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Illinois rates for HCPCS J3399

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

Facilitymedian $3,090,295 · 10th–90th $2,570,396–$4,168,6940%20%40%10th90th$3,090,295Professionalmedian $347 · 10th–90th $120–$2,398,8330%20%10th90th$347$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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090,295.43 / $3,467,368.50 / $4,265,795.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041,737.94 / $2,041,737.94 / $2,041,737.94
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187,761.62 / $2,187,761.62 / $2,238,721.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $3,981,071.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $2,511,886.43