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Maine rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $114.82 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $52.48 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $50.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $114.82 / $3,890.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $50.12 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $66.07