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Oregon rates for HCPCS J1303

Injection Ravulizumab-Cwvz 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $281.49 / $450.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.44 / $387.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $312.14 / $440.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $244.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.98 / $494.31 / $580.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $321.91 / $483.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $238.61 / $292.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $281.39 / $468.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $239.32 / $321.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $265.45 / $277.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $258.88 / $654.97
Regence BlueShield
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