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Idaho rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $346.74 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.15 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.88 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.11 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $190.55 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $38.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $48.98