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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
$44.60 / $44.60 / $73.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $49.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $48.62 / $49.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $48.55 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.45 / $45.45 / $52.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $41.28 / $51.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $40.56 / $68.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.56 / $44.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $44.60 / $49.95