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Iowa 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
$6.78 / $15.54 / $15.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $15.54 / $2,232.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.78 / $5.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $5.49 / $17.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.78 / $15.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $8.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $6.51 / $9.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $6.19 / $15.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.03
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49