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South Dakota rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $7 · 10th–90th $5–$170%20%10th90th$7Professionalmedian $6 · 10th–90th $5–$90%20%40%10th90th$6$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.33
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.08 / $7.24
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.75 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.76 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.71 / $10.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.71
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.41
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.41