go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.68 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.68 / $5.75