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Illinois 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
$4.13 / $6.84 / $15.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $5.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $44.60 / $106.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $9.00 / $25.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $5.08 / $5.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.23