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Missouri rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.16 / $26.24 / $26.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $25.67 / $30.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $35.36 / $44.78
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 / $50.12 / $208.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $47.14 / $47.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $47.14 / $47.61