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Idaho rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $16 · 10th–90th $7–$1120%10%10th90th$16Professionalmedian $7 · 10th–90th $6–$80%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

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
$6.76 / $6.76 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.76 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $60.26 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.32 / $10.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.32 / $12.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $20.89