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Wyoming rates for HCPCS J2820

Injection, sargramostim (GM-CSF), 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.09 / $56.09 / $56.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $75.51 / $75.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $47.51 / $47.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $71.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $56.07