|
Description |
J - Code |
1st qrt 2009 |
CMS 4th Qtr |
Change |
|
5% dextrose/normal saline |
J7042 |
$0.309
|
$0.31
|
($0.00) |
|
Abraxane 1mg |
J9264 |
$9.072 |
$8.79
|
$0.28 |
|
Adriamycin 10mg |
J9000 |
$3.792 |
$4.66
|
($0.86) |
|
Alemtuzmab Inj 10mg (Campath) |
J9010 |
$553.909 |
$551.24
|
$2.67 |
|
Alimta 10mg |
J9305 |
$48.223 |
$47.29
|
$0.93 |
|
Aloxi .25 mcg |
J2469 |
$16.635 |
$16.45
|
$0.19 |
|
Amifostine (Ethyol) per 500mg |
J0207 |
$386.293 |
$424.03
|
($37.74) |
|
Amphotericin b lipid complex |
J0287 |
$10.581 |
$10.24
|
$0.34 |
|
Anzemet 10mg |
J1260 |
$4.634 |
$4.61
|
$0.03 |
|
Aranesp 1 mcg |
J0881 |
$3.060 |
$2.96
|
$0.10 |
|
Aredia 30 mg (pamidronate) |
J2430 |
$30.832 |
$29.24
|
$1.59 |
|
Arsenic trioxide |
J9017 |
$34.611 |
$34.54
|
$0.07 |
|
Asparaginase injection |
J9020 |
$58.067 |
$58.07
|
$0.00 |
|
Atropine sulfate injection |
J0460 |
$0.247 |
$0.21
|
$0.03 |
|
Avastin 10 mg |
J9035 |
$57.378 |
$57.37
|
$0.01 |
|
Bcg live intravesical vac |
J9031 |
$125.354 |
$114.49
|
$10.87 |
|
Bleomycin Sulfate Inj 15 u |
J9040 |
$31.828 |
$34.83
|
($3.01) |
|
Calcium gluconate injection 10ml |
J0610 |
$0.292 |
$0.32
|
($0.03) |
|
Carboplatin 50mg |
J9045 |
$5.751 |
$9.61
|
($3.86) |
|
Cathflo Activase, 1 mg |
J2997 |
$34.100 |
$32.88
|
$1.22 |
|
Ceftriaxone sodium injection |
J0696 |
$1.201 |
$1.42
|
($0.22) |
|
Cetuximab |
J9050 |
$168.233 |
$164.42
|
$3.82 |
|
Cisplatin 10mg |
J9060 |
$2.229 |
$2.30
|
($0.07) |
|
Cladribine 1mg |
J9065 |
$29.249 |
$29.35
|
($0.10) |
|
Cytoxan 100 mg |
J9070 |
$2.900 |
$2.16
|
$0.74 |
|
Cytoxan 500mg |
J9090 |
$14.500 |
$10.80
|
$3.70 |
|
D5W infusion |
J7070 |
$2.181 |
$2.31
|
($0.13) |
|
Dacarbazine 100 (DTIC) |
J9130 |
$4.393 |
$4.46
|
($0.06) |
|
Dacarbazine 200 MG inj |
J9140 |
$8.546 |
$8.77
|
($0.23) |
|
Dexamethasone sodium phos 1mg |
J1100 |
$0.092 |
$0.08
|
$0.01 |
|
Dexrazoxane HCl injection 250mg |
J1190 |
$452.563 |
$268.85
|
$183.71 |
|
Diphenhydramine hcl injectio |
J1200 |
$0.726 |
$0.69
|
$0.03 |
|
Doxil, 10mg |
J9001 |
$441.251 |
$429.51
|
$11.74 |
|
Eligard 7.5 (Lupron) |
J9217 |
$210.071 |
$172.94
|
$37.13 |
|
Emend (Fosoprepitant) 1mg |
J1453 |
1.57 |
|
|
|
Epirubicin (Ellence) 2mg |
J9178 |
$3.516 |
$5.45
|
($1.93) |
|
Epo 1,000 |
J0885 |
$9.201 |
$9.10
|
$0.10 |
|
Erbitux 10mg |
J9055 |
$49.742 |
$49.76
|
($0.02) |
|
Etoposide 10 MG inj |
J9181 |
$0.479 |
$0.479
|
|
|
Etoposide 100mg DELETED CODE |
J9182 |
|
|
|
|
Faslodex 25 mg |
J9395 |
$81.379 |
$81.24
|
$0.14 |
|
Fludarabine 50mg |
J9185 |
$198.532 |
$221.20
|
($22.67) |
|
Fluorouracil 500mg |
J9190 |
$1.551 |
$1.68
|
($0.13) |
|
Furosemide injection 20mg |
J1940 |
$0.209 |
$0.21
|
$0.00 |
|
Gemzar 200mg |
J9201 |
$138.188 |
$135.08
|
$3.11 |
|
Heparin 10 u |
J1642 |
$0.085 |
$0.11
|
($0.03) |
|
Heparin 1000 u |
J1644 |
$0.199 |
$0.12
|
$0.08 |
|
Herceptin 10mg |
J9355 |
$61.641 |
$61.49
|
$0.15 |
|
Ibandronate sodium, inj |
J1740 |
$138.959 |
$138.90
|
$0.06 |
|
Ifosfamide (Ifex) 1g |
J9208 |
$33.504 |
$33.80
|
($0.30) |
|
Immune Globulin 500mg Powder |
J1566 |
$29.429 |
$29.24
|
$0.19 |
|
Inj ceftazidime per 500 mg |
J0713 |
$3.255 |
$3.65
|
($0.39) |
|
Inj enoxaparin sodium 10mg |
J1650 |
$6.205 |
$6.31
|
($0.11) |
|
Insulin injection 5 units |
J1815 |
$0.308 |
$0.30
|
$0.01 |
|
Interferon 1 mil alfa-2b inj |
J9214 |
$14.748 |
$14.73
|
$0.02 |
|
Interferon 3 mil DELETED CODE |
J9213 |
|
|
|
|
Interferon 3 mil gama 1-b inj |
J9216 |
$309.582 |
|
|
|
Irinotecan (Camptosar) 20mg |
J9206 |
$21.715 |
$37.00
|
($15.28) |
|
Ixempra (Ixabepilone) 1mg |
J9207 |
63.74 |
|
|
|
Kytril 100mcg |
J1626 |
$4.053 |
$4.33
|
($0.28) |
|
Leucovorin 50mg |
J0640 |
$0.894 |
$0.84
|
$0.06 |
|
Leukine/Sargramostim 50 mcg |
J2820 |
$24.069 |
$26.25
|
($2.18) |
|
Leuprolide acetate /3.75 MG |
J1950 |
$467.344 |
$444.10
|
$23.24 |
|
Lorazepam injection |
J2060 |
$0.752 |
$0.70
|
$0.05 |
|
Magenesium sulfate |
J3475 |
$0.051 |
$0.05
|
$0.01 |
|
Mannitol injection |
J2150 |
$0.910 |
$0.86
|
$0.05 |
|
Mesna 200 mg |
J9209 |
$5.830 |
$6.97
|
($1.14) |
|
Methotrexate 50mg |
J9260 |
$2.303 |
$2.36
|
($0.05) |
|
Methylprednisolone injection |
J2920 |
$2.245 |
$2.05
|
$0.20 |
|
Mitomycin 5 MG inj |
J9280 |
$15.296 |
$15.86
|
($0.57) |
|
Mitoxantrone 5mg |
J9293 |
$84.793 |
$87.19
|
($2.40) |
|
Navelbine 10mg |
J9390 |
$15.697 |
$16.57
|
($0.88) |
|
Neulasta 6mg |
J2505 |
$2,176.15 |
$2,196.55
|
($20.40) |
|
Neupogen 300mcg |
J1440 |
$202.106 |
$200.32
|
$1.78 |
|
Neupogen 480mcg |
J1441 |
$310.129 |
$307.23
|
$2.90 |
|
Normal saline solution infus |
J7030 |
$1.084 |
$1.12
|
($0.03) |
|
Normal saline solution infus |
J7040 |
$0.542 |
$0.56
|
($0.02) |
|
Normal saline solution infus |
J7050 |
$0.271 |
$0.28
|
($0.01) |
|
Octreotide inj, non-depot |
J2354 |
$1.949 |
$1.89
|
$0.06 |
|
Oprelvekin injection |
J2355 |
$246.785 |
$246.66
|
$0.13 |
|
Oral aprepitant |
J8501 |
$5.360 |
$5.34
|
$0.02 |
|
Oxaliplatin 0.5 mg (eloxatin) |
J9263 |
$9.567 |
$9.56
|
$0.01 |
|
Pentostatin, 10mg (nipent) |
J9268 |
$1,601.26 |
$1,622.65
|
($21.40) |
|
Potassium Chloride |
J3480 |
$0.015 |
$0.01
|
$0.00 |
|
Prochlorperazine injection |
J0780 |
$2.035 |
$2.05
|
($0.01) |
|
Proleukin one vial |
J9015 |
$812.564 |
$808.02
|
$4.55 |
|
Reclast 1 mg |
J3488 |
$218.511 |
$218.60
|
($0.09) |
|
Remicade 10mg |
J1745 |
$56.929 |
$57.08
|
($0.15) |
|
Rho(D) immune globulin h, sd 100 IU |
J2792 |
$16.389 |
$16.81
|
($0.42) |
|
Rituxan 100mg |
J9310 |
$535.315 |
$534.66
|
$0.65 |
|
Sandostatin 1mg (octreotide) |
J2353 |
$105.828 |
$103.85
|
$1.98 |
|
solu-medrol > 125 mg |
J2930 |
$3.160 |
$3.10
|
$0.06 |
|
Taxol 30mg |
J9265 |
$7.560 |
$11.04
|
($3.48) |
|
Taxotere 20mg |
J9170 |
$336.944 |
$334.64
|
$2.31 |
|
Thiotepa injection 15mg |
J9340 |
$94.107 |
$94.54
|
($0.43) |
|
Topotecan 4 mg |
J9350 |
$939.342 |
$930.67
|
$8.67 |
|
Torisel (Temsirolimus) 1mg |
J9330 |
47.91 |
|
|
|
Vancomycin hcl injection 500mg |
J3370 |
$3.080 |
$3.07
|
$0.01 |
|
Velcade .1mg |
J9041 |
$36.271 |
$35.34
|
$0.93 |
|
Vinblastine (Velban) 1mg |
J9360 |
$0.794 |
$1.01
|
($0.22) |
|
Vincristine 1mg |
J9370 |
$6.415 |
$6.80
|
($0.38) |
|
Vincristine sulfate 2 MG inj |
J9375 |
$12.830 |
$13.60
|
($0.77) |
|
Vitamin b12 injection |
J3420 |
$0.255 |
$0.23
|
$0.03 |
|
Vitamin k phytonadione inj |
J3430 |
$4.240 |
$4.24
|
$0.00 |
|
Zanosar (Streptozocin) 1gm |
J9320 |
$276.363 |
$196.72
|
$79.65 |
|
Zinecard 250mg |
J1190 |
$452.563 |
$268.85
|
$183.71 |
|
Zofran 1 mg |
J2405 |
$0.205 |
$0.19
|
$0.02 |
|
Zoladex 3.6mg |
J9202 |
$182.992 |
$189.45
|
($6.46) |
|
Zometa 1mg |
J3487 |
$215.212 |
$214.06
|
$1.15 |
