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Massachusetts rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $312.89 / $136,890.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $234.11 / $309.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.36 / $563.67 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $225.11 / $284.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.54 / $287.24 / $612.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $355.80 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $467.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.44 / $299.44 / $1,131.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $225.11 / $337.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $225.11 / $315.16