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Iowa rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $16 · 10th–90th $7$790%20%10th90th$16Professionalmedian $7 · 10th–90th $6$790%20%10th90th$7$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.08
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$8.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$28.84
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$21.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$16.22