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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

GRANT MEMORIAL HOSPITAL

Petersburg, WV · CCN 511316 · Rates published

Your selected procedure

You selected 59400 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

4,944 distinct procedures filed
22 distinct payers
177,124 rate rows
2026-05-13 last MRF observed
Data quality

15,340 of 177,124 rate rows are consumer-grade (8.7%)

161,784 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 160,665
per-diem day rate — not a per-procedure price 701
exceeds 10× this hospital's gross charge — excluded from medians 403
placeholder amount (≤ $0.02) — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wvumedicine.org/wp-content/uploads/2026/04/881740605_Grant-Memorial-Hospital-Inc_standardcharges.csv
Found on page https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-07-31
Content fingerprint 420b3d5851e911cb… · 24,752,984 bytes · first seen 2026-05-13

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
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 22 $101,970.00 $101,970.00 $101,970.00 nat. median
$69,291
1.5× median
J9226
HCPCS 		Supprelin La Implant 22 $73,550.30 $73,550.30 $73,550.30 nat. median
$55,200
1.3× median
J0480
HCPCS 		Basiliximab 22 $7,385.85 $7,385.85 $7,385.85 nat. median
$6,687
1.1× median
J2787
HCPCS 		Riboflavin 5'phos Opth<=3ml 22 $4,108.50 $4,108.50 $4,108.50 nat. median
$4,090
1.0× median
J3240
HCPCS 		Thyrotropin Injection 22 $3,334.93 $3,334.93 $3,334.93 nat. median
$2,938
1.1× median
J1950
HCPCS 		Leuprolide Acetate /3.75 Mg 22 $2,581.59 $2,581.59 $2,581.59 nat. median
$3,885
0.7× median
J7298
HCPCS 		Mirena, 52 Mg 22 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,720
1.3× median
J7296
HCPCS 		Kyleena, 19.5 Mg 22 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,693
1.4× median
00052-4330-01
OTHER 		Nexplanon 22 $2,290.45 $2,290.45 $2,290.45 nat. median
$2,290
1.0× median
J9357
HCPCS 		Valrubicin Injection 22 $2,250.35 $2,250.35 $2,250.35 nat. median
$1,762
1.3× median
00338-0017-11
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00270-1111-02
OTHER 		Prohance 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00019-1333-11
OTHER 		Optiray 350 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00270-0445-35
OTHER 		Gastrografin 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$1,297
1.7× median
00264-1510-31
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,482
0.9× median
00338-0049-03
OTHER 		Sodium Chloride 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00409-7100-67
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00338-0017-02
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00270-1316-35
OTHER 		Isovue-370 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,208
1.0× median
94640
CPT 		Airway Inhalation Treatment 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$194
outlier · 11.4×
00270-7030-42
OTHER 		Vueway 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
Q9967
HCPCS 		Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$64
outlier · 34.3×
94667
CPT 		Initial Therapy Service To Facilitate Lung Function 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$153
outlier · 14.5×
J7060
HCPCS 		5% Dextrose/water (500 Ml = 1 Unit) 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$22
outlier · 101.9×
00338-0117-02
OTHER 		Lactated Ringer's 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$1,038
outlier · 2.1×
00407-1414-72
OTHER 		Omnipaque 350 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$0
94644
CPT 		Cbt 1st Hour 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$183
outlier · 12.1×
00338-0551-18
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$8
outlier · 276.3×
00338-0017-03
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00990-7922-02
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00270-1111-03
OTHER 		Prohance 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,482
0.9× median
00338-0017-04
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00338-0017-18
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
94664
CPT 		Evaluate Pt Use Of Inhaler 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$193
outlier · 11.5×
94660
CPT 		Therapy Procedure Using A Positive Pressure Ventilator 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$367
outlier · 6.0×
94002
CPT 		Vent Mgmt Inpat Init Day 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$920
outlier · 2.4×
94668
CPT 		Chest Wall Manipulation 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$136
outlier · 16.3×
00338-0049-04
OTHER 		Sodium Chloride 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
J3490
HCPCS 		Drugs Unclassified Injection 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$47
outlier · 46.7×
A9576
HCPCS 		Injection; Gadoteridol; (prohance Multipack); Per Ml 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$11
outlier · 199.4×
00338-0117-04
OTHER 		Lactated Ringer's 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,000
1.1× median
00270-1111-01
OTHER 		Prohance 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00407-1412-10
OTHER 		Omnipaque 240 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$1,297
1.7× median
S5553
HCPCS 		Insulin; Long Acting; 5 Units 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2
outlier · 1158.9×
94003
CPT 		Vent Mgmt Inpat Subq Day 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$824
outlier · 2.7×
G0239
HCPCS 		Oth Resp Proc, Group 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$79
outlier · 27.9×
00990-7922-03
OTHER 		Dextrose 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,242
1.0× median
94645
CPT 		Inhalation Treatment For Acute Airway Obstruction; Each Additional Hour 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$143
outlier · 15.5×
00990-7953-09
OTHER 		Lactated Ringer's 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,214
1.0× median
00990-7983-02
OTHER 		Sodium Chloride 9 $2,213.50 $2,213.50 $2,213.50 nat. median
$2,242
1.0× median

Other procedures at this hospital

Browse this hospital's 4,944 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 22 $138,420.00 $110,736.00 20% off $101,970.00 $101,970.00 $101,970.00 2026-05-13
J9226 HCPCS Supprelin La Implant 24 22 $150,543.00 $120,434.40 20% off $73,550.30 $73,550.30 $73,550.30 2026-05-13
J0480 HCPCS Basiliximab 24 22 $13,463.00 $10,770.40 20% off $7,385.85 $7,385.85 $7,385.85 2026-05-13
J2787 HCPCS Riboflavin 5'phos Opth<=3ml 24 22 $13,680.00 $10,944.00 20% off $4,108.50 $4,108.50 $4,108.50 2026-05-13
J3240 HCPCS Thyrotropin Injection 24 22 $6,067.00 $4,853.60 $3,334.93 $3,334.93 $3,334.93 2026-05-13
J1950 HCPCS Leuprolide Acetate /3.75 Mg 24 22 $5,215.00 $4,172.00 20% off $2,581.59 $2,581.59 $2,581.59 2026-05-13
00052-4330-01 OTHER Nexplanon 24 22 $3,471.00 $2,776.80 $2,290.45 $2,290.45 $2,290.45 2026-05-13
J7296 HCPCS Kyleena, 19.5 Mg 24 22 $3,644.00 $2,915.20 20% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
J7298 HCPCS Mirena, 52 Mg 24 22 $3,644.00 $2,915.20 20% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
J9357 HCPCS Valrubicin Injection 24 22 $4,088.00 $3,270.40 20% off $2,250.35 $2,250.35 $2,250.35 2026-05-13
00270-1316-35 OTHER Isovue-370 18 9 $27.30 $21.84 $2,213.50 $2,213.50 $2,213.50 2026-05-13
5003301037 OTHER Hchg Hospice Daily 10 9 $1,351.00 $1,080.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94002 CPT Vent Mgmt Inpat Init Day 9 9 $1,221.00 $976.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
J3490 HCPCS Drugs Unclassified Injection 9 9 $7.00 $5.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7953-09 OTHER Lactated Ringer's 9 9 $15.00 $12.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00407-1414-72 OTHER Omnipaque 350 9 9 $118.35 $94.68 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103331037 OTHER Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml 9 9 $35.00 $28.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00019-1333-11 OTHER Optiray 350 9 9 $52.50 $42.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
S5553 HCPCS Insulin; Long Acting; 5 Units 9 9 $50.72 $40.58 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103231037 OTHER Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose 9 9 $1.00 $0.80 $2,213.50 $2,213.50 $2,213.50 2026-05-13
G0239 HCPCS Oth Resp Proc, Group 18 9 $94.50 $75.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1001171037 OTHER Hchg Transitional Care Bed 10 9 $624.00 $499.20 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0017-18 OTHER Dextrose 9 9 $4.80 $3.84 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1102831037 OTHER Hchg Sodium Chloride Syringe 9 9 $2.00 $1.60 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00270-1111-03 OTHER Prohance 9 9 $76.02 $60.82 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104711037 OTHER Hchg Juvéderm Vollure Per 1ml Syringe 9 9 $1,128.00 $902.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94667 CPT Initial Therapy Service To Facilitate Lung Function 27 9 $273.00 $218.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
9196051037 OTHER Hchg Phenol Ez Swabs Each 9 9 $13.00 $10.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000151037 OTHER Hchg OB Room 10 9 $1,419.00 $1,135.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00270-7030-42 OTHER Vueway 9 9 $78.92 $63.14 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0017-02 OTHER Dextrose 9 9 $6.00 $4.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000201037 OTHER Hchg Routine Room 10 9 $1,419.00 $1,135.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000221037 OTHER Hchg Telemetry Room 10 9 $1,419.00 $1,135.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7922-02 OTHER Dextrose 9 9 $15.00 $12.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0049-03 OTHER Sodium Chloride 9 9 $6.00 $4.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104801037 OTHER Hchg Sodium Tetradecyl Sulfate (sotradecol) Per 1ml 9 9 $78.00 $62.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00409-7100-67 OTHER Dextrose 9 9 $6.00 $4.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
Q9967 HCPCS Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml 9 9 $21.84 $17.47 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104731037 OTHER Hchg Belotero Balance Per 1ml Syringe 9 9 $855.00 $684.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7983-03 OTHER Sodium Chloride 9 9 $15.00 $12.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0117-04 OTHER Lactated Ringer's 9 9 $12.00 $9.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103371037 OTHER Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml 9 9 $2.00 $1.60 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0017-04 OTHER Dextrose 9 9 $6.00 $4.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94660 CPT Therapy Procedure Using A Positive Pressure Ventilator 27 9 $460.00 $368.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1102741037 OTHER Hchg 0.9% Ns 250 Ml 9 9 $12.00 $9.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94668 CPT Chest Wall Manipulation 18 9 $553.00 $442.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
J7060 HCPCS 5% Dextrose/water (500 Ml = 1 Unit) 9 9 $4.50 $3.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0117-02 OTHER Lactated Ringer's 9 9 $2.70 $2.16 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00270-1111-02 OTHER Prohance 9 9 $57.02 $45.62 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000101037 OTHER Hchg Newborn Room 10 9 $809.00 $647.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000081037 OTHER Hchg Isolation Room 10 9 $1,419.00 $1,135.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
94003 CPT Vent Mgmt Inpat Subq Day 9 9 $1,221.00 $976.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104071037 OTHER Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml 9 9 $20.00 $16.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103561037 OTHER Hchg Hydralazine Per 25 Mg Tab 9 9 $1.00 $0.80 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104721037 OTHER Hchg Restylane Per 1ml Syringe 9 9 $899.00 $719.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7922-03 OTHER Dextrose 9 9 $15.00 $12.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000071037 OTHER Hchg Intensive Care Room 10 9 $2,533.00 $2,026.40 $2,213.50 $2,213.50 $2,213.50 2026-05-13
9196061037 OTHER Hchg Silvadene 1% Cream, Per 1 Gm 9 9 $2.00 $1.60 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0049-04 OTHER Sodium Chloride 9 9 $6.00 $4.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0017-03 OTHER Dextrose 9 9 $3.60 $2.88 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
9196071037 OTHER Hchg Silver Nitrate Swabs - Each 9 9 $3.00 $2.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0017-11 OTHER Dextrose 9 9 $4.95 $3.96 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104701037 OTHER Hchg Juvéderm Volbella Xc Per 1ml Syringe 9 9 $1,128.00 $902.40 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00407-1412-10 OTHER Omnipaque 240 9 9 $119.73 $95.78 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000141037 OTHER Hchg Nursery 10 9 $1,419.00 $1,135.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104691037 OTHER Hchg Juvéderm Volbella Xc Per (1) 0.55ml Syringe 9 9 $615.00 $492.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00338-0551-18 OTHER Dextrose 9 9 $8.10 $6.48 $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7983-02 OTHER Sodium Chloride 9 9 $15.00 $12.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104671037 OTHER Hchg Juvéderm Ultra Plus Xc Per (1) 0.55ml Syringe 9 9 $861.00 $688.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00270-0445-35 OTHER Gastrografin 9 9 $16.98 $13.58 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00270-1111-01 OTHER Prohance 9 9 $38.01 $30.41 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000291037 OTHER Hchg Respite Room 10 9 $367.00 $293.60 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104681037 OTHER Hchg Juvéderm Ultra Plus Xc Per 1ml Syringe 9 9 $1,047.00 $837.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1000121037 OTHER Hchg Nn Level 2 10 9 $1,021.00 $816.80 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103481037 OTHER Hchg Inject, Intravitreal Vancomycin, Per Dose 9 9 $1.00 $0.80 $2,213.50 $2,213.50 $2,213.50 2026-05-13
94640 CPT Airway Inhalation Treatment 18 9 $480.00 $384.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
9196081037 OTHER Hchg Triple Antibiotic Ointment (neosporin) Unit Dose Packets 9 9 $1.00 $0.80 $2,213.50 $2,213.50 $2,213.50 2026-05-13
94664 CPT Evaluate Pt Use Of Inhaler 18 9 $219.50 $175.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1102991037 OTHER Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml 9 9 $4.00 $3.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
1104741037 OTHER Hchg Belotero Balance With Lidocaine Per 1ml Syringe 9 9 $987.00 $789.60 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00990-7983-09 OTHER Sodium Chloride 9 9 $45.00 $36.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94644 CPT Cbt 1st Hour 9 9 $315.00 $252.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
1103341037 OTHER Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose 9 9 $1.00 $0.80 $2,213.50 $2,213.50 $2,213.50 2026-05-13
A9576 HCPCS Injection; Gadoteridol; (prohance Multipack); Per Ml 9 9 $4.00 $3.20 $2,213.50 $2,213.50 $2,213.50 2026-05-13
3000031037 OTHER Hchg Delivery Charge 9 9 $1,320.00 $1,056.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
00264-1510-31 OTHER Dextrose 9 9 $7.50 $6.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
94645 CPT Inhalation Treatment For Acute Airway Obstruction; Each Additional Hour 9 9 $20.00 $16.00 20% off $2,213.50 $2,213.50 $2,213.50 2026-05-13
J7300 HCPCS Intra Copp Contra (paragard) 24 22 $3,127.00 $2,501.60 20% off $2,148.30 $2,148.30 $2,148.30 2026-05-13
J7301 HCPCS Skyla, 13.5 Mg 24 22 $3,035.00 $2,428.00 20% off $1,907.17 $1,907.17 $1,907.17 2026-05-13
J7297 HCPCS Liletta, 52 Mg 24 22 $2,796.00 $2,236.80 $1,756.97 $1,756.97 $1,756.97 2026-05-13
J7307 HCPCS Etonogestrel Implant System 24 22 $1,657.00 $1,325.60 20% off $1,657.00 $1,657.00 $1,657.00 2026-05-13
Q4194 HCPCS Novachor 1 Sq Cm 24 22 $1,838.00 $1,470.40 $1,649.84 $1,649.84 $1,649.84 2026-05-13
90380 CPT Rsv Monoc Antb Seasn .5ml IM 24 22 $1,578.00 $1,262.40 $1,578.00 $1,578.00 $1,578.00 2026-05-13
J0178 HCPCS Aflibercept Injection 24 22 $1,694.00 $1,355.20 20% off $1,422.76 $1,422.76 $1,422.76 2026-05-13
J7327 HCPCS Monovisc Inj Per Dose 24 22 $1,802.00 $1,441.60 20% off $1,178.71 $1,178.71 $1,178.71 2026-05-13
J1212 HCPCS Dimethyl Sulfoxide 50% 50 Ml 24 22 $2,011.00 $1,608.80 20% off $1,123.35 $1,123.35 $1,123.35 2026-05-13
Q4282 HCPCS Cygnus Dual Per Sq Cm 25 22 $1,081.00 $864.80 20% off $1,081.00 $1,095.00 $1,081.00 2026-05-13
90870 CPT Electroconvulsive Therapy 23 21 $1,045.00 $836.00 20% off $1,048.58 $1,048.58 $1,048.58 2026-05-13
A2001 HCPCS Innovamatrix Ac, Per Sq Cm 24 22 $1,048.40 $838.72 20% off $1,048.40 $1,048.40 $1,048.40 2026-05-13
J9202 HCPCS Goserelin Acetate Implant 24 22 $3,372.00 $2,697.60 20% off $1,004.87 $1,004.87 $1,004.87 2026-05-13
90381 CPT Rsv Monoc Antb Seasn 1 Ml IM 24 22 $1,578.00 $1,262.40 $980.10 $980.10 $980.10 2026-05-13
A9595 HCPCS Piflu F-18, Dia 1 Millicurie 24 22 $1,154.00 $923.20 $957.58 $957.58 $957.58 2026-05-13
J7314 HCPCS Inj., Yutiq, 0.01 Mg 24 22 $1,545.00 $1,236.00 20% off $872.85 $872.85 $872.85 2026-05-13
J7326 HCPCS Gel-one 24 22 $1,485.00 $1,188.00 20% off $820.53 $820.53 $820.53 2026-05-13
J7313 HCPCS Inj., Iluvien, 0.01 Mg 24 22 $1,454.00 $1,163.20 $810.07 $810.07 $810.07 2026-05-13
A9500 HCPCS Technetium Tc-99m Sestamibi; Diagnostic; Per Study Dose 24 22 $856.00 $684.80 20% off $743.46 $743.46 $743.46 2026-05-13
G0379 HCPCS Direct Refer Hospital Observ 24 22 $1,458.00 $1,166.40 $708.61 $708.61 $708.61 2026-05-13
G0378 HCPCS Hospital Observation Per Hr 23 22 $60.00 $48.00 20% off $708.61 $708.61 $708.61 2026-05-13
J3315 HCPCS Triptorelin Pamoate 24 22 $2,316.00 $1,852.80 20% off $682.42 $682.42 $682.42 2026-05-13
A9552 HCPCS F18 Fdg 24 22 $854.00 $683.20 $647.79 $647.79 $647.79 2026-05-13
J7308 HCPCS Aminolevulinic Acid Hcl Top 24 22 $1,180.00 $944.00 20% off $647.33 $647.33 $647.33 2026-05-13
Q4159 HCPCS Affinity1 Square Cm 24 22 $683.00 $546.40 20% off $593.44 $593.44 $593.44 2026-05-13
90678 CPT Rsv Vacc Pref Bivalent IM 24 22 $812.00 $649.60 20% off $584.10 $584.10 $584.10 2026-05-13
90651 CPT 9vhpv Vaccine 2/3 Dose IM 24 22 $871.00 $696.80 20% off $569.07 $569.07 $569.07 2026-05-13
90378 CPT Rsv Mab IM 50mg 24 22 $5,462.00 $4,369.60 $560.47 $560.47 $560.47 2026-05-13
90679 CPT Rsv Vacc Pref Recomb Adjt IM 24 22 $684.00 $547.20 $554.40 $554.40 $554.40 2026-05-13
J3241 HCPCS Inj. Teprotumumab-trbw 10 Mg 24 22 $1,082.00 $865.60 20% off $541.20 $541.20 $541.20 2026-05-13
50632-0013-01 OTHER Rabies Vaccine For Injection Into Muscle 24 22 $978.96 $783.17 $535.82 $535.82 $535.82 2026-05-13
50632-0010-01 OTHER RabAvert 24 22 $978.96 $783.17 $535.82 $535.82 $535.82 2026-05-13
90675 CPT Rabies Vaccine IM 24 22 $1,218.00 $974.40 20% off $535.82 $535.82 $535.82 2026-05-13
A9562 HCPCS Technetium Tc-99m Mertiatide; Diagnostic; Per Study Dose; Up To 15 Millicuries 24 22 $525.00 $420.00 20% off $525.00 $525.00 $525.00 2026-05-13
Q4210 HCPCS Axolotl Graf Dualgraf Sq Cm 24 22 $515.00 $412.00 20% off $515.00 $515.00 $515.00 2026-05-13
90738 CPT Inactivated Je Vacc IM 24 22 $1,063.00 $850.40 20% off $504.42 $504.42 $504.42 2026-05-13
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 24 22 $556.00 $444.80 20% off $479.23 $479.23 $479.23 2026-05-13
13533-0318-05 OTHER HyperRAB 24 22 $4,847.33 $3,877.86 20% off $478.47 $478.47 $478.47 2026-05-13
13533-0318-01 OTHER HyperRAB 24 22 $1,502.68 $1,202.14 20% off $478.47 $478.47 $478.47 2026-05-13
13533-0318-50 OTHER HyperRAB 24 22 $9,694.65 $7,755.72 $478.47 $478.47 $478.47 2026-05-13
90677 CPT Pcv20 Vaccine IM 24 22 $727.00 $581.60 $476.29 $476.29 $476.29 2026-05-13
90671 CPT Pcv15 Vaccine IM 24 22 $545.00 $436.00 20% off $418.37 $418.37 $418.37 2026-05-13
90620 CPT Menb-4c Vaccine IM 24 22 $458.00 $366.40 20% off $411.10 $411.10 $411.10 2026-05-13
90621 CPT Menb-fhbp Vacc 2/3 Dose IM 24 22 $509.00 $407.20 20% off $376.46 $376.46 $376.46 2026-05-13
00024-5824-11 OTHER Jevtana 24 22 $101,855.02 $81,484.02 $347.24 $347.24 $347.24 2026-05-13
90716 CPT Var Vaccine Live Subq 24 22 $548.00 $438.40 20% off $344.92 $344.92 $344.92 2026-05-13
J7351 HCPCS Inj Bimatoprost Itc Imp1mcg 24 22 $608.00 $486.40 20% off $340.25 $340.25 $340.25 2026-05-13
J7312 HCPCS Dexamethasone Intra Implant 24 22 $589.00 $471.20 20% off $339.26 $339.26 $339.26 2026-05-13
96360 CPT Infusion Into A Vein For Hydration; 31-60 Minutes 25 22 $460.00 $368.00 20% off $69.00 $336.96 $336.96 2026-05-13
90619 CPT Menacwy-tt Vaccine IM 24 22 $441.00 $352.80 20% off $330.38 $330.38 $330.38 2026-05-13
63323-0596-03 OTHER Glucagon 24 22 $409.29 $327.43 20% off $310.81 $310.81 $310.81 2026-05-13
00169-7065-15 OTHER GlucaGen HypoKit 24 22 $506.58 $405.26 20% off $310.81 $310.81 $310.81 2026-05-13
J1610 HCPCS Glucagon Hydrochloride/1 Mg 24 22 $410.00 $328.00 20% off $310.81 $310.81 $310.81 2026-05-13
63323-0593-03 OTHER Glucagon 24 22 $409.29 $327.43 20% off $310.81 $310.81 $310.81 2026-05-13
63323-0596-11 OTHER Glucagon 24 22 $613.93 $491.14 $310.81 $310.81 $310.81 2026-05-13
00548-5850-00 OTHER Glucagon Emergency Kit 24 22 $505.74 $404.59 20% off $310.81 $310.81 $310.81 2026-05-13
00548-5905-00 OTHER Injection; Glucagon Hydrochloride; Per 1 Mg 24 22 $506.58 $405.26 20% off $310.81 $310.81 $310.81 2026-05-13
00003-7125-11 OTHER Opdualag 24 22 $88,938.72 $71,150.98 $308.80 $308.80 $308.80 2026-05-13
90734 CPT Menacwyd/menacwycrm Vacc IM 24 22 $313.00 $250.40 20% off $299.95 $299.95 $299.95 2026-05-13
J9217 HCPCS Leuprolide Acetate Suspnsion 24 22 $513.00 $410.40 20% off $299.15 $299.15 $299.15 2026-05-13
62935-0453-45 OTHER Eligard 24 22 $2,171.25 $1,737.00 20% off $299.15 $299.15 $299.15 2026-05-13
J0475 HCPCS Baclofen 10 Mg Injection 24 22 $709.00 $567.20 $293.37 $293.37 $293.37 2026-05-13
00003-2327-11 OTHER Yervoy 24 22 $36,031.00 $28,824.80 20% off $284.49 $284.49 $284.49 2026-05-13
J0517 HCPCS Inj., Benralizumab, 1 Mg 24 22 $585.00 $468.00 20% off $279.68 $279.68 $279.68 2026-05-13
J1426 HCPCS Injection, Casimersen, 10 Mg 24 22 $362.00 $289.60 $274.28 $274.28 $274.28 2026-05-13
A9606 HCPCS Radium Ra223 Dichloride Ther 24 22 $317.00 $253.60 20% off $265.91 $265.91 $265.91 2026-05-13
90739 CPT Hepb Vacc 2/4 Dose Adult IM 24 22 $380.00 $304.00 20% off $264.46 $264.46 $264.46 2026-05-13
90717 CPT Yellow Fever Vaccine Subq 24 22 $617.00 $493.60 $263.36 $263.36 $263.36 2026-05-13
50242-0037-06 OTHER Injection; Tenecteplase; 1 Mg 24 22 $12,944.20 $10,355.36 20% off $252.63 $252.63 $252.63 2026-05-13
50242-0120-47 OTHER TNKase 24 22 $11,434.04 $9,147.23 20% off $252.63 $252.63 $252.63 2026-05-13
50242-0176-01 OTHER TNKase 24 22 $11,431.55 $9,145.24 $252.63 $252.63 $252.63 2026-05-13
J2781 HCPCS Inj, Pegcetacoplan, 1mg 24 22 $452.00 $361.60 $249.91 $249.91 $249.91 2026-05-13
55513-0954-01 OTHER Vectibix 24 22 $9,988.98 $7,991.18 20% off $248.59 $248.59 $248.59 2026-05-13
55513-0956-01 OTHER Vectibix 24 22 $39,955.80 $31,964.64 20% off $248.59 $248.59 $248.59 2026-05-13
91304 CPT Sarscov2 Vac 5mcg/0.5ml IM 24 22 $315.00 $252.00 20% off $244.53 $244.53 $244.53 2026-05-13
91322 CPT Sarscov2 Vac 50 Mcg/0.5ml IM 24 22 $372.00 $297.60 $240.77 $240.77 $240.77 2026-05-13
91321 CPT Sarscov2 Vac 25 Mcg/.25ml IM 24 22 $339.00 $271.20 20% off $240.77 $240.77 $240.77 2026-05-13
90371 CPT Hep B Ig IM 24 22 $498.00 $398.40 20% off $227.52 $227.52 $227.52 2026-05-13
90732 CPT Ppsv23 Vacc 2 Yrs+ Subq/im 24 22 $316.00 $252.80 $220.23 $220.23 $220.23 2026-05-13
00270-0556-15 OTHER Kinevac 24 22 $338.52 $270.82 $219.62 $219.62 $219.62 2026-05-13
90710 CPT Mmrv Vaccine Sc 24 22 $808.00 $646.40 20% off $218.94 $218.94 $218.94 2026-05-13
90698 CPT Dtap-ipv/hib Vaccine IM 24 22 $318.00 $254.40 20% off $217.26 $217.26 $217.26 2026-05-13
91320 CPT Sarscv2 Vac 30mcg Trs-suc IM 24 22 $301.00 $240.80 $216.32 $216.32 $216.32 2026-05-13
J7324 HCPCS Orthovisc Inj Per Dose 24 22 $360.00 $288.00 20% off $215.56 $215.56 $215.56 2026-05-13
90636 CPT Hep A/hep B Vacc Adult IM 24 22 $286.00 $228.80 $213.39 $213.39 $213.39 2026-05-13
J7323 HCPCS Euflexxa Inj Per Dose 24 22 $1,003.00 $802.40 20% off $210.05 $210.05 $210.05 2026-05-13
55566-4100-01 OTHER Euflexxa 24 22 $1,002.25 $801.80 20% off $210.05 $210.05 $210.05 2026-05-13
Q4199 HCPCS Cygnus Matrix, Per Sq Cm 27 22 $207.00 $165.60 20% off $207.00 $524.44 $207.00 2026-05-13
Q4197 HCPCS Puraply Xt 1 Sq Cm 26 22 $198.00 $158.40 20% off $192.00 $202.92 $198.00 2026-05-13
90680 CPT Rv5 Vacc 3 Dose Live Oral 24 22 $253.00 $202.40 20% off $189.75 $189.75 $189.75 2026-05-13
90723 CPT Dtap-hep B-ipv Vaccine IM 24 22 $189.00 $151.20 20% off $187.79 $187.79 $187.79 2026-05-13
A9516 HCPCS Iodine I-123 Sodium Iodide; Diagnostic; Per 100 Microcuries; Up To 999 Microcuri… 25 22 $350.00 $280.00 20% off $185.00 $186.40 $185.00 2026-05-13
90681 CPT Rv1 Vacc 2 Dose Live Oral 24 22 $309.00 $247.20 20% off $182.97 $182.97 $182.97 2026-05-13
90707 CPT Mmr Vaccine Sc 24 22 $233.00 $186.40 20% off $182.39 $182.39 $182.39 2026-05-13
90691 CPT Typhoid Vaccine IM 24 22 $425.00 $340.00 20% off $180.23 $180.23 $180.23 2026-05-13
J2778 HCPCS Ranibizumab Injection 24 22 $180.00 $144.00 20% off $180.00 $180.00 $180.00 2026-05-13
90696 CPT Dtap-ipv Vaccine 4-6 Yrs IM 25 22 $172.00 $137.60 20% off $138.00 $172.00 $172.00 2026-05-13
Q4196 HCPCS Puraply Am 1 Sq Cm 25 22 $450.00 $360.00 20% off $95.00 $171.22 $171.22 2026-05-13
A9560 HCPCS Technetium Tc-99m Labeled Red Blood Cells; Diagnostic; Per Study Dose; Up To 30 … 24 22 $988.00 $790.40 20% off $166.40 $166.40 $166.40 2026-05-13
J2805 HCPCS Sincalide Injection 24 22 $164.00 $131.20 20% off $164.00 $164.00 $164.00 2026-05-13
Q4160 HCPCS Nushield 1 Square Cm 24 22 $376.00 $300.80 20% off $161.68 $161.68 $161.68 2026-05-13
J2997 HCPCS Alteplase Recombinant 24 22 $243.00 $194.40 20% off $146.80 $146.80 $146.80 2026-05-13
91319 CPT Sarscv2 Vac 10mcg Trs-suc IM 24 22 $135.00 $108.00 20% off $135.00 $135.00 $135.00 2026-05-13
J2779 HCPCS Inj, Susvimo 0.1 Mg 24 22 $172.00 $137.60 20% off $133.29 $133.29 $133.29 2026-05-13
00310-4611-50 OTHER Imfinzi 24 22 $37,151.10 $29,720.88 $133.17 $133.17 $133.17 2026-05-13
J1566 HCPCS Immune Globulin, Powder 24 22 $232.00 $185.60 20% off $129.53 $129.53 $129.53 2026-05-13
00562-7805-01 OTHER RhoGAM Ultra-filtered Plus 24 22 $128.00 $102.40 $128.00 $128.00 $128.00 2026-05-13
00562-7805-25 OTHER RhoGAM Ultra-filtered Plus 24 22 $128.00 $102.40 $128.00 $128.00 $128.00 2026-05-13
J2790 HCPCS Injection; Rho D Immune Globulin; Human; Full Dose; 300 Micrograms (1500 Iu) 25 22 $128.00 $102.40 $128.00 $133.91 $128.00 2026-05-13
63323-0286-30 OTHER Naropin 24 22 $128.00 $102.40 $128.00 $128.00 $128.00 2026-05-13
00641-6103-01 OTHER Robaxin 24 22 $128.00 $102.40 $128.00 $128.00 $128.00 2026-05-13
90743 CPT Hepb Vacc 2 Dose Adolesc IM 24 22 $139.00 $111.20 20% off $124.00 $124.00 $124.00 2026-05-13
70461-0024-04 OTHER Fluad 2024-2025 Formula 1 1 $172.00 $137.60 20% off $121.11 $121.11 $121.11 2026-05-13
90662 CPT Iiv No Prsv Increased Ag IM 24 22 $238.00 $190.40 20% off $121.11 $121.11 $121.11 2026-05-13
A9537 HCPCS Technetium Tc-99m Mebrofenin; Diagnostic; Per Study Dose; Up To 15 Millicuries 24 22 $121.00 $96.80 20% off $121.00 $121.00 $121.00 2026-05-13
J7321 HCPCS Hyalgan Supartz Visco-3 Dose 24 22 $712.00 $569.60 $120.62 $120.62 $120.62 2026-05-13
90746 CPT Hepb Vaccine 3 Dose Adult IM 24 22 $139.00 $111.20 20% off $116.13 $116.13 $116.13 2026-05-13
50242-0070-01 OTHER Gazyva 24 22 $25,838.16 $20,670.53 $116.06 $116.06 $116.06 2026-05-13
90632 CPT Hepa Vaccine Adult IM 24 22 $195.00 $156.00 20% off $115.93 $115.93 $115.93 2026-05-13
A9510 HCPCS Tc99m Disofenin 24 22 $178.00 $142.40 $114.54 $114.54 $114.54 2026-05-13
A9541 HCPCS Technetium Tc-99m Sulfur Colloid; Diagnostic; Per Study Dose; Up To 20 Millicuri… 24 22 $114.00 $91.20 20% off $114.00 $114.00 $114.00 2026-05-13
J0775 HCPCS Collagenase, Clost Hist Inj 24 22 $247.00 $197.60 20% off $109.35 $109.35 $109.35 2026-05-13
J9280 HCPCS Mitomycin Injection 24 22 $242.00 $193.60 20% off $104.53 $104.53 $104.53 2026-05-13
90281 CPT Human Ig IM 24 22 $286.00 $228.80 $92.80 $92.80 $92.80 2026-05-13
P9047 HCPCS Albumin (human), 25%, 50ml 24 22 $105.00 $84.00 20% off $87.58 $87.58 $87.58 2026-05-13
68516-5216-09 OTHER Albutein 24 22 $123.00 $98.40 $87.58 $87.58 $87.58 2026-05-13
J0490 HCPCS Belimumab Injection 24 22 $162.00 $129.60 20% off $85.80 $85.80 $85.80 2026-05-13
A9561 HCPCS Tc99m Oxidronate 24 22 $132.00 $105.60 20% off $84.28 $84.28 $84.28 2026-05-13
90713 CPT Poliovirus Ipv Sc/im 24 22 $123.00 $98.40 $84.18 $84.18 $84.18 2026-05-13
J1460 HCPCS Gamma Globulin 1 Cc Inj 24 22 $143.00 $114.40 $83.70 $83.70 $83.70 2026-05-13
55513-0192-01 OTHER Neulasta Onpro 24 22 $12,696.79 $10,157.43 20% off $83.62 $83.62 $83.62 2026-05-13
J1561 HCPCS Gamunex-c/gammaked 24 22 $178.00 $142.40 $82.15 $82.15 $82.15 2026-05-13
57894-0503-01 OTHER Darzalex Faspro 24 22 $29,917.58 $23,934.06 20% off $80.93 $80.93 $80.93 2026-05-13
J3299 HCPCS Inj Xipere 1 Mg 24 22 $124.00 $99.20 20% off $80.16 $80.16 $80.16 2026-05-13
44206-0437-10 OTHER Privigen 24 22 $6,570.00 $5,256.00 20% off $79.68 $79.68 $79.68 2026-05-13
44206-0438-20 OTHER Privigen 24 22 $13,140.00 $10,512.00 20% off $79.68 $79.68 $79.68 2026-05-13
44206-0439-93 OTHER Injection; Immune Globulin (privigen); Intravenous; Non-lyophilized (e.g. Liquid… 24 22 $17,520.00 $14,016.00 20% off $79.68 $79.68 $79.68 2026-05-13
44206-0436-05 OTHER Privigen 24 22 $12,045.00 $9,636.00 20% off $79.68 $79.68 $79.68 2026-05-13
J1459 HCPCS Inj Ivig Privigen 500 Mg 24 22 $110.00 $88.00 20% off $79.68 $79.68 $79.68 2026-05-13
44206-0439-40 OTHER Privigen 24 22 $8,760.00 $7,008.00 20% off $79.68 $79.68 $79.68 2026-05-13
J1455 HCPCS Foscarnet Sodium Injection 24 22 $79.00 $63.20 $79.00 $79.00 $79.00 2026-05-13
96361 CPT Infusion Into A Vein For Hydration; Each Additional Hour 25 22 $864.00 $691.20 $27.00 $74.68 $74.68 2026-05-13
J1569 HCPCS Gammagard Liquid Injection 24 22 $169.00 $135.20 20% off $72.85 $72.85 $72.85 2026-05-13
J1110 HCPCS Inj Dihydroergotamine Mesylt 24 22 $130.00 $104.00 20% off $69.86 $69.86 $69.86 2026-05-13
90633 CPT Hepa Vacc Ped/adol 2 Dose IM 24 22 $98.00 $78.40 $68.72 $68.72 $68.72 2026-05-13
J2406 HCPCS Injection, Oritavancin 10 Mg 24 22 $123.00 $98.40 $67.52 $67.52 $67.52 2026-05-13
J0565 HCPCS Inj, Bezlotoxumab, 10 Mg 24 22 $137.00 $109.60 20% off $65.77 $65.77 $65.77 2026-05-13
J2357 HCPCS Omalizumab Injection 24 22 $148.00 $118.40 $65.11 $65.11 $65.11 2026-05-13
58160-0842-43 OTHER Boostrix 24 22 $102.68 $82.14 20% off $63.21 $63.21 $63.21 2026-05-13
58160-0842-52 OTHER Boostrix 24 22 $102.68 $82.14 20% off $63.21 $63.21 $63.21 2026-05-13
90715 CPT Tdap Vaccine 7 Yrs/> IM 24 22 $106.00 $84.80 20% off $63.21 $63.21 $63.21 2026-05-13
A9503 HCPCS Technetium Tc-99m Medronate; Diagnostic; Per Study Dose; Up To 30 Millicuries 24 22 $123.00 $98.40 $61.59 $61.59 $61.59 2026-05-13
J2777 HCPCS Inj, Faricimab-svoa, 0.1mg 24 22 $72.00 $57.60 20% off $59.55 $59.55 $59.55 2026-05-13
90647 CPT Hib Prp-omp Vacc 3 Dose IM 24 22 $83.00 $66.40 $58.58 $58.58 $58.58 2026-05-13
90700 CPT Dtap Vaccine < 7 Yrs IM 24 22 $82.00 $65.60 20% off $56.96 $56.96 $56.96 2026-05-13
Q2038 HCPCS Fluzone Vacc, 3 Yrs & >, IM 24 22 $54.00 $43.20 $54.00 $54.00 $54.00 2026-05-13
J9334 HCPCS Inj Efgart-alfa 2mg Hya-qvfc 24 22 $98.00 $78.40 $53.20 $53.20 $53.20 2026-05-13
A9540 HCPCS Technetium Tc-99m Macroaggregated Albumin; Diagnostic; Per Study Dose; Up To 10 … 24 22 $123.00 $98.40 $52.95 $52.95 $52.95 2026-05-13
00003-3774-12 OTHER Opdivo 24 22 $22,903.85 $18,323.08 $51.30 $51.30 $51.30 2026-05-13
00003-3734-13 OTHER Opdivo 24 22 $45,807.84 $36,646.27 20% off $51.30 $51.30 $51.30 2026-05-13
90744 CPT Hepb Vacc 3 Dose Ped/adol IM 24 22 $64.00 $51.20 $50.77 $50.77 $50.77 2026-05-13
J2182 HCPCS Injection, Mepolizumab, 1mg 24 22 $116.00 $92.80 20% off $50.34 $50.34 $50.34 2026-05-13
Q4101 HCPCS Apligraf 24 22 $966.00 $772.80 $50.16 $50.16 $50.16 2026-05-13
90714 CPT Td Vacc No Presv 7 Yrs+ IM 24 22 $139.00 $111.20 20% off $50.06 $50.06 $50.06 2026-05-13
A9539 HCPCS Tc99m Pentetate 24 22 $165.00 $132.00 20% off $49.17 $49.17 $49.17 2026-05-13
72266-0248-05 OTHER Sincalide 24 22 $64.36 $51.48 $48.82 $48.82 $48.82 2026-05-13
J2407 HCPCS Injection, Oritavancin 24 22 $80.00 $64.00 20% off $45.54 $45.54 $45.54 2026-05-13
00548-5900-00 OTHER Cortrosyn 24 22 $49.62 $39.70 $44.73 $44.73 $44.73 2026-05-13
J0834 HCPCS Inj., Cosyntropin, 0.25 Mg 24 22 $90.00 $72.00 20% off $44.73 $44.73 $44.73 2026-05-13
J9208 HCPCS Ifosfamide Injection 24 22 $83.00 $66.40 $44.14 $44.14 $44.14 2026-05-13
Q5107 HCPCS Inj Mvasi 10 Mg 24 22 $181.00 $144.80 $42.27 $42.27 $42.27 2026-05-13
J0897 HCPCS Denosumab Injection 24 22 $91.00 $72.80 20% off $41.58 $41.58 $41.58 2026-05-13
J2799 HCPCS Inj, Uzedy, 1 Mg 24 22 $68.00 $54.40 20% off $40.76 $40.76 $40.76 2026-05-13
J0561 HCPCS Penicillin G Benzathine Inj 24 22 $85.00 $68.00 20% off $35.85 $35.85 $35.85 2026-05-13
71288-0107-20 OTHER Bleomycin 24 22 $139.65 $111.72 20% off $34.68 $34.68 $34.68 2026-05-13
A9567 HCPCS Technetium Tc-99m Pentetate; Diagnostic; Aerosol; Per Study Dose; Up To 75 Milli… 24 22 $392.00 $313.60 $34.04 $34.04 $34.04 2026-05-13
00069-0238-01 OTHER Ruxience 24 22 $3,362.93 $2,690.34 20% off $33.74 $33.74 $33.74 2026-05-13
00069-0249-01 OTHER Ruxience 24 22 $13,451.70 $10,761.36 20% off $33.74 $33.74 $33.74 2026-05-13
J1120 HCPCS Acetazolamid Sodium Injectio 24 22 $31.00 $24.80 20% off $31.00 $31.00 $31.00 2026-05-13
J2356 HCPCS Inj Tezepelumab-ekko, 1mg 24 22 $67.00 $53.60 20% off $30.67 $30.67 $30.67 2026-05-13
00009-0011-03 OTHER Solu-cortef 100mg Vial 24 22 $55.08 $44.06 20% off $29.45 $29.45 $29.45 2026-05-13
J0558 HCPCS Peng Benzathine/procaine Inj 24 22 $56.00 $44.80 20% off $29.01 $29.01 $29.01 2026-05-13
J3304 HCPCS Inj Triamcinolone Ace Xr 1mg 24 22 $65.00 $52.00 20% off $28.94 $28.94 $28.94 2026-05-13
00023-6082-10 OTHER Infed 24 22 $953.73 $762.98 20% off $28.58 $28.58 $28.58 2026-05-13
J0491 HCPCS Inj Anifrolumab-fnia 1mg 24 22 $55.00 $44.00 20% off $28.35 $28.35 $28.35 2026-05-13
90660 CPT Laiv3 Vaccine Intranasal 24 22 $73.00 $58.40 20% off $27.56 $27.56 $27.56 2026-05-13
J0875 HCPCS Injection, Dalbavancin 24 22 $27.00 $21.60 $25.23 $25.23 $25.23 2026-05-13
90648 CPT Hib Prp-t Vaccine 4 Dose IM 24 22 $37.00 $29.60 $25.21 $25.21 $25.21 2026-05-13
J2426 HCPCS Inj, Invega Sustenna, 1 Mg 24 22 $43.00 $34.40 20% off $23.63 $23.63 $23.63 2026-05-13
55513-0132-01 OTHER Kanjinti 24 22 $11,607.63 $9,286.10 $22.19 $22.19 $22.19 2026-05-13
63323-0842-21 OTHER Dicyclomine HCl 24 22 $22.05 $17.64 20% off $22.05 $22.05 $22.05 2026-05-13
90657 CPT Iiv3 Vaccine Splt 0.25 Ml IM 24 22 $27.00 $21.60 $21.62 $21.62 $21.62 2026-05-13
J0587 HCPCS Inj, Rimabotulinumtoxinb 24 22 $39.00 $31.20 20% off $21.50 $21.50 $21.50 2026-05-13
00409-3510-21 OTHER Ertapenem 24 22 $90.96 $72.77 $21.40 $21.40 $21.40 2026-05-13
42023-0221-10 OTHER Ertapenem 24 22 $30.17 $24.14 $21.40 $21.40 $21.40 2026-05-13
42023-0221-01 OTHER Ertapenem 24 22 $30.17 $24.14 $21.40 $21.40 $21.40 2026-05-13
J1335 HCPCS Ertapenem Injection 24 22 $30.00 $24.00 20% off $21.40 $21.40 $21.40 2026-05-13
58160-0884-52 OTHER Fluarix 2024-2025 Formula 24 22 $42.00 $33.60 $21.07 $21.07 $21.07 2026-05-13
58160-0912-52 OTHER Fluarix 2025-2026 Formula 24 22 $42.00 $33.60 $21.07 $21.07 $21.07 2026-05-13
58160-0884-41 OTHER Fluarix 2024-2025 Formula 24 22 $42.45 $33.96 20% off $21.07 $21.07 $21.07 2026-05-13
58160-0912-41 OTHER Fluarix 2025-2026 Formula 24 22 $42.00 $33.60 $21.07 $21.07 $21.07 2026-05-13
90656 CPT Iiv3 Vacc No Prsv 0.5 Ml IM 24 22 $39.00 $31.20 20% off $21.07 $21.07 $21.07 2026-05-13
J2427 HCPCS Inj, Invega Hafyera/trinza 24 22 $37.00 $29.60 $20.15 $20.15 $20.15 2026-05-13
J2794 HCPCS Inj Risperdal Consta, 0.5 Mg 24 22 $36.00 $28.80 20% off $20.05 $20.05 $20.05 2026-05-13
00078-1000-60 OTHER Leqvio 24 22 $10,144.26 $8,115.41 $20.01 $20.01 $20.01 2026-05-13
J1306 HCPCS Injection, Inclisiran, 1 Mg 24 22 $36.00 $28.80 20% off $20.01 $20.01 $20.01 2026-05-13
J2798 HCPCS Inj., Perseris, 0.5 Mg 24 22 $34.00 $27.20 20% off $19.17 $19.17 $19.17 2026-05-13
J3396 HCPCS Verteporfin Injection 24 22 $26.00 $20.80 20% off $19.02 $19.02 $19.02 2026-05-13
J7402 HCPCS Mometasone Sinus Sinuva 24 22 $33.00 $26.40 20% off $18.73 $18.73 $18.73 2026-05-13
J2274 HCPCS Inj Morphine Pf Epid Ithc 24 22 $55.00 $44.00 20% off $18.55 $18.55 $18.55 2026-05-13
J3111 HCPCS Inj. Romosozumab-aqqg 1 Mg 24 22 $38.00 $30.40 20% off $17.70 $17.70 $17.70 2026-05-13
J3030 HCPCS Sumatriptan Succinate / 6 Mg 24 22 $17.00 $13.60 20% off $17.00 $17.00 $17.00 2026-05-13
J3410 HCPCS Hydroxyzine Hcl Injection 24 22 $55.00 $44.00 20% off $16.35 $16.35 $16.35 2026-05-13
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