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Iowa rates for HCPCS J3399

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

Facilitymedian $2,511,886 · 10th–90th $2,511,886–$2,511,8860%50%$2,511,886Professionalmedian $2,398,833 · 10th–90th $151–$2,884,0320%20%40%10th90th$2,398,833$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2,454,708.92 / $2,454,708.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,398,832.92 / $2,884,031.50
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,511,886.43 / $2,511,886.43