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Michigan rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $11 · 10th–90th $6–$3980%10%20%10th90th$11Professionalmedian $6 · 10th–90th $5–$980%50%10th90th$6$0.5$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
$5.89 / $11.48 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $12.59 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.55 / $0.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.13 / $10.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $97.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $15.14 / $389.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $12.02
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.92 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.71