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Ravulizumab-cwvz Injection

Idaho rates for HCPCS J1303 · Ultomiris

Injection, ravulizumab-cwvz, 10 mg

Rates data updated October 2026.

How much does Ultomiris (ravulizumab) cost?

$257per 10 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $257 for each 10 mg of this drug. The price depends on where it is billed: about $257 from a physician practice, and about $257 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$257
At a hospital outpatient department
$257

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$229 to $282
FacilityA hospital or hospital-owned outpatient department$257$240 to $282

How much rates vary

Facilitymedian $257 · 10th to 90th $229 to $372Professionalmedian $257 · 10th to 90th $224 to $324
$200$500facility $257professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$263.03
Typical High
$281.84
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$371.54
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$263.03
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$281.84
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$281.84
Typical High
$281.84
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$257.04
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$269.15
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$562.34
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
Select Health
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$478.63
Select Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$354.81

Where Idaho sits

The same service costs 1.6 times more in Arizona than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 11th of 51

$257

AZ $355MS $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.