Payer comparison · HCPCS J1411 · SMITHTOWN, NY

J1411 — Inj, Hemgenix, Per Tx Dose

What each payer pays ST CATHERINE OF SIENA HOSPITAL (CCN 330401) 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.

$4,390,266 All-payer median here

30 payer/plan-name variants

← This hospital National rates for J1411 →

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	$4,845,453	10.4%	2
Partners Health Plan	$4,625,205	5.4%	2
VNS CHOICE (NY)	$4,625,205	5.4%	2
AgeWell PACE	$4,559,131	3.8%	2
Humana	$4,478,071	2.0%	3
Health First	$4,434,168	1.0%	1
Health Plus	$4,404,957	0.3%	2
Zadroga	$4,404,957	0.3%	2
Beacon Health Strategies	$4,404,957	0.3%	4
CenterLight Health System, Inc.	$4,404,957	0.3%	2
Cigna Healthcare	$4,404,957	0.3%	2
Elderplan, Inc.	$4,404,957	0.3%	2
Fidelis Care New York	$4,404,957	0.3%	6
Longevity Health Plan	$4,404,957	0.3%	2
US Family Health Plan	$4,404,957	0.3%	2
Aetna	$4,404,957	0.3%	2
Medicare (Generic)	$4,390,266	0.0%	2
Mvp Health Plans	$4,390,266	0.0%	1
ORTHONET - UNIFORMED SERVICES FAMILY HEALTH PLAN	$4,390,266	0.0%	1
EmblemHealth	$4,390,266	0.0%	5
PMC	$4,390,266	0.0%	1
Senior Whole Health	$4,390,266	0.0%	2
TRICARE	$4,390,266	0.0%	2
Liberty Health	$4,390,266	0.0%	1
Centers Plan For Healthy Living	$4,390,266	0.0%	1
Universal Healthcare	$4,390,266	0.0%	3
VA / CHAMPVA	$4,390,266	0.0%	2
Independent Health Association, Inc.	$4,390,266	0.0%	1
Anthem BCBS of New York	$4,360,761	-0.7%	4
UnitedHealthcare	$3,448,123	-21.5%	4

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.