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Nebraska rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $63.92 / $111.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.09 / $126.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.77 / $54.17 / $57.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $57.02 / $63.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $61.01 / $76.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $63.92 / $299.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $59.88 / $71.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.61 / $90.03 / $124.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $67.86 / $110.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $59.94