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Washington rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $84.36 / $10,481.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $51.28 / $5,623.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.38 / $51.19 / $95.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.46 / $44.60 / $58.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $91.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $54.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.57 / $50.70 / $121.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.51 / $63.13 / $110.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $43.46 / $55.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.33 / $46.00 / $76.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60