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Kentucky 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 / $23.65 / $18,144.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $26.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $27.89 / $47.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $23.65 / $23.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $26.02 / $37.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $24.83 / $33.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $43.24 / $43.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65