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Oklahoma rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $129.03 / $219.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $27.36 / $27.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $195.43 / $307.95
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 / $280.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $129.03 / $452.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $119.47 / $133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $28.20