Pegulicianine injection, per milligram

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, pegulicianine, 1 mg

Payers reporting HCPCS A9615

Payer pricing summary

Low

$20

Average

$219

Median

$42

High

$5.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	500	$57	$59	$30	51%	—	$17 – $234
2	Aetna fee schedule · outpatient · +10 other terms	317	$38	$50	$38	75%	—	$20 – $368
3	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	225	$58	$81	$53	66%	—	$1 – $272
4	Cigna fee schedule · outpatient · +11 other terms	216	$52	$97	$81	83%	—	$33 – $309
5	Humana fee schedule · outpatient · +8 other terms	195	$38	$38	$4	10%	—	$34 – $84
6	WellCare fee schedule · outpatient · +3 other terms	114	$38	$43	$14	33%	—	$35 – $88
7	Molina fee schedule · outpatient · +6 other terms	95	$40	$49	$15	32%	—	$28 – $81
8	Anthem fee schedule · outpatient · +6 other terms	86	$39	$59	$44	74%	—	$35 – $281
9	Devoted fee schedule · outpatient · +3 other terms	63	$38	$38	$2	6%	—	$34 – $42
10	Kaiser fee schedule · outpatient · +2 other terms	54	$47	$68	$50	73%	—	$37 – $295
11	Ambetter facility · fee schedule · outpatient · +5 other terms	50	$66	$71	$17	24%	—	$38 – $96
12	Optum fee schedule · outpatient · +3 other terms	33	$37	$49	$22	44%	—	$33 – $108
13	Bcbs Tx fee schedule · outpatient	31	$136	$127	$56	44%	—	$35 – $243
14	Caresource fee schedule · outpatient · +4 other terms	27	$56	$48	$10	21%	—	$38 – $73
15	Clover fee schedule · outpatient · +2 other terms	24	$41	$40	$3	7%	—	$36 – $44
16	Oscar facility · fee schedule · outpatient · +3 other terms	24	$56	$56	$9	16%	—	$42 – $69
17	Medicare fee schedule · outpatient · +1 other terms	18	$37	$37	—	—	—	$37 – $37
18	Regence facility · fee schedule · outpatient · +1 other terms	18	$39	$39	$3	6%	—	$32 – $46
19	Highmark fee schedule · outpatient · +4 other terms	16	$46	$48	$17	36%	—	$20 – $97
20	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$38	$50	$26	52%	—	$20 – $149
21	Wellmark fee schedule · both · +2 other terms	13	$35	$35	—	—	—	$35 – $35
22	Bcbs Nj fee schedule · outpatient	12	$36	$50	$40	79%	—	$35 – $181
23	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$39	$39	—	—	—	$39 – $39
24	Medica facility · fee schedule · outpatient · +4 other terms	11	$38	$34	$8	25%	—	$14 – $40
25	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$37	$36	$0	1%	—	$36 – $37

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