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Utah rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.41 / $27.43 / $27.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $27.43 / $27.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.11 / $33.01 / $35.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $46.30 / $66.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65