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Hawaii rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.92 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.03 / $8.51