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Mississippi rates for HCPCS J1455

Foscarnet Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $18.70 / $19.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.88 / $21.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.46 / $62.46 / $62.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $16.07 / $16.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $16.07 / $20.90