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North Dakota rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $39.81 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $40.74 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $50.12