J0178 — Injection, aflibercept, 1 mg

What the market charges

Across 2,118 negotiated rates, the middle 80% fall between $744 and $1,864, with a median of $1,052.

What Medicare pays

Medicare allowed an average of $822 for this code, across 2,690,616 services billed by 3,155 providers. At the median, the market charges 1.3 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J0178 most, by Medicare service volume, each compared against the national average of $822. Each links to the providers Mishe lists there.

  • California — 312 providers billed it, Medicare allowed $823 — level with the national average
  • Florida — 230 providers billed it, Medicare allowed $825 — level with the national average
  • New York — 227 providers billed it, Medicare allowed $822 — level with the national average
  • Texas — 226 providers billed it, Medicare allowed $821 — level with the national average
  • Pennsylvania — 141 providers billed it, Medicare allowed $824 — level with the national average
  • Illinois — 120 providers billed it, Medicare allowed $824 — level with the national average
  • Massachusetts — 83 providers billed it, Medicare allowed $826 — level with the national average
  • Virginia — 82 providers billed it, Medicare allowed $824 — level with the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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