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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $15.54 / $19.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.99 / $5.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.65 / $5.95 / $10.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $6.28 / $13.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.49 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $6.65