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Kentucky 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
$3.91 / $3.91 / $6.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $4.61 / $7.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.91 / $3.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $4.30 / $6.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.11 / $6.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $8.21 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91