|
J Code |
Description |
2nd Qrt 2009 |
1st Qrt
2009 |
Change |
|
J7042 |
5% dextrose/normal saline |
0.305 |
$0.309 |
($0.00) |
|
J9264 |
Abraxane 1mg |
9.107 |
$9.072 |
$0.04 |
|
J9000 |
Adriamycin 10mg |
3.945 |
$3.792 |
$0.15 |
|
J9010 |
Alemtuzmab Inj 10mg (Campath) |
570.737 |
$553.909 |
$16.83 |
|
J9305 |
Alimta 10mg |
48.161 |
$48.223 |
($0.06) |
|
J2469 |
Aloxi .25 mcg |
17.27 |
$16.635 |
$0.63 |
|
J0207 |
Amifostine (Ethyol) per 500mg |
373.298 |
$386.293 |
($13.00) |
|
J0287 |
Amphotericin b lipid complex |
9.892 |
$10.581 |
($0.69) |
|
J1260 |
Anzemet 10mg |
4.992 |
$4.634 |
$0.36 |
|
J0881 |
Aranesp 1 mcg |
2.978 |
$3.060 |
($0.08) |
|
J2430 |
Aredia 30 mg (pamidronate) |
29.571 |
$30.832 |
($1.26) |
|
J9017 |
Arsenic trioxide |
36.513 |
$34.611 |
$1.90 |
|
J9020 |
Asparaginase injection |
58.024 |
$58.067 |
($0.04) |
|
J0460 |
Atropine sulfate injection |
0.377 |
$0.247 |
$0.13 |
|
J9035 |
Avastin 10 mg |
57.404 |
$57.378 |
$0.03 |
|
J9031 |
Bcg live intravesical vac |
118.415 |
$125.354 |
($6.94) |
|
J9040 |
Bleomycin Sulfate Inj 15 u |
26.822 |
$31.828 |
($5.01) |
|
J0610 |
Calcium gluconate injection 10ml |
0.312 |
$0.292 |
$0.02 |
|
J9045 |
Carboplatin 50mg |
5.167 |
$5.751 |
($0.58) |
|
J2997 |
Cathflo Activase, 1 mg |
33.839 |
$34.100 |
($0.26) |
|
J0696 |
Ceftriaxone sodium injection |
1.043 |
$1.201 |
($0.16) |
|
J9050 |
Cetuximab |
176.352 |
$168.233 |
$8.12 |
|
J9060 |
Cisplatin 10mg |
2.444 |
$2.229 |
$0.22 |
|
J9065 |
Cladribine 1mg |
30.131 |
$29.249 |
$0.88 |
|
J9070 |
Cytoxan 100 mg |
3.725 |
$2.900 |
$0.83 |
|
J9090 |
Cytoxan 500mg* |
18.625 |
$14.500 |
$4.13 |
|
J7070 |
D5W infusion |
2.168 |
$2.181 |
($0.01) |
|
J9130 |
Dacarbazine 100 (DTIC) |
4.109 |
$4.393 |
($0.28) |
|
J9140 |
Dacarbazine 200 MG inj |
8.107 |
$8.546 |
($0.44) |
|
J0894 |
Decitabine (Dacogen 1mg) |
28.03 |
|
|
|
J1100 |
Dexamethasone sodium phos 1mg |
0.091 |
$0.092 |
($0.00) |
|
J1190 |
Dexrazoxane HCl injection 250mg |
380.846 |
$452.563 |
($71.72) |
|
J1200 |
Diphenhydramine hcl injectio |
0.777 |
$0.726 |
$0.05 |
|
J9001 |
Doxil, 10mg |
441.251 |
$441.251 |
$0.00 |
|
J9217 |
Eligard 7.5 (Lupron) |
203.424 |
$210.071 |
($6.65) |
|
J9178 |
Epirubicin (Ellence) 2mg |
3.516 |
$3.516 |
$0.00 |
|
J0885 |
Epo 1,000 |
9.369 |
$9.201 |
$0.17 |
|
J9055 |
Erbitux 10mg |
49.73 |
$49.742 |
($0.01) |
|
J9181 |
Etoposide |
.46 |
|
|
|
J9395 |
Faslodex 25 mg |
81.347 |
$81.379 |
($0.03) |
|
J9185 |
Fludarabine 50mg |
147.334 |
$198.532 |
($51.20) |
|
J9190 |
Fluorouracil 500mg |
1.551 |
$1.551 |
$0.00 |
|
J1940 |
Furosemide injection 20mg |
0.213 |
$0.209 |
$0.00 |
|
J9201 |
Gemzar 200mg |
137.99 |
$138.188 |
($0.20) |
|
J1642 |
Heparin 10 u |
0.116 |
$0.085 |
$0.03 |
|
J1644 |
Heparin 1000 u |
0.29 |
$0.199 |
$0.09 |
|
J9355 |
Herceptin 10mg |
63.074 |
$61.641 |
$1.43 |
|
J1720 |
Hydrocortisone sodium succ i |
2.819 |
$2.466 |
$0.35 |
|
J1740 |
Ibandronate sodium, inj |
139.199 |
$138.959 |
$0.24 |
|
J9208 |
Ifosfamide (Ifex) 1g |
32.237 |
$33.504 |
($1.27) |
|
J1566 |
Immune Globulin 500mg Powder |
31.018 |
$29.429 |
$1.59 |
|
J0713 |
Inj ceftazidime per 500 mg |
3.128 |
$3.255 |
($0.13) |
|
J1650 |
Inj enoxaparin sodium 10mg |
6.152 |
$6.205 |
($0.05) |
|
J1815 |
Insulin injection 5 units |
0.318 |
$0.308 |
$0.01 |
|
J9214 |
Interferon 1 mil |
14.933 |
$14.748 |
$0.19 |
|
J9206 |
Irinotecan (Camptosar) 20mg |
18.296 |
$21.715 |
($3.42) |
|
J1756 |
Iron Sucrose 1mg (venofer) |
.41 |
|
|
|
J9207 |
Ixempra (Ixabepilone) 1mg |
63.74 |
|
|
|
J1626 |
Kytril 100mcg |
3.292 |
$4.053 |
($0.76) |
|
J0640 |
Leucovorin 50mg |
0.866 |
$0.894 |
($0.03) |
|
J2820 |
Leukine/Sargramostim 50 mcg |
25.013 |
$24.069 |
$0.94 |
|
J1950 |
Leuprolide acetate /3.75 MG |
465.221 |
$467.344 |
($2.12) |
|
J2060 |
Lorazepam injection |
0.789 |
$0.752 |
$0.04 |
|
J3475 |
Magenesium sulfate |
0.046 |
$0.051 |
($0.01) |
|
J2150 |
Mannitol injection 50ml |
0.909 |
$0.910 |
($0.00) |
|
J9209 |
Mesna 200 mg |
6.236 |
$5.830 |
$0.41 |
|
J9260 |
Methotrexate 50mg |
2.201 |
$2.303 |
($0.10) |
|
J2920 |
Methylprednisolone injection |
2.615 |
$2.245 |
$0.37 |
|
J9280 |
Mitomycin 5 MG inj |
15.687 |
$15.296 |
$0.39 |
|
J9293 |
Mitoxantrone 5mg |
81.178 |
$84.793 |
($3.62) |
|
J9390 |
Navelbine 10mg |
13.143 |
$15.697 |
($2.55) |
|
J2505 |
Neulasta 6mg |
2158.16 |
$2,176.15 |
($17.99) |
|
J1440 |
Neupogen 300mcg |
202.78 |
$202.106 |
$0.67 |
|
J1441 |
Neupogen 480mcg |
312.224 |
$310.129 |
$2.09 |
|
J7030 |
Normal saline solution infus 1000cc |
1.084 |
$1.084 |
$0.00 |
|
J7050 |
Normal saline solution infus 250cc |
0.271 |
$0.271 |
$0.00 |
|
J7040 |
Normal saline solution infus 500 ml |
0.542 |
$0.542 |
$0.00 |
|
J2354 |
Octreotide inj, non-depot |
1.57 |
$1.949 |
($0.38) |
|
J2355 |
Oprelvekin injection 5 mg |
248.209 |
$246.785 |
$1.42 |
|
J8501 |
Oral aprepitant 5 mg |
5.416 |
$5.360 |
$0.06 |
|
J9263 |
Oxaliplatin 0.5 mg (eloxatin) |
9.537 |
$9.567 |
($0.03) |
|
J9268 |
Pentostatin, 10mg (nipent) |
1447.688 |
$1,601.26 |
($153.57) |
|
J3480 |
Potassium Chloride |
0.015 |
$0.015 |
$0.00 |
|
J0780 |
Prochlorperazine injection |
2.037 |
$2.035 |
$0.00 |
|
J9015 |
Proleukin one vial |
811.727 |
$812.564 |
($0.84) |
|
J3488 |
Reclast 1 mg |
220.639 |
$218.511 |
$2.13 |
|
J1745 |
Remicade 10mg |
56.748 |
$56.929 |
($0.18) |
|
J2792 |
Rho(D) immune globulin h, sd 100 IU |
16.833 |
$16.389 |
$0.44 |
|
J9310 |
Rituxan 100mg |
549.102 |
$535.315 |
$13.79 |
|
J2353 |
Sandostatin 1mg (octreotide)* |
106.218 |
$105.828 |
$0.39 |
|
J2930 |
solu-medrol > 125 mg |
3.481 |
$3.160 |
$0.32 |
|
J9265 |
Taxol 30mg |
8.718 |
$7.560 |
$1.16 |
|
J9170 |
Taxotere 20mg |
340.973 |
$336.944 |
$4.03 |
|
J9340 |
Thiotepa injection 15mg |
92.082 |
$94.107 |
($2.03) |
|
J9350 |
Topotecan 4 mg |
957.038 |
$939.342 |
$17.70 |
|
J9330 |
Torisel, 1mg |
47.9 |
|
|
|
J3370 |
Vancomycin hcl injection 500mg |
3.017 |
$3.080 |
($0.06) |
|
J9041 |
Velcade .1mg |
36.271 |
$36.271 |
$0.00 |
|
J9360 |
Vinblastine (Velban) 1mg |
0.924 |
$0.794 |
$0.13 |
|
J9370 |
Vincristine 1mg |
5.868 |
$6.415 |
($0.55) |
|
J9375 |
Vincristine sulfate 2 MG inj |
11.735 |
$12.830 |
($1.10) |
|
J3420 |
Vitamin b12 injection |
0.242 |
$0.255 |
($0.01) |
|
J3430 |
Vitamin k phytonadione inj |
4.24 |
$4.240 |
$0.00 |
|
J9320 |
Zanosar (Streptozocin) 1gm |
282.999 |
$276.363 |
$6.64 |
|
J1190 |
Zinecard 250mg |
380.846 |
$452.563 |
($71.72) |
|
J2405 |
Zofran 1 mg |
0.213 |
$0.205 |
$0.01 |
|
J9202 |
Zoladex 3.6mg |
188.692 |
$182.992 |
$5.70 |
|
J3487 |
Zometa 1mg |
216.749 |
$215.212 |
$1.54 |
|
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