go back

Oklahoma rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $25.52 / $43.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $25.54 / $26.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $20.63 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $25.52 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $23.63 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65