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Fomivirsen Injection

Missouri rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

How much rates vary

Facilitymedian $851 · 10th to 90th $214 to $2,239Professionalmedian $214 · 10th to 90th $182 to $257
$100.0$200.0$500.0$1.0K$2.0Kfacility $851professional $214

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$213.80