Cost analysis for CPT J2357 — Injection, omalizumab, 5 mg
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.3x more than the cheapest for this procedure. LA averages $30.25 vs KY at $23.00.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| LA | $30.25 | $451.9K | 14.9K | 3 |
| AL | $30.24 | $1.5M | 49.5K | 8 |
| CO | $30.24 | $246.1K | 8.1K | 2 |
| MA | $30.23 | $2.1M | 68.2K | 7 |
| NM | $30.22 | $352.2K | 11.7K | 2 |
| AK | $30.21 | $184.9K | 6.1K | 2 |
| AR | $30.20 | $1.2M | 40.9K | 5 |
| OK | $30.16 | $708.3K | 23.5K | 6 |
| AZ | $30.15 | $7.7M | 256.2K | 26 |
| FL | $30.12 | $11.5M | 382.7K | 51 |
| VA | $30.08 | $8.5M | 282.5K | 40 |
| MD | $30.05 | $3.3M | 109.8K | 14 |
| GA | $30.04 | $3.0M | 100.4K | 13 |
| NE | $30.03 | $1.8M | 58.6K | 18 |
| NH | $30.01 | $36.0K | 1.2K | 1 |
| PA | $30.00 | $6.0M | 199.5K | 25 |
| MO | $29.97 | $1.5M | 51.3K | 12 |
| IN | $29.95 | $1.6M | 53.1K | 7 |
| KS | $29.94 | $2.6M | 87.9K | 14 |
| SC | $29.91 | $5.1M | 172.1K | 28 |
| MS | $29.89 | $2.2M | 74.4K | 9 |
| MI | $29.84 | $2.9M | 96.8K | 13 |
| DE | $29.84 | $904.2K | 30.3K | 5 |
| TX | $29.83 | $10.5M | 350.6K | 55 |
| NY | $29.79 | $3.4M | 113.3K | 23 |
| NJ | $29.69 | $1.4M | 46.1K | 8 |
| TN | $29.66 | $5.2M | 175.5K | 39 |
| OH | $29.64 | $1.6M | 54.4K | 7 |
| WI | $29.64 | $1.6M | 54.8K | 9 |
| ID | $29.64 | $52.5K | 1.8K | 1 |
| WA | $29.61 | $2.1M | 70.7K | 17 |
| IL | $29.61 | $3.1M | 103.5K | 23 |
| CT | $29.54 | $277.4K | 9.4K | 1 |
| NV | $29.47 | $683.0K | 23.2K | 5 |
| OR | $29.45 | $497.8K | 16.9K | 3 |
| CA | $29.25 | $10.3M | 353.1K | 54 |
| NC | $29.13 | $2.6M | 87.5K | 20 |
| UT | $27.08 | $228.7K | 8.4K | 2 |
| KY | $23.00 | $344.2K | 15.0K | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Robert Brennan | Infectious Disease | VA | $1.6M | 51.8K | $30.17 |
| Angela Ahuja | Allergy/ Immunology | MA | $1.3M | 41.5K | $30.22 |
| Richard. Demera. | Allergy/ Immunology | CA | $1.2M | 39.3K | $29.87 |
| Asif Rafi | Allergy/ Immunology | CA | $1.2M | 38.5K | $30.17 |
| Matthew Mardiney | Allergy/ Immunology | MD | $1.1M | 35.1K | $29.98 |
| David Amran | Allergy/ Immunology | TX | $1.0M | 34.6K | $30.15 |
| Michael Newan | Pulmonary Disease | FL | $1.0M | 34.4K | $30.23 |
| Michael Manning | Allergy/ Immunology | AZ | $1.0M | 33.5K | $30.02 |
| Aaron Davis | Allergy/ Immunology | AZ | $862.7K | 28.6K | $30.13 |
| Don Wynn | Pulmonary Disease | TX | $838.5K | 27.9K | $30.04 |
| Anthony Rooklin | Allergy/ Immunology | PA | $795.4K | 26.4K | $30.11 |
| Rahul Vangala | Allergy/ Immunology | GA | $693.1K | 22.9K | $30.24 |
| Mohamad Tawila | Allergy/ Immunology | MI | $683.0K | 23.0K | $29.66 |
| Richard Herrscher | Internal Medicine | TX | $669.0K | 22.2K | $30.20 |
| Kristi Hunter | Family Practice | GA | $640.8K | 21.4K | $29.87 |
| Michael Mardiney | Allergy/ Immunology | MD | $638.4K | 21.2K | $30.16 |
| Raja Devanathan | Pulmonary Disease | IN | $619.6K | 20.6K | $30.14 |
| Robert Singh | Vascular Surgery | PA | $618.5K | 20.6K | $30.10 |
| Adam Leon | Nurse Practitioner | AZ | $604.5K | 19.9K | $30.34 |
| Cristina Porch-Curren | Allergy/ Immunology | CA | $603.7K | 19.9K | $30.26 |
Based on the data, CPT J2357 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.