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New Hampshire rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $62.82 / $112.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.04 / $90.67 / $228.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $50.37 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $81.80 / $155.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $53.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.64 / $27.10 / $34.50