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Illinois rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $12 · 10th–90th $7$340%20%10th90th$12Professionalmedian $7 · 10th–90th $6$250%20%40%10th90th$7$5.0$20.0$100.0$500.0

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
$11.75
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$64.57
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.49
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$38.02
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.98
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$21.88