go back

Iowa rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $27.16 / $52.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $27.16 / $6,033.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.59 / $29.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $32.17 / $46.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $27.16 / $35.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $29.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $34.76 / $54.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.42 / $27.76 / $34.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $24.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63