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Kentucky rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $207,668.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.84 / $265.45 / $450.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.34 / $225.11 / $225.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $244.64 / $360.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $247.62 / $346.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.09 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $417.38 / $417.38
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 / $225.11