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Illinois rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $41.39 / $9,790.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.65 / $28.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $93.20 / $461.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $33.18 / $60.33
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $25.09