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Massachusetts rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $32.86 / $16,380.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $24.59 / $6,687.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $63.38 / $118.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $29.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.38 / $30.18 / $64.33
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.10 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $49.12
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,642.73 / $18,642.73 / $18,642.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $118.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $35.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $33.11