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South Carolina rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.06 / $108.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.93 / $12.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.91 / $121.33 / $247.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.73 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.73 / $9.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $82.21 / $118.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $27.39 / $97.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $7.32 / $17.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.13 / $8.01