HCPCS C9159
Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activity
Retired codeInjection - Clotting Factors22 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) |
|---|---|---|---|
| Capital Medical Center | $5.19 | — | — |
| Deaconess Medical Center | $5.19 – $14.50 | — | — |
| Kadlec Regional Medical Center | $3.25 | — | — |
| Legacy Salmon Creek Medical Center | $4.14 – $4.88 | — | — |
| Mary Bridge Children's Hospital | $5.19 – $25.56 | — | — |
| MultiCare Auburn Medical Center | $5.19 – $15.05 | — | — |
| MultiCare Covington Medical Center | $5.19 – $15.05 | — | — |
| MultiCare Good Samaritan Hospital | $5.19 – $15.05 | — | — |
| MultiCare Valley Hospital | $5.19 – $14.46 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.53 – $3.25 | — | — |
| Providence Centralia Hospital | $9.09 | — | — |
| Providence Holy Family Hospital | $3.25 | — | — |
| Providence Regional Medical Center Everett | $2.76 – $3.25 | — | — |
| Providence St Mary Medical Center | $6.49 | — | — |
| Providence St Peter Hospital | $3.25 | — | — |
| Swedish Edmonds Hospital | $4.96 – $5.84 | — | — |
| Swedish Issaquah | $4.80 – $5.68 | — | — |
| Swedish Medical Center | $6.33 – $7.43 | — | — |
| Swedish Medical Center / Cherry Hill | $6.33 – $7.43 | — | — |
| Tacoma General Allenmore Hospital | $5.19 – $15.05 | — | — |
| Virginia Mason Medical Center | $9.63 | — | — |
| Yakima Valley Memorial | $9.04 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.