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Missouri rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $19.50 / $969.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.93 / $20.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $6.90 / $6.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $9.09 / $24.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.76 / $8.55
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 / $8.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $10.50 / $83.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $7.40 / $2,103.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.12 / $8.41