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Louisiana rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $125.44 / $356.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.58 / $144.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.22 / $244.45 / $285.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.48 / $27.48 / $28.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $43.19