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Vermont rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $49.54 / $69.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.49 / $50.49 / $50.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $75.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $75.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $44.60 / $68.61