| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,141,691.40 | $2,141,691.40 | $2,141,691.40 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.05 | |
Anthem BCBS
| Professional | $2,511,290.97 | $2,511,290.97 | $2,511,290.97 |
Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,141,691.40 | $2,141,691.40 | $2,141,691.40 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.05 | |
Anthem BCBS
| Professional | $2,511,290.97 | $2,511,290.97 | $2,511,290.97 |