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Washington rates for HCPCS J2562

Plerixafor Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $248.50 / $777.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $27.86 / $493.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.87 / $203.86 / $558.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $38.93 / $43.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $25.33 / $49.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $31.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $83.15 / $686.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.87 / $285.26 / $605.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $40.22 / $52.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.41 / $191.12 / $546.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $30.40