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Maine rates for HCPCS J3399

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

Facilitymedian $0 · 10th–90th $0–$2,691,5350%50%10th90th$0Professionalmedian $2,187,762 · 10th–90th $2,137,962–$2,630,2680%20%40%10th90th$2,187,762$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,630,267.99 / $2,630,267.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691,534.80 / $2,691,534.80 / $2,691,534.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137,962.09 / $2,137,962.09 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51