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Indiana rates for HCPCS J9395

Injection, Fulvestrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $19.61 / $996.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.79 / $8.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $13.46 / $16.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.98 / $10.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.13 / $8.99