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Michigan 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
$4.03 / $4.62 / $14.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.03 / $5.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $8.69 / $16.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.98 / $3.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $8.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $8.09 / $18.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.03 / $4.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.57 / $5.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.15