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Wyoming rates for HCPCS J9395

Injection, fulvestrant, 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $6.98 / $6.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.80 / $7.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.35 / $6.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $8.25 / $9.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $6.73 / $6.73