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Arizona rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $100.74 / $151.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.86 / $61.70 / $126.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.80 / $191.71 / $319.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.33 / $54.30 / $320.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $67.87 / $88.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $56.09 / $61.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.07