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California 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
$3.91 / $8.47 / $19.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.53 / $2,418.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $6.25 / $14.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.49 / $14.43
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $15.30 / $23.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $4.69 / $8.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $5.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $8.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $14.52 / $14.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.30 / $6.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $10.72