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Ravulizumab-cwvz Injection

Montana rates for HCPCS J1303 · Ultomiris

Injection, ravulizumab-cwvz, 10 mg

Rates data updated July 2026.

How much does Ultomiris (ravulizumab) cost?

$269per 10 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $269 for each 10 mg of this drug. The price depends on where it is billed: about $269 from a physician practice, and about $251 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$269
At a hospital outpatient department
$251

The same drug, in the same amount, costs 7% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$240 to $562
FacilityA hospital or hospital-owned outpatient department$251$234 to $437

How much rates vary

Facilitymedian $251 · 10th to 90th $229 to $692Professionalmedian $269 · 10th to 90th $224 to $617
$100$1K$10K$100Kfacility $251professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$89,125.09
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

Where Montana sits

The same service costs 2.6 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 11th of 51

$269

DE $550HI $214

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.