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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $7.34 / $9.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $1,706.64 / $8,551.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $4.43 / $4.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.42 / $5.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.05 / $5.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $8.52 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.49 / $4.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $7.57 / $9.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $7.83 / $20.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.91 / $4.30