Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PLERIXAFOR 24 MG/1.2ML SC SOLN
Low
$16
Average
$1.7k
Median
$1.2k
High
$10.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 94.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark fee schedule · outpatient · +6 other terms | 16 | $25 | $25 | — | — | 2–20 | $25 – $25 |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 582 | $51 | $165 | $860 | 520% | — | $1 – $22.6k |
| 3 | Aetna fee schedule · outpatient · +23 other terms | 389 | $43 | $312 | $1.8k | 578% | — | $1 – $24.3k |
| 4 | Cigna fee schedule · outpatient · +22 other terms | 342 | $116 | $342 | $1.3k | 369% | — | $23 – $20.2k |
| 5 | Humana fee schedule · outpatient · +21 other terms | 339 | $30 | $377 | $983 | 261% | — | $1 – $6.8k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 326 | $131 | $471 | $778 | 165% | — | $0 – $6.5k |
| 7 | Molina fee schedule · outpatient · +22 other terms | 132 | $47 | $566 | $1.9k | 339% | — | $1 – $17.0k |
| 8 | WellCare fee schedule · outpatient · +13 other terms | 126 | $35 | $34 | $30 | 88% | — | $24 – $450 |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 111 | $107 | $252 | $628 | 249% | — | $22 – $6.5k |
| 10 | Caresource fee schedule · outpatient · +13 other terms | 83 | $32 | $52 | $109 | 211% | — | $1 – $823 |
| 11 | Kaiser fee schedule · outpatient · +15 other terms | 69 | $49 | $633 | $2.1k | 328% | — | $25 – $16.6k |
| 12 | Ambetter facility · fee schedule · outpatient · +12 other terms | 67 | $59 | $62 | $18 | 29% | — | $25 – $149 |
| 13 | Devoted fee schedule · outpatient · +7 other terms | 58 | $27 | $29 | $7 | 22% | — | $23 – $41 |
| 14 | Oscar facility · fee schedule · outpatient · +12 other terms | 42 | $42 | $45 | $36 | 79% | — | $27 – $187 |
| 15 | Medicare fee schedule · outpatient · +8 other terms | 34 | $25 | $27 | $22 | 82% | — | $25 – $392 |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1.2k | $1.1k | $575 | 52% | — | $35 – $2.2k |
| 17 | Clover fee schedule · outpatient · +5 other terms | 29 | $37 | $31 | $7 | 22% | — | $24 – $44 |
| 18 | Optum fee schedule · outpatient · +17 other terms | 28 | $26 | $292 | $1.9k | 654% | — | $22 – $17.2k |
| 19 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms | 27 | $34 | $34 | $12 | 36% | — | $19 – $54 |
| 20 | Highmark facility · fee schedule · outpatient · +7 other terms | 24 | $28 | $882 | $1.2k | 132% | — | $25 – $4.7k |
| 21 | MultiPlan fee schedule · outpatient · +14 other terms | 23 | $208 | $5.2k | $9.6k | 185% | — | $119 – $29.0k |
| 22 | Aetna Better Health fee schedule · outpatient · +15 other terms | 22 | $80 | $80 | $67 | 84% | — | $25 – $203 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 21 | $104 | $201 | $161 | 80% | — | $18 – $510 |
| 24 | Regence facility · fee schedule · outpatient · +8 other terms | 21 | $32 | $152 | $313 | 205% | — | $22 – $1.0k |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $34 | $34 | $1 | 2% | — | $33 – $34 |
← Hospitals reporting HCPCS J2562 · Snapshot 20261111T120946Z-9134e7f7