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Kentucky rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $9.12 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $25.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76