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Montana rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Facilitymedian $251 · 10th–90th $229$1,2880%20%40%10th90th$251Professionalmedian $234 · 10th–90th $224$6310%50%10th90th$234$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$676.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$223.87
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87