HCPCS G9454
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
No scr hcv inf 12 mth rp
Low
$0
Average
$6
Median
$10
High
$16
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · case rate · outpatient | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 2 | Caresource facility · case rate · outpatient | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 3 | Molina facility · case rate · outpatient | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 4 | UnitedHealthcare facility · case rate · outpatient | 15 | $10 | $11 | $3 | 24% | — | $7 – $17 |
| 5 | Aetna professional · fee schedule · outpatient · +5 other terms | 14 | $0 | $25 | $112 | 441% | — | $0 – $522 |
| 6 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Optum facility · case rate · outpatient | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 8 | First Health professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Bcbs Vt professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS G9454 · Snapshot 20261113T090226Z-3ce6c0b8