96375 Tx/pro/dx inj new drug addon
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$8.98
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$0.00
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$24.51
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$24.51
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$24.51
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$24.51
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$39.40
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$43.83
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$43.83
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$43.83
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$48.42
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$49.27
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$55.68
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$56.32
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$82.97
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$82.97
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$82.97
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$100.00
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$100.00
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$100.00
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$100.00
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$100.00
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$100.00
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$102.49
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$102.49
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$102.49
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$113.95
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$113.95
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$113.95
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$113.95
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$113.95
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$113.95
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$117.53
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$179.81
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$206.00
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$226.00
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$275.00
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$300.00
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$300.00
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$300.00
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$300.00
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$300.00
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$321.00
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$240.75
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$343.00
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$403.00
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$403.00
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$403.00
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$403.00
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$417.00
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$423.70
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$0.00
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$423.70
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$525.00
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$0.00
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$0.00
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What Medicare pays here?
| Tx/pro/dx inj new drug addon | |
| Region | Price |
|---|---|
| Alabama | $15.33 |
| Alaska | $20.15 |
| Arizona | $16.50 |
| Arkansas | $15.12 |
| Anaheim/Santa Ana, CA | $19.81 |
| Los Angeles, CA | $18.94 |
| Marin/Napa/Solano, CA | $20.14 |
| Oakland/Berkeley, CA | $20.27 |
| Rest of California | $17.96 |
| San Francisco, CA | $21.69 |
| San Mateo, CA | $21.62 |
| Santa Clara, CA | $21.41 |
| Ventura, CA | $19.42 |
| Colorado | $17.19 |
| Connecticut | $18.56 |
| DC + MD/VA Suburbs | $19.85 |
| Delaware | $17.25 |
| Fort Lauderdale, FL | $17.38 |
| Miami, FL | $17.88 |
| Rest of Florida | $16.44 |
| Atlanta, GA | $16.93 |
| Rest of Georgia | $15.65 |
| Hawaii/Guam | $18.83 |
| Idaho | $15.49 |
| Chicago, IL | $17.74 |
| East St. Louis, IL | $16.39 |
| Rest of Illinois | $15.96 |
| Suburban Chicago, IL | $17.86 |
| Indiana | $15.66 |
| Iowa | $15.52 |
| Kansas | $15.64 |
| Kentucky | $15.32 |
| New Orleans, LA | $16.60 |
| Rest of Louisiana | $15.54 |
| Rest of Maine | $15.81 |
| Southern Maine | $16.91 |
| Baltimore/Surr. Cntys, MD | $18.36 |
| Rest of Maryland | $17.43 |
| Metropolitan Boston | $18.85 |
| Rest of Massachusetts | $17.90 |
| Detroit, MI | $17.04 |
| Rest of Michigan | $15.89 |
| Minnesota | $16.85 |
| Mississippi | $15.02 |
| Metropolitan Kansas City, MO | $16.48 |
| Metropolitan St Louis, MO | $16.43 |
| Rest of Missouri | $15.16 |
| Montana | $17.17 |
| Nebraska | $15.52 |
| Nevada | $17.13 |
| New Hampshire | $17.54 |
| Northern NJ | $19.40 |
| Rest of New Jersey | $18.60 |
| New Mexico | $16.00 |
| Manhattan, NY | $19.68 |
| NYC Suburbs/Long I., NY | $20.16 |
| Poughkpsie/N NYC Suburbs, NY | $18.02 |
| Queens, NY | $20.12 |
| Rest of New York | $16.14 |
| North Carolina | $15.93 |
| North Dakota | $16.77 |
| Ohio | $15.86 |
| Oklahoma | $15.51 |
| Portland, OR | $17.60 |
| Rest of Oregon | $16.43 |
| Metropolitan Philadelphia, PA | $18.11 |
| Rest of Pennsylvania | $16.12 |
| Puerto Rico | $17.03 |
| Rhode Island | $17.68 |
| South Carolina | $15.64 |
| South Dakota | $16.72 |
| Tennessee | $15.48 |
| Austin, TX | $17.12 |
| Beaumont, TX | $15.89 |
| Brazoria, TX | $16.91 |
| Dallas, TX | $17.08 |
| Fort Worth, TX | $16.69 |
| Galveston, TX | $17.10 |
| Houston, TX | $17.14 |
| Rest of Texas | $16.06 |
| Utah | $16.05 |
| Vermont | $16.99 |
| Virgin Islands | $17.03 |
| Virginia | $16.72 |
| Rest of Washington | $17.05 |
| Seattle (King Cnty), WA | $18.91 |
| West Virginia | $15.19 |
| Wisconsin | $16.15 |
| Wyoming | $16.90 |
| Bakersfield, CA | $17.83 |
| Chico, CA | $17.81 |
| El Centro, CA | $17.82 |
| Fresno, CA | $17.81 |
| Hanford-Corcoran, CA | $17.82 |
| Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA | $19.29 |
| Los Angeles-Long Beach-Anaheim (Orange Cnty), CA | $19.29 |
| Madera, CA | $17.81 |
| Merced, CA | $17.81 |
| Modesto, CA | $17.81 |
| Napa, CA | $20.26 |
| Oxnard-Thousand Oaks-Ventura, CA | $19.19 |
| Redding, CA | $17.81 |
| Riverside-San Bernardino-Ontario, CA | $17.89 |
| Sacramento--Roseville--Arden-Arcade, CA | $18.07 |
| Salinas, CA | $18.18 |
| San Diego-Carlsbad, CA | $18.37 |
| San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA | $21.22 |
| San Francisco-Oakland-Hayward (Marin Cnty), CA | $20.75 |
| San Francisco-Oakland-Hayward (San Francisco Cnty), CA | $21.22 |
| San Francisco-Oakland-Hayward (San Mateo Cnty), CA | $21.22 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA | $19.74 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA | $21.61 |
| San Luis Obispo-Paso Robles-Arroyo Grande, CA | $17.94 |
| Santa Cruz-Watsonville, CA | $18.98 |
| Santa Maria-Santa Barbara, CA | $18.53 |
| Santa Rosa, CA | $18.55 |
| Stockton-Lodi, CA | $17.81 |
| Vallejo-Fairfield, CA | $20.26 |
| Visalia-Porterville, CA | $17.81 |
| Yuba City, CA | $17.81 |
| Rest Of California, CA | $17.81 |
| Hawaii, GUam | $18.70 |
| Metropolitan Boston, MA | $19.40 |
