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HANK Price Transparency. (n.d.).
Inj daxibotulinumtoxina-l (OTHER 703) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/703/by-state?code_type=OTHER
“Inj daxibotulinumtoxina-l (OTHER 703) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/703/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“Inj daxibotulinumtoxina-l (OTHER 703) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/703/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
703 — Inj Daxibotulinumtoxina-l
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$3
National median
$3 – $5
IQR (p25 – p75)
235
hospitals filing
30
states
Walking in without insurance?
Cash / self-pay price
Cash median
$32,056
vs. negotiated
+980196.0%
Hospitals reporting
12
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 703 (OTHER), with interquartile range
State Median p25 p75
PA $39,558 $39,558 $40,547
CA $32,847 $10,244 $36,626
KY $26,467 $24,454 $27,941
OH $2,146 $2,146 $2,146
AR $1,688 $1,688 $1,688
ND $5 $4 $5
MS $4 $4 $5
NJ $4 $3 $6
NY $3 $3 $6,246
SC $3 $3 $4
TX $3 $3 $3
NC $3 $3 $3
TN $3 $3 $3
FL $3 $3 $3
VA $3 $3 $3
LA $3 $3 $1,688
NV $3 $3 $1,600
NH $3 $3 $3
DC $3 $3 $3
WI $3 $3 $3
GA $3 $3 $3
AK $3 $3 $3
IN $3 $3 $3
OK $3 $3 $3
KS $3 $3 $3
MI $3 $3 $3
UT $3 $3 $3
ID $3 $3 $3
CO $3 $3 $3
MO $3 $3 $3