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West Virginia rates for HCPCS J0741

Injection, cabotegravir and rilpivirine, 2 mg/3 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.89 / $32.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.65 / $23.65 / $35.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $54.84 / $54.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $23.13 / $23.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $43.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $23.65 / $27.84