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Fomivirsen Injection

California rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated October 2026.

How much rates vary

Professionalmedian $407 · 10th to 90th $214 to $2,042
$200$500$1K$2Kprofessional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$2,041.74