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Minnesota rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $5,313.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $46.40 / $2,391.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.18 / $45.89 / $94.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $40.56 / $40.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.75 / $50.03 / $119.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $45.80 / $51.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.39 / $45.45 / $45.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $40.88 / $45.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.59 / $68.55 / $114.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $40.56 / $64.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $80.84