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Louisiana rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $15 · 10th–90th $6–$180%20%10th90th$15Professionalmedian $6 · 10th–90th $6–$110%50%90th$6$10.0$20.0$50.0

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
$6.03 / $7.08 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $16.60 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $21.88