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Wisconsin rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Facilitymedian $47 · 10th–90th $24–$18,1970%10%20%10th90th$47Professionalmedian $24 · 10th–90th $24–$560%50%90th$24$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $47.86 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $56.23 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $44.67
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $52.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $46.77 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.99 / $23.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $75.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $33.11