HCPCS J0177
Injection, aflibercept hd, 1 mg
Current codeInjection - Macular Degeneration28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $295 – $325 | — | — |
| Deaconess Medical Center | $295 – $325 | — | — |
| Harborview Medical Center | $311 – $343 | — | — |
| Island Hospital | $364 – $386 | — | — |
| Kadlec Regional Medical Center | $301 – $361 | — | — |
| Legacy Salmon Creek Medical Center | $310 – $337 | — | — |
| Mary Bridge Children's Hospital | $295 – $325 | — | — |
| MultiCare Auburn Medical Center | $295 – $325 | — | — |
| MultiCare Covington Medical Center | $295 – $325 | — | — |
| MultiCare Good Samaritan Hospital | $295 – $325 | — | — |
| MultiCare Valley Hospital | $304 – $325 | — | — |
| Olympic Medical Center | $382 – $491 | — | — |
| Overlake Hospital Medical Center & Clinics | $301 – $313 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $301 – $361 | — | — |
| Providence Centralia Hospital | $301 – $482 | — | — |
| Providence Holy Family Hospital | $301 – $331 | — | — |
| Providence Regional Medical Center Everett | $301 – $331 | — | — |
| Providence St Mary Medical Center | $301 – $331 | — | — |
| Providence St Peter Hospital | $301 – $482 | — | — |
| Swedish Edmonds Hospital | $301 – $361 | — | — |
| Swedish Issaquah | $301 – $361 | — | — |
| Swedish Medical Center | $301 – $361 | — | — |
| Swedish Medical Center / Cherry Hill | $301 – $361 | — | — |
| Tacoma General Allenmore Hospital | $295 – $325 | — | — |
| University of Washington Medical Ctr | $311 – $343 | — | — |
| Virginia Mason Medical Center | $218 – $327 | $703 – $3,963 | $1,378 – $7,770 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $295 – $331 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $291 (APC 0704)
- Surgery center payment (national)
- $291