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Alaska rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $8 · 10th–90th $8–$1100%50%90th$8Professionalmedian $7 · 10th–90th $6–$600%20%40%10th90th$7$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $12.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $26.92
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $173.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $17.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.32 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $1,949.84