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Oklahoma rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.76 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.75 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $181.97 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.51 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.41 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.03 / $7.24