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South Dakota rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Facilitymedian $224 · 10th–90th $224$3240%50%90th$224Professionalmedian $229 · 10th–90th $224$2880%50%10th90th$229$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$257.04
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87