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Kansas rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.70 / $315.14 / $370,380.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $229.61 / $315.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.05 / $273.74 / $279.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.85 / $232.85 / $232.85
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $256.16 / $315.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.32 / $225.19 / $248.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $224.97 / $224.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $261.27