go back

Hawaii rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.12 / $42.12 / $42.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $32.47 / $6,033.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $39.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $28.38 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $27.81 / $35.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $27.35 / $29.89