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Ravulizumab-cwvz Injection

Utah rates for HCPCS J1303 · Ultomiris

Injection, ravulizumab-cwvz, 10 mg

Rates data updated July 2026.

How much does Ultomiris (ravulizumab) cost?

$257per 10 mg

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $257 for each 10 mg of this drug. The price depends on where it is billed: about $257 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$257
At a hospital outpatient department
$275

The same drug, in the same amount, costs 7% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$224 to $257
FacilityA hospital or hospital-owned outpatient department$275$257 to $316

How much rates vary

Facilitymedian $275 · 10th to 90th $224 to $589Professionalmedian $257 · 10th to 90th $224 to $257
$200$500facility $275professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$446.68
Select Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87

Where Utah sits

The same service costs 2.6 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 14th of 51

$257

DE $550HI $214

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.