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New Jersey 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
$50.37 / $85.26 / $708.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $66.15 / $85.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.88 / $213.69 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $56.09 / $59.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.74 / $128.74 / $128.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $61.73