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Minnesota rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $450.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $592.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.75 / $371.77 / $571.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.15 / $225.19 / $225.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.48 / $268.50 / $690.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.72 / $263.91 / $285.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.95 / $229.35 / $229.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.48 / $224.48 / $239.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $225.19 / $426.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.19 / $225.19 / $310.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $408.08