Code: J9395

Description:
Description: Injection, fulvestrant, 25 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE
FASLODEX 250 SYR X 2= (500MG) : 2 X 5ML
FASLODEX 250 SYR = (250MG) : 1 X 5ML
Fulvestran 500 Mg/10 Ml Kit
Related codes:
Code: J9390
VINORELBINE TARTRAT 50MG
State Average # Hospitals In Database
South Dakota (SD) $55 1
New Jersey (NJ) $83 2
Washington (WA) $97 2
Minnesota (MN) $145 5
Nebraska (NE) $209 11
Iowa (IA) $209 3
Delaware (DE) $218 1
North Dakota (ND) $335 3
Wisconsin (WI) $338 23
Maine (ME) $340 6
Tennessee (TN) $386 7
Illinois (IL) $453 8
Pennsylvania (PA) $541 2
Alabama (AL) $861 3
Vermont (VT) $943 2
West Virginia (WV) $1,004 3
Maryland (MD) $1,004 7
Oklahoma (OK) $1,043 4
Colorado (CO) $1,055 1
Hawaii (HI) $1,065 3
New Mexico (NM) $1,073 2
Indiana (IN) $1,314 32
Connecticut (CT) $1,425 6
Michigan (MI) $1,483 133
California (CA) $1,650 36
North Carolina (NC) $1,805 25
New York (NY) $1,819 1
Massachusetts (MA) $1,875 9
District of Columbia (DC) $2,097 1
Idaho (ID) $2,116 7
Missouri (MO) $3,139 8
Kansas (KS) $3,408 9
Kentucky (KY) $3,547 7
Ohio (OH) $4,219 10
Alaska (AK) $4,397 2
Georgia (GA) $4,712 17
Nevada (NV) $4,803 18
Virginia (VA) $4,846 4
Texas (TX) $5,104 44
New Hampshire (NH) $5,178 7
Florida (FL) $6,119 80
Utah (UT) $8,364 2
Louisiana (LA) $13,940 2
South Carolina (SC) $16,063 1

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.