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Utah rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Facilitymedian $15 · 10th–90th $6–$8130%20%10th90th$15Professionalmedian $6 · 10th–90th $5–$170%50%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
$6.03 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $5.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.76 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $25.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $7.24
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.13 / $120.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.90 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.92