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Georgia rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $263 · 10th–90th $6–$5,0120%10%10th90th$263Professionalmedian $6 · 10th–90th $5–$170%50%10th90th$6$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $645.65 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $24.55 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $10.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.12 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.51 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $30.20 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.49 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.91