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South Carolina 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
$52.88 / $52.88 / $238.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.88 / $57.08 / $90.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.03 / $60.56 / $99.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $66.45 / $82.46
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.31 / $52.88 / $153.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.73 / $93.73 / $93.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $56.07