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Alaska rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.74 / $43.51 / $153.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $26.27 / $55.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.91 / $62.91 / $62.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $76.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.97 / $37.09 / $58.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $52.20 / $86.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $25.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $35.47 / $47.71