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West Virginia rates for HCPCS J2357

Injection, omalizumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $5,623.41 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $67.61 / $67.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $45.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $190.55 / $190.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $45.71 / $61.66