Payer comparison · HCPCS J1413 · LOUISVILLE, KY

J1413 — Inj Delandistrogene Mox Rokl

What each payer pays Norton Children's Hospital (CCN 189801) 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.

$2,520,250 All-payer median here

$1,000,000 Cash / self-pay here

19 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

WellCare Health Plans	$3,016,981	19.7%	4
Aetna	$2,627,500	4.3%	10
Anthem (Elevance Health)	$2,627,500	4.3%	6
Anthem BCBS of Kentucky	$2,627,500	4.3%	2
Aetna Better Health of Kentucky	$2,537,500	0.7%	5
Anthem Pediatric	$2,537,500	0.7%	5
UnitedHealthcare	$2,503,000	-0.7%	17
CareSource KY	$2,250,000	-10.7%	3
Anthem Adult	$2,124,500	-15.7%	3
Anthem Pathway Children's	$2,090,500	-17.1%	4
Correct Care	$2,075,000	-17.7%	2
Correct Care OB & GYN	$2,075,000	-17.7%	2
MultiPlan	$1,950,000	-22.6%	4
Aetna Pediatric	$1,885,000	-25.2%	7
Cigna Healthcare	$1,860,000	-26.2%	14
SIHO IN Exchange	$1,750,000	-30.6%	2
SIHO Holding, Inc.	$1,750,000	-30.6%	5
Humana	$1,200,000	-52.4%	3
PASSPORT HEALTH PLAN	$1,000,000	-60.3%	6

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.