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North Dakota rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $22.52 / $47.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $28.28 / $28.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $47.25 / $59.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $47.14 / $47.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $51.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $47.14 / $51.20