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
ZIV-AFLIBERCEPT 100 MG/4 ML (25 MG/ML) INTRAVENOUS SOLN [117504]
Arlington, TX
See all hospitals reporting HCPCS J9400 →Price type
AMH Cath Labs LLC’s median price of $2.0k is 16478% above the median hospital's median price ($12), higher than 89% of the 1,423 hospitals reporting HCPCS J9400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Humana medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Molina medicare advantage case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | UnitedHealthcare all payer fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 10 | UnitedHealthcare ppo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Blue Cross Blue Shield hmo fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 12 | Blue Cross Blue Shield exchange fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $470 | $470 | — | — | — | $470 – $470 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $470 | $470 | — | — | — | $470 – $470 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $507 | $507 | — | — | — | $507 – $507 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $517 | $517 | — | — | — | $517 – $517 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Apr 21, 2026
See Ziv-aflibercept injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.