HCPCS C9162
Injection, avacincaptad pegol, 0.1 mg
Retired codeInjection - Macular Degeneration22 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 | $173 | — | — |
| Deaconess Medical Center | $173 – $482 | — | — |
| Kadlec Regional Medical Center | $108 | — | — |
| Legacy Salmon Creek Medical Center | $138 – $162 | — | — |
| Mary Bridge Children's Hospital | $173 – $851 | — | — |
| MultiCare Auburn Medical Center | $173 – $501 | — | — |
| MultiCare Covington Medical Center | $173 – $501 | — | — |
| MultiCare Good Samaritan Hospital | $173 – $501 | — | — |
| MultiCare Valley Hospital | $173 – $481 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $84.36 – $108 | — | — |
| Providence Centralia Hospital | $303 | — | — |
| Providence Holy Family Hospital | $108 | — | — |
| Providence Regional Medical Center Everett | $91.93 – $108 | — | — |
| Providence St Mary Medical Center | $216 | — | — |
| Providence St Peter Hospital | $108 | — | — |
| Swedish Edmonds Hospital | $165 – $195 | — | — |
| Swedish Issaquah | $160 – $189 | — | — |
| Swedish Medical Center | $211 – $248 | — | — |
| Swedish Medical Center / Cherry Hill | $211 – $248 | — | — |
| Tacoma General Allenmore Hospital | $173 – $501 | — | — |
| Virginia Mason Medical Center | $320 | — | — |
| Yakima Valley Memorial | $301 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.