| |
|
2009 |
2009 |
|
| J-Code |
Description |
3rd
qtr |
2nd
qrt |
Change |
| J0207 |
Amifostine
(Ethyol) per 500mg |
367.76 |
373.298 |
5.54 |
| J0287 |
Amphotericin
b lipid complex |
9.90 |
9.892 |
0.01 |
| J0460 |
Atropine
sulfate injection |
0.45 |
0.377 |
0.07 |
| J0610 |
Calcium
gluconate injection 10ml |
0.30 |
0.312 |
0.01 |
| J0640 |
Leucovorin
50mg |
0.87 |
0.866 |
0.00 |
| J0641 |
Levoleucovorin
.5 |
|
$1.280 |
1.28 |
| J0713 |
Inj
ceftazidime per 500 mg |
2.86 |
3.128 |
0.27 |
| J0780 |
Prochlorperazine
injection |
2.05 |
2.037 |
0.01 |
| J0881 |
Aranesp
1 mcg |
2.98 |
2.978 |
0.00 |
| J0885 |
Epo
1,000 |
9.46 |
9.369 |
0.09 |
| J0894 |
Decitabine
(Dacogen 1mg) |
28.43 |
28.03 |
0.40 |
| J1100 |
Dexamethasone
sodium phos 1mg |
0.09 |
0.091 |
0.00 |
| J1190 |
Dexrazoxane
HCl injection 250mg |
272.91 |
380.846 |
107.94 |
| J1190 |
Zinecard
250mg |
272.91 |
380.846 |
107.94 |
| J1200 |
Diphenhydramine
hcl injectio |
0.78 |
0.777 |
0.00 |
| J1260 |
Anzemet
10mg |
4.84 |
4.992 |
0.15 |
| J1440 |
Neupogen
300mcg |
208.59 |
202.78 |
5.81 |
| J1441 |
Neupogen
480mcg |
322.76 |
312.224 |
10.54 |
| J1566 |
Immune
Globulin 500mg Powder |
30.89 |
31.018 |
0.13 |
| J1626 |
Kytril
100mcg |
2.34 |
3.292 |
0.95 |
| J1642 |
Heparin
10 u |
0.12 |
0.116 |
0.00 |
| J1644 |
Heparin
1000 u |
0.27 |
0.29 |
0.02 |
| J1650 |
Inj
enoxaparin sodium 10mg |
6.36 |
6.152 |
0.21 |
| J1720 |
Hydrocortisone
sodium succ i |
2.97 |
2.819 |
0.15 |
| J1740 |
Ibandronate
sodium, inj |
141.40 |
139.199 |
2.20 |
| J1745 |
Remicade
10mg |
56.63 |
56.748 |
0.12 |
| J1750 |
Iron
dextran inj (infed) 50mg |
|
11.84 |
11.84 |
| J1756 |
Iron
Sucrose 1mg (venofer) |
|
0.41 |
0.41 |
| J1815 |
Insulin
injection 5 units |
0.43 |
0.318 |
0.11 |
| J1950 |
Leuprolide
acetate /3.75 MG |
480.49 |
465.221 |
15.27 |
| J2060 |
Lorazepam
injection |
0.80 |
0.789 |
0.01 |
| J2150 |
Mannitol
injection |
0.92 |
0.909 |
0.01 |
| J2353 |
Sandostatin
1mg (octreotide) |
107.26 |
106.218 |
1.04 |
| J2354 |
Octreotide
inj, non-depot |
1.52 |
1.57 |
0.05 |
| J2355 |
Oprelvekin
injection |
247.30 |
248.209 |
0.91 |
| J2405 |
Zofran
1 mg |
0.19 |
0.213 |
0.02 |
| J2430 |
Aredia
30 mg (pamidronate) |
20.53 |
29.571 |
9.04 |
| J2469 |
Aloxi
.25 mcg |
17.63 |
17.27 |
0.36 |
| J2505 |
Neulasta
6mg |
2243.64 |
2158.16 |
85.48 |
| J2792 |
Rho(D)
immune globulin h, sd 100 IU |
17.22 |
16.833 |
0.39 |
| J2820 |
Leukine/Sargramostim
50 mcg |
24.11 |
25.013 |
0.90 |
| J2920 |
Methylprednisolone
injection |
2.73 |
2.615 |
0.12 |
| J2930 |
solu-medrol
> 125 mg |
3.71 |
3.481 |
0.23 |
| J2997 |
Cathflo
Activase, 1 mg |
35.48 |
33.839 |
1.64 |
| J3370 |
Vancomycin
hcl injection 500mg |
3.05 |
3.017 |
0.03 |
| J3420 |
Vitamin
b12 injection |
0.27 |
0.242 |
0.03 |
| J3430 |
Vitamin
k phytonadione inj |
4.24 |
4.24 |
0.00 |
| J3475 |
Magenesium
sulfate |
0.05 |
0.046 |
0.00 |
| J3480 |
Potassium
Chloride |
0.01 |
0.015 |
0.01 |
| J3487 |
Zometa
1mg |
217.37 |
216.749 |
0.62 |
| J3488 |
Reclast
1 mg |
220.54 |
220.639 |
0.10 |
| J7030 |
Normal
saline solution infus |
0.45 |
1.084 |
0.63 |
| J7040 |
Normal
saline solution infus |
0.54 |
0.542 |
0.00 |
| J7050 |
Normal
saline solution infus |
0.27 |
0.271 |
0.00 |
| J7070 |
D5W
infusion |
2.20 |
2.168 |
0.03 |
| J8501 |
Oral
aprepitant |
5.49 |
5.416 |
0.07 |
| J9000 |
Adriamycin
10mg |
3.58 |
3.945 |
0.37 |
| J9001 |
Doxil,
10mg |
456.99 |
441.251 |
15.74 |
| J9010 |
Alemtuzmab
Inj 10mg (Campath) |
569.84 |
570.737 |
0.90 |
| J9015 |
Proleukin
one vial |
844.07 |
811.727 |
32.34 |
| J9017 |
Arsenic
trioxide |
37.55 |
36.513 |
1.04 |
| J9020 |
Asparaginase
injection |
58.02 |
58.024 |
0.00 |
| J9031 |
Bcg
live intravesical vac |
117.81 |
118.415 |
0.61 |
| J9035 |
Avastin
10 mg |
57.42 |
57.404 |
0.02 |
| J9040 |
Bleomycin
Sulfate Inj 15 u |
30.89 |
26.822 |
4.07 |
| J9041 |
Velcade
.1mg |
37.24 |
36.271 |
0.97 |
| J9045 |
Carboplatin
50mg |
5.22 |
5.167 |
0.05 |
| J9055 |
Erbitux
10mg |
49.73 |
49.73 |
0.00 |
| J9060 |
Cisplatin
10mg |
2.32 |
2.444 |
0.12 |
| J9070 |
Cytoxan
100 mg |
4.02 |
3.725 |
0.29 |
| J9090 |
Cytoxan
500mg |
20.09 |
18.625 |
1.47 |
| J9130 |
Dacarbazine
100 (DTIC) |
4.00 |
4.109 |
0.11 |
| J9140 |
Dacarbazine
200 MG inj |
7.89 |
8.107 |
0.22 |
| J9170 |
Taxotere
20mg |
344.65 |
340.973 |
3.68 |
| J9181 |
Etoposide 10 mg |
0.45 |
0.46 |
0.01 |
| J9185 |
Fludarabine
50mg |
163.26 |
147.334 |
15.93 |
| J9190 |
Fluorouracil
500mg |
1.45 |
1.551 |
0.10 |
| J9201 |
Gemzar
200mg |
141.29 |
137.99 |
3.30 |
| J9202 |
Zoladex
3.6mg |
196.05 |
188.692 |
7.36 |
| J9206 |
Irinotecan
(Camptosar) 20mg |
14.95 |
18.296 |
3.35 |
| J9207 |
Ixempra
(Ixabepilone) 1mg |
|
63.74 |
63.74 |
| J9208 |
Ifosfamide
(Ifex) 1g |
30.03 |
32.237 |
2.21 |
| J9209 |
Mesna
200 mg |
4.17 |
6.236 |
2.07 |
| J9214 |
Interferon
1 mil |
15.41 |
14.933 |
0.48 |
| J9216 |
Interferon
3 mil gama 1-b inj |
|
|
0.00 |
| J9217 |
Lupron
7.5 |
|
167.74 |
167.74 |
| J9260 |
Methotrexate
50mg |
2.06 |
2.201 |
0.14 |
| J9263 |
Oxaliplatin 0.5 mg (eloxatin) |
9.61 |
9.537 |
0.07 |
| J9264 |
Abraxane
1mg |
9.22 |
9.107 |
0.11 |
| J9265 |
Taxol
30mg |
7.72 |
8.718 |
1.00 |
| J9268 |
Pentostatin,
10mg (nipent) |
1388.20 |
1447.688 |
59.49 |
| J9280 |
Mitomycin
5 MG inj |
14.27 |
15.687 |
1.42 |
| J9293 |
Mitoxantrone
5mg |
68.36 |
81.178 |
12.82 |
| J9305 |
Alimta
10mg |
49.46 |
48.161 |
1.30 |
| J9310 |
Rituxan
100mg |
550.00 |
549.102 |
0.90 |
| J9320 |
Zanosar
(Streptozocin) 1gm |
282.38 |
282.999 |
0.62 |
| J9330 |
Torisel,
1mg |
48.79 |
47.9 |
0.89 |
| J9340 |
Thiotepa
injection 15mg |
97.35 |
92.082 |
5.27 |
| J9350 |
Topotecan
4 mg |
981.07 |
957.038 |
24.03 |
| J9355 |
Herceptin
10mg |
63.17 |
63.074 |
0.10 |
| J9360 |
Vinblastine
(Velban) 1mg |
1.00 |
0.924 |
0.08 |
| J9370 |
Vincristine
1mg |
5.70 |
5.868 |
0.17 |
| J9375 |
Vincristine
sulfate 2 MG inj |
11.40 |
11.735 |
0.33 |
| J9390 |
Navelbine
10mg |
13.14 |
13.143 |
0.00 |
| J9395 |
Faslodex
25 mg |
82.13 |
81.347 |
0.78 |
|
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