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Idaho rates for HCPCS J0215

Alefacept

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $29.38 / $35.61
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $31.25 / $45.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.35 / $30.55 / $30.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $39.65 / $58.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $66.00