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Drugs administered other than oral method, chemotherapy drugs (J codes)

787 ASP-priced codes with October 2026 Medicare payment limits, practitioner MUE values, NCCI column-2 exposure and the number of Medicare coverage articles that list each code. Open a code for its NDC billing-unit conversions, every MUE setting and the denial codes to expect.

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective

Codes in this range

787 of the 787 codes carry a published October 2026 payment limit; the remaining codes are priced by contractors or carry a limit of zero in the file.

ASP-priced codes in Drugs administered other than oral method, chemotherapy drugs (J codes)
CodeDescriptorUnitLimitMUECol-2 pairsArticles
J0014Cocaine hydrochloride nasal solution (goprelto), 1 mg1 MG$1.825———
J0121Injection, omadacycline, 1 mg1 MG$4.293200——
J0122Injection, eravacycline, 1 mg1 MG$1.333300——
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug10 MG$45.937100——
J0131Injection, acetaminophen, not otherwise specified,10 mg10 MG$0.044400——
J0132Injection, acetylcysteine, 100 mg100 MG$0.49912——
J0133Injection, acyclovir, 5 mg5 MG$0.0481200——
J0134Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to10 MG$0.051400——
J0136Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 1010 MG$0.046400——
J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg10 MG$0.048400——
J0138Injection, acetaminophen 10 mg and ibuprofen 3 mg10 MG/3MG$0.129400——
J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate1 MG$0.378180—yes
J0162Injection, epinephrine (fresenius), not therapeutically equivalent to j0165,0.1 MG$0.32120——
J0163Injection, epinephrine in sodium chloride (endo), 0.1 mg0.1 MG$0.71———
J0164Injection, epinephrine in sodium chloride (baxter), 0.1 mg0.1 MG$0.912———
J0165Injection, epinephrine, not otherwise specified, 0.1 mg0.1 MG$0.20620——
J0166Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg0.1 MG$0.8320——
J0167Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.10.1 MG$1.42220——
J0168Injection, epinephrine (international medication systems), not therapeutically0.1 MG$2.69720——
J0169Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165,0.1 MG$0.86920——
J0174Lecanemab-irmb, for intravenous injection, 1 mg1 MG$1.361———
J0175Injection, donanemab-azbt, 2 mg2 MG$4.185700——
J0177Injection, aflibercept hd, 1 mg1 MG$290.90216—yes
J0178Injection, aflibercept, 1 mg1 MG$722.2514—yes
J0179Injection, brolucizumab-dbll, 1 mg1 MG$360.43912—yes
J0180Injection, agalsidase beta, 1 mg1 MG$230.54140——
J0185Injection, aprepitant, 1 mg1 MG$1.624130——
J0202Injection, alemtuzumab, 1 mg1 MG$2,506.2012—yes
J0206Injection, allopurinol sodium, 1 mg1 MG$4.2921000——
J0217Injection, velmanase alfa-tycv, 1 mg1 MG$479.191150——
J0218Injection, olipudase alfa-rpcp, 1 mg1 MG$404.784460——
J0219Injection, avalglucosidase alfa-ngpt, 4 mg4 MG$83.816750——
J0221Injection, alglucosidase alfa, (lumizyme), 10 mg10 MG$211.056250——
J0222Injection, patisiran, 0.1 mg0.1 MG$101.181300——
J0223Injection, givosiran, 0.5 mg0.5 MG$120.744756——
J0224Injection, lumasiran, 0.5 mg0.5 MG$336.64945——
J0225Injection, vutrisiran, 1 mg1 MG$5,008.93925——
J0248Injection, remdesivir, 1 mg1 MG$7.511200——
J0256Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg10 MG$5.0771600——
J0257Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg10 MG$5.641400——
J0278Injection, amikacin sulfate, 100 mg100 MG$0.61215——
J0280Injection, aminophyllin, up to 250 mg250 MG$10.7577—yes
J0281Injection, aminocaproic acid, 1 gram1 GM$1.73830——
J0282Injection, amiodarone hydrochloride, 30 mg30 MG$0.38435——
J0283Injection, amiodarone hydrochloride (nexterone), 30 mg30 MG$2.76335——
J0285Injection, amphotericin b, 50 mg50 MG$42.4745——
J0289Injection, amphotericin b liposome, 10 mg10 MG$17.85150——
J0290Injection, ampicillin sodium, 500 mg500 MG$0.61924——
J0291Injection, plazomicin, 5 mg5 MG$3.519500——
J0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm1.5 GM$1.45712——
J0348Injection, anidulafungin, 1 mg1 MG$0.452200——
J0349Injection, rezafungin, 1 mg1 MG$11.182400——
J0360Injection, hydralazine hcl, up to 20 mg20 MG$3.3442——
J0401Injection, aripiprazole (abilify maintena), 1 mg1 MG$7.456400——
J0402Injection, aripiprazole (abilify asimtufii), 1 mg1 MG$6.185960——
J0456Injection, azithromycin, 500 mg500 MG$2.5714——
J0457Injection, aztreonam, 100 mg100 MG$2.29980——
J0458Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)10 MG$1.756———
J0461Injection, atropine sulfate, 0.01 mg0.01 MG$0.104200—yes
J0462Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg0.01 MG$0.129———
J0463Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg0.01 MG$0.02———
J0475Injection, baclofen, 10 mg10 MG$186.9968——
J0476Injection, baclofen, 50 mcg for intrathecal trial50 MCG$46.5392——
J0480Injection, basiliximab, 20 mg20 MG$4,917.631——
J0485Injection, belatacept, 1 mg1 MG$3.8831500——
J0490Injection, belimumab, 10 mg10 MG$58.333160——
J0491Injection, anifrolumab-fnia, 1 mg1 MG$18.461300——
J0500Injection, dicyclomine hcl, up to 20 mg20 MG$12.0614——
J0515Injection, benztropine mesylate, per 1 mg1 MG$12.2623——
J0517Injection, benralizumab, 1 mg1 MG$165.0830——
J0528Injection, fosfomycin disodium, 20 mg20 MG$0.633———
J0558Injection, penicillin g benzathine and penicillin g procaine, 100,000 units100,000 UNITS$19.52324——
J0561Injection, penicillin g benzathine, 100,000 units100,000 UNITS$25.61224——
J0577Injection, buprenorphine extended-release (brixadi), less than or equal to 7Less than or equal to 7 days of therapy$433.1671——
J0578Injection, buprenorphine extended release (brixadi), greater than 7 days and upGreater than 7 days and up to 28 days of therapy$1,732.6671——
J0582Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg1 MG$0.168———
J0583Injection, bivalirudin, 1 mg1 MG$0.165250——
J0584Injection, burosumab-twza 1 mg1 MG$516.8590——
J0585Injection, onabotulinumtoxina, 1 unit1 UNIT$6.514800—yes
J0586Injection, abobotulinumtoxina, 5 units5 Unit$8.937300—yes
J0587Injection, rimabotulinumtoxinb, 100 units100 UNITS$13.301300—yes
J0588Injection, incobotulinumtoxin a, 1 unit1 UNIT$5.262600—yes
J0589Injection, daxibotulinumtoxina-lanm, 1 unit1 UNIT$3.252300—yes
J0592Injection, buprenorphine hydrochloride, 0.1 mg0.1 MG$4.6986——
J0593Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug1 mg$88.34300——
J0594injection, busulfan, 1 mg1 MG$0.839320——
J0595Injection, butorphanol tartrate, 1 mg1 MG$11.3168——
J0596Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units10 UNITS$37.81840——
J0597Injection, c-1 esterase inhibitor (human), berinert, 10 units10 UNITS$79.329250——
J0598Injection, c-1 esterase inhibitor (human), cinryze, 10 units10 UNITS$67.065100——
J0600Injection, edetate calcium disodium, up to 1000 mg1000 MG$6,273.8653——
J0612Injection, calcium gluconate, not otherwise specified, 10 mg10 MG$0.024800——
J0613Injection, calcium gluconate (wg critical care), not therapeutically equivalent10 MG$0.041800——
J0614Injection, treosulfan, 50 mg50 MG$32.33600——
J0616Injection, metoprolol tartrate, 1 mg1 MG$0.1415——
J0637Injection, caspofungin acetate, 5 mg5 MG$2.46320——
J0638Injection, canakinumab, 1 mg1 MG$156.953300——
J0641Injection, levoleucovorin, not otherwise specified, 0.5 mg0.5 MG$0.0531200——
J0642Injection, levoleucovorin (khapzory), 0.5 mg0.5 MG$1.3361200——
J0643Injection, leucovorin calcium, not otherwise specified, 1 mg1 MG$0.054———
J0644Injection, leucovorin calcium (avyxa), 1 mg1 MG$2.625———
J0650Injection, levothyroxine sodium, not otherwise specified, 10 mcg10 MCG$6.581100——
J0651Injection, levothyroxine sodium (fresenius kabi), not therapeutically10 MCG$7.079100——
J0652Injection, levothyroxine sodium (hikma), not therapeutically equivalent to10 MCG$6.315100——
J0665Injection, bupivicaine, not otherwise specified, 0.5 mg0.5 MG$0.01———
J0666Injection, bupivacaine liposome, 1 mg1 MG$1.426266——
J0670Injection, mepivacaine hydrochloride, per 10 ml10 ML$4.367101548—
J0681Injection, ceftobiprole medocaril sodium, 3 mg3 MG$1.098———
J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent500 MG$0.66316——
J0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690,500 MG$0.82916——
J0689Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690,500 MG$1.28116——
J0690Injection, cefazolin sodium, 500 mg500 MG$0.78116——
J0692Injection, cefepime hydrochloride, 500 mg500 MG$1.29212——
J0694Injection, cefoxitin sodium, 1 gm1 GM$5.4168——
J0695Injection, ceftolozane 50 mg and tazobactam 25 mg75mg (50mg cft/25mg taz)$10.01560——
J0696Injection, ceftriaxone sodium, per 250 mg250 MG$0.3916——
J0697Injection, sterile cefuroxime sodium, per 750 mg750 MG$2.1064——
J0699Injection, cefiderocol, 10 mg10 mg$2.564600——
J0701Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to500 MG$6.09612——
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3 MG & 3 MG$7.17518—yes
J0703Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to500 MG$4.74812——
J0712Injection, ceftaroline fosamil, 10 mg10 MG$4.008120——
J0713Injection, ceftazidime, per 500 mg500 MG$1.54912——
J0714Injection, ceftazidime and avibactam, 0.5 g/0.125 g.625 GM$109.45412——
J0716Injection, centruroides immune f(ab)2, up to 120 milligramsUP TO 120MG$5,449.6494——
J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug1 MG$3.14400——
J0725Injection, chorionic gonadotropin, per 1,000 usp units1000 UNITS$14.43910——
J0735Injection, clonidine hydrochloride, 1 mg1 MG$14.19250——
J0736Injection, clindamycin phosphate, 300 mg300 MG$1.8549——
J0737Injection, clindamycin phosphate (baxter), not therapeutically equivalent to300 MG$2.0689——
J0738Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv1 MG$16.016———
J0739Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv1 mg$7.278600——
J0740Injection, cidofovir, 375 mg375 MG$522.2382——
J0741Injection, cabotegravir and rilpivirine, 2mg/3mg2MG/3MG$24.649300——
J0742Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg4 MG-4 MG-2 MG$2.696500——
J0743Injection, cilastatin sodium; imipenem, per 250 mg250 MG$6.79616——
J0744Injection, ciprofloxacin for intravenous infusion, 200 mg200 MG$1.936——
J0750Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved200 mg/300 mg$0.451———
J0751Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved200 mg/25 mg$74.941———
J0752Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv300 MG$617.946———
J0759Injection, clevidipine butyrate, 1 mg1 MG$2.95300——
J0770Injection, colistimethate sodium, up to 150 mg150 MG$18.0515——
J0775Injection, collagenase, clostridium histolyticum, 0.01 mg0.01 MG$81.072180——
J0780Injection, prochlorperazine, up to 10 mg10 MG$2.4754——
J0791Injection, crizanlizumab-tmca, 5 mg5 MG$129.949160——
J0801Injection, corticotropin (acthar gel), up to 40 units40 UNITS$3,884.2673——
J0802Injection, corticotropin (ani), up to 40 unitsup to 40 Units$3,646.4553——
J0834Injection, cosyntropin, 0.25 mg0.25 MG$22.1763——
J0840Injection, crotalidae polyvalent immune fab (ovine), up to 1 gramUP TO 1 GM$2,044.3836—yes
J0841Injection, crotalidae immune f(ab')2 (equine), 120 mg120 MG$1,084.90920——
J0850Injection, cytomegalovirus immune globulin intravenous (human), per vialPER VIAL$1,857.1259—yes
J0870Injection, imetelstat, 1 mg1 MG$59.3551081——
J0871Injection, daptomycin (endo), not therapeutically equivalent to j0878, 1 mg1 MG$0.541———
J0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent1 MG$0.061050——
J0873Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or1 MG$0.0481000——
J0874Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg1 MG$0.0621000——
J0875Injection, dalbavancin, 5 mg5 MG$9.439300——
J0877Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg1 MG$0.0221000——
J0878Injection, daptomycin, 1 mg1 MG$0.0271000——
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)1 MCG$3.081500—yes
J0882Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)1 MCG$3.081300—yes
J0883Injection, argatroban, 1 mg (for non-esrd use)1 MG$0.7721125——
J0884Injection, argatroban, 1 mg (for esrd on dialysis)1 MG$0.7721125——
J0885Injection, epoetin alfa, (for non-esrd use), 1000 units1000 UNITS$6.66960—yes
J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)1 MCG$1.196360—yes
J0888Injection, epoetin beta, 1 microgram, (for non esrd use)1 MCG$1.196360—yes
J0894Injection, decitabine, 1 mg1 MG$1.098100——
J0895Injection, deferoxamine mesylate, 500 mg500 MG$8.77712——
J0896Injection, luspatercept-aamt, 0.25 mg0.25 MG$43.4841100——
J0897Injection, denosumab, 1 mg1 MG$29.856120—yes
J0898Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 11 MG$1.206———
J0899Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 11 MG$1.206———
J0901Vadadustat, oral, 1 mg (for esrd on dialysis)1 MG$0.125600——
J1000Injection, depo-estradiol cypionate, up to 5 mg5 MG$53.8051——
J1010Injection, methylprednisolone acetate, 1 mg1 MG$0.123160—yes
J1071Injection, testosterone cypionate, 1 mg1 MG$0.023400—yes
J1072Injection, testosterone cypionate (azmiro), 1 mg1 MG$1.301400—yes
J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg0.1 MG$87.9028——
J1100Injection, dexamethasone sodium phosphate, 1 mg1 MG$0.099120—yes
J1110Injection, dihydroergotamine mesylate, per 1 mg1 MG$56.5073——
J1120Injection, acetazolamide sodium, up to 500 mg500 MG$23.9512——
J1160Injection, digoxin, up to 0.5 mg0.5 MG$3.8092——
J1162Injection, digoxin immune fab (ovine), per vialPER VIAL$5,711.3731——
J1163Injection, diltiazem hydrochloride, 0.5 mg0.5 MG$0.027900——
J1164Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg0.5 MG$0.176———
J1165Injection, phenytoin sodium, per 50 mg50 MG$0.51350——
J1171Injection, hydromorphone, 0.1 mg0.1 MG$0.224240——
J1190Injection, dexrazoxane hydrochloride, per 250 mg250 MG$30.8328——
J1200Injection, diphenhydramine hcl, up to 50 mg50 MG$0.8558——
J1201Injection, cetirizine hydrochloride, 0.5 mg0.5 MG$17.07320——
J1203Injection, cipaglucosidase alfa-atga, 5 mg5 MG$96.491630——
J1205Injection, chlorothiazide sodium, per 500 mg500 MG$63.3984——
J1212Injection, dmso, dimethyl sulfoxide, 50%, 50 ml50 ML$748.8131——
J1230Injection, methadone hcl, up to 10 mg10 MG$10.4983——
J1240Injection, dimenhydrinate, up to 50 mg50 MG$9.3946——
J1245Injection, dipyridamole, per 10 mg10 MG$8.4110—yes
J1250Injection, dobutamine hydrochloride, per 250 mg250 MG$8.8752—yes
J1265Injection, dopamine hcl, 40 mg40 MG$0.82320——
J1270Injection, doxercalciferol, 1 mcg1 MCG$0.338——
J1271Injection, doxycycline hyclate, 1 mg1 MG$0.081300——
J1289Injection, narsoplimab-wuug, 1 mg1 MG$105.441———
J1290Injection, ecallantide, 1 mg1 MG$599.61630——
J1299Injection, eculizumab, 2 mg2 MG$43.763600—yes
J1301Injection, edaravone, 1 mg1 MG$6.37560——
J1302Injection, sutimlimab-jome, 10 mg10 MG$20.133770——
J1303Injection, ravulizumab-cwvz, 10 mg10 MG$226.454360——
J1304Injection, tofersen, 1 mg1 MG$164.812100——
J1305Injection, evinacumab-dgnb, 5mg5 MG$202.574480——
J1306Injection, inclisiran, 1 mg1 MG$12.897284——
J1307Injection, crovalimab-akkz, 10 mg10 MG$551.512170——
J1308Injection, famotidine, 0.25 mg0.25 MG$0.009160——
J1322Injection, elosulfase alfa, 1 mg1 MG$320.781150——
J1323Injection, elranatamab-bcmm, 1 mg1 MG$191.31276——
J1325Injection, epoprostenol, 0.5 mg0.5 MG$17.2471——
J1326Injection, zolbetuximab-clzb, 2 mg2 MG$33.9191200——
J1335Injection, ertapenem sodium, 500 mg500 MG$5.8262——
J1364Injection, erythromycin lactobionate, per 500 mg500 MG$160.4272——
J1380Injection, estradiol valerate, up to 10 mg10 MG$7.6934——
J1410Injection, estrogen conjugated, per 25 mg25 MG$402.1314——
J1430Injection, ethanolamine oleate, 100 mg100 MG$533.76810——
J1434Injection, fosaprepitant (focinvez), 1 mg1 MG$2.225150——
J1437Injection, ferric derisomaltose, 10 mg10 MG$21.877100——
J1439Injection, ferric carboxymaltose, 1 mg1 MG$1.1211000——
J1440Fecal microbiota, live - jslm, 1 ml1 ML$65.826150——
J1442Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram1 MCG$0.9941500—yes
J1447Injection, tbo-filgrastim, 1 microgram1 MCG$0.279960—yes
J1448Injection, trilaciclib, 1mg1 MG$6.001900——
J1449Injection, eflapegrastim-xnst, 0.1 mg0.1 MG$37.421132—yes
J1450Injection fluconazole, 200 mg200 MG$5.6544——
J1453Injection, fosaprepitant, 1 mg1 MG$0.114150——
J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg0.25 MG$479.9021——
J1455Injection, foscarnet sodium, per 1000 mg1000 MG$6.73418——
J1456Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg1 MG$0.036150——
J1458Injection, galsulfase, 1 mg1 MG$529.58100——
J1459Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g.,500 MG$48.963300—yes
J1460Injection, gamma globulin, intramuscular, 1 cc1 CC$48.946101yes
J1551Injection, immune globulin (cutaquig), 100 mg100 MG$14.1721600—yes
J1552Injection, immune globulin (alyglo), 500 mg500 MG$120.041200—yes
J1553Injection, immune globulin (yimmugo), 100 mg100 MG$21.664——yes
J1554Injection, immune globulin (asceniv), 500 mg500 MG$508.454240—yes
J1555Injection, immune globulin (cuvitru), 100 mg100 MG$17.994480—yes
J1556Injection, immune globulin (bivigam), 500 mg500 MG$80.791240—yes
J1557Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g.,500 MG$62.299300—yes
J1558Injection, immune globulin (xembify), 100 mg100 MG$15.20480—yes
J1559Injection, immune globulin (hizentra), 100 mg100 MG$14.7862400—yes
J1560Injection, gamma globulin, intramuscular, over 10 cc10 CC$118.1531—yes
J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g.,500 MG$48.022360—yes
J1566Injection, immune globulin, intravenous, lyophilized (e.g., powder), not500 MG$82.756300—yes
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g.,500 MG$47.133300—yes
J1569Injection, immune globulin, (gammagard liquid/gammagard liquid erc), 500 mg500 MG$49.495400—yes
J1570Injection, ganciclovir sodium, 500 mg500 MG$29.3364——
J1571Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml0.5 ML$71.58520—yes
J1573Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml0.5 ML$71.585130—yes
J1575Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin100 MG$19.2933000—yes
J1576Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g.,500 MG$70.25600—yes
J1577Injection, immune globulin (qivigy), 100 mg100 MG$29.28——yes
J1580Injection, garamycin, gentamicin, up to 80 mg80 MG$1.8499——
J1596Injection, glycopyrrolate, 0.1 mg0.1 MG$0.3318——
J1597Injection, glycopyrrolate (glyrx-pf), 0.1 mg0.1 MG$1.2728——
J1598Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to0.1 MG$1.90412——
J1602Injection, golimumab, 1 mg, for intravenous use1 MG$10.978300——
J1610Injection, glucagon hydrochloride, per 1 mg1 MG$105.4922——
J1611Injection, glucagon hydrochloride (fresenius kabi), not therapeutically1 MG$134.8922——
J1612Injection, glucagon (gvoke), 0.01 mg0.01 MG$1.799———
J1626Injection, granisetron hydrochloride, 100 mcg100 MCG$0.1630——
J1627Injection, granisetron, extended-release, 0.1 mg0.1 MG$2.907100——
J1628Injection, guselkumab, 1 mg1 MG$66.998200——
J1630Injection, haloperidol, up to 5 mg5 MG$0.6325——
J1631Injection, haloperidol decanoate, per 50 mg50 MG$4.8479——
J1640Injection, hemin, 1 mg1 MG$36.05672——
J1642Injection, heparin sodium, (heparin lock flush), per 10 units10 UNITS$0.018100274—
J1643Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644,1000 UNITS$2.24840——
J1644Injection, heparin sodium, per 1000 units1000 UNITS$0.20140299—
J1645Injection, dalteparin sodium, per 2500 iu2500 IU$45.66810——
J1650Injection, enoxaparin sodium, 10 mg10 MG$0.49730——
J1652Injection, fondaparinux sodium, 0.5 mg0.5 MG$0.79820——
J1670Injection, tetanus immune globulin, human, up to 250 units250 UNITS$600.6351—yes
J1720Injection, hydrocortisone sodium succinate, up to 100 mg100 MG$23.14910——
J1737Injection, meloxicam (azurity), 1 mg1 MG$1.0630——
J1740Injection, ibandronate sodium, 1 mg1 MG$43.683—yes
J1741Injection, ibuprofen, 100 mg100 MG$3.2688——
J1743Injection, idursulfase, 1 mg1 MG$572.17166——
J1745Injection, infliximab, excludes biosimilar, 10 mg10 MG$29.856150—yes
J1746Injection, ibalizumab-uiyk, 10 mg10 MG$79.997200——
J1747Injection, spesolimab-sbzo, 1 mg1 MG$65.728900——
J1749Injection, iloprost, 0.1 mcg0.1 MCG$5.6512000——
J1750Injection, iron dextran, 50 mg50 MG$19.00545——
J1756Injection, iron sucrose, 1 mg1 MG$0.224500——
J1786Injection, imiglucerase, 10 units10 UNITS$43.203680——
J1790Injection, droperidol, up to 5 mgup to 5 MG$5.3482——
J1805Injection, esmolol hydrochloride, 10 mg10 MG$0.246———
J1806Injection, esmolol hydrochloride (wg critical care), not therapeutically10 MG$0.196———
J1808Injection, folic acid, 0.1 mg0.1 MG$0.053150——
J1809Injection, fosdenopterin, 0.1 mg0.1 MG$17.736———
J1811Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units50 UNITS$1.181———
J1813Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 5050 UNITS$3.903———
J1817Insulin for administration through dme (i.e., insulin pump) per 50 units50 UNITS$3.1160——
J1823Injection, inebilizumab-cdon, 1 mg1 MG$511.573300——
J1836Injection, metronidazole, 10 mg10 MG$0.034400——
J1837Injection, posaconazole, 1 mg1 MG$0.385600——
J1885Injection, ketorolac tromethamine, per 15 mg15 MG$0.5698——
J1920Injection, labetalol hydrochloride, 5 mg5 MG$0.588———
J1921Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to5 MG$0.874———
J1930Injection, lanreotide, 1 mg1 MG$41.688120——
J1931Injection, laronidase, 0.1 mg0.1 MG$41.498609——
J1932Injection, lanreotide, (cipla), 1 mg1 MG$20.33120——
J1938Injection, furosemide, 1 mg1 MG$0.0185360——
J1939Injection, bumetanide, 0.5 mg0.5 MG$0.49324——
J1943Injection, aripiprazole lauroxil, (aristada initio), 1 mg1 MG$3.459675——
J1944Injection, aripiprazole lauroxil, (aristada), 1 mg1 MG$3.551064——
J1950Injection, leuprolide acetate (for depot suspension), per 3.75 mg3.75 MG$1,799.05212—yes
J1951Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg0.25 MG$141.696180——
J1952Leuprolide injectable, camcevi, 1 mg1 mg$36.37342—yes
J1954Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg7.5 MG$683.863—yes
J1955Injection, levocarnitine, per 1 gm1 GM$24.37511——
J1956Injection, levofloxacin, 250 mg250 MG$2.5654——
J1957Injection, levetiracetam, 5 mg5 MG$0.013———
J1958Injection, levetiracetam in sodium chloride, 5 mg5 MG$0.033———
J1961Injection, lenacapavir (only for use as hiv treatment), 1 mg1 MG$22.937———
J2002Injection, lidocaine hcl in 5% dextrose, 1 mg1 MG$0.00320007—
J2010Injection, lincomycin hcl, up to 300 mg300 MG$3.6910——
J2020Injection, linezolid, 200 mg200 MG$2.4316——
J2021Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg200 MG$31.6116——
J2060Injection, lorazepam, 2 mg2 MG$2.1974——
J2151Injection, mannitol, 250 mg250 MG$0.112———
J2175Injection, meperidine hydrochloride, per 100 mg100 MG$9.6524——
J2182Injection, mepolizumab, 1 mg1 MG$32.181300——
J2183Injection, meropenem (wg critical care), not therapeutically equivalent to100 MG$1.33960——
J2184Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg100 MG$1.92160——
J2185Injection, meropenem, 100 mg100 MG$0.35860——
J2210Injection, methylergonovine maleate, up to 0.2 mg0.2 MG$22.1171——
J2246Injection, micafungin in sodium (baxter), not therapeutically equivalent to1 MG$0.334150——
J2247Injection, micafungin sodium (par pharm) not thereapeutically equivalent to1 MG$0.219150——
J2248Injection, micafungin sodium, 1 mg1 MG$0.203150——
J2250Injection, midazolam hydrochloride, per 1 mg1 MG$0.16722——
J2251Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically1 MG$0.07822——
J2260Injection, milrinone lactate, 5 mg5 MG$1.1434——
J2267Injection, mirikizumab-mrkz, 1 mg1 MG$32.584900——
J2270Injection, morphine sulfate, up to 10 mg10 MG$7.2599——
J2272Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to10 MG$9.4069——
J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use,10 MG$16.044250—yes
J2277Injection, motixafortide, 0.25 mg0.25 MG$26.479750——
J2278Injection, ziconotide, 1 microgram1 MCG$10.6561000—yes
J2280Injection, moxifloxacin, 100 mg100 MG$8.7444——
J2281Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to100 MG$6.6414——
J2290Injection, nafcillin sodium, 20 mg20 MG$0.047300——
J2291Injection, nafcillin sodium (baxter), 20 mg20 MG$0.135———
J2300Injection, nalbuphine hydrochloride, per 10 mg10 MG$4.0714——
J2305Injection, nitroglycerin, 5 mg5 MG$1.542———
J2312Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg0.01 MG$0.0761000——
J2315Injection, naltrexone, depot form, 1 mg1 MG$4.537380——
J2323Injection, natalizumab, 1 mg1 MG$23.927300——
J2327Injection, risankizumab-rzaa, intravenous, 1 mg1 MG$14.0111200——
J2329Injection, ublituximab-xiiy, 1mg1 MG$71.089———
J2350Injection, ocrelizumab, 1 mg1 MG$60.689600——
J2351Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq1 MG$47.287920——
J2353Injection, octreotide, depot form for intramuscular injection, 1 mg1 MG$211.32160—yes
J2354Injection, octreotide, non-depot form for subcutaneous or intravenous25 MCG$0.57460——
J2356Injection, tezepelumab-ekko, 1 mg1 MG$17.839210——
J2357Injection, omalizumab, 5 mg5 MG$45.687120—yes
J2358Injection, olanzapine, long-acting, 1 mg1 MG$3.202405——
J2359Injection, olanzapine, 0.5 mg0.5 MG$0.61560——
J2360Injection, orphenadrine citrate, up to 60 mg60 MG$6.2742——
J2361Injection, depemokimab-ulaa, 1 mg1 MG$275.391———
J2371Injection, phenylephrine hydrochloride, 20 micrograms20 MCG$0.002———
J2372Injection, phenylephrine hydrochloride (biorphen), 20 micrograms20 MCG$0.162———
J2373Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms20 MCG$0.136———
J2374Apraclonidine hydrochloride ophthalmic, 1% solution, 0.1 ml0.1 ML$28.804———
J2401Injection, chloroprocaine hydrochloride, per 1 mg1 MG$0.0451000——
J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg1 MG$0.7211600——
J2404Injection, nicardipine, 0.1 mg0.1 MG$0.0573600——
J2405Injection, ondansetron hydrochloride, per 1 mg1 MG$0.08464——
J2406Injection, oritavancin (kimyrsa), 10 mg10 MG$44.392120——
J2407Injection, oritavancin (orbactiv), 10 mg10 MG$29.811120——
J2425Injection, palifermin, 50 micrograms50 MCG$38.839125——
J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg1 MG$15.4371560——
J2427Injection, paliperidone palmitate extended release (invega hafyera, or invega1MG$13.2461560——
J2428Injection, paliperidone palmitate extended release (erzofri), 1 mg1 MG$15.587351——
J2430Injection, pamidronate disodium, per 30 mg30 MG$11.3063—yes
J2468Injection, palonosetron hydrochloride (posfrea), 25 micrograms25 MCG$54.08610——
J2469Injection, palonosetron hcl, 25 mcg25 MCG$0.46960——
J2501Injection, paricalcitol, 1 mcg1 MCG$0.8912——
J2502Injection, pasireotide long acting, 1 mg1 MG$613.1460——
J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg0.5 MG$201.24112—yes
J2507Injection, pegloticase, 1 mg1 MG$4,000.6298——
J2508Injection, pegunigalsidase alfa-iwxj, 1 mg1 MG$225.998160——
J2516Injection, pentamidine isethionate, 1 mg1 MG$0.482600——
J2540Injection, penicillin g potassium, up to 600,000 units600000 UNITS$0.78175——
J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.1251.125 GM$1.18316——
J2545Pentamidine isethionate, inhalation solution, fda-approved final product,300 MG$67.0471——
J2550Injection, promethazine hcl, up to 50 mg50 MG$3.2413——
J2560Injection, phenobarbital sodium, up to 120 mg120 MG$23.3691——
J2562Injection, plerixafor, 1 mg1 MG$42.94348——
J2596Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 11 UNIT$1.712160——
J2597Injection, desmopressin acetate, per 1 mcg1 MCG$3.47545——
J2598Injection, vasopressin, 1 unit1 UNIT$0.566160——
J2599Injection, vasopressin (american regent), not therapeutically equivalent to1 UNIT$0.574160——
J2601Injection, vasopressin (baxter), 1 unit1 UNIT$2.328160——
J2675Injection, progesterone, per 50 mg50 MG$0.6231——
J2679Injection, fluphenazine hcl, 1.25 mg1.25 MG$7.2698——
J2680Injection, fluphenazine decanoate, up to 25 mg25 MG$6.1744——
J2690Injection, procainamide hcl, up to 1 gm1 GM$394.8684——
J2700Injection, oxacillin sodium, up to 250 mg250 MG$0.76848——
J2704Injection, propofol, 10 mg10 MG$0.09380——
J2720Injection, protamine sulfate, per 10 mg10 MG$1.7855——
J2724Injection, protein c concentrate, intravenous, human, 10 iu10 UNITS$15.0343500——
J2760Injection, phentolamine mesylate, up to 5 mg5 MG$296.8492——
J2765Injection, metoclopramide hcl, up to 10 mg10 MG$0.89110——
J2777Injection, faricimab-svoa, 0.1 mg0.1 MG$31.322120—yes
J2778Injection, ranibizumab, 0.1 mg0.1 mg$26.38410—yes
J2779Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg0.1 MG$73.542200—yes
J2781Injection, pegcetacoplan, intravitreal, 1 mg1 MG$135.26730——
J2782Injection, avacincaptad pegol, 0.1 mg0.1 MG$100.56340——
J2783Injection, rasburicase, 0.5 mg0.5 MG$386.62860——
J2785Injection, regadenoson, 0.1 mg0.1 MG$2.5074—yes
J2786Injection, reslizumab, 1 mg1 MG$11.907500——
J2788Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)50 MCG (250 IU)$27.6531—yes
J2789Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 mlUP TO 2 ML$41,359.618———
J2790Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)300 MCG (1500 IU)$82.0811—yes
J2791Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or100 IU$4.83715—yes
J2792Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu100 IU$35.3954501yes
J2794Injection, risperidone (risperdal consta), 0.5 mg0.5 MG$10.662100——
J2795Injection, ropivacaine hydrochloride, 1 mg1 MG$0.04200——
J2798Injection, risperidone, (perseris), 0.5 mg0.5 mg$12.191240——
J2799Injection, risperidone (uzedy), 1 mg1 MG$26.227250——
J2800Injection, methocarbamol, up to 10 ml10 ML$3.8393——
J2802Injection, romiplostim, 1 microgram1 MCG$11.7131500——
J2804Injection, rifampin, 1 mg1 MG$0.1651200——
J2805Injection, sincalide, 5 micrograms5 MCG$145.6383——
J2820Injection, sargramostim (gm-csf), 50 mcg50 MCG$62.4715—yes
J2860Injection, siltuximab, 10 mg10 MG$178.427170——
J2865Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg5MG-1MG$0.0343000——
J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg12.5 MG$1.95620——
J2919Injection, methylprednisolone sodium succinate, 5 mg5 MG$0.2555400—yes
J2997Injection, alteplase recombinant, 1 mg1 MG$98.416100——
J3000Injection, streptomycin, up to 1 gm1 GM$16.4072——
J3010Injection, fentanyl citrate, 0.1 mg0.1 MG$1.362100——
J3032Injection, eptinezumab-jjmr, 1 mg1 MG$21.243300——
J3055Injection, talquetamab-tgvs, 0.25 mg0.25 MG$77.473480——
J3060Injection, taliglucerase alfa, 10 units10 UNITS$42.473760——
J3090Injection, tedizolid phosphate, 1 mg1 MG$2.062200——
J3095Injection, telavancin, 10 mg10 MG$8.149150——
J3101Injection, tenecteplase, 1 mg1 MG$230.74250——
J3105Injection, terbutaline sulfate, up to 1 mg1 MG$1.002——
J3111Injection, romosozumab-aqqg, 1 mg1 MG$12.792210——
J3121Injection, testosterone enanthate, 1 mg1 MG$0.052400—yes
J3145Injection, testosterone undecanoate, 1 mg1 MG$2.203750—yes
J3230Injection, chlorpromazine hcl, up to 50 mg50 MG$16.8022——
J3240Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial0.9 MG$2,155.1121——
J3241Injection, teprotumumab-trbw, 10 mg10 MG$381.627500——
J3243Injection, tigecycline, 1 mg1 MG$0.479150——
J3245Injection, tildrakizumab, 1 mg1 MG$120.965100——
J3246Injection, tirofiban hcl, 0.25 mg0.25 MG$2.6151——
J3247Injection, secukinumab, intravenous, 1 mg1 MG$18.1311000——
J3250Injection, trimethobenzamide hcl, up to 200 mg200 MG$62.4182——
J3260Injection, tobramycin sulfate, up to 80 mg80 MG$2.3458——
J3262Injection, tocilizumab, 1 mg1 MG$5.325800——
J3263Injection, toripalimab-tpzi, 1 mg1 MG$40.658480——
J3268Injection, delafloxacin, 1 mg1 MG$0.478———
J3285Injection, treprostinil, 1 mg1 MG$54.5631——
J3299Injection, triamcinolone acetonide (xipere), 1 mg1 MG$47.70572——
J3300Injection, triamcinolone acetonide (triesence), preservative free, 1 mg1 MG$17.19980—yes
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10 MG$0.78716—yes
J3304Injection, triamcinolone acetonide, preservative-free, extended-release,1 MG$19.15964——
J3315Injection, triptorelin pamoate, 3.75 mg3.75 MG$467.0596—yes
J3316Injection, triptorelin, extended-release, 3.75 mg3.75 MG$3,830.4396—yes
J3358Ustekinumab, for intravenous injection, 1 mg1 MG$10.249520——
J3360Injection, diazepam, up to 5 mg5 MG$5.0696——
J3373Injection, vancomycin hydrochloride, 10 mg10 MG$0.032600——
J3374Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to10 MG$0.091600——
J3375Injection, vancomycin hydrochloride (tyzavan), not therapeutically equivalent10 MG$0.143600——
J3376Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 1010 MG$0.016600——
J3379Injection, valproate sodium, 5 mg5 MG$0.0322000——
J3380Injection, vedolizumab, intravenous, 1 mg1 MG$20.949300——
J3385Injection, velaglucerase alfa, 100 units100 UNITS$393.92980——
J3396Injection, verteporfin, 0.1 mg0.1 MG$11.342150——
J3401Beremagene geperpavec-svdt for topical administration, containing nominal 5 x0.1 ML$1,029.46925——
J3402Injection, remestemcel-l-rknd, per therapeutic dosePer Therapeutic Dose$202,159.938———
J3404Injection, zopapogene imadenovec-drba suspension, per therapeutic dosePer Therapeutic Dose$119,675.512———
J3405Injection, onasemnogene abeparvovec-brve, per treatmentPer treatment$2,729,937.922———
J3410Injection, hydroxyzine hcl, up to 25 mg25 MG$14.1138——
J3411Injection, thiamine hcl, 100 mg100 MG$1.4864——
J3415Injection, pyridoxine hcl, 100 mg100 MG$15.7886——
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg1000 MCG$0.6481—yes
J3425Injection, hydroxocobalamin, intramuscular, 10 mcg10 MCG$0.00720—yes
J3430Injection, phytonadione (vitamin k), per 1 mg1 MG$3.98925——
J3465Injection, voriconazole, 10 mg10 MG$0.54840——
J3470Injection, hyaluronidase, up to 150 units150 UNITS$31.8023——
J3473Injection, hyaluronidase, recombinant, 1 usp unit1 USP UNIT$0.364450——
J3475Injection, magnesium sulfate, per 500 mg500 MG$0.43620——
J3480Injection, potassium chloride, per 2 meq2 MEQ$0.1340——
J3485Injection, zidovudine, 10 mg10 MG$1.513160——
J3486Injection, ziprasidone mesylate, 10 mg10 MG$5.944——
J3489Injection, zoledronic acid, 1 mg1 MG$17.6735—yes
J7030Infusion, normal saline solution , 1000 cc1000 CC$2.2635——
J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)500 ML$1.3856—yes
J70425% dextrose/normal saline (500 ml = 1 unit)500 ML$1.2656——
J7050Infusion, normal saline solution, 250 cc250 CC$0.71710——
J70605% dextrose/water (500 ml = 1 unit)500 ML$2.08210——
J7070Infusion, d5w, 1000 cc1000 CC$3.374——
J7120Ringers lactate infusion, up to 1000 cc1000 CC$2.3694——
J7170Injection, emicizumab-kxwh, 0.5 mg0.5 MG$58.1141800—yes
J7171Injection, adamts13, recombinant-krhn, 10 iu10 UNITS$36.378———
J7172Injection, marstacimab-hncq, 0.5 mg0.5 MG$50.762400——
J7173Injection, concizumab-mtci, 0.5 mg0.5 MG$84.782———
J7174Injection, fitusiran, 0.04 mg0.04 MG$133.477———
J7175Injection, factor x, (human), 1 i.u.1 IU$9.9539000—yes
J7177Injection, human fibrinogen concentrate (fibryga), 1 mg1 MG$1.21910500——
J7178Injection, human fibrinogen concentrate, not otherwise specified, 1 mg1 MG$1.4287700——
J7179Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco1 IU$1.8267500—yes
J7180Injection, factor xiii (antihemophilic factor, human), 1 i.u.1 IU$11.2396000—yes
J7181Injection, factor xiii a-subunit, (recombinant), per iu1 IU$19.3283850—yes
J7182Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per1 IU$1.55722000—yes
J7183Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco1 I.U. VWF:RCO$1.3047500—yes
J7185Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u.1 IU$1.36922000—yes
J7186Injection, antihemophilic factor viii/von willebrand factor complex (human),PER FACTOR VIII IU$1.2677500—yes
J7187Injection, von willebrand factor complex (humate-p), per iu vwf:rco1 IU$1.5317500—yes
J7188Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.1 IU$3.23622000—yes
J7189Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram1 MCG$2.77413000—yes
J7190Factor viii (antihemophilic factor, human) per i.u.1 IU$1.24822000—yes
J7192Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise1 IU$1.61622000—yes
J7193Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.1 IU$1.4124000—yes
J7194Factor ix, complex, per i.u.1 IU$1.7489000—yes
J7195Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise1 IU$1.8686000—yes
J7197Antithrombin iii (human), per i.u.1 IU$4.2646300—yes
J7198Anti-inhibitor, per i.u.1 IU$2.4746000—yes
J7200Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu1 IU$1.71320000—yes
J7201Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.1 IU$3.7619000—yes
J7202Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.1 IU$5.49111550—yes
J7203Injection factor ix, (antihemophilic factor, recombinant), glycopegylated,1 IU$4.71512000—yes
J7204Injection, factor viii, antihemophilic factor (recombinant), (esperoct),1 IU$2.36319500—yes
J7205Injection, factor viii fc fusion protein (recombinant), per iu1 IU$2.5579750—yes
J7207Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u.1 IU$2.18522500—yes
J7208Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl,1 IU$2.74412000—yes
J7209Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u.1 IU$1.1797500—yes
J7210Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u.1 IU$1.61222000—yes
J7211Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.1 IU$1.57422000—yes
J7212Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram1 MCG$2.2590000—yes
J7213Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.1 IU$2.03512000——
J7214Injection, factor viii/von willebrand factor complex, recombinant (altuviiio),1 IU$4.6567500——
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage354 MG$390.5233——
J7311Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg0.01 MG$341.131118——
J7312Injection, dexamethasone, intravitreal implant, 0.1 mg0.1 MG$202.42414——
J7313Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg0.01 MG$516.51638——
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg1 MG$6.314120—yes
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1 MG$4.23150—yes
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articularper dose$69.8682—yes
J7322Hyaluronan or derivative, hymovis or hymovis one, for intra-articular1 MG$17.9464—yes
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per doseper dose$103.6032—yes
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dosePER DOSE$116.7932—yes
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular1 MG$6.01196—yes
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per doseper dose$524.0632—yes
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dosePER DOSE$626.1442—yes
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg0.1 MG$0.55336—yes
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1 MG$4.20750—yes
J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg1 MG$3.11540—yes
J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg1 MG$10.18840—yes
J7336Capsaicin 8% patch, per square centimeter1 SQ CM$3.5091120——
J7340Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml100 ML$243.1081——
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg10 MG$1.848600——
J7351Injection, bimatoprost, intracameral implant, 1 microgram1 MCG$213.79520——
J7354Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2Per 3.2 mg single-use applicator$683.4722——
J7355Injection, travoprost, intracameral implant, 1 microgram1 MCG$196.804150——
J7356Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg0.25 MG - 5 MG$0.702960——
J7402Mometasone furoate sinus implant, (sinuva), 10 micrograms10 MCG$11.345270——
J7500Azathioprine, oral, 50 mg50 MG$0.1030——
J7502Cyclosporine, oral, 100 mg100 MG$1.4550——
J7503Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg0.25 MG$1.8630——
J7504Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg250 MG$5,509.07215——
J7507Tacrolimus, immediate release, oral, 1 mg1 MG$0.1620——
J7508Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg0.1 MG$0.6040——
J7509Methylprednisolone oral, per 4 mg4 MG$0.1280——
J7510Prednisolone oral, per 5 mg5 MG$0.4980——
J7511Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg25 MG$1,065.8379——
J7512Prednisone, immediate release or delayed release, oral, 1 mg1 MG$0.0040——
J7515Cyclosporine, oral, 25 mg25 MG$0.5760——
J7516Injection, cyclosporine, 250 mg250 MG$75.6491——
J7518Mycophenolic acid, oral, 180 mg180 MG$0.2570——
J7520Sirolimus, oral, 1 mg1 MG$0.6090——
J7521Tacrolimus, granules, oral suspension, 0.1 mg0.1 MG$1.328300——
J7524Mycophenolate mofetil, oral, 5 mg5 MG$0.002———
J7525Tacrolimus, parenteral, 5 mg5 MG$242.0732——
J7526Injection, mycophenolate mofetil, 5 mg5 MG$0.20———
J7527Everolimus, oral, 0.25 mg0.25 MG$1.12640——
J7529Mycophenolate mofetil, for suspension, oral, 5 mg5 MG$0.034———
J7530Mycophenolate mofetil (myhibbin), oral suspension, 5 mg5 MG$0.115———
J7601Ensifentrine, inhalation suspension, fda approved final product,3 MG$52.1172——
J7605Arformoterol, inhalation solution, fda approved final product, non-compounded,15 mcg$0.5422——
J7606Formoterol fumarate, inhalation solution, fda approved final product,20 MCG$1.3732——
J7608Acetylcysteine, inhalation solution, fda-approved final product,1 GM$6.3983——
J7611Albuterol, inhalation solution, fda-approved final product, non-compounded,1 MG$0.20610——
J7612Levalbuterol, inhalation solution, fda-approved final product, non-compounded,0.5 MG$0.30410——
J7613Albuterol, inhalation solution, fda-approved final product, non-compounded,1 MG$0.06610——
J7614Levalbuterol, inhalation solution, fda-approved final product, non-compounded,0.5 MG$0.07610——
J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved2.5 MG/0.5 MG$0.1976——
J7626Budesonide, inhalation solution, fda-approved final product, non-compounded,0.5 MG$0.9232——
J7631Cromolyn sodium, inhalation solution, fda-approved final product,10 MG$0.3854——
J7639Dornase alfa, inhalation solution, fda-approved final product, non-compounded,1 MG$56.8063——
J7644Ipratropium bromide, inhalation solution, fda-approved final product,1 MG$0.4453——
J7674Methacholine chloride administered as inhalation solution through a nebulizer,1 MG$1.766100——
J7677Revefenacin inhalation solution, fda-approved final product, non-compounded,1 MCG$0.20175——
J7682Tobramycin, inhalation solution, fda-approved final product, non-compounded,300 MG$11.4042——
J7686Treprostinil, inhalation solution, fda-approved final product, non-compounded,1.74 MG$830.3831——
J8501Aprepitant, oral, 5 mg5 MG$2.5110——
J8502Injection, aprepitant (aponvie), 1 mg1 MG$1.998———
J8515Cabergoline, oral, 0.25 mg0.25 MG$0.3370——
J8522Capecitabine, oral, 50 mg50 MG$0.029———
J8530Cyclophosphamide; oral, 25 mg25 MG$1.2330——
J8540Dexamethasone, oral, 0.25 mg0.25 MG$0.0220——
J8541Dexamethasone (hemady), oral, 0.25 mg0.25 MG$0.375———
J8560Etoposide; oral, 50 mg50 MG$88.1640——
J8610Methotrexate; oral, 2.5 mg2.5 MG$0.1570——
J8611Methotrexate (jylamvo), oral, 2.5 mg2.5 MG$18.264———
J8612Methotrexate (xatmep), oral, 2.5 mg2.5 MG$22.855———
J8655Netupitant 300 mg and palonosetron 0.5 mg, oral0.5 MG$455.7621——
J8700Temozolomide, oral, 5 mg5 MG$0.2080——
J8705Topotecan, oral, 0.25 mg0.25 mg$125.4610——
J9000Injection, doxorubicin hydrochloride, 10 mg10 MG$3.1220——
J9011Injection, datopotamab deruxtecan-dlnk, 1 mg1 MG$52.505600——
J9017Injection, arsenic trioxide, 1 mg1 MG$3.83730——
J9021Injection, asparaginase, recombinant, (rylaze), 0.1 mg0.1 MG$59.0421500——
J9022Injection, atezolizumab, 10 mg10 MG$96.873168——
J9023Injection, avelumab, 10 mg10 MG$108.994140——
J9024Injection, atezolizumab, 5 mg and hyaluronidase-tqjs5 MG$32.419375——
J9025Injection, azacitidine, 1 mg1 MG$0.269300——
J9026Injection, tarlatamab-dlle, 1 mg1 MG$1,613.75110——
J9027Injection, clofarabine, 1 mg1 MG$15.518100——
J9028Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram1 MCG$94.139400——
J9029Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dosePER THERAPEUTIC DOSE$65,200.5631——
J9030Bcg live intravesical instillation, 1 mg1 MG$3.53250—yes
J9032Injection, belinostat, 10 mg10 MG$55.526300——
J9033Injection, bendamustine hydrochloride, not otherwise specified, 1 mg1 MG$1.846300——
J9034Injection, bendamustine hcl (bendeka), 1 mg1 MG$11.422360——
J9035Injection, bevacizumab, 10 mg10 MG$75.492230—yes
J9036Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg1 MG$9.264360——
J9038Injection, axatilimab-csfr, 0.1 mg0.1 MG$56.498360——
J9039Injection, blinatumomab, 1 microgram1 MCG$173.047210——
J9040Injection, bleomycin sulfate, 15 units15 UNITS$23.124——
J9041Injection, bortezomib, 0.1 mg0.1 MG$2.62835——
J9042Injection, brentuximab vedotin, 1 mg1 MG$279.207200——
J9043Injection, cabazitaxel, 1 mg1 MG$231.68860——
J9045Injection, carboplatin, 50 mg50 MG$3.10122——
J9047Injection, carfilzomib, 1 mg1 MG$60.391210——
J9049Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg0.1 MG$1.53135——
J9050Injection, carmustine, 100 mg100 MG$195.736——
J9053Injection, belantamab mafodotin-blmf, 0.1 mg0.1 MG$36.201———
J9054Injection, bortezomib (boruzu), 0.1 mg0.1 MG$23.90570——
J9055Injection, cetuximab, 10 mg10 MG$80.858150——
J9056Injection, bendamustine hydrochloride (vivimusta), 1 mg1 MG$28.614360——
J9060Injection, cisplatin, powder or solution, 10 mg10 MG$2.49724——
J9061Injection, amivantamab-vmjw, 2 mg2 MG$23.6221050——
J9062Injection, amivantamab 5 mg and hyaluronidase-lpuj5 MG$40.492———
J9063Injection, mirvetuximab soravtansine-gynx, 1 mg1 MG$71.584900——
J9065Injection, cladribine, per 1 mg1 MG$7.872100——
J9071Injection, cyclophosphamide (auromedics), 5 mg5 MG$0.4711500——
J9072Injection, cyclophosphamide (frindovyx), 5 mg5 MG$8.121500——
J9073Injection, cyclophosphamide (dr. reddy's), 5 mg5 MG$0.4651500——
J9074Injection, cyclophosphamide (sandoz), 5 mg5 MG$3.2381500——
J9075Injection, cyclophosphamide, not otherwise specified, 5 mg5 MG$0.6921500——
J9076Injection, cyclophosphamide (baxter), 5 mg5 MG$4.6011500——
J9100Injection, cytarabine, 100 mg100 MG$0.853120——
J9118Injection, calaspargase pegol-mknl, 10 units10 UNIT$86.179750——
J9119Injection, cemiplimab-rwlc, 1 mg1 MG$30.825700——
J9120Injection, dactinomycin, 0.5 mg0.5 MG$320.8995——
J9130Dacarbazine, 100 mg100 MG$3.58124——
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj10 MG$57.973180——
J9145Injection, daratumumab, 10 mg10 MG$75.228240——
J9150Injection, daunorubicin, 10 mg10 MG$26.91212——
J9153Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine1 MG/2.27 MG$274.30132——
J9155Injection, degarelix, 1 mg1 MG$4.509240——
J9161Injection, denileukin diftitox-cxdl, 1 mcg1 MCG$12.8261500——
J9171Injection, docetaxel, 1 mg1 MG$0.471300——
J9172Injection, docetaxel (docivyx), 1 mg1 MG$46.193300——
J9173Injection, durvalumab, 10 mg10 MG$87.658150——
J9174Injection, docetaxel (beizray), 1 mg1 MG$46.531320——
J9176Injection, elotuzumab, 1 mg1 MG$8.1883000——
J9177Injection, enfortumab vedotin-ejfv, 0.25 mg0.25 MG$36.535520——
J9178Injection, epirubicin hcl, 2 mg2 MG$1.868150——
J9179Injection, eribulin mesylate, 0.1 mg0.1 MG$63.97250——
J9183Gemcitabine intravesical system, 225 mg225 MG$73,054.053———
J9184Injection, gemcitabine hydrochloride (avyxa), 200 mg200 MG$403.46519——
J9185Injection, fludarabine phosphate, 50 mg50 MG$177.9242——
J9186Injection, etoposide (avyxa), 1 mg1 MG$4.24———
J9187Injection, etoposide, 1 mg1 MG$0.094———
J9191Injection, fluorouracil (avyxa), 10 mg10 MG$14.84———
J9192Injection, fluorouracil, 10 mg10 MG$0.039———
J9200Injection, floxuridine, 500 mg500 MG$4,389.8485—yes
J9201Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg200 MG$2.73420——
J9203Injection, gemtuzumab ozogamicin, 0.1 mg0.1 MG$247.37180——
J9204Injection, mogamulizumab-kpkc, 1 mg1 MG$258.536160——
J9205Injection, irinotecan liposome, 1 mg1 MG$66.856215——
J9206Injection, irinotecan, 20 mg20 MG$1.56942——
J9207Injection, ixabepilone, 1 mg1 MG$139.49890——
J9208Injection, ifosfamide, 1 gram1 GM$27.90515——
J9209Injection, mesna, 200 mg200 MG$1.20355——
J9210Injection, emapalumab-lzsg, 1 mg1 MG$391.8611500——
J9211Injection, idarubicin hydrochloride, 5 mg5 MG$33.3946——
J9217Leuprolide acetate (for depot suspension), 7.5 mg7.5 MG$188.8496—yes
J9223Injection, lurbinectedin, 0.1 mg0.1 MG$215.722120——
J9226Histrelin implant (supprelin la), 50 mg50 MG$37,837.5481——
J9227Injection, isatuximab-irfc, 10 mg10 MG$89.812150——
J9228Injection, ipilimumab, 1 mg1 MG$190.4331100——
J9229Injection, inotuzumab ozogamicin, 0.1 mg0.1 MG$2,873.10327——
J9232Injection, docetaxel (hospira), not therapeutically equivalent to j9171, 1 mg1 MG$0.513———
J9245Injection, melphalan hydrochloride, not otherwise specified, 50 mg50 MG$90.0329——
J9246Injection, melphalan (evomela), 1 mg1 MG$18.569300——
J9248Injection, melphalan (hepzato), 1 mg1 MG$797.415250——
J9256Injection, nipocalimab-aahu, 3 mg3 MG$32.3211500——
J9260Injection, methotrexate sodium, 50 mg50 MG$2.909400—yes
J9261Injection, nelarabine, 50 mg50 MG$40.87280——
J9263Injection, oxaliplatin, 0.5 mg0.5 MG$0.087700——
J9264Injection, paclitaxel protein-bound particles, 1 mg1 MG$3.64800—yes
J9266Injection, pegaspargase, per single dose vial1 EA$29,845.2652——
J9267Injection, paclitaxel, 1 mg1 MG$0.108750—yes
J9268Injection, pentostatin, 10 mg10 MG$2,612.8931——
J9269Injection, tagraxofusp-erzs, 10 micrograms10 MCG$357.292200——
J9271Injection, pembrolizumab, 1 mg1 MG$62.253400——
J9272Injection, dostarlimab-gxly, 10 mg10 MG$250.548100——
J9273Injection, tisotumab vedotin-tftv, 1 mg1 MG$196.121200——
J9274Injection, tebentafusp-tebn, 1 microgram1 MCG$228.006100——
J9275Injection, cosibelimab-ipdl, 2 mg2 MG$21.989600——
J9276Injection, zanidatamab-hrii, 2 mg2 MG$25.7341500——
J9277Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph1 MG$32.307———
J9278Injection, carboplatin (avyxa), 1 mg1 MG$5.226———
J9280Injection, mitomycin, 5 mg5 MG$34.83812——
J9281Mitomycin pyelocalyceal instillation, 1 mg1 MG$329.07180——
J9282Mitomycin, intravesical instillation, 1 mg1 MG$272.91880——
J9286Injection, glofitamab-gxbm, 2.5 mg2.5 MG$2,859.11712——
J9289Injection, nivolumab, 2 mg and hyaluronidase-nvhy2 MG$27.989600——
J9292Injection, pemetrexed dipotassium, 10 mg10 MG$76.69150——
J9293Injection, mitoxantrone hydrochloride, per 5 mg5 MG$19.4188——
J9294Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg10 MG$3.678150——
J9297Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg10 MG$4.879150——
J9298Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg3 mg/1 mg$205.442160——
J9299Injection, nivolumab, 1 mg1 MG$34.191480——
J9301Injection, obinutuzumab, 10 mg10 MG$85.039100——
J9303Injection, panitumumab, 10 mg10 MG$183.27590——
J9304Injection, pemetrexed (pemfexy), 10 mg10 MG$92.505150——
J9305Injection, pemetrexed, not otherwise specified, 10 mg10 MG$1.23150——
J9306Injection, pertuzumab, 1 mg1 MG$17.269840——
J9307Injection, pralatrexate, 1 mg1 MG$384.57280——
J9308Injection, ramucirumab, 5 mg5 MG$76.398280——
J9309Injection, polatuzumab vedotin-piiq, 1 mg1 MG$144.103280——
J9311Injection, rituximab 10 mg and hyaluronidase10 mg$36.265160—yes
J9312Injection, rituximab, 10 mg10 MG$72.094150—yes
J9314Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg10 MG$10.986150——
J9316Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg10 MG$59.491180——
J9317Injection, sacituzumab govitecan-hziy, 2.5 mg2.5 MG$37.536648——
J9318Injection, romidepsin, non-lyophilized, 0.1 mg0.1 MG$32.864475——
J9319Injection, romidepsin, lyophilized, 0.1 mg0.1 MG$32.343500——
J9321Injection, epcoritamab-bysp, 0.16 mg0.16 MG$57.975300——
J9324Injection, pemetrexed (pemrydi rtu), 10 mg10 MG$63.58150——
J9325Injection, talimogene laherparepvec, per 1 million plaque forming units1 millionPFU$77.657400——
J9326Injection, telisotuzumab vedotin-tllv, 1 mg1 MG$145.946200——
J9328Injection, temozolomide, 1 mg1 MG$10.41400——
J9329Injection, tislelizumab-jsgr, 1mg1 MG$58.086400——
J9330Injection, temsirolimus, 1 mg1 MG$27.70750——
J9331Injection, sirolimus protein-bound particles, 1 mg1 MG$91.03300——
J9332Injection, efgartigimod alfa-fcab, 2mg2 MG$32.347600——
J9333Injection, rozanolixizumab-noli, 1 mg1 MG$23.626840——
J9334Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc2 MG$33.59504——
J9341Injection, thiotepa (tepylute), 1 mg1 MG$37.84160——
J9342Injection, thiotepa, not otherwise specified, 1 mg1 MG$5.87160——
J9345Injection, retifanlimab-dlwr, 1 mg1 MG$30.932500——
J9347Injection, tremelimumab-actl, 1 mg1 MG$146.991300——
J9348Injection, naxitamab-gqgk, 1 mg1 MG$685.988160——
J9349Injection, tafasitamab-cxix, 2 mg2 MG$14.428900——
J9350Injection, mosunetuzumab-axgb, 1 mg1 MG$676.48460——
J9351Injection, topotecan, 0.1 mg0.1 MG$2.067120——
J9353Injection, margetuximab-cmkb, 5 mg5 MG$56.046450——
J9354Injection, ado-trastuzumab emtansine, 1 mg1 MG$43.86600——
J9355Injection, trastuzumab, excludes biosimilar, 10 mg10 MG$68.871120——
J9356Injection, trastuzumab, 10 mg and hyaluronidase-oysk10 MG$58.03860——
J9357Injection, valrubicin, intravesical, 200 mg200 MG$1,230.6644——
J9358Injection, fam-trastuzumab deruxtecan-nxki, 1 mg1 MG$32.6531000——
J9359Injection, loncastuximab tesirine-lpyl, 0.075 mg0.075 MG$226.565400——
J9360Injection, vinblastine sulfate, 1 mg1 MG$5.75440——
J9361Injection, efbemalenograstim alfa-vuxw, 0.5 mg0.5 MG$121.42940——
J9362Injection, trabectedin, 0.01 mg0.01 MG$41.844———
J9370Vincristine sulfate, 1 mg1 MG$9.4264——
J9380Injection, teclistamab-cqyv, 0.5 mg0.5 MG$35.818918——
J9381Injection, teplizumab-mzwv, 5 mcg5 MCG$39.274800——
J9382Injection, zenocutuzumab-zbco, 1 mg1 MG$33.869750——
J9390Injection, vinorelbine tartrate, 10 mg10 MG$4.14836——
J9395Injection, fulvestrant, 25 mg25 MG$5.02120——
J9400Injection, ziv-aflibercept, 1 mg1 MG$9.702500——
J9601Injection, linvoseltamab-gcpt, 1 mg1 MG$99.134———

How to read this table

The limit is the Medicare Part B payment allowance per billing unit for the quarter shown, not per dose: multiply it by the units that the administered quantity divided by the descriptor unit produces. The MUE column is the practitioner-setting Medically Unlikely Edit, the maximum units CMS expects on one date of service; facility and DME limits can differ and appear on each code page. Column-2 pairs counts the active NCCI procedure-to-procedure edits in which the code is the bundled component, and Articles marks codes that at least one Medicare Administrative Contractor lists in a current Billing and Coding Article with covered diagnosis codes. Codes without a published limit are contractor-priced or carry a zero limit in the CMS file.

Frequently asked questions

How many codes are in drugs administered other than oral method, chemotherapy drugs (j codes)?

787 codes in this range carry an ASP payment limit in the October 2026 file; 707 have enough joined CMS data (MUE, NCCI, OPPS or coverage) to be published as full reference pages.

Which payers use these payment limits?

Medicare Part B contractors apply the ASP limits directly. Medicaid programs and commercial payers publish their own fee schedules, which often reference ASP but at different percentages.

Why do some codes show no MUE?

CMS withholds some MUE values as confidential and applies them without publication; others have no unit limit. A code with no published MUE can still deny for units when the quantity is implausible for the dose.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.

Disclaimer

Operational reference compiled from CMS publications. Payment limits are Medicare national amounts; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.