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Oregon 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
$2,454,708.92 / $2,454,708.92 / $2,454,708.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388,441.56 / $5,128,613.84 / $6,456,542.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454,708.92 / $2,511,886.43 / $7,079,457.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $3,019,951.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570,395.78 / $2,570,395.78 / $6,165,950.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398,832.92 / $2,398,832.92 / $2,398,832.92