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North Carolina rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.32 / $72.70 / $6,524.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.92 / $44.60 / $60.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.10 / $61.88 / $74.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.75 / $37.75 / $42.10
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 / $58.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.92 / $53.07 / $62.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $69.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $223.00