go back

Idaho rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $56.09 / $64.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.09 / $67.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $47.51 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.14 / $62.96 / $90.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $62.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.88 / $59.88 / $59.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $90.00 / $151.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.44 / $60.44 / $62.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.07