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North Carolina rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.09 / $261.22 / $102,364.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.32 / $227.36 / $15,550.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.70 / $368.60 / $463.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.94 / $237.94 / $237.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $261.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.32 / $267.88 / $287.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.28 / $226.28 / $226.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $224.97 / $224.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $292.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.44 / $339.28 / $1,131.40