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North Carolina rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $31 · 10th–90th $6–$7760%10%10th90th$31Professionalmedian $6 · 10th–90th $5–$1070%20%10th90th$6$1.0$5.0$20.0$100.0$500.0$2.0K

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
$12.02 / $537.03 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.96 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.55 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $19.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $14.45 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.48 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.03 / $8.71
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30