C9455 Injection, siltuximab

Injection, siltuximab, 10 mg

Payer policies and prior authorization for C9455

Payer coverage policies that name C9455

C9455 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
BlueCross BlueShield of South CarolinaSiltuximab (Sylvant) (CAM 112)
96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug		listed, no stanceJan 1, 2026payer document

Medicaid fee-for-service

  • WY: $0.00 (professional), effective Jan 1, 2016

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.