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New York rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $45.71 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $398.11
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $158.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $39.81 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $33.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $26.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $32.36 / $47.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.30 / $302.00