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New Jersey rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $28 · 10th–90th $7–$7080%10%10th90th$28Professionalmedian $6 · 10th–90th $5–$1910%20%40%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$7.41 / $19.95 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.94 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.48 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $9.12