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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
$172.19 / $4,956.43 / $6,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $45.03 / $56.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $44.50 / $71.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $55.75 / $64.33
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.62 / $51.51 / $97.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.64 / $65.64 / $65.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60