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New York rates for HCPCS J3399

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

Facilitymedian $2,691,535 · 10th–90th $2,398,833$3,162,2780%50%10th90th$2,691,535Professionalmedian $2,570,396 · 10th–90th $2,398,833$2,570,3960%50%10th$2,570,396$50.0$500.0$5.0K$50.0K$500.0K$5.0M

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
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $2,398,832.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137,962.09 / $2,137,962.09 / $2,344,228.82
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137,962.09 / $2,137,962.09 / $2,137,962.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $50,118.72 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $4,466,835.92
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $2,951,209.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,691,534.80 / $2,818,382.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,691,534.80 / $2,691,534.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $5,248,074.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,570,395.78 / $3,981,071.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $2,398,832.92 / $3,548,133.89
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,691,534.80 / $2,884,031.50
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,691,534.80 / $3,162,277.66