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Georgia rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.76 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $7.24 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $14.79 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $42.66 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $77.62