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Alaska rates for HCPCS J0717

Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $8.26 / $29.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.34 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $10.41 / $10.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $12.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $24.02 / $37.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $24.02 / $56.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.87 / $7.89