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South Carolina rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Professionalmedian $214 · 10th–90th $30$2820%20%40%10th90th$214$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $213.80 / $281.84