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North Dakota rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $12.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.79 / $9.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.34 / $7.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.34 / $7.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.08 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $11.20 / $83.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $7.77 / $2,103.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.49 / $8.39