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Arizona rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $22 · 10th–90th $12–$2690%10%10th90th$22Professionalmedian $7 · 10th–90th $6–$110%20%40%10th90th$7$10.0$20.0$50.0$100.0$200.0$500.0

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
$9.77 / $12.30 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.76 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $87.10 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.88 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $13.80 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $21.88