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Fomivirsen Injection

Nebraska rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,000 to $1,514Professionalmedian $214 · 10th to 90th $214 to $1,000
$200$500$1Kfacility $1,514professional $214

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$1,000.00