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Wisconsin rates for HCPCS J2562

Plerixafor Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $238.94 / $358.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $26.09 / $957.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.66 / $46.86 / $56.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $39.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.68 / $34.68 / $40.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $122.50 / $175.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $269.62 / $306.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $119.47 / $303.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $50.66 / $179.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.47 / $119.47 / $303.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $133.00 / $167.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $119.47 / $303.70
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $50.66 / $179.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $40.79 / $130.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $25.33 / $1,826.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $25.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $35.56 / $542.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $28.20 / $38.00