892.00 2026-08-01
J1448 HCPCS Injection, Trilaciclib, 1mg 10 8 $2,188.39 $1,422.45 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1451 HCPCS Fomepizole, 15 Mg 16 14 $369.26 $240.02 35% off $20.26 $2,892.00 $2,892.00 2026-08-01
J1453 HCPCS Fosaprepitant Injection 18 16 $798.37 $28.76 96% off $0.14 $2,892.00 $2,892.00 2026-08-01
J1459 HCPCS Privigen 33 16 $3,014.46 $1,514.79 50% off $47.99 $11,454.95 $2,892.00 2026-08-01
J1569 HCPCS Gammagard Liquid 33 16 $1,602.70 $972.65 39% off $46.03 $7,962.90 $2,892.00 2026-08-01
J1596 HCPCS Glycopyrrolate Novaplus 10 8 $18.18 $11.82 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1598 HCPCS Inj Glycopyrrolate Fres Kabi 10 8 $18.82 $12.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1610 HCPCS Glucagon Emergency Kit 18 16 $630.00 $223.30 65% off $195.18 $2,892.00 $2,892.00 2026-08-01
J1611 HCPCS Inj Glucagon Hcl, Fresenius 10 8 $149.44 $97.14 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1630 HCPCS Haloperidol Injection 10 8 $15.86 $10.31 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1670 HCPCS Tetanus Immune Globulin Inj 18 16 $15.01 $9.76 35% off $250.07 $2,892.00 $2,892.00 2026-08-01
J1726 HCPCS Makena, 10 Mg 10 8 $348.45 $226.49 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1745 HCPCS Infliximab Not Biosimil 10mg 18 16 $2,102.07 $1,075.50 49% off $32.91 $2,892.00 $2,892.00 2026-08-01
J1750 HCPCS Infed 18 16 $35.30 $22.95 35% off $17.18 $2,892.00 $2,892.00 2026-08-01
J1790 HCPCS droPERidol 16 14 $37.00 $12.73 66% off $11.07 $2,892.00 $2,892.00 2026-08-01
J1805 HCPCS Inj, Esmolol Hcl, 10mg 10 8 $16.03 $10.42 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1808 HCPCS Inj, Folic Acid, 0.1 Mg 10 8 $19.09 $12.41 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1836 HCPCS metroNIDAZOLE 15 13 $20.86 $9.76 53% off $47.01 $2,892.00 $2,892.00 2026-08-01
J1930 HCPCS Lanreotide Injection 23 16 $11,064.65 $24,087.18 $54.18 $10,511.42 $2,892.00 2026-08-01
J1938 HCPCS Furosemide 10 8 $15.80 $10.27 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J1939 HCPCS Bumetanide 11 8 $15.47 $10.06 35% off $22.82 $2,892.00 $2,892.00 2026-08-01
J1950 HCPCS Lupron Depot 18 16 $1,038.06 $674.74 35% off $573.50 $2,892.00 $2,892.00 2026-08-01
J1953 HCPCS Levetiracetam Injection 18 16 $21.51 $9.89 54% off $0.07 $2,892.00 $2,892.00 2026-08-01
J2002 HCPCS Lidocaine Hcl-dextrose 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2003 HCPCS Lidocaine HCl 10 8 $17.06 $11.09 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2004 HCPCS Lidocaine Hcl-epinephrine 10 8 $15.18 $9.87 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2020 HCPCS Linezolid Injection 18 16 $368.52 $9.77 97% off $3.47 $2,892.00 $2,892.00 2026-08-01
J2151 HCPCS Mannitol 10 8 $15.04 $9.78 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2182 HCPCS Nucala Pfs 18 16 $6,907.47 $7,193.23 $29.75 $6,124.18 $2,892.00 2026-08-01
J2184 HCPCS Meropenem 10 8 $25.61 $16.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2210 HCPCS Methylergonovine Maleate 18 16 $58.92 $38.30 35% off $10.60 $2,892.00 $2,892.00 2026-08-01
J2248 HCPCS Micafungin Sodium 18 16 $36.08 $23.45 35% off $0.83 $2,892.00 $2,892.00 2026-08-01
J2251 HCPCS Inj Midazolam In 0.9% Nacl 16 14 $6.50 $4.23 35% off $0.43 $2,892.00 $2,892.00 2026-08-01
J2272 HCPCS Inj, Morphine (fresenius) 10 8 $18.36 $11.93 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2281 HCPCS Inj Moxifloxacin (fres Kabi) 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2290 HCPCS Inj, Nafcillin Sodium, 20 Mg 10 8 $32.55 $21.16 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2300 HCPCS Nalbuphine HCl 18 16 $26.61 $12.17 54% off $3.57 $2,892.00 $2,892.00 2026-08-01
J2305 HCPCS Nitroglycerin-dextrose 10 8 $15.11 $9.82 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2312 HCPCS Inj Naloxone Hcl Nos, 0.01mg 10 8 $18.09 $11.76 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2323 HCPCS — 8 8 $11,124.00 — $24.86 $10,567.80 $4,916.81 2026-05-28
J2327 HCPCS Skyrizi 600mg/10ml 8 8 $16,444.00 $17,138.37 $15.52 $15,621.80 $11,412.14 2026-08-01
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 18 16 $33,796.08 $1,595.74 95% off $61.42 $32,106.28 $2,892.00 2026-08-01
J2353 HCPCS — 18 8 $5,557.59 — $208.12 $7,404.54 $3,832.44 2026-05-28
J2356 HCPCS Inj Tezepelumab-ekko, 1mg 18 16 $6,925.23 $2,014.08 71% off $18.73 $6,578.97 $2,892.00 2026-08-01
J2360 HCPCS Orphenadrine Injection 16 14 $55.62 $18.19 67% off $6.63 $2,892.00 $2,892.00 2026-08-01
J2371 HCPCS Phenylephrine HCl 16 13 $20.62 $13.40 35% off $0.43 $2,892.00 $2,892.00 2026-08-01
J2401 HCPCS Chloroprocaine Hcl Injection 10 8 $16.16 $10.50 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2404 HCPCS Inj, Nicardipine 0.1 Mg 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2406 HCPCS — 8 8 $9,054.93 — $41.73 $8,602.18 $4,002.28 2026-05-28
J2469 HCPCS Palonosetron Hcl 18 16 $145.20 $94.38 35% off $1.00 $2,892.00 $2,892.00 2026-08-01
J2470 HCPCS Inj Pantoprazole Sodium 40mg 10 8 $16.97 $11.03 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2505 HCPCS — 10 5 $15,278.95 — $3,813.41 $18,374.90 $10,308.18 2026-05-28
J2506 HCPCS Inj Pegfilgrast Ex Bio 0.5mg 18 16 $12,092.05 $7,859.83 35% off $85.71 $10,655.11 $2,892.00 2026-08-01
J2560 HCPCS PHENobarbital Sodium 18 16 $38.40 $24.96 35% off $39.38 $2,892.00 $2,892.00 2026-08-01
J2597 HCPCS Inj Desmopressin Acetate 18 16 $31.58 $20.53 35% off $7.27 $2,892.00 $2,892.00 2026-08-01
J2598 HCPCS Inj, Vasopressin, 1 Unit 10 8 $29.04 $18.88 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2675 HCPCS Progesterone 18 16 $18.63 $12.11 35% off $0.88 $2,892.00 $2,892.00 2026-08-01
J2704 HCPCS Diprivan 10 8 $15.11 $9.82 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2760 HCPCS Phentolamine Mesylate 16 14 $548.94 $356.81 35% off $132.34 $2,892.00 $2,892.00 2026-08-01
J2765 HCPCS Metoclopramide HCl 18 16 $17.63 $11.85 33% off $1.24 $2,892.00 $2,892.00 2026-08-01
J2785 HCPCS Lexiscan 18 16 $711.20 $462.28 35% off $62.28 $2,892.00 $2,892.00 2026-08-01
J2790 HCPCS RhoGAM Ultra-filtered Plus 10 8 $109.68 $71.29 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2791 HCPCS Rhophylac Injection 10 8 $59.46 $38.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2802 HCPCS Nplate 10 8 $2,250.80 $1,463.02 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2919 HCPCS Solu-medrol Novaplus 40mg Vial 10 8 $19.41 $12.62 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J2993 HCPCS — 8 8 $9,535.75 — $2,603.84 $9,058.96 $4,443.82 2026-05-28
J2997 HCPCS Cathflo Activase 23 16 $474.22 $308.24 35% off $89.15 $11,387.89 $2,892.00 2026-08-01
J3032 HCPCS Inj. Eptinezumab-jjmr 1 Mg 10 8 $1,657.53 $1,077.39 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3101 HCPCS Tenecteplase Injection 18 16 $10,050.75 $5,869.28 42% off $152.70 $9,548.21 $2,892.00 2026-08-01
J3105 HCPCS Terbutaline Sulfate Novaplus 18 16 $18.39 $10.65 42% off $2.29 $2,892.00 $2,892.00 2026-08-01
J3110 HCPCS — 6 6 $4,708.80 — $89.27 $4,473.36 $3,267.91 2026-05-28
J3111 HCPCS Evenity Pfs 18 16 $3,435.93 $3,804.72 $10.37 $3,264.13 $2,892.00 2026-08-01
J3240 HCPCS — 8 8 $7,032.00 — $2,001.49 $6,680.40 $3,247.04 2026-05-28
J3290 HCPCS Inj, Tranexamic Acid 5 Mg 10 8 $15.44 $10.04 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3357 HCPCS Ustekinumab Sub Cu Inj, 1 Mg 23 16 $32,953.46 $21,419.75 35% off $147.65 $45,344.07 $2,892.00 2026-08-01
J3360 HCPCS diazePAM 16 14 $58.83 $11.10 81% off $9.61 $2,892.00 $2,892.00 2026-08-01
J3373 HCPCS Vancomycin HCl 10 8 $26.77 $17.40 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3374 HCPCS Inj, Vancomycin (mylan) 10mg 10 8 $33.77 $21.95 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3375 HCPCS Inj Vancomycin (xellia) 10mg 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3380 HCPCS Entyvio 8 8 $20,125.26 $13,081.42 35% off $22.68 $11,504.28 $5,352.51 2026-08-01
J3411 HCPCS Thiamine Hcl 100 Mg 10 8 $16.97 $11.03 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3415 HCPCS Pyridoxine Hcl 100 Mg 18 16 $40.42 $26.27 35% off $14.55 $2,892.00 $2,892.00 2026-08-01
J3420 HCPCS Vitamin B12 Injection 18 16 $16.42 $10.67 35% off $1.31 $2,892.00 $2,892.00 2026-08-01
J3465 HCPCS Vfend Novaplus 10 8 $31.45 $20.44 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J3475 HCPCS Magnesium Sulfate 18 16 $26.82 $9.86 63% off $0.93 $2,892.00 $2,892.00 2026-08-01
J3486 HCPCS Ziprasidone Mesylate 18 16 $28.66 $18.63 35% off $9.60 $2,892.00 $2,892.00 2026-08-01
J3590 HCPCS — 15 5 $6,092.70 — $1,822.09 $10,377.99 $5,091.15 2026-05-28
J7040 HCPCS Normal Saline Solution Infus 18 16 $6.50 $4.23 35% off $1.27 $2,892.00 $2,892.00 2026-08-01
J7042 HCPCS Dextrose-sodium Chloride 18 16 $28.02 $4.23 85% off $1.18 $2,892.00 $2,892.00 2026-08-01
J7070 HCPCS Dextrose 18 16 $28.02 $4.23 85% off $3.62 $2,892.00 $2,892.00 2026-08-01
J7168 HCPCS Prothrombin Complex Kcentra 18 16 $42.26 $12.14 71% off $2.98 $2,892.00 $2,892.00 2026-08-01
J7322 HCPCS Hymovis 10 8 $210.00 $136.50 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7509 HCPCS Methylprednisolone Oral 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7605 HCPCS Arformoterol Non-comp Unit 10 8 $32.92 $21.40 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7608 HCPCS Acetylcysteine Non-comp Unit 18 16 $16.08 $10.45 35% off $6.84 $2,892.00 $2,892.00 2026-08-01
J7613 HCPCS Albuterol; Inhalation Solution; Fda-approved Final Product; Non-compounded; Admi… 31 8 $6.50 $4.23 35% off $0.11 $2,892.00 $2,892.00 2026-08-01
J7614 HCPCS Levalbuterol 10 8 $10.20 $6.63 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7620 HCPCS Albuterol Ipratrop Non-comp 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7626 HCPCS Budesonide; Inhalation Solution; Fda-approved Final Product; Non-compounded; Adm… 30 16 $39.75 $63.76 $1.05 $2,892.00 $2,892.00 2026-08-01
J7644 HCPCS Ipratropium Bromide Non-comp 16 14 $6.50 $4.23 35% off $0.91 $2,892.00 $2,892.00 2026-08-01
J7699 HCPCS Inhalation Solution For Dme 4 3 $43.68 $28.39 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7799 HCPCS Non-inhalation Drug For Dme 10 8 $15.19 $9.87 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J7999 HCPCS Compounded Drug, Noc 10 8 $15.80 $10.27 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J8501 HCPCS Aprepitant 16 14 $224.64 $146.02 35% off $5.24 $2,892.00 $2,892.00 2026-08-01
J8540 HCPCS dexAMETHasone 4 3 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J8610 HCPCS Methotrexate Oral 2.5 Mg 16 14 $41.45 $26.94 35% off $0.30 $2,892.00 $2,892.00 2026-08-01
J9010 HCPCS — 5 5 $10,099.75 — $3,433.92 $9,594.76 $8,524.19 2026-05-28
J9022 HCPCS Inj, Atezolizumab,10 Mg 23 16 $15,517.16 $449.20 97% off $82.68 $17,693.77 $2,892.00 2026-08-01
J9025 HCPCS Azacitidine Injection 18 16 $390.00 $38.16 90% off $0.40 $2,892.00 $2,892.00 2026-08-01
J9041 HCPCS Bortezomib 18 16 $553.36 $359.68 35% off $3.03 $2,892.00 $2,892.00 2026-08-01
J9042 HCPCS — 8 8 $18,846.00 — $221.96 $17,903.70 $8,329.93 2026-05-28
J9050 HCPCS — 8 8 $15,415.00 — $410.96 $14,644.25 $6,813.43 2026-05-28
J9073 HCPCS Inj Cyclophos Dr Reddys 5 Mg 10 8 $245.69 $159.70 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J9144 HCPCS Darzalex Faspro 18 16 $16,413.48 $14,779.27 $49.12 $15,592.81 $2,892.00 2026-08-01
J9173 HCPCS Imfinzi 23 16 $6,695.97 $351.70 95% off $79.76 $6,361.17 $2,892.00 2026-08-01
J9203 HCPCS — 8 8 $15,658.89 — $221.84 $14,875.95 $6,921.23 2026-05-28
J9204 HCPCS Inj Mogamulizumab-kpkc, 1 Mg 18 16 $1,382.90 $898.89 35% off $226.71 $9,500.00 $2,892.00 2026-08-01
J9217 HCPCS Lupron Depot 43 8 $7,678.00 $20,785.32 $165.86 $19,974.02 $3,106.51 2026-08-01
J9223 HCPCS — 8 8 $13,752.00 — $197.18 $13,064.40 $6,078.39 2026-05-28
J9228 HCPCS Yervoy 13 8 $31,288.00 $20,337.20 35% off $167.93 $50,551.45 $11,972.74 2026-08-01
J9260 HCPCS Inj Methotrexate Sodium 50mg 10 8 $43.10 $28.02 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J9271 HCPCS Keytruda 18 16 $9,807.41 $37,652.61 $54.81 $9,317.04 $2,892.00 2026-08-01
J9273 HCPCS Inj Tisotu Vedotin-tftv, 1mg 10 8 $7,760.83 $5,044.54 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J9299 HCPCS Opdivo 13 8 $8,626.40 $5,607.16 35% off $30.46 $10,761.06 $5,252.58 2026-08-01
J9301 HCPCS Gazyva 6 6 $21,501.73 $13,976.12 35% off $88.66 $11,370.25 $8,306.26 2026-08-01
J9303 HCPCS Panitumumab Injection 28 16 $2,309.38 $153.77 93% off $149.71 $8,775.64 $2,892.00 2026-08-01
J9306 HCPCS Injection, Pertuzumab, 1 Mg 18 16 $11,406.03 $396.50 97% off $15.37 $10,835.73 $2,892.00 2026-08-01
J9349 HCPCS Inj., Tafasitamab-cxix 10 8 $1,673.17 $1,087.56 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
J9350 HCPCS — 6 6 $32,079.21 — $10,906.93 $30,475.25 $27,171.09 2026-05-28
J9354 HCPCS Kadcyla 13 8 $9,084.93 $25,307.57 $38.33 $8,630.68 $4,792.31 2026-08-01
J9395 HCPCS Injection, Fulvestrant 18 16 $1,800.00 $30.62 98% off $9.47 $2,892.00 $2,892.00 2026-08-01
P9045 HCPCS Albumin (human), 5%, 250 Ml 10 8 $6.50 $4.23 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
Q0138 HCPCS Ferumoxytol, Non-esrd 18 16 $1,900.50 $31.10 98% off $0.50 $2,892.00 $2,892.00 2026-08-01
Q0162 HCPCS Ondansetron Oral 16 14 $72.45 $47.09 35% off $0.30 $2,892.00 $2,892.00 2026-08-01
Q2050 HCPCS Doxorubicin Inj 10mg 23 16 $3,052.40 $64.17 98% off $87.98 $4,142.57 $2,892.00 2026-08-01
Q4196 HCPCS Puraply Am 1 Sq Cm 30 5 $4,237.50 $365.63 91% off $459.00 $14,620.50 $3,583.43 2026-08-01
Q5106 HCPCS Retacrit 10 8 $121.10 $78.72 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
Q5108 HCPCS Fulphila Pfs 18 16 $4,085.63 $2,655.66 35% off $111.15 $11,898.75 $2,892.00 2026-08-01
Q5111 HCPCS Injection, Udenyca 0.5 Mg 18 16 $8,156.25 $5,301.56 35% off $124.78 $7,139.25 $2,892.00 2026-08-01
Q5114 HCPCS Inj Ogivri 10 Mg 18 16 $2,383.50 $884.31 63% off $40.41 $2,892.00 $2,892.00 2026-08-01
Q5115 HCPCS Truxima 23 16 $7,609.95 $7,181.89 $39.79 $7,229.45 $2,892.00 2026-08-01
Q5116 HCPCS Trazimera 16 14 $281.28 $182.83 35% off $76.45 $2,892.00 $2,892.00 2026-08-01
Q5118 HCPCS Zirabev 23 16 $1,288.14 $138.25 89% off $28.19 $4,195.66 $2,892.00 2026-08-01
Q5120 HCPCS Inj Pegfilgrastim-bmez 0.5mg 18 16 $7,669.78 $4,985.36 35% off $30.05 $6,712.66 $2,892.00 2026-08-01
Q5122 HCPCS Nyvepria Pfs 10 8 $7,381.73 $4,798.12 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
Q5130 HCPCS Inj, Fylnetra, 0.5 Mg 10 8 $5,865.00 $3,812.25 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
Q9957 HCPCS Inj Perflutren Lip Micros,ml 16 14 $256.89 $166.98 35% off $107.76 $2,892.00 $2,892.00 2026-08-01
Q9958 HCPCS Cysto-conray Ii 10 8 $24.48 $15.91 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
Q9966 HCPCS Isovue-m 200 10 8 $24.07 $15.65 35% off $2,892.00 $2,892.00 $2,892.00 2026-08-01
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