Pegulicianine injection, per milligram at Fairview Maple Grove Surgery Center

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, pegulicianine, 1 mg

Maple Grove, MN

See all hospitals reporting HCPCS A9615 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $38 is 4% below the median hospital's median price ($40), higher than 39% of the 934 hospitals reporting HCPCS A9615. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9615 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 11 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 federal fee schedule · both	$36	$36	—	—	—	$36 – $36
2	Blue Cross Blue Shield commercial fee schedule · both	$37	$37	—	—	—	$37 – $37
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Cigna commercial fee schedule · outpatient	$39	$39	$3	9%	—	$35 – $42
6	Medica ma non-snp fee schedule · both	$43	$43	—	—	—	$43 – $43
7	Medica ma snp fee schedule · both	$43	$43	—	—	—	$43 – $43
8	Medica prime solution fee schedule · both	$43	$43	—	—	—	$43 – $43
9	Medica vantage fee schedule · both	$43	$43	—	—	—	$43 – $43
10	Ucare ifp with fairview fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
11	Ucare ifp fee schedule · outpatient	$85	$85	—	—	—	$85 – $85

Last updated: May 18, 2026

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