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West Virginia rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $796.56 / $796.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $7.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $6.98 / $10.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $8.75 / $15.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $8.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $7.47 / $60.58