go back

Wyoming 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 / $23.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $27.84 / $27.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.31 / $22.31 / $22.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $33.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $23.65 / $23.65