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West Virginia rates for HCPCS J1303

Injection, ravulizumab-cwvz, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.19 / $250.09 / $157,698.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $227.36 / $234.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.11 / $337.67 / $337.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.37 / $222.09 / $225.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $225.11 / $417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $225.11 / $261.27