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Washington, DC rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $114.38 / $154.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $59.66 / $100.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $44.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $44.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.59 / $44.60 / $72.29