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Nebraska rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $23.65 / $52.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.65 / $39.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $25.43 / $26.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $26.48 / $26.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.65 / $29.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $23.63 / $115.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.63 / $27.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $37.29 / $54.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.89 / $27.79 / $34.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $23.65 / $26.02