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Florida 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
$3,300,460.00 / $3,300,460.00 / $3,300,460.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561,516.79 / $2,561,516.79 / $2,561,516.79
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385,726.42 / $2,385,726.42 / $2,385,726.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455,110.60 / $2,455,110.60 / $2,455,110.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322,044.00 / $2,322,044.00 / $2,322,044.00