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Texas rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $99.14 / $135.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.87 / $78.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.53 / $127.89 / $251.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.79 / $67.79 / $67.79
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $264.98 / $299.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $56.09 / $74.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.07 / $50.37 / $108.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $50.37 / $72.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.69 / $50.37 / $91.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $56.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.09 / $60.02 / $68.00