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Oklahoma rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $60.58 / $102.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.39 / $54.39 / $55.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $42.58 / $67.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $47.51 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $50.37 / $50.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.44 / $56.09 / $86.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $59.46 / $62.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.07