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New Jersey 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 / $46.55 / $73.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $25.25 / $32.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.40 / $3,243.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $27.84