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Massachusetts rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $70.01 / $1,018.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $52.38 / $67.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.44 / $150.35 / $352.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $64.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.05 / $64.27 / $137.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $60.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $88.62 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $104.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $264.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $75.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $88.15