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Idaho 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
$4.49 / $4.49 / $3,707.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.30 / $5.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $5.18 / $6.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $4.05 / $7.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.70 / $4.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91