go back

North Dakota rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $288.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $338.84 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $223.87 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $251.19