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Arizona rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $94.80 / $6,782.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $98.77 / $7,029.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.68 / $140.66 / $233.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $39.26 / $283.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $53.54 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $40.56 / $40.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60