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Fomivirsen Injection

Nationwide rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

Facilitymedian $550 · 10th–90th $214$1,2590%20%10th90th$550Professionalmedian $219 · 10th–90th $214$3470%50%10th90th$219$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$213.80
Typical High
$3,630.78