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Fomivirsen Injection

Illinois rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $759 · 10th to 90th $457 to $2,512Professionalmedian $324 · 10th to 90th $120 to $2,138
$100$200$500$1K$2K$5Kfacility $759professional $324

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
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$758.58
Typical High
$2,511.89
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$323.59
Typical High
$2,137.96
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00