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Minnesota 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
$2,398,832.92 / $2,398,832.92 / $2,630,267.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089,296.13 / $2,398,832.92 / $2,570,395.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819,700.86 / $2,951,209.23 / $3,388,441.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344,228.82 / $2,344,228.82 / $2,344,228.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570,395.78 / $2,691,534.80 / $3,801,893.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344,228.82 / $2,344,228.82 / $2,951,209.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137,962.09 / $2,454,708.92 / $2,454,708.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40