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Verteporfin Injection

New York 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 York, 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 $15.14 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
$15.14

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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 $12.02
FacilityA hospital or hospital-owned outpatient department$15.14$11.48 to $19.05

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $26Professionalmedian $11 · 10th to 90th $11 to $16
$10$20$50facility $15professional $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
$16.22
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$22.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.75
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$48.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$41.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$12.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$24.55
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.49
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$13.80

Where New York 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 York· 35th 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.