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Maryland rates for HCPCS J9395

Injection, Fulvestrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $6.98 / $2,657.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.80 / $138.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.97 / $6.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $6.73 / $54.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.49 / $8.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $9.42