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Delaware rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.78 / $60.78 / $60.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $55.09 / $55.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.27 / $23.65 / $35.47