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Washington rates for HCPCS J3399

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

Facilitymedian $2,570,396 · 10th–90th $2,290,868–$5,754,3990%20%10th90th$2,570,396Professionalmedian $2,454,709 · 10th–90th $2,398,833–$2,454,7090%50%10th$2,454,709$50.0$500.0$5.0K$50.0K$500.0K$5.0M

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
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $50.12
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187,761.62 / $2,691,534.80 / $7,762,471.17
Premera BCBS
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
$2,570,395.78 / $2,570,395.78 / $2,570,395.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398,832.92 / $2,398,832.92 / $2,884,031.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344,228.82 / $2,344,228.82 / $2,344,228.82