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Utah rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $95.50 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $72.44 / $147.91
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $46.77
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71