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North Carolina rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $23.54 / $7,378.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $23.65 / $6,468.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $38.67 / $48.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $24.96 / $24.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $27.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $28.14 / $29.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $18.27 / $18.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $36.65
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $118.25