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Illinois 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
$54.87 / $82.61 / $146.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $52.38 / $67.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.20 / $141.29 / $608.07
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $69.09 / $104.29
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $65.48 / $65.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $64.18