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Tennessee rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $31.43 / $48.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $24.43 / $27.12
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $208.20 / $208.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.78 / $47.14 / $47.14