go back

Connecticut 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
$52.38 / $81.73 / $140.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.38 / $52.38 / $52.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.15 / $76.56 / $155.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.26 / $54.64 / $63.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.33 / $53.27 / $69.47