Payer comparison · HCPCS J1413 · AURORA, CO

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays CHILDREN'S HOSPITAL COLORADO (CCN 063301) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$2,933,333 All-payer median here

$3,466,667 Cash / self-pay here

40 payer/plan-name variants

← This hospital National rates for J1413 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

First Health Network	$4,906,667	67.3%	1
COFINITY	$4,800,000	63.6%	1
USA Managed Care Organization	$4,800,000	63.6%	1
First Choice of the Midwest	$4,800,000	63.6%	1
MultiPlan	$4,586,667	56.4%	1
First Choice Health	$4,533,333	54.5%	1
National Preferred Provider Network	$4,533,333	54.5%	1
Midlands Choice	$4,533,333	54.5%	1
ComPsych Corporation	$4,533,333	54.5%	1
Aetna	$3,893,333	32.7%	3
Anthem (Elevance Health)	$3,733,333	27.3%	5
UC HEALTH PLAN ADMINISTRATORS	$3,733,333	27.3%	1
Centivo	$3,680,000	25.5%	1
Department of Corrections	$3,506,667	19.5%	2
Evernorth Health Services	$3,466,667	18.2%	1
DENVER HEALTH MEDICAL PLAN INC	$3,400,000	15.9%	6
SelectHealth	$3,293,333	12.3%	2
Humana	$3,253,333	10.9%	3
Healthy Blue of Nebraska	$3,093,333	5.5%	1
Interlink National	$3,093,333	5.5%	4
Carelon Behavioral Health	$3,066,667	4.5%	2
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS)	$3,066,667	4.5%	2
Kaiser Permanente	$2,960,000	0.9%	4
Rocky Mountain Health Plan	$2,933,333	0.0%	3
ValueOptions Colorado	$2,853,333	-2.7%	1
Colorado Medicaid	$2,853,333	-2.7%	1
Molina Healthcare of Nebraska	$2,853,333	-2.7%	1
Molina Healthcare of New Mexico	$2,853,333	-2.7%	1
MotivHealth/Denver Public Schools	$2,853,333	-2.7%	1
Cigna Healthcare	$2,853,333	-2.7%	2
United Behavioral Health/Optum	$2,853,333	-2.7%	1
UnitedHealthcare	$2,853,333	-2.7%	6
Presbyterian Health Plan	$2,800,000	-4.5%	4
Colorado Access Behavioral Health	$2,733,333	-6.8%	2
Colorado Access	$2,733,333	-6.8%	2
Life Trac National	$2,720,000	-7.3%	1
Blue Cross Blue Shield Association	$2,720,000	-7.3%	1
Rocky Mountain Health Plan Behavioral Health	$2,133,333	-27.3%	1
CCHA Behavioral Health	$1,693,333	-42.3%	2
Integrated Health Plan	$800,000	-72.7%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.