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Pennsylvania rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $94.91 / $5,844.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $1,719.00 / $5,623.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.12 / $48.38 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $46.28 / $48.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.31 / $98.18 / $118.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $99.56 / $5,844.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $123.30 / $5,047.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $44.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $44.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $38.20 / $44.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $61.59