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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
$223.87 / $223.87 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $436.52 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $245.47 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $288.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $407.38