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Virginia rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $85.18 / $6,318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $46.83 / $75.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $94.11 / $151.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $59.66 / $90.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $44.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $53.52 / $58.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.13 / $50.25 / $66.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.37 / $47.19 / $57.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $47.19 / $57.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $44.60 / $55.97