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Colorado 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)

Facilitymedian $8 · 10th–90th $4–$150%10%10th90th$8Professionalmedian $4 · 10th–90th $3–$50%20%10th90th$4$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $8.32 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $5.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $7.41 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $12.02 / $12.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.61 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $18.20