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Michigan 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
$158,224.74 / $3,112,373.11 / $8,438,474.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,661,968.43 / $2,712,194.24 / $3,013,549.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661,968.43 / $2,661,968.43 / $3,194,362.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455,110.60 / $2,455,110.60 / $2,455,110.60