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Ohio rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $101.69 / $8,982.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $51.92 / $5,623.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.17 / $71.81 / $111.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $75.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $44.60 / $61.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $44.60 / $60.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $74.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $58.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $74.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.61 / $55.75 / $62.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $62.04