go back

Kentucky rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $44.60 / $4,137.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $44.60 / $56.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.48 / $52.59 / $89.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $44.60 / $44.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $49.06 / $71.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $46.83 / $68.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $44.60 / $72.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $44.60 / $44.60