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Utah rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.80 / $808.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.93 / $138.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $9.83 / $12.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $8.41 / $121.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $18.77 / $26.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.11 / $9.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73