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Tennessee rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $434.62 / $1,298.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.79 / $12.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $7.48 / $8.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.73 / $6.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.37 / $263.70 / $274.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.23 / $2,103.23 / $2,103.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.73 / $8.01