go back

Ohio rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $17.03 / $561.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.79 / $11.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $6.90 / $6.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $10.84 / $16.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.68 / $11.89
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $15.95 / $15.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.98 / $10.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.98 / $10.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.73 / $9.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $12.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $10.32 / $22.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $19.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $7.93 / $9.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.34