go back

Massachusetts rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $9.83 / $623.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $20.61 / $263.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.07 / $2,103.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $8.26 / $16.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $11.25 / $13.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.73 / $6.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.79
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $163.41 / $240.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.37 / $263.70 / $263.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.13 / $2,103.23
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $85.45 / $95.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.07 / $19.93