go back

Missouri rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $58.88 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $48.98 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $56.23
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 / $46.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $53.70 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $48.98 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $56.23