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Arizona 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
$4.18 / $7.93 / $5,972.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $5.43 / $2,678.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $13.95 / $22.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.34 / $24.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.92 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91