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Fomivirsen Injection

Idaho rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

How much rates vary

Facilitymedian $288 · 10th to 90th $214 to $776Professionalmedian $78 · 10th to 90th $78 to $78
$100.0$200.0$500.0facility $288professional $78

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62