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Arkansas rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.64 / $53.52 / $53.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $53.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.01 / $44.01 / $44.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $44.01 / $44.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $42.07 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $50.03