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Illinois rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $119.47 / $400.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.34 / $144.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.24 / $1,914.17 / $7,810.19
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $49.32 / $725.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.93 / $32.93 / $32.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.79 / $43.82