go back

Oklahoma rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $35 · 10th–90th $7$620%10%10th90th$35Professionalmedian $7 · 10th–90th $6$150%20%40%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$6.76
Median
$7.24
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$64.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$21.88
Typical High
$23.44
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
$17.78
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$21.88