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Verteporfin Injection

New Jersey rates for HCPCS J3396 · Visudyne

Injection, verteporfin, 0.1 mg

Rates data updated July 2026.

How much does Visudyne (verteporfin for injection) cost?

$11.75per 0.1 mg

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $11.75 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 $18.62 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
$18.62

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 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 $12.59
FacilityA hospital or hospital-owned outpatient department$18.62$16.22 to $31.62

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $8,710Professionalmedian $11 · 10th to 90th $11 to $18
$10$100$1K$10Kfacility $19professional $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
$14.79
Median
$18.20
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.80
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.13
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.80

Where New Jersey 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.

New Jersey· 34th of 51

$11.75

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.