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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 Thedirect 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 / $8.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $3.95 / $5.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $4.26 / $4.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.26 / $4.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $5.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $5.07 / $15.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.49 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.91 / $5.15