HCPCS M1145

Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)

Retired code2 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS M1145 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	—	$175	$175
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$104	$160

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.