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California rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.87 / $51.03 / $12,335.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $6,033.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $37.78 / $84.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.65 / $66.58
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $24.50 / $53.20
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $66.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $28.38 / $52.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $115.65 / $118.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.65 / $33.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $51.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $26.01 / $40.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $48.27