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North Carolina rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $44 · 10th–90th $8–$810%10%20%10th90th$44Professionalmedian $7 · 10th–90th $6–$790%20%10th90th$7$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $43.65 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.23 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.59 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $9.55
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $35.48 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $32.36
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38