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Montana rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $2,391.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.62 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $45.80 / $111.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $45.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $45.80 / $111.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $48.38 / $63.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60