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Iowa rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $7 · 10th–90th $6–$170%50%10th90th$7Professionalmedian $6 · 10th–90th $5–$1950%20%40%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 / $16.98 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.75 / $10.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $128.82 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.72 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $144.54 / $204.17
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.23 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.13
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.31 / $7.41