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New Jersey rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $338.84 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $263.03 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $2,454.71 / $20,417.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $269.15 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $257.04