go back

Fomivirsen Injection

Washington rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $214 · 10th to 90th $214 to $214
$200facility $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
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80