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Vermont rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $64.57 / $69.18