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Idaho rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $23.63 / $27.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $26.27 / $29.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.01 / $31.33 / $42.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $29.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.13 / $23.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $34.38 / $57.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $28.38 / $29.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65