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Louisiana 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 / $4.71 / $9.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $5.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.95 / $6.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,917.52 / $1,917.52
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $8.17