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Nebraska rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $12.94 / $7,503.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.98 / $381.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $7.30 / $7.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $8.25 / $8.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $10.25 / $17.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $11.80 / $82.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $7.77 / $67.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $10.34 / $115.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $19.89 / $144.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $10.00 / $207.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.01