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Florida rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.30 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.76 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.24
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $16.22
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $21.88 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $21.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76