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Wyoming rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Professionalmedian $214 · 10th–90th $214$2140%50%100%$214$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
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80