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Utah rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $9 · 10th–90th $7$790%20%40%10th90th$9Professionalmedian $7 · 10th–90th $6$90%20%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
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$154.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.12
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76