Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inj, pegulicianine, 1 mg
Prices here combine facility and professional fees. See them separately →Experimental
Low
$28
Average
$85
Median
$38
High
$188
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Montefiore Medical Center Bronx, NY | $188 | $188 | — | — | — | $188 – $188 |
| 3 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $29 | $28 | $0 | 0% | — | $28 – $29 |
Ask Claude or any MCP client for HCPCS A9615 pricing at a specific hospital — see how to connect.