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Nationwide rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $12.30 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.00 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.76 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.92 / $8.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $21.88 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $21.88