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Maine rates for HCPCS J0717

Injection Certolizumab Pegol 1 Mg (Code May Be Used For Medicare When Drug Administered Under Thedirect 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