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Nebraska rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $119.47 / $254.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $119.47 / $957.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.61 / $27.48 / $27.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $31.07 / $146.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.43 / $31.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $119.47 / $1,826.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $119.47 / $142.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $143.36 / $531.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $390.17 / $886.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $30.14