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Maine 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
$4.07 / $9.07 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.05 / $5.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $4.75 / $12.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.26 / $5.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $8.60