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Oklahoma rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $26.30 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $19.05 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $25.70 / $75.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $23.99