go back

Kansas rates for HCPCS J3399

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290,867.65 / $2,398,832.92 / $2,398,832.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511,886.43 / $2,511,886.43 / $2,511,886.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454,708.92 / $2,454,708.92 / $2,454,708.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454,708.92 / $2,454,708.92 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398,832.92 / $2,398,832.92 / $2,630,267.99