| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 1,380 | $40 | $53.8K |
| J0897 | Injection, denosumab, 1 mg | 2,040 | $20 | $34.7K |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 230 | $80 | $18K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 170 | $100 | $17.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 150 | $100 | $14.4K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 80 | $130 | $10.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 150 | $70 | $9.9K |
| P9040 | Red blood cells, leukocytes reduced, irradiated, each unit | 20 | $240 | $3.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 330 | $10 | $2.7K |
| 96367 | The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose… | 100 | $20 | $2.2K |