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Verteporfin Injection

Colorado rates for HCPCS J3396 · Visudyne

Injection, verteporfin, 0.1 mg

Rates data updated July 2026.

How much does Visudyne (verteporfin for injection) cost?

$19.05per 0.1 mg

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $19.05 for each 0.1 mg of this drug. The price depends on where it is billed: about $11.48 from a physician practice, and about $22.91 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$11.48
At a hospital outpatient department
$22.91

The same drug, in the same amount, costs 100% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.48$11.48 to $11.48
FacilityA hospital or hospital-owned outpatient department$22.91$18.20 to $26.92

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $44Professionalmedian $11 · 10th to 90th $11 to $13
$10$20$50facility $23professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.18
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$16.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.88
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.38
Typical High
$24.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where Colorado sits

The same service costs 2.5 times more in Delaware than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 3rd of 51

$19.05

DE $28.84DC $11.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.