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Ohio rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $109.30 / $167.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $51.88 / $109.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $87.95 / $150.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $84.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $85.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $68.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $47.51 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $99.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $50.37 / $50.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $99.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $70.51 / $83.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $62.42