Plerixafor injection, per 1 mg at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PLERIXAFOR 24 MG/1.2ML SC SOLN

Maple Grove, MN

See all hospitals reporting HCPCS J2562 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $79 is 14% below the median hospital's median price ($92), higher than 47% of the 1,401 hospitals reporting HCPCS J2562. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2562 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medica accessability fee schedule · both	$23	$23	—	—	—	$23 – $23
2	Medica medicaid fee schedule · both	$23	$23	—	—	—	$23 – $23
3	Ucare mhcp fee schedule · both	$25	$25	—	—	—	$25 – $25
4	UnitedHealthcare medicare advantage fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
5	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
6	Medicaid medicaid fee schedule · both	$28	$28	—	—	—	$28 – $28
7	Medica ma non-snp fee schedule · both	$39	$39	—	—	—	$39 – $39
8	Medica ma snp fee schedule · both	$39	$39	—	—	—	$39 – $39
9	Medica prime solution fee schedule · both	$39	$39	—	—	—	$39 – $39
10	Medica vantage fee schedule · both	$39	$39	—	—	—	$39 – $39
11	Ucare ifp with fairview fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
12	Blue Cross Blue Shield medicaid fee schedule · both	$55	$55	—	—	—	$55 – $55
13	Ucare ifp fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
14	UnitedHealthcare commercial fee schedule · both	$91	$91	—	—	—	$91 – $91
15	Cigna commercial fee schedule · outpatient	$92	$92	$8	9%	—	$84 – $100
16	Cigna commercial fee schedule · both	$147	$147	$13	9%	—	$135 – $160
17	Blue Cross Blue Shield federal fee schedule · both	$173	$173	—	—	—	$173 – $173
18	Blue Cross Blue Shield commercial fee schedule · both	$176	$176	—	—	—	$176 – $176
19	Medica bold fee schedule · both	$326	$326	—	—	—	$326 – $326
20	Medica choice without / elect fee schedule · both	$362	$362	—	—	—	$362 – $362
21	Medica city of st paul / essential uplan fee schedule · both	$362	$362	—	—	—	$362 – $362
22	Medica choice with fee schedule · both	$375	$375	—	—	—	$375 – $375
23	Blue Cross Blue Shield federal fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
24	Blue Cross Blue Shield commercial fee schedule · outpatient	$409	$409	—	—	—	$409 – $409
25	Blue Cross Blue Shield medicaid fee schedule · outpatient	$409	$409	—	—	—	$409 – $409

Page 1 of 2 · 27 rates

Last updated: May 18, 2026

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