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North Carolina rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.92 / $62.93 / $99.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $57.08 / $67.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.21 / $89.49 / $115.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $60.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $75.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.08 / $59.94 / $81.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $65.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $264.98