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New Mexico rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $351.07 / $351.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.36 / $592.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.02 / $1,224.78 / $1,995.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.32 / $222.32 / $300.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.75 / $225.11 / $225.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11