Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Intraocular Fomivirsen na
Low
$148
Average
$888
Median
$214
High
$3.0k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University Hospitals Health System Cleveland, OH | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 2 | Covenant Medical Center Inc Saginaw, MI | $129 | $148 | $37 | 25% | — | $105 – $211 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $129 | $148 | $37 | 25% | — | $105 – $211 |
| 4 | Memorial Hospital of Laramie County Cheyenne, WY | $275 | $280 | $9 | 3% | — | $275 – $300 |
Ask Claude or any MCP client for HCPCS J1452 pricing at a specific hospital — see how to connect.