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Minnesota rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $112.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.86 / $126.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $58.26 / $113.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.87 / $56.09 / $59.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.69 / $195.65 / $238.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.62 / $72.06 / $77.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.07 / $178.54 / $224.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $61.01 / $82.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.02 / $56.09 / $94.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $62.44 / $107.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $96.36