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Alefacept Injection

Wisconsin rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Rates data updated July 2026.

How much does Alefacept Injection cost?

$46.77per 0.5 mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $46.77 for each 0.5 mg of this drug. The price depends on where it is billed: about $46.77 from a physician practice, and about $69.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$46.77
At a hospital outpatient department
$69.18

The same drug, in the same amount, costs 48% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$46.77 to $54.95
FacilityA hospital or hospital-owned outpatient department$69.18$35.48 to $129

How much rates vary

Facilitymedian $69 · 10th to 90th $26 to $191Professionalmedian $47 · 10th to 90th $45 to $65
$20$50$100$200facility $69professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Wisconsin sits

The same service costs 9.5 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 21st of 37

$46.77

CA $209KY $21.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.