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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
$45.04 / $5,668.20 / $5,668.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $45.03 / $49.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $66.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.41 / $103.41 / $103.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $44.60 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $72.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.28 / $85.28 / $156.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $58.86