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New Jersey rates for HCPCS J3399

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232,525.00 / $2,626,500.00 / $2,889,150.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $5,313,734.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276,956.12 / $2,322,534.64 / $2,322,534.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455,110.60 / $2,550,000.00 / $4,173,688.02