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Utah rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $29.38 / $17,065.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $48.97 / $59.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.40 / $273.93 / $823.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $25.33 / $28.20