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Virginia rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $74.13 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $91.20 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $75.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $50.12 / $66.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $50.12 / $67.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $50.12 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $45.71 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $57.54