HCPCS C9149
Injection, teplizumab-mzwv, 5 mcg
Retired codeInjection - Monoclonal Antibodies17 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | $159 | — | — |
| Legacy Salmon Creek Medical Center | $45.48 – $53.49 | — | — |
| Mary Bridge Children's Hospital | $280 | — | — |
| MultiCare Auburn Medical Center | $165 | — | — |
| MultiCare Covington Medical Center | $165 | — | — |
| MultiCare Good Samaritan Hospital | $165 | — | — |
| MultiCare Valley Hospital | $159 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $38.09 | — | — |
| Providence Holy Family Hospital | $38.09 | — | — |
| Providence Regional Medical Center Everett | $38.09 | — | — |
| Swedish Edmonds Hospital | $38.09 | — | — |
| Swedish Issaquah | $38.09 | — | — |
| Swedish Medical Center | $38.09 | — | — |
| Swedish Medical Center / Cherry Hill | $38.09 | — | — |
| Tacoma General Allenmore Hospital | $165 | — | — |
| Virginia Mason Medical Center | $106 | — | — |
| Yakima Valley Memorial | $99.13 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.