go back

Rhode Island rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.87 / $21.87 / $21.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $6.98 / $16.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.49