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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
$40.56 / $51.11 / $97.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $46.40 / $2,887.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.68 / $35.68 / $44.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $44.60 / $53.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.51 / $37.51 / $39.39
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $37.51 / $37.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.42 / $42.07 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $63.11 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $62.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $45.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $45.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.70 / $56.70 / $56.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.42 / $42.07 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $44.60 / $57.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $44.60 / $62.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.44 / $45.44 / $45.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $44.60 / $45.44