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Wyoming rates for HCPCS J0215

Injection, alefacept, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.59 / $21.59 / $21.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $47.14 / $47.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $58.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14