go back

Mississippi rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $225.11 / $270.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $270.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.00 / $179.31 / $179.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $264.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $224.97 / $224.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.11 / $225.11 / $292.64