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North Dakota 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
$3.02 / $3.02 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.17 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.13 / $7.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.89 / $4.37