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Nevada rates for HCPCS J1455

Foscarnet Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $29.60 / $37.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $17.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $16.88 / $51.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.58 / $15.58 / $16.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $38.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $78.55
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.61 / $55.61 / $55.61
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07