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North Carolina rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.29 / $40.07 / $49.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $21.29 / $46.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.46 / $122.46 / $122.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $43.99 / $43.99
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 / $47.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.29 / $22.57 / $52.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $73.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $100.00 / $208.20