go back

Arkansas rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $270.13 / $270.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $270.13 / $270.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.32 / $244.32 / $244.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.63 / $244.32 / $244.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $225.11 / $234.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $225.11 / $225.11