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New Hampshire rates for HCPCS J3399

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

Facilitymedian $0 · 10th–90th $0–$00%20%40%10th90th$0Professionalmedian $2,884,032 · 10th–90th $2,290,868–$4,073,8030%50%10th90th$2,884,032$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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,630,267.99 / $3,019,951.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137,962.09 / $3,548,133.89 / $4,073,802.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $46,773.51 / $93,325.43