J3032
Voretigene neparvovec (Luxturna) injection
Voretigene neparvovec (Luxturna) injection is the #2,763 most-billed Medicaid procedure code, with $3.8M in payments across 1K claims from 2018–2024. The national median cost per claim is $2,231.12.
Total Paid
$3.8M
0.00% of all spending
Total Claims
1K
Providers
12
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J3032? Based on 10 providers billing this code nationally.
Median
$2,231.12
Average
$2,442.07
Std Dev
$748.01
Max
$3,675.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,962.72 and $3,096.83 per claim for this code.
90% bill between $1,561.36 and $3,299.77.
Top 1% bill above $3,638.09.
About This Procedure
HCPCS code J3032 (Voretigene neparvovec (Luxturna) injection) was billed by 12 providers across 1K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,231.12
Providers Billing
10
National Spending
$3.8M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3032
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.6M |
| 2 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.1M |
| 3 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $433K |
| 4 | 1639134414 | $165K |
| 5 | 1265462659 | $129K |
| 6 | Orsini Pharmaceutical Services Llc Elk Grove Village, IL · Pharmacy Specialty Pharmacy | $123K |
| 7 | 1447764857 | $110K |
| 8 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $57K |
| 9 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $51K |
| 10 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $44K |
| 11 | Lehigh Valley Hospital Allentown, PA · Psychiatric Unit | $0 |
| 12 | 1215916002 | $0 |
Showing top 12 of 12 providers billing this code