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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $18.00 / $10,860.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.99 / $18.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $6.65 / $14.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $4.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.91 / $3.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.91 / $3.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $13.06 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.49 / $5.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.91 / $4.88