HCPCS J0215
Injection, alefacept, 0.5 mg
Retired code16 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $30.14 – $212 | — | — |
| Deaconess Medical Center | $92.61 | — | — |
| Harborview Medical Center | $53.82 | — | — |
| Kadlec Regional Medical Center | $75.69 – $95.87 | — | — |
| Legacy Salmon Creek Medical Center | $56.77 | — | — |
| Mary Bridge Children's Hospital | $77.10 – $2,816 | — | — |
| MultiCare Auburn Medical Center | $28.39 – $257 | — | — |
| MultiCare Covington Medical Center | $28.39 – $257 | — | — |
| MultiCare Good Samaritan Hospital | $257 | — | — |
| MultiCare Valley Hospital | $46.73 – $92.61 | — | — |
| Overlake Hospital Medical Center & Clinics | $77.45 – $102 | — | — |
| Providence Centralia Hospital | $75.69 – $95.87 | — | — |
| Tacoma General Allenmore Hospital | $28.39 – $257 | — | — |
| University of Washington Medical Ctr | $53.82 | — | — |
| Virginia Mason Medical Center | $130 – $148 | — | — |
| Yakima Valley Memorial | $33.75 – $95.77 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.