October 2023 ASP Changes: Quarter 4 ASP

Every quarter, the Centers for Medicare and Medicaid Services (CMS) publish a file mapping HCPCS coded drugs to their Medicare reimbursement rates. This reimbursement rate is referred to as the ‘Payment Limit’ and is calculated based on ASP, or the real average selling price of a drug. The CMS file can be found here: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/2023-asp-drug-pricing-files

Below, you will find a graph displaying Medicare Payment Limits for October, 1st 2023. You can filter and search the graph for a HCPCS code or drug of choice.

HCPCS Code	Short Description	Payment Limit
90371	Hep b ig im	137.581
90375	Rabies ig im/sc	277.744
90376	Rabies ig heat treated	170.900
90377	Rabies ig ht&sol human im/sc	250.491
90586	Bcg vaccine intravesical	145.833
90632	Hepa vaccine adult im	70.078
90662	Iiv no prsv increased ag im	73.403
90670	Pcv13 vaccine im	257.989
90671	PCV15 vaccine IM	246.195
90672	Laiv4 vaccine intranasal	27.788
90674	Cciiv4 vac no prsv 0.5 ml im	34.172
90675	Rabies vaccine im	328.549
90677	Pcv20 vaccine im	288.664
90682	Riv4 vacc recombinant dna im	73.403
90686	Iiv4 vacc no prsv 0.5 ml im	22.350
90687	Iiv4 vaccine splt 0.25 ml im	10.439
90688	Iiv4 vaccine splt 0.5 ml im	20.878
90694	Vacc AIIV4 no prsrv 0.5ML IM	77.359
90714	Td vacc no presv 7 yrs+ im	28.645
90715	Tdap vaccine 7 yrs/> im	38.671
90732	Ppsv23 vacc 2 yrs+ subq/im	133.472
90739	Hepb vacc 2 dose adult im	160.284
90740	Hepb vacc 3 dose immunsup im	152.124
90743	Hep b vacc, adol, 2 dose, im	73.847
90744	Hepb vacc 3 dose ped/adol im	29.895
90746	Hepb vaccine 3 dose adult im	70.376
90747	Hepb vacc 4 dose immunsup im	140.752
90756	Cciiv4 vacc abx free im	32.374
90759	Hep b vac 3ag 10mcg 3 dos im	73.815
A9575	Inj gadoterate meglumi 0.1ml	0.123
A9576	Inj prohance multipack	1.403
A9577	Inj multihance	1.819
A9578	Inj multihance multipack	1.821
A9579	Gad-base mr contrast nos,1ml	1.531
A9581	Gadoxetate disodium inj	14.750
A9585	Gadobutrol injection	0.324
A9589	Insti hexaminolevulinate hcl	1265.417
A9606	Radium ra223 dichloride ther	N/A
J0121	Inj., omadacycline, 1 mg	3.604
J0122	Inj., eravacycline, 1 mg	1.126
J0129	Abatacept injection	42.700
J0131	Inj, acetaminophen (nos)	0.072
J0132	Acetylcysteine injection	0.653
J0133	Acyclovir injection	0.051
J0134	Inj acetaminophen -fresenius	0.051
J0136	Inj, acetaminophen (b braun)	0.054
J0137	Inj, acetaminophen (hikma)	0.067
J0153	Adenosine inj 1mg	0.536
J0171	Adrenalin epinephrine inject	0.780
J0172	Inj, aducanumab-avwa, 2 mg	5.978
J0173	Inj, epinephrine (belcher)	1.706
J0174	Inj, lecanemab-irmb, 1 mg	1.274
J0178	Aflibercept injection	868.241
J0179	Inj, brolucizumab-dbll, 1 mg	319.249
J0180	Agalsidase beta injection	217.597
J0185	Inj., aprepitant, 1 mg	1.738
J0202	Injection, alemtuzumab	2292.770
J0206	Inj allopurinol sodium 1 mg	5.634
J0218	Inj olipudase alfa-rpcp 1mg	377.113
J0219	Inj aval alfa-nqpt 4mg	75.632
J0221	Lumizyme injection	197.073
J0222	Inj., patisiran, 0.1 mg	100.171
J0223	Inj givosiran 0.5 mg	112.096
J0224	Inj. lumasiran, 0.5 mg	319.496
J0225	Inj, vutrisiran, 1 mg	4950.374
J0248	Inj, remdesivir, 1 mg	6.058
J0256	Alpha 1 proteinase inhibitor	4.806
J0257	Glassia injection	5.417
J0278	Amikacin sulfate injection	0.935
J0280	Aminophyllin 250 mg inj	10.593
J0285	Amphotericin b	24.620
J0289	Amphotericin b liposome inj	27.923
J0290	Ampicillin 500 mg inj	0.945
J0291	Inj., plazomicin, 5 mg	3.578
J0295	Ampicillin sulbactam 1.5 gm	2.048
J0348	Anidulafungin injection	0.545
J0360	Hydralazine hcl injection	5.758
J0401	Inj aripiprazole ext rel 1mg	6.815
J0456	Azithromycin	1.787
J0457	Injection, aztreonam, 100 mg	2.519
J0461	Atropine sulfate injection	0.088
J0475	Baclofen 10 mg injection	182.263
J0476	Baclofen intrathecal trial	46.921
J0480	Basiliximab	4393.541
J0485	Belatacept injection	3.786
J0490	Belimumab injection	51.970
J0491	Inj anifrolumab-fnia 1mg	16.595
J0500	Dicyclomine injection	21.800
J0515	Inj benztropine mesylate	22.277
J0517	Inj., benralizumab, 1 mg	170.559
J0558	Peng benzathine/procaine inj	15.742
J0561	Penicillin g benzathine inj	20.157
J0565	Inj, bezlotoxumab, 10 mg	39.844
J0583	Bivalirudin	0.186
J0584	Injection, burosumab-twza 1m	433.522
J0585	Injection,onabotulinumtoxina	6.325
J0586	Abobotulinumtoxina	8.219
J0587	Inj, rimabotulinumtoxinb	13.042
J0588	Incobotulinumtoxin a	5.189
J0592	Buprenorphine hydrochloride	4.180
J0594	Busulfan injection	1.044
J0595	Butorphanol tartrate 1 mg	2.543
J0596	Injection, ruconest	33.700
J0597	C-1 esterase, berinert	64.406
J0598	C-1 esterase, cinryze	60.725
J0612	Calcium glucon (fresenius)	0.051
J0613	Calcium glucon (wg critical)	0.085
J0630	Calcitonin salmon injection	1296.363
J0637	Caspofungin acetate	5.500
J0638	Canakinumab injection	122.055
J0640	Leucovorin calcium injection	4.461
J0642	Injection, khapzory, 0.5 mg	1.057
J0665	Inj, bupivacaine, nos, 0.5mg	0.016
J0670	Inj mepivacaine hcl/10 ml	2.453
J0689	Inj cefazolin sodium, baxter	1.208
J0690	Cefazolin sodium injection	0.727
J0692	Cefepime hcl for injection	1.270
J0694	Cefoxitin sodium injection	5.172
J0695	Inj ceftolozane tazobactam	7.481
J0696	Ceftriaxone sodium injection	0.472
J0697	Sterile cefuroxime injection	1.868
J0699	Inj, cefiderocol, 10 mg	2.173
J0701	Inj. cefepime hcl (baxter)	5.688
J0702	Betamethasone acet&sod phosp	6.406
J0703	Inj, cefepime hcl (b braun)	5.092
J0712	Ceftaroline fosamil inj	3.856
J0713	Inj ceftazidime per 500 mg	1.779
J0714	Ceftazidime and avibactam	95.437
J0717	Certolizumab pegol inj 1mg	4.900
J0725	Chorionic gonadotropin/1000u	21.778
J0735	Clonidine hydrochloride	19.585
J0736	Inj, clindamycin phosp 300mg	2.015
J0737	Inj, clindamycin (baxter)	2.594
J0740	Cidofovir injection	550.376
J0741	Inj, cabote rilpivir 2mg 3mg	22.286
J0742	Inj imip 4 cilas 4 releb 2mg	2.460
J0743	Cilastatin sodium injection	7.925
J0744	Ciprofloxacin iv	1.831
J0770	Colistimethate sodium inj	13.878
J0775	Collagenase, clost hist inj	67.747
J0780	Prochlorperazine injection	2.848
J0791	Inj crizanlizumab-tmca 5mg	126.857
J0801	Corticotropin injection	4090.086
J0834	Inj., cosyntropin, 0.25 mg	32.681
J0840	Crotalidae poly immune fab	2076.463
J0841	Inj crotalidae im f(ab')2 eq	1113.511
J0850	Cytomegalovirus imm iv /vial	1667.586
J0875	Injection, dalbavancin	15.214
J0877	Inj, daptomycin (hospira)	0.064
J0878	Daptomycin injection	0.040
J0881	Darbepoetin alfa, non-esrd	2.945
J0882	Darbepoetin alfa, esrd use	2.945
J0885	Epoetin alfa, non-esrd	7.092
J0887	Epoetin beta esrd use	1.709
J0888	Epoetin beta non esrd	1.710
J0891	Argatroban nonesrd (accord)	0.371
J0892	Argatroban dialysis (accord)	0.371
J0893	Inj, decitabine (sun pharma)	2.120
J0894	Decitabine injection	1.147
J0895	Deferoxamine mesylate inj	8.591
J0896	Inj luspatercept-aamt 0.25mg	39.205
J0897	Denosumab injection	24.217
J1000	Depo-estradiol cypionate inj	32.669
J1020	Methylprednisolone 20 mg inj	7.099
J1030	Methylprednisolone 40 mg inj	7.202
J1040	Methylprednisolone 80 mg inj	10.757
J1071	Inj testosterone cypionate	0.029
J1100	Dexamethasone sodium phos	0.126
J1110	Inj dihydroergotamine mesylt	46.517
J1120	Acetazolamid sodium injectio	26.316
J1160	Digoxin injection	11.357
J1162	Digoxin immune fab (ovine)	4593.574
J1165	Phenytoin sodium injection	0.461
J1170	Hydromorphone injection	4.023
J1190	Dexrazoxane hcl injection	123.879
J1200	Diphenhydramine hcl injectio	0.846
J1201	Inj. cetirizine hcl 0.5mg	15.178
J1205	Chlorothiazide sodium inj	76.733
J1212	Dimethyl sulfoxide 50% 50 ml	681.744
J1230	Methadone injection	17.516
J1240	Dimenhydrinate injection	8.988
J1245	Dipyridamole injection	3.688
J1250	Inj dobutamine hcl/250 mg	9.822
J1265	Dopamine injection	0.630
J1270	Injection, doxercalciferol	0.424
J1290	Ecallantide injection	532.245
J1300	Eculizumab injection	225.263
J1301	Injection, edaravone, 1 mg	21.385
J1302	Inj, sutimlimab-jome, 10 mg	17.743
J1303	Inj., ravulizumab-cwvz 10 mg	221.669
J1305	Inj, evinacumab-dgnb, 5mg	179.140
J1306	Injection, inclisiran, 1 mg	12.021
J1322	Elosulfase alfa, injection	280.922
J1325	Epoprostenol injection	16.023
J1335	Ertapenem injection	13.192
J1364	Erythro lactobionate /500 mg	83.636
J1380	Estradiol valerate 10 mg inj	10.622
J1410	Inj estrogen conjugate 25 mg	372.476
J1430	Ethanolamine oleate 100 mg	469.257
J1437	Inj. fe derisomaltose 10 mg	20.059
J1439	Inj ferric carboxymaltos 1mg	1.123
J1440	Fecal microbiota jslm 1 ml	62.423
J1442	Inj filgrastim excl biosimil	0.986
J1447	Inj tbo filgrastim 1 microg	0.416
J1448	Injection, trilaciclib, 1mg	5.200
J1449	Inj eflapegrastim-xnst 0.1mg	31.344
J1450	Fluconazole	2.306
J1453	Fosaprepitant injection	0.120
J1454	Inj fosnetupitant, palonoset	528.379
J1456	Inj, fosaprepitant (teva)	0.174
J1458	Galsulfase injection	463.043
J1459	Inj ivig privigen 500 mg	47.589
J1460	Gamma globulin 1 cc inj	48.766
J1551	Inj cutaquig 100 mg	14.042
J1554	Inj. asceniv	491.405
J1555	Inj cuvitru, 100 mg	15.725
J1556	Inj, imm glob bivigam, 500mg	72.962
J1557	Gammaplex injection	57.010
J1558	Inj. xembify, 100 mg	13.971
J1559	Hizentra injection	12.728
J1560	Gamma globulin > 10 cc inj	487.656
J1561	Gamunex-c/gammaked	49.262
J1566	Immune globulin, powder	76.567
J1568	Octagam injection	44.786
J1569	Gammagard liquid injection	44.460
J1570	Ganciclovir sodium injection	29.992
J1571	Hepagam b im injection	62.164
J1575	Hyqvia 100mg immuneglobulin	16.888
J1576	Inj, panzyga, 500 mg	65.704
J1580	Garamycin gentamicin inj	2.922
J1602	Golimumab for iv use 1mg	12.931
J1610	Glucagon hydrochloride/1 mg	187.503
J1611	Inj glucagon hcl, fresenius	110.762
J1626	Granisetron hcl injection	0.385
J1627	Inj, granisetron, xr, 0.1 mg	5.780
J1630	Haloperidol injection	1.241
J1631	Haloperidol decanoate inj	8.038
J1640	Hemin, 1 mg	31.395
J1642	Inj heparin sodium per 10 u	0.016
J1643	Inj heparin, pfizer, 1000u	5.183
J1644	Inj heparin sodium per 1000u	0.284
J1645	Dalteparin sodium	15.214
J1650	Inj enoxaparin sodium	0.655
J1652	Fondaparinux sodium	1.019
J1670	Tetanus immune globulin inj	584.386
J1720	Hydrocortisone sodium succ i	17.672
J1740	Ibandronate sodium injection	24.903
J1743	Idursulfase injection	542.917
J1745	Infliximab not biosimil 10mg	32.637
J1746	Inj., ibalizumab-uiyk, 10 mg	74.455
J1747	Inj, spesolimab-sbzo, 1 mg	60.223
J1750	Inj iron dextran	17.407
J1756	Iron sucrose injection	0.205
J1786	Imuglucerase injection	44.141
J1805	Inj, esmolol hcl, 10mg	0.245
J1806	Inj esmolol hcl wg crit care	0.469
J1811	Fiasp for insulin pump use	6.673
J1813	Lyumjev for insulin pump use	15.675
J1817	Insulin for insulin pump use	8.302
J1823	Inj. inebilizumab-cdon, 1 mg	473.513
J1836	Inj, metronidazole, 10 mg	0.024
J1885	Ketorolac tromethamine inj	0.605
J1920	Inj, labetalol hcl, 5mg	0.183
J1921	Inj labetalol hcl hikma, 5mg	2.721
J1930	Lanreotide injection	51.156
J1931	Laronidase injection	37.438
J1932	Inj, lanreotide, (cipla) 1mg	49.971
J1940	Furosemide injection	0.582
J1943	Inj., aristada initio, 1 mg	3.053
J1944	Aripiprazole lauroxil 1 mg	3.105
J1950	Leuprolide acetate /3.75 mg	1524.336
J1951	Inj fensolvi 0.25 mg	133.639
J1952	Leuprolide inj, camcevi, 1mg	74.349
J1953	Levetiracetam injection	0.065
J1954	Leuprolide depot cipla 7.5mg	362.053
J1955	Inj levocarnitine per 1 gm	35.438
J1956	Levofloxacin injection	0.928
J1961	Inj, lenacapavir, 1 mg	21.793
J1980	Hyoscyamine sulfate inj	35.464
J2001	Lidocaine injection	0.026
J2010	Lincomycin injection	11.041
J2020	Linezolid injection	3.648
J2021	Inj, linezolid (hospira)	13.736
J2060	Lorazepam injection	1.010
J2150	Mannitol injection	5.260
J2175	Meperidine hydrochl /100 mg	6.746
J2182	Injection, mepolizumab, 1mg	30.166
J2184	Inj, meropenem (b. braun)	2.100
J2185	Meropenem	0.562
J2210	Methylergonovin maleate inj	21.086
J2247	Inj, micafungin (par pharm)	0.395
J2248	Micafungin sodium injection	0.749
J2250	Inj midazolam hydrochloride	0.166
J2251	Inj midazolam (wg crit care)	0.292
J2260	Inj milrinone lactate / 5 mg	1.770
J2270	Morphine sulfate injection	4.316
J2272	Inj, morphine (fresenius)	7.071
J2274	Inj morphine pf epid ithc	11.190
J2278	Ziconotide injection	9.036
J2280	Inj, moxifloxacin 100 mg	9.759
J2281	Inj moxifloxacin (fres kabi)	5.315
J2300	Inj nalbuphine hydrochloride	2.873
J2305	Inj, nitroglycerin, 5 mg	1.294
J2310	Inj naloxone hydrochloride	9.541
J2311	Inj, naloxone hcl (zimhi)	4.311
J2315	Naltrexone, depot form	3.961
J2323	Natalizumab injection	24.600
J2327	Inj risankizumab-rzaa 1 mg	15.332
J2329	Inj ublituximab-xiiy, 1 mg	67.078
J2350	Injection, ocrelizumab, 1 mg	60.545
J2353	Octreotide injection, depot	207.156
J2354	Octreotide inj, non-depot	1.116
J2356	Inj tezepelumab-ekko, 1mg	18.580
J2357	Omalizumab injection	39.090
J2358	Olanzapine long-acting inj	2.917
J2359	Inj. olanzapine, 0.5mg	0.886
J2360	Orphenadrine injection	4.672
J2372	Inj, biorphen, 20 micrograms	0.181
J2401	Chloroprocaine hcl injection	0.038
J2405	Ondansetron hcl injection	0.090
J2406	Injection, oritavancin 10 mg	40.694
J2407	Injection, oritavancin	27.537
J2426	Inj, invega sustenna, 1 mgj	14.340
J2427	Inj, invega hafyera/trinza	12.199
J2430	Pamidronate disodium /30 mg	10.332
J2469	Palonosetron hcl	0.884
J2501	Paricalcitol	0.898
J2506	Inj pegfilgrast ex bio 0.5mg	74.948
J2507	Pegloticase injection	3307.045
J2540	Penicillin g potassium inj	0.817
J2543	Piperacillin/tazobactam	0.886
J2545	Pentamidine non-comp unit	92.416
J2550	Promethazine hcl injection	3.479
J2560	Phenobarbital sodium inj	36.252
J2562	Plerixafor injection	429.053
J2597	Inj desmopressin acetate	6.145
J2598	Inj, vasopressin, 1 unit	2.555
J2599	Inj vasopressin (am reg) 1 u	0.561
J2675	Inj progesterone per 50 mg	0.888
J2680	Fluphenazine decanoate 25 mg	9.873
J2690	Procainamide hcl injection	340.441
J2700	Oxacillin sodium injeciton	0.974
J2704	Inj, propofol, 10 mg	0.096
J2720	Inj protamine sulfate/10 mg	0.793
J2724	Protein c concentrate	15.135
J2760	Phentolaine mesylate inj	453.659
J2765	Metoclopramide hcl injection	1.108
J2777	Inj, faricimab-svoa, 0.1mg	36.573
J2778	Ranibizumab injection	197.372
J2779	Inj, susvimo 0.1 mg	81.432
J2781	Inj, pegcetacoplan, 1mg	153.521
J2783	Rasburicase	358.429
J2785	Regadenoson injection	34.762
J2786	Injection, reslizumab, 1mg	10.301
J2788	Rho d immune globulin 50 mcg	25.510
J2790	Rho d immune globulin inj	77.296
J2791	Rhophylac injection	4.854
J2792	Rho(d) immune globulin h, sd	33.457
J2794	Inj risperdal consta, 0.5 mg	12.148
J2795	Ropivacaine hcl injection	0.068
J2796	Romiplostim injection	95.752
J2798	Inj., perseris, 0.5 mg	11.641
J2800	Methocarbamol injection	6.066
J2805	Sincalide injection	129.036
J2820	Sargramostim injection	58.261
J2860	Injection, siltuximab	148.963
J2916	Na ferric gluconate complex	2.095
J2920	Methylprednisolone injection	3.433
J2930	Methylprednisolone injection	4.985
J2997	Alteplase recombinant	89.161
J3000	Streptomycin injection	33.368
J3010	Fentanyl citrate injection	0.850
J3032	Inj. eptinezumab-jjmr 1 mg	17.434
J3060	Inj, taliglucerase alfa 10 u	45.175
J3090	Inj tedizolid phosphate	1.740
J3095	Telavancin injection	7.153
J3101	Tenecteplase injection	153.096
J3105	Terbutaline sulfate inj	14.304
J3111	Inj. romosozumab-aqqg 1 mg	10.347
J3121	Inj testostero enanthate 1mg	0.046
J3145	Testosterone undecanoate 1mg	1.735
J3230	Chlorpromazine hcl injection	31.784
J3240	Thyrotropin injection	2011.265
J3241	Inj. teprotumumab-trbw 10 mg	327.998
J3243	Tigecycline injection	0.617
J3245	Inj., tildrakizumab, 1 mg	142.222
J3246	Tirofiban hcl	4.405
J3250	Trimethobenzamide hcl inj	44.945
J3260	Tobramycin sulfate injection	2.651
J3262	Tocilizumab injection	6.188
J3285	Treprostinil injection	56.005
J3299	Inj xipere 1 mg	48.583
J3301	Triamcinolone acet inj nos	1.156
J3304	Inj triamcinolone ace xr 1mg	17.125
J3315	Triptorelin pamoate	401.745
J3357	Ustekinumab sub cu inj, 1 mg	151.458
J3358	Ustekinumab, iv inject, 1 mg	12.619
J3360	Diazepam injection	7.479
J3370	Vancomycin hcl injection	2.086
J3371	Inj, vancomycin hcl (mylan)	6.245
J3372	Inj, vancomycin hcl (xellia)	6.491
J3380	Injection, vedolizumab	22.296
J3385	Velaglucerase alfa	366.395
J3396	Verteporfin injection	11.237
J3410	Hydroxyzine hcl injection	13.150
J3411	Thiamine hcl 100 mg	2.591
J3415	Pyridoxine hcl 100 mg	13.929
J3420	Vitamin b12 injection	1.325
J3430	Vitamin k phytonadione inj	2.982
J3465	Injection, voriconazole	0.680
J3471	Ovine, up to 999 usp units	0.501
J3473	Hyaluronidase recombinant	0.359
J3475	Inj magnesium sulfate	0.761
J3480	Inj potassium chloride	0.112
J3485	Zidovudine	1.511
J3486	Ziprasidone mesylate	9.945
J3489	Zoledronic acid 1mg	6.934
J7030	Normal saline solution infus	2.578
J7040	Normal saline solution infus	1.289
J7042	5% dextrose/normal saline	1.171
J7050	Normal saline solution infus	0.645
J7060	5% dextrose/water	1.629
J7070	D5w infusion	3.259
J7120	Ringers lactate infusion	2.448
J7170	Inj., emicizumab-kxwh 0.5 mg	51.222
J7175	Inj, factor x, (human), 1iu	9.112
J7177	Inj., fibryga, 1 mg	1.098
J7178	Inj human fibrinogen con nos	1.381
J7179	Vonvendi inj 1 iu vwf:rco	1.832
J7180	Factor xiii anti-hem factor	9.673
J7181	Factor xiii recomb a-subunit	17.101
J7182	Factor viii recomb novoeight	1.309
J7183	Wilate injection	1.298
J7185	Xyntha inj	1.308
J7186	Antihemophilic viii/vwf comp	1.218
J7187	Humate-p, inj	1.346
J7188	Factor viii recomb obizur	3.221
J7189	Factor viia recomb novoseven	2.407
J7190	Factor viii	1.188
J7192	Factor viii recombinant nos	1.503
J7193	Factor ix non-recombinant	1.320
J7194	Factor ix complex	1.612
J7195	Factor ix recombinant nos	1.744
J7197	Antithrombin iii injection	3.714
J7198	Anti-inhibitor	2.298
J7200	Factor ix recombinan rixubis	1.603
J7201	Factor ix alprolix recomb	3.466
J7202	Factor ix idelvion inj	4.931
J7203	Factor ix recomb gly rebinyn	4.404
J7204	Inj recombin esperoct per iu	2.055
J7205	Factor viii fc fusion recomb	2.180
J7207	Factor viii pegylated recomb	2.030
J7208	Inj. jivi 1 iu	2.346
J7209	Factor viii nuwiq recomb 1iu	1.298
J7210	Inj, afstyla, 1 i.u.	1.448
J7211	Inj, kovaltry, 1 i.u.	1.425
J7212	Factor viia recomb sevenfact	2.022
J7213	Inj, ixinity, 1 i.u.	1.764
J7214	Altuviiio per factor viii iu	4.733
J7308	Aminolevulinic acid hcl top	390.561
J7311	Inj., retisert, 0.01 mg	341.400
J7312	Dexamethasone intra implant	205.685
J7313	Inj., iluvien, 0.01 mg	490.947
J7314	Inj., yutiq, 0.01 mg	529.062
J7318	Inj, durolane 1 mg	6.271
J7320	Genvisc 850, inj, 1mg	5.775
J7321	Hyalgan supartz visco-3 dose	75.766
J7322	Hymovis injection 1 mg	17.295
J7323	Euflexxa inj per dose	123.142
J7324	Orthovisc inj per dose	136.255
J7325	Synvisc or synvisc-one	8.770
J7326	Gel-one	515.302
J7327	Monovisc inj per dose	728.291
J7328	Gelsyn-3 injection 0.1 mg	0.541
J7329	Inj, trivisc 1 mg	8.564
J7331	Synojoynt, inj., 1 mg	11.827
J7332	Inj., triluron, 1 mg	10.338
J7336	Capsaicin 8% patch	3.272
J7340	Carbidopa levodopa ent 100ml	226.800
J7345	Aminolevulinic acid, 10% gel	1.660
J7351	Inj bimatoprost itc imp1mcg	206.225
J7402	Mometasone sinus sinuva	11.345
J7500	Azathioprine oral 50mg	11.752
J7502	Cyclosporine oral 100 mg	2.207
J7503	Tacrol envarsus ex rel oral	1.675
J7504	Lymphocyte immune globulin	3254.873
J7507	Tacrolimus imme rel oral 1mg	0.300
J7508	Tacrol astagraf ex rel oral	0.553
J7509	Methylprednisolone oral	0.241
J7510	Prednisolone oral per 5 mg	0.241
J7511	Antithymocyte globuln rabbit	921.169
J7512	Prednisone ir or dr oral 1mg	0.008
J7515	Cyclosporine oral 25 mg	0.685
J7517	Mycophenolate mofetil oral	0.198
J7518	Mycophenolic acid	0.873
J7520	Sirolimus, oral	3.155
J7525	Tacrolimus injection	248.745
J7527	Oral everolimus	2.866
J7605	Arformoterol non-comp unit	2.648
J7606	Formoterol fumarate, inh	4.879
J7608	Acetylcysteine non-comp unit	9.874
J7611	Albuterol non-comp con	0.124
J7612	Levalbuterol non-comp con	0.225
J7613	Albuterol non-comp unit	0.042
J7614	Levalbuterol non-comp unit	0.050
J7620	Albuterol ipratrop non-comp	0.153
J7626	Budesonide non-comp unit	1.148
J7631	Cromolyn sodium noncomp unit	1.311
J7639	Dornase alfa non-comp unit	52.254
J7644	Ipratropium bromide non-comp	0.318
J7674	Methacholine chloride, neb	0.863
J7677	Revefenacin inh non-com 1mcg	0.189
J7682	Tobramycin non-comp unit	24.076
J7686	Treprostinil, non-comp unit	733.638
J8501	Oral aprepitant	3.458
J8520	Capecitabine, oral, 150 mg	0.291
J8521	Capecitabine, oral, 500 mg	1.169
J8530	Cyclophosphamide oral 25 mg	1.006
J8540	Oral dexamethasone	0.078
J8560	Etoposide oral 50 mg	76.534
J8610	Methotrexate oral 2.5 mg	0.255
J8655	Oral netupitant, palonosetro	407.833
J8670	Rolapitant, oral, 1mg	1.731
J8700	Temozolomide	0.187
J8705	Topotecan oral	113.779
J9000	Doxorubicin hcl injection	2.684
J9017	Arsenic trioxide injection	18.499
J9021	Inj, aspara, rylaze, 0.1 mg	49.714
J9022	Inj, atezolizumab,10 mg	82.622
J9023	Injection, avelumab, 10 mg	90.894
J9025	Azacitidine injection	0.414
J9027	Clofarabine injection	23.290
J9030	Bcg live intravesical 1mg	2.917
J9032	Injection, belinostat, 10mg	48.393
J9033	Inj., treanda 1 mg	11.415
J9034	Inj., bendeka 1 mg	15.861
J9035	Bevacizumab injection	73.810
J9036	Inj. belrapzo/bendamustine	15.033
J9039	Injection, blinatumomab	145.313
J9040	Bleomycin sulfate injection	24.581
J9041	Injection, bortezomib, 0.1mg	2.289
J9042	Brentuximab vedotin inj	222.114
J9043	Cabazitaxel injection	209.340
J9045	Carboplatin injection	2.758
J9047	Injection, carfilzomib, 1 mg	46.897
J9049	Inj, bortezomib, hospira	3.091
J9050	Carmustine injection	409.703
J9055	Cetuximab injection	72.276
J9056	Inj, bendamustine, 1 mg	33.183
J9058	Inj apotex/bendamustine 1 mg	33.058
J9059	Inj bendamustine, baxter 1mg	23.130
J9060	Cisplatin 10 mg injection	2.188
J9061	Inj, amivantamab-vmjw	19.988
J9063	Inj, elahere, 1 mg	65.754
J9065	Inj cladribine per 1 mg	16.757
J9070	Cyclophosphamide 100 mg inj	17.942
J9071	Inj cyclophosphamd auromedic	3.869
J9100	Cytarabine hcl 100 mg inj	0.941
J9118	Inj. calaspargase pegol-mknl	72.883
J9119	Inj., cemiplimab-rwlc, 1 mg	26.921
J9120	Dactinomycin injection	838.464
J9130	Dacarbazine 100 mg inj	3.761
J9144	Daratumumab, hyaluronidase	49.310
J9145	Injection, daratumumab 10 mg	62.134
J9150	Daunorubicin injection	31.636
J9153	Inj daunorubicin, cytarabine	227.936
J9155	Degarelix injection	4.127
J9171	Docetaxel injection	0.804
J9173	Inj., durvalumab, 10 mg	79.741
J9176	Injection, elotuzumab, 1mg	7.218
J9177	Inj enfort vedo-ejfv 0.25mg	35.057
J9178	Inj, epirubicin hcl, 2 mg	1.446
J9179	Eribulin mesylate injection	130.874
J9181	Etoposide injection	0.766
J9185	Fludarabine phosphate inj	500.459
J9190	Fluorouracil injection	2.838
J9196	Inj gemcitabine hcl (accord)	3.689
J9198	Inj. infugem, 100 mg	40.280
J9200	Floxuridine injection	3551.000
J9201	In gemcitabine hcl nos 200mg	3.932
J9202	Goserelin acetate implant	611.346
J9203	Gemtuzumab ozogamicin 0.1 mg	221.843
J9204	Inj mogamulizumab-kpkc, 1 mg	227.344
J9205	Inj irinotecan liposome 1 mg	62.485
J9206	Irinotecan injection	2.064
J9207	Ixabepilone injection	127.574
J9208	Ifosfamide injection	25.891
J9209	Mesna injection	1.524
J9210	Inj., emapalumab-lzsg, 1 mg	390.158
J9211	Idarubicin hcl injection	36.346
J9217	Leuprolide acetate suspnsion	166.685
J9218	Leuprolide acetate injeciton	7.875
J9223	Inj. lurbinectedin, 0.1 mg	196.820
J9226	Supprelin la implant	44695.101
J9227	Inj. isatuximab-irfc 10 mg	74.641
J9228	Ipilimumab injection	168.560
J9229	Inj inotuzumab ozogam 0.1 mg	2529.553
J9245	Inj melpha hydroch nos 50 mg	176.252
J9246	Inj., evomela, 1 mg	16.083
J9250	Methotrexate sodium inj	0.233
J9259	Paclitaxel (american regent)	16.226
J9260	Methotrexate sodium inj	2.325
J9261	Nelarabine injection	116.647
J9262	Inj, omacetaxine mep, 0.01mg	3.962
J9263	Oxaliplatin	0.069
J9264	Paclitaxel protein bound	14.785
J9266	Pegaspargase injection	25781.458
J9267	Paclitaxel injection	0.118
J9268	Pentostatin injection	2336.979
J9269	Inj. tagraxofusp-erzs 10 mcg	324.482
J9271	Inj pembrolizumab	56.412
J9272	Inj, dostarlimab-gxly, 10 mg	230.819
J9273	Inj tisotu vedotin-tftv, 1mg	168.262
J9274	Inj, tebentafusp-tebn, 1 mcg	203.827
J9280	Mitomycin injection	95.610
J9281	Mitomycin instillation	294.366
J9293	Mitoxantrone hydrochl / 5 mg	41.393
J9294	Inj pemetrexed, hospira 10mg	4.978
J9295	Injection, necitumumab, 1 mg	5.737
J9297	Inj pemetrexed (sandoz) 10mg	2.285
J9298	Inj nivol relatlimab 3mg/1mg	183.617
J9299	Injection, nivolumab	30.426
J9301	Obinutuzumab inj	70.286
J9303	Panitumumab injection	149.717
J9304	Inj. pemetrexed, 10 mg	66.230
J9305	Inj. pemetrexed nos 10mg	3.223
J9306	Injection, pertuzumab, 1 mg	15.423
J9307	Pralatrexate injection	298.179
J9308	Injection, ramucirumab	69.003
J9309	Inj, polatuzumab vedotin 1mg	121.234
J9311	Inj rituximab, hyaluronidase	37.133
J9312	Inj., rituximab, 10 mg	80.192
J9313	Inj., lumoxiti, 0.01 mg	23.394
J9316	Pertuzu, trastuzu, 10 mg	67.906
J9317	Sacituzumab govitecan-hziy	33.260
J9319	Inj romidepsin lyophil 0.1mg	30.659
J9325	Inj talimogene laherparepvec	66.295
J9328	Temozolomide injection	10.400
J9330	Temsirolimus injection	29.679
J9331	Inj sirolimus prot part 1 mg	107.658
J9332	Inj efgartigimod 2mg	32.108
J9340	Thiotepa injection	260.251
J9347	Inj, tremelimumab-actl, 1 mg	136.306
J9348	Inj. naxitamab-gqgk, 1 mg	579.537
J9349	Inj., tafasitamab-cxix	13.288
J9350	Inj mosunetuzumab-axgb, 1 mg	629.703
J9351	Topotecan injection	1.085
J9352	Injection trabectedin 0.1mg	338.410
J9353	Inj. margetuximab-cmkb, 5 mg	45.930
J9354	Inj, ado-trastuzumab emt 1mg	38.339
J9355	Inj trastuzumab excl biosimi	80.785
J9356	Inj. herceptin hylecta, 10mg	66.000
J9357	Valrubicin injection	1426.652
J9358	Inj fam-trastu deru-nxki 1mg	26.384
J9359	Inj lon tesirin-lpyl 0.075mg	195.936
J9360	Vinblastine sulfate inj	4.071
J9370	Vincristine sulfate 1 mg inj	7.939
J9380	Inj teclistamab cqyv 0.5 mg	30.899
J9381	Inj teplizumab mzwv 5 mcg	36.230
J9390	Vinorelbine tartrate inj	8.106
J9394	Inj, fulvestrant (fresenius)	53.000
J9395	Injection, fulvestrant	8.357
J9400	Inj, ziv-aflibercept, 1mg	7.806
P9041	Albumin (human),5%, 50ml	10.615
P9045	Albumin (human), 5%, 250 ml	53.077
P9046	Albumin (human), 25%, 20 ml	21.231
P9047	Albumin (human), 25%, 50ml	53.077
Q0138	Ferumoxytol, non-esrd	0.503
Q0139	Ferumoxytol, esrd use	0.503
Q0162	Ondansetron oral	0.016
Q0167	Dronabinol 2.5mg oral	0.624
Q2041	Axicabtagene ciloleucel car+	449341.851
Q2042	Tisagenlecleucel car-pos t	484623.489
Q2043	Sipuleucel-t auto cd54+	53472.873
Q2050	Doxorubicin inj 10mg	144.845
Q2053	Brexucabtagene car pos t	449440.000
Q2054	Lisocabtagene mara car pos t	473458.426
Q2055	Idecabtagene vicleucel car	483453.660
Q2056	Ciltacabtagene car-pos t	497024.646
Q3027	Inj beta interferon im 1 mcg	53.875
Q4074	Iloprost non-comp unit dose	146.709
Q4081	Epoetin alfa, 100 units esrd	0.709
Q4101	Apligraf	30.300
Q4102	Oasis wound matrix	12.500
Q4103	Oasis burn matrix	12.622
Q4104	Integra bmwd	49.347
Q4105	Integra drt or omnigraft	23.489
Q4106	Dermagraft	27.816
Q4108	Integra matrix	44.627
Q4110	Primatrix	41.359
Q4111	Gammagraft	7.332
Q4114	Integra flowable wound matri	1537.550
Q4115	Alloskin	12.824
Q4117	Hyalomatrix	20.454
Q4118	Matristem micromatrix	2.515
Q4121	Theraskin	45.596
Q4123	Alloskin	32.993
Q4124	Oasis tri-layer wound matrix	8.902
Q4126	Memoderm/derma/tranz/integup	92.456
Q4127	Talymed	66.707
Q4128	Flexhd/allopatchhd/sq cm	30.699
Q4132	Grafix core, grafixpl core	207.724
Q4133	Grafix stravix prime pl sqcm	147.660
Q4137	Amnioexcel biodexcel 1sq cm	102.900
Q4141	Alloskin ac, 1 cm	74.214
Q4143	Repriza, 1cm	29.680
Q4150	Allowrap ds or dry 1 sq cm	79.908
Q4151	Amnioband, guardian 1 sq cm	135.290
Q4152	Dermapure 1 square cm	52.118
Q4153	Dermavest, plurivest sq cm	169.060
Q4154	Biovance 1 square cm	133.594
Q4159	Affinity1 square cm	367.052
Q4160	Nushield 1 square cm	96.261
Q4161	Bio-connekt per square cm	134.816
Q4163	Woundex, bioskin, per sq cm	178.825
Q4164	Helicoll, per square cm	1337.847
Q4166	Cytal, per square centimeter	19.269
Q4168	Amnioband, 1 mg	17.256
Q4169	Artacent wound, per sq cm	193.841
Q4170	Cygnus, per sq cm	56.900
Q4171	Interfyl, 1 mg	14.264
Q4173	Palingen or palingen xplus	12.609
Q4175	Miroderm	64.613
Q4178	Floweramniopatch, per sq cm	77.976
Q4180	Revita, per sq cm	650.161
Q4186	Epifix 1 sq cm	149.729
Q4187	Epicord 1 sq cm	244.080
Q4190	Artacent ac 1 sq cm	433.016
Q4196	Puraply am 1 sq cm	103.471
Q4197	Puraply xt 1 sq cm	148.072
Q4199	Cygnus matrix, per sq cm	352.248
Q4201	Matrion 1 sq cm	121.388
Q4203	Derma-gide, 1 sq cm	289.409
Q4205	Membrane graft or wrap sq cm	1484.000
Q4210	Axolotl graf dualgraf sq cm	848.000
Q4217	Woundfix biowound plus xplus	784.230
Q4222	Progenamatrix, per sq cm	102.034
Q4226	Myown harv prep proc sq cm	246.969
Q4227	Amniocore per sq cm	147.210
Q4229	Cogenex amnio memb per sq cm	162.008
Q4232	Corplex, per sq cm	148.990
Q4234	Xcellerate, per sq cm	513.177
Q4235	Amniorepair or altiply sq cm	148.456
Q4236	Carepatch per sq cm	1111.365
Q4246	Coretext or protext, per cc	2968.000
Q4247	Amniotext patch, per sq cm	530.000
Q4248	Dermacyte amn mem allo sq cm	1049.398
Q4252	Vendaje, per square centimet	121.707
Q4253	Zenith amniotic membrane psc	424.000
Q4258	Enverse, per sq cm	69.617
Q4259	Celera per sq cm	997.699
Q5101	Injection, zarxio	0.170
Q5103	Injection, inflectra	13.931
Q5104	Injection, renflexis	32.562
Q5105	Inj retacrit esrd on dialysi	0.725
Q5106	Inj retacrit non-esrd use	7.252
Q5107	Inj mvasi 10 mg	27.853
Q5108	Injection, fulphila	96.464
Q5110	Nivestym	0.297
Q5111	Injection, udenyca 0.5 mg	150.780
Q5112	Inj ontruzant 10 mg	41.651
Q5113	Inj herzuma 10 mg	20.183
Q5114	Inj ogivri 10 mg	40.040
Q5115	Inj truxima 10 mg	37.626
Q5116	Inj., trazimera, 10 mg	19.622
Q5117	Inj., kanjinti, 10 mg	24.341
Q5118	Inj., zirabev, 10 mg	23.737
Q5119	Inj ruxience, 10 mg	22.304
Q5121	Inj. avsola, 10 mg	26.468
Q5122	Inj, nyvepria	88.980
Q5123	Inj. riabni, 10 mg	43.475
Q5124	Inj. byooviz, 0.1 mg	199.552
Q5125	Inj, releuko 1 mcg	0.525
Q5126	Inj alymsys 10 mg	63.916
Q5127	Inj, stimufend, 0.5 mg	349.140
Q5128	Inj, cimerli, 0.1 mg	273.264
Q5129	Inj, vegzelma, 10 mg	69.772
Q5130	Inj, fylnetra, 0.5 mg	208.796
Q9950	Inj sulf hexa lipid microsph	18.778
Q9956	Inj octafluoropropane mic,ml	42.666
Q9957	Inj perflutren lip micros,ml	42.666
Q9958	Hocm <=149 mg/ml iodine, 1ml	0.077
Q9961	Hocm 250-299mg/ml iodine,1ml	0.277
Q9963	Hocm 350-399mg/ml iodine,1ml	0.215
Q9965	Locm 100-199mg/ml iodine,1ml	1.074
Q9966	Locm 200-299mg/ml iodine,1ml	0.407
Q9967	Locm 300-399mg/ml iodine,1ml	0.131
Q9991	Buprenorph xr 100 mg or less	1886.977
Q9992	Buprenorphine xr over 100 mg	1886.977

BuyandBill Pricing

HCPCS-Level Pricing Data

PriceDoctoRx

Self-Administered Pricing Data

NDCWatch

Product Monitoring

BuyandBill Reports

Quarterly Disease-Based Price Reporting