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Maryland rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $120 · 10th–90th $6$2,6300%20%10th90th$120Professionalmedian $6 · 10th–90th $5$2240%50%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $120.23 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $251.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.90 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.76 / $8.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.76