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Vermont rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $138.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $7.62 / $7.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $17.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $7.81 / $13.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $13.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $7.81 / $13.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $13.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.13 / $20.19