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Louisiana rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.87 / $57.77 / $123.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $51.88 / $67.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $16.16 / $59.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.96 / $59.96 / $61.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $67.79