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Rhode Island rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.94 / $144.94 / $144.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $46.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $40.56 / $50.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60