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Wyoming rates for HCPCS J2562

Injection, plerixafor, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.47 / $119.47 / $119.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $119.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $38.93 / $38.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $35.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $25.33 / $28.20