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Utah rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.73 / $92.21 / $5,012.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $51.73 / $51.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.17 / $57.27 / $57.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $106.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $44.60 / $44.60