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California rates for HCPCS J3399

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288,228.18 / $2,288,228.18 / $2,288,228.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511,290.97 / $2,511,290.97 / $2,511,290.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.50 / $96.30 / $2,870,046.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605,464.38 / $2,605,464.38 / $6,440,707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455,110.60 / $2,455,110.60 / $2,455,110.60