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New York rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $10 · 10th–90th $6–$6760%10%20%10th90th$10Professionalmedian $7 · 10th–90th $5–$100%20%40%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.75 / $10.47 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $16.60
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.92
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.03 / $16.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.92 / $6.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $17.38 / $19.50
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $35.48 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $9.55
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $8.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.92 / $6.92