Recombinant hyaluronidase injection at Pekin Memorial Hospital

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.

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Generated: October 20, 2026

Original text from hospital filings

HYLENEX 150 UNIT/ML INJECTION SOLUTION

Pekin, IL

See all payers reporting HCPCS J3473 →

Payers reporting HCPCS J3473 at Pekin Memorial Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$0	$0	—	—	—	$0 – $0
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$0	$0	—	—	—	$0 – $0
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
6	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
7	Blue Cross Blue Shield managed medicaid percent of total billed charges · inpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
8	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
9	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
10	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
11	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
12	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
13	Blue Cross Blue Shield hmo percent of total billed charges · inpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
14	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
15	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
16	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
17	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
18	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
19	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
21	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
22	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$247	$247	—	—	—	$247 – $247