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Minnesota rates for HCPCS J2562

Plerixafor Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $25.33 / $4,115.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $957.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.47 / $429.05 / $805.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $119.47 / $172.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.16 / $163.76 / $199.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $32.29 / $60.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.33 / $149.44 / $187.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $25.43 / $54.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $119.47 / $321.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.47 / $133.00 / $221.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $28.20 / $54.70