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Missouri rates for HCPCS J3399

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

Facilitymedian $2,570,396 · 10th–90th $0–$3,801,8940%20%40%10th90th$2,570,396Professionalmedian $2,754 · 10th–90th $2,754–$3,6310%50%90th$2,754$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238,721.14 / $2,238,721.14 / $2,238,721.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454,708.92 / $2,454,708.92 / $2,454,708.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,951,209.23 / $3,801,893.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $2,398,832.92