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Maryland rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.47 / $119.47 / $818.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $160.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $119.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $32.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $82.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $27.98 / $30.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $37.08 / $37.08