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Rhode Island rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.69 / $163.69 / $163.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $52.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $56.09 / $64.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $50.37 / $56.07