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Indiana rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $13 · 10th–90th $7$300%20%10th90th$13Professionalmedian $6 · 10th–90th $6$200%50%90th$6$10.0$20.0$50.0$100.0$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
$19.05
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.59
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$13.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$23.99
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$22.39