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Louisiana 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 / $24.81 / $59.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $28.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.60 / $8.91 / $23.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.63
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $27.84