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North Dakota 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 / $100.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.86 / $67.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.64 / $54.91 / $55.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.44 / $54.83 / $55.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $61.01 / $76.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $58.31 / $95.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $63.38 / $69.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $78.03