Payer comparison · HCPCS J3403 · PHILADELPHIA, PA

J3403 — Revakinagene, Per Implant

What each payer pays THOMAS JEFFERSON UNIVERSITY HOSPITAL (CCN 390174) 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.

$275,295 All-payer median here

30 payer/plan-name variants

← This hospital National rates for J3403 →

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

Geisinger Health Plan	$672,438	144.3%	2
Highmark BCBS	$637,272	131.5%	3
NaphCare	$477,000	73.3%	3
Centene	$390,875	42.0%	2
Independence BCBS	$331,250	20.3%	2
Aetna	$322,664	17.2%	3
Perennial Consortium, LLC	$307,400	11.7%	1
Geisinger Medicare Advantage	$304,750	10.7%	1
Gateway Health Plan	$300,775	9.3%	2
Allwell (Centene Medicare Advantage)	$291,500	5.9%	1
Provider Partners Health Plan (PPHP)	$283,550	3.0%	1
UPMC Medicare Advantage	$278,250	1.1%	1
Devoted Health	$278,250	1.1%	1
Cigna HealthSpring Medicare Adv	$275,600	0.1%	1
UPMC CHC Medicaid	$274,990	-0.1%	2
Keystone First VIP Choice	$272,950	-0.9%	2
Humana	$270,300	-1.8%	1
TJUH Health Partners Medicare	$270,300	-1.8%	1
UnitedHealthcare	$270,300	-1.8%	3
Innovage	$267,650	-2.8%	2
Optum VA CCN	$265,000	-3.7%	1
IBC Medicare	$265,000	-3.7%	1
Point of Comfort Refugee Resettlement	$265,000	-3.7%	1
St Agnes	$265,000	-3.7%	1
Inspira Life	$265,000	-3.7%	1
TRICARE	$265,000	-3.7%	1
Jefferson Health Plan ACA QHP Exchange	$265,000	-3.7%	1
Keystone First	$250,001	-9.2%	2
Horizon BCBS of NJ	$249,000	-9.6%	4
IBC	$166,667	-39.5%	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.