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Illinois rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $11.78 / $2,915.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.80 / $12.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $6.98 / $10.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.22 / $217.24 / $589.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $9.51 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $13.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $14.13 / $257.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $9.66 / $10.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.13 / $8.41