go back

Missouri rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $38.93 / $119.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $29.64 / $144.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $27.61 / $90.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $31.66
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $363.23 / $1,826.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.79 / $119.47 / $138.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $25.33 / $38.63