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Massachusetts rates for HCPCS J3399

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

Facilitymedian $2,398,833 · 10th–90th $4,898–$3,715,3520%20%10th90th$2,398,833Professionalmedian $2,137,962 · 10th–90th $2,137,962–$3,548,1340%50%90th$2,137,962$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. Need provider-level prices? Contact us.

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238,721.14 / $2,238,721.14 / $2,238,721.14
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,454,708.92 / $3,715,352.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137,962.09 / $2,137,962.09 / $3,548,133.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238,721.14 / $2,238,721.14 / $2,238,721.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,570,395.78 / $3,981,071.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $2,454,708.92