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Kansas 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 $5 · 10th–90th $4–$170%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$150%50%90th$3$5.0$10.0$20.0$50.0

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
$3.98 / $3.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.01 / $5.01
BCBS
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
$3.89 / $6.17 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.31 / $14.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $6.61