Payer comparison · HCPCS J0223 · CHARLOTTE, NC

J0223 — Inj Givosiran 0.5 Mg

What each payer pays ATRIUM HEALTH PINEVILLE (CCN 340098) 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.

$102,293 All-payer median here

$85,244 Cash / self-pay here

29 payer/plan-name variants

← This hospital National rates for J0223 →

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	$156,850	53.3%	2
BeechStreet Corporation	$153,440	50.0%	2
PHCS (Private Healthcare Systems)	$139,801	36.7%	2
Provider Select	$138,096	35.0%	3
Healthgram Inc (formerly Primary PhysicianCare Inc)	$136,391	33.3%	2
Humana	$122,752	20.0%	9
First Health Network	$122,752	20.0%	2
Carolina Behavioral Health	$113,503	11.0%	4
Quik Trip	$110,818	8.3%	2
GMMI Inc	$110,818	8.3%	2
Magellan Health	$103,274	1.0%	4
MBS (Formerly MedCost Benefit Services)	$95,389	-6.8%	4
Physician Reach Out	$94,749	-7.4%	4
Centene	$83,071	-18.8%	8
BCBS of North Carolina	$78,544	-23.2%	12
Cigna Healthcare	$77,402	-24.3%	14
Employers Health Network	$75,356	-26.3%	2
UnitedHealthcare	$72,884	-28.7%	12
Trillium Behavioral Health	$71,639	-30.0%	4
Alliance	$71,443	-30.2%	8
VAYA HEALTH	$71,256	-30.3%	4
WellCare Health Plans	$71,068	-30.5%	4
Carolina Complete Health (Centene NC Medicaid)	$71,068	-30.5%	4
HEALTHY BLUE SOUTH CAROLINA	$71,068	-30.5%	4
Partners	$70,881	-30.7%	4
AmeriHealth Caritas	$70,719	-30.9%	4
Aetna	$69,389	-32.2%	21
Ortho Carolina	$52,200	-49.0%	4
Molina Healthcare	$52,187	-49.0%	2

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.