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New York rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $12.22 / $705.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.79 / $9.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $5.38 / $6.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $137.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $15.65 / $16.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $15.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $17.10 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $9.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $10.47 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $9.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.85 / $6.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $17.55 / $19.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $47.85 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.05 / $10.10
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.85 / $6.85