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Fomivirsen Injection

Iowa rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

How much does Fomivirsen Injection cost?

$219per 1.65 mg

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $219 for each 1.65 mg of this drug. Most negotiated rates run $214 to $275.

Work out the cost of a dose

This drug is priced per 1.65 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$219

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $661 · 10th to 90th $0 to $1,445Professionalmedian $219 · 10th to 90th $214 to $324
$1.0$10.0$100.0$1.0Kfacility $661professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$323.59
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$660.69
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$0.21
Median
$0.21
Typical High
$0.21

Where Iowa sits

The same service costs 2089.3 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $219 · 18th of 34
IN $63,096SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.