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Connecticut rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.59 / $37.07 / $66.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $24.59 / $24.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.35 / $35.95 / $70.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $24.54 / $29.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $23.65 / $26.25