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Arizona rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $435.58 / $811.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.80 / $138.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $6.90 / $14.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $21.23 / $37.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.76 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.73 / $7.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $9.76 / $126.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $2,103.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.13