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Maryland 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 / $571.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $75.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $50.36 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $64.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $67.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $74.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.02 / $60.02 / $60.02