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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $6.03 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $2,398.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $9.55 / $12.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.89 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $7.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $9.55 / $12.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.89 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.98 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $16.22