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Virginia rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $400.69 / $214,265.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.36 / $236.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $474.98 / $765.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $344.34 / $519.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $212.37 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $225.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.34 / $261.27 / $270.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $225.11 / $406.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.47 / $225.11 / $261.27