go back

California rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $11 · 10th–90th $7$660%10%10th90th$11Professionalmedian $7 · 10th–90th $6$270%20%40%10th90th$7$5.0$20.0$100.0$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
$10.00 / $13.80 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $14.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.12 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $41.69
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $66.07 / $93.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $147.91
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $35.48
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $37.15