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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)

Facilitymedian $7 · 10th–90th $4$140%20%10th90th$7Professionalmedian $4 · 10th–90th $3$80%20%40%10th90th$4$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $6.61 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $5.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $44.67 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $9.33 / $25.70
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.07