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Colorado rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $30.90 / $32.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.52 / $18.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $28.23 / $51.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $18.94 / $26.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $17.68 / $26.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07