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Indiana rates for HCPCS J3399

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

Facilitymedian $0 · 10th–90th $0–$00%50%90th$0Professionalmedian $2,818 · 10th–90th $2,818–$7,0790%50%90th$2,818$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $7,079.46
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $4,897,788.19 / $4,897,788.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $4,073,802.78