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Arkansas 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
$4.70 / $4.70 / $8.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $4.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.86 / $4.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $8.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $15.30