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Verteporfin Injection

Washington rates for HCPCS J3396 · Visudyne

Injection, verteporfin, 0.1 mg

Rates data updated July 2026.

How much does Visudyne (verteporfin for injection) cost?

$12.59per 0.1 mg

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $12.59 for each 0.1 mg of this drug. The price depends on where it is billed: about $12.59 from a physician practice, and about $16.60 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
$12.59
At a hospital outpatient department
$16.60

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$12.59$11.75 to $13.49
FacilityA hospital or hospital-owned outpatient department$16.60$11.48 to $22.91

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $26Professionalmedian $13 · 10th to 90th $11 to $16
$10.0$20.0$50.0facility $17professional $13

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
$12.59
Median
$19.50
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$19.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$22.91
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$20.42
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$32.36
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$22.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$15.14

Where Washington 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.

Washington $12.59 · 15th 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.