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Idaho rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $6,171.77 / $8,623.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $48.79 / $55.75
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.06 / $59.10 / $79.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $55.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.32 / $44.60 / $59.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $53.52 / $53.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $45.94