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Minnesota rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $47.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $24.36 / $32.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $22.29 / $34.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $22.60 / $23.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.17 / $74.29 / $90.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $27.37 / $29.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $67.80 / $85.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.59 / $32.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $34.40 / $39.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $32.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $42.57