Medication HCPCS Code Price
ADO-TRASTUZumab 100 Mg Vial J9354 $9,367.25
Albumin 25% 100 ML P9047 $926.95
Albumin 25% 50 ML P9047 $466.55
Albumin 5% 250 ML P9045 $734.00
Albumin 5% 500 ML P9045 $542.15
Albuterol *Ventolin* Oral Inhaler $106.20
Albuterol Inh Soln 2.5 Mg/3 ML $9.55
Albuterol Inh Soln Conc 2.5 Mg/0.5 ML UD $10.00
Albuterol-Ipratropium (DuoNeb) Inh Soln 3 ML UD $15.50
Alendronate 10 Mg Tab $18.65