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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
$234.11 / $351.75 / $629.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.11 / $234.11 / $234.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.80 / $342.21 / $674.77
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
$225.11 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.49 / $233.61 / $281.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.60 / $225.11 / $249.87