HCPCS C9151
Injection, pegcetacoplan, 1 mg
Retired code16 hospitals with prices
This code is retired. Some hospitals still list it. CMS replaced it with HCPCS J2781.
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 | $671 | — | — |
| Legacy Salmon Creek Medical Center | $192 – $226 | — | — |
| Mary Bridge Children's Hospital | $1,183 | — | — |
| MultiCare Auburn Medical Center | $696 | — | — |
| MultiCare Covington Medical Center | $696 | — | — |
| MultiCare Good Samaritan Hospital | $696 | — | — |
| MultiCare Valley Hospital | $669 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $161 | — | — |
| Providence Holy Family Hospital | $161 | — | — |
| Providence Regional Medical Center Everett | $161 | — | — |
| Swedish Edmonds Hospital | $161 | — | — |
| Swedish Issaquah | $161 | — | — |
| Swedish Medical Center | $161 | — | — |
| Swedish Medical Center / Cherry Hill | $161 | — | — |
| Tacoma General Allenmore Hospital | $696 | — | — |
| Yakima Valley Memorial | $418 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.