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Kansas rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.67 / $25.67 / $33.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $25.67 / $33.56
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
$25.67 / $38.29 / $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 / $49.04