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Arizona rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.10 / $75.98 / $589.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $144.56 / $957.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.67 / $97.70 / $375.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $27.25 / $161.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.82 / $157.69 / $363.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.47 / $119.47 / $131.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $28.20