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Fomivirsen Injection

North Dakota rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $794 to $1,349Professionalmedian $219 · 10th to 90th $214 to $275
$100$200$500$1Kfacility $1,000professional $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
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$229.09