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North Dakota 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 / $23.65 / $42.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $28.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.66 / $25.79 / $26.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $25.75 / $25.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.65 / $29.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $23.63 / $40.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.63 / $25.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $23.65 / $25.69