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Wisconsin rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $10 · 10th–90th $7$220%10%20%10th90th$10Professionalmedian $8 · 10th–90th $6$280%20%10th90th$8$5.0$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
$6.92
Median
$10.00
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$10.23
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.51
Typical High
$12.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$35.48
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$32.36
Typical High
$32.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.88
Typical High
$51.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$407.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$13.80