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Arizona rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $85.11 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $97.72 / $7,762.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $114.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $87.10 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $53.70 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $44.67 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $45.71