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Hawaii rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $41.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.99 / $42.99 / $42.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.12 / $47.14 / $70.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.44 / $47.44 / $47.44