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Connecticut rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $346.74 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $234.42 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $245.47