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Nationwide rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $758.58 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $724.44 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $72.44 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $295.12