Payer comparison · HCPCS J3398 · BOSTON, MA

J3398 — Inj Luxturna 1 Billion Vec G

What each payer pays BOSTON CHILDREN'S HOSPITAL (CCN 223302) 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.

$608,576 All-payer median here

$845,244 Cash / self-pay here

20 payer/plan-name variants

← This hospital National rates for J3398 →

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

MultiPlan / PHCS Network	$790,303	29.9%	2
First Health Network	$777,624	27.8%	1
Community Health Options	$760,719	25.0%	1
Humana	$760,719	25.0%	1
Cigna Healthcare	$718,457	18.1%	5
Health New England	$682,957	12.2%	1
Interlink Transplant	$663,516	9.0%	2
ETS/LifeTrac	$663,516	9.0%	2
Fallon Health	$648,260	6.5%	2
Carelon Behavioral Health	$633,933	4.2%	2
Aetna	$608,576	0.0%	3
Optum Commercial	$608,576	0.0%	5
MGB/Allways	$566,694	-6.9%	4
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$566,313	-6.9%	2
CARELON BEHAVIORAL HEALTH (MEDICAL BENEFITS)	$549,408	-9.7%	1
Centene	$534,194	-12.2%	1
UnitedHealthcare	$532,504	-12.5%	3
Tufts Health Plan	$519,825	-14.6%	2
Blue Cross Blue Shield Association	$516,148	-15.2%	4
Harvard Pilgrim Health Care	$477,309	-21.6%	3

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.