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Montana rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $54.95 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $52.48 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $38.90 / $120.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.90 / $120.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $60.26 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71