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Idaho rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.47 / $119.47 / $137.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $31.66 / $144.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $23.90 / $25.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $33.56 / $45.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $31.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $24.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.15 / $286.67 / $858.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $30.40 / $31.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $40.53