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Utah rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.13 / $39.13 / $39.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $39.13 / $39.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $41.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.49 / $37.11 / $47.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.78 / $47.14 / $47.14