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Illinois rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $79.43 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $3,801.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $87.10 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $58.88 / $114.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $50.12