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New Jersey rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $176.13 / $354.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $9.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $17.43 / $94.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $9.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.37 / $31.05 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $6.98 / $8.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.10 / $8.25