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Virginia rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $64.31 / $127.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $52.88 / $55.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $106.26 / $171.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $93.39 / $140.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $47.51 / $50.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $60.44 / $75.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $65.20 / $78.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $32.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.85 / $60.48 / $70.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $60.48 / $70.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $53.39 / $65.48