go back

Minnesota 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
$3.91 / $3.91 / $8.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.23 / $8,160.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $7.64 / $18.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.49 / $4.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.98 / $13.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.14 / $5.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.05 / $5.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $9.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $8.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $7.04