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Indiana rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $24.08 / $108.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $37.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $41.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $41.64 / $56.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
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 / $114.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $58.45