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Alabama rates for HCPCS J1303

Injection Ravulizumab-Cwvz 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $236.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,038.96 / $40,094.32 / $53,939.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.48 / $225.11 / $225.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11