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West Virginia rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.69 / $19.69 / $47.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.69 / $32.09 / $39.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $22.46 / $39.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $41.64 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $121.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $47.14 / $47.14