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Vermont rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $26.27 / $40.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $26.77 / $26.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $26.19 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $26.19 / $43.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $23.65 / $25.07