go back

Fomivirsen Injection

Ohio rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated October 2026.

How much rates vary

Professionalmedian $891 · 10th to 90th $891 to $891
$1Kprofessional $891

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
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25