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Texas rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $41.47 / $66.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $32.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $57.91 / $115.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.31 / $23.31 / $23.31
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.27 / $26.02 / $38.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $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 / $115.89 / $118.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $33.82 / $34.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $23.65 / $42.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.65 / $34.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $23.65 / $41.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $23.17 / $31.93