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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
$27.54 / $72.44 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $3,890.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $67.61 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $46.77 / $46.77
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 / $58.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $45.71 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $66.07 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $58.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87