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Massachusetts rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $78.05 / $10,298.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $46.38 / $2,912.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.65 / $111.68 / $223.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $56.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $56.91 / $121.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $81.12 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $92.63
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.16 / $2,990.82 / $6,072.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $223.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $66.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $66.90