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Texas rates for HCPCS J3399

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

Facilitymedian $2,398,833 · 10th–90th $2,238,721–$3,981,0720%50%10th90th$2,398,833Professionalmedian $2,398,833 · 10th–90th $2,398,833–$2,454,7090%50%90th$2,398,833$1.0M$2.0M$5.0M$10.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238,721.14 / $2,238,721.14 / $2,290,867.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238,721.14 / $2,238,721.14 / $2,290,867.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454,708.92 / $2,454,708.92 / $2,454,708.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,570,395.78 / $3,981,071.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $2,398,832.92