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Michigan rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $25.77 / $77.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $25.77 / $25.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.24 / $80.31 / $151.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $41.64 / $43.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.77 / $47.14 / $71.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $47.14 / $56.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $50.02