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Mississippi rates for HCPCS J2820

Injection Sargramostim (Gm-Csf) 50 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.88 / $60.44 / $67.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $55.95 / $67.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $47.52 / $52.27
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $52.38 / $66.48