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Louisiana rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.74 / $25.98 / $34.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $24.74 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $42.43 / $63.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.43 / $42.43 / $43.28
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $51.97