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Maryland rates for HCPCS J0215

Alefacept

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $28.73 / $32.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $32.09 / $40.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $41.65 / $41.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $53.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $31.58 / $40.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $68.00