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West Virginia rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $33.65 / $120.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $120.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.33 / $38.00 / $38.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $25.33 / $123.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $240.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $28.20 / $91.79