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Oregon rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $13 · 10th–90th $7$390%10%10th90th$13Professionalmedian $7 · 10th–90th $6$120%20%40%10th90th$7$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
$6.76
Median
$13.49
Typical High
$38.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$17.78
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$9.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$38.02
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.91
Typical High
$12.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$19.95
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$18.20
Typical High
$112.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$7.76