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Arizona rates for HCPCS J0215

Alefacept

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.47 / $94.28 / $141.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.77 / $26.77 / $39.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $41.64 / $41.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $41.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.74 / $38.28 / $50.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14