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Verteporfin Injection

North Carolina rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Rates data updated July 2026.

How much does Verteporfin Injection cost?

$12.02per 0.1 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.02 for each 0.1 mg of this drug. The price depends on where it is billed: about $11.75 from a physician practice, and about $13.80 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
$11.75
At a hospital outpatient department
$13.80

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$11.75$11.48 to $14.13
FacilityA hospital or hospital-owned outpatient department$13.80$11.75 to $21.88

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $28Professionalmedian $12 · 10th to 90th $11 to $22
$10.0$20.0$50.0$100.0facility $14professional $12

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
$13.49
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.75
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$16.60
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 2.5 times more in Delaware than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $12.02 · 25th of 51
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.