Hospital

JACKSON GENERAL HOSPITAL

Ripley, WV · CCN 511320 · Rates published

4,910 distinct procedures filed

32 distinct payers

231,959 rate rows

2026-05-13 last MRF observed

Data quality

18,108 of 231,959 rate rows are consumer-grade (7.8%)

213,851 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	212,710
per-diem day rate — not a per-procedure price	709
exceeds 10× this hospital's gross charge — excluded from medians	419
placeholder amount (≤ $0.02) — excluded from medians	13

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/04/550462730_Community-Health-Association_standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	508a8322ecebc098… · 42,617,083 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 CPT	Instill Adstiladrin, Tx Dose	30	$101,970.00	$101,970.00	$101,970.00	nat. median $69,774 1.5× median
J9226 CPT	Supprelin La Implant	30	$73,550.30	$73,550.30	$73,550.30	nat. median $60,368 1.2× median
J0480 CPT	Basiliximab	30	$7,385.85	$7,385.85	$7,385.85	nat. median $6,964 1.1× median
J2787 CPT	Riboflavin 5'phos Opth<=3ml	30	$4,108.50	$4,108.50	$4,108.50	nat. median $3,848 1.1× median
J3240 CPT	Thyrotropin Injection	30	$3,334.93	$3,334.93	$3,334.93	nat. median $2,976 1.1× median
Q4113 CPT	Graftjacket Xpress	30	$3,295.88	$3,295.88	$3,295.88	nat. median $1,929 1.7× median
J1950 CPT	Leuprolide Acetate /3.75 Mg	30	$2,581.59	$2,581.59	$2,581.59	nat. median $4,344 0.6× median
J7298 CPT	Mirena, 52 Mg	30	$2,290.45	$2,290.45	$2,290.45	nat. median $1,692 1.4× median
50419-0424-01 CPT	Kyleena	30	$2,290.45	$2,290.45	$2,290.45	—
J7296 CPT	Kyleena, 19.5 Mg	30	$2,290.45	$2,290.45	$2,290.45	nat. median $1,626 1.4× median
50419-0423-01 CPT	Mirena	30	$2,290.45	$2,290.45	$2,290.45	—
78206-0145-01 CPT	Nexplanon	30	$2,289.44	$2,289.44	$2,289.44	—
J9357 CPT	Valrubicin Injection	30	$2,250.35	$2,250.35	$2,250.35	nat. median $1,873 1.2× median
00990-7983-09 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
100021928 CPT	Hchg Step Down Room	11	$2,224.96	$2,224.96	$2,224.96	—
110334928 CPT	Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose	11	$2,224.96	$2,224.96	$2,224.96	—
110470928 CPT	Hchg Juv Derm Volbella Xc Per 1ml Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
110337928 CPT	Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml	11	$2,224.96	$2,224.96	$2,224.96	—
110474928 CPT	Hchg Belotero Balance With Lidocaine Per 1ml Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
500330928 CPT	Hchg Hospice Daily	11	$2,224.96	$2,224.96	$2,224.96	—
110468928 CPT	Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
110471928 CPT	Hchg Juv Derm Vollure Per 1ml Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
110323928 CPT	Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose	11	$2,224.96	$2,224.96	$2,224.96	—
00270-1316-35 CPT	Isovue-370	11	$2,224.96	$2,224.96	$2,224.96	—
00270-1315-35 CPT	Isovue-300	11	$2,224.96	$2,224.96	$2,224.96	—
00270-1111-03 CPT	Prohance	11	$2,224.96	$2,224.96	$2,224.96	—
00338-0017-48 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
00338-0017-04 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
00338-0049-04 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
00338-0117-04 CPT	Lactated Ringer's	11	$2,224.96	$2,224.96	$2,224.96	—
110472928 CPT	Hchg Restylane Per 1ml Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
100117928 CPT	Hchg Transitional Care Bed	11	$2,224.96	$2,224.96	$2,224.96	—
110333928 CPT	Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml	11	$2,224.96	$2,224.96	$2,224.96	—
110348928 CPT	Hchg Inject, Intravitreal Vancomycin, Per Dose	11	$2,224.96	$2,224.96	$2,224.96	—
38205 CPT	Harvest Allogeneic Stem Cell	11	$2,224.96	$2,224.96	$2,224.96	nat. median $2,138 1.0× median
00264-7800-10 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
110283928 CPT	Hchg Sodium Chloride Syringe	11	$2,224.96	$2,224.96	$2,224.96	—
110299928 CPT	Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml	11	$2,224.96	$2,224.96	$2,224.96	—
00990-7983-02 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7510-00 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
00407-1412-33 CPT	Omnipaque 240	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7800-00 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7750-00 CPT	Lactated Ringer's	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7510-10 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7510-20 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
100003928 CPT	Hchg Cardiac Care Room	11	$2,224.96	$2,224.96	$2,224.96	—
00990-7922-09 CPT	Dextrose	11	$2,224.96	$2,224.96	$2,224.96	—
00270-0445-40 CPT	Gastrografin	11	$2,224.96	$2,224.96	$2,224.96	—
00264-7800-20 CPT	Sodium Chloride	11	$2,224.96	$2,224.96	$2,224.96	—
100020928 CPT	Hchg Routine Room	11	$2,224.96	$2,224.96	$2,224.96	—

Other procedures at this hospital

Browse this hospital's 4,910 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

70461-0025-04	CPT	Fluad 2025-2026 Formula	1	1	$174.00	$87.00 50% off	$21.07	$21.07	$21.07	2026-05-13
19515-0904-41	CPT	FluLaval 2025-2026 Formula	1	1	$42.00	$21.00 50% off	$21.07	$21.07	$21.07	2026-05-13
110334928	CPT	Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose	11	11	$1.00	$0.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110467928	CPT	Hchg Juv Derm Ultra Plus Xc Per (1) 0.55ml Syringe	11	11	$861.00	$430.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110348928	CPT	Hchg Inject, Intravitreal Vancomycin, Per Dose	11	11	$1.00	$0.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
919608928	CPT	Hchg Triple Antibiotic Ointment (neosporin) Unit Dose Packets	11	11	$1.00	$0.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7510-10	CPT	Dextrose	11	11	$10.50	$5.25 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110471928	CPT	Hchg Juv Derm Vollure Per 1ml Syringe	11	11	$1,128.00	$564.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00270-0445-40	CPT	Gastrografin	22	11	$19.26	$9.63 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7800-00	CPT	Sodium Chloride	11	11	$9.00	$4.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110472928	CPT	Hchg Restylane Per 1ml Syringe	11	11	$899.00	$449.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
38205	CPT	Harvest Allogeneic Stem Cell	11	11	$5,800.00	$2,900.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94664	CPT	Evaluate Pt Use Of Inhaler	11	11	$225.00	$112.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00338-0117-04	CPT	Lactated Ringer's	11	11	$6.00	$3.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00407-1412-33	CPT	Omnipaque 240	11	11	$12.49	$6.25 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110299928	CPT	Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml	11	11	$4.00	$2.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94667	CPT	Initial Therapy Service To Facilitate Lung Function	11	11	$180.00	$90.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7510-00	CPT	Dextrose	11	11	$12.00	$6.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7750-00	CPT	Lactated Ringer's	11	11	$9.00	$4.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7510-20	CPT	Dextrose	11	11	$9.75	$4.88 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00338-0017-04	CPT	Dextrose	11	11	$6.00	$3.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00990-7983-03	CPT	Sodium Chloride	11	11	$15.00	$7.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
919606928	CPT	Hchg Silvadene 1% Cream, Per 1 Gm	11	11	$2.00	$1.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110356928	CPT	Hchg Hydralazine Per 25 Mg Tab	11	11	$1.00	$0.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94640	CPT	Inhalation Treatment For Airway Obstruction Or Sputum Production	55	11	$230.00	$115.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110274928	CPT	Hchg 0.9% Ns 250 Ml	11	11	$12.00	$6.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
919607928	CPT	Hchg Silver Nitrate Swabs - Each	11	11	$3.00	$1.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
89220	CPT	Sputum Specimen Collection	11	11	$83.00	$41.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
919605928	CPT	Hchg Phenol Ez Swabs Each	11	11	$13.00	$6.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110473928	CPT	Hchg Belotero Balance Per 1ml Syringe	11	11	$855.00	$427.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100020928	CPT	Hchg Routine Room	12	11	$1,205.00	$602.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
A9270	CPT	Non-covered Item Or Service	22	11	$3.13	$1.57 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00338-0049-04	CPT	Sodium Chloride	11	11	$6.00	$3.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110474928	CPT	Hchg Belotero Balance With Lidocaine Per 1ml Syringe	11	11	$987.00	$493.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110470928	CPT	Hchg Juv Derm Volbella Xc Per 1ml Syringe	11	11	$1,128.00	$564.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
Q9967	CPT	Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml	11	11	$16.38	$8.19 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100117928	CPT	Hchg Transitional Care Bed	12	11	$804.00	$402.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110407928	CPT	Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml	11	11	$20.00	$10.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110469928	CPT	Hchg Juv Derm Volbella Xc Per (1) 0.55ml Syringe	11	11	$615.00	$307.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110333928	CPT	Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml	11	11	$35.00	$17.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
J3490	CPT	Drugs Unclassified Injection	11	11	$7.00	$3.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94644	CPT	Cbt 1st Hour	11	11	$493.00	$246.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94660	CPT	Therapy Procedure Using A Positive Pressure Ventilator	33	11	$459.00	$229.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
500330928	CPT	Hchg Hospice Daily	12	11	$771.00	$385.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94668	CPT	Chest Wall Manipulation	11	11	$180.00	$90.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100003928	CPT	Hchg Cardiac Care Room	12	11	$2,716.00	$1,358.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
J7060	CPT	5% Dextrose/water (500 Ml = 1 Unit)	11	11	$15.00	$7.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7800-10	CPT	Sodium Chloride	11	11	$9.00	$4.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
G0239	CPT	Oth Resp Proc, Group	11	11	$166.00	$83.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00338-0017-48	CPT	Dextrose	11	11	$5.10	$2.55 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100021928	CPT	Hchg Step Down Room	12	11	$5,241.00	$2,620.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110323928	CPT	Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose	11	11	$1.00	$0.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110283928	CPT	Hchg Sodium Chloride Syringe	11	11	$2.00	$1.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110337928	CPT	Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml	11	11	$2.00	$1.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00990-7953-09	CPT	Lactated Ringer's	11	11	$15.00	$7.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100022928	CPT	Hchg Telemetry Room	12	11	$3,463.00	$1,731.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00270-1316-35	CPT	Isovue-370	33	11	$21.84	$10.92 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00270-1111-03	CPT	Prohance	11	11	$76.02	$38.01 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110480928	CPT	Hchg Sodium Tetradecyl Sulfate (sotradecol) Per 1ml	11	11	$78.00	$39.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00270-1315-35	CPT	Isovue-300	33	11	$24.60	$12.30 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94002	CPT	Vent Mgmt Inpat Init Day	11	11	$1,243.00	$621.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00990-7922-09	CPT	Dextrose	11	11	$15.00	$7.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
94003	CPT	Follow-up Inpatient Or Observation Ventilation Assistance And Management	11	11	$1,638.00	$819.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
100008928	CPT	Hchg Isolation Room	12	11	$1,205.00	$602.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00990-7983-09	CPT	Sodium Chloride	11	11	$60.00	$30.00 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00264-7800-20	CPT	Sodium Chloride	11	11	$8.25	$4.13 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
00990-7983-02	CPT	Sodium Chloride	11	11	$15.00	$7.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
110468928	CPT	Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe	11	11	$1,047.00	$523.50 50% off	$2,224.96	$2,224.96	$2,224.96	2026-05-13
90870	CPT	Electroconvulsive Therapy	31	29	$995.00	$497.50 50% off	$1,048.58	$1,048.58	$1,048.58	2026-05-13
J9029	CPT	Instill Adstiladrin, Tx Dose	32	30	$138,420.00	$69,210.00 50% off	$101,970.00	$101,970.00	$101,970.00	2026-05-13
J9226	CPT	Supprelin La Implant	32	30	$150,543.00	$75,271.50 50% off	$73,550.30	$73,550.30	$73,550.30	2026-05-13
J0480	CPT	Basiliximab	32	30	$13,463.00	$6,731.50 50% off	$7,385.85	$7,385.85	$7,385.85	2026-05-13
J2787	CPT	Riboflavin 5'phos Opth<=3ml	32	30	$13,680.00	$6,840.00 50% off	$4,108.50	$4,108.50	$4,108.50	2026-05-13
J3240	CPT	Thyrotropin Injection	32	30	$6,067.00	$3,033.50 50% off	$3,334.93	$3,334.93	$3,334.93	2026-05-13
Q4113	CPT	Graftjacket Xpress	32	30	$5,732.00	$2,866.00 50% off	$3,295.88	$3,295.88	$3,295.88	2026-05-13
J1950	CPT	Leuprolide Acetate /3.75 Mg	32	30	$5,215.00	$2,607.50 50% off	$2,581.59	$2,581.59	$2,581.59	2026-05-13
50419-0423-01	CPT	Mirena	32	30	$3,643.89	$1,821.95 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
50419-0424-01	CPT	Kyleena	32	30	$3,470.37	$1,735.19 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
J7296	CPT	Kyleena, 19.5 Mg	32	30	$3,644.00	$1,822.00 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
J7298	CPT	Mirena, 52 Mg	32	30	$3,644.00	$1,822.00 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
78206-0145-01	CPT	Nexplanon	32	30	$2,804.46	$1,402.23 50% off	$2,289.44	$2,289.44	$2,289.44	2026-05-13
J9357	CPT	Valrubicin Injection	32	30	$4,088.00	$2,044.00 50% off	$2,250.35	$2,250.35	$2,250.35	2026-05-13
59365-5128-01	CPT	ParaGard T380a	32	30	$2,929.50	$1,464.75 50% off	$2,148.30	$2,148.30	$2,148.30	2026-05-13
J7300	CPT	Intra Copp Contra (paragard)	32	30	$3,127.00	$1,563.50 50% off	$2,148.30	$2,148.30	$2,148.30	2026-05-13
J7301	CPT	Skyla, 13.5 Mg	32	30	$3,035.00	$1,517.50 50% off	$1,907.17	$1,907.17	$1,907.17	2026-05-13
50419-0422-01	CPT	Skyla	32	30	$3,034.14	$1,517.07 50% off	$1,907.17	$1,907.17	$1,907.17	2026-05-13
J7297	CPT	Liletta, 52 Mg	32	30	$2,796.00	$1,398.00 50% off	$1,756.97	$1,756.97	$1,756.97	2026-05-13
J7307	CPT	Etonogestrel Implant System	32	30	$1,657.00	$828.50 50% off	$1,657.00	$1,657.00	$1,657.00	2026-05-13
90380	CPT	Rsv Monoc Antb Seasn .5ml IM	32	30	$1,578.00	$789.00 50% off	$1,578.00	$1,578.00	$1,578.00	2026-05-13
Q4194	CPT	Novachor; Per Square Centimeter	32	30	$1,516.00	$758.00 50% off	$1,516.00	$1,516.00	$1,516.00	2026-05-13
49281-0575-00	CPT	Beyfortus	32	30	$1,475.00	$737.50 50% off	$1,475.00	$1,475.00	$1,475.00	2026-05-13
J0178	CPT	Aflibercept Injection	32	30	$1,694.00	$847.00 50% off	$1,422.76	$1,422.76	$1,422.76	2026-05-13
A9562	CPT	Technetium Tc-99m Mertiatide; Diagnostic; Per Study Dose; Up To 15 Millicuries	32	30	$1,711.00	$855.50 50% off	$1,283.16	$1,283.16	$1,283.16	2026-05-13
J7327	CPT	Monovisc Inj Per Dose	32	30	$1,802.00	$901.00 50% off	$1,178.71	$1,178.71	$1,178.71	2026-05-13
J1212	CPT	Dimethyl Sulfoxide 50% 50 Ml	32	30	$2,011.00	$1,005.50 50% off	$1,123.35	$1,123.35	$1,123.35	2026-05-13
A2001	CPT	Innovamatrix Ac, Per Sq Cm	32	30	$1,048.40	$524.20 50% off	$1,048.40	$1,048.40	$1,048.40	2026-05-13
J9202	CPT	Goserelin Acetate Implant	32	30	$3,372.00	$1,686.00 50% off	$1,004.87	$1,004.87	$1,004.87	2026-05-13
49281-0574-88	CPT	Beyfortus	32	30	$1,475.00	$737.50 50% off	$980.10	$980.10	$980.10	2026-05-13
90381	CPT	Rsv Monoc Antb Seasn 1 Ml IM	32	30	$1,578.00	$789.00 50% off	$980.10	$980.10	$980.10	2026-05-13
A9595	CPT	Piflu F-18, Dia 1 Millicurie	32	30	$1,154.00	$577.00 50% off	$957.58	$957.58	$957.58	2026-05-13
Q4282	CPT	Cygnus Dual Per Sq Cm	32	30	$922.00	$461.00 50% off	$922.00	$922.00	$922.00	2026-05-13
J7314	CPT	Inj., Yutiq, 0.01 Mg	32	30	$1,545.00	$772.50 50% off	$872.85	$872.85	$872.85	2026-05-13
J7326	CPT	Gel-one	32	30	$1,485.00	$742.50 50% off	$820.53	$820.53	$820.53	2026-05-13
J7313	CPT	Inj., Iluvien, 0.01 Mg	32	30	$1,454.00	$727.00 50% off	$810.07	$810.07	$810.07	2026-05-13
A9500	CPT	Technetium Tc-99m Sestamibi; Diagnostic; Per Study Dose	33	30	$1,480.00	$740.00 50% off	$740.00	$743.46	$740.00	2026-05-13
G0378	CPT	Hospital Observation Per Hr	31	30	$51.00	$25.50 50% off	$708.61	$708.61	$708.61	2026-05-13
J3315	CPT	Triptorelin Pamoate	32	30	$2,316.00	$1,158.00 50% off	$682.42	$682.42	$682.42	2026-05-13
A9552	CPT	F18 Fdg	32	30	$854.00	$427.00 50% off	$647.79	$647.79	$647.79	2026-05-13
J7308	CPT	Aminolevulinic Acid Hcl Top	32	30	$1,180.00	$590.00 50% off	$647.33	$647.33	$647.33	2026-05-13
Q4159	CPT	Affinity1 Square Cm	32	30	$970.00	$485.00 50% off	$593.44	$593.44	$593.44	2026-05-13
90678	CPT	Rsv Vacc Pref Bivalent IM	32	30	$812.00	$406.00 50% off	$584.10	$584.10	$584.10	2026-05-13
00006-4121-01	CPT	Gardasil 9	32	30	$823.00	$411.50 50% off	$569.07	$569.07	$569.07	2026-05-13
90651	CPT	9vhpv Vaccine 2/3 Dose IM	32	30	$871.00	$435.50 50% off	$569.07	$569.07	$569.07	2026-05-13
90378	CPT	Rsv Mab IM 50mg	32	30	$5,462.00	$2,731.00 50% off	$560.47	$560.47	$560.47	2026-05-13
90679	CPT	Rsv Vacc Pref Recomb Adjt IM	32	30	$684.00	$342.00 50% off	$554.40	$554.40	$554.40	2026-05-13
J3241	CPT	Inj. Teprotumumab-trbw 10 Mg	32	30	$1,082.00	$541.00 50% off	$541.20	$541.20	$541.20	2026-05-13
50632-0010-01	CPT	RabAvert	32	30	$978.96	$489.48 50% off	$535.82	$535.82	$535.82	2026-05-13
90675	CPT	Rabies Vaccine IM	32	30	$1,138.00	$569.00 50% off	$535.82	$535.82	$535.82	2026-05-13
Q4210	CPT	Axolotl Graf Dualgraf Sq Cm	32	30	$515.00	$257.50 50% off	$515.00	$515.00	$515.00	2026-05-13
90738	CPT	Inactivated Je Vacc IM	32	30	$1,063.00	$531.50 50% off	$504.42	$504.42	$504.42	2026-05-13
A9513	CPT	Lutetium Lu 177 Dotatat Ther	32	30	$556.00	$278.00 50% off	$479.23	$479.23	$479.23	2026-05-13
90677	CPT	Pcv20 Vaccine IM	32	30	$727.00	$363.50 50% off	$476.29	$476.29	$476.29	2026-05-13
00005-2000-01	CPT	Prevnar 20	33	30	$588.00	$294.00 50% off	$418.37	$476.29	$418.37	2026-05-13
00006-4329-01	CPT	Pneumococcal Conjugate Vaccine; 15 Valent (pcv15); For Intramuscular Use	32	30	$588.00	$294.00 50% off	$418.37	$418.37	$418.37	2026-05-13
58160-0820-43	CPT	Engerix-b	34	30	$588.00	$294.00 50% off	$50.77	$418.37	$418.37	2026-05-13
90671	CPT	Pcv15 Vaccine IM	32	30	$545.00	$272.50 50% off	$418.37	$418.37	$418.37	2026-05-13
90620	CPT	Menb-4c Vaccine IM	32	30	$458.00	$229.00 50% off	$411.10	$411.10	$411.10	2026-05-13
90621	CPT	Menb-fhbp Vacc 2/3 Dose IM	32	30	$509.00	$254.50 50% off	$376.46	$376.46	$376.46	2026-05-13
Q4195	CPT	Puraply; Per Square Centimeter	32	30	$2,560.00	$1,280.00 50% off	$349.59	$349.59	$349.59	2026-05-13
90716	CPT	Var Vaccine Live Subq	32	30	$548.00	$274.00 50% off	$344.92	$344.92	$344.92	2026-05-13
00006-4827-01	CPT	Varivax	32	30	$522.00	$261.00 50% off	$344.92	$344.92	$344.92	2026-05-13
J7351	CPT	Inj Bimatoprost Itc Imp1mcg	32	30	$608.00	$304.00 50% off	$340.25	$340.25	$340.25	2026-05-13
J7312	CPT	Dexamethasone Intra Implant	32	30	$589.00	$294.50 50% off	$339.26	$339.26	$339.26	2026-05-13
96360	CPT	Infusion Into A Vein For Hydration; 31-60 Minutes	33	30	$451.00	$225.50 50% off	$60.00	$336.96	$336.96	2026-05-13
90619	CPT	Menacwy-tt Vaccine IM	32	30	$441.00	$220.50 50% off	$330.38	$330.38	$330.38	2026-05-13
58160-0959-01	CPT	Menveo	34	30	$429.00	$214.50 50% off	$63.21	$330.38	$330.38	2026-05-13
49281-0590-58	CPT	MenQuadfi	33	30	$429.00	$214.50 50% off	$299.95	$330.38	$330.38	2026-05-13
J1610	CPT	Glucagon Hydrochloride/1 Mg	32	30	$410.00	$205.00 50% off	$310.81	$310.81	$310.81	2026-05-13
00597-0053-01	CPT	Glucagen	32	30	$1,013.16	$506.58 50% off	$310.81	$310.81	$310.81	2026-05-13
00548-5850-00	CPT	Glucagon Emergency Kit	32	30	$759.03	$379.51 50% off	$310.81	$310.81	$310.81	2026-05-13
00548-5905-00	CPT	Injection; Glucagon Hydrochloride; Per 1 Mg	32	30	$759.87	$379.94 50% off	$310.81	$310.81	$310.81	2026-05-13
58160-0827-03	CPT	Menveo	32	30	$304.00	$152.00 50% off	$299.95	$299.95	$299.95	2026-05-13
58160-0955-09	CPT	Menveo	32	30	$304.00	$152.00 50% off	$299.95	$299.95	$299.95	2026-05-13
58160-0958-01	CPT	Menveo	32	30	$304.00	$152.00 50% off	$299.95	$299.95	$299.95	2026-05-13
90734	CPT	Menacwyd/menacwycrm Vacc IM	32	30	$313.00	$156.50 50% off	$299.95	$299.95	$299.95	2026-05-13
A9509	CPT	Iodine I-123 Sod Iodide Mil	32	30	$741.00	$370.50 50% off	$299.31	$299.31	$299.31	2026-05-13
J9217	CPT	Leuprolide Acetate Suspnsion	32	30	$377.00	$188.50 50% off	$299.15	$299.15	$299.15	2026-05-13
J0475	CPT	Baclofen 10 Mg Injection	32	30	$709.00	$354.50 50% off	$293.37	$293.37	$293.37	2026-05-13
J0517	CPT	Inj., Benralizumab, 1 Mg	32	30	$585.00	$292.50 50% off	$279.68	$279.68	$279.68	2026-05-13
J1426	CPT	Injection, Casimersen, 10 Mg	32	30	$362.00	$181.00 50% off	$274.28	$274.28	$274.28	2026-05-13
A9606	CPT	Radium Ra223 Dichloride Ther	32	30	$317.00	$158.50 50% off	$265.91	$265.91	$265.91	2026-05-13
90739	CPT	Hepb Vacc 2/4 Dose Adult IM	32	30	$380.00	$190.00 50% off	$264.46	$264.46	$264.46	2026-05-13
90717	CPT	Yellow Fever Vaccine Subq	32	30	$617.00	$308.50 50% off	$263.36	$263.36	$263.36	2026-05-13
Q4199	CPT	Cygnus Matrix, Per Sq Cm	34	30	$258.00	$129.00 50% off	$207.00	$443.00	$258.00	2026-05-13
J2781	CPT	Inj, Pegcetacoplan, 1mg	32	30	$452.00	$226.00 50% off	$249.91	$249.91	$249.91	2026-05-13
91304	CPT	Sarscov2 Vac 5mcg/0.5ml IM	32	30	$315.00	$157.50 50% off	$244.53	$244.53	$244.53	2026-05-13
91321	CPT	Sarscov2 Vac 25 Mcg/.25ml IM	32	30	$339.00	$169.50 50% off	$240.77	$240.77	$240.77	2026-05-13
91322	CPT	Sarscov2 Vac 50 Mcg/0.5ml IM	32	30	$372.00	$186.00 50% off	$240.77	$240.77	$240.77	2026-05-13
90371	CPT	Hep B Ig IM	32	30	$464.00	$232.00 50% off	$227.52	$227.52	$227.52	2026-05-13
90732	CPT	Ppsv23 Vacc 2 Yrs+ Subq/im	32	30	$316.00	$158.00 50% off	$220.23	$220.23	$220.23	2026-05-13
00006-4837-01	CPT	Pneumovax 23	32	30	$314.00	$157.00 50% off	$220.23	$220.23	$220.23	2026-05-13
90710	CPT	Mmrv Vaccine Sc	32	30	$808.00	$404.00 50% off	$218.94	$218.94	$218.94	2026-05-13
00006-4171-01	CPT	ProQuad	32	30	$777.00	$388.50 50% off	$218.94	$218.94	$218.94	2026-05-13
90698	CPT	Dtap-ipv/hib Vaccine IM	32	30	$318.00	$159.00 50% off	$217.26	$217.26	$217.26	2026-05-13
49281-0561-01	CPT	Pentacel-dtap/ipv Component	32	30	$303.00	$151.50 50% off	$217.26	$217.26	$217.26	2026-05-13
91320	CPT	Sarscv2 Vac 30mcg Trs-suc IM	32	30	$301.00	$150.50 50% off	$216.32	$216.32	$216.32	2026-05-13
59676-0360-01	CPT	Orthovisc	32	30	$431.35	$215.68 50% off	$215.56	$215.56	$215.56	2026-05-13
J7324	CPT	Orthovisc Inj Per Dose	32	30	$360.00	$180.00 50% off	$215.56	$215.56	$215.56	2026-05-13
90636	CPT	Hep A/hep B Vacc Adult IM	32	30	$286.00	$143.00 50% off	$213.39	$213.39	$213.39	2026-05-13
55566-4100-01	CPT	Euflexxa	32	30	$1,503.38	$751.69 50% off	$210.05	$210.05	$210.05	2026-05-13
J7323	CPT	Euflexxa Inj Per Dose	32	30	$1,003.00	$501.50 50% off	$210.05	$210.05	$210.05	2026-05-13
Q4197	CPT	Puraply Xt 1 Sq Cm	32	30	$240.00	$120.00 50% off	$202.92	$202.92	$202.92	2026-05-13
90680	CPT	Rv5 Vacc 3 Dose Live Oral	32	30	$253.00	$126.50 50% off	$189.75	$189.75	$189.75	2026-05-13
00006-4047-02	CPT	Rotavirus Vaccine; Pentavalent	32	30	$243.00	$121.50 50% off	$189.75	$189.75	$189.75	2026-05-13
00006-4047-01	CPT	RotaTeq	33	30	$243.00	$121.50 50% off	$182.97	$189.75	$189.75	2026-05-13
58160-0811-43	CPT	Pediarix	32	30	$366.00	$183.00 50% off	$187.79	$187.79	$187.79	2026-05-13
90723	CPT	Dtap-hep B-ipv Vaccine IM	32	30	$189.00	$94.50 50% off	$187.79	$187.79	$187.79	2026-05-13
A9537	CPT	Technetium Tc-99m Mebrofenin; Diagnostic; Per Study Dose; Up To 15 Millicuries	32	30	$187.00	$93.50 50% off	$187.00	$187.00	$187.00	2026-05-13
A9516	CPT	Iodine I-123 Sod Iodide Mic	32	30	$185.00	$92.50 50% off	$185.00	$185.00	$185.00	2026-05-13
90681	CPT	Rv1 Vacc 2 Dose Live Oral	32	30	$309.00	$154.50 50% off	$182.97	$182.97	$182.97	2026-05-13
58160-0740-02	CPT	Rotarix	32	30	$300.00	$150.00 50% off	$182.97	$182.97	$182.97	2026-05-13
58160-0831-03	CPT	Priorix	32	30	$251.00	$125.50 50% off	$182.39	$182.39	$182.39	2026-05-13
00006-4681-01	CPT	M-m-r Ii	32	30	$251.00	$125.50 50% off	$182.39	$182.39	$182.39	2026-05-13
90707	CPT	Mmr Vaccine Sc	32	30	$258.00	$129.00 50% off	$182.39	$182.39	$182.39	2026-05-13
90691	CPT	Typhoid Vaccine IM	32	30	$425.00	$212.50 50% off	$180.23	$180.23	$180.23	2026-05-13
J2778	CPT	Ranibizumab Injection	32	30	$180.00	$90.00 50% off	$180.00	$180.00	$180.00	2026-05-13
Q4196	CPT	Puraply Am 1 Sq Cm	33	30	$186.00	$93.00 50% off	$131.00	$171.22	$171.22	2026-05-13
Q4122	CPT	Dermacell, Awm, Porous Sq Cm	40	30	$170.00	$85.00 50% off	$133.00	$199.70	$170.00	2026-05-13
A9560	CPT	Technetium Tc-99m Labeled Red Blood Cells; Diagnostic; Per Study Dose; Up To 30 …	32	30	$444.00	$222.00 50% off	$166.40	$166.40	$166.40	2026-05-13
58160-0812-43	CPT	Kinrix	32	30	$166.00	$83.00 50% off	$166.00	$166.00	$166.00	2026-05-13
Q4160	CPT	Nushield 1 Square Cm	32	30	$554.00	$277.00 50% off	$161.68	$161.68	$161.68	2026-05-13
Q4201	CPT	Matrion 1 Sq Cm	33	30	$155.00	$77.50 50% off	$155.00	$171.96	$155.00	2026-05-13
J2997	CPT	Alteplase Recombinant	32	30	$243.00	$121.50 50% off	$146.80	$146.80	$146.80	2026-05-13
90696	CPT	Dtap-ipv Vaccine 4-6 Yrs IM	34	30	$138.00	$69.00 50% off	$138.00	$172.00	$138.00	2026-05-13
91319	CPT	Sarscv2 Vac 10mcg Trs-suc IM	32	30	$135.00	$67.50 50% off	$135.00	$135.00	$135.00	2026-05-13
J2790	CPT	Rho D Immune Globulin Inj	32	30	$204.00	$102.00 50% off	$133.91	$133.91	$133.91	2026-05-13
J2779	CPT	Inj, Susvimo 0.1 Mg	32	30	$172.00	$86.00 50% off	$133.29	$133.29	$133.29	2026-05-13
J1566	CPT	Immune Globulin, Powder	32	30	$232.00	$116.00 50% off	$129.53	$129.53	$129.53	2026-05-13
A9541	CPT	Technetium Tc-99m Sulfur Colloid; Diagnostic; Per Study Dose; Up To 20 Millicuri…	32	30	$129.00	$64.50 50% off	$129.00	$129.00	$129.00	2026-05-13
90743	CPT	Hepb Vacc 2 Dose Adolesc IM	32	30	$139.00	$69.50 50% off	$124.00	$124.00	$124.00	2026-05-13
90662	CPT	Iiv No Prsv Increased Ag IM	32	30	$238.00	$119.00 50% off	$121.11	$121.11	$121.11	2026-05-13
J7321	CPT	Hyalgan Supartz Visco-3 Dose	32	30	$712.00	$356.00 50% off	$120.62	$120.62	$120.62	2026-05-13
90746	CPT	Hepb Vaccine 3 Dose Adult IM	32	30	$139.00	$69.50 50% off	$116.13	$116.13	$116.13	2026-05-13
58160-0821-43	CPT	Engerix-b	32	30	$133.00	$66.50 50% off	$116.13	$116.13	$116.13	2026-05-13
58160-0821-52	CPT	Engerix-b	32	30	$133.00	$66.50 50% off	$116.13	$116.13	$116.13	2026-05-13
90632	CPT	Hepa Vaccine Adult IM	32	30	$195.00	$97.50 50% off	$115.93	$115.93	$115.93	2026-05-13
58160-0826-43	CPT	Havrix	32	30	$198.00	$99.00 50% off	$115.93	$115.93	$115.93	2026-05-13
J0775	CPT	Collagenase, Clost Hist Inj	32	30	$247.00	$123.50 50% off	$109.35	$109.35	$109.35	2026-05-13
J9280	CPT	Mitomycin Injection	32	30	$242.00	$121.00 50% off	$104.53	$104.53	$104.53	2026-05-13
50242-0150-01	CPT	Ocrevus	32	30	$61,922.88	$30,961.44 50% off	$98.59	$98.59	$98.59	2026-05-13
00143-9192-01	CPT	Foscarnet Sodium	32	30	$344.62	$172.31 50% off	$97.96	$97.96	$97.96	2026-05-13
90281	CPT	Human Ig IM	32	30	$286.00	$143.00 50% off	$92.80	$92.80	$92.80	2026-05-13
68516-5216-03	CPT	Albutein	32	30	$246.00	$123.00 50% off	$87.58	$87.58	$87.58	2026-05-13
68516-5216-01	CPT	Albutein	32	30	$307.50	$153.75 50% off	$87.58	$87.58	$87.58	2026-05-13
P9047	CPT	Albumin (human), 25%, 50ml	32	30	$105.00	$52.50 50% off	$87.58	$87.58	$87.58	2026-05-13
J0490	CPT	Belimumab Injection	32	30	$2,570.07	$1,285.04 50% off	$85.80	$85.80	$85.80	2026-05-13
49401-0102-01	CPT	Benlysta	32	30	$13,192.04	$6,596.02 50% off	$85.80	$85.80	$85.80	2026-05-13
90713	CPT	Poliovirus Ipv Sc/im	32	30	$123.00	$61.50 50% off	$84.18	$84.18	$84.18	2026-05-13
J1460	CPT	Gamma Globulin 1 Cc Inj	32	30	$143.00	$71.50 50% off	$83.70	$83.70	$83.70	2026-05-13
55513-0190-01	CPT	Neulasta	32	30	$12,696.78	$6,348.39 50% off	$83.62	$83.62	$83.62	2026-05-13
Q4152	CPT	Dermapure 1 Square Cm	32	30	$94.00	$47.00 50% off	$83.19	$83.19	$83.19	2026-05-13
J1561	CPT	Gamunex-c/gammaked	32	30	$178.00	$89.00 50% off	$82.15	$82.15	$82.15	2026-05-13
J3299	CPT	Inj Xipere 1 Mg	32	30	$124.00	$62.00 50% off	$80.16	$80.16	$80.16	2026-05-13
J1459	CPT	Inj Ivig Privigen 500 Mg	32	30	$110.00	$55.00 50% off	$79.68	$79.68	$79.68	2026-05-13
J1455	CPT	Foscarnet Sodium Injection	32	30	$79.00	$39.50 50% off	$79.00	$79.00	$79.00	2026-05-13
96361	CPT	Infusion Into A Vein For Hydration; Each Additional Hour	33	30	$656.00	$328.00 50% off	$24.00	$74.68	$74.68	2026-05-13
J1569	CPT	Gammagard Liquid Injection	32	30	$169.00	$84.50 50% off	$72.85	$72.85	$72.85	2026-05-13
J1110	CPT	Inj Dihydroergotamine Mesylt	32	30	$130.00	$65.00 50% off	$69.86	$69.86	$69.86	2026-05-13
90633	CPT	Hepa Vacc Ped/adol 2 Dose IM	32	30	$98.00	$49.00 50% off	$68.72	$68.72	$68.72	2026-05-13
58160-0825-43	CPT	Havrix Pediatric	32	30	$79.00	$39.50 50% off	$68.72	$68.72	$68.72	2026-05-13
J2406	CPT	Injection, Oritavancin 10 Mg	32	30	$123.00	$61.50 50% off	$67.52	$67.52	$67.52	2026-05-13
J0565	CPT	Inj, Bezlotoxumab, 10 Mg	32	30	$137.00	$68.50 50% off	$65.77	$65.77	$65.77	2026-05-13
J2357	CPT	Omalizumab Injection	32	30	$148.00	$74.00 50% off	$65.11	$65.11	$65.11	2026-05-13
90715	CPT	Tdap Vaccine 7 Yrs/> IM	32	30	$136.00	$68.00 50% off	$63.21	$63.21	$63.21	2026-05-13
58160-0842-52	CPT	Boostrix	32	30	$102.68	$51.34 50% off	$63.21	$63.21	$63.21	2026-05-13
A9503	CPT	Technetium Tc-99m Medronate; Diagnostic; Per Study Dose; Up To 30 Millicuries	32	30	$129.00	$64.50 50% off	$61.59	$61.59	$61.59	2026-05-13
J2777	CPT	Inj, Faricimab-svoa, 0.1mg	32	30	$72.00	$36.00 50% off	$59.55	$59.55	$59.55	2026-05-13
90647	CPT	Hib Prp-omp Vacc 3 Dose IM	32	30	$83.00	$41.50 50% off	$58.58	$58.58	$58.58	2026-05-13
58160-0842-43	CPT	Boostrix	34	30	$62.00	$31.00 50% off	$56.96	$299.95	$56.96	2026-05-13
58160-0810-43	CPT	Infanrix	32	30	$79.00	$39.50 50% off	$56.96	$56.96	$56.96	2026-05-13
90700	CPT	Dtap Vaccine < 7 Yrs IM	32	30	$64.00	$32.00 50% off	$56.96	$56.96	$56.96	2026-05-13
Q2038	CPT	Fluzone Vacc, 3 Yrs & >, IM	32	30	$54.00	$27.00 50% off	$54.00	$54.00	$54.00	2026-05-13
J9334	CPT	Inj Efgart-alfa 2mg Hya-qvfc	32	30	$98.00	$49.00 50% off	$53.20	$53.20	$53.20	2026-05-13
A9540	CPT	Tc99m Maa	32	30	$491.00	$245.50 50% off	$52.95	$52.95	$52.95	2026-05-13
90744	CPT	Hepb Vacc 3 Dose Ped/adol IM	32	30	$66.00	$33.00 50% off	$50.77	$50.77	$50.77	2026-05-13
J2182	CPT	Injection, Mepolizumab, 1mg	32	30	$116.00	$58.00 50% off	$50.34	$50.34	$50.34	2026-05-13
Q4101	CPT	Apligraf	32	30	$584.00	$292.00 50% off	$50.16	$50.16	$50.16	2026-05-13
90714	CPT	Td Vacc No Presv 7 Yrs+ IM	32	30	$139.00	$69.50 50% off	$50.06	$50.06	$50.06	2026-05-13
49281-0215-88	CPT	Tenivac	32	30	$102.59	$51.30 50% off	$50.06	$50.06	$50.06	2026-05-13
A9539	CPT	Tc99m Pentetate	32	30	$165.00	$82.50 50% off	$49.17	$49.17	$49.17	2026-05-13
J2407	CPT	Injection, Oritavancin	32	30	$80.00	$40.00 50% off	$45.54	$45.54	$45.54	2026-05-13
J0834	CPT	Inj., Cosyntropin, 0.25 Mg	32	30	$90.00	$45.00 50% off	$44.73	$44.73	$44.73	2026-05-13
J9208	CPT	Ifosfamide Injection	32	30	$83.00	$41.50 50% off	$44.14	$44.14	$44.14	2026-05-13
Q5107	CPT	Inj Mvasi 10 Mg	32	30	$181.00	$90.50 50% off	$42.27	$42.27	$42.27	2026-05-13
67457-0524-33	CPT	Ibandronate Sodium	32	30	$179.43	$89.72 50% off	$42.24	$42.24	$42.24	2026-05-13
60505-6097-00	CPT	Ibandronate Sodium	32	30	$195.57	$97.79 50% off	$42.24	$42.24	$42.24	2026-05-13
55513-0670-01	CPT	Avsola	32	30	$4,189.50	$2,094.75 50% off	$42.17	$42.17	$42.17	2026-05-13
J0897	CPT	Denosumab Injection	32	30	$91.00	$45.50 50% off	$41.58	$41.58	$41.58	2026-05-13
J2799	CPT	Inj, Uzedy, 1 Mg	32	30	$68.00	$34.00 50% off	$40.76	$40.76	$40.76	2026-05-13
J0561	CPT	Penicillin G Benzathine Inj	32	30	$85.00	$42.50 50% off	$35.85	$35.85	$35.85	2026-05-13
A9567	CPT	Technetium Tc-99m Aerosol	32	30	$253.00	$126.50 50% off	$34.04	$34.04	$34.04	2026-05-13
J1120	CPT	Acetazolamid Sodium Injectio	32	30	$31.00	$15.50 50% off	$31.00	$31.00	$31.00	2026-05-13
J2356	CPT	Inj Tezepelumab-ekko, 1mg	32	30	$67.00	$33.50 50% off	$30.67	$30.67	$30.67	2026-05-13
00009-0011-04	CPT	Solu-cortef 100mg Vial	32	30	$56.09	$28.05 50% off	$29.45	$29.45	$29.45	2026-05-13
00009-0011-03	CPT	Solu-cortef 100mg Vial	32	30	$82.62	$41.31 50% off	$29.45	$29.45	$29.45	2026-05-13
J0558	CPT	Peng Benzathine/procaine Inj	32	30	$56.00	$28.00 50% off	$29.01	$29.01	$29.01	2026-05-13
J3304	CPT	Inj Triamcinolone Ace Xr 1mg	32	30	$65.00	$32.50 50% off	$28.94	$28.94	$28.94	2026-05-13
00310-3040-00	CPT	Saphnelo	32	30	$15,688.11	$7,844.06 50% off	$28.35	$28.35	$28.35	2026-05-13
J0491	CPT	Inj Anifrolumab-fnia 1mg	32	30	$55.00	$27.50 50% off	$28.35	$28.35	$28.35	2026-05-13
90660	CPT	Laiv3 Vaccine Intranasal	32	30	$73.00	$36.50 50% off	$27.56	$27.56	$27.56	2026-05-13
00074-5015-01	CPT	Skyrizi 600mg/10ml	32	30	$29,296.56	$14,648.28 50% off	$25.34	$25.34	$25.34	2026-05-13
J0875	CPT	Injection, Dalbavancin	32	30	$27.00	$13.50 50% off	$25.23	$25.23	$25.23	2026-05-13
90648	CPT	Hib Prp-t Vaccine 4 Dose IM	32	30	$34.00	$17.00 50% off	$25.21	$25.21	$25.21	2026-05-13
49281-0546-58	CPT	Haemophilus Influenzae Type B Vaccine; Prp-t Conjugate	32	30	$36.00	$18.00 50% off	$25.21	$25.21	$25.21	2026-05-13
49281-0544-58	CPT	Pentacel-acthib Component	33	30	$36.00	$18.00 50% off	$25.21	$217.26	$25.21	2026-05-13
49281-0547-58	CPT	ActHIB	32	30	$36.00	$18.00 50% off	$25.21	$25.21	$25.21	2026-05-13
J2426	CPT	Inj, Invega Sustenna, 1 Mg	32	30	$43.00	$21.50 50% off	$23.63	$23.63	$23.63	2026-05-13
00641-6253-01	CPT	Regadenoson	32	30	$41.34	$20.67 50% off	$23.56	$23.56	$23.56	2026-05-13
60505-6116-00	CPT	Regadenoson	32	30	$68.91	$34.46 50% off	$23.56	$23.56	$23.56	2026-05-13
63323-0842-21	CPT	Dicyclomine HCl	32	30	$22.05	$11.03 50% off	$22.05	$22.05	$22.05	2026-05-13
90657	CPT	Iiv3 Vaccine Splt 0.25 Ml IM	32	30	$27.00	$13.50 50% off	$21.62	$21.62	$21.62	2026-05-13
J0587	CPT	Inj, Rimabotulinumtoxinb	32	30	$39.00	$19.50 50% off	$21.50	$21.50	$21.50	2026-05-13
J1335	CPT	Ertapenem Injection	32	30	$30.00	$15.00 50% off	$21.40	$21.40	$21.40	2026-05-13
42023-0221-01	CPT	Ertapenem	32	30	$30.17	$15.09 50% off	$21.40	$21.40	$21.40	2026-05-13
43598-0901-11	CPT	Ertapenem	32	30	$67.52	$33.76 50% off	$21.40	$21.40	$21.40	2026-05-13
16714-0889-01	CPT	Ertapenem	32	30	$87.07	$43.54 50% off	$21.40	$21.40	$21.40	2026-05-13
58160-0912-41	CPT	Fluarix 2025-2026 Formula	32	30	$42.00	$21.00 50% off	$21.07	$21.07	$21.07	2026-05-13
19515-0904-52	CPT	FluLaval 2025-2026 Formula	32	30	$42.00	$21.00 50% off	$21.07	$21.07	$21.07	2026-05-13
19515-0814-41	CPT	FluLaval Quadrivalent 2023-2024 Formula	32	30	$42.00	$21.00 50% off	$21.07	$21.07	$21.07	2026-05-13
19515-0810-41	CPT	FluLaval 2024-2025 Formula	32	30	$42.00	$21.00 50% off	$21.07	$21.07	$21.07	2026-05-13
90656	CPT	Iiv3 Vacc No Prsv 0.5 Ml IM	32	30	$39.00	$19.50 50% off	$21.07	$21.07	$21.07	2026-05-13
71288-0201-85	CPT	Regadenoson	32	30	$20.58	$10.29 50% off	$20.58	$20.58	$20.58	2026-05-13
J2427	CPT	Inj, Invega Hafyera/trinza	32	30	$38.00	$19.00 50% off	$20.15	$20.15	$20.15	2026-05-13
J2794	CPT	Inj Risperdal Consta, 0.5 Mg	32	30	$36.00	$18.00 50% off	$20.05	$20.05	$20.05	2026-05-13
J1306	CPT	Injection, Inclisiran, 1 Mg	32	30	$36.00	$18.00 50% off	$20.01	$20.01	$20.01	2026-05-13
J2798	CPT	Inj., Perseris, 0.5 Mg	32	30	$34.00	$17.00 50% off	$19.17	$19.17	$19.17	2026-05-13
J3396	CPT	Verteporfin Injection	32	30	$26.00	$13.00 50% off	$19.02	$19.02	$19.02	2026-05-13
J7402	CPT	Mometasone Sinus Sinuva	32	30	$33.00	$16.50 50% off	$18.73	$18.73	$18.73	2026-05-13
J2274	CPT	Inj Morphine Pf Epid Ithc	32	30	$55.00	$27.50 50% off	$18.55	$18.55	$18.55	2026-05-13
J3111	CPT	Inj. Romosozumab-aqqg 1 Mg	32	30	$38.00	$19.00 50% off	$17.70	$17.70	$17.70	2026-05-13

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