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Nebraska rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.13 / $90.61 / $104.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $24.13 / $40.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $47.14 / $47.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.78 / $46.68 / $47.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $47.25 / $59.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.85 / $47.14 / $208.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $47.14 / $47.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.28 / $32.47 / $51.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $44.37 / $65.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.78 / $47.14 / $47.14