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South Dakota rates for HCPCS J3399

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

Facilitymedian $2,511,886 · 10th–90th $2,511,886–$2,511,8860%50%100%$2,511,886Professionalmedian $2,398,833 · 10th–90th $2,398,833–$2,630,2680%50%90th$2,398,833

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
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630,267.99 / $2,630,267.99 / $2,630,267.99
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511,886.43 / $2,511,886.43 / $2,511,886.43