go back

Texas rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $76 · 10th–90th $8$3310%10%10th90th$76Professionalmedian $6 · 10th–90th $6$110%50%90th$6$5.0$20.0$100.0$500.0$2.0K

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
$6.03
Median
$16.22
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$11.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$190.55
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$20.42
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$75.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.76
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$9.77
Typical High
$26.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$22.91
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$21.88