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Maryland rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $47.38 / $11,922.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $30.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $30.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.63 / $23.65 / $29.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $25.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.17