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Arkansas rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $143.36 / $8,971.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $30.40 / $143.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.62 / $129.62 / $129.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $129.62 / $129.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $25.33 / $378.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.85 / $78.02