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Louisiana rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $45.04 / $120.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $49.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $15.84 / $44.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.13 / $44.13 / $45.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,229.83 / $1,229.83
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $58.86