go back

Kansas rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.37 / $62.43 / $4,810.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.49 / $64.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.25 / $44.98 / $47.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $48.21 / $48.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $44.58 / $61.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.56 / $49.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $58.86