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Kansas rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.10 / $27.16 / $103.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $25.54 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.66 / $26.44 / $27.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $25.72 / $35.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.63 / $26.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $27.84