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Virginia rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.09 / $43.76 / $86.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $40.07 / $40.07
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $36.75 / $37.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $47.14 / $61.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $47.14 / $47.14