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Tennessee rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $82.45 / $122.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $67.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.03 / $74.03 / $74.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $50.37 / $60.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $264.98 / $299.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.80 / $98.80 / $98.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $64.47