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Colorado rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.70 / $450.38 / $172,151.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.36 / $309.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.22 / $387.19 / $720.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $212.37 / $318.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $282.37 / $373.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.83 / $247.62 / $369.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11