go back

Missouri rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $56.64 / $3,191.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $49.08 / $2,527.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $75.81 / $160.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $55.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $51.27 / $200.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $40.56 / $46.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $44.60 / $51.60