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North Dakota rates for HCPCS J1303

Injection Ravulizumab-Cwvz 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $405.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $272.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.22 / $245.44 / $248.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.59 / $245.07 / $247.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.35 / $229.35 / $263.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.48 / $225.11 / $280.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $261.27 / $675.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.32 / $225.19 / $244.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.34 / $225.11 / $244.48