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Missouri rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $75.86 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $63.10 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $61.66 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $63.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $70.79 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $72.44 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $74.13