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Nebraska 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 $4 · 10th–90th $4–$80%20%10th90th$4Professionalmedian $7 · 10th–90th $3–$8,1280%10%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$3.89 / $6.92 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $10.72 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $4.27 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.27 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $4.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $8.51 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.47 / $4.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.80 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.89 / $5.75