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Wisconsin rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $79.09 / $93.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $98.77 / $7,029.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.75 / $82.51 / $99.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $56.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $61.06 / $71.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $51.28 / $106.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $51.09 / $69.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $40.56 / $44.60
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $89.20 / $89.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $40.56 / $40.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $40.56 / $85.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $40.56 / $44.60
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $89.20 / $89.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.59 / $44.60 / $126.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $200.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $62.62 / $62.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $61.07