go back

Missouri rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $26 · 10th–90th $6$1100%20%10th90th$26Professionalmedian $8 · 10th–90th $6$790%20%10th90th$8$5.0$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
$6.03
Median
$79.43
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.08
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.71
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$51.29
Typical High
$407.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$15.49
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$21.88