go back

Louisiana rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $47.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $2,818.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $47.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $52.48