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Arkansas rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.71 / $28.38 / $6,110.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $28.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.63 / $25.63 / $25.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $25.63 / $25.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.66