Medication HCPCS Code Price
Alprostadil 500 Mcg/1 ML Amp Inj $615.15
ALteplase (Cathflo) 2 Mg Vial J2997 $747.55
ALteplase 100 Mg Vial J2997 $45,204.80
ALteplase 5 Mg Prefilled Syringe J2997 $2,122.25
ALteplase 50 Mg Vial J2997 $21,167.35
Aluminum/Mag Hydrox-SIMETHICONE Susp $18.05
Amantadine 100 Mg Cap/Tab $21.05
Amikacin 500 Mg/2 ML Vial J0278 $63.90
Amino Acids 2.5% IV Soln $391.35
Amiodarone 150 Mg/100 ML Premix J0282 $184.30