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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $838 – $1,242 | — | — |
| Deaconess Medical Center | $767 – $812 | — | — |
| Harborview Medical Center | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $793 – $857 | — | — |
| MultiCare Auburn Medical Center | $779 – $841 | — | — |
| MultiCare Covington Medical Center | $779 – $841 | — | — |
| MultiCare Good Samaritan Hospital | $797 – $861 | — | — |
| MultiCare Valley Hospital | $762 – $806 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Tacoma General Allenmore Hospital | $797 – $861 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | $762 – $885 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.