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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $11.16 / $20.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $4.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $7.82 / $10.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.91 / $5.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $16.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $12.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $5.22