Fomivirsen Injection

Name: Negotiated commercial rates for Fomivirsen Injection (HCPCS J1452), in Louisiana
Creator: Tynbil
License: https://tynbil.com/terms

Louisiana rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High