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Ohio rates for HCPCS J3399

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

Facilitymedian $0 · 10th–90th $0–$2,570,3960%50%90th$0Professionalmedian $2,570,396 · 10th–90th $0–$5,495,4090%20%10th90th$2,570,396$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
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $2,818,382.93 / $5,495,408.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778,279.41 / $1,778,279.41 / $2,344,228.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778,279.41 / $1,778,279.41 / $2,344,228.82
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090,295.43 / $3,090,295.43 / $3,090,295.43
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570,395.78 / $2,570,395.78 / $5,248,074.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445,439.77 / $2,398,832.92 / $2,454,708.92