HCPCS Q5147
Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg
Current codeInjection - Macular Degeneration27 hospitals with prices
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 | $866 – $1,489 | — | — |
| Deaconess Medical Center | $866 – $3,550 | — | — |
| Harborview Medical Center | $911 – $1,866 | — | — |
| Island Hospital | $866 – $1,807 | — | — |
| Kadlec Regional Medical Center | $1,388 – $2,307 | — | — |
| Legacy Salmon Creek Medical Center | $1,015 – $1,791 | — | — |
| Mary Bridge Children's Hospital | $6,259 | — | — |
| MultiCare Auburn Medical Center | $866 – $3,685 | — | — |
| MultiCare Covington Medical Center | $866 – $3,685 | — | — |
| MultiCare Good Samaritan Hospital | $866 – $3,685 | — | — |
| MultiCare Valley Hospital | $866 – $3,542 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $904 – $2,341 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,388 – $2,725 | — | — |
| Providence Centralia Hospital | $1,388 – $5,105 | — | — |
| Providence Holy Family Hospital | $986 – $2,528 | — | — |
| Providence Regional Medical Center Everett | $986 – $1,906 | — | — |
| Providence St Peter Hospital | $698 – $2,682 | — | — |
| Swedish Edmonds Hospital | $1,232 – $2,086 | — | — |
| Swedish Issaquah | $1,232 – $1,824 | — | — |
| Swedish Medical Center | $1,232 – $2,934 | — | — |
| Swedish Medical Center / Cherry Hill | $1,232 – $2,934 | — | — |
| Tacoma General Allenmore Hospital | $866 – $3,685 | — | — |
| University of Washington Medical Ctr | $911 – $2,695 | — | — |
| Virginia Mason Medical Center | $859 | — | — |
| Wellfound Behavioral Health Hospital | $2,073 | — | — |
| Yakima Valley Memorial | $1,288 – $1,377 | — | — |
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)
- $763 (APC 2068)
- Surgery center payment (national)
- $763