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Illinois rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $11 · 10th–90th $6–$4900%10%20%10th90th$11Professionalmedian $6 · 10th–90th $5–$2190%50%10th90th$6$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 / $11.48 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $239.88 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $10.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $151.36 / $257.04
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.76 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $9.55