go back

South Carolina rates for HCPCS J3399

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

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398,832.92 / $2,570,395.78 / $5,623,413.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659,586.91 / $2,398,832.92 / $3,162,277.66