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Wyoming rates for HCPCS J2357

Injection Omalizumab 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.56 / $40.56 / $40.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $45.03 / $45.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.07 / $58.91 / $58.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.07 / $42.07 / $42.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $63.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $44.60 / $44.60