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Pennsylvania rates for HCPCS J3398

Injection, voretigene neparvovec-rzyl, 1 billion vector genomes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,106.75 / $4,660.13 / $7,704.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.75 / $3,106.75 / $3,106.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $45.50 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $45.50 / $45.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456,875.00 / $456,875.00 / $456,875.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,106.75 / $4,660.13 / $7,704.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.10 / $3,106.75 / $4,660.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456,875.00 / $456,875.00 / $456,875.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.83 / $3,045.83 / $4,206.29