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Utah rates for HCPCS J3399

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $83,176.38 / $83,176.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818,382.93 / $2,818,382.93 / $2,818,382.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511,886.43 / $2,511,886.43 / $2,511,886.43