go back

Oregon rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $29.54 / $12,936.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $23.89 / $34.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $32.79 / $46.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $25.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.28 / $51.84 / $61.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $33.82 / $50.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $25.07 / $30.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $23.65 / $49.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.05 / $25.14 / $44.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $27.86 / $28.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.05 / $35.27 / $79.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65