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New York rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $60.26 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $39.81
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $190.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $51.29 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $64.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $46.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $45.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $100.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $45.71 / $63.10
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $51.29
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $44.67 / $53.70