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New Hampshire rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.07 / $40.07 / $49.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $40.07 / $40.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $40.07 / $40.07
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $44.08 / $56.10