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Alefacept Injection

Wisconsin rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $26$1910%10%10th90th$69Professionalmedian $47 · 10th–90th $45$650%50%10th90th$47$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$58.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$46.77
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$46.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$61.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$46.77
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Quartz
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$208.93