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Iowa rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $50.12 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $89.13 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $57.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $41.69 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $40.74 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $46.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67