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North Carolina rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $540.04 / $771.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.06 / $16.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $11.38 / $18.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $8.47 / $106.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.73 / $13.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $19.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $81.54 / $98.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $10.00 / $133.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $10.76 / $29.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.13 / $8.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.37 / $132.86 / $263.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.23 / $2,103.23 / $2,103.23