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Washington rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $35.61 / $94.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $35.61 / $40.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $41.54 / $85.67
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $68.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $41.64 / $166.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $51.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.90 / $51.53 / $52.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.04 / $38.94 / $71.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14