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Texas rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $67.59 / $88.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.04 / $55.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.03 / $91.19 / $180.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.52 / $43.52 / $43.52
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.99 / $70.69 / $2,175.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $47.13 / $71.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.83 / $1,229.83 / $1,229.83
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $218.54 / $223.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.39 / $44.60 / $65.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $44.60 / $80.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.47 / $44.60 / $64.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.18 / $44.60 / $68.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $37.76 / $60.21