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Georgia rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $331.03 / $311,695.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.36 / $334.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $366.48 / $826.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $441.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $212.37 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.28 / $701.00 / $822.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $240.22