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Louisiana rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $10.47 / $31.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.80 / $8.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $12.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $80.69 / $102.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.09 / $128.09 / $128.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.35 / $6.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $6.73 / $8.61