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Massachusetts 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 $3–$120%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$70%20%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3.02 / $6.03 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $9.55 / $12.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.89 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.94 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $12.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.50 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $6.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $9.55 / $12.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.89 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.89 / $15.14