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Washington, DC 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 / $12.66 / $17.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $6.93 / $11.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.91 / $6.34