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New Hampshire rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $34.67 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $81.28 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $54.95 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $67.61