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South Carolina rates for HCPCS J1303

Injection Ravulizumab-Cwvz 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.36 / $32,105.84 / $152,089.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.32 / $234.20 / $309.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.81 / $278.92 / $453.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.74 / $261.27 / $307.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $225.11 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.36 / $261.27 / $560.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.10 / $393.10 / $393.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $224.97 / $224.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11