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Iowa rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.05 / $84.62 / $90.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $24.05 / $24.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $47.25 / $59.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $99.10 / $116.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.28 / $43.00 / $59.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.47 / $47.14 / $52.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.28 / $35.59 / $51.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $44.37 / $65.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $48.08