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Connecticut rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $64.69 / $4,190.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.38 / $46.38 / $46.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $67.80 / $137.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $55.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $44.60 / $54.15