|
J9029
|
HCPCS
|
Instill Adstiladrin, Tx Dose
|
25
|
23
|
$138,420.00
|
$69,210.00
50% off
|
$101,970.00
|
$101,970.00
|
$101,970.00
|
2026-07-15
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
25
|
23
|
$150,543.00
|
$75,271.50
50% off
|
$73,550.30
|
$73,550.30
|
$73,550.30
|
2026-07-15
|
|
J0480
|
HCPCS
|
Basiliximab
|
25
|
23
|
$13,463.00
|
$6,731.50
50% off
|
$7,385.85
|
$7,385.85
|
$7,385.85
|
2026-07-15
|
|
J2787
|
HCPCS
|
Riboflavin 5'phos Opth<=3ml
|
25
|
23
|
$13,680.00
|
$6,840.00
50% off
|
$4,108.50
|
$4,108.50
|
$4,108.50
|
2026-07-15
|
|
J3240
|
HCPCS
|
Thyrotropin Injection
|
25
|
23
|
$6,067.00
|
$3,033.50
50% off
|
$3,334.93
|
$3,334.93
|
$3,334.93
|
2026-07-15
|
|
J1950
|
HCPCS
|
Leuprolide Acetate /3.75 Mg
|
25
|
23
|
$5,215.00
|
$2,607.50
50% off
|
$2,581.59
|
$2,581.59
|
$2,581.59
|
2026-07-15
|
|
J7296
|
HCPCS
|
Kyleena, 19.5 Mg
|
25
|
23
|
$3,644.00
|
$1,822.00
50% off
|
$2,290.45
|
$2,290.45
|
$2,290.45
|
2026-07-15
|
|
J7298
|
HCPCS
|
Mirena, 52 Mg
|
25
|
23
|
$3,644.00
|
$1,822.00
50% off
|
$2,290.45
|
$2,290.45
|
$2,290.45
|
2026-07-15
|
|
J9357
|
HCPCS
|
Valrubicin Injection
|
25
|
23
|
$4,088.00
|
$2,044.00
50% off
|
$2,250.35
|
$2,250.35
|
$2,250.35
|
2026-07-15
|
|
94644
|
CPT
|
Cbt 1st Hour
|
10
|
10
|
$255.00
|
$127.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94640
|
CPT
|
Airway Inhalation Treatment
|
10
|
10
|
$18.00
|
$9.00
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
0110
|
RC
|
—
|
11
|
10
|
$539.00
|
$269.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94003
|
CPT
|
Vent Mgmt Inpat Subq Day
|
10
|
10
|
$1,740.00
|
$870.00
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94664
|
CPT
|
Evaluate Pt Use Of Inhaler
|
10
|
10
|
$420.00
|
$210.00
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
0250
|
RC
|
—
|
10
|
10
|
$3.00
|
$1.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94002
|
CPT
|
Vent Mgmt Inpat Init Day
|
10
|
10
|
$1,740.00
|
$870.00
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94668
|
CPT
|
Chest Wall Manipulation
|
10
|
10
|
$255.00
|
$127.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94667
|
CPT
|
Chest Wall Manipulation
|
10
|
10
|
$255.00
|
$127.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
89220
|
CPT
|
Sputum Specimen Collection
|
10
|
10
|
$327.00
|
$163.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
94660
|
CPT
|
Pos Airway Pressure Cpap
|
10
|
10
|
$420.00
|
$210.00
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
J3490
|
HCPCS
|
Drugs Unclassified Injection
|
10
|
10
|
$7.00
|
$3.50
50% off
|
$2,214.25
|
$2,214.25
|
$2,214.25
|
2026-07-15
|
|
J7300
|
HCPCS
|
Intra Copp Contra (paragard)
|
25
|
23
|
$3,127.00
|
$1,563.50
50% off
|
$2,148.30
|
$2,148.30
|
$2,148.30
|
2026-07-15
|
|
J7301
|
HCPCS
|
Skyla, 13.5 Mg
|
25
|
23
|
$3,035.00
|
$1,517.50
50% off
|
$1,907.17
|
$1,907.17
|
$1,907.17
|
2026-07-15
|
|
J7297
|
HCPCS
|
Liletta, 52 Mg
|
25
|
23
|
$2,796.00
|
$1,398.00
50% off
|
$1,756.97
|
$1,756.97
|
$1,756.97
|
2026-07-15
|
|
J7307
|
HCPCS
|
Etonogestrel Implant System
|
25
|
23
|
$1,657.00
|
$828.50
50% off
|
$1,657.00
|
$1,657.00
|
$1,657.00
|
2026-07-15
|
|
Q4194
|
HCPCS
|
Novachor 1 Sq Cm
|
25
|
23
|
$1,592.00
|
$796.00
50% off
|
$1,592.00
|
$1,592.00
|
$1,592.00
|
2026-07-15
|
|
90380
|
CPT
|
Rsv Monoc Antb Seasn .5ml IM
|
25
|
23
|
$1,578.00
|
$789.00
50% off
|
$1,578.00
|
$1,578.00
|
$1,578.00
|
2026-07-15
|
|
J0178
|
HCPCS
|
Aflibercept Injection
|
25
|
23
|
$1,694.00
|
$847.00
50% off
|
$1,422.76
|
$1,422.76
|
$1,422.76
|
2026-07-15
|
|
J7327
|
HCPCS
|
Monovisc Inj Per Dose
|
25
|
23
|
$1,802.00
|
$901.00
50% off
|
$1,178.71
|
$1,178.71
|
$1,178.71
|
2026-07-15
|
|
J1212
|
HCPCS
|
Dimethyl Sulfoxide 50% 50 Ml
|
25
|
23
|
$2,011.00
|
$1,005.50
50% off
|
$1,123.35
|
$1,123.35
|
$1,123.35
|
2026-07-15
|
|
90870
|
CPT
|
Electroconvulsive Therapy
|
24
|
22
|
$1,646.00
|
$823.00
50% off
|
$1,048.58
|
$1,048.58
|
$1,048.58
|
2026-07-15
|
|
A2001
|
HCPCS
|
Innovamatrix Ac, Per Sq Cm
|
25
|
23
|
$1,048.40
|
$524.20
50% off
|
$1,048.40
|
$1,048.40
|
$1,048.40
|
2026-07-15
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant
|
25
|
23
|
$3,372.00
|
$1,686.00
50% off
|
$1,004.87
|
$1,004.87
|
$1,004.87
|
2026-07-15
|
|
90381
|
CPT
|
Rsv Monoc Antb Seasn 1 Ml IM
|
25
|
23
|
$1,578.00
|
$789.00
50% off
|
$980.10
|
$980.10
|
$980.10
|
2026-07-15
|
|
A9595
|
HCPCS
|
Piflu F-18, Dia 1 Millicurie
|
25
|
23
|
$1,154.00
|
$577.00
50% off
|
$957.58
|
$957.58
|
$957.58
|
2026-07-15
|
|
Q4282
|
HCPCS
|
Cygnus Dual Per Sq Cm
|
25
|
23
|
$922.00
|
$461.00
50% off
|
$922.00
|
$922.00
|
$922.00
|
2026-07-15
|
|
J7314
|
HCPCS
|
Inj., Yutiq, 0.01 Mg
|
25
|
23
|
$1,545.00
|
$772.50
50% off
|
$872.85
|
$872.85
|
$872.85
|
2026-07-15
|
|
J7326
|
HCPCS
|
Gel-one
|
25
|
23
|
$1,485.00
|
$742.50
50% off
|
$820.53
|
$820.53
|
$820.53
|
2026-07-15
|
|
J7313
|
HCPCS
|
Inj., Iluvien, 0.01 Mg
|
25
|
23
|
$1,454.00
|
$727.00
50% off
|
$810.07
|
$810.07
|
$810.07
|
2026-07-15
|
|
A9500
|
HCPCS
|
Tc99m Sestamibi
|
25
|
23
|
$727.00
|
$363.50
50% off
|
$727.00
|
$727.00
|
$727.00
|
2026-07-15
|
|
G0378
|
HCPCS
|
Hospital Observation Per Hr
|
24
|
23
|
$36.00
|
$18.00
50% off
|
$708.61
|
$708.61
|
$708.61
|
2026-07-15
|
|
G0379
|
HCPCS
|
Direct Refer Hospital Observ
|
25
|
23
|
$1,141.00
|
$570.50
50% off
|
$708.61
|
$708.61
|
$708.61
|
2026-07-15
|
|
J3315
|
HCPCS
|
Triptorelin Pamoate
|
25
|
23
|
$2,316.00
|
$1,158.00
50% off
|
$682.42
|
$682.42
|
$682.42
|
2026-07-15
|
|
A9552
|
HCPCS
|
F18 Fdg
|
25
|
23
|
$854.00
|
$427.00
50% off
|
$647.79
|
$647.79
|
$647.79
|
2026-07-15
|
|
J7308
|
HCPCS
|
Aminolevulinic Acid Hcl Top
|
25
|
23
|
$1,180.00
|
$590.00
50% off
|
$647.33
|
$647.33
|
$647.33
|
2026-07-15
|
|
A9541
|
HCPCS
|
Tc99m Sulfur Colloid
|
25
|
23
|
$617.00
|
$308.50
50% off
|
$585.12
|
$585.12
|
$585.12
|
2026-07-15
|
|
90678
|
CPT
|
Rsv Vacc Pref Bivalent IM
|
25
|
23
|
$812.00
|
$406.00
50% off
|
$584.10
|
$584.10
|
$584.10
|
2026-07-15
|
|
90651
|
CPT
|
9vhpv Vaccine 2/3 Dose IM
|
25
|
23
|
$871.00
|
$435.50
50% off
|
$569.07
|
$569.07
|
$569.07
|
2026-07-15
|
|
90378
|
CPT
|
Rsv Mab IM 50mg
|
25
|
23
|
$5,462.00
|
$2,731.00
50% off
|
$560.47
|
$560.47
|
$560.47
|
2026-07-15
|
|
90679
|
CPT
|
Rsv Vacc Pref Recomb Adjt IM
|
25
|
23
|
$684.00
|
$342.00
50% off
|
$554.40
|
$554.40
|
$554.40
|
2026-07-15
|
|
J3241
|
HCPCS
|
Inj. Teprotumumab-trbw 10 Mg
|
25
|
23
|
$1,082.00
|
$541.00
50% off
|
$541.20
|
$541.20
|
$541.20
|
2026-07-15
|
|
90675
|
CPT
|
Rabies Vaccine IM
|
25
|
23
|
$1,138.00
|
$569.00
50% off
|
$535.82
|
$535.82
|
$535.82
|
2026-07-15
|
|
Q4210
|
HCPCS
|
Axolotl Graf Dualgraf Sq Cm
|
25
|
23
|
$515.00
|
$257.50
50% off
|
$515.00
|
$515.00
|
$515.00
|
2026-07-15
|
|
90738
|
CPT
|
Inactivated Je Vacc IM
|
25
|
23
|
$1,063.00
|
$531.50
50% off
|
$504.42
|
$504.42
|
$504.42
|
2026-07-15
|
|
A9513
|
HCPCS
|
Lutetium Lu 177 Dotatat Ther
|
25
|
23
|
$556.00
|
$278.00
50% off
|
$479.23
|
$479.23
|
$479.23
|
2026-07-15
|
|
90677
|
CPT
|
Pcv20 Vaccine IM
|
25
|
23
|
$727.00
|
$363.50
50% off
|
$476.29
|
$476.29
|
$476.29
|
2026-07-15
|
|
Q4199
|
HCPCS
|
Cygnus Matrix, Per Sq Cm
|
27
|
23
|
$443.00
|
$221.50
50% off
|
$207.00
|
$443.00
|
$443.00
|
2026-07-15
|
|
90671
|
CPT
|
Pcv15 Vaccine IM
|
25
|
23
|
$545.00
|
$272.50
50% off
|
$418.37
|
$418.37
|
$418.37
|
2026-07-15
|
|
90620
|
CPT
|
Menb-4c Vaccine IM
|
25
|
23
|
$458.00
|
$229.00
50% off
|
$411.10
|
$411.10
|
$411.10
|
2026-07-15
|
|
90621
|
CPT
|
Menb-fhbp Vacc 2/3 Dose IM
|
25
|
23
|
$509.00
|
$254.50
50% off
|
$376.46
|
$376.46
|
$376.46
|
2026-07-15
|
|
90716
|
CPT
|
Var Vaccine Live Subq
|
25
|
23
|
$548.00
|
$274.00
50% off
|
$344.92
|
$344.92
|
$344.92
|
2026-07-15
|
|
J7351
|
HCPCS
|
Inj Bimatoprost Itc Imp1mcg
|
25
|
23
|
$608.00
|
$304.00
50% off
|
$340.25
|
$340.25
|
$340.25
|
2026-07-15
|
|
J7312
|
HCPCS
|
Dexamethasone Intra Implant
|
25
|
23
|
$589.00
|
$294.50
50% off
|
$339.26
|
$339.26
|
$339.26
|
2026-07-15
|
|
96360
|
CPT
|
Hydration IV Infusion Init
|
26
|
23
|
$581.00
|
$290.50
50% off
|
$69.00
|
$336.96
|
$336.96
|
2026-07-15
|
|
90619
|
CPT
|
Menacwy-tt Vaccine IM
|
25
|
23
|
$441.00
|
$220.50
50% off
|
$330.38
|
$330.38
|
$330.38
|
2026-07-15
|
|
J1610
|
HCPCS
|
Glucagon Hydrochloride/1 Mg
|
25
|
23
|
$410.00
|
$205.00
50% off
|
$310.81
|
$310.81
|
$310.81
|
2026-07-15
|
|
90734
|
CPT
|
Menacwyd/menacwycrm Vacc IM
|
25
|
23
|
$313.00
|
$156.50
50% off
|
$299.95
|
$299.95
|
$299.95
|
2026-07-15
|
|
J9217
|
HCPCS
|
Leuprolide Acetate Suspnsion
|
25
|
23
|
$377.00
|
$188.50
50% off
|
$299.15
|
$299.15
|
$299.15
|
2026-07-15
|
|
J0475
|
HCPCS
|
Baclofen 10 Mg Injection
|
25
|
23
|
$709.00
|
$354.50
50% off
|
$293.37
|
$293.37
|
$293.37
|
2026-07-15
|
|
J0517
|
HCPCS
|
Inj., Benralizumab, 1 Mg
|
25
|
23
|
$585.00
|
$292.50
50% off
|
$279.68
|
$279.68
|
$279.68
|
2026-07-15
|
|
J1426
|
HCPCS
|
Injection, Casimersen, 10 Mg
|
25
|
23
|
$362.00
|
$181.00
50% off
|
$274.28
|
$274.28
|
$274.28
|
2026-07-15
|
|
A9606
|
HCPCS
|
Radium Ra223 Dichloride Ther
|
25
|
23
|
$317.00
|
$158.50
50% off
|
$265.91
|
$265.91
|
$265.91
|
2026-07-15
|
|
90739
|
CPT
|
Hepb Vacc 2/4 Dose Adult IM
|
25
|
23
|
$380.00
|
$190.00
50% off
|
$264.46
|
$264.46
|
$264.46
|
2026-07-15
|
|
90717
|
CPT
|
Yellow Fever Vaccine Subq
|
25
|
23
|
$617.00
|
$308.50
50% off
|
$263.36
|
$263.36
|
$263.36
|
2026-07-15
|
|
J2781
|
HCPCS
|
Inj, Pegcetacoplan, 1mg
|
25
|
23
|
$452.00
|
$226.00
50% off
|
$249.91
|
$249.91
|
$249.91
|
2026-07-15
|
|
91304
|
CPT
|
Sarscov2 Vac 5mcg/0.5ml IM
|
25
|
23
|
$315.00
|
$157.50
50% off
|
$244.53
|
$244.53
|
$244.53
|
2026-07-15
|
|
91322
|
CPT
|
Sarscov2 Vac 50 Mcg/0.5ml IM
|
25
|
23
|
$372.00
|
$186.00
50% off
|
$240.77
|
$240.77
|
$240.77
|
2026-07-15
|
|
91321
|
CPT
|
Sarscov2 Vac 25 Mcg/.25ml IM
|
25
|
23
|
$339.00
|
$169.50
50% off
|
$240.77
|
$240.77
|
$240.77
|
2026-07-15
|
|
90371
|
CPT
|
Hep B Ig IM
|
25
|
23
|
$498.00
|
$249.00
50% off
|
$227.52
|
$227.52
|
$227.52
|
2026-07-15
|
|
90732
|
CPT
|
Ppsv23 Vacc 2 Yrs+ Subq/im
|
25
|
23
|
$316.00
|
$158.00
50% off
|
$220.23
|
$220.23
|
$220.23
|
2026-07-15
|
|
90710
|
CPT
|
Mmrv Vaccine Sc
|
25
|
23
|
$808.00
|
$404.00
50% off
|
$218.94
|
$218.94
|
$218.94
|
2026-07-15
|
|
90698
|
CPT
|
Dtap-ipv/hib Vaccine IM
|
25
|
23
|
$318.00
|
$159.00
50% off
|
$217.26
|
$217.26
|
$217.26
|
2026-07-15
|
|
91320
|
CPT
|
Sarscv2 Vac 30mcg Trs-suc IM
|
25
|
23
|
$301.00
|
$150.50
50% off
|
$216.32
|
$216.32
|
$216.32
|
2026-07-15
|
|
J7324
|
HCPCS
|
Orthovisc Inj Per Dose
|
25
|
23
|
$360.00
|
$180.00
50% off
|
$215.56
|
$215.56
|
$215.56
|
2026-07-15
|
|
90636
|
CPT
|
Hep A/hep B Vacc Adult IM
|
25
|
23
|
$286.00
|
$143.00
50% off
|
$213.39
|
$213.39
|
$213.39
|
2026-07-15
|
|
J7323
|
HCPCS
|
Euflexxa Inj Per Dose
|
25
|
23
|
$1,003.00
|
$501.50
50% off
|
$210.05
|
$210.05
|
$210.05
|
2026-07-15
|
|
Q4122
|
HCPCS
|
Dermacell, Awm, Porous Sq Cm
|
33
|
23
|
$265.00
|
$132.50
50% off
|
$140.00
|
$199.70
|
$199.70
|
2026-07-15
|
|
90680
|
CPT
|
Rv5 Vacc 3 Dose Live Oral
|
25
|
23
|
$253.00
|
$126.50
50% off
|
$189.75
|
$189.75
|
$189.75
|
2026-07-15
|
|
90723
|
CPT
|
Dtap-hep B-ipv Vaccine IM
|
25
|
23
|
$189.00
|
$94.50
50% off
|
$187.79
|
$187.79
|
$187.79
|
2026-07-15
|
|
A9516
|
HCPCS
|
Iodine I-123 Sod Iodide Mic
|
25
|
23
|
$185.00
|
$92.50
50% off
|
$185.00
|
$185.00
|
$185.00
|
2026-07-15
|
|
A9537
|
HCPCS
|
Tc99m Mebrofenin
|
25
|
23
|
$184.00
|
$92.00
50% off
|
$184.00
|
$184.00
|
$184.00
|
2026-07-15
|
|
90681
|
CPT
|
Rv1 Vacc 2 Dose Live Oral
|
25
|
23
|
$309.00
|
$154.50
50% off
|
$182.97
|
$182.97
|
$182.97
|
2026-07-15
|
|
90707
|
CPT
|
Mmr Vaccine Sc
|
25
|
23
|
$233.00
|
$116.50
50% off
|
$182.39
|
$182.39
|
$182.39
|
2026-07-15
|
|
90691
|
CPT
|
Typhoid Vaccine IM
|
25
|
23
|
$425.00
|
$212.50
50% off
|
$180.23
|
$180.23
|
$180.23
|
2026-07-15
|
|
J2778
|
HCPCS
|
Ranibizumab Injection
|
25
|
23
|
$180.00
|
$90.00
50% off
|
$180.00
|
$180.00
|
$180.00
|
2026-07-15
|
|
90696
|
CPT
|
Dtap-ipv Vaccine 4-6 Yrs IM
|
26
|
23
|
$172.00
|
$86.00
50% off
|
$138.00
|
$172.00
|
$172.00
|
2026-07-15
|
|
Q4201
|
HCPCS
|
Matrion 1 Sq Cm
|
26
|
23
|
$254.00
|
$127.00
50% off
|
$163.00
|
$171.96
|
$171.96
|
2026-07-15
|
|
J2997
|
HCPCS
|
Alteplase Recombinant
|
25
|
23
|
$256.00
|
$128.00
50% off
|
$146.80
|
$146.80
|
$146.80
|
2026-07-15
|
|
91319
|
CPT
|
Sarscv2 Vac 10mcg Trs-suc IM
|
25
|
23
|
$135.00
|
$67.50
50% off
|
$135.00
|
$135.00
|
$135.00
|
2026-07-15
|
|
J2790
|
HCPCS
|
Rho D Immune Globulin Inj
|
25
|
23
|
$227.00
|
$113.50
50% off
|
$133.91
|
$133.91
|
$133.91
|
2026-07-15
|
|
J2779
|
HCPCS
|
Inj, Susvimo 0.1 Mg
|
25
|
23
|
$172.00
|
$86.00
50% off
|
$133.29
|
$133.29
|
$133.29
|
2026-07-15
|
|
J1566
|
HCPCS
|
Immune Globulin, Powder
|
25
|
23
|
$232.00
|
$116.00
50% off
|
$129.53
|
$129.53
|
$129.53
|
2026-07-15
|
|
90743
|
CPT
|
Hepb Vacc 2 Dose Adolesc IM
|
25
|
23
|
$139.00
|
$69.50
50% off
|
$124.00
|
$124.00
|
$124.00
|
2026-07-15
|
|
90662
|
CPT
|
Iiv No Prsv Increased Ag IM
|
25
|
23
|
$238.00
|
$119.00
50% off
|
$121.11
|
$121.11
|
$121.11
|
2026-07-15
|
|
J7321
|
HCPCS
|
Hyalgan Supartz Visco-3 Dose
|
25
|
23
|
$721.00
|
$360.50
50% off
|
$120.62
|
$120.62
|
$120.62
|
2026-07-15
|
|
90746
|
CPT
|
Hepb Vaccine 3 Dose Adult IM
|
25
|
23
|
$131.00
|
$65.50
50% off
|
$116.13
|
$116.13
|
$116.13
|
2026-07-15
|
|
90632
|
CPT
|
Hepa Vaccine Adult IM
|
25
|
23
|
$204.00
|
$102.00
50% off
|
$115.93
|
$115.93
|
$115.93
|
2026-07-15
|
|
J0775
|
HCPCS
|
Collagenase, Clost Hist Inj
|
25
|
23
|
$247.00
|
$123.50
50% off
|
$109.35
|
$109.35
|
$109.35
|
2026-07-15
|
|
J9280
|
HCPCS
|
Mitomycin Injection
|
25
|
23
|
$242.00
|
$121.00
50% off
|
$104.53
|
$104.53
|
$104.53
|
2026-07-15
|
|
90281
|
CPT
|
Human Ig IM
|
25
|
23
|
$286.00
|
$143.00
50% off
|
$92.80
|
$92.80
|
$92.80
|
2026-07-15
|
|
P9047
|
HCPCS
|
Albumin (human), 25%, 50ml
|
25
|
23
|
$105.00
|
$52.50
50% off
|
$87.58
|
$87.58
|
$87.58
|
2026-07-15
|
|
J0490
|
HCPCS
|
Belimumab Injection
|
25
|
23
|
$162.00
|
$81.00
50% off
|
$85.80
|
$85.80
|
$85.80
|
2026-07-15
|
|
90713
|
CPT
|
Poliovirus Ipv Sc/im
|
25
|
23
|
$123.00
|
$61.50
50% off
|
$84.18
|
$84.18
|
$84.18
|
2026-07-15
|
|
J1460
|
HCPCS
|
Gamma Globulin 1 Cc Inj
|
25
|
23
|
$143.00
|
$71.50
50% off
|
$83.70
|
$83.70
|
$83.70
|
2026-07-15
|
|
J1561
|
HCPCS
|
Gamunex-c/gammaked
|
25
|
23
|
$178.00
|
$89.00
50% off
|
$82.15
|
$82.15
|
$82.15
|
2026-07-15
|
|
J3299
|
HCPCS
|
Inj Xipere 1 Mg
|
25
|
23
|
$124.00
|
$62.00
50% off
|
$80.16
|
$80.16
|
$80.16
|
2026-07-15
|
|
J1459
|
HCPCS
|
Inj Ivig Privigen 500 Mg
|
25
|
23
|
$110.00
|
$55.00
50% off
|
$79.68
|
$79.68
|
$79.68
|
2026-07-15
|
|
J1455
|
HCPCS
|
Foscarnet Sodium Injection
|
25
|
23
|
$79.00
|
$39.50
50% off
|
$79.00
|
$79.00
|
$79.00
|
2026-07-15
|
|
96361
|
CPT
|
Hydrate IV Infusion Add-on
|
26
|
23
|
$90.00
|
$45.00
50% off
|
$27.00
|
$74.68
|
$74.68
|
2026-07-15
|
|
J1569
|
HCPCS
|
Gammagard Liquid Injection
|
25
|
23
|
$169.00
|
$84.50
50% off
|
$72.85
|
$72.85
|
$72.85
|
2026-07-15
|
|
J1110
|
HCPCS
|
Inj Dihydroergotamine Mesylt
|
25
|
23
|
$130.00
|
$65.00
50% off
|
$69.86
|
$69.86
|
$69.86
|
2026-07-15
|
|
90633
|
CPT
|
Hepa Vacc Ped/adol 2 Dose IM
|
25
|
23
|
$98.00
|
$49.00
50% off
|
$68.72
|
$68.72
|
$68.72
|
2026-07-15
|
|
J2406
|
HCPCS
|
Injection, Oritavancin 10 Mg
|
25
|
23
|
$123.00
|
$61.50
50% off
|
$67.52
|
$67.52
|
$67.52
|
2026-07-15
|
|
J0565
|
HCPCS
|
Inj, Bezlotoxumab, 10 Mg
|
25
|
23
|
$137.00
|
$68.50
50% off
|
$65.77
|
$65.77
|
$65.77
|
2026-07-15
|
|
J2357
|
HCPCS
|
Omalizumab Injection
|
25
|
23
|
$148.00
|
$74.00
50% off
|
$65.11
|
$65.11
|
$65.11
|
2026-07-15
|
|
90715
|
CPT
|
Tdap Vaccine 7 Yrs/> IM
|
25
|
23
|
$136.00
|
$68.00
50% off
|
$63.21
|
$63.21
|
$63.21
|
2026-07-15
|
|
A9503
|
HCPCS
|
Tc99m Medronate
|
25
|
23
|
$219.00
|
$109.50
50% off
|
$61.59
|
$61.59
|
$61.59
|
2026-07-15
|
|
J2777
|
HCPCS
|
Inj, Faricimab-svoa, 0.1mg
|
25
|
23
|
$72.00
|
$36.00
50% off
|
$59.55
|
$59.55
|
$59.55
|
2026-07-15
|
|
90647
|
CPT
|
Hib Prp-omp Vacc 3 Dose IM
|
25
|
23
|
$83.00
|
$41.50
50% off
|
$58.58
|
$58.58
|
$58.58
|
2026-07-15
|
|
90700
|
CPT
|
Dtap Vaccine < 7 Yrs IM
|
25
|
23
|
$82.00
|
$41.00
50% off
|
$56.96
|
$56.96
|
$56.96
|
2026-07-15
|
|
Q2038
|
HCPCS
|
Fluzone Vacc, 3 Yrs & >, IM
|
25
|
23
|
$54.00
|
$27.00
50% off
|
$54.00
|
$54.00
|
$54.00
|
2026-07-15
|
|
J9334
|
HCPCS
|
Inj Efgart-alfa 2mg Hya-qvfc
|
25
|
23
|
$98.00
|
$49.00
50% off
|
$53.20
|
$53.20
|
$53.20
|
2026-07-15
|
|
A9540
|
HCPCS
|
Tc99m Maa
|
25
|
23
|
$763.00
|
$381.50
50% off
|
$52.95
|
$52.95
|
$52.95
|
2026-07-15
|
|
90744
|
CPT
|
Hepb Vacc 3 Dose Ped/adol IM
|
25
|
23
|
$64.00
|
$32.00
50% off
|
$50.77
|
$50.77
|
$50.77
|
2026-07-15
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1mg
|
25
|
23
|
$116.00
|
$58.00
50% off
|
$50.34
|
$50.34
|
$50.34
|
2026-07-15
|
|
90714
|
CPT
|
Td Vacc No Presv 7 Yrs+ IM
|
25
|
23
|
$117.00
|
$58.50
50% off
|
$50.06
|
$50.06
|
$50.06
|
2026-07-15
|
|
J2407
|
HCPCS
|
Injection, Oritavancin
|
25
|
23
|
$80.00
|
$40.00
50% off
|
$45.54
|
$45.54
|
$45.54
|
2026-07-15
|
|
J0834
|
HCPCS
|
Inj., Cosyntropin, 0.25 Mg
|
25
|
23
|
$90.00
|
$45.00
50% off
|
$44.73
|
$44.73
|
$44.73
|
2026-07-15
|
|
J9208
|
HCPCS
|
Ifosfamide Injection
|
25
|
23
|
$83.00
|
$41.50
50% off
|
$44.14
|
$44.14
|
$44.14
|
2026-07-15
|
|
Q5107
|
HCPCS
|
Inj Mvasi 10 Mg
|
25
|
23
|
$181.00
|
$90.50
50% off
|
$42.27
|
$42.27
|
$42.27
|
2026-07-15
|
|
J0897
|
HCPCS
|
Denosumab Injection
|
25
|
23
|
$91.00
|
$45.50
50% off
|
$41.58
|
$41.58
|
$41.58
|
2026-07-15
|
|
J2799
|
HCPCS
|
Inj, Uzedy, 1 Mg
|
25
|
23
|
$68.00
|
$34.00
50% off
|
$40.76
|
$40.76
|
$40.76
|
2026-07-15
|
|
J0561
|
HCPCS
|
Penicillin G Benzathine Inj
|
25
|
23
|
$85.00
|
$42.50
50% off
|
$35.85
|
$35.85
|
$35.85
|
2026-07-15
|
|
A9567
|
HCPCS
|
Technetium Tc-99m Aerosol
|
25
|
23
|
$222.00
|
$111.00
50% off
|
$34.04
|
$34.04
|
$34.04
|
2026-07-15
|
|
J1120
|
HCPCS
|
Acetazolamid Sodium Injectio
|
25
|
23
|
$31.00
|
$15.50
50% off
|
$31.00
|
$31.00
|
$31.00
|
2026-07-15
|
|
J2356
|
HCPCS
|
Inj Tezepelumab-ekko, 1mg
|
25
|
23
|
$67.00
|
$33.50
50% off
|
$30.67
|
$30.67
|
$30.67
|
2026-07-15
|
|
J0558
|
HCPCS
|
Peng Benzathine/procaine Inj
|
25
|
23
|
$56.00
|
$28.00
50% off
|
$29.01
|
$29.01
|
$29.01
|
2026-07-15
|
|
J3304
|
HCPCS
|
Inj Triamcinolone Ace Xr 1mg
|
25
|
23
|
$65.00
|
$32.50
50% off
|
$28.94
|
$28.94
|
$28.94
|
2026-07-15
|
|
J0491
|
HCPCS
|
Inj Anifrolumab-fnia 1mg
|
25
|
23
|
$55.00
|
$27.50
50% off
|
$28.35
|
$28.35
|
$28.35
|
2026-07-15
|
|
90660
|
CPT
|
Laiv3 Vaccine Intranasal
|
25
|
23
|
$73.00
|
$36.50
50% off
|
$27.56
|
$27.56
|
$27.56
|
2026-07-15
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin
|
25
|
23
|
$27.00
|
$13.50
50% off
|
$25.23
|
$25.23
|
$25.23
|
2026-07-15
|
|
90648
|
CPT
|
Hib Prp-t Vaccine 4 Dose IM
|
25
|
23
|
$34.00
|
$17.00
50% off
|
$25.21
|
$25.21
|
$25.21
|
2026-07-15
|
|
J2426
|
HCPCS
|
Inj, Invega Sustenna, 1 Mg
|
25
|
23
|
$43.00
|
$21.50
50% off
|
$23.63
|
$23.63
|
$23.63
|
2026-07-15
|
|
90657
|
CPT
|
Iiv3 Vaccine Splt 0.25 Ml IM
|
25
|
23
|
$29.00
|
$14.50
50% off
|
$21.62
|
$21.62
|
$21.62
|
2026-07-15
|
|
J0587
|
HCPCS
|
Inj, Rimabotulinumtoxinb
|
25
|
23
|
$39.00
|
$19.50
50% off
|
$21.50
|
$21.50
|
$21.50
|
2026-07-15
|
|
J1335
|
HCPCS
|
Ertapenem Injection
|
25
|
23
|
$30.00
|
$15.00
50% off
|
$21.40
|
$21.40
|
$21.40
|
2026-07-15
|
|
90656
|
CPT
|
Iiv3 Vacc No Prsv 0.5 Ml IM
|
25
|
23
|
$58.00
|
$29.00
50% off
|
$21.07
|
$21.07
|
$21.07
|
2026-07-15
|
|
J2427
|
HCPCS
|
Inj, Invega Hafyera/trinza
|
25
|
23
|
$38.00
|
$19.00
50% off
|
$20.15
|
$20.15
|
$20.15
|
2026-07-15
|
|
J2794
|
HCPCS
|
Inj Risperdal Consta, 0.5 Mg
|
25
|
23
|
$36.00
|
$18.00
50% off
|
$20.05
|
$20.05
|
$20.05
|
2026-07-15
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
25
|
23
|
$36.00
|
$18.00
50% off
|
$20.01
|
$20.01
|
$20.01
|
2026-07-15
|
|
J2798
|
HCPCS
|
Inj., Perseris, 0.5 Mg
|
25
|
23
|
$34.00
|
$17.00
50% off
|
$19.17
|
$19.17
|
$19.17
|
2026-07-15
|
|
J3396
|
HCPCS
|
Verteporfin Injection
|
25
|
23
|
$26.00
|
$13.00
50% off
|
$19.02
|
$19.02
|
$19.02
|
2026-07-15
|
|
J7402
|
HCPCS
|
Mometasone Sinus Sinuva
|
25
|
23
|
$33.00
|
$16.50
50% off
|
$18.73
|
$18.73
|
$18.73
|
2026-07-15
|
|
J2274
|
HCPCS
|
Inj Morphine Pf Epid Ithc
|
25
|
23
|
$55.00
|
$27.50
50% off
|
$18.55
|
$18.55
|
$18.55
|
2026-07-15
|
|
J3111
|
HCPCS
|
Inj. Romosozumab-aqqg 1 Mg
|
25
|
23
|
$38.00
|
$19.00
50% off
|
$17.70
|
$17.70
|
$17.70
|
2026-07-15
|
|
J3030
|
HCPCS
|
Sumatriptan Succinate / 6 Mg
|
25
|
23
|
$17.00
|
$8.50
50% off
|
$17.00
|
$17.00
|
$17.00
|
2026-07-15
|
|
J3410
|
HCPCS
|
Hydroxyzine Hcl Injection
|
25
|
23
|
$55.00
|
$27.50
50% off
|
$16.35
|
$16.35
|
$16.35
|
2026-07-15
|
|
J2010
|
HCPCS
|
Lincomycin Injection
|
25
|
23
|
$46.00
|
$23.00
50% off
|
$16.24
|
$16.24
|
$16.24
|
2026-07-15
|
|
J7325
|
HCPCS
|
Synvisc Or Synvisc-one
|
25
|
23
|
$40.00
|
$20.00
50% off
|
$15.05
|
$15.05
|
$15.05
|
2026-07-15
|
|
J2278
|
HCPCS
|
Ziconotide Injection
|
25
|
23
|
$35.00
|
$17.50
50% off
|
$14.92
|
$14.92
|
$14.92
|
2026-07-15
|
|
J0885
|
HCPCS
|
Epoetin Alfa, Non-esrd
|
25
|
23
|
$42.00
|
$21.00
50% off
|
$14.67
|
$14.67
|
$14.67
|
2026-07-15
|
|
J0586
|
HCPCS
|
Abobotulinumtoxina
|
25
|
23
|
$26.00
|
$13.00
50% off
|
$14.54
|
$14.54
|
$14.54
|
2026-07-15
|
|
J7329
|
HCPCS
|
Inj, Trivisc 1 Mg
|
25
|
23
|
$50.00
|
$25.00
50% off
|
$13.05
|
$13.05
|
$13.05
|
2026-07-15
|
|
J2360
|
HCPCS
|
Orphenadrine Injection
|
25
|
23
|
$13.00
|
$6.50
50% off
|
$13.00
|
$13.00
|
$13.00
|
2026-07-15
|
|
Q5106
|
HCPCS
|
Inj Retacrit Non-esrd Use
|
25
|
23
|
$27.00
|
$13.50
50% off
|
$12.90
|
$12.90
|
$12.90
|
2026-07-15
|
|
J0739
|
HCPCS
|
HIV Prep, Inj, Cabotegravir
|
25
|
23
|
$21.00
|
$10.50
50% off
|
$12.77
|
$12.77
|
$12.77
|
2026-07-15
|
|
J0695
|
HCPCS
|
Inj Ceftolozane Tazobactam
|
25
|
23
|
$25.00
|
$12.50
50% off
|
$12.16
|
$12.16
|
$12.16
|
2026-07-15
|
|
J2175
|
HCPCS
|
Meperidine Hydrochl /100 Mg
|
25
|
23
|
$24.00
|
$12.00
50% off
|
$12.05
|
$12.05
|
$12.05
|
2026-07-15
|
|
J0702
|
HCPCS
|
Betamethasone Acet&sod Phosp
|
25
|
23
|
$12.00
|
$6.00
50% off
|
$11.25
|
$11.25
|
$11.25
|
2026-07-15
|
|
J0401
|
HCPCS
|
Inj, Abilify Maintena, 1 Mg
|
25
|
23
|
$20.00
|
$10.00
50% off
|
$11.24
|
$11.24
|
$11.24
|
2026-07-15
|
|
J0585
|
HCPCS
|
Injection,onabotulinumtoxina
|
25
|
23
|
$20.00
|
$10.00
50% off
|
$10.44
|
$10.44
|
$10.44
|
2026-07-15
|
|
J7318
|
HCPCS
|
Inj, Durolane 1 Mg
|
25
|
23
|
$56.00
|
$28.00
50% off
|
$10.13
|
$10.13
|
$10.13
|
2026-07-15
|
|
J2597
|
HCPCS
|
Inj Desmopressin Acetate
|
25
|
23
|
$10.00
|
$5.00
50% off
|
$10.00
|
$10.00
|
$10.00
|
2026-07-15
|
|
J0248
|
HCPCS
|
Inj, Remdesivir, 1 Mg
|
25
|
23
|
$20.00
|
$10.00
50% off
|
$10.00
|
$10.00
|
$10.00
|
2026-07-15
|
|
J0402
|
HCPCS
|
Inj, Abilify Asimtufii, 1 Mg
|
25
|
23
|
$17.00
|
$8.50
50% off
|
$9.70
|
$9.70
|
$9.70
|
2026-07-15
|
|
J0588
|
HCPCS
|
Incobotulinumtoxin A
|
25
|
23
|
$17.00
|
$8.50
50% off
|
$8.56
|
$8.56
|
$8.56
|
2026-07-15
|
|
J3489
|
HCPCS
|
Zoledronic Acid 1mg
|
25
|
23
|
$8.00
|
$4.00
50% off
|
$8.00
|
$8.00
|
$8.00
|
2026-07-15
|
|
J3300
|
HCPCS
|
Triamcinolone A Inj Prs-free
|
25
|
23
|
$50.00
|
$25.00
50% off
|
$7.97
|
$7.97
|
$7.97
|
2026-07-15
|
|
J9155
|
HCPCS
|
Degarelix Injection
|
25
|
23
|
$12.00
|
$6.00
50% off
|
$6.91
|
$6.91
|
$6.91
|
2026-07-15
|
|
J2315
|
HCPCS
|
Naltrexone, Depot Form
|
25
|
23
|
$13.00
|
$6.50
50% off
|
$6.53
|
$6.53
|
$6.53
|
2026-07-15
|
|
J0712
|
HCPCS
|
Ceftaroline Fosamil Inj
|
25
|
23
|
$15.00
|
$7.50
50% off
|
$6.34
|
$6.34
|
$6.34
|
2026-07-15
|
|
J9201
|
HCPCS
|
In Gemcitabine Hcl Nos 200mg
|
25
|
23
|
$14.00
|
$7.00
50% off
|
$6.02
|
$6.02
|
$6.02
|
2026-07-15
|
|
J2550
|
HCPCS
|
Promethazine Hcl Injection
|
25
|
23
|
$11.00
|
$5.50
50% off
|
$5.92
|
$5.92
|
$5.92
|
2026-07-15
|
|
J0780
|
HCPCS
|
Prochlorperazine Injection
|
25
|
23
|
$8.00
|
$4.00
50% off
|
$5.66
|
$5.66
|
$5.66
|
2026-07-15
|
|
J7336
|
HCPCS
|
Capsaicin 8% Patch
|
25
|
23
|
$10.00
|
$5.00
50% off
|
$5.40
|
$5.40
|
$5.40
|
2026-07-15
|
|
J9190
|
HCPCS
|
Fluorouracil Injection
|
25
|
23
|
$7.00
|
$3.50
50% off
|
$5.31
|
$5.31
|
$5.31
|
2026-07-15
|
|
J9260
|
HCPCS
|
Inj Methotrexate Sodium 50mg
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$5.00
|
$5.00
|
$5.00
|
2026-07-15
|
|
J0735
|
HCPCS
|
Clonidine Hydrochloride
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$5.00
|
$5.00
|
$5.00
|
2026-07-15
|
|
J0882
|
HCPCS
|
Darbepoetin Alfa, Esrd Use
|
25
|
23
|
$23.00
|
$11.50
50% off
|
$4.83
|
$4.83
|
$4.83
|
2026-07-15
|
|
J0881
|
HCPCS
|
Darbepoetin Alfa, Non-esrd
|
25
|
23
|
$23.00
|
$11.50
50% off
|
$4.83
|
$4.83
|
$4.83
|
2026-07-15
|
|
J3430
|
HCPCS
|
Vitamin K Phytonadione Inj
|
25
|
23
|
$6.00
|
$3.00
50% off
|
$4.79
|
$4.79
|
$4.79
|
2026-07-15
|
|
J9030
|
HCPCS
|
Bcg Live Intravesical 1mg
|
25
|
23
|
$11.00
|
$5.50
50% off
|
$4.77
|
$4.77
|
$4.77
|
2026-07-15
|
|
J7030
|
HCPCS
|
Normal Saline Solution Infus
|
25
|
23
|
$14.00
|
$7.00
50% off
|
$4.44
|
$4.44
|
$4.44
|
2026-07-15
|
|
J7120
|
HCPCS
|
Ringers Lactate Infusion
|
25
|
23
|
$14.00
|
$7.00
50% off
|
$4.27
|
$4.27
|
$4.27
|
2026-07-15
|
|
J3411
|
HCPCS
|
Thiamine Hcl 100 Mg
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$4.06
|
$4.06
|
$4.06
|
2026-07-15
|
|
J1580
|
HCPCS
|
Garamycin Gentamicin Inj
|
25
|
23
|
$4.00
|
$2.00
50% off
|
$4.00
|
$4.00
|
$4.00
|
2026-07-15
|
|
J2916
|
HCPCS
|
Na Ferric Gluconate Complex
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$3.91
|
$3.91
|
$3.91
|
2026-07-15
|
|
C9257
|
HCPCS
|
Bevacizumab Injection
|
25
|
23
|
$6.00
|
$3.00
50% off
|
$3.05
|
$3.05
|
$3.05
|
2026-07-15
|
|
J7503
|
HCPCS
|
Tacrol Envarsus Ex Rel Oral
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$2.85
|
$2.85
|
$2.85
|
2026-07-15
|
|
J0713
|
HCPCS
|
Inj Ceftazidime Per 500 Mg
|
25
|
23
|
$4.00
|
$2.00
50% off
|
$2.79
|
$2.79
|
$2.79
|
2026-07-15
|
|
J3420
|
HCPCS
|
Vitamin B12 Injection
|
25
|
23
|
$6.00
|
$3.00
50% off
|
$2.38
|
$2.38
|
$2.38
|
2026-07-15
|
|
J1630
|
HCPCS
|
Haloperidol Injection
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$2.34
|
$2.34
|
$2.34
|
2026-07-15
|
|
J7040
|
HCPCS
|
Normal Saline Solution Infus
|
25
|
23
|
$12.00
|
$6.00
50% off
|
$2.23
|
$2.23
|
$2.23
|
2026-07-15
|
|
J0692
|
HCPCS
|
Cefepime Hcl For Injection
|
25
|
23
|
$4.00
|
$2.00
50% off
|
$2.08
|
$2.08
|
$2.08
|
2026-07-15
|
|
Q0163
|
HCPCS
|
Diphenhydramine Hcl 50mg
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$2.00
|
$2.00
|
$2.00
|
2026-07-15
|
|
J2354
|
HCPCS
|
Octreotide Inj, Non-depot
|
25
|
23
|
$21.00
|
$10.50
50% off
|
$1.96
|
$1.96
|
$1.96
|
2026-07-15
|
|
J2543
|
HCPCS
|
Piperacillin/tazobactam
|
25
|
23
|
$6.00
|
$3.00
50% off
|
$1.95
|
$1.95
|
$1.95
|
2026-07-15
|
|
J3465
|
HCPCS
|
Injection, Voriconazole
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.91
|
$1.91
|
$1.91
|
2026-07-15
|
|
J0122
|
HCPCS
|
Inj., Eravacycline, 1 Mg
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$1.86
|
$1.86
|
$1.86
|
2026-07-15
|
|
J2060
|
HCPCS
|
Lorazepam Injection
|
25
|
23
|
$6.00
|
$3.00
50% off
|
$1.85
|
$1.85
|
$1.85
|
2026-07-15
|
|
J2765
|
HCPCS
|
Metoclopramide Hcl Injection
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.80
|
$1.80
|
$1.80
|
2026-07-15
|
|
J2700
|
HCPCS
|
Oxacillin Sodium Injeciton
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.73
|
$1.73
|
$1.73
|
2026-07-15
|
|
J0290
|
HCPCS
|
Ampicillin 500 Mg Inj
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$1.67
|
$1.67
|
$1.67
|
2026-07-15
|
|
J9171
|
HCPCS
|
Docetaxel Injection
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$1.65
|
$1.65
|
$1.65
|
2026-07-15
|
|
J3010
|
HCPCS
|
Fentanyl Citrate Injection
|
25
|
23
|
$4.00
|
$2.00
50% off
|
$1.60
|
$1.60
|
$1.60
|
2026-07-15
|
|
J3301
|
HCPCS
|
Triamcinolone Acet Inj Nos
|
25
|
23
|
$7.00
|
$3.50
50% off
|
$1.57
|
$1.57
|
$1.57
|
2026-07-15
|
|
J1956
|
HCPCS
|
Levofloxacin Injection
|
25
|
23
|
$7.00
|
$3.50
50% off
|
$1.50
|
$1.50
|
$1.50
|
2026-07-15
|
|
Q4081
|
HCPCS
|
Epoetin Alfa, 100 Units Esrd
|
25
|
23
|
$5.00
|
$2.50
50% off
|
$1.47
|
$1.47
|
$1.47
|
2026-07-15
|
|
J0278
|
HCPCS
|
Amikacin Sulfate Injection
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$1.37
|
$1.37
|
$1.37
|
2026-07-15
|
|
J1200
|
HCPCS
|
Diphenhydramine Hcl Injectio
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.32
|
$1.32
|
$1.32
|
2026-07-15
|
|
Q5105
|
HCPCS
|
Inj Retacrit Esrd On Dialysi
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.29
|
$1.29
|
$1.29
|
2026-07-15
|
|
J0690
|
HCPCS
|
Cefazolin Sodium Injection
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.25
|
$1.25
|
$1.25
|
2026-07-15
|
|
J1650
|
HCPCS
|
Inj Enoxaparin Sodium
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$1.12
|
$1.12
|
$1.12
|
2026-07-15
|
|
J1815
|
HCPCS
|
Insulin Injection
|
25
|
23
|
$8.00
|
$4.00
50% off
|
$0.92
|
$0.92
|
$0.92
|
2026-07-15
|
|
J1050
|
HCPCS
|
Medroxyprogesterone Acetate
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.87
|
$0.87
|
$0.87
|
2026-07-15
|
|
J3471
|
HCPCS
|
Ovine, Up To 999 Usp Units
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$0.83
|
$0.83
|
$0.83
|
2026-07-15
|
|
J7328
|
HCPCS
|
Gelsyn-3 Injection 0.1 Mg
|
25
|
23
|
$7.00
|
$3.50
50% off
|
$0.81
|
$0.81
|
$0.81
|
2026-07-15
|
|
J1885
|
HCPCS
|
Ketorolac Tromethamine Inj
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$0.81
|
$0.81
|
$0.81
|
2026-07-15
|
|
J0696
|
HCPCS
|
Ceftriaxone Sodium Injection
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$0.81
|
$0.81
|
$0.81
|
2026-07-15
|
|
J2185
|
HCPCS
|
Meropenem
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.74
|
$0.74
|
$0.74
|
2026-07-15
|
|
J0270
|
HCPCS
|
Alprostadil For Injection
|
25
|
23
|
$17.00
|
$8.50
50% off
|
$0.73
|
$0.73
|
$0.73
|
2026-07-15
|
|
J7510
|
HCPCS
|
Prednisolone Oral Per 5 Mg
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.69
|
$0.69
|
$0.69
|
2026-07-15
|
|
Q0138
|
HCPCS
|
Ferumoxytol, Non-esrd
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$0.59
|
$0.59
|
$0.59
|
2026-07-15
|
|
J3473
|
HCPCS
|
Hyaluronidase Recombinant
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.59
|
$0.59
|
$0.59
|
2026-07-15
|
|
Q5101
|
HCPCS
|
Injection, Zarxio
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$0.53
|
$0.53
|
$0.53
|
2026-07-15
|
|
J7644
|
HCPCS
|
Ipratropium Bromide Non-comp
|
25
|
23
|
$3.00
|
$1.50
50% off
|
$0.53
|
$0.53
|
$0.53
|
2026-07-15
|
|
J1756
|
HCPCS
|
Iron Sucrose Injection
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.36
|
$0.36
|
$0.36
|
2026-07-15
|
|
J7620
|
HCPCS
|
Albuterol Ipratrop Non-comp
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$0.28
|
$0.28
|
$0.28
|
2026-07-15
|
|
J2250
|
HCPCS
|
Inj Midazolam Hydrochloride
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.23
|
$0.23
|
$0.23
|
2026-07-15
|
|
J1100
|
HCPCS
|
Dexamethasone Sodium Phos
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.20
|
$0.20
|
$0.20
|
2026-07-15
|
|
J2405
|
HCPCS
|
Ondansetron Hcl Injection
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.17
|
$0.17
|
$0.17
|
2026-07-15
|
|
J8540
|
HCPCS
|
Oral Dexamethasone
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.13
|
$0.13
|
$0.13
|
2026-07-15
|
|
J2795
|
HCPCS
|
Ropivacaine Hcl Injection
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.13
|
$0.13
|
$0.13
|
2026-07-15
|
|
J7614
|
HCPCS
|
Levalbuterol Non-comp Unit
|
25
|
23
|
$4.00
|
$2.00
50% off
|
$0.08
|
$0.08
|
$0.08
|
2026-07-15
|
|
J3121
|
HCPCS
|
Inj Testostero Enanthate 1mg
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.08
|
$0.08
|
$0.08
|
2026-07-15
|
|
J0878
|
HCPCS
|
Daptomycin Injection
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.07
|
$0.07
|
$0.07
|
2026-07-15
|
|
J1071
|
HCPCS
|
Inj Testosterone Cypionate
|
25
|
23
|
$1.00
|
$0.50
50% off
|
$0.05
|
$0.05
|
$0.05
|
2026-07-15
|
|
J1642
|
HCPCS
|
Inj Heparin Sodium Per 10 U
|
25
|
23
|
$2.00
|
$1.00
50% off
|
$0.03
|
$0.03
|
$0.03
|
2026-07-15
|
|
01965
|
CPT
|
Anes Incompl/missed Ab Px
|
0
|
0
|
$177.00
|
$88.50
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01963
|
CPT
|
Anes Cesarean Hysterectomy
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00918
|
CPT
|
Anesth Stone Removal
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01962
|
CPT
|
Anes Urgent Hysterectomy
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01961
|
CPT
|
Anes Cesarean Delivery Only
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00916
|
CPT
|
Anesth Bleeding Control
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00562
|
CPT
|
Anesth Hrt Surg W/pmp Age 1+
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01960
|
CPT
|
Anes Vaginal Delivery Only
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01958
|
CPT
|
Anes Xtrnl Cephalic Version
|
0
|
0
|
$140.00
|
$70.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00914
|
CPT
|
Anesth Removal Of Prostate
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01952
|
CPT
|
Anes 2&3 Burn 4-9% Tbsa
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01951
|
CPT
|
Anes 2&3 Burn Less 4% Tbsa
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00912
|
CPT
|
Anesth Bladder Tumor Surg
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00560
|
CPT
|
Anesth Heart Surg Without Pump
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00322
|
CPT
|
Anesth Biopsy Of Thyroid
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01933
|
CPT
|
Anes Tx Interv Rad Cran Vein
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01932
|
CPT
|
Anes Tx Interv Rad Th Vein
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00910
|
CPT
|
Anesth Bladder Surgery
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01931
|
CPT
|
Anes Ther Interven Rad Tips
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01930
|
CPT
|
Anes Ther Interven Rad Vein
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00908
|
CPT
|
Anesth Removal Of Prostate
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00550
|
CPT
|
Anesth Sternal Debridement
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01926
|
CPT
|
Anes Tx Interv Rad Hrt/cran
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01925
|
CPT
|
Anes Ther Interven Rad Card
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00906
|
CPT
|
Anes Vulvectomy
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01924
|
CPT
|
Anes Ther Interven Rad Artrl
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01922
|
CPT
|
Anesth Cat Or MRI Scan
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00904
|
CPT
|
Anesth Perineal Surgery
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00548
|
CPT
|
Anesth Trachea Bronchi Surg
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00320
|
CPT
|
Anesth Neck Organ 1yr/>
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00170
|
CPT
|
Anesth Procedure On Mouth
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01920
|
CPT
|
Anesth Catheterize Heart
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01916
|
CPT
|
Anesth Dx Arteriography
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00902
|
CPT
|
Anesth Anorectal Surgery
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01860
|
CPT
|
Anesth Lower Arm Casting
|
0
|
0
|
$156.00
|
$78.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01852
|
CPT
|
Anesth Lwr Arm Vein Repair
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00882
|
CPT
|
Anesth Major Vein Ligation
|
0
|
0
|
$158.00
|
$79.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00546
|
CPT
|
Anesth Lung Chest Wall Surg
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01850
|
CPT
|
Anesth Lower Arm Vein Surg
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01844
|
CPT
|
Anesth Vascular Shunt Surg
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
00880
|
CPT
|
Anesth Abdomen Vessel Surg
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|
|
01842
|
CPT
|
Anesth Lwr Arm Embolectomy
|
0
|
0
|
$228.00
|
$114.00
50% off
|
—
|
—
|
—
|
2026-07-15
|