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Plasminogen Injection

Arizona rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $100$1580%50%90th$100Professionalmedian $29 · 10th–90th $25$290%50%10th$29$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$28.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$158.49