go back

Oregon rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $10.87 / $2,620.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.05 / $176.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $11.30 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $15.63 / $19.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $14.47 / $130.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.40 / $10.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.41 / $39.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $10.45 / $120.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $9.39 / $12.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $21.03 / $97.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.01