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

Outpatient Services: CPT/HCPCS

Payers reporting HCPCS C9171

Payer pricing summary

Low

$29

Average

$53

Median

$38

High

$179

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	33	$47	$52	$26	49%	—	$20 – $166
2	UnitedHealthcare facility · case rate · outpatient · +1 other terms	19	$25	$28	$7	26%	—	$16 – $39
3	Anthem facility · case rate · outpatient · +3 other terms	18	$24	$28	$7	26%	—	$15 – $38
4	Caresource facility · case rate · outpatient	18	$24	$30	$12	40%	—	$15 – $55
5	Molina facility · case rate · outpatient · +1 other terms	18	$24	$29	$7	26%	—	$16 – $38
6	Aetna fee schedule · outpatient · +2 other terms	17	$85	$81	$14	17%	—	$20 – $107
7	Cigna fee schedule · outpatient · +1 other terms	17	$99	$92	$12	13%	—	$72 – $99
8	Optum facility · case rate · outpatient · +1 other terms	11	$21	$23	$5	22%	—	$19 – $35
9	Kaiser fee schedule · outpatient	8	$174	$179	$49	28%	—	$104 – $295
10	Humana facility · case rate · outpatient · +2 other terms	3	$37	$37	—	—	—	$37 – $37
11	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$36	$36	—	—	—	$36 – $36
12	WellCare facility · case rate · outpatient	3	$37	$42	$12	29%	—	$37 – $75
13	Ambetter facility · case rate · outpatient	2	$56	$56	$1	2%	—	$55 – $57
14	Bcbs Ca fee schedule · outpatient · +1 other terms	1	$37	$37	$1	2%	—	$36 – $38
15	Bcbs Il facility · case rate · outpatient · +1 other terms	1	$37	$37	—	—	—	$37 – $37
16	Premera facility · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
17	Regence facility · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38