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Pennsylvania 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
$1,778,279.41 / $1,778,279.41 / $1,778,279.41
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398,832.92 / $2,398,832.92 / $2,398,832.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,773.51 / $46,773.51 / $46,773.51