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Alaska rates for HCPCS J3399

Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes

Insurance Carrier
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,901,034.52 / $3,901,034.52 / $6,130,197.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,901,034.52 / $5,572,906.46 / $9,195,295.66