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Indiana rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $91.90 / $184.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $45.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $89.20 / $118.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $44.60 / $63.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $66.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $101.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $44.60 / $105.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $55.30