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Arkansas rates for HCPCS J2820

Injection Sargramostim (Gm-Csf) 50 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.44 / $60.44 / $69.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $55.95 / $67.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $60.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.86 / $60.86 / $62.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.08 / $50.24 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $53.39 / $64.47