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Vestronidase Alfa-vjbk Injection

New York rates for HCPCS J3397 · Mepsevii

Injection, vestronidase alfa-vjbk, 1 mg

Rates data updated July 2026.

How much does Mepsevii (vestronidase alfa) cost?

$282per mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $282 for each mg of this drug. The price depends on where it is billed: about $282 from a physician practice, and about $288 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 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$282
At a hospital outpatient department
$288

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$282$269 to $282
FacilityA hospital or hospital-owned outpatient department$288$269 to $347

How much rates vary

Facilitymedian $288 · 10th to 90th $269 to $501Professionalmedian $282 · 10th to 90th $251 to $288
$200$500facility $288professional $282

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
$269.15
Median
$288.40
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$251.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$1,513.56
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$331.13
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$302.00
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$288.40
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$346.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$346.74

Where New York sits

The same service costs 1.7 times more in Colorado than in North Carolina. 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

$282

CO $468NC $275

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.