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North Carolina rates for HCPCS J3399

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825,202.34 / $4,153,047.44 / $5,430,666.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699,637.79 / $2,699,637.79 / $2,699,637.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570,029.68 / $2,570,029.68 / $2,570,029.68