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Missouri 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)

Facilitymedian $5 · 10th–90th $4–$7,7620%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$180%20%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $18.20 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.07 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $7.08 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $14.13 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.47 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.90 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.89 / $4.79