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Indiana 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 $6 · 10th–90th $4–$110%10%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$5.0$10.0$20.0

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 / $10.96 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $8.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $7.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $10.47 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $7.76