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New York rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Facilitymedian $36 · 10th–90th $24–$9,5500%20%10th90th$36Professionalmedian $24 · 10th–90th $24–$580%50%90th$24$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $21.38
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $100.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $28.84 / $83.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $24.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.99
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $50.12
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.99 / $28.18