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Washington, DC rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $635.04 / $50,462.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $344.34 / $582.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $212.37 / $225.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.34 / $191.34 / $225.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.85 / $225.11 / $364.85