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Kentucky rates for HCPCS J3399

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.33 / $2,833.33 / $2,833.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $62,999.37 / $4,638,769.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,342,812.50 / $3,123,750.00 / $4,638,768.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00