Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ONASEMNOGENE ABEPARVOVEC-XIOI 2X5.5ML & 7X8.3ML IV KIT (12.1-12.5 KG; 68.8 ML)
Maple Grove, MN
See all hospitals reporting HCPCS J3399 →Price type
Fairview Maple Grove Surgery Center’s median price of $1699.3k is 34% below the median hospital's median price ($2589.0k), higher than 6% of the 1,025 hospitals reporting HCPCS J3399. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $1062.5k | $1062.5k | — | — | — | $1062.5k – $1062.5k |
| 2 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $1062.5k | $1062.5k | — | — | — | $1062.5k – $1062.5k |
| 3 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $1742.5k | $1742.5k | — | — | — | $1742.5k – $1742.5k |
| 4 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1806.3k | $1806.3k | — | — | — | $1806.3k – $1806.3k |
| 5 | Cigna commercial fee schedule · outpatient | $1813.8k | $1813.8k | $157.7k | 9% | — | $1656.1k – $1971.5k |
| 6 | Ucare mhcp fee schedule · both | $2292.6k | $2292.6k | — | — | — | $2292.6k – $2292.6k |
| 7 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2295.0k | $2295.0k | — | — | — | $2295.0k – $2295.0k |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $2295.0k | $2295.0k | — | — | — | $2295.0k – $2295.0k |
| 9 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $2295.0k | $2295.0k | — | — | — | $2295.0k – $2295.0k |
| 10 | Blue Cross Blue Shield federal fee schedule · both | $2322.0k | $2322.0k | — | — | — | $2322.0k – $2322.0k |
| 11 | Blue Cross Blue Shield commercial fee schedule · both | $2363.8k | $2363.8k | — | — | — | $2363.8k – $2363.8k |
| 12 | Medicaid medicaid fee schedule · both | $2555.0k | $2555.0k | — | — | — | $2555.0k – $2555.0k |
| 13 | UnitedHealthcare commercial fee schedule · both | $4335.7k | $4335.7k | — | — | — | $4335.7k – $4335.7k |
Last updated: May 18, 2026
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