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Tennessee rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $60.84 / $891.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $49.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.40 / $55.40 / $55.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $223.00 / $223.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $50.03