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Idaho rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $562.34 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.89 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $91.20 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.08 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.03 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.75 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $13.18 / $25.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.92 / $6.92
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $6.31