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New Hampshire rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $51.29 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $45.71 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $67.61 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $51.29
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 / $45.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $69.18