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Florida rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $830.00 / $2,190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $830.00 / $850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $212.00 / $212.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $212.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $220.48 / $220.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $318.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $212.00