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South Carolina rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $4,897.79 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $2,290.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $45.71 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $51.29 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $52.48 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $45.71 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $50.12