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HANK Price Transparency. (n.d.).
Delandistrogene Moxeparvovec (16.5-17.4) Kit (OTHER 904092320) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 26, 2026 , from http://ppman.hank.ai/transparency/procedure/904092320/by-state?code_type=OTHER
“Delandistrogene Moxeparvovec (16.5-17.4) Kit (OTHER 904092320) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/904092320/by-state?code_type=OTHER. Accessed
June 26, 2026 .
“Delandistrogene Moxeparvovec (16.5-17.4) Kit (OTHER 904092320) by State,” HANK Price Transparency ,
accessed June 26, 2026 ,
http://ppman.hank.ai/transparency/procedure/904092320/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
904092320 — Delandistrogene Moxeparvovec (16.5-17.4) Kit
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$1,552,052
National median
$1,440,048 – $1,664,056
IQR (p25 – p75)
2
hospitals filing
2
states
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 904092320 (OTHER), with interquartile range
State Median p25 p75
KS $1,552,052 $1,440,048 $1,664,056
MO $1,552,052 $1,496,050 $1,608,054