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Washington rates for HCPCS J0741

Injection Cabotegravir And Rilpivirine 2mg/3mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.74 / $42.22 / $29,235.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $26.01 / $32.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $34.38 / $66.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $24.49 / $27.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $46.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $29.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $23.65 / $44.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $36.15 / $63.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $25.14 / $26.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $27.50 / $51.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65
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 / $23.65