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North Carolina rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $738.90 / $20,446.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $401.58 / $401.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.20 / $224.86 / $301.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $128.49 / $338.17
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 / $38.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $42.82 / $401.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.72 / $268.72 / $268.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.85 / $48.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.23 / $577.58 / $1,826.45