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Washington, DC rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $53.12 / $89.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $35.69 / $60.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $23.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $20.10 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $23.65 / $38.33