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West Virginia rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.87 / $56.65 / $63.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.86 / $56.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.37 / $75.56 / $75.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $50.37 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $113.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $56.07 / $75.51