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Verteporfin Injection

Texas rates for HCPCS J3396 · Visudyne

Injection, verteporfin, 0.1 mg

Rates data updated October 2026.

How much does Visudyne (verteporfin for injection) cost?

$12.88per 0.1 mg

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $12.88 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 $26.92 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
$26.92

The same drug, in the same amount, costs 134% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$26.92$15.49 to $38.02

How much rates vary

Facilitymedian $27 · 10th to 90th $11 to $46Professionalmedian $11 · 10th to 90th $11 to $12
$10$20$50$100facility $27professional $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
$18.62
Typical High
$25.12
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$1.70
Median
$2.75
Typical High
$3.80
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$1.12
Median
$1.86
Typical High
$2.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$12.59
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.70
Median
$1.74
Typical High
$1.86
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.12
Median
$1.15
Typical High
$1.26
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$31.62
Typical High
$48.98
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$21.38
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$12.59
Typical High
$23.99
Moda Health
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.75
Typical High
$12.59
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.74
Median
$1.74
Typical High
$1.82
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.15
Median
$1.17
Typical High
$1.20
Molina
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Providence
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$13.80
Typical High
$97.72
Providence
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48

Where Texas 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.

Texas· 13th of 51

$12.88

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.