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Utah rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.42 / $58.42 / $65.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $58.42 / $58.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $85.47 / $91.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.61 / $121.20 / $174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $50.37 / $56.07