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Verteporfin Injection

Kentucky rates for HCPCS J3396 · Visudyne

Injection, verteporfin, 0.1 mg

Rates data updated October 2026.

How much does Visudyne (verteporfin for injection) cost?

$11.48per 0.1 mg

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $11.48 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 $13.49 from a hospital or other facility.

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
$13.49

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

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$13.49$11.48 to $13.80

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $27Professionalmedian $11 · 10th to 90th $11 to $22
$10$20$50facility $13professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$13.49
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$11.48
Typical High
$11.48
CareSource
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$18.62
CareSource
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.02
Typical High
$16.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$41.69
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where Kentucky sits

The same service costs 1.5 times more in Alaska than in West Virginia. 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.

Kentucky· 46th of 51

$11.48

AK $17.38WV $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.