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Maryland rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $40.56 / $5,481.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $2,527.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $40.57 / $44.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $56.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $52.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $53.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.75 / $37.75 / $37.75