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Kentucky rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $24.23 / $80.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $24.06 / $37.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $49.10 / $49.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $39.29 / $41.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $22.85 / $39.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $21.75 / $22.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $41.64 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $121.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.56 / $47.14 / $47.14