Alefacept injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Alefacept

Payers reporting HCPCS J0215

Payer pricing summary

Low

Average

$240

Median

$107

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	211	$42	$72	$161	222%	—	$21 – $1.3k
2	Cigna fee schedule · outpatient · +7 other terms	174	$79	$135	$92	68%	—	$38 – $356
3	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	136	$70	$102	$72	70%	—	$0 – $269
4	Aetna fee schedule · outpatient · +10 other terms	96	$51	$85	$192	227%	—	$0 – $1.3k
5	Humana fee schedule · outpatient · +8 other terms	81	$146	$248	$262	106%	—	$26 – $1.4k
6	Anthem fee schedule · outpatient · +6 other terms	37	$0	$48	$239	494%	—	$0 – $1.3k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$170	$154	$51	33%	—	$63 – $266
8	Molina facility · case rate · outpatient · +6 other terms	27	$1.2k	$1.1k	$435	41%	—	$544 – $2.2k
9	Caresource facility · case rate · outpatient · +1 other terms	15	$1.3k	$1.4k	$318	23%	—	$863 – $2.2k
10	Aetna Better Health fee schedule · outpatient · +3 other terms	13	$26	$34	$8	25%	—	$26 – $43
11	Optum facility · case rate · outpatient · +2 other terms	13	$1.1k	$1.2k	$395	33%	—	$517 – $1.9k
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$49	$46	$13	29%	—	$25 – $61
13	Regence fee schedule · outpatient · +1 other terms	12	$30	$32	$8	26%	—	$23 – $77
14	Medica fee schedule · outpatient · +4 other terms	10	$96	$96	$24	25%	—	$58 – $124
15	Ucare fee schedule · both	9	$41	$41	$1	3%	—	$40 – $42
16	WellCare professional · fee schedule · both · +1 other terms	8	$0	$0	—	—	—	$0 – $0
17	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$598	$606	$19	3%	—	$598 – $653
18	Bcbs Il professional · fee schedule · both	7	$0	$0	—	—	—	$0 – $0
19	Bcbs La fee schedule · outpatient · +1 other terms	6	$42	$42	—	—	—	$42 – $42
20	First Health facility · fee schedule · outpatient · +4 other terms	4	$118	$118	—	—	—	$118 – $118
21	Kaiser fee schedule · both · +2 other terms	4	$38	$36	$8	23%	—	$28 – $47
22	Ambetter professional · fee schedule · both · +2 other terms	3	$0	$0	—	—	—	$0 – $0
23	Bcbs Id facility · fee schedule · outpatient	3	$49	$46	$18	39%	—	$25 – $68
24	Bcbs Sc fee schedule · outpatient	3	$73	$73	—	—	—	$73 – $73
25	Wellmark facility · case rate · outpatient · +1 other terms	3	$2.3k	$2.0k	$639	32%	—	$941 – $2.5k

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