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Massachusetts rates for HCPCS J3399

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

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238,721.14 / $2,238,721.14 / $2,238,721.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,772.37 / $3,801,893.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137,962.09 / $2,137,962.09 / $3,890,451.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238,721.14 / $2,238,721.14 / $2,238,721.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398,832.92 / $2,570,395.78 / $3,981,071.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,773.51 / $46,773.51 / $2,454,708.92