go back

Virginia rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $136.97 / $332.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.60 / $26.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $53.45 / $86.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.29 / $198.33 / $299.30
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 / $25.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $30.40 / $91.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $33.65 / $624.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $345.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $30.65 / $36.97
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $30.65 / $36.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.85 / $32.93