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Arkansas rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.78 / $1,298.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.93 / $8.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.57 / $7.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $9.07 / $10.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $15.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.73 / $46.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.30
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $8.83 / $8.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.61