go back

Tennessee 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 / $42.30 / $6,110.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $28.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $118.25 / $118.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.13 / $23.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.66