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Nebraska rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $60.46 / $98.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $68.06 / $3,900.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $45.44 / $50.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.61 / $47.96 / $50.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $44.60 / $51.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $56.02 / $200.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $40.56 / $56.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.04 / $56.64 / $82.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $45.88 / $95.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $44.60 / $49.06