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Washington rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.40 / $93.18 / $116.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $55.40 / $67.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.41 / $90.00 / $174.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $63.42 / $75.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $50.37 / $119.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $61.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $62.96 / $151.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $94.91 / $166.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $65.11 / $74.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.41 / $72.00 / $133.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $55.41 / $55.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $60.44