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
Inj, pegulicianine, 1 mg
Saint Louis, MO
See all hospitals reporting HCPCS A9615 →Price type
SSM-SLUH, Inc.’s median price of $38 is 5% below the median hospital's median price ($40), higher than 37% of the 934 hospitals reporting HCPCS A9615. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 anthem medicare managed care plan fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | UnitedHealthcare employee fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 4 | UnitedHealthcare non-ppo other commercial plan fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | UnitedHealthcare options ppo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Humana medicare managed care plan fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Aetna advantra medicare managed care plan fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Oscar exchange fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 10 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 11 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 12 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
Last updated: Apr 1, 2026
See Pegulicianine injection, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.